Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a t\u00f4i: l\u00e1ch to c\u01b0\u1eddng l\u00e1ch \u0111\u1ed9 3, gi\u00e3n t\u0129nh m\u1ea1ch, gan b\u1ecb x\u01a1 giai \u0111o\u1ea1n \u0111\u1ea7u, n\u01b0\u1edbc ti\u1ec3u c\u00f3 m\u00e0u v\u00e0ng, da kh\u00f4ng b\u1ecb v\u00e0ng, t\u00ecnh tr\u1ea1ng hi\u1ec7n nay \u0103n u\u1ed1ng v\u1eabn b\u00ecnh th\u01b0\u1eddng (ki\u00eang c\u1eed bia, r\u01b0\u1ee3u, tr\u1ee9ng).<\/p>\n
Th\u1eddi gian t\u00f4i ph\u00e1t hi\u1ec7n b\u1ec7nh x\u01a1 gan v\u00e0 l\u00e1ch to l\u00e0 v\u00e0o n\u0103m 1997-g\u1ea7n 10 n\u0103m. Xin h\u1ecfi \u0111\u1ed1i v\u1edbi b\u1ec7nh tr\u1ea1ng nh\u01b0 v\u1eeba n\u00eau tr\u00ean, c\u00f3 th\u1ec3 tr\u1ecb kh\u1ecfi kh\u00f4ng? C\u00f3 BS b\u1ea3o n\u00ean c\u1eaft b\u1ecf l\u00e1ch (nh\u01b0ng do b\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n n\u00ean v\u1eeba qua kh\u00f4ng c\u1eaft l\u00e1ch), m\u1ed9t s\u1ed1 BS th\u00ec khuy\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf l\u00e1ch v\u00e0 cho \u0111\u1ebfn nay v\u1eabn \u0111\u1ec3 duy tr\u00ec l\u00e1ch, kh\u00f4ng bi\u1ebft b\u00e2y gi\u1edd ph\u1ea3i l\u00e0m sao?<\/p>\n
Tr\u1ea3 l\u1eddi: <\/strong>Ch\u00e0o b\u1ea1n, nh\u01b0 th\u00f4ng tin trong th\u01b0 b\u1ea1n cung c\u1ea5p, b\u1ec7nh c\u1ee7a b\u1ea1n l\u00e0 x\u01a1 gan v\u00e0 l\u00e1ch to \u0111\u1ed9 3 \u2013 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a x\u01a1 gan (do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1ee7a gan \u1edf ng\u01b0\u1eddi b\u1ecb b\u1ec7nh x\u01a1 gan). Tuy nhi\u00ean r\u1ea5t ti\u1ebfc b\u1ea1n kh\u00f4ng cung c\u1ea5p th\u00f4ng tin v\u1ec1 c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u, si\u00eau \u00e2m b\u1ee5ng, n\u1ed9i soi th\u1ef1c qu\u1ea3n – d\u1ea1 d\u00e0y, CT scan gan m\u1eadt, sinh thi\u1ebft gan (n\u1ebfu c\u00f3) \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00e3 c\u00f3 x\u01a1 gan ch\u01b0a? N\u1ebfu c\u00f3 giai \u0111\u1ecdan n\u00e0o (hi\u1ec7n nay tr\u00ean th\u1ebf gi\u1edbi d\u00f9ng b\u1ea3ng ph\u00e2n chia giai \u0111o\u1ea1n theo Child \u2013 Pugh: A, B, C)? C\u00f3 bi\u1ebfn ch\u1ee9ng g\u00ec (\u00f3i ra m\u00e1u hay \u0111i ti\u00eau ph\u00e2n \u0111en do v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, nhi\u1ec5m tr\u00f9ng d\u1ecbch b\u00e1ng, suy th\u1eadn do x\u01a1 gan, b\u1ec7nh n\u00e3o do x\u01a1 gan, ung th\u01b0 gan\u2026)? Nguy\u00ean nh\u00e2n x\u01a1 gan, v\u00ed d\u1ee5 x\u01a1 gan do b\u1ea9m sinh, do r\u01b0\u1ee3u, hay do si\u00eau vi gan B, C\u2026) .<\/p>\n – X\u01a1 gan<\/strong> l\u00e0 qu\u00e1 tr\u00ecnh t\u1ea1o x\u01a1 thay th\u1ebf d\u1ea7n d\u1ea7n v\u00e0 lan t\u1ecfa trong gan do c\u00e1c t\u1ebf b\u00e0o gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 ph\u00e1 h\u1ee7y. V\u00ec v\u1eady, \u0111i\u1ec1u tr\u1ecb x\u01a1 gan ch\u1ee7 y\u1ebfu l\u00e0 l\u00e0m cho b\u1ec7nh ng\u1eebng l\u1ea1i – ch\u1eadm ti\u1ebfn tri\u1ec3n, ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n, ch\u1ee9 kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n m\u00f4 x\u01a1 tr\u1edf l\u1ea1i nh\u01b0 m\u1ed9t gan b\u00ecnh th\u01b0\u1eddng, ngo\u1ea1i tr\u1eeb gh\u00e9p gan (th\u01b0\u1eddng d\u00e0nh cho x\u01a1 gan giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 bi\u1ebfn ch\u1ee9ng ung th\u01b0 gan \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan) l\u00e0 b\u1ea1n \u0111\u01b0\u1ee3c thay m\u1ed9t gan m\u1edbi ho\u00e0n to\u00e0n kh\u1ecfe m\u1ea1nh.<\/p>\n – \u0110i\u1ec1u tr\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n do x\u01a1 gan<\/strong> t\u00f9y thu\u1ed9c m\u1ee9c \u0111\u1ed9 gi\u00e3n c\u1ee7a c\u00e1c t\u0129nh m\u1ea1ch n\u00e0y l\u00e0 \u0111\u1ed9 I, II, III hay IV v\u00e0 c\u00f3 k\u00e8m gi\u00e3n t\u0129nh m\u1ea1ch \u1edf d\u1ea1 d\u00e0y hay kh\u00f4ng, m\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u1ec9 l\u00e0 d\u00f9ng thu\u1ed1c u\u1ed1ng hay k\u1ebft h\u1ee3p v\u1edbi c\u1ed9t t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n b\u1ecb gi\u00e3n qua th\u1ee7 thu\u1eadt n\u1ed9i soi th\u1ef1c qu\u1ea3n – d\u1ea1 d\u00e0y.<\/p>\n – L\u00e1ch to c\u01b0\u1eddng l\u00e1ch do x\u01a1 gan kh\u00f4ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt c\u1eaft l\u00e1ch.<\/p>\n B\u1ea1n n\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n c\u00f3 chuy\u00ean khoa gan \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i ti\u1ebfp theo.<\/p>\n BS. L\u00ca TH\u1eca PH\u01af\u1ee2NG <\/strong><\/p>\n Chuy\u00ean <\/strong>Khoa gan m\u1eadt – BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a t\u00f4i: l\u00e1ch to c\u01b0\u1eddng l\u00e1ch \u0111\u1ed9 3, gi\u00e3n t\u0129nh m\u1ea1ch, gan b\u1ecb x\u01a1 giai \u0111o\u1ea1n \u0111\u1ea7u, n\u01b0\u1edbc ti\u1ec3u c\u00f3 m\u00e0u v\u00e0ng, da kh\u00f4ng b\u1ecb v\u00e0ng, t\u00ecnh tr\u1ea1ng hi\u1ec7n nay \u0103n u\u1ed1ng v\u1eabn b\u00ecnh th\u01b0\u1eddng (ki\u00eang c\u1eed bia, r\u01b0\u1ee3u, tr\u1ee9ng). Th\u1eddi gian t\u00f4i ph\u00e1t hi\u1ec7n b\u1ec7nh x\u01a1 gan v\u00e0 l\u00e1ch to l\u00e0 v\u00e0o […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-273939","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=273939"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273939\/revisions"}],"predecessor-version":[{"id":311050,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273939\/revisions\/311050"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}