{"id":8489,"date":"2020-05-20T04:52:01","date_gmt":"2020-05-19T21:52:01","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/buon-non-va-non-o-tre-bi-ung-thu\/"},"modified":"2020-05-20T04:52:01","modified_gmt":"2020-05-19T21:52:01","slug":"buon-non-va-non-o-tre-bi-ung-thu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/buon-non-va-non-o-tre-bi-ung-thu\/","title":{"rendered":"Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n \u1edf tr\u1ebb b\u1ecb ung th\u01b0"},"content":{"rendered":"<div style=\"display:none;\">\n<p style=\"text-align: justify\"><strong>\u0110\u01b0\u1ee3c ch\u1ea5p thu\u1eadn b\u1edfi Ban bi\u00ean t\u1eadp <a href=\"https:\/\/together.stjude.org\/en-us\/\" target=\"_blank\" rel=\"noopener\">Together.stjude.org<\/a>, th\u00e1ng 3\/2020<\/strong><\/p>\n<p style=\"text-align: justify\"><strong>\u0110\u01b0\u1ee3c ch\u1ea5p thu\u1eadn b\u1edfi Ban bi\u00ean t\u1eadp <a href=\"https:\/\/yhoccongdong.com\/\" target=\"_blank\" rel=\"noopener\">Yhoccongdong.com<\/a>, th\u00e1ng 3\/2020<\/strong><\/p>\n<\/div>\n<p style=\"text-align: justify\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a ung th\u01b0 v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra tr\u01b0\u1edbc, trong ho\u1eb7c sau khi \u0111i\u1ec1u tr\u1ecb. Tr\u1ebb b\u1ecb ung th\u01b0 v\u00e0 gia \u0111\u00ecnh th\u01b0\u1eddng than phi\u1ec1n r\u1eb1ng bu\u1ed3n n\u00f4n l\u00e0 m\u1ed9t trong nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0m phi\u1ec1n h\u1ecd nh\u1ea5t. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn s\u1ee9c kh\u1ecfe, c\u1ea3m x\u00fac, c\u1ea3n tr\u1edf vi\u1ec7c tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, c\u1ea3n tr\u1edf c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y. D\u1eabn \u0111\u1ebfn dinh d\u01b0\u1ee1ng k\u00e9m, s\u1ee5t c\u00e2n v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng s\u1ee9c kh\u1ecfe kh\u00e1c.<\/p>\n<p style=\"text-align: justify\">\u0110\u1ed1i v\u1edbi h\u1ea7u h\u1ebft tr\u1ebb b\u1ecb ung th\u01b0, c\u00f3 nh\u1eefng c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 gi\u1ea3m bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. Ch\u00fang bao g\u1ed3m thu\u1ed1c ch\u1ed1ng n\u00f4n, thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111\u1ed1i ph\u00f3 kh\u00e1c nh\u01b0 th\u1edf s\u00e2u v\u00e0 l\u00e0m sao l\u00e3ng s\u1ef1 ch\u00fa \u00fd. C\u00e1c li\u1ec7u ph\u00e1p b\u1ed5 sung nh\u01b0 ch\u00e2m c\u1ee9u, li\u1ec7u ph\u00e1p m\u00f9i h\u01b0\u01a1ng v\u00e0 th\u00f4i mi\u00ean c\u0169ng c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n<h2 style=\"text-align: justify\"><strong>Bu\u1ed3n n\u00f4n l\u00e0 g\u00ec? <\/strong><\/h2>\n<p style=\"text-align: justify\">Bu\u1ed3n n\u00f4n l\u00e0 c\u1ea3m gi\u00e1c \u1ed1m y\u1ebfu ho\u1eb7c kh\u00f3 ch\u1ecbu, li\u00ean quan \u0111\u1ebfn s\u1ef1 th\u00f4i th\u00fac n\u00f4n. Bu\u1ed3n n\u00f4n l\u00e0 c\u1ea3m gi\u00e1c ch\u1ee7 quan, c\u00f3 ngh\u0129a l\u00e0 n\u00f3 ph\u1ee5 thu\u1ed9c v\u00e0o c\u1ea3m nh\u1eadn c\u1ee7a ch\u00ednh ng\u01b0\u1eddi \u0111\u00f3. Bu\u1ed3n n\u00f4n th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn nh\u1eefng c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu \u1edf c\u1ed5 h\u1ecdng, th\u1ef1c qu\u1ea3n ho\u1eb7c d\u1ea1 d\u00e0y. C\u00e1c c\u1ea3m gi\u00e1c kh\u00e1c c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn bu\u1ed3n n\u00f4n l\u00e0 ch\u00f3ng m\u1eb7t, kh\u00f3 nu\u1ed1t, \u0111\u1ed5 m\u1ed3 h\u00f4i, c\u1ea3m th\u1ea5y \u1edbn l\u1ea1nh ho\u1eb7c \u0111\u1ecf b\u1eebng.<\/p>\n<h2 style=\"text-align: justify\"><strong>N\u00f4n l\u00e0 g\u00ec? <\/strong><\/h2>\n<p style=\"text-align: justify\">N\u00f4n, ho\u1eb7c \u00f3i, x\u1ea3y ra do t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u01a1 ho\u00e0nh v\u00e0 c\u00e1c c\u01a1 b\u1ee5ng. C\u00e1c c\u01a1 n\u00e0y co l\u1ea1i, \u0111\u1ea9y ch\u1ea5t ch\u1ee9a trong d\u1ea1 d\u00e0y l\u00ean th\u1ef1c qu\u1ea3n v\u00e0 ra kh\u1ecfi mi\u1ec7ng. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c \u0111i\u1ec1u khi\u1ec3n b\u1edfi c\u00e1c d\u00e2y th\u1ea7n kinh \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c k\u00edch th\u00edch nh\u1ea5t \u0111\u1ecbnh. C\u00e1c t\u00e1c nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n l\u00e0 virus v\u00e0 vi khu\u1ea9n, s\u1ef1 di chuy\u1ec3n v\u00e0 c\u00e1c t\u00edn hi\u1ec7u v\u1eadt l\u00fd ho\u1eb7c h\u00f3a h\u1ecdc. Ch\u00fang k\u00edch ho\u1ea1t c\u00e1c con \u0111\u01b0\u1eddng th\u1ea7n kinh ki\u1ec3m so\u00e1t ph\u1ea3n x\u1ea1 n\u00f4n. Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n c\u00f3 li\u00ean quan v\u1edbi nhau, nh\u01b0ng m\u1ed7i c\u00e1i c\u00f3 th\u1ec3 x\u1ea3y ra m\u00e0 kh\u00f4ng k\u00e8m c\u00e1i kia.<\/p>\n<h2 style=\"text-align: justify\"><strong>Nguy\u00ean nh\u00e2n g\u00e2y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n \u1edf tr\u1ebb b\u1ecb ung th\u01b0<\/strong><\/h2>\n<p style=\"text-align: justify\">H\u00f3a tr\u1ecb l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y bu\u1ed3n n\u00f4n \u1edf tr\u1ebb em b\u1ecb ung th\u01b0. Tuy nhi\u00ean, x\u1ea1 tr\u1ecb v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n. M\u1ed9t s\u1ed1 tr\u1ebb b\u1ecb bu\u1ed3n n\u00f4n do \u1ea3nh h\u01b0\u1edfng c\u1ee7a ch\u00ednh b\u1ec7nh ung th\u01b0 ho\u1eb7c do c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c. Tr\u1ebb b\u1ecb u n\u00e3o c\u00f3 th\u1ec3 b\u1ecb n\u00e3o \u00fang th\u1ee7y, m\u1ed9t t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng trong n\u00e3o. \u00c1p l\u1ef1c trong khoang s\u1ecd n\u00e3o t\u0103ng c\u00f3 th\u1ec3 k\u00edch ho\u1ea1t c\u00e1c d\u00e2y th\u1ea7n kinh g\u00e2y n\u00f4n.<\/p>\n<p style=\"text-align: justify\">Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n \u1edf tr\u1ebb b\u1ecb ung th\u01b0 bao g\u1ed3m:<\/p>\n<ul>\n<li style=\"text-align: justify\"><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 style=\"text-align: justify\">C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c bao g\u1ed3m kh\u00e1ng sinh, thu\u1ed1c opioid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh<\/li>\n<li style=\"text-align: justify\"><a href=\"https:\/\/yhoccongdong.com\/thongtin\/xa-tri-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 tr\u1ecb<\/a><\/li>\n<li style=\"text-align: justify\">B\u1ea3n th\u00e2n ung th\u01b0, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu kh\u1ed1i u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u00e3o ho\u1eb7c h\u1ec7 ti\u00eau h\u00f3a<\/li>\n<li style=\"text-align: justify\">R\u1ed1i lo\u1ea1n d\u1ea1 d\u00e0y v\u00e0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/li>\n<li style=\"text-align: justify\">V\u1ea5n \u0111\u1ec1 v\u1ec1 tai trong<\/li>\n<li style=\"text-align: justify\">M\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft v\u00e0 trao \u0111\u1ed5i ch\u1ea5t<\/li>\n<li style=\"text-align: justify\">S\u1ed1t v\u00e0 nhi\u1ec5m tr\u00f9ng<\/li>\n<li style=\"text-align: justify\">C\u0103ng th\u1eb3ng v\u00e0 lo l\u1eafng<\/li>\n<li style=\"text-align: justify\">\u0110au \u0111\u1edbn<\/li>\n<li style=\"text-align: justify\">C\u01a1n n\u00f4n tr\u01b0\u1edbc \u0111\u00f3<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n l\u00e0 do s\u1ef1 t\u01b0\u01a1ng t\u00e1c ph\u1ee9c t\u1ea1p gi\u1eefa m\u1ed9t v\u00e0i h\u1ec7 th\u1ed1ng trong c\u01a1 th\u1ec3 bao g\u1ed3m h\u1ec7 th\u1ed1ng th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng, h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, h\u1ec7 n\u1ed9i ti\u1ebft v\u00e0 h\u1ec7 ti\u00eau h\u00f3a. Suy ngh\u0129 v\u00e0 c\u1ea3m x\u00fac c\u0169ng \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n.<\/p>\n<h2 style=\"text-align: justify\"><strong>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda trong qu\u00e1 tr\u00ecnh h\u00f3a tr\u1ecb<\/strong><\/h2>\n<p style=\"text-align: justify\">C\u00f3 t\u1edbi 70% tr\u1ebb em \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb li\u1ec7u s\u1ebd b\u1ecb bu\u1ed3n n\u00f4n t\u1ea1i m\u1ed9t s\u1ed1 th\u1eddi \u0111i\u1ec3m trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau t\u1eeb kh\u00f3 ch\u1ecbu nh\u1eb9 \u0111\u1ebfn n\u00f4n m\u1eeda nghi\u00eam tr\u1ecdng. C\u00f3 3 lo\u1ea1i bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n li\u00ean quan \u0111\u1ebfn h\u00f3a tr\u1ecb li\u1ec7u:<\/p>\n<ul>\n<li style=\"text-align: justify\">N\u00f4n c\u1ea5p t\u00ednh &#8211; x\u1ea3y ra trong 24 gi\u1edd \u0111\u1ea7u sau h\u00f3a tr\u1ecb. N\u00f3 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u 1-2 gi\u1edd sau khi h\u00f3a tr\u1ecb v\u00e0 tr\u1edf n\u00ean t\u1ed1t h\u01a1n sau 4 &#8211; 6 gi\u1edd.<\/li>\n<li style=\"text-align: justify\">N\u00f4n tr\u00ec ho\u00e3n &#8211; bi\u1ec3u hi\u1ec7n sau 24 gi\u1edd. Th\u00f4ng th\u01b0\u1eddng, nghi\u00eam tr\u1ecdng nh\u1ea5t l\u00e0 kho\u1ea3ng 48-72 gi\u1edd sau khi h\u00f3a tr\u1ecb v\u00e0 s\u1ebd t\u1ed1t h\u01a1n trong v\u00e0i ng\u00e0y sau \u0111\u00f3.<\/li>\n<li style=\"text-align: justify\">N\u00f4n ti\u1ec1n tri\u1ec7u (x\u1ea3y ra tr\u01b0\u1edbc) &#8211; x\u1ea3y ra tr\u01b0\u1edbc khi h\u00f3a tr\u1ecb v\u00e0 \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn h\u00f3a tr\u1ecb. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng m\u1eafc ph\u1ea3i v\u00e0 r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 b\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n d\u1eef d\u1ed9i v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb trong tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Thu\u1ed1c h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo nguy c\u01a1 ho\u1eb7c kh\u1ea3 n\u0103ng g\u00e2y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n:<\/p>\n<ul>\n<li style=\"text-align: justify\">Cao (nguy c\u01a1 &gt; 90%)<\/li>\n<li style=\"text-align: justify\">Trung b\u00ecnh (nguy c\u01a1 30-90%)<\/li>\n<li style=\"text-align: justify\">Th\u1ea5p (nguy c\u01a1 10-30%)<\/li>\n<li style=\"text-align: justify\">T\u1ed1i thi\u1ec3u (nguy c\u01a1 &lt;10%)<\/li>\n<\/ul>\n<p style=\"text-align: justify\">B\u1ea3ng ph\u00e2n lo\u1ea1i n\u00e0y d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng x\u1ea3y ra tri\u1ec7u ch\u1ee9ng n\u1ebfu tr\u1ebb kh\u00f4ng \u0111\u01b0\u1ee3c k\u00ea thu\u1ed1c ch\u1ed1ng n\u00f4n. Tr\u1ebb \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb c\u00f3 nguy c\u01a1 n\u00f4n m\u1eeda cao ho\u1eb7c trung b\u00ecnh, th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c \u0111\u1ec3 ng\u0103n ng\u1eeba bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n tr\u01b0\u1edbc khi c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra.<\/p>\n<h3>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 g\u00e2y n\u00f4n v\u00e0 bu\u1ed3n n\u00f4n<\/h3>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"51%\"><strong>Nh\u00f3m nguy c\u01a1 cao<\/strong><\/td>\n<td width=\"48%\"><strong>Nh\u00f3m nguy c\u01a1 trung b\u00ecnh<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Carboplatin<\/td>\n<td width=\"48%\">Carmustine<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Cisplatin<\/td>\n<td width=\"48%\">Clofarabine<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Cyclophosphamide (li\u1ec1u cao)<\/td>\n<td width=\"48%\">Cyclophosphamide(li\u1ec1u th\u1ea5p)<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Cytarabine (li\u1ec1u cao)<\/td>\n<td width=\"48%\">Cytarabine (li\u1ec1u trung b\u00ecnh)<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Dactinomycin<\/td>\n<td width=\"48%\">Daunorubicin<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Methotrexate (li\u1ec1u cao)<\/td>\n<td width=\"48%\">Doxorubicin (li\u1ec1u th\u1ea5p)<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Dacarbazine<\/td>\n<td width=\"48%\">Ifosfamide<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Doxorubicin (li\u1ec1u cao)<\/td>\n<td width=\"48%\">Imatinib<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Cytarabine + Etoposide ho\u1eb7c Teniposide<\/td>\n<td width=\"48%\">H\u00f3a ch\u1ea5t n\u1ed9i t\u1ee7y<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Doxorubicin + Ifosfamide<\/td>\n<td width=\"48%\">Methotrexate (li\u1ec1u th\u1ea5p)<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Etoposide + Ifosfamide<\/td>\n<td width=\"48%\">Temozolomide<\/td>\n<\/tr>\n<tr>\n<td width=\"51%\">Cyclophosphamide + doxorubicin, epirubicin, ho\u1eb7c etoposide<\/td>\n<td width=\"48%\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 style=\"text-align: justify\"><strong>T\u1ea1i sao h\u00f3a tr\u1ecb g\u00e2y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n?<\/strong><\/h3>\n<p style=\"text-align: justify\">M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n v\u1edbi h\u00f3a tr\u1ecb li\u1ec7u ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7. Tuy nhi\u00ean, h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 gi\u1ea3i ph\u00f3ng m\u1ed9t s\u1ed1 ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh \u0111i\u1ec1u h\u00f2a ph\u1ea3n \u1ee9ng bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. C\u00e1c ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh bao g\u1ed3m dopamine, serotonin v\u00e0 ch\u1ea5t P \u0111\u00f3ng vai tr\u00f2 l\u00e0 t\u00edn hi\u1ec7u h\u00f3a h\u1ecdc trong c\u00e1c khu v\u1ef1c c\u1ee7a n\u00e3o ki\u1ec3m so\u00e1t bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng bu\u1ed3n n\u00f4n ho\u1ea1t \u0111\u1ed9ng tr\u00ean c\u00e1c h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n th\u1ea7n kinh n\u00e0y \u0111\u1ec3 ch\u1eb7n c\u00e1c t\u00edn hi\u1ec7u.<\/p>\n<h2 style=\"text-align: justify\"><strong>C\u00e1ch \u0111i\u1ec1u tr\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n \u1edf tr\u1ebb em <\/strong><\/h2>\n<p style=\"text-align: justify\">C\u00f3 m\u1ed9t s\u1ed1 c\u00e1ch gi\u00fap ki\u1ec3m so\u00e1t bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 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 theo d\u00f5i s\u00e1t.<\/p>\n<h3 style=\"text-align: justify\"><strong>\u00a0Thu\u1ed1c tr\u1ecb bu\u1ed3n n\u00f4n<\/strong><\/h3>\n<p style=\"text-align: justify\">Thu\u1ed1c ch\u1ed1ng n\u00f4n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. C\u00e1c lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf tr\u1ebb b\u1ecb ung th\u01b0 bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>Ondansetron (Zofran\u00ae)<\/li>\n<li>Granisetron (Kytril\u00ae)<\/li>\n<li>Lorazepam (Ativan\u00ae)<\/li>\n<li>Diphenhydramine (Benadryl\u00ae)<\/li>\n<li>Dexamethasone (Decadron\u00ae,<\/li>\n<li>Dexamethasone Intensol\u00ae,<\/li>\n<li>Dapiak\u00ae)<\/li>\n<li>Aprepitant (Emend\u00ae)<\/li>\n<li>Metoclopramide (Reglan\u00ae)<\/li>\n<li>Olanzapine (Zyprexa\u00ae)<\/li>\n<li>Scopolamine (Transderm Scop\u00ae)<\/li>\n<\/ul>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c. Nhi\u1ec1u lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 gi\u1ea3m bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n c\u00f2n c\u00f3 nh\u1eefng c\u00f4ng d\u1ee5ng kh\u00e1c. C\u00e1c gia \u0111\u00ecnh n\u00ean th\u01b0\u1eddng xuy\u00ean trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 ho\u1eb7c d\u01b0\u1ee3c s\u0129 c\u1ee7a h\u1ecd \u0111\u1ec3 bi\u1ebft m\u1ee5c \u0111\u00edch v\u00e0 h\u01b0\u1edbng d\u1eabn d\u00f9ng thu\u1ed1c cho m\u1ed7i lo\u1ea1i thu\u1ed1c m\u00e0 con h\u1ecd \u0111ang d\u00f9ng.<\/p>\n<p style=\"text-align: justify\">C\u00e1c b\u00e1c s\u0129 k\u00ea toa thu\u1ed1c ch\u1ed1ng n\u00f4n d\u1ef1a tr\u00ean k\u1ebf ho\u1ea1ch h\u00f3a tr\u1ecb, tu\u1ed5i c\u1ee7a tr\u1ebb, lo\u1ea1i ung th\u01b0 v\u00e0 c\u00e1c kh\u00eda c\u1ea1nh kh\u00e1c c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u h\u00f3a tr\u1ecb. Tuy nhi\u00ean, thu\u1ed1c ch\u1ed1ng n\u00f4n ch\u1ec9 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n khi th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft. \u0110i\u1ec1u quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c gia \u0111\u00ecnh l\u00e0 th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1edbi nh\u00f3m ch\u0103m s\u00f3c \u0111\u1ec3 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n theo c\u00e1ch t\u1ed1t nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n<h3 style=\"text-align: justify\"><strong>Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 gi\u1ea3m bu\u1ed3n n\u00f4n <\/strong><\/h3>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m v\u00e0 m\u00f9i c\u00f3 th\u1ec3 l\u00e0m cho bu\u1ed3n n\u00f4n t\u1ed3i t\u1ec7 h\u01a1n. Nhi\u1ec1u b\u1ec7nh nh\u00e2n m\u1ea5t c\u1ea3m gi\u00e1c ngon mi\u1ec7ng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Nh\u1eefng \u0111\u1ee9a tr\u1ebb c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 nh\u1eefng g\u00ec ch\u00fang c\u00f3 th\u1ec3 \u0103n khi ch\u00fang kh\u00f4ng th\u1ea5y kh\u1ecfe. C\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t v\u00e0i th\u1eed nghi\u1ec7m v\u00e0 th\u1ea5t b\u1ea1i \u0111\u1ec3 t\u00ecm ra c\u00e1i g\u00ec l\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t. M\u1ed9t s\u1ed1 l\u1eddi khuy\u00ean chung l\u00e0:<\/p>\n<ul style=\"text-align: justify\">\n<li>Chia nh\u1ecf b\u1eefa \u0103n.<\/li>\n<li>\u0102n, u\u1ed1ng ch\u1eadm.<\/li>\n<li>Tr\u00e1nh c\u00f3 ch\u1ea5t l\u1ecfng trong b\u1eefa \u0103n.<\/li>\n<li>Cung c\u1ea5p th\u1ef1c ph\u1ea9m kh\u00f4, v\u1ecb nh\u1ea1t nh\u01b0 b\u00e1nh quy gi\u00f2n ho\u1eb7c b\u00e1nh m\u00ec n\u01b0\u1edbng.<\/li>\n<li>Tr\u00e1nh th\u1ee9c \u0103n cay, c\u00f3 t\u00ednh axit, ho\u1eb7c \u0111a d\u1ea1ng.<\/li>\n<li>\u0102n \u1edf n\u01a1i kh\u00f4ng c\u00f3 m\u00f9i m\u1ea1nh.<\/li>\n<li>Cho ph\u00e9p tr\u1ebb l\u1ef1a ch\u1ecdn \u0103n khi n\u00e0o v\u00e0 \u0103n g\u00ec.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">T\u00ecm th\u00eam l\u1eddi khuy\u00ean dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n.<\/p>\n<pre>Xem th\u00eam b\u00e0i:\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/lieu-phap-dinh-duong-trong-cham-soc-ung-thu\/\" target=\"_blank\" rel=\"noopener\">Li\u1ec7u ph\u00e1p dinh d\u01b0\u1ee1ng trong ch\u0103m s\u00f3c ung th\u01b0<\/a><\/pre>\n<p style=\"text-align: justify\">C\u00e1c chuy\u00ean gia dinh d\u01b0\u1ee1ng l\u00e0 th\u00e0nh vi\u00ean quan tr\u1ecdng c\u1ee7a \u0111\u1ed9i ch\u0103m s\u00f3c, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi tr\u1ebb em b\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. M\u1ed9t chuy\u00ean gia dinh d\u01b0\u1ee1ng c\u00f3 th\u1ec3 gi\u00fap gia \u0111\u00ecnh t\u00ecm c\u00e1ch gi\u1ea3i quy\u1ebft c\u00e1c th\u00e1ch th\u1ee9c v\u1ec1 dinh d\u01b0\u1ee1ng. N\u1ebfu tr\u1ebb b\u1ecb bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n nghi\u00eam tr\u1ecdng, ch\u00fang c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i truy\u1ec1n dinh d\u01b0\u1ee1ng qua \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y (dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ru\u1ed9t) ho\u1eb7c dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch (dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ru\u1ed9t). \u0110\u00e2y l\u00e0 nh\u1eefng lo\u1ea1i ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 quan tr\u1ecdng \u0111\u1ec3 khuy\u1ebfn kh\u00edch cung c\u1ea5p dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc th\u00edch h\u1ee3p. T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/che-do-dinh-duong-va-loi-song-cua-nhung-benh-nhan-ung-thu\/\" target=\"_blank\" rel=\"noopener\">dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng trong ch\u0103m s\u00f3c ung th\u01b0<\/a> nhi khoa.<\/p>\n<h3 style=\"text-align: justify\"><strong>C\u00e1c chi\u1ebfn l\u01b0\u1ee3c kh\u00e1c \u0111\u1ec3 <\/strong><strong>\u0111i\u1ec1u tr\u1ecb<\/strong><strong> bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n<\/strong><\/h3>\n<p style=\"text-align: justify\">M\u1ed9t lo\u1ea1t c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111\u1ed1i ph\u00f3 v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p h\u1ed7 tr\u1ee3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 gi\u00fap gi\u1ea3m bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. Bao g\u1ed3m:<\/p>\n<ul>\n<li style=\"text-align: justify\">T\u00e2m l\u00fd tr\u1ecb li\u1ec7u<\/li>\n<li style=\"text-align: justify\">Ph\u1ea3n h\u1ed3i sinh h\u1ecdc<\/li>\n<li style=\"text-align: justify\">K\u1ef9 thu\u1eadt th\u1edf s\u00e2u v\u00e0 th\u01b0 gi\u00e3n<\/li>\n<li style=\"text-align: justify\">Th\u00f4i mi\u00ean<\/li>\n<li style=\"text-align: justify\">Ch\u00e2m c\u1ee9u<\/li>\n<li style=\"text-align: justify\">B\u1ea5m huy\u1ec7t<\/li>\n<li style=\"text-align: justify\">H\u01b0\u01a1ng li\u1ec7u<\/li>\n<li style=\"text-align: justify\">Th\u1ea3o d\u01b0\u1ee3c b\u1ed5 tr\u1ee3 &#8211; g\u1eebng<\/li>\n<li style=\"text-align: justify\">L\u00e0m ph\u00e2n t\u00e2m (ch\u01a1i tr\u00f2 ch\u01a1i \u0111i\u1ec7n t\u1eed, ngh\u1ec7 thu\u1eadt, \u00e2m nh\u1ea1c)<\/li>\n<li style=\"text-align: justify\">T\u1eadp th\u1ec3 d\u1ee5c<\/li>\n<\/ul>\n<p style=\"text-align: justify\">C\u00e1c gia \u0111\u00ecnh n\u00ean n\u00f3i chuy\u1ec7n v\u1edbi nh\u00f3m ch\u0103m s\u00f3c c\u1ee7a h\u1ecd tr\u01b0\u1edbc khi th\u1eed b\u1ea5t k\u1ef3 li\u1ec7u ph\u00e1p h\u1ed7 tr\u1ee3 n\u00e0o \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng n\u00f3 an to\u00e0n. \u0110\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gia \u0111\u00ecnh t\u00ecm ra s\u1ef1 k\u1ebft h\u1ee3p hi\u1ec7u qu\u1ea3 nh\u1ea5t gi\u1eefa c\u00e1c li\u1ec7u ph\u00e1p, \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n<h2 style=\"text-align: justify\"><strong>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n \u1edf tr\u1ebb b\u1ecb ung th\u01b0: L\u1eddi khuy\u00ean cho c\u00e1c gia \u0111\u00ecnh<\/strong><\/h2>\n<ul>\n<li style=\"text-align: justify\">Trao \u0111\u1ed5i v\u1edbi nh\u00f3m ch\u0103m s\u00f3c c\u1ee7a b\u1ea1n v\u1ec1 bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. C\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c v\u00e0 chi\u1ebfn l\u01b0\u1ee3c c\u00f3 th\u1ec3 h\u1eefu \u00edch.<\/li>\n<li style=\"text-align: justify\">L\u00e0m m\u1ed9t s\u1ed5 ghi c\u00e1c tri\u1ec7u ch\u1ee9ng. Ghi l\u1ea1i khi n\u00e0o bu\u1ed3n n\u00f4n x\u1ea3y ra, \u0111i\u1ec1u g\u00ec l\u00e0m cho n\u00f3 t\u1ed3i t\u1ec7 h\u01a1n, \u0111i\u1ec1u g\u00ec l\u00e0m cho n\u00f3 t\u1ed1t h\u01a1n v\u00e0 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o kh\u00e1c nh\u01b0 \u0111au, ch\u00e1n \u0103n, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n v\u00e0 nh\u00f3m ch\u0103m s\u00f3c c\u1ee7a b\u1ea1n hi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a tr\u1ebb v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li style=\"text-align: justify\">H\u00e3y n\u00f3i cho nh\u00f3m ch\u0103m s\u00f3c c\u1ee7a b\u1ea1n bi\u1ebft n\u1ebfu con b\u1ea1n g\u1eb7p v\u1ea5n \u0111\u1ec1 khi \u0103n u\u1ed1ng. H\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng ho\u1eb7c truy\u1ec1n d\u1ecbch c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft.<\/li>\n<li style=\"text-align: justify\">D\u1eebng \u0111\u01b0a nh\u1eefng lo\u1ea1i th\u1ee9c \u0103n tr\u1ebb th\u00edch khi tr\u1ebb bu\u1ed3n n\u00f4n. Th\u1ef1c ph\u1ea9m n\u00e0y c\u00f3 th\u1ec3 l\u00e0m tr\u1ebb c\u1ea3m gi\u00e1c \u1ed1m y\u1ebfu.<\/li>\n<li style=\"text-align: justify\">Cho tr\u1ebb th\u1eed nhai k\u1eb9o cao su ho\u1eb7c m\u00fat k\u1eb9o c\u1ee9ng, kem c\u00e2y.<\/li>\n<li style=\"text-align: justify\">Tr\u00e1nh n\u1eb1m xu\u1ed1ng ngay sau b\u1eefa \u0103n.<\/li>\n<li style=\"text-align: justify\">Lu\u00f4n cho tr\u1ebb s\u00fac mi\u1ec7ng sau khi n\u00f4n. Axit d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng mi\u1ec7ng v\u00e0 s\u00e2u r\u0103ng.<\/li>\n<li style=\"text-align: justify\">Th\u1ef1c hi\u1ec7n theo c\u00e1c h\u01b0\u1edbng d\u1eabn d\u00f9ng thu\u1ed1c cho thu\u1ed1c ch\u1ed1ng n\u00f4n. H\u00e3y ch\u1eafc ch\u1eafn r\u1eb1ng b\u1ea1n \u0111\u00e3 mua l\u1ea1i thu\u1ed1c ch\u1ed1ng n\u00f4n tr\u01b0\u1edbc khi con b\u1ea1n d\u00f9ng h\u1ebft.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Th\u00eam <\/strong><strong>ngu\u1ed3n t\u00e0i li\u1ec7u <\/strong><strong>v\u1ec1 bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda \u1edf tr\u1ebb em b\u1ecb ung th\u01b0\u00a0<\/strong><\/p>\n<p style=\"text-align: justify\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda &#8211; Nh\u00f3m ung th\u01b0 tr\u1ebb em<\/p>\n<p style=\"text-align: justify\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda &#8211; B\u1ec7nh vi\u1ec7n nghi\u00ean c\u1ee9u St. Jude Children<\/p>\n<p style=\"text-align: justify\">Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ung th\u01b0 &#8211; Vi\u1ec7n Ung th\u01b0 Qu\u1ed1c gia<\/p>\n<h2 style=\"text-align: justify\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/side-effects\/nausea-vomiting.html\" target=\"_blank\" rel=\"noopener\">https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/side-effects\/nausea-vomiting.html<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb b\u1ecb ung th\u01b0, \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn s\u1ee9c kh\u1ecfe, c\u1ea3m x\u00fac, c\u1ea3n tr\u1edf vi\u1ec7c tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y. <\/p>\n","protected":false},"author":470,"featured_media":8490,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3239],"tags":[2542,2472,2489],"series":[2108],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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