{"id":8840,"date":"2021-05-04T08:30:42","date_gmt":"2021-05-04T01:30:42","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/paclitaxel-taxol\/"},"modified":"2024-04-29T18:36:28","modified_gmt":"2024-04-29T11:36:28","slug":"paclitaxel-taxol","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/paclitaxel-taxol\/","title":{"rendered":"Paclitaxel (Taxol)"},"content":{"rendered":"<p><strong>V\u1ec1<\/strong><strong>\u00a0b\u00e0i vi\u1ebft n\u00e0y<\/strong><\/p>\n<p>B\u00e0i vi\u1ebft n\u00e0y gi\u1ea3i th\u00edch v\u1ec1 thu\u1ed1c paclitaxel, thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o, khi n\u00e0o thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 tr\u1ea3i qua.<\/p>\n<h2><strong>Paclitaxel l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Paclitaxel l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb. <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 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eed d\u1ee5ng c\u00e1c h\u00f3a ch\u1ea5t \u0111\u1ed9c t\u1ebf b\u00e0o nh\u1eb1m ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/p>\n<p>Paclitaxel l\u00e0 t\u00ean chung qu\u1ed1c t\u1ebf (kh\u00f4ng ph\u1ea3i t\u00ean bi\u1ec7t d\u01b0\u1ee3c), nh\u01b0ng b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 th\u1ea5y thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi b\u1eb1ng m\u1ed9t trong c\u00e1c t\u00ean bi\u1ec7t d\u01b0\u1ee3c l\u00e0 Taxol.<\/p>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh m\u1ed9t thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi nab-paclitaxel (Abraxane). B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c n\u00e0y n\u1ebfu b\u1ea1n c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi paclitaxel.<\/p>\n<h2><strong>Paclitaxel ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Paclitaxel ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e2n chia v\u00e0 nh\u00e2n l\u00ean c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ung th\u01b0, khi\u1ebfn c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 kh\u00f4ng th\u1ec3 ph\u00e1t tri\u1ec3n v\u00e0 lan r\u1ed9ng.<\/p>\n<h2><strong>Khi n\u00e0o<\/strong><strong> b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh<\/strong> <strong>paclitaxel<\/strong><strong> cho b\u1ea1n<\/strong><strong>?<\/strong><\/h2>\n<h3><strong>Ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t<\/strong><\/h3>\n<p>Paclitaxel \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t (ung th\u01b0 ch\u01b0a lan qu\u00e1 v\u00fa ho\u1eb7c t\u1edbi c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft d\u01b0\u1edbi c\u00e1nh tay) khi k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c. Thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng. B\u1ea1n c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y th\u00f4ng tin v\u1ec1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng tr\u00ean website <a href=\"http:\/\/www.breastcancernow.org\" target=\"_blank\" rel=\"noopener\">www.breastcancernow.org<\/a>.<\/p>\n<h4><strong><em>Tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/em><\/strong><\/h4>\n<p>Paclitaxel c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt \u0111\u1ec3 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u00e1c kh\u1ed1i u l\u1edbn. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c xem x\u00e9t ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n n\u1ebfu c\u00f3 th\u1ec3, thay v\u00ec c\u1eaft b\u1ecf to\u00e0n b\u1ed9 v\u00fa. Ho\u1eb7c thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u0111\u1ec3 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ung th\u01b0 ph\u00fa \u0111ang ti\u1ebfn tri\u1ec3n nhanh v\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 di c\u0103n t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>Khi h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u00f3a tr\u1ecb t\u00e2n b\u1ed5 tr\u1ee3.<\/p>\n<h4><strong><em>Sau ph\u1eabu thu\u1eadt<\/em><\/strong><\/h4>\n<p>Paclitaxel \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh sau ph\u1eabu thu\u1eadt \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa t\u00e1i ph\u00e1t. H\u00f3a tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u trong v\u00f2ng m\u1ed9t v\u00e0i tu\u1ea7n sau ph\u1eabu thu\u1eadt.<\/p>\n<p>N\u1ebfu c\u1ea7n, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb sau khi ho\u00e0n th\u00e0nh \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb paclitaxel.<\/p>\n<p>H\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh sau ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u00f3a tr\u1ecb b\u1ed5 tr\u1ee3.<\/p>\n<h3><strong>Ung th\u01b0 v\u00fa di c\u0103n<\/strong><\/h3>\n<p>Paclitaxel \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c ho\u1eb7c c\u00e1c thu\u1ed1c ch\u1ed1ng ung th\u01b0 kh\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u0111\u00e3:<\/p>\n<ul>\n<li>Lan t\u1edbi c\u00e1c m\u00f4 v\u00e0 h\u1ea1ch b\u1ea1ch huy\u1ebft xung quanh ng\u1ef1c, c\u1ed5 v\u00e0 d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f2n (g\u1ecdi l\u00e0 t\u00e1i ph\u00e1t t\u1ea1i v\u00f9ng ho\u1eb7c ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n t\u1ea1i ch\u1ed7).<\/li>\n<li>Lan t\u1edbi c\u00e1c c\u01a1 quan kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (ung th\u01b0 v\u00fa di c\u0103n).<\/li>\n<\/ul>\n<h2><strong>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u truy\u1ec1n paclitaxel<\/strong><\/h2>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh vi\u1ec7n s\u1ebd b\u1ed1 tr\u00ed m\u1ed9t s\u1ed1 bu\u1ed5i trao \u0111\u1ed5i, cung c\u1ea5p th\u00f4ng tin v\u1ec1 ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. T\u1ea1i \u0111\u00e2y, \u0111i\u1ec1u d\u01b0\u1ee1ng s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi b\u1ea1n l\u1ecbch tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3, c\u00e1ch qu\u1ea3n l\u00fd v\u00e0 x\u1eed tr\u00ed c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p. B\u1ea1n c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c cho s\u1ed1 \u0111i\u1ec7n tho\u1ea1i \u0111\u1ec3 li\u00ean h\u1ec7 khi b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi ho\u1eb7c lo l\u1eafng n\u00e0o.<\/p>\n<h2><strong>Paclitaxel \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Paclitaxel \u0111\u01b0\u1ee3c truy\u1ec1n v\u00e0o t\u0129nh m\u1ea1ch \u1edf b\u00e0n tay ho\u1eb7c c\u00e1nh tay.<\/p>\n<p>C\u0169ng c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n t\u0129nh m\u1ea1ch kh\u00e1c, \u0111i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, v\u00ed d\u1ee5 nh\u01b0 l\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 d\u1ec5 l\u1ea5y ven hay kh\u00f4ng, hay do s\u1ef1 l\u1ef1a ch\u1ecdn c\u1ee7a b\u1ea1n.<\/p>\n<p>Paclitaxel c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng theo chu k\u1ef3 hai tu\u1ea7n\/1 l\u1ea7n trong hai gi\u1edd (li\u1ec1u d\u00e0y) ho\u1eb7c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c truy\u1ec1n h\u00e0ng tu\u1ea7n \u1edf li\u1ec1u th\u1ea5p h\u01a1n trong m\u1ed9t gi\u1edd.<\/p>\n<p>Kho\u1ea3ng c\u00e1ch gi\u1eefa m\u1ed7i \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111\u1ec3 c\u01a1 th\u1ec3 b\u1ea1n c\u00f3 th\u1eddi gian h\u1ed3i ph\u1ee5c. Th\u1eddi gian n\u00e0y c\u00f3 th\u1ec3 thay \u0111\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u \u0111\u00e3 tr\u1edf l\u1ea1i m\u1ee9c b\u00ecnh th\u01b0\u1eddng hay ch\u01b0a.<\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c truy\u1ec1n paclitaxel theo \u0111\u1ee3t gi\u1ed1ng b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa.<\/p>\n<p>Tr\u01b0\u1edbc m\u1ed7i \u0111\u1ee3t truy\u1ec1n b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 thu\u1ed1c kh\u00e1c \u0111\u1ec3 d\u1ef1 ph\u00f2ng c\u00e1c ph\u1ea3n \u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n<h2><strong>T\u00f4i s\u1ebd d\u00f9ng paclitaxel trong bao l\u00e2u?<\/strong><\/h2>\n<p>\u0110\u1ed1i v\u1edbi ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t th\u01b0\u1eddng l\u00e0 ba t\u1edbi s\u00e1u chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>\u0110\u1ed1i v\u1edbi ung th\u01b0 v\u00fa ti\u1ebfn tri\u1ec3n t\u1ea1i ch\u1ed7 v\u00e0 ung th\u01b0 v\u00fa di c\u0103n th\u00ec s\u1ed1 \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb s\u1ebd thay \u0111\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng c\u00e1 nh\u00e2n.<\/p>\n<h2><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a paclitaxel<\/strong><\/h2>\n<p>Gi\u1ed1ng nh\u01b0 b\u1ea5t k\u00ec li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o kh\u00e1c, paclitaxel c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5. M\u1ed7i ng\u01b0\u1eddi ph\u1ea3n \u1ee9ng kh\u00e1c nhau v\u1edbi thu\u1ed1c v\u00e0 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n nh\u1eefng ng\u01b0\u1eddi kh\u00e1c. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u01b0\u1eddng c\u00f3 th\u1ec3 x\u1eed tr\u00ed \u0111\u01b0\u1ee3c v\u00e0 kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf \u0111\u00e2y \u0111\u1ec1u x\u1ea3y ra v\u1edbi t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi.<\/p>\n<p>N\u1ebfu b\u1ea1n lo ng\u1ea1i v\u1ec1 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o, d\u00f9 c\u00f3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea \u1edf \u0111\u00e2y hay kh\u00f4ng, h\u00e3y b\u00e1o v\u1edbi \u0111i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb ho\u1eb7c thu\u1ed1c ch\u1ed1ng ung th\u01b0 kh\u00e1c c\u00f9ng v\u1edbi paclitaxel th\u00ec b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p th\u00eam t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c do c\u00e1c thu\u1ed1c n\u00e0y g\u00e2y ra.<\/p>\n<h3><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn<\/strong><\/h3>\n<h4><strong><em>\u1ea2nh h\u01b0\u1edfng l\u00ean m\u00e1u<\/em><\/strong><\/h4>\n<p>Paclitaxel c\u00f3 th\u1ec3 t\u1ea1m th\u1eddi \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u trong c\u01a1 th\u1ec3 b\u1ea1n. C\u00e1c t\u1ebf b\u00e0o m\u00e1u (t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u, h\u1ed3ng c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u) \u0111\u01b0\u1ee3c s\u1ea3n sinh v\u00e0 ph\u00f3ng th\u00edch t\u1eeb t\u1ee7y x\u01b0\u01a1ng (t\u1ee7y x\u01b0\u01a1ng l\u00e0 v\u1eadt li\u1ec7u x\u1ed1p c\u00f3 trong ph\u1ea7n r\u1ed7ng c\u1ee7a x\u01b0\u01a1ng). H\u00f3a tr\u1ecb l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng t\u1ee7y x\u01b0\u01a1ng t\u1ea1o ra c\u00e1c t\u1ebf b\u00e0o n\u00e0y.<\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ki\u1ec3m tra. N\u1ebfu s\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u qu\u00e1 th\u1ea5p th\u00ec \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb t\u1edbi c\u00f3 th\u1ec3 b\u1ecb tr\u00ec ho\u00e3n ho\u1eb7c ph\u1ea3i gi\u1ea3m li\u1ec1u h\u00f3a tr\u1ecb.<\/p>\n<h4><strong><em>Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng<\/em><\/strong><\/h4>\n<p>Khi c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u xu\u1ed1ng th\u1ea5p d\u01b0\u1edbi m\u1ee9c n\u00e0o \u0111\u00f3 th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ea1 b\u1ea1ch c\u1ea7u. Kh\u00f4ng \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb nhi\u1ec5m tr\u00f9ng. S\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o n\u00e0y th\u01b0\u1eddng tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111\u1ee3t h\u00f3a tr\u1ecb ti\u1ebfp theo.<\/p>\n<p>H\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u1ec7nh vi\u1ec7n ngay n\u1ebfu:<\/p>\n<ul>\n<li>B\u1ea1n b\u1ecb s\u1ed1t cao (tr\u00ean 37,5<sup>o<\/sup>C) ho\u1eb7c nhi\u1ec7t \u0111\u1ed9 h\u1ea1 th\u1ea5p (d\u01b0\u1edbi 36<sup>o<\/sup>C), ho\u1eb7c b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o m\u00e0 b\u00e1c s\u0129 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n<li>B\u1ea1n \u0111\u1ed9t nhi\u00ean c\u1ea3m th\u1ea5y kh\u00f4ng kh\u1ecfe, th\u1eadm ch\u00ed khi nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>B\u1ea1n c\u00f3 b\u1ea5t k\u1ec3 tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a nhi\u1ec5m tr\u00f9ng, v\u00ed d\u1ee5 \u0111au h\u1ecdng, ho ho\u1eb7c c\u1ea3m th\u1ea5y \u1edbn l\u1ea1nh ho\u1eb7c run.<\/li>\n<\/ul>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u h\u00f3a tr\u1ecb, b\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ed1 \u0111i\u1ec7n tho\u1ea1i \u0111\u1ec3 li\u00ean l\u1ea1c 24\/24 gi\u1edd ho\u1eb7c nh\u1eefng \u0111\u1ecba ch\u1ec9 c\u00f3 th\u1ec3 li\u00ean h\u1ec7 trong t\u00ecnh hu\u1ed1ng nguy c\u1ea5p. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng kh\u00e1ng sinh. \u0110\u00f4i khi b\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u1ebfn ngh\u1ecb b\u1ea1n ti\u00eam thu\u1ed1c k\u00edch b\u1ea1ch c\u1ea7u \u0111\u1ec3 ng\u0103n ng\u1eeba gi\u1ea3m b\u1ea1ch c\u1ea7u v\u00e0 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/p>\n<h4><strong><em>Thi\u1ebfu m\u00e1u<\/em><\/strong><\/h4>\n<p>C\u00f3 qu\u00e1 \u00edt t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n \u0111\u00e3 b\u1ecb thi\u1ebfu m\u00e1u. N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y \u0111\u1eb7c bi\u1ec7t m\u1ec7t, kh\u00f3 th\u1edf ho\u1eb7c ch\u00f3ng m\u1eb7t, h\u00e3y b\u00e1o cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb bi\u1ebft.<\/p>\n<h4><strong><em>B\u1ea7m t\u00edm v\u00e0 ch\u1ea3y m\u00e1u<\/em><\/strong><\/h4>\n<p>Paclitaxel c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u &#8211; th\u00e0nh ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u. B\u1ea1n c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng b\u1ecb b\u1ea7m t\u00edm, ch\u1ea3y m\u00e1u m\u0169i ho\u1eb7c ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng khi \u0111\u00e1nh r\u0103ng. H\u00e3y b\u00e1o v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o k\u1ec3 tr\u00ean.<\/p>\n<h4><strong><em>R\u1ee5ng t\u00f3c<\/em><\/strong><\/h4>\n<p>Paclitaxel g\u00e2y r\u1ee5ng t\u00f3c. H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi s\u1ebd r\u1ee5ng t\u00f3c v\u00e0 l\u00f4ng m\u00e0y, l\u00f4ng mi v\u00e0 l\u00f4ng tr\u00ean c\u01a1 th\u1ec3.<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u r\u1ee5ng t\u00f3c trong kho\u1ea3ng hai tu\u1ea7n sau \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean ho\u1eb7c s\u1edbm h\u01a1n. R\u1ee5ng t\u00f3c th\u01b0\u1eddng di\u1ec5n ra t\u1eeb t\u1eeb nh\u01b0ng c\u00f3 th\u1ec3 ch\u1ec9 trong v\u00e0i ng\u00e0y.<\/p>\n<p>L\u00e0m m\u00e1t da \u0111\u1ea7u b\u1eb1ng \u201cm\u0169 l\u00e0m l\u1ea1nh\u201d c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m r\u1ee5ng t\u00f3c khi b\u1ea1n s\u1eed d\u1ee5ng ch\u00fang tr\u01b0\u1edbc, trong v\u00e0 sau khi truy\u1ec1n m\u1ed9t t\u1edbi hai gi\u1edd. Hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i thu\u1ed1c v\u00e0 li\u1ec1u l\u01b0\u1ee3ng, v\u00e0 kh\u00f4ng ph\u1ea3i ai c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 khi s\u1eed d\u1ee5ng.<\/p>\n<p>R\u1ee5ng t\u00f3c l\u00e0 t\u1ea1m th\u1eddi v\u00e0 trong h\u1ea7u h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00f3c s\u1ebd m\u1ecdc l\u1ea1i v\u00e0i tu\u1ea7n sau khi \u0111i\u1ec1u tr\u1ecb k\u1ebft th\u00fac.<\/p>\n<p>R\u1ee5ng t\u00f3c v\u0129nh vi\u1ec5n l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u00f3c kh\u00f4ng m\u1ecdc l\u1ea1i ho\u00e0n to\u00e0n trong s\u00e1u th\u00e1ng ho\u1eb7c h\u01a1n sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb. Hi\u1ec7n ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng thuy\u1ebft ph\u1ee5c n\u00e0o v\u1ec1 t\u1ec9 l\u1ec7 x\u1ea3y ra r\u1ee5ng t\u00f3c v\u0129nh vi\u1ec5n \u1edf b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng paclitaxel.<\/p>\n<p>N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 r\u1ee5ng t\u00f3c khi quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb, h\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n<h4><strong><em>T\u00ea b\u00ec v\u00e0 ng\u1ee9a ran \u1edf b\u00e0n tay ho\u1eb7c b\u00e0n ch\u00e2n<\/em><\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng paclitaxel b\u1ecb \u0111au, t\u00ea b\u00ec v\u00e0 ng\u1ee9a \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n, l\u00e0 do \u1ea3nh h\u01b0\u1edfng c\u1ee7a paclitaxel l\u00ean d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean. \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng nh\u1eb9 v\u00e0 m\u1ea5t \u0111i sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, \u1edf \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n, t\u00ecnh tr\u1ea1ng ng\u1ee9a v\u00e0 t\u00ea b\u00ec \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n nh\u01b0ng c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n gi\u1ea3m li\u1ec1u paclitaxel ho\u1eb7c d\u1eebng \u0111i\u1ec1u tr\u1ecb ho\u00e0n to\u00e0n.<\/p>\n<p>N\u1ebfu b\u1ea1n b\u1ecb ng\u1ee9a ran v\u00e0 t\u00ea b\u00ec (nh\u01b0 l\u00e0 kh\u00f3 c\u00e0i khuy \u00e1o ho\u1eb7c c\u00f3 c\u1ea3m gi\u00e1c kh\u00f3 ph\u00e2n bi\u1ec7t gi\u1eefa n\u01b0\u1edbc n\u00f3ng v\u00e0 n\u01b0\u1edbc l\u1ea1nh b\u1eb1ng c\u00e1c ng\u00f3n tay) th\u00ec h\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 c\u00f3 th\u1ec3 theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<h4><strong><em>\u0110au c\u01a1 v\u00e0 kh\u1edbp<\/em><\/strong><\/h4>\n<p>Hai \u0111\u1ebfn ba ng\u00e0y sau truy\u1ec1n thu\u1ed1c, b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y \u0111au c\u01a1 v\u00e0 kh\u1edbp. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y th\u01b0\u1eddng m\u1ea5t \u0111i sau v\u00e0i ng\u00e0y ho\u1eb7c m\u1ed9t tu\u1ea7n nh\u01b0ng \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n. C\u00f3 th\u1ec3 b\u1ea1n s\u1ebd r\u1ea5t \u0111au v\u00e0 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au nh\u1eb9 ho\u1eb7c thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 l\u00e0 ibuprofen. N\u00ean c\u00f3 c\u00e1c thu\u1ed1c n\u00e0y tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ph\u00f2ng khi b\u1ea1n c\u1ea7n \u0111\u1ebfn. Tuy nhi\u00ean vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 l\u00e0 paracetamol ho\u1eb7c ibuprofen c\u00f3 th\u1ec3 che d\u1ea5u c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec5m tr\u00f9ng.<\/p>\n<p>Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam, h\u00e3y h\u1ecfi b\u00e1c s\u0129 v\u1ec1 li\u1ec1u, th\u1eddi gian d\u00f9ng thu\u1ed1c v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu b\u1ea1n b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c hen suy\u1ec5n.<\/p>\n<h4><strong><em>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n <\/em><\/strong><\/h4>\n<p>Bu\u1ed3n n\u00f4n th\u01b0\u1eddng nh\u1eb9 v\u00e0 h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi s\u1ebd kh\u00f4ng b\u1ecb n\u00f4n th\u1ef1c s\u1ef1. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y ng\u01b0\u1eddi kh\u00f3 ch\u1ecbu trong m\u1ed9t v\u00e0i gi\u1edd sau khi truy\u1ec1n. Th\u00f4ng th\u01b0\u1eddng b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c cho d\u00f9ng d\u00f9ng thu\u1ed1c ch\u1ed1ng n\u00f4n b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch tr\u01b0\u1edbc m\u1ed7i \u0111\u1ee3t h\u00f3a tr\u1ecb. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c ch\u1ed1ng n\u00f4n \u0111\u1ec3 mang v\u1ec1 nh\u00e0.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang bu\u1ed3n n\u00f4n v\u00e0 b\u1ecb n\u00f4n th\u00ec h\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>H\u00e3y li\u00ean l\u1ea1c ngay v\u1edbi b\u1ec7nh vi\u1ec7n v\u00e0o b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m, d\u00f9 l\u00e0 cu\u1ed1i tu\u1ea7n hay ban \u0111\u00eam n\u1ebfu t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng v\u00e0 kh\u00f4ng th\u1ec3 u\u1ed1ng b\u1ea5t k\u1ef3 ch\u1ea5t l\u1ecfng n\u00e0o.<\/p>\n<h4><strong><em>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng tr\u00ean da<\/em><\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ban \u0111\u1ecf \u1edf b\u1ea5t k\u1ef3 n\u01a1i n\u00e0o tr\u00ean c\u01a1 th\u1ec3 ho\u1eb7c da b\u1ecb \u0111\u1ed5i m\u00e0u, \u0111\u1ecf, ng\u1ee9a ho\u1eb7c b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111\u1ecf b\u1eebng m\u1eb7t. B\u00e1c s\u0129 c\u00f3 th\u1ec3 cho thu\u1ed1c \u0111\u1ec3 l\u00e0m gi\u1ea3m t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>N\u1ebfu b\u1ea1n xu\u1ea5t hi\u1ec7n c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng tr\u00ean da th\u00ec h\u00e3y n\u00f3i v\u00f3i b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb khi b\u1ea1n t\u00e1i kh\u00e1m \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng da nghi\u00eam tr\u1ecdng g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng b\u00e0n tay-b\u00e0n ch\u00e2n hay h\u1ed9i ch\u1ee9ng Palmar-plantar. H\u1ed9i ch\u1ee9ng n\u00e0y th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng t\u1edbi l\u00f2ng b\u00e0n tay v\u00e0 gan b\u00e0n ch\u00e2n nh\u01b0ng b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf c\u00e1c khu v\u1ef1c nh\u01b0 da \u1edf \u0111\u1ea7u g\u1ed1i ho\u1eb7c khu\u1ef7u tay.<\/p>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, h\u1ed9i ch\u1ee9ng b\u00e0n tay-b\u00e0n ch\u00e2n c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n kh\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y h\u01a1n v\u00e0 \u1ea3nh h\u01b0\u1edfng t\u1edbi ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 cho b\u1ea1n s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c b\u00f4i d\u1ea1ng gel ho\u1eb7c kem l\u00ean khu v\u1ef1c b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<h4><strong><em>Vi\u00eam lo\u00e9t mi\u1ec7ng<\/em><\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb \u0111au v\u00e0 lo\u00e9t mi\u1ec7ng. S\u1eed d\u1ee5ng n\u01b0\u1edbc x\u00fac mi\u1ec7ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 n\u00e0y.<\/p>\n<p>Vi\u1ec7c ch\u0103m s\u00f3c r\u0103ng v\u00e0 l\u1ee3i r\u1ea5t quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. N\u1ebfu b\u1ea1n b\u1ecb nhi\u1ec5m tr\u00f9ng, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 th\u1ec3 khuy\u00ean b\u1ea1n d\u00f9ng c\u00e1c lo\u1ea1i n\u01b0\u1edbc x\u00fac mi\u1ec7ng kh\u00e1c ho\u1eb7c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n<p>B\u1ea1n c\u1ea7n \u0111\u1ebfn g\u1eb7p nha s\u1ef9 \u0111\u1ec3 ki\u1ec3m tra tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u h\u00f3a tr\u1ecb. N\u1ebfu b\u1ea1n c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd r\u0103ng, mi\u1ec7ng h\u00e3y b\u00e1o v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 c\u00e2n nh\u1eafc th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p.<\/p>\n<h4><strong><em>Ti\u00eau ch\u1ea3y v\u00e0 t\u00e1o b\u00f3n<\/em><\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb ti\u00eau ch\u1ea3y v\u00e0 t\u00e1o b\u00f3n. B\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n ho\u1eb7c \u0111\u01b0a ra l\u1eddi khuy\u00ean v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ea1n.<\/p>\n<p>H\u00e3y li\u00ean h\u1ec7 v\u1edbi nh\u00f3m h\u00f3a tr\u1ecb n\u1ebfu b\u1ea1n b\u1ecb ti\u00eau ch\u1ea3y t\u1eeb b\u1ed1n l\u1ea7n tr\u1edf l\u00ean trong 24 gi\u1edd.<\/p>\n<h4><strong><em>Ki\u1ec7t s\u1ee9c (M\u1ec7t l\u1ea3)<\/em><\/strong><\/h4>\n<p>M\u1ec7t l\u1ea3 li\u00ean quan t\u1edbi ung th\u01b0 l\u00e0 tr\u1ea1ng th\u00e1i c\u1ef1c k\u1ef3 m\u1ec7t, kh\u00f4ng h\u1ebft \u0111i khi ngh\u1ec9 ng\u01a1i ho\u1eb7c ng\u1ee7. N\u00f3 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi th\u1ec3 x\u00e1c v\u00e0 tinh th\u1ea7n c\u1ee7a b\u1ea1n.<\/p>\n<p>N\u1ebfu c\u1ea3m th\u1ea5y ki\u1ec7t s\u1ee9c, h\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n. H\u1ecd c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 \u0111\u01b0a ra l\u1eddi khuy\u00ean gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<h4><strong><em>\u1ea2nh h\u01b0\u1edfng l\u00ean kh\u1ea3 n\u0103ng t\u1eadp trung<\/em><\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u1ea5y vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u1ea3nh h\u01b0\u1edfng l\u00ean kh\u1ea3 n\u0103ng t\u1eadp trung v\u00e0 l\u00e0m cho h\u1ecd hay qu\u00ean. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cchemo fog\u201d hay suy gi\u1ea3m nh\u1eadn th\u1ee9c. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y th\u01b0\u1eddng c\u1ea3i thi\u1ec7n theo th\u1eddi gian sau khi \u0111i\u1ec1u tr\u1ecb k\u1ebft th\u00fac.<\/p>\n<h4><strong><em>H\u1ea1 huy\u1ebft \u00e1p<\/em><\/strong><\/h4>\n<p>C\u1ea7n \u0111\u1ec1u \u0111\u1eb7n ki\u1ec3m tra huy\u1ebft \u00e1p khi truy\u1ec1n palitaxel. H\u00e3y n\u00f3i cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb bi\u1ebft n\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y ch\u00f3ng m\u1eb7t ho\u1eb7c \u0111au \u0111\u1ea7u nh\u1eb9.<\/p>\n<h3><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n<\/strong><\/h3>\n<h4><strong><em>Ph\u1ea3n \u1ee9ng \u1edf m\u00f3ng tay<\/em><\/strong><strong><em>,<\/em><\/strong><strong><em> m\u00f3ng ch\u00e2n<\/em><\/strong><\/h4>\n<p>Paclitaxel c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i m\u00f3ng tay, m\u00f3ng ch\u00e2n, nh\u01b0 bi\u1ebfn \u0111\u1ed5i v\u1ec1 m\u00e0u s\u1eafc ho\u1eb7c c\u1ea5u tr\u00fac b\u1ec1 m\u1eb7t m\u00f3ng, h\u00ecnh th\u00e0nh c\u00e1c \u0111\u01b0\u1eddng g\u1ee3n tr\u00ean m\u00f3ng. M\u00f3ng c\u0169ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean gi\u00f2n v\u00e0 d\u1ec5 n\u1ee9t. Th\u1ec9nh tho\u1ea3ng c\u00f3 th\u1ec3 b\u1ecb bong ra v\u00e0 r\u01a1i \u0111i nh\u01b0ng m\u00f3ng s\u1ebd m\u1ecdc tr\u1edf l\u1ea1i.<\/p>\n<p>Do b\u1ea1n c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng nhi\u1ec1u h\u01a1n trong khi \u0111ang h\u00f3a tr\u1ecb, h\u00e3y b\u00e1o b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng n\u00e0o nh\u01b0 l\u00e0 \u0111\u1ecf, n\u00f3ng, s\u01b0ng ho\u1eb7c \u0111au \u1edf ho\u1eb7c d\u01b0\u1edbi m\u00f3ng tay v\u00e0 m\u00f3ng ch\u00e2n cho b\u00e1c s\u0129.<\/p>\n<h4><strong><em>Ph\u1ea3n \u1ee9ng t\u1ea1i v\u1ecb tr\u00ed c\u1eafm kim truy\u1ec1n<\/em><\/strong><\/h4>\n<p>C\u00f3 th\u1ec3 x\u1ea3y ra c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng \u0111au, \u0111\u1ecf da, thay \u0111\u1ed5i m\u00e0u da ho\u1eb7c s\u01b0ng \u1edf v\u1ecb tr\u00ed kim \u0111\u01b0\u1ee3c c\u1eafm v\u00e0o ho\u1eb7c \u1edf b\u1ea5t k\u1ef3 n\u01a1i n\u00e0o d\u1ecdc t\u0129nh m\u1ea1ch.<\/p>\n<p>N\u1ebfu b\u1ea1n th\u1ea5y \u0111au, nh\u1ee9c nh\u01b0 kim ch\u00e2m ho\u1eb7c c\u1ea3m gi\u00e1c b\u1ecfng r\u00e1t xung quanh \u0111\u01b0\u1eddng truy\u1ec1n trong khi \u0111ang truy\u1ec1n thu\u1ed1c th\u00ec \u00a0h\u00e3y b\u00e1o ngay v\u1edbi \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n<p>T\u00ecnh tr\u1ea1ng tho\u00e1t m\u1ea1ch trong truy\u1ec1n paclitaxel (thu\u1ed1c r\u00f2 r\u1ec9 ra ngo\u00e0i t\u0129nh m\u1ea1ch) c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u00f4 xung quanh.<\/p>\n<p>Sau m\u1ed9t v\u00e0i tu\u1ea7n b\u1ea1n c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y \u0111au, da s\u1eabm m\u00e0u v\u00e0 c\u1ee9ng xung quanh n\u01a1i c\u1eafm kim truy\u1ec1n. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y s\u1ebd m\u1ea5t \u0111i theo th\u1eddi gian.<\/p>\n<h4><strong><em>\u1ea2nh h\u01b0\u1edfng l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/em><\/strong><\/h4>\n<p>Ng\u01b0\u1eddi ta ch\u01b0a bi\u1ebft m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c li\u1ec7u paclitaxel c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n hay kh\u00f4ng. Tuy nhi\u00ean, b\u1ea5t k\u1ef3 \u1ea3nh h\u01b0\u1edfng n\u00e0o c\u0169ng s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c m\u00e0 b\u1ea1n \u0111ang d\u00f9ng c\u00f9ng l\u00fac ho\u1eb7c \u0111\u00e3 d\u00f9ng tr\u01b0\u1edbc \u0111\u00f3, v\u00e0 tu\u1ed5i c\u1ee7a b\u1ea1n n\u1eefa.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef m\u1ea5t kinh trong khi h\u00f3a tr\u1ecb, nh\u01b0ng hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y ch\u1ec9 l\u00e0 t\u1ea1m th\u1eddi. Ph\u1ee5 n\u1eef tu\u1ed5i t\u1eeb 40 tr\u1edf l\u00ean th\u00ec \u00edt c\u00f3 kh\u1ea3 n\u0103ng c\u00f3 kinh tr\u1edf l\u1ea1i sau khi ho\u00e0n th\u00e0nh h\u00f3a tr\u1ecb h\u01a1n l\u00e0 ph\u1ee5 n\u1eef d\u01b0\u1edbi tu\u1ed5i 40.<\/p>\n<p>N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a m\u00ecnh, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng paclitaxel.<\/p>\n<pre>N\u1ebfu b\u1ea1n mu\u1ed1n bi\u1ebft th\u00eam v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n ho\u1eb7c c\u00f3 thai sau \u0111i\u1ec1u tr\u1ecb, \u0111\u1ec1 ngh\u1ecb \u0111\u1ecdc\nquy\u1ec3n <strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/ebook\/ung-thu-va-kha-nang-sinh-san\/\" target=\"_blank\" rel=\"noopener\">Kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/a>. \u00a0<\/strong><\/pre>\n<h4><strong><em>\u1ea2nh h\u01b0\u1edfng l\u00ean gan<\/em><\/strong><\/h4>\n<p>Paclitaxel c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u00ean ch\u1ee9c n\u0103ng gan. \u1ea2nh h\u01b0\u1edfng n\u00e0y l\u00e0 t\u1ea1m th\u1eddi v\u00e0 ch\u1ee9c n\u0103ng gan s\u1ebd tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng khi d\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>B\u1ea1n \u00edt khi nh\u1eadn th\u1ea5y b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 thay \u0111\u1ed5i ch\u1ee9c n\u0103ng gan. Tuy nhi\u00ean, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 theo d\u00f5i ch\u1ee9c n\u0103ng gan su\u1ed1t c\u1ea3 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><strong>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 hi\u1ebfm g\u1eb7p<\/strong><\/h3>\n<h4><strong><em>Thay \u0111\u1ed5i nh\u1ecbp tim \u00a0<\/em><\/strong><\/h4>\n<p>Paclitaxel c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i nh\u1ecbp tim n\u00ean b\u1ea1n c\u1ea7n theo d\u00f5i c\u1ea9n th\u1eadn ch\u1ec9 s\u1ed1 n\u00e0y trong khi \u0111i\u1ec1u tr\u1ecb. N\u1ebfu c\u00f3 thay \u0111\u1ed5i v\u1ec1 nh\u1ecbp tim, th\u00ec c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb d\u1ec5 d\u00e0ng v\u00e0 b\u1ea1n s\u1ebd kh\u00f4ng ph\u1ea3i d\u1eebng thu\u1ed1c.<\/p>\n<p>\u0110i\u1ec1u n\u00e0y kh\u00f4ng gi\u1ed1ng v\u1edbi c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi paclitaxel (xem d\u01b0\u1edbi \u0111\u00e2y).<\/p>\n<h4><strong><em>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng<\/em><\/strong><\/h4>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng c\u00e1c thu\u1ed1c g\u1ecdi l\u00e0 steroid \u0111\u1ec1 l\u00e0m gi\u1ea3m nguy c\u01a1 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng. Thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u1edf d\u1ea1ng vi\u00ean n\u00e9n \u0111\u1ec3 u\u1ed1ng ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi paclitaxel th\u00ec ph\u1ea3n \u1ee9ng th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng v\u00e0i ph\u00fat k\u1ec3 t\u1eeb th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u truy\u1ec1n. Nhi\u1ec1u kh\u1ea3 n\u0103ng hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra v\u00e0o \u0111\u1ee3t truy\u1ec1n th\u1ee9 nh\u1ea5t ho\u1eb7c th\u1ee9 hai. Ph\u1ea3n \u1ee9ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb nh\u1eb9 t\u1edbi n\u1eb7ng, m\u1eb7c d\u00f9 ph\u1ea3n \u1ee9ng n\u1eb7ng l\u00e0 kh\u00f4ng ph\u1ed5 bi\u1ebfn.<\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd trong su\u1ed1t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft b\u1ea5t k\u1ef3 ph\u1ea3n \u1ee9ng n\u00e0o ngay l\u1eadp t\u1ee9c.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng g\u1ed3m \u0111\u1ecf b\u1eebng m\u1eb7t, ph\u00e1t ban, ng\u1ee9a, \u0111au l\u01b0ng, kh\u00f3 th\u1edf, ng\u1ea5t x\u1ec9u, s\u1ed1t ho\u1eb7c r\u00e9t run. N\u1ebfu b\u1ea1n g\u1eb7p c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng th\u00ec s\u1ebd \u0111\u01b0\u1ee3c d\u1eebng truy\u1ec1n ngay l\u1eadp t\u1ee9c. B\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c truy\u1ec1n l\u1ea1i paclitaxel ho\u1eb7c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng th\u00eam thu\u1ed1c \u0111\u1ec3 ng\u0103n ng\u1eeba ph\u1ea3n \u1ee9ng kh\u00e1c, v\u00e0 paclitaxel c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c truy\u1ec1n ch\u1eadm h\u01a1n.<\/p>\n<h4><strong><em>\u1ea2nh h\u01b0\u1edfng l\u00ean ph\u1ed5i<\/em><\/strong><\/h4>\n<p>\u1ea2nh h\u01b0\u1edfng l\u00ean ph\u1ed5i g\u1ed3m x\u01a1 ho\u1eb7c vi\u00eam ph\u1ed5i. \u0110\u00e2y l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 hi\u1ebfm g\u1eb7p, nh\u01b0ng n\u1ebfu b\u1ea1n b\u1ecb kh\u00f3 th\u1edf ho\u1eb7c ho khan trong ho\u1eb7c sau \u0111i\u1ec1u tr\u1ecb m\u1ed9t v\u00e0i tu\u1ea7n, h\u00e3y n\u00f3i cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb bi\u1ebft.<\/p>\n<h4><em><strong>Huy\u1ebft kh\u1ed1i<\/strong><\/em><\/h4>\n<p>Nh\u1eefng ng\u01b0\u1eddi m\u1eafc ung th\u01b0 v\u00fa c\u00f3 nguy c\u01a1 c\u00f3 huy\u1ebft kh\u1ed1i cao h\u01a1n. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0 do b\u1ea3n th\u00e2n ung th\u01b0 v\u00e0 m\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa g\u00e2y ra. N\u1ebfu ung th\u01b0 \u0111\u00e3 lan t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (ung th\u01b0 v\u00fa di c\u0103n) th\u00ec c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i.<\/p>\n<p>Truy\u1ec1n paclitaxel l\u00e0m t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i nh\u01b0 l\u00e0 thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch s\u00e2u (DVT). Nh\u1eefng ng\u01b0\u1eddi b\u1ecb DVT c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n th\u00e0nh <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuyen-tac-phoi\/\" target=\"_blank\" rel=\"noopener\">thuy\u00ean t\u1eafc ph\u1ed5i<\/a> (PE) khi m\u1ed9t ph\u1ea7n c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng v\u1ee1 ra v\u00e0 \u0111i t\u1edbi ph\u1ed5i.<\/p>\n<p>Huy\u1ebft kh\u1ed1i l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m nh\u01b0ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c, n\u00ean \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n b\u00e1o c\u00e1o c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1edbi b\u00e1c s\u0129 c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0o trong c\u00e1c tri\u1ec7u ch\u1ee9ng sau th\u00ec h\u00e3y li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 \u0111a khoa ho\u1eb7c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c:<\/p>\n<ul>\n<li>\u0110au, t\u1ea5y \u0111\u1ecf ho\u1eb7c thay \u0111\u1ed5i m\u00e0u da, n\u00f3ng v\u00e0 s\u01b0ng b\u1eafp ch\u00e2n, ch\u00e2n ho\u1eb7c \u0111\u00f9i<\/li>\n<li>S\u01b0ng, t\u1ea5y \u0111\u1ecf ho\u1eb7c \u0111au \u1edf ch\u1ed7 c\u1eafm kim c\u1ee7a \u0111\u01b0\u1eddng truy\u1ec1n trung t\u00e2m \u1edf c\u00e1nh tay, khu v\u1ef1c ng\u1ef1c ho\u1eb7c l\u00ean t\u1edbi c\u1ed5.<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>T\u1ee9c ng\u1ef1c<\/li>\n<li>Ho kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n ho\u1eb7c c\u00f3 th\u1ec3 ho ra m\u00e1u.<\/li>\n<\/ul>\n<h2><strong>\u0110i<\/strong> <strong>du l\u1ecbch v\u00e0<\/strong> <strong>ti\u00eam ch\u1ee7ng<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n \u0111ang c\u00f3 k\u1ebf ho\u1ea1ch cho ng\u00e0y ngh\u1ec9 ho\u1eb7c c\u1ea7n \u0111i ra n\u01b0\u1edbc ngo\u00e0i, tr\u01b0\u1edbc ti\u00ean h\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>B\u1ea1n kh\u00f4ng n\u00ean ti\u00eam v\u1eafc xin s\u1ed1ng trong khi \u0111ang h\u00f3a tr\u1ecb. V\u1eafc xin s\u1ed1ng g\u1ed3m <a href=\"https:\/\/yhoccongdong.com\/thongtin\/vaccin-soi\/\" target=\"_blank\" rel=\"noopener\">s\u1edfi<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/vacxin-rubella-quai-bi-va-soi-vacxin-mmr\/\" target=\"_blank\" rel=\"noopener\">rubella<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuy-dau-va-vaccine\/\" target=\"_blank\" rel=\"noopener\">th\u1ee7y \u0111\u1eadu<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/sang-loc-lao-va-lao-tiem-dung-quen-nhung-benh-nhan-ung-thu\/\" target=\"_blank\" rel=\"noopener\">lao<\/a>, zona v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuoc-chung-ngua-benh-sot-vang-da-ebook\/\" target=\"_blank\" rel=\"noopener\">v\u1eafc xin ng\u1eeba b\u1ec7nh s\u1ed1t v\u00e0ng da.<\/a><\/p>\n<p>V\u1eafc xin s\u1ed1ng c\u00f3 ch\u1ee9a l\u01b0\u1ee3ng nh\u1ecf vi r\u00fat s\u1ed1ng ho\u1eb7c vi khu\u1ea9n s\u1ed1ng. N\u1ebfu b\u1ea1n c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu do h\u00f3a tr\u1ecb th\u00ec c\u00e1c v\u1eafc xin n\u00e0y c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i.<\/p>\n<p>Ti\u00eam ch\u1ee7ng c\u00e1c v\u1eafc xin n\u00e0y s\u00e1u th\u00e1ng sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb l\u00e0 an to\u00e0n. H\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 \u0111a khoa ho\u1eb7c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi ti\u00eam ch\u1ee7ng ho\u1eb7c khi b\u1ea1n ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi c\u1ea7n ti\u00eam v\u1eafc xin s\u1ed1ng. H\u1ecd c\u00f3 th\u1ec3 t\u01b0 v\u1ea5n c\u00e1ch ph\u00f2ng ng\u1eeba m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n th\u1ef1c hi\u1ec7n.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft v\u1ec1\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/tong-quan-ve-vaccine\/#Ban-chat-vaccine\" target=\"_blank\" rel=\"noopener\">T\u1ed5ng quan v\u1ec1 v\u1eafc xin<\/a><\/pre>\n<h3><strong><em>Ti\u00eam v\u1eafc xin virut Corona (Covid-19)<\/em><\/strong><\/h3>\n<p>Nh\u1eefng ng\u01b0\u1eddi \u0111ang h\u00f3a tr\u1ecb c\u1ea7n trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi ti\u00eam v\u1eafc xin virut corona (Covid-19).<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft v\u1ec1 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ebook\/vaccine-covid-19\/\" target=\"_blank\" rel=\"noopener\">V\u1eafc xin COVID-19<\/a><\/pre>\n<h3><strong><em>Ti\u00eam v\u1eafc xin c\u00fam<\/em><\/strong><\/h3>\n<p>B\u1ea5t k\u1ef3 ai c\u00f3 nguy c\u01a1 suy gi\u1ea3m h\u1ec7 mi\u1ec5n d\u1ecbch d\u1eabn \u0111\u1ebfn d\u1ec5 nhi\u1ec5m khu\u1ea9n ho\u1eb7c nhi\u1ec5m virus h\u01a1n nh\u01b0 b\u1ec7nh nh\u00e2n s\u1eafp ho\u1eb7c \u0111ang h\u00f3a tr\u1ecb, th\u00ec c\u1ea7n ti\u00eam v\u1eafc xin c\u00fam..<\/p>\n<p>V\u1eafc xin c\u00fam kh\u00f4ng ph\u1ea3i l\u00e0 v\u1eafc xin s\u1ed1ng. N\u1ebfu b\u1ea1n \u0111ang h\u00f3a tr\u1ecb th\u00ec h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1ec1 th\u1eddi gian t\u1ed1t nh\u1ea5t \u0111\u1ec3 ti\u00eam v\u1eafc xin n\u00e0y.<\/p>\n<h2><strong>T\u00ecnh d\u1ee5c, tr\u00e1nh thai v\u00e0 c\u00f3 thai<\/strong><\/h2>\n<p>B\u1ea1n \u0111\u01b0\u1ee3c khuy\u00ean kh\u00f4ng c\u00f3 thai trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb do paclitaxel c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i t\u1edbi thai nhi \u0111ang ph\u00e1t tri\u1ec3n. N\u1ebfu b\u1ea1n ch\u01b0a m\u00e3n kinh th\u00ec h\u00e3y h\u1ecfi b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai ph\u00f9 h\u1ee3p nh\u1ea5t. B\u1ea1n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 thai th\u1eadm ch\u00ed n\u1ebfu kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u ho\u1eb7c d\u1eebng h\u1eb3n.<\/p>\n<p>B\u1ea1n v\u1eabn c\u00f3 th\u1ec3 quan h\u1ec7 t\u00ecnh d\u1ee5c trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1eddi ta cho r\u1eb1ng thu\u1ed1c h\u00f3a tr\u1ecb kh\u00f4ng th\u1ec3 \u0111i v\u00e0o d\u1ecbch \u00e2m \u0111\u1ea1o ho\u1eb7c tinh d\u1ecbch, nh\u01b0ng kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb ho\u00e0n to\u00e0n \u0111i\u1ec1u n\u00e0y do thu\u1ed1c h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111i v\u00e0o m\u00e1u v\u00e0 m\u1ed9t s\u1ed1 d\u1ecbch kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>H\u1ea7u h\u1ebft c\u00e1c b\u00e1c s\u0129 \u1edf b\u1ec7nh vi\u1ec7n s\u1ebd khuy\u00ean s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai r\u00e0o ch\u1eafn c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0 bao cao su trong ho\u1eb7c sau truy\u1ec1n h\u00f3a ch\u1ea5t m\u1ed9t v\u00e0i ng\u00e0y.<\/p>\n<p>H\u00f3a tr\u1ecb s\u1ebd g\u1ea7n nh\u01b0 \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u1ea3m gi\u00e1c c\u1ee7a b\u1ea1n v\u1ec1 t\u00ecnh d\u1ee5c v\u00e0 s\u1ef1 g\u1ea7n g\u0169i. B\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea3m th\u1ea5y th\u00edch \u0111\u01b0\u1ee3c g\u1ea7n g\u0169i khi b\u1ea1n \u0111ang \u0111i\u1ec1u tr\u1ecb, ho\u1eb7c b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y g\u1ea7n g\u0169i gi\u00fap b\u1ea1n c\u1ea3m th\u1ea5y b\u00ecnh th\u01b0\u1eddng h\u01a1n. Ph\u1ea3n \u1ee9ng c\u1ee7a m\u1ed7i ng\u01b0\u1eddi s\u1ebd kh\u00e1c nhau.<\/p>\n<p>\u0110\u1ec1 ngh\u1ecb xem quy\u1ec3n s\u00e1ch <strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/co-the-ban-sau-dieu-tri-ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">C\u01a1 th\u1ec3 b\u1ea1n<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cam-xuc-su-lo-au-va-cac-moi-quan-he-gan-gui-sau-dieu-tri-ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">s\u1ef1 g\u1ea7n g\u0169i<\/a> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/van-de-tinh-duc-sau-dieu-tri-ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">t\u00ecnh d\u1ee5c <\/a><\/strong>\u0111\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin v\u1ec1 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o l\u00ean h\u00ecnh \u1ea3nh c\u01a1 th\u1ec3, t\u00ecnh d\u1ee5c v\u00e0 s\u1ef1 g\u1ea7n g\u0169i.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/information-support\/publication\/paclitaxel-taxol-bcc34\" target=\"_blank\" rel=\"noopener\">https:\/\/breastcancernow.org\/information-support\/publication\/paclitaxel-taxol-bcc34<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y gi\u1ea3i th\u00edch v\u1ec1 thu\u1ed1c paclitaxel, thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o, khi n\u00e0o thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 tr\u1ea3i qua.<\/p>\n","protected":false},"author":548,"featured_media":8841,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[2472,2981,3426,3427,2569],"series":[1428],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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