{"id":30684,"date":"2023-06-22T15:06:09","date_gmt":"2023-06-22T08:06:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30684"},"modified":"2023-06-22T15:06:09","modified_gmt":"2023-06-22T08:06:09","slug":"cac-nhom-thuoc-khac-nhau-dieu-tri-ung-thu-hac-to-da","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/cac-nhom-thuoc-khac-nhau-dieu-tri-ung-thu-hac-to-da\/","title":{"rendered":"C\u00e1c nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da"},"content":{"rendered":"

Ung th\u01b0 h\u1eafc t\u1ed1 da l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 da ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 c\u00f3 nguy c\u01a1 lan r\u1ed9ng cao. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y, c\u00e1c nh\u00e0 khoa h\u1ecdc v\u00e0 b\u00e1c s\u0129 \u0111\u00e3 t\u00ecm ra nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau \u0111\u1ec3 h\u1ed7 tr\u1ee3 cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh. Tuy nhi\u00ean, vi\u1ec7c l\u1ef1a ch\u1ecdn v\u00e0 s\u1eed d\u1ee5ng \u0111\u00fang lo\u1ea1i thu\u1ed1c l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da v\u00e0 nh\u1eefng ti\u1ebfn b\u1ed9 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y<\/strong><\/p>\n

1.T\u1ed5ng quan v\u1ec1 b\u1ec7nh l\u00fd ung th\u01b0 h\u1eafc t\u1ed1 da<\/strong><\/h2>\n

Gi\u1edbi thi\u1ec7u: Ung th\u01b0 h\u1eafc t\u1ed1da<\/a> l\u00e0 lo\u1ea1i ung th\u01b0 da x\u00e2m l\u1ea5n nh\u1ea5t v\u1edbi nguy c\u01a1 t\u1eed vong cao nh\u1ea5t. M\u1eb7c d\u00f9 \u0111\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh ung th\u01b0 da nghi\u00eam tr\u1ecdng, nh\u01b0ng n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng ch\u1eefa kh\u1ecfi cao n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng<\/span><\/p>\n

U \u00e1c t\u00ednh (Melanoma) l\u00e0 kh\u1ed1i u \u0111en, l\u00e0 lo\u1ea1i ung th\u01b0 da nguy hi\u1ec3m nh\u1ea5t. B\u1ec7nh ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y lan sang b\u1ea5t k\u1ef3 c\u01a1 quan n\u00e0o. Kh\u1ed1i u \u00e1c t\u00ednh \u0111\u1ebfn t\u1eeb c\u00e1c t\u1ebf b\u00e0o da \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 melanocytes. Nh\u1eefng t\u1ebf b\u00e0o n\u00e0y t\u1ea1o ra melanin, s\u1eafc t\u1ed1 \u0111en mang l\u1ea1i m\u00e0u s\u1eafc cho da. H\u1ea7u h\u1ebft c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh c\u00f3 m\u00e0u \u0111en ho\u1eb7c n\u00e2u, nh\u01b0ng m\u1ed9t s\u1ed1 c\u00f3 m\u00e0u h\u1ed3ng, \u0111\u1ecf, t\u00edm ho\u1eb7c m\u00e0u da. Kho\u1ea3ng 30% kh\u1ed1i u \u00e1c t\u00ednh b\u1eaft \u0111\u1ea7u \u1edf n\u1ed1t ru\u1ed3i, nh\u01b0ng ph\u1ea7n c\u00f2n l\u1ea1i b\u1eaft \u0111\u1ea7u \u1edf da b\u00ecnh th\u01b0\u1eddng. Ph\u00e1t hi\u1ec7n s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec th\u00e0nh c\u00f4ng \u0111i\u1ec1u tr\u1ecb c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn \u0111\u1ed9 s\u00e2u c\u1ee7a s\u1ef1 ph\u00e1t tri\u1ec3n ung th\u01b0. Kh\u1ed1i u \u00e1c t\u00ednh ch\u1ec9 chi\u1ebfm kho\u1ea3ng 1% trong t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i ung th\u01b0 da, nh\u01b0ng g\u00e2y ra ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong li\u00ean quan \u0111\u1ebfn ung th\u01b0 da. T\u1ef7 l\u1ec7 m\u1eafc u \u00e1c t\u00ednh \u0111\u00e3 t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3 trong 30 n\u0103m qua. M\u1ee9c \u0111\u1ed9 ti\u1ebfp x\u00fac v\u1edbi tia c\u1ef1c t\u00edm (UV) ng\u00e0y c\u00e0ng t\u0103ng l\u00e0 m\u1ed9t trong nh\u1eefng l\u00fd do ch\u00ednh d\u1eabn \u0111\u1ebfn s\u1ef1 gia t\u0103ng nhanh ch\u00f3ng s\u1ed1 ca m\u1eafc kh\u1ed1i u \u00e1c t\u00ednh<\/span><\/p>\n

\"Ung
Ung th\u01b0 h\u1eafc t\u1ed1 da<\/figcaption><\/figure>\n

D\u1ea5u hi\u1ec7u c\u1ee7a kh\u1ed1i u \u00e1c t\u00ednh: Bi\u1ebft c\u00e1ch ph\u00e1t hi\u1ec7n kh\u1ed1i u \u00e1c t\u00ednh l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec kh\u1ed1i u \u00e1c t\u00ednh s\u1edbm c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb cao. Kh\u1ed1i u \u00e1c t\u00ednh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng n\u1ed1t ru\u1ed3i, m\u1ea3ng v\u1ea3y, v\u1ebft lo\u00e9t h\u1edf ho\u1eb7c v\u1ebft s\u01b0ng t\u1ea5y<\/span><\/p>\n

Nguy\u00ean nh\u00e2n: y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh g\u00e2y ra kh\u1ed1i u \u00e1c t\u00ednh l\u00e0 ti\u1ebfp x\u00fac qu\u00e1 nhi\u1ec1u v\u1edbi \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ecb ch\u00e1y n\u1eafng. Th\u1ed1ng k\u00ea cho bi\u1ebft 86% kh\u1ed1i u \u00e1c t\u00ednh do tia c\u1ef1c t\u00edm (UV) trong m\u1eb7t tr\u1edf. Ti\u1ebfp x\u00fac v\u1edbi tia c\u1ef1c t\u00edm c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ADN c\u1ee7a t\u1ebf b\u00e0o, t\u1ea1o ra nh\u1eefng thay \u0111\u1ed5i \u0111\u1ed1i v\u1edbi c\u00e1c gen c\u1ee5 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1ch t\u1ebf b\u00e0o ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia. Ngo\u00e0i ra, b\u1ee9c x\u1ea1 tia c\u1ef1c t\u00edm t\u1eeb gi\u01b0\u1eddng t\u1eafm n\u1eafng c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc kh\u1ed1i u \u00e1c t\u00ednh v\u00e0 \u0111\u01b0\u1ee3c WHO ch\u1ec9 \u0111\u1ecbnh l\u00e0 ch\u1ea5t g\u00e2y ung th\u01b0. U \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ng\u01b0\u1eddi da tr\u1eafng, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi thu\u1ed9c m\u1ecdi lo\u1ea1i da<\/span><\/p>\n

Ch\u1ea9n \u0111o\u00e1n: N\u1ebfu nghi ng\u1edd n\u1ed1t ru\u1ed3i ho\u1eb7c nh\u1eefng v\u1ecb tr\u00ed kh\u00e1c c\u00f3 th\u1ec3 \u0111\u1ebfn g\u1eb7p c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 sinh thi\u1ebft. Ngo\u00e0i ra, ch\u1ee5p CT c\u00f3 th\u1ec3 cho bi\u1ebft kh\u1ed1i u \u00e1c t\u00ednh c\u00f3 n\u1eb1m trong c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh trong n\u00e3o ho\u1eb7c t\u1ee7y s\u1ed1ng, ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 Positron (PET) ki\u1ec3m tra kh\u1ed1i u \u00e1c t\u00ednh trong c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00e0 c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o lactate dehydrogenase (LDH) tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb<\/span><\/p>\n

C\u00e1c giai \u0111o\u1ea1n c\u1ee7a kh\u1ed1i u \u00e1c t\u00ednh\u00a0<\/span><\/p>\n

    \n
  • Giai \u0111o\u1ea1n 0 (U \u00e1c t\u00ednh t\u1ea1i ch\u1ed7): U \u00e1c t\u00ednh ch\u1ec9 \u1edf l\u1edbp tr\u00ean c\u00f9ng c\u1ee7a da (bi\u1ec3u b\u00ec)<\/span><\/li>\n
  • Giai \u0111o\u1ea1n 1: Kh\u1ed1i u \u00e1c t\u00ednh nguy\u00ean ph\u00e1t c\u00f3 nguy c\u01a1 th\u1ea5p kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng l\u00e2y lan. Giai \u0111o\u1ea1n n\u00e0y th\u01b0\u1eddng c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi b\u1eb1ng ph\u1eabu thu\u1eadt<\/span><\/li>\n
  • Giai \u0111o\u1ea1n 2: Xu\u1ea5t hi\u1ec7n c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m cho th\u1ea5y nguy c\u01a1 t\u00e1i ph\u00e1t cao h\u01a1n, nh\u01b0ng kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 s\u1ef1 l\u00e2y lan<\/span><\/li>\n
  • Giai \u0111o\u1ea1n 3: Kh\u1ed1i u \u00e1c t\u00ednh \u0111\u00e3 lan \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft ho\u1eb7c v\u00f9ng da g\u1ea7n \u0111\u00f3\u00a0<\/span><\/li>\n
  • Giai \u0111o\u1ea1n 4: Kh\u1ed1i u \u00e1c t\u00ednh \u0111\u00e3 lan \u0111\u1ebfn c\u01a1 quan n\u1ed9i t\u1ea1ng\u00a0<\/span><\/li>\n<\/ul>\n

    C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u1ed1i u \u00e1c t\u00ednh: Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n c\u1ee7a kh\u1ed1i u \u00e1c t\u00ednh v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ph\u1eabu thu\u1eadt th\u01b0\u1eddng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh. Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c bao g\u1ed3m c\u1eaft b\u1ecf h\u1ea1ch b\u1ea1ch huy\u1ebft, c\u1eaft b\u1ecf di c\u0103n, li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 (s\u1eed d\u1ee5ng thu\u1ed1c), x\u1ea1 tr\u1ecb, li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch<\/span><\/p>\n

    2.C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da<\/strong><\/h2>\n

    2.1 Nh\u00f3m thu\u1ed1c tr\u1ecb li\u1ec7u mi\u1ec5n d\u1ecbch\u00a0<\/span><\/h3>\n

    Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch s\u1eed d\u1ee5ng thu\u1ed1c l\u00e0m h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch m\u1ea1nh h\u01a1n nh\u1eb1m ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0. Thu\u1ed1c \u1ee9c ch\u1ebf \u0111i\u1ec3m ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch t\u01b0\u01a1ng \u0111\u1ed1i m\u1edbi v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t trong \u0111i\u1ec1u tr\u1ecb kh\u1ed1i u \u00e1c t\u00ednh. C\u1ee5 th\u1ec3, thu\u1ed1c nh\u1eafm m\u1ee5c ti\u00eau v\u00e0o c\u00e1c protein trong h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch v\u00e0 s\u1eeda ch\u1eefa \u0111\u1ec3 gi\u00fap h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch kh\u00f4i ph\u1ee5c \u0111\u1ed3ng th\u1eddi khi m\u1ea1nh h\u01a1n c\u00f3 th\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o kh\u1ed1i u \u00e1c t\u00ednh. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c bao g\u1ed3m: Atezolizumab (Tecentriq), Cobimetinib (Cotellic), Ipilimumab (Yervoy), Nivolumab (Opdivo), Pembrolizumab (Keytruda), Vemurafenib (Zelboraf) v\u00e0 Nivolumab-relatlimab-rmbw. Ngo\u00e0i ra thu\u1ed1c Aldesleukin (Proleukin) \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n khi kh\u1ed1i u \u00e1c t\u00ednh \u0111\u00e3 di c\u0103n sang b\u1ed9 ph\u1eadn kh\u00e1c, \u0111\u00f4i khi \u0111\u01b0\u1ee3c d\u00f9ng chung v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf kh\u1ed1i u \u00e1c t\u00ednh, Interferon Alpha (Intron A, Roferon -A) \u0111\u1ec3 gi\u00fap ng\u0103n kh\u1ed1i u \u00e1c t\u00ednh t\u00e1i ph\u00e1t.\u00a0<\/span><\/p>\n

    2.2 Nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00edch\u00a0<\/span><\/h3>\n

    Nh\u00f3m thu\u1ed1c n\u00e0y ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o kh\u1ed1i u \u00e1c t\u00ednh v\u00ec ch\u00fang t\u1ea5n c\u00f4ng t\u1ea5t c\u1ea3 c\u00e1c t\u1ebf b\u00e0o ph\u00e2n chia nhanh, kh\u00f4ng ch\u1ec9 t\u1ebf b\u00e0o ung th\u01b0. Trong \u0111\u00f3, c\u00e1c thu\u1ed1c thu\u1ed9c ph\u00e2n nh\u00f3m nh\u1ecf \u1ee9c ch\u1ebf BRAF g\u1ed3m Encorafenib (Braftovi), Dabrafenib (Tafinlar) v\u00e0 Vemurafenib (Zelboraf) \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi kh\u1ed1i u kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt v\u00e0 c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ed9t bi\u1ebfn gen BRAF, Kho\u1ea3ng 40% \u0111\u1ebfn 60% kh\u1ed1i u \u00e1c t\u00ednh c\u00f3 \u0111\u1ed9t bi\u1ebfn n\u00e0y. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u00fap thu nh\u1ecf v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u trong m\u1ed9t kho\u1ea3ng th\u1eddi gian. Ngo\u00e0i ra, c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf MEK nh\u01b0 Binimetinib (Mektovi), Cobimetinib (Cotellic) v\u00e0 Trametinib (Mekinist) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ed1i u \u00e1c t\u00ednh v\u1edbi \u0111\u1ed9t bi\u1ebfn gen MEK<\/span><\/p>\n

    2.3 Nh\u00f3m thu\u1ed1c h\u00f3a tr\u1ecb\u00a0<\/span><\/h3>\n

    Thu\u1ed1c h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1ed1i u \u00e1c t\u00ednh ti\u1ebfn tri\u1ec3n. N\u00f3 th\u01b0\u1eddng l\u00e0 l\u1ef1a ch\u1ecdn cu\u1ed1i c\u00f9ng sau li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch v\u00e0 thu\u1ed1c nh\u1eafm m\u1ee5c ti\u00eau v\u00ec n\u00f3 kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi kh\u1ed1i u \u00e1c t\u00ednh c\u0169ng nh\u01b0 \u0111\u1ed1i v\u1edbi c\u00e1c lo\u1ea1i ung th\u01b0 kh\u00e1c. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho kh\u1ed1i u \u00e1c t\u00ednh bao g\u1ed3m Carboplatin (Paraplatin, CARBOplatin Novaplus), Cisplatin (Platinol, Platinol-AQ), Dacarbazine (DTIC-Dome), Paclitaxel (Abraxane), Temozolomide (Temodar) v\u00e0 Vinblastine (Velban)<\/span><\/p>\n

    3.K\u1ebft lu\u1eadn\u00a0<\/strong><\/h2>\n

    T\u1ed5ng h\u1ee3p c\u00e1c nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da l\u00e0 m\u1ed9t b\u01b0\u1edbc quan tr\u1ecdng trong vi\u1ec7c c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed7i nh\u00f3m thu\u1ed1c c\u00f3 c\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c nhau, v\u00ec v\u1eady vi\u1ec7c ch\u1ecdn l\u1ef1a v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ea9n th\u1eadn c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa.<\/span><\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    Ung th\u01b0 h\u1eafc t\u1ed1 da l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 da ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 c\u00f3 nguy c\u01a1 lan r\u1ed9ng cao. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y, c\u00e1c nh\u00e0 khoa h\u1ecdc v\u00e0 b\u00e1c s\u0129 \u0111\u00e3 t\u00ecm ra nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau \u0111\u1ec3 h\u1ed7 tr\u1ee3 cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh. Tuy […]<\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"yoast_head":"\nC\u00e1c nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00f3 nhi\u1ec1u nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da, m\u1ed7i nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi \u0111a d\u1ea1ng m\u1ee5c \u0111\u00edch tr\u1ecb li\u1ec7u\" \/>\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 nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da - Vinmec\" \/>\n<meta property=\"og:description\" content=\"C\u00f3 nhi\u1ec1u nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da, m\u1ed7i nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi \u0111a d\u1ea1ng m\u1ee5c \u0111\u00edch tr\u1ecb li\u1ec7u\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/cac-nhom-thuoc-khac-nhau-dieu-tri-ung-thu-hac-to-da\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-06-22T08:06:09+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Ung-thu-hac-to-da-300x248.png\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/cac-nhom-thuoc-khac-nhau-dieu-tri-ung-thu-hac-to-da\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/cac-nhom-thuoc-khac-nhau-dieu-tri-ung-thu-hac-to-da\/\",\"name\":\"C\u00e1c nh\u00f3m thu\u1ed1c kh\u00e1c nhau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1eafc t\u1ed1 da - 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