{"id":27875,"date":"2023-04-24T16:03:41","date_gmt":"2023-04-24T09:03:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27875"},"modified":"2023-04-24T16:03:41","modified_gmt":"2023-04-24T09:03:41","slug":"cac-phuong-phap-dieu-tri-ung-thu-vu-di-can-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/cac-phuong-phap-dieu-tri-ung-thu-vu-di-can-gan\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa di c\u0103n gan"},"content":{"rendered":"

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb\u00a0 ung th\u01b0 v\u00fa di c\u0103n gan nh\u1eb1m m\u1ee5c \u0111\u00edch ki\u1ec3m so\u00e1t v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 l\u00e2y lan c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0, l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 mang l\u1ea1i cho ng\u01b0\u1eddi b\u1ec7nh ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t nh\u1ea5t c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t. M\u1eddi tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 c\u1eadp nh\u1eadp v\u00e0 c\u00f3 th\u00eam th\u00f4ng tin v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay.<\/span><\/p>\n

\"Phuong
T\u1ebf b\u00e0o ung th\u01b0 di c\u0103n gan<\/figcaption><\/figure>\n

1. Gi\u1edbi thi\u1ec7u<\/span><\/h2>\n

Ung th\u01b0 v\u00fa di c\u0103n \u1edf b\u1ea5t k\u1ef3 b\u1ed9 ph\u1eadn n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p to\u00e0n th\u00e2n. Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi di c\u0103n gan, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 nh\u1eafm \u0111\u00edch c\u1ee5 th\u1ec3 v\u00e0o gan, ch\u1eb3ng h\u1ea1n nh\u01b0 ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb, \u0111\u00f4i khi \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb.<\/span><\/p>\n

2. H\u00f3a tr\u1ecb \u0111i\u1ec1u tr\u1ecb di c\u0103n gan\u00a0<\/span><\/h2>\n

H\u00f3a tr\u1ecb ti\u00eau di\u1ec7t ho\u1eb7c l\u00e0m ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t v\u00e0 do \u0111\u00f3 \u0111\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa di c\u0103n. B\u1edfi v\u00ec thu\u1ed1c h\u00f3a tr\u1ecb l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n – c\u00f3 ngh\u0129a l\u00e0 ch\u00fang \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3, \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p h\u00f3a tr\u1ecb n\u1ebfu:<\/span><\/p>\n

    \n
  • Ph\u00e1t hi\u1ec7n t\u1ebf b\u00e0o ung th\u01b0 \u0111ang ph\u00e1t tri\u1ec3n<\/span><\/li>\n
  • C\u00f3 m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o ung th\u01b0 trong c\u00e1c c\u01a1 quan nh\u01b0 gan ho\u1eb7c ph\u1ed5i\u00a0<\/span><\/li>\n<\/ul>\n

    H\u00f3a tr\u1ecb li\u1ec7u th\u01b0\u1eddng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch\u00a0 l\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c t\u00e1c \u0111\u1ed9ng v\u00e0o c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee5 th\u1ec3 c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0.\u00a0<\/span><\/p>\n

    Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb h\u00f3a tr\u1ecb c\u1ee7a m\u1ed7i ng\u01b0\u1eddi l\u00e0 kh\u00e1c nhau. Nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 h\u01b0\u1edbng d\u1eabn chung m\u00e0 n\u00ean tu\u00e2n theo khi s\u1eed d\u1ee5ng h\u00f3a tr\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa di c\u0103n:\u00a0<\/span><\/p>\n

      \n
    • N\u1ebfu \u0111\u00e3 t\u1eebng h\u00f3a tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3, c\u00f3 th\u1ec3 khuy\u00ean b\u1ec7nh nh\u00e2n ch\u1ec9 n\u00ean s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb t\u1ea1i m\u1ed9t th\u1eddi \u0111i\u1ec3m \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh di c\u0103n. B\u1eb1ng c\u00e1ch n\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 v\u1edbi \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n.\u00a0<\/span><\/li>\n
    • Ho\u1eb7c s\u1eed d\u1ee5ng h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh di c\u0103n cho \u0111\u1ebfn khi t\u00e1c d\u1ee5ng ph\u1ee5 tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 ho\u1eb7c thu\u1ed1c h\u1ebft hi\u1ec7u qu\u1ea3.\u00a0<\/span><\/li>\n
    • M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb d\u01b0\u1eddng nh\u01b0 c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng l\u1ea1i c\u00e1c kh\u1ed1i u ung th\u01b0 t\u1ed1t h\u01a1n khi ch\u00fang \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi nhau. Nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng vi\u1ec7c k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 g\u00f3p ph\u1ea7n mang l\u1ea1i ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n cho m\u1ed9t s\u1ed1 b\u1ec7nh ung th\u01b0 di c\u0103n.<\/span><\/li>\n<\/ul>\n

      H\u00f3a tr\u1ecb t\u1ea1i ch\u1ed7 cho di c\u0103n gan\u00a0<\/span><\/h2>\n

      H\u00f3a tr\u1ecb c\u1ee5c b\u1ed9 h\u01b0\u1edbng thu\u1ed1c h\u00f3a tr\u1ecb v\u00e0o kh\u1ed1i u gan, tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan kh\u1ecfe m\u1ea1nh xung quanh.\u00a0<\/span><\/p>\n

      C\u00f3 m\u1ed9t s\u1ed1 l\u1ef1a ch\u1ecdn h\u00f3a tr\u1ecb t\u1ea1i ch\u1ed7 cho di c\u0103n gan:\u00a0<\/span><\/p>\n

        \n
      • Truy\u1ec1n h\u00f3a ch\u1ea5t qua \u0111\u1ed9ng m\u1ea1ch gan (HAIC – Hepatic arterial infusion chemotherapy): Kh\u00f4ng gi\u1ed1ng nh\u01b0 h\u00f3a tr\u1ecb li\u1ec7u truy\u1ec1n th\u1ed1ng, \u0111i kh\u1eafp c\u01a1 th\u1ec3, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y \u0111\u01b0a h\u00f3a ch\u1ea5t li\u1ec1u cao v\u00e0o tr\u1ef1c ti\u1ebfp \u0111\u1ebfn gan th\u00f4ng qua \u0111\u1ed9ng m\u1ea1ch gan (ngu\u1ed3n cung c\u1ea5p m\u00e1u ch\u00ednh cho c\u00e1c kh\u1ed1i u gan) b\u1eb1ng c\u00e1ch ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1eb7t bu\u1ed3ng ti\u00eam d\u01b0\u1edbi da b\u1ee5ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/span><\/li>\n
      • N\u00fat m\u1ea1ch h\u00f3a ch\u1ea5t \u0111\u1ed9ng m\u1ea1ch gan (TACE – Transarterial chemoembolization) : TACE l\u00e0 m\u1ed9t h\u00ecnh th\u1ee9c kh\u00e1c c\u1ee7a h\u00f3a tr\u1ecb li\u1ec7u t\u1ea1i ch\u1ed7 b\u1eb1ng c\u00e1ch d\u00f9ng c\u00e1c v\u1eadt li\u1ec7u \u0111\u1ec3 g\u00e2y gi\u1ea3m hay t\u1eafc ho\u00e0n to\u00e0n l\u00f2ng m\u1ea1ch \u0111\u1ed3ng th\u1eddi ti\u00eam h\u00f3a ch\u1ea5t di\u1ec7t ung th\u01b0 v\u00e0o u, nh\u1eb1m m\u1ee5c \u0111\u00edch g\u00e2y thi\u1ebfu m\u00e1u r\u1ed3i d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed kh\u1ed1i u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn c\u1ea3 v\u1ec1 k\u1ef9 thu\u1eadt l\u1eabn v\u1eadt li\u1ec7u n\u00fat m\u1ea1ch, n\u00e2ng cao hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb<\/span><\/li>\n<\/ul>\n

        3. Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb di c\u0103n gan d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 hormone\u00a0<\/span><\/h2>\n

        Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft t\u1ed1 \u2014 c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft ho\u1eb7c li\u1ec7u ph\u00e1p kh\u00e1ng estrogen \u2014 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap thu nh\u1ecf ho\u1eb7c l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n t\u1ebf b\u00e0o ung th\u01b0. Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft t\u1ed1 bao g\u1ed3m:\u00a0<\/span><\/p>\n

          \n
        • Tamoxifen\u00a0<\/span><\/li>\n
        • Arimidex (t\u00ean h\u00f3a h\u1ecdc: anastrozole)\u00a0<\/span><\/li>\n
        • Aromasin (t\u00ean h\u00f3a h\u1ecdc: exemestane)<\/span><\/li>\n
        • Femara (t\u00ean h\u00f3a h\u1ecdc: letrozole)\u00a0<\/span><\/li>\n
        • Faslodex (t\u00ean h\u00f3a h\u1ecdc: fulvestrant)\u00a0<\/span><\/li>\n<\/ul>\n

          Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft t\u1ed1 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i v\u1edbi ung th\u01b0 v\u00fa \u00e2m t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 hormone. Thu\u1ed1c tr\u1ecb li\u1ec7u n\u1ed9i ti\u1ebft t\u1ed1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft t\u1ed1 theo hai c\u00e1ch:\u00a0<\/span><\/p>\n

            \n
          • Gi\u1ea3m l\u01b0\u1ee3ng hormone estrogen trong c\u01a1 th\u1ec3\u00a0<\/span><\/li>\n
          • Ng\u0103n ch\u1eb7n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a estrogen trong c\u01a1 th\u1ec3\u00a0<\/span><\/li>\n<\/ul>\n

            Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft t\u1ed1 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft t\u1ed1 di c\u0103n trong th\u1eddi gian t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n. N\u1ebfu ung th\u01b0 ng\u1eebng \u0111\u00e1p \u1ee9ng v\u1edbi m\u1ed9t lo\u1ea1i thu\u1ed1c tr\u1ecb li\u1ec7u n\u1ed9i ti\u1ebft t\u1ed1, n\u00ean \u0111\u1ec1 ngh\u1ecb m\u1ed9t lo\u1ea1i thu\u1ed1c tr\u1ecb li\u1ec7u n\u1ed9i ti\u1ebft t\u1ed1 kh\u00e1c.\u00a0\u00a0<\/span><\/p>\n

            4. C\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb di c\u0103n gan\u00a0<\/span><\/h2>\n

            C\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1eafm v\u00e0o c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee5 th\u1ec3 c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u1ed9t lo\u1ea1i protein cho ph\u00e9p c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n m\u1ed9t c\u00e1ch nhanh ch\u00f3ng ho\u1eb7c b\u1ea5t th\u01b0\u1eddng. C\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch th\u01b0\u1eddng \u00edt c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y h\u1ea1i cho c\u00e1c t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng h\u01a1n so v\u1edbi h\u00f3a tr\u1ecb. M\u1ed9t s\u1ed1 li\u1ec7u ph\u00e1p nh\u1eafm m\u1ee5c ti\u00eau l\u00e0 c\u00e1c kh\u00e1ng th\u1ec3 ho\u1ea1t \u0111\u1ed9ng gi\u1ed1ng nh\u01b0 c\u00e1c kh\u00e1ng th\u1ec3 do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 t\u1ea1o ra m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean c\u00f3 g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch mi\u1ec5n d\u1ecbch.\u00a0\u00a0<\/span><\/p>\n

            5. Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch \u0111i\u1ec1u tr\u1ecb di c\u0103n gan\u00a0<\/span><\/h2>\n

            Thu\u1ed1c tr\u1ecb li\u1ec7u mi\u1ec5n d\u1ecbch ung th\u01b0 ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch gi\u00fap h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch ho\u1ea1t \u0111\u1ed9ng v\u00e0 hi\u1ec7u qu\u1ea3 h\u01a1n \u0111\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.\u00a0<\/span><\/p>\n

            H\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb m\u1ed9t s\u1ed1 c\u01a1 quan, m\u00f4 v\u00e0 t\u1ebf b\u00e0o ho\u1ea1t \u0111\u1ed9ng c\u00f9ng nhau \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 kh\u1ecfi nh\u1eefng y\u1ebfu t\u1ed1 x\u00e2m l\u1ea5n b\u00ean ngo\u00e0i c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh. Khi m\u1ed9t t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh ho\u1eb7c nhi\u1ec5m tr\u00f9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 vi khu\u1ea9n, vi r\u00fat ho\u1eb7c n\u1ea5m x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch s\u1ebd ph\u1ea3n \u1ee9ng v\u00e0 ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y h\u1ea1i<\/span><\/p>\n

            Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t – do c\u01a1 th\u1ec3 b\u1ea1n t\u1ea1o ra m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean ho\u1eb7c do con ng\u01b0\u1eddi t\u1ea1o ra trong ph\u00f2ng th\u00ed nghi\u1ec7m – \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch \u0111\u1ec3:\u00a0<\/span><\/p>\n

              \n
            • Ng\u0103n ch\u1eb7n ho\u1eb7c l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0\u00a0<\/span><\/li>\n
            • Ng\u0103n ch\u1eb7n c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 l\u00e2y lan sang c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3\u00a0<\/span><\/li>\n
            • Ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 t\u1ed1t h\u01a1n\u00a0\u00a0<\/span><\/li>\n<\/ul>\n

              6. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 cho di c\u0103n gan\u00a0<\/span><\/h2>\n

              C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 cho di c\u0103n gan c\u00f3 th\u1ec3 bao g\u1ed3m ph\u1eabu thu\u1eadt, SBRT, n\u00fat m\u1ea1ch ph\u00f3ng x\u1ea1 yttrium 90 (Y-90), c\u1eaft b\u1ecf v\u00e0 h\u00f3a tr\u1ecb li\u1ec7u t\u1ea1i ch\u1ed7.\u00a0<\/span><\/p>\n

              6.1 Ph\u1eabu thu\u1eadt di c\u0103n gan\u00a0<\/span><\/h3>\n

              Ph\u1eabu thu\u1eadt cho nh\u1eefng ng\u01b0\u1eddi \u0111ang c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111au, ch\u1ea3y m\u00e1u ho\u1eb7c t\u1eafc ngh\u1ebdn l\u1edbn trong gan. Tuy nhi\u00ean, n\u00ean c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt n\u1ebfu:\u00a0<\/span><\/p>\n

                \n
              • Gan l\u00e0 n\u01a1i duy nh\u1ea5t ung th\u01b0 l\u00e2y lan\u00a0<\/span><\/li>\n
              • C\u00f3 m\u1ed9t ho\u1eb7c hai t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n (b\u1ec7nh u \u00e1c t\u00ednh)\u00a0<\/span><\/li>\n
              • C\u00f3 m\u1ed9t v\u00e0i n\u0103m kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng ung th\u01b0 gi\u1eefa ung th\u01b0 v\u00fa ban \u0111\u1ea7u, giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 ch\u1ea9n \u0111o\u00e1n di c\u0103n\u00a0<\/span><\/li>\n
              • C\u00f3 s\u1ee9c kh\u1ecfe t\u1ed1t\u00a0<\/span><\/li>\n
              • Ung th\u01b0 d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 hormone<\/span><\/li>\n<\/ul>\n

                6.2 X\u1ea1 tr\u1ecb SBRT (X\u1ea1 tr\u1ecb l\u1eadp th\u1ec3 \u0111\u1ecbnh v\u1ecb th\u00e2n)<\/span><\/h3>\n

                \u00a0SBRT nh\u1eafm m\u1ee5c ti\u00eau ch\u00ednh x\u00e1c c\u00e1c ch\u00f9m b\u1ee9c x\u1ea1 li\u1ec1u cao v\u00e0o c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong gan qua m\u1ed9t lo\u1ea1t c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed1i v\u1edbi di c\u0103n \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt l\u1eadp b\u1ea3n \u0111\u1ed3 kh\u1ed1i u tr\u01b0\u1edbc b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng qu\u00e9t h\u00ecnh \u1ea3nh \u0111\u1ec3 \u0111\u01b0a b\u1ee9c x\u1ea1 tr\u1ef1c ti\u1ebfp \u0111\u1ebfn v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh ung th\u01b0.<\/span><\/p>\n

                6.3 Yttrium 90 ph\u00f3ng x\u1ea1 cho di c\u0103n gan\u00a0<\/span><\/h3>\n

                \u0110i\u1ec1u tr\u1ecb b\u1eb1ng h\u1ea1t vi c\u1ea7u ph\u00f3ng x\u1ea1 Y-90 (yttrium 90) l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt \u0111\u01b0a li\u1ec7u ph\u00e1p b\u1ee9c x\u1ea1 tr\u1ef1c ti\u1ebfp \u0111\u1ebfn c\u00e1c kh\u1ed1i u trong gan.<\/span><\/p>\n

                B\u00e1c s\u0129 X quang can thi\u1ec7p r\u1ea1ch m\u1ed9t \u0111\u01b0\u1eddng nh\u1ecf v\u00e0 d\u1eabn m\u1ed9t \u1ed1ng nh\u1ecf (g\u1ecdi l\u00e0 \u1ed1ng th\u00f4ng) v\u00e0o \u0111\u1ed9ng m\u1ea1ch cung c\u1ea5p m\u00e1u cho gan. Sau \u0111\u00f3, ti\u00eam c\u00e1c h\u1ea1t nh\u1ecf c\u00f3 ch\u1ee9a ch\u1ea5t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Y-90. C\u00e1c h\u1ea1t c\u00f3 th\u1ec3 \u0111i v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf nu\u00f4i kh\u1ed1i u gan. Khi v\u00e0o b\u00ean trong ph\u00e1 h\u1ee7y kh\u1ed1i u t\u1eeb b\u00ean trong.<\/span><\/p>\n

                6.4 Ablation cho di c\u0103n gan\u00a0<\/span><\/h3>\n

                C\u1eaft b\u1ecf c\u00e1c kh\u1ed1i u trong gan b\u1eb1ng nhi\u1ec7t, l\u1ea1nh ho\u1eb7c d\u00f2ng \u0111i\u1ec7n \u0111\u01b0\u1ee3c truy\u1ec1n qua m\u1ed9t \u0111\u1ea7u d\u00f2 nh\u1ecf. K\u1ef9 thu\u1eadt c\u1eaft b\u1ecf c\u00e1c kh\u1ed1i u gan bao g\u1ed3m:\u00a0<\/span><\/p>\n

                  \n
                • Cryoablation, s\u1eed d\u1ee5ng c\u1ef1c l\u1ea1nh\u00a0<\/span><\/li>\n
                • \u0110\u1ed1t s\u1ed1ng cao t\u1ea7n (RFA – radiofrequency ablation) s\u1eed d\u1ee5ng d\u00f2ng \u0111i\u1ec7n t\u1ea7n s\u1ed1 cao\u00a0<\/span><\/li>\n
                • NanoKnife cung c\u1ea5p c\u00e1c xung d\u00f2ng \u0111i\u1ec7n \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o kh\u1ed1i u v\u00e0 \u1ee9c ch\u1ebf tr\u00ean m\u00e0ng c\u1ee7a t\u1ebf b\u00e0o v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o.<\/span><\/li>\n<\/ul>\n

                  Ngu\u1ed3n: Pubmed, Breastcancer.or<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

                  C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb\u00a0 ung th\u01b0 v\u00fa di c\u0103n gan nh\u1eb1m m\u1ee5c \u0111\u00edch ki\u1ec3m so\u00e1t v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 l\u00e2y lan c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0, l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 mang l\u1ea1i cho ng\u01b0\u1eddi b\u1ec7nh ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t nh\u1ea5t c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t. M\u1eddi tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y […]<\/p>\n","protected":false},"author":57,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[],"yoast_head":"\nC\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa di c\u0103n gan - Vinmec<\/title>\n<meta name=\"description\" content=\"c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa di c\u0103n gan nh\u1eb1m ki\u1ec3m so\u00e1t v\u00e0 ch\u1eadm l\u00e2y lan c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0, gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng\" \/>\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=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa di c\u0103n gan - 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