{"id":824,"date":"2021-08-30T06:09:27","date_gmt":"2021-08-30T06:09:27","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=824"},"modified":"2021-08-30T06:09:32","modified_gmt":"2021-08-30T06:09:32","slug":"lymphoma","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/lymphoma\/","title":{"rendered":"Lymphoma"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Lymphoma l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft.<\/li><li>H\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft (h\u00ecnh 1) l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch, h\u1ec7 th\u1ed1ng b\u1ea3o v\u1ec7 t\u1ef1 nhi\u00ean c\u1ee7a c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m khu\u1ea9n v\u00e0 b\u1ec7nh t\u1eadt. \u0110\u00e2y l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u1ee9c t\u1ea1p \u0111\u01b0\u1ee3c t\u1ea1o n\u00ean t\u1eeb tu\u1ef7 x\u01b0\u01a1ng, tuy\u1ebfn \u1ee9c, l\u00e1ch v\u00e0 c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf kh\u1eafp n\u01a1i tr\u00ean c\u01a1 th\u1ec3. Ch\u00fang \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i v\u1edbi nhau b\u1edfi m\u1ed9t m\u1ea1ng l\u01b0\u1edbi c\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft nh\u1ecf.<\/li><li>Lymphoma bao g\u1ed3m Lymphoma Hodgkin v\u00e0 Lymphoma kh\u00f4ng Hodgkin. L\u00e0 nh\u00f3m b\u1ec7nh ung th\u01b0 \u0111\u1ee9ng h\u00e0ng th\u1ee9 ba v\u00e0 th\u01b0\u1eddng g\u1eb7p c\u1ee7a ung th\u01b0 tr\u00ean tr\u1ebb em, sau b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho v\u00e0 ung th\u01b0 n\u00e3o. Trong khi Lymphoma Hodgkin ch\u1ec9 chi\u1ebfm m\u1ed9t t\u1ef7 l\u1ec7 th\u1ea5p \u0111\u1ed1i v\u1edbi tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean th\u00ec Lymphoma kh\u00f4ng Hodgkin l\u1ea1i chi\u1ebfm m\u1ed9t t\u1ef7 l\u1ec7 cao \u1edf nh\u00f3m tr\u1ebb em d\u01b0\u1edbi 15 tu\u1ed5i.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"573\" height=\"549\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/cau-truc-he-bach-huyet.jpg\" alt=\"\" class=\"wp-image-835\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/cau-truc-he-bach-huyet.jpg 573w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/cau-truc-he-bach-huyet-300x287.jpg 300w\" sizes=\"(max-width: 573px) 100vw, 573px\" \/><figcaption><strong>H\u00ecnh 1: C\u1ea5u tr\u00fac h\u1ec7 b\u1ea1ch huy\u1ebft<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>B\u1ea3ng 1: M\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n bi\u1ec7t Lympho Hodgkin v\u00e0 kh\u00f4ng Hodgkin<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>\u0110\u1eb7c \u0111i\u1ec3m<\/strong><\/td><td><strong>Hodgkin<\/strong><\/td><td><strong>Kh\u00f4ng Hodgkin<\/strong><\/td><\/tr><tr><td><strong>M\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn<\/strong>                        <\/td><td>\u00cdt g\u1eb7p<\/td><td>Th\u01b0\u1eddng g\u1eb7p<\/td><\/tr><tr><td><strong>V\u1ecb tr\u00ed<\/strong><\/td><td>Kh\u1edfi ph\u00e1t t\u1eeb m\u1ed9t ho\u1eb7c nhi\u1ec1u h\u1ea1ch t\u1eeb c\u1ed5, ng\u1ef1c, n\u00e1ch, sau \u0111\u00f3 lan sang c\u00e1c nh\u00f3m h\u1ea1ch v\u00f9ng l\u00e2n c\u1eadn<\/td><td>Th\u01b0\u1eddng kh\u1edfi ph\u00e1t ngo\u00e0i h\u1ea1ch v\u00e0 \u1edf c\u00e1c c\u01a1 quan kh\u00e1c nhau trong c\u01a1 th\u1ec3<\/td><\/tr><tr><td><strong>M\u00f4 h\u1ecdc<\/strong><\/td><td>T\u1ebf b\u00e0o Reed-Sternberg<\/td><td>Kh\u00f4ng c\u00f3 tb Reed-Sternberg<\/td><\/tr><tr><td><strong>Th\u1eddi \u0111i\u1ec3m \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n<\/strong><\/td><td>Th\u01b0\u1eddng \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u<\/td><td>Th\u01b0\u1eddng \u1edf giai \u0111o\u1ea1n b\u1ec7nh ti\u1ebfn tri\u1ec3n<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-medium-font-size\"><strong>2. LYMPHOMA HODGKIN<\/strong><\/p>\n\n\n\n<ul><li>L\u00e0 ung th\u01b0 \u00edt g\u1eb7p \u1edf tr\u1ebb em, chi\u1ebfm 40% c\u00e1c lo\u1ea1i lymphoma, chi\u1ebfm 5% c\u00e1c ung th\u01b0 \u1edf tr\u1ebb em. T\u1ea7n su\u1ea5t m\u1eafc 1\/25.000 tr\u1ebb.<\/li><li>Th\u01b0\u1eddng g\u1eb7p \u1edf nam nhi\u1ec1u h\u01a1n, t\u1ec9 l\u1ec7 nam\/n\u1eef = 3\/1.<\/li><\/ul>\n\n\n\n<p><strong>Nguy\u00ean nh\u00e2n v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n\n\n\n<ul><li>Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh u lympho Hodgkin ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5. M\u1ed9t s\u1ed1 y\u1ebfu \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn Lymphoma Hodgkin: nam gi\u1edbi, nhi\u1ec5m virus \u0111\u01a1n nh\u00e2n, HIV\/AIDS, ti\u1ec1n s\u1eed gia \u0111\u00ecnh b\u1ecb Lymphoma Hodgkin, d\u00f9ng Hormon t\u0103ng tr\u01b0\u1edfng k\u00e9o d\u00e0i, nhi\u1ec5m \u0111\u1ed9c (ch\u1ea5t \u0111\u1ed9c m\u00e0u da cam)\u2026<\/li><\/ul>\n\n\n\n<p><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>S\u01b0ng to nh\u01b0ng kh\u00f4ng \u0111au c\u1ee7a m\u1ed9t h\u1ea1ch, ho\u1eb7c m\u1ed9t nh\u00f3m c\u00e1c h\u1ea1ch k\u00e9o d\u00e0i trong v\u00e0i tu\u1ea7n. Nh\u1eefng h\u1ea1ch \u0111\u1ea7u ti\u00ean b\u1ecb \u1ea3nh h\u01b0\u1edfng th\u01b0\u1eddng l\u00e0 \u1edf c\u1ed5, h\u1ea7u h\u1ebft th\u01b0\u1eddng ch\u1ec9 \u1edf m\u1ed9t b\u00ean c\u1ed5, \u1edf m\u1ed9t v\u00f9ng nh\u1ecf tr\u00ean x\u01b0\u01a1ng \u0111\u00f2n. \u0110\u00f4i khi, c\u00e1c h\u1ea1ch to ra c\u00f3 th\u1ec3 d\u00ednh v\u1edbi nhau \u1edf v\u00f9ng n\u00e1ch ho\u1eb7c b\u1eb9n.<\/li><li>Ho, kh\u00f3 th\u1edf (n\u1ebfu c\u00e1c h\u1ea1ch \u1edf ng\u1ef1c b\u1ecb \u1ea3nh h\u01b0\u1edfng).<\/li><li>\u0110\u00f4i khi, tr\u1ebb c\u00f3 th\u1ec3 s\u1ed1t cao, ra m\u1ed3 h\u00f4i v\u1ec1 \u0111\u00eam, ng\u1ee9a, kh\u00f3 ch\u1ecbu ho\u1eb7c b\u1ecb s\u00fat c\u00e2n.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"836\" height=\"372\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lymphoma.jpg\" alt=\"\" class=\"wp-image-836\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lymphoma.jpg 836w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lymphoma-300x133.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lymphoma-768x342.jpg 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/><figcaption><strong>H\u00ecnh 2: H\u1ea1ch l\u1edbn \u1edf c\u1ed5 \u1edf b\u1ec7nh nh\u00e2n Lymphoma Hodgkin<\/strong><br><em>\u201cNgu\u1ed3n: Al-Salem, 2014\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>X\u00e9t nghi\u1ec7m m\u00e1u: c\u00f4ng th\u1ee9c m\u00e1u, \u0111\u00f4ng m\u00e1u, ch\u1ee9c n\u0103ng gan th\u1eadn, protein, albumin, LDH, acid uric, \u0111\u1ecbnh l\u01b0\u1ee3ng kh\u00e1ng th\u1ec3 (IgA, IgG, IgM), kh\u00e1ng th\u1ec3 VZV, CMV, EBV, HSV, HIV, HCV-PCR, Toxoplasmosis.<\/li><li>XQ ng\u1ef1c<\/li><li>CT\/ MRI c\u1ed5 ng\u1ef1c b\u1ee5ng ch\u1eadu<\/li><li>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3, si\u00eau \u00e2m tim<\/li><li>Sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng (n\u1ebfu c\u1ea7n)<\/li><li>N\u1ed9i soi h\u1ecdng thanh qu\u1ea3n (n\u1ebfu c\u1ea7n)<\/li><li>Sinh thi\u1ebft h\u1ea1ch l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/li><\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n Lymphoma Hodgkin l\u00e0 k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh<\/li><\/ul>\n\n\n\n<p><strong>Ph\u00e2n giai \u0111o\u1ea1n\/nh\u00f3m b\u1ec7nh<\/strong><\/p>\n\n\n\n<ul><li>\u201cGiai \u0111o\u1ea1n\u201d l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed c\u1ee7a ung th\u01b0 v\u00e0 c\u00f3 di c\u0103n kh\u00f4ng. \u0110i\u1ec1u n\u00e0y r\u1ea5t quan tr\u1ecdng b\u1edfi v\u00ec lo\u1ea1i \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho b\u1ec7nh nhi ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh.<\/li><li>H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i c\u1ee7a b\u1ec7nh Hodgkin l\u00e0:<ul><li>Giai \u0111o\u1ea1n I: M\u1ed9t nh\u00f3m c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft b\u1ecb \u1ea3nh h\u01b0\u1edfng nh\u01b0ng u lympho ch\u1ec9 \u1edf m\u1ed9t ph\u00eda c\u1ee7a c\u01a1 ho\u00e0nh (d\u1ea3i c\u01a1 d\u01b0\u1edbi ph\u1ed5i, ki\u1ec3m so\u00e1t s\u1ef1 th\u1edf).<\/li><li>Giai \u0111o\u1ea1n II: Hai ho\u1eb7c nhi\u1ec1u h\u01a1n c\u00e1c nh\u00f3m h\u1ea1ch b\u1ea1ch huy\u1ebft b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 u lympho ch\u1ec9 b\u1ecb \u1edf m\u1ed9t ph\u00eda c\u1ee7a c\u01a1 ho\u00e0nh.<\/li><li>Giai \u0111o\u1ea1n III: C\u00f3 c\u00e1c t\u1ebf b\u00e0o u lympho trong c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf tr\u00ean v\u00e0 d\u01b0\u1edbi c\u01a1 ho\u00e0nh. L\u00e1ch c\u0169ng c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li><li>Giai \u0111o\u1ea1n IV: U lympho \u0111\u00e3 lan tr\u00e0n ra ngo\u00e0i c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft, v\u00ed d\u1ee5 nh\u01b0 \u0111\u1ebfn gan, ph\u1ed5i ho\u1eb7c tu\u1ef7 x\u01b0\u01a1ng.<\/li><\/ul><\/li><li>Ph\u00e2n nh\u00f3m:<ul><li>A: kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a nh\u00f3m B<\/li><li>B: s\u1ed1t, gi\u1ea3m c\u00e2n \u0111\u00e1ng k\u1ec3 (h\u01a1n 1\/10 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 trong 6 th\u00e1ng g\u1ea7n \u0111\u00e2y nh\u1ea5t) ho\u1eb7c ra m\u1ed3 h\u00f4i ban \u0111\u00eam.<\/li><li>E: x\u00e2m l\u1ea5n 1 c\u01a1 quan ngo\u00e0i h\u1ea1ch ti\u1ebfp gi\u00e1p ho\u1eb7c g\u1ea7n h\u1ea1ch<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Lymphoma Hodgkin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb, gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u\u2026<\/li><li>Vi\u1ec7c l\u1ef1a ch\u1ecdn chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p d\u1ef1a v\u00e0o tu\u1ed5i, gi\u1edbi, giai \u0111o\u1ea1n b\u1ec7nh, m\u00f4 h\u1ecdc\u2026<ul><li>H\u00f3a tr\u1ecb: d\u00f9ng thu\u1ed1c \u0111\u1ec3 ti\u00eau di\u1ec7t ho\u1eb7c ng\u0103n t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n. N\u1ebfu thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 qua \u0111\u01b0\u1eddng u\u1ed1ng hay t\u0129nh m\u1ea1ch, n\u00f3 s\u1ebd \u0111i theo tu\u1ea7n ho\u00e0n \u0111\u1ebfn kh\u1eafp n\u01a1i. N\u1ebfu thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0o m\u00f4, ch\u1eb3ng h\u1ea1n qua ti\u00eam v\u00e0o k\u00eanh t\u1ee7y, thu\u1ed1c s\u1ebd t\u1eadp trung \u1edf v\u1ecb tr\u00ed c\u1ee5 th\u1ec3. T\u00f9y v\u00e0o lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng, nh\u00f3m b\u1ec7nh, giai \u0111o\u1ea1n m\u00e0 b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh c\u00e1ch d\u00f9ng thu\u1ed1c.<\/li><li>X\u1ea1 tr\u1ecb: d\u00f9ng tia x\u1ea1 \u0111\u1ec3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0. C\u00f3 th\u1ec3 tia x\u1ea1 t\u1eeb ngo\u00e0i c\u01a1 th\u1ec3 b\u1eb1ng m\u00e1y chi\u1ebfu x\u1ea1 ho\u1eb7c tia x\u1ea1 t\u1eeb b\u00ean trong b\u1eb1ng c\u00e1c h\u1ea1t ch\u1ee9a ch\u1ea5t ph\u00f3ng x\u1ea1.<\/li><li>H\u00f3a tr\u1ecb li\u1ec1u cao v\u00e0 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c: d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng ti\u00eau di\u1ec7t t\u1ebf b\u00e0o m\u1ea1nh, li\u1ec1u cao \u0111\u1ec3 ti\u00eau di\u1ec7t to\u00e0n b\u1ed9 c\u00e1c t\u1ebf b\u00e0o t\u1ea1o m\u00e1u, bao g\u1ed3m c\u1ea3 t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng v\u00e0 t\u1ebf b\u00e0o ung th\u01b0, sau \u0111\u00f3 truy\u1ec1n t\u1ebf b\u00e0o g\u1ed1c (l\u1ea5y t\u1eeb ch\u00ednh b\u1ec7nh nh\u00e2n hay m\u1ed9t ng\u01b0\u1eddi cho kh\u00e1c) l\u1ea1i cho b\u1ec7nh nh\u00e2n.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<ul><li>T\u1ec9 l\u1ec7 s\u1ed1ng 5 n\u0103m sau \u0111i\u1ec1u tr\u1ecb cao, >90% \u1edf b\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n I, II; 70%\u00a0 \u1edf b\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n III v\u00e0 IV.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>3. LYMPHOMA KH\u00d4NG HODGKIN<\/strong><\/p>\n\n\n\n<ul><li>Lymphoma kh\u00f4ng Hodgkin l\u00e0 t\u00ean g\u1ecdi chung m\u1ed9t nh\u00f3m nh\u1eefng ung th\u01b0 b\u1eaft ngu\u1ed3n t\u1eeb h\u1ec7 b\u1ea1ch huy\u1ebft m\u00e0 kh\u00f4ng ph\u1ea3i ph\u1ea3i Lymphoma Hodgkin<\/li><li>Nh\u1eefng Lymphoma kh\u00f4ng Hodgkin hay g\u1eb7p \u1edf tr\u1ebb em l\u00e0: Lymphoma Burkitt (chi\u1ebfm 30-50% lymphoma \u1edf tr\u1ebb em), lymphoblastic lymphoma v\u00e0 small noncleaved lymphoma.<\/li><\/ul>\n\n\n\n<p><strong>Y\u1ebfu<\/strong><strong> t\u1ed1 nguy c\u01a1: <\/strong>c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh lymphoma kh\u00f4ng Hodgkin bao g\u1ed3m: t\u1eebng \u0111i\u1ec1u tr\u1ecb ung th\u01b0, nhi\u1ec5m virus Epstein-Barr (EBV) hay virus HIV, suy gi\u1ea3m mi\u1ec5n d\u1ecbch do thu\u1ed1c, b\u1ec7nh l\u00fd b\u1ea9m sinh hay gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c tr\u01b0\u1edbc \u0111\u00f3\u2026<\/p>\n\n\n\n<p><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>C\u00f3 kh\u1ed1i u \u1edf \u0111\u1ea7u, c\u1ed5, ph\u1ea7n tr\u00ean c\u01a1 th\u1ec3, ho\u1eb7c c\u00e1nh tay, tinh ho\u00e0n\u2026<\/li><li>H\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf c\u1ed5, n\u00e1ch, d\u1ea1 d\u00e0y, ho\u1eb7c b\u1eb9n s\u01b0ng to nh\u01b0ng kh\u00f4ng \u0111au<\/li><li>Kh\u00f3 th\u1edf, kh\u00f2 kh\u00e8, th\u1edf r\u00edt, ho\u2026<\/li><li>Kh\u00f3 nu\u1ed1t.<\/li><li>\u0110\u00f4i khi tr\u1ebb c\u00f3 th\u1ec3: s\u1ed1t kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, s\u1ee5t c\u00e2n, \u0111\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam.<\/li><\/ul>\n\n\n\n<p><strong>C\u1eadn<\/strong><strong> l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan, th\u1eadn, c\u00f4ng th\u1ee9c m\u00e1u<\/li><li>T\u1ee7y \u0111\u1ed3 v\u00e0 Sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng<\/li><li>Sinh thi\u1ebft h\u1ea1ch, m\u00f4 kh\u1ed1i u l\u00e0m x\u00e9t nghi\u1ec7m gi\u1ea3i ph\u1eabu b\u1ec7nh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 giai \u0111o\u1ea1n b\u1ec7nh: CT Scan, PET Scan, MRI\u2026<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 nguy c\u01a1: D\u1ea5u \u1ea5n mi\u1ec5n d\u1ecbch, FISH, Nhi\u1ec5m s\u1eafc th\u1ec3 \u0111\u1ed3, PCR&#8230;<\/li><\/ul>\n\n\n\n<p><strong>Kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng? C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebft k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Lo\u1ea1i lymphoma.<\/li><li>V\u1ecb tr\u00ed kh\u1edfi ph\u00e1t ho\u1eb7c v\u1ecb tr\u00ed ph\u00e1t hi\u1ec7n ung th\u01b0<\/li><li>Giai \u0111o\u1ea1n b\u1ec7nh<\/li><li>C\u00f3 b\u1ea5t th\u01b0\u1eddng ch\u1ea5t li\u1ec7u di truy\u1ec1n (nhi\u1ec5m s\u1eafc th\u1ec3 ) kh\u00f4ng<\/li><li>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u<\/li><li>\u0110\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u<\/li><li>\u0110\u1ed9 tu\u1ed5i v\u00e0 s\u1ee9c kho\u1ebb chung c\u1ee7a b\u1ec7nh nh\u00e2n<\/li><\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh Lymphoma kh\u00f4ng Hodgkin \u1edf tr\u1ebb em t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i lymphoma, v\u1ecb tr\u00ed, giai \u0111o\u1ea1n b\u1ec7nh,&#8230;. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh trong lymphoma kh\u00f4ng Hodgkin:<ul><li>H\u00f3a tr\u1ecb<\/li><li>X\u1ea1 tr\u1ecb<\/li><li>Li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch: D\u00f9ng c\u00e1c thu\u1ed1c \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 t\u1ea5n c\u00f4ng ch\u00ednh x\u00e1c v\u00e0o t\u1ebf b\u00e0o ung th\u01b0 m\u00e0 kh\u00f4ng l\u00e0m h\u1ea1i t\u1ebf b\u00e0o b\u00ecnh th\u01b0\u1eddng. C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 th\u01b0\u1eddng mang c\u00e1c ph\u00e2n t\u1eed l\u1ea1, v\u00e0 c\u00e1c ph\u00e2n t\u1eed n\u00e0y l\u00e0 \u0111\u00edch ng\u1eafm c\u1ee7a c\u00e1c thu\u1ed1c nh\u1eafm tr\u00fang \u0111\u00edch.<\/li><li>H\u00f3a tr\u1ecb li\u1ec1u cao v\u00e0 gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh t\u1ed1t tr\u00ean tr\u1ebb u lympho kh\u00f4ng hodgkin giai \u0111o\u1ea1n I ho\u1eb7c II c\u1ee7a b\u1ea5t c\u1ee9 ph\u00e2n lo\u1ea1i d\u01b0\u1edbi m\u00f4 h\u1ecdc n\u00e0o m\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u00e1 tr\u1ecb theo ph\u00e1c \u0111\u1ed3 \u0111\u1ea7y \u0111\u1ee7. T\u1ef7 l\u1ec7 s\u1ed1ng sau 5 n\u0103m thay \u0111\u1ed5i t\u1eeb 85% \u0111\u1ebfn 95% v\u00e0 gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 t\u1eed vong li\u00ean quan \u0111\u1ebfn ho\u00e1 tr\u1ecb li\u1ec7u. Di ch\u1ee9ng mu\u1ed9n c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m b\u1ec7nh tim v\u00f4 c\u0103n v\u00e0 s\u1ef1 v\u00f4 sinh c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn Cyclophosphamide.<\/li><li>\u1ede b\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n b\u1ec7nh ti\u1ebfn tri\u1ec3n: t\u1ef7 l\u1ec7 s\u1ed1ng c\u00f2n dao \u0111\u1ed9ng t\u1eeb 65 \u0111\u1ebfn 75%.<\/li><\/ul>\n\n\n\n<p><strong>4. T\u00c1I KH\u00c1M THEO D\u00d5I<\/strong><\/p>\n\n\n\n<p>Sau \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i th\u1eddi gian d\u00e0i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 bi\u1ebfn ch\u1ee9ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb, v\u00e0 xem b\u1ec7nh c\u00f3 t\u00e1i ph\u00e1t kh\u00f4ng.<\/p>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Al-Salem A.H. (2014), Hodgkin\u2019s and Non-Hodgkin\u2019s Lymphoma, An illustrated guide to pediatric surgery, Springer, pp. 443 \u2013 450.<\/li><li>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng 2<\/li><li><a href=\"https:\/\/bthh.org.vn\/72\/lymphoma-khong-hodgkin-tre-em-294.html\">https:\/\/bthh.org.vn\/72\/lymphoma-khong-hodgkin-tre-em-294.html<\/a><\/li><li><a href=\"https:\/\/ungthubachmai.vn\/kien-thuc-y-khoa\/benh-u-lympho-hodgkin-o-tre-em.html\">https:\/\/ungthubachmai.vn\/kien-thuc-y-khoa\/benh-u-lympho-hodgkin-o-tre-em.html<\/a><\/li><\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>1. \u0110\u1ea1i c\u01b0\u01a1ng Lymphoma l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft. H\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft (h\u00ecnh 1) l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch, h\u1ec7 th\u1ed1ng b\u1ea3o v\u1ec7 t\u1ef1 <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/lymphoma\/\" title=\"Lymphoma\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":835,"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\/824"}],"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=824"}],"version-history":[{"count":7,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/824\/revisions"}],"predecessor-version":[{"id":843,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/824\/revisions\/843"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/835"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=824"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=824"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=824"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}