

{"id":8098,"date":"2025-01-13T15:07:09","date_gmt":"2025-01-13T08:07:09","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8098"},"modified":"2025-01-13T15:07:25","modified_gmt":"2025-01-13T08:07:25","slug":"benh-loet-da-day-ta-trang-nguyen-nhan-trieu-chung-va-cach-phong-ngua","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8098","title":{"rendered":"B\u1ec6NH LO\u00c9T D\u1ea0 D\u00c0Y &#8211; T\u00c1 TR\u00c0NG: NGUY\u00caN NH\u00c2N, TRI\u1ec6U CH\u1ee8NG V\u00c0 C\u00c1CH PH\u00d2NG NG\u1eeaA"},"content":{"rendered":"\n<p class=\"has-text-align-right\"><em>BS V\u00f5 H\u1ed3ng Lan Ph\u01b0\u01a1ng. TS. BS. V\u00f5 H\u1ed3ng Minh C\u00f4ng<\/em><\/p>\n\n\n\n<p class=\"has-text-align-right\"><em>Khoa N\u1ed9i Ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/em><\/p>\n\n\n\n<p>B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ti\u00eau h\u00f3a ph\u1ed5 bi\u1ebfn, g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng vi\u00eam lo\u00e9t \u1edf l\u1edbp ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng (ph\u1ea7n \u0111\u1ea7u ti\u00ean c\u1ee7a ru\u1ed9t non). B\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. M\u1eb7c d\u00f9 lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111\u00fang c\u00e1ch, b\u1ec7nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n\n\n\n<p><strong>Nguy\u00ean nh\u00e2n g\u00e2y lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng:<\/strong><\/p>\n\n\n\n<p><strong>Nhi\u1ec5m khu\u1ea9n <em>Helicobacter pylori<\/em><\/strong>: Vi khu\u1ea9n <em>Helicobacter pylori (H. pylori)<\/em> l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng. Vi khu\u1ea9n n\u00e0y s\u1ed1ng v\u00e0 ph\u00e1t tri\u1ec3n trong ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, ph\u00e1 h\u1ee7y l\u1edbp b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c v\u00e0 l\u00e0m t\u0103ng s\u1ef1 ti\u1ebft axit d\u1ea1 d\u00e0y, g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u00e0 lo\u00e9t.<\/p>\n\n\n\n<p><strong>S\u1eed d\u1ee5ng thu\u1ed1c NSAIDs<\/strong>: Thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng steroid (NSAIDs), nh\u01b0 ibuprofen, aspirin, naproxen\u2026, c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng n\u1ebfu s\u1eed d\u1ee5ng trong th\u1eddi gian d\u00e0i ho\u1eb7c kh\u00f4ng \u0111\u00fang c\u00e1ch. Nh\u1eefng thu\u1ed1c n\u00e0y \u1ee9c ch\u1ebf s\u1ea3n xu\u1ea5t prostaglandin, ch\u1ea5t nh\u1ea7y b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y gi\u1ea3m, l\u00e0m m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 v\u00e0 y\u1ebfu t\u1ed1 ph\u00e1 h\u1ee7y. \u0110\u1ed3ng th\u1eddi NSAIDs t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp g\u00e2y t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c d\u1ea1y d\u00e0y.<\/p>\n\n\n\n<p><strong>L\u1ed1i s\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh<\/strong>: Stress, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng c\u00e2n \u0111\u1ed1i, th\u00f3i quen \u0103n u\u1ed1ng th\u1ea5t th\u01b0\u1eddng, u\u1ed1ng qu\u00e1 nhi\u1ec1u r\u01b0\u1ee3u bia ho\u1eb7c h\u00fat thu\u1ed1c l\u00e1 \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng. C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 l\u00e0m t\u0103ng s\u1ef1 ti\u1ebft axit d\u1ea1 d\u00e0y v\u00e0 g\u00e2y vi\u00eam ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng.<\/p>\n\n\n\n<p><strong>Di truy\u1ec1n<\/strong>: M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng y\u1ebfu t\u1ed1 di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh.<\/p>\n\n\n\n<p><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng:<\/strong><\/p>\n\n\n\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng, nh\u01b0ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0:<\/p>\n\n\n\n<p><strong>\u0110au ho\u1eb7c n\u00f3ng r\u00e1t v\u00f9ng th\u01b0\u1ee3ng v\u1ecb<\/strong>: C\u1ea3m gi\u00e1c \u0111au ho\u1eb7c b\u1ecfng r\u00e1t \u1edf v\u00f9ng b\u1ee5ng tr\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi \u0103n ho\u1eb7c khi \u0111\u00f3i, l\u00e0 tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a b\u1ec7nh.<\/p>\n\n\n\n<p><strong>Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n<\/strong>: C\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda c\u00f3 th\u1ec3 x\u1ea3y ra khi lo\u00e9t t\u00e1 tr\u00e0ng ho\u1eb7c d\u1ea1 d\u00e0y g\u00e2y k\u00edch \u1ee9ng d\u1ea1 d\u00e0y.<\/p>\n\n\n\n<p><strong>\u0102n kh\u00f4ng ti\u00eau, \u0111\u1ea7y b\u1ee5ng<\/strong>: C\u1ea3m gi\u00e1c no l\u00e2u, kh\u00f3 ti\u00eau h\u00f3a ho\u1eb7c ch\u01b0\u1edbng b\u1ee5ng sau khi \u0103n.<\/p>\n\n\n\n<p><strong>Ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y<\/strong>: Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, lo\u00e9t c\u00f3 th\u1ec3 g\u00e2y ra ch\u1ea3y m\u00e1u, bi\u1ec3u hi\u1ec7n qua ph\u00e2n \u0111en ho\u1eb7c n\u00f4n ra m\u00e1u.<\/p>\n\n\n\n<p><strong>Gi\u1ea3m c\u00e2n kh\u00f4ng r\u00f5 l\u00fd do<\/strong>: Khi lo\u00e9t d\u1ea1 d\u00e0y g\u00e2y c\u1ea3m gi\u00e1c kh\u00f4ng mu\u1ed1n \u0103n, ho\u1eb7c \u0103n kh\u00f4ng \u0111\u01b0\u1ee3c, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 gi\u1ea3m c\u00e2n nhanh ch\u00f3ng.<\/p>\n\n\n\n<p><strong>C\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng:<\/strong><\/p>\n\n\n\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m:<\/p>\n\n\n\n<p><strong>Kh\u00e1ng sinh (n\u1ebfu c\u00f3 nhi\u1ec5m khu\u1ea9n <em>H. pylori<\/em>)<\/strong>: N\u1ebfu b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng do nhi\u1ec5m khu\u1ea9n <em>Helicobacter pylori<\/em>, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh m\u1ed9t li\u1ec7u tr\u00ecnh kh\u00e1ng sinh \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n n\u00e0y. Th\u01b0\u1eddng b\u1ec7nh nh\u00e2n s\u1ebd ph\u1ea3i d\u00f9ng k\u1ebft h\u1ee3p m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1ng sinh \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ti\u00eau di\u1ec7t ho\u00e0n to\u00e0n vi khu\u1ea9n.<\/p>\n\n\n\n<p><strong>Thu\u1ed1c \u1ee9c ch\u1ebf axit d\u1ea1 d\u00e0y:<\/strong><\/p>\n\n\n\n<p><strong>Thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton (PPI)<\/strong>: PPI nh\u01b0 omeprazole, lansoprazole\u2026 gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng axit d\u1ea1 d\u00e0y, l\u00e0m gi\u1ea3m \u0111au v\u00e0 gi\u00fap ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<p><strong>Thu\u1ed1c kh\u00e1ng H2<\/strong>: C\u00e1c thu\u1ed1c nh\u01b0 ranitidine ho\u1eb7c famotidine c\u0169ng gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng axit trong d\u1ea1 d\u00e0y, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb lo\u00e9t.<\/p>\n\n\n\n<p><strong>Thu\u1ed1c b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y<\/strong>: Nh\u1eefng thu\u1ed1c nh\u01b0 sucralfate c\u00f3 th\u1ec3 t\u1ea1o m\u1ed9t l\u1edbp b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y kh\u1ecfi axit v\u00e0 gi\u00fap l\u00e0m l\u00e0nh c\u00e1c v\u1ebft lo\u00e9t.<\/p>\n\n\n\n<p><strong>Ng\u01b0ng s\u1eed d\u1ee5ng NSAIDs<\/strong>: N\u1ebfu b\u1ec7nh do vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c NSAIDs, b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea7n ng\u01b0ng d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y v\u00e0 thay th\u1ebf b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au kh\u00e1c ph\u00f9 h\u1ee3p h\u01a1n.<\/p>\n\n\n\n<p><strong>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd<\/strong>: Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0103n c\u00e1c b\u1eefa \u0103n nh\u1ecf, tr\u00e1nh c\u00e1c th\u1ef1c ph\u1ea9m cay, chua, nhi\u1ec1u gia v\u1ecb ho\u1eb7c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n. Ch\u1ebf \u0111\u1ed9 \u0103n d\u1ec5 ti\u00eau h\u00f3a, \u00edt ch\u1ea5t b\u00e9o v\u00e0 kh\u00f4ng k\u00edch th\u00edch d\u1ea1 d\u00e0y s\u1ebd gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh l\u00e0nh v\u1ebft lo\u00e9t.<\/p>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt (n\u1ebfu c\u1ea7n)<\/strong>: Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, khi lo\u00e9t kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ho\u1eb7c c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 th\u1ee7ng d\u1ea1 d\u00e0y ho\u1eb7c ch\u1ea3y m\u00e1u kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c, ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn c\u1ea7n thi\u1ebft. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 bao g\u1ed3m c\u1eaft b\u1ecf ph\u1ea7n d\u1ea1 d\u00e0y b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c c\u1eaft b\u1ecf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.<\/p>\n\n\n\n<p><strong>Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng:<\/strong><\/p>\n\n\n\n<p>\u0110\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng, b\u1ea1n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p sau:<\/p>\n\n\n\n<p><strong>H\u1ea1n ch\u1ebf c\u0103ng th\u1eb3ng<\/strong>: Stress c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 lo\u00e9t d\u1ea1 d\u00e0y, v\u00ec v\u1eady c\u1ea7n t\u00ecm c\u00e1ch th\u01b0 gi\u00e3n, ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd \u0111\u1ec3 gi\u1ea3m c\u0103ng th\u1eb3ng.<\/p>\n\n\n\n<p><strong>\u0102n u\u1ed1ng khoa h\u1ecdc v\u00e0 \u0111\u1ec1u \u0111\u1eb7n<\/strong>: Tr\u00e1nh \u0103n qu\u00e1 no ho\u1eb7c \u0103n qu\u00e1 mu\u1ed9n, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u01b0\u1edbc khi \u0111i ng\u1ee7. H\u00e3y \u0103n c\u00e1c b\u1eefa \u0103n nh\u1ecf v\u00e0 b\u1ed5 sung \u0111\u1ee7 rau qu\u1ea3, ch\u1ea5t x\u01a1 \u0111\u1ec3 gi\u00fap d\u1ea1 d\u00e0y d\u1ec5 ti\u00eau h\u00f3a.<\/p>\n\n\n\n<p><strong>Tr\u00e1nh l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 thu\u1ed1c l\u00e1<\/strong>: R\u01b0\u1ee3u bia v\u00e0 thu\u1ed1c l\u00e1 \u0111\u1ec1u c\u00f3 th\u1ec3 k\u00edch th\u00edch ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 l\u00e0m t\u0103ng s\u1ea3n xu\u1ea5t axit, t\u1eeb \u0111\u00f3 l\u00e0m gia t\u0103ng nguy c\u01a1 lo\u00e9t.<\/p>\n\n\n\n<p><strong>Ki\u1ec3m so\u00e1t vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c NSAIDs<\/strong>: N\u1ebfu ph\u1ea3i d\u00f9ng c\u00e1c thu\u1ed1c NSAIDs, h\u00e3y s\u1eed d\u1ee5ng theo s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 tr\u00e1nh d\u00f9ng k\u00e9o d\u00e0i.<\/p>\n\n\n\n<p><strong>Kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3<\/strong>: N\u1ebfu c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng th\u01b0\u1eddng xuy\u00ean, bu\u1ed3n n\u00f4n ho\u1eb7c ti\u00eau h\u00f3a k\u00e9m, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p><strong>K\u1ebft lu\u1eadn:<\/strong> B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t hi\u1ec7u qu\u1ea3 n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch. Vi\u1ec7c duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc, gi\u1ea3m c\u0103ng th\u1eb3ng v\u00e0 ki\u1ec3m so\u00e1t vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng trong vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. H\u00e3y ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe d\u1ea1 d\u00e0y c\u1ee7a m\u00ecnh \u0111\u1ec3 s\u1ed1ng kh\u1ecfe m\u1ea1nh v\u00e0 t\u1eadn h\u01b0\u1edfng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-233d79ed wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg\" alt=\"\" class=\"uag-image-8100\" width=\"1920\" height=\"1080\" title=\"f917a19e-022f-494a-9787-bb9106ef70d5\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o: Marc Bilodeau, et al. The Digestive System: From Basic Sciences to Clinical Practice 2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>BS V\u00f5 H\u1ed3ng Lan Ph\u01b0\u01a1ng. TS. BS. V\u00f5 H\u1ed3ng Minh C\u00f4ng Khoa N\u1ed9i Ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ti\u00eau h\u00f3a ph\u1ed5 bi\u1ebfn, g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng vi\u00eam lo\u00e9t \u1edf l\u1edbp ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng (ph\u1ea7n \u0111\u1ea7u ti\u00ean c\u1ee7a [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":8100,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56],"tags":[],"class_list":["post-8098","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x1080.jpg",1200,1080,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x1080.jpg",1200,1080,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg",1920,1080,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg",1920,1080,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-300x169.jpg",300,169,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-768x432.jpg",768,432,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1024x576.jpg",805,453,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-400x1080.jpg",400,1080,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1536x864.jpg",1536,864,true],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5.jpg",1920,1080,false],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x1080.jpg",1200,1080,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x1080.jpg",1200,1080,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x900.jpg",600,900,true],"ultp_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/f917a19e-022f-494a-9787-bb9106ef70d5-600x600.jpg",600,600,true],"elixar_section_extra_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-cont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H\u1ea1nh","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=2"},"uagb_comment_info":0,"uagb_excerpt":"BS V\u00f5 H\u1ed3ng Lan Ph\u01b0\u01a1ng. TS. BS. V\u00f5 H\u1ed3ng Minh C\u00f4ng Khoa N\u1ed9i Ti\u00eau h\u00f3a b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ti\u00eau h\u00f3a ph\u1ed5 bi\u1ebfn, g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng vi\u00eam lo\u00e9t \u1edf l\u1edbp ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng (ph\u1ea7n \u0111\u1ea7u ti\u00ean c\u1ee7a&hellip;","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8098","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8098"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8098\/revisions"}],"predecessor-version":[{"id":8101,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8098\/revisions\/8101"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/media\/8100"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8098"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8098"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8098"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}