{"id":18366,"date":"2023-04-12T00:30:00","date_gmt":"2023-04-11T17:30:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18366"},"modified":"2023-04-13T18:12:20","modified_gmt":"2023-04-13T11:12:20","slug":"huong-dan-xet-nghiem-virus-viem-gan-b-cua-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/huong-dan-xet-nghiem-virus-viem-gan-b-cua-bo-y-te\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn x\u00e9t nghi\u1ec7m virus vi\u00eam gan B c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p><strong>X\u00e9t nghi\u1ec7m virus vi\u00eam gan B l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh vi\u00eam gan B. Vi\u00eam gan B l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m do virus vi\u00eam gan B (HBV) g\u00e2y ra v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam gan c\u1ea5p t\u00ednh ho\u1eb7c vi\u00eam gan m\u00e3n t\u00ednh, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 x\u01a1 gan, ung th\u01b0 gan v\u00e0 t\u1eed vong. V\u00ec v\u1eady vi\u1ec7c x\u00e9t nghi\u1ec7m vi\u00eam gan B c\u00f3 t\u1ea7m quan tr\u1ecdng r\u1ea5t l\u1edbn \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi.<\/strong><\/p>\n<h2><strong>1. \u0110\u1ed1i t\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m<\/strong><\/h2>\n<ul>\n<li>Ng\u01b0\u1eddi sinh tr\u01b0\u1edbc n\u0103m 2003 &#8211; n\u0103m tri\u1ec3n khai ch\u01b0\u01a1ng tr\u00ecnh v\u1eafc xin vi\u00eam gan B cho tr\u1ebb d\u01b0\u1edbi m\u1ed9t tu\u1ed5i tr\u00ean to\u00e0n qu\u1ed1c.<\/li>\n<li>Ng\u01b0\u1eddi \u0111\u1ebfn t\u01b0 v\u1ea5n, x\u00e9t nghi\u1ec7m t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m t\u01b0 v\u1ea5n x\u00e9t nghi\u1ec7m HIV, lao.<\/li>\n<li>Ph\u1ee5 n\u1eef mang thai.<\/li>\n<li>Ng\u01b0\u1eddi c\u00f3 h\u00e0nh vi nguy c\u01a1 l\u00e2y nhi\u1ec5m HBV: ng\u01b0\u1eddi nhi\u1ec5m HIV, ng\u01b0\u1eddi ti\u00eam ch\u00edch ma tu\u00fd, nam quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ed3ng gi\u1edbi, ph\u1ee5 n\u1eef m\u1ea1i d\u00e2m, ph\u1ea1m nh\u00e2n, ng\u01b0\u1eddi c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n.<\/li>\n<li>Ng\u01b0\u1eddi c\u00f3 bi\u1ec3u hi\u1ec7n nghi ng\u1edd m\u1eafc vi\u00eam gan: c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam gan v\u00e0 ho\u1eb7c x\u00e9t nghi\u1ec7m men gan t\u0103ng.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i l\u1ecdc m\u00e1u, truy\u1ec1n m\u00e1u v\u00e0 ch\u1ebf ph\u1ea9m m\u00e1u.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, ho\u00e1 tr\u1ecb li\u1ec7u.<\/li>\n<li>Nh\u00e2n vi\u00ean y t\u1ebf ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin vi\u00eam gan B.<\/li>\n<li>Ng\u01b0\u1eddi hi\u1ebfn m\u00e1u, ng\u01b0\u1eddi hi\u1ebfn t\u1ea1ng, ng\u01b0\u1eddi cho tr\u1ee9ng, tinh tr\u00f9ng.<\/li>\n<li>B\u1ea1n t\u00ecnh, con c\u00e1i, th\u00e0nh vi\u00ean gia \u0111\u00ecnh c\u00f3 ti\u1ebfp x\u00fac g\u1ea7n g\u0169i v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m HBV.<\/li>\n<li>Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed ti\u00eam, l\u00e0m th\u1ee7 thu\u1eadt kh\u00f4ng an to\u00e0n.<\/li>\n<li>C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c theo y\u00eau c\u1ea7u.<\/li>\n<\/ul>\n<figure id=\"attachment_19007\" aria-describedby=\"caption-attachment-19007\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-19007 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-977304138-612x612-1-300x200.jpg\" alt=\"X\u00e9t nghi\u1ec7m virus vi\u00eam gan B l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh vi\u00eam gan B\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-977304138-612x612-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-977304138-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19007\" class=\"wp-caption-text\">X\u00e9t nghi\u1ec7m virus vi\u00eam gan B l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh vi\u00eam gan B<\/figcaption><\/figure>\n<h2><strong>2. H\u01b0\u1edbng d\u1eabn chi\u1ebfn l\u01b0\u1ee3c x\u00e9t nghi\u1ec7m<\/strong><\/h2>\n<h3>2.1. C\u00e1c x\u00e9t nghi\u1ec7m vi r\u00fat vi\u00eam gan B<\/h3>\n<p><strong>B\u1ea3ng 1: C\u00e1c x\u00e9t nghi\u1ec7m vi r\u00fat vi\u00eam gan B<\/strong><\/p>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"20%\"><strong>X\u00e9t nghi\u1ec7m<\/strong><\/td>\n<td width=\"44%\"><strong>M\u1ee5c \u0111\u00edch x\u00e9t nghi\u1ec7m<\/strong><\/td>\n<td width=\"34%\"><strong>K\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"20%\">HBsAg<\/td>\n<td width=\"44%\">X\u00e9t nghi\u1ec7m \u0111\u1ecbnh t\u00ednh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n<\/p>\n<p>nhi\u1ec5m HBV<\/td>\n<td width=\"34%\">&#8211; X\u00e9t nghi\u1ec7m nhanh (RDTs)<\/p>\n<p>&#8211; Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"44%\">X\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng HBsAg \u0111\u1ec3 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb<\/td>\n<td width=\"34%\">&#8211; Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"20%\">anti-HBs<\/td>\n<td width=\"44%\">X\u00e9t nghi\u1ec7m \u0111\u1ecbnh t\u00ednh x\u00e1c \u0111\u1ecbnh s\u1ef1 xu\u1ea5t hi\u1ec7n kh\u00e1ng th\u1ec3 trung ho\u00e0 anti-HBs<\/td>\n<td width=\"34%\">&#8211; Test nhanh (RDTs)<\/p>\n<p>&#8211; Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"44%\">X\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng x\u00e1c \u0111\u1ecbnh m\u1ee9c kh\u00e1ng th\u1ec3 trung ho\u00e0 anti-HBs, \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c mi\u1ec5n d\u1ecbch b\u1ea3o v\u1ec7<\/td>\n<td width=\"34%\">Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">anti-HBc total<\/td>\n<td width=\"44%\">X\u00e1c \u0111\u1ecbnh ph\u01a1i nhi\u1ec5m HBV<\/td>\n<td width=\"34%\">&#8211;\u00a0Test nhanh (RDTs)<\/p>\n<p>&#8211;\u00a0Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">anti-HBc IgG<\/td>\n<td width=\"44%\">X\u00e1c \u0111\u1ecbnh ph\u01a1i nhi\u1ec5m HBV<\/td>\n<td width=\"34%\">Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">anti-HBc IgM<\/td>\n<td width=\"44%\">X\u00e1c \u0111\u1ecbnh nhi\u1ec5m HBV c\u1ea5p<\/td>\n<td width=\"34%\">Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">HBeAg<\/td>\n<td width=\"44%\">&#8211; X\u00e1c \u0111\u1ecbnh kh\u1ea3 n\u0103ng l\u00e2y truy\u1ec1n vi r\u00fat \u1edf<\/p>\n<p>ng\u01b0\u1eddi nhi\u1ec5m HBV<\/p>\n<p>&#8211; X\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n b\u1ec7nh trong qu\u1ea3n l\u00fd l\u00e2m s\u00e0ng<\/td>\n<td width=\"34%\">&#8211; Test nhanh (RDTs)<\/p>\n<p>&#8211; Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">anti-HBe<\/td>\n<td width=\"44%\">&#8211; X\u00e1c \u0111\u1ecbnh s\u1ef1 chuy\u1ec3n \u0111\u1ea3o huy\u1ebft thanh\u00a0HBeAg<\/p>\n<p>&#8211; X\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n b\u1ec7nh trong qu\u1ea3n l\u00fd l\u00e2m s\u00e0ng<\/td>\n<td width=\"34%\">&#8211; Test nhanh (RDTs)<\/p>\n<p>&#8211; Mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">\u0110\u1ecbnh t\u00ednh HBV DNA<\/td>\n<td width=\"44%\">Kh\u1eb3ng \u0111\u1ecbnh c\u00f3 HBV l\u01b0u h\u00e0nh trong\u00a0m\u00e1u<\/td>\n<td width=\"34%\">Nucleic axit testing (NAT),\u00a0\u0111\u1ecbnh t\u00ednh<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">T\u1ea3i l\u01b0\u1ee3ng HBV<\/td>\n<td width=\"44%\">X\u00e1c \u0111\u1ecbnh m\u1eadt \u0111\u1ed9 HBV l\u01b0u h\u00e0nh trong\u00a0m\u00e1u<\/td>\n<td width=\"34%\">Nucleic axit testing (NAT),\u00a0\u0111\u1ecbnh l\u01b0\u1ee3ng<\/td>\n<\/tr>\n<tr>\n<td width=\"20%\">Ki\u1ec3u gen HBV<\/td>\n<td width=\"44%\">X\u00e1c \u0111\u1ecbnh ki\u1ec3u gen HBV, \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c<\/td>\n<td width=\"34%\">Gi\u1ea3i tr\u00ecnh t\u1ef1, c\u00e1c k\u1ef9 thu\u1eadt sinh h\u1ecdc ph\u00e2n t\u1eed kh\u00e1c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>2.2. H\u01b0\u1edbng d\u1eabn chi\u1ebfn l\u01b0\u1ee3c x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HBV<\/h3>\n<h4>2.2.1. X\u00e9t nghi\u1ec7m HBsAg<\/h4>\n<p>&#8211; X\u00e9t nghi\u1ec7m nhi\u1ec5m HBV \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n kh\u00e1ng\u00a0nguy\u00ean HBsAg.<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch nh\u01b0 x\u00e9t nghi\u1ec7m nhanh (RDTs), x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch \u0111\u00e1nh d\u1ea5u (EIAs, CLIAs, ECLs&#8230;).<\/p>\n<p>&#8211; Khi ph\u1ea3i kh\u1eb3ng \u0111\u1ecbnh l\u1ea1i k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m HBsAg, c\u1ea7n \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt kh\u1eb3ng \u0111\u1ecbnh (HBsAg confirmation).<\/p>\n<p>* Phi\u00ean gi\u1ea3i k\u1ebft qu\u1ea3 v\u00e0 t\u01b0 v\u1ea5n sau x\u00e9t nghi\u1ec7m HBsAg<\/p>\n<p><strong>&#8211; Ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m HBsAg (+):<\/strong><\/p>\n<p>+ Nhi\u1ec5m HBV<\/p>\n<p>+ Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u00e1c d\u1ea5u \u1ea5n kh\u00e1c c\u1ee7a HBV, t\u1ea3i l\u01b0\u1ee3ng HBV v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m h\u00f3a sinh, huy\u1ebft h\u1ecdc \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nhi\u1ec5m HBV c\u1ea5p hay m\u1ea1n, \u0111\u00e1nh gi\u00e1 ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i ti\u1ebfn tri\u1ec3n.<\/p>\n<p>+ Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, sinh ho\u1ea1t \u0111\u1ec3 ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng gan c\u0169ng nh\u01b0 c\u00e1c bi\u1ec7n ph\u00e1p gi\u1ea3m nguy c\u01a1 l\u00e2y truy\u1ec1n HBV.<\/p>\n<p><strong>&#8211; Ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m HBsAg (-):\u00a0<\/strong>Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng hi\u1ec7n nhi\u1ec5m\u00a0HBV.<\/p>\n<h4>2.2.2. X\u00e9t nghi\u1ec7m anti-HBs \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch b\u1ea3o v\u1ec7 v\u1edbi HBV<\/h4>\n<h4>2.2.3. X\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u \u1ea5n vi r\u00fat vi\u00eam gan B\u00a0kh\u00e1c<\/h4>\n<p>&#8211; Ng\u01b0\u1eddi c\u00f3 x\u00e9t nghi\u1ec7m HBsAg d\u01b0\u01a1ng t\u00ednh c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u \u1ea5n vi\u00eam gan B kh\u00e1c.<\/p>\n<h4>2.2.4. X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV<\/h4>\n<p>&#8211; X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV n\u00ean th\u1ef1c hi\u1ec7n cho t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 HBsAg d\u01b0\u01a1ng t\u00ednh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb (H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam gan vi r\u00fat B ban h\u00e0nh theo quy\u1ebft \u0111\u1ecbnh s\u1ed1\u00a0<a href=\"https:\/\/thuvienphapluat.vn\/van-ban\/the-thao-y-te\/quyet-dinh-3310-qd-byt-2019-huong-dan-chan-doan-dieu-tri-benh-viem-gan-vi-rut-b-419819.aspx\">3310\/Q\u0110-BYT<\/a>\u00a0ng\u00e0y 29 th\u00e1ng\u00a07 n\u0103m 2019 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf).<\/p>\n<p>&#8211; K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o ho\u1eb7c quy \u0111\u1ed5i theo \u0111\u01a1n v\u1ecb qu\u1ed1c t\u1ebf IU\/ml.<\/p>\n<h3>2.3. X\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc HBV v\u00e0 t\u1ea3i l\u01b0\u1ee3ng HBV trong theo d\u00f5i \u0111i\u1ec1u tr\u1ecb<\/h3>\n<h4>2.3.1. Ng\u01b0\u1eddi b\u1ec7nh vi\u00eam gan vi r\u00fat B m\u1ea1n ch\u01b0a \u0111i\u1ec1u tr\u1ecb<\/h4>\n<p>X\u00e9t nghi\u1ec7m HBeAg, anti-HBe \u0111\u1ecbnh k\u1ef3 24-48 tu\u1ea7n. Xem x\u00e9t th\u1ef1c hi\u1ec7n x\u00e9t\u00a0nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV \u0111\u1ecbnh k\u1ef3 24-48 tu\u1ea7n.<\/p>\n<h4>2.3.2. Ng\u01b0\u1eddi b\u1ec7nh vi\u00eam gan vi r\u00fat B m\u1ea1n \u0111ang \u0111i\u1ec1u tr\u1ecb<\/h4>\n<p>&#8211; Khi b\u1ec7nh \u1ed5n \u0111\u1ecbnh (kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, x\u00e9t nghi\u1ec7m AST v\u00e0 ALT\u00a0&lt; 2 l\u1ea7n gi\u1edbi h\u1ea1n tr\u00ean c\u1ee7a kho\u1ea3ng sinh h\u1ecdc tham chi\u1ebfu (ULN) v\u00e0 c\u00f3 \u0111\u00e1p \u1ee9ng vi r\u00fat ban \u0111\u1ea7u): l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m HBeAg (n\u1ebfu HBeAg d\u01b0\u01a1ng t\u00ednh) ho\u1eb7c anti-HBe (n\u1ebfu HBeAg \u00e2m t\u00ednh) t\u1ea1i m\u1ed7i l\u1ea7n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3.<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV \u1edf tu\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u1ee9 12, 24 v\u00e0 48. Sau \u0111\u00f3 th\u1ef1c hi\u1ec7n \u0111\u1ecbnh k\u1ef3 24-48 tu\u1ea7n m\u1ed9t l\u1ea7n ho\u1eb7c khi ALT t\u0103ng kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u1ea3 n\u0103ng t\u00e1i ho\u1ea1t ho\u1eb7c khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV theo d\u00f5i \u0111i\u1ec1u tr\u1ecb n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean c\u00f9ng m\u1ed9t h\u1ec7 th\u1ed1ng x\u00e9t nghi\u1ec7m.<\/p>\n<h4>2.3.3. Ng\u01b0\u1eddi b\u1ec7nh vi\u00eam gan vi r\u00fat B m\u1ea1n \u0111\u00e3 ng\u1eebng \u0111i\u1ec1u tr\u1ecb<\/h4>\n<p>Trong n\u0103m \u0111\u1ea7u sau khi ng\u1eebng thu\u1ed1c, x\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HBV \u0111\u1ecbnh k\u1ef3 12 tu\u1ea7n m\u1ed9t l\u1ea7n. Sau \u0111\u00f3 \u0111\u1ecbnh k\u1ef3 24-48 tu\u1ea7n m\u1ed9t l\u1ea7n.<\/p>\n<h3>2.4. X\u00e9t nghi\u1ec7m ph\u00e2n t\u00edch \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c<\/h3>\n<p>N\u00ean th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ki\u1ec3u gen HBV, ph\u00e2n t\u00edch \u0111\u1ed9t bi\u1ebfn kh\u00e1ng thu\u1ed1c cho\u00a0c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 kh\u1eb3ng \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c.<\/p>\n<p>X\u00e9t nghi\u1ec7m virus vi\u00eam gan B l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam gan B, \u0111\u1ed3ng th\u1eddi gi\u00fap gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a b\u1ec7nh v\u00e0 ph\u00f2ng ng\u1eeba l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><strong>HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><strong>T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a href=\"https:\/\/www.vinmec.com\/myvinmec\/\">\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng. https:\/\/youtu.be\/ygpSlu3hnTk<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>X\u00e9t nghi\u1ec7m virus vi\u00eam gan B l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh vi\u00eam gan B. Vi\u00eam gan B l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m do virus vi\u00eam gan B (HBV) g\u00e2y ra v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam gan c\u1ea5p t\u00ednh ho\u1eb7c vi\u00eam gan m\u00e3n t\u00ednh, d\u1eabn \u0111\u1ebfn c\u00e1c [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u01b0\u1edbng d\u1eabn x\u00e9t nghi\u1ec7m virus vi\u00eam gan B c\u1ee7a B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"X\u00e9t nghi\u1ec7m virus vi\u00eam gan B l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh vi\u00eam gan B. 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