{"id":700,"date":"2021-08-27T16:13:07","date_gmt":"2021-08-27T16:13:07","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=700"},"modified":"2021-08-27T16:13:09","modified_gmt":"2021-08-27T16:13:09","slug":"u-trung-mo-gan","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-trung-mo-gan\/","title":{"rendered":"U trung m\u00f4 gan"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>U trung m\u00f4 (hamartoma) gan l\u00e0 u l\u00e0nh t\u00ednh th\u01b0\u1eddng g\u1eb7p \u0111\u1ee9ng th\u1ee9 2 sau u m\u00e1u gan (chi\u1ebfm 18-30%), \u0111\u1ee9ng th\u1ee9 3 trong c\u00e1ch u gan n\u00f3i chung.<\/li><li>B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i (80%).<\/li><li>Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nam nhi\u1ec1u h\u01a1n<\/li><li>Kh\u1ed1i u \u0111a s\u1ed1 \u1edf thu\u1ef3 ph\u1ea3i c\u1ee7a gan ( 75%) (h\u00ecnh 1), ch\u1ec9 c\u00f3 3% c\u00f3 \u1edf c\u1ea3 hai thu\u1ef3.<\/li><li>U trung m\u00f4 gan c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u0111\u1ebfn k\u00edch th\u01b0\u1edbc r\u1ea5t l\u1edbn, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 t\u1ef1 tho\u00e1i tri\u1ec3n<\/li><li>\u0110\u00f4i khi t\u1eeb HTMG c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh sarcoma ph\u00f4i kh\u00f4ng bi\u1ec7t ho\u00e1 v\u1edbi bi\u1ebfn \u0111\u1ed5i nhi\u1ec5m s\u1eafc th\u1ec3 ho\u1eb7c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n u nguy\u00ean b\u00e0o gan.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"370\" height=\"262\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-1.jpg\" alt=\"\" class=\"wp-image-701\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-1.jpg 370w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-1-300x212.jpg 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/><figcaption><strong>H\u00ecnh 1: U trung m\u00f4 gan \u1edf gan ph\u1ea3i (d\u1ea5u sao)<\/strong><br><em>\u201cNgu\u1ed3n: Andrews, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>Nguy\u00ean nh\u00e2n h\u00ecnh th\u00e0nh u trung m\u00f4 gan ch\u01b0a r\u00f5.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>H\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng<\/li><li>\u1ede tr\u1ebb s\u01a1 sinh n\u1ebfu nh\u01b0 u k\u00edch th\u01b0\u1edbc l\u1edbn c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng do kh\u1ed1i u ch\u00e8n \u00e9p nh\u01b0 suy tim, suy h\u00f4 h\u1ea5p, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/li><li>\u1ede tr\u1ebb l\u1edbn, ph\u00e1t hi\u1ec7n b\u1ee5ng ch\u01b0\u1edbng t\u0103ng d\u1ea7n ho\u1eb7c s\u1edd th\u1ea5y kh\u1ed1i u \u1ed5 b\u1ee5ng. Ngo\u00e0i ra, tr\u1ebb c\u00f3 th\u1ec3 c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i (do kh\u1ed1i u ch\u00e8n \u00e9p d\u1ea1 d\u00e0y, ru\u1ed9t), ch\u00e1n \u0103n, ch\u1eadm t\u0103ng c\u00e2n, v\u00e0ng da, \u0111au b\u1ee5ng (\u00edt g\u1eb7p)\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>Ng\u00e0y nay nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c nh\u1edd si\u00eau \u00e2m tr\u01b0\u1edbc sinh<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 sinh h\u00f3a th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u trong ch\u1ea9n \u0111o\u00e1n u trung m\u00f4 gan.<\/li><li>Si\u00eau \u00e2m, CT, MRI b\u1ee5ng cho th\u1ea5y h\u00ecnh \u1ea3nh kh\u1ed1i u gan d\u1ea1ng nang l\u1edbn, b\u1edd ph\u00e2n m\u00fai, ch\u1ee9a nhi\u1ec1u v\u00e1ch ho\u1eb7c h\u00ecnh \u1ea3nh kh\u1ed1i \u0111\u1eb7c ch\u1ee9a c\u00e1c nang nh\u1ecf. Th\u00e0nh ph\u1ea7n m\u00f4 \u0111\u1eb7c c\u1ee7a u b\u1eaft quang sau ti\u00eam thu\u1ed1c c\u1ea3n quang (h\u00ecnh 3).<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-2.jpg\" alt=\"\" class=\"wp-image-703\" width=\"378\" height=\"269\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-2.jpg 504w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-2-300x214.jpg 300w\" sizes=\"(max-width: 378px) 100vw, 378px\" \/><figcaption><strong>H\u00ecnh 2: B\u1ec1 m\u1eb7t c\u1eaft c\u1ee7a u trung m\u00f4 gan ch\u1ee9a nhi\u1ec1u nang nh\u1ecf<\/strong><br><em>\u201cNgu\u1ed3n: Andrews, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"371\" height=\"262\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-3.jpg\" alt=\"\" class=\"wp-image-704\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-3.jpg 371w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-mo-gan-3-300x212.jpg 300w\" sizes=\"(max-width: 371px) 100vw, 371px\" \/><figcaption><strong>H\u00ecnh 3: Kh\u1ed1i u trung m\u00f4 gan tr\u00ean ch\u1ee5p CT (d\u1ea5u sao)<\/strong><br><em>\u201cNgu\u1ed3n: Andrews, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul><li>U nguy\u00ean b\u00e0o gan<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ho\u00e0n to\u00e0n kh\u1ed1i u v\u1edbi m\u00e9p c\u1eaft l\u00e0 di\u1ec7n gan l\u00e0nh<\/li><li>M\u1edf ch\u1ecfm nang ho\u1eb7c d\u1eabn l\u01b0u nang l\u00e0 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng tri\u1ec7t \u0111\u1ec3, c\u00f3 t\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t v\u00e0 bi\u1ebfn ch\u1ee9ng cao.<\/li><li>Gh\u00e9p gan (\u0111\u01b0\u1ee3c xem x\u00e9t khi kh\u1ed1i u trung m\u00f4 gan qu\u00e1 l\u1edbn \u1edf c\u1ea3 2 th\u00f9y kh\u00f4ng th\u1ec3 c\u1eaft b\u1ecf \u0111\u01b0\u1ee3c).<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng v\u00e0 theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng t\u1ed1t n\u1ebfu c\u00f3 th\u1ec3 c\u1eaft b\u1ecf ho\u00e0n to\u00e0n kh\u1ed1i u.<\/li><li>Tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m theo d\u00f5i theo l\u1ecbch h\u1eb9n.<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul class=\"has-black-color has-text-color\"><li>Tr\u1ea7n Ng\u1ecdc S\u01a1n, V\u0169 M\u1ea1nh Ho\u00e0n, Ph\u00f3 H\u1ed3ng \u0110i\u1ec7p (2011), Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb Hamartoma trung m\u00f4 gan \u1edf tr\u1ebb em, T\u1ea1p ch\u00ed Y H\u1ecdc Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh, 15 (3), tr. 97-100.<\/li><li>Andrews W.S., Kane B., and Hendrickson R.J (2019), Lesions of the Liver, Holcomb and Ashcraft\u2019s Pediatric Surgery , 7th ed, Elsevier, pp. 1031-1065.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng U trung m\u00f4 (hamartoma) gan l\u00e0 u l\u00e0nh t\u00ednh th\u01b0\u1eddng g\u1eb7p \u0111\u1ee9ng th\u1ee9 2 sau u m\u00e1u gan (chi\u1ebfm 18-30%), \u0111\u1ee9ng th\u1ee9 3 trong c\u00e1ch u gan n\u00f3i chung. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-trung-mo-gan\/\" title=\"U trung m\u00f4 gan\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":701,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,21],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/700"}],"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\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=700"}],"version-history":[{"count":5,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/700\/revisions"}],"predecessor-version":[{"id":708,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/700\/revisions\/708"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/701"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=700"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}