{"id":3324,"date":"2023-03-14T21:33:11","date_gmt":"2023-03-14T14:33:11","guid":{"rendered":"https:\/\/benhvienthaihoa.vn\/?p=3324"},"modified":"2025-06-22T23:21:32","modified_gmt":"2025-06-22T16:21:32","slug":"tu-van-chuyen-mon-bs-cki-nguyen-thanh-binh-bac-si-noi-soi-tieu-hoa-trung-tam-noi-soi-va-phau-thuat-noi-soi-tieu-hoa-phong-kham-da-khoa-thai-hoa","status":"publish","type":"post","link":"https:\/\/benhvienthaihoa.vn\/en\/tu-van-chuyen-mon-bs-cki-nguyen-thanh-binh-bac-si-noi-soi-tieu-hoa-trung-tam-noi-soi-va-phau-thuat-noi-soi-tieu-hoa-phong-kham-da-khoa-thai-hoa\/","title":{"rendered":"B\u00e1c s\u0129 N\u1ed9i soi ti\u00eau h\u00f3a, trung t\u00e2m N\u1ed9i soi v\u00e0 Ph\u1eabu thu\u1eadt n\u1ed9i soi ti\u00eau h\u00f3a, B\u1ec7nh Vi\u1ec7n \u0110a Khoa Th\u00e1i H\u00f2a"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><span style=\"font-size: 12pt;\"><strong><em>BS CKI Nguy\u1ec5n Thanh B\u00ecnh v\u1edbi 10 n\u0103m kinh nghi\u1ec7m trong ngh\u1ec1:<\/em><\/strong><\/span><\/p>\n<p><span style=\"font-size: 12pt;\">&#8211; Nguy\u00ean tr\u01b0\u1edfng khoa C\u0110HA BV T\u00e2m Tr\u00ed &#8211; Nha trang 2014 -2016.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">&#8211; Tr\u01b0\u1edfng \u0111\u01a1n nguy\u00ean N\u1ed9i soi ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7n Vinmec Nha Trang 2016-2018.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">&#8211; Tr\u01b0\u1edfng khoa kh\u00e1m b\u1ec7nh v\u00e0 tr\u01b0\u1edfng \u0111\u01a1n v\u1ecb n\u1ed9i soi ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7n T\u00e2m tr\u00ed &#8211; Nha trang 2019 .<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">&#8211; Bs tr\u01b0\u1edfng khoa ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh-Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng B\u1ec7nh Vi\u1ec7n Th\u00e1i H\u00f2a n\u0103m 2022 \u0111\u1ebfn nay<\/span><\/p>\n<p><strong><span style=\"font-size: 12pt;\"><em>1. N\u1ed9i soi d\u1ea1 d\u00e0y: g\u00e2y m\u00ea, c\u00f3 \u0111\u00e2u kh\u00f4ng, quy tr\u00ecnh n\u1ed9i soi bao t\u1eed<\/em><\/span><\/strong><\/p>\n<p><span style=\"font-size: 12pt;\">Ng\u00e0y nay c\u00f3 nhi\u1ec1u ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean nguy hi\u1ec3m, g\u1ed3m c\u1ea3 ung th\u01b0 th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y. Tuy nhi\u00ean, k\u1ec3 c\u1ea3 khi \u0111\u00e3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 th\u01b0\u1eddng xuy\u00ean \u0111au b\u1ee5ng, \u1ee3 h\u01a1i, bu\u1ed3n n\u00f4n\u2026, nhi\u1ec1u ng\u01b0\u1eddi v\u1eabn ch\u1ea7n ch\u1eeb, kh\u00f4ng mu\u1ed1n \u0111i\u00a0<em>kh\u00e1m v\u00e0 n\u1ed9i soi d\u1ea1 d\u00e0y<\/em>\u00a0v\u00ec t\u00e2m l\u00fd e s\u1ee3. Trong suy ngh\u0129 c\u1ee7a h\u1ecd, n\u1ed9i soi d\u1ea1 d\u00e0y l\u00e0 th\u1ee7 thu\u1eadt g\u00e2y \u0111au \u0111\u1edbn, kh\u00f3 ch\u1ecbu, ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi kh\u00f4ng c\u00f2n c\u00e1ch ch\u1ea9n \u0111o\u00e1n n\u00e0o kh\u00e1c.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">Th\u1ebf nh\u01b0ng, tr\u00ean th\u1ef1c t\u1ebf, n\u1ed9i soi d\u1ea1 d\u00e0y kh\u00f4ng h\u1ec1 \u0111\u00e1ng s\u1ee3 nh\u01b0 v\u1eady. Tr\u00e1i l\u1ea1i, n\u00f3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p v\u1eeba an to\u00e0n, v\u1eeba hi\u1ec7u qu\u1ea3, v\u1eeba ti\u1ebft ki\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c v\u1ea5n \u0111\u1ec1 ti\u00eau h\u00f3a b\u1ea5t th\u01b0\u1eddng. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tho\u1ea3i m\u00e1i, lo\u1ea1i b\u1ecf s\u1ef1 lo ng\u1ea1i khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ed9i soi, \u0111\u1ed3ng th\u1eddi ch\u1ee7 \u0111\u1ed9ng h\u01a1n trong qu\u00e1 tr\u00ecnh t\u1ea7m so\u00e1t s\u1ee9c kh\u1ecfe \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/span><\/p>\n<h2><span style=\"font-size: 12pt; color: #333333;\"><em>2. <\/em><strong><em>Khi n\u00e0o c\u1ea7n n\u1ed9i soi d\u1ea1 d\u00e0y?<\/em><\/strong><\/span><\/h2>\n<p><span style=\"font-size: 12pt;\"><em>Khi n\u00e0o b\u1ea1n c\u1ea7n n\u1ed9i soi d\u1ea1 d\u00e0y<\/em>, trong \u0111a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p th\u00ec n\u1ed9i soi bao t\u1eed s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea7n n\u1ed9i soi khi:<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-size: 12pt;\">C\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng nghi ng\u1edd m\u1eafc b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean nh\u01b0 kh\u00f3 nu\u1ed1t, \u0111au th\u01b0\u1ee3ng v\u1ecb, \u1ee3 h\u01a1i, \u1ee3 chua, ch\u00e1n \u0103n, kh\u00f3 ti\u00eau, ch\u01b0\u1edbng b\u1ee5ng, bu\u1ed3n n\u00f4n, \u0111i ngo\u00e0i ph\u00e2n \u0111en\u2026<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">C\u1ea7n l\u1ea5y m\u1eabu m\u00f4 ch\u1ea9n \u0111o\u00e1n (sinh thi\u1ebft) ho\u1eb7c \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng nh\u1ea5t \u0111\u1ecbnh th\u00f4ng qua n\u1ed9i soi d\u1ea1 d\u00e0y nh\u01b0 gi\u00e3n th\u1ef1c qu\u1ea3n, c\u1eaft b\u1ecf polyp, lo\u1ea1i b\u1ecf d\u1ecb v\u1eadt\u2026<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">C\u1ea7n xem x\u00e9t, \u0111\u00e1nh gi\u00e1 l\u1ea1i k\u1ebft qu\u1ea3 sau khi \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Thu\u1ed9c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao m\u1eafc c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: Ng\u01b0\u1eddi th\u1eeba c\u00e2n, b\u00e9o ph\u00ec, nghi\u1ec7n h\u00fat thu\u1ed1c l\u00e1, ng\u01b0\u1eddi b\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y m\u00e3n t\u00ednh, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh b\u1ecb ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a\u2026<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-size: 12pt;\">&#8211; Ngo\u00e0i nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh, ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, kh\u00f4ng thu\u1ed9c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u0169ng c\u00f3 th\u1ec3 \u0111\u0103ng k\u00fd n\u1ed9i soi d\u1ea1 d\u00e0y t\u1ef1 nguy\u1ec7n \u0111\u1ec3 t\u1ea7m so\u00e1t, ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c b\u1ea5t th\u01b0\u1eddng h\u1ec7 ti\u00eau h\u00f3a.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\"><span style=\"color: #808080;\"><strong>N\u1ed9i soi d\u1ea1 d\u00e0y<\/strong>\u00a0<\/span>l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 hi\u1ebfm khi c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i. Tuy nhi\u00ean, b\u00e1c s\u0129 c\u00f3 th\u1ec3 kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh th\u1ee7 thu\u1eadt n\u00e0y cho nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ecb th\u1ee7ng d\u1ea1 d\u00e0y ho\u1eb7c c\u00e1c c\u01a1 quan kh\u00e1c trong \u1ed1ng ti\u00eau h\u00f3a; ng\u01b0\u1eddi b\u1ecb b\u1ecfng do u\u1ed1ng acid; ng\u01b0\u1eddi b\u1ecb suy tim, thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ea5p; ng\u01b0\u1eddi b\u1ecb suy h\u00f4 h\u1ea5p; ng\u01b0\u1eddi c\u00f3 t\u00fai ph\u00ecnh l\u1edbn \u1edf \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, t\u00fai th\u1eeba Zenker; ng\u01b0\u1eddi m\u1edbi \u0103n no v\u00e0 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 kh\u00e1c.<\/span><\/p>\n<h2><span style=\"font-size: 12pt; color: #333333;\"><strong>+ <\/strong><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi d\u1ea1 d\u00e0y ph\u1ed5 bi\u1ebfn<\/strong><\/span><\/h2>\n<p><span style=\"font-size: 12pt;\">Hi\u1ec7n nay,\u00a0<strong>k\u1ef9 thu\u1eadt n\u1ed9i soi d\u1ea1 d\u00e0y<\/strong>\u00a0c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n qua \u0111\u01b0\u1eddng mi\u1ec7ng ho\u1eb7c \u0111\u01b0\u1eddng m\u0169i. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn n\u1ed9i soi k\u1ebft h\u1ee3p g\u00e2y m\u00ea (n\u1ed9i soi kh\u00f4ng \u0111au) ho\u1eb7c kh\u00f4ng g\u00e2y m\u00ea khi ti\u1ebfn h\u00e0nh. M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec1u c\u00f3 \u01b0u \u0111i\u1ec3m ri\u00eang. T\u00f9y v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 m\u00e0 b\u00e1c s\u0129 s\u1ebd t\u01b0 v\u1ea5n, ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p v\u1edbi ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n<h3><span style=\"font-size: 12pt; color: #808080;\"><strong>+<\/strong><strong> N\u1ed9i soi d\u1ea1 d\u00e0y qua \u0111\u01b0\u1eddng mi\u1ec7ng<\/strong><\/span><\/h3>\n<p><span style=\"font-size: 12pt;\"><em>N\u1ed9i soi d\u1ea1 d\u00e0y qua \u0111\u01b0\u1eddng mi\u1ec7ng<\/em>\u00a0l\u00e0 ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng v\u00e0 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t hi\u1ec7n nay. Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, b\u00e1c s\u0129 \u0111\u01b0a \u1ed1ng soi m\u1ec1m v\u00e0o mi\u1ec7ng ng\u01b0\u1eddi b\u1ec7nh, d\u1eabn qua v\u00f2m h\u1ecdng, xu\u1ed1ng th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y \u0111\u1ec3 ti\u1ebfn h\u00e0nh ki\u1ec3m tra.<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-size: 12pt;\">\u01afu \u0111i\u1ec3m: Th\u1ee7 thu\u1eadt n\u1ed9i soi qua \u0111\u01b0\u1eddng mi\u1ec7ng c\u00f3 chi ph\u00ed th\u1ea5p, d\u1ec5 th\u1ef1c hi\u1ec7n, c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh h\u1ee3p t\u00e1c t\u1ed1t.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><span style=\"font-size: 12pt; color: #808080;\"><strong>+ <\/strong><strong>N\u1ed9i soi d\u1ea1 d\u00e0y g\u00e2y m\u00ea kh\u00f4ng \u0111au<\/strong><\/span><\/h3>\n<p><span style=\"font-size: 12pt;\">N\u1ed9i soi th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng g\u00e2y m\u00ea kh\u00f4ng \u0111au l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0a \u1ed1ng soi qua \u0111\u01b0\u1eddng mi\u1ec7ng, xu\u1ed1ng th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, h\u00e0nh t\u00e1 tr\u00e0ng v\u00e0 t\u00e1 tr\u00e0ng khi ng\u01b0\u1eddi b\u1ec7nh \u0111ang \u0111\u01b0\u1ee3c g\u00e2y m\u00ea nh\u1eb1m ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean. Vi\u1ec7c g\u00e2y m\u00ea \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong th\u1eddi gian ng\u1eafn, kho\u1ea3ng 5 \u2013 15 ph\u00fat, ng\u01b0\u1eddi b\u1ec7nh sau khi soi xong s\u1ebd t\u1ec9nh l\u1ea1i nhanh ch\u00f3ng v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u t\u1edbi s\u1ee9c kh\u1ecfe.<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-size: 12pt;\">\u01afu \u0111i\u1ec3m: Nh\u1edd g\u00e2y m\u00ea m\u00e0 qu\u00e1 tr\u00ecnh n\u1ed9i soi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u1ec5 d\u00e0ng h\u01a1n, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu, bu\u1ed3n n\u00f4n, n\u00f4n\u2026 B\u1ec7nh nh\u00e2n c\u0169ng kh\u00f4ng c\u1ea3m th\u1ea5y s\u1ee3 h\u00e3i,\u00a0 B\u00ean c\u1ea1nh \u0111\u00f3, n\u1ebfu trong qu\u00e1 tr\u00ecnh n\u1ed9i soi ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n can thi\u1ec7p, b\u00e1c s\u0129 c\u0169ng s\u1ebd c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt nh\u01b0 l\u1ea5y d\u1ecb v\u1eadt, c\u1eaft polyp, c\u1ea7m m\u00e1u, ti\u00eam x\u01a1, nong h\u1eb9p, th\u1eaft t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n\u2026 thu\u1eadn l\u1ee3i v\u00e0 an to\u00e0n h\u01a1n.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span style=\"font-size: 12pt;\"><em>3. <\/em><strong><em>N\u1ed9i soi d\u1ea1 d\u00e0y g\u00e2y m\u00ea c\u00f3 nguy hi\u1ec3m\/c\u00f3 \u1ea3nh h\u01b0\u1edfng g\u00ec kh\u00f4ng?<\/em><\/strong><\/span><\/h3>\n<p><span style=\"font-size: 12pt;\">N\u1ed9i soi d\u1ea1 d\u00e0y g\u00e2y m\u00ea l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 \u00edt x\u1ea3y ra tai bi\u1ebfn. Nh\u1edd g\u00e2y m\u00ea m\u00e0 ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng bu\u1ed3n n\u00f4n, kh\u00f3 ch\u1ecbu trong qu\u00e1 tr\u00ecnh n\u1ed9i soi, gi\u1ea3m nguy c\u01a1 va ch\u1ea1m m\u1ea1nh g\u00e2y ch\u1ea3y m\u00e1u, th\u1ee7ng, r\u00e1ch ho\u1eb7c nhi\u1ec5m tr\u00f9ng c\u01a1 quan \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">Tuy nhi\u00ean, do t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c g\u00e2y m\u00ea, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb m\u1ec7t m\u1ecfi, bu\u1ed3n ng\u1ee7 sau n\u1ed9i soi.<\/span><\/p>\n<h3><span style=\"font-size: 12pt;\"><strong>Kho\u1ea3ng c\u00e1ch gi\u1eefa 2 l\u1ea7n n\u1ed9i soi d\u1ea1 d\u00e0y l\u00e0 bao l\u00e2u?<\/strong><\/span><\/h3>\n<p><span style=\"font-size: 12pt;\">Vi\u1ec7c n\u1ed9i soi kh\u00f4ng n\u00ean th\u1ef1c hi\u1ec7n qu\u00e1 th\u01b0\u1eddng xuy\u00ean m\u00e0 c\u1ea7n tu\u00e2n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. T\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh m\u00e0 b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh t\u1ea7n su\u1ea5t n\u1ed9i soi ph\u00f9 h\u1ee3p. C\u1ee5 th\u1ec3:<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-size: 12pt;\">Ng\u01b0\u1eddi b\u1ecb vi\u00eam d\u1ea1 d\u00e0y nh\u1eb9, kh\u00f4ng ph\u00e1t hi\u1ec7n lo\u1ea1n s\u1ea3n, teo ni\u00eam m\u1ea1c ho\u1eb7c c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n \u00e1c t\u00ednh kh\u00e1c trong d\u1ea1 d\u00e0y v\u00e0 c\u0169ng kh\u00f4ng c\u00f3 t\u00e1i ph\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng: \u0110\u00e3 n\u1ed9i soi l\u1ea7n 1 th\u00ec c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n n\u1ed9i soi l\u1ea1i l\u1ea7n 2.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Nh\u1eefng ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 cao ung th\u01b0 d\u1ea1 d\u00e0y nh\u01b0 c\u00f3 cha m\u1eb9, anh ch\u1ecb em ru\u1ed9t b\u1ecb ung th\u01b0 d\u1ea1 d\u00e0y, c\u00f3 ti\u1ec1n s\u1eed nhi\u1ec5m vi khu\u1ea9n HP d\u1ea1 d\u00e0y, h\u00fat thu\u1ed1c l\u00e1\u2026 d\u00f9\u00a0<em>n\u1ed9i soi d\u1ea1 d\u00e0y<\/em>\u00a0b\u00ecnh th\u01b0\u1eddng v\u1eabn n\u00ean t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 ung th\u01b0 d\u1ea1 d\u00e0y b\u1eb1ng n\u1ed9i soi 2 n\u0103m 1 l\u1ea7n.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Ng\u01b0\u1eddi b\u1ecb vi\u00eam d\u1ea1 d\u00e0y m\u00e3n t\u00ednh c\u00f3 teo ni\u00eam m\u1ea1c, lo\u1ea1n s\u1ea3n t\u1ebf b\u00e0o: T\u00f9y m\u1ee9c \u0111\u1ed9 c\u00f3 th\u1ec3 n\u1ed9i soi theo d\u00f5i \u0111\u1ecbnh k\u1ef3 m\u1ed7i 1 \u2013 2 n\u0103m \/l\u1ea7n.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Ng\u01b0\u1eddi b\u1ecb Barrett th\u1ef1c qu\u1ea3n, c\u00f3 lo\u1ea1n s\u1ea3n: N\u1ed9i soi theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, th\u01b0\u1eddng l\u00e0 1 n\u0103m\/l\u1ea7n \u0111\u1ec3 theo d\u00f5i di\u1ec5n ti\u1ebfn c\u1ee7a b\u1ec7nh.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">Ng\u01b0\u1eddi b\u1ecb t\u1ed5n th\u01b0\u01a1ng d\u1ea1 d\u00e0y nghi\u00eam tr\u1ecdng, c\u00f3 lo\u1ea1n s\u1ea3n d\u1ea1 d\u00e0y m\u1ee9c \u0111\u1ed9 n\u1eb7ng: B\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh n\u1ed9i soi 3 \u2013 6 th\u00e1ng\/ l\u1ea7n \u0111\u1ec3 theo d\u00f5i, ki\u1ec3m tra t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 c\u00f3 ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-size: 12pt;\">B\u1ec7nh Vi\u1ec7n Th\u00e1i H\u00f2a s\u1edf h\u1eefu Trung t\u00e2m n\u1ed9i soi v\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi ti\u00eau h\u00f3a quy t\u1ee5 \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 d\u00e0y d\u1eb7n kinh nghi\u1ec7m, tay ngh\u1ec1 cao, t\u1ef1 tin l\u00e0m ch\u1ee7 c\u00e1c\u00a0<strong>k\u1ef9 thu\u1eadt n\u1ed9i soi d\u1ea1 d\u00e0y<\/strong>,\u00a0<a href=\"https:\/\/tamanhhospital.vn\/noi-soi-dai-trang\/\">n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng<\/a>, n\u1ed9i soi th\u1ef1c qu\u1ea3n,\u00a0<a href=\"https:\/\/tamanhhospital.vn\/noi-soi-truc-trang\/\">n\u1ed9i soi tr\u1ef1c tr\u00e0ng<\/a>, n\u1ed9i soi t\u1ee5y m\u1eadt ng\u01b0\u1ee3c d\u00f2ng ercp hi\u1ec7n \u0111\u1ea1i, \u0111\u1ea3m b\u1ea3o th\u1ef1c hi\u1ec7n ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eb9 nh\u00e0ng, \u00edt x\u00e2m l\u1ea5n.<\/span><\/p>\n<p><span style=\"font-size: 12pt;\">B\u1ec7nh Vi\u1ec7n Th\u00e1i H\u00f2a c\u0169ng \u0111\u01b0\u1ee3c \u0111\u1ea7u t\u01b0 c\u00e1c trang thi\u1ebft b\u1ecb, m\u00e1y m\u00f3c hi\u1ec7n \u0111\u1ea1i \u0111\u01b0\u1ee3c nh\u1eadp kh\u1ea9u t\u1eeb c\u00e1c qu\u1ed1c gia ti\u00ean ti\u1ebfn, \u0111\u1ea3m b\u1ea3o ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u01b0\u1ee3c di\u1ec5n ra t\u1ed1t nh\u1ea5t. \u0110\u1ed1i v\u1edbi n\u1ed9i soi, b\u1ec7nh vi\u1ec7n trang b\u1ecb h\u1ec7 th\u1ed1ng n\u1ed9i soi nhu\u1ed9m m\u00e0u b\u1eb1ng d\u1ea3i b\u0103ng h\u1eb9p NBI, c\u00f3 \u0111\u1ed9 ph\u00f3ng \u0111\u1ea1i l\u00ean h\u01a1n tr\u0103m l\u1ea7n, gi\u00fap quan s\u00e1t r\u00f5 r\u00e0ng c\u00e1c vi c\u1ea5u tr\u00fac b\u1ec1 m\u1eb7t ni\u00eam m\u1ea1c, vi m\u1ea1ch m\u00e1u \u1edf ni\u00eam m\u1ea1c, tr\u00e1nh b\u1ecf s\u00f3t t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 s\u1edbm c\u00f2n r\u1ea5t nh\u1ecf, n\u00e2ng cao hi\u1ec7u qu\u1ea3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>&nbsp; BS CKI Nguy\u1ec5n Thanh B\u00ecnh v\u1edbi 10 n\u0103m kinh nghi\u1ec7m trong ngh\u1ec1: &#8211; Nguy\u00ean tr\u01b0\u1edfng khoa C\u0110HA BV T\u00e2m Tr\u00ed &#8211; Nha trang 2014 -2016. &#8211; Tr\u01b0\u1edfng \u0111\u01a1n nguy\u00ean N\u1ed9i soi ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7n Vinmec Nha Trang 2016-2018. &#8211; Tr\u01b0\u1edfng khoa kh\u00e1m b\u1ec7nh v\u00e0 tr\u01b0\u1edfng \u0111\u01a1n v\u1ecb n\u1ed9i soi ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7nLeer M\u00e1s<\/p>","protected":false},"author":1,"featured_media":3325,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[33],"tags":[],"class_list":["post-3324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thong-tin-y-khoa"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/3324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/comments?post=3324"}],"version-history":[{"count":6,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/3324\/revisions"}],"predecessor-version":[{"id":4300,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/3324\/revisions\/4300"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media\/3325"}],"wp:attachment":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media?parent=3324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/categories?post=3324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/tags?post=3324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}