{"id":103488,"date":"2021-08-03T00:00:00","date_gmt":"2021-08-03T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/xet-nghiem-vi-khuan-hp\/"},"modified":"2022-09-12T00:00:00","modified_gmt":"2022-09-12T00:00:00","slug":"xet-nghiem-vi-khuan-hp","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/xet-nghiem\/xet-nghiem-vi-khuan-hp\/","title":{"rendered":"X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP v\u00e0 nh\u1eefng th\u00f4ng tin c\u1ea7n bi\u1ebft"},"content":{"rendered":"\n

Khi n\u00e0o c\u1ea7n ph\u1ea3i x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP? Hi\u1ec7n nay, t\u1ef7 l\u1ec7 nhi\u1ec5m vi khu\u1ea9n HP (Helicobacter pylori<\/em>) l\u00e0 r\u1ea5t cao. T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi (WHO) x\u1ebfp vi khu\u1ea9n HP l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y vi\u00eam d\u1ea1 d\u00e0y, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng v\u00e0 ung th\u01b0 d\u1ea1 d\u00e0y. V\u00ec v\u1eady, vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m t\u00ecm vi khu\u1ea9n HP v\u00e0 \u0111i\u1ec1u tr\u1ecb di\u1ec7t tr\u1eeb ch\u00fang khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh l\u00e0 vi\u1ec7c v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft. H\u00e3y c\u00f9ng Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP ngay trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n

Vi khu\u1ea9n HP l\u00e0 g\u00ec?<\/h2>\n\n\n\n

Vi khu\u1ea9n HP<\/strong><\/a> (hay H.pylori<\/em>) t\u00ean \u0111\u1ea7y \u0111\u1ee7 l\u00e0 Helicobacter pylori<\/em>, H.pylori<\/em> l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n s\u1ed1ng ch\u1ee7 y\u1ebfu \u1edf l\u1edbp nh\u1ea7y c\u1ee7a d\u1ea1 d\u00e0y, lo\u1ea1i vi khu\u1ea9n n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebft ra m\u1ed9t ch\u1ea5t l\u00e0 Urease gi\u00fap th\u00edch nghi v\u1edbi m\u00f4i tr\u01b0\u1eddng acid c\u1ee7a d\u1ea1 d\u00e0y. <\/p>\n\n\n\n

S\u01b0 ph\u00e1t tri\u1ec3n v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ch\u00fang g\u00e2y n\u00ean c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 vi\u00eam d\u1ea1 d\u00e0y m\u1ea1n t\u00ednh, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, v\u00e0 trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0 d\u1ea1 d\u00e0y g\u00e2y \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn cho s\u1ee9c kh\u1ecfe con ng\u01b0\u1eddi. <\/p>\n\n\n\n

Vi khu\u1ea9n HP l\u00e2y truy\u1ec1n qua nh\u1eefng con \u0111\u01b0\u1eddng n\u00e0o? <\/h2>\n\n\n\n

\u0110\u1ebfn nay ng\u01b0\u1eddi ta v\u1eabn ch\u01b0a ho\u00e0n to\u00e0n kh\u1eb3ng \u0111\u1ecbnh \u0111\u01b0\u1eddng l\u00e2y c\u1ee7a lo\u1ea1i vi khu\u1ea9n n\u00e0y. Ch\u00fang \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong d\u1ecbch d\u1ea1 d\u00e0y c\u1ee7a ng\u01b0\u1eddi. Ngo\u00e0i ra, c\u00f2n c\u00f3 \u1edf nh\u1eefng n\u01a1i kh\u00e1c nh\u01b0 v\u00f4i r\u0103ng, n\u01b0\u1edbc b\u1ecdt, ph\u00e2n, th\u1ef1c ph\u1ea9m b\u1ea9n. Ch\u00fang c\u0169ng hi\u1ec7n di\u1ec7n trong d\u1ecbch c\u1ee7a c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt kh\u00e1c nh\u01b0 d\u1ecbch d\u1ea1 d\u00e0y c\u1ee7a m\u00e8o, c\u1eebu, s\u1eefa c\u1eebu hay trong c\u01a1 th\u1ec3 kh\u1ec9,… D\u00f9 v\u1eady, cho \u0111\u1ebfn n\u00e0y ng\u01b0\u1eddi v\u1eabn \u0111\u01b0\u1ee3c coi l\u00e0 k\u00fd ch\u1ee7 ch\u00ednh n\u00ean c\u00e1c \u0111\u01b0\u1eddng l\u00e2y t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi v\u1eabn \u0111\u01b0\u1ee3c quan t\u00e2m h\u00e0ng \u0111\u1ea7u.<\/p>\n\n\n\n

\u0110\u01b0\u1eddng mi\u1ec7ng \u2013 mi\u1ec7ng<\/h3>\n\n\n\n

Vi khu\u1ea9n HP t\u1ed3n t\u1ea1i trong n\u01b0\u1edbc b\u1ecdt, m\u1ea3ng v\u00f4i r\u0103ng c\u00f3 th\u1ec3 l\u00e2y lan gi\u1eefa ng\u01b0\u1eddi v\u1edbi ng\u01b0\u1eddi khi c\u00f9ng sinh ho\u1ea1t, d\u00f9ng chung d\u1ee5ng c\u1ee5 \u0103n u\u1ed1ng c\u00f9ng v\u1edbi ng\u01b0\u1eddi c\u00f3 nhi\u1ec5m vi khu\u1ea9n.<\/p>\n\n\n\n

\u0110\u01b0\u1eddng ph\u00e2n \u2013 mi\u1ec7ng<\/h3>\n\n\n\n

khi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y bong tr\u00f3c mang theo vi khu\u1ea9n HP theo ph\u00e2n \u0111\u01b0\u1ee3c th\u1ea3i ra ngo\u00e0i c\u01a1 th\u1ec3 c\u0169ng l\u00e0 m\u1ed9t ngu\u1ed3n l\u00e2y nhi\u1ec5m b\u1ec7nh.<\/p>\n\n\n\n

\u0110\u01b0\u1eddng d\u1ea1 d\u00e0y \u2013 mi\u1ec7ng <\/h3>\n\n\n\n

D\u1ee5ng c\u1ee5 hay b\u1ec7nh ph\u1ea9m n\u1ed9i soi d\u1ea1 d\u00e0y sau khi th\u1ef1c hi\u1ec7n n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o kh\u1eed khu\u1ea9n \u0111\u00fang c\u0169ng l\u00e0 ngu\u1ed3n nguy c\u01a1 g\u00e2y l\u00e2y nhi\u1ec5m vi khu\u1ea9n HP.<\/p>\n\n\n\n

Khi n\u00e0o th\u00ec c\u1ea7n x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP?<\/h2>\n\n\n\n

C\u00f3 t\u1edbi 80% tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m vi khu\u1ea9n HP m\u00e0 ng\u01b0\u1eddi nhi\u1ec5m kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng hay t\u1ed5n h\u1ea1i n\u00e0o v\u1ec1 s\u1ee9c kh\u1ecfe. Th\u00f4ng th\u01b0\u1eddng ch\u1ec9 n\u00ean l\u00e0m x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP khi b\u1ea1n c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb n\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m l\u00e0 d\u01b0\u01a1ng t\u00ednh v\u1edbi c\u00e1c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb nh\u01b0: c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00f3 ti\u00eau, \u0111au d\u1ea1 d\u00e0y,  lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, vi\u00eam d\u1ea1 d\u00e0y, thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft, th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb ung th\u01b0 d\u1ea1 d\u00e0y,…<\/p>\n\n\n\n

Do \u0111\u00f3 vi\u1ec7c c\u00f3 n\u00ean x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t v\u00e0 ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb vi khu\u1ea9n HP hay kh\u00f4ng \u0111\u1ec1u c\u1ea7n c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3, t\u01b0 v\u1ea5n t\u1eeb b\u00e1c s\u0129 hay c\u00e1c chuy\u00ean gia.<\/p>\n\n\n\n

\"x\u00e9t
X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh trong ph\u00f2ng th\u00ed nghi\u1ec7m – \u1ea2nh minh h\u1ecda<\/figcaption><\/figure><\/div>\n\n\n\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP<\/h2>\n\n\n\n

Hi\u1ec7n nay c\u00f3 r\u1ea5t nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm ra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n H. pylori, m\u1ed7i ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec1u c\u00f3 nh\u1eefng \u01b0u v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m v\u00e0 c\u00f3 nh\u1eefng m\u1ee5c \u0111\u00edch ri\u00eang v\u00ed d\u1ee5 nh\u01b0 l\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh, theo d\u00f5i \u0111i\u1ec1u tr\u1ecb hay ph\u1ee5c v\u1ee5 cho m\u1ee5c \u0111\u00edch nghi\u00ean c\u1ee9u khoa h\u1ecdc,… \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 c\u00e1c th\u1eed nghi\u1ec7m ph\u1ea3i c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u cao \u0111\u1ec3 gi\u00fap cho ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t. <\/p>\n\n\n\n

  • \u0110\u1ed9 nh\u1ea1y<\/strong>: Th\u1ec3 hi\u1ec7n m\u1ed9t x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n ra b\u1ec7nh t\u1ed1t nh\u01b0 th\u1ebf n\u00e0o, l\u00e0 kh\u1ea3 n\u0103ng k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh. V\u00ed d\u1ee5 m\u1ed9t x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh \u1edf 9 trong s\u1ed1 10 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u00f3 \u0111\u1ed9 nh\u1ea1y l\u00e0 90%<\/li>
  • \u0110\u1ed9 \u0111\u1eb7c hi\u1ec7u<\/strong>: L\u00e0 kh\u1ea3 n\u0103ng c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng m\u1eafc b\u1ec7nh, v\u00ed d\u1ee5 m\u1ed9t x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh \u1edf 9 trong s\u1ed1 10 b\u1ec7nh nh\u00e2n kh\u00f4ng m\u1eafc b\u1ec7nh c\u00f3 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u l\u00e0 90%. M\u1ed9t x\u00e9t nghi\u1ec7m v\u1edbi \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u th\u1ea5p s\u1ebd l\u00e0m ch\u1ea9n \u0111o\u00e1n nh\u1ea7m ng\u01b0\u1eddi kh\u00f4ng b\u1ec7nh th\u00e0nh ng\u01b0\u1eddi b\u1ecb b\u1ec7nh<\/li><\/ul>\n\n\n\n

    Vi\u1ec7c \u0111\u1ebfn th\u0103m kh\u00e1m t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf s\u1ebd gi\u00fap cho c\u00e1c b\u00e1c s\u0129 nh\u1eadn \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ea1n v\u00e0 \u0111\u01b0a ra c\u00e1c x\u00e9t nghi\u1ec7m ph\u00f9 h\u1ee3p nh\u1ea5t. C\u00e1c x\u00e9t nghi\u1ec7m vi khu\u1ea9n Hp \u0111\u01b0\u1ee3c chia th\u00e0nh 2 nh\u00f3m ch\u00ednh, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n (kh\u00f4ng qua n\u1ed9i soi) v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n (qua n\u1ed9i soi).<\/p>\n\n\n\n

    L\u01b0u \u00fd<\/strong>: Tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ng\u01b0ng t\u1ea5t c\u1ea3 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a kh\u00e1ng sinh hay bismuth tr\u01b0\u1edbc \u0111\u00f3 1 th\u00e1ng, thu\u1ed1c \u1ee9c ch\u1ebf proton H+ (PPI) tr\u01b0\u1edbc \u0111\u00f3 2 tu\u1ea7n.<\/p>\n\n\n\n

    Ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n<\/h3>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP b\u1eb1ng x\u00e9t nghi\u1ec7m h\u01a1i th\u1edf (Urea breath test)<\/h4>\n\n\n\n

    \u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n ch\u00ednh x\u00e1c nh\u1ea5t gi\u00fap ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m vi khu\u1ea9n H.pylori<\/em>. Th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem vi khu\u1ea9n c\u00f3 \u0111\u01b0\u1ee3c di\u1ec7t tr\u1eeb th\u00e0nh c\u00f4ng sau \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi li\u1ec7u ph\u00e1p kh\u00e1ng sinh g\u00e2y hi\u1ec7n t\u01b0\u1ee3ng \u00e2m t\u00ednh gi\u1ea3 (k\u1ebft qu\u1ea3 \u00e2m t\u00ednh d\u00f9 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nhi\u1ec5m H.p). <\/p>\n\n\n\n

    Trong th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c cho u\u1ed1ng 1 vi\u00ean nang ch\u1ee9a ure (CO(NH2)2) trong \u0111\u00f3 ph\u00e2n t\u1eed C (carbon) \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u C14 ho\u1eb7c C13. N\u1ebfu trong d\u1ea1 d\u00e0y c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n HP th\u00ec enzym urease do vi khu\u1ea9n ti\u1ebft ra s\u1ebd ph\u00e2n gi\u1ea3i ure trong vi\u00ean nang th\u00e0nh NH2 v\u00e0 CO2 (v\u1edbi C \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u \u0111\u00e3 n\u00eau tr\u00ean).<\/p>\n\n\n\n

    Kh\u00ed CO2 \u0111\u01b0\u1ee3c khu\u1ebfch t\u00e1n v\u00e0o m\u00e1u v\u00e0 sau m\u1ed9t th\u1eddi gian ng\u1eafn ch\u00fang s\u1ebd hi\u1ec7n di\u1ec7n trong h\u01a1i th\u1edf c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd th\u1edf b\u1eb1ng mi\u1ec7ng v\u00e0o m\u1ed9t c\u00e1i \u1ed1ng g\u1eafn v\u1edbi m\u00e1y, v\u00e0 s\u1ebd xem m\u1eabu h\u01a1i th\u1edf c\u00f3 ch\u1ee9a C14 hay C13 kh\u00f4ng \u0111\u1ec3 cho k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u00f3 hay kh\u00f4ng c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n HP<\/p>\n\n\n\n

    K\u1ebft qu\u1ea3 c\u1ea3 hai th\u1eed nghi\u1ec7m th\u1edf C13 v\u00e0 C14 \u0111\u1ec1u gi\u1ed1ng nhau v\u00e0 \u0111\u1ec1u ch\u00ednh x\u00e1c, ch\u00fang  kh\u00e1c nhau \u1edf ch\u1ed7 C13 l\u00e0 ch\u1ea5t kh\u00f4ng g\u00e2y ph\u00f3ng x\u1ea1 c\u00f2n C14 l\u00e0 ch\u1ea5t c\u00f3 ho\u1ea1t t\u00ednh ph\u00f3ng x\u1ea1. Do C14 c\u00f3 ho\u1ea1t t\u00ednh ph\u00f3ng x\u1ea1 n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng cho tr\u1ebb em v\u00e0 ph\u1ee5 n\u1eef mang thai c\u00f2n C13 th\u00ec an to\u00e0n h\u01a1n v\u00e0 d\u00f9ng \u0111\u01b0\u1ee3c cho m\u1ecdi \u0111\u1ed1i t\u01b0\u1ee3ng.<\/p>\n\n\n\n

    Ph\u01b0\u01a1ng ph\u00e1p c\u00f3 \u0111\u1ed9 nh\u1ea1y 90-100%, \u0111\u1eb7c hi\u1ec7u 89-100%.<\/em><\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m m\u00e1u t\u00ecm kh\u00e1ng th\u1ec3 kh\u00e1ng vi khu\u1ea9n HP<\/h4>\n\n\n\n

    \u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m gi\u00e1 r\u1ebb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ELISA (Enzyme Linked Immunosorbent Assay) gi\u00fap ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 IgG kh\u00e1ng HP trong m\u1eabu m\u00e1u \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb ng\u01b0\u1eddi b\u1ec7nh. Khi m\u1ed9t ng\u01b0\u1eddi nhi\u1ec5m vi khu\u1ea9n HP, c\u01a1 th\u1ec3 s\u1ebd \u0111\u00e1p \u1ee9ng l\u1ea1i t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n n\u00e0y b\u1eb1ng c\u00e1ch ti\u1ebft ra kh\u00e1ng th\u1ec3 v\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 t\u00ecm s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a kh\u00e1ng th\u1ec3 \u0111\u00f3. <\/p>\n\n\n\n

    Tuy nhi\u00ean x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh ch\u1ec9 cho bi\u1ebft b\u1ea1n \u0111\u00e3 t\u1eebng ho\u1eb7c \u0111ang nhi\u1ec5m HP v\u00ec th\u1ebf x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 v\u1eabn cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh sau 18 th\u00e1ng sau khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb Hp th\u00e0nh c\u00f4ng. X\u00e9t nghi\u1ec7m m\u00e1u ch\u1ec9 kh\u00e1 ch\u00ednh x\u00e1c n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh ch\u01b0a t\u1eebng \u0111i\u1ec1u tr\u1ecb vi khu\u1ea9n HP tr\u01b0\u1edbc \u0111\u00e2y. <\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 \u0111\u1ed9 nh\u1ea1y 88-99%, \u0111\u1eb7c hi\u1ec7u 89-95%.<\/em><\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP b\u1eb1ng x\u00e9t nghi\u1ec7m ph\u00e2n<\/h4>\n\n\n\n

    \u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m m\u1edbi d\u00f9ng k\u1ef9 thu\u1eadt ELISA c\u00f3 t\u00ean l\u00e0 Premier platinum HpSA \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a vi khu\u1ea9n H.p trong ph\u00e2n. X\u00e9t nghi\u1ec7m n\u00e0y ngo\u00e0i vi\u1ec7c gi\u00fap ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m H.p, n\u00f3 c\u00f2n gi\u00fap theo d\u00f5i \u0111i\u1ec1u tr\u1ecb di\u1ec7t tr\u1eeb vi khu\u1ea9n HP <\/p>\n\n\n\n

    \u0110\u1ed1i v\u1edbi tr\u1ebb em, x\u00e9t nghi\u1ec7m n\u00e0y r\u1ea5t c\u00f3 \u00edch trong nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc v\u00ec c\u00e1c x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n qua n\u1ed9i soi kh\u00f3 th\u1ef1c hi\u1ec7n. H\u01a1n n\u1eefa, \u0111\u1ed1i v\u1edbi tr\u1ebb em m\u1edbi sinh ra v\u00e0 trong nh\u1eefng n\u0103m \u0111\u1ea7u \u0111\u1eddi, ch\u1ea9n \u0111o\u00e1n huy\u1ebft thanh c\u0169ng kh\u00f3 \u0111\u00e1nh gi\u00e1 do c\u00f2n kh\u00e1ng th\u1ec3 t\u1eeb m\u1eb9 truy\u1ec1n sang con v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i.<\/p>\n\n\n\n

    \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u00f3 \u0111\u1ed9 nh\u1ea1y 95%, \u0111\u1eb7c hi\u1ec7u 94%.<\/em><\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea3n HP b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n <\/h3>\n\n\n\n

    Ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP thep ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n qua n\u1ed9i soi d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t \u1ed1ng d\u00e0i m\u1ecfng c\u00f3 g\u1eafn camera v\u00e0o mi\u1ec7ng (ho\u1eb7c m\u0169i) \u0111\u1ec3 quan s\u00e1t h\u1ecdng, th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y v\u00e0 ph\u1ea7n tr\u00ean c\u1ee7a ru\u1ed9t non. Trong qu\u00e1 tr\u00ecnh n\u00e0y, b\u00e1c s\u0129 s\u1ebd thu th\u1eadp m\u1ed9t v\u00e0i m\u1eabu m\u00f4 \u0111\u1ec3 ki\u1ec3m tra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n th\u00f4ng qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau . Sau \u0111\u00e2y l\u00e0 m\u1ed9t v\u00e0i ph\u01b0\u01a1ng ph\u00e1p th\u00f4ng d\u1ee5ng.<\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP b\u1eb1ng ch\u1ea9n \u0111o\u00e1n m\u00f4 b\u1ec7nh h\u1ecdc<\/h4>\n\n\n\n

    \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m khu\u1ea9n HP \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i hi\u1ec7n nay. D\u1ef1a v\u00e0o m\u1eabu m\u00f4 l\u1ea5y \u0111\u01b0\u1ee3c t\u1eeb d\u1ea1 d\u00e0y, \u0111\u01b0\u1ee3c soi d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi kh\u00f4ng ch\u1ec9 nh\u1eb1m x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n HP m\u00e0 c\u00f2n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nh\u1eefng th\u01b0\u01a1ng t\u1ed5n k\u00e8m theo \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y nh\u01b0 vi\u00eam c\u1ea5p, vi\u00eam teo, chuy\u1ec3n s\u1ea3n, ngh\u1ecbch s\u1ea3n v\u00e0 ung th\u01b0 d\u1ea1 d\u00e0y. <\/p>\n\n\n\n

    B\u1edfi l\u1ebd m\u1eadt \u0111\u1ed9 nhi\u1ec5m H.p c\u00f3 li\u00ean quan \u0111\u1ebfn th\u01b0\u01a1ng t\u1ed5n m\u00f4 b\u1ec7nh h\u1ecdc, v\u00ec th\u1ebf x\u00e9t nghi\u1ec7m n\u00e0y c\u00f2n gi\u00fap \u0111\u00e1nh gi\u00e1 nh\u1eefng thay \u0111\u1ed5i m\u00f4 b\u1ec7nh h\u1ecdc c\u1ee7a ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb di\u1ec7t tr\u1eeb vi khu\u1ea9n HP<\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m c\u00f3 \u0111\u1ed9 nh\u1ea1y 93-99%, \u0111\u1eb7c hi\u1ec7u 95-99%.<\/em><\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP b\u1eb1ng X\u00e9t nghi\u1ec7m urease nhanh (CLO test)<\/h4>\n\n\n\n

    \u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m th\u00f4ng d\u1ee5ng, nhanh ch\u00f3ng, r\u1ebb ti\u1ec1n, \u0111\u01a1n gi\u1ea3n v\u00e0 h\u1eefu hi\u1ec7u \u0111\u1ec3 ph\u00e1t hi\u1ec7n HP. Nguy\u00ean t\u1eafc c\u1ee7a x\u00e9t nghi\u1ec7m l\u00e0 nh\u1eb1m ph\u00e1t hi\u1ec7n men urease c\u1ee7a vi khu\u1ea9n HP, HP g\u1ea7n nh\u01b0 l\u00e0 lo\u1ea1i vi khu\u1ea9n duy nh\u1ea5t trong d\u1ea1 d\u00e0y ti\u1ebft men urease v\u1edbi kh\u1ed1i l\u01b0\u1ee3ng l\u1edbn. <\/p>\n\n\n\n

    Men urease c\u1ee7a vi khu\u1ea9n HP c\u00f3 trong m\u1eabu m\u00f4 d\u1ea1 d\u00e0y s\u1ebd l\u00e0m bi\u1ebfn \u0111\u1ed5i ure trong m\u00f4i tr\u01b0\u1eddng thu\u1ed1c th\u1eed th\u00e0nh amoniac (NH3), NH3 l\u00e0m m\u00f4i tr\u01b0\u1eddng thu\u1ed1c th\u1eed c\u00f3 pH ki\u1ec1m, v\u00ec v\u1eady l\u00e0m thay \u0111\u1ed5i m\u00e0u c\u1ee7a ch\u1ea5t ch\u1ec9 th\u1ecb. Ng\u01b0\u1eddi ta nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n nh\u1edd s\u1ef1 \u0111\u1ed5i m\u00e0u gi\u1ea5y ch\u1ec9 th\u1ecb t\u1eeb v\u00e0ng sang \u0111\u1ecf t\u00eda. Tuy nhi\u00ean, x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3 tr\u00ean b\u1ec7nh nh\u00e2n \u0111ang xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a. <\/p>\n\n\n\n

    \u0110\u1ed9 nh\u1ea1y cao 89-98%, \u0111\u1eb7c hi\u1ec7u 93-100%.<\/em><\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP b\u1eb1ng nu\u00f4i c\u1ea5y vi khu\u1ea9n<\/h4>\n\n\n\n

    L\u1ea5y m\u1eabu m\u00f4 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y \u0111\u1ec3 t\u00ecm s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n. Trong ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m HP, nu\u00f4i c\u1ea5y l\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u nh\u1ea5t. Nu\u00f4i c\u1ea5y c\u00f2n cho bi\u1ebft m\u1eadt \u0111\u1ed9 c\u1ee7a vi khu\u1ea9 HP, c\u1ea5u tr\u00fac gen c\u1ee7a c\u00e1c ch\u1ee7ng HP kh\u00e1c nhau v\u00e0 bi\u1ebft d\u1ea1ng h\u00ecnh c\u1ea7u c\u1ee7a HP <\/p>\n\n\n\n

    Tuy nhi\u00ean, x\u00e9t nghi\u1ec7m n\u00e0y \u00edt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n tr\u00ean th\u1ef1c t\u1ebf m\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nhi\u1ec1u trong c\u00e1c nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u00ec hi\u1ec7n t\u1ea1i \u0111\u00e3 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u01a1n gi\u1ea3n h\u01a1n, d\u1ec5 \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i h\u01a1n. <\/p>\n\n\n\n

    Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb th\u1ea5t b\u1ea1i, nu\u00f4i c\u1ea5y vi khu\u1ea9n l\u00e0m kh\u00e1ng sinh \u0111\u1ed3 c\u00f3 \u00edch \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p v\u00e0 l\u00e0 m\u1ed9t trong c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c c\u1ee7a vi khu\u1ea9n \u0111\u1ed1i v\u1edbi kh\u00e1ng sinh.<\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m c\u00f3 \u0111\u1ed9 nh\u1ea1y 98%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 95-100%<\/em><\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m vi khu\u1ea9n HP b\u1eb1ng PCR (Polymerase Chained Reaction)<\/h4>\n\n\n\n

    Nhi\u1ec5m vi khu\u1ea9n HP c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y nh\u1edd vi\u1ec7c khu\u1ebfch \u0111\u1ea1i nh\u1eefng chu\u1ed7i gen quan tr\u1ecdng c\u1ee7a ch\u00fang d\u1ef1a tr\u00ean c\u00e1c AND thu th\u1eadp \u0111\u01b0\u1ee3c t\u1eeb m\u1eabu m\u00f4 \u1edf d\u1ea1 d\u00e0y. PCR \u0111\u1ecbnh ra \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac gen \u1edf c\u00e1c ch\u1ee7ng vi khu\u1ea9n HP c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh c\u0169ng nh\u01b0 gi\u00fap t\u00ecm ra gen \u0111\u1ed9t bi\u1ebfn t\u1ea1o ra s\u1ef1 kh\u00e1ng thu\u1ed1c c\u1ee7a vi khu\u1ea9n.<\/p>\n\n\n\n

    Do chi ph\u00ed cao, m\u00e1y \u0111\u1eaft ti\u1ec1n, \u0111\u00f2i h\u1ecfi nh\u00e2n vi\u00ean x\u00e9t nghi\u1ec7m l\u00e0nh ngh\u1ec1 n\u00ean k\u1ef9 thu\u1eadt n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn l\u1eafm \u1edf Vi\u1ec7t Nam, nh\u1ea5t l\u00e0 \u1edf c\u00e1c v\u00f9ng s\u00e2u, v\u00f9ng xa. <\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 \u0111\u1ed9 nh\u1ea1y 80-97% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 83- 100%.<\/em><\/p>\n\n\n\n

    K\u1ebft lu\u1eadn<\/h2>\n\n\n\n

    Nhi\u1ec5m vi khu\u1ea9n HP r\u1ea5t ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng v\u00e0 ch\u00fang l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y vi\u00eam d\u1ea1 d\u00e0y, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng v\u00e0 ung th\u01b0 d\u1ea1 d\u00e0y. HP l\u00e0 lo\u1ea1i vi khu\u1ea9n d\u1ec5 thay \u0111\u1ed5i do \u0111\u00f3 d\u00f9 hi\u1ec7n nay c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n nh\u01b0ng c\u00e1ch n\u00e0o c\u0169ng c\u00f3 m\u1eb7t \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a n\u00f3. H\u00e3y \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 t\u01b0 v\u1ea5n, th\u0103m kh\u00e1m v\u00e0 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m c\u0169ng nh\u01b0 l\u1ed9 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t<\/p>\n\n\n\n

    \n\n\n\n

    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 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\n\n\n\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong>:<\/p>\n\n\n\n

    1. PH\u01af\u01a0NG PH\u00c1P CH\u1ea8N \u0110O\u00c1N NHI\u1ec4M HELICOBACTER PYLORI, BS CKII L\u00c2M V\u00d5 H\u00d9NG<\/li>
    2. Toronto note 2020, 36th Edition, pp.G11<\/li>
    3. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m Helicobacter pylori<\/em>, \u0110i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ed9i khoa, tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/li><\/ol>\n\n\n\n

      C\u00f3 th\u1ec3 b\u1ea1n quan t\u00e2m<\/strong><\/p>\n\n\n","protected":false},"excerpt":{"rendered":"

      Khi n\u00e0o c\u1ea7n ph\u1ea3i x\u00e9t nghi\u1ec7m vi khu\u1ea9n HP? Hi\u1ec7n nay, t\u1ef7 l\u1ec7 nhi\u1ec5m vi khu\u1ea9n HP (Helicobacter pylori) l\u00e0 r\u1ea5t cao. T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi (WHO) x\u1ebfp vi khu\u1ea9n HP l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y vi\u00eam d\u1ea1 d\u00e0y, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng v\u00e0 ung th\u01b0 d\u1ea1 d\u00e0y. V\u00ec […]<\/p>\n","protected":false},"author":7,"featured_media":89041,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[17,11],"tags":[],"class_list":["post-103488","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-truyen-nhiem","category-xet-nghiem"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/xet-nghiem-v-khuan-hp-2-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/xet-nghiem-v-khuan-hp-2-600x600.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\/103488","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=103488"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103488\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89041"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103488"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103488"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}