{"id":522,"date":"2024-10-18T16:13:24","date_gmt":"2024-10-18T16:13:24","guid":{"rendered":"https:\/\/bsphamvinhphu.com\/?p=522"},"modified":"2024-10-18T16:13:24","modified_gmt":"2024-10-18T16:13:24","slug":"ro-hau-mon-nhung-dieu-can-biet","status":"publish","type":"post","link":"https:\/\/bsphamvinhphu.com\/en\/ro-hau-mon-nhung-dieu-can-biet\/","title":{"rendered":"R\u00d2 H\u1eacU M\u00d4N &#8211; NH\u1eeeNG \u0110I\u1ec0U C\u1ea6N BI\u1ebeT"},"content":{"rendered":"<p>R\u00f2 h\u1eadu m\u00f4n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p trong ngo\u1ea1i khoa h\u1eadu m\u00f4n \u2013 tr\u1ef1c tr\u00e0ng, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c \u0111\u01b0\u1eddng h\u1ea7m b\u1ea5t th\u01b0\u1eddng t\u1eeb l\u00f2ng h\u1eadu m\u00f4n ra da quanh h\u1eadu m\u00f4n. \u0110\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u00eam nhi\u1ec5m m\u1ea1n t\u00ednh \u1edf c\u00e1c tuy\u1ebfn h\u1eadu m\u00f4n, d\u1eabn \u0111\u1ebfn \u00e1p xe h\u1eadu m\u00f4n kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch. R\u00f2 h\u1eadu m\u00f4n chi\u1ebfm kho\u1ea3ng 30-40% c\u00e1c ca b\u1ec7nh h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng, th\u01b0\u1eddng g\u1eb7p \u1edf nam gi\u1edbi h\u01a1n n\u1eef gi\u1edbi v\u00e0 th\u01b0\u1eddng x\u1ea3y ra trong \u0111\u1ed9 tu\u1ed5i 30-50. B\u1ec7nh kh\u00f4ng ch\u1ec9 g\u00e2y ra \u0111au \u0111\u1edbn m\u00e0 c\u00f2n \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd t\u1eadp trung v\u00e0o c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb r\u00f2 h\u1eadu m\u00f4n v\u00e0 ch\u0103m s\u00f3c sau m\u1ed5 nh\u1eb1m gi\u00fap b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c t\u1ed1t nh\u1ea5t.<\/p>\n<h2>Nguy\u00ean nh\u00e2n v\u00e0 ph\u00e2n lo\u1ea1i r\u00f2 h\u1eadu m\u00f4n<\/h2>\n<p>Nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a r\u00f2 h\u1eadu m\u00f4n th\u01b0\u1eddng l\u00e0 do nhi\u1ec5m tr\u00f9ng c\u00e1c tuy\u1ebfn h\u1eadu m\u00f4n, d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh \u00e1p xe. Khi \u00e1p xe kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3, n\u00f3 c\u00f3 th\u1ec3 v\u1ee1 ra v\u00e0 t\u1ea1o th\u00e0nh c\u00e1c \u0111\u01b0\u1eddng r\u00f2 t\u1eeb l\u00f2ng h\u1eadu m\u00f4n ra da. Ngo\u00e0i ra, r\u00f2 h\u1eadu m\u00f4n c\u0169ng c\u00f3 th\u1ec3 do c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 b\u1ec7nh Crohn, b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng, lao, ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n<p>R\u00f2 h\u1eadu m\u00f4n \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean m\u1ed1i quan h\u1ec7 c\u1ee7a \u0111\u01b0\u1eddng r\u00f2 v\u1edbi c\u01a1 th\u1eaft h\u1eadu m\u00f4n. Theo ph\u00e2n lo\u1ea1i ph\u1ed5 bi\u1ebfn c\u1ee7a Parks, c\u00f3 b\u1ed1n lo\u1ea1i r\u00f2 h\u1eadu m\u00f4n ch\u00ednh:<\/p>\n<ol>\n<li><strong>R\u00f2 li\u00ean c\u01a1 th\u1eaft:<\/strong> \u0110\u01b0\u1eddng r\u00f2 \u0111i qua ph\u1ea7n c\u01a1 th\u1eaft trong.<\/li>\n<li><strong>R\u00f2 xuy\u00ean c\u01a1 th\u1eaft:<\/strong> \u0110\u01b0\u1eddng r\u00f2 \u0111i qua c\u1ea3 hai c\u01a1 th\u1eaft trong v\u00e0 ngo\u00e0i.<\/li>\n<li><strong>R\u00f2 tr\u00ean c\u01a1 th\u1eaft:<\/strong> \u0110\u01b0\u1eddng r\u00f2 \u0111i l\u00ean tr\u00ean c\u00e1c c\u01a1 th\u1eaft v\u00e0 ra ngo\u00e0i.<\/li>\n<li><strong>R\u00f2 ngo\u00e0i c\u01a1 th\u1eaft:<\/strong> \u0110\u01b0\u1eddng r\u00f2 kh\u00f4ng li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn c\u01a1 th\u1eaft, th\u01b0\u1eddng l\u00e0 do nhi\u1ec5m tr\u00f9ng lan r\u1ed9ng ho\u1eb7c \u00e1p xe v\u00f9ng ch\u1eadu.<\/li>\n<\/ol>\n<h2>Tri\u1ec7u ch\u1ee9ng<\/h2>\n<p>R\u00f2 h\u1eadu m\u00f4n th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au nh\u1ee9c, kh\u00f3 ch\u1ecbu quanh h\u1eadu m\u00f4n, \u0111\u1eb7c bi\u1ec7t khi ng\u1ed3i ho\u1eb7c \u0111\u1ea1i ti\u1ec7n. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c bao g\u1ed3m:<\/p>\n<ul>\n<li>Ch\u1ea3y d\u1ecbch m\u1ee7<\/li>\n<li>Ng\u1ee9a ng\u00e1y<\/li>\n<li>S\u01b0ng n\u00f3ng<\/li>\n<li>\u0110\u00f4i khi c\u00f3 s\u1ed1t.<\/li>\n<\/ul>\n<p>N\u1ebfu \u0111\u01b0\u1eddng r\u00f2 t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng h\u01a1n, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<div id=\"attachment_524\" style=\"width: 235px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-524\" data-src=\"https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-225x300.jpg\" alt=\"H\u00ecnh \u1ea3nh tr\u01b0\u1eddng h\u1ee3p r\u00f2 h\u1eadu m\u00f4n. Ngu\u1ed3n: Internet.\" width=\"225\" height=\"300\" class=\"size-medium wp-image-524 lazyload\" data-srcset=\"https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-225x300.jpg 225w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-768x1024.jpg 768w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-1152x1536.jpg 1152w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-1536x2048.jpg 1536w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-9x12.jpg 9w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon.jpg 1920w\" data-sizes=\"(max-width: 225px) 100vw, 225px\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 225px; --smush-placeholder-aspect-ratio: 225\/300;\" \/><noscript><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-524\" src=\"https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-225x300.jpg\" alt=\"H\u00ecnh \u1ea3nh tr\u01b0\u1eddng h\u1ee3p r\u00f2 h\u1eadu m\u00f4n. Ngu\u1ed3n: Internet.\" width=\"225\" height=\"300\" class=\"size-medium wp-image-524\" srcset=\"https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-225x300.jpg 225w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-768x1024.jpg 768w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-1152x1536.jpg 1152w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-1536x2048.jpg 1536w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon-9x12.jpg 9w, https:\/\/bsphamvinhphu.com\/wp-content\/uploads\/2024\/10\/Ro-hau-mon.jpg 1920w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><\/noscript><p id=\"caption-attachment-524\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh tr\u01b0\u1eddng h\u1ee3p r\u00f2 h\u1eadu m\u00f4n. Ngu\u1ed3n: Internet.<\/p><\/div>\n<h2>\u0110i\u1ec1u tr\u1ecb r\u00f2 h\u1eadu m\u00f4n b\u1eb1ng ph\u1eabu thu\u1eadt<\/h2>\n<p>Ph\u1eabu thu\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ed1i v\u1edbi r\u00f2 h\u1eadu m\u00f4n. M\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 l\u00e0m s\u1ea1ch \u0111\u01b0\u1eddng r\u00f2, \u0111\u00f3ng \u0111\u01b0\u1eddng h\u1ea7m v\u00e0 ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t, \u0111\u1ed3ng th\u1eddi b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng c\u01a1 th\u1eaft h\u1eadu m\u00f4n. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i r\u00f2 v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft h\u1eadu m\u00f4n:<\/p>\n<ol>\n<li><strong>M\u1edf \u0111\u01b0\u1eddng r\u00f2 (fistulotomy):<\/strong> \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn nh\u1ea5t, \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u00f2 \u0111\u01a1n gi\u1ea3n. B\u00e1c s\u0129 s\u1ebd r\u1ea1ch m\u1edf to\u00e0n b\u1ed9 \u0111\u01b0\u1eddng r\u00f2, sau \u0111\u00f3 l\u00e0m s\u1ea1ch m\u00f4 nhi\u1ec5m tr\u00f9ng v\u00e0 \u0111\u1ec3 v\u1ebft th\u01b0\u01a1ng l\u00e0nh t\u1ef1 nhi\u00ean. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 hi\u1ec7u qu\u1ea3 cao v\u00e0 \u00edt t\u00e1i ph\u00e1t, nh\u01b0ng nguy c\u01a1 l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft v\u00e0 g\u00e2y m\u1ea5t ki\u1ec3m so\u00e1t \u0111\u1ea1i ti\u1ec7n c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc.<\/li>\n<li><strong>C\u1eaft \u0111\u01b0\u1eddng r\u00f2 v\u00e0 kh\u00e2u l\u1ea1i c\u01a1 th\u1eaft (fistulectomy):<\/strong> Thay v\u00ec r\u1ea1ch m\u1edf, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u1eaft b\u1ecf to\u00e0n b\u1ed9 \u0111\u01b0\u1eddng r\u00f2 v\u00e0 kh\u00e2u l\u1ea1i ph\u1ea7n c\u01a1 th\u1eaft b\u1ecb t\u1ed5n th\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u00e1p d\u1ee5ng cho r\u00f2 ph\u1ee9c t\u1ea1p ho\u1eb7c khi c\u00f3 nguy c\u01a1 cao l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft.<\/li>\n<li><strong>\u0110\u1eb7t Seton:<\/strong> Seton l\u00e0 m\u1ed9t lo\u1ea1i d\u00e2y ho\u1eb7c s\u1ee3i ch\u1ec9 \u0111\u01b0\u1ee3c \u0111\u1eb7t qua \u0111\u01b0\u1eddng r\u00f2 \u0111\u1ec3 d\u1eabn l\u01b0u d\u1ecbch m\u1ee7 ra ngo\u00e0i v\u00e0 gi\u1eef cho \u0111\u01b0\u1eddng r\u00f2 kh\u00f4ng b\u1ecb b\u00edt k\u00edn qu\u00e1 s\u1edbm. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u00f2 ph\u1ee9c t\u1ea1p ho\u1eb7c r\u00f2 c\u00f3 li\u00ean quan \u0111\u1ebfn c\u01a1 th\u1eaft. Seton c\u00f3 th\u1ec3 \u0111\u1ec3 trong th\u1eddi gian d\u00e0i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh t\u1eeb t\u1eeb \u0111\u1ec3 tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft.<\/li>\n<li><strong>Ph\u1eabu thu\u1eadt m\u1edf c\u1eaft r\u00f2 qua n\u1ed9i soi (VAAFT &#8211; Video-Assisted Anal Fistula Treatment):<\/strong> \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt m\u1edbi s\u1eed d\u1ee5ng n\u1ed9i soi \u0111\u1ec3 quan s\u00e1t v\u00e0 x\u1eed l\u00fd \u0111\u01b0\u1eddng r\u00f2 m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c m\u00e0 kh\u00f4ng c\u1ea7n m\u1edf r\u1ed9ng \u0111\u01b0\u1eddng r\u00f2 ra ngo\u00e0i. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 \u00edt x\u00e2m l\u1ea5n, b\u1ea3o t\u1ed3n t\u1ed1t ch\u1ee9c n\u0103ng c\u01a1 th\u1eaft v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian h\u1ed3i ph\u1ee5c.<\/li>\n<li><strong>B\u01a1m keo sinh h\u1ecdc (fibrin glue):<\/strong> \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u00edt x\u00e2m l\u1ea5n, trong \u0111\u00f3 keo sinh h\u1ecdc \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o \u0111\u01b0\u1eddng r\u00f2 \u0111\u1ec3 l\u1ea5p k\u00edn v\u00e0 gi\u00fap m\u00f4 l\u00e0nh l\u1ea1i. Tuy nhi\u00ean, t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng cao v\u00e0 th\u01b0\u1eddng ch\u1ec9 \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u00f2 \u0111\u01a1n gi\u1ea3n ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng mu\u1ed1n ph\u1eabu thu\u1eadt.<\/li>\n<li><strong>\u0110\u00f3ng \u0111\u01b0\u1eddng r\u00f2 b\u1eb1ng mi\u1ebfng gh\u00e9p (Anal Fistula Plug):<\/strong> M\u1ed9t lo\u1ea1i v\u1eadt li\u1ec7u sinh h\u1ecdc (th\u01b0\u1eddng l\u00e0 collagen) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u1ea5p k\u00edn \u0111\u01b0\u1eddng r\u00f2. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, nh\u01b0ng c\u0169ng c\u00f3 nguy c\u01a1 t\u00e1i ph\u00e1t n\u1ebfu \u0111\u01b0\u1eddng r\u00f2 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u00f3ng k\u00edn ho\u00e0n to\u00e0n.<\/li>\n<\/ol>\n<h2>Ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt<\/h2>\n<p>Sau khi ph\u1eabu thu\u1eadt r\u00f2 h\u1eadu m\u00f4n, ch\u0103m s\u00f3c \u0111\u00fang c\u00e1ch l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng gi\u00fap ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 tr\u00e1nh bi\u1ebfn ch\u1ee9ng. M\u1ed9t s\u1ed1 l\u01b0u \u00fd trong ch\u0103m s\u00f3c sau m\u1ed5 bao g\u1ed3m:<\/p>\n<ol>\n<li><strong>V\u1ec7 sinh v\u00f9ng h\u1eadu m\u00f4n:<\/strong> V\u00f9ng h\u1eadu m\u00f4n c\u1ea7n \u0111\u01b0\u1ee3c gi\u1eef s\u1ea1ch s\u1ebd v\u00e0 kh\u00f4 tho\u00e1ng \u0111\u1ec3 tr\u00e1nh nhi\u1ec5m tr\u00f9ng. B\u1ec7nh nh\u00e2n n\u00ean s\u1eed d\u1ee5ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd ho\u1eb7c dung d\u1ecbch v\u1ec7 sinh \u0111\u1eb7c bi\u1ec7t theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 r\u1eeda v\u00f9ng m\u1ed5 h\u00e0ng ng\u00e0y. Vi\u1ec7c ng\u00e2m h\u1eadu m\u00f4n trong n\u01b0\u1edbc \u1ea5m t\u1eeb 2-3 l\u1ea7n m\u1ed7i ng\u00e0y c\u0169ng gi\u00fap gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m s\u01b0ng vi\u00eam.<\/li>\n<li><strong>Ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng:<\/strong> V\u1ebft th\u01b0\u01a1ng sau m\u1ed5 th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec3 h\u1edf \u0111\u1ec3 l\u00e0nh t\u1ef1 nhi\u00ean, v\u00ec v\u1eady vi\u1ec7c thay b\u0103ng h\u00e0ng ng\u00e0y l\u00e0 c\u1ea7n thi\u1ebft. B\u1ec7nh nh\u00e2n n\u00ean tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c thay b\u0103ng v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c thu\u1ed1c m\u1ee1 b\u00f4i ngo\u00e0i da n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/li>\n<li><strong>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng:<\/strong> Sau ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n n\u00ean \u0103n ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u ch\u1ea5t x\u01a1, u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc \u0111\u1ec3 tr\u00e1nh t\u00e1o b\u00f3n, v\u00ec t\u00e1o b\u00f3n c\u00f3 th\u1ec3 g\u00e2y c\u0103ng th\u1eb3ng l\u00ean v\u1ebft th\u01b0\u01a1ng v\u00e0 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c nhu\u1eadn tr\u00e0ng n\u1ebfu c\u1ea7n thi\u1ebft, nh\u01b0ng n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.<\/li>\n<li><strong>Ki\u1ec3m so\u00e1t \u0111au:<\/strong> \u0110au sau m\u1ed5 l\u00e0 t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn, nh\u01b0ng c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t b\u1eb1ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 paracetamol ho\u1eb7c ibuprofen. B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng v\u00e0 ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n.<\/li>\n<li><strong>T\u00e1i kh\u00e1m:<\/strong> B\u1ec7nh nh\u00e2n c\u1ea7n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 b\u00e1c s\u0129 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng v\u1ebft th\u01b0\u01a1ng v\u00e0 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng ho\u1eb7c t\u00e1i ph\u00e1t \u0111\u01b0\u1eddng r\u00f2. Vi\u1ec7c theo d\u00f5i k\u1ef9 l\u01b0\u1ee1ng sau m\u1ed5 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p can thi\u1ec7p k\u1ecbp th\u1eddi.<\/li>\n<\/ol>\n<h2>K\u1ebft lu\u1eadn<\/h2>\n<p>R\u00f2 h\u1eadu m\u00f4n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, nh\u01b0ng v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt hi\u1ec7n \u0111\u1ea1i, t\u1ef7 l\u1ec7 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng r\u1ea5t cao. Ph\u1eabu thu\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu, v\u1edbi nhi\u1ec1u l\u1ef1a ch\u1ecdn kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i r\u00f2 v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft h\u1eadu m\u00f4n. Ch\u0103m s\u00f3c sau m\u1ed5 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c v\u00e0 gi\u00fap ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng. B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, \u0111\u1eb7c bi\u1ec7t trong vi\u1ec7c v\u1ec7 sinh v\u00f9ng h\u1eadu m\u00f4n, ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng, v\u00e0 duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh.<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<p><em>1. Ratto, C., Litta, F., Parello, A., Donisi, L., &amp; Doglietto, G. B. (2015). &#8220;Fistulotomy versus fibrin glue in the treatment of anal fistula: A randomized controlled trial.&#8221; Annals of Surgery, 262(5), 843-849.<\/em><\/p>\n<p><em>2. Parks, A. G., Gordon, P. H., &amp; Hardcastle, J. D. (1976). &#8220;A classification of fistula-in-ano.&#8221; British Journal of Surgery, 63(1), 1-12.<\/em><\/p>\n<p><em>3. Lindsey, I., Smilgin-Humphreys, M. M., Cunningham, C., Mortensen, N. J., &amp; George, B. D. (2002). &#8220;A randomized, controlled trial of fibrin glue vs. conventional treatment for anal fistula.&#8221; Diseases of the Colon &amp; Rectum, 45(12), 1608-1615.<\/em><\/p>\n<p><em>4. Han, J. G., Yi, B. Q., Wang, Z. J., Fan, Y. C., &amp; Yi, X. C. (2016). &#8220;Video-assisted anal<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>R\u00f2 h\u1eadu m\u00f4n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p trong ngo\u1ea1i khoa h\u1eadu m\u00f4n \u2013 tr\u1ef1c tr\u00e0ng, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c \u0111\u01b0\u1eddng h\u1ea7m b\u1ea5t th\u01b0\u1eddng t\u1eeb l\u00f2ng h\u1eadu m\u00f4n ra da quanh h\u1eadu m\u00f4n. \u0110\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u00eam nhi\u1ec5m m\u1ea1n t\u00ednh \u1edf c\u00e1c tuy\u1ebfn h\u1eadu [&hellip;]<\/p>","protected":false},"author":1,"featured_media":403,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9],"class_list":["post-522","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-benhly"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>R\u00d2 H\u1eacU M\u00d4N - NH\u1eeeNG \u0110I\u1ec0U C\u1ea6N BI\u1ebeT - Bs Ph\u1ea1m V\u0129nh Ph\u00fa<\/title>\n<meta name=\"description\" content=\"R\u00f2 h\u1eadu m\u00f4n l\u00e0 b\u1ec7nh l\u00fd h\u1eadu m\u00f4n ph\u1ed5 bi\u1ebfn, do nhi\u1ec5m tr\u00f9ng d\u1eabn \u0111\u1ebfn \u00e1p xe. 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