{"id":18278,"date":"2023-04-11T17:24:56","date_gmt":"2023-04-11T10:24:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18278"},"modified":"2023-04-12T15:50:25","modified_gmt":"2023-04-12T08:50:25","slug":"chi-so-xet-nghiem-marker-ung-thu-da-day","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/chi-so-xet-nghiem-marker-ung-thu-da-day\/","title":{"rendered":"Ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker ung th\u01b0 d\u1ea1 d\u00e0y"},"content":{"rendered":"<p><strong>Ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ea1i khu v\u1ef1c ch\u00e2u \u00c1, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t Nam v\u00e0 c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c1 kh\u00e1c. \u0110\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 d\u1ea1 d\u00e0y, c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh.<\/strong><\/p>\n<h2>1. Ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 g\u00ec?<\/h2>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/chi-so-xet-nghiem-marker-ung-thu-la-gi\/\">Ung th\u01b0<\/a> d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o b\u00ean trong th\u00e0nh c\u1ee7a d\u1ea1 d\u00e0y. C\u00e1c t\u1ebf b\u00e0o n\u00e0y tr\u1edf n\u00ean b\u1ea5t th\u01b0\u1eddng v\u00e0 t\u0103ng sinh m\u1ed9t c\u00e1ch kh\u00f4ng ki\u1ec3m so\u00e1t, g\u00e2y ra kh\u1ed1i u \u00e1c t\u00ednh trong d\u1ea1 d\u00e0y. Ung th\u01b0 d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n ch\u1eadm v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng trong giai \u0111o\u1ea1n \u0111\u1ea7u, nh\u01b0ng khi b\u1ec7nh \u0111\u00e3 ph\u00e1t tri\u1ec3n, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng bao g\u1ed3m \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n, n\u00f4n, s\u00fat c\u00e2n, m\u1ec7t m\u1ecfi v\u00e0 ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a.<\/p>\n<figure id=\"attachment_18303\" aria-describedby=\"caption-attachment-18303\" style=\"width: 279px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18303 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1045298460-612x612-1-279x300.jpg\" alt=\"C\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker c\u00f3 th\u1ec3 cho bi\u1ebft nguy c\u01a1 m\u1eafc ung th\u01b0 d\u1ea1 d\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n\" width=\"279\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1045298460-612x612-1-279x300.jpg 279w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1045298460-612x612-1.jpg 569w\" sizes=\"(max-width: 279px) 100vw, 279px\" \/><figcaption id=\"caption-attachment-18303\" class=\"wp-caption-text\">C\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker c\u00f3 th\u1ec3 cho bi\u1ebft nguy c\u01a1 m\u1eafc ung th\u01b0 d\u1ea1 d\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n<\/figcaption><\/figure>\n<h2>2. C\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker ung th\u01b0 d\u1ea1 d\u00e0y<\/h2>\n<h3>2.1. CEA (Carcinoembryonic antigen)<\/h3>\n<ul>\n<li>CEA l\u00e0 m\u1ed9t lo\u1ea1i protein c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u00e1u khi c\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u \u00e1c t\u00ednh, bao g\u1ed3m ung th\u01b0 d\u1ea1 d\u00e0y. CEA \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng v\u00e0o h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<li>CEA c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a ung th\u01b0 d\u1ea1 d\u00e0y v\u00e0 theo d\u00f5i hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, CEA kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u1ed9c l\u1eadp \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 d\u1ea1 d\u00e0y. N\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 n\u1ed9i soi d\u1ea1 d\u00e0y, si\u00eau \u00e2m ho\u1eb7c ch\u1ee5p X-quang \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/li>\n<li>Ngo\u00e0i ung th\u01b0 d\u1ea1 d\u00e0y, CEA c\u0169ng c\u00f3 th\u1ec3 t\u0103ng l\u00ean trong m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 kh\u00e1c v\u00e0 c\u00e1c c\u0103n b\u1ec7nh kh\u00e1c nh\u01b0 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, ung th\u01b0 th\u1ef1c qu\u1ea3n, ung th\u01b0 ph\u1ed5i, \u2026<\/li>\n<li>V\u00ec v\u1eady, vi\u1ec7c s\u1eed d\u1ee5ng CEA nh\u01b0 m\u1ed9t ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng v\u00e0 k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/li>\n<\/ul>\n<h3>2.2. CA 72-4<\/h3>\n<ul>\n<li>CA 72-4 l\u00e0 m\u1ed9t lo\u1ea1i kh\u00e1ng nguy\u00ean \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u1ed9t s\u1ed1 lo\u1ea1i t\u1ebf b\u00e0o ung th\u01b0, bao g\u1ed3m ung th\u01b0 d\u1ea1 d\u00e0y, ung th\u01b0 bu\u1ed3ng tr\u1ee9ng v\u00e0 ung th\u01b0 v\u00fa. Vi\u1ec7c \u0111o n\u1ed3ng \u0111\u1ed9 CA 72-4 trong m\u00e1u c\u00f3 th\u1ec3 gi\u00fap trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n, theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c lo\u1ea1i ung th\u01b0 n\u00e0y.<\/li>\n<li>Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng CA 72-4 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 c\u0169ng kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m \u0111\u1ed9c l\u1eadp \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0. Ngo\u00e0i ra, CA 72-4 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t c\u1ee7a b\u1ec7nh. Vi\u1ec7c \u0111o n\u1ed3ng \u0111\u1ed9 CA 72-4 tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ef1 gi\u1ea3m \u0111\u00e1ng k\u1ec3 c\u1ee7a n\u1ed3ng \u0111\u1ed9 c\u1ee7a kh\u00e1ng nguy\u00ean n\u00e0y trong m\u00e1u, cho th\u1ea5y hi\u1ec7u qu\u1ea3 c\u1ee7a li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>Ngo\u00e0i ra, vi\u1ec7c \u0111o n\u1ed3ng \u0111\u1ed9 CA 72-4 \u0111\u1ecbnh k\u1ef3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap trong vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm s\u1ef1 t\u00e1i ph\u00e1t c\u1ee7a ung th\u01b0 v\u00e0 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/li>\n<li>Tuy nhi\u00ean, nh\u01b0 v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c, vi\u1ec7c \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m CA 72-4 c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ebft h\u1ee3p v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng kh\u00e1c \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 quy\u1ebft \u0111\u1ecbnh v\u1ec1 li\u1ec7u ph\u00e1p ph\u00f9 h\u1ee3p cho b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<h3>2.3. CA 19-9<\/h3>\n<p>CA 19-9 l\u00e0 m\u1ed9t lo\u1ea1i kh\u00e1ng nguy\u00ean \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u1ed9t s\u1ed1 lo\u1ea1i t\u1ebf b\u00e0o ung th\u01b0, bao g\u1ed3m ung th\u01b0 d\u1ea1 d\u00e0y, ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, ung th\u01b0 t\u1ee5y, ung th\u01b0 \u0111\u01b0\u1eddng m\u1eadt. Vi\u1ec7c \u0111o n\u1ed3ng \u0111\u1ed9 CA 19-9 trong m\u00e1u c\u00f3 th\u1ec3 gi\u00fap trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n, theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c lo\u1ea1i ung th\u01b0 n\u00e0y.<\/p>\n<p>Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng CA 19-9 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m \u0111\u1ed9c l\u1eadp \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m CA 19-9 ph\u1ea3i \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p X-quang, n\u1ed9i soi ho\u1eb7c sinh thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c lo\u1ea1i ung th\u01b0 v\u00e0 m\u1ee9c \u0111\u1ed9 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u.<\/p>\n<p>C\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker ung th\u01b0 d\u1ea1 d\u00e0y \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 d\u1ea1 d\u00e0y. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m ph\u00f9 h\u1ee3p s\u1ebd gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ecbp th\u1eddi v\u00e0 ch\u00ednh x\u00e1c, t\u1eeb \u0111\u00f3 c\u1ea3i thi\u1ec7n t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>\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 href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><strong>HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><strong>T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a href=\"https:\/\/www.vinmec.com\/myvinmec\/\">\u1ee9ng d\u1ee5ng MyVinmec<\/a> \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.\u00a0 https:\/\/youtu.be\/c7auFT2YLTU<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ea1i khu v\u1ef1c ch\u00e2u \u00c1, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker ung th\u01b0 d\u1ea1 d\u00e0y - Vinmec<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t Nam v\u00e0 c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c1 kh\u00e1c. C\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker ung th\u01b0 d\u1ea1 d\u00e0y g\u1ed3m ...\" \/>\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=\"Ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m marker ung th\u01b0 d\u1ea1 d\u00e0y - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ung th\u01b0 d\u1ea1 d\u00e0y l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t Nam v\u00e0 c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c1 kh\u00e1c. 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