{"id":24620,"date":"2023-04-19T20:24:37","date_gmt":"2023-04-19T13:24:37","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24620"},"modified":"2023-04-20T15:32:33","modified_gmt":"2023-04-20T08:32:33","slug":"thang-diem-apcs-trong-du-doan-nguy-co-ung-thu-dai-trang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/thang-diem-apcs-trong-du-doan-nguy-co-ung-thu-dai-trang\/","title":{"rendered":"Thang \u0111i\u1ec3m APCS trong d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng"},"content":{"rendered":"

B\u1ec7nh ung th\u01b0 \u0111\u1ea1i tr\u00e0ng<\/a> l\u00e0 b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn hi\u1ec7n nay, g\u00e2y t\u1eed vong cho r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi. Do v\u1eady, vi\u1ec7c x\u00e1c \u0111\u1ecbnh nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao b\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u00e0ng l\u00e0 h\u1ebft s\u1ee9c thi\u1ebft th\u1ef1c nh\u1eb1m \u01b0u ti\u00ean th\u1ef1c hi\u1ec7n n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1edf giai \u0111o\u1ea1n s\u1edbm. Thang \u0111i\u1ec3m APCS \u0111\u00e3 cho th\u1ea5y ti\u1ec1m n\u0103ng l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch cho c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng nh\u1eb1m ph\u00e2n t\u1ea7ng nh\u1eefng ng\u01b0\u1eddi g\u1ed1c \u00c1 kh\u00f4ng tri\u1ec7u ch\u1ee9ng theo m\u1ee9c \u0111\u1ed9 nguy c\u01a1 b\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/strong><\/p>\n

\"Thang
Thang \u0111i\u1ec3m APCS \u0111\u00e3 cho th\u1ea5y ti\u1ec1m n\u0103ng \u0111\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u00e0ng.<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1thang \u0111i\u1ec3m APCS<\/h2>\n

Thang \u0111i\u1ec3m APCS (Asia \u2013 Pacific Colorectal Screening score) \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng d\u1ef1a tr\u00ean tu\u1ed5i, gi\u1edbi t\u00ednh, ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 h\u00fat thu\u1ed1c l\u00e1 \u0111\u1ec3 t\u1ea7m so\u00e1t ung th\u01b0 s\u1edbm \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 \u0111\u01b0\u1ee3c \u0110\u1ed3ng thu\u1eadn Ch\u00e2u \u00c1 Th\u00e1i B\u00ecnh D\u01b0\u01a1ng khuy\u1ebfn c\u00e1o n\u0103m 2016.<\/p>\n

Thang \u0111i\u1ec3m APCS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Thang \u0111i\u1ec3m APCS \u0111\u01b0\u1ee3c chia th\u00e0nh 4 nh\u00f3m \u0111i\u1ec3m, t\u1eeb 0 \u0111\u1ebfn 7 \u0111i\u1ec3m, v\u1edbi m\u1ed7i nh\u00f3m \u0111i\u1ec3m t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ed9t m\u1ee9c \u0111\u1ed9 nguy c\u01a1 kh\u00e1c nhau, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng \u1edf c\u00e1c c\u00e1 nh\u00e2n. Thang \u0111i\u1ec3m APCS \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n d\u1ef1a tr\u00ean nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng l\u1edbn v\u1edbi h\u01a1n 50,000 c\u00e1 nh\u00e2n v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong vi\u1ec7c d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng.<\/p>\n

Thang \u0111i\u1ec3m APCS \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m:<\/p>\n

    \n
  • Tu\u1ed5i<\/li>\n
  • Gi\u1edbi t\u00ednh<\/li>\n
  • Ti\u1ec1n s\u1eed gia \u0111\u00ecnh ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng<\/li>\n
  • H\u00fat thu\u1ed1c l\u00e1<\/li>\n<\/ul>\n

    C\u00e1c \u0111i\u1ec3m s\u1ed1 \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0y. Ng\u01b0\u1eddi c\u00f3 \u0111i\u1ec3m s\u1ed1 cao h\u01a1n s\u1ebd c\u00f3 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng cao h\u01a1n.<\/p>\n

    2. Thang \u0111i\u1ec3m APCS<\/h2>\n

    Thang \u0111i\u1ec3m APCS (Asia \u2013 Pacific Colorectal Screening score) \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng d\u1ef1a tr\u00ean 4 y\u1ebfu t\u1ed1:<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n
    Y\u1ebfu t\u1ed1 nguy c\u01a1 <\/strong><\/td>\n\u0110\u1eb7c \u0111i\u1ec3m <\/strong><\/td>\n\u0110i\u1ec3m <\/strong><\/td>\n<\/tr>\n
    Tu\u1ed5i (n\u0103m)<\/td>\n< 50<\/td>\n0<\/td>\n<\/tr>\n
    50 \u2013 69<\/td>\n2<\/td>\n<\/tr>\n
    \u2265 70<\/td>\n3<\/td>\n<\/tr>\n
    Gi\u1edbi t\u00ednh<\/td>\nN\u1eef<\/td>\n0<\/td>\n<\/tr>\n
    Nam<\/td>\n1<\/td>\n<\/tr>\n
    Ti\u1ec1n s\u1eed gia \u0111\u00ecnh ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng<\/td>\nKh\u00f4ng<\/td>\n0<\/td>\n<\/tr>\n
    C\u00f3<\/td>\n2<\/td>\n<\/tr>\n
    H\u00fat thu\u1ed1c l\u00e1<\/td>\nKh\u00f4ng<\/td>\n0<\/td>\n<\/tr>\n
    \u0110ang v\u00e0 \u0111\u00e3 ng\u01b0ng<\/td>\n1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Ph\u00e2n nh\u00f3m nguy c\u01a1 theo thang \u0111i\u1ec3m APCS: trung b\u00ecnh 0 \u2013 1 \u0111i\u1ec3m, trung b\u00ecnh cao 2 \u2013 3 \u0111i\u1ec3m, cao 4 \u2013 7 \u0111i\u1ec3m.<\/strong><\/p>\n

    2. \u01afu \u0111i\u1ec3m c\u1ee7a thang \u0111i\u1ec3m APCS<\/h2>\n

    Thang \u0111i\u1ec3m APCS c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0 sau:<\/p>\n

      \n
    • D\u1ec5 s\u1eed d\u1ee5ng: Thang \u0111i\u1ec3m APCS \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u01a1n gi\u1ea3n v\u00e0 d\u1ec5 s\u1eed d\u1ee5ng. C\u00e1c y\u1ebfu t\u1ed1 \u0111\u00e1nh gi\u00e1 \u0111\u1ec1u r\u00f5 r\u00e0ng v\u00e0 d\u1ec5 hi\u1ec3u, gi\u00fap cho c\u00e1c chuy\u00ean gia v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u1ec1u c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t c\u00e1ch d\u1ec5 d\u00e0ng.<\/li>\n
    • \u0110\u1ed9 ch\u00ednh x\u00e1c: Thang \u0111i\u1ec3m APCS \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 ki\u1ec3m ch\u1ee9ng qua nhi\u1ec1u nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng, v\u00e0 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong vi\u1ec7c d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. \u0110i\u1ec1u n\u00e0y gi\u00fap cho vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 \u0111\u1ea1i tr\u00e0ng v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi tr\u1edf n\u00ean d\u1ec5 d\u00e0ng v\u00e0 hi\u1ec7u qu\u1ea3 h\u01a1n.<\/li>\n
    • C\u00f3 t\u00ednh \u1ee9ng d\u1ee5ng r\u1ed9ng: Thang \u0111i\u1ec3m APCS c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng \u1edf nhi\u1ec1u lo\u1ea1i b\u1ec7nh nh\u00e2n kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh. \u0110i\u1ec1u n\u00e0y gi\u00fap cho vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm ung \u0111\u1ea1i tr\u00e0ng tr\u1edf n\u00ean d\u1ec5 d\u00e0ng h\u01a1n.<\/li>\n
    • H\u1ed7 tr\u1ee3 quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng: Thang \u0111i\u1ec3m APCS c\u00f3 th\u1ec3 gi\u00fap cho c\u00e1c chuy\u00ean gia v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng ch\u00ednh x\u00e1c v\u1ec1 vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 \u0111\u1ea1i tr\u00e0ng v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n
    • Kinh t\u1ebf v\u00e0 ti\u1ebft ki\u1ec7m th\u1eddi gian: Thang \u0111i\u1ec3m APCS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u01a1n gi\u1ea3n v\u00e0 ti\u1ebft ki\u1ec7m th\u1eddi gian, gi\u00fap cho c\u00e1c chuy\u00ean gia v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3, gi\u1ea3m thi\u1ec3u th\u1eddi gian v\u00e0 chi ph\u00ed cho vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh.<\/li>\n<\/ul>\n

      3. H\u1ea1n ch\u1ebfc\u1ee7a thang \u0111i\u1ec3m APCS<\/h2>\n

      M\u1eb7c d\u00f9 thang \u0111i\u1ec3m APCS c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, nh\u01b0ng c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf nh\u01b0 sau:<\/p>\n

        \n
      • Kh\u00f4ng ph\u1ea3n \u00e1nh \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 y\u1ebfu t\u1ed1 nguy c\u01a1: Thang \u0111i\u1ec3m APCS ch\u1ec9 \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 tu\u1ed5i, ti\u1ec1n s\u1eed b\u1ec7nh, tri\u1ec7u ch\u1ee9ng v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m, nh\u01b0ng kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, th\u00f3i quen h\u00fat thu\u1ed1c v\u00e0 u\u1ed1ng r\u01b0\u1ee3u, v\u00e0 ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u1ec1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Do \u0111\u00f3, thang \u0111i\u1ec3m APCS kh\u00f4ng ph\u1ea3n \u00e1nh \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 y\u1ebfu t\u1ed1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng.<\/li>\n
      • Kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c lo\u1ea1i ung th\u01b0 \u0111\u1ea1i tr\u00e0ng: Thang \u0111i\u1ec3m APCS ch\u1ec9 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng chung chung m\u00e0 kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c lo\u1ea1i ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u00e0ng s\u1edbm ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, do \u0111\u00f3, vi\u1ec7c \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u00ednh x\u00e1c.<\/li>\n
      • D\u00e0nh ri\u00eang cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng: Thang \u0111i\u1ec3m APCS ch\u1ec9 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng thang \u0111i\u1ec3m APCS c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh.<\/li>\n
      • Kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng: Thang \u0111i\u1ec3m APCS kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nh\u01b0 ph\u1ee5 n\u1eef mang thai, tr\u1ebb em v\u00e0 ng\u01b0\u1eddi gi\u00e0. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng \u0111\u1ed1i v\u1edbi nh\u1eefng nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/li>\n<\/ul>\n

        T\u00f3m l\u1ea1i, thang \u0111i\u1ec3m APCS c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u1ec1 t\u00ednh \u1ee9ng d\u1ee5ng, \u0111\u1ed9 ch\u00ednh x\u00e1c v\u00e0 h\u1ed7 tr\u1ee3 quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng. \u0110\u00e2y l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch trong vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 \u0111\u1ea1i tr\u00e0ng v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.. Tuy nhi\u00ean, n\u00f3 kh\u00f4ng th\u1ec3 thay th\u1ebf cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u1ee7a b\u00e1c s\u0129 v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n","protected":false},"excerpt":{"rendered":"

        B\u1ec7nh ung th\u01b0 \u0111\u1ea1i tr\u00e0ng l\u00e0 b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn hi\u1ec7n nay, g\u00e2y t\u1eed vong cho r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi. Do v\u1eady, vi\u1ec7c x\u00e1c \u0111\u1ecbnh nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao b\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u00e0ng l\u00e0 h\u1ebft s\u1ee9c thi\u1ebft th\u1ef1c nh\u1eb1m \u01b0u ti\u00ean th\u1ef1c hi\u1ec7n n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"\nThang \u0111i\u1ec3m APCS trong d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u00e0ng<\/title>\n<meta name=\"description\" content=\"Thang \u0111i\u1ec3m APCS \u0111\u00e3 cho th\u1ea5y ti\u1ec1m n\u0103ng l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch cho c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng nh\u1eb1m ph\u00e2n t\u1ea7ng nh\u1eefng ng\u01b0\u1eddi g\u1ed1c \u00c1 kh\u00f4ng tri\u1ec7u ch\u1ee9ng ...\" \/>\n<meta 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