{"id":19385,"date":"2023-04-12T20:17:02","date_gmt":"2023-04-12T13:17:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19385"},"modified":"2023-04-13T18:08:41","modified_gmt":"2023-04-13T11:08:41","slug":"cat-thuc-quan-noi-soi-qua-khe-hoanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/cat-thuc-quan-noi-soi-qua-khe-hoanh\/","title":{"rendered":"C\u1eaft th\u1ef1c qu\u1ea3n n\u1ed9i soi qua khe ho\u00e0nh trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n"},"content":{"rendered":"

Ung th\u01b0 th\u1ef1c qu\u1ea3n (UTTQ) l\u00e0 m\u1ed9t b\u1ec7nh n\u1eb7ng, chi\u1ebfm kho\u1ea3ng 2% trong s\u1ed1c\u00e1c lo\u1ea1i ung th\u01b0. \u1ede Vi\u1ec7t Nam, ung th\u01b0 th\u1ef1c qu\u1ea3n \u0111\u1ee9ng h\u00e0ng th\u1ee9 5 trong c\u00e1c lo\u1ea1i ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. C\u1eaft th\u1ef1c qu\u1ea3n qua khe ho\u00e0nh l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n \u00edt, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb kh\u1ea3 quan, ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i nhanh, \u0111au \u00edt sau ph\u1eabu thu\u1eadt.<\/strong><\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/span><\/h2>\n

– \u0110i\u1ec1u tr\u1ecb UTTQ ch\u1ee7 y\u1ebfu b\u1eb1ng ph\u1eabu thu\u1eadt, m\u1ed5 c\u1eaft r\u1ed9ng r\u00e3i th\u1ef1c qu\u1ea3n c\u00f3 k\u1ebft <\/span>h\u1ee3p x\u1ea1 tr\u1ecb v\u00e0 h\u00f3a ch\u1ea5t t\u00f9y theo ch\u1ec9 \u0111\u1ecbnh cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3<\/span><\/p>\n

– Ph\u1eabu thu\u1eadt n\u1ed9i soi ng\u1ef1c v\u00e0 b\u1ee5ng tuy chi\u1ebfm \u01b0u th\u1ebf v\u1ec1 kh\u1ea3 n\u0103ng n\u1ea1o v\u00e9t <\/span>h\u1ea1ch nh\u01b0ng t\u0103ng bi\u1ebfn ch\u1ee9ng h\u00f4 h\u1ea5p, th\u1eddi gian ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i, kh\u00f4ng th\u1ec3 \u00e1p <\/span>d\u1ee5ng cho tr\u01b0\u1eddng h\u1ee3p d\u00e0y d\u00ednh m\u00e0ng ph\u1ed5i ho\u1eb7c nh\u1eefng kh\u1ed1i u 1\/3 d\u01b0\u1edbi kh\u00f4ng <\/span>\u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c kh\u1ea3 n\u0103ng lan xu\u1ed1ng t\u00e2m ph\u00ecnh v\u1ecb.<\/span><\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/span><\/h2>\n

Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh UTTQ 1\/3 d\u01b0\u1edbi, \u1edf giai \u0111o\u1ea1n T1-T3 v\u00e0 N0-N1. Ung <\/span>th\u01b0 t\u00e2m v\u1ecb typ I v\u00e0 II theo ph\u00e2n lo\u1ea1i c\u1ee7a Siewert n\u0103m 1987.<\/span><\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/span><\/h2>\n

– Ung th\u01b0 th\u1ef1c qu\u1ea3n c\u1ed5, ng\u1ef1c 1\/3 tr\u00ean v\u00e0 gi\u1eefa<\/span><\/p>\n

– Ung th\u01b0 th\u1ef1c qu\u1ea3n 1\/3 d\u01b0\u1edbi nh\u01b0ng k\u00edch th\u01b0\u1edbc u to<\/span><\/p>\n

– B\u1ec7nh to\u00e0n th\u00e2n ph\u1ed1i h\u1ee3p n\u1eb7ng: suy th\u1eadn, suy tim, suy h\u00f4 h\u1ea5p…<\/span><\/p>\n

– Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a ph\u1eabu thu\u1eadt n\u1ed9i soi:<\/span><\/p>\n

+ Ti\u1ec1n s\u1eed m\u1ed5 vi\u00eam ph\u00fac m\u1ea1c, t\u1eafc ru\u1ed9t.<\/span><\/p>\n

+ C\u1ed5 ch\u01b0\u1edbng.<\/span><\/p>\n

+ Tho\u00e1t v\u1ecb th\u00e0nh b\u1ee5ng, tho\u00e1t v\u1ecb r\u1ed1n.<\/span><\/p>\n

+ Nhi\u1ec5m khu\u1ea9n t\u1ea1i ch\u1ed7 th\u00e0nh b\u1ee5ng.<\/span><\/p>\n

+ B\u1ec7nh l\u00fd r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/span><\/p>\n

– Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh b\u01a1m h\u01a1i ph\u00fac m\u1ea1c: b\u1ec7nh m\u1ea1ch v\u00e0nh, van tim, t\u00e2m ph\u1ebf <\/span>m\u00e3n.<\/span><\/p>\n

4. Chu\u1ea9n b\u1ecb\u00a0<\/span><\/h2>\n

4.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt:<\/span><\/h3>\n

Ph\u1eabu thu\u1eadt vi\u00ean n\u1ed9i soi ti\u00eau h\u00f3a, b\u00e1c s\u0129 g\u00e2y m\u00ea h\u1ed3i s\u1ee9c c\u00f3 kinh nghi\u1ec7m.<\/span><\/p>\n

4.2. Ph\u01b0\u01a1ng ti\u1ec7n:<\/span><\/h3>\n

B\u1ed9 trang thi\u1ebft b\u1ecb \u0111\u1ed3ng b\u1ed9 m\u1ed5 n\u1ed9i soi c\u1ee7a h\u00e3ng Kall Storz.<\/span><\/p>\n

4.3. Ng\u01b0\u1eddi b\u1ec7nh:<\/span><\/h3>\n

– X\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n, n\u1ed9i soi, xquang, si\u00eau \u00e2m, CT ng\u1ef1c-b\u1ee5ng<\/span><\/p>\n

– Nu\u00f4i d\u01b0\u1ee1ng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 t\u1eadp th\u1edf<\/span><\/p>\n

– Th\u1ee5t th\u00e1o \u0111\u1ea1i tr\u00e0ng<\/span><\/p>\n

– V\u1ec7 sinh t\u1ea1i ch\u1ed7<\/span><\/p>\n

– Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng tr\u01b0\u1edbc m\u1ed5<\/span><\/p>\n

4.4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n: <\/span><\/h3>\n

Ho\u00e0n th\u00e0nh c\u00e1c th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh theo quy \u0111\u1ecbnh: b\u1ec7nh \u00e1n <\/span>chi ti\u1ebft, bi\u00ean b\u1ea3n h\u1ed9i ch\u1ea9n, bi\u00ean b\u1ea3n kh\u00e1m tr\u01b0\u1edbc khi g\u00e2y m\u00ea, gi\u1ea5y cam \u0111oan \u0111\u1ed3ng <\/span>\u00fd ph\u1eabu thu\u1eadt.<\/span><\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/span><\/h2>\n

5.1. Ki\u1ec3m tra h\u1ed3 s\u01a1: <\/span><\/h3>\n

T\u00ean tu\u1ed5i ng\u01b0\u1eddi b\u1ec7nh, ch\u1ea9n \u0111o\u00e1n, ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/span><\/p>\n

5.2. Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh: <\/span><\/h3>\n

\u0110\u00fang ng\u01b0\u1eddi (t\u00ean, tu\u1ed5i,…), \u0111\u00fang b\u1ec7nh.<\/span><\/p>\n

5.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt:<\/span><\/h3>\n

V\u00f4 c\u1ea3m: m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n<\/span><\/p>\n

T\u01b0 th\u1ebf: Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, k\u00ea g\u1ed1i \u1edf vai, \u0111\u1ea7u nghi\u00eang sang ph\u1ea3i, hai <\/span>ch\u00e2n d\u1ea1ng. Ph\u1eabu thu\u1eadt vi\u00ean \u0111\u1ee9ng gi\u1eefa hai ch\u00e2n, ng\u01b0\u1eddi ph\u1ee5 m\u1ed9t \u0111\u1ee9ng b\u00ean ph\u1ea3i <\/span>ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi ph\u1ee5 hai \u0111\u1ee9ng b\u00ean tr\u00e1i ng\u01b0\u1eddi b\u1ec7nh. M\u00e0n h\u00ecnh camera \u0111\u01b0\u1ee3c \u0111\u1eb7t <\/span>tr\u00ean \u0111\u1ea7u ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

K\u1ef9 thu\u1eadt<\/span><\/p>\n

5.3.1. V\u1ecb tr\u00ed trocar:<\/span><\/h4>\n

– Trocar 10 (camera): \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u00ean r\u1ed1n kho\u1ea3ng 2cm.<\/span><\/p>\n

– Trocar 10 v\u00e0 5 \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u00ean ph\u1ea3i v\u00e0 b\u00ean tr\u00e1i n\u1eb1m tr\u00ean \u0111\u01b0\u1eddng gi\u1eefa \u0111\u00f2n<\/span><\/p>\n

c\u00e1ch \u0111\u01b0\u1eddng ngang qua r\u1ed1n kho\u1ea3ng 2 cm.<\/span><\/p>\n

– Trocar 10 \u0111\u1eb7t ngay d\u01b0\u1edbi m\u0169i \u1ee9c, \u0111\u1ec3 \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e9n gan v\u00e0 n\u00e2ng khe ho\u00e0nh.<\/span><\/p>\n

– Trocar 5 n\u1eb1m ngay d\u01b0\u1edbi b\u1edd s\u01b0\u1eddn tr\u00e1i tr\u00ean \u0111\u01b0\u1eddng gi\u1eefa \u0111\u00f2n tr\u00e1i.<\/span><\/p>\n

5.3.2. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh c\u1eaft th\u1ef1c qu\u1ea3n n\u1ed9i soi qua khe ho\u00e0nh:<\/span><\/h4>\n

– Gi\u1ea3i ph\u00f3ng th\u1ef1c qu\u1ea3n b\u1ee5ng:<\/span><\/p>\n

C\u1eaft m\u1ea1c n\u1ed1i nh\u1ecf cho \u0111\u1ebfn s\u00e1t c\u1ed9t tr\u1ee5 ph\u1ea3i, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c nghi\u00eang ph\u1ea3i t\u1ed1i <\/span>\u0111a v\u00e0 \u0111\u1ea7u cao, ti\u1ebfn h\u00e0nh c\u1eaft m\u1ed9t v\u00e0i nh\u00e1nh v\u1ecb ng\u1eafn ph\u00eda b\u1edd cong l\u1edbn s\u00e1t v\u1edbi <\/span>ph\u00ecnh v\u1ecb, c\u1eaft nh\u00e1nh v\u1ecb ng\u1eafn ho\u00e0n to\u00e0n b\u1eb1ng Hamornic scalpel. Gi\u1ea3i ph\u00f3ng ph\u00ecnh <\/span>v\u1ecb cho \u0111\u1ebfn s\u00e1t c\u1ed9t tr\u1ee5 tr\u00e1i.<\/span><\/p>\n

– M\u1edf r\u1ed9ng khe ho\u00e0nh<\/span><\/p>\n

C\u1eaft c\u01a1 ho\u00e0nh \u1edf v\u1ecb tr\u00ed \u0111\u1ec9nh c\u1ee7a hai c\u1ed9t tr\u1ee5 v\u00e0 c\u1ed9t tr\u1ee5 ph\u1ea3i \u0111\u1ec3 m\u1edf r\u1ed9ng khe <\/span>ho\u00e0nh.<\/span><\/p>\n

– Ph\u1eabu t\u00edch th\u00e0nh sau th\u1ef1c qu\u1ea3n<\/span><\/p>\n

Ng\u01b0\u1eddi ph\u1ee5 hai v\u1eeba v\u00e9n gan \u0111\u1ed3ng th\u1eddi \u0111\u1ea9y th\u1ef1c qu\u1ea3n b\u1ee5ng ra tr\u01b0\u1edbc s\u1ebd t\u1ea1o ra <\/span>kho\u1ea3ng kh\u00f4ng gi\u1eefa th\u1ef1c qu\u1ea3n v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. Ti\u1ebfn h\u00e0nh ph\u1eabu t\u00edch gi\u1ea3i <\/span>ph\u00f3ng m\u1eb7t sau th\u1ef1c qu\u1ea3n, l\u1ea5y to\u00e0n b\u1ed9 t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft v\u00e0 h\u1ea1ch \u0111i d\u1ecdc theo m\u1eb7t <\/span>tr\u01b0\u1edbc \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. Trong qu\u00e1 tr\u00ecnh ph\u1eabu t\u00edch c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c nh\u1eefng <\/span>nh\u00e1nh nu\u00f4i th\u1ef1c qu\u1ea3n xu\u1ea5t ph\u00e1t t\u1eeb \u0110MC, c\u1ea7m m\u00e1u b\u1eb1ng Harmonic ho\u1eb7c Clip.<\/span><\/p>\n

– Ph\u1eabu t\u00edch th\u00e0nh ph\u1ea3i th\u1ef1c qu\u1ea3n<\/span><\/p>\n

T\u01b0\u01a1ng t\u1ef1, ng\u01b0\u1eddi ph\u1ee5 hai k\u1eb9p v\u00e0 \u0111\u1ea9y th\u1ef1c qu\u1ea3n sang b\u00ean tr\u00e1i, c\u1ed1 g\u1eafng t\u00e1ch <\/span>th\u1ef1c qu\u1ea3n kh\u1ecfi m\u00e0ng ph\u1ed5i v\u00e0 ph\u1ed5i ph\u1ea3i. Gi\u1edbi h\u1ea1n c\u1ee7a vi\u1ec7c ph\u1eabu t\u00edch ch\u00ednh l\u00e0 ph\u1ebf <\/span>qu\u1ea3n g\u1ed1c ph\u1ea3i. L\u1ea5y to\u00e0n b\u1ed9 h\u1ea1ch \u0111i d\u1ecdc b\u1edd ph\u1ea3i c\u1ee7a th\u1ef1c qu\u1ea3n, n\u1ebfu u x\u00e2m l\u1ea5n <\/span>v\u00e0o m\u00e0ng ph\u1ed5i ti\u1ebfn h\u00e0nh c\u1eaft c\u1ea3 m\u00e0ng ph\u1ed5i.<\/span><\/p>\n

– Ph\u1eabu t\u00edch th\u00e0nh tr\u01b0\u1edbc th\u1ef1c qu\u1ea3n<\/span><\/p>\n

Th\u1ef1c qu\u1ea3n \u0111\u01b0\u1ee3c \u0111\u1ea9y ra sau, ph\u1eabu t\u00edch gi\u1ea3i ph\u00f3ng th\u1ef1c qu\u1ea3n. Vi\u1ec7c ph\u1eabu t\u00edch <\/span>ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t d\u1ee5ng c\u1ee5 t\u00f9 \u0111\u1ea7u v\u00ed d\u1ee5 nh\u01b0 \u0111\u1ea7u \u1ed1ng h\u00fat ho\u1eb7c m\u1ed9t panh <\/span>k\u1eb9p g\u1ea1c \u0111\u1ec3 \u0111\u1ea9y. Gi\u1edbi h\u1ea1n ph\u1eabu t\u00edch l\u00e0 ng\u00e3 ba kh\u00ed ph\u1ebf qu\u1ea3n.<\/span><\/p>\n

– Ph\u1eabu t\u00edch th\u00e0nh tr\u00e1i th\u1ef1c qu\u1ea3n:<\/span><\/p>\n

Ti\u1ebfn h\u00e0nh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ph\u1eabu t\u00edch th\u00e0nh ph\u1ea3i th\u1ef1c qu\u1ea3n.<\/span><\/p>\n

– Gi\u1ea3i ph\u00f3ng d\u1ea1 d\u00e0y<\/span><\/p>\n

C\u1eaft m\u1ea1c n\u1ed1i l\u1edbn ngo\u00e0i cung m\u1ea1ch v\u1ecb m\u1ea1c n\u1ed1i ph\u1ea3i, b\u1ea3o t\u1ed3n m\u1ea1ch v\u1ecb m\u1ea1c n\u1ed1i <\/span>ph\u1ea3i v\u00e0 m\u00f4n v\u1ecb. Th\u1eaft \u0110M, TM v\u00e0nh v\u1ecb v\u00e0 v\u1ecb m\u1ea1c n\u1ed1i tr\u00e1i.<\/span><\/p>\n

– M\u1edf c\u1ed5 tr\u00e1i<\/span><\/p>\n

M\u1edf d\u1ecdc b\u1edd tr\u01b0\u1edbc c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m, ph\u1eabu t\u00edch gi\u1ea3i ph\u00f3ng th\u1ef1c qu\u1ea3n c\u1ed5. Ph\u1eabu <\/span>t\u00edch th\u1ef1c qu\u1ea3n ng\u1ef1c \u1edf trung th\u1ea5t tr\u00ean ho\u00e0n to\u00e0n ph\u1eabu t\u00edch m\u00f9, s\u1eed d\u1ee5ng ng\u00f3n tay <\/span>tr\u1ecf \u0111\u1ec3 ph\u1eabu t\u00edch.<\/span>
\n<\/span>– T\u1ea1o h\u00ecnh \u1ed1ng d\u1ea1 d\u00e0y<\/span>
\n<\/span>M\u1edf nh\u1ecf 5 cm d\u01b0\u1edbi m\u0169i \u1ee9c, t\u1ea1o h\u00ecnh \u1ed1ng d\u1ea1 d\u00e0y b\u1eb1ng m\u00e1y c\u1eaft th\u1eb3ng LC <\/span>75mm, kh\u00e2u t\u0103ng c\u01b0\u1eddng ch\u1ec9 \u0111\u01a1n s\u1ee3i 4.0. L\u00e0m mi\u1ebfng n\u1ed1i th\u1ef1c qu\u1ea3n \u1ed1ng d\u1ea1 d\u00e0y <\/span>t\u1eadn b\u00ean m\u1ed9t l\u1edbp v\u1eaft ch\u1ec9 \u0111\u01a1n s\u1ee3i 3.0<\/span>
\n<\/span>– D\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i hai b\u00ean<\/span><\/p>\n

6. Theo d\u00f5i<\/h2>\n

– Theo d\u00f5i d\u1ea5u hi\u1ec7u sinh t\u1ed3n, d\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i, d\u1eabn l\u01b0u c\u1ed5…<\/span>
\n<\/span>– Kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb trong 7 ng\u00e0y.<\/span>
\n<\/span>– L\u01b0u \u00fd b\u1ed3i ph\u1ee5 n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, dinh d\u01b0\u1ee1ng.<\/span><\/p>\n

7. X\u1eed tr\u00ed tai bi\u1ebfn<\/h2>\n

– Th\u1ee7ng th\u1ef1c qu\u1ea3n : Kh\u00e2u l\u1ea1i.<\/span>
\n<\/span>– R\u00e1ch ph\u1ebf qu\u1ea3n: Kh\u00e2u ph\u1ee5c h\u1ed3i l\u1ea1i.<\/span>
\n<\/span>– T\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn: C\u00f3 th\u1ec3 ph\u1ea3i m\u1ed5 m\u1edf \u0111\u1ec3 x\u1eed l\u00fd.<\/span>
\n<\/span>– Ch\u1ea3y m\u00e1u sau m\u1ed5: truy\u1ec1n m\u00e1u ho\u1eb7c m\u1ed5 l\u1ea1i.<\/span>
\n<\/span>– Suy h\u00f4 h\u1ea5p: th\u1edf oxy h\u1ed7 tr\u1ee3, t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y suy h\u00f4 h\u1ea5p.<\/span>
\n<\/span>– R\u00f2 mi\u1ec7ng n\u1ed1i: nh\u1ecbn \u0103n, truy\u1ec1n d\u1ecbch, h\u00fat li\u00ean t\u1ee5c mi\u1ec7ng n\u1ed1i c\u1ed5.<\/span>
\n<\/span>– R\u00f2 d\u01b0\u1ee1ng ch\u1ea5p: nh\u1ecbn \u0103n, truy\u1ec1n d\u1ecbch. M\u1ed5 l\u1ea1i khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/span><\/p>\n

B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec<\/b><\/a> \u0111\u00e3 \u0111\u01b0a h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c, thi\u1ebft b\u1ecb g\u00e2y m\u00ea ph\u1eabu thu\u1eadt hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n v\u00e0o c\u00f4ng t\u00e1c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n, g\u00e2y m\u00ea v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a. \u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\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: B\u1ed9 Y t\u1ebf.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ung th\u01b0 th\u1ef1c qu\u1ea3n (UTTQ) l\u00e0 m\u1ed9t b\u1ec7nh n\u1eb7ng, chi\u1ebfm kho\u1ea3ng 2% trong s\u1ed1c\u00e1c lo\u1ea1i ung th\u01b0. \u1ede Vi\u1ec7t Nam, ung th\u01b0 th\u1ef1c qu\u1ea3n \u0111\u1ee9ng h\u00e0ng th\u1ee9 5 trong c\u00e1c lo\u1ea1i ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. C\u1eaft th\u1ef1c qu\u1ea3n qua khe ho\u00e0nh l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n \u00edt, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb kh\u1ea3 quan, […]<\/p>\n","protected":false},"author":15,"featured_media":19420,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"\nC\u1eaft th\u1ef1c qu\u1ea3n n\u1ed9i soi qua khe ho\u00e0nh trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u1eaft th\u1ef1c qu\u1ea3n qua khe ho\u00e0nh l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n \u00edt, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb kh\u1ea3 quan, ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i nhanh, \u0111au \u00edt sau ph\u1eabu thu\u1eadt.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u1eaft th\u1ef1c qu\u1ea3n n\u1ed9i soi qua khe ho\u00e0nh trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n - 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