{"id":280644,"date":"2024-02-19T03:31:37","date_gmt":"2024-02-18T20:31:37","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-ung-thu-gan-it-xam-lan-voi-phuong-phap-nut-mach\/"},"modified":"2025-11-10T11:47:03","modified_gmt":"2025-11-10T04:47:03","slug":"dieu-tri-ung-thu-gan-it-xam-lan-voi-phuong-phap-nut-mach","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-ung-thu-gan-it-xam-lan-voi-phuong-phap-nut-mach\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ung th\u01b0 gan \u00edt x\u00e2m l\u1ea5n v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em><strong>Ung th\u01b0 gan<\/strong> l\u00e0 ung th\u01b0 \u0111\u1ee9ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t Nam, trong \u0111\u00f3 90% s\u1ed1 ca ung th\u01b0 gan l\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (HCC). Theo Globocan 2020 (C\u01a1 quan nghi\u00ean c\u1ee9u ung th\u01b0 qu\u1ed1c t\u1ebf), t\u1ef7 l\u1ec7 m\u1eafc m\u1edbi ung th\u01b0 gan t\u1ea1i Vi\u1ec7t Nam l\u00e0 26.418 ca m\u1ed7i n\u0103m, chi\u1ebfm 14,5% t\u1ed5ng s\u1ed1 ung th\u01b0, trong \u0111\u00f3 &nbsp;77% s\u1ed1 ca ung th\u01b0 gan l\u00e0 nam gi\u1edbi. Ung th\u01b0 gan c\u00f3 s\u1ed1 ca t\u1eed vong d\u1eabn \u0111\u1ea7u v\u1edbi 25.272 ca, chi\u1ebfm 21% t\u1ed5ng s\u1ed1 t\u1eed vong do ung th\u01b0. C\u00f3 r\u1ea5t nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan hi\u1ec7u qu\u1ea3, trong s\u1ed1 \u0111\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch \u0111\u01b0\u1ee3c coi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan \u00edt x\u00e2m l\u1ea5n.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ung-th\u01b0-gan-la-gi-5-giai-do\u1ea1n-ung-th\u01b0-gan\"><strong>Ung th\u01b0 gan l\u00e0 g\u00ec? 5 giai \u0111o\u1ea1n ung th\u01b0 gan<\/strong><strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ung th\u01b0 gan<\/strong> <em>(liver cancer)<\/em> l\u00e0 b\u1ec7nh l\u00fd ung th\u01b0 x\u1ea3y ra t\u1ea1i gan, l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 kh\u00e1 th\u01b0\u1eddng g\u1eb7p hi\u1ec7n nay.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay, c\u00f3 2 lo\u1ea1i ung th\u01b0 gan: Ung th\u01b0 gan nguy\u00ean ph\u00e1t v\u00e0 ung th\u01b0 gan th\u1ee9 ph\u00e1t:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ung th\u01b0 nguy\u00ean ph\u00e1t l\u00e0 lo\u1ea1i ung th\u01b0 c\u1ee7a t\u1ebf b\u00e0o gan v\u00e0 t\u1ebf b\u00e0o \u0111\u01b0\u1eddng m\u1eadt trong gan.&nbsp;<\/li>\n\n\n\n<li>Ung th\u01b0 th\u1ee9 ph\u00e1t x\u1ea3y ra khi c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 t\u1eeb c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u00e0ng, t\u1ee5y, ph\u1ed5i, v\u00fa&#8230; theo \u0111\u01b0\u1eddng m\u00e1u \u0111\u1ebfn gan. \u0110i\u1ec1u tr\u1ecb ung th\u01b0 gan th\u1ee9 ph\u00e1t t\u00f9y thu\u1ed9c nhi\u1ec1u v\u00e0o t\u1ed5n th\u01b0\u01a1ng u nguy\u00ean ph\u00e1t<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Trong \u0111\u00f3 ung th\u01b0 t\u1ebf b\u00e0o gan m\u1ed9t trong nh\u1eefng ung th\u01b0 v\u00e0 g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u t\u1ea1i n\u01b0\u1edbc ta c\u0169ng nh\u01b0 c\u00e1c \u1edf c\u00e1c n\u01b0\u1edbc \u0110\u00f4ng \u00c1.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i BCLC (Barcelona Clinic Liver Cancer) ung th\u01b0 gan \u0111\u01b0\u1ee3c chia th\u00e0nh 05 giai \u0111o\u1ea1n d\u1ef1a v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m kh\u1ed1i u (k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng, x\u00e2m l\u1ea5n xung quanh), ch\u1ee9c n\u0103ng gan (Child-Pugh) v\u00e0 ch\u1ec9 s\u1ed1 to\u00e0n tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh PS (performance status). B\u1eb1ng c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n qua h\u00ecnh \u1ea3nh, b\u00e1c s\u0129 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh ung th\u01b0 gan. Khi bi\u1ebft \u0111\u01b0\u1ee3c giai \u0111o\u1ea1n b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 s\u1ebd \u0111\u1ec1 xu\u1ea5t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t v\u00e0 ti\u00ean l\u01b0\u1ee3ng th\u1eddi gian s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 t\u1ebf b\u00e0o gan nguy\u00ean ph\u00e1t \u0111\u01b0\u1ee3c chia th\u00e0nh 5 giai \u0111o\u1ea1n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Giai \u0111o\u1ea1n r\u1ea5t s\u1edbm (giai \u0111o\u1ea1n 0): M\u1ed9t kh\u1ed1i u. Kh\u1ed1i u nh\u1ecf h\u01a1n 2 cm. B\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb nh\u01b0 ph\u1eabu thu\u1eadt c\u1eaft u gan ho\u1eb7c \u0111\u1ed1t u qua da, t\u00f9y thu\u1ed9c v\u00e0o th\u1ec3 tr\u1ea1ng v\u00e0 ch\u1ee9c n\u0103ng gan c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.&nbsp;<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n s\u1edbm (giai \u0111o\u1ea1n A): Kh\u1ed1i u l\u1edbn h\u01a1n 2 cm nh\u01b0ng nh\u1ecf h\u01a1n 5 cm v\u00e0 c\u00f3 s\u1ed1 l\u01b0\u1ee3ng u t\u1eeb 3 tr\u1edf xu\u1ed1ng. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00fac n\u00e0y l\u00e0 \u0111\u1ed1t u gan, ph\u1eabu thu\u1eadt c\u1eaft u v\u00e0 xem x\u00e9t gh\u00e9p gan. Giai \u0111o\u1ea1n 0 v\u00e0 A th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, th\u1eddi gian s\u1ed1ng c\u00f2n tr\u00ean 5 n\u0103m.<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n trung gian (giai \u0111o\u1ea1n B): \u1ede giai \u0111o\u1ea1n n\u00e0y, kh\u1ed1i u l\u1edbn h\u01a1n 5 cm v\u00e0 c\u00f3 tr\u00ean 3 kh\u1ed1i u. \u1ede giai \u0111o\u1ea1n n\u00e0y, \u0111i\u1ec1u tr\u1ecb n\u00fat \u0111\u1ed9ng m\u1ea1ch gan hay c\u00f2n g\u1ecdi TACE (Transcatheter arterial chemoembolization) s\u1ebd \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u. Th\u1eddi gian s\u1ed1ng c\u00f2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u1edf giai \u0111o\u1ea1n n\u00e0y s\u1ebd k\u00e9m h\u01a1n, ch\u1ec9 tr\u00ean 2,5 n\u0103m.&nbsp;<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n (giai \u0111o\u1ea1n C): \u1ede giai \u0111o\u1ea1n n\u00e0y, u \u0111\u00e3 x\u00e2m l\u1ea5n v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a gan nh\u01b0: t\u0129nh m\u1ea1ch c\u1eeda, t\u0129nh m\u1ea1ch gan ho\u1eb7c x\u00e2m l\u1ea5n ngo\u00e0i gan. \u0110i\u1ec1u tr\u1ecb \u01b0u ti\u00ean giai \u0111o\u1ea1n n\u00e0y l\u00e0 li\u1ec7u ph\u00e1p tr\u00fang \u0111\u00edch.&nbsp;<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n cu\u1ed1i (giai \u0111o\u1ea1n D) l\u00e0 giai \u0111o\u1ea1n c\u00f3 bi\u1ec3u hi\u1ec7n suy gan v\u1edbi b\u1ea5t k\u1ef3 k\u00edch th\u01b0\u1edbc n\u00e0o c\u1ee7a u, \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn l\u00e0 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan hi\u1ec7n nay<\/strong><strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan hi\u1ec7n nay l\u00e0:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0110\u1ed1t kh\u1ed1i u qua da (RFA- radio frequency thermal ablation)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00e1 h\u1ee7y kh\u1ed1i u qua da. Ph\u00e1 h\u1ee7y kh\u1ed1i u b\u1eb1ng \u0111\u1ed1t s\u00f3ng cao t\u1ea7n RFA: c\u00f3 th\u1ec3 d\u00f9ng s\u00f3ng v\u00f4 tuy\u1ebfn, vi s\u00f3ng ho\u1eb7c \u0111\u1ed1t l\u1ea1nh khi u d\u01b0\u1edbi 3 cm. D\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a m\u00e1y si\u00eau \u00e2m, nh\u1eefng chi\u1ebfc kim nh\u1ecf \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0o kh\u1ed1i u qua da, t\u1eeb \u0111\u00e2y C\u00e1c lo\u1ea1i m\u00e1y kh\u00e1c sau s\u1ebd t\u1ea1o ra nhi\u1ec7t \u0111\u1ed9 cao ho\u1eb7c nhi\u1ec7t \u0111\u1ed9 r\u1ea5t th\u1ea5p \u0111\u1ec3 h\u1ee7y kh\u1ed1i ung th\u01b0. Tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 \u0111\u1ed1t u b\u1eb1ng c\u1ed3n n\u1ed3ng \u0111\u1ed9 cao (c\u00f2n g\u1ecdi l\u00e0 ti\u00eam c\u1ed3n kh\u1ed1i u gan, PEI- percutaneous ethanol injection)&nbsp; nh\u01b0ng hi\u1ec7n kh\u00f4ng c\u00f2n s\u1eed d\u1ee5ng v\u00ec hi\u1ec7u qu\u1ea3 kh\u00f4ng cao, g\u00e2y \u0111au v\u00e0 nguy c\u01a1 hu\u1ef7 ho\u1ea1i nhi\u1ec1u m\u00f4 gan l\u00e0nh l\u00e2n c\u1eadn.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>T\u1eafc m\u1ea1ch x\u1ea1 tr\u1ecb (TARE &#8211; transarterial radioembolization)<u>&nbsp;<\/u><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng th\u00f4ng nh\u1ecf xuy\u00ean t\u1eeb \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i t\u1ea1i v\u00f9ng b\u1eb9n, v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 \u0111\u1ebfn nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch nu\u00f4i u, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh ph\u00e1t b\u1ee9c x\u1ea1 beta \u0111\u1ec3 l\u00e0m t\u1eafc nh\u00e1nh m\u1ea1ch m\u00e1u n\u00e0y, t\u1eeb \u0111\u00f3 ti\u00eau di\u1ec7t kh\u1ed1i u.Ch\u1ea5t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c \u01b0u ti\u00ean s\u1eed d\u1ee5ng l\u00e0 Yttrium-90 (c\u00f2n g\u1ecdi l\u00e0 Selective Internal Radiotherapy: SIR). Ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb n\u00e0y, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 TARE (Transarterial Radioembolization). Ph\u01b0\u01a1ng ph\u00e1p ch\u1ec9 d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 kh\u1ed1i u tr\u00ean 8 cm ho\u1eb7c \u0111\u00e3 t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda khi m\u00e0 \u0111i\u1ec1u tr\u1ecb TACE kh\u00f4ng c\u00f2n nhi\u1ec1u hi\u1ec7u qu\u1ea3.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>N\u00fat \u0111\u1ed9ng m\u1ea1ch gan qua \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch (TACE &#8211; transarterial chemoembolization)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L\u00e0 ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng h\u1ea1t vi c\u1ea7u c\u00f3 g\u1eafn c\u00e1c ch\u1ea5t ch\u1ed1ng ung th\u01b0, \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o u gan qua \u1ed1ng th\u00f4ng \u0111\u1ed9ng m\u1ea1ch \u0111\u01b0a v\u00e0o t\u1eeb \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i \u1edf v\u00f9ng b\u1eb9n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 nh\u1edd 2 hi\u1ec7u \u1ee9ng: (1) t\u1eafc ho\u00e0n to\u00e0n c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i u l\u00e0m c\u1eaft ngu\u1ed3n dinh d\u01b0\u1ee1ng nu\u00f4i u, u s\u1ebd ho\u1ea1i t\u1eed. (2) C\u00e1c thu\u1ed1c ch\u1ed1ng ung th\u01b0 trong h\u1ea1t vi c\u1ea7u s\u1ebd ph\u00f3ng th\u00edch d\u1ea7n d\u1ea7n trong v\u00e0i th\u00e1ng, ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n s\u00f3t l\u1ea1i. V\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng h\u1ed3i ph\u1ee5c nhanh sau \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i n\u1ebfu b\u1ec7nh ti\u1ebfn tri\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb n\u00e0y gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i nhanh v\u00e0 c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i khi b\u1ec7nh ti\u1ebfn tri\u1ec3n. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nhi\u1ec1u nh\u1ea5t hi\u1ec7n nay.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Ph\u1eabu thu\u1eadt c\u1eaft gan<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1t \u1edf giai \u0111o\u1ea1n 1 ho\u1eb7c giai \u0111o\u1ea1n 2. Ph\u1eabu thu\u1eadt c\u1eaft gan &nbsp;ph\u00f9 h\u1ee3p v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 c\u00f3 m\u1ed9t kh\u1ed1i u duy nh\u1ea5t v\u00e0 ch\u01b0a c\u00f3 bi\u1ec3u hi\u1ec7n x\u00e2m l\u1ea5n m\u1ea1ch m\u00e1u. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u gan. C\u00e1c nh\u00e0 ph\u1eabu thu\u1eadt s\u1ebd ch\u1ecdn l\u1ef1a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eaft gan kh\u00e1c nhau nh\u1eb1m m\u1ee5c \u0111\u00edch lo\u1ea1i b\u1ecf kh\u1ed1i u v\u00e0 b\u1ea3o t\u1ed3n m\u00f4 gan l\u00e0nh t\u1ed1i \u0111a cho ng\u01b0\u1eddi b\u1ec7nh. Gan v\u1eabn c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng t\u1ed1t ngay c\u1ea3 khi c\u00f3 t\u1edbi 80% gan \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf nh\u1edd kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i v\u01b0\u1ee3t tr\u1ed9i v\u00e0 ho\u1ea1t \u0111\u1ed9ng b\u00f9 tr\u1eeb cho ph\u1ea7n gan \u0111\u00e3 c\u1eaft &nbsp;sau ph\u1eabu thu\u1eadt. V\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, t\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t u sau 5 n\u0103m&nbsp; kho\u1ea3ng 70%.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ph\u1ea3i c\u1eaft b\u1ecf to\u00e0n b\u1ed9 gan, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb gh\u00e9p gan v\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 trong th\u1eddi gian ch\u1edd \u0111\u1ee3i l\u00e1 gan hi\u1ebfn ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Li\u1ec7u ph\u00e1p sinh h\u1ecdc<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Li\u1ec7u ph\u00e1p sinh h\u1ecdc l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0m ng\u0103n ch\u1eb7n c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n ho\u1eb7c ti\u00eau di\u1ec7t ch\u00fang nh\u1edd v\u00e0o h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3. Li\u1ec7u ph\u00e1p sinh h\u1ecdc c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u1ea3 ung th\u01b0 gan nguy\u00ean ph\u00e1t v\u00e0 th\u1ee9 ph\u00e1t.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc ung th\u01b0 gan giai \u0111o\u1ea1n cu\u1ed1i, ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u nh\u1ea5t. Nh\u1eb1m m\u1ee5c ti\u00eau l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng, gi\u1ea3m \u0111au do ung th\u01b0 g\u00e2y ra v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c can thi\u1ec7p y t\u1ebf nh\u01b0: li\u1ec7u ph\u00e1p gi\u1ea3m \u0111au, \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, n\u00e2ng cao th\u1ec3 tr\u1ea1ng\u2026. s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Quy tr\u00ecnh k\u1ef9 thu\u1eadt c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan b\u1eb1ng n\u00fat m\u1ea1ch (TACE)<\/strong><strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Trong t\u1ea5t c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan (TACE l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a Transcatheter arterial chemoembolization) l\u00e0 th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nhi\u1ec1u nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi. B\u00e1c s\u0129 th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt s\u1ebd lu\u1ed3ng m\u1ed9t \u1ed1ng th\u00f4ng nh\u1ecf c\u00f3 \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 1 mm, t\u1eeb v\u00f9ng \u0111\u00f9i v\u00e0o \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i. D\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a m\u00e1y ch\u1ee5p m\u1ea1ch x\u00f3a n\u1ec1n DSA (\u0111\u01b0\u1ee3c vi\u1ebft t\u1eaft b\u1edfi c\u1ee5m t\u1eeb Digital Subtraction Angiography), \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c lu\u1ed3ng l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng v\u00e0 v\u00e0o \u0111\u1ed9ng m\u1ea1ch gan. \u1ed0ng th\u00f4ng ti\u1ebfp t\u1ee5c lu\u1ed3ng v\u00e0o \u0111\u1ed9ng m\u1ea1ch nu\u00f4i u gan. Dung d\u1ecbch h\u1ea1t vi c\u1ea7u nh\u1ecf kho\u1ea3ng 100 mcm-15 mcm c\u00f3 g\u1eafn ch\u1ea5t ch\u1ed1ng ung th\u01b0 b\u00ean trong, \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o \u0111\u1ed9ng m\u1ea1ch nu\u00f4i u, cho \u0111\u1ebfn khi \u0111\u1ed9ng m\u1ea1ch nu\u00f4i u b\u1ecb t\u1eafc ho\u00e0n to\u00e0n. Ph\u01b0\u01a1ng th\u1ee9c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9c l\u1eadp ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gan c\u00f3 2 ngu\u1ed3n cung c\u1ea5p m\u00e1u, h\u1ea7u h\u1ebft c\u00e1c t\u1ebf b\u00e0o gan b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1edfi t\u0129nh m\u1ea1ch c\u1eeda, trong khi ung th\u01b0 \u1edf gan ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1edfi \u0111\u1ed9ng m\u1ea1ch gan. T\u1eafc nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch gan nu\u00f4i kh\u1ed1i u gi\u00fap ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0, m\u00e0 kh\u00f4ng g\u00e2y t\u1ed5n h\u1ea1i \u0111\u1ebfn h\u1ea7u h\u1ebft c\u00e1c t\u1ebf b\u00e0o gan kh\u1ecfe m\u1ea1nh v\u00ec ch\u00fang \u0111\u01b0\u1ee3c cung c\u1ea5p m\u00e1u t\u1eeb t\u0129nh m\u1ea1ch c\u1eeda.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan&nbsp;<\/strong><strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u01afu \u0111i\u1ec3m l\u1edbn nh\u1ea5t c\u1ee7a ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb TACE l\u00e0 \u0111\u00e2y ch\u1ec9 l\u00e0 th\u1ee7 thu\u1eadt, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea7n g\u00e2y m\u00ea, ch\u1ec9 c\u1ea7n g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, n\u00ean ph\u1ee5c h\u1ed3i s\u1edbm. Sau th\u1ee7 thu\u1eadt 30 ph\u00fat, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng v\u00e0 sau 18 gi\u1edd, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng n\u1ebfu ung th\u01b0 gan kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt ho\u1eb7c u t\u00e1i ph\u00e1t sau ph\u1eabu thu\u1eadt. Ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan &nbsp;nh\u1eb1m &nbsp;ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a u&nbsp; trong th\u1eddi gian &nbsp;ch\u1edd gh\u00e9p gan (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p b\u1eafc c\u1ea7u).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 nhi\u1ec1u kh\u1ed1i u ho\u1eb7c kh\u1ed1i u l\u1edbn \u0111\u1ebfn 8 cm. V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p &nbsp;c\u00f3 nhi\u1ec1u u, m\u1ed9t l\u1ea7n th\u1ee7 thu\u1eadt c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u1ea5t c\u1ea3 c\u00e1c kh\u1ed1i u ho\u1eb7c. b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ecdn l\u1ef1a chia th\u00e0nh nh\u1eefng l\u1ea7n th\u1ee7 thu\u1eadt kh\u00e1c nhau, nh\u1eb1m \u0111\u1ea3m b\u1ea3o l\u01b0\u1ee3ng thu\u1ed1c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 trong m\u1ed9t l\u1ea7n kh\u00f4ng qu\u00e1 nhi\u1ec1u.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u00ecn chung, ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan c\u00f3 m\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Trong kho\u1ea3ng 2\/3 s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n kh\u1ed1i u gan ph\u00e1t tri\u1ec3n ho\u1eb7c khi\u1ebfn ch\u00fang co l\u1ea1i. L\u1ee3i \u00edch n\u00e0y k\u00e9o d\u00e0i trung b\u00ecnh \u0111\u1ebfn 2,5 n\u0103m t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i kh\u1ed1i u v\u00e0 m\u1ee9c \u0111\u1ed9 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7ng c\u1ed1.&nbsp;<\/li>\n\n\n\n<li>C\u00e1c lo\u1ea1i tr\u1ecb li\u1ec7u kh\u00e1c (c\u1eaft b\u1ecf kh\u1ed1i u, h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan \u0111\u1ec3 ki\u1ec3m so\u00e1t kh\u1ed1i u. T\u1ea5t c\u1ea3 \u0111i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u.<\/li>\n\n\n\n<li>Khi ung th\u01b0 ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf gan, h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1eed vong l\u00e0 do kh\u1ed1i u \u0111ang ph\u00e1t tri\u1ec3n g\u00e2y suy ch\u1ee9c n\u0103ng gan, ch\u1ee9 kh\u00f4ng ph\u1ea3i do ung th\u01b0 l\u00e2y lan kh\u1eafp c\u01a1 th\u1ec3. Ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch gan c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u, c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng gan v\u00e0 duy tr\u00ec ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u01b0\u01a1ng \u0111\u1ed1i b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 gan \u00edt x\u00e2m l\u1ea5n t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n<\/strong><strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng cho th\u1ea5y ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00fat m\u1ea1ch v\u1edbi thu\u1ed1c Lipiodol c\u00f3 th\u1eddi gian s\u1ed1ng th\u00eam trung b\u00ecnh l\u00e0 19.4 th\u00e1ng, 30% tr\u01b0\u1eddng h\u1ee3p s\u1ed1ng tr\u00ean 5 n\u0103m. T\u1ea1i Vi\u1ec7t Nam, \u0111\u00e3 c\u00f3 nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh n\u00fat m\u1ea1ch gan s\u1ed1ng tr\u00ean 15 n\u0103m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n l\u00e0 \u0111\u1ecba \u0111i\u1ec3m uy t\u00edn quy t\u1ee5 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 gi\u00e0u chuy\u00ean m\u00f4n v\u1edbi \u0111\u1ea7y \u0111\u1ee7 chuy\u00ean khoa, \u0111\u1eb7c bi\u1ec7t c\u00f3 nhi\u1ec1u chuy\u00ean khoa s\u00e2u nh\u01b0 khoa Ch\u1ea9n \u0111o\u00e1n H\u00ecnh \u1ea3nh, khoa Ung B\u01b0\u1edbu, khoa Ti\u00eau h\u00f3a\u2026 v.v. K\u1ebft h\u1ee3p v\u1edbi h\u1ec7 th\u1ed1ng m\u00e1y ch\u1ee5p m\u1ea1ch m\u00e1u k\u1ef9 thu\u1eadt s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n DSA can thi\u1ec7p hi\u1ec7n \u0111\u1ea1i, m\u00e1y CT, MRI c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c cao, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, thi\u1ebft k\u1ebf ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 ch\u0103m s\u00f3c to\u00e0n di\u1ec7n nh\u1eb1m t\u1ed1i \u01b0u h\u00f3a k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chung tay c\u00f9ng ng\u00e0nh y t\u1ebf trong vi\u1ec7c d\u1ef1 ph\u00f2ng v\u00e0 ph\u00f2ng ch\u1ed1ng b\u1ec7nh ung th\u01b0, trong \u0111\u00f3 c\u00f3 ung th\u01b0 gan, b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n khuy\u1ebfn c\u00e1o nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam gan virus B, C c\u1ea7n ph\u1ea3i theo d\u00f5i \u0111\u1ecbnh k\u1ef3 t\u1eeb 3 t\u1edbi 6 th\u00e1ng. B\u1ec7nh nh\u00e2n vi\u00eam gan B c\u00f3 bi\u1ec3u hi\u1ec7n x\u01a1 gan m\u1ee9c \u0111\u1ed9 n\u1eb7ng th\u00ec c\u1ea7n theo d\u00f5i s\u00e1t h\u01a1n, s\u00e0ng l\u1ecdc 3 th\u00e1ng m\u1ed9t l\u1ea7n. Nh\u1eadn th\u1ee9c nguy c\u01a1 m\u1eafc b\u1ec7nh ung th\u01b0 gan, nh\u1eefng ng\u01b0\u1eddi thu\u1ed9c nguy c\u01a1 cao n\u00ean kh\u00e1m t\u1ea7m so\u00e1t ung th\u01b0 gan \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 s\u00e0ng l\u1ecdc, ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u1edbm, t\u1eeb \u0111\u00f3 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb tr\u00e1nh nguy c\u01a1 tr\u1edf n\u1eb7ng, gi\u00fap k\u00e9o d\u00e0i cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 k\u1ef9 thu\u1eadt n\u00fat m\u1ea1ch gan TACE, b\u1ea1n vui l\u00f2ng li\u00ean h\u1ec7 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i khoa Ti\u00eau h\u00f3a, b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n <strong><a href=\"https:\/\/dangkykham.hoanmysaigon.com\/\" target=\"_blank\" rel=\"noopener\">T\u1ea0I \u0110\u00c2Y<\/a><\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 gan l\u00e0 ung th\u01b0 \u0111\u1ee9ng \u0111\u1ea7u t\u1ea1i Vi\u1ec7t Nam, trong \u0111\u00f3 90% s\u1ed1 ca ung th\u01b0 gan l\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan (HCC). Theo Globocan 2020 (C\u01a1 quan nghi\u00ean c\u1ee9u ung th\u01b0 qu\u1ed1c t\u1ebf), t\u1ef7 l\u1ec7 m\u1eafc m\u1edbi ung th\u01b0 gan t\u1ea1i Vi\u1ec7t Nam l\u00e0 26.418 ca m\u1ed7i n\u0103m, chi\u1ebfm [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-280644","post","type-post","status-publish","format-standard","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280644","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=280644"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280644\/revisions"}],"predecessor-version":[{"id":298478,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280644\/revisions\/298478"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280644"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280644"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}