{"id":31231,"date":"2023-05-11T16:14:10","date_gmt":"2023-05-11T09:14:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31231"},"modified":"2023-05-11T16:14:10","modified_gmt":"2023-05-11T09:14:10","slug":"noi-soi-can-thiep-lam-clo-test-chan-doan-hp","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/11\/noi-soi-can-thiep-lam-clo-test-chan-doan-hp\/","title":{"rendered":"N\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP"},"content":{"rendered":"

N\u1ed9i soi can thi\u1ec7p l\u00e0m Clo-test l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m H. pylori<\/a> th\u00f4ng qua vi\u1ec7c l\u1ea5y m\u1eabu t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch \u0111\u01b0a m\u1ed9t \u1ed1ng n\u1ed9i soi qua mi\u1ec7ng, d\u1ecbch qu\u1ea3n v\u00e0 \u0111\u1ebfn d\u1ea1 d\u00e0y. Sau \u0111\u00f3, m\u1ed9t m\u1ea9u m\u00f4 t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y \u0111\u1ec3 ph\u00e2n t\u00edch.<\/strong><\/p>\n

\"\"<\/p>\n

1. C\u01a1 ch\u1ebf c\u1ee7a Clo-test ch\u1ea9n \u0111o\u00e1n HP<\/span><\/b><\/h2>\n

C\u01a1 ch\u1ebf c\u1ee7a Clo-test ch\u1ea9n \u0111o\u00e1n HP:<\/p>\n

Clo-test l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP (Helicobacter pylori) b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng n\u1ed9i soi \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 sau \u0111\u00f3 th\u1ef1c hi\u1ec7n test urease \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nhi\u1ec5m HP c\u1ee7a m\u00f4 d\u1ea1 d\u00e0y. C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a Clo-test d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng ti\u1ebft urease c\u1ee7a vi khu\u1ea9n HP.<\/p>\n

Khi m\u1ed9t m\u1ea9u m\u00f4 t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, n\u00f3 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o m\u1ed9t dung d\u1ecbch ch\u1ee9a urea v\u00e0 phenol \u0111\u1ecf. N\u1ebfu vi khu\u1ea9n HP c\u00f3 m\u1eb7t trong m\u1ea9u m\u00f4 t\u1ebf b\u00e0o, ch\u00fang s\u1ebd ti\u1ebft ra enzyme urease \u0111\u1ec3 chuy\u1ec3n \u0111\u1ed5i urea th\u00e0nh amoni v\u00e0 CO2. S\u1ea3n ph\u1ea9m CO2 s\u1ebd l\u00e0m thay \u0111\u1ed5i m\u00e0u c\u1ee7a dung d\u1ecbch phenol \u0111\u1ecf, cho th\u1ea5y c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a HP.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n

Clo-test l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng. N\u00f3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, bao g\u1ed3m:<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n vi\u00eam d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng: Clo-test \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng nhi\u1ec5m HP \u1edf b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng nh\u01b0 \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, \u1ee3 n\u00f3ng, \u0111\u1ea7y h\u01a1i, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb HP: Clo-test c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb HP. Sau khi \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c ki\u1ec3m tra l\u1ea1i \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u vi khu\u1ea9n c\u00f3 c\u00f2n \u0111ang c\u00f3 m\u1eb7t trong ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y hay kh\u00f4ng. N\u1ebfu Clo-test cho k\u1ebft qu\u1ea3 \u00e2m t\u00ednh, \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c coi l\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n

C\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP bao g\u1ed3m:<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe: N\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe nh\u01b0 suy tim, suy gan, suy th\u1eadn, b\u1ec7nh nh\u00e2n \u0111ang trong giai \u0111o\u1ea1n truy\u1ec1n nhi\u1ec5m ho\u1eb7c b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf b\u00e0i ti\u1ebft axit d\u1ea1 d\u00e0y.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ti\u00eau h\u00f3a: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ti\u00eau h\u00f3a nh\u01b0 \u1ee3 n\u00f3ng, \u0111\u1ea7y h\u01a1i, bu\u1ed3n n\u00f4n, n\u00f4n, n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP c\u0169ng kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n

– B\u1ec7nh nh\u00e2n \u0111\u00e3 ti\u00eam kh\u00e1ng sinh: N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 ti\u00eam kh\u00e1ng sinh trong v\u00f2ng 2 tu\u1ea7n tr\u01b0\u1edbc \u0111\u00f3, n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00ec kh\u00e1ng sinh c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng vi khu\u1ea9n trong ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u: N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u nh\u01b0 warfarin, clopidogrel, ho\u1eb7c aspirin, n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP c\u0169ng n\u00ean \u0111\u01b0\u1ee3c th\u1eadn tr\u1ecdng v\u00ec c\u00f3 th\u1ec3 g\u00e2y ra ch\u1ea3y m\u00e1u.<\/p>\n

– Ph\u1ee5 n\u1eef \u0111ang mang thai: N\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch cho ph\u1ee5 n\u1eef \u0111ang mang thai, tr\u1eeb khi r\u1ea5t c\u1ea7n thi\u1ebft v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n

Nh\u1eefng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tr\u00ean ch\u1ec9 mang t\u00ednh ch\u1ea5t chung, m\u1ed7i tr\u01b0\u1eddng h\u1ee3p c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t ri\u00eang \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh li\u1ec7u n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP c\u00f3 ph\u00f9 h\u1ee3p v\u00e0 an to\u00e0n cho b\u1ec7nh nh\u00e2n hay kh\u00f4ng.<\/p>\n

4. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP<\/h2>\n

\u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo-test ch\u1ea9n \u0111o\u00e1n HP<\/p>\n

Clo-test c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n

– \u0110\u1ed9 ch\u00ednh x\u00e1c cao: Clo-test l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 x\u00e9t nghi\u1ec7m m\u00e1u ho\u1eb7c x\u00e9t nghi\u1ec7m nhanh.<\/p>\n

– D\u1ec5 th\u1ef1c hi\u1ec7n: Clo-test d\u1ec5 th\u1ef1c hi\u1ec7n v\u00e0 nhanh ch\u00f3ng, ch\u1ec9 m\u1ea5t kho\u1ea3ng 10 ph\u00fat \u0111\u1ec3 \u0111\u1ecdc k\u1ebft qu\u1ea3.<\/p>\n

– An to\u00e0n: Clo-test l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 \u00edt g\u00e2y \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/p>\n

– Chi ph\u00ed th\u1ea5p: So v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 x\u00e9t nghi\u1ec7m PCR ho\u1eb7c x\u00e9t nghi\u1ec7m m\u00f4 b\u1ec7nh ph\u1ea9m, Clo-test c\u00f3 chi ph\u00ed th\u1ea5p h\u01a1n nhi\u1ec1u.<\/p>\n

5. H\u1ea1n ch\u1ebf<\/h2>\n

H\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi can thi\u1ec7p l\u00e0m Clo-test:<\/p>\n

Tuy nhi\u00ean, Clo-test c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, bao g\u1ed3m:<\/p>\n

– Kh\u1ea3 n\u0103ng sai s\u00f3t: Clo-test c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 sai s\u00f3t n\u1ebfu m\u1ea9u m\u00f4 t\u1ebf b\u00e0o l\u1ea5y t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y kh\u00f4ng \u0111\u1ee7 ho\u1eb7c kh\u00f4ng \u0111\u00fang v\u1ecb tr\u00ed.<\/p>\n

– Kh\u1ea3 n\u0103ng gi\u1ea3m \u0111\u1ed9 nh\u1ea1y: N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 s\u1eed d\u1ee5ng kh\u00e1ng sinh ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf b\u00e0i ti\u1ebft axit d\u1ea1 d\u00e0y tr\u01b0\u1edbc \u0111\u00f3, Clo-test c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 gi\u1ea3m \u0111\u1ed9 nh\u1ea1y.<\/p>\n

– Kh\u1ea3 n\u0103ng gi\u1ea3m \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u: Clo-test c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng cho k\u1ebft qu\u1ea3 gi\u1ea3m \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u n\u1ebfu c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c vi khu\u1ea9n kh\u00e1c trong ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.<\/p>\n

T\u00f3m l\u1ea1i, Clo-test l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP \u0111\u00e1ng tin c\u1eady v\u00e0 d\u1ec5 th\u1ef1c hi\u1ec7n. Tuy nhi\u00ean, nh\u01b0 v\u1edbi b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0o, n\u00f3 c\u0169ng c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0u \u00fd. B\u00e1c s\u0129 v\u00e0 chuy\u00ean gia y t\u1ebf c\u1ea7n xem x\u00e9t k\u1ef9 l\u01b0\u1ee1ng tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng Clo-test \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP cho b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

N\u1ed9i soi can thi\u1ec7p l\u00e0m Clo-test l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m H. pylori th\u00f4ng qua vi\u1ec7c l\u1ea5y m\u1eabu t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch \u0111\u01b0a m\u1ed9t \u1ed1ng n\u1ed9i soi qua mi\u1ec7ng, d\u1ecbch qu\u1ea3n v\u00e0 \u0111\u1ebfn d\u1ea1 d\u00e0y. Sau \u0111\u00f3, m\u1ed9t m\u1ea9u m\u00f4 t\u1ebf b\u00e0o […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nN\u1ed9i soi can thi\u1ec7p l\u00e0m Clo test ch\u1ea9n \u0111o\u00e1n HP - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u1ed9i soi can thi\u1ec7p l\u00e0m Clo-test l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP th\u00f4ng qua vi\u1ec7c l\u1ea5y m\u1eabu t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y. 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