{"id":8452,"date":"2020-01-12T07:56:08","date_gmt":"2020-01-12T00:56:08","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/viem-tuy-di-truyen\/"},"modified":"2020-01-12T07:56:08","modified_gmt":"2020-01-12T00:56:08","slug":"viem-tuy-di-truyen","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/viem-tuy-di-truyen\/","title":{"rendered":"Vi\u00eam t\u1ee5y di truy\u1ec1n"},"content":{"rendered":"<p style=\"text-align: right;\"><strong><em>Bi\u00ean d\u1ecbch: Nguy\u1ec5n \u0110\u00ecnh Th\u1eafng<\/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<p>&nbsp;<\/p>\n<h2><strong>Vi\u00eam t\u1ee5y di truy\u1ec1n l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Vi\u00eam t\u1ee5y di truy\u1ec1n (VTDT) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn vi\u00eam t\u1ee5y t\u00e1i ph\u00e1t v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 <a href=\"https:\/\/www.cancer.net\/node\/31388\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 t\u1ee5y<\/a>. Ung th\u01b0 b\u1eaft \u0111\u1ea7u khi c\u00e1c t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u thay \u0111\u1ed5i v\u00e0 t\u0103ng sinh m\u1ed9t c\u00e1ch kh\u00f4ng ki\u1ec3m so\u00e1t, t\u1ea1o th\u00e0nh kh\u1ed1i u. M\u1ed9t kh\u1ed1i u c\u00f3 th\u1ec3 l\u00e0 l\u00e0nh t\u00ednh, c\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng ung th\u01b0, ho\u1eb7c n\u00f3 c\u00f3 th\u1ec3 l\u00e0 \u00e1c t\u00ednh, hay l\u00e0 ung th\u01b0. Khi m\u1ed9t kh\u1ed1i u \u00e1c t\u00ednh, n\u00f3 c\u00f3 th\u1ec3 di c\u0103n sang c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>\u1ede nh\u1eefng ng\u01b0\u1eddi b\u1ecb VTDT, \u0111\u1ee3t \u0111\u1ea7u ti\u00ean c\u1ee7a vi\u00eam t\u1ee5y th\u01b0\u1eddng x\u1ea3y ra \u1edf th\u1eddi th\u01a1 \u1ea5u. Tuy nhi\u00ean, tu\u1ed5i kh\u1edfi ph\u00e1t v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 kh\u00e1c nhau gi\u1eefa nh\u1eefng ng\u01b0\u1eddi b\u1ecb VTDT, ngay c\u1ea3 trong c\u00f9ng m\u1ed9t gia \u0111\u00ecnh.<\/p>\n<h2><strong>Nguy\u00ean nh\u00e2n c\u1ee7a VTDT l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>VTDT l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd di truy\u1ec1n. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 nguy c\u01a1 vi\u00eam t\u1ee5y v\u00e0 ung th\u01b0 t\u1ee5y c\u00f3 th\u1ec3 \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. Gen ph\u1ed5 bi\u1ebfn nh\u1ea5t li\u00ean quan \u0111\u1ebfn VTDT \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 PRSS1. M\u1ed9t \u0111\u1ed9t bi\u1ebfn (thay \u0111\u1ed5i) trong gen PRSS1 l\u00e0m t\u0103ng nguy c\u01a1 vi\u00eam t\u1ee5y v\u00e0 ung th\u01b0 t\u1ee5y. \u0110\u1ed9t bi\u1ebfn \u1edf c\u00e1c gen kh\u00e1c c\u0169ng c\u00f3 m\u1ed1i li\u00ean quan v\u1edbi VTDT, ch\u1eb3ng h\u1ea1n nh\u01b0 SPINK1, CTRC, CASR v\u00e0 CFTR; tuy nhi\u00ean, hi\u1ec7n v\u1eabn kh\u00f4ng r\u00f5 li\u1ec7u \u0111\u1ed9t bi\u1ebfn trong c\u00e1c gen n\u00e0y c\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 t\u1ee5y hay kh\u00f4ng. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u tin r\u1eb1ng v\u1eabn c\u00f2n c\u00e1c gen kh\u00e1c li\u00ean quan \u0111\u1ebfn VTDT v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u c\u00f2n \u0111ang ti\u1ebfn h\u00e0nh \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 b\u1ec7nh l\u00fd n\u00e0y.<\/p>\n<h2><strong>VTDT \u0111\u01b0\u1ee3c truy\u1ec1n l\u1ea1i nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Th\u00f4ng th\u01b0\u1eddng, m\u1ed7i t\u1ebf b\u00e0o c\u00f3 2 b\u1ea3n sao c\u1ee7a m\u1ed9t gen: 1 \u0111\u01b0\u1ee3c th\u1eeba h\u01b0\u1edfng t\u1eeb m\u1eb9 v\u00e0 1 \u0111\u01b0\u1ee3c th\u1eeba h\u01b0\u1edfng t\u1eeb cha. VTDT tu\u00e2n theo quy lu\u1eadt 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 c\u1ea7n x\u1ea3y ra trong 1 b\u1ea3n sao c\u1ee7a gen th\u00ec \u0111\u00e3 c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 cha ho\u1eb7c m\u1eb9 c\u00f3 mang m\u1ed9t b\u1ea3n sao \u0111\u1ed9t bi\u1ebfn c\u00f3 th\u1ec3 truy\u1ec1n l\u1ea1i cho con c\u00e1i m\u1ed9t b\u1ea3n sao b\u00ecnh th\u01b0\u1eddng ho\u1eb7c m\u1ed9t b\u1ea3n sao c\u00f3 \u0111\u1ed9t bi\u1ebfn. Do \u0111\u00f3, m\u1ed9t \u0111\u1ee9a tr\u1ebb c\u00f3 cha ho\u1eb7c m\u1eb9 mang m\u1ed9t gen \u0111\u1ed9t bi\u1ebfn c\u00f3 50% kh\u1ea3 n\u0103ng th\u1eeba h\u01b0\u1edfng \u0111\u1ed9t bi\u1ebfn n\u00e0y. Anh, ch\u1ecb, em, cha ho\u1eb7c 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. Tuy nhi\u00ean, n\u1ebfu cha v\u00e0 m\u1eb9 ki\u1ec3m tra \u00e2m t\u00ednh v\u1edbi \u0111\u1ed9t bi\u1ebfn (ngh\u0129a l\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1ee7a m\u1ed7i ng\u01b0\u1eddi \u0111\u1ec1u kh\u00f4ng c\u00f3 \u0111\u1ed9t bi\u1ebfn), kh\u1ea3 n\u0103ng mang \u0111\u1ed9t bi\u1ebfn \u0111\u1ed1i v\u1edbi con c\u00e1i gi\u1ea3m \u0111\u00e1ng k\u1ec3 nh\u01b0ng c\u00f3 th\u1ec3 v\u1eabn cao h\u01a1n kh\u1ea3 n\u0103ng trung b\u00ecnh trong qu\u1ea7n th\u1ec3.<\/p>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi mang \u0111\u1ed9t bi\u1ebfn gen l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0 di truy\u1ec1n nh\u01b0ng v\u1eabn mong mu\u1ed1n c\u00f3 con ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh th\u00ec v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 l\u1ef1a ch\u1ecdn. Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n ti\u1ec1n l\u00e0m t\u1ed5 (PGD) l\u00e0 m\u1ed9t th\u1ee7 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 gi\u1ea3m b\u1edbt kh\u1ea3 n\u0103ng con c\u00e1i h\u1ecd s\u1ebd th\u1eeba h\u01b0\u1edfng t\u00ecnh tr\u1ea1ng n\u00e0y. Tr\u1ee9ng c\u1ee7a m\u1ed9t 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 s\u1ebd \u0111\u01b0\u1ee3c t\u00e1ch ra v\u00e0 \u0111\u01b0\u1ee3c ki\u1ec3m tra t\u00ecnh tr\u1ea1ng di truy\u1ec1n v\u1ec1 gen \u0111\u1ed9t bi\u1ebfn. Sau \u0111\u00f3, cha m\u1eb9 c\u00f3 th\u1ec3 ch\u1ecdn chuy\u1ec3n ph\u00f4i kh\u00f4ng mang \u0111\u1ed9t bi\u1ebfn. PGD \u200b\u200b\u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong h\u01a1n 2 th\u1eadp k\u1ef7, \u0111\u1eb7c bi\u1ec7t cho m\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng c\u00f3 th\u1ec3 g\u00e2y ung th\u01b0 di truy\u1ec1n. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1ee9c t\u1ea1p v\u1edbi c\u00e1c y\u00eau\u00a0 c\u1ea7u v\u1ec1 t\u00e0i ch\u00ednh v\u00e0 s\u1ee9c kh\u1ecfe v\u1ec1 c\u1ea3 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n. \u0110\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin, h\u00e3y tham v\u1ea5n v\u1edbi b\u00e1c s\u1ef9 chuy\u00ean khoa h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/p>\n<h2><strong>M\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a VTDT?<\/strong><\/h2>\n<p>T\u1ef7 l\u1ec7 c\u1ee5 th\u1ec3 c\u1ee7a VTDT ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft, nh\u01b0ng nh\u00ecn chung VTDT \u0111\u01b0\u1ee3c th\u1ea5y hi\u1ebfm g\u1eb7p.<\/p>\n<h2><strong>VTDT \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n VTDT \u0111\u01b0\u1ee3c xem x\u00e9t khi c\u00f3 t\u1eeb 2 th\u00e0nh vi\u00ean h\u1ecd h\u00e0ng g\u1ea7n trong gia \u0111\u00ecnh, ngh\u0129a l\u00e0 cha m\u1eb9, anh ch\u1ecb em ho\u1eb7c con c\u00e1i, trong \u00edt nh\u1ea5t 2 th\u1ebf h\u1ec7 b\u1ecb vi\u00eam t\u1ee5y t\u00e1i ph\u00e1t. X\u00e9t nghi\u1ec7m di truy\u1ec1n \u0111\u00f4i khi \u0111\u01b0\u1ee3c xem x\u00e9t cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam t\u1ee5y t\u00e1i ph\u00e1t tr\u1ebb tu\u1ed5i. X\u00e9t nghi\u1ec7m di truy\u1ec1n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn trong c\u00e1c gen PRSS1, SPINK1, CTRC, CASR v\u00e0 CFTR. N\u00ean tham v\u1ea5n v\u1edbi m\u1ed9t <a href=\"https:\/\/www.cancer.net\/node\/24907\" target=\"_blank\" rel=\"noopener\">chuy\u00ean gia di truy\u1ec1n h\u1ecdc<\/a> tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m di truy\u1ec1n.<\/p>\n<h2><strong>Nguy c\u01a1 ung th\u01b0 li\u00ean quan \u0111\u1ebfn VTDT l\u00e0 bao nhi\u00eau?<\/strong><\/h2>\n<p>Nguy c\u01a1 su\u1ed1t \u0111\u1eddi c\u1ee7a ung th\u01b0 t\u1ee5y \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb VTDT \u01b0\u1edbc t\u00ednh l\u00ean t\u1edbi 40%. Nhi\u1ec1u \u00fd ki\u1ebfn cho r\u1eb1ng vi\u00eam t\u1ee5y m\u00e3n t\u00ednh c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 t\u1ee5y. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb VTDT h\u00fat thu\u1ed1c l\u00e1 c\u00f3 kh\u1ea3 n\u0103ng m\u1eafc ung th\u01b0 t\u1ee5y cao h\u01a1n n\u1eefa.<\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p, c\u00f3 nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n c\u00f3 \u0111\u1ed9t bi\u1ebfn gen PRSS1 m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 \u0111\u1ee3t vi\u00eam t\u1ee5y n\u00e0o tr\u01b0\u1edbc \u0111\u00f3. M\u1eb7c d\u00f9 nh\u1eefng ng\u01b0\u1eddi n\u00e0y kh\u00f4ng b\u1ecb vi\u00eam t\u1ee5y m\u00e3n t\u00ednh nh\u01b0ng kh\u00f4ng r\u00f5 li\u1ec7u h\u1ecd c\u00f3 t\u0103ng nguy c\u01a1 ung th\u01b0 t\u1ee5y hay kh\u00f4ng.<\/p>\n<h2><strong>Ph\u01b0\u01a1ng ti\u1ec7n t\u1ea7m so\u00e1t VTDT?<\/strong><\/h2>\n<p>T\u1ea7m so\u00e1t ung th\u01b0 tuy\u1ebfn t\u1ee5y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o b\u1eaft \u0111\u1ea7u \u1edf tu\u1ed5i 40 cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc VTDT, ho\u1eb7c n\u1ebfu trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc ung th\u01b0 t\u1ee5y, t\u1ea7m so\u00e1t n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh tr\u01b0\u1edbc 10 n\u0103m t\u00ednh t\u1eeb tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi tr\u1ebb nh\u1ea5t m\u1eafc ung th\u01b0. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c k\u1ef9 thu\u1eadt s\u00e0ng l\u1ecdc hi\u1ec7n t\u1ea1i trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm ung th\u01b0 tuy\u1ebfn t\u1ee5y v\u1eabn ch\u01b0a r\u00f5 r\u00e0ng. C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n s\u00e0ng l\u1ecdc ph\u1ed5 bi\u1ebfn bao g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.cancer.net\/node\/24578\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI)<\/a> &#8211; MRI s\u1eed d\u1ee5ng t\u1eeb tr\u01b0\u1eddng \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee7a tuy\u1ebfn t\u1ee5y.<\/li>\n<li><a href=\"https:\/\/www.cancer.net\/node\/24511\" target=\"_blank\" rel=\"noopener\">Si\u00eau \u00e2m qua n\u1ed9i soi d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (EUS)<\/a> &#8211; M\u1ed9t \u1ed1ng m\u1ecfng, s\u00e1ng \u0111\u01b0\u1ee3c \u0111\u01b0a qua mi\u1ec7ng, xu\u1ed1ng d\u1ea1 d\u00e0y v\u00e0 \u0111i v\u00e0o ru\u1ed9t non \u0111\u1ec3 quan s\u00e1t tuy\u1ebfn t\u1ee5y.<\/li>\n<\/ul>\n<p>C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n s\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo th\u1eddi gian khi c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n v\u00e0 nhi\u1ec1u ki\u1ebfn th\u1ee9c m\u1edbi v\u1ec1 VTDT \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 tham v\u1ea5n \u00fd ki\u1ebfn b\u00e1c s\u1ef9 v\u1ec1 c\u00e1c x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t ph\u00f9 h\u1ee3p.<\/p>\n<p>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/www.cancer.net\/node\/24959\" target=\"_blank\" rel=\"noopener\">Nh\u1eefng k\u1ebft qu\u1ea3 mong \u0111\u1ee3i khi th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m, th\u1ee7 thu\u1eadt v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc th\u00f4ng th\u01b0\u1eddng<\/a>.<\/p>\n<h2><strong>B\u1ea1n c\u1ea7n h\u1ecfi b\u00e1c s\u1ef9 nh\u1eefng g\u00ec?<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 nguy c\u01a1 ung th\u01b0 tuy\u1ebfn t\u1ee5y, nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 th\u1ec3 cung c\u1ea5p nh\u1eefng th\u00f4ng tin h\u1eefu \u00edch cho th\u1eafc m\u1eafc c\u1ee7a b\u1ea1n. B\u1ea1n c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi sau:<\/p>\n<ul>\n<li>Nguy c\u01a1 ung th\u01b0 t\u1ee5y c\u1ee7a t\u00f4i nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 l\u00e0m g\u00ec \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ung th\u01b0?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn nh\u1eefng ph\u01b0\u01a1ng ti\u1ec7n n\u00e0o \u0111\u1ec3 t\u1ea7m so\u00e1t ung th\u01b0?<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 ngh\u0129 r\u1eb1ng b\u1ea1n ho\u1eb7c c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong gia \u0111\u00ecnh c\u00f3 th\u1ec3 c\u00f3 VTDT, b\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi c\u00e1c c\u00e2u h\u1ecfi sau\u00a0:<\/p>\n<ul>\n<li>Ti\u1ec1n c\u0103n gia \u0111\u00ecnh c\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 t\u1ee5y c\u1ee7a t\u00f4i hay kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 n\u00ean \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ung th\u01b0 kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 c\u1ea7n tham v\u1ea5n chuy\u00ean gia di truy\u1ec1n hay kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c <a href=\"https:\/\/www.cancer.net\/node\/24895\" target=\"_blank\" rel=\"noopener\">x\u00e9t nghi\u1ec7m di truy\u1ec1n kh\u00f4ng<\/a>?<\/li>\n<\/ul>\n<h2><strong>C\u00e1c t\u00e0i nguy\u00ean li\u00ean quan<\/strong><\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/node\/24897\" target=\"_blank\" rel=\"noopener\">Di truy\u1ec1n h\u1ecdc c\u1ee7a ung th\u01b0<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/node\/24895\" target=\"_blank\" rel=\"noopener\">X\u00e9t nghi\u1ec7m di truy\u1ec1n<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/node\/24907\" target=\"_blank\" rel=\"noopener\">Nh\u1eefng g\u00ec mong \u0111\u1ee3i khi b\u1ea1n g\u1eb7p m\u1ed9t c\u1ed1 v\u1ea5n di truy\u1ec1n<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/node\/30761\" target=\"_blank\" rel=\"noopener\">Thu th\u1eadp ti\u1ec1n s\u1eed ung th\u01b0 gia \u0111\u00ecnh b\u1ea1n<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/node\/36141\" target=\"_blank\" rel=\"noopener\">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>T\u00ecm hi\u1ec3u th\u00eam th\u00f4ng tin<\/strong><\/h2>\n<p>Qu\u1ef9 Hirshberg cho nghi\u00ean c\u1ee9u ung th\u01b0 t\u1ee5y<\/p>\n<p><a href=\"http:\/\/www.pancreatic.org\" target=\"_blank\" rel=\"noopener\">http:\/\/www.pancreatic.org<\/a><\/p>\n<p>Qu\u1ef9 Lustgarten<\/p>\n<p><a href=\"http:\/\/www.lustgarten.org\" target=\"_blank\" rel=\"noopener\">http:\/\/www.lustgarten.org<\/a><\/p>\n<p>Qu\u1ef9 ung th\u01b0 t\u1ee5y Michael Rolfe<\/p>\n<p><a href=\"http:\/\/www.rolfefoundation.org\" target=\"_blank\" rel=\"noopener\">http:\/\/www.rolfefoundation.org<\/a><\/p>\n<p>M\u1ea1ng l\u01b0\u1edbi h\u00e0nh \u0111\u1ed9ng v\u00ec ung th\u01b0 t\u1ee5y (PanCAN)<\/p>\n<p><a href=\"http:\/\/www.pancan.org\" target=\"_blank\" rel=\"noopener\">http:\/\/www.pancan.org<\/a><\/p>\n<p>Pancreatica<\/p>\n<p><a href=\"http:\/\/www.pancreatica.org\" target=\"_blank\" rel=\"noopener\">http:\/\/www.pancreatica.org<\/a><\/p>\n<p>Qu\u1ef9 ung th\u01b0 T\u1ee5y Qu\u1ed1c gia<\/p>\n<p><a href=\"http:\/\/pancreasfoundation.org\" target=\"_blank\" rel=\"noopener\">http:\/\/pancreasfoundation.org<\/a><\/p>\n<p><strong>\u0110\u1ec3 t\u00ecm m\u1ed9t c\u1ed1 v\u1ea5n di truy\u1ec1n trong khu v\u1ef1c c\u1ee7a b\u1ea1n, h\u00e3y tham v\u1ea5n b\u00e1c s\u0129 c\u1ee7a b\u1ea1n ho\u1eb7c truy c\u1eadp c\u00e1c trang web sau:<\/strong><\/p>\n<p>Hi\u1ec7p h\u1ed9i c\u1ed1 v\u1ea5n di truy\u1ec1n qu\u1ed1c gia<\/p>\n<p><a href=\"http:\/\/www.nsgc.org\" target=\"_blank\" rel=\"noopener\">www.nsgc.org<\/a><\/p>\n<p>Vi\u1ec7n Ung th\u01b0 Qu\u1ed1c gia: Th\u01b0 m\u1ee5c D\u1ecbch v\u1ee5 Di truy\u1ec1n Ung th\u01b0<\/p>\n<p><a href=\"http:\/\/www.cancer.gov\/cancertopics\/genetic\/directory\" target=\"_blank\" rel=\"noopener\">www.cancer.gov\/cancertopics\/genetic\/directory<\/a><\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/cancer-types\/hereditary-pancreatitis\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/cancer-types\/hereditary-pancreatitis<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam t\u1ee5y di truy\u1ec1n (VTDT) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn vi\u00eam t\u1ee5y t\u00e1i ph\u00e1t v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 t\u1ee5y.<\/p>\n","protected":false},"author":424,"featured_media":8453,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3104,2460],"tags":[3106,3222],"series":[1953],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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