{"id":181319,"date":"2026-10-18T08:26:51","date_gmt":"2026-10-18T01:26:51","guid":{"rendered":"https:\/\/www.docosan.com\/blog\/?p=181319"},"modified":"2026-10-18T08:27:36","modified_gmt":"2026-10-18T01:27:36","slug":"cat-khoi-ta-tuy-quy","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/noi-tiet-tieu-duong\/cat-khoi-ta-tuy-quy\/","title":{"rendered":"Ph\u1eabu thu\u1eadt c\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y: Quy tr\u00ecnh v\u00e0 l\u01b0u \u00fd quan tr\u1ecdng"},"content":{"rendered":"

C\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y l\u00e0 ph\u1eabu thu\u1eadt l\u1edbn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u1edbi kh\u1ed1i u v\u00f9ng \u0111\u1ea7u t\u1ee5y – t\u00e1 tr\u00e0ng. DiaB<\/a> cung c\u1ea5p th\u00f4ng tin gi\u00fap ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3u r\u00f5 quy tr\u00ecnh v\u00e0 l\u01b0u \u00fd c\u1ea7n thi\u1ebft.<\/p>\n

C\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y l\u00e0 g\u00ec?<\/h2>\n

C\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1eabu thu\u1eadt Whipple, l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt l\u1edbn nh\u1eb1m lo\u1ea1i b\u1ecf kh\u1ed1i u ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng n\u1eb1m \u1edf v\u00f9ng \u0111\u1ea7u t\u1ee5y – t\u00e1 tr\u00e0ng v\u00e0 c\u00e1c c\u01a1 quan li\u00ean quan. T\u00f9y v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc v\u00e0 m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, ph\u1ea1m vi c\u1eaft b\u1ecf c\u00f3 th\u1ec3 bao g\u1ed3m \u0111\u1ea7u t\u1ee5y, t\u00e1 tr\u00e0ng, m\u1ed9t ph\u1ea7n h\u1ed7ng tr\u00e0ng, \u0111o\u1ea1n th\u1ea5p \u1ed1ng m\u1eadt ch\u1ee7, t\u00fai m\u1eadt v\u00e0 c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft li\u00ean quan. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u1ea7n c\u1eaft th\u00eam m\u1ed9t ph\u1ea7n d\u1ea1 d\u00e0y ho\u1eb7c th\u00e2n t\u1ee5y.<\/p>\n

V\u00f9ng \u0111\u1ea7u t\u1ee5y c\u00f3 c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p, n\u1eb1m g\u1ea7n t\u00e1 tr\u00e0ng, \u0111\u01b0\u1eddng m\u1eadt v\u00e0 nhi\u1ec1u m\u1ea1ch m\u00e1u l\u1edbn. T\u1ee5y \u0111\u1ea3m nhi\u1ec7m vai tr\u00f2 quan tr\u1ecdng trong ti\u00eau h\u00f3a v\u00e0 chuy\u1ec3n h\u00f3a, trong khi t\u00e1 tr\u00e0ng ti\u1ebfp nh\u1eadn d\u1ecbch m\u1eadt v\u00e0 d\u1ecbch t\u1ee5y \u0111\u1ec3 h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh ti\u00eau h\u00f3a th\u1ee9c \u0103n. V\u00ec v\u1eady, khi xu\u1ea5t hi\u1ec7n kh\u1ed1i u ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng t\u1ea1i khu v\u1ef1c n\u00e0y, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n.<\/p>\n

Sau khi lo\u1ea1i b\u1ecf ph\u1ea7n t\u1ed5n th\u01b0\u01a1ng, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh t\u00e1i l\u1eadp l\u01b0u th\u00f4ng ti\u00eau h\u00f3a th\u00f4ng qua c\u00e1c mi\u1ec7ng n\u1ed1i. Th\u00f4ng th\u01b0\u1eddng g\u1ed3m n\u1ed1i t\u1ee5y v\u1edbi ru\u1ed9t, n\u1ed1i \u0111\u01b0\u1eddng m\u1eadt v\u1edbi ru\u1ed9t v\u00e0 n\u1ed1i d\u1ea1 d\u00e0y v\u1edbi ru\u1ed9t. \u0110\u00e2y c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng l\u00fd do khi\u1ebfn ph\u1eabu thu\u1eadt Whipple \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 k\u1ef9 thu\u1eadt ph\u1ee9c t\u1ea1p.<\/p>\n

M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 lo\u1ea1i b\u1ecf t\u1ed5n th\u01b0\u01a1ng, h\u1ea1n ch\u1ebf s\u1ef1 ph\u00e1t tri\u1ec3n ho\u1eb7c x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u sang c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn, \u0111\u1ed3ng th\u1eddi t\u00e1i l\u1eadp ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 ti\u00eau h\u00f3a. \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 v\u00f9ng \u0111\u1ea7u t\u1ee5y – t\u00e1 tr\u00e0ng c\u00f2n kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt tri\u1ec7t c\u0103n, \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng.<\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu v\u00f9ng \u0111\u1ea7u t\u1ee5y t\u00e1 tr\u00e0ng v\u00e0 \u0111\u01b0\u1eddng m\u1eadt trong \u1ed5 b\u1ee5ng<\/figcaption><\/figure>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y hi\u1ec7n nay<\/h2>\n

T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh, k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed kh\u1ed1i u, kh\u1ea3 n\u0103ng x\u00e2m l\u1ea5n c\u0169ng nh\u01b0 th\u1ec3 tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, b\u00e1c s\u0129 s\u1ebd l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p. Hai ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp g\u1ed3m m\u1ed5 m\u1edf v\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi.<\/p>\n

Ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf<\/h3>\n

M\u1ed5 m\u1edf l\u00e0 ph\u01b0\u01a1ng ph\u00e1p kinh \u0111i\u1ec3n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ti\u1ebfp c\u1eadn r\u1ed9ng v\u00f9ng \u1ed5 b\u1ee5ng. B\u00e1c s\u0129 t\u1ea1o \u0111\u01b0\u1eddng m\u1ed5 \u0111\u1ee7 l\u1edbn \u0111\u1ec3 quan s\u00e1t v\u00e0 thao t\u00e1c tr\u1ef1c ti\u1ebfp tr\u00ean c\u00e1c c\u01a1 quan c\u1ea7n ph\u1eabu t\u00edch, c\u1eaft b\u1ecf.<\/p>\n

Trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n, ph\u1eabu thu\u1eadt vi\u00ean c\u1ea7n x\u1eed l\u00fd nhi\u1ec1u c\u1ea5u tr\u00fac quan tr\u1ecdng nh\u01b0 \u0111\u1ea7u t\u1ee5y, t\u00e1 tr\u00e0ng, \u0111\u01b0\u1eddng m\u1eadt v\u00e0 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u li\u00ean quan. \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u1ed1i u c\u00f3 li\u00ean quan \u0111\u1ebfn m\u1ea1ch m\u00e1u l\u1edbn, vi\u1ec7c ph\u1eabu t\u00edch v\u00e0 x\u1eed l\u00fd t\u1ed5n th\u01b0\u01a1ng c\u00e0ng \u0111\u00f2i h\u1ecfi chuy\u00ean m\u00f4n cao.<\/p>\n

Theo t\u00e0i li\u1ec7u tham kh\u1ea3o, ph\u1eabu thu\u1eadt n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa ti\u00eau h\u00f3a ho\u1eb7c gan m\u1eadt t\u1ee5y c\u00f3 kinh nghi\u1ec7m, \u0111\u1ed3ng th\u1eddi c\u01a1 s\u1edf y t\u1ebf ph\u1ea3i c\u00f3 \u0111\u1ea7y \u0111\u1ee7 ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ea1i ph\u1eabu, d\u1ee5ng c\u1ee5 m\u1ea1ch m\u00e1u v\u00e0 h\u1ec7 th\u1ed1ng g\u00e2y m\u00ea h\u1ed3i s\u1ee9c ph\u00f9 h\u1ee3p.<\/p>\n

\"Ph\u1eabu
Ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf c\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y t\u1ea1i v\u00f9ng b\u1ee5ng<\/figcaption><\/figure>\n

Ph\u1eabu thu\u1eadt m\u1ed5 n\u1ed9i soi c\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y<\/h3>\n

Ph\u1eabu thu\u1eadt n\u1ed9i soi s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng camera v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 quan s\u00e1t c\u0169ng nh\u01b0 thao t\u00e1c b\u00ean trong \u1ed5 b\u1ee5ng th\u00f4ng qua c\u00e1c \u0111\u01b0\u1eddng v\u00e0o nh\u1ecf h\u01a1n so v\u1edbi m\u1ed5 m\u1edf.<\/p>\n

Theo t\u00e0i li\u1ec7u tham kh\u1ea3o, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt, h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c v\u00e0 h\u1ea1n ch\u1ebf m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn v\u1ebft m\u1ed5. Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i ng\u01b0\u1eddi b\u1ec7nh n\u00e0o c\u0169ng ph\u00f9 h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt n\u1ed9i soi.<\/p>\n

Vi\u1ec7c l\u1ef1a ch\u1ecdn gi\u1eefa m\u1ed5 m\u1edf v\u00e0 n\u1ed9i soi c\u1ea7n d\u1ef1a tr\u00ean \u0111\u00e1nh gi\u00e1 c\u1ee5 th\u1ec3 c\u1ee7a b\u00e1c s\u0129. C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc kh\u1ed1i u, m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n, kh\u1ea3 n\u0103ng c\u1eaft b\u1ecf v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 \u0111\u1ec1u c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p.<\/p>\n

Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ph\u1eabu thu\u1eadt c\u1eaft kh\u1ed1i t\u00e1 t\u1ee5y<\/h2>\n

Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng t\u1ea1i t\u1ee5y, t\u00e1 tr\u00e0ng ho\u1eb7c \u0111\u01b0\u1eddng m\u1eadt \u0111\u1ec1u c\u1ea7n th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt Whipple. B\u00e1c s\u0129 s\u1ebd d\u1ef1a v\u00e0o k\u1ebft qu\u1ea3 th\u0103m kh\u00e1m, x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt.<\/p>\n

M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt g\u1ed3m:<\/p>\n