{"id":6599,"date":"2026-04-16T08:37:22","date_gmt":"2026-04-16T01:37:22","guid":{"rendered":"https:\/\/bvnguyentrai.org.vn\/?p=6599"},"modified":"2026-04-16T12:00:53","modified_gmt":"2026-04-16T05:00:53","slug":"sai-lam-pho-bien-khien-ung-thu-tieu-hoa-bi-phat-hien-muon","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/sai-lam-pho-bien-khien-ung-thu-tieu-hoa-bi-phat-hien-muon\/","title":{"rendered":"Sai l\u1ea7m ph\u1ed5 bi\u1ebfn khi\u1ebfn ung th\u01b0 ti\u00eau h\u00f3a b\u1ecb ph\u00e1t hi\u1ec7n mu\u1ed9n"},"content":{"rendered":"

Sai l\u1ea7m ph\u1ed5 bi\u1ebfn khi\u1ebfn ung th\u01b0 ti\u00eau h\u00f3a b\u1ecb ph\u00e1t hi\u1ec7n mu\u1ed9n<\/h1>\n

\u0110\u1ee3i c\u00f3 tri\u1ec7u ch\u1ee9ng m\u1edbi \u0111i kh\u00e1m thay v\u00ec ch\u1ee7 \u0111\u1ed9ng n\u1ed9i soi t\u1ea7m so\u00e1t t\u1eeb tu\u1ed5i 40 l\u00e0 sai l\u1ea7m khi\u1ebfn nhi\u1ec1u ng\u01b0\u1eddi b\u1ecf l\u1ee1 c\u01a1 h\u1ed9i ph\u00e1t hi\u1ec7n s\u1edbm ho\u1eb7c ng\u0103n ch\u1eb7n ung th\u01b0 \u1ed1ng ti\u00eau h\u00f3a.<\/p>\n

\n

BS.CK2 Nguy\u1ec5n \u0110\u1ee9c Th\u00f4ng, Tr\u01b0\u1edfng Khoa N\u1ed9i soi, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i, b\u00ean l\u1ec1 h\u1ed9i ngh\u1ecb qu\u1ed1c t\u1ebf c\u1eadp nh\u1eadt ti\u1ebfn b\u1ed9 m\u1edbi trong n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb u \u1ed1ng ti\u00eau h\u00f3a ng\u00e0y 15\/4, cho bi\u1ebft th\u1ef1c t\u1ebf t\u1ea1i vi\u1ec7n ghi nh\u1eadn \u0111a s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u00f3 t\u00e2m l\u00fd ch\u1edd xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 \u0111au b\u1ee5ng, \u0111i ti\u00eau ra m\u00e1u, thi\u1ebfu m\u00e1u, s\u1ee5t c\u00e2n… m\u1edbi \u0111i kh\u00e1m.<\/p>\n

Theo b\u00e1c s\u0129, khi c\u01a1 th\u1ec3 \u0111\u00e3 “l\u00ean ti\u1ebfng”, b\u1ec7nh th\u01b0\u1eddng \u1edf giai \u0111o\u1ea1n mu\u1ed9n. L\u00fac n\u00e0y, d\u00f9 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt, t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 th\u1ec3 \u0111\u00e3 di c\u0103n \u0111\u1ebfn c\u01a1 quan kh\u00e1c, khi\u1ebfn ti\u00ean l\u01b0\u1ee3ng s\u1ed1ng gi\u1ea3m \u0111\u00e1ng k\u1ec3.<\/p>\n

\u0110\u1ec3 gi\u1ea3m nguy c\u01a1 ti\u1ebfn tri\u1ec3n ung th\u01b0 ti\u00eau h\u00f3a, ng\u01b0\u1eddi d\u00e2n c\u1ea7n thay \u0111\u1ed5i th\u00f3i quen, chuy\u1ec3n t\u1eeb “\u0111\u1ee3i c\u00f3 b\u1ec7nh m\u1edbi ch\u1eefa” sang ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t khi c\u00f2n kh\u1ecfe m\u1ea1nh. M\u1ed1c khuy\u1ebfn c\u00e1o b\u1eaft \u0111\u1ea7u n\u1ed9i soi d\u1ea1 d\u00e0y v\u00e0 \u0111\u1ea1i tr\u00e0ng l\u00e0 t\u1eeb 40 tu\u1ed5i. Sau l\u1ea7n n\u1ed9i soi \u0111\u1ea7u ti\u00ean, t\u00f9y k\u1ebft qu\u1ea3, b\u00e1c s\u0129 s\u1ebd x\u00e2y d\u1ef1ng l\u1ecbch theo d\u00f5i ph\u00f9 h\u1ee3p. Ng\u01b0\u1eddi nguy c\u01a1 cao nh\u01b0 nhi\u1ec5m vi khu\u1ea9n HP, vi\u00eam teo, chuy\u1ec3n s\u1ea3n ru\u1ed9t c\u1ea7n n\u1ed9i soi \u0111\u1ecbnh k\u1ef3 s\u00e1t h\u01a1n, kho\u1ea3ng 1-2 n\u0103m m\u1ed9t l\u1ea7n. \u0110\u1eb7c bi\u1ec7t, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u00ean t\u1ea7m so\u00e1t t\u1eeb s\u1edbm h\u01a1n.<\/p>\n

N\u1ed9i soi s\u1edbm mang l\u1ea1i l\u1ee3i \u00edch l\u1edbn v\u00ec gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0. B\u00e1c s\u0129 Th\u00f4ng d\u1eabn ch\u1ee9ng, nhi\u1ec5m HP l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 d\u1ea1 d\u00e0y, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n qua c\u00e1c giai \u0111o\u1ea1n vi\u00eam teo, chuy\u1ec3n s\u1ea3n ru\u1ed9t v\u00e0 ung th\u01b0 s\u1edbm. V\u1edbi \u0111\u1ea1i tr\u00e0ng, c\u00e1c polyp tuy\u1ebfn (adenoma) c\u00f3 nguy c\u01a1 cao tr\u1edf th\u00e0nh kh\u1ed1i u \u00e1c t\u00ednh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 c\u1eaft b\u1ecf k\u1ecbp th\u1eddi.<\/p>\n

Khi ph\u00e1t hi\u1ec7n polyp qua n\u1ed9i soi, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u1eaft b\u1ecf ngay. Ng\u01b0\u1eddi b\u1ec7nh g\u1ea7n nh\u01b0 kh\u1ecfi ho\u00e0n to\u00e0n, xu\u1ea5t vi\u1ec7n trong ng\u00e0y, tr\u00e1nh \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1edbn v\u00e0 gi\u1ea3m nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng v\u1ec1 sau.<\/p>\n

\n
\n\"C\u00e1c<\/picture>\n
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C\u00e1c b\u00e1c s\u0129 n\u1ed9i soi ti\u00eau h\u00f3a t\u1ea1i B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/em><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/figure>\n

B\u00ean c\u1ea1nh s\u1ef1 ch\u1ee7 \u0111\u1ed9ng c\u1ee7a ng\u01b0\u1eddi d\u00e2n, n\u0103ng l\u1ef1c ch\u1ea9n \u0111o\u00e1n s\u1edbm c\u1ee7a c\u01a1 s\u1edf y t\u1ebf c\u0169ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng. B\u1ec7nh vi\u1ec7n \u0111ang \u0111\u1ea9y m\u1ea1nh \u1ee9ng d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i nh\u01b0 n\u1ed9i soi nhu\u1ed9m m\u00e0u, n\u1ed9i soi ph\u00f3ng \u0111\u1ea1i nh\u1eb1m n\u00e2ng cao kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng. N\u1ed9i soi si\u00eau \u00e2m c\u0169ng \u0111\u01b0\u1ee3c tri\u1ec3n khai s\u00e2u h\u01a1n, gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c kh\u1ed1i u trong th\u00e0nh \u1ed1ng ti\u00eau h\u00f3a, x\u00e1c \u0111\u1ecbnh l\u1edbp t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 sinh thi\u1ebft v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n

BS.CK2 L\u00ea Thanh Phong, Ph\u00f3 gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i, nh\u1ea5n m\u1ea1nh n\u1ed9i soi ti\u00eau h\u00f3a ng\u00e0y c\u00e0ng gi\u1eef vai tr\u00f2 then ch\u1ed1t trong ch\u1ea9n \u0111o\u00e1n s\u1edbm, \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u00edt x\u00e2m l\u1ea5n. Vi\u1ec7c c\u1eadp nh\u1eadt ti\u1ebfn b\u1ed9 y khoa v\u00e0 m\u1edf r\u1ed9ng h\u1ee3p t\u00e1c qu\u1ed1c t\u1ebf l\u00e0 chi\u1ebfn l\u01b0\u1ee3c tr\u1ecdng t\u00e2m nh\u1eb1m n\u00e2ng cao n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n

T\u1ea1i h\u1ed9i ngh\u1ecb, PGS Osamu Dohi, B\u1ed9 m\u00f4n Ti\u00eau h\u00f3a – Gan m\u1eadt Ph\u00e2n t\u1eed, Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y khoa Kyoto (Nh\u1eadt B\u1ea3n), \u0111\u00e3 tr\u1ef1c ti\u1ebfp trao \u0111\u1ed5i h\u1ecdc thu\u1eadt, h\u1ed7 tr\u1ee3 c\u00e1c b\u00e1c s\u0129 trong n\u01b0\u1edbc ho\u00e0n thi\u1ec7n v\u00e0 n\u00e2ng c\u1ea5p k\u1ef9 thu\u1eadt c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c (ESD) l\u00ean nh\u1eefng m\u1ee9c \u0111\u1ed9 kh\u00f3 v\u00e0 chuy\u00ean s\u00e2u h\u01a1n.<\/p>\n

\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm qua n\u1ed9i soi, gi\u00fap lo\u1ea1i b\u1ecf t\u1ed5n th\u01b0\u01a1ng m\u00e0 v\u1eabn b\u1ea3o t\u1ed3n d\u1ea1 d\u00e0y, h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng, r\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n v\u00e0 gi\u1ea3m chi ph\u00ed. T\u1ea1i Nh\u1eadt B\u1ea3n, ESD \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1edd ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t hi\u1ec7u qu\u1ea3. Tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi t\u1eeb 40 tu\u1ed5i \u0111\u01b0\u1ee3c X-quang d\u1ea1 d\u00e0y c\u1ea3n quang r\u1ed3i n\u1ed9i soi t\u1ea7m so\u00e1t h\u1eb1ng n\u0103m. G\u1ea7n \u0111\u00e2y, khi t\u1ef7 l\u1ec7 nhi\u1ec5m HP gi\u1ea3m, Nh\u1eadt B\u1ea3n ghi nh\u1eadn s\u1ed1 ca ung th\u01b0 d\u1ea1 d\u00e0y gi\u1ea3m d\u1ea7n v\u00e0 chuy\u1ec3n sang t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 m\u1ed7i 2-3 n\u0103m cho ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i.<\/p>\n

Theo c\u00e1c b\u00e1c s\u0129, hi\u1ec7n nay n\u1ed9i soi g\u00e2y m\u00ea \u0111\u00e3 tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn, gi\u00fap qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n nh\u1eb9 nh\u00e0ng, kh\u00f4ng \u0111au, g\u00f3p ph\u1ea7n x\u00f3a b\u1ecf t\u00e2m l\u00fd e ng\u1ea1i, khuy\u1ebfn kh\u00edch ng\u01b0\u1eddi d\u00e2n ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe.<\/p>\n<\/article>\n

Ngu\u1ed3n: https:\/\/vnexpress.net\/sai-lam-pho-bien-khien-ung-thu-tieu-hoa-bi-phat-hien-muon-5062669.html<\/a><\/em><\/p>","protected":false},"excerpt":{"rendered":"

Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. Ng\u01b0\u1eddi lu\u00f4n nh\u1eafc nh\u1edf \u201cL\u01b0\u01a1ng y ph\u1ea3i ki\u00eam t\u1eeb m\u1eabu\u201d. Cho \u0111\u1ebfn t\u1eadn khi s\u1eafp s\u1eeda \u0111i xa, trong Di ch\u00fac, Ng\u01b0\u1eddi v\u1eabn kh\u00f4ng qu\u00ean d\u1eb7n d\u00f2 ph\u1ea3i \u201cPh\u00e1t tri\u1ec3n c\u00f4ng t\u00e1c v\u1ec7 sinh, y t\u1ebf\u2026\u201d<\/p>","protected":false},"author":1,"featured_media":6601,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,15,9],"tags":[],"class_list":["post-6599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hoat-dong-benh-vien","category-tin-tuc-su-kien-benh-vien-nguyen-trai","category-tin-tuc-nganh"],"blocksy_meta":[],"acf":[],"yoast_head":"\nSai l\u1ea7m ph\u1ed5 bi\u1ebfn khi\u1ebfn ung th\u01b0 ti\u00eau h\u00f3a b\u1ecb ph\u00e1t hi\u1ec7n mu\u1ed9n - B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/sai-lam-pho-bien-khien-ung-thu-tieu-hoa-bi-phat-hien-muon\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sai l\u1ea7m ph\u1ed5 bi\u1ebfn khi\u1ebfn ung th\u01b0 ti\u00eau h\u00f3a b\u1ecb ph\u00e1t hi\u1ec7n mu\u1ed9n\" \/>\n<meta property=\"og:description\" content=\"Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. 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