{"id":33297,"date":"2023-05-16T00:34:16","date_gmt":"2023-05-15T17:34:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33297"},"modified":"2023-05-16T00:34:16","modified_gmt":"2023-05-15T17:34:16","slug":"chan-doan-qua-noi-soi-benh-viem-ruot-ibd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/chan-doan-qua-noi-soi-benh-viem-ruot-ibd\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi b\u1ec7nh vi\u00eam ru\u1ed9t (IBD)"},"content":{"rendered":"

B\u1ec7nh vi\u00eam ru\u1ed9t (IBD), hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng (ulcerative colitis<\/a>) v\u00e0 b\u1ec7nh Crohn<\/a>, l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ea1i tr\u00e0ng m\u1ea1n t\u00ednh g\u00e2y ra vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng. IBD l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/strong><\/p>\n

\"\"<\/p>\n

1. T\u1ed5ng quan v\u1ec1 b\u1ec7nh vi\u00eam ru\u1ed9t<\/h2>\n

1.1. Gi\u1edbi thi\u1ec7u v\u1ec1 b\u1ec7nh vi\u00eam ru\u1ed9t (IBD)<\/h3>\n

B\u1ec7nh vi\u00eam ru\u1ed9t (IBD) l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ea1i tr\u00e0ng m\u1ea1n t\u00ednh g\u1ed3m b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng (ulcerative colitis) v\u00e0 b\u1ec7nh vi\u00eam ru\u1ed9t k\u1ebft h\u1ee3p (Crohn’s disease). IBD g\u00e2y ra vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, kh\u00f3 ti\u00eau, m\u1ec7t m\u1ecfi v\u00e0 s\u00fat c\u00e2n. B\u1ec7nh c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m v\u00e0 g\u00e2y ra \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

1.2. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a IBD<\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a IBD bao g\u1ed3m:<\/p>\n

    \n
  • Ti\u00eau ch\u1ea3y: th\u01b0\u1eddng l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean v\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a IBD<\/li>\n
  • \u0110au b\u1ee5ng: c\u00f3 th\u1ec3 l\u00e0 c\u01a1n \u0111au c\u1ea5p t\u00ednh ho\u1eb7c \u0111au k\u00e9o d\u00e0i<\/li>\n
  • Kh\u00f3 ti\u00eau: c\u00f3 th\u1ec3 do ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng, g\u00e2y ra kh\u00f3 ch\u1ecbu khi \u0103n u\u1ed1ng<\/li>\n
  • M\u1ec7t m\u1ecfi: do c\u01a1 th\u1ec3 b\u1ecb suy ki\u1ec7t v\u00e0 thi\u1ebfu dinh d\u01b0\u1ee1ng<\/li>\n
  • S\u1ed1t: c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam nhi\u1ec5m<\/li>\n
  • S\u00fat c\u00e2n: do kh\u00f3 ti\u00eau v\u00e0 m\u1ea5t n\u0103ng l\u01b0\u1ee3ng<\/li>\n
  • M\u00e1u trong ph\u00e2n: c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng ho\u1eb7c ung th\u01b0 \u0111\u1ea1i tr\u00e0ng.<\/li>\n<\/ul>\n

    1.3. T\u1ea7m quan tr\u1ecdng c\u1ee7a ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c trong IBD<\/h3>\n

    Ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c c\u1ee7a IBD l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n IBD \u0111\u00f2i h\u1ecfi s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p, bao g\u1ed3m ki\u1ec3m tra n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng, x\u00e9t nghi\u1ec7m ph\u00e2n, x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) scan. N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 quan tr\u1ecdng trong IBD, cho ph\u00e9p quan s\u00e1t tr\u1ef1c ti\u1ebfp ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng v\u00e0 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a ni\u00eam m\u1ea1c. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, IBD c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng, bao g\u1ed3m vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, r\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng, v\u00e0 t\u0103ng nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch l\u00e0 r\u1ea5t quan tr\u1ecdng trong qu\u1ea3n l\u00fd b\u1ec7nh vi\u00eam ru\u1ed9t.<\/p>\n

    2. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi trong IBD<\/h2>\n

    Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng nh\u1ea5t trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh vi\u00eam ru\u1ed9t (IBD). N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng cho ph\u00e9p quan s\u00e1t tr\u1ef1c ti\u1ebfp ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng, x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a ni\u00eam m\u1ea1c, c\u0169ng nh\u01b0 thu th\u1eadp m\u1eabu \u0111\u1ec3 ph\u00e2n t\u00edch v\u00e0 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n.<\/p>\n

    D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng trong ch\u1ea9n \u0111o\u00e1n IBD:<\/p>\n

      \n
    • 1. Chu\u1ea9n b\u1ecb: B\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n ti\u00eau chu\u1ea9n tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng, bao g\u1ed3m kh\u00f4ng \u0103n u\u1ed1ng trong 8 gi\u1edd tr\u01b0\u1edbc khi x\u00e9t nghi\u1ec7m v\u00e0 l\u00e0m s\u1ea1ch \u0111\u1ea1i tr\u00e0ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c l\u00e0m s\u1ea1ch \u0111\u1ea1i tr\u00e0ng ho\u1eb7c dung d\u1ecbch l\u00e0m s\u1ea1ch \u0111\u1ea1i tr\u00e0ng.<\/li>\n
    • 2. Th\u1ef1c hi\u1ec7n: B\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng n\u1ed9i soi \u0111\u1ec3 th\u1ef1c hi\u1ec7n. \u1ed0ng n\u00e0y c\u00f3 \u0111\u1ea7u cu\u1ed1n v\u00e0o v\u00e0 \u0111\u01b0\u1ee3c \u0111\u01b0a qua h\u1eadu m\u00f4n, l\u00ean \u0111\u1ebfn \u0111\u1ea1i tr\u00e0ng. Trong qu\u00e1 tr\u00ecnh \u0111\u01b0a \u1ed1ng, b\u00e1c s\u0129 s\u1ebd quan s\u00e1t tr\u1ef1c ti\u1ebfp ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a IBD.<\/li>\n
    • 3. Thu th\u1eadp m\u1eabu: Trong qu\u00e1 tr\u00ecnh n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 thu th\u1eadp m\u1eabu c\u1ee7a ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 ph\u00e2n t\u00edch. M\u1eabu s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a vi khu\u1ea9n v\u00e0 c\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng.<\/li>\n
    • 4. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3: Sau khi x\u00e9t nghi\u1ec7m, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 c\u1ee7a n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

      Tuy nhi\u00ean, n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 \u0111au b\u1ee5ng, kh\u00f3 ch\u1ecbu v\u00e0 kh\u00f3 ch\u1ecbu sau khi th\u1ef1c hi\u1ec7n. Do \u0111\u00f3, b\u1ec7nh nh\u00e2n c\u1ea7n th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n

      3. \u00dd ngh\u0129a c\u1ee7a ch\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi trong IBD<\/h2>\n

      3.1. Nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng trong tr\u01b0\u1eddng h\u1ee3p IBD<\/h3>\n

      Trong tr\u01b0\u1eddng h\u1ee3p IBD, ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng th\u01b0\u1eddng c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m sau:
      \n– Qu\u00e1 tr\u00ecnh vi\u00eam l\u00e2u d\u00e0i d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng
      \n– T\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t ho\u1eb7c nhi\u1ec1u v\u00f9ng c\u1ee7a \u0111\u1ea1i tr\u00e0ng
      \n– C\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u00f3 k\u00edch th\u01b0\u1edbc v\u00e0 t\u00ednh ch\u1ea5t kh\u00e1c nhau, t\u1eeb nh\u1eefng v\u1ebft lo\u00e9t nh\u1ecf \u0111\u1ebfn c\u00e1c v\u1ebft lo\u00e9t l\u1edbn v\u00e0 s\u00e2u h\u01a1n
      \n– Ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng c\u00f3 th\u1ec3 b\u1ecb d\u00e0y l\u00ean v\u00e0 c\u00f3 m\u00e0u s\u1eafc kh\u00e1c th\u01b0\u1eddng, c\u00f3 th\u1ec3 l\u00e0 m\u00e0u \u0111\u1ecf ho\u1eb7c m\u00e0u x\u00e1m
      \n– Ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng ho\u1eb7c xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam nhi\u1ec5m.<\/p>\n

      3.2. C\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a IBD \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng<\/h3>\n

      N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng trong IBD, gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh, bao g\u1ed3m:
      \n– Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng: c\u00e1c v\u1ebft lo\u00e9t ho\u1eb7c v\u1ebft th\u01b0\u01a1ng tr\u00ean ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng
      \n– H\u00ecnh th\u00e0nh t\u1ed5n th\u01b0\u01a1ng: c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 l\u00e0 v\u1ebft lo\u00e9t, s\u1eb9o ho\u1eb7c ph\u1ed3ng l\u00ean v\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t ho\u1eb7c nhi\u1ec1u v\u00f9ng c\u1ee7a \u0111\u1ea1i tr\u00e0ng
      \n– R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111\u1ea1i tr\u00e0ng: c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 ti\u00eau, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n v\u00e0 m\u1ea5t n\u01b0\u1edbc
      \n– T\u0103ng nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng: c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a polyp ho\u1eb7c ung th\u01b0.<\/p>\n

      3.3. C\u00e1ch x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a IBD qua n\u1ed9i soi<\/h3>\n

      N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a IBD. Th\u00f4ng th\u01b0\u1eddng, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 Mayo hay ch\u1ec9 s\u1ed1 SES-CD. C\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 vi\u00eam, t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u01b0 s\u1ed1 l\u1ea7n ti\u00eau ch\u1ea3y trong ng\u00e0y, l\u01b0\u1ee3ng m\u00e1u trong ph\u00e2n, \u0111au b\u1ee5ng v\u00e0 m\u1ec7t m\u1ecfi. K\u1ebft qu\u1ea3 c\u1ee7a n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

      4. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n kh\u00e1c trong IBD<\/h2>\n

      Ngo\u00e0i n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng, c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n kh\u00e1c trong IBD, bao g\u1ed3m:<\/p>\n

        \n
      • 1. X\u00e9t nghi\u1ec7m m\u00e1u: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi\u00eam nhi\u1ec5m hay kh\u00f4ng.<\/li>\n
      • 2. X\u00e9t nghi\u1ec7m ph\u00e2n: X\u00e9t nghi\u1ec7m ph\u00e2n c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u00e1u trong ph\u00e2n hay nhi\u1ec5m tr\u00f9ng trong \u0111\u01b0\u1eddng ru\u1ed9t. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam \u0111\u1ea1i tr\u00e0ng v\u00e0 b\u1ec7nh Crohn.<\/li>\n
      • 3. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) scan: CT scan c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a th\u1ef1c qu\u1ea3n, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn. N\u00f3 c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a v\u1ebft lo\u00e9t v\u00e0 t\u1ed5n th\u01b0\u01a1ng trong ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng.<\/li>\n
      • 4. Si\u00eau \u00e2m: Si\u00eau \u00e2m c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a b\u1ea5t th\u01b0\u1eddng trong c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn c\u1ee7a \u0111\u1ea1i tr\u00e0ng. N\u00f3 c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 d\u00e0y l\u00ean c\u1ee7a th\u00e0nh \u0111\u1ea1i tr\u00e0ng v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n

        Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c nh\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":"

        B\u1ec7nh vi\u00eam ru\u1ed9t (IBD), hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng (ulcerative colitis) v\u00e0 b\u1ec7nh Crohn, l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ea1i tr\u00e0ng m\u1ea1n t\u00ednh g\u00e2y ra vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng. IBD l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf […]<\/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":"\nCh\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi b\u1ec7nh vi\u00eam ru\u1ed9t (IBD) - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh vi\u00eam ru\u1ed9t (IBD), hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh \u0111\u1ea1i tr\u00e0ng vi\u00eam (ulcerative colitis) v\u00e0 b\u1ec7nh Crohn, l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ea1i tr\u00e0ng m\u1ea1n ...\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi b\u1ec7nh vi\u00eam ru\u1ed9t (IBD) - 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