{"id":8500,"date":"2020-05-22T17:13:52","date_gmt":"2020-05-22T10:13:52","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/thieu-mau-trong-dieu-tri-ung-thu-o-tre-em\/"},"modified":"2020-05-22T17:13:52","modified_gmt":"2020-05-22T10:13:52","slug":"thieu-mau-trong-dieu-tri-ung-thu-o-tre-em","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/thieu-mau-trong-dieu-tri-ung-thu-o-tre-em\/","title":{"rendered":"Thi\u1ebfu m\u00e1u trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf tr\u1ebb em"},"content":{"rendered":"<p style=\"text-align: right\"><strong><em>Bi\u00ean d\u1ecbch: BS. \u0110\u00e0o Th\u1ecb Thu H\u1eb1ng<\/em><\/strong><\/p>\n<p style=\"text-align: right\"><strong><em>Hi\u1ec7u \u0111\u00ednh:<a href=\"https:\/\/yhoccongdong.com\/profile\/le-thy-phuong-anh\/\" target=\"_blank\" rel=\"noopener\"> BS. L\u00ea Th\u1ef5 Ph\u01b0\u01a1ng Anh\u00a0<\/a><\/em><\/strong><\/p>\n<p>B\u1ec7nh nhi ung th\u01b0 c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thi\u1ebfu m\u00e1u. M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ung th\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ee7y x\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>H\u1ed3ng c\u1ea7u l\u00e0 c\u00e1c t\u1ebf b\u00e0o mang oxy t\u1eeb ph\u1ed5i \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. Ng\u01b0\u1eddi b\u1ecb thi\u1ebfu m\u00e1u c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 y\u1ebfu \u1edbt.<\/p>\n<h2><strong>Nguy\u00ean nh\u00e2n<\/strong><\/h2>\n<p>Nguy\u00ean nh\u00e2n g\u00e2y thi\u1ebfu m\u00e1u bao g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/chuan-bi-benh-nhan-truoc-hoa-tri\/\" target=\"_blank\" rel=\"noopener\">H\u00f3a tr\u1ecb<\/a> &#8211; H\u00f3a tr\u1ecb c\u00f3 th\u1ec3 ph\u00e1 h\u1ee7y t\u1ee7y x\u01b0\u01a1ng.<\/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> &#8211; X\u1ea1 tr\u1ecb \u1edf c\u00e1c v\u00f9ng l\u1edbn c\u1ee7a c\u01a1 th\u1ec3 ho\u1eb7c \u1edf x\u01b0\u01a1ng ch\u1eadu, ch\u00e2n, ng\u1ef1c v\u00e0 b\u1ee5ng c\u00f3 th\u1ec3 ph\u00e1 h\u1ee7y t\u1ee7y x\u01b0\u01a1ng.<\/li>\n<li>M\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 &#8211; Ung th\u01b0 t\u1ee7y x\u01b0\u01a1ng, bao g\u1ed3m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/gioi-thieu-ve-benh-bach-cau-cap-dong-lympho-o-tre-em\/\" target=\"_blank\" rel=\"noopener\">b\u1ec7nh b\u1ea1ch c\u1ea7u<\/a> (Leukemia) v\u00e0 ung th\u01b0 h\u1ea1ch b\u1ea1ch huy\u1ebft (Lymphoma), c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/chay-mau-va-cac-mang-bam-tim-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ea3y m\u00e1u <\/a>qu\u00e1 m\u1ee9c &#8211; T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra sau ph\u1eabu thu\u1eadt ho\u1eb7c n\u1ebfu kh\u1ed1i u g\u00e2y ch\u1ea3y m\u00e1u n\u1ed9i t\u1ea1ng.<\/li>\n<li><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> v\u00e0 ch\u00e1n \u0103n &#8211; Ch\u00fang c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf b\u1ec7nh nh\u00e2n nh\u1eadn \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng (nh\u01b0 s\u1eaft, axit folic v\u00e0 vitamin B12) c\u1ea7n thi\u1ebft \u0111\u1ec3 t\u1ea1o h\u1ed3ng c\u1ea7u.<\/li>\n<\/ul>\n<h2><strong>D\u1ea5u hi\u1ec7u v\u00e0 Tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u bao g\u1ed3m:<\/p>\n<ul>\n<li>Ch\u00f3ng m\u1eb7t ho\u1eb7c ng\u1ea5t x\u1ec9u<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>C\u1ea3m th\u1ea5y y\u1ebfu v\u00e0 m\u1ec7t m\u1ecfi.<\/li>\n<li>Nh\u1ecbp tim nhanh<\/li>\n<li>Da nh\u1ee3t nh\u1ea1t<\/li>\n<\/ul>\n<h2><strong>Ch\u1ea9n \u0111o\u00e1n thi\u1ebfu m\u00e1u<\/strong><\/h2>\n<p>X\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u to\u00e0n b\u1ed9 l\u00e0 c\u00e1ch ch\u1ea9n \u0111o\u00e1n thi\u1ebfu m\u00e1u ph\u1ed5 bi\u1ebfn nh\u1ea5t. X\u00e9t nghi\u1ec7m \u0111o s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u qua 2 gi\u00e1 tr\u1ecb &#8211; hemoglobin v\u00e0 hematocrit. Hemoglobin l\u00e0 m\u1ed9t protein v\u1eadn chuy\u1ec3n oxy. Hematocrit l\u00e0 t\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m c\u1ee7a h\u1ed3ng c\u1ea7u trong m\u00e1u.<\/p>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u<\/strong><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Truy\u1ec1n h\u1ed3ng c\u1ea7u<\/strong> &#8211; B\u1ec7nh nh\u00e2n nh\u1eadn h\u1ed3ng c\u1ea7u qua t\u0129nh m\u1ea1ch, th\u00f4ng qua thi\u1ebft b\u1ecb ti\u1ebfp c\u1eadn t\u0129nh m\u1ea1ch trung t\u00e2m ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean. \u0110i\u1ec1u tr\u1ecb n\u00e0y r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0.<\/li>\n<li><strong>Thu\u1ed1c<\/strong> &#8211; Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm hoi, b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea toa c\u00e1c lo\u1ea1i thu\u1ed1c k\u00edch th\u00edch s\u1ea3n xu\u1ea5t h\u1ed3ng c\u1ea7u.<\/li>\n<li><strong>B\u1ed5 sung vitamin v\u00e0 kho\u00e1ng ch\u1ea5t<\/strong> &#8211; Trong r\u1ea5t \u00edt tr\u01b0\u1eddng h\u1ee3p, \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb b\u1ed5 sung c\u00e1c ch\u1ea5t h\u1ed7 tr\u1ee3 s\u1ea3n xu\u1ea5t h\u1ed3ng c\u1ea7u nh\u01b0 s\u1eaft, axit folic ho\u1eb7c vitamin B12. Nh\u01b0ng thi\u1ebfu vitamin ho\u1eb7c kho\u00e1ng ch\u1ea5t th\u01b0\u1eddng kh\u00f4ng ph\u1ea3i l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y thi\u1ebfu m\u00e1u.<\/li>\n<\/ul>\n<h2><strong>C\u00e1ch ki\u1ec3m so\u00e1t thi\u1ebfu m\u00e1u<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc sau \u0111\u1ec3 ki\u1ec3m so\u00e1t thi\u1ebfu m\u00e1u:<\/p>\n<ul>\n<li><strong>C\u00e2n b\u1eb1ng ngh\u1ec9 ng\u01a1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng<\/strong>. Th\u1eed nh\u1eefng gi\u1ea5c ng\u1ee7 ng\u1eafn trong ng\u00e0y c\u00e2n b\u1eb1ng v\u1edbi m\u1ed9t s\u1ed1 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t. Nh\u1edb r\u1eb1ng ngh\u1ec9 ng\u01a1i qu\u00e1 nhi\u1ec1u tr\u00ean gi\u01b0\u1eddng c\u00f3 th\u1ec3 khi\u1ebfn con ng\u01b0\u1eddi c\u1ea3m th\u1ea5y y\u1ebfu \u1edbt.<\/li>\n<li><strong>Th\u1eddi gian ng\u1ee7 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t m\u1ed7i ng\u00e0y<\/strong> (bao g\u1ed3m c\u1ea3 ng\u1ee7 tr\u01b0a):\n<ul>\n<li>Tr\u1ebb s\u01a1 sinh: 12 &#8211; 16 gi\u1edd<\/li>\n<li>1 &#8211; 2 tu\u1ed5i: 11 &#8211; 14 gi\u1edd<\/li>\n<li>3 &#8211; 5 tu\u1ed5i: 10 &#8211; 13 gi\u1edd<\/li>\n<li>6 &#8211; 12 tu\u1ed5i: 9 &#8211; 12 gi\u1edd<\/li>\n<li>13 &#8211; 18 tu\u1ed5i: 8 &#8211; 10 gi\u1edd<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><em>Ngu\u1ed3n: Vi\u1ec7n H\u00e0n L\u00e2m Nhi khoa Hoa K\u1ef3 v\u00e0 Vi\u1ec7n H\u00e0n L\u00e2m Y h\u1ecdc Gi\u1ea5c ng\u1ee7 Hoa K\u1ef3 (American Academy of Pediatrics and the American Academy of Sleep Medicine)<\/em><\/p>\n<ul>\n<li><strong>\u0102n v\u00e0 u\u1ed1ng th\u1ef1c ph\u1ea9m l\u00e0nh m\u1ea1nh<\/strong> \u2013 Trao \u0111\u1ed5i v\u1edbi \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c \u0111\u1ec3 t\u00ecm hi\u1ec3u lo\u1ea1i th\u1ee9c \u0103n v\u00e0 \u0111\u1ed3 u\u1ed1ng n\u00e0o l\u00e0 t\u1ed1t nh\u1ea5t.<\/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\/anemia.html\" target=\"_blank\" rel=\"noopener\">https:\/\/together.stjude.org\/en-us\/diagnosis-treatment\/side-effects\/anemia.html<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh nhi ung th\u01b0 c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thi\u1ebfu m\u00e1u. M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ung th\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ee7y x\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n","protected":false},"author":470,"featured_media":8501,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3239],"tags":[3027,2512,2472,2943,2478],"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>Thi\u1ebfu m\u00e1u trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf tr\u1ebb em - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh nhi ung th\u01b0 c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thi\u1ebfu m\u00e1u. 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