Professional Documents
Culture Documents
Diều trị
Diều trị
1. Nguyn tc:
+ Ph thuc tui, s ln c thai, tnh trng thai nghn ca bnh nhn, mong mun c thai
trong tng lai, v tr v kch thc khi u
+ ht, no sinh thit nim mc bung t cung cm mu v gi XN m bnh hc chn
on phn bit
+ loi tr tin ung th, ung th c t cung qua XN paps, soi CTC hoc sinh thit
+ u nh khng cn thit iu tr m ch cn theo di
2. iu tr ni khoa
- Tc ng mch t cung
+ Ch nh
1- C chn on u x TC to 12 - 16 tun (siu m ti a 3 nhn x).
2- C chng ch nh gy m ton thn.
3- Nhn x ti pht sau phu thut bc nhn x.
4- Mun gi li TC.
5- BN t chi phu thut.
+ Chng ch nh
+ C ri lon ng mu.
+ Cc bnh l ni khoa cn iu tr trc.
+ Nghi ng bnh l c tnh.
+Phng php: t Catheter vo ng mch i lun n ng mch t cung,
ri bm vo cht plastic hay gel to ng cc mu lm gim nui dng u v kt
qu gim kch thc khi u x.
- Ni soi bung t cung ct NXTC di nim mc
+ Ph n c con.
+ iu tr triu chng xut huyt bt thng.
+ phu thut trit : ct TC bn phn hay ct TC hon ton( km 1 hoc c 2 bn phn ph)
ph thuc tui BN, mc tn thng phi hp