Kh\u1ed1i u trong gan<\/figcaption><\/figure>\n\u0110\u1ec3 ph\u00e1t hi\u1ec7n u gan \u00e1c t\u00ednh, b\u00e1c s\u0129 ph\u1ea3i ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh. C\u00e1c d\u1ea5u hi\u1ec7u th\u01b0\u1eddng g\u1eb7p nh\u01b0 \u0111au b\u1ee5ng \u1edf v\u00f9ng gan, v\u00e0ng da, m\u1ec7t m\u1ecfi, s\u1ee9c kh\u1ecfe gi\u1ea3m r\u00f5 r\u1ec7t, ch\u00e1n \u0103n, c\u00f3 tr\u01b0\u1eddng h\u1ee3p kh\u1ed1i u nh\u00f4 l\u00ean \u1edf h\u1ea1 s\u01b0\u1eddn ph\u1ea3i. <\/span><\/span><\/p>\n\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c th\u00ec b\u00e1c s\u0129 s\u1ebd y\u00eau c\u1ea7u x\u00e9t nghi\u1ec7m gan, si\u00eau \u00e2m, x\u00e9t nghi\u1ec7m m\u00e1u, ch\u1ee5p CT scanner, x\u00e9t nghi\u1ec7m <\/span>\u03b1<\/span>-Fetoprotein trong m\u00e1u,\u2026 Ngo\u00e0i ra, \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c c\u1ea7n l\u00e0m sinh thi\u1ebft kh\u1ed1i u \u0111\u1ec3 gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/span><\/span><\/p>\n\u0110\u1ed1i v\u1edbi u gan l\u00e0nh t\u00ednh th\u00ec s\u1ebd \u0111\u01a1n gi\u1ea3n h\u01a1n s\u1ebd xu\u1ea5t hi\u1ec7n m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng v\u1edbi u gan \u00e1c t\u00ednh nh\u01b0 \u0111au v\u00f9ng gan, m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, s\u1ee5t c\u00e2n, t\u1ee9c b\u1ee5ng, \u0111au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i. <\/span><\/p>\nXu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean n\u00ean \u0111i kh\u00e1m x\u00e9t nghi\u1ec7m, n\u1ebfu k\u1ebft qu\u1ea3 l\u00e0 u gan l\u00e0nh t\u00ednh th\u00ec b\u1ea1n c\u00f3 th\u1ec3 y\u00ean t\u00e2m. Th\u01b0\u1eddng xuy\u00ean kh\u00e1m \u0111\u1ecbnh k\u1ef3 1 th\u00e1ng 1 l\u1ea7n \u0111\u1ec3 ki\u1ec3m tra, r\u00e0 so\u00e1t k\u1ecbp th\u1eddi kh\u1ed1i u, ng\u0103n ng\u1eeba b\u1ec7nh ung th\u01b0 ph\u00e1t tri\u1ec3n.<\/span><\/p>\n<\/span>U gan l\u00e0nh t\u00ednh<\/b><\/span><\/span><\/h2>\nU gan l\u00e0nh t\u00ednh l\u00e0 kh\u1ed1i u c\u00f3 trong gan b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng l\u00e2y lan ho\u1eb7c di c\u0103n \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. Kh\u1ed1i u c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n b\u1ea5t c\u1ee9 \u0111\u00e2u, tuy nhi\u00ean nhi\u1ec1u ng\u01b0\u1eddi khi ph\u00e1t hi\u1ec7n ra v\u1eabn r\u1ea5t lo s\u1ee3 v\u00e0 hoang mang. <\/span><\/p>\nNh\u01b0ng \u0111a ph\u1ea7n kh\u1ed1i u l\u00e0nh t\u00ednh ph\u00e1t tri\u1ec3n ch\u1eadm, kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng, t\u00ecnh tr\u1ea1ng c\u0169ng x\u1ea3y ra ph\u1ed5 bi\u1ebfn v\u00e0 c\u00e1ch ch\u1eefa tr\u1ecb d\u1ee9t \u0111i\u1ec3m n\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 y\u00ean t\u00e2m.<\/span><\/p>\n
u gan l\u00e0nh t\u00ednh<\/figcaption><\/figure>\n<\/span>Tri\u1ec7u ch\u1ee9ng u gan l\u00e0nh t\u00ednh<\/b><\/span><\/span><\/h3>\nC\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n u gan l\u00e0nh t\u00ednh th\u00f4ng qua c\u00e1c x\u00e9t nghi\u1ec7m, k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n c\u1ee7a b\u00e1c s\u0129. C\u00e1c d\u1ea5u hi\u1ec7u b\u00ean ngo\u00e0i th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. <\/span><\/p>\nKh\u1ed1i u l\u00e0nh t\u00ecnh c\u00f3 k\u00edch th\u01b0\u1edbc kh\u00f4ng l\u1edbn, kh\u00f4ng g\u00e2y \u0111au hay kh\u00f3 ch\u1ecbu. Tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 \u0111au v\u00f9ng gan, m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, s\u1ed1t, gi\u1ea3m c\u00e2n, \u0111\u1ed5 m\u1ed3 h\u00f4i v\u00e0o ban \u0111\u00eam,<\/span><\/p>\nC\u00e1c kh\u1ed1i u th\u01b0\u1eddng ch\u1ec9 kh\u1edfi ph\u00e1t \u1edf m\u1ed9t v\u1ecb tr\u00ed ban \u0111\u1ea7u v\u00e0 \u00edt thay \u0111\u1ed5i k\u00edch th\u01b0\u1edbc, n\u1ebfu thay \u0111\u1ed5i th\u00ec to h\u01a1n k\u00edch th\u00edch ban \u0111\u1ea7u kh\u00f4ng nhi\u1ec1u. Ch\u00fang ph\u00e1t tri\u1ec3n ch\u1eadm v\u00e0 \u00e2m th\u1ea7m c\u0169ng t\u00f9y thu\u1ed9c v\u00e0o m\u1ed7i b\u1ec7nh nh\u00e2n.<\/span><\/p>\n<\/span>U gan l\u00e0nh t\u00ednh c\u00f3 c\u1ea7n ph\u1eabu thu\u1eadt kh\u00f4ng?<\/b><\/span><\/span><\/h3>\nBan \u0111\u1ea7u khi ph\u00e1t hi\u1ec7n b\u1ec7nh th\u00ec s\u1ebd d\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u00fap gi\u1ea3m \u0111au ho\u1eb7c \u1ee9c ch\u1ebf kh\u00f4ng cho kh\u1ed1i u ph\u00e1t tri\u1ec3n h\u00ecnh th\u00e0nh l\u1edbn h\u01a1n. N\u1ebfu kh\u1ed1i u v\u1eabn kh\u00f4ng tan th\u00ec b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt nh\u1eb1m m\u1ee5c \u0111\u00edch tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 c\u00e1c c\u01a1 quan tr\u1ecdng nh\u01b0 m\u1ea1ch m\u00e1u, th\u1ea7n kinh.<\/span><\/p>\nB\u00ean c\u1ea1nh \u0111\u00f3, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u00e0ng ng\u00e0y c\u0169ng r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 k\u1ebft h\u1ee3p ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1eefa b\u1ec7nh nhanh kh\u1ecfi. N\u00ean ch\u00fa \u00fd \u0111\u1ebfn nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 \u0111i kh\u00e1m, x\u00e9t nghi\u1ec7m ngay ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng ng\u1eeba b\u1ec7nh, kh\u00f4ng \u0111\u1ec3 t\u00ecnh tr\u1ea1ng ph\u00e1t hi\u1ec7n ch\u1eadm tr\u1ec5 x\u1ea3y ra.\u00a0<\/span><\/p>\n<\/span>U gan \u00e1c t\u00ednh<\/b><\/span><\/span><\/h2>\nU gan \u00e1c t\u00ednh l\u00e0 b\u1ec7nh nguy hi\u1ec3m v\u1edbi t\u1ec9 l\u1ec7 t\u1eed vong r\u1ea5t cao, c\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng trong gan s\u1ebd t\u0103ng tr\u01b0\u1edfng v\u00e0 ph\u00e1t tri\u1ec3n kh\u00f4ng ki\u1ec3m so\u00e1t. T\u1eeb \u0111\u00f3 t\u1eadp h\u1ee3p l\u1ea1i h\u00ecnh th\u00e0nh n\u00ean kh\u1ed1i u, x\u00e2m l\u1ea5n \u0111\u1ebfn h\u1ec7 b\u1ea1ch huy\u1ebft v\u00e0 di c\u0103n ra nhi\u1ec1u c\u01a1 quan kh\u00e1c. <\/span><\/p>\nGan l\u00e0 m\u1ed9t c\u01a1 quan l\u1edbn nh\u1ea5t v\u00e0 r\u1ea5t quan tr\u1ecdng c\u1ee7a c\u01a1 th\u1ec3, n\u00f3 gi\u00fap lo\u1ea1i b\u1ecf \u0111\u1ed9c t\u1ed1, ti\u00eau h\u00f3a th\u1ee9c \u0103n v\u00e0 gi\u00fap d\u1ef1 tr\u1eef n\u0103ng l\u01b0\u1ee3ng. Khi b\u1ecb u gan \u00e1c t\u00ednh, th\u00ec c\u00e1c ch\u1ee9c n\u0103ng n\u00e0y s\u1ebd kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c t\u1eeb \u0111\u00f3 g\u00e2y n\u00ean nh\u1eefng t\u00e1c h\u1ea1i nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3.\u00a0<\/span><\/p>\n\u1ede n\u01b0\u1edbc ta, t\u1ec9 l\u1ec7 ng\u01b0\u1eddi b\u1ecb u gan \u00e1c t\u00ednh ng\u00e0y c\u00e0ng t\u0103ng. N\u0103m 2000 ch\u1ec9 c\u00f3 5700 ca, \u0111\u1ebfn n\u0103m 2010, con s\u1ed1 \u0111\u00e3 t\u0103ng l\u00ean 9400 ca. Tr\u01b0\u1eddng h\u1ee3p t\u1eed vong l\u00e0 r\u1ea5t cao, c\u00f3 \u0111\u1ebfn 80 \u0111\u1ebfn 90% ng\u01b0\u1eddi b\u1ec7nh m\u1edbi ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c khi b\u1ec7nh \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n. L\u00fac n\u00e0y th\u00ec c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0169ng \u0111\u00e3 b\u1ecb h\u1ea1n ch\u1ebf.<\/span><\/p>\n
u gan \u00e1c t\u00ednh<\/figcaption><\/figure>\n<\/span>Tri\u1ec7u ch\u1ee9ng u gan \u00e1c t\u00ednh<\/b><\/span><\/span><\/h3>\nKhi m\u1eafc b\u1ec7nh u gan \u00e1c t\u00ednh s\u1ebd c\u00f3 m\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng sau:<\/span><\/p>\n\n- M\u1ec7t m\u1ecfi: M\u1eb7c d\u00f9 kh\u00f4ng l\u00e0m vi\u1ec7c g\u00ec n\u1eb7ng nh\u01b0ng b\u1ea1n v\u1eabn lu\u00f4n trong tr\u1ea1ng th\u00e1i m\u1ec7t m\u1ecfi, m\u1ea5t kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng. T\u1eeb \u0111\u00f3 g\u00e2y s\u1ee5t c\u00e2n nhanh, c\u00f3 th\u1ec3 gi\u1ea3m t\u1eeb 5kg \u0111\u1ebfn 6kg trong v\u00f2ng 1 th\u00e1ng.<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: Khi c\u00e1c ch\u1ee9c n\u0103ng gan \u0111\u00e3 b\u1eaft \u0111\u1ea7u suy gi\u1ea3m, k\u00e9o theo h\u1ec7 ti\u00eau h\u00f3a b\u1ecb r\u1ed1i lo\u1ea1n, t\u1eeb \u0111\u00f3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, \u0111au b\u1ee5ng, tr\u01b0\u1edbng b\u1ee5ng, \u0111\u1ea7y h\u01a1i m\u1eb7c d\u00f9 b\u1ea1n kh\u00f4ng \u0103n g\u00ec. \u1ede giai \u0111o\u1ea1n cu\u1ed1i th\u00ec khi \u0111i \u0111\u1ea1i ti\u1ec7n s\u1ebd c\u00f3 ch\u1ea5t nh\u1ea7y, ph\u00e2n n\u00e1t v\u00e0 \u0111i nhi\u1ec1u l\u1ea7n trong ng\u00e0y.<\/span><\/li>\n
- Ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng: \u0110\u00e2y l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng c\u0169ng li\u00ean quan \u0111\u1ebfn u gan \u00e1c t\u00ednh. Nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh th\u01b0\u1eddng s\u1ebd ch\u1ea3y m\u00e1u \u1edf n\u01b0\u1edbu r\u0103ng, xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u do gan b\u1ecb c\u00e1c t\u1ebf b\u00e0o u \u00e1c t\u00ednh t\u1ea5n c\u00f4ng, g\u00e2y h\u1ea1i.<\/span><\/li>\n
- V\u00e0ng da: \u0110a s\u1ed1 \u0111\u1ec1u c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00e0y, xu\u1ea5t hi\u1ec7n \u0111\u1ebfn 85%. N\u1ebfu b\u1ec7nh \u1edf giai \u0111o\u1ea1n cu\u1ed1i th\u00ec l\u00fac n\u00e0y kh\u1ed1i u \u0111\u00e3 l\u1edbn d\u1ea7n, qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a c\u00e1c ch\u1ea5t, m\u1eadt trong c\u01a1 th\u1ec3 gi\u1ea3m r\u00f5 r\u1ec7t, n\u1ed3ng \u0111\u1ed9 bilirubin t\u0103ng cao g\u00e2y v\u00e0ng da, n\u01b0\u1edbc ti\u1ec3u m\u00e0u s\u1eabm, v\u00e0ng m\u1eaft, ng\u1ee9a tr\u00ean da.\u00a0<\/span><\/li>\n<\/ul>\n
<\/span>U gan \u00e1c t\u00ednh s\u1ed1ng \u0111\u01b0\u1ee3c bao l\u00e2u?<\/b><\/span><\/span><\/h3>\n\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh \u1edf giai \u0111o\u1ea1n s\u1edbm th\u00ec v\u1eabn c\u00f2n c\u01a1 h\u1ed9i \u0111\u1ec3 ch\u1eefa tr\u1ecb. D\u00f9ng bi\u1ec7n ph\u00e1p ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n gan b\u1ecb u v\u00e0 m\u1ed9t s\u1ed1 v\u00f9ng nh\u1ecf \u1edf m\u00f4 xung quanh. <\/span><\/p>\nN\u1ebfu ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c b\u1ed3i b\u1ed5 s\u1ee9c kh\u1ecfe t\u1ed1t th\u00ec s\u1ebd k\u00e9o d\u00e0i th\u00eam \u0111\u01b0\u1ee3c 5 n\u0103m. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p s\u1ebd s\u1ed1ng ng\u1eafn h\u01a1n ho\u1eb7c d\u00e0i h\u01a1n c\u00f2n t\u00f9y thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0: th\u1ec3 l\u1ef1c, kinh t\u1ebf gia \u0111\u00ecnh, m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 c\u1ee7a b\u1ec7nh, n\u01a1i \u0111i\u1ec1u tr\u1ecb.\u00a0<\/span><\/p>\nKhi kh\u1ed1i u v\u1eabn c\u00f2n nh\u1ecf v\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00ec c\u00f3 th\u1ec3 kh\u1ed1ng ch\u1ebf k\u1ecbp th\u1eddi gi\u00fap ch\u00fang ta s\u1ed1ng l\u00e2u h\u01a1n, n\u1ebfu b\u1ec7nh \u0111\u00e3 \u1edf giai \u0111o\u1ea1n cu\u1ed1i m\u1edbi ph\u00e1t hi\u1ec7n ra th\u00ec b\u1ec7nh nh\u00e2n ch\u1ec9 s\u1ed1ng \u0111\u01b0\u1ee3c th\u00eam t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng.\u00a0<\/span><\/p>\nM\u1ed9t \u0111i\u1ec1u \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u00f3 l\u00e0 lu\u00f4n ph\u1ea3i gi\u1eef tinh th\u1ea7n l\u1ea1c quan, y\u00eau \u0111\u1eddi, kh\u00f4ng n\u1ea3n ch\u00ed, bu\u1ed3n ch\u00e1n. Bi\u1ec7n ph\u00e1p tinh th\u1ea7n n\u00e0y t\u01b0\u1edfng ch\u1eebng nh\u01b0 kh\u00f4ng quan tr\u1ecdng nh\u01b0ng n\u00f3 quan tr\u1ecdng kh\u00f4ng k\u00e9m ph\u1eabu thu\u1eadt, tinh th\u1ea7n l\u1ea1c quan, vui v\u1ebb, c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n k\u00e9o d\u00e0i \u0111\u01b0\u1ee3c th\u00eam tu\u1ed5i th\u1ecd.<\/span><\/p>\n