{"id":4203,"date":"2018-08-17T07:36:59","date_gmt":"2018-08-17T00:36:59","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/08\/17\/benh-trao-nguoc-da-day-thuc-quan\/"},"modified":"2024-03-17T02:45:53","modified_gmt":"2024-03-16T19:45:53","slug":"benh-trao-nguoc-da-day-thuc-quan","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-trao-nguoc-da-day-thuc-quan\/","title":{"rendered":"B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n"},"content":{"rendered":"<h2 id=\"benh-trao-nguoc-da-day-thuc-quan\u00a0-la-gi\">B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n\u00a0 l\u00e0 g\u00ec?<\/h2>\n<p>B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 GERD, x\u1ea3y ra khi acid t\u1eeb d\u1ea1 d\u00e0y tr\u00e0o ng\u01b0\u1ee3c v\u00e0o th\u1ef1c qu\u1ea3n. Th\u00f4ng th\u01b0\u1eddng, th\u1ef1c ph\u1ea9m \u0111i t\u1eeb mi\u1ec7ng, xu\u1ed1ng th\u1ef1c qu\u1ea3n v\u00e0 v\u00e0o d\u1ea1 d\u00e0y. \u1ede \u0111\u00f3 c\u00f3 c\u01a1 v\u00f2ng th\u1ef1c qu\u1ea3n d\u01b0\u1edbi n\u1eb1m \u1edf \u0111\u00e1y th\u1ef1c qu\u1ea3n co th\u1eaft gi\u00fap cho acid c\u1ee7a d\u1ea1 d\u00e0y kh\u00f4ng &#8220;ch\u1ea3y ng\u01b0\u1ee3c&#8221; v\u00e0o th\u1ef1c qu\u1ea3n. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb GERD, c\u00e1c c\u01a1 v\u00f2ng th\u1ef1c qu\u1ea3n d\u01b0\u1edbi si\u1ebft kh\u00f4ng ch\u1eb7t, n\u00ean axit v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c trong \u1ed1ng ti\u00eau h\u00f3a di chuy\u1ec3n l\u00ean ph\u00eda tr\u00ean, g\u00e2y tr\u00e0o ng\u01b0\u1ee3c l\u00ean th\u1ef1c qu\u1ea3n.<\/p>\n<p>Khi acid d\u1ea1 d\u00e0y t\u00e1c \u0111\u1ed9ng v\u00e0o l\u1edbp m\u00f4 nh\u1ea1y c\u1ea3m c\u1ee7a th\u1ef1c qu\u1ea3n v\u00e0 h\u1ecdng, n\u00f3 g\u00e2y ra m\u1ed9t ph\u1ea3n \u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1eafn gi\u1ecdt n\u01b0\u1edbc chanh v\u00e0o m\u1eaft c\u1ee7a b\u1ea1n. \u0110\u00e2y l\u00e0 l\u00fd do t\u1ea1i sao GERD th\u01b0\u1eddng \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u1ea3m gi\u00e1c n\u00f3ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>ch\u1ee9ng \u1ee3 n\u00f3ng.<\/strong><\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, tr\u00e0o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng, kh\u00f4ng c\u00f3 ch\u1ee9ng \u1ee3 n\u00f3ng ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c cho \u0111\u1ebfn khi c\u00f3 v\u1ea5n \u0111\u1ec1 ph\u00e1t sinh. H\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u b\u1ecb tr\u00e0o ng\u01b0\u1ee3c (GER), nh\u01b0ng s\u1ebd tr\u1edf th\u00e0nh b\u1ec7nh l\u00fd khi s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c x\u1ea3y ra th\u01b0\u1eddng xuy\u00ean trong th\u1eddi gian d\u00e0i .<\/p>\n<h2 id=\"benh-trao-nguoc-hong-thanh-quan-la-gi\">B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c h\u1ecdng thanh qu\u1ea3n l\u00e0 g\u00ec?<\/h2>\n<p>Trong tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, nh\u1eefng ch\u1ea5t trong d\u1ea1 d\u00e0y v\u00e0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean c\u00f3 th\u1ec3 tr\u00e0o ng\u01b0\u1ee3c l\u00ean th\u1ef1c qu\u1ea3n. Ch\u00fang v\u01b0\u1ee3t qua c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n tr\u00ean (m\u1ed9t c\u01a1 v\u00f2ng \u1edf ph\u00eda tr\u00ean c\u1ee7a th\u1ef1c qu\u1ea3n) tr\u00e0n\u00a0v\u00e0o th\u00e0nh sau c\u1ee7a h\u1ecdng v\u00e0 c\u00f3 th\u1ec3 l\u00ean th\u00e0nh sau c\u1ee7a \u0111\u01b0\u1eddng m\u0169i. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 tr\u00e0o ng\u01b0\u1ee3c thanh qu\u1ea3n h\u1ecdng (LPR), c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t c\u1ee9 ai. Ng\u01b0\u1eddi l\u1edbn b\u1ecb LPR th\u01b0\u1eddng than phi\u1ec1n r\u1eb1ng th\u00e0nh sau c\u1ee7a h\u1ecdng c\u00f3 v\u1ecb \u0111\u1eafng, c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t, ho\u1eb7c c\u00f3 c\u00e1i g\u00ec \u0111\u00f3 &#8220;m\u1eafc k\u1eb9t\u201c \u1edf h\u1ecdng (b\u1ec7nh nh\u00e2n th\u01b0\u1eddng than phi\u1ec1n l\u00e0 c\u1ea3m gi\u00e1c c\u00f3 v\u1eadt l\u1ea1 hay c\u1ee5c l\u1ea1 trong h\u1ecdng). M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 kh\u00e0n gi\u1ecdng, kh\u00f3 nu\u1ed1t, v\u00e0 kh\u00f3 ch\u1ecbu v\u1edbi c\u00e1c c\u1ea3m gi\u00e1c c\u00f3 c\u00e1i g\u00ec ch\u1ea3y ra t\u1eeb ph\u00eda sau m\u0169i xu\u1ed1ng h\u1ecdng ho\u1eb7c l\u00e0 v\u01b0\u1edbng \u0111\u00e0m sau m\u0169i (ch\u1ea3y n\u01b0\u1edbc m\u0169i sau\/nh\u1ecf gi\u1ecdt m\u0169i sau). M\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 kh\u00f3 th\u1edf n\u1ebfu thanh qu\u1ea3n b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u. V\u00e0\u00a0<strong>nhi\u1ec1u b\u1ec7nh nh\u00e2n LPR kh\u00f4ng c\u00f3\u00a0ch\u1ee9ng \u1ee3 n\u00f3ng.<\/strong><\/p>\n<p>\u1ede tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb em, LPR c\u00f3 th\u1ec3 g\u00e2y nh\u1eefng v\u1ea5n \u0111\u1ec1 \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u01b0: ho, kh\u00e0n ti\u1ebfng, th\u1edf r\u00edt(h\u01a1i th\u1edf \u1ed3n \u00e0o), vi\u00eam thanh qu\u1ea3n, hen suy\u1ec5n, kh\u00f3 th\u1edf khi ng\u1ee7, \u0103n kh\u00f3 (b\u00e9 hay phun ho\u1eb7c b\u1ecb tr\u1edb khi \u0103n), ch\u1ee9ng xanh t\u00edm, kh\u00f3 h\u00edt v\u00e0o, ng\u01b0ng th\u1edf, c\u00f3 nh\u1eefng \u1ea3nh h\u01b0\u1edfng nguy h\u1ea1i s\u1ee9c kh\u1ecfe, v\u00e0 th\u1eadm ch\u00ed g\u00e2y ra thi\u1ebfu dinh d\u01b0\u1ee1ng tr\u1ea7m tr\u1ecdng cho s\u1ef1 ph\u00e1t tri\u1ec3n. Do \u0111\u00f3, \u0111i\u1ec1u tr\u1ecb LPR \u0111\u00fang c\u00e1ch, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<h2 id=\"cac-trieu-chung-cua-gerd-va-lpr-la-gi\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a GERD v\u00e0 LPR l\u00e0 g\u00ec?<\/h2>\n<p style=\"text-align: center\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 391px;height: 255px\" src=\"\/\/yhoccongdong.org\/Documents\/2915_trao-nguoc-da-day-thuc-quan.jpg\" alt=\"Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n\" \/><\/p>\n<p style=\"text-align: center\"><strong><em> Ngu\u1ed3n: http:\/\/www.lifescript.com\/health\/a-z\/conditions_a-z\/conditionsindepth\/g\/gastroesophageal_reflux_disease_gerd-heartburn\/symptoms.aspx <\/em><\/strong><\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a GERD c\u00f3 th\u1ec3 bao g\u1ed3m <strong>\u1ee3 n\u00f3ng k\u00e9o d\u00e0i, acid tr\u00e0o ng\u01b0\u1ee3c, bu\u1ed3n n\u00f4n, kh\u00e0n gi\u1ecdng v\u00e0o bu\u1ed5i s\u00e1ng, ho\u1eb7c kh\u00f3 nu\u1ed1t<\/strong>. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb GERD kh\u00f4ng \u1ee3 n\u00f3ng. Thay v\u00e0o \u0111\u00f3, h\u1ecd c\u1ea3m th\u1ea5y c\u01a1n \u0111au \u1edf ng\u1ef1c bi\u1ec3u hi\u1ec7n n\u1eb7ng n\u1ec1 nh\u01b0 \u0111au ng\u1ef1c do tim. GERD c\u0169ng c\u00f3 th\u1ec3 g\u00e2y <strong>ho khan v\u00e0 h\u01a1i th\u1edf h\u00f4i<\/strong>. Trong khi GERD v\u00e0 LPR c\u00f3 th\u1ec3 x\u1ea3y ra c\u00f9ng nhau, b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 b\u1ecb GERD (kh\u00f4ng LPR) ho\u1eb7c b\u1ecb LPR (kh\u00f4ng c\u00f3 GERD). N\u1ebfu b\u1ea1n g\u1eb7p b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng nh\u01b0 \u1edf tr\u00ean m\u1ed9t c\u00e1ch th\u01b0\u1eddng xuy\u00ean (hai l\u1ea7n m\u1ed9t tu\u1ea7n ho\u1eb7c nhi\u1ec1u h\u01a1n) sau \u0111\u00f3 b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb GERD ho\u1eb7c LPR. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u00fang v\u00e0 \u0111i\u1ec1u tr\u1ecb, b\u1ea1n n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129 \u0111a khoa ho\u1eb7c b\u00e1c s\u0129 tai m\u0169i h\u1ecdng, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ea7u v\u00e0 c\u1ed5 .<\/p>\n<h2 id=\"nhung-nguoi-nao-co-the-bi-gerd-hoac-lpr-\">Nh\u1eefng ng\u01b0\u1eddi n\u00e0o c\u00f3 th\u1ec3 b\u1ecb GERD ho\u1eb7c LPR ?<\/h2>\n<p><strong>T\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef, nam gi\u1edbi, tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb em c\u00f3 th\u1ec3 c\u00f3 GERD ho\u1eb7c LPR<\/strong>. Nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y c\u00f3 th\u1ec3 do nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3 ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 l\u1ed1i s\u1ed1ng. Nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3 c\u00f3 th\u1ec3 bao g\u1ed3m c\u01a1 v\u00f2ng th\u1ef1c qu\u1ea3n d\u01b0\u1edbi (LES) suy ch\u1ee9c n\u0103ng ho\u1eb7c b\u1ea5t th\u01b0\u1eddng, tho\u00e1t v\u1ecb qua khe th\u1ef1c qu\u1ea3n (tho\u00e1t v\u1ecb ho\u00e0nh), co th\u1eaft th\u1ef1c qu\u1ea3n b\u1ea5t th\u01b0\u1eddng, v\u00e0 ch\u1eadm l\u00e0m r\u1ed7ng d\u1ea1 d\u00e0y. C\u00e1c y\u1ebfu t\u1ed1 l\u1ed1i s\u1ed1ng bao g\u1ed3m ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng (chocolate, cam qu\u00fdt, c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m b\u00e9o, gia v\u1ecb), th\u00f3i quen x\u1ea5u (\u0103n qu\u00e1 nhi\u1ec1u, l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1) v\u00e0 ngay c\u1ea3 <strong>mang thai<\/strong>.<\/p>\n<p>Tr\u1ebb nh\u1ecf b\u1ecb GERD v\u00e0 LPR do do s\u1ef1 ph\u00e1t tri\u1ec3n c\u00f2n y\u1ebfu c\u1ee7a hai c\u01a1 v\u00f2ng th\u1ef1c qu\u1ea3n tr\u00ean v\u00e0 d\u01b0\u1edbi. C\u1ea7n l\u01b0u \u00fd r\u1eb1ng m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng do s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c h\u01a1n nh\u1eefng ng\u01b0\u1eddi kh\u00e1c. Ch\u1ec9 c\u1ea7n m\u1ed9t l\u01b0\u1ee3ng ch\u1ea5t tr\u00e0o ng\u01b0\u1ee3c cho th\u1ea5y \u1edf b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ea5t kh\u00e1c nhau \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c.<\/p>\n<p>\u0110i\u1ec1u kh\u00f4ng may l\u00e0 GERD v\u00e0 LPR th\u01b0\u1eddng b\u1ecb b\u1ecf qua \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb em; d\u1eabn \u0111\u1ebfn s\u1ef1 n\u00f4n m\u1eeda l\u1eb7p \u0111i l\u1eb7p l\u1ea1i, ho trong GERD. Sau \u0111\u00f3 g\u1eb7p ph\u1ea3i v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u01b0\u1eddng th\u1edf v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong LPR: nh\u01b0 nhi\u1ec5m tr\u00f9ng \u1edf h\u1ecdng v\u00e0 tai. H\u1ea7u h\u1ebft tr\u1ebb s\u01a1 sinh s\u1ebd h\u1ebft GERD ho\u1eb7c LPR l\u00fac tr\u00f2n 1 tu\u1ed5i, nh\u01b0ng nh\u1eefng v\u1ea5n \u0111\u1ec1 do GERD ho\u1eb7c LPR c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i k\u00e9o d\u00e0i.<\/p>\n<h2 id=\"vai-tro-cua-bac-si-tai-mui-hong-trong\u00a0-dieu-tri-gerd-va-lpr-la-gi\">Vai tr\u00f2 c\u1ee7a b\u00e1c s\u0129 tai m\u0169i h\u1ecdng trong \u0111i\u1ec1u tr\u1ecb GERD v\u00e0 LPR l\u00e0 g\u00ec?<\/h2>\n<p>B\u00e1c s\u0129 ti\u00eau h\u00f3a l\u00e0 chuy\u00ean gia trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, th\u01b0\u1eddng l\u00e0 b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb GERD tr\u01b0\u1edbc ti\u00ean. Nh\u01b0ng nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 tai, m\u0169i v\u00e0 h\u1ecdng do tr\u00e0o ng\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 th\u1ef1c qu\u1ea3n, nh\u01b0 kh\u00e0n gi\u1ecdng, h\u1ea1t d\u00e2y thanh hay g\u1eb7p \u1edf c\u00e1c ca s\u0129, vi\u00eam thanh qu\u1ea3n, kh\u00ed qu\u1ea3n h\u1eb9p, nu\u1ed1t kh\u00f3, \u0111au h\u1ecdng, v\u00e0 nhi\u1ec5m tr\u00f9ng xoang. Nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 tai m\u0169i h\u1ecdng, ho\u1eb7c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ea7u c\u1ed5 ho\u1eb7c m\u1ed9t chuy\u00ean gia c\u00f3 nhi\u1ec1u kinh nghi\u1ec7m v\u1edbi nh\u1eefng c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n GERD v\u00e0 LPR.<\/p>\n<p>B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng do GERD v\u00e0 LPR g\u00e2y ra, bao g\u1ed3m: vi\u00eam xoang, vi\u00eam tai, nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf h\u1ecdng v\u00e0 thanh qu\u1ea3n (th\u01b0\u1eddng l\u00e0 vi\u00eam h\u1ecdng m\u1ea1n) c\u0169ng nh\u01b0 s\u1ef1 thay \u0111\u1ed5i \u1edf\u00a0ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>th\u1ef1c qu\u1ea3n Barrett<\/strong>, m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ung th\u01b0.<\/p>\n<p>B\u00e1c s\u0129 ch\u0103m s\u00f3c ban \u0111\u1ea7u c\u1ee7a b\u1ea1n ho\u1eb7c b\u00e1c s\u0129 nhi khoa th\u01b0\u1eddng s\u1ebd gi\u1edbi thi\u1ec7u m\u1ed9t tr\u01b0\u1eddng h\u1ee3p b\u1ecb LPR \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 tai m\u0169i h\u1ecdng, ho\u1eb7c chuy\u00ean gia \u0111\u1ea7u v\u00e0 c\u1ed5 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u00e1nh gi\u00e1, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2 id=\"lam-the-nao-de-chan-doan-va-dieu-tri-gerd-va-lpr-\">L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb GERD v\u00e0 LPR ?<\/h2>\n<p>GERD v\u00e0 LPR c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111\u00e1nh gi\u00e1 b\u1eb1ng <strong>s\u1ef1 ki\u1ec3m tra th\u1ef1c th\u1ec3 v\u00e0 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi s\u1ef1 \u0111i\u1ec1u tr\u1ecb th\u1eed b\u1eb1ng thu\u1ed1c.<\/strong><\/p>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft bao g\u1ed3m vi\u1ec7c kh\u00e1m qua:<\/p>\n<ul>\n<li>N\u1ed9i soi (m\u1ed9t \u1ed1ng d\u00e0i c\u00f3 ch\u1ee9c n\u0103ng ghi nh\u1eadn h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o m\u0169i, c\u1ed5 h\u1ecdng, kh\u00ed qu\u1ea3n, ho\u1eb7c th\u1ef1c qu\u1ea3n)<\/li>\n<li>Sinh thi\u1ebft<\/li>\n<li>Ch\u1ee5p X-quang<\/li>\n<li>Ki\u1ec3m tra th\u1ef1c qu\u1ea3n<\/li>\n<li>\u0110o pH th\u1ef1c qu\u1ea3n 24h qua \u0111\u1ea7u d\u00f2 c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ki\u1ec3m tra tr\u1edf kh\u00e1ng<\/li>\n<li>Ki\u1ec3m tra nhu \u0111\u1ed9ng c\u1ee7a th\u1ef1c qu\u1ea3n (\u0111o \u00e1p l\u1ef1c), v\u00e0 s\u1ef1 l\u00e0m tr\u1ed1ng d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n<p>Ki\u1ec3m tra n\u1ed9i soi, sinh thi\u1ebft v\u00e0 ch\u1ee5p X-quang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa ho\u1eb7c n\u1ed9i tr\u00fa.<\/p>\n<p>Kh\u00e1m qua n\u1ed9i soi th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i ph\u00f2ng kh\u00e1m tai m\u0169i h\u1ecdng, ho\u1eb7c c\u00f3 th\u1ec3 c\u1ea7n \u0111\u1ebfn nh\u1eefng bi\u1ec7n ph\u00e1p gi\u1ea3m \u0111au ho\u1eb7c \u0111\u00f4i khi ph\u1ea3i g\u00e2y m\u00ea.<\/p>\n<p>H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi b\u1ecb GERD ho\u1eb7c LPR \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p gi\u1eefa thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng v\u00e0 thu\u1ed1c. Thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea toa bao g\u1ed3m c\u00e1c thu\u1ed1c kh\u00e1ng acid, thu\u1ed1c \u0111\u1ed1i kh\u00e1ng Histamin, thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, thu\u1ed1c t\u0103ng nhu \u0111\u1ed9ng v\u00e0 thu\u1ed1c t\u1ea1o b\u1ecdt (b\u1ecdt \u1edf trong d\u1ea1 d\u00e0y gi\u00fap ng\u0103n ng\u1eeba acid tr\u00e0o ng\u01b0\u1ee3c l\u00ean th\u1ef1c qu\u1ea3n). M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c k\u1ec3 tr\u00ean c\u00f3 s\u1eb5n v\u00e0 kh\u00f4ng c\u1ea7n b\u00e1c s\u0129 k\u00ea toa.<\/p>\n<p><span style=\"line-height: 1.6em\"> Tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn th\u1ea5t b\u1ea1i v\u1edbi \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ho\u1eb7c c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu c\u00f3 th\u1ec3 c\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. \u0110i\u1ec1u tr\u1ecb bao g\u1ed3m <strong>ph\u1eabu thu\u1eadt Nissen Fundoplication<\/strong>, l\u00e0 th\u1ee7 thu\u1eadt d\u00f9ng ph\u1ea7n tr\u00ean c\u1ee7a d\u1ea1 d\u00e0y qu\u1ea5n v\u00f2ng quanh ph\u1ea7n d\u01b0\u1edbi c\u1ee7a th\u1ef1c qu\u1ea3n \u0111\u1ec3 c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi si\u1ebft ch\u1eb7t h\u01a1n; th\u1ef1c hi\u1ec7n kh\u00e2u tay ho\u1eb7c laser qua n\u1ed9i soi \u0111\u1ec3 ch\u1eb7t h\u01a1n. <\/span><\/p>\n<h2 id=\"thay-doi-loi-song-cua-de-ngan-chan-gerd-va-lpr\">Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u1ee7a \u0111\u1ec3 ng\u0103n ch\u1eb7n GERD v\u00e0 LPR<\/h2>\n<ul>\n<li>Tr\u00e1nh \u0103n trong v\u00f2ng 2-3 gi\u1edd tr\u01b0\u1edbc khi \u0111i ng\u1ee7.<\/li>\n<li>\u0110\u1eebng u\u1ed1ng r\u01b0\u1ee3u.<\/li>\n<li>\u0102n nhi\u1ec1u b\u1eefa nh\u1ecf v\u00e0 t\u1eeb t\u1eeb.<\/li>\n<li>H\u1ea1n ch\u1ebf c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m v\u1ea5n \u0111\u1ec1:\n<ul>\n<li>Caffeine.<\/li>\n<li>\u0110\u1ed3 u\u1ed1ng c\u00f3 gas.<\/li>\n<li>Chocolate.<\/li>\n<li>L\u00e1 b\u1ea1c h\u00e0.<\/li>\n<li>C\u00e0 chua.<\/li>\n<li>Tr\u00e1i c\u00e2y c\u00f3 m\u00fai.<\/li>\n<li>Th\u1ee9c \u0103n b\u00e9o v\u00e0 chi\u00ean.<\/li>\n<li>Gi\u1ea3m c\u00e2n.<\/li>\n<li>B\u1ecf h\u00fat thu\u1ed1c.<\/li>\n<li>M\u1eb7c qu\u1ea7n \u00e1o r\u1ed9ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><strong> <span style=\"font-size: 18px\"> <span style=\"color: #006400\"> <span style=\"line-height: 1.6em\"> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/span> <\/span> <\/span> <\/strong><\/h2>\n<p><a href=\"http:\/\/www.entnet.org\/content\/gerd-and-lpr\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.entnet.org\/content\/gerd-and-lpr <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n x\u1ea3y ra khi acid t\u1eeb d\u1ea1 d\u00e0y tr\u00e0o ng\u01b0\u1ee3c v\u00e0o th\u1ef1c qu\u1ea3n, g\u00e2y kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh ti\u00eau th\u1ee5 th\u1ee9c \u0103n.<\/p>\n","protected":false},"author":22,"featured_media":4205,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3438,5166,5164,5148,5165],"tags":[3439,3440,3441],"series":[997],"coauthors":[986],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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