Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt m\u0169i ch\u1ee9c n\u0103ng l\u00e0m th\u1eb3ng v\u00e1ch ng\u0103n b\u1ecb l\u1ec7ch \u0111\u1ec3 c\u1ea3i thi\u1ec7n lu\u1ed3ng kh\u00f4ng kh\u00ed m\u0169i. N\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o khi th\u1edf b\u1eb1ng m\u0169i b\u1ecb t\u1eafc ngh\u1ebdn, ch\u1ea3y m\u00e1u cam t\u00e1i ph\u00e1t, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 xoang x\u1ea3y ra, g\u00e3y m\u0169i ho\u1eb7c r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 v\u1eabn t\u1ed3n t\u1ea1i m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb y t\u1ebf th\u00edch h\u1ee3p. <\/p>\n\n
M\u1eb7c d\u00f9 l\u00e0 ph\u1eabu thu\u1eadt m\u0169i, nh\u01b0ng n\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t cu\u1ed9c ph\u1eabu thu\u1eadt l\u1edbn trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00e0 kh\u00f4ng ch\u1ee7 y\u1ebfu l\u00e0 th\u1ea9m m\u1ef9. C\u00e1c v\u1ebft r\u1ea1ch \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u00ean trong m\u0169i n\u00ean kh\u00f4ng c\u00f3 s\u1eb9o b\u00ean ngo\u00e0i c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c. M\u1ee5c \u0111\u00edch l\u00e0 \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb l\u1ea1i, \u0111\u1ecbnh h\u00ecnh l\u1ea1i ho\u1eb7c lo\u1ea1i b\u1ecf s\u1ee5n v\u00e0 x\u01b0\u01a1ng b\u1ecb cong trong khi v\u1eabn duy tr\u00ec h\u1ed7 tr\u1ee3 m\u0169i. <\/p>\n\n
V\u00e1ch ng\u0103n m\u0169i l\u00e0 b\u1ee9c t\u01b0\u1eddng b\u00ean trong khoang m\u0169i ng\u0103n c\u00e1ch l\u1ed7 m\u0169i tr\u00e1i v\u00e0 ph\u1ea3i. Hai l\u1ed7 m\u0169i \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh b\u00ean trong khoang m\u0169i, v\u1edbi v\u00e1ch ng\u0103n gi\u1eefa ch\u00fang. N\u00f3 \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng s\u1ee5n \u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 x\u01b0\u01a1ng xa h\u01a1n v\u1ec1 ph\u00eda sau. V\u00e1ch ng\u0103n x\u01b0\u01a1ng bao g\u1ed3m vomer v\u00e0 t\u1ea5m vu\u00f4ng g\u00f3c c\u1ee7a x\u01b0\u01a1ng ethmoid. \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, s\u1ee5n v\u00e1ch ng\u0103n b\u1ecb cong ho\u1eb7c d\u1ecbch chuy\u1ec3n sang m\u1ed9t b\u00ean. V\u00e1ch ng\u0103n cong c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t trong hai l\u1ed7 m\u0169i. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 v\u00e1ch ng\u0103n l\u1ec7ch. <\/p>\n\n
V\u00e1ch ng\u0103n<\/a> l\u1ec7ch nh\u1eb9 l\u00e0 ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng. \u0110\u1ed9 l\u1ec7ch \u0111\u00e1ng k\u1ec3 h\u01a1n c\u00f3 th\u1ec3 thu h\u1eb9p m\u1ed9t ho\u1eb7c c\u1ea3 hai \u0111\u01b0\u1eddng m\u0169i, khi\u1ebfn th\u1edf m\u0169i kh\u00f3 kh\u0103n h\u01a1n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n lu\u00f4n c\u1ea3m th\u1ea5y b\u1ecb t\u1eafc ngh\u1ebdn. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c nh\u1eadn th\u1ea5y n\u00f3 ch\u1ee7 y\u1ebfu v\u00e0o ban \u0111\u00eam, trong khi t\u1eadp th\u1ec3 d\u1ee5c ho\u1eb7c khi d\u1ecb \u1ee9ng ho\u1eb7c vi\u00eam xoang g\u00e2y s\u01b0ng th\u00eam. <\/p>\n\n Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 c\u1ea3i thi\u1ec7n h\u00f4 h\u1ea5p m\u0169i khi v\u00e1ch ng\u0103n b\u1ecb l\u1ec7ch g\u00e2y t\u1eafc ngh\u1ebdn dai d\u1eb3ng ho\u1eb7c g\u00f3p ph\u1ea7n g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u0169i li\u00ean quan.<\/p>\n\n V\u00e1ch ng\u0103n l\u1ec7ch c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n t\u1eeb khi sinh ra ho\u1eb7c ph\u00e1t tri\u1ec3n sau ch\u1ea5n th\u01b0\u01a1ng. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi nh\u1eadn th\u1ea5y n\u00f3 sau ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao, t\u00e9 ng\u00e3 ho\u1eb7c g\u00e3y m\u0169i. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c ch\u1ec9 nh\u1eadn ra \u0111i\u1ec1u \u0111\u00f3 khi t\u1eafc ngh\u1ebdn tr\u1edf n\u00ean \u0111\u00e1ng ch\u00fa \u00fd h\u01a1n theo tu\u1ed5i t\u00e1c, d\u1ecb \u1ee9ng ho\u1eb7c b\u1ec7nh xoang. <\/p>\n\n C\u00e1c ch\u1ec9 \u0111\u1ecbnh t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n ph\u1ed5 bi\u1ebfn bao g\u1ed3m:<\/p>\n\n <\/p>\n\n Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f9ng v\u1edbi c\u00e1c th\u1ee7 thu\u1eadt tai m\u0169i h\u1ecdng kh\u00e1c. N\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi thu nh\u1ecf tuabin n\u1ebfu tuabin \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng<\/a>, v\u1edbi ph\u1eabu thu\u1eadt xoang cho b\u1ec7nh xoang m\u1ea1n t\u00ednh ho\u1eb7c v\u1edbi m\u1ed9t ph\u1eabu thu\u1eadt xoang kh\u00e1c (ph\u1eabu thu\u1eadt xoang n\u1ed9i soi ch\u1ee9c n\u0103ng). \u0110\u00f4i khi n\u00f3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f9ng v\u1edbi ph\u1eabu thu\u1eadt th\u1ea9m m\u1ef9 khu\u00f4n m\u1eb7t khi m\u0169i ngo\u00e0i c\u0169ng c\u1ea7n \u0111\u1ecbnh h\u00ecnh l\u1ea1i. Ph\u1eabu thu\u1eadt ch\u1ec9 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb khi v\u00e1ch ng\u0103n l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n \u0111\u00e1ng k\u1ec3 v\u00e0o v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p. <\/p>\n\n B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n n\u1ebfu v\u00e1ch ng\u0103n b\u1ecb l\u1ec7ch g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1eafc r\u1ed1i kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111\u1ee7 v\u1edbi \u0111i\u1ec1u tr\u1ecb y t\u1ebf th\u00edch h\u1ee3p.<\/p>\n\n Nh\u1eefng ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p do v\u00e1ch ng\u0103n m\u0169i b\u1ecb l\u1ec7ch c\u00f3 th\u1ec3 l\u00e0 \u1ee9ng c\u1eed vi\u00ean ph\u00f9 h\u1ee3p. Kh\u00f3 th\u1edf b\u1eb1ng m\u0169i l\u00e0 l\u00fd do ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a ph\u1eabu thu\u1eadt m\u0169i, v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i th\u01b0\u1eddng b\u1ecb thu h\u1eb9p c\u1ea5u tr\u00fac r\u00f5 r\u00e0ng khi kh\u00e1m v\u00e0 ph\u00e0n n\u00e0n ph\u00f9 h\u1ee3p v\u1edbi m\u1eb7t h\u1eb9p. Ch\u00fang c\u00f3 th\u1ec3 m\u00f4 t\u1ea3 t\u1eafc ngh\u1ebdn th\u1edf b\u1eb1ng m\u0169i, th\u1edf b\u1eb1ng mi\u1ec7ng, ng\u1ee7 k\u00e9m, gi\u1ea3m kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng t\u1eadp th\u1ec3 d\u1ee5c, th\u01b0\u1eddng xuy\u00ean ngh\u1eb9t m\u0169i ho\u1eb7c nhu c\u1ea7u th\u1edf b\u1eb1ng mi\u1ec7ng li\u00ean t\u1ee5c. <\/p>\n\n C\u00f3 th\u1ec3 c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n cho v\u00e1ch ng\u0103n b\u1ecb l\u1ec7ch khi x\u1ecbt m\u0169i, \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng, s\u00fac mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng ph\u1eabu thu\u1eadt kh\u00e1c kh\u00f4ng gi\u00fap gi\u1ea3m \u0111au. C\u00e1c k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt hi\u1ec7n \u0111\u1ea1i nh\u1eb1m m\u1ee5c \u0111\u00edch ch\u1ec9 lo\u1ea1i b\u1ecf nh\u1eefng ph\u1ea7n x\u01b0\u01a1ng v\u00e0 s\u1ee5n b\u1ecb l\u1ec7ch. Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u01b0ng do d\u1ecb \u1ee9ng ho\u1eb7c vi\u00eam m\u0169i, nh\u01b0ng n\u00f3 kh\u00f4ng th\u1ec3 l\u00e0m th\u1eb3ng s\u1ee5n ho\u1eb7c x\u01b0\u01a1ng. <\/p>\n\n Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n gi\u00fap \u00edch khi v\u00e1ch ng\u0103n l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eafc ngh\u1ebdn. N\u1ebfu t\u1eafc ngh\u1ebdn m\u0169i ch\u1ee7 y\u1ebfu l\u00e0 do vi\u00eam m\u0169i d\u1ecb \u1ee9ng<\/a>, s\u01b0ng tuabin<\/a>, polyp m\u0169i<\/a> ho\u1eb7c x\u1eb9p van m\u0169i, nh\u1eefng \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb ri\u00eang. Van m\u0169i l\u00e0 ph\u1ea7n h\u1eb9p nh\u1ea5t c\u1ee7a \u0111\u01b0\u1eddng m\u0169i, v\u00ec v\u1eady ngay c\u1ea3 m\u1ed9t v\u1ebft h\u1eb9p nh\u1ecf c\u0169ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 th\u1edf th\u1ef1c s\u1ef1. \u1ede nhi\u1ec1u b\u1ec7nh nh\u00e2n, nhi\u1ec1u h\u01a1n m\u1ed9t y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n g\u00e2y ngh\u1eb9t m\u0169i. \u0110\u00e1nh gi\u00e1 th\u00edch h\u1ee3p r\u1ea5t quan tr\u1ecdng tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt. <\/p>\n\n B\u1ea1n n\u00ean \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa tai m\u0169i h\u1ecdng n\u1ebfu ngh\u1eb9t m\u0169i dai d\u1eb3ng, m\u1ed9t b\u00ean, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gi\u1ea5c ng\u1ee7 ho\u1eb7c kh\u00f4ng c\u1ea3i thi\u1ec7n v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng.<\/p>\n\n M\u0169i b\u1ecb ngh\u1eb9t do c\u1ea3m l\u1ea1nh ho\u1eb7c d\u1ecb \u1ee9ng th\u01b0\u1eddng l\u1eafng xu\u1ed1ng. C\u1ea7n \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng m\u0169i b\u1ecb ngh\u1eb9t k\u00e9o d\u00e0i h\u00e0ng tu\u1ea7n, t\u00e1i ph\u00e1t ho\u1eb7c x\u1ea5u \u0111i \u1edf m\u1ed9t b\u00ean. \u0110\u00e1nh gi\u00e1 tai m\u0169i h\u1ecdng \u1edf Singapore \u0111\u1ed1i v\u1edbi \u0111\u01b0\u1eddng th\u1edf m\u0169i c\u0169ng h\u1eefu \u00edch n\u1ebfu c\u00f3 ch\u1ea3y m\u00e1u cam t\u00e1i ph\u00e1t, vi\u00eam xoang l\u1eb7p \u0111i l\u1eb7p l\u1ea1i, ng\u00e1y khi ng\u1ee7 k\u00e9m ho\u1eb7c ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng m\u0169i. <\/p>\n\n T\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf k\u1ecbp th\u1eddi n\u1ebfu t\u1eafc ngh\u1ebdn m\u0169i c\u00f3 li\u00ean quan \u0111\u1ebfn ch\u1ea3y m\u00e1u l\u1eb7p \u0111i l\u1eb7p l\u1ea1i t\u1eeb m\u1ed9t b\u00ean, ho\u1eb7c n\u1ebfu b\u1ea1n ch\u1ea3y d\u1ecbch d\u00ednh m\u00e1u, \u0111au m\u1eb7t, t\u00ea m\u1eb7t, nh\u00ecn \u0111\u00f4i, kh\u1ed1i u c\u1ed5 ho\u1eb7c s\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Nh\u1eefng d\u1ea5u hi\u1ec7u n\u00e0y kh\u00f4ng ph\u1ed5 bi\u1ebfn, nh\u01b0ng kh\u00f4ng n\u00ean b\u1ecf qua khi thay \u0111\u1ed5i \u0111\u01b0\u1eddng th\u1edf m\u0169i \u0111i k\u00e8m. <\/p>\n\n Barrie Tan ENT Head & Neck Surgery \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00f9 h\u1ee3p cho ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n b\u1eb1ng c\u00e1ch x\u00e1c \u0111\u1ecbnh xem v\u00e1ch ng\u0103n c\u00f3 ph\u1ea3i l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eafc ngh\u1ebdn m\u0169i hay kh\u00f4ng v\u00e0 li\u1ec7u ph\u1eabu thu\u1eadt c\u00f3 kh\u1ea3 n\u0103ng gi\u00fap \u00edch hay kh\u00f4ng.<\/p>\n\n \u0110\u00e1nh gi\u00e1 b\u1eaft \u0111\u1ea7u v\u1edbi ti\u1ec1n s\u1eed b\u1ec7nh chi ti\u1ebft. B\u00e1c s\u0129 Barrie Tan s\u1ebd h\u1ecfi v\u1ec1 m\u00f4 h\u00ecnh t\u1eafc ngh\u1ebdn, b\u00ean n\u00e0o t\u1ed3i t\u1ec7 h\u01a1n, ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7, c\u00e1c v\u1ea5n \u0111\u1ec1 d\u1ecb \u1ee9ng, nhi\u1ec5m tr\u00f9ng xoang, ch\u1ea3y m\u00e1u cam, ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3, ph\u1eabu thu\u1eadt tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c hi\u1ec7n t\u1ea1i. <\/p>\n\n Sau \u0111\u00f3, ki\u1ec3m tra m\u0169i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m n\u1ed9i soi m\u0169i, trong \u0111\u00f3 m\u1ed9t m\u00e1y \u1ea3nh m\u1ecfng \u0111\u01b0\u1ee3c nh\u1eb9 nh\u00e0ng \u0111\u01b0a v\u00e0o m\u0169i \u0111\u1ec3 xem v\u00e1ch ng\u0103n, tuabin, \u0111\u01b0\u1eddng m\u0169i, v\u00f9ng van m\u0169i v\u00e0 \u0111\u01b0\u1eddng d\u1eabn l\u01b0u xoang. <\/p>\n\n C\u00f3 th\u1ec3 khuy\u1ebfn ngh\u1ecb ch\u1ee5p n\u1ebfu nghi ng\u1edd b\u1ec7nh xoang, gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p, ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 ho\u1eb7c b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 c\u1ea5u tr\u00fac n\u00e0o kh\u00e1c. M\u1ee5c ti\u00eau l\u00e0 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi nguy\u00ean nh\u00e2n thay v\u00ec cho r\u1eb1ng m\u1ecdi m\u0169i b\u1ecb t\u1eafc \u0111\u1ec1u c\u1ea7n ph\u1eabu thu\u1eadt. <\/p>\n\n Chu\u1ea9n b\u1ecb cho ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n\n <\/p>\n\n Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n t\u1ea1i B\u1ec7nh vi\u1ec7n Gleneagles th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng ph\u1eabu thu\u1eadt ngo\u1ea1i tr\u00fa, b\u1ec7nh nh\u00e2n di chuy\u1ec3n \u0111\u1ebfn ph\u00f2ng h\u1ed3i s\u1ee9c v\u00e0 v\u1ec1 nh\u00e0 v\u00e0i gi\u1edd sau ph\u1eabu thu\u1eadt. V\u00ec g\u00e2y m\u00ea ho\u1eb7c an th\u1ea7n c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u1ec9nh t\u00e1o, b\u1ec7nh nh\u00e2n n\u00ean s\u1eafp x\u1ebfp cho ng\u01b0\u1eddi \u0111\u01b0a h\u1ecd v\u1ec1 nh\u00e0 sau khi l\u00e0m th\u1ee7 thu\u1eadt. <\/p>\n\n Trong qu\u00e1 tr\u00ecnh t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt r\u1ea1ch m\u1ed9t \u0111\u01b0\u1eddng nh\u1ecf b\u00ean trong m\u0169i, nh\u1eb9 nh\u00e0ng n\u00e2ng ni\u00eam m\u1ea1c ra kh\u1ecfi v\u00e1ch ng\u0103n, du\u1ed7i th\u1eb3ng ho\u1eb7c lo\u1ea1i b\u1ecf s\u1ee5n v\u00e0 x\u01b0\u01a1ng b\u1ecb cong, sau \u0111\u00f3 \u0111\u1eb7t l\u1edbp ni\u00eam m\u1ea1c tr\u1edf l\u1ea1i v\u1ecb tr\u00ed. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c m\u0169i kh\u00e2u c\u00f3 th\u1ec3 h\u00f2a tan, n\u1eb9p m\u1ec1m ho\u1eb7c bao b\u00ec t\u1ea1m th\u1eddi khi c\u1ea7n thi\u1ebft. <\/p>\n\n B\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n th\u01b0\u1eddng d\u01b0\u1edbi g\u00e2y m\u00ea to\u00e0n th\u00e2n, m\u1eb7c d\u00f9 g\u00e2y t\u00ea c\u1ee5c b\u1ed9 v\u1edbi thu\u1ed1c an th\u1ea7n c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u1ea5t \u0111\u1ecbnh. L\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t ph\u1ee5 thu\u1ed9c v\u00e0o b\u1ec7nh nh\u00e2n, m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p c\u1ee7a \u0111\u1ed9 l\u1ec7ch v\u00e0 li\u1ec7u c\u00e1c th\u1ee7 t\u1ee5c kh\u00e1c c\u00f3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f9ng m\u1ed9t l\u00fac hay kh\u00f4ng. <\/p>\n\n Th\u01b0\u1eddng kh\u00f4ng c\u00f3 v\u1ebft c\u1eaft b\u00ean ngo\u00e0i cho ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n ti\u00eau chu\u1ea9n, m\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u1ea9m m\u1ef9 b\u1ed5 sung c\u00e1c b\u01b0\u1edbc th\u1ea9m m\u1ef9 khi ngo\u1ea1i h\u00ecnh b\u00ean ngo\u00e0i c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n. N\u1ebfu th\u1ef1c hi\u1ec7n kh\u1eed tuabin c\u00f9ng m\u1ed9t l\u00fac, c\u00e1c tuabin m\u1edf r\u1ed9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3m \u0111\u1ec3 c\u1ea3i thi\u1ec7n lu\u1ed3ng kh\u00f4ng kh\u00ed trong khi v\u1eabn gi\u1eef \u0111\u01b0\u1ee3c vai tr\u00f2 quan tr\u1ecdng c\u1ee7a ch\u00fang trong vi\u1ec7c l\u00e0m \u1ea5m v\u00e0 l\u00e0m \u1ea9m kh\u00f4ng kh\u00ed b\u1ea1n h\u00edt th\u1edf. <\/p>\n\n M\u00f4 \u0111\u01b0\u1ee3c l\u1ea5y ra trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c g\u1eedi \u0111i x\u00e9t nghi\u1ec7m tr\u1eeb khi c\u00f3 ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng. Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n th\u01b0\u1eddng m\u1ea5t kho\u1ea3ng 30 \u0111\u1ebfn 90 ph\u00fat. Th\u1eddi gian thay \u0111\u1ed5i theo m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 th\u1ec3 l\u00e2u h\u01a1n khi k\u1ebft h\u1ee3p v\u1edbi c\u00e1c th\u1ee7 thu\u1eadt kh\u00e1c. <\/p>\n\n Trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i v\u00e1ch ng\u0103n, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ngh\u1eb9t m\u0169i t\u1ea1m th\u1eddi, ch\u1ea3y m\u00e1u nh\u1eb9, s\u01b0ng v\u00e0 \u0111\u00f3ng v\u1ea3y trong khi m\u0169i l\u00e0nh l\u1ea1i.<\/p>\n\n Ngay sau khi ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c theo d\u00f5i trong khi thu\u1ed1c g\u00e2y m\u00ea h\u1ebft t\u00e1c d\u1ee5ng. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 n\u1eb9p m\u1ec1m \u0111\u1eb7t b\u00ean trong m\u0169i \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1eefa l\u00e0nh. Kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u1ea7n b\u1ecbt m\u0169i, nh\u01b0ng n\u1ebfu s\u1eed d\u1ee5ng, n\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec3 nguy\u00ean trong 24 \u0111\u1ebfn 48 gi\u1edd. Kem kh\u00e1ng sinh b\u00f4i ngo\u00e0i da c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n \u0111\u1ec3 gi\u1ea3m \u0111\u00f3ng v\u1ea3y v\u00e0 h\u1ed7 tr\u1ee3 ch\u1eefa l\u00e0nh. M\u0169i c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y b\u1ecb t\u1eafc ngh\u1ebdn m\u1eb7c d\u00f9 v\u00e1ch ng\u0103n \u0111\u00e3 \u0111\u01b0\u1ee3c du\u1ed7i th\u1eb3ng. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng l\u00e0 do s\u01b0ng, n\u1eb9p trong, \u0111\u00f3ng v\u1ea3y ho\u1eb7c b\u0103ng b\u00f3. <\/p>\n\n Ph\u1ee5c h\u1ed3i ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n kh\u00e1c nhau \u1edf m\u1ed7i ng\u01b0\u1eddi v\u00e0 nhi\u1ec1u b\u1ec7nh nh\u00e2n ch\u1ec9 c\u1ea7n ki\u1ec3m so\u00e1t c\u01a1n \u0111au nh\u1eb9 sau ph\u1eabu thu\u1eadt. Kh\u00f3 ch\u1ecbu nh\u1eb9 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 7 \u0111\u1ebfn 10 ng\u00e0y, nh\u01b0ng th\u01b0\u1eddng c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c b\u1eb1ng thu\u1ed1c. Nhi\u1ec1u ng\u01b0\u1eddi tr\u1edf l\u1ea1i l\u00e0m vi\u1ec7c b\u00e0n gi\u1ea5y ho\u1eb7c \u0111i h\u1ecdc trong v\u00f2ng kho\u1ea3ng m\u1ed9t tu\u1ea7n, t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 tho\u1ea3i m\u00e1i v\u00e0 t\u00ednh ch\u1ea5t c\u00f4ng vi\u1ec7c c\u1ee7a h\u1ecd. Theo d\u00f5i th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u00ean l\u1ecbch t\u1eeb 1 \u0111\u1ebfn 2 tu\u1ea7n sau ph\u1eabu thu\u1eadt. <\/p>\n\n N\u00ean n\u1eb1m ng\u1eeda khi ng\u1ee7 v\u1edbi \u0111\u1ea7u ng\u1ea9ng cao trong tu\u1ea7n \u0111\u1ea7u ti\u00ean sau khi h\u1ed3i ph\u1ee5c \u0111\u1ec3 tr\u00e1nh ch\u1ea3y m\u00e1u. T\u1eadp th\u1ec3 d\u1ee5c v\u1ea5t v\u1ea3, n\u00e2ng v\u1eadt n\u1eb7ng, b\u01a1i l\u1ed9i v\u00e0 c\u00e1c m\u00f4n th\u1ec3 thao ti\u1ebfp x\u00fac th\u01b0\u1eddng \u0111\u01b0\u1ee3c tr\u00e1nh trong v\u00e0i tu\u1ea7n. N\u00ean tr\u00e1nh x\u00ec m\u0169i s\u1edbm v\u00ec n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u v\u00e0 ti\u1ebft d\u1ecbch nhu\u1ed9m m\u00e1u nh\u1eb9 th\u01b0\u1eddng g\u1eb7p trong v\u00e0i ng\u00e0y \u0111\u1ea7u. <\/p>\n\n C\u00f3 th\u1ec3 n\u00ean x\u1ecbt ho\u1eb7c s\u00fac mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i \u0111\u1ec3 gi\u1ea3m \u0111\u00f3ng v\u1ea3y v\u00e0 h\u1ed7 tr\u1ee3 ch\u1eefa l\u00e0nh. H\u00f4 h\u1ea5p \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n khi t\u00ecnh tr\u1ea1ng s\u01b0ng t\u1ea5y l\u1eafng xu\u1ed1ng, nh\u01b0ng qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 m\u1ea5t v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng. Th\u1eddi gian ph\u1ee5c h\u1ed3i ph\u1ee5 thu\u1ed9c v\u00e0o qu\u00e1 tr\u00ecnh ch\u1eefa b\u1ec7nh. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n c\u1ea3i thi\u1ec7n \u0111\u1ec1u \u0111\u1eb7n, m\u1eb7c d\u00f9 th\u1eddi gian ph\u1ee5c h\u1ed3i c\u00f3 th\u1ec3 l\u00e2u h\u01a1n n\u1ebfu th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt kh\u00e1c. <\/p>\n\n C\u00e1c nguy c\u01a1 v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n bao g\u1ed3m ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng, \u0111au, s\u01b0ng, t\u1eafc ngh\u1ebdn dai d\u1eb3ng, th\u1ee7ng v\u00e1ch ng\u0103n, t\u00ea, thay \u0111\u1ed5i kh\u1ea3 n\u0103ng kh\u1ee9u gi\u00e1c v\u00e0 c\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00eam.<\/p>\n\n <\/p>\n\n C\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o sau ph\u1eabu thu\u1eadt bao g\u1ed3m ch\u1ea3y m\u00e1u nhi\u1ec1u, s\u1ed1t, \u0111au tr\u1ea7m tr\u1ecdng h\u01a1n, s\u01b0ng t\u0103ng l\u00ean, ti\u1ebft d\u1ecbch c\u00f3 m\u00f9i h\u00f4i, \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i, thay \u0111\u1ed5i th\u1ecb l\u1ef1c, th\u00f4ng d\u1ecbch t\u1eeb m\u0169i, \u0111au ng\u1ef1c ho\u1eb7c kh\u00f3 th\u1edf. B\u1ec7nh nh\u00e2n n\u00ean li\u00ean h\u1ec7 v\u1edbi ph\u00f2ng kh\u00e1m ho\u1eb7c t\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c kh\u1ea9n c\u1ea5p n\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra. <\/p>\n\n Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 c\u1ea3i thi\u1ec7n h\u00f4 h\u1ea5p, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 kh\u00f4ng gi\u1ea3i quy\u1ebft ho\u00e0n to\u00e0n c\u00e1c v\u1ea5n \u0111\u1ec1 n\u1ebfu d\u1ecb \u1ee9ng, ph\u00ec \u0111\u1ea1i tuabin, x\u1eb9p van m\u0169i ho\u1eb7c b\u1ec7nh xoang.<\/p>\n\n Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n l\u00e2u d\u00e0i lu\u1ed3ng kh\u00f4ng kh\u00ed m\u0169i khi v\u00e1ch ng\u0103n b\u1ecb l\u1ec7ch l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eafc ngh\u1ebdn.<\/p>\n\nT\u1ea1i sao ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n?<\/h2>\n\n
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Ai c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n?<\/h2>\n\n
Khi n\u00e0o c\u1ea7n g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa tai m\u0169i h\u1ecdng<\/h2>\n\n
Barrie Tan ENT \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00f9 h\u1ee3p nh\u01b0 th\u1ebf n\u00e0o<\/h2>\n\n
C\u00e1ch chu\u1ea9n b\u1ecb cho ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n<\/h2>\n\n
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\u0110i\u1ec1u g\u00ec x\u1ea3y ra trong qu\u00e1 tr\u00ecnh t\u1ea1o h\u00ecnh v\u00e1ch ng\u0103n?<\/h2>\n\n
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\u0110i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra sau ph\u1eabu thu\u1eadt v\u00e0 trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i<\/h2>\n\n
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R\u1ee7i ro v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra<\/h2>\n\n
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K\u1ebft qu\u1ea3<\/h2>\n\n