{"id":5869,"date":"2019-04-01T17:26:23","date_gmt":"2019-04-01T10:26:23","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5869"},"modified":"2019-05-29T00:55:43","modified_gmt":"2019-05-28T17:55:43","slug":"nhung-thach-thuc-trong-chan-doan-va-dieu-tri-trao-nguoc-da-day-thuc-quan","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/nhung-thach-thuc-trong-chan-doan-va-dieu-tri-trao-nguoc-da-day-thuc-quan\/","title":{"rendered":"Nh\u1eefng th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n"},"content":{"rendered":"<p><strong>B\u1ec7nh l\u00fd tr\u00e0o ng\u01b0\u1ee3c <a href=\"https:\/\/www.vnras.com\/drug\/2019\/03\/loet-duong-tieu-hoa-can-benh-hien-dai-ma-ban-hoan-toan-co-the-chua-khoi.html\">d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n<\/a> (GERD)<\/strong> lu\u00f4n l\u00e0 m\u1ed9t trong nh\u1eefng \u0111\u1ec1 t\u00e0i chuy\u00ean m\u00f4n ph\u1ed5 bi\u1ebfn, g\u00e2y nhi\u1ec1u tranh c\u00e3i b\u1edfi \u0111\u1ebfn nay ch\u01b0a c\u00f3 ti\u00eau chu\u1ea9n v\u00e0ng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, \u0111\u00f4i khi kh\u00f3 kh\u0103n v\u00e0 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a kh\u00e1c.<\/p>\n<p>B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i ph\u1ed1i h\u1ee3p v\u1edbi C\u00f4ng ty D\u01b0\u1ee3c ph\u1ea9m Takeda t\u1ed5 ch\u1ee9c h\u1ed9i th\u1ea3o chuy\u00ean \u0111\u1ec1 v\u1ec1 thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton th\u1ebf h\u1ec7 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd GERD, nh\u1eefng th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb khi b\u1ec7nh c\u00f3 xu h\u01b0\u1edbng ng\u00e0y c\u00e0ng t\u0103ng, \u1ea3nh h\u01b0\u1edfng kh\u00f4ng nh\u1ecf \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<figure id=\"attachment_5872\" aria-describedby=\"caption-attachment-5872\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5872\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/trao_nguoc_da_day.jpg\" alt=\"To\u00e0n c\u1ea3nh bu\u1ed5i h\u1ed9i th\u1ea3o ng\u00e0y 19\/3\/2019.\" width=\"450\" height=\"360\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/trao_nguoc_da_day.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/trao_nguoc_da_day-350x280.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/trao_nguoc_da_day-300x240.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-5872\" class=\"wp-caption-text\">To\u00e0n c\u1ea3nh bu\u1ed5i h\u1ed9i th\u1ea3o ng\u00e0y 19\/3\/2019.<\/figcaption><\/figure>\n<p>Thuy\u1ebft tr\u00ecnh t\u1ea1i h\u1ed9i th\u1ea3o, PGS.TS Tr\u1ea7n Ng\u1ecdc \u00c1nh &#8211; Tr\u01b0\u1edfng khoa N\u1ed9i t\u1ed5ng h\u1ee3p cho bi\u1ebft GERD l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, tuy nhi\u00ean \u0111\u1ebfn nay ch\u1ec9 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o kinh nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 c\u00e1c th\u0103m d\u00f2, ch\u1ee9 ch\u01b0a c\u00f3 ti\u00eau chu\u1ea9n v\u00e0ng c\u1ee5 th\u1ec3. Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh c\u00f3 th\u1ec3 t\u1eeb th\u1ef1c qu\u1ea3n, t\u1eeb d\u1ea1 d\u00e0y v\u00e0 \u1ea3nh h\u01b0\u1edfng t\u1eeb c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3. V\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng g\u1ed3m \u1ee3 n\u00f3ng v\u00e0 c\u00f3 lu\u1ed3ng tr\u00e0o ng\u01b0\u1ee3c, bu\u1ed3n n\u00f4n, nu\u1ed1t \u0111au v\u00e0 v\u01b0\u1edbng, \u0111au t\u1ee9c ng\u1ef1c\u2026 Ngo\u00e0i ra c\u00f2n nhi\u1ec1u bi\u1ec3u hi\u1ec7n kh\u00f4ng \u0111\u1eb7c tr\u01b0ng th\u1eadm ch\u00ed c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 vi\u00eam h\u1ecdng, vi\u00eam m\u0169i xoang, hen, th\u1eadm ch\u00ed ung th\u01b0.<\/p>\n<figure id=\"attachment_5870\" aria-describedby=\"caption-attachment-5870\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5870\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_tran_ngoc_anh.jpg\" alt=\"V\u1edbi hai b\u00e0i b\u00e1o c\u00e1o c\u1ee7a: PGS.TS Tr\u1ea7n Ng\u1ecdc \u00c1nh - Tr\u01b0\u1edfng khoa N\u1ed9i t\u1ed5ng h\u1ee3p\" width=\"450\" height=\"360\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_tran_ngoc_anh.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_tran_ngoc_anh-350x280.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_tran_ngoc_anh-300x240.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-5870\" class=\"wp-caption-text\">V\u1edbi hai b\u00e0i b\u00e1o c\u00e1o c\u1ee7a: PGS.TS Tr\u1ea7n Ng\u1ecdc \u00c1nh &#8211; Tr\u01b0\u1edfng khoa N\u1ed9i t\u1ed5ng h\u1ee3p<\/figcaption><\/figure>\n<p>Khi \u0111i\u1ec1u ch\u1ec9nh b\u1eb1ng ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t v\u00e0 dinh d\u01b0\u1ee1ng m\u00e0 kh\u00f4ng c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng, b\u1ea1n c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i, ngo\u1ea1i khoa, t\u1ee9c l\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c ho\u1eb7c ph\u1eabu thu\u1eadt. L\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e0o c\u1ea7n d\u1ef1a tr\u00ean nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh v\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb t\u1eebng b\u01b0\u1edbc nh\u1eb1m c\u00e1c m\u1ee5c ti\u00eau: ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng; l\u00e0m li\u1ec1n s\u1eb9o c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u1ebfu c\u00f3; ki\u1ec3m so\u00e1t v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n<p>Tuy nhi\u00ean, th\u00e1ch th\u1ee9c \u0111\u1eb7t ra l\u00e0 b\u1ec7nh l\u00fd GERD xu h\u01b0\u1edbng tr\u01a1 v\u1edbi \u0111i\u1ec1u tr\u1ecb v\u00e0 nguy c\u01a1 t\u00e1i ph\u00e1t cao, b\u1ec7nh nh\u00e2n v\u1edbi t\u00e2m l\u00fd kh\u00f4ng tho\u1ea3i m\u00e1i khi ph\u1ea3i kh\u00e1m \u0111i kh\u00e1m l\u1ea1i nhi\u1ec1u l\u1ea7n m\u00e0 b\u1ec7nh t\u00ecnh kh\u00f4ng c\u1ea3i thi\u1ec7n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00e1p \u1ee9ng. Do \u0111\u00f3, kinh nghi\u1ec7m l\u00e2m s\u00e0ng c\u1ee7a b\u00e1c s\u0129 khi ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c sau khi xem x\u00e9t k\u1ef9 c\u00e0ng c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng.<\/p>\n<p>X\u00e9t c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ec7nh ngo\u00e0i th\u1ef1c qu\u1ea3n, PGS.TS Cao Minh Th\u00e0nh &#8211; Tr\u01b0\u1edfng khoa Tai M\u0169i H\u1ecdng l\u1ea1i ph\u00e2n t\u00edch v\u1ec1 h\u1ed9i ch\u1ee9ng GERD qua kh\u00eda c\u1ea1nh c\u1ee7a chuy\u00ean khoa tai m\u0169i h\u1ecdng. M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf d\u1ecbch axit tr\u00e0o l\u00ean \u0111\u01b0\u1ee3c t\u1edbi \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng vi\u00eam h\u1ecdng, vi\u00eam m\u0169i xoang, thanh qu\u1ea3n. Ng\u01b0\u1eddi b\u1ec7nh b\u1ecb ho, kh\u00f2 kh\u00e8 k\u00e9o d\u00e0i nh\u01b0ng kh\u00f4ng \u0111\u00e1p \u1ee9ng ho\u1eb7c \u0111\u00e1p \u1ee9ng k\u00e9m v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng. M\u1ed9t s\u1ed1 b\u1ecb kh\u00e0n ti\u1ebfng do d\u00e2y thanh qu\u1ea3n trong c\u1ed5 h\u1ecdng b\u1ecb d\u00e0y l\u00ean. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ecb b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 b\u1ecb m\u00f2n r\u0103ng, vi\u00eam tai,&#8230;<\/p>\n<figure id=\"attachment_5871\" aria-describedby=\"caption-attachment-5871\" style=\"width: 450px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5871\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_cao_minh_thanh.jpg\" alt=\"v\u00e0 PGS.TS Cao Minh Th\u00e0nh - Tr\u01b0\u1edfng khoa Tai M\u0169i H\u1ecdng.\" width=\"450\" height=\"360\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_cao_minh_thanh.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_cao_minh_thanh-350x280.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/pgs_ts_cao_minh_thanh-300x240.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption id=\"caption-attachment-5871\" class=\"wp-caption-text\">v\u00e0 PGS.TS Cao Minh Th\u00e0nh &#8211; Tr\u01b0\u1edfng khoa Tai M\u0169i H\u1ecdng.<\/figcaption><\/figure>\n<p>Theo kinh nghi\u1ec7m c\u1ee7a c\u00e1c chuy\u00ean khoa kh\u00e1c nhau sau ph\u00e2n t\u00edch t\u1ea1i h\u1ed9i th\u1ea3o, c\u00e1c BS khuy\u1ebfn c\u00e1o b\u1ec7nh nh\u00e2n n\u00ean tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb ngay t\u1eeb nh\u1eefng vi\u1ec7c \u0111\u01a1n gi\u1ea3n nh\u01b0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng. Ngo\u00e0i ra, \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton th\u1ebf h\u1ec7 m\u1edbi v\u1eabn l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay v\u00e0 t\u1ed1i \u01b0u, cho ph\u00e9p li\u1ec1u d\u00f9ng linh ho\u1ea1t trong ng\u00e0y v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t axit t\u1ed1t h\u01a1n, gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu v\u1ec1 \u0111\u00eam \u0111\u1ed3ng th\u1eddi h\u1ea1n ch\u1ebf ph\u1ea3i s\u1eed d\u1ee5ng th\u00eam c\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 kh\u00e1c.<\/p>\n<p>PV (ghi)<\/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>B\u1ec7nh l\u00fd tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) lu\u00f4n l\u00e0 m\u1ed9t trong nh\u1eefng \u0111\u1ec1 t\u00e0i chuy\u00ean m\u00f4n ph\u1ed5 bi\u1ebfn, g\u00e2y nhi\u1ec1u tranh c\u00e3i b\u1edfi \u0111\u1ebfn nay ch\u01b0a c\u00f3 ti\u00eau chu\u1ea9n v\u00e0ng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, \u0111\u00f4i khi kh\u00f3 kh\u0103n v\u00e0 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a kh\u00e1c. B\u1ec7nh vi\u1ec7n [&#8230;]\n","protected":false},"author":1,"featured_media":5872,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5869","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\/5869","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=5869"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5869\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5872"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=5869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=5869"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=5869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}