Ban hnh km theo Quyt nh 4068/Q-BYT ca B trng B Y t

H v tn NB: ....
Logo Ngy sinh: ...................... Gii: ..
a ch: ..
QUY TRNH CHUYN MN S phng: ... S ging: .
U PH I (LNH TNH) TUYN TIN LIT) M NB/S HSBA: .
Lu : nh du s la chn ( : c/ X : khng) vo . Khoang trn nu la chn ni dung;
(X)
xem thm chi tit ni dung trong ph lc x tng ng.
1. NH GI TRC KHI VO QUY TRNH
Tiu chun Triu chng ri lon tiu tin cha xc Nam gii trung nin
a vo: nh nguyn nhn (nhm triu chngkch Bt thng trn LS v CLS nghi do U ph i
thch, tc nghn)(1) tuyn tin lit.
B tiu, Tc nghn dng nc tiu
Tiu chun Ri lon tiu do bnh l h tit niu. B tiu cp do ung ru/ bia
loi ra: B tiu cp do dng thuc B tiu cp do bt ng ko di: chn thng
hoc bnh l thn kinh
Tin s: Tin s d ng Ghi r:...
Can thip ngoi khoa Ghi r:...

2. QUY TRNH CHN ON V X TR

QTCM KCBU lnh Tin lit tuyn Phin bn 1.0, ./2016 1/4
 Ban hnh km theo Quyt nh 4068/Q-BYT ca B trng B Y t

3. NGUYN TC CHN ON V IU TR
Ch nh iu tr da vo mc nghim trng ca cc triu chng, mc bn tm v nguyn vng ca
bnh nhn. Thng tin v nguy c v li ch ca vic la chn iu tr nn c gii thch cho tt c cc
bnh nhn.
iu tr
1. Theo di nh k 6-12 thng
2. iu tr ni khoa
3. iu tr ngoi khoa
4. Khc:..
4. X TR CP CU C (Hon thnh bng bn di) Khng (Chuyn n mc 5)
Triu chng X tr
B tiu cp Dn lu bng quang trn xng mu
C cu bng quang M thng bng quang trn xng mu
i kh phi rn
Triu chng khc: X tr khc:
.
5. CHN ON
nh gi im IPSS(2) Nh (0-7im) Trung bnh (8-19im) Nng (20-35im)
nh gi im QoL(3) Sng tt hoc bnh thng(1-2 im)
Sng c hoc tm c(3-4 im)
Khng chu c (5-6 im)
Nht k i tiu Theo di t nht trong 2 ngy
Khm lm sng Khm h tit niu: thn, im niu qun Khm b phn sinh dc ngoi
Khm cu bng quang Thm khm trc trng
Phn tch nc tiu Nitrite Hng cu niu
Bch cu niu ng niu
Khc
Xt nghim mu nh lng Creatinin, Ure mu nh lng PSA
in gii
Siu m Kho st tuyn tin lit o th tch nc tiu tn lu
ng bng Kho st h tit niu
ng trc trng
Cc xt nghim b tr o lng dng tiu Soi bng quang-niu o
Cy nc tiu o p lc bng quang, niu o
Chp X-quang h tit niu

QTCM KCBU lnh Tin lit tuyn Phin bn 1.0, ./2016 2/4
 Ban hnh km theo Quyt nh 4068/Q-BYT ca B trng B Y t

6. IU TR
IU TR
iu tr ni khoa iu tr ngoi khoa
Theo di nh k 6-12 thng Siu m kho st hnh thi h tit niu
Thm khm lm sng Siu m o th tch nc tiu tn lu
nh gi IPSS, QoL o lu lng dng tiu
Xt nghim nc tiu
Siu m o kch thc TTL
iu tr ni khoa Thuc chn alpha Thuc khng muscarinic
Thuc c ch 5-alpha reductase Tho dc
Thuc i khng Vassopressin- Khc: .....
desmopressin
iu tr Ngoi khoa Dn lu bng quang trn Nhit vi sng qua niu o
xng mu Hy TTL bng kim nhit qua niu o
Ct t t nhn tng sinh Bc TTL bng Laser Holmium
X rnh TTL Khc: ..
Ct t tng sinh TTL
M m bc TTL
Bc hi TTL bng laser
Greenlight
7. XUT VIN
Tiu chun xut vin Bc s ch nh Cc ch s CLS ci thin
Triu chng lm sng n nh
Bnh nhn/thn nhn yu cu c xut vin/chuyn vin
8. QUN L V T VN BNH NHN
Thng tin GDSK Hn ch ung nc trc khi i ng
Trnh: ung cha caffeine hoc thc n c gia v
Trnh s dng mt s loi thuc (v d, thuc li tiu, thuc thng mi,
thuc khng histamin, thuc chng trm cm) khi cha c kin ca Bs.
Luyn tp cch tiu tin gip bng quang hot ng tt.
Thc hin cc bi tp tng sc mnh sn chu.
n ung d tiu v hot ng trnh to bn
Hn ti khm: ngy..thng..nm..; Phng khm s:

QTCM KCBU lnh Tin lit tuyn Phin bn 1.0, ./2016 3/4
 Ban hnh km theo Quyt nh 4068/Q-BYT ca B trng B Y t

9. PH LC
Ph lc 1
Cc triu chng do kch thch :
- i nhiu ln nht l v ban m gy mt ng.
- i vi: t nhin Bn c cm gic bun i d di, c cm gic nc tiu sn ra ngoi khng kim sot
c.
- i but thng kt hp vi vim ng tit niu.
Cc triu chng do tc nghn: bnh nhn i kh, phi rn, tia nc tiu yu, i xong khng c cm gic
thoi mi.

Ph lc 2: Thang im nh gi triu chng IPSS

Hon C t C t C C hn Hu nh
ton hn 1/5 hn khong ln thng
khng ln ln ln xuyn
1. Khong 1 thng qua, bao nhiu ln ng c
cm gic cn nc tiu trong bng quang sau khi
tiu xong?
2. Khong 1 thng qua, sau khi tiu xong c bao
nhiu ln ng phi i tiu li trong khong thi
gian cha n 2 gi?
3. Khong 1 thng qua, c bao nhiu ln ng
thy khi ang i tiu th b ngng v sau phi
tiu li nhiu ln nh vy?
4. Khong 1 thng qua, c bao nhiu ln ng
cm thy kh nn tiu?
5. Khong 1 thng qua c bao nhiu ln ng cm
thy tia nc tiu nh v yu?
6. Khong 1 thng qua c bao nhiu ln ng phi
rn hoc c sc mi c th bt u i tiu c?
0 ln 1 ln 2 ln 3 ln 4 ln 5 ln
7. Khong 1 thng qua ban m c bao nhiu ln
ng phi tnh dy v i tiu?

Ph lc 3: Cu hi QoL
Cht lng cuc sng Hoan Tt Kh Tm Kh Kh Kh s
nghnh chu
Bn cm thy th no nu
nh bn phi sng ht
qung i cn li vi cc
triu chng ny?

QTCM KCBU lnh Tin lit tuyn Phin bn 1.0, ./2016 4/4