{"id":660,"date":"2021-06-01T09:14:00","date_gmt":"2021-06-01T02:14:00","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=660"},"modified":"2021-06-02T07:54:01","modified_gmt":"2021-06-02T00:54:01","slug":"viem-tuy-man","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/viem-tuy-man\/","title":{"rendered":"Vi\u00eam t\u1ee5y m\u1ea1n"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/radiopaedia.org\/articles\/chronic-pancreatitis-2\">Ngu\u1ed3n: radiopaedia.org<\/a><br><a rel=\"noreferrer noopener\" href=\"https:\/\/www.facebook.com\/levuduy103\/posts\/323976822646250\" target=\"_blank\">B\u00e0i d\u1ecbch c\u1ee7a Bs L\u00ea V\u0169 Duy<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam v\u00e0 x\u01a1 ho\u00e1 tuy\u1ebfn tu\u1ef5 li\u00ean t\u1ee5c, k\u00e9o d\u00e0i, d\u1eabn \u0111\u1ebfn thay \u0111\u1ed5i h\u00ecnh th\u00e1i, ch\u1ee9c n\u0103ng t\u1ee5y n\u1ed9i ti\u1ebft v\u00e0 ngo\u1ea1i ti\u1ebft v\u0129nh vi\u1ec5n.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>D\u1ecbch t\u1ec5 h\u1ecdc<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh l\u00e0 u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u v\u00e0 thi\u1ebfu dinh d\u01b0\u1ee1ng \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ph\u00e2n theo h\u1ec7 th\u1ed1ng TIGAR -O:<br>&#8211; T: toxic- metabolic &#8211; nhi\u1ec5m \u0111\u1ed9c &#8211; chuy\u1ec3n ho\u00e1 (v\u00ed d\u1ee5 nh\u01b0 r\u01b0\u1ee3u).<br>&#8211; I: idiopathic &#8211; t\u1ef1 ph\u00e1t<br>&#8211; G: genetic &#8211; di truy\u1ec1n<br>&#8211; A: autoimmune &#8211; t\u1ef1 mi\u1ec5n d\u1ecbch<br>&#8211; R: recurrent &#8211; t\u00e1i ph\u00e1t<br>&#8211; O: obstructive &#8211; t\u1eafc ngh\u1ebdn (s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, u \u0111\u1ea7u t\u1ee5y).<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; C\u00e1c \u0111\u1ee3t c\u1ea5p c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n \u0111au th\u01b0\u1ee3ng v\u1ecb, t\u00e1i di\u1ec5n trong m\u1ed9t v\u00e0i n\u0103m.<br>&#8211; C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c r\u1ed1i lo\u1ea1n:<br>+ V\u00e0ng da<br>+ Ch\u1ee9c n\u0103ng ngo\u1ea1i ti\u1ebft: gi\u1ea3m h\u1ea5p thu<br>+ Ch\u1ee9c n\u0103ng n\u1ed9i ti\u1ebft: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 3c.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong> B\u1ec7nh l\u00fd h\u1ecdc<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> Vi\u00eam t\u1ee5y c\u1ea5p v\u00e0 vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh do c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00fd kh\u00e1c nhau. Vi\u00eam t\u1ee5y c\u1ea5p kh\u00f4ng chuy\u1ec3n th\u00e0nh vi\u00eam t\u1ee5y m\u1ea1n.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Si\u00eau \u00e2m: <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn t\u1ee5y c\u00f3 th\u1ec3 teo, v\u00f4i ho\u00e1, x\u01a1 ho\u00e1 (giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n). C\u00e1c ph\u00e1t hi\u1ec7n tr\u00ean si\u00eau \u00e2m bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>T\u0103ng \u00e2m (th\u01b0\u1eddng lan to\u1ea3), th\u01b0\u1eddng cho bi\u1ebft nh\u1eefng bi\u1ebfn \u0111\u1ed5i x\u01a1 ho\u00e1.<\/li><li>Nang gi\u1ea3 t\u1ee5y<\/li><li>Gi\u1ea3 ph\u00ecnh m\u1ea1ch<\/li><li>C\u1ed5 tr\u01b0\u1edbng.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Si\u00eau \u00e2m c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t vi\u00eam t\u1ee5y t\u1ef1 mi\u1ec5n v\u1edbi m\u1eafc ph\u1ea3i.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vi\u00eam t\u1ee5y t\u1ef1 mi\u1ec5n: tuy\u1ebfn t\u1ee5y l\u1edbn (khu tr\u00fa ho\u1eb7c to\u00e0n b\u1ed9)<\/li><li>V\u00f4i ho\u00e1 \u1edf nhu m\u00f4 ho\u1eb7c trong \u1ed1ng d\u1eabn g\u1eb7p trong lo\u1ea1i m\u1eafc ph\u1ea3i.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CT<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a CT: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gi\u00e3n \u1ed1ng t\u1ee5y ch\u00ednh<\/li><li>V\u00f4i ho\u00e1 t\u1ee5y<\/li><li>Thay \u0111\u1ed5i v\u1ec1 k\u00edch th\u01b0\u1edbc tuy\u1ebfn t\u1ee5y (teo), \u0111\u01b0\u1eddng b\u1edd, h\u00ecnh d\u1ea1ng.<\/li><li>Nang gi\u1ea3 t\u1ee5y <\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>MRI<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u1ec1 h\u00ecnh th\u00e1i:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>\u0110\u1eb7c \u0111i\u1ec3m giai \u0111o\u1ea1n s\u1edbm:<ul><li>Gi\u1ea3m t\u00edn hi\u1ec7u tr\u00ean T1<\/li><li>Ch\u1eadm ho\u1eb7c gi\u1ea3m ng\u1ea5m thu\u1ed1c<\/li><li>Gi\u00e3n c\u00e1c \u1ed1ng t\u1ee5y.<\/li><\/ul><\/li><li>Giai \u0111o\u1ea1n mu\u1ed9n:<ul><li>Nhu m\u00f4 teo ho\u1eb7c ph\u00ec \u0111\u1ea1i<\/li><li>H\u00ecnh th\u00e0nh nang gi\u1ea3 t\u1ee5y<\/li><li>Gi\u00e3n \u1ed1ng t\u1ee5y d\u1ea1ng chu\u1ed7i h\u1ea1t k\u00e8m theo v\u00f4i ho\u00e1 b\u00ean trong, t\u1ea1o d\u1ea5u hi\u1ec7u &#8220;chain of lake sign&#8221;.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u1ec1 ch\u1ee9c n\u0103ng<\/strong>: <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng t\u1ee5y ngo\u1ea1i ti\u1ebft qua MRCP-S (secretin-enhanced magnetic resonance cholangiopancreatography).<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Ph\u00e2n lo\u1ea1i Cambridge<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Stage 0: t\u1ee5y b\u00ecnh th\u01b0\u1eddng<\/strong><ul><li>\u1ed0ng t\u1ee5y ch\u00ednh b\u00ecnh th\u01b0\u1eddng<\/li><li>Kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u00e1c nh\u00e1nh b\u00ean.<\/li><\/ul><\/li><li><strong>Stage 1: ch\u01b0a r\u00f5 r\u00e0ng<\/strong><ul><li>\u1ed0ng t\u1ee5y ch\u00ednh b\u00ecnh th\u01b0\u1eddng<\/li><li>B\u1ea5t th\u01b0\u1eddng nh\u00e1nh b\u00ean &lt; 3.<\/li><\/ul><\/li><li><strong>Stage 2: vi\u00eam t\u1ee5y m\u1ea1n nh\u1eb9<\/strong><ul><li>\u1ed0ng t\u1ee5y ch\u00ednh b\u00ecnh th\u01b0\u1eddng<\/li><li>B\u1ea5t th\u01b0\u1eddng nh\u00e1nh b\u00ean &gt;= 3<\/li><\/ul><\/li><li><strong>Stage 3: Vi\u00eam t\u1ee5y m\u1ea1n m\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/strong><ul><li>B\u1ea5t th\u01b0\u1eddng \u1ed1ng t\u1ee5y ch\u00ednh<\/li><li>B\u1ea5t th\u01b0\u1eddng nh\u00e1nh b\u00ean &gt; 3.<\/li><\/ul><\/li><li><strong>Stage 4: Vi\u00eam t\u1ee5y m\u1ea1n m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/strong><ul><li>\u1ed0ng t\u1ee5y ch\u00ednh b\u1ea5t th\u01b0\u1eddng<\/li><li>B\u1ea5t th\u01b0\u1eddng nh\u00e1nh b\u00ean: Nh\u00e1nh b\u00ean gi\u00e3n l\u1edbn, kh\u00f4ng \u0111\u1ec1u, t\u1eafc ngh\u1ebdn, ho\u1eb7c m\u1ed9t (ho\u1eb7c nhi\u1ec1u) hang l\u1edbn.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Ti\u1ebfn tri\u1ec3n v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> Li\u1ec7u ph\u00e1p thay th\u1ebf men t\u1ee5y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m c\u1ee7a h\u1ed9i ch\u1ee9ng k\u00e9m h\u1ea5p thu.Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 \u0111au b\u1ee5ng dai d\u1eb3ng, k\u00e8m \u1ed1ng t\u1ee5y ch\u00ednh gi\u00e3n th\u00ec n\u1ed9i soi ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">6% ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn t\u1ee5y sau 20 n\u0103m.<\/p>\n\n\n\n<iframe loading=\"lazy\" src=\"https:\/\/docs.google.com\/forms\/d\/e\/1FAIpQLSd-H6QUoxPakdmWyjci6S_ucV3T_agxEku2u1QC8RwDNZHCXQ\/viewform?embedded=true\" width=\"640\" height=\"1825\" frameborder=\"0\" marginheight=\"0\" marginwidth=\"0\">\u0110ang t\u1ea3i\u2026<\/iframe>\n","protected":false},"excerpt":{"rendered":"<p>Ngu\u1ed3n: radiopaedia.orgB\u00e0i d\u1ecbch c\u1ee7a Bs L\u00ea V\u0169 Duy Vi\u00eam t\u1ee5y m\u1ea1n t\u00ednh l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam v\u00e0 x\u01a1 ho\u00e1 tuy\u1ebfn tu\u1ef5 li\u00ean<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,27],"tags":[47,68,67],"class_list":["post-660","post","type-post","status-publish","format-standard","hentry","category-doc-sach-cho-vui","category-radiopeadia","tag-tieu-hoa","tag-tuy","tag-viem-tuy-man"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=660"}],"version-history":[{"count":4,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/660\/revisions"}],"predecessor-version":[{"id":667,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/660\/revisions\/667"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}