{"id":62,"date":"2023-04-14T15:31:29","date_gmt":"2023-04-14T08:31:29","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=62"},"modified":"2023-04-17T20:07:44","modified_gmt":"2023-04-17T13:07:44","slug":"doi-tuong-va-phuong-phap-tam-soat-ung-thu-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/doi-tuong-va-phuong-phap-tam-soat-ung-thu-gan\/","title":{"rendered":"\u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t ung th\u01b0 gan"},"content":{"rendered":"\r\n<p><strong>T\u1ea7m so\u00e1t ung th\u01b0 gan l\u00e0 qu\u00e1 tr\u00ecnh ki\u1ec3m tra nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh ung th\u01b0 gan \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 cung c\u1ea5p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 gan r\u1ea5t quan tr\u1ecdng v\u00ec ung th\u01b0 gan th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u , khi\u1ebfn cho b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n v\u00e0 kh\u00f3 \u0111i\u1ec1u tr\u1ecb h\u01a1n. H\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0o c\u1ea7n \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u01b0\u1edbi \u0111\u00e2y nh\u00e9<\/strong><\/p>\r\n<p>&nbsp;<\/p>\r\n<h2>1. Ung th\u01b0 gan l\u00e0 g\u00ec?<\/h2>\r\n<p>Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan hay c\u00f2n g\u1ecdi l\u00e0 HCC (Hepatocellular Carcinoma), l\u00e0 lo\u1ea1i ung th\u01b0 ph\u00e1t sinh t\u1eeb t\u1ebf b\u00e0o gan b\u1ea5t th\u01b0\u1eddng , kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c s\u1ef1 ph\u00e2n chia v\u00e0 sinh tr\u01b0\u1edfng, g\u00e2y ra s\u1ef1 t\u0103ng tr\u01b0\u1edfng kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u v\u00e0 b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ganUng th\u01b0 gan c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n nhanh ho\u1eb7c ch\u1eadm t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh.Theo GLOBOCAN 2020 t\u1ea1i Vi\u1ec7t nam:HCC c\u00f3 t\u1ec9 l\u1ec7 m\u1eafc v\u00e0 t\u1eed vong h\u00e0ng \u0111\u1ea7u trong c\u00e1c lo\u1ea1i ung th\u01b0 n\u00f3i chung .<br \/>&#8211; Tu\u1ed5i c\u00f3 nguy c\u01a1 m\u1eafc cao: 40 &#8211; 60<br \/>&#8211; T\u1ef7 l\u1ec7 gi\u1edbi t\u00ednh: nam\/n\u1eef &#8211; 4\/1<\/p>\r\n<h2>2.L\u00e2m s\u00e0ng<\/h2>\r\n<p>H\u1ea7u h\u1ebft th\u1eddi gian, nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 gan kh\u00f4ng nh\u1eadn th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn khi b\u1ec7nh ti\u1ebfn tri\u1ec3n sang giai \u0111o\u1ea1n sau. Tuy nhi\u00ean, c\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n s\u1edbm h\u01a1n. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a HCC:<\/p>\r\n<p>-Bu\u1ed3n n\u00f4n ho\u1eb7c c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n<\/p>\r\n<p>-Ch\u00e1n \u0103n<\/p>\r\n<p>-Gi\u1ea3m c\u00e2n kh\u00f4ng ch\u1ee7 \u00fd<\/p>\r\n<p>-M\u1ec7t m\u1ecfi<\/p>\r\n<p>-V\u00e0ng da (v\u00e0ng da v\u00e0 m\u1eaft)<\/p>\r\n<p>&#8211; S\u01b0ng \u1edf b\u1ee5ng v\u00e0 ch\u00e2n<\/p>\r\n<p>-D\u1ec5 b\u1ecb b\u1ea7m t\u00edm ho\u1eb7c ch\u1ea3y m\u00e1u<\/p>\r\n<p>&#8211; \u0110au \u1edf g\u00f3c ph\u1ea7n t\u01b0 tr\u00ean b\u00ean ph\u1ea3i c\u1ee7a b\u1ee5ng<\/p>\r\n<figure id=\"attachment_2722\" aria-describedby=\"caption-attachment-2722\" style=\"width: 261px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2722\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-1.jpeg\" alt=\"T\u1ea7m so\u00e1t ung th\u01b0 gan s\u1edbm \u0111\u1ec3 ph\u00e1t hi\u1ec7n tr\u01b0\u1edbc khi qu\u00e1 mu\u1ed9n\" width=\"261\" height=\"193\" \/><figcaption id=\"caption-attachment-2722\" class=\"wp-caption-text\">T\u1ea7m so\u00e1t ung th\u01b0 gan s\u1edbm \u0111\u1ec3 ph\u00e1t hi\u1ec7n tr\u01b0\u1edbc khi qu\u00e1 mu\u1ed9n<\/figcaption><\/figure>\r\n<h2>3.\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao c\u1ea7n t\u1ea7m so\u00e1t ung th\u01b0 gan<\/h2>\r\n<p><br \/>Nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (HCC) cao h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh gan l\u00e2u d\u00e0i. N\u00f3 c\u0169ng cao h\u01a1n n\u1ebfu gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng do nhi\u1ec5m vi\u00eam gan B ho\u1eb7c vi\u00eam gan C. HCC ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi u\u1ed1ng r\u01b0\u1ee3u nhi\u1ec1u v\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb gan nhi\u1ec5m m\u1ee1.<br \/>\u00a0C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c \u0111\u1ed1i v\u1edbi HCC bao g\u1ed3m: u\u1ed1ng\u00a0 r\u01b0\u1ee3u, h\u00fat thu\u1ed1c l\u00e1, b\u00e9o ph\u00ec, b\u1ec7nh chuy\u1ec3n h\u00f3a di truy\u1ec1n v\u00e0 gi\u1edbi t\u00ednh (HCC ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi h\u01a1n nhi\u1ec1u so v\u1edbi n\u1eef gi\u1edbi)\u00a0<\/p>\r\n<h2><br \/>4.S\u00e0ng l\u1ecdc HCC<\/h2>\r\n<p>-X\u00e9t nghi\u1ec7m AFP l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 AFP trong c\u01a1 th\u1ec3. AFP l\u00e0 m\u1ed9t lo\u1ea1i protein c\u00f3 trong huy\u1ebft t\u01b0\u01a1ng ng\u01b0\u1eddi, \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi c\u00e1c t\u1ebf b\u00e0o gan c\u1ee7a b\u00e0o thai. <br \/>+ B\u00ecnh th\u01b0\u1eddng: &lt; 10 ng\/ ml<br \/>+ &gt; 20 ng\/ml &#8211; cao<br \/>+ C\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh: &gt; 400 ng\/ ml<br \/>+ 70 \u2013 75% AFP cao &#8211; ch\u1ec9 c\u00f3 50 \u2013 60% \u0111\u1ea1t ng\u01b0\u1ee1ng c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n.<br \/>+ C\u00e1c NC: \u0111\u1ed9 nh\u1ea1y 39 \u2013 45%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 76 \u2013 94%, gi\u00e1 tr\u1ecb d\u1ef1 b\u00e1o d\u01b0\u01a1ng t\u00ednh 9 \u2013 50%<br \/>+ APASL 2010: AFP \u0111\u01a1n thu\u1ea7n kh\u00f4ng khuy\u1ebfn c\u00e1o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n UTBMTBG. Khi ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c, ng\u01b0\u1ee1ng ch\u1ea9n \u0111o\u00e1n 200 ng\/mL<\/p>\r\n<p><br \/>&#8211; Si\u00eau \u00e2m:ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u00e1ng tin c\u1eady<br \/>+ H\u00ecnh \u1ea3nh kh\u1ed1i u: gi\u1ea3m \u00e2m, t\u0103ng \u00e2m hay h\u1ed7n h\u1ee3p.<br \/>+ C\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi si\u00eau \u00e2m Doppler<br \/>+ M\u00e1y th\u1ebf h\u1ec7 m\u1edbi:ph\u00e1t hi\u1ec7n\u00a0 100% u &gt; 2cm,ph\u00e1t hi\u1ec7n 50% u 1 \u2013 2cm,ph\u00e1t hi\u1ec7n 20% u &lt; 1cm<br \/><br \/><\/p>\r\n<h2>5.Th\u1eddi gian t\u1ea7m so\u00e1t<\/h2>\r\n<p>Theo c\u00e1c hi\u1ec7p h\u1ed9i tr\u00ean th\u1ebf gi\u1edbi:<br \/>H\u1ed9i gan m\u1eadt M\u1ef9 (AASLD): Si\u00eau \u00e2m 6 th\u00e1ng\/l\u1ea7n<br \/>H\u1ed9i gan m\u1eadt ch\u00e2u u (EASL)&#8221; Si\u00eau \u00e2m 6 th\u00e1ng\/l\u1ea7n<br \/>H\u1ed9i gan m\u1eadt ch\u00e2u \u00c1 Th\u00e1i B\u00ecnh d\u01b0\u01a1ng (APASL): AFP + Si\u00eau \u00e2m 6 th\u00e1ng\/l\u1ea7n<br \/>M\u1ea1ng l\u01b0\u1edbi ph\u00f2ng ch\u1ed1ng ung th\u01b0 M\u1ef9 (NCCN): AFP + Si\u00eau \u00e2m 6 \u2013 12 th\u00e1ng\/l\u1ea7n<\/p>\r\n<p>Vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 gan th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch v\u1edbi nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean. N\u1ebfu ph\u00e1t hi\u1ec7n b\u1ec7nh ung th\u01b0 gan \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u. T\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t v\u00e0 kh\u1ea3 n\u0103ng ch\u1eefa kh\u1ecfi b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd cao h\u01a1n so v\u1edbi khi b\u1ec7nh \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n mu\u1ed9n.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea7m so\u00e1t ung th\u01b0 gan l\u00e0 qu\u00e1 tr\u00ecnh ki\u1ec3m tra nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh ung th\u01b0 gan \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 cung c\u1ea5p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 gan r\u1ea5t quan tr\u1ecdng v\u00ec ung th\u01b0 gan th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng \u1edf giai [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t ung th\u01b0 gan - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u1ea7m so\u00e1t ung th\u01b0 gan l\u00e0 qu\u00e1 tr\u00ecnh ki\u1ec3m tra nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh ung th\u01b0 gan \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi\" \/>\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=\"\u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t ung th\u01b0 gan - 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