{"id":7808,"date":"2017-11-14T04:54:29","date_gmt":"2017-11-13T21:54:29","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/giam-dau-trong-dieu-tri-ung-thu\/"},"modified":"2024-04-29T16:27:05","modified_gmt":"2024-04-29T09:27:05","slug":"giam-dau-trong-dieu-tri-ung-thu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/giam-dau-trong-dieu-tri-ung-thu\/","title":{"rendered":"Gi\u1ea3m \u0111au trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0"},"content":{"rendered":"<p style=\"text-align: justify\">Nhi\u1ec1u b\u1ec7nh nh\u00e2n ung th\u01b0 ph\u1ea3i tr\u1ea3i qua c\u01a1n \u0111au trong khi ho\u1eb7c sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n ki\u1ec3m so\u00e1t g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n nh\u1eefng c\u01a1n \u0111au c\u00f3 li\u00ean quan \u0111\u1ebfn ung th\u01b0, c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf \u1ea3nh h\u01b0\u1edfng c\u1ee7a t\u00e1c d\u1ee5ng ph\u1ee5 trong ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 v\u1ec1 nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111au \u0111ang tr\u1ea3i qua. H\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1edbi ho\u1eb7c nh\u1eefng thay \u0111\u1ed5i li\u00ean quan t\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111ang c\u00f3. C\u00e1c b\u00e1c s\u0129 s\u1ebd d\u1ef1a tr\u00ean nh\u1eefng th\u00f4ng tin n\u00e0y x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5. Ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c n\u00e0y g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng hay c\u00f2n g\u1ecdi l\u00e0 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 ho\u1eb7c ch\u0103m s\u00f3c xoa d\u1ecbu (palliative care). Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, nh\u00f3m ch\u0103m s\u00f3c c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa v\u1ec1 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9.<\/p>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-26633 size-full aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2017\/11\/giam-dau-trong-dieu-tri-ung-thu.png\" alt=\"gi\u1ea3m \u0111au trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0\" width=\"660\" height=\"333\" \/><\/p>\n<h2 style=\"text-align: justify\"><b>T\u1ea7m quan tr\u1ecdng c\u1ee7a gi\u1ea3m \u0111au trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/b><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">C\u01a1n \u0111au li\u00ean quan t\u1edbi ung th\u01b0 c\u00f3 th\u1ec3 bao g\u1ed3m nhi\u1ec1u d\u1ea1ng kh\u00e1c nhau. C\u01a1n \u0111au c\u00f3 th\u1ec3 ch\u1ec9 t\u1ed3n t\u1ea1i trong m\u1ed9t th\u1eddi gian ng\u1eafn, c\u00f3 th\u1ec3 do ch\u00ednh kh\u1ed1i u g\u00e2y ra ho\u1eb7c khi kh\u1ed1i u di c\u0103n t\u1edbi x\u01b0\u01a1ng hay c\u00e1c c\u01a1 quan kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, ho\u1eb7c do kh\u1ed1i u ph\u00e1t tri\u1ec3n l\u1edbn h\u01a1n v\u1ec1 k\u00edch c\u1ee1 v\u00e0 g\u00e2y ch\u00e8n \u00e9p t\u1ee7y s\u1ed1ng, ho\u1eb7c d\u00e2y th\u1ea7n kinh. \u0110au trong ung th\u01b0 c\u0169ng c\u00f3 th\u1ec3 do c\u00e1c th\u1ee7 thu\u1eadt x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0\/ho\u1eb7c ti\u00ean l\u01b0\u1ee3ng nh\u01b0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">sinh thi\u1ebft<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-do-tuy-song-choc-do-that-lung\/\" target=\"_blank\" rel=\"noopener\">ch\u1ecdc d\u00f2 t\u1ee7y s\u1ed1ng<\/a> (spinal tap), <a href=\"https:\/\/yhoccongdong.com\/thongtin\/choc-hut-tuy-xuong-hoac-sinh-thiet-tuy-xuong-duoi-gay-me\/\" target=\"_blank\" rel=\"noopener\">ch\u1ecdc h\u00fat\/sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng<\/a> (bone marrow aspiration\/biopsy).<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">\u0110au c\u0169ng c\u00f3 th\u1ec3 do qu\u00e1 tr\u00ecnh <a href=\"https:\/\/yhoccongdong.com\/thongtin\/phau-thuat-ung-thu-la-gi\/\" target=\"_blank\" rel=\"noopener\">ph\u1eabu thu\u1eadt<\/a> ho\u1eb7c \u0111i\u1ec1u tr\u1ecb g\u00e2y ra. C\u01a1n \u0111au c\u00f3 th\u1ec3 m\u1edbi x\u1ea3y ra ho\u1eb7c t\u1ed3n t\u1ea1i trong m\u1ed9t th\u1eddi gian d\u00e0i v\u00e0 li\u00ean t\u1ee5c. C\u01a1n \u0111au c\u00f3 th\u1ec3 \u0111\u1ed9t nhi\u00ean t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 m\u1eb7c d\u00f9 b\u1ec7nh nh\u00e2n \u0111ang trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111au b\u1ed9c ph\u00e1t (breakthrough pain). C\u01a1n \u0111au b\u1ed9c ph\u00e1t th\u01b0\u1eddng x\u1ea3y ra gi\u1eefa hai li\u1ec1u \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au. C\u01a1n \u0111au n\u00e0y th\u01b0\u1eddng kh\u00f4ng li\u00ean quan v\u1edbi m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh n\u00e0o trong ng\u00e0y ho\u1eb7c v\u1edbi t\u01b0 th\u1ebf v\u1eadn \u0111\u1ed9ng.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">D\u00f9 b\u1ea1n \u0111ang tr\u1ea3i qua b\u1ea5t k\u00ec d\u1ea1ng \u0111au n\u00e0o, \u0111i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129, y t\u00e1 ho\u1eb7c th\u00e0nh vi\u00ean trong nh\u00f3m ch\u0103m s\u00f3c v\u1ec1 c\u1ea3m gi\u00e1c n\u00e0y. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng mu\u1ed1n n\u00f3i v\u1edbi b\u00e1c s\u0129 l\u00e0 h\u1ecd \u0111ang b\u1ecb \u0111au. H\u1ecd c\u00f3 th\u1ec3 ngh\u0129 r\u1eb1ng c\u01a1n \u0111au l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y ung th\u01b0 \u0111ang lan r\u1ed9ng ho\u1eb7c x\u1ea5u \u0111i. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00e1c l\u1ea1i ngh\u0129 r\u1eb1ng nh\u1eefng c\u01a1n \u0111au \u0111\u01a1n gi\u1ea3n ch\u1ec9 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a vi\u1ec7c chung s\u1ed1ng v\u1edbi ung th\u01b0 v\u00e0 h\u1ecd kh\u00f4ng n\u00ean than v\u00e3n v\u1ec1 \u0111i\u1ec1u n\u00e0y. Tuy nh\u1eefng suy ngh\u0129 n\u00e0y l\u00e0 c\u00f3 th\u1ec3 hi\u1ec3u \u0111\u01b0\u1ee3c, c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra c\u01a1n \u0111au, v\u00e0 m\u1ecdi b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n \u0111\u01b0\u1ee3c s\u1ed1ng v\u1edbi \u00edt \u0111au \u0111\u1edbn nh\u1ea5t c\u00f3 th\u1ec3.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">\u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t b\u1ea1n n\u00ean nh\u1edb l\u00e0 vi\u1ec7c kh\u00f4ng ch\u1ec9 ra nh\u1eefng c\u01a1n \u0111au c\u00f3 li\u00ean quan t\u1edbi ung th\u01b0 c\u00f3 th\u1ec3 l\u00e0m cho c\u00e1c tri\u1ec7u ch\u1ee9ng ho\u1eb7c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n. B\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i tr\u1ea3i qua nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra do \u0111au nh\u01b0 ch\u00e1n \u0103n, ch\u00e1n n\u1ea3n, lo \u00e2u, gi\u1eadn gi\u1eef, lo l\u1eafng ho\u1eb7c c\u0103ng th\u1eb3ng. T\u00ecm ra gi\u1ea3i ph\u00e1p gi\u1ea3m \u0111au c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n n\u0103ng \u0111\u1ed9ng h\u01a1n, ng\u1ee7 ngon v\u00e0 \u0103n ngon h\u01a1n. \u0110i\u1ec1u n\u00e0y c\u0169ng gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 h\u1ee9ng th\u00fa v\u1edbi c\u00e1c ho\u1ea1t \u0111\u00f4ng kh\u00e1c v\u00e0 c\u00f3 nh\u1eefng kho\u1ea3ng th\u1eddi gian \u00fd ngh\u0129a b\u00ean gia \u0111\u00ecnh v\u00e0 b\u1ea1n b\u00e8.<\/span><\/p>\n<h2 style=\"text-align: justify\"><b>M\u1ed9t s\u1ed1 \u0111i\u1ec3m c\u1ea7n quan t\u00e2m khi \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au<\/b><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n lo l\u1eafng r\u1eb1ng thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 th\u1ec3 g\u00e2y nghi\u1ec7n. \u0110i\u1ec1u \u0111\u00f3 ho\u00e0n to\u00e0n \u0111\u00fang. Tuy nhi\u00ean, thu\u1ed1c gi\u1ea3m \u0111au th\u01b0\u1eddng kh\u00f4ng g\u00e2y nghi\u1ec7n n\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf li\u1ec1u l\u01b0\u1ee3ng v\u00e0 l\u1ecbch tr\u00ecnh ph\u00f9 h\u1ee3p. C\u00e1c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o c\u1ea9n tr\u1ecdng trong k\u00ea \u0111\u01a1n thu\u1ed1c gi\u1ea3m \u0111au. \u0110\u1ed3ng th\u1eddi c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3m d\u1ea7n li\u1ec1u d\u00f9ng khi b\u1ea1n \u0111\u00e3 \u0111\u1ee1\/b\u1edbt \u0111au. N\u1ebfu b\u1ea1n ho\u1eb7c c\u00e1c th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh c\u00f3 ti\u1ec1n s\u1eed nghi\u1ec7n r\u01b0\u1ee3u ho\u1eb7c thu\u1ed1c phi\u1ec7n, h\u00e3y n\u00f3i th\u00f4ng tin n\u00e0y cho b\u00e1c s\u0129. Khi bi\u1ebft \u0111\u01b0\u1ee3c th\u00f4ng tin n\u00e0y, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u00fap ph\u00f2ng ng\u1eeba c\u00e1c v\u1ea5n \u0111\u1ec1 c\u00f3 li\u00ean quan.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">C\u00e1c b\u1ec7nh nh\u00e2n ung th\u01b0 th\u01b0\u1eddng lo l\u1eafng v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au. M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/buon-non-va-non-trong-ung-thu\/\" target=\"_blank\" rel=\"noopener\">bu\u1ed3n n\u00f4n<\/a>, m\u1ea5t ng\u1ee7, nh\u1ea7m l\u1eabn ho\u1eb7c \u1ea3o gi\u00e1c, kh\u00f4ng ph\u1ea3i b\u1ec7nh nh\u00e2n n\u00e0o c\u0169ng g\u1eb7p nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y. N\u1ebfu b\u1ea1n \u0111ang lo l\u1eafng v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee5 th\u1ec3 c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au, h\u00e3y trao \u0111\u1ed5i tr\u1ef1c ti\u1ebfp v\u1edbi b\u00e1c s\u0129 v\u00e0 t\u00ecm hi\u1ec3u xem c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u1ea1n ch\u1ebf b\u1eb1ng c\u00e1ch n\u00e0o kh\u00f4ng, ho\u1eb7c t\u00ecm c\u00e1c li\u1ec7u ph\u00e1p gi\u1ea3m \u0111au thay th\u1ebf. Trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng thu\u1ed1c, n\u1ebfu t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng gi\u1ea3m b\u1edbt, h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 nh\u1eb1m xem x\u00e9t thay \u0111\u1ed5i th\u1eddi gian d\u00f9ng thu\u1ed1c, li\u1ec1u l\u01b0\u1ee3ng v\u00e0 lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au.<\/span><\/p>\n<h2 style=\"text-align: justify\"><b>C\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au<\/b><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">Sau khi c\u00f3 nh\u1eefng th\u00f4ng tin v\u1ec1 c\u01a1n \u0111au c\u1ee7a b\u1ea1n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au (pain-relief plan). M\u1ed9t v\u00e0i b\u1ec7nh vi\u1ec7n c\u00f3 c\u00e1c chuy\u00ean gia v\u1ec1 gi\u1ea3m \u0111au v\u00e0 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9. C\u00e1c chuy\u00ean gia n\u00e0y t\u1eadp trung v\u00e0o nh\u1eefng t\u1ed5n th\u01b0\u01a1ng th\u1ec3 ch\u1ea5t v\u00e0 t\u00e2m l\u00fd do t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0. H\u1ecd c\u00f3 th\u1ec3 gi\u00fap c\u00e1c b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang tr\u1ea3i qua nh\u1eefng c\u01a1n \u0111au kh\u00f3 ki\u1ec3m so\u00e1t. C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ecdn \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au theo c\u00e1c c\u00e1ch kh\u00e1c nhau:<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><strong>\u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n g\u00e2y \u0111au.<\/strong> V\u00ed d\u1ee5, m\u1ed9t kh\u1ed1i u c\u00f3 th\u1ec3 ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh v\u00e0 g\u00e2y \u0111au. Vi\u1ec7c c\u1eaft b\u1ecf kh\u1ed1i u n\u00e0y b\u1eb1ng<a href=\"https:\/\/yhoccongdong.com\/thongtin\/phau-thuat-ung-thu-la-gi\/\" target=\"_blank\" rel=\"noopener\"> ph\u1eabu thu\u1eadt<\/a> ho\u1eb7c l\u00e0m nh\u1ecf k\u00edch c\u1ee1 c\u1ee7a n\u00f3 b\u1eb1ng <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dieu-gi-se-dien-ra-trong-dieu-tri-hoa-tri\/\" target=\"_blank\" rel=\"noopener\">h\u00f3a tr\u1ecb<\/a> ho\u1eb7c<a href=\"https:\/\/yhoccongdong.com\/thongtin\/xa-tri-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\"> x\u1ea1 tr\u1ecb<\/a> s\u1ebd gi\u00fap l\u00e0m gi\u1ea3m ho\u1eb7c lo\u1ea1i b\u1ecf c\u01a1n \u0111au.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><strong>Thay \u0111\u1ed5i c\u00e1ch c\u1ea3m nh\u1eadn c\u01a1n \u0111au b\u1eb1ng thu\u1ed1c.<\/strong> M\u1ed9t s\u1ed1 thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 th\u1ec3 thay \u0111\u1ed5i c\u00e1ch c\u01a1 th\u1ec3 c\u1ea3m nh\u1eadn v\u1ec1 c\u01a1n \u0111au, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu h\u01a1n.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><strong>T\u00e1c \u0111\u1ed9ng v\u00e0o qu\u00e1 tr\u00ecnh truy\u1ec1n t\u00edn hi\u1ec7u \u0111au t\u1edbi n\u00e3o b\u1ed9 b\u1eb1ng th\u1ee7 thu\u1eadt.<\/strong> N\u1ebfu c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u b\u1ea1n t\u1edbi m\u1ed9t chuy\u00ean gia v\u1ec1 gi\u1ea3m \u0111au \u0111\u1ec3 c\u00e2n nh\u1eafc m\u1ed9t s\u1ed1 li\u1ec7u ph\u00e1p gi\u1ea3m \u0111au \u0111\u1eb7c bi\u1ec7t. Li\u1ec7u ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c ti\u00eam thu\u1ed1c v\u00e0o t\u1ee7y s\u1ed1ng, d\u00e2y th\u1ea7n kinh ho\u1eb7c l\u00e0 c\u00e1c m\u00f4 xung quanh d\u00e2y th\u1ea7n kinh \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00edn hi\u1ec7u \u0111au.<\/span><\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><b>C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au<\/b><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">Ph\u00f2ng tr\u00e1nh s\u1ef1 xu\u1ea5t hi\u1ec7n v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a c\u01a1n \u0111au l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Khi s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c th\u01b0\u1eddng xuy\u00ean theo l\u1ecbch tr\u00ecnh c\u1ed1 \u0111\u1ecbnh. <strong>U\u1ed1ng thu\u1ed1c \u0111\u00fang gi\u1edd<\/strong> \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng v\u00ec n\u00f3 s\u1ebd gi\u00fap duy tr\u00ec \u1ed5n \u0111\u1ecbnh m\u1ee9c thu\u1ed1c gi\u1ea3m \u0111au trong c\u01a1 th\u1ec3. \u0110\u00e2y ch\u00ednh l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au h\u1eb1ng ng\u00e0y. Khi nh\u1eefng c\u01a1n \u0111au \u0111\u1ed9t ph\u00e1t xu\u1ea5t hi\u1ec7n, b\u00e1c s\u0129 s\u1ebd d\u00f9ng th\u00eam nh\u1eefng li\u1ec1u thu\u1ed1c gi\u1ea3m \u0111au \u201cc\u1ee9u c\u00e1nh\u201d (rescue\/extra doses). B\u00e1c s\u0129 s\u1ebd d\u1ef1a v\u00e0o l\u01b0\u1ee3ng thu\u1ed1c gi\u1ea3m \u0111au m\u00e0 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng \u0111\u1ecbnh k\u1ef3 h\u1eb1ng ng\u00e0y \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh li\u1ec1u thu\u1ed1c gi\u1ea3m \u0111au c\u1ee9u c\u00e1nh. Ng\u01b0\u1ee3c l\u1ea1i, t\u00f9y v\u00e0o s\u1ed1 l\u1ea7n s\u1eed d\u1ee5ng li\u1ec1u gi\u1ea3m \u0111au c\u1ee9u c\u00e1nh m\u00e0 b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u00f9ng \u0111\u1ecbnh k\u1ef3 h\u1eb1ng ng\u00e0y.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">C\u00f3 r\u1ea5t nhi\u1ec1u lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i. T\u00f9y v\u00e0o lo\u1ea1i thu\u1ed1c v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c u\u1ed1ng, m\u1ed9t s\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch (ti\u00eam ven), ti\u00eam d\u01b0\u1edbi da ho\u1eb7c thu\u1ed1c d\u00e1n.<\/span><\/p>\n<ul style=\"text-align: justify\">\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><strong>Thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng thu\u1ed9c nh\u00f3m Opioids.<\/strong> Nh\u1eefng thu\u1ed1c n\u00e0y l\u00e0 l\u1ef1a ch\u1ecdn cho c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb \u0111au nh\u1eb9. C\u00e1c b\u00e1c s\u0129 \u0111\u00f4i khi c\u0169ng k\u00ea \u0111\u01a1n thu\u1ed1c gi\u1ea3m \u0111au n\u00e0y k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1c khi c\u01a1n \u0111au n\u1eb7ng h\u01a1n. Thu\u1ed1c nh\u00f3m n\u00e0y bao g\u1ed3m:<\/span>\n<ul>\n<li style=\"font-weight: 400\">Thu\u1ed1c kh\u00e1ng vi\u00eam Non-steroid (NSAIDs), v\u00ed d\u1ee5 nh\u01b0 Ibuprofen (Advil ho\u1eb7c Motrin)<\/li>\n<li style=\"font-weight: 400\">Acetaminophen (Tylenol)<\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><strong>Thu\u1ed1c gi\u1ea3m \u0111au th\u01b0\u1eddng d\u00f9ng cho c\u00e1c b\u1ec7nh kh\u00e1c.<\/strong> M\u1ed9t s\u1ed1 thu\u1ed1c th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au cho c\u00e1c b\u1ec7nh kh\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111au d\u00e2y th\u1ea7n kinh, bao g\u1ed3m:<\/span>\n<ul>\n<li style=\"font-weight: 400\">Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m, nh\u01b0 Duloxetine (Cymbalta)<\/li>\n<li style=\"font-weight: 400\">Thu\u1ed1c ng\u1eeba \u0111\u1ed9ng kinh, nh\u01b0 Gabapentin (Gralise, Neurontin) v\u00e0 Pregabalin (Lyrica)<\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400\"><strong>Thu\u1ed1c gi\u1ea3m \u0111au nh\u00f3m Opioids,<\/strong> hay c\u00f2n g\u1ecdi l\u00e0 thu\u1ed1c phi\u1ec7n d\u00f9ng trong y t\u1ebf.C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng song song v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng thu\u1ed9c nh\u00f3m Opioids. Nh\u00f3m n\u00e0y bao g\u1ed3m nhi\u1ec1u lo\u1ea1i t\u1eeb c\u00e1c nh\u00e0 s\u1ea3n xu\u1ea5t kh\u00e1c nhau:\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hydrocodone<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fentanyl<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hydromorphone<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Methadone<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Morphine<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Oxycodone<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Oxymorphone<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-weight: 400\">C\u00e1c b\u00e1c s\u0129 s\u1ebd xem x\u00e9t k\u00ea \u0111\u01a1n thu\u1ed1c Opioids cho b\u1ec7nh nh\u00e2n b\u1ecb \u0111au n\u1eb7ng kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au tr\u01b0\u1edbc \u0111\u00f3. V\u00ec nguy c\u01a1 g\u00e2y nghi\u1ec7n li\u00ean quan t\u1edbi ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c ng\u01b0\u1eddi th\u00e2n, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng ch\u1ee7 \u0111\u1ed9ng trao \u0111\u1ed5i v\u1edbi b\u1ec7nh nh\u00e2n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y. B\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi nh\u00e0 c\u0169ng n\u00ean ch\u00fa \u00fd c\u1ea5t gi\u1eef k\u1ef9 l\u01b0\u1ee1ng nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y \u1edf n\u01a1i an to\u00e0n \u0111\u1ec3 ng\u01b0\u1eddi kh\u00e1c kh\u00f4ng l\u1ea5y s\u1eed d\u1ee5ng. N\u1ebfu s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y ngo\u00e0i ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 x\u1ea3y ra, th\u1eadm ch\u00ed g\u00e2y t\u1eed vong.<\/span><\/p>\n<ul>\n<li style=\"text-align: justify\"><span style=\"font-weight: 400\"><strong>Thu\u1ed1c Cannabis (Marijuana)\/Cannabinoid d\u00f9ng trong y t\u1ebf.<\/strong> M\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c d\u1ea1ng n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p s\u1eed d\u1ee5ng cho c\u00e1c c\u01a1n \u0111au m\u00e3n t\u00ednh. Hi\u1ec7n nay, ch\u01b0a c\u00f3 \u0111\u1ea7y \u0111\u1ee7 b\u1eb1ng ch\u1ee9ng \u0111\u1ec3 Hi\u1ec7p h\u1ed9i Ung th\u01b0 Hoa K\u1ef3 (ASCO) khuy\u1ebfn kh\u00edch d\u00f9ng Cannabis nh\u01b0 l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean \u0111\u1ec3 gi\u1ea3m \u0111au. Tuy nhi\u00ean n\u1ebfu n\u01a1i b\u1ea1n s\u1ed1ng cho ph\u00e9p s\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c n\u00e0y, \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111i k\u00e8m v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 kh\u1ed1ng ch\u1ebf nh\u1eefng c\u01a1n \u0111au kh\u00f3 ki\u1ec3m so\u00e1t.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Thu\u1ed1c kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ef1a ch\u1ecdn duy nh\u1ea5t \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au. M\u1ed9t v\u00e0i b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y v\u1eadt l\u00fd tr\u1ecb li\u1ec7u l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 gi\u1ea3m \u0111au. Th\u00eam v\u00e0o \u0111\u00f3, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 li\u1ec7u ph\u00e1p b\u1ed5 sung (complementary therapy). Nh\u1eefng ph\u01b0\u01a1ng th\u1ee9c n\u00e0y bao g\u1ed3m c\u00e1c k\u0129 thu\u1eadt v\u00e0 c\u00e1ch th\u1ee9c kh\u00e1c nhau \u0111\u1ec3 xoa d\u1ecbu c\u00e1c tri\u1ec7u ch\u1ee9ng\/kh\u00f3 ch\u1ecbu li\u00ean quan t\u1edbi th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n, \u0111a d\u1ea1ng t\u1eeb thi\u1ec1n \u0111\u1ecbnh \u0111\u1ebfn ch\u00e2m c\u1ee9u. C\u00e1ch hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au th\u01b0\u1eddng l\u00e0 k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p.<\/p>\n<h2 style=\"text-align: justify\"><b>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/b><\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/pain\/treating-pain-with-medication\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/pain\/treating-pain-with-medication<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gi\u1ea3m \u0111au trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gi\u00fap cho b\u00eanh nh\u00e2n ung th\u01b0 tr\u1ea3i qua c\u01a1n \u0111au trong khi ho\u1eb7c sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n","protected":false},"author":165,"featured_media":7809,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3752],"tags":[2716,2717,2718,2662,2719,2720,2660],"series":[1420],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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