{"id":20650,"date":"2021-11-11T17:04:07","date_gmt":"2021-11-11T10:04:07","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/capecitabine-xeloda\/"},"modified":"2021-11-11T17:04:07","modified_gmt":"2021-11-11T10:04:07","slug":"capecitabine-xeloda","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/capecitabine-xeloda\/","title":{"rendered":"Capecitabine (Xeloda)"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Ho\u00e0ng Thu H\u00e0<\/strong><\/em><\/p>\n<p style=\"text-align: right;\"><em><strong>Hi\u1ec7u \u0111\u00ednh: CN. Ph\u1ea1m Th\u1ecb Qu\u1ef3nh H\u01b0\u01a1ng, TS.BS. Ph\u1ea1m Nguy\u00ean Qu\u00fd<\/strong><\/em><\/p>\n<p>&nbsp;<\/p>\n<p>B\u00e0i vi\u1ebft n\u00e0y gi\u1ea3i th\u00edch v\u1ec1 capecitabine, c\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a thu\u1ed1c, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb, v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i.<\/p>\n<h2><strong>Capecitabine l\u00e0 g\u00ec?<\/strong><\/h2>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/kien-thuc-co-ban-can-biet-ve-hoa-tri\/\" target=\"_blank\" rel=\"noopener\">H\u00f3a tr\u1ecb<\/a> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng ung th\u01b0 nh\u1eb1m ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n<p>Capecitabine l\u00e0 t\u00ean ho\u00e1 h\u1ecdc c\u1ee7a m\u1ed9t lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb m\u00e0 t\u00ean bi\u1ec7t d\u01b0\u1ee3c hay g\u1eb7p l\u00e0 Xeloda.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang u\u1ed1ng thu\u1ed1c capecitabine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa t\u00e1i ph\u00e1t (khi c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa \u0111\u00e3 lan t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3) th\u00ec b\u1ea1n c\u00f3 th\u1ec3 b\u00e0i vi\u1ebft<a href=\"https:\/\/yhoccongdong.com\/thongtin\/cac-dau-hieu-va-trieu-chung-cua-ung-thu-vu-tai-phat\/\" target=\"_blank\" rel=\"noopener\"><strong> Th\u00f4ng tin v\u1ec1 ung th\u01b0 v\u00fa <\/strong><strong>t\u00e1i<\/strong><strong> ph\u00e1t<\/strong>.<\/a><\/p>\n<figure id=\"attachment_39523\" aria-describedby=\"caption-attachment-39523\" style=\"width: 660px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-39523 size-full\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2021\/11\/capecitabine-xeloda.jpeg\" alt=\"Capecitabine (Xeloda)\" width=\"660\" height=\"330\" \/><figcaption id=\"caption-attachment-39523\" class=\"wp-caption-text\">Capecitabine (Xeloda)<\/figcaption><\/figure>\n<h2><strong>Khi n\u00e0o Capecitabine \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh?<\/strong><\/h2>\n<h3><strong>Khi ung th\u01b0 v\u00fa \u0111\u00e3 x\u00e2m l\u1ea5n<\/strong><\/h3>\n<p>Capecitabine \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa t\u00e1i ph\u00e1t sau m\u1ed9t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e3:<\/p>\n<ul>\n<li>X\u00e2m l\u1ea5n t\u1edbi c\u00e1c m\u00f4 v\u00e0 c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft xung quanh ng\u1ef1c, c\u1ed5 v\u00e0 d\u01b0\u1edbi x\u01b0\u01a1ng \u00fac (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n c\u1ee5c b\u1ed9)<\/li>\n<li>\u0110\u00e3 x\u00e2m l\u1ea5n t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (ung th\u01b0 v\u00fa th\u1ee9 ph\u00e1t).<\/li>\n<\/ul>\n<h3><strong>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t<\/strong><\/h3>\n<p>C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y r\u1eb1ng m\u1ed9t s\u1ed1 ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t c\u00f3 th\u1ec3 h\u01b0\u1edfng l\u1ee3i \u00edch t\u1eeb capecitabine.<\/p>\n<p>Ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t l\u00e0 ung th\u01b0 v\u00fa ch\u01b0a x\u00e2m l\u1ea5n kh\u1ecfi khu v\u1ef1c v\u00fa ho\u1eb7c c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft d\u01b0\u1edbi c\u00e1nh tay.<\/p>\n<p>\u0110i\u1ec1u n\u00e0y g\u1ed3m c\u1ea3 nh\u1eefng ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa b\u1ed9 ba \u00e2m t\u00ednh (triple negative breast cancer).<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng capecitabine sau khi ph\u1eabu thu\u1eadt.<\/p>\n<p>B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi b\u1ea1n n\u1ebfu \u0111\u00e2y l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn th\u00edch h\u1ee3p.<\/p>\n<h3><strong>M\u1ed9t ph\u1ea7n c\u1ee7a th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng<\/strong><\/h3>\n<p>Capecitabine c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng.<\/p>\n<p>C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng l\u00e0 c\u00e1c nghi\u00ean c\u1ee9u nh\u1eb1m c\u1ea3i thi\u1ec7n c\u00e1ch \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ch\u0103m s\u00f3c cho b\u1ec7nh nh\u00e2n.<\/p>\n<h2><strong>Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng capecitabine<\/strong><\/h2>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111i\u1ec1u \u0111i\u1ec1u tr\u1ecb, nhi\u1ec1u b\u1ec7nh vi\u1ec7n s\u1ebd b\u1ed1 tr\u00ed m\u1ed9t bu\u1ed5i cung c\u1ea5p th\u00f4ng tin v\u1ec1 h\u00f3a tr\u1ecb. T\u1ea1i bu\u1ed5i n\u00e0y, \u0111i\u1ec1u d\u01b0\u1ee1ng s\u1ebd gi\u1ea3i th\u00edch v\u1ec1 chi ti\u1ebft v\u00e0 th\u1eddi \u0111i\u1ec3m ti\u1ebfn h\u00e0nh h\u00f3a tr\u1ecb, v\u00e0 c\u00e1ch ki\u1ec3m so\u00e1t c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i.<\/p>\n<p>B\u1ea1n n\u00ean \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft h\u1ecdc. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dien-tam-do-ecg\/\" target=\"_blank\" rel=\"noopener\">\u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG)<\/a>, l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n ki\u1ec3m tra nh\u1ecbp tim.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u d\u00f9ng capecitabine n\u00ean \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra ch\u1ec9 s\u1ed1 c\u1ee7a m\u1ed9t lo\u1ea1i protein g\u1ecdi l\u00e0 DPD.<\/p>\n<p>Chi\u1ec1u cao v\u00e0 c\u00e2n n\u1eb7ng c\u1ee7a b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c \u0111o, \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1eed d\u1ee5ng \u0111\u1ec3 c\u00f3 th\u1ec3 t\u00ednh to\u00e1n ch\u00ednh x\u00e1c li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c h\u00f3a tr\u1ecb.<\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c cho s\u1ed1 \u0111i\u1ec7n tho\u1ea1i \u0111\u1ec3 g\u1ecdi \u0111i\u1ec7n n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi ho\u1eb7c m\u1ed1i lo l\u1eafng n\u00e0o.<\/p>\n<h2><strong>Capecitabine \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Capecitabine \u0111\u01b0\u1ee3c d\u00f9ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n (\u0111\u01b0\u1eddng u\u1ed1ng).<\/p>\n<p>Thu\u1ed1c n\u00ean \u0111\u01b0\u1ee3c u\u1ed1ng c\u1ea3 vi\u00ean (kh\u00f4ng nhai) c\u00f9ng v\u1edbi n\u01b0\u1edbc trong v\u00f2ng n\u1eeda ti\u1ebfng sau khi \u0103n.<\/p>\n<p>Th\u00f4ng th\u01b0\u1eddng, thu\u1ed1c capecitabine \u0111\u01b0\u1ee3c u\u1ed1ng hai l\u1ea7n m\u1ed7i ng\u00e0y (v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 t\u1ed1i) trong 14 ng\u00e0y, v\u00e0 sau \u0111\u00f3 ngh\u1ec9 7 ng\u00e0y. Giai \u0111o\u1ea1n 21 ng\u00e0y n\u00e0y l\u00e0 m\u1ed9t \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb. N\u1ebfu ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ea1n kh\u00e1c v\u1edbi \u0111\u1ee3t 21 ng\u00e0y th\u00ec b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd gi\u1ea3i th\u00edch l\u00fd do.<\/p>\n<p>Hi\u1ec7n capecitabine c\u00f3 \u1edf hai h\u00e0m l\u01b0\u1ee3ng kh\u00e1c nhau: 150 mg ho\u1eb7c 500 mg. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c d\u1eb7n d\u00f2 v\u1ec1 s\u1ed1 vi\u00ean c\u1ea7n u\u1ed1ng \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c h\u00e0m l\u01b0\u1ee3ng th\u00edch h\u1ee3p m\u1ed7i ng\u00e0y cho tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n.<\/p>\n<p>Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh u\u1ed1ng \u0111\u01a1n l\u1ebb, nh\u01b0ng c\u00f3 th\u1ec3 d\u00f9ng ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c nh\u01b0 l\u00e0 docetaxel.<\/p>\n<h2><strong>\u0110i\u1ec1u g\u00ec x\u1ea3y ra n\u1ebfu t\u00f4i qu\u00ean m\u1ed9t li\u1ec1u?<\/strong><\/h2>\n<p>Kh\u00f4ng u\u1ed1ng th\u00eam li\u1ec1u \u0111\u1ec3 b\u00f9 cho li\u1ec1u b\u1ea1n \u0111\u00e3 qu\u00ean n\u1ebfu b\u1ea1n s\u01a1 \u00fd qu\u00ean \u0111i m\u1ed9t li\u1ec1u capecitabine. H\u00e3y u\u1ed1ng li\u1ec1u k\u1ebf ti\u1ebfp theo l\u1ecbch u\u1ed1ng c\u1ee7a b\u1ea1n v\u00e0 h\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn.<\/p>\n<h2><strong>T\u00f4i s\u1ebd u\u1ed1ng thu\u1ed1c capecitabine trong bao l\u00e2u?<\/strong><\/h2>\n<p>\u0110i\u1ec1u n\u00e0y s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa di c\u0103n\/t\u00e1i ph\u00e1t th\u01b0\u1eddng s\u1ebd u\u1ed1ng capecitabine cho \u0111\u1ebfn khi thu\u1ed1c kh\u00f4ng c\u00f2n ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c b\u1ec7nh n\u1eefa ho\u1eb7c khi b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/p>\n<p>N\u1ebfu b\u1ea1n b\u1ecb ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t th\u00ec b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd t\u01b0 v\u1ea5n ph\u01b0\u01a1ng ph\u00e1p t\u1ed1t nh\u1ea5t cho b\u1ea1n.<\/p>\n<h2><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a capecitabine l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>\u0110a s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng capecitabine t\u1ed1t do t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, m\u1ed7i b\u1ec7nh nh\u00e2n ph\u1ea3n \u1ee9ng v\u1edbi thu\u1ed1c kh\u00e1c nhau.<\/p>\n<p>M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n, v\u00e0 kh\u00f4ng ph\u1ea3i ai c\u0169ng g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf \u0111\u00e2y.<\/p>\n<p>B\u00e0i vi\u1ebft n\u00e0y kh\u00f4ng li\u1ec7t k\u00ea t\u1ea5t c\u1ea3 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3. N\u1ebfu b\u1ea1n \u0111ang u\u1ed1ng c\u00e1c thu\u1ed1c kh\u00e1c \u0111\u1ed3ng th\u1eddi v\u1edbi capecitabine, b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb c\u00e1c lo\u1ea1i thu\u1ed1c u\u1ed1ng k\u00e8m n\u00e0y.<\/p>\n<p>N\u1ebfu b\u1ea1n lo ng\u1ea1i v\u1ec1 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o, d\u00f9 c\u00f3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea \u1edf \u0111\u00e2y hay kh\u00f4ng, h\u00e3y n\u00f3i v\u1edbi \u0111i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c b\u00e1c s\u0129 ung b\u01b0\u1edbu c\u1ee7a b\u1ea1n s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n<p>B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 gi\u1ea3m ho\u1eb7c tr\u00ec ho\u00e3n li\u1ec1u c\u1ee7a thu\u1ed1c n\u1ebfu c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng. Gi\u1ea3m li\u1ec1u capecitabine l\u00e0 th\u01b0\u1eddng g\u1eb7p v\u00e0 \u0111i\u1ec1u tr\u1ecb v\u1eabn c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 \u1edf li\u1ec1u th\u1ea5p h\u01a1n.<\/p>\n<h3><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn<\/strong><\/h3>\n<h4><strong><em>\u1ea2nh h\u01b0\u1edfng l\u00ean m\u00e1u<\/em><\/strong><\/h4>\n<p>Capecitabine c\u00f3 th\u1ec3 t\u1ea1m th\u1eddi \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u trong c\u01a1 th\u1ec3. C\u00e1c t\u1ebf b\u00e0o m\u00e1u (b\u1ea1ch c\u1ea7u, h\u1ed3ng c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u) \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi t\u1ee7y x\u01b0\u01a1ng (l\u00e0 m\u00f4 m\u1ec1m v\u00e0 x\u1ed1p n\u1eb1m \u1edf ph\u1ea7n r\u1ed7ng c\u1ee7a x\u01b0\u01a1ng). H\u00f3a tr\u1ecb l\u00e0m gi\u1ea3m \u0111i kh\u1ea3 n\u0103ng t\u00e1i t\u1ea1o c\u00e1c t\u1ebf b\u00e0o m\u00e1u c\u1ee7a t\u1ee7y x\u01b0\u01a1ng.<\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec1u \u0111\u1eb7n trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ki\u1ec3m tra ch\u1ec9 s\u1ed1 c\u00e1c t\u1ebf b\u00e0o m\u00e1u n\u00e0y. N\u1ebfu s\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u qu\u00e1 th\u1ea5p th\u00ec thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n ho\u1eb7c ph\u1ea3i gi\u1ea3m li\u1ec1u h\u00f3a tr\u1ecb.<\/p>\n<h4><span style=\"font-weight: normal !msorm;\"><strong><em><i>Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng<\/i><\/em><\/strong><\/span><\/h4>\n<p>Khi l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u xu\u1ed1ng th\u1ea5p d\u01b0\u1edbi m\u1ee9c n\u00e0o \u0111\u00f3 th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ea1 b\u1ea1ch c\u1ea7u. Kh\u00f4ng \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb nhi\u1ec5m tr\u00f9ng.<\/p>\n<p>S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u th\u01b0\u1eddng tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111\u1ee3t u\u1ed1ng capecitabine ti\u1ebfp theo.<\/p>\n<p><strong>B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 cho b\u1ea1n c\u00e1c h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 \u00a0nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng. Tuy nhi\u00ean, b\u1ea1n c\u1ea7n li\u00ean h\u1ec7 v\u1edbi b\u1ec7nh vi\u1ec7n ngay l\u1eadp t\u1ee9c n\u1ebfu b\u1ea1n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u sau:<\/strong><\/p>\n<ul>\n<li><strong>S\u1ed1t cao (tr\u00ean 37,5<sup>o<\/sup>C) ho\u1eb7c nhi\u1ec7t \u0111\u1ed9 h\u1ea1 th\u1ea5p (d\u01b0\u1edbi 36<sup>o<\/sup>C), ho\u1eb7c b\u1ea5t k\u1ec3 \u0111i\u1ec1u g\u00ec m\u00e0 nh\u00f3m ch\u0103m s\u00f3c \u0111\u00e3 h\u01b0\u1edbng d\u1eabn.<\/strong><\/li>\n<li><strong>\u0110\u1ed9t nhi\u00ean c\u1ea3m th\u1ea5y kh\u00f4ng kh\u1ecfe, ngay c\u1ea3 khi nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng.<\/strong><\/li>\n<li><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m tr\u00f9ng bao g\u1ed3m \u0111au h\u1ecdng, ho, \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean ho\u1eb7c c\u1ea3m th\u1ea5y l\u1ea1nh ho\u1eb7c run.<\/strong><\/li>\n<\/ul>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u u\u1ed1ng capecitabine, \u0111\u1ed9i ng\u0169 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 cho b\u1ea1n s\u1ed1 \u0111i\u1ec7n tho\u1ea1i li\u00ean l\u1ea1c 24 gi\u1edd ho\u1eb7c c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n kh\u00e1ng sinh.<\/p>\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u1ebfn c\u00e1o ti\u00eam c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng (growth factors) \u0111\u1ec3 k\u00edch th\u00edch s\u1ea3n sinh c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/giam-bach-cau-hat-o-benh-nhan-ung-thu\/\" target=\"_blank\" rel=\"noopener\">Gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0<\/a><\/pre>\n<h4><span style=\"font-weight: normal !msorm;\"><strong><em><i>Thi\u1ebfu m\u00e1u<\/i><\/em><\/strong><\/span><\/h4>\n<p>L\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u th\u1ea5p c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n b\u1ecb thi\u1ebfu m\u00e1u. N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y m\u1ec7t, kh\u00f3 th\u1edf ho\u1eb7c ch\u00f3ng m\u1eb7t, h\u00e3y th\u00f4ng b\u00e1o ngay cho b\u00e1c s\u0129 c\u1ee7a b\u1ea1n.<\/p>\n<h4><span style=\"font-weight: normal !msorm;\"><strong><em><i>B\u1ea7m t\u00edm v\u00e0 ch\u1ea3y m\u00e1u<\/i><\/em><\/strong><\/span><\/h4>\n<p>Capecitabine c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u c\u00f3 ch\u1ee9c n\u0103ng l\u00e0m \u0111\u00f4ng m\u00e1u. B\u1ea1n c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng b\u1ecb b\u1ea7m t\u00edm, ch\u1ea3y m\u00e1u m\u0169i ho\u1eb7c n\u01b0\u1edbu khi \u0111\u00e1nh r\u0103ng. H\u00e3y th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb n\u1ebfu b\u1ea1n b\u1ecb m\u1ed9t trong s\u1ed1 tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/xuat-huyet\/\" target=\"_blank\" rel=\"noopener\">Xu\u1ea5t huy\u1ebft<\/a><\/pre>\n<h4><strong><em>Ti\u00eau ch\u1ea3y<\/em><\/strong><\/h4>\n<p>Ti\u00eau ch\u1ea3y l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong \u0111i\u1ec1u tr\u1ecb, v\u00e0 c\u00f3 th\u1ec3 tr\u1edf n\u1eb7ng.<\/p>\n<p>H\u00e3y th\u00f4ng b\u00e1o v\u1edbi \u0111i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u01b0\u1ee3c k\u00ea thu\u1ed1c ki\u1ec3m so\u00e1t ti\u00eau ch\u1ea3y ho\u1eb7c xem x\u00e9t v\u1ec1 vi\u1ec7c ng\u1eebng u\u1ed1ng capecitabine m\u1ed9t th\u1eddi gian ng\u1eafn.<\/p>\n<p>H\u00e3y th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/p>\n<ul>\n<li>\u0110i ngo\u00e0i tr\u00ean 4 l\u1ea7n trong 24 gi\u1edd<\/li>\n<li>C\u00f3 m\u00e1u trong ph\u00e2n<\/li>\n<li>\u0110au b\u1ee5ng<\/li>\n<li>S\u1ed1t tr\u00ean <strong>37,5<sup>o<\/sup>C<\/strong><\/li>\n<\/ul>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/tieu-chay-trong-qua-trinh-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">Ti\u00eau ch\u1ea3y trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/a><\/pre>\n<h4><strong><em>C\u00e1c ph\u1ea3n \u1ee9ng c\u1ee7a da<\/em><\/strong><\/h4>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoi-chung-tay-chan-hoac-da-va-di-cam-long-ban-tay-ban-chan\/\" target=\"_blank\" rel=\"noopener\">H\u1ed9i ch\u1ee9ng b\u00e0n tay-b\u00e0n ch\u00e2n (Palmar-plantar syndrome)<\/a> l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a m\u1ed9t s\u1ed1 thu\u1ed1c h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p>L\u00f2ng b\u00e0n tay v\u00e0 gan b\u00e0n ch\u00e2n c\u00f3 th\u1ec3 \u0111\u1ecf l\u00ean v\u00e0 \u0111au. \u0110\u00f4i khi b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 c\u1ea3m gi\u00e1c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ngua-o-nguoi-benh-ung-thu\/\" target=\"_blank\" rel=\"noopener\">ng\u1ee9a ran<\/a>, t\u00ea b\u00ec v\u00e0 s\u01b0ng.<\/p>\n<p>Da b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u00f3 \u0111\u1ecf l\u00ean, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/kho-da-o-nguoi-benh-ung-thu\/\" target=\"_blank\" rel=\"noopener\">kh\u00f4 v\u00e0 \u0111\u00f3ng v\u1ea3y da<\/a>.<\/p>\n<p>Tr\u00ec ho\u00e3n thu\u1ed1c ho\u1eb7c gi\u1ea3m li\u1ec1u c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<p>S\u1eed d\u1ee5ng kem d\u01b0\u1ee1ng \u1ea9m c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng kh\u00f4 da.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/da-doi-mau-o-nguoi-benh-ung-thu\/\" target=\"_blank\" rel=\"noopener\">Da \u0111\u1ed5i m\u00e0u \u1edf ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0<\/a><\/pre>\n<h4><strong><em>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda<\/em><\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb bu\u1ed3n n\u00f4n trong khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>M\u1eb7c d\u00f9 \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng n\u00f4n m\u1eeda, thu\u1ed1c ch\u1ed1ng n\u00f4n c\u00f3 th\u1ec3 gi\u00fap l\u00e0m gi\u1ea3m ho\u1eb7c c\u1eaft c\u01a1n bu\u1ed3n n\u00f4n. V\u00ec v\u1eady, b\u1ea1n n\u00ean u\u1ed1ng thu\u1ed1c theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c thu\u1ed1c steroid c\u00f3 th\u1ec3 gi\u00fap cho thu\u1ed1c ch\u1ed1ng n\u00f4n hi\u1ec7u qu\u1ea3 h\u01a1n.<\/p>\n<p>H\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c b\u00e1c s\u0129 gia \u0111\u00ecnh c\u1ee7a b\u1ea1n n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y k\u00e9o d\u00e0i.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/buon-non-va-non-trong-ung-thu\/\" target=\"_blank\" rel=\"noopener\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n trong ung th\u01b0<\/a><\/pre>\n<h4><strong><em>Lo\u00e9t <\/em><\/strong><strong><em>mi\u1ec7ng<\/em><\/strong><\/h4>\n<p>Mi\u1ec7ng v\u00e0 n\u01b0\u1edbu c\u00f3 th\u1ec3 b\u1ecb \u0111au v\u00e0 xu\u1ea5t hi\u1ec7n c\u00e1c v\u1ebft lo\u00e9t nh\u1ecf. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng t\u1ec7 \u0111i n\u1ebfu b\u1ea1n \u0111ang u\u1ed1ng capecitabine c\u00f9ng v\u1edbi c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c.<\/p>\n<p>\u0110i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c \u0111\u1ed9i ng\u0169 \u0111i\u1ec1u tr\u1ecb s\u1ebd t\u01b0 v\u1ea5n cho b\u1ea1n n\u01b0\u1edbc s\u00fac mi\u1ec7ng ho\u1eb7c thu\u1ed1c n\u1ebfu b\u1ea1n g\u1eb7p ph\u1ea3i t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y.<\/p>\n<p>Ch\u0103m s\u00f3c r\u0103ng v\u00e0 n\u01b0\u1edbu l\u00e0 r\u1ea5t quan tr\u1ecdng trong khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>N\u1ebfu c\u00f3 th\u1ec3, b\u1ea1n h\u00e3y kh\u00e1m b\u00e1c s\u0129 nha khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra r\u0103ng mi\u1ec7ng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u h\u00f3a tr\u1ecb nh\u1eb1m tr\u00e1nh ph\u1ea3i \u0111i\u1ec1u tr\u1ecb nha khi \u0111ang ti\u1ebfn h\u00e0nh h\u00f3a tr\u1ecb. N\u1ebfu b\u1ea1n c\u1ea7n \u0111i\u1ec1u tr\u1ecb nha khoa khi \u0111ang h\u00f3a tr\u1ecb th\u00ec h\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 v\u1ec1 th\u1eddi gian ph\u00f9 h\u1ee3p.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dau-va-viem-loet-mieng\/\" target=\"_blank\" rel=\"noopener\">\u0110au v\u00e0 vi\u00eam lo\u00e9t mi\u1ec7ng<\/a> khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/pre>\n<h4><strong><em>M\u1ea5t c\u1ea3m gi\u00e1c th\u00e8m \u0103n<\/em><\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 m\u1ea5t \u0111i s\u1ef1 th\u00e8m \u0103n ho\u1eb7c \u0103n m\u1ea5t ngon khi \u0111ang u\u1ed1ng capecitabine. V\u1ecb gi\u00e1c c\u1ee7a b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i v\u00e0 m\u1ed9t s\u1ed1 th\u1ee9c \u0103n v\u00e0 \u0111\u1ed3 u\u1ed1ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i v\u1ecb.<\/p>\n<p>H\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u1ec1 \u0111i\u1ec1u n\u00e0y \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n. H\u1ecd c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u b\u1ea1n \u0111\u1ebfn chuy\u00ean gia dinh d\u01b0\u1ee1ng n\u1ebfu c\u1ea7n.<\/p>\n<pre>B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ecdc th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/che-do-an-uong-lanh-manh-danh-cho-nhung-nguoi-song-voi-va-sau-chan-doan-ung-thu-vu-nguyen-phat\/\" target=\"_blank\" rel=\"noopener\"><strong>Ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 ung th\u01b0 v\u00fa<\/strong><\/a>\nXem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/mat-cam-giac-ngon-mieng-o-benh-nhan-ung-thu\/\" target=\"_blank\" rel=\"noopener\">M\u1ea5t c\u1ea3m gi\u00e1c ngon mi\u1ec7ng \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0<\/a><\/pre>\n<h4><strong><em>M\u1ec7t m\u1ecfi<\/em><\/strong><\/h4>\n<p>M\u1ec7t m\u1ecfi \u0111i k\u00e8m v\u1edbi ung th\u01b0 x\u1ea3y ra khi tri\u1ec7u ch\u1ee9ng m\u1ec7t m\u1ecfi v\u00e0 ki\u1ec7t s\u1ee9c kh\u00f4ng kh\u1ecfi d\u00f9 sau khi ngh\u1ec9 ng\u01a1i ho\u1eb7c ng\u1ee7. N\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng c\u1ea3 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n c\u1ee7a b\u1ea1n.<\/p>\n<p>M\u1ec7t m\u1ecfi l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 r\u1ea5t ph\u1ed5 bi\u1ebfn c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0i tu\u1ea7n ho\u1eb7c v\u00e0i th\u00e1ng sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb. Th\u1ec9nh tho\u1ea3ng, m\u1ec7t c\u00f3 th\u1ec3 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 k\u00e9o d\u00e0i.<\/p>\n<p>M\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 l\u00e0 do thi\u1ebfu m\u00e1u (thi\u1ebfu h\u1ed3ng c\u1ea7u). \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 h\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb n\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y m\u1ec7t l\u1ea3 \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c l\u00fd do kh\u00e1c.<\/p>\n<p>M\u1ec7t m\u1ecfi \u1ea3nh h\u01b0\u1edfng l\u00ean m\u1ed7i ng\u01b0\u1eddi theo nhi\u1ec1u c\u00e1ch kh\u00e1c nhau v\u00e0 c\u00f3 nhi\u1ec1u c\u00e1ch \u0111\u1ec3 \u1ee9ng ph\u00f3 v\u00e0 x\u1eed tr\u00ed m\u1ec7t m\u1ecfi &#8211; b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/met-moi-trong-qua-trinh-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">M\u1ec7t m\u1ecfi trong qu\u00e1 t\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/a><\/pre>\n<h4><strong><em>R\u1ee5ng t\u00f3c<\/em><\/strong><\/h4>\n<p>Khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng m\u1ed9t m\u00ecnh, capecitabine th\u1ec9nh tho\u1ea3ng l\u00e0m th\u01b0a t\u00f3c t\u1ea1m th\u1eddi. R\u1ea5t hi\u1ebfm khi g\u00e2y r\u1ee5ng to\u00e0n b\u1ed9 t\u00f3c.<\/p>\n<p>N\u1ebfu capecitabine \u0111\u01b0\u1ee3c d\u00f9ng c\u00f9ng v\u1edbi m\u1ed9t thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c th\u00ec h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n s\u1ebd r\u1ee5ng h\u1ebft t\u00f3c bao g\u1ed3m l\u00f4ng m\u00e0y, l\u00f4ng mi v\u00e0 l\u00f4ng c\u01a1 th\u1ec3. \u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin, b\u1ea1n h\u00e3y xem b\u00e0i vi\u1ebft <em><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/rung-toc-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">R\u1ee5ng t\u00f3c trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/a><\/strong><\/em><\/p>\n<h3><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 hi\u1ebfm g\u1eb7p<\/strong><\/h3>\n<h4><strong><em>D\u1ecb \u1ee9ng<\/em><\/strong><\/h4>\n<p>D\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c r\u1ea5t hi\u1ebfm khi x\u1ea3y ra. Ph\u1ea3n \u1ee9ng c\u00f3 th\u1ec3 t\u1eeb nh\u1eb9 t\u1edbi n\u1eb7ng, m\u1eb7c d\u00f9 ph\u1ea3n \u1ee9ng n\u1eb7ng l\u00e0 kh\u00f4ng ph\u1ed5 bi\u1ebfn.<\/p>\n<p>N\u1ebfu b\u1ea1n b\u1ecb s\u01b0ng, th\u1edf kh\u00f2 kh\u00e8, \u0111au ng\u1ef1c ho\u1eb7c kh\u00f3 th\u1edf sau khi u\u1ed1ng capecitabine, h\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c.<\/p>\n<h4><strong><em>Thi\u1ebfu DPD (r\u1ea5t hi\u1ebfm)<\/em><\/strong><\/h4>\n<p>Enzyme DPD (dihydropyrimidine dehydrogenase) l\u00e0 m\u1ed9t lo\u1ea1i protein \u0111\u01b0\u1ee3c s\u1ea3n sinh t\u1ef1 nhi\u00ean trong c\u01a1 th\u1ec3.<\/p>\n<p>Kh\u00f4ng \u0111\u1ee7 DPD c\u00f3 th\u1ec3 l\u00e0m cho thu\u1ed1c h\u00f3a tr\u1ecb t\u00edch t\u1ee5 trong c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ea5t hi\u1ebfm, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m t\u1edbi t\u00ednh m\u1ea1ng.<\/p>\n<h4><em><strong>\u0110\u00f4ng m\u00e1u<\/strong><\/em><\/h4>\n<p>Nh\u1eefng ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa c\u00f3 nguy c\u01a1 \u0111\u00f4ng m\u00e1u cao h\u01a1n. Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0m t\u0103ng nguy c\u01a1 n\u00e0y.<\/p>\n<p>Ung th\u01b0 v\u00fa \u0111\u00e3 x\u00e2m l\u1ea5n c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u00f4ng m\u00e1u.<\/p>\n<p>U\u1ed1ng capecitabine l\u00e0m t\u0103ng nguy c\u01a1 t\u1ea1o huy\u1ebft kh\u1ed1i nh\u01b0 l\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/huyet-khoi-tinh-mach-sau\/\" target=\"_blank\" rel=\"noopener\">huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (deep vein thrombosis, DVT)<\/a>.<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi c\u00f3 DVT c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuyen-tac-phoi\/\" target=\"_blank\" rel=\"noopener\">thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (pulmonary embolism)<\/a>, l\u00e0 khi ph\u1ea7n c\u1ee7a huy\u1ebft kh\u1ed1i v\u1ee1 ra v\u00e0 di chuy\u1ec3n t\u1edbi ph\u1ed5i.<\/p>\n<p>Huy\u1ebft kh\u1ed1i c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m nh\u01b0ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c, v\u00ec v\u1eady b\u1ea1n c\u1ea7n b\u00e1o c\u00e1o c\u00e1c tri\u1ec7u ch\u1ee9ng ngay l\u1eadp t\u1ee9c.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0o trong c\u00e1c tri\u1ec7u ch\u1ee9ng sau\u00a0th\u00ec h\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 \u0111a khoa ho\u1eb7c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c:<\/p>\n<ul>\n<li>\u0110au, t\u1ea5y \u0111\u1ecf ho\u1eb7c \u0111\u1ed5i m\u00e0u da, n\u00f3ng v\u00e0 s\u01b0ng b\u1eafp ch\u00e2n, ch\u00e2n ho\u1eb7c \u0111\u00f9i<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>\u0110au ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c<\/li>\n<li>Ho kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c ho\u1eb7c ho ra m\u00e1u<\/li>\n<\/ul>\n<h2><strong>C\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c<\/strong><\/h2>\n<h3><strong>L\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/strong><\/h3>\n<p>Capecitabine c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n c\u1ea3m th\u1ea5y ch\u00f3ng m\u1eb7t, y\u1ebfu ho\u1eb7c m\u1ec7t. N\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c an to\u00e0n.<\/p>\n<p>Tr\u00e1nh l\u00e1i xe ho\u1eb7c s\u1eed d\u1ee5ng m\u00e1y m\u00f3c n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e0m \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n.<\/p>\n<h3><strong>T\u00f4i c\u00f3 th\u1ec3 u\u1ed1ng capecitabine v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c kh\u00f4ng?<\/strong><\/h3>\n<p>H\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u1ec1 b\u1ea5t k\u1ef3 thu\u1ed1c ho\u1eb7c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng n\u00e0o m\u00e0 b\u1ea1n \u0111ang u\u1ed1ng.<\/p>\n<p>N\u1ebfu b\u1ea1n u\u1ed1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u nh\u01b0 l\u00e0 warfarin, capecitabine c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 xu\u1ea5t huy\u1ebft. B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 s\u1ebd th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra th\u1eddi gian \u0111\u00f4ng m\u00e1u c\u1ee7a b\u1ea1n, \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, ho\u1eb7c \u0111\u1ed5i sang thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u d\u1ea1ng ti\u00eam.<\/p>\n<h3><strong>Quan h\u1ec7 t\u00ecnh d\u1ee5c, tr\u00e1nh thai v\u00e0 mang thai<\/strong><\/h3>\n<p>B\u1ea1n kh\u00f4ng n\u00ean c\u00f3 thai khi \u0111ang \u0111i\u1ec1u tr\u1ecb v\u00ec capecitabine c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi. N\u1ebfu b\u1ea1n ch\u01b0a m\u00e3n kinh, h\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai ph\u00f9 h\u1ee3p nh\u1ea5t. B\u1ea1n v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng th\u1ee5 thai th\u1eadm ch\u00ed khi chu k\u1ef3 kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u ho\u1eb7c \u0111\u00e3 ng\u1eebng.<\/p>\n<p>B\u1ea1n v\u1eabn c\u00f3 th\u1ec3 quan h\u1ec7 t\u00ecnh d\u1ee5c trong khi \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1eddi ta cho r\u1eb1ng thu\u1ed1c h\u00f3a tr\u1ecb kh\u00f4ng th\u1ec3 \u0111i v\u00e0o d\u1ecbch \u00e2m \u0111\u1ea1o ho\u1eb7c tinh d\u1ecbch. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y kh\u00f4ng th\u1ec3 ch\u1eafc ch\u1eafn ho\u00e0n to\u00e0n do c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111i v\u00e0o d\u00f2ng m\u00e1u v\u00e0 m\u1ed9t s\u1ed1 d\u1ecbch kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. H\u1ea7u h\u1ebft c\u00e1c b\u00e1c s\u0129 s\u1ebd khuy\u00ean d\u00f9ng c\u00e1c bi\u1ec7n ph\u00e1p r\u00e0o ch\u1eafn \u0111\u1ec3 tr\u00e1nh thai nh\u01b0 bao cao su trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb v\u00e0 trong m\u1ed9t v\u00e0i ng\u00e0y sau khi h\u00f3a tr\u1ecb.<\/p>\n<h3><strong>Du l\u1ecbch v\u00e0 ti\u00eam v\u1eafc xin<\/strong><\/h3>\n<p>N\u1ebfu b\u1ea1n \u0111ang l\u00ean k\u1ebf ho\u1ea1ch \u0111i ngh\u1ec9 d\u01b0\u1ee1ng ho\u1eb7c c\u1ea7n \u0111i ra n\u01b0\u1edbc ngo\u00e0i th\u00ec tr\u01b0\u1edbc h\u1ebft h\u00e3y xin \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>B\u1ea1n kh\u00f4ng n\u00ean ti\u00eam c\u00e1c v\u1eafc xin s\u1ed1ng trong khi \u0111ang h\u00f3a tr\u1ecb. C\u00e1c v\u1eafc xin s\u1ed1ng g\u1ed3m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuoc-chung-ngua-benh-soi-quai-bi-soi-duc-ebook\/\" target=\"_blank\" rel=\"noopener\">quai b\u1ecb, s\u1edfi v\u00e0 rubella (MMR)<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-bai-liet-va-vaccine-opv\/\" target=\"_blank\" rel=\"noopener\">b\u1ea1i li\u1ec7t (polio)<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/lao-va-vaccine-bcg\/\" target=\"_blank\" rel=\"noopener\">lao (tuberculosis),<\/a> <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-thuy-dau\/#Thuy-dau-va-Zona-co-lien-quan-gi-voi-nhau\" target=\"_blank\" rel=\"noopener\">zona (shingles)<\/a> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuoc-chung-ngua-benh-sot-vang-da-ebook\/\" target=\"_blank\" rel=\"noopener\">c\u01a1n s\u1ed1t v\u00e0ng (yellow fever)<\/a>.<\/p>\n<p>C\u00e1c v\u1eafc xin s\u1ed1ng ch\u1ee9a m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf c\u00e1c vi r\u00fat ho\u1eb7c vi khu\u1ea9n s\u1ed1ng. N\u1ebfu b\u1ea1n c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch y\u1ebfu nh\u01b0 khi b\u1ea1n \u0111ang h\u00f3a tr\u1ecb th\u00ec v\u1eafc xin s\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m.<\/p>\n<p>V\u1eafc xin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam s\u00e1u th\u00e1ng sau khi ho\u00e0n th\u00e0nh h\u00f3a tr\u1ecb. H\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi ti\u00eam b\u1ea5t k\u1ef3 v\u1eafc xin n\u00e0o.<\/p>\n<p>N\u1ebfu m\u1ed9t ai \u0111\u00f3 c\u00f3 ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi b\u1ea1n c\u1ea7n ti\u00eam v\u1eafc xin s\u1ed1ng, h\u00e3y th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c nh\u1eadn nh\u1eefng l\u1eddi khuy\u00ean v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba, ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i v\u1eafc xin.<\/p>\n<h4><strong>Vaccine cho Coronavirus (Covid-19)<\/strong><\/h4>\n<p>Nh\u1eefng ng\u01b0\u1eddi \u0111ang h\u00f3a tr\u1ecb n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi ti\u00eam v\u1eafc xin Covid-19.<\/p>\n<h4><strong>Vaccine c\u00fam<\/strong><\/h4>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n s\u1eafp ho\u1eb7c \u0111ang ho\u00e1 tr\u1ecb l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch y\u1ebfu, d\u1ec5 b\u1ecb nhi\u1ec5m khu\u1ea9n n\u00ean \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin c\u00fam. V\u1eafc xin c\u00fam kh\u00f4ng ph\u1ea3i l\u00e0 v\u1eafc xin s\u1ed1ng n\u00ean kh\u00f4ng ch\u1ee9a b\u1ea5t k\u1ef3 vi r\u00fat s\u1ed1ng n\u00e0o. H\u00e3y h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 v\u1ec1 th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u00eam v\u1eafc xin c\u00fam.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc121_capecitabine_xeloda_web.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc121_capecitabine_xeloda_web.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y gi\u1ea3i th\u00edch v\u1ec1 capecitabine, c\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a thu\u1ed1c, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb, v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i.<\/p>\n","protected":false},"author":548,"featured_media":3690,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316],"tags":[8665,9732,7415,6160,5073,9733],"series":[7032],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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