{"id":19512,"date":"2023-04-13T17:01:47","date_gmt":"2023-04-13T10:01:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19512"},"modified":"2023-04-14T12:07:00","modified_gmt":"2023-04-14T05:07:00","slug":"loet-da-day-ta-trang-trieu-chung-lam-sang-va-can-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/loet-da-day-ta-trang-trieu-chung-lam-sang-va-can-lam-sang\/","title":{"rendered":"Lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng: Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng"},"content":{"rendered":"<p><strong>B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ph\u1ed5 bi\u1ebfn \u1edf nhi\u1ec1u ng\u01b0\u1eddi tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu, t\u1eeb \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n \u0111\u1ebfn kh\u00f3 ti\u00eau v\u00e0 ti\u00eau ch\u1ea3y. B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng.<\/strong><\/p>\n<p><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.imgur.com\/gNgKdVc.png\" \/><\/p>\n<h2><strong>1. L\u00e2m s\u00e0ng lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng<\/strong><\/h2>\n<h3><strong>1.2. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/h3>\n<p>Kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng: 70% BN kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng, nh\u01b0ng sau \u0111\u00f3 c\u00f3 xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a ho\u1eb7c th\u1ee7ng \u1ed5 lo\u00e9t. Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, c\u00f3 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi\u00eam NSAIDs.<\/p>\n<p><strong>Bi\u1ec3u hi\u1ec7n l\u00e0 c\u01a1n \u0111au mang t\u00ednh ch\u1ea5t \u0111\u1eb7c th\u00f9:<\/strong><br \/>\n+ \u0110au b\u1ee5ng th\u01b0\u1eddng t\u1ef1 ph\u00e1t \u1edf v\u00f9ng th\u01b0\u1ee3ng v\u1ecb v\u1edbi t\u00ednh ch\u1ea5t co r\u00fat, xo\u1eafn v\u1eb7n hay n\u00f3ng r\u00e1t, lan ra sau l\u01b0ng hay sau x\u01b0\u01a1ng \u1ee9c, gi\u1ea3m \u1edf t\u01b0 th\u1ebf n\u1eb1m hay u\u1ed1ng c\u00e1c lo\u1ea1i thu\u1ed1c ki\u1ec1m hay th\u1ee9c \u0103n nh\u1eb9.<br \/>\n+ C\u00f3 t\u00ednh ch\u1ea5t nh\u1ecbp \u0111i\u1ec7u trong ng\u00e0y: li\u00ean quan \u0111\u1ebfn b\u1eefa \u0103n.<br \/>\n+ C\u00f3 t\u00ednh chu k\u1ef3: \u0111\u1ee3t \u0111au \u2013 \u0111\u1ee3t l\u00e0nh, \u0111\u1ee3t t\u00e1i ph\u00e1t.<br \/>\n+ Ngo\u00e0i ra, c\u00f2n c\u00f3 th\u1ec3: \u1ee3 h\u01a1i, \u1ee3 chua. R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: n\u00f4n, bu\u1ed3n n\u00f4n, \u1ec9a ch\u1ea3y.<br \/>\n\u2192Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0u \u00fd v\u00ec c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam d\u1ea1 d\u00e0y \u0111i k\u00e8m hay ti\u1ec1n tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1eefng bi\u1ebfn ch\u1ee9ng s\u1eafp x\u1ea3y ra.<\/p>\n<h3><strong>1.3. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/h3>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng phong ph\u00fa. Ng\u01b0\u1ee3c l\u1ea1i th\u0103m kh\u00e1m l\u00e2m s\u00e0ng \u0111a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p r\u1ea5t b\u00ecnh th\u01b0\u1eddng. C\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 1 c\u1ea3m gi\u00e1c \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb khi \u1ea5n.<\/li>\n<li>Th\u1ec3 tr\u1ea1ng chung c\u1ee7a b\u1ec7nh nh\u00e2n v\u1eabn b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 h\u01a1i g\u1ea7y \u0111i m\u1ed9t \u00edt trong c\u00e1c \u0111\u1ee3t \u0111au.<\/li>\n<li>H\u1ed9i ch\u1ee9ng lo\u00e9t ch\u1ec9 \u0111i\u1ec3n h\u00ecnh trong 60-70% tr\u01b0\u1eddng h\u1ee3p, v\u00ec v\u1eady t\u1ec9 l\u1ec7 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh kh\u00e1 cao. H\u1ed9i ch\u1ee9ng lo\u00e9t g\u1ed3m m\u1ed9t v\u00e0i tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd nh\u01b0 \u0111au m\u01a1 h\u1ed3 v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, kh\u00f3 ti\u00eau, \u0111au xo\u1eafn qu\u1eb7n. Do \u0111\u00f3, h\u1ecfi b\u1ec7nh s\u1eed r\u1ea5t quan tr\u1ecdng.<\/li>\n<\/ul>\n<h3><strong>*V\u1eady ch\u1ea9n \u0111o\u00e1n lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng<\/strong><\/h3>\n<ul>\n<li>T\u00ednh ch\u1ea5t thay \u0111\u1ed5i theo b\u1eefa \u0103n trong ng\u00e0y.<\/li>\n<li>T\u00ednh ch\u1ea5t \u0111\u1ecbnh k\u1ef3 c\u1ee7a c\u01a1n \u0111au.<\/li>\n<li>T\u00ednh h\u1eb1ng \u0111\u1ecbnh c\u1ee7a tri\u1ec7u ch\u1ee9ng \u0111au.<\/li>\n<\/ul>\n<h3><strong>*M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 gi\u00fap ch\u1ea9n \u0111o\u00e1n <a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/4-cach-xet-nghiem-phat-hien-vi-khuan-hp\/\">lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng<\/a>:<\/strong><\/h3>\n<p><strong>+ Lo\u00e9t d\u1ea1 d\u00e0y:<\/strong> th\u01b0\u1eddng \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, c\u00f3 nh\u00f3m m\u00e1u A hay B, c\u01a1n \u0111au nh\u1ecbp nh\u00e0ng sau c\u00e1c b\u1eefa \u0103n v\u00e0 xu\u1ea5t hi\u1ec7n s\u1edbm (~ v\u00e0i ch\u1ee5c ph\u00fat \u2192 v\u00e0i gi\u1edd) sau \u0111\u00f3 gi\u1ea3m cho \u0111\u1ebfn b\u1eefa \u0103n sau. \u0110\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c trung h\u00f2a acid k\u00e9m h\u01a1n so v\u1edbi lo\u00e9t h\u00e0nh t\u00e1 tr\u00e0ng.<br \/>\n<strong>+ Lo\u00e9t h\u00e0nh t\u00e1 tr\u00e0ng:<\/strong> th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i v\u00e0 nam nhi\u1ec1u h\u01a1n n\u1eef, c\u00f3 nh\u00f3m m\u00e1u O. Th\u01b0\u1eddng \u0111au \u1edf v\u00f9ng th\u01b0\u1ee3ng v\u1ecb ch\u1ebfch ph\u1ea3i, th\u01b0\u1eddng \u0111au \u0111\u00f3i ho\u1eb7c \u0111au sau \u0103n ~ 2-3h, \u0111au \u0111\u00eam. \u0102n v\u00e0o ho\u1eb7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c trung h\u00f2a acid th\u00ec \u0111\u1ee1 \u0111au nhanh.<\/p>\n<h2><strong>2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h2>\n<h3><strong>2.1. X quang d\u1ea1 d\u00e0y: c\u00f3 u\u1ed1ng baryte (hi\u1ec7n \u00edt d\u00f9ng)<\/strong><\/h3>\n<p>\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 gi\u00e1n ti\u1ebfp \u0111\u1ec3 t\u00ecm c\u00e1c \u1ed5 \u0111\u1ecdng thu\u1ed1c c\u1ee7a \u1ed5 lo\u00e9t. \u0110\u1ed9 nh\u1ea1y c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u224880%, t\u1ec9 l\u1ec7 ph\u00e1t hi\u1ec7n b\u1ec7nh gi\u1ea3m \u0111i n\u1ebfu \u1ed5 lo\u00e9t nh\u1ecf (&lt;5cm)(nh\u01b0\u1ee3c \u0111i\u1ec3m), c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a s\u1eb9o lo\u00e9t c\u0169, ho\u1eb7c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt d\u1ea1 d\u00e0y. \u2192 G\u00f3p ph\u1ea7n ph\u00e2n bi\u1ec7t \u1ed5 lo\u00e9t l\u00e0nh t\u00ednh v\u00e0 \u1ed5 lo\u00e9t ung th\u01b0.<\/p>\n<h3><strong>2.2. N\u1ed9i soi d\u1ea1 d\u00e0y:<\/strong><\/h3>\n<p>N\u1ed9i soi d\u1ea1 d\u00e0y b\u1eb1ng \u1ed1ng m\u1ec1m r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh lo\u00e9t, trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd c\u00f3 th\u1ec3 sinh thi\u1ebft. \u0110\u1ed9 nh\u1ea1y \u2248 90%.(c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y v\u00e0o v\u1ecb tr\u00ed \u1ed5 lo\u00e9t v\u00e0 kinh nghi\u1ec7m b\u00e1c s\u0129 n\u1ed9i soi). Ngo\u00e0i ra, n\u1ed9i soi c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7 \u0111\u1ed1i v\u1edbi c\u00e1c \u1ed5 lo\u00e9t c\u00f3 ch\u1ea3y m\u00e1u.<br \/>\n+ \u01afu \u0111i\u1ec3m: m\u00f4 t\u1ea3 \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh \u1ed5 lo\u00e9t (v\u1ecb tr\u00ed, s\u1ed1 l\u01b0\u1ee3ng, k\u00edch th\u01b0\u1edbc, t\u00ednh ch\u1ea5t: c\u1ea5p\/m\u1ea1n, n\u00f4ng\/s\u00e2u, b\u1edd \u0111\u1ec1u\/kh\u00f4ng \u0111\u1ec1u, \u0111\u00e1y s\u1ea1ch\/c\u00f3 ch\u1ea5t ho\u1ea1i t\u1eed v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng k\u00e8m theo(vi\u00eam, tr\u1ee3t)) v\u00e0 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n b\u1eb1ng clo test, sinh thi\u1ebft.<\/p>\n<h3><strong>2.3. Kh\u1ea3o s\u00e1t \u0111\u1ed9 toan d\u1ecbch v\u1ecb:<\/strong><\/h3>\n<p>&#8211; B\u1eb1ng c\u00e1ch \u0111o n\u1ed3ng \u0111\u1ed9 toan d\u1ecbch v\u1ecb c\u01a1 b\u1ea3n v\u00e0 l\u01b0u l\u01b0\u1ee3ng toan d\u1ecbch v\u1ecb b\u1eb1ng c\u00e1c nghi\u1ec7m ph\u00e1p nh\u01b0 Histamin v\u00e0 Insulin.<br \/>\n&#8211; D\u1ecbch v\u1ecb l\u00fac \u0111\u00f3i: b\u00ecnh th\u01b0\u1eddng kho\u1ea3ng 40-80ml khi \u0111\u00f3i, pH 1,6-1,8; acid t\u1ef1 do: 15mEq\/l, to\u00e0n ph\u1ea7n: 27 mEq\/l.<br \/>\nD\u1ecbch khi \u0111\u00f3i &gt; 100ml l\u00e0 \u0111a ti\u1ebft hay do d\u1ea1 d\u00e0y b\u1ecb \u1ee9 tr\u1ec7 v\u00e0 &lt; 30ml l\u00e0 gi\u1ea3m ti\u1ebft.<br \/>\nMAO (Maximal Acide Output): d\u1ecbch v\u1ecb sau khi k\u00edch th\u00edch b\u1eb1ng Histamin, Pentagastrin ho\u1eb7c Insulin.<br \/>\nBAO (Basal Acide Output): \u0111\u1ecbnh l\u01b0\u1ee3ng d\u1ecbch v\u1ecb c\u01a1 b\u1ea3n v\u00e0o s\u00e1ng s\u1edbm ng\u1ee7 d\u1eady (d\u1ecbch \u0111\u00f3i) hay d\u1ecbch v\u1ecb ban \u0111\u00eam.<br \/>\nPAO (Peak Acide Output): \u0111\u1ecbnh k\u1ebft qu\u1ea3 c\u1ee7a 2 m\u1eabu c\u00f3 l\u01b0\u1ee3ng acid cao nh\u1ea5t (l\u01b0u l\u01b0\u1ee3ng \u0111\u1ec9nh).<\/p>\n<p><strong>2.4. Si\u00eau \u00e2m qua th\u00e0nh b\u1ee5ng:<\/strong><\/p>\n<ul>\n<li>Tr\u00ean si\u00eau \u00e2m, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng cho h\u00ecnh \u1ea3nh d\u00e0y th\u00e0nh, gi\u1ea3m h\u1ed3i \u00e2m, \u1ed5 \u0111\u1ecdng h\u01a1i \u1edf \u0111\u00e1y \u1ed5 lo\u00e9t.<\/li>\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh: \u00edt d\u00f9ng do gi\u00e1 th\u00e0nh \u0111\u1eaft, th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi nghi ng\u1edd c\u00f3 bi\u1ebfn ch\u1ee9ng: lo\u00e9t d\u00f2 v\u00e0o \u1ed5 b\u1ee5ng, nghi ung th\u01b0.<\/li>\n<\/ul>\n<h3><strong>2.5. Ch\u1ea9n \u0111o\u00e1n HP:<\/strong><\/h3>\n<p><strong>a. C\u00e1c x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n:<\/strong><\/p>\n<p><strong>a.1. Test Urease nhanh (CLO test):<\/strong> d\u1ef1a tr\u00ean m\u1eabu m\u00f4 sinh thi\u1ebft t\u01b0\u01a1ng \u0111\u1ed1i r\u1ebb ti\u1ec1n, cho k\u1ebft qu\u1ea3 nhanh ch\u00f3ng, c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u cao (tr\u00ean 90%). Do \u0111\u00f3, \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i.<\/p>\n<p>*Nh\u01b0\u1ee3c \u0111i\u1ec3m: C\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3, khi:<br \/>\n+ V\u1ecb tr\u00ed l\u1ea5y m\u1eabu m\u00f4 l\u00e0m x\u00e9t nghi\u1ec7m kh\u00f4ng \u0111\u00fang theo khuy\u1ebfn c\u00e1o.<br \/>\n+ B\u1ec7nh nh\u00e2n m\u1edbi v\u1eeba s\u1eed d\u1ee5ng kh\u00e1ng sinh, kh\u00e1ng ti\u1ebft acid hay Bismuth.<br \/>\n+ C\u00e1c kh\u00e1ng sinh d\u00f9ng \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng \u1edf c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3.<\/p>\n<p><strong>a.2. PCR:<\/strong> ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng d\u1ef1a tr\u00ean m\u1eabu m\u00f4 sinh thi\u1ebft nh\u01b0ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn l\u1eafm.<\/p>\n<p>*Nh\u01b0\u1ee3c \u0111i\u1ec3m: C\u1ea7n th\u1eddi gian ch\u1edd \u0111\u1ee3i k\u1ebft qu\u1ea3 l\u00e2u v\u00e0 \u0111\u1eaft h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 x\u00e9t nghi\u1ec7m h\u01a1i th\u1edf 13C, 14C v\u00e0 x\u00e9t nghi\u1ec7m Urease.<\/p>\n<p><strong>a.3. Nu\u00f4i c\u1ea5y:<\/strong> c\u00f3 k\u1ebft qu\u1ea3 7-10 ng\u00e0y. S\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb HP th\u1ea5t b\u1ea1i sau 2 l\u1ea7n, c\u1ea7n nu\u00f4i c\u1ea5y v\u00e0 l\u00e0m kh\u00e1ng sinh \u0111\u1ed3 \u0111\u1ec3 ch\u1ecdn kh\u00e1ng sinh ph\u00f9 h\u1ee3p.<\/p>\n<p><strong>b. C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n:<\/strong><\/p>\n<p><strong>b.1. Ch\u1ea9n \u0111o\u00e1n huy\u1ebft thanh b\u1eb1ng ELISA(t\u1ee9c l\u00e0 l\u1ea5y m\u00e1u \u0111\u1ec3 XN):<\/strong> sau 2 tu\u1ea7n nhi\u1ec5m HP s\u1ebd xu\u1ea5t hi\u1ec7n kh\u00e1ng th\u1ec3 l\u01b0u h\u00e0nh trong m\u00e1u v\u00e0 kh\u00e1ng th\u1ec3 n\u00e0y t\u1ed3n t\u1ea1i \u00edt nh\u1ea5t 6 th\u00e1ng. Do \u0111\u00f3, kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 di\u1ec7t tr\u1eeb.<\/p>\n<p><strong>b.2. Ch\u1ea9n \u0111o\u00e1n qua h\u01a1i th\u1edf (t\u1ee9c l\u00e0 cho bn u\u1ed1ng 1 vi\u00ean Ure):<\/strong> \u0110\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u c\u1ee7a XN d\u1ef1a tr\u00ean 13C ho\u1eb7c 14C \u0111\u1ec1u \u0111\u1ea1t 95% v\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi x\u00e9t nghi\u1ec7m CLO test. D\u00f9ng \u0111\u1ec3 ki\u1ec3m tra hi\u1ec7u qu\u1ea3 di\u1ec7t tr\u1eeb HP khi BN kh\u00f4ng c\u00f3 ch\u1ec9 \u0111i\u1ecbnh ki\u1ec3m tra l\u1ea1i b\u1eb1ng n\u1ed9i soi d\u1ea1 d\u00e0y.<br \/>\n<strong>*\u01afu \u0111i\u1ec3m:<\/strong> Nhanh, hi\u1ec7u qu\u1ea3, d\u00f9ng cho BN CC\u0110 v\u1edbi n\u1ed9i soi v\u00e0 C\u0110 huy\u1ebft thanh.<br \/>\n<strong>*Nh\u01b0\u1ee3c \u0111i\u1ec3m:<\/strong> \u0110\u1eaft, ch\u1ec9 cho NVYT bi\u1ebft BN c\u00f3 b\u1ecb nhi\u1ec5m HP hay kh\u00f4ng. C\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3, khi:<br \/>\n+ BN m\u1edbi v\u1eeba s\u1eed d\u1ee5ng kh\u00e1ng sinh, kh\u00e1ng ti\u1ebft acid hay Bismuth.<br \/>\n+ C\u00e1c kh\u00e1ng sinh d\u00f9ng \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng \u1edf c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3.<\/p>\n<p><strong>*Nguy\u00ean t\u1eafc c\u1ee7a x\u00e9t nghi\u1ec7m h\u01a1i th\u1edf 13C ho\u1eb7c 14C:<\/strong> b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c u\u1ed1ng vi\u00ean thu\u1ed1c c\u00f3 ch\u1ee9a ur\u00ea mang carbon \u0111\u00e1nh d\u1ea5u (13C\/14C). N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m HP, men urease do vi khu\u1ea9n s\u1ea3n xu\u1ea5t \u1edf d\u1ea1 d\u00e0y s\u1ebd thu\u1ef7 ph\u00e2n ph\u00e2n t\u1eed ur\u00ea ch\u1ee9a carbon \u0111\u00e1nh d\u1ea5u v\u00e0 gi\u1ea3i ph\u00f3ng 14CO2. 13CO2\/14CO2 s\u1ebd \u0111\u01b0\u1ee3c h\u1ea5p thu v\u00e0o m\u00e1u v\u00e0 \u0111\u01b0\u1ee3c th\u1ea3i ra ngo\u00e0i qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u th\u1ed5i h\u01a1i v\u00e0o m\u1ed9t bong b\u00f3ng v\u00e0 kh\u00ed trong h\u01a1i th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a qua m\u1ed9t m\u00e1y \u0111\u1ebfm nh\u1ea5p nh\u00e1y ph\u00f3ng x\u1ea1 \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng 13CO2\/14CO2.<\/p>\n<p><strong>b.3. T\u00ecm kh\u00e1ng nguy\u00ean trong ph\u00e2n<\/strong><br \/>\n\u0110\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a XN t\u00ecm KN trong ph\u00e2n ch\u1ea9n \u0111o\u00e1n HP t\u01b0\u01a1ng \u0111\u01b0\u01a1ng XN h\u01a1i th\u1edf khi s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt \u0111\u01a1n d\u00f2ng.<br \/>\nT\u1ea1i VN: gi\u00e1 tr\u1ecb c\u1ee7a XN ch\u01b0a \u0111\u1ed3ng nh\u1ea5t v\u00e0 kh\u00f4ng cao, n\u00ean d\u00e8 d\u1eb7t khi ph\u00e2n t\u00edch k\u1ebft qu\u1ea3.<\/p>\n<p><strong>L\u01b0u \u00fd:<\/strong><br \/>\nC\u00e1c PP ch\u1ea9n \u0111o\u00e1n HP (x\u00e9t nghi\u1ec7m CLO Test, test h\u01a1i th\u1edf, t\u00ecm kh\u00e1ng nguy\u00ean trong ph\u00e2n) c\u00f3 th\u1ec3 b\u1ecb \u00e2m t\u00ednh gi\u1ea3 khi BN m\u1edbi v\u1eeba s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng sinh, kh\u00e1ng ti\u1ebft acid v\u00e0 Bismuth.<br \/>\nC\u1ea7n l\u01b0u \u00fd r\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng sinh s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng t\u1ea1i c\u00e1c c\u01a1 quan kh\u00e1c v\u1eabn c\u00f3 th\u1ec3 l\u00e0m cho c\u00e1c x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh gi\u1ea3.<br \/>\nV\u00ec v\u1eady, tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n HP c\u1ea7n x\u00e1c \u0111\u1ecbnh ch\u1eafc ch\u1eafn r\u1eb1ng BN \u0111\u00e3 ng\u01b0ng u\u1ed1ng to\u00e0n b\u1ed9 kh\u00e1ng sinh v\u00e0 Bismuth \u00edt nh\u1ea5t 4 tu\u1ea7n, ng\u01b0ng c\u00e1c thu\u1ed1c thu\u1ed9c nh\u00f3m PPI v\u00e0 Anti H2 \u00edt nh\u1ea5t 2 tu\u1ea7n.<\/p>\n<p><strong>Ngu\u1ed3n tham kh\u1ea3o:\u00a0<\/strong><\/p>\n<ol>\n<li>B\u00e0i gi\u1ea3ng Lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng n\u1ed9i ti\u00eau ho\u00e1 tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean 2020<\/li>\n<li>S\u00e1ch l\u00e2m s\u00e0ng n\u1ed9i ti\u00eau ho\u00e1 \u0110H Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ph\u1ed5 bi\u1ebfn \u1edf nhi\u1ec1u ng\u01b0\u1eddi tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu, t\u1eeb \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n \u0111\u1ebfn kh\u00f3 ti\u00eau v\u00e0 ti\u00eau ch\u1ea3y. 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