{"id":8149,"date":"2019-08-01T13:53:30","date_gmt":"2019-08-01T06:53:30","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/u-te-bao-mam-o-tre-em-theo-doi-sau-dieu-tri\/"},"modified":"2019-08-01T13:53:30","modified_gmt":"2019-08-01T06:53:30","slug":"u-te-bao-mam-o-tre-em-theo-doi-sau-dieu-tri","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/u-te-bao-mam-o-tre-em-theo-doi-sau-dieu-tri\/","title":{"rendered":"U t\u1ebf b\u00e0o m\u1ea7m \u1edf tr\u1ebb em: Theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c y t\u1ebf cho tr\u1ebb sau khi k\u1ebft th\u00fac qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ch\u0103m s\u00f3c n\u00e0y.\u00a0H\u00e3y s\u1eed d\u1ee5ng menu \u0111\u1ec3 xem c\u00e1c trang li\u00ean quan kh\u00e1c.<\/p>\n

Vi\u1ec7c ch\u0103m s\u00f3c cho nh\u1eefng b\u1ec7nh nhi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u00f3 kh\u1ed1i u t\u1ebf b\u00e0o m\u1ea7m kh\u00f4ng d\u1eebng l\u1ea1i sau khi \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c k\u1ebft th\u00fac.\u00a0Nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd ti\u1ebfp t\u1ee5c ki\u1ec3m tra \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u1ed1i u kh\u00f4ng quay tr\u1edf l\u1ea1i, ki\u1ec3m so\u00e1t m\u1ecdi t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 theo d\u00f5i s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n c\u1ee7a tr\u1ebb.\u00a0Nh\u1eefng c\u00f4ng vi\u1ec7c \u0111\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u0103m s\u00f3c theo d\u00f5i.\u00a0T\u1ea5t c\u1ea3 tr\u1ebb em \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u1ed1i u t\u1ebf b\u00e0o m\u1ea7m n\u00ean \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c theo d\u00f5i su\u1ed1t \u0111\u1eddi.<\/p>\n

Ch\u0103m s\u00f3c theo d\u00f5i cho tr\u1ebb em c\u00f3 th\u1ec3 bao g\u1ed3m ki\u1ec3m tra th\u1ec3 ch\u1ea5t th\u01b0\u1eddng quy, x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng ho\u1eb7c c\u1ea3 hai.\u00a0B\u00e1c s\u0129 s\u1ebd theo d\u00f5i t\u00ecnh h\u00ecnh ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb trong v\u00e0i th\u00e1ng v\u00e0 v\u00e0i n\u0103m ti\u1ebfp theo. Th\u00f4ng th\u01b0\u1eddng tr\u1ebb \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb u t\u1ebf b\u00e0o m\u1ea7m s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i b\u1eb1ng c\u00e1ch ki\u1ec3m tra th\u1ec3 ch\u1ea5t, ch\u1ee5p x-quang v\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u trong 2 n\u0103m sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ki\u1ec3m tra kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t.\u00a0Sau 2 n\u0103m, khi kh\u1ea3 n\u0103ng kh\u1ed1i u t\u00e1i ph\u00e1t kh\u00f4ng c\u00f2n n\u1eefa, tr\u1ecdng t\u00e2m c\u1ee7a vi\u1ec7c ch\u0103m s\u00f3c theo d\u00f5i s\u1ebd chuy\u1ec3n sang theo d\u00f5i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 xu\u1ea5t hi\u1ec7n mu\u1ed9n c\u1ee7a h\u00f3a tr\u1ecb li\u1ec7u.\u00a0H\u00e3y ch\u1eafc ch\u1eafn n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 nh\u1eefng r\u1ee7i ro c\u1ee5 th\u1ec3 g\u00e2y ra b\u1edfi t\u1eebng lo\u1ea1i h\u00f3a tr\u1ecb li\u1ec7u \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho tr\u1ebb.<\/p>\n

T\u00ecm hi\u1ec3u th\u00eam v\u1ec1\u00a0t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ch\u0103m s\u00f3c theo d\u00f5i\u00a0<\/strong><\/a><\/p>\n

Theo d\u00f5i t\u00e1i ph\u00e1t<\/strong><\/h2>\n

M\u1ed9t m\u1ee5c ti\u00eau c\u1ee7a ch\u0103m s\u00f3c theo d\u00f5i l\u00e0 ki\u1ec3m tra s\u1ef1 t\u00e1i ph\u00e1t c\u1ee7a b\u1ec7nh.\u00a0M\u1ed9t kh\u1ed1i u t\u00e1i ph\u00e1t do c\u00f3 m\u1ed9t s\u1ed1 v\u00f9ng nh\u1ecf t\u1ebf b\u00e0o kh\u1ed1i u trong c\u01a1 th\u1ec3 v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n.\u00a0Theo th\u1eddi gian, c\u00e1c t\u1ebf b\u00e0o n\u00e0y t\u0103ng v\u1ec1 m\u1eb7t s\u1ed1 l\u01b0\u1ee3ng \u0111\u1ebfn m\u1ee9c hi\u1ec3n th\u1ecb tr\u00ean k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ho\u1eb7c g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n

Trong qu\u00e1 tr\u00ecnh theo d\u00f5i ch\u0103m s\u00f3c, b\u00e1c s\u0129 \u0111\u00e3 hi\u1ec3u r\u00f5 v\u1ec1 ti\u1ec1n s\u1eed b\u1ec7nh t\u1eadt c\u1ee7a tr\u1ebb c\u00f3 th\u1ec3 cung c\u1ea5p cho b\u1ea1n nh\u1eefng th\u00f4ng tin v\u1ec1 nguy c\u01a1 t\u00e1i ph\u00e1t c\u1ee7a tr\u1ebb.\u00a0B\u00e1c s\u0129 s\u1ebd h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi c\u1ee5 th\u1ec3 v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb.\u00a0M\u1ed9t s\u1ed1 tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u ho\u1eb7c c\u00e1c k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh, \u0111\u00e2y \u0111\u01b0\u1ee3c xem nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u0103m s\u00f3c theo d\u00f5i th\u01b0\u1eddng quy. Nh\u01b0ng c\u00e1c \u0111\u1ec1 xu\u1ea5t x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u01b0\u1ee3c xem x\u00e9t ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1, bao g\u1ed3m lo\u1ea1i v\u00e0 giai \u0111o\u1ea1n c\u1ee7a kh\u1ed1i u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u00e1p d\u1ee5ng.<\/p>\n

Vi\u1ec7c d\u1ef1 \u0111o\u00e1n tr\u01b0\u1edbc khi l\u00e0m x\u00e9t nghi\u1ec7m theo d\u00f5i ho\u1eb7c ch\u1edd \u0111\u1ee3i k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 g\u00e2y c\u0103ng th\u1eb3ng cho b\u1ea1n v\u00e0 c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong gia \u0111\u00ecnh.\u00a0\u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cscan-xiety\u201d, t\u1ea1m d\u1ecbch l\u00e0 nh\u1eefng lo l\u1eafng, s\u1ee3 h\u00e3i quanh \u00fd t\u01b0\u1edfng ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh (scan) \u0111\u1ec3 ki\u1ec3m tra ung th\u01b0. T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1ch\u00a0\u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c lo\u1ea1i c\u0103ng th\u1eb3ng \u1edf \u0111\u00e2y<\/a><\/p>\n

Ki\u1ec3m so\u00e1t c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 d\u00e0i h\u1ea1n v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 xu\u1ea5t hi\u1ec7n mu\u1ed9n<\/strong><\/h2>\n

T\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00f4i khi c\u00f3 th\u1ec3 k\u00e9o d\u00e0i m\u1ed9t kho\u1ea3ng th\u1eddi gian sau khi \u0111\u00e3 xong \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c.\u00a0Ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 d\u00e0i h\u1ea1n.\u00a0Ngo\u00e0i ra, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 xu\u1ea5t hi\u1ec7n nhi\u1ec1u th\u00e1ng ho\u1eb7c th\u1eadm ch\u00ed nhi\u1ec1u n\u0103m sau \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 xu\u1ea5t hi\u1ec7n mu\u1ed9n. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 xu\u1ea5t hi\u1ec7n mu\u1ed9n c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf h\u1ea7u h\u1ebft m\u1ecdi n\u01a1i trong c\u01a1 th\u1ec3 v\u00e0 bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ec3 ch\u1ea5t, b\u1ec7nh l\u00fd tim, ph\u1ed5i v\u00e0 ung th\u01b0 th\u1ee9 ph\u00e1t c\u0169ng nh\u01b0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u1ea3m x\u00fac v\u00e0 nh\u1eadn th\u1ee9c (tr\u00ed nh\u1edb, suy ngh\u0129 v\u00e0 t\u1eadp trung), lo l\u1eafng, tr\u1ea7m c\u1ea3m v\u00e0 kh\u00f3 kh\u0103n trong h\u1ecdc t\u1eadp.<\/p>\n

Do t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb u t\u1ebf b\u00e0o m\u1ea7m, c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy gi\u00fap ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1eadn,\u00a0ch\u1ee9c n\u0103ng ph\u1ed5i,\u00a0kh\u1ea3 n\u0103ng sinh s\u1ea3n (kh\u1ea3 n\u0103ng c\u00f3 con),\u00a0s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o m\u00e1u,\u00a0v\u1ea5n \u0111\u1ec1 t\u0103ng tr\u01b0\u1edfng, ph\u00e1t tri\u1ec3n\u00a0v\u00e0 kh\u1ea3 n\u0103ng m\u1eafc ung th\u01b0 th\u1ee9 ph\u00e1t.<\/p>\n

Ch\u0103m s\u00f3c theo d\u00f5i n\u00ean nh\u1eafm \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb, bao g\u1ed3m m\u1ecdi v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u00e1t tri\u1ec3n ho\u1eb7c c\u1ea3m x\u00fac.<\/p>\n

Nh\u00f3m Ung th\u01b0 tr\u1ebb em (Children\u2019s Oncology Group – COG) \u0111\u00e3 nghi\u00ean c\u1ee9u c\u00e1c t\u00e1c \u0111\u1ed9ng v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 t\u00e2m l\u00fd m\u00e0 nh\u1eefng ng\u01b0\u1eddi chi\u1ebfn th\u1eafng ung th\u01b0 th\u1eddi th\u01a1 \u1ea5u ph\u1ea3i \u0111\u1ed1i m\u1eb7t.\u00a0D\u1ef1a v\u00e0o nghi\u00ean c\u1ee9u n\u00e0y, COG \u0111\u00e3 \u0111\u01b0a ra khuy\u1ebfn ngh\u1ecb v\u1ec1 ch\u0103m s\u00f3c theo d\u00f5i l\u00e2u d\u00e0i cho tr\u1ebb em, thanh thi\u1ebfu ni\u00ean v\u00e0 thanh ni\u00ean chi\u1ebfn th\u1eafng ung th\u01b0. Khuy\u1ebfn ngh\u1ecb n\u00e0y \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean trang:\u00a0www.survivocateguferences.org<\/strong><\/a>\u00a0.<\/p>\n

Gi\u1eef h\u1ed3 s\u01a1 y t\u1ebf c\u1ee7a tr\u1ebb<\/strong><\/h2>\n

B\u1ea1n \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch s\u1eafp x\u1ebfp v\u00e0 l\u01b0u gi\u1eef h\u1ed3 s\u01a1 y t\u1ebf c\u1ee7a tr\u1ebb.\u00a0B\u00e1c s\u0129 s\u1ebd gi\u00fap b\u1ea1n th\u1ef1c hi\u1ec7n \u0111i\u1ec1u n\u00e0y.\u00a0Nh\u01b0 v\u1eady, khi tr\u1ebb b\u01b0\u1edbc v\u00e0o tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh, ch\u00fang s\u1ebd c\u00f3 b\u1ed9 h\u1ed3 s\u01a1 y t\u1ebf r\u00f5 r\u00e0ng bao g\u1ed3m ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb, v\u00e0 c\u00e1c khuy\u1ebfn c\u00e1o c\u1ee7a b\u00e1c s\u0129 v\u1ec1 li\u1ec7u tr\u00ecnh ch\u0103m s\u00f3c theo d\u00f5i.\u00a0Hi\u1ec7p h\u1ed9i Ung th\u01b0 l\u00e2m s\u00e0ng Hoa K\u1ef3 (ASCO) cung c\u1ea5p\u00a0c\u00e1c bi\u1ec3u m\u1eabu gi\u00fap t\u1ea1o ra b\u1ea3n t\u00f3m t\u1eaft \u0111i\u1ec1u tr\u1ecb nh\u1eb1m theo d\u00f5i qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c tr\u1ebb chi\u1ebfn th\u1eafng ung th\u01b0<\/a>.<\/p>\n

M\u1ed9t s\u1ed1 tr\u1ebb ph\u1ea3i ti\u1ebfp t\u1ee5c g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa ung b\u01b0\u1edbu, trong khi nh\u1eefng tr\u1ebb kh\u00e1c s\u1ebd \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c b\u1edfi b\u00e1c s\u0129 gia \u0111\u00ecnh ho\u1eb7c chuy\u00ean gia ch\u0103m s\u00f3c y t\u1ebf kh\u00e1c.\u00a0Quy\u1ebft \u0111\u1ecbnh n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m lo\u1ea1i v\u00e0 giai \u0111o\u1ea1n c\u1ee7a kh\u1ed1i u, t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, quy \u0111\u1ecbnh b\u1ea3o hi\u1ec3m y t\u1ebf v\u00e0 mong mu\u1ed1n c\u1ee7a gia \u0111\u00ecnh.\u00a0H\u00e3y trao \u0111\u1ed5i v\u1edbi nh\u00f3m ch\u0103m s\u00f3c y t\u1ebf v\u1ec1 c\u00e1c b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo c\u0169ng nh\u01b0 b\u1ea5t k\u1ef3 m\u1ed1i quan t\u00e2m n\u00e0o v\u1ec1 s\u1ee9c kh\u1ecfe t\u01b0\u01a1ng lai c\u1ee7a tr\u1ebb.<\/p>\n

N\u1ebfu b\u00e1c s\u0129 kh\u00f4ng tr\u1ef1c ti\u1ebfp tham gia ch\u0103m s\u00f3c cho con b\u1ea1n s\u1ebd h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c theo d\u00f5i, h\u00e3y nh\u1edb chia s\u1ebb b\u1ea3n t\u00f3m t\u1eaft \u0111i\u1ec1u tr\u1ecb v\u00e0 k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c sau \u0111i\u1ec1u tr\u1ecb v\u1edbi h\u1ecd v\u00e0 v\u1edbi t\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi li\u00ean quan.\u00a0Chi ti\u1ebft v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129, nh\u1eefng ng\u01b0\u1eddi s\u1ebd ch\u0103m s\u00f3c tr\u1ebb trong su\u1ed1t cu\u1ed9c \u0111\u1eddi.<\/p>\n

Ph\u1ea7n\u00a0<\/em>ti\u1ebfp theo trong h\u01b0\u1edbng d\u1eabn n\u00e0y l\u00e0 Chi\u1ebfn th\u1eafng b\u1ec7nh<\/em><\/a>. Ph\u1ea7n n\u00e0y gi\u1edbi thi\u1ec7u c\u00e1ch \u0111\u1ed1i ph\u00f3 v\u1edbi nh\u1eefng th\u00e1ch th\u1ee9c trong cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y sau khi ch\u1ea9n \u0111o\u00e1n ung th\u01b0.\u00a0B\u1ea1n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng menu \u0111\u1ec3 ch\u1ecdn \u0111\u1ecdc c\u00e1c ph\u1ea7n kh\u00e1c trong ch\u1ee7 \u0111\u1ec1 n\u00e0y.<\/em><\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n

https:\/\/www.cancer.net\/cancer-types\/germ-cell-tumor-childhood\/follow-care<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

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