{"id":7302,"date":"2026-04-04T22:26:31","date_gmt":"2026-04-04T15:26:31","guid":{"rendered":"https:\/\/doisongmoi.com.vn\/?p=7302"},"modified":"2026-04-04T22:27:23","modified_gmt":"2026-04-04T15:27:23","slug":"7302","status":"publish","type":"post","link":"https:\/\/doisongmoi.com.vn\/?p=7302","title":{"rendered":"Vi\u1ec7t Nam n\u1eb1m trong nh\u00f3m c\u00f3 t\u1ef7 l\u1ec7 tuvong cao v\u00ec UT gan, \u0111\u1eebng b\u1ecf qua &#8216;2 h\u00f4i, 2 ng\u1ee9a, 2 \u0111\u1ecf&#8217; m\u00e0 c\u01a1 th\u1ec3 \u0111ang c\u1ea7u c\/\u1ee9\/u"},"content":{"rendered":"<h2>Ungth\u01b0 gan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm nh\u1edd nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u00edt ai ng\u1edd t\u1edbi.<\/h2>\n<p><strong>B\u00e1o Thanh Ni\u00ean Vi\u1ec7t m\u1edbi \u0111\u00e2y \u0111\u00e3 \u0111\u0103ng t\u1ea3i b\u00e0i vi\u1ebft c\u00f3 ti\u00eau \u0111\u1ec1 &#8220;Ng\u00e0y c\u00e0ng nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n tr\u1ebb \u0111\u00e3 ch\u1ebft v\u00ec ung th\u01b0 gan? B\u00e1c s\u0129 nh\u1eafc: \u0110\u1eebng b\u1ecf l\u1ee1 &#8220;2 h\u00f4i, 2 ng\u1ee9a, 2 \u0111\u1ecf&#8221; \u0111ang b\u00e1o b\u1ec7nh&#8221;, n\u1ed9i dung c\u1ee5 th\u1ec3 nh\u01b0 sau:\u00a0<\/strong><\/p>\n<p>Ung th\u01b0 gan \u0111ang tr\u1edf th\u00e0nh g\u00e1nh n\u1eb7ng s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u, \u0111\u1ee9ng th\u1ee9 3 trong c\u00e1c lo\u1ea1i ung th\u01b0. GLOBOCAN 2022 ch\u1ec9 ra th\u1ebf gi\u1edbi ghi nh\u1eadn h\u01a1n 866.000 ca m\u1eafc m\u1edbi. T\u1ea1i Vi\u1ec7t Nam, m\u1ed7i n\u0103m c\u00f3 tr\u00ean 24.000 ca m\u1eafc, thu\u1ed9c nh\u00f3m qu\u1ed1c gia c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao.<\/p>\n<p>\u0110\u00e1ng lo h\u01a1n, b\u1ec7nh ng\u00e0y c\u00e0ng c\u00f3 xu h\u01b0\u1edbng tr\u1ebb h\u00f3a. C\u00e1c chuy\u00ean gia gan m\u1eadt cho bi\u1ebft t\u00ecnh tr\u1ea1ng n\u00e0y xu\u1ea5t ph\u00e1t t\u1eeb nhi\u1ec1u nguy\u00ean nh\u00e2n, nh\u01b0ng nh\u00f3m th\u00f3i quen x\u1ea5u v\u1ec1 \u0103n u\u1ed1ng, l\u1ed1i s\u1ed1ng chi\u1ebfm ph\u1ea7n l\u1edbn. C\u00e0ng nguy hi\u1ec3m khi gan \u0111\u01b0\u1ee3c xem nh\u01b0 \u201cc\u01a1 quan c\u00e2m\u201d v\u00ec t\u1ed5n th\u01b0\u01a1ng giai \u0111o\u1ea1n \u0111\u1ea7u hi\u1ebfm khi g\u00e2y \u0111au r\u00f5 r\u1ec7t. Khi tri\u1ec7u ch\u1ee9ng b\u00f9ng ph\u00e1t, b\u1ec7nh th\u01b0\u1eddng \u0111\u00e3 ti\u1ebfn tri\u1ec3n nhanh.<\/p>\n<p>V\u00ec v\u1eady, d\u00f9 c\u00f2n tr\u1ebb, xin \u0111\u1eebng b\u1ecf qua\u00a0<em>\u201c2 \u0111\u1ecf, 2 ng\u1ee9a, 2 h\u00f4i\u201d<\/em>\u00a0d\u01b0\u1edbi \u0111\u00e2y, b\u1edfi ch\u00fang c\u00f3 th\u1ec3 l\u00e0 t\u00edn hi\u1ec7u gan \u0111ang c\u1ea7u c\u1ee9u:<\/p>\n<p><strong>2 d\u1ea5u hi\u1ec7u \u0111\u1ecf c\u1ea3nh b\u00e1o gan t\u1ed5n th\u01b0\u01a1ng<\/strong><\/p>\n<p><em>&#8211; L\u00f2ng b\u00e0n tay \u0111\u1ecf b\u1ea5t th\u01b0\u1eddng:<\/em>\u00a0N\u1ebfu ph\u1ea7n trung t\u00e2m l\u00f2ng b\u00e0n tay ho\u1eb7c to\u00e0n b\u1ed9 b\u00e0n tay \u1eedng \u0111\u1ecf, xu\u1ea5t hi\u1ec7n c\u00e1c \u0111\u1ed1m ho\u1eb7c v\u1ec7t nh\u01b0 m\u1ea1ng nh\u1ec7n, h\u00e3y c\u1ea9n tr\u1ecdng. Khi gan suy gi\u1ea3m ch\u1ee9c n\u0103ng, kh\u1ea3 n\u0103ng chuy\u1ec3n h\u00f3a hormone b\u1ecb r\u1ed1i lo\u1ea1n, l\u00e0m mao m\u1ea1ch gi\u00e3n n\u1edf v\u00e0 g\u00e2y \u0111\u1ecf da. N\u1ebfu d\u1ea5u hi\u1ec7u n\u00e0y k\u00e9o d\u00e0i nhi\u1ec1u tu\u1ea7n, \u0111\u1eb7c bi\u1ec7t k\u00e8m m\u1ec7t m\u1ecfi ho\u1eb7c v\u00e0ng da, b\u1ea1n n\u00ean \u0111i ki\u1ec3m tra gan s\u1edbm.<\/p>\n<figure><a title=\"\u1ea2nh minh h\u1ecda\" href=\"https:\/\/kenh14cdn.com\/203336854389633024\/2026\/2\/6\/4a-17703800310072137547936.jpg\" data-fancybox-group=\"img-lightbox\" data-fancybox=\"img-lightbox\"><img loading=\"lazy\" decoding=\"async\" id=\"img_205203873679306752\" title=\"Ng\u00e0y c\u00e0ng nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n tr\u1ebb \u0111\u00e3 ch\u1ebft v\u00ec ung th\u01b0 gan? B\u00e1c s\u0129 nh\u1eafc: \u0110\u1eebng b\u1ecf l\u1ee1 &quot;2 h\u00f4i, 2 ng\u1ee9a, 2 \u0111\u1ecf&quot; \u0111ang b\u00e1o b\u1ec7nh- \u1ea2nh 1.\" src=\"https:\/\/kenh14cdn.com\/thumb_w\/640\/203336854389633024\/2026\/2\/6\/4a-17703800310072137547936.jpg\" alt=\"Ng\u00e0y c\u00e0ng nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n tr\u1ebb \u0111\u00e3 ch\u1ebft v\u00ec ung th\u01b0 gan? B\u00e1c s\u0129 nh\u1eafc: \u0110\u1eebng b\u1ecf l\u1ee1 &quot;2 h\u00f4i, 2 ng\u1ee9a, 2 \u0111\u1ecf&quot; \u0111ang b\u00e1o b\u1ec7nh- \u1ea2nh 1.\" width=\"700\" height=\"525\" data-author=\"\" data-original=\"https:\/\/kenh14cdn.com\/203336854389633024\/2026\/2\/6\/4a-17703800310072137547936.jpg\" \/><\/a><figcaption>\n<p data-placeholder=\"Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh\">\u1ea2nh minh h\u1ecda<\/p>\n<\/figcaption><\/figure>\n<p><em>&#8211; N\u01b0\u1edbc ti\u1ec3u \u0111\u1ecf n\u00e2u ho\u1eb7c v\u00e0ng s\u1eadm:<\/em>\u00a0Gan kh\u1ecfe s\u1ebd x\u1eed l\u00fd bilirubin hi\u1ec7u qu\u1ea3. Nh\u01b0ng khi c\u01a1 quan n\u00e0y g\u1eb7p v\u1ea5n \u0111\u1ec1, s\u1eafc t\u1ed1 c\u00f3 th\u1ec3 t\u00edch t\u1ee5 v\u00e0 b\u1ecb \u0111\u00e0o th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u, khi\u1ebfn m\u00e0u chuy\u1ec3n sang v\u00e0ng \u0111\u1eadm, n\u00e2u ho\u1eb7c \u0111\u1ecf. N\u1ebfu hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111i k\u00e8m n\u01b0\u1edbc ti\u1ec3u nhi\u1ec1u b\u1ecdt, ch\u00e1n \u0103n ho\u1eb7c s\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 l\u00fd do, \u0111\u1eebng ch\u1ea7n ch\u1eeb kh\u00e1m chuy\u00ean khoa.<\/p>\n<p><strong>2 ki\u1ec3u ng\u1ee9a kh\u00f4ng n\u00ean xem nh\u1eb9<\/strong><\/p>\n<p><em>&#8211; Ng\u1ee9a da dai d\u1eb3ng:<\/em>\u00a0Gan suy y\u1ebfu khi\u1ebfn \u0111\u1ed9c t\u1ed1 t\u00edch t\u1ee5 trong m\u00e1u, l\u00e2u d\u1ea7n k\u00edch th\u00edch c\u00e1c \u0111\u1ea7u d\u00e2y th\u1ea7n kinh d\u01b0\u1edbi da v\u00e0 g\u00e2y ng\u1ee9a. \u0110i\u1ec3m kh\u00e1c bi\u1ec7t l\u00e0 c\u01a1n ng\u1ee9a th\u01b0\u1eddng k\u00e9o d\u00e0i, d\u1ec5 t\u00e1i ph\u00e1t v\u00e0 \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c b\u00f4i ngo\u00e0i da. Ng\u1ee9a k\u00e8m v\u00e0ng da ho\u1eb7c n\u1ed5i m\u1ea9n c\u00e0ng c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra s\u1edbm \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm ung th\u01b0 gan.<\/p>\n<p><em>&#8211; M\u1eaft kh\u00f4 v\u00e0 ng\u1ee9a k\u00e8m nh\u1ea1y s\u00e1ng<\/em>: Kh\u00f4ng \u00edt ng\u01b0\u1eddi ngh\u0129 \u0111\u00e2y ch\u1ec9 l\u00e0 d\u1ea5u hi\u1ec7u m\u1ecfi m\u1eaft do d\u00f9ng thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed. Tuy nhi\u00ean, khi gan ho\u1ea1t \u0111\u1ed9ng k\u00e9m, m\u1eaft c\u00f3 th\u1ec3 tr\u1edf n\u00ean kh\u00f4, d\u1ec5 k\u00edch \u1ee9ng v\u00e0 th\u1eadm ch\u00ed h\u01a1i ng\u1ea3 v\u00e0ng. N\u1ebfu \u0111\u00e3 ngh\u1ec9 ng\u01a1i m\u00e0 v\u1eabn kh\u00f4ng c\u1ea3i thi\u1ec7n, b\u1ea1n n\u00ean c\u00e2n nh\u1eafc ki\u1ec3m tra ch\u1ee9c n\u0103ng gan thay v\u00ec ch\u1ec9 \u0111i kh\u00e1m m\u1eaft.<\/p>\n<p><strong>2 m\u00f9i h\u00f4i c\u00f3 th\u1ec3 l\u00e0 t\u00edn hi\u1ec7u ng\/u\/y hi\/\u1ec3\/m c\u1ee7a ung th\u01b0gan<\/strong><\/p>\n<p><em>&#8211; H\u01a1i th\u1edf h\u00f4i d\u00f9 v\u1ec7 sinh k\u1ef9:<\/em>\u00a0Khi gan kh\u00f4ng l\u1ecdc b\u1ecf \u0111\u1ed9c t\u1ed1 hi\u1ec7u qu\u1ea3, c\u00e1c h\u1ee3p ch\u1ea5t c\u00f3 m\u00f9i c\u00f3 th\u1ec3 t\u00edch t\u1ee5 v\u00e0 tho\u00e1t ra qua h\u01a1i th\u1edf. N\u1ebfu \u0111\u00e1nh r\u0103ng \u0111\u1ec1u m\u00e0 m\u00f9i v\u1eabn n\u1eb7ng, th\u1eadm ch\u00ed k\u00e8m v\u1ecb \u0111\u1eafng mi\u1ec7ng, h\u00e3y ch\u00fa \u00fd h\u01a1n \u0111\u1ebfn s\u1ee9c kh\u1ecfe gan.<\/p>\n<figure><a title=\"\u1ea2nh minh h\u1ecda\" href=\"https:\/\/kenh14cdn.com\/203336854389633024\/2026\/2\/6\/4b-17703800491591056388090.jpg\" data-fancybox-group=\"img-lightbox\" data-fancybox=\"img-lightbox\"><img loading=\"lazy\" decoding=\"async\" id=\"img_205203911631466496\" title=\"Ng\u00e0y c\u00e0ng nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n tr\u1ebb \u0111\u00e3 ch\u1ebft v\u00ec ung th\u01b0 gan? B\u00e1c s\u0129 nh\u1eafc: \u0110\u1eebng b\u1ecf l\u1ee1 &quot;2 h\u00f4i, 2 ng\u1ee9a, 2 \u0111\u1ecf&quot; \u0111ang b\u00e1o b\u1ec7nh- \u1ea2nh 3.\" src=\"https:\/\/kenh14cdn.com\/thumb_w\/640\/203336854389633024\/2026\/2\/6\/4b-17703800491591056388090.jpg\" alt=\"Ng\u00e0y c\u00e0ng nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n tr\u1ebb \u0111\u00e3 ch\u1ebft v\u00ec ung th\u01b0 gan? B\u00e1c s\u0129 nh\u1eafc: \u0110\u1eebng b\u1ecf l\u1ee1 &quot;2 h\u00f4i, 2 ng\u1ee9a, 2 \u0111\u1ecf&quot; \u0111ang b\u00e1o b\u1ec7nh- \u1ea2nh 3.\" width=\"700\" height=\"525\" data-author=\"\" data-original=\"https:\/\/kenh14cdn.com\/203336854389633024\/2026\/2\/6\/4b-17703800491591056388090.jpg\" \/><\/a><figcaption>\n<p data-placeholder=\"Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh\">\u1ea2nh minh h\u1ecda<\/p>\n<\/figcaption><\/figure>\n<p><em>&#8211; M\u1ed3 h\u00f4i n\u1eb7ng m\u00f9i h\u01a1n b\u00ecnh th\u01b0\u1eddng:<\/em>\u00a0Gan suy gi\u1ea3m bu\u1ed9c c\u01a1 th\u1ec3 t\u0103ng th\u1ea3i \u0111\u1ed9c qua da. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn m\u1ed3 h\u00f4i nhi\u1ec1u h\u01a1n, \u0111\u1eb7c h\u01a1n v\u00e0 c\u00f3 m\u00f9i kh\u00f3 ch\u1ecbu d\u00f9 b\u1ea1n kh\u00f4ng v\u1eadn \u0111\u1ed9ng m\u1ea1nh. N\u1ebfu m\u00f9i c\u01a1 th\u1ec3 thay \u0111\u1ed5i r\u00f5 r\u1ec7t trong th\u1eddi gian ng\u1eafn, t\u1ed1t nh\u1ea5t n\u00ean \u0111i ki\u1ec3m tra t\u1ed5ng qu\u00e1t.<\/p>\n<p><strong>\u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n nh\u1edb:\u00a0<\/strong>Ung th\u01b0 gan nguy hi\u1ec3m v\u00ec ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m nh\u01b0ng kh\u00f4ng ph\u1ea3i kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u. Ph\u00e1t hi\u1ec7n c\u00e0ng s\u1edbm, c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb c\u00e0ng cao. B\u00ean c\u1ea1nh vi\u1ec7c ch\u00fa \u00fd c\u00e1c b\u1ea5t th\u01b0\u1eddng tr\u00ean c\u01a1 th\u1ec3, h\u00e3y duy tr\u00ec kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia, ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng v\u00e0 b\u1ea3o v\u1ec7 l\u00e1 gan t\u1eeb nh\u1eefng th\u00f3i quen nh\u1ecf nh\u1ea5t m\u1ed7i ng\u00e0y.<\/p>\n<p><strong>Trang tin Znews c\u0169ng c\u00f3 b\u00e0i vi\u1ebft \u0111\u01b0a th\u00f4ng tin t\u01b0\u01a1ng t\u1ef1, n\u1ed9i dung c\u1ee5 th\u1ec3 nh\u01b0 sau:\u00a0<\/strong><\/p>\n<p>Th\u00e1ng 10\/2023, \u00f4ng \u0110.H.M. (65 tu\u1ed5i) nh\u1eadp vi\u1ec7n v\u00ec s\u1ed1t k\u00e9o d\u00e0i k\u00e8m \u0111au v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i. Ban \u0111\u1ea7u, c\u00e1c tri\u1ec7u ch\u1ee9ng khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh ngh\u0129 nhi\u1ec1u \u0111\u1ebfn t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean, \u0111\u00e2y l\u1ea1i l\u00e0 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o \u0111\u1ee3t ti\u1ebfn tri\u1ec3n c\u1ee7a\u00a0ung th\u01b0\u00a0gan tr\u00ean n\u1ec1n vi\u00eam gan B m\u1ea1n t\u00ednh.<\/p>\n<p>Theo h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n, b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed vi\u00eam gan B nhi\u1ec1u n\u0103m, \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Tenofovir 300 mg\/ng\u00e0y. N\u0103m 2019, \u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (UTBMTBG) v\u00e0 \u0111\u00e3 tr\u1ea3i qua 6 l\u1ea7n n\u00fat m\u1ea1ch h\u00f3a ch\u1ea5t (TACE) t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf tuy\u1ebfn trung \u01b0\u01a1ng v\u00e0 \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n<p>Sau l\u1ea7n TACE th\u1ee9 6 v\u00e0o th\u00e1ng 10\/2023, b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n \u0111au nhi\u1ec1u v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i k\u00e8m s\u1ed1t. C\u00e1c b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u00e1p xe gan v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u1ed5n \u0111\u1ecbnh tr\u01b0\u1edbc khi chuy\u1ec3n \u0111\u1ebfn Trung t\u00e2m Y h\u1ecdc h\u1ea1t nh\u00e2n v\u00e0 Ung b\u01b0\u1edbu, B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai, \u0111\u1ec3 ti\u1ebfp t\u1ee5c theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Khi nh\u1eadp vi\u1ec7n, b\u1ec7nh nh\u00e2n t\u1ec9nh t\u00e1o, th\u1ec3 tr\u1ea1ng trung b\u00ecnh, sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 to\u00e0n tr\u1ea1ng PS = 0. C\u00e1c x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n kh\u00f4ng ghi nh\u1eadn b\u1ea5t th\u01b0\u1eddng r\u00f5 r\u1ec7t, song ch\u1ec9 s\u1ed1 AFP &#8211; m\u1ed9t d\u1ea5u \u1ea5n ung th\u01b0 gan &#8211; t\u0103ng r\u1ea5t cao, l\u00ean t\u1edbi 648,1 ng\/ml. K\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 cho th\u1ea5y b\u1ec7nh nh\u00e2n m\u1eafc UTBMTBG giai \u0111o\u1ea1n BCLC B, x\u01a1 gan Child-Pugh A, vi\u00eam gan B, \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb TACE nhi\u1ec1u l\u1ea7n.<\/p>\n<p>Tr\u01b0\u1edbc nguy c\u01a1 b\u1ec7nh ti\u1ebfn tri\u1ec3n v\u00e0 kh\u00f4ng c\u00f2n nhi\u1ec1u l\u1ef1a ch\u1ecdn can thi\u1ec7p t\u1ea1i ch\u1ed7, h\u1ed9i \u0111\u1ed3ng ung th\u01b0 ti\u00eau h\u00f3a th\u1ed1ng nh\u1ea5t chuy\u1ec3n h\u01b0\u1edbng sang \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n b\u1eb1ng ph\u00e1c \u0111\u1ed3 ph\u1ed1i h\u1ee3p Atezolizumab v\u00e0 Bevacizumab. \u0110\u00e2y l\u00e0 ph\u00e1c \u0111\u1ed3 k\u1ebft h\u1ee3p gi\u1eefa li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch v\u00e0 thu\u1ed1c kh\u00e1ng t\u1ea1o m\u1ea1ch, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo chu k\u1ef3 21 ng\u00e0y.<\/p>\n<p>Trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh dung n\u1ea1p thu\u1ed1c t\u1ed1t, kh\u00f4ng g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng. B\u1ec7nh nh\u00e2n kh\u00f4ng m\u1ec7t m\u1ecfi, kh\u00f4ng \u0111au b\u1ee5ng, \u0103n u\u1ed1ng t\u1ed1t, t\u0103ng 3 kg v\u00e0 duy tr\u00ec sinh ho\u1ea1t g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n<table>\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" title=\"ung th\u01b0 gan \u1ea3nh 1\" src=\"https:\/\/photo.znews.vn\/w860\/Uploaded\/gtnvzv\/2026_01_23\/k_gan.jpg\" alt=\"ung thu gan anh 1\" width=\"297\" height=\"207\" data-title=\"ung th\u01b0 gan \u1ea3nh 1\" \/><\/td>\n<\/tr>\n<tr>\n<td>H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u1ed5 b\u1ee5ng c\u1ee7a b\u1ec7nh nh\u00e2n. \u1ea2nh:\u00a0<em>BVCC.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u0110\u00e1ng ch\u00fa \u00fd, ch\u1ec9 s\u1ed1 AFP gi\u1ea3m m\u1ea1nh theo th\u1eddi gian, t\u1eeb 648,1 ng\/ml v\u00e0o th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb xu\u1ed1ng c\u00f2n 9,2 ng\/ml sau 20 chu k\u1ef3, ti\u1ec7m c\u1eadn ng\u01b0\u1ee1ng b\u00ecnh th\u01b0\u1eddng. C\u00e1c k\u1ebft qu\u1ea3 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh c\u0169ng ghi nh\u1eadn kh\u1ed1i u gan thu nh\u1ecf r\u00f5 r\u1ec7t, kh\u00f4ng c\u00f2n t\u0103ng sinh m\u1ea1ch hay huy\u1ebft kh\u1ed1i. K\u00edch th\u01b0\u1edbc u gi\u1ea3m t\u1eeb 81 x 51 mm xu\u1ed1ng c\u00f2n kho\u1ea3ng 22 x 45 mm. Theo ti\u00eau chu\u1ea9n RECIST 1.1, b\u1ec7nh nh\u00e2n \u0111\u1ea1t \u0111\u00e1p \u1ee9ng m\u1ed9t ph\u1ea7n.<\/p>\n<p>Theo c\u00e1c b\u00e1c s\u0129, \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 gan giai \u0111o\u1ea1n trung gian \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb TACE nhi\u1ec1u l\u1ea7n nh\u01b0ng v\u1eabn \u0111\u00e1p \u1ee9ng r\u1ea5t t\u1ed1t v\u1edbi ph\u00e1c \u0111\u1ed3 mi\u1ec5n d\u1ecbch &#8211; kh\u00e1ng t\u1ea1o m\u1ea1ch. K\u1ebft qu\u1ea3 n\u00e0y kh\u00f4ng ch\u1ec9 gi\u00fap ki\u1ec3m so\u00e1t b\u1ec7nh hi\u1ec7u qu\u1ea3 m\u00e0 c\u00f2n m\u1edf ra kh\u1ea3 n\u0103ng \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh t\u1eeb nh\u00f3m kh\u00f4ng c\u00f2n ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt tr\u1edf l\u1ea1i di\u1ec7n c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc can thi\u1ec7p trong t\u01b0\u01a1ng lai.<\/p>\n<p>Trong th\u1eddi gian t\u1edbi, b\u1ec7nh nh\u00e2n s\u1ebd ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c duy tr\u00ec ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7n t\u1ea1i v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng, h\u01b0\u1edbng t\u1edbi m\u1ee5c ti\u00eau ki\u1ec3m so\u00e1t b\u1ec7nh l\u00e2u d\u00e0i.<\/p>\n<p>Theo s\u1ed1 li\u1ec7u GLOBOCAN 2022, ung th\u01b0 gan l\u00e0 m\u1ed9t trong 6 lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t th\u1ebf gi\u1edbi, v\u1edbi h\u01a1n 866.000 ca m\u1eafc m\u1edbi v\u00e0 g\u1ea7n 759.000 ca t\u1eed vong m\u1ed7i n\u0103m. T\u1ea1i Vi\u1ec7t Nam, ung th\u01b0 gan n\u1eb1m trong nh\u00f3m 3 ung th\u01b0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, v\u1edbi kho\u1ea3ng 24.500 ca m\u1eafc m\u1edbi v\u00e0 h\u01a1n 23.300 ca t\u1eed vong.<\/p>\n<p>PGS.TS Ph\u1ea1m C\u1ea9m Ph\u01b0\u01a1ng, Trung t\u00e2m Y h\u1ecdc h\u1ea1t nh\u00e2n v\u00e0 Ung b\u01b0\u1edbu, B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai, cho bi\u1ebft \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan hi\u1ec7n nay c\u1ea7n c\u00e1 th\u1ec3 h\u00f3a theo giai \u0111o\u1ea1n b\u1ec7nh v\u00e0 th\u1ec3 tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. Ph\u1eabu thu\u1eadt v\u1eabn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ee7 \u0111\u1ea1o \u1edf giai \u0111o\u1ea1n s\u1edbm.<\/p>\n<p>&#8220;Tuy nhi\u00ean, v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u1ebfn tri\u1ec3n ho\u1eb7c kh\u00f4ng c\u00f2n ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p t\u1ea1i ch\u1ed7, \u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c ph\u00e1c \u0111\u1ed3 k\u1ebft h\u1ee3p mi\u1ec5n d\u1ecbch v\u00e0 kh\u00e1ng t\u1ea1o m\u1ea1ch nh\u01b0 Atezolizumab &#8211; Bevacizumab, \u0111ang cho th\u1ea5y hi\u1ec7u qu\u1ea3 r\u00f5 r\u1ec7t trong c\u1ea3i thi\u1ec7n th\u1eddi gian s\u1ed1ng v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh&#8221;, BS C\u1ea9m Ph\u01b0\u01a1ng n\u00f3i.<\/p>\n<p>C\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi d\u00e2n n\u00ean h\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u bia, \u0111\u1ed3ng th\u1eddi duy tr\u00ec kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, t\u1ea7m so\u00e1t ch\u1ee9c n\u0103ng gan 1-2 l\u1ea7n m\u1ed7i n\u0103m, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u00f3m c\u00f3 th\u00f3i quen u\u1ed1ng r\u01b0\u1ee3u th\u01b0\u1eddng xuy\u00ean. Vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng ki\u1ec3m tra gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm t\u1ed5n th\u01b0\u01a1ng gan, t\u1eeb \u0111\u00f3 can thi\u1ec7p k\u1ecbp th\u1eddi v\u00e0 gi\u1ea3m nguy c\u01a1 ti\u1ebfn tri\u1ec3n th\u00e0nh x\u01a1 gan ho\u1eb7c ung th\u01b0 gan, nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n<p>Kh\u1ea9u Trang Ch\u1ed1ng N\u1eafng UPF50+ Ch\u1ed1ng UV UPPER YOU Ch\u1ea5t L\u1ee5a B\u0103ng M\u1ecbn M\u00e1t Tho\u00e1ng Kh\u00ed cho m\u00f9a h\u00e8 n\u00e0y!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ungth\u01b0 gan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm nh\u1edd nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u00edt<\/p>\n","protected":false},"author":1,"featured_media":7039,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7302","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tat-ca-bai-viet"],"_links":{"self":[{"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/posts\/7302","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7302"}],"version-history":[{"count":2,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/posts\/7302\/revisions"}],"predecessor-version":[{"id":7304,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/posts\/7302\/revisions\/7304"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=\/wp\/v2\/media\/7039"}],"wp:attachment":[{"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7302"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7302"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doisongmoi.com.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7302"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}