{"id":18665,"date":"2023-04-11T22:53:11","date_gmt":"2023-04-11T15:53:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18665"},"modified":"2023-04-12T15:51:07","modified_gmt":"2023-04-12T08:51:07","slug":"danh-gia-giai-doan-va-muc-do-xo-hoa-gan-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/danh-gia-giai-doan-va-muc-do-xo-hoa-gan-theo-bo-y-te\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

X\u01a1 gan l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam gan k\u00e9o d\u00e0i ho\u1eb7c do c\u00e1c t\u00e1c nh\u00e2n g\u00e2y h\u1ea1i kh\u00e1c. \u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a gan do c\u00e1c t\u00e1c nh\u00e2n g\u00e2y h\u1ea1i nh\u01b0 virus, ch\u1ea5t \u0111\u1ed9c, r\u01b0\u1ee3u, h\u00f3a ch\u1ea5t, \u2026 Giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m th\u00f4ng tin l\u00e2m s\u00e0ng, c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u, si\u00eau \u00e2m, ch\u1ee5p CT ho\u1eb7c MRI, v\u00e0 Fibroscan gan.<\/strong><\/p>\n

\"\u0110\u00e1nh
\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan gi\u00fap b\u00e1c s\u0129 \u0111\u1ecbnh h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p<\/figcaption><\/figure>\n

1. X\u01a1 h\u00f3a gan g\u1ed3m 4 giai \u0111o\u1ea1n theo ph\u00e2n lo\u1ea1i Metavir tr\u00ean m\u00f4 h\u1ecdc<\/h2>\n

– F0:\u00a0kh\u00f4ng x\u01a1 h\u00f3a<\/p>\n

– F1: x\u01a1 h\u00f3a kho\u1ea3ng c\u1eeda (portal fibrosis)<\/p>\n

– F2: x\u01a1 h\u00f3a kho\u1ea3ng c\u1eeda v\u1edbi v\u00e0i v\u00e1ch (portal fibrosis with few septa)<\/p>\n

– F3: x\u01a1 h\u00f3a v\u00e1ch (septal fibrosis)<\/p>\n

– F4: x\u01a1 gan<\/p>\n

2. C\u00e1c m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan<\/h2>\n

– X\u01a1 h\u00f3a nh\u1eb9 hay kh\u00f4ng x\u01a1 h\u00f3a: F0, F1<\/p>\n

– X\u01a1 h\u00f3a \u0111\u00e1ng k\u1ec3 (significant fibrosis): F\u00a0\u2265\u00a02<\/p>\n

– X\u01a1 h\u00f3a ti\u1ebfn tri\u1ec3n hay n\u1eb7ng (advanced fibrosis): F \u2265 3 (c\u00f3 nguy c\u01a1 HCC r\u1ea5t cao)<\/p>\n

– X\u01a1 gan (cirrhosis): F4<\/p>\n

3. \u0110o \u0111\u1ed9 \u0111\u00e0n h\u1ed3i gan<\/strong>(FibroScan)<\/h2>\n

F0-1: <\u00a07,1 KPa<\/p>\n

F2: 7,1 – < 9,5 KPa<\/p>\n

F3: 9,5\u00a0–\u00a0< 12,5 KPa<\/p>\n

F4:\u00a0\u2265\u00a012,5 KPa<\/p>\n

4. Ch\u1ec9 s\u1ed1 APRI<\/strong><\/h2>\n\n\n\n
APRI = (AST x 100\/AST (ULN))\/Ti\u1ec3u c\u1ea7u (109<\/sup>\/l)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n\n\n
F0\u00a0–\u00a0F1<\/td>\n: < 0,5<\/td>\n<\/tr>\n
F2<\/td>\n: 0,5 – < 1<\/td>\n<\/tr>\n
F3 – F4<\/td>\n: 1 – < 2,0<\/td>\n<\/tr>\n
F4<\/td>\n:\u00a0\u2265\u00a02<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*\u00a0ULN (upper limit of normal): gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng tr\u00ean c\u1ee7a ph\u00f2ng x\u00e9t nghi\u1ec7m<\/p>\n

5. FIB-4<\/strong><\/h2>\n\n\n\n\n\n
FIB-4: <1,45<\/td>\n: F0-F1<\/td>\n<\/tr>\n
FIB-4: 1,45 – 3,25<\/td>\n: \u0110\u00e1nh gi\u00e1 th\u00eam b\u1eb1ng Fibroscan<\/td>\n<\/tr>\n
FIB-4: > 3,25<\/td>\n: F2-F4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

6. Ph\u00e2n lo\u1ea1i Child-Pugh<\/strong><\/h2>\n\n\n\n\n\n\n\n\n\n\n
Ti\u00eau chu\u1ea9n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1<\/strong><\/td>\n1\u00a0<\/strong>\u0111i\u1ec3m<\/strong><\/td>\n2 \u0111i\u1ec3m<\/strong><\/td>\n3 \u0111i\u1ec3m<\/strong><\/td>\n<\/tr>\n
B\u1ec7nh n\u00e3o gan<\/td>\nKh\u00f4ng<\/td>\nGiai \u0111o\u1ea1n\u00a01\u00a0– 2<\/td>\nGiai \u0111o\u1ea1n 3\u00a0–\u00a04<\/td>\n<\/tr>\n
C\u1ed5 ch\u01b0\u1edbng<\/td>\nKh\u00f4ng<\/td>\n\u00cdt<\/td>\nNhi\u1ec1u<\/td>\n<\/tr>\n
Bilirubin huy\u1ebft thanh (mg\/dl)<\/td>\n<\u00a02<\/td>\n2\u00a0–\u00a03<\/td>\n> 3<\/td>\n<\/tr>\n
(\u03bcmol\/L)<\/td>\n< 35<\/td>\n35\u00a0–\u00a050<\/td>\n> 50<\/td>\n<\/tr>\n
Albumin huy\u1ebft thanh (g\/dL)<\/td>\n> 3,5<\/td>\n2,8 – 3,5<\/td>\n< 2,8<\/td>\n<\/tr>\n
T\u1ef7 l\u1ec7 prothrombin (%)<\/td>\n> 64<\/td>\n44\u00a0–\u00a064<\/td>\n<\u00a044<\/td>\n<\/tr>\n
hay INR<\/td>\n< 1,7<\/td>\n1,7\u00a0–\u00a02,3<\/td>\n> 2,3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

– Child – Pugh A: 5 – 6 \u0111i\u1ec3m<\/p>\n

– Child – Pugh B: 7 – 9 \u0111i\u1ec3m<\/p>\n

– Child – Pugh C:\u00a0\u2265\u00a010 \u0111i\u1ec3m<\/p>\n

Child – Pugh A: X\u01a1 gan c\u00f2n b\u00f9; Child – Pugh B, C: X\u01a1 gan m\u1ea5t b\u00f9<\/p>\n

\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 b\u00e1o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n. N\u1ebfu \u0111\u00e3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u01b0a ra d\u1ef1 \u0111o\u00e1n v\u1ec1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\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. https:\/\/youtu.be\/KTilACALZPs<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

X\u01a1 gan l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam gan k\u00e9o d\u00e0i ho\u1eb7c do c\u00e1c t\u00e1c nh\u00e2n g\u00e2y h\u1ea1i kh\u00e1c. \u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a gan do c\u00e1c t\u00e1c nh\u00e2n g\u00e2y h\u1ea1i nh\u01b0 virus, ch\u1ea5t \u0111\u1ed9c, r\u01b0\u1ee3u, h\u00f3a ch\u1ea5t, \u2026 […]<\/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":"\n\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a gan. Giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng ...\" \/>\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=\"\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan theo B\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a gan. Giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/danh-gia-giai-doan-va-muc-do-xo-hoa-gan-theo-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-11T15:53:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-12T08:51:07+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-501331520-612x612-1-300x300.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/danh-gia-giai-doan-va-muc-do-xo-hoa-gan-theo-bo-y-te\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/danh-gia-giai-doan-va-muc-do-xo-hoa-gan-theo-bo-y-te\/\",\"name\":\"\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan theo B\u1ed9 Y t\u1ebf - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-11T15:53:11+00:00\",\"dateModified\":\"2023-04-12T08:51:07+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"\u0110\u00e1nh gi\u00e1 giai \u0111o\u1ea1n v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a gan. 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