Page 3 - Chuong 18- Tieu hoa

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Ch. 18 • Bệnh lý đường tiêu hóa

· KL X PD X GR P W PD X FR EL X KL ÁQ P ÁW PR L VX QK ÁF DX EXÁQJ [DQK [DR
KR ÁF NKR WK
· F W QK O PD X P W WK QJ NK QJ FK QK [D F 1 X P F KHPDWRFULW Q Q DÀ
EL W WK FR WK D QK JLD V E Á O ÁQJ PD X P W G ÁD YD R P F JLD P KHPDWRFULW 1K Q
FKXQJ [X W KX W QJ WL X KR D G L W J D QK K QJ KX W ÁQJ K Q VR Y L
[X W KX W QJ WL X KR D WU Q
· 5 L ORD PD X FR WK J FKD PD X W FD F W Q WK QJ FR W WU F WURQJ
QJ WL X KR D 5 L ORDÁQ QJ PD X Y G E ÁQK JDQ E ÁQK YRQ :LOOHEUDQG WKL X
YLWDPLQ . YD QJ PD X Q ÁL PDÁFK WL Q WUL Q FR WK D QK K QJ Q WL Q WU QK [X W
KX W WL X KR D [HP K QJ 5 L ORDÁQ QJ PD X YD KX W NK L
· D F WKX F FR D QK K QJ Q TXD WU QK QJ PD X KR ÁF FK F Q QJ WL X F X EDR
J P ZDUIDULQ KHSDULQ DVSLULQ WKX F NKD QJ YL P NK QJ VWHURLG QRQVWHURLGDO
DQWL LQIODPPDWRU GUXJVu16 , V FORSLGRJUHO 3ODYL[ WKX F WL X KX W NK L
FD F WKX F G Á SKR QJ KX W NK L QK WKX F L NKD QJ WKXÁ WK JO FRSURWHLQ ,,E ,,,D
DEFL[LPDE >5HR3UR HSWLILEDWLGH >,QWHJULOLQ WLURILEDQ > JJUDVWDW YD FD F WKX F
F FK WKURPELQ WU ÁF WL S DUJDWUREDQ ELYDOLUXGLQ GDELJDWUDQ HWH[LODWH 16 , V
YD DVSLULQ FR WK J W Q WK QJ QL P PDÁF WDÁL E W F Y WU QD R WU Q QJ WL X KR D

Khám thực thể
· 0D X V F FXÀD SK .L P WUD WU ÁF WL S SK Q TXD WK P WU ÁF WUD QJ KR ÁF Q ÁL VRL WU ÁF
WUD QJ JLX S D QK JLD V E Á P F Á FKD PD X LJ LV 6FL 1 L VRL
NL P WUD WU F WUD FR WK [D F QK E W WK QJ K ÁX P Q WU ÁF WUD QJ QK Q W K ÁX
P Q WK P NKD P WU ÁF WUD QJ J FD P JLD F U W NKR FK X FKR QJ L E ÁQK
· 0D X W L FKD TXD VR GH GD GD FKR WK DQJ FR [X W KX W QJ WL X KR D

WU Q YD F Q ÁF FDQ WKL ÁS Q ÁL VRL F S F X DV RL HV ( GRVF
FK WURQJ VRQGH GDÁ GD F Q ÁF FKX NKL WK FR PD X YD G FK W L PD X rEDÀ FD
SK s YD [H W KL P D K LD FKDÀ PD X N D R WUR G FK KX W W VR GH GD
GD NK F GX WU O P VD KD PD X W WD WUD QJ FR WK NK QJ
SKD W KL ÁQ ÁF TXD G FK KX W WURQJ VRQGH GDÁ GD 5 D GDÁ GD E ÃQJ Q F KR ÁF Q F
PX L FR WK D S GXÁQJ D QK JLD WL Q WUL Q P F Á Q ÁQJ FX D [X W KX W WL X KR D
WU Q YD OD P VDÁFK GDÁ GD NKR L PD X YD FXÁF PD X QJ WU F NKL Q ÁL VRL 1 ( JO -
0HG 6DX NKL FK Q RD Q [X W KX W QJ WL X KR D WU Q VRQGH GDÁ
GD FR WK ÁF UX W NKL E ÁQK QK Q Q QK
· KHR GRÁL OL Q WXÁF KR ÁF D QK JLD WK QJ [X Q FD F G X KL ÁX VLQK W Q OD F Q WKL W
Q X PDÁFK QKDQK KR ÁF WXÁW KX W D S EORRG SUHVVXUHu%3 ÁW QJ ÁW FR WK OD G X
KL ÁX V P FX D W QK WUDÁQJ P W PD X WD L SKD W KR ÁF P W PD X Y ÊQ DQJ WL S WXÁF
· 1 X KX W D S YD PDÁFK Q Q Q ÃP WURQJ JL L KDÁQ E QK WK QJ E ÁQK QK Q QJ L O Q
KR ÁF QJ G Á FR WK [X W KL ÁQ WKD L KX W W WK JLD P KX W D S W P
WKX PP +J PDÁFK W QJ O Q SKX W 7KD L PDÁFK YD KX W D S W WK W QJ
QJ P W Q NK L O ÁQJ WX Q KRD Q KDÁ KX W D S NKL Q ÃP W QJ QJ P W