{"id":8482,"date":"2020-05-22T16:54:43","date_gmt":"2020-05-22T09:54:43","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/tieu-chay-trong-dieu-tri-ung-thu-o-tre-em\/"},"modified":"2020-05-22T16:54:43","modified_gmt":"2020-05-22T09:54:43","slug":"tieu-chay-trong-dieu-tri-ung-thu-o-tre-em","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tieu-chay-trong-dieu-tri-ung-thu-o-tre-em\/","title":{"rendered":"Ti\u00eau ch\u1ea3y trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf tr\u1ebb em"},"content":{"rendered":"<p style=\"text-align: right\"><em><strong>Bi\u00ean d\u1ecbch: BS. \u0110\u1eb7ng Th\u1ecb T\u00e2m\u00a0<\/strong><\/em><\/p>\n<p style=\"text-align: right\"><em><strong>Hi\u1ec7u \u0111\u00ednh: <a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-van-tuy\/\" target=\"_blank\" rel=\"noopener\">ThS. BS. Nguy\u1ec5n V\u0103n Tuy<\/a><\/strong><\/em><\/p>\n<h2>Ti\u00eau ch\u1ea3y l\u00e0 g\u00ec?<\/h2>\n<p>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn khi ph\u00e2n tr\u1edf n\u00ean l\u1ecfng ho\u1eb7c n\u01b0\u1edbc v\u00e0 nhi\u1ec1u l\u1ea7n h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng. M\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 c\u00f3 co th\u1eaft ho\u1eb7c m\u1ea5t ki\u1ec3m so\u00e1t nhu \u0111\u1ed9ng ru\u1ed9t. Th\u01b0\u1eddng th\u01b0\u1eddng, ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a khi \u0111i c\u1ea7u h\u01a1n 3 l\u1ea7n ph\u00e2n l\u1ecfng trong v\u00f2ng 24 gi\u1edd.<\/p>\n<p>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn trong ung th\u01b0 tr\u1ebb em. N\u00f3 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau bao g\u1ed3m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chuan-bi-benh-nhan-truoc-hoa-tri\/\" target=\"_blank\" rel=\"noopener\">h\u00f3a tr\u1ecb<\/a>, kh\u00e1ng sinh, v\u00e0 nhi\u1ec5m tr\u00f9ng. Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p, ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 d\u1eabn t\u1edbi nh\u1eefng v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng nh\u01b0 m\u1ea5t n\u01b0\u1edbc, suy dinh d\u01b0\u1ee1ng, v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng chuy\u1ec3n h\u00f3a.<\/p>\n<p>C\u00e1ch \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y bao g\u1ed3m thu\u1ed1c ch\u1ed1ng ti\u00eau ch\u1ea3y v\u00e0 thay \u0111\u1ed5i kh\u1ea9u ph\u1ea7n \u0103n. \u0110i\u1ec1u quan tr\u1ecdng n\u1eefa l\u00e0 ch\u1eafc ch\u1eafn b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb m\u1ea5t n\u01b0\u1edbc b\u1eb1ng c\u00e1ch cho u\u1ed1ng th\u00eam d\u1ecbch ho\u1eb7c truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch. N\u1ebfu ti\u00eau ch\u1ea3y do virus ho\u1eb7c vi khu\u1ea9n th\u00ec c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng. N\u1ebfu ti\u00eau ch\u1ea3y do h\u00f3a tr\u1ecb, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb cho t\u1edbi khi tri\u1ec7u ch\u1ee9ng c\u1ea3i thi\u1ec7n.<\/p>\n<p><strong>Nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y ti\u00eau ch\u1ea3y trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2\/\" target=\"_blank\" rel=\"noopener\">H\u00f3a tr\u1ecb<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/gioi-thieu-ve-phuong-phap-xa-tri-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 tr\u1ecb<\/a><\/li>\n<li>Kh\u00e1ng sinh ho\u1eb7c thu\u1ed1c kh\u00e1c<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/cay-ghep-tuy-xuong-cay-ghep-te-bao-goc-la-gi\/\" target=\"_blank\" rel=\"noopener\">Gh\u00e9p t\u1ee7y x\u01b0\u01a1ng<\/a><\/li>\n<li>Ph\u1eabu thu\u1eadt<\/li>\n<li>Stress v\u00e0 lo \u00e2u<\/li>\n<li>\u1ea2nh h\u01b0\u1edfng c\u1ee7a ung th\u01b0 ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c<\/li>\n<\/ul>\n<h2>\u0110\u00e1nh gi\u00e1 ti\u00eau ch\u1ea3y \u1edf tr\u1ebb ung th\u01b0<\/h2>\n<p>\u0110\u00e1nh gi\u00e1 ti\u00eau ch\u1ea3y:<\/p>\n<ul>\n<li>T\u1ea7n su\u1ea5t \u0111i c\u1ea7u (s\u1ed1 l\u1ea7n m\u1ed7i ng\u00e0y)<\/li>\n<li>Bi\u1ec3u hi\u1ec7n c\u1ee7a ph\u00e2n (l\u1ecfng, d\u1ecbch, n\u01b0\u1edbc)<\/li>\n<li>\u1ec8a \u0111\u00f9n (m\u1ea5t kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t \u0111i c\u1ea7u)<\/li>\n<li>Th\u1ee9c gi\u1ea5c ban \u0111\u00eam ho\u1eb7c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00f4ng vi\u1ec7c h\u00e0ng ng\u00e0y<\/li>\n<\/ul>\n<p>Nh\u00f3m ch\u0103m s\u00f3c s\u1ebd \u0111\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0:<\/p>\n<ul>\n<li>S\u1ed1t<\/li>\n<li>\u0110au v\u00e0 co th\u1eaft<\/li>\n<li>Y\u1ebfu ho\u1eb7c ch\u00f3ng m\u1eb7t<\/li>\n<li>Ch\u1ea3y m\u00e1u tr\u1ef1c tr\u00e0ng ho\u1eb7c c\u00f3 m\u00e1u trong ph\u00e2n<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/buon-non-va-non-o-tre-bi-ung-thu\/\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n<\/a><\/li>\n<li>Gi\u1ea3m c\u00e2n v\u00e0 m\u1ea5t n\u01b0\u1edbc<\/li>\n<\/ul>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 ki\u1ec3m tra c\u00f4ng th\u1ee9c m\u00e1u, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>Ph\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm virus ho\u1eb7c vi khu\u1ea9n. C\u00e1c ngu\u1ed3n l\u00e2y nhi\u1ec5m ti\u00eau ch\u1ea3y ph\u1ed5 bi\u1ebfn l\u00e0<em> rotavirus,<\/em> <em>adenovirus, norovirus<\/em>, <em>Salmonella, Campylobacter, Shigella v\u00e0 Clostridioides difficile. <\/em>Ti\u00eau ch\u1ea3y do nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau.<\/p>\n<p>\u0110\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u0169ng s\u1ebd \u0111\u00e1nh gi\u00e1 c\u00e1c l\u00fd do kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra ti\u00eau ch\u1ea3y nh\u01b0 thu\u1ed1c, ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch.<\/p>\n<p>\u00cdt g\u1eb7p h\u01a1n, \u0111\u00e1nh gi\u00e1 ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c x\u00e9t nghi\u1ec7m v\u1ec1 h\u00ecnh \u1ea3nh c\u00e1c c\u01a1 quan c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<p>Ti\u00eau ch\u1ea3y v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/tao-bon-trong-ung-thu-tre-em\/\" target=\"_blank\" rel=\"noopener\">t\u00e1o b\u00f3n<\/a> l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 ph\u1ed5 bi\u1ebfn trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0. \u0110\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u1ea7n ph\u1ea3i y\u00eau c\u1ea7u c\u00e1c gia \u0111\u00ecnh s\u1eed d\u1ee5ng bi\u1ec3u \u0111\u1ed3 \u0111\u1ec3 m\u00f4 t\u1ea3 ph\u00e2n.<\/p>\n<h2>C\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe do ti\u00eau ch\u1ea3y<\/h2>\n<p>Ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng. C\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 do ti\u00eau ch\u1ea3y bao g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/mat-nuoc-o-benh-nhan-ung-thu\/\" target=\"_blank\" rel=\"noopener\">M\u1ea5t n\u01b0\u1edbc<\/a><\/li>\n<li>Suy dinh d\u01b0\u1ee1ng<\/li>\n<li>M\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i<\/li>\n<li>Suy th\u1eadn<\/li>\n<\/ul>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, h\u00f3a tr\u1ecb v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 kh\u00e1c c\u00f3 th\u1ec3 b\u1ecb tr\u00ec ho\u00e3n cho \u0111\u1ebfn khi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n<\/p>\n<h2>Nguy\u00ean nh\u00e2n g\u00e2y ti\u00eau ch\u1ea3y \u1edf tr\u1ebb em ung th\u01b0<\/h2>\n<p>Ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 khi th\u1ee9c \u0103n di chuy\u1ec3n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ch\u1ea5t th\u1ea3i \u0111\u01b0\u1ee3c t\u1ed1ng ra kh\u1ecfi c\u01a1 th\u1ec3 d\u01b0\u1edbi d\u1ea1ng ph\u00e2n. Ru\u1ed9t ti\u1ebft ra d\u1ecbch ti\u00eau h\u00f3a v\u00e0 ch\u1ea5t nh\u1ea7y \u0111\u1ec3 gi\u00fap ph\u00e1 v\u1ee1 v\u00e0 di chuy\u1ec3n ch\u00fang. Vi khu\u1ea9n c\u0169ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 gi\u00fap ph\u00e1 v\u1ee1 th\u1ee9c \u0103n. \u0110\u00f4i khi, ph\u00e2n tr\u1edf n\u00ean qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc n\u1ebfu ch\u1ea5t l\u1ecfng kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ea5p thu ho\u1eb7c n\u1ebfu d\u1ecbch ti\u1ebft t\u0103ng.<\/p>\n<p>Thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng c\u1ee7a vi khu\u1ea9n trong ru\u1ed9t. S\u1ef1 gia t\u0103ng nhu \u0111\u1ed9ng ru\u1ed9t c\u0169ng c\u00f3 th\u1ec3 l\u00e0m ph\u00e2n \u0111i qua nhanh h\u01a1n. M\u1ed9t s\u1ef1 thay \u0111\u1ed5i ho\u1eb7c m\u1ea5t c\u00e2n b\u1eb1ng trong m\u1ed9t ho\u1eb7c nhi\u1ec1u qu\u00e1 tr\u00ecnh ti\u00eau h\u00f3a n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra ti\u00eau ch\u1ea3y ..<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ti\u00eau ch\u1ea3y trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 bao g\u1ed3m:<\/p>\n<ul>\n<li>H\u00f3a tr\u1ecb<\/li>\n<li>X\u1ea1 tr\u1ecb \u0111\u1ebfn b\u1ee5ng ho\u1eb7c x\u01b0\u01a1ng ch\u1eadu<\/li>\n<li>C\u00e1c thu\u1ed1c nh\u01b0 kh\u00e1ng sinh, thu\u1ed1c nhu\u1eadn tr\u00e0ng v\u00e0 thu\u1ed1c kh\u00e1ng axit<\/li>\n<li>Nhi\u1ec5m virus ho\u1eb7c vi khu\u1ea9n<\/li>\n<li>C\u0103ng th\u1eb3ng ho\u1eb7c lo \u00e2u<\/li>\n<li>C\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c b\u1ec7nh vi\u00eam ru\u1ed9t<\/li>\n<li>Nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng ru\u1ed9t<\/li>\n<\/ul>\n<h3>Ti\u00eau ch\u1ea3y do h\u00f3a tr\u1ecb<\/h3>\n<p>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a h\u00f3a tr\u1ecb. \u0110i\u1ec1u n\u00e0y \u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u00eau ch\u1ea3y do h\u00f3a tr\u1ecb. H\u00f3a tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y theo nh\u1eefng c\u00e1ch kh\u00e1c nhau. H\u00f3a tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u00e0ng nh\u1ea7y. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng ch\u1ea5t l\u1ecfng trong ru\u1ed9t. Ch\u1ea5t l\u1ecfng c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 \u0111\u00fang c\u00e1ch, ch\u1ea5t l\u1ecfng ho\u1eb7c ch\u1ea5t nh\u1ea7y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebft ra th\u00eam. H\u00f3a tr\u1ecb c\u0169ng c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf s\u1ef1 h\u1ea5p th\u1ee5 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng ho\u1eb7c thay \u0111\u1ed5i c\u00e1ch th\u1ee9c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c enzyme ti\u00eau h\u00f3a trong ru\u1ed9t.<\/p>\n<p>\u0110\u1ed1i v\u1edbi tr\u1ebb em b\u1ecb ung th\u01b0, c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u01b0\u1eddng g\u00e2y ti\u00eau ch\u1ea3y bao g\u1ed3m <em>irinotecan, docetaxel, fluorouracil, dasatinib, imatinib, pazopanib, sorafenib <\/em>v\u00e0<em> sunitinib.<\/em><\/p>\n<h3>C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 n\u00e0o g\u00e2y ti\u00eau ch\u1ea3y?<\/h3>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"49%\"><strong>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 nguy c\u01a1 cao g\u00e2y ti\u00eau ch\u1ea3y<\/strong><\/td>\n<td width=\"50%\"><strong>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 nguy c\u01a1 trung b\u00ecnh g\u00e2y ti\u00eau ch\u1ea3y<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/busulfan.html\">Busulfan<\/a><\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/cyclophosphamide.html\">Cyclophosphamide<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\">Capecitabine<\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/daunorubicin.html\">Daunorubicin<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/dasatinib.html\">Dasatinib<\/a><\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/etoposide.html\">Etoposide<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/docetaxel.html\">Docetaxel<\/a><\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/interferon-alfa-2b.html\">Interferon<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/fluorouracil.html\">Fluorouracil<\/a>\u00a0(5-FU)<\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/melphalan.html\">Melphalan<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\">Idarubicin<\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/methotrexate.html\">Methotrexate<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\">Imatinib<\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/nivolumab.html\">Nivolumab<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/irinotecan.html\">Irinotecan<\/a><\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/paclitaxel.html\">Paclitaxel<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\">Mycophenolate<\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/topotecan.html\">Topotecan<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/pazopanib.html\">Pazopanib<\/a><\/td>\n<td width=\"50%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/vincristine.html\">Vincristine<\/a><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/sorafenib.html\">Sorafenib<\/a><\/td>\n<td width=\"50%\"><\/td>\n<\/tr>\n<tr>\n<td width=\"49%\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/medicines-list\/sunitinib.html\">Sunitinib<\/a><\/td>\n<td width=\"50%\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u0110\u1ecdc th\u00eam v\u1ec1 h\u00f3a tr\u1ecb v\u00e0 ni\u00eam m\u1ea1c.<\/p>\n<p>Ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn kh\u00e1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0 tr\u1ebb em. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra v\u00ec nh\u1eefng l\u00fd do kh\u00e1c nhau. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c g\u00e2y ra s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng c\u1ee7a vi khu\u1ea9n \u201ct\u1ed1t\u201d\u00a0 v\u00e0 \u201cx\u1ea5u\u201d trong d\u1ea1 d\u00e0y v\u00e0 ru\u1ed9t. C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e2n h\u1ee7y th\u1ee9c \u0103n ho\u1eb7c l\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 ho\u1eb7c s\u1ea3n xu\u1ea5t.<\/p>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y bao g\u1ed3m kh\u00e1ng sinh nh\u01b0 <em>ampicillin, amoxicillin, amoxicillin-clavulanate, cefixime, cefpodoxime, clindamycin <\/em>v\u00e0 <em>erythromycin<\/em>. Ch\u1ea5t l\u00e0m m\u1ec1m ph\u00e2n, thu\u1ed1c nhu\u1eadn tr\u00e0ng, thu\u1ed1c kh\u00e1ng axit v\u1edbi magi\u00ea, kali clorua v\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y.<\/p>\n<h3>X\u1ea1 tr\u1ecb v\u00e0 ti\u00eau ch\u1ea3y<\/h3>\n<p>X\u1ea1 tr\u1ecb v\u00e0o b\u1ee5ng, l\u01b0ng ho\u1eb7c x\u01b0\u01a1ng ch\u1eadu c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y. X\u1ea1 tr\u1ecb k\u00edch ho\u1ea1t s\u1ef1 ch\u1ebft t\u1ebf b\u00e0o c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ph\u00e1t tri\u1ec3n nhanh, gi\u1ed1ng nh\u01b0 c\u00e1c t\u1ebf b\u00e0o n\u1ebfp g\u1ea5p th\u00e0nh ru\u1ed9t. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam ru\u1ed9t ph\u00f3ng x\u1ea1. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/buon-non-va-non-o-tre-bi-ung-thu\/\" target=\"_blank\" rel=\"noopener\">bu\u1ed3n n\u00f4n, n\u00f4n<\/a>, chu\u1ed9t r\u00fat, m\u1ec7t m\u1ecfi v\u00e0 ti\u00eau ch\u1ea3y. Ph\u00e2n c\u00f3 th\u1ec3 c\u00f3 n\u01b0\u1edbc ho\u1eb7c m\u00e1u ho\u1eb7c ch\u1ea5t nh\u1ea7y. Vi\u00eam ru\u1ed9t ph\u00f3ng x\u1ea1 th\u01b0\u1eddng c\u1ea3i thi\u1ec7n 2-3 tu\u1ea7n sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb, nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i 12 tu\u1ea7n ho\u1eb7c l\u00e2u h\u01a1n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i h\u01a1n ho\u1eb7c g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1edbi ti\u00eau ch\u1ea3y sau n\u00e0y trong cu\u1ed9c s\u1ed1ng<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u00eau ch\u1ea3y khi x\u1ea1 tr\u1ecb bao g\u1ed3m:<\/p>\n<ul>\n<li>Li\u1ec1u cao h\u01a1n v\u00e0 t\u1ea7n su\u1ea5t \u0111i\u1ec1u tr\u1ecb b\u1ee9c x\u1ea1<\/li>\n<li>Khu v\u1ef1c \u0111i\u1ec1u tr\u1ecb l\u1edbn h\u01a1n li\u00ean quan \u0111\u1ebfn ru\u1ed9t<\/li>\n<li>X\u1ea1 tr\u1ecb k\u1ebft h\u1ee3p h\u00f3a tr\u1ecb<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y do x\u1ea1 tr\u1ecb bao g\u1ed3m s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 <em>loperamid<\/em> v\u00e0 <em>octreotide.<\/em><\/p>\n<h3>C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y ti\u00eau ch\u1ea3y<\/h3>\n<h4><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/side-effects\/diarrhea.html#sectioned_content-0030d17f-a749-41fa-beab-5d7dd64656a2=0\">Nhi\u1ec5m Clostridium difficile (C. dificile)<\/a><\/h4>\n<h5><strong>Diff l\u00e0 g\u00ec?<\/strong><\/h5>\n<p><em>Clostridioides difficile<\/em> (<em>Clostridium difficile<\/em>, <em>C. difficile<\/em> ho\u1eb7c <em>C. diff<\/em>) l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ch\u1ea3y nghi\u00eam tr\u1ecdng. Nhi\u1ec5m <em>C. diff<\/em> th\u01b0\u1eddng x\u1ea3y ra do t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c kh\u00e1ng sinh. Thu\u1ed1c kh\u00e1ng sinh c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng c\u1ee7a vi khu\u1ea9n \u201ct\u1ed1t\u201d v\u00e0 \u201cx\u1ea5u\u201d c\u1ee7a \u0111\u01b0\u1eddng ru\u1ed9t. Khi <em>C. diff<\/em> nh\u00e2n l\u00ean, \u0111\u1ed9c t\u1ed1 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c ru\u1ed9t. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m <em>C. diff<\/em> bao g\u1ed3m ti\u00eau ch\u1ea3y, s\u1ed1t, bu\u1ed3n n\u00f4n, ch\u00e1n \u0103n v\u00e0 \u0111au b\u1ee5ng. C\u00e1c x\u00e9t nghi\u1ec7m ph\u00e2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m ng\u1eebng kh\u00e1ng sinh li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng v\u00e0 s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i kh\u00e1ng sinh nh\u01b0 <em>vancomycin<\/em> ho\u1eb7c <em>metronidazole<\/em> \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng.<\/p>\n<h5><strong>L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m C. diff?<\/strong><\/h5>\n<p><em>C. diff<\/em> c\u00f3 th\u1ec3 l\u00e2y lan qua ti\u1ebfp x\u00fac. \u0110\u1ea3m b\u1ea3o r\u1eeda tay\u00a0 v\u00e0 l\u00e0m s\u1ea1ch c\u00e1c khu v\u1ef1c b\u1ec1 m\u1eb7t k\u1ef9 l\u01b0\u1ee1ng \u0111\u1ec3 gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a<em> C. diff<\/em>. B\u1ec7nh nh\u00e2n \u1edf l\u1ea1i l\u00e2u d\u00e0i trong b\u1ec7nh vi\u1ec7n, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch y\u1ebfu ho\u1eb7c nhi\u1ec5m <em>C. diff<\/em> tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 nguy c\u01a1 cao nh\u1ea5t.<\/p>\n<h5><strong>Ph\u00f2ng ng\u1eeba ti\u1ebfp x\u00fac l\u00e0 g\u00ec?<\/strong><\/h5>\n<p>B\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n v\u1edbi nhi\u1ec5m <em>C. diff<\/em> s\u1ebd c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba ti\u1ebfp x\u00fac. T\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi (gia \u0111\u00ecnh, th\u00e0nh vi\u00ean \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c v\u00e0 ng\u01b0\u1eddi th\u0103m b\u1ec7nh) ph\u1ea3i r\u1eeda tay khi v\u00e0o v\u00e0 ra kh\u1ecfi ph\u00f2ng, v\u00e0 c\u00e1c th\u00e0nh vi\u00ean c\u1ee7a \u0111\u1ed9i ch\u0103m s\u00f3c s\u1ebd m\u1eb7c \u00e1o cho\u00e0ng v\u00e0 g\u0103ng tay khi \u1edf trong ph\u00f2ng. \u0110i\u1ec1u n\u00e0y gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a nhi\u1ec5m tr\u00f9ng cho c\u00e1c b\u1ec7nh nh\u00e2n kh\u00e1c.<\/p>\n<h4>B\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng v\u1eadt ch\u1ee7<\/h4>\n<p>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng th\u1ea5y \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng v\u1eadt ch\u1ee7 (<span class=\"title\">Graft Versus Host Disease &#8211;\u00a0<\/span>GVHD). GVHD l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng \u0111\u00f4i khi x\u1ea3y ra sau khi gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c d\u1ecb gh\u00e9p (gh\u00e9p t\u1ebf b\u00e0o t\u1ea1o m\u00e1u). Ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u01a1 th\u1ec3 sau khi gh\u00e9p c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GI). C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m ti\u00eau ch\u1ea3y v\u00e0 \u0111au b\u1ee5ng. Ph\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u00e0u xanh l\u00e1 c\u00e2y, c\u00f3 n\u01b0\u1edbc v\u00e0 m\u00e1u, ch\u1ea5t nh\u1ea7y ho\u1eb7c m\u00f4. \u0110i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn GVHD bao g\u1ed3m s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c corticosteroid nh\u01b0 <em>budesonide<\/em> ho\u1eb7c <em>beclomethasone<\/em> \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 ch\u1ec9 ho\u1ea1t \u0111\u1ed9ng trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y trong ung th\u01b0 tr\u1ebb em<\/h2>\n<p>Ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong ung th\u01b0. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u00e1c gia \u0111\u00ecnh ph\u1ea3i h\u1ee3p t\u00e1c ch\u1eb7t ch\u1ebd v\u1edbi \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a tr\u1ebb \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t. C\u00e1c chi\u1ebfn l\u01b0\u1ee3c gi\u00fap \u0111i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y bao g\u1ed3m thu\u1ed1c ch\u1ed1ng ti\u00eau ch\u1ea3y v\u00e0 thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng. B\u1ed5 sung d\u1ecbch \u0111\u1ea7y \u0111\u1ee7 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 tr\u00e1nh m\u1ea5t n\u01b0\u1edbc. N\u1ebfu ti\u00eau ch\u1ea3y nghi\u00eam tr\u1ecdng ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 b\u1ed5 sung d\u1ecbch b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, c\u00f3 th\u1ec3 c\u1ea7n truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch (IV).<\/p>\n<h2>C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y<\/h2>\n<p>Thu\u1ed1c tr\u1ecb ti\u00eau ch\u1ea3y \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n d\u1ef1a tr\u00ean <strong>m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ti\u00eau ch\u1ea3y<\/strong> v\u00e0 <strong>nguy\u00ean nh\u00e2n<\/strong> nghi ng\u1edd ho\u1eb7c \u0111\u00e3 bi\u1ebft. C\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y \u1edf tr\u1ebb em b\u1ecb ung th\u01b0 bao g\u1ed3m <em>loperamid (Imodium\u00ae)<\/em> v\u00e0 kh\u00e1ng sinh. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t, <em>atropine<\/em> v\u00e0 <em>octreotide<\/em> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 lo\u1ea1i ti\u00eau ch\u1ea3y.<\/p>\n<p>Men vi sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. Tuy nhi\u00ean, tr\u1ebb em ung th\u01b0 ch\u1ec9 n\u00ean s\u1eed d\u1ee5ng b\u1ed5 sung men vi sinh d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y d\u1ef1a tr\u00ean nhu c\u1ea7u c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ebd quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p t\u1ed1t nh\u1ea5t cho t\u1eebng b\u1ec7nh nh\u00e2n<\/p>\n<h2>\u0102n g\u00ec khi b\u1ecb ti\u00eau ch\u1ea3y<\/h2>\n<p>\u0110\u1ec3 gi\u00fap ti\u00eau ch\u1ea3y, \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng bao g\u1ed3m <strong>chia nh\u1ecf b\u1eefa \u0103n, th\u1ee9c \u0103n l\u1ecfng v\u00e0 ch\u1ea5t l\u1ecfng kh\u00f4ng ch\u1ee9a caffeine<\/strong>. Ch\u1ebf \u0111\u1ed9 \u0103n BRAT (chu\u1ed1i, c\u01a1m, t\u00e1o v\u00e0 b\u00e1nh m\u00ec n\u01b0\u1edbng) \u0111\u00f4i khi \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho b\u1ec7nh nh\u00e2n b\u1ecb ti\u00eau ch\u1ea3y. Tuy nhi\u00ean, ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang n\u00e0y c\u00f3 \u00edt ch\u1ea5t dinh d\u01b0\u1ee1ng quan tr\u1ecdng, v\u00ec v\u1eady ch\u1ec9 n\u00ean th\u1ef1c hi\u1ec7n trong v\u00e0i ng\u00e0y ho\u1eb7c theo khuy\u1ebfn ngh\u1ecb c\u1ee7a \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c. C\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb bao g\u1ed3m y\u1ebfn m\u1ea1ch, ng\u0169 c\u1ed1c \u00edt \u0111\u01b0\u1eddng, b\u00e1nh quy gi\u00f2n, m\u00ec \u1ed1ng kh\u00f4ng c\u00f3 n\u01b0\u1edbc s\u1ed1t v\u00e0 tr\u00e1i c\u00e2y m\u1ec1m, b\u00f3c v\u1ecf nh\u01b0 \u0111\u00e0o ho\u1eb7c l\u00ea. S\u00fap d\u1ef1a tr\u00ean n\u01b0\u1edbc d\u00f9ng v\u1edbi rau n\u1ea5u ch\u00edn v\u00e0 th\u1ecbt n\u1ea1c c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u00e1ch t\u1ed1t \u0111\u1ec3 kh\u1edfi \u0111\u1ed9ng l\u1ea1i th\u1ee9c \u0103n r\u1eafn v\u00e0 t\u0103ng l\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng.<\/p>\n<p>M\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m c\u00f3 th\u1ec3 l\u00e0m cho ti\u00eau ch\u1ea3y n\u1eb7ng h\u01a1n. Ch\u00fang bao g\u1ed3m th\u1ef1c ph\u1ea9m cay ho\u1eb7c d\u1ea7u m\u1ee1, s\u1eefa v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa, tr\u00e1i c\u00e2y v\u00e0 rau s\u1ed1ng, tr\u00e1i c\u00e2y s\u1ea5y kh\u00f4, m\u1ed9t s\u1ed1 lo\u1ea1i n\u01b0\u1edbc \u00e9p tr\u00e1i c\u00e2y, th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t b\u00e9o ho\u1eb7c \u0111\u01b0\u1eddng, v\u00e0 caffeine.<\/p>\n<p>N\u1ebfu ti\u00eau ch\u1ea3y l\u00e0 do b\u1ec7nh th\u1ea3i gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 b\u1ecb gi\u1edbi h\u1ea1n h\u01a1n.<\/p>\n<h3><strong>L\u1eddi khuy\u00ean dinh d\u01b0\u1ee1ng khi b\u1ecb ti\u00eau ch\u1ea3y bao g\u1ed3m<\/strong><\/h3>\n<ul>\n<li>U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc \u0111\u1ec3 tr\u00e1nh m\u1ea5t n\u01b0\u1edbc. Ch\u1ecdn n\u01b0\u1edbc ho\u1eb7c \u0111\u1ed3 u\u1ed1ng kh\u00f4ng c\u00f3 caffeine v\u00e0 \u00edt \u0111\u01b0\u1eddng nh\u01b0 Pedialyte\u00ae v\u00e0 \u0111\u1ed3 u\u1ed1ng th\u1ec3 thao c\u00f3 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng th\u1ea5p h\u01a1n.<\/li>\n<li>Chia nh\u1ecf c\u00e1c b\u1eefa \u0103n, \u0103n ch\u1eadm v\u00e0 nhai k\u1ef9.<\/li>\n<li>Ch\u1ecdn th\u1ef1c ph\u1ea9m d\u1ec5 ti\u00eau h\u00f3a.<\/li>\n<li>Tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u v\u00e0 cafein.<\/li>\n<li>H\u1ea1n ch\u1ebf th\u1ef1c ph\u1ea9m c\u00f3 nhi\u1ec1u ch\u1ea5t x\u01a1 kh\u00f4ng h\u00f2a tan nh\u01b0 tr\u00e1i c\u00e2y v\u00e0 rau qu\u1ea3 c\u00f3 v\u1ecf ho\u1eb7c h\u1ea1t. Ch\u1ea5t x\u01a1 h\u00f2a tan c\u00f3 trong b\u1ed9t y\u1ebfn m\u1ea1ch, t\u00e1o, chu\u1ed1i v\u00e0 m\u1ed9t s\u1ed1 ch\u1ea5t b\u1ed5 sung ch\u1ea5t x\u01a1 c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n l\u1ecfng.<\/li>\n<li>Tr\u00e1nh c\u00e1c th\u1ef1c ph\u1ea9m c\u00f3 th\u1ec3 l\u00e0m cho kh\u00ed v\u00e0 chu\u1ed9t r\u00fat t\u1ed3i t\u1ec7 h\u01a1n. Ch\u00fang bao g\u1ed3m \u0111\u1eadu, b\u00f4ng c\u1ea3i xanh, s\u00fap l\u01a1, b\u1eafp c\u1ea3i v\u00e0 \u0111\u1ed3 u\u1ed1ng c\u00f3 ga.<\/li>\n<li>Cung c\u1ea5p th\u1ef1c ph\u1ea9m ch\u1ee9a nhi\u1ec1u kali nh\u01b0 chu\u1ed1i, khoai t\u00e2y, m\u01a1 v\u00e0 \u0111\u00e0o.<\/li>\n<\/ul>\n<h3><strong>\u0102n<\/strong><\/h3>\n<ul>\n<li>Chu\u1ed1i<\/li>\n<li>C\u01a1m<\/li>\n<li>T\u00e1o<\/li>\n<li>B\u00e1nh m\u00ec n\u01b0\u1edbng, b\u00e1nh m\u00ec tr\u1eafng<\/li>\n<li>Ch\u00e1o b\u1ed9t y\u1ebfn m\u1ea1ch<\/li>\n<li>Kem g\u1ea1o ho\u1eb7c l\u00faa m\u00ec<\/li>\n<li>M\u00ec<\/li>\n<li>Khoai t\u00e2y nghi\u1ec1n<\/li>\n<li>B\u00e1nh quy gi\u00f2n<\/li>\n<li>B\u00e1nh quy que<\/li>\n<li>Tr\u00e1i c\u00e2y kh\u00f4ng v\u1ecf<\/li>\n<li>Rau n\u1ea5u ch\u00edn<\/li>\n<li>Tr\u1ee9ng ch\u00edn<\/li>\n<li>S\u1eefa chua \u00edt \u0111\u01b0\u1eddng<\/li>\n<li>B\u1ecfng ng\u00f4 hay n\u01b0\u1edbc gi\u1ea3i kh\u00e1t<\/li>\n<li>Th\u1ea1ch h\u01b0\u01a1ng v\u1ecb tr\u00e1i c\u00e2y<\/li>\n<\/ul>\n<h3><strong>Tr\u00e1nh<\/strong><\/h3>\n<ul>\n<li>Th\u1ef1c ph\u1ea9m nhi\u1ec1u d\u1ea7u m\u1ee1 ho\u1eb7c chi\u00ean<\/li>\n<li>Th\u1ee9c \u0103n cay<\/li>\n<li>Caffeine<\/li>\n<li>C\u00e1c s\u1ea3n ph\u1ea9m s\u1eefa (\u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1eddng s\u1eefa)<\/li>\n<li>Tr\u00e1i c\u00e2y v\u00e0 rau s\u1ed1ng c\u00f3 v\u1ecf<\/li>\n<li>B\u1eafp rang b\u01a1<\/li>\n<li>C\u00e1c lo\u1ea1i h\u1ea1t v\u00e0 h\u1ea1t gi\u1ed1ng<\/li>\n<li>B\u1ecfng ng\u00f4 rang n\u1edf<\/li>\n<li>C\u00e1c lo\u1ea1i ng\u0169 c\u1ed1c<\/li>\n<li>R\u01b0\u1ee3u<\/li>\n<\/ul>\n<p>T\u00ecm ki\u1ebfm nhi\u1ec1u h\u01a1n c\u00e1c l\u1eddi khuy\u00ean v\u1ec1 dinh d\u01b0\u1ee1ng h\u1ea1n ch\u1ebf c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5<\/p>\n<h2>Ti\u00eau ch\u1ea3y \u1edf tr\u1ebb em ung th\u01b0: L\u1eddi khuy\u00ean cho c\u00e1c gia \u0111\u00ecnh<\/h2>\n<ul>\n<li><strong>Ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng.<\/strong> Theo d\u00f5i v\u00e0 th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1edbi \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u1ee7a b\u1ea1n. Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u m\u1ea5t n\u01b0\u1edbc nh\u01b0 kh\u00e1t n\u01b0\u1edbc, kh\u00f4 mi\u1ec7ng, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, chu\u1ed9t r\u00fat c\u01a1 b\u1eafp, ti\u1ec3u \u00edt, kh\u00f3 ch\u1ecbu v\u00e0 thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng.<\/li>\n<li>Chu\u1ea9n b\u1ecb cho con b\u1ea1n kh\u1ea3 n\u0103ng b\u1ecb ti\u00eau ch\u1ea3y v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c. Tr\u00f2 chuy\u1ec7n trung th\u1ef1c v\u00e0 c\u1edfi m\u1edf. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi tr\u1ebb l\u1edbn v\u00e0 thanh thi\u1ebfu ni\u00ean c\u00f3 th\u1ec3 x\u1ea5u h\u1ed5 khi n\u00f3i v\u1ec1 th\u00f3i quen \u0111i v\u1ec7 sinh ho\u1eb7c mu\u1ed1n t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n.<\/li>\n<li>Khuy\u1ebfn kh\u00edch <strong>ngh\u1ec9 ng\u01a1i \u0111\u1ec3 gi\u00fap gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t.<\/strong> N\u1ebfu con b\u1ea1n lo l\u1eafng ho\u1eb7c s\u1ee3 h\u00e3i, h\u00e3y th\u1eed c\u00e1ch \u0111\u1ec3 ki\u1ec3m so\u00e1t s\u1ef1 lo l\u1eafng. Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t v\u00e0 c\u0103ng th\u1eb3ng c\u00f3 th\u1ec3 k\u00edch th\u00edch s\u1ef1 di chuy\u1ec3n c\u1ee7a ru\u1ed9t.<\/li>\n<li><strong>\u0110i c\u1ea7u nhi\u1ec1u l\u1ea7n c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng da<\/strong>. H\u00e3y ch\u1eafc ch\u1eafn \u0111\u1ec3 l\u00e0m s\u1ea1ch nh\u1eb9 nh\u00e0ng nh\u01b0ng k\u1ef9 l\u01b0\u1ee1ng, v\u00e0 gi\u1eef cho khu v\u1ef1c n\u00e0y kh\u00f4 r\u00e1o. S\u1eed d\u1ee5ng kem b\u00f4i ho\u1eb7c thu\u1ed1c m\u1ee1 theo khuy\u1ebfn ngh\u1ecb c\u1ee7a \u0111\u1ed9i ch\u0103m s\u00f3c. Vi\u00eam da do t\u00e3 (h\u0103m t\u00e3) c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng. Tr\u1ebb l\u1edbn h\u01a1n v\u00e0 thanh thi\u1ebfu ni\u00ean b\u1ecb \u0111au c\u0169ng c\u00f3 th\u1ec3 do v\u1ec7 sinh kh\u00f4ng s\u1ea1ch sau khi \u0111i v\u1ec7 sinh, \u0111i\u1ec1u n\u00e0y s\u1ebd l\u00e0m cho c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 da tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n. \u0110\u1ed1i v\u1edbi tr\u1ebb em c\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch y\u1ebfu, b\u1ea5t k\u1ef3 s\u1ef1 c\u1ed1 n\u00e0o c\u1ee7a da c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng. Theo d\u00f5i s\u1ef1 thay \u0111\u1ed5i c\u1ee7a da v\u00e0 th\u1ea3o lu\u1eadn v\u1ec1 vi\u1ec7c ch\u0103m s\u00f3c da v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n.<\/li>\n<li>Mang th\u00eam m\u1ed9t b\u1ed9 qu\u1ea7n \u00e1o v\u00e0 t\u00fai nh\u1ef1a \u0111\u1ec3 \u0111\u1ef1ng \u0111\u1ed3 b\u1ea9n. Gi\u1eef g\u0103ng tay d\u00f9ng m\u1ed9t l\u1ea7n, kh\u0103n lau s\u1ea1ch v\u00e0 n\u01b0\u1edbc r\u1eeda tay \u0111\u1ec3 l\u00e0m s\u1ea1ch. M\u1ed9t ch\u1ea5t l\u00e0m m\u00e1t kh\u00f4ng kh\u00ed ho\u1eb7c kh\u1eed m\u00f9i c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m b\u1edbt m\u00f9i h\u00f4i.<\/li>\n<li>Mi\u1ebfng l\u00f3t v\u00e0 \u0111\u1ed3 l\u00f3t c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng t\u1ef1 ch\u1ee7. C\u00e1c s\u1ea3n ph\u1ea9m d\u00e0nh cho thanh thi\u1ebfu ni\u00ean v\u00e0 ng\u01b0\u1eddi l\u1edbn c\u00f3 s\u1eb5n bao g\u1ed3m v\u1ea3i l\u00f3t, qu\u1ea7n l\u00f3t k\u00e9o v\u00e0 v\u1ecf t\u00e3. N\u00f3i chuy\u1ec7n v\u1edbi \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u1ee7a b\u1ea1n v\u1ec1 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 s\u1eb5n t\u1eeb b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u00f4ng ty y t\u1ebf t\u1ea1i nh\u00e0 c\u1ee7a b\u1ea1n. S\u1ea3n ph\u1ea9m c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t h\u00e0ng tr\u1ef1c tuy\u1ebfn t\u1eeb c\u00e1c c\u00f4ng ty nh\u01b0 NorthShore Care Supply.<\/li>\n<li>Gi\u00fap con b\u1ea1n l\u1eadp k\u1ebf ho\u1ea1ch s\u1eed d\u1ee5ng nh\u00e0 v\u1ec7 sinh \u1edf tr\u01b0\u1eddng ho\u1eb7c nh\u1eefng n\u01a1i c\u00f4ng c\u1ed9ng. H\u00e3y ch\u1eafc ch\u1eafn r\u1eb1ng gi\u00e1o vi\u00ean cho ph\u00e9p s\u1eed d\u1ee5ng nh\u00e0 v\u1ec7 sinh b\u1ea5t c\u1ee9 l\u00fac n\u00e0o. C\u00f3 m\u1ed9t t\u1eeb m\u00e3 ho\u1eb7c t\u00edn hi\u1ec7u \u0111\u1ec3 s\u1eed d\u1ee5ng khi con b\u1ea1n c\u1ea7n nh\u00e0 v\u1ec7 sinh ngay l\u1eadp t\u1ee9c nh\u01b0ng c\u00f3 th\u1ec3 qu\u00e1 x\u1ea5u h\u1ed5 \u0111\u1ec3 n\u00f3i.<\/li>\n<\/ul>\n<h2>Th\u00eam c\u00e1c ngu\u1ed3n t\u00e0i nguy\u00ean v\u1ec1 ti\u00eau ch\u1ea3y \u1edf tr\u1ebb ung th\u01b0<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.stjude.org\/treatment\/patient-resources\/caregiver-resources\/patient-family-education-sheets\/nutrition-dietary\/what-to-do-when-you-have-diarrhea.html\" target=\"_blank\" rel=\"noopener\">L\u00e0m g\u00ec khi b\u1ecb ti\u00eau ch\u1ea3y<\/a><\/li>\n<li><a href=\"https:\/\/www.cancer.gov\/about-cancer\/treatment\/side-effects\/constipation\/gi-complications-pdq#section\/_29\" target=\"_blank\" rel=\"noopener\">Bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a &#8211; Ti\u00eau ch\u1ea3y<\/a><\/li>\n<li><a href=\"https:\/\/www.cancer.gov\/about-cancer\/treatment\/side-effects\/constipation\/gi-complications-pdq#section\/_36\" target=\"_blank\" rel=\"noopener\">Bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a &#8211; Vi\u00eam ru\u1ed9t ph\u00f3ng x\u1ea1<\/a><\/li>\n<li><a href=\"https:\/\/www.stjude.org\/treatment\/patient-resources\/caregiver-resources\/patient-family-education-sheets\/nutrition-dietary\/what-to-eat-for-gvhd1.html\" target=\"_blank\" rel=\"noopener\">\u0102n g\u00ec cho b\u1ec7nh m\u1ea3nh gh\u00e9p ch\u1ed1ng v\u1eadt ch\u1ee7<\/a><\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/side-effects\/diarrhea.html\" target=\"_blank\" rel=\"noopener\">https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/side-effects\/diarrhea.html<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn trong ung th\u01b0 tr\u1ebb em. N\u00f3 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau bao g\u1ed3m h\u00f3a tr\u1ecb, kh\u00e1ng sinh, v\u00e0 nhi\u1ec5m tr\u00f9ng. Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p, ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 d\u1eabn t\u1edbi nh\u1eefng v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng nh\u01b0 m\u1ea5t n\u01b0\u1edbc, suy dinh d\u01b0\u1ee1ng, v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng chuy\u1ec3n h\u00f3a.<\/p>\n","protected":false},"author":469,"featured_media":8483,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3239],"tags":[2472,2686,2535,2764,2478],"series":[2108],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u00eau ch\u1ea3y trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf tr\u1ebb em - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn trong ung th\u01b0 tr\u1ebb em. N\u00f3 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau bao g\u1ed3m h\u00f3a tr\u1ecb, kh\u00e1ng sinh, v\u00e0 nhi\u1ec5m tr\u00f9ng. Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p, ti\u00eau ch\u1ea3y c\u00f3 th\u1ec3 d\u1eabn t\u1edbi nh\u1eefng v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng nh\u01b0 m\u1ea5t n\u01b0\u1edbc, suy dinh d\u01b0\u1ee1ng, v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng chuy\u1ec3n h\u00f3a.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/ung-thu\/tieu-chay-trong-dieu-tri-ung-thu-o-tre-em\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ti\u00eau ch\u1ea3y trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf tr\u1ebb em - D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"og:description\" content=\"Ti\u00eau ch\u1ea3y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn trong ung th\u01b0 tr\u1ebb em. 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