{"id":9348,"date":"2022-06-26T05:16:21","date_gmt":"2022-06-25T22:16:21","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu\/"},"modified":"2024-04-29T18:34:21","modified_gmt":"2024-04-29T11:34:21","slug":"tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu\/","title":{"rendered":"Ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u1ec1 ung th\u01b0 v\u00fa: Qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0 v\u00fa"},"content":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y d\u00e0nh cho b\u1ea5t k\u1ef3 ai c\u00f3 nguy c\u01a1 cao m\u1eafc ung th\u01b0 v\u00fa (bao g\u1ed3m nh\u1eefng ng\u01b0\u1eddi c\u00f3 di truy\u1ec1n m\u1ed9t gen \u0111\u1ed9t bi\u1ebfn l\u00e0m t\u0103ng nguy c\u01a1). B\u00e0i vi\u1ebft c\u0169ng th\u00edch h\u1ee3p cho nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa nh\u01b0ng v\u1eabn c\u00f3 nguy c\u01a1 m\u1eafc cao h\u01a1n do ti\u1ec1n s\u1eed gia \u0111\u00ecnh.<\/p>\n<p>B\u00ean c\u1ea1nh \u0111\u00f3, b\u00e0i vi\u1ebft c\u00f2n gi\u1ea3i th\u00edch c\u00e1c l\u1ef1a ch\u1ecdn kh\u00e1c nhau cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ch\u1ecdn \u0111\u1ec3 qu\u1ea3n l\u00fd nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa.<\/p>\n<p>Ngo\u00e0i ra, b\u00e0i vi\u1ebft c\u0169ng \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c ch\u1ee7 \u0111\u1ec1 nh\u01b0 c\u00e1ch n\u00f3i chuy\u1ec7n v\u1edbi gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 vi\u1ec7c c\u00f3 nguy c\u01a1 cao m\u1eafc ung th\u01b0 v\u00fa v\u00e0 nh\u1eefng lo l\u1eafng v\u1ec1 di truy\u1ec1n gen \u0111\u1ed9t bi\u1ebfn cho th\u1ebf h\u1ec7 sau.<\/p>\n<h2><strong>Nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa v\u00e0 gen \u0111\u1ed9t bi\u1ebfn<\/strong><\/h2>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa v\u00e0 c\u00e1c ung th\u01b0 kh\u00e1c cao h\u01a1n do mang gen \u0111\u1ed9t bi\u1ebfn \u0111\u01b0\u1ee3c di truy\u1ec1n.<\/p>\n<p>X\u00e9t nghi\u1ec7m gen \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00ecm ra gen \u0111\u1ed9t bi\u1ebfn (thay \u0111\u1ed5i gen, l\u1ed7i gen) hi\u1ec7n \u0111ang di truy\u1ec1n trong gia \u0111\u00ecnh.<\/p>\n<h3><strong>BRCA1, BRCA2, PALB2 v\u00e0 c\u00e1c \u0111\u1ed9t bi\u1ebfn gen kh\u00e1c<\/strong><\/h3>\n<p>C\u00e1c gen \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa l\u00e0 <strong>BRCA1<\/strong> v\u00e0 <strong>BRCA2<\/strong> (BRCA l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a gen ung th\u01b0 v\u00fa).<\/p>\n<p>C\u00e1c gen <strong>BRCA1<\/strong> v\u00e0 <strong>BRCA2<\/strong> th\u01b0\u1eddng b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 kh\u1ecfi ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. Tuy nhi\u00ean, di truy\u1ec1n \u0111\u1ed9t bi\u1ebfn gen c\u1ee7a m\u1ed9t trong nh\u1eefng gen n\u00e0y l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0.<\/p>\n<p>C\u00e1c gen \u0111\u1ed9t bi\u1ebfn kh\u00e1c c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 nh\u01b0ng \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n.<\/p>\n<figure id=\"attachment_41979\" aria-describedby=\"caption-attachment-41979\" style=\"width: 973px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-41979\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/06\/tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu-1-300x169-1.png\" alt=\"Gen BRCA1 v\u00e0 BRCA2\" width=\"973\" height=\"548\" \/><figcaption id=\"caption-attachment-41979\" class=\"wp-caption-text\">Gen BRCA1 v\u00e0 BRCA2<\/figcaption><\/figure>\n<h3><strong>C\u00e1c gen \u0111\u1ed9t bi\u1ebfn \u1ea3nh h\u01b0\u1edfng t\u1edbi nguy c\u01a1 ung th\u01b0 nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h3>\n<p>M\u1ed9t ng\u01b0\u1eddi c\u00f3 m\u1ed9t gen \u0111\u1ed9t bi\u1ebfn \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ng\u01b0\u1eddi mang gen \u0111\u1ed9t bi\u1ebfn. Mang gen \u0111\u1ed9t bi\u1ebfn kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n s\u1ebd m\u1eafc ung th\u01b0 v\u00fa, ung th\u01b0 bu\u1ed3ng tr\u1ee9ng ho\u1eb7c c\u00e1c ung th\u01b0 li\u00ean quan. Tuy nhi\u00ean, b\u1ea1n s\u1ebd c\u00f3 nguy c\u01a1 cao h\u01a1n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng kh\u00f4ng mang gen \u0111\u1ed9t bi\u1ebfn.<\/p>\n<h4>Ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng (Kh\u00f4ng mang gen \u0111\u1ed9t bi\u1ebfn)<\/h4>\n<p>Ph\u1ee5 n\u1eef trong su\u1ed1t c\u1ea3 cu\u1ed9c \u0111\u1eddi:<\/p>\n<ul>\n<li>15% nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa<\/li>\n<li>2% nguy c\u01a1 m\u1eafc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n<h4><strong>BRCA1<\/strong><\/h4>\n<p>Ph\u1ee5 n\u1eef c\u00f3 gen BRCA1 b\u1ecb \u0111\u1ed9t bi\u1ebfn:<\/p>\n<ul>\n<li>60-90% nguy c\u01a1 ung th\u01b0 v\u00fa<\/li>\n<li>40-60% nguy c\u01a1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n<p>Nam gi\u1edbi c\u00f3 gen BRCA1 b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 ung th\u01b0 v\u00fa l\u00e0 0,1-1%.<\/p>\n<h4><strong>BRCA2<\/strong><\/h4>\n<p>Ph\u1ee5 n\u1eef c\u00f3 gen BRCA 2 b\u1ecb \u0111\u1ed9t bi\u1ebfn:<\/p>\n<ul>\n<li>45-85% nguy c\u01a1 ung th\u01b0 v\u00fa<\/li>\n<li>10-30% ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n<p>Nam gi\u1edbi c\u00f3 gen BRCA2 \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 ung th\u01b0 v\u00fa l\u00e0 5-10% v\u00e0 nguy c\u01a1 ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t t\u1edbi 25%.<\/p>\n<h4><strong>C\u00e1c gen \u0111\u1ed9t bi\u1ebfn \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n<\/strong><\/h4>\n<p><em><b>PALB2: <\/b><\/em>Ph\u1ee5 n\u1eef c\u00f3 gen PALB2 b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 ung th\u01b0 v\u00fa 44-63%.<\/p>\n<p><em><b>TP53: <\/b><\/em>Ph\u1ee5 n\u1eef c\u00f3 gen TP53 b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 ung th\u01b0 v\u00fa t\u1edbi 85%. Nguy c\u01a1 c\u1ea3 \u0111\u1eddi c\u1ee7a m\u1ed9t ng\u01b0\u1eddi c\u00f3 gen TP53 \u0111\u1ed9t bi\u1ebfn \u0111\u1ec3 ph\u00e1t tri\u1ec3n b\u1ea5t k\u1ef3 lo\u1ea1i ung th\u01b0 n\u00e0o l\u00e0 90%.<\/p>\n<p><em><b>CHEK2: <\/b><\/em>Ph\u1ee5 n\u1eef c\u00f3 gen CHEK2 b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 trung b\u00ecnh ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa. Nguy c\u01a1 trung b\u00ecnh l\u00e0 cao h\u01a1n so v\u1edbi d\u00e2n s\u1ed1 n\u00f3i chung. Tuy nhi\u00ean, v\u1eabn nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 h\u1ecd s\u1ebd kh\u00f4ng b\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p><em><b>ATM: <\/b><\/em>Ph\u1ee5 n\u1eef c\u00f3 gen ATM \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 trung b\u00ecnh ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa. Nguy c\u01a1 trung b\u00ecnh l\u00e0 cao h\u01a1n d\u00e2n s\u1ed1 n\u00f3i chung. Tuy nhi\u00ean, r\u1ea5t nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 h\u1ecd s\u1ebd kh\u00f4ng m\u1eafc ung th\u01b0 v\u00fa.<\/p>\n<p><em><strong>C\u00e1c gen kh\u00e1c: <\/strong><\/em>M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd gen do c\u00e1c gen b\u1ecb \u0111\u1ed9t bi\u1ebfn hi\u1ebfm g\u00e2y ra c\u0169ng g\u1eafn li\u1ec1n v\u1edbi ung th\u01b0 v\u00fa:<\/p>\n<ul>\n<li>H\u1ed9i ch\u1ee9ng Peutz-Jegher (gen STK11 b\u1ecb \u0111\u1ed9t bi\u1ebfn)<\/li>\n<li>H\u1ed9i ch\u1ee9ng Cowden\/h\u1ed9i ch\u1ee9ng kh\u1ed1i u l\u00e0nh t\u00ednh PTEN (gen PTEN b\u1ecb \u0111\u1ed9t bi\u1ebfn)<\/li>\n<li>H\u1ed9i ch\u1ee9ng ung th\u01b0 d\u1ea1 d\u00e0y x\u00e2m nhi\u1ec5m di truy\u1ec1n (gen E-cadherin (CDH1) b\u1ecb \u0111\u1ed9t bi\u1ebfn)<\/li>\n<li>U s\u1ee3i th\u1ea7n kinh type 1 (gen NF1 b\u1ecb \u0111\u1ed9t bi\u1ebfn)<\/li>\n<\/ul>\n<p>Trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb \u0111\u1ed9t bi\u1ebfn m\u1ed9t trong c\u00e1c gen n\u00e0y s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa.<\/p>\n<h2><strong>Qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0 v\u00fa<\/strong><\/h2>\n<p>M\u1ed9t s\u1ed1 l\u1ef1a ch\u1ecdn trong qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0 v\u00fa, nh\u01b0:<\/p>\n<ul>\n<li>S\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa th\u01b0\u1eddng xuy\u00ean<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/li>\n<li>Ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1<\/li>\n<\/ul>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung chi ti\u1ebft v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn \u0111\u1ec3 qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0 v\u00fa.<\/p>\n<p><em><strong>T\u01b0 v\u1ea5n di truy\u1ec1n<\/strong><\/em><\/p>\n<p>T\u1ea5t c\u1ea3 c\u00e1c ph\u00f2ng kh\u00e1m di truy\u1ec1n ung th\u01b0 c\u00f3 c\u00e1c nh\u00f3m chuy\u00ean gia m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 n\u00f3i chuy\u1ec7n v\u1edbi h\u1ecd v\u1ec1 c\u1ea3m gi\u00e1c c\u1ee7a m\u00ecnh.<\/p>\n<p>Sau khi l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m di truy\u1ec1n, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c h\u1eb9n g\u1eb7p chuy\u00ean gia t\u01b0 v\u1ea5n di truy\u1ec1n (m\u1ed9t chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 ki\u1ebfn th\u1ee9c chuy\u00ean s\u00e2u v\u1ec1 di truy\u1ec1n v\u00e0 b\u1ec7nh di truy\u1ec1n) ho\u1eb7c m\u1ed9t chuy\u00ean gia di truy\u1ec1n l\u00e2m s\u00e0ng (m\u1ed9t b\u00e1c s\u0129 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean s\u00e2u v\u1ec1 di truy\u1ec1n).<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u1eb9n g\u1eb7p c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c nhau c\u1ee7a nh\u00f3m \u0111a ng\u00e0nh chuy\u00ean v\u1ec1 ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng di truy\u1ec1n. Nh\u00f3m \u0111a ng\u00e0nh bao g\u1ed3m b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00fa, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u1ea9m m\u0129, b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa, b\u00e1c s\u0129 n\u1ed9i ung th\u01b0, \u0111i\u1ec1u d\u01b0\u1ee1ng chuy\u00ean khoa, \u0111i\u1ec1u d\u01b0\u1ee1ng nghi\u00ean c\u1ee9u v\u00e0 chuy\u00ean gia t\u00e2m l\u00fd l\u00e2m s\u00e0ng. H\u1ecd c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n hi\u1ec3u th\u00eam v\u1ec1 nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa v\u00e0 c\u00e1c ung th\u01b0 kh\u00e1c, c\u00e1c l\u1ef1a ch\u1ecdn \u0111\u1ec3 gi\u00fap qu\u1ea3n l\u00fd nguy c\u01a1. Vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u1ed9t l\u1ea7n ho\u1eb7c v\u00e0i l\u1ea7n th\u0103m kh\u00e1m.<\/p>\n<p>C\u00f3 th\u1ec3 b\u1ea1n s\u1ebd c\u1ea3m th\u1ea5y lo l\u1eafng v\u1ec1 nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa c\u1ee7a m\u00ecnh, nh\u00f3m chuy\u00ean gia di truy\u1ec1n c\u00f3 kinh nghi\u1ec7m trong vi\u1ec7c h\u01b0\u1edbng d\u1eabn c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan v\u00e0 c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 n\u1ebfu b\u1ea1n c\u1ea7n.<\/p>\n<h2><strong>S\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 c\u00f3 nguy c\u01a1 trung b\u00ecnh ho\u1eb7c nguy c\u01a1 cao m\u1eafc ung th\u01b0 v\u00fa b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p chi\u1ebfu th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 t\u1ea7m so\u00e1t ung th\u01b0 v\u00fa (\u0111\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u00e0ng l\u1ecdc), ch\u1ec9 \u0111\u1ecbnh n\u00e0y c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i.<\/p>\n<p>M\u1ee5c \u0111\u00edch c\u1ee7a s\u00e0ng l\u1ecdc kh\u00f4ng ph\u1ea3i \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa m\u00e0 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 v\u00fa, tr\u01b0\u1edbc khi c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng r\u00f5 r\u1ec7t n\u00e0o.<\/p>\n<p>Ung th\u01b0 v\u00fa c\u00e0ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm th\u00ec \u0111i\u1ec1u tr\u1ecb c\u00e0ng c\u00f3 kh\u1ea3 n\u0103ng th\u00e0nh c\u00f4ng h\u01a1n.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao s\u1ebd \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc theo ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n<h3><strong>S\u00e0ng l\u1ecdc g\u1ed3m nh\u1eefng g\u00ec?<\/strong><\/h3>\n<p>S\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 g\u1ed3m ch\u1ee5p nh\u0169 \u1ea3nh (ch\u1ee5p X quang v\u00fa) ho\u1eb7c c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) v\u00fa (s\u1eed d\u1ee5ng t\u1eeb tr\u01b0\u1eddng v\u00e0 s\u00f3ng v\u00f4 tuy\u1ebfn \u0111\u1ec3 t\u1ea1o n\u00ean m\u1ed9t lo\u1ea1t c\u00e1c h\u00ecnh \u1ea3nh b\u00ean trong v\u00fa).<\/p>\n<p>L\u1ef1a ch\u1ecdn h\u00ecnh th\u1ee9c s\u00e0ng l\u1ecdc ph\u1ee5 thu\u1ed9c v\u00e0o:<\/p>\n<ul>\n<li>Tu\u1ed5i<\/li>\n<li>Ti\u1ec1n s\u1eed c\u00e1 nh\u00e2n<\/li>\n<li>M\u1ee9c \u0111\u1ed9 nguy c\u01a1<\/li>\n<\/ul>\n<p>Ph\u1ee5 n\u1eef tr\u1ebb th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p nh\u0169 \u1ea3nh v\u00ec ph\u1ea7n l\u1edbn c\u00f3 m\u00f4 v\u00fa d\u00e0y, c\u00f3 th\u1ec3 l\u00e0m cho h\u00ecnh \u1ea3nh nh\u0169 \u1ea3nh kh\u00f3 quan s\u00e1t.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 nguy c\u01a1 cao, lo\u1ea1i s\u00e0ng l\u1ecdc s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o kh\u1ea3 n\u0103ng b\u1ea1n l\u00e0 ng\u01b0\u1eddi mang gen \u0111\u1ed9t bi\u1ebfn.<\/p>\n<h3><strong>C\u00e1c khuy\u1ebfn ngh\u1ecb s\u00e0ng l\u1ecdc v\u00fa<\/strong><\/h3>\n<p>C\u00e1c khuy\u1ebfn ngh\u1ecb s\u00e0ng l\u1ecdc v\u00fa s\u1ebd \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean h\u01b0\u1edbng d\u1eabn qu\u1ed1c gia.<\/p>\n<ul>\n<li>Anh v\u00e0 X\u1ee9 Wales theo H\u01b0\u1edbng d\u1eabn l\u00e2m s\u00e0ng v\u1ec1 ung th\u01b0 v\u00fa gia \u0111\u00ecnh (CG164) c\u1ee7a Vi\u1ec7n qu\u1ed1c gia v\u1ec1 s\u1ee9c kho\u1ebb v\u00e0 ch\u0103m s\u00f3c xu\u1ea5t s\u1eafc (NICE)<\/li>\n<li>Scotland theo B\u00e1o c\u00e1o ung th\u01b0 v\u00fa gia \u0111\u00ecnh c\u1ee7a T\u1ed5 ch\u1ee9c n\u00e2ng cao s\u1ee9c kho\u1ebb Scotland<\/li>\n<li>B\u1eafc Ireland theo Ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc nguy c\u01a1 cao c\u1ee7a T\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c y t\u1ebf v\u00e0 x\u00e3 h\u1ed9i<\/li>\n<\/ul>\n<h3><strong>Th\u00f4ng tin v\u1ec1 s\u00e0ng l\u1ecdc<\/strong><\/h3>\n<p>Nh\u00f3m chuy\u00ean gia di truy\u1ec1n c\u1ea7n \u0111\u01b0a cho b\u1ea1n th\u00f4ng tin v\u1ec1 c\u00e1c \u01b0u \u0111i\u1ec3m v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a vi\u1ec7c s\u00e0ng l\u1ecdc.<\/p>\n<p>B\u1ea1n l\u00e0 ng\u01b0\u1eddi t\u1ef1 quy\u1ebft \u0111\u1ecbnh vi\u1ec7c \u0111i kh\u00e1m s\u00e0ng l\u1ecdc. Vi\u1ec7c nh\u1eadn \u0111\u01b0\u1ee3c c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<h3><strong>Khuy\u1ebfn ngh\u1ecb s\u00e0ng l\u1ecdc c\u1ee7a NICE cho ph\u1ee5 n\u1eef ch\u01b0a b\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h3>\n<table>\n<tbody>\n<tr>\n<td width=\"150\"><\/td>\n<td style=\"text-align: center;\" colspan=\"3\" width=\"653\"><strong>Nh\u00f3m nguy c\u01a1<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"150\"><strong>Tu\u1ed5i (n\u0103m)<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"203\"><strong>Trung b\u00ecnh<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"218\"><strong>Cao<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"233\"><strong>Cao v\u1edbi kh\u1ea3 n\u0103ng c\u00f3 gen BRCA b\u1ecb l\u1ed7i l\u00e0 tr\u00ean 30%<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"150\">20-29<\/td>\n<td width=\"203\">Kh\u00f4ng<\/td>\n<td width=\"218\">Kh\u00f4ng<\/td>\n<td width=\"233\">Kh\u00f4ng<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">30-39<\/td>\n<td width=\"203\">Kh\u00f4ng<\/td>\n<td width=\"218\">B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"233\">MRI h\u00e0ng n\u0103m v\u00e0 c\u00f3 th\u1ec3 ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">40-49<\/td>\n<td width=\"203\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"218\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"233\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m v\u00e0 MRI h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">50-59<\/td>\n<td width=\"203\">B\u1ea1n c\u00f3 th\u1ec3 ch\u1ee5p\u00a0 nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"218\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"233\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/p>\n<p>MRI n\u1ebfu phim nh\u0169 \u1ea3nh cho th\u1ea5y v\u00fa d\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">60-69<\/td>\n<td width=\"203\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/td>\n<td width=\"218\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/td>\n<td width=\"233\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/p>\n<p>MRI n\u1ebfu phim nh\u0169 \u1ea3nh cho th\u1ea5y v\u00fa d\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">70+<\/td>\n<td width=\"203\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/td>\n<td width=\"218\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/td>\n<td width=\"233\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"height: 648px;\" width=\"829\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" colspan=\"3\" width=\"802\"><strong>Nh\u00f3m nguy c\u01a1<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"270\"><strong>Cao v\u1edbi gen BRCA1 ho\u1eb7c BRCA2 b\u1ecb l\u1ed7i<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"278\"><strong>Cao v\u1edbi kh\u1ea3 n\u0103ng gen TP53 b\u1ecb l\u1ed7i l\u00e0 tr\u00ean 30%<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"255\"><strong>Cao v\u1edbi gen TP35 b\u1ecb l\u1ed7i<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"270\">Kh\u00f4ng<\/td>\n<td width=\"278\">MRI h\u00e0ng n\u0103m<\/td>\n<td width=\"255\">MRI h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"270\">MRI h\u00e0ng n\u0103m v\u00e0 c\u00f3 th\u1ec3 ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"278\">MRI h\u00e0ng n\u0103m<\/td>\n<td width=\"255\">MRI h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"270\">MRI h\u00e0ng n\u0103m v\u00e0 ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m<\/td>\n<td width=\"278\">MRI h\u00e0ng n\u0103m<\/td>\n<td width=\"255\">MRI h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"270\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m MRI n\u1ebfu phim nh\u0169 \u1ea3nh cho th\u1ea5y v\u00fa d\u00e0y<\/td>\n<td width=\"278\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/p>\n<p>MRI n\u1ebfu phim nh\u0169 \u1ea3nh cho th\u1ea5y v\u00fa d\u00e0y<\/td>\n<td width=\"255\">B\u1ea1n c\u00f3 th\u1ec3 ch\u1ee5p MRI h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"270\">Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m MRI n\u1ebfu phim nh\u0169 \u1ea3nh cho th\u1ea5y v\u00fa d\u00e0y<\/td>\n<td width=\"278\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/p>\n<p>MRI n\u1ebfu phim nh\u0169 \u1ea3nh cho th\u1ea5y v\u00fa d\u00e0y<\/td>\n<td width=\"255\">B\u1ea1n c\u00f3 th\u1ec3 ch\u1ee5p MRI h\u00e0ng n\u0103m<\/td>\n<\/tr>\n<tr>\n<td width=\"270\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/p>\n<p>&nbsp;<\/td>\n<td width=\"278\">Ch\u1ee5p nh\u0169 \u1ea3nh nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc to\u00e0n d\u00e2n<\/p>\n<p>&nbsp;<\/td>\n<td width=\"255\">Kh\u00f4ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>M\u1ed9t s\u1ed1 \u00edt ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 r\u1ea5t cao s\u1ebd \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc tr\u01b0\u1edbc tu\u1ed5i 30. Nh\u00f3m chuy\u00ean gia di truy\u1ec1n s\u1ebd \u0111\u00e1nh gi\u00e1 nguy c\u01a1 c\u00e1 nh\u00e2n v\u00e0 khuy\u1ebfn c\u00e1o b\u1ea1n ch\u1ee5p MRI h\u00e0ng n\u0103m n\u1ebfu c\u1ea7n.<\/p>\n<h3><strong>Ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa qu\u1ed1c gia<\/strong><\/h3>\n<p>Sau khi k\u1ebft th\u00fac s\u00e0ng l\u1ecdc nguy c\u01a1 ung th\u01b0 v\u00fa, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa qu\u1ed1c gia (to\u00e0n d\u00e2n).<\/p>\n<ul>\n<li>Ph\u1ee5 n\u1eef d\u01b0\u1edbi 70 tu\u1ed5i: ch\u1ee5p nh\u0169 \u1ea3nh \u0111\u1ecbnh k\u1ef3 3 n\u0103m m\u1ed9t l\u1ea7n<\/li>\n<li>Ph\u1ee5 n\u1eef t\u1eeb 70 tu\u1ed5i tr\u1edf l\u00ean: ch\u1ee5p nh\u0169 \u1ea3nh 3 n\u0103m m\u1ed9t l\u1ea7n<\/li>\n<\/ul>\n<h4><strong>Ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng<\/strong><\/h4>\n<p>Hi\u1ec7n gi\u1edd ch\u01b0a c\u00f3 ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng qu\u1ed1c gia, do ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u n\u00e0o ph\u00e1t hi\u1ec7n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm.<\/p>\n<p>Tuy nhi\u00ean, m\u1ed9t nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh xem x\u00e9t c\u00e1ch th\u1ee9c s\u00e0ng l\u1ecdc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng. Nh\u00f3m b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd n\u00f3i v\u1edbi b\u1ea1n v\u1ec1 c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi b\u1ea1n.<\/p>\n<h4><strong>C\u00e1c khuy\u1ebfn c\u00e1o s\u00e0ng l\u1ecdc c\u1ee7a NICE cho nh\u1eefng ph\u1ee5 n\u1eef \u0111\u00e3 m\u1eafc ung th\u01b0 v\u00fa<\/strong><\/h4>\n<p>N\u1ebfu \u0111\u00e3 t\u1eebng m\u1eafc ung th\u01b0 v\u00fa, b\u1ea1n n\u00ean s\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa \u0111\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t n\u0103m n\u0103m m\u1ed9t l\u1ea7n (ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i c\u1ee7a b\u1ea1n).<\/p>\n<p>Khi giai \u0111o\u1ea1n theo d\u00f5i k\u1ebft th\u00fac n\u1ebfu c\u00f3 nguy c\u01a1 trung b\u00ecnh b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb s\u00e0ng l\u1ecdc gi\u1ed1ng nh\u01b0 \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 trung b\u00ecnh ch\u01b0a t\u1eebng m\u1eafc ung th\u01b0 v\u00fa.<\/p>\n<p>N\u1ebfu c\u00f3 nguy c\u01a1 cao ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa (\u1edf v\u00fa c\u00f2n l\u1ea1i) ho\u1eb7c mang gen BRCA1 hay BRCA2, b\u1ea1n n\u00ean:<\/p>\n<ul>\n<li>Ch\u1ee5p MRI h\u00e0ng n\u0103m (c\u00f9ng v\u1edbi ch\u1ee5p nh\u0169 \u1ea3nh) \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef tu\u1ed5i t\u1eeb 30-49<\/li>\n<li>Ch\u1ee5p nh\u0169 \u1ea3nh h\u00e0ng n\u0103m \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef tu\u1ed5i 50-69<\/li>\n<\/ul>\n<p>Ph\u1ee5 n\u1eef tr\u00ean 70 tu\u1ed5i \u0111\u00e3 k\u1ebft th\u00fac giai \u0111o\u1ea1n theo d\u00f5i v\u1eabn n\u00ean ch\u1ee5p nh\u0169 \u1ea3nh ba n\u0103m m\u1ed9t l\u1ea7n.<\/p>\n<p>N\u1ebfu xu\u1ea5t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn gen TP53 s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p nh\u0169 \u1ea3nh, thay v\u00e0o \u0111\u00f3 l\u00e0 ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p MRI h\u00e0ng n\u0103m trong kho\u1ea3ng 20-69 tu\u1ed5i.<\/p>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa<\/strong><\/h2>\n<p>\u0110\u1ed1i v\u1edbi nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa trung b\u00ecnh ho\u1eb7c cao, nh\u00f3m b\u00e1c s\u0129 chuy\u00ean khoa c\u1ea7n n\u00f3i v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u1ea3m nguy c\u01a1, c\u00f9ng v\u1edbi \u0111\u00f3 l\u00e0 c\u00e1c nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch c\u1ee7a c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u00e0y c\u0169ng nh\u01b0 c\u00e1c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m bao nhi\u00eau ph\u1ea7n tr\u0103m nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa.<\/p>\n<p><em><strong>T\u1ea1i sao nam gi\u1edbi c\u00f3 gen \u0111\u1ed9t bi\u1ebfn kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u00e0ng l\u1ecdc ho\u1eb7c \u0111i\u1ec1u tr\u1ecb?<\/strong><\/em><\/p>\n<p><em>Nam gi\u1edbi kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u00e0ng l\u1ecdc ung th\u01b0 v\u00fa ho\u1eb7c \u0111i\u1ec1u tr\u1ecb gi\u1ea3m nguy c\u01a1 (th\u1eadm ch\u00ed \u0111ang mang gen \u0111\u1ed9t bi\u1ebfn) ch\u1ec9 c\u1ea7n \u0111\u1ea3m b\u1ea3o h\u00ecnh d\u00e1ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a ng\u1ef1c \u0111ang b\u00ecnh th\u01b0\u1eddng, b\u1edfi v\u00ec nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa c\u1ee7a nam gi\u1edbi th\u1ea5p h\u01a1n nhi\u1ec1u so v\u1edbi n\u1eef gi\u1edbi.<\/em><\/p>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/strong><\/h3>\n<figure id=\"attachment_41981\" aria-describedby=\"caption-attachment-41981\" style=\"width: 990px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\" wp-image-41981\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/06\/tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu-2-300x150-1.jpg\" alt=\"\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa\" width=\"990\" height=\"495\" \/><figcaption id=\"caption-attachment-41981\" class=\"wp-caption-text\">\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa<\/figcaption><\/figure>\n<p>C\u00e1c thu\u1ed1c tamoxifen, anastrozole v\u00e0 raloxifene c\u00f3 th\u1ec3 d\u00f9ng cho m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 ung th\u01b0 v\u00fa cao.<\/p>\n<p>U\u1ed1ng thu\u1ed1c \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u00f3a tr\u1ecb ph\u00f2ng ng\u1eeba (Chemoprevention). M\u1eb7c d\u00f9 c\u00f3 t\u00ean nh\u01b0 v\u1eady nh\u01b0ng nh\u1eefng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c n\u00e0y kh\u00e1c v\u1edbi h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n<p>Nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y r\u1eb1ng u\u1ed1ng tamoxifen, anastrozole ho\u1eb7c raloxifene trong 5 n\u0103m c\u00f3 th\u1ec3 gi\u00fap l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa \u1edf nh\u1eefng ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 trung b\u00ecnh ho\u1eb7c cao do c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh.<\/p>\n<p>Tuy nhi\u00ean, b\u1eb1ng ch\u1ee9ng kh\u00f4ng ch\u1eafc ch\u1eafn cho nh\u1eefng ng\u01b0\u1eddi mang gen \u0111\u1ed9t bi\u1ebfn. B\u1eb1ng ch\u1ee9ng hi\u1ec7n gi\u1edd g\u1ee3i \u00fd r\u1eb1ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i tr\u00ean nh\u1eefng ng\u01b0\u1eddi mang gen BRCA2 nh\u01b0ng l\u1ee3i \u00edch k\u00e9m r\u00f5 r\u00e0ng tr\u00ean nh\u1eefng ng\u01b0\u1eddi mang gen BRCA1.<\/p>\n<h4><b>\u0110\u1ed1i t\u01b0\u1ee3ng<\/b><\/h4>\n<ul>\n<li>Ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 cao, tr\u00ean 35 tu\u1ed5i v\u00e0 ch\u01b0a m\u00e3n kinh (ti\u1ec1n m\u00e3n kinh): tamoxifen trong 5 n\u0103m (c\u00e2n nh\u1eafc tr\u00ean ph\u1ee5 n\u1eef \u1edf tu\u1ed5i ti\u1ec1n m\u00e3n kinh v\u00e0 c\u00f3 nguy c\u01a1 trung b\u00ecnh)<\/li>\n<li>Ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 cao v\u00e0 ti\u1ec1n m\u00e3n kinh: anastrozole, tamoxifen ho\u1eb7c raloxifene trong 5 n\u0103m (c\u00e2n nh\u1eafc tr\u00ean ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh v\u00e0 c\u00f3 nguy c\u01a1 trung b\u00ecnh)<\/li>\n<li>Nh\u1eefng ph\u1ee5 n\u1eef b\u1ecb \u0111\u1ed9t bi\u1ebfn gen: c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c (ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i gen \u0111\u1ed9t bi\u1ebfn)<\/li>\n<li>\u0110\u00e3 ph\u1eabu thu\u1eadt gi\u1ea3m nguy c\u01a1: ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/li>\n<\/ul>\n<p>Khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p>Nh\u00f3m chuy\u00ean gia di truy\u1ec1n s\u1ebd n\u00f3i v\u1edbi b\u1ea1n v\u1ec1 c\u00e1c l\u1ee3i \u00edch v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 c\u1ee7a thu\u1ed1c. Ngo\u00e0i ra h\u1ecd c\u00f2n cho bi\u1ebft, thu\u1ed1c gi\u00fap gi\u1ea3m bao nhi\u00eau ph\u1ea7n tr\u0103m kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa (ph\u1ee5 thu\u1ed1c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe th\u1ef1c t\u1ea1i) \u0111\u1ec3 c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<h4><strong>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/strong><\/h4>\n<p>Tamoxifen v\u00e0 anastrozole th\u01b0\u1eddng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh nh\u01b0 b\u1ed1c h\u1ecfa, ra m\u1ed3 h\u00f4i ban \u0111\u00eam, kh\u00f4 \u00e2m \u0111\u1ea1o, gi\u1ea3m nhu c\u1ea7u t\u00ecnh d\u1ee5c v\u00e0 thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng (c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng r\u00f5 r\u1ec7t h\u01a1n so v\u1edbi khi m\u00e3n kinh x\u1ea3y ra t\u1ef1 nhi\u00ean).<\/p>\n<p>Raloxifene c\u00f3 th\u1ec3 g\u00e2y c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 b\u1ed1c h\u1ecfa, ra m\u1ed3 h\u00f4i v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 c\u00fam.<\/p>\n<p>Tamoxifen v\u00e0 raloxifene l\u00e0m t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i nh\u01b0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (DVT), ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh n\u1ebfu c\u00f3 ti\u1ec1n s\u1eed huy\u1ebft kh\u1ed1i.<\/p>\n<p>Kh\u00f4ng n\u00ean u\u1ed1ng tamoxifen ho\u1eb7c raloxifene n\u1ebfu \u0111ang mang thai ho\u1eb7c c\u00f3 k\u1ebf ho\u1ea1ch l\u1eadp gia \u0111\u00ecnh (thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho thai nhi \u0111ang ph\u00e1t tri\u1ec3n).<\/p>\n<p><em><strong>N\u1ebfu b\u1ea1n \u0111\u00e3 b\u1ecb ung th\u01b0 v\u00fa ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/em><\/p>\n<p><em>B\u1ea5t k\u1ef3 ai \u0111\u00e3 m\u1eafc ung th\u01b0 v\u00fa \u0111\u1ec1u c\u00f3 nguy c\u01a1 h\u01a1i cao h\u01a1n trong vi\u1ec7c ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa nguy\u00ean ph\u00e1t m\u1edbi \u1edf v\u00fa c\u00f2n l\u1ea1i (kh\u00f4ng ph\u1ea3i ung th\u01b0 t\u00e1i ph\u00e1t), ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 th\u1ec3 l\u00e0m t\u0103ng th\u00eam nguy c\u01a1 n\u00e0y.<\/em><\/p>\n<p><em>N\u1ebfu c\u00f3 nguy c\u01a1 trung b\u00ecnh ho\u1eb7c cao (ti\u1ec1n s\u1eed gia \u0111\u00ecnh), b\u1ea1n s\u1ebd ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc sau khi giai \u0111o\u1ea1n theo d\u00f5i k\u1ebft th\u00fac.<\/em><\/p>\n<p><em>N\u1ebfu x\u00e9t nghi\u1ec7m gen trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00e0 ph\u00e1t hi\u1ec7n c\u00f3 mang gen \u0111\u1ed9t bi\u1ebfn th\u00ec b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt b\u1ed5 sung \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n m\u1ed9t ung th\u01b0 v\u00fa m\u1edbi. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh c\u00f9ng l\u00fac v\u1edbi ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa. <\/em><em>Gen BRCA b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/em><\/p>\n<p><em>N\u1ebfu x\u00e9t nghi\u1ec7m gen sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, nh\u00f3m chuy\u00ean gia di truy\u1ec1n ho\u1eb7c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 n\u00f3i cho b\u1ea1n bi\u1ebft v\u1ec1 nguy c\u01a1 t\u00e1i ph\u00e1t khi th\u1ea3o lu\u1eadn c\u00e1c l\u1ef1a ch\u1ecdn qu\u1ea3n l\u00fd nguy c\u01a1 di truy\u1ec1n c\u1ee7a b\u1ea1n.<\/em><\/p>\n<p><em>B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd n\u00f3i r\u00f5 v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn v\u00e0 h\u1ed7 tr\u1ee3 b\u1ea1n \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh. Nh\u00f3m chuy\u00ean gia di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 s\u1eafp x\u1ebfp cho b\u1ea1n g\u1eb7p b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa \u0111\u1ec3 th\u1ea3o lu\u1eadn ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/em><\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<figure id=\"attachment_41982\" aria-describedby=\"caption-attachment-41982\" style=\"width: 986px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\" wp-image-41982\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/06\/tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu-3-300x150-1.jpg\" alt=\"Ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa\" width=\"986\" height=\"493\" \/><figcaption id=\"caption-attachment-41982\" class=\"wp-caption-text\">Ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa<\/figcaption><\/figure>\n<p>Ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 g\u1ed3m lo\u1ea1i b\u1ecf m\u00f4 v\u00fa \u1edf c\u1ea3 hai v\u00fa, lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean.<\/p>\n<p>Ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00fa t\u1edbi 80-95% nh\u01b0ng kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n nguy c\u01a1, v\u00ec kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf t\u1ea5t c\u1ea3 m\u00f4 v\u00fa trong ph\u1eabu thu\u1eadt n\u00e0y.<\/p>\n<h4><b>\u0110\u1ed1i t\u01b0\u1ee3ng<\/b><\/h4>\n<p>Ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc v\u1edbi:<\/p>\n<ul>\n<li>Nguy c\u01a1 cao m\u1eafc ung th\u01b0 v\u00fa ho\u1eb7c mang gen BRCA1, BRCA2, PALB2 hay TP53<\/li>\n<li>Ph\u1ee5 n\u1eef \u0111ang m\u1eafc ung th\u01b0 v\u00fa v\u00e0 c\u00f3 nguy c\u01a1 cao ph\u00e1t tri\u1ec3n m\u1ed9t ung th\u01b0 v\u00fa kh\u00e1c<\/li>\n<li>Ph\u1ee5 n\u1eef c\u00f3 gen CHEK2 ho\u1eb7c ATM b\u1ecb \u0111\u1ed9t bi\u1ebfn (ph\u1ee5 thu\u1ed9c v\u00e0o ti\u1ec1n s\u1eed gia \u0111\u00ecnh)<\/li>\n<\/ul>\n<h4><strong>Ph\u00e2n lo\u1ea1i<\/strong><\/h4>\n<p>Ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 c\u00f3 hai lo\u1ea1i ch\u00ednh:<\/p>\n<ul>\n<li>Lo\u1ea1i b\u1ecf c\u1ea3 hai v\u00fa g\u1ed3m c\u1ea3 n\u00fam v\u00fa (ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean)<\/li>\n<li>Lo\u1ea1i b\u1ecf c\u1ea3 hai v\u00fa nh\u01b0ng gi\u1eef nguy\u00ean n\u00fam v\u00fa (ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 b\u1ea3o t\u1ed3n n\u00fam v\u00fa)<\/li>\n<\/ul>\n<p><em><strong>T\u00e1i t\u1ea1o v\u00fa<\/strong><\/em><\/p>\n<p>T\u00e1i t\u1ea1o v\u00fa l\u00e0 ph\u1eabu thu\u1eadt \u0111\u1ec3 t\u1ea1o h\u00ecnh m\u1ed9t v\u00fa m\u1edbi sau ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169.<\/p>\n<p>T\u00e1i t\u1ea1o v\u00fa th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0o l\u00fac ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 (g\u1ecdi l\u00e0 t\u00e1i t\u1ea1o t\u1ee9c th\u00ec).<\/p>\n<p>C\u00f3 ba l\u1ef1a ch\u1ecdn ch\u00ednh cho t\u00e1i t\u1ea1o v\u00fa:<\/p>\n<ul>\n<li>M\u00f4 t\u1ef1 th\u00e2n \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb m\u1ed9t v\u00f9ng kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ph\u1ea7n b\u1ee5ng d\u01b0\u1edbi)<\/li>\n<li>T\u00fai n\u00e2ng ng\u1ef1c<\/li>\n<li>K\u1ebft h\u1ee3p m\u00f4 v\u00e0 t\u00fai n\u00e2ng ng\u1ef1c<\/li>\n<\/ul>\n<p>B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh c\u00f3 t\u00e1i t\u1ea1o v\u00fa cho b\u1ec7nh nh\u00e2n hay kh\u00f4ng v\u00e0 n\u00ean gi\u1ea3i th\u00edch v\u1edbi b\u1ec7nh nh\u00e2n v\u1ec1 l\u00fd do l\u1ef1a ch\u1ecdn t\u00e1i t\u1ea1o v\u00fa.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u00ean kh\u00f4ng t\u00e1i t\u1ea1o v\u00fa ho\u1eb7c c\u00e2n nh\u1eafc t\u00e1i t\u1ea1o tr\u00ec ho\u00e3n do c\u00e1c b\u1ec7nh l\u00fd y khoa ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 l\u1ed1i s\u1ed1ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ch\u1ecdn kh\u00f4ng t\u00e1i t\u1ea1o v\u00e0 th\u00edch \u0111eo v\u00fa gi\u1ea3 ho\u1eb7c ch\u1ecdn \u201cs\u1ed1ng ph\u1eb3ng\u201d.<\/p>\n<p><em><strong>So s\u00e1nh c\u00e1c lo\u1ea1i ph\u1eabu thu\u1eadt<\/strong><\/em><\/p>\n<table style=\"height: 554px;\" width=\"970\">\n<tbody>\n<tr>\n<td width=\"180\"><\/td>\n<td style=\"text-align: center;\" width=\"300\"><strong>Ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean kh\u00f4ng t\u00e1i t\u1ea1o v\u00fa<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"323\"><strong>Ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean c\u00f3 t\u00e1i t\u1ea1o v\u00fa b\u1eb1ng c\u00e1ch d\u00f9ng t\u00fai n\u00e2ng ng\u1ef1c<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"180\">\u01af\u1edbc t\u00ednh th\u1eddi gian ph\u1eabu thu\u1eadt<\/td>\n<td width=\"300\">2 &#8211; 3 gi\u1edd<\/td>\n<td width=\"323\">3 &#8211; 6 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"180\">Th\u1eddi gian \u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n (trung b\u00ecnh)<\/td>\n<td width=\"300\">Trong ng\u00e0y ph\u1eabu thu\u1eadt ho\u1eb7c c\u00f3 th\u1ec3 \u1edf qua \u0111\u00eam<\/td>\n<td width=\"323\">1 &#8211; 3 ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"180\">\u01af\u1edbc t\u00ednh th\u1eddi gian ph\u1ee5c h\u1ed3i<\/td>\n<td width=\"300\">4 &#8211; 6 tu\u1ea7n<\/td>\n<td width=\"323\">6 &#8211; 8 tu\u1ea7n<\/td>\n<\/tr>\n<tr>\n<td width=\"180\">V\u1ebft s\u1eb9o<\/td>\n<td width=\"300\">Ch\u1ec9 \u1edf khu v\u1ef1c ng\u1ef1c<\/td>\n<td width=\"323\">V\u1ebft s\u1eb9o ch\u1ec9 \u1edf v\u00fa (c\u00f3 th\u1ec3 c\u00f3 v\u1ebft s\u1eb9o tr\u00f2n xung quanh khu v\u1ef1c da s\u1eabm m\u00e0u g\u1ea7n n\u00fam v\u00fa (qu\u1ea7ng v\u00fa), hai b\u00ean n\u00fam v\u00fa ho\u1eb7c v\u1ebft s\u1eb9o h\u00ecnh ch\u1eef T ng\u01b0\u1ee3c d\u01b0\u1edbi v\u00fa)<\/td>\n<\/tr>\n<tr>\n<td width=\"180\">Nh\u1eefng \u0111i\u1ec1u c\u1ea7n xem x\u00e9t<\/td>\n<td width=\"300\">B\u1ea1n c\u00f3 th\u1ec3 xem x\u00e9t \u0111eo v\u00fa gi\u1ea3<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 xem x\u00e9t t\u00e1i t\u1ea1o v\u00fa tr\u00ec ho\u00e3n sau n\u00e0y<\/td>\n<td width=\"323\">C\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p n\u1ebfu kh\u00f4ng c\u00f3 m\u00f4 th\u1eeba cho c\u00e1c lo\u1ea1i ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o kh\u00e1c<\/p>\n<p>C\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p n\u1ebfu v\u00fa to ch\u1ea3y x\u1ec7, h\u00fat thu\u1ed1c l\u00e1<\/p>\n<p>C\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt th\u00eam trong t\u01b0\u01a1ng lai \u0111\u1ec3 thay t\u00fai n\u00e2ng ng\u1ef1c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"height: 453px;\" width=\"970\">\n<tbody>\n<tr>\n<td width=\"300\"><strong>Ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean c\u00f3 t\u00e1i t\u1ea1o v\u00fa b\u1eb1ng m\u00f4 t\u1ef1 th\u00e2n<\/strong><\/td>\n<td width=\"323\"><strong>Ph\u1eabu thu\u1eadt \u0111o\u1ea1n nh\u0169 hai b\u00ean c\u00f3 t\u00e1i t\u1ea1o v\u00fa b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p m\u00f4 t\u1ef1 th\u00e2n v\u00e0 t\u00fai n\u00e2ng ng\u1ef1c<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"300\">4 \u2013 8 gi\u1edd<\/td>\n<td width=\"323\">3 \u2013 6 gi\u1edd<\/td>\n<\/tr>\n<tr>\n<td width=\"300\">3 \u2013 7 ng\u00e0y<\/td>\n<td width=\"323\">2 \u2013 5 ng\u00e0y<\/td>\n<\/tr>\n<tr>\n<td width=\"300\">6 -12\u00a0 tu\u1ea7n<\/td>\n<td width=\"323\">6 \u2013 12 tu\u1ea7n<\/td>\n<\/tr>\n<tr>\n<td width=\"300\">V\u1ebft s\u1eb9o \u1edf v\u00fa v\u00e0 s\u1eb9o t\u1ea1i khu v\u1ef1c l\u1ea5y m\u00f4<\/td>\n<td width=\"323\">S\u1eb9o \u1edf v\u00fa v\u00e0 s\u1eb9o t\u1ea1i khu v\u1ef1c l\u1ea5y m\u00f4<\/td>\n<\/tr>\n<tr>\n<td width=\"300\">Hai v\u1ecb tr\u00ed ph\u1ee5c h\u1ed3i<\/p>\n<p>C\u1ea7n c\u00f3 l\u01b0\u1ee3ng m\u00f4 ph\u00f9 h\u1ee3p t\u1eeb khu v\u1ef1c l\u1ea5y m\u00f4 \u0111\u1ec3 t\u1ea1o l\u1ea1i h\u00ecnh d\u00e1ng v\u00fa<\/p>\n<p>C\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p n\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, th\u1eeba c\u00e2n, qu\u00e1 g\u1ea7y ho\u1eb7c h\u00fat thu\u1ed1c<\/td>\n<td width=\"323\">Hai v\u1ecb tr\u00ed ph\u1ee5c h\u1ed3i<\/p>\n<p>C\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt th\u00eam trong t\u01b0\u01a1ng lai \u0111\u1ec3 thay t\u00fai n\u00e2ng ng\u1ef1c<\/p>\n<p>C\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p n\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, th\u1eeba c\u00e2n ho\u1eb7c h\u00fat thu\u1ed1c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em><strong>B\u1ea3o t\u1ed3n n\u00fam v\u00fa<\/strong><\/em><\/p>\n<p><em>Nh\u00f3m \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn l\u1ef1a ch\u1ecdn gi\u1eef l\u1ea1i hai n\u00fam v\u00fa (b\u1ea3o t\u1ed3n n\u00fam v\u00fa), c\u00f9ng v\u1edbi \u0111\u00f3 ph\u1ea3i <\/em><em>c\u00e2n nh\u1eafc c\u00e1c nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch c\u1ee7a b\u1ea3o t\u1ed3n n\u00fam v\u00fa, n<\/em><em>hi\u1ec1u ng\u01b0\u1eddi ch\u1ecdn gi\u1eef l\u1ea1i n\u00fam v\u00fa v\u00ec l\u00fd do th\u1ea9m m\u1ef9.<\/em><\/p>\n<p><em>B\u1ea1n c\u00f3 th\u1ec3 t\u00e1i t\u1ea1o v\u00fa, x\u0103m n\u00fam v\u00fa v\u00e0 qu\u1ea7ng v\u00fa ho\u1eb7c s\u1eed d\u1ee5ng n\u00fam v\u00fa d\u00e1n (n\u00fam v\u00fa gi\u1ea3) sau ph\u1eabu thu\u1eadt n\u1ebfu quy\u1ebft \u0111\u1ecbnh c\u1eaft v\u1ecf n\u00fam v\u00fa.<\/em><\/p>\n<h4><strong>Quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt<\/strong><\/h4>\n<p>Vi\u1ec7c ch\u1ecdn c\u00f3 ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1 hay kh\u00f4ng l\u00e0 m\u1ed9t quy\u1ebft \u0111\u1ecbnh ph\u1ee9c t\u1ea1p v\u00e0 mang t\u00ednh c\u00e1 nh\u00e2n. Kh\u00f4ng c\u00f3 ch\u1ecdn l\u1ef1a \u0111\u00fang hay sai, quan tr\u1ecdng l\u00e0 l\u00e0m \u0111i\u1ec1u g\u00ec b\u1ea1n th\u1ea5y t\u1ed1t nh\u1ea5t cho m\u00ecnh.<\/p>\n<p>N\u1ebfu \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt, n\u00ean c\u00e2n nh\u1eafc lo\u1ea1i ph\u1eabu thu\u1eadt v\u00e0 th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt (xin l\u1eddi khuy\u00ean t\u1eeb nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 tr\u1ea3i qua tr\u01b0\u1eddng h\u1ee3p t\u01b0\u01a1ng t\u1ef1).<\/p>\n<p><strong><em>C\u00e1c c\u00e2u h\u1ecfi \u0111\u1ec3 h\u1ecfi b\u00e1c s\u0129 ph\u1eabu thu\u1eadt v\u00fa<\/em><\/strong><\/p>\n<p>\u0110\u1ec3 \u0111\u1ea3m b\u1ea3o n\u1eafm r\u00f5 c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt, b\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i nh\u1eefng \u0111i\u1ec1u c\u00f2n th\u1eafc m\u1eafc v\u1edbi b\u00e1c s\u0129 ph\u1eabu thu\u1eadt (ghi ch\u00e9p l\u1ea1i nh\u1eefng th\u00f4ng tin c\u1ea7n thi\u1ebft ho\u1eb7c nh\u1edd ng\u01b0\u1eddi th\u00e2n \u0111i c\u00f9ng \u0111\u1ec3 c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 khi c\u1ea7n).<\/p>\n<p>C\u00e1c c\u00e2u h\u1ecfi b\u1ea1n c\u00f3 th\u1ec3 s\u1ebd h\u1ecfi khi g\u1eb7p b\u00e1c s\u0129 ph\u1eabu thu\u1eadt:<\/p>\n<ul>\n<li>C\u00e1c l\u1ef1a ch\u1ecdn t\u00e1i t\u1ea1o v\u00fa n\u00e0o ph\u00f9 h\u1ee3p v\u1edbi t\u00f4i v\u00e0 t\u1ea1i sao?<\/li>\n<li>L\u1ee3i \u00edch, h\u1ea1n ch\u1ebf v\u00e0 nguy c\u01a1 c\u1ee7a lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0y l\u00e0 g\u00ec?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 gi\u1eef l\u1ea1i n\u00fam v\u00fa kh\u00f4ng?<\/li>\n<li>Khi n\u00e0o t\u00f4i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt?<\/li>\n<li>T\u00f4i ph\u1ea3i \u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n bao l\u00e2u?<\/li>\n<li>C\u1ea7n bao l\u00e2u \u0111\u1ec3 ph\u1ee5c h\u1ed3i?<\/li>\n<li>Khi n\u00e0o t\u00f4i c\u00f3 th\u1ec3 di chuy\u1ec3n, \u0111i l\u1ea1i, l\u00e1i xe v\u00e0 t\u1eadp luy\u1ec7n?<\/li>\n<li>Ph\u1eabu thu\u1eadt c\u00f3 \u0111au l\u1eafm kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 c\u1ea7n m\u1eb7c \u00e1o ng\u1ef1c \u0111\u1eb7c bi\u1ec7t sau ph\u1eabu thu\u1eadt kh\u00f4ng?<\/li>\n<li>B\u00e1c s\u0129 c\u00f3 th\u1ec3 cho t\u00f4i bi\u1ebft v\u1ecb tr\u00ed c\u00e1c v\u1ebft s\u1eb9o tr\u00ean c\u01a1 th\u1ec3 t\u00f4i v\u00e0 \u0111\u1ed9 l\u1edbn c\u1ee7a s\u1eb9o nh\u01b0 th\u1ebf n\u00e0o kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem c\u00e1c b\u1ee9c \u1ea3nh ho\u1eb7c h\u00ecnh \u1ea3nh c\u00e1c ca t\u00e1i t\u1ea1o v\u00fa tr\u01b0\u1edbc \u0111\u00e2y kh\u00f4ng?<\/li>\n<\/ul>\n<p>Tham v\u1ea5n v\u1edbi b\u00e1c s\u0129 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt, ch\u1eafc ch\u1eafn r\u1eb1ng b\u1ea1n hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7 qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt v\u00e0 nh\u1eefng mong \u0111\u1ee3i c\u1ee7a b\u1ea3n th\u00e2n n\u1ebfu t\u00e1i t\u1ea1o v\u00fa.<\/p>\n<p><strong><em>Th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n<p>M\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 c\u1ea7n c\u00e2n nh\u1eafc, nh\u01b0:<\/p>\n<ul>\n<li>Tu\u1ed5i (\u0111\u1ed9 tu\u1ed5i c\u00f3 b\u1ea5t k\u1ef3 th\u00e0nh vi\u00ean n\u00e0o trong gia \u0111\u00ecnh \u0111\u00e3 t\u1eebng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ung th\u01b0)<\/li>\n<li>C\u1ea3m gi\u00e1c lo l\u1eafng c\u1ee7a b\u1ea1n v\u1ec1 nguy c\u01a1 ung th\u01b0 nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n<li>B\u1ea1n c\u00f3 \u0111ang c\u00e2n nh\u1eafc vi\u1ec7c c\u00f3 con v\u00e0 li\u1ec7u cho con b\u00fa c\u00f3 quan tr\u1ecdng v\u1edbi b\u1ea1n?<\/li>\n<li>N\u1ebfu b\u1ea1n \u0111\u00e3 c\u00f3 con, tu\u1ed5i c\u1ee7a c\u00e1c con v\u00e0 c\u00e1c y\u00eau c\u1ea7u ch\u0103m s\u00f3c con c\u00e1i (c\u00f3 th\u1ec3) trong khi b\u1ea1n \u0111i\u1ec1u tr\u1ecb<\/li>\n<li>C\u00e1c s\u1ef1 ki\u1ec7n quan tr\u1ecdng trong \u0111\u1eddi (h\u1ecdc t\u1eadp, c\u00f4ng vi\u1ec7c)<\/li>\n<li>B\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe n\u00e0o kh\u00e1c c\u1ee7a b\u1ea1n<\/li>\n<\/ul>\n<p>C\u00e2n nh\u1eafc k\u1ef9 \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111\u00fang \u0111\u1eafn.<\/p>\n<p><em><strong>Nh\u1eefng thay \u0111\u1ed5i \u1edf c\u01a1 th\u1ec3 b\u1ea1n sau ph\u1eabu thu\u1eadt l\u00e0m gi\u1ea3m nguy c\u01a1<\/strong><\/em><\/p>\n<p>Th\u00edch nghi v\u1edbi s\u1ef1 thay \u0111\u1ed5i ng\u1ef1c v\u00e0 ngo\u1ea1i h\u00ecnh sau ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 \u0111i\u1ec1u kh\u00f3 kh\u0103n, c\u00f3 th\u1ec3 m\u1ea5t nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 quen v\u1edbi nh\u1eefng thay \u0111\u1ed5i \u0111\u00f3. T\u00e1i t\u1ea1o v\u00fa ch\u1ec9 c\u00f3 th\u1ec3 t\u00e1i t\u1ea1o h\u00ecnh d\u1ea1ng v\u00fa c\u00f2n c\u1ea3m gi\u00e1c c\u1ee7a v\u00fa v\u00e0 n\u00fam v\u00fa kh\u00f4ng th\u1ec3 tr\u1edf l\u1ea1i nh\u01b0 tr\u01b0\u1edbc.<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi xin b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ee9c \u1ea3nh ch\u1ee5p sau ph\u1eabu thu\u1eadt \u0111\u1ec3 xem tr\u01b0\u1edbc ho\u1eb7c n\u00f3i chuy\u1ec7n v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 tr\u1ea3i nghi\u1ec7m t\u01b0\u01a1ng t\u1ef1, \u0111i\u1ec1u \u0111\u00f3 gi\u00fap b\u1ea1n chu\u1ea9n b\u1ecb tinh th\u1ea7n t\u1ed1t h\u01a1n cho nh\u1eefng g\u00ec s\u1ebd \u0111\u1ebfn sau ph\u1eabu thu\u1eadt.<\/p>\n<h4><strong>Ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf c\u1ea3 hai bu\u1ed3ng tr\u1ee9ng v\u00e0 hai \u1ed1ng d\u1eabn tr\u1ee9ng<\/strong><\/h4>\n<p>Ph\u1ee5 n\u1eef c\u00f3 gen <strong>BRCA1<\/strong> v\u00e0 <strong>BRCA2<\/strong> b\u1ecb \u0111\u1ed9t bi\u1ebfn c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng cao h\u01a1n.<\/p>\n<p>Nguy c\u01a1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng b\u1eaft \u0111\u1ea7u t\u0103ng \u0111\u00e1ng k\u1ec3 t\u1eeb tu\u1ed5i 40 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi mang gen BRCA1 v\u00e0 t\u1eeb tu\u1ed5i 45 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi mang gen BRCA2.<\/p>\n<p>\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh mang gen BRCA1 ho\u1eb7c BRCA2, ph\u1eabu thu\u1eadt c\u1eaft bu\u1ed3ng tr\u1ee9ng v\u00e0 \u1ed1ng d\u1eabn tr\u1ee9ng \u0111\u00e3 cho th\u1ea5y l\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng t\u1edbi 90-95%. Lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u1eabu thu\u00e2\u0323t c\u0103\u0301t bo\u0309 \u00f4\u0301ng d\u00e2\u0303n tr\u01b0\u0301ng va\u0300 bu\u00f4\u0300ng tr\u01b0\u0301ng hai b\u00ean pho\u0300ng ng\u01b0\u0300a (RRBSO).<\/p>\n<p>\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh mang gen BRCA2 b\u1ecb \u0111\u1ed9t bi\u1ebfn, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u g\u1ee3i \u00fd r\u1eb1ng ph\u1eabu thu\u1eadt RRBSO c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa.<\/p>\n<p><strong><em>Quy\u1ebft \u0111\u1ecbnh c\u00f3 ph\u1eabu thu\u1eadt hay kh\u00f4ng<\/em><\/strong><\/p>\n<p>Tham v\u1ea5n b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh c\u00f3 n\u00ean ph\u1eabu thu\u1eadt c\u1eaft bu\u1ed3ng tr\u1ee9ng v\u00e0 \u1ed1ng d\u1eabn tr\u1ee9ng (RRBSO) hay kh\u00f4ng.<\/p>\n<p>M\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 c\u1ea7n c\u00e2n nh\u1eafc, nh\u01b0:<\/p>\n<ul>\n<li>Tu\u1ed5i<\/li>\n<li>B\u1ea1n c\u00f3 \u0111ang c\u00e2n nh\u1eafc vi\u1ec7c c\u00f3 con hay kh\u00f4ng?<\/li>\n<li>B\u1ea1n l\u00e0 ng\u01b0\u1eddi mang gen BRCA1 ho\u1eb7c BRCA2<\/li>\n<\/ul>\n<p>T\u1eed cung th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf trong ph\u1eabu thu\u1eadt RRBSO, tuy nhi\u00ean n\u1ebfu t\u1eed cung b\u1ea1n c\u00f3 b\u1ec7nh l\u00fd l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0) th\u00ec nh\u00f3m b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc c\u1eaft b\u1ecf t\u1eed cung \u0111\u1ed3ng th\u1eddi v\u1edbi bu\u1ed3ng tr\u1ee9ng v\u00e0 \u1ed1ng d\u1eabn tr\u1ee9ng (c\u1eaft t\u1eed cung to\u00e0n ph\u1ea7n).<\/p>\n<p><em>Ph\u1eabu thu\u1eadt n\u00e0y hi\u1ec7n ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u1edf Anh (th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng PROTECTOR), xem x\u00e9t vi\u1ec7c th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt n\u00e0y trong hai giai \u0111o\u1ea1n (\u1ed1ng d\u1eabn tr\u1ee9ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf tr\u01b0\u1edbc v\u00e0 hai bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf sau). B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb s\u1ebd c\u00e2n nh\u1eafc nh\u1eefng \u0111i\u1ec1u ki\u1ec7n hi\u1ec7n t\u1ea1i c\u1ee7a b\u1ea1n \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u00e0y c\u0169ng nh\u01b0 xem x\u00e9t b\u1ea1n c\u00f3 \u0111\u1ee7 ti\u00eau chu\u1ea9n tham gia th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng hay kh\u00f4ng.<\/em><\/p>\n<p><strong><em>Qu\u1ea3n l\u00fd c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh sau ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n<p>\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh, ph\u1eabu thu\u1eadt RRBSO s\u1ebd g\u00e2y ra m\u00e3n kinh s\u1edbm (kinh nguy\u1ec7t d\u1eebng ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng mang thai).<\/p>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh c\u00f3 th\u1ec3 n\u1eb7ng n\u1ec1 v\u00e0 c\u00f3 t\u00e1c \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3 l\u00ean ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng, nh\u01b0:<\/p>\n<ul>\n<li>B\u1ed1c h\u1ecfa v\u00e0 ra m\u1ed3 h\u00f4i ban \u0111\u00eam<\/li>\n<li>Kh\u00f4 \u00e2m \u0111\u1ea1o<\/li>\n<li>Gi\u1ea3m ham mu\u1ed1n<\/li>\n<li>T\u0103ng c\u00e2n<\/li>\n<li>Thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng<\/li>\n<\/ul>\n<p>\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef d\u01b0\u1edbi 50 tu\u1ed5i v\u00e0 ch\u01b0a b\u1ecb ung th\u01b0 v\u00fa c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft thay th\u1ebf (HRT) \u0111\u1ec3 gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh.<\/p>\n<p>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb ung th\u01b0 v\u00fa, li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft thay th\u1ebf sau ph\u1eabu thu\u1eadt RRBSO th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o. Tuy nhi\u00ean, n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh \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 c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 c\u1ee7a li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft trong t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n<p><em><strong>S\u1ee9c kh\u1ecfe c\u1ee7a x\u01b0\u01a1ng<\/strong><\/em><\/p>\n<p><em>M\u00e3n kinh s\u1edbm c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n lo\u00e3ng x\u01b0\u01a1ng (x\u01b0\u01a1ng m\u1ea5t \u0111\u1ed9 ch\u1eafc kho\u1ebb v\u00e0 tr\u1edf n\u00ean m\u1ecfng manh v\u00e0 d\u1ec5 g\u00e3y).<\/em><\/p>\n<p><em>B\u00e1c s\u0129 c\u00f3 th\u1ec3 g\u1ee3i \u00fd \u0111o qu\u00e9t m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (DEXA) v\u00e0o th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt \u0111\u1ec3 ki\u1ec3m tra s\u1ee9c kh\u1ecfe c\u1ee7a x\u01b0\u01a1ng v\u00e0 duy tr\u00ec vi\u1ec7c n\u00e0y trong t\u01b0\u01a1ng lai \u0111\u1ec3 theo d\u00f5i.<\/em><\/p>\n<p><strong><em>Thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 nguy c\u01a1 ung th\u01b0<\/em><\/strong><\/p>\n<p>B\u1eb1ng ch\u1ee9ng cho th\u1ea5y r\u1eb1ng u\u1ed1ng thu\u1ed1c tr\u00e1nh thai c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 ph\u1ee5 n\u1eef kh\u1ecfi ung th\u01b0 bu\u1ed3ng tr\u1ee9ng v\u00e0 s\u1eed d\u1ee5ng c\u00e0ng k\u00e9o d\u00e0i th\u00ec cho l\u1ee3i \u00edch c\u00e0ng cao. Tuy nhi\u00ean, thu\u1ed1c tr\u00e1nh thai c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nh\u1eb9 nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa v\u00e0 m\u1ed9t s\u1ed1 ung th\u01b0 kh\u00e1c.<\/p>\n<p>Kh\u00f4ng c\u00f3 h\u01b0\u1edbng d\u1eabn khuy\u1ebfn ngh\u1ecb u\u1ed1ng thu\u1ed1c tr\u00e1nh thai \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n<h2><strong>N\u00f3i chuy\u1ec7n v\u1edbi gia \u0111\u00ecnh<\/strong><\/h2>\n<figure id=\"attachment_41983\" aria-describedby=\"caption-attachment-41983\" style=\"width: 982px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-41983\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/06\/tien-su-gia-dinh-ve-ung-thu-vu-quan-ly-nguy-co-ung-thu-vu-4-300x150-1.jpg\" alt=\"N\u00f3i chuy\u1ec7n v\u1edbi gia \u0111\u00ecnh v\u1ec1 nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa\" width=\"982\" height=\"491\" \/><figcaption id=\"caption-attachment-41983\" class=\"wp-caption-text\">N\u00f3i chuy\u1ec7n v\u1edbi gia \u0111\u00ecnh v\u1ec1 nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa<\/figcaption><\/figure>\n<p>N\u1ebfu b\u1ea1n mang gen \u0111\u1ed9t bi\u1ebfn ho\u1eb7c ti\u1ec1n s\u1eed gia \u0111\u00ecnh l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0, \u0111i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 c\u00e1c th\u00e0nh vi\u00ean kh\u00e1c trong gia \u0111\u00ecnh c\u0169ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0. H\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi gia \u0111\u00ecnh \u0111\u1ec3 h\u1ecd c\u00f3 th\u1ec3 ch\u1ecdn l\u1ef1a ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd nguy c\u01a1.<\/p>\n<h3><strong>Khi k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m gen d\u01b0\u01a1ng t\u00ednh<\/strong><\/h3>\n<p>N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m gen \u0111\u1ed9t bi\u1ebfn d\u01b0\u01a1ng t\u00ednh th\u00ec \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 c\u1ea7n n\u00f3i chuy\u1ec7n v\u1edbi gia \u0111\u00ecnh v\u1ec1 k\u1ebft qu\u1ea3 \u0111\u00f3.\u00a0Nh\u1eefng ng\u01b0\u1eddi th\u00e2n nh\u01b0 anh ch\u1ecb em, con c\u00e1i s\u1ebd c\u00f3 50% kh\u1ea3 n\u0103ng l\u00e0 c\u0169ng mang gen \u0111\u1ed9t bi\u1ebfn.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y lo l\u1eafng ho\u1eb7c t\u1ed9i l\u1ed7i khi n\u00f3i v\u1edbi gia \u0111\u00ecnh v\u1ec1 nguy c\u01a1 m\u1eafc ung th\u01b0 c\u1ee7a h\u1ecd, c\u00e1c chuy\u00ean gia di truy\u1ec1n c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 b\u1ea1n. C\u00e1c chuy\u00ean gia s\u1ebd cung c\u1ea5p cho b\u1ea1n nh\u1eefng l\u00e1 th\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb s\u1eb5n \u0111\u1ec3 b\u1ea1n g\u1eedi \u0111\u1ebfn gia \u0111\u00ecnh. Ngo\u00e0i ra, b\u1ea1n c\u00f3 th\u1ec3 n\u00f3i chuy\u1ec7n tr\u1ef1c ti\u1ebfp ho\u1eb7c n\u00f3i chuy\u1ec7n qua \u0111i\u1ec7n tho\u1ea1i ho\u1eb7c vi\u1ebft email \u0111\u1ec3 th\u00f4ng b\u00e1o v\u1ec1 vi\u1ec7c n\u00e0y v\u1edbi gia \u0111\u00ecnh.<\/p>\n<h3><strong>Ph\u1ea3n \u1ee9ng c\u1ee7a gia \u0111\u00ecnh<\/strong><\/h3>\n<p>Ph\u1ea3n \u1ee9ng c\u1ee7a h\u1ecd c\u00f3 th\u1ec3 r\u1ea5t kh\u00e1c nhau, c\u00f3 th\u1ec3 h\u1ecd s\u1ebd b\u1ecb s\u1ed1c v\u00e0 kh\u00f3 ch\u1ea5p nh\u1eadn v\u1ec1 vi\u1ec7c n\u00e0y nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 s\u1ebd vui v\u00ec bi\u1ebft s\u1edbm v\u1ec1 kh\u1ea3 n\u0103ng mang gen \u0111\u1ed9t bi\u1ebfn c\u1ee7a m\u00ecnh \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch x\u00e9t nghi\u1ec7m gen v\u00e0 qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0.<\/p>\n<h3><strong>N\u00f3i chuy\u1ec7n v\u1edbi con c\u00e1i<\/strong><\/h3>\n<p>Kh\u00f4ng c\u00f3 m\u1ed9t quy t\u1eafc c\u1ed1 \u0111\u1ecbnh n\u00e0o c\u1ea3, ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i v\u00e0 c\u00e1 t\u00ednh c\u1ee7a con c\u00e1i. Nh\u1eefng tr\u1ebb b\u00e9 h\u01a1n c\u00f3 th\u1ec3 ch\u1ec9 c\u1ea7n \u00edt th\u00f4ng tin th\u00f4i, trong khi tu\u1ed5i thi\u1ebfu ni\u00ean c\u00f3 th\u1ec3 mu\u1ed1n bi\u1ebft th\u00eam v\u00e0 c\u00f3 nhi\u1ec1u c\u00e2u h\u1ecfi.<\/p>\n<p>Ngo\u00e0i ra, c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o v\u0103n h\u00f3a c\u1ee7a gia \u0111\u00ecnh (c\u1edfi m\u1edf chia s\u1ebb h\u1ebft m\u1ecdi chuy\u1ec7n ho\u1eb7c kh\u00f4ng nh\u1eafc t\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u1ea1y c\u1ea3m v\u1edbi con c\u00e1i), nh\u01b0ng c\u1edfi m\u1edf v\u00e0 th\u00e0nh th\u1eadt n\u00f3i v\u1edbi b\u1ecdn tr\u1ebb khi b\u1ea1n c\u1ea3m th\u1ea5y s\u1eb5n s\u00e0ng c\u00f3 th\u1ec3 l\u00e0 h\u1eefu \u00edch cho c\u1ea3 hai b\u00ean.<\/p>\n<p>Nh\u1eefng b\u00ed quy\u1ebft \u0111\u1ec3 n\u00f3i chuy\u1ec7n v\u1edbi con:<\/p>\n<ul>\n<li>Tr\u1ebb con v\u00e0 thi\u1ebfu ni\u00ean th\u01b0\u1eddng h\u01b0\u1edfng \u1ee9ng t\u1ed1t h\u01a1n v\u1edbi nh\u1eefng cu\u1ed9c tr\u00f2 chuy\u1ec7n th\u00f4ng th\u01b0\u1eddng (khi m\u1ecdi ng\u01b0\u1eddi \u0111ang l\u00e0m vi\u1ec7c g\u00ec \u0111\u00f3 c\u00f9ng nhau).<\/li>\n<li>M\u1ed7i l\u1ea7n \u0111\u01b0a \u0111\u1ebfn cho ch\u00fang m\u1ed9t \u00edt th\u00f4ng tin \u1edf m\u1ee9c \u0111\u1ed9 ph\u00f9 h\u1ee3p \u0111\u1ec3 ch\u00fang c\u00f3 th\u1ec3 hi\u1ec3u \u0111\u01b0\u1ee3c.<\/li>\n<li>H\u00e3y b\u1ea3o ch\u00fang n\u00f3i l\u1ea1i b\u1eb1ng t\u1eeb ng\u1eef c\u1ee7a m\u00ecnh nh\u1eefng g\u00ec ch\u00fang \u0111ang ngh\u0129 \u0111\u1ec3 c\u1ea3m nh\u1eadn v\u1ec1 nh\u1eefng b\u1ed1i r\u1ed1i c\u1ee7a ch\u00fang (n\u1ebfu c\u00f3).<\/li>\n<li>\u0110\u1ea3m b\u1ea3o r\u1eb1ng b\u1ea1n c\u00f3 th\u1ec3 hi\u1ec3u \u0111\u01b0\u1ee3c l\u00fd do c\u1ee7a nh\u1eefng c\u00e2u h\u1ecfi ch\u00fang \u0111\u1eb7t ra.<\/li>\n<li>L\u1ed3ng c\u00e1c th\u00f4ng \u0111i\u1ec7p t\u00edch c\u1ef1c trong c\u00e2u chuy\u1ec7n.<\/li>\n<li>H\u00e3y k\u1ec3 cho ch\u00fang bi\u1ebft nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tr\u1ebb em kh\u00f4ng th\u1eeba h\u01b0\u1edfng gen \u0111\u1ed9t bi\u1ebfn.<\/li>\n<\/ul>\n<p>H\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi tr\u1ebb th\u01b0\u1eddng xuy\u00ean v\u1ec1 nh\u1eefng \u0111i\u1ec1u \u0111ang di\u1ec5n ra \u0111\u1ec3 ch\u00fang c\u1ea3m th\u1ea5y \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 s\u1eb5n s\u00e0ng gi\u1ea3i th\u00edch b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi n\u00e0o c\u1ee7a tr\u1ebb.<\/p>\n<h3><strong>Di truy\u1ec1n gen \u0111\u1ed9t bi\u1ebfn<\/strong><\/h3>\n<p>N\u1ebfu b\u1ea1n ho\u1eb7c b\u1ea1n \u0111\u1eddi mang gen \u0111\u1ed9t bi\u1ebfn, con c\u00e1i c\u1ee7a b\u1ea1n s\u1ebd c\u00f3 50% kh\u1ea3 n\u0103ng th\u1eeba h\u01b0\u1edfng gen \u0111\u1ed9t bi\u1ebfn \u0111\u00f3.<\/p>\n<p>C\u00e1c chuy\u00ean gia di truy\u1ec1n s\u1ebd\u00a0n\u00f3i r\u00f5 c\u00e1c l\u1ef1a ch\u1ecdn m\u00e0 b\u1ea1n c\u1ea7n xem x\u00e9t khi c\u00f3 k\u1ebf ho\u1ea1ch l\u1eadp gia \u0111\u00ecnh. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi ch\u1ecdn c\u00e1ch th\u1ee9c tr\u00e1nh truy\u1ec1n gen cho th\u1ebf h\u1ec7 sau ho\u1eb7c ch\u1ecdn c\u00f3 con m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 can thi\u1ec7p n\u00e0o, m\u1ed9t s\u1ed1 kh\u00e1c l\u1ea1i quy\u1ebft \u0111\u1ecbnh kh\u00f4ng l\u1eadp gia \u0111\u00ecnh ho\u1eb7c nh\u1eadn con nu\u00f4i. Nh\u1eefng quy\u1ebft \u0111\u1ecbnh c\u00f3 th\u1ec3 s\u1ebd kh\u00f3 kh\u0103n v\u00e0 nhi\u1ec1u c\u1ea3m x\u00fac.<\/p>\n<h3><strong>T\u00ecm gen b\u1ecb \u0111\u1ed9t bi\u1ebfn khi \u0111ang mang thai<\/strong><\/h3>\n<p>B\u1ea1n c\u00f3 th\u1ec3 ch\u1ecdn mang thai t\u1ef1 nhi\u00ean v\u00e0 x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc sinh.<\/p>\n<p>Vi\u1ec7c n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 t\u1eeb b\u00e1nh nhau ho\u1eb7c d\u1ecbch \u1ed1i bao quanh em b\u00e9 trong t\u1eed cung \u0111em \u0111i x\u00e9t nghi\u1ec7m \u0111\u1ec3 xem li\u1ec7u thai nhi c\u00f3 th\u1eeba h\u01b0\u1edfng gen b\u1ecb \u0111\u1ed9t bi\u1ebfn hay kh\u00f4ng. T\u1eeb\u00a0\u0111\u00f3 b\u1ea1n c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh c\u00f3 ti\u1ebfp t\u1ee5c mang thai hay kh\u00f4ng.<\/p>\n<p>Th\u1ee7 t\u1ee5c n\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u01b0\u1eddng quy.<\/p>\n<h3><strong>Tr\u00e1nh truy\u1ec1n gen b\u1ecb \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n sang th\u1ebf h\u1ec7 sau<\/strong><\/h3>\n<h4><strong>Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n tr\u01b0\u1edbc khi chuy\u1ec3n ph\u00f4i<\/strong><\/h4>\n<p>Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n tr\u01b0\u1edbc khi chuy\u1ec3n ph\u00f4i (PGD) g\u1ed3m th\u1ef1c hi\u1ec7n chu k\u1ef3 th\u1ee5 tinh \u1ed1ng nghi\u1ec7m (IVF), t\u1ea1i \u0111\u00f3 tr\u1ee9ng l\u1ea5y t\u1eeb bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ee5 tinh v\u1edbi tinh tr\u00f9ng trong ph\u00f2ng th\u00ed nghi\u1ec7m.<\/p>\n<p>Tr\u1ee9ng \u0111\u00e3 th\u1ee5 tinh (ph\u00f4i) \u0111\u01b0\u1ee3c ki\u1ec3m tra xem c\u00f3 mang gen \u0111\u1ed9t bi\u1ebfn hay kh\u00f4ng, c\u00e1c ph\u00f4i kh\u00f4ng mang gen \u0111\u1ed9t bi\u1ebfn g\u00e2y ung th\u01b0 v\u00fa s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o t\u1eed cung.<\/p>\n<h4><strong>Hi\u1ebfn tr\u1ee9ng ho\u1eb7c tinh tr\u00f9ng<\/strong><\/h4>\n<p>Ph\u1ee5 thu\u1ed9c v\u00e0o b\u1ed1 hay m\u1eb9 mang gen \u0111\u1ed9t bi\u1ebfn, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng tr\u1ee9ng ho\u1eb7c tinh tr\u00f9ng hi\u1ebfn t\u1eb7ng \u0111\u1ec3 tr\u00e1nh truy\u1ec1n gen \u0111\u1ed9t bi\u1ebfn sang th\u1ebf h\u1ec7 sau.<\/p>\n<h2><strong>C\u00e1c \u0111i\u1ec1u c\u1ea7n c\u00e2n nh\u1eafc kh\u00e1c<\/strong><\/h2>\n<h3><strong>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng<\/strong><\/h3>\n<p>C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 t\u00ecm ra th\u00eam c\u00e1c gen v\u00e0 ung th\u01b0 v\u00fa, b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 c\u01a1 h\u1ed9i tham gia v\u00e0o c\u00e1c th\u1eed nghi\u1ec7m n\u00e0y.<\/p>\n<h3><strong>Nh\u1eefng thay \u0111\u1ed5i \u1edf v\u00fa ho\u1eb7c v\u00f9ng ng\u1ef1c<\/strong><\/h3>\n<p>Cho d\u00f9 \u0111ang \u1edf m\u1ee9c \u0111\u1ed9 nguy c\u01a1 ung th\u01b0 v\u00fa n\u00e0o (th\u1eadm ch\u00ed \u0111\u00e3 ph\u1eabu thu\u1eadt gi\u1ea3m nguy c\u01a1), v\u1eabn n\u00ean th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra nh\u1eefng thay \u0111\u1ed5i v\u1ec1 h\u00ecnh d\u00e1ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a v\u00fa ho\u1eb7c v\u00f9ng ng\u1ef1c \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p class=\"page-header\"><a href=\"https:\/\/breastcancernow.org\/information-support\/publication\/family-history-breast-cancer-managing-your-risk-bcn244\" target=\"_blank\" rel=\"noopener\">Family history of breast cancer: managing your risk (BCN244)<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c gen \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0 v\u00fa l\u00e0 BRCA1 v\u00e0 BRCA2 (BRCA l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a gen ung th\u01b0 v\u00fa).<\/p>\n","protected":false},"author":548,"featured_media":9349,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[3591,3592,2569],"series":[1428],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u1ec1 ung th\u01b0 v\u00fa: Qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0 v\u00fa - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"Ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u1ec1 ung th\u01b0 v\u00fa: Qu\u1ea3n l\u00fd nguy c\u01a1 ung th\u01b0 v\u00fa - D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta name=\"robots\" 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