{"id":35624,"date":"2023-06-26T13:43:41","date_gmt":"2023-06-26T06:43:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35624"},"modified":"2023-06-26T13:43:41","modified_gmt":"2023-06-26T06:43:41","slug":"ung-thu-da-day-cac-trieu-chung-va-phuong-phap-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/26\/ung-thu-da-day-cac-trieu-chung-va-phuong-phap-chan-doan\/","title":{"rendered":"Ung th\u01b0 d\u1ea1 d\u00e0y: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>Ung th\u01b0 d\u1ea1 d\u00e0y (UTDD) l\u00e0 m\u1ed9t b\u1ec7nh b\u1ec7nh l\u00ed \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u1ed9 tu\u1ed5i 40-70, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 65 tu\u1ed5i . H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ph\u00e1t hi\u1ec7n b\u1ec7nh v\u00e0 nh\u1eadp vi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n (III-IV). Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 ung th\u01b0 tuy\u1ebfn d\u1ea1 d\u00e0y (90-95%), Lymphoma d\u1ea1 d\u00e0y chi\u1ebfm v\u1ecb tr\u00ed th\u1ee9 2. Ung th\u01b0 d\u1ea1 d\u00e0y di c\u0103n t\u1edbi c\u00e1c c\u01a1 quan ti\u1ebfp gi\u00e1p : t\u1ee5y, \u0111\u1ea1i tr\u00e0ng, gan , l\u00e1ch, bu\u1ed3ng tr\u1ee9ng\u2026\u2026 ho\u1eb7c theo b\u1ea1ch m\u1ea1ch,t\u0129nh m\u1ea1ch t\u1edbi m\u1ea1c treo ru\u1ed9t,gan ,l\u00e1ch,h\u1ea1ch Troisier..<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35625 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/85df1ac3-0b55-48a8-aa27-33d5b7796fcf-300x300.jpg\" alt=\"ung-thu-da-day\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/85df1ac3-0b55-48a8-aa27-33d5b7796fcf-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/85df1ac3-0b55-48a8-aa27-33d5b7796fcf-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/85df1ac3-0b55-48a8-aa27-33d5b7796fcf-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/85df1ac3-0b55-48a8-aa27-33d5b7796fcf.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>1. Y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/h2>\n<ul>\n<li>Di truy\u1ec1n:t\u1ec9 l\u1ec7 kh\u00f4ng cao<\/li>\n<li>Teo ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y,d\u1ecb s\u1ea3n ru\u1ed9t<\/li>\n<li>Polip tuy\u1ebfn d\u1ea1 d\u00e0y<\/li>\n<li>Vi\u00eam, lo\u00e9t d\u1ea1 d\u1ea1 d\u00e0y<\/li>\n<li>Nhi\u1ec5m helicobacte Pylori:l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u<\/li>\n<li>Th\u1ee9c \u0103n ch\u1ee9a nhi\u1ec1u nitrat (th\u1ecbt mu\u1ed1i, th\u1ecbt hun kh\u00f3i, th\u1ee9c \u0103n \u0111\u00f3ng h\u1ed9p\u2026). Khi nitrat v\u00e0o d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c c\u00e1c vi khu\u1ea9n chuy\u1ec3n h\u00f3a th\u00e0nh nitrit. Nitrit c\u00f3 kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c amin c\u1ea5p 2, 3 t\u1ea1o NITROSAMIN l\u00e0 ch\u1ea5t g\u00e2y ung th\u01b0 d\u1ea1 d\u00e0y.<\/li>\n<li>\u1ede T0\u00a0 th\u1ea5p, nitrat kh\u00f4ng chuy\u1ec3n th\u00e0nh nitrit \u0111\u01b0\u1ee3c, v\u00ec v\u1eady n\u00ean c\u00e1c n\u01b0\u1edbc b\u1ea3o qu\u1ea3n th\u1ee9c \u0103n l\u1ea1nh c\u00f3 t\u1ea7n su\u1ea5t m\u1eafc UTDD th\u1ea5p h\u01a1n.<\/li>\n<li>Vitamin C (acid ascorbid) c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m UTDD v\u00ec n\u00f3 ng\u0103n s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa a.a v\u00e0 nitrit \u0111\u1ec3 t\u1ea1o Nitrosamin.<\/li>\n<\/ul>\n<h2><strong>2. C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a ung th\u01b0 d\u1ea1 d\u00e0y<\/strong><\/h2>\n<p><strong>2.1 Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n<ul>\n<li>\u0110\u1ea7y b\u1ee5ng sau khi \u0103n, kh\u00f3 ti\u00eau, l\u00fac \u0111\u1ea7u c\u00f2n th\u01b0a v\u1ec1 sau th\u00e0nh li\u00ean t\u1ee5c<\/li>\n<li>\u0102n m\u1ea5t ngon, m\u1edbi \u0111\u1ea7u ch\u00e1n \u0103n th\u1ecbt m\u1ee1, v\u1ec1 sau ch\u00e1n \u0103n b\u1ea5t k\u1ef3 lo\u1ea1i th\u1ee9c \u0103n n\u00e0o.<\/li>\n<li>Bu\u1ed3n n\u00f4n sau khi \u0103n, ng\u00e0y c\u00e0ng t\u0103ng r\u1ed3i n\u00f4n, l\u00fac \u0111\u1ea7u n\u00f4n \u00edt sau n\u00f4n nhi\u1ec1u v\u1edbi b\u1ea5t k\u1ef3 lo\u1ea1i th\u1ee9c \u0103n n\u00e0o.<\/li>\n<li>Thay \u0111\u1ed5i \u0111\u1eb7c t\u00ednh c\u01a1n \u0111au b\u1ee5ng: \u0111au th\u01b0\u1ee3ng v\u1ecb m\u1ea5t chu k\u1ef3, k\u00e9o d\u00e0i h\u01a1n, kh\u00f4ng gi\u1ea3m khi d\u00f9ng thu\u1ed1c (lo\u1ea1i tr\u01b0\u1edbc \u0111\u00e2y c\u1eaft c\u01a1n \u0111au t\u1ed1t).<\/li>\n<li>Thi\u1ebfu m\u00e1u (\u00f9 tai, hoa m\u1eaft) k\u00e8m theo ti\u00eau ph\u00e2n \u0111en r\u1ec9 r\u1ea3 kh\u00f4ng \u0111\u1ec3 \u00fd, t\u00ecnh c\u1edd b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n ho\u1eb7c l\u00e0m Weber-Mayer (+).<\/li>\n<li>Suy nh\u01b0\u1ee3c, m\u1ec7t m\u1ecfi, s\u00fat c\u00e2n kh\u00f4ng c\u1eaft ngh\u0129a \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n<\/li>\n<\/ul>\n<p><strong>2.2 Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/p>\n<ul>\n<li>Kh\u00e1m th\u1ea5y kh\u1ed1i u v\u00f9ng th\u01b0\u1ee3ng v\u1ecb: th\u01b0\u1eddng \u1edf tr\u00ean ho\u1eb7c ngang r\u1ed1n (c\u00f3 th\u1ec3 th\u1ea5y \u1edf d\u01b0\u1edbi r\u1ed1n n\u1ebfu d\u1ea1 d\u00e0y sa) u r\u1eafn ch\u1eafc, n\u1ed5i r\u00f5 sau b\u1eefa \u0103n, di \u0111\u1ed9ng \u00edt nhi\u1ec1u sang tr\u00e1i, ph\u1ea3i di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf l\u00ean xu\u1ed1ng. T\u00ednh di \u0111\u1ed9ng kh\u00f4ng c\u00f2n n\u1ebfu K d\u00ednh v\u00e0o t\u1ea1ng l\u00e2n c\u1eadn (do K lan tr\u00e0n).<\/li>\n<li>D\u1ea5u hi\u1ec7u h\u1eb9p m\u00f4n v\u1ecb, Bouveret (+) \u0111\u1ed9t ng\u1ed9t. D\u1ea5u hi\u1ec7u th\u1ee7ng d\u1ea1 d\u00e0y: b\u1ee5ng co c\u1ee9ng, m\u1ea5t v\u00f9ng \u0111\u1ee5c tr\u01b0\u1edbc gan, cho\u00e1ng, n\u00f4n m\u00e1u, \u1ec9a ph\u00e2n \u0111en.<\/li>\n<li>D\u1ea5u hi\u1ec7u ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau ho\u00e1:<\/li>\n<li>\u0110\u1ed9t nhi\u00ean s\u1ed1t k\u00e9o d\u00e0i, ph\u00f9 2 ch\u00e2n, vi\u00eam t\u1eafc t\u0129nh m\u1ea1ch t\u00e1i ph\u00e1t.<br \/>\nGan to \u0111au, m\u1eb7t gan l\u1ed5n nh\u1ed5n (c\u00f3 th\u1ec3 c\u00f3 di c\u0103n c\u1ee7a UTDD)<\/li>\n<li>Di c\u0103n ph\u00fac m\u1ea1c:s\u1edd b\u1ee5ng l\u1ed5n nh\u1ed5n, c\u00f3 d\u1ecbch \u1ed5 b\u1ee5ng.<\/li>\n<li>S\u1edd th\u1ea5y h\u1ea1ch Troisier (\u1edf h\u1ed1 th\u01b0\u1ee3ng \u0111\u00f2n tr\u00e1i, di \u0111\u1ed9ng d\u01b0\u1edbi da, nh\u1ecf s\u1edd k\u1ef9 m\u1edbi th\u1ea5y khi b\u1ec7nh nh\u00e2n h\u00edt s\u00e2u v\u00e0o).<\/li>\n<\/ul>\n<h2><strong>3. C\u1eadn l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n ung th\u01b0 d\u1ea1 d\u00e0y<\/strong><\/h2>\n<p><strong>3.1 X quang <\/strong><\/p>\n<ul>\n<li><strong>U\u1ed1ng Barium Sulfat <\/strong><\/li>\n<\/ul>\n<p>&#8211; Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh trong 80%-90% c\u00e1c tr\u01b0\u1eddng h\u1ee3p, gi\u00fap:<\/p>\n<ul>\n<li>Ch\u1ea9n \u0111o\u00e1n v\u1ecb tr\u00ed c\u1ee7a ung th\u01b0.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 th\u01b0\u01a1ng t\u1ed5n.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n h\u00ecnh th\u00e1i c\u1ee7a th\u01b0\u01a1ng t\u1ed5n.<\/li>\n<\/ul>\n<p>&#8211; H\u00ecnh \u1ea3nh X quang kh\u00e1c nhau t\u00f9y theo lo\u1ea1i th\u01b0\u01a1ng t\u1ed5n:<\/p>\n<ul>\n<li>Th\u1ec3 s\u00f9i: h\u00ecnh khuy\u1ebft c\u00f3 b\u1edd nham nh\u1edf v\u00ec v\u00f9ng n\u00e0y kh\u00f4ng c\u00f3 thu\u1ed1c c\u1ea3n quang do kh\u1ed1i u chi\u1ebfm ch\u1ed7.<\/li>\n<li>Th\u1ec3 lo\u00e9t: m\u1ed9t \u1ed5 \u0111\u1ecdng thu\u1ed1c th\u01b0\u1eddng kh\u00e1 l\u1edbn, r\u1ed9ng v\u00e0 kh\u00f4ng s\u00e2u, b\u1edd nham nh\u1edf, c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c t\u1eeb chung quanh \u0111i t\u1edbi d\u1eebng l\u1ea1i \u1edf xa \u1ed5 \u0111\u1ecdng thu\u1ed1c hay l\u00e0 h\u00ecnh th\u1ea5u k\u00ednh.<\/li>\n<li>Th\u1ec3 nhi\u1ec5m c\u1ee9ng:<\/li>\n<li>M\u1ed9t \u0111o\u1ea1n d\u00e0i hay ng\u1eafn m\u1ea5t t\u00ednh ch\u1ea5t m\u1ec1m m\u1ea1i thay v\u00e0o \u0111\u00f3 l\u00e0 m\u1ed9t \u0111o\u1ea1n th\u1eb3ng, n\u1ed5i cao h\u01a1n hay l\u00f5m xu\u1ed1ng so v\u1edbi b\u1edd cong nh\u1ecf.<\/li>\n<li>Tr\u00ean m\u00e0n hu\u1ef3nh quang: \u0111o\u1ea1n n\u00e0y m\u1ea5t nhu \u0111\u1ed9ng v\u1edbi h\u00ecnh \u1ea3nh \u201ct\u1ea5m v\u00e1n n\u1ed5i tr\u00ean m\u1eb7t s\u00f3ng\u201d.<\/li>\n<li>M\u1ed9t th\u01b0\u01a1ng t\u1ed5n \u0111\u1eb7c bi\u1ec7t c\u1ee7a th\u1ec3 n\u00e0y l\u00e0 th\u1ec3 teo \u0111\u00e9t: G\u1ea7n to\u00e0n b\u1ed9 th\u00e0nh d\u1ea1 d\u00e0y d\u1ea7y c\u1ed9p l\u00ean, l\u00f2ng d\u1ea1 d\u00e0y ch\u1ec9 l\u00e0 m\u1ed9t c\u00e1i \u1ed1ng nh\u1ecf.<\/li>\n<\/ul>\n<p><strong>H\u1ea1n ch\u1ebf:<\/strong><\/p>\n<p>&#8211; B\u1ecf s\u00f3t m\u1ed9t s\u1ed1 v\u00f9ng (v\u00f9ng m\u00f9 c\u1ee7a X quang)<\/p>\n<p>&#8211; Kh\u00f4ng ph\u00e1t hi\u1ec7n th\u01b0\u01a1ng t\u1ed5n nh\u1ecf, th\u01b0\u01a1ng t\u1ed5n n\u00f4ng khu tr\u00fa \u1edf l\u1edbp ni\u00eam m\u1ea1c<\/p>\n<p>&#8211; Kh\u00f3 ph\u00e2n bi\u1ec7t \u1ed5 lo\u00e9t l\u00e0nh t\u00ednh \u1edf b\u1edd cong nh\u1ecf hay m\u1ed9t ung th\u01b0 th\u1ec3 lo\u00e9t<\/p>\n<p><strong>3.2 N\u1ed9i soi <\/strong><\/p>\n<p>&#8211; D\u00f9ng \u1ed1ng soi m\u1ec1m lo\u1ea1i nh\u00ecn th\u1eb3ng v\u1edbi \u1ea3nh s\u00e1ng l\u1ea1nh<\/p>\n<p>&#8211; T\u00e1c d\u1ee5ng:<\/p>\n<ul>\n<li>Th\u1ea5y ni\u00eam m\u1ea1c t\u1ea5t c\u1ea3 c\u00e1c v\u00f9ng c\u1ee7a d\u1ea1 d\u00e0y, h\u00ecnh \u1ea3nh r\u1ea5t r\u00f5<\/li>\n<li>Ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c nh\u1eefng th\u01b0\u01a1ng t\u1ed5n nh\u1ecf v\u00e0 n\u00f4ng \u1edf ni\u00eam m\u1ea1c.<\/li>\n<li>C\u00f3 th\u1ec3 ch\u1ea3i ni\u00eam m\u1ea1c l\u00e0m XN t\u1ebf b\u00e0o v\u00e0 sinh thi\u1ebft l\u00e0m XN m\u00f4 h\u1ecdc.<\/li>\n<li>M\u00e1y ch\u1ee5p h\u00ecnh c\u00f3 th\u1ec3 ghi l\u1ea1i h\u00ecnh \u1ea3nh, m\u00e1y quay h\u00ecnh cho ph\u00e9p quan s\u00e1t nhu \u0111\u1ed9ng.<\/li>\n<\/ul>\n<p>&#8211; H\u1ea1n ch\u1ebf: m\u00e1y \u0111\u1eaft ti\u1ec1n, d\u1ec5 h\u1ecfng<\/p>\n<p><strong>3.3 Si\u00eau \u00e2m <\/strong><\/p>\n<p>&#8211; H\u00ecnh \u1ea3nh kh\u00f4ng r\u00f5 r\u00e0ng b\u1eb1ng c\u00e1c h\u00ecnh \u1ea3nh c\u1ee7a X quang v\u00e0 n\u1ed9i soi.<\/p>\n<p>&#8211; Gi\u00fap x\u00e1c \u0111\u1ecbnh d\u1ecbch b\u00e1ng trong \u1ed5 b\u1ee5ng, t\u00ecm h\u1ea1ch, nh\u00e2n di c\u0103n gan, u di c\u0103n bu\u1ed3ng tr\u1ee9ng&#8230; V\u00ec v\u1eady, si\u00eau \u00e2m l\u00e0 b\u1eaft bu\u1ed9c khi \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt.<\/p>\n<p>&#8211; Si\u00eau \u00e2m c\u00f3 \u0111\u1ea7u d\u00f2 n\u1ed9i soi gi\u00fap \u00edch r\u1ea5t nhi\u1ec1u trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh v\u00e0 trong x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a th\u01b0\u01a1ng t\u1ed5n.<\/p>\n<p><strong>3.4. Ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n <\/strong><\/p>\n<p>&#8211; Th\u1ea5y \u0111\u01b0\u1ee3c:<\/p>\n<ul>\n<li>Kh\u1ed1i u cho\u00e1n ch\u1ed7 trong l\u00f2ng d\u1ea1 d\u00e0y<\/li>\n<li>B\u1ec1 d\u1ea7y c\u1ee7a th\u00e0nh d\u1ea1 d\u00e0y<\/li>\n<li>Th\u1ea5y c\u00e1c h\u1ea1ch trong v\u00f9ng, u x\u00e2m l\u1ea5n v\u00e0o t\u1ee5y, v\u00e0o gan, nh\u00e2n di c\u0103n gan, di c\u0103n bu\u1ed3ng tr\u1ee9ng.<\/li>\n<\/ul>\n<p>&#8211; CLVT h\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n s\u1edbm b\u1ec7nh ung th\u01b0 d\u1ea1 d\u00e0y.<\/p>\n<p><strong>3.5. X\u00e9t nghi\u1ec7m <\/strong><\/p>\n<ul>\n<li>Kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u c\u1ee7a ung th\u01b0 d\u1ea1 d\u00e0y.<\/li>\n<li>H\u1ed3ng c\u1ea7u v\u00e0 HCT gi\u1ea3m khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn tr\u1ec5. H\u1ed3ng c\u1ea7u c\u00f3 khi ch\u1ec9 c\u00f2n 1.000.000\/mm3, hematocrit 10%.<\/li>\n<li>C\u00f3 h\u1ed3ng c\u1ea7u trong ph\u00e2n.<\/li>\n<li>CEA (Carcino Embryonic Antigen) c\u00f3 th\u1ec3 cao<\/li>\n<\/ul>\n<h2><strong>4. Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 d\u1ea1 d\u00e0y<\/strong><\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong>Giai \u0111o\u1ea1n s\u1edbm: <\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>R\u1ea5t kh\u00f3 ch\u1ea9n \u0111o\u00e1n do: kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng m\u01a1 h\u1ed3, kh\u00f4ng \u0111\u1eb7c hi\u1ec7u<\/li>\n<li>Nguy\u00ean t\u1eafc ch\u1ea9n \u0111o\u00e1n giai \u0111o\u1ea1n n\u00e0y: Ph\u1ea3i ngh\u0129 \u0111\u1ebfn UTDD khi:<\/li>\n<li>M\u1ed9t ng\u01b0\u1eddi \u2013 nh\u1ea5t l\u00e0 ng\u01b0\u1eddi \u0111\u1ee9ng tu\u1ed5i xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng: ch\u00e1n \u0103n, \u0103n kh\u00f4ng ngon mi\u1ec7ng, m\u1ec7t m\u1ecfi, u\u1ec3 o\u1ea3i.<\/li>\n<li>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n, b\u1eaft bu\u1ed9c soi d\u1ea1 d\u00e0y\n<ul>\n<li><strong>Giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n<\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng t\u00f9y thu\u1ed9c v\u1ecb tr\u00ed th\u01b0\u01a1ng t\u1ed5n:<\/li>\n<li>T\u00e2m v\u1ecb: c\u00f3 tri\u1ec7u ch\u1ee9ng ngh\u1eb9n<\/li>\n<li>Hang v\u1ecb: tri\u1ec7u ch\u1ee9ng n\u00f4n<\/li>\n<li>Th\u00e2n d\u1ea1 d\u00e0y: tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng ngh\u00e8o n\u00e0n (d\u1ea1 d\u00e0y im l\u1eb7ng)<\/li>\n<li>Soi d\u1ea1 d\u00e0y v\u00e0 ch\u1ee5p X quang (n\u1ebfu c\u1ea7n) \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1ecb tr\u00ed, m\u1ee9c \u0111\u1ed9 th\u01b0\u01a1ng t\u1ed5n\n<ul>\n<li><strong>Giai \u0111o\u1ea1n mu\u1ed9n<\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng d\u1ec5<\/li>\n<li>N\u1ebfu t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n cho ph\u00e9p n\u00ean ch\u1ee5p X quang d\u1ea1 d\u00e0y \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh<\/li>\n<li>Si\u00eau \u00e2m b\u1ee5ng: \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng x\u00e2m l\u1ea5n, di c\u0103n<\/li>\n<li>Ch\u1ee5p ph\u1ed5i t\u00ecm di c\u0103n<\/li>\n<\/ul>\n<h2><strong>5. Bi\u1ebfn ch\u1ee9ng<\/strong><\/h2>\n<p>Trong qu\u00e1 tr\u00ecnh di\u1ec5n ti\u1ebfn, c\u00f3 th\u1ec3 c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng:<\/p>\n<p><strong>H\u1eb9p m\u00f4n v\u1ecb<\/strong><\/p>\n<ul>\n<li>Th\u01b0\u1eddng g\u1eb7p do ung th\u01b0 \u1edf hang v\u1ecb chi\u1ebfm 2\/3 UTDD<\/li>\n<li>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng:<\/li>\n<li>Gi\u1ed1ng h\u1eb9p m\u00f4n v\u1ecb do lo\u00e9t. Kh\u00e1c \u1edf ch\u1ed7 kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/li>\n<li>S\u1edd \u0111\u01b0\u1ee3c kh\u1ed1i u v\u00f9ng tr\u00ean r\u1ed1n l\u1ec7ch ph\u1ea3i<\/li>\n<\/ul>\n<p><strong>Th\u1ee7ng<\/strong><\/p>\n<ul>\n<li>Do ho\u1ea1i t\u1eed m\u00f4 ung th\u01b0 t\u1eeb ni\u00eam m\u1ea1c ra thanh m\u1ea1c<\/li>\n<li>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng: gi\u1ed1ng th\u1ee7ng do lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng. Kh\u00e1c: kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed<\/li>\n<\/ul>\n<p><strong>Ch\u1ea3y m\u00e1u<\/strong><\/p>\n<ul>\n<li>M\u00e1u ch\u1ea3y r\u1ec9 r\u1ea3 t\u1eeb m\u00f4 ung th\u01b0 b\u1ecb ho\u1ea1i t\u1eed ho\u1eb7c ch\u1ea3y t\u1eeb m\u1ea1ch m\u00e1u do m\u00f4 ung th\u01b0 l\u00e0m ho\u1ea1i t\u1eed th\u00e0nh m\u1ea1ch<\/li>\n<li>L\u00e2m s\u00e0ng c\u00f3 thi\u1ebfu m\u00e1u<\/li>\n<\/ul>\n<h2><strong>6. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p><strong>6.1 <u>Ph\u1eabu thu\u1eadt<\/u><\/strong><\/p>\n<p><strong>Kh\u00f4ng c\u00f2n ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt khi:<\/strong><\/p>\n<ul>\n<li>C\u00f3 di c\u0103n xa v\u00e0 kh\u00f4ng th\u1ec3 l\u1ea5y b\u1ecf di c\u0103n \u0111\u00f3 (gan, ph\u1ed5i, x\u01b0\u01a1ng, h\u1ea1ch Troisier)<\/li>\n<li>Di c\u0103n xa c\u00f3 th\u1ec3 c\u1eaft b\u1ecf \u0111\u01b0\u1ee3c (gan tr\u00e1i, bu\u1ed3ng tr\u1ee9ng) kh\u00f4ng c\u00f3 CC\u0110 ph\u1eabu thu\u1eadt<\/li>\n<li>T\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n qu\u00e1 x\u1ea5u, c\u00f3 k\u00e8m b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh n\u1eb7ng n\u1ec1<\/li>\n<li>C\u00f3 nhi\u1ec1u d\u1ecbch b\u00e1ng<\/li>\n<li>Kh\u1ed1i u to, ho\u00e0n to\u00e0n kh\u00f4ng di \u0111\u1ed9ng<\/li>\n<\/ul>\n<p><strong>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/strong><\/p>\n<ul>\n<li>T\u00f9y v\u1ecb tr\u00ed kh\u1ed1i u:<\/li>\n<li>C\u1eaft d\u1ea1 d\u00e0y b\u00e1n ph\u1ea7n d\u01b0\u1edbi<\/li>\n<li>C\u1eaft d\u1ea1 d\u00e0y b\u00e1n ph\u1ea7n tr\u00ean<\/li>\n<li>C\u1eaft d\u1ea1 d\u00e0y to\u00e0n b\u1ed9<\/li>\n<li>Ung th\u01b0 d\u1ea1 d\u00e0y di c\u0103n h\u1ea1ch r\u1ea5t s\u1edbm n\u00ean bao gi\u1edd c\u0169ng n\u1ea1o v\u00e9t h\u1ea1ch. L\u1ea5y to\u00e0n b\u1ed9 m\u1ea1c n\u1ed1i l\u1edbn v\u00ec c\u00f3 nhi\u1ec1u h\u1ea1ch<\/li>\n<\/ul>\n<p><strong><u>6.2. H\u00f3a tr\u1ecb<\/u><\/strong><\/p>\n<p>&#8211; C\u00f3 t\u00ednh ch\u1ea5t b\u1ed5 tr\u1ee3<\/p>\n<p>&#8211; C\u00e1c h\u00f3a ch\u1ea5t \u0111\u01b0\u1ee3c d\u00f9ng:<\/p>\n<ul>\n<li>5 \u2013 FluoroUracil (5-FU): nhi\u1ec1u nh\u1ea5t<\/li>\n<li>Adriamycin, Mitomycin C, Methotrexate<\/li>\n<\/ul>\n<p><strong><u>6.3. K\u1ebft qu\u1ea3 l\u00e2u d\u00e0i<\/u><\/strong><\/p>\n<p>&#8211; K\u1ebft qu\u1ea3 l\u00e2u d\u00e0i ph\u1ee5 thu\u1ed9c v\u00e0o:<\/p>\n<ul>\n<li>Giai \u0111o\u1ea1n b\u1ec7nh<\/li>\n<li>\u0110\u1ed9 bi\u1ec7t h\u00f3a c\u1ee7a m\u00f4 ung th\u01b0<\/li>\n<li>V\u1ecb tr\u00ed th\u01b0\u01a1ng t\u1ed5n<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng ph\u1eabu thu\u1eadt<\/li>\n<li>Tu\u1ed5i v\u00e0 s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n<\/li>\n<\/ul>\n<p>&#8211; Ti\u00ean l\u01b0\u1ee3ng:<\/p>\n<ul>\n<li>T\u1ec9 l\u1ec7 s\u1ed1ng 5 n\u0103m sau m\u1ed5 n\u00f3i chung: 10 \u2013 20%<\/li>\n<li>T\u1ec9 l\u1ec7 s\u1ed1ng 5 n\u0103m sau m\u1ed5 ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm c\u00f3 th\u1ec3 t\u1edbi 90 \u2013 95%<\/li>\n<li>Ung th\u01b0 d\u1ea1 d\u00e0y mu\u1ed1n c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 ch\u1ee7 y\u1ebfu l\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm<\/li>\n<\/ul>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/vi-khuan-hp-helicobacter-pylori-nguyen-nhan-hang-dau-gay-viem-loet-da-day-ta-trang-o-tre\/\">Vi khu\u1ea9n HP (Helicobacter pylori): Nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng \u1edf tr\u1ebb<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 d\u1ea1 d\u00e0y (UTDD) l\u00e0 m\u1ed9t b\u1ec7nh b\u1ec7nh l\u00ed \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u1ed9 tu\u1ed5i 40-70, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 65 tu\u1ed5i . H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ph\u00e1t hi\u1ec7n b\u1ec7nh v\u00e0 nh\u1eadp vi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n (III-IV). Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 ung th\u01b0 tuy\u1ebfn d\u1ea1 d\u00e0y (90-95%), Lymphoma d\u1ea1 [&hellip;]<\/p>\n","protected":false},"author":16,"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>Ung th\u01b0 d\u1ea1 d\u00e0y: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n -<\/title>\n<meta name=\"description\" content=\"Ung th\u01b0 d\u1ea1 d\u00e0y (UTDD) l\u00e0 m\u1ed9t b\u1ec7nh b\u1ec7nh l\u00ed \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u1ed9 tu\u1ed5i 40-70 tu\u1ed5i, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 65 tu\u1ed5i .\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, 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