{"id":8602,"date":"2020-07-19T22:43:10","date_gmt":"2020-07-19T15:43:10","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/ung-thu-vu-dang-viem\/"},"modified":"2024-10-17T19:57:58","modified_gmt":"2024-10-17T12:57:58","slug":"ung-thu-vu-dang-viem","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/ung-thu-vu-dang-viem\/","title":{"rendered":"Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam"},"content":{"rendered":"<p style=\"text-align: right;\"><em><strong>Bi\u00ean d\u1ecbch: Ph\u00f9ng Th\u1ecb H\u01b0\u01a1ng, Ho\u00e0ng Thu H\u00e0<\/strong><\/em><\/p>\n<p style=\"text-align: right;\"><em><strong>Hi\u1ec7u \u0111\u00ednh: ThS.BS.CK1 Nguy\u1ec5n Tr\u1ea7n B\u1ea3o Chi<\/strong><\/em><\/p>\n<p><em>B\u00e0i vi\u1ebft n\u00e0y m\u00f4 t\u1ea3 ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam, c\u00e1c tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. Ch\u00fang t\u00f4i hi v\u1ecdng r\u1eb1ng th\u00f4ng tin n\u00e0y gi\u00fap tr\u1ea3 l\u1eddi c\u00e1c th\u1eafc m\u1eafc c\u1ee7a b\u1ea1n v\u00e0 b\u1ea1n \u0111\u01b0\u1ee3c tham d\u1ef1 c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t v\u00e0o c\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n<p><em>Ch\u00fang t\u00f4i khuy\u1ebfn ngh\u1ecb \u0111\u1ecdc c\u00f9ng v\u1edbi c\u00e1c cu\u1ed1n s\u00e1ch &#8220;<strong>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong> <strong>nguy\u00ean ph\u00e1t&#8221;<\/strong> <strong>v\u00e0 &#8220;Ung th\u01b0 v\u00fa v\u00e0 b\u1ea1n: \u0111\u1ed1i m\u1eb7t v\u1edbi ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u01b0\u01a1ng lai&#8221;.<\/strong><strong>\u00a0<\/strong><\/em><\/p>\n<h2><strong>Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam l\u00e0 lo\u1ea1i ung th\u01b0 v\u00fa hi\u1ebfm g\u1eb7p v\u00e0 ph\u00e1t tri\u1ec3n nhanh. Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam c\u00f3 t\u00ean nh\u01b0 v\u1eady v\u00ec da c\u1ee7a v\u00fa th\u01b0\u1eddng nh\u00ecn c\u00f3 m\u00e0u \u0111\u1ecf v\u00e0 b\u1ecb vi\u00eam, g\u00e2y ra b\u1edfi c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa l\u00e0m t\u1eafc c\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft t\u00ed hon trong v\u00fa v\u00e0 da. C\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft.<\/p>\n<p>H\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh t\u1eeb m\u1ed9t m\u1ea1ng l\u01b0\u1edbi c\u00e1c m\u1ea1ch (t\u01b0\u01a1ng t\u1ef1 c\u00e1c m\u1ea1ch m\u00e1u) n\u1ed1i v\u1edbi c\u00e1c nh\u00f3m h\u1ea1ch b\u1ea1ch huy\u1ebft n\u1eb1m trong to\u00e0n c\u01a1 th\u1ec3. H\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft l\u00e0m vi\u1ec7c g\u1ea7n g\u0169i v\u1edbi h\u1ec7 th\u1ed1ng m\u00e1u \u0111\u1ec3 duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng ch\u1ea5t d\u1ecbch trong c\u00e1c m\u00f4 c\u1ee7a c\u01a1 th\u1ec3 b\u1eb1ng c\u00e1ch tho\u00e1t d\u1ecbch, l\u1ecdc v\u00e0 v\u1eadn chuy\u1ec3n d\u1ecbch b\u1ea1ch huy\u1ebft \u0111i kh\u1eafp c\u01a1 th\u1ec3.<\/p>\n<h2><strong>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam<\/strong><\/h2>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n r\u1ea5t nhanh. C\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n di\u1ec7n kh\u1ed1i b\u01b0\u1edbu ho\u1eb7c kh\u00f4ng c\u00f3. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1ed3m:<\/p>\n<ul>\n<li>V\u00fa c\u00f3 m\u00e0u \u0111\u1ecf, \u1ea5m ho\u1eb7c s\u01b0ng l\u00ean<\/li>\n<li>Da c\u1ee7a v\u00fa \u0111\u1ed5i m\u00e0u ho\u1eb7c tr\u00f4ng gi\u1ed1ng b\u1ecb b\u1ea7m t\u00edm<\/li>\n<li>Xu\u1ea5t hi\u1ec7n v\u1ebft l\u00f5m ho\u1eb7c d\u00e0y da ho\u1eb7c v\u00fa tr\u00f4ng s\u1ea7n s\u00f9i gi\u1ed1ng nh\u01b0 v\u1ecf qu\u1ea3 cam (hay c\u00f2n g\u1ecdi l\u00e0 d\u1ea5u \u201cda cam\u201d)<\/li>\n<li>V\u00fa to l\u00ean<\/li>\n<li>V\u00fa \u0111au ho\u1eb7c nh\u1ea1y c\u1ea3m \u0111au<\/li>\n<li>Ng\u1ee9a m\u00e3i kh\u00f4ng h\u1ebft<\/li>\n<li>N\u00fam v\u00fa b\u1ecb t\u1ee5t xu\u1ed1ng<\/li>\n<li>S\u01b0ng ho\u1eb7c c\u00f3 c\u1ee5c \u1edf n\u00e1ch ho\u1eb7c cung quanh x\u01b0\u01a1ng \u0111\u00f2n.<\/li>\n<\/ul>\n<h2><strong>Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam \u0111\u00f4i khi kh\u00f3 ch\u1ea9n \u0111o\u00e1n, b\u1edfi v\u00ec nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tr\u1ea1ng th\u00e1i l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0) nh\u01b0 vi\u00eam v\u00fa v\u00e0 \u00e1p xe v\u00fa &#8211; l\u00e0 c\u00e1c b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c kh\u00e1ng sinh nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3m \u0111i th\u00ec b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u t\u1edbi ph\u00f2ng kh\u00e1m v\u00fa, t\u1ea1i \u0111\u00f3 b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m v\u00e0i x\u00e9t nghi\u1ec7m g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/x-quang-vu-con-goi-la-nhu-anh\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p X-quang tuy\u1ebfn v\u00fa<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sieu-am\/\" target=\"_blank\" rel=\"noopener\">Si\u00eau \u00e2m<\/a> &#8211; s\u1eed d\u1ee5ng s\u00f3ng \u00e2m cao t\u1ea7n \u0111\u1ec3 t\u1ea1o ra \u1ea3nh<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-biopsy\/\" target=\"_blank\" rel=\"noopener\">Sinh thi\u1ebft<\/a> &#8211; L\u1ea5y m\u00f4 v\u00fa ra \u0111\u1ec3 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. C\u00f3 th\u1ec3 sinh thi\u1ebft b\u1eb1ng kim. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c sinh thi\u1ebft b\u1ea5m l\u1ea5y ra m\u1ed9t m\u1ea9u da tr\u00f2n.<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n b\u1ecb ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam th\u00ec b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ki\u1ec3m tra xem ung th\u01b0 \u0111\u00e3 lan ra ngo\u00e0i v\u00fa hay ch\u01b0a. C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cat-lop-vi-tinh-ct-scan\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ee5p CT<\/a> hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 CAT scan &#8211; s\u1eed d\u1ee5ng tia X \u0111\u1ec3 t\u1ea1o ra c\u00e1c \u1ea3nh chi ti\u1ebft to\u00e0n c\u01a1 th\u1ec3<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/xa-hinh-xuong\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 h\u00ecnh x\u01b0\u01a1ng<\/a> \u2013 ki\u1ec3m tra to\u00e0n b\u1ed9 b\u1ed9 x\u01b0\u01a1ng. N\u00f3 gi\u00fap nh\u1eadn di\u1ec7n nh\u1eefng thay \u0111\u1ed5i c\u1ee7a x\u01b0\u01a1ng g\u00e2y ra b\u1edfi t\u1ed5n th\u01b0\u01a1ng, qu\u00e1 tr\u00ecnh l\u00e0m l\u00e0nh t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh nh\u01b0 l\u00e0 ung th\u01b0.<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y, nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd gi\u1ea3i th\u00edch th\u00eam.<\/p>\n<h2><strong>Ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam v\u00fa \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n b\u1ecb ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam, nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd th\u1ea3o lu\u1eadn c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb v\u1edbi b\u1ea1n v\u00e0 chu\u1ea9n b\u1ecb k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1ef1a tr\u00ean c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.<\/p>\n<p>Do ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n nhanh n\u00ean \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. \u0110i\u1ec1u tr\u1ecb th\u01b0\u1eddng bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb to\u00e0n c\u01a1 th\u1ec3 b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c (\u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n) c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb v\u00fa b\u1ecb ung th\u01b0 v\u00e0 khu v\u1ef1c xung quanh v\u00fa (\u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7). C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p h\u00f3a tr\u1ecb, ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb, \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch (\u0111\u00f4i khi g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb sinh h\u1ecdc), n\u1ed9i ti\u1ebft (hormone) v\u00e0 c\u00e1c thu\u1ed1c bisphophonate ph\u1ee5 thu\u1ed9c v\u00e0o hi\u1ec7n tr\u1ea1ng ri\u00eang t\u1eebng c\u00e1 nh\u00e2n.<\/p>\n<h3><strong>H\u00f3a tr\u1ecb<\/strong><\/h3>\n<p><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> l\u00e0 \u0111i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c ch\u1ed1ng ung th\u01b0 (thu\u1ed1c \u0111\u1ed9c t\u1ebf b\u00e0o) \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. \u0110\u00f3 l\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u tay cho ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u00e0 g\u1ecdi l\u00e0 h\u00f3a tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3. H\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i u trong v\u00fa v\u00e0 \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 th\u1ec3 \u0111\u00e3 lan t\u1edbi n\u01a1i kh\u00e1c trong c\u01a1 th\u1ec3.<\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p>Ti\u1ebfp theo h\u00f3a tr\u1ecb, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi s\u1ebd \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt. Th\u01b0\u1eddng th\u00ec c\u1ea3 v\u00fa \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf k\u1ec3 c\u1ea3 khu v\u1ef1c n\u00fam v\u00fa (ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169). B\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u1ed3ng th\u1eddi s\u1ebd v\u00e9t tuy\u1ebfn b\u1ea1ch huy\u1ebft t\u1ea1i h\u1ed1c n\u00e1ch.<\/p>\n<p>N\u1ebfu nh\u01b0 b\u1ea1n mu\u1ed1n t\u00e1i t\u1ea1o v\u00fa sau \u0111o\u1ea1n nh\u0169 th\u00ec r\u1ea5t c\u00f3 th\u1ec3 b\u1ea1n \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o v\u00fa sau khi ho\u00e0n th\u00e0nh t\u1ea5t c\u1ea3 c\u00e1c \u0111i\u1ec1u tr\u1ecb, v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u00e1i t\u1ea1o v\u00fa tr\u00ec ho\u00e3n.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cac-phuong-phap-phau-thuat-ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ung th\u01b0 v\u00fa\"<\/a><\/pre>\n<h3><strong>X\u1ea1 tr\u1ecb<\/strong><\/h3>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tim-hieu-ve-xa-tri\/\" target=\"_blank\" rel=\"noopener\">X\u1ea1 tr\u1ecb<\/a> s\u1eed d\u1ee5ng tia X n\u0103ng l\u01b0\u1ee3ng cao \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n v\u00e0 ki\u1ec3m so\u00e1t c\u1ea9n th\u1eadn \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n s\u00f3t l\u1ea1i. X\u1ea1 tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau h\u00f3a tr\u1ecb v\u00e0 ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam. Khu v\u1ef1c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng bao g\u1ed3m to\u00e0n b\u1ed9 khu v\u1ef1c v\u00fa v\u00e0 c\u1ea3 khu v\u1ef1c ph\u00eda tr\u00ean x\u01b0\u01a1ng \u0111\u00f2n. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb v\u00e0o n\u00e1ch v\u00e0 \u0111\u00f4i khi v\u00e0o h\u1ea1ch b\u1ea1ch huy\u1ebft sau x\u01b0\u01a1ng \u1ee9c.<\/p>\n<pre>\u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin v\u1ec1 x\u1ea1 tr\u1ecb, \u0111\u1ec1 ngh\u1ecb \u0111\u1ecdc cu\u1ed1n s\u00e1ch <strong>X\u1ea1 tr\u1ecb cho ung thu v\u00fa nguy\u00ean ph\u00e1t<\/strong>.<\/pre>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch (\u0111i\u1ec1u tr\u1ecb sinh h\u1ecdc)<\/strong><\/h3>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 lan r\u1ed9ng c\u1ee7a ung th\u01b0. Ch\u00fang nh\u1eb1m t\u1edbi v\u00e0 can thi\u1ec7p v\u00e0o qu\u00e1 tr\u00ecnh l\u00e0m ung th\u01b0 ph\u00e1t tri\u1ec3n.\u00a0Lo\u1ea1i li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch b\u1ea1n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ung th\u01b0 v\u00fa.<\/p>\n<p>C\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn l\u00e0 cho ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh HER2. HER2 l\u00e0 m\u1ed9t protein gi\u00fap c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n.<\/p>\n<p>C\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111o c\u00e1c m\u1ee9c \u0111\u1ed9 HER2, \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean m\u00f4 v\u00fa l\u1ea5y ra trong khi sinh thi\u1ebft ho\u1eb7c ph\u1eabu thu\u1eadt. Ch\u1ec9 nh\u1eefng ng\u01b0\u1eddi m\u00e0 ung th\u01b0 v\u00fa c\u00f3 HER2 cao (g\u1ecdi l\u00e0 d\u01b0\u01a1ng t\u00ednh HER2) s\u1ebd \u0111\u01b0\u1ee3c l\u1ee3i t\u1eeb li\u1ec7u ph\u00e1p \u0111\u00edch.<\/p>\n<p>V\u00ed d\u1ee5 v\u1ec1 c\u00e1c li\u1ec7u ph\u00e1p \u0111\u00edch cho ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh HER2 g\u1ed3m trastuzumab v\u00e0 pertuzumab.<\/p>\n<p>N\u1ebfu ung th\u01b0 v\u00fa c\u1ee7a b\u1ea1n \u00e2m t\u00ednh HER2 th\u00ec c\u00e1c li\u1ec7u ph\u00e1p \u0111\u00edch s\u1ebd kh\u00f4ng c\u00f3 l\u1ee3i \u00edch.<\/p>\n<pre>\u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin \u0111\u1ec1 ngh\u1ecb xem tr\u00ean website <a href=\"http:\/\/www.breastcancenow.org\/targeted-therapy\">www.breastcancenow.org\/targeted-therapy<\/a>.<\/pre>\n<h3><strong>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft<\/strong><\/h3>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 v\u00fa s\u1eed d\u1ee5ng ch\u1ea5t estrogen trong c\u01a1 th\u1ec3 \u0111\u1ec3 gi\u00fap ch\u00fang ph\u00e1t tri\u1ec3n v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh th\u1ee5 th\u1ec3 estrogen hay l\u00e0 ung th\u01b0 v\u00fa ER+.<\/p>\n<p>C\u00e1c li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft ch\u1eb7n ho\u1eb7c l\u00e0m d\u1eebng \u1ea3nh h\u01b0\u1edfng c\u1ee7a estrogen l\u00ean c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa. C\u00e1c thu\u1ed1c kh\u00e1c nhau c\u1ee7a li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft l\u00e0m vi\u1ec7c n\u00e0y theo c\u00e1c c\u00e1ch kh\u00e1c nhau. Ch\u1ec9 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft n\u1ebfu ung th\u01b0 v\u00fa l\u00e0 ER+.<\/p>\n<p>Ung th\u01b0 v\u00fa x\u00e2m l\u1ea5n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u1ec3 xem c\u00f3 \u0111\u00fang l\u00e0 ER+ hay kh\u00f4ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u00f4 l\u1ea5y t\u1eeb sinh thi\u1ebft ho\u1eb7c sau ph\u1eabu thu\u1eadt. N\u1ebfu ung th\u01b0 v\u00fa l\u00e0 ER+ th\u00ec nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi b\u1ea1n li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft n\u00e0o th\u00edch h\u1ee3p nh\u1ea5t v\u1edbi b\u1ea1n.<\/p>\n<p>N\u1ebfu ung th\u01b0 v\u00fa kh\u00f4ng \u0111\u01b0\u1ee3c k\u00edch th\u00edch b\u1eb1ng estrogen th\u00ec g\u1ecdi l\u00e0 \u00e2m t\u00ednh th\u1ee5 th\u1ec3 estrogen (ER-) v\u00e0 li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft kh\u00f4ng mang l\u1ea1i l\u1ee3i \u00edch.<\/p>\n<p>C\u00f3 th\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u1ec3 t\u00ecm th\u1ee5 th\u1ec3 \u00a0progesteron (PR+), l\u00e0 m\u1ed9t ch\u1ea5t n\u1ed9i ti\u1ebft kh\u00e1c. L\u1ee3i \u00edch c\u1ee7a li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft l\u00e0 k\u00e9m r\u00f5 r\u00e0ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 ung th\u01b0 v\u00fa ch\u1ec9 d\u01b0\u01a1ng t\u00ednh v\u1edbi th\u1ee5 th\u1ec3 progesteron (PR+ v\u00e0 ER-). R\u1ea5t \u00edt ung th\u01b0 v\u00fa r\u01a1i v\u00e0o ch\u1ee7ng lo\u1ea1i n\u00e0y. Tuy nhi\u00ean n\u1ebfu b\u1ea1n n\u1eb1m trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y th\u00ec b\u00e1c s\u0129 s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi b\u1ea1n xem li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft c\u00f3 th\u00edch h\u1ee3p hay kh\u00f4ng.<\/p>\n<p>Nh\u1eefng ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh c\u00f3 ung th\u01b0 v\u00fa d\u01b0\u01a1ng t\u00ednh th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng. \u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0m bu\u1ed3ng tr\u1ee9ng d\u1eebng s\u1ea3n sinh ra estrogen, ho\u1eb7c d\u1eebng t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/p>\n<h3><strong>C\u00e1c thu\u1ed1c biphosphonate<\/strong><\/h3>\n<p>Biphosphonate l\u00e0 nh\u00f3m thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa lan t\u1ecfa \u1edf nh\u1eefng ph\u1ee5 n\u1eef sau m\u00e3n kinh. Nh\u00f3m thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng kh\u00f4ng t\u00ednh \u0111\u1ebfn m\u00e3n kinh x\u1ea3y ra t\u1ef1 nhi\u00ean hay do \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p>C\u00e1c thu\u1ed1c bisphosphonate c\u0169ng c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ho\u1eb7c ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng ho\u1eb7c c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng (khi m\u00e0 x\u01b0\u01a1ng m\u1ea5t s\u1ef1 ch\u1eafc kh\u1ecfe v\u00e0 tr\u1edf n\u00ean d\u1ec5 g\u00e3y).<\/p>\n<p>Thu\u1ed1c biphosphonate c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u1edf d\u1ea1ng vi\u00ean n\u00e9n ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n<p>Nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd cho b\u1ea1n bi\u1ebft thu\u1ed1c biphosphonate c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi b\u1ea1n hay kh\u00f4ng.<\/p>\n<h3><strong>C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng<\/strong><\/h3>\n<p>C\u00e1c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thu-nghiem-lam-sang-la-gi-phan-1\/\" target=\"_blank\" rel=\"noopener\">th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng<\/a> l\u00e0 c\u00e1c nghi\u00ean c\u1ee9u c\u00f3 m\u1ee5c \u0111\u00edch c\u1ea3i thi\u1ec7n \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n, b\u1ea1n c\u00f3 th\u1ec3 nghe n\u00f3i \u0111\u1ebfn th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng m\u00e0 b\u1ea1n mu\u1ed1n tham gia ho\u1eb7c \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb tham gia v\u00e0o m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng. B\u1ea1n c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn v\u1edbi nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 b\u1ea1n c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u g\u00ec l\u00e0 t\u1ed1t nh\u1ea5t cho b\u1ea1n. N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb tham gia v\u00e0o m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 b\u1ea1n quy\u1ebft \u0111\u1ecbnh kh\u00f4ng tham gia th\u00ec b\u1ea1n s\u1ebd ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c nh\u01b0 \u0111\u00e3 n\u00eau tr\u00ean<\/p>\n<h3><strong>H\u1ed7 tr\u1ee3 th\u00eam<\/strong><\/h3>\n<p>B\u1ecb ch\u1ea9n \u0111o\u00e1n m\u1eafc ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t th\u1eddi \u0111i\u1ec3m kh\u00f3 kh\u0103n v\u00e0 th\u1eed th\u00e1ch. C\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u th\u1eddi \u0111i\u1ec3m b\u1ea1n c\u1ea3m th\u1ea5y c\u00f4 \u0111\u01a1n ho\u1eb7c b\u1ecb c\u00f4 l\u1eadp, \u0111\u1eb7c bi\u1ec7t ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 v\u00fa hi\u1ebfm g\u1eb7p. Nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 b\u1ea1n, do v\u1eady \u0111\u1eebng ng\u1ea1i ng\u1ea7n y\u00eau c\u1ea7u gi\u00fap \u0111\u1ee1 n\u1ebfu b\u1ea1n c\u1ea7n.<\/p>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u1ea5y h\u1eefu \u00edch khi th\u1ea3o lu\u1eadn c\u1ea3m gi\u00e1c v\u00e0 m\u1ed1i lo c\u1ee7a h\u1ecd v\u1edbi \u0111i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c b\u00e1c s\u0129. N\u1ebfu b\u1ea1n mu\u1ed1n trao \u0111\u1ed5i s\u00e2u h\u01a1n th\u00f4ng qua c\u00e1c c\u1ea3m nh\u1eadn, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n g\u1eb7p chuy\u00ean gia t\u01b0 v\u1ea5n ho\u1eb7c chuy\u00ean gia t\u00e2m l\u00fd.<\/p>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o\u00a0<\/strong><\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc23_inflammatory_breast_cancer_2020_web.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc23_inflammatory_breast_cancer_2020_web.pdf<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y m\u00f4 t\u1ea3 c\u1ee5 th\u1ec3 tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee7a ung th\u01b0 v\u00fa d\u1ea1ng vi\u00eam. <\/p>\n","protected":false},"author":548,"featured_media":8603,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[3305,2476,2569,3307,3306],"series":[1428],"coauthors":[1189],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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