{"id":406,"date":"2021-08-16T11:55:49","date_gmt":"2021-08-16T11:55:49","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=406"},"modified":"2021-08-17T14:54:24","modified_gmt":"2021-08-17T14:54:24","slug":"u-nguyen-bao-than-kinh","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-nguyen-bao-than-kinh\/","title":{"rendered":"U NGUY\u00caN B\u00c0O TH\u1ea6N KINH"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ecbnh ngh\u0129a<\/strong><\/p>\n\n\n\n<ul><li>U nguy\u00ean b\u00e0o th\u1ea7n kinh l\u00e0 m\u1ed9t b\u1ec7nh ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u1ed9t s\u1ed1 khu v\u1ef1c c\u1ee7a c\u01a1 th\u1ec3. U nguy\u00ean b\u00e0o th\u1ea7n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ph\u00e1t sinh trong v\u00e0 xung quanh c\u00e1c tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn (n\u1eb1m ngay ph\u00eda tr\u00ean th\u1eadn), c\u00f3 ngu\u1ed3n g\u1ed1c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u1ebf b\u00e0o th\u1ea7n kinh. Tuy nhi\u00ean, u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong c\u00e1c v\u00f9ng kh\u00e1c c\u1ee7a b\u1ee5ng, c\u1ed5, ng\u1ef1c v\u00e0 x\u01b0\u01a1ng ch\u1eadu.<\/li><li>U nguy\u00ean b\u00e0o th\u1ea7n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb em 5 tu\u1ed5i ho\u1eb7c nh\u1ecf h\u01a1n, hi\u1ebfm khi c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf tr\u1ebb l\u1edbn.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<p>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a u nguy\u00ean b\u00e0o th\u1ea7n kinh kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o ph\u1ea7n c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n\n\n\n<p><strong><em>U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf v\u00f9ng b\u1ee5ng:<\/em><\/strong><\/p>\n\n\n\n<ul><li>\u0110au b\u1ee5ng.<\/li><li>Kh\u1ed1i d\u01b0\u1edbi da b\u1ee5ng ch\u1eafc<\/li><li>Thay \u0111\u1ed5i th\u00f3i quen \u0111i ti\u00eau, ch\u1eb3ng h\u1ea1n nh\u01b0 ti\u00eau ch\u1ea3y.<\/li><li>S\u01b0ng ph\u00f9 \u1edf ch\u00e2n.<\/li><\/ul>\n\n\n\n<p><strong><em>U nguy\u00ean b\u00e0o th\u1ea7n kinh trong l\u1ed3ng ng\u1ef1c:<\/em><\/strong><\/p>\n\n\n\n<ul><li>Th\u1edf kh\u00f2 kh\u00e8.<\/li><li>\u0110au ng\u1ef1c, kh\u00f3 th\u1edf<\/li><\/ul>\n\n\n\n<p><strong><em>Tri\u1ec7u ch\u1ee9ng kh\u00e1c:<\/em><\/strong><\/p>\n\n\n\n<ul><li>Thay \u0111\u1ed5i m\u1eaft: m\u00ed m\u1eaft s\u1ee5p v\u00e0 k\u00edch th\u01b0\u1edbc con ng\u01b0\u01a1i kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u, nh\u00e3n c\u1ea7u d\u01b0\u1eddng nh\u01b0 nh\u00f4 ra<\/li><li>M\u1eaft th\u00e2m, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1ebft b\u1ea7m t\u00edm quanh m\u1eaft.<\/li><li>\u0110au l\u01b0ng.<\/li><li>S\u1ed1t.<\/li><li>Gi\u1ea3m c\u00e2n kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c t\u1ea1i sao<\/li><li>\u0110au x\u01b0\u01a1ng.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>Ung th\u01b0 b\u1eaft \u0111\u1ea7u v\u1edbi m\u1ed9t \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n cho ph\u00e9p c\u00e1c t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng, ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n m\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng c\u00e1c t\u00edn hi\u1ec7u d\u1eebng l\u1ea1i nh\u01b0 c\u00e1c t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng. C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n v\u00e0 nh\u00e2n ra kh\u1ecfi ki\u1ec3m so\u00e1t. C\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng t\u00edch l\u0169y t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i (kh\u1ed1i u). C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 th\u1ec3 x\u00e2m l\u1ea5n m\u00f4 l\u00e2n c\u1eadn v\u00e0 c\u00f3 th\u1ec3 v\u1ee1 ra t\u1eeb m\u1ed9t kh\u1ed1i u ban \u0111\u1ea7u \u0111\u1ec3 l\u00e2y lan \u0111\u1ebfn n\u01a1i kh\u00e1c trong c\u01a1 th\u1ec3 (di c\u0103n).<\/li><li>U nguy\u00ean b\u00e0o th\u1ea7n kinh b\u1eaft \u0111\u1ea7u t\u1eeb nguy\u00ean b\u00e0o th\u1ea7n kinh (neuroblasts) &#8211; t\u1ebf b\u00e0o th\u1ea7n kinh ch\u01b0a tr\u01b0\u1edfng th\u00e0nh khi b\u00e0o thai. Khi thai nhi tr\u01b0\u1edfng th\u00e0nh, neuroblasts cu\u1ed1i c\u00f9ng bi\u1ebfn th\u00e0nh t\u1ebf b\u00e0o th\u1ea7n kinh, c\u00e1c s\u1ee3i v\u00e0 c\u00e1c t\u1ebf b\u00e0o t\u1ea1o n\u00ean tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Ph\u1ea7n l\u1edbn neuroblasts tr\u01b0\u1edfng th\u00e0nh khi sinh, m\u1eb7c d\u00f9 nghi\u00ean c\u1ee9u \u0111\u00e3 t\u00ecm th\u1ea5y m\u1ed9t s\u1ed1 nh\u1ecf neuroblasts ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u1edf tr\u1ebb s\u01a1 sinh. Trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p, c\u00e1c neuroblasts n\u00e0y s\u1ebd tr\u01b0\u1edfng th\u00e0nh ho\u1eb7c bi\u1ebfn m\u1ea5t. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c l\u1ea1i t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i u &#8211; u nguy\u00ean b\u00e0o th\u1ea7n kinh.<\/li><li>Kh\u00f4ng r\u00f5 nh\u1eefng g\u00ec g\u00e2y ra \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n ban \u0111\u1ea7u d\u1eabn \u0111\u1ebfn u nguy\u00ean b\u00e0o th\u1ea7n kinh. Tuy nhi\u00ean, do u nguy\u00ean b\u00e0o th\u1ea7n kinh th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb r\u1ea5t nh\u1ecf, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u tin r\u1eb1ng \u0111\u1ed9t bi\u1ebfn x\u1ea3y ra trong qu\u00e1 tr\u00ecnh mang thai ho\u1eb7c ngay sau khi sinh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n\n\n\n<p>Y\u1ebfu t\u1ed1 duy nh\u1ea5t \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn t\u0103ng nguy c\u01a1 u nguy\u00ean b\u00e0o th\u1ea7n kinh: ti\u1ec1n s\u1eed gia \u0111\u00ecnh ung th\u01b0. Tuy nhi\u00ean, u nguy\u00ean b\u00e0o th\u1ea7n kinh gia \u0111\u00ecnh \u0111\u01b0\u1ee3c cho l\u00e0 s\u1ed1 r\u1ea5t nh\u1ecf c\u00e1c tr\u01b0\u1eddng h\u1ee3p u nguy\u00ean b\u00e0o th\u1ea7n kinh.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a<\/strong><strong> u<\/strong><\/p>\n\n\n\n<ul><li>Di c\u0103n:&nbsp;U nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 th\u1ec3 lan tr\u00e0n (di c\u0103n) \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft, t\u1ee7y x\u01b0\u01a1ng, gan, da v\u00e0 x\u01b0\u01a1ng.<\/li><li>Ch\u00e8n \u00e9p&nbsp;c\u1ed9t s\u1ed1ng:&nbsp;Kh\u1ed1i u c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n v\u00e0 ch\u00e8n v\u00e0o t\u1ee7y s\u1ed1ng, g\u00e2y n\u00e9n d\u00e2y th\u1ea7n kinh, c\u00f3 th\u1ec3 g\u00e2y ra \u0111au v\u00e0 t\u00ea li\u1ec7t.<\/li><li>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng g\u00e2y ra b\u1edfi kh\u1ed1i u ti\u1ebft ra:&nbsp;C\u00e1c nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 th\u1ec3 ti\u1ebft ra m\u1ed9t h\u00f3a ch\u1ea5t k\u00edch th\u00edch c\u00e1c m\u00f4 b\u00ecnh th\u01b0\u1eddng, g\u00e2y ra c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng c\u1eadn ung: m\u1eaft chuy\u1ec3n \u0111\u1ed9ng nhanh ch\u00f3ng v\u00e0 kh\u00f3 ph\u1ed1i h\u1ee3p, ph\u00f9 b\u1ee5ng v\u00e0 ti\u00eau ch\u1ea3y.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li><strong><em>Kh\u00e1m l\u00e2m s\u00e0ng<\/em><\/strong>:&nbsp; C\u00e1c b\u00e1c s\u0129 s\u1ebd h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi v\u1ec1 th\u00f3i quen v\u00e0 h\u00e0nh vi c\u1ee7a b\u1ec7nh nhi. Sau \u0111\u00f3 ti\u1ebfn h\u00e0nh \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh<\/li><li>K<strong><em>i\u1ec3m tra n\u01b0\u1edbc ti\u1ec3u v\u00e0 m\u00e1u.&nbsp;<\/em><\/strong>C\u00f3 th\u1ec3 ch\u1ec9 ra nguy\u00ean nh\u00e2n c\u1ee7a b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111ang tr\u1ea3i qua. X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra m\u1ed9t s\u1ed1 h\u00f3a ch\u1ea5t t\u1eeb c\u00e1c t\u1ebf b\u00e0o u nguy\u00ean b\u00e0o th\u1ea7n kinh s\u1ea3n xu\u1ea5t d\u01b0 th\u1eeba.<\/li><li><strong><em>Ki\u1ec3m tra h\u00ecnh \u1ea3nh.&nbsp;<\/em><\/strong>Ki\u1ec3m tra h\u00ecnh \u1ea3nh c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c kh\u1ed1i u g\u1ed3m X quang, si\u00eau \u00e2m, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scan) v\u00e0 h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI).<\/li><li><strong><em>Gi\u1ea3i ph\u1eabu b\u1ec7nh:<\/em><\/strong>&nbsp;N\u1ebfu kh\u1ed1i \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf m\u1ed9t m\u1eabu m\u00f4 th\u1eed nghi\u1ec7m (sinh thi\u1ebft). Ki\u1ec3m tra chuy\u00ean ng\u00e0nh v\u1ec1 m\u1eabu m\u00f4 c\u00f3 th\u1ec3 ti\u1ebft l\u1ed9 nh\u1eefng lo\u1ea1i t\u1ebf b\u00e0o tham gia v\u00e0o kh\u1ed1i u v\u00e0 c\u1ee5 th\u1ec3 \u0111\u1eb7c \u0111i\u1ec3m di truy\u1ec1n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. Th\u00f4ng tin n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra m\u1ed9t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/li><li><strong><em>Sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng:&nbsp;<\/em><\/strong>sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng \u0111\u1ec3 xem u nguy\u00ean b\u00e0o th\u1ea7n kinh \u0111\u00e3 lan \u0111\u1ebfn t\u1ee7y x\u01b0\u01a1ng, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt ch\u00e8n m\u1ed9t c\u00e1i kim v\u00e0o x\u01b0\u01a1ng ch\u1eadu v\u00e0 r\u00fat ra t\u1ee7y.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Giai \u0111o\u1ea1n<\/strong><\/p>\n\n\n\n<p>Khi u nguy\u00ean b\u00e0o th\u1ea7n kinh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u th\u1eed nghi\u1ec7m th\u00eam \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng \u0111\u1ebfn c\u00e1c c\u01a1 quan xa. H\u00ecnh \u1ea3nh ki\u1ec3m tra \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng x\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n bao g\u1ed3m X quang, ch\u1ee5p c\u1eaft l\u1edbp CT hay MRI.<\/p>\n\n\n\n<ul><li><strong><em>Giai \u0111o\u1ea1n I: <\/em><\/strong>U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf giai \u0111o\u1ea1n n\u00e0y l\u00e0 t\u1ea1i ch\u1ed7, c\u00f3 ngh\u0129a l\u00e0 n\u00f3 gi\u1edbi h\u1ea1n trong m\u1ed9t khu v\u1ef1c, v\u00e0 c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n lo\u1ea1i b\u1ecf b\u1eb1ng ph\u1eabu thu\u1eadt. C\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft k\u1ebft n\u1ed1i v\u1edbi kh\u1ed1i u c\u00f3 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh ung th\u01b0, nh\u01b0ng c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft kh\u00e1c kh\u00f4ng c\u00f3 ung th\u01b0.<\/li><li><strong><em>Giai \u0111o\u1ea1n IIA:<\/em><\/strong> U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf giai \u0111o\u1ea1n n\u00e0y khu tr\u00fa, nh\u01b0ng c\u00f3 th\u1ec3 kh\u00f4ng d\u1ec5 d\u00e0ng lo\u1ea1i b\u1ecf b\u1eb1ng ph\u1eabu thu\u1eadt.<\/li><li><strong><em>Giai \u0111o\u1ea1n IIB:<\/em><\/strong>&nbsp;U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf giai \u0111o\u1ea1n n\u00e0y khu tr\u00fa v\u00e0 c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng d\u1ec5 d\u00e0ng lo\u1ea1i b\u1ecf b\u1eb1ng ph\u1eabu thu\u1eadt. C\u1ea3 hai h\u1ea1ch b\u1ea1ch huy\u1ebft k\u1ebft n\u1ed1i v\u00e0o kh\u1ed1i u v\u00e0 c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf g\u1ea7n \u0111\u00f3 c\u00f3 ch\u1ee9a c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/li><li><strong><em>Giai \u0111o\u1ea1n III:<\/em><\/strong> U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf giai \u0111o\u1ea1n n\u00e0y \u0111\u01b0\u1ee3c coi l\u00e0 ti\u1ebfn tri\u1ec3n, v\u00e0 kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n c\u00e1c kh\u1ed1i u th\u00f4ng qua ph\u1eabu thu\u1eadt. C\u00e1c kh\u1ed1i u c\u00f3 th\u1ec3 k\u00edch th\u01b0\u1edbc l\u1edbn h\u01a1n \u1edf giai \u0111o\u1ea1n n\u00e0y. C\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng ch\u1ee9a c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/li><li><strong><em>Giai \u0111o\u1ea1n IV: <\/em><\/strong>U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf giai \u0111o\u1ea1n n\u00e0y \u0111\u01b0\u1ee3c coi l\u00e0 ti\u1ebfn tri\u1ec3n v\u00e0 \u0111\u00e3 lan tr\u00e0n (di c\u0103n) \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/li><li><strong><em>Giai \u0111o\u1ea1n IVS:&nbsp;<\/em><\/strong>Giai&nbsp;\u0111o\u1ea1n n\u00e0y l\u00e0 m\u1ed9t th\u1ec3 \u0111\u1eb7c bi\u1ec7t c\u1ee7a u nguy\u00ean b\u00e0o th\u1ea7n kinh kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng gi\u1ed1ng nh\u01b0 c\u00e1c h\u00ecnh th\u1ee9c kh\u00e1c c\u1ee7a u nguy\u00ean b\u00e0o th\u1ea7n kinh, m\u1eb7c d\u00f9 n\u00f3 kh\u00f4ng r\u00f5 l\u00fd do t\u1ea1i sao. U nguy\u00ean b\u00e0o th\u1ea7n kinh giai \u0111o\u1ea1n IVS ch\u1ec9 \u00e1p d\u1ee5ng cho tr\u1ebb em h\u01a1n 1 tu\u1ed5i. IVS ch\u1ec9 ra u nguy\u00ean b\u00e0o th\u1ea7n kinh \u0111\u00e3 l\u00e2y lan sang m\u1ed9t ph\u1ea7n kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 &#8211; th\u01b0\u1eddng nh\u1ea5t t\u1ee7y x\u01b0\u01a1ng, da, gan. M\u1eb7c d\u00f9 m\u1ee9c \u0111\u1ed9 c\u1ee7a u nguy\u00ean b\u00e0o th\u1ea7n kinh, tr\u1ebb s\u01a1 sinh v\u1edbi giai \u0111o\u1ea1n n\u00e0y c\u00f3 m\u1ed9t c\u01a1 h\u1ed9i t\u1ed1t ph\u1ee5c h\u1ed3i. U nguy\u00ean b\u00e0o th\u1ea7n kinh \u1edf giai \u0111o\u1ea1n n\u00e0y \u0111\u00f4i khi t\u1ef1 c\u1ea3i thi\u1ec7n v\u00e0 th\u01b0\u1eddng kh\u00f4ng y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng.<\/li><li>C\u00e1c y\u1ebfu t\u1ed1 bao g\u1ed3m tu\u1ed5i c\u1ee7a tr\u1ebb, giai \u0111o\u1ea1n c\u1ee7a ung th\u01b0, lo\u1ea1i t\u1ebf b\u00e0o li\u00ean quan \u0111\u1ebfn ung th\u01b0, v\u00e0 c\u00f3 b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng trong nhi\u1ec5m s\u1eafc th\u1ec3 v\u00e0 gen.<\/li><li>S\u1eed d\u1ee5ng th\u00f4ng tin n\u00e0y, b\u00e1c s\u0129 ph\u00e2n lo\u1ea1i ung th\u01b0 l\u00e0 nguy c\u01a1 th\u1ea5p, nguy c\u01a1 trung gian ho\u1eb7c c\u00f3 nguy c\u01a1 cao.<\/li><li>\u0110i\u1ec1u tr\u1ecb ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho u nguy\u00ean b\u00e0o th\u1ea7n kinh ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c lo\u1ea1i r\u1ee7i ro.<\/li><li>Sinh thi\u1ebft u lu\u00f4n l\u00e0 kh\u1edfi \u0111\u1ea7u cho k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/li><\/ul>\n\n\n\n<p><strong><em>Ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n\n\n\n<ul><li>\u0110\u1ed1i v\u1edbi u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 th\u1ea5p, ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n c\u00e1c kh\u1ed1i u c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa kh\u1ecfi duy nh\u1ea5t.<\/li><li>\u0110\u1ed1i v\u1edbi c\u00e1c kh\u1ed1i u \u0111\u01b0\u1ee3c d\u00ednh v\u00e0o c\u01a1 quan quan tr\u1ecdng g\u1ea7n \u0111\u00f3 nh\u01b0 m\u1ea1ch m\u00e1u l\u1edbn, ph\u1ed5i ho\u1eb7c d\u00e2y c\u1ed9t s\u1ed1ng &#8211; c\u00f3 th\u1ec3 qu\u00e1 nguy hi\u1ec3m \u0111\u1ec3 lo\u1ea1i b\u1ecf. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 c\u1ed1 g\u1eafng lo\u1ea1i b\u1ecf c\u00e0ng nhi\u1ec1u kh\u1ed1i u c\u00e0ng t\u1ed1t (kho\u1ea3ng 95%).<\/li><li>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb, sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n l\u1ea1i.<\/li><\/ul>\n\n\n\n<p><strong><em>H\u00f3a tr\u1ecb:<\/em><\/strong><\/p>\n\n\n\n<ul><li>H\u00f3a tr\u1ecb s\u1eed d\u1ee5ng h\u00f3a ch\u1ea5t \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. H\u00f3a tr\u1ecb m\u1ee5c ti\u00eau nhanh ch\u00f3ng c\u00e1c t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3, bao g\u1ed3m c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. Th\u1eadt kh\u00f4ng may, h\u00f3a tr\u1ecb c\u0169ng l\u00e0m t\u1ed5n h\u1ea1i t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh nhanh ch\u00f3ng, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c t\u1ebf b\u00e0o trong nang l\u00f4ng v\u00e0 trong h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a, c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5.<\/li><li>Tr\u1ebb em b\u1ecb u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 th\u1ea5p m\u00e0 kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 tr\u1ea3i qua h\u00f3a tr\u1ecb li\u1ec7u. \u0110\u00f4i khi h\u00f3a tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u0111\u1ec3 thu nh\u1ecf kh\u1ed1i u. Trong tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 l\u00e0 \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t.<\/li><li>Tr\u1ebb em v\u1edbi u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 trung gian th\u01b0\u1eddng nh\u1eadn \u0111\u01b0\u1ee3c m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u1ea3i thi\u1ec7n c\u01a1 h\u1ed9i to\u00e0n b\u1ed9 kh\u1ed1i u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ee1 b\u1ecf.<\/li><li>Tr\u1ebb em b\u1ecb u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 cao th\u01b0\u1eddng nh\u1eadn \u0111\u01b0\u1ee3c c\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb li\u1ec1u cao \u0111\u1ec3 thu nh\u1ecf kh\u1ed1i u v\u00e0 ti\u00eau di\u1ec7t b\u1ea5t k\u1ef3 t\u1ebf b\u00e0o ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng \u1edf nh\u1eefng n\u01a1i kh\u00e1c trong c\u01a1 th\u1ec3. H\u00f3a tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt v\u00e0 tr\u01b0\u1edbc khi c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ee7y x\u01b0\u01a1ng.<\/li><\/ul>\n\n\n\n<p><strong><em>X\u1ea1 tr\u1ecb:<\/em><\/strong><\/p>\n\n\n\n<ul><li>X\u1ea1 tr\u1ecb s\u1eed d\u1ee5ng li\u1ec1u cao c\u00e1c h\u1ea1t n\u0103ng l\u01b0\u1ee3ng \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. X\u1ea1 tr\u1ecb ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn khu v\u1ef1c n\u01a1i m\u00e0 n\u00f3 nh\u1eb1m m\u1ee5c \u0111\u00edch. \u0110i\u1ec1u tr\u1ecb b\u1ee9c x\u1ea1 c\u1ed1 g\u1eafng b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh g\u1ea7n ung th\u01b0, nh\u01b0ng m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh c\u00f3 th\u1ec3 b\u1ecb h\u01b0 h\u1ecfng b\u1edfi b\u1ee9c x\u1ea1. T\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ee5 thu\u1ed9c v\u00e0o n\u01a1i m\u00e0 b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c h\u01b0\u1edbng t\u1edbi v\u00e0 bao nhi\u00eau b\u1ee9c x\u1ea1.<\/li><li>Tr\u1ebb em b\u1ecb u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 th\u1ea5p ho\u1eb7c trung gian c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ee9c x\u1ea1 n\u1ebfu ph\u1eabu thu\u1eadt v\u00e0 h\u00f3a tr\u1ecb li\u1ec7u \u0111\u00e3 kh\u00f4ng h\u1eefu \u00edch. Tr\u1ebb em b\u1ecb u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 cao c\u00f3 th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb sau khi h\u00f3a tr\u1ecb v\u00e0 ph\u1eabu thu\u1eadt, \u0111\u1ec3 ng\u0103n ch\u1eb7n ung th\u01b0 t\u00e1i di\u1ec5n.<\/li><\/ul>\n\n\n\n<p><strong><em>Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c:<\/em><\/strong><strong><\/strong><\/p>\n\n\n\n<ul><li>Tr\u1ebb em b\u1ecb u nguy\u00ean b\u00e0o th\u1ea7n kinh c\u00f3 nguy c\u01a1 cao c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c t\u1ebf b\u00e0o g\u1ed1c m\u00e1u (gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n) c\u1ee7a h\u1ecd.<\/li><li>T\u1ee7y x\u01b0\u01a1ng s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o g\u1ed1c tr\u01b0\u1edfng th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh c\u00e1c t\u1ebf b\u00e0o m\u00e0u \u0111\u1ecf v\u00e0 tr\u1eafng v\u00e0 ti\u1ec3u c\u1ea7u. Tr\u1ea3i qua m\u1ed9t th\u1ee7 t\u1ee5c m\u00e0 l\u1ecdc v\u00e0 thu th\u1eadp t\u1ebf b\u00e0o g\u1ed1c t\u1eeb m\u00e1u. Sau \u0111\u00f3, h\u00f3a tr\u1ecb li\u1ec7u li\u1ec1u cao \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n l\u1ea1i trong c\u01a1 th\u1ec3.<\/li><li>T\u1ebf b\u00e0o g\u1ed1c sau \u0111\u00f3 \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o c\u01a1 th\u1ec3, n\u01a1i c\u00f3 th\u1ec3 th\u00e0nh l\u1eadp c\u00e1c t\u1ebf b\u00e0o m\u00e1u kh\u1ecfe m\u1ea1nh m\u1edbi.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u00e1c d\u1ee5ng ph\u1ee5 l\u00e2u d\u00e0i c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/p>\n\n\n\n<ul><li>Nh\u1eefng \u0111\u1ee9a tr\u1ebb nhi\u1ec1u h\u01a1n n\u1eefa c\u00f3 th\u1ec3 s\u1ed1ng s\u00f3t ung th\u01b0 v\u00e0 s\u1ed1ng \u0111\u1ebfn tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh, c\u00e1c b\u00e1c s\u0129 \u0111ang ng\u00e0y c\u00e0ng nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e2u d\u00e0i c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0. C\u00e1c b\u00e1c s\u0129 khuy\u00ean nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t ung th\u01b0 th\u1eddi th\u01a1 \u1ea5u \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m th\u01b0\u1eddng xuy\u00ean, hi\u1ec3u c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e2u d\u00e0i v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/li><li>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o \u0111i\u1ec1u tr\u1ecb, nh\u01b0ng c\u00f3 th\u1ec3 bao g\u1ed3m suy gi\u1ea3m t\u0103ng tr\u01b0\u1edfng, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn gi\u00e1p, hai b\u1ec7nh ung th\u01b0 v\u00e0 v\u00f4 sinh, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi c\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb. Kh\u00f3 suy ngh\u0129 v\u00e0 x\u1eed l\u00fd r\u1eafc r\u1ed1i c\u00f3 th\u1ec3 l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e2u d\u00e0i c\u1ee7a b\u1ee9c x\u1ea1, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ee9c x\u1ea1 n\u00e3o ho\u1eb7c chi\u1ebfu x\u1ea1 c\u01a1 th\u1ec3.<\/li><\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ecbnh ngh\u0129a U nguy\u00ean b\u00e0o th\u1ea7n kinh l\u00e0 m\u1ed9t b\u1ec7nh ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u1ed9t s\u1ed1 khu v\u1ef1c c\u1ee7a c\u01a1 th\u1ec3. U nguy\u00ean b\u00e0o th\u1ea7n <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-nguyen-bao-than-kinh\/\" title=\"U NGUY\u00caN B\u00c0O TH\u1ea6N KINH\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":421,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,21],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/406"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=406"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/406\/revisions"}],"predecessor-version":[{"id":407,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/406\/revisions\/407"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/421"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=406"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}