{"id":5802,"date":"2020-08-21T15:31:05","date_gmt":"2020-08-21T08:31:05","guid":{"rendered":"https:\/\/vinatom.gov.vn\/?p=5802"},"modified":"2020-08-21T15:31:05","modified_gmt":"2020-08-21T08:31:05","slug":"chuong-trinh-hanh-dong-dam-bao-an-toan-doi-voi-cac-doi-tuong-benh-nhan-tai-lap-chieu-chup-hinh-x-quang-ct-nhieu-lan","status":"publish","type":"post","link":"https:\/\/vinatom.gov.vn\/chuong-trinh-hanh-dong-dam-bao-an-toan-doi-voi-cac-doi-tuong-benh-nhan-tai-lap-chieu-chup-hinh-x-quang-ct-nhieu-lan\/","title":{"rendered":"Ch\u01b0\u01a1ng tr\u00ecnh h\u00e0nh \u0111\u1ed9ng \u0111\u1ea3m b\u1ea3o an to\u00e0n \u0111\u1ed1i v\u1edbi c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n t\u00e1i l\u1eb7p chi\u1ebfu ch\u1ee5p h\u00ecnh X-Quang (CT) nhi\u1ec1u l\u1ea7n"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><em>Ng\u00e0y 01\/10\/ 1977 nh\u00e0 b\u00e1c h\u1ecdc ng\u01b0\u1eddi Anh G.N Hounsfield l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u00e3 gi\u1edbi thi\u1ec7u m\u00e1y ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n CT v\u00e0o ch\u1ea9n \u0111o\u00e1n b\u1ec7nh. Sau nhi\u1ec1u l\u1ea7n \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn v\u00e0 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nh\u1eefng ti\u1ebfn b\u1ed9 khoa h\u1ecdc v\u00e0 c\u00f4ng ngh\u1ec7 hi\u1ec7n \u0111\u1ea1i, \u0111\u1ebfn nay, CT \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n r\u1ea5t m\u1ea1nh trong y t\u1ebf. L\u1ee3i \u00edch m\u00e0 n\u00f3 \u0111em l\u1ea1i r\u1ea5t to l\u1edbn. Nhi\u1ec1u ng\u01b0\u1eddi d\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb lo\u1ea1i h\u00ecnh d\u1ecbch v\u1ee5 c\u00f4ng ngh\u1ec7 cao n\u00e0y. Tuy nhi\u00ean, li\u1ec1u b\u1ec7nh nh\u00e2n trong ch\u1ea9n \u0111o\u00e1n b\u1eb1ng CT cao h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi chi\u1ebfu ch\u1ee5p X-quang th\u01b0\u1eddng quy. G\u1ea7n \u0111\u00e2y, \u0111\u00e3 c\u00f3 nhi\u1ec1u c\u00f4ng b\u1ed1 li\u00ean quan t\u1edbi li\u1ec1u b\u1ec7nh nh\u00e2n trong nh\u00f3m b\u1ec7nh nh\u00e2n ph\u1ea3i tr\u1ea3i qua nhi\u1ec1u l\u1ea7n t\u00e1i ch\u1ee5p b\u1eb1ng CT trong cu\u1ed9c \u0111\u1eddi. \u0110i\u1ec1u n\u00e0y d\u1ea5y l\u00ean m\u1ed1i quan t\u00e2m c\u1ee7a c\u00e1c nh\u00e0 chuy\u00ean m\u00f4n trong \u0111\u00f3 c\u00f3 c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u, b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1, b\u00e1c s\u0129, v\u1eadt l\u00fd y khoa, c\u00e1c nh\u00e0 c\u00f4ng ngh\u1ec7 v\u00e0 c\u00e1c nh\u00e0 qu\u1ea3n l\u00fd. Ng\u00e0y 04\/6\/2019 t\u1ea1i tr\u1ee5 s\u1edf c\u1ee7a C\u01a1 quan n\u0103ng l\u01b0\u1ee3ng Qu\u1ed1c t\u1ebf IAEA \u0111\u00e3 di\u1ec5n ra m\u1ed9t h\u1ed9i ngh\u1ecb k\u1ef9 thu\u1eadt v\u1edbi s\u1ef1 tham gia c\u1ee7a 53 chuy\u00ean gia qu\u1ed1c t\u1ebf v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 tham gia c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u1ebfn t\u1eeb nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi, nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 tr\u1ea3i qua c\u00e1c th\u1ee7 t\u1ee5c ch\u1ea9n \u0111o\u00e1n n\u00eau tr\u00ean. T\u1eeb di\u1ec5n \u0111\u00e0n n\u00e0y, nh\u1eefng ng\u01b0\u1eddi tham gia cu\u1ed9c t\u1ecda \u0111\u00e0m \u0111\u00e3 trao \u0111\u1ed5i, \u0111\u00e1nh gi\u00e1 t\u00ecnh h\u00ecnh v\u00e0 \u0111\u00e3 \u0111\u01b0a ra l\u1eddi k\u00eau g\u1ecdi h\u00e0nh \u0111\u1ed9ng chung. Xin gi\u1edbi thi\u1ec7u v\u1edbi \u0111\u1ed9c gi\u1ea3 b\u00e1o c\u00e1o \u00a0t\u00f3m t\u1eaft n\u1ed9i d\u1ee5ng h\u1ed9i ngh\u1ecb k\u1ef9 thu\u1eadt v\u00e0 L\u1eddi k\u00eau g\u1ecdi chung c\u1ee7a H\u1ed9i ngh\u1ecb.<\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #0000ff;\"> <a style=\"color: #0000ff;\" href=\"https:\/\/www.iaea.org\/sites\/default\/files\/19\/04\/rpop-tm_summary_final.pdf\"><em>https:\/\/www.iaea.org\/sites\/default\/files\/19\/04\/rpop-tm_summary_final.pdf<\/em><\/a><\/span><\/p>\n<p style=\"text-align: justify;\"><em>Qua \u0111\u00e2y, ng\u01b0\u1eddi vi\u1ebft mong mu\u1ed1n c\u1ed9ng \u0111\u1ed3ng c\u00e1c nh\u00e0 khoa h\u1ecdc, c\u00e1c nh\u00e0 qu\u1ea3n l\u00fd, c\u00e1c y b\u00e1c s\u0129 v\u00e0 gi\u1edbi chuy\u00ean m\u00f4n c\u1ee7a Vi\u1ec7t Nam c\u00f9ng nhau suy ngh\u0129 v\u00e0 c\u00f3 nh\u1eefng h\u00e0nh \u0111\u1ed9ng h\u1ee3p l\u00fd v\u1ec1 v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c n\u00eau trong L\u1eddi k\u00eau g\u1ecdi n\u00e0y.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">T\u1eeb 04-06\/3\/2019 t\u1ea1i Tr\u1ee5 s\u1edf c\u1ee7a IAEA, m\u1ed9t h\u1ed9i ngh\u1ecb k\u1ef9 thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c v\u1edbi s\u1ef1 tham gia c\u1ee7a 53 chuy\u00ean gia \u0111\u1ebfn t\u1eeb 26 qu\u1ed1c gia th\u00e0nh vi\u00ean v\u00e0 c\u00e1c t\u1ed5 ch\u1ee9c qu\u1ed1c t\u1ebf v\u00e0 c\u00e1c c\u01a1 quan chuy\u00ean m\u00f4n: ICRP, WHO, UNSCEAR, ISR, ISRRT, IOMP, ESR, Image Gently v\u00e0 DITTA c\u00f9ng \u0111\u1ea1i di\u1ec7n cho m\u1ed9t s\u1ed1 chuy\u00ean m\u00f4n kh\u00e1c nhau nh\u01b0: c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u y h\u1ecdc, c\u00e1c nh\u00e0 v\u1eadt l\u00fd y khoa, c\u00e1c k\u1ef9 thu\u1eadt vi\u00ean b\u1ee9c x\u1ea1 y t\u1ebf, c\u00e1c nh\u00e0 sinh h\u1ecdc b\u1ee9c x\u1ea1, d\u1ecbch t\u1ec5 h\u1ecdc b\u1ee9c x\u1ea1, \u00a0c\u00e1c nh\u00e0 s\u1ea3n xu\u1ea5t, chuy\u00ean gia b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1 v\u00e0 s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a b\u1ec7nh nh\u00e2n t\u1eeb m\u1ea1ng l\u01b0\u1edbi An to\u00e0n b\u1ec7nh nh\u00e2n c\u1ee7a WHO.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">B\u00e1o c\u00e1o sau \u0111\u00e2y t\u00f3m t\u1eaft nh\u1eefng ph\u00e1t hi\u1ec7n, nh\u1eefng k\u1ebft lu\u1eadn v\u00e0 khuy\u1ebfn ngh\u1ecb \u0111\u01b0\u1ee3c c\u00e1c b\u00ean tham gia \u0111\u1ed3ng \u00fd \u0111\u01b0a ra t\u1ea1i h\u1ed9i ngh\u1ecb.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">H\u00ecnh \u1ea3nh y t\u1ebf v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 h\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) \u0111\u00e3 v\u00e0 \u0111ang mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch to l\u1edbn trong ch\u1ea9n \u0111o\u00e1n, theo d\u00f5i b\u1ec7nh v\u00e0 trong qu\u1ea3n l\u00fd t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe th\u00f4ng qua vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng h\u00ecnh \u1ea3nh v\u00e0 c\u00e1c th\u1ee7 t\u1ee5c can thi\u1ec7p b\u1eb1ng tia X. H\u00e0ng tri\u1ec7u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb vi\u1ec7c ki\u1ec3m tra b\u1eb1ng tia X m\u1ed7i ng\u00e0y. IAEA \u0111\u00e3 kh\u1edfi x\u01b0\u1edbng d\u1ef1 \u00e1n <strong>Th\u1ebb th\u00f4ng minh v\u00e0o n\u0103m 2009 <\/strong>v\u1edbi m\u1ee5c \u0111\u00edch cung c\u1ea5p m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i ph\u01a1i nhi\u1ec5m b\u1ee9c x\u1ea1 cho \u00a0b\u1ec7nh nh\u00e2n. Hi\u1ec7n nay, vi\u1ec7c theo d\u00f5i ph\u01a1i nhi\u1ec5m b\u1ee9c x\u1ea1 c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1edf th\u00e0nh th\u00f3i quen \u1edf nhi\u1ec1u qu\u1ed1c gia v\u00e0 c\u00e1c h\u1ec7 th\u1ed1ng \u0111\u00e3 c\u00f3 s\u1eb5n tr\u00ean th\u1ecb tr\u01b0\u1eddng nh\u1eb1m ph\u01b0\u01a1ng ti\u1ec7n cung c\u1ea5p h\u1ed3 s\u01a1 ph\u01a1i nhi\u1ec5m b\u1ee9c x\u1ea1 cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">L\u1ee3i \u00edch c\u1ee7a vi\u1ec7c theo d\u00f5i ph\u01a1i nhi\u1ec5m b\u1ee9c x\u1ea1 c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong c\u00e1c c\u00f4ng b\u1ed1 \u00a0t\u1eeb v\u00e0i n\u0103m tr\u01b0\u1edbc nh\u1eb1m t\u0103ng c\u01b0\u1eddng qu\u00e1 tr\u00ecnh lu\u1eadn ch\u1ee9ng v\u00e0 t\u1ed1i \u01b0u h\u00f3a vi\u1ec7c b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1. Vi\u1ec7c theo d\u00f5i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 li\u1ec1u b\u1ee9c x\u1ea1 t\u00edch l\u0169y c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u0103ng l\u00ean trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. M\u1eb7c d\u00f9 v\u1eabn c\u00f2n nh\u1eefng h\u1ea1n ch\u1ebf trong vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ea1i l\u01b0\u1ee3ng li\u1ec1u hi\u1ec7u d\u1ee5ng, nh\u01b0ng hi\u1ec7n t\u1ea1i, kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p n\u00e0o t\u1ed1t h\u01a1n vi\u1ec7c s\u1eed d\u1ee5ng s\u1ed1 li\u1ec7u n\u00e0y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u1ed5ng r\u1ee7i ro. H\u1ea7u h\u1ebft c\u00e1c h\u1ec7 th\u1ed1ng t\u1ef1 \u0111\u1ed9ng ki\u1ec3m so\u00e1t li\u1ec1u cung c\u1ea5p \u01b0\u1edbc t\u00ednh li\u1ec1u hi\u1ec7u d\u1ee5ng cho b\u1ec7nh nh\u00e2n, trong \u0111\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ec7 cung c\u1ea5p \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh v\u1ec1 li\u1ec1u n\u1ed9i t\u1ea1ng.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">C\u00e1c \u1ea5n ph\u1ea9m khoa h\u1ecdc \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng b\u1ec7nh nh\u00e2n tr\u1ea3i qua c\u00e1c th\u1ee7 t\u1ee5c X quang ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u hi\u1ec7u d\u1ee5ng t\u00edch l\u0169y (CED) n\u1eb1m trong kho\u1ea3ng 50-500 mSv nh\u01b0ng kh\u00f4ng bi\u1ebft li\u1ec7u \u0111\u00e2y c\u00f3 ph\u1ea3i l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng ph\u1ed5 bi\u1ebfn hay \u0111\u01b0\u1ee3c ch\u1ec9 h\u1ea1n ch\u1ebf trong v\u00e0i t\u00ecnh hu\u1ed1ng c\u00f4 l\u1eadp. Sau nh\u1eefng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa Massachusetts (MGH) \u1edf Boston, trong \u0111\u00f3 h\u00e0ng ng\u00e0n b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n nh\u1eadn li\u1ec1u CED \u2265 100 mSv, m\u1ed9t n\u1ed7 l\u1ef1c chung \u0111\u00e3 \u0111\u01b0\u1ee3c IAEA v\u00e0 MGH \u0111\u01b0a ra \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh h\u00ecnh \u1edf c\u00e1c n\u01a1i kh\u00e1c tr\u00ean th\u1ebf gi\u1edbi. Trong qu\u00e1 tr\u00ecnh chu\u1ea9n b\u1ecb h\u1ed9i ngh\u1ecb, nh\u1eefng ng\u01b0\u1eddi tham gia \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eed \u0111\u00e3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u mang d\u1eef li\u1ec7u t\u1eeb b\u1ec7nh vi\u1ec7n v\u00e0 qu\u1ed1c gia c\u1ee7a h\u1ecd.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">H\u1ed9i ngh\u1ecb \u0111\u00e3 th\u1ea3o lu\u1eadn c\u00e1c k\u1ebft qu\u1ea3 \u0111\u00e3 c\u00f3 cho \u0111\u1ebfn nay v\u00e0 c\u00e2n nh\u1eafc \u0111\u1ebfn vi\u1ec7c gi\u1ea3i th\u00edch v\u00e0 c\u00e1c h\u00e0nh \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">C\u00e1c quan s\u00e1t cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n nh\u1eadn CED \u2265 100 mSv l\u1edbn h\u01a1n nhi\u1ec1u so v\u1edbi \u01b0\u1edbc t\u00ednh tr\u01b0\u1edbc \u0111\u00e2y. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong h\u1ed9i ngh\u1ecb v\u1edbi d\u1eef li\u1ec7u c\u1ee7a h\u01a1n 2,5 tri\u1ec7u b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1ea3i qua nhi\u1ec1u l\u1ea7n ch\u1ee5p h\u00ecnh x-quang (ch\u1ee7 y\u1ebfu l\u00e0 CT) trong kho\u1ea3ng th\u1eddi gian t\u1eeb 1 \u0111\u1ebfn 5 n\u0103m t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c nhau. C\u00e1c s\u1ed1 li\u1ec7u cho th\u1ea5y h\u01a1n 1% s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 CED l\u1edbn h\u01a1n 100 mSv. D\u1eef li\u1ec7u n\u00e0y \u0111\u01b0\u1ee3c thu th\u1eadp t\u1eeb c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf Bulgaria, Croatia, C\u1ed9ng h\u00f2a S\u00e9c, Ai C\u1eadp, Ph\u1ea7n Lan, Hy L\u1ea1p, \u00dd, Litva, Qatar, Slovakia, T\u00e2y Ban Nha, Th\u1ee5y S\u0129, Th\u00e1i Lan, UAE v\u00e0 M\u1ef9. Nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u b\u1ee9c x\u1ea1 t\u00edch l\u0169y cao nh\u01b0 v\u1eady th\u01b0\u1eddng ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m X quang nhi\u1ec1u l\u1ea7n theo ch\u1ec9 \u0111\u1ecbnh l\u00e2m s\u00e0ng, \u0111\u1ec3 theo d\u00f5i b\u1ec7nh \u00e1c t\u00ednh ho\u1eb7c c\u00e1c t\u00ecnh tr\u1ea1ng \u00a0b\u1ec7nh m\u00e3n t\u00ednh. Vi\u1ec7c lu\u1eadn ch\u1ee9ng cho c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m tra trong h\u1ed9i ngh\u1ecb v\u00e0 \u0111i\u1ec1u n\u00e0y s\u1ebd \u0111\u00f2i h\u1ecfi ph\u1ea3i ti\u1ebfn h\u00e0nh nhi\u1ec1u nghi\u00ean c\u1ee9u ti\u1ebfp theo. M\u1eb7c d\u00f9 d\u1eef li\u1ec7u \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong h\u1ed9i ngh\u1ecb \u0111ang ch\u1edd \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1, nh\u01b0ng h\u1ea7u h\u1ebft c\u00e1c \u01b0\u1edbc t\u00ednh th\u1eadn tr\u1ecdng cho th\u1ea5y \u00edt nh\u1ea5t 0,5% s\u1ed1 b\u1ec7nh nh\u00e2n tr\u1ea3i qua ki\u1ec3m tra CT c\u00f3 kh\u1ea3 n\u0103ng nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u ph\u00f3ng x\u1ea1 tr\u00ean 100 mSv trong m\u1ed9t n\u0103m. Kho\u1ea3ng 10 \u0111\u1ebfn 20% nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 \u0111\u1ed9 tu\u1ed5i d\u01b0\u1edbi 50 tu\u1ed5i.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Ng\u01b0\u1eddi ta \u0111\u00e3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng c\u00f3 \u0111\u1ed9 tin c\u1eady cao gi\u1eefa c\u00e1c nh\u00e0 d\u1ecbch t\u1ec5 h\u1ecdc ph\u00f3ng x\u1ea1 v\u00e0 c\u00e1c t\u1ed5 ch\u1ee9c c\u00f3 li\u00ean quan, li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng v\u1ec1 m\u1ed1i quan h\u1ec7 gi\u1eefa c\u00e1c hi\u1ec7u \u1ee9ng b\u1ee9c x\u1ea1 t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ee9c li\u1ec1u hi\u1ec7u d\u1ee5ng t\u1eeb 100 mSv tr\u1edf l\u00ean, m\u1eb7c d\u00f9 c\u00f3 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi cho r\u1eb1ng b\u1eb1ng ch\u1ee9ng n\u00e0y c\u00f3 s\u1ee9c thuy\u1ebft ph\u1ee5c th\u1eadm ch\u00ed b\u1eaft \u0111\u1ea7u t\u1eeb m\u1ee9c li\u1ec1u 50 mSv. Ngay c\u1ea3 khi xem x\u00e9t \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 b\u1ea5t \u0111\u1ecbnh l\u1edbn li\u00ean quan \u0111\u1ebfn \u01b0\u1edbc t\u00ednh li\u1ec1u hi\u1ec7u d\u1ee5ng, \u1edf m\u1ee9c 100 mSv li\u1ec1u hi\u1ec7u d\u1ee5ng ho\u1eb7c cao h\u01a1n, nhi\u1ec1u c\u01a1 quan n\u1ed9i t\u1ea1ng nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u cao trong \u0111\u00f3, nguy c\u01a1 ph\u00f3ng x\u1ea1 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 gia t\u0103ng.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong><em>C\u1ea7n l\u01b0u \u00fd r\u1eb1ng nhi\u1ec1u ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong h\u1ed9i ngh\u1ecb n\u00e0y c\u00f3 th\u1ec3 ch\u01b0a<\/em><\/strong><strong><em> th\u1ec3 \u00e1p d\u1ee5ng cho<\/em><\/strong><strong><em> nh\u1eefng qu\u1ed1c gia thu nh\u1eadp r\u1ea5t<\/em><\/strong><strong><em> th\u1ea5p v\u00e0 d\u01b0\u1edbi<\/em><\/strong><strong><em> trung b\u00ecnh<\/em><\/strong><strong><em>, \u1edf nh\u1eefng<\/em><\/strong><strong><em> n\u01a1i ch\u01b0a c\u00f3 d\u1eef li\u1ec7u<\/em><\/strong><strong><em>, vi\u1ec7c ti\u1ebfp<\/em><\/strong><strong><em> c\u1eadn v\u1edbi CT v\u00e0 c\u00e1c c\u00f4ng ngh\u1ec7 m\u1edbi h\u01a1n l\u00e0 kh\u00f4ng kh\u1ea3 d\u1ee5ng nh\u01b0 \u1edf c\u00e1c<\/em><\/strong><strong><em> n\u1ec1n kinh t\u1ebf<\/em><\/strong><strong><em> c\u00f3 thu nh\u1eadp v\u00e0o<\/em><\/strong><strong><em> m\u1ee9c tr\u00ean trung b\u00ecnh ho\u1eb7c cao.<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong><em>M\u1eb7c d\u00f9 vi\u1ec7c t\u00e1i chi\u1ebfu ch\u1ee5p nhi\u1ec1u l\u1ea7n X quang c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft trong kh\u00e1m v\u00e0 ch\u1eefa b\u1ec7nh, nh\u01b0ng \u0111i\u1ec1u n\u00e0y s\u1ebd t\u1ea1o ra s\u1ee9c \u00e9p v\u1ec1 tr\u00e1ch nhi\u1ec7m c\u1ee7a c\u00e1c c\u01a1 quan ch\u1ee9c n\u0103ng, nh\u00e0 s\u1ea3n xu\u1ea5t v\u00e0 chuy\u00ean gia y t\u1ebf trong vi\u1ec7c ph\u00e1t tri\u1ec3n v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c chi\u1ebfn l\u01b0\u1ee3c v\u00e0 ph\u1ea3i c\u00f3 c\u00e1c gi\u1ea3i ph\u00e1p ph\u00f9 h\u1ee3p t\u1eadp trung v\u00e0o vi\u1ec7c b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1 cho nh\u00f3m b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 n\u00e0y.<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>NH\u1eeeNG K\u1ebeT LU\u1eacN CH\u00cdNH V\u00c0 L\u1edcI<\/strong> <strong>K\u00caU G\u1eccI H\u00c0NH \u0110\u1ed8NG<\/strong><\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li style=\"text-align: justify;\"><em> \u0110\u00e2y l\u00e0 m\u1ed9t ph\u00e1t<\/em><em> hi\u1ec7n<\/em><em> t\u01b0\u01a1ng \u0111\u1ed1i m\u1edbi, c\u1ea7n ph\u1ea3i ti\u1ebfn<\/em><em> h\u00e0nh th\u00eam nhi\u1ec1u nghi\u00ean c\u1ee9u<\/em><em> \u0111\u1ec3 hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7 h\u01a1n<\/em> <em>m\u1ee9c \u0111\u1ed9 ph\u01a1i nhi\u1ec5m do<\/em> <em>t\u00e1i<\/em><em> l\u1eb7p nhi\u1ec1u l\u1ea7n ch\u1ee5p x-quang<\/em><em>, c\u00e1c \u0111\u1ea1i<\/em><em> l\u01b0\u1ee3ng <\/em><em>li\u1ec1u c\u00f3<\/em> <em>li\u00ean quan<\/em><em>,<\/em> <em>c\u0169ng<\/em><em> nh\u01b0 xem x\u00e9t <\/em><em>li\u1ec7u c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c b\u1ea5t k\u1ef3 s\u1ef1<\/em> <em>ph\u01a1i nhi\u1ec5m n\u00e0o trong s\u1ed1 nh\u1eefng ph\u01a1i nhi\u1ec5m n\u00e0y hay kh\u00f4ng.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u00e1c h\u00e0nh \u0111\u1ed9ng c\u1ea7n<\/em><em> thi\u1ebft<\/em> <em>c\u1ea7n<\/em><em> \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n <\/em><em>l\u00e0<\/em> <em>l\u00e0m cho c\u00e1c b\u00e1c s\u0129 gi\u1edbi thi\u1ec7u nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c t\u00ecnh h\u00ecnh. H\u1ecd n\u00ean \u0111\u01b0\u1ee3c nh\u1eafc nh\u1edf v\u1ec1 vai tr\u00f2 v\u00e0 tr\u00e1ch nhi\u1ec7m m\u00e0 h\u1ecd c\u1ea7n<\/em> <em>chia s\u1ebb v\u1edbi c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe kh\u00e1c<\/em> <em>c\u00f3<\/em> <em>li\u00ean quan \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1 cho b\u1ec7nh nh\u00e2n. <u>\u0110i\u1ec1u n\u00e0y c\u0169ng \u0111\u00f2i h\u1ecfi t\u0103ng c\u01b0\u1eddng v\u00e0 h\u00e0i h\u00f2a h\u01a1n n\u1eefa trong<\/u><\/em><em><u> vi\u1ec7c <\/u><\/em><em><u>gi\u00e1o d\u1ee5c v\u00e0 \u0111\u00e0o t\u1ea1o c\u1ee7a c\u00e1c b\u00e1c s\u0129 <\/u><\/em><em><u>\u0111i\u1ec7n<\/u><\/em><em><u> quang, k\u1ef9 thu\u1eadt vi\u00ean b\u1ee9c x\u1ea1 y t\u1ebf v\u00e0 v\u1eadt l\u00fd y khoa.<\/u><\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n<\/em> <em>ph\u00e1t tri\u1ec3n m\u00f4<\/em><em> h\u00ecnh<\/em><em> d\u1ef1 \u0111o\u00e1n b\u1ec7nh nh\u00e2n m\u1eafc ph\u1ea3i<\/em><em> t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd<\/em> <em>l\u00e2m<\/em> <em>s\u00e0ng kh\u00e1c nhau c\u00f3 kh\u1ea3 n\u0103ng ph\u1ea3i<\/em> <em>nh\u1eadn<\/em> <em>li\u1ec1u t\u00edch l\u0169y n\u1eb1m<\/em><em> trong <\/em><em>ph\u1ea1m vi cao.<\/em><\/li>\n<li style=\"text-align: justify;\"><em>C<\/em><em>\u00e1c hi\u1ec7p h\u1ed9i n<\/em><em>g<\/em><em>h\u1ec1<\/em><em> nghi\u1ec7p <\/em><em>y t\u1ebf c\u1ea7n ph\u00e1t tri\u1ec3n, \u00e1p d\u1ee5ng ho\u1eb7c c\u1ea3i thi\u1ec7n c\u00e1c ti\u00eau ch\u00ed<\/em><em>\/<\/em><em>h\u01b0\u1edbng d\u1eabn th\u00edch<\/em><em> h\u1ee3p <\/em><em>cho c\u00e1c b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i<\/em><em> l\u00e0m nhi\u1ec1u c\u00e1c x\u00e9t nghi\u1ec7m<\/em> <em>x-quang<\/em><em>\/ho\u1eb7c<\/em><em> ph\u1ea3i ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u trong<\/em> <em>th\u1eddi<\/em><em> gian <\/em><em>d\u00e0i. <u>\u0110i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi m\u1ed9t s\u1ef1 \u0111\u1ed3ng thu\u1eadn \u0111a ng\u00e0nh c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c gi\u1eefa c\u00e1c b\u00e1c s\u0129 y X quang v\u00e0 b\u00e1c s\u0129 gi\u1edbi thi\u1ec7u c\u1ee7a c\u00e1c nh\u00e0<\/u><\/em> <em><u>chuy\u00ean m\u00f4n kh\u00e1c nhau.<\/u><\/em><\/li>\n<li style=\"text-align: justify;\"><em> Khi m\u1ed9t lo\u1ea1t c\u00e1c th\u1ee7 t\u1ee5c c\u00f3 th\u1ec3 th\u1ea5y tr\u01b0\u1edbc m\u1ed9t c\u00e1ch h\u1ee3p l\u00fd c\u00e1c r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch trong<\/em><em> to\u00e0n b\u1ed9 c\u00e1c th\u1ee7 t\u1ee5c \u0111\u00f3<\/em><em> c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t trong qu\u00e1 tr\u00ecnh lu\u1eadn<\/em><em> ch\u1ee9ng<\/em><em>. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, vi\u1ec7c xem x\u00e9t c\u00e1c k\u1ef9 thu\u1eadt phi ion h\u00f3a thay th\u1ebf kh\u00e1c<\/em> <em>l\u00e0 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n khuy\u1ebfn kh\u00edch, b\u1ea5t c\u1ee9 khi n\u00e0o th\u00edch h\u1ee3p, s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng th\u1ee9c h\u00ecnh \u1ea3nh phi ion h\u00f3a (v\u00ed d\u1ee5: si\u00eau \u00e2m ho\u1eb7c MRI) n\u00f3i chung v\u00e0 cho c\u00e1c th\u1ee7 t\u1ee5c can thi\u1ec7p c\u00f3 h\u01b0\u1edbng d\u1eabn b\u1eb1ng h\u00ecnh \u1ea3nh n\u00f3i ri\u00eang.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n xem x\u00e9t \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i<\/em><em> v\u1edbi vi\u1ec7c <\/em><em>t\u1ed1i \u01b0u h\u00f3a b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1 cho b\u1ec7nh nh\u00e2n tr\u1ea3i<\/em><em> qua nhi\u1ec1u l\u1ea7n x\u00e9t nghi\u1ec7m <\/em><em>h\u00ecnh \u1ea3nh <\/em><em>x-quang <\/em><em>b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng kh\u00e1i ni\u1ec7m m\u1ee9c tham chi\u1ebfu ch\u1ea9n \u0111o\u00e1n g\u1eafn v\u1edbi nhi\u1ec7m v\u1ee5 h\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng x\u00e1c \u0111\u1ecbnh.<\/em><\/li>\n<li style=\"text-align: justify;\"><em>N<\/em><em>\u1ec1n<\/em><em> c<\/em><em>\u00f4ng nghi\u1ec7p c\u00f3 th\u1ec3 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng b\u1eb1ng <\/em><em>vi\u1ec7c<\/em><em> ch\u1ebf<\/em><em> t\u1ea1o<\/em><em> m\u00e1y qu\u00e9t CT c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ea1t \u0111\u01b0\u1ee3c ch\u1ea5t l\u01b0\u1ee3ng h\u00ecnh \u1ea3nh \u0111\u1ea7y \u0111\u1ee7 \u1edf m\u1ee9c<\/em> <em>li\u1ec1u mSv<\/em><em> (ho\u1eb7c ph\u1ea7n nh\u1ecf c\u1ee7a mSv)<\/em><em>. \u0110\u00e2y d\u01b0\u1eddng nh\u01b0 l\u00e0 m\u1ed9t m\u1ee5c ti\u00eau c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00f4ng qua ph\u00e1t tri\u1ec3n ph\u1ea7n c\u1ee9ng v\u00e0 ph\u1ea7n m\u1ec1m.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n xem x\u00e9t \u0111\u01b0a kh\u00e1i ni\u1ec7m li\u1ec1u b\u1ee9c x\u1ea1 t\u00edch l\u0169y \u0111\u1ed1i<\/em><em> v\u1edbi <\/em><em>b\u1ec7nh nh\u00e2n v\u00e0o<\/em> <em>trong khu\u00f4n<\/em><em> kh\u1ed5<\/em> <em>ph\u00e1p<\/em><em> l\u00fd <\/em><em>v\u00e0 c\u00e1c<\/em> <em>ti\u00eau chu\u1ea9n b\u1ea3o v\u1ec7 b\u1ee9c x\u1ea1.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n ph\u1ea3i x\u00e2y d\u1ef1ng c\u01a1<\/em><em> s\u1edf d\u1eef <\/em><em>li\u1ec7u duy tr\u00ec c\u00e1c kh\u00eda c\u1ea1nh h\u1eefu \u00edch c\u1ee7a li\u1ec1u hi\u1ec7u d\u1ee5ng nh\u01b0ng gi\u1ea3i quy\u1ebft nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a \u0111\u1ea1i<\/em><em> l\u01b0\u1ee3ng n\u00e0y<\/em><em> \u0111\u1ec3 s\u1eed d\u1ee5ng cho t\u1eebng b\u1ec7nh nh\u00e2n. B\u00ean c\u1ea1nh c\u00e1c kh\u00eda c\u1ea1nh kh\u00e1c, \u0111\u1ea1i<\/em><em> l\u01b0\u1ee3ng n\u00e0y <\/em><em>n\u00ean li\u00ean quan \u0111\u1ebfn th\u1ec3<\/em><em> tr\u1ea1ng<\/em><em> c\u01a1 th\u1ec3, tu\u1ed5i t\u00e1c v\u00e0 gi\u1edbi t\u00ednh.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n ti\u00eau chu\u1ea9n h\u00f3a v\u00e0 x\u00e1c nh\u1eadn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u01b0\u1edbc t\u00ednh li\u1ec1u b\u1ec7nh nh\u00e2n trong c\u00e1c h\u1ec7 th\u1ed1ng theo d\u00f5i li\u1ec1u t\u1ef1 \u0111\u1ed9ng. C\u00e1c h\u1ec7<\/em><em> s\u1ed1<\/em><em> chuy\u1ec3n \u0111\u1ed5i \u0111\u1ec3 \u01b0\u1edbc t\u00ednh li\u1ec1u n\u1ed9i t\u1ea1ng n\u00ean \u0111\u01b0\u1ee3c ti\u00eau chu\u1ea9n h\u00f3a.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u00e1c gi\u00e1 tr\u1ecb c\u1ea3nh b\u00e1o ph\u01a1i nhi\u1ec5m b\u1ee9c x\u1ea1 t\u00edch l\u0169y c\u1ee7a b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp v\u00e0 gi\u1edbi thi\u1ec7u trong c\u00e1c h\u1ec7 th\u1ed1ng theo d\u00f5i li\u1ec1u. Thang m\u00e0u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u00f4ng qua cho c\u00e1c gi\u00e1 tr\u1ecb c\u1ea3nh b\u00e1o.<\/em><\/li>\n<li style=\"text-align: justify;\"><em> C\u1ea7n c\u00f3 c\u00e1c c\u01a1 quan y t\u1ebf \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ch\u00ednh s\u00e1ch \u00e1p d\u1ee5ng c\u00e1c gi\u1ea3i ph\u00e1p c\u00f4ng ngh\u1ec7 \u0111\u1ec3 theo d\u00f5i ph\u01a1i nhi\u1ec5m b\u1ec7nh nh\u00e2n v\u00e0 t\u00edch h\u1ee3p ch\u00fang v\u00e0o h\u1ed3 s\u01a1 s\u1ee9c kh\u1ecfe \u0111i\u1ec7n t\u1eed.<\/em><\/li>\n<li style=\"text-align: justify;\"><em><u>IAEA n\u00ean xem x\u00e9t vi\u1ec7c x\u00e2y<\/u><u> d\u1ef1ng m\u1ed9t tuy\u00ean b\u1ed1 v\u1ec1 ch\u1ee7 \u0111\u1ec1 quan tr\u1ecdng n\u00e0y v\u1edbi s\u1ef1 h\u1ee3p t\u00e1c c\u1ee7a c\u00e1c c\u01a1 quan li\u00ean quan kh\u00e1c<\/u>.<\/em><\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: right;\"><strong>\u0110\u1eb7ng Thanh L\u01b0\u01a1ng<\/strong><strong>, Chuy\u00ean gia c\u1ee7a Vi\u1ec7n NLNTVN<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u00e0y 01\/10\/ 1977 nh\u00e0 b\u00e1c h\u1ecdc ng\u01b0\u1eddi Anh G.N Hounsfield l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u00e3 gi\u1edbi thi\u1ec7u m\u00e1y ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n CT v\u00e0o ch\u1ea9n \u0111o\u00e1n b\u1ec7nh. Sau nhi\u1ec1u l\u1ea7n \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn v\u00e0 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nh\u1eefng ti\u1ebfn b\u1ed9 khoa h\u1ecdc v\u00e0 c\u00f4ng ngh\u1ec7 hi\u1ec7n \u0111\u1ea1i, \u0111\u1ebfn nay, CT \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t c\u00f4ng [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5803,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-5802","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tong-hop"],"_links":{"self":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/posts\/5802","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/comments?post=5802"}],"version-history":[{"count":0,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/posts\/5802\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/media?parent=5802"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/categories?post=5802"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vinatom.gov.vn\/wp-json\/wp\/v2\/tags?post=5802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}