{"id":6669,"date":"2020-12-25T13:40:50","date_gmt":"2020-12-25T06:40:50","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2020\/12\/25\/tam-soat-ung-thu-con-duong-trong-suong-mu-2\/"},"modified":"2024-03-17T05:26:08","modified_gmt":"2024-03-16T22:26:08","slug":"tam-soat-ung-thu-con-duong-trong-suong-mu-2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/tam-soat-ung-thu-con-duong-trong-suong-mu-2\/","title":{"rendered":"T\u1ea7m so\u00e1t ung th\u01b0: Con \u0111\u01b0\u1eddng trong s\u01b0\u01a1ng m\u00f9"},"content":{"rendered":"<p>Th\u00f4ng tin Globocan \u0111\u01b0a ra n\u0103m 2018 v\u1ec1 t\u00ecnh h\u00ecnh b\u1ec7nh ung th\u01b0 tr\u00ean to\u00e0n c\u1ea7u: Vi\u1ec7t Nam kh\u00f4ng ph\u1ea3i l\u00e0 n\u01b0\u1edbc cao nh\u1ea5t m\u00e0 n\u1eb1m trong nh\u00f3m th\u1ee9 ba v\u1edbi t\u1ea7n su\u1ea5t m\u1eafc m\u1edbi t\u1eeb 138-183 ca tr\u00ean 100.000 d\u00e2n m\u1ed7i n\u0103m. C\u1ee5 th\u1ec3, trong n\u0103m 2018, \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 164.000 ca m\u1edbi, v\u1edbi t\u1ef7 l\u1ec7 m\u1eafc m\u1edbi chu\u1ea9n h\u00f3a theo tu\u1ed5i, gi\u1edbi v\u00e0 c\u00e1c lo\u1ea1i b\u1ec7nh l\u00e0 151\/ 100.000 d\u00e2n. Nh\u1eefng th\u00f4ng tin n\u00e0y kh\u00f4ng l\u00e0m gi\u1ea3m b\u1edbt \u00e1m \u1ea3nh v\u1ec1 nh\u1eefng c\u00e1i ch\u1ebft v\u00ec ung th\u01b0, v\u00ec ch\u1ea5t \u0111\u1ed9c trong th\u1ef1c ph\u1ea9m v\u00e0 t\u00ecnh tr\u1ea1ng \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng. Ng\u01b0\u1eddi ta t\u00ecm \u0111\u1ebfn ng\u00e0nh Y, hy v\u1ecdng c\u00f3 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00e1p th\u00edch \u0111\u00e1ng cho v\u1ea5n \u0111\u1ec1 ph\u00f2ng ng\u1eeba v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0. \u0110\u00e1ng ti\u1ebfc, nh\u1eefng gi\u1ea3i ph\u00e1p hi\u1ec7n t\u1ea1i \u0111ang ch\u1ec7ch h\u01b0\u1edbng v\u00e0 \u0111i ng\u01b0\u1ee3c l\u1ea1i nh\u1eefng g\u00ec \u0111ang \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o tr\u00ean th\u1ebf gi\u1edbi.<\/p>\n<h2><strong>Tr\u01b0\u1edbc h\u1ebft, c\u1ea7n ph\u00e2n bi\u1ec7t t\u1ea7m so\u00e1t v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm<\/strong><\/h2>\n<p>S\u1ef1 ph\u00e2n bi\u1ec7t n\u00e0y l\u00e0 c\u1ea7n thi\u1ebft v\u00ec n\u00f3 c\u1ef1c k\u1ef3 quan tr\u1ecdng khi c\u00e2n nh\u1eafc v\u1ec1 l\u1ee3i\/h\u1ea1i c\u1ee7a m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 gi\u00fap b\u00e1c s\u0129\/ b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t th\u00e1i \u0111\u1ed9 r\u00f5 r\u00e0ng h\u01a1n.<\/p>\n<ul>\n<li>T\u1ea7m so\u00e1t l\u00e0 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0, th\u1ef1c hi\u1ec7n tr\u00ean nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, ho\u00e0n to\u00e0n kh\u00f4ng tri\u1ec7u ch\u1ee9ng. Ch\u1ea9n \u0111o\u00e1n s\u1edbm ung th\u01b0 nh\u1eb1m ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf m\u1ed9t giai \u0111o\u1ea1n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 \u0111em l\u1ea1i ti\u00ean l\u01b0\u1ee3ng t\u1ed1t cho b\u1ec7nh nh\u00e2n, d\u00f9 \u0111\u00e3 b\u1eaft \u0111\u1ea7u c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/li>\n<li>T\u1ea7m so\u00e1t l\u00e0 v\u1ea5n \u0111\u1ec1 c\u1ee7a c\u1ed9ng \u0111\u1ed3ng, \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u00e0i b\u1ea3n theo nh\u1eefng khuy\u1ebfn c\u00e1o d\u1ef1a tr\u00ean y h\u1ecdc ch\u1ee9ng c\u1ee9 v\u00e0 c\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn c\u1ee7a c\u00e1c nh\u00e0 d\u1ecbch t\u1ec3 h\u1ecdc. Ch\u1ea9n \u0111o\u00e1n s\u1edbm b\u1ec7nh ung th\u01b0 l\u00e0 v\u1ea5n \u0111\u1ec1 c\u00e1 nh\u00e2n, m\u1ed9t cu\u1ed9c \u0111\u1ea5u tr\u00ed gi\u1eefa b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1c s\u0129 \u1edf m\u1ed9t b\u00ean v\u00e0 b\u00ean kia l\u00e0 c\u0103n b\u1ec7nh ung th\u01b0.<\/li>\n<li>T\u1ea7m so\u00e1t \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, v\u00ec th\u1ebf \u01b0u ti\u00ean \u00e1p d\u1ee5ng nh\u1eefng bi\u1ec7n ph\u00e1p kh\u00f4ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u00e0 h\u1ea1n ch\u1ebf m\u1ee9c x\u00e2m h\u1ea1i v\u1edbi ng\u01b0\u1eddi tham gia. Ch\u1ea9n \u0111o\u00e1n s\u1edbm th\u1ef1c hi\u1ec7n tr\u00ean b\u1ec7nh nh\u00e2n \u0111ang c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00f4ng vi\u1ec7c c\u1ee7a ng\u01b0\u1eddi b\u00e1c s\u0129 l\u00e0 ph\u1ea3i t\u00ecm ra nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh. V\u00ec th\u1ebf, nh\u1eefng x\u00e9t nghi\u1ec7m d\u00f9 c\u00f3 m\u1ee9c x\u00e2m h\u1ea1i cao h\u01a1n nh\u01b0ng c\u1ea7n thi\u1ebft th\u00ec v\u1eabn \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn.<\/li>\n<li>T\u1ea7m so\u00e1t d\u1ef1a tr\u00ean vi\u1ec7c x\u00e1c \u0111\u1ecbnh nh\u00f3m r\u1ee7i ro v\u00e0 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ph\u00f9 h\u1ee3p. N\u00f3i c\u00e1ch kh\u00e1c, vai tr\u00f2 c\u1ee7a b\u00e1c s\u0129 gia \u0111\u00ecnh l\u00e0 r\u1ea5t l\u1edbn. Ng\u01b0\u1ee3c l\u1ea1i, ch\u1ea9n \u0111o\u00e1n s\u1edbm ch\u1ec9 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u1ebfn s\u1edbm, khi v\u1eeba ch\u1edbm c\u00f3 tri\u1ec7u ch\u1ee9ng. M\u1ea5u ch\u1ed1t l\u00e0 b\u1ec7nh nh\u00e2n ph\u1ea3i bi\u1ebft nh\u1eadn ra s\u1ef1 b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 \u0111i kh\u00e1m ngay, kh\u00f4ng ch\u1ea7n ch\u1edd.<\/li>\n<\/ul>\n<h2><strong>Khuy\u1ebfn c\u00e1o t\u1ea7m so\u00e1t ung th\u01b0 th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>T\u1ea7m so\u00e1t b\u1ec7nh g\u00ec, cho ai, khi n\u00e0o, b\u1eb1ng test n\u00e0o&#8230;\u0110\u00f3 ch\u00ednh l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u01a1 b\u1ea3n c\u1ee7a chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ch\u1ed1ng ung th\u01b0 c\u1ee7a m\u1ed9t qu\u1ed1c gia. Kh\u00f4ng ph\u1ea3i b\u1ec7nh ung th\u01b0 n\u00e0o c\u0169ng t\u1ea7m so\u00e1t \u0111\u01b0\u1ee3c, v\u00ed d\u1ee5 nh\u01b0 ung th\u01b0 n\u00e3o ch\u1eb3ng h\u1ea1n, ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t duy nh\u1ea5t l\u00e0 CT nh\u01b0ng vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u1eabn kh\u00f4ng l\u00e0m thay \u0111\u1ed5i ti\u00ean l\u01b0\u1ee3ng, n\u00ean vi\u1ec7c t\u1ea7m so\u00e1t kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb. T\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i ch\u1eb3ng h\u1ea1n, ch\u1ec9 n\u00ean d\u00f9ng cho \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1, tu\u1ed5i t\u1eeb 55-80 v\u1edbi ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1 nhi\u1ec1u n\u0103m. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ch\u1ecdn l\u00e0 CT ph\u1ed5i li\u1ec1u th\u1ea5p \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m. Ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng kh\u00f4ng h\u00fat thu\u1ed1c, kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh t\u1ea7m so\u00e1t.<\/p>\n<p>Nh\u1eefng h\u01b0\u1edbng d\u1eabn \u0111\u00f3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng t\u1eeb v\u00f4 s\u1ed1 nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec3 h\u1ecdc, c\u00e1c \u0111\u00e1nh gi\u00e1 v\u1ec1 d\u1ef1 h\u1eadu b\u1ec7nh nh\u00e2n sau \u0111i\u1ec1u tr\u1ecb v\u00e0 vai tr\u00f2 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n. \u1ede M\u1ef9, v\u1ea5n \u0111\u1ec1 t\u1ea7m so\u00e1t ung th\u01b0 n\u1eb1m trong l\u0129nh v\u1ef1c y h\u1ecdc d\u1ef1 ph\u00f2ng v\u00e0 \u0111\u01b0\u1ee3c giao cho US Preventive Services Task Force (USPSTF). \u0110\u00e2y l\u00e0 m\u1ed9t nh\u00f3m chuy\u00ean gia bao g\u1ed3m m\u1ed9t s\u1ed1 b\u00e1c s\u0129 gia \u0111\u00ecnh k\u1ebft h\u1ee3p v\u1edbi c\u00e1c nh\u00e0 d\u1ecbch t\u1ec3 h\u1ecdc \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c khuy\u1ebfn c\u00e1o trong nhi\u1ec1u l\u0129nh v\u1ef1c kh\u00e1c nhau, bao g\u1ed3m t\u1ea7m so\u00e1t ung th\u01b0. C\u1ee5 th\u1ec3, \u0111\u1ed1i v\u1edbi m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c t\u1ea7m so\u00e1t, USPTSF c\u1ee7a M\u1ef9 x\u00e2y d\u1ef1ng c\u00e1c khuy\u1ebfn c\u00e1o theo 5 m\u1ee9c \u0111\u1ed9:<\/p>\n<p>A-N\u00ean l\u00e0m v\u00ec l\u1ee3i \u00edch r\u1ea5t r\u00f5 r\u00e0ng (substantial)<br \/>\nB-N\u00ean l\u00e0m v\u00ec l\u1ee3i \u00edch ghi nh\u1eadn \u1edf m\u1ee9c v\u1eeba ph\u1ea3i (moderate)<br \/>\nC-K\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 kh\u00e1 \u00edt, n\u00ean c\u00e2n nh\u1eafc tr\u00ean t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ee5 th\u1ec3 (Selective)<br \/>\nD-Kh\u00f4ng n\u00ean l\u00e0m v\u00ec l\u1ee3i \u00edch kh\u00f4ng r\u00f5 r\u00e0ng ho\u1eb7c h\u1ea1i nhi\u1ec1u h\u01a1n l\u1ee3i (harms outweigh the benefits)<br \/>\nI-Ch\u01b0a \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng k\u1ebft lu\u1eadn.<br \/>\nB\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng tin v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 l\u1ee3i\/h\u1ea1i n\u1ebfu \u00e1p d\u1ee5ng.<\/p>\n<p>H\u1ec7 th\u1ed1ng y t\u1ebf c\u1ee7a c\u00e1c n\u01b0\u1edbc kh\u00e1c \u0111\u1ec1u v\u1eadn h\u00e0nh tr\u00ean c\u01a1 s\u1edf c\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 chuy\u00ean m\u00f4n d\u1ef1a tr\u00ean t\u00ecnh h\u00ecnh b\u1ea3n \u0111\u1ecba. \u1ede Vi\u1ec7t Nam, b\u1ee9c tranh ung th\u01b0 c\u00f3 nhi\u1ec1u \u0111i\u1ec3m kh\u00e1c bi\u1ec7t nh\u01b0 t\u1ea7n su\u1ea5t cao v\u1ec1 ung th\u01b0 gan, ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 \u0111\u1ed9 tu\u1ed5i m\u1eafc b\u1ec7nh tr\u1ebb h\u01a1n nhi\u1ec1u so v\u1edbi khuy\u1ebfn c\u00e1o chung tr\u00ean th\u1ebf gi\u1edbi. \u0110\u00e1ng ti\u1ebfc, vai tr\u00f2 c\u1ee7a B\u1ed9 y t\u1ebf v\u00e0 c\u00e1c h\u1ed9i chuy\u00ean khoa th\u1ef1c s\u1ef1 m\u1edd nh\u1ea1t. Vi\u1ec7c t\u1ea7m so\u00e1t v\u1ed1n l\u00e0 chuy\u1ec7n c\u1ee7a c\u1ed9ng \u0111\u1ed3ng, b\u1ed7ng tr\u1edf th\u00e0nh chuy\u1ec7n ri\u00eang c\u1ee7a m\u1ed7i ng\u01b0\u1eddi- m\u1ea1nh ai n\u1ea5y lo.<\/p>\n<h2><strong>T\u1ea7m so\u00e1t c\u1ed9ng \u0111\u1ed3ng v\u00e0 t\u1ea7m so\u00e1t c\u00e1 nh\u00e2n<\/strong><\/h2>\n<p>T\u1ea7m so\u00e1t ung th\u01b0 lu\u00f4n l\u00e0 v\u1ea5n \u0111\u1ec1 l\u1edbn cho ng\u00e0nh y t\u1ebf c\u00e1c n\u01b0\u1edbc, kh\u00f4ng nh\u1eefng v\u00ec s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n ung th\u01b0 qu\u00e1 nhi\u1ec1u m\u00e0 v\u00ec chi ph\u00ed c\u1ee7a m\u1ecdi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u qu\u00e1 cao. Do \u0111\u00f3, vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 c\u1ea7n c\u00f3 t\u00ednh chi\u1ebfn l\u01b0\u1ee3c v\u00e0 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u1edf m\u1ee9c c\u1ed9ng \u0111\u1ed3ng, th\u1ec3 hi\u1ec7n \u1edf 2 \u0111i\u1ec3m: vi\u1ec7c th\u1ef1c hi\u1ec7n c\u1ea7n c\u00f3 quy ch\u1ebf nghi\u00eam ng\u1eb7t, c\u00f3 h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 v\u00e0 vi\u1ec7c chi tr\u1ea3 kh\u00f4ng thu\u1ed9c v\u1ec1 c\u00e1 nh\u00e2n m\u00e0 c\u00e1c nh\u00e0 b\u1ea3o hi\u1ec3m b\u1eaft bu\u1ed9c ph\u1ea3i \u0111\u1ea3m nh\u1eadn. C\u00e1ch l\u00e0m c\u1ee7a M\u1ef9 c\u0169ng t\u01b0\u01a1ng t\u1ef1 \u1edf h\u1ea7u h\u1ebft c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n, b\u00e1c s\u0129 cho ch\u1ec9 \u0111inh t\u1ea7m so\u00e1t theo h\u01b0\u1edbng d\u1eabn &#8211; b\u1ea3o hi\u1ec3m thanh to\u00e1n theo y\u00eau c\u1ea7u. C\u1ea7n ph\u1ea3i th\u1ea5y m\u1ed9t \u0111i\u1ec1u l\u00e0 chi ph\u00ed cho t\u1ea7m so\u00e1t l\u00e0 r\u1ea5t cao nh\u01b0ng c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t ung th\u01b0 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 kh\u00f4ng t\u00ednh \u0111\u1ebfn tr\u00ean chi ph\u00ed m\u00e0 ch\u1ec9 d\u1ef1a tr\u00ean chuy\u00ean m\u00f4n. N\u1ebfu c\u1ea7n th\u00ec ph\u1ea3i l\u00e0m, b\u1ea3o hi\u1ec3m ph\u1ea3i t\u1ef1 c\u00e2n \u0111\u1ed1i \u0111\u1ec3 thanh to\u00e1n. Ch\u00ednh nh\u1edd lo\u1ea1i tr\u1eeb g\u00e1nh n\u1eb7ng chi ph\u00ed v\u00e0 \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c b\u00e0i b\u1ea3n qua h\u1ec7 th\u1ed1ng b\u00e1c s\u0129 gia \u0111\u00ecnh, m\u1ed7i ng\u01b0\u1eddi d\u00e2n \u0111\u1ec1u c\u00f3 c\u01a1 h\u1ed9i ngang nhau \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t ung th\u01b0 m\u1ed9t c\u00e1ch ti\u00eau chu\u1ea9n theo \u0111\u00fang y\u00eau c\u1ea7u.<\/p>\n<p>\u1ede Vi\u1ec7t Nam cho \u0111\u1ebfn nay v\u1eabn ch\u01b0a c\u00f3 h\u1ec7 th\u1ed1ng b\u00e1c s\u0129 gia \u0111\u00ecnh \u0111\u00fang ngh\u0129a v\u00e0 B\u1ed9 Y t\u1ebf c\u0169ng kh\u00f4ng c\u00f3 nh\u1eefng h\u01b0\u1edbng d\u1eabn r\u00f5 r\u00e0ng v\u1ec1 vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0. Vi\u1ec7c t\u1ea7m so\u00e1t n\u00e0y ho\u00e0n to\u00e0n mang t\u00ednh c\u00e1 nh\u00e2n \u1edf hai ph\u01b0\u01a1ng di\u1ec7n ch\u1ec9 \u0111\u1ecbnh v\u00e0 chi tr\u1ea3. Ho\u1eb7c ng\u01b0\u1eddi ta \u0111\u1ecdc b\u00e1o th\u1ea5y nh\u1eefng th\u00f4ng tin mang t\u00ednh h\u00f9 d\u1ecda, s\u1ee3 qu\u00e1. Ho\u1eb7c b\u1ea1n b\u00e8 ng\u01b0\u1eddi th\u00e2n m\u1edbi m\u1ea5t v\u00ec ung th\u01b0, lo l\u1eafng qu\u00e1&#8230;b\u00e8n \u0111i t\u1ea7m so\u00e1t ung th\u01b0, t\u1ea5t nhi\u00ean l\u00e0 m\u00f3c ti\u1ec1n t\u00fai \u0111i l\u00e0m v\u00ec b\u1ea3o hi\u1ec3m y t\u1ebf Vi\u1ec7t Nam cho \u0111\u1ebfn nay v\u1eabn \u0111\u1ee9ng ngo\u00e0i cu\u1ed9c. Ng\u01b0\u1eddi d\u00e2n \u0111i &#8220;t\u1ea7m so\u00e1t&#8221; v\u1ec1, kh\u00f4ng c\u00f3 b\u1ec7nh g\u00ec, m\u1eebng vui h\u1ec9 h\u1ea3 \u0111i nh\u1eadu \u0103n m\u1eebng v\u00e0 qu\u00ean b\u1eb3ng n\u00f3 \u0111i cho \u0111\u1ebfn v\u00e0i n\u0103m sau, khi c\u0103n b\u1ec7nh ph\u00e1t ra m\u1edbi ng\u1ea1c nhi\u00ean v\u00ec &#8220;v\u1eeba m\u1edbi \u0111i t\u1ea7m so\u00e1t&#8221; c\u01a1 m\u00e0?<\/p>\n<h2><strong>T\u1ea7m so\u00e1t ung th\u01b0 c\u0169ng c\u00f3 th\u1ec3 c\u00f3 h\u1ea1i<\/strong><\/h2>\n<p>Ai c\u0169ng th\u1ea5y c\u00e1i l\u1ee3i c\u1ee7a vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0, th\u1ebf nh\u01b0ng n\u00f3 c\u0169ng h\u1ea1i. C\u00f3 3 c\u00e1i h\u1ea1i, \u0111\u00e1ng \u0111\u1ec3 ng\u01b0\u1eddi ta c\u00e2n nh\u1eafc khi mu\u1ed1n \u0111i t\u1ea7m so\u00e1t.<\/p>\n<ul>\n<li>Tr\u01b0\u1edbc h\u1ebft l\u00e0 h\u1ea1i ti\u1ec1n. C\u00e1c x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t ung th\u01b0, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u00f3m ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, \u0111\u1ec1u c\u00f3 chi ph\u00ed r\u1ea5t cao. \u1ede M\u1ef9, soi \u0111\u1ea1i tr\u00e0ng t\u1ed1n kho\u1ea3ng 3000 usd. CT t\u1ed1n t\u1eeb 1000-5000 usd t\u00f9y lo\u1ea1i. M\u1eb7t kh\u00e1c, vi\u1ec7c l\u1ea1m d\u1ee5ng t\u1ea7m so\u00e1t s\u1ebd l\u00e0m \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn t\u00e0i nguy\u00ean y t\u1ebf v\u00e0 g\u00e2y hoang ph\u00ed kh\u00f4ng c\u1ea7n thi\u1ebft. Ngay c\u1ea3 khi b\u1ea3o hi\u1ec3m \u0111\u1ed3ng \u00fd chi tr\u1ea3, \u0111i\u1ec1u \u0111\u00f3 kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 n\u00f3 mi\u1ec5n ph\u00ed m\u00e0 c\u00e1c c\u00f4ng ty b\u1ea3o hi\u1ec3m v\u1eabn s\u1ebd c\u00e2n \u0111\u1ed1i b\u1eb1ng c\u00e1ch \u0111i\u1ec1u ch\u1ec9nh c\u00e1c ch\u00ednh s\u00e1ch chung. Ng\u01b0\u1eddi h\u01b0\u1edfng b\u1ea3o hi\u1ec3m v\u1eabn s\u1ebd b\u1ecb \u1ea3nh h\u01b0\u1edfng m\u1ed9t ph\u1ea7n, d\u00f9 c\u00e1ch n\u00e0y hay c\u00e1ch kh\u00e1c. \u1ede Vi\u1ec7t Nam, chi ph\u00ed y t\u1ebf \u0111ang n\u1eb1m d\u01b0\u1edbi gi\u00e1 tr\u1ecb th\u1eadt c\u1ee7a n\u00f3 kh\u00e1 xa. Vi\u1ec7c l\u1ea1m d\u1ee5ng t\u1ea7m so\u00e1t c\u00f2n ch\u01b0a b\u1ed9c l\u1ed9 r\u00f5 r\u00e0ng v\u1ec1 chi ph\u00ed nh\u01b0ng vi\u1ec7c \u0111\u01b0a d\u1ecbch v\u1ee5 y t\u1ebf v\u1ec1 gi\u00e1 tr\u1ecb th\u1eadt l\u00e0 kh\u00f4ng tr\u00e1nh kh\u1ecfi trong t\u01b0\u01a1ng lai. T\u1ea7m so\u00e1t lung tung c\u00f3 th\u1ec3 s\u1ebd tr\u1edf th\u00e0nh m\u1ed9t th\u00f3i quen x\u1ea5u kh\u00f3 s\u1eeda.<\/li>\n<li>\u0110i\u1ec3m th\u1ee9 hai l\u00e0 h\u1ea1i n\u00e3o. C\u1ea7n ph\u1ea3i bi\u1ebft m\u1ed9t vi\u1ec7c l\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m d\u1ea5u \u1ea5n ung th\u01b0 c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 chuy\u00ean bi\u1ec7t r\u1ea5t k\u00e9m.<\/li>\n<\/ul>\n<p>C\u00e1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u0169ng kh\u00f4ng kh\u00e1 g\u00ec h\u01a1n. Khi th\u0103m d\u00f2, t\u1ef7 l\u1ec7 ph\u00e1t hi\u1ec7n ung th\u01b0 th\u1eadt s\u1ef1 kh\u00f4ng \u0111\u00e1ng l\u00e0 bao so v\u1edbi nh\u1eefng t\u1ed5n th\u01b0\u01a1ng l\u00e0nh t\u00ednh kh\u00e1c nh\u01b0 u l\u00e0nh, v\u00f4i h\u00f3a, nang n\u01b0\u1edbc, t\u1ed5 ch\u1ee9c x\u01a1 v.v&#8230; m\u00e0 \u00edt khi c\u00e1c nh\u00e0 X quang c\u00f3 th\u1ec3 kh\u1eb3ng \u0111\u1ecbnh l\u00e0 ch\u1eb3ng c\u00f3 g\u00ec quan tr\u1ecdng. Khi \u0111\u00f3, c\u00e1c bi\u00ean b\u1ea3n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh th\u01b0\u1eddng k\u1ebft th\u00fac b\u1eb1ng nh\u1eefng c\u00e2u v\u0103n r\u1ea5t kinh \u0111i\u1ec3n:<\/p>\n<ul>\n<li>Ch\u01b0a lo\u1ea1i tr\u1eeb \u00e1c t\u00ednh<\/li>\n<li>C\u1ea7n k\u1ebft h\u1ee3p l\u00e2m s\u00e0ng<\/li>\n<li>\u0110\u1ec1 ngh\u1ecb sinh thi\u1ebft \u0111\u1ec3 ki\u1ec3m tra<\/li>\n<\/ul>\n<p>Nh\u1eefng c\u00e2u th\u1ea7n ch\u00fa n\u00e0y \u0111\u01b0a qu\u1ea3 b\u00f3ng tr\u00e1ch nhi\u1ec7m v\u1ec1 ph\u00eda b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 h\u1ecd b\u1eaft bu\u1ed9c ph\u1ea3i l\u00e0m th\u00eam nhi\u1ec1u x\u00e9t nghi\u1ec7m kh\u00e1c, nhi\u1ec1u ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u00e1c ho\u1eb7c th\u1eadm ch\u00ed l\u00e0m sinh thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 an t\u00e2m v\u1ec1 m\u1ed1i h\u1ecda ung th\u01b0. H\u1eadu qu\u1ea3 l\u00e0 ng\u01b0\u1eddi \u0111\u1ebfn kh\u00e1m t\u1ed1n th\u00eam ti\u1ec1n, m\u1ea5t th\u00eam th\u1eddi gian, \u0111\u1ed5 b\u1ec7nh v\u00ec lo l\u1eafng trong th\u1eddi gian ch\u1edd \u0111\u1ee3i, \u0111\u00f4i khi c\u00f3 tai bi\u1ebfn v\u00ec c\u00e1c k\u1ef9 thu\u1eadt x\u00e2m l\u1ea5n. \u0110\u1ec3 r\u1ed3i cu\u1ed1i c\u00f9ng, k\u1ebft qu\u1ea3 l\u1ea1i l\u00e0 b\u00ecnh th\u01b0\u1eddng. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y g\u1ecdi l\u00e0 d\u01b0\u01a1ng t\u00ednh gi\u1ea3, v\u00e0 g\u1eb7p kh\u00f4ng ph\u1ea3i l\u00e0 \u00edt. H\u1eadu qu\u1ea3 tr\u1ef1c ti\u1ebfp c\u1ee7a n\u00f3 l\u00e0 ch\u1ea9n \u0111o\u00e1n qu\u00e1 l\u1ed1 v\u00e0 \u0111\u00f4i khi, \u0111i\u1ec1u tr\u1ecb qu\u00e1 l\u1ed1.<\/p>\n<ul>\n<li>C\u00e1i h\u1ea1i cu\u1ed1i c\u00f9ng, l\u00e0 h\u1ea1i s\u1ee9c kh\u1ecfe, li\u00ean quan \u0111\u1ebfn \u00e2m t\u00ednh gi\u1ea3. \u0110i\u1ec1u m\u00e0 ng\u01b0\u1eddi \u0111i kh\u00e1m \u00edt \u0111\u1ec3 \u00fd, l\u00e0 nh\u1eefng ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t ung th\u01b0 c\u0169ng c\u00f3 gi\u00e1 tr\u1ecb r\u1ea5t h\u1ea1n ch\u1ebf. N\u00f3 kh\u00f4ng bao g\u1ed3m t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i ung th\u01b0 m\u00e0 ch\u1ee7 y\u1ebfu ch\u1ec9 l\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t. Ngay c\u1ea3 \u0111\u1ed1i v\u1edbi t\u1eebng lo\u1ea1i ung th\u01b0 chuy\u00ean bi\u1ec7t, kh\u1ea3 n\u0103ng b\u1ecf s\u00f3t ch\u1ea9n \u0111o\u00e1n c\u0169ng kh\u00f4ng ph\u1ea3i nh\u1ecf. Ph\u1ebft c\u1ed5 t\u1eed cung, ch\u1ee5p nh\u0169 \u1ea3nh c\u00f3 th\u1ec3 b\u1ecf s\u00f3t t\u1eeb 10-20%, Test t\u00ecm m\u00e1u trong ph\u00e2n c\u00f3 th\u1ec3 \u00e2m t\u00ednh gi\u1ea3 \u0111\u1ebfn 50%. Ng\u01b0\u1eddi \u0111i t\u1ea7m so\u00e1t c\u00f3 th\u1ec3 qu\u00e1 tin v\u00e0o k\u1ebft qu\u1ea3 t\u1ea7m so\u00e1t m\u00e0 b\u1ecf qua nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng trong c\u01a1 th\u1ec3 m\u00ecnh, d\u1eabn \u0111\u1ebfn vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh qu\u00e1 tr\u1ec5 .<br \/>\nM\u1ed9t c\u00e1i h\u1ea1i kh\u00e1c v\u1ec1 s\u1ee9c kh\u1ecfe li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. Nhi\u1ec1u qu\u1ea3ng c\u00e1o v\u1ec1 t\u1ea7m so\u00e1t ch\u1ec9 \u0111\u01b0a ra \u01b0u \u0111i\u1ec3m khi l\u00e0m CT to\u00e0n th\u00e2n m\u00e0 kh\u00f4ng cho ng\u01b0\u1eddi ch\u1ee5p bi\u1ebft h\u1ecd ph\u1ea3i ch\u1ecbu m\u1ed9t li\u1ec1u chi\u1ebfu x\u1ea1 l\u00ean \u0111\u1ebfn 15-20 msV, b\u1eb1ng 200 l\u1ea7n ch\u1ee5p ph\u1ed5i . Vi\u1ec7c l\u1ea1m d\u1ee5ng c\u00e1c th\u1ee7 thu\u1eadt n\u1ed9i soi c\u0169ng l\u00e0 m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng ph\u1ed5 bi\u1ebfn, ph\u1ea7n n\u00e0o v\u00ec chi ph\u00ed n\u1ed9i soi hi\u1ec7n nay qu\u00e1 th\u1ea5p.<\/li>\n<\/ul>\n<p>Ch\u00ednh v\u00ec c\u00f3 nh\u1eefng b\u1ea5t c\u1eadp nh\u01b0 th\u1ebf, vi\u1ec7c x\u00e1c \u0111\u1ecbnh tu\u1ed5i b\u1eaft \u0111\u1ea7u t\u1ea7m so\u00e1t v\u00e0 test n\u00e0o d\u00f9ng \u0111\u1ec3 t\u1ea7m so\u00e1t \u0111\u1ec1u d\u1ef1a tr\u00ean nh\u1eefng b\u1eb1ng ch\u1ee9ng c\u1ee5 th\u1ec3. D\u00f9ng nh\u1eefng test qu\u00e1 m\u01a1 h\u1ed3 s\u1ebd g\u00e2y ra nhi\u1ec1u d\u01b0\u01a1ng t\u00ednh gi\u1ea3 hay \u00e2m t\u00ednh gi\u1ea3, \u0111\u1ec1u \u0111\u01b0a \u0111\u1ebfn nhi\u1ec1u h\u1eadu qu\u1ea3 kh\u00f4ng l\u01b0\u1eddng. \u0110i\u1ec1u n\u00e0y ho\u00e0n to\u00e0n \u0111ang \u0111\u01b0\u1ee3c bu\u00f4ng th\u1ea3 \u1edf n\u01b0\u1edbc ta, khi c\u00e1c \u0111\u01a1n v\u1ecb y t\u1ebf gom c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t c\u00e1c test kh\u00e1c nhau \u0111\u1ec3 b\u00e1n &#8220;s\u0129&#8221; d\u01b0\u1edbi h\u00ecnh th\u1ee9c nh\u1eefng g\u00f3i t\u1ea7m so\u00e1t ung th\u01b0.<\/p>\n<h2><strong>G\u00f3i t\u1ea7m so\u00e1t ung th\u01b0 l\u00e0 s\u1ef1 th\u1ea5t b\u1ea1i v\u1ec1 m\u1eb7t qu\u1ea3n l\u00fd<\/strong><\/h2>\n<p>Trong khi B\u1ed9 y t\u1ebf ch\u01b0a c\u00f3 m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c ho\u00e0n ch\u1ec9nh v\u1ec1 t\u1ea7m so\u00e1t ung th\u01b0, ng\u01b0\u1eddi d\u00e2n \u0111ang t\u1ef1 c\u1ee9u l\u1ea5y m\u00ecnh b\u1eb1ng c\u00e1ch t\u00ecm t\u1edbi c\u00e1c g\u00f3i t\u1ea7m so\u00e1t ung th\u01b0 c\u1ee7a nhi\u1ec1u b\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m. C\u00f3 th\u1ec3 n\u00f3i, t\u1ea7m so\u00e1t ung th\u01b0 nh\u01b0 tr\u0103m hoa \u0111ua n\u1edf, g\u00f3i t\u1ed5ng qu\u00e1t \u0111\u1ebfn chuy\u00ean khoa, g\u00f3i th\u01b0\u1eddng d\u00e2n l\u00ean qu\u00fd t\u1ed9c, t\u1eeb khuy\u1ebfn m\u00e3i gi\u1ea3m gi\u00e1 \u0111\u1ebfn t\u1eb7ng k\u00e8m du l\u1ecbch v.v.. \u0111\u1ee7 c\u1ea3. M\u1ed7i g\u00f3i kh\u00e1m \u0111\u1ea1i lo\u1ea1i \u0111\u1ec1u g\u1ed3m th\u1eed m\u00e1u, ch\u1ee5p h\u00ecnh v\u00e0 kh\u00e1m &#8211; ch\u1ec9 kh\u00e1c s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u \u00edt. \u0110i\u1ec1u \u0111\u00e1ng ghi nh\u1eadn l\u00e0 nh\u1eefng g\u00f3i kh\u00e1m ung th\u01b0 nh\u01b0 th\u1ebf n\u00e0y \u00edt g\u1eb7p tr\u00ean th\u1ebf gi\u1edbi, v\u00ec n\u00f3 \u0111i ng\u01b0\u1ee3c l\u1ea1i y \u0111\u1ee9c v\u00e0 kh\u00f4ng c\u00f3 c\u01a1 s\u1edf khoa h\u1ecdc.<\/p>\n<ul>\n<li>Tr\u01b0\u1edbc h\u1ebft, c\u00e1c g\u00f3i t\u1ea7m so\u00e1t \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng theo kh\u1ea3 n\u0103ng chi tr\u1ea3 m\u00e0 kh\u00f4ng ph\u1ea3i theo nhu c\u1ea7u. Ng\u01b0\u1eddi c\u00f3 ti\u1ec1n th\u00ec t\u1ea7m so\u00e1t c\u1ea9n th\u1eadn, ng\u01b0\u1eddi \u00edt ti\u1ec1n th\u00ec t\u1ea7m so\u00e1t s\u01a1 s\u00e0i. V\u1eady \u0111\u00e2u l\u00e0 c\u00f4ng b\u1eb1n? Nhi\u1ec1u ti\u1ec1n th\u00ec &#8220;t\u1ea7m&#8221; h\u1ebft to\u00e0n th\u00e2n, \u00edt ti\u1ec1n th\u00ec ch\u1ec9 &#8220;t\u1ea7m&#8221; \u1edf \u0111\u1ea7u, c\u00f2n ch\u00e2n b\u1ecf l\u1ea1i?<\/li>\n<li>Th\u1ee9 hai, g\u00f3i t\u1ea7m so\u00e1t ch\u1eb3ng qua l\u00e0 b\u00e1n s\u0129 d\u1ecbch v\u1ee5, trong \u0111\u00f3 c\u00f3 h\u00e0ng qu\u00e1 date ( nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c d\u00f9ng), h\u00e0ng k\u00e9m ch\u1ea5t l\u01b0\u1ee3ng ( kh\u00f4ng \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn d\u00f9ng \u0111\u1ec3 t\u1ea7m so\u00e1t) v\u00e0 h\u00e0ng t\u1eb7ng k\u00e8m kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb ( nh\u1eefng test v\u00f4 th\u01b0\u1edfng v\u00f4 ph\u1ea1t kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb t\u1ea7m so\u00e1t). Nh\u1eefng v\u00ed d\u1ee5 r\u1ea5t th\u01b0\u1eddng g\u1eb7p l\u00e0 x quang ph\u1ed5i t\u1ea7m so\u00e1t ung th\u01b0 ph\u1ed5i , hi\u1ec7n kh\u00f4ng c\u00f2n d\u00f9ng v\u00ec kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n hay ch\u1ea9n \u0111o\u00e1n s\u1edbm. Ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 s\u1ef1 l\u1ea1m d\u1ee5ng c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u t\u00ecm d\u1ea5u \u1ea5n ung th\u01b0, v\u1ed1n \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn l\u00e0 kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb t\u1ea7m so\u00e1t v\u00ec t\u1ef7 l\u1ec7 d\u01b0\u01a1ng t\u00ednh gi\u1ea3\/\u00e2m t\u00ednh gi\u1ea3 qu\u00e1 cao, nh\u01b0ng v\u1eabn \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng t\u00ecm ra \u0111\u1ee7 lo\u1ea1i ung th\u01b0.<\/li>\n<li>Cu\u1ed1i c\u00f9ng, c\u00e1c g\u00f3i t\u1ea7m so\u00e1t \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf nh\u01b0 m\u1ed9t l\u1ea7n kh\u1ea3o s\u00e1t c\u1eaft ngang, x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n t\u1ea1i m\u1ed9t th\u1eddi \u0111i\u1ec3m. Vi\u1ec7c bu\u00f4ng l\u1ecfng b\u1ec7nh nh\u00e2n sau \u0111\u00f3 ho\u1eb7c vi\u1ec7c l\u1eadp l\u1ea1i g\u00f3i t\u1ea7m so\u00e1t sau 1 n\u0103m, 2 n\u0103m v.v.. \u0111\u1ec1u l\u00e0 sai v\u00ec m\u1ed7i m\u1ed9t lo\u1ea1i ung th\u01b0 c\u00f3 y\u00eau c\u1ea7u ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 sau nh\u1eefng kho\u1ea3ng th\u1eddi gian kh\u00e1c nhau, th\u1eadm ch\u00ed kh\u00e1c nhau v\u1edbi m\u1ed7i b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u00e1p d\u1ee5ng \u0111\u1ea1i tr\u00e0, kh\u00f4ng theo l\u1ecbch tr\u00ecnh chuy\u00ean m\u00f4n, thu\u1ea7n t\u00fay ch\u1ec9 c\u00f2n l\u00e0 mua b\u00e1n d\u1ecbch v\u1ee5 y t\u1ebf ch\u1ee9 kh\u00f4ng c\u00f2n \u00fd ngh\u0129a l\u00e0 t\u1ea7m so\u00e1t ung th\u01b0 n\u1eefa.<\/li>\n<\/ul>\n<h2>Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u :<\/h2>\n<p>M\u1ed9t qu\u1ea3ng c\u00e1o c\u1ee7a VinMec v\u1ec1 g\u00f3i t\u1ea7m so\u00e1t c\u00f4ng ngh\u1ec7 cao l\u00e0m hoa m\u1eaft ng\u01b0\u1eddi d\u00e2n v\u1edbi m\u1ee9c chi ph\u00ed kh\u1ee7ng v\u00e0 nh\u1eefng l\u1eddi hoa m\u1ef9 v\u1ec1 c\u00f4ng ngh\u1ec7 ch\u1ea9n \u0111o\u00e1n gen. Tr\u00ean th\u1ef1c t\u1ebf , x\u00e9t nghi\u1ec7m t\u00ecm gen \u0111\u1ed9t bi\u1ebfn ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n c\u0103n b\u1ec7nh ung th\u01b0 m\u00e0 ch\u1ec9 cho ng\u01b0\u1eddi ta bi\u1ebft m\u1ee9c \u0111\u1ed9 nguy c\u01a1 b\u1ecb ung th\u01b0 c\u00f3 cao h\u01a1n b\u00ecnh th\u01b0\u1eddng hay kh\u00f4ng. Vi\u1ec7c x\u00e1c nh\u1eadn m\u00ecnh c\u00f3 gen b\u1ea5t th\u01b0\u1eddng ch\u1ec9 l\u00e0m ng\u01b0\u1eddi ta th\u00eam lo l\u1eafng, ch\u01b0a ch\u1eafc \u0111\u00e3 mang l\u1ea1i l\u1ee3i \u00edch th\u1ef1c t\u1ebf. B\u1ea3n th\u00e2n c\u00e1c khuy\u1ebfn c\u00e1o l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh ung th\u01b0 c\u0169ng \u0111\u00e3 c\u00e2n nh\u1eafc \u0111\u1ebfn vi\u1ec7c thay \u0111\u1ed5i t\u1ea7n su\u1ea5t t\u1ea7m so\u00e1t.<br \/>\nH\u01b0\u1edbng \u0111i c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i to\u00e0n b\u1ed9 b\u1ee9c tranh t\u1ea7m so\u00e1t ung th\u01b0 l\u00e0 vi\u1ec7c \u1ee9ng d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt tinh l\u1ecdc \u0111\u1ec3 t\u00ecm t\u1ebf b\u00e0o ung th\u01b0 trong m\u00e1u (ctc=circulating tumor cell) hay c\u00e1c acid nucleic \u0111\u1eb7c tr\u01b0ng cho ung th\u01b0 l\u01b0u h\u00e0nh trong m\u00e1u (ct DNA = Circulating Tumor DNA). C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y tuy ch\u1ec9 l\u00e0 th\u1eed m\u00e1u nh\u01b0ng kh\u1eb3ng \u0111\u1ecbnh \u0111\u01b0\u1ee3c s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 n\u00ean \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn nh\u01b0 m\u1ed9t d\u1ea1ng \u0111\u1eb7c bi\u1ec7t c\u1ee7a sinh thi\u1ebft, sinh thi\u1ebft l\u1ecfng=liquid biopsy.<br \/>\nSinh thi\u1ebft l\u1ecfng l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c n\u00f3ng trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y v\u00e0 h\u1ea7u h\u1ebft c\u00e1c h\u00e3ng d\u01b0\u1ee3c l\u1edbn \u0111\u1ec1u \u0111\u1ed5 ti\u1ec1n v\u00e0o nghi\u00ean c\u1ee9u \u0111\u1ec3 s\u1edbm \u0111\u01b0a ra th\u1ecb tr\u01b0\u1eddng. \u1ee8ng d\u1ee5ng c\u1ee7a ch\u00fang r\u1ea5t r\u1ed9ng v\u00ec n\u00f3 \u0111\u01b0\u1ee3c d\u00f9ng trong t\u1ea7m so\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u1edbi \u01b0u \u0111i\u1ec3m tuy\u1ec7t \u0111\u1ed1i l\u00e0 kh\u00f4ng x\u00e2m l\u1ea5n(ch\u1ec9 l\u1ea5y m\u00e1u), nhanh (ch\u1ec9 v\u00e0i ng\u00e0y) , k\u1ef9 thu\u1eadt \u0111\u01a1n gi\u1ea3n (ch\u1ec9 c\u1ea7n k\u1ef9 thu\u1eadt vi\u00ean thay v\u00ec b\u00e1c s\u0129 chuy\u00ean khoa), chi ph\u00ed th\u1ea5p ( so v\u1edbi sinh thi\u1ebft th\u1ef1c s\u1ef1) v\u00e0 c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ngay c\u1ea3 \u1edf c\u00e1c ph\u00f2ng kh\u00e1m gia \u0111\u00ecnh.<br \/>\nV\u1ea5n \u0111\u1ec1 c\u1ee7a sinh thi\u1ebft l\u1ecfng hi\u1ec7n nay l\u00e0 t\u00ecm \u0111\u01b0\u1ee3c ch\u1ea5t th\u1eed ph\u00f9 h\u1ee3p v\u1edbi chi ph\u00ed th\u1ea5p nh\u1ea5t v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 nh\u1ea1y c\u1ea3m\/\u0111\u1eb7c hi\u1ec7u cao nh\u1ea5t. \u0110\u00e3 c\u00f3 m\u1ed9t s\u1ed1 test \u0111\u01b0\u1ee3c th\u01b0\u01a1ng m\u1ea1i ho\u00e1 nh\u01b0ng ch\u1ee7 y\u1ebfu \u0111\u1ec3 h\u1ed5 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb. Ch\u01b0a c\u00f3 test n\u00e0o \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn d\u00f9ng trong t\u1ea7m so\u00e1t v\u00e0 tri\u1ec3n v\u1ecdng n\u00e0y \u00edt c\u00f3 kh\u1ea3 n\u0103ng tr\u1edf th\u00e0nh hi\u1ec7n th\u1ef1c tr\u01b0\u1edbc n\u0103m 2020. Ngay c\u1ea3 khi \u0111\u00f3, chi ph\u00ed c\u1ee7a test ch\u01b0a ch\u1eafc \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e1c nh\u00e0 b\u1ea3o hi\u1ec3m y t\u1ebf th\u00f4ng qua \u0111\u1ec3 \u0111\u01b0\u1ee3c tri\u1ec3n khai r\u1ed9ng r\u00e3i.<br \/>\nCancerseek l\u00e0 m\u1ed9t trong nh\u1eefng test c\u00f3 ti\u1ec1m n\u0103ng, \u0111\u01b0\u1ee3c \u0111\u01b0a ra t\u1eeb nghi\u00ean c\u1ee9u c\u1ee7a vi\u1ec7n Hopkins, nh\u1eb1m t\u1ea7m so\u00e1t 8 lo\u1ea1i ung th\u01b0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 gan, bu\u1ed3ng tr\u1ee9ng, \u0111\u1ea1i tr\u00e0ng, tu\u1ef5, ph\u1ed5i , v\u00fa, th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y ( chi\u1ebfm kho\u1ea3ng 60% t\u1ed5ng s\u1ed1 b\u1ec7nh ung th\u01b0) . Nh\u1eefng k\u1ebft qu\u1ea3 ban \u0111\u1ea7u cho th\u1ea5y test c\u00f3 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u \u0111\u1ebfn 99% nh\u01b0ng \u0111\u1ed9 nh\u1ea1y thay \u0111\u1ed5i t\u1eeb 33-98% tu\u1ef3 lo\u1ea1i. Ch\u01b0a c\u00f3 th\u00f4ng tin d\u1ef1 \u0111o\u00e1n \u0111\u1ebfn khi n\u00e0o Cancerseek s\u1ebd \u0111\u01b0\u1ee3c th\u01b0\u01a1ng m\u1ea1i ho\u00e1.<br \/>\nM\u1ed9t s\u1ed1 test kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c th\u01b0\u01a1ng m\u1ea1i ho\u00e1, nh\u01b0ng c\u0169ng ch\u1ec9 d\u00f9ng theo d\u00f5i \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111\u00e1nh gi\u00e1 nguy c\u01a1 qua gen, kh\u00f4ng d\u00f9ng trong t\u1ea7m so\u00e1t.<\/p>\n<ul>\n<li>Guardant360 (Guardant Health)<\/li>\n<li>Grail (Grail Bio)<\/li>\n<li>Cobas EGFR Mutation Test v2 (Roche)<\/li>\n<li>Cancerintercept (Pathway Genomics)<\/li>\n<li>PlasmaSelect-RTM (Personal Genome Diagnostics)<\/li>\n<li>myRisk (Myriad Genetics)<\/li>\n<li>Oncotype SEQ (Genomic Health):<\/li>\n<li>OncocEE (<a href=\"https:\/\/l.facebook.com\/l.php?u=http%3A%2F%2FBiocept.com%2F%3Ffbclid%3DIwAR1MbO9LyygGcShCeySZ2L0qk4I-3HHOAbVJI0u1TrDwlTHvjj3SCId4KsE&amp;h=AT0hKB7LZtXMjscaRPpww4A7D9aqgMxJ3kefof1t-w4oAWVii-poyr7c1gsw7g0Vrw3rRoEuXYd5N-QQqh1DDXnEB63oMJb7UoAx7CAY7WbP-pFkYUuORoAJgK-d_p69t19lJDSa2MlCVwB5zmtu_VvcWtgJTA8fC88FXv6IBDnjYGmv\">Biocept.com<\/a>)<\/li>\n<\/ul>\n<h2><strong>Gi\u1ea3i ph\u00e1p \u1edf \u0111\u00e2u ?<\/strong><\/h2>\n<p>N\u1ebfu nh\u1eefng g\u00f3i kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 c\u00f3 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 nh\u01b0 th\u1ebf, l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ph\u00f2ng ch\u1ed1ng ung th\u01b0 hi\u1ec7u qu\u1ea3 ? Th\u1eadt ra, vi\u1ec7c t\u1ea7m so\u00e1t \u1edf m\u1ee9c c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u00f4 c\u00f9ng l\u1edbn, c\u1ea7n s\u1ef1 thay \u0111\u1ed5i v\u1ec1 nhi\u1ec1u m\u1eb7t. Ng\u01b0\u1ee3c l\u1ea1i, vi\u1ec7c ph\u00f2ng ch\u1ed1ng ung th\u01b0 \u1edf m\u1ee9c c\u00e1 nh\u00e2n \u0111\u01a1n gi\u1ea3n h\u01a1n nhi\u1ec1u, ch\u1ec9 c\u1ea7n hi\u1ec3u v\u00e0 l\u00e0m 3 vi\u1ec7c.<\/p>\n<ul>\n<li>\u00a0N\u1ebfu B\u1ed9 Y t\u1ebf \u0111\u00e3 kh\u00f4ng t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c m\u1ea1ng l\u01b0\u1edbi b\u00e1c s\u0129 gia \u0111\u00ecnh hi\u1ec7u qu\u1ea3, kh\u00f4ng ai c\u1ea5m b\u1ea1n t\u1ef1 ch\u1ecdn cho m\u00ecnh m\u1ed9t ng\u01b0\u1eddi nh\u01b0 v\u1eady. \u0110\u00f3 kh\u00f4ng c\u1ea7n ph\u1ea3i l\u00e0 chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh, ch\u1ec9 c\u1ea7n c\u00f3 s\u1ef1 quan t\u00e2m \u0111\u00fang m\u1ee9c v\u00e0 n\u1eafm \u0111\u01b0\u1ee3c c\u00e1c khuy\u1ebfn c\u00e1o chung v\u1ec1 t\u1ea7m so\u00e1t c\u00e1c lo\u1ea1i ung th\u01b0 \u1edf hai gi\u1edbi. C\u1ea7n c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 v\u1ec1 qu\u1ea3n l\u00fd th\u00f4ng tin \u0111i\u1ec7n t\u1eed v\u00e0 c\u00f3 th\u01b0 k\u00fd y khoa \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o vi\u1ec7c theo d\u00f5i v\u00e0 nh\u1eafc nh\u1edf \u1edf c\u00e1c th\u1eddi \u0111i\u1ec3m c\u1ea7n t\u1ea7m so\u00e1t hay kh\u00e1m \u0111\u1ecbnh k\u1ef3. T\u1ea1i th\u1eddi \u0111i\u1ec3m n\u00e0y, khi c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00f4ng quan t\u00e2m, c\u00e1c b\u00e1c s\u0129 t\u01b0 ch\u1ec9 kh\u00e1m th\u1eddi v\u1ee5, n\u01a1i th\u00edch h\u1ee3p nh\u1ea5t l\u00e0 c\u00e1c ph\u00f2ng kh\u00e1m \u0111a khoa qui m\u00f4 c\u00f3 chuy\u00ean m\u00f4n t\u1ed1t v\u00e0 c\u00f3 b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed k\u00e8m h\u1ec7 th\u1ed1ng \u0111\u1eb7t h\u1eb9n. T\u1ea1i c\u00e1c th\u00e0nh ph\u1ed1 l\u1edbn, c\u00f3 nhi\u1ec1u ph\u00f2ng kh\u00e1m nh\u01b0 th\u1ebf. M\u1eb7t kh\u00e1c, \u1edf Vi\u1ec7t Nam c\u00f3 m\u1ed9t l\u1ee3i th\u1ebf l\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u , ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 n\u1ed9i soi \u0111\u1ec1u c\u00f3 chi ph\u00ed th\u1ea5p r\u1ea5t nhi\u1ec1u so v\u1edbi n\u01b0\u1edbc ngo\u00e0i n\u00ean c\u00e1c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1 nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u1ec5 d\u00e0ng v\u00e0 r\u1ed9ng h\u01a1n so v\u1edbi khuy\u1ebfn c\u00e1o. B\u1ea1n ch\u1ec9 c\u1ea7n c\u00f3 m\u1ed9t b\u00e1c s\u0129 t\u1ed1t t\u01b0 v\u1ea5n \u0111\u1ea7y \u0111\u1ee7 tr\u01b0\u1edbc khi cho ch\u1ec9 \u0111\u1ecbnh v\u00e0 bi\u1ec7n lu\u1eadn ph\u00f9 h\u1ee3p sau khi c\u00f3 k\u1ebft qu\u1ea3.<\/li>\n<li>Ph\u1ea3i t\u1ef1 bi\u1ebft m\u00ecnh. Bi\u1ebft c\u00e2n n\u1eb7ng c\u1ee7a m\u00ecnh, bi\u1ebft m\u1ed7i ng\u00e0y \u0103n bao nhi\u00eau c\u01a1m, ng\u1ee7 bao nhi\u00eau gi\u1edd, \u0111\u00eam \u0111i ti\u1ec3u m\u1ea5y l\u1ea7n v.v&#8230;. B\u1ea5t c\u1ee9 s\u1ef1 thay \u0111\u1ed5i n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a ung th\u01b0. H\u00e3y nh\u1edb m\u1ed9t nguy\u00ean t\u1eafc lu\u00f4n lu\u00f4n \u0111\u00fang : ch\u00ednh b\u1ea1n l\u00e0 ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 t\u1ef1 c\u1ee9u m\u00ecnh, ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 b\u00e1c s\u0129.<\/li>\n<\/ul>\n<p>C\u1ea7n bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh gi\u00e1c ung th\u01b0 s\u1edbm sau :<br \/>\nThay \u0111\u1ed5i trong vi\u1ec7c ti\u00eau, ti\u1ec3u h\u00e0ng ng\u00e0y, nh\u1ea5t l\u00e0 ti\u00eau ra m\u00e1u.<br \/>\n*Lo\u00e9t kh\u00f4ng l\u00e0nh<br \/>\n*Ra huy\u1ebft hay ti\u1ebft d\u1ecbch b\u1ea5t th\u01b0\u1eddng<br \/>\n*S\u1edd th\u1ea5y c\u1ed9m trong v\u00fa<br \/>\n*Kh\u00f3 nu\u1ed1t<br \/>\n*Ho k\u00e9o d\u00e0i hay kh\u00e0n ti\u1ebfng h\u01a1n 3 tu\u1ea7n<br \/>\n*Thay \u0111\u1ed5i t\u00ednh ch\u1ea5t n\u1ed1t ru\u1ed3i ho\u1eb7c c\u00f3 v\u00f9ng da b\u1ea5t th\u01b0\u1eddng<br \/>\n*S\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 l\u00fd do<br \/>\n\u0110\u1eebng t\u1ef1 bi\u1ec7n h\u1ed9 cho c\u00e1c thay \u0111\u1ed5i n\u00e0y b\u1eb1ng c\u00f4ng vi\u1ec7c, stress, con c\u00e1i v.v&#8230; m\u00e0 b\u1ecf qua c\u01a1 h\u1ed9i ch\u1ea9n \u0111o\u00e1n s\u1edbm.<\/p>\n<ul>\n<li>Thay \u0111\u1ed5i n\u1ebfp s\u1ed1ng l\u00e0nh m\u1ea1nh. C\u1eed thu\u1ed1c l\u00e1, h\u1ea1n ch\u1ebf bia r\u01b0\u1ee3u, \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng, v\u1eadn \u0111\u1ed9ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 nh\u1ea5t l\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i ho\u1ea3ng s\u1ee3 v\u1ec1 c\u0103n b\u1ec7nh ung th\u01b0. Vi\u1ec7t Nam ch\u1ec9 l\u00e0 m\u1ed9t n\u01b0\u1edbc c\u00f3 g\u00e1nh n\u1eb7ng ung th\u01b0 \u1edf m\u1ee9c trung b\u00ecnh v\u00e0 n\u1ebfu c\u00f3 l\u1ecbch tr\u00ecnh theo d\u00f5i ph\u00f9 h\u1ee3p, tinh th\u1ea7n c\u1ea3nh gi\u00e1c th\u00ec b\u1ea1n s\u1ebd c\u00f3 c\u01a1 may tr\u00e1nh ho\u1eb7c th\u1eafng \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh ung th\u01b0.<\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/www.facebook.com\/quang.vo.9461\/posts\/2145204892199300\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/quang.vo.9461\/posts\/2145204892199300<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea7m so\u00e1t l\u00e0 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0, th\u1ef1c hi\u1ec7n tr\u00ean nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, ho\u00e0n to\u00e0n kh\u00f4ng tri\u1ec7u ch\u1ee9ng. <\/p>\n","protected":false},"author":14,"featured_media":6670,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4896,3288,5146,5302,1],"tags":[4900,4901,4743],"series":[2747],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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