{"id":23835,"date":"2023-04-18T00:54:51","date_gmt":"2023-04-17T17:54:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23835"},"modified":"2023-04-18T10:57:18","modified_gmt":"2023-04-18T03:57:18","slug":"trieu-chung-va-phan-loai-benh-bach-cau-cap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/trieu-chung-va-phan-loai-benh-bach-cau-cap\/","title":{"rendered":"Tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p"},"content":{"rendered":"

B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ed1ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong c\u01a1 th\u1ec3. B\u1ec7nh n\u00e0y x\u1ea3y ra khi c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u, g\u00e2y ra t\u0103ng \u0111\u00e1ng k\u1ec3 s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong m\u00e1u. B\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i.<\/strong><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n

B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u00e1c t\u00ednh do s\u1ef1 chuy\u1ec3n d\u1ea1ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a t\u1ebf b\u00e0o \u0111\u1ea7u d\u00f2ng t\u1ea1o m\u00e1u. B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 t\u0103ng sinh r\u1ea5t m\u1ea1nh nh\u01b0ng kh\u00f4ng bi\u1ec7t h\u00f3a ho\u1eb7c bi\u1ec7t h\u00f3a b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o non \u00e1c t\u00ednh d\u1eabn \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 c\u00e1c t\u1ebf b\u00e0o n\u00e0y trong t\u1ee7y x\u01b0\u01a1ng g\u00e2y \u1ee9c ch\u1ebf s\u1ef1 t\u1ea1o m\u00e1u b\u00ecnh th\u01b0\u1eddng v\u00e0 th\u00e2m nhi\u1ec5m c\u00e1c c\u01a1 quan t\u1ed5 ch\u1ee9c kh\u00e1c ngo\u00e0i t\u1ee7y x\u01b0\u01a1ng.<\/p>\n

2. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p<\/a><\/h2>\n

2.1. Nguy\u00ean nh\u00e2n<\/h3>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh ch\u01b0a r\u00f5. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 \u00e0m t\u0103ng t\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh nh\u01b0: ti\u1ebfp x\u00fac v\u1edbi tia x\u1ea1, thu\u1ed1c ho\u1eb7c h\u00f3a ch\u1ea5t \u0111\u1ed9c cho t\u1ebf b\u00e0o, virus, thu\u1ed1c l\u00e1, th\u1ef1c ph\u1ea9m \u0111\u1ed9c h\u1ea1i,\u2026 Ngo\u00e0i ra, c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng v\u00e0 l\u1ed1i s\u1ed1ng c\u0169ng \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p.<\/p>\n

2.2. C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h3>\n

C\u01a1 ch\u1ebf bao g\u1ed3m s\u1ef1 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng c\u1ee7a protein sinh ung th\u01b0 do s\u1ef1 chuy\u1ec3n \u0111o\u1ea1n nhi\u1ec5m s\u1eafc th\u1ec3 g\u00e2y ra. S\u1ef1 t\u0103ng sinh kh\u00f4ng ki\u1ec3m so\u00e1t c\u1ee7a t\u1ebf b\u00e0o \u0111\u1ea7u d\u00f2ng t\u1ea1o m\u00e1u ch\u01b0a tr\u01b0\u1edfng th\u00e0nh trong t\u1ee7y x\u01b0\u01a1ng d\u1eabn \u0111\u1ebfn s\u1ef1 ch\u00e8n \u00e9p c\u00e1c t\u1ebf b\u00e0o m\u00e1u b\u00ecnh th\u01b0\u1eddng g\u00e2y ra thi\u1ebfu m\u00e1u, gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t v\u00e0 th\u00e2m nhi\u1ec5m c\u00e1c c\u01a1 quan nh\u01b0 gan, l\u00e1ch, h\u1ea1ch, h\u1ec7 th\u1ea7n kinh, x\u01b0\u01a1ng kh\u1edbp.<\/p>\n

3. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p<\/h2>\n

3.1. C\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng sinh \u00e1c t\u00ednh t\u1ebf b\u00e0o v\u00e0 th\u00e2m nhi\u1ec5m c\u01a1 quan t\u1ed5 ch\u1ee9c trong c\u01a1 th\u1ec3<\/h3>\n

Ph\u00ec \u0111\u1ea1i c\u01a1 quan n\u1ed9i t\u1ea1ng v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c do x\u00e2m l\u1ea5n t\u1ebf b\u00e0o ung th\u01b0. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u1eefng t\u1ebf b\u00e0o n\u00e0y c\u00f3 th\u1ec3 x\u00e2m l\u1ea5n h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n k\u00edch th\u00edch m\u00e0ng n\u00e3o g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1ea7u, n\u00f4n.<\/p>\n

Gan, l\u00e1ch, h\u1ea1ch to<\/p>\n

Th\u00e2m nhi\u1ec5m tinh ho\u00e0n, bu\u1ed3ng tr\u1ee9ng, da,\u2026<\/p>\n

T\u1ed5n th\u01b0\u01a1ng th\u1eadn do h\u1ea1ch ch\u00e8n \u00e9p ho\u1eb7c do t\u0103ng acid uric m\u00e1u<\/p>\n

Tri\u1ec7u ch\u1ee9ng t\u1eafc m\u1ea1ch do t\u0103ng b\u1ea1ch c\u1ea7u: t\u1eafc m\u1ea1ch n\u00e3o, ph\u1ed5i,\u2026<\/p>\n

Tri\u1ec7u ch\u1ee9ng v\u1ec1 n\u00e3o, m\u00e0ng n\u00e3o do x\u00e2m l\u1ea5n t\u1ebf b\u00e0o \u00e1c t\u00ednh<\/p>\n

3.2. Tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng suy t\u1ee7y<\/h3>\n

H\u1ed9i ch\u1ee9ng thi\u1ebfu m\u00e1u: do gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 da xanh, ni\u00eam m\u1ea1c nh\u1ee3t nh\u1ea1t, ng\u01b0\u1eddi m\u1ec7t m\u1ecfi, th\u1edf nhanh ho\u1eb7c th\u1edf ng\u1eafn khi v\u1eadn \u0111\u1ed9ng, hoa m\u1eaft, b\u1ec7nh c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n trong v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n<\/p>\n

H\u1ed9i ch\u1ee9ng xu\u1ea5t huy\u1ebft: li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, k\u1ebft qu\u1ea3 \u0111\u01b0a \u0111\u1ebfn xu\u1ea5t huy\u1ebft nh\u1eefng ch\u1ea5m xu\u1ea5t huy\u1ebft nh\u1ecf, m\u1ea3ng b\u1ea7m d\u01b0\u1edbi da, ch\u1ea3y m\u00e1u t\u1eeb l\u1ee3i ho\u1eb7c t\u1eeb m\u0169i. Ch\u1ea3y m\u00e1u n\u1ed9i t\u1ea1ng c\u00f3 th\u1ec3 g\u1eb7p trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/p>\n

S\u1ed1t: c\u00f3 th\u1ec3 do nhi\u1ec5m tr\u00f9ng v\u00ec gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u h\u1ea1t ho\u1eb7c do m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 gi\u1ea3i ph\u00f3ng c\u00e1c cytokin g\u00e2y s\u1ed1t.<\/p>\n

\"xuat-huyet-duoi-da\"
Xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da<\/figcaption><\/figure>\n

4. Ph\u00e2n lo\u1ea1i b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p<\/h2>\n

M\u1ed9t nh\u00f3m l\u00e0\u00a0b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng t\u1ee7y (Acute myeloid leukemia – AML)\u00a0do c\u00e1c t\u1ebf b\u00e0o d\u00f2ng t\u1ee7y b\u1ecb ung th\u01b0 h\u00f3a v\u00e0 nh\u00f3m c\u00f2n l\u1ea1i l\u00e0\u00a0b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho (Acute lymphoid leukemia – ALL)\u00a0do t\u1ebf b\u00e0o lympho b\u1ecb t\u1ed5n th\u01b0\u01a1ng<\/p>\n

Hai nh\u00f3m ung th\u01b0 m\u00e1u c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c nhau. V\u00ed d\u1ee5, b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em h\u01a1n so v\u1edbi d\u00f2ng t\u1ee7y. C\u00e1c th\u1ec3 b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p kh\u00e1c nhau \u0111\u00f2i h\u1ecfi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau v\u00e0 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u0169ng kh\u00e1c nhau.<\/p>\n

4.1. B\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng t\u1ee7y (AML)<\/h3>\n

B\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng t\u1ee7y ph\u00e1t tri\u1ec3n do t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 h\u00f3a c\u1ee7a c\u00e1c t\u1ebf b\u00e0o d\u00f2ng b\u1ea1ch c\u1ea7u h\u1ea1t, h\u1ed3ng c\u1ea7u, ti\u1ec3u c\u1ea7u, m\u00e0 kh\u00f4ng ph\u1ea3i d\u00f2ng lympho. B\u1ea3ng x\u1ebfp lo\u1ea1i FAB d\u1ef1a tr\u00ean h\u00ecnh th\u00e1i t\u1ebf b\u00e0o x\u1ebfp th\u00e0nh 8 th\u1ec3 lo\u1ea1i kh\u00e1c nhau d\u1ef1a tr\u00ean s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 m\u00e1u t\u1eeb M0-M7.<\/p>\n

4.2. B\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho (ALL)<\/h3>\n

B\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho xu\u1ea5t hi\u1ec7n do t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 h\u00f3a d\u00f2ng t\u1ebf b\u00e0o lympho. B\u1ea3ng x\u1ebfp lo\u1ea1i FAB chia b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho th\u00e0nh 3 th\u1ec3 kh\u00e1c nhau: L1, L2, L3.<\/p>\n

5. Y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng<\/h2>\n

Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m \u0111\u1ed9 tu\u1ed5i v\u00e0 tr\u1ea1ng th\u00e1i s\u1ee9c kh\u1ecfe ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n, lo\u1ea1i b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p, m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh, v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u h\u01a1n so v\u1edbi b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p m\u1ea1n. B\u1ec7nh nh\u00e2n m\u1eafc b\u1ea1ch c\u1ea7u c\u1ea5p nhanh c\u0169ng th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng nhanh h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n m\u1eafc b\u1ea1ch c\u1ea7u c\u1ea5p ch\u1eadm.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p bao g\u1ed3m \u0111\u1ed9 tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 tr\u1ea1ng th\u00e1i s\u1ee9c kh\u1ecfe ban \u0111\u1ea7u c\u1ee7a h\u1ecd. C\u00e1c b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i v\u00e0 c\u00f3 s\u1ee9c kh\u1ecfe t\u1ed1t h\u01a1n c\u00f3 xu h\u01b0\u1edbng c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i ho\u1eb7c c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c.<\/p>\n

Ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0169ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p. Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ph\u1ea3n \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 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\u00f4ng ph\u1ea3n \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n

T\u00f3m l\u1ea1i, ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c nhau. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ed1ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong c\u01a1 th\u1ec3. B\u1ec7nh n\u00e0y x\u1ea3y ra khi c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u, g\u00e2y ra t\u0103ng \u0111\u00e1ng k\u1ec3 s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong m\u00e1u. B\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p \u1edf m\u1ecdi l\u1ee9a […]<\/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":"\nTri\u1ec7u ch\u1ee9ng v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 t\u0103ng sinh r\u1ea5t m\u1ea1nh nh\u01b0ng kh\u00f4ng bi\u1ec7t h\u00f3a ho\u1eb7c bi\u1ec7t h\u00f3a b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o non \u00e1c t\u00ednh\" \/>\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=\"Tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p - 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