{"id":25476,"date":"2023-04-21T20:27:08","date_gmt":"2023-04-21T13:27:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25476"},"modified":"2023-04-21T20:27:08","modified_gmt":"2023-04-21T13:27:08","slug":"phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng"},"content":{"rendered":"<p><strong>20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/noi-soi-da-day-co-may-cach-duoc-thuc-hien-nhu-nao\/\">Soi d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng<\/a> kh\u00f4ng nh\u1eefng gi\u00fap \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng g\u00e2y ch\u1ea3y m\u00e1u m\u00e0 c\u00f2n ti\u00ean l\u01b0\u1ee3ng v\u00e0 \u0111\u1ec1 ra ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd th\u00edch h\u1ee3p.<\/li>\n<li>T\u1ec9 l\u1ec7 t\u1eed vong do bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u \u1edf \u1ed5 lo\u00e9t kho\u1ea3ng 10% trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea3y m\u00e1u, 80% ng\u1eebng ch\u1ea3y m\u00e1u t\u1ef1 nhi\u00ean.<\/li>\n<li>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb ch\u1ea3y m\u00e1u t\u1ea1i \u1ed5 lo\u00e9t s\u1ebd \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 trong 90% tr\u01b0\u1eddng h\u1ee3p. T\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t c\u1ee7a ch\u1ea3y m\u00e1u do t\u1ed5n th\u01b0\u01a1ng c\u00e1c mao m\u1ea1ch t\u1ea1i \u1ed5 lo\u00e9t \u0111\u00e3 h\u1ea1 t\u1eeb 50% c\u00f2n kho\u1ea3ng 10% nh\u1edd c\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1ea7m m\u00e1u n\u00e0y.<\/li>\n<li>Ti\u00ean l\u01b0\u1ee3ng ch\u1ea3y m\u00e1u do lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng nh\u01b0: m\u1ee9c \u0111\u1ed9 ch\u1ea3y m\u00e1u (t\u00ecnh tr\u1ea1ng s\u1ed1c), tu\u1ed5i, c\u00e1c b\u1ec7nh ph\u1ed1i h\u1ee3p (suy tim, suy h\u00f4 h\u1ea5p \u2026), s\u1ed1 l\u1ea7n t\u00e1i ph\u00e1t c\u1ee7a ch\u1ea3y m\u00e1u.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u0111\u00e3 l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t c\u1ee7a ch\u1ea3y m\u00e1u.<\/li>\n<\/ul>\n<p><strong>B\u1ea3ng: Gi\u00e1 tr\u1ecb ti\u00ean l\u01b0\u1ee3ng theo ph\u00e2n lo\u1ea1i Forrest qua n\u1ed9i soi<\/strong><\/p>\n<table width=\"595\">\n<tbody>\n<tr>\n<td width=\"223\"><strong>Lo\u1ea1i m\u00f4 t\u1ea3 <\/strong><\/td>\n<td width=\"84\"><strong>Xu\u1ea5t \u0111\u1ed9 <\/strong><\/p>\n<p><strong>(%) <\/strong><\/td>\n<td width=\"96\"><strong>XH t\u00e1i ph\u00e1t (%) <\/strong><\/td>\n<td width=\"96\"><strong>\u0110i\u1ec1u tr\u1ecb ngo\u1ea1i (%) <\/strong><\/td>\n<td width=\"96\"><strong>T\u1eed vong <\/strong><\/p>\n<p><strong>(%) <\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"223\">I. Ch\u1ea3y m\u00e1u th\u00e0nh tia (IA);<\/p>\n<p>Ch\u1ea3y r\u1ec9 r\u1ea3 (IB)<\/td>\n<td width=\"84\">18<\/td>\n<td width=\"96\">55<\/td>\n<td width=\"96\">35<\/td>\n<td width=\"96\">11<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">IIA. L\u1ed9 m\u1ea1ch m\u00e1u<\/td>\n<td width=\"84\">17<\/td>\n<td width=\"96\">43<\/td>\n<td width=\"96\">34<\/td>\n<td width=\"96\">11<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">IIB. C\u1ee5c m\u00e1u \u0111\u00f4ng b\u00e1m<\/p>\n<p>d\u00ednh<\/td>\n<td width=\"84\">17<\/td>\n<td width=\"96\">22<\/td>\n<td width=\"96\">10<\/td>\n<td width=\"96\">7<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">IIC. Nh\u1eefng ch\u1ea5m kh\u00e1c m\u00e0u<\/td>\n<td width=\"84\">20<\/td>\n<td width=\"96\">10<\/td>\n<td width=\"96\">6<\/td>\n<td width=\"96\">3<\/td>\n<\/tr>\n<tr>\n<td width=\"223\">III. \u0111\u00e1y \u1ed5 lo\u00e9t s\u1ea1ch<\/td>\n<td width=\"84\">42<\/td>\n<td width=\"96\">5<\/td>\n<td width=\"96\">0,5<\/td>\n<td width=\"96\">2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&#8211; H\u00ecnh \u1ea3nh n\u1ed9i soi kh\u00e1c nhau s\u1ebd \u0111\u01b0a ra c\u00e1c th\u00f4ng tin g\u00f3p ph\u1ea7n ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh.<\/p>\n<figure id=\"attachment_25517\" aria-describedby=\"caption-attachment-25517\" style=\"width: 550px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25517\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/forrest.webp\" alt=\"n\u1ed9i soi c\u1ea7m m\u00e1u\" width=\"550\" height=\"368\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/forrest.webp 550w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/forrest-300x201.webp 300w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/><figcaption id=\"caption-attachment-25517\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh n\u1ed9i soi theo ph\u00e2n \u0111\u1ed9 Forrest<\/figcaption><\/figure>\n<p>&#8211; C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u t\u1ea1i \u1ed5 lo\u00e9t s\u1ebd \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<p>+ \u1ed4 lo\u00e9t \u0111ang ch\u1ea3y m\u00e1u do t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c mao m\u1ea1ch \u1edf \u0111\u00e1y \u1ed5 lo\u00e9t theo ph\u00e2n lo\u1ea1i Forrest Ia, Ib, IIa v\u00e0 IIb.<\/p>\n<p>+ B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao t\u00e1i ph\u00e1t ch\u1ea3y m\u00e1u do c\u00f3 c\u00e1c b\u1ec7nh ph\u1ed1i h\u1ee3p kh\u00e1c.<\/p>\n<h2>2.\u00a0 C\u00e1c nguy\u00ean t\u1eafc ch\u00ednh<\/h2>\n<h3>2.1.\u00a0 Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n<\/h3>\n<ul>\n<li>Ph\u1ea3i h\u1ed3i s\u1ee9c t\u1ed1t cho b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng huy\u1ebft \u0111\u1ed9ng h\u1ecdc (m\u1ea1ch, huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh).<\/li>\n<li>V\u1ea5n \u0111\u1ec1 r\u1eeda d\u1ea1 d\u00e0y \u0111ang \u0111\u01b0\u1ee3c b\u00e0n c\u00e3i. Nhi\u1ec1u nh\u00e0 n\u1ed9i soi khuy\u00ean r\u1eb1ng: n\u00ean d\u00f9ng m\u00e1y soi c\u00f3 k\u00eanh ho\u1ea1t \u0111\u1ed9ng l\u1edbn (\u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng b\u1ecb t\u1eafc k\u00eanh trong khi b\u01a1m r\u1eeda c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng) \u0111\u1ec3 b\u01a1m r\u1eeda v\u00e0 h\u00fat s\u1ea1ch c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong d\u1ea1 d\u00e0y. N\u1ebfu nh\u01b0 kh\u00f4ng h\u00fat h\u1ebft \u0111\u01b0\u1ee3c s\u1ea1ch c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong d\u1ea1 d\u00e0y, l\u00e0m c\u1ea3n tr\u1edf \u0111\u1ebfn vi\u1ec7c nh\u1eadn x\u00e9t ch\u00ednh x\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u00ec l\u00fac \u0111\u00f3 ph\u1ea3i ti\u1ebfn h\u00e0nh r\u1eeda d\u1ea1 d\u00e0y ho\u1eb7c d\u00f9ng c\u00e1c thu\u1ed1c mau l\u00e0m tr\u1ed1ng d\u1ea1 d\u00e0y \u0111\u1ec3 l\u00e0m s\u1ea1ch m\u00e1u trong d\u1ea1 d\u00e0y tr\u01b0\u1edbc khi soi 30 ph\u00fat \u0111\u1ebfn 1 gi\u1edd nh\u01b0 erythromycin 120mg ti\u00eam m\u1ea1ch ho\u1eb7c metoclopramid 10mg (primperan) ti\u00eam m\u1ea1ch.<\/li>\n<li>N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 suy h\u00f4 h\u1ea5p ho\u1eb7c r\u1ed1i lo\u1ea1n tri gi\u00e1c \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n trong qu\u00e1 tr\u00ecnh l\u00e0m n\u1ed9i soi.<\/li>\n<li>Kh\u00f4ng d\u00f9ng thu\u1ed1c an th\u1ea7n ho\u1eb7c g\u00e2y t\u00ea h\u1ecdng n\u1ebfu b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng h\u1ecdc v\u00ec trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y b\u1ec7nh nh\u00e2n d\u1ec5 b\u1ecb s\u1eb7c v\u00e0 suy h\u00f4 h\u1ea5p, gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u.<\/li>\n<\/ul>\n<h3>2.2.\u00a0 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h3>\n<ul>\n<li>C\u00f3 d\u1ea5u hi\u1ec7u nghi ng\u1edd th\u1ee7ng d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng.<\/li>\n<li>C\u00f3 d\u1ea5u hi\u1ec7u nhi\u1ec5m khu\u1ea9n ph\u00fac m\u1ea1c.<\/li>\n<\/ul>\n<h3>2.3.\u00a0 C\u00e1c nguy\u00ean t\u1eafc ch\u00ednh v\u1ec1 k\u1ef9 thu\u1eadt<\/h3>\n<ul>\n<li>D\u00f9ng m\u00e1y n\u1ed9i soi c\u00f3 k\u00eanh ho\u1ea1t \u0111\u1ed9ng l\u1edbn ho\u1eb7c c\u00f3 2 k\u00eanh ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<li>N\u1ebfu c\u00f3 m\u00e1u trong d\u1ea1 d\u00e0y: th\u00ec tr\u00ecnh t\u1ef1 quan s\u00e1t t\u1ed5n th\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u t\u1eeb th\u1ef1c qu\u1ea3n \u0111\u1ebfn b\u1edd cong nh\u1ecf, hang v\u1ecb, t\u00e1 tr\u00e0ng v\u00e0 trong khi r\u00fat d\u1ea7n m\u00e1y ra \u0111\u1ebfn th\u00e2n v\u1ecb th\u00ec cho b\u1ec7nh nh\u00e2n thay \u0111\u1ed5i t\u01b0 th\u1ebf (n\u1eb1m nghi\u00eang tr\u00e1i, n\u1eb1m ng\u1eeda) nh\u1eb1m m\u1ee5c \u0111\u00edch l\u00e0m di chuy\u1ec3n c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u1ec3 cho vi\u1ec7c quan s\u00e1t c\u00e1c ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a d\u1ea1 d\u00e0y r\u00f5 r\u00e0ng h\u01a1n.<\/li>\n<\/ul>\n<p>* Ch\u00fa \u00fd: d\u1ec5 c\u00f3 nguy c\u01a1 s\u1eb7c khi thay \u0111\u1ed5i t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<ul>\n<li>N\u1ebfu t\u1ed5n th\u01b0\u01a1ng c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng che l\u1ea5p c\u1ea7n ph\u1ea3i r\u1eeda tr\u00f4i b\u1eb1ng c\u00e1ch b\u01a1m n\u01b0\u1edbc ho\u1eb7c l\u1ecdng c\u1eaft polyp \u0111\u1ec3 g\u1eafp c\u1ee5c m\u00e1u \u0111\u00f4ng, quan s\u00e1t t\u1ed5n th\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi (1\/3 tr\u01b0\u1eddng h\u1ee3p s\u1ebd l\u00e0 F1a, F1b, F2a; 2\/3 tr\u01b0\u1eddng h\u1ee3p s\u1ebd l\u00e0 F2c).<\/li>\n<li>Tr\u00e1nh l\u00e0m th\u1ee7 thu\u1eadt qu\u00e1 l\u00e2u v\u00ec th\u1ebf ph\u01b0\u01a1ng ph\u00e1p c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi m\u1ed9t nh\u00e0 n\u1ed9i soi c\u00f3 kinh nghi\u1ec7m.<\/li>\n<\/ul>\n<h2>3.\u00a0 C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1ea7m m\u00e1u<\/h2>\n<h3>3.1.\u00a0 Ph\u01b0\u01a1ng ph\u00e1p \u0111\u00f4ng nhi\u1ec7t<\/h3>\n<h4><strong><em>3.1.1 Quang \u0111\u00f4ng b\u1eb1ng laser Nd: YAG <\/em><\/strong><\/h4>\n<p>&#8211; Nguy\u00ean t\u1eafc: l\u00e0m \u0111\u00f4ng m\u00e1u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p b\u1ed1c h\u01a1i c\u1ee7a t\u1ed5 ch\u1ee9c ni\u00eam m\u1ea1c.<\/p>\n<ul>\n<li>\u01afu \u0111i\u1ec3m: ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng tia \u0111\u1ed3ng tr\u1ee5c c\u1ee7a kh\u00ed carbonic c\u00f3 t\u00e1c d\u1ee5ng qu\u00e9t s\u1ea1ch m\u00e1u t\u1ea1i d\u1ea1 d\u00e0y v\u00e0 do \u0111\u00f3 nh\u1eadn x\u00e9t \u0111\u01b0\u1ee3c r\u00f5 r\u00e0ng v\u00f9ng t\u1ed5n th\u01b0\u01a1ng, c\u00e1c \u1ed5 lo\u00e9t \u2026 n\u00ean ch\u00f9m laser s\u1ebd \u0111\u1ecbnh v\u1ecb \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c v\u00e0o \u1ed5 lo\u00e9t.<\/li>\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: Laser\n<ul>\n<li>Gi\u00e1 th\u00e0nh \u0111\u1eaft.<\/li>\n<li>Ph\u1ea3i chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn ph\u00f2ng n\u1ed9i soi, kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c th\u1ee7<\/li>\n<li>thu\u1eadt t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh v\u00ec nh\u1eefng l\u00fd do li\u00ean quan \u0111\u1ebfn d\u1ee5ng c\u1ee5.<\/li>\n<li>Kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ea3y m\u00e1u do c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf t\u00e2m v\u1ecb v\u00e0 m\u1eb7t sau h\u00e0nh t\u00e1 tr\u00e0ng.<\/li>\n<li>L\u00e0m bay h\u01a1i \u1edf th\u00e0nh \u0111\u1ed9ng m\u1ea1ch n\u00ean t\u0103ng nguy c\u01a1 t\u00e1i ph\u00e1t ch\u1ea3y m\u00e1u ho\u1eb7c l\u00e0m cho t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t th\u00eam.<\/li>\n<\/ul>\n<\/li>\n<li>K\u1ef9 thu\u1eadt:<\/li>\n<\/ul>\n<p>+ \u0110\u1eb7t m\u1ed9t s\u1ee3i m\u1ea1 c\u00f3 xung \u0111\u1ed9ng ng\u1eafn (0,5 -1 gi\u00e2y) v\u00e0 c\u00f4ng su\u1ea5t cao chi\u1ebfm 70-90W v\u00e0o v\u00f9ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng. Kho\u1ea3ng c\u00e1ch gi\u1eefa s\u1ee3i m\u1ea1 v\u00e0 n\u01a1i t\u1ed5n th\u01b0\u01a1ng l\u00e0 1 cm.<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Khi th\u1ea5y c\u00f3 m\u1ea1ch m\u00e1u t\u1ed5n th\u01b0\u01a1ng n\u1eb1m \u1edf \u0111\u00e1y \u1ed5 lo\u00e9t th\u00ec b\u1eafn ch\u00f9m laser v\u00e0o n\u01a1i t\u1ed5n th\u01b0\u01a1ng. L\u00fac \u0111\u1ea7u b\u1eafn v\u00f2ng theo chu vi c\u1ee7a t\u1ed5n th\u01b0\u01a1ng v\u00e0 sau \u0111\u00f3 quang \u0111\u00f4ng c\u00f3 ch\u1ecdn l\u1ecdc v\u00e0o \u0111\u00fang v\u00f9ng m\u1ea1ch m\u00e1u b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p b\u1eafn laser c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p ti\u00eam c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7 b\u1eb1ng adrenaline v\u00e0o chu vi c\u1ee7a \u1ed5 lo\u00e9t.<\/li>\n<\/ul>\n<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng:\n<ul>\n<li>Th\u1ee7ng 1%<\/li>\n<li>B\u1ec7nh ph\u1ed5i do tr\u00e0o ng\u01b0\u1ee3c 10%<\/li>\n<li>Ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t t\u1ea1i \u1ed5 lo\u00e9t.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong><em>3.1.2 \u0110\u00f4ng \u0111i\u1ec7n <\/em><\/strong><\/h4>\n<ul>\n<li>Nguy\u00ean t\u1eafc: d\u00f9ng d\u00f2ng \u0111i\u1ec7n t\u1ea1o ra nhi\u1ec7t n\u0103ng l\u00e0m kh\u00f4 t\u1ed5 ch\u1ee9c v\u00e0 \u0111\u00f4ng t\u1ed5 ch\u1ee9c, do \u0111\u00f3 t\u1ea1o ra qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u.<\/li>\n<\/ul>\n<ul>\n<li>\u01afu \u0111i\u1ec3m:\n<ul>\n<li>C\u00f3 th\u1ec3 v\u1eadn chuy\u1ec3n d\u1ee5ng c\u1ee5 \u0111\u1ebfn l\u00e0m t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh nh\u00e2n.<\/li>\n<li>D\u1ec5 d\u00e0ng c\u1ea7m m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: <strong><sub>\u00a0<\/sub><\/strong>\n<ul>\n<li>K\u1ef9 thu\u1eadt \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 s\u1ef1 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp gi\u1eefa \u0111\u1ea7u d\u00f2 v\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00ean c\u1ee5c m\u00e1u \u0111\u00f4ng d\u1ec5 d\u00ednh v\u00e0o \u0111\u1ea7u d\u00f2, do \u0111\u00f3 gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ea7m m\u00e1u v\u00e0 khi r\u00fat \u0111\u00e8n ra s\u1ebd d\u1ec5 l\u00e0m bong c\u1ee5c m\u00e1u \u0111\u00f4ng n\u00e0y n\u00ean d\u1ec5 c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t.<\/li>\n<li>C\u00f3 m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng \u1edf nh\u1eefng v\u1ecb tr\u00ed kh\u00f4ng th\u1ec3 \u0111\u1eb7t \u0111\u01b0\u1ee3c \u0111\u1ea7u d\u00f2 v\u00e0o n\u00ean kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/li>\n<\/ul>\n<\/li>\n<li>C\u00e1c lo\u1ea1i \u0111\u1ea7u d\u00f2:\n<ul>\n<li>\u0110\u1ea7u d\u00f2 \u0111\u01a1n c\u1ef1c: m\u1ed9t \u0111\u1ea7u kim lo\u1ea1i g\u1eafn v\u1edbi h\u1ec7 th\u1ed1ng b\u01a1m r\u1eeda n\u1eb1m \u1edf \u0111\u1ea7u d\u01b0\u1edbi c\u1ee7a m\u1ed9t catheter m\u1ec1m. Lo\u1ea1i n\u00e0y ph\u1ed1i h\u1ee3p b\u01a1m r\u1eeda \u0111\u01b0\u1ee3c n\u00ean gi\u1ea3m nguy c\u01a1 d\u00ednh \u1edf t\u1ed5 ch\u1ee9c. D\u00f2ng \u0111i\u1ec7n truy\u1ec1n \u0111i gi\u1eefa \u0111i\u1ec7n c\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c khu\u1ebfch \u0111\u1ea1i \u1edf v\u00f9ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng v\u00e0 m\u1ed9t b\u1ea3ng d\u00e2y \u0111\u1ea5t s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp x\u00fac v\u1edbi da c\u1ee7a b\u1ec7nh nh\u00e2n. D\u00f2ng \u0111i\u1ec7n s\u1ebd d\u1eabn qua th\u00e0nh \u1ed1ng ti\u00eau h\u00f3a v\u00e0 g\u00e2y n\u00ean nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf s\u00e2u. K\u0129 thu\u1eadt n\u00e0y hi\u1ec7n nay kh\u00f4ng s\u1eed d\u1ee5ng v\u00ec g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng th\u1ee7ng.<\/li>\n<li>\u0110\u1ea7u d\u00f2 l\u01b0\u1ee1ng c\u1ef1c: d\u00f2ng \u0111i\u1ec7n \u0111\u1ec3 c\u1ea7m m\u00e1u ch\u1ea1y qua 2 \u0111i\u1ec7n c\u1ef1c n\u00ean tr\u00e1nh \u0111\u01b0\u1ee3c s\u1ef1 lan truy\u1ec1n c\u1ee7a d\u00f2ng \u0111i\u1ec7n xu\u1ed1ng t\u1ed5 ch\u1ee9c \u1edf s\u00e2u, gi\u1ea3m nguy c\u01a1 th\u1ee7ng.\u00a0\u00a0 C\u00f3 h\u1ec7 th\u1ed1ng phun r\u1eeda qua n\u00f2ng d\u1eabn \u1edf trung t\u00e2m n\u00ean cho ph\u00e9p r\u1eeda h\u1ebft v\u1ebft m\u00e1u v\u00e0 nh\u00ecn r\u00f5 r\u00e0ng t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1ea7u d\u00f2 nhi\u1ec1u c\u1ef1c: c\u00f3 3 \u0111i\u1ec7n c\u1ef1c d\u01b0\u01a1ng v\u00e0 3 \u0111i\u1ec7n c\u1ef1c \u00e2m. D\u00f2ng \u0111i\u1ec7n ch\u1ea1y qua gi\u1eefa c\u00e1c \u0111i\u1ec7n c\u1ef1c \u0111\u00f3 c\u00f3 t\u00e1c d\u1ee5ng c\u1ea7m m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>C\u00f3 h\u1ec7 th\u1ed1ng b\u01a1m r\u1eeda \u1edf trung t\u00e2m c\u00e1c c\u1ef1c. C\u00f3 1 b\u01a1m cung c\u1ea5p n\u01b0\u1edbc \u0111\u1ec3 b\u01a1m r\u1eeda c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Nh\u1edd c\u00e1ch b\u1ed1 tr\u00ed chi\u1ebfu tia \u0111\u1eb7c bi\u1ec7t c\u1ee7a c\u00e1c c\u1ef1c n\u00ean ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ea7u d\u01b0\u1edbi v\u00e0 m\u1eb7t b\u00ean c\u1ee7a \u0111\u1ea7u d\u00f2, do \u0111\u00f3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u1ea3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf v\u1ecb tr\u00ed ti\u1ebfp tuy\u1ebfn.<\/p>\n<p>Qu\u00e1 tr\u00ecnh c\u1ea7m m\u00e1u x\u1ea3y ra kh\u00f4ng s\u00e2u qu\u00e1 1mm v\u00e0 vi\u1ec7c b\u01a1m n\u01b0\u1edbc v\u1edbi \u00e1p l\u1ef1c m\u1ea1nh l\u00e0m quan s\u00e1t t\u1ed5n th\u01b0\u01a1ng d\u1ec5 d\u00e0ng h\u01a1n v\u00e0 tr\u00e1nh \u0111\u01b0\u1ee3c s\u1ef1 m\u1ea5t h\u01a1i n\u01b0\u1edbc c\u1ee7a t\u1ed5 ch\u1ee9c v\u00e0 do \u0111\u00f3 nguy c\u01a1 th\u1ee7ng r\u1ea5t th\u1ea5p.<\/p>\n<h3>3.2.\u00a0 Ti\u00eam c\u1ea7m m\u00e1u<\/h3>\n<p><em>3.2.1 \u01afu \u0111i\u1ec3m:<\/em> K\u1ef9 thu\u1eadt \u0111\u01a1n gi\u1ea3n, r\u1ebb ti\u1ec1n, c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ngay t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh, c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn c\u00e1c v\u1ecb tr\u00ed kh\u00f3 c\u1ea7m m\u00e1u.<\/p>\n<p><em>3.2.2 Ch\u1ea5t c\u1ea7m m\u00e1u: <\/em><\/p>\n<ul>\n<li>Adrenalin 1\/10.000 g\u00e2y co m\u1ea1ch t\u1ea1i ch\u1ed7, pha adrenalin v\u1edbi dung d\u1ecbch mu\u1ed1i \u01b0u tr\u01b0\u01a1ng l\u00e0m t\u0103ng \u0111\u00f4ng m\u00e1u.<\/li>\n<li>C\u1ed3n tuy\u1ec7t \u0111\u1ed1i 98% c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y x\u01a1.<\/li>\n<li>Polidocanol 1% c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y x\u01a1.<\/li>\n<\/ul>\n<p>Ngo\u00e0i t\u00e1c d\u1ee5ng h\u00f3a h\u1ecdc v\u00e0 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a c\u00e1c ch\u1ea5t n\u00e0y, ti\u00eam c\u1ea7m m\u00e1u c\u00f2n g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng ch\u00e8n \u00e9p c\u01a1 h\u1ecdc v\u00e0o mao m\u1ea1ch \u0111ang ch\u1ea3y m\u00e1u.<\/p>\n<p>3.<em>2.3 D\u1ee5ng c\u1ee5 v\u00e0 k\u1ef9 thu\u1eadt <\/em><\/p>\n<ul>\n<li>Kim ti\u00eam c\u00f3 \u0111\u1ea7u v\u00e1t ng\u1eafn kho\u1ea3ng 4 mm, \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 th\u1ee7ng do ti\u00eam qu\u00e1 s\u00e2u.<\/li>\n<li>M\u1ed9t b\u01a1m ti\u00eam 10ml, ho\u1eb7c b\u01a1m ti\u00eam insulin \u0111\u1ec3 d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p ti\u00eam c\u1ed3n tuy\u1ec7t \u0111\u1ed1i (v\u00ec ch\u1ec9 \u0111\u01b0\u1ee3c ti\u00eam m\u1ed7i m\u0169i 0,1 \u2013 0,2 ml). Tuy nhi\u00ean n\u1ebfu m\u1ea1ch m\u00e1u \u1edf trung t\u00e2m \u1ed5 lo\u00e9t l\u1edbn v\u00e0 s\u00e2u th\u00ec s\u1ebd ti\u00eam dung d\u1ecbch xung quanh m\u1ea1ch m\u00e1u c\u0169ng nh\u01b0 \u1edf mi\u1ec7ng \u1ed5 lo\u00e9t.<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng: th\u1ee7ng hay x\u1ea3y ra khi d\u00f9ng kim qu\u00e1 d\u00e0i v\u00e0 ti\u00eam kh\u1ed1i l\u01b0\u1ee3ng thu\u1ed1c l\u1edbn. Nguy c\u01a1 n\u00e0y r\u1ea5t \u00edt khi x\u1ea3y ra khi ti\u00eam c\u1ea7m m\u00e1u b\u1eb1ng adrenalin. Kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/li>\n<\/ul>\n<h3>3.3.\u00a0 K\u1eb9p c\u1ea7m m\u00e1u<\/h3>\n<p><strong><em>\u01afu \u0111i\u1ec3m:<\/em><\/strong> C\u1ea7m m\u00e1u c\u01a1 h\u1ecdc an to\u00e0n, hi\u1ec7u qu\u1ea3, \u00edt g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u00f4.<\/p>\n<p>Nh\u01b0\u1ee3c \u0111i\u1ec3m: \u0111\u1eaft ti\u1ec1n, kh\u00f3 ti\u1ebfp c\u1eadn c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 v\u1ecb tr\u00ed ph\u00ecnh v\u1ecb, b\u1edd cong nh\u1ecf, m\u1eb7t sau h\u00e0nh t\u00e1 tr\u00e0ng.<\/p>\n<p><strong><em>D\u1ee5ng c\u1ee5 v\u00e0 k\u1ef9 thu\u1eadt: <\/em><\/strong><\/p>\n<p>C\u00f3 nhi\u1ec1u lo\u1ea1i k\u1eb9p c\u1ea7m m\u00e1u, c\u00f3 th\u1ec3 x\u1ebfp th\u00e0nh hai lo\u1ea1i: lo\u1ea1i c\u00f3 th\u1ec3 n\u1ea1p l\u1ea1i \u0111\u01b0\u1ee3c (to reload), lo\u1ea1i s\u1eb5n d\u00f9ng (ready to use) ch\u1ec9 d\u00f9ng m\u1ed9t l\u1ea7n; c\u00f3 th\u1ec3 x\u1ebfp lo\u1ea1i k\u1eb9p theo s\u1ed1 c\u00e1nh: hai c\u00e1nh hay ba c\u00e1nh; ho\u1eb7c c\u00f3 th\u1ec3 x\u1ebfp lo\u1ea1i k\u1eb9p theo c\u00e1nh xoay \u0111\u01b0\u1ee3c hay kh\u00f4ng xoay \u0111\u01b0\u1ee3c.<\/p>\n<p>K\u1eb9p c\u1ea7m m\u00e1u l\u00e0 b\u01b0\u1edbc ti\u1ebfn quan tr\u1ecdng trong n\u1ed9i soi c\u1ea7m m\u00e1u, \u0111\u1ea7u ti\u00ean k\u1eb9p c\u1ea7m m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u1edf Nh\u1eadt, k\u1ebf \u0111\u1ebfn l\u00e0 Ch\u00e2u \u00c2u v\u00e0 g\u1ea7n \u0111\u00e2y \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i \u1edf M\u1ef9. K\u1eb9p c\u1ea7m m\u00e1u l\u00fac \u0111\u1ea7u d\u00f9ng trong c\u1ea7m m\u00e1u do lo\u00e9t d\u1ea1 d\u00e0y- t\u00e1 tr\u00e0ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u nh\u1ea5t; sau n\u00e0y k\u1eb9p c\u1ea7m m\u00e1u \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i h\u01a1n: k\u1eb9p c\u1ea7m m\u00e1u sau c\u1eaft \u0111\u1ed1t polyp b\u1ecb ch\u1ea3y m\u00e1u, k\u1eb9p v\u1ebft th\u1ee7ng nh\u1ecf sau n\u1ed9i soi can thi\u1ec7p, k\u1eb9p \u0111\u00e1nh d\u1ea5u t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n<p><strong>Nguy\u00ean t\u1eafc k\u1eb9p c\u1ea7m m\u00e1u:<\/strong> k\u1eb9p c\u1ea7m m\u00e1u nh\u01b0 m\u1ed9t chi\u1ebfc k\u1ec1m, chi\u1ebfc k\u1eb9p nh\u1ecf x\u00edu \u0111\u01b0\u1ee3c \u0111\u01b0a qua k\u00eanh d\u1ee5ng c\u1ee5 c\u1ee7a \u1ed1ng n\u1ed9i soi t\u1edbi s\u00e1t n\u01a1i t\u1ed5n th\u01b0\u01a1ng, m\u1edf ra r\u1ed3i k\u1eb9p l\u1ea1i sau \u0111\u00f3 r\u1eddi kh\u1ecfi \u1ed1ng d\u1eabn v\u00e0 \u0111\u1ec3 l\u1ea1i t\u1ea1i ch\u1ed5 k\u1eb9p n\u01a1i t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<p>V\u1ec1 chi\u1ec1u s\u00e2u, k\u1eb9p c\u1ea7m m\u00e1u \u0111i t\u1edbi t\u1eadn d\u01b0\u1edbi ni\u00eam m\u1ea1c k\u1eb9p m\u1ea1ch m\u00e1u n\u01a1i \u0111\u00f3 v\u00e0 l\u00e0m t\u1eafc m\u1ea1ch m\u00e1u l\u00e0m ng\u1eebng ch\u1ea3y m\u00e1u, hi\u1ec7u qu\u1ea3 nh\u1ea5t khi ch\u1ea3y m\u00e1u t\u1eeb ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch. Sau m\u1ed9t th\u1eddi gian k\u1eb9p c\u1ea7m m\u00e1u t\u1ef1 r\u1eddi kh\u1ecfi ni\u00eam m\u1ea1c v\u00e0 \u0111i ra ngo\u00e0i theo \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, 80% k\u1eb9p c\u1ea7m m\u00e1u c\u00f2n l\u1ea1i sau m\u1ed9t th\u00e1ng do \u0111\u00f3 hi\u1ec7u qu\u1ea3 c\u1ea7m m\u00e1u l\u00e2u d\u00e0i h\u01a1n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/p>\n<p>Hai v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong nguy\u00ean t\u1eafc s\u1eed d\u1ee5ng k\u1eb9p c\u1ea7m m\u00e1u: Ph\u1ea3i bi\u1ebft r\u00f5 c\u00e1ch s\u1eed d\u1ee5ng lo\u1ea1i k\u1eb9p c\u1ea7m m\u00e1u \u0111ang d\u00f9ng v\u00ec m\u1ed7i lo\u1ea1i k\u1eb9p c\u00f3 c\u00e1ch s\u1eed d\u1ee5ng kh\u00e1c nhau; c\u00e1ch \u0111\u1eb7t k\u1eb9p, c\u1ea7n \u0111\u01b0a \u1ed1ng d\u1eabn t\u1edbi g\u1ea7n v\u00e0 th\u1eb3ng g\u00f3c v\u1edbi v\u1ebft th\u01b0\u01a1ng sau \u0111\u00f3 \u1ea5n m\u1ea1nh hai c\u00e1nh c\u1ee7a k\u1eb9p v\u00e0o hai b\u00ean b\u1edd c\u1ee7a v\u1ebft th\u01b0\u01a1ng. Kh\u00f3 nh\u1ea5t l\u00e0 \u0111\u01b0a k\u1eb9p th\u1eb3ng g\u00f3c v\u1edbi t\u1ed5n th\u01b0\u01a1ng (\u1ed5 lo\u00e9t \u1edf ph\u1ea7n \u0111\u1ee9ng b\u1edd cong nh\u1ecf, \u1edf m\u1eb7t sau d\u01b0\u1edbi h\u00e0nh t\u00e1 tr\u00e0ng) v\u00e0 \u0111\u1eb7t hai c\u00e1nh l\u00ean hai b\u1edd c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, v\u00ec v\u1eady c\u00f3 th\u1ec3 \u0111\u1eb7t nhi\u1ec1u k\u1eb9p cho \u0111\u1ebfn khi th\u00e0nh c\u00f4ng, c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p c\u00e1p trong su\u1ed1t \u0111\u1ec3 c\u00e3i thi\u1ec7n t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>Hi\u1ec7u qu\u1ea3 c\u1ea7m m\u00e1u ban \u0111\u1ea7u c\u1ee7a k\u1eb9p c\u1ea7m m\u00e1u trong xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean r\u1ea5t cao 97,6% v\u00e0 t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t r\u1ea5t th\u1ea5p 2,4%.<\/p>\n<h3>3.4.\u00a0 \u0110\u1ed1t \u0111\u00f4ng b\u1eb1ng Argon plasma (APC: Argon Plasma Coagulation)<\/h3>\n<p>\u00c1p d\u1ee5ng v\u00e0o n\u0103m 1994 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ed1t \u0111\u00f4ng b\u1eb1ng \u0111i\u1ec7n cao t\u1ea7n \u0111\u01b0\u1ee3c truy\u1ec1n b\u1edfi h\u01a1i Argon ion h\u00f3a, kh\u00f4ng \u0111\u1ee5ng ch\u1ea1m t\u1edbi m\u00f4.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh t\u1ed1t nh\u1ea5t c\u1ee7a \u0111\u1ed1t \u0111\u00f4ng b\u1eb1ng Argon plasma l\u00e0 c\u1ea7m m\u00e1u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u do lo\u1ea1n s\u1ea3n m\u1ea1ch m\u00e1u v\u00e0 gi\u00e3n mao m\u1ea1ch.<\/p>\n<h3>3.5.\u00a0 Th\u1eaft v\u00f2ng cao su<\/h3>\n<p>Ban \u0111\u1ea7u d\u00f9ng \u0111\u1ec3 th\u1eaft tr\u0129, ti\u1ebfp \u0111\u1ebfn \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong c\u1ed9t th\u1eaft c\u00e1c b\u00fai gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, sau n\u00e0y ch\u1ec9 \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng \u0111\u1ec3 c\u1ea7m m\u00e1u v\u00e0 c\u1eaft ni\u00eam m\u1ea1c trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t. C\u1ed9t th\u1eaft, m\u1ea1ch m\u00e1u b\u1ecb \u00e9p b\u1edfi v\u00f2ng cao su s\u1ebd ng\u1eebng ch\u1ea3y, m\u00f4 xung quanh s\u1ebd b\u1ecb ho\u1ea1i t\u1eed v\u00e0 r\u1edbt ra sau v\u00e0i ng\u00e0y c\u00f9ng v\u1edbi v\u00f2ng cao su.<\/p>\n<h3>3.6.\u00a0 C\u1ed9t v\u00f2ng Endoloop<\/h3>\n<p>Endoloop (Olympus) l\u00e0 m\u1ed9t v\u00f2ng nh\u1ef1a l\u1eafp s\u1eb5n tr\u00ean \u1ed1ng d\u1eabn, m\u1edf ra nh\u01b0 m\u1ed9t chi\u1ebfc th\u00f2ng l\u1ecdng sau khi si\u1ebft l\u1ea1i n\u00f3 s\u1ebd t\u1ef1 r\u1eddi kh\u1ecfi \u1ed1ng d\u1eabn.<\/p>\n<p>Endoloop \u0111\u01b0\u1ee3c ch\u1ebf ra \u0111\u1ec3 c\u1ed9t cu\u1ed1ng polyp b\u1ecb ch\u1ea3y m\u00e1u sau khi c\u1eaft, th\u01b0\u1eddng l\u00e0 polyp c\u00f3 cu\u1ed1ng to v\u1edbi \u0111\u1ed9ng m\u1ea1ch n\u1eb1m \u1edf gi\u1eefa b\u1ecb c\u1eaft qu\u00e1 nhanh cu\u1ed1ng ch\u01b0a k\u1ecbp \u0111\u00f4ng. Ngo\u00e0i vi\u1ec7c c\u1ea7m m\u00e1u polyp c\u00f3 cu\u1ed1ng b\u1ecb ch\u1ea3y m\u00e1u sau khi c\u1eaft, ng\u01b0\u1eddi ta c\u00f2n d\u00f9ng Endoloop \u0111\u1ec3 ph\u00f2ng ng\u1eeba ch\u1ea3y m\u00e1u khi d\u1ef1 \u0111o\u00e1n c\u00f3 nhi\u1ec1u r\u1ee7i ro ch\u1ea3y m\u00e1u khi c\u1eaft m\u1ed9t polyp c\u00f3 cu\u1ed1ng l\u1edbn, c\u1ed9t c\u1ea7m m\u00e1u nh\u1eefng t\u1ed5n th\u01b0\u01a1ng c\u00f3 nh\u00fa m\u1ea1ch m\u00e1u, \u0111\u1ec3 c\u1ed9t d\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n ho\u1eb7c t\u00e2m- ph\u00ecnh v\u1ecb tuy nhi\u00ean n\u00f3 \u00edt \u0111\u01b0\u1ee3c d\u00f9ng h\u01a1n l\u00e0 th\u1eaft v\u00f2ng cao su.<\/p>\n<h3>3.7.\u00a0 C\u1ea7m m\u00e1u Hemospray (Hemospray<sup>TM<\/sup> TC-325)<\/h3>\n<p><strong>\u00a0<\/strong>L\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u1ea7m m\u00e1u m\u1edbi \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong v\u00e0i n\u0103m g\u1ea7n \u0111\u00e2y. N\u1ed9i soi c\u1ea7m m\u00e1u \u0111\u01b0\u1ee3c trong nhi\u1ec1u lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng \u0111ang ch\u1ea3y m\u00e1u nh\u01b0 lo\u00e9t, u, gi\u00e3n mao m\u1ea1ch\u2026<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ea7u ti\u00ean \u1edf Canada v\u00e0 ch\u00e2u \u00c2u.<\/p>\n<p>C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 s\u1eed d\u1ee5ng lo\u1ea1i b\u1ed9t v\u00f4 c\u01a1 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t \u0111\u1ed9c quy\u1ec1n phun v\u00e0o n\u01a1i t\u1ed5n th\u01b0\u01a1ng, khi g\u1eb7p n\u01b0\u1edbc lo\u1ea1i b\u1ed9t n\u00e0y s\u1ebd h\u1ea5p thu ho\u1eb7c chuy\u1ec3n h\u00f3a v\u00e0o m\u00f4 t\u1ea1o th\u00e0nh m\u1ed9t m\u00e0ng ph\u1ee7 b\u00e1m ch\u1eb7t v\u00e0o t\u1ed5n th\u01b0\u01a1ng (c\u00f3 t\u00e1c d\u1ee5ng c\u1ea7m m\u00e1u c\u01a1 h\u1ecdc) c\u00f9ng v\u1edbi n\u00fat ch\u1eb7n ti\u1ec3u c\u1ea7u v\u00e0 s\u1ef1 ho\u1ea1t h\u00f3a c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u.\u00a0 Trong m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean 20 b\u1ec7nh nh\u00e2n lo\u00e9t \u0111ang ch\u1ea3y m\u00e1u, c\u1ea7m m\u00e1u c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ea1t \u0111\u01b0\u1ee3c 95%.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n<ol>\n<li>Khoa Ti\u00eau h\u00f3a B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai<em>, N\u1ed9i soi ti\u00eau h\u00f3a<\/em>, Nh\u00e0 xu\u1ea5t b\u1ea3n y h\u1ecdc, 2008.<\/li>\n<li>Bustamente- Bal\u00e9n et al, Hemostatic powders for gastrointestinal bleeding, WJGP 2014.<\/li>\n<li>Canard JM, Gastrointestinal Endoscopy in practice, 2011.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng [&hellip;]<\/p>\n","protected":false},"author":15,"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>Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng - Vinmec<\/title>\n<meta name=\"description\" content=\"20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.\" \/>\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=\"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng - Vinmec\" \/>\n<meta property=\"og:description\" content=\"20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-21T13:27:08+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/forrest.webp\" \/>\n<meta name=\"author\" content=\"Minh Tang Phuong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Minh Tang Phuong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 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\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/\",\"name\":\"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-21T13:27:08+00:00\",\"dateModified\":\"2023-04-21T13:27:08+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc\"},\"description\":\"20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng\"}]},{\"@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\/1f3505046718c2227ed72bac35a0fbcc\",\"name\":\"Minh Tang Phuong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g\",\"caption\":\"Minh Tang Phuong\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tangphuongminh1994gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng - Vinmec","description":"20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.","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":"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng - Vinmec","og_description":"20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/","og_site_name":"Vinmec","article_published_time":"2023-04-21T13:27:08+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/forrest.webp"}],"author":"Minh Tang Phuong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Minh Tang Phuong","Est. reading time":"13 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/","name":"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-21T13:27:08+00:00","dateModified":"2023-04-21T13:27:08+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc"},"description":"20-30% lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u. Bi\u1ebfn ch\u1ee9ng n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t sau khi d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 h\u1ea1i \u0111\u1ed1i v\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y (NSAIDs, corticoid), ho\u1eb7c \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u1ed5 lo\u00e9t c\u00e2m (c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t), ho\u1eb7c do \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang \u0111\u1eafn. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 nguy hi\u1ec3m, n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-noi-soi-cam-mau-o-loet-da-day-ta-trang\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng"}]},{"@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\/1f3505046718c2227ed72bac35a0fbcc","name":"Minh Tang Phuong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/9e7ed909e33d316b6e99b9f5d3eba70d?s=96&d=mm&r=g","caption":"Minh Tang Phuong"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tangphuongminh1994gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/25476"}],"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\/15"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=25476"}],"version-history":[{"count":2,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/25476\/revisions"}],"predecessor-version":[{"id":25529,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/25476\/revisions\/25529"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=25476"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=25476"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=25476"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}