{"id":12142,"date":"2018-09-26T04:38:40","date_gmt":"2018-09-25T21:38:40","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/virus-nao-co-the-gay-ung-thu-mau\/"},"modified":"2018-09-26T04:38:40","modified_gmt":"2018-09-25T21:38:40","slug":"virus-nao-co-the-gay-ung-thu-mau","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/virus-nao-co-the-gay-ung-thu-mau\/","title":{"rendered":"Virus n\u00e0o c\u00f3 th\u1ec3 g\u00e2y ung th\u01b0 m\u00e1u?"},"content":{"rendered":"<p><em>Bi\u00ean d\u1ecbch<\/em>:\u00a0<strong>BS. Nguy\u1ec5n \u0110\u00ecnh Nguy\u00ean<\/strong><\/p>\n<p style=\"text-align: justify\"><strong>Human T-lymphotrophic virus-1<\/strong> (HTLV-1, virus g\u00e2y h\u1ea1i \u0111\u1ebfn t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch lympho T \u1edf ng\u01b0\u1eddi nh\u00f3m 1). L\u00e0 m\u1ed9t lo\u1ea1i virus hi\u1ebfm v\u00e0 \u0111\u1ebfn hi\u1ec7n nay c\u00f3 th\u1ec3 coi n\u00f3 l\u00e0 lo\u1ea1i virus \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c cho l\u00e0 t\u00e1c nh\u00e2n tr\u1ef1c ti\u1ebfp g\u00e2y ung th\u01b0 \u1edf ng\u01b0\u1eddi. <strong>HTLV-1 l\u00e0 m\u1ed9t lo\u1ea1i virus g\u00e2y ung th\u01b0 m\u1ea1nh nh\u1ea5t.<\/strong>\u00a0L\u00e0 m\u1ed9t lo\u1ea1i nguy c\u01a1 ung th\u01b0 g\u1eafn v\u1edbi di truy\u1ec1n m\u1ea1nh nh\u1ea5t. HTLV-1 c\u0169ng \u0111\u01b0\u1ee3c coi l\u00e0 lo\u1ea1i virus duy nh\u1ea5t\u00a0\u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 th\u1ec3 g\u00e2y n\u00ean ch\u1ee9ng <strong>ung th\u01b0 m\u00e1u &#8211;<\/strong>\u00a0Ung th\u01b0 m\u00e1u d\u00f2ng Lympho b\u1ea1ch huy\u1ebft t\u1ebf b\u00e0o d\u00f2ng T \u1edf ng\u01b0\u1eddi l\u1edbn (Adult T-cell leukemia lymphoma, ATL) v\u00e0 u lympho Non-Hodgkin.<\/p>\n<p style=\"text-align: justify\">HTLV-1 l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c nh\u1eadn d\u1ea1ng v\u00e0o n\u0103m 1980 t\u1ea1i Nh\u1eadt B\u1ea3n. Ti\u1ec1n th\u00e2n c\u1ee7a n\u00f3 \u0111\u01b0\u1ee3c cho l\u00e0 m\u1ed9t lo\u1ea1i virus c\u1ed5 \u1edf c\u00e1c nguy\u00ean sinh v\u1eadt t\u1eeb 40 \u0111\u1ebfn 60 ngh\u00ecn n\u0103m tr\u01b0\u1edbc.<\/p>\n<p style=\"text-align: justify\">\u01af\u1edbc t\u00ednh tr\u00ean to\u00e0n th\u1ebf gi\u1edbi hi\u1ec7n nay c\u00f3 kho\u1ea3ng 15-20 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m HTLV-1. B\u1ec7nh nh\u00e2n hay g\u1eb7p ch\u1ee7 y\u1ebfu \u1edf mi\u1ec1n nam Nh\u1eadt B\u1ea3n, v\u00f9ng Caribe, Trung Phi, m\u1ed9t ph\u1ea7n Nam M\u1ef9 v\u00e0 \u1edf m\u1ed9t s\u1ed1 nh\u00f3m s\u1eafc d\u00e2n di c\u01b0 \u0111\u1ebfn mi\u1ec1n \u0110\u00f4ng-nam n\u01b0\u1edbc M\u1ef9.<\/p>\n<p style=\"text-align: justify\">\u1ede \u00dac, HTLV-1 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t n\u1ea1n d\u1ecbch \u1edf ng\u01b0\u1eddi th\u1ed5 d\u00e2n \u00dac s\u1ed1ng \u1edf v\u00f9ng xa x\u00f4i h\u1ebbo l\u00e1nh. M\u1ed9t s\u1ed1 b\u1ed9 t\u1ed9c th\u1ed5 d\u00e2n c\u00f3 t\u1edbi 45% s\u1ed1 d\u00e2n \u0111ang s\u1ed1ng chung v\u1edbi HTLV-1. \u01af\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 5000 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m HTLV-1 \u1edf m\u1ed9t s\u1ed1 th\u1ed5 d\u00e2n s\u1ed1ng \u1edf c\u00e1c v\u00f9ng h\u1ebbo l\u00e1nh.<\/p>\n<p style=\"text-align: justify\">V\u1edbi th\u1eddi gian \u1ee7 b\u1ec7nh kh\u00e1 l\u00e2u d\u00e0i, 3-5% s\u1ed1 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m HTLV-1 s\u1ebd ph\u00e1t b\u1ec7nh ho\u1eb7c ung th\u01b0 m\u00e1u d\u00f2ng lympho b\u1ea1ch huy\u1ebft t\u1ebf b\u00e0o T (adult T-cell leukemia\/lymphoma, ATL).<\/p>\n<p style=\"text-align: justify\">M\u1eb7c d\u00f9 ch\u1ec9 c\u00f3 m\u1ed9t t\u1ef7 l\u1ec7 nh\u1ecf b\u1ec7nh nh\u00e2n nhi\u1ec5m HTLV-1 c\u00f3 li\u00ean quan \u0111\u1ebfn ung th\u01b0, nh\u01b0ng ung th\u01b0 b\u1ea1ch huy\u1ebft c\u00f3 li\u00ean quan \u0111\u1ebfn virus HTLV-1 n\u00e0y l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 di\u1ec5n ti\u1ebfn nguy k\u1ecbch (aggressive), <strong>r\u1ea5t kh\u00f3 ch\u1eefa tr\u1ecb<\/strong>. Hi\u1ec7n t\u1ea1i <strong>ch\u01b0a c\u00f3 b\u1ec7nh nh\u00e2n n\u00e0o s\u1ed1ng s\u00f3t<\/strong>, v\u00e0 50% s\u1ed1 b\u1ec7nh nh\u00e2n ung th\u01b0 m\u00e1u li\u00ean quan \u0111\u1ebfn HTLV-1 t\u1eed vong trong v\u00f2ng 8 th\u00e1ng sau khi ph\u00e1t b\u1ec7nh b\u1ea5t k\u1ec3 \u0111\u00e3 \u00e1p d\u1ee5ng m\u1ecdi ph\u01b0\u01a1ng c\u00e1ch tr\u1ecb li\u1ec7u hi\u1ec7n \u0111\u1ea1i nh\u1ea5t.<\/p>\n<p style=\"text-align: justify\">Ngo\u00e0i ra, HTLV-1 c\u00f2n \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh c\u1ed9t s\u1ed1ng, c\u00e1c ch\u1ee9ng vi\u00eam nhi\u1ec5m, ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c th\u00f4ng qua bi\u1ebfn \u0111\u1ed5i t\u1ebf b\u00e0o lympho g\u00e2y t\u00e0n ph\u1ebf v\u1eadn \u0111\u1ed9ng nh\u01b0 l\u00e0 ch\u1ee9ng li\u1ec7t c\u1ee9ng\/b\u1ec7nh t\u1ee7y li\u00ean quan \u0111\u1ebfn HTLV-1.<\/p>\n<p style=\"text-align: justify\">HTLV-1 thu\u1ed9c nh\u00f3m retrovirus, s\u1eed d\u1ee5ng RNA (thay v\u00ec DNA) trong m\u00e3 di truy\u1ec1n. V\u00ec th\u1ebf, trong qu\u00e1 tr\u00ecnh t\u00e1i sinh s\u1ea3n, n\u00f3 c\u1ea7n ph\u1ea3i c\u00f3 m\u1ed9t b\u01b0\u1edbc chuy\u1ec3n \u0111\u1ed5i c\u00e1c gene RNA th\u00e0nh DNA tr\u01b0\u1edbc. M\u1ed9t s\u1ed1 gene DNA m\u1edbi n\u00e0y c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh th\u00e0nh t\u1ed1 c\u1ee7a c\u00e1c nhi\u1ec5m s\u1eafc th\u1ec3 trong t\u1ebf b\u00e0o ng\u01b0\u1eddi khi b\u1ecb nhi\u1ec5m lo\u1ea1i virus n\u00e0y.<\/p>\n<p style=\"text-align: justify\">HTLV-1 \u0111\u01b0\u1ee3c coi nh\u01b0 l\u00e0 &#8220;anh em h\u1ecd h\u00e0ng&#8221; v\u1edbi virus HIV. V\u00ec c\u00e1ch th\u1ee9c l\u00e2y truy\u1ec1n c\u1ee7a n\u00f3 kh\u00e1 gi\u1ed1ng nhau. <strong>HTLV-1 l\u00e2y lan theo con \u0111\u01b0\u1eddng d\u1ecbch ti\u1ebft<\/strong> c\u1ee7a c\u01a1 th\u1ec3 qua c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng c\u00f3 bao cao su, d\u00f9ng chung kim ti\u00eam ch\u00edch, qua s\u1eefa m\u1eb9, th\u00f4ng qua con \u0111\u01b0\u1eddng truy\u1ec1n m\u00e1u hay gh\u00e9p t\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m HTLV-1.<\/p>\n<p style=\"text-align: justify\">Do t\u00ednh nguy hi\u1ec3m c\u1ee7a HTLV-1 m\u00e0 m\u1edbi \u0111\u00e2y c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u c\u1ee7a Th\u1ebf gi\u1edbi v\u1ec1 lo\u1ea1i virus n\u00e0y \u0111\u00e3 vi\u1ebft m\u1ed9t th\u01b0 ng\u1ecf \u0111\u1ec1 ngh\u1ecb T\u1ed5 Ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) k\u00eau g\u1ecdi m\u1edf r\u1ed9ng c\u00e1c chi\u1ebfn d\u1ecbch ng\u0103n ng\u1eeba l\u00e2y nhi\u1ec5m \u0111\u1ec3 mong lo\u1ea1i tr\u1eeb lo\u1ea1i virus c\u1ef1c \u0111\u1ed9c n\u00e0y.<\/p>\n<h2 style=\"text-align: justify\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<ol>\n<li style=\"text-align: justify\"><a href=\"https:\/\/www.cancer.org\/cancer\/cancer-causes\/infectious-agents\/infections-that-can-lead-to-cancer\/viruses.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.org\/cancer\/cancer-causes\/infectious-agents\/infections-that-can-lead-to-cancer\/viruses.html<\/a><\/li>\n<li style=\"text-align: justify\"><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)30974-7\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)30974-7\/fulltext<\/a><\/li>\n<li style=\"text-align: justify\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1879625712001022?via%3Dihub\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1879625712001022?via%3Dihub<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Human T-lymphotrophic virus-1 (HTLV-1) l\u00e0 virus g\u00e2y ung th\u01b0 m\u1ea1nh nh\u1ea5t, \u0111\u01b0\u1ee3c coi l\u00e0 lo\u1ea1i virus duy nh\u1ea5t c\u00f3 th\u1ec3 g\u00e2y n\u00ean ch\u1ee9ng ung th\u01b0 m\u00e1u.<\/p>\n","protected":false},"author":14,"featured_media":12143,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[2651,3861],"series":[3817],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Virus n\u00e0o c\u00f3 th\u1ec3 g\u00e2y ung th\u01b0 m\u00e1u? 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