{"id":12113,"date":"2018-11-21T12:21:17","date_gmt":"2018-11-21T05:21:17","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/noi-soi-phe-quan-bronchoscopy\/"},"modified":"2024-03-17T03:40:16","modified_gmt":"2024-03-16T20:40:16","slug":"noi-soi-phe-quan-bronchoscopy","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/noi-soi-phe-quan-bronchoscopy\/","title":{"rendered":"N\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy)"},"content":{"rendered":"

\"N\u1ed9i<\/p>\n

L\u01b0u \u00fd<\/strong>: N\u1ed9i soi ph\u1ebf qu\u1ea3n c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 n\u1ed9i soi kh\u00ed ph\u1ebf qu\u1ea3n, n\u1ed9i soi thanh kh\u00ed ph\u1ebf qu\u1ea3n. Nh\u1eefng th\u00f4ng tin d\u01b0\u1edbi \u0111\u00e2y ch\u1ec9 l\u00e0 h\u01b0\u1edbng d\u1eabn chung. Vi\u1ec7c chu\u1ea9n b\u1ecb v\u00e0 th\u1ef1c hi\u1ec7n c\u00f3 th\u1ec3 kh\u00e1c nhau gi\u1eefa c\u00e1c b\u1ec7nh vi\u1ec7n. Lu\u00f4n ph\u1ea3i l\u00e0m theo c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1c b\u00e1c s\u0129 ho\u1eb7c b\u1ec7nh vi\u1ec7n \u0111\u1ecba ph\u01b0\u01a1ng c\u1ee7a b\u1ea1n.<\/p>\n

N\u1ed9i soi ph\u1ebf qu\u1ea3n l\u00e0 g\u00ec?<\/h2>\n

N\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy) l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt gi\u00fap b\u00e1c s\u0129 nh\u00ecn tr\u1ef1c ti\u1ebfp v\u00e0o nh\u1eefng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p l\u1edbn (hay c\u00f2n g\u1ecdi l\u00e0 \u0111\u01b0\u1eddng th\u1edf l\u1edbn bao g\u1ed3m kh\u00ed qu\u1ea3n v\u00e0 ph\u1ebf qu\u1ea3n). \u0110\u00e2y l\u00e0 nh\u1eefng \u0111\u01b0\u1eddng \u1ed1ng ch\u00ednh \u0111\u01b0a kh\u00f4ng kh\u00ed v\u00e0o ph\u1ed5i.<\/p>\n

\u1ed0ng n\u1ed9i soi ph\u1ebf qu\u1ea3n quang h\u1ecdc m\u1ec1m (fibre-optic bronchoscope) th\u01b0\u1eddng hay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. \u0110\u00e2y l\u00e0 m\u1ed9t \u1ed1ng n\u1ed9i soi nh\u1ecf, d\u1ec5 u\u1ed1n cong, c\u00f3 \u00e1nh s\u00e1ng cu\u1ed1i \u1ed1ng \u0111\u1ec3 quan s\u00e1t (xem h\u00ecnh v\u1ebd minh h\u1ecda). \u1ed0ng c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng c\u00e2y b\u00fat ch\u00ec.<\/p>\n

\"N\u1ed9i<\/p>\n

H\u00ecnh:\u00a0N\u1ed9i soi ph\u1ebf qu\u1ea3n<\/p>\n

\u1ed0ng n\u1ed9i soi ph\u1ebf qu\u1ea3n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o b\u1eb1ng \u0111\u01b0\u1eddng m\u0169i ho\u1eb7c mi\u1ec7ng r\u1ed3i qua ph\u00eda th\u00e0nh sau h\u1ecdng, xu\u1ed1ng kh\u00ed qu\u1ea3n v\u00e0 xu\u1ed1ng t\u1edbi ph\u1ebf qu\u1ea3n. \u1ed0ng n\u1ed9i soi ph\u1ebf qu\u1ea3n quang h\u1ecdc m\u1ec1m cho ph\u00e9p \u00e1nh s\u00e1ng \u0111\u01b0\u1ee3c d\u1eabn theo \u1ed1ng n\u1ed9i soi v\u00e0 v\u00ec th\u1ebf vi\u1ec7c chi\u1ebfu s\u00e1ng gi\u00fap cho b\u00e1c s\u0129 c\u00f3 th\u1ec3 th\u1ea5y r\u00f5 b\u00ean trong \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n

\u1ed0ng n\u1ed9i soi ph\u1ebf qu\u1ea3n c\u1ee9ng (rigid bronchoscope) th\u01b0\u1eddng \u00edt s\u1eed d\u1ee5ng h\u01a1n. \u0110\u00e2y l\u00e0 \u1ed1ng n\u1ed9i soi nh\u1ecf v\u00e0 c\u1ee9ng th\u01b0\u1eddng hay \u0111\u01b0\u1ee3c d\u00f9ng khi l\u00e0m m\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt can thi\u1ec7p v\u00e0 \u1edf tr\u1ebb nh\u1ecf. \u0110\u1ec3 soi \u0111\u01b0\u1ee3c \u1ed1ng c\u1ee9ng b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c g\u00e2y m\u00ea to\u00e0n th\u00e2n (trong khi n\u1ed9i soi \u1ed1ng m\u1ec1m ch\u1ec9 c\u1ea7n an th\u1ea7n l\u00e0 \u0111\u01b0\u1ee3c).<\/p>\n

C\u1ea3 hai lo\u1ea1i \u1ed1ng n\u1ed9i soi n\u00e0y \u0111\u1ec1u c\u00f3 m\u1ed9t k\u00eanh ph\u1ee5 \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u01b0\u1ee3c d\u1ee5ng c\u1ee5 \u0111i qua. V\u00ed d\u1ee5: k\u1ec1m sinh thi\u1ebft nh\u1ecf c\u00f3 th\u1ec3 \u0111\u01b0a qua k\u00eanh n\u00e0y \u0111\u1ec3 c\u00f3 th\u1ec3 b\u1ea5m m\u1eabu m\u00f4 c\u1ee7a th\u00e0nh ph\u1ebf qu\u1ea3n ho\u1eb7c c\u1ea5u tr\u00fac b\u00ean trong c\u1ea1nh ph\u1ebf qu\u1ea3n (c\u00f2n g\u1ecdi l\u00e0 sinh thi\u1ebft qua n\u1ed9i soi hay sinh thi\u1ebft n\u1ed9i soi).<\/p>\n

Ai l\u00e0 ng\u01b0\u1eddi c\u1ea7n n\u1ed9i soi ph\u1ebf qu\u1ea3n?<\/h2>\n

Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh <\/strong><\/h3>\n

C\u00f3 nhi\u1ec1u ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 n\u1ed9i soi ph\u1ebf qu\u1ea3n. M\u1ed9t trong s\u1ed1 ch\u00fang l\u00e0 \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh, v\u00ed d\u1ee5 nh\u01b0 t\u00ecnh tr\u1ea1ng ho k\u00e9o d\u00e0i<\/strong> ho\u1eb7c ho ra m\u00e1u c\u00f3 nguy\u00ean nh\u00e2n kh\u00f4ng r\u00f5 r\u00e0ng<\/strong>. N\u1ebfu tr\u00ean phim ph\u1ed5i c\u00f3 b\u00f3ng m\u1edd ho\u1eb7c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n th\u1ea5y c\u00f3 s\u1ef1 t\u0103ng sinh ho\u1eb7c thay \u0111\u1ed5i c\u1ea5u tr\u00fac \u1edf v\u00f9ng ph\u1ebf qu\u1ea3n, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c n\u1ed9i soi \u0111\u1ec3 b\u1ea5m sinh thi\u1ebft (l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 nh\u1ecf). M\u1eabu m\u00f4 n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c soi d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n nh\u01b0 vi\u00eam nhi\u1ec5m ho\u1eb7c ung th\u01b0 \u0111\u00e3 g\u00e2y ra t\u00ecnh tr\u1ea1ng b\u1ec7nh n\u00e0y. B\u01a1m r\u1eeda ph\u1ebf qu\u1ea3n c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u00e0m trong qu\u00e1 tr\u00ecnh n\u1ed9i soi nh\u1eb1m gi\u00fap ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 b\u1ec7nh ph\u1ed5i.<\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1ec7nh <\/strong><\/h3>\n

Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, m\u1ed9t d\u1ee5ng c\u1ee5 k\u00edch th\u01b0\u1edbc nh\u1ecf \u0111\u1ec3 \u0111i qua k\u00eanh \u1ed1ng n\u1ed9i soi t\u00f9y v\u00e0o ch\u1ee9c n\u0103ng c\u1ee7a m\u1ed7i d\u1ee5ng c\u1ee5 m\u00e0 c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 th\u1ef1c hi\u1ec7n nhi\u1ec1u th\u1ee7 thu\u1eadt. V\u00ed d\u1ee5: \u0111\u1ec3 g\u1eafp d\u1ecb v\u1eadt \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (nh\u01b0 h\u00edt s\u1eb7c ph\u1ea3i h\u1ea1t \u0111\u1eadu ph\u1ed9ng) g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ho\u1eb7c ch\u00e8n m\u1ed9t \u1ed1ng nh\u1ecf \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 stent \u0111\u1ec3 m\u1edf r\u1ed9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p b\u1ecb x\u1eb9p ho\u1eb7c \u0111\u1ec3 lo\u1ea1i b\u1edbt m\u1ed9t kh\u1ed1i u t\u0103ng sinh g\u00e2y ch\u00e8n \u00e9p \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p\u2026<\/p>\n

Qu\u00e1 tr\u00ecnh n\u1ed9i soi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

N\u1ed9i soi ph\u1ebf quan hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng \u1ed1ng n\u1ed9i soi m\u1ec1m <\/strong><\/h3>\n

Th\u1ee7 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n cho b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa ho\u1eb7c n\u1ed9i tr\u00fa trong ng\u00e0y. B\u00e1c s\u0129 s\u1ebd x\u1ecbt thu\u1ed1c t\u00ea t\u1ea1i ch\u1ed7 v\u00f9ng m\u0169i v\u00e0 th\u00e0nh sau h\u1ecdng. C\u00f3 th\u1ec3 m\u00f9i v\u1ecb thu\u1ed1c t\u00ea s\u1ebd g\u00e2y kh\u00f3 ch\u1ecbu. C\u0169ng c\u00f3 th\u1ec3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n \u0111\u1ec3 d\u1ec5 h\u1ee3p t\u00e1c trong qu\u00e1 tr\u00ecnh soi. Thu\u1ed1c an th\u1ea7n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u00eam qua t\u0129nh m\u1ea1ch \u1edf tay. Thu\u1ed1c g\u00e2y c\u1ea3m gi\u00e1c bu\u1ed3n ng\u1ee7 nh\u01b0ng \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c m\u00ea to\u00e0n th\u00e2n v\u00e0 s\u1ebd kh\u00f4ng l\u00e0m b\u1ea1n ng\u1ee7 \u0111i. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng c\u1ea3m gi\u00e1c hay nh\u1edb g\u00ec trong l\u00fac n\u1ed9i soi n\u1ebfu \u0111\u00e3 \u0111\u01b0\u1ee3c an th\u1ea7n tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i b\u1eb1ng monitor (thi\u1ebft b\u1ecb theo d\u00f5i) v\u1ec1 m\u1ea1ch v\u00e0 huy\u1ebft \u00e1p trong qu\u00e1 tr\u00ecnh soi. M\u1ed9t d\u1ee5ng c\u1ee5 g\u1ecdi l\u00e0 m\u00e1y \u0111o oxy mao m\u1ea1ch (pulse oximeter) c\u0169ng \u0111\u01b0\u1ee3c k\u1eb9p v\u00e0o \u0111\u1ea7u ng\u00f3n tay v\u00e0 vi\u1ec7c k\u1eb9p n\u00e0y l\u00e0 kh\u00f4ng \u0111au. Thi\u1ebft b\u1ecb n\u00e0y gi\u00fap theo d\u00f5i l\u01b0\u1ee3ng oxy trong m\u00e1u v\u00e0 gi\u00fap ch\u1ec9 \u0111\u1ecbnh cho vi\u1ec7c c\u1ea7n thi\u1ebft th\u1edf th\u00eam oxy hay kh\u00f4ng trong qu\u00e1 tr\u00ecnh soi. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t m\u1ed9t \u1ed1ng plastic m\u1ec1m v\u00e0o trong l\u1ed7 m\u0169i \u0111\u1ec3 cung c\u1ea5p oxy trong qu\u00e1 tr\u00ecnh soi.<\/p>\n

B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a \u0111\u1ea7u \u1ed1ng n\u1ed9i soi qua \u0111\u01b0\u1eddng l\u1ed7 m\u0169i v\u00e0 sau \u0111\u00f3 nh\u1eb9 nh\u00e0ng lu\u1ed3n n\u00f3 qua ph\u00eda th\u00e0nh sau h\u1ecdng v\u00e0 \u0111\u01b0a v\u00e0o kh\u00ed qu\u1ea3n. \u0110\u00f4i khi c\u0169ng c\u00f3 th\u1ec3 \u0111i qua \u0111\u01b0\u1eddng mi\u1ec7ng thay v\u00ec qua \u0111\u01b0\u1eddng m\u0169i do khe m\u0169i b\u1ec7nh nh\u00e2n h\u1eb9p. B\u00e1c s\u0129 s\u1ebd nh\u00ecn v\u00e0o b\u00ean trong qua thi\u1ebft b\u1ecb n\u1ed9i soi v\u00e0 \u0111\u00e1nh gi\u00e1 l\u1edbp b\u1ec1 m\u1eb7t l\u00f3t trong trong kh\u00ed qu\u1ea3n v\u00e0 ph\u1ebf qu\u1ea3n ch\u00ednh. M\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i c\u00f3 th\u1ec3 truy\u1ec1n h\u00ecnh \u1ea3nh qua camera quan s\u00e1t \u1edf \u0111\u1ea7u \u1ed1ng n\u1ed9i soi sang m\u00e0ng h\u00ecnh m\u00e1y t\u00ednh \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 quan s\u00e1t ch\u00fang. Qu\u00e1 tr\u00ecnh n\u1ed9i soi c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n ho.<\/p>\n

B\u00e1c s\u0129 s\u1ebd sinh thi\u1ebft m\u1ed9t hay v\u00e0i m\u1eabu m\u00f4 l\u00f3t trong \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, t\u00f9y v\u00e0o m\u1ee5c \u0111\u00edch c\u1ee7a th\u1ee7 thu\u1eadt c\u1ea7n l\u00e0m g\u00ec. Vi\u1ec7c b\u1ea5m sinh thi\u1ebft n\u00e0y kh\u00f4ng g\u00e2y \u0111au. M\u1eabu sinh thi\u1ebft s\u1ebd \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn ph\u00f2ng x\u00e9t nghi\u1ec7m v\u00e0 \u0111\u01b0\u1ee3c quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/p>\n

\u0110\u00f4i l\u00fac vi\u1ec7c r\u1eeda ph\u1ebf qu\u1ea3n c\u0169ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. \u0110\u1ec3 l\u00e0m \u0111i\u1ec1u n\u00e0y c\u1ea7n b\u01a1m \u00edt n\u01b0\u1edbc v\u00e0o trong ph\u1ebf qu\u1ea3n ph\u1ed5i v\u00e0 sau \u0111\u00f3 h\u00fat ng\u01b0\u1ee3c tr\u1edf ra l\u1ea1i. D\u1ecbch ph\u1ebf qu\u1ea3n ph\u1ebf nang n\u00e0y \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u1ec3 quan s\u00e1t c\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng hay v\u1eadt l\u1ea1 kh\u00e1c hi\u1ec7n di\u1ec7n trong m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd.<\/p>\n

\u1ed0ng n\u1ed9i soi ph\u1ebf qu\u1ea3n ph\u1ebf qu\u1ea3n sau \u0111\u00f3 \u0111\u01b0\u1ee3c r\u00fat ra nh\u1eb9 nh\u00e0ng. M\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n

Qu\u00e1 tr\u00ecnh n\u1ed9i soi ph\u1ebf qu\u1ea3n th\u01b0\u1eddng di\u1ec5n ra t\u1eeb 20 \u2013 30 ph\u00fat. Tuy nhi\u00ean b\u1ea1n c\u1ea7n ph\u1ea3i m\u1ea5t \u00edt nh\u1ea5t 2 gi\u1edd cho vi\u1ec7c n\u00e0y, bao g\u1ed3m th\u1eddi gian \u0111\u1ec3 chu\u1ea9n b\u1ecb, th\u1eddi gian \u0111\u1ec3 thu\u1ed1c an th\u1ea7n ph\u00e1t huy t\u00e1c d\u1ee5ng, th\u1eddi gian cho vi\u1ec7c n\u1ed9i soi ph\u1ebf qu\u1ea3n v\u00e0 qu\u00e1 tr\u00ecnh h\u1ed3i t\u1ec9nh.<\/p>\n

N\u1ed9i soi ph\u1ebf qu\u1ea3n b\u1eb1ng \u1ed1ng n\u1ed9i soi c\u1ee9ng <\/strong><\/h3>\n

Th\u1ee7 thu\u1eadt n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c g\u00e2y m\u00ea to\u00e0n th\u00e2n c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u1ed9t cu\u1ed9c ti\u1ec3u ph\u1eabu. V\u00ec th\u1ebf, sau khi t\u1ec9nh, b\u1ea1n s\u1ebd th\u1ea5y r\u1eb1ng m\u00ecnh \u0111ang trong ph\u00f2ng h\u1ed3i t\u1ec9nh (hay c\u00f2n g\u1ecdi l\u00e0 ph\u00f2ng h\u1ed3i s\u1ee9c).<\/p>\n

B\u1ea1n c\u1ea7n ph\u1ea3i chu\u1ea9n b\u1ecb nh\u1eefng g\u00ec tr\u01b0\u1edbc khi n\u1ed9i soi ph\u1ebf qu\u1ea3n?<\/h2>\n

B\u1ec7nh nh\u00e2n c\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u tr\u01b0\u1edbc khi n\u1ed9i soi \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng \u0111\u00f4ng c\u1ea7m m\u00e1u<\/strong>. \u0110i\u1ec1u n\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n do c\u00f3 th\u1ec3 ch\u1ea3y m\u00e1u trong qu\u00e1 tr\u00ecnh n\u1ed9i soi (ch\u1eb3ng h\u1ea1n nh\u01b0 sinh thi\u1ebft m\u1eabu m\u00f4). B\u1ec7nh nh\u00e2n c\u0169ng \u0111\u01b0\u1ee3c khuy\u00ean kh\u00f4ng n\u00ean d\u00f9ng b\u1ea5t k\u00ec thu\u1ed1c g\u00ec g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u nh\u01b0 aspirin v\u00e0 warfarin (simtrom) m\u1ed9t tu\u1ea7n tr\u01b0\u1edbc khi n\u1ed9i soi. B\u1ea1n h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c n\u00e0y khi \u0111ang \u0111i\u1ec1u tr\u1ecb nh\u1eefng thu\u1ed1c tr\u00ean.<\/p>\n

Th\u00eam v\u00e0o \u0111\u00f3, b\u1ec7nh nh\u00e2n n\u00ean l\u00e0m theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u1ec7nh vi\u1ec7n tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n n\u1ed9i soi ph\u1ebf qu\u1ea3n. Bao g\u1ed3m:<\/p>\n

Kh\u00f4ng n\u00ean \u0103n ho\u1eb7c u\u1ed1ng v\u00e0i gi\u1edd tr\u01b0\u1edbc khi n\u1ed9i soi (vi\u1ec7c u\u1ed1ng m\u1ed9t ng\u1ee5m n\u01b0\u1edbc c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c tr\u01b0\u1edbc \u0111\u00f3 hai ti\u1ebfng).
\nB\u1ec7nh nh\u00e2n n\u00ean c\u00f3 ng\u01b0\u1eddi \u0111i k\u00e8m \u0111\u1ec3 \u0111\u01b0a v\u1ec1 nh\u00e0 trong tr\u01b0\u1eddng h\u1ee3p bu\u1ed3n ng\u1ee7 do thu\u1ed1c an th\u1ea7n.<\/p>\n

C\u1ea3m gi\u00e1c sau n\u1ed9i soi ph\u1ebf qu\u1ea3n b\u1eb1ng \u1ed1ng n\u1ed9i soi m\u1ec1m nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c an th\u1ea7n, c\u1ea7n m\u1ea5t v\u00e0i gi\u1edd n\u1eb1m ngh\u1ec9 tr\u01b0\u1edbc khi tr\u1edf v\u1ec1 nh\u00e0 sau khi n\u1ed9i soi ph\u1ebf qu\u1ea3n xong. Thu\u1ed1c an th\u1ea7n th\u01b0\u1eddng l\u00e0m b\u1ec7nh nh\u00e2n c\u1ea3m gi\u00e1c l\u00e2ng l\u00e2ng v\u00e0 th\u01b0 gi\u00e3n. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c u\u1ed1ng r\u01b0\u1ee3u trong su\u1ed1t 24 gi\u1edd sau khi \u0111\u01b0\u1ee3c an th\u1ea7n. B\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean \u0103n hay u\u1ed1ng b\u1ea5t k\u00ec th\u1ee9 g\u00ec trong v\u00f2ng 2 gi\u1edd sau khi n\u1ed9i soi b\u1edfi v\u00ec h\u1ecdng l\u00fac n\u00e0y v\u1eabn c\u00f2n t\u00ea. B\u1ec7nh nh\u00e2n c\u1ea7n c\u00f3 ng\u01b0\u1eddi \u0111\u01b0a v\u1ec1 nh\u00e0 v\u00e0 theo d\u00f5i trong v\u00f2ng 24 gi\u1edd \u0111\u00f3 \u0111\u1ebfn khi h\u1ebft t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c. H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y sau 24 gi\u1edd.<\/p>\n

B\u00e1c s\u0129 s\u1ebd th\u00f4ng b\u00e1o k\u1ebft qu\u1ea3 sau khi n\u1ed9i soi. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c an th\u1ea7n tr\u01b0\u1edbc \u0111\u00f3, c\u00f3 th\u1ec3 b\u1ea1n s\u1ebd kh\u00f4ng nh\u1edb nh\u1eefng g\u00ec b\u00e1c s\u0129 \u0111\u00e3 n\u00f3i. V\u00ec th\u1ebf c\u1ea7n c\u00f3 ng\u01b0\u1eddi \u0111i c\u00f9ng \u0111\u1ec3 c\u00f3 th\u1ec3 nghe v\u00e0 n\u00f3i l\u1ea1i cho b\u1ea1n. K\u1ebft qu\u1ea3 sinh thi\u1ebft c\u00f3 th\u1ec3 m\u1ea5t v\u00e0i ng\u00e0y sau m\u1edbi tr\u1ea3 k\u1ebft qu\u1ea3.<\/p>\n

C\u00f3 bi\u1ebfn ch\u1ee9ng g\u00ec x\u1ea3y ra khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt n\u00e0y kh\u00f4ng?<\/h2>\n

H\u1ea7u h\u1ebft th\u1ee7 thu\u1eadt n\u00e0y kh\u00f4ng g\u00e2y b\u1ea5t k\u00ec v\u1ea5n \u0111\u1ec1 g\u00ec. V\u00f9ng m\u0169i v\u00e0 h\u1ecdng c\u00f3 th\u1ec3 s\u1ebd h\u01a1i \u0111au trong m\u1ed9t v\u00e0i ng\u00e0y sau \u0111\u00f3. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t ho\u1eb7c bu\u1ed3n ng\u1ee7 trong v\u00e0i gi\u1edd b\u1edfi v\u00ec t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c an th\u1ea7n. C\u0169ng c\u00f3 m\u1ed9t s\u1ed1 nguy c\u01a1 nhi\u1ec5m khu\u1ea9n do vi khu\u1ea9n theo \u1ed1ng n\u1ed9i soi v\u00e0o v\u00f9ng h\u1ecdng v\u00e0 ph\u1ed5i.<\/p>\n

N\u1ebfu c\u00f3 th\u1ef1c hi\u1ec7n sinh thi\u1ebft, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ho kh\u1ea1c ra \u00edt m\u00e1u m\u1ed9t v\u00e0i l\u1ea7n trong v\u00e0i ng\u00e0y sau \u0111\u00f3. Hi\u1ebfm khi n\u1ed9i soi c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i. \u0110i\u1ec1u n\u00e0y ch\u1ec9 x\u1ea3y ra khi b\u00e1c s\u0129 c\u1ea7n sinh thi\u1ebft nhu m\u00f4 ph\u1ed5i. C\u00f3 th\u1ec3 g\u00e2y x\u1eb9p ph\u1ed5i nh\u01b0ng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng do n\u1ed9i soi g\u00e2y ra l\u00e0 r\u1ea5t hi\u1ebfm.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong><\/h2>\n

http:\/\/www.patient.co.uk\/health\/bronchoscopy-leaflet <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

N\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy) l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p bao g\u1ed3m ph\u1ebf qu\u1ea3n v\u00e0 ph\u1ed5i.<\/p>\n","protected":false},"author":100,"featured_media":12114,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6176,5146,6175],"tags":[6674,6673],"series":[6178],"coauthors":[2368],"acf":[],"yoast_head":"\nN\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy) - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"N\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy) - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/noi-soi-phe-quan-bronchoscopy\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"N\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy) - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"N\u1ed9i soi ph\u1ebf qu\u1ea3n (Bronchoscopy) - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/noi-soi-phe-quan-bronchoscopy\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-21T05:21:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T20:40:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2014\/02\/noi-soi-phe-quan.png\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"BS. 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