{"id":31451,"date":"2023-05-04T16:25:34","date_gmt":"2023-05-04T09:25:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31451"},"modified":"2023-05-04T16:25:34","modified_gmt":"2023-05-04T09:25:34","slug":"noi-soi-dai-truc-trang-can-thiep-cap-cuu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/noi-soi-dai-truc-trang-can-thiep-cap-cuu\/","title":{"rendered":"N\u1ed9i soi \u0111\u1ea1i tr\u1ef1c tr\u00e0ng can thi\u1ec7p c\u1ea5p c\u1ee9u"},"content":{"rendered":"

N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u01b0a m\u1ed9t \u1ed1ng soi m\u1ec1m qua h\u1eadu m\u00f4n \u0111i ng\u01b0\u1ee3c l\u00ean \u0111\u1ebfn manh tr\u00e0ng \u0111\u1ec3 quan s\u00e1t to\u00e0n b\u1ed9 ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng. N\u1ebfu c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh sinh thi\u1ebft t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111\u1ea1i tr\u00e0ng v\u00e0 m\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt nh\u01b0 c\u1eaft polyp, l\u1ea5y d\u1ecb v\u1eadt, ti\u00eam c\u1ea7m m\u00e1u.<\/span><\/strong><\/p>\n

\"\"<\/p>\n

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

\u0110i ngo\u00e0i ra m\u00e1u \u0111\u1ecf<\/span><\/p>\n

\u0110i ngo\u00e0i ra m\u00e1u \u0111en (Soi d\u1ea1 d\u00e0y b\u00ecnh th\u01b0\u1eddng) <\/span><\/p>\n

B\u00e1n t\u1eafc ru\u1ed9t<\/a> nghi u \u0111\u1ea1i tr\u00e0ng<\/span><\/p>\n

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

– Th\u1ee7ng \u0111\u1ea1i tr\u00e0ng<\/span><\/p>\n

– Vi\u00eam ph\u00fac m\u1ea1c<\/span><\/p>\n

– Suy tim<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim m\u1edbi<\/span><\/p>\n

– M\u1edbi ph\u1eabu thu\u1eadt \u1edf \u0111\u1ea1i tr\u00e0ng, m\u1ed5 \u1edf ti\u1ec3u khung<\/span><\/p>\n

– Ph\u00ecnh l\u1edbn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng<\/span><\/p>\n

– B\u1ec7nh t\u00fai th\u1eeba c\u1ea5p t\u00ednh<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u1eafc m\u1ea1ch ph\u1ed5i<\/span><\/p>\n

– T\u00ecnh tr\u1ea1ng shock<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh \u0111ang c\u00f3 thai (3 th\u00e1ng \u0111\u1ea7u v\u00e0 3 th\u00e1ng cu\u1ed1i)<\/span><\/p>\n

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

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

– 01 B\u00e1c s\u0129 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p ch\u1ee9ng ch\u1ec9 n\u1ed9i soi.<\/span><\/p>\n

– 02 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/span><\/p>\n

3.2. Ph\u01b0\u01a1ng ti\u1ec7n<\/span><\/b><\/h3>\n

– 01 m\u00e1y n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng \u1ed1ng m\u1ec1m c\u00f3 k\u00eanh ho\u1ea1t \u0111\u1ed9ng l\u1edbn ho\u1eb7c c\u00f3 2 k\u00eanh ho\u1ea1t \u0111\u1ed9ng.<\/span><\/p>\n

– 01 k\u00ecm sinh thi\u1ebft ph\u00f9 h\u1ee3p v\u1edbi k\u00eanh sinh thi\u1ebft c\u1ee7a m\u00e1y.<\/span><\/p>\n

– 01 kim ti\u00eam c\u1ea7m m\u00e1u qua n\u1ed9i soi: c\u00f3 \u0111\u1ea7u c\u1eaft ng\u1eafn kho\u1ea3ng 4mm, \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 th\u1ee7ng do ti\u00eam qu\u00e1 s\u00e2u.<\/span><\/p>\n

– 1 b\u01a1m ti\u00eam 10ml.<\/span><\/p>\n

– Adrenalin 1\/10.000 g\u00e2y co m\u1ea1ch t\u1ea1i ch\u1ed7, pha Adrenalin v\u1edbi dung d\u1ecbch \u01b0u tr\u01b0\u01a1ng<\/span><\/p>\n

– K\u1eb9p clip<\/span><\/p>\n

– Heater probe: C\u00e1c lo\u1ea1i \u0111\u1ea7u d\u00f2<\/span><\/p>\n

+ \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 khuy\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 ng\u01b0\u1eddi b\u1ec7nh. D\u00f2ng \u0111i\u1ec7n s\u1ebd d\u1ea7n qua th\u00e0nh \u1ed1ng ti\u00eau h\u00f3a v\u00e0 g\u00e2y n\u00ean nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf s\u00e2u.<\/span><\/p>\n

+ \u0110\u1ea7u d\u00f2 l\u01b0\u1ee1ng c\u1ef1c; d\u00f2ng \u0111i\u1ec7n c\u1ea7m m\u00e0u 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 \u1edf t\u1ed5 ch\u1ee9c s\u00e2u, gi\u1ea3m nguy c\u01a1 th\u1ee7ng.<\/span><\/p>\n

+ \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 gi\u1eefa c\u00e1c \u0111i\u1ec7n c\u1ef1c \u0111\u00f3 c\u00f3 t\u00e1c d\u1ee5ng c\u1ea7m m\u00e1u. Q\u00faa 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\u1ea1ch m\u00e1u 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<\/span><\/p>\n

– M\u00e1y APC<\/span><\/p>\n

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

3.3.1. H\u1ed3i s\u1ee9c<\/span><\/i><\/b>: <\/span><\/h4>\n

Ph\u1ea3i h\u1ed3i s\u1ee9c th\u1eadt t\u1ed1t cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ecnh tr\u1ea1ng huy\u1ebft \u0111\u1ed9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh<\/span><\/p>\n

3.3.2. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 suy h\u00f4 h\u1ea5p ho\u1eb7c r\u1ed1i lo\u1ea1n tri gi\u00e1c<\/span><\/i><\/b>: <\/span><\/h4>\n

\u0110\u00f2i h\u1ecfi ph\u1ea3i \u0111\u0103t n\u1ed9i kh\u00ed qu\u1ea3n trong qu\u00e1 tr\u00ecnh l\u00e0m n\u1ed9i soi<\/span><\/p>\n

3.3.3. L\u00e0m s\u1ea1ch \u0111\u1ea1i tr\u00e0ng b\u1eb1ng 2 c\u00e1ch<\/span><\/i><\/b><\/h4>\n

+ D\u00f9ng thu\u1ed1c nhu\u1eadn tr\u00e0ng: c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c nh\u01b0ng hi\u1ec7n nay d\u00f9ng Fortrans, Fleed. D\u00f9ng 3 g\u00f3i thu\u1ed1c pha v\u00e0o 3 l\u00edt n\u01b0\u1edbc \u0111un s\u00f4i \u0111\u1ec3 ngu\u1ed9i u\u1ed1ng tr\u01b0\u1edbc khi soi 6 gi\u1edd.<\/span><\/p>\n

Ch\u00fa \u00fd: N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u00e1n t\u1eafc hay t\u1eafc ru\u1ed9t kh\u00f4ng d\u00f9ng thu\u1ed1c nhu\u1eadn tr\u00e0ng<\/span><\/p>\n

+ Ph\u01b0\u01a1ng ph\u00e1p th\u1ee5t r\u1eeda: N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c thu\u1ed1c nhu\u1eadn tr\u00e0ng ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u00e1n t\u1eafc ru\u1ed9t, th\u1ee5t s\u1ea1ch 3 l\u1ea7n tr\u01b0\u1edbc khi soi<\/span><\/p>\n

– H\u1ecfi k\u1ef9 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c ti\u1ec1n m\u00ea, gi\u1ea3m \u0111au, gi\u1ea3m nhu \u0111\u1ed9ng<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c ng\u01b0\u1eddi nh\u00e0 k\u00fd v\u00e0o gi\u1ea5y \u0111\u1ed3ng \u00fd soi<\/span><\/p>\n

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

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

4.1. Ki\u1ec3m tra h\u1ed3 s\u01a1<\/span><\/b><\/h3>\n

– Ki\u1ec3m tra t\u00ecnh tr\u1ea1ng huy\u1ebft \u0111\u1ed9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh: M\u1ea1ch<100, HA>90\/60<\/span><\/p>\n

– Ki\u1ec3m tra c\u00e1c x\u00e9t nghi\u1ec7m v\u1ec1 \u0111\u00f4ng m\u00e1u v\u00e0 c\u1ea7m m\u00e1u<\/span><\/p>\n

– Ki\u1ec3m tra t\u00ecnh tr\u1ea1ng d\u00f9ng thu\u1ed1c tr\u01b0\u1edbc \u0111\u00f3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1eb7c bi\u1ec7t l\u00e0 d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/span><\/p>\n

4.2. Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh<\/span><\/b><\/h3>\n

– T\u00ecnh tr\u1ea1ng \u00fd th\u1ee9c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n<\/span><\/p>\n

– Ki\u1ec3m tra l\u1ea1i huy\u1ebft \u0111\u1ed9ng tr\u01b0\u1edbc khi soi<\/span><\/p>\n

4.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt<\/span><\/b><\/h3>\n

4.3.1. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt soi \u0111\u1ea1i tr\u00e0ng \u1ed1ng m\u1ec1m<\/span><\/i><\/b>:\u00a0<\/span><\/h4>\n

4.3.2. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1ea7m m\u00e1u<\/span><\/i><\/b><\/h4>\n

3.2.1. Quang \u0111\u00f4ng b\u1eb1ng laser Nd<\/span><\/i>: YAG<\/span><\/p>\n

– 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<\/span><\/p>\n

– \u01afu \u0111i\u1ec3m: s\u1eed d\u1ee5ng tia \u0111\u1ed3ng tr\u1ee5c c\u1ee7a kh\u00ed cacbonic c\u00f3 t\u00e1c d\u1ee5ng qu\u00e9t s\u1ea1ch m\u00e1u v\u00e0 do \u0111\u00f3 nh\u1eadn x\u00e9t \u0111\u01b0\u1ee3c r\u00f5 r\u00e0ng c\u00e1c v\u00f9ng t\u1ed5n th\u01b0\u01a1ng, c\u00e1c \u1ed5 lo\u00e9t n\u00ean ch\u00f9m laser s\u1ebd x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c v\u1ecb tr\u00ed c\u1ea7m m\u00e1u<\/span><\/p>\n

– Nh\u01b0\u1ee3c \u0111i\u1ec3m: gi\u00e1 th\u00e0nh \u0111\u1eaft<\/span><\/p>\n

– K\u1ef9 thu\u1eadt: \u0110\u1eb7t m\u1ed9t s\u1ee3i m\u1ea1 c\u00f3 xung \u0111\u1ed9ng ng\u1eafn v\u00e0 c\u00f4ng su\u1ea5t cao 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.<\/span><\/p>\n

+ Khi th\u1ea5y m\u1ea1ch m\u00e1u t\u1ed5n th\u01b0\u01a1ng 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 m\u1ea1ch m\u00e1u b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/span><\/p>\n

+ \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 v\u1edbi ti\u00eam c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7 b\u1eb1ng Adrenalin v\u00e0o chu vi \u1ed5 lo\u00e9t.<\/span><\/p>\n

3.2.2. \u0110\u00f4ng \u0111i\u1ec7n<\/span><\/i><\/p>\n

– Nguy\u00ean t\u1eafc: D\u00f9ng d\u00f2ng \u0111i\u1ec7n t\u1ea1o ra m\u1ed9t 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<\/span><\/p>\n

– \u01afu \u0111i\u1ec3m: d\u1ec5 d\u00e0ng c\u1ea7m m\u00e1u.<\/span><\/p>\n

– Nh\u01b0\u1ee3c \u0111i\u1ec3m: 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 l\u00e0m 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\u00ean c\u00f3 nguy c\u01a1 ch\u1ea9y m\u00e1u t\u00e1i ph\u00e1t.<\/span><\/p>\n

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.<\/span><\/p>\n

– Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt c\u1eaft polyp: xin xem quy tr\u00ecnh c\u1eaft polyp \u0111\u1ea1i tr\u00e0ng.<\/span><\/p>\n

+ Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt ti\u00eam c\u1ea7m m\u00e1u:<\/span><\/p>\n

\u2219 K\u1ef9 thu\u1eadt \u0111\u01a1n gi\u1ea3n r\u1ebb ti\u1ec1n<\/span><\/p>\n

\u2219 B\u1eaft \u0111\u1ea7u ti\u00eam d\u01b0\u1edbi ni\u00ea m\u1ea1c \u1edf r\u00eca t\u1ed5n th\u01b0\u01a1ng. N\u1ebfu m\u1ea1ch m\u00e1u \u1edf trung t\u00e2m m\u1ed9t \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 r\u00eca t\u1ed5n th\u01b0\u01a1ng<\/span><\/p>\n

+ Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt k\u1eb9p clip: l\u1eafp clip v\u00e0o k\u00ecm sinh thi\u1ebft v\u00e0 \u0111\u01b0a k\u00ecm sinh thi\u1ebft v\u00e0o v\u1ecb tr\u00ed c\u1ea7n k\u1eb9p clip v\u00e0 ph\u00f3ng clip v\u00e0o t\u1ed5n th\u01b0\u01a1ng.<\/span><\/p>\n

+ Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt c\u1ea7m m\u00e1u b\u1eb1ng m\u00e1y APC: xin xem quy tr\u00ecnh soi can thi\u1ec7p c\u1ea7m m\u00e1u \u1ed1ng ti\u00eau h\u00f3a b\u1eb1ng m\u00e1y APC.<\/span><\/p>\n

5. Theo d\u00f5i<\/span><\/b><\/h2>\n

– Ng\u01b0\u1eddi b\u1ec7nh trong v\u00e0 sau khi qu\u00e1 tr\u00ecnh soi \u0111\u01b0\u1ee3c theo d\u00f5i li\u00ean t\u1ee5c tr\u00ean monitoring v\u1ec1 t\u00ecnh tr\u1ea1ng huy\u1ebft \u0111\u1ed9ng v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy.<\/span><\/p>\n

– N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u00f9ng thu\u1ed1c ti\u1ec1n m\u00ea theo d\u00f5i cho t\u1edbi l\u00fac t\u1ec9nh ho\u00e0n to\u00e0n.<\/span><\/p>\n

– Theo d\u00f5i m\u1ea1ch huy\u1ebft \u00e1p v\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0: \u0111au b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng, bu\u1ed3n n\u00f4n.<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 l\u00e0m th\u1ee7 thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00e1o \u0111\u1ed9ng: \u0111au b\u1ee5ng, \u1ec9a ra m\u00e1u.<\/span><\/p>\n

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

N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u01b0a m\u1ed9t \u1ed1ng soi m\u1ec1m qua h\u1eadu m\u00f4n \u0111i ng\u01b0\u1ee3c l\u00ean \u0111\u1ebfn manh tr\u00e0ng \u0111\u1ec3 quan s\u00e1t to\u00e0n b\u1ed9 ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng. N\u1ebfu c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh sinh thi\u1ebft t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111\u1ea1i tr\u00e0ng v\u00e0 m\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt nh\u01b0 c\u1eaft polyp, l\u1ea5y d\u1ecb […]<\/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 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng can thi\u1ec7p c\u1ea5p c\u1ee9u - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u01b0a m\u1ed9t \u1ed1ng soi m\u1ec1m qua h\u1eadu m\u00f4n \u0111i ng\u01b0\u1ee3c l\u00ean \u0111\u1ebfn manh tr\u00e0ng \u0111\u1ec3 quan s\u00e1t to\u00e0n b\u1ed9 ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng...\" \/>\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 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng can thi\u1ec7p c\u1ea5p c\u1ee9u - 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