{"id":8030,"date":"2019-03-31T19:52:49","date_gmt":"2019-03-31T12:52:49","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/ung-thu-thuc-quan-lua-chon-phuong-phap-dieu-tri\/"},"modified":"2019-03-31T19:52:49","modified_gmt":"2019-03-31T12:52:49","slug":"ung-thu-thuc-quan-lua-chon-phuong-phap-dieu-tri","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/ung-thu-thuc-quan-lua-chon-phuong-phap-dieu-tri\/","title":{"rendered":"Ung th\u01b0 th\u1ef1c qu\u1ea3n: L\u01b0\u0323a ch\u1ecdn ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 b\u00e1c s\u0129 hay s\u1eed d\u1ee5ng cho b\u00ea\u0323nh nh\u00e2n ung th\u01b0 th\u1ef1c qu\u1ea3n. Ch\u00fang l\u00e0 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u00e2\u0309n cho lo\u1ea1i ung th\u01b0 n\u00e0y. \u0110i\u1ec1u tr\u1ecb ti\u00eau chu\u00e2\u0309n ngh\u0129a l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t \u0111a\u0303 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn.<\/p>\n<p>Khi \u0111\u01b0a c\u00e2n nh\u1eafc ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, b\u1ea1n c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch xem x\u00e9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng nh\u01b0 m\u1ed9t l\u1ef1a ch\u1ecdn. Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng l\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u khoa ho\u0323c \u0111\u00ea\u0309 ti\u0300m ki\u00ea\u0301m m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn m\u01a1\u0301i trong \u0111i\u00ea\u0300u tri\u0323. C\u00e1c b\u00e1c s\u0129 mu\u1ed1n bi\u1ebft li\u1ec7u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi c\u00f3 an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 th\u1ec3 t\u1ed1t h\u01a1n ca\u0301c ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n hay kh\u00f4ng. \u0110\u00f3 c\u00f3 th\u1ec3 la\u0300 th\u1eed nghi\u1ec7m m\u1ed9t lo\u1ea1i thu\u1ed1c m\u1edbi, m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p m\u1edbi c\u1ee7a ca\u0301c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n, li\u1ec1u\/l\u1ecbch tr\u00ecnh m\u1edbi c\u1ee7a thu\u1ed1c \u0111\u00e3 c\u00f4ng nh\u1eadn. B\u00e1c s\u0129 ph\u1ee5 tr\u00e1ch c\u00f3 th\u1ec3 gi\u00fap xem x\u00e9t t\u1ea5t c\u1ea3 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n.<\/p>\n<h2>T\u00f4\u0309ng quan v\u00ea\u0300 \u0111i\u00ea\u0300u tri\u0323<\/h2>\n<p>Trong ch\u0103m s\u00f3c b\u00ea\u0323nh nh\u00e2n ung th\u01b0, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa kh\u00e1c nhau se\u0303 l\u00e0m vi\u1ec7c c\u00f9ng nhau \u0111\u1ec3 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed5ng th\u1ec3 cho b\u1ec7nh nh\u00e2n b\u0103\u0300ng ca\u0301ch k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>\u0111i\u00ea\u0300u tri\u0323 \u0111a m\u00f4 th\u01b0\u0301c<\/strong>. Nho\u0301m na\u0300y bao g\u1ed3m c\u1ea3 nhi\u1ec1u chuy\u00ean gia trong li\u0303nh v\u01b0\u0323c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u01b0 tr\u1ee3 l\u00fd b\u00e1c s\u0129, \u0111i\u00ea\u0300u d\u01b0\u01a1\u0303ng, y t\u00e1 chuy\u00ean khoa ung b\u01b0\u01a1\u0301u, nh\u00e2n vi\u00ean x\u00e3 h\u1ed9i, d\u01b0\u1ee3c s\u0129, nh\u00e2n vi\u00ean t\u01b0 v\u1ea5n, chuy\u00ean gia dinh d\u01b0\u1ee1ng &#8230;<\/p>\n<p>Ca\u0301c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n ph\u00f4\u0309 bi\u00ea\u0301n se\u0303 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea b\u00ean d\u01b0\u01a1\u0301i. K\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c c\u0169ng g\u1ed3m <strong>\u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5<\/strong>, \u0111o\u0301 la\u0300 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong \u0111i\u00ea\u0300u tri\u0323 ung th\u01b0.<\/p>\n<p>Vi\u00ea\u0323c l\u01b0\u0323a cho\u0323n ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323 phu\u0323 thu\u00f4\u0323c va\u0300o m\u00f4\u0323t s\u00f4\u0301 y\u00ea\u0301u t\u00f4\u0301: loa\u0323i va\u0300 giai \u0111oa\u0323n ung th\u01b0, ta\u0301c du\u0323ng phu\u0323, nguy\u00ea\u0323n vo\u0323ng ca\u0301 nh\u00e2n, t\u00f4\u0309ng tra\u0323ng cu\u0309a b\u00ea\u0323nh nh\u00e2n. Ha\u0303y da\u0300nh th\u01a1\u0300i gian \u0111\u00ea\u0309 ti\u0300m hi\u00ea\u0309u v\u00ea\u0300 t\u00e2\u0301t ca\u0309 nh\u01b0\u0303ng ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323 va\u0300 \u0111\u0103\u0323t c\u00e2u ho\u0309i v\u00ea\u0300 nh\u01b0\u0303ng \u0111i\u00ea\u0300u ba\u0323n ch\u01b0a ro\u0303. Ba\u0323n co\u0301 th\u00ea\u0309 trao \u0111\u00f4\u0309i v\u01a1\u0301i ba\u0301c si\u0303 v\u00ea\u0300 mu\u0323c ti\u00eau va\u0300 nh\u01b0\u0303ng gi\u0300 co\u0301 th\u00ea\u0309 xa\u0309y ra trong m\u00f4\u0303i \u0111\u01a1\u0323t \u0111i\u00ea\u0300u tri\u0323.<\/p>\n<p>\u0110\u00f4\u0301i v\u01a1\u0301i kh\u00f4\u0301i u <strong>ch\u01b0a x\u00e2m l\u00e2\u0301n ra ngoa\u0300i th\u01b0\u0323c qua\u0309n va\u0300 ha\u0323ch ba\u0323ch huy\u00ea\u0301t<\/strong>, b\u00e1c s\u0129 th\u01b0\u1eddng khuy\u00ean b\u1ea1n n\u00ean k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau: x\u1ea1 tr\u1ecb, h\u00f3a tr\u1ecb v\u00e0 ph\u1eabu thu\u1eadt. Tri\u0300nh t\u01b0\u0323 \u0111i\u1ec1u tr\u1ecb se\u0303 \u0111\u01b0\u01a1\u0323c thay \u0111\u1ed5i d\u01b0\u0323a va\u0300o lo\u1ea1i ung th\u01b0 th\u1ef1c qu\u1ea3n. Cu\u0323 th\u00ea\u0309, trong <strong>ung th\u01b0 t\u1ebf b\u00e0o va\u0309y<\/strong>, k\u00ea\u0301t h\u01a1\u0323p h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb, g\u1ecdi l\u00e0 <strong>h\u00f3a xa\u0323 tri\u0323, th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean<\/strong>. Co\u0301 th\u00ea\u0309 se\u0303 ph\u00e2\u0303u thu\u00e2\u0323t sau \u0111o\u0301 tu\u0300y thu\u00f4\u0323c v\u00e0o hi\u00ea\u0323u qua\u0309 cu\u0309a ho\u0301a xa\u0323 tri\u0323. Nh\u01b0\u0303ng nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y ho\u0301a xa\u0323 tri\u0323 tr\u01b0\u1edbc ph\u1eabu thu\u1eadt l\u00e0 t\u1ed1t h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt \u0111\u01a1n \u0111\u00f4\u0323c. V\u1edbi <strong>ung th\u01b0 bi\u00ea\u0309u m\u00f4 tuy\u1ebfn<\/strong>, ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf Hoa K\u1ef3 l\u00e0 <strong>h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb sau khi ph\u1eabu thu\u1eadt<\/strong>. Ph\u1eabu thu\u1eadt h\u1ea7u nh\u01b0 lu\u00f4n \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o sau khi ho\u0301a xa\u0323 tri\u0323, tr\u1eeb khi c\u00f3 nh\u1eefng y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 t\u01b0\u0300 ph\u1eabu thu\u1eadt, ch\u1eb3ng h\u1ea1n nh\u01b0 tu\u1ed5i hay t\u00f4\u0309ng tra\u0323ng cu\u0309a b\u00ea\u0323nh nh\u00e2n.<\/p>\n<p>Co\u0300n \u0111\u1ed1i v\u1edbi ung th\u01b0 th\u1ef1c qu\u1ea3n \u0111a\u0303 di c\u0103n, \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng chi\u0309 la\u0300 h\u00f3a tr\u1ecb v\u00e0 \u0111\u00f4i khi k\u1ebft h\u1ee3p x\u1ea1 tr\u1ecb.<\/p>\n<h2>\u0110i\u00ea\u0300u tri\u0323 tri\u00ea\u0323u ch\u01b0\u0301ng va\u0300 ta\u0301c du\u0323ng phu\u0323<\/h2>\n<p>\u0110i\u00ea\u0300u tri\u0323 ung th\u01b0 th\u01b0\u01a1\u0300ng g\u00e2y ra ta\u0301c du\u0323ng phu\u0323 hay t\u00e1c d\u1ee5ng ngo\u1ea1i \u00fd. Ngoa\u0300i vi\u00ea\u0323c la\u0300m ch\u00e2\u0323m, ng\u0103n ch\u0103\u0323n hay loa\u0323i bo\u0309 hoa\u0300n toa\u0300n ung th\u01b0, m\u00f4\u0323t ph\u00e2\u0300n quan tro\u0323ng trong ch\u0103m so\u0301c b\u00ea\u0323nh nh\u00e2n ung th\u01b0 la\u0300 \u0111i\u00ea\u0300u tri\u0323 tri\u00ea\u0323u ch\u01b0\u0301ng va\u0300 ta\u0301c du\u0323ng phu\u0323. C\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/strong>, bao g\u1ed3m c\u1ea3 h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n v\u00ea\u0300 c\u00e1c nhu c\u1ea7u th\u1ec3 ch\u1ea5t, t\u00ecnh c\u1ea3m v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n<p>Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 l\u00e0 b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb n\u00e0o t\u1eadp trung v\u00e0o vi\u1ec7c ha\u0323n ch\u00ea\u0301 c\u00e1c tri\u1ec7u ch\u1ee9ng, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u1ee7a h\u1ecd. M\u1ecdi b\u1ec7nh nh\u00e2n, b\u00e2\u0301t k\u00ea\u0309 tu\u1ed5i t\u00e1c, d\u00e2n t\u00f4\u0323c, giai \u0111o\u1ea1n ung th\u01b0,\u2026 \u0111\u00ea\u0300u n\u00ean \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 song song. \u0110i\u00ea\u0300u na\u0300y \u0111\u01b0\u1ee3c th\u01b0\u0323c hi\u00ea\u0323n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. Trong th\u1ef1c t\u1ebf, nh\u1eefng b\u00ea\u0323nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u1ed1i u l\u1eabn ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 c\u00f9ng l\u00fac th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng nhe\u0323 nha\u0300ng h\u01a1n, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n, v\u00e0 h\u1ecd h\u00e0i l\u00f2ng h\u01a1n v\u1edbi qua\u0301 tri\u0300nh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><strong>\u0110i\u1ec1u tr\u1ecb gi\u1ea3m nh\u1eb9 r\u1ea5t \u0111a da\u0323ng<\/strong>, bao g\u00f4\u0300m du\u0300ng thu\u1ed1c, thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, h\u1ed7 tr\u1ee3 c\u1ea3m x\u00fac, th\u01b0 gi\u00e3n v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p kh\u00e1c. Tha\u0309o lu\u00e2\u0323n v\u1edbi b\u00e1c s\u0129 v\u1ec1 m\u1ee5c ti\u00eau cu\u0309a t\u01b0\u0300ng \u0111\u01a1\u0323t trong k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, h\u00e3y trao \u0111\u1ed5i v\u1edbi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u1ec1 nh\u01b0\u0303ng t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra trong k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u00ea\u0300u tri\u0323 gi\u1ea3m nh\u1eb9. Trong v\u00e0 sau khi \u0111i\u1ec1u tr\u1ecb, h\u00e3y b\u00e1o cho b\u00e1c s\u0129 ho\u1eb7c th\u00e0nh vi\u00ean nh\u00f3m ch\u0103m s\u00f3c v\u1ec1 nh\u1eefng thay \u0111\u1ed5i tr\u00ean c\u01a1 th\u1ec3 b\u1ea1n \u0111\u1ec3 c\u00f3 th\u1ec3 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n<h2>Ph\u1eabu thu\u1eadt<\/h2>\n<h3>Ph\u00e2\u0303u thu\u00e2\u0323t tri\u1ec7t c\u0103n<\/h3>\n<p>Ph\u1eabu thu\u1eadt tri\u1ec7t c\u0103n l\u00e0 vi\u1ec7c lo\u1ea1i b\u1ecf kh\u1ed1i u v\u00e0 m\u1ed9t vu\u0300ng m\u00f4 l\u00e0nh xung quanh. B\u00e1c s\u0129 ngoa\u0323i ung b\u01b0\u01a1\u0301u l\u00e0 b\u00e1c s\u0129 chuy\u00ean \u0111i\u1ec1u tr\u1ecb ung th\u01b0 b\u1eb1ng ph\u1eabu thu\u1eadt. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ed1i v\u1edbi ung th\u01b0 th\u1ef1c qu\u1ea3n la\u0300 ph\u00e2\u0303u thu\u00e2\u0323t. Tuy nhi\u00ean, hi\u1ec7n t\u1ea1i <strong>ph\u1eabu thu\u1eadt chi\u0309 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0 th\u1ef1c qu\u1ea3n giai \u0111o\u1ea1n s\u01a1\u0301m<\/strong>.<\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ung th\u01b0 th\u1ef1c qu\u1ea3n giai \u0111oa\u0323n x\u00e2m l\u00e2\u0301n ta\u0323i ch\u00f4\u0303 &#8211; di c\u0103n, thi\u0300 vi\u00ea\u0323c k\u1ebft h\u1ee3p h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb (xem b\u00ean d\u01b0\u1edbi) \u0111\u1ec3 thu nh\u1ecf kh\u1ed1i u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u0103\u0301c tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. \u01a0\u0309 nh\u1eefng b\u00ea\u0323nh nh\u00e2n kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt, l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb.<\/p>\n<p><strong>Ph\u1eabu thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t<\/strong> \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n l\u00e0 <strong>c\u0103\u0301t th\u1ef1c qu\u1ea3n<\/strong>. B\u00e1c s\u0129 se\u0303 lo\u1ea1i b\u1ecf ph\u1ea7n th\u01b0\u0323c qua\u0309n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u01a1\u0309i ung th\u01b0 sau \u0111\u00f3 n\u1ed1i ph\u1ea7n c\u00f2n l\u1ea1i v\u1edbi d\u1ea1 d\u00e0y \u0111\u1ec3 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nu\u1ed1t b\u00ecnh th\u01b0\u1eddng. D\u1ea1 d\u00e0y ho\u1eb7c m\u1ed9t ph\u1ea7n c\u1ee7a ru\u1ed9t non \u0111\u00f4i khi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c du\u0300ng \u0111\u00ea\u0309 ta\u0323o mi\u00ea\u0323ng n\u00f4\u0301i. Ph\u00e2\u0303u thu\u00e2\u0323t vi\u00ean c\u0169ng se\u0303 na\u0323o h\u1ea1ch b\u1ea1ch huy\u1ebft xung quanh th\u1ef1c qu\u1ea3n \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u00e1i ph\u00e1t\/di c\u0103n.<\/p>\n<p>Tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt, h\u00e3y trao \u0111\u00f4\u0309i v\u1edbi nh\u00f3m ch\u0103m s\u00f3c v\u1ec1 nh\u01b0\u0303ng t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra t\u1eeb cu\u00f4\u0323c m\u00f4\u0309.<\/p>\n<h3>Ph\u00e2\u0303u thu\u00e2\u0323t gia\u0309m nhe\u0323<\/h3>\n<p>Ph\u00e2\u0303u thu\u00e2\u0323t ngoa\u0300i ta\u0301c du\u0323ng \u0111i\u00ea\u0300u tri\u0323, co\u0300n co\u0301 th\u00ea\u0309 giu\u0301p b\u00ea\u0323nh nh\u00e2n phu\u0323c h\u00f4\u0300i kha\u0309 n\u0103ng \u0103n u\u00f4\u0301ng va\u0300 la\u0300m gia\u0309m nhe\u0323 ca\u0301c tri\u00ea\u0323u ch\u01b0\u0301ng g\u00e2y ra b\u01a1\u0309i ung th\u01b0, go\u0323i la\u0300 <strong>ph\u00e2\u0303u thu\u00e2\u0323t gia\u0309m nhe\u0323<\/strong>. \u0110\u00ea\u0309 th\u01b0\u0323c hi\u00ea\u0323n \u0111i\u00ea\u0300u na\u0300y, ph\u00e2\u0303u thu\u00e2\u0323t vi\u00ean va\u0300 ba\u0301c si\u0303 chuy\u00ean khoa ti\u00eau ho\u0301a, nh\u01b0\u0303ng chuy\u00ean gia v\u00ea\u0300 li\u0303nh v\u01b0\u0323c da\u0323 da\u0300y va\u0300 ru\u00f4\u0323t non, co\u0301 th\u00ea\u0309:<\/p>\n<ul>\n<li>M\u01a1\u0309 th\u00f4ng da\u0323 da\u0300y ra da ho\u0103\u0323c m\u01a1\u0309 th\u00f4ng h\u00f4\u0303ng tra\u0300ng (m\u1ed9t ph\u1ea7n c\u1ee7a ru\u1ed9t non) ra da ta\u0323o \u0111\u01b0\u01a1\u0300ng nu\u00f4i \u0103n \u0111\u01b0a ch\u00e2\u0301t dinh d\u01b0\u01a1\u0303ng tr\u01b0\u0323c ti\u00ea\u0301p va\u0300o da\u0323 da\u0300y ho\u0103\u0323c h\u00f4\u0303ng tra\u0300ng cu\u0309a b\u00ea\u0323nh nh\u00e2n. Vi\u00ea\u0323c na\u0300y co\u0301 th\u00ea\u0309 th\u01b0\u0323c hi\u00ea\u0323n tr\u01b0\u01a1\u0301c khi b\u00ea\u0323nh nh\u00e2n ho\u0301a tri\u0323 va\u0300 xa\u0323 tri\u0323 \u0111\u00ea\u0309 \u0111a\u0309m ba\u0309o dinh d\u01b0\u01a1\u0303ng duy tri\u0300 c\u00e2n n\u0103\u0323ng, s\u01b0\u0301c kho\u0309e cu\u0309a mi\u0300nh trong qua\u0301 tri\u0300nh \u0111i\u00ea\u0300u tri\u0323.<\/li>\n<li>N\u00f4\u0301i t\u0103\u0301t ho\u0103\u0323c ta\u0323o m\u00f4\u0323t con \u0111\u01b0\u01a1\u0300ng m\u01a1\u0301i va\u0300o da\u0323 da\u0300y, n\u00ea\u0301u kh\u00f4\u0301i u la\u0300m t\u0103\u0301c th\u01b0\u0323c qua\u0309n ma\u0300 kh\u00f4ng th\u00ea\u0309 can thi\u00ea\u0323p ph\u00e2\u0303u thu\u00e2\u0323t. Tuy nhi\u00ean ph\u01b0\u01a1ng pha\u0301p na\u0300y hi\u00ea\u0323n nay i\u0301t \u0111\u01b0\u01a1\u0323c s\u01b0\u0309 du\u0323ng.<\/li>\n<\/ul>\n<p>Nh\u01b0\u0303ng b\u00ea\u0323nh nh\u00e2n g\u0103\u0323p v\u00e2\u0301n \u0111\u00ea\u0300 trong vi\u00ea\u0323c \u0103n u\u00f4\u0301ng co\u0301 th\u00ea\u0309 nu\u00f4i \u0103n ti\u0303nh ma\u0323ch da\u0300i nga\u0300y tr\u01b0\u01a1\u0301c va\u0300 sau ph\u00e2\u0303u thu\u00e2\u0323t cu\u0303ng nh\u01b0 du\u0300ng kha\u0301ng sinh d\u01b0\u0323 pho\u0300ng, \u0111i\u00ea\u0300u tri\u0323 nhi\u00ea\u0303m khu\u00e2\u0309n. Ngoa\u0300i ra b\u00ea\u0323nh nh\u00e2n c\u00e2\u0300n <strong>ho\u0323c nh\u01b0\u0303ng ba\u0300i t\u00e2\u0323p ho, hi\u0301t th\u01a1\u0309 \u0111\u00ea\u0309 pho\u0300ng vi\u00eam ph\u00f4\u0309i<\/strong>.<\/p>\n<h3>Can thi\u1ec7p n\u00f4\u0323i soi<\/h3>\n<p>Ca\u0301c ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323 sau \u0111\u00e2y \u01b0\u0301ng du\u0323ng n\u00f4\u0323i soi va\u0300o \u0111i\u00ea\u0300u tri\u0323 ung th\u01b0 th\u01b0\u0323c qua\u0309n va\u0300 gi\u1ea3m \u1ea3nh h\u01b0\u1edfng b\u00e2\u0301t l\u01a1\u0323i cu\u0309a kh\u00f4\u0301i u:<\/p>\n<ul>\n<li>N\u00f4\u0323i soi nong th\u01b0\u0323c qua\u0309n: ph\u01b0\u01a1ng pha\u0301p na\u0300y se\u0303 la\u0300m r\u00f4\u0323ng th\u01b0\u0323c qua\u0309n, co\u0301 th\u00ea\u0309 l\u0103\u0323p la\u0323i can thi\u1ec7p n\u00ea\u0301u kh\u00f4\u0301i u t\u0103ng ki\u0301ch th\u01b0\u01a1\u0301c.<\/li>\n<li>N\u00f4\u0323i soi \u0111\u0103\u0323t \u00f4\u0301ng th\u00f4ng: ph\u01b0\u01a1ng pha\u0301p na\u0300y gi\u00fap che\u0300n \u00f4\u0301ng th\u00f4ng va\u0300o th\u01b0\u0323c qua\u0309n qua n\u00f4\u0323i soi. \u00d4\u0301ng th\u00f4ng co\u0301 th\u00ea\u0309 b\u0103\u0300ng kim loa\u0323i, nh\u01b0\u0323a da\u0323ng l\u01b0\u01a1\u0301i, &#8230; \u0111\u00ea\u0309 gi\u01b0\u0303 cho lo\u0300ng th\u01b0\u0323c qua\u0309n kh\u00f4ng he\u0323p.<\/li>\n<li>\u0110\u00f4\u0301t \u0111i\u00ea\u0323n: Ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323 na\u0300y ti\u00eau di\u00ea\u0323t t\u00ea\u0301 ba\u0300o ung th\u01b0 b\u0103\u0300ng nhi\u00ea\u0323t \u0111i\u00ea\u0323n. \u0110\u00f4i lu\u0301c ph\u01b0\u01a1ng pha\u0301p na\u0300y giu\u0301p gia\u0309m nhe\u0323 tri\u00ea\u0323u ch\u01b0\u0301ng b\u0103\u0300ng ca\u0301ch loa\u0323i bo\u0309 t\u0103\u0301c nghe\u0303n b\u01a1\u0309i kh\u00f4\u0301i u.<\/li>\n<li>Li\u00ea\u0323u pha\u0301p a\u0301p la\u0323nh: ph\u01b0\u01a1ng pha\u0301p na\u0300y du\u0300ng ma\u0301y n\u00f4\u0323i soi g\u0103\u0301n th\u00eam m\u00f4\u0323t \u0111\u00e2\u0300u do\u0300 co\u0301 th\u00ea\u0309 la\u0300m \u0111\u00f4ng va\u0300 loa\u0323i bo\u0309 m\u00f4 ung th\u01b0. No\u0301 co\u0301 th\u00ea\u0309 la\u0300m gia\u0309m ki\u0301ch th\u01b0\u01a1\u0301c kh\u00f4\u0301i u giu\u0301p b\u00ea\u0323nh nh\u00e2n nu\u00f4\u0301t d\u00ea\u0303 da\u0300ng h\u01a1n.<\/li>\n<\/ul>\n<h2>Xa\u0323 tri\u0323<\/h2>\n<p>Xa\u0323 tri\u0323 la\u0300 c\u00e1ch \u0111i\u1ec1u tr\u1ecb s\u01b0\u0309 du\u0323ng tia X n\u0103ng l\u01b0\u01a1\u0323ng cao ho\u0103\u0323c lo\u1ea1i tia pho\u0301ng xa\u0323 kha\u0301c nh\u0103\u0300m pha\u0301 hu\u0309y t\u00ea\u0301 ba\u0300o ung th\u01b0. Pha\u0301c \u0111\u00f4\u0300 xa\u0323 tri\u0323 th\u01b0\u01a1\u0300ng g\u00f4\u0300m m\u00f4\u0323t s\u00f4\u0301 l\u00e2\u0300n chi\u1ebfu x\u1ea1 nh\u00e2\u0301t \u0111i\u0323nh trong m\u00f4\u0323t khoa\u0309ng th\u01a1\u0300i gian ng\u1eafn. Ph\u01b0\u01a1ng pha\u0301p xa\u0323 tri\u0323 ph\u00f4\u0309 bi\u00ea\u0301n nh\u00e2\u0301t la\u0300 <strong>xa\u0323 ngoa\u0300i<\/strong>, bao g\u1ed3m vi\u1ec7c chi\u1ebfu tia xa\u0323 t\u01b0\u0300 m\u00f4\u0323t thi\u00ea\u0301t bi\u0323 \u0111\u0103\u0323t ngoa\u0300i c\u01a1 th\u00ea\u0309.<\/p>\n<p>Khi ngu\u00f4\u0300n xa\u0323 \u0111\u01b0\u01a1\u0323c \u0111\u01b0a tr\u01b0\u0323c ti\u00ea\u0301p va\u0300o trong c\u01a1 th\u00ea\u0309, go\u0323i la\u0300 <strong>xa\u0323 trong<\/strong> hay <strong>c\u00e2\u0323n xa\u0323 tri\u0323<\/strong>. \u01af\u0301ng du\u0323ng trong ung th\u01b0 th\u01b0\u0323c qua\u0309n, b\u00e1c s\u0129 se\u0303 ngu\u1ed3n ph\u00e1t tia xa\u0323 va\u0300o th\u01b0\u0323c qua\u0309n qua n\u00f4\u0323i soi. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng\/ch\u01b0a ph\u1ed5 bi\u1ebfn \u1edf Vi\u1ec7t Nam.<\/p>\n<p>Li\u00ea\u0323u pha\u0301p du\u0300ng tia proton \u0111ang \u0111\u01b0\u01a1\u0323c nghi\u00ean c\u01b0\u0301u \u01b0\u0301ng du\u0323ng va\u0300o trong \u0111i\u00ea\u0300u tri\u0323 ung th\u01b0 th\u01b0\u0323c qua\u0309n. \u0110o\u0301 la\u0300 m\u00f4\u0323t da\u0323ng xa\u0323 ngoa\u0300i s\u01b0\u0309 du\u0323ng tia proton thay v\u00ec tia X. \u01a0\u0309 n\u0103ng l\u01b0\u01a1\u0323ng cao, tia proton co\u0301 th\u00ea\u0309 pha\u0301 hu\u0309y t\u00ea\u0301 ba\u0300o ung th\u01b0. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng\/ch\u01b0a ph\u1ed5 bi\u1ebfn \u1edf Vi\u1ec7t Nam.<\/p>\n<p>Ta\u0301c du\u0323ng phu\u0323 do xa\u0323 tri\u0323 co\u0301 th\u00ea\u0309 g\u00f4\u0300m m\u00ea\u0323t mo\u0309i, ki\u0301ch \u01b0\u0301ng da nhe\u0323, \u0111au ra\u0301t ho\u0323ng, th\u01b0\u0323c qua\u0309n, kho\u0301 nu\u00f4\u0301t ho\u0103\u0323c \u0111au khi nu\u00f4\u0301t, \u0111au da\u0323 da\u0300y, bu\u00f4\u0300n n\u00f4n, ti\u00eau cha\u0309y. H\u00e2\u0300u h\u00ea\u0301t ca\u0301c ta\u0301c du\u0323ng kh\u00f4ng mong mu\u00f4\u0301n na\u0300y se\u0303 bi\u00ea\u0301n m\u00e2\u0301t sau khi k\u00ea\u0301t thu\u0301c \u0111i\u00ea\u0300u tri\u0323<\/p>\n<h2>H\u00f3a tr\u1ecb<\/h2>\n<p>H\u00f3a tr\u1ecb l\u00e0 ph\u01b0\u01a1ng pha\u0301p \u1ea3nh h\u01b0\u1edfng l\u00ean to\u00e0n th\u00e2n b\u1eb1ng thu\u1ed1c truy\u1ec1n ho\u1eb7c thu\u1ed1c u\u1ed1ng. So v\u1edbi x\u1ea1 tr\u1ecb hay ph\u1eabu thu\u1eadt l\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee5c b\u1ed9\/t\u1ea1i ch\u1ed7, h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 gi\u00fap pha\u0301 hu\u0309y t\u00ea\u0301 ba\u0300o ung th\u01b0 \u1edf nhi\u1ec1u n\u01a1i c\u00f9ng l\u00fac.<\/p>\n<p>Ca\u0301c thu\u1ed1c h\u00f3a tr\u1ecb \u0111ang d\u00f9ng hi\u1ec7n nay bao g\u1ed3m:<\/p>\n<ul>\n<li>Thu\u1ed1c ho\u0301a tri\u0323 th\u01b0\u1eddng quy<\/li>\n<li>Thu\u1ed1c nh\u1eafm \u0111i\u0301ch<\/li>\n<li>Thu\u1ed1c mi\u00ea\u0303n di\u0323ch<\/li>\n<\/ul>\n<p>Thu\u1ed1c co\u0301 th\u00ea\u0309 \u0111\u01b0\u01a1\u0323c d\u00f9ng ri\u00eang le\u0309 ho\u0103\u0323c ph\u00f4\u0301i h\u01a1\u0323p v\u1edbi nhi\u1ec1u thu\u1ed1c kh\u00e1c. Thu\u1ed1c h\u00f3a tr\u1ecb c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng k\u00e8m x\u1ea1 tr\u1ecb, trong t\u1ed5ng th\u1ec3 k\u00ea\u0301 hoa\u0323ch \u0111i\u00ea\u0300u tri\u0323 bao g\u00f4\u0300m c\u1ea3 ph\u00e2\u0303u thu\u00e2\u0323t \u0111i tr\u01b0\u1edbc\/sau \u0111\u00f3.<\/p>\n<p>V\u00ec s\u1ef1 ph\u1ee9c t\u1ea1p c\u1ee7a ch\u1ec9 \u0111\u1ecbnh, h\u00e3y trao \u0111\u00f4\u0309i v\u01a1\u0301i ba\u0301c si\u0303 chuy\u00ean khoa \u0111\u00ea\u0309 ti\u0300m hi\u00ea\u0309u v\u00ea\u0300 loa\u0323i thu\u00f4\u0301c ph\u00f9 h\u1ee3p cho ba\u0323n, hi\u1ec3u mu\u0323c ti\u00eau \u0111i\u00ea\u0300u tri\u0323, ta\u0301c du\u0323ng phu\u0323 va\u0300 t\u01b0\u01a1ng ta\u0301c thu\u00f4\u0301c \u0111\u1ec3 c\u00f3 l\u1ee3i \u00edch cao nh\u1ea5t t\u1eeb \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3>Thu\u1ed1c ho\u0301a tri\u0323 th\u01b0\u1eddng quy<\/h3>\n<p>H\u00f3a tr\u1ecb th\u01b0\u1eddng quy, hay kinh \u0111i\u1ec3n l\u00e0 ph\u01b0\u01a1ng pha\u0301p d\u00f9ng thu\u1ed1c ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 b\u0103\u0300ng ca\u0301ch \u0111\u00e1nh v\u00e0o c\u01a1 ch\u1ebf t\u0103ng tr\u01b0\u01a1\u0309ng va\u0300 ph\u00e2n chia cu\u0309a chu\u0301ng.<\/p>\n<p>M\u1ed9t pha\u0301c \u0111\u00f4\u0300 ho\u0301a tri\u0323 th\u01b0\u01a1\u0300ng g\u00f4\u0300m m\u00f4\u0323t s\u00f4\u0301 l\u00e2\u0300n truy\u1ec1n\/u\u1ed1ng thu\u1ed1c nh\u00e2\u0301t \u0111i\u0323nh trong m\u00f4\u0323t khoa\u0309ng th\u01a1\u0300i gian. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u01a1\u0323c chi\u0309 \u0111i\u0323nh m\u00f4\u0323t lo\u1ea1i thu\u1ed1c ho\u1eb7c k\u1ebft h\u1ee3p nhi\u00ea\u0300u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau c\u00f9ng l\u00fac. Nh\u01b0 \u0111\u00e3 gi\u1ea3i th\u00edch \u1edf tr\u00ean, h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u00ea\u0301n ha\u0300nh \u0111\u1ed3ng th\u1eddi \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ho\u0301a xa\u0323 tri\u0323.<\/p>\n<p>V\u00ec m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o l\u00e0nh trong c\u01a1 th\u1ec3 c\u0169ng hay ph\u00e2n chia nhanh nh\u01b0 t\u1ebf b\u00e0o m\u00e1u hay ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng ti\u00eau h\u00f3a,\u2026c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a h\u00f3a tr\u1ecb bao g\u1ed3m m\u1ec7t m\u1ecfi, thi\u1ebfu m\u00e1u, t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, ti\u00eau ch\u1ea3y v\u00e0 ch\u00e1n \u0103n. Vi\u1ec7c x\u1ea3y ra hay kh\u00f4ng c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o c\u01a1 \u0111i\u0323a b\u00ea\u0323nh nh\u00e2n v\u00e0 li\u1ec1u d\u00f9ng. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u01b0\u1eddng se\u0303 bi\u1ebfn m\u1ea5t sau khi k\u00ea\u0301t thu\u0301c \u0111i\u00ea\u0300u tri\u0323.<\/p>\n<h3>Thu\u1ed1c nh\u1eafm \u0111i\u0301ch<\/h3>\n<p>Li\u1ec7u ph\u00e1p \u0111i\u00ea\u0300u tri\u0323 \u0111i\u0301ch nh\u1eafm v\u00e0o c\u00e1c gene, protein hay c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1eb7c hi\u1ec7u g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 t\u00f4\u0300n ta\u0323i c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0. Ph\u01b0\u01a1ng pha\u0301p na\u0300y ng\u0103n ch\u1eb7n s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u00e0 pha\u0301t ta\u0301n c\u1ee7a c\u00e1c ung th\u01b0 trong khi h\u1ea1n ch\u1ebf t\u00f4\u0309n th\u01b0\u01a1ng t\u1ebf b\u00e0o l\u00e0nh.<\/p>\n<p>Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c loa\u0323i kh\u1ed1i u \u0111\u1ec1u c\u00f3 c\u00f9ng m\u00f4\u0323t \u201c\u0111i\u0301ch nh\u0103\u0301m\u201d v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi vi\u1ec7c d\u00f9ng thu\u1ed1c nh\u1eafm \u0111\u00edch. \u0110\u1ec3 t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t, b\u00e1c s\u0129 s\u1ebd la\u0300m m\u1ed9t v\u00e0i x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c nh\u1eadn \u0111\u1eb7c t\u00ednh sinh h\u1ecdc c\u1ee7a kh\u1ed1i u. C\u00e1c nghi\u00ean c\u1ee9u v\u00e2\u0303n \u0111ang \u0111\u01b0\u01a1\u0323c ti\u00ea\u0301n ha\u0300nh \u0111\u00ea\u0309 t\u00ecm ra c\u00e1c \u0111\u00edch m\u1edbi, t\u1ed1i \u01b0u h\u00f3a c\u00e1ch d\u00f9ng thu\u1ed1c nh\u0103\u0301m \u0111\u00edch.<\/p>\n<p>Li\u00ea\u0323u pha\u0301p \u0111i\u00ea\u0300u tri\u0323 \u0111i\u0301ch th\u01b0\u1eddng d\u00f9ng trong ung th\u01b0 th\u01b0\u0323c qua\u0309n bao g\u00f4\u0300m:<\/p>\n<ul>\n<li>Li\u00ea\u0323u pha\u0301p nh\u0103\u0301m va\u0300o thu\u0323 th\u00ea\u0309 HER-2: Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh di c\u0103n hay ta\u0301i pha\u0301t c\u00f3 kh\u1ed1i u l\u00e0 d\u1ea1ng bi\u1ec3u m\u00f4 tuy\u1ebfn (adenocarcinoma) d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 HER2, thu\u1ed1c Trastuzumab (Herceptin, Ogivri) k\u00ea\u0301t h\u01a1\u0323p v\u01a1\u0301i ho\u0301a tri\u0323 \u0111\u01b0\u01a1\u0323c xem nh\u01b0 ph\u01b0\u01a1ng pha\u0301p \u0111i\u00ea\u0300u tri\u0323 \u0111\u00e2\u0300u tay. N\u00ea\u0301u ung th\u01b0 kh\u00f4ng c\u00f3 c\u00e1c \u0111\u1eb7c t\u00ednh n\u00e0y, thu\u1ed1c n\u00f3i tr\u00ean \u00edt c\u00f3 t\u00e1c d\u1ee5ng v\u00e0 ba\u0301c si\u0303 se\u0303 \u0111\u00ea\u0300 xu\u00e2\u0301t ph\u01b0\u01a1ng pha\u0301p kha\u0301c.<\/li>\n<li>Li\u00ea\u0323u pha\u0301p ch\u00f4\u0301ng ta\u0323o ma\u0323ch m\u00e1u: Vi\u0300 kh\u00f4\u0301i u c\u00e2\u0300n ch\u00e2\u0301t dinh d\u01b0\u01a1\u0303ng do ca\u0301c ma\u0323ch ma\u0301u cung c\u00e2\u0301p \u0111\u00ea\u0309 t\u0103ng tr\u01b0\u01a1\u0309ng va\u0300 pha\u0301t ta\u0301n, mu\u0323c ti\u00eau cu\u0309a thu\u1ed1c ch\u1ed1ng ta\u0323o ma\u0323ch m\u00e1u la\u0300 la\u0300m kh\u00f4\u0301i u \u201cch\u00ea\u0301t \u0111o\u0301i\u201d. Trong tr\u01b0\u1eddng h\u1ee3p kh\u1ed1i u n\u1eb1m \u1edf v\u00f9ng ranh gi\u1edbi gi\u1eefa th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y, thu\u1ed1c ramucirumab (Cyramza) \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 t\u00e1c d\u1ee5ng, v\u00e0 la\u0300 m\u00f4\u0323t trong nh\u01b0\u0303ng l\u01b0\u0323a ch\u1ecdn sau khi ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb \u0111\u00e2\u0300u tay kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Ramucirumab c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chi\u0309 \u0111i\u0323nh \u0111\u01a1n \u0111\u00f4\u0323c ho\u1eb7c ph\u00f4\u0301i h\u01a1\u0323p v\u1edbi thu\u1ed1c h\u00f3a tr\u1ecb th\u01b0\u1eddng quy paclitaxel ho\u1eb7c abraxane.<\/li>\n<\/ul>\n<p>H\u00e3y trao \u0111\u00f4\u0309i v\u01a1\u0301i ba\u0301c si\u0303 v\u00ea\u0300 nh\u01b0\u0303ng ta\u0301c du\u0323ng phu\u0323 co\u0301 th\u00ea\u0309 xa\u0309y ra \u0111\u00f4\u0301i v\u01a1\u0301i t\u01b0\u0300ng loa\u0323i thu\u00f4\u0301c cu\u0323 th\u00ea\u0309 ma\u0300 ba\u0323n \u0111\u01b0\u01a1\u0323c chi\u0309 \u0111i\u0323nh va\u0300 bi\u00ea\u0323n pha\u0301p ki\u00ea\u0309m soa\u0301t chu\u0301ng.<\/p>\n<h3>Thu\u1ed1c mi\u00ea\u0303n di\u0323ch<\/h3>\n<p>Thu\u1ed1c mi\u00ea\u0303n di\u0323ch, co\u0300n \u0111\u01b0\u01a1\u0323c go\u0323i la\u0300 li\u00ea\u0323u pha\u0301p sinh ho\u0323c, \u0111\u00f4i khi \u0111\u01b0\u01a1\u0323c d\u00f9ng \u0111\u00ea\u0309 gi\u00fap c\u01a1 th\u1ec3 t\u0103ng c\u01b0\u01a1\u0300ng kha\u0309 n\u0103ng nh\u1eadn di\u1ec7n v\u00e0 t\u1ea5n c\u00f4ng lo\u1ea1i b\u1ecf t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n<p>Hoa\u0323t ch\u00e2\u0301t Pembrolizumab (Keytruda) la\u0300 m\u00f4\u0323t loa\u0323i li\u00ea\u0323u pha\u0301p mi\u00ea\u0303n di\u0323ch nh\u0103\u0301m va\u0300o t\u00edn hi\u1ec7u PD-1\/PD-L1. \u1ede Hoa K\u1ef3, no\u0301 \u0111\u01b0\u01a1\u0323c ch\u00e2\u0301p thu\u00e2\u0323n d\u00f9ng cho m\u1ed9t s\u1ed1 ca b\u1ec7nh co\u0301 bi\u1ec3u hi\u1ec7n PD-L1 d\u01b0\u01a1ng ti\u0301nh, c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee5 th\u1ec3 nh\u01b0 dMMR, MSI-H va\u0300 kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi ho\u0301a tri\u0323. V\u00ec ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c n\u00e0y r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 co\u0301 th\u00ea\u0309 g\u00e2y ra ta\u0301c du\u0323ng phu\u0323 kha\u0301c v\u1edbi thu\u1ed1c h\u00f3a tr\u1ecb th\u01b0\u1eddng quy, h\u00e3y trao \u0111\u00f4\u0309i c\u1ee5 th\u1ec3 v\u01a1\u0301i c\u00e1c ba\u0301c si\u0303 chuy\u00ean khoa.<\/p>\n<h2>Ung th\u01b0 th\u01b0\u0323c qua\u0309n di c\u0103n<\/h2>\n<p>N\u00ea\u0301u ung th\u01b0 pha\u0301t ta\u0301n sang c\u01a1 quan kha\u0301c trong c\u01a1 th\u00ea\u0309, \u0111o\u0301 la\u0300 t\u00ecnh tr\u1ea1ng <strong>ung th\u01b0 di c\u0103n<\/strong>. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ch\u0103m so\u0301c gia\u0309m nhe\u0323 la\u0300 r\u00e2\u0301t quan tro\u0323ng \u0111\u00ea\u0309 la\u0300m gia\u0309m tri\u00ea\u0323u ch\u01b0\u0301ng va\u0300 a\u0309nh h\u01b0\u01a1\u0309ng x\u00e2\u0301u cu\u0309a ung th\u01b0. Mu\u0323c ti\u00eau \u0111i\u00ea\u0300u tri\u0323 th\u01b0\u01a1\u0300ng la\u0300 ke\u0301o da\u0300i tu\u00f4\u0309i tho\u0323 \u0111\u00f4\u0300ng th\u01a1\u0300i ki\u1ec3m so\u00e1t tri\u00ea\u0323u ch\u01b0\u0301ng nh\u01b0 \u0111au va\u0300 ca\u0301c v\u00e2\u0301n \u0111\u00ea\u0300 v\u00ea\u0300 \u0103n u\u00f4\u0301ng. Ho\u0301a tri\u0323 cu\u0303ng nh\u01b0 xa\u0323 tri\u0323 c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t kh\u1ed1i u, qua \u0111\u00f3 gi\u00fap gia\u0309m \u0111au hay gia\u0309m kho\u0301 chi\u0323u. Ngo\u00e0i ra, vi\u1ec7c \u0111\u0103\u0323t \u00f4\u0301ng th\u00f4ng th\u01b0\u0323c qua\u0309n, li\u00ea\u0323u pha\u0301p Laser, li\u00ea\u0323u pha\u0301p quang \u0111\u00f4\u0323ng hay li\u00ea\u0323u pha\u0301p a\u0301p la\u0323nh co\u0301 th\u00ea\u0309 giu\u0301p gi\u01b0\u0303 cho lo\u0300ng th\u01b0\u0323c qua\u0309n kh\u00f4ng he\u0323p \u0111\u1ec3 b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c \u0103n u\u1ed1ng qua \u0111\u01b0\u1eddng mi\u1ec7ng.<\/p>\n<p>H\u00e2\u0300u h\u00ea\u0301t mo\u0323i ng\u01b0\u01a1\u0300i kh\u00f3 ch\u1ea5p nh\u1eadn ch\u00e2\u0309n \u0111oa\u0301n ung th\u01b0 di c\u0103n. B\u1ec7nh nh\u00e2n va\u0300 gia \u0111i\u0300nh ha\u0303y trao \u0111\u00f4\u0309i v\u01a1\u0301i ba\u0301c si\u0303, \u0111i\u00ea\u0300u d\u01b0\u01a1\u0303ng, nh\u00e2n vi\u00ean xa\u0303 h\u00f4\u0323i va\u0300 nh\u01b0\u0303ng tha\u0300nh vi\u00ean kha\u0301c trong nh\u00f3m ch\u0103m so\u0301c \u0111\u00ea\u0309 chia s\u1ebb n\u00f4\u0303i bu\u00f4\u0300n. No\u0301i chuy\u00ea\u0323n v\u01a1\u0301i nh\u01b0\u0303ng b\u00ea\u0323nh nh\u00e2n kha\u0301c va\u0300 ca\u0301c nho\u0301m h\u00f4\u0303 tr\u01a1\u0323 b\u00ea\u0323nh nh\u00e2n ung th\u01b0 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u00edch.<\/p>\n<h2>Thuy\u00ean gia\u0309m va\u0300 kha\u0309 n\u0103ng ta\u0301i pha\u0301t<\/h2>\n<p>B\u1ec7nh thuy\u00ean gi\u1ea3m l\u00e0 khi ung th\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong c\u01a1 th\u1ec3 v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cKh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh\u201d (ti\u1ebfng Anh vi\u1ebft t\u1eaft l\u00e0 NED).<\/p>\n<p>B\u1ec7nh c\u00f3 th\u1ec3 thuy\u00ean gi\u1ea3m t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n. S\u01b0\u0323 kh\u00f4ng ch\u1eafc ch\u1eafn na\u0300y khi\u00ea\u0301n cho nhi\u1ec1u ng\u01b0\u1eddi lo l\u1eafng r\u0103\u0300ng ung th\u01b0 s\u1ebd quay tr\u1edf l\u1ea1i. Trong khi nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u0103n b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1eefa l\u00e0nh (thuy\u00ean gi\u1ea3m v\u0129nh vi\u1ec5n), v\u00e2\u0303n n\u00ean trao \u0111\u00f4\u0309i v\u1edbi b\u00e1c s\u0129 v\u1ec1 kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t c\u1ee7a ung th\u01b0. Hi\u1ec3u \u0111\u01b0\u1ee3c nguy c\u01a1 t\u00e1i ph\u00e1t v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n chu\u1ea9n b\u1ecb t\u1ed1t h\u01a1n n\u1ebfu ung th\u01b0 quay tr\u1edf l\u1ea1i.<\/p>\n<p>N\u1ebfu ung th\u01b0 tr\u1edf l\u1ea1i sau \u0111i\u1ec1u tr\u1ecb th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>b\u1ec7nh ung th\u01b0 t\u00e1i ph\u00e1t<\/strong>. T\u00f9y t\u00ecnh hu\u1ed1ng m\u00e0 t\u00ean g\u1ecdi c\u00f3 th\u1ec3 kh\u00e1c nhau. Khi b\u1ec7nh tr\u1edf l\u1ea1i c\u00f9ng v\u1ecb tr\u00ed c\u0169 g\u1ecdi l\u00e0 <strong>t\u00e1i ph\u00e1t ta\u0323i ch\u00f4\u0303<\/strong>, n\u1ebfu g\u1ea7n \u0111\u00f3 th\u00ec g\u1ecdi l\u00e0 <strong>t\u00e1i ph\u00e1t khu v\u1ef1c<\/strong>. N\u1ebfu l\u00e0 \u1edf v\u1ecb tr\u00ed kh\u00e1c ho\u00e0n to\u00e0n th\u00ec l\u00e0 <strong>t\u00e1i ph\u00e1t xa<\/strong>. N\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m k\u1ef9 l\u01b0\u1ee1ng \u0111\u1ec3 t\u00ecm hi\u1ec3u chi ti\u1ebft v\u1ec1 t\u00ecnh tr\u1ea1ng c\u01a1 th\u1ec3. Sau nh\u1eefng ki\u1ec3m tra n\u00e0y, b\u1ea1n v\u00e0 b\u00e1c s\u0129 s\u1ebd th\u1ea3o lu\u1eadn v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. Th\u01b0\u1eddng th\u00ec k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb s\u1ebd bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111a\u0303 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf tr\u00ean, bao g\u1ed3m ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb, nh\u01b0ng cu\u0303ng c\u00f3 th\u1ec3 k\u00ea\u0301t h\u01a1\u0323p theo ca\u0301ch kha\u0301c ho\u0103\u0323c th\u01b0\u0301 t\u01b0\u0323 kha\u0301c. B\u00e1c s\u0129 cu\u0309a ba\u0323n c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb c\u00e2n nh\u1eafc tham gia th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng n\u1ebfu ph\u00f9 h\u1ee3p. Cho d\u00f9 b\u1ea1n l\u01b0\u0323a cho\u0323n ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb n\u00e0o thi\u0300 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 \u0111\u00ea\u0300u r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ung th\u01b0 t\u00e1i ph\u00e1t th\u01b0\u1eddng se\u0303 c\u00f3 c\u1ea3m gia\u0301c ho\u00e0i nghi ho\u1eb7c s\u1ee3 h\u00e3i. Ha\u0303y trao \u0111\u00f4\u0309i v\u1edbi nh\u00e2n vi\u00ean y t\u00ea\u0301 v\u1ec1 nh\u1eefng c\u1ea3m x\u00fac n\u00e0y v\u00e0 h\u1ecfi v\u1ec1 c\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 \u0111\u1ec3 gi\u00fap b\u1ea1n v\u01b0\u01a1\u0323t qua kho\u0301 kh\u0103n.<\/p>\n<h2>N\u00ea\u0301u \u0111i\u00ea\u0300u tri\u0323 kh\u00f4ng hi\u00ea\u0323u qua\u0309<\/h2>\n<p>Ung th\u01b0 nhi\u1ec1u khi kh\u00f4ng th\u1ec3 ch\u1eefa l\u00e0nh. N\u00ea\u0301u kh\u00f4ng th\u00ea\u0309 ch\u01b0\u0303a kho\u0309i hay ki\u00ea\u0309m soa\u0301t, ung th\u01b0 se\u0303 ti\u00ea\u0301p t\u1ee5c ti\u00ea\u0301n tri\u1ec3n va\u0300 \u0111i \u0111\u00ea\u0301n giai \u0111oa\u0323n cu\u00f4\u0301i.<\/p>\n<p>Giai \u0111o\u1ea1n na\u0300y \u0111\u00f4\u0301i v\u01a1\u0301i mo\u0323i ng\u01b0\u01a1\u0300i l\u00e0 r\u00e2\u0301t kho\u0301 kh\u0103n v\u00e0 kh\u00f3 ti\u00ea\u0301p nh\u00e2\u0323n. Tuy nhi\u00ean, \u0111i\u00ea\u0300u quan tro\u0323ng la\u0300 n\u00ean c\u01a1\u0309i m\u01a1\u0309 va\u0300 ch\u00e2n th\u1eadt ba\u0300y to\u0309 ca\u0309m xu\u0301c, \u00fd mu\u1ed1n va\u0300 m\u00f4\u0301i quan t\u00e2m cu\u0309a ba\u0323n v\u01a1\u0301i nho\u0301m ch\u0103m so\u0301c. C\u00e1c nh\u00e2n vi\u00ean y t\u1ebf co\u0301 nhi\u00ea\u0300u kinh nghi\u00ea\u0323m, ki\u00ea\u0301n th\u01b0\u0301c va\u0300 ky\u0303 n\u0103ng s\u1ebd s\u0103\u0303n sa\u0300ng giu\u0301p \u0111\u1ee1 c\u00e1c b\u00ea\u0323nh nh\u00e2n va\u0300 gia \u0111i\u0300nh. Vi\u00ea\u0323c gi\u1ea3m \u0111au, gi\u1ea3m nh\u1eb9 g\u00e1nh n\u1eb7ng tri\u1ec7u ch\u1ee9ng (th\u00ea\u0309 ch\u00e2\u0301t va\u0300 c\u1ea3 tinh th\u1ea7n) la\u0300 r\u1ea5t quan tro\u0323ng.<\/p>\n<p>Nh\u01b0\u0303ng ng\u01b0\u01a1\u0300i bi\u0323 ung th\u01b0 di c\u0103n va\u0300 co\u0301 ti\u00ean l\u01b0\u01a1\u0323ng s\u00f4\u0301ng d\u01b0\u01a1\u0301i 6 tha\u0301ng co\u0301 th\u00ea\u0309 c\u00e2n nh\u1eafc ca\u0301c di\u0323ch vu\u0323 ch\u0103m so\u0301c s\u01b0\u0301c kho\u0309e cu\u00f4\u0301i \u0111\u01a1\u0300i (Hospice care). No\u0301 \u0111\u01b0\u01a1\u0323c thi\u00ea\u0301t k\u00ea\u0301 \u0111\u00ea\u0309 \u0111em la\u0323i ch\u00e2\u0301t l\u01b0\u01a1\u0323ng cu\u00f4\u0323c s\u00f4\u0301ng t\u00f4\u0301t nh\u00e2\u0301t co\u0301 th\u00ea\u0309 cho b\u00ea\u0323nh nh\u00e2n. H\u00e3y n\u00f3i chuy\u1ec7n v\u01a1\u0301i nh\u00e2n vi\u00ean y t\u00ea\u0301 v\u00ea\u0300 nh\u01b0\u0303ng l\u01b0\u0323a cho\u0323n ch\u0103m so\u0301c s\u01b0\u0301c kho\u0309e cu\u00f4\u0301i \u0111\u01a1\u0300i: th\u1ef1c hi\u1ec7n ta\u0323i nha\u0300, ta\u0323i trung t\u00e2m ch\u0103m so\u0301c s\u01b0\u0301c kho\u0309e cu\u00f4\u0301i \u0111\u01a1\u0300i ho\u0103\u0323c \u1edf n\u01a1i kh\u00e1c. Di\u0323ch vu\u0323 \u0111i\u00ea\u0300u d\u01b0\u01a1\u0303ng va\u0300 thi\u00ea\u0301t bi\u0323 y t\u00ea\u0301 ta\u0323i nha\u0300 co\u0301 th\u00ea\u0309 la\u0300 l\u01b0\u0323a cho\u0323n kha\u0309 thi cho b\u1ea1n.<\/p>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/cancer-types\/esophageal-cancer\/treatment-options\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/cancer-types\/esophageal-cancer\/treatment-options<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 b\u00e1c s\u0129 hay s\u1eed d\u1ee5ng cho b\u00ea\u0323nh nh\u00e2n ung th\u01b0 th\u1ef1c qu\u1ea3n.<\/p>\n","protected":false},"author":291,"featured_media":5074,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2959,2611],"tags":[2987,2471],"series":[1807],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ung th\u01b0 th\u1ef1c qu\u1ea3n: L\u01b0\u0323a ch\u1ecdn ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 b\u00e1c s\u0129 hay s\u1eed d\u1ee5ng cho b\u00ea\u0323nh nh\u00e2n ung th\u01b0 th\u1ef1c qu\u1ea3n.\" \/>\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\/ung-thu-thuc-quan-lua-chon-phuong-phap-dieu-tri\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ung th\u01b0 th\u1ef1c qu\u1ea3n: L\u01b0\u0323a ch\u1ecdn ph\u01b0\u01a1ng pha\u0301p \u0111i\u1ec1u tr\u1ecb - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 b\u00e1c s\u0129 hay s\u1eed d\u1ee5ng cho b\u00ea\u0323nh nh\u00e2n ung th\u01b0 th\u1ef1c qu\u1ea3n.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/ung-thu-thuc-quan-lua-chon-phuong-phap-dieu-tri\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/phuc.la.7\" \/>\n<meta property=\"article:published_time\" content=\"2019-03-31T12:52:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2019\/03\/ung-thu-thuc-quan-lu\u0323a-chon-phuong-phap-dieu-tri-20221010-090439.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=\"Ths.BS. 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