{"id":2455,"date":"2026-08-16T21:58:55","date_gmt":"2026-08-16T21:58:55","guid":{"rendered":"https:\/\/www.viethuma.pl\/?p=2455"},"modified":"2026-08-16T23:20:04","modified_gmt":"2026-08-16T23:20:04","slug":"soi-co-tu-cung-colposcopy","status":"publish","type":"post","link":"https:\/\/www.viethuma.pl\/index.php\/2026\/08\/16\/soi-co-tu-cung-colposcopy\/","title":{"rendered":"Soi c\u1ed5 t\u1eed cung (colposcopy)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/www.viethuma.pl\/index.php\/cennik\/#ginekologiacennik\">B\u1ea5m v\u00e0o \u0111\u00e2y \u0111\u1ec3 xem b\u1ea3ng gi\u00e1<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Soi c\u1ed5 t\u1eed cung (colposcopy) l\u00e0 <strong>ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra chuy\u00ean s\u00e2u gi\u00fap b\u00e1c s\u0129 quan s\u00e1t c\u1ed5 t\u1eed cung v\u1edbi \u0111\u1ed9 ph\u00f3ng \u0111\u1ea1i l\u1edbn, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 ki\u1ec3m tra \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9.<\/strong> Trong qu\u00e1 tr\u00ecnh soi, b\u00e1c s\u0129 s\u1eed d\u1ee5ng m\u1ecf v\u1ecbt \u0111\u1ec3 quan s\u00e1t c\u1ed5 t\u1eed cung v\u00e0 d\u00f9ng c\u00e1c dung d\u1ecbch chuy\u00ean d\u1ee5ng \u0111\u1ec3 l\u00e0m n\u1ed5i b\u1eadt nh\u1eefng v\u00f9ng c\u00f3 thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng. Nh\u1edd \u0111\u00f3, nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nh\u1ecf m\u00e0 kh\u00e1m th\u00f4ng th\u01b0\u1eddng kh\u00f4ng nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Khi n\u00e0o c\u1ea7n soi c\u1ed5 t\u1eed cung?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Soi c\u1ed5 t\u1eed cung th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi k\u1ebft qu\u1ea3 HPV ho\u1eb7c t\u1ebf b\u00e0o h\u1ecdc c\u1ed5 t\u1eed cung (Pap\/LBC) c\u00f3 b\u1ea5t th\u01b0\u1eddng, nh\u1eb1m x\u00e1c \u0111\u1ecbnh xem c\u00f3 t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 hay kh\u00f4ng. Vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh soi ph\u1ee5 thu\u1ed9c v\u00e0o k\u1ebft qu\u1ea3 HPV, k\u1ebft qu\u1ea3 t\u1ebf b\u00e0o h\u1ecdc, tu\u1ed5i v\u00e0 ti\u1ec1n s\u1eed c\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0110\u1eb7c bi\u1ec7t, soi c\u1ed5 t\u1eed cung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00e1t hi\u1ec7n HPV nguy c\u01a1 cao (HPV HR), \u0111\u1eb7c bi\u1ec7t l\u00e0 HPV 16 ho\u1eb7c 18.<br>K\u1ebft qu\u1ea3 t\u1ebf b\u00e0o h\u1ecdc c\u00f3 nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng nh\u01b0 ASC-US, LSIL, HSIL, ASC-H ho\u1eb7c AGC.<br>C\u00f3 nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng \u1edf c\u1ed5 t\u1eed cung khi kh\u00e1m ph\u1ee5 khoa.<br>C\u1ea7n theo d\u00f5i ho\u1eb7c \u0111\u00e1nh gi\u00e1 th\u00eam sau m\u1ed9t k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m b\u1ea5t th\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng ph\u1ea3i m\u1ecdi tr\u01b0\u1eddng h\u1ee3p HPV d\u01b0\u01a1ng t\u00ednh \u0111\u1ec1u b\u1eaft bu\u1ed9c ph\u1ea3i soi ngay. B\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 d\u1ef1a tr\u00ean to\u00e0n b\u1ed9 k\u1ebft qu\u1ea3 hi\u1ec7n t\u1ea1i v\u00e0 ti\u1ec1n s\u1eed x\u00e9t nghi\u1ec7m \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh n\u00ean soi c\u1ed5 t\u1eed cung, l\u1eb7p l\u1ea1i x\u00e9t nghi\u1ec7m hay theo d\u00f5i \u0111\u1ecbnh k\u1ef3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Khi n\u00e0o c\u1ea7n l\u1ea5y m\u1eabu m\u00f4 \u0111\u1ec3 x\u00e9t nghi\u1ec7m m\u00f4 b\u1ec7nh h\u1ecdc?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong qu\u00e1 tr\u00ecnh soi c\u1ed5 t\u1eed cung, n\u1ebfu b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n v\u00f9ng c\u1ed5 t\u1eed cung c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng, c\u00f3 th\u1ec3 l\u1ea5y m\u1ed9t m\u1ea3nh m\u00f4 r\u1ea5t nh\u1ecf \u2013 g\u1ecdi l\u00e0 sinh thi\u1ebft c\u1ed5 t\u1eed cung \u2013 \u0111\u1ec3 g\u1eedi \u0111\u1ebfn ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e0m x\u00e9t nghi\u1ec7m m\u00f4 b\u1ec7nh h\u1ecdc (histopathology). K\u1ebft qu\u1ea3 m\u00f4 b\u1ec7nh h\u1ecdc gi\u00fap x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 thay \u0111\u1ed5i c\u1ee7a t\u1ebf b\u00e0o v\u00e0 li\u1ec7u c\u00f3 t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 hay kh\u00f4ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sinh thi\u1ebft th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi soi th\u1ea5y nh\u1eefng d\u1ea5u hi\u1ec7u nh\u01b0:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00f9ng tr\u1eafng sau khi b\u00f4i acid acetic (acetowhite).<br>C\u00e1c m\u1ea1ch m\u00e1u ho\u1eb7c c\u1ea5u tr\u00fac m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng.<br>Nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng kh\u00e1c tr\u00ean b\u1ec1 m\u1eb7t c\u1ed5 t\u1eed cung.<br>K\u1ebft qu\u1ea3 HPV\/t\u1ebf b\u00e0o h\u1ecdc tr\u01b0\u1edbc \u0111\u00f3 cho th\u1ea5y nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 cao.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo ti\u00eau chu\u1ea9n soi c\u1ed5 t\u1eed cung hi\u1ec7n nay, khi c\u00f3 v\u00f9ng b\u1ea5t th\u01b0\u1eddng nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c, sinh thi\u1ebft c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng t\u1eeb nh\u1eefng v\u00f9ng nghi ng\u1edd gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng CIN2+ v\u00e0 tr\u00e1nh b\u1ecf s\u00f3t t\u1ed5n th\u01b0\u01a1ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 l\u1ea5y m\u1eabu t\u1eeb \u1ed1ng c\u1ed5 t\u1eed cung (ECC) \u0111\u1ec3 ki\u1ec3m tra ph\u1ea7n c\u1ed5 t\u1eed cung n\u1eb1m s\u00e2u b\u00ean trong, \u0111\u1eb7c bi\u1ec7t khi t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 n\u1eb1m \u1edf v\u1ecb tr\u00ed kh\u00f4ng quan s\u00e1t \u0111\u01b0\u1ee3c ho\u00e0n to\u00e0n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Quan tr\u1ecdng: soi c\u1ed5 t\u1eed cung kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n b\u1ecb ung th\u01b0. <\/strong>\u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n gi\u00fap x\u00e1c \u0111\u1ecbnh xem nh\u1eefng thay \u0111\u1ed5i ph\u00e1t hi\u1ec7n qua HPV\/t\u1ebf b\u00e0o h\u1ecdc c\u00f3 th\u1ef1c s\u1ef1 l\u00e0 t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 hay ch\u1ec9 l\u00e0 thay \u0111\u1ed5i l\u00e0nh t\u00ednh. Ch\u1ec9 khi c\u00f3 k\u1ebft qu\u1ea3 m\u00f4 b\u1ec7nh h\u1ecdc, b\u00e1c s\u0129 m\u1edbi c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c b\u1ea3n ch\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ea5m v\u00e0o \u0111\u00e2y \u0111\u1ec3 xem b\u1ea3ng gi\u00e1 Soi c\u1ed5 t\u1eed cung (colposcopy) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra chuy\u00ean s\u00e2u gi\u00fap b\u00e1c s\u0129 quan s\u00e1t c\u1ed5 t\u1eed cung v\u1edbi \u0111\u1ed9 ph\u00f3ng \u0111\u1ea1i l\u1edbn, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 ki\u1ec3m tra \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9. Trong qu\u00e1 tr\u00ecnh soi, b\u00e1c s\u0129 s\u1eed d\u1ee5ng m\u1ecf v\u1ecbt \u0111\u1ec3 quan&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":2436,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-2455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/posts\/2455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/comments?post=2455"}],"version-history":[{"count":2,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/posts\/2455\/revisions"}],"predecessor-version":[{"id":2534,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/posts\/2455\/revisions\/2534"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/media\/2436"}],"wp:attachment":[{"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/media?parent=2455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/categories?post=2455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.viethuma.pl\/index.php\/wp-json\/wp\/v2\/tags?post=2455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}