{"id":972,"date":"2019-01-30T07:55:44","date_gmt":"2019-01-30T00:55:44","guid":{"rendered":"http:\/\/thuocnhatrang.com\/?p=972"},"modified":"2022-07-17T09:51:04","modified_gmt":"2022-07-17T02:51:04","slug":"nguoi-viet-bi-ung-thu-gan-nhieu-thu-4-the-gioi","status":"publish","type":"post","link":"https:\/\/demo.netsa.vn\/city-pharmacy\/nguoi-viet-bi-ung-thu-gan-nhieu-thu-4-the-gioi.html","title":{"rendered":"Ng\u01b0\u1eddi Vi\u1ec7t b\u1ecb ung th\u01b0 gan nhi\u1ec1u th\u1ee9 4 th\u1ebf gi\u1edbi"},"content":{"rendered":"
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T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh ung th\u01b0 gan c\u1ee7a ng\u01b0\u1eddi Vi\u1ec7t l\u00e0 23,2 tr\u00ean 100 ngh\u00ecn ng\u01b0\u1eddi \u1edf c\u1ea2 hai gi\u1edbi, \u0111\u1ee9ng th\u1ee9 4 to\u00e0n c\u1ea7u. M\u00f4ng C\u1ed5 \u0111\u1ee9ng th\u1ee9 nh\u1ea5t v\u1edbi t\u1ef7 l\u1ec7 93,7 tr\u00ean 100 ngh\u00ecn d\u00e2n, sau \u0111\u00f3 l\u00e0 Ai C\u1eadp v\u1edbi 32,3 v\u00e0 Gambia v\u1edbi 23,9. Trung Qu\u1ed1c c\u0169ng thu\u1ed9c nh\u00f3m n\u01b0\u1edbc b\u00e1o \u0111\u1ed9ng tr\u00ean b\u1ea3n \u0111\u1ed3 ung th\u01b0 gan th\u1ebf gi\u1edbi, v\u1edbi t\u1ef7 l\u1ec7 25,7 trong 100.000 d\u00e2n.<\/em><\/strong><\/div>\n
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Th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) n\u0103m 2018 cho th\u1ea5y ung th\u01b0 gan l\u00e0 m\u1ed9t trong 5 lo\u1ea1i g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u. \u01af\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 782 ngh\u00ecn ca t\u1eed vong m\u1ed7i n\u0103m, chi\u1ebfm 8,2% s\u1ed1 ng\u01b0\u1eddi ch\u1ebft v\u00ec ung th\u01b0 to\u00e0n c\u1ea7u.<\/p>\n

N\u0103m 2018 th\u1ebf gi\u1edbi ghi nh\u1eadn h\u01a1n 840 ngh\u00ecn ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n m\u1edbi ung th\u01b0 gan, ph\u1ea7n l\u1edbn \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Qu\u1ef9 Nghi\u00ean c\u1ee9u Ung th\u01b0 Th\u1ebf gi\u1edbi (WCRF) x\u1ebfp Vi\u1ec7t Nam trong nh\u00f3m nh\u1eefng n\u01b0\u1edbc m\u1eafc ung th\u01b0 gan cao nh\u1ea5t.<\/p>\n

TS.BS. Ph\u1ea1m Xu\u00e2n D\u0169ng, Gi\u00e1m \u0111\u1ed1c BV. Ung b\u01b0\u1edbu TP.HCM, cho bi\u1ebft n\u0103m nay \u0111\u00e1nh d\u1ea5u l\u1ea7n \u0111\u1ea7u ti\u00ean s\u1ed1 b\u1ec7nh nh\u00e2n ung th\u01b0 gan t\u1ea1i Vi\u1ec7t Nam v\u01b0\u1ee3t qua ung th\u01b0 ph\u1ed5i, x\u1ebfp th\u1ee9 nh\u1ea5t \u1edf c\u1ea3 s\u1ed1 m\u1eafc m\u1edbi l\u1eabn t\u1ef7 l\u1ec7 t\u1eed vong.<\/p>\n

T\u1ed5 ch\u1ee9c Ung th\u01b0 To\u00e0n c\u1ea7u (GLOBOCAN) th\u1ed1ng k\u00ea n\u0103m 2018 Vi\u1ec7t Nam c\u00f3 25.335 ca m\u1eafc m\u1edbi ung th\u01b0 gan v\u00e0 c\u0103n b\u1ec7nh c\u01b0\u1edbp \u0111i 25.404 sinh m\u1ea1ng. B\u1ec7nh ung th\u01b0 ph\u1ed5i x\u1ebfp th\u1ee9 hai v\u1edbi 23.667 ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n b\u1ec7nh v\u00e0 20.701 ng\u01b0\u1eddi t\u1eed vong.<\/p>\n

GS. Nguy\u1ec5n Ch\u1ea5n H\u00f9ng, Ch\u1ee7 t\u1ecbch H\u1ed9i Ung th\u01b0 Vi\u1ec7t Nam, cho bi\u1ebft ung th\u01b0 gan l\u00e0 ung th\u01b0 t\u1ebf b\u00e0o nguy\u00ean ph\u00e1t c\u1ee7a gan. \u1ede n\u01b0\u1edbc ta ung th\u01b0 gan th\u01b0\u1eddng g\u1eb7p h\u00e0ng \u0111\u1ea7u \u1edf c\u1ea3 nam l\u1eabn n\u1eef, nguy c\u01a1 \u1edf \u0111\u00e0n \u00f4ng g\u1ea5p ba l\u1ea7n ph\u1ee5 n\u1eef.B\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n s\u1edbm n\u00ean t\u1ef7 l\u1ec7 tr\u1ecb kh\u1ecfi r\u1ea5t th\u1ea5p.<\/p>\n

Theo GS. H\u00f9ng, ung th\u01b0 gan ti\u1ebfn tri\u1ec3n th\u1ea7m l\u1eb7ng, ban \u0111\u1ea7u h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Sau \u0111\u00f3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1 m\u1edd nh\u1ea1t, d\u1ec5 nh\u1ea7m l\u1eabn nh\u01b0 c\u1ea3m gi\u00e1c \u0103n kh\u00f4ng ngon, kh\u00f3 ti\u00eau, m\u1ec7t, n\u1eb7ng \u1edf d\u01b0\u1edbi b\u1edd s\u01b0\u1eddn b\u00ean ph\u1ea3i. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 khi b\u01b0\u1edbu \u0111\u00e3 lan r\u1ed9ng. Giai \u0111o\u1ea1n tr\u1ec5 c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 b\u1ee5ng tr\u01b0\u1edbng n\u01b0\u1edbc, kh\u00f4ng th\u00e8m \u0103n, m\u1ec7t m\u1ecfi, v\u00e0ng da…<\/p>\n

\"nguoi-viet-bi-ung-thu-gan-nhieu-thu-4-the-gioi-1\"<\/p>\n

G\u00e1nh n\u1eb7ng ung th\u01b0 gan \u0111\u1ebfn t\u1eeb ng\u01b0\u1eddi nhi\u1ec5m vi\u00eam gan si\u00eau vi B v\u00e0 C, th\u1ee9c\u00a0 u\u1ed1ng c\u00f3 c\u1ed3n, \u0103n th\u1ef1c ph\u1ea9m ch\u1ee9a n\u1ea5m m\u1ed1c aflatoxin.<\/p>\n

Hi\u1ec7n th\u1ebf gi\u1edbi c\u00f3 kho\u1ea3ng 325 tri\u1ec7u ng\u01b0\u1eddi \u0111ang nhi\u1ec5m virus\u00a0vi\u00eam gan b<\/a>, C, nguy hi\u1ec3m l\u00e0 ph\u1ea7n l\u1edbn kh\u00f4ng h\u1ec1 bi\u1ebft m\u00ecnh m\u1eafc b\u1ec7nh.Vi\u1ec7t Nam n\u1eb1m trong v\u00f9ng d\u1ecbch vi\u00eam gan do virus v\u1edbi s\u1ed1 m\u1eafc \u0111ang ng\u00e0y c\u00e0ng t\u0103ng nhanh. \u0110\u00e2y l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u1ee7 y\u1ebfu c\u1ee7a ung th\u01b0 gan. Vi\u00eam gan do virus B, C di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m th\u00e0nh x\u01a1 gan, g\u1eb7p \u1edf 80 – 90% b\u1ec7nh nh\u00e2n ung th\u01b0 gan.<\/p>\n

M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c g\u00e2y ung th\u01b0 gan l\u00e0 \u0111\u1ed9c t\u1ed1 n\u1ea5m m\u1ed1c aflatoxin th\u01b0\u1eddng c\u00f3 trong c\u00e1c lo\u1ea1i ng\u0169 c\u1ed1c \u1ea9m m\u1ed1c, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u bia, c\u00e1c b\u1ec7nh chuy\u1ec3n h\u00f3a nh\u01b0 gan nhi\u1ec5m m\u1ee1, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh \u1ee9 ch\u1ea5t s\u1eaft\u2026<\/p>\n

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TS. Ph\u1ea1m H\u00f9ng C\u01b0\u1eddng, Tr\u01b0\u1edfng khoa Ngo\u1ea1i 2, BV. Ung b\u01b0\u1edbu TP. HCM cho bi\u1ebft t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a ung th\u01b0 gan c\u00f2n kh\u00e1 cao.N\u1ebfu ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, th\u1eddi gian s\u1ed1ng d\u00e0i h\u01a1n. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 gan ch\u1ee7 y\u1ebfu hi\u1ec7n nay l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft gan, ph\u00e1 h\u1ee7y kh\u1ed1i u t\u1ea1i ch\u1ed7 b\u1eb1ng s\u00f3ng cao t\u1ea7n RFA hay vi s\u00f3ng MWA, n\u00fat m\u1ea1ch h\u00f3a ch\u1ea5t TACE, li\u1ec7u ph\u00e1p nh\u1eafm tr\u00fang \u0111\u00edch.<\/p>\n

C\u00e1c chuy\u00ean gia nh\u1eadn \u0111\u1ecbnh ung th\u01b0 gan \u1edf Vi\u1ec7t Nam gia t\u0103ng nhanh v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong cao l\u00e0 do ch\u1ee7ng ng\u1eeba vi\u00eam gan B ch\u01b0a \u0111\u1ea7y \u0111\u1ee7, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh vi\u00eam gan ch\u01b0a tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1eddi d\u00e2n c\u0169ng ch\u01b0a \u00fd th\u1ee9c t\u1ea7m so\u00e1t ung th\u01b0 gan \u0111\u1ecbnh k\u1ef3, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 cao nh\u01b0 nhi\u1ec5m si\u00eau vi vi\u00eam gan B, C, nghi\u1ec7n r\u01b0\u1ee3u, gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi ung th\u01b0 gan…<\/p>\n

Vi\u1ec7c t\u1ea7m so\u00e1t b\u00ean c\u1ea1nh x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng d\u1ef1a v\u00e0o si\u00eau \u00e2m, CT-scanner ho\u1eb7c ch\u1ee5p MRI.<\/p>\n

M\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o ph\u00f2ng ng\u1eeba ung th\u01b0 gan<\/strong><\/h2>\n

– N\u00ean kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 6 – 12 th\u00e1ng. N\u1ebfu c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 gan nh\u01b0 t\u0103ng men gan, gan nhi\u1ec5m m\u1ee1, vi\u00eam gan… ph\u1ea3i ch\u00fa \u00fd \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3.<\/p>\n

– Chi ph\u00ed x\u00e9t nghi\u1ec7m vi\u00eam gan hi\u1ec7n nay t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p, ch\u1ec9 kho\u1ea3ng h\u01a1n 100 ngh\u00ecn \u0111\u1ed3ng. Ng\u01b0\u1eddi ph\u00e1t hi\u1ec7n b\u1ec7nh vi\u00eam gan si\u00eau vi B, C ph\u1ea3i t\u00edch c\u1ef1c ch\u1eefa tr\u1ecb v\u00e0 t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3. Virus vi\u00eam gan l\u00e2y qua \u0111\u01b0\u1eddng m\u00e1u, quan h\u1ec7 t\u00ecnh d\u1ee5c v\u00e0 m\u1eb9 truy\u1ec1n sang con. C\u1ea7n th\u1ef1c hi\u1ec7n an to\u00e0n t\u00ecnh d\u1ee5c, kh\u00f4ng s\u1eed d\u1ee5ng chung nh\u1eefng d\u1ee5ng c\u1ee5 c\u00f3 th\u1ec3 g\u00e2y tr\u1ea7y x\u01b0\u1edbc d\u00ednh m\u00e1u nh\u01b0 b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng, kim ti\u00eam, k\u00ecm b\u1ea5m m\u00f3ng tay, d\u1ee5ng c\u1ee5 x\u0103m.<\/p>\n

– H\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia.<\/p>\n

– Tr\u00e1nh c\u00e1c h\u00f3a ch\u1ea5t g\u00e2y ung th\u01b0, kh\u00f4ng \u0103n g\u1ea1o, ng\u0169 c\u1ed1c nhi\u1ec5m n\u1ea5m m\u1ed1c aflatoxin.<\/p>\n

– Duy tr\u00ec tr\u1ecdng l\u01b0\u1ee3ng h\u1ee3p l\u00fd, tr\u00e1nh t\u0103ng c\u00e2n.<\/p>\n

– Ti\u00eam ch\u1ee7ng ph\u00f2ng ng\u1eeba virus vi\u00eam gan B, nh\u1ea5t l\u00e0 tr\u1ebb m\u1edbi sinh \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ung th\u01b0 gan trong t\u01b0\u01a1ng lai.<\/p>\n

L\u01b0\u1ee3ng ti\u00eau th\u1ee5 r\u01b0\u1ee3u bia t\u1ea1i Vi\u1ec7t Nam \u0111ang \u1edf m\u1ee9c b\u00e1o \u0111\u1ed9ng v\u1edbi h\u01a1n 305 tri\u1ec7u l\u00edt r\u01b0\u1ee3u v\u00e0 4,1 t\u1ef7 l\u00edt bia m\u1ed7i n\u0103m. T\u00ednh b\u00ecnh qu\u00e2n \u0111\u1ea7u ng\u01b0\u1eddi tr\u00ean 15 tu\u1ed5i \u1edf c\u1ea3 hai gi\u1edbi, m\u1ed9t ng\u01b0\u1eddi Vi\u1ec7t u\u1ed1ng 8,3 l\u00edt c\u1ed3n nguy\u00ean ch\u1ea5t, g\u1ea5p h\u01a1n 4 l\u1ea7n Singapore.<\/p>\n

S\u1ed1 li\u1ec7u c\u1ee7a B\u1ed9 Y t\u1ebf cho th\u1ea5y trong 5 n\u0103m t\u1eeb 2010, s\u1ed1 nam gi\u1edbi Vi\u1ec7t u\u1ed1ng r\u01b0\u1ee3u bia \u0111\u00e3 t\u0103ng 15%. M\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng Vi\u1ec7t Nam trung b\u00ecnh ti\u00eau th\u1ee5 27,4 l\u00edt c\u1ed3n nguy\u00ean ch\u1ea5t m\u1ed9t n\u0103m, x\u1ebfp th\u1ee9 2 \u0110\u00f4ng Nam \u00c1 v\u00e0 th\u1ee9 29 tr\u00ean th\u1ebf gi\u1edbi.<\/p>\n

TH\u1ea2O PH\u01af\u01a0NG<\/strong><\/p>\n

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T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh ung th\u01b0 gan c\u1ee7a ng\u01b0\u1eddi Vi\u1ec7t l\u00e0 23,2 tr\u00ean 100 ngh\u00ecn ng\u01b0\u1eddi \u1edf c\u1ea2 hai gi\u1edbi, \u0111\u1ee9ng th\u1ee9 4 to\u00e0n c\u1ea7u. M\u00f4ng C\u1ed5 \u0111\u1ee9ng th\u1ee9 nh\u1ea5t v\u1edbi t\u1ef7 l\u1ec7 93,7 tr\u00ean… Xem th\u00eam<\/a><\/p>\n","protected":false},"author":1,"featured_media":3971,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[358,357],"acf":[],"_links":{"self":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts\/972"}],"collection":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/comments?post=972"}],"version-history":[{"count":1,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts\/972\/revisions"}],"predecessor-version":[{"id":973,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/posts\/972\/revisions\/973"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/media\/3971"}],"wp:attachment":[{"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/media?parent=972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/categories?post=972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/demo.netsa.vn\/city-pharmacy\/wp-json\/wp\/v2\/tags?post=972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}