{"id":21313,"date":"2023-04-15T12:21:25","date_gmt":"2023-04-15T05:21:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21313"},"modified":"2023-04-17T15:10:30","modified_gmt":"2023-04-17T08:10:30","slug":"tong-quan-ve-benh-da-u-tuy-xuong-kahler","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/tong-quan-ve-benh-da-u-tuy-xuong-kahler\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng (Kahler)"},"content":{"rendered":"

\u0110a u t\u1ee7y x\u01b0\u01a1ng (multiple myeloma, Kahler) l\u00e0 m\u1ed9t b\u1ec7nh t\u0103ng sinh c\u00f3 t\u00ednh ch\u1ea5t \u00e1c t\u00ednh c\u1ee7a t\u01b0\u01a1ng b\u00e0o (plasmocyte) \u1edf t\u1ee7y x\u01b0\u01a1ng v\u00e0 m\u1ed9t s\u1ed1 c\u01a1 quan kh\u00e1c. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh v\u1eabn c\u00f2n ch\u01b0a r\u00f5 r\u00e0ng, nh\u01b0ng c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, tu\u1ed5i t\u00e1c v\u00e0 ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t \u0111\u1ed9c h\u1ea1i c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh.<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng<\/h2>\n

\u0110a u t\u1ee7y x\u01b0\u01a1ng l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 nguy hi\u1ec3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ee7y x\u01b0\u01a1ng – n\u01a1i s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o m\u00e1u. B\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “\u0111a u” v\u00ec n\u00f3 g\u00e2y ra s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a nhi\u1ec1u u kh\u00e1c nhau trong t\u1ee7y x\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 m\u00e1u ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 c\u00f3 t\u00e1c \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h2>\n

Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a \u0111a u t\u1ee7y x\u01b0\u01a1ng v\u1eabn \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u. \u0110\u1ebfn nay, ch\u01b0a c\u00f3 m\u1ed9t nguy\u00ean nh\u00e2n duy nh\u1ea5t n\u00e0o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c cho b\u1ec7nh nh\u01b0ng c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, tu\u1ed5i t\u00e1c v\u00e0 ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t \u0111\u1ed9c h\u1ea1i c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh.<\/p>\n

Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00e1c t\u1ebf b\u00e0o ung th\u01b0, bao g\u1ed3m c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u, t\u01b0\u01a1ng b\u00e0o \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1ea5t th\u01b0\u1eddng trong t\u1ee7y x\u01b0\u01a1ng \u0111\u00f3ng g\u00f3p v\u00e0o qu\u00e1 tr\u00ecnh b\u1ec7nh sinh c\u1ee7a b\u1ec7nh n\u00e0y.<\/p>\n

M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 di truy\u1ec1n c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u01b0 h\u00f3a ch\u1ea5t c\u00f4ng nghi\u1ec7p c\u0169ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh.<\/p>\n

Vi\u1ec7c hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh sinh c\u1ee7a \u0111a u t\u1ee7y x\u01b0\u01a1ng c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ch\u00fang ta ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 h\u01a1n trong t\u01b0\u01a1ng lai.<\/p>\n

3. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng<\/h2>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng bi\u1ec3u hi\u1ec7n nhi\u1ec1u n\u01a1i trong c\u01a1 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

M\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 m\u1ec7t m\u1ecfi v\u00e0 suy nh\u01b0\u1ee3c do thi\u1ebfu m\u00e1u. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i tri\u1ec7u ch\u1ee9ng \u0111au x\u01b0\u01a1ng do s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c u trong t\u1ee7y x\u01b0\u01a1ng, g\u00e2y \u0111au nh\u1ee9c trong c\u00e1c kh\u1edbp v\u00e0 x\u01b0\u01a1ng.<\/p>\n

B\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng b\u1ea7m t\u00edm do gi\u1ea3m s\u1ea3n xu\u1ea5t ti\u1ec3u c\u1ea7u v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/p>\n

B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 mi\u1ec5n d\u1ecbch, bao g\u1ed3m vi\u00eam nhi\u1ec5m d\u1ec5 t\u00e1i ph\u00e1t v\u00e0 kh\u00f3 ch\u1ed1ng \u0111\u1ee1 c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p, bao g\u1ed3m kh\u00f3 th\u1edf v\u00e0 ho, do s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c u trong ph\u1ed5i.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m l\u00fd c\u0169ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n, bao g\u1ed3m t\u00ecnh tr\u1ea1ng lo \u00e2u, tr\u1ea7m c\u1ea3m v\u00e0 stress. Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m l\u00fd n\u00e0y c\u0169ng r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n v\u01b0\u1ee3t qua kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n

4. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/h2>\n

Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ph\u1ee9c t\u1ea1p.<\/p>\n

Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u1ea7n k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau: x\u00e9t nghi\u1ec7m m\u00e1u, x\u00e9t nghi\u1ec7m t\u1ee7y x\u01b0\u01a1ng, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT),… Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 u trong t\u1ee7y x\u01b0\u01a1ng, \u0111\u1ed3ng th\u1eddi c\u0169ng gi\u00fap ch\u1ea9n \u0111o\u00e1n c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh.<\/p>\n

\"hinh-anh-sinh-thiet-tuy-xuong-tren-nguoi
H\u00ecnh \u1ea3nh sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng tr\u00ean ng\u01b0\u1eddi b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng<\/a><\/figcaption><\/figure>\n

5. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng<\/h2>\n

\u0110a u t\u1ee7y x\u01b0\u01a1ng l\u00e0 b\u1ec7nh g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c ngo\u00e0i x\u01b0\u01a1ng do t\u0103ng sinh \u00e1c t\u00ednh c\u1ee7a t\u01b0\u01a1ng b\u00e0o. Do \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 ch\u00ednh sau: \u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u ch\u1ed1ng ung th\u01b0, gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u, \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng v\u00e0 ch\u0103m s\u00f3c c\u00e1c r\u1ed1i lo\u1ea1n.<\/p>\n

Vi\u1ec7c ch\u1ecdn l\u1ef1a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 theo d\u00f5i s\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

6. Ti\u1ebfn tri\u1ec3n v\u00e0 ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh<\/h2>\n

Ti\u1ebfn tri\u1ec3n v\u00e0 ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m \u0111\u1ed9 tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n, lo\u1ea1i u t\u1ee7y x\u01b0\u01a1ng, k\u00edch th\u01b0\u1edbc u, s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o ung th\u01b0 trong t\u1ee7y x\u01b0\u01a1ng v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c bi\u1ec7t t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c. Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng cao h\u01a1n v\u00e0 ph\u1ea3n \u1ee9ng t\u00edch c\u1ef1c h\u01a1n v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c.<\/p>\n

Vi\u1ec7c theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh c\u00f3 th\u1ec3 t\u1ed1t h\u01a1n, t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n mu\u1ed9n th\u00ec ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 r\u1ea5t nhanh, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t.<\/p>\n

7. K\u1ebft lu\u1eadn<\/h2>\n

B\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng l\u00e0 m\u1ed9t b\u1ec7nh ung th\u01b0 m\u00e1u ph\u1ed5 bi\u1ebfn v\u00e0 nguy hi\u1ec3m, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng t\u1ee7y x\u01b0\u01a1ng v\u00e0 g\u00e2y ra nhi\u1ec1u bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng kh\u00e1c nhau. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u1ea7n k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau. Ti\u1ebfn tri\u1ec3n v\u00e0 ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 . Vi\u1ec7c theo d\u00f5i s\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110a u t\u1ee7y x\u01b0\u01a1ng (multiple myeloma, Kahler) l\u00e0 m\u1ed9t b\u1ec7nh t\u0103ng sinh c\u00f3 t\u00ednh ch\u1ea5t \u00e1c t\u00ednh c\u1ee7a t\u01b0\u01a1ng b\u00e0o (plasmocyte) \u1edf t\u1ee7y x\u01b0\u01a1ng v\u00e0 m\u1ed9t s\u1ed1 c\u01a1 quan kh\u00e1c. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh v\u1eabn c\u00f2n ch\u01b0a r\u00f5 r\u00e0ng, nh\u01b0ng c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, tu\u1ed5i t\u00e1c v\u00e0 ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t […]<\/p>\n","protected":false},"author":70,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng (Kahler) - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110a u t\u1ee7y x\u01b0\u01a1ng l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 nguy hi\u1ec3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng t\u1ee7y x\u01b0\u01a1ng - n\u01a1i s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o m\u00e1u\" \/>\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\u1ed5ng quan v\u1ec1 b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng (Kahler) - 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