{"id":24534,"date":"2023-04-22T21:57:45","date_gmt":"2023-04-22T14:57:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24534"},"modified":"2023-04-23T08:52:12","modified_gmt":"2023-04-23T01:52:12","slug":"chan-doan-va-dieu-tri-ap-xe-gan-do-amip","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip"},"content":{"rendered":"<p style=\"font-weight: 400;\"><strong>\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica. \u00c1p xe gan do amip hay g\u1eb7p \u1edf gan ph\u1ea3i,m\u1ed9t \u1ed5 ho\u1eb7c nhi\u1ec1u \u1ed5 v\u1edbi k\u00edch th\u01b0\u1edbc to nh\u1ecf kh\u00e1c nhau. B\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng ph\u00e2n-mi\u1ec7ng.<\/strong><\/p>\n<h2><strong>1. B\u1ec7nh sinh<\/strong><\/h2>\n<h3 style=\"font-weight: 400;\"><strong>1.1. Amip\u00a0<\/strong><\/h3>\n<p>C\u00f3 2 lo\u1ea1i:<\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Entamoeba V\u00e9getative Histolytica: \u0111\u01b0\u1eddng k\u00ednh 20-40 um, th\u1ec3 n\u00e0y \u0103n h\u1ed3ng c\u1ea7u v\u00e0 l\u00e0 th\u1ec3 g\u00e2y b\u1ec7nh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Entamoebe V\u00e9getative minuta:\u0111\u01b0\u1eddng kinh t\u1eeb 10-20 um, th\u1ec3 n\u00e0y \u0103n vi khu\u1ea9n v\u00e0 c\u1eb7n th\u1ee9c \u0103n, kh\u00f4ng g\u00e2y b\u1ec7nh.<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><strong>1.2. Chu tr\u00ecnh<\/strong>: amip ( trong th\u1ee9c \u0103n , ngu\u1ed3n n\u01b0\u1edbc b\u1ecb \u00f4 nhi\u1ec5m ph\u00e2n) \u21d2 mi\u1ec7ng \u21d2 ru\u1ed9t \u21d2 m\u1ea1ch b\u1ea1ch huy\u1ebft, m\u00e1u \u21d2 gan.<\/span><\/h3>\n<p><img decoding=\"async\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/CA2200B1-2872-4712-B9A2-F07C33411557.png\" \/><\/p>\n<p><em>Chu tr\u00ecnh g\u00e2y b\u1ec7nh do amip ( Cre: google)<\/em><\/p>\n<h3 style=\"font-weight: 400;\"><strong>1.3. C\u00e1c giai \u0111o\u1ea1n:<\/strong><\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amip g\u00e2y t\u1ed5n th\u01b0\u01a1ng vi\u00eam lo\u00e9t \u00e1p xe th\u00e0nh \u0111\u1ea1i tr\u00e0ng hay v\u00e0o m\u00e1u \u0111\u1ebfn gan.<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Giai \u0111o\u1ea1n vi\u00eam gan: c\u00f3 c\u00e1c vi huy\u1ebft kh\u1ed1i, g\u00e2y t\u1eafc m\u1ea1ch gan v\u00e0 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed t\u1ebf b\u00e0o gan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Giai \u0111o\u1ea1n ho\u00e1 m\u1ee7: Nhi\u1ec1u \u1ed5 vi huy\u1ebft kh\u1ed1i, g\u00e2y n\u00ean \u1ed5 \u00e1p xe gan<\/span><\/li>\n<\/ul>\n<h2><strong>2.Tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<h3 style=\"font-weight: 400;\"><strong>2.1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">BN th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n kh\u00f3 ch\u1ecbu, bu\u1ed3n n\u00f4n tr\u01b0\u1edbc \u0111\u00f3 kho\u1ea3ng 2 tu\u1ea7n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tam ch\u1ee9ng Fontan:\u00a0<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>S\u1ed1t:<\/b><span style=\"font-weight: 400;\"> s\u1ed1t x\u1ea3y ra v\u00e0i ng\u00e0y tr\u01b0\u1edbc sau \u0111\u00f3 m\u1edbi xu\u1ea5t hi\u1ec7n \u0111au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i, gan to, c\u00f3 gai r\u00e9t<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u0110au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i<\/b><span style=\"font-weight: 400;\">:m\u1ee9c \u0111\u1ed9 \u0111au \u00e2m \u1ec9 ho\u1eb7c t\u1ee9c n\u1eb7ng, li\u00ean t\u1ee5c ho\u1eb7c t\u1eebng c\u01a1n ( \u0111\u00f4i khi \u0111au qu\u1eb7n d\u1eef d\u1ed9i), \u0111au khu tr\u00fa h\u1ea1 s\u01b0\u1eddn ph\u1ea3i hay v\u00f9ng th\u01b0\u1ee3ng v\u1ecb xuy\u00ean l\u00ean vai, k\u00e9o d\u00e0i nhi\u1ec1u ng\u00e0y \u0111\u00eam<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gan to<\/b><span style=\"font-weight: 400;\">: m\u1eadt \u0111\u1ed9 m\u1ec1m, b\u1edd t\u00f9, b\u1ec1 m\u1eb7t nh\u00e1m, \u1ea5n \u0111au. \u1ea4n k\u1ebd s\u01b0\u1eddn (+)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ngo\u00e0i ra c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0ng kh\u00f4ng th\u01b0\u1eddng xuy\u00ean<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: \u1ed5 \u00e1p xe v\u1ee1 v\u00e0o m\u00e0ng ph\u1ed5i g\u00e2y tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: \u1ec9a l\u1ecfng hay ph\u00e2n nh\u1ea7y m\u00e1u m\u0169i gi\u1ed1ng l\u1ef5<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00f9: do dinh d\u01b0\u1ee1ng k\u00e9m v\u00e0 \u1ed5 nung m\u1ee7 s\u00e2u k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn h\u1ea1 protein m\u00e1u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u1ea7y s\u00fat c\u00e2n: do c\u00f3 \u1ed5 m\u1ee7 trong gan v\u00e0 b\u1ec7nh nh\u00e2n m\u1ec7t m\u1ecfi ch\u00e1n \u0103n.<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>2.2 .Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3:<\/strong><\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng nhi\u1ec5m \u0111\u1ed9c: v\u1ebb m\u1eb7t nhi\u1ec5m tr\u00f9ng, g\u1ea7y s\u00fat c\u00e2n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gan to<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ea4n k\u1ebd s\u01b0\u1eddn, rung gan \u0111au v\u00f9ng t\u1ed5n th\u01b0\u01a1ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00e0ng da kh\u00f4ng th\u01b0\u1eddng xuy\u00ean<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">RRPN ph\u1ed5i ph\u1ea3i gi\u1ea3m ( do \u1ed5 \u00e1p xe khu tr\u00fa tr\u00ean cao g\u1ea7n s\u00e1t c\u01a1 ho\u00e0nh g\u00e2y n\u00ean c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam c\u01a1 quan k\u1ebf c\u1eadn)<\/span><\/li>\n<\/ul>\n<h2><strong>3.C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h2>\n<h3><strong>3.1.Huy\u1ebft h\u1ecdc<\/strong><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ea1ch c\u1ea7u &gt;15 G\/l, ch\u1ee7 y\u1ebfu b\u1ea1ch c\u1ea7u trung t\u00ednh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thi\u1ebfu m\u00e1u nh\u1eb9 khi \u00e1p xe k\u00e9o d\u00e0i 2-4 tu\u1ea7n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u00e1u l\u1eafng t\u0103ng, CRP t\u0103ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u0103ng ALP\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\"><strong>3.2.Ph\u1ea3n \u1ee9ng huy\u1ebft thanh:<\/strong> kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c nhi\u1ec5m amip ru\u1ed9t v\u00e0 amip gan<\/span><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\">ELISA amip (+) \u21d2 c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u00e1p xe gan do amip v\u1edbi \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u cao<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hemaglutination gi\u00e1n ti\u1ebfp (IHA) &gt; 1\/512<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EIA d\u01b0\u01a1ng t\u00ednh<\/span><\/li>\n<\/ul>\n<h3><strong>3.3.Ch\u1ecdc h\u00fat m\u1ee7 \u00e1p xe<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">M\u1ee7 m\u00e0u socola kh\u00f4ng m\u00f9i , soi t\u01b0\u01a1i c\u00f3 amip<\/span><\/p>\n<h3><span style=\"font-weight: 400;\"><strong>3.4. X-quang ph\u1ed5i:<\/strong> c\u01a1 ho\u00e0nh b\u1ecb \u0111\u1ea9y l\u00ean cao, di \u0111\u1ed9ng k\u00e9m, c\u00f3 th\u1ec3 g\u1eb7p tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/span><\/h3>\n<h3>3.5. Si\u00eau \u00e2m<\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\">H\u00ecnh \u1ea3nh tr\u00ean si\u00eau \u00e2m l\u00e0 t\u1ed5 ch\u1ee9c gi\u1ea3m \u00e2m, ranh gi\u1edbi r\u00f5<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0M\u1ee7 c\u00e0ng lo\u00e3ng th\u00ec h\u00ecnh \u1ea3nh si\u00eau \u00e2m \u1ed5 \u00e1p xe c\u00e0ng gi\u1ea3m \u00e2m ho\u1eb7c tr\u1ed1ng \u00e2m<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_26954\" aria-describedby=\"caption-attachment-26954\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26954\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/94F9ADD8-A176-4F4F-B17E-70EEF91426F4-300x230.png\" alt=\"\" width=\"300\" height=\"230\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/94F9ADD8-A176-4F4F-B17E-70EEF91426F4-300x230.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/94F9ADD8-A176-4F4F-B17E-70EEF91426F4-1024x785.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/94F9ADD8-A176-4F4F-B17E-70EEF91426F4-768x589.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/94F9ADD8-A176-4F4F-B17E-70EEF91426F4-1536x1177.png 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/94F9ADD8-A176-4F4F-B17E-70EEF91426F4-2048x1569.png 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26954\" class=\"wp-caption-text\"><em>\u00c1p xe gan do amip<\/em><\/figcaption><\/figure>\n<h3><strong>3.6.Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh gan m\u1eadt<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Khi si\u00eau \u00e2m kh\u00f4ng ph\u00e2n bi\u1ec7t r\u00f5 u gan hay \u00e1p xe gan. T\u1ed5n th\u01b0\u01a1ng l\u00e0 t\u1ed5 ch\u1ee9c gi\u1ea3m \u00e2m, kh\u00f4ng ng\u1ea5m thu\u1ed1c c\u1ea3n quang. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh gan gi\u00fap ch\u1ea7n \u0111o\u00e1n chinh x\u00e1c v\u1ecb tr\u00ed \u1ed5 \u00e1p xe, ch\u1ea7n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi u gan, \u0111\u1eb7c bi\u1ec7t l\u00e0 h\u00ecnh \u1ea3nh di c\u0103n gan.<\/span><\/p>\n<h2><strong>4.Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<h3 style=\"font-weight: 400;\"><strong>4.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hay g\u1eb7p \u1edf gi\u1edbi nam, tu\u1ed5i trung ni\u00ean<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tam ch\u1ee9ng Fontan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m amip ru\u1ed9t<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">XN m\u00e1u: ELISA amip d\u01b0\u01a1ng t\u00ednh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ecdc h\u00fat \u1ed5 m\u1ee7 \u00e1p xe ra m\u1ee7 socola kh\u00f4ng m\u00f9i, c\u1ea5y vi khu\u1ea9n \u00e2m t\u00ednh<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>4.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00c1p xe gan do vi khu\u1ea9n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00c1p xe gan do k\u00fd tr\u00f9ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K gan nguy\u00ean ph\u00e1t \u00e1p xe ho\u00e1<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K di \u0103n gan \u00e1p xe ho\u00e1<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nang gan b\u1ed9i nhi\u1ec5m<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00c1p xe \u0111\u01b0\u1eddng m\u1eadt, vi\u00eam t\u00fai m\u1eadt<\/span><\/li>\n<\/ul>\n<h2><strong>5.Bi\u1ebfn ch\u1ee9ng<\/strong><\/h2>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ee1 \u1ed5 \u00e1p xe: v\u00e0o m\u00e0ng ph\u1ed5i, ph\u1ed5i, m\u00e0ng ngo\u00e0i tim ( th\u01b0\u1eddng x\u1ea3y ra \u00e1p xe gan tr\u00e1i), \u1ed5 b\u1ee5ng, c\u01a1 ho\u00e0nh, th\u00e0nh b\u1ee5ng<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ea3y m\u00e1u: trong \u1ed5 \u00e1p xe, \u1ed5 b\u1ee5ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bi\u1ebfn ch\u1ee9ng do m\u1ee7 s\u00e2u k\u00e9o d\u00e0i: k\u00e9o d\u00e0i t\u1eeb 2 tu\u1ea7n &#8211; 1 th\u00e1ng<\/span><\/li>\n<\/ul>\n<h2>6.\u0110i\u1ec1u tr\u1ecb<\/h2>\n<h3 style=\"font-weight: 400;\"><strong>6.1. Nguy\u00ean t\u1eafc\u00a0<\/strong><\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lo\u1ea1i b\u1ecf \u1ed5 \u00e1p xe<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3: gi\u1ea3m \u0111au b\u00f9 n\u01b0\u1edbc n\u1ebfu s\u1ed1t k\u00e9o d\u00e0i<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng n\u1ebfu c\u00f3<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>6.2 . \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/strong><\/h3>\n<h4 style=\"font-weight: 400;\"><strong>6.2.1. \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/strong><\/h4>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u: Metronidazole\u00a0<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng u\u1ed1ng:<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Ng\u01b0\u1eddi l\u1edbn 1gx2 l\u1ea7n\/ ng\u00e0y x 10-15 ng\u00e0y<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ebb em: 30-50mg\/ kg\/ ng\u00e0y chia. 3 l\u1ea7n x10ng\u00e0y<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Truy\u1ec1n t\u0129nh m\u1ea1ch<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi l\u1edbn: 500mg\/6h<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ebb em: 7,5 mg\/kg c\u00e2n n\u1eb7ng\/6h<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00f3 th\u1ec3 d\u00f9ng tinidazol 500mg 3 l\u1ea7n 1 ng\u00e0y trong 7-10 ng\u00e0y, ho\u1eb7c Ornidazole , ho\u1eb7c Secnidazol<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u1ef1a ch\u1ecdn thay th\u1ebf: Cloroquin u\u1ed1ng<\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi l\u1edbn:500mg\/ng\u00e0y x 2-3 tu\u1ea7n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ebb em: 5mg\/kg\/ng\u00e0y x 2 tu\u1ea7n<\/span><\/li>\n<\/ul>\n<h4 style=\"font-weight: 400;\"><strong>6.2.2. Ch\u1ecdc h\u00fat m\u1ee7<\/strong><\/h4>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ed9i nhi\u1ec5m vi khu\u1ea9n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ed4 \u00e1p xe gan s\u00e1t v\u1ecf gan ( c\u00e1ch v\u1ecf&lt; 1cm)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng k\u00ednh \u1ed5 \u00e1p xe l\u1edbn<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ch\u1ecdc d\u00f2 n\u00ean ch\u1ecdc d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m, ho\u1eb7c CT b\u1ee5ng h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c kim ch\u1ecdc v\u00e0o \u0111\u00fang v\u1ecb tr\u1ecb \u1ed5 \u00e1p xe h\u1ea1n ch\u1ebf tai bi\u1ebfn.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">S\u1ed1 l\u1ea7n ch\u1ecdc v\u00e0 kho\u1ea3ng c\u00e1ch c\u00e1c l\u1ea7n ch\u1ecdc tu\u1ef3 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 s\u1ed1 l\u01b0\u1ee3ng \u1ed5 \u00e1p xe. Khi ki\u1ec3m tra tr\u00ean si\u00eau \u00e2m th\u1ea5y \u1ed5 \u00e1p xe nh\u1ecf l\u1ea1i v\u00e0 \u0111\u00e3 c\u00f3 nhu m\u00f4 gan \u1edf trong th\u00ec kh\u00f4ng c\u1ea7n ch\u1ecdc h\u00fat n\u1eefa<\/span><\/p>\n<h4 style=\"font-weight: 400;\"><strong>6.5.3. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/strong><\/h4>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0\u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa c\u00f3 ch\u1ec9 \u0111\u1ecbnh khi:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ed4 \u00e1p xe v\u1ee1 v\u00e0o \u1ed5 b\u1ee5ng g\u00e2y n\u00ean c\u00e1c bi\u1ebfn ch\u1ee9ng vi\u00eam ph\u00fac m\u1ea1c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ed4 \u00e1p xe do\u1ea1 v\u1ee1: n\u1ebfu ch\u1ecdc d\u00f2 kh\u00f4ng th\u00e0nh c\u00f4ng hay c\u00f3 bi\u1ebfn ch\u1ee9ng v\u1ee1 th\u00ec ph\u1eabu thu\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ed4 \u00e1p xe qu\u00e1 to<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u00f9ng thu\u1ed1c v\u00e0 ph\u1ed1i h\u1ee3p v\u1edbi ch\u1ecdc d\u00f2 nh\u01b0 tr\u00ean m\u00e0 kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00a0Tham kh\u1ea3o:<a href=\"https:\/\/aasldpubs.onlinelibrary.wiley.com\/doi\/10.1002\/cld.1128\">https:\/\/aasldpubs.onlinelibrary.wiley.com\/doi\/10.1002\/cld.1128<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica. \u00c1p xe gan do amip hay g\u1eb7p \u1edf gan ph\u1ea3i,m\u1ed9t \u1ed5 ho\u1eb7c nhi\u1ec1u \u1ed5 v\u1edbi k\u00edch th\u01b0\u1edbc to nh\u1ecf kh\u00e1c nhau. B\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng ph\u00e2n-mi\u1ec7ng. 1. B\u1ec7nh sinh 1.1. [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip - Vinmec<\/title>\n<meta name=\"description\" content=\"\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip - Vinmec\" \/>\n<meta property=\"og:description\" content=\"\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T14:57:45+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-23T01:52:12+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/CA2200B1-2872-4712-B9A2-F07C33411557.png\" \/>\n<meta name=\"author\" content=\"Thuy Le\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Thuy Le\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/\",\"name\":\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-22T14:57:45+00:00\",\"dateModified\":\"2023-04-23T01:52:12+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e74aa6f13f6c5a6759a52e93ea352cec\"},\"description\":\"\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e74aa6f13f6c5a6759a52e93ea352cec\",\"name\":\"Thuy Le\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/52ff99a7a3da482081e60a2265215add?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/52ff99a7a3da482081e60a2265215add?s=96&d=mm&r=g\",\"caption\":\"Thuy Le\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/lethuy76656gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip - Vinmec","description":"\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip - Vinmec","og_description":"\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/","og_site_name":"Vinmec","article_published_time":"2023-04-22T14:57:45+00:00","article_modified_time":"2023-04-23T01:52:12+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/CA2200B1-2872-4712-B9A2-F07C33411557.png"}],"author":"Thuy Le","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Thuy Le","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/","name":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-22T14:57:45+00:00","dateModified":"2023-04-23T01:52:12+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e74aa6f13f6c5a6759a52e93ea352cec"},"description":"\u00c1p xe gan do amip l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n hay g\u1eb7p \u1edf Vi\u1ec7t Nam, do m\u1ed9t lo\u1ea1i amip g\u00e2y ra: Entamoeba V\u00e9getative Histolytica","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/chan-doan-va-dieu-tri-ap-xe-gan-do-amip\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: \u00c1p xe gan do amip"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e74aa6f13f6c5a6759a52e93ea352cec","name":"Thuy Le","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/52ff99a7a3da482081e60a2265215add?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/52ff99a7a3da482081e60a2265215add?s=96&d=mm&r=g","caption":"Thuy Le"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/lethuy76656gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/24534"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/38"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=24534"}],"version-history":[{"count":10,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/24534\/revisions"}],"predecessor-version":[{"id":27177,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/24534\/revisions\/27177"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=24534"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=24534"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=24534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}