{"id":3307,"date":"2023-04-12T00:22:58","date_gmt":"2023-04-11T17:22:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3307"},"modified":"2023-04-12T17:29:03","modified_gmt":"2023-04-12T10:29:03","slug":"tai-kham-sau-dieu-tri-viem-da-day-hp-duong-tinh-thoi-gian-la-bao-lau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/tai-kham-sau-dieu-tri-viem-da-day-hp-duong-tinh-thoi-gian-la-bao-lau\/","title":{"rendered":"T\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh: Th\u1eddi gian l\u00e0 bao l\u00e2u?"},"content":{"rendered":"

Vi\u00eam d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i k\u1ecbp th\u1eddi. T\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n sau khi \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. Vi\u1ec7c t\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng vi\u00eam d\u1ea1 d\u00e0y, \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n. Vi\u1ec7c t\u00e1i kh\u00e1m c\u0169ng gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra c\u00e1c l\u1eddi khuy\u00ean v\u00e0 ch\u1ec9 \u0111\u1ea1o cho b\u1ec7nh nh\u00e2n v\u1ec1 c\u00e1ch ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh l\u00fd t\u00e1i ph\u00e1t.<\/strong><\/p>\n

\"Khi
Khi b\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh, b\u1ec7nh nh\u00e2n n\u00ean t\u00e1i kh\u00e1m \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh h\u00ecnh s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh<\/figcaption><\/figure>\n

1. \u0110\u1ecbnh ngh\u0129a v\u00e0 \u00fd ngh\u0129a c\u1ee7a th\u1eddi gian t\u00e1i kh\u00e1m<\/h2>\n

Theo b\u00e0i b\u00e1o “The role of follow-up endoscopy after Helicobacter pylori eradication therapy: revisited” c\u1ee7a t\u00e1c gi\u1ea3 Hye-Kyung Jung v\u00e0 c\u1ed9ng s\u1ef1, th\u1eddi gian t\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 th\u1eddi gian gi\u1eefa l\u1ea7n kh\u00e1m cu\u1ed1i c\u00f9ng v\u00e0 l\u1ea7n kh\u00e1m ti\u1ebfp theo sau khi \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y. Th\u1eddi gian t\u00e1i kh\u00e1m th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a b\u1edfi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, lo\u1ea1i b\u1ec7nh, lo\u1ea1i \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c.<\/p>\n

Theo b\u00e0i b\u00e1o “Helicobacter pylori eradication: follow-up and retreatment” c\u1ee7a t\u00e1c gi\u1ea3 Peter Malfertheiner v\u00e0 c\u1ed9ng s\u1ef1, th\u1eddi gian t\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t v\u00e0 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh th\u01b0\u1eddng k\u00e9o d\u00e0i \u00edt nh\u1ea5t l\u00e0 14 ng\u00e0y, tuy nhi\u00ean, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3. Sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb, th\u1eddi gian t\u00e1i kh\u00e1m \u0111\u1ec3 ki\u1ec3m tra l\u1ea1i t\u00ecnh tr\u1ea1ng c\u1ee7a d\u1ea1 d\u00e0y v\u00e0 ki\u1ec3m tra xem vi khu\u1ea9n HP \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eau di\u1ec7t ho\u00e0n to\u00e0n hay ch\u01b0a th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t l\u00e0 sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t l\u00e0 2 tu\u1ea7n.<\/p>\n

Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1ee1 ho\u1eb7c t\u00e1i ph\u00e1t sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n \u0111\u1ebfn ki\u1ec3m tra ngay l\u1eadp t\u1ee9c ho\u1eb7c trong th\u1eddi gian ng\u1eafn h\u01a1n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u1ee7a d\u1ea1 d\u00e0y v\u00e0 ki\u1ec3m tra xem vi khu\u1ea9n HP \u0111\u00e3 b\u1ecb ti\u00eau di\u1ec7t ho\u00e0n to\u00e0n hay ch\u01b0a.<\/p>\n

2. C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1eddi gian t\u00e1i kh\u00e1m<\/h2>\n

Theo b\u00e0i b\u00e1o “The role of follow-up endoscopy after Helicobacter pylori eradication therapy: revisited” c\u1ee7a t\u00e1c gi\u1ea3 Hye-Kyung Jung v\u00e0 c\u1ed9ng s\u1ef1, c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1eddi gian t\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh, bao g\u1ed3m:<\/p>\n

– T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– Lo\u1ea1i b\u1ec7nh v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh.<\/p>\n

– Lo\u1ea1i \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Tu\u1ed5i, gi\u1edbi t\u00ednh v\u00e0 di truy\u1ec1n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– C\u00e1c y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng t\u1eeb m\u00f4i tr\u01b0\u1eddng, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 th\u00f3i quen sinh ho\u1ea1t c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– C\u00e1c b\u1ec7nh l\u00fd li\u00ean quan kh\u00e1c c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

T\u00f9y thu\u1ed9c v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean, th\u1eddi gian t\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi t\u1eebng b\u1ec7nh nh\u00e2n. B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 th\u1eddi gian t\u00e1i kh\u00e1m ph\u00f9 h\u1ee3p cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n

3. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u00e1i kh\u00e1m<\/h2>\n

3.1. Test vi khu\u1ea9n HP b\u1eb1ng h\u01a1i th\u1edf (Urea Breath Test)<\/h3>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng dung d\u1ecbch ch\u1ee9a urea \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u b\u1eb1ng isotop carbon 14 ho\u1eb7c carbon 13. B\u1ec7nh nh\u00e2n u\u1ed1ng dung d\u1ecbch n\u00e0y, sau \u0111\u00f3 \u0111o l\u01b0\u1ee3ng CO2 \u0111\u01b0\u1ee3c th\u1ea3i ra t\u1eeb d\u1ea1 d\u00e0y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n HP. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ed9 ch\u00ednh x\u00e1c cao, \u0111\u01a1n gi\u1ea3n v\u00e0 kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/p>\n

3.2. N\u1ed9i soi d\u1ea1 d\u00e0y t\u00ecm vi khu\u1ea9n HP<\/h3>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng n\u1ed9i soi \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n HP. M\u1eabu \u0111\u01b0\u1ee3c l\u1ea5y ra v\u00e0 x\u00e9t nghi\u1ec7m vi sinh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ed9 ch\u00ednh x\u00e1c cao nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y \u0111au v\u00e0 kh\u00f3 kh\u0103n trong vi\u1ec7c l\u1ea5y m\u1eabu.<\/p>\n

3.3. X\u00e9t nghi\u1ec7m ph\u00e2n t\u00ecm vi khu\u1ea9n HP<\/h3>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng m\u1eabu ph\u00e2n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n HP. M\u1eabu ph\u00e2n \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u1ec3 x\u00e9t nghi\u1ec7m vi sinh v\u1eadt h\u1ecdc. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01a1n gi\u1ea3n v\u00e0 kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn nh\u01b0ng c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ea1t \u0111\u1ed9 ch\u00ednh x\u00e1c cao nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/p>\n

3.4. X\u00e9t nghi\u1ec7m m\u00e1u ph\u00e1t hi\u1ec7n vi khu\u1ea9n HP<\/h3>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng m\u00e1u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a kh\u00e1ng th\u1ec3 IgG v\u00e0 IgA \u0111\u1ed1i v\u1edbi vi khu\u1ea9n HP. S\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a c\u00e1c kh\u00e1ng th\u1ec3 n\u00e0y trong m\u00e1u cho th\u1ea5y b\u1ec7nh nh\u00e2n \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi vi khu\u1ea9n HP. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01a1n gi\u1ea3n v\u00e0 kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn nh\u01b0ng ch\u1ec9 cho bi\u1ebft b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng ti\u1ebfp x\u00fac v\u1edbi vi khu\u1ea9n HP v\u00e0 kh\u00f4ng ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 l\u1ecbch s\u1eed b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra vi khu\u1ea9n HP ph\u00f9 h\u1ee3p nh\u1ea5t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u1ee7a c\u1ee7a b\u1ec7nh.<\/p>\n

T\u00e1i kh\u00e1m sau khi \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh vi khu\u1ea9n HP \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eau di\u1ec7t ho\u00e0n to\u00e0n hay ch\u01b0a. Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m ph\u00f9 h\u1ee3p l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c v\u00e0 gi\u00fap b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/p>\n

\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng. https:\/\/youtu.be\/JbyvY1F1OJo<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i k\u1ecbp th\u1eddi. T\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n sau […]<\/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":[3],"yoast_head":"\nT\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh: Th\u1eddi gian l\u00e0 bao l\u00e2u?<\/title>\n<meta name=\"description\" content=\"T\u00e1i kh\u00e1m sau \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u1ea1 d\u00e0y HP d\u01b0\u01a1ng t\u00ednh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng vi\u00eam d\u1ea1 d\u00e0y, \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. 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