Thuy\u00ean t\u1eafc ph\u1ed5i<\/a><\/strong> l\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn m\u1ed9t ho\u1eb7c nhi\u1ec1u \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\nC\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn HKTMS ho\u1eb7c TTP. Nhi\u1ec1u b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1eadn ra tri\u1ec7u ch\u1ee9ng c\u1ee7a HKTMS \u0111\u1ebfn khi x\u1ea3y ra bi\u1ebfn ch\u1ee9ng n\u1eb7ng l\u00e0 TTP. H\u00e3y g\u1eb7p b\u00e1c s\u0129 c\u1ee7a b\u1ea1n ngay l\u1eadp t\u1ee9c n\u1ebfu b\u1ea1n c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u1ed9t trong hai lo\u1ea1i b\u1ec7nh tr\u00ean. C\u1ea3 HKTMS v\u00e0 TTP \u0111\u1ec1u l\u00e0 b\u1ec7nh nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/p>\n
<\/h3>\n
HKTMS c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t ho\u1eb7c v\u00e0i d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng sau:<\/u><\/strong><\/p>\n\n- S\u01b0ng ch\u00e2n, c\u00f3 th\u1ec3 k\u00e8m n\u1ed5i ph\u00ecnh t\u0129nh m\u1ea1ch ngay d\u01b0\u1edbi da \u1edf ch\u00e2n (ho\u1eb7c tay)<\/li>\n
- \u0110au ho\u1eb7c \u1ea5n v\u00e0o th\u1ea5y \u0111au \u1edf ch\u00e2n, \u0111\u00f4i khi b\u1ec7nh nh\u00e2n ch\u1ec9 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c khi \u0111\u1ee9ng ho\u1eb7c \u0111i<\/li>\n
- \u0110au ho\u1eb7c \u1ea5n v\u00e0o th\u1ea5y \u0111au \u1edf c\u00e1nh tay l\u00e0m gi\u1edbi h\u1ea1n c\u1eed \u0111\u1ed9ng<\/li>\n
- Th\u1ea5y n\u00f3ng \u0111\u1ecf t\u1ea1i ch\u1ed7 s\u01b0ng ho\u1eb7c \u0111au \u1edf tay\/ch\u00e2n<\/li>\n<\/ul>\n
TTP c\u00f3 th\u1ec3 bao g\u1ed3m m\u1ed9t ho\u1eb7c nhi\u1ec1u nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng sau:<\/u><\/strong><\/p>\n\n- Da n\u1ed5i \u0111\u1ecf ho\u1eb7c t\u00edm t\u00e1i \u1edf ch\u00e2n ho\u1eb7c c\u00e1nh tay<\/li>\n
- Kh\u00f3 th\u1edf, th\u1edf nhanh kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t (\u0111\u00f4i khi x\u1ea3y ra t\u1eeb t\u1eeb)<\/li>\n
- \u0110au \u1edf ng\u1ef1c, hai b\u00ean, ho\u1eb7c l\u01b0ng khi th\u1edf s\u00e2u<\/li>\n
- Ho ra m\u00e1u<\/li>\n
- Nh\u1ecbp th\u1edf nhanh<\/li>\n
- Nh\u1ecbp tim nhanh<\/li>\n<\/ul>\n
<\/h3>\n
C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y ra HKTMS:<\/strong><\/p>\n\n- C\u00e1c ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn (adenocarcinoma). Adenocarcinoma th\u01b0\u1eddng bao g\u1ed3m ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn ph\u1ebf qu\u1ea3n-ph\u1ed5i, tuy\u1ebfn ti\u1ec1n li\u1ec7t, tuy\u1ebfn t\u1ee5y, th\u1ef1c qu\u1ea3n, tuy\u1ebfn \u0111\u1ea1i tr\u00e0ng.<\/li>\n
- Ph\u1eabu thu\u1eadt<\/li>\n
- H\u00f3a tr\u1ecb<\/li>\n
- S\u1eed d\u1ee5ng thu\u1ed1c n\u1ed9i ti\u1ebft \/ Li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb hormone<\/li>\n
- N\u1eb1m\/ng\u1ed3i b\u1ea5t \u0111\u1ed9ng k\u00e9o d\u00e0i<\/li>\n
- \u0110\u00e3 t\u1eebng b\u1ecb HKTMS<\/li>\n
- M\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh v\u1ec1 ph\u1ed5i ho\u1eb7c tim m\u1ea1ch<\/li>\n
- L\u1edbn tu\u1ed5i<\/li>\n
- H\u00fat thu\u1ed1c<\/li>\n<\/ul>\n
<\/h3>\n
\u0110\u1ec3 \u0111\u1ec1 ph\u00f2ng t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u, c\u1ea7n th\u1ef1c hi\u1ec7n nh\u1eefng vi\u1ec7c sau:<\/strong><\/p>\n\n- Ra kh\u1ecfi gi\u01b0\u1eddng v\u00e0 v\u1eadn \u0111\u1ed9ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t khi \u0111\u1ee1 m\u1ec7t ho\u1eb7c sau m\u1ed5.<\/li>\n
- Khi \u0111i du l\u1ecbch ho\u1eb7c ph\u1ea3i ng\u1ed3i trong th\u1eddi gian d\u00e0i, n\u00ean \u0111\u1ee9ng d\u1eady v\u00e0 du\u1ed7i c\u01a1 th\u01b0\u1eddng xuy\u00ean.<\/li>\n
- N\u1ebfu b\u1ea1n \u0111\u00e3 t\u1eebng b\u1ecb HKTMS, n\u00ean h\u1ecfi b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c mang v\u1edb\/t\u1ea5t co gi\u00e3n (compression stockings) khi \u0111i du l\u1ecbch v\u00e0\/ho\u1eb7c d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u tr\u01b0\u1edbc chuy\u1ebfn \u0111i.<\/li>\n<\/ul>\n
H\u00e3y h\u1ecfi b\u00e1c s\u0129 v\u1ec1 r\u1ee7i ro h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng ho\u1eb7c HKTMS v\u00e0 b\u1ea1n n\u00ean l\u00e0m nh\u1eefng g\u00ec \u0111\u1ec3 ng\u0103n ng\u1eeba ch\u00fang.<\/p>\n
H\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u<\/h2>\n
H\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u<\/strong> (LGKU), c\u00f2n g\u1ecdi l\u00e0 H\u1ed9i ch\u1ee9ng ti\u00eau kh\u1ed1i u, l\u00e0 b\u1ec7nh l\u00fd \u00e1c t\u00ednh th\u1ec9nh tho\u1ea3ng x\u1ea3y ra sau ho\u00e1 tr\u1ecb \u1edf nh\u1eefng lo\u1ea1i ung th\u01b0 c\u00f3 t\u1ed1c \u0111\u1ed9 ph\u00e1t tri\u1ec3n nhanh, nh\u01b0 m\u1ed9t s\u1ed1 d\u1ea1ng ung th\u01b0 b\u1ea1ch c\u1ea7u v\u00e0 lymphoma. H\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u \u00edt x\u1ea3y ra \u1edf u \u0111\u1eb7c, ngo\u1ea1i tr\u1eeb ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf. B\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi b\u00e1c s\u0129 v\u1ec1 r\u1ee7i ro g\u1eb7p hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y.<\/p>\nNguy\u00ean nh\u00e2n l\u00e0 do nhi\u1ec1u t\u1ebf b\u00e0o \u00e1c t\u00ednh ch\u1ebft v\u00e0 ph\u00e2n h\u1ee7y nhanh ch\u00f3ng sau h\u00f3a tr\u1ecb. Khi \u0111\u00f3, ch\u00fang v\u1ee1 ra v\u00e0 gi\u1ea3i ph\u00f3ng c\u00e1c ion n\u1ed9i b\u00e0o, c\u00e1c s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a trung gian v\u00e0o m\u00e1u, bao g\u1ed3m Kali, Photpho, v\u00e0 DNA t\u1eeb kh\u1ed1i u. Vi\u1ec7c ph\u00f3ng th\u00edch \u1ed3 \u1ea1t nh\u1eefng th\u00e0nh ph\u1ea7n n\u00e0y g\u00e2y n\u00ean s\u1ef1 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00e0 t\u0103ng \u0111\u1ed9t ng\u1ed9t n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t trong m\u00e1u, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan nh\u01b0 th\u1eadn, tim, gan v\u00e0 h\u1ec7 th\u1ea7n kinh. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, co gi\u1eadt, th\u1eadm ch\u00ed t\u1eed vong.<\/p>\n
<\/h3>\n
M\u1eb7c d\u00f9 h\u1ed9i ch\u1ee9ng LGKU th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn ho\u00e1 tr\u1ecb, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd n\u00e0y. N\u00f3 hi\u1ebfm khi di\u1ec5n ra tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0, v\u00e0 c\u1ef1c k\u00ec hi\u1ebfm g\u1eb7p sau khi sinh thi\u1ebft. Nh\u1eefng b\u1ec7nh nh\u00e2n d\u1ec5 g\u1eb7p h\u1ed9i ch\u1ee9ng LGKU n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n, \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 theo d\u00f5i, truy\u1ec1n d\u1ecbch qua t\u0129nh m\u1ea1ch v\u00e0 d\u00f9ng m\u1ed9t s\u1ed1 thu\u1ed1c l\u00e0m gi\u1ea3m acid uric m\u00e1u nh\u01b0 rasburicase (Elitek) \u0111\u1ec3 ph\u00f2ng ng\u1eeba. H\u1ed9i ch\u1ee9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m li\u00ean quan kh\u00e1c.
\nH\u1ed9i ch\u1ee9ng n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ngh\u0129 t\u1edbi nh\u1edd d\u1ea5u hi\u1ec7u\/tri\u1ec7u ch\u1ee9ng nh\u01b0 b\u00ean d\u01b0\u1edbi.<\/p>\n
Nh\u1eefng b\u1ec7nh ung th\u01b0 th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u bao g\u1ed3m:<\/strong><\/p>\n\n- U lympho Burkitt<\/li>\n
- U lympho t\u1ebf b\u00e0o l\u1edbn (c\u00e1c b\u1ec7nh u lympho kh\u00f4ng Hodgkin)<\/li>\n
- B\u1ec7nh b\u1ea1ch c\u1ea7u lympho c\u1ea5p t\u00ednh<\/li>\n
- B\u1ec7nh b\u1ea1ch c\u1ea7u nguy\u00ean b\u00e0o tu\u1ef7 c\u1ea5p t\u00ednh<\/li>\n
- B\u1ec7nh b\u1ea1ch c\u1ea7u lympho m\u1ea1n<\/li>\n
- Ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf<\/li>\n<\/ul>\n
<\/h3>\n
C\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u00e2y c\u0169ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 g\u00e2y n\u00ean h\u1ed9i ch\u1ee9ng LGKU cho b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0:<\/strong><\/p>\n\n- S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u cao<\/li>\n
- H\u00e0m l\u01b0\u1ee3ng acid uric m\u00e1u cao<\/li>\n
- C\u00e1c b\u1ec7nh v\u1ec1 th\u1eadn<\/li>\n
- M\u1ea5t n\u01b0\u1edbc<\/li>\n
- Ung th\u01b0 giai \u0111o\u1ea1n cu\u1ed1i<\/li>\n
- T\u1ed1c \u0111\u1ed9 t\u0103ng sinh t\u1ebf b\u00e0o ung th\u01b0 nhanh<\/li>\n<\/ul>\n
C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u bao g\u1ed3m:<\/strong><\/p>\n\n- Bu\u1ed3n n\u00f4n<\/li>\n
- N\u00f4n m\u1eeda<\/li>\n
- Ti\u00eau ch\u1ea3y<\/li>\n
- S\u01b0ng, ph\u00f9<\/li>\n
- Th\u1edf g\u1ea5p<\/li>\n
- R\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/li>\n
- Huy\u1ebft \u00e1p th\u1ea5p<\/li>\n
- N\u01b0\u1edbc ti\u1ec3u \u0111\u1ee5c ho\u1eb7c c\u00f3 l\u1eabn m\u00e1u<\/li>\n
- \u0110i ti\u1ec3u \u00edt h\u01a1n<\/li>\n
- \u0110au h\u1ea1 s\u01b0\u1eddn ph\u00eda sau l\u01b0ng<\/li>\n
- M\u1ec7t m\u1ecfi ho\u1eb7c thi\u1ebfu sinh kh\u00ed<\/li>\n
- Co gi\u1eadt<\/li>\n
- Co r\u00fat c\u01a1 ho\u1eb7c chu\u1ed9t r\u00fat<\/li>\n
- \u0110au \u1edf c\u00e1c kh\u1edbp<\/li>\n
- \u0110\u1ed9t t\u1eed<\/li>\n<\/ul>\n
N\u00f3i chuy\u1ec7n v\u1edbi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n<\/h2>\n
M\u1ed7i lo\u1ea1i b\u1ec7nh ung th\u01b0 v\u00e0 t\u1eebng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y n\u00ean c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c nhau. H\u00e3y h\u1ecfi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n v\u1ec1 nh\u1eefng bi\u1ebfn ch\u1ee9ng m\u00e0 b\u1ea1n n\u00ean theo d\u00f5i. \u0110\u1ed3ng th\u1eddi, h\u00e3y trao \u0111\u1ed5i c\u00e1ch th\u1ee9c v\u00e0 th\u1eddi \u0111i\u1ec3m \u0111\u1ec3 li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 c\u0169ng nh\u01b0 c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.
\nN\u1ebfu \u0111\u01b0\u1ee3c, h\u00e3y h\u1ecfi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n nh\u1eefng c\u00e2u h\u1ecfi sau \u0111\u00e2y:<\/p>\n
\n- Nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1ed1i v\u1edbi c\u1ee7a t\u00f4i l\u00e0 g\u00ec?<\/li>\n
- Bi\u1ebfn ch\u1ee9ng n\u00e0o t\u00f4i n\u00ean ch\u00fa \u00fd v\u00e0 n\u00ean g\u1ecdi b\u00e1c s\u0129?<\/li>\n
- Nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0o l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u m\u00e0 t\u00f4i n\u00ean g\u1ecdi c\u1ea5p c\u1ee9u (911 \u1edf M\u1ef9\/115 \u1edf Vi\u1ec7t Nam) ho\u1eb7c \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u ngay?<\/li>\n
- Nh\u1eefng t\u00ecnh tr\u1ea1ng n\u00e0o kh\u00e1c m\u00e0 t\u00f4i n\u00ean g\u1ecdi b\u00e1c s\u0129 trong khi \u0111i\u1ec1u tr\u1ecb kh\u00f4ng? C\u00e1ch li\u00ean l\u1ea1c nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n
- Khi n\u00e0o th\u00ec t\u00f4i n\u00ean li\u00ean l\u1ea1c c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c c\u1ee7a nh\u00f3m ch\u0103m s\u00f3c? C\u00e1ch li\u00ean l\u1ea1c nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n
- T\u00f4i n\u00ean li\u00ean l\u1ea1c s\u1ed1 \u0111i\u1ec7n tho\u1ea1i n\u00e0o sau gi\u1edd h\u00e0nh ch\u00ednh?<\/li>\n
- Khi n\u00e0o th\u00ec t\u00f4i n\u00ean d\u00f9ng th\u01b0 \u0111i\u1ec7n t\u1eed \u0111\u1ec3 li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 v\u00e0 nh\u00f3m ch\u0103m s\u00f3c?<\/li>\n<\/ul>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
https:\/\/www.cancer.net\/navigating-cancer-care\/how-cancer-treated\/when-call-doctor-during-cancer-treatment<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Ung th\u01b0 v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 g\u00e2y n\u00ean c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ea7n \u0111\u1ebfn ch\u0103m s\u00f3c y t\u1ebf. Tuy nhi\u00ean, th\u1eadt kh\u00f3 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh khi n\u00e0o c\u1ea7n li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129, b\u00e0i vi\u1ebft sau s\u1ebd cung c\u1ea5p cho c\u00e1c b\u1ea1n m\u1ed9t s\u1ed1 ki\u1ebfn th\u1ee9c c\u01a1 b\u1ea3n \u0111\u1ec3 nh\u1eadn bi\u1ebft \u0111i\u1ec1u n\u00e0y.<\/p>\n","protected":false},"author":348,"featured_media":4714,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2804],"tags":[2663],"series":[1647],"coauthors":[],"acf":[],"yoast_head":"\n
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