{"id":33714,"date":"2023-05-13T20:04:49","date_gmt":"2023-05-13T13:04:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33714"},"modified":"2023-05-13T20:04:49","modified_gmt":"2023-05-13T13:04:49","slug":"phac-do-truyen-mien-dich-keytruda","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phac-do-truyen-mien-dich-keytruda\/","title":{"rendered":"Ph\u00e1c \u0111\u1ed3 truy\u1ec1n mi\u1ec5n d\u1ecbch keytruda"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Keytruda l\u00e0 t\u00ean th\u01b0\u01a1ng m\u1ea1i c\u1ee7a thu\u1ed1c pembrolizumab, m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng th\u1ec3 \u0111\u1ed1i kh\u00e1ng PD-1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">T\u00ecm hi\u1ec3u v\u1ec1 Keytruda<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Keytruda thu\u1ed9c v\u1ec1 m\u1ed9t nh\u00f3m thu\u1ed1c m\u1edbi g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf PD-1 \u0111\u00e3 t\u1ea1o ra k\u1ebft qu\u1ea3 r\u1ea5t l\u1edbn t\u0103ng kh\u1ea3 n\u0103ng gi\u00fap h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch nh\u1eadn bi\u1ebft v\u00e0 t\u1ea5n c\u00f4ng t\u1ebf b\u00e0o ung th\u01b0.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Keytruda l\u00e0 t\u00ean th\u01b0\u01a1ng m\u1ea1i c\u1ee7a thu\u1ed1c pembrolizumab, m\u1ed9t lo\u1ea1i thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n s\u1ef1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa protein PD-1 tr\u00ean b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch v\u00e0 protein PD-L1 tr\u00ean b\u1ec1 m\u1eb7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. B\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n s\u1ef1 t\u01b0\u01a1ng t\u00e1c n\u00e0y, pembrolizumab gi\u00fap t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch ph\u00e1t hi\u1ec7n v\u00e0 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">T\u00ecm hi\u1ec3u v\u1ec1 Pembrolizumab\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">M\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng th\u1ec3 \u0111\u1ed1i kh\u00e1ng PD-1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0. PD-1 l\u00e0 m\u1ed9t protein \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch, v\u00e0 n\u00f3 gi\u00fap c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch nh\u1eadn ra v\u00e0 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. Tuy nhi\u00ean, c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 th\u1ec3 t\u1ea1o ra m\u1ed9t lo\u1ea1i protein g\u1ecdi l\u00e0 PD-L1, gi\u00fap ch\u00fang tr\u00e1nh \u0111\u01b0\u1ee3c s\u1ef1 t\u1ea5n c\u00f4ng c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u1ee7a <\/span><span style=\"font-weight: 400;\">Keytruda<\/span><\/h2>\n<figure id=\"attachment_33717\" aria-describedby=\"caption-attachment-33717\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-33717\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Keytruda-300x174.png\" alt=\"Keytruda\" width=\"300\" height=\"174\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Keytruda-300x174.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Keytruda-1024x592.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Keytruda-768x444.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Keytruda.png 1362w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-33717\" class=\"wp-caption-text\">Keytruda<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Pembrolizumab \u0111\u01b0\u1ee3c FDA (C\u01a1 quan Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3) ch\u1ea5p thu\u1eadn s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 nh\u01b0 ung th\u01b0 ph\u1ed5i, ung th\u01b0 \u0111\u1ea7u v\u00e0 c\u1ed5, ung th\u01b0 ni\u1ec7u \u0111\u1ea1o, ung th\u01b0 da v\u00e0 ung th\u01b0 d\u1ea1 d\u00e0y. N\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1ea3i qua c\u00e1c li\u1ec7u ph\u00e1p tr\u01b0\u1edbc \u0111\u00f3 m\u00e0 kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 ho\u1eb7c ung th\u01b0 \u0111\u00e3 t\u00e1i ph\u00e1t.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n mi\u1ec5n d\u1ecbch Keytruda<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng pembrolizumab c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i u ho\u1eb7c d\u1eebng s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u00f3. Vi\u1ec7c s\u1eed d\u1ee5ng pembrolizumab trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u0169ng c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn ung th\u01b0 nh\u01b0 \u0111au v\u00e0 m\u1ec7t m\u1ecfi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1eb7c d\u00f9 pembrolizumab c\u00f3 th\u1ec3 mang l\u1ea1i l\u1ee3i \u00edch cho nhi\u1ec1u b\u1ec7nh nh\u00e2n ung th\u01b0, tuy nhi\u00ean, thu\u1ed1c n\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0. Vi\u1ec7c s\u1eed d\u1ee5ng pembrolizumab trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u1ea7n \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nh\u01b0 lo\u1ea1i ung th\u01b0, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p tr\u01b0\u1edbc \u0111\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u00f3m l\u1ea1i, pembrolizumab l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng th\u1ec3 \u0111\u1ed1i kh\u00e1ng PD-1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0. Vi\u1ec7c s\u1eed d\u1ee5ng pembrolizumab c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u1ed1i \u0111a l\u1ee3i \u00edch v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ed d\u1ee5, m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng pembrolizumab c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc ung th\u01b0 ph\u1ed5i ti\u00ean ti\u1ebfn so v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kemotherapy. Nghi\u00ean c\u1ee9u kh\u00e1c c\u0169ng cho th\u1ea5y r\u1eb1ng pembrolizumab c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t t\u1ed5ng th\u1ec3 v\u00e0 gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i u \u1edf b\u1ec7nh nh\u00e2n m\u1eafc ung th\u01b0 \u0111\u1ea7u v\u00e0 c\u1ed5.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">L\u1ef1a ch\u1ecdn \u0111\u01b0\u1eddng d\u00f9ng <\/span><span style=\"font-weight: 400;\">Pembrolizumab<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Pembrolizumab \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi d\u1ea1ng ti\u00eam t\u0129nh m\u1ea1ch (IV) m\u1ed9t l\u1ea7n m\u1ed7i 3 ho\u1eb7c 6 tu\u1ea7n, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 t\u1ea7n su\u1ea5t s\u1eed d\u1ee5ng pembrolizumab c\u0169ng ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng pembrolizumab, b\u1ec7nh nh\u00e2n c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 ki\u1ec3m tra xem c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 n\u00e0o c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a pembrolizumab?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c s\u1eed d\u1ee5ng pembrolizumab trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i b\u1ec7nh nh\u00e2n n\u00e0o c\u0169ng g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u0169ng c\u00f3 th\u1ec3 kh\u00e1c nhau. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a pembrolizumab:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng khi s\u1eed d\u1ee5ng pembrolizumab, bao g\u1ed3m: \u0111au \u0111\u1ea7u, s\u1ed1t, d\u1ecb \u1ee9ng da, kh\u00f3 th\u1edf, ho\u1eb7c s\u01b0ng m\u00f4.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ea5n \u0111\u1ec1 v\u1ec1 ti\u00eau h\u00f3a: Pembrolizumab c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n ho\u1eb7c \u0111au b\u1ee5ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ec7t m\u1ecfi: M\u1ec7t m\u1ecfi l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a pembrolizumab.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ea5n \u0111\u1ec1 v\u1ec1 gan v\u00e0 th\u1eadn: Pembrolizumab c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn gan v\u00e0 th\u1eadn nh\u01b0 t\u0103ng ho\u1eb7c gi\u1ea3m enzyme gan, t\u0103ng creatinine m\u00e1u, ho\u1eb7c vi\u00eam gan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ea5n \u0111\u1ec1 v\u1ec1 huy\u1ebft kh\u1ed1i: Pembrolizumab c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn huy\u1ebft kh\u1ed1i nh\u01b0 \u0111\u1ed9t qu\u1ef5 ho\u1eb7c suy tim.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn gi\u00e1p: Pembrolizumab c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tuy\u1ebfn gi\u00e1p v\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan nh\u01b0 t\u0103ng ho\u1eb7c gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tuy\u1ebfn gi\u00e1p.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">N\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe khi s\u1eed d\u1ee5ng pembrolizumab, h\u1ecd c\u1ea7n li\u00ean h\u1ec7 v\u1edbi c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">C\u00f3 n\u00ean ng\u1eebng s\u1eed d\u1ee5ng pembrolizumab n\u1ebfu g\u1eb7p ph\u1ea3i t\u00e1c d\u1ee5ng ph\u1ee5?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c c\u00f3 n\u00ean ng\u1eebng s\u1eed d\u1ee5ng pembrolizumab khi g\u1eb7p ph\u1ea3i t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 l\u00fd do g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00f3. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng pembrolizumab d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, vi\u1ec7c ng\u1eebng s\u1eed d\u1ee5ng pembrolizumab c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 \u0111\u1ea3m b\u1ea3o s\u1ef1 an to\u00e0n cho b\u1ec7nh nh\u00e2n.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ed d\u1ee5, n\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn gan v\u00e0 th\u1eadn, c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh ng\u1eebng s\u1eed d\u1ee5ng pembrolizumab.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i t\u00e1c d\u1ee5ng ph\u1ee5 khi s\u1eed d\u1ee5ng pembrolizumab, h\u1ecd n\u00ean th\u00f4ng b\u00e1o cho c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. C\u00e1c chuy\u00ean gia y t\u1ebf s\u1ebd \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 quy\u1ebft \u0111\u1ecbnh li\u1ec7u c\u00f3 n\u00ean ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng pembrolizumab hay kh\u00f4ng, v\u00e0 n\u1ebfu c\u00f3 th\u00ec c\u00f3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng hay t\u1ea7n su\u1ea5t s\u1eed d\u1ee5ng kh\u00f4ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ngu\u1ed3n Pubmed<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Keytruda l\u00e0 t\u00ean th\u01b0\u01a1ng m\u1ea1i c\u1ee7a thu\u1ed1c pembrolizumab, m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng th\u1ec3 \u0111\u1ed1i kh\u00e1ng PD-1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0. T\u00ecm hi\u1ec3u v\u1ec1 Keytruda Keytruda thu\u1ed9c v\u1ec1 m\u1ed9t nh\u00f3m thu\u1ed1c m\u1edbi g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf PD-1 \u0111\u00e3 t\u1ea1o ra k\u1ebft qu\u1ea3 r\u1ea5t l\u1edbn t\u0103ng kh\u1ea3 n\u0103ng gi\u00fap h\u1ec7 th\u1ed1ng mi\u1ec5n [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e1c \u0111\u1ed3 truy\u1ec1n mi\u1ec5n d\u1ecbch keytruda - Vinmec<\/title>\n<meta name=\"description\" content=\"Keytruda l\u00e0 t\u00ean th\u01b0\u01a1ng m\u1ea1i c\u1ee7a thu\u1ed1c pembrolizumab, m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng th\u1ec3 \u0111\u1ed1i kh\u00e1ng PD-1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0.\" \/>\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=\"Ph\u00e1c \u0111\u1ed3 truy\u1ec1n mi\u1ec5n d\u1ecbch keytruda - 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