{"id":4187,"date":"2025-03-05T10:32:22","date_gmt":"2025-03-05T03:32:22","guid":{"rendered":"https:\/\/benhvienthaihoa.vn\/?p=4187"},"modified":"2025-06-23T20:44:09","modified_gmt":"2025-06-23T13:44:09","slug":"dich-vu-noi-soi-tieu-hoa-chuyen-sau-tai-phong-kham-da-khoa-thai-hoa","status":"publish","type":"post","link":"https:\/\/benhvienthaihoa.vn\/en\/dich-vu-noi-soi-tieu-hoa-chuyen-sau-tai-phong-kham-da-khoa-thai-hoa\/","title":{"rendered":"D\u1ecaCH V\u1ee4 N\u1ed8I SOI TI\u00caU H\u00d3A CHUY\u00caN S\u00c2U T\u1ea0I PH\u00d2NG KH\u00c1M \u0110A KHOA TH\u00c1I H\u00d2A"},"content":{"rendered":"<p><strong><b>Kh\u00e1m &amp; N\u1ed9i Soi Ti\u00eau H\u00f3a An To\u00e0n \u2013 Ph\u00e1t Hi\u1ec7n S\u1edbm B\u1ec7nh L\u00fd \u0110\u01b0\u1eddng Ti\u00eau H\u00f3a<\/b><\/strong><\/p>\n<p>B\u1ea1n g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ti\u00eau h\u00f3a nh\u01b0 \u0111au b\u1ee5ng, r\u1ed1i lo\u1ea1n \u0111\u1ea1i ti\u1ec7n, \u0111i c\u1ea7u ra m\u00e1u? \u0110\u1eebng ch\u1ee7 quan! Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i H\u00f2a cung c\u1ea5p d\u1ecbch v\u1ee5 n\u1ed9i soi ti\u00eau h\u00f3a chuy\u00ean s\u00e2u, gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c b\u1ec7nh l\u00fd nguy hi\u1ec3m nh\u01b0 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, polyp \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, th\u1eadm ch\u00ed ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm.<\/p>\n<p><strong><b>C\u00f4ng Ngh\u1ec7 N\u1ed9i Soi Ti\u00ean Ti\u1ebfn \u2013 \u0110\u1ea3m B\u1ea3o Ch\u00ednh X\u00e1c &amp; \u00cam \u00c1i<\/b><\/strong><\/p>\n<ul>\n<li>H\u1ec7 th\u1ed1ng n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i s\u1eed d\u1ee5ng c\u00f4ng ngh\u1ec7 n\u1ed9i soi d\u1ea3i t\u1ea7n h\u1eb9p (NBI), h\u1ed7 tr\u1ee3 ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng s\u1edbm, gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 h\u1ecdc c\u1ee7a polyp, \u0111\u1eb7c bi\u1ec7t theo ph\u00e2n lo\u1ea1i JNET.<\/li>\n<li>Quy tr\u00ecnh nh\u1eb9 nh\u00e0ng, kh\u00f4ng \u0111au v\u1edbi n\u1ed9i soi g\u00e2y m\u00ea gi\u00fap b\u1ec7nh nh\u00e2n tho\u1ea3i m\u00e1i, kh\u00f4ng lo \u0111au \u0111\u1edbn hay kh\u00f3 ch\u1ecbu.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n nhanh, ch\u00ednh x\u00e1c, tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1c t\u1ed5 ch\u1ee9c y khoa h\u00e0ng \u0111\u1ea7u nh\u01b0 Hi\u1ec7p h\u1ed9i Ti\u00eau h\u00f3a Hoa K\u1ef3 (AGA), Hi\u1ec7p h\u1ed9i N\u1ed9i soi Ti\u00eau h\u00f3a M\u1ef9 (ASGE) v\u00e0 Hi\u1ec7p h\u1ed9i N\u1ed9i soi Ti\u00eau h\u00f3a Ch\u00e2u \u00c2u (ESGE).<\/li>\n<\/ul>\n<p><strong><b>Th\u00e0nh C\u00f4ng C\u1eaft Polyp 20mm An To\u00e0n \u2013 \u0110i\u1ec3n H\u00ecnh M\u1ed9t Ca N\u1ed9i Soi T\u1ea1i Ph\u00f2ng Kh\u00e1m<\/b><\/strong><\/p>\n<p>Ng\u00e0y 04\/03\/2025, ch\u00fang t\u00f4i ti\u1ebfp nh\u1eadn m\u1ed9t tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n 18 tu\u1ed5i, c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111i c\u1ea7u ra m\u00e1u. Qua n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng, ph\u00e1t hi\u1ec7n polyp tr\u1ef1c tr\u00e0ng l\u1edbn \u0111\u01b0\u1eddng k\u00ednh 20mm, cu\u1ed1ng 6-7mm, b\u1ec1 m\u1eb7t tr\u01a1n l\u00e1ng (JNET IIa).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4188\" src=\"https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh.jpg\" alt=\"\" width=\"1366\" height=\"768\" srcset=\"https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh.jpg 1366w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh-320x180.jpg 320w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh-1200x675.jpg 1200w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh-768x432.jpg 768w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh-18x10.jpg 18w, https:\/\/benhvienthaihoa.vn\/wp-content\/uploads\/2025\/03\/Thu-vien-2-Hinh-anh-540x304.jpg 540w\" sizes=\"auto, (max-width: 1366px) 100vw, 1366px\" \/><\/p>\n<p><strong><b>Gi\u1ea3i ph\u00e1p x\u1eed l\u00fd:<\/b><\/strong><\/p>\n<ul>\n<li>Ti\u1ebfn h\u00e0nh k\u1eb9p clip v\u00e0o cu\u1ed1ng polyp tr\u01b0\u1edbc khi c\u1eaft \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a nguy c\u01a1 ch\u1ea3y m\u00e1u. Theo nghi\u00ean c\u1ee9u c\u1ee7a Gweon et al. (2021), vi\u1ec7c k\u1eb9p clip tr\u01b0\u1edbc khi c\u1eaft polyp c\u00f3 th\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 ch\u1ea3y m\u00e1u t\u1ee9c th\u00ec t\u1eeb 10,9% xu\u1ed1ng ch\u1ec9 2,5%.<\/li>\n<li>C\u1eaft polyp ho\u00e0n to\u00e0n b\u1eb1ng snare c\u00f3 \u0111\u1ed1t \u0111i\u1ec7n theo khuy\u1ebfn c\u00e1o c\u1ee7a ASGE v\u00e0 ESGE nh\u1eb1m \u0111\u1ea3m b\u1ea3o lo\u1ea1i b\u1ecf tri\u1ec7t \u0111\u1ec3 t\u1ed5n th\u01b0\u01a1ng m\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i m\u00f4 polyp s\u00f3t.<\/li>\n<li>B\u1ec7nh ph\u1ea9m \u0111\u01b0\u1ee3c g\u1eedi \u0111i gi\u1ea3i ph\u1eabu b\u1ec7nh \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 nguy c\u01a1 \u00e1c t\u00ednh, theo \u0111\u00fang quy tr\u00ecnh ki\u1ec3m so\u00e1t ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<p><strong><b>K\u1ebft qu\u1ea3:<\/b><\/strong><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng, kh\u00f4ng g\u1eb7p bi\u1ebfn ch\u1ee9ng, v\u00e0 c\u00f3 th\u1ec3 sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng ngay sau th\u1ee7 thu\u1eadt. T\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng sau c\u1eaft polyp cu\u1ed1ng l\u1edbn \u0111\u01b0\u1ee3c ghi nh\u1eadn th\u1ea5p khi th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt theo \u0111\u00fang khuy\u1ebfn c\u00e1o l\u00e2m s\u00e0ng (Kaltenbach et al., 2020).<\/li>\n<\/ul>\n<p><strong><b>V\u00ec Sao Ch\u1ecdn D\u1ecbch V\u1ee5 N\u1ed9i Soi Ti\u00eau H\u00f3a T\u1ea1i Th\u00e1i H\u00f2a?<\/b><\/strong><\/p>\n<ul>\n<li>Chuy\u00ean m\u00f4n cao: B\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m, c\u1eadp nh\u1eadt li\u00ean t\u1ee5c c\u00e1c k\u1ef9 thu\u1eadt n\u1ed9i soi m\u1edbi nh\u1ea5t theo ti\u00eau chu\u1ea9n qu\u1ed1c t\u1ebf.<\/li>\n<li>An to\u00e0n t\u1ed1i \u0111a: \u1ee8ng d\u1ee5ng k\u1ef9 thu\u1eadt n\u1ed9i soi kh\u00f4ng \u0111au, h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng t\u1ed1i \u01b0u. Theo ESGE (2024), vi\u1ec7c c\u1eaft polyp qua n\u1ed9i soi c\u00f3 t\u1ef7 l\u1ec7 an to\u00e0n cao, v\u1edbi ch\u1ea3y m\u00e1u mu\u1ed9n ch\u1ec9 chi\u1ebfm kho\u1ea3ng 1-2% c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/li>\n<li>D\u1ecbch v\u1ee5 chuy\u00ean nghi\u1ec7p: \u0110\u1eb7t l\u1ecbch nhanh ch\u00f3ng, kh\u00f4ng ph\u1ea3i ch\u1edd \u0111\u1ee3i l\u00e2u.<\/li>\n<li>Chi ph\u00ed h\u1ee3p l\u00fd: Minh b\u1ea1ch, h\u1ed7 tr\u1ee3 b\u1ea3o hi\u1ec3m y t\u1ebf v\u00e0 t\u01b0 v\u1ea5n t\u1eadn t\u00ecnh.<\/li>\n<\/ul>\n<p><strong><b>Tr\u00edch d\u1eabn t\u00e0i li\u1ec7u:<\/b><\/strong><\/p>\n<ol>\n<li>Kaltenbach, T., et al. (2020). <em><i>Endoscopic removal of colorectal lesions \u2013 Recommendations by the US Multi-Society Task Force on Colorectal Cancer<\/i><\/em>. Gastrointest Endosc, 91(3), 486-519.<\/li>\n<li>Ferlitsch, M., et al. (2024). <em><i>Colorectal polypectomy and endoscopic mucosal resection (EMR): ESGE Guideline \u2013 Update 2024<\/i><\/em>. Endoscopy.<\/li>\n<li>Gweon, T. G., et al. (2021). <em><i>Effect of prophylactic clip application for prevention of post-polypectomy bleeding of large pedunculated colonic polyps: A randomized trial<\/i><\/em>. Gastrointest Endosc, 94(1), 148-154.<\/li>\n<\/ol>\n<p><strong><b>Li\u00ean h\u1ec7 ngay:<\/b><\/strong><\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n n\u1ed9i soi ti\u00eau h\u00f3a t\u1ea1i Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i H\u00f2a.<\/p>\n<ul>\n<li>Hotline: 0259. 3824509 ho\u1eb7c 091.447.2778 (Ms.Ng\u00e2n)<\/li>\n<li>\u0110\u1ecba ch\u1ec9: 93 &#8211; 95 Ng\u00f4 Gia T\u1ef1, Ph\u1ee7 H\u00e0, Phan Rang &#8211; Th\u00e1p Ch\u00e0m, Ninh Thu\u1eadn<\/li>\n<\/ul>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Kh\u00e1m &amp; N\u1ed9i Soi Ti\u00eau H\u00f3a An To\u00e0n \u2013 Ph\u00e1t Hi\u1ec7n S\u1edbm B\u1ec7nh L\u00fd \u0110\u01b0\u1eddng Ti\u00eau H\u00f3a B\u1ea1n g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ti\u00eau h\u00f3a nh\u01b0 \u0111au b\u1ee5ng, r\u1ed1i lo\u1ea1n \u0111\u1ea1i ti\u1ec7n, \u0111i c\u1ea7u ra m\u00e1u? \u0110\u1eebng ch\u1ee7 quan! Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i H\u00f2a cung c\u1ea5p d\u1ecbch v\u1ee5 n\u1ed9i soi ti\u00eau h\u00f3a chuy\u00ean s\u00e2u,Leer M\u00e1s<\/p>","protected":false},"author":1,"featured_media":4189,"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":[35],"tags":[],"class_list":["post-4187","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dich-vu"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4187","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=4187"}],"version-history":[{"count":1,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4187\/revisions"}],"predecessor-version":[{"id":4190,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4187\/revisions\/4190"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media\/4189"}],"wp:attachment":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media?parent=4187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/categories?post=4187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/tags?post=4187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}