{"id":8689,"date":"2020-12-01T14:45:17","date_gmt":"2020-12-01T07:45:17","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/cac-phuong-phap-dieu-tri-da-u-tuy-xuong\/"},"modified":"2020-12-01T14:45:17","modified_gmt":"2020-12-01T07:45:17","slug":"cac-phuong-phap-dieu-tri-da-u-tuy-xuong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/cac-phuong-phap-dieu-tri-da-u-tuy-xuong\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng"},"content":{"rendered":"<h2><strong>T\u1ed5ng quan chung<\/strong><\/h2>\n<p>Trong b\u00e0i vi\u1ebft n\u00e0y: B\u1ea1n s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau m\u00e0 b\u00e1c s\u0129 s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng.<\/p>\n<p>B\u00e0i vi\u1ebft n\u00e0y gi\u1ea3i th\u00edch v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n cho b\u1ec7nh \u0111a u t\u1ee7y. <strong><em>&#8220;Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n&#8221;<\/em><\/strong> l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. Khi \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch xem x\u00e9t c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng nh\u01b0 m\u1ed9t l\u1ef1a ch\u1ecdn. <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>\u00a0l\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u th\u1eed nghi\u1ec7m m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi. C\u00e1c b\u00e1c s\u0129 mu\u1ed1n t\u00ecm hi\u1ec3u xem ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 th\u1ec3 t\u1ed1t h\u01a1n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n hay kh\u00f4ng. Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 ki\u1ec3m tra m\u1ed9t lo\u1ea1i thu\u1ed1c m\u1edbi, m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p m\u1edbi c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n, ho\u1eb7c li\u1ec1u l\u01b0\u1ee3ng m\u1edbi c\u1ee7a thu\u1ed1c ti\u00eau chu\u1ea9n ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111\u1ec3 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c cho t\u1ea5t c\u1ea3 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh ung th\u01b0. B\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u00e2n nh\u1eafc t\u1ea5t c\u1ea3 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. Nghi\u00ean c\u1ee9u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng m\u1edbi \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n r\u1ea5t t\u00edch c\u1ef1c v\u00e0 nhi\u1ec1u th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111ang \u0111\u1ec1 ngh\u1ecb b\u1ec7nh nh\u00e2n tham gia.<\/p>\n<pre><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-35711 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2020\/11\/cac-phuong-phap-dieu-tri-da-u-tuy-xuong-300x150-1.jpg\" alt=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng\" width=\"436\" height=\"218\" \/><\/pre>\n<h2><strong>T\u1ed5ng quan \u0111i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p>Trong ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n ung th\u01b0, c\u00e1c b\u00e1c s\u0129 thu\u1ed9c nhi\u1ec1u chuy\u00ean ng\u00e0nh kh\u00e1c nhau th\u01b0\u1eddng l\u00e0m vi\u1ec7c c\u00f9ng nhau \u0111\u1ec3 \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed5ng th\u1ec3, k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau cho ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nh\u00f3m \u0111a chuy\u00ean khoa. Nh\u00f3m ch\u0103m s\u00f3c ung th\u01b0 g\u1ed3m nhi\u1ec1u chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe kh\u00e1c nh\u01b0: tr\u1ee3 l\u00fd b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111a khoa, \u0111i\u1ec1u d\u01b0\u1ee1ng ung th\u01b0, nh\u00e2n vi\u00ean c\u00f4ng t\u00e1c x\u00e3 h\u1ed9i, d\u01b0\u1ee3c s\u0129, chuy\u00ean gia t\u01b0 v\u1ea5n, chuy\u00ean gia dinh d\u01b0\u1ee1ng v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng hay kh\u00f4ng <strong><em>(xem ph\u1ea7n ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n)<\/em><\/strong> v\u00e0 to\u00e0n tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, m\u1ed9t nh\u00f3m c\u00e1c b\u00e1c s\u0129 s\u1ebd l\u00e0m vi\u1ec7c c\u00f9ng v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u01b0a ra m\u1ed9t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 lo\u1ea1i b\u1ecf t\u1ebf b\u00e0o u, ki\u1ec3m so\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u, ki\u1ec3m so\u00e1t \u0111au v\u00e0 gi\u00fap cho b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t cu\u1ed9c s\u1ed1ng t\u00edch c\u1ef1c.<\/p>\n<p>M\u1eb7c d\u00f9 ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi \u0111a u t\u1ee7y x\u01b0\u01a1ng, nh\u01b0ng b\u1ec7nh v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t th\u00e0nh c\u00f4ng \u1edf nhi\u1ec1u b\u1ec7nh nh\u00e2n trong nhi\u1ec1u n\u0103m.<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng s\u1ebd \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 chi ti\u1ebft d\u01b0\u1edbi \u0111\u00e2y. K\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5, m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n<p>Th\u00f4ng tin d\u01b0\u1edbi \u0111\u00e2y \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng. Ngo\u00e0i ra, c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb c\u00f2n c\u00f3 th\u1ec3 ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111a u t\u1ee7y x\u01b0\u01a1ng hay l\u00e0 b\u1ec7nh t\u00e1i ph\u00e1t.<\/p>\n<p>H\u00e3y d\u00e0nh th\u1eddi gian \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ea1n, bao g\u1ed3m c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng, v\u00e0 \u0111\u01b0a ra nh\u1eefng c\u00e2u h\u1ecfi v\u1ec1 nh\u1eefng \u0111i\u1ec1u ch\u01b0a b\u1ea1n ch\u01b0a r\u00f5. Ngo\u00e0i ra, h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u1ef9 v\u1ec1 c\u00e1c m\u1ee5c ti\u00eau c\u1ee7a m\u1ed7i l\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 nh\u1eefng \u0111i\u1ec1u m\u00e0 b\u1ea1n mong mu\u1ed1n trong khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<pre>T\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u1ea1i\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/ra-quyet-dinh-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\"><strong>Ra\u00a0quy\u1ebft\u00a0\u0111\u1ecbnh\u00a0v\u1ec1\u00a0\u0111i\u1ec1u\u00a0tr\u1ecb\u00a0ung\u00a0th\u01b0<\/strong><\/a>.<\/pre>\n<h2><strong>Gi\u00e1m s\u00e1t ch\u1ee7 \u0111\u1ed9ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n \u0111a u t\u1ee7y x\u01b0\u01a1ng giai \u0111o\u1ea1n s\u1edbm v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111a u t\u1ee7y x\u01b0\u01a1ng ti\u1ec1m t\u00e0ng (Smoldering multiple myeloma-SMM) <strong><em>(xem ph\u1ea7n ph\u00e2n lo\u1ea1i giai \u0111o\u1ea1n)<\/em><\/strong>, c\u00f3 th\u1ec3 ch\u1ec9 c\u1ea7n \u0111\u01a1n gi\u1ea3n l\u00e0 theo d\u00f5i s\u00e1t b\u1edfi b\u00e1c s\u0129 th\u00f4ng qua ki\u1ec3m tra s\u1ee9c kh\u1ecfe to\u00e0n b\u1ed9. C\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 gi\u00e1m s\u00e1t ch\u1ee7 \u0111\u1ed9ng ho\u1eb7c th\u1eadn tr\u1ecdng ch\u1edd \u0111\u1ee3i. Nh\u01b0 \u0111\u00e3 n\u00f3i \u1edf tr\u00ean, n\u1ebfu c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 lo\u00e3ng x\u01b0\u01a1ng, vi\u1ec7c truy\u1ec1n \u0111\u1ecbnh k\u1ef3 bisphosphonates \u0111\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c qu\u00e1 tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o. Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng, ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch <strong><em>(xem d\u01b0\u1edbi \u0111\u00e2y)<\/em><\/strong> ho\u1eb7c li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch <strong><em>(xem ph\u1ea7n Nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i)<\/em><\/strong> c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba ho\u1eb7c tr\u00ec ho\u00e3n \u0111a u t\u1ee7y x\u01b0\u01a1ng ph\u00e1t tri\u1ec3n th\u00e0nh b\u1ec7nh c\u1ea7n \u0111i\u1ec1u tr\u1ecb. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u.<\/p>\n<p>Hi\u1ec7n nay, c\u00f3 hai th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n SMM <strong>\u201cc\u00f3 nguy c\u01a1 cao\u201d<\/strong> \u0111\u00e3 cho th\u1ea5y vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n th\u00e0nh \u0111a u t\u1ee7y x\u01b0\u01a1ng c\u00f3 tri\u1ec7u ch\u1ee9ng cho m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n nh\u01b0ng kh\u00f4ng k\u00e9o d\u00e0i th\u1eddi gian s\u1ed1ng th\u00eam cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h2><strong>T\u1ed5ng quan v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111a u t\u1ee7y x\u01b0\u01a1ng c\u00f3 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m c\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 duy tr\u00ec ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1ed1t.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh tr\u1ef1c ti\u1ebfp bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c, nh\u01b0 \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch v\u00e0\/ho\u1eb7c h\u00f3a tr\u1ecb, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 steroid. Gh\u00e9p t\u1ee7y\/ gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn.<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 x\u1ea1 tr\u1ecb v\u00e0 ph\u1eabu thu\u1eadt, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3. M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 chi ti\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n<p>K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb g\u1ed3m c\u00e1c giai \u0111o\u1ea1n (phases) kh\u00e1c nhau:<\/p>\n<ul>\n<li><strong>\u0110i\u1ec1u tr\u1ecb kh\u1edfi \u0111\u1ea7u<\/strong>\u00a0\u0111\u1ec3 ki\u1ec3m so\u00e1t nhanh ung th\u01b0 v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng<\/li>\n<li><strong>\u0110i\u1ec1u tr\u1ecb t\u0103ng c\u01b0\u1eddng<\/strong>\u00a0v\u1edbi h\u00f3a tr\u1ecb ho\u1eb7c gh\u00e9p t\u1ee7y\/ t\u1ebf b\u00e0o g\u1ed1c<\/li>\n<li><strong>\u0110i\u1ec1u tr\u1ecb duy tr\u00ec<\/strong>\u00a0trong th\u1eddi gian d\u00e0i \u0111\u1ec3 d\u1ef1 ph\u00f2ng ung th\u01b0 t\u00e1i ph\u00e1t<strong>\u00a0<\/strong><\/li>\n<\/ul>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n<\/strong><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n l\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. B\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o m\u00e1u, t\u1eeb \u0111\u00f3 thu\u1ed1c c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn t\u1ea5t c\u1ea3 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong c\u01a1 th\u1ec3. \u0110i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh b\u1edfi m\u1ed9t b\u00e1c s\u0129 n\u1ed9i khoa ung th\u01b0.<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n, c\u00e1ch d\u00f9ng thu\u1ed1c ph\u1ed5 bi\u1ebfn l\u00e0 \u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u01b0\u1eddng u\u1ed1ng.<\/p>\n<p><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n cho \u0111a u t\u1ee7y x\u01b0\u01a1ng bao g\u1ed3m:<\/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\/hieu-ve-lieu-phap-nham-dich\/\" target=\"_blank\" rel=\"noopener\">\u0110i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-ve-lieu-phap-mien-dich\/\" target=\"_blank\" rel=\"noopener\">Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch<\/a><\/li>\n<li>Thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn chi ti\u1ebft h\u01a1n d\u01b0\u1edbi \u0111\u00e2y. M\u1ed9t b\u1ec7nh nh\u00e2n th\u01b0\u1eddng nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n trong c\u00f9ng m\u1ed9t th\u1eddi \u0111i\u1ec3m. Ch\u00fang c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb g\u1ed3m ph\u1eabu thu\u1eadt v\u00e0\/ho\u1eb7c x\u1ea1 tr\u1ecb.<\/p>\n<p>C\u00e1c ph\u00e1c \u0111\u1ed3 ph\u1ed1i h\u1ee3p l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng. K\u1ebft h\u1ee3p c\u00e1c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau t\u1eeb c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c nhau &#8211; ch\u1eb3ng h\u1ea1n nh\u01b0 k\u1ebft h\u1ee3p thu\u1ed1c \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch, thu\u1ed1c \u1ee9c ch\u1ebf proteasome v\u00e0 steroid &#8211; c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh.<\/p>\n<p>Ngo\u00e0i ra, c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u1ed5 sung, t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a m\u1ed7i ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1. Trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n th\u01b0\u1eddng l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c m\u00e0 b\u1ea1n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, t\u00e1c d\u1ee5ng c\u1ee7a ch\u00fang v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ti\u1ec1m \u1ea9n ho\u1eb7c t\u01b0\u01a1ng t\u00e1c c\u1ee7a thu\u1ed1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c. \u0110i\u1ec1u quan tr\u1ecdng, l\u00e0 ph\u1ea3i th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 bi\u1ebft t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c ho\u1eb7c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng m\u00e0 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng, d\u00f9 ch\u00fang \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n hay kh\u00f4ng k\u00ea \u0111\u01a1n. C\u00e1c lo\u1ea1i th\u1ea3o m\u1ed9c, th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/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 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0, th\u01b0\u1eddng b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n kh\u00f4ng cho t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n, ph\u00e2n chia v\u00e0 t\u1ea1o ra nhi\u1ec1u t\u1ebf b\u00e0o h\u01a1n.<\/p>\n<p>M\u1ed9t ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb (li\u1ec7u tr\u00ecnh) th\u01b0\u1eddng bao g\u1ed3m m\u1ed9t s\u1ed1 chu k\u00ec c\u1ee5 th\u1ec3 trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh. M\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c nhau trong c\u00f9ng m\u1ed9t th\u1eddi \u0111i\u1ec3m.<\/p>\n<p>S\u1ef1 k\u1ebft h\u1ee3p thu\u1ed1c h\u00f3a tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u00e0nh c\u00f4ng trong \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng. Nh\u1eefng thu\u1ed1c n\u00e0y bao g\u1ed3m cyclophosphamide (Cytoxan, Neosar), doxorubicin (Adriamycin, Doxil), melphalan (Alkeran), etoposide (Toposar, VePesid), cisplatin (Platinol), carmustine (BiCNU) v\u00e0 bendamustin (Bendeka).<\/p>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng nh\u1ea5t \u0111\u1ecbnh. V\u00ed d\u1ee5 nh\u01b0 Melphalan th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng n\u1ebfu gh\u00e9p t\u1ee7y c\u00f3 trong k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. Li\u1ec1u cao Melphanlan \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 di\u1ec7t t\u1ee7y trong th\u1eddi gian d\u00e0i v\u00e0 ch\u00ednh c\u00e1c t\u1ebf b\u00e0o t\u1ee7y x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed3i ph\u1ee5c sau ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y.<\/p>\n<p>C\u0169ng c\u00f3 nh\u1eefng khuy\u1ebfn ngh\u1ecb k\u1ebft h\u1ee3p c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb v\u1edbi c\u00e1c lo\u1ea1i \u0111i\u1ec1u tr\u1ecb kh\u00e1c, bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch <strong><em>(xem \u1edf tr\u00ean) <\/em><\/strong>ho\u1eb7c steroid <strong><em>(xem \u1edf d\u01b0\u1edbi)<\/em><\/strong>. V\u00ed d\u1ee5, s\u1ef1 k\u1ebft h\u1ee3p melphalan, prednisone steroid, v\u00e0 m\u1ed9t thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch m\u1edbi l\u00e0 bortezomib (Velcade; xem b\u00ean d\u01b0\u1edbi) \u0111\u00e3 \u0111\u01b0\u1ee3c C\u01a1 quan Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3 (FDA) ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u cho b\u1ec7nh nh\u00e2n \u0111a u t\u1ee7y x\u01b0\u01a1ng v\u00ec s\u1ef1 k\u1ebft h\u1ee3p thu\u1ed1c n\u00e0y l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 s\u1ed1ng th\u00eam cho ng\u01b0\u1eddi b\u1ec7nh so v\u1edbi ch\u1ec9 \u0111i\u1ec1u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng melphalan v\u00e0 prednisone. M\u1ed9t b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng k\u1ebft h\u1ee3p melphalan, prednisone v\u00e0 thalidomide.<\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tac-dung-phu-cua-hoa-chat\/\" target=\"_blank\" rel=\"noopener\">C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5<\/a> c\u1ee7a <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> ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng c\u00e1 nh\u00e2n v\u00e0 li\u1ec1u d\u00f9ng, h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y ra m\u1ec7t m\u1ecfi, nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, r\u1ee5ng t\u00f3c, ch\u00e1n \u0103n, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c bao g\u1ed3m b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean (c\u1ea3m gi\u00e1c nh\u01b0 kim ch\u00e2m ho\u1eb7c t\u00ea b\u00ec \u1edf b\u00e0n ch\u00e2n ho\u1eb7c b\u00e0n tay), c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u v\u00e0 gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o m\u00e1u. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u01b0\u1eddng h\u1ebft sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb. \u0110\u00f4i khi ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nh\u01b0 ph\u00e1t ban \u1edf da ho\u1eb7c m\u1ec1 \u0111ay c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 c\u00f3 th\u1ec3 ph\u1ea3i ng\u1eebng thu\u1ed1c.<\/p>\n<p>Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb h\u00f3a tr\u1ecb t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ebfn khi b\u1ec7nh \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t.<\/p>\n<pre>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/kien-thuc-co-ban-can-biet-ve-hoa-tri-2\/\" target=\"_blank\" rel=\"noopener\">nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u01a1 b\u1ea3n c\u1ee7a h\u00f3a tr\u1ecb <\/a><\/pre>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch<\/strong><\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1eafm v\u00e0o c\u00e1c gen, protein ho\u1eb7c m\u00f4i tr\u01b0\u1eddng m\u00f4 c\u1ee5 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 t\u1ed3n t\u1ea1i c\u1ee7a ung th\u01b0. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1eb1m ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 lan tr\u00e0n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c t\u1ebf b\u00e0o l\u00e0nh. Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch, \u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p m\u1edbi, \u0111\u00e3 ch\u1ee9ng minh ng\u00e0y c\u00e0ng th\u00e0nh c\u00f4ng trong vi\u1ec7c ki\u1ec3m so\u00e1t \u0111a u t\u1ee7y x\u01b0\u01a1ng v\u00e0 c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u ti\u1ebfp t\u1ee5c ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c lo\u1ea1i thu\u1ed1c m\u1edbi \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng.<\/p>\n<p>Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c kh\u1ed1i u \u0111\u1ec1u c\u00f3 c\u00e1c \u0111\u00edch gi\u1ed1ng nhau. \u0110\u1ec3 t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m tr\u00ean t\u1ebf b\u00e0o ung th\u01b0 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh gen, protein v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c. \u0110i\u1ec1u n\u00e0y gi\u00fap c\u00e1c b\u00e1c s\u0129 t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p tr\u1ecb hi\u1ec7u qu\u1ea3 h\u01a1n cho t\u1eebng b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, c\u00e1c nghi\u00ean c\u1ee9u ti\u1ebfp t\u1ee5c t\u00ecm ki\u1ebfm nhi\u1ec1u c\u00e1c ph\u00e2n t\u1eed \u0111\u00edch c\u1ee5 th\u1ec3 v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1eafm v\u00e0o ch\u00fang.<\/p>\n<p><strong>\u0110i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch cho \u0111a u t\u1ee7y x\u01b0\u01a1ng g\u1ed3m:<\/strong><\/p>\n<ul>\n<li><strong>Thu\u1ed1c \u1ee9c ch\u1ebf Proteasome<\/strong><\/li>\n<\/ul>\n<p>Bortezomib (Velcade), carfilzomib (Kyprolis), v\u00e0 ixazomib (Ninlaro) \u0111\u01b0\u1ee3c ph\u00e2n v\u00e0o nh\u00f3m \u1ee9c ch\u1ebf proteasomes. Ch\u00fang nh\u1eafm v\u00e0o c\u00e1c enzyme c\u1ee5 th\u1ec3 g\u1ecdi l\u00e0 proteasomes-enzymes ti\u00eau h\u1ee7y protein trong t\u1ebf b\u00e0o. V\u00ec c\u00e1c t\u1ebf b\u00e0o u t\u1ee7y x\u01b0\u01a1ng s\u1ea3n xu\u1ea5t ra r\u1ea5t nhi\u1ec1u c\u00e1c protein <strong><em>(xem ph\u1ea7n gi\u1edbi thi\u1ec7u)<\/em><\/strong>, ch\u00fang r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi lo\u1ea1i thu\u1ed1c n\u00e0y. Bortezomib \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1edbi. Thu\u1ed1c \u0111\u1ed3ng th\u1eddi c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t, c\u0169ng nh\u01b0 carfilzomib v\u00e0 ixazomib.<\/p>\n<ul>\n<li><strong>Thu\u1ed1c \u1ee9c ch\u1ebf <\/strong><strong>Histone deacetylase<\/strong><\/li>\n<\/ul>\n<p>Panobinostat (Farydak) l\u00e0 m\u1ed9t thu\u1ed1c \u1ee9c ch\u1ebf enzyme histone deacetylase (HDAC), \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t. HDACs gi\u1eef cho DNA xo\u1eafn ch\u1eb7t, trong khi panobinostat gi\u00fap th\u00e1o xo\u1eafn DNA v\u00e0 ho\u1ea1t h\u00f3a gene, gi\u00fap ng\u0103n ch\u1eb7n ho\u1eb7c l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n<ul>\n<li><strong>Kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng<\/strong><\/li>\n<\/ul>\n<p>Elotuzumab (Empliciti) v\u00e0 daratumumab (Darzalex) l\u00e0 c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng, ch\u00fang g\u1eafn v\u1edbi t\u1ebf b\u00e0o u v\u00e0 \u0111\u00e1nh d\u1ea5u c\u00e1c t\u1ebf b\u00e0o n\u00e0y nh\u1eb1m gi\u00fap h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a ch\u00ednh ng\u01b0\u1eddi b\u1ec7nh nh\u1eadn ra ti\u00eau di\u1ec7t ch\u00fang. Nh\u1eefng thu\u1ed1c n\u00e0y c\u0169ng ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch nh\u1eafm tr\u1ef1c ti\u1ebfp v\u00e0o t\u1ebf b\u00e0o u. Thu\u1ed1c k\u1ebft h\u1ee3p daratumumab v\u00e0 hyaluronidase-fihj (Darzalex Faspro) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng. S\u1ef1 k\u1ebft h\u1ee3p n\u00e0y \u0111\u01b0\u1ee3c ti\u00eam d\u01b0\u1edbi da b\u1ee5ng v\u00e0 nhanh h\u01a1n khi ti\u00eam qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Daratumumab c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p v\u1edbi carfilzomib v\u00e0 dexamethasone \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111a u t\u1ee7y \u0111\u00e3 th\u1ea5t b\u1ea1i v\u1edbi t\u1eeb 1 \u0111\u1ebfn 3 l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3. Isatuximab-irfc (Sarclisa) l\u00e0 m\u1ed9t kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi l\u1edbn b\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng \u0111\u00e3 th\u1ea5t b\u1ea1i v\u1edbi hai l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3. Isatuximab-irfc \u0111\u01b0\u1ee3c d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi pomalidomide v\u00e0 dexamethasone.<\/p>\n<ul>\n<li><strong>Thu\u1ed1c \u1ee9c ch\u1ebf Nuclear export<\/strong><\/li>\n<\/ul>\n<p>Selinexor (Xpovio) l\u00e0 m\u1ed9t thu\u1ed1c nh\u1eafm tr\u00fang \u0111\u00edch \u0111\u01b0\u1ee3c d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi dexamethasone, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi l\u1edbn b\u1ecb \u0111au t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t sau 4 l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc.<\/p>\n<ul>\n<li>Kh\u00e1ng nguy\u00ean tr\u01b0\u1edfng th\u00e0nh t\u1ebf b\u00e0o B (BCMA). Belantamab mafodotin-blmf (Blenrep) l\u00e0 thu\u1ed1c k\u1ebft h\u1ee3p kh\u00e1ng th\u1ec3 \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi l\u1edbn m\u1eafc b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t ho\u1eb7c dai d\u1eb3ng \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 4 l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3. Belantomab mafodotin-blmf s\u1eed d\u1ee5ng m\u1ed9t kh\u00e1ng th\u1ec3 \u0111\u1ec3 li\u00ean k\u1ebft v\u1edbi BCMA v\u00e0 v\u1eadn chuy\u1ec3n thu\u1ed1c \u0111\u1ebfn t\u1ebf b\u00e0o ung th\u01b0.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi h\u00f3a tr\u1ecb <strong><em>(xem \u1edf tr\u00ean)<\/em><\/strong>, c\u00e1c thu\u1ed1c \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch ho\u1eb7c v\u1edbi c\u00e1c thu\u1ed1c steroid <strong><em>(xem \u1edf tr\u00ean)<\/em><\/strong>, v\u00ec s\u1ef1 k\u1ebft h\u1ee3p m\u1ed9t s\u1ed1 thu\u1ed1c nh\u1ea5t \u0111\u1ecbnh \u0111\u00f4i khi mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01a1n \u0111\u1ed9c. Ch\u1eb3ng h\u1ea1n, k\u1ebft h\u1ee3p thu\u1ed1c lenalidomide, bortezomib v\u00e0 dexamethasone, hay k\u1ebft h\u1ee3p bortezomib, cyclophosphamide v\u00e0 dexamethasone trong \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u. C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111ang t\u00ecm hi\u1ec3u xem li\u1ec7u s\u1ef1 k\u1ebft h\u1ee3p lenalidomide, bortezomib v\u00e0 dexamethasone c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0 k\u1ebft h\u1ee3p lenalidomide, bortezomib v\u00e0 dexamethasone hay kh\u00f4ng, sau khi gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c <strong><em>(xem \u1edf d\u01b0\u1edbi)<\/em><\/strong>.<\/li>\n<li>Thalidomide, lenalidomide v\u00e0 bortezomib c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f3 hi\u1ec7u qu\u1ea3 khi \u0111i\u1ec1u tr\u1ecb duy tr\u00ec \u0111\u1ec3 k\u00e9o d\u00e0i \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh v\u1edbi \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u ho\u1eb7c sau khi gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c. Tuy nhi\u00ean, quy\u1ebft \u0111\u1ecbnh c\u1ea5y t\u1ebf b\u00e0o g\u1ed1c\/gh\u00e9p t\u1ee7y x\u01b0\u01a1ng kh\u00e1 ph\u1ee9c t\u1ea1p v\u00e0 n\u00ean \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn k\u0129 v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n.<\/li>\n<\/ul>\n<p>Nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng \u0111i\u1ec1u tr\u1ecb duy tr\u00ec (ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c) v\u1edbi lenalidomide v\u00e0\/ho\u1eb7c bortezomib t\u0103ng th\u1eddi gian s\u1ed1ng th\u00eam kh\u00f4ng b\u1ec7nh v\u00e0 s\u1ed1ng th\u00eam to\u00e0n b\u1ed9 cho ng\u01b0\u1eddi b\u1ec7nh. \u0110i\u1ec1u tr\u1ecb duy tr\u00ec ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng, m\u1eb7c d\u00f9 c\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y c\u00f3 s\u1ef1 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 th\u1eddi gian s\u1ed1ng th\u00eam \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n<h3><strong>Thu\u1ed1c \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch<\/strong><\/h3>\n<p>Thalidomide, lenalidomide (Revlimid) v\u00e0 pomalidomide (Pomalyst) \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 thu\u1ed1c \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch, gi\u00fap k\u00edch th\u00edch h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u0169ng ng\u0103n kh\u00f4ng cho c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi h\u00ecnh th\u00e0nh v\u00e0 nu\u00f4i c\u00e1c t\u1ebf b\u00e0o u. Thalidomide v\u00e0 lenalidomide \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. Lenalidomide v\u00e0 pomalidomide c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t.<\/p>\n<h3><strong>Thu\u1ed1c ch\u1ed1ng vi\u00eam steoid<\/strong><\/h3>\n<p>C\u00e1c steroid, nh\u01b0 prednisone v\u00e0 dexamethasone, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c, nh\u01b0 v\u1edbi thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch ho\u1eb7c h\u00f3a tr\u1ecb <strong><em>(xem \u1edf tr\u00ean)<\/em><\/strong>. Steroid r\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng do c\u00e1c t\u1ebf b\u00e0o u g\u00e2y ra, nh\u01b0ng t\u00e1c d\u1ee5ng n\u00e0y ch\u1ec9 l\u00e0 t\u1ea1m th\u1eddi.<\/p>\n<p>V\u00ed d\u1ee5, lenalidomide (Revlimid) v\u00e0 dexamethasone l\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u1edfi \u0111\u1ea7u v\u00e0 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c. K\u1ebft h\u1ee3p th\u00eam bortezomib (Velcade) g\u1ea7n \u0111\u00e2y cho th\u1ea5y l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng. B\u1ec7nh nh\u00e2n \u0111a u t\u1ee7y x\u01b0\u01a1ng c\u0169ng \u0111\u01b0\u1ee3c truy\u1ec1n bisphosphonate h\u00e0ng th\u00e1ng, \u0111\u00f3 l\u00e0 lo\u1ea1i thu\u1ed1c gi\u00fap ng\u0103n ng\u1eeba h\u1ee7y x\u01b0\u01a1ng do \u0111a u t\u1ee7y x\u01b0\u01a1ng ng\u00e0y c\u00e0ng ti\u1ebfn tri\u1ec3n x\u1ea5u h\u01a1n.<\/p>\n<h3><strong>C\u00e1c thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng<\/strong><\/h3>\n<p>H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111a u t\u1ee7y x\u01b0\u01a1ng \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng. Nh\u1eefng thu\u1ed1c n\u00e0y gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u1ee7a x\u01b0\u01a1ng, gi\u1ea3m \u0111au x\u01b0\u01a1ng v\u00e0 gi\u1ea3m nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng.<\/p>\n<p><strong>C\u00f3 2 lo\u1ea1i thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ea5t x\u01b0\u01a1ng do \u0111a u t\u1ee7y x\u01b0\u01a1ng.<\/strong> S\u1ef1 l\u1ef1a ch\u1ecdn c\u1ee7a thu\u1ed1c ph\u1ee5 thu\u1ed9c v\u00e0o to\u00e0n tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n.<\/p>\n<ul>\n<li>Bisphosphonates, nh\u01b0 acid zoledronic (Zometa) v\u00e0 pamidronate (Aredia), ng\u0103n ch\u1eb7n c\u00e1c t\u1ebf b\u00e0o l\u00e0m h\u1ee7y x\u01b0\u01a1ng, g\u1ecdi l\u00e0 h\u1ee7y c\u1ed1t b\u00e0o. \u0110\u1ed1i v\u1edbi \u0111a u t\u1ee7y x\u01b0\u01a1ng, pamidronate ho\u1eb7c acid zoledronic truy\u1ec1n t\u0129nh m\u1ea1ch m\u1ed7i 3 \u0111\u1ebfn 4 tu\u1ea7n m\u1ed9t l\u1ea7n. Th\u1eddi gian m\u1ed7i l\u1ea7n truy\u1ec1n pamidronate ph\u1ea3i k\u00e9o d\u00e0i \u00edt nh\u1ea5t 2 gi\u1edd, v\u00e0 m\u1ed7i l\u1ea7n truy\u1ec1n acid zoledronic k\u00e9o d\u00e0i \u00edt nh\u1ea5t 15 ph\u00fat. B\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng \u1edf th\u1eadn th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u pamidronate th\u1ea5p h\u01a1n v\u00e0 th\u1eddi gian truy\u1ec1n k\u00e9o d\u00e0i h\u01a1n (ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1eeb 4 \u0111\u1ebfn 6 gi\u1edd thay v\u00ec 2 gi\u1edd theo khuy\u1ebfn c\u00e1o). Acid zoledronic kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n n\u00e0y.<\/li>\n<li>Denosumab (Xgeva) l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm v\u00e0o h\u1ee7y c\u1ed1t b\u00e0o \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf ph\u1ed1i t\u1eed RANK (m\u1ed9t lo\u1ea1i protein \u0111\u00f3ng vai tr\u00f2 l\u00e0 t\u00edn hi\u1ec7u ch\u00ednh \u0111\u1ec3 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh lo\u1ea1i b\u1ecf\/t\u00e1i h\u1ea5p thu x\u01b0\u01a1ng). Thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng v\u00e0 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn t\u1ed1t h\u01a1n cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn nghi\u00eam tr\u1ecdng. Denosumab \u0111\u1eaft h\u01a1n nhi\u1ec1u so v\u1edbi bisphosphonates v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi bisphosphonates.<\/li>\n<\/ul>\n<p><strong>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00ean \u0111\u1ebfn 2 n\u0103m.<\/strong> Sau 2 n\u0103m, c\u00f3 th\u1ec3 ng\u1eebng \u0111i\u1ec1u tr\u1ecb n\u1ebfu thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3. N\u1ebfu u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t v\u00e0 xu\u1ea5t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 m\u1edbi \u1edf x\u01b0\u01a1ng, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u l\u1ea1i. H\u00e3y trao \u0111\u1ed5i v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin v\u1ec1 vi\u1ec7c ng\u1eebng v\u00e0 t\u00e1i s\u1eed d\u1ee5ng nh\u1eefng thu\u1ed1c n\u00e0y.<\/p>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a bisphosphonates c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam, thi\u1ebfu m\u00e1u, \u0111au kh\u1edbp v\u00e0 \u0111au c\u01a1, v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 \u1edf th\u1eadn. B\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1eadn tr\u01b0\u1edbc m\u1ed7i l\u1ea7n d\u00f9ng pamidronate ho\u1eb7c acid zoledronic. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a denosumab c\u00f3 th\u1ec3 g\u1ed3m ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, thi\u1ebfu m\u00e1u v\u00e0 \u0111au l\u01b0ng.<\/p>\n<p>Ho\u1ea1i t\u1eed x\u01b0\u01a1ng h\u00e0m l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng th\u01b0\u1eddng g\u1eb7p nh\u01b0ng kh\u00e1 nghi\u00eam tr\u1ecdng c\u1ee7a c\u1ea3 hai lo\u1ea1i thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 l\u00e0 \u0111au, s\u01b0ng n\u1ec1 v\u00e0 nhi\u1ec5m tr\u00f9ng \u1edf x\u01b0\u01a1ng h\u00e0m, r\u1ee5ng r\u0103ng v\u00e0 l\u1ed9 x\u01b0\u01a1ng. Tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c kh\u00e1m r\u0103ng to\u00e0n di\u1ec7n, v\u00e0 b\u1ea5t k\u1ef3 nhi\u1ec5m tr\u00f9ng n\u00e0o \u1edf r\u0103ng ho\u1eb7c mi\u1ec7ng c\u0169ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb. Trong khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng, b\u1ec7nh nh\u00e2n n\u00ean tr\u00e1nh th\u1ef1c hi\u1ec7n b\u1ea5t k\u1ef3 th\u1ee7 thu\u1eadt nha khoa x\u00e2m l\u1ea5n n\u00e0o, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1ed5 r\u0103ng. N\u00ean ch\u0103m s\u00f3c r\u0103ng, n\u01b0\u1edbu v\u00e0 l\u01b0\u1ee1i b\u1eb1ng c\u00e1ch \u0111\u00e1nh r\u0103ng v\u00e0 d\u00f9ng ch\u1ec9 nha khoa th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p><strong>Thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng b\u1ec7nh l\u00fd sau:<\/strong><\/p>\n<ul>\n<li>U t\u01b0\u01a1ng b\u00e0o \u0111\u01a1n \u0111\u1ed9c (m\u1ed9t u x\u01b0\u01a1ng)<\/li>\n<li>\u0110a u t\u1ee7y x\u01b0\u01a1ng ti\u1ec1m t\u00e0ng<\/li>\n<li>C\u00e1c b\u1ec7nh l\u00fd b\u1ea5t th\u01b0\u1eddng t\u01b0\u01a1ng b\u00e0o kh\u00f4ng ph\u1ea3i \u0111a u t\u1ee7y x\u01b0\u01a1ng nh\u01b0ng c\u0169ng tr\u1edf th\u00e0nh \u0111a u t\u1ee7y x\u01b0\u01a1ng, nh\u01b0 b\u1ec7nh l\u00fd gamma\u00a0\u0111\u01a1n\u00a0d\u00f2ng\u00a0c\u00f3 \u00fd ngh\u0129a\u00a0kh\u00f4ng\u00a0x\u00e1c \u0111\u1ecbnh (MGUS)<\/li>\n<\/ul>\n<h3><strong>Gh\u00e9p t\u1ee7y\/gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c<\/strong><\/h3>\n<p>Gh\u00e9p t\u1ee7y l\u00e0 th\u1ee7 thu\u1eadt y khoa trong \u0111\u00f3 t\u1ee7y x\u01b0\u01a1ng c\u00f3 ch\u1ee9a t\u1ebf b\u00e0o ung th\u01b0 \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng c\u00e1c t\u1ebf b\u00e0o chuy\u00ean bi\u1ec7t cao, g\u1ecdi l\u00e0 c\u00e1c t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u, c\u00e1c t\u1ebf b\u00e0o n\u00e0y s\u1ebd ph\u00e1t tri\u1ec3n th\u00e0nh t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, b\u1ea1ch c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u kh\u1ecfe m\u1ea1nh trong t\u1ee7y x\u01b0\u01a1ng. T\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u l\u00e0 c\u00e1c t\u1ebf b\u00e0o t\u1ea1o m\u00e1u \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y c\u1ea3 trong m\u00e1u v\u00e0 trong t\u1ee7y x\u01b0\u01a1ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c v\u00ec th\u01b0\u1eddng d\u00f9ng t\u1ebf b\u00e0o g\u1ed1c trong m\u00e1u \u0111\u1ec3 gh\u00e9p, ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 m\u00f4 t\u1ee7y x\u01b0\u01a1ng th\u1ef1c s\u1ef1.<\/p>\n<p>Tr\u01b0\u1edbc khi \u0111\u1ec1 xu\u1ea5t gh\u00e9p t\u1ee7y, b\u00e1c s\u0129 s\u1ebd trao \u0111\u1ed5i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 nh\u1eefng r\u1ee7i ro c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y. \u0110\u1ed3ng th\u1eddi, h\u1ecd c\u0169ng s\u1ebd xem x\u00e9t m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 lo\u1ea1i ung th\u01b0, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e3 d\u00f9ng tr\u01b0\u1edbc \u0111\u00f3, tu\u1ed5i v\u00e0 t\u1ed5ng tr\u1ea1ng chung c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>C\u00f3 2 lo\u1ea1i gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u00f9y thu\u1ed9c v\u00e0o ngu\u1ed3n g\u1ed1c c\u1ee7a t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u thay th\u1ebf, \u0111\u00f3 l\u00e0: gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u \u0111\u1ed3ng lo\u1ea1i (ALLO) v\u00e0 t\u1ef1 th\u00e2n (AUTO).<\/p>\n<p>ALLO s\u1eed d\u1ee5ng c\u00e1c t\u1ebf b\u00e0o g\u1ed1c \u0111\u01b0\u1ee3c hi\u1ebfn t\u1eb7ng, trong khi AUTO s\u1eed d\u1ee5ng c\u00e1c t\u1ebf b\u00e0o g\u1ed1c c\u1ee7a ch\u00ednh ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ed1i v\u1edbi \u0111a u t\u1ee7y x\u01b0\u01a1ng, AUTO th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u01a1n. ALLO \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng. Trong c\u1ea3 hai lo\u1ea1i, m\u1ee5c ti\u00eau l\u00e0 ti\u00eau di\u1ec7t t\u1ea5t c\u1ea3 c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong t\u1ee7y x\u01b0\u01a1ng, trong m\u00e1u v\u00e0 c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng h\u00f3a tr\u1ecb li\u1ec1u cao (th\u01b0\u1eddng l\u00e0 melphalan) v\u00e0 sau \u0111\u00f3 cho ph\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u thay th\u1ebf \u0111\u1ec3 t\u1ea1o t\u1ee7y x\u01b0\u01a1ng kh\u1ecfe m\u1ea1nh v\u00e0 mi\u1ec5n d\u1ecbch t\u1ed1t h\u01a1n.<\/p>\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> l\u00e0 li\u1ec7u ph\u00e1p s\u1eed d\u1ee5ng c\u00e1c h\u1ea1t ho\u1eb7c s\u00f3ng n\u0103ng l\u01b0\u1ee3ng cao nh\u01b0 tia X, tia Gamma\u2026 \u0111\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. N\u00f3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia x\u1ea1 tr\u1ecb. Lo\u1ea1i x\u1ea1 tr\u1ecb ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 x\u1ea1 tr\u1ecb ngo\u00e0i, tia x\u1ea1 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o kh\u1ed1i u t\u1eeb m\u1ed9t m\u00e1y ph\u00e1t \u0111\u1eb7t b\u00ean ngo\u00e0i c\u01a1 th\u1ec3. Ph\u00e1c \u0111\u1ed3 x\u1ea1 tr\u1ecb (li\u1ec7u tr\u00ecnh x\u1ea1 tr\u1ecb) th\u01b0\u1eddng bao g\u1ed3m m\u1ed9t s\u1ed1 li\u1ec1u x\u1ea1 c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh.<\/p>\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb <a href=\"https:\/\/yhoccongdong.com\/thongtin\/xa-tri-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\">x\u1ea1 tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n<\/a> b\u1ecb \u0111au x\u01b0\u01a1ng khi h\u00f3a tr\u1ecb kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng x\u1ea1 tr\u1ecb kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t quy\u1ebft \u0111\u1ecbnh d\u1ec5 d\u00e0ng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, \u0111au (nh\u1ea5t l\u00e0 \u0111au l\u01b0ng) l\u00e0 do c\u1ea5u tr\u00fac x\u01b0\u01a1ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng. X\u1ea1 tr\u1ecb s\u1ebd kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi lo\u1ea1i \u0111au n\u00e0y v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u00e1p \u1ee9ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng \u0111\u1ed1i v\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo trong t\u01b0\u01a1ng lai.<\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/cac-tac-dung-phu-cua-xa-tri\/\" target=\"_blank\" rel=\"noopener\">T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a x\u1ea1 tr\u1ecb<\/a> c\u00f3 th\u1ec3 l\u00e0 m\u1ec7t m\u1ecfi, ph\u1ea3n \u1ee9ng da nh\u1eb9, \u0111au b\u1ee5ng, v\u00e0 ti\u00eau ch\u1ea3y. H\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y s\u1ebd bi\u1ebfn m\u1ea5t ngay khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p>Ph\u1eabu thu\u1eadt th\u01b0\u1eddng kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u1ef1c ti\u1ebfp cho \u0111a u t\u1ee7y x\u01b0\u01a1ng, nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng <strong><em>(xem b\u00ean d\u01b0\u1edbi)<\/em><\/strong>. Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd \u1edf x\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu c\u00f3 g\u00e3y x\u01b0\u01a1ng, v\u00e0 u t\u01b0\u01a1ng b\u00e0o s\u1edbm, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu ch\u00fang xu\u1ea5t hi\u1ec7n \u1edf ngo\u00e0i x\u01b0\u01a1ng.<\/p>\n<h2><strong>\u1ea2nh h\u01b0\u1edfng v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n v\u00e0 x\u00e3 h\u1ed9i c\u1ee7a b\u1ec7nh ung th\u01b0.<\/strong><\/h2>\n<p>Ung th\u01b0 v\u00e0 v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u01b0\u1eddng g\u00e2y ra c\u00e1c \u1ea3nh h\u01b0\u1edfng cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n, x\u00e3 h\u1ed9i v\u00e0 t\u00e0i ch\u00ednh. Qu\u1ea3n l\u00fd t\u1ea5t c\u1ea3 c\u00e1c \u1ea3nh h\u01b0\u1edfng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 ho\u1eb7c ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3. \u0110\u00f3 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong vi\u1ec7c ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh, bao g\u1ed3m c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1eb1m l\u00e0m ch\u1eadm, ng\u0103n ch\u1eb7n ho\u1eb7c lo\u1ea1i b\u1ecf ung th\u01b0.<\/p>\n<p>Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 l\u00e0 b\u1ea5t k\u1ef3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o t\u1eadp trung v\u00e0o vi\u1ec7c gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u1ee7a h\u1ecd. B\u1ea5t k\u1ef3 ng\u01b0\u1eddi n\u00e0o, b\u1ea5t k\u1ec3 tu\u1ed5i t\u00e1c n\u00e0o, lo\u1ea1i v\u00e0 giai \u0111o\u1ea1n ung th\u01b0 n\u00e0o, \u0111\u1ec1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9.<\/p>\n<p>Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 th\u01b0\u1eddng ph\u00e1t huy t\u1ed1t nh\u1ea5t khi n\u00f3 \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 song song v\u1edbi qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u01b0\u1eddng c\u00f3 \u00edt tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng h\u01a1n, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n, v\u00e0 h\u00e0i l\u00f2ng h\u01a1n v\u1edbi li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-34810 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2020\/07\/phuc-hoi-chuc-nang-benh-ung-thu-la-gi-300x150-1.jpg\" alt=\"Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng b\u1ec7nh ung th\u01b0 l\u00e0 g\u00ec?\" width=\"414\" height=\"207\" \/><\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 r\u1ea5t \u0111a d\u1ea1ng v\u00e0 th\u01b0\u1eddng bao g\u1ed3m thu\u1ed1c, thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng, ch\u1ebf \u0111\u1ed9 ngh\u1ec9 ng\u01a1i th\u01b0 gi\u00e3n, h\u1ed7 tr\u1ee3 v\u1ec1 m\u1eb7t tinh th\u1ea7n, c\u1ea3m x\u00fac v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p kh\u00e1c. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb gi\u1ea3m nh\u1eb9 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u kh\u00e1c nh\u01b0 ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb ho\u1eb7c h\u00f3a tr\u1ecb. Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb v\u1ec1 m\u1ee5c ti\u00eau c\u1ee7a t\u1eebng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. B\u1ea1n c\u0169ng n\u00ean trao \u0111\u1ed5i v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 g\u1eb7p khi ti\u1ebfn h\u00e0nh m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn v\u1ec1 \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9.<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, c\u00e1c b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb b\u1ea1n tr\u1ea3 l\u1eddi c\u00e1c c\u00e2u h\u1ecfi v\u00e0 m\u00f4 t\u1ea3 chi ti\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 b\u1ea1n g\u1eb7p. H\u00e3y th\u00f4ng b\u00e1o cho nh\u00e2n vi\u00ean y t\u1ebf bi\u1ebft v\u1ec1 nh\u1eefng v\u1ea5n \u0111\u1ec1 m\u00e0 b\u1ea1n g\u1eb7p ph\u1ea3i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. \u0110i\u1ec1u n\u00e0y gi\u00fap h\u1ecd c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a b\u1ea1n m\u1ed9t c\u00e1ch nhanh nh\u1ea5t. \u0110i\u1ec1u n\u00e0y c\u00f2n gi\u00fap ng\u0103n ng\u1eeba c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng h\u01a1n c\u00f3 th\u1ec3\u00a0 x\u1ea3y ra trong t\u01b0\u01a1ng lai.<\/p>\n<pre>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 <a href=\"https:\/\/yhoccongdong.com\/ung-thu\/chude\/cham-soc-giam-nhe-trong-ung-thu\/\" target=\"_blank\" rel=\"noopener\"><strong><u>tai \u0111\u00e2y<\/u><\/strong><\/a><\/pre>\n<h2><strong>\u0110a u t\u1ee7y x\u01b0\u01a1ng kh\u00e1ng tr\u1ecb<\/strong><\/h2>\n<p>B\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u00e1ng tr\u1ecb n\u1ebfu kh\u00f4ng c\u00f2n \u0111\u00e1p \u1ee9ng v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t. Khi \u0111\u00f3, h\u00e3y trao \u0111\u1ed5i v\u1edbi v\u1edbi c\u00e1c b\u00e1c s\u0129 c\u00f3 kinh nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng kh\u00e1ng tr\u1ecb. C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c cho ph\u00f9 h\u1ee3p. Ngo\u00e0i ra c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn quan tr\u1ecdng.<\/p>\n<p>\u0110\u00f4i khi, m\u1ed9t s\u1ed1 thu\u1ed1c \u0111\u00e3 v\u01b0\u1ee3t qua c\u00e1c giai \u0111o\u1ea1n c\u1ee7a th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 \u0111ang ch\u1edd s\u1ef1 ph\u00ea duy\u1ec7t c\u1ee7a FDA c\u0169ng \u0111\u01b0\u1ee3c s\u1eb5n s\u00e0ng cung c\u1ea5p cho b\u1ec7nh nh\u00e2n \u0111a u t\u1ee7y x\u01b0\u01a1ng kh\u00e1ng tr\u1ecb qua ch\u01b0\u01a1ng tr\u00ecnh th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng m\u1edf r\u1ed9ng c\u1ee7a FDA. V\u00ed d\u1ee5 nh\u01b0 daratumumab (Darzalex) \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 2015 \u0111\u1ec3 s\u1eed d\u1ee5ng \u0111\u01a1n tr\u1ecb trong \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng kh\u00e1ng tr\u1ecb sau khi th\u1ea5t b\u1ea1i v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. G\u1ea7n \u0111\u00e2y nh\u1ea5t, v\u00e0o th\u00e1ng 11\/2016 FDA \u0111\u00e3 ch\u1ea5p thu\u1eadn s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p daratumumab v\u1edbi lenalidomide v\u00e0 dexamethasone ho\u1eb7c v\u1edbi bortezomib v\u00e0 dexamethasone \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n tr\u01b0\u1edbc \u0111\u00f3. K\u1ec3 t\u1eeb \u0111\u00f3, daratumumab \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c th\u00eam 5 ph\u00ea duy\u1ec7t t\u1eeb FDA v\u00e0 hi\u1ec7n \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t k\u1ebft h\u1ee3p v\u1edbi bortezomib, thalidomide v\u00e0 dexamethasone \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng m\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n. B\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 v\u1ec1 t\u00ednh kh\u1ea3 d\u1ee5ng c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng.<\/p>\n<p>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 m\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb \u200b\u200bth\u1ee9 hai tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, \u0111\u1ec3 b\u1ea1n c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i v\u1edbi k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 ch\u1ecdn.<\/p>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng kh\u00e1ng tr\u1ecb, \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 c\u0169ng l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn c\u1ea7n thi\u1ebft \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169ng nh\u01b0 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n.<\/p>\n<p>Ph\u1ea7n l\u1edbn ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec1u c\u1ea3m th\u1ea5y r\u1ea5t c\u0103ng th\u1eb3ng v\u00e0 r\u1ea5t kh\u00f3 ch\u1ea5p nh\u1eadn khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 b\u1ec7nh t\u00e1i ph\u00e1t ho\u1eb7c kh\u00e1ng tr\u1ecb. Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch n\u00ean chia s\u1ebb nh\u1eefng c\u1ea3m x\u00fac, suy ngh\u0129 c\u1ee7a h\u1ecd v\u1edbi b\u00e1c s\u0129, nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 nh\u00e2n vi\u00ean ch\u0103m s\u00f3c x\u00e3 h\u1ed9i. N\u00f3i chuy\u1ec7n v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 th\u00f4ng qua m\u1ed9t nh\u00f3m h\u1ed7 tr\u1ee3 ho\u1eb7c m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh h\u1ed7 tr\u1ee3 c\u1ed9ng \u0111\u1ed3ng c\u0169ng c\u00f3 th\u1ec3 h\u1eefu \u00edch cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh h\u1ecd.<\/p>\n<h2><strong>Lui b\u1ec7nh v\u00e0 kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t<\/strong><\/h2>\n<p>Lui b\u1ec7nh l\u00e0 khi ung th\u01b0 kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong c\u01a1 th\u1ec3 v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Lui b\u1ec7nh c\u00f3 th\u1ec3 t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n. \u0110i\u1ec1u n\u00e0y l\u00e0m cho nhi\u1ec1u ng\u01b0\u1eddi lo l\u1eafng r\u1eb1ng ung th\u01b0 s\u1ebd quay tr\u1edf l\u1ea1i. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u1ea7n trao \u0111\u1ed5i v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 kh\u1ea3 n\u0103ng ung th\u01b0 quay tr\u1edf l\u1ea1i , v\u00ec \u0111\u00e2y l\u00e0 kh\u1ea3 n\u0103ng g\u1ea7n nh\u01b0 ch\u1eafc ch\u1eafn s\u1ebd x\u1ea3y ra v\u1edbi \u0111a u t\u1ee7y x\u01b0\u01a1ng m\u1eb7c d\u00f9 g\u1ea7n \u0111\u00e2y \u0111\u00e3 c\u00f3 r\u1ea5t nhi\u1ec1u nh\u1eefng ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y. Hi\u1ec3u \u0111\u01b0\u1ee3c nguy c\u01a1 t\u00e1i ph\u00e1t v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n chu\u1ea9n b\u1ecb t\u00e2m l\u00fd t\u1ed1t h\u01a1n n\u1ebfu ung th\u01b0 quay tr\u1edf l\u1ea1i.<\/p>\n<pre>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cuoc-song-sau-ung-thu-doi-pho-voi-noi-so-tai-phat\/\" target=\"_blank\" rel=\"noopener\"><strong>c\u00e1ch \u0111\u1ed1i ph\u00f3 v\u1edbi n\u1ed7i s\u1ee3 b\u1ec7nh t\u00e1i ph\u00e1t<\/strong><\/a><\/pre>\n<p>N\u1ebfu \u0111a u t\u1ee7y x\u01b0\u01a1ng quay tr\u1edf l\u1ea1i sau \u0111i\u1ec1u tr\u1ecb l\u1ea7n \u0111\u1ea7u, n\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh t\u00e1i ph\u00e1t. Khi \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m l\u1ea1i c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u1ed1i \u0111a c\u00e1c t\u1ed5n th\u01b0\u01a1ng u. Sau khi ho\u00e0n th\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 b\u00e1c s\u1ef9 s\u1ebd c\u00f9ng th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. Th\u01b0\u1eddng th\u00ec k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb s\u1ebd bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf tr\u00ean nh\u01b0 \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch v\u00e0 h\u00f3a tr\u1ecb, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi m\u1ed9t s\u1ef1 ph\u1ed1i h\u1ee3p kh\u00e1c ho\u1eb7c d\u00f9ng b\u1eb1ng c\u00e1ch kh\u00e1c. Nh\u1eefng ti\u1ebfn b\u1ed9 g\u1ea7n \u0111\u00e2y trong \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch \u0111\u00e3 m\u1edf ra nhi\u1ec1u c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t.<\/p>\n<p>B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t. Hi\u1ec7n nay, nhi\u1ec1u lo\u1ea1i thu\u1ed1c \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong c\u00e1c giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u00e3 cho th\u1ea5y nhi\u1ec1u h\u1ee9a h\u1eb9n trong \u0111i\u1ec1u tr\u1ecb cho \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t. Xem ph\u1ea7n \u201cNghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t\u201d \u0111\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin. Cho d\u00f9 ng\u01b0\u1eddi b\u1ec7nh l\u1ef1a ch\u1ecdn k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb n\u00e0o th\u00ec ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 c\u0169ng s\u1ebd r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng t\u00e1i ph\u00e1t th\u01b0\u1eddng c\u00f3 t\u00e2m tr\u1ea1ng ho\u00e0i nghi ho\u1eb7c s\u1ee3 h\u00e3i. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch trao \u0111\u1ed5i v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 nh\u1eefng c\u1ea3m x\u00fac n\u00e0y v\u00e0 v\u1ec1 c\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 \u0111\u1ec3 gi\u00fap h\u1ecd \u0111\u1ed1i ph\u00f3 v\u1edbi ch\u00fang.<\/p>\n<pre>T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1ch <strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/doi-pho-voi-ung-thu-tai-phat\/\" target=\"_blank\" rel=\"noopener\">\u0110\u1ed1i ph\u00f3 v\u1edbi ung th\u01b0 t\u00e1i ph\u00e1t<\/a> <\/strong><\/pre>\n<h2><img decoding=\"async\" class=\"alignnone wp-image-34172 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2019\/12\/thong-tin-cho-phu-huynh-cam-xuc-300x150-1.jpg\" alt=\"Th\u00f4ng tin cho ph\u1ee5 huynh: C\u1ea3m x\u00fac\" width=\"408\" height=\"204\" \/><\/h2>\n<h2><strong>N\u1ebfu \u0111i\u1ec1u tr\u1ecb th\u1ea5t b\u1ea1i<\/strong><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb kh\u1ecfi \u0111a u t\u1ee7y x\u01b0\u01a1ng l\u00e0 kh\u00f4ng th\u1ec3. C\u0103n b\u1ec7nh n\u00e0y v\u1eabn \u0111\u01b0\u1ee3c coi l\u00e0 kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi m\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb g\u1ea7n \u0111\u00e2y. N\u1ebfu ung th\u01b0 kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ngay c\u1ea3 v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t, b\u1ec7nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u1ebfn tri\u1ec3n hay giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 l\u00e0 m\u1ed9t c\u00fa s\u1ed1c t\u00e2m l\u00fd v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, v\u00e0 v\u1edbi nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh, n\u00f3i chuy\u1ec7n v\u1ec1 ung th\u01b0 giai \u0111o\u1ea1n mu\u1ed9n l\u00e0 vi\u1ec7c r\u1ea5t kh\u00f3 kh\u0103n. Nh\u01b0ng \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i c\u00f3 c\u00e1c cu\u1ed9c tr\u00f2 chuy\u1ec7n c\u1edfi m\u1edf v\u00e0 ch\u00e2n th\u00e0nh v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 b\u00e0y t\u1ecf nh\u1eefng c\u1ea3m x\u00fac, mong mu\u1ed1n v\u00e0 s\u1ef1 lo l\u1eafng c\u1ee7a m\u00ecnh.<\/p>\n<p>Nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nh\u1eefng k\u1ef9 n\u0103ng \u0111\u1eb7c bi\u1ec7t, kinh nghi\u1ec7m v\u00e0 ki\u1ebfn th\u1ee9c \u0111\u1ec3 h\u1ed7 tr\u1ee3 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecd lu\u00f4n s\u1eb5n s\u00e0ng \u0111\u1ec3 gi\u00fap \u0111\u1ee1 ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ea3m b\u1ea3o cho b\u1ec7nh nh\u00e2n tho\u1ea3i m\u00e1i v\u1ec1 th\u1ec3 ch\u1ea5t kh\u00f4ng b\u1ecb \u0111au \u0111\u1edbn v\u00e0 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 v\u1ec1 m\u1eb7t tinh th\u1ea7n l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ung th\u01b0 giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u200b\u200bs\u1ed1ng d\u01b0\u1edbi 6 th\u00e1ng c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c cu\u1ed1i \u0111\u1eddi t\u1ea1i khu ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t. \u0110\u00e2y l\u00e0 n\u01a1i \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 cung c\u1ea5p ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t nh\u1ea5t cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh g\u1ea7n cu\u1ed1i \u0111\u1eddi. Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch \u0111\u1ec3 suy ngh\u0129 v\u1ec1 n\u01a1i m\u00e0 ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i nh\u1ea5t: \u1edf nh\u00e0, trong b\u1ec7nh vi\u1ec7n, ho\u1eb7c trong m\u1ed9t m\u00f4i tr\u01b0\u1eddng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t. Ch\u0103m s\u00f3c \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 trang thi\u1ebft b\u1ecb \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 l\u00e0m cho vi\u1ec7c \u1edf nh\u00e0 l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p thay th\u1ebf kh\u1ea3 thi cho nhi\u1ec1u gia \u0111\u00ecnh.<\/p>\n<p>Sau khi ng\u01b0\u1eddi b\u1ec7nh qua \u0111\u1eddi, nhi\u1ec1u ng\u01b0\u1eddi th\u00e2n c\u1ee7a h\u1ecd c\u1ea7n s\u1ef1 h\u1ed7 tr\u1ee3 \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi s\u1ef1 m\u1ea5t m\u00e1t v\u00e0 \u0111au bu\u1ed3n.<\/p>\n<pre><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tim-hieu-ve-dau-buon-va-mat-mat\/\" target=\"_blank\" rel=\"noopener\">T\u00ecm hi\u1ec3u th\u00eam v\u1ec1 \u0111au bu\u1ed3n v\u00e0 m\u1ea5t m\u00e1t.<\/a><\/strong><\/pre>\n<p>Ph\u1ea7n ti\u1ebfp theo l\u00e0 nh\u1eefng h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng, cung c\u1ea5p th\u00eam nh\u1eefng th\u00f4ng tin v\u1ec1 c\u00e1c nghi\u00ean c\u1ee9u t\u1eadp trung v\u00e0o vi\u1ec7c t\u00ecm ra nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p t\u1ed1t h\u01a1n \u0111\u1ec3 ch\u0103m s\u00f3c nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong b\u00e0i vi\u1ebft n\u00e0y, b\u1ea1n s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau m\u00e0 b\u00e1c s\u0129 s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng.<\/p>\n","protected":false},"author":534,"featured_media":8690,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2959,2611],"tags":[3367,2476,3368,2471],"series":[1807],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"Trong b\u00e0i vi\u1ebft n\u00e0y, b\u1ea1n s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau m\u00e0 b\u00e1c s\u0129 s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng.\" \/>\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\/cac-phuong-phap-dieu-tri-da-u-tuy-xuong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111a u t\u1ee7y x\u01b0\u01a1ng - D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"og:description\" content=\"Trong b\u00e0i vi\u1ebft n\u00e0y, b\u1ea1n s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau m\u00e0 b\u00e1c s\u0129 s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/cac-phuong-phap-dieu-tri-da-u-tuy-xuong\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"article:published_time\" content=\"2020-12-01T07:45:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2020\/11\/cac-phuong-phap-dieu-tri-da-u-tuy-xuong.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"ThS. 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