{"id":19817,"date":"2023-04-06T11:04:11","date_gmt":"2023-04-06T04:04:11","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=19817"},"modified":"2023-04-06T11:04:11","modified_gmt":"2023-04-06T04:04:11","slug":"7-nhom-doi-tuong-can-di-tam-soat-ung-thu-gan-som","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/04\/06\/7-nhom-doi-tuong-can-di-tam-soat-ung-thu-gan-som\/","title":{"rendered":"7 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n \u0111i t\u1ea7m so\u00e1t ung th\u01b0 gan s\u1edbm"},"content":{"rendered":"
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Ung th\u01b0 gan nguy\u00ean ph\u00e1t (HCC \u2013 Hepatocellular Cancer), th\u1ef1c t\u1ebf l\u00e0 ung th\u01b0 t\u1ebf b\u00e0o gan nguy\u00ean ph\u00e1t ph\u00e1t tri\u1ec3n t\u1eeb t\u1ebf b\u00e0o c\u1ee7a gan \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi ung th\u01b0 gan th\u1ee9 ph\u00e1t m\u00e0 ung th\u01b0 g\u1ed1c l\u00e0 t\u1eeb c\u01a1 quan kh\u00e1c nh\u01b0ng di c\u0103n \u0111\u1ebfn gan.<\/figcaption><\/figure>\n

Hi\u1ec3u \u0111\u00fang v\u1ec1 ung th\u01b0 gan nguy\u00ean ph\u00e1t<\/b><\/h4>\n

Ung th\u01b0 gan nguy\u00ean ph\u00e1t (HCC), th\u1ef1c t\u1ebf l\u00e0 ung th\u01b0 t\u1ebf b\u00e0o gan nguy\u00ean ph\u00e1t ph\u00e1t tri\u1ec3n t\u1eeb t\u1ebf b\u00e0o c\u1ee7a gan \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi\u00a0ung th\u01b0 gan th\u1ee9 ph\u00e1t\u00a0m\u00e0 ung th\u01b0 g\u1ed1c l\u00e0 t\u1eeb c\u01a1 quan kh\u00e1c nh\u01b0ng di c\u0103n \u0111\u1ebfn gan.<\/p>\n

Ngo\u00e0i ra trong ung th\u01b0 gan nguy\u00ean ph\u00e1t c\u00f2n c\u00f3 th\u1ec3 ung th\u01b0 \u0111\u01b0\u1eddng m\u1eadt trong gan (intrahepatic cholangiocarcinom – ICC), th\u1ef1c t\u1ebf kh\u00f3 ph\u00e2n bi\u1ec7t tr\u00ean l\u00e2m s\u00e0ng gi\u1eefa HCC v\u00e0 ICC.<\/p>\n

C\u00e1c b\u00e1o c\u00e1o cho th\u1ea5y HCC chi\u1ebfm t\u1edbi 90% th\u1ec3 ung th\u01b0 gan nguy\u00ean ph\u00e1t. Nh\u01b0 v\u1eady tr\u00ean th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng ung th\u01b0 gan nguy\u00ean ph\u00e1t c\u1ee7a t\u1ebf b\u00e0o gan \u0111\u01b0\u1ee3c quan t\u00e2m v\u00ec g\u1eb7p nhi\u1ec1u.<\/p>\n

T\u1eed vong do ung th\u01b0 gan nguy\u00ean ph\u00e1t\u00a0\u2013 HCC \u0111\u1ee9ng th\u1ee9 3 trong s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong do ung th\u01b0 to\u00e0n c\u1ea7u v\u1edbi tr\u00ean 780,000 tr\u01b0\u1eddng h\u1ee3p (2018).<\/p>\n

T\u1ea1i M\u1ef9 t\u1eed vong do HCC \u0111\u1ee9ng h\u00e0ng th\u1ee9 5 v\u1edbi nam gi\u1edbi v\u00e0 \u0111\u1ee9ng th\u1ee9 7 v\u1edbi n\u1eef gi\u1edbi (2019) v\u00e0 s\u1ed1 b\u1ec7nh nh\u00e2n so v\u1edbi n\u0103m 1980 \u0111\u00e3 t\u0103ng g\u1ea5p 3 l\u1ea7n, xu h\u01b0\u1edbng v\u1eabn ti\u1ebfp t\u1ee5c t\u0103ng \u0111\u1ebfn n\u0103m 2030 theo d\u1ef1 b\u00e1o c\u1ee7a c\u00e1c chuy\u00ean gia.<\/p>\n

Ung th\u01b0 gan nguy\u00ean ph\u00e1t c\u0169ng l\u00e0 v\u1ea5n \u0111\u1ec1 l\u1edbn t\u1ea1i Trung Qu\u1ed1c v\u00ec chi\u1ebfm t\u1edbi qu\u00e1 n\u1eeda s\u1ed1 tr\u01b0\u1eddng h\u1ee3p m\u1eafc m\u1edbi v\u00e0 t\u1eed vong to\u00e0n c\u1ea7u l\u00e0 b\u1ec7nh nh\u00e2n t\u1eeb Trung Qu\u1ed1c. T\u1eed vong do HCC t\u1ea1i Trung Qu\u1ed1c chi\u1ebfm h\u00e0ng th\u1ee9 hai trong s\u1ed1 c\u00e1c ca t\u1eed vong do ung th\u01b0 t\u1ea1i qu\u1ed1c gia \u0111\u00f4ng d\u00e2n nh\u1ea5t th\u1ebf gi\u1edbi n\u00e0y.<\/p>\n

Ung th\u01b0 gan nguy\u00ean ph\u00e1t\u00a0\u0111ang l\u00e0 m\u1ed9t trong c\u00e1c b\u1ec7nh \u00e1c t\u00ednh\u00a0v\u1edbi\u00a0s\u1ed1 ca m\u1eafc \u1edf m\u1ee9c cao t\u1ea1i Vi\u1ec7t Nam. Theo Globocan 2020 (C\u01a1 quan nghi\u00ean c\u1ee9u Ung th\u01b0 to\u00e0n c\u1ea7u \u2013 Global Cance\u00a0Observatory), t\u1ef7 l\u1ec7 m\u1eafc m\u1edbi ung th\u01b0 gan t\u1ea1i Vi\u1ec7t Nam l\u00e0 26.418 ca m\u1ed7i n\u0103m, chi\u1ebfm 14,5% t\u1ed5ng s\u1ed1 ung th\u01b0 c\u00e1c lo\u1ea1i v\u00e0 77% s\u1ed1 ca ung th\u01b0 gan l\u00e0 nam gi\u1edbi.<\/p>\n

Ung th\u01b0 gan c\u0169ng l\u00e0 “s\u00e1t th\u1ee7 h\u00e0ng \u0111\u1ea7u”\u00a0c\u00e1c b\u1ec7nh ung th\u01b0\u00a0v\u1edbi s\u1ed1 ca t\u1eed vong d\u1eabn \u0111\u1ea7u l\u00e0 25.272 tr\u01b0\u1eddng h\u1ee3p, chi\u1ebfm 21% t\u1ed5ng s\u1ed1 t\u1eed vong do ung th\u01b0 c\u00e1c lo\u1ea1i, g\u1ea5p 3,8 l\u1ea7n t\u1ed5ng s\u1ed1 ca t\u1eed vong v\u00ec tai n\u1ea1n giao th\u00f4ng n\u0103m 2020 (6.700 ca \u2013 ngu\u1ed3n \u1ee6y ban An to\u00e0n giao th\u00f4ng qu\u1ed1c gia).<\/p>\n

V\u00ec sao m\u1eafc ung th\u01b0 gan ?<\/strong><\/h4>\n

C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 g\u00e2y ra ung th\u01b0 gan, nh\u01b0 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb vi\u00eam gan m\u00e3n t\u00ednh\u00a0nh\u1ea5t l\u00e0 vi\u00eam gan C; ti\u1ebfp x\u00fac l\u00e2u d\u00e0i v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u01b0 Vinyl Chloride (VC), Benzene\u2026.; u\u1ed1ng r\u01b0\u1ee3u qu\u00e1 nhi\u1ec1u\u00a0ho\u1eb7c nghi\u1ec7n thu\u1ed1c; ng\u01b0\u1eddi b\u1ecb\u00a0b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng,\u00a0b\u00e9o ph\u00ec; ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh v\u1ec1 gan kh\u00e1c nh\u01b0\u00a0gan nhi\u1ec5m m\u1ee1,\u00a0x\u01a1 gan,\u00a0vi\u00eam gan A\u2026.;<\/p>\n

T\u1ea1i sao ph\u1ea3i t\u1ea7m so\u00e1t ung th\u01b0 gan ?<\/strong><\/h4>\n

M\u1eb7c d\u00f9 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong ch\u1ea9n \u0111o\u00e1n ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm, \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m c\u1ea3 h\u00f3a ch\u1ea5t, n\u00fat m\u1ea1ch l\u00e0m gi\u1ea3m nu\u00f4i d\u01b0\u1ee1ng \u0111\u1ec3 kh\u1ed1i ung th\u01b0 h\u1ea1n ch\u1ebf ph\u00e1t tri\u1ec3n, d\u00f9ng s\u00f3ng cao t\u1ea7n di\u1ec7t u, truy\u1ec1n h\u00f3a ch\u1ea5t v\u00e0 l\u00e0m t\u1eafc m\u1ea1ch theo \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng vi s\u00f3ng\u00a0ph\u1eabu thu\u1eadt g\u1ed3m c\u00f3 c\u1eaft kh\u1ed1i u, c\u1eaft gan ho\u1eb7c gh\u00e9p gan, tuy nhi\u00ean ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb HCC v\u1eabn c\u00f2n l\u00e0 th\u00e1ch th\u1ee9c v\u1edbi y h\u1ecdc hi\u1ec7n nay. K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb HCC ph\u1ee5 thu\u1ed9c nhi\u1ec1u y\u1ebfu t\u1ed1, trong \u0111\u00f3 quan tr\u1ecdng l\u00e0 k\u00edch th\u01b0\u1edbc kh\u1ed1i u, s\u1ed1 l\u01b0\u1ee3ng v\u00e0 v\u1ecb tr\u00ed kh\u1ed1i u. Tuy nhi\u00ean n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm th\u00ec t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh m\u1eafc HCC s\u1ebd cao h\u01a1n qua t\u1ea7m so\u00e1t.<\/p>\n

T\u1ea7m so\u00e1t ung th\u01b0 gan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 si\u00eau \u00e2m gan, x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra ch\u1ee9c n\u0103ng gan\u00a0v\u00e0 ch\u1ec9 s\u1ed1 ung th\u01b0 gan (Alpha-fetoprotein – AFP), ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 CT\u00a0scan (c\u1eaft l\u1edbp vi t\u00ednh)\u00a0hay MRI\u00a0(c\u1ed9ng h\u01b0\u1edfng t\u1eeb)\u00a0gi\u00fap ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh \u1edf giai \u0111o\u1ea1n r\u1ea5t s\u1edbm, ngay c\u1ea3 khi ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb\u00a0c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3i ch\u1ecbu nh\u1eefng th\u01b0\u01a1ng t\u1ed5n v\u1ec1 th\u1ec3 ch\u1ea5t hay t\u00e2m l\u00fd, \u00edt t\u1ed1n k\u00e9m h\u01a1n v\u1ec1 m\u1eb7t kinh t\u1ebf. Do \u0111\u00f3, vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 gan s\u1edbm l\u00e0 \u0111i\u1ec1u n\u00ean l\u00e0m v\u1edbi nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh.<\/p>\n

Ai c\u1ea7n ph\u1ea3i t\u1ea7m so\u00e1t HCC ?<\/strong><\/h4>\n

C\u00f3\u00a07 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng\u00a0sau \u0111\u00e2y\u00a0nguy c\u01a1 r\u1ea5t c\u1ea7n \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc s\u1edbm c\u00e1c b\u1ec7nh v\u1ec1 gan n\u00f3i chung, v\u00e0 b\u1ec7nh ung th\u01b0 gan n\u00f3i ri\u00eang:<\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh v\u1ec1 gan:\u00a0Vi\u00eam gan B\u00a0v\u00e0 C l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ung th\u01b0 gan. Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng b\u1ecb nhi\u1ec5m vi\u00eam gan B ho\u1eb7c C c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb ung th\u01b0 gan, do \u0111\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh vi\u00eam gan do nguy\u00ean nh\u00e2n t\u1ef1 mi\u1ec5n, c\u00f3 th\u1ec3 \u0111i k\u00e8m c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n kh\u00e1c: nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ 1, Basedow, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, Lupus ban \u0111\u1ecf,…. c\u0169ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng chuy\u1ec3n sang gan v\u1ec1 sau<\/p>\n

– Ng\u01b0\u1eddi ti\u00eau th\u1ee5 nhi\u1ec1u r\u01b0\u1ee3u:\u00a0U\u1ed1ng r\u01b0\u1ee3u qu\u00e1 nhi\u1ec1u\u00a0v\u00e0 th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 gan. C\u00e1c acetaldehye \u0111\u01b0\u1ee3c sinh ra trong qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a r\u01b0\u1ee3u c\u00f3 th\u1ec3 l\u00e0m suy y\u1ebfu kh\u1ea3 n\u0103ng s\u1eeda ch\u1eefa sai s\u00f3t t\u1ef1 nhi\u00ean DNA c\u1ee7a t\u1ebf b\u00e0o, g\u00e2y t\u0103ng nguy c\u01a1 \u0111\u1ed9t bi\u1ebfn t\u1ebf b\u00e0o, t\u1eeb \u0111\u00f3 kh\u1ed1i ung th\u01b0 s\u1ebd h\u00ecnh th\u00e0nh. Nh\u1eefng ng\u01b0\u1eddi u\u1ed1ng r\u01b0\u1ee3u nhi\u1ec1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 u\u1ed1ng li\u00ean t\u1ee5c trong nhi\u1ec1u n\u0103m, c\u1ea7n \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t ung th\u01b0 gan th\u01b0\u1eddng xuy\u00ean.<\/p>\n

– Ng\u01b0\u1eddi b\u00e9o ph\u00ec, ti\u1ec3u \u0111\u01b0\u1eddng: \u0110\u01b0\u1eddng m\u00e1u v\u00e0 m\u1ee1 m\u00e1u cao, s\u1ebd \u0111\u01b0\u1ee3c t\u00edch t\u1ee5 t\u1ea1i gan, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng tho\u00e1i h\u00f3a c\u00e1c t\u1ebf b\u00e0o gan v\u00e0 d\u1eabn t\u1edbi x\u01a1 gan, l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 gan. Do \u0111\u00f3, nh\u1eefng ng\u01b0\u1eddi b\u00e9o ph\u00ec,\u00a0m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng\u00a0c\u1ea7n \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t ung th\u01b0 gan \u0111\u1ecbnh k\u1ef3.<\/p>\n

– Ng\u01b0\u1eddi c\u00f3 gia \u0111\u00ecnh c\u00f3 ti\u1ec1n s\u1eed ung th\u01b0 gan: N\u1ebfu trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi t\u1eebng m\u1eafc ung th\u01b0 gan, nguy c\u01a1 m\u1eafc ung th\u01b0 gan c\u1ee7a ng\u01b0\u1eddi kh\u00e1c trong gia \u0111\u00ecnh c\u0169ng t\u0103ng l\u00ean. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed ung th\u01b0 gan trong gia \u0111\u00ecnh n\u00ean \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t ung th\u01b0 gan \u0111\u1ecbnh k\u1ef3.<\/p>\n

– Ng\u01b0\u1eddi\u00a0th\u01b0\u1eddng xuy\u00ean\u00a0ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i: C\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u01b0 vinyl clorua, thorotrast\u2026. c\u00f3 th\u1ec3 g\u00e2y ung th\u01b0 gan. Do \u0111\u00f3, nh\u1eefng ng\u01b0\u1eddi s\u1eed d\u1ee5ng hay ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t n\u00e0y trong th\u1eddi gian d\u00e0i c\u1ea7n \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t ung th\u01b0 gan th\u01b0\u1eddng xuy\u00ean.<\/p>\n

– Ng\u01b0\u1eddi \u0103n th\u1ef1c ph\u1ea9m n\u1ea5m m\u1ed1c, th\u1ecbt t\u01b0\u01a1i s\u1ed1ng nhi\u1ec5m s\u00e1n: Vi\u1ec7c ti\u00eau th\u1ee5 th\u1ef1c ph\u1ea9m n\u1ea5m m\u1ed1c v\u00e0 th\u1ecbt t\u01b0\u01a1i s\u1ed1ng nhi\u1ec5m s\u00e1n th\u01b0\u1eddng xuy\u00ean c\u00f3 nguy c\u01a1 g\u00e2y ung th\u01b0 gan l\u00e0 r\u1ea5t cao. C\u1ee5 th\u1ec3, aflatoxin trong n\u1ea5m m\u1ed1c \u2013 lo\u1ea1i \u0111\u1ed9c t\u1ed1 g\u00e2y ung th\u01b0 gan m\u1ea1nh nh\u1ea5t hi\u1ec7n nay – g\u00e2y ung th\u01b0 gan b\u1eb1ng c\u00e1ch g\u00e2y \u0111\u1ed9t bi\u1ebfn \u1edf gen p53.\u00a0N\u1ea5m m\u1ed1c\u00a0th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng th\u1ef1c ph\u1ea9m b\u1ea3o qu\u1ea3n, l\u01b0u tr\u1eef trong m\u00f4i tr\u01b0\u1eddng n\u00f3ng, \u1ea9m nh\u01b0 g\u1ea1o, l\u1ea1c, \u0111\u1eadu t\u01b0\u01a1ng, l\u00faa m\u00ec, ng\u00f4\u2026 C\u00f2n th\u1ef1c ph\u1ea9m t\u01b0\u01a1i s\u1ed1ng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ebf bi\u1ebfn k\u1ef9 c\u00e0ng (nh\u01b0 \u0103n g\u1ecfi) th\u01b0\u1eddng ch\u1ee9a nhi\u1ec1u lo\u1ea1i S\u00c1N (s\u00e1n l\u00e1 gan l\u1edbn, s\u00e1n l\u00e1 gan nh\u1ecf\u2026), trong \u0111\u00f3 c\u00f3 nh\u1eefng lo\u1ea1i s\u00e1n khi x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 s\u1ebd ph\u00e1 h\u1ee7y gan, g\u00e2y ung th\u01b0 gan. Do \u0111\u00f3, c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c nguy\u00ean t\u1eafc v\u1ec7 sinh th\u1ef1c ph\u1ea9m \u0111\u1ec3 tr\u00e1nh \u0103n ph\u1ea3i th\u1ef1c ph\u1ea9m nhi\u1ec5m \u0111\u1ed9c v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ung th\u01b0.<\/p>\n

– Ng\u01b0\u1eddi s\u1eed d\u1ee5ng ch\u1ea5t k\u00edch th\u00edch:\u00a0C\u00e1c ch\u1ea5t k\u00edch th\u00edch\u00a0nh\u01b0 thu\u1ed1c l\u00e1, caf\u00e9 n\u1ebfu s\u1eed d\u1ee5ng v\u1edbi h\u00e0m l\u01b0\u1ee3ng nhi\u1ec1u, trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 g\u00e2y n\u00ean c\u00e1c b\u1ec7nh v\u1ec1 gan, trong \u0111\u00f3 c\u00f3 ung th\u01b0 gan.<\/p>\n

Vi\u1ec7c kh\u00e1m ki\u1ec3m tra ung th\u01b0 gan kh\u00f4ng qu\u00e1 ph\u1ee9c t\u1ea1p v\u00e0 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n nh\u01b0 ch\u1ec9 s\u1ed1 AFP v\u00e0 si\u00eau \u00e2m h\u00ecnh th\u00e1i gan. Tuy nhi\u00ean, n\u1ebfu c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c nh\u01b0 m\u00e1u, ch\u1ee5p CT hay MRI \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, m\u00e0 kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i ch\u1ecdc kim sinh thi\u1ebft v\u00e0o gan m\u1edbi kh\u1eb3ng \u0111\u1ecbnh ung th\u01b0 gan.<\/p>\n

M\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh, \u0111i\u1ec1u \u0111\u1ed9 s\u1ebd c\u00f3 l\u1ee3i cho s\u1ee9c kh\u1ecfe, gi\u00fap ph\u00f2ng tr\u00e1nh \u0111\u01b0\u1ee3c nhi\u1ec1u b\u1ec7nh t\u1eadt, trong \u0111\u00f3 c\u00f3 HCC.\/.<\/p>\n

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

Hi\u1ec3u \u0111\u00fang v\u1ec1 ung th\u01b0 gan nguy\u00ean ph\u00e1t Ung th\u01b0 gan nguy\u00ean ph\u00e1t (HCC), th\u1ef1c t\u1ebf l\u00e0 ung th\u01b0 t\u1ebf b\u00e0o gan nguy\u00ean ph\u00e1t ph\u00e1t tri\u1ec3n t\u1eeb t\u1ebf b\u00e0o c\u1ee7a gan \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi\u00a0ung th\u01b0 gan th\u1ee9 ph\u00e1t\u00a0m\u00e0 ung th\u01b0 g\u1ed1c l\u00e0 t\u1eeb c\u01a1 quan kh\u00e1c nh\u01b0ng di c\u0103n \u0111\u1ebfn gan. Ngo\u00e0i ra trong […]<\/p>\n","protected":false},"author":3,"featured_media":19818,"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-19817","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\/19817","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=19817"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/19817\/revisions"}],"predecessor-version":[{"id":19819,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/19817\/revisions\/19819"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=19817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=19817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=19817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}