{"id":7868,"date":"2018-04-29T13:40:11","date_gmt":"2018-04-29T06:40:11","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/tran-dich-o-bung-co-truong\/"},"modified":"2024-04-29T16:27:24","modified_gmt":"2024-04-29T09:27:24","slug":"tran-dich-o-bung-co-truong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tran-dich-o-bung-co-truong\/","title":{"rendered":"Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng &#8211; C\u1ed5 tr\u01b0\u1edbng"},"content":{"rendered":"<p style=\"text-align: justify\">Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng, hay \u201cC\u1ed5 tr\u01b0\u1edbng\u201d, l\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a d\u1ecbch b\u1ea5t th\u01b0\u1eddng trong c\u00e1c khoang quanh c\u00e1c t\u1ea1ng \u1ed5 b\u1ee5ng. Khi t\u00ecnh tr\u1ea1ng tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng g\u00e2y ra b\u1edfi ung th\u01b0, b\u00e1c s\u0129 g\u1ecdi \u0111\u00f3 l\u00e0 tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng \u00e1c t\u00ednh. Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ec7nh ung th\u01b0 sau \u0111\u00e2y:<\/p>\n<ul style=\"text-align: justify\">\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">Ung th\u01b0 v\u00fa<\/a><\/li>\n<li>Ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, nh\u01b0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-da-day\/\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 d\u1ea1 d\u00e0y<\/a>,<a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-dai-truc-trang\/\" target=\"_blank\" rel=\"noopener\"> \u0111\u1ea1i tr\u00e0ng<\/a> v\u00e0 ru\u1ed9t non<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/cac-kien-thuc-co-ban-ve-ung-thu-buong-trung-danh-cho-cong-dong\/\" target=\"_blank\" rel=\"noopener\">Ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tac-dung-phu-cua-ghep-tuy-xuong-ghep-te-bao-goc\/\" target=\"_blank\" rel=\"noopener\">Ung th\u01b0 t\u1ee5y<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-co-tu-cung\/\" target=\"_blank\" rel=\"noopener\">Ung th\u01b0 c\u1ed5 t\u1eed cung<\/a> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-tu-cung\/\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 t\u1eed cung<\/a><\/li>\n<li>M\u1ed9t s\u1ed1 ung th\u01b0 kh\u00e1c<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-16114 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2017\/11\/hinh-1.jpg\" alt=\"\" width=\"450\" height=\"273\" \/><\/p>\n<p style=\"text-align: center\"><strong>H\u00ecnh 1<\/strong>. Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng (c\u1ed5 tr\u01b0\u1edbng) l\u00e0m b\u1ee5ng ph\u00ecnh to.<\/p>\n<h2 style=\"text-align: justify\"><strong>Tri\u1ec7u ch\u1ee9ng tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng <\/strong><\/h2>\n<p style=\"text-align: justify\">Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu v\u00ec nh\u1eefng h\u1eadu qu\u1ea3 do tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng g\u00e2y ra. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/p>\n<ul style=\"text-align: justify\">\n<li>T\u0103ng c\u00e2n<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>Ph\u00f9 n\u1ec1 v\u00f9ng b\u1ee5ng<\/li>\n<li>C\u1ea3m gi\u00e1c \u0111\u1ea7y b\u1ee5ng, \u0111\u1ea7y h\u01a1i<\/li>\n<li>C\u1ea3m gi\u00e1c n\u1eb7ng n\u1ec1<\/li>\n<li>Kh\u00f3 ti\u00eau<\/li>\n<li>Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n<\/li>\n<li>R\u1ed1n l\u1ed3i<\/li>\n<li>B\u1ec7nh tr\u0129, g\u00e2y \u0111au s\u01b0ng quanh h\u1eadu m\u00f4n<\/li>\n<li>S\u01b0ng m\u1eaft c\u00e1 ch\u00e2n<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Gi\u1ea3m kh\u1ea9u v\u1ecb<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>Ch\u1ea9n \u0111o\u00e1n tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng <\/strong><\/h2>\n<p style=\"text-align: justify\">\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng, b\u00e1c s\u0129 s\u1ebd c\u1ea7n kh\u00e1m b\u1ee5ng v\u00e0 h\u1ecfi b\u1ec7nh nh\u00e2n v\u1ec1 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng x\u1ea3y ra g\u1ea7n \u0111\u00e2y. C\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng:<\/p>\n<ul style=\"text-align: justify\">\n<li>Ch\u1ee5p X quang, gi\u00fap kh\u1ea3o s\u00e1t h\u00ecnh \u1ea3nh b\u00ean trong c\u01a1 th\u1ec3 b\u1eb1ng tia X.<\/li>\n<li>Si\u00eau \u00e2m, s\u1eed d\u1ee5ng s\u00f3ng \u00e2m \u0111\u1ec3 kh\u1ea3o s\u00e1t h\u00ecnh \u1ea3nh b\u00ean trong c\u01a1 th\u1ec3.<\/li>\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT), t\u1ea1o h\u00ecnh \u1ea3nh ba chi\u1ec1u b\u1eb1ng tia X.<\/li>\n<li>Ch\u1ecdc d\u1ecbch, s\u1eed d\u1ee5ng kim ch\u1ecdc d\u1ecbch gi\u1ea3i \u00e1p v\u00e0 l\u1ea5y m\u1eabu d\u1ecbch x\u00e9t nghi\u1ec7m. Qua x\u00e9t nghi\u1ec7m m\u1eabu d\u1ecbch, c\u00e1c b\u00e1c s\u0129 s\u1ebd t\u00ecm ra \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"size-full wp-image-16115 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/04\/hinh-2.jpg\" alt=\"\" width=\"366\" height=\"279\" \/><\/p>\n<p style=\"text-align: center\"><strong>H\u00ecnh 2.<\/strong> H\u00ecnh \u1ea3nh si\u00eau \u00e2m b\u1ee5ng cho th\u1ea5y c\u00f3 d\u1ecbch (A) trong \u1ed5 b\u1ee5ng, tr\u00ean gan (L).<\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"size-full wp-image-16116 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/04\/hinh-3.jpg\" alt=\"\" width=\"787\" height=\"696\" \/><\/p>\n<p style=\"text-align: center\"><strong>H\u00ecnh 3.<\/strong> M\u1eb7t c\u1eaft ngang b\u1ee5ng tr\u00ean CT cho th\u1ea5y h\u00ecnh \u1ea3nh d\u1ecbch trong \u1ed5 b\u1ee5ng (A).<\/p>\n<h2 style=\"text-align: justify\"><strong>X\u1eed tr\u00ed v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng <\/strong><\/h2>\n<p style=\"text-align: justify\">Gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n ung th\u01b0. Vi\u1ec7c n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 ho\u1eb7c ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9. B\u1ec7nh nh\u00e2n n\u00ean trao \u0111\u1ed5i v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o m\u1edbi xu\u1ea5t hi\u1ec7n ho\u1eb7c s\u1ef1 thay \u0111\u1ed5i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 s\u1eb5n.<\/p>\n<p style=\"text-align: justify\">M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng l\u00e0 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y s\u1ef1 kh\u00f3 ch\u1ecbu. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb n\u1ebfu v\u1ea5n \u0111\u1ec1 tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu. Qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng ph\u1ea3n \u1ee9ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n x\u1ea3y ra. B\u1ec7nh nh\u00e2n c\u1ea7n trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 v\u1ec1 nh\u1eefng r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch c\u1ee7a m\u1ed7i ph\u01b0\u01a1ng ph\u00e1p tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p style=\"text-align: justify\">Sau \u0111\u00e2y l\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111\u1ec3 gi\u00fap gi\u1ea3m tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong>Gi\u1ea3m l\u01b0\u1ee3ng mu\u1ed1i<\/strong> t\u1eeb th\u1ee9c \u0103n, u\u1ed1ng \u00edt n\u01b0\u1edbc v\u00e0 c\u00e1c ch\u1ea5t d\u1ecbch kh\u00e1c. Tuy nhi\u00ean, nhi\u1ec1u b\u1ec7nh nh\u00e2n v\u1eabn kh\u00f3 theo ch\u1ebf \u0111\u1ed9 ti\u1ebft th\u1ef1c n\u00e0y.<\/li>\n<li><strong>S\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u:<\/strong> Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y gi\u00fap l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc trong c\u01a1 th\u1ec3. Thu\u1ed1c l\u1ee3i ti\u1ec3u hi\u1ec7u qu\u1ea3 \u0111\u1ec3 gi\u1ea3m tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng v\u00e0 kh\u00f4ng g\u00e2y c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 cho h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean ch\u00fang c\u00f3 th\u1ec3 g\u00e2y n\u00ean m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n sau \u1edf m\u1ed9t v\u00e0i b\u1ec7nh nh\u00e2n:\n<ul>\n<li>M\u1ea5t ng\u1ee7<\/li>\n<li>Nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 da<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Huy\u1ebft \u00e1p th\u1ea5p<\/li>\n<li>\u0110i ti\u1ec3u nhi\u1ec1u l\u1ea7n h\u01a1n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Ch\u1ecdc d\u1ecbch b\u1ee5ng:\u00a0<\/strong>Th\u1ee7 thu\u1eadt n\u00e0y s\u1ebd mang l\u1ea1i l\u1ee3i \u00edch khi tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p ho\u1eb7c g\u00e2y c\u1ea3m gi\u00e1c \u0111\u1ea7y b\u1ee5ng m\u00e0 thu\u1ed1c l\u1ee3i ti\u1ec3u kh\u00f4ng c\u00f2n t\u00e1c d\u1ee5ng nhi\u1ec1u n\u1eefa. N\u1ebfu b\u1ec7nh nh\u00e2n c\u1ea7n ch\u1ecdc d\u1ecbch th\u01b0\u1eddng xuy\u00ean, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb \u0111\u1eb7t m\u1ed9t lo\u1ea1i \u1ed1ng \u0111\u1eb7c bi\u1ec7t g\u1ecdi l\u00e0 catheter tr\u00ean th\u00e0nh b\u1ee5ng. \u1ed0ng d\u1eabn l\u01b0u (catheter) n\u00e0y s\u1ebd gi\u00fap d\u1eabn l\u01b0u d\u1ecbch ra ngo\u00e0i thu\u1eadn ti\u1ec7n h\u01a1n, ngay c\u1ea3 khi b\u1ec7nh nh\u00e2n \u0111ang \u1edf nh\u00e0. Tuy nhi\u00ean, th\u1ee7 thu\u1eadt n\u00e0y \u00edt khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf Vi\u1ec7t Nam v\u00e0 m\u1ed9t s\u1ed1 n\u01b0\u1edbc kh\u00e1c.<\/li>\n<li><strong>Ho\u00e1 tr\u1ecb li\u1ec7u:<\/strong> Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 nh\u1ea5t \u0111\u1ecbnh, nh\u01b0 lymphoma, ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. Tuy nhi\u00ean, h\u00f3a tr\u1ecb hi\u1ebfm khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng.<\/li>\n<li><strong>T\u1ea1o c\u1ea7u n\u1ed1i (Shunt):<\/strong>\u00a0M\u1ed9t s\u1ed1 r\u1ea5t \u00edt b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cc\u1ea7u n\u1ed1i\u201d \u0111\u1ec3 d\u1eabn l\u01b0u\/r\u00fat b\u1ecf d\u1ecbch t\u1eeb n\u01a1i n\u00e0y sang n\u01a1i kh\u00e1c trong c\u01a1 th\u1ec3 (nh\u01b0 t\u1eeb \u1ed5 b\u1ee5ng v\u1ec1 t\u0129nh m\u1ea1ch ch\u1ee7). Th\u1ee7 thu\u1eadt n\u00e0y ch\u01b0a ho\u1eb7c \u00edt khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf Vi\u1ec7t Nam.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<ol style=\"text-align: justify\">\n<li><a href=\"http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/fluid-abdomen-or-ascites\" target=\"_blank\" rel=\"noopener\">http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/fluid-abdomen-or-ascites<\/a><\/li>\n<li><a href=\"https:\/\/www.cancertherapyadvisor.com\/general-oncology\/malignant-ascites-cancer-diagnosis-management\/article\/411203\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancertherapyadvisor.com\/general-oncology\/malignant-ascites-cancer-diagnosis-management\/article\/411203\/<\/a><\/li>\n<li><a href=\"http:\/\/queensimcr.wixsite.com\/blog\/single-post\/2016\/08\/01\/Morning-Report-Pearls-Ascites\" target=\"_blank\" rel=\"noopener\">http:\/\/queensimcr.wixsite.com\/blog\/single-post\/2016\/08\/01\/Morning-Report-Pearls-Ascites<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng, hay \u201cC\u1ed5 tr\u01b0\u1edbng\u201d, l\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a d\u1ecbch b\u1ea5t th\u01b0\u1eddng trong c\u00e1c khoang quanh c\u00e1c t\u1ea1ng \u1ed5 b\u1ee5ng. Khi tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng g\u00e2y ra b\u1edfi ung th\u01b0 l\u00e0 tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng \u00e1c t\u00ednh<\/p>\n","protected":false},"author":318,"featured_media":4706,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3752],"tags":[2797,2798,2673,2593,2638,2799,2576,2569,2598],"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>Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng - c\u1ed5 tr\u01b0\u1edbng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Tr\u00e0n d\u1ecbch \u1ed5 b\u1ee5ng, hay \u201cC\u1ed5 tr\u01b0\u1edbng\u201d, l\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a d\u1ecbch b\u1ea5t th\u01b0\u1eddng trong c\u00e1c khoang quanh c\u00e1c t\u1ea1ng \u1ed5 b\u1ee5ng.\" \/>\n<meta name=\"robots\" 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