{"id":33307,"date":"2023-05-16T00:33:52","date_gmt":"2023-05-15T17:33:52","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33307"},"modified":"2023-05-16T00:33:52","modified_gmt":"2023-05-15T17:33:52","slug":"ung-dung-sieu-am-noi-soi-trong-danh-gia-benh-ly-thuc-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/ung-dung-sieu-am-noi-soi-trong-danh-gia-benh-ly-thuc-quan\/","title":{"rendered":"\u1ee8ng d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n"},"content":{"rendered":"

Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt y t\u1ebf hi\u1ec7n \u0111\u1ea1i s\u1eed d\u1ee5ng s\u00f3ng \u00e2m c\u00f3 t\u1ea7n s\u1ed1 cao \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng b\u00ean trong c\u01a1 th\u1ec3. Khi \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng v\u00e0o \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n, si\u00eau \u00e2m n\u1ed9i soi c\u00f3 th\u1ec3 cung c\u1ea5p nhi\u1ec1u th\u00f4ng tin quan tr\u1ecdng v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean v\u00e0 d\u01b0\u1edbi. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 \u1ee9ng d\u1ee5ng c\u1ee7a si\u00eau \u00e2m n\u1ed9i soi trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n<\/a>, bao g\u1ed3m c\u00e1c kh\u00eda c\u1ea1nh v\u1ec1 \u0111\u1ecbnh v\u1ecb, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n

\"\"<\/p>\n

1. X\u00e1c \u0111\u1ecbnh b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n b\u1eb1ng si\u00eau \u00e2m n\u1ed9i soi<\/h2>\n

Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong vi\u1ec7c \u0111\u1ecbnh v\u1ecb b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n v\u00e0 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed c\u1ee7a b\u1ec7nh l\u00fd, \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh l\u00fd. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho ph\u00e9p b\u00e1c s\u0129 xem b\u00ean trong th\u1ef1c qu\u1ea3n v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 X-quang v\u00e0 endoscopy th\u00f4ng th\u01b0\u1eddng. Do \u0111\u00f3, si\u00eau \u00e2m n\u1ed9i soi \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n b\u1eb1ng si\u00eau \u00e2m n\u1ed9i soi<\/h2>\n

Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m, si\u00eau \u00e2m n\u1ed9i soi c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n, bao g\u1ed3m kh\u1ed1i u, polyp, vi\u00eam lo\u00e9t, vi\u00eam nhi\u1ec5m, ph\u00f9 n\u1ec1 v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Sau \u0111\u00e2y l\u00e0 qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n b\u1eb1ng si\u00eau \u00e2m n\u1ed9i soi:<\/p>\n

– Chu\u1ea9n b\u1ecb v\u00e0 th\u1ef1c hi\u1ec7n si\u00eau \u00e2m n\u1ed9i soi:
\nTr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n si\u00eau \u00e2m n\u1ed9i soi, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u kh\u00f4ng \u0103n u\u1ed1ng trong 6-8 gi\u1edd tr\u01b0\u1edbc khi x\u00e9t nghi\u1ec7m \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 n\u00f4n m\u1eeda trong qu\u00e1 tr\u00ecnh x\u00e9t nghi\u1ec7m. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t d\u1ee5ng c\u1ee5 g\u1eafn k\u1ebft v\u1edbi \u0111\u1ea7u si\u00eau \u00e2m v\u00e0 ch\u00e8n qua mi\u1ec7ng ho\u1eb7c m\u0169i v\u00e0o th\u1ef1c qu\u1ea3n c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m, c\u00e1c h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c hi\u1ec3n th\u1ecb tr\u00ean m\u00e0n h\u00ecnh v\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd.<\/p>\n

– \u0110\u00e1nh gi\u00e1 v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd:
\nKhi xem h\u00ecnh \u1ea3nh tr\u00ean m\u00e0n h\u00ecnh, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 v\u1ecb tr\u00ed v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd, \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh l\u00fd. N\u1ebfu c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o ho\u1eb7c m\u00f4 \u0111\u1ec3 ki\u1ec3m tra ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e1c \u0111\u1ecbnh lo\u1ea1i b\u1ec7nh l\u00fd.<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb:
\nD\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u1ee7a si\u00eau \u00e2m n\u1ed9i soi, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 kh\u1ed1i u, polyp ho\u1eb7c vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn vi\u1ec7c \u0111\u1ed1t v\u00e0 phun tia laser, lo\u1ea1i b\u1ecf polyp ho\u1eb7c kh\u1ed1i u, v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt kh\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n b\u1eb1ng si\u00eau \u00e2m n\u1ed9i soi<\/h2>\n

Si\u00eau \u00e2m n\u1ed9i soi kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n, nh\u01b0ng n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn v\u00e0 h\u1ed7 tr\u1ee3 trong c\u00e1c th\u1ee7 thu\u1eadt \u0111i\u1ec1u tr\u1ecb nh\u01b0 \u0111\u1ed1t, phun tia laser, lo\u1ea1i b\u1ecf polyp ho\u1eb7c kh\u1ed1i u v\u00e0 c\u00e1c th\u1ee7 thu\u1eadt kh\u00e1c. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi si\u00eau \u00e2m n\u1ed9i soi:<\/p>\n

– \u0110\u1ed1t v\u00e0 d\u00f9ng tia laser:
\n\u0110\u1ed1t v\u00e0 d\u00f9ng tia laser l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c kh\u1ed1i u ho\u1eb7c polyp trong th\u1ef1c qu\u1ea3n. Khi s\u1eed d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u ho\u1eb7c polyp tr\u00ean m\u00e0n h\u00ecnh v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111\u1ed1t ho\u1eb7c d\u00f9ng tia laser ch\u00ednh x\u00e1c v\u00e0o v\u1ecb tr\u00ed \u0111\u00f3 \u0111\u1ec3 lo\u1ea1i b\u1ecf kh\u1ed1i u ho\u1eb7c polyp.<\/p>\n

– Lo\u1ea1i b\u1ecf polyp ho\u1eb7c kh\u1ed1i u:
\nN\u1ebfu c\u00e1c kh\u1ed1i u ho\u1eb7c polyp qu\u00e1 l\u1edbn \u0111\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf b\u1eb1ng \u0111\u1ed1t ho\u1eb7c d\u00f9ng tia laser, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn lo\u1ea1i b\u1ecf ch\u00fang b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 nh\u1ecf \u0111\u01b0\u1ee3c ch\u00e8n qua mi\u1ec7ng ho\u1eb7c m\u0169i c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

– \u0110\u1eb7t \u1ed1ng th\u00f4ng th\u01b0\u1eddng (stent):
\nN\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb t\u1eafc \u0111\u01b0\u1eddng th\u1ef1c qu\u1ea3n do c\u00e1c kh\u1ed1i u ho\u1eb7c polyp, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn \u0111\u1eb7t m\u1ed9t \u1ed1ng th\u00f4ng th\u01b0\u1eddng (stent) v\u00e0o \u0111\u01b0\u1eddng th\u1ef1c qu\u1ea3n \u0111\u1ec3 gi\u00fap th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1ef1c qu\u1ea3n.<\/p>\n

– L\u1ea5y m\u1eabu t\u1ebf b\u00e0o ho\u1eb7c m\u00f4 \u0111\u1ec3 ki\u1ec3m tra ch\u1ea9n \u0111o\u00e1n:
\nN\u1ebfu c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o ho\u1eb7c m\u00f4 t\u1eeb c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n \u0111\u1ec3 ki\u1ec3m tra ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e1c \u0111\u1ecbnh lo\u1ea1i b\u1ec7nh l\u00fd.<\/p>\n

T\u00f3m l\u1ea1i, vi\u1ec7c s\u1eed d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh hi\u1ec7n \u0111\u1ea1i v\u00e0 ch\u00ednh x\u00e1c. Si\u00eau \u00e2m n\u1ed9i soi cung c\u1ea5p nhi\u1ec1u th\u00f4ng tin v\u1ec1 \u0111\u1ecbnh v\u1ecb, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n. Tuy nhi\u00ean, nh\u01b0 b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0o kh\u00e1c, si\u00eau \u00e2m n\u1ed9i soi c\u0169ng c\u00f3 h\u1ea1n ch\u1ebf v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \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":"

Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt y t\u1ebf hi\u1ec7n \u0111\u1ea1i s\u1eed d\u1ee5ng s\u00f3ng \u00e2m c\u00f3 t\u1ea7n s\u1ed1 cao \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng b\u00ean trong c\u01a1 th\u1ec3. Khi \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng v\u00e0o \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n, si\u00eau \u00e2m n\u1ed9i soi c\u00f3 th\u1ec3 cung c\u1ea5p nhi\u1ec1u […]<\/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":"\n\u1ee8ng d\u1ee5ng si\u00eau \u00e2m n\u1ed9i soi trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n<\/title>\n<meta name=\"description\" content=\"Si\u00eau \u00e2m n\u1ed9i soi l\u00e0 k\u1ef9 thu\u1eadt y t\u1ebf hi\u1ec7n \u0111\u1ea1i s\u1eed d\u1ee5ng s\u00f3ng \u00e2m c\u00f3 t\u1ea7n s\u1ed1 cao t\u1ea1o ra h\u00ecnh \u1ea3nh. gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n nh\u01b0 ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" 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