{"id":17477,"date":"2022-12-28T08:49:13","date_gmt":"2022-12-28T01:49:13","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=17477"},"modified":"2022-12-28T08:49:13","modified_gmt":"2022-12-28T01:49:13","slug":"kham-dau-hong-va-nuot-vuong-phat-hien-ung-thu-mau","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/12\/28\/kham-dau-hong-va-nuot-vuong-phat-hien-ung-thu-mau\/","title":{"rendered":"Kh\u00e1m \u0111au h\u1ecdng v\u00e0 nu\u1ed1t v\u01b0\u1edbng ph\u00e1t hi\u1ec7n ung th\u01b0 m\u00e1u"},"content":{"rendered":"

PGS.TS Ph\u1ea1m Th\u1ecb B\u00edch \u0110\u00e0o \u2013 B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i, cho bi\u1ebft b\u1ec7nh nh\u00e2n nam, 24 tu\u1ed5i, \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa Tai M\u0169i H\u1ecdng v\u00ec bi\u1ec3u hi\u1ec7n\u00a0\u0111au r\u00e1t h\u1ecdng\u00a0k\u00e9o d\u00e0i, r\u1ea5t kh\u00f3 nu\u1ed1t th\u1ee9c \u0103n, \u0111\u00e3 d\u00f9ng thu\u1ed1c kh\u00e1ng sinh v\u00e0 kh\u00e1ng vi\u00eam li\u00ean t\u1ee5c m\u00e0 kh\u00f4ng \u0111\u1ee1.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh c\u1eb7p nhi\u1ec7t \u0111\u1ed9 th\u01b0\u1eddng xuy\u00ean l\u00e0 37,5 – 38 \u0111\u1ed9 C. Sau khi b\u00e1c s\u0129 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng cho th\u1ea5y ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ni\u00eam m\u1ea1c h\u1ecdng s\u01b0ng n\u1ec1, nh\u01b0ng kh\u00f4ng \u0111\u1ecf. V\u00f9ng\u00a0h\u1ecdng m\u0169i, kh\u1ea9u c\u00e1i m\u1ec1m v\u00e0 l\u01b0\u1ee1i g\u00e0 c\u00f3 nh\u1eefng \u0111\u00e1m t\u1ee5 m\u00e1u. Thanh qu\u1ea3n n\u1ec1 m\u1ecdng, ami\u0111an kh\u00f4ng \u0111\u1ecf, kh\u00f4ng qu\u00e1 ph\u00e1t, kh\u00f4ng c\u00f3 gi\u1ea3 m\u1ea1c b\u00e1m. X\u00e9t nghi\u1ec7m m\u00e1u th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng gi\u1ea3m.<\/p>\n

“Ban \u0111\u1ea7u, ch\u00fang t\u00f4i ngh\u0129 \u0111\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb\u00a0d\u1ecb \u1ee9ng\u00a0\u0111\u1ed3 u\u1ed1ng g\u00e2y ph\u00f9 Quink v\u00f9ng h\u1ea1 h\u1ecdng n\u00ean cho ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng v\u00e0 corticoid. Trong 3 ng\u00e0y \u0111\u1ea7u, c\u00e1c bi\u1ec3u hi\u1ec7n \u0111au h\u1ecdng v\u00e0 nu\u1ed1t v\u01b0\u1edbng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m, tuy nhi\u00ean \u0111\u1ebfn ng\u00e0y th\u1ee9 4 c\u00e1c bi\u1ec3u hi\u1ec7n \u0111au h\u1ecdng v\u00e0 v\u01b0\u1edbng h\u1ecdng l\u1ea1i t\u0103ng” BS PGS.TS Ph\u1ea1m Th\u1ecb B\u00edch \u0110\u00e0o chia s\u1ebb.<\/p>\n

\"\"
Khi c\u00f3 bi\u1ec3u hi\u1ec7n bi\u1ec3u hi\u1ec7n \u0111au h\u1ecdng v\u00e0 v\u01b0\u1edbng h\u1ecdng c\u1ea7n t\u1edbi c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m.<\/figcaption><\/figure>\n

Sau khi \u0111\u00e1nh gi\u00e1 l\u1ea1i to\u00e0n tr\u1ea1ng th\u1ea5y da b\u1ec7nh nh\u00e2n l\u1ea1nh v\u00e0 tr\u1eafng, ng\u01b0\u1eddi m\u1ec7t m\u1ecfi, g\u1ea7y s\u00fat n\u00ean ch\u00fang t\u00f4i ch\u1ec9 \u0111\u1ecbnh to\u00e0n di\u1ec7n b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan t\u1ecfa (DIC) \u0111\u00e3 g\u00e2y ra c\u00e1c v\u00f9ng ph\u00f9 n\u1ec1 m\u1ed9t b\u00ean l\u00e0 do nhi\u1ec5m vi khu\u1ea9n c\u01a1 h\u1ed9i li\u00ean quan \u0111\u1ebfn gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u v\u00e0 ch\u1ea9n \u0111o\u00e1n l\u00e0 m\u1eafc b\u1ec7nh ung th\u01b0 m\u00e1u- BS \u0110\u00e0o cho bi\u1ebft th\u00eam.<\/p>\n

Ung th\u01b0 b\u1ea1ch c\u1ea7u c\u1ea5p t\u00ednh c\u1ea3nh gi\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf mi\u1ec7ng-h\u1ecdng<\/b><\/h4>\n

Theo c\u00e1c chuy\u00ean gia, b\u1ea1ch c\u1ea7u c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ung th\u01b0 m\u00e1u, do c\u00e1c t\u1ebf b\u00e0o m\u00e1u b\u1ecb ung th\u01b0 h\u00f3a trong qu\u00e1 tr\u00ecnh t\u1ea1o ra t\u1ebf b\u00e0o. Nh\u1eefng t\u1ebf b\u00e0o ung th\u01b0 n\u00e0y nh\u00e2n l\u00ean r\u1ea5t nhanh v\u00e0 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1ebd \u1ee9 \u0111\u1ecdng trong t\u1ee7y x\u01b0\u01a1ng v\u00e0 c\u1ea3n tr\u1edf qu\u00e1 tr\u00ecnh t\u1ea1o ra c\u00e1c t\u1ebf b\u00e0o m\u00e1u b\u00ecnh th\u01b0\u1eddng ti\u1ebfp theo, li\u00ean quan \u0111\u1ebfn suy t\u1ee7y x\u01b0\u01a1ng ti\u1ebfn tri\u1ec3n.<\/p>\n

Nhi\u1ec1u b\u1ec7nh nh\u00e2n ung th\u01b0 b\u1ea1ch c\u1ea7u c\u1ea5p t\u00ednh th\u01b0\u1eddng g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf mi\u1ec7ng-h\u1ecdng. Theo ghi nh\u1eadn, m\u1ed9t s\u1ed1 l\u01b0u \u00fd \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0 m\u00e1u c\u00f3 bi\u1ec3u hi\u1ec7n t\u1ea1i h\u1ecdng: B\u1ec7nh nh\u00e2n d\u1ec5 b\u1ecb vi\u00eam h\u1ecdng v\u00e0 \u0111\u00e1p \u1ee9ng k\u00e9m v\u1edbi kh\u00e1ng sinh do ch\u1ee9c n\u0103ng c\u1ee7a b\u1ea1ch c\u1ea7u l\u00e0 b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh t\u1eeb b\u00ean ngo\u00e0i v\u00ed d\u1ee5 t\u00e1c nh\u00e2n vi khu\u1ea9n, v\u00ec l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u b\u1ecb gi\u1ea3m s\u00fat d\u1eabn \u0111\u1ebfn kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng ch\u1ed1ng \u0111\u1ee1.<\/p>\n

B\u1ea1ch c\u1ea7u c\u00f3 ch\u1ee9c n\u0103ng ch\u1ed1ng nhi\u1ec5m tr\u00f9ng quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch, th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t, ti\u1ebfn tri\u1ec3n nhanh ch\u00f3ng v\u00e0 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u1ea9n c\u1ea5p.<\/p>\n

Khi m\u1eafc ph\u1ea3i b\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p t\u00ednh, c\u01a1 th\u1ec3 \u0111\u00e3 s\u1ea3n xu\u1ea5t m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c t\u1ebf b\u00e0o m\u00e1u tr\u1eafng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh l\u00e0m t\u1eafc ngh\u1ebdn t\u1ee7y x\u01b0\u01a1ng v\u00e0 ng\u0103n ch\u1eb7n t\u1ee7y x\u01b0\u01a1ng s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o m\u00e1u kh\u00e1c c\u1ea7n thi\u1ebft \u0111\u1ec3 x\u00e2y d\u1ef1ng n\u00ean h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u00e2n b\u1eb1ng v\u00e0 d\u00f2ng m\u00e1u kh\u1ecfe m\u1ea1nh.<\/p>\n

\u0110\u01b0\u1ee3c bi\u1ebft, ung th\u01b0 m\u00e1u hay c\u00f2n g\u1ecdi l\u00e0 ung th\u01b0 b\u1ea1ch c\u1ea7u l\u00e0 m\u1ed9t b\u1ec7nh ung th\u01b0 \u00e1c t\u00ednh, xu\u1ea5t hi\u1ec7n khi c\u01a1 th\u1ec3 b\u1eaft \u0111\u1ea7u c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u gia t\u0103ng \u0111\u1ed9t bi\u1ebfn.<\/p>\n

B\u1ea1ch c\u1ea7u v\u1ed1n \u0111\u1ea3m nhi\u1ec7m nhi\u1ec7m v\u1ee5 b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 n\u00ean khi t\u0103ng s\u1ed1 l\u01b0\u1ee3ng m\u1ed9t c\u00e1ch \u0111\u1ed9t bi\u1ebfn nh\u01b0 v\u1eady, n\u00f3 s\u1ebd b\u1ecb thi\u1ebfu th\u1ee9c \u0103n c\u0169ng nh\u01b0 ngu\u1ed3n c\u1ea5p dinh d\u01b0\u1ee1ng, v\u00ec th\u1ebf b\u1ea1ch c\u1ea7u sau \u0111\u00f3 th\u01b0\u1eddng \u0103n ch\u00ednh h\u1ed3ng c\u1ea7u \u2013 th\u00e0nh ph\u1ea7n quan tr\u1ecdng c\u1ee7a m\u00e1u. H\u1ed3ng c\u1ea7u s\u1ebd b\u1ecb ph\u00e1 h\u1ee7y d\u1ea7n d\u1ea7n, v\u00ec th\u1ebf ng\u01b0\u1eddi b\u1ec7nh khi m\u1eafc b\u1ec7nh s\u1ebd b\u1ecb thi\u1ebfu m\u00e1u \u0111\u1ebfn t\u1eed vong.<\/p>\n

Ung th\u01b0 m\u00e1u tuy kh\u00f3 ph\u00e1t hi\u1ec7n s\u1edbm nh\u01b0ng c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n c\u1ea3nh b\u00e1o m\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y \u0111\u01b0\u1ee3c.<\/p>\n

Ngo\u00e0i c\u00e1c bi\u1ec3u hi\u1ec7n mi\u1ec7ng-h\u1ecdng ng\u01b0\u1eddi b\u1ec7nh c\u00f2n c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n nh\u1ee9c \u0111\u1ea7u d\u1eef d\u1ed9i, \u0111au x\u01b0\u01a1ng, da sung n\u1ed5i c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft nh\u01b0ng kh\u00f4ng g\u00e2y \u0111au.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh m\u1ec7t m\u1ecfi v\u00e0 xanh xao, th\u01b0\u1eddng xuy\u00ean b\u1ecb s\u1ed1t cao, li\u00ean t\u1ee5c ch\u1ea3y m\u00e1u cam… B\u1edfi v\u1eady, khi th\u1ea5y c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nghi ng\u1edd ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n c\u1ee5 th\u1ec3.\/.<\/p>\n

Ngu\u1ed3n B\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

PGS.TS Ph\u1ea1m Th\u1ecb B\u00edch \u0110\u00e0o \u2013 B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i, cho bi\u1ebft b\u1ec7nh nh\u00e2n nam, 24 tu\u1ed5i, \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa Tai M\u0169i H\u1ecdng v\u00ec bi\u1ec3u hi\u1ec7n\u00a0\u0111au r\u00e1t h\u1ecdng\u00a0k\u00e9o d\u00e0i, r\u1ea5t kh\u00f3 nu\u1ed1t th\u1ee9c \u0103n, \u0111\u00e3 d\u00f9ng thu\u1ed1c kh\u00e1ng sinh v\u00e0 kh\u00e1ng vi\u00eam li\u00ean t\u1ee5c m\u00e0 kh\u00f4ng \u0111\u1ee1. Ng\u01b0\u1eddi b\u1ec7nh c\u1eb7p nhi\u1ec7t […]<\/p>\n","protected":false},"author":3,"featured_media":17478,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-17477","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17477","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=17477"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17477\/revisions"}],"predecessor-version":[{"id":17479,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17477\/revisions\/17479"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/17478"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=17477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=17477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=17477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}