{"id":7748,"date":"2016-11-02T13:11:44","date_gmt":"2016-11-02T06:11:44","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/hoi-chung-tay-chan-hoac-da-va-di-cam-long-ban-tay-ban-chan\/"},"modified":"2024-04-29T16:26:26","modified_gmt":"2024-04-29T09:26:26","slug":"hoi-chung-tay-chan-hoac-da-va-di-cam-long-ban-tay-ban-chan","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/hoi-chung-tay-chan-hoac-da-va-di-cam-long-ban-tay-ban-chan\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng tay-ch\u00e2n ho\u1eb7c \u0111\u1ecf da v\u00e0 d\u1ecb c\u1ea3m l\u00f2ng b\u00e0n tay-b\u00e0n ch\u00e2n"},"content":{"rendered":"<p>H\u1ed9i ch\u1ee9ng tay-ch\u00e2n c\u0169ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee9ng \u0111\u1ecf da v\u00e0 d\u1ecb c\u1ea3m l\u00f2ng b\u00e0n tay-b\u00e0n ch\u00e2n. N\u00f3 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0. H\u1ed9i ch\u1ee9ng tay-ch\u00e2n g\u00e2y m\u1ea9n \u0111\u1ecf, s\u01b0ng v\u00e0 \u0111au \u1edf l\u00f2ng b\u00e0n tay v\u00e0\/ho\u1eb7c l\u00f2ng b\u00e0n ch\u00e2n. \u0110\u00f4i khi c\u00f3 m\u1ee5n n\u01b0\u1edbc xu\u1ea5t hi\u1ec7n. M\u1eb7c d\u00f9 \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n, h\u1ed9i ch\u1ee9ng tay-ch\u00e2n c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng n\u01a1i kh\u00e1c tr\u00ean da, nh\u01b0 \u0111\u1ea7u g\u1ed1i hay khu\u1ef7u tay.<\/p>\n<p>Vi\u1ec7c l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng ho\u1eb7c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cham-soc-giam-nhe-la-gi-lam-the-nao-de-duoc-cham-soc-giam-nhe\/\" target=\"_blank\" rel=\"noopener\">ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/a>. H\u00e3y th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 v\u1ec1 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng b\u1ea1n g\u1eb7p ph\u1ea3i, bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi ho\u1eb7c s\u1ef1 thay \u0111\u1ed5i c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111ang c\u00f3.<\/p>\n<h2>Tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n<\/h2>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n nh\u1eb9 ho\u1eb7c v\u1eeba ph\u1ea3i bao g\u1ed3m:<\/p>\n<ul>\n<li>\u0110\u1ecf t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1ecb ch\u00e1y n\u1eafng;<\/li>\n<li>S\u01b0ng t\u1ea5y;<\/li>\n<li>C\u1ea3m gi\u00e1c ch\u00e2m ch\u00edch ho\u1eb7c ph\u1ecfng;<\/li>\n<li>C\u0103ng, \u0111au khi ch\u1ea1m v\u00e0o da;<\/li>\n<li>V\u1ebft chai d\u00e0y v\u00e0 m\u1ee5n n\u01b0\u1edbc \u1edf l\u00f2ng b\u00e0n tay v\u00e0 l\u00f2ng b\u00e0n ch\u00e2n.<\/li>\n<\/ul>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n n\u1eb7ng bao g\u1ed3m:<\/p>\n<ul>\n<li>N\u1ee9t da, bong, ho\u1eb7c l\u1ed9t da;<\/li>\n<li>M\u1ee5n n\u01b0\u1edbc, lo\u00e9t, ho\u1eb7c l\u1edf lo\u00e9t tr\u00ean da;<\/li>\n<li>\u0110au \u0111\u1edbn;<\/li>\n<li>Kh\u00f3 kh\u0103n trong \u0111i l\u1ea1i ho\u1eb7c \u0111au khi s\u1eed d\u1ee5ng b\u00e0n tay.<\/li>\n<\/ul>\n<h2>Nguy\u00ean nh\u00e2n c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n<\/h2>\n<p>M\u1ed9t s\u1ed1 thu\u1ed1c ung th\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a t\u1ebf b\u00e0o da hay c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf \u1edf tay v\u00e0 ch\u00e2n. Khi thu\u1ed1c ra kh\u1ecfi c\u00e1c m\u1ea1ch m\u00e1u, n\u00f3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u00f4 xung quanh. \u0110i\u1ec1u n\u00e0y g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1eeb t\u1ea5y \u0111\u1ecf v\u00e0 s\u01b0ng d\u1eabn \u0111\u1ebfn kh\u00f3 kh\u0103n khi \u0111i l\u1ea1i.<\/p>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng g\u00e2y ra h\u1ed9i ch\u1ee9ng tay-ch\u00e2n h\u01a1n nh\u1eefng lo\u1ea1i kh\u00e1c. C\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra h\u1ed9i ch\u1ee9ng tay-ch\u00e2n bao g\u1ed3m:<\/p>\n<ul>\n<li>Axitinib (Inlyta);<\/li>\n<li>Cabozantinib (Cabometyx, Cometriq);<\/li>\n<li>Capecitabine (Xeloda);<\/li>\n<li>Cytarabine (Cytosar-U);<\/li>\n<li>Docetaxel (Docefrez, Taxotere);<\/li>\n<li>Floxuridine (FUDF);<\/li>\n<li>Fluorouracil (5-FU, Adrucil);<\/li>\n<li>Idarubicin (Idamycin);<\/li>\n<li>Liposomal doxorubicin (Doxil);<\/li>\n<li>Doxorubicin (adriamycin);<\/li>\n<li>Sunitinib (Sutent);<\/li>\n<li>Sorafenib (Nexavar);<\/li>\n<li>Pazopanib (Votrient);<\/li>\n<li>Paclitaxel (Taxol);<\/li>\n<li>Vemurafenib (Zelboraf);<\/li>\n<li>Regorafenib (Stivarga).<\/li>\n<\/ul>\n<p>Kh\u00f4ng ph\u1ea3i ai d\u00f9ng nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u1ec1u b\u1ecb h\u1ed9i ch\u1ee9ng tay-ch\u00e2n. M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y ng\u01b0\u1eddi. Ngay c\u1ea3 nh\u1eefng ng\u01b0\u1eddi d\u00f9ng c\u00f9ng m\u1ed9t lo\u1ea1i thu\u1ed1c cho c\u00f9ng lo\u1ea1i b\u1ec7nh ung th\u01b0 c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1.<\/p>\n<h2>Ph\u00f2ng ch\u1ed1ng h\u1ed9i ch\u1ee9ng tay-ch\u00e2n<\/h2>\n<p>H\u1ed9i ch\u1ee9ng tay-ch\u00e2n th\u01b0\u1eddng tr\u1ea7m tr\u1ecdng h\u01a1n trong 6 tu\u1ea7n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng <a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-ve-lieu-phap-nham-dich\/\" target=\"_blank\" rel=\"noopener\">li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch<\/a>. Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm \u0111\u00edch bao g\u1ed3m axitinib, cabozantinib, regorafenib, sorafenib, sunitinib, v\u00e0 pazopanib. H\u1ed9i ch\u1ee9ng tay-ch\u00e2n th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau 2-3 th\u00e1ng h\u00f3a tr\u1ecb.<\/p>\n<p>N\u1ebfu b\u1ea1n nh\u1eadn th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n, ho\u1eb7c n\u1ebfu b\u1ea1n nh\u1eadn th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea5u \u0111i, h\u00e3y g\u1ecdi cho b\u00e1c s\u0129 c\u1ee7a b\u1ea1n. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i thay \u0111\u1ed5i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c cung c\u1ea5p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y. Nh\u1eefng l\u1eddi khuy\u00ean sau \u0111\u00e2y c\u00f3 th\u1ec3 gi\u00fap \u00edch:<\/p>\n<ul>\n<li>H\u1ea1n ch\u1ebf vi\u1ec7c s\u1eed d\u1ee5ng n\u01b0\u1edbc n\u00f3ng tr\u00ean b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n khi r\u1eeda b\u00e1t ho\u1eb7c t\u1eafm.<\/li>\n<li>T\u1eafm v\u00f2i sen ho\u1eb7c t\u1eafm b\u1ed3n v\u1edbi n\u01b0\u1edbc m\u00e1t. C\u1ea9n th\u1eadn v\u1ed7 nh\u1eb9 da cho kh\u00f4 sau khi r\u1eeda ho\u1eb7c t\u1eafm.<\/li>\n<li>L\u00e0m m\u00e1t b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n b\u1eb1ng c\u00e1ch ch\u01b0\u1eddm n\u01b0\u1edbc \u0111\u00e1, cho n\u01b0\u1edbc m\u00e1t ch\u1ea3y qua ho\u1eb7c d\u00f9ng kh\u0103n \u01b0\u1edbt trong 15-20 ph\u00fat. Tr\u00e1nh ch\u01b0\u1eddm \u0111\u00e1 tr\u1ef1c ti\u1ebfp l\u00ean da.<\/li>\n<li>Tr\u00e1nh c\u00e1c ngu\u1ed3n nhi\u1ec7t, bao g\u1ed3m vi\u1ec7c d\u00f9ng ph\u00f2ng t\u1eafm h\u01a1i, ng\u1ed3i d\u01b0\u1edbi \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi, ho\u1eb7c ng\u1ed3i b\u00ean c\u1eeda s\u1ed5 \u0111\u1ea7y n\u1eafng.<\/li>\n<li>Tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng g\u00e2y ra l\u1ef1c ho\u1eb7c c\u1ecd x\u00e1t v\u00e0o b\u00e0n tay ho\u1eb7c b\u00e0n ch\u00e2n trong 6 tu\u1ea7n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng ho\u1ea1t \u0111\u1ed9ng n\u00e0y bao g\u1ed3m ch\u1ea1y b\u1ed9, th\u1ec3 d\u1ee5c nh\u1ecbp \u0111i\u1ec7u, c\u1ea7u l\u00f4ng, b\u00f3ng b\u00e0n hay qu\u1ea7n v\u1ee3t.<\/li>\n<li>Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t m\u1ea1nh s\u1eed d\u1ee5ng trong b\u1ed9t gi\u1eb7t, ho\u1eb7c c\u00e1c s\u1ea3n ph\u1ea9m t\u1ea9y r\u1eeda gia d\u1ee5ng.<\/li>\n<li>Tr\u00e1nh s\u1eed d\u1ee5ng g\u0103ng tay cao su ho\u1eb7c nh\u1ef1a vinyl m\u00e0 kh\u00f4ng c\u00f3 l\u1edbp l\u00f3t \u0111\u1ec3 lau d\u1ecdn v\u1edbi n\u01b0\u1edbc n\u00f3ng. Cao su s\u1ebd gi\u1eef nhi\u1ec7t v\u00e0 m\u1ed3 h\u00f4i tr\u00ean da. H\u00e3y th\u1eed s\u1eed d\u1ee5ng g\u0103ng tay v\u1ea3i m\u1ec1m b\u00ean d\u01b0\u1edbi g\u0103ng tay cao su.<\/li>\n<li>Tr\u00e1nh s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 ho\u1eb7c v\u1eadt d\u1ee5ng gia \u0111\u00ecnh m\u00e0 b\u1ea1n ph\u1ea3i \u1ea5n b\u00e0n tay l\u00ean b\u1ec1 m\u1eb7t c\u1ee9ng, v\u00ed d\u1ee5 nh\u01b0 c\u00f4ng c\u1ee5 l\u00e0m v\u01b0\u1eddn, dao, v\u00e0 tua v\u00edt.<\/li>\n<li>Nh\u1eb9 nh\u00e0ng thoa kem ch\u0103m s\u00f3c da \u0111\u1ec3 gi\u1eef \u1ea9m cho tay. Tr\u00e1nh ch\u00e0 x\u00e1t ho\u1eb7c massage kem hay lotion v\u00e0o b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n.<\/li>\n<li>M\u1eb7c qu\u1ea7n \u00e1o v\u00e0 gi\u00e0y d\u00e9p r\u1ed9ng, tho\u00e1ng kh\u00ed \u0111\u1ec3 da th\u00f4ng tho\u00e1ng.<\/li>\n<li>Kh\u00f4ng \u0111i ch\u00e2n \u0111\u1ea5t. S\u1eed d\u1ee5ng d\u00e9p m\u1ec1m v\u00e0 v\u1edb d\u00e0y \u0111\u1ec3 gi\u1ea3m ma s\u00e1t l\u00ean ch\u00e2n.<\/li>\n<li>Xem x\u00e9t vi\u1ec7c \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u00e0n ch\u00e2n (podiatrist) \u0111\u1ec3 lo\u1ea1i b\u1ecf v\u1ebft chai d\u00e0y v\u00e0 m\u00f3ng d\u00e0y. B\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u c\u00e1c s\u1ea3n ph\u1ea9m l\u00e0m gi\u1ea3m ma s\u00e1t v\u00e0 \u00e1p l\u1ef1c tr\u00ean b\u00e0n ch\u00e2n.<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng tay-ch\u00e2n<\/h2>\n<p>Khi \u0111ang d\u00f9ng nh\u1eefng lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y n\u00ean h\u1ed9i ch\u1ee9ng tay-ch\u00e2n, thu\u1ed1c ch\u1ed1ng vi\u00eam t\u1ea1i ch\u1ed7 c\u00f3 th\u1ec3 gi\u00fap \u00edch. Ch\u00fang bao g\u1ed3m c\u00e1c lo\u1ea1i kem corticosteroid nh\u01b0 clobetasol (nhi\u1ec1u t\u00ean th\u01b0\u01a1ng hi\u1ec7u) ho\u1eb7c halobetasol (Ultravate). Ngo\u00e0i ra, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u h\u00f3a tr\u1ecb ho\u1eb7c thay \u0111\u1ed5i l\u1ecbch tr\u00ecnh h\u00f3a tr\u1ecb. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i t\u1ea1m d\u1eebng h\u00f3a tr\u1ecb cho \u0111\u1ebfn khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng tay-ch\u00e2n \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n.<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p sau \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng tay-ch\u00e2n:<\/p>\n<ul>\n<li>Thu\u1ed1c gi\u1ea3m \u0111au t\u1ea1i ch\u1ed7 nh\u01b0 lidocaine (Lidothesin, Lidoderm, Xylocaine, Xylocitin), d\u1ea1ng kem ho\u1eb7c mi\u1ebfng d\u00e1n l\u00ean ch\u1ed7 \u0111au trong l\u00f2ng b\u00e0n tay v\u00e0 l\u00f2ng b\u00e0n ch\u00e2n.<\/li>\n<li>B\u00f4i kem gi\u1eef \u1ea9m t\u1ea9y t\u1ebf b\u00e0o ch\u1ebft. Nh\u1eefng lo\u1ea1i kem ch\u1ee9a ur\u00ea (urea), axit salicylic (salicylic acid) ho\u1eb7c ammonium lactate l\u00e0 h\u1eefu \u00edch nh\u1ea5t.<\/li>\n<li>Thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 ibuprofen (nhi\u1ec1u t\u00ean th\u01b0\u01a1ng hi\u1ec7u), naproxen (nhi\u1ec1u t\u00ean th\u01b0\u01a1ng hi\u1ec7u), v\u00e0 celecoxib (Celebrex)<\/li>\n<li>T\u00fai ch\u01b0\u1eddm n\u01b0\u1edbc \u0111\u00e1 d\u01b0\u1edbi b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n trong khi h\u00f3a tr\u1ecb \u0111ang \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m \u0111\u1ec3 ng\u0103n ch\u1eb7n h\u1ed9i ch\u1ee9ng tay-ch\u00e2n do paclitaxel, docetaxel ho\u1eb7c doxorubicin.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/hand-foot-syndrome-or-palmar-plantar-erythrodysesthesia\" target=\"_blank\" rel=\"noopener\">http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/hand-foot-syndrome-or-palmar-plantar-erythrodysesthesia<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng tay-ch\u00e2n c\u0169ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee9ng \u0111\u1ecf da v\u00e0 d\u1ecb c\u1ea3m l\u00f2ng b\u00e0n tay-b\u00e0n ch\u00e2n. N\u00f3 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0. <\/p>\n","protected":false},"author":103,"featured_media":11563,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3752],"tags":[2607,2609,2606],"series":[1420],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u1ed9i ch\u1ee9ng tay-ch\u00e2n ho\u1eb7c \u0111\u1ecf da v\u00e0 d\u1ecb c\u1ea3m l\u00f2ng b\u00e0n tay-b\u00e0n ch\u00e2n - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng tay-ch\u00e2n c\u0169ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee9ng \u0111\u1ecf da v\u00e0 d\u1ecb c\u1ea3m l\u00f2ng b\u00e0n tay-b\u00e0n ch\u00e2n. 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