lymph° man tinh nhei han giai doan 3 theo phan loai Rai . Loai trir ung thu giai doon 0 theo phan loai Rai.
Loai trir bat kj, nheng sang thuong tien ac tinh hoc giap bien ma Ichong duet a cap ben tren.
1.4 Pilau thuit gan
Nguai Duot Bao Him do benh hoc tai nan can thiet phai phau thuat cat be it nil& toan be thity trai hoc toan be thity phai cUa gan.
Loai trir phau thuat cac benh 19 hay fel loan tai gan c6 nguyen nhan lien quan den bia rucru, thuoc \TA hien tang gan.
1.5 Phu thuit cAt bo 1 ben phii
La phau thuat cat be hoan toan I (met) ben ph joi do berth hoc tai nan. Loai trCr truemg hqp chi cat be mM phan cM phOi.
I
1.6 Thu thuat tao hinh van tim, tach van tim, thay the van tim qua da
Nguai Duct Bao Him trat qua thit thuat don gian de tao hinh van tim, tach van tim bang bong, thay the van tim qua da vai nhang clang ea hok be phan can thiet. Ton thtrcmg van tim duct xac dinh beri cac bac sy chuyen khoa tim mach va bang sieu am tim.
Loai trir tat ca cac phucmg phap phau thuat chinh sira khac.
1.7 Phu thu4t huyet kited xoang hang
Nguidi Duerc Bao Him trai qua phau thuat clan tau huyet kh6i xoang hang. Chan doan xac dinh benh va yeu cdu phau thuat phai dugc xac nhan beri bac sy chuyen khoa Tai MOi 1-Igng.
1.8 Bong trung binh
Bonf dO II (hai) chiem tói thieu 20% din tich be mat co the, phai dtrgc dieu trj tai benh vien va can phai gay me toan than de phau thuat cat Igc mo hoai tit. bed ck bk sy chuyen khoa.
1.9 Cey may diet' hint nhip tim hoc may khir rung tim duel da
La tinh trang cAy vinh vin dtrai da may dieu hOa nhip tim hoac may khir rung tim cho nhang truerng hgp bj thi loan nhip tim nghiem trgng ma kh8ng the di'eu tri bang cac phucmg phap thong thuerng khac. Viec cay nay that sty cAn thiet ye mat y khoa, có nhieu lgi ich va hieu qua cho benh nhan va dugc xac dinh bet bac sy chuyen khoa tim mach.
Loai trir bat Icy twang hgp cAy may tao nhip tim tam that.
1.10 Hp Ito% hie tinh mach chit
Phu thuat dat krOi Igc tinh mach chit cho nhang truang hgp benh nhan co ghi than tinh trang thuyen the ph6i tai phat Phau thuat nay that str can thiet va dugc xac dinh beri bac sy chuyen khoa.
DIEU 2: DANH SAC BENH LI? THEO GIOI TINH
2.1. Cac benh 1ST daub rieng cho nam Ung thy titn het tuyen, Ung Bur phei hoi:ic ung thtr gan ung thtr gan
La khei u ác tinh (lac trung beri sr/ phat then kh8ng the kiem sok va Ian rOng cüa nhirmg th bao ac tinh va so xam Ian vao mo. Cac ung thtr neu tren phdi dugc bac sy giai phau benh hgc chart dok xfic dinh clua tren quan sat vi the mu m6 da dugc c6 djnh. ChAn doan nay chi dugc dva tren tieu chuan ác tinh dugc chAp than sau met nghien cim cau true mo hgc hok hinh thai cita Ichoi u, mau m6 hok mau )(et nghiem bj nghi nger. Cha'n doan lam sang khong dap Ong tieu chuan chan doan ung thu.
Tat cA cac khEi u dirge phan loai m6 h9c theo he thEng TNM 6 mire TI (bao Om TI a, TI b) hoac sem hcm hoac tinh tang tien ung thu hoac ung thu Ichong xam Ian hoac ung thu tai chit;
Tat ca ung thu di can den tien liet tuyen; va
Tat ca khiti u bi xam lin tir the cdu tit hoac ca quan xung quanh.
2.2. Dinh nghia the B6nh I anti rieng cho nit gieri
2.2.1. Ung thy biiu mei (Carcinoma) ti ch6 cüa vU, c6 tfr cung, tir cung, bung trtirng, Ong dAn Mtn hoc am do Ong dAn Mtn hoc am do
Ung thu Neu ma tai chit cila c6 tir cung dirge dinh nghia la mEt sg tg pith trien cac th bao ung thu bieu m6 6 met nai, chtra xam Ian vao ma binh thuang. Xam Ian có nghia la skr tham nhigm vã/hoc tich cue pha vemô binh thuang vugt qua mang day. Chan doan ung thu bieu mit phai Mon Mon can cir vao ket qua chan doan te bao hgc.
DEi vOi ung thu bieu mo tai ch6 cUa et) tic cung,: chen doan phai dga vao xet nghiem vi the cac mau mo co dinh tir sinh thiet hinh non co tir cung hay qua sinh thiet khi thyt hien soi c6 tir cung. Chan doan lam sang kh6ng dap (mg tieu chuan chan,doan cho loai ung thu nay. Loai trir trueng hgp CIN I, CIN II diti voi tan sinh trong Neu m6 cUa cit ter cung (Cervical Intraepithelial Neoplasia - CIN).
DEi vai ung thu tai ch6 cua tir cung: khEi u dugc phan loai TisNOMO del voi phuang phis) xep hang ung thu theo 4 th8ng TNM hay giai doan FIGO 0 doi vâi phuang phap xep hang FIGO — (pluming phap dm Lien Doan San Phy Khoa Quiec TE - The Federation Internationale de Gynecologie et d'Obstetrique).
Si vai ung thu tai ch6 cita bulk-1g trUng: khEi u con nguyen trong ve b9c, khong c6 !MEI u tren be' mat bang trUng, dugc phan loai TlaNOMO dEi vai phucing phap xep hang ung thu theo h thEng TNM hoac FIGO IA diti vai phucmg phap xep hang FIGO (phucmg phap Goa Lien Doan San Phy Khoa QuEc Te - The Federation Internationale de Gynecologie et d'Obstetrique).
Si vai ung thu tai chit ctia o'ng da'n trUng: khoi u glen han a lOp niem mac ctia ling clan trUng \fa dugc phan loai Tis doi vai phuang pith!) xep hang ung thu theo he th6ng TNM. Si \lad ung thu t4i chit cila am ciao: Ichoi u phai dirge phan loai Tis or& vai phircmg phap
X X
xep hang ung thu TNM hoac FIGO 0 dEi vai phuang phap xep hang FIGO (phucmg phap dm Lien Doan San Phy Khoa QuEc Te - The Federation Internationale de Gynecologie et d'Obstetrique).
2.2.2. Cac biOn chirng ola thai
Doug man nOi mdch Ian lea (D.I.C): la sr phat sinh to huyet (fibrin) trong clang mau gay ra do skr tham gia cUa cac chat vai you tó hodt hod mo kluti Oat eye mau &Mg. Sty sir dung qua mat cila cac yeu to d8ng mau gay ra tinh tang xuat huyet nghiem frog.
Banh gai nhau nut: la giai doan cutil oh mot thai k9 thoai hod trong do gai nhau mang
dm to thanh nhfing tUi gAn vao met than gai nhau chinh giong nhu hinh chum nho.
Loan tam thAn Mu san: là tinh trang tam than dugc gay ra trgc flap ta sinh de va dac trtmg boi su mat sang suOt, hoang twang, ac mOng, ao giac va 9 nghl" hai ban than va con. Nguai dugc bao him can phai dugc nhdp vin a dieu tri tam than.
Tfr saw la sir ter vong cüa bao thai ctia Nguoi dugc bao him tir tuan thir hai muai chin cUa thai tra di.
2.2.3. Di Tat 13Am Sinh
Quyen Igi nay se dugc Cong Ty chi tra trong twang hgp con ctla Ngtrai Dtrgc Bao Hiem nirr duce chan doan mic mOt trong cac benh sau:
HOi chiing Dao (Down): la str sal l'ech nhierm sic the dac bit, dugc xac dinh là thira nhiem sac the 21 va d4c trung bbi tinh trang giam twang Igc co, tat dk nh6, tat dau ngan, ch6m bet va chain phat trien cã v tam than va the,chat. Chan doan se dugc dtra tren tieu chuan HOi chang Dao (Down) hien dang duct chap nhan va do Bac if xac nhan.
Tat gai sling &IL là tinh trang &zing Ichuyet cUa cOt song do khiem khuyet caa eing thin kinh hau qua la thoat vi mang thy - thy song hoac thoat vi mang nab. Loai trir tat gai song doi an.
Tfr chtleng Pha-I8 (Fallot): la mot benh 19 tim bAm sinh vai tinh trang tic nghen &rang chay ra cüa tam that phai toan bo hoac nghiem twig, phi dai tam that phai va met khiem khuyet vach tam that lam cho mau bi Idler Oxygen tit tam that phai di qua Ong mach phoi va trgc tiep de vao dOng mach chi).
Bit thyt quint va dO khi quan - thile quart: la sty phat trien bat thuang cila clop thgc quan gan ma ket thtic bang mot titi kin hoac tact thanh clutng do thOng yeti khi quan.
Nao üng thiiy: IA tinh trang tich lily qua mire dich nab thy trong ck nao that.
vong sinh: la sty tü vong cOa daa con ctla Ngtrai &rot bao him trong yang ba muai ngay sau khi sinh.
2.2.4. Phan thuat Owe hOi
Phau thuat phuc hei dirge dinh nghia la:
Phu thuat tao hinh Itan do tai la viec trai equa cu0c, phau thuat de tai to hinh clang cUa ck cau true cia ca the bi khiem khuyet, mat di, hu ton hay bien clang do tai flan dugc Bac si" pilau thuat thgc hien.
Ghep da do tai nan gay ra bong là viec trai qua viec ghep da cho ck cAu truc be mat bi khiem khuyet do tai nan gay ra being, hoac chiu ghep da do bi bOng it nhat 10% dien tich be mat ca the tinh theo "quy tac sO 9" dm so de be mat Lund & Browder.
D. PHI) LTJC 3
DANH SACH EttNH NQHIEM TRQNG GIA1 DOAN COOT
(Dinh kem San phan boo hilm Lien Kit Chung Then Hg n 20 Nam — Dong phi mgt ldn — KI hogch bcio ye citegv phe duyet theo cong van so 8443/BTC-QLBH ngity 16/07/2018 dig BO Teti chinh) DIEU 1: DINH NGHIA
Chet Nang Sinh Hoktt Hang Ngay: bao g6m
Tam rim: la kha nang tam trong ban hoc dual voi hoa sen (bao gem) ca viec vao va ra IchOi b8n tam hoc nha tam) hay tam/rira bang cac phuang tien khac.
Thay quan áo: la viec mac va cal cac m6n quail do, day deo, chan tay gia hay cac phg kin lap vao sau phau thuat.
Chuyen ch6: la viec di chuyen tir gitrOng sang ghe ngai hoac xe Ian va ngugc lai. Di chuyen: la kha Kiang di chuyen trong nha, tü phong nay sang pheing khac ten mat bang.