{"id":2532,"date":"2021-10-25T02:13:43","date_gmt":"2021-10-25T02:13:43","guid":{"rendered":"https:\/\/hdzsoft.com\/?p=2532"},"modified":"2021-10-25T02:14:57","modified_gmt":"2021-10-25T02:14:57","slug":"tac-le-dao","status":"publish","type":"post","link":"https:\/\/hdzsoft.com\/tac-le-dao\/","title":{"rendered":"T\u1eaeC L\u1ec6 \u0110\u1ea0O"},"content":{"rendered":"

T\u1eafc l\u1ec7 \u0111\u1ea1o (dacryostenosis) l\u00e0 khi h\u1ec7 th\u1ed1ng d\u1eabn l\u01b0u n\u01b0\u1edbc m\u1eaft b\u1ecb t\u1eafc ngh\u1ebdn m\u1ed9t ph\u1ea7n ho\u1eb7c ho\u00e0n to\u00e0n. Khi \u0111\u00f3 n\u01b0\u1edbc m\u1eaft kh\u00f4ng xu\u1ed1ng m\u0169i m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng v\u00e0 g\u00e2y ra tri\u1ec7u ch\u1ee9ng ch\u1ea3y n\u01b0\u1edbc m\u1eaft, k\u00edch th\u00edch ho\u1eb7c l\u00e0m m\u1eaft b\u1ecb nhi\u1ec5m tr\u00f9ng.<\/span><\/em><\/p>\n

B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n b\u1edfi : BSCKII V\u0169 V\u0103n Ng\u1ecdc \u2013 Khoa T\u1ed5ng H\u1ee3p b\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i.<\/span><\/p>\n

\"\"<\/p>\n

1. T\u1eafc l\u1ec7 \u0111\u1ea1o l\u00e0 g\u00ec?<\/span><\/strong>
\nT\u1eafc l\u1ec7 \u0111\u1ea1o (dacryostenosis) l\u00e0 khi h\u1ec7 th\u1ed1ng d\u1eabn l\u01b0u n\u01b0\u1edbc m\u1eaft b\u1ecb t\u1eafc ngh\u1ebdn m\u1ed9t ph\u1ea7n ho\u1eb7c ho\u00e0n to\u00e0n. Khi \u0111\u00f3 n\u01b0\u1edbc m\u1eaft kh\u00f4ng xu\u1ed1ng m\u0169i m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng v\u00e0 g\u00e2y ra tri\u1ec7u ch\u1ee9ng ch\u1ea3y n\u01b0\u1edbc m\u1eaft, k\u00edch th\u00edch ho\u1eb7c l\u00e0m m\u1eaft b\u1ecb nhi\u1ec5m tr\u00f9ng. <\/span>
\nKho\u1ea3ng 20% tr\u1ebb sinh ra b\u1ecb t\u1eafc l\u1ec7 \u0111\u1ea1o b\u1ea9m sinh, nh\u01b0ng t\u00ecnh tr\u1ea1ng n\u00e0y h\u1ea7u h\u1ebft s\u1ebd t\u1ef1 kh\u1ecfi khi b\u00e9 \u0111\u01b0\u1ee3c 1 tu\u1ed5i. \u1ede ng\u01b0\u1eddi l\u1edbn, c\u00e1c nhi\u1ec5m tr\u00f9ng t\u1ea1i m\u1eaft, t\u00ecnh tr\u1ea1ng s\u01b0ng n\u1ec1, ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c kh\u1ed1i u s\u1ebd g\u00e2y ra t\u1eafc l\u1ec7 \u0111\u1ea1o.<\/span>
\n2. Nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc l\u1ec7 \u0111\u1ea1o?<\/span><\/strong>
\n– Khi c\u00f2n trong b\u1ee5ng m\u1eb9, \u1ed1ng l\u1ec7 m\u0169i c\u1ee7a tr\u1ebb \u0111\u01b0\u1ee3c che l\u1ea1i b\u1edfi m\u1ed9t l\u1edbp m\u00e0ng m\u1ecfng. Sau khi ch\u00e0o \u0111\u1eddi, n\u1ebfu l\u1edbp m\u00e0ng che n\u00e0y kh\u00f4ng t\u1ef1 m\u1edf ra th\u00ec s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u1eafc l\u1ec7 \u0111\u1ea1o b\u1ea9m sinh.<\/span>
\n– Vi\u00eam m\u0169i ho\u1eb7c vi\u00eam xoang m\u1ea1n t\u00ednh <\/span>
\n– M\u1ed9t s\u1ed1 c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c:<\/span>
\n+ B\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n x\u01b0\u01a1ng s\u1ecd v\u00e0 m\u1eb7t <\/span>
\n+ Thay \u0111\u1ed5i do tu\u1ed5i t\u00e1c<\/span>
\n+ Ch\u1ea5n th\u01b0\u01a1ng m\u0169i<\/span>
\n+ Polyp m\u0169i<\/span>
\n+ Vi\u00eam k\u1ebft m\u1ea1c<\/span>
\n+ Kh\u1ed1i u: b\u1ea5t k\u1ef3 kh\u1ed1i u n\u00e0o g\u00e2y ch\u00e8n \u00e9p \u0111\u01b0\u1eddng tho\u00e1t n\u01b0\u1edbc m\u1eaft.<\/span><\/p>\n

\"\"H\u00ecnh \u1ea3nh b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt n\u1ed1i th\u00f4ng l\u1ec7 m\u0169i 05 ng\u00e0y t\u1ea1i B\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i<\/span><\/p>\n

3. Tri\u1ec7u ch\u1ee9ng t\u1eafc l\u1ec7 \u0111\u1ea1o?<\/span><\/strong>
\nH\u1ec7 th\u1ed1ng tho\u00e1t l\u01b0u n\u01b0\u1edbc m\u1eaft c\u00f3 th\u1ec3 b\u1ecb t\u1eafc \u1edf b\u1ea5t k\u00ec v\u1ecb tr\u00ed n\u00e0o, g\u00e2y ra tri\u1ec7u ch\u1ee9ng ch\u1ea3y n\u01b0\u1edbc m\u1eaft s\u1ed1ng v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 vi\u00eam nhi\u1ec5m t\u1ea1i m\u1eaft. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 s\u1ebd n\u1eb7ng l\u00ean khi b\u1ecb c\u1ea3m l\u1ea1nh, vi\u00eam xoang, ho\u1eb7c khi ra n\u1eafng, gi\u00f3 v\u00e0 n\u01a1i c\u00f3 kh\u00f4ng kh\u00ed l\u1ea1nh.<\/span>
\nL\u1ec7 \u0111\u1ea1o t\u1eafc ngh\u1ebdn c\u00f3 th\u1ec3 s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u1ee9 \u0111\u1ecdng vi tr\u00f9ng trong \u1ed1ng l\u1ec7 m\u0169i v\u00e0 g\u00e2y vi\u00eam t\u00fai l\u1ec7. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m tr\u00f9ng bao g\u1ed3m:<\/span>
\n– Vi\u00eam (s\u01b0ng n\u1ec1), m\u1ec1m, \u0111\u1ecf \u1edf g\u00f3c m\u1eaft trong ho\u1eb7c \u1edf khu v\u1ef1c gi\u1eefa m\u1eaft v\u00e0 m\u0169i<\/span>
\n– Nhi\u1ec5m tr\u00f9ng m\u1eaft t\u00e1i \u0111i t\u00e1i l\u1ea1i<\/span>
\n– Xu\u1ea5t ti\u1ebft nh\u1ea7y m\u1eaft<\/span>
\n– \u0110\u00f3ng v\u1ea3y \u1edf l\u00f4ng mi<\/span>
\n– Nh\u00ecn m\u1edd<\/span>
\n– N\u01b0\u1edbc m\u1eaft c\u00f3 l\u1eabn v\u1ec7t m\u00e1u<\/span>
\n– S\u1ed1t<\/span>
\nNh\u00ecn chung, khi c\u00f3 tri\u1ec7u ch\u1ee9ng ch\u1ea3y n\u01b0\u1edbc m\u1eaft ho\u1eb7c b\u1ecb k\u00edch \u1ee9ng, vi\u00eam nhi\u1ec5m k\u00e9o d\u00e0i, b\u1ea1n c\u1ea7n \u0111i kh\u00e1m b\u00e1c s\u0129 nh\u00e3n khoa.<\/span>
\n5. Ch\u1ea9n \u0111o\u00e1n t\u1eafc l\u1ec7 \u0111\u1ea1o?<\/span><\/strong>
\nB\u00e1c s\u0129 nh\u00e3n khoa s\u1ebd h\u1ecfi b\u1ec7nh s\u1eed, kh\u00e1m m\u1eaft to\u00e0n di\u1ec7n v\u00e0 s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xem l\u1ec7 \u0111\u1ea1o c\u1ee7a b\u1ea1n c\u00f3 b\u1ecb t\u1eafc ngh\u1ebdn hay kh\u00f4ng, v\u00e0 t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y.<\/span>
\nB\u00e1c s\u0129 s\u1ebd b\u01a1m d\u1ecbch v\u00e0o h\u1ec7 th\u1ed1ng l\u1ec7 \u0111\u1ea1o c\u1ee7a b\u1ea1n, n\u1ebfu l\u01b0\u1ee3ng d\u1ecbch n\u00e0y kh\u00f4ng xu\u1ed1ng \u0111\u01b0\u1ee3c h\u1ecdng th\u00ec b\u1ea1n \u0111\u00e3 b\u1ecb t\u1eafc l\u1ec7 \u0111\u1ea1o.<\/span>
\nNh\u1eefng x\u00e9t nghi\u1ec7m kh\u00e1c nh\u01b0 ch\u1ee5p X quang ho\u1eb7c CT scan c\u00f3 k\u1ebft h\u1ee3p b\u01a1m ch\u1ea5t c\u1ea3n quang v\u00e0o h\u1ec7 th\u1ed1ng l\u1ec7 \u0111\u1ea1o c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng khi b\u00e1c s\u0129 c\u1ea7n kh\u1ea3o s\u00e1t s\u00e2u th\u00eam.<\/span><\/p>\n

\"\"H\u00ecnh \u1ea3nh b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt n\u1ed1i th\u00f4ng l\u1ec7 m\u0169i 05 ng\u00e0y t\u1ea1i B\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i<\/span><\/p>\n

6. \u0110i\u1ec1u tr\u1ecb t\u1eafc l\u1ec7 \u0111\u1ea1o?<\/span><\/strong>
\n– \u0110\u1ed1i v\u1edbi t\u1eafc l\u1ec7 \u0111\u1ea1o b\u1ea9m sinh:<\/strong> ph\u1ea7n l\u1edbn s\u1ebd t\u1ef1 c\u1ea3i thi\u1ec7n trong v\u00f2ng v\u00e0i th\u00e1ng sau sinh khi h\u1ec7 th\u1ed1ng tho\u00e1t l\u01b0u n\u01b0\u1edbc m\u1eaft c\u1ee7a b\u00e9 ho\u00e0n thi\u1ec7n h\u01a1n ho\u1eb7c khi l\u1edbp m\u00e0ng che \u1ed1ng l\u1ec7 m\u0169i m\u1edf ra \u0111\u01b0\u1ee3c. B\u00e1c s\u0129 nh\u00e3n khoa s\u1ebd h\u01b0\u1edbng d\u1eabn b\u1ea1n c\u00e1ch \u1ea5n vu\u1ed1t d\u1ecdc c\u1ea1nh m\u0169i c\u1ee7a b\u00e9 \u0111\u1ec3 l\u00e0m b\u1eadt l\u1edbp m\u00e0ng n\u00e0y ra. \u1ea4n ng\u00f3n \u00fat l\u00ean v\u00f9ng da n\u1eb1m gi\u1eefa g\u00f3c m\u1eaft trong v\u00e0 c\u1ea1nh b\u00ean c\u1ee7a m\u0169i, sau \u0111\u00f3 vu\u1ed1t xu\u1ed1ng trong v\u00e0i gi\u00e2y. <\/span>
\n– \u1ede nh\u1eefng tr\u1ebb m\u00e0 s\u1ef1 b\u00edt t\u1eafc kh\u00f4ng t\u1ef1 c\u1ea3i thi\u1ec7n, ho\u1eb7c c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi l\u1edbn b\u1ecb b\u00e1n t\u1eafc l\u1ec7 \u0111\u1ea1o, h\u1eb9p b\u00e1n ph\u1ea7n \u0111i\u1ec3m l\u1ec7:<\/strong> b\u00e1c s\u0129 s\u1ebd can thi\u1ec7p b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p th\u00f4ng l\u1ec7 \u0111\u1ea1o. M\u1ed9t d\u1ee5ng c\u1ee5 s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 nong d\u00e3n \u0111i\u1ec3m l\u1ec7 tr\u01b0\u1edbc khi \u0111\u01b0a que th\u00f4ng v\u00e0o l\u1ec7 \u0111\u1ea1o qua \u0111i\u1ec3m l\u1ec7 n\u00e0y. Chi\u1ebfc que s\u1ebd \u0111\u01b0\u1ee3c lu\u1ed3n xu\u1ed1ng \u0111\u1ebfn m\u0169i r\u1ed3i r\u00fat ra. Sau \u0111\u00f3, l\u1ec7 \u0111\u1ea1o s\u1ebd \u0111\u01b0\u1ee3c b\u01a1m r\u1eeda v\u1edbi n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd \u0111\u1ec3 \u0111\u1ea9y tr\u00f4i nh\u1eefng ch\u1ea5t \u1ee9 \u0111\u1ecdng g\u00e2y ngh\u1eb9t.<\/span>
\n– \u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u1ec7 \u0111\u1ea1o b\u1ecb h\u1eb9p t\u1eafc do vi\u00eam ho\u1eb7c do m\u00f4 s\u1eb9o:<\/strong> b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eb7t \u1ed1ng. B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a \u0111o\u1ea1n d\u00e2y \u1ed1ng nh\u1ecf v\u00e0o l\u1ec7 \u0111\u1ea1o th\u00f4ng qua m\u1ed9t ho\u1eb7c c\u1ea3 hai \u0111i\u1ec3m l\u1ec7 \u1edf g\u00f3c trong c\u1ee7a m\u1eaft, sau \u0111\u00f3 lu\u1ed3ng h\u1eb3n xu\u1ed1ng m\u0169i v\u00e0 \u0111\u01b0\u1ee3c gi\u1eef nguy\u00ean nh\u01b0 v\u1eady trong 3 \u0111\u1ebfn 4 th\u00e1ng. Ph\u1ea7n \u0111\u1ea7u \u1ed1ng \u1edf \u0111i\u1ec3m l\u1ec7 \u0111\u01b0\u1ee3c th\u1eaft n\u00fat \u0111\u1ec3 gi\u1eef cho d\u00e2y kh\u00f4ng b\u1ecb tu\u1ed9t m\u1ea5t. \u0110i\u1ec3m th\u1eaft n\u00e0y s\u1ebd kh\u00f4ng g\u00e2y c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu cho b\u1ea1n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u1ea7n ph\u1ea3i g\u00e2y m\u00ea to\u00e0n th\u00e2n.<\/span>
\n– Ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u1eafc l\u1ec7 \u0111\u1ea1o ti\u1ebfn tri\u1ec3n<\/strong>. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng kh\u00e1 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u00e1c tr\u1ebb nh\u1ecf b\u1ecb t\u1eafc l\u1ec7 \u0111\u1ea1o b\u1ea9m sinh. Tuy nhi\u00ean, n\u00f3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng sau khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean th\u1ea5t b\u1ea1i.<\/span>
\n– Ph\u1eabu thu\u1eadt n\u1ed1i th\u00f4ng t\u00fai l\u1ec7 m\u0169i<\/strong> th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eafc l\u1ec7 \u0111\u1ea1o. B\u00e1c s\u0129 s\u1ebd t\u1ea1o \u0111i\u1ec3m th\u00f4ng n\u1ed1i gi\u1eefa t\u00fai l\u1ec7 v\u00e0 m\u0169i, \u0111\u1eb7t \u1ed1ng v\u00e0o trong v\u00e0 l\u01b0u \u1ed1ng t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng.<\/span>
\n– \u0110\u1ec3 ph\u00f2ng ng\u1eeba vi\u00eam nhi\u1ec5m sau m\u1ed5, b\u1ea1n c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c co m\u1ea1ch m\u0169i v\u00e0 thu\u1ed1c kh\u00e1ng sinh, ch\u1ed1ng vi\u00eam tra m\u1eaft t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n. Sau 3 \u0111\u1ebfn 6 th\u00e1ng, \u1ed1ng \u0111\u1eb7t b\u00ean trong s\u1ebd \u0111\u01b0\u1ee3c l\u1ea5y ra.<\/span><\/p>\n

7. Ph\u00f2ng ng\u1eeba t\u1eafc l\u1ec7 \u0111\u1ea1o<\/span><\/strong><\/p>\n

\u0110\u1ec3 gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n t\u1eafc l\u1ec7 \u0111\u1ea1o, h\u00e3y tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi ch\u1ee9ng vi\u00eam ho\u1eb7c nhi\u1ec5m tr\u00f9ng m\u1eaft.<\/span><\/p>\n