{"id":4995,"date":"2019-03-18T19:03:06","date_gmt":"2019-03-18T12:03:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=4995"},"modified":"2019-03-28T13:04:55","modified_gmt":"2019-03-28T06:04:55","slug":"loet-duong-tieu-hoa-can-benh-hien-dai-ma-ban-hoan-toan-co-the-chua-khoi","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/loet-duong-tieu-hoa-can-benh-hien-dai-ma-ban-hoan-toan-co-the-chua-khoi\/","title":{"rendered":"Lo\u00e9t d\u1ea1 d\u00e0y, c\u0103n b\u1ec7nh hi\u1ec7n \u0111\u1ea1i m\u00e0 b\u1ea1n ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi."},"content":{"rendered":"

Lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng l\u00e0 g\u00ec?<\/h2>\n
?\ufe0fLo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng\u00a0<\/strong>l\u00e0 v\u1ebft lo\u00e9t \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng, nh\u1eefng v\u00f9ng n\u00e0y ti\u1ebfp x\u00fac nhi\u1ec1u v\u1edbi acid d\u1ea1 d\u00e0y (acid clohydric) v\u00e0 enzyme ti\u00eau h\u00f3a (pepsin). B\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 tr\u00e1nh ph\u00e1 h\u1ee7y ni\u00eam m\u1ea1c v\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u1ef1 ti\u00eau h\u00f3a d\u1ea1 d\u00e0y, d\u1ea1 d\u00e0y s\u1ebd ti\u1ebft ra ch\u1ea5t nh\u1ea7y c\u00f3 t\u00ednh ki\u1ec1m \u0111\u1ec3 b\u1ea3o v\u1ec7, hai y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 v\u00e0 ph\u00e1 h\u1ee7y n\u00e0y lu\u00f4n c\u00e2n b\u1eb1ng v\u1edbi nhau trong d\u1ea1 d\u00e0y. Nh\u01b0ng tr\u00ean th\u1ef1c t\u1ebf, qu\u00e1 tr\u00ecnh c\u00e2n b\u1eb1ng hai y\u1ebfu t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 b\u1ecb ph\u00e1 v\u1ee1 b\u1edfi nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra vi\u00eam d\u1ea1 d\u00e0y, n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 d\u1eabn t\u1edbi lo\u00e9t (m\u1ea5t ho\u00e0n to\u00e0n ni\u00eam m\u1ea1c) ho\u1eb7c \u0103n m\u00f2n (m\u1ea5t m\u1ed9t ph\u1ea7n b\u1ec1 d\u00e0y c\u1ee7a ni\u00eam m\u1ea1c). N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd, lo\u00e9t c\u00f3 th\u1ec3 d\u1eabn t\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a d\u1ea1 d\u00e0y do s\u01b0ng ho\u1eb7c s\u1eb9o ch\u1eb9n v\u00e0o, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 d\u1eabn t\u1edbi th\u1ee7ng d\u1ea1 d\u00e0y.<\/p>\n
?\ufe0fNh\u01b0ng r\u1ea5t \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec1u v\u1ebft lo\u00e9t cu\u1ed1i c\u00f9ng s\u1ebd t\u1ef1 l\u00e0nh ngay c\u1ea3 khi kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ebfu ch\u00fang ta hi\u1ec3u v\u00e0 lo\u1ea1i b\u1ecf \u0111i c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y lo\u00e9t. \u0110i\u1ec1u n\u00e0y th\u1ef1c s\u1ef1 r\u1ea5t h\u1eefu \u00edch!<\/p>\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n
?\ufe0fTri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y\u00a0<\/strong>th\u01b0\u1eddng th\u1ea5y nh\u1ea5t\u00a0l\u00e0 c\u1ea3m gi\u00e1c \u0111au \u00e2m \u1ec9 ho\u1eb7c b\u1ecfng r\u00e1t. C\u01a1n \u0111au th\u01b0\u1eddng \u1edf khu v\u1ef1c gi\u1eefa r\u1ed1n v\u00e0 x\u01b0\u01a1ng \u1ee9c c\u1ee7a b\u1ea1n v\u00e0 c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m nh\u01b0:<\/p>\n
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X\u1ea3y ra khi d\u1ea1 d\u00e0y c\u1ee7a b\u1ea1n tr\u1ed1ng r\u1ed7ng ho\u1eb7c qu\u00e1 no, ch\u1eb3ng h\u1ea1n nh\u01b0 gi\u1eefa c\u00e1c b\u1eefa \u0103n ho\u1eb7c ban \u0111\u00eam;<\/li>\n
S\u1ebd t\u1ea1m ng\u01b0ng n\u1ebfu b\u1ea1n \u0103n ho\u1eb7c n\u1ebfu d\u00f9ng thu\u1ed1c kh\u00e1ng axit;<\/li>\n
C\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0i ph\u00fat cho \u0111\u1ebfn v\u00e0i gi\u1edd;<\/li>\n
\u0110\u1ebfn v\u00e0 \u0111i trong m\u1ed9t v\u00e0i ng\u00e0y, v\u00e0i tu\u1ea7n ho\u1eb7c v\u00e0i th\u00e1ng.<\/li>\n
\u0110au c\u00f3 t\u00ednh ch\u1ea5t chu k\u00ec, c\u00f3 th\u1ec3 \u0111au v\u00e0o m\u1ed9t th\u00e1ng hay m\u1ed9t m\u00f9a trong n\u0103m, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 \u0111au v\u00e0o m\u1ed9t ng\u00e0y trong tu\u1ea7n<\/li>\n<\/ul>\n
?\ufe0fNh\u1eefng tri\u1ec7u ch\u1ee9ng \u00edt g\u1eb7p h\u01a1n c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n
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\u0110\u1ea7y h\u01a1i, \u1ee3 h\u01a1i, \u1ee3 chua.<\/li>\n
C\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu \u1edf d\u1ea1 d\u00e0y.<\/li>\n
Ch\u00e1n \u0103n.<\/li>\n
N\u00f4n, bu\u1ed3n n\u00f4n.<\/li>\n
Gi\u1ea3m c\u00e2n.<\/li>\n<\/ul>\n
?\ufe0fNgo\u00e0i ra c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean c\u00f3 th\u1ec3 r\u1ea7m r\u1ed9 ho\u1eb7c \u00e2m \u1ec9 t\u00f9y v\u00e0o c\u01a1 \u0111\u1ecba c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, th\u1eadm ch\u00ed c\u00f3 b\u1ec7nh nh\u00e2n g\u1ea7n nh\u01b0 c\u00f2n kh\u00f4ng th\u1ec3 hi\u1ec7n nhi\u1ec1u tri\u1ec7u ch\u1ee9ng nh\u01b0ng khi \u0111i kh\u00e1m v\u1eabn ph\u00e1t hi\u1ec7n v\u1ebft lo\u00e9t \u1edf d\u1ea1 d\u00e0y<\/p>\n
Nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi lo\u00e9t d\u1ea1 d\u00e0y?<\/h2>\n
?\ufe0fD\u1ecbch ti\u00eau h\u00f3a c\u1ee7a ch\u00fang ta c\u00f3 r\u1ea5t nhi\u1ec1u th\u00e0nh ph\u1ea7n (acid HCl, pepsin,…) k\u1ebft h\u1ee3p v\u1edbi co b\u00f3p c\u1ee7a d\u1ea1 d\u00e0y khi\u1ebfn cho ch\u00fang kh\u1ea3 n\u0103ng ph\u00e2n gi\u1ea3i g\u1ea7n nh\u01b0 m\u1ecdi th\u1ee9c \u0103n, th\u1eadm ch\u00ed l\u00e0 c\u1ea3 d\u1ea1 d\u00e0y. C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y g\u1ecdi l\u00e0 y\u1ebfu t\u1ed1 t\u1ea5n c\u00f4ng. \u0110\u1ec3 b\u1ea3o v\u1ec7 d\u1ea1 d\u00e0y kh\u1ecfi b\u1ecb \u0103n m\u00f2n, c\u01a1 th\u1ec3 ch\u00fang ta c\u00f3 hai c\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 bao g\u1ed3m: m\u1ed9t l\u00e0 ti\u1ebft c\u00e1c ch\u1ea5t nh\u1ea7y c\u00f3 t\u00ednh ki\u1ec1m \u0111\u1ec3 trung h\u00f2a acid d\u1ecbch v\u1ecb \u0111\u1ed3ng th\u1eddi ch\u1ea5t nh\u1ea7y c\u00f2n bao ph\u1ee7 quanh ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y tr\u00e1nh s\u1ef1 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp c\u1ee7a d\u1ecbch ti\u00eau h\u00f3a. Y\u1ebfu t\u1ed1 n\u00e0y g\u1ecdi l\u00e0 y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7. C\u01a1 ch\u1ebf th\u1ee9 hai l\u00e0 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c m\u1ed9t c\u00e1ch th\u1ea7n t\u1ed1c, t\u00e1i t\u1ea1o nhanh ch\u00f3ng. D\u1ea1 d\u00e0y ch\u00fang ta b\u00ecnh th\u01b0\u1eddng lu\u00f4n \u1edf tr\u1ea1ng th\u00e1i c\u00e2n b\u1eb1ng gi\u1eefa y\u1ebfu t\u1ed1 t\u1ea5n c\u00f4ng – b\u1ea3o v\u1ec7, nh\u01b0ng c\u00e1c nguy\u00ean nh\u00e2n d\u01b0\u1edbi \u0111\u00e2y s\u1ebd l\u00e0m t\u0103ng c\u00e1c y\u1ebfu t\u1ed1 t\u1ea5n c\u00f4ng v\u00e0 l\u00e0m suy gi\u1ea3m m\u1ea1nh c\u00e1c y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c c\u1ee7a d\u1ea1 d\u00e0y.<\/p>\n
?\ufe0fX\u00e3 h\u1ed9i ng\u00e0y nay c\u00e0ng ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n g\u00e2y ra nhi\u1ec1u \u00e1p l\u1ef1c cu\u1ed9c s\u1ed1ng v\u00e0 v\u1ea5n n\u1ea1n l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u bia \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n ng\u00e0y c\u00e0ng nhi\u1ec1u. \u0110\u00e1ng s\u1ee3 h\u01a1n \u0111\u00e2y l\u1ea1i l\u00e0 hai trong 4 nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn t\u1edbi lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng:\u00a0<\/strong>Stress v\u00e0 r\u01b0\u1ee3u bia<\/p>\n
?\ufe0fStress, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i hi\u1ec7n \u0111ang l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y ra vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y. Stress v\u00e0 c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i s\u1ebd k\u00edch th\u00edch c\u01a1 th\u1ec3 ti\u1ebft nhi\u1ec1u d\u1ecbch acid h\u01a1n l\u00e0m t\u1ed5n th\u01b0\u01a1ng t\u1edbi d\u1ea1 d\u00e0y.<\/p>\n
?\ufe0fR\u01b0\u1ee3u bia \u0111ang b\u1ecb l\u1ea1m d\u1ee5ng \u1edf Vi\u1ec7t Nam c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n r\u1ea5t ph\u1ed5 bi\u1ebfn. H\u1eadu qu\u1ea3 l\u00e0 d\u1ea1 d\u00e0y b\u1ecb k\u00edch \u1ee9ng m\u1ea1nh khi s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia trong th\u1eddi gian d\u00e0i ho\u1eb7c v\u1edbi kh\u1ed1i l\u01b0\u1ee3ng l\u1edbn trong th\u1eddi gian ng\u1eafn. N\u1ebfu \u0111i k\u00e8m c\u00f9ng v\u1edbi r\u01b0\u1ee3u bia l\u00e0 thu\u1ed1c l\u00e1 th\u00ec nguy c\u01a1 t\u0103ng l\u00ean nhi\u1ec1u l\u1ea7n v\u00ec thu\u1ed1c l\u00e1 kh\u00f4ng ch\u1ec9 khi\u1ebfn t\u0103ng ti\u1ebft acid d\u1ea1 d\u00e0y v\u00e0 c\u00f2n l\u00e0m y\u1ebfu th\u00e0nh m\u1ea1ch m\u00e1u, d\u1eabn t\u1edbi gi\u1ea3m t\u01b0\u1edbi m\u00e1u t\u1edbi v\u1ecb tr\u00ed b\u1ecb lo\u00e9t. K\u1ebft qu\u1ea3 l\u00e0 gi\u1ea3m t\u1ed1c \u0111\u1ed9 h\u1ed3i ph\u1ee5c v\u1ebft lo\u00e9t.<\/p>\n
?\ufe0fM\u1ed9t nguy\u00ean nh\u00e2n n\u1eefa m\u00e0 \u0111\u1eb7c bi\u1ec7t nhi\u1ec1u ng\u01b0\u1eddi m\u1eafc t\u1ea1i Vi\u1ec7t Nam l\u00e0 do nhi\u1ec5m vi khu\u1ea9n Helicobacter pylori (H.pylori) – m\u1ed9t vi khu\u1ea9n c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebft \u0111\u1ed9c t\u1ed1, ch\u1ea5t h\u00f3a h\u1ecdc l\u00e0m t\u0103ng b\u00e0i ti\u1ebft d\u1ecbch acid d\u1ea1 d\u00e0y, \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf c\u00e1c b\u1ec7nh nh\u00e2n vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, ung th\u01b0 d\u1ea1 d\u00e0y v\u1edbi m\u1eadt \u0111\u1ed9 cao. Theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u, t\u1ef7 l\u1ec7 m\u1eafc H.p \u1edf Vi\u1ec7t Nam l\u00ean t\u1edbi 70%.<\/p>\n
?\ufe0fNguy\u00ean nh\u00e2n cu\u1ed1i c\u00f9ng l\u00e0 thu\u1ed1c, m\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0 NSAIDs (gi\u1ea3m \u0111au ch\u1ed1ng vi\u00eam phi steroid), steroid, thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu ch\u1ecdn l\u1ecdc serotonin, alendronate, risedronate c\u00f3 th\u1ec3 d\u1eabn t\u1edbi ph\u00e1 h\u1ee7y ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.<\/p>\n
?\ufe0fNgo\u00e0i c\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh hay g\u1eb7p \u1edf tr\u00ean c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0: th\u01b0\u1eddng xuy\u00ean \u0103n u\u1ed1ng no \u0111\u00f3i th\u1ea5t th\u01b0\u1eddng, \u0103n qu\u00e1 no, v\u1eeba \u0103n v\u1eeba xem ti vi, b\u1ec7nh t\u1ef1 mi\u1ec5n,…<\/p>\n
?\ufe0fC\u00e1c t\u00e1c nh\u00e2n tr\u00ean l\u00e0m t\u0103ng y\u1ebfu t\u1ed1 t\u1ea5n c\u00f4ng khi\u1ebfn d\u1ecbch ti\u00eau h\u00f3a s\u1ebd \u0103n s\u00e2u xu\u1ed1ng l\u1edbp ni\u00eam m\u1ea1c. D\u00f9 \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t v\u00e0 n\u1eb7ng th\u00eam n\u1ebfu kh\u00f4ng lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y lo\u00e9t. V\u1eady n\u00ean \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng ph\u1ed1i h\u1ee3p v\u1edbi d\u00f9ng thu\u1ed1c c\u1ef1c k\u00ec quan tr\u1ecdng!<\/p>\n
L\u1eddi khuy\u00ean d\u00e0nh cho b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1n b\u1ed9 y t\u1ebf c\u1ed9ng \u0111\u1ed3ng<\/h2>\n
?\ufe0fTr\u01b0\u1edbc ti\u00ean ta ph\u1ea3i gi\u00fap b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea3i thi\u1ec7n vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y<\/strong>\u00a0m\u00e0 kh\u00f4ng ph\u1ea3i s\u1eed d\u1ee5ng thu\u1ed1c, bao g\u1ed3m bi\u1ec7n ph\u00e1p gi\u1ea3m y\u1ebfu t\u1ed1 t\u1ea5n c\u00f4ng (c\u1ea3i thi\u1ec7n l\u1ed1i s\u1ed1ng v\u00e0 thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng) v\u00e0 n\u00e2ng cao y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 (c\u1ea3i thi\u1ec7n l\u1ed1i s\u1ed1ng, ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao) \u0111\u1ec3 n\u00e2ng cao th\u1ec3 tr\u1ea1ng, c\u00f9ng v\u1edbi \u0111\u00f3 l\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c c\u1ee7a d\u1ea1 d\u00e0y gi\u00fap \u00edch r\u1ea5t nhi\u1ec1u cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. Sau \u0111\u00f3 m\u1edbi k\u1ebft h\u1ee3p v\u1edbi s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n
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Ch\u1ebf \u0111\u1ed9 \u0103n: n\u00ean \u0103n nhi\u1ec1u th\u1ef1c ph\u1ea9m m\u1ec1m, d\u1ec5 h\u1ea5p thu nh\u01b0 rau c\u1ee7 h\u1ea7m hay lu\u1ed9c k\u1ef9, ch\u00e1o lo\u00e3ng hay th\u1ecbt h\u1ea7m. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1eadt ong v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c t\u1ed1i tr\u01b0\u1edbc khi ng\u1ee7 v\u00ec m\u1eadt ong c\u00f3 t\u00e1c d\u1ee5ng b\u1ed5 sung vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, \u0111\u1ed3ng th\u1eddi c\u00f2n c\u00f3 tinh ch\u1ea5t kh\u00e1ng khu\u1ea9n t\u1ef1 nhi\u00ean gi\u00fap c\u1ea3i thi\u1ec7n v\u1ebft lo\u00e9t.<\/li>\n
Tr\u00e1nh \u0103n th\u1ef1c ph\u1ea9m kh\u00f3 ti\u00eau, c\u1ee9ng nh\u01b0 h\u1ea3i s\u1ea3n l\u1ea1nh, th\u1ecbt n\u01b0\u1edbng, chi\u00ean, rau c\u1ee7 qu\u00e1 nhi\u1ec1u x\u01a1 nh\u01b0 c\u1ee7 c\u1ea3i gi\u00e0, \u0111\u1eadu gi\u00e0, rau c\u1ea7n, n\u1ea5m. N\u1ebfu s\u1eed d\u1ee5ng ch\u1ec9 n\u00ean l\u1ea5y n\u01b0\u1edbc b\u1ecf c\u00e1i ho\u1eb7c x\u1eaft nh\u1ecf, h\u1ea7m nh\u1eeb<\/li>\n
Tr\u00e1nh \u0103n th\u1ef1c ph\u1ea9m chua c\u00f3 ch\u1ee9a acid nh\u01b0: cam, chanh, m\u01a1, kh\u1ebf chua, d\u01b0a v\u00e0 c\u00e0 mu\u1ed1i, xo\u00e0i xanh, gi\u1ea5m \u0103n, c\u00e0 chua,… Ngo\u00e0i ra c\u00f2n tr\u00e1nh c\u00e1c \u0111\u1ed3 \u0103n g\u00e2y k\u00edch th\u00edch m\u1ea1nh nh\u01b0 \u1edbt, ti\u00eau, m\u00f9 t\u1ea1t, t\u1ecfi,…<\/li>\n
Chia th\u00e0nh nhi\u1ec1u b\u1eefa \u0103n nh\u1ecf gi\u00fap l\u00e0m d\u1ecbu c\u01a1n \u0111au, ch\u1ecdn th\u1ee9c \u0103n d\u1ec5 ti\u00eau, tr\u00e1nh \u0111\u1ed3 \u0103n chua cay ho\u1eb7c nhi\u1ec1u gia v\u1ecb. M\u1ed9t s\u1ed1 \u0111\u1ed3 \u0103n n\u00ean d\u00f9ng c\u00f3 th\u1ec3 l\u00e0m trung h\u00f2a acid d\u1ecbch v\u1ecb d\u01b0 v\u00e0 bao ph\u1ee7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y nh\u01b0 chu\u1ed1i, c\u00e0 r\u1ed1t v\u00e0 b\u1eafp c\u1ea3i.<\/li>\n
H\u1ea1n ch\u1ebf ho\u1eb7c kh\u00f4ng u\u1ed1ng c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 ch\u1ee9a caffein, \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n v\u00e0 h\u00fat thu\u1ed1c l\u00e1 do ch\u00fang \u1ea3nh h\u01b0\u1edfng v\u1ebft lo\u00e9t. \u0110\u1eb7c bi\u1ec7t l\u00e0 nicotin trong thu\u1ed1c l\u00e1 v\u1eeba l\u00e0m t\u0103ng th\u1ec3 t\u00edch v\u00e0 t\u0103ng ti\u1ebft d\u1ecbch acid d\u1ea1 d\u00e0y \u0111\u1ed3ng th\u1eddi c\u00f2n l\u00e0m v\u1ebft lo\u00e9t l\u00e2u l\u00e0nh h\u01a1n do gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u1ebfn v\u1ebft lo\u00e9t.<\/li>\n
K\u1ebft h\u1ee3p v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0 ch\u1ebf \u0111\u1ed9 t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao nh\u1eb9 v\u00e0 th\u01b0\u1eddng xuy\u00ean nh\u01b0 \u0111\u1ea1p xe, \u0111i b\u1ed9, t\u1eadp nh\u1ea3y, b\u01a1i,… 30 ph\u00fat m\u1ed7i ng\u00e0y<\/li>\n
Tr\u00e1nh c\u0103ng th\u1eb3ng, th\u1ee9c qu\u00e1 khuya v\u00e0 n\u00ean th\u01b0 gi\u00e3n do stress c\u00f3 th\u1ec3 k\u00edch th\u00edch t\u0103ng acid d\u1ea1 d\u00e0y.<\/li>\n
Tr\u00e1nh s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c nguy c\u01a1 tr\u00ean, n\u1ebfu s\u1eed d\u1ee5ng th\u00ec ph\u1ea3i b\u00e1o v\u1edbi b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129 t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1.<\/li>\n<\/ul>\n
?\ufe0fD\u01b0\u1ee3c s\u0129 c\u1ed9ng \u0111\u1ed3ng c\u00f3 th\u1ec3 cho b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng acid (lo\u1ea1i kh\u00f4ng k\u00ea \u0111\u01a1n) \u0111\u1ec3 gi\u00fap gi\u1ea3m \u0111au vi\u00eam lo\u00e9t ti\u00eau h\u00f3a<\/strong> v\u00e0 th\u1ef1c hi\u1ec7n l\u1ed1i s\u1ed1ng h\u1ee3p l\u00fd. Nh\u01b0ng n\u1ebfu t\u00ecnh tr\u1ea1ng \u0111au kh\u00f4ng c\u1ea3i thi\u1ec7n ho\u1eb7c t\u0103ng l\u00ean th\u00ec ph\u1ea3i khuy\u00ean b\u1ec7nh nh\u00e2n \u0111i kh\u00e1m b\u00e1c s\u0129 sau 24h.<\/p>\n
Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n<\/h2>\n
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Bismuth – Metronidazole – Tetracycline d\u00f9ng 14 ng\u00e0y<\/li>\n<\/ol>\n
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Pepto bismuth x 2 vi\u00ean, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y.<\/li>\n
Metronidazole 250mg x 2 vi\u00ean, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y.<\/li>\n
Tetracycline 500mg x 2 vi\u00ean, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y.<\/li>\n
Ph\u1ed1i h\u1ee3p v\u1edbi kh\u00e1ng histamin H_{2\u00a0<\/sub>\u00a0x 4 tu\u1ea7n ho\u1eb7c PPI x 4-6 tu\u1ea7n.<\/li>\n<\/ul>\n2. Ph\u00e1c \u0111\u1ed3 10 ng\u00e0y ho\u1eb7c 14 ng\u00e0y<\/p>\n
\nPPI x 1 vi\u00ean, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y. (Omeprazole 20mg ho\u1eb7c Lanzoprazole 30mg)<\/li>\n
Amoxicillin 500mg x 2 vi\u00ean, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y.<\/li>\n
Clarithromycin 500mg x 1 vi\u00ean, u\u1ed1ng 2 l\u1ea7n\/ng\u00e0y.<\/li>\n<\/ul>\n3. M\u1ed9t s\u1ed1 thu\u1ed1c kh\u00e1c d\u00f9ng k\u00e8m v\u1edbi ph\u00e1c \u0111\u1ed3 gi\u00fap b\u1ed5 tr\u1ee3, t\u0103ng hi\u1ec7u qu\u1ea3 ph\u00e1c \u0111\u1ed3<\/p>\n
\nThu\u1ed1c trung h\u00f2a acid d\u1ea1 d\u00e0y: Gastropulgit 2 – 4 g\u00f3i\/ng\u00e0y ho\u1eb7c phosphalugel 2g\/ng\u00e0y, chia nhi\u1ec1u l\u1ea7n trong ng\u00e0y.<\/li>\n
Thu\u1ed1c b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c, b\u0103ng b\u00f3 \u1ed5 lo\u00e9t: Prostaglandin E1 (Misoprotol 200\u00a0\u00b5g x 4 vi\u00ean\/ng\u00e0y).<\/li>\n<\/ul>\nT\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\nPh\u00e1c \u0111\u1ed3 di\u1ec7t H.pylori theo h\u1ed9i ti\u00eau h\u00f3a Hoa K\u00ec (FDA)<\/p>\n
https:\/\/vnexpress.net\/suc-khoe\/70-nguoi-viet-nhiem-khuan-hp-gay-benh-da-day-3748902.html<\/a><\/p>\n
Lo\u00e9t \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: ULCER (PEPTIC). Mims pharmacy patient counselling guide, VIETNAM 2017\/2018.<\/p>\n
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Lo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng l\u00e0 g\u00ec? ?\ufe0fLo\u00e9t d\u1ea1 d\u00e0y – t\u00e1 tr\u00e0ng\u00a0l\u00e0 v\u1ebft lo\u00e9t \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng, nh\u1eefng v\u00f9ng n\u00e0y ti\u1ebfp x\u00fac nhi\u1ec1u v\u1edbi acid d\u1ea1 d\u00e0y (acid clohydric) v\u00e0 enzyme ti\u00eau h\u00f3a (pepsin). B\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 tr\u00e1nh ph\u00e1 h\u1ee7y ni\u00eam m\u1ea1c v\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u1ef1 ti\u00eau h\u00f3a […]\n","protected":false},"author":1,"featured_media":5150,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4995","post","type-post","status-publish","format-image","has-post-thumbnail","hentry","category-y-te-suc-khoe","post_format-post-format-image"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4995","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=4995"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4995\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5150"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4995"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4995"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4995"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}}