{"id":27461,"date":"2024-07-21T12:49:47","date_gmt":"2024-07-21T05:49:47","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=27461"},"modified":"2024-07-21T12:49:47","modified_gmt":"2024-07-21T05:49:47","slug":"phong-benh-viem-gan-do-vi-rut","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/07\/21\/phong-benh-viem-gan-do-vi-rut\/","title":{"rendered":"Ph\u00f2ng b\u1ec7nh vi\u00eam gan do vi r\u00fat"},"content":{"rendered":"

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T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf Gi\u1edbi (WHO) l\u1ea5y ng\u00e0y 28\/07<\/strong> l\u00e0 \u201cNg\u00e0y ph\u00f2ng ch\u1ed1ng vi\u00eam gan<\/strong>\u201d h\u00e0ng n\u0103m, nh\u1eb1m lan t\u1ecfa th\u00f4ng \u0111i\u1ec7p \u0111\u1ebfn c\u1ed9ng \u0111\u1ed3ng tr\u00ean to\u00e0n Th\u1ebf gi\u1edbi t\u0103ng c\u01b0\u1eddng nh\u1eadn th\u1ee9c v\u00e0 ki\u1ebfn th\u1ee9c v\u1ec1 ph\u00f2ng ch\u1ed1ng b\u1ec7nh vi\u00eam gan do vi r\u00fat; c\u0169ng nh\u01b0 ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb. Theo th\u1ed1ng k\u00ea c\u1ee7a WHO, m\u1ed7i n\u0103m c\u00f3 h\u01a1n m\u1ed9t tri\u1ec7u ng\u01b0\u1eddi ch\u1ebft v\u00ec b\u1ec7nh vi\u00eam gan do vi r\u00fat. Ch\u1ee7 \u0111\u1ec1 c\u1ee7a Ng\u00e0y ph\u00f2ng ch\u1ed1ng Vi\u00eam gan th\u1ebf gi\u1edbi n\u0103m 2023 l\u00e0: \u201cCh\u00fang ta kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i\u201d<\/em><\/strong>, Ch\u00fang ta kh\u00f4ng ch\u1edd \u0111\u1ee3i s\u1ef1 thay \u0111\u1ed5i – ch\u00fang ta \u0111ang \u0111\u1ea5u tranh \u0111\u1ec3 bi\u1ebfn n\u00f3 th\u00e0nh hi\u1ec7n th\u1ef1c. \u0110\u00e2y l\u00e0 l\u1eddi k\u00eau g\u1ecdi h\u00e0nh \u0111\u1ed9ng, \u0111\u1ea9y nhanh n\u1ed7 l\u1ef1c lo\u1ea1i b\u1ecf b\u1ec7nh vi\u00eam gan si\u00eau vi ngay b\u00e2y gi\u1edd. \u0110\u1ed3ng th\u1eddi l\u00e0 nhu c\u1ea7u c\u1ea5p thi\u1ebft v\u1ec1 x\u00e9t nghi\u1ec7m v\u00e0 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft\u201d.<\/span><\/p>\n

V\u1eady b\u1ec7nh vi\u00eam gan do nh\u1eefng nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra? <\/strong>B\u1ec7nh v<\/strong>i\u00eam gan l\u00e0 t\u00ecnh tr\u1ea1ng c\u00e1c t\u1ebf b\u00e0o gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 vi\u00eam nhi\u1ec5m. Nguy\u00ean nh\u00e2n b\u1ec7nh ch\u1ee7 y\u1ebfu do vi r\u00fat g\u00e2y ra, c\u00f3 th\u1ec3 do nhi\u1ec5m c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i ho\u1eb7c do s\u1eed d\u1ee5ng r\u01b0\u1ee3u-bia th\u01b0\u1eddng xuy\u00ean. C\u00f3 05 lo\u1ea1i vi r\u00fat g\u00e2y b\u1ec7nh vi\u00eam gan g\u1ed3m vi r\u00fat: A, B, C, D v\u00e0 E. Trong \u0111\u00f3, vi\u00eam gan A, B v\u00e0 C l\u00e0 c\u00e1c lo\u1ea1i vi\u00eam gan th\u01b0\u1eddng g\u1eb7p<\/em> v\u00e0 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe l\u1edbn nh\u1ea5t. B\u1ec7nh kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n s\u1edbm, v\u00ec v\u1eady ng\u01b0\u1eddi b\u1ec7nh r\u1ea5t kh\u00f3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/span><\/p>\n

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T\u1ea1i Vi\u1ec7t Nam, vi\u00eam gan vi r\u00fat \u0111ang l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ra c\u0103n b\u1ec7nh ung th\u01b0 gan. Ng\u00e0y Vi\u00eam gan Th\u1ebf gi\u1edbi c\u0169ng t\u1ea1o c\u01a1 h\u1ed9i \u0111\u1ec3 t\u1eadp trung v\u00e0o c\u00e1c h\u00e0nh \u0111\u1ed9ng nh\u01b0:<\/span><\/p>\n

– N\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 c\u00e1c d\u1ea1ng vi\u00eam gan kh\u00e1c nhau v\u00e0 ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n;<\/span><\/p>\n

– T\u0103ng c\u01b0\u1eddng c\u00f4ng t\u00e1c ph\u00f2ng ng\u1eeba, s\u00e0ng l\u1ecdc, ki\u1ec3m so\u00e1t b\u1ec7nh vi\u00eam gan si\u00eau vi v\u00e0 c\u00e1c b\u1ec7nh li\u00ean quan;<\/span><\/p>\n

– T\u0103ng \u0111\u1ed9 bao ph\u1ee7 v\u1eafc-xin vi\u00eam gan B v\u00e0 l\u1ed3ng gh\u00e9p v\u00e0o c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh\u00a0ti\u00eam ch\u1ee7ng<\/a>\u00a0qu\u1ed1c gia;<\/span><\/p>\n

– Ph\u1ed1i h\u1ee3p trong ph\u1ea3n \u1ee9ng to\u00e0n c\u1ea7u v\u1edbi b\u1ec7nh vi\u00eam gan.<\/span><\/p>\n

Trong \u0111\u00f3:<\/span><\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam gan si\u00eau vi\u00a0kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i<\/em><\/strong>\u00a0x\u00e9t nghi\u1ec7m.<\/span><\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam gan\u00a0kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i<\/em><\/strong>\u00a0c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

– C\u00e1c b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai\u00a0kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i<\/em><\/strong>\u00a0c\u00e1c \u0111\u1ec3 ki\u1ec3m tra v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam gan.<\/span><\/p>\n

– Tr\u1ebb s\u01a1 sinh\u00a0kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i<\/em><\/strong>\u00a0\u0111\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin vi\u00eam gan khi ch\u00e0o \u0111\u1eddi.<\/span><\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam gan\u00a0kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i<\/em><\/strong>\u00a0\u0111\u1ec3 ch\u1ea5m d\u1ee9t s\u1ef1 k\u1ef3 th\u1ecb v\u00e0 ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed.<\/span><\/p>\n

– Nh\u1eefng ng\u01b0\u1eddi ra quy\u1ebft \u0111\u1ecbnh\u00a0kh\u00f4ng th\u1ec3 ch\u1edd \u0111\u1ee3i<\/em><\/strong>\u00a0v\u00e0 ph\u1ea3i h\u00e0nh \u0111\u1ed9ng ngay b\u00e2y gi\u1edd \u0111\u1ec3 vi\u1ec7c lo\u1ea1i b\u1ecf b\u1ec7nh vi\u00eam gan tr\u1edf th\u00e0nh hi\u1ec7n th\u1ef1c th\u00f4ng qua ch\u00ednh s\u00e1ch v\u00e0 t\u00e0i tr\u1ee3.<\/span><\/p>\n

WHO nh\u1ea5n m\u1ea1nh s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c \u0111\u01b0a d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c vi\u00eam gan \u0111\u1ebfn g\u1ea7n c\u00e1c c\u01a1 s\u1edf y t\u1ebf ban \u0111\u1ea7u v\u00e0 c\u1ed9ng \u0111\u1ed3ng h\u01a1n \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi c\u00f3 c\u01a1 h\u1ed9i ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c t\u1ed1t h\u01a1n, b\u1ea5t k\u1ec3 h\u1ecd m\u1eafc b\u1ec7nh vi\u00eam gan n\u00e0o. WHO \u0111\u1eb7t m\u1ee5c ti\u00eau \u0111\u1ea1t \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb b\u1ec7nh vi\u00eam gan v\u00e0o n\u0103m 2030. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u00f3, WHO k\u00eau g\u1ecdi c\u00e1c qu\u1ed1c gia \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u00e1c m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3:<\/span><\/p>\n

– Gi\u1ea3m 90% c\u00e1c ca nhi\u1ec5m m\u1edbi vi\u00eam gan B v\u00e0 C;<\/span><\/p>\n

– Gi\u1ea3m 65% c\u00e1c ca t\u1eed vong li\u00ean quan \u0111\u1ebfn vi\u00eam gan do x\u01a1 gan v\u00e0 ung th\u01b0;<\/span><\/p>\n

– \u0110\u1ea3m b\u1ea3o r\u1eb1ng \u00edt nh\u1ea5t 90% ng\u01b0\u1eddi nhi\u1ec5m vi r\u00fat vi\u00eam gan B v\u00e0 C \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n;<\/span><\/p>\n

– V\u00e0 \u00edt nh\u1ea5t 80% nh\u1eefng ng\u01b0\u1eddi \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/span><\/p>\n

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\u0110\u01b0\u1eddng l\u00e2y truy\u1ec1n ph\u1ed5 bi\u1ebfn c\u1ee7a vi\u00eam gan si\u00eau vi B? <\/strong>M\u1ed9t l\u00e0 m\u1eb9 truy\u1ec1n sang con (m\u1eb9 nhi\u1ec5m vi r\u00fat vi\u00eam gan B s\u1ebd l\u00e2y truy\u1ec1n sang cho con l\u00fac mang thai, chuy\u1ec3n d\u1ea1 v\u00e0 cho con b\u00fa)<\/em>; hai l\u00e0 \u0111\u01b0\u1eddng m\u00e1u v\u00e0 ba l\u00e0 \u0111\u01b0\u1eddng quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n. Cho n\u00ean, c\u1ea7n ph\u1ea3i c\u00f3 s\u1ef1 v\u00f4 tr\u00f9ng tuy\u1ec7t \u0111\u1ed1i trong c\u00e1c \u0111\u1ed9ng t\u00e1c ti\u00eam truy\u1ec1n c\u00e1c lo\u1ea1i d\u1ecbch v\u00e0 thu\u1ed1c \u0111\u1ec3 ch\u1eefa b\u1ec7nh. Ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd vi\u1ec7c truy\u1ec1n m\u00e1u. Th\u1ef1c hi\u1ec7n t\u00ecnh d\u1ee5c an to\u00e0n nh\u01b0 h\u1ea1n ch\u1ebf c\u00e1c b\u1ea1n t\u00ecnh, s\u1eed d\u1ee5ng bao cao su,… K\u1ebf \u0111\u1ebfn l\u00e0 vi\u1ec7c th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 xem c\u01a1 th\u1ec3 \u0111\u00e3 c\u00f3 kh\u00e1ng th\u1ec3 kh\u00e1ng l\u1ea1i vi r\u00fat vi\u00eam gan B ch\u01b0a? N\u1ebfu ch\u01b0a c\u00f3 n\u00ean th\u1ef1c hi\u1ec7n vi\u1ec7c ti\u00eam v\u1eafc xin theo \u0111\u00fang quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf.<\/span><\/p>\n

L\u00e0m g\u00ec \u0111\u1ec3 ph\u00f2ng l\u00e2y vi\u00eam gan si\u00eau vi B t\u1eeb m\u1eb9 sang con? <\/strong>\u0110\u1ed1i v\u1edbi tr\u1ebb em, ti\u00eam ch\u1ee7ng v\u1eafc xin vi\u00eam gan B ngay t\u1eeb l\u00fac m\u1edbi sinh l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh s\u1edbm nh\u1ea5t v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t. Hi\u1ec7n nay t\u1ea5t c\u1ea3 c\u00e1c tr\u1ebb s\u01a1 sinh \u0111\u1ec1u \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u1eafc xin ph\u00f2ng vi\u00eam gan B trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u theo chu\u1ea9n l\u1ecbch ti\u00eam ch\u1ee7ng qu\u1ed1c gia (l\u1ecbch ti\u00eam ch\u1ee7ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean h\u00e0ng th\u00e1ng t\u1ea1i c\u00e1c Tr\u1ea1m y t\u1ebf x\u00e3)<\/em>. N\u1ebfu c\u00e1c tr\u1ebb em \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u1eafc xin ph\u00f2ng vi\u00eam gan B \u0111\u1ea7y \u0111\u1ee7 theo \u0111\u00fang ph\u00e1c \u0111\u1ed3 c\u1ee7a B\u1ed9 Y t\u1ebf, th\u00ec ch\u1eafc ch\u1eafn r\u1eb1ng 95% c\u00e1c tr\u1ebb em s\u1ebd kh\u00f4ng b\u1ecb m\u1eafc b\u1ec7nh vi\u00eam gan si\u00eau vi B. \u00a0Sau \u0111\u00f3, t\u1eeb m\u1ed9t \u0111\u1ebfn hai th\u00e1ng tu\u1ed5i, b\u00e9 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng m\u0169i th\u1ee9 hai v\u00e0 \u0111\u1ebfn s\u00e1u th\u00e1ng tu\u1ed5i ti\u00eam ch\u1ee7ng m\u0169i th\u1ee9 ba. Nh\u1eefng m\u0169i ch\u1ee7ng ng\u1eeba tr\u00ean s\u1ebd gi\u00fap c\u01a1 th\u1ec3 b\u00e9 t\u1ea1o kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi r\u00fat vi\u00eam gan B. N\u1ebfu tr\u1ebb khi m\u1edbi ch\u00e0o \u0111\u1eddi m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng v\u1eafc xin vi\u00eam gan B, th\u00ec 90% s\u1ed1 b\u00e9 \u0111\u01b0\u1ee3c sinh ra t\u1eeb ng\u01b0\u1eddi m\u1eb9 mang m\u1ea7m b\u1ec7nh vi\u00eam gan B s\u1ebd tr\u1edf th\u00e0nh ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh su\u1ed1t \u0111\u1eddi. Trong \u0111\u00f3, c\u00f3 kho\u1ea3ng 25% s\u1ed1 b\u00e9 tr\u00ean s\u1ebd ch\u1ebft v\u00ec x\u01a1 gan ho\u1eb7c ung th\u01b0 gan v\u1ec1 sau<\/em>.\/.<\/span><\/p>\n

Bs.Ph\u1ea1m H\u1ed3ng Thanh – Trung t\u00e2m Y t\u1ebf TP Long Xuy\u00ean<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf Gi\u1edbi (WHO) l\u1ea5y ng\u00e0y 28\/07 l\u00e0 \u201cNg\u00e0y ph\u00f2ng ch\u1ed1ng vi\u00eam gan\u201d h\u00e0ng n\u0103m, nh\u1eb1m lan t\u1ecfa th\u00f4ng \u0111i\u1ec7p \u0111\u1ebfn c\u1ed9ng \u0111\u1ed3ng tr\u00ean to\u00e0n Th\u1ebf gi\u1edbi t\u0103ng c\u01b0\u1eddng nh\u1eadn th\u1ee9c v\u00e0 ki\u1ebfn th\u1ee9c v\u1ec1 ph\u00f2ng ch\u1ed1ng b\u1ec7nh vi\u00eam gan do vi r\u00fat; c\u0169ng nh\u01b0 ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb. Theo th\u1ed1ng k\u00ea […]<\/p>\n","protected":false},"author":33,"featured_media":27462,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[324],"tags":[],"class_list":["post-27461","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai-viet"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27461","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\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=27461"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27461\/revisions"}],"predecessor-version":[{"id":27465,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/27461\/revisions\/27465"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/27462"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=27461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=27461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=27461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}