{"id":9056,"date":"2023-08-16T13:54:25","date_gmt":"2023-08-16T13:54:25","guid":{"rendered":"http:\/\/dialtous.com\/?p=9056"},"modified":"2023-08-16T13:54:25","modified_gmt":"2023-08-16T13:54:25","slug":"trung-that-la-gi","status":"publish","type":"post","link":"https:\/\/dialtous.com\/trung-that-la-gi\/","title":{"rendered":"U trung th\u1ea5t: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00f2ng ng\u1eeba"},"content":{"rendered":"

C\u00e1c kh\u1ed1i u trung th\u1ea5t<\/strong> c\u00f3 th\u1ec3 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh v\u00e0 bao g\u1ed3m c\u00e1c kh\u1ed1i u t\u1eeb tuy\u1ebfn \u1ee9c, d\u00e2y th\u1ea7n kinh, m\u00f4 b\u1ea1ch huy\u1ebft (h\u1ea1ch b\u1ea1ch huy\u1ebft, m\u00f4 li\u00ean k\u1ebft ho\u1eb7c t\u1ebf b\u00e0o m\u1ea7m). Nh\u1eefng kh\u1ed1i u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi. \"u<\/p>\n

U trung th\u1ea5t l\u00e0 g\u00ec?<\/h2>\n

U trung th\u1ea5t<\/strong> l\u00e0 kh\u1ed1i u xu\u1ea5t hi\u1ec7n trong v\u00f9ng trung th\u1ea5t. Ch\u00fang c\u00f3 th\u1ec3 l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0) ho\u1eb7c \u00e1c t\u00ednh (ung th\u01b0). V\u1ecb tr\u00ed kh\u1ed1i u trong trung th\u1ea5t ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Th\u00f4ng tin th\u1ed1ng k\u00ea cho th\u1ea5y kh\u1ed1i u ph\u00e1t tri\u1ec3n \u1edf ph\u1ea7n sau trung th\u1ea5t th\u01b0\u1eddng x\u1ea3y ra \u1edf tr\u1ebb em, trong khi kh\u1ed1i u \u1edf ph\u1ea7n tr\u01b0\u1edbc trung th\u1ea5t th\u00ec x\u1ea3y ra nhi\u1ec1u h\u01a1n \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n

Trung th\u1ea5t l\u00e0 m\u1ed9t v\u00f9ng \u0111\u01b0\u1ee3c bao quanh b\u1edfi x\u01b0\u01a1ng \u1ee9c \u1edf m\u1eb7t tr\u01b0\u1edbc, c\u1ed9t s\u1ed1ng \u1edf m\u1eb7t sau v\u00e0 ph\u1ed5i \u1edf hai b\u00ean. Trung th\u1ea5t ch\u1ee9a tim, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft, tuy\u1ebfn \u1ee9c, th\u1ef1c qu\u1ea3n, kh\u00ed qu\u1ea3n v\u00e0 d\u00e2y th\u1ea7n kinh. (1)<\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y ra kh\u1ed1i u trong trung th\u1ea5t<\/h2>\n

C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra kh\u1ed1i u trung th\u1ea5t<\/strong> th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ee7a ch\u00fang: (2)<\/p>\n

Trung th\u1ea5t ph\u00eda tr\u01b0\u1edbc<\/h3>\n
    \n
  • Ung th\u01b0 h\u1ea1ch: bao g\u1ed3m c\u1ea3 u Lympho Hodgkin v\u00e0 u Lympho kh\u00f4ng Hodgkin.<\/li>\n
  • U tuy\u1ebfn \u1ee9c v\u00e0 u nang tuy\u1ebfn \u1ee9c: l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y ra kh\u1ed1i u trong trung th\u1ea5t. Ph\u1ea7n l\u1edbn c\u00e1c kh\u1ed1i u tuy\u1ebfn \u1ee9c l\u00e0 l\u00e0nh t\u00ednh v\u00e0 \u0111\u01b0\u1ee3c bao quanh b\u1edfi m\u1ed9t bao x\u01a1.<\/li>\n
  • T\u1ebf b\u00e0o m\u1ea7m: kho\u1ea3ng 60-70% c\u00e1c kh\u1ed1i u t\u1ebf b\u00e0o m\u1ea7m l\u00e0 l\u00e0nh t\u00ednh v\u00e0 th\u01b0\u1eddng x\u1ea3y ra \u1edf c\u1ea3 nam v\u00e0 n\u1eef.<\/li>\n
  • Kh\u1ed1i u trung th\u1ea5t tuy\u1ebfn gi\u00e1p: th\u01b0\u1eddng l\u00e0 kh\u1ed1i u l\u00e0nh t\u00ednh, v\u00ed d\u1ee5 nh\u01b0 b\u01b0\u1edbu c\u1ed5.<\/li>\n<\/ul>\n

    Trung th\u1ea5t ph\u00eda gi\u1eefa<\/h3>\n
      \n
    • U nang ph\u1ebf qu\u1ea3n: l\u00e0 m\u1ed9t d\u1ea1ng u l\u00e0nh t\u00ednh c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/li>\n
    • N\u1ed5i h\u1ea1ch trung th\u1ea5t: t\u00ecnh tr\u1ea1ng h\u1ea1ch to l\u00ean.<\/li>\n
    • U nang m\u00e0ng ngo\u00e0i tim: kh\u1ed1i u \u00e1c t\u00ednh nguy\u00ean ph\u00e1t c\u1ee7a m\u00e0ng ngo\u00e0i tim.<\/li>\n
    • C\u00e1c kh\u1ed1i u kh\u00ed qu\u1ea3n: c\u00f3 th\u1ec3 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh.<\/li>\n
    • C\u00e1c kh\u1ed1i u th\u1ef1c qu\u1ea3n: c\u00f3 th\u1ec3 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh.<\/li>\n
    • C\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 th\u1ef1c qu\u1ea3n: bao g\u1ed3m ch\u1ee9ng gi\u00e3n th\u1ef1c qu\u1ea3n, t\u00fai th\u1eeba v\u00e0 tho\u00e1t v\u1ecb h\u1ed3ng.<\/li>\n
    • B\u1ea5t th\u01b0\u1eddng m\u1ea1ch m\u00e1u: bao g\u1ed3m ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<\/ul>\n

      Trung th\u1ea5t ph\u00eda sau<\/h3>\n
        \n
      • C\u00e1c kh\u1ed1i u th\u1ea7n kinh: l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y ra c\u00e1c kh\u1ed1i u trong trung th\u1ea5t ph\u00eda sau, \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c kh\u1ed1i u v\u1ecf b\u1ecdc th\u1ea7n kinh, kh\u1ed1i u t\u1ebf b\u00e0o h\u1ea1ch v\u00e0 kh\u1ed1i u t\u1ebf b\u00e0o paraganglionic. Kho\u1ea3ng 70% kh\u1ed1i u th\u1ea7n kinh l\u00e0 l\u00e0nh t\u00ednh.<\/li>\n
      • N\u1ed5i h\u1ea1ch: do s\u1ef1 t\u0103ng sinh c\u1ee7a c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft.<\/li>\n
      • U nang th\u1ea7n kinh: l\u00e0 d\u1ea1ng u hi\u1ebfm g\u1eb7p, li\u00ean quan \u0111\u1ebfn c\u1ea3 y\u1ebfu t\u1ed1 th\u1ea7n kinh v\u00e0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/li>\n
      • B\u1ea5t th\u01b0\u1eddng c\u1ed9t s\u1ed1ng: bao g\u1ed3m c\u00e1c b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m tr\u00f9ng, u \u00e1c t\u00ednh v\u00e0 ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c.<\/li>\n
      • B\u1ea5t th\u01b0\u1eddng m\u1ea1ch m\u00e1u: bao g\u1ed3m ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<\/ul>\n

        Tri\u1ec7u ch\u1ee9ng c\u1ee7a kh\u1ed1i u trong trung th\u1ea5t<\/h2>\n

        G\u1ea7n 40% c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 kh\u1ed1i u trung th\u1ea5t<\/strong> kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng. Th\u01b0\u1eddng kh\u1ed1i u \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong qu\u00e1 tr\u00ecnh ch\u1ee5p X-quang ng\u1ef1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u1ed9t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00e1c. (3)<\/p>\n

        N\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y, ch\u00fang c\u00f3 th\u1ec3 do kh\u1ed1i u \u0111ang ch\u00e8n \u00e9p c\u00e1c c\u01a1 quan xung quanh:<\/p>\n

          \n
        • Ho<\/li>\n
        • M\u1ec7t m\u1ecfi<\/li>\n
        • \u0110au ng\u1ef1c<\/li>\n
        • Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda<\/li>\n
        • S\u1ed1t<\/li>\n
        • \u1edan l\u1ea1nh<\/li>\n
        • \u0110\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam<\/li>\n
        • Ho ra m\u00e1u<\/li>\n
        • Kh\u00e0n ti\u1ebfng<\/li>\n
        • Gi\u1ea3m c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/li>\n
        • N\u1ed5i h\u1ea1ch<\/li>\n
        • Th\u1edf kh\u00f2 kh\u00e8<\/li>\n
        • S\u1ee5p m\u00ed m\u1eaft, \u0111\u1ed3ng t\u1eed nh\u1ecf v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u1eaft kh\u00e1c<\/li>\n<\/ul>\n

          \"ho
          \nNh\u1eefng c\u01a1n ho dai d\u1eb3ng, ho ra m\u00e1u l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y kh\u1ed1i u trong trung th\u1ea5t \u0111ang ch\u00e8n \u00e9p ph\u1ed5i.<\/p>\n

          U trung th\u1ea5t c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/h2>\n

          Theo TS.BS Nguy\u1ec5n Anh D\u0169ng, Tr\u01b0\u1edfng khoa Ph\u1eabu thu\u1eadt Tim m\u1ea1ch – L\u1ed3ng ng\u1ef1c, Trung t\u00e2m tim m\u1ea1ch BV\u0110K T\u00e2m Anh TP.HCM, c\u1ea3 kh\u1ed1i u trung th\u1ea5t l\u00e0nh t\u00ednh v\u00e0 \u00e1c t\u00ednh \u0111\u1ec1u c\u1ea7n \u0111i\u1ec1u tr\u1ecb. N\u1ebfu kh\u00f4ng can thi\u1ec7p, khi kh\u1ed1i u ph\u00e1t tri\u1ec3n, ch\u00fang s\u1ebd ch\u00e8n \u00e9p c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 xung quanh, th\u1eadm ch\u00ed \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng c\u01a1 quan n\u00e0y.<\/p>\n

          Ngo\u00e0i ra, c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh c\u00f3 th\u1ec3 lan sang c\u00e1c v\u00f9ng kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. N\u1ebfu ch\u00fang x\u00e2m l\u1ea5n v\u00e0o t\u1ee7y s\u1ed1ng, s\u1ebd g\u00e2y ch\u00e8n \u00e9p t\u1ee7y s\u1ed1ng. N\u1ebfu kh\u1ed1i u x\u00e2m l\u1ea5n tim ho\u1eb7c c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a tim, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 t\u1eed vong.<\/p>\n

          Ngo\u00e0i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb u trung th\u1ea5t b\u1eb1ng ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n, ch\u1ea3y m\u00e1u, thi\u1ebfu m\u00e1u, t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y, m\u1ec7t m\u1ecfi, r\u1ee5ng t\u00f3c, nhi\u1ec5m tr\u00f9ng, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au \u0111\u1edbn, s\u01b0ng t\u1ea5y.<\/p>\n

          Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/h2>\n

          C\u00e1c k\u1ef9 thu\u1eadt th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u trung th\u1ea5t bao g\u1ed3m:<\/p>\n