![\"\"](\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2020\/12\/loet-da-day-1024x683.jpg\")
<\/figure><\/div>\n\n\n\nHi\u1ec7n nay b\u1ec7nh v\u1ec1 d\u1ea1 d\u00e0y kh\u00f4ng c\u00f2n l\u00e0 b\u1ec7nh ch\u1ec9 c\u00f3 \u1edf l\u1ee9a tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh n\u1eefa, B\u00e1c s\u0129 N\u1ed9i Tr\u00fa- B\u00f9i Th\u1ecb Ho\u00e0ng Mai (Khoa Nhi- Bv \u0110a khoa Qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng) cho bi\u1ebft nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nhi nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u n\u1eb7ng c\u1ea7n ph\u1ea3i truy\u1ec1n m\u00e1u c\u1ea5p c\u1ee9u v\u00e0 khi \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng \u1ed1ng n\u1ed9i soi m\u1ec1m\u00a0 ph\u00e1t hi\u1ec7n tr\u1ebb b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng.<\/p>\n\n\n\n
Nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh cha m\u1eb9 c\u1ea7n l\u01b0u \u00fd<\/strong><\/p>\n\n\n\n Hi\u1ec7n nay nhi\u1ec5m Helicobacter pylori (HP) \u0111\u01b0\u1ee3c cho l\u00e0 c\u0103n nguy\u00ean ch\u00ednh c\u1ee7a b\u1ec7nh, kh\u00f4ng ch\u1ec9 \u1edf ng\u01b0\u1eddi l\u1edbn m\u00e0 c\u00f2n \u1edf c\u1ea3 tr\u1ebb em.<\/p>\n\n\n\n HP l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n th\u01b0\u1eddng nhi\u1ec5m v\u00e0o d\u1ea1 d\u00e0y ng\u01b0\u1eddi t\u1eeb l\u00fac th\u01a1 \u1ea5u. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m khu\u1ea9n HP \u0111\u1ec1u kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u b\u1ec7nh l\u00fd r\u00f5 r\u00e0ng, nh\u01b0ng n\u00f3 l\u1ea1i c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh, ung th\u01b0 d\u1ea1 d\u00e0y, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, v\u00ec th\u1ebf \u0111\u00f4i khi ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cvi khu\u1ea9n g\u00e2y lo\u00e9t\u201d. Vi khu\u1ea9n n\u00e0y hi\u1ec7n di\u1ec7n tr\u00ean m\u1ed9t n\u1eeda d\u00e2n s\u1ed1 th\u1ebf gi\u1edbi.<\/p>\n\n\n\n Sau khi x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 qua \u0111\u01b0\u1eddng \u0103n u\u1ed1ng nh\u01b0: n\u01b0\u1edbc b\u1ecdt, ph\u00e2n, d\u1ecbch ti\u00eau h\u00f3a, ngu\u1ed3n n\u01b0\u1edbc\u2026 vi khu\u1ea9n HP s\u1ebd chui v\u00e0o l\u1edbp nh\u1ea7y b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, t\u1ea1i \u0111\u00e2y ch\u00fang ti\u1ebft ra nh\u1eefng ch\u1ea5t l\u00e0m k\u00edch th\u00edch d\u1ea1 d\u00e0y ti\u1ebft nhi\u1ec1u ax\u00edt h\u01a1n, \u0111\u1ed3ng th\u1eddi l\u00e0m suy y\u1ebfu l\u1edbp nh\u00e0y b\u1ea3o v\u1ec7 v\u00e0 ti\u1ebft ra m\u1ed9t s\u1ed1 \u0111\u1ed9c t\u1ed1 l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ebf b\u00e0o n\u1eb1m b\u00ean d\u01b0\u1edbi l\u1edbp nh\u00e0y. Do \u0111\u00f3, ni\u00eam m\u1ea1c d\u1ec5 d\u00e0ng b\u1ecb \u0103n m\u00f2n b\u1edfi ch\u1ea5t ax\u00edt c\u00f3 trong d\u1ecbch ti\u00eau h\u00f3a c\u1ee7a d\u1ea1 d\u00e0y, g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng.<\/p>\n\n\n\n B\u00ecnh th\u01b0\u1eddng sau khi nhi\u1ec5m, HP s\u1ebd s\u1ed1ng chung v\u1edbi ta su\u1ed1t \u0111\u1eddi, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb. Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u1edf tr\u1ebb em, HP ch\u1ec9 g\u00e2y vi\u00eam m\u1ea1n t\u00ednh v\u00e0 kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng g\u00ec (chi\u1ebfm 80% ho\u1eb7c h\u01a1n n\u1eefa, m\u1ed9t s\u1ed1 \u00edt (15 \u2013 20%) HP g\u00e2y ra vi\u00eam ho\u1eb7c lo\u00e9t trong d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng. Cho \u0111\u1ebfn nay, c\u00e1c chuy\u1ec3n bi\u1ebfn th\u00e0nh \u00e1c t\u00ednh h\u1ea7u nh\u01b0 kh\u00f4ng th\u1ea5y \u1edf tr\u1ebb em m\u00e0 ch\u1ec9 xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi l\u1edbn v\u1edbi t\u1ea7n s\u1ed1 th\u1ea5p (kho\u1ea3ng 2 \u2013 5%). T\u00f3m l\u1ea1i, h\u1ea7u h\u1ebft s\u1ebd s\u1ed1ng \u201ch\u00f2a b\u00ecnh\u201d v\u1edbi ch\u00fang ta.<\/p>\n\n\n\n Tri\u1ec7u ch\u1ee9ng b\u1ec7nh c\u1ee7a tr\u1ebb<\/strong><\/p>\n\n\n\n H\u1ea7u h\u1ebft tr\u1ebb nhi\u1ec5m vi khu\u1ea9n HP kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng g\u00ec cho \u0111\u1ebfn khi xu\u1ea5t hi\u1ec7n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a v\u00ec lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng. Tuy nhi\u00ean, \u0111\u00f4i khi tr\u1ebb c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u01a1 h\u1ed3 ho\u1eb7c tho\u00e1ng qua nh\u01b0:<\/p>\n\n\n\n \u2013 \u1ee2 h\u01a1i, \u0111\u1ea7y b\u1ee5ng.<\/p>\n\n\n\n \u2013 Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n.<\/p>\n\n\n\n \u2013 \u0110au r\u00e1t \u1edf b\u1ee5ng gi\u1eefa x\u01b0\u01a1ng \u1ee9c v\u00e0 r\u1ed1n.<\/p>\n\n\n\n \u2013 \u0110au ng\u1ef1c.<\/p>\n\n\n\n \u2013 S\u1ee5t c\u00e2n, m\u1ec7t m\u1ecfi.<\/p>\n\n\n\n \u2013 Th\u01b0\u1eddng xuy\u00ean \u1ee3 n\u00f3ng, n\u1ea5c c\u1ee5c.<\/p>\n\n\n\n \u2013 Ch\u00e1n \u0103n.<\/p>\n\n\n\n \u2013 Kh\u00f3 nu\u1ed1t.<\/p>\n\n\n\n \u2013 H\u00f4i mi\u1ec7ng.<\/p>\n\n\n\n \u2013 Ti\u00eau ch\u1ea3y.<\/p>\n\n\n\n \u2013 Thi\u1ebfu m\u00e1u.<\/p>\n\n\n\n \u2013 N\u00f4n ra m\u00e1u ho\u1eb7c \u0111i c\u1ea7u ra m\u00e1u.<\/p>\n\n\n\n Nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u n\u00e0y r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em b\u1ecb b\u1ec7nh v\u00e0 kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i l\u00e0 lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, tuy nhi\u00ean, ch\u00fang c\u0169ng \u0111\u1ec1u l\u00e0 nh\u1eefng c\u1ea3nh b\u00e1o c\u1ea7n thi\u1ebft ph\u1ea3i ch\u1ea9n \u0111o\u00e1n s\u1edbm. Ngay sau khi th\u1ea5y con c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng tr\u00ean, cha m\u1eb9 n\u00ean \u0111\u01b0a b\u00e9 \u0111\u1ebfn ngay b\u1ec7nh vi\u1ec7n \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi<\/p>\n\n\n\n Nhi\u1ec5m HP \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua nh\u1eefng c\u00e1ch sau:<\/strong><\/p>\n\n\n\n N\u1ed9i soi d\u1ea1 d\u00e0y l\u00e0 bi\u1ec7n ph\u00e1p ph\u1ed5 bi\u1ebfn, kh\u00f4ng ch\u1ec9 \u0111\u1ec3 t\u00ecm HP m\u00e0 quan tr\u1ecdng h\u01a1n l\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng, th\u1ef1c qu\u1ea3n\u2026 Khi n\u1ed9i soi, b\u00e1c s\u0129 s\u1ebd b\u1ea5m l\u1ea5y m\u1ed9t s\u1ed1 m\u1eabu th\u1ecbt nh\u1ecf (sinh thi\u1ebft) \u0111\u1ec3 xem tr\u00ean k\u00ednh hi\u1ec3n vi x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng, \u0111\u1ed3ng th\u1eddi t\u00ecm HP b\u1eb1ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau.<\/p>\n\n\n\n Hai lo\u1ea1i x\u00e9t nghi\u1ec7m kh\u00e1c th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb xem HP \u0111\u00e3 \u0111\u01b0\u1ee3c di\u1ec7t s\u1ea1ch hay ch\u01b0a l\u00e0 test h\u01a1i th\u1edf v\u00e0 t\u00ecm kh\u00e1ng nguy\u00ean HP trong ph\u00e2n. Lo\u1ea1i \u0111\u1ea7u th\u00ec d\u00f9ng cho tr\u1ebb l\u1edbn tr\u00ean 7 tu\u1ed5i, c\u00f3 th\u1ec3 h\u1ee3p t\u00e1c t\u1ed1t, c\u00f2n lo\u1ea1i sau (th\u1eed ph\u00e2n) th\u00ec d\u00f9ng cho tr\u1ebb nh\u1ecf.<\/p>\n\n\n\n Test huy\u1ebft thanh th\u00ec h\u1ea7u nh\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng \u1edf tr\u1ebb em v\u00ec nh\u1eefng h\u1ea1n ch\u1ebf trong \u0111\u1ed9 tin c\u1eady c\u1ee7a n\u00f3.<\/p>\n\n\n\n Tr\u01b0\u1edbc \u0111\u00e2y, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng \u0111\u01b0\u1ee3c coi l\u00e0 b\u1ec7nh nan y, m\u1ea1n t\u00ednh, kh\u00f4ng th\u1ec3 tr\u1ecb kh\u1ecfi d\u1ee9t \u0111i\u1ec3m trong su\u1ed1t cu\u1ed9c \u0111\u1eddi. Tuy nhi\u00ean, t\u1eeb sau khi ph\u00e1t hi\u1ec7n ra vi khu\u1ea9n HP, ng\u01b0\u1eddi ta \u0111\u00e3 c\u00f3 th\u1ec3 ch\u1eefa tr\u1ecb tri\u1ec7t \u0111\u1ec3 b\u1ec7nh n\u00e0y \u1edf h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n. Nhi\u1ec5m HP n\u1ebfu \u0111i\u1ec1u tr\u1ecb \u0111\u00fang ph\u00e1c \u0111\u1ed3 v\u00e0 \u0111\u00fang thu\u1ed1c th\u01b0\u1eddng s\u1ebd \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t. Tuy nhi\u00ean v\u1eabn c\u00f3 m\u1ed9t t\u1ec9 l\u1ec7 b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng t\u00e1i ph\u00e1t. C\u00e1c y\u1ebfu t\u1ed1 g\u00e2y th\u1ea5t b\u1ea1i ti\u1ec7t tr\u1eeb HP:<\/p>\n\n\n\n Nhi\u1ec5m khu\u1ea9n HP \u1edf tr\u1ebb em c\u00f3 v\u00e0i \u0111i\u1ec3m kh\u00e1c bi\u1ec7t so v\u1edbi nhi\u1ec5m khu\u1ea9n HP \u1edf ng\u01b0\u1eddi l\u1edbn:<\/strong><\/p>\n\n\n\n \u2013 T\u1ea7n su\u1ea5t nhi\u1ec5m th\u1ea5p h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/p>\n\n\n\n \u2013 T\u1ec9 l\u1ec7 b\u1ec7nh v\u00e0 bi\u1ebfn ch\u1ee9ng: \u0111a ph\u1ea7n vi\u00eam d\u1ea1 d\u00e0y m\u00e3n kh\u00f4ng tri\u1ec7u ch\u1ee9ng, ch\u1ec9 15 \u2013 20% ng\u01b0\u1eddi nhi\u1ec5m c\u00f3 lo\u00e9t \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 1 \u2013 2% ng\u01b0\u1eddi nhi\u1ec5m b\u1ecb ung th\u01b0 d\u1ea1 d\u00e0y khi tr\u1edf th\u00e0nh ng\u01b0\u1eddi l\u1edbn (ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00fac nh\u1ecf).<\/p>\n\n\n\n \u2013 H\u1ea7u nh\u01b0 kh\u00f4ng g\u00e2y ra \u00e1c t\u00ednh nh\u01b0 \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n\n\n\n \u2013 \u0110i\u1ec1u tr\u1ecb d\u1ec5 b\u1ecb kh\u00e1ng thu\u1ed1c do tr\u1ebb em hay s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p m\u00e0 c\u00e1c kh\u00e1ng sinh n\u00e0y c\u0169ng l\u00e0 kh\u00e1ng sinh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb HP.<\/p>\n\n\n\n L\u1eddi khuy\u00ean c\u1ee7a th\u1ea7y thu\u1ed1c<\/strong><\/p>\n\n\n\n \u0110\u1ec3 ph\u00f2ng ng\u1eeba lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng cho tr\u1ebb cha m\u1eb9 l\u01b0u \u00fd:<\/p>\n\n\n\n \u2013 S\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 s\u1ed1t gi\u1ea3m \u0111au nh\u00f3m Acetaminophen thay vi thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) nh\u01b0 Aspirin, Ibuprofen.<\/p>\n\n\n\n \u2013 Gi\u00fap tr\u1ebb c\u00e2n b\u1eb1ng gi\u1eefa vi\u1ec7c h\u1ecdc v\u00e0 gi\u1ea3i tr\u00ed, gi\u1ea3m c\u0103ng th\u1eb3ng.<\/p>\n\n\n\n \u2013 R\u1eeda tay l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t l\u00e0m gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m HP.<\/p>\n","protected":false},"excerpt":{"rendered":" Trong th\u00e1ng 7, khoa Nhi b\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng li\u00ean t\u1ee5c nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng nhi\u1ec1u b\u1ec7nh nhi vi\u00eam d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng trong \u0111\u00f3 c\u00f3 k\u00e8m xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng c\u1ee7a lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, lo\u00e9t d\u1ea1 d\u00e0y c\u1ea5p c\u00f3<\/p>\n","protected":false},"author":1,"featured_media":4775,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65,58],"tags":[],"class_list":["post-4774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khoa-nhi","category-tin-moi"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4774","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=4774"}],"version-history":[{"count":0,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4774\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/4775"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=4774"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=4774"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=4774"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}