{"id":24952,"date":"2023-04-20T22:14:42","date_gmt":"2023-04-20T15:14:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24952"},"modified":"2023-04-21T10:45:37","modified_gmt":"2023-04-21T03:45:37","slug":"quy-trinh-noi-soi-da-day-ta-trang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/quy-trinh-noi-soi-da-day-ta-trang\/","title":{"rendered":"Quy tr\u00ecnh n\u1ed9i soi d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng"},"content":{"rendered":"

N\u1ed9i soi d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/a> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd c\u1ee7a \u1ed1ng ti\u00eau h\u00f3a t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn DII c\u1ee7a t\u00e1 tr\u00e0ng b\u1eb1ng m\u00e1y n\u1ed9i soi \u1ed1ng m\u1ec1m. T\u1eeb th\u1eadp k\u1ef7 60 c\u1ee7a th\u1ebf k\u1ef7 XX, m\u00e1y n\u1ed9i soi \u1ed1ng m\u1ec1m ra \u0111\u1eddi \u0111\u00e3 m\u1edf ra m\u1ed9t k\u1ef7 nguy\u00ean m\u1edbi cho chuy\u00ean ng\u00e0nh n\u1ed9i soi ti\u00eau h\u00f3a v\u00e0 t\u1eeb th\u1eadp k\u1ef7 90, khi m\u00e1y n\u1ed9i soi \u1ed1ng m\u1ec1m c\u00f3 video ra \u0111\u1eddi \u0111\u00e3 t\u1ea1o ra m\u1ed9t b\u01b0\u1edbc chuy\u1ec3n bi\u1ebfn l\u1edbn lao cho ng\u00e0nh n\u1ed9i soi v\u00e0 m\u00e1y n\u1ed9i soi ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u00e1p d\u1ee5ng c\u00e1c ti\u1ebfn b\u1ed9 m\u1edbi c\u1ea3i ti\u1ebfn k\u00edch th\u01b0\u1edbc, t\u00ednh n\u0103ng k\u1ef9 thu\u1eadt nh\u1eb1m ph\u1ee5c v\u1ee5 cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm c\u00e1c d\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u1ee7a ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n – d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, nh\u1ea5t l\u00e0 vai tr\u00f2 trong ch\u1ea9n \u0111o\u00e1n s\u1edbm ung th\u01b0 c\u0169ng nh\u01b0 gi\u00fap cho n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb (n\u1ed9i soi can thi\u1ec7p), v\u1edbi m\u1ee5c \u0111\u00edch l\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n ph\u1ea3i ch\u1ecbu ph\u1eabu thu\u1eadt.<\/strong><\/p>\n

1. N\u1ed9i soi d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng<\/h2>\n

Soi d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng \u0111\u01b0\u1ee3c ch\u1ec9 d\u1ecbnh trong t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng v\u00e0 \u0111\u01b0\u1ee3c chia l\u00e0m 3 nh\u00f3m: soi c\u1ea5p c\u1ee9u, soi theo k\u1ebf ho\u1ea1ch v\u00e0 n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

1.1. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h3>\n

Soi d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh c\u1ee7a d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng v\u00e0 \u0111\u01b0\u1ee3c chia l\u00e0m 2 lo\u1ea1i:<\/p>\n

1.1.1. Soi c\u1ea5p c\u1ee9u<\/h4>\n

M\u1ee5c \u0111\u00edch \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a cao v\u00e0 t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y ch\u1ea3y m\u00e1u \u0111\u1ed3ng th\u1eddi ti\u00eam thu\u1ed1c c\u1ea7m m\u00e1u n\u1ebfu c\u00f3 ch\u1ea3y m\u00e1u, c\u1ed9t th\u1eaft t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n…<\/p>\n

1.1.2. Soi theo k\u1ebf ho\u1ea1ch<\/h4>\n

Th\u1ef1c hi\u1ec7n khi c\u00f3 nghi ng\u1edd c\u00f3 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng.<\/p>\n

    \n
  • B\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n: nu\u1ed1t v\u01b0\u1edbng, nu\u1ed1t ngh\u1eb9n, nu\u1ed1t \u0111au.<\/li>\n
  • \u0110au th\u01b0\u1ee3ng v\u1ecb, \u1ee3 h\u01a1i, \u1ee3 chua, n\u00f4n, bu\u1ed3n n\u00f4n, ch\u00e1n \u0103n, \u0111\u1ea7y b\u1ee5ng kh\u00f3 ti\u00eau.<\/li>\n
  • Lo\u00e9t d\u1ea1 d\u00e0y \u2013 h\u00e0nh t\u00e1 tr\u00e0ng.<\/li>\n
  • Ung th\u01b0 d\u1ea1 d\u00e0y.<\/li>\n
  • Vi\u00eam d\u1ea1 d\u00e0y.<\/li>\n
  • H\u1eb9p m\u00f4n v\u1ecb.<\/li>\n
  • Giun chui \u1ed1ng m\u1eadt.<\/li>\n
  • Polyp d\u1ea1 d\u00e0y.<\/li>\n
  • Thi\u1ebfu m\u00e1u Biermer.<\/li>\n
  • Crohn.<\/li>\n
  • Thi\u1ebfu m\u00e1u kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/li>\n
  • Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a.<\/li>\n<\/ul>\n

    1.1.3. N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb<\/h4>\n

    Ng\u00e0y nay v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u0169ng nh\u01b0 s\u1ef1 c\u1ea3i ti\u1ebfn kh\u00f4ng ng\u1eebng c\u1ee7a m\u00e1y n\u1ed9i soi v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 n\u1ed9i soi, n\u1ed9i soi can thi\u1ec7p \u0111\u00e3 d\u1ea7n thay th\u1ebf cho ph\u1eabu thu\u1eadt. N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n

      \n
    • C\u1ea7m m\u00e1u qua n\u1ed9i soi.<\/li>\n
    • C\u1eaft polyp qua n\u1ed9i soi.<\/li>\n
    • L\u1ea5y d\u1ecb v\u1eadt qua n\u1ed9i soi.<\/li>\n
    • G\u1eafp giun<\/li>\n
    • Nong th\u1ef1c qu\u1ea3n<\/li>\n
    • \u0110\u1eb7t stent th\u1ef1c qu\u1ea3n<\/li>\n
    • \u0110i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n b\u1eb1ng Laser<\/li>\n
    • M\u1edf th\u00f4ng d\u1ea1 d\u00e0y qua n\u1ed9i soi<\/li>\n
    • C\u1eaft ni\u00eam m\u1ea1c qua n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 s\u1edbm.<\/li>\n<\/ul>\n

      1.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a n\u1ed9i soi d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng<\/h3>\n

      1.2.1. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i <\/strong><\/h4>\n
        \n
      • Suy tim c\u1ea5p.<\/li>\n
      • Nh\u1ed3i m\u00e1u c\u01a1 tim m\u1edbi.<\/li>\n
      • \u0110ang trong t\u00ecnh tr\u1ea1ng s\u1ed1c.<\/li>\n
      • B\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ee3p t\u00e1c (t\u00e2m th\u1ea7n), n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh soi th\u00ec ph\u1ea3i g\u00e2y m\u00ea.<\/li>\n
      • Th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean.<\/li>\n
      • T\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y c\u1ea5p do h\u00f3a ch\u1ea5t ki\u1ec1m v\u00e0 acid.<\/li>\n
      • Ph\u00ecnh gi\u00e3n \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n
      • B\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ed3ng \u00fd.<\/li>\n<\/ul>\n

        1.2.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i<\/h4>\n
          \n
        • C\u01a1n t\u0103ng huy\u1ebft \u00e1p: ch\u1ec9 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c h\u1ea1 \u00e1p, khi huy\u1ebft \u00e1p xu\u1ed1ng b\u00ecnh th\u01b0\u1eddng th\u1ef1c hi\u1ec7n vi\u1ec7c soi.<\/li>\n
        • Huy\u1ebft \u00e1p th\u1ea5p: t\u1ed1i \u0111a < 80 mmHg, t\u1ed1i thi\u1ec3u \u226450mmHg, \u0111i\u1ec1u tr\u1ecb n\u00e2ng huy\u1ebft \u00e1p b\u1eb1ng truy\u1ec1n d\u1ecbch, truy\u1ec1n m\u00e1u, thu\u1ed1c n\u00e2ng huy\u1ebft \u00e1p khi huy\u1ebft \u00e1p l\u00ean s\u1ebd soi. Trong tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, v\u1eeba h\u1ed3i s\u1ee9c v\u1eeba soi, t\u1ed1t nh\u1ea5t n\u00ean ti\u1ebfn h\u00e0nh soi t\u1ea1i khoa c\u1ea5p c\u1ee9u ho\u1eb7c khoa h\u1ed3i s\u1ee9c.<\/li>\n
        • Nh\u1ed3i m\u00e1u c\u01a1 tim ch\u01b0a \u1ed5n \u0111\u1ecbnh.<\/li>\n
        • R\u1ed1i lo\u1ea1n nh\u1ecbp tim\u00a0 Suy h\u00f4 h\u1ea5p.<\/li>\n
        • B\u1ec7nh nh\u00e2n qu\u00e1 gi\u00e0 y\u1ebfu v\u00e0 suy nh\u01b0\u1ee3c.<\/li>\n
        • B\u1ec7nh nh\u00e2n \u0111ang c\u00f3 thai: n\u1ebfu soi c\u1ea7n c\u00f3 s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 th\u00e2n nh\u00e2n<\/li>\n<\/ul>\n

          2. Chu\u1ea9n b\u1ecb<\/h2>\n

          2.1. Ph\u01b0\u01a1ng ti\u1ec7n<\/h3>\n

          M\u00e1y n\u1ed9i soi th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y \u1ed1ng m\u1ec1m lo\u1ea1i nh\u00ecn th\u1eb3ng v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 k\u00e8m theo m\u00e1y soi: m\u00e1y h\u00fat, ngu\u1ed3n s\u00e1ng, m\u00e0n h\u00ecnh, kim sinh thi\u1ebft, \u1ed1ng ng\u1eadm mi\u1ec7ng, kh\u0103n m\u1eb7t…<\/p>\n

          2.2. Thu\u1ed1c g\u00e2y t\u00ea h\u1ecdng <\/strong><\/h3>\n

          Xylocain 2% ho\u1eb7c Lidocain 10%, d\u1ee5ng c\u1ee5 g\u00e2y t\u00ea h\u1ecdng.<\/p>\n

          2.3. Ng\u01b0\u1eddi b\u1ec7nh<\/h3>\n

          Nh\u1ecbn \u0103n t\u1ed1i thi\u1ec3u 6 gi\u1edd tr\u01b0\u1edbc khi soi, b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch k\u1ef9 v\u1ec1 l\u1ee3i \u00edch v\u00e0 tai bi\u1ebfn c\u1ee7a th\u1ee7 thu\u1eadt, b\u1ec7nh nh\u00e2n \u0111\u1ed3ng \u00fd soi. Cho b\u1ec7nh nh\u00e2n u\u1ed1ng thu\u1ed1c ch\u1ed1ng b\u1ecdt d\u1ea1 d\u00e0y nh\u01b0 Simethicon tr\u01b0\u1edbc khi soi 30 ph\u00fat.<\/p>\n

          N\u1ebfu b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa ph\u1ea3i c\u00f3 b\u1ec7nh \u00e1n.<\/p>\n

          2.4. C\u00e1c b\u01b0\u1edbc l\u00e0m th\u1ee7 thu\u1eadt<\/h3>\n

          2.4.1. Chu\u1ea9n b\u1ecb v\u00e0 ki\u1ec3m tra m\u00e1y soi.<\/p>\n

          2.4.2. Ti\u00eam thu\u1ed1c ch\u1ed1ng co th\u1eaft nh\u01b0 Buscopan, Spasfon tr\u01b0\u1edbc khi soi cho b\u1ec7nh nh\u00e2n. Ti\u00eam thu\u1ed1c an th\u1ea7n nh\u01b0 Diazepam cho b\u1ec7nh nh\u00e2n (khi c\u1ea7n thi\u1ebft).<\/p>\n

          2.4.3. G\u00e2y t\u00ea v\u00f9ng h\u1ecdng cho b\u1ec7nh nh\u00e2n b\u1eb1ng Xylocain 2% ho\u1eb7c Lidocain 10%.<\/p>\n

          2.4.4. \u0110\u1eb7t \u1ed1ng ng\u1eadm mi\u1ec7ng v\u00e0o gi\u1eefa 2 cung r\u0103ng v\u00e0 b\u1ea3o b\u1ec7nh nh\u00e2n ng\u1eadm ch\u1eb7t.<\/p>\n

          2.4.5. \u0110\u01b0a m\u00e1y v\u00e0o d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng b\u01a1m h\u01a1i v\u00e0 quan s\u00e1t.<\/p>\n

          2.4.6. Quan s\u00e1t t\u1eeb xa \u0111\u1ebfn g\u1ea7n, v\u1eeba \u0111\u01b0a m\u00e1y v\u1eeba quan s\u00e1t.<\/p>\n

          2.4.7. K\u1ef9 thu\u1eadt soi d\u1ea1 d\u00e0y<\/p>\n

          2.4.7.1. K\u1ef9 thu\u1eadt c\u1ea7m v\u00e0 \u0111\u01b0a m\u00e1y soi qua th\u1ef1c qu\u1ea3n v\u00e0o d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/p>\n

            \n
          • Tay tr\u00e1i gi\u1eef ph\u1ea7n \u0111i\u1ec1u khi\u1ec3n c\u1ee7a v\u00f9ng m\u00e1y soi: ng\u00f3n tay c\u00e1i \u0111i\u1ec1u ch\u1ec9nh ph\u1ea7n ch\u1ec9nh m\u00e1y l\u00ean xu\u1ed1ng, tr\u00e1i ph\u1ea3i; ng\u00f3n tay tr\u1ecf \u1ea5n v\u00e0o van m\u00e0u xanh, khi \u1ea5n nh\u1eb9 l\u00e0 b\u01a1m h\u01a1i, khi \u1ea5n m\u1ea1nh l\u00e0 b\u01a1m r\u1eeda \u0111\u1ea7u \u0111\u00e8n soi v\u00e0 \u1ea5n v\u00e0o van m\u00e0u \u0111\u1ecf khi c\u1ea7n h\u00fat d\u1ecbch d\u1ea1 d\u00e0y.<\/li>\n
          • Tay ph\u1ea3i gi\u1eef m\u00e1y soi \u0111\u1ec3 \u0111\u01b0a m\u00e1y v\u00e0o v\u00e0 r\u00fat m\u00e1y ra.<\/li>\n<\/ul>\n

            2.4.7.2. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh soi<\/p>\n

              \n
            • M\u00e1y soi qua v\u00f9ng h\u1ea7u \u2013 th\u1ef1c qu\u1ea3n\n
                \n
              • Tay ph\u1ea3i gi\u1eef l\u1ea5y m\u00e1y soi \u1edf v\u1ecb tr\u00ed c\u00e1ch \u0111\u1ea7u m\u00e1y kho\u1ea3ng 20 cm, ch\u1ec9nh cho \u0111\u1ea7u m\u00e1y h\u01a1i cong xu\u1ed1ng d\u01b0\u1edbi v\u00e0 \u0111\u01b0a t\u1eeb t\u1eeb v\u00e0o kho\u1ea3ng 15 cm. Ch\u00fa \u00fd ph\u1ea3i \u0111\u1ec3 \u0111\u1ea7u m\u00e1y soi \u1edf ph\u00eda tr\u00ean l\u01b0\u1ee1i.<\/li>\n
              • Khi m\u00e1y t\u1edbi ng\u00e3 3 h\u1ea7u h\u1ecdng, d\u1eebng l\u1ea1i quan s\u00e1t \u0111\u00e1y l\u01b0\u1ee1i, l\u01b0\u1ee1i g\u00e0, n\u1eafp thanh m\u00f4n v\u00e0 ch\u1ed5 n\u1ed1i h\u1ea7u, th\u1ef1c qu\u1ea3n. \u0111\u01b0a \u0111\u1ebfn ch\u1ed5 n\u1ed1i h\u1ea7u th\u1ef1c qu\u1ea3n \u0111\u1ea9y m\u00e1y v\u00e0o th\u1ef1c qu\u1ea3n.<\/li>\n
              • M\u00e1y soi v\u00e0o th\u1ef1c qu\u1ea3n: ch\u00fa \u00fd n\u00ean \u0111\u1ec3 \u0111\u00e8n soi \u1edf v\u1ecb tr\u00ed gi\u1eefa th\u1ef1c qu\u1ea3n b\u1eb1ng c\u00e1ch xoay \u0111\u00e8n nh\u1eb9 sang tr\u00e1i ho\u1eb7c sang ph\u1ea3i quan s\u00e1t to\u00e0n b\u1ed9 ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n.<\/li>\n
              • M\u00e1y soi v\u00e0o d\u1ea1 d\u00e0y: sau khi \u0111\u01b0a \u0111\u00e8n qua t\u00e2m v\u1ecb, \u0111\u1ecbnh h\u01b0\u1edbng b\u1edd cong l\u1edbn c\u1ee7a th\u00e2n v\u1ecb theo h\u01b0\u1edbng c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c ch\u1ea1y d\u1ecdc, xoay \u0111\u00e8n theo chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3 cho t\u1edbi khi b\u1edd cong l\u1edbn c\u1ee7a th\u00e2n d\u1ea1 d\u00e0y \u1edf v\u1ecb tr\u00ed 6 gi\u1edd, b\u1edd cong nh\u1ecf 12 gi\u1edd l\u00e0 h\u01b0\u1edbng \u0111i \u0111\u00fang. B\u01a1m h\u01a1i v\u00e0 ch\u1ec9nh m\u00e1y nh\u1eb9 l\u00ean tr\u00ean \u0111\u1ea9y m\u00e1y v\u00e0o s\u1ebd th\u1ea5y hang v\u1ecb v\u00e0 l\u1ed5 m\u00f4n v\u1ecb.<\/li>\n
              • \u0110\u01b0a \u0111\u00e8n qua l\u1ed5 m\u00f4n v\u1ecb: \u0111\u01b0a \u0111\u00e8n t\u1edbi s\u00e1t l\u1ed5 m\u00f4n v\u1ecb, ch\u1ec9nh \u0111\u1ea7u \u0111\u00e8n sao cho \u0111\u1ea7u \u0111\u00e8n \u0111\u1ed1i di\u1ec7n v\u1edbi l\u1ed5 m\u00f4n v\u1ecb, khi l\u1ed5 m\u00f4n v\u1ecb m\u1edf, \u0111\u1ea9y m\u00e1y qua xu\u1ed1ng h\u00e0nh t\u00e1 tr\u00e0ng<\/li>\n
              • M\u00e1y soi xu\u1ed1ng h\u00e0nh t\u00e1 tr\u00e0ng: ch\u1ec9nh \u0111\u1ea7u \u0111\u00e8n t\u1edbi v\u1ecb tr\u00ed \u0111\u1ec9nh h\u00e0nh t\u00e1 tr\u00e0ng, quay \u0111\u00e8n sang ph\u1ea3i v\u00e0 ch\u1ec9nh \u0111\u1ea7u \u0111\u00e8n l\u00ean tr\u00ean kho\u1ea3ng 900<\/sup>, sau \u0111\u00f3 \u0111\u1ea9y \u0111\u00e8n qua g\u1ed1i tr\u00ean h\u00e0nh t\u00e1 tr\u00e0ng, \u0111\u00e8n s\u1ebd xu\u1ed1ng t\u00e1 tr\u00e0ng, ti\u1ebfp t\u1ee5c \u0111\u1ea9y \u0111\u00e8n \u0111\u1ebfn cu\u1ed1i DII t\u00e1 tr\u00e0ng, quay \u0111\u00e8n sang ph\u1ea3i v\u00e0 t\u1eeb t\u1eeb r\u00fat \u0111\u00e8n ra \u0111\u1ec3 quan s\u00e1t ni\u00eam m\u1ea1c t\u00e1 tr\u00e0ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                \u0110\u1ec3 quan s\u00e1t nh\u1eefng v\u00f9ng kh\u00f3 quan s\u00e1t trong d\u1ea1 d\u00e0y nh\u01b0 g\u00f3c b\u1edd cong nh\u1ecf, t\u00e2m v\u1ecb, ph\u00ecnh v\u1ecb, th\u00e2n v\u1ecb v\u1ec1 ph\u00eda b\u1edd cong nh\u1ecf th\u00ec ph\u1ea3i s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt n\u1ed9i soi ng\u01b0\u1ee3c v\u1edbi c\u00e1c b\u01b0\u1edbc sau: r\u00fat \u0111\u00e8n ra t\u1edbi ranh gi\u1edbi gi\u1eefa th\u00e2n v\u00e0 hang v\u1ecb, khi nh\u00ecn th\u1ea5y g\u00f3c b\u1edd cong nh\u1ecf, ch\u1ec9nh \u0111\u1ea7u \u0111\u00e8n l\u00ean tr\u00ean t\u1ed1i \u0111a v\u00e0 \u0111\u1ea9y \u0111\u00e8n, khi \u0111\u00e8n sang ph\u1ea7n \u0111\u1ee9ng c\u1ee7a d\u1ea1 d\u00e0y, r\u00fat \u0111\u00e8n ra m\u1ed9t \u0111o\u1ea1n\u0111\u1ec1 quan s\u00e1t t\u00e2m v\u00e0 ph\u00ecnh v\u1ecb. Mu\u1ed1n quan s\u00e1t ph\u00ecnh v\u1ecb ph\u1ea3i quay \u0111\u00e8n m\u1ed9t g\u00f3c sang ph\u1ea3i 1800<\/sup> b\u1eb1ng c\u00e1ch chuy\u1ec3n m\u00e1y soi sang ph\u1ea3i. N\u1ebfu mu\u1ed1n quan s\u00e1t b\u1edd cong nh\u1ecf v\u00e0 th\u00e2n v\u1ecb ph\u00eda b\u1edd cong nh\u1ecf l\u1ea1i \u0111\u01b0a \u0111\u00e8n v\u00e0o t\u1eeb t\u1eeb. Mu\u1ed1n \u0111\u00e8n tr\u1edf l\u1ea1i hang v\u1ecb ch\u1ec9nh \u0111\u1ea7u \u0111\u00e8n xu\u1ed1ng.<\/p>\n

                Nh\u1eefng v\u00f9ng quan s\u00e1t kh\u00f3 \u1edf th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/p>\n

                + Th\u1ef1c qu\u1ea3n: ph\u1ea7n \u0111\u1ea7u c\u1ee7a th\u1ef1c qu\u1ea3n kh\u00f4ng quan s\u00e1t \u0111\u01b0\u1ee3c l\u00fac v\u00e0o n\u00ean khi r\u00fat m\u00e1y ph\u1ea3i xem l\u1ea1i.<\/p>\n

                + D\u1ea1 d\u00e0y: t\u00e2m v\u1ecb, ph\u00ecnh v\u1ecb, g\u00f3c b\u1edd cong nh\u1ecf, th\u00e2n v\u1ecb v\u1ec1 ph\u00eda b\u1edd cong nh\u1ecf (soi ng\u01b0\u1ee3c).<\/p>\n

                + H\u00e0nh t\u00e1 tr\u00e0ng: m\u1eb7t sau, ph\u1ea7n h\u00e0nh t\u00e1 tr\u00e0ng ngay sau l\u1ed5 m\u00f4n v\u1ecb, g\u1ed1i tr\u00ean, m\u1eb7t sau c\u1ee7a DII.<\/p>\n

                Khi quan s\u00e1t c\u1ea7n m\u00f4 t\u1ea3 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u1ec1: m\u00e0u s\u1eafc, \u0111\u1ed9 to nh\u1ecf c\u1ee7a c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c, t\u00ednh ch\u1ea5t nh\u1eb3n b\u00f3ng c\u1ee7a c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c, c\u00e1c m\u1ea1ch m\u00e1u, c\u00e1c ch\u1ea5m, n\u1ed1t, m\u1ea3ng sung huy\u1ebft v\u00e0 ch\u1ea3y m\u00e1u.<\/p>\n

                Khi quan s\u00e1t \u1ed5 lo\u00e9t, kh\u1ed1i u c\u1ea7n m\u00f4 t\u1ea3: k\u00edch th\u01b0\u1edbc, v\u1ecb tr\u00ed, b\u1edd, \u0111\u00e1y, ni\u00eam m\u1ea1c xung quanh \u1ed5 lo\u00e9t, kh\u1ed1i u. Quan s\u00e1t m\u00e0u s\u1eafc, kh\u1ed1i l\u01b0\u1ee3ng, m\u00f9i c\u1ee7a d\u1ecbch v\u1ecb.<\/p>\n

                2.4.7. Ti\u1ebfn h\u00e0nh c\u00e1c th\u1ee7 thu\u1eadt c\u1ea7n thi\u1ebft nh\u01b0: sinh thi\u1ebft, l\u00e0m test Urease, c\u1eaft polyp…<\/p>\n

                2.5. \u00cdch l\u1ee3i v\u00e0 nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p soi d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng<\/h3>\n

                2.5.1. L\u1ee3i \u00edch v\u1ec1 ch\u1ea9n \u0111o\u00e1n<\/h4>\n
                  \n
                • Ch\u00ednh x\u00e1c h\u01a1n nhi\u1ec1u so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p d\u1ea1 d\u00e0y b\u1eb1ng thu\u1ed1c c\u1ea3n quang, nh\u1ea5t l\u00e0 tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 c\u1eaft d\u1ea1 d\u00e0y.<\/li>\n
                • Ch\u1ea9n \u0111o\u00e1n s\u1edbm ung th\u01b0 d\u1ea1 d\u00e0y v\u00e0 ung th\u01b0 th\u1ef1c qu\u1ea3n v\u00ec khi ch\u1ee5p d\u1ea1 d\u00e0y m\u00e0 th\u1ea5y t\u1ed5n th\u01b0\u01a1ng th\u00ec \u0111\u00e3 qu\u00e1 mu\u1ed9n, c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1edbm b\u1eb1ng sinh thi\u1ebft khi kh\u1ed1i u c\u00f2n \u1edf d\u01b0\u1edbi ni\u00eam m\u1ea1c.<\/li>\n
                • L\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n vi\u00eam d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n ch\u00ednh x\u00e1c.<\/li>\n
                • C\u00f3 nh\u1eefng b\u1ec7nh x quang kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u00e0 ch\u1ec9 c\u00f3 b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi m\u1edbi c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c nh\u01b0: hi\u1ec7n t\u01b0\u1ee3ng tr\u00e0o ng\u01b0\u1ee3c d\u1ecbch d\u1ea1 d\u00e0y, d\u1ecbch t\u00e1 tr\u00e0ng.<\/li>\n
                • Trong xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a cao th\u00ec soi th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y c\u00f3 nhi\u1ec1u \u00edch l\u1ee3i, n\u00f3 c\u00f3 th\u1ec3 cho bi\u1ebft \u0111ang c\u00f2n ch\u1ea3y m\u00e1u hay \u0111\u00e3 c\u1ea7m, nguy\u00ean nh\u00e2n c\u1ee7a ch\u1ea3y m\u00e1u \u0111\u1ec3 \u0111\u1ec1 ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n
                • Qua soi t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 ch\u1ee5p \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng m\u1eadt t\u1ee5y.<\/li>\n<\/ul>\n

                  2.5.2. L\u1ee3i \u00edch v\u1ec1 \u0111i\u1ec1u tr\u1ecb<\/h4>\n
                    \n
                  • C\u1ea7m m\u00e1u r\u1ea5t hi\u1ec7u qu\u1ea3 b\u1eb1ng \u0111\u1ed1t \u0111i\u1ec7n, laser, ti\u00eam thu\u1ed1c, k\u1eb9p kim lo\u1ea1i, c\u1eaft polyp.<\/li>\n
                  • M\u1edf th\u00f4ng d\u1ea1 d\u00e0y qua soi d\u1ea1 d\u00e0y trong h\u1eb9p th\u1ef1c qu\u1ea3n do ung th\u01b0 th\u1ef1c qu\u1ea3n, ch\u1ea5n th\u01b0\u01a1ng, h\u00f4n m\u00ea…<\/li>\n
                  • L\u1ea5y giun trong tr\u01b0\u1eddng h\u1ee3p giun chui \u1ed1ng m\u1eadt (khi giun ch\u01b0a chui h\u1eb3n v\u00e0o \u1ed1ng m\u1eadt ch\u1ee7).<\/li>\n
                  • X\u01a1 h\u00f3a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, th\u1eaft t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n trong tr\u01b0\u1eddng h\u1ee3p gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda.<\/li>\n
                  • N\u1ed9i soi ch\u1ea9n \u0111o\u00e1n v\u00e0 n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb lu\u00f4n lu\u00f4n g\u1eafn li\u1ec1n v\u1edbi nhau.<\/li>\n<\/ul>\n

                    2.5.3. H\u1ea1n ch\u1ebf<\/h4>\n

                    D\u1ea1 d\u00e0y l\u00e0 m\u1ed9t t\u1ea1ng lu\u00f4n lu\u00f4n co b\u00f3p, l\u00e0 n\u01a1i ch\u1ee9a th\u1ee9c \u0103n do \u0111\u00f3 quan s\u00e1t ph\u1ea3i th\u1eadt nhanh v\u00e0 d\u1ea1 d\u00e0y ph\u1ea3i th\u1eadt s\u1ea1ch, n\u1ebfu kh\u00f4ng s\u1ea1ch th\u1ee9c \u0103n s\u1ebd l\u00e0m nh\u1ea7m t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i b\u1ecf qua t\u1ed5n th\u01b0\u01a1ng do th\u1ee9c \u0103n che l\u1ea5p.<\/p>\n

                    2.5.4. Tai bi\u1ebfn<\/h4>\n
                      \n
                    • \u0110\u01b0a nh\u1ea7m m\u00e1y soi v\u00e0o kh\u00ed qu\u1ea3n.<\/li>\n
                    • Th\u1ee7ng th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y.<\/li>\n
                    • V\u00e0o \u0111\u1ebfn l\u1ed5 t\u00e2m v\u1ecb qu\u1eb7t ng\u01b0\u1ee3c \u0111\u00e8n qu\u00e1 m\u1ee9c, \u0111\u1ea7u \u0111\u00e8n quay ng\u01b0\u1ee3c l\u1ea1i th\u1ef1c qu\u1ea3n do \u0111\u00f3 kh\u00f4ng \u0111\u01b0a \u0111\u00e8n ra ho\u1eb7c v\u00e0o \u0111\u01b0\u1ee3c, ph\u1ea3i ph\u1eabu thu\u1eadt.<\/li>\n
                    • Ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng nh\u1ea5t l\u00e0 c\u1eaft polyp, l\u1ea5y d\u1ecb v\u1eadt.<\/li>\n
                    • Tr\u1eadt kh\u1edbp h\u00e0m, nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb tr\u1eadt kh\u1edbp h\u00e0m m\u1ea1n t\u00ednh.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                      N\u1ed9i soi d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd c\u1ee7a \u1ed1ng ti\u00eau h\u00f3a t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn DII c\u1ee7a t\u00e1 tr\u00e0ng b\u1eb1ng m\u00e1y n\u1ed9i soi \u1ed1ng m\u1ec1m. T\u1eeb th\u1eadp k\u1ef7 60 c\u1ee7a th\u1ebf k\u1ef7 XX, m\u00e1y n\u1ed9i soi \u1ed1ng m\u1ec1m ra \u0111\u1eddi \u0111\u00e3 m\u1edf ra m\u1ed9t k\u1ef7 […]<\/p>\n","protected":false},"author":15,"featured_media":25220,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nQuy tr\u00ecnh n\u1ed9i soi d\u1ea1 d\u00e0y - t\u00e1 tr\u00e0ng - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u1ed9i soi d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd c\u1ee7a \u1ed1ng ti\u00eau h\u00f3a t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn DII c\u1ee7a t\u00e1 tr\u00e0ng b\u1eb1ng m\u00e1y n\u1ed9i soi \u1ed1ng m\u1ec1m.\" \/>\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=\"Quy tr\u00ecnh n\u1ed9i soi d\u1ea1 d\u00e0y - 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