{"id":375,"date":"2026-07-29T09:48:05","date_gmt":"2026-07-29T09:48:05","guid":{"rendered":"http:\/\/localhost\/vietmediclinic\/?p=375"},"modified":"2026-10-06T04:21:54","modified_gmt":"2026-10-06T04:21:54","slug":"nhung-dieu-can-biet-de-phat-hien-som-va-dieu-tri-hieu-qua-viem-gan-b","status":"publish","type":"post","link":"https:\/\/view.vietmediclinic.com\/?p=375","title":{"rendered":"NH\u1eeeNG \u0110I\u1ec0U C\u1ea6N BI\u1ebeT \u0110\u1ec2 PH\u00c1T HI\u1ec6N S\u1edaM V\u00c0 \u0110I\u1ec0U TR\u1eca HI\u1ec6U QU\u1ea2 VI\u00caM GAN B"},"content":{"rendered":"

Vi\u00eam gan B l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi v\u00e0 c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn x\u01a1 gan, suy gan v\u00e0 ung th\u01b0 gan. \u0110i\u1ec1u \u0111\u00e1ng lo ng\u1ea1i l\u00e0 ph\u1ea7n l\u1edbn ng\u01b0\u1eddi m\u1eafc b\u1ec7nh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng trong nhi\u1ec1u n\u0103m, khi\u1ebfn vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng b\u1ecb tr\u00ec ho\u00e3n. <\/span><\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), n\u0103m 2022 c\u00f3 kho\u1ea3ng 254 tri\u1ec7u ng\u01b0\u1eddi \u0111ang s\u1ed1ng chung v\u1edbi vi\u00eam gan B m\u1ea1n t\u00ednh, \u0111\u1ed3ng th\u1eddi ghi nh\u1eadn kho\u1ea3ng 1,2 tri\u1ec7u ca nhi\u1ec5m m\u1edbi m\u1ed7i n\u0103m. B\u1ec7nh vi\u00eam gan B \u0111\u00e3 g\u00e2y ra kho\u1ea3ng 1,1 tri\u1ec7u ca t\u1eed vong trong n\u0103m 2022, ch\u1ee7 y\u1ebfu do x\u01a1 gan v\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan. <\/span><\/p>\n

T\u1ea1i Vi\u1ec7t Nam, vi\u00eam gan B v\u1eabn l\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng \u0111\u00e1ng quan t\u00e2m. Vi\u1ec7t Nam n\u1eb1m trong nh\u00f3m qu\u1ed1c gia c\u00f3 t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh virus vi\u00eam gan B cao \u1edf khu v\u1ef1c T\u00e2y Th\u00e1i B\u00ecnh D\u01b0\u01a1ng. Tuy nhi\u00ean, n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm, theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh, ng\u01b0\u1eddi b\u1ec7nh ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t virus, gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 duy tr\u00ec ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng l\u00e2u d\u00e0i. <\/span><\/p>\n

Vi\u00eam gan B l\u00e0 g\u00ec? <\/span><\/h2>\n

\"viem-gan-b-1\"<\/span><\/p>\n

Virus vi\u00eam gan B x\u00e2m nh\u1eadp g\u00e2y ra nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng gan<\/em> <\/span><\/p>\n

Vi\u00eam gan B l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus vi\u00eam gan B (Hepatitis B virus – HBV) g\u00e2y ra. Sau khi x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3, HBV ch\u1ee7 y\u1ebfu t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o gan, g\u00e2y vi\u00eam v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 gan. N\u1ebfu t\u00ecnh tr\u1ea1ng vi\u00eam k\u00e9o d\u00e0i m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, gan c\u00f3 th\u1ec3 b\u1ecb x\u01a1 h\u00f3a, d\u1eabn \u0111\u1ebfn x\u01a1 gan, suy gan ho\u1eb7c ung th\u01b0 gan.  <\/span><\/p>\n

Kh\u00e1c v\u1edbi nhi\u1ec1u b\u1ec7nh truy\u1ec1n nhi\u1ec5m kh\u00e1c, vi\u00eam gan B c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m trong th\u1eddi gian d\u00e0i. Nhi\u1ec1u ng\u01b0\u1eddi ch\u1ec9 t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n m\u00ecnh nhi\u1ec5m HBV khi kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc ph\u1eabu thu\u1eadt ho\u1eb7c trong qu\u00e1 tr\u00ecnh kh\u00e1m thai. <\/span><\/p>\n

B\u1ec7nh \u0111\u01b0\u1ee3c chia th\u00e0nh hai th\u1ec3 ch\u00ednh:  <\/span><\/p>\n

Vi\u00eam gan B c\u1ea5p t\u00ednh<\/span> <\/span><\/h3>\n

Vi\u00eam gan B c\u1ea5p t\u00ednh l\u00e0 giai \u0111o\u1ea1n x\u1ea3y ra trong v\u00f2ng 6 th\u00e1ng \u0111\u1ea7u sau khi nhi\u1ec5m virus. \u1ede ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch kh\u1ecfe m\u1ea1nh, kho\u1ea3ng 90-95% tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 t\u1ef1 \u0111\u00e0o th\u1ea3i virus, h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n v\u00e0 h\u00ecnh th\u00e0nh mi\u1ec5n d\u1ecbch t\u1ef1 nhi\u00ean. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn th\u00e0nh vi\u00eam gan t\u1ed1i c\u1ea5p g\u00e2y suy gan c\u1ea5p – t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u1ea9n c\u1ea5p. <\/span><\/p>\n

Vi\u00eam gan B m\u1ea1n t\u00ednh<\/span> <\/span><\/h3>\n

N\u1ebfu virus v\u1eabn t\u1ed3n t\u1ea1i trong c\u01a1 th\u1ec3 tr\u00ean 6 th\u00e1ng, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc vi\u00eam gan B m\u1ea1n t\u00ednh. \u0110\u00e2y l\u00e0 nh\u00f3m b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i l\u00e2u d\u00e0i v\u00ec virus v\u1eabn ti\u1ebfp t\u1ee5c nh\u00e2n l\u00ean v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan ti\u1ebfn tri\u1ec3n qua nhi\u1ec1u n\u0103m. <\/span><\/p>\n

Tuy nhi\u00ean kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B m\u1ea1n t\u00ednh \u0111\u1ec1u c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng virus. Quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 t\u1ea3i l\u01b0\u1ee3ng HBV DNA, men gan ALT, m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan, tu\u1ed5i, ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 c\u00e1c b\u1ec7nh l\u00fd \u0111i k\u00e8m. <\/span><\/p>\n

Vi\u00eam gan B nguy hi\u1ec3m nh\u01b0 th\u1ebf n\u00e0o? <\/span><\/h2>\n

M\u1ed9t trong nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m nguy hi\u1ec3m nh\u1ea5t c\u1ee7a vi\u00eam gan B l\u00e0 di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh trong nhi\u1ec1u n\u0103m d\u00f9 virus v\u1eabn \u0111ang g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 theo d\u00f5i \u0111\u00fang c\u00e1ch, b\u1ec7nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0: <\/span><\/p>\n

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

– X\u01a1 gan <\/span><\/p>\n

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

– Suy gan <\/span><\/p>\n

– Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan <\/span><\/p>\n

\"viem-gan-b-2\"<\/span><\/p>\n

Vi\u00eam gan B m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 <\/span><\/em><\/p>\n

Theo WHO, vi\u00eam gan B m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 gan tr\u00ean to\u00e0n c\u1ea7u. Nguy c\u01a1 n\u00e0y c\u00e0ng t\u0103ng n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed3ng th\u1eddi c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u bia, nhi\u1ec5m vi\u00eam gan C, gan nhi\u1ec5m m\u1ee1 ho\u1eb7c b\u00e9o ph\u00ec. <\/span><\/p>\n

\u0110i\u1ec1u \u0111\u00e1ng m\u1eebng l\u00e0 hi\u1ec7n nay \u0111\u00e3 c\u00f3 nhi\u1ec1u thu\u1ed1c kh\u00e1ng virus hi\u1ec7u qu\u1ea3 gi\u00fap \u1ee9c ch\u1ebf s\u1ef1 nh\u00e2n l\u00ean c\u1ee7a HBV, gi\u1ea3m nguy c\u01a1 x\u01a1 gan v\u00e0 ung th\u01b0 gan n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang th\u1eddi \u0111i\u1ec3m. <\/span><\/p>\n

Ai n\u00ean t\u1ea7m so\u00e1t vi\u00eam gan B? <\/span><\/h2>\n

Theo khuy\u1ebfn c\u00e1o c\u1ee7a B\u1ed9 Y t\u1ebf v\u00e0 c\u00e1c hi\u1ec7p h\u1ed9i gan m\u1eadt qu\u1ed1c t\u1ebf, nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng sau n\u00ean ch\u1ee7 \u0111\u1ed9ng x\u00e9t nghi\u1ec7m vi\u00eam gan B: <\/span><\/p>\n

– Ng\u01b0\u1eddi ch\u01b0a t\u1eebng x\u00e9t nghi\u1ec7m HBV. <\/span><\/p>\n

– Ng\u01b0\u1eddi s\u1ed1ng c\u00f9ng ho\u1eb7c c\u00f3 ng\u01b0\u1eddi th\u00e2n m\u1eafc vi\u00eam gan B. <\/span><\/p>\n

– Ph\u1ee5 n\u1eef \u0111ang mang thai ho\u1eb7c chu\u1ea9n b\u1ecb mang thai. <\/span><\/p>\n

– Nh\u00e2n vi\u00ean y t\u1ebf th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac v\u1edbi m\u00e1u v\u00e0 d\u1ecbch c\u01a1 th\u1ec3. <\/span><\/p>\n

– Ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u b\u1ea1n t\u00ecnh ho\u1eb7c quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n. <\/span><\/p>\n

– Ng\u01b0\u1eddi t\u1eebng truy\u1ec1n m\u00e1u, gh\u00e9p t\u1ea1ng ho\u1eb7c ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o. <\/span><\/p>\n

– Ng\u01b0\u1eddi s\u1eed d\u1ee5ng chung kim ti\u00eam ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed ti\u00eam ch\u00edch ma t\u00fay. <\/span><\/p>\n

– Ng\u01b0\u1eddi c\u00f3 men gan t\u0103ng k\u00e9o d\u00e0i kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. <\/span><\/p>\n

Vi\u1ec7c t\u1ea7m so\u00e1t s\u1edbm kh\u00f4ng ch\u1ec9 gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf giai \u0111o\u1ea1n ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng m\u00e0 c\u00f2n t\u1ea1o c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. <\/span><\/p>\n

Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n c\u1ee7a vi\u00eam gan B<\/span> <\/span><\/h2>\n

Virus vi\u00eam gan B c\u00f3 m\u1eb7t trong m\u00e1u v\u00e0 nhi\u1ec1u lo\u1ea1i d\u1ecbch c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh. HBV c\u00f3 kh\u1ea3 n\u0103ng t\u1ed3n t\u1ea1i ngo\u00e0i m\u00f4i tr\u01b0\u1eddng trong \u00edt nh\u1ea5t 7 ng\u00e0y, do \u0111\u00f3 v\u1eabn c\u00f3 th\u1ec3 g\u00e2y l\u00e2y nhi\u1ec5m n\u1ebfu ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n b\u1ec7nh m\u00e0 kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 ph\u00f9 h\u1ee3p. <\/span><\/p>\n

Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i m\u1ecdi ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B \u0111\u1ec1u d\u1eabn \u0111\u1ebfn l\u00e2y nhi\u1ec5m. Hi\u1ec3u \u0111\u00fang v\u1ec1 c\u00e1c \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n s\u1ebd gi\u00fap ph\u00f2ng b\u1ec7nh hi\u1ec7u qu\u1ea3 v\u00e0 tr\u00e1nh k\u1ef3 th\u1ecb ng\u01b0\u1eddi b\u1ec7nh. <\/span><\/p>\n

L\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng m\u00e1u <\/span><\/h3>\n

\"viem-gan-b-3\"<\/span><\/p>\n

L\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng m\u00e1u l\u00e0 con \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u1ea5t<\/em> <\/span><\/p>\n

Virus c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 khi ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi m\u00e1u ho\u1eb7c c\u00e1c d\u1ee5ng c\u1ee5 c\u00f3 d\u00ednh m\u00e1u c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m HBV, ch\u1eb3ng h\u1ea1n nh\u01b0: <\/span><\/p>\n

– Truy\u1ec1n m\u00e1u ho\u1eb7c ch\u1ebf ph\u1ea9m m\u00e1u ch\u01b0a \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc. <\/span><\/p>\n

– D\u00f9ng chung kim ti\u00eam. <\/span><\/p>\n

– D\u00f9ng chung dao c\u1ea1o r\u00e2u, b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng. <\/span><\/p>\n

– X\u0103m h\u00ecnh, x\u1ecf khuy\u00ean, l\u00e0m m\u00f3ng b\u1eb1ng d\u1ee5ng c\u1ee5 kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ec7t khu\u1ea9n. <\/span><\/p>\n

– Tai n\u1ea1n ngh\u1ec1 nghi\u1ec7p do kim \u0111\u00e2m \u1edf nh\u00e2n vi\u00ean y t\u1ebf. <\/span><\/p>\n

Ng\u00e0y nay, nh\u1edd quy tr\u00ecnh s\u00e0ng l\u1ecdc m\u00e1u nghi\u00eam ng\u1eb7t v\u00e0 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong y t\u1ebf, nguy c\u01a1 l\u00e2y truy\u1ec1n qua truy\u1ec1n m\u00e1u \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3. <\/span><\/p>\n

L\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con<\/span> <\/span><\/h3>\n

\u0110\u00e2y l\u00e0 \u0111\u01b0\u1eddng l\u00e2y quan tr\u1ecdng nh\u1ea5t t\u1ea1i c\u00e1c qu\u1ed1c gia c\u00f3 t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh vi\u00eam gan B cao, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Virus c\u00f3 th\u1ec3 truy\u1ec1n t\u1eeb m\u1eb9 sang con ch\u1ee7 y\u1ebfu trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 v\u00e0 sinh n\u1edf. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c d\u1ef1 ph\u00f2ng b\u1eb1ng vaccine v\u00e0 globulin mi\u1ec5n d\u1ecbch (HBIG) ngay sau sinh, nguy c\u01a1 tr\u1ebb s\u01a1 sinh nhi\u1ec5m HBV t\u1eeb m\u1eb9 c\u00f3 t\u1ea3i l\u01b0\u1ee3ng virus cao l\u00e0 r\u1ea5t l\u1edbn. <\/span><\/p>\n

\u0110\u00e2y c\u0169ng l\u00e0 l\u00fd do t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef mang thai \u0111\u1ec1u \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o x\u00e9t nghi\u1ec7m HBsAg trong thai k\u1ef3 \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch d\u1ef1 ph\u00f2ng l\u00e2y truy\u1ec1n m\u1eb9 – con hi\u1ec7u qu\u1ea3. <\/span><\/p>\n

L\u00e2y truy\u1ec1n qua quan h\u1ec7 t\u00ecnh d\u1ee5c<\/span> <\/span><\/h3>\n

HBV c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong tinh d\u1ecbch v\u00e0 d\u1ecbch ti\u1ebft \u00e2m \u0111\u1ea1o. Do \u0111\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng s\u1eed d\u1ee5ng bao cao su v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m HBV l\u00e0m t\u0103ng nguy c\u01a1 l\u00e2y b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t khi c\u00f3 nhi\u1ec1u b\u1ea1n t\u00ecnh ho\u1eb7c m\u1eafc c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c kh\u00e1c. Vi\u1ec7c s\u1eed d\u1ee5ng bao cao su \u0111\u00fang c\u00e1ch v\u00e0 ti\u00eam vaccine l\u00e0 hai bi\u1ec7n ph\u00e1p gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 l\u00e2y truy\u1ec1n. <\/span><\/p>\n

Vi\u00eam gan B kh\u00f4ng l\u00e2y qua nh\u1eefng \u0111\u01b0\u1eddng n\u00e0o? <\/span><\/h3>\n

Virus vi\u00eam gan B kh\u00f4ng l\u00e2y qua c\u00e1c ti\u1ebfp x\u00fac th\u00f4ng th\u01b0\u1eddng nh\u01b0: <\/span><\/p>\n

– B\u1eaft tay <\/span><\/p>\n

– \u00d4m <\/span><\/p>\n

– \u0102n chung m\u00e2m <\/span><\/p>\n

– D\u00f9ng chung b\u00e1t \u0111\u0169a <\/span><\/p>\n

– Ho ho\u1eb7c h\u1eaft h\u01a1i <\/span><\/p>\n

– Mu\u1ed7i \u0111\u1ed1t <\/span><\/p>\n

– B\u01a1i chung h\u1ed3 b\u01a1i <\/span><\/p>\n

– L\u00e0m vi\u1ec7c ho\u1eb7c h\u1ecdc t\u1eadp c\u00f9ng nhau <\/span><\/p>\n

V\u00ec v\u1eady, ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 sinh ho\u1ea1t, h\u1ecdc t\u1eadp v\u00e0 l\u00e0m vi\u1ec7c b\u00ecnh th\u01b0\u1eddng n\u1ebfu tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh l\u00e2y truy\u1ec1n qua m\u00e1u v\u00e0 d\u1ecbch c\u01a1 th\u1ec3. <\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng vi\u00eam gan B<\/span> <\/span><\/h2>\n

\"viem-gan-b-4\"<\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh c\u0169ng kh\u00e1c nhau t\u00f9y theo giai \u0111o\u1ea1n c\u1ea5p t\u00ednh hay m\u1ea1n t\u00ednh<\/em> <\/span><\/p>\n

M\u1ed9t trong nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m khi\u1ebfn vi\u00eam gan B tr\u1edf n\u00ean nguy hi\u1ec3m l\u00e0 \u0111a s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n nhi\u1ec5m virus khi kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, kh\u00e1m ti\u1ec1n h\u00f4n nh\u00e2n, kh\u00e1m thai ho\u1eb7c x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. <\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng vi\u00eam gan B c\u1ea5p t\u00ednh<\/span> <\/span><\/h3>\n

Sau khi virus HBV x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3, th\u1eddi gian \u1ee7 b\u1ec7nh th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 30-180 ng\u00e0y, trung b\u00ecnh kho\u1ea3ng 60-90 ng\u00e0y. Trong giai \u0111o\u1ea1n n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n \u0111\u1eb7c hi\u1ec7u. Khi b\u1ec7nh kh\u1edfi ph\u00e1t, m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nh\u01b0: <\/span><\/p>\n

– M\u1ec7t m\u1ecfi k\u00e9o d\u00e0i, gi\u1ea3m kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng <\/span><\/p>\n

– Ch\u00e1n \u0103n, \u0103n kh\u00f4ng ngon mi\u1ec7ng <\/span><\/p>\n

– Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n <\/span><\/p>\n

– \u0110au t\u1ee9c v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i <\/span><\/p>\n

– \u0110\u1ea7y b\u1ee5ng, kh\u00f3 ti\u00eau <\/span><\/p>\n

– \u0110au nh\u1ee9c c\u01a1, \u0111au kh\u1edbp <\/span><\/p>\n

– S\u1ed1t nh\u1eb9 <\/span><\/p>\n

– N\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u <\/span><\/p>\n

– V\u00e0ng da, v\u00e0ng m\u1eaft <\/span><\/p>\n

Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i ai m\u1eafc vi\u00eam gan B c\u1ea5p c\u0169ng b\u1ecb v\u00e0ng da. Tr\u00ean th\u1ef1c t\u1ebf, nhi\u1ec1u ng\u01b0\u1eddi ch\u1ec9 c\u00f3 c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi nh\u1eb9 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00e0o. <\/span><\/p>\n

\u1ede ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u1ecfe m\u1ea1nh, ph\u1ea7n l\u1edbn tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan B c\u1ea5p s\u1ebd t\u1ef1 kh\u1ecfi nh\u1edd h\u1ec7 mi\u1ec5n d\u1ecbch \u0111\u00e0o th\u1ea3i virus. Ch\u1ec9 m\u1ed9t t\u1ef7 l\u1ec7 nh\u1ecf di\u1ec5n ti\u1ebfn th\u00e0nh vi\u00eam gan t\u1ed1i c\u1ea5p ho\u1eb7c chuy\u1ec3n sang vi\u00eam gan B m\u1ea1n t\u00ednh.  <\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng vi\u00eam gan B m\u1ea1n t\u00ednh <\/span><\/h3>\n

\u0110\u00e2y l\u00e0 giai \u0111o\u1ea1n nguy hi\u1ec3m v\u00ec virus c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong gan nhi\u1ec1u n\u0103m m\u00e0 g\u1ea7n nh\u01b0 kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng. Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng ch\u1ec9 g\u1eb7p c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0: <\/span><\/p>\n

– M\u1ec7t m\u1ecfi k\u00e9o d\u00e0i <\/span><\/p>\n

– Gi\u1ea3m s\u1ee9c kh\u1ecfe <\/span><\/p>\n

– Ch\u00e1n \u0103n <\/span><\/p>\n

– \u0110\u1ea7y b\u1ee5ng <\/span><\/p>\n

– Kh\u00f3 ti\u00eau <\/span><\/p>\n

– \u0110au \u00e2m \u1ec9 v\u00f9ng gan <\/span><\/p>\n

Khi gan \u0111\u00e3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, c\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n r\u00f5 h\u01a1n: <\/span><\/p>\n

– V\u00e0ng da, v\u00e0ng m\u1eaft <\/span><\/p>\n

– Ph\u00f9 ch\u00e2n <\/span><\/p>\n

– B\u1ee5ng to do c\u1ed5 tr\u01b0\u1edbng <\/span><\/p>\n

– Ng\u1ee9a to\u00e0n th\u00e2n <\/span><\/p>\n

– D\u1ec5 b\u1ea7m t\u00edm ho\u1eb7c ch\u1ea3y m\u00e1u <\/span><\/p>\n

– S\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n <\/span><\/p>\n

\u0110\u00e2y \u0111\u1ec1u l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u00e3 ti\u1ebfn tri\u1ec3n \u0111\u1ebfn x\u01a1 gan ho\u1eb7c suy gan v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e1m chuy\u00ean khoa c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. <\/span><\/p>\n

L\u01b0u \u00fd:<\/span><\/strong><\/em> M\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh kh\u00f4ng t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi tri\u1ec7u ch\u1ee9ng. M\u1ed9t ng\u01b0\u1eddi ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh v\u1eabn c\u00f3 th\u1ec3 mang t\u1ea3i l\u01b0\u1ee3ng virus cao v\u00e0 \u0111ang \u00e2m th\u1ea7m b\u1ecb t\u1ed5n th\u01b0\u01a1ng gan. <\/span><\/p>\n

Khi n\u00e0o c\u1ea7n \u0111i kh\u00e1m v\u00e0 x\u00e9t nghi\u1ec7m vi\u00eam gan B?<\/span> <\/span><\/h2>\n

B\u1ea1n n\u00ean ch\u1ee7 \u0111\u1ed9ng \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf n\u1ebfu thu\u1ed9c m\u1ed9t trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau: <\/span><\/p>\n

– C\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0ng da, v\u00e0ng m\u1eaft <\/span><\/p>\n

– N\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u k\u00e9o d\u00e0i <\/span><\/p>\n

– M\u1ec7t m\u1ecfi kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n <\/span><\/p>\n

– Men gan t\u0103ng khi kh\u00e1m s\u1ee9c kh\u1ecfe <\/span><\/p>\n

– S\u1ed1ng chung v\u1edbi ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B <\/span><\/p>\n

– Chu\u1ea9n b\u1ecb mang thai ho\u1eb7c \u0111ang mang thai <\/span><\/p>\n

– Quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n <\/span><\/p>\n

– Ti\u1ebfp x\u00fac v\u1edbi m\u00e1u ho\u1eb7c kim ti\u00eam nghi nhi\u1ec5m HBV <\/span><\/p>\n

– Ch\u01b0a t\u1eebng x\u00e9t nghi\u1ec7m vi\u00eam gan B tr\u01b0\u1edbc \u0111\u00e2y <\/span><\/p>\n

Vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf giai \u0111o\u1ea1n s\u1edbm gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng gan, quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u1ec1 sau. <\/span><\/p>\n

Ch\u1ea9n \u0111o\u00e1n vi\u00eam gan B nh\u01b0 th\u1ebf n\u00e0o?<\/span> <\/span><\/h2>\n

\"viem-gan-b-5\"<\/span><\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n vi\u00eam gan B ph\u1ed5 bi\u1ebfn hi\u1ec7n nay <\/span><\/em><\/p>\n

Ch\u1ea9n \u0111o\u00e1n vi\u00eam gan B kh\u00f4ng ch\u1ec9 d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng m\u00e0 c\u1ea7n k\u1ebft h\u1ee3p gi\u1eefa kh\u00e1m l\u00e2m s\u00e0ng, x\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc, x\u00e9t nghi\u1ec7m sinh h\u00f3a v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan. <\/span><\/p>\n

M\u1ee5c ti\u00eau c\u1ee7a qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n: <\/span><\/p>\n

– X\u00e1c \u0111\u1ecbnh c\u00f3 nhi\u1ec5m HBV hay kh\u00f4ng <\/span><\/p>\n

– Ph\u00e2n bi\u1ec7t vi\u00eam gan B c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh <\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 virus c\u00f3 \u0111ang ho\u1ea1t \u0111\u1ed9ng hay kh\u00f4ng <\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan <\/span><\/p>\n

– X\u00e1c \u0111\u1ecbnh nguy c\u01a1 x\u01a1 gan ho\u1eb7c ung th\u01b0 gan <\/span><\/p>\n

– L\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p <\/span><\/p>\n

C\u00e1c x\u00e9t nghi\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh <\/span><\/p>\n

X\u00e9t nghi\u1ec7m HBsAg<\/span> <\/span><\/h3>\n

\u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 s\u00e0ng l\u1ecdc vi\u00eam gan B. <\/span><\/p>\n

HBsAg (Hepatitis B surface Antigen) l\u00e0 kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t c\u1ee7a virus HBV. Do \u0111\u00f3: <\/span><\/p>\n

– HBsAg d\u01b0\u01a1ng t\u00ednh: c\u01a1 th\u1ec3 \u0111ang nhi\u1ec5m virus vi\u00eam gan B. <\/span><\/p>\n

– HBsAg \u00e2m t\u00ednh: ch\u01b0a ph\u00e1t hi\u1ec7n kh\u00e1ng nguy\u00ean b\u1ec1 m\u1eb7t c\u1ee7a virus t\u1ea1i th\u1eddi \u0111i\u1ec3m x\u00e9t nghi\u1ec7m. <\/span><\/p>\n

Tuy nhi\u00ean, HBsAg ch\u1ec9 cho bi\u1ebft c\u00f3 nhi\u1ec5m HBV hay kh\u00f4ng m\u00e0 kh\u00f4ng ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. <\/span><\/p>\n

X\u00e9t nghi\u1ec7m Anti-HBs<\/span>  <\/span><\/h3>\n

Anti-HBs l\u00e0 kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i virus vi\u00eam gan B. K\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh th\u01b0\u1eddng g\u1eb7p trong hai tr\u01b0\u1eddng h\u1ee3p: <\/span><\/p>\n

– \u0110\u00e3 ti\u00eam vaccine v\u00e0 c\u00f3 mi\u1ec5n d\u1ecbch <\/span><\/p>\n

– \u0110\u00e3 t\u1eebng nhi\u1ec5m HBV nh\u01b0ng \u0111\u00e3 kh\u1ecfi b\u1ec7nh v\u00e0 h\u00ecnh th\u00e0nh mi\u1ec5n d\u1ecbch t\u1ef1 nhi\u00ean <\/span><\/p>\n

\u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m gi\u00fap \u0111\u00e1nh gi\u00e1 c\u01a1 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 tr\u01b0\u1edbc virus hay ch\u01b0a.  <\/span><\/p>\n

X\u00e9t nghi\u1ec7m Anti-HBc<\/span> <\/span><\/h3>\n

Anti-HBc gi\u00fap x\u00e1c \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 t\u1eebng ti\u1ebfp x\u00fac v\u1edbi virus HBV. K\u1ebft qu\u1ea3 n\u00e0y \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch khi b\u00e1c s\u0129 c\u1ea7n ph\u00e2n bi\u1ec7t gi\u1eefa ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng nhi\u1ec5m virus v\u1edbi ng\u01b0\u1eddi ch\u1ec9 c\u00f3 mi\u1ec5n d\u1ecbch nh\u1edd ti\u00eam vaccine. <\/span><\/p>\n

X\u00e9t nghi\u1ec7m HBeAg<\/span> <\/span><\/h3>\n

HBeAg ph\u1ea3n \u00e1nh kh\u1ea3 n\u0103ng nh\u00e2n l\u00ean c\u1ee7a virus. N\u1ebfu HBeAg d\u01b0\u01a1ng t\u00ednh, virus th\u01b0\u1eddng \u0111ang ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh v\u00e0 nguy c\u01a1 l\u00e2y truy\u1ec1n cho ng\u01b0\u1eddi kh\u00e1c cao h\u01a1n. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ch\u1ee7ng HBV \u0111\u1ed9t bi\u1ebfn v\u1eabn c\u00f3 th\u1ec3 nh\u00e2n l\u00ean d\u00f9 HBeAg \u00e2m t\u00ednh. V\u00ec v\u1eady, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c. <\/span><\/p>\n

\u0110\u1ecbnh l\u01b0\u1ee3ng HBV DNA <\/span><\/h3>\n

\u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m c\u00f3 gi\u00e1 tr\u1ecb r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb. HBV DNA cho bi\u1ebft t\u1ea3i l\u01b0\u1ee3ng virus trong m\u00e1u, t\u1eeb \u0111\u00f3 gi\u00fap b\u00e1c s\u0129: <\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a virus <\/span><\/p>\n

– Quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng virus hay kh\u00f4ng <\/span><\/p>\n

– Theo d\u00f5i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb <\/span><\/p>\n

– Ph\u00e1t hi\u1ec7n nguy c\u01a1 kh\u00e1ng thu\u1ed1c <\/span><\/p>\n

Kh\u00f4ng ph\u1ea3i ng\u01b0\u1eddi c\u00f3 t\u1ea3i l\u01b0\u1ee3ng virus cao \u0111\u1ec1u xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng. Ch\u00ednh v\u00ec v\u1eady, x\u00e9t nghi\u1ec7m HBV DNA \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c theo d\u00f5i l\u00e2u d\u00e0i. <\/span><\/p>\n

X\u00e9t nghi\u1ec7m men gan (ALT, AST)<\/span> <\/span><\/h3>\n

Virus HBV g\u00e2y vi\u00eam v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan, khi\u1ebfn men gan t\u0103ng cao. Hai ch\u1ec9 s\u1ed1 th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0: <\/span><\/p>\n

– ALT (Alanine aminotransferase) <\/span><\/p>\n

– AST (Aspartate aminotransferase) <\/span><\/p>\n

Men gan t\u0103ng c\u00f3 th\u1ec3 ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng vi\u00eam gan \u0111ang di\u1ec5n ra. Tuy nhi\u00ean, men gan b\u00ecnh th\u01b0\u1eddng kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c gan ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh, b\u1edfi nhi\u1ec1u ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B m\u1ea1n v\u1eabn c\u00f3 men gan trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng nh\u01b0ng virus v\u1eabn \u00e2m th\u1ea7m g\u00e2y t\u1ed5n th\u01b0\u01a1ng. <\/span><\/p>\n

Si\u00eau \u00e2m gan <\/span><\/h3>\n

Si\u00eau \u00e2m gan l\u00e0 k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng gan m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 kh\u00f4ng x\u00e2m l\u1ea5n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap kh\u1ea3o s\u00e1t k\u00edch th\u01b0\u1edbc, c\u1ea5u tr\u00fac nhu m\u00f4 gan, ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng nh\u01b0 gan nhi\u1ec5m m\u1ee1, x\u01a1 gan, kh\u1ed1i u gan v\u00e0 nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng kh\u00e1c, \u0111\u1ed3ng th\u1eddi h\u1ed7 tr\u1ee3 theo d\u00f5i di\u1ec5n ti\u1ebfn b\u1ec7nh c\u0169ng nh\u01b0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn vi\u00eam gan B. <\/span><\/p>\n

Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B m\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m gan \u0111\u1ecbnh k\u1ef3 k\u1ebft h\u1ee3p v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c. <\/span><\/p>\n

\u0110o \u0111\u1ed9 \u0111\u00e0n h\u1ed3i gan (FibroScan)<\/span> <\/span><\/h3>\n

\u0110o \u0111\u1ed9 \u0111\u00e0n h\u1ed3i gan l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7n \u0111\u1ea1i s\u1eed d\u1ee5ng s\u00f3ng \u0111\u00e0n h\u1ed3i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a c\u1ee7a nhu m\u00f4 gan m\u00e0 kh\u00f4ng c\u1ea7n sinh thi\u1ebft. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng g\u00e2y \u0111au, th\u1ef1c hi\u1ec7n nhanh v\u00e0 c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n trong qu\u00e1 tr\u00ecnh theo d\u00f5i b\u1ec7nh. K\u1ebft qu\u1ea3 FibroScan cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng v\u1ec1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan, gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 x\u01a1 gan, ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh v\u00e0 \u0111\u01b0a ra chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng giai \u0111o\u1ea1n c\u1ee7a vi\u00eam gan B. <\/span><\/p>\n

Vi\u00eam gan B l\u00e0 b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m trong nhi\u1ec1u n\u0103m nh\u01b0ng l\u1ea1i ti\u1ec1m \u1ea9n nguy c\u01a1 g\u00e2y x\u01a1 gan, suy gan v\u00e0 ung th\u01b0 gan n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch. Tin vui l\u00e0 v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a y h\u1ecdc hi\u1ec7n nay, ng\u01b0\u1eddi b\u1ec7nh ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t virus, l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129. V\u00ec v\u1eady, vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 ho\u1eb7c ch\u01b0a t\u1eebng x\u00e9t nghi\u1ec7m vi\u00eam gan B, l\u00e0 b\u01b0\u1edbc quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe l\u00e1 gan v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. <\/span><\/p>\n

N\u1ebfu b\u1ea1n c\u1ea7n kh\u00e1m, t\u1ea7m so\u00e1t ho\u1eb7c \u0111i\u1ec1u tr\u1ecb vi\u00eam gan B, Ph\u00f2ng kh\u00e1m \u0110a khoa Vietmedi l\u00e0 \u0111\u1ecba ch\u1ec9 \u0111\u00e1ng tin c\u1eady v\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c Ti\u00eau h\u00f3a – Gan m\u1eadt c\u00f9ng h\u1ec7 th\u1ed1ng trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh ch\u00ednh x\u00e1c. T\u1ea1i Vietmedi, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3 h\u00f3a, theo d\u00f5i s\u00e1t qu\u00e1 tr\u00ecnh \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, sinh ho\u1ea1t ph\u00f9 h\u1ee3p nh\u1eb1m ki\u1ec3m so\u00e1t b\u1ec7nh hi\u1ec7u qu\u1ea3, gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i. H\u00e3y ch\u1ee7 \u0111\u1ed9ng th\u0103m kh\u00e1m ngay khi c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng ho\u1eb7c thu\u1ed9c nh\u00f3m nguy c\u01a1 cao \u0111\u1ec3 b\u1ea3o v\u1ec7 l\u00e1 gan v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a ch\u00ednh b\u1ea1n. <\/span><\/p>\n

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