ERCP l\u00e0 g\u00ec?<\/strong><\/h2>\nERCP l\u00e0 ch\u1eef vi\u1ebft t\u1eaft ti\u1ebfng Anh c\u1ee7a \u201cendoscopic retrograde cholangiopancreatography\u201d, ngh\u0129a l\u00e0 n\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng<\/strong>. ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt r\u1ea5t h\u1eefu \u00edch, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh kh\u00e1c nhau, nh\u01b0:<\/p>\n\n- S\u1ecfi m\u1eadt<\/li>\n
- Vi\u00eam t\u1ee5y c\u1ea5p<\/li>\n
- Vi\u00eam t\u1ee5y m\u1ea1n<\/li>\n<\/ul>\n
\u1ed0ng n\u1ed9i soi l\u00e0 m\u1ed9t \u1ed1ng quang h\u1ecdc c\u00f3 \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf kho\u1ea3ng ng\u00f3n tay \u00fat v\u00e0 c\u00f3 th\u1ec3 u\u1ed1n cong d\u1ec5 d\u00e0ng. \u1ed0ng n\u1ed9i soi \u0111\u01b0\u1ee3c \u0111\u01b0a qua mi\u1ec7ng, v\u00e0o trong th\u1ef1c qu\u1ea3n v\u00e0 xu\u1ed1ng \u0111\u1ebfn d\u1ea1 d\u00e0y, v\u00e0 t\u00e1 tr\u00e0ng (\u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a ru\u1ed9t non). \u1ed0ng n\u1ed9i soi ch\u1ee9a c\u00e1c s\u1ee3i quang h\u1ecdc d\u1eabn truy\u1ec1n \u00e1nh s\u00e1ng gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y b\u00ean trong c\u00e1c c\u1ea5u tr\u00fac tr\u00ean (\u0111\u01b0\u1eddng ti\u00eau h\u00f3a).<\/p>\n
Ch\u1ee5p m\u1eadt t\u1ee5y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p X quang c\u1ee7a \u1ed1ng m\u1eadt v\u00e0 \u1ed1ng t\u1ee5y.<\/strong> Nh\u1eefng \u1ed1ng n\u00e0y th\u01b0\u1eddng kh\u00f4ng hi\u1ec7n h\u00ecnh khi ch\u1ee5p X quang th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean, n\u1ebfu thu\u1ed1c c\u1ea3n tia X (thu\u1ed1c c\u1ea3n quang) \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o trong l\u00f2ng \u1ed1ng th\u00ec phim X quang s\u1ebd cho th\u1ea5y h\u00ecnh \u1ea3nh r\u00f5 n\u00e9t c\u1ee7a c\u00e1c \u1ed1ng n\u00e0y.<\/p>\nTh\u00f4ng th\u01b0\u1eddng, d\u1ecbch m\u1eadt hay d\u1ecbch t\u1ee5y ch\u1ea3y trong c\u00e1c \u1ed1ng n\u00e0y theo chi\u1ec1u h\u01b0\u1edbng v\u1ec1 nh\u00fa (m\u1ed9t c\u1ea5u tr\u00fac \u0111\u1eb7c bi\u1ec7t h\u00ecnh th\u00e0nh t\u1ea1i n\u01a1i \u1ed1ng m\u1eadt ch\u1ee7 \u0111\u1ed5 v\u00e0o t\u00e1 tr\u00e0ng). Khi thu\u1ed1c c\u1ea3n quang \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o nh\u00fa th\u00f4ng qua m\u1ed9t \u1ed1ng nh\u1ef1a \u0111\u1eb7t trong l\u00f2ng \u1ed1ng n\u1ed9i soi, thu\u1ed1c s\u1ebd \u0111i ng\u01b0\u1ee3c l\u00ean \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt n\u00ean g\u1ecdi l\u00e0 \u201cng\u01b0\u1ee3c d\u00f2ng\u201d. Phim X quang \u0111\u01b0\u1ee3c ch\u1ee5p ngay l\u00fac \u0111\u00f3 \u0111\u1ec3 hi\u1ec3n th\u1ecb h\u00ecnh \u1ea3nh \u1ed1ng m\u1eadt t\u1ee5y.<\/p>\n
![\"H\u00ecnh](\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/09\/hinh-minh-hoa-thu-thuat-ercp.jpg\")
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H\u00ecnh 1. Minh h\u1ecda th\u1ee7 thu\u1eadt ERCP. \u0110\u01b0\u1eddng m\u1eadt b\u1ecb t\u1eaft\/h\u1eb9p t\u1ea1o n\u00ean h\u00ecnh \u1ea3nh d\u00e3n \u0111\u01b0\u1eddng m\u1eadt ph\u00eda tr\u00ean \u0111\u00f3. \u1ed0ng stent (m\u00e0u xanh d\u01b0\u01a1ng) \u0111\u1eb7t v\u00e0o \u1ed1ng m\u1eadt ch\u1ee7 \u0111\u1ec3 l\u00e0m th\u00f4ng \u0111\u01b0\u1eddng m\u1eadt. H\u00ecnh \u0111en tr\u1eafng b\u00ean ph\u1ea3i (h\u00ecnh B) l\u00e0 h\u00ecnh \u1ea3nh tr\u00ean m\u00e0n h\u00ecnh ch\u1ee5p trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt.<\/em><\/p>\n![\"H\u00ecnh](\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/09\/Hinh-X-quang-chup-cac-cau-truc-duong-mat-trong-thu-thuat-ERCP-lay-soi-mat.jpg\")
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H\u00ecnh 2. H\u00ecnh \u1ea3nh X quang ch\u1ee5p c\u00e1c c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng m\u1eadt trong th\u1ee7 thu\u1eadt ERCP l\u1ea5y s\u1ecfi m\u1eadt. Nh\u1eefng vi\u00ean s\u1ecfi n\u1eb1m th\u00e0nh h\u00e0ng trong \u1ed1ng m\u1eadt ch\u1ee7 g\u00e2y t\u1eafc \u0111\u01b0\u1eddng m\u1eadt.<\/em><\/p>\n\u0110\u01b0\u1eddng m\u1eadt v\u00e0 c\u00e1c c\u1ea5u tr\u00fac l\u00e2n c\u1eadn<\/strong><\/h2>\nGan<\/strong> l\u00e0 c\u01a1 quan ti\u00eau h\u00f3a n\u1eb1m \u1edf ph\u00eda tr\u00ean b\u00ean ph\u1ea3i c\u1ee7a b\u1ee5ng. M\u1eadt \u0111\u01b0\u1ee3c c\u00e1c t\u1ebf b\u00e0o gan t\u1ea1o ra, di chuy\u1ec3n v\u00e0o c\u00e1c \u1ed1ng nh\u1ecf g\u1ecdi l\u00e0 \u1ed1ng m\u1eadt. Nh\u1eefng \u1ed1ng n\u00e0y h\u1ee3p l\u1ea1i th\u00e0nh \u1ed1ng m\u1eadt ch\u1ee7. M\u1eadt ch\u1ea3y li\u00ean t\u1ee5c xu\u1ed1ng \u1ed1ng m\u1eadt ch\u1ee7 r\u1ed3i ch\u1ea3y qua m\u1ed9t l\u1ed7 g\u1ecdi l\u00e0 \u201cnh\u00fa t\u00e1 l\u1edbn\u201d \u0111\u1ec3 xu\u1ed1ng t\u00e1 tr\u00e0ng (xem h\u00ecnh).<\/p>\n![\"Gi\u1ea3i](\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/09\/Giai-phau-duong-mat-tuy.jpg\")
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H\u00ecnh 3. H\u00ecnh minh h\u1ecda t\u01b0\u01a1ng quan gi\u1eefa c\u00e1c c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng m\u1eadt. <\/em>
\n H\u1ed7ng tr\u00e0ng l\u00e0 \u0111o\u1ea1n ru\u1ed9t non k\u1ebf ti\u1ebfp t\u00e1 tr\u00e0ng.<\/em><\/p>\nT\u00fai m\u1eadt<\/strong> n\u1eb1m d\u01b0\u1edbi gan v\u00e0 c\u0169ng \u1edf ph\u00eda tr\u00ean b\u00ean ph\u1ea3i b\u1ee5ng. N\u00f3 gi\u1ed1ng nh\u01b0 l\u00e0 m\u1ed9t c\u00e1i t\u00fai \u0111i ra t\u1eeb \u1ed1ng m\u1eadt ch\u1ee7 gi\u00fap d\u1ef1 tr\u1eef m\u1eadt gi\u1eefa c\u00e1c b\u1eefa \u0103n. T\u00fai m\u1eadt co b\u00f3p khi b\u1ea1n \u0103n \u0111\u1ec3 t\u1ed1ng h\u1ebft l\u01b0\u1ee3ng m\u1eadt d\u1ef1 tr\u1eef v\u00e0o \u1ed1ng m\u1eadt ch\u1ee7. M\u1eadt \u0111i qua \u0111o\u1ea1n c\u00f2n l\u1ea1i c\u1ee7a \u1ed1ng m\u1eadt ch\u1ee7 r\u1ed3i \u0111\u1ed5 v\u00e0o t\u00e1 tr\u00e0ng gi\u00fap ti\u00eau h\u00f3a th\u1ee9c \u0103n, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c ch\u1ea5t b\u00e9o.<\/p>\nT\u1ee5y<\/strong> l\u00e0 m\u1ed9t c\u01a1 quan s\u1ea3n xu\u1ea5t c\u00e1c ch\u1ea5t h\u00f3a h\u1ecdc g\u1ecdi l\u00e0 men t\u1ee5y gi\u00fap ti\u00eau h\u00f3a th\u1ee9c \u0103n. C\u00e1c men n\u00e0y ch\u1ea3y v\u00e0o c\u00e1c \u1ed1ng t\u1ee5y, \u0111\u01b0\u1ee3c gom v\u00e0o \u1ed1ng t\u1ee5y ch\u00ednh v\u00e0 cu\u1ed1i c\u00f9ng \u0111\u1ed5 xu\u1ed1ng t\u00e1 tr\u00e0ng sau khi \u0111i qua nh\u00fa. T\u1ee5y c\u0169ng sinh ra m\u1ed9t s\u1ed1 n\u1ed9i ti\u1ebft t\u1ed1 nh\u01b0 insulin, glucagon,\u2026 nh\u01b0ng ch\u00fang \u0111\u01b0\u1ee3c ti\u1ebft th\u1eb3ng v\u00e0o m\u00e1u.<\/p>\nERCP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o? <\/strong><\/h2>\nB\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u00e0m t\u00ea ph\u1ea7n sau h\u1ecdng c\u1ee7a b\u1ea1n b\u1eb1ng thu\u1ed1c x\u1ecbt g\u00e2y t\u00ea t\u1ea1i ch\u1ed7. B\u1ea1n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u00eam thu\u1ed1c an th\u1ea7n v\u00e0o t\u0129nh m\u1ea1ch \u1edf tay. Thu\u1ed1c an th\u1ea7n l\u00e0m b\u1ea1n bu\u1ed3n ng\u1ee7 v\u00e0 th\u01b0 gi\u00e3n nh\u01b0ng kh\u00f4ng g\u00e2y ng\u1ee7. \u0110\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 g\u00e2y m\u00ea to\u00e0n th\u00e2n.<\/p>\n
\u1ede t\u01b0 th\u1ebf n\u1eb1m nghi\u00eang tr\u00ean gi\u01b0\u1eddng, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1ebd y\u00eau c\u1ea7u nu\u1ed1t \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a \u1ed1ng n\u1ed9i soi. Nh\u1eefng \u1ed1ng n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i th\u01b0\u1eddng nh\u1ecf h\u01a1n ng\u00f3n tr\u1ecf v\u00e0 kh\u00e1 d\u1ec5 nu\u1ed1t. B\u00e1c s\u0129 s\u1ebd nh\u1eb9 nh\u00e0ng \u0111\u1ea9y \u1ed1ng soi xu\u1ed1ng th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y r\u1ed3i v\u00e0o t\u00e1 tr\u00e0ng.<\/p>\n
B\u00e1c s\u0129 s\u1ebd quan s\u00e1t m\u1eb7t trong d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng c\u1ee7a b\u1ea1n qua m\u00e0n h\u00ecnh n\u1ed1i v\u1edbi m\u00e1y n\u1ed9i soi. Kh\u00f4ng kh\u00ed \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng qua m\u1ed9t k\u00eanh trong \u1ed1ng n\u1ed9i soi gi\u00fap b\u1ec1 m\u1eb7t c\u0103ng ra v\u00e0 quan s\u00e1t d\u1ec5 d\u00e0ng h\u01a1n. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111\u1ea7y b\u1ee5ng v\u00e0 mu\u1ed1n \u1ee3 h\u01a1i.<\/p>\n
\u1ed0ng n\u1ed9i soi c\u0169ng c\u00f3 m\u1ed9t k\u00eanh \u1edf b\u00ean cho c\u00e1c d\u1ee5ng c\u1ee5 \u0111i qua, \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1eed d\u1ee5ng v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau. V\u00ed d\u1ee5:<\/p>\n
\n- B\u01a1m thu\u1ed1c c\u1ea3n quan v\u00e0o \u1ed1ng m\u1eadt ho\u1eb7c \u1ed1ng t\u1ee5y. Phim X quang \u0111\u01b0\u1ee3c ch\u1ee5p ngay sau \u0111\u00f3 \u0111\u1ec3 ghi l\u1ea1i chi ti\u1ebft trong \u1ed1ng. Vi\u1ec7c b\u01a1m thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 cho th\u1ea5y h\u1eb9p \u0111\u01b0\u1eddng \u1ed1ng, s\u1ecfi k\u1eb9t trong \u1ed1ng ho\u1eb7c kh\u1ed1i u ch\u00e8n \u00e9p \u1ed1ng,\u2026<\/li>\n
- L\u1ea5y m\u1eabu sinh thi\u1ebft \u1edf m\u1eb7t trong t\u00e1 tr\u00e0ng, d\u1ea1 d\u00e0y, \u1ed1ng m\u1eadt v\u00e0 \u1ed1ng t\u1ee5y g\u1ea7n nh\u00fa. M\u1eabu sinh thi\u1ebft s\u1ebd \u0111\u01b0\u1ee3c xem d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi \u0111\u1ec3 t\u00ecm c\u00e1c m\u00f4 v\u00e0 t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng.<\/li>\n
- N\u1ebfu ch\u1ee5p X quang cho th\u1ea5y s\u1ecfi m\u1eadt k\u1eb9t trong \u1ed1ng, b\u00e1c s\u0129 s\u1ebd l\u00e0m r\u1ed9ng l\u1ed7 nh\u00fa \u0111\u1ec3 s\u1ecfi tho\u00e1t xu\u1ed1ng t\u00e1 tr\u00e0ng. S\u1ecfi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y b\u1eb1ng \u201cr\u1ecd\u201d ho\u1eb7c \u0111\u1ec3 cho \u0111i ra ngo\u00e0i c\u00f9ng v\u1edbi ph\u00e2n.<\/li>\n
- N\u1ebfu h\u00ecnh \u1ea3nh X quang cho th\u1ea5y h\u1eb9p ho\u1eb7c t\u1eafc ngh\u1ebdn \u1ed1ng m\u1eadt, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1eb7t stent \u0111\u1ec3 m\u1edf r\u1ed9ng l\u00f2ng \u1ed1ng. Stent l\u00e0 m\u1ed9t \u1ed1ng nh\u1ecf l\u00e0m b\u1eb1ng l\u01b0\u1edbi kim lo\u1ea1i ho\u1eb7c nh\u1ef1a. Stent cho ph\u00e9p m\u1eadt ch\u1ea3y xu\u1ed1ng t\u00e1 tr\u00e0ng theo \u0111\u01b0\u1eddng t\u1ef1 nhi\u00ean. Stent c\u00f3 th\u1ec3 n\u1eb1m v\u0129nh vi\u1ec5n t\u1ea1i v\u1ecb tr\u00ed \u0111\u1eb7t m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ec1 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c.<\/li>\n<\/ul>\n
\u1ed0ng n\u1ed9i soi \u0111\u01b0\u1ee3c r\u00fat ra nh\u1eb9 nh\u00e0ng khi th\u1ee7 thu\u1eadt k\u1ebft th\u00fac. ERCP c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong 30 ph\u00fat \u0111\u1ebfn 1 gi\u1edd t\u00f9y v\u00e0o m\u1ee5c \u0111\u00edch c\u1ee7a th\u1ee7 thu\u1eadt.<\/p>\n
C<\/strong>\u1ea7n chu\u1ea9n b\u1ecb<\/strong> nh\u1eefng g\u00ec cho ERCP<\/strong>?<\/strong><\/h2>\nB\u1ea1n n\u00ean \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc khi l\u00e0m ERCP.
\nC\u00e1c h\u01b0\u1edbng d\u1eabn bao g\u1ed3m:<\/p>\n
\n- Kh\u00f4ng n\u00ean \u0103n v\u00e0i gi\u1edd tr\u01b0\u1edbc th\u1ee7 thu\u1eadt. B\u1ea1n \u0111\u01b0\u1ee3c ph\u00e9p u\u1ed1ng m\u1ed9t \u00edt n\u01b0\u1edbc \u0111\u1ebfn 2 gi\u1edd tr\u01b0\u1edbc th\u1ee7 thu\u1eadt.<\/li>\n
- Nh\u1eefng lo\u1ea1i thu\u1ed1c c\u1ea7n ng\u01b0ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt.<\/li>\n
- T\u00f9y v\u00e0o m\u1ee5c \u0111\u00edch th\u1ee7 thu\u1eadt v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng kh\u00e1ng sinh.<\/li>\n<\/ul>\n
\u0110i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra <\/strong>sau ERCP?<\/strong><\/h2>\nN\u1ebfu ERCP \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ch\u1ec9 \u0111\u1ec3 ch\u1ee5p phim X quang, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 v\u1ec1 nh\u00e0 sau khi ngh\u1ec9 ng\u01a1i v\u00e0i gi\u1edd. B\u1ea1n kh\u00f4ng n\u00ean ch\u1ea1y xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c u\u1ed1ng r\u01b0\u1ee3u trong v\u00f2ng 24 gi\u1edd sau khi d\u00f9ng thu\u1ed1c an th\u1ea7n. N\u1ebfu b\u1ea1n v\u1ec1 nh\u00e0 trong ng\u00e0y l\u00e0m th\u1ee7 thu\u1eadt, b\u1ea1n c\u1ea7n c\u00f3 ng\u01b0\u1eddi \u0111i c\u00f9ng v\u00e0 \u1edf c\u00f9ng trong 24 gi\u1edd, cho t\u1edbi khi thu\u1ed1c an th\u1ea7n h\u1ebft t\u00e1c d\u1ee5ng ho\u00e0n to\u00e0n.<\/p>\n
H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 tr\u1edf v\u1ec1 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng sau 24 gi\u1edd. Nh\u1edd t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c an th\u1ea7n, \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1edb g\u00ec v\u1ec1 th\u1ee7 thu\u1eadt. B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u n\u1eb1m vi\u1ec7n \u00edt ng\u00e0y n\u1ebfu ERCP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 l\u1ea5y s\u1ecfi ho\u1eb7c \u0111\u1eb7t stent.<\/p>\n
ERCP c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 hay bi\u1ebfn ch\u1ee9ng g\u00ec kh\u00f4ng?<\/strong><\/h2>\nH\u1ea7u h\u1ebft c\u00e1c ca ERCP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n an to\u00e0n v\u00e0 kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 g\u00ec. V\u00e0i ng\u01b0\u1eddi b\u1ecb \u0111au h\u1ecdng nh\u1eb9 m\u1ed9t v\u00e0i ng\u00e0y sau \u0111\u00f3. B\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y m\u1ec7t m\u1ecfi ho\u1eb7c bu\u1ed3n ng\u1ee7 trong v\u00e0i gi\u1edd do thu\u1ed1c an th\u1ea7n.<\/p>\n
Nh\u1eefng bi\u1ebfn ch\u1ee9ng \u00edt g\u1eb7p bao g\u1ed3m:<\/p>\n
\n- T\u1ed5n th\u01b0\u01a1ng ru\u1ed9t, \u1ed1ng m\u1eadt ho\u1eb7c \u1ed1ng t\u1ee5y do \u1ed1ng n\u1ed9i soi. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng v\u00e0 hi\u1ebfm h\u01a1n n\u1eefa l\u00e0 th\u1ee7ng. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng d\u01b0\u1edbi \u0111\u00e2y x\u1ea3y ra trong v\u00f2ng 48 gi\u1edd sau ERCP, h\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c:\n
\n- \u0110au b\u1ee5ng – \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111au t\u0103ng d\u1ea7n, \u0111au d\u1eef d\u1ed9i v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t kh\u00e1c v\u1edbi tri\u1ec7u ch\u1ee9ng \u1ee3 n\u00f3ng, kh\u00f3 ti\u00eau th\u00f4ng th\u01b0\u1eddng.<\/li>\n
- S\u1ed1t.<\/li>\n
- Kh\u00f3 th\u1edf.<\/li>\n
- \u00d3i\/n\u00f4n ra m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n
- Vi\u00eam t\u1ee5y. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 tr\u1ea7m tr\u1ecdng trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p.<\/li>\n<\/ul>\n
Nguy c\u01a1 bi\u1ebfn ch\u1ee9ng s\u1ebd cao h\u01a1n n\u1ebfu b\u1ea1n c\u00f3 s\u1ee9c kh\u1ecfe k\u00e9m. L\u1ee3i \u00edch c\u1ee7a th\u1ee7 thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc so v\u1edbi nguy c\u01a1 g\u1eb7p bi\u1ebfn ch\u1ee9ng (d\u00f9 th\u1ea5p).<\/p>\n
H\u00e3y b\u00e1o v\u1edbi b\u00e1c s\u0129 n\u1ebfu b\u1ea1n ngh\u0129 m\u00ecnh c\u00f3 th\u1ec3 c\u00f3 thai. Th\u1ee7 thu\u1eadt ERCP v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 thai, sau khi l\u01b0u \u00fd m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 nh\u1ea5t \u0111\u1ecbnh. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb tr\u00ec ho\u00e3n ERCP ho\u1eb7c g\u1ee3i \u00fd d\u00f9ng th\u1ee7 thu\u1eadt kh\u00e1c.<\/p>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n\n- http:\/\/patient.info\/health\/ercp<\/a><\/li>\n
- http:\/\/www.oregonclinic.com\/procedure-ERCP<\/a><\/li>\n
- http:\/\/emedicine.medscape.com\/<\/a><\/li>\n
- http:\/\/www.uwhealth.org\/liver-pancreas-bile-duct-disorders\/endoscopic-retrograde-cholangiopancreatography\/10758<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.<\/p>\n","protected":false},"author":291,"featured_media":13388,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6176,5146,6175],"tags":[7162,7163],"series":[6178],"coauthors":[],"acf":[],"yoast_head":"\n
ERCP: N\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.\" \/>\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\/ercp\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ERCP: N\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/ercp\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/phuc.la.7\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-08T04:00:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:22:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/09\/ecrp.jpg\" \/>\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\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths.BS. 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La V\u0129nh Ph\u00fac V\u00ec s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng N\u01a1i l\u00e0m vi\u1ec7c:\u00a0Tr\u01b0\u1eddng \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c C\u1ea7n Th\u01a1 Ng\u00e0nh: \u0110a khoa Chuy\u00ean ng\u00e0nh: Ngo\u1ea1i khoa Qu\u00e1 tr\u00ecnh \u0111\u00e0o t\u1ea1o: B\u00e1c s\u0129 \u0111a khoa t\u1ea1i Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c C\u1ea7n Th\u01a1 n\u0103m\u00a02012 (B\u00e1c s\u0129) Ngo\u1ea1i khoa t\u1ea1i Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c C\u1ea7n Th\u01a1 2014 (Th\u1ea1c s\u0129)\",\"sameAs\":[\"https:\/\/www.facebook.com\/phuc.la.7\"],\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/author\/phucla1987\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ERCP: N\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng","description":"ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/yhoccongdong.com\/du-an-khac\/ercp\/","og_locale":"vi_VN","og_type":"article","og_title":"ERCP: N\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng","og_description":"ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.","og_url":"https:\/\/yhoccongdong.com\/du-an-khac\/ercp\/","og_site_name":"D\u1ef1 \u00e1n kh\u00e1c","article_author":"https:\/\/www.facebook.com\/phuc.la.7","article_published_time":"2018-11-08T04:00:18+00:00","article_modified_time":"2024-03-16T21:22:51+00:00","og_image":[{"width":660,"height":330,"url":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/09\/ecrp.jpg","type":"image\/jpeg"}],"author":"Ths.BS. La V\u0129nh Ph\u00fac","twitter_card":"summary_large_image","twitter_misc":{"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi":"Ths.BS. La V\u0129nh Ph\u00fac","\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc":"12 ph\u00fat","Vi\u1ebft b\u1edfi":"Ths.BS. 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- \n
- S\u1ecfi m\u1eadt<\/li>\n
- Vi\u00eam t\u1ee5y c\u1ea5p<\/li>\n
- Vi\u00eam t\u1ee5y m\u1ea1n<\/li>\n<\/ul>\n
\u1ed0ng n\u1ed9i soi l\u00e0 m\u1ed9t \u1ed1ng quang h\u1ecdc c\u00f3 \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf kho\u1ea3ng ng\u00f3n tay \u00fat v\u00e0 c\u00f3 th\u1ec3 u\u1ed1n cong d\u1ec5 d\u00e0ng. \u1ed0ng n\u1ed9i soi \u0111\u01b0\u1ee3c \u0111\u01b0a qua mi\u1ec7ng, v\u00e0o trong th\u1ef1c qu\u1ea3n v\u00e0 xu\u1ed1ng \u0111\u1ebfn d\u1ea1 d\u00e0y, v\u00e0 t\u00e1 tr\u00e0ng (\u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a ru\u1ed9t non). \u1ed0ng n\u1ed9i soi ch\u1ee9a c\u00e1c s\u1ee3i quang h\u1ecdc d\u1eabn truy\u1ec1n \u00e1nh s\u00e1ng gi\u00fap b\u00e1c s\u0129 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y b\u00ean trong c\u00e1c c\u1ea5u tr\u00fac tr\u00ean (\u0111\u01b0\u1eddng ti\u00eau h\u00f3a).<\/p>\n
Ch\u1ee5p m\u1eadt t\u1ee5y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p X quang c\u1ee7a \u1ed1ng m\u1eadt v\u00e0 \u1ed1ng t\u1ee5y.<\/strong> Nh\u1eefng \u1ed1ng n\u00e0y th\u01b0\u1eddng kh\u00f4ng hi\u1ec7n h\u00ecnh khi ch\u1ee5p X quang th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean, n\u1ebfu thu\u1ed1c c\u1ea3n tia X (thu\u1ed1c c\u1ea3n quang) \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o trong l\u00f2ng \u1ed1ng th\u00ec phim X quang s\u1ebd cho th\u1ea5y h\u00ecnh \u1ea3nh r\u00f5 n\u00e9t c\u1ee7a c\u00e1c \u1ed1ng n\u00e0y.<\/p>\n
Th\u00f4ng th\u01b0\u1eddng, d\u1ecbch m\u1eadt hay d\u1ecbch t\u1ee5y ch\u1ea3y trong c\u00e1c \u1ed1ng n\u00e0y theo chi\u1ec1u h\u01b0\u1edbng v\u1ec1 nh\u00fa (m\u1ed9t c\u1ea5u tr\u00fac \u0111\u1eb7c bi\u1ec7t h\u00ecnh th\u00e0nh t\u1ea1i n\u01a1i \u1ed1ng m\u1eadt ch\u1ee7 \u0111\u1ed5 v\u00e0o t\u00e1 tr\u00e0ng). Khi thu\u1ed1c c\u1ea3n quang \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o nh\u00fa th\u00f4ng qua m\u1ed9t \u1ed1ng nh\u1ef1a \u0111\u1eb7t trong l\u00f2ng \u1ed1ng n\u1ed9i soi, thu\u1ed1c s\u1ebd \u0111i ng\u01b0\u1ee3c l\u00ean \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt n\u00ean g\u1ecdi l\u00e0 \u201cng\u01b0\u1ee3c d\u00f2ng\u201d. Phim X quang \u0111\u01b0\u1ee3c ch\u1ee5p ngay l\u00fac \u0111\u00f3 \u0111\u1ec3 hi\u1ec3n th\u1ecb h\u00ecnh \u1ea3nh \u1ed1ng m\u1eadt t\u1ee5y.<\/p>\n
<\/p>\nH\u00ecnh 1. Minh h\u1ecda th\u1ee7 thu\u1eadt ERCP. \u0110\u01b0\u1eddng m\u1eadt b\u1ecb t\u1eaft\/h\u1eb9p t\u1ea1o n\u00ean h\u00ecnh \u1ea3nh d\u00e3n \u0111\u01b0\u1eddng m\u1eadt ph\u00eda tr\u00ean \u0111\u00f3. \u1ed0ng stent (m\u00e0u xanh d\u01b0\u01a1ng) \u0111\u1eb7t v\u00e0o \u1ed1ng m\u1eadt ch\u1ee7 \u0111\u1ec3 l\u00e0m th\u00f4ng \u0111\u01b0\u1eddng m\u1eadt. H\u00ecnh \u0111en tr\u1eafng b\u00ean ph\u1ea3i (h\u00ecnh B) l\u00e0 h\u00ecnh \u1ea3nh tr\u00ean m\u00e0n h\u00ecnh ch\u1ee5p trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt.<\/em><\/p>\n
<\/p>\nH\u00ecnh 2. H\u00ecnh \u1ea3nh X quang ch\u1ee5p c\u00e1c c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng m\u1eadt trong th\u1ee7 thu\u1eadt ERCP l\u1ea5y s\u1ecfi m\u1eadt. Nh\u1eefng vi\u00ean s\u1ecfi n\u1eb1m th\u00e0nh h\u00e0ng trong \u1ed1ng m\u1eadt ch\u1ee7 g\u00e2y t\u1eafc \u0111\u01b0\u1eddng m\u1eadt.<\/em><\/p>\n
\u0110\u01b0\u1eddng m\u1eadt v\u00e0 c\u00e1c c\u1ea5u tr\u00fac l\u00e2n c\u1eadn<\/strong><\/h2>\n
Gan<\/strong> l\u00e0 c\u01a1 quan ti\u00eau h\u00f3a n\u1eb1m \u1edf ph\u00eda tr\u00ean b\u00ean ph\u1ea3i c\u1ee7a b\u1ee5ng. M\u1eadt \u0111\u01b0\u1ee3c c\u00e1c t\u1ebf b\u00e0o gan t\u1ea1o ra, di chuy\u1ec3n v\u00e0o c\u00e1c \u1ed1ng nh\u1ecf g\u1ecdi l\u00e0 \u1ed1ng m\u1eadt. Nh\u1eefng \u1ed1ng n\u00e0y h\u1ee3p l\u1ea1i th\u00e0nh \u1ed1ng m\u1eadt ch\u1ee7. M\u1eadt ch\u1ea3y li\u00ean t\u1ee5c xu\u1ed1ng \u1ed1ng m\u1eadt ch\u1ee7 r\u1ed3i ch\u1ea3y qua m\u1ed9t l\u1ed7 g\u1ecdi l\u00e0 \u201cnh\u00fa t\u00e1 l\u1edbn\u201d \u0111\u1ec3 xu\u1ed1ng t\u00e1 tr\u00e0ng (xem h\u00ecnh).<\/p>\n
<\/p>\nH\u00ecnh 3. H\u00ecnh minh h\u1ecda t\u01b0\u01a1ng quan gi\u1eefa c\u00e1c c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng m\u1eadt. <\/em>
\n H\u1ed7ng tr\u00e0ng l\u00e0 \u0111o\u1ea1n ru\u1ed9t non k\u1ebf ti\u1ebfp t\u00e1 tr\u00e0ng.<\/em><\/p>\nT\u00fai m\u1eadt<\/strong> n\u1eb1m d\u01b0\u1edbi gan v\u00e0 c\u0169ng \u1edf ph\u00eda tr\u00ean b\u00ean ph\u1ea3i b\u1ee5ng. N\u00f3 gi\u1ed1ng nh\u01b0 l\u00e0 m\u1ed9t c\u00e1i t\u00fai \u0111i ra t\u1eeb \u1ed1ng m\u1eadt ch\u1ee7 gi\u00fap d\u1ef1 tr\u1eef m\u1eadt gi\u1eefa c\u00e1c b\u1eefa \u0103n. T\u00fai m\u1eadt co b\u00f3p khi b\u1ea1n \u0103n \u0111\u1ec3 t\u1ed1ng h\u1ebft l\u01b0\u1ee3ng m\u1eadt d\u1ef1 tr\u1eef v\u00e0o \u1ed1ng m\u1eadt ch\u1ee7. M\u1eadt \u0111i qua \u0111o\u1ea1n c\u00f2n l\u1ea1i c\u1ee7a \u1ed1ng m\u1eadt ch\u1ee7 r\u1ed3i \u0111\u1ed5 v\u00e0o t\u00e1 tr\u00e0ng gi\u00fap ti\u00eau h\u00f3a th\u1ee9c \u0103n, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c ch\u1ea5t b\u00e9o.<\/p>\n
T\u1ee5y<\/strong> l\u00e0 m\u1ed9t c\u01a1 quan s\u1ea3n xu\u1ea5t c\u00e1c ch\u1ea5t h\u00f3a h\u1ecdc g\u1ecdi l\u00e0 men t\u1ee5y gi\u00fap ti\u00eau h\u00f3a th\u1ee9c \u0103n. C\u00e1c men n\u00e0y ch\u1ea3y v\u00e0o c\u00e1c \u1ed1ng t\u1ee5y, \u0111\u01b0\u1ee3c gom v\u00e0o \u1ed1ng t\u1ee5y ch\u00ednh v\u00e0 cu\u1ed1i c\u00f9ng \u0111\u1ed5 xu\u1ed1ng t\u00e1 tr\u00e0ng sau khi \u0111i qua nh\u00fa. T\u1ee5y c\u0169ng sinh ra m\u1ed9t s\u1ed1 n\u1ed9i ti\u1ebft t\u1ed1 nh\u01b0 insulin, glucagon,\u2026 nh\u01b0ng ch\u00fang \u0111\u01b0\u1ee3c ti\u1ebft th\u1eb3ng v\u00e0o m\u00e1u.<\/p>\n
ERCP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o? <\/strong><\/h2>\n
B\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u00e0m t\u00ea ph\u1ea7n sau h\u1ecdng c\u1ee7a b\u1ea1n b\u1eb1ng thu\u1ed1c x\u1ecbt g\u00e2y t\u00ea t\u1ea1i ch\u1ed7. B\u1ea1n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u00eam thu\u1ed1c an th\u1ea7n v\u00e0o t\u0129nh m\u1ea1ch \u1edf tay. Thu\u1ed1c an th\u1ea7n l\u00e0m b\u1ea1n bu\u1ed3n ng\u1ee7 v\u00e0 th\u01b0 gi\u00e3n nh\u01b0ng kh\u00f4ng g\u00e2y ng\u1ee7. \u0110\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 g\u00e2y m\u00ea to\u00e0n th\u00e2n.<\/p>\n
\u1ede t\u01b0 th\u1ebf n\u1eb1m nghi\u00eang tr\u00ean gi\u01b0\u1eddng, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1ebd y\u00eau c\u1ea7u nu\u1ed1t \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a \u1ed1ng n\u1ed9i soi. Nh\u1eefng \u1ed1ng n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i th\u01b0\u1eddng nh\u1ecf h\u01a1n ng\u00f3n tr\u1ecf v\u00e0 kh\u00e1 d\u1ec5 nu\u1ed1t. B\u00e1c s\u0129 s\u1ebd nh\u1eb9 nh\u00e0ng \u0111\u1ea9y \u1ed1ng soi xu\u1ed1ng th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y r\u1ed3i v\u00e0o t\u00e1 tr\u00e0ng.<\/p>\n
B\u00e1c s\u0129 s\u1ebd quan s\u00e1t m\u1eb7t trong d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng c\u1ee7a b\u1ea1n qua m\u00e0n h\u00ecnh n\u1ed1i v\u1edbi m\u00e1y n\u1ed9i soi. Kh\u00f4ng kh\u00ed \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng qua m\u1ed9t k\u00eanh trong \u1ed1ng n\u1ed9i soi gi\u00fap b\u1ec1 m\u1eb7t c\u0103ng ra v\u00e0 quan s\u00e1t d\u1ec5 d\u00e0ng h\u01a1n. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111\u1ea7y b\u1ee5ng v\u00e0 mu\u1ed1n \u1ee3 h\u01a1i.<\/p>\n
\u1ed0ng n\u1ed9i soi c\u0169ng c\u00f3 m\u1ed9t k\u00eanh \u1edf b\u00ean cho c\u00e1c d\u1ee5ng c\u1ee5 \u0111i qua, \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1eed d\u1ee5ng v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau. V\u00ed d\u1ee5:<\/p>\n
- \n
- B\u01a1m thu\u1ed1c c\u1ea3n quan v\u00e0o \u1ed1ng m\u1eadt ho\u1eb7c \u1ed1ng t\u1ee5y. Phim X quang \u0111\u01b0\u1ee3c ch\u1ee5p ngay sau \u0111\u00f3 \u0111\u1ec3 ghi l\u1ea1i chi ti\u1ebft trong \u1ed1ng. Vi\u1ec7c b\u01a1m thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 cho th\u1ea5y h\u1eb9p \u0111\u01b0\u1eddng \u1ed1ng, s\u1ecfi k\u1eb9t trong \u1ed1ng ho\u1eb7c kh\u1ed1i u ch\u00e8n \u00e9p \u1ed1ng,\u2026<\/li>\n
- L\u1ea5y m\u1eabu sinh thi\u1ebft \u1edf m\u1eb7t trong t\u00e1 tr\u00e0ng, d\u1ea1 d\u00e0y, \u1ed1ng m\u1eadt v\u00e0 \u1ed1ng t\u1ee5y g\u1ea7n nh\u00fa. M\u1eabu sinh thi\u1ebft s\u1ebd \u0111\u01b0\u1ee3c xem d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi \u0111\u1ec3 t\u00ecm c\u00e1c m\u00f4 v\u00e0 t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng.<\/li>\n
- N\u1ebfu ch\u1ee5p X quang cho th\u1ea5y s\u1ecfi m\u1eadt k\u1eb9t trong \u1ed1ng, b\u00e1c s\u0129 s\u1ebd l\u00e0m r\u1ed9ng l\u1ed7 nh\u00fa \u0111\u1ec3 s\u1ecfi tho\u00e1t xu\u1ed1ng t\u00e1 tr\u00e0ng. S\u1ecfi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y b\u1eb1ng \u201cr\u1ecd\u201d ho\u1eb7c \u0111\u1ec3 cho \u0111i ra ngo\u00e0i c\u00f9ng v\u1edbi ph\u00e2n.<\/li>\n
- N\u1ebfu h\u00ecnh \u1ea3nh X quang cho th\u1ea5y h\u1eb9p ho\u1eb7c t\u1eafc ngh\u1ebdn \u1ed1ng m\u1eadt, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1eb7t stent \u0111\u1ec3 m\u1edf r\u1ed9ng l\u00f2ng \u1ed1ng. Stent l\u00e0 m\u1ed9t \u1ed1ng nh\u1ecf l\u00e0m b\u1eb1ng l\u01b0\u1edbi kim lo\u1ea1i ho\u1eb7c nh\u1ef1a. Stent cho ph\u00e9p m\u1eadt ch\u1ea3y xu\u1ed1ng t\u00e1 tr\u00e0ng theo \u0111\u01b0\u1eddng t\u1ef1 nhi\u00ean. Stent c\u00f3 th\u1ec3 n\u1eb1m v\u0129nh vi\u1ec5n t\u1ea1i v\u1ecb tr\u00ed \u0111\u1eb7t m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ec1 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c.<\/li>\n<\/ul>\n
\u1ed0ng n\u1ed9i soi \u0111\u01b0\u1ee3c r\u00fat ra nh\u1eb9 nh\u00e0ng khi th\u1ee7 thu\u1eadt k\u1ebft th\u00fac. ERCP c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong 30 ph\u00fat \u0111\u1ebfn 1 gi\u1edd t\u00f9y v\u00e0o m\u1ee5c \u0111\u00edch c\u1ee7a th\u1ee7 thu\u1eadt.<\/p>\n
C<\/strong>\u1ea7n chu\u1ea9n b\u1ecb<\/strong> nh\u1eefng g\u00ec cho ERCP<\/strong>?<\/strong><\/h2>\n
B\u1ea1n n\u00ean \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc khi l\u00e0m ERCP.
\nC\u00e1c h\u01b0\u1edbng d\u1eabn bao g\u1ed3m:<\/p>\n- \n
- Kh\u00f4ng n\u00ean \u0103n v\u00e0i gi\u1edd tr\u01b0\u1edbc th\u1ee7 thu\u1eadt. B\u1ea1n \u0111\u01b0\u1ee3c ph\u00e9p u\u1ed1ng m\u1ed9t \u00edt n\u01b0\u1edbc \u0111\u1ebfn 2 gi\u1edd tr\u01b0\u1edbc th\u1ee7 thu\u1eadt.<\/li>\n
- Nh\u1eefng lo\u1ea1i thu\u1ed1c c\u1ea7n ng\u01b0ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt.<\/li>\n
- T\u00f9y v\u00e0o m\u1ee5c \u0111\u00edch th\u1ee7 thu\u1eadt v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng kh\u00e1ng sinh.<\/li>\n<\/ul>\n
\u0110i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra <\/strong>sau ERCP?<\/strong><\/h2>\n
N\u1ebfu ERCP \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ch\u1ec9 \u0111\u1ec3 ch\u1ee5p phim X quang, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 v\u1ec1 nh\u00e0 sau khi ngh\u1ec9 ng\u01a1i v\u00e0i gi\u1edd. B\u1ea1n kh\u00f4ng n\u00ean ch\u1ea1y xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c ho\u1eb7c u\u1ed1ng r\u01b0\u1ee3u trong v\u00f2ng 24 gi\u1edd sau khi d\u00f9ng thu\u1ed1c an th\u1ea7n. N\u1ebfu b\u1ea1n v\u1ec1 nh\u00e0 trong ng\u00e0y l\u00e0m th\u1ee7 thu\u1eadt, b\u1ea1n c\u1ea7n c\u00f3 ng\u01b0\u1eddi \u0111i c\u00f9ng v\u00e0 \u1edf c\u00f9ng trong 24 gi\u1edd, cho t\u1edbi khi thu\u1ed1c an th\u1ea7n h\u1ebft t\u00e1c d\u1ee5ng ho\u00e0n to\u00e0n.<\/p>\n
H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 tr\u1edf v\u1ec1 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng sau 24 gi\u1edd. Nh\u1edd t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c an th\u1ea7n, \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1edb g\u00ec v\u1ec1 th\u1ee7 thu\u1eadt. B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u n\u1eb1m vi\u1ec7n \u00edt ng\u00e0y n\u1ebfu ERCP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 l\u1ea5y s\u1ecfi ho\u1eb7c \u0111\u1eb7t stent.<\/p>\n
ERCP c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 hay bi\u1ebfn ch\u1ee9ng g\u00ec kh\u00f4ng?<\/strong><\/h2>\n
H\u1ea7u h\u1ebft c\u00e1c ca ERCP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n an to\u00e0n v\u00e0 kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 g\u00ec. V\u00e0i ng\u01b0\u1eddi b\u1ecb \u0111au h\u1ecdng nh\u1eb9 m\u1ed9t v\u00e0i ng\u00e0y sau \u0111\u00f3. B\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y m\u1ec7t m\u1ecfi ho\u1eb7c bu\u1ed3n ng\u1ee7 trong v\u00e0i gi\u1edd do thu\u1ed1c an th\u1ea7n.<\/p>\n
Nh\u1eefng bi\u1ebfn ch\u1ee9ng \u00edt g\u1eb7p bao g\u1ed3m:<\/p>\n
- \n
- T\u1ed5n th\u01b0\u01a1ng ru\u1ed9t, \u1ed1ng m\u1eadt ho\u1eb7c \u1ed1ng t\u1ee5y do \u1ed1ng n\u1ed9i soi. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng v\u00e0 hi\u1ebfm h\u01a1n n\u1eefa l\u00e0 th\u1ee7ng. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng d\u01b0\u1edbi \u0111\u00e2y x\u1ea3y ra trong v\u00f2ng 48 gi\u1edd sau ERCP, h\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c:\n
- \n
- \u0110au b\u1ee5ng – \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111au t\u0103ng d\u1ea7n, \u0111au d\u1eef d\u1ed9i v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t kh\u00e1c v\u1edbi tri\u1ec7u ch\u1ee9ng \u1ee3 n\u00f3ng, kh\u00f3 ti\u00eau th\u00f4ng th\u01b0\u1eddng.<\/li>\n
- S\u1ed1t.<\/li>\n
- Kh\u00f3 th\u1edf.<\/li>\n
- \u00d3i\/n\u00f4n ra m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n
- Vi\u00eam t\u1ee5y. Bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 tr\u1ea7m tr\u1ecdng trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p.<\/li>\n<\/ul>\n
Nguy c\u01a1 bi\u1ebfn ch\u1ee9ng s\u1ebd cao h\u01a1n n\u1ebfu b\u1ea1n c\u00f3 s\u1ee9c kh\u1ecfe k\u00e9m. L\u1ee3i \u00edch c\u1ee7a th\u1ee7 thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc so v\u1edbi nguy c\u01a1 g\u1eb7p bi\u1ebfn ch\u1ee9ng (d\u00f9 th\u1ea5p).<\/p>\n
H\u00e3y b\u00e1o v\u1edbi b\u00e1c s\u0129 n\u1ebfu b\u1ea1n ngh\u0129 m\u00ecnh c\u00f3 th\u1ec3 c\u00f3 thai. Th\u1ee7 thu\u1eadt ERCP v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 thai, sau khi l\u01b0u \u00fd m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 nh\u1ea5t \u0111\u1ecbnh. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb tr\u00ec ho\u00e3n ERCP ho\u1eb7c g\u1ee3i \u00fd d\u00f9ng th\u1ee7 thu\u1eadt kh\u00e1c.<\/p>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
- \n
- http:\/\/patient.info\/health\/ercp<\/a><\/li>\n
- http:\/\/www.oregonclinic.com\/procedure-ERCP<\/a><\/li>\n
- http:\/\/emedicine.medscape.com\/<\/a><\/li>\n
- http:\/\/www.uwhealth.org\/liver-pancreas-bile-duct-disorders\/endoscopic-retrograde-cholangiopancreatography\/10758<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.<\/p>\n","protected":false},"author":291,"featured_media":13388,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6176,5146,6175],"tags":[7162,7163],"series":[6178],"coauthors":[],"acf":[],"yoast_head":"\n
ERCP: N\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.\" \/>\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\/ercp\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ERCP: N\u1ed9i soi ch\u1ee5p m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"ERCP l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng \u1ed1ng n\u1ed9i soi v\u00e0 tia X \u0111\u1ec3 quan s\u00e1t \u1ed1ng t\u1ee5y v\u00e0 \u1ed1ng m\u1eadt, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/ercp\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/phuc.la.7\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-08T04:00:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:22:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/09\/ecrp.jpg\" \/>\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\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths.BS. 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- http:\/\/patient.info\/health\/ercp<\/a><\/li>\n
- T\u1ed5n th\u01b0\u01a1ng ru\u1ed9t, \u1ed1ng m\u1eadt ho\u1eb7c \u1ed1ng t\u1ee5y do \u1ed1ng n\u1ed9i soi. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng v\u00e0 hi\u1ebfm h\u01a1n n\u1eefa l\u00e0 th\u1ee7ng. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng d\u01b0\u1edbi \u0111\u00e2y x\u1ea3y ra trong v\u00f2ng 48 gi\u1edd sau ERCP, h\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c:\n