Hi\u1ec7n t\u1ea1i BV Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng tri\u1ec3n khai h\u1ed7 tr\u1ee3 20% chi ph\u00ed th\u1ef1c hi\u1ec7n c\u00e1c g\u00f3i kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 cho qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 nhu c\u1ea7u nh\u01b0: Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng; Ung th\u01b0 b\u00e0ng quang; Ung th\u01b0 d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n; Ung th\u01b0 t\u1ee5y – \u0111\u01b0\u1eddng m\u1eadt; Ung th\u01b0 gan; Ung th\u01b0 ph\u1ed5i.
\nX\u00e9t nghi\u1ec7m v\u00e0ng (gold standard test)<\/p>\n
Ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng trong y h\u1ecdc. T\u00ecm ra b\u1ec7nh v\u00e0 \u0111\u00e1nh gi\u00e1 \u0111\u00fang m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 s\u1ebd gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, hi\u1ec7u qu\u1ea3 nh\u1ea5t.
\nTh\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u1edbi c\u00e1c th\u1ee7 ph\u00e1p nh\u00ecn, s\u1edd, g\u00f5, nghe th\u1ea7y thu\u1ed1c m\u1edbi ch\u1ec9 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng c\u0103n b\u1ec7nh. Mu\u1ed1n x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n, c\u1ea7n c\u00f3 c\u00e1c x\u00e9t nghi\u1ec7m h\u1ed7 tr\u1ee3, thi\u1ebfu x\u00e9t nghi\u1ec7m ho\u1eb7c th\u1ee7 thu\u1eadt h\u1ed7 tr\u1ee3 ch\u1eafc ch\u1eafn th\u1ea7y thu\u1ed1c ho\u1eb7c kh\u00f4ng ch\u1ea9n ra ho\u1eb7c ch\u1ea9n \u0111o\u00e1n kh\u00f4ng to\u00e0n di\u1ec7n.
\nM\u1ed7i c\u0103n b\u1ec7nh \u0111\u00f2i h\u1ecfi m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft, trong \u0111\u00f3 x\u00e9t nghi\u1ec7m ch\u1ee7 ch\u1ed1t \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u00e9t nghi\u1ec7m v\u00e0ng V\u00ed d\u1ee5: Glucose ho\u1eb7c HbA1C cho \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, Ax\u00edt uric cho b\u1ec7nh g\u00fat, HBsAg cho vi\u00eam gan B, Phim X-quang x\u00e1c \u0111\u1ecbnh g\u00e3y x\u01b0\u01a1ng, Dengue NS1Ag cho s\u1ed1t xu\u1ea5t huy\u1ebft \u2026<\/p>\n
Ch\u1ec9 d\u1ea5u ung th\u01b0 (tumor marker)<\/p>\n
V\u1edbi c\u00e1c b\u1ec7nh u b\u01b0\u1edbu, ung th\u01b0 c\u0169ng c\u1ea7n nh\u1eefng x\u00e9t nghi\u1ec7m t\u01b0\u01a1ng t\u1ef1, \u0111\u00f3 l\u00e0 nh\u1eefng ch\u1ea5t do kh\u1ed1i u s\u1ea3n sinh ra, chuy\u00ean m\u00f4n g\u1ecdi l\u00e0 c\u00e1c \u201cch\u1ec9 d\u1ea5u ung th\u01b0\u201d (tumour marker), v\u00ed d\u1ee5 CEA cho u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a; CA 15-3 cho ung th\u01b0 v\u00fa…<\/p>\n
Ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 th\u01b0\u1eddng l\u00e0 c\u00e1c ph\u00e2n t\u1eed k\u00edch th\u01b0\u1edbc l\u1edbn, \u0111a s\u1ed1 l\u00e0 c\u00e1c ph\u00e2n t\u1eed ch\u1ea5t \u0111\u1ea1m c\u00f3 g\u1eafn th\u00eam ch\u1ea5t \u0111\u01b0\u1eddng ho\u1eb7c ch\u1ea5t b\u00e9o (glyco, lipoprotein), do t\u1ebf b\u00e0o ung th\u01b0 t\u1ed5ng h\u1ee3p v\u00e0 hi\u1ec7n di\u1ec7n trong m\u00e1u, trong ch\u1ea5t d\u1ecbch v\u1edbi n\u1ed3ng \u0111\u1ed9 t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n kh\u1ed1i u.<\/p>\n
M\u1ed9t ch\u1ec9 \u0111i\u1ec3m l\u00fd t\u01b0\u1edfng c\u1ea7n c\u00f3 hai \u0111\u1eb7c \u0111i\u1ec3m:
\n– M\u1ed9t l\u00e0 \u0111\u1ed9 nh\u1ea1y (Sensibility, Se) l\u00e0 n\u1ed3ng \u0111\u1ed9 nh\u1ecf nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c khi kh\u1ed1i u chuy\u1ec3n sang \u00e1c t\u00ednh: c\u00f3 \u0111\u1ed9 nh\u1ea1y \u0111\u1ebfn 100% v\u00e0 sai s\u1ed1 \u00e2m gi\u1ea3 l\u00e0 0%, t\u1ee9c l\u00e0 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n r\u1ea5t s\u1edbm trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a ung th\u01b0 v\u00e0 kh\u00f4ng h\u1ec1 b\u1ecf s\u00f3t v\u00e0
\n– Hai l\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u (Specificity, Sp) l\u00e0 kh\u1ea3 n\u0103ng ph\u00e2n \u0111\u1ecbnh ri\u00eang bi\u1ec7t cho t\u1eebng lo\u1ea1i kh\u1ed1i u: c\u00f3 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u \u0111\u1ebfn 100% v\u00e0 sai s\u1ed1 d\u01b0\u01a1ng gi\u1ea3 l\u00e0 0%, t\u1ee9c l\u00e0 ch\u1ec9 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng khi ph\u00e1t hi\u1ec7n c\u00f3 ung th\u01b0. Trong th\u1ef1c t\u1ebf kh\u00f4ng c\u00f3 ch\u1ec9 \u0111i\u1ec3m ung th\u01b0 n\u00e0o \u0111\u1ea1t \u0111\u01b0\u1ee3c hai ch\u1ec9 ti\u00eau l\u00fd t\u01b0\u1edfng tr\u00ean, cho n\u00ean c\u1ea7n ph\u1ea3i c\u00f3 b\u00e1c s\u0129 chuy\u00ean khoa kinh nghi\u1ec7m \u201clu\u1eadn gi\u1ea3i\u201d m\u1edbi c\u00f3 h\u01b0\u1edbng ch\u1ea9n tr\u1ecb ch\u00ednh x\u00e1c.<\/p>\n
Ch\u00fang ta kh\u00f4ng th\u1ec3 qu\u00e1 \u0111\u01a1n gi\u1ea3n, qu\u00e1 d\u1ec5 d\u00e0ng s\u00e0ng l\u1ecdc v\u00e0 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n b\u1ec7nh b\u1eb1ng c\u00e1ch b\u1ecf ti\u1ec1n \u0111i l\u00e0m x\u00e9t nghi\u1ec7m c\u00e1c ch\u1ec9 d\u1ea5u ung th\u01b0 \u0111\u01a1n thu\u1ea7n \u0111\u1ec3 bi\u1ebft b\u1ec7nh \u0111\u01b0\u1ee3c, m\u00e0 c\u1ea7n ph\u1ea3i c\u00f3 b\u00e1c s\u0129 kinh nghi\u1ec7m \u0111\u00e1nh gi\u00e1, ph\u1ed1i h\u1ee3p \u0111\u1ed9 nh\u1ea1y, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u c\u0169ng nh\u01b0 c\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng kh\u00e1c. V\u00ed d\u1ee5, ch\u00fang ta kh\u00f4ng th\u1ec3 \u0111\u01a1n thu\u1ea7n \u0111i l\u00e0m x\u00e9t nghi\u1ec7m AFP \u0111\u1ec3 k\u1ebft lu\u1eadn c\u00f3 ung th\u01b0 gan nguy\u00ean ph\u00e1t (HCC) hay kh\u00f4ng, m\u00e0 c\u1ea7n ph\u1ea3i c\u00f3 c\u00e1c x\u00e9t nghi\u1ec7m, c\u00e1c th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n kh\u00e1c nh\u01b0 ch\u1ee9c n\u0103ng gan, si\u00eau \u00e2m b\u1ee5ng, ch\u1ee5p CT scan ho\u1eb7c MRI…<\/p>\n
V\u00e0i ch\u1ec9 d\u1ea5u ung th\u01b0 quan tr\u1ecdng hay s\u1eed d\u1ee5ng hi\u1ec7n nay<\/p>\n
1. \u03b1FP (AFP, Alpha Feto Protein): l\u00e0 m\u1ed9t glycoprotein; s\u1ea3n sinh t\u1eeb t\u00fai ph\u00f4i (york sac) v\u00e0 gan c\u1ee7a ph\u00f4i thai; do \u0111\u00f3 c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 theo d\u00f5i thai k\u1ef3, ung th\u01b0 gan nguy\u00ean ph\u00e1t v\u00e0 u t\u1ebf b\u00e0o m\u1ea7m.
\n2. CEA (Carcino-Embrionic Antigen): l\u00e0 m\u1ed9t glycoprotein; s\u1ea3n sinh t\u1eeb ni\u00eam m\u1ea1c ru\u1ed9t, ph\u00f4i v\u00e0 thai; d\u00f9ng \u0111\u1ec3 theo d\u00f5i ung th\u01b0 d\u1ea1 d\u00e0y, ru\u1ed9t non, ru\u1ed9t gi\u00e0, ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 ph\u1ebf qu\u1ea3n.
\n3. PSA (Prostate Specific Antigen): l\u00e0 m\u1ed9t glycoprotein; s\u1ea3n sinh t\u1eeb c\u00e1c t\u1ebf b\u00e0o \u1ed1ng tuy\u1ebfn c\u1ee7a ti\u1ec1n li\u1ec7t tuy\u1ebfn; d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn \u1edf nam gi\u1edbi.
\n4. CA 15-3 (Cancer Antigen 15-3): l\u00e0 m\u1ed9t glycoprotein; s\u1ea3n sinh t\u1eeb t\u1ebf b\u00e0o ung th\u01b0 v\u00fa v\u00e0 v\u00e0i lo\u1ea1i t\u1ebf b\u00e0o bi\u1ec3u m\u00f4; d\u00f9ng \u0111\u1ec3 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.
\n5. CA 125 (Cancer Antigen 125): l\u00e0 m\u1ed9t kh\u00e1ng th\u1ec3 glycoprotein; s\u1ea3n sinh t\u1eeb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 b\u00ecnh th\u01b0\u1eddng c\u1ee7a thai v\u00e0 bi\u1ec3u m\u00f4 ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi l\u1edbn; d\u00f9ng \u0111\u1ec3 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng.
\n6. HCG (Human Chorionic Gonadotropin): l\u00e0 m\u1ed9t h\u00f3c-m\u00f4n glycoprotein; s\u1ea3n sinh t\u1eeb c\u00e1c c\u1ed9ng b\u00e0o nu\u00f4i c\u1ee7a nhau thai, t\u1ebf b\u00e0o m\u1ea7m c\u1ee7a kh\u1ed1i u; d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n u t\u1ebf b\u00e0o m\u1ea7m, u t\u1ebf b\u00e0o nu\u00f4i, thai tr\u1ee9ng.
\n7. NSE (Neuron Specific Enolase); l\u00e0 enzyme enolase \u0111\u01b0\u1ee3c sinh t\u1ed5ng h\u1ee3p b\u1edfi c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh (neurons), c\u00e1c t\u1ec3 b\u00e0o th\u1ea7n kinh-n\u1ed9i ti\u1ebft, h\u1ed3ng huy\u1ebft c\u1ea7u, ti\u1ec3u c\u1ea7u; ch\u1ec9 d\u1ea5u n\u00e0y d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 ph\u1ed5i t\u1ebf b\u00e0o nh\u1ecf (SCLC), ung th\u01b0 nguy\u00ean b\u00e0o th\u1ea7n kinh, u t\u1ee7y th\u01b0\u1ee3ng th\u1eadn (pheochromocytoma).<\/p>\n
Ban t\u01b0 v\u1ea5n s\u1ee9c kh\u1ecfe \u2013 BV Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng
\n291 Nguy\u1ec5n V\u0103n Linh, \u0110\u00e0 N\u1eb5ng<\/p>\n
———
\nHi\u1ec7n t\u1ea1i BV Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng tri\u1ec3n khai h\u1ed7 tr\u1ee3 20% chi ph\u00ed th\u1ef1c hi\u1ec7n c\u00e1c g\u00f3i kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 cho qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 nhu c\u1ea7u nh\u01b0: Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng; Ung th\u01b0 b\u00e0ng quang; Ung th\u01b0 d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n; Ung th\u01b0 t\u1ee5y – \u0111\u01b0\u1eddng m\u1eadt; Ung th\u01b0 gan; Ung th\u01b0 ph\u1ed5i.<\/p>\n
\u0110\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chi ti\u1ebft, vui l\u00f2ng li\u00ean h\u1ec7: 02363 509 808 – 02363 650 676 (M\u00e1y nh\u00e1nh 135) ho\u1eb7c email: contactus.danang@hoanmy.com.<\/p>\n
\n<\/div>\n
\n","protected":false},"excerpt":{"rendered":"
Hi\u1ec7n t\u1ea1i BV Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng tri\u1ec3n khai h\u1ed7 tr\u1ee3 20% chi ph\u00ed th\u1ef1c hi\u1ec7n c\u00e1c g\u00f3i kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 cho qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 nhu c\u1ea7u nh\u01b0: Ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng; Ung th\u01b0 b\u00e0ng quang; Ung th\u01b0 d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n; Ung th\u01b0 t\u1ee5y – \u0111\u01b0\u1eddng m\u1eadt; Ung th\u01b0 gan; […]<\/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-274018","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\/274018","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=274018"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274018\/revisions"}],"predecessor-version":[{"id":310966,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274018\/revisions\/310966"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}