{"id":182,"date":"2018-08-22T03:45:39","date_gmt":"2018-08-22T03:45:39","guid":{"rendered":"http:\/\/webtest.benhvienmatquangduc.vn\/?p=182"},"modified":"2018-08-22T03:45:39","modified_gmt":"2018-08-22T03:45:39","slug":"chan-thuong-vo-nhan-cau","status":"publish","type":"post","link":"https:\/\/benhvienmatquangduc.vn\/?p=182","title":{"rendered":"Ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u"},"content":{"rendered":"

Ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u l\u00e0 m\u1ed9t t\u00ecnh hu\u1ed1ng n\u1eb7ng n\u1ec1 trong nh\u00e3n khoa, kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 th\u1ea9m m\u1ef9 m\u00e0 c\u1ea3 th\u1ecb l\u1ef1c. V\u1ee1 nh\u00e3n c\u1ea7u x\u1ea3y ra khi v\u00ec m\u1ed9t l\u00fd do n\u00e0o \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ch\u1ea5n th\u01b0\u01a1ng khi\u1ebfn v\u1ee1 to\u00e0n b\u1ed9 b\u1ec1 d\u00e0y c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a v\u1ecf b\u1ecdc nh\u00e3n c\u1ea7u (gi\u00e1c m\u1ea1c v\u00e0 c\u1ee7ng m\u1ea1c), c\u00f3 k\u00e8m theo ph\u00f2i k\u1eb9t ho\u1eb7c m\u1ea5t t\u1ed5 ch\u1ee9c n\u1ed9i nh\u00e3n.<\/p>\n

D\u1ea5u hi\u1ec7u v\u1ee1 nh\u00e3n c\u1ea7u<\/h3>\n

Ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u th\u01b0\u1eddng do tai n\u1ea1n \u0111\u1ee5ng d\u1eadp, ho\u1eb7c v\u1ebft th\u01b0\u01a1ng xuy\u00ean th\u1ee7ng nh\u00e3n c\u1ea7u, c\u0169ng c\u00f3 khi v\u1ee1 t\u1ef1 nhi\u00ean tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd t\u1ea1i l\u1edbp v\u1ecf nh\u00e3n c\u1ea7u.<\/p>\n

\"v\u1ee1<\/p>\n

\u2013 C\u01a1 n\u0103ng: B\u1ec7nh nh\u00e2n b\u1ecb \u0111au, k\u00edch th\u00edch v\u1eadt v\u00e3, th\u1ecb l\u1ef1c m\u1ea5t sau khi x\u1ea3y ra ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n

\u2013 Th\u1ef1c th\u1ec3: ph\u00f9 n\u1ec1 mi v\u00e0 k\u1ebft m\u1ea1c, t\u1ee5 m\u00e1u ho\u1eb7c ch\u1ea3y m\u00e1u t\u1ea1i mi m\u1eaft, xu\u1ea5t huy\u1ebft d\u01b0\u1edbi k\u1ebft m\u1ea1c. Ti\u1ec1n ph\u00f2ng th\u01b0\u1eddng s\u00e2u. Xu\u1ea5t huy\u1ebft ti\u1ec1n ph\u00f2ng hay n\u1ed9i nh\u00e3n (th\u01b0\u1eddng c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng). H\u1ea1n ch\u1ebf v\u1eadn nh\u00e3n (\u0111\u01b0a m\u1eaft v\u1ec1 ph\u00eda nh\u00e3n c\u1ea7u v\u1ee1 c\u00e0ng h\u1ea1n ch\u1ebf). T\u1ed5 ch\u1ee9c n\u1ed9i nh\u00e3n nh\u01b0 m\u00e0ng b\u1ed3 \u0111\u00e0o, v\u00f5ng m\u1ea1c, th\u1ee7y tinh th\u1ec3 c\u00f3 khi b\u1ecb k\u1eb9t ngay t\u1ea1i v\u1ebft v\u1ee1, m\u1ea5t m\u1ed9t ph\u1ea7n hay to\u00e0n b\u1ed9. Nh\u00e3n c\u1ea7u b\u1ecb m\u1ec1m v\u00e0 bi\u1ebfn d\u1ea1ng.<\/p>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, c\u1ea7n c\u00e1c ch\u1ee9ng c\u1ee9 c\u1eadn l\u00e2m s\u00e0ng\u00a0nh\u01b0\u00a0si\u00eau \u00e2m \u0111\u1ec3 khu tr\u00fa v\u1ecb tr\u00ed nh\u00e3n c\u1ea7u b\u1ecb v\u1ee1, x\u00e1c \u0111\u1ecbnh c\u00f3 d\u1ecb v\u1eadt n\u1ed9i nh\u00e3n ho\u1eb7c h\u1ed1c m\u1eaft hay kh\u00f4ng, ch\u1ee5p CT Scan ho\u1eb7c MRI (n\u1ebfu c\u1ea7n).<\/p>\n

\u0110i\u1ec1u tr\u1ecb v\u1ee1 nh\u00e3n c\u1ea7u<\/h3>\n

M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb khi x\u1ea3y ra v\u1ee1 nh\u00e3n c\u1ea7u l\u00e0 c\u1ed1 g\u1eafng b\u1ea3o t\u1ed3n nh\u00e3n c\u1ea7u \u1edf m\u1ee9c cao nh\u1ea5t.<\/p>\n

\"v\u1ee1<\/p>\n

\u1ede giai \u0111o\u1ea1n c\u1ea5p c\u1ee9u, khi \u0111\u00e3 ch\u1ea9n \u0111o\u00e1n v\u1ee1 nh\u00e3n c\u1ea7u ho\u1eb7c v\u1ebft th\u01b0\u01a1ng xuy\u00ean th\u1ee7ng nh\u00e3n c\u1ea7u tr\u00ean l\u00e2m s\u00e0ng, c\u1ea7n tr\u00e1nh nh\u1eefng \u0111\u1ed9ng t\u00e1c \u0111\u00e8 \u00e9p l\u00ean nh\u00e3n c\u1ea7u l\u00e0m t\u0103ng nguy c\u01a1 ph\u00f2i k\u1eb9t ho\u1eb7c m\u1ea5t th\u00eam t\u1ed5 ch\u1ee9c n\u1ed9i nh\u00e3n. \u1ede tuy\u1ebfn \u0111\u1ecba ph\u01b0\u01a1ng \u2013 n\u01a1i kh\u00f4ng c\u00f3 \u0111i\u1ec1u tr\u1ecb chuy\u00ean khoa m\u1eaft, khi ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u, c\u1ea7n c\u1ea5p c\u1ee9u ch\u1ed1ng s\u1ed1c, m\u1ea5t m\u00e1u (n\u1ebfu x\u1ea3y ra s\u1ed1c, m\u1ea5t m\u00e1u), b\u1ea3o v\u1ec7 m\u1eaft b\u1ec7nh nh\u00e2n b\u1eb1ng s\u00f2 che m\u1eaft, cho thu\u1ed1c an th\u1ea7n n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 k\u00edch th\u00edch r\u1ed3i chuy\u1ec3n tuy\u1ebfn \u0111\u1ebfn b\u1ec7nh vi\u00ean chuy\u00ean khoa.<\/p>\n

V\u1edbi ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u, b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd xem x\u00e9t k\u1ef9, \u0111\u00e1nh gi\u00e1 \u0111\u00fang m\u1ee9c \u0111\u1ed9 tr\u1ea7m tr\u1ecdng c\u1ee7a v\u1ebft th\u01b0\u01a1ng, c\u1ed1 g\u1eafng b\u1ea3o t\u1ed3n t\u1ed1i \u0111a theo \u0111\u00fang c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu.<\/p>\n

\u2013 Tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng n\u1ec1 kh\u00f4ng th\u1ec3 c\u1ee9u v\u00e3n, c\u00f3 th\u1ec3 ph\u1ea3i b\u1ecf nh\u00e3n c\u1ea7u. \u0110\u00e2y l\u00e0 quy\u1ebft \u0111\u1ecbnh cu\u1ed1i c\u00f9ng n\u1ebfu bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n l\u00e0 kh\u00f4ng kh\u1ea3 thi.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p b\u1ea3o to\u00e0n nh\u00e3n c\u1ea7u:<\/em><\/p>\n

\u2013 Thay b\u0103ng h\u00e0ng ng\u00e0y, theo d\u00f5i t\u00ecnh trang nh\u00e3n c\u1ea7u.<\/p>\n

\u2013 T\u1ea1i ch\u1ed7: nh\u1ecf m\u1eaft b\u1eb1ng kh\u00e1ng sinh v\u00e0 kh\u00e1ng vi\u00eam kh\u00f4ng steroid v\u00e0\/ho\u1eb7c steroid.<\/p>\n

\u2013 To\u00e0n th\u00e2n: kh\u00e1ng sinh ho\u1ea1t ph\u1ed5 r\u1ed9ng v\u00e0 steroid, th\u1eddi gian t\u1eeb 7 \u2013 10 ng\u00e0y.<\/p>\n

-Theo d\u00f5i ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c, nh\u00e3n \u00e1p, t\u00ecnh tr\u1ea1ng th\u1ee7y tinh th\u1ec3, m\u1ed1ng m\u1eaft, n\u1ed9i nh\u00e3n, v\u00f5ng m\u1ea1c, nh\u00e3n vi\u00eam giao c\u1ea3m v\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng kh\u00e1c. C\u00f3 bi\u1ec7n ph\u00e1p x\u1eed tr\u00ed k\u1ecbp th\u1eddi v\u00e0 th\u00edch h\u1ee3p.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p b\u1ecf nh\u00e3n c\u1ea7u:<\/em><\/p>\n

\u2013 T\u1ea1i ch\u1ed7: kh\u00e1ng sinh, thay b\u0103ng, r\u1eeda h\u1ed1c m\u1eaft h\u00e0ng ng\u00e0y b\u1eb1ng dung d\u1ecbch Bethadine 5,0%.<\/p>\n

\u2013 To\u00e0n th\u00e2n: kh\u00e1ng sinh u\u1ed1ng 7 ng\u00e0y.<\/p>\n

\u2013 Ti\u1ebfn h\u00e0nh \u0111\u1eb7t m\u1eaft gi\u1ea3 khi h\u1ed1c m\u1eaft s\u1ea1ch, h\u1ebft ph\u00f9 n\u1ec1.<\/p>\n

-Theo d\u00f5i t\u00ecnh tr\u1ea1ng h\u1ed1c m\u1eaft, nh\u00e3n vi\u00eam giao c\u1ea3m, t\u00ecnh tr\u1ea1ng c\u00f9ng \u0111\u1ed3, m\u1eaft gi\u1ea3.<\/p>\n

Bi\u1ebfn ch\u1ee9ng v\u1ee1 nh\u00e3n c\u1ea7u<\/h3>\n

C\u1ea7n \u0111\u1ec1 ph\u00f2ng c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i sau ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u nh\u01b0:<\/p>\n

\u2013 Vi\u00eam m\u1ee7 n\u1ed9i nh\u00e3n.<\/p>\n

\u2013 Glaucome c\u1ea5p.<\/p>\n

\u2013 Bong v\u00f5ng m\u1ea1c\u2026<\/p>\n

B\u1ec7nh nh\u00e2n sau khi ra vi\u1ec7n c\u1ea7n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng m\u1eaft, x\u1eed l\u00fd c\u00e1c bi\u1ebfn ch\u1ee9ng c\u0169ng nh\u01b0 nh\u1eefng v\u1ea5n \u0111\u1ec1 b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i sau ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u (n\u1ebfu c\u00f3).<\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u1ea5n th\u01b0\u01a1ng v\u1ee1 nh\u00e3n c\u1ea7u l\u00e0 m\u1ed9t t\u00ecnh hu\u1ed1ng n\u1eb7ng n\u1ec1 trong nh\u00e3n khoa, kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 th\u1ea9m m\u1ef9 m\u00e0 c\u1ea3 th\u1ecb l\u1ef1c. V\u1ee1 nh\u00e3n c\u1ea7u x\u1ea3y ra khi v\u00ec m\u1ed9t l\u00fd do n\u00e0o \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ch\u1ea5n th\u01b0\u01a1ng khi\u1ebfn v\u1ee1 to\u00e0n b\u1ed9 b\u1ec1 d\u00e0y c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a v\u1ecf […]\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/182"}],"collection":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=182"}],"version-history":[{"count":1,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/182\/revisions"}],"predecessor-version":[{"id":183,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/182\/revisions\/183"}],"wp:attachment":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}