{"id":282379,"date":"2025-08-15T11:00:17","date_gmt":"2025-08-15T04:00:17","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhung-van-de-can-biet-ve-khoi-u-he-tiet-nieu\/"},"modified":"2025-11-08T09:45:13","modified_gmt":"2025-11-08T02:45:13","slug":"nhung-van-de-can-biet-ve-khoi-u-he-tiet-nieu","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhung-van-de-can-biet-ve-khoi-u-he-tiet-nieu\/","title":{"rendered":"Nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1ea7n bi\u1ebft v\u1ec1 kh\u1ed1i u h\u1ec7 ti\u1ebft ni\u1ec7u"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Kh\u1ed1i u h\u1ec7 ti\u1ebft ni\u1ec7u l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a t\u1ebf b\u00e0o trong c\u00e1c c\u01a1 quan c\u1ee7a h\u1ec7 ti\u1ebft ni\u1ec7u, g\u1ed3m: th\u1eadn, ni\u1ec7u qu\u1ea3n, b\u00e0ng quang, ni\u1ec7u \u0111\u1ea1o. Ch\u00fang c\u00f3 th\u1ec3 l\u00e0 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh (ung th\u01b0), \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng b\u00e0i ti\u1ebft v\u00e0 l\u1ecdc m\u00e1u. C\u00e1c kh\u1ed1i u c\u1ee7a h\u1ec7 ni\u1ec7u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n chia d\u1ef1a tr\u00ean v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu, t\u00ednh ch\u1ea5t \u00e1c t\u00ednh hay l\u00e0nh t\u00ednh, v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 h\u1ecdc. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/hinh-u-he-tiet-nieu.jpg\" alt=\"\" class=\"wp-image-175615\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">U th\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">U l\u00e0nh t\u00ednh (nang th\u1eadn, U m\u1ea1ch m\u00e1u c\u01a1 m\u1ee1); u \u00e1c t\u00ednh (ung th\u01b0 t\u1ebf b\u00e0o th\u1eadn-RCC), t\u1ef7 l\u1ec7 u th\u1eadn d\u1ea1ng nang l\u00e0nh t\u00ednh chi\u1ebfm 80,6%, trong khi t\u1ef7 l\u1ec7 \u00e1c t\u00ednh l\u00e0 19,4%. Ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o th\u1eadn d\u1ea1ng nang l\u00e0 lo\u1ea1i t\u01b0\u01a1ng \u0111\u1ed1i hi\u1ebfm g\u1eb7p, chi\u1ebfm kho\u1ea3ng 3\u201315% trong s\u1ed1 t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o th\u1eadn.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ung th\u01b0 b\u1ec3 th\u1eadn v\u00e0 ni\u1ec7u qu\u1ea3n<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ch\u1ec9 chi\u1ebfm t\u1eeb 5-10% ung th\u01b0 bi\u1ec3u m\u00f4 c\u1ee7a to\u00e0n b\u1ed9 \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u (\u0111\u00e0i th\u1eadn, b\u1ec3 th\u1eadn, ni\u1ec7u qu\u1ea3n, b\u00e0ng quang v\u00e0 ni\u1ec7u \u0111\u1ea1o), v\u1edbi t\u1ea7n su\u1ea5t m\u1eafc kho\u1ea3ng 1-2 tr\u01b0\u1eddng h\u1ee3p\/100.000&nbsp; ng\u01b0\u1eddi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">B\u00e0ng quang<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e0ng quang l\u00e0 u l\u00e0nh t\u00ednh (Polyp b\u00e0ng quang); u \u00e1c t\u00ednh (Ung th\u01b0 TB chuy\u1ec3n ti\u1ebfp chi\u1ebfm h\u01a1n 90% tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 b\u00e0ng quang). Ung th\u01b0 b\u00e0ng quang (UTBQ) v\u1eabn l\u00e0 b\u1ec7nh \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. N\u0103m 2018, UTBQ \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf 549.393 b\u1ec7nh nh\u00e2n v\u00e0 199.922 ng\u01b0\u1eddi t\u1eed vong v\u00ec c\u0103n b\u1ec7nh n\u00e0y tr\u00ean to\u00e0n th\u1ebf gi\u1edbi [17].&nbsp; \u1ede Vi\u1ec7t Nam, b\u1ec7nh g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn 40-70 tu\u1ed5i (78%), nam nhi\u1ec1u h\u01a1n n\u1eef.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ni\u1ec7u \u0111\u1ea1o<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">U \u00e1c t\u00ednh hi\u1ebfm g\u1eb7p nh\u01b0ng c\u00f3 th\u1ec3 li\u00ean quan ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o v\u1ea3y .<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00ec \u0111\u1ea1i l\u00e0nh t\u00ednh tuy\u1ebfn ti\u1ec1n li\u1ec7t (P\u0110LTTTL) v\u00e0 ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t (UTTTL) l\u00e0 hai b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ea1i Vi\u1ec7t Nam, UTTTL \u0111\u1ee9ng th\u1ee9 5 v\u1ec1 t\u1ec9 l\u1ec7 m\u1eafc m\u1edbi v\u00e0 th\u1ee9 7 v\u1ec1 t\u1ec9 l\u1ec7 t\u1eed vong, v\u1edbi 6.248 ca m\u1eafc m\u1edbi v\u00e0 2.628 ca t\u1eed vong trong n\u0103m 2020.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ph\u00ec \u0111\u1ea1i l\u00e0nh t\u00ednh tuy\u1ebfn ti\u1ec1n li\u1ec7t (BPH) l\u00e0 b\u1ec7nh t\u0103ng theo tu\u1ed5i, v\u1edbi t\u1ea7n su\u1ea5t l\u1ea7n l\u01b0\u1ee3t kho\u1ea3ng 50% \u1edf tu\u1ed5i 60, 70% \u1edf tu\u1ed5i 70 v\u00e0 90% \u1edf tu\u1ed5i 90.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t (Prostate cancer) l\u00e0 b\u1ec7nh \u00e1c t\u00ednh, \u0111\u1ee9ng th\u1ee9 2 v\u1ec1 t\u1ec9 l\u1ec7 m\u1eafc m\u1edbi to\u00e0n c\u1ea7u v\u1edbi 1.414.259 ca v\u00e0 th\u1ee9 5 v\u1ec1 t\u1ec9 l\u1ec7 t\u1eed vong v\u1edbi 375.304 ca.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ung th\u01b0 tinh ho\u00e0n<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ung th\u01b0 tinh ho\u00e0n (UTTH) l\u00e0 kh\u1ed1i u r\u1eafn ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nam gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i 15\u201335.<\/li>\n\n\n\n<li>Y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh bao g\u1ed3m:\n<ul class=\"wp-block-list\">\n<li>Tinh ho\u00e0n \u1ea9n (cryptorchidism): nguy c\u01a1 m\u1eafc UTTH cao g\u1ea5p 3,5\u201311 l\u1ea7n so v\u1edbi nam gi\u1edbi b\u00ecnh th\u01b0\u1eddng.<\/li>\n\n\n\n<li>Tinh ho\u00e0n teo ho\u1eb7c kh\u00f4ng ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng.<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc UTTH.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>T\u1ef7 l\u1ec7 UTTH li\u00ean quan \u0111\u1ebfn tinh ho\u00e0n kh\u00f4ng xu\u1ed1ng b\u00ecu dao \u0111\u1ed9ng kho\u1ea3ng 3,5% \u2013 14,5%.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Trong c\u00e1c lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn, ung th\u01b0 bi\u1ec3u m\u00f4 ti\u1ebft ni\u1ec7u \u0111\u1ee9ng th\u1ee9 7 \u1edf nam gi\u1edbi v\u00e0 th\u1ee9 10 \u1edf c\u1ea3 hai gi\u1edbi. Trong nh\u00f3m n\u00e0y, ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn v\u00e0 ung th\u01b0 b\u00e0ng quang g\u1eb7p nhi\u1ec1u h\u01a1n so v\u1edbi ung th\u01b0 \u1edf th\u1eadn, ni\u1ec7u qu\u1ea3n hay tinh ho\u00e0n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh g\u1ed3m: nam gi\u1edbi, tu\u1ed5i cao, ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh, \u0111\u1ed9t bi\u1ebfn gen, v\u00e0 ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, c\u00e1c kh\u1ed1i u h\u1ec7 ni\u1ec7u c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh ung th\u01b0, d\u1eabn \u0111\u1ebfn t\u1ef7 l\u1ec7 t\u1eed vong cao v\u00e0 g\u00e1nh n\u1eb7ng kinh t\u1ebf, y t\u1ebf.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do \u0111\u00f3, t\u1ea7m so\u00e1t kh\u1ed1i u h\u1ec7 ni\u1ec7u \u0111\u1ecbnh k\u1ef3 l\u00e0 c\u1ea7n thi\u1ebft cho nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1, gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 ng\u0103n ng\u1eeba ti\u1ebfn tri\u1ec3n ung th\u01b0.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[1] Nguy\u1ec5n Minh An (2024). Nghi\u00ean c\u1ee9u \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh nh\u00e2n ung th\u01b0 th\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt n\u1ed9i soi t\u1ea1i b\u1ec7nh vi\u1ec7n xanh p\u00f4n.&nbsp;T\u1ea1p Ch\u00ed Y H\u1ecdc Vi\u1ec7t Nam 535(2). doi:10.51298\/vmj.v535i2.8525.<br>[2] <em>B\u1ed9 m\u00f4n \u0110i\u1ec1u d\u01b0\u1ee1ng \u0111a khoa h\u1ec7 Ngo\u1ea1i (2024), Gi\u00e1o tr\u00ecnh \u0110i\u1ec1u d\u01b0\u1ee1ng ngo\u1ea1i khoa, Tr\u01b0\u1eddng \u0110HYDCT.<\/em><br>[3] <em>M\u00e3 H\u1ed3ng C\u1ea7u, V\u0169 Ng\u1ecdc Quy\u1ebft, L\u00ea Nguy\u00ean V\u0169.\u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u00eau tr\u1ecb ph\u1eabu thu\u1eadt u \u0111\u01b0\u1eddng b\u00e0i xu\u1ea5t ti\u1ebft ni\u1ec7u tr\u00ean t\u1ea1i B\u1ec7nh vi\u1ec7n \u0111a khoa t\u1ec9nh H\u00e0 Giang t\u1eeb n\u0103m 2015 \u0111\u1ebfn 2023. T\u1ea1p ch\u00ed Y h\u1ecdc Vi\u1ec7t Nam. 2023;529(1B):334-338.<\/em><br>[4] <em>Nguy\u1ec5n Ph\u00fac C\u01b0\u01a1ng, Nguy\u1ec5n S\u1ef9 L\u00e1nh, and Nguy\u1ec5n Ph\u01b0\u01a1ng H\u1ed3ng (2002). Nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh gi\u1ea3i ph\u1eabu b\u1ec7nh c\u1ee7a ung th\u01b0 bi\u1ec3u m\u00f4 \u0111\u00e0i b\u1ec3 th\u1eadn (B\u00e1o c\u00e1o khoa h\u1ecdc t\u1ea1i b\u1ec7nh vi\u1ec7n Vi\u1ec7t \u0110\u1ee9c- H\u00e0 N\u1ed9i,vol. pp)<\/em><br>[5] <em>L\u00ea Thanh \u0110\u1ee9c, B\u00f9i Th\u00e0nh L\u1eadp (2023).<a href=\"https:\/\/doi.org\/10.52852\/tcncyh.v160i12V2.1287\" target=\"_blank\" rel=\"noopener\"> \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1eadn l\u00e2m s\u00e0ng v\u00e0 th\u1eddi gian s\u1ed1ng th\u00eam c\u1ee7a b\u1ec7nh nh\u00e2n ung th\u01b0 tinh ho\u00e0n t\u1ea1i B\u1ec7nh vi\u1ec7n K<\/a>.&nbsp;T\u1ea1p Ch\u00ed Nghi\u00ean C\u1ee9u Y H\u1ecdc, 160 (12V2), 190-197 <\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Kh\u1ed1i u h\u1ec7 ti\u1ebft ni\u1ec7u l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a t\u1ebf b\u00e0o trong c\u00e1c c\u01a1 quan c\u1ee7a h\u1ec7 ti\u1ebft ni\u1ec7u, g\u1ed3m: th\u1eadn, ni\u1ec7u qu\u1ea3n, b\u00e0ng quang, ni\u1ec7u \u0111\u1ea1o. Ch\u00fang c\u00f3 th\u1ec3 l\u00e0 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh (ung th\u01b0), \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng b\u00e0i ti\u1ebft v\u00e0 l\u1ecdc m\u00e1u. C\u00e1c kh\u1ed1i u c\u1ee7a [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":273172,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282379","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282379","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=282379"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282379\/revisions"}],"predecessor-version":[{"id":295778,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282379\/revisions\/295778"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/273172"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}