{"id":8024,"date":"2019-01-11T18:34:24","date_gmt":"2019-01-11T11:34:24","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/tac-dung-phu-cua-ghep-tuy-xuong-ghep-te-bao-goc\/"},"modified":"2019-01-11T18:34:24","modified_gmt":"2019-01-11T11:34:24","slug":"tac-dung-phu-cua-ghep-tuy-xuong-ghep-te-bao-goc","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tac-dung-phu-cua-ghep-tuy-xuong-ghep-te-bao-goc\/","title":{"rendered":"T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a gh\u00e9p t\u1ee7y x\u01b0\u01a1ng (gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c)"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Nguy\u1ec5n L\u00ea H\u1ed3ng Ph\u00fac, Nguy\u1ec5n C\u00f4ng L\u1ee3i<\/strong><\/em><\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/cay-ghep-tuy-xuong-cay-ghep-te-bao-goc-la-gi\/\" target=\"_blank\" rel=\"noopener\">Ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p t\u1ee7y x\u01b0\u01a1ng\u00a0<\/a>hay c\u00f2n g\u1ecdi l\u00e0 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c, l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nhi\u1ec1u lo\u1ea1i ung th\u01b0. Nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a gh\u00e9p t\u1ee7y x\u01b0\u01a1ng kh\u00e1c nhau \u1edf t\u1eebng ng\u01b0\u1eddi. Ch\u00fang ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i gh\u00e9p, s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n v\u00e0 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c.<\/p>\n<p>M\u1ed9t v\u00e0i t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a gh\u00e9p t\u1ee7y x\u01b0\u01a1ng tr\u00ean c\u01a1 th\u1ec3 b\u1ea1n s\u1ebd bi\u1ebfn m\u1ea5t sau m\u1ed9t th\u1eddi gian, m\u1ed9t s\u1ed1 s\u1ebd t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i. V\u00ec th\u1ebf tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh gh\u00e9p t\u1ee7y, b\u1ea1n n\u00ean h\u1ecfi b\u00e1c s\u0129 v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra. N\u00f3 bao g\u1ed3m c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ng\u1eafn h\u1ea1n x\u1ea3y ra trong v\u00e0i tu\u1ea7n ho\u1eb7c v\u00e0i th\u00e1ng. V\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 d\u00e0i h\u1ea1n k\u00e9o d\u00e0i \u0111\u1ebfn v\u00e0i n\u0103m ho\u1eb7c su\u1ed1t \u0111\u1eddi.<\/p>\n<p>Ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng, c\u00f3 th\u1ec3 bao g\u1ed3m thi\u1ebfu m\u00e1u l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c b\u1ec7nh ung th\u01b0. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9. H\u00e3y n\u00f3i v\u1edbi \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o b\u1ea1n ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi b\u1ea1n \u0111ang ch\u0103m s\u00f3c c\u00f3.<\/p>\n<h2>T\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb vi\u1ec7c gh\u00e9p t\u1ef1 th\u00e2n (Gh\u00e9p AUTO)<\/h2>\n<p>Tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh gh\u00e9p, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2\/\" target=\"_blank\" rel=\"noopener\">h\u00f3a tr\u1ecb<\/a> k\u00e8m theo ho\u1eb7c kh\u00f4ng k\u00e8m theo <a href=\"https:\/\/yhoccongdong.com\/thongtin\/tim-hieu-ve-xa-tri\/\" target=\"_blank\" rel=\"noopener\">x\u1ea1 tr\u1ecb<\/a>. V\u00ec th\u1ebf nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a gh\u00e9p t\u1ee7y x\u01b0\u01a1ng t\u1ef1 th\u00e2n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. T\u00e1c d\u1ee5ng nghi\u00eam tr\u1ecdng nh\u1ea5t trong c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng cao do s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u trong m\u00e1u th\u1ea5p.<\/p>\n<h3><b>Nhi\u1ec5m tr\u00f9ng<\/b><\/h3>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng h\u00f3a tr\u1ecb l\u00e0m y\u1ebfu \u0111i h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 &#8211; h\u1ec7 th\u1ed1ng gi\u00fap c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 b\u1ea3o v\u1ec7 ch\u00ednh n\u00f3 ch\u1ed1ng l\u1ea1i c\u00e1c lo\u1ea1i vi khu\u1ea9n, vi r\u00fat, ho\u1eb7c c\u00e1c lo\u1ea1i vi sinh v\u1eadt kh\u00e1c. Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng cao nh\u1ea5t trong v\u00f2ng v\u00e0i tu\u1ea7n \u0111\u1ea7u ti\u00ean sau gh\u00e9p t\u1ee7y. Nh\u01b0ng h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n kh\u00f4ng th\u1ec3 tr\u1edf v\u1ec1 \u0111\u01b0\u1ee3c nh\u01b0 ban \u0111\u1ea7u sau cu\u1ed9c gh\u00e9p t\u1ee7y. \u0110a s\u1ed1 c\u00e1c b\u1ec7nh nh\u00e2n sau gh\u00e9p s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng vi r\u00fat, kh\u00e1ng vi khu\u1ea9n \u0111\u1ebfn v\u00e0i n\u0103m ho\u1eb7c k\u00e9o d\u00e0i l\u00e2u h\u01a1n n\u1eefa.<\/p>\n<p>\u0110a s\u1ed1 vi\u1ec7c nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u1ebfn t\u1eeb c\u00e1c lo\u1ea1i vi khu\u1ea9n, vi r\u00fat ho\u1eb7c c\u00e1c lo\u1ea1i vi sinh v\u1eadt b\u00ecnh th\u01b0\u1eddng s\u1ed1ng trong ch\u00ednh c\u01a1 th\u1ec3 b\u1ea1n. Khi h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n c\u00f2n m\u1ea1nh, ch\u00fang s\u1ebd kh\u00f4ng g\u00e2y b\u1ec7nh. Nh\u01b0ng khi h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu, ch\u00fang s\u1ebd t\u1ea5n c\u00f4ng v\u00e0 g\u00e2y b\u1ec7nh cho b\u1ea1n. May m\u1eafn thay, \u0111a s\u1ed1 c\u00e1c v\u1ea5n \u0111\u1ec1 nhi\u1ec5m tr\u00f9ng d\u1ec5 d\u00e0ng \u0111i\u1ec1u tr\u1ecb v\u1edbi kh\u00e1ng sinh.<\/p>\n<p>Sau kho\u1ea3ng 2 tu\u1ea7n, m\u1ed9t ph\u1ea7n h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n, \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 b\u1ea1ch c\u1ea7u trung t\u00ednh, s\u1ebd xu\u1ea5t hi\u1ec7n tr\u1edf l\u1ea1i. Nh\u1eefng t\u1ebf b\u00e0o n\u00e0y s\u1ebd gi\u1eef l\u1ea1i c\u00e1c lo\u1ea1i vi sinh v\u1eadt c\u00f3 th\u1ec3 khi\u1ebfn b\u1ea1n b\u1ecb b\u1ec7nh.<\/p>\n<h3><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 s\u1edbm kh\u00e1c<\/strong><\/h3>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 d\u01b0\u1edbi \u0111\u00e2y s\u1ebd xu\u1ea5t hi\u1ec7n sau khi \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb v\u1edbi li\u1ec1u cao v\u00e0 b\u00f9ng ph\u00e1p m\u1ea1nh nh\u1ea5t v\u00e0o 1 &#8211; 2 tu\u1ea7n ti\u1ebfp theo:<\/p>\n<ul>\n<li>N\u00f4n, bu\u1ed3n n\u00f4n<\/li>\n<li>Vi\u00eam lo\u00e9t mi\u1ec7ng<\/li>\n<li>S\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u gi\u1ea3m th\u1ea5p, l\u00e0m gi\u1ea3m th\u1eddi gian \u0111\u00f4ng m\u00e1u<\/li>\n<li>S\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u th\u1ea5p, c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh thi\u1ebfu m\u00e1u<\/li>\n<li>Ti\u00eau ch\u1ea3y<\/li>\n<\/ul>\n<h3><strong>T\u00e1c d\u1ee5ng ph\u1ee5 l\u00e2u d\u00e0i<\/strong><\/h3>\n<p>\u0110\u00e2y l\u00e0 c\u00e1c t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m sau khi gh\u00e9p:<\/p>\n<ul>\n<li>V\u00f4 sinh, \u0111i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a b\u1ea1n kh\u00f4ng th\u1ec3 mang thai ho\u1eb7c l\u00e0m cho ph\u1ee5 n\u1eef c\u00f3 thai khi b\u1ea1n mu\u1ed1n.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/duc-thuy-tinh-the-la-gi-trieu-chung-cua-duc-thuy-tinh-the\/\" target=\"_blank\" rel=\"noopener\">\u0110\u1ee5c th\u1ee7y tinh th\u1ec3<\/a>\u00a0l\u00e0 t\u00ecnh tr\u1ea1ng th\u1ee7y tinh th\u1ec3 tr\u1edf n\u00ean \u0111\u1ee5c v\u00e0 gi\u1ea3m th\u1ecb l\u1ef1c.<\/li>\n<li>M\u00e3n kinh s\u1edbm \u1edf ph\u1ee5 n\u1eef.<\/li>\n<li>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn gi\u00e1p.<\/li>\n<li>Ph\u00e1 h\u1ee7y ph\u1ed5i v\u00e0 x\u01b0\u01a1ng.<\/li>\n<li>Ung th\u01b0 th\u1ee9 ph\u00e1t: Ngh\u0129a l\u00e0 b\u1ea1n c\u00f3 nguy c\u01a1 m\u1eafc m\u1ed9t ung th\u01b0 kh\u00e1c sau nhi\u1ec1u n\u0103m.<\/li>\n<\/ul>\n<h2>T\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb d\u1ecb gh\u00e9p (ALLO)<\/h2>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb d\u1ecb gh\u00e9p ALLO bao g\u1ed3m t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb. N\u00f3 c\u0169ng bao g\u1ed3m t\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb vi\u1ec7c nh\u1eadn t\u1ebf b\u00e0o g\u1ed1c c\u1ee7a ng\u01b0\u1eddi kh\u00e1c. Nghi\u00eam tr\u1ecdng nh\u1ea5t c\u1ee7a c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m: nguy c\u01a1 nhi\u1ec5m tr\u00f9ng cao v\u00e0 nguy c\u01a1 c\u1ee7a b\u1ec7nh gh\u00e9p ch\u1ed1ng ch\u1ee7 (graft-versus-host disease) (GVHD)<\/p>\n<h3><strong>Nhi\u1ec5m tr\u00f9ng<\/strong><\/h3>\n<p>Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng t\u1eeb d\u1ecb gh\u00e9p ALLO x\u1ea3y ra s\u1edbm sau gh\u00e9p gi\u1ed1ng nh\u01b0 gh\u00e9p t\u1ef1 th\u00e2n AUTO (xem \u1edf tr\u00ean). Nh\u01b0ng sau khi d\u1ecb gh\u00e9p ALLO, b\u1ea1n c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng trong su\u1ed1t cu\u1ed9c \u0111\u1eddi c\u1ee7a b\u1ea1n. Khi b\u1ea1n d\u1ecb gh\u00e9p ALLO, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd d\u00f9ng h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1c \u0111\u1ec3 gi\u1eef h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n kh\u00f4ng ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o m\u1edbi. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n v\u00e0 l\u00e0m cho nguy c\u01a1 nhi\u1ec5m tr\u00f9ng cao h\u01a1n.\u00a0M\u1ed9t h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch y\u1ebfu l\u00e0m cho b\u1ea1n c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb nhi\u1ec5m tr\u00f9ng nhi\u1ec1u h\u01a1n.<\/p>\n<h3><strong>B\u1ec7nh gh\u00e9p ch\u1ed1ng ch\u1ee7 (GVHD)\u00a0<\/strong><\/h3>\n<p>GVHD x\u1ea3y ra khi c\u00e1c t\u1ebf b\u00e0o g\u1ed1c m\u1edbi t\u1ea5n c\u00f4ng v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n. \u0110i\u1ec1u n\u00e0y g\u00e2y ra vi\u00eam. B\u00e1c s\u0129 c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cho GVHD. B\u1ea1n v\u1eabn s\u1ebd d\u00f9ng thu\u1ed1c n\u00e0y ngay c\u1ea3 khi c\u00e1c t\u1ebf b\u00e0o b\u1ea1n nh\u1eadn ph\u00f9 h\u1ee3p 100% v\u1edbi c\u01a1 th\u1ec3 b\u1ea1n. N\u1ebfu b\u1ea1n v\u1eabn b\u1ecb GVHD, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd d\u00f9ng nhi\u1ec1u thu\u1ed1c h\u01a1n \u0111\u1ec3 qu\u1ea3n l\u00fd t\u00ecnh tr\u1ea1ng n\u00e0y. R\u1ea5t hi\u1ebfm khi GVHD \u0111e d\u1ecda cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ea1n. C\u00f3 2 lo\u1ea1i GVHD. C\u1ea3 hai lo\u1ea1i c\u00f3 th\u1ec3 t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng.<\/p>\n<h4><strong>GVHD c\u1ea5p t\u00ednh<\/strong><\/h4>\n<p>GVHD c\u1ea5p t\u00ednh th\u01b0\u1eddng x\u1ea3y ra trong kho\u1ea3ng 3 th\u00e1ng \u0111\u1ea7u ti\u00ean sau khi d\u1ecb gh\u00e9p ALLO. N\u00f3 th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn da, ru\u1ed9t non v\u00e0 gan d\u1eabn t\u1edbi ph\u00e1t ban, ti\u00eau ch\u1ea3y v\u00e0 v\u00e0ng da. V\u00e0ng da l\u00e0 m\u00e0u v\u00e0ng \u1edf da v\u00e0 tr\u1eafng \u1edf m\u1eaft.<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf c\u00e1c t\u1ebf b\u00e0o lympho. T\u1ebf b\u00e0o lympho T l\u00e0 t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u, n\u00f3 gi\u00fap cho h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch ch\u1ed1ng l\u1ea1i s\u1ef1 nhi\u1ec5m tr\u00f9ng. \u1ee8c ch\u1ebf ch\u00fang gi\u1eef cho h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n kh\u00f4ng t\u1ea5n c\u00f4ng nh\u1eefng t\u1ebf b\u00e0o c\u1ee7a ch\u00ednh c\u01a1 th\u1ec3 b\u1ea1n.<\/p>\n<h4><strong>GVHD m\u1ea1n t\u00ednh<\/strong><\/h4>\n<p>GVHD m\u1ea1n t\u00ednh th\u01b0\u1eddng x\u1ea3y ra nhi\u1ec1u 3 th\u00e1ng sau khi d\u1ecb gh\u00e9p ALLO. N\u00f3 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0i th\u00e1ng ho\u1eb7c c\u1ea3 cu\u1ed9c \u0111\u1eddi. B\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. Ho\u1eb7c l\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u00e0 b\u1ea1n c\u00f3.<\/p>\n<p>V\u00ed d\u1ee5: b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb kh\u00f4 m\u1eaft, kh\u00f4 mi\u1ec7ng v\u00e0 c\u00e1c \u1ea3nh h\u01b0\u1edfng l\u00ean gan kh\u00f4ng \u0111\u00e1ng k\u1ec3, nh\u1eefng \u0111i\u1ec1u \u0111\u00f3 d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m m\u00e1u. Ho\u1eb7c l\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng t\u00ecnh tr\u1ea1ng kh\u00e1c, nh\u01b0 l\u00e0 da m\u1ea5t kh\u1ea3 n\u0103ng c\u0103ng ra. T\u00ecnh tr\u1ea1ng n\u00e0y g\u1ecdi l\u00e0 b\u1ec7nh c\u1ee9ng b\u00ec. C\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c c\u00f3 th\u1ec3 bao g\u1ed3m \u0111au kh\u1edbp v\u00e0 c\u01a1, s\u1ee5t c\u00e2n, nhi\u1ec5m tr\u00f9ng v\u00e0 kh\u00f3 th\u1edf.<\/p>\n<p>GVHD m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi\u00a0 thu\u1ed1c g\u1ecdi l\u00e0 corticosteroids. Khi ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. C\u00f3 th\u1ec3 bao g\u1ed3m\u00a0Ibrutinib (Imbruvica).<\/p>\n<p>Nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 \u201cT\u00e1c d\u1ee5ng gh\u00e9p ch\u1ed1ng t\u1ebf b\u00e0o ung th\u01b0\u201d GVHD. \u0110\u00f3 l\u00e0 b\u1edfi v\u00ec t\u1ebf b\u00e0o g\u1ed1c m\u1edbi nh\u1eadn ra v\u00e0 ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o ung th\u01b0 v\u1eabn c\u00f2n trong c\u01a1 th\u1ec3. \u0110\u00e2y ch\u00ednh l\u00e0 con \u0111\u01b0\u1eddng ch\u00ednh m\u00e0 d\u1ecb gh\u00e9p ALLO ch\u1eefa l\u00e0nh ung th\u01b0 gi\u1ed1ng nh\u01b0 c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u.<\/p>\n<h3><strong>T\u00e1c d\u1ee5ng ph\u1ee5 ngay l\u1eadp t\u1ee9c<\/strong><\/h3>\n<p>Gi\u1ed1ng nh\u01b0 gh\u00e9p t\u1ef1 th\u00e2n AUTO, t\u00e1c d\u1ee5ng ph\u1ee5 ti\u1ebfp theo c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ngay l\u1eadp t\u1ee9c sau khi h\u00f3a tr\u1ecb. Nh\u1eefng b\u1ec7nh nh\u00e2n ch\u1ec9 th\u1ef1c hi\u1ec7n cu\u1ed9c c\u1ea5y gh\u00e9p nh\u1ecf th\u00ec \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u h\u00f3a tr\u1ecb th\u1ea5p h\u01a1n.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n cu\u1ed9c c\u1ea5y gh\u00e9p nh\u1ecf c\u00f3 th\u1ec3 tr\u00e1nh kh\u1ecfi m\u1ed9t v\u00e0i t\u00e1c d\u1ee5ng ph\u1ee5 trong s\u1ed1 \u0111\u00f3 ho\u1eb7c nh\u1eefng kinh nghi\u1ec7m gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/p>\n<ul>\n<li>Bu\u1ed3n n\u00f4n, n\u00f4n.<\/li>\n<li>\u0110au h\u1ecdng.<\/li>\n<li>M\u1ec7t m\u1ecfi.<\/li>\n<li>N\u1ed3ng \u0111\u1ed9 b\u1ea1ch c\u1ea7u th\u1ea5p, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u1ea3m kh\u1ea3 n\u0103ng \u0111\u00f4ng m\u00e1u.<\/li>\n<li>N\u1ed3ng \u0111\u1ed9 h\u1ed3ng c\u1ea7u th\u1ea5p, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y thi\u1ebfu m\u00e1u.<\/li>\n<li>Ti\u00eau ch\u1ea3y.<\/li>\n<\/ul>\n<h3><strong>T\u00e1c d\u1ee5ng ph\u1ee5 l\u00e2u d\u00e0i<\/strong><\/h3>\n<p>C\u0169ng c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb vi\u1ec7c gh\u00e9p, ti\u1ebfn tri\u1ec3n nhi\u1ec1u th\u00e1ng ho\u1eb7c 1 n\u0103m sau khi \u0111i\u1ec1u tr\u1ecb<\/p>\n<ul>\n<li>V\u00f4 sinh, \u0111i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a b\u1ea1n kh\u00f4ng th\u1ec3 mang thai ho\u1eb7c l\u00e0m cho ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 thai khi b\u1ea1n mong mu\u1ed1n.<\/li>\n<li>\u0110\u1ee5c th\u1ee7y tinh th\u1ec3, m\u1ed9t t\u00ecnh tr\u1ea1ng \u1edf th\u1ea5u k\u00ednh c\u1ee7a m\u1eaft tr\u1edf n\u00ean m\u1edd v\u00e0 t\u1ea7m nh\u00ecn kh\u00f3 kh\u0103n h\u01a1n.<\/li>\n<li>M\u00e3n kinh s\u1edbm \u1edf ph\u1ee5 n\u1eef.<\/li>\n<li>V\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn gi\u00e1p.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i ho\u1eb7c x\u01b0\u01a1ng.<\/li>\n<li>Nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c lo\u1ea1i ung th\u01b0 kh\u00e1c.<\/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\/bone-marrowstem-cell-transplantation\/side-effects-bone-marrow-transplant-stem-cell-transplant\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/www.cancer.net\/navigating-cancer-care\/how-cancer-treated\/bone-marrowstem-cell-transplantation\/side-effects-bone-marrow-transplant-stem-cell-transplant<\/u><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p t\u1ee7y x\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nhi\u1ec1u lo\u1ea1i ung th\u01b0 nh\u01b0ng ch\u00fang g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a gh\u00e9p t\u1ee7y x\u01b0\u01a1ng kh\u00e1c nhau \u1edf t\u1eebng ng\u01b0\u1eddi.<\/p>\n","protected":false},"author":409,"featured_media":8025,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2949,2611],"tags":[2977,2978,2472,2979,2980,2476,2478,2471],"series":[1796],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a gh\u00e9p t\u1ee7y x\u01b0\u01a1ng (gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c ) - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p t\u1ee7y x\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nhi\u1ec1u lo\u1ea1i ung th\u01b0 nh\u01b0ng ch\u00fang g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5. 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