{"id":24605,"date":"2023-05-16T00:33:24","date_gmt":"2023-05-15T17:33:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24605"},"modified":"2023-05-16T00:33:24","modified_gmt":"2023-05-15T17:33:24","slug":"vai-tro-cua-sieu-am-noi-soi-trong-chan-doan-viem-tuy-man","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/vai-tro-cua-sieu-am-noi-soi-trong-chan-doan-viem-tuy-man\/","title":{"rendered":"Vai tr\u00f2 c\u1ee7a si\u00eau \u00e2m n\u1ed9i soi trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n"},"content":{"rendered":"

Si\u00eau \u00e2m n\u1ed9i soi (EUS<\/a>) l\u00e0 m\u1ed9t c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn v\u00e0 \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau h\u00f3a, \u0111\u1eb7c bi\u1ec7t l\u00e0 vi\u00eam t\u1ee5y m\u1ea1n. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 vai tr\u00f2 c\u1ee7a EUS trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n v\u00e0 nh\u1eefng l\u1ee3i \u00edch m\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y mang l\u1ea1i.<\/strong><\/p>\n

\"\"<\/p>\n

1. Gi\u1edbi thi\u1ec7u v\u1ec1 vi\u00eam t\u1ee5y m\u1ea1n<\/h2>\n

Vi\u00eam t\u1ee5y m\u1ea1n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn vi\u00eam ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a tuy\u1ebfn t\u1ee5y. B\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i, vi\u00eam t\u1ee5y m\u1ea1n c\u1ea5p t\u00ednh v\u00e0 vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh. Vi\u00eam t\u1ee5y m\u1ea1n c\u1ea5p t\u00ednh th\u01b0\u1eddng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 s\u1ed1t. Vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, s\u00fat c\u00e2n v\u00e0 nguy c\u01a1 ti\u1ec3u \u0111\u01b0\u1eddng,…<\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n bao g\u1ed3m x\u00e9t nghi\u1ec7m m\u00e1u, si\u00eau \u00e2m, CT, MRI v\u00e0 EUS. Tuy nhi\u00ean, EUS l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao nh\u1ea5t trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n.<\/p>\n

2. Vai tr\u00f2 c\u1ee7a EUS trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n<\/h2>\n

C\u00e1c vai tr\u00f2 ch\u00ednh c\u1ee7a EUS trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n bao g\u1ed3m:<\/p>\n

    \n
  • EUS cho ph\u00e9p b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a tuy\u1ebfn t\u1ee5y, \u0111\u1ed3ng th\u1eddi x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 vi\u00eam v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a tuy\u1ebfn t\u1ee5y.<\/li>\n
  • Ngo\u00e0i ra, EUS c\u00f2n cho ph\u00e9p b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ebfn \u0111\u1ed5i b\u00ean ngo\u00e0i tuy\u1ebfn t\u1ee5y, bao g\u1ed3m c\u00e1c kh\u1ed1i u ho\u1eb7c c\u00e1c bi\u1ebfn \u0111\u1ed5i trong c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn, gi\u00fap \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u1ec1 b\u1ec7nh l\u00fd.<\/li>\n
  • N\u1ebfu c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng EUS \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o c\u1ee7a tuy\u1ebfn t\u1ee5y ho\u1eb7c c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0 ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c.\u01b0<\/li>\n
  • \u00a0Theo American College of Gastroenterology : “EUS \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1ea5t cho vi\u00eam t\u1ee5y m\u1ea1n. N\u00f3 cho ph\u00e9p \u0111\u00e1nh gi\u00e1 chi ti\u1ebft v\u1ec1 tuy\u1ebfn t\u1ee5y v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng thay \u0111\u1ed5i s\u1edbm trong tuy\u1ebfn t\u1ee5y m\u00e0 kh\u00f4ng th\u1ea5y tr\u00ean c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh kh\u00e1c. EUS c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a vi\u00eam t\u1ee5y m\u1ea1n v\u00e0 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh theo th\u1eddi gian.”<\/li>\n
  • Theo National Pancreas Foundation: “EUS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 qu\u00fd gi\u00e1 trong ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd vi\u00eam t\u1ee5y m\u1ea1n. N\u00f3 cung c\u1ea5p m\u1ed9t c\u00e1i nh\u00ecn chi ti\u1ebft v\u1ec1 tuy\u1ebfn t\u1ee5y v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng thay \u0111\u1ed5i s\u1edbm trong tuy\u1ebfn t\u1ee5y m\u00e0 kh\u00f4ng th\u1ea5y tr\u00ean c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh kh\u00e1c. EUS c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a vi\u00eam t\u1ee5y m\u1ea1n v\u00e0 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh theo th\u1eddi gian.”<\/li>\n<\/ul>\n

    3. \u01afu \u0111i\u1ec3m c\u1ee7a EUS trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n<\/h2>\n

    EUS (si\u00eau \u00e2m n\u1ed9i soi) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ed9c \u0111\u00e1o v\u00e0 c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n, bao g\u1ed3m:<\/p>\n

      \n
    • \u0110\u1ed9 ch\u00ednh x\u00e1c cao: EUS cho ph\u00e9p b\u00e1c s\u0129 xem qua c\u00e1c c\u1ea5u tr\u00fac n\u1ed9i t\u1ea1ng v\u00e0 m\u00f4 m\u1ec1m g\u1ea7n tuy\u1ebfn t\u1ee5y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng, \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u, \u0111\u1ed3ng th\u1eddi x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 si\u00eau \u00e2m ho\u1eb7c CT.<\/li>\n
    • Kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng: EUS kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng, gi\u00fap gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 gi\u1ea3m th\u1eddi gian ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt.<\/li>\n
    • Ti\u1ebft ki\u1ec7m th\u1eddi gian: EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n.<\/li>\n
    • Kh\u00f4ng \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n: EUS \u00edt \u0111au \u0111\u1edbn h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 ch\u1ecdc d\u00f2 t\u1ee7y s\u1ed1ng.<\/li>\n
    • Cho ph\u00e9p l\u1ea5y m\u1eabu t\u1ebf b\u00e0o: EUS cho ph\u00e9p b\u00e1c s\u0129 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o c\u1ee7a kh\u1ed1i u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0.<\/li>\n
    • Cho ph\u00e9p \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c c\u1ee7a kh\u1ed1i u: EUS cho ph\u00e9p \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c c\u1ee7a kh\u1ed1i u v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u v\u00e0o c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn.<\/li>\n
    • H\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y: EUS c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y, bao g\u1ed3m EUS-guided celiac plexus block \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

      4. H\u1ea1n ch\u1ebf c\u1ee7a EUS<\/h2>\n

      M\u1eb7c d\u00f9 EUS (si\u00eau \u00e2m n\u1ed9i soi) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ed9c \u0111\u00e1o v\u00e0 c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n, nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, bao g\u1ed3m:<\/p>\n

      – Ph\u01b0\u01a1ng ph\u00e1p kh\u00f3 th\u1ef1c hi\u1ec7n: EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f3 th\u1ef1c hi\u1ec7n v\u00e0 \u0111\u00f2i h\u1ecfi k\u1ef9 n\u0103ng v\u00e0 kinh nghi\u1ec7m c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 th\u1ef1c hi\u1ec7n.<\/p>\n

      – Ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eaft ti\u1ec1n: EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eaft ti\u1ec1n v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o hi\u1ec3m b\u1edfi m\u1ed9t s\u1ed1 h\u1ec7 th\u1ed1ng b\u1ea3o hi\u1ec3m y t\u1ebf.<\/p>\n

      – Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng: EUS c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng do vi\u1ec7c \u0111\u01b0a \u1ed1ng si\u00eau \u00e2m qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n

      – Kh\u00f3 kh\u1ea3o s\u00e1t tuy\u1ebfn t\u1ee5y: \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tuy\u1ebfn t\u1ee5y b\u1ecb t\u0103ng k\u00edch th\u01b0\u1edbc qu\u00e1 to ho\u1eb7c n\u1eb1m s\u00e2u trong b\u1ee5ng, vi\u1ec7c s\u1eed d\u1ee5ng EUS c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c kh\u1ea3o s\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 tuy\u1ebfn t\u1ee5y.<\/p>\n

      – Kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n t\u1ea5t c\u1ea3 c\u00e1c b\u1ea5t th\u01b0\u1eddng: M\u1eb7c d\u00f9 EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ed9c \u0111\u00e1o v\u00e0 c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao, nh\u01b0ng n\u00f3 kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n t\u1ea5t c\u1ea3 c\u00e1c b\u1ea5t th\u01b0\u1eddng trong tuy\u1ebfn t\u1ee5y.<\/p>\n

      5. M\u1ed9t s\u1ed1 r\u1ee7i ro khi th\u1ef1c hi\u1ec7n<\/h2>\n

      T\u00f3m l\u1ea1i, EUS l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n. \u0110\u1ed9 ch\u00ednh x\u00e1c cao, kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng, ti\u1ebft ki\u1ec7m th\u1eddi gian, \u00edt \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n v\u00e0 cho ph\u00e9p l\u1ea5y m\u1eabu t\u1ebf b\u00e0o l\u00e0 nh\u1eefng \u01b0u \u0111i\u1ec3m ch\u00ednh c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf v\u00e0 nh\u1eefng h\u1ea1n ch\u1ebf n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n c\u00e2n nh\u1eafc tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng EUS \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Si\u00eau \u00e2m n\u1ed9i soi (EUS) l\u00e0 m\u1ed9t c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn v\u00e0 \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau h\u00f3a, \u0111\u1eb7c bi\u1ec7t l\u00e0 vi\u00eam t\u1ee5y m\u1ea1n. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 vai tr\u00f2 c\u1ee7a EUS trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n […]<\/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":[],"yoast_head":"\nVai tr\u00f2 c\u1ee7a si\u00eau \u00e2m n\u1ed9i soi trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n - Vinmec<\/title>\n<meta name=\"description\" content=\"Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 vai tr\u00f2 c\u1ee7a EUS trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n v\u00e0 nh\u1eefng l\u1ee3i \u00edch m\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y mang l\u1ea1i...\" \/>\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=\"Vai tr\u00f2 c\u1ee7a si\u00eau \u00e2m n\u1ed9i soi trong ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u1ee5y m\u1ea1n - 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