﻿{"id":5316,"date":"2019-03-23T16:45:28","date_gmt":"2019-03-23T09:45:28","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5316"},"modified":"2019-03-23T16:45:28","modified_gmt":"2019-03-23T09:45:28","slug":"kiem-soat-nhiem-khuan-noi-soi-tieu-hoa","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/kiem-soat-nhiem-khuan-noi-soi-tieu-hoa\/","title":{"rendered":"Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n n\u1ed9i soi ti\u00eau h\u00f3a"},"content":{"rendered":"<h2>T\u00f3m t\u1eaft n\u1ed9i dung tr\u00ecnh b\u00e0y t\u1ea1i H\u1ed9i ngh\u1ecb Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n n\u1ed9i soi ti\u00eau h\u00f3a trong n\u1ed9i soi ti\u00eau ho\u00e1<\/h2>\n<p>D\u1ee5ng c\u1ee5 n\u1ed9i soi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn t\u1ea1i c\u00e1c khoa ti\u00eau ho\u00e1 v\u00e0 l\u00e0 d\u1ee5ng c\u1ee5 c\u00f3 c\u1ea5u h\u00ecnh ph\u1ee9c t\u1ea1p, \u00f4 nhi\u1ec5m nhi\u1ec1u d\u1ecbch c\u01a1 th\u1ec3 sau s\u1eed d\u1ee5ng, kh\u00f3 l\u00e0m s\u1ea1ch. \u0110\u00e2y l\u00e0 nh\u1eefng \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho vi sinh v\u1eadt g\u00e2y b\u1ec7nh d\u1ec5 d\u00e0ng nh\u00e2n l\u00ean, t\u1ea1o m\u00e0ng sinh h\u1ecdc c\u1ea3n tr\u1edf ho\u00e1 ch\u1ea5t v\u00e0 c\u00e1c t\u00e1c nh\u00e2n kh\u1eed khu\u1ea9n\/ti\u1ec7t khu\u1ea9n (KK\/TK) ph\u00e1t huy t\u00e1c d\u1ee5ng.<\/p>\n<p>\u0110\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u trong KK\/TK d\u1ee5ng c\u1ee5 n\u1ed9i soi c\u1ea7n c\u00f3 s\u1ef1 k\u1ebft h\u1ee3p th\u1ef1c h\u00e0nh an to\u00e0n, x\u00e2y d\u1ef1ng v\u0103n h\u00f3a an to\u00e0n NB v\u00e0 l\u1ef1a ch\u1ecdn ho\u00e1 ch\u1ea5t, thi\u1ebft b\u1ecb KK\/TK ph\u00f9 h\u1ee3p.<\/p>\n<p>&#8211; Th\u1ef1c h\u00e0nh an to\u00e0n: x\u1eed l\u00fd d\u1ee5ng c\u1ee5 n\u1ed9i soi c\u1ea7n \u0111\u01b0\u1ee3c coi l\u00e0 1 ngh\u1ec1 v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi nh\u00e2n vi\u00ean \u0111\u00e3 qua \u0111\u00e0o t\u1ea1o, ki\u1ec3m tra k\u1ef9 n\u0103ng x\u1eed l\u00fd d\u1ee5ng c\u1ee5 NS tr\u01b0\u1edbc khi l\u00e0m vi\u1ec7c.<\/p>\n<p>&#8211; V\u0103n ho\u00e1 an to\u00e0n: m\u1ed7i c\u01a1 s\u1edf y t\u1ebf c\u1ea7n x\u00e2y d\u1ef1ng H\u01b0\u1edbng d\u1eabn x\u1eed l\u00fd d\u1ee5ng c\u1ee5 NS, c\u00f4ng c\u1ee5 ki\u1ec3m tra\/gi\u00e1m s\u00e1t (KT\/GS) tu\u00e2n th\u1ee7 HD c\u1ee7a nh\u00e2n vi\u00ean x\u1eed l\u00fd d\u1ee5ng c\u1ee5 ph\u00f9 h\u1ee3p v\u1edbi ngu\u1ed3n l\u1ef1c c\u1ee7a m\u00ecnh, \u0111\u1ed3ng th\u1eddi quy \u0111\u1ecbnh r\u00f5 vai tr\u00f2\/tr\u00e1ch nhi\u1ec7m c\u1ee7a c\u00e1c \u0111\u01a1n v\u1ecb, c\u00e1 nh\u00e2n li\u00ean quan trong vi\u1ec7c tri\u1ec3n khai HD. B\u1ed1 tr\u00ed nh\u00e2n l\u1ef1c \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o tham gia KT\/GS, duy tr\u00ec v\u00e0 ph\u1ea3n h\u1ed3i th\u01b0\u1eddng xuy\u00ean k\u1ebft qu\u1ea3 KT\/GS \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u00e0 duy tr\u00ec gi\u1ea3i ph\u00e1p \u01b0u ti\u00ean trong c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng x\u1eed l\u00fd d\u1ee5ng c\u1ee5 NS.<\/p>\n<p>&#8211; L\u1ef1a ch\u1ecdn ho\u00e1 ch\u1ea5t, trang thi\u1ebft b\u1ecb ph\u00f9 h\u1ee3p: nh\u00e2n l\u1ef1c, c\u01a1 s\u1ed1 d\u1ee5ng c\u1ee5 NS c\u1ee7a \u0111a s\u1ed1 c\u00e1c \u0111\u01a1n v\u1ecb NS ti\u00eau ho\u00e1 c\u00f2n r\u1ea5t h\u1ea1n ch\u1ebf. 85% nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi th\u1ea5t b\u1ea1i trong x\u1eed l\u00fd d\u1ee5ng c\u1ee5 NS li\u00ean quan t\u1edbi c\u00e1c b\u01b0\u1edbc l\u00e0m s\u1ea1ch, kh\u1eed khu\u1ea9n\/ti\u1ec7t khu\u1ea9n ko th\u1ef1c hi\u1ec7n \u0111\u00fang. M\u1edbi \u0111\u00e2y, FDA khuy\u1ebfn c\u00e1o ti\u1ec7t khu\u1ea9n ho\u1eb7c kh\u1eed khu\u1ea9n m\u1ee9c \u0111\u1ed9 cao 2 l\u1ea7n d\u1ee5ng c\u1ee5 NS t\u00e1 tr\u00e0ng, ERCP. Do v\u1eady, c\u1ea7n \u01b0u ti\u00ean vi\u1ec7c b\u1ed5 sung thi\u1ebft b\u1ecb \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng l\u00e0m s\u1ea1ch d\u1ee5ng c\u1ee5, s\u1eed d\u1ee5ng ho\u00e1 ch\u1ea5t\/thi\u1ebft b\u1ecb c\u00f3 th\u1eddi gian KK\/TK ng\u1eafn gi\u00fap t\u0103ng t\u1ed1c \u0111\u1ed9 quay v\u00f2ng d\u1ee5ng c\u1ee5.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00f3m t\u1eaft n\u1ed9i dung tr\u00ecnh b\u00e0y t\u1ea1i H\u1ed9i ngh\u1ecb Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n n\u1ed9i soi ti\u00eau h\u00f3a trong n\u1ed9i soi ti\u00eau ho\u00e1 D\u1ee5ng c\u1ee5 n\u1ed9i soi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn t\u1ea1i c\u00e1c khoa ti\u00eau ho\u00e1 v\u00e0 l\u00e0 d\u1ee5ng c\u1ee5 c\u00f3 c\u1ea5u h\u00ecnh ph\u1ee9c t\u1ea1p, \u00f4 nhi\u1ec5m nhi\u1ec1u d\u1ecbch c\u01a1 th\u1ec3 sau s\u1eed d\u1ee5ng, kh\u00f3 [&#8230;]\n","protected":false},"author":1,"featured_media":5317,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5316","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5316","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=5316"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5316\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5317"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=5316"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=5316"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=5316"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}