{"id":280888,"date":"2024-06-02T03:15:26","date_gmt":"2024-06-01T20:15:26","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/ung-dung-ky-thuat-moi-noi-soi-cat-tach-duoi-niem-mac-esd-dieu-tri-ung-thu-som-ong-tieu-hoa\/"},"modified":"2025-11-10T11:57:13","modified_gmt":"2025-11-10T04:57:13","slug":"ung-dung-ky-thuat-moi-noi-soi-cat-tach-duoi-niem-mac-esd-dieu-tri-ung-thu-som-ong-tieu-hoa","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/ung-dung-ky-thuat-moi-noi-soi-cat-tach-duoi-niem-mac-esd-dieu-tri-ung-thu-som-ong-tieu-hoa\/","title":{"rendered":"\u1ee8ng d\u1ee5ng k\u1ef9 thu\u1eadt m\u1edbi: N\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) \u0111i\u1ec1u tr\u1ecb ung th\u01b0 s\u1edbm \u1ed1ng ti\u00eau h\u00f3a"},"content":{"rendered":"\n

C\u00e1c b\u00e1c s\u0129 \u0110\u01a1n v\u1ecb N\u1ed9i soi ti\u00eau h\u00f3a \u2013 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng v\u1eeba n\u1ed9i soi can thi\u1ec7p c\u1eaft kh\u1ed1i polyp tr\u1ef1c tr\u00e0ng ti\u1ec1n ung th\u01b0 l\u1edbn cho ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00e1ng n\u00f3i l\u00e0 tr\u01b0\u1edbc \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng h\u1ec1 c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00e0o c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n\n\n\n

\"N\u1ed9i<\/figure>\n\n\n\n

Ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 s\u1edbm khi n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng<\/strong><\/h2>\n\n\n\n

\u00d4ng Nguy\u1ec5n.H.T (71 tu\u1ed5i, TP.\u0110\u00e0 n\u1eb5ng) kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng. Ngo\u00e0i c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u1ea7n thi\u1ebft, \u00f4ng T \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n n\u1ed9i soi d\u1ea1 d\u00e0y v\u00e0 \u0111\u1ea1i tr\u00e0ng t\u1ea7m so\u00e1t ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u00f3 g\u00e2y m\u00ea.<\/p>\n\n\n\n

Qua n\u1ed9i soi ph\u00e1t hi\u1ec7n tr\u1ef1c tr\u00e0ng c\u00f3 1 th\u01b0\u01a1ng t\u1ed5n lan r\u1ed9ng (LST-G), k\u00edch th\u01b0\u1edbc kho\u1ea3ng 25 mm, b\u1ec1 m\u1eb7t nhi\u1ec1u n\u1ed1t kh\u00f4ng \u0111\u1ec1u. Th\u01b0\u01a1ng t\u1ed5n n\u00e0y \u0111\u01b0\u1ee3c b\u00e1c s\u0129 n\u1ed9i soi l\u1ea5y m\u1eabu sinh thi\u1ebft. K\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh cho th\u1ea5y \u0111\u00e2y l\u00e0 u tuy\u1ebfn \u1ed1ng k\u00e8m ngh\u1ecbch s\u1ea3n \u0111\u1ed9 th\u1ea5p. Th\u01b0\u01a1ng t\u1ed5n n\u00e0y n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf s\u1edbm nguy c\u01a1 ti\u1ebfn th\u00e0nh ung th\u01b0 r\u1ea5t cao.<\/p>\n\n\n\n

\"T\u1ed5n<\/figure>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 k\u00edch th\u01b0\u1edbc 25 mm, b\u1ec1 m\u1eb7t nhi\u1ec1u n\u1ed1t kh\u00f4ng \u0111\u1ec1u t\u1ea1i tr\u1ef1c tr\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n

C\u00e1c b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 \u0111\u00e2y l\u00e0 t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 c\u1ee7a tr\u1ef1c tr\u00e0ng. Tr\u00ean c\u01a1 s\u1edf h\u1ed9i ch\u1ea9n v\u1edbi c\u00e1c chuy\u00ean khoa, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 th\u1ed1ng nh\u1ea5t ch\u1ec9 \u0111\u1ecbnh n\u1ed9i soi can thi\u1ec7p c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) \u0111\u1ec3 lo\u1ea1i b\u1ecf t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0. <\/p>\n\n\n\n

C\u1eaft b\u1ecf Polyp tr\u1ef1c tr\u00e0ng c\u00f3 th\u1ec3 h\u00f3a \u00e1c t\u00ednh nh\u1edd n\u1ed9i soi can thi\u1ec7p ESD<\/strong><\/h2>\n\n\n\n

Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft, chuy\u00ean s\u00e2u h\u01a1n v\u00e0 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh n\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c ESD. Th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nhanh g\u1ecdn, an to\u00e0n trong 45 ph\u00fat. V\u00e0i gi\u1edd sau th\u1ee7 thu\u1eadt, \u00f4ng T \u0111\u00e3 c\u00f3 th\u1ec3 \u0111i l\u1ea1i, sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng m\u00e0 kh\u00f4ng \u0111au b\u1ee5ng, kh\u00f4ng \u0111i c\u1ea7u ra m\u00e1u. Hai ng\u00e0y sau th\u1ee7 thu\u1eadt, \u00f4ng T \u0111\u00e3 \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n v\u1ec1 nh\u00e0.<\/p>\n\n\n\n

\"T\u1ed5n<\/figure>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 tr\u1ef1c tr\u00e0ng \u0111\u01b0\u1ee3c c\u1eaft t\u00e1ch tr\u1ecdn v\u1eb9n m\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u1ed1ng ti\u00eau h\u00f3a<\/em><\/p>\n\n\n\n

Tr\u01b0\u1edbc \u0111\u00e2y, \u0111\u1ed1i v\u1edbi nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0, hay ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ph\u1ea3i tr\u1ea3i qua ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf m\u1ed9t \u0111o\u1ea1n \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, g\u00e2y t\u00e2m l\u00fd \u00e2u lo cho ng\u01b0\u1eddi b\u1ec7nh. Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c ESD ra \u0111\u1eddi \u0111\u00e3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p c\u0169: C\u1eaft t\u00e1ch tr\u1ecdn v\u1eb9n kh\u1ed1i u, t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 s\u1edbm \u1edf ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a (th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u00e0ng) m\u00e0 kh\u00f4ng ph\u1ea3i tr\u1ea3i qua ph\u1eabu thu\u1eadt, b\u1ea3o t\u1ed3n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a \u0111au \u0111\u1edbn, ng\u01b0\u1eddi b\u1ec7nh s\u1edbm ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe ch\u1ec9 1-2 ng\u00e0y sau ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n

Ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u1ebfu ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n th\u00ec ph\u01b0\u01a1ng ph\u00e1p ch\u1ee7 y\u1ebfu l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf v\u00e0 sau \u0111\u00f3 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 h\u00f3a ch\u1ea5t, x\u1ea1 tr\u1ecb, l\u00e0m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh b\u1ecb gi\u1ea3m \u0111\u00e1ng k\u1ec3. \u0110i\u1ec1u \u0111\u00e1ng ti\u1ebfc l\u00e0 \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ed1i u, ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n kh\u00e1m khi kh\u1ed1i u \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n, x\u00e2m l\u1ea5n, di c\u0103n xa ra c\u00e1c b\u1ed9 ph\u1eadn trong c\u01a1 th\u1ec3 n\u00ean kh\u00f4ng c\u00f2n ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p n\u1ed9i soi ESD \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng khuy\u00ean ng\u01b0\u1eddi d\u00e2n n\u00ean kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, n\u1ed9i soi t\u1ea7m so\u00e1t ung th\u01b0 s\u1edbm \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u1ec3 c\u00f3 ph\u01b0\u01a1ng ph\u00e1p, can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng l\u00e0 m\u1ed9t trong s\u1ed1 \u00edt b\u1ec7nh vi\u1ec7n t\u1ea1i Mi\u1ec1n Trung \u2013 T\u00e2y Nguy\u00ean \u1ee9ng d\u1ee5ng k\u1ef9 thu\u1eadt ESD trong \u0111i\u1ec1u tr\u1ecb s\u1edbm ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a cho ng\u01b0\u1eddi b\u1ec7nh. C\u00f9ng \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean m\u00f4n cao, \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n v\u1ec1 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, th\u1ef1c hi\u1ec7n th\u0103m kh\u00e1m, n\u1ed9i soi cho h\u00e0ng ngh\u00ecn l\u01b0\u1ee3t b\u1ec7nh m\u1ed7i n\u0103m. B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng trang b\u1ecb d\u00e0n n\u1ed9i soi thu\u1ed9c ph\u00e2n kh\u00fac cao c\u1ea5p nh\u1ea5t c\u1ee7a h\u00e3ng Pentax \u0111\u1ebfn t\u1eeb Nh\u1eadt B\u1ea3n \u2013 m\u1ed9t trong top 3 h\u00e3ng m\u00e1y t\u1ed1t nh\u1ea5t hi\u1ec7n nay.<\/p>\n\n\n\n

\"H\u1ec7<\/figure>\n\n\n\n

H\u1ec7 th\u1ed1ng n\u1ed9i soi ti\u00eau h\u00f3a cao c\u1ea5p Pentax EPK \u2013 i8020 t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng<\/em><\/p>\n\n\n\n

H\u1ec7 th\u1ed1ng n\u1ed9i soi Pentax EPK-i8020c<\/em> s\u1eed d\u1ee5ng c\u00f4ng ngh\u1ec7 nhu\u1ed9m m\u00e0u \u00e1nh s\u00e1ng gi\u00fap d\u1ec5 d\u00e0ng ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u00e2m nh\u1eadp. H\u1ec7 th\u1ed1ng c\u00f3 \u0111\u1ed9 ph\u00f3ng \u0111\u1ea1i l\u00ean nhi\u1ec1u l\u1ea7n, gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 quan s\u00e1t c\u00e1c t\u1ed5n th\u01b0\u01a1ng r\u1ea5t nh\u1ecf, ph\u00e1t hi\u1ec7n nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac b\u1ec1 m\u1eb7t v\u00e0 m\u1ea1ch m\u00e1u, t\u1eeb \u0111\u00f3 ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0, ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm \u1edf th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u00e0ng. Khi t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm, t\u00f9y theo t\u00ednh ch\u1ea5t t\u1ed5n th\u01b0\u01a1ng m\u00e0 c\u00e1c b\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p c\u1eaft t\u00e1ch ni\u00eam m\u1ea1c (EMR) ho\u1eb7c c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) qua n\u1ed9i soi \u1ed1ng m\u1ec1m m\u00e0 kh\u00f4ng c\u1ea7n tr\u1ea3i qua ph\u1eabu thu\u1eadt cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

\u0110\u1eb7t l\u1ecbch kh\u00e1m, n\u1ed9i soi t\u1ea7m so\u00e1t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u00f9ng \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng qua Hotline: 02363 509 808<\/a> (Gi\u1edd h\u00e0nh ch\u00ednh)\u00a0ho\u1eb7c Fanpage<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00e1c b\u00e1c s\u0129 \u0110\u01a1n v\u1ecb N\u1ed9i soi ti\u00eau h\u00f3a \u2013 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng v\u1eeba n\u1ed9i soi can thi\u1ec7p c\u1eaft kh\u1ed1i polyp tr\u1ef1c tr\u00e0ng ti\u1ec1n ung th\u01b0 l\u1edbn cho ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00e1ng n\u00f3i l\u00e0 tr\u01b0\u1edbc \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng h\u1ec1 c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00e0o c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ph\u00e1t hi\u1ec7n t\u1ed5n […]<\/p>\n","protected":false},"author":10,"featured_media":280889,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1267],"tags":[],"class_list":["post-280888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-da-nang___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280888","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\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=280888"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280888\/revisions"}],"predecessor-version":[{"id":297921,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280888\/revisions\/297921"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280889"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280888"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280888"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}