{"id":31447,"date":"2023-05-04T16:23:16","date_gmt":"2023-05-04T09:23:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31447"},"modified":"2023-05-04T16:23:50","modified_gmt":"2023-05-04T09:23:50","slug":"quy-trinh-noi-soi-sieu-am-duong-tieu-hoa-tren-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-noi-soi-sieu-am-duong-tieu-hoa-tren-theo-bo-y-te\/","title":{"rendered":"Quy tr\u00ecnh n\u1ed9i soi si\u00eau \u00e2m \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 k\u1ef9 thu\u1eadt k\u1ebft h\u1ee3p gi\u1eefa n\u1ed9i soi v\u00e0 si\u00eau \u00e2m, trong \u0111\u00f3 \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c \u00e1p s\u00e1t v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ea7n th\u0103m d\u00f2 qua \u0111\u01b0\u1eddng n\u1ed9i soi: t\u1ed5n th\u01b0\u01a1ng th\u00e0nh th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, ru\u1ed9t, gan, t\u1ee5y m\u1eadt. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi m\u1edbi v\u00e0 \u0111ang \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i trong n\u01b0\u1edbc v\u00e0 th\u1ebf gi\u1edbi, gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c h\u01a1n.<\/span><\/strong><\/p>\n

\"\"<\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/span><\/b><\/h2>\n

1.1. C\u00e1c ch\u1ec9 \u0111\u1ecbnh ch\u00ednh<\/span><\/b><\/h3>\n

– Ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ea5t th\u01b0\u1eddng \u1edf d\u01b0\u1edbi ni\u00eam m\u1ea1c cu\u1ea3 \u1ed1ng ti\u00eau h\u00f3a.<\/span><\/p>\n

+ Ph\u00e2n bi\u1ec7t m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u1edf th\u00e0nh \u1ed1ng ti\u00eau h\u00f3a hay t\u1eeb b\u00ean ngo\u00e0i.<\/span><\/p>\n

+ \u0110\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc v\u00e0 c\u1ea5u tr\u00fac kh\u1ed1i u.<\/span><\/p>\n

+ \u0110\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1edbn c\u1ee7a c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c c\u1ee7a d\u1ea1 d\u00e0y.<\/span><\/p>\n

+ Ch\u1ea9n \u0111o\u00e1n varices \u1edf th\u1ef1c qu\u1ea3n<\/a> v\u00e0 d\u1ea1 d\u00e0y.<\/span><\/p>\n

– Ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n c\u00e1c kh\u1ed1i u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/span><\/p>\n

– Ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd c\u1ee7a t\u1ee5y v\u00e0 \u0111\u01b0\u1eddng m\u1eadt.<\/span><\/p>\n

+ \u0110\u00e1nh gi\u00e1 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a ung th\u01b0.<\/span><\/p>\n

+ X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a c\u00e1c u n\u1ed9i ti\u1ebft.<\/span><\/p>\n

+ Ph\u00e1t hi\u1ec7n s\u1ecfi v\u00e0 giun trong \u1ed1ng m\u1eadt ch\u1ee7.<\/span><\/p>\n

1.2. C\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c<\/span><\/b><\/h3>\n

– \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb varices<\/span><\/p>\n

– B\u1ec7nh l\u00fd vi\u00eam nhi\u1ec5m ru\u1ed9t<\/span><\/p>\n

– B\u1ec7nh l\u00fd nhu \u0111\u1ed9ng th\u1ef1c qu\u1ea3n<\/span><\/p>\n

– Lo\u00e9t l\u00e0nh t\u00ednh \u0111ang li\u1ec1n s\u1eb9o<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 nguy c\u01a1 ch\u1ea3y m\u00e1u \u1ed5 lo\u00e9t<\/span><\/p>\n

– D\u1eabn l\u01b0u nang gi\u1ea3 t\u1ee5y d\u01b0\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a SANS<\/span><\/p>\n

– Vi\u00eam t\u1ee5y m\u1ea1n<\/span><\/p>\n

– Ch\u1ecdc h\u00fat t\u1ebf b\u00e0o kim nh\u1ecf d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn SANS<\/span><\/p>\n

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00e2n lo\u1ea1i ung th\u01b0<\/span><\/p>\n

– Ph\u00e1 h\u1ee7y \u0111\u00e1m r\u1ed1i th\u1ea7n kinh t\u1ea1ng \u0111\u1ec3 gi\u1ea3m \u0111au<\/span><\/p>\n

– Co th\u1eaft th\u1ef1c qu\u1ea3n<\/span><\/p>\n

2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/span><\/b><\/h2>\n

– C\u00e1c b\u1ec7nh l\u00fd \u1edf th\u1ef1c qu\u1ea3n c\u00f3 nguy c\u01a1 l\u00e0m th\u1ee7ng th\u1ef1c qu\u1ea3n do h\u00f3a ch\u1ea5t v\u00e0 thu\u1ed1c g\u00e2y h\u1eb9p th\u1ef1c qu\u1ea3n.<\/span><\/p>\n

– Ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/span><\/p>\n

– Suy tim, T\u1ee5t huy\u1ebft \u00e1p.<\/span><\/p>\n

– Suy h\u00f4 h\u1ea5p.<\/span><\/p>\n

– Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p.<\/span><\/p>\n

– C\u01a1n t\u0103ng huy\u1ebft \u00e1p.<\/span><\/p>\n

– Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i:<\/span><\/p>\n

+ Ng\u01b0\u1eddi b\u1ec7nh qu\u00e1 gi\u00e0 y\u1ebfu v\u00e0 suy nh\u01b0\u1ee3c<\/span><\/p>\n

+ Ng\u01b0\u1eddi b\u1ec7nh t\u00e2m th\u1ea7n kh\u00f4ng ph\u1ed1i h\u1ee3p \u0111\u01b0\u1ee3c<\/span><\/p>\n

+ Ho nhi\u1ec1u, G\u00f9 v\u1eb9o c\u1ed9t s\u1ed1ng<\/span><\/p>\n

3. Chu\u1ea9n b\u1ecb<\/span><\/b><\/h2>\n

3.1. Ph\u01b0\u01a1ng ti\u1ec7n d\u1ee5ng c\u1ee5, thu\u1ed1c<\/span><\/b><\/h3>\n

3.1.1. D\u1ee5ng c\u1ee5<\/span><\/i><\/b><\/h4>\n

– M\u00e1y si\u00eau \u00e2m n\u1ed9i soi, m\u00e1y h\u00fat, ngu\u1ed3n s\u00e1ng, m\u00e0n h\u00ecnh, \u1ed1ng ng\u1eadm mi\u1ec7ng.<\/span><\/p>\n

– M\u00e1y theo d\u00f5i m\u1ea1ch, Huy\u1ebft \u00e1p, spO2<\/span><\/p>\n

3.1.2. Thu\u1ed1c<\/span><\/i><\/b>: <\/span><\/h4>\n

Seduxen, buscopan, midazolam, fentanyl ho\u1eb7c propofol.<\/span><\/p>\n

3.2. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n: <\/span><\/b><\/h3>\n

1 b\u00e1c s\u1ef9 chuy\u00ean khoa Ti\u00eau h\u00f3a, 1 \u0111i\u1ec1u d\u01b0\u1ee1ng gi\u1eef canuyn<\/span><\/p>\n

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

Nh\u1ecbn \u0103n t\u1ed1i thi\u1ec3u 6 gi\u1edd tr\u01b0\u1edbc soi, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch v\u1ec1 l\u1ee3i \u00edch v\u00e0 tai bi\u1ebfn c\u1ee7a th\u1ee7 thu\u1eadt v\u00e0 \u0111\u1ed3ng \u00fd.<\/span><\/p>\n

Cho ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng thu\u1ed1c ch\u1ed1ng t\u1ea1o b\u1ecdt Simethicone tr\u01b0\u1edbc soi 30 ph\u00fat<\/span><\/p>\n

3.4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/span><\/b>: <\/span><\/h3>\n

Ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa ph\u1ea3i c\u00f3 b\u1ec7nh \u00e1n.<\/span><\/p>\n

4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/span><\/b><\/h2>\n

4.1. Chu\u1ea9n b\u1ecb v\u00e0 ki\u1ec3m tra m\u00e1y soi<\/span><\/b><\/h3>\n

T\u01b0 th\u1ebf: ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m nghi\u00eang tr\u00e1i v\u00e0 \u0111\u1eb7t \u1ed1ng ng\u1eadm mi\u1ec7ng v\u00e0o gi\u1eefa 2 cung r\u0103ng<\/span><\/p>\n

4.2. V\u00f4 c\u1ea3m: <\/span><\/b><\/h3>\n

Ti\u1ec1n m\u00ea b\u1eb1ng seduxen ho\u1eb7c midazolam\/ fentanyl g\u00e2y m\u00ea t\u0129nh m\u1ea1ch ho\u1eb7c n\u1ed9i kh\u00ed qu\u1ea3n tuy tr\u01b0\u1eddng h\u1ee3p. Ph\u1ea3i theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf<\/span><\/p>\n

4.3. \u0110\u01b0a m\u00f9 \u0111\u00e8n soi qua th\u1ef1c qu\u1ea3n v\u00e0o d\u1ea1 d\u00e0y: <\/span><\/b><\/h3>\n

Khi nh\u00ecn th\u1ea5y hang v\u1ecb v\u00e0 m\u00f4n v\u1ecb th\u00ec \u0111\u01b0a m\u00e1y v\u00e0o h\u00e0nh t\u00e1 tr\u00e0ng v\u00e0 xu\u1ed1ng \u0111o\u1ea1n 2 t\u00e1 tr\u00e0ng. L\u01b0u \u00fd trong qu\u00e1 tr\u00ecnh \u0111\u01b0a \u0111\u00e8n soi kh\u00f4ng s\u1eed d\u1ee5ng n\u00fat si\u00eau \u00e2m.<\/span><\/p>\n

4.4. Qu\u00e1 tr\u00ecnh nh\u1eadn \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng<\/span><\/b>:<\/span><\/h3>\n

B\u1eaft \u0111\u1ea7u ti\u1ebfn h\u00e0nh t\u1eeb \u0111o\u1ea1n xa nh\u1ea5t nh\u01b0 \u0111o\u1ea1n xu\u1ed1ng t\u00e1 tr\u00e0ng. Trong khi nh\u1eb9 nh\u00e0ng r\u00fat m\u00e1y l\u00ean th\u00ec c\u00e1c h\u00ecnh \u1ea3nh si\u00eau \u00e2m \u0111\u01b0\u1ee3c coi nh\u01b0 c\u00e1c m\u1ed1c \u0111\u1ecbnh h\u01b0\u1edbng l\u00e0 c\u00e1c t\u1ea1ng \u1edf xung quanh d\u1ea1 d\u00e0y nh\u01b0 gan m\u1eadt t\u1ee5y l\u00e1ch c\u00f3 th\u1ec3 quan s\u00e1t. \u1ede th\u1ef1c qu\u1ea3n th\u00ec \u0111o\u1ea1n xu\u1ed1ng c\u1ee7a quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 nh\u0129 tr\u00e1i \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed1c gi\u1ea3i ph\u1eabu \u0111\u1ecbnh h\u01b0\u1edbng. Khi ch\u1ec9 th\u0103m kh\u00e1m c\u00e1c b\u1ea5t th\u01b0\u1eddng \u1edf th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y th\u00ec kh\u00f4ng c\u1ea7n \u0111\u01b0a m\u00e1y xu\u1ed1ng m\u00f4n v\u1ecb v\u00e0 h\u00e0nh t\u00e1 tr\u00e0ng.<\/span><\/p>\n

4.5. Th\u0103m d\u00f2 SANS c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh b\u1eb1ng c\u00e1ch<\/span><\/b><\/h3>\n

– Tr\u1ef1c ti\u1ebfp \u00e1p s\u00e1t \u0111\u1ea7u d\u00f2 l\u00ean l\u1edbp ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng ti\u00eau h\u00f3a theo s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a n\u1ed9i soi.<\/span><\/p>\n

– S\u1eed d\u1ee5ng balloon \u0111\u1ea7y n\u01b0\u1edbc bao quanh \u0111\u1ea7u d\u00f2 ( kho\u1ea3ng 400ml n\u01b0\u1edbc) s\u1ebd t\u1ea1o n\u00ean c\u1eeda s\u1ed5 si\u00eau \u00e2m gi\u00fap quan s\u00e1t t\u1ed1t nh\u1ea5t th\u00e0nh d\u1ea1 d\u00e0y v\u00e0 c\u00e1c t\u1ea1ng xung quanh.<\/span><\/p>\n

5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/span><\/b><\/h2>\n

– L\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 an to\u00e0n t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng r\u1ea5t th\u1ea5p. M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0:<\/span><\/p>\n

+ R\u00e1ch ho\u1eb7c th\u1ee7ng th\u00e0nh \u1ed1ng ti\u00eau h\u00f3a<\/span><\/p>\n

+ Ch\u1ea3y m\u00e1u.<\/span><\/p>\n

– C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 do c\u1ed1 \u0111\u01b0a m\u00e1y \u0111i qua ch\u1ed7 h\u1eb9p.<\/span><\/p>\n

6. \u01afu \u0111i\u1ec3m c\u1ee7a k\u1ef9 thu\u1eadt n\u1ed9i soi si\u00eau \u00e2m \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean<\/h2>\n

K\u1ef9 thu\u1eadt n\u1ed9i soi si\u00eau \u00e2m \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn cho c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean, c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0 sau:<\/p>\n

– \u0110\u1ed9 ch\u00ednh x\u00e1c cao: N\u1ed9i soi si\u00eau \u00e2m c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean, bao g\u1ed3m ung th\u01b0, polyp, vi\u00eam v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho ph\u00e9p b\u00e1c s\u0129 nh\u00ecn th\u1ea5y c\u00e1c t\u1ed5n th\u01b0\u01a1ng b\u00ean trong c\u00e1c c\u01a1 quan \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c v\u1ecb tr\u00ed v\u00e0 \u0111\u1ed9 s\u00e2u c\u1ee7a ch\u00fang.<\/p>\n

– \u0110\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c \u0111\u1ed9 s\u00e2u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng: cho ph\u00e9p b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c \u0111\u1ed9 s\u00e2u c\u1ee7a c\u00e1c t\u1ed5n th\u01b0\u01a1ng trong c\u00e1c c\u01a1 quan \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean, gi\u00fap cho vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c h\u01a1n.<\/p>\n

– Gi\u00fap h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt can thi\u1ec7p: c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt can thi\u1ec7p nh\u01b0 ti\u00eam thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o c\u00e1c t\u1ed5n th\u01b0\u01a1ng, l\u1ea5y m\u1eabu t\u1ebf b\u00e0o ho\u1eb7c ti\u00eam kim \u0111\u1ec3 h\u00fat ch\u1ea5t b\u1ea5t th\u01b0\u1eddng.<\/p>\n

– Kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf: \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf, do \u0111\u00f3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 th\u1eddi gian h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt.<\/p>\n

– Ti\u1ebft ki\u1ec7m th\u1eddi gian: gi\u00fap ti\u1ebft ki\u1ec7m th\u1eddi gian cho b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u th\u1eddi gian ngh\u1ec9 vi\u1ec7c, v\u00ec n\u00f3 kh\u00f4ng \u0111\u00f2i h\u1ecfi th\u1eddi gian h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt m\u1edf.<\/p>\n

– \u0110\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c khu v\u1ef1c kh\u00f3 ti\u1ebfp c\u1eadn: cho ph\u00e9p b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c khu v\u1ef1c kh\u00f3 ti\u1ebfp c\u1eadn b\u00ean trong c\u00e1c c\u01a1 quan \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean, gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c h\u01a1n.<\/p>\n

T\u00f3m l\u1ea1i. si\u00eau \u00e2m n\u1ed9i soi l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt k\u1ebft h\u1ee3p gi\u1eefa n\u1ed9i soi v\u00e0 si\u00eau \u00e2m, trong \u0111\u00f3 \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o \u0111\u1ea7u n\u1ed9i soi \u0111\u1ec3 \u00e1p s\u00e1t v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ea7n th\u0103m d\u00f2. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 th\u0103m d\u00f2 v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd trong c\u00e1c c\u01a1 quan trong b\u1ee5ng, bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng th\u00e0nh th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, ru\u1ed9t, gan, t\u1ee5y m\u1eadt. Si\u00eau \u00e2m n\u1ed9i soi gi\u00fap cho c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y r\u00f5 h\u01a1n c\u00e1c t\u1ed5n th\u01b0\u01a1ng b\u00ean trong c\u00e1c c\u01a1 quan n\u00e0y v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c h\u01a1n.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 k\u1ef9 thu\u1eadt k\u1ebft h\u1ee3p gi\u1eefa n\u1ed9i soi v\u00e0 si\u00eau \u00e2m, trong \u0111\u00f3 \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c \u00e1p s\u00e1t v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ea7n th\u0103m d\u00f2 qua \u0111\u01b0\u1eddng n\u1ed9i soi: t\u1ed5n th\u01b0\u01a1ng th\u00e0nh th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, ru\u1ed9t, gan, t\u1ee5y m\u1eadt. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi m\u1edbi v\u00e0 […]<\/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":"\nQuy tr\u00ecnh n\u1ed9i soi si\u00eau \u00e2m \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean theo B\u1ed9 Y t\u1ebf<\/title>\n<meta name=\"description\" content=\"Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 k\u1ef9 thu\u1eadt k\u1ebft h\u1ee3p gi\u1eefa 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