{"id":280645,"date":"2024-02-26T03:43:52","date_gmt":"2024-02-25T20:43:52","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/noi-soi-tam-soat-giup-phat-hien-va-dieu-tri-thanh-cong-ung-thu-tieu-hoa-giai-doan-som\/"},"modified":"2025-11-10T11:47:03","modified_gmt":"2025-11-10T04:47:03","slug":"noi-soi-tam-soat-giup-phat-hien-va-dieu-tri-thanh-cong-ung-thu-tieu-hoa-giai-doan-som","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/noi-soi-tam-soat-giup-phat-hien-va-dieu-tri-thanh-cong-ung-thu-tieu-hoa-giai-doan-som\/","title":{"rendered":"N\u1ed9i soi t\u1ea7m so\u00e1t gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng ung th\u01b0 ti\u00eau h\u00f3a giai \u0111o\u1ea1n s\u1edbm"},"content":{"rendered":"\n

Theo c\u00e1c s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea, ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 chi\u1ebfm t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh v\u00e0 t\u1eed vong c\u1ef1c k\u1ef3 cao, xu h\u01b0\u1edbng ng\u00e0y c\u00e0ng t\u0103ng v\u1edbi kho\u1ea3ng h\u01a1n 8.000 ca m\u1ed7i n\u0103m. N\u1ed9i soi t\u1ea7m so\u00e1t l\u00e0 ph\u01b0\u01a1ng ph\u00e1p gi\u00fap ph\u00e1t hi\u1ec7n ung th\u01b0 ti\u00eau ho\u00e1 giai \u0111o\u1ea1n s\u1edbm, ngay c\u1ea3 khi ch\u01b0a xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng. Nh\u1edd \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd k\u1ecbp th\u1eddi l\u00ean ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb, t\u0103ng hi\u1ec7u qu\u1ea3 ch\u1eefa b\u1ec7nh.<\/p>\n\n\n\n

Ung th\u01b0 ti\u00eau h\u00f3a l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n

Ung th\u01b0 ti\u00eau ho\u00e1<\/strong> l\u00e0 t\u00ecnh tr\u1ea1ng c\u00e1c t\u1ebf b\u00e0o ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng t\u1ea1o kh\u1ed1i u t\u1ea1i nh\u1eefng c\u01a1 quan \u0111\u01b0\u1eddng ti\u00eau ho\u00e1. C\u00f3 c\u00e1c lo\u1ea1i ung th\u01b0 ti\u00eau ho\u00e1 nh\u01b0: ung th\u01b0 d\u1ea1 d\u00e0y, ung th\u01b0 th\u1ef1c qu\u1ea3n, ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, ung th\u01b0 h\u1eadu m\u00f4n\u2026<\/p>\n\n\n\n

Ung th\u01b0 ti\u00eau ho\u00e1 di\u1ec5n ra \u00e2m th\u1ea7m trong th\u1eddi gian d\u00e0i v\u00e0 \u00edt xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm. \u0110\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 ti\u00eau ho\u00e1, c\u00e1c chuy\u00ean khoa khuy\u1ebfn c\u00e1o m\u1ecdi ng\u01b0\u1eddi n\u00ean th\u1ef1c hi\u1ec7n t\u1ea7m so\u00e1t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c t\u1ed5n th\u01b0\u01a1ng nghi ng\u1edd l\u00e0 b\u1ec7nh l\u00fd hay ung th\u01b0.<\/p>\n\n\n\n

N\u1ed9i soi t\u1ea7m so\u00e1t l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n

N\u1ed9i soi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t gi\u00fap ph\u00e1t hi\u1ec7n nh\u1eefng b\u1ea5t th\u01b0\u1eddng \u1edf \u1ed1ng ti\u00eau h\u00f3a trong giai \u0111o\u1ea1n s\u1edbm (khi ch\u01b0a xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng b\u1ec7nh), t\u1eeb \u0111\u00f3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c c\u00e1c b\u1ec7nh l\u00fd \u1ed1ng ti\u00eau h\u00f3a, \u0111\u1eb7c bi\u1ec7t ph\u00e1t hi\u1ec7n giai \u0111o\u1ea1n ti\u1ec1n ung th\u01b0.<\/p>\n\n\n\n

Khi n\u1ed9i soi, c\u00e1c b\u00e1c s\u0129 s\u1eed d\u1ee5ng \u1ed1ng soi m\u1ec1m v\u00e0 d\u00e0i, g\u1eafn camera v\u00e0o \u0111\u1ea7u \u1ed1ng, lu\u1ed3n \u1ed1ng t\u1eeb mi\u1ec7ng ho\u1eb7c t\u1eeb h\u1eadu m\u00f4n ti\u1ebfn v\u00e0o \u1ed1ng ti\u00eau ho\u00e1.<\/p>\n\n\n\n

V\u1edbi c\u00e1c ch\u1ee9c n\u0103ng x\u1eed l\u00fd h\u00ecnh \u1ea3nh t\u0103ng c\u01b0\u1eddng v\u00e0 ph\u00f3ng \u0111\u1ea1i, gi\u00fap b\u00e1c s\u0129 quan s\u00e1t r\u00f5 c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ef1c nh\u1ecf d\u00f9 ch\u1ec9 v\u00e0i milimet \u1edf b\u00ean trong l\u00f2ng \u1ed1ng ti\u00eau ho\u00e1. Khi ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1ebd l\u1ea5y m\u1eabu m\u00f4 \u0111\u1ec3 sinh thi\u1ebft v\u00e0 th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n t\u1ebf b\u00e0o ung th\u01b0 (gi\u1ea3i ph\u1eabu b\u1ec7nh). T\u1eeb \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd t\u01b0 v\u1ea5n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

V\u00ec sao ph\u1ea3i t\u1ea7m so\u00e1t ung th\u01b0 \u1ed1ng ti\u00eau h\u00f3a?<\/strong><\/h2>\n\n\n\n

Ung th\u01b0 hi\u1ec7n \u0111ang l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong v\u00e0 c\u00f3 xu h\u01b0\u1edbng ng\u00e0y c\u00e0ng tr\u1ebb ho\u00e1. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf giai \u0111o\u1ea1n mu\u1ed9n g\u1eb7p nhi\u1ec1u h\u1ea1n ch\u1ebf, c\u1ea7n k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh m\u1ec7t m\u1ecfi v\u00e0 t\u1ed1n k\u00e9m. \u0110\u1ed3ng th\u1eddi, \u0111i\u1ec1u tr\u1ecb tr\u1ec5 c\u0169ng gi\u1ea3m t\u1ef7 l\u1ec7 ch\u1eefa kh\u1ecfi cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

\u0110\u1ec3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, t\u0103ng t\u1ef7 l\u1ec7 ch\u1eefa th\u00e0nh c\u00f4ng cho ng\u01b0\u1eddi b\u1ec7nh, c\u1ea7n ph\u1ea3i ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1edf giai \u0111o\u1ea1n s\u1edbm, tri\u1ec7t \u0111\u1ec3 lo\u1ea1i b\u1ecf t\u1ebf b\u00e0o kh\u1ed1i u \u0111\u1ec3 tr\u00e1nh di c\u0103n ho\u1eb7c t\u00e1i ph\u00e1t. Do \u0111\u00f3, m\u1ed7i ng\u01b0\u1eddi c\u1ea7n ch\u1ee7 \u0111\u1ed9ng kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 t\u1ea7m so\u00e1t ung th\u01b0 \u1ed1ng ti\u00eau ho\u00e1 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Kh\u00f4ng c\u1ea7n \u0111\u1ee3i c\u01a1 th\u1ec3 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng m\u1edbi kh\u00e1m b\u1ec7nh.<\/p>\n\n\n\n

\u0110\u1ed1i t\u01b0\u1ee3ng n\u00e0o c\u1ea7n t\u1ea7m so\u00e1t ung th\u01b0 \u1ed1ng ti\u00eau h\u00f3a?<\/strong><\/h2>\n\n\n\n

Ung th\u01b0 ti\u00eau ho\u00e1 di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m, \u00edt xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng ho\u1eb7c kh\u00f3 nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u b\u1ec7nh, b\u1ea5t k\u1ef3 ai trong ch\u00fang ta c\u0169ng c\u00f3 nguy c\u01a1 m\u1eafc ph\u1ea3i. Do \u0111\u00f3, c\u00e1c chuy\u00ean gia khuy\u1ebfn c\u00e1o, nh\u1eefng ng\u01b0\u1eddi tr\u00ean 40 tu\u1ed5i n\u00ean th\u1ef1c hi\u1ec7n t\u1ea7m so\u00e1t ung th\u01b0 \u1ed1ng ti\u00eau ho\u00e1. \u0110\u1eb7c bi\u1ec7t, c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng sau \u0111\u00e2y c\u1ea7n t\u1ea7m so\u00e1t ngay:<\/p>\n\n\n\n

    \n
  • Ng\u01b0\u1eddi th\u01b0\u1eddng u\u1ed1ng r\u01b0\u1ee3u bia, h\u00fat thu\u1ed1c l\u00e1 nhi\u1ec1u.<\/li>\n\n\n\n
  • C\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh (b\u1ed1 ho\u1eb7c m\u1eb9) b\u1ecb m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng ho\u1eb7c ung th\u01b0 d\u1ea1 d\u00e0y.<\/li>\n\n\n\n
  • Ng\u01b0\u1eddi xu\u1ea5t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1 nh\u01b0: \u0111\u1ea7y h\u01a1i, kh\u00f3 ti\u00eau, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, n\u00f4n khan, n\u00f4n ra m\u00e1u, t\u00e1o b\u00f3n ho\u1eb7c ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i, \u0111\u1ea1i ti\u1ec7n l\u1eabn m\u00e1u,\u2026<\/li>\n\n\n\n
  • Ng\u01b0\u1eddi b\u1ecb vi\u00eam teo ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, chuy\u1ec3n s\u1ea3n ru\u1ed9t, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y m\u00e3n t\u00ednh\u2026<\/li>\n<\/ul>\n\n\n\n

    Ngo\u00e0i ra, do t\u00ecnh tr\u1ea1ng ung th\u01b0 \u1ed1ng ti\u00eau ho\u00e1 \u0111ang tr\u1ebb ho\u00e1, nh\u1eefng ng\u01b0\u1eddi tr\u1ebb \u1edf \u0111\u1ed9 tu\u1ed5i 30 \u2013 35 tu\u1ed5i c\u0169ng n\u00ean t\u1ea7m so\u00e1t, nh\u1ea5t l\u00e0 t\u1ea7m so\u00e1t ung th\u01b0 d\u1ea1 d\u00e0y. Sau khi kh\u00e1m s\u00e0ng l\u1ecdc v\u00e0 t\u1ea7m so\u00e1t l\u1ea7n \u0111\u1ea7u ti\u00ean, d\u1ef1a v\u00e0o k\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n v\u00e0 ti\u1ec1n s\u1eed b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 s\u1ebd cho l\u1eddi khuy\u00ean v\u00e0 th\u1eddi \u0111i\u1ec3m t\u1ea7m so\u00e1t ti\u1ebfp theo.<\/p>\n\n\n\n

    \u01afu \u0111i\u1ec3m n\u1ed5i b\u1eadt c\u1ee7a n\u1ed9i soi kh\u00f4ng \u0111au<\/strong><\/h2>\n\n\n
    \n
    \"N\u1ed9i<\/figure>\n<\/div>\n\n\n

    N\u1ed9i soi c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c v\u1ecb tr\u00ed kh\u1ed1i u<\/em><\/p>\n\n\n\n

    N\u1ed9i soi kh\u00f4ng \u0111au l\u00e0 ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd ho\u1eb7c ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau ho\u00e1. Nh\u1eefng \u01b0u \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi l\u00e0:<\/p>\n\n\n\n

      \n
    • D\u1ec5 d\u00e0ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c t\u1ed5n th\u01b0\u01a1ng nh\u1ecf nh\u1ea5t, d\u00f9 ch\u1ec9 v\u00e0i milimet.<\/li>\n\n\n\n
    • X\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng v\u00e0 nh\u1eefng b\u1ec7nh l\u00fd \u1ed1ng ti\u00eau ho\u00e1.<\/li>\n\n\n\n
    • Ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c ung th\u01b0 v\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 ngay khi ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/li>\n\n\n\n
    • C\u00f3 th\u1ec3 can thi\u1ec7p sinh thi\u1ebft l\u1ea5y m\u1eabu x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ea3n ch\u1ea5t t\u1ebf b\u00e0o t\u1ed5n th\u01b0\u01a1ng, ho\u1eb7c k\u1ebft h\u1ee3p c\u1eaft b\u1ecf nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 nh\u01b0 polyp, nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ngh\u1ecbch s\u1ea3n\u2026 m\u00e0 kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt.<\/li>\n\n\n\n
    • H\u1ea1n ch\u1ebf t\u1ed1i \u0111a \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c c\u01a1 quan ti\u00eau ho\u00e1, b\u1ea3o t\u1ed3n \u1ed1ng ti\u00eau ho\u00e1, kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn.<\/li>\n<\/ul>\n\n\n\n

      K\u1ef9 thu\u1eadt n\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) \u0111i\u1ec1u tr\u1ecb ung th\u01b0 s\u1edbm \u1edf \u1ed1ng ti\u00eau h\u00f3a<\/strong><\/h2>\n\n\n\n

      N\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (Endoscopic Submucosal Dissection – ESD) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1ed1ng ti\u00eau ho\u00e1 \u1edf giai \u0111o\u1ea1n s\u1edbm. Th\u1ee7 thu\u1eadt n\u00e0y can thi\u1ec7p t\u1ed1i thi\u1ec3u v\u00e0o \u1ed1ng ti\u00eau h\u00f3a trong giai \u0111o\u1ea1n ti\u1ec1n ung th\u01b0 ho\u1eb7c ung th\u01b0 c\u00f2n khu tr\u00fa trong l\u1edbp ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a. L\u00fac n\u00e0y, kh\u1ed1i u v\u1eabn khu tr\u00fa t\u1ea1i l\u1edbp ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau ho\u00e1, th\u1ef1c hi\u1ec7n ESD c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c s\u1ebd gi\u00fap lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c t\u1ebf b\u00e0o ung th\u01b0 m\u00e0 v\u1eabn b\u1ea3o t\u1ed3n to\u00e0n b\u1ed9 \u1ed1ng ti\u00eau ho\u00e1. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 kh\u1ecfi ho\u00e0n to\u00e0n.<\/p>\n\n\n

      \n
      \"Ph\u01b0\u01a1ng<\/figure>\n<\/div>\n\n\n

      Ph\u01b0\u01a1ng ph\u00e1p N\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (Endoscopic Submucosal Dissection – ESD)<\/em><\/p>\n\n\n\n

      N\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u1ef1c k\u1ef3 hi\u1ec7u qu\u1ea3, l\u00e0 s\u1ef1 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 v\u00e0 ung th\u01b0 \u1edf giai \u0111o\u1ea1n s\u1edbm c\u1ee7a \u1ed1ng ti\u00eau h\u00f3a. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u1eafc ph\u1ee5c \u0111\u01b0\u1ee3c nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb truy\u1ec1n th\u1ed1ng. Nh\u1eefng \u01b0u \u0111i\u1ec3m c\u1ee7a ESD c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0: b\u1ea3o t\u1ed3n \u1ed1ng ti\u00eau h\u00f3a, x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, chi ph\u00ed h\u1ee3p l\u00fd, th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn, ng\u01b0\u1eddi b\u1ec7nh nhanh ch\u00f3ng ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n

      Trung t\u00e2m N\u1ed9i soi Ti\u00eau h\u00f3a<\/strong><\/h2>\n\n\n
      \n
      \"Ekip<\/figure>\n<\/div>\n\n\n

      Ekip n\u1ed9i soi \u0111ang th\u1ef1c hi\u1ec7n n\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (Endoscopic retrograd cholangio pancreatography – ERCP)<\/em><\/p>\n\n\n\n

      Trung t\u00e2m N\u1ed9i soi Ti\u00eau h\u00f3a c\u1ee7a BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n c\u00f3 quy m\u00f4 l\u1edbn v\u00e0 hi\u1ec7n \u0111\u1ea1i b\u1eadc nh\u1ea5t hi\u1ec7n nay. V\u1edbi 7 ph\u00f2ng n\u1ed9i soi \u0111\u01b0\u1ee3c trang b\u1ecb h\u1ec7 th\u1ed1ng n\u1ed9i soi th\u1ebf h\u1ec7 m\u1edbi nh\u1ea5t c\u1ee7a Olympus v\u00e0 Pentax, 1 ph\u00f2ng N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP), 22 gi\u01b0\u1eddng h\u1ed3i t\u1ec9nh, c\u00f9ng \u0111\u1ed9i ng\u0169 6 b\u00e1c s\u0129, 25 \u0111i\u1ec1u d\u01b0\u1ee1ng n\u1ed9i soi v\u00e0 ekip b\u00e1c s\u0129 v\u00e0 k\u1ef9 thu\u1eadt vi\u00ean g\u00e2y m\u00ea h\u1ed3i s\u1ee9c cho ph\u00e9p \u00e1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u c\u1ee7a n\u1ed9i soi nh\u01b0 an th\u1ea7n v\u00e0 g\u00e2y m\u00ea. B\u00ean c\u1ea1nh c\u00e1c d\u1ecbch v\u1ee5 n\u1ed9i soi t\u1ea7m so\u00e1t, n\u1ed9i soi c\u00f2n gi\u00fap gi\u1ea3i quy\u1ebft kh\u1ea9n c\u1ea5p c\u00e1c tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, lo\u00e9t v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y, l\u1ea5y d\u1ecb v\u1eadt \u1ed1ng ti\u00eau h\u00f3a m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 k\u1ecbp th\u1eddi. V\u1ec1 ph\u01b0\u01a1ng di\u1ec7n \u0111i\u1ec1u tr\u1ecb, th\u00f4ng qua n\u1ed9i soi, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa th\u1ef1c hi\u1ec7n th\u1eaft t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y, nong h\u1eb9p t\u00e2m v\u1ecb, c\u1eaft polyp ti\u00eau h\u00f3a, \u0111\u1eb7t stent \u1ed1ng ti\u00eau h\u00f3a, d\u1eabn l\u01b0u nang t\u1ee5y, \u2026 N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP) ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 m\u1eadt t\u1ee5y nh\u01b0 s\u1ecfi m\u1eadt, ung th\u01b0 \u0111\u01b0\u1eddng m\u1eadt, ung th\u01b0 t\u1ee5y\u2026<\/p>\n\n\n\n

      Kh\u00f4ng ch\u1ec9 ch\u00fa tr\u1ecdng \u0111i\u1ec1u tr\u1ecb, c\u00e1c b\u00e1c s\u0129 n\u1ed9i soi ti\u00eau h\u00f3a khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi b\u1ec7nh \u201cph\u00f2ng ch\u1ed1ng ung th\u01b0\u201d th\u00f4ng qua vi\u1ec7c t\u1ea7m so\u00e1t ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm.<\/p>\n\n\n\n

      STT<\/strong><\/td>N\u1ed8I DUNG<\/strong><\/td>G\u00f3i T\u1ea7m so\u00e1t ung th\u01b0<\/strong> D\u1ea0 D\u00c0Y<\/strong><\/td>G\u00f3i t\u1ea7m so\u00e1t Ung th\u01b0 \u0110\u1ea1i Tr\u1ef1c Tr\u00e0ng<\/strong><\/td>G\u00f3i T\u1ea7m so\u00e1t ung th\u01b0<\/strong> \u1ed0NG TI\u00caU H\u00d3A (t\u1ed5ng)<\/strong><\/td><\/tr>
      A<\/strong><\/td>KH\u00c1M TI\u00caU H\u00d3A<\/strong><\/td>X<\/strong><\/td>X<\/td>X<\/strong><\/td><\/tr>
      B<\/strong><\/td>X\u00c9T NGHI\u1ec6M<\/strong><\/td> <\/td> <\/td> <\/td><\/tr>
       <\/td>T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      \u0110\u00f4ng m\u00e1u to\u00e0n b\u1ed9<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      \u0110o ho\u1ea1t \u0111\u1ed9 ALT (GPT)<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      \u0110o ho\u1ea1t \u0111\u1ed9 AST (GOT)<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      Glucose<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      Creatinine m\u00e1u<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      Ion \u0111\u1ed3 m\u00e1u<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      C<\/strong><\/td>CH\u1ea8N \u0110O\u00c1N H\u00ccNH \u1ea2NH<\/strong><\/td> <\/td> <\/td> <\/td><\/tr>
       <\/td>Si\u00eau \u00e2m t\u1ed5ng qu\u00e1t<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      \u0110o \u0111i\u1ec7n tim (ECG)<\/td>X<\/td>X<\/td>X<\/td><\/tr>
      N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng an th\u1ea7n kh\u00f4ng \u0111au<\/strong><\/td> <\/td>X<\/td>X<\/strong><\/td><\/tr>
      N\u1ed9i soi th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y an th\u1ea7n kh\u00f4ng \u0111au<\/strong><\/td>X<\/strong><\/td> <\/td>X<\/strong><\/td><\/tr>
      Test HP<\/strong> qua N\u1ed9i Soi (bonus, trong g\u00f3i)<\/td>X<\/strong><\/td> <\/td>X<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

      Theo c\u00e1c s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea, ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 chi\u1ebfm t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh v\u00e0 t\u1eed vong c\u1ef1c k\u1ef3 cao, xu h\u01b0\u1edbng ng\u00e0y c\u00e0ng t\u0103ng v\u1edbi kho\u1ea3ng h\u01a1n 8.000 ca m\u1ed7i n\u0103m. N\u1ed9i soi t\u1ea7m so\u00e1t l\u00e0 ph\u01b0\u01a1ng ph\u00e1p gi\u00fap ph\u00e1t hi\u1ec7n ung th\u01b0 ti\u00eau ho\u00e1 giai \u0111o\u1ea1n s\u1edbm, ngay c\u1ea3 khi ch\u01b0a […]<\/p>\n","protected":false},"author":3,"featured_media":280646,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-280645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280645","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=280645"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280645\/revisions"}],"predecessor-version":[{"id":298450,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280645\/revisions\/298450"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280646"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}