{"id":387,"date":"2026-09-08T02:36:24","date_gmt":"2026-09-08T02:36:24","guid":{"rendered":"http:\/\/localhost\/vietmediclinic\/?p=387"},"modified":"2026-10-06T04:21:54","modified_gmt":"2026-10-06T04:21:54","slug":"polyp-dai-trang-khi-nao-can-cat-va-bao-lau-nen-noi-soi-lai","status":"publish","type":"post","link":"https:\/\/view.vietmediclinic.com\/?p=387","title":{"rendered":"POLYP \u0110\u1ea0I TR\u00c0NG: KHI N\u00c0O C\u1ea6N C\u1eaeT V\u00c0 BAO L\u00c2U N\u00caN N\u1ed8I SOI L\u1ea0I?"},"content":{"rendered":"

<\/span>Ph\u00e1t hi\u1ec7n polyp \u0111\u1ea1i tr\u00e0ng trong qu\u00e1 tr\u00ecnh n\u1ed9i soi c\u00f3 th\u1ec3 khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh lo l\u1eafng, \u0111\u1eb7c bi\u1ec7t khi ch\u01b0a r\u00f5 m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m v\u00e0 h\u01b0\u1edbng x\u1eed tr\u00ed ti\u1ebfp theo. Tuy nhi\u00ean, s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a polyp kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi ung th\u01b0. Ph\u1ea7n l\u1edbn polyp l\u00e0nh t\u00ednh, nh\u01b0ng m\u1ed9t s\u1ed1 lo\u1ea1i, \u0111\u1eb7c bi\u1ec7t l\u00e0 adenoma, c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng theo th\u1eddi gian. V\u00ec v\u1eady, ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 x\u1eed tr\u00ed ph\u00f9 h\u1ee3p \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ph\u00f2ng ng\u1eeba ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng. <\/span><\/p>\n

\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 c\u1ee7a polyp, b\u00e1c s\u0129 kh\u00f4ng ch\u1ec9 d\u1ef1a v\u00e0o k\u00edch th\u01b0\u1edbc m\u00e0 c\u00f2n xem x\u00e9t s\u1ed1 l\u01b0\u1ee3ng, h\u00ecnh th\u00e1i, lo\u1ea1i polyp v\u00e0 k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh. Nh\u1eefng th\u00f4ng tin n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng c\u00f3 c\u1ea7n lo\u1ea1i b\u1ecf hay kh\u00f4ng, \u0111\u1ed3ng th\u1eddi x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch n\u1ed9i soi theo d\u00f5i ph\u00f9 h\u1ee3p sau \u0111\u00f3. <\/span><\/p>\n

Polyp \u0111\u1ea1i tr\u00e0ng c\u00f3 ph\u1ea3i l\u00fac n\u00e0o c\u0169ng nguy hi\u1ec3m?<\/span> <\/span><\/h2>\n

\"polyp-dai-trang-1\"<\/span><\/p>\n

Polyp \u0111\u1ea1i tr\u00e0ng l\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng t\u1eeb ni\u00eam m\u1ea1c \u0111\u1ea1i tr\u00e0ng. T\u00f9y thu\u1ed9c v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 h\u1ecdc, h\u00ecnh th\u00e1i v\u00e0 k\u00edch th\u01b0\u1edbc, m\u1ed7i lo\u1ea1i polyp c\u00f3 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi s\u1ef1 h\u00ecnh th\u00e0nh ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng. Trong s\u1ed1 \u0111\u00f3, adenoma \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 th\u01b0\u1eddng g\u1eb7p. M\u1eb7c d\u00f9 kh\u00f4ng ph\u1ea3i m\u1ecdi adenoma \u0111\u1ec1u ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0, m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 tr\u1ea3i qua qu\u00e1 tr\u00ecnh bi\u1ebfn \u0111\u1ed5i k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m tr\u01b0\u1edbc khi tr\u1edf th\u00e0nh \u00e1c t\u00ednh. <\/span><\/p>\n

Ch\u00ednh v\u00ec v\u1eady, vi\u1ec7c ph\u00e1t hi\u1ec7n polyp trong qu\u00e1 tr\u00ecnh n\u1ed9i soi kh\u00f4ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf vi\u1ec7c x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, m\u00e0 quan tr\u1ecdng h\u01a1n l\u00e0 \u0111\u00e1nh gi\u00e1 \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 nguy c\u01a1 c\u1ee7a ch\u00fang \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p. V\u1edbi nh\u1eefng polyp c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfn tri\u1ec3n, lo\u1ea1i b\u1ecf t\u1ed5n th\u01b0\u01a1ng l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p gi\u00fap ng\u0103n ch\u1eb7n qu\u00e1 tr\u00ecnh bi\u1ebfn \u0111\u1ed5i theo th\u1eddi gian. <\/span><\/p>\n

\u0110\u00e1ng l\u01b0u \u00fd, polyp \u0111\u1ea1i tr\u00e0ng th\u01b0\u1eddng kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng, \u0111\u1eb7c bi\u1ec7t \u1edf giai \u0111o\u1ea1n s\u1edbm. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n kh\u00f4ng nh\u1eadn th\u1ea5y b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00e0o d\u00f9 \u0111\u00e3 c\u00f3 polyp trong \u0111\u1ea1i tr\u00e0ng. \u0110\u00e2y l\u00e0 l\u00fd do t\u1ea7m so\u00e1t c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng, b\u1edfi n\u1ed9i soi c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 lo\u1ea1i b\u1ecf nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 tr\u01b0\u1edbc khi ch\u00fang ti\u1ebfn tri\u1ec3n xa h\u01a1n. Theo CDC, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p polyp v\u00e0 ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u, khi\u1ebfn vi\u1ec7c t\u1ea7m so\u00e1t tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong chi\u1ebfn l\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh. <\/span><\/p>\n

T\u1eeb g\u00f3c \u0111\u1ed9 d\u1ef1 ph\u00f2ng, gi\u00e1 tr\u1ecb c\u1ee7a n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng kh\u00f4ng ch\u1ec9 n\u1eb1m \u1edf kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng m\u00e0 c\u00f2n \u1edf vi\u1ec7c can thi\u1ec7p ngay khi ph\u00e1t hi\u1ec7n polyp ph\u00f9 h\u1ee3p. Vi\u1ec7c ph\u00e1t hi\u1ec7n, \u0111\u00e1nh gi\u00e1, lo\u1ea1i b\u1ecf v\u00e0 theo d\u00f5i \u0111\u00fang th\u1eddi \u0111i\u1ec3m t\u1ea1o th\u00e0nh m\u1ed9t chu\u1ed7i qu\u1ea3n l\u00fd li\u00ean t\u1ee5c, g\u00f3p ph\u1ea7n gi\u1ea3m nguy c\u01a1 polyp ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng. <\/span><\/p>\n

Ph\u00e1t hi\u1ec7n polyp \u0111\u1ea1i tr\u00e0ng, khi n\u00e0o c\u1ea7n c\u1eaft? <\/span><\/h2>\n

Kh\u00f4ng ph\u1ea3i m\u1ecdi polyp \u0111\u1ec1u \u0111\u01b0\u1ee3c x\u1eed tr\u00ed theo c\u00f9ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p. Thay v\u00e0o \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n c\u1eaft hay c\u1ea7n l\u1ef1a ch\u1ecdn k\u1ef9 thu\u1eadt ph\u00f9 h\u1ee3p n\u00e0o kh\u00e1c. <\/span><\/p>\n

\"polyp-dai-trang-2\"<\/span><\/p>\n

K\u00edch th\u01b0\u1edbc polyp <\/span><\/h3>\n

K\u00edch th\u01b0\u1edbc l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng khi \u0111\u00e1nh gi\u00e1 nguy c\u01a1 c\u1ee7a polyp \u0111\u1ea1i tr\u00e0ng. \u0110\u1eb7c bi\u1ec7t, adenoma c\u00f3 k\u00edch th\u01b0\u1edbc t\u1eeb 10mm tr\u1edf l\u00ean \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m nguy c\u01a1 cao v\u00e0 th\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd h\u01a1n sau khi lo\u1ea1i b\u1ecf. Tuy nhi\u00ean, k\u00edch th\u01b0\u1edbc kh\u00f4ng ph\u1ea3i ti\u00eau ch\u00ed duy nh\u1ea5t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m c\u1ee7a m\u1ed9t polyp. <\/span><\/p>\n

Ngay c\u1ea3 nh\u1eefng polyp c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf n\u1ebfu c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m h\u00ecnh th\u00e1i ho\u1eb7c m\u00f4 h\u1ecdc \u0111\u00e1ng l\u01b0u \u00fd. Ng\u01b0\u1ee3c l\u1ea1i, v\u1edbi nh\u1eefng t\u1ed5n th\u01b0\u01a1ng l\u1edbn, ph\u1eb3ng ho\u1eb7c c\u00f3 c\u1ea5u tr\u00fac ph\u1ee9c t\u1ea1p, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9 \u0111\u1eb7c \u0111i\u1ec3m b\u1ec1 m\u1eb7t, v\u1ecb tr\u00ed v\u00e0 kh\u1ea3 n\u0103ng x\u00e2m l\u1ea5n tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p ph\u00f9 h\u1ee3p. <\/span><\/p>\n

Do \u0111\u00f3, kh\u00f4ng th\u1ec3 x\u00e1c \u0111\u1ecbnh nguy c\u01a1 c\u1ee7a polyp \u0111\u1ea1i tr\u00e0ng ch\u1ec9 d\u1ef1a tr\u00ean m\u1ed9t m\u1ed1c k\u00edch th\u01b0\u1edbc. \u0110\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 c\u1ea7n k\u1ebft h\u1ee3p k\u00edch th\u01b0\u1edbc v\u1edbi s\u1ed1 l\u01b0\u1ee3ng, h\u00ecnh th\u00e1i, lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng v\u00e0 k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh \u0111\u1ec3 \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed tr\u00ed c\u0169ng nh\u01b0 k\u1ebf ho\u1ea1ch theo d\u00f5i ph\u00f9 h\u1ee3p. <\/span><\/p>\n

S\u1ed1 l\u01b0\u1ee3ng polyp <\/span><\/h3>\n

B\u00ean c\u1ea1nh k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng adenoma \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong m\u1ed9t l\u1ea7n n\u1ed9i soi c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong vi\u1ec7c ph\u00e2n t\u1ea7ng nguy c\u01a1 v\u00e0 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch theo d\u00f5i. Ng\u01b0\u1eddi ch\u1ec9 c\u00f3 1-2 adenoma k\u00edch th\u01b0\u1edbc nh\u1ecf th\u01b0\u1eddng c\u00f3 kho\u1ea3ng th\u1eddi gian n\u1ed9i soi gi\u00e1m s\u00e1t d\u00e0i h\u01a1n so v\u1edbi tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n nhi\u1ec1u adenoma trong c\u00f9ng m\u1ed9t l\u1ea7n th\u0103m kh\u00e1m. <\/span><\/p>\n

\"polyp-dai-trang-3\"<\/span><\/p>\n

Theo khuy\u1ebfn c\u00e1o c\u1ee7a U.S. Multi-Society Task Force, s\u1ed1 l\u01b0\u1ee3ng adenoma c\u00e0ng nhi\u1ec1u th\u00ec nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ebfn tri\u1ec3n trong nh\u1eefng l\u1ea7n n\u1ed9i soi ti\u1ebfp theo c\u00e0ng \u0111\u00e1ng l\u01b0u \u00fd. Tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n tr\u00ean 10 adenoma trong m\u1ed9t l\u1ea7n n\u1ed9i soi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ed9i soi gi\u00e1m s\u00e1t sau kho\u1ea3ng 1 n\u0103m. \u0110\u1ed3ng th\u1eddi, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc \u0111\u00e1nh gi\u00e1 th\u00eam c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng \u0111a polyp ho\u1eb7c y\u1ebfu t\u1ed1 di truy\u1ec1n, t\u00f9y thu\u1ed9c v\u00e0o tu\u1ed5i, ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng c\u1ee7a t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. <\/span><\/p>\n

H\u00ecnh th\u00e1i v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 h\u1ecdc <\/span><\/h3>\n

B\u00ean c\u1ea1nh k\u00edch th\u01b0\u1edbc v\u00e0 s\u1ed1 l\u01b0\u1ee3ng, h\u00ecnh th\u00e1i c\u1ee7a polyp v\u00e0 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m quan s\u00e1t \u0111\u01b0\u1ee3c qua n\u1ed9i soi c\u0169ng cung c\u1ea5p nh\u1eefng th\u00f4ng tin quan tr\u1ecdng \u0111\u1ec3 b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 b\u1ea3n ch\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng. \u0110\u1eb7c bi\u1ec7t, nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng tr\u00ean b\u1ec1 m\u1eb7t ho\u1eb7c c\u1ea5u tr\u00fac polyp c\u00f3 th\u1ec3 l\u00e0 c\u01a1 s\u1edf \u0111\u1ec3 b\u00e1c s\u0129 c\u00e2n nh\u1eafc ph\u01b0\u01a1ng ph\u00e1p x\u1eed tr\u00ed ph\u00f9 h\u1ee3p. <\/span><\/p>\n

Tuy nhi\u00ean, \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c b\u1ea3n ch\u1ea5t c\u1ee7a polyp kh\u00f4ng th\u1ec3 ch\u1ec9 d\u1ef1a v\u00e0o h\u00ecnh \u1ea3nh n\u1ed9i soi. Gi\u1ea3i ph\u1eabu b\u1ec7nh sau khi c\u1eaft polyp gi\u1eef vai tr\u00f2 then ch\u1ed1t trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng, m\u1ee9c \u0111\u1ed9 lo\u1ea1n s\u1ea3n v\u00e0 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u00f3 li\u00ean quan \u0111\u1ebfn nguy c\u01a1 ti\u1ebfn tri\u1ec3n. \u0110\u00e2y c\u0169ng l\u00e0 c\u01a1 s\u1edf quan tr\u1ecdng \u0111\u1ec3 b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m n\u1ed9i soi gi\u00e1m s\u00e1t trong nh\u1eefng n\u0103m ti\u1ebfp theo. <\/span><\/p>\n

V\u00ec v\u1eady, sau khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt, ng\u01b0\u1eddi b\u1ec7nh n\u00ean l\u01b0u gi\u1eef \u0111\u1ea7y \u0111\u1ee7 k\u1ebft qu\u1ea3 n\u1ed9i soi v\u00e0 k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh. Hai th\u00f4ng tin n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ed3ng th\u1eddi \u0111\u1ec3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch theo d\u00f5i ph\u00f9 h\u1ee3p, thay v\u00ec ch\u1ec9 d\u1ef1a v\u00e0o vi\u1ec7c polyp \u0111\u00e3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf hay ch\u01b0a. <\/span><\/p>\n

C\u1eaft polyp \u0111\u1ea1i tr\u00e0ng qua n\u1ed9i soi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/span> <\/span><\/h2>\n

V\u1edbi nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, polyp c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ngay trong qu\u00e1 tr\u00ecnh n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng b\u1eb1ng c\u00e1c d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng. T\u00f9y v\u00e0o k\u00edch th\u01b0\u1edbc, v\u1ecb tr\u00ed, h\u00ecnh d\u1ea1ng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, b\u00e1c s\u0129 s\u1ebd l\u1ef1a ch\u1ecdn k\u1ef9 thu\u1eadt ph\u00f9 h\u1ee3p. <\/span><\/p>\n

C\u00f3 th\u1ec3 h\u00ecnh dung qu\u00e1 tr\u00ecnh x\u1eed tr\u00ed theo c\u00e1c b\u01b0\u1edbc: N\u1ed9i soi ph\u00e1t hi\u1ec7n polyp \u2192 \u0110\u00e1nh gi\u00e1 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng \u2192 C\u1eaft ho\u1eb7c lo\u1ea1i b\u1ecf khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u2192 G\u1eedi m\u1eabu l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh \u2192 X\u00e1c \u0111\u1ecbnh k\u1ebf ho\u1ea1ch theo d\u00f5i. <\/span><\/p>\n

V\u1edbi nh\u1eefng polyp l\u1edbn, t\u1ed5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u nghi ng\u1edd x\u00e2m l\u1ea5n, vi\u1ec7c x\u1eed tr\u00ed c\u00f3 th\u1ec3 kh\u00e1c v\u1edbi polyp nh\u1ecf th\u00f4ng th\u01b0\u1eddng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9 h\u01a1n \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf an to\u00e0n v\u00e0 ph\u00f9 h\u1ee3p. \u0110i\u1ec1u n\u00e0y c\u0169ng cho th\u1ea5y v\u00ec sao ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean t\u1ef1 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ec9 d\u1ef1a v\u00e0o k\u00edch th\u01b0\u1edbc polyp \u0111\u01b0\u1ee3c ghi tr\u00ean phi\u1ebfu n\u1ed9i soi. <\/span><\/p>\n

C\u1eaft polyp r\u1ed3i c\u00f3 c\u1ea7n n\u1ed9i soi l\u1ea1i kh\u00f4ng?<\/span> <\/span><\/h2>\n

M\u1ed9t hi\u1ec3u l\u1ea7m ph\u1ed5 bi\u1ebfn l\u00e0 sau khi c\u1eaft polyp th\u00ec v\u1ea5n \u0111\u1ec1 \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft ho\u00e0n to\u00e0n. Th\u1ef1c t\u1ebf, vi\u1ec7c c\u1eaft b\u1ecf m\u1ed9t polyp hi\u1ec7n t\u1ea1i kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh s\u1ebd kh\u00f4ng xu\u1ea5t hi\u1ec7n polyp m\u1edbi trong t\u01b0\u01a1ng lai. Kho\u1ea3ng th\u1eddi gian c\u1ea7n n\u1ed9i soi l\u1ea1i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 l\u1ea7n n\u1ed9i soi tr\u01b0\u1edbc, \u0111\u1eb7c bi\u1ec7t l\u00e0: <\/span><\/p>\n

– S\u1ed1 l\u01b0\u1ee3ng polyp \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n <\/span><\/p>\n

– K\u00edch th\u01b0\u1edbc polyp <\/span><\/p>\n

– Lo\u1ea1i polyp <\/span><\/p>\n

– \u0110\u1eb7c \u0111i\u1ec3m m\u00f4 h\u1ecdc v\u00e0 m\u1ee9c \u0111\u1ed9 lo\u1ea1n s\u1ea3n <\/span><\/p>\n

– Polyp \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft ho\u00e0n to\u00e0n hay ch\u01b0a <\/span><\/p>\n

– Ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a l\u1ea7n n\u1ed9i soi tr\u01b0\u1edbc <\/span><\/p>\n

V\u00ec v\u1eady, kh\u00f4ng c\u00f3 m\u1ed9t m\u1ed1c th\u1eddi gian duy nh\u1ea5t \u00e1p d\u1ee5ng cho t\u1ea5t c\u1ea3 ng\u01b0\u1eddi t\u1eebng c\u00f3 polyp \u0111\u1ea1i tr\u00e0ng. <\/span><\/p>\n

Bao l\u00e2u n\u00ean n\u1ed9i soi l\u1ea1i sau khi c\u1eaft polyp \u0111\u1ea1i tr\u00e0ng? <\/span><\/h2>\n

Theo khuy\u1ebfn c\u00e1o c\u1ee7a U.S. Multi-Society Task Force, v\u1edbi ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 trung b\u00ecnh, n\u1ed9i soi \u0111\u1ea1t ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c c\u1eaft ho\u00e0n to\u00e0n, th\u1eddi gian theo d\u00f5i c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y k\u1ebft qu\u1ea3. <\/span><\/p>\n

– N\u1ebfu ch\u1ec9 c\u00f3 1-2 adenoma d\u1ea1ng \u1ed1ng nh\u1ecf h\u01a1n 10mm, \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft ho\u00e0n to\u00e0n, th\u1eddi \u0111i\u1ec3m n\u1ed9i soi l\u1ea1i th\u01b0\u1eddng l\u00e0 7-10 n\u0103m. <\/span><\/p>\n

– N\u1ebfu c\u00f3 3-4 adenoma nh\u1ecf h\u01a1n 10mm, th\u1eddi gian theo d\u00f5i th\u01b0\u1eddng kho\u1ea3ng 3-5 n\u0103m. <\/span><\/p>\n

– N\u1ebfu c\u00f3 5-10 adenoma nh\u1ecf h\u01a1n 10mm, th\u01b0\u1eddng c\u1ea7n n\u1ed9i soi l\u1ea1i sau kho\u1ea3ng 3 n\u0103m. <\/span><\/p>\n

– V\u1edbi adenoma t\u1eeb 10 mm tr\u1edf l\u00ean, ho\u1eb7c adenoma c\u00f3 th\u00e0nh ph\u1ea7n tubulovillous\/ villous hay c\u00f3 lo\u1ea1n s\u1ea3n \u0111\u1ed9 cao, khuy\u1ebfn c\u00e1o th\u01b0\u1eddng l\u00e0 n\u1ed9i soi l\u1ea1i sau 3 n\u0103m. <\/span><\/p>\n

– N\u1ebfu ph\u00e1t hi\u1ec7n tr\u00ean 10 adenoma trong m\u1ed9t l\u1ea7n n\u1ed9i soi, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea7n n\u1ed9i soi l\u1ea1i sau kho\u1ea3ng 1 n\u0103m v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u00eam t\u00f9y t\u00ecnh hu\u1ed1ng. <\/span><\/p>\n

– \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p adenoma ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng r\u0103ng c\u01b0a t\u1eeb 20mm tr\u1edf l\u00ean \u0111\u01b0\u1ee3c c\u1eaft t\u1eebng ph\u1ea7n, c\u00f3 th\u1ec3 c\u1ea7n ki\u1ec3m tra l\u1ea1i v\u1ecb tr\u00ed c\u1eaft sau kho\u1ea3ng 6 th\u00e1ng. <\/span><\/p>\n

L\u01b0u \u00fd:<\/strong><\/em><\/span> Nh\u1eefng kho\u1ea3ng th\u1eddi gian tr\u00ean ch\u1ec9 mang t\u00ednh tham kh\u1ea3o v\u00e0 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1ed9i soi c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t, quan s\u00e1t \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ea1i tr\u00e0ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c c\u1eaft ho\u00e0n to\u00e0n. Khuy\u1ebfn c\u00e1o kh\u00f4ng n\u00ean \u00e1p d\u1ee5ng c\u1ee9ng nh\u1eafc cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ed9i ch\u1ee9ng ung th\u01b0 di truy\u1ec1n, b\u1ec7nh vi\u00eam ru\u1ed9t, ti\u1ec1n s\u1eed ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng ho\u1eb7c m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1eb7c bi\u1ec7t kh\u00e1c. <\/span><\/p>\n

Ph\u00e1t hi\u1ec7n polyp \u0111\u1ea1i tr\u00e0ng kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi ung th\u01b0, nh\u01b0ng vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i \u0111\u00fang c\u00e1ch c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng trong ph\u00f2ng ng\u1eeba ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng. T\u1eeb k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng, h\u00ecnh th\u00e1i \u0111\u1ebfn k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh, m\u1ed7i \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1ec1u g\u00f3p ph\u1ea7n x\u00e1c \u0111\u1ecbnh nguy c\u01a1 v\u00e0 l\u1ef1a ch\u1ecdn h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p. Sau khi c\u1eaft polyp, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u1ea7n tu\u00e2n th\u1ee7 l\u1ecbch n\u1ed9i soi gi\u00e1m s\u00e1t theo khuy\u1ebfn c\u00e1o c\u1ee7a b\u00e1c s\u0129, b\u1edfi nguy c\u01a1 xu\u1ea5t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng m\u1edbi v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra. Ch\u1ee7 \u0111\u1ed9ng ki\u1ec3m tra, x\u1eed tr\u00ed khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh v\u00e0 theo d\u00f5i \u0111\u00fang th\u1eddi \u0111i\u1ec3m ch\u00ednh l\u00e0 c\u00e1ch thi\u1ebft th\u1ef1c \u0111\u1ec3 ki\u1ec3m so\u00e1t nguy c\u01a1 v\u00e0 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe \u0111\u1ea1i tr\u00e0ng l\u00e2u d\u00e0i. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Ph\u00e1t hi\u1ec7n polyp \u0111\u1ea1i tr\u00e0ng trong qu\u00e1 tr\u00ecnh n\u1ed9i soi c\u00f3 th\u1ec3 khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh lo l\u1eafng, \u0111\u1eb7c bi\u1ec7t khi ch\u01b0a r\u00f5 m\u1ee9c \u0111\u1ed9 nguy…<\/p>\n","protected":false},"author":1,"featured_media":645,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"dv_news_topic":[],"class_list":["post-387","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-hoc-thuong-thuc"],"_links":{"self":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts\/387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=387"}],"version-history":[{"count":1,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts\/387\/revisions"}],"predecessor-version":[{"id":658,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts\/387\/revisions\/658"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/media\/645"}],"wp:attachment":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=387"},{"taxonomy":"dv_news_topic","embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fdv_news_topic&post=387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}