{"id":7980,"date":"2018-10-03T00:34:59","date_gmt":"2018-10-02T17:34:59","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/kien-thuc-co-ban-can-biet-ve-hoa-tri\/"},"modified":"2018-10-03T00:34:59","modified_gmt":"2018-10-02T17:34:59","slug":"kien-thuc-co-ban-can-biet-ve-hoa-tri","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/kien-thuc-co-ban-can-biet-ve-hoa-tri\/","title":{"rendered":"Ki\u1ebfn th\u1ee9c c\u01a1 b\u1ea3n c\u1ea7n bi\u1ebft v\u1ec1 H\u00f3a tr\u1ecb"},"content":{"rendered":"<p>H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p l\u00e0 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ec3 ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o ung th\u01b0, nh\u1eb1m ng\u0103n ch\u1eb7n ch\u00fang ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia. B\u1edfi v\u00ec c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia nhanh h\u01a1n c\u00e1c t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng, cho n\u00ean h\u00f3a tr\u1ecb c\u00f3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u1ebf b\u00e0o ung th\u01b0 nhi\u1ec1u h\u01a1n t\u1ebf b\u00e0o th\u01b0\u1eddng. Tuy nhi\u00ean, thu\u1ed1c h\u00f3a tr\u1ecb v\u1eabn c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u00ean t\u1ebf b\u00e0o l\u00e0nh, g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 ch\u00fang t\u00f4i s\u1ebd \u0111\u1ec1 c\u1eadp sau.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-36055 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/10\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2-300x128-1-20221010-090308.png\" alt=\"\" width=\"410\" height=\"175\" \/><\/p>\n<h2><strong>Ph\u00e2n lo\u1ea1i h\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p<\/strong><\/h2>\n<p>\u0110a ph\u1ea7n nh\u1eefng lo\u1ea1i thu\u1ed1c g\u00e2y \u0111\u1ed9c l\u00ean t\u1ebf b\u00e0o ung th\u01b0 \u0111\u1ec1u thu\u1ed9c nh\u00f3m li\u1ec7u ph\u00e1p h\u00f3a tr\u1ecb chu\u1ea9n, h\u00f3a tr\u1ecb truy\u1ec1n th\u1ed1ng hay c\u00f2n g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p h\u00f3a ch\u1ea5t \u0111\u1ed9c t\u1ebf b\u00e0o.<\/p>\n<p>M\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c kh\u00e1c c\u0169ng d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Nhi\u1ec1u lo\u1ea1i thu\u1ed1c m\u1edbi ra \u0111\u1eddi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thu\u1ed1c nh\u1eafm \u0111\u00edch hay li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch. Li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf gen ho\u1eb7c protein c\u00f3 trong t\u1ebf b\u00e0o ung th\u01b0. Li\u1ec7u ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng con \u0111\u01b0\u1eddng \u0111\u1eb7c hi\u1ec7u tr\u00ean t\u1ebf b\u00e0o ung th\u01b0 n\u00ean th\u01b0\u1eddng c\u00f3 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 \u00edt \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c t\u1ebf b\u00e0o l\u00e0nh.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 kh\u00e1c bao g\u1ed3m li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft v\u00e0 c\u00e1c thu\u1ed1c t\u00e1c \u0111\u1ed9ng v\u00e0o h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch nh\u1eb1m th\u00f4ng qua h\u1ec7 mi\u1ec5n d\u1ecbch t\u1ea5n c\u00f4ng t\u1ebf b\u00e0o ung th\u01b0, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch.<\/p>\n<h2><strong>H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>B\u00e1c s\u0129 s\u1eed d\u1ee5ng h\u00f3a tr\u1ecb b\u1eb1ng nhi\u1ec1u c\u00e1ch kh\u00e1c nhau t\u1ea1i nhi\u1ec1u th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau. Ch\u00fang bao g\u1ed3m:<\/p>\n<ul>\n<li>S\u1eed d\u1ee5ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt hay x\u1ea1 tr\u1ecb nh\u1eb1m thu nh\u1ecf kh\u1ed1i u l\u1ea1i. \u0110\u00f3 l\u00e0 <strong>h\u00f3a tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3<\/strong>.<\/li>\n<li>S\u1eed d\u1ee5ng sau ph\u1eabu thu\u1eadt hay x\u1ea1 tr\u1ecb nh\u1eb1m di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n s\u00f3t l\u1ea1i. \u0110\u00f3 l\u00e0 <strong>h\u00f3a tr\u1ecb b\u1ed5 tr\u1ee3<\/strong>.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb \u0111\u01a1n thu\u1ea7n v\u1edbi c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb. V\u00ed d\u1ee5 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh ung th\u01b0 m\u00e1u ho\u1eb7c h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft, nh\u01b0 b\u1ec7nh b\u1ea1ch c\u1ea7u v\u00e0 lymphoma.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh ung th\u01b0 t\u00e1i ph\u00e1t (sau khi \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb Ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb hay h\u00f3a tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3).<\/li>\n<li>S\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 \u0111\u00e3 lan tr\u00e0n kh\u1eafp c\u01a1 th\u1ec3, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh di c\u0103n.<\/li>\n<\/ul>\n<h2><strong>M\u1ee5c ti\u00eau c\u1ee7a h\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p<\/strong><\/h2>\n<p>M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1eb1ng h\u00f3a tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i ung th\u01b0 v\u00e0 giai \u0111o\u1ea1n b\u1ec7nh. \u0110\u00f4i khi, m\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 ti\u00eau di\u1ec7t h\u1ebft t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 ng\u0103n ch\u1eb7n b\u1ec7nh quay tr\u1edf l\u1ea1i (<strong>h\u00f3a tr\u1ecb tri\u1ec7t c\u0103n<\/strong>). N\u1ebfu \u0111i\u1ec1u n\u00e0y l\u00e0 kh\u00f4ng th\u1ec3, m\u1ee5c ti\u00eau c\u1ee7a h\u00f3a tr\u1ecb l\u00e0 gi\u00fap k\u00ecm h\u00e3m v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ung th\u01b0.<\/p>\n<p>K\u00ecm h\u00e3m v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ung th\u01b0 b\u1eb1ng h\u00f3a tr\u1ecb c\u0169ng gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng do ung th\u01b0 g\u00e2y ra. Khi \u0111\u00f3 ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>h\u00f3a tr\u1ecb gi\u1ea3m nh\u1eb9<\/strong>.<\/p>\n<h2><strong>K\u1ebf ho\u1ea1ch h\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p<\/strong><\/h2>\n<p>Lo\u1ea1i thu\u1ed1c, li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c v\u00e0 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1. Ch\u00fang bao g\u1ed3m:<\/p>\n<ul>\n<li>Lo\u1ea1i ung th\u01b0.<\/li>\n<li>K\u00edch th\u01b0\u1edbc kh\u1ed1i u, v\u1ecb tr\u00ed u, v\u00e0 v\u1ecb tr\u00ed di c\u0103n (n\u1ebfu c\u00f3). T\u1ea5t c\u1ea3 g\u1ed9p l\u1ea1i \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 giai \u0111o\u1ea1n b\u1ec7nh.<\/li>\n<li>Tu\u1ed5i v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n.<\/li>\n<li>Kh\u1ea3 n\u0103ng x\u1eed tr\u00ed c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u01b0 th\u1ebf n\u00e0o.<\/li>\n<li>B\u1ea5t c\u1ee9 b\u1ec7nh l\u00fd k\u00e8m theo n\u00e0o m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3.<\/li>\n<li>Ti\u1ec1n c\u0103n \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<\/ul>\n<h2><strong>N\u01a1i th\u1ef1c hi\u1ec7n h\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p?<\/strong><\/h2>\n<p>C\u00e1c nh\u00e2n vi\u00ean y t\u1ebf s\u1ebd ti\u1ebfn h\u00e0nh h\u00f3a tr\u1ecb cho b\u1ec7nh nh\u00e2n t\u1ea1i b\u1ec7nh vi\u1ec7n ho\u1eb7c ph\u00f2ng kh\u00e1m (\u1edf Vi\u1ec7t nam c\u00f2n hi\u1ebfm). M\u1ed9t s\u1ed1 lo\u1ea1i h\u00f3a ch\u1ea5t d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng t\u1ea1i nh\u00e0.<\/p>\n<h2><strong>H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p k\u00e9o d\u00e0i bao l\u00e2u?<\/strong><\/h2>\n<p>H\u00f3a tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh, th\u01b0\u1eddng v\u00e0i th\u00e1ng \u0111\u1ebfn 1 n\u0103m ho\u1eb7c c\u00f3 th\u1ec3 h\u01a1n (t\u00f9y v\u00e0o b\u1ec7nh, m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng, m\u1ee9c ch\u1ecbu \u0111\u1ef1ng c\u1ee7a c\u01a1 th\u1ec3).<\/p>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00f4ng cho ph\u00e9p s\u1eed d\u1ee5ng h\u00f3a ch\u1ea5t h\u00e0ng ng\u00e0y. B\u00e1c s\u0129 th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c ng\u1eaft qu\u00e3ng, v\u00ec v\u1eady b\u1ec7nh nh\u00e2n c\u00f3 th\u1eddi gian ngh\u1ec9 ng\u01a1i v\u00e0 ph\u1ee5c h\u1ed3i tr\u01b0\u1edbc \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb k\u1ebf ti\u1ebfp. \u0110i\u1ec1u \u0111\u00f3 c\u0169ng gi\u00fap cho nh\u1eefng t\u1ebf b\u00e0o l\u00e0nh b\u1ecb \u1ea3nh h\u01b0\u1edfng c\u1ee7a h\u00f3a tr\u1ecb c\u00f3 c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i l\u1ea1i.<\/p>\n<p>V\u00ed d\u1ee5, b\u1ec7nh nh\u00e2n nh\u1eadn h\u00f3a tr\u1ecb v\u00e0o ng\u00e0y th\u1ee9 nh\u1ea5t, sau \u0111\u00f3 c\u00f3 3 tu\u1ea7n \u0111\u1ec3 ngh\u1ec9 ng\u01a1i tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb l\u1ea1i. Chu k\u1ef3 m\u1ed7i 3 tu\u1ea7n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 1 chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb. V\u00e0i chu k\u1ef3 t\u1ea1o n\u00ean 1 li\u1ec7u tr\u00ecnh h\u00f3a tr\u1ecb. M\u1ed9t li\u1ec7u tr\u00ecnh th\u00f4ng th\u01b0\u1eddng \u00edt nh\u1ea5t 3 th\u00e1ng ho\u1eb7c h\u01a1n.<\/p>\n<p>M\u1ed9t v\u00e0i b\u1ec7nh ung th\u01b0 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u1edbi th\u1eddi gian ngh\u1ec9 ng\u01a1i gi\u1eefa c\u00e1c chu k\u1ef3 \u00edt h\u01a1n. Ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cli\u1ec7u tr\u00ecnh d\u00e0y\u201d (<strong>dose-dense schedule<\/strong>). C\u00e1ch l\u00e0m n\u00e0y c\u00f3 th\u1ec3 gi\u00fap t\u0103ng hi\u1ec7u qu\u1ea3 h\u00f3a tr\u1ecb v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh ung th\u01b0. Nh\u01b0ng ch\u00fang c\u0169ng t\u0103ng nguy c\u01a1 b\u1ecb t\u00e1c d\u1ee5ng ph\u1ee5. N\u1ebfu c\u00f3 b\u1ea5t c\u1ee9 th\u1eafc m\u1eafc g\u00ec v\u1ec1 l\u1ecbch tr\u00ecnh h\u00f3a tr\u1ecb, b\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u1ee7a m\u00ecnh.<\/p>\n<h2><strong>H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o? <\/strong><\/h2>\n<p><strong>H\u00f3a tr\u1ecb truy\u1ec1n t\u0129nh m\u1ea1ch<\/strong> (IV). Nhi\u1ec1u lo\u1ea1i thu\u1ed1c c\u1ea7n ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o t\u0129nh m\u1ea1ch. Ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u00f3a tr\u1ecb t\u0129nh m\u1ea1ch (IV). Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea7n m\u1ed9t v\u00e0i ph\u00fat t\u1edbi m\u1ed9t v\u00e0i gi\u1edd. M\u1ed9t s\u1ed1 thu\u1ed1c t\u0129nh m\u1ea1ch hi\u1ec7u qu\u1ea3 h\u01a1n n\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong v\u00e0i ng\u00e0y t\u1edbi v\u00e0i tu\u1ea7n. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t c\u00e1i b\u01a1m nh\u1ecf (small pump) mang theo b\u00ean ng\u01b0\u1eddi. Ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p <strong>h\u00f3a tr\u1ecb truy\u1ec1n li\u00ean t\u1ee5c<\/strong>.<\/p>\n<p><strong>H\u00f3a tr\u1ecb \u0111\u01b0\u1eddng u\u1ed1ng<\/strong>. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 thu\u1ed1c b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng. ch\u00fang c\u00f3 th\u1ec3 l\u00e0 d\u1ea1ng vi\u00ean, d\u1ea1ng con nh\u1ed9ng ho\u1eb7c d\u1ea1ng l\u1ecfng. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1eadn thu\u1ed1c t\u1ea1i qu\u1ea7y thu\u1ed1c v\u00e0 mang v\u1ec1 nh\u00e0. Ng\u00e0y nay h\u00f3a tr\u1ecb \u0111\u01b0\u1eddng u\u1ed1ng kh\u00e1 ph\u1ed5 bi\u1ebfn, k\u1ec3 t\u1eeb khi thu\u1ed1c nh\u1eafm tr\u00fang \u0111\u00edch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. M\u1ed9t s\u1ed1 thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng h\u00e0ng ng\u00e0y, m\u1ed9t s\u1ed1 kh\u00e1c \u0111\u01b0\u1ee3c d\u00f9ng \u00edt th\u01b0\u1eddng xuy\u00ean h\u01a1n. V\u00ed d\u1ee5, c\u00f3 thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng h\u00e0ng ng\u00e0y trong 4 tu\u1ea7n v\u00e0 ngh\u1ec9 ng\u01a1i 2 tu\u1ea7n.<\/p>\n<p><strong>H\u00f3a ch\u1ea5t \u0111\u01b0\u1eddng ti\u00eam<\/strong>. \u0110\u00f3 l\u00e0 h\u00f3a tr\u1ecb b\u1eb1ng c\u00e1ch ti\u00eam v\u00e0o c\u01a1 ho\u1eb7c da. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c v\u1ecb tr\u00ed \u1edf tay, ch\u00e2n, m\u00f4ng ho\u1eb7c b\u1ee5ng.<\/p>\n<p><strong>H\u00f3a tr\u1ecb \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch<\/strong>. \u0110\u1ed9ng m\u1ea1ch l\u00e0 m\u1ea1ch m\u00e1u \u0111\u01b0a m\u00e1u t\u1eeb tim t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c trong c\u01a1 th\u1ec3. Th\u1ec9nh tho\u1ea3ng, h\u00f3a ch\u1ea5t \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 \u0111\u1ebfn tr\u1ef1c ti\u1ebfp v\u00f9ng c\u00f3 kh\u1ed1i u. C\u00e1ch l\u00e0m n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>h\u00f3a tr\u1ecb n\u1ed9i \u0111\u1ed9ng m\u1ea1ch<\/strong>.<\/p>\n<p><strong>H\u00f3a tr\u1ecb trong ph\u00fac m\u1ea1c hay m\u00e0ng b\u1ee5ng<\/strong>. \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ung th\u01b0, h\u00f3a ch\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u01a1m tr\u1ef1c ti\u1ebfp v\u00e0o khoang\/\u1ed5 b\u1ee5ng. Ph\u00fac m\u1ea1c l\u00e0 1 t\u1eeb chuy\u00ean ng\u00e0nh ch\u1ec9 m\u00e0ng b\u1ee5ng, bao tr\u00f9m b\u1ec1 m\u1eb7t b\u00ean trong c\u1ee7a khoang\/\u1ed5 b\u1ee5ng v\u00e0 bao quanh ru\u1ed9t, gan v\u00e0 d\u1ea1 d\u00e0y. Lo\u1ea1i \u0111i\u1ec1u tr\u1ecb n\u00e0y nh\u1eafm t\u1edbi c\u00e1c ung th\u01b0 li\u00ean quan t\u1edbi ph\u00fac m\u1ea1c v\u00ed d\u1ee5 nh\u01b0 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 lo\u1ea1i ung th\u01b0 th\u01b0\u1eddng lan tr\u00e0n v\u00e0o khoang ph\u00fac m\u1ea1c.<\/p>\n<p><strong>H\u00f3a tr\u1ecb t\u1ea1i ch\u1ed7<\/strong>. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t v\u00e0i lo\u1ea1i h\u00f3a ch\u1ea5t d\u1ea1ng kem b\u00f4i l\u00ean da. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c c\u1ea5p t\u1ea1i nh\u00e0 thu\u1ed1c v\u00e0 mang v\u1ec1 nh\u00e0.<\/p>\n<h2><strong>M\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 kh\u00e1c<\/strong><\/h2>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c truy\u1ec1n th\u1ed1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho h\u00f3a tr\u1ecb l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh ung th\u01b0. Thu\u1ed1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 t\u1ebf b\u00e0o l\u00e0nh. Nh\u01b0ng c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 thi\u1ebft k\u1ebf c\u00e1c lo\u1ea1i thu\u1ed1c m\u1edbi h\u01a1n ho\u1ea1t \u0111\u1ed9ng \u0111\u1eb7c bi\u1ec7t h\u01a1n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y c\u0169ng g\u00e2y ra nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c nhau.<\/p>\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ung th\u01b0 m\u1edbi nh\u01b0 l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t. Nh\u01b0ng ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p v\u1edbi h\u00f3a tr\u1ecb truy\u1ec1n th\u1ed1ng. C\u00e1c lo\u1ea1i \u0111i\u1ec1u tr\u1ecb n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft:<\/strong> Li\u1ec7u ph\u00e1p n\u00e0y nh\u1eb1m thay \u0111\u1ed5i l\u01b0\u1ee3ng hormone (h\u00f3c m\u00f4n) \u2013 v\u1ed1n l\u00e0 c\u00e1c lo\u1ea1i h\u00f3a ch\u1ea5t \u0111\u01b0\u1ee3c sinh ra t\u1ef1 nhi\u00ean trong c\u01a1 th\u1ec3. Ch\u00fang gi\u00fap ki\u1ec3m so\u00e1t ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u1ebf b\u00e0o v\u00e0 c\u01a1 quan trong c\u01a1 th\u1ec3. B\u00e1c s\u0129 d\u00f9ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft b\u1edfi v\u00ec m\u1ed9t s\u1ed1 hormone c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t s\u1ed1 b\u1ec7nh ung th\u01b0. V\u00ed d\u1ee5, ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<li><strong>Li\u1ec7u ph\u00e1p nh\u1eafm \u0111\u00edch<\/strong>: Li\u1ec7u ph\u00e1p n\u00e0y nh\u1eafm v\u00e0o c\u00e1c gen v\u00e0 protein c\u00f3 trong t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 b\u1ea5t ho\u1ea1t ch\u00fang, c\u00e1i m\u00e0 \u0111\u00f3ng vai tr\u00f2 nh\u01b0 nh\u1eefng th\u00e0nh ph\u1ea7n ch\u1ee7 ch\u1ed1t tr\u00ean con \u0111\u01b0\u1eddng d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0.<\/li>\n<li><strong>Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch:<\/strong> Li\u1ec7u ph\u00e1p n\u00e0y gi\u00fap h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i ung th\u01b0. \u0110\u00e2y l\u00e0 lo\u1ea1i \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 hi\u1ec7n nay v\u00e0 s\u1ebd \u0111\u00f3ng vai tr\u00f2 ng\u00e0y c\u00e0ng quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 trong t\u01b0\u01a1ng lai.<\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/how-cancer-treated\/chemotherapy\/understanding-chemotherapy\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/navigating-cancer-care\/how-cancer-treated\/chemotherapy\/understanding-chemotherapy<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p l\u00e0 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ec3 ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o ung th\u01b0, nh\u1eb1m ng\u0103n ch\u1eb7n ch\u00fang ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia.<\/p>\n","protected":false},"author":381,"featured_media":7981,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2922,2611],"tags":[2472,2935,2936,2937,2934],"series":[1768],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ki\u1ebfn th\u1ee9c c\u01a1 b\u1ea3n c\u1ea7n bi\u1ebft v\u1ec1 H\u00f3a tr\u1ecb - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p l\u00e0 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ec3 ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o ung th\u01b0, nh\u1eb1m ng\u0103n ch\u1eb7n ch\u00fang ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/ung-thu\/kien-thuc-co-ban-can-biet-ve-hoa-tri\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ki\u1ebfn th\u1ee9c c\u01a1 b\u1ea3n c\u1ea7n bi\u1ebft v\u1ec1 H\u00f3a tr\u1ecb - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"H\u00f3a tr\u1ecb li\u1ec7u ph\u00e1p l\u00e0 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ec3 ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o ung th\u01b0, nh\u1eb1m ng\u0103n ch\u1eb7n ch\u00fang ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/kien-thuc-co-ban-can-biet-ve-hoa-tri\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/nguyenhuynhhathu\" \/>\n<meta property=\"article:published_time\" content=\"2018-10-02T17:34:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/10\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS. 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