{"id":21390,"date":"2023-04-16T21:32:01","date_gmt":"2023-04-16T14:32:01","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21390"},"modified":"2023-04-17T11:38:03","modified_gmt":"2023-04-17T04:38:03","slug":"sang-loc-ung-thu-phoi-bang-cat-lop-vi-tinh-nang-luong-thap-ldct","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/sang-loc-ung-thu-phoi-bang-cat-lop-vi-tinh-nang-luong-thap-ldct\/","title":{"rendered":"S\u00e0ng l\u1ecdc ung th\u01b0 ph\u1ed5i b\u1eb1ng c\u1eaft l\u1edbp vi t\u00ednh n\u0103ng l\u01b0\u1ee3ng th\u1ea5p (LDCT)"},"content":{"rendered":"<p><strong>\u1ede Vi\u1ec7t Nam, <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/ung-thu-phoi-3039\/\">ung th\u01b0 ph\u1ed5i<\/a> l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t. \u0110\u00e2y l\u00e0 m\u1ed9t trong s\u1ed1 nh\u1eefng b\u1ec7nh ung th\u01b0 nguy hi\u1ec3m v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao, kh\u00f3 \u0111i\u1ec1u tr\u1ecb do b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n. Do \u0111\u00f3, vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i \u0111\u1ec3 ph\u00e1t hi\u1ec7n ung th\u01b0 ph\u1ed5i \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u r\u1ea5t c\u00f3 l\u1ee3i trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m t\u00fd l\u1ec7 t\u1eed vong. Trong \u0111\u00f3 ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc ung th\u01b0 ph\u1ed5i b\u1eb1ng c\u1eaft l\u1edbp vi t\u00ednh n\u0103ng l\u01b0\u1ee3ng th\u1ea5p (LDCT) \u0111ang l\u00e0 m\u1ed9t h\u01b0\u1edbng \u0111i \u0111\u1ea7y h\u1ee9a h\u1eb9n.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2>1. Ung th\u01b0 ph\u1ed5i l\u00e0 g\u00ec ?<\/h2>\n<ul>\n<li>Ung th\u01b0 ph\u1ebf qu\u1ea3n ph\u1ed5i(Lung cancer) nguy\u00ean ph\u00e1t l\u00e0 ung th\u01b0 xu\u1ea5t ph\u00e1t t\u1eeb ni\u00eam m\u1ea1c ph\u1ebf qu\u1ea3n, ph\u1ebf nang.<\/li>\n<li>Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm ung th\u01b0 ph\u1ebf qu\u1ea3n ph\u1ed5i th\u01b0\u1eddng kh\u00f3 kh\u0103n v\u00e0 t\u1ed1n k\u00e9m. Ph\u1ea7n l\u1edbn c\u00e1c ca b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi b\u1ec7nh \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n. C\u1ea7n k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p: l\u00e2m s\u00e0ng, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh, n\u1ed9i soi, x\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o h\u1ecdc v\u00e0 ch\u1ea9n \u0111o\u00e1n m\u00f4 b\u1ec7nh h\u1ecdc.<\/li>\n<\/ul>\n<h2>2. Nguy\u00ean nh\u00e2n v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1<\/h2>\n<ul>\n<li><a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/tac-hai-cua-hut-thuoc-la-toi-suc-khoe\/\">H\u00fat thu\u1ed1c l\u00e1<\/a>: L\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ung th\u01b0 ph\u1ed5i, g\u1eb7p h\u01a1n 90% ung th\u01b0 ph\u1ed5i \u1edf nam gi\u1edbi c\u00f3 nghi\u1ec7n thu\u1ed1c l\u00e1, kho\u1ea3ng 80% tr\u01b0\u1eddng h\u1ee3p m\u1eafc \u1edf n\u1eef gi\u1edbi c\u00f3 li\u00ean quan t\u1edbi thu\u1ed1c l\u00e1. Theo WHO, h\u00fat thu\u1ed1c l\u00e1 l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong c\u1ee7a 20% tr\u01b0\u1eddng h\u1ee3p ung th\u01b0, v\u00e0 chi\u1ebfm t\u1edbi 70% t\u1eed vong trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 ph\u1ed5i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Kh\u00f3i thu\u1ed1c ch\u1ee9a kho\u1ea3ng 7000 ch\u1ea5t, trong ch\u00f3 c\u00f3 kho\u1ea3ng 69 ch\u1ea5t \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 th\u1ec3 g\u00e2y ung th\u01b0 nh\u01b0: Benzene, Formaldehyde, arsenic, acetone. H\u00fat thu\u1ed1c l\u00e1 ch\u1ee7 \u0111\u1ed9ng v\u00e0 th\u1ee5 \u0111\u1ed9ng \u0111\u1ec1u l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0 ph\u1ed5i<\/li>\n<li>Ami\u0103ng: g\u1eb7p \u1edf nh\u1eefng c\u00f4ng nh\u00e2n s\u1ea3n xu\u1ea5t t\u1ea5m l\u1edbp fibro xi m\u0103ng. Vi\u1ec7c s\u1eed d\u1ee5ng ami\u0103ng \u0111\u1ed9c h\u1ea1i trong s\u1ea3n xu\u1ea5t, c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh khi ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp x\u00fac 20-30 n\u0103m tr\u01b0\u1edbc \u0111\u00f3. Hi\u1ec7n ami\u0103ng \u0111\u00e3 b\u1ecb c\u1ea5m \u1edf 28 qu\u1ed1c gia ch\u00e2u \u00c2u nh\u01b0ng v\u1eabn c\u00f2n \u0111ang \u0111\u01b0\u1ee3c nhi\u1ec1u n\u01b0\u1edbc s\u1eed d\u1ee5ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n nh\u01b0 Vi\u1ec7t Nam.<\/li>\n<li>Y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng: Trong kh\u00ed quy\u1ec3n c\u00e1c th\u00e0nh ph\u1ed1 c\u00f4ng nghi\u1ec7p c\u00f3 nhi\u1ec1u ch\u1ea5t g\u00e2y ung th\u01b0 nh\u01b0 3-4 benzopyren, hydrocarbon th\u01a1m v\u00f2ng,&#8230;<\/li>\n<li>Ung th\u01b0 ph\u1ed5i ngh\u1ec1 nghi\u1ec7p: Ph\u00f3ng x\u1ea1 v\u00e0 b\u1ec7nh b\u1ee5i ph\u1ed5i ngh\u1ec1 nghi\u1ec7p.<\/li>\n<li>Y\u1ebfu t\u1ed1 di truy\u1ec1n.\n<p><figure id=\"attachment_21423\" aria-describedby=\"caption-attachment-21423\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21423\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ung-thu-phoi-300x177.jpg\" alt=\"Minh-hoa-ung-thu-phoi\" width=\"300\" height=\"177\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ung-thu-phoi-300x177.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ung-thu-phoi-768x453.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ung-thu-phoi.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21423\" class=\"wp-caption-text\">\u1ea2nh minh h\u1ecda<\/figcaption><\/figure><\/li>\n<\/ul>\n<h2>3. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc ung th\u01b0 ph\u1ed5i<\/h2>\n<ul>\n<li>Ch\u1ee5p X-quang ng\u1ef1c: Hi\u1ec7n kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o.<\/li>\n<li>X\u00e9t nghi\u1ec7m \u0111\u1eddm: L\u1ea5y m\u1eabu b\u1ec7nh ph\u1ea9m l\u00e0 \u0111\u1eddm v\u00e0 l\u00e0m ch\u1ea9n \u0111o\u00e1n t\u1ebf b\u00e0o h\u1ecdc t\u00ecm t\u1ebf b\u00e0o ung th\u01b0. X\u00e9t nghi\u1ec7m n\u00e0y c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong s\u00e0ng l\u1ecdc.<\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/chup-ct-scanner-phoi-lieu-thap-trong-tam-soat-ung-thu-phoi\/\">Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c n\u0103ng l\u01b0\u1ee3ng th\u1ea5p<\/a> (LDCT): L\u00e0 m\u1ed9t ti\u1ebfn b\u1ed9 l\u1edbn trong l\u0129nh v\u1ef1c s\u00e0ng l\u1ecdc ung th\u01b0. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt ch\u1ee5p \u1ea3nh l\u1ed3ng ng\u1ef1c b\u1eb1ng m\u00e1y ch\u1ee5p CLVT. Ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc n\u00e0y c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a ph\u1ea7n m\u1ec1m vi t\u00ednh cho k\u1ebft qu\u1ea3 di\u1ec5n gi\u1ea3i h\u00ecnh \u1ea3nh ch\u1ee5p ch\u00ednh x\u00e1c v\u00e0 gi\u1ea3m chi ph\u00ed. Li\u1ec1u ch\u1ee5p \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf m\u1ee9c 2mSv (so v\u1edbi li\u1ec1u chu\u1ea9n 7mSv), l\u00e0m gi\u1ea3m nguy c\u01a1 ti\u1ebfp x\u00fac tia x\u1ea1 cho b\u1ec7nh nh\u00e2n so v\u1edbi ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh th\u00f4ng th\u01b0\u1eddng. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u01b0ng b\u1ec7nh nh\u00e2n tu\u1ed5i cao v\u00e0 h\u00fat thu\u1ed1c nhi\u1ec1u ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i.<\/li>\n<\/ul>\n<h2>4. Hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a c\u1eaft l\u1edbp vi t\u00ednh n\u0103ng l\u01b0\u1ee3ng th\u1ea5p<\/h2>\n<p>C\u1eaft l\u1edbp vi t\u00ednh n\u0103ng l\u01b0\u1ee3ng th\u1ea5p (LDCT) l\u00e0 m\u1ed9t trong nh\u1eefng th\u00e0nh ph\u1ea7n quan trong trong s\u00e0ng l\u1ecdc ung th\u01b0 ph\u1ed5i.<\/p>\n<ul>\n<li><strong>\u01afu \u0111i\u1ec3m:<\/strong><\/li>\n<\/ul>\n<p>&#8211;\u00a0 LDCT cho th\u1ea5y \u01b0u th\u1ebf ph\u00e1t hi\u1ec7n r\u00f5 r\u00e0ng c\u00e1c n\u1ed1t m\u1edd nh\u1ecf m\u00e0 ch\u1ee5p X-quang th\u01b0\u1eddng quy kh\u00f4ng ho\u1eb7c kh\u00f3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>&#8211;\u00a0 Nhi\u1ec1u ngi\u00ean c\u1ee9u tr\u00ean th\u1ebf gi\u1edbi t\u1eeb l\u00e2u \u0111\u00e3 ch\u1ee9ng minh hi\u1ec7u qu\u1ea3 c\u1ee7a LDCT trong ch\u1ea9n \u0111o\u00e1n s\u1edbm . Theo nghi\u00ean c\u1ee9u c\u1ee7a ELCAP(1993-1998) \u1edf c\u00e1c b\u1ec7nh nh\u00e2n tr\u00ean 60 tu\u1ed5i, h\u00fat thu\u1ed1c l\u00e1 tr\u00ean 10 bao-n\u0103m so s\u00e1nh LDCT v\u00e0 Xquang th\u01b0\u1eddng quy cho th\u1ea5y LDCT ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c n\u1ed1t kh\u00f4ng canxi h\u00f3a g\u1ea5p 3 l\u1ea7n so v\u1edbi ch\u1ee5p X-quang th\u01b0\u1eddng quy.<\/p>\n<ul>\n<li><strong>M\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 c\u00f2n \u0111ang g\u00e2y tranh c\u00e3i:<\/strong><\/li>\n<\/ul>\n<p>&#8211; C\u00e1c nghi\u00ean c\u1ee9u so s\u00e1nh gi\u1eefa nh\u00f3m \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc LDCT v\u00e0 nh\u00f3m kh\u00f4ng \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc cho th\u1ea5y nguy c\u01a1 t\u1eed vong do ung th\u01b0 ph\u1ed5i th\u1ea5p h\u01a1n 0,33% \u0111\u1ed1i v\u1edbi nh\u00f3m \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc LDCT trong th\u1eddi gian nghi\u00ean c\u1ee9u v\u00e0 \u0111\u00f3 l\u00e0 1 tr\u01b0\u1eddng h\u1ee3p t\u1eed vong \u0111\u00e3 \u0111\u01b0\u1ee3c ng\u0103n ch\u1eb7n trong 310 c\u00e1 th\u1ec3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u. Tuy nhi\u00ean c\u00e1c th\u1eed nghi\u1ec7m \u1edf ch\u00e2u \u00c2u kh\u00f4ng cho th\u1ea5y c\u00f3 s\u1ef1 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong khi s\u00e0ng l\u1ecdc b\u1eb1ng LDCT.<\/p>\n<p>&#8211; Ngo\u00e0i ra, h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n l\u1edbn tr\u00ean th\u1ebf gi\u1edbi, n\u01a1i c\u00f3 s\u1ef1 tham gia c\u1ee7a c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa X quang l\u1ed3ng ng\u1ef1c v\u00e0 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt l\u1ed3ng ng\u1ef1c c\u00f3 chuy\u00ean m\u00f4n, \u0111i\u1ec1u n\u00e0y l\u00e0m d\u1ea5y l\u00ean lo ng\u1ea1i v\u1ec1 hi\u1ec7u qu\u1ea3 s\u00e0ng l\u1ecdc ung th\u01b0 ph\u1ed5i t\u1ea1i c\u1ed9ng \u0111\u1ed3ng ho\u1eb7c t\u1ea1i c\u00e1c c\u01a1 s\u1edf nh\u1ecf h\u01a1n. M\u1eb7c d\u00f9 LDCT l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc \u0111\u1ea7y h\u1ee9a h\u1eb9n, nh\u01b0ng n\u00f3 v\u1eabn c\u00f2n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p s\u01a1 khai v\u1edbi nhi\u1ec1u c\u00e2u h\u1ecfi ch\u01b0a \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3, bao g\u1ed3m th\u1eddi gian t\u1ed1i \u1ee9u \u0111\u1ec3 b\u1eaft \u0111\u1ea7u s\u00e0ng l\u1ecdc, c\u0169ng nh\u01b0 kho\u1ea3ng th\u1eddi gian s\u00e0ng l\u1ecdc.<\/p>\n<p>&#8211; H\u01a1n n\u1eefa c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 ch\u1ea9n \u0111o\u00e1n qu\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh, x\u00e1c \u0111\u1ecbnh r\u1ee7i ro, l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n s\u00e0ng l\u1ecdc v\u00e0 g\u00e1nh n\u1eb7ng t\u00e0i ch\u00ednh c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng.<\/p>\n<p>Ngu\u1ed3n t\u00e0i li\u1ec7u:<\/p>\n<p>Gi\u00e1o tr\u00ecnh Ung th\u01b0 h\u1ecdc &#8211; \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i 2015<\/p>\n<p>PubMed<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u1ede Vi\u1ec7t Nam, ung th\u01b0 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t. \u0110\u00e2y l\u00e0 m\u1ed9t trong s\u1ed1 nh\u1eefng b\u1ec7nh ung th\u01b0 nguy hi\u1ec3m v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao, kh\u00f3 \u0111i\u1ec1u tr\u1ecb do b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n. Do \u0111\u00f3, vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i [&hellip;]<\/p>\n","protected":false},"author":26,"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>S\u00e0ng l\u1ecdc ung th\u01b0 ph\u1ed5i b\u1eb1ng c\u1eaft l\u1edbp vi t\u00ednh n\u0103ng l\u01b0\u1ee3ng th\u1ea5p (LDCT)<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ung th\u01b0 ph\u1ed5 bi\u1ebfn. 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