{"id":296,"date":"2026-10-10T23:08:46","date_gmt":"2026-10-10T16:08:46","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/di-tat-dinh-ngon-tay-bam-sinh-o-tre-em-khi-nao-nen-phau-thuat\/"},"modified":"2026-10-10T23:08:46","modified_gmt":"2026-10-10T16:08:46","slug":"di-tat-dinh-ngon-tay-bam-sinh-o-tre-em-khi-nao-nen-phau-thuat","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/di-tat-dinh-ngon-tay-bam-sinh-o-tre-em-khi-nao-nen-phau-thuat\/","title":{"rendered":"D\u1ecb t\u1eadt d\u00ednh ng\u00f3n tay b\u1ea9m sinh \u1edf tr\u1ebb em: Khi n\u00e0o n\u00ean ph\u1eabu thu\u1eadt?"},"content":{"rendered":"<p><strong>Th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt d\u00ednh ng\u00f3n tay b\u1ea9m sinh<\/strong> kh\u00f4ng gi\u1ed1ng nhau \u1edf m\u1ecdi tr\u1ebb. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u00ean t\u00e1ch ng\u00f3n trong giai \u0111o\u1ea1n 6\u201312 th\u00e1ng \u0111\u1ec3 h\u1ea1n ch\u1ebf bi\u1ebfn d\u1ea1ng do c\u00e1c ng\u00f3n ph\u00e1t tri\u1ec3n kh\u00f4ng \u0111\u1ec1u; nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1c c\u00f3 th\u1ec3 ch\u1edd \u0111\u1ebfn 18 th\u00e1ng ho\u1eb7c l\u00e2u h\u01a1n nh\u1eb1m gi\u1ea3m nguy c\u01a1 co r\u00fat v\u00e0 s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a k\u1ebd ng\u00f3n sau m\u1ed5.[1][2]<\/p>\n<p>V\u00ec v\u1eady, tu\u1ed5i c\u1ee7a tr\u1ebb ch\u1ec9 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a quy\u1ebft \u0111\u1ecbnh. V\u1ecb tr\u00ed ng\u00f3n b\u1ecb d\u00ednh, m\u1ee9c \u0111\u1ed9 d\u00ednh, ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i gi\u1eefa c\u00e1c ng\u00f3n v\u00e0 s\u1ed1 l\u01b0\u1ee3ng ng\u00f3n li\u00ean quan \u0111\u1ec1u c\u00f3 \u00fd ngh\u0129a \u0111\u1ed1i v\u1edbi vi\u1ec7c l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m.[1][3][4]<\/p>\n<h2>D\u00ednh ng\u00f3n tay b\u1ea9m sinh l\u00e0 g\u00ec?<\/h2>\n<p>D\u00ednh ng\u00f3n tay, c\u00f2n g\u1ecdi l\u00e0 d\u00ednh k\u1ebd ng\u00f3n, h\u00ecnh th\u00e0nh khi c\u00e1c ng\u00f3n kh\u00f4ng t\u00e1ch ho\u00e0n to\u00e0n trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n ph\u00f4i. \u0110\u00e2y l\u00e0 d\u1ecb t\u1eadt b\u1ea9m sinh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf b\u00e0n tay, v\u1edbi t\u1ea7n su\u1ea5t \u0111\u01b0\u1ee3c t\u00e0i li\u1ec7u ghi nh\u1eadn kho\u1ea3ng 1 tr\u01b0\u1eddng h\u1ee3p tr\u00ean 2.000\u20133.000 tr\u1ebb sinh ra.[2]<\/p>\n<p>D\u1ecb t\u1eadt \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo hai nh\u00f3m \u0111\u1eb7c \u0111i\u1ec3m ch\u00ednh:<\/p>\n<ul>\n<li><strong>D\u00ednh ho\u00e0n to\u00e0n ho\u1eb7c kh\u00f4ng ho\u00e0n to\u00e0n:<\/strong> d\u00ednh ho\u00e0n to\u00e0n k\u00e9o d\u00e0i t\u1eeb k\u1ebd ng\u00f3n \u0111\u1ebfn \u0111\u1ea7u ng\u00f3n; d\u00ednh kh\u00f4ng ho\u00e0n to\u00e0n k\u1ebft th\u00fac tr\u01b0\u1edbc \u0111\u1ea7u ng\u00f3n.<\/li>\n<li><strong>D\u00ednh \u0111\u01a1n gi\u1ea3n ho\u1eb7c ph\u1ee9c t\u1ea1p:<\/strong> d\u00ednh \u0111\u01a1n gi\u1ea3n ch\u1ec9 c\u00f3 da ho\u1eb7c m\u00f4 m\u1ec1m n\u1ed1i hai ng\u00f3n; d\u00ednh ph\u1ee9c t\u1ea1p c\u00f3 th\u00e0nh ph\u1ea7n x\u01b0\u01a1ng chung gi\u1eefa c\u00e1c ng\u00f3n.[3]<\/li>\n<\/ul>\n<p>Nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y gi\u00fap gi\u1ea3i th\u00edch v\u00ec sao hai tr\u1ebb c\u00f9ng tu\u1ed5i nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t l\u1ecbch ph\u1eabu thu\u1eadt kh\u00e1c nhau.<\/p>\n<h2>Th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt d\u00ednh ng\u00f3n tay b\u1ea9m sinh<\/h2>\n<h3>Khi n\u00e0o th\u01b0\u1eddng c\u00e2n nh\u1eafc m\u1ed5 s\u1edbm t\u1eeb 6\u201312 th\u00e1ng?<\/h3>\n<p>C\u00e1c ng\u00f3n \u1edf r\u00eca b\u00e0n tay th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00e1ch s\u1edbm h\u01a1n ng\u00f3n trung t\u00e2m. Khuy\u1ebfn ngh\u1ecb t\u1ed5ng qu\u00e1t trong t\u00e0i li\u1ec7u l\u00e0 ph\u1eabu thu\u1eadt ng\u00f3n bi\u00ean \u1edf kho\u1ea3ng <strong>6\u201312 th\u00e1ng tu\u1ed5i<\/strong>, do s\u1ef1 ph\u00e1t tri\u1ec3n kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u gi\u1eefa hai ng\u00f3n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn bi\u1ebfn d\u1ea1ng g\u00f3c.[2]<\/p>\n<p>Ph\u1eabu thu\u1eadt s\u1edbm \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi:<\/p>\n<ul>\n<li>D\u00ednh gi\u1eefa <strong>ng\u00f3n c\u00e1i v\u00e0 ng\u00f3n tr\u1ecf<\/strong>.<\/li>\n<li>D\u00ednh gi\u1eefa <strong>ng\u00f3n \u00e1p \u00fat v\u00e0 ng\u00f3n \u00fat<\/strong>.<\/li>\n<li>Hai ng\u00f3n c\u00f3 k\u00edch th\u01b0\u1edbc kh\u00e1c nhau v\u00e0 b\u1ecb d\u00ednh ho\u00e0n to\u00e0n, d\u00f9 thu\u1ed9c d\u1ea1ng \u0111\u01a1n gi\u1ea3n hay ph\u1ee9c t\u1ea1p.[1]<\/li>\n<\/ul>\n<p>Trong c\u00e1c t\u00ecnh hu\u1ed1ng n\u00e0y, ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i l\u00e0m t\u0103ng nguy c\u01a1 ng\u00f3n ph\u00e1t tri\u1ec3n l\u1ec7ch g\u00f3c. D\u00ednh ho\u00e0n to\u00e0n gi\u1eefa hai ng\u00f3n kh\u00f4ng b\u1eb1ng nhau c\u00f2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn bi\u1ebfn d\u1ea1ng xoay ho\u1eb7c g\u1ea5p. C\u00e1c bi\u1ebfn d\u1ea1ng \u0111\u00f3 kh\u00f3 s\u1eeda ch\u1eefa, n\u00ean m\u1ee5c ti\u00eau ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n nguy c\u01a1 h\u00ecnh d\u1ea1ng k\u1ebd ng\u00f3n k\u00e9m t\u1ed1i \u01b0u khi m\u1ed5 s\u1edbm.[1]<\/p>\n<h3>Khi n\u00e0o c\u00f3 th\u1ec3 ch\u1edd \u0111\u1ebfn \u00edt nh\u1ea5t 18 th\u00e1ng?<\/h3>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c ng\u00f3n trung t\u00e2m, khuy\u1ebfn ngh\u1ecb kh\u00e1i qu\u00e1t l\u00e0 t\u00e1ch ng\u00f3n trong kho\u1ea3ng <strong>12\u201318 th\u00e1ng<\/strong> thay v\u00ec 6\u201312 th\u00e1ng nh\u01b0 ng\u00f3n bi\u00ean.[2][3] T\u00e0i li\u1ec7u chi ti\u1ebft h\u01a1n cho bi\u1ebft n\u1ebfu d\u00ednh \u1edf k\u1ebd ng\u00f3n th\u1ee9 hai ho\u1eb7c th\u1ee9 ba v\u00e0 c\u00e1c ng\u00f3n li\u00ean quan kh\u00f4ng c\u00f3 th\u00eam bi\u1ebfn d\u1ea1ng, ph\u1eabu thu\u1eadt n\u00ean \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n cho \u0111\u1ebfn khi tr\u1ebb \u00edt nh\u1ea5t 18 th\u00e1ng tu\u1ed5i.[1]<\/p>\n<p>K\u1ebft qu\u1ea3 \u1edf tr\u1ebb tr\u00ean 18 th\u00e1ng \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ed1t h\u01a1n, \u0111\u1eb7c bi\u1ec7t v\u1ec1 h\u00ecnh d\u1ea1ng cu\u1ed1i c\u00f9ng c\u1ee7a k\u1ebd ng\u00f3n. N\u1ebfu m\u1ed5 \u1edf tu\u1ed5i nh\u1ecf h\u01a1n, k\u1ebd ng\u00f3n c\u00f3 xu h\u01b0\u1edbng d\u1ecbch chuy\u1ec3n v\u1ec1 ph\u00eda \u0111\u1ea7u ng\u00f3n v\u00e0 ph\u1ea7n m\u00e9p k\u1ebd c\u00f3 th\u1ec3 co r\u00fat.[1]<\/p>\n<h2>V\u00ec sao kh\u00f4ng c\u00f3 m\u1ed9t \u201ctu\u1ed5i v\u00e0ng\u201d cho m\u1ecdi tr\u1ebb?<\/h2>\n<p>Vi\u1ec7c l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m l\u00e0 s\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa hai nh\u00f3m nguy c\u01a1:<\/p>\n<ul>\n<li><strong>M\u1ed5 qu\u00e1 mu\u1ed9n trong tr\u01b0\u1eddng h\u1ee3p hai ng\u00f3n ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i:<\/strong> c\u00f3 th\u1ec3 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho bi\u1ebfn d\u1ea1ng g\u00f3c, xoay ho\u1eb7c g\u1ea5p ph\u00e1t tri\u1ec3n.[1]<\/li>\n<li><strong>M\u1ed5 qu\u00e1 s\u1edbm khi kh\u00f4ng c\u00f3 nguy c\u01a1 bi\u1ebfn d\u1ea1ng \u0111\u00e1ng k\u1ec3:<\/strong> c\u00f3 th\u1ec3 l\u00e0m t\u0103ng xu h\u01b0\u1edbng k\u1ebd ng\u00f3n d\u1ecbch chuy\u1ec3n ra xa v\u00e0 co r\u00fat sau ph\u1eabu thu\u1eadt.[1]<\/li>\n<\/ul>\n<p>Do \u0111\u00f3, m\u1ed1c 6\u201312 th\u00e1ng, 12\u201318 th\u00e1ng ho\u1eb7c t\u1eeb 18 th\u00e1ng tr\u1edf l\u00ean c\u1ea7n \u0111\u01b0\u1ee3c hi\u1ec3u l\u00e0 c\u00e1c \u0111\u1ecbnh h\u01b0\u1edbng g\u1eafn v\u1edbi t\u1eebng d\u1ea1ng d\u00ednh ng\u00f3n, kh\u00f4ng ph\u1ea3i l\u1ecbch \u00e1p d\u1ee5ng \u0111\u1ed3ng lo\u1ea1t.<\/p>\n<h2>N\u1ebfu tr\u1ebb b\u1ecb d\u00ednh nhi\u1ec1u ng\u00f3n th\u00ec sao?<\/h2>\n<p>Khi nhi\u1ec1u ng\u00f3n c\u00f9ng b\u1ecb d\u00ednh, c\u00e1c ng\u00f3n \u1edf r\u00eca b\u00e0n tay n\u00ean \u0111\u01b0\u1ee3c t\u00e1ch tr\u01b0\u1edbc. Nh\u1eefng l\u1ea7n t\u00e1ch ti\u1ebfp theo \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau kho\u1ea3ng ch\u1edd 6 th\u00e1ng. T\u00e0i li\u1ec7u c\u0169ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u00e1ch \u0111\u1ed3ng th\u1eddi c\u1ea3 ph\u00eda quay v\u00e0 ph\u00eda tr\u1ee5 c\u1ee7a c\u00f9ng m\u1ed9t ng\u00f3n v\u00ec c\u00f3 th\u1ec3 \u0111e d\u1ecda kh\u1ea3 n\u0103ng s\u1ed1ng c\u1ee7a ng\u00f3n.[4]<\/p>\n<p>\u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 tr\u1ebb b\u1ecb d\u00ednh nhi\u1ec1u ng\u00f3n c\u00f3 th\u1ec3 c\u1ea7n k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt theo t\u1eebng giai \u0111o\u1ea1n, thay v\u00ec t\u00e1ch t\u1ea5t c\u1ea3 trong m\u1ed9t l\u1ea7n.[4]<\/p>\n<h2>Th\u00f4ng tin cha m\u1eb9 n\u00ean l\u00e0m r\u00f5 tr\u01b0\u1edbc khi ch\u1ecdn th\u1eddi \u0111i\u1ec3m<\/h2>\n<p>D\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m n\u00eau trong t\u00e0i li\u1ec7u, cha m\u1eb9 n\u00ean trao \u0111\u1ed5i \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh:<\/p>\n<ul>\n<li>Tr\u1ebb b\u1ecb d\u00ednh ng\u00f3n bi\u00ean hay ng\u00f3n trung t\u00e2m?<\/li>\n<li>D\u00ednh ho\u00e0n to\u00e0n hay kh\u00f4ng ho\u00e0n to\u00e0n?<\/li>\n<li>D\u00ednh \u0111\u01a1n gi\u1ea3n ch\u1ec9 li\u00ean quan m\u00f4 m\u1ec1m hay d\u00ednh ph\u1ee9c t\u1ea1p c\u00f3 th\u00e0nh ph\u1ea7n x\u01b0\u01a1ng chung?<\/li>\n<li>Hai ng\u00f3n c\u00f3 ch\u00eanh l\u1ec7ch k\u00edch th\u01b0\u1edbc r\u00f5 r\u1ec7t kh\u00f4ng?<\/li>\n<li>C\u00f3 bao nhi\u00eau ng\u00f3n li\u00ean quan v\u00e0 c\u00f3 c\u1ea7n chia th\u00e0nh nhi\u1ec1u l\u1ea7n ph\u1eabu thu\u1eadt kh\u00f4ng?[1][3][4]<\/li>\n<\/ul>\n<h2>K\u1ebft lu\u1eadn<\/h2>\n<p><strong>Ph\u1eabu thu\u1eadt d\u00ednh ng\u00f3n tay b\u1ea9m sinh<\/strong> th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc s\u1edbm \u1edf 6\u201312 th\u00e1ng \u0111\u1ed1i v\u1edbi ng\u00f3n bi\u00ean ho\u1eb7c c\u00e1c ng\u00f3n d\u00ednh ho\u00e0n to\u00e0n c\u00f3 chi\u1ec1u d\u00e0i kh\u00e1c nhau. V\u1edbi d\u00ednh ng\u00f3n trung t\u00e2m kh\u00f4ng k\u00e8m bi\u1ebfn d\u1ea1ng, c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n \u0111\u1ebfn kho\u1ea3ng 18 th\u00e1ng ho\u1eb7c l\u00e2u h\u01a1n. N\u1ebfu nhi\u1ec1u ng\u00f3n c\u00f9ng b\u1ecb d\u00ednh, vi\u1ec7c t\u00e1ch ng\u00f3n th\u01b0\u1eddng \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c giai \u0111o\u1ea1n c\u00e1ch nhau kho\u1ea3ng 6 th\u00e1ng.[1][2][4]<\/p>\n<p>C\u00e1c t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p ch\u1ee7 y\u1ebfu h\u1ed7 tr\u1ee3 nguy\u00ean t\u1eafc l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m; ch\u00fang kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ng\u00e0y m\u1ed5 c\u1ee5 th\u1ec3 cho t\u1eebng tr\u1ebb ho\u1eb7c bao qu\u00e1t to\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh chu\u1ea9n b\u1ecb, k\u1ef9 thu\u1eadt v\u00e0 ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4664<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4663<\/li>\n<li>[3] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4663<\/li>\n<li>[4] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 4664<\/li>\n<\/ul>\n<p><!-- aiwriter:dfd382a7e03047b89a60b8d4 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00ecm hi\u1ec3u th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt d\u00ednh ng\u00f3n tay b\u1ea9m sinh \u1edf tr\u1ebb: tr\u01b0\u1eddng h\u1ee3p n\u00ean m\u1ed5 6\u201312 th\u00e1ng, tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ch\u1edd \u00edt nh\u1ea5t 18 th\u00e1ng v\u00e0 l\u00fd do l\u1ef1a ch\u1ecdn.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-296","post","type-post","status-publish","format-standard","hentry","category-chi-tren"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>D\u1ecb t\u1eadt d\u00ednh ng\u00f3n tay b\u1ea9m sinh \u1edf tr\u1ebb em: Khi n\u00e0o n\u00ean ph\u1eabu thu\u1eadt? 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