{"id":8324,"date":"2019-12-07T13:42:39","date_gmt":"2019-12-07T06:42:39","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/u-nguyen-bao-tuy-o-tre-em-nghien-cuu-moi-nhat\/"},"modified":"2019-12-07T13:42:39","modified_gmt":"2019-12-07T06:42:39","slug":"u-nguyen-bao-tuy-o-tre-em-nghien-cuu-moi-nhat","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/u-nguyen-bao-tuy-o-tre-em-nghien-cuu-moi-nhat\/","title":{"rendered":"U nguy\u00ean b\u00e0o t\u1ee7y \u1edf tr\u1ebb em: Nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Phan Th\u1ecb Thanh H\u01b0\u01a1ng<\/strong><\/em><\/p>\n<p style=\"text-align: right;\"><em><strong>Hi\u1ec7u \u0111\u00ednh: Ths.Bs Ph\u1ea1m V\u00f5 Ph\u01b0\u01a1ng Th\u1ea3o, <a href=\"https:\/\/yhoccongdong.com\/profile\/chaulhc\/\" target=\"_blank\" rel=\"noopener\">L\u00ea H\u00e0 C\u1ea3nh Ch\u00e2u<\/a><\/strong><\/em><\/p>\n<p>B\u00e0i vi\u1ebft n\u00e0y gi\u1edbi thi\u1ec7u v\u1ec1 nh\u1eefng nghi\u00ean c\u1ee9u khoa h\u1ecdc \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 b\u1ec7nh u nguy\u00ean tu\u1ef7 b\u00e0o v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. H\u00e3y s\u1eed d\u1ee5ng menu \u0111\u1ec3 xem c\u00e1c b\u00e0i vi\u1ebft kh\u00e1c.<\/p>\n<p>C\u00e1c b\u00e1c s\u0129 v\u1eabn \u0111ang ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 u nguy\u00ean tu\u1ef7 b\u00e0o, c\u00e1ch ph\u00f2ng ng\u1eeba, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t cho tr\u1ebb em m\u1eafc b\u1ec7nh n\u00e0y. C\u00e1c l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u d\u01b0\u1edbi \u0111\u00e2y mang l\u1ea1i nhi\u1ec1u l\u1ef1a ch\u1ecdn m\u1edbi cho b\u1ec7nh nh\u00e2n th\u00f4ng qua\u00a0<a href=\"https:\/\/www.cancer.net\/cancer-types\/leukemia-acute-myeloid-aml-childhood\/about-clinical-trials\" target=\"_blank\" rel=\"noopener\">c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng<\/a>. H\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111ang \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb \u0111\u1ec3 c\u00f3 l\u1ef1a ch\u1ecdn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t.<\/p>\n<ul>\n<li><strong>H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n m\u1edbi.\u00a0<\/strong>Ngo\u00e0i c\u00e1c ti\u00eau chu\u1ea9n v\u1ec1 giai \u0111o\u1ea1n hi\u1ec7n \u0111ang s\u1eed d\u1ee5ng (xem\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/u-nguyen-bao-tuy-o-tre-em-giai-doan\/\" target=\"_blank\" rel=\"noopener\">C\u00e1c giai \u0111o\u1ea1n<\/a>), c\u00e1c y\u1ebfu t\u1ed1 m\u1edbi h\u01a1n \u0111ang \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u1ec3 ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n c\u1ee7a u nguy\u00ean tu\u1ef7 b\u00e0o v\u00e0 gi\u00fap l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. V\u00ed d\u1ee5, c\u00e1c kh\u1ed1i u \u0111\u01b0\u1ee3c coi l\u00e0 kh\u1ed1i u c\u00f3 nguy c\u01a1 cao trong m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng, bao g\u1ed3m c\u00e1c \u0111\u1eb7c tr\u01b0ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u00f4ng bi\u1ec7t h\u00f3a v\u00e0 bi\u1ebfn \u0111\u1ed5i m\u1ed9t s\u1ed1 gen nh\u1ea5t \u0111\u1ecbnh, ch\u1eb3ng h\u1ea1n nh\u01b0\u00a0<em>MYC\u00a0<\/em>v\u00e0\u00a0<em>MYCN.<\/em><\/li>\n<\/ul>\n<ul>\n<li><strong>X\u00e9t nghi\u1ec7m ph\u00e2n t\u1eed\u00a0kh\u1ed1i u.\u00a0<\/strong>C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111ang xem x\u00e9t c\u00e1c x\u00e9t nghi\u1ec7m l\u1ea5y m\u1eabu t\u1eeb kh\u1ed1i u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c gen, protein v\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 kh\u00e1c \u0111\u1ed1i v\u1edbi u nguy\u00ean tu\u1ef7 b\u00e0o trong ph\u00f2ng th\u00ed nghi\u1ec7m. U nguy\u00ean tu\u1ef7 b\u00e0o \u0111\u01b0\u1ee3c chia th\u00e0nh 4 nh\u00f3m:\n<ul>\n<li>WNT<\/li>\n<li>SHH<\/li>\n<li>Nh\u00f3m 3<\/li>\n<li>Nh\u00f3m 4<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>K\u1ebft qu\u1ea3 t\u1eeb nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y gi\u00fap ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho t\u1eebng lo\u1ea1i u nguy\u00ean tu\u1ef7 b\u00e0o. Bao g\u1ed3m c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00edch t\u00e1c \u0111\u1ed9ng v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 gi\u00fap u nguy\u00ean tu\u1ef7 b\u00e0o ph\u00e1t tri\u1ec3n v\u00e0 x\u00e2m l\u1ea5n. Nh\u1eefng lo\u1ea1i thu\u1ed1c nh\u01b0 v\u1eady \u0111ang \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ed1i u t\u00e1i ph\u00e1t sau khi \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u k\u1ebft th\u00fac. Nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n t\u1eed n\u00e0y c\u0169ng \u0111ang \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u01b0 th\u1ebf n\u00e0o. C\u00e1c nghi\u00ean c\u1ee9u trong t\u01b0\u01a1ng lai c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n t\u1eed \u0111\u1eb7c hi\u1ec7u c\u1ee7a t\u1eebng kh\u1ed1i u. T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-ve-lieu-phap-nham-dich\/\" target=\"_blank\" rel=\"noopener\">li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00edch.<\/a><\/p>\n<ul>\n<li><strong>C\u1ea3i ti\u1ebfn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 ph\u1eabu thu\u1eadt.\u00a0<\/strong>C\u00e1c k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh ph\u00e1t tri\u1ec3n gi\u00fap b\u00e1c s\u0129 ph\u1eabu thu\u1eadt x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u. S\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt n\u00e0y gi\u00fap l\u00e0m gi\u1ea3m ho\u1eb7c tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c ph\u1ea7n kh\u1ecfe m\u1ea1nh c\u1ee7a n\u00e3o trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<p>Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb ch\u1ee9c n\u0103ng (fMRI) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh x\u00e1c \u0111\u1ecbnh c\u00e1c ph\u1ea7n c\u1ee7a b\u1ed9 n\u00e3o chi ph\u1ed1i l\u1eddi n\u00f3i, th\u00ednh gi\u00e1c, th\u1ecb gi\u00e1c, x\u00fac gi\u00e1c v\u00e0 v\u1eadn \u0111\u1ed9ng. V\u1ecb tr\u00ed c\u1ee5 th\u1ec3 c\u1ee7a c\u00e1c ch\u1ee9c n\u0103ng n\u00e0y kh\u00e1c nhau \u1edf m\u1ed7i ng\u01b0\u1eddi, v\u00ec v\u1eady fMRI cho ph\u00e9p b\u00e1c s\u0129 ph\u1eabu thu\u1eadt l\u00ean k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt quanh c\u00e1c khu v\u1ef1c n\u00e0y.<\/p>\n<p>H\u01b0\u1edbng d\u1eabn b\u1eb1ng h\u00ecnh \u1ea3nh l\u1eadp th\u1ec3 cho ph\u00e9p b\u00e1c s\u0129 ph\u1eabu thu\u1eadt h\u00ecnh dung v\u00e0 m\u1ed5 kh\u1ed1i u qua ph\u00e1c th\u1ea3o 3 chi\u1ec1u c\u1ee7a n\u00e3o v\u00e0 kh\u1ed1i u. C\u00f9ng v\u1edbi ph\u1ea7n m\u1ec1m chuy\u00ean d\u1ee5ng, nh\u1eefng h\u00ecnh \u1ea3nh n\u00e0y gi\u00fap h\u01b0\u1edbng d\u1eabn b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ebfn kh\u1ed1i u. M\u1ed9t s\u1ed1 kh\u1ed1i u tr\u01b0\u1edbc \u0111\u00e2y kh\u00f4ng th\u1ec3 m\u1ed5 \u0111\u01b0\u1ee3c b\u00e2y gi\u1edd c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt n\u00e0y.<\/p>\n<ul>\n<li><strong>C\u1ea3i thi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng tia x\u1ea1.\u00a0 <\/strong>Li\u1ec7u ph\u00e1p x\u1ea1 h\u00ecnh theo kh\u00f4ng gian l\u00e0 c\u00e1ch chi\u1ebfu tia x\u1ea1 li\u1ec1u cao tr\u1ef1c ti\u1ebfp h\u01a1n \u0111\u1ebfn kh\u1ed1i u v\u00e0 tr\u00e1nh c\u00e1c m\u00f4 kh\u1ecfe m\u1ea1nh. K\u1ef9 thu\u1eadt n\u00e0y t\u1ea1o ra c\u00e1c b\u1ea3n \u0111\u1ed3 3 chi\u1ec1u chi ti\u1ebft v\u1ec1 n\u00e3o v\u00e0 kh\u1ed1i u, v\u00ec v\u1eady c\u00e1c b\u00e1c s\u0129 bi\u1ebft ch\u00ednh x\u00e1c n\u01a1i c\u1ea7n th\u1ef1c hi\u1ec7n x\u1ea1 tr\u1ecb.<\/li>\n<\/ul>\n<ul>\n<li><strong>K\u1ebft h\u1ee3p c\u00e1c li\u1ec7u ph\u00e1p.<\/strong>\u00a0C\u00e1c l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u kh\u00e1c bao g\u1ed3m c\u00e1c nghi\u00ean c\u1ee9u ki\u1ec3m tra s\u1ef1 an to\u00e0n c\u1ee7a vi\u1ec7c gi\u1ea3m li\u1ec1u x\u1ea1 tr\u1ecb cho tr\u1ebb v\u1edbi kh\u1ed1i u c\u00f3 nguy c\u01a1 trung b\u00ecnh b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u0111\u1ec3 h\u00f3a tr\u1ecb. C\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c \u1edf tr\u1ebb nh\u0169 nhi v\u00e0 tr\u1ebb l\u1edbn v\u1edbi kh\u1ed1i u c\u00f3 nguy c\u01a1 cao t\u1eadp trung v\u00e0o c\u00e1c lo\u1ea1i thu\u1ed1c m\u1edbi, k\u1ebft h\u1ee3p x\u1ea1 tr\u1ecb v\u00e0 h\u00f3a tr\u1ecb li\u1ec7u \u0111\u1ec3 l\u00e0m ch\u1eadm ho\u1eb7c ng\u1eebng ph\u00e1t tri\u1ec3n kh\u1ed1i u.<\/li>\n<\/ul>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/ung-thu\/chude\/cham-soc-giam-nhe-trong-ung-thu-tre-em\/\" target=\"_blank\" rel=\"noopener\"><strong>Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9.<\/strong><\/a>\u00a0C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 t\u00ecm ra c\u00e1ch t\u1ed1t h\u01a1n nh\u1eb1m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb u nguy\u00ean tu\u1ef7 b\u00e0o hi\u1ec7n t\u1ea1i \u0111\u1ec3 mang l\u1ea1i s\u1ef1 tho\u1ea3i m\u00e1i v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<h2><strong>T\u00ecm ki\u1ebfm th\u00eam v\u1ec1 c\u00e1c nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t?<\/strong><\/h2>\n<p>\u0110\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin v\u1ec1 c\u00e1c l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t li\u00ean quan \u0111\u1ebfn kh\u1ed1i u nguy\u00ean tu\u1ef7 b\u00e0o \u1edf tr\u1ebb em, h\u00e3y t\u00ecm hi\u1ec3u nh\u1eefng m\u1ee5c li\u00ean quan sau:<\/p>\n<ul>\n<li>\u0110\u1ec3 t\u00ecm c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1eb7c hi\u1ec7u cho ch\u1ea9n \u0111o\u00e1n, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 ho\u1eb7c\u00a0<a href=\"https:\/\/www.cancer.net\/research-and-advocacy\/clinical-trials\/finding-clinical-trial\" target=\"_blank\" rel=\"noopener\">t\u00ecm ki\u1ebfm d\u1eef li\u1ec7u v\u1ec1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng tr\u1ef1c tuy\u1ebfn ngay b\u00e2y gi\u1edd<\/a>.<\/li>\n<\/ul>\n<ul>\n<li>Truy c\u1eadp trang web c\u1ee7a Hi\u1ec7p h\u1ed9i\u00a0<em>Ung th\u01b0<\/em>\u00a0Hoa K\u1ef3 (ASCO) <a href=\"https:\/\/www.conquer.org\/grants-awards\/research-results\" target=\"_blank\" rel=\"noopener\">T\u1ed5 ch\u1ee9c Conquer Cancer<\/a>\u00a0\u0111\u1ec3 t\u00ecm hi\u1ec3u c\u00e1ch gi\u00fap h\u1ed7 tr\u1ee3 nghi\u00ean c\u1ee9u ung th\u01b0. L\u01b0u \u00fd r\u1eb1ng li\u00ean k\u1ebft n\u00e0y s\u1ebd \u0111\u01b0a b\u1ea1n \u0111\u1ebfn m\u1ed9t trang web ASCO ri\u00eang.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.cancer.net\/cancer-types\/medulloblastoma-childhood\/coping-side-effects\" target=\"_blank\" rel=\"noopener\">Ph\u1ea7n ti\u1ebfp theo trong h\u01b0\u1edbng d\u1eabn n\u00e0y l\u00e0 \u0110\u1ed1i ph\u00f3 v\u1edbi \u0111i\u1ec1u tr\u1ecb<\/a><em>, cung c\u1ea5p m\u1ed9t s\u1ed1 h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1ch \u0111\u1ed1i ph\u00f3 v\u1edbi nh\u1eefng thay \u0111\u1ed5i th\u1ec3 ch\u1ea5t, c\u1ea3m x\u00fac v\u00e0 x\u00e3 h\u1ed9i g\u00e2y n\u00ean b\u1edfi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. B\u1ea1n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng menu v\u00e0 ch\u1ecdn \u0111\u1ecdc m\u1ed9t ph\u1ea7n kh\u00e1c trong h\u01b0\u1edbng d\u1eabn n\u00e0y.\u00a0<\/em><\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/cancer-types\/medulloblastoma-childhood\/latest-research\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/cancer-types\/medulloblastoma-childhood\/latest-research<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gi\u1edbi thi\u1ec7u v\u1ec1 nh\u1eefng nghi\u00ean c\u1ee9u khoa h\u1ecdc \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 b\u1ec7nh u nguy\u00ean b\u00e0o t\u1ee7y \u1edf tr\u1ebb em v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/p>\n","protected":false},"author":425,"featured_media":8325,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3162,2679],"tags":[2663,2625,3163,2489,2478],"series":[2011],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>U nguy\u00ean b\u00e0o t\u1ee7y \u1edf tr\u1ebb em: Nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"Gi\u1edbi thi\u1ec7u v\u1ec1 nh\u1eefng nghi\u00ean c\u1ee9u khoa h\u1ecdc \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 b\u1ec7nh u nguy\u00ean b\u00e0o t\u1ee7y \u1edf tr\u1ebb em v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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