{"id":1915,"date":"2023-04-09T21:20:19","date_gmt":"2023-04-09T14:20:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1915"},"modified":"2023-04-13T10:02:41","modified_gmt":"2023-04-13T03:02:41","slug":"ung-thu-phoi-xet-nghiem-mau-biet-khong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ung-thu-phoi-xet-nghiem-mau-biet-khong\/","title":{"rendered":"Ung th\u01b0 ph\u1ed5i: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ph\u00e1t hi\u1ec7n kh\u00f4ng?"},"content":{"rendered":"<p><strong>Ung th\u01b0 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u1ed9ng \u0111\u1ed3ng h\u00fat thu\u1ed1c. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 2,2 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb m\u1eafc tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, v\u00e0 s\u1ed1 l\u01b0\u1ee3ng n\u00e0y v\u1eabn \u0111ang t\u0103ng l\u00ean. Tuy nhi\u00ean, n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm, kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i v\u00e0 t\u1ec9 l\u1ec7 s\u1ed1ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3.<\/strong><\/p>\n<h2>1. M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n ung th\u01b0 ph\u1ed5i<\/h2>\n<p>Hi\u1ec7n nay, c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n s\u1edbm, bao g\u1ed3m:<\/p>\n<ul>\n<li>Ch\u1ee5p X quang tim ph\u1ed5i: \u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n kh\u1ed1i u.<\/li>\n<li>X\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o \u0111\u1eddm: X\u00e9t nghi\u1ec7m n\u00e0y s\u1eed d\u1ee5ng m\u1eabu \u0111\u1eddm (ch\u1ea5t d\u1ecbch \u0111\u01b0\u1ee3c l\u1ea5y ra t\u1eeb ph\u1ed5i) \u0111\u1ec3 ki\u1ec3m tra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0.<\/li>\n<li>CT ng\u1ef1c: \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i ch\u1ee5p CT th\u00f4ng th\u01b0\u1eddng, cho ph\u00e9p quan s\u00e1t chi ti\u1ebft h\u01a1n v\u1ec1 c\u00e1c kh\u1ed1i u v\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c trong ph\u1ed5i.<\/li>\n<li>Ch\u1ee5p c\u1eaft l\u1edbp PET &#8211; CT: K\u1ebft h\u1ee3p gi\u1eefa PET v\u00e0 CT, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho ph\u00e9p x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed c\u1ee7a c\u00e1c kh\u1ed1i u v\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c trong ph\u1ed5i. PET cung c\u1ea5p th\u00f4ng tin v\u1ec1 ho\u1ea1t \u0111\u1ed9 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o, trong khi CT cung c\u1ea5p h\u00ecnh \u1ea3nh chi ti\u1ebft v\u1ec1 c\u1ea5u tr\u00fac.<\/li>\n<li>N\u1ed9i soi ph\u1ebf qu\u1ea3n: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng n\u1ed9i soi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u1ebf qu\u1ea3n \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o ho\u1eb7c d\u1ecbch ph\u1ed5i \u0111\u1ec3 ki\u1ec3m tra.<\/li>\n<li>Si\u00eau \u00e2m n\u1ed9i ph\u1ebf qu\u1ea3n: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a ph\u1ed5i v\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng trong ph\u1ed5i.<\/li>\n<li>MRI ng\u1ef1c: MRI l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh s\u1eed d\u1ee5ng t\u1eeb tr\u01b0\u1eddng v\u00e0 s\u00f3ng radio \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee7a c\u00e1c c\u01a1 quan trong ng\u1ef1c, bao g\u1ed3m ph\u1ed5i.<\/li>\n<li>Sinh thi\u1ebft ph\u1ed5i: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng m\u1ed9t kim nh\u1ecf \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u1ed5i \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o ho\u1eb7c m\u00f4 \u0111\u1ec3 ki\u1ec3m tra.<\/li>\n<\/ul>\n<h2>2. T\u1ea7m quan tr\u1ecdng c\u1ee7a x\u00e9t nghi\u1ec7m m\u00e1u tr0ng ph\u00e1t hi\u1ec7n ung th\u01b0 ph\u1ed5i<\/h2>\n<p>X\u00e9t nghi\u1ec7m m\u00e1u l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 ph\u1ed5i \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m. Tuy nhi\u00ean, x\u00e9t nghi\u1ec7m m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.\u00a0 M\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 trong x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 cho th\u1ea5y nguy c m\u1eafc b\u1ec7nh.<\/p>\n<ul>\n<li>Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 cho th\u1ea5y b\u1ea5t th\u01b0\u1eddng trong c\u01a1 th\u1ec3 v\u00e0 t\u0103ng c\u01a1 h\u1ed9i ph\u00e1t hi\u1ec7n ung th\u01b0 ph\u1ed5i s\u1edbm.<\/li>\n<li>T\u1ea1p ch\u00ed Y khoa New England (NEJM) c\u0169ng \u0111\u1ec1 c\u1eadp \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m m\u00e1u cho ung th\u01b0 ph\u1ed5i v\u00e0 nh\u1eadn th\u1ea5y m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 trong x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 cho th\u1ea5y nguy c\u01a1 m\u1eafc b\u1ec7nh, nh\u01b0ng kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c.<\/li>\n<li>T\u1ea1p ch\u00ed Y khoa M\u1ef9 (JAMA) c\u0169ng kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c ung th\u01b0 ph\u1ed5i, nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng trong c\u01a1 th\u1ec3 v\u00e0 t\u0103ng c\u01a1 h\u1ed9i ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm.<\/li>\n<\/ul>\n<figure id=\"attachment_1946\" aria-describedby=\"caption-attachment-1946\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1946 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/610f1ae1-f70a-469d-8220-a7f4666c30c1-300x300.jpg\" alt=\"X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i s\u1edbm\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/610f1ae1-f70a-469d-8220-a7f4666c30c1-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/610f1ae1-f70a-469d-8220-a7f4666c30c1-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/610f1ae1-f70a-469d-8220-a7f4666c30c1-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/610f1ae1-f70a-469d-8220-a7f4666c30c1.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1946\" class=\"wp-caption-text\">X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i s\u1edbm<\/figcaption><\/figure>\n<h2>3. X\u00e9t nghi\u1ec7m m\u00e1u trong ph\u00e1t hi\u1ec7n ung th\u01b0 ph\u1ed5i<\/h2>\n<h3>3.1. CEA (carcinoembryonic antigen):<\/h3>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/xet-nghiem-mau-co-phat-hien-benh-ung-thu-hay-khong\/\"> CEA<\/a> l\u00e0 m\u1ed9t protein \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o ung th\u01b0, ch\u1ee7 y\u1ebfu l\u00e0 t\u1ebf b\u00e0o ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, v\u00fa, ph\u1ed5i v\u00e0 d\u1ea1 d\u00e0y. N\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 theo d\u00f5i vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n<h3>3.2. CA 125 (cancer antigen 125):<\/h3>\n<p>CA 125 l\u00e0 m\u1ed9t protein \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o ung th\u01b0 ph\u1ed5i v\u00e0 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n<h3>3.3. CA 15-3 (cancer antigen 15-3):<\/h3>\n<p>CA 15-3 l\u00e0 m\u1ed9t protein \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi t\u1ebf b\u00e0o ung th\u01b0 v\u00fa, \u0111\u00f4i khi l\u00e0 ung th\u01b0 ph\u1ed5i.<\/p>\n<h3>3.4. CYFRA 21-1 (cytokeratin fragment 21-1):<\/h3>\n<p>CYFRA 21-1 l\u00e0 m\u1ed9t lo\u1ea1i protein \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi t\u1ebf b\u00e0o ung th\u01b0 ph\u1ed5i.<\/p>\n<h3>3.5. NSE (neuron-specific enolase):<\/h3>\n<p>NSE l\u00e0 m\u1ed9t lo\u1ea1i enzyme \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh. N\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 theo d\u00f5i c\u00e1c lo\u1ea1i ung th\u01b0, bao g\u1ed3m ung th\u01b0 ph\u1ed5i.<\/p>\n<h3>3.6. <a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/xet-nghiem-scc-la-gi-vai-tro-cua-scc-trong-phat-hien-va-theo-doi-ung-thu\/\">SCC<\/a> (squamous cell carcinoma antigen):<\/h3>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/xet-nghiem-scc-la-gi-vai-tro-cua-scc-trong-phat-hien-va-theo-doi-ung-thu\/\"> SCC<\/a> l\u00e0 m\u1ed9t lo\u1ea1i protein \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi t\u1ebf b\u00e0o ung th\u01b0 da ho\u1eb7c t\u1ebf b\u00e0o ung th\u01b0 c\u1ee7a ni\u00eam m\u1ea1c, ch\u1ee7 y\u1ebfu l\u00e0 ung th\u01b0 v\u00f9ng \u0111\u1ea7u m\u1eb7t c\u1ed5 v\u00e0 ph\u1ed5i.<\/p>\n<p>Tuy nhi\u00ean, c\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c v\u00e0 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 ch\u1ee5p X-quang, si\u00eau \u00e2m, CT &#8211; scanner ho\u1eb7c MRI \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/p>\n<p>X\u00e9t nghi\u1ec7m m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p <a href=\"http:\/\/noithathoaphat.in\/ctv\/?p=1915&amp;preview=true\">ch\u1ea9n \u0111o\u00e1n<\/a> ch\u00ednh x\u00e1c ung th\u01b0 ph\u1ed5i, nh\u01b0ng c\u00f3 th\u1ec3 cho th\u1ea5y b\u1ea5t th\u01b0\u1eddng trong c\u01a1 th\u1ec3 v\u00e0 t\u0103ng c\u01a1 h\u1ed9i ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm. N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m m\u00e1u nghi ng\u1edd ung th\u01b0 ph\u1ed5i s\u1ebd ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m ki\u1ec3m tra kh\u00e1c \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ea5t th\u01b0\u1eddng n\u00e0y.<\/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 class=\"contact-button link-in-body\" 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\/#\"><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\/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\/#\"><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> \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\/R78WAi42syo<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u1ed9ng \u0111\u1ed3ng h\u00fat thu\u1ed1c. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 2,2 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb m\u1eafc tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, v\u00e0 s\u1ed1 l\u01b0\u1ee3ng n\u00e0y v\u1eabn \u0111ang t\u0103ng l\u00ean. Tuy nhi\u00ean, n\u1ebfu \u0111\u01b0\u1ee3c [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[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>Ung th\u01b0 ph\u1ed5i: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ph\u00e1t hi\u1ec7n kh\u00f4ng? - Vinmec<\/title>\n<meta name=\"description\" content=\"X\u00e9t nghi\u1ec7m m\u00e1u l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 ph\u1ed5i. 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