{"id":22315,"date":"2021-07-29T09:54:44","date_gmt":"2021-07-29T02:54:44","guid":{"rendered":"https:\/\/e1ship.com\/?p=22315"},"modified":"2024-09-10T09:54:49","modified_gmt":"2024-09-10T02:54:49","slug":"khoa-gan-mat","status":"publish","type":"post","link":"https:\/\/e1ship.com\/khoa-gan-mat.html","title":{"rendered":"KHOA GAN M\u1eacT"},"content":{"rendered":"

I. GI\u1edaI THI\u1ec6U<\/strong><\/h2>\n

1. T\u1ed5ng quan<\/strong><\/h3>\n

Khoa Gan m\u1eadt – B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp v\u00e0o th\u00e1ng 6 n\u0103m 2007 v\u1edbi s\u1ee9 m\u1ec7nh l\u00e0 \u0111\u01a1n v\u1ecb ti\u00ean phong t\u1ea1i Vi\u1ec7t Nam trong l\u0129nh v\u1ef1c Gan m\u1eadt Nhi khoa nh\u1eb1m nghi\u00ean c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u1ec1 chuy\u00ean ng\u00e0nh Gan m\u1eadt Nhi nh\u01b0: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd gan m\u1eadt c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh; c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh thu\u1ed9c h\u1ec7 th\u1ed1ng gan m\u1eadt; c\u00e1c b\u1ec7nh l\u00fd gan do r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 di truy\u1ec1n, t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc v\u00e0 sau gh\u00e9p gan,\u2026<\/p>\n

Qua h\u01a1n 14 n\u0103m x\u00e2y d\u1ef1ng v\u00e0 tr\u01b0\u1edfng th\u00e0nh, t\u1eeb \u0110\u01a1n nguy\u00ean Gan m\u1eadt thu\u1ed9c Khoa Ti\u00eau ho\u00e1 ch\u1ec9 v\u1edbi 10 gi\u01b0\u1eddng b\u1ec7nh v\u00e0 03 y b\u00e1c s\u0129, t\u1edbi nay \u0111\u1ed9i ng\u0169 21 y b\u00e1c s\u0129 c\u1ee7a Khoa \u0111\u00e3 v\u1eadn h\u00e0nh 45 gi\u01b0\u1eddng b\u1ec7nh, \u0111i\u1ec1u tr\u1ecb cho g\u1ea7n 50.000 l\u01b0\u1ee3t b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa v\u00e0 h\u01a1n 150.000 l\u01b0\u1ee3t b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa t\u1eeb kh\u1eafp c\u00e1c t\u1ec9nh, th\u00e0nh trong c\u1ea3 n\u01b0\u1edbc v\u00e0 c\u00e1c n\u01b0\u1edbc b\u1ea1n. \u0110\u1ea3m nh\u1eadn tr\u1ecdng tr\u00e1ch v\u1ec1 chuy\u00ean m\u00f4n l\u00e0 \u0111\u1ed9i ng\u0169 c\u00e1c chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh Gan m\u1eadt nhi v\u00e0 c\u00e1c y t\u00e1, b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 b\u1ec1 d\u00e0y kinh nghi\u1ec7m, nhi\u1ec7t t\u00ecnh v\u00e0 t\u00e2m huy\u1ebft v\u1edbi c\u00f4ng vi\u1ec7c.<\/p>\n

T\u1ea1i \u0111\u00e2y, b\u1eb1ng tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao v\u00e0 t\u1eadn t\u00ecnh c\u1ee7a c\u00e1c b\u00e1c s\u0129, s\u1ef1 ch\u0103m s\u00f3c \u00e2n c\u1ea7n chu \u0111\u00e1o c\u1ee7a \u0111\u1ed9i ng\u0169 \u0111i\u1ec1u d\u01b0\u1ee1ng, nh\u1eefng b\u1ec7nh nhi kh\u00f4ng may m\u1eafc c\u00e1c b\u1ec7nh gan m\u1eadt lu\u00f4n \u0111\u01b0\u1ee3c nh\u1eadn nh\u1eefng d\u1ecbch v\u1ee5 y t\u1ebf chuy\u00ean nghi\u1ec7p v\u1edbi ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t nh\u1ea5t, kh\u00f4ng ch\u1ec9 trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa m\u00e0 c\u00f2n trong su\u1ed1t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, kh\u00f4ng ch\u1ec9 v\u1ec1 m\u1eb7t s\u1ee9c kho\u1ebb m\u00e0 c\u00f2n \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 v\u1ec1 c\u1ea3 tinh th\u1ea7n. Ch\u00ednh v\u00ec th\u1ebf, Khoa Gan m\u1eadt – B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng trong su\u1ed1t nh\u1eefng n\u0103m qua lu\u00f4n l\u00e0 \u0111\u1ecba ch\u1ec9 tin c\u1eady c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd gan m\u1eadt.<\/p>\n

– \u0110\u1ecba ch\u1ec9:<\/strong> T\u1ea7ng 6 nh\u00e0 15 t\u1ea7ng B\u1ec7nh vi\u1ec7n Nhi Trung \u01af\u01a1ng. 18\/879 La Th\u00e0nh, Ph\u01b0\u1eddng L\u00e1ng Th\u01b0\u1ee3ng, Qu\u1eadn \u0110\u1ed1ng \u0110a, H\u00e0 N\u1ed9i.<\/p>\n

– S\u0111t:<\/strong> 024 6273 8846<\/a>\u00a0\/\u00a0086 823 7972<\/a><\/p>\n

2. \u0110\u1ed9i ng\u0169 chuy\u00ean gia<\/strong><\/h3>\n

C\u00e1c y b\u00e1c s\u0129 tr\u1ef1c ti\u1ebfp tham gia \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111\u1ec1u l\u00e0 c\u00e1c c\u00e1n b\u1ed9 y t\u1ebf chuy\u00ean nghi\u1ec7p. \u0110\u1ed9i ng\u0169 b\u00e1c s\u0129 g\u1ed3m c\u00e1c Ti\u1ebfn s\u0129, Th\u1ea1c s\u0129 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc, gi\u00e0u nhi\u1ec7t huy\u1ebft v\u00e0 c\u00f3 nhi\u1ec1u kinh nghi\u1ec7m trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd chuy\u00ean khoa Gan m\u1eadt c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh.<\/p>\n

\u0110\u1ed9i ng\u0169 \u0110i\u1ec1u d\u01b0\u1ee1ng c\u00f3 tr\u00ecnh \u0111\u1ed9 cao v\u00e0 nhi\u1ec1u n\u0103m kinh nghi\u1ec7m, lu\u00f4n chuy\u00ean nghi\u1ec7p trong c\u00f4ng t\u00e1c chuy\u00ean m\u00f4n, nhi\u1ec7t t\u00ecnh trong c\u00f4ng vi\u1ec7c, s\u1eb5n s\u00e0ng chia s\u1ebb v\u00e0 c\u1ea3m th\u00f4ng v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n.<\/p>\n

II. C\u00c1C B\u1ec6NH L\u00dd TH\u01af\u1edcNG G\u1eb6P<\/strong><\/h2>\n

1. T\u1ed5n th\u01b0\u01a1ng gan c\u1ea5p<\/strong><\/h3>\n

– Vi\u00eam gan c\u1ea5p do virus CMV, EBV, HBV\u2026<\/p>\n

– T\u1ed5n th\u01b0\u01a1ng gan do ng\u1ed9 \u0111\u1ed9c<\/p>\n

– T\u1ed5n th\u01b0\u01a1ng gan th\u1ee9 ph\u00e1t sau nhi\u1ec5m tr\u00f9ng<\/p>\n

– Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt<\/p>\n

– \u1ee8 \u0111\u1ecdng s\u1eafc t\u1ed1 s\u1eaft \u1edf tr\u1ebb s\u01a1 sinh (Neonatal Hemochromatosis)\u2026<\/p>\n

– Suy gan c\u1ea5p v\u00e0 t\u1ed1i c\u1ea5p do c\u00e1c nguy\u00ean nh\u00e2n\u2026<\/p>\n

2. C\u00e1c b\u1ec7nh gan m\u1ea1n t\u00ednh<\/strong><\/h3>\n

– Vi\u00eam gan B m\u1ea1n t\u00ednh<\/p>\n

– X\u01a1 gan v\u00e0 b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i<\/p>\n

– X\u01a1 gan b\u1ea9m sinh<\/p>\n

– T\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda<\/p>\n

– Vi\u00eam x\u01a1 \u0111\u01b0\u1eddng m\u1eadt ti\u00ean ph\u00e1t<\/p>\n

– B\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<\/p>\n

– Vi\u00eam gan t\u1ef1 mi\u1ec5n<\/p>\n

– U m\u00e1u gan\u2026<\/p>\n

3. B\u1ec7nh l\u00fd gan m\u1eadt b\u1ea9m sinh<\/strong><\/h3>\n

– Teo m\u1eadt b\u1ea9m sinh<\/p>\n

– U nang \u1ed1ng m\u1eadt ch\u1ee7<\/p>\n

– X\u01a1 gan b\u1ea9m sinh<\/p>\n

– D\u1ecb d\u1ea1ng m\u1ea1ch gan – t\u0129nh m\u1ea1ch c\u1eeda<\/p>\n

– Gan \u0111a nang<\/p>\n

– H\u1ed9i ch\u1ee9ng Caroli…<\/p>\n

4. B\u1ec7nh gan do chuy\u1ec3n ho\u00e1 di truy\u1ec1n<\/strong><\/h3>\n

– B\u1ec7nh l\u00fd Glycogenose<\/p>\n

– Thi\u1ebfu h\u1ee5t citrin b\u1ea9m sinh<\/p>\n

– B\u1ec7nh l\u00fd Wilson<\/p>\n

– V\u00e0ng da \u1ee9 m\u1eadt c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh (PFIC)<\/p>\n

– H\u1ed9i ch\u1ee9ng Caroli<\/p>\n

– H\u1ed9i ch\u1ee9ng ARC<\/p>\n

– R\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 acid m\u1eadt\u2026.<\/p>\n

III. C\u00c1C D\u1ecaCH V\u1ee4 \u0110ANG TH\u1ef0C HI\u1ec6N<\/strong><\/h2>\n

– Sinh thi\u1ebft gan v\u00e0 sinh thi\u1ebft u gan ch\u1ea9n \u0111o\u00e1n<\/p>\n

– \u0110i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p u m\u00e1u gan ph\u1ee9c t\u1ea1p<\/p>\n

– Ph\u1ed1i h\u1ee3p \u0110\u01a1n v\u1ecb Ph\u1eabu thu\u1eadt Gan m\u1eadt tu\u1ef5 v\u00e0 \u0110\u01a1n v\u1ecb N\u1ed9i soi Ti\u00eau ho\u00e1 \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 cho c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda<\/p>\n

– Ph\u1ed1i h\u1ee3p Khoa Di truy\u1ec1n ph\u00e2n t\u1eed ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m di truy\u1ec1n ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd gan m\u1eadt do nguy\u00ean nh\u00e2n di truy\u1ec1n nh\u01b0 Glycogenose, Wilson, thi\u1ebfu h\u1ee5t citrin b\u1ea9m sinh, v\u00e0ng da \u1ee9 m\u1eadt c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh,\u2026<\/p>\n

– C\u00f9ng c\u00e1c Khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n hi\u1ec7n \u0111\u1ea1i trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u01b0 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111\u01b0\u1eddng m\u1eadt, ch\u1ee5p MSCT ch\u1ea9n \u0111o\u00e1n c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb d\u1ea1ng m\u1ea1ch gan – t\u0129nh m\u1ea1ch c\u1eeda, vi\u00eam x\u01a1 \u0111\u01b0\u1eddng m\u1eadt, h\u1ed9i ch\u1ee9ng Caroli, si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 kh\u1ea3o s\u00e1t s\u1ef1 x\u01a1 ho\u00e1 c\u1ee7a gan, \u0111\u00e1nh gi\u00e1 gan nhi\u1ec5m m\u1ee1,\u2026<\/p>\n

– \u1ee8ng d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt ho\u00e1 m\u00f4 mi\u1ec5n d\u1ecbch hi\u1ec7n \u0111\u1ea1i trong ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd x\u01a1 gan b\u1ea9m sinh, vi\u00eam gan t\u1ef1 mi\u1ec5n, c\u00e1c th\u1ec3 b\u1ec7nh PFIC, vi\u00eam gan CMV, u m\u00e1u Kaposi,\u2026.<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt Kasai cho tr\u1ebb teo m\u1eadt b\u1ea9m sinh<\/p>\n

– S\u1eed d\u1ee5ng t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n song song v\u1edbi ph\u1eabu thu\u1eadt Kasai h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n teo \u0111\u01b0\u1eddng m\u1eadt b\u1ea9m sinh<\/p>\n

– S\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p y\u1ebfu t\u1ed1 k\u00edch th\u00edch d\u00f2ng b\u1ea1ch c\u1ea7u h\u1ea1t h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb tr\u1ebb teo \u0111\u01b0\u1eddng m\u1eadt b\u1ea9m sinh<\/p>\n

– Gh\u00e9p gan \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh nh\u00e2n suy gan t\u1ed1i c\u1ea5p v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh gan giai \u0111o\u1ea1n cu\u1ed1i<\/p>\n

– V\u1edbi kinh nghi\u1ec7m gh\u00e9p gan t\u1eeb n\u0103m 2005, B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng l\u00e0 \u0111\u01a1n v\u1ecb \u0111i \u0111\u1ea7u trong gh\u00e9p gan Nhi khoa v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p gh\u00e9p gan c\u1ea5p c\u1ee9u; gh\u00e9p gan cho tr\u1ebb c\u00f3 tu\u1ed5i \u0111\u1eddi nh\u1ecf nh\u1ea5t v\u00e0 tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng th\u1ea5p nh\u1ea5t; gh\u00e9p gan cho c\u00e1c c\u1eb7p gh\u00e9p kh\u00e1c nh\u00f3m m\u00e1u v\u00e0 gh\u00e9p b\u1ea5t \u0111\u1ed3ng nh\u00f3m m\u00e1u.<\/p>\n

1. Kh\u00e1m b\u1ec7nh ban \u0111\u1ea7u v\u00e0 kh\u00e1m chuy\u00ean khoa<\/strong><\/h3>\n

D\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh v\u00e0 kh\u00e1m chuy\u00ean khoa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m thu\u1ed9c Khoa Kh\u00e1m b\u1ec7nh Chuy\u00ean khoa v\u00e0 Khoa Kh\u00e1m b\u1ec7nh \u0110a khoa.<\/p>\n

– Ph\u00f2ng kh\u00e1m C103 t\u1ea1i Khoa Kh\u00e1m b\u1ec7nh Chuy\u00ean khoa<\/p>\n

– Ph\u00f2ng kh\u00e1m C104 t\u1ea1i Khoa Kh\u00e1m b\u1ec7nh Chuy\u00ean khoa<\/p>\n

– Ph\u00f2ng kh\u00e1m s\u1ed1 19 t\u1ea1i Khoa Kh\u00e1m b\u1ec7nh \u0110a khoa<\/p>\n

2. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa<\/strong><\/h3>\n

Khoa Gan m\u1eadt ti\u1ebfp nh\u1eadn \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd Gan m\u1eadt c\u1ea7n s\u1ef1 ch\u0103m s\u00f3c v\u1ec1 y khoa t\u1ea1i B\u1ec7nh vi\u1ec7n. Nh\u1edd th\u1ebf m\u1ea1nh c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 t\u1eeb h\u1ec7 th\u1ed1ng ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u1ea1t ti\u00eau chu\u1ea9n ISO 2014 c\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m gan m\u1eadt chuy\u00ean s\u00e2u t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng, \u0111\u1ed9i ng\u0169 chuy\u00ean gia m\u1ea1nh v\u1edbi \u0111\u1ee7 c\u00e1c chuy\u00ean ng\u00e0nh nh\u01b0 huy\u1ebft h\u1ecdc, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, th\u1eadn ti\u1ebft ni\u1ec7u, ung th\u01b0, h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, \u0110\u01a1n v\u1ecb Ph\u1eabu thu\u1eadt Gan m\u1eadt tu\u1ef5 – Trung t\u00e2m Ngo\u1ea1i nhi,\u2026 n\u00ean c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng c\u00e1c nhu c\u1ea7u ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd gan m\u1eadt tr\u1ebb em.<\/p>\n

Trong nh\u1eefng n\u0103m qua, Khoa Gan m\u1eadt – B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng \u0111\u00e3 t\u1eadp trung nghi\u00ean c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh l\u00fd gan tr\u1ebb em ph\u1ee9c t\u1ea1p. Trung b\u00ecnh h\u00e0ng n\u0103m, ch\u00fang t\u00f4i ph\u1eabu thu\u1eadt Kasai cho g\u1ea7n 100 b\u1ec7nh nh\u00e2n teo m\u1eadt b\u1ea9m sinh, nhi\u1ec1u b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd gan m\u1eadt hi\u1ec3m ngh\u00e8o nh\u01b0 suy gan c\u1ea5p v\u00e0 t\u1ed1i c\u1ea5p, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a citrin, c\u00e1c b\u1ec7nh gan do r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 n\u1eb7ng do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, u m\u00e1u gan kh\u1ed5ng l\u1ed3,\u2026 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 k\u1ecbp th\u1eddi c\u1ee9u s\u1ed1ng nh\u1edd s\u1ef1 t\u1eadn t\u00e2m v\u00e0 chuy\u00ean nghi\u1ec7p c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 c\u1ee7a ch\u00fang t\u00f4i.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa<\/strong><\/h3>\n

\u0110\u1ec3 ph\u1ee5c v\u1ee5 c\u00e1c b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, khoa hi\u1ec7n c\u00f3 03 ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa l\u00e0m vi\u1ec7c t\u1ea5t c\u1ea3 c\u00e1c ng\u00e0y trong tu\u1ea7n. Hi\u1ec7n c\u00f3 h\u01a1n 1.000 b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd gan m\u1eadt m\u1ea1n t\u00ednh t\u1ea1i kh\u1eafp c\u00e1c v\u00f9ng mi\u1ec1n tr\u00ean c\u1ea3 n\u01b0\u1edbc \u0111ang \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa Gan m\u1eadt.<\/p>\n

T\u1ea1i ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa, c\u00e1c b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c nhu c\u1ea7u kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 t\u01b0 v\u1ea5n t\u1eadn t\u00ecnh b\u1edfi c\u00e1c b\u00e1c s\u1ef9 chuy\u00ean ng\u00e0nh c\u00f3 kinh nghi\u1ec7m theo c\u1ea3 hai ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf v\u00e0 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ef1 nguy\u1ec7n.<\/p>\n

4. H\u1ed9i ch\u1ea9n li\u00ean khoa v\u00e0 tr\u1ef1c tuy\u1ebfn<\/strong><\/h3>\n

Nh\u1eb1m \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh, nh\u1eefng ca b\u1ec7nh ph\u1ee9c t\u1ea1p t\u1ea1i ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa, b\u1ec7nh nh\u00e2n h\u1ed9i ch\u1ea9n chuy\u00ean khoa, h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n,\u2026 s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c h\u1ed9i ch\u1ea9n chuy\u00ean s\u00e2u b\u1edfi c\u00e1c chuy\u00ean gia v\u00e0o ng\u00e0y h\u1ed9i ch\u1ea9n li\u00ean khoa nh\u1eb1m th\u1ea3o lu\u1eadn v\u00e0 quy\u1ebft \u0111\u1ecbnh v\u1ec1 ch\u1ea9n \u0111o\u00e1n, ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, l\u1ecbch ph\u1eabu thu\u1eadt c\u0169ng nh\u01b0 k\u1ebf ho\u1ea1ch theo d\u00f5i,… cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

C\u00f4ng t\u00e1c h\u1ed9i ch\u1ea9n Telehealth v\u00e0 t\u01b0 v\u1ea5n tr\u1ef1c ti\u1ebfp tr\u00ean t\u1eebng ca b\u1ec7nh c\u0169ng th\u01b0\u1eddng xuy\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 h\u1ed7 tr\u1ee3 chuy\u00ean m\u00f4n cho tuy\u1ebfn d\u01b0\u1edbi.<\/p>\n

5. Ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c c\u00e2u l\u1ea1c b\u1ed9 b\u1ec7nh nh\u00e2n<\/strong><\/h3>\n

Nh\u1eb1m cung c\u1ea5p c\u00e1c ki\u1ebfn th\u1ee9c c\u1ea7n thi\u1ebft v\u00e0 gi\u00e1o d\u1ee5c s\u1ee9c kho\u1ebb cho b\u1ec7nh nhi v\u00e0 cha m\u1eb9, Khoa Gan m\u1eadt \u0111\u1ecbnh k\u1ef3 t\u1ed5 ch\u1ee9c c\u00e1c bu\u1ed5i sinh ho\u1ea1t C\u00e2u l\u1ea1c b\u1ed9 b\u1ec7nh nh\u00e2n Wilson, C\u00e2u l\u1ea1c b\u1ed9 b\u1ec7nh nh\u00e2n teo m\u1eadt b\u1ea9m sinh, b\u1ec7nh nh\u00e2n thi\u1ebfu h\u1ee5t citrin b\u1ea9m sinh,\u2026 Kh\u00f4ng ch\u1ec9 l\u00e0 n\u01a1i ph\u1ed5 bi\u1ebfn c\u00e1c kinh nghi\u1ec7m trong ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u1ebb c\u00f3 b\u1ec7nh l\u00fd gan m\u1eadt, \u0111\u00e2y c\u00f2n l\u00e0 n\u01a1i g\u1eb7p g\u1ee1 v\u00e0 chia s\u1ebb c\u1ee7a c\u00e1c gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

6. Trang thi\u1ebft b\u1ecb c\u00f4ng ngh\u1ec7, c\u01a1 s\u1edf v\u1eadt ch\u1ea5t<\/strong><\/h3>\n

Ch\u00fa tr\u1ecdng \u0111\u1ea7u t\u01b0, \u0111\u1ed5i m\u1edbi trang thi\u1ebft b\u1ecb y t\u1ebf nh\u1eb1m mang l\u1ea1i hi\u1ec7u qu\u1ea3 cao nh\u1ea5t trong c\u00f4ng t\u00e1c kh\u00e1m, ch\u1eefa b\u1ec7nh.<\/p>\n

\u1ee8ng d\u1ee5ng h\u1ec7 th\u1ed1ng trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, \u1ee9ng d\u1ee5ng c\u00e1c c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn nh\u01b0 h\u1ec7 th\u1ed1ng m\u00e1y MSCT 128 d\u00e3y v\u00e0 256 d\u00e3y, m\u00e1y MRI 1.5 Tesla, si\u00eau \u00e2m \u0111\u1ed9 \u0111\u00e0n h\u1ed3i m\u00f4,\u2026 hi\u1ec7u qu\u1ea3 trong ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

I. GI\u1edaI THI\u1ec6U 1. T\u1ed5ng quan Khoa Gan m\u1eadt – B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp v\u00e0o th\u00e1ng 6 n\u0103m 2007 v\u1edbi s\u1ee9 m\u1ec7nh l\u00e0 \u0111\u01a1n v\u1ecb ti\u00ean phong t\u1ea1i Vi\u1ec7t Nam trong l\u0129nh v\u1ef1c Gan m\u1eadt Nhi khoa nh\u1eb1m nghi\u00ean c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u1ec1 chuy\u00ean ng\u00e0nh Gan m\u1eadt Nhi […]<\/p>\n","protected":false},"author":3,"featured_media":22295,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[181],"tags":[],"class_list":["post-22315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chuyen-khoa"],"yoast_head":"\nKHOA GAN M\u1eacT | B\u1ec6NH VI\u1ec6N NHI TRUNG \u01af\u01a0NG<\/title>\n<meta name=\"description\" content=\"Khoa Gan m\u1eadt B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u00e0nh 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