{"id":19013,"date":"2023-04-13T01:02:13","date_gmt":"2023-04-12T18:02:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19013"},"modified":"2023-04-13T09:40:27","modified_gmt":"2023-04-13T02:40:27","slug":"xet-nghiem-virus-viem-gan-c-huong-dan-cua-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/xet-nghiem-virus-viem-gan-c-huong-dan-cua-bo-y-te\/","title":{"rendered":"X\u00e9t nghi\u1ec7m virus vi\u00eam gan C: H\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

Vi\u00eam gan C l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m do virus vi\u00eam gan C (HCV) g\u00e2y ra. B\u1ec7nh n\u00e0y th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, vi\u00eam gan C c\u00f3 th\u1ec3 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 virus vi\u00eam gan C l\u00e0 r\u1ea5t quan tr\u1ecdng, gi\u00fap ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi cho b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

1. \u0110\u1ed1i t\u01b0\u1ee3ng x\u00e9t nghi\u1ec7m virus vi\u00eam gan C<\/strong><\/h2>\n

1.1. Ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nhi\u1ec5m HCV<\/a>: 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 h\u00e0nh vi quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n.<\/p>\n

1.2. 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 c\u00f3 men gan t\u0103ng.<\/p>\n

1.3. Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i l\u1ecdc m\u00e1u, truy\u1ec1n m\u00e1u v\u00e0 ch\u1ebf ph\u1ea9m m\u00e1u.<\/p>\n

1.4. 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.<\/p>\n

1.5. Ng\u01b0\u1eddi hi\u1ebfn m\u00e1u, ng\u01b0\u1eddi hi\u1ebfn t\u1ea1ng, ng\u01b0\u1eddi cho tr\u1ee9ng, tinh tr\u00f9ng.<\/p>\n

1.6. 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\u00a0HCV.<\/p>\n

1.7. Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed ti\u00eam, l\u00e0m th\u1ee7 thu\u1eadt kh\u00f4ng an to\u00e0n.<\/p>\n

1.8. C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c theo y\u00eau c\u1ea7u.<\/p>\n

\"X\u00e9t
X\u00e9t nghi\u1ec7m virus vi\u00eam gan C theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf<\/figcaption><\/figure>\n

2. Chi\u1ebfn l\u01b0\u1ee3c x\u00e9t nghi\u1ec7m<\/strong><\/h2>\n

2.1. C\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m vi r\u00fat vi\u00eam gan C<\/h3>\n

2.1.1. X\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n anti-HCV<\/h4>\n

\u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m ban \u0111\u1ea7u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng ph\u01a1i nhi\u1ec5m HCV. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh ch\u1ee9ng t\u1ecf \u0111\u00e3 c\u00f3 ph\u01a1i nhi\u1ec5m HCV, c\u1ea7n th\u1ef1c hi\u1ec7n ti\u1ebfp c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng hi\u1ec7n nhi\u1ec5m HCV.<\/p>\n

2.1.2. X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n<\/h4>\n

C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o vi\u1ec7c ph\u00e1t hi\u1ec7n kh\u00e1ng nguy\u00ean ho\u1eb7c RNA c\u1ee7a HCV trong m\u00e1u.<\/p>\n

2.2. Chi\u1ebfn l\u01b0\u1ee3c x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h3>\n

2.2.1. X\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n anti-HCV<\/h4>\n

– X\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 anti-HCV s\u1eed d\u1ee5ng lo\u1ea1i x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch b\u1eb1ng x\u00e9t nghi\u1ec7m nhanh (RDTs) ho\u1eb7c x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch t\u1ea1i ph\u00f2ng x\u00e9t nghi\u1ec7m (ELISA, CLIA, ECLIA\u2026).<\/p>\n

– Khi ph\u1ea3i kh\u1eb3ng \u0111\u1ecbnh l\u1ea1i k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m anti-HCV, c\u1ea7n \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt kh\u1eb3ng \u0111\u1ecbnh (anti-HCV confirmation).<\/p>\n

*\u00a0Khi kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m HCV RNA c\u00f3 th\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m HCVcAg<\/em><\/p>\n

H\u00ecnh 3: Chi\u1ebfn l\u01b0\u1ee3c x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n HCV<\/p>\n

* Phi\u00ean gi\u1ea3i k\u1ebft qu\u1ea3:<\/p>\n

– Ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m anti-HCV (+) c\u00f3 ngh\u0129a l\u00e0 \u0111\u00e3 t\u1eebng nhi\u1ec5m HCV ho\u1eb7c \u0111ang hi\u1ec7n nhi\u1ec5m HCV. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n hi\u1ec7n nhi\u1ec5m HCV c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m HCV RNA ho\u1eb7c HCVcAg (m\u1ee5c 2.2.2).<\/p>\n

– Ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m anti-HCV (-) c\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng nhi\u1ec5m HCV. C\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n d\u1ef1 ph\u00f2ng nhi\u1ec5m HCV. C\u1ea7n x\u00e9t nghi\u1ec7m l\u1ea1i n\u1ebfu v\u1eabn ti\u1ebfp t\u1ee5c c\u00f3 nguy c\u01a1 nhi\u1ec5m HCV.<\/p>\n

2.2.2. X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HCV<\/h4>\n

– Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 k\u1ebft qu\u1ea3 anti-HCV d\u01b0\u01a1ng t\u00ednh c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m kh\u1eb3ng \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nhi\u1ec5m HCV b\u1eb1ng m\u1ed9t trong c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/p>\n

+ X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HCV.<\/p>\n

+ X\u00e9t nghi\u1ec7m \u0111\u1ecbnh t\u00ednh HCV RNA.<\/p>\n

+ X\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n kh\u00e1ng nguy\u00ean l\u00f5i HCVcAg.<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HCV khi:<\/p>\n

+ K\u1ebft qu\u1ea3 t\u1ea3i l\u01b0\u1ee3ng HCV tr\u00ean gi\u1edbi h\u1ea1n ph\u00e1t hi\u1ec7n, ho\u1eb7c<\/p>\n

+ \u0110\u1ecbnh t\u00ednh HCV RNA d\u01b0\u01a1ng t\u00ednh, ho\u1eb7c<\/p>\n

+ Kh\u00e1ng nguy\u00ean HCVcAg d\u01b0\u01a1ng t\u00ednh.<\/p>\n

2.2.3. X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HCV theo d\u00f5i \u0111i\u1ec1u tr\u1ecb vi\u00eam gan vi r\u00fat C<\/h4>\n

– X\u00e9t nghi\u1ec7m t\u1ea3i l\u01b0\u1ee3ng HCV t\u1ea1i tu\u1ea7n th\u1ee9 12 sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb:<\/p>\n

+ N\u1ebfu t\u1ea3i l\u01b0\u1ee3ng HCV d\u01b0\u1edbi ng\u01b0\u1ee1ng ph\u00e1t hi\u1ec7n \u1edf tu\u1ea7n th\u1ee9 12 sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng vi r\u00fat b\u1ec1n v\u1eefng (Sustained Virus Response – SVR12).<\/p>\n

+ N\u1ebfu t\u1ea3i l\u01b0\u1ee3ng HCV tr\u00ean ng\u01b0\u1ee1ng ph\u00e1t hi\u1ec7n t\u1ea1i tu\u1ea7n th\u1ee9 12 sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb, l\u00e0 kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c SVR12, \u0111\u01b0\u1ee3c xem l\u00e0 th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u1ea1t \u0111\u00e1p \u1ee9ng vi r\u00fat b\u1ec1n v\u1eefng nh\u01b0ng v\u1eabn ti\u1ebfp t\u1ee5c c\u00f3 nguy c\u01a1 cao nhi\u1ec5m HCV, c\u00f3 th\u1ec3 x\u00e9t nghi\u1ec7m l\u1ea1i HCV RNA \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u00e1i nhi\u1ec5m.<\/p>\n

2.2.4. X\u00e9t nghi\u1ec7m ki\u1ec3u gen HCV<\/h4>\n

– Kh\u00f4ng khuy\u1ebfn c\u00e1o l\u00e0m x\u00e9t nghi\u1ec7m ki\u1ec3u gien \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00ec hi\u1ec7n \u0111\u00e3 c\u00f3 thu\u1ed1c kh\u00e1ng vi r\u00fat hi\u1ec7u qu\u1ea3 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c ki\u1ec3u gien HCV (pangenotherapic).<\/p>\n

– Ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ki\u1ec3u gien trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nghi ng\u1edd kh\u00e1ng thu\u1ed1c.<\/p>\n

T\u1ed5ng quan v\u1ec1 vi\u00eam gan C cho th\u1ea5y \u0111\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m nguy hi\u1ec3m c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\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.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf\u00a0 https:\/\/youtu.be\/KTilACALZPs<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam gan C l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y nhi\u1ec5m do virus vi\u00eam gan C (HCV) g\u00e2y ra. B\u1ec7nh n\u00e0y th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, vi\u00eam gan C c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng […]<\/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":"\nX\u00e9t nghi\u1ec7m virus vi\u00eam gan C: H\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam gan C c\u00f3 th\u1ec3 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. 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