{"id":7484,"date":"2024-06-24T10:33:42","date_gmt":"2024-06-24T03:33:42","guid":{"rendered":"https:\/\/ishiisaigon.vn\/?p=7484"},"modified":"2024-06-24T10:33:42","modified_gmt":"2024-06-24T03:33:42","slug":"chup-mri-giup-chan-doan-nhoi-mau-nao-cap","status":"publish","type":"post","link":"https:\/\/ishiisaigon.vn\/ja\/chup-mri-giup-chan-doan-nhoi-mau-nao-cap\/","title":{"rendered":"Ch\u1ee5p MRI gi\u00fap ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p"},"content":{"rendered":"

Nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o v\u00e0 t\u1eed vong \u1edf nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t \u0111\u00fang v\u1edbi Vi\u1ec7t Nam, n\u01a1i s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p \u0111ang t\u0103ng nhanh ch\u00f3ng theo n\u0103m. V\u00ec v\u1eady, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong vi\u1ec7c gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong do b\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 vai tr\u00f2 c\u1ee7a ch\u1ee5p MRI trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p v\u00e0 quy tr\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee5p MRI t\u1ea1i ph\u00f2ng kh\u00e1m Ishii S\u00e0i G\u00f2n.<\/p>\n

Nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p l\u00e0 g\u00ec?<\/h2>\n

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Nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ed9t m\u1ea1ch m\u00e1u trong n\u00e3o b\u1ecb t\u1eafc ho\u1eb7c v\u1ee1, d\u1eabn \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ho\u1eb7c m\u1ea5t ho\u00e0n to\u00e0n ngu\u1ed3n m\u00e1u \u0111i \u0111\u1ebfn m\u1ed9t khu v\u1ef1c c\u1ee7a n\u00e3o. Khi \u0111\u00f3, c\u00e1c t\u1ebf b\u00e0o trong khu v\u1ef1c b\u1ecb \u1ea3nh h\u01b0\u1edfng s\u1ebd kh\u00f4ng c\u00f2n nh\u1eadn \u0111\u01b0\u1ee3c oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng, g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u00e0 ng\u1eebng ho\u1ea1t \u0111\u1ed9ng. K\u1ebft qu\u1ea3 l\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra t\u1eed vong c\u1ee7a c\u00e1c t\u1ebf b\u00e0o n\u00e3o ho\u1eb7c l\u00e0m gi\u1ea3m t\u00ednh n\u0103ng c\u1ee7a ch\u00fang.<\/p>\n

Nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p th\u01b0\u1eddng x\u1ea3y ra do m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng (trombosis) ho\u1eb7c m\u1ed9t c\u1ee5c m\u00e1u \u0111i t\u1eeb m\u1ed9t ph\u1ea7n kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (embolism) b\u1ecb t\u1eafc v\u00e0o m\u1ed9t m\u1ea1ch m\u00e1u nh\u1ecf trong n\u00e3o. Ngo\u00e0i ra, c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra do m\u1ed9t chi\u1ebfc m\u00e1y b\u01a1m kh\u00ed b\u00ecnh ho\u1eb7c m\u1ed9t c\u1ee5c m\u00e1u ch\u1ea3y ra kh\u1ecfi m\u1ea1ch m\u00e1u b\u1ecb b\u1ecf s\u00f3t.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p bao g\u1ed3m \u0111au \u0111\u1ea7u nghi\u00eam tr\u1ecdng, ch\u00f3ng m\u1eb7t, m\u1ea5t kh\u1ea3 n\u0103ng di chuy\u1ec3n ho\u1eb7c n\u00f3i chuy\u1ec7n, nh\u1ee9c \u0111\u1ea7u, m\u1ea5t kh\u1ea3 n\u0103ng nh\u00ecn r\u00f5, v\u00e0 c\u1ea3m gi\u00e1c l\u1ea9n qu\u1ea9n. T\u00f9y theo v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a m\u1ea1ch m\u00e1u trong n\u00e3o m\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 kh\u00e1c nhau. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p c\u00f3 th\u1ec3 g\u00e2y ra nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng v\u00e0 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\n

\u01afu \u0111i\u1ec3m c\u1ee7a MRI trong ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p<\/h2>\n

Ch\u1ee5p MRI (Magnetic Resonance Imaging) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh y t\u1ebf s\u1eed d\u1ee5ng s\u00f3ng t\u1eeb v\u00e0 t\u1eeb tr\u01b0\u1eddng \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh chi ti\u1ebft v\u1ec1 c\u01a1 th\u1ec3. \u0110\u1eb7c bi\u1ec7t, MRI r\u1ea5t h\u1eefu \u00edch trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p do kh\u1ea3 n\u0103ng qu\u00e9t ch\u00ednh x\u00e1c v\u00e0 kh\u00f4ng g\u00e2y t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n.<\/p>\n

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M\u1ed9t trong nh\u1eefng \u01b0u \u0111i\u1ec3m quan tr\u1ecdng c\u1ee7a MRI l\u00e0 n\u00f3 cho ph\u00e9p c\u00e1c b\u00e1c s\u0129 nh\u00ecn th\u1ea5y c\u00e1c c\u1ea5u tr\u00fac v\u00e0 m\u00f4 h\u00ecnh trong n\u00e3o v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh kh\u00e1c. \u0110i\u1ec1u n\u00e0y gi\u00fap c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c m\u1ea1ch m\u00e1u b\u1ecb t\u1eafc ho\u1eb7c v\u1ee1, t\u1ed5n th\u01b0\u01a1ng n\u00e3o v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c trong n\u00e3o m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng v\u00e0 ch\u00ednh x\u00e1c.<\/p>\n

Ngo\u00e0i ra, MRI kh\u00f4ng s\u1eed d\u1ee5ng tia X v\u00e0 kh\u00f4ng g\u00e2y ra b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o cho c\u01a1 th\u1ec3, gi\u00fap gi\u1ea3m thi\u1ec3u r\u1ee7i ro cho b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 b\u1ecb d\u1ecb \u1ee9ng ho\u1eb7c kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c tia X.<\/p>\n

Quy tr\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee5p MRI t\u1ea1i ph\u00f2ng kh\u00e1m Ishii S\u00e0i G\u00f2n<\/h2>\n

Ph\u00f2ng kh\u00e1m Ishii S\u00e0i G\u00f2n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 m\u1ed9t trong nh\u1eefng trung t\u00e2m y t\u1ebf h\u00e0ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t Nam trong vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1y MRI 3.0 Telsa \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u1ec1 n\u00e3o. Ch\u1ec9 c\u1ea7n kho\u1ea3ng 15 ph\u00fat x\u00e9t nghi\u1ec7m b\u1eb1ng m\u00e1y 3.0 Telsa c\u1ee7a Ishii S\u00e0i G\u00f2n cho ra k\u1ebft qu\u1ea3 gi\u00fap c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n.<\/p>\n

Quy tr\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee5p MRI t\u1ea1i ph\u00f2ng kh\u00e1m Ishii S\u00e0i G\u00f2n bao g\u1ed3m c\u00e1c b\u01b0\u1edbc sau:<\/p>\n

B\u01b0\u1edbc 1: Chu\u1ea9n b\u1ecb<\/h3>\n

Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u qu\u00e1 tr\u00ecnh ch\u1ee5p MRI, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u thay v\u00e0o trang ph\u1ee5c y t\u1ebf v\u00e0 n\u1eb1m y\u00ean tr\u00ean chi\u1ebfc gi\u01b0\u1eddng ch\u1ee5p. B\u1ec7nh nh\u00e2n c\u1ea7n l\u01b0u \u00fd kh\u00f4ng mang theo c\u00e1c v\u1eadt d\u1ec5 v\u1ee1, \u0111\u1ed3ng h\u1ed3, ph\u1ee5 ki\u1ec7n \u0111i\u1ec7n t\u1eed ho\u1eb7c kim lo\u1ea1i, n\u1ebfu c\u00f3 th\u00ec ch\u00fang s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u th\u00e1o ra tr\u01b0\u1edbc khi v\u00e0o ph\u00f2ng ch\u1ee5p.<\/p>\n

B\u01b0\u1edbc 2: N\u1ed9i soi<\/h3>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ngo\u00e0i vi\u1ec7c ch\u1ee5p MRI th\u00f4ng th\u01b0\u1eddng, b\u00e1c s\u0129 c\u00f2n c\u00f3 th\u1ec3 y\u00eau c\u1ea7u th\u1ef1c hi\u1ec7n th\u00eam x\u00e9t nghi\u1ec7m n\u1ed9i soi \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh r\u00f5 r\u00e0ng v\u1ec1 b\u1ed9 ph\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y gi\u00fap c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

B\u01b0\u1edbc 3: Ch\u1ee5p MRI<\/h3>\n

Sau khi chu\u1ea9n b\u1ecb xong, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a b\u1ec7nh nh\u00e2n v\u00e0o trong ph\u00f2ng ch\u1ee5p MRI. T\u1ea1i \u0111\u00e2y, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u n\u1eb1m y\u00ean trong kho\u1ea3ng 30-45 ph\u00fat t\u00f9y thu\u1ed9c v\u00e0o m\u1ee5c \u0111\u00edch c\u1ee7a vi\u1ec7c ch\u1ee5p MRI. Trong su\u1ed1t qu\u00e1 tr\u00ecnh ch\u1ee5p, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c gi\u1eef nguy\u00ean t\u01b0 th\u1ebf n\u1eb1m tr\u00ean chi\u1ebfc gi\u01b0\u1eddng v\u00e0 di chuy\u1ec3n v\u00e0o trong m\u00e1y MRI.<\/p>\n

B\u01b0\u1edbc 4: \u0110\u00e1nh gi\u00e1 v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h3>\n

Sau khi qu\u00e1 tr\u00ecnh ch\u1ee5p ho\u00e0n t\u1ea5t, c\u00e1c b\u00e1c s\u0129 s\u1ebd xem x\u00e9t v\u00e0 \u0111\u00e1nh gi\u00e1 h\u00ecnh \u1ea3nh t\u1eeb m\u00e1y MRI \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c. K\u1ebft qu\u1ea3 s\u1ebd \u0111\u01b0\u1ee3c g\u1eedi v\u1ec1 cho b\u1ec7nh nh\u00e2n trong th\u1eddi gian ng\u1eafn nh\u1ea5t \u0111\u1ec3 ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

L\u01b0u \u00fd khi th\u1ef1c hi\u1ec7n ch\u1ee5p MRI trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o<\/h2>\n

C\u0169ng nh\u01b0 c\u00e1c lo\u1ea1i m\u00e1y MRI kh\u00e1c, m\u00e1y 3.0 Telsa c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 y\u00eau c\u1ea7u c\u1ea7n tu\u00e2n th\u1ee7 khi th\u1ef1c hi\u1ec7n quy tr\u00ecnh ch\u1ee5p. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 \u0111i\u1ec3m sau khi quy\u1ebft \u0111\u1ecbnh ch\u1ee5p MRI \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh di\u1ec5n ra an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3:<\/p>\n