{"id":8075,"date":"2019-06-05T08:25:09","date_gmt":"2019-06-05T01:25:09","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/loang-xuong-sau-dieu-tri-ung-thu-vu\/"},"modified":"2024-10-17T19:56:39","modified_gmt":"2024-10-17T12:56:39","slug":"loang-xuong-sau-dieu-tri-ung-thu-vu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/loang-xuong-sau-dieu-tri-ung-thu-vu\/","title":{"rendered":"Lo\u00e3ng x\u01b0\u01a1ng sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Ho\u00e0ng Thu H\u00e0, L\u00e3 Thanh Th\u1ee7y<\/strong><\/em><\/p>\n<p style=\"text-align: right;\"><em><strong>Hi\u1ec7u \u0111\u00ednh: L\u00ea H\u00e0 C\u1ea3nh Ch\u00e2u, TS. BS. Ph\u1ea1m Nguy\u00ean Qu\u00fd<\/strong><\/em><\/p>\n<p>S\u1ef1 ch\u1eafc kh\u1ecfe c\u1ee7a x\u01b0\u01a1ng l\u00e0 quan tr\u1ecdng trong c\u1ea3 cu\u1ed9c \u0111\u1eddi. N\u00f3 c\u00e0ng tr\u1edf n\u00ean quan tr\u1ecdng khi b\u1ea1n c\u00e0ng l\u1edbn tu\u1ed5i ho\u1eb7c \u1ed1m \u0111au ho\u1eb7c \u0111i\u1ec1u tr\u1ecb l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh v\u1ec1 x\u01b0\u01a1ng. Kho\u1ea3ng \u0111\u1ed9 tu\u1ed5i 35, m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u gi\u1ea3m, \u0111\u00e2y \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a t\u1ef1 nhi\u00ean v\u00e0 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn t\u1edbi lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n<h2><strong>Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Trong s\u00e1ch v\u1edf th\u00ec lo\u00e3ng x\u01b0\u01a1ng ngh\u0129a l\u00e0 \u201cx\u01b0\u01a1ng x\u1ed1p\u201d v\u00e0 l\u00e0 x\u01b0\u01a1ng b\u1ecb y\u1ebfu \u0111i ho\u1eb7c m\u1ecfng \u0111i. Do x\u01b0\u01a1ng tr\u1edf n\u00ean m\u1ecfng manh n\u00ean x\u01b0\u01a1ng c\u00f3 th\u1ec3 b\u1ecb g\u00e3y ngay c\u1ea3 khi kh\u00f4ng c\u00f3 l\u1ef1c t\u00e1c \u0111\u1ed9ng ho\u1eb7c l\u1ef1c r\u1ea5t nh\u1ecf. Th\u01b0\u1eddng th\u00ec kh\u00f4ng ph\u00e1t hi\u1ec7n ra lo\u00e3ng x\u01b0\u01a1ng cho t\u1edbi l\u00fac xu\u1ea5t hi\u1ec7n g\u00e3y x\u01b0\u01a1ng \u0111\u1ea7u ti\u00ean. M\u1eb7c d\u1ea7u kh\u00f4ng th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c lo\u00e3ng x\u01b0\u01a1ng nh\u01b0ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 c\u1ed1 g\u1eafng gi\u1eef x\u01b0\u01a1ng kh\u1ecfe v\u00e0 \u00edt kh\u1ea3 n\u0103ng g\u00e3y h\u01a1n.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/loang-xuong-nguyen-nhan-cach-dieu-tri-phong-ngua\/\" target=\"_blank\" rel=\"noopener\">Lo\u00e3ng x\u01b0\u01a1ng \u2013 Nguy\u00ean nh\u00e2n, c\u00e1ch \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba<\/a><\/pre>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>C\u1ea3 ph\u1ee5 n\u1eef ch\u01b0a tr\u1ea3i qua th\u1eddi k\u1ef3 m\u00e3n kinh v\u00e0 ph\u1ee5 n\u1eef \u0111\u00e3 qua th\u1eddi k\u1ef3 m\u00e3n kinh (sau m\u00e3n kinh) c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 t\u0103ng v\u1ec1 lo\u00e3ng x\u01b0\u01a1ng c\u00f3 li\u00ean quan t\u1edbi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<h3><a href=\"https:\/\/yhoccongdong.com\/thongtin\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2\/\" target=\"_blank\" rel=\"noopener\"><strong>H\u00f3a tr\u1ecb<\/strong><\/a><\/h3>\n<ul>\n<li>H\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi ch\u1ee9c n\u0103ng c\u1ee7a bu\u1ed3ng tr\u1ee9ng, g\u00e2y ra m\u00e3n kinh s\u1edbm \u1edf m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef, t\u1ee9c l\u00e0 c\u00f3 \u00edt estrogen \u0111\u01b0\u1ee3c s\u1ea3n sinh ra, v\u00e0 nh\u01b0 v\u1eady c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng.<\/li>\n<li>Ph\u1ee5 n\u1eef \u1edf tu\u1ed5i 45 ho\u1eb7c \u00edt h\u01a1n \u0111\u00e3 m\u1ea5t kinh nguy\u1ec7t trong \u00edt nh\u1ea5t m\u1ed9t n\u0103m do \u0111i\u1ec1u tr\u1ecb c\u0169ng c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng th\u1eadm ch\u00ed n\u1ebfu c\u1ea3 khi c\u00f3 kinh nguy\u1ec7t l\u1ea1i.<\/li>\n<li>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y r\u1eb1ng ph\u1ee5 n\u1eef sau m\u00e3n kinh b\u1ecb h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng gi\u1ea3m nhi\u1ec1u h\u01a1n l\u00e0 khi kh\u00f4ng b\u1ecb h\u00f3a tr\u1ecb.<\/li>\n<\/ul>\n<h3><strong>\u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng<\/strong><\/h3>\n<p>\u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng c\u00f3 ngh\u0129a l\u00e0 bu\u1ed3ng tr\u1ee9ng ng\u1eebng l\u00e0m vi\u1ec7c t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 c\u00f3 \u00edt estrogen \u1edf trong c\u01a1 th\u1ec3 h\u01a1n \u0111\u1ec3 th\u00fac \u0111\u1ea9y ung th\u01b0 ph\u00e1t tri\u1ec3n v\u00e0 nh\u01b0 v\u1eady c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng. C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng b\u1eb1ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft, ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb.<\/p>\n<p><strong>Tamoxifen (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 1)<\/strong><\/p>\n<ul>\n<li>C\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh tamoxifen cho c\u1ea3 ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh v\u00e0 sau m\u00e3n kinh. Thu\u1ed1c ng\u0103n ch\u1eb7n \u1ea3nh h\u01b0\u1edfng c\u1ee7a estrogen, gi\u00fap l\u00e0m ng\u1eebng s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 v\u00fa.<\/li>\n<li>\u1ede nh\u1eefng ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh, u\u1ed1ng tamoxifen c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nh\u1eb9 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1eafc ch\u1eafn d\u1eabn t\u1edbi lo\u00e3ng x\u01b0\u01a1ng tr\u1eeb khi c\u00f9ng l\u00fac th\u1ef1c hi\u1ec7n \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng. Tuy nhi\u00ean nguy c\u01a1 c\u00f3 th\u1ec3 cao h\u01a1n n\u1ebfu b\u1ea1n \u1edf tu\u1ed5i 45 ho\u1eb7c \u00edt h\u01a1n v\u00e0 \u0111\u00e3 m\u1ea5t kinh nguy\u1ec7t trong \u00edt nh\u1ea5t m\u1ed9t n\u0103m.<\/li>\n<li>\u1ede nh\u1eefng ph\u1ee5 n\u1eef m\u00e3n kinh, u\u1ed1ng tamoxifen l\u00e0m ch\u1eadm vi\u1ec7c gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng v\u00e0 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<p><strong>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf Aromatase (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 2)<\/strong><\/p>\n<ul>\n<li>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf Aromatase (g\u1ed3m anastrozole, letrozole v\u00e0 exemestane) ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u1edf nh\u1eefng ph\u1ee5 n\u1eef sau m\u00e3n kinh. C\u00e1c thu\u1ed1c n\u00e0y l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng estrogen tu\u1ea7n ho\u00e0n trong c\u01a1 th\u1ec3, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng.<\/li>\n<li>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh u\u1ed1ng thu\u1ed1c \u1ee9c ch\u1ebf aromatase \u0111\u1ed3ng th\u1eddi v\u1edbi \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng. Th\u1ef1c hi\u1ec7n hai \u0111i\u1ec1u tr\u1ecb n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng.<\/li>\n<li>Kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n lo\u00e3ng x\u01b0\u01a1ng trong khi u\u1ed1ng thu\u1ed1c \u1ee9c ch\u1ebf aromatase c\u0169ng ph\u1ee5 thu\u1ed9c v\u00e0o x\u01b0\u01a1ng c\u1ee7a b\u1ea1n ch\u1eafc kh\u1ecfe th\u1ebf n\u00e0o tr\u01b0\u1edbc khi b\u1ea1n \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/li>\n<\/ul>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/dieu-tri-ung-thu-bieu-mo-buong-trung\/\" target=\"_blank\" rel=\"noopener\">\u0110i\u1ec1u tr\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng bi\u1ec3u m\u00f4<\/a><\/pre>\n<h2><strong>T\u00f4i c\u00f3 th\u1ec3 l\u00e0m g\u00ec \u0111\u1ec3 duy tr\u00ec x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe?<\/strong><\/h2>\n<ul>\n<li>T\u1eadp luy\u1ec7n c\u00f3 th\u1ec3 gi\u00fap x\u01b0\u01a1ng b\u1ea1n kh\u1ecfe v\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n lo\u00e3ng x\u01b0\u01a1ng.<\/li>\n<li>T\u1eadp luy\u1ec7n n\u1eb7ng \u0111\u1ec1u \u0111\u1eb7n c\u00f3 th\u1ec3 gi\u00fap th\u00fac \u0111\u1ea9y ph\u00e1t tri\u1ec3n x\u01b0\u01a1ng v\u00e0 l\u00e0m x\u01b0\u01a1ng kh\u1ecfe. T\u1eadp luy\u1ec7n n\u1eb7ng t\u1ed1t g\u1ed3m \u0111i b\u1ed9 nhanh, nh\u1ea3y d\u00e2y, aerobic, qu\u1ea7n v\u1ee3t, nh\u1ea3y. B\u1ea1n n\u00ean tham v\u1ea5n chuy\u00ean gia tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u b\u1ea5t k\u1ef3 b\u00e0i t\u1eadp m\u1edbi n\u00e0o.<\/li>\n<li>C\u01a1 b\u1ea3n l\u00e0 \u0103n ch\u1ebf \u0111\u1ed9 \u0103n c\u00e2n b\u1eb1ng \u0111\u1ec3 mang cho b\u1ea1n c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng quan tr\u1ecdng cho x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe, g\u1ed3m c\u00e1c ngu\u1ed3n canxi trong ch\u1ebf \u0111\u1ed9 \u0103n nh\u01b0 l\u00e0 th\u1ef1c ph\u1ea9m t\u1eeb s\u1eefa nh\u01b0 s\u1eefa, pho m\u00e1t v\u00e0 s\u1eefa chua. B\u1ea1n c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y th\u00eam th\u00f4ng tin trong ph\u1ea7n \u201c<strong>\u0102n cho x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe\u201d.<\/strong><\/li>\n<li>U\u1ed1ng qu\u00e1 nhi\u1ec1u ch\u1ea5t c\u1ed3n v\u00e0 h\u00fat thu\u1ed1c l\u00e1 c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin \u0111\u1ec3 gi\u1eef x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe, \u0111\u1ec1 ngh\u1ecb \u0111\u1ecdc quy\u1ec3n s\u00e1ch <strong>Lo\u00e3ng x\u01b0\u01a1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/strong><\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/www.breastcancercare.org.uk\/information-support\/publication\/moving-forward-people-living-beyond-breast-cancer-bcc197\" target=\"_blank\" rel=\"noopener\">https:\/\/www.breastcancercare.org.uk\/information-support\/publication\/moving-forward-people-living-beyond-breast-cancer-bcc197<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c li\u1ec7u ph\u00e1p h\u00f3a tr\u1ecb, \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u0111\u1ec1u t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng. T\u1eadp luy\u1ec7n c\u00f3 th\u1ec3 gi\u00fap x\u01b0\u01a1ng b\u1ea1n kh\u1ecfe v\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n","protected":false},"author":548,"featured_media":11640,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3752],"tags":[3031,2941,3032,3033,2860,2569],"series":[1420],"coauthors":[1189],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lo\u00e3ng x\u01b0\u01a1ng sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"C\u00e1c li\u1ec7u ph\u00e1p h\u00f3a tr\u1ecb, \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u0111\u1ec1u t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng. 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