{"id":33202,"date":"2022-07-02T07:08:08","date_gmt":"2022-07-02T00:08:08","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33202"},"modified":"2022-07-02T07:08:08","modified_gmt":"2022-07-02T00:08:08","slug":"tac-ruot-non-small-bowel-obstruction-what-to-look-for","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/tac-ruot-non-small-bowel-obstruction-what-to-look-for\/","title":{"rendered":"T\u1eafc ru\u1ed9t non &#8211; Small Bowel Obstruction: What to Look For"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <strong>T\u1eafc ru\u1ed9t non &#8211; Small Bowel Obstruction: What to Look For<\/strong><b> <\/b><a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/t___c-ru___t-non-1.pptx-filename-UTF-8tac-ruot-non-1.pptx.pdf\">t\u1ea1i \u0111\u00e2y<\/a><\/p>\n<p style=\"text-align: right;\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu v\u00e0 Dr. L\u00ea V\u0169 Duy<\/p>\n<h2>C\u00e1c b\u01b0\u1edbc ti\u1ebfp c\u1eadn<\/h2>\n<p>B\u1ec7nh nh\u00e2n \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au, ch\u01b0\u1edbng b\u1ee5ng, n\u00f4n v\u00e0 bu\u1ed3n n\u00f4n th\u00ec t\u1eafc ru\u1ed9t non l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7u ti\u00ean.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33204\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-1.png\" alt=\"\" width=\"950\" height=\"749\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-1.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-1-507x400.png 507w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-1-768x606.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-1-350x276.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m tr\u00ean X-quang \u1ed5 b\u1ee5ng<\/h2>\n<p>C\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u th\u1ea5p. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n bi\u1ec7t t\u1eafc ru\u1ed9t non mu\u1ed9n so v\u00e0 t\u1eafc ru\u1ed9t s\u1edbm:<\/p>\n<ul>\n<li>&#8211; Gi\u00e3n c\u00e1c quai ru\u1ed9t non v\u1edbi \u0111\u01b0\u1eddng k\u00ednh trung b\u00ecnh c\u1ee7a quai ru\u1ed9t gi\u00e3n l\u00e0 36mm.<\/li>\n<li>&#8211; \u0110\u01b0\u1eddng k\u00ednh quai ru\u1ed9t non &gt; 50% k\u00edch th\u01b0\u1edbc quai \u0111\u1ea1i tr\u00e0ng l\u1edbn nh\u1ea5t c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y.<\/li>\n<li>&#8211; S\u1ed1 l\u01b0\u1ee3ng quai ru\u1ed9t gi\u00e3n t\u0103ng g\u1ea5p 2,5 l\u1ea7n s\u1ed1 quai ru\u1ed9t b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>&#8211; C\u00f3 &gt; 2 m\u1ee9c d\u1ecbch kh\u00ed l\u1edbn h\u01a1n 2,5cm v\u00e0 ch\u00eanh l\u1ec7ch kho\u1ea3ng c\u00e1ch gi\u1eefa hai m\u1ee9c d\u1ecbch kh\u00ed l\u00e0 &gt; 2cm tr\u00ean c\u00f9ng m\u1ed9t quai ru\u1ed9t non.<\/li>\n<\/ul>\n<p>T\u1eafc ru\u1ed9t non giai \u0111o\u1ea1n mu\u1ed9n:<\/p>\n<ul>\n<li>C\u00f3 nhi\u1ec1u m\u1ee9c d\u1ecbch-kh\u00ed (m\u0169i t\u00ean), v\u1edbi m\u1ed9t s\u1ed1 m\u1ee9c d\u1ecbch- kh\u00ed &gt; 2,5cm.<\/li>\n<li>Kho\u1ea3ng c\u00e1ch gi\u1eefa hai m\u1ee9c d\u1ecbch-kh\u00ed &gt; 2cm tr\u00ean c\u00f9ng 1 quai ru\u1ed9t (v\u00f2ng tr\u00f2n).<\/li>\n<li>Quai ru\u1ed9t non gi\u00e3n &gt; 2,5cm.<\/li>\n<li>T\u1ef7 l\u1ec7 \u0111\u01b0\u1eddng k\u00ednh ru\u1ed9t non\/\u0111\u1ea1i tr\u00e0ng &gt; 0,5.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33205\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2.png\" alt=\"\" width=\"950\" height=\"952\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2-399x400.png 399w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2-798x800.png 798w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2-768x770.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2-350x351.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-2-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m tr\u00ean si\u00eau \u00e2m<\/h2>\n<p>Ph\u00e1t hi\u1ec7n t\u1eafc ru\u1ed9t non, t\u1eafc s\u1edbm hay mu\u1ed9n, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. Quai ru\u1ed9t non gi\u00e3n &gt; 3cm, trong l\u00f2ng ch\u1ee9a \u0111\u1ea7y d\u1ecbch, tr\u00ean m\u1ed9t \u0111o\u1ea1n d\u00e0i &gt; 10cm. Quai ru\u1ed9t gi\u00e3n t\u0103ng nhu \u0111\u1ed9ng bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 d\u1ecbch chuy\u1ec3n qua l\u1ea1i c\u00e1c ch\u1ea5t trong l\u00f2ng ru\u1ed9t. V\u1ecb tr\u00ed t\u1eafc \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean v\u1ecb tr\u00ed quai ru\u1ed9t v\u00e0 ki\u1ec3u h\u00ecnh c\u1ee7a n\u1ebfp ni\u00eam m\u1ea1c ru\u1ed9t. X\u00e1c \u0111\u1ecbnh \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp c\u00f3 th\u1ec3 t\u00ecm ra \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n c\u1ee7a SBO nh\u01b0 bezoars, l\u1ed3ng ru\u1ed9t, b\u1ec7nh Crohn, hay kh\u1ed1i u.<\/p>\n<p>T\u1eafc h\u1ed3i tr\u00e0ng do b\u1ec7nh Crohn: H\u00ecnh \u1ea3nh si\u00eau \u00e2m cho th\u1ea5y gi\u00e3n h\u1ed3i tr\u00e0ng &gt; 3cm ch\u1ee9a \u0111\u1ea7y d\u1ecbch b\u00ean trong (\u0111\u01b0\u1eddng k\u1ebb ch\u1ea5m). Kh\u00f4ng c\u00f3 n\u1ebfp ru\u1ed9t non sau v\u1ecb tr\u00ed t\u1eafc ch\u1ec9 ra \u0111\u00e2y l\u00e0 t\u1eafc h\u1ed3i tr\u00e0ng. D\u00e0y th\u00e0nh ru\u1ed9t v\u1edbi nhi\u1ec1u m\u1ee9c \u00e2m vang (m\u0169i t\u00ean) v\u00e0 c\u1ed5 tr\u01b0\u1edbng (A).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33206\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-3.png\" alt=\"\" width=\"950\" height=\"610\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-3-623x400.png 623w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-3-768x493.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-3-350x225.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>M\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a t\u1eafc ru\u1ed9t c\u0169ng c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c v\u1edbi d\u1ecbch t\u1ef1 do gi\u1eefa c\u00e1c quai ru\u1ed9t non, kh\u00f4ng c\u00f3 nhu \u0111\u1ed9ng v\u00e0 th\u00e0nh ru\u1ed9t d\u00e0y &gt; 3mm \u1edf quai ru\u1ed9t ch\u1ee9a \u0111\u1ea7y d\u1ecbch b\u00ean trong g\u1ee3i \u00fd c\u00f3 nh\u1ed3i m\u00e1u ru\u1ed9t.<\/p>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m tr\u00ean CT<\/h2>\n<p>CT \u0111a d\u00e3y c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong \u0111\u00e1nh gi\u00e1 t\u1eafc ru\u1ed9t non c\u1ea5p t\u00ednh gi\u00fap x\u00e1c \u0111\u1ecbnh ru\u1ed9t non c\u00f3 t\u1eafc hay kh\u00f4ng, m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a t\u1eafc ru\u1ed9t, v\u1ecb tr\u00ed \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp, c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc ru\u1ed9t v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan.<\/p>\n<h3>C\u00f3 t\u1eafc ru\u1ed9t non hay kh\u00f4ng?<\/h3>\n<p>Ti\u00eau chu\u1ea9n c\u1ee7a t\u1eafc ru\u1ed9t non tr\u00ean CT l\u00e0 gi\u00e3n quai ru\u1ed9t non &gt; 2,5 cm (\u0111o \u0111\u01b0\u1eddng k\u00ednh ngo\u00e0i-ngo\u00e0i c\u1ee7a quai ru\u1ed9t) v\u1edbi quai ru\u1ed9t sau v\u1ecb tr\u00ed t\u1eafc c\u00f3 k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng ho\u1eb7c x\u1eb9p. T\u1eafc ru\u1ed9t ho\u00e0n to\u00e0n khi kh\u00f4ng c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ch\u1ea5t c\u1ea3n quang \u0111\u01b0\u1eddng u\u1ed1ng sau v\u1ecb tr\u00ed t\u1eafc sau 3-24 gi\u1edd.<\/p>\n<p>H\u00ecnh \u1ea3nh CT cho th\u1ea5y quai ru\u1ed9t non gi\u00e3n &gt; 3cm v\u1edbi x\u1eb9p quai ru\u1ed9t sau ch\u1ed7 t\u1eafc (m\u0169i t\u00ean).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33207\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-4.png\" alt=\"\" width=\"950\" height=\"686\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-4-554x400.png 554w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-4-768x555.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-4-350x253.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>T\u1eafc ru\u1ed9t non ho\u00e0n to\u00e0n do l\u1ed3ng ru\u1ed9t. H\u00ecnh \u1ea3nh axial CT cho th\u1ea5y gi\u00e3n c\u00e1c quai ru\u1ed9t non trong l\u00f2ng ch\u1ee9a \u0111\u1ea7y thu\u1ed1c c\u1ea3n quang (m\u0169i t\u00ean) \u1edf g\u1ea7n v\u1ecb tr\u00ed b\u00fai l\u1ed3ng (c\u00f3 h\u00ecnh bia b\u1eafn). X\u1eb9p ho\u00e0n to\u00e0n quai ru\u1ed9t sau v\u1ecb tr\u00ed l\u1ed3ng (kh\u00f4ng ch\u1ee9a thu\u1ed1c c\u1ea3n quang) (\u0111\u1ea7u m\u0169i t\u00ean).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33208\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-5.png\" alt=\"\" width=\"950\" height=\"703\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-5-541x400.png 541w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-5-768x568.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-5-350x259.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>M\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a t\u1eafc ru\u1ed9t?<\/h3>\n<p>M\u1ee9c \u0111\u1ed9 t\u1eafc ru\u1ed9t \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh h\u00ecnh \u1ea3nh x\u1eb9p \u0111o\u1ea1n xa, gi\u00e3n \u0111o\u1ea1n g\u1ea7n v\u00e0 d\u1ea5u hi\u1ec7u ph\u00e2n trong ru\u1ed9t non \u201csmall bowel feces\u201d sign. D\u1ea5u hi\u1ec7u ph\u00e2n trong ru\u1ed9t non l\u00e0 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ph\u00e2n trong \u0111o\u1ea1n ru\u1ed9t non b\u1ecb gi\u00e3n, g\u1eb7p \u1edf 7-8% c\u00e1c tr\u01b0\u1eddng h\u1ee3p, th\u01b0\u1eddng l\u00e0 t\u1eafc m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng.<\/p>\n<p>T\u1eafc ru\u1ed9t non do d\u00ednh sau ph\u1eabu thu\u1eadt v\u1edbi d\u1ea5u hi\u1ec7u ph\u00e2n trong ru\u1ed9t non. H\u00ecnh \u1ea3nh axial cho th\u1ea5y c\u00e1c b\u00f3ng kh\u00ed l\u1edbn n\u1eb1m xen k\u1ebd v\u1edbi c\u00e1c h\u1ea1t ph\u00e2n trong ru\u1ed9t non (*). Quai ru\u1ed9t x\u1eb9p sau v\u1ecb tr\u00ed t\u1eafc (m\u0169i t\u00ean).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33209\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-6.png\" alt=\"\" width=\"950\" height=\"695\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-6-547x400.png 547w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-6-768x562.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-6-350x256.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u1ecb tr\u00ed c\u1ee7a \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp?<\/h3>\n<p>\u0110i\u1ec3m chuy\u1ec3n ti\u1ebfp \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng s\u1ef1 thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc gi\u1eefa quai ru\u1ed9t gi\u00e3n v\u00e0 quai ru\u1ed9t x\u1eb9p.<\/p>\n<p>X\u00e1c \u0111\u1ecbnh \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp \u1edf tr\u01b0\u1eddng h\u1ee3p t\u1eafc do d\u00ednh sau ph\u1eabu thu\u1eadt. C\u00e1c quai ru\u1ed9t non gi\u00e3n (S). C\u00f3 s\u1ef1 thay \u0111\u1ed5i \u0111\u1ed9t ng\u1ed9t k\u00edch th\u01b0\u1edbc (m\u0169i t\u00ean) gi\u1eefa quai ru\u1ed9t gi\u00e3n v\u00e0 \u0111o\u1ea1n ru\u1ed9t x\u1eb9p (C).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33210\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-7.png\" alt=\"\" width=\"950\" height=\"758\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-7-501x400.png 501w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-7-768x613.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-7-350x279.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Nguy\u00ean nh\u00e2n<\/h2>\n<p>Tr\u01b0\u1edbc khi t\u00ecm ki\u1ebfm nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc ru\u1ed9t non, c\u1ea7n ph\u1ea3i ch\u1eafc ch\u1eafn kh\u00f4ng c\u00f3 t\u1eafc \u0111\u1ea1i tr\u00e0ng v\u00ec nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. S\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn c\u00f3 h\u1ec7 th\u1ed1ng, d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt v\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u0111\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n t\u1eafc ru\u1ed9t.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33211\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-8.png\" alt=\"\" width=\"950\" height=\"638\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-8-596x400.png 596w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-8-768x516.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-8-350x235.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Nguy\u00ean nh\u00e2n t\u1ea1i ru\u1ed9t<\/h3>\n<h4>B\u1ec7nh Crohn<\/h4>\n<p>T\u1eafc ru\u1ed9t non m\u1ed9t b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng trong b\u1ec7nh Crohn. \u0110\u1eb7c tr\u01b0ng b\u1edfi h\u1eb9p l\u00f2ng ru\u1ed9t sau qu\u00e1 tr\u00ecnh vi\u00eam c\u1ea5p t\u00ednh th\u00e0nh ru\u1ed9t. B\u1ec7nh c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n tr\u00ean m\u1ed9t \u0111o\u1ea1n d\u00e0i d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh s\u1eb9o g\u00e2y h\u1eb9p \u1edf nh\u1eefng \u0111o\u1ea1n b\u1ecb t\u1ed5n th\u01b0\u01a1ng. T\u1eafc ru\u1ed9t c\u0169ng c\u00f3 th\u1ec3 do d\u00ednh, tho\u00e1t v\u1ecb v\u1ebft m\u1ed5 ho\u1eb7c vi\u00eam t\u0103ng l\u00ean \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>T\u1eafc ru\u1ed9t non \u1edf b\u1ec7nh Crohn c\u1ea5p t\u00ednh. H\u00ecnh \u1ea3nh CT cho th\u1ea5y quai ru\u1ed9t non gi\u00e3n c\u00f3 \u0111\u01b0\u1eddng k\u00ednh &gt; 2,5 cm (S) n\u1eb1m g\u1ea7n \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng b\u1ecb d\u00e0y l\u00ean (m\u0169i t\u00ean). V\u00f2ng tr\u00f2n ch\u1ec9 \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33212\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-9.png\" alt=\"\" width=\"950\" height=\"754\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-9-504x400.png 504w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-9-768x610.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-9-350x278.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>T\u1eafc ru\u1ed9t non \u1edf b\u1ec7nh Crohn giai \u0111o\u1ea1n t\u1ea1o s\u1eb9o. H\u00ecnh \u1ea3nh CT cho th\u1ea5y quai ru\u1ed9t non gi\u00e3n ch\u1ee9a \u0111\u1ea7y d\u1ecbch trong l\u00f2ng. \u0110i\u1ec3m chuy\u1ec3n ti\u1ebfp \u1edf \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng v\u1edbi th\u00e0nh d\u00e0y (\u0111\u1ea7u m\u0169i t\u00ean) v\u00e0 t\u0103ng sinh m\u1ea1ch xung quanh ru\u1ed9t.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33213\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-10.png\" alt=\"\" width=\"950\" height=\"811\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-10-469x400.png 469w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-10-937x800.png 937w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-10-768x656.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-10-350x299.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>H\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 cho th\u1ea5y h\u1eb9p l\u00f2ng ru\u1ed9t t\u1eebng \u0111o\u1ea1n (\u0111\u1ea7u m\u0169i t\u00ean) v\u00e0 gi\u00e3n quai ru\u1ed9t non li\u1ec1n k\u1ec1 (d\u1ea5u hoa th\u1ecb).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33214\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-11.png\" alt=\"\" width=\"950\" height=\"587\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-11.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-11-647x400.png 647w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-11-768x475.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-11-350x216.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>Kh\u1ed1i u<\/h4>\n<p>C\u00e1c kh\u1ed1i u nguy\u00ean ph\u00e1t g\u00e2y t\u1eafc ru\u1ed9t non l\u00e0 hi\u1ebfm g\u1eb7p. Kh\u1ed1i u ru\u1ed9t non chi\u1ebfm d\u01b0\u1edbi 2% t\u1ea5t c\u1ea3 c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn ru\u1ed9t non g\u00e2y ra t\u1eafc ru\u1ed9t \u1edf giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n v\u00e0 c\u00f3 h\u00ecnh \u1ea3nh r\u00f5 r\u00e0ng v\u1edbi th\u00e0nh d\u00e0y kh\u00f4ng \u0111\u1ec1u, b\u1ea5t \u0111\u1ed1i x\u1ee9ng t\u1ea1i \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp.<\/p>\n<p>T\u1eafc ru\u1ed9t non do ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn. H\u00ecnh \u1ea3nh CT cho th\u1ea5y d\u00e0y th\u00e0nh kh\u00f4ng \u0111\u1ec1u, kh\u00f4ng \u0111\u1ed1i x\u1ee9ng \u1edf \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng (m\u0169i t\u00ean) v\u00e0 g\u00e2y gi\u00e3n quai ru\u1ed9t non l\u00e2n c\u1eadn (S).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33215\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-12.png\" alt=\"\" width=\"950\" height=\"583\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-12.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-12-652x400.png 652w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-12-768x471.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-12-350x215.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>B\u1ec7nh l\u00fd \u00e1c t\u00ednh \u1edf manh tr\u00e0ng v\u00e0 \u0111\u1ea1i tr\u00e0ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u1eafc ru\u1ed9t non khi c\u00f3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng van h\u1ed3i manh tr\u00e0ng.<\/p>\n<p>T\u1eafc ru\u1ed9t non \u1edf m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 bi\u1ec3u m\u00f4 manh tr\u00e0ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng van h\u1ed3i manh tr\u00e0ng. H\u00ecnh \u1ea3nh CT cho th\u1ea5y gi\u00e3n c\u00e1c quai ru\u1ed9t non (S) v\u00e0 h\u1eb9p do ung th\u01b0 \u1edf manh tr\u00e0ng (m\u0169i t\u00ean) lan \u0111\u1ebfn \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33216\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-13.png\" alt=\"\" width=\"950\" height=\"699\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-13.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-13-544x400.png 544w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-13-768x565.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-13-350x258.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>H\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng van h\u1ed3i manh tr\u00e0ng (m\u0169i t\u00ean) do kh\u1ed1i u (\u0111\u01b0\u1eddng k\u1ebb ch\u1ea5m). TI = \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33217\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-14.png\" alt=\"\" width=\"950\" height=\"604\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-14.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-14-629x400.png 629w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-14-768x488.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-14-350x223.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>L\u1ed3ng ru\u1ed9t<\/h4>\n<p>L\u1ed3ng ru\u1ed9t l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00e1 hi\u1ebfm g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, ch\u1ec9 chi\u1ebfm d\u01b0\u1edbi 5% c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eafc ru\u1ed9t. T\u1eafc ru\u1ed9t x\u1ea3y ra \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p l\u1ed3ng do d\u00ednh, u, ho\u1eb7c d\u1ecb v\u1eadt v\u00e0 kh\u00f4ng li\u00ean quan v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p l\u1ed3ng ru\u1ed9t tho\u00e1ng qua. Tr\u00ean CT, h\u00ecnh \u1ea3nh c\u1ea5u tr\u00fac ru\u1ed9t trong l\u00f2ng m\u1ed9t quai ru\u1ed9t kh\u00e1c, c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo m\u1ee1 v\u00e0 m\u1ea1ch m\u00e1u m\u1ea1c treo.<\/p>\n<p>L\u1ed3ng ru\u1ed9t do d\u00ednh g\u00e2y t\u1eafc ru\u1ed9t non. CT cho th\u1ea5y h\u00ecnh \u1ea3nh l\u1ed3ng ru\u1ed9t (m\u0169i t\u00ean) v\u1edbi kh\u1ed1i u d\u01b0\u1edbi ni\u00eam m\u1ea1c (T). D\u1ea3i d\u00ednh (\u0111\u1ea7u m\u0169i t\u00ean) g\u00e2y gi\u00e3n quai ru\u1ed9t non.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33218\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-15.png\" alt=\"\" width=\"950\" height=\"1378\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-15.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-15-276x400.png 276w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-15-552x800.png 552w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-15-768x1114.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-15-350x508.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>H\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 cho th\u1ea5y kh\u1ed1i u d\u01b0\u1edbi ni\u00eam m\u1ea1c bi\u1ec3u hi\u1ec7n gi\u1ed1ng nh\u01b0 m\u1ed9t polyp l\u1edbn.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33219\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-16.png\" alt=\"\" width=\"950\" height=\"580\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-16.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-16-655x400.png 655w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-16-768x469.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-16-350x214.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>Vi\u00eam ru\u1ed9t do tia x\u1ea1<\/h4>\n<p>Vi\u00eam ru\u1ed9t do tia x\u1ea1 g\u00e2y t\u1eafc ngh\u1ebdn x\u1ea3y ra sau 1 n\u0103m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p x\u1ea1 tr\u1ecb, th\u01b0\u1eddng do x\u1ea1 tr\u1ecb \u1edf v\u00f9ng ti\u1ec3u khung. Do v\u1eady h\u1ed3i tr\u00e0ng th\u01b0\u1eddng b\u1ecb t\u1ed5n th\u01b0\u01a1ng nh\u1ea5t. Vi\u00eam ru\u1ed9t do tia x\u1ea1 g\u00e2y t\u1eafc ru\u1ed9t do d\u00ednh v\u00e0 bi\u1ebfn \u0111\u1ed5i x\u01a1 h\u00f3a m\u1ea1c treo, c\u0169ng c\u00f3 th\u1ec3 g\u00e2y bi\u1ebfn \u0111\u1ed5i \u1edf ru\u1ed9t nh\u01b0 h\u1eb9p l\u00f2ng ru\u1ed9t, r\u1ed1i lo\u1ea1n nhu \u0111\u1ed9ng ru\u1ed9t do vi\u00eam l\u1edbp thanh m\u1ea1c.<\/p>\n<p>H\u00ecnh \u1ea3nh CT cho th\u1ea5y h\u1eb9p l\u00f2ng ru\u1ed9t do d\u00e0y th\u00e0nh, th\u00e0nh ru\u1ed9t g\u1eadp g\u00f3c do d\u00ednh v\u00e0 co r\u00fat m\u1ea1c treo. Th\u00e0nh ru\u1ed9t d\u00e0y c\u00f3 th\u1ec3 c\u00f3 ng\u1ea5m thu\u1ed1c b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>H\u00ecnh \u1ea3nh vi\u00eam ru\u1ed9t do tia x\u1ea1 g\u00e2y t\u1eafc ru\u1ed9t non. CT cho th\u1ea5y h\u1eb9p l\u00f2ng c\u00e1c quai ru\u1ed9t v\u1edbi th\u00e0nh d\u00e0y v\u00e0 c\u1ea5u tr\u00fac x\u01a1 (c\u00e1c m\u0169i t\u00ean) g\u00e2y gi\u00e3n c\u00e1c quai ru\u1ed9t non tr\u01b0\u1edbc ch\u1ed7 h\u1eb9p (S).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33220\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-17.png\" alt=\"\" width=\"950\" height=\"1518\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-17.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-17-250x400.png 250w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-17-501x800.png 501w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-17-768x1227.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-17-350x559.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>Kh\u1ed1i m\u00e1u t\u1ee5<\/h4>\n<p>Kh\u1ed1i m\u00e1u t\u1ee5 \u1edf th\u00e0nh ru\u1ed9t non c\u00f3 th\u1ec3 x\u1ea3y ra sau \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng \u0111\u00f4ng, n\u1ed9i soi ho\u1eb7c sau ch\u1ea5n th\u01b0\u01a1ng. T\u1eafc ru\u1ed9t x\u1ea3y ra th\u01b0\u1eddng do h\u1eb9p l\u00f2ng ru\u1ed9t. Khi nghi ng\u1edd, c\u1ea7n ch\u1ee5p CT kh\u00f4ng ti\u00eam thu\u1ed1c c\u1ea3n quang v\u00ec c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh t\u0103ng t\u1ef7 tr\u1ecdng t\u1ef1 nhi\u00ean. CT c\u0169ng c\u00f3 th\u1ec3 th\u1ea5y d\u00e0y th\u00e0nh ru\u1ed9t \u0111\u1ec1u quanh chu vi, \u0111\u1ed3ng nh\u1ea5t, t\u0103ng t\u1ef7 tr\u1ecdng v\u1edbi th\u00e2m nhi\u1ec5m m\u1ee1 m\u1ea1c treo v\u1eeba ph\u1ea3i.<\/p>\n<p>H\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t non do kh\u1ed1i m\u00e1u t\u1ee5 th\u1ee9 ph\u00e1t \u1edf b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng \u0111\u00f4ng. Tr\u00ean m\u1eb7t c\u1eaft axial cho th\u1ea5y d\u00e0y th\u00e0nh ru\u1ed9t quanh chu vi g\u00e2y h\u1eb9p l\u00f2ng (m\u0169i t\u00ean) v\u1edbi t\u0103ng t\u1ef7 tr\u1ecdng t\u1ef1 nhi\u00ean c\u1ee7a h\u1ed3i tr\u00e0ng g\u00e2y gi\u00e3n quai ru\u1ed9t non tr\u01b0\u1edbc ch\u1ed7 h\u1eb9p (S).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33221\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-18.png\" alt=\"\" width=\"950\" height=\"549\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-18.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-18-692x400.png 692w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-18-768x444.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-18-350x202.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>Nguy\u00ean nh\u00e2n m\u1ea1ch m\u00e1u<\/h4>\n<p>T\u1eafc hay h\u1eb9p \u0111\u1ed9ng m\u1ea1ch hay t\u0129nh m\u1ea1ch m\u1ea1c treo g\u00e2y thi\u1ebfu m\u00e1u ru\u1ed9t c\u1ee5c b\u1ed9, d\u1eabn \u0111\u1ebfn d\u00e0y th\u00e0nh ru\u1ed9t v\u00e0 g\u00e2y ra t\u1eafc ru\u1ed9t. H\u00ecnh \u1ea3nh CT c\u00f3 th\u1ec3 th\u1ea5y huy\u1ebft kh\u1ed1i ho\u1eb7c t\u1eafc m\u1ea1ch m\u00e1u m\u1ea1c treo c\u0169ng nh\u01b0 d\u00e0y th\u00e0nh \u0111o\u1ea1n ru\u1ed9t li\u00ean quan kh\u00f4ng theo chu vi v\u00e0 ng\u1ea5m thu\u1ed1c th\u00e0nh ru\u1ed9t kh\u00f4ng \u0111\u1ed1i x\u1ee9ng. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p bi\u1ec3u hi\u1ec7n nh\u1ed3i m\u00e1u ru\u1ed9t v\u1edbi t\u1ee5 kh\u00ed th\u00e0nh ru\u1ed9t v\u00e0 kh\u00ed t\u0129nh m\u1ea1ch c\u1eeda.<\/p>\n<p>T\u1eafc ru\u1ed9t sau huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean. H\u00ecnh \u1ea3nh coronal cho th\u1ea5y huy\u1ebft kh\u1ed1i trong t\u0129nh m\u1ea1ch (m\u0169i t\u00ean) v\u1edbi d\u00e0y th\u00e0nh c\u00e1c quai h\u1ed3i tr\u00e0ng (d\u1ea5u hoa th\u1ecb) do ph\u00f9 d\u01b0\u1edbi ni\u00eam m\u1ea1c. S= gi\u00e3n quai ru\u1ed9t non.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33222\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-19.png\" alt=\"\" width=\"950\" height=\"992\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-19.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-19-383x400.png 383w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-19-766x800.png 766w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-19-768x802.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-19-350x365.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>H\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 cho th\u1ea5y nh\u1ed3i m\u00e1u ru\u1ed9t v\u1edbi ch\u1ea3y m\u00e1u l\u1edbp ni\u00eam m\u1ea1c v\u00e0 c\u00e1c n\u1ebfp ru\u1ed9t d\u00e0y l\u00ean.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33223\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-20.png\" alt=\"\" width=\"950\" height=\"667\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-20.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-20-570x400.png 570w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-20-768x539.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-20-350x246.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>T\u1eafc ru\u1ed9t non sau thi\u1ebfu m\u00e1u ru\u1ed9t c\u1ee5c b\u1ed9 do huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch. H\u00ecnh \u1ea3nh CT cho th\u1ea5y khuy\u1ebft l\u00f2ng \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean do huy\u1ebft kh\u1ed1i. S = gi\u00e3n c\u00e1c quai ru\u1ed9t non.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33224\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21.png\" alt=\"\" width=\"950\" height=\"1583\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21-240x400.png 240w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21-480x800.png 480w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21-768x1280.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21-922x1536.png 922w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-21-350x583.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>Thi\u1ebfu m\u00e1u ru\u1ed9t c\u1ee5c b\u1ed9 do huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean. H\u00ecnh \u1ea3nh CT cho th\u1ea5y huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean (\u0111\u1ea7u m\u0169i t\u00ean) v\u00e0 t\u1ee5 kh\u00ed th\u00e0nh ru\u1ed9t v\u00e0 kh\u00ed trong c\u00e1c m\u1ea1ch th\u1eb3ng c\u1ee7a m\u1ea1c treo (m\u0169i t\u00ean).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33225\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22.png\" alt=\"\" width=\"950\" height=\"1538\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22-247x400.png 247w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22-494x800.png 494w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22-768x1243.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22-949x1536.png 949w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-22-350x567.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>C\u00e1c nguy\u00ean nh\u00e2n ngo\u00e0i ru\u1ed9t<\/h3>\n<h4>Do d\u00ednh<\/h4>\n<p>L\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eafc ru\u1ed9t, chi\u1ebfm 50-80% c\u00e1c tr\u01b0\u1eddng h\u1ee3p. H\u1ea7u h\u1ebft l\u00e0 sau ph\u1eabu thu\u1eadt, m\u1ed9t s\u1ed1 x\u1ea3y ra sau vi\u00eam ph\u00fac m\u1ea1c. Ch\u1ea9n \u0111o\u00e1n t\u1eafc ru\u1ed9t non do d\u00ednh ch\u1ee7 y\u1ebfu l\u00e0 ch\u1ea9n \u0111o\u00e1n lo\u1ea1i tr\u1eeb do c\u00e1c d\u1ea3i d\u00ednh kh\u00f4ng nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c tr\u00ean CT th\u01b0\u1eddng. Bi\u1ec3u hi\u1ec7n: thay \u0111\u1ed5i \u0111\u1ed9t ng\u1ed9t k\u00edch th\u01b0\u1edbc c\u1ee7a ru\u1ed9t, d\u1ea5u hi\u1ec7u vi\u00eam \u0111\u00e1ng k\u1ec3, ho\u1eb7c th\u00e0nh ru\u1ed9t d\u00e0y l\u00ean \u1edf \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp. C\u1ea7n k\u1ebft h\u1ee3p v\u1edbi ti\u1ec1n s\u1eed c\u00f3 ph\u1eabu thu\u1eadt \u1ed5 b\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>T\u1eafc ru\u1ed9t do d\u00ednh sau ph\u1eabu thu\u1eadt \u1ed5 b\u1ee5ng. H\u00ecnh \u1ea3nh CT cho th\u1ea5y thay \u0111\u1ed5i \u0111\u1ed9t ng\u1ed9t kh\u1ea9u k\u00ednh quai ru\u1ed9t v\u1edbi v\u00f9ng chuy\u1ec3n ti\u1ebfp (m\u0169i t\u00ean). Th\u00e0nh ru\u1ed9t, l\u00f2ng ru\u1ed9t v\u00e0 c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn c\u00f3 h\u00ecnh \u1ea3nh b\u00ecnh th\u01b0\u1eddng gi\u00fap lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33226\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-23.png\" alt=\"\" width=\"950\" height=\"811\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-23.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-23-469x400.png 469w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-23-937x800.png 937w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-23-768x656.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-23-350x299.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>Tho\u00e1t v\u1ecb.<\/h4>\n<p>L\u00e0 nguy\u00ean nh\u00e2n th\u1ee9 2 g\u00e2y t\u1eafc ru\u1ed9t non, chi\u1ebfm kho\u1ea3ng 10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p. Tho\u00e1t v\u1ecb \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu. Tho\u00e1t v\u1ecb ngo\u1ea1i l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a khi\u1ebfm khuy\u1ebft th\u00e0nh b\u1ee5ng v\u00e0 khung ch\u1eadu t\u1ea1i c\u00e1c \u0111i\u1ec3m y\u1ebfu b\u1ea9m sinh ho\u1eb7c sau ph\u1eabu thu\u1eadt. Tho\u00e1t v\u1ecb n\u1ed9i hi\u1ebfm g\u1eb7p h\u01a1n x\u1ea3y ra khi t\u1ea1ng \u0111i qua m\u1ea1c treo ho\u1eb7c ph\u00fac m\u1ea1c v\u00e0o khoang ph\u00fac m\u1ea1c.<\/p>\n<p>H\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t non do tho\u00e1t v\u1ecb b\u1eb9n: gi\u00e3n c\u00e1c quai ru\u1ed9t non (S) v\u00e0 tho\u00e1t v\u1ecb b\u1eb9n ngh\u1eb9t (H). \u0110i\u1ec3m chuy\u1ec3n ti\u1ebfp (m\u0169i t\u00ean) n\u1eb1m \u1edf ph\u00eda d\u01b0\u1edbi b\u00ean c\u1ee7a \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb (\u0111\u1ea7u m\u0169i t\u00ean).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33227\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-24.png\" alt=\"\" width=\"950\" height=\"815\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-24.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-24-466x400.png 466w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-24-933x800.png 933w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-24-768x659.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-24-350x300.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/h4>\n<p>L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung x\u1ea3y ra \u1edf ~ 5% ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c g\u00e2y ra t\u1eafc ru\u1ed9t c\u00f2n ch\u01b0a r\u00f5.L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung \u1edf ru\u1ed9t \u0111i\u1ec3n h\u00ecnh x\u1ea3y ra \u1edf b\u1edd t\u1ef1 do c\u1ee7a ru\u1ed9t c\u00f3 h\u00ecnh d\u1ea1ng thay \u0111\u1ed5i v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e0 m\u1ed9t n\u1ed1t \u0111\u1eb7c, d\u00e0y th\u00e0nh ru\u1ed9t v\u00e0 ng\u1ea5m thu\u1ed1c.Khi t\u1ed5n th\u01b0\u01a1ng th\u00e2m nhi\u1ec5m \u0111\u1ebfn l\u1edbp d\u01b0\u1edbi ni\u00eam, c\u00f3 h\u00ecnh \u1ea3nh gi\u1ea3m t\u1ef7 tr\u1ecdng gi\u1eefa l\u1edbp c\u01a1 ni\u00eam v\u00e0 l\u1edbp ni\u00eam m\u1ea1c.<\/p>\n<p>T\u1eafc ru\u1ed9t non \u1edf b\u1ec7nh nh\u00e2n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung \u1edf ru\u1ed9t. H\u00ecnh \u1ea3nh CT cho th\u1ea5y c\u00e1c quai ru\u1ed9t gi\u00e3n ch\u1ee9a \u0111\u1ea7y d\u1ecbch (S). \u0110i\u1ec3m chuy\u1ec3n ti\u1ebfp v\u1edbi th\u00e0nh d\u00e0y quanh chu vi v\u00e0 1 l\u1edbp gi\u1ea3m t\u1ef7 tr\u1ecdng b\u00ean ngo\u00e0i.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33228\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-25.png\" alt=\"\" width=\"950\" height=\"994\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-25.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-25-382x400.png 382w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-25-765x800.png 765w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-25-768x804.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-25-350x366.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>H\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 cho th\u1ea5y h\u1eb9p l\u00f2ng ru\u1ed9t do m\u00f4 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung g\u00e2y x\u01a1 h\u00f3a.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33229\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-26.png\" alt=\"\" width=\"950\" height=\"657\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-26.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-26-578x400.png 578w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-26-768x531.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-26-350x242.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>C\u00e1c nguy\u00ean nh\u00e2n trong l\u00f2ng ru\u1ed9t:<\/h3>\n<h4>T\u1eafc ru\u1ed9t do s\u1ecfi m\u1eadt<\/h4>\n<p>L\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a vi\u00eam \u0111\u01b0\u1eddng m\u1eadt t\u00e1i ph\u00e1t, s\u1ecfi l\u1edbn di chuy\u1ec3n qua ch\u1ed7 r\u00f2 m\u1eadt-ru\u1ed9t v\u00e0 g\u00e2y t\u1eafc ru\u1ed9t. Tam ch\u1ee9ng tr\u00ean x-quang g\u1ed3m: kh\u00ed \u0111\u01b0\u1eddng m\u1eadt, s\u1ecfi ngo\u00e0i \u0111\u01b0\u1eddng m\u1eadt v\u00e0 t\u1eafc ru\u1ed9t<\/p>\n<p>T\u1eafc ru\u1ed9t do s\u1ecfi m\u1eadt. H\u00ecnh \u1ea3nh CT cho th\u1ea5y kh\u00ed \u0111\u01b0\u1eddng m\u1eadt (m\u0169i t\u00ean) v\u1edbi s\u1ecfi m\u1eadt \u1edf \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng (*) v\u00e0 gi\u00e3n c\u00e1c quai ru\u1ed9t tr\u01b0\u1edbc \u0111\u00f3 (S).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33230\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-27.png\" alt=\"\" width=\"950\" height=\"1343\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-27.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-27-283x400.png 283w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-27-566x800.png 566w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-27-768x1086.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-27-350x495.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>Bezoar.<\/h4>\n<p>T\u1eafc ru\u1ed9t do bezoar hi\u1ebfm g\u1eb7p, t\u1ef7 l\u1ec7 t\u0103ng l\u00ean \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt d\u1ea1 d\u00e0y d\u1eabn \u0111\u1ebfn gi\u1ea3m ti\u00eau h\u00f3a c\u00e1c ch\u1ea5t x\u01a1, l\u00e0m ch\u00fang n\u00eam ch\u1eb7t l\u1ea1i v\u00e0 g\u00e2y t\u1eafc ru\u1ed9t. H\u00ecnh \u1ea3nh CT c\u1ee7a bezoar l\u00e0 m\u1ed9t kh\u1ed1i c\u00f3 h\u00ecnh oval, v\u1edbi c\u00e1c \u0111\u1ed1m kh\u00ed b\u00ean trong.<\/p>\n<h4>H\u1ed9i ch\u1ee9ng t\u1eafc ru\u1ed9t \u0111o\u1ea1n xa &#8211; Distal Intestinal Obstruction Syndrome<\/h4>\n<p>X\u1ea3y ra \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn m\u1eafc b\u1ec7nh x\u01a1 nang. T\u1eafc ngh\u1ebdn x\u1ea3y ra v\u1edbi bi\u1ec3u hi\u1ec7n ru\u1ed9t ch\u1ee9a \u0111\u1ea7y ph\u00e2n do ru\u1ed9t k\u00e9m h\u1ea5p thu sau suy tuy\u1ebfn t\u1ee5y. Tr\u00ean CT c\u00f3 h\u00ecnh \u1ea3nh ru\u1ed9t non ch\u1ee9a \u0111\u1ea7y ph\u00e2n.<\/p>\n<p>H\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t non \u1edf b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng t\u1eafc ru\u1ed9t xa. CT cho th\u1ea5y gi\u00e3n c\u00e1c quai ru\u1ed9t non v\u1edbi \u0111\u1ea7y ph\u00e2n trong l\u00f2ng ru\u1ed9t. M\u0169i t\u00ean = \u0111\u1ea1i tr\u00e0ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33231\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-28.png\" alt=\"\" width=\"950\" height=\"819\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-28.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-28-464x400.png 464w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-28-928x800.png 928w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-28-768x662.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-28-350x302.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h4>C\u00e1c nguy\u00ean nh\u00e2n trong l\u00f2ng ru\u1ed9t kh\u00e1c.<\/h4>\n<p>T\u1eafc ru\u1ed9t do d\u1ecb v\u1eadt x\u1ea3y ra \u1edf tr\u1ebb em ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh t\u00e2m th\u1ea7n. Tr\u00ean CT c\u00f3 h\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t v\u1edbi d\u1ecb v\u1eadt \u1edf \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp.<\/p>\n<p>T\u1eafc ru\u1ed9t do d\u1ecb v\u1eadt. H\u00ecnh \u1ea3nh CT cho th\u1ea5y c\u00e1c quai ru\u1ed9t gi\u00e3n (S) v\u1edbi \u1ed1ng J (m\u0169i t\u00ean). Quai ru\u1ed9t x\u1eb9p (C ) \u1edf xa v\u1ecb tr\u00ed \u1ed1ng th\u00f4ng.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33232\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-29.png\" alt=\"\" width=\"950\" height=\"705\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-29.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-29-539x400.png 539w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-29-768x570.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-29-350x260.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>T\u1eafc \u0111\u01a1n gi\u1ea3n hay ph\u1ee9c t\u1ea1p?<\/h2>\n<p>Tr\u00ean c\u01a1 s\u1edf sinh l\u00fd b\u1ec7nh, t\u1eafc ru\u1ed9t non \u0111\u01b0\u1ee3c chia ra th\u00e0nh t\u1eafc \u0111\u01a1n gi\u1ea3n v\u00e0 t\u1eafc ru\u1ed9t quai k\u00edn. T\u1eafc ru\u1ed9t \u0111\u01a1n gi\u1ea3n x\u1ea3y ra khi c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u \u0111i\u1ec3m t\u1eafc tr\u00ean c\u00f9ng quai ru\u1ed9t. \u0110o\u1ea1n ru\u1ed9t ph\u00eda tr\u00ean ch\u1ed7 t\u1eafc gi\u00e3n nhi\u1ec1u hay \u00edt ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 b\u1ec7nh v\u00e0 th\u1eddi gian. T\u1eafc ru\u1ed9t quai k\u00edn x\u1ea3y ra khi c\u00f3 hai \u0111i\u1ec3m t\u1eafc g\u1ea7n nhau tr\u00ean c\u00f9ng quai ru\u1ed9t, c\u00f3 th\u1ec3 l\u00e0 t\u1eafc ho\u00e0n to\u00e0n ho\u1eb7c kh\u00f4ng ho\u00e0n to\u00e0n.<\/p>\n<p>Tr\u00ean CT \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a t\u1eafc ru\u1ed9t quai k\u00edn ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 d\u00e0i, \u0111\u1ed9 gi\u00e3n v\u00e0 h\u01b0\u1edbng c\u1ee7a quai ru\u1ed9t trong \u1ed5 b\u1ee5ng. H\u00ecnh \u1ea3nh axial cho th\u1ea5y c\u00e1c quai ru\u1ed9t gi\u00e3n \u0111\u1ed3ng t\u00e2m c\u1ed1 \u0111\u1ecbnh, trong l\u00f2ng ch\u1ee9a \u0111\u1ea7y d\u1ecbch, m\u1ea1ch m\u00e1u m\u1ea1c treo gi\u00e3n h\u01b0\u1edbng v\u1ec1 \u0111i\u1ec3m t\u1eafc. Quai ru\u1ed9t gi\u00e3n c\u00f3 h\u00ecnh ch\u1eef U ho\u1eb7c h\u00ecnh ch\u1eef C ph\u1ee5 thu\u1ed9c v\u00e0o h\u01b0\u1edbng c\u1ee7a n\u00f3. Do c\u00f3 hai \u0111i\u1ec3m t\u1eafc g\u1ea7n nhau tr\u00ean c\u00f9ng m\u1ed9t quai ru\u1ed9t n\u00ean xo\u1eafn ru\u1ed9t c\u00f3 th\u1ec3 x\u1ea3y ra. Tr\u00ean CT d\u1ea5u hi\u1ec7u m\u1ecf chim \u201cbeak sign\u201d \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y \u1edf v\u1ecb tr\u00ed xo\u1eafn, c\u00f3 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u xo\u00e1y n\u01b0\u1edbc \u201cwhirl sign\u201d.<\/p>\n<p>T\u1eafc ru\u1ed9t quai \u0111\u00f3ng x\u1ea3y ra sau ph\u1eabu thu\u1eadt. H\u00ecnh \u1ea3nh CT cho th\u1ea5y quai ru\u1ed9t gi\u00e3n \u0111\u1ed3ng t\u00e2m c\u00f3 h\u00ecnh ch\u1eef U (\u0111\u01b0\u1eddng k\u1ebb ch\u1ea5m) v\u00e0 m\u1ea1ch m\u00e1u m\u1ea1c treo b\u1ecb k\u00e9o c\u0103ng. Tr\u00ean h\u00ecnh \u1ea3nh coronal quai ru\u1ed9t gi\u00e3n c\u00f3 h\u00ecnh ch\u1eef C.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33233\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30.png\" alt=\"\" width=\"950\" height=\"1539\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30-247x400.png 247w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30-494x800.png 494w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30-768x1244.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30-948x1536.png 948w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-30-350x567.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>T\u1eafc ru\u1ed9t quai k\u00edn g\u00e2y ra xo\u1eafn ru\u1ed9t. H\u00ecnh \u1ea3nh CT cho th\u1ea5y d\u1ea5u hi\u1ec7u xo\u00e1y n\u01b0\u1edbc (m\u0169i t\u00ean), \u0111\u01b0\u1ee3c t\u1ea1o b\u1edfi c\u00e1c m\u1ea1ch m\u00e1u m\u1ea1c treo v\u00e0 quai ru\u1ed9t b\u1ecb x\u1eb9p. \u0110i\u1ec3m chuy\u1ec3n ti\u1ebfp t\u1ea1i v\u1ecb tr\u00ed xo\u1eafn.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33234\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-31.png\" alt=\"\" width=\"950\" height=\"707\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-31.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-31-537x400.png 537w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-31-768x572.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-31-350x260.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>S\u1ef1 th\u1eaft ngh\u1eb9t \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u1eafc ru\u1ed9t quai k\u00edn c\u00f3 li\u00ean quan v\u1edbi thi\u1ebfu m\u00e1u ru\u1ed9t c\u1ee5c b\u1ed9. T\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra \u1edf kho\u1ea3ng 10% b\u1ec7nh nh\u00e2n t\u1eafc ru\u1ed9t non v\u00e0 c\u00f3 nguy c\u01a1 t\u1eed vong cao. H\u00ecnh \u1ea3nh CT bao g\u1ed3m d\u00e0y th\u00e0nh v\u00e0 t\u0103ng t\u1ef7 tr\u1ecdng c\u1ee7a \u0111o\u1ea1n ru\u1ed9t t\u1ed5n th\u01b0\u01a1ng, c\u00f3 d\u1ea5u hi\u1ec7u halo hay h\u00ecnh bia \u201ctarget sign\u201d, t\u1ee5 kh\u00ed th\u00e0nh ru\u1ed9t v\u00e0 kh\u00ed t\u0129nh m\u1ea1ch c\u1eeda, nh\u01b0ng nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. \u0110\u1eb7c \u0111i\u1ec3m \u0111\u1eb7c tr\u01b0ng l\u00e0 gi\u1ea3m ng\u1ea5m thu\u1ed1c th\u00e0nh, ng\u1ea5m thu\u1ed1c kh\u00f4ng \u0111\u1ed1i x\u1ee9ng ho\u1eb7c th\u1eadm ch\u00ed ng\u1ea5m thu\u1ed1c mu\u1ed9n. C\u00f3 th\u1ec3 c\u00f3 t\u1ee5 d\u1ecbch ho\u1eb7c ch\u1ea3y m\u00e1u khu tr\u00fa \u1edf m\u1ea1c treo.<\/p>\n<p>T\u1eafc ru\u1ed9t non do d\u00ednh. H\u00ecnh \u1ea3nh CT cho th\u1ea5y kh\u00ed t\u0129nh m\u1ea1ch c\u1eeda, gi\u00e3n c\u00e1c quai ru\u1ed9t non (S), nh\u1ed3i m\u00e1u ru\u1ed9t v\u1edbi h\u00ecnh \u1ea3nh t\u1ee5 kh\u00ed th\u00e0nh ru\u1ed9t (m\u0169i t\u00ean).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33235\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-32.png\" alt=\"\" width=\"950\" height=\"1405\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-32.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-32-270x400.png 270w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-32-541x800.png 541w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-32-768x1136.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/Tac-ruot-non-32-350x518.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>Ana Catarina Silva, Madalena Pimenta, Luis S Guimaraes &#8211; <a href=\"https:\/\/pubs.rsna.org\/doi\/10.1148\/rg.292085514\" rel=\"noopener\">Small Bowel Obstruction: What to Look For<\/a> &#8211; RSNA, RadioGraphics. Truy c\u1eadp ng\u00e0y 1\/7\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea3i file PDF b\u00e0i vi\u1ebft T\u1eafc ru\u1ed9t non &#8211; Small Bowel Obstruction: What to Look For t\u1ea1i \u0111\u00e2y B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu v\u00e0 Dr. L\u00ea V\u0169 Duy C\u00e1c b\u01b0\u1edbc ti\u1ebfp c\u1eadn B\u1ec7nh nh\u00e2n \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au, ch\u01b0\u1edbng b\u1ee5ng, n\u00f4n v\u00e0 bu\u1ed3n n\u00f4n th\u00ec t\u1eafc ru\u1ed9t non [&#8230;]\n","protected":false},"author":1,"featured_media":33214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33202","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=33202"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33202\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/33214"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}