{"id":103355,"date":"2021-09-08T00:00:00","date_gmt":"2021-09-08T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/benh-crohn-o-tre-em\/"},"modified":"2023-05-19T00:00:00","modified_gmt":"2023-05-19T00:00:00","slug":"benh-crohn-o-tre-em","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/nhi\/benh-crohn-o-tre-em\/","title":{"rendered":"B\u1ec7nh Crohn \u1edf tr\u1ebb em: D\u1ea5u hi\u1ec7u, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">B\u1ec7nh Crohn \u1edf tr\u1ebb em l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd vi\u00eam \u0111\u01b0\u1eddng ru\u1ed9t k\u00e9o d\u00e0i, c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111a d\u1ea1ng v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb. Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t qu\u00e1 tr\u00ecnh t\u00e1c \u0111\u1ed9ng \u0111a y\u1ebfu t\u1ed1, ph\u1ea7n l\u1edbn li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n di truy\u1ec1n. H\u00f4m nay <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><strong><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><strong><strong><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a><\/strong><\/strong><\/strong><\/strong><\/a> m\u1eddi b\u1ea1n t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c d\u1ea5u hi\u1ec7u, nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh Crohn \u1edf tr\u1ebb em, ch\u1ea9n \u0111o\u00e1n b\u1ec7nh v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cac-d\u1ea5u-hi\u1ec7u-va-tri\u1ec7u-ch\u1ee9ng-c\u1ee7a-b\u1ec7nh-crohn-\u1edf-tr\u1ebb-em\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Crohn \u1edf tr\u1ebb em<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/Crohns-Disease-In-Children-Causes-Diagnosis-And-Treatment-910x1024.jpg\" alt=\"benh-crohn-o-tre-em\" class=\"wp-image-20083\" width=\"800\" height=\"779\"\/><figcaption class=\"wp-element-caption\"> C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Crohn \u1edf tr\u1ebb em<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n. Khi b\u1ec7nh Crohn \u1edf tr\u1ebb em x\u1ea3y ra \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean, bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 \u0111au b\u1ee5ng l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng chi\u1ebfm \u01b0u th\u1ebf.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh Crohn \u1edf tr\u1ebb em th\u01b0\u1eddng g\u00e2y ch\u1ee9ng k\u00e9m h\u1ea5p thu, bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh ti\u00eau ch\u1ea3y.<\/li>\n\n\n\n<li>\u0110au b\u1ee5ng.<\/li>\n\n\n\n<li>T\u0103ng tr\u01b0\u1edfng gi\u1ea3m t\u1ed1c.<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e2n.<\/li>\n\n\n\n<li>Ch\u00e1n \u0103n.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ban \u0111\u1ea7u, c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a ch\u1ee9ng k\u00e9m h\u1ea5p thu c\u00f3 th\u1ec3 kh\u00e1 k\u00edn \u0111\u00e1u. S\u1ef1 kh\u1edfi ph\u00e1t c\u1ee7a qu\u00e1 tr\u00ecnh ch\u1eadm ph\u00e1t tri\u1ec3n t\u00e2m th\u1ea7n v\u1eadn \u0111\u1ed9ng \u1edf tr\u1ebb th\u01b0\u1eddng ng\u1ea5m ng\u1ea7m v\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a sau nhi\u1ec1u n\u0103m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh Crohn \u1edf tr\u1ebb em, x\u1ea3y ra \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a d\u01b0\u1edbi (\u0111\u1ea1i tr\u00e0ng&#8230;) c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn tri\u1ec7u ch\u1ee9ng v\u1edbi b\u1ec7nh vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ti\u00eau ch\u1ea3y ra m\u00e1u<\/li>\n\n\n\n<li>\u0110au b\u1ee5ng qu\u1eb7n th\u1eaft<\/li>\n\n\n\n<li>\u0110i ti\u00eau kh\u1ea9n c\u1ea5p (c\u1ea3m gi\u00e1c r\u1ea5t kh\u1ea9n c\u1ea5p ph\u1ea3i \u0111\u1ea1i ti\u1ec7n).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Khi qu\u00e1 tr\u00ecnh vi\u00eam \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u00fac m\u1ea1c (m\u00e0ng b\u1ee5ng), b\u1ec7nh Crohn \u1edf tr\u1ebb em c\u00f3 th\u1ec3 t\u1ea1o ra nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ee5n th\u1ecbt nh\u1ecf tr\u00ean da, v\u1ebft n\u1ee9t, \u00e1p xe v\u00e0 l\u1ed7 r\u00f2<\/li>\n\n\n\n<li>\u0110au \u0111\u1edbn khi \u0111i \u0111\u1ea1i ti\u1ec7n<\/li>\n\n\n\n<li>Ch\u1ea3y m\u00e1u \u0111\u1ecf t\u01b0\u01a1i \u1edf tr\u1ef1c tr\u00e0ng<\/li>\n\n\n\n<li>\u0110au quanh tr\u1ef1c tr\u00e0ng, n\u1ed5i ban \u0111\u1ecf ho\u1eb7c ti\u1ebft d\u1ecbch<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-c\u1ee7a-b\u1ec7nh-crohn-\u1edf-tr\u1ebb-em\">Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh Crohn \u1edf tr\u1ebb em<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/Inflammatory-bowel-crohns-ulcerative-colitis-1024x819-1.jpg\" alt=\"benh-crohn-o-tre-em\" class=\"wp-image-20082\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a b\u1ec7nh Crohn \u1edf tr\u1ebb em l\u00e0 \u0111a y\u1ebfu t\u1ed1. Sau khi m\u1ed9t s\u1ef1 ki\u1ec7n k\u00edch ho\u1ea1t x\u1ea3y ra \u1edf m\u1ed9t c\u00e1 th\u1ec3 nh\u1ea1y c\u1ea3m v\u1ec1 m\u1eb7t di truy\u1ec1n, ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch b\u1ecb thay \u0111\u1ed5i d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh c\u1ee7a ru\u1ed9t. M\u1eb7c d\u00f9 nguy\u00ean nh\u00e2n c\u1ee7a s\u1ef1 ki\u1ec7n k\u1ebft t\u1ee7a v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft, nh\u01b0ng vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t ho\u1eb7c c\u00e1c kh\u00e1ng nguy\u00ean c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam m\u1ea1n t\u00ednh do k\u00edch ho\u1ea1t t\u1ebf b\u00e0o T. C\u00e1c cytokine Th1 (v\u00ed d\u1ee5, interleukin [IL] \u201312 v\u00e0 y\u1ebfu t\u1ed1 ho\u1ea1i t\u1eed kh\u1ed1i u [TNF] -\u03b1) k\u00edch th\u00edch ph\u1ea3n \u1ee9ng vi\u00eam. C\u00e1c t\u1ebf b\u00e0o vi\u00eam \u0111\u01b0\u1ee3c thu nh\u1eadn b\u1edfi c\u00e1c cytokine n\u00e0y gi\u1ea3i ph\u00f3ng c\u00e1c ch\u1ea5t g\u00e2y vi\u00eam kh\u00f4ng \u0111\u1eb7c hi\u1ec7u l\u00e0m t\u1ed5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp ru\u1ed9t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u01b0 \u0111\u00e3 n\u00eau, c\u0103n nguy\u00ean c\u1ee7a b\u1ec7nh Crohn \u1edf tr\u1ebb em l\u00e0 \u0111a y\u1ebfu t\u1ed1. S\u1ef1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n khuynh h\u01b0\u1edbng, y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng, y\u1ebfu t\u1ed1 v\u1eadt ch\u1ee7 v\u00e0 s\u1ef1 ki\u1ec7n kh\u1edfi ph\u00e1t l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 b\u1ec7nh ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a Th\u1ee5y \u0110i\u1ec3n v\u1ec1 m\u1ed9t c\u1eb7p song sinh kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ecdn l\u1ecdc c\u00f3 t\u1ef7 l\u1ec7 t\u01b0\u01a1ng \u0111\u1ed3ng cao v\u1ec1 b\u1ec7nh Crohn (44,4%) so v\u1edbi c\u1eb7p song sinh d\u1ecb h\u1ee3p t\u1eed (3,8%) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 r\u1eb1ng \u0111\u1ed1i v\u1edbi b\u1ec7nh Crohn, th\u00e0nh ph\u1ea7n di truy\u1ec1n l\u00e0 c\u1ea7n thi\u1ebft nh\u01b0ng kh\u00f4ng \u0111\u1ee7, nh\u01b0 trong t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh \u0111a y\u1ebfu t\u1ed1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng 30% b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh khi h\u1ecd d\u01b0\u1edbi 20 tu\u1ed5i c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh d\u01b0\u01a1ng t\u00ednh. T\u1ef7 l\u1ec7 n\u00e0y gi\u1ea3m xu\u1ed1ng c\u00f2n 18% \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u1edf \u0111\u1ed9 tu\u1ed5i 20-39 v\u00e0 xu\u1ed1ng c\u00f2n 13% sau 40 tu\u1ed5i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c \u0111\u1ed9t bi\u1ebfn li\u00ean quan \u0111\u1ebfn b\u1ec7nh \u0111\u1ea7u ti\u00ean v\u00e0 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 t\u1ed1t nh\u1ea5t \u0111\u1ed1i v\u1edbi b\u1ec7nh Crohn \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean gen NOD2 \/ CARD15, gen n\u00e0y \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 16.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh nghi\u00eam tr\u1ecdng c\u1ea7n ph\u1eabu thu\u1eadt s\u1edbm, khi ch\u1ea9n \u0111o\u00e1n l\u00e0 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m ki\u1ec3u h\u00ecnh c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c \u0111\u1ed9t bi\u1ebfn CARD15.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed1i li\u00ean quan gi\u1eefa \u0111\u1ed9t bi\u1ebfn gen IL23R v\u00e0 b\u1ec7nh vi\u00eam ru\u1ed9t (IBD) \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn, cho th\u1ea5y t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 ch\u00ednh \u0111\u1ed1i v\u1edbi t\u00ednh nh\u1ea1y c\u1ea3m v\u1edbi b\u1ec7nh Crohn. M\u1ed9t khuynh h\u01b0\u1edbng m\u1eafc b\u1ec7nh Crohn, \u0111\u1eb7c bi\u1ec7t l\u00e0 li\u00ean quan \u0111\u1ebfn h\u1ed3i tr\u00e0ng, c\u00f3 li\u00ean quan \u0111\u1ebfn gen ATG16L1, \u0111\u1ebfn qu\u00e1 tr\u00ecnh t\u1ef1 th\u1ef1c b\u00e0o, m\u1ed9t th\u00e0nh ph\u1ea7n thi\u1ebft y\u1ebfu c\u1ee7a ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch b\u1ea9m sinh nh\u1eafm v\u00e0o c\u00e1c protein c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u1ea7m b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Xem th\u00eam: <a href=\"https:\/\/www.docosan.com\/blog\/tieu-hoa\/tre-bi-viem-duong-ruot-nen-an-gi\/\" target=\"_blank\" rel=\"noreferrer noopener\"><a href=\"https:\/\/www.docosan.com\/blog\/tieu-hoa\/tre-bi-viem-duong-ruot-nen-an-gi\/\" target=\"_blank\" rel=\"noreferrer noopener\">Tr\u1ebb b\u1ecb vi\u00eam \u0111\u01b0\u1eddng ru\u1ed9t n\u00ean \u0103n g\u00ec?<\/a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"bac-si-di\u1ec1u-tr\u1ecb-b\u1ec7nh-crohn-\u1edf-tr\u1ebb-em\">B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Crohn \u1edf tr\u1ebb em<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.docosan.com\/bac-si\/danh-thi-my-hong-991?utm_source=website&amp;utm_medium=blog&amp;utm_campaign=doctor_profile&amp;utm_id=website\" target=\"_blank\" rel=\"noreferrer noopener\">B\u00e1c s\u0129 Danh Th\u1ecb M\u1ef9 H\u1ed3ng<\/a> &#8211; Q. B\u00ecnh T\u00e2n<\/li>\n<\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/991?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.docosan.com\/bac-si\/dao-thi-tho-961?utm_source=website&amp;utm_medium=blog&amp;utm_campaign=doctor_profile&amp;utm_id=website\" target=\"_blank\" rel=\"noreferrer noopener\">Th\u1ea1c s\u0129 b\u00e1c s\u0129 \u0110\u00e0o Th\u1ecb Th\u01a1<\/a> &#8211; Q.7<\/li>\n<\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/961?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00e1c s\u0129 Tr\u1ea7n V\u0103n C\u00f4ng &#8211; Q. B\u00ecnh Th\u1ea1nh<\/li>\n<\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/713?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan-b\u1ec7nh-crohn-\u1edf-tr\u1ebb-em-nh\u01b0-th\u1ebf-nao\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Crohn \u1edf tr\u1ebb em nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, b\u00e1c s\u0129 s\u1ebd t\u00ecm c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sinh hi\u1ec7u (m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf, th\u00e2n nhi\u1ec7t) th\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng, \u0111\u00f4i khi nh\u1ecbp tim nhanh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n thi\u1ebfu m\u00e1u.<\/li>\n\n\n\n<li>S\u1ed1t t\u1eebng c\u01a1n k\u00e9o d\u00e0i l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn.<\/li>\n\n\n\n<li>Tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 v\u00e0 chi\u1ec1u cao c\u00f3 th\u1ec3 ph\u1ea3n \u1ea3nh t\u00ecnh tr\u1ea1ng ch\u1eadm ph\u00e1t tri\u1ec3n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00e1m b\u1ee5ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n m\u1ed9t s\u1ed1 thay \u0111\u1ed5i t\u1eeb b\u00ecnh th\u01b0\u1eddng \u0111\u1ebfn \u0111au b\u1ee5ng c\u1ea5p t\u00ednh; \u0111au b\u1ee5ng lan t\u1ecfa l\u00e0 ph\u1ed5 bi\u1ebfn; c\u00f3 th\u1ec3 s\u1edd th\u1ea5y kh\u1ed1i l\u1ed3i ho\u1eb7c m\u1ed9t kh\u1ed1i r\u1eddi r\u1ea1c, th\u01b0\u1eddng \u1edf g\u00f3c ph\u1ea7n t\u01b0 b\u00ean ph\u1ea3i b\u1ee5ng.<\/li>\n\n\n\n<li>B\u1ec7nh quanh h\u1eadu m\u00f4n (v\u00ed d\u1ee5: m\u1ee5n th\u1ecbt, \u00e1p-xe, l\u1ed7 r\u00f2, v\u1ebft n\u1ee9t) x\u1ea3y ra \u1edf kho\u1ea3ng 45% b\u1ec7nh nh\u00e2n.<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n d\u1eady th\u00ec mu\u1ed9n c\u1ee7a tr\u1ebd c\u0169ng c\u00f3 th\u1ec3 b\u00e1o tr\u01b0\u1edbc s\u1ef1 kh\u1edfi ph\u00e1t c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ru\u1ed9t.<\/li>\n\n\n\n<li>C\u00e1c bi\u1ec3u hi\u1ec7n da ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ban \u0111\u1ecf n\u1ed1t s\u1ea7n v\u00e0 vi\u00eam da m\u1ee7 h\u1ea1ch.<\/li>\n\n\n\n<li>Kh\u00e1m da c\u0169ng c\u00f3 th\u1ec3 cho th\u1ea5y xanh xao \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n thi\u1ebfu m\u00e1u ho\u1eb7c v\u00e0ng da \u1edf nh\u1eefng tr\u1ebb m\u1eafc \u0111\u1ed3ng th\u1eddi b\u1ec7nh gan.<\/li>\n\n\n\n<li>C\u00e1c ph\u00e1t hi\u1ec7n ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf m\u1eaft l\u00e0 vi\u00eam t\u1ea7ng sinh m\u00f4n v\u00e0 vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o tr\u01b0\u1edbc<\/li>\n\n\n\n<li>C\u00e1c bi\u1ec3u hi\u1ec7n ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh Crohn l\u00e0 vi\u00eam kh\u1edbp v\u00e0 \u0111au kh\u1edbp, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c kh\u1edbp l\u1edbn (v\u00ed d\u1ee5: h\u00f4ng, \u0111\u1ea7u g\u1ed1i, m\u1eaft c\u00e1 ch\u00e2n)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1eeb \u0111\u00f3 b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0 sau<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m m\u00e1u<\/li>\n\n\n\n<li>Protein ph\u1ea3n \u1ee9ng vi\u00eam (CRP)<\/li>\n\n\n\n<li>\u0110\u1ecbnh l\u01b0\u1ee3ng albumin m\u00e1u<\/li>\n\n\n\n<li>\u0110\u00e1nh gi\u00e1 c\u00e1c thi\u1ebfu h\u1ee5t ph\u1ed5 bi\u1ebfn kh\u00e1c bao g\u1ed3m s\u1eaft v\u00e0 vi ch\u1ea5t dinh d\u01b0\u1ee1ng (v\u00ed d\u1ee5: axit folic, vitamin B-12, s\u1eaft huy\u1ebft thanh, t\u1ed5ng kh\u1ea3 n\u0103ng li\u00ean k\u1ebft s\u1eaft, canxi v\u00e0 magi\u00ea)<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m soi ph\u00e2n + huy\u1ebft thanh ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 lo\u1ea1i tr\u1eeb nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n ho\u1eb7c k\u00fd sinh tr\u00f9ng<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh cung c\u1ea5p c\u00e1c b\u1eb1ng ch\u1ee9ng x\u00e1c th\u1ef1c v\u00e0 kh\u00e1ch quan, bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u1ee5p X quang \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ru\u1ed9t non, kh\u00f4ng th\u1ec3 ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c trong qu\u00e1 tr\u00ecnh n\u1ed9i soi.<\/li>\n\n\n\n<li>Ch\u1ee5p ru\u1ed9t c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRE) v\u00e0 ch\u1ee5p ru\u1ed9t c\u1eaft l\u1edbp vi t\u00ednh (CTE) \u0111\u1ec3 ph\u00e1t hi\u1ec7n vi\u00eam ru\u1ed9t non v\u00e0 c\u00f3 th\u1ec3 ch\u00ednh x\u00e1c h\u01a1n \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng ngo\u00e0i th\u00e0nh ru\u1ed9t, bao g\u1ed3m l\u1ed7 r\u00f2 v\u00e0 \u00e1p-xe.<\/li>\n\n\n\n<li>MRI \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 b\u1ec7nh v\u00f9ng ch\u1eadu v\u00e0 quanh h\u1eadu m\u00f4n.<\/li>\n\n\n\n<li>Si\u00eau \u00e2m b\u1ee5ng c\u00f3 th\u1ec3 kh\u1ea3o s\u00e1t b\u1ec7nh \u0111\u01b0\u1eddng ru\u1ed9t v\u00e0 lo\u1ea1i tr\u1eeb s\u1ecfi t\u00fai m\u1eadt v\u00e0 th\u1eadn.<\/li>\n\n\n\n<li>N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng k\u00e8m sinh thi\u1ebft h\u1ed3i tr\u00e0ng v\u00e0 \u0111o\u1ea1n cu\u1ed1i \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n ti\u00eau chu\u1ea9n<\/li>\n\n\n\n<li>N\u1ed9i soi ti\u00eau h\u00f3a tr\u00ean, ho\u1eb7c n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (EGD) c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u.<\/li>\n\n\n\n<li>N\u1ed9i soi vi\u00ean nang video ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec7nh Crohn ru\u1ed9t non \u1edf tr\u1ebb em [4]<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-b\u1ec7nh-crohn-\u1edf-tr\u1ebb-em\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh Crohn \u1edf tr\u1ebb em<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb chung cho tr\u1ebb em b\u1ecb b\u1ec7nh Crohn nh\u01b0 sau:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c<\/li>\n\n\n\n<li>\u0110\u1ec3 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb.<\/li>\n\n\n\n<li>\u0110\u1ea3m b\u1ea3o cu\u1ed9c s\u1ed1ng sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng cho b\u1ec7nh nh\u00e2n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn t\u1eebng b\u01b0\u1edbc<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh nh\u1eb9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ch\u1ebf ph\u1ea9m c\u1ee7a axit 5-aminosalicylic (5-ASA), thu\u1ed1c kh\u00e1ng sinh v\u00e0 li\u1ec7u ph\u00e1p dinh d\u01b0\u1ee1ng.<\/li>\n\n\n\n<li>N\u1ebfu kh\u00f4ng c\u00f3 \u0111\u00e1p \u1ee9ng x\u1ea3y ra ho\u1eb7c n\u1ebfu b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n so ban \u0111\u1ea7u, li\u1ec7u ph\u00e1p corticosteroid v\u00e0 \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch v\u1edbi 6-mercaptopurine (6-MP) ho\u1eb7c methotrexate (MTX) \u0111\u01b0\u1ee3c th\u1eed.<\/li>\n\n\n\n<li>Infliximab c\u00f3 hi\u1ec7u qu\u1ea3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 v\u1edbi li\u1ec7u ph\u00e1p th\u00f4ng th\u01b0\u1eddng v\u00e0 b\u1ec7nh Crohn \u1edf tr\u1ebb em c\u00f3 l\u1ed7 r\u00f2 h\u1eadu m\u00f4n.<\/li>\n\n\n\n<li>Adalimumab l\u00e0 m\u1ed9t ch\u1ea5t thay th\u1ebf an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb d\u1ecb \u1ee9ng v\u1edbi infliximab ho\u1eb7c c\u00f3 n\u1ed3ng \u0111\u1ed9 kh\u00e1ng th\u1ec3 kh\u00e1ng cao c\u1ee7a ng\u01b0\u1eddi (HACA) [6]<\/li>\n\n\n\n<li>Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c xem x\u00e9t khi li\u1ec7u ph\u00e1p d\u00f9ng thu\u1ed1c th\u1ea5t b\u1ea1i.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"t\u1ed5ng-k\u1ebft\">T\u1ed5ng k\u1ebft<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1eed vong do b\u1ec7nh Crohn \u1edf tr\u1ebb em c\u1ef1c k\u1ef3 hi\u1ebfm. B\u1ec7nh Crohn di\u1ebfn ti\u1ebfn nghi\u00eam tr\u1ecdng v\u00e0 ph\u1ee9c t\u1ea1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c nh\u1eadp vi\u1ec7n k\u00e9o d\u00e0i, ph\u1eabu thu\u1eadt nhi\u1ec1u l\u1ea7n, ch\u1eadm t\u0103ng tr\u01b0\u1edfng , suy dinh d\u01b0\u1ee1ng, d\u1eady th\u00ec mu\u1ed9n v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng k\u00e9m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1eb7c d\u00f9 b\u1ec7nh Crohn \u1edf tr\u1ebb em c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng kh\u00e1 l\u1edbn \u0111\u1ebfn cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb em ho\u1eb7c thanh thi\u1ebfu ni\u00ean, nh\u01b0ng n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ed7 tr\u1ee3 th\u00edch h\u1ee3p, ti\u00ean l\u01b0\u1ee3ng t\u1ed1t v\u00e0 nguy c\u01a1 t\u1eed vong l\u00e0 c\u1ef1c k\u1ef3 th\u1ea5p. Ngay khi c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, hay nh\u1eadn th\u1ea5y tr\u1ebb ch\u1eadm t\u0103ng tr\u01b0\u1edfng v\u00ec b\u1ea5t k\u1ef3 l\u00ed do g\u00ec, h\u00e3y li\u00ean h\u1ec7 b\u00e1c s\u0129 ngay \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0\u00a0<a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><a href=\"https:\/\/www.docosan.com\/\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><\/a>\u00a0v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/emedicine.medscape.com\/article\/928288-overview\" target=\"_blank\" rel=\"noreferrer noopener\">Pediatric Crohn Disease:<\/a> Practice Essentials, Background, Pathophysiology<\/li>\n\n\n\n<li><a href=\"https:\/\/www.cicra.org\/what-is-ibd\/childrens-area\/help-what-are-ibd-crohns-disease-and-ulcerative-colitis\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ngu\u1ed3n \u1ea3nh b\u00eca<\/a><\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Crohn \u1edf tr\u1ebb em l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd vi\u00eam \u0111\u01b0\u1eddng ru\u1ed9t k\u00e9o d\u00e0i, c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111a d\u1ea1ng v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb. Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t qu\u00e1 tr\u00ecnh t\u00e1c \u0111\u1ed9ng \u0111a y\u1ebfu t\u1ed1, ph\u1ea7n l\u1edbn li\u00ean quan \u0111\u1ebfn [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":87045,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-103355","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhi"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/Crohns-Disease-In-Children-Causes-Diagnosis-And-Treatment-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/Crohns-Disease-In-Children-Causes-Diagnosis-And-Treatment-600x600.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103355","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103355"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103355\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/87045"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}