{"id":8450,"date":"2020-01-12T04:16:58","date_gmt":"2020-01-11T21:16:58","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/hoi-chung-polyp-hon-hop-di-truyen\/"},"modified":"2020-01-12T04:16:58","modified_gmt":"2020-01-11T21:16:58","slug":"hoi-chung-polyp-hon-hop-di-truyen","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/hoi-chung-polyp-hon-hop-di-truyen\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n"},"content":{"rendered":"<p style=\"text-align: right;\"><strong><em>Bi\u00ean d\u1ecbch: Phan Th\u1ecb Thanh H\u01b0\u01a1ng<\/em><\/strong><\/p>\n<p style=\"text-align: right;\"><strong><em>Hi\u1ec7u \u0111\u00ednh: Nguy\u1ec5n Th\u1ecb Qu\u1ef3nh Th\u01a1<\/em><\/strong><\/p>\n<h2><strong>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n<\/strong><strong> l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n (HMPS) l\u00e0 m\u1ed9t b\u1ec7nh di truy\u1ec1n c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n polyp trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u1edf \u0111\u1ea1i tr\u00e0ng v\u00e0\/ ho\u1eb7c tr\u1ef1c tr\u00e0ng. Polyp l\u00e0 m\u00f4 b\u00ecnh th\u01b0\u1eddng ph\u00e1t tri\u1ec3n t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i. Nh\u01b0 t\u00ean g\u1ecdi c\u1ee7a b\u1ec7nh, nhi\u1ec1u polyp c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n c\u00f3 nguy c\u01a1 m\u1eafc <a href=\"https:\/\/www.cancer.net\/cancer-types\/colorectal-cancer\">ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng<\/a>, v\u00ec m\u1ed9t s\u1ed1 polyp n\u00e0y c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0 theo th\u1eddi gian, tr\u1eeb khi ch\u00fang \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf.<\/p>\n<p>C\u00e1c lo\u1ea1i polyp t\u01b0\u01a1ng t\u1ef1 ph\u00e1t tri\u1ec3n trong h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng c\u00f3 h\u1ed9i ch\u1ee9ng n\u00e0y. So c\u1ed9ng \u0111\u1ed3ng, nh\u1eefng ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n c\u00f3 s\u1ed1 l\u01b0\u1ee3ng polyp nhi\u1ec1u h\u01a1n, ph\u00e1t tri\u1ec3n nhanh h\u01a1n v\u00e0 \u1edf \u0111\u1ed9 tu\u1ed5i tr\u1ebb h\u01a1n. V\u00ed d\u1ee5 v\u1ec1 c\u00e1c lo\u1ea1i polyp c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y trong h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n bao g\u1ed3m:<\/p>\n<ul>\n<li>U tuy\u1ebfn ho\u1eb7c polyp tuy\u1ebfn \u2013 nh\u1eefng lo\u1ea1i polyp lo\u1ea1i c\u00f3 kh\u1ea3 n\u0103ng ti\u1ec1m t\u00e0ng tri\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0, tr\u1eeb khi ch\u00fang \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf.<\/li>\n<li>Polyp t\u0103ng s\u1ea3n &#8211; nh\u1eefng polyp lo\u1ea1i n\u00e0y th\u01b0\u1eddng kh\u00f4ng c\u00f3 nguy c\u01a1 tr\u1edf th\u00e0nh ung th\u01b0.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/hoi-chung-polyp-juvenile\/\" target=\"_blank\" rel=\"noopener\">Polyp Hamartomatous ho\u1eb7c polyp thi\u1ebfu ni\u00ean (polyp Juvenile)<\/a> &#8211; nh\u1eefng polyp n\u00e0y c\u00f3 nguy c\u01a1 tr\u1edf th\u00e0nh ung th\u01b0; thu\u1eadt ng\u1eef \u201cthi\u1ebfu ni\u00ean &#8211; juvenile\u201d kh\u00f4ng \u0111\u1ec1 c\u1eadp \u0111\u1ebfn tu\u1ed5i c\u1ee7a \u0111\u1ed1i t\u01b0\u1ee3ng.<\/li>\n<li>Polyp d\u1ea1ng r\u0103ng c\u01b0a &#8211; ch\u00fang c\u00f3 nguy c\u01a1 tr\u1edf th\u00e0nh ung th\u01b0.<\/li>\n<\/ul>\n<h2><strong>Nguy\u00ean nh\u00e2n c\u1ee7a <\/strong><strong>h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n l\u00e0 g\u00ec<\/strong><strong>?<\/strong><\/h2>\n<p>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n l\u00e0 m\u1ed9t b\u1ec7nh di truy\u1ec1n l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00e0 polyp. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 b\u1ec7nh \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb th\u1ebf h\u1ec7 n\u00e0y sang th\u1ebf h\u1ec7 kh\u00e1c trong m\u1ed9t gia \u0111\u00ecnh. Ph\u1ea7n l\u1edbn c\u00e1c gia \u0111\u00ecnh c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n c\u00f3 m\u1ed9t \u0111\u1ed9t bi\u1ebfn gen \u0111\u1eb7c hi\u1ec7u g\u00e2y ra h\u1ed9i ch\u1ee9ng nh\u01b0ng kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c, m\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 gia \u0111\u00ecnh c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n \u0111\u1ed9t bi\u1ebfn \u1edf gen GREM1, nh\u01b0ng \u0111i\u1ec1u n\u00e0y r\u1ea5t hi\u1ebfm. \u0110a s\u1ed1 nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u0111\u1ed9t bi\u1ebfn gen GREM1 l\u00e0 ng\u01b0\u1eddi Do Th\u00e1i Ashkenazi.<\/p>\n<h2><strong>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n<\/strong><strong> \u0111\u01b0\u1ee3c di truy\u1ec1n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>B\u00ecnh th\u01b0\u1eddng, m\u1ed7i t\u1ebf b\u00e0o c\u00f3 2 b\u1ea3n sao c\u1ee7a m\u1ed7i gen: 1 \u0111\u01b0\u1ee3c di truy\u1ec1n t\u1eeb m\u1eb9 v\u00e0 1 \u0111\u01b0\u1ee3c di truy\u1ec1n t\u1eeb b\u1ed1. Hi\u1ebfm khi t\u00ecm th\u1ea5y gia \u0111\u00ecnh c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n mang \u0111\u1ed9t bi\u1ebfn gen GREM1. \u1ede nh\u1eefng gia \u0111\u00ecnh n\u00e0y, x\u00e9t nghi\u1ec7m di truy\u1ec1n c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh ng\u01b0\u1eddi n\u00e0o c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n polyp v\u00e0 ung th\u01b0, ng\u01b0\u1eddi n\u00e0o kh\u00f4ng. \u0110\u1ed1i v\u1edbi c\u00e1c gia \u0111\u00ecnh c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u0111\u1ed9t bi\u1ebfn gen, t\u1ea5t c\u1ea3 c\u00e1c c\u00e1 nh\u00e2n n\u00ean ti\u1ebfn h\u00e0nh s\u00e0ng l\u1ecdc \u0111\u1ec3 ki\u1ec3m tra c\u00e1c polyp v\u00e0\/ ho\u1eb7c ung th\u01b0.<\/p>\n<p>Ph\u1ea7n l\u1edbn c\u00e1c gia \u0111\u00ecnh c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u0111\u1ed9t bi\u1ebfn gen \u0111\u1eb7c hi\u1ec7u, nh\u01b0ng b\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c cho r\u1eb1ng tu\u00e2n theo ki\u1ec3u di truy\u1ec1n tr\u1ed9i tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng, trong \u0111\u00f3 \u0111\u1ed9t bi\u1ebfn ch\u1ec9 x\u1ea3y ra trong 1 b\u1ea3n sao c\u1ee7a gen \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00f3. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 cha m\u1eb9 c\u00f3 \u0111\u1ed9t bi\u1ebfn gen c\u00f3 th\u1ec3 truy\u1ec1n cho con b\u1ea3n sao gen b\u00ecnh th\u01b0\u1eddng ho\u1eb7c b\u1ea3n sao mang gen \u0111\u1ed9t bi\u1ebfn. Do \u0111\u00f3, \u0111\u1ee9a tr\u1ebb c\u00f3 cha m\u1eb9 b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 50% kh\u1ea3 n\u0103ng b\u1ecb di truy\u1ec1n \u0111\u1ed9t bi\u1ebfn. Anh, ch\u1ecb ho\u1eb7c cha m\u1eb9 c\u1ee7a ng\u01b0\u1eddi b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u0169ng c\u00f3 50% kh\u1ea3 n\u0103ng c\u00f3 \u0111\u1ed9t bi\u1ebfn t\u01b0\u01a1ng t\u1ef1.<\/p>\n<p>C\u00e1c l\u1ef1a ch\u1ecdn hi\u1ec7n c\u00f3 cho nh\u1eefng ng\u01b0\u1eddi quan t\u00e2m \u0111\u1ebfn vi\u1ec7c c\u00f3 con sau n\u00e0y khi cha m\u1eb9 mang \u0111\u1ed9t bi\u1ebfn gen GREM1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc h\u1ed9i ch\u1ee9ng ung th\u01b0 di truy\u1ec1n n\u00e0y. Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n tr\u01b0\u1edbc chuy\u1ec3n ph\u00f4i (PGD) l\u00e0 m\u1ed9t k\u0129 thu\u1eadt y khoa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u1ebft h\u1ee3p v\u1edbi th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (IVF). N\u00f3 cho ph\u00e9p nh\u1eefng ng\u01b0\u1eddi mang \u0111\u1ed9t bi\u1ebfn gen \u0111\u1eb7c hi\u1ec7u \u0111\u00e3 bi\u1ebft gi\u1ea3m kh\u1ea3 n\u0103ng di truy\u1ec1n b\u1ec7nh n\u00e0y cho con c\u00e1i c\u1ee7a h\u1ecd. Tr\u1ee9ng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c l\u1ea5y ra v\u00e0 th\u1ee5 tinh trong ph\u00f2ng th\u00ed nghi\u1ec7m. Khi ph\u00f4i \u0111\u1ea1t \u0111\u1ebfn m\u1ed9t k\u00edch th\u01b0\u1edbc nh\u1ea5t \u0111\u1ecbnh, 1 t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c t\u00e1ch ra v\u00e0 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng di truy\u1ec1n. Sau \u0111\u00f3, cha m\u1eb9 c\u00f3 th\u1ec3 ch\u1ecdn chuy\u1ec3n ph\u00f4i kh\u00f4ng mang \u0111\u1ed9t bi\u1ebfn. Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n tr\u01b0\u1edbc chuy\u1ec3n ph\u00f4i (PGD) \u200b\u200b\u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong h\u01a1n 2 th\u1eadp k\u1ef7 v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho m\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng ung th\u01b0 khuynh h\u01b0\u1edbng di truy\u1ec1n. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 m\u1ed9t th\u1ee7 t\u1ee5c ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00e0i ch\u00ednh, th\u1ec3 ch\u1ea5t v\u00e0 c\u1ea3m x\u00fac n\u00ean c\u1ea7n xem x\u00e9t tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u. \u0110\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi m\u1ed9t chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n t\u1ea1i m\u1ed9t ph\u00f2ng kh\u00e1m ho\u1eb7c b\u1ec7nh vi\u1ec7n s\u1ea3n khoa.<\/p>\n<h2><strong>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u01b0 th\u1ebf n\u00e0o<\/strong>?<\/h2>\n<p>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n \u0111\u01b0\u1ee3c coi l\u00e0 hi\u1ebfm.<\/p>\n<h2><strong>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n<\/strong><strong> \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Kh\u00f4ng c\u00f3 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n c\u1ee5 th\u1ec3 cho b\u1ec7nh n\u00e0y. H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n b\u1ecb nghi ng\u1edd \u1edf c\u00e1c c\u00e1 nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u00f3 ti\u1ec1n s\u1eed \u0111a polyp \u0111\u1ea1i tr\u00e0ng thu\u1ed9c c\u00e1c d\u1ea1ng kh\u00e1c nhau. M\u1ed9t \u0111i\u1ec1u \u00a0quan tr\u1ecdng l\u00e0 ph\u1ea3i xem x\u00e9t kh\u1ea3 n\u0103ng c\u1ee7a m\u1ed9t trong s\u1ed1 c\u00e1c h\u1ed9i ch\u1ee9ng \u0111a polyp di truy\u1ec1n kh\u00e1c nh\u01b0 <a href=\"https:\/\/www.cancer.net\/cancer-types\/familial-adenomatous-polyposis\">h\u1ed9i ch\u1ee9ng \u0111a polyp tuy\u1ebfn c\u00f3 t\u00ednh gia \u0111\u00ecnh (FAP)<\/a>, <a href=\"https:\/\/www.cancer.net\/cancer-types\/peutz-jeghers-syndrome\">h\u1ed9i ch\u1ee9ng Peutz-Jeghers<\/a> v\u00e0 <a href=\"https:\/\/www.cancer.net\/cancer-types\/juvenile-polyposis-syndrome\">h\u1ed9i ch\u1ee9ng polyp thi\u1ebfu ni\u00ean (polyp Juvenile)<\/a>. Hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m m\u00e1u n\u00e0o c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh.<\/p>\n<h2><strong>C\u00e1c nguy c\u01a1 ung th\u01b0 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 li\u00ean quan \u0111\u1ebfn <\/strong><strong>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n<\/strong><strong> l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y c\u00f3 nguy c\u01a1 m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, nh\u01b0ng ng\u01b0\u1ee1ng nguy c\u01a1 hi\u1ec7n ch\u01b0a bi\u1ebft.<\/p>\n<h2><strong>C\u00e1c l\u1ef1a ch\u1ecdn s\u00e0ng l\u1ecdc cho <\/strong><strong>h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n<\/strong><strong> l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m cho ph\u00e9p b\u00e1c s\u0129 kh\u1ea3o s\u00e1t to\u00e0n b\u1ed9 \u0111\u1ea1i tr\u00e0ng. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u0111\u1ed9t bi\u1ebfn gen GREM1 n\u00ean b\u1eaft \u0111\u1ea7u s\u00e0ng l\u1ecdc b\u1eb1ng n\u1ed9i soi \u1edf tu\u1ed5i 25 \u0111\u1ebfn 30 ho\u1eb7c s\u1edbm h\u01a1n n\u1ebfu c\u00f3 th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n polyp ho\u1eb7c ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng tr\u01b0\u1edbc 30 tu\u1ed5i. Nh\u1eefng ng\u01b0\u1eddi n\u00e0y n\u00ean ti\u1ebfp t\u1ee5c n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng c\u1ee9 sau 1 \u0111\u1ebfn 2 n\u0103m n\u1ebfu k\u1ebft qu\u1ea3 n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u1ea7n \u0111\u1ea7u ph\u00e1t hi\u1ec7n polyp, n\u1ebfu n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng l\u1ea7n \u0111\u1ea7u kh\u00f4ng c\u00f3 polyp n\u00ean ti\u1ebfp t\u1ee5c n\u1ed9i soi m\u1ed7i 2 \u0111\u1ebfn 3 n\u0103m.<\/p>\n<p>Kh\u00f4ng c\u00f3 h\u01b0\u1edbng d\u1eabn s\u00e0ng l\u1ecdc \u0111\u1eb7c hi\u1ec7u n\u00e0o \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n m\u00e0 kh\u00f4ng c\u00f3 \u0111\u1ed9t bi\u1ebfn GREM1, m\u1eb7c d\u00f9 n\u1ed9i soi s\u00e0ng l\u1ecdc th\u01b0\u1eddng xuy\u00ean l\u00e0 th\u00edch h\u1ee3p. Nhi\u1ec1u b\u00e1c s\u0129 \u0111\u1ec1 ngh\u1ecb b\u1eaft \u0111\u1ea7u s\u00e0ng l\u1ecdc s\u1edbm h\u01a1n 5 \u0111\u1ebfn 10 n\u0103m so v\u1edbi tu\u1ed5i c\u1ee7a th\u00e0nh vi\u00ean tr\u1ebb nh\u1ea5t \u00a0\u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n polyp ho\u1eb7c ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng trong gia \u0111\u00ecnh. N\u1ebfu polyp \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y, s\u00e0ng l\u1ecdc c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u1ee9 sau 1 \u0111\u1ebfn 2 n\u0103m. T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/www.cancer.net\/blog\/podcasts\/colonoscopy-what-expect\">k\u1ebft qu\u1ea3 mong \u0111\u1ee3i khi n\u1ed9i soi.<\/a><\/p>\n<p>C\u00e1c l\u1ef1a ch\u1ecdn s\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo th\u1eddi gian khi c\u00e1c c\u00f4ng ngh\u1ec7 m\u1edbi ph\u00e1t tri\u1ec3n v\u00e0 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u h\u01a1n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n v\u1ec1 c\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc th\u00edch h\u1ee3p.<\/p>\n<p>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/diagnosing-cancer\/tests-and-procedures\">k\u1ebft qu\u1ea3 mong \u0111\u1ee3i khi c\u00f3 c\u00e1c x\u00e9t nghi\u1ec7m, quy tr\u00ecnh v\u00e0 scan th\u00f4ng th\u01b0\u1eddng<\/a>.<\/p>\n<h2><strong>C\u00e2u h\u1ecfi \u0111\u1eb7t ra cho \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 nguy c\u01a1 m\u1eafc b\u1ec7nh ung th\u01b0, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n. C\u00e2n nh\u1eafc h\u1ecfi nh\u1eefng c\u00e2u sau:<\/p>\n<p>Nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng l\u00e0 g\u00ec?<\/p>\n<p>T\u00f4i c\u00f3 t\u1ed5ng c\u1ed9ng bao nhi\u00eau polyp \u0111\u1ea1i tr\u00e0ng?<\/p>\n<p>Nh\u1eefng lo\u1ea1i polyp \u0111\u1ea1i tr\u00e0ng t\u00f4i c\u00f3?\u00a0C\u00e1c lo\u1ea1i ph\u1ed5 bi\u1ebfn nh\u01b0 polyp tuy\u1ebfn, qu\u00e1 s\u1ea3n, thi\u1ebfu ni\u00ean, hamartomatous v\u00e0 d\u1ea1ng r\u0103ng c\u01b0a.<\/p>\n<p>Nguy c\u01a1 c\u1ee7a t\u00f4i v\u1ec1 c\u00e1c lo\u1ea1i ung th\u01b0 kh\u00e1c l\u00e0 g\u00ec?<\/p>\n<p>T\u00f4i c\u00f3 th\u1ec3 l\u00e0m g\u00ec \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ung th\u01b0?<\/p>\n<p>L\u1ef1a ch\u1ecdn c\u1ee7a t\u00f4i \u0111\u1ec3 s\u00e0ng l\u1ecdc ung th\u01b0 l\u00e0 g\u00ec?<\/p>\n<p>N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u1ee7a b\u1ea1n v\u00e0 ngh\u0129 r\u1eb1ng gia \u0111\u00ecnh b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 h\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n, h\u00e3y c\u00e2n nh\u1eafc h\u1ecfi nh\u1eefng c\u00e2u sau:<\/p>\n<p>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 l\u00e0m t\u00f4i t\u0103ng nguy c\u01a1 ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng ho\u1eb7c c\u00e1c lo\u1ea1i ung th\u01b0 kh\u00e1c kh\u00f4ng?<\/p>\n<p>B\u00e1c s\u0129 s\u1ebd gi\u1edbi thi\u1ec7u t\u00f4i \u0111\u1ebfn m\u1ed9t c\u1ed1 v\u1ea5n ho\u1eb7c chuy\u00ean gia di truy\u1ec1n h\u1ecdc kh\u00e1c?<\/p>\n<p>T\u00f4i c\u00f3 n\u00ean c\u00e2n nh\u1eafc <a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/cancer-basics\/genetics\/genetic-testing-cancer-risk\">x\u00e9t nghi\u1ec7m di truy\u1ec1n<\/a>?<\/p>\n<p><strong>C\u00e1c nghi\u00ean c\u1ee9u li\u00ean quan<\/strong><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/cancer-basics\/genetics\/genetics-cancer\">Di truy\u1ec1n c\u1ee7a ung th\u01b0<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/cancer-basics\/genetics\/genetic-testing-cancer-risk\">X\u00e9t nghi\u1ec7m di truy\u1ec1n<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/cancer-basics\/genetics\/what-expect-when-meeting-genetic-counselor\">K\u1ebft qu\u1ea3 mong \u0111\u1ee3i khi b\u1ea1n g\u1eb7p m\u1ed9t c\u1ed1 v\u1ea5n di truy\u1ec1n h\u1ecdc<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/cancer-basics\/genetics\/collecting-your-family%E2%80%99s-cancer-history\">T\u00ecm hi\u1ec3u v\u1ec1 ti\u1ec1n s\u1eed ung th\u01b0 gia \u0111\u00ecnh b\u1ea1n<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/blog\/2017-03\/how-share-genetic-test-results-with-family\">Chia s\u1ebb k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m di truy\u1ec1n v\u1edbi gia \u0111\u00ecnh b\u1ea1n<\/a><\/p>\n<h2><strong>Th\u00f4ng tin th\u00eam<\/strong><\/h2>\n<p>\u0110\u1ec3 t\u00ecm m\u1ed9t chuy\u00ean gia di truy\u1ec1n h\u1ecdc trong v\u00f9ng c\u1ee7a b\u1ea1n, h\u00e3y h\u1ecfi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n ho\u1eb7c truy c\u1eadp c\u00e1c trang web sau:<\/p>\n<p>Hi\u1ec7p h\u1ed9i c\u1ed1 v\u1ea5n di truy\u1ec1n qu\u1ed1c gia<\/p>\n<p><a href=\"https:\/\/www.nsgc.org\/\">https:\/\/www.nsgc.org\/<\/a><\/p>\n<p>Vi\u1ec7n Ung th\u01b0 Qu\u1ed1c gia: Th\u01b0 m\u1ee5c Ban Di truy\u1ec1n Ung th\u01b0<\/p>\n<p><a href=\"https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/genetics\/directory\">https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/genetics\/directory<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/cancer-types\/hereditary-mixed-polyposis-syndrome\">https:\/\/www.cancer.net\/cancer-types\/hereditary-mixed-polyposis-syndrome<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng polyp h\u1ed7n h\u1ee3p di truy\u1ec1n (HMPS) l\u00e0 b\u1ec7nh di truy\u1ec1n t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n polyp trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u1edf \u0111\u1ea1i tr\u00e0ng, tr\u1ef1c tr\u00e0ng.<\/p>\n","protected":false},"author":14,"featured_media":8451,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3104,2460],"tags":[3113,3221,3220],"series":[1953],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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