{"id":4677,"date":"2020-12-20T02:38:42","date_gmt":"2020-12-20T02:38:42","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=4677"},"modified":"2021-01-06T00:49:27","modified_gmt":"2021-01-06T00:49:27","slug":"mang-lai-hi-vong-cho-benh-nhan-mac-can-benh-cuc-hiem-ung-thu-voi-tu-cung","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/mang-lai-hi-vong-cho-benh-nhan-mac-can-benh-cuc-hiem-ung-thu-voi-tu-cung\/","title":{"rendered":"Mang l\u1ea1i hi v\u1ecdng cho b\u1ec7nh nh\u00e2n m\u1eafc c\u0103n b\u1ec7nh c\u1ef1c hi\u1ebfm ung th\u01b0 v\u00f2i t\u1eed cung"},"content":{"rendered":"\n

M\u1edbi \u0111\u00e2y, Khoa Ph\u1ee5 B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf S\u1ea3n Nhi H\u1ea3i Ph\u00f2ng \u0111\u00e3 ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng ca b\u1ec7nh c\u1ef1c hi\u1ebfm cho m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef l\u1edbn tu\u1ed5i.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

B\u1ec7nh nh\u00e2n B\u00f9i Th\u1ecb C, 58 tu\u1ed5i \u1edf Ki\u1ebfn Thu\u1ef5, H\u1ea3i Ph\u00f2ng nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng d\u01b0\u1edbi v\u00e0 ra d\u1ecbch h\u1ed3ng \u1edf \u00e2m \u0111\u1ea1o. Qua th\u0103m kh\u00e1m, \u0111\u01b0\u1ee3c bi\u1ebft b\u1ec7nh nh\u00e2n \u0111\u00e3 m\u00e3n kinh ba n\u0103m nay nh\u01b0ng kh\u00f4ng hi\u1ec3u v\u00ec nguy\u00ean do g\u00ec 10 ng\u00e0y g\u1ea7n \u0111\u00e2y l\u1ea1i ra d\u1ecbch h\u1ed3ng \u1edf \u00e2m \u0111\u1ea1o, k\u00e8m theo tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng d\u01b0\u1edbi, c\u1ee5 th\u1ec3 l\u00e0 v\u00f9ng t\u1eed cung. Khi ti\u1ebfn h\u00e0nh si\u00eau \u00e2m t\u1eed cung v\u00e0 soi c\u1ed5 t\u1eed cung, b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n m\u1ed9t kh\u1ed1i b\u1ea5t th\u01b0\u1eddng t\u1ea1i ph\u1ea7n ph\u1ee5 ph\u1ea3i c\u1ee7a b\u1ec7nh nh\u00e2n, k\u00edch th\u01b0\u1edbc kho\u1ea3ng 4 \u2013 5 ph\u00e2n. D\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m, PGS.TS Nguy\u1ec5n V\u0103n H\u1ecdc ngh\u0129 nhi\u1ec1u t\u1edbi h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb ung th\u01b0 ni\u00eam m\u1ea1c. PGS.TS Nguy\u1ec5n V\u0103n H\u1ecdc \u0111\u00e3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf kh\u1ed1i b\u1ea5t th\u01b0\u1eddng b\u1edfi tri\u1ec7u ch\u1ee9ng b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng r\u00f5 r\u00e0ng, n\u1ebfu ch\u1ec9 d\u1ef1a tr\u00ean x\u00e9t nghi\u1ec7m kh\u00f4ng th\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n cu\u1ed1i c\u00f9ng. Ch\u1ec9 khi gi\u1ea3i ph\u1eabu l\u1ea5y kh\u1ed1i u m\u1edbi c\u00f3 th\u1ec3 kh\u1eb3ng \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 giai \u0111o\u1ea1n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c nh\u1ea5t.<\/p>\n\n\n\n

Ca ph\u1eabu thu\u1eadt di\u1ec5n ra thu\u1eadn l\u1ee3i. To\u00e0n b\u1ed9 t\u1eed cung v\u00e0 hai ph\u1ea7n ph\u1ee5 (bu\u1ed3ng tr\u1ee9ng v\u00e0 v\u00f2i t\u1eed cung) c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf. Kh\u1ed1i u t\u1ea1i v\u00f2i t\u1eed cung \u0111\u01b0\u1ee3c g\u1eedi l\u00e0m x\u00e9t nghi\u1ec7m sinh thi\u1ebft. B\u1ec7nh nh\u00e2n h\u1eadu ph\u1eabu h\u1ed3i ph\u1ee5c t\u1ed1t. Sau khi c\u00f3 k\u1ebft qu\u1ea3 sinh thi\u1ebft, PGS.TS Nguy\u1ec5n V\u0103n H\u1ecdc ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n b\u1ecb ung th\u01b0 v\u00f2i t\u1eed cung – m\u1ed9t c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng hi\u1ebfm m\u00e0 theo PGS.TS Nguy\u1ec5n V\u0103n H\u1ecdc, trong su\u1ed1t 39 n\u0103m l\u00e0m ngh\u1ec1 \u0111\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean \u00f4ng g\u1eb7p. <\/p>\n\n\n\n

\"H\u00ecnh
C\u1eadn c\u1ea3nh t\u1ed5 ch\u1ee9c kh\u1ed1i u bu\u1ed3ng t\u1eed cung c\u1ee7a b\u1ec7nh nh\u00e2n sau khi c\u1eaft th\u00e0nh c\u00f4ng<\/figcaption><\/figure><\/div>\n\n\n\n

Tuy l\u00e0 c\u0103n b\u1ec7nh hi\u1ebfm nh\u01b0ng ung th\u01b0 v\u00f2i t\u1eed cung c\u00f3 \u0111\u1ed9 \u00e1c t\u00ednh kh\u00f4ng cao, ti\u1ebfn tri\u1ec3n ch\u1eadm. M\u1eb7t kh\u00e1c, may m\u1eafn r\u1eb1ng kh\u1ed1i u c\u1ee7a b\u1ec7nh nh\u00e2n C v\u1eabn di \u0111\u1ed9ng t\u1ed1t v\u00e0 kh\u00f4ng x\u00e2m l\u1ea5n xung quanh n\u00ean vi\u1ec7c ph\u1eabu thu\u1eadt x\u1eed tr\u00ed k\u1ecbp th\u1eddi \u0111\u00e3 gi\u00fap gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng xu\u1ed1ng m\u1ee9c th\u1ea5p nh\u1ea5t, t\u0103ng kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t cho b\u1ec7nh nh\u00e2n. \u0110\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n an t\u00e2m v\u00e0 l\u1ea1c quan h\u01a1n, b\u00e1c s\u0129 H\u1ecdc \u0111\u00e3 t\u01b0 v\u1ea5n chi ti\u1ebft h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo v\u00e0 \u0111\u1ed9ng vi\u00ean b\u1ec7nh nh\u00e2n v\u1eefng tin h\u01a1n. Sau 7 ng\u00e0y t\u00edch c\u1ef1c \u0111i\u1ec1u tr\u1ecb, s\u1ee9c kho\u1ebb c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 \u1ed5n \u0111\u1ecbnh v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/p>\n\n\n\n

Ung th\u01b0 v\u00f2i t\u1eed cung (hay c\u00f2n c\u00f3 t\u00ean g\u1ecdi kh\u00e1c l\u00e0 ung th\u01b0 v\u00f2i tr\u1ee9ng) x\u1ea3y ra khi c\u00e1c t\u1ebf b\u00e0o trong v\u00f2i ph\u00e2n chia m\u1ea5t ki\u1ec3m so\u00e1t v\u00e0 h\u00ecnh th\u00e0nh kh\u1ed1i u. Khi kh\u1ed1i u l\u1edbn d\u1ea7n, n\u00f3 s\u1ebd ch\u00e8n \u00e9p v\u00f2i t\u1eed cung, k\u00e9o d\u00e3n v\u00f2i v\u00e0 g\u00e2y \u0111au \u0111\u1edbn. Theo th\u1eddi gian, ung th\u01b0 c\u00f3 th\u1ec3 lan r\u1ed9ng ra kh\u1eafp v\u00f9ng ch\u1eadu v\u00e0 v\u00f9ng b\u1ee5ng. Cho t\u1edbi ng\u00e0y nay, c\u00e1c nh\u00e0 khoa h\u1ecdc c\u0169ng ch\u01b0a th\u1ec3 k\u1ebft lu\u1eadn ch\u00ednh x\u00e1c \u0111\u00e2u l\u00e0 nguy\u00ean nh\u00e2n t\u0103ng nguy c\u01a1 v\u00f2i t\u1eed cung nh\u01b0ng c\u0169ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y ph\u1ee5 n\u1eef th\u1eeba k\u1ebf \u0111\u1ed9t bi\u1ebfn trong gen BRCA1 ho\u1eb7c BRCA2 c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 v\u00f2i t\u1eed cung cao h\u01a1n nh\u1eefng ch\u1ecb em kh\u00e1c.<\/p>\n\n\n\n

Ung th\u01b0 v\u00f2i t\u1eed cung l\u00e0 c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng hi\u1ebfm, bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh th\u01b0\u1eddng r\u1ea5t ngh\u00e8o n\u00e0n, m\u01a1 h\u1ed3 v\u00e0 kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n qua th\u0103m kh\u00e1m hay c\u00e1c x\u00e9t nghi\u1ec7m. C\u00e1c b\u00e1c s\u0129 ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u1eafc ch\u1eafn sau khi ph\u1eabu thu\u1eadt l\u1ea5y kh\u1ed1i u. Do v\u1eady, PGS.TS Nguy\u1ec5n V\u0103n H\u1ecdc khuy\u1ebfn c\u00e1o c\u00e1c ch\u1ecb em n\u1ebfu nh\u1eadn th\u1ea5y nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0: xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi m\u00e3n kinh; \u0111au b\u1ee5ng ho\u1eb7c c\u00f3 c\u1ea3m gi\u00e1c t\u1ee9c b\u1ee5ng; xu\u1ea5t hi\u1ec7n ch\u1ea5t d\u1ecbch b\u1ea5t th\u01b0\u1eddng \u1edf \u00e2m \u0111\u1ea1o (m\u00e0u tr\u1eafng, trong ho\u1eb7c h\u1ed3ng) th\u00ec c\u1ea7n \u0111i kh\u00e1m ngay t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn v\u00ec n\u00f3 c\u0169ng c\u00f3 th\u1ec3 c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh \u1edf v\u00f2i t\u1eed cung, bao g\u1ed3m c\u1ea3 ung th\u01b0 v\u00f2i t\u1eed cung. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u0169ng c\u00f3 th\u1ec3 do c\u00e1c b\u1ec7nh kh\u00e1c g\u00e2y ra n\u00ean ch\u1ec9 c\u00f3 \u0111i kh\u00e1m m\u1edbi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u0111\u00fang nguy\u00ean nh\u00e2n, t\u1eeb \u0111\u00f3 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, hi\u1ec7u qu\u1ea3, tr\u00e1nh \u1ee7 b\u1ec7nh d\u1eabn t\u1edbi nh\u1eefng bi\u1ebfn ch\u1ee9ng, h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1edbi \u0111\u00e2y, Khoa Ph\u1ee5 B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf S\u1ea3n Nhi H\u1ea3i Ph\u00f2ng \u0111\u00e3 ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng ca b\u1ec7nh c\u1ef1c hi\u1ebfm cho m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef l\u1edbn tu\u1ed5i. B\u1ec7nh nh\u00e2n B\u00f9i Th\u1ecb C, 58 tu\u1ed5i \u1edf Ki\u1ebfn Thu\u1ef5, H\u1ea3i Ph\u00f2ng nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng d\u01b0\u1edbi v\u00e0 ra d\u1ecbch h\u1ed3ng \u1edf \u00e2m \u0111\u1ea1o.<\/p>\n","protected":false},"author":1,"featured_media":5118,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[56,58],"tags":[60,59],"class_list":["post-4677","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khoa-san","category-tin-moi","tag-khoa-phu","tag-ung-thu-voi-tu-cung"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4677","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=4677"}],"version-history":[{"count":0,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4677\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/5118"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=4677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=4677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=4677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}