CHM SC HU MN NHN TO

BS.CKI. TRNH TRUNG TIN

NH NGHA
Hu mn nhn to (HMNT) l mt phng php a i trng ra da qua thnh bng

chuyn lu phn ra ngoi, thay th hu mn tht nhm mc ch

Bo v phu thut thng ni rut thc hin

Lm gim p lc trong lng i trng do tc nghn gy ra

To mi trng thun li gip cho s lnh bnh ca cc bnh l i trng

PHN LOI
HMNT TM THI HMNT VNH ViN

thi gian ngn

Sut i

s ti lp li lu thng phn bnh thng qua hu mn tht

 Tt c cc vt thng i trng, hu mn

Tc rut
U i trc trng D dng TT-HM

Phnh to i trng tin thin (bnh Hirschprung)

Cht hp i trng

Sau phu thut i trc trng

D m o trc trng
Ct u i trc trng

KHC BIT GiA A I TRNG V HNG TRNG RA DA

YU T DINH DNG VI TRNG MCH MU NUI TNH CHT NT A I TRNG t Nhiu t Nhiu A HNG TRNG Nhiu t Nhiu t

CC DNG HM NHN TO

Kiu quai - T

Kiu quai - HT

CC DNG HM NHN TO

Kiu u tn - T

Kiu 2 u xa nhau

BIN CHNG
SM
Chy mu Tt HMNT vo trong bng

MUN
Teo ming i trng Sa nim mc i trng Thot v thnh bng Hoi t i trng a ra da

Tc rut non sm cp
Tc i trng p xe di da quanh ch a i

trng ra da.

CHM SC TRC M
GII THCH BNH NHN Gii thch v tnh trng bnh, l do phi tin hnh cuc m Lng gi nhng phn ng xc cm ca BN v gia nh. Lng nghe tm trng v nguyn vng ca BN. H tr tm l trc m. C chng trnh gio dc bng cc t liu, bi ging, hnh nh, nn cung cp v thng tin cuc m. Tin lng cc kh khn ca cuc m

Gio dc v mt sc khe, cch chm sc HMNT, cch sinh hot hng ngy sau m: ch
n, tm ra, thay bng, hot ng x hi, cng vic, sinh hot tnh dc

CHM SC TRC M
CHUN B BNH NHN

Nng th trng (bng nc v in gii trc m , ch nhiu calo, t

cht x ; truyn dch trng hp BN nhn n) Chng nhim trng (tm ra sch trc ngy m, khng sinh d phng) Lm sch i trng (chun b i trng bng thuc s hoc tht tho i trng) t Sonde D Dy t Sonde tiu

CHM SC SAU M
Ming l m HMNT:
nh gi c thng vi lng rut? Tun hon mu (nim mc rut m v hng, tit dch) S ph n (mng nhy ph nh, mt np gp nim mc, mt trong sut)

Vng da xung quanh l m HMNT:

Rm l, , x d phn Lu trnh dng cc cht st khun v c th gy d ng, dng ti thch hp, thay ti u, l ct phi va trnh qu rng hoc qu hp, co sch lng ni vng c dn ti.

CHM SC SAU M
au sau m
thuc gim au. To mi trng th gin. T th thoi mi Tc l HMNT do phn Mang gng thoa cht trn nong nh ming HMNT, ly phn ra hoc Dng ng thng hu mn bm 100-200 ml nc mui sinh l kch thch nhu ng rut v lm mm phn

CHM SC SAU M
HMNT kh, thay i mu sc
Lm m nim mc HMNT bng Vaseline
Bo BS tnh trng HMNT

Rm l chn HMNT
Do dch mang tnh kim nhiu, bi pomade oxyt km ln da quanh HMNT

CHM SC SAU M
Tut que c nh quai rut
Bo BS gn li v c nh chc
Sau 5 -7 ngy c th rt b

Sau 2-3 thng

on di phi thng

Chung quanh ming HMNT khng b nhim trng

Chun b ng HMNT: (trc 3 ngy)

Ch n c sang lng (cm ngy u, cho ngy th 2, sa hoc tr
ng ngy th 3). Chiu ti hm trc nhn n ung hon ton sang hm sau m. Tht tho HMNT v hu mn tht ngy 1 ln (2 ngy trc m), ngy 2 ln (ngay trc ngy m). Hoc ra sch i trng: ung dung dch Fortrans mt ngy trc vi 3 gi, mi gi pha 1 lt nc Khng sinh ng rut, khng sinh d phng trc m

Nguy c c cc bin chng sau m ng HMNT

Bc x ming ni HMNT (gy vim phc mc, r tiu ha khu

tr). Theo di du hiu x d phn qua vt m hay l ng

HMNT, nhit , au bng Chy mu ming ni hay thnh bng Hp ming ni HMNT: theo di bn, rn khi i tiu, s ln i tiu Nhim trng vt m thnh bng ch ng HMNT: thay bng khi thm dch