{"id":17484,"date":"2022-12-28T09:07:24","date_gmt":"2022-12-28T02:07:24","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=17484"},"modified":"2022-12-28T09:07:24","modified_gmt":"2022-12-28T02:07:24","slug":"cac-thuoc-va-phuong-phap-dieu-tri-ung-thu-phoi","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/12\/28\/cac-thuoc-va-phuong-phap-dieu-tri-ung-thu-phoi\/","title":{"rendered":"C\u00e1c thu\u1ed1c v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i"},"content":{"rendered":"

1. Ung th\u01b0 ph\u1ed5i – nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong<\/b><\/h4>\n

Ung th\u01b0 ph\u1ed5i\u00a0l\u00e0 lo\u1ea1i ung th\u01b0 kh\u1edfi ph\u00e1t t\u1eeb ph\u1ed5i; l\u00e0 b\u1ec7nh xu\u1ea5t hi\u1ec7n m\u1ed9t kh\u1ed1i u \u00e1c t\u00ednh do s\u1ef1 t\u0103ng sinh t\u1ebf b\u00e0o kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t trong c\u00e1c m\u00f4 ph\u1ed5i.\u00a0S\u1ef1 t\u0103ng sinh t\u1ebf b\u00e0o n\u00e0y c\u00f3 th\u1ec3 lan ra ngo\u00e0i ph\u1ed5i \u0111\u1ebfn c\u00e1c m\u00f4 ho\u1eb7c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 g\u1ecdi l\u00e0 di c\u0103n. H\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i ung th\u01b0 b\u1eaft ngu\u1ed3n t\u1eeb trong ph\u1ed5i (ung th\u01b0 ph\u1ed5i nguy\u00ean ph\u00e1t) l\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4.<\/p>\n

Ung th\u01b0 ph\u1ed5i \u0111\u01b0\u1ee3c chia l\u00e0m hai lo\u1ea1i ch\u00ednh l\u00e0 ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf v\u00e0 ung th\u01b0 ph\u1ed5i kh\u00f4ng ph\u1ea3i t\u1ebf b\u00e0o nh\u1ecf. Tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a c\u0103n b\u1ec7nh n\u00e0y l\u00e0 ho (bao g\u1ed3m c\u1ea3 ho ra m\u00e1u), s\u1ee5t c\u00e2n, kh\u00f3 th\u1edf, v\u00e0 \u0111au ng\u1ef1c…<\/p>\n

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Ung th\u01b0 ph\u1ed5i l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/figcaption><\/figure>\n

2. \u0110i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i th\u1ebf n\u00e0o ?<\/b><\/h4>\n

Hi\u1ec7n c\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh theo ph\u01b0\u01a1ng ph\u00e1p n\u00e0o c\u00f2n t\u00f9y thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 giai \u0111o\u1ea1n b\u1ec7nh, t\u00ecnh h\u00ecnh ph\u00e1t tri\u1ec3n, lo\u1ea1i ung th\u01b0 ph\u1ed5i…<\/p>\n

2.1.Ph\u1eabu thu\u1eadt<\/i><\/h4>\n

Ph\u1eabu thu\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7t c\u0103n, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ung th\u01b0 ph\u1ed5i \u1edf giai \u0111o\u1ea1n s\u1edbm. Kh\u1ed1i u c\u00f2n nh\u1ecf, ch\u01b0a di c\u0103n, s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n ch\u01b0a b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u n\u00ean \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb kh\u00e1 t\u1ed1t. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n th\u00f9y ph\u1ed5i ch\u1ee9a kh\u1ed1i u v\u00e0 n\u1ea1o v\u00e9t h\u1ea1ch b\u1ea1ch huy\u1ebft.<\/p>\n

Sau ph\u1eabu thu\u1eadt, kh\u1ea3 n\u0103ng ch\u1eefa l\u00e0nh b\u1ec7nh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 ph\u1ed5i l\u00e0 r\u1ea5t cao. Nh\u00ecn chung, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee9ng xu\u1ea5t ph\u00e1t t\u1eeb ph\u1eabu thu\u1eadt ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i c\u00f3 th\u1ec3 bao g\u1ed3m: \u0110au, kh\u00f3 th\u1edf trong qu\u00e1 tr\u00ecnh g\u1eafng s\u1ee9c, n\u1ea5c … C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt. Tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 ph\u1ed5i kh\u00f4ng t\u1ebf b\u00e0o nh\u1ecf t\u1ef7 l\u1ec7 s\u1ed1ng tr\u00ean 5 n\u0103m l\u00e0 kho\u1ea3ng 50%. Tuy nhi\u00ean, t\u1ea1i n\u01b0\u1edbc ta, s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm l\u00e0 r\u1ea5t \u00edt n\u00ean ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u00edt khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0 hi\u1ec7u qu\u1ea3 kh\u00f4ng t\u1ed1t nh\u01b0 k\u1ef3 v\u1ecdng.<\/p>\n

2.2. X\u1ea1 tr\u1ecb<\/i><\/h4>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i trong tr\u01b0\u1eddng h\u1ee3p kh\u1ed1i u to nh\u01b0ng ch\u01b0a l\u00e2y lan \u0111\u1ebfn nh\u1eefng c\u01a1 quan kh\u00e1c. X\u1ea1 tr\u1ecb s\u1eed d\u1ee5ng c\u00e1c m\u00e1y chi\u1ebfu tia n\u0103ng l\u01b0\u1ee3ng cao (tia X, tia gamma, proton…) gi\u00fap ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0, ph\u00e1 h\u1ee7y kh\u1ed1i u, l\u00e0m kh\u1ed1i u ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n. Li\u1ec7u ph\u00e1p x\u1ea1 tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i kh\u00e1c, \u0111\u00f4i khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi h\u00f3a tr\u1ecb.<\/p>\n

C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u m\u1ed9t tu\u1ea7n sau khi b\u1eaft \u0111\u1ea7u x\u1ea1 tr\u1ecb. Sau \u0111\u00f3 tr\u1edf n\u00ean n\u1eb7ng h\u01a1n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 trong v\u00e0i tu\u1ea7n sau khi \u0111i\u1ec1u tr\u1ecb k\u1ebft th\u00fac, c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n sau kho\u1ea3ng 2 tu\u1ea7n. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a x\u1ea1 tr\u1ecb ung th\u01b0 ph\u1ed5i c\u00f3 th\u1ec3 g\u1eb7p: Ch\u00e1n \u0103n, kh\u00f3 nu\u1ed1t, \u0111au c\u1ed5 h\u1ecdng; da b\u1ecb b\u1ecfng r\u00e1t, ph\u1ed3ng r\u1ed9p, vi\u00eam lo\u00e9t da; c\u00f3 th\u1ec3 g\u00e2y ra m\u00f4 s\u1eb9o; vi\u00eam th\u1ef1c qu\u1ea3n, vi\u00eam ph\u1ed5i.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh n\u00ean t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe, n\u00e2ng cao s\u1ee9c \u0111\u1ec1 kh\u00e1ng c\u1ee7a c\u01a1 th\u1ec3 b\u1eb1ng c\u00e1ch t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng sinh ho\u1ea1t l\u00e0nh m\u1ea1nh. S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i kem b\u00f4i gi\u00fap d\u01b0\u1ee1ng da, kh\u1eafc ph\u1ee5c t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng da, gi\u00fap qu\u00e1 tr\u00ecnh x\u1ea1 tr\u1ecb hi\u1ec7u qu\u1ea3 h\u01a1n, gi\u1ea3m nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a x\u1ea1 tr\u1ecb.<\/p>\n

\"\"
Ung th\u01b0 ph\u1ed5i c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 \u0111\u00fang c\u00e1ch.<\/figcaption><\/figure>\n

2.3 H\u00f3a tr\u1ecb<\/i><\/b><\/h4>\n

H\u00f3a tr\u1ecb\u00a0l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn trong c\u00e1c b\u1ec7nh ung th\u01b0 n\u00f3i chung v\u00e0 ung th\u01b0 ph\u1ed5i n\u00f3i ri\u00eang. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 to\u00e0n th\u00e2n, do \u0111\u00f3 n\u00f3 kh\u00f4ng ch\u1ec9 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 m\u00e0 c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1eefng t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng kh\u00e1c trong to\u00e0n b\u1ed9 c\u01a1 th\u1ec3.<\/p>\n

H\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 bi\u1ec7n ph\u00e1p \u0111\u1ea7u ti\u00ean cho \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i ho\u1eb7c \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung sau khi ph\u1eabu thu\u1eadt. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh ung th\u01b0.<\/p>\n

H\u00f3a tr\u1ecb gi\u00fap ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 ng\u0103n ch\u1eb7n di c\u0103n ung th\u01b0. Ngo\u00e0i ra, h\u00f3a tr\u1ecb c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t v\u00e0i li\u1ec7u ph\u00e1p kh\u00e1c nh\u01b0 ph\u1eabu thu\u1eadt ho\u1eb7c x\u1ea1 tr\u1ecb \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i giai \u0111o\u1ea1n 4 \u0111\u1ec3 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc kh\u1ed1i u, ti\u00eau di\u1ec7t nh\u1eefng t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n s\u00f3t l\u1ea1i trong c\u01a1 th\u1ec3.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0:\u00a0Thi\u1ebfu m\u00e1u, bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i, c\u01a1 th\u1ec3 suy ki\u1ec7t, thi\u1ebfu ch\u1ea5t,\u00a0suy gi\u1ea3m mi\u1ec5n d\u1ecbch, r\u1ee5ng t\u00f3c, gi\u1ea3m kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 ch\u1ea5t dinh d\u01b0\u1ee1ng,…<\/p>\n

2.4. \u0110i\u1ec1u tr\u1ecb \u0111\u00edch<\/i><\/b><\/h4>\n

\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p m\u1edbi, \u0111i\u1ec1u tr\u1ecb \u0111\u00edch l\u00e0 nh\u1eafm v\u00e0o m\u1ed9t m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3 \u1edf c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. B\u1ec7nh ung th\u01b0 ph\u1ed5i c\u00f3 th\u1ec3 li\u00ean quan t\u1edbi c\u00e1c \u0111\u1ed9t bi\u1ebfn gen (\u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh th\u00f4ng qua c\u00e1c x\u00e9t nghi\u1ec7m sinh h\u1ecdc ph\u00e2n t\u1eed). T\u1eeb \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm tr\u00fang \u0111\u00edch \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 nh\u01b0ng \u00edt g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u1ebf b\u00e0o l\u00e0nh, \u00edt g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap c\u1ea3i thi\u1ec7n th\u1eddi gian s\u1ed1ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ec7nh nh\u00e2n.<\/p>\n

–\u00a0Bevacizumab (Avastin):<\/i>\u00a0Bevacizumab \u1ee9c ch\u1ebf t\u0103ng sinh m\u1ea1ch m\u00e1u l\u00e0m d\u1eebng ph\u00e1t tri\u1ec3n kh\u1ed1i u t\u1eeb vi\u1ec7c d\u1eebng ngu\u1ed3n cung c\u1ea5p m\u00e1u. M\u1ea1ch m\u00e1u k\u1ebft n\u1ed1i v\u1edbi c\u00e1c kh\u1ed1i u c\u00f3 th\u1ec3 cung c\u1ea5p oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ebfn kh\u1ed1i u, cho ph\u00e9p n\u00f3 ph\u00e1t tri\u1ec3n. Bevacizumab th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi h\u00f3a tr\u1ecb li\u1ec7u v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi ung th\u01b0 ph\u1ed5i mu\u1ed9n v\u00e0 t\u00e1i ph\u00e1t kh\u00f4ng ph\u1ea3i t\u1ebf b\u00e0o nh\u1ecf. Bevacizumab c\u00f3 nguy c\u01a1 g\u00e2y ch\u1ea3y m\u00e1u,\u00a0r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u\u00a0v\u00e0 t\u0103ng huy\u1ebft \u00e1p.<\/p>\n

–\u00a0Erlotinib (Tarceva):<\/i>\u00a0Erlotinib t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia. Erlotinib \u0111\u01b0\u1ee3c d\u00f9ng cho nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0 m\u1edbi v\u00e0 t\u00e1i ph\u00e1t ung th\u01b0 ph\u1ed5i kh\u00f4ng ph\u1ea3i t\u1ebf b\u00e0o nh\u1ecf m\u00e0 h\u00f3a tr\u1ecb kh\u00f4ng k\u1ebft qu\u1ea3. T\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m ph\u00e1t ban tr\u00ean da v\u00e0\u00a0ti\u00eau ch\u1ea3y.<\/p>\n

2.5 \u0110i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch ung th\u01b0 ph\u1ed5i<\/i><\/b><\/h4>\n

\u0110i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch gi\u00fap t\u1ea1o mi\u1ec5n d\u1ecbch ch\u1ee7 \u0111\u1ed9ng cho c\u01a1 th\u1ec3, c\u00f3 kh\u1ea3 n\u0103ng ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 nh\u1edd vi\u1ec7c ph\u00e1t hi\u1ec7n ra c\u00e1c \u0111i\u1ec3m ki\u1ec3m so\u00e1t t\u1ebf b\u00e0o ung th\u01b0. Tuy nhi\u00ean, gi\u00e1 c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng r\u1ea5t cao.<\/p>\n

C\u00e1c thu\u1ed1c mi\u1ec5n d\u1ecbch hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ph\u1ed5i l\u00e0: Nivolumab, pembrolizumab, atezolimumab, durvalumab… H\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch x\u1ea3y ra trong 12 tu\u1ea7n sau khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n

C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf \u0111i\u1ec3m ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch s\u1ebd k\u00edch ho\u1ea1t m\u1ed9t ph\u1ea3n \u1ee9ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111\u1ecf, s\u01b0ng ho\u1eb7c \u0111au (vi\u00eam) \u1edf b\u1ea5t c\u1ee9 \u0111\u00e2u trong c\u01a1 th\u1ec3.<\/p>\n

Nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 s\u1ebd bi\u1ebfn m\u1ea5t khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch, nh\u01b0ng m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng ho\u1eb7c nhi\u1ec1u n\u0103m sau \u0111\u00f3.<\/p>\n

C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o thu\u1ed1c v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3. N\u1ebfu g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, c\u1ea7n b\u00e1o ngay cho b\u00e1c s\u0129 \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n

3. Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/b><\/h4>\n

V\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u00ean c\u00f3 r\u1ea5t \u00edt c\u01a1 h\u1ed9i ch\u1eefa kh\u1ecfi b\u1ec7nh, c\u00f3 th\u1ec3 tr\u00e1nh \u0111i\u1ec1u tr\u1ecb v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 thay th\u1ebf. N\u1ebfu \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111\u1ec3 l\u00e0m cho b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n. H\u1ed7 tr\u1ee3 ch\u0103m s\u00f3c cho ph\u00e9p t\u1eadn d\u1ee5ng t\u1ed1i \u0111a tu\u1ea7n ho\u1eb7c th\u00e1ng cu\u1ed1i c\u00f9ng m\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 ti\u00eau c\u1ef1c c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng.\/.<\/p>\n

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

1. Ung th\u01b0 ph\u1ed5i – nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong Ung th\u01b0 ph\u1ed5i\u00a0l\u00e0 lo\u1ea1i ung th\u01b0 kh\u1edfi ph\u00e1t t\u1eeb ph\u1ed5i; l\u00e0 b\u1ec7nh xu\u1ea5t hi\u1ec7n m\u1ed9t kh\u1ed1i u \u00e1c t\u00ednh do s\u1ef1 t\u0103ng sinh t\u1ebf b\u00e0o kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t trong c\u00e1c m\u00f4 ph\u1ed5i.\u00a0S\u1ef1 t\u0103ng sinh t\u1ebf b\u00e0o n\u00e0y c\u00f3 th\u1ec3 lan ra ngo\u00e0i […]<\/p>\n","protected":false},"author":3,"featured_media":17486,"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-17484","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\/17484","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=17484"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17484\/revisions"}],"predecessor-version":[{"id":17487,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17484\/revisions\/17487"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/17486"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=17484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=17484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=17484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}