{"id":1215,"date":"2023-04-06T11:18:14","date_gmt":"2023-04-06T04:18:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1215"},"modified":"2023-04-06T14:51:57","modified_gmt":"2023-04-06T07:51:57","slug":"tam-soat-ung-thu-dai-truc-trang-tren-nguoi-co-tien-su-gia-dinh-ung-thu-dai-truc-trang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/tam-soat-ung-thu-dai-truc-trang-tren-nguoi-co-tien-su-gia-dinh-ung-thu-dai-truc-trang\/","title":{"rendered":"T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng tr\u00ean ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao"},"content":{"rendered":"<h2>1. Gi\u1edbi thi\u1ec7u<\/h2>\n<p>T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng (CRC) cho ph\u00e9p t\u00ecm ki\u1ebfm v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0, t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 k\u00edch th\u01b0\u1edbc nh\u1ecf, ch\u01b0a di c\u0103n. Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a c\u1ea3 y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng v\u00e0 s\u1ef1 t\u01b0\u01a1ng t\u00e1c c\u1ee7a ch\u00fang. Ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng kho\u1ea3ng 5-10% d\u00e2n s\u1ed1 chung. T\u1ef7 l\u1ec7 n\u00e0y t\u0103ng theo \u0111\u1ed9 tu\u1ed5i, ph\u1ea3n \u00e1nh c\u01a1 h\u1ed9i ng\u00e0y c\u00e0ng t\u0103ng m\u00e0 ng\u01b0\u1eddi th\u00e2n s\u1ebd ph\u00e1t tri\u1ec3n CRC khi h\u1ecd gi\u00e0 \u0111i. V\u00ec th\u1ebf vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng \u1edf ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 gia \u0111\u00ecnh \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng.<\/p>\n<p>Kho\u1ea3ng 3 \u0111\u1ebfn 4 ph\u1ea7n tr\u0103m b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u00f3 nguy c\u01a1 r\u1ea5t cao do h\u1ed9i ch\u1ee9ng nh\u1ea1y c\u1ea3m v\u1edbi ung th\u01b0 g\u00e2y ra b\u1edfi m\u1ed9t trong hai \u0111\u1ed9t bi\u1ebfn gen tr\u1ed9i NST th\u01b0\u1eddng, th\u00e2m nh\u1eadp cao:<\/p>\n<ul>\n<li class=\"bulletIndent1\"><a href=\"http:\/\/H\u1ed9i ch\u1ee9ng Lynch\">H\u1ed9i ch\u1ee9ng Lynch<\/a>, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 ru\u1ed9t k\u1ebft kh\u00f4ng polyp di truy\u1ec1n (HNPCC), chi\u1ebfm kho\u1ea3ng 2 \u0111\u1ebfn 3% CRC v\u00e0 t\u0103ng nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh ung th\u01b0 kh\u00e1c.<\/li>\n<li class=\"bulletIndent1\"><a href=\"http:\/\/Polyp tuy\u1ebfn gia \u0111\u00ecnh\">Polyp tuy\u1ebfn gia \u0111\u00ecnh<\/a> (FAP) chi\u1ebfm \u00edt h\u01a1n 1% CRC; Ung th\u01b0 x\u1ea3y ra tr\u01b0\u1edbc h\u00e0ng tr\u0103m polyp trong \u0111\u1ea1i tr\u00e0ng.<\/li>\n<\/ul>\n<p>C\u00e1c h\u1ed9i ch\u1ee9ng di truy\u1ec1n \u00edt g\u1eb7p h\u01a1n v\u1edbi nguy c\u01a1 gia t\u0103ng CRC bao g\u1ed3m polyp li\u00ean quan \u0111\u1ebfn MUTYH (MAP), h\u1ed9i ch\u1ee9ng polyp v\u1ecb th\u00e0nh ni\u00ean, h\u1ed9i ch\u1ee9ng Cowden, h\u1ed9i ch\u1ee9ng Li-Fraumeni, FAP suy y\u1ebfu (AFAP), <a href=\"http:\/\/h\u1ed9i ch\u1ee9ng Peutz-Jeghers\">h\u1ed9i ch\u1ee9ng Peutz-Jeghers<\/a> v\u00e0 h\u1ed9i ch\u1ee9ng polyp r\u0103ng c\u01b0a (t\u0103ng s\u1ea3n).<\/p>\n<h2>2. \u0110\u00e1nh gi\u00e1 nguy c\u01a1<\/h2>\n<p>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh l\u00e0 m\u1ed9t trong nhi\u1ec1u y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n v\u00e0o nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng (CRC) v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 s\u1edbm \u1edf tu\u1ed5i 40. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh, n\u00ean b\u1eaft \u0111\u1ea7u s\u00e0ng l\u1ecdc CRC \u1edf \u0111\u1ed9 tu\u1ed5i tr\u1ebb h\u01a1n so v\u1edbi \u0111\u1ed9 tu\u1ed5i th\u00f4ng th\u01b0\u1eddng l\u00e0 50 tu\u1ed5i \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 trung b\u00ecnh.<\/p>\n<h2><span class=\"h2\">3. Quy m\u00f4<\/span> r\u1ee7i ro theo ti\u1ec1n s\u1eed gia \u0111\u00ecnh<\/h2>\n<p>M\u1ee9c \u0111\u1ed9 r\u1ee7i ro gia t\u0103ng li\u00ean quan \u0111\u1ebfn ti\u1ec1n s\u1eed gia \u0111\u00ecnh ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ed1 l\u01b0\u1ee3ng th\u00e0nh vi\u00ean gia \u0111\u00ecnh b\u1ecb \u1ea3nh h\u01b0\u1edfng, v\u00e0 tu\u1ed5i kh\u1edfi ph\u00e1t.<span class=\"headingEndMark\"> S<\/span>\u1ef1 gia t\u0103ng r\u1ee7i ro su\u1ed1t \u0111\u1eddi dao \u0111\u1ed9ng t\u1eeb kho\u1ea3ng hai \u0111\u1ebfn s\u00e1u l\u1ea7n theo c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y. M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u00e3 so s\u00e1nh nh\u1eefng ph\u00e1t hi\u1ec7n khi s\u00e0ng l\u1ecdc n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng c\u1ee7a c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng (t\u1eeb 45 \u0111\u1ebfn 75 tu\u1ed5i) v\u1edbi ng\u01b0\u1eddi th\u00e2n \u0111\u1ed9 m\u1ed9t b\u1ecb ung th\u01b0 tr\u1ef1c tr\u00e0ng, v\u1edbi n\u1ed9i soi s\u00e0ng l\u1ecdc trong ki\u1ec3m so\u00e1t nguy c\u01a1 trung b\u00ecnh; t\u1ef7 l\u1ec7 ch\u00eanh l\u1ec7ch \u0111\u1ed1i v\u1edbi t\u00e2n sinh ti\u1ebfn tri\u1ec3n \u1edf h\u1ecd h\u00e0ng \u0111\u1ed9 m\u1ed9t l\u00e0 2,41. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c so s\u00e1nh n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng \u1edf anh ch\u1ecb em ru\u1ed9t c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb CRC v\u1edbi anh ch\u1ecb em c\u1ee7a nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng c\u00f3 CRC c\u00f3 c\u00e1c nghi\u00ean c\u1ee9u n\u1ed9i soi b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h2>4. Thay \u0111\u1ed5i y\u1ebfu t\u1ed1 nguy c\u01a1<\/h2>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi th\u1ef1c hi\u1ec7n m\u1ed9t n\u1ed7 l\u1ef1c \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 s\u1eeda \u0111\u1ed5i c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 h\u00e0nh vi \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 nguy c\u01a1 gia t\u0103ng v\u00ec ti\u1ec1n s\u1eed gia \u0111\u00ecnh. V\u1ec1 th\u00f3i quen, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch b\u1ecf h\u00fat thu\u1ed1c, gi\u1ea3m s\u1eed d\u1ee5ng r\u01b0\u1ee3u, t\u0103ng ti\u00eau th\u1ee5 tr\u00e1i c\u00e2y v\u00e0 rau qu\u1ea3, gi\u1ea3m ti\u00eau th\u1ee5 th\u1ecbt \u0111\u1ecf v\u00e0 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t th\u01b0\u1eddng xuy\u00ean. Kh\u1ea3o s\u00e1t cho th\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ti\u1ebfp nh\u1eadn vi\u1ec7c s\u1eeda \u0111\u1ed5i h\u00e0nh vi c\u1ee7a h\u1ecd \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi s\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 nguy c\u01a1 c\u1ee7a h\u1ecd.<\/p>\n<p>Li\u1ec7u ph\u00e1p hormone sau m\u00e3n kinh ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u00e2n sinh \u0111\u1ea1i tr\u1ef1c tr\u00e0ng. Tuy nhi\u00ean, nguy c\u01a1 gia t\u0103ng b\u1ec7nh tim m\u1ea1ch (CVD) khi s\u1eed d\u1ee5ng l\u00e2u d\u00e0i li\u1ec7u ph\u00e1p hormone l\u1edbn h\u01a1n l\u1ee3i \u00edch nh\u1ecf li\u00ean quan \u0111\u1ebfn ph\u00f2ng ng\u1eeba ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/p>\n<p>C\u00f3 b\u1eb1ng ch\u1ee9ng m\u1ea1nh m\u1ebd r\u1eb1ng\u00a0<a class=\"drug drug_general\" href=\"http:\/\/aspirin\">aspirin<\/a> ho\u1eb7c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc u t\u00e2n sinh \u0111\u1ea1i tr\u1ef1c tr\u00e0ng tuy nhi\u00ean c\u1ea7n xem x\u00e9t nguy c\u01a1 ch\u1ea3y m\u00e1u v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ed1i v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong do b\u1ec7nh tim m\u1ea1ch.<\/p>\n<h2>5. <a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ai-nen-tam-soat-ung-thu-dai-trang\/\">T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng<\/a><\/h2>\n<p>Nguy\u00ean t\u1eafc chung:<\/p>\n<ul>\n<li class=\"bulletIndent1\">N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 CRC, s\u00e0ng l\u1ecdc n\u00ean b\u1eaft \u0111\u1ea7u s\u1edbm h\u01a1n.<\/li>\n<li class=\"bulletIndent1\">N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 ti\u1ebfn tri\u1ec3n b\u1ec7nh nhanh h\u01a1n, s\u00e0ng l\u1ecdc n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean h\u01a1n.<\/li>\n<li class=\"bulletIndent1\">N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao, s\u00e0ng l\u1ecdc n\u00ean b\u1eb1ng n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng h\u01a1n l\u00e0 c\u00e1c ph\u01b0\u01a1ng th\u1ee9c kh\u00e1c (v\u00ed d\u1ee5: x\u00e9t nghi\u1ec7m d\u1ef1a tr\u00ean ph\u00e2n, si\u00eau \u00e2m,&#8230;)<\/li>\n<\/ul>\n<p>Khuy\u1ebfn c\u00e1o c\u1ee5 th\u1ec3:<\/p>\n<ul>\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh li\u00ean quan \u0111\u1ebfn ung th\u01b0 ho\u1eb7c polyp tuy\u1ebfn \u0111\u1ea1i tr\u1ef1c tr\u00e0ng: T\u1ea7m so\u00e1t \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o t\u00f9y thu\u1ed9c m\u1ed1i quan h\u1ec7 v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh, s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh trong gia \u0111\u00ecnh v\u00e0 \u0111\u1ed9 tu\u1ed5i t\u1ea1i th\u1eddi \u0111i\u1ec3m ph\u00e1t hi\u1ec7n ung th\u01b0 \u0111\u1ea1i tr\u00e0ng c\u1ee7a nh\u1eefng ng\u01b0\u1eddi \u0111\u00f3.\n<ul>\n<li>V\u00ed d\u1ee5 nh\u01b0 ng\u01b0\u1eddi c\u00f3 b\u1ed1 ho\u1eb7c m\u1eb9 ho\u1eb7c anh \/ ch\u1ecb \/ em ru\u1ed9t (m\u1ed1i quan h\u1ec7 c\u1ea5p 1) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc ung th\u01b0 hay polyp tuy\u1ebfn \u0111\u1ea1i tr\u00e0ng tr\u01b0\u1edbc 60 tu\u1ed5i th\u00ec n\u00ean t\u1ea7m so\u00e1t b\u1ec7nh b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng 5 n\u0103m 1 l\u1ea7n, b\u1eaft \u0111\u1ea7u t\u1eeb 40 tu\u1ed5i ho\u1eb7c tr\u01b0\u1edbc 10 tu\u1ed5i so v\u1edbi tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi m\u1eafc b\u1ec7nh trong gia \u0111\u00ecnh.<\/li>\n<li>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 1 th\u00e0nh vi\u00ean trong m\u1ed1i quan h\u1ec7 c\u1ea5p 1 ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh ung th\u01b0 hay polyp tuy\u1ebfn \u0111\u1ea1i tr\u00e0ng t\u1eeb 60 tu\u1ed5i tr\u1edf l\u00ean; ho\u1eb7c c\u00f3 2 th\u00e0nh vi\u00ean tr\u1edf l\u00ean trong m\u1ed1i quan h\u1ec7 c\u1ea5p 2\u00a0 b\u1ecb b\u1ec7nh th\u00ec n\u00ean b\u1eaft \u0111\u1ea7u t\u1ea7m so\u00e1t t\u1eeb n\u0103m 40 tu\u1ed5i b\u1eb1ng n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng.<\/li>\n<\/ul>\n<\/li>\n<li>Ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n t\u1eebng m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng: c\u1ea7n theo d\u00f5i th\u01b0\u1eddng xuy\u00ean b\u1eb1ng n\u1ed9i soi \u0111\u1ea1i tr\u1ef1c tr\u00e0ng trong n\u0103m \u0111\u1ea7u ti\u00ean, c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh.<\/li>\n<li>Ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n t\u1eebng c\u1eaft polyp \u0111\u1ea1i tr\u00e0ng: Th\u1eddi gian c\u1ea7n thi\u1ebft \u0111\u1ec3 n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng ki\u1ec3m tra t\u00f9y thu\u1ed9c k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng, v\u00e0 lo\u1ea1i polyp, nh\u01b0ng th\u01b0\u1eddng kh\u00f4ng qu\u00e1 3 n\u0103m.<\/li>\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh li\u00ean quan \u0111\u1ebfn c\u00e1c h\u1ed9i ch\u1ee9ng di truy\u1ec1n trong ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng: khuy\u1ebfn c\u00e1o s\u00e0ng l\u1ecdc s\u1edbm b\u1eb1ng n\u1ed9i soi \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u1ed9 tu\u1ed5i thi\u1ebfu ni\u00ean v\u00e0 th\u1ef1c hi\u1ec7n s\u00e0ng l\u1ecdc th\u01b0\u1eddng xuy\u00ean h\u01a1n.<\/li>\n<li>Ti\u1ec1n s\u1eed x\u1ea1 tr\u1ecb v\u00f9ng b\u1ee5ng \/ ch\u1eadu tr\u01b0\u1edbc \u0111\u00f3: th\u01b0\u1eddng ti\u1ebfn h\u00e0nh t\u1ea7m so\u00e1t sau th\u1eddi \u0111i\u1ec3m x\u1ea1 tr\u1ecb 5 n\u0103m, ho\u1eb7c t\u1eeb 30 tu\u1ed5i, ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u1edf c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y l\u00e0 n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng ho\u1eb7c x\u00e9t nghi\u1ec7m ph\u00e2n, c\u1ea7n ki\u1ec3m tra l\u1ea1i sau m\u1ed7i 3-5 n\u0103m.<\/li>\n<\/ul>\n<p id=\"H3107530000\" class=\"headingAnchor\">H\u1ed9i ch\u1ee9ng di truy\u1ec1n nguy c\u01a1 cao, c\u1ea7n t\u1ea7m so\u00e1t, ph\u00f2ng ng\u1eeba v\u00e0 t\u1ea7m so\u00e1t di truy\u1ec1n:<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><a href=\"http:\/\/H\u1ed9i ch\u1ee9ng Lynch\">H\u1ed9i ch\u1ee9ng Lynch<\/a> (ung th\u01b0 \u0111\u1ea1i tr\u00e0ng kh\u00f4ng polyp di truy\u1ec1n [HNPCC])<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><a href=\"http:\/\/Polyp tuy\u1ebfn gia \u0111\u00ecnh\">Polyp tuy\u1ebfn gia \u0111\u00ecnh<\/a> (FAP)<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span>Polyp li\u00ean quan \u0111\u1ebfn MUTYH (MAP)<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><a href=\"http:\/\/H\u1ed9i ch\u1ee9ng polyp v\u1ecb th\u00e0nh ni\u00ean\">H\u1ed9i ch\u1ee9ng polyp v\u1ecb th\u00e0nh ni\u00ean<\/a> (JPS)<\/p>\n<p>C\u00e1c h\u1ed9i ch\u1ee9ng di truy\u1ec1n \u00edt g\u1eb7p h\u01a1n v\u1edbi t\u0103ng nguy c\u01a1 CRC:<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><a href=\"http:\/\/H\u1ed9i ch\u1ee9ng Cowden\">H\u1ed9i ch\u1ee9ng Cowden<\/a><\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><a href=\"http:\/\/H\u1ed9i ch\u1ee9ng Li-Fraumeni\">H\u1ed9i ch\u1ee9ng Li-Fraumeni<\/a><\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span>FAP suy y\u1ebfu (AFAP)<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span>H\u1ed9i ch\u1ee9ng Peutz-Jeghers<\/p>\n<p class=\"bulletIndent1\"><span class=\"glyph\">\u25cf<\/span><a href=\"http:\/\/H\u1ed9i ch\u1ee9ng polyp r\u0103ng c\u01b0a (t\u0103ng s\u1ea3n)\"><strong>H\u1ed9i ch\u1ee9ng polyp r\u0103ng c\u01b0a (t\u0103ng s\u1ea3n)\u00a0<\/strong><\/a><\/p>\n<h2>6. T\u1ed5ng k\u1ebft v\u00e0 khuy\u1ebfn ngh\u1ecb<\/h2>\n<p>C\u1ee9 1 tr\u00ean 4 b\u1ec7nh nh\u00e2n ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh.<\/p>\n<p>T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c h\u1ecfi tr\u01b0\u1edbc 40 tu\u1ed5i v\u1ec1 ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 gia t\u0103ng.<\/p>\n<blockquote><p>C\u00e1c c\u00e2u h\u1ecfi th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u01b0a ra:<\/p><\/blockquote>\n<ul>\n<li>\n<blockquote><p>C\u00f3 ng\u01b0\u1eddi th\u00e2n n\u00e0o b\u1ecb CRC ho\u1eb7c polyp ti\u1ec1n ung th\u01b0 kh\u00f4ng?<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>N\u1ebfu c\u00f3: c\u00f3 bao nhi\u00eau trong s\u1ed1 ng\u01b0\u1eddi th\u00e2n c\u1ea5p m\u1ed9t (cha m\u1eb9, anh ch\u1ecb em ho\u1eb7c con c\u00e1i) ho\u1eb7c h\u1ecd h\u00e0ng c\u1ea5p hai (\u00f4ng b\u00e0, anh em h\u1ecd, ch\u00e1u) b\u1ecb? V\u00e0 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0o?<\/p><\/blockquote>\n<\/li>\n<\/ul>\n<p>CRC gia \u0111\u00ecnh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 t\u01b0\u01a1ng t\u00e1c c\u1ee7a c\u00e1c nguy\u00ean nh\u00e2n di truy\u1ec1n v\u00e0 m\u00f4i tr\u01b0\u1eddng. M\u1ed9t s\u1ed1 \u0111a h\u00ecnh \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u00f3 li\u00ean quan th\u1ed1ng k\u00ea v\u1edbi CRC.<\/p>\n<p>Kh\u00f4ng c\u00f3 th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean, c\u00f3 \u0111\u1ed1i ch\u1ee9ng v\u1ec1 s\u00e0ng l\u1ecdc \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc CRC. C\u00e1c khuy\u1ebfn c\u00e1o s\u00e0ng l\u1ecdc cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u01b0\u1ee3c ngo\u1ea1i suy t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 khuy\u1ebfn ngh\u1ecb cho b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 trung b\u00ecnh, \u0111\u01b0\u1ee3c s\u1eeda \u0111\u1ed5i.<\/p>\n<div class=\"rich-text\">\n<p>T\u00f3m l\u1ea1i, t\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u00e0ng \u1edf c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 c\u00f3 \u00fd ngh\u0129a to l\u1edbn trong vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 b\u1ec7nh l\u00fd \u00e1c t\u00ednh \u1edf \u0111\u1ea1i tr\u00e0ng, gi\u1ea3m t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t v\u00e0 nguy c\u01a1 t\u1eed vong \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh.<\/p>\n<\/div>\n<p class=\"\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ai-nen-tam-soat-ung-thu-dai-trang\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ai-nen-tam-soat-ung-thu-dai-trang\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. Gi\u1edbi thi\u1ec7u T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng (CRC) cho ph\u00e9p t\u00ecm ki\u1ebfm v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0, t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 k\u00edch th\u01b0\u1edbc nh\u1ecf, ch\u01b0a di c\u0103n. Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a c\u1ea3 y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng v\u00e0 s\u1ef1 t\u01b0\u01a1ng t\u00e1c [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":1222,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng tr\u00ean ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng cho ph\u00e9p t\u00ecm ki\u1ebfm v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0, t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 k\u00edch th\u01b0\u1edbc nh\u1ecf.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ea7m so\u00e1t ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng tr\u00ean ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao - 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