{"id":25542,"date":"2023-04-21T06:57:09","date_gmt":"2023-04-20T23:57:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25542"},"modified":"2023-04-21T10:17:26","modified_gmt":"2023-04-21T03:17:26","slug":"noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/","title":{"rendered":"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n"},"content":{"rendered":"

Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. C\u00e1c gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n n\u00e0y c\u00f3 th\u1ec3 v\u1ee1 v\u00e0 g\u00e2y ra xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean. T\u1ef7 l\u1ec7 v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan dao d\u1ed9ng t\u1eeb 30-88%. C\u00e1c y\u1ebfu t\u1ed1 ch\u00ednh x\u00e1c l\u00e0m t\u0103ng nguy c\u01a1 v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u1eabn c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. Theo m\u1ed9t s\u1ed1 c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y nguy c\u01a1 v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n c\u00f3 m\u1ed1i li\u00ean quan v\u1edbi k\u00edch th\u01b0\u1edbc c\u1ee7a c\u00e1c b\u00fai t\u0129nh m\u1ea1ch, c\u00e1c d\u1ea5u hi\u1ec7u gi\u00e3n mao m\u1ea1ch nh\u1ecf tr\u00ean th\u00e0nh c\u00e1c t\u0129nh m\u1ea1ch. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.<\/strong><\/p>\n

1. Nh\u1eadn \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng qua n\u1ed9i soi<\/h2>\n

1.1. \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/h3>\n

C\u00f3 nhi\u1ec1u c\u00e1ch kh\u00e1c nhau \u0111\u1ec3 ph\u00e2n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/a>. Ch\u00fang t\u00f4i xin gi\u1edbi thi\u1ec7u hai c\u00e1ch ph\u00e2n lo\u1ea1i \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i.<\/p>\n

\"t\u0129nh
V\u00f2ng n\u1ed1i c\u1eeda ch\u1ee7\u00a0<\/span>\u00a0<\/span><\/figcaption><\/figure>\n

1.1.1.<\/strong> C\u00e1ch ph\u00e2n lo\u1ea1i c\u1ee7a h\u1ed9i ti\u00eau h\u00f3a Ph\u00e1p: <\/strong><\/h4>\n
    \n
  • \u0110\u1ed9 1: c\u00e1c t\u0129nh m\u1ea1ch c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf, bi\u1ebfn m\u1ea5t khi b\u01a1m h\u01a1i c\u0103ng.<\/li>\n
  • \u0110\u1ed9 2: c\u00e1c t\u0129nh m\u1ea1ch c\u00f3 k\u00edch th\u01b0\u1edbc trung b\u00ecnh, kh\u00f4ng m\u1ea5t khi b\u01a1m h\u01a1i v\u00e0 v\u1eabn c\u00f2n c\u00e1c ni\u00eam m\u1ea1c b\u00ecnh th\u01b0\u1eddng gi\u1eefa c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.<\/li>\n
  • \u0110\u1ed9 3: c\u00e1c t\u0129nh m\u1ea1ch c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, kh\u00f4ng m\u1ea5t khi b\u01a1m h\u01a1i v\u00e0 kh\u00f4ng c\u00f2n ni\u00eam m\u1ea1c b\u00ecnh th\u01b0\u1eddng gi\u1eefa c\u00e1c b\u00fai t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n

    C\u00e1c ph\u00e2n lo\u1ea1i n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i \u1edf Ph\u00e1p, d\u1ec5 d\u00e0ng \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 th\u1ed1ng nh\u1ea5t trong nh\u1eadn \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u00e1c nh\u00e0 n\u1ed9i soi, nh\u01b0ng ch\u01b0a m\u00f4 t\u1ea3 h\u1ebft c\u00e1c nguy c\u01a1 v\u1ee1 c\u1ee7a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/p>\n

    1.1.2.<\/strong> Ph\u00e2n lo\u1ea1i c\u1ee7a n\u1ed9i soi Nh\u1eadt B\u1ea3n: <\/strong><\/h4>\n

    H\u00ecnh \u1ea3nh gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 k\u1ef9 v\u1ec1 4 \u0111\u1eb7c \u0111i\u1ec3m sau \u0111\u00e2y:<\/p>\n

    M\u00e0u s\u1eafc c\u1ee7a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/strong><\/p>\n

    M\u00e0u tr\u1eafng: c\u00e1c t\u0129nh m\u1ea1ch m\u00e0u tr\u1eafng n\u00e0y trong gi\u1ed1ng nh\u01b0 c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c ph\u00ec \u0111\u1ea1i, c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 ph\u00e2n bi\u1ec7t l\u00e0 soi th\u1ef1c qu\u1ea3n c\u00f3 b\u01a1m h\u01a1i c\u0103ng trong v\u00f2ng 30 gi\u00e2y. -M\u00e0u xanh ho\u1eb7c m\u00e0u tr\u1eafng xanh hay xanh t\u00edm: do \u00e1p l\u1ef1c d\u00f2ng m\u00e1u g\u00e2y gi\u00e3n c\u0103ng th\u00e0nh t\u0129nh m\u1ea1ch.<\/p>\n

    C\u00e1c d\u1ea5u hi\u1ec7u tr\u00ean th\u00e0nh t\u0129nh m\u1ea1ch<\/strong><\/p>\n

    C\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y xu\u1ea5t hi\u1ec7n khi c\u00f3 gi\u00e3n c\u00e1c mao m\u1ea1ch nh\u1ecf ho\u1eb7c gi\u00e3n ph\u00ecnh m\u1ea1ch nh\u1ecf tr\u00ean th\u00e0nh t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n. C\u00f3 4 m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau:<\/p>\n

      \n
    • C\u00e1c v\u1eb1n \u0111\u1ecf: g\u1ed3m c\u00e1c mao m\u1ea1ch nh\u1ecf gi\u00e3n v\u00e0 ch\u1ea1y d\u1ecdc tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a c\u00e1c t\u0129nh m\u1ea1ch.<\/li>\n
    • C\u00e1c v\u1ec7t \u0111\u1ecf th\u1eabm: g\u1ed3m c\u00e1c v\u1ec7t \u0111\u1ecf c\u00f3 k\u00edch th\u01b0\u1edbc kho\u1ea3ng 2 mm n\u1eb1m tr\u00ean c\u00e1c th\u00e0nh t\u0129nh m\u1ea1ch.<\/li>\n
    • C\u00e1c \u1ed5 t\u1ee5 m\u00e1u: g\u1ed3m c\u00e1c b\u1ecdc m\u00e1u \u0111\u1ecf c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 4 mm n\u1eb1m tr\u00ean th\u00e0nh c\u00e1c t\u0129nh m\u1ea1ch.<\/li>\n
    • D\u1ea5u \u0111\u1ecf lan t\u1ecfa: g\u1ed3m r\u1ea5t nhi\u1ec1u v\u1ec7t \u0111\u1ecf lan r\u1ed9ng tr\u00ean b\u1ec1 m\u1eb7t t\u0129nh m\u1ea1ch v\u00e0 ni\u00eam m\u1ea1c gi\u1eefa c\u00e1c t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n

      K\u00edch th\u01b0\u1edbc t\u0129nh m\u1ea1ch<\/strong><\/p>\n

        \n
      • \u0110\u1ed9 1: t\u0129nh m\u1ea1ch c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf, th\u1eb3ng, bi\u1ebfn m\u1ea5t khi b\u01a1m h\u01a1i c\u0103ng.<\/li>\n
      • \u0110\u1ed9 2: t\u0129nh m\u1ea1ch c\u00f3 k\u00edch th\u01b0\u1edbc trung b\u00ecnh, ngo\u1eb1n ngo\u00e8o, v\u00e0 chi\u1ebfm d\u01b0\u1edbi 1\/3 kh\u1ea9u k\u00ednh c\u1ee7a th\u1ef1c qu\u1ea3n.<\/li>\n
      • \u0110\u1ed9 3: t\u0129nh m\u1ea1ch c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, chi\u1ebfm tr\u00ean 1\/3 kh\u1ea9u k\u00ednh c\u1ee7a th\u1ef1c qu\u1ea3n.<\/li>\n<\/ul>\n

        V\u1ecb tr\u00ed c\u1ee7a t\u0129nh m\u1ea1ch<\/strong><\/p>\n

          \n
        • Tr\u00ean: tr\u00ean ch\u1ed7 ph\u00e2n nh\u00e1nh c\u1ee7a ch\u1ea1c ba kh\u00ed ph\u1ebf qu\u1ea3n.<\/li>\n
        • Gi\u1eefa: t\u01b0\u01a1ng \u1ee9ng ho\u1eb7c g\u1ea7n v\u1edbi ch\u1ed7 ph\u00e2n nh\u00e1nh c\u1ee7a ch\u1ea1c ba kh\u00ed ph\u1ebf qu\u1ea3n.<\/li>\n
        • D\u01b0\u1edbi: t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n b\u1ee5ng ho\u1eb7c ph\u1ea7n th\u1ea5p c\u1ee7a t\u0129nh m\u1ea1ch ng\u1ef1c.<\/li>\n<\/ul>\n

          C\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p \u1edf \u0111\u01b0\u1eddng Z<\/strong><\/p>\n

            \n
          • C\u00f3 tr\u1ee3t lo\u00e9t?<\/li>\n
          • C\u00f3 vi\u00eam th\u1ef1c qu\u1ea3n tr\u00e0o ng\u01b0\u1ee3c?<\/li>\n<\/ul>\n

            1.2. H\u00ecnh \u1ea3nh n\u1ed9i soi v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/h3>\n

            Soi th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y \u1edf b\u1ec7nh nh\u00e2n c\u00f3 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a c\u00f3 th\u1ec3 g\u1eb7p trong b\u1ed1n t\u00ecnh hu\u1ed1ng sau \u0111\u00e2y:<\/p>\n

              \n
            • C\u00f3 d\u1ea5u hi\u1ec7u r\u00f5 r\u1ec7t c\u1ee7a v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/li>\n
            • Kh\u00f4ng nh\u00ecn th\u1ea5y d\u1ea5u hi\u1ec7u v\u1ee1 c\u1ee7a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n nh\u01b0ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng kh\u00e1c \u1edf d\u1ea1 d\u00e0y \u0111ang g\u00e2y ch\u1ea3y m\u00e1u.<\/li>\n
            • Kh\u00f4ng nh\u00ecn th\u1ea5y d\u1ea5u hi\u1ec7u v\u1ee1 c\u1ee7a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng kh\u00e1c \u1edf d\u1ea1 d\u00e0y.<\/li>\n
            • Kh\u00f4ng nh\u00ecn th\u1ea5y d\u1ea5u hi\u1ec7u v\u1ee1 c\u1ee7a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng kh\u00e1c \u1edf d\u1ea1 d\u00e0y (kh\u00f4ng th\u1ea5y ch\u1ea3y m\u00e1u khi soi).<\/li>\n<\/ul>\n

              Khi ti\u1ebfn h\u00e0nh n\u1ed9i soi \u1edf b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, th\u01b0\u1eddng 50% tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c d\u1ea5u hi\u1ec7u c\u1ee7a v\u1ee1 t\u0129nh m\u1ea1ch. V\u00ec th\u1ebf \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a l\u00e0 do v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, c\u00e1c t\u00e1c gi\u1ea3 \u0111\u00e3 \u0111\u1ec1 ra 3 kh\u1ea3 n\u0103ng sau \u0111\u00e2y:<\/p>\n

              Ch\u1eafc ch\u1eafn c\u00f3 v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n gi\u00e3n. <\/strong><\/p>\n

                \n
              • C\u00f3 tia m\u00e1u ph\u1ee5t t\u1eeb t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/li>\n
              • C\u00f3 \u0111i\u1ec3m r\u1ec9 m\u00e1u tr\u00ean th\u00e0nh t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/li>\n<\/ul>\n

                C\u00f3 kh\u1ea3 n\u0103ng v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n gi\u00e3n<\/strong><\/p>\n

                  \n
                • C\u00f3 n\u00fat ti\u1ec3u c\u1ea7u \u1edf tr\u00ean th\u00e0nh t\u0129nh m\u1ea1ch: \u0111\u00f3 l\u00e0 nh\u1eefng c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u00e3 chuy\u1ec3n m\u00e0u tr\u1eafng ng\u00e0.<\/li>\n
                • C\u1ee5c m\u00e1u \u0111\u00f4ng m\u1edbi d\u00ednh tr\u00ean th\u00e0nh t\u0129nh m\u1ea1ch, kh\u00f4ng bong khi b\u01a1m r\u1eeda.<\/li>\n<\/ul>\n

                  C\u00f3 th\u1ec3 c\u00f3 v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n gi\u00e3n<\/strong><\/p>\n

                    \n
                  • C\u00e1c b\u00fai t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u1edbn, c\u00f3 m\u00e1u trong d\u1ea1 d\u00e0y trong khi \u0111\u00f3 kh\u00f4ng c\u00f3 ph\u1ed1i h\u1ee3p c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c \u1edf d\u1ea1 d\u00e0y\u2013t\u00e1 tr\u00e0ng.<\/li>\n
                  • T\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n d\u1ec5 d\u00e0ng r\u1ec9 m\u00e1u khi b\u01a1m r\u1eeda nh\u1eb9 nh\u00e0ng.<\/li>\n<\/ul>\n

                    \"t\u0129nh<\/p>\n

                    2. Chu\u1ea9n b\u1ecb n\u1ed9i soi \u1edf b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 tr\u00ean<\/h2>\n
                      \n
                    • Ph\u1ed1i h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed3i s\u1ee9c h\u1ed7 tr\u1ee3 \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng huy\u1ebft \u0111\u1ed9ng h\u1ecdc. N\u1ebfu m\u1ea1ch v\u00e0 huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh th\u00ec kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nh\u01b0ng c\u1ea7n ch\u00fa \u00fd l\u00e0 m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng d\u1ec5 x\u1ea3y ra trong v\u00e0 sau qu\u00e1 tr\u00ecnh ti\u00eam x\u01a1 (s\u1ebd \u0111\u1ec1 c\u1eadp \u1edf ph\u1ea7n bi\u1ebfn ch\u1ee9ng).<\/li>\n
                    • Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c b\u00e1n c\u1ea5p do vi khu\u1ea9n ho\u1eb7c x\u01a1 gan m\u1ea5t b\u00f9.<\/li>\n
                    • Kh\u00f4ng g\u00e2y t\u00ea h\u1ecdng ho\u1eb7c d\u00f9ng thu\u1ed1c an th\u1ea7n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c ho\u1eb7c h\u00f4n m\u00ea gan.<\/li>\n
                    • \u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n ph\u1ed1i h\u1ee3p v\u1edbi h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3 trong tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t ho\u1eb7c h\u00f4n m\u00ea gan giai \u0111o\u1ea1n III, IV.<\/li>\n
                    • R\u1eeda d\u1ea1 d\u00e0y b\u1eb1ng n\u01b0\u1edbc \u0111\u00e1 s\u1ebd g\u00f3p ph\u1ea7n c\u1ea7m m\u00e1u v\u00e0 l\u00e0m cho nh\u1eadn \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng d\u1ec5 d\u00e0ng h\u01a1n.<\/li>\n
                    • D\u00f9ng c\u00e1c thu\u1ed1c gi\u1ea3m co b\u00f3p d\u1ea1 d\u00e0y nh\u01b0: glucagon, spasfon, buscopan,\u2026 -X\u00e1c \u0111\u1ecbnh nh\u00f3m m\u00e1u v\u00e0 chu\u1ea9n b\u1ecb s\u1eb5n v\u00e0i \u0111\u01a1n v\u1ecb m\u00e1u \u0111\u1ec3 truy\u1ec1n.<\/li>\n<\/ul>\n

                      3. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/h2>\n

                      3.1. Ph\u01b0\u01a1ng ph\u00e1p ti\u00eam x\u01a1<\/h3>\n

                      3.1.1. Ch\u1ec9 \u0111\u1ecbnh<\/h4>\n

                      Ti\u00eam x\u01a1 c\u1ea5p c\u1ee9u:<\/strong> nh\u1eb1m l\u00e0m ng\u01b0ng ch\u1ea3y m\u00e1u do v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n. ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ngay khi \u0111ang c\u00f3 ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a ho\u1eb7c ti\u1ebfn h\u00e0nh sau m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa kh\u00e1c nh\u01b0: \u00e9p t\u1ea1i ch\u1ed7 v\u1ee1 t\u0129nh m\u1ea1ch b\u1eb1ng c\u00e1c lo\u1ea1i sonde kh\u00e1c nhau, truy\u1ec1n vasopressin ho\u1eb7c sandostastin. C\u00f3 2 y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n ti\u00ean l\u01b0\u1ee3ng l\u00e0: m\u1ee9c \u0111\u1ed9 suy ch\u1ee9c n\u0103ng gan v\u00e0 t\u1ea7n su\u1ea5t t\u00e1i ph\u00e1t c\u1ee7a ch\u1ea3y m\u00e1u.<\/p>\n

                      Ti\u00eam x\u01a1 c\u00f3 chu\u1ea9n b\u1ecb:<\/strong> nh\u1eb1m ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 xu\u1ea5t huy\u1ebft v\u00e0 th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u03b2-bloquants ho\u1eb7c \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c \u03b2-bloquants do c\u00f3 nh\u1eefng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

                      Nh\u1eefng b\u1ec7nh nh\u00e2n ch\u01b0a c\u00f3 ch\u1ea3y m\u00e1u: kh\u00f4ng c\u1ea7n \u00e1p d\u1ee5ng nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p x\u01a1 h\u00f3a, ch\u1ec9 c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u03b2-bloquants.<\/p>\n

                      3.1.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h4>\n

                      Kh\u00f4ng ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n khi c\u00f3 ph\u1ed1i h\u1ee3p v\u1edbi gi\u00e3n t\u0129nh m\u1ea1ch \u1edf ph\u00ecnh v\u1ecb ho\u1eb7c \u1edf th\u00e2n v\u1ecb v\u00ec l\u00ed do: khi t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n b\u1ecb x\u01a1 h\u00f3a th\u00ec nh\u1eefng t\u0129nh m\u1ea1ch \u1edf d\u1ea1 d\u00e0y c\u00f3 nguy c\u01a1 v\u1ee1 cao, m\u00e0 nh\u1eefng t\u0129nh m\u1ea1ch \u1edf d\u1ea1 d\u00e0y n\u00e0y kh\u00f4ng th\u1ec3 x\u01a1 h\u00f3a \u0111\u01b0\u1ee3c.\u00a0 B\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng s\u1ed1c n\u1eb7ng, suy h\u00f4 h\u1ea5p n\u1eb7ng m\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed3i s\u1ee9c kh\u00f4ng \u0111\u1ea3m b\u1ea3o.<\/p>\n

                      3.1.3. H\u00f3a ch\u1ea5t <\/strong><\/h4>\n

                      C\u00f3 r\u1ea5t nhi\u1ec1u ch\u1ea5t \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 x\u01a1 h\u00f3a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n. Nh\u01b0ng cho \u0111\u1ebfn nay ch\u01b0a c\u00f3 m\u1ed9t c\u00f4ng tr\u00ecnh n\u00e0o cho ph\u00e9p so s\u00e1nh hi\u1ec7u qu\u1ea3 v\u1ec1 t\u00ednh \u01b0u vi\u1ec7t c\u1ee7a c\u00e1c ch\u1ea5t n\u00e0y.<\/p>\n

                      Ch\u1ea5t \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t l\u00e0 polidocanol 1%.<\/p>\n

                      C\u00e1c lo\u1ea1i kh\u00e1c:<\/p>\n

                        \n
                      • Oleate d\u2019ethanolamin 5%<\/li>\n
                      • Chlohydrate de quinine \u2013 ure.<\/li>\n
                      • Morrhuat de sodium, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ch\u1ee7 y\u1ebfu \u1edf M\u1ef9.<\/li>\n
                      • Tetradecyl sulfat \u00e0 1,5%<\/li>\n
                      • C\u1ed3n tuy\u1ec7t \u0111\u1ed1i (alcool absolute).<\/li>\n<\/ul>\n

                        3.1.4. D\u1ee5ng c\u1ee5<\/h4>\n
                          \n
                        • M\u00e1y soi d\u1ea1 d\u00e0y c\u00f3 k\u00eanh ho\u1ea1t \u0111\u1ed9ng th\u00edch h\u1ee3p: lo\u1ea1i c\u00f3 video k\u00ed hi\u1ec7u GIF 1T 30 ho\u1eb7c GIF 2T 20.<\/li>\n
                        • Kim ti\u00eam x\u01a1 n\u1eb1m trong v\u1ecf nh\u1ef1a ho\u1eb7c v\u1ecf kim lo\u1ea1i, \u0111\u1ea7u d\u01b0\u1edbi c\u1ee7a kim c\u00f3 th\u1ec3 ch\u00eca ra ngo\u00e0i v\u1ecf t\u1ed1i \u0111a l\u00e0 4 mm, \u0111\u1ea7u tr\u00ean c\u1ee7a kim \u0111\u01b0\u1ee3c n\u1ed1i v\u1edbi b\u01a1m ti\u00eam c\u00f3 ch\u1ee9a ch\u1ea5t g\u00e2y x\u01a1.<\/li>\n
                        • B\u01a1m ti\u00eam 50 ml \u0111\u1ec3 b\u01a1m r\u1eeda.<\/li>\n
                        • B\u01a1m ti\u00eam 20 ml ch\u1ee9a ch\u1ea5t g\u00e2y x\u01a1.<\/li>\n
                        • N\u01b0\u1edbc \u0111\u00e1 pha adrenalin \u0111\u1ec3 b\u01a1m r\u1eeda c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7 khi c\u1ea7n thi\u1ebft.<\/li>\n<\/ul>\n

                          3.1.5. K\u0129 thu\u1eadt<\/h4>\n

                          \u0110\u1ea7u ti\u00ean ti\u1ebfn h\u00e0nh soi th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng nh\u1eb1m m\u1ee5c \u0111\u00edch:<\/p>\n

                            \n
                          • Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/li>\n
                          • T\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u v\u1ee1 c\u1ee7a t\u0129nh m\u1ea1ch.<\/li>\n
                          • Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p \u1edf d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng g\u00e2y ch\u1ea3y m\u00e1u.<\/li>\n<\/ul>\n

                            Ph\u01b0\u01a1ng ph\u00e1p ti\u00eam: c\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p<\/strong><\/p>\n

                              \n
                            • Ti\u00eam v\u00e0o trong l\u00f2ng t\u0129nh m\u1ea1ch: m\u1ed7i m\u0169i ti\u00eam t\u1eeb 2 \u2013 10 ml, trung b\u00ecnh 5 ml. m\u1ed7i l\u1ea7n ti\u00eam t\u1eeb 20 \u2013 60 ml.T\u00e1c d\u1ee5ng: g\u00e2y huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n r\u1ed3i sau \u0111\u00f3 ho\u1ea1i t\u1eed v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh c\u00e1c s\u1eb9o x\u01a1.<\/li>\n
                            • Ti\u00eam d\u01b0\u1edbi ni\u00eam m\u1ea1c c\u1ea1nh b\u00fai t\u0129nh m\u1ea1ch: m\u1ed7i m\u0169i ti\u00eam t\u1eeb 0,5 \u2013 3 ml. m\u1ed7i l\u1ea7n ti\u00eam t\u1eeb 15 \u2013 30 ml. Ch\u00fa \u00fd: n\u1ebfu th\u1ea5y xu\u1ea5t hi\u1ec7n c\u00e1c bong b\u00f3ng c\u0103ng m\u1ecdng t\u1ea1i ch\u1ed7 ti\u00eam, ch\u1ee9ng t\u1ecf l\u00e0 ti\u00eam qu\u00e1 n\u00f4ng, l\u00fac \u0111\u00f3 ph\u1ea3i t\u0103ng \u0111\u1ed9 ch\u1ebfch c\u1ee7a kim ti\u00eam. T\u00e1c d\u1ee5ng: g\u00e2y ch\u00e8n \u00e9p v\u00e0 v\u00f9i c\u00e1c b\u00fai t\u0129nh m\u1ea1ch, x\u01a1 h\u00f3a th\u00e0nh t\u0129nh m\u1ea1ch.<\/li>\n
                            • Ti\u00eam h\u1ed7n h\u1ee3p: v\u1eeba ti\u00eam v\u00e0o trong l\u00f2ng t\u0129nh m\u1ea1ch ph\u1ed1i h\u1ee3p v\u1edbi ti\u00eam d\u01b0\u1edbi ni\u00eam m\u1ea1c c\u1ea1ch c\u00e1c b\u00fai t\u0129nh m\u1ea1ch. B\u1eaft \u0111\u1ea7u ti\u00eam v\u00e0o d\u01b0\u1edbi ni\u00eam m\u1ea1c c\u1ea1nh 2 b\u00ean th\u00e0nh t\u0129nh m\u1ea1ch r\u1ed3i sau \u0111\u00f3 ti\u00eam v\u00e0o trong l\u00f2ng t\u0129nh m\u1ea1ch. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed7ng r\u00e3i v\u00ec n\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed5ng h\u1ee3p c\u1ee7a c\u1ea3 2 ph\u01b0\u01a1ng ph\u00e1p tr\u00ean.<\/li>\n<\/ul>\n

                              \u0110\u00e3 c\u00f3 nhi\u1ec1u c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u v\u00e0 so s\u00e1nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u01a1 h\u00f3a t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, nh\u01b0ng h\u1ea7u h\u1ebft c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ec1u nh\u1eadn th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 bi\u1ebfn ch\u1ee9ng gi\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n

                              V\u1ecb tr\u00ed ti\u00eam:<\/strong> ch\u1ec9 ti\u00eam x\u01a1 \u0111\u01b0\u1ee3c t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 t\u00e2m v\u1ecb kh\u00f4ng th\u1ec3 ti\u00eam x\u01a1 \u0111\u01b0\u1ee3c t\u0129nh m\u1ea1ch ph\u00ecnh v\u1ecb.<\/p>\n

                              B\u1eaft \u0111\u1ea7u ti\u00eam \u1edf v\u1ecb tr\u00ed c\u00e1ch t\u00e2m v\u1ecb v\u00e0i mm v\u00e0o c\u00e1c b\u00fai t\u0129nh m\u1ea1ch, v\u00f2ng theo chu vi c\u1ee7a th\u1ef1c qu\u1ea3n (th\u01b0\u1eddng l\u00e0 ti\u00eam v\u00e0o 3 \u0111i\u1ec3m). Sau \u0111\u00f3 ti\u00eam cao d\u1ea7n l\u00ean th\u1ef1c qu\u1ea3n.\u00a0\u00a0 Th\u1ef1c t\u1ebf trong khi ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, s\u1ebd g\u00e2y ch\u1ea3y m\u00e1u r\u1ea5t nhi\u1ec1u \u1edf th\u00e0nh t\u0129nh m\u1ea1ch v\u00e0 th\u00e0nh t\u0129nh m\u1ea1ch c\u0103ng ph\u1ed3ng v\u00e0o trong l\u00f2ng th\u1ef1c qu\u1ea3n. \u0110i\u1ec1u \u0111\u00f3 c\u1ea3n tr\u1edf \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a \u0111\u1ea7u kim, do \u0111\u00f3 kh\u00f3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c l\u00e0 ti\u00eam v\u00e0o trong l\u00f2ng t\u0129nh m\u1ea1ch hay c\u1ea1nh c\u00e1c b\u00fai t\u0129nh m\u1ea1ch.<\/p>\n

                              Th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u ti\u00eam v\u00e0o b\u00fai t\u0129nh m\u1ea1ch \u0111ang ch\u1ea3y m\u00e1u ho\u1eb7c c\u00f3 nguy c\u01a1 cao g\u00e2y ch\u1ea3y m\u00e1u (\u0111\u00f3 l\u00e0 nh\u1eefng b\u00fai t\u0129nh m\u1ea1ch l\u1edbn v\u1edbi nhi\u1ec1u d\u1ea5u hi\u1ec7u gi\u00e3n mao m\u1ea1ch tr\u00ean th\u00e0nh t\u0129nh m\u1ea1ch).<\/p>\n

                              K\u1ef9 thu\u1eadt ti\u00eam: <\/strong><\/p>\n

                                \n
                              • Sau khi x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ea7n ti\u00eam, b\u00e1c s\u0129 soi \u0111\u1ea9y v\u1ecf c\u1ee7a kim ti\u00eam x\u01a1 ra kh\u1ecfi k\u00eanh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y v\u00e0 c\u1ed1 \u0111\u1ecbnh v\u00e0o v\u1ecb tr\u00ed \u0111\u00f3.<\/li>\n
                              • Ti\u1ebfp theo ng\u01b0\u1eddi soi \u0111\u1ea9y kim ti\u00eam x\u01a1 ra kh\u1ecfi v\u1ecf v\u00e0 b\u01a1m ch\u1ea5t g\u00e2y x\u01a1.<\/li>\n
                              • R\u1ed3i ng\u01b0\u1eddi ph\u1ee5 soi r\u00fat kim t\u1ee5t v\u00e0o trong v\u1ecf c\u1ee7a kim v\u00e0 k\u00e9o v\u1ecf c\u1ee7a kim 2 cm v\u1ec1 ph\u00eda m\u00e1y n\u1ed9i soi, trong khi \u0111\u00f3 ng\u01b0\u1eddi soi quan s\u00e1t v\u00e0 t\u00ecm c\u00e1c v\u1ecb tr\u00ed c\u1ea7n ti\u00eam kh\u00e1c, r\u1ed3i di chuy\u1ec3n kim ti\u00eam x\u01a1 c\u1ed1 \u0111\u1ecbnh v\u00e0o c\u00e1c v\u1ecb tr\u00ed n\u00e0y\u2026<\/li>\n
                              • Trong qu\u00e1 tr\u00ecnh ti\u00eam x\u01a1, ho\u1eb7c sau khi k\u1ebft th\u00fac bu\u1ed5i ti\u00eam: n\u1ebfu th\u1ea5y c\u00f3 ch\u1ea3y m\u00e1u nhi\u1ec1u \u1edf th\u00e0nh t\u0129nh m\u1ea1ch th\u00ec n\u00ean r\u00fat kim ti\u00eam x\u01a1 ra ngo\u00e0i v\u00e0 \u0111\u1ea9y m\u00e1y soi v\u00e0o d\u1ea1 d\u00e0y nh\u1eb1m 2 m\u1ee5c \u0111\u00edch:\n
                                  \n
                                • D\u00f9ng \u0111\u00e8n soi ch\u00e8n \u00e9p v\u00e0o c\u00e1c b\u00fai t\u0129nh m\u1ea1ch (gi\u1ed1ng hi\u1ec7n t\u01b0\u1ee3ng b\u0103ng \u00e9p).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                                    \n
                                  • \n
                                      \n
                                    • H\u00fat h\u1ebft h\u01a1i trong d\u1ea1 d\u00e0y \u0111\u1ec3 l\u00e0m t\u0103ng \u00e1p d\u1ee5ng b\u0103ng \u00e9p c\u1ee7a m\u00e1y n\u1ed9i soi.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                                      M\u00e1y soi \u0111\u1ec3 trong d\u1ea1 d\u00e0y 15 ph\u00fat, sau \u0111\u00f3 r\u00fat m\u00e1y v\u00e0 k\u1ebft th\u00fac bu\u1ed5i ti\u00eam x\u01a1.<\/p>\n

                                      3.1.6. Ti\u00eam x\u01a1 \u0111\u1ecbnh k\u1ef3<\/h4>\n

                                      Th\u00f4ng th\u01b0\u1eddng 1 tu\u1ea7n ti\u00eam 1 l\u1ea7n v\u00e0o nh\u1eefng \u0111\u1ee3t \u0111\u1ea7u. Nh\u1eefng \u0111\u1ee3t sau c\u00f3 th\u1ec3 2 tu\u1ea7n ti\u00eam 1 l\u1ea7n.<\/p>\n

                                      Trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 lo\u00e9t th\u1ef1c qu\u1ea3n th\u00ec n\u00ean ti\u00eam 2 tu\u1ea7n 1 l\u1ea7n. Ti\u00eam \u0111\u1ecbnh k\u1ef3 qu\u00e1 ng\u1eafn d\u1ec5 c\u00f3 bi\u1ebfn ch\u1ee9ng lo\u00e9t, h\u1eb9p, th\u1ee7ng.<\/p>\n

                                      Th\u00f4ng th\u01b0\u1eddng sau 4-6 \u0111\u1ee3t c\u00e1c b\u00fai t\u0129nh m\u1ea1ch s\u1ebd ho\u00e0n to\u00e0n bi\u1ebfn m\u1ea5t. Sau \u0111\u00f3 n\u1ed9i soi ki\u1ec3m tra \u0111\u1ecbnh k\u1ef7 m\u1ed7i th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng \u0111\u1ec3 ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch.<\/p>\n

                                      3.1.7. Theo d\u00f5i v\u00e0 s\u0103n s\u00f3c sau ti\u00eam x\u01a1<\/h4>\n
                                        \n
                                      • B\u1ec7nh nh\u00e2n n\u1eb1m b\u1ea5t \u0111\u1ed9ng 24 gi\u1edd sau khi ti\u00eam x\u01a1.<\/li>\n
                                      • \u0102n ch\u1ebf \u0111\u1ed9 l\u1ecfng v\u00e0 l\u1ea1nh trong 1 ng\u00e0y.<\/li>\n
                                      • Thu\u1ed1c:\n
                                          \n
                                        • C\u00e1c thu\u1ed1c gi\u1ea3m b\u00e0i ti\u1ebft acid lo\u1ea1i \u1ee9c ch\u1ebf b\u01a1m proton, c\u00e1c thu\u1ed1c b\u0103ng ni\u00eam m\u1ea1c nh\u01b0 Sucralfate.<\/li>\n
                                        • Ch\u1ec9 cho kh\u00e1ng sinh d\u1ef1 ph\u00f2ng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                                          Theo d\u00f5i trong 24 ti\u1ebfng: t\u00ednh ch\u1ea5t ph\u00e2n, ch\u1ea5t n\u00f4n, m\u1ea1ch, huy\u1ebft \u00e1p, tinh th\u1ea7n, tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c\u2026<\/p>\n

                                          3.1.8. Bi\u1ebfn ch\u1ee9ng<\/h4>\n

                                          Bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p, \u00edt nguy hi\u1ec3m<\/strong><\/p>\n

                                            \n
                                          • \u0110au ng\u1ef1c sau x\u01b0\u01a1ng \u1ee9c, nu\u1ed1t kh\u00f3, nu\u1ed1t \u0111au. Th\u01b0\u1eddng h\u1ebft tri\u1ec7u ch\u1ee9ng t\u1ef1 nhi\u00ean sau 72 gi\u1edd n\u1ebfu th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n l\u1ecfng va d\u00f9ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au.<\/li>\n
                                          • Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: th\u01b0\u1eddng l\u01b0\u1ee3ng d\u1ecbch \u00edt, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u1ec7t, th\u01b0\u1eddng h\u1ebft t\u1ef1 nhi\u00ean kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/li>\n
                                          • Lo\u00e9t th\u1ef1c qu\u1ea3n: n\u1ebfu lo\u00e9t s\u00e2u c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u \u1edf c\u00e1c b\u00fai t\u0129nh m\u1ea1ch. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c ch\u1ed1ng b\u00e0i ti\u1ebft acid v\u00e0 sucralfat.<\/li>\n
                                          • H\u1eb9p th\u1ef1c qu\u1ea3n: n\u1ebfu h\u1eb9p nhi\u1ec1u c\u1ea7n ph\u1ea3i nong th\u1ef1c qu\u1ea3n.<\/li>\n
                                          • R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng th\u1ef1c qu\u1ea3n.<\/li>\n
                                          • Ch\u1ea3y m\u00e1u t\u1ea1i ch\u1ed7 ti\u00eam: th\u01b0\u1eddng ch\u1ea3y \u00edt, s\u1ebd ng\u1eebng ch\u1ea3y m\u00e1u nhanh ch\u00f3ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ch\u00e8n \u00e9p th\u1ef1c qu\u1ea3n b\u1eb1ng \u1ed1ng soi.<\/li>\n
                                          • S\u1ed1t do nhi\u1ec5m khu\u1ea9n huy\u1ebft: th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n 24 gi\u1edd sau khi ti\u00eam x\u01a1 v\u00e0 hay g\u1eb7p \u1edf ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c b\u00e1n c\u1ea5p do vi khu\u1ea9n, v\u00ec th\u1ebf ph\u1ea3i \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh d\u1ef1 ph\u00f2ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao.<\/li>\n<\/ul>\n

                                            Bi\u1ebfn ch\u1ee9ng n\u1eb7ng <\/strong><\/p>\n

                                              \n
                                            • T\u1eed vong: 0 \u2013 10%<\/li>\n
                                            • Th\u1ee7ng th\u1ef1c qu\u1ea3n do ho\u1ea1i t\u1eed xuy\u00ean th\u00e0nh th\u1ef1c qu\u1ea3n, g\u00e2y \u00e1p xe v\u00e0 r\u00f2 th\u1ef1c qu\u1ea3n (\u00e1p xe trung th\u1ea5t, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i nhi\u1ec1u). Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 nguy c\u01a1 cao khi ti\u00eam x\u01a1 c\u1ea5p c\u1ee9u trong l\u00fac \u0111ang ch\u1ea3y m\u00e1u ho\u1eb7c kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c \u0111\u1ee3t ti\u00eam x\u01a1 qu\u00e1 ng\u1eafn.<\/li>\n<\/ul>\n

                                              \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa ph\u1ed1i h\u1ee3p v\u1edbi kh\u00e1ng sinh to\u00e0n th\u00e2n v\u00e0 dinh d\u01b0\u1ee1ng b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/p>\n

                                                \n
                                              • B\u1ec7nh ph\u1ed5i do tr\u00e0o ng\u01b0\u1ee3c: th\u01b0\u1eddng g\u1eb7p bi\u1ebfn ch\u1ee9ng n\u00e0y trong tr\u01b0\u1eddng h\u1ee3p ti\u00eam x\u01a1 khi \u0111ang ch\u1ea3y m\u00e1u, \u1edf b\u1eb9nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n tri gi\u00e1c.<\/li>\n<\/ul>\n

                                                Bi\u1ebfn ch\u1ee9ng \u00edt g\u1eb7p<\/strong><\/p>\n

                                                  \n
                                                • T\u1ee5 m\u00e1u trong th\u00e0nh th\u1ef1c qu\u1ea3n: bi\u1ec3u hi\u1ec7n v\u1edbi 3 tri\u1ec7u ch\u1ee9ng nh\u01b0 s\u1ed1t, \u0111au, \u1ee9a nhi\u1ec1u n\u01b0\u1edbc d\u00e3i nh\u1ea7y m\u00e1u. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng ch\u1ee5p c\u1eaft l\u1edbp l\u1ed3ng ng\u1ef1c.<\/li>\n<\/ul>\n

                                                  \u0110i\u1ec1u tr\u1ecb: dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ph\u1ed1i h\u1ee3p v\u1edbi kh\u00e1ng sinh to\u00e0n th\u00e2n.<\/p>\n

                                                  Bi\u1ebfn ch\u1ee9ng n\u00e0y th\u01b0\u1eddng d\u1ec5 x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng c\u1ea7m m\u00e1u n\u1eb7ng (ti\u1ec3u c\u1ea7u <90.000, prothrombin <60%).<\/p>\n

                                                    \n
                                                  • Gi\u00e3n d\u1ea1 d\u00e0y<\/li>\n
                                                  • Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00f4 khu\u1ea9n, s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u do c\u00e1c ch\u1ea5t g\u00e2y x\u01a1 tr\u00e0o ra ngo\u00e0i.<\/li>\n
                                                  • Vi\u00eam m\u00e0ng ngo\u00e0i tim (c\u01a1 ch\u1ebf gi\u1ed1ng nh\u01b0 tr\u00ean).<\/li>\n
                                                  • \u1ee8 m\u1eadt th\u1ec3 kh\u00f4ng v\u00e0ng da, c\u1ee5c b\u00e3 th\u1ee9c \u0103n trong d\u1ea1 d\u00e0y. Bi\u1ebfn ch\u1ee9ng n\u00e0y ch\u1ec9 x\u1ea3y ra khi ti\u00eam x\u01a1 b\u1eb1ng policocanol.<\/li>\n
                                                  • Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch c\u1eeda ho\u1eb7c t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng.<\/li>\n
                                                  • Li\u1ec7t n\u1eefa ng\u01b0\u1eddi ti\u1ebfn tri\u1ec3n, li\u1ec7t hai chi d\u01b0\u1edbi do thi\u1ebfu m\u00e1u.<\/li>\n
                                                  • Nhi\u1ec5m khu\u1ea9n m\u00e0ng n\u00e3o.<\/li>\n
                                                  • Gi\u1ea3 t\u00fai th\u1eeba th\u1ef1c qu\u1ea3n.<\/li>\n
                                                  • Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i.<\/li>\n
                                                  • Nhi\u1ec5m khu\u1ea9n d\u1ecbch c\u1ed5 tr\u01b0\u1edbng \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan.<\/li>\n
                                                  • Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c c\u1ea5p nhi\u1ec5m khu\u1ea9n.<\/li>\n<\/ul>\n

                                                    4. Th\u1eaft v\u00f2ng cao su t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/h2>\n

                                                    L\u00e0 ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng c\u00e1c v\u00f2ng cao su th\u1eaft v\u00e0o c\u00e1c b\u00fai t\u0129nh m\u1ea1ch, g\u00e2y thi\u1ebfu m\u00e1u ho\u1ea1i t\u1eed v\u00e0 do \u0111\u00f3 x\u01a1 h\u00f3a th\u00e0nh t\u0129nh m\u1ea1ch.<\/p>\n

                                                    4.1. Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n: <\/strong><\/h3>\n

                                                    Gi\u1ed1ng ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/p>\n

                                                    4.2. Ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: <\/strong><\/h3>\n

                                                    Gi\u1ed1ng ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/p>\n

                                                    4.3. D\u1ee5ng c\u1ee5: <\/strong><\/h3>\n

                                                    Lo\u1ea1i s\u00fang b\u1eafn n\u00e0y lu\u1ed3n \u0111\u01b0\u1ee3c nhi\u1ec1u v\u00f2ng cao su (5-6 v\u00f2ng t\u00f9y h\u00e3ng s\u1ea3n xu\u1ea5t) (Panta Gun: sung b\u1eafn 5 v\u00f2ng cao su) n\u00ean c\u00f3 th\u1ec3 th\u1eaft \u0111\u01b0\u1ee3c nhi\u1ec1u b\u00fai t\u0129nh m\u1ea1ch m\u00e0 ch\u1ec9 c\u1ea7n 1 l\u1ea7n \u0111\u01b0a m\u00e1y soi v\u00e0o th\u1ef1c qu\u1ea3n n\u00ean gi\u1ea3m b\u1edbt kh\u00f3 ch\u1ecbu cho ng\u01b0\u1eddi b\u1ec7nh, ph\u01b0\u01a1ng ph\u00e1p d\u1ec5 l\u00e0m.<\/p>\n

                                                    C\u1ea5u t\u1ea1o:<\/p>\n

                                                      \n
                                                    • Hai v\u00f2ng nh\u1ef1a cao 1 cm, c\u00f3 chu vi kh\u00e1c nhau: v\u00f2ng ngo\u00e0i (v\u00f2ng 1) \u0111\u01b0\u1ee3c l\u1ed3ng ra ngo\u00e0i \u0111\u1ea7u m\u00e1y soi, v\u00f2ng trong (v\u00f2ng 3) \u0111\u01b0\u1ee3c l\u1ed3ng v\u00e0o trong v\u00f2ng 1. Nhi\u1ec1u v\u00f2ng cao su \u0111\u01b0\u1ee3c l\u1ed3ng ra ngo\u00e0i v\u00f2ng 3. M\u1ed7i v\u00f2ng cao su n\u00e0y s\u1ebd s\u1eafp x\u1ebfp theo tr\u00ecnh t\u1ef1 v\u00e0 c\u00e1ch nhau 1 kho\u1ea3ng c\u00e1ch nh\u1ecf nh\u1edd v\u00e0o c\u00e1c m\u1ea5u nh\u1ef1a n\u1eb1m tr\u00ean nh\u1eefng d\u00e2y lanh ch\u1ea1y v\u00f2ng b\u00ean ngo\u00e0i c\u1ee7a v\u00f2ng nh\u1ef1a.<\/li>\n
                                                    • M\u1ed9t d\u00e2y d\u1eabn d\u00e0i lu\u1ed3n v\u00e0o trong k\u00eanh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y, \u0111\u1ea7u d\u01b0\u1edbi \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1edfi c\u00e1c v\u00f2ng cao su, \u0111\u1ea7u ngo\u00e0i \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh v\u00e0o m\u1ed9t tay quay, tay quay n\u00e0y \u0111\u01b0\u1ee3c g\u1eafn ch\u1eb7t v\u00e0o l\u1ed7 k\u00eanh sinh thi\u1ebft c\u1ee7a m\u00e1y. Do \u0111\u00f3 m\u1ed7i khi tay quay quay 1 v\u00f2ng s\u1ebd l\u00e0m b\u1eafn m\u1ed9t v\u00f2ng cao su ra ngo\u00e0i.<\/li>\n<\/ul>\n

                                                      4.4. K\u1ef9 thu\u1eadt<\/h3>\n

                                                      4.4.1. C\u00e1ch l\u1ed3ng s\u00fang b\u1eafn v\u00e0o m\u00e1y soi<\/h4>\n

                                                      L\u1ed3ng c\u00e1c v\u00f2ng nh\u1ef1a v\u00e0o nhau, v\u00f2ng nh\u1ef1a c\u00f3 \u0111\u01b0\u1eddng k\u00ednh to nh\u1ea5t s\u1ebd l\u1ed3ng ra ngo\u00e0i \u0111\u1ea7u \u1ed1ng soi, v\u00f2ng nh\u1ef1a c\u00f3 l\u1ed3ng v\u00e0o v\u00f2ng cao su s\u1ebd \u0111\u01b0\u1ee3c l\u1ed3ng trong c\u00f9ng.<\/p>\n

                                                      Lu\u1ed3n d\u00e2y d\u1eabn qua k\u00eanh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y, \u0111\u1ea7u d\u01b0\u1edbi c\u1ee7a d\u00e2y s\u1ebd \u0111\u01b0\u1ee3c l\u1ed3ng v\u00e0o trong r\u00e3nh h\u00e3m c\u1ee7a v\u00f2ng nh\u1ef1a trong c\u00f9ng. Gi\u1eef c\u0103ng d\u00e2y v\u1eeba ph\u1ea3i, c\u1ed1 \u0111\u1ecbnh v\u00e0o tay quay (s\u00fang b\u1eafn nhi\u1ec1u ph\u00e1t) v\u00e0 ch\u1ed1t tay quay n\u00e0y v\u00e0o l\u1ed7 ngo\u00e0i c\u1ee7a k\u00eanh sinh thi\u1ebft c\u1ee7a m\u00e1y soi.<\/p>\n

                                                      4.4.2. C\u00e1c b\u01b0\u1edbc th\u1eaft t\u0129nh m\u1ea1ch<\/h4>\n
                                                        \n
                                                      • Ti\u1ebfn h\u00e0nh soi th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 gi\u00e3n (v\u1ecb tr\u00ed, m\u1ee9c \u0111\u1ed9, c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u\u2026) c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p t\u1ea1i d\u1ea1 d\u00e0y.<\/li>\n
                                                      • \u0110\u1eb7t \u0111\u1ea7u m\u00e1y soi (\u0111\u00e3 \u0111\u01b0\u1ee3c g\u1eafn v\u1edbi s\u00fang b\u1eafn) v\u00e0o s\u00e1t b\u00fai t\u0129nh m\u1ea1ch c\u1ea7n th\u1eaft.<\/li>\n
                                                      • H\u00fat t\u1eeb t\u1eeb \u0111\u1ec3 b\u00fai t\u0129nh m\u1ea1ch chui v\u00e0o trong l\u00f2ng nh\u1ef1a.<\/li>\n
                                                      • Quay tay quay 1 v\u00f2ng theo chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3 (lo\u1ea1i s\u00fang b\u1eafn nhi\u1ec1u ph\u00e1t) \u0111\u1ec3 v\u00f2ng nh\u1ef1a 3 s\u1ebd chui v\u00e0o trong l\u00f2ng v\u00f2ng ngo\u00e0i v\u00e0 b\u1eafn v\u00f2ng cao su ra \u0111\u1ec3 th\u1eaft b\u00fai t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n

                                                        Lo\u1ea1i b\u1eafn nhi\u1ec1u ph\u00e1t: kh\u00f4ng c\u1ea7n r\u00fat m\u00e1y soi, ch\u1ec9 c\u1ea7n thay \u0111\u1ed5i v\u1ecb tr\u00ed \u0111\u1ea7u m\u00e1y soi \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u00fai t\u0129nh m\u1ea1ch c\u1ea7n th\u1eaft r\u1ed3i ti\u1ebfn h\u00e0nh nh\u01b0 tr\u00ean.<\/p>\n

                                                        \"t\u0129nh
                                                        Th\u1eaft v\u00f2ng cao su t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/figcaption><\/figure>\n

                                                        4.4.3. V\u1ecb tr\u00ed th\u1eaft:\u00a0 <\/strong><\/h4>\n

                                                        \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C<\/strong>\u00e1ch t\u00e2m v\u1ecb v\u00e0i cm v\u00e0 v\u00e0o nhi\u1ec1u b\u00fai t\u0129nh m\u1ea1ch v\u00f2ng theo chu vi c\u1ee7a th\u1ef1c qu\u1ea3n, kh\u00f4ng th\u1eaft d\u1ecdc theo t\u0129nh m\u1ea1ch.<\/p>\n

                                                        4.4.4. Tr\u00ecnh t\u1ef1 th\u1eaft: <\/strong><\/h4>\n
                                                          \n
                                                        • Th\u00ec \u0111\u1ea7u th\u1eaft v\u00e0o c\u00e1c b\u00fai t\u0129nh m\u1ea1ch \u0111ang ch\u1ea3y m\u00e1u ho\u1eb7c c\u00f3 nguy c\u01a1 cao g\u00e2y v\u1ee1.<\/li>\n
                                                        • Th\u00ec sau th\u1eaft c\u00e1c b\u00fai t\u0129nh m\u1ea1ch c\u00f2n l\u1ea1i.<\/li>\n
                                                        • Ch\u1ec9 \u00e1p d\u1ee5ng cho t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n ho\u1eb7c t\u00e2m v\u1ecb, kh\u00f4ng \u00e1p d\u1ee5ng cho t\u0129nh m\u1ea1ch \u1edf d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n

                                                          4.4.5. Theo d\u00f5i sau th\u1eaft v\u00e0 th\u1eddi gian gi\u1eefa c\u00e1c th\u00ec th\u1eaft:<\/strong> gi\u1ed1ng nh\u01b0 \u0111\u1ed1i v\u1edbi ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch.<\/p>\n

                                                          5. G\u00e2y t\u1eafc t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n-d\u1ea1 d\u00e0y<\/h2>\n

                                                          5.1. Dung d\u1ecbch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng:<\/strong><\/h3>\n

                                                          L\u00e0 m\u1ed9t lo\u1ea1i keo d\u00e1n sinh h\u1ecdc N\u2013Buryl 2\u2013Cyanoacrylat (Histoarcryl). Dung d\u1ecbch n\u00e0y s\u1ebd l\u00e0m t\u1eafc c\u00e1c t\u0129nh m\u1ea1ch g\u00e2y thi\u1ebfu m\u00e1u, ho\u1ea1i t\u1eed v\u00e0 x\u01a1 h\u00f3a.<\/p>\n

                                                          5.2. C\u00e1ch ti\u00eam<\/h3>\n
                                                            \n
                                                          • 1 ml keo d\u00e1n tr\u1ed9n v\u1edbi 1 ml lipiodol r\u1ed3i pha v\u1edbi 1ml lipiodol n\u1eefa \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 h\u00f2a tan.<\/li>\n
                                                          • Ti\u00eam t\u1eeb 2 \u2013 3 m\u0169i v\u00e0o trong b\u00fai t\u0129nh m\u1ea1ch.<\/li>\n
                                                          • Ti\u00eam 2 \u2013 3 \u0111\u1ee3t g\u1ea7n nhau \u0111\u1ec3 g\u00e2y t\u1eafc ho\u00e0n to\u00e0n.<\/li>\n<\/ul>\n
                                                            \"\"
                                                            Tr\u01b0\u1edbc ti\u00eam\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Sau ti\u00eam 1 tu\u1ea7n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Sau ti\u00eam 6 th\u00e1ng<\/figcaption><\/figure>\n

                                                            5.3. \u01afu \u0111i\u1ec3m<\/h3>\n
                                                              \n
                                                            • G\u00e2y t\u1eafc t\u0129nh m\u1ea1ch nhanh ch\u00f3ng<\/li>\n
                                                            • \u00c1p d\u1ee5ng \u0111\u01b0\u1ee3c c\u1ea3 \u0111\u1ed1i v\u1edbi t\u0129nh m\u1ea1ch \u1edf d\u1ea1 d\u00e0y.<\/li>\n
                                                            • \u00c1p d\u1ee5ng khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u01a1 h\u00f3a b\u1ecb th\u1ea5t b\u1ea1i.<\/li>\n<\/ul>\n

                                                              5.4. Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/h3>\n

                                                              K\u00eanh sinh thi\u1ebft c\u1ee7a m\u00e1y soi d\u1ec5 b\u1ecb t\u1eafc n\u1ebfu dung d\u1ecbch keo d\u00e1n r\u00f2 v\u00e0o trong k\u00eanh v\u00ec dung d\u1ecbch n\u00e0y s\u1ebd \u0111\u00f4ng c\u1ee9ng l\u1ea1i sau v\u00e0i ph\u00fat \u1edf m\u00f4i tr\u01b0\u1eddng l\u1ecfng.<\/p>\n

                                                              5.5. Ch\u00fa \u00fd khi s\u1eed d\u1ee5ng<\/h3>\n
                                                                \n
                                                              • Tr\u01b0\u1edbc v\u00e0 sau khi ti\u00eam r\u1eeda kim ti\u00eam b\u1eb1ng lipiodol.<\/li>\n
                                                              • Khi c\u00f3 r\u00f2 dung d\u1ecbch keo d\u00e1n ra ngo\u00e0i: k\u00e9o m\u00e1y soi ra, r\u1eeda v\u00e0 lau v\u1eadt k\u00ednh li\u00ean t\u1ee5c, kh\u00f4ng \u0111\u01b0\u1ee3c h\u00fat.<\/li>\n<\/ul>\n

                                                                 <\/p>\n

                                                                T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n

                                                                  \n
                                                                1. Khoa Ti\u00eau h\u00f3a B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai, N\u1ed9i soi ti\u00eau h\u00f3a<\/em>, Nh\u00e0 xu\u1ea5t b\u1ea3n y h\u1ecdc, 2008.<\/li>\n
                                                                2. Canard J M, Gastrointestinal Endoscopy in practice, 2011.<\/li>\n
                                                                3. Drossman Anoscopy and rigid sigmoidoscopy<\/em>, Manual of Gastroenterologic procedures, 3rd<\/sup> edi.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                                                                  Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. C\u00e1c gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n n\u00e0y c\u00f3 th\u1ec3 v\u1ee1 v\u00e0 g\u00e2y ra xu\u1ea5t huy\u1ebft \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean. T\u1ef7 l\u1ec7 v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan dao d\u1ed9ng t\u1eeb 30-88%. C\u00e1c […]<\/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":[3],"yoast_head":"\nN\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.\" \/>\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=\"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-20T23:57:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-21T03:17:26+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/vncc.jpg\" \/>\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=\"17 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\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/\",\"name\":\"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-20T23:57:09+00:00\",\"dateModified\":\"2023-04-21T03:17:26+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc\"},\"description\":\"Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc\",\"name\":\"Minh Tang Phuong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/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":"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n - Vinmec","description":"Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.","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":"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n - Vinmec","og_description":"Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/","og_site_name":"Vinmec","article_published_time":"2023-04-20T23:57:09+00:00","article_modified_time":"2023-04-21T03:17:26+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/vncc.jpg"}],"author":"Minh Tang Phuong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Minh Tang Phuong","Est. reading time":"17 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/","name":"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-20T23:57:09+00:00","dateModified":"2023-04-21T03:17:26+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc"},"description":"Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. H\u00ecnh \u1ea3nh n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 gi\u00e3n t\u0129nh m\u1ea1ch v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 c\u00e1c b\u00fai t\u0129nh m\u1ea1ch n\u00e0y.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/noi-soi-dieu-tri-vo-gian-tinh-mach-thuc-quan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"N\u1ed9i soi \u0111i\u1ec1u tr\u1ecb v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1f3505046718c2227ed72bac35a0fbcc","name":"Minh Tang Phuong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/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\/25542"}],"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=25542"}],"version-history":[{"count":1,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/25542\/revisions"}],"predecessor-version":[{"id":25575,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/25542\/revisions\/25575"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=25542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=25542"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=25542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}