{"id":21894,"date":"2023-04-17T11:47:32","date_gmt":"2023-04-17T04:47:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21894"},"modified":"2023-04-17T12:50:25","modified_gmt":"2023-04-17T05:50:25","slug":"theo-doi-dinh-ky-va-phong-benh-ung-thu-bieu-mo-te-bao-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/theo-doi-dinh-ky-va-phong-benh-ung-thu-bieu-mo-te-bao-gan\/","title":{"rendered":"Theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 ph\u00f2ng b\u1ec7nh ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan"},"content":{"rendered":"

Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o trong gan. \u0110\u00e2y l\u00e0 lo\u1ea1i ung th\u01b0 th\u1ee9 ba ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn t\u1eed vong v\u00ec ung th\u01b0. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan c\u1ea7n c\u00f3 th\u1eddi gian theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m c\u1ee5 th\u1ec3, h\u1ee3p l\u00ed \u0111\u1ec3 gi\u00fap qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/strong><\/p>\n

\"heo
Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m l\u00e0 ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ti\u1ebfn tri\u1ec3n ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan<\/figcaption><\/figure>\n

1. Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/h2>\n

Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ti\u1ebfn tri\u1ec3n ung th\u01b0<\/a> bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. Theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 t\u00e1i kh\u00e1m th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau khi b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan ho\u1eb7c n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh n\u00e0y.<\/p>\n

– Theo d\u00f5i \u0111\u1ecbnh k\u1ef3 cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i n\u1eefa (t\u1eed vong, m\u1ea5t li\u00ean l\u1ea1c,\u2026). N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i n\u1eefa do t\u1eed vong, m\u1ea5t li\u00ean l\u1ea1c ho\u1eb7c c\u00e1c l\u00fd do kh\u00e1c, qu\u00e1 tr\u00ecnh theo d\u00f5i s\u1ebd k\u1ebft th\u00fac. Tuy nhi\u00ean, trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u1ec1 l\u00e2m s\u00e0ng v\u00e0 l\u00e0m \u0111\u1ea7y \u0111\u1ee7 c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i di\u1ec5n ti\u1ebfn b\u1ec7nh v\u00e0 ph\u00e1t hi\u1ec7n t\u00e1i ph\u00e1t ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan.<\/p>\n

– Qu\u00e1 tr\u00ecnh theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch d\u1ef1a tr\u00ean nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, th\u1eddi gian b\u1ec7nh \u1ed5n \u0111\u1ecbnh hay ti\u1ebfn tri\u1ec3n v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. T\u00f9y ph\u01b0\u01a1ng ph\u00e1p, hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, th\u1eddi gian b\u1ec7nh \u1ed5n \u0111\u1ecbnh hay ti\u1ebfn tri\u1ec3n m\u00e0 h\u1eb9n t\u00e1i kh\u00e1m m\u1ed7i th\u00e1ng, m\u1ed7i hai th\u00e1ng, hay m\u1ed7i ba th\u00e1ng, c\u1ee5 th\u1ec3:<\/p>\n

+ B\u1ec7nh nh\u00e2n v\u1eeba \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u01b0\u1ee3c h\u1eb9n t\u00e1i kh\u00e1m sau 01 th\u00e1ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. N\u1ebfu b\u1ec7nh ti\u1ebfn tri\u1ec3n v\u00e0 c\u00f2n kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00ec ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 cho l\u1ecbch h\u1eb9n. N\u1ebfu k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb l\u00e0 \u1ed5n th\u00ec h\u1eb9n t\u00e1i kh\u00e1m sau 02 th\u00e1ng.<\/p>\n

+ N\u1ebfu t\u1ea1i l\u1ea7n t\u00e1i kh\u00e1m sau 02 th\u00e1ng m\u00e0 b\u1ec7nh ti\u1ebfn tri\u1ec3n l\u1ea1i v\u00e0 c\u00f2n kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00ec ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 cho l\u1ecbch h\u1eb9n. N\u1ebfu b\u1ec7nh v\u1eabn \u1ed5n th\u00ec h\u1eb9n t\u00e1i kh\u00e1m sau m\u1ed7i 03 th\u00e1ng.<\/p>\n

– M\u1ed7i l\u1ea7n t\u00e1i kh\u00e1m, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u1ec1 l\u00e2m s\u00e0ng v\u00e0 l\u00e0m \u0111\u1ea7y \u0111\u1ee7 c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc nh\u01b0 \u0111\u00e3 n\u00eau trong ph\u1ea7n Ch\u1ea9n \u0111o\u00e1n. C\u1ea7n thi\u1ebft l\u00e0m c\u00e1c ch\u1ec9 d\u1ea5u sinh h\u1ecdc AFP, AFP-L3, PIVKA II (DCP) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i di\u1ec5n ti\u1ebfn b\u1ec7nh v\u00e0 ph\u00e1t hi\u1ec7n t\u00e1i ph\u00e1t ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan.<\/p>\n

– N\u1ebfu \u0111\u00e3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec5m virus vi\u00eam gan B hay C th\u00ec n\u00ean l\u00e0m \u0111\u1ea7y \u0111\u1ee7 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb (n\u1ebfu c\u1ea7n) v\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u00e1c virus n\u00e0y, c\u1ee5 th\u1ec3 l\u00e0: HBsAg, HbsAb, HbcAb, HBeAg, HBeAb, \u0111\u1ecbnh l\u01b0\u1ee3ng HBV-DNA, AntiHCV, \u0111\u1ecbnh l\u01b0\u1ee3ng HCV-RNA\u2026<\/p>\n

2. Ph\u00f2ng b\u1ec7nh<\/h2>\n

– Ti\u00eam vaccine ph\u00f2ng b\u1ec7nh vi\u00eam gan si\u00eau vi B cho nh\u1eefng ng\u01b0\u1eddi ch\u01b0a nhi\u1ec5m, \u0111\u1eb7c bi\u1ec7t l\u00e0 cho tr\u1ebb s\u01a1 sinh. N\u00ean s\u1eed d\u1ee5ng vaccin ch\u1ee7ng ng\u1eeba HBV cho tr\u1ebb em, nh\u1ea5t l\u00e0 tr\u1ebb s\u01a1 sinh \u0111\u1ec3 ng\u0103n ng\u1eeba vi\u1ec7c nhi\u1ec5m HBV. N\u00ean \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i v\u00e0 hi\u1ec7u qu\u1ea3 cho c\u00e1c b\u1ec7nh nh\u00e2n nhi\u1ec5m HBV m\u1ea1n v\u00e0 c\u00f3 b\u1ec7nh l\u00fd gan \u0111ang ho\u1ea1t \u0111\u1ed9ng.<\/p>\n

– Ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan tr\u00ean nh\u1eefng ng\u01b0\u1eddi c\u00f3 nhi\u1ec5m HBV, HCV, x\u01a1 gan.<\/p>\n

– N\u00ean \u0111i\u1ec1u tr\u1ecb vi\u00eam gan virus C cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng virus b\u1ec1n v\u1eefng (sustained virologic response – SVR). Nguy c\u01a1 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan s\u1ebd gi\u1ea3m \u0111\u00e1ng k\u1ec3 n\u1ebfu c\u00e1c b\u1ec7nh nh\u00e2n vi\u00eam gan virus C m\u1ea1n \u0111\u1ea1t \u0111\u01b0\u1ee3c SVR. Tuy nhi\u00ean, ngay c\u1ea3 khi \u0111\u1ea1t \u0111\u01b0\u1ee3c SVR, c\u00e1c b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u th\u1ea5p, v\u00e0\/ho\u1eb7c c\u00f3 x\u01a1 gan v\u1eabn c\u00f3 nguy c\u01a1 UTBMTBG cao v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t.<\/p>\n

– N\u00ean \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a nh\u01b0 b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u (Non- alcoholic Fatty Liver Disease – NAFLD), b\u1ec7nh vi\u00eam gan tho\u00e1i h\u00f3a m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u (Non-alcoholic Steatohepatitis – NASH) v\u00ecc\u00e1c b\u1ec7nh l\u00fd n\u00e0y l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan, nh\u1ea5t l\u00e0 khi \u0111\u00e3 c\u00f3 x\u01a1 gan. C\u00e1c h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a, \u0111\u1eb7c bi\u1ec7t l\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 b\u00e9o ph\u00ec, l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb NASH.<\/p>\n

– Tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c tr\u00e1nh l\u00e2y nhi\u1ec5m HBV, HCV qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c v\u00e0 t\u1eeb m\u1eb9 sang con, ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd vi\u1ec7c truy\u1ec1n c\u00e1c ch\u1ebf ph\u1ea9m m\u00e1u.<\/p>\n

– Tuy\u00ean truy\u1ec1n h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n: Tuy\u00ean truy\u1ec1n h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n trong ph\u00f2ng b\u1ec7nh ung th\u01b0 gan l\u00e0 m\u1ed9t ho\u1ea1t \u0111\u1ed9ng r\u1ea5t c\u1ea7n thi\u1ebft v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng l\u1edbn trong vi\u1ec7c h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan. Vi\u1ec7c h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng r\u01b0\u1ee3u v\u00e0 c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n trong ph\u00f2ng b\u1ec7nh ung th\u01b0 gan c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe, h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u00e1i ph\u00e1t c\u1ee7a b\u1ec7nh. Ngo\u00e0i ra, tuy\u00ean truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 gi\u00fap n\u00e2ng cao \u00fd th\u1ee9c v\u00e0 nh\u1eadn th\u1ee9c c\u1ee7a c\u1ed9ng \u0111\u1ed3ng v\u1ec1 t\u00e1c h\u1ea1i c\u1ee7a r\u01b0\u1ee3u v\u00e0 c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ung th\u01b0 gan.<\/p>\n

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

Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o trong gan. \u0110\u00e2y l\u00e0 lo\u1ea1i ung th\u01b0 th\u1ee9 ba ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn t\u1eed vong v\u00ec ung th\u01b0. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,32],"tags":[3],"yoast_head":"\nTheo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 ph\u00f2ng b\u1ec7nh ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o trong gan. Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 ...\" \/>\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=\"Theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 ph\u00f2ng b\u1ec7nh ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan\" \/>\n<meta property=\"og:description\" content=\"Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o trong gan. 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