{"id":329,"date":"2026-04-09T02:03:25","date_gmt":"2026-04-09T02:03:25","guid":{"rendered":"http:\/\/localhost\/vietmediclinic\/?p=329"},"modified":"2026-10-06T04:21:56","modified_gmt":"2026-10-06T04:21:56","slug":"phau-thuat-cat-bo-u-vu-giai-phap-bao-ton-hieu-qua-trong-dieu-tri-ung-thu-vu-giai-doan-som","status":"publish","type":"post","link":"https:\/\/view.vietmediclinic.com\/?p=329","title":{"rendered":"PH\u1eaaU THU\u1eacT C\u1eaeT B\u1ece U V\u00da: GI\u1ea2I PH\u00c1P B\u1ea2O T\u1ed2N HI\u1ec6U QU\u1ea2 TRONG \u0110I\u1ec0U TR\u1eca UNG TH\u01af V\u00da GIAI \u0110O\u1ea0N S\u1edaM"},"content":{"rendered":"<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u v\u00fa l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn \u0111\u1ed1i v\u1edbi ung th\u01b0 v\u00fa giai \u0111o\u1ea1n s\u1edbm, \u0111\u1ed3ng th\u1eddi v\u1eabn \u0111\u1ea3m b\u1ea3o y\u1ebfu t\u1ed1 th\u1ea9m m\u1ef9 cho ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt thu\u1ed9c nh\u00f3m ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n v\u00fa, trong \u0111\u00f3 b\u00e1c s\u0129 s\u1ebd lo\u1ea1i b\u1ecf kh\u1ed1i u c\u00f9ng v\u1edbi m\u1ed9t ph\u1ea7n m\u00f4 v\u00fa l\u00e0nh xung quanh \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o lo\u1ea1i b\u1ecf tri\u1ec7t \u0111\u1ec3 t\u1ebf b\u00e0o ung th\u01b0 nh\u01b0ng v\u1eabn gi\u1eef l\u1ea1i ph\u1ea7n l\u1edbn c\u1ea5u tr\u00fac t\u1ef1 nhi\u00ean c\u1ee7a v\u00fa.<\/span><\/p>\n<h2 style=\"text-align: justify\"><span style=\"font-size: 110%;color: #09809e\">Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u v\u00fa l\u00e0 g\u00ec?<\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, b\u00e1c s\u0129 kh\u00f4ng c\u1eaft b\u1ecf to\u00e0n b\u1ed9 v\u00fa m\u00e0 ch\u1ec9 lo\u1ea1i b\u1ecf v\u00f9ng m\u00f4 b\u1ecb b\u1ec7nh. Nh\u1edd \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 duy tr\u00ec h\u00ecnh d\u1ea1ng g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng c\u1ee7a v\u00fa sau ph\u1eabu thu\u1eadt. Th\u1ee7 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi g\u00e2y t\u00ea c\u1ee5c b\u1ed9 k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c an th\u1ea7n, ho\u1eb7c g\u00e2y m\u00ea to\u00e0n th\u00e2n t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n ung th\u01b0 v\u00fa \u0111\u1ec1u ph\u00f9 h\u1ee3p v\u1edbi ph\u01b0\u01a1ng ph\u00e1p c\u1eaft b\u1ecf u v\u00fa. Nh\u1eefng ng\u01b0\u1eddi th\u00edch h\u1ee3p th\u01b0\u1eddng:<\/span><\/p>\n<ul>\n<li style=\"text-align: justify\"><span style=\"font-size: 110%\">C\u00f3 kh\u1ed1i u k\u00edch th\u01b0\u1edbc nh\u1ecf, \u0111\u01b0\u1eddng k\u00ednh d\u01b0\u1edbi 5cm<\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"font-size: 110%\">C\u00f3 \u0111\u1ee7 m\u00f4 \u0111\u1ec3 sau khi c\u1eaft b\u1ecf c\u00e1c m\u00f4 xung quanh v\u1eabn \u0111\u1ea3m b\u1ea3o t\u00ednh c\u00e2n \u0111\u1ed1i, gi\u00fap v\u00fa kh\u00f4ng b\u1ecb l\u1ec7ch<\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"font-size: 110%\">C\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung b\u1eb1ng x\u1ea1 tr\u1ecb sau ph\u1eabu thu\u1eadt, v\u00ec \u0111\u00e2y l\u00e0 ph\u1ea7n quan tr\u1ecdng gi\u00fap ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f2n s\u00f3t l\u1ea1i. Tr\u00ean th\u1ef1c t\u1ebf, nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng, vi\u1ec7c k\u1ebft h\u1ee3p ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n v\u00fa v\u1edbi x\u1ea1 tr\u1ecb mang l\u1ea1i t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi c\u1eaft b\u1ecf to\u00e0n b\u1ed9 v\u00fa, nh\u01b0ng l\u1ea1i c\u00f3 \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i v\u1ec1 m\u1eb7t th\u1ea9m m\u1ef9 v\u00e0 t\u00e2m l\u00fd.<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/localhost\/vietmediclinic\/wp-content\/uploads\/joomla_images\/phau-thuat-u-vu-1.jpg\" alt=\"phau-thuat-u-vu-1\" width=\"1568\" height=\"882\" style=\"display: block;margin-left: auto;margin-right: auto\" \/><\/p>\n<p style=\"text-align: center\"><em><span style=\"font-size: 110%\">C\u1ea7n th\u0103m kh\u00e1m, \u0111\u00e1nh gi\u00e1 chi ti\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 ph\u00f9 h\u1ee3p \u0111\u00e1p \u1ee9ng ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u v\u00fa<\/span><\/em><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Tuy nhi\u00ean, v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li style=\"text-align: justify\"><span style=\"font-size: 110%\">Ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng x\u1ea1 tr\u1ecb \u1edf c\u00f9ng m\u1ed9t b\u00ean v\u00fa do tr\u01b0\u1edbc \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ung th\u01b0<\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"font-size: 110%\">Ph\u1ee5 n\u1eef \u0111ang mang thai kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n x\u1ea1 tr\u1ecb<\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"font-size: 110%\">B\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u kh\u1ed1i u trong v\u00fa<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Trong c\u00e1c t\u00ecnh hu\u1ed1ng n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t c\u00e1c ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb kh\u00e1c ph\u00f9 h\u1ee3p h\u01a1n.<\/span><\/p>\n<h2 style=\"text-align: justify\"><span style=\"font-size: 110%;color: #09809e\">Ti\u1ebfn tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf kh\u1ed1i u v\u00fa<\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u v\u00fa th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 1 &#8211; 2 gi\u1edd. Trong qu\u00e1 tr\u00ecnh n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1eb7t c\u00e1c k\u1eb9p kim lo\u1ea1i nh\u1ecf v\u00e0o trong v\u00fa \u0111\u1ec3 \u0111\u00e1nh d\u1ea5u v\u1ecb tr\u00ed c\u1ea7n x\u1ea1 tr\u1ecb sau n\u00e0y. \u0110\u1ed3ng th\u1eddi, c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c ki\u1ec3m tra c\u00f9ng l\u00fac khi c\u1eaft b\u1ecf m\u00f4 v\u00fa \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng hay ch\u01b0a. Vi\u1ec7c ki\u1ec3m tra n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch r\u1ea1ch m\u1ed9t \u0111\u01b0\u1eddng d\u00e0i \u0111\u1ebfn n\u00e1ch hay m\u1ed9t \u0111\u01b0\u1eddng nh\u1ecf ri\u00eang \u1edf d\u01b0\u1edbi c\u00e1nh tay.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">\u0110\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u1ea7n l\u1ea5y m\u1eabu, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ti\u00eam ch\u1ea5t ph\u1ea3n quang m\u00e0u xanh ho\u1eb7c m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf ch\u1ea5t ph\u00f3ng x\u1ea1 xung quanh khu v\u1ef1c n\u00fam v\u00fa. Nh\u1eefng ch\u1ed7 \u0111\u00e1nh d\u1ea5u n\u00e0y d\u1ef1a theo c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c h\u1ea1ch c\u1ea7n c\u1eaft b\u1ecf (sinh thi\u1ebft h\u1ea1ch). C\u00e1c m\u00f4 \u0111\u01b0\u1ee3c l\u1ea5y ra trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt s\u1ebd \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e2n t\u00edch chi ti\u1ebft.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">T\u1ea1i ph\u00f2ng th\u00ed nghi\u1ec7m, c\u00e1c chuy\u00ean gia s\u1ebd x\u00e1c \u0111\u1ecbnh lo\u1ea1i kh\u1ed1i u, ki\u1ec3m tra xem ung th\u01b0 c\u00f3 lan \u0111\u1ebfn h\u1ea1ch b\u1ea1ch huy\u1ebft hay kh\u00f4ng, v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u \u0111\u1ed1i v\u1edbi \u0111\u1ed9 nh\u1ea1y c\u1ee7a hormone (c\u00e1c th\u1ee5 th\u1ec3 estrogen v\u00e0 progesterone). Ngo\u00e0i ra, m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u kh\u00e1c nh\u01b0 \u0111\u00e1nh gi\u00e1 th\u1ee5 th\u1ec3 Her-2 neu ho\u1eb7c x\u00e9t nghi\u1ec7m Oncotype c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eb1m h\u1ed7 tr\u1ee3 d\u1ef1 \u0111o\u00e1n di\u1ec5n ti\u1ebfn b\u1ec7nh v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. K\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y th\u01b0\u1eddng c\u1ea7n v\u00e0i ng\u00e0y \u0111\u1ec3 ho\u00e0n t\u1ea5t.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/localhost\/vietmediclinic\/wp-content\/uploads\/joomla_images\/phau-thuat-u-vu-2.jpg\" alt=\"phau-thuat-u-vu-2\" width=\"1572\" height=\"884\" style=\"display: block;margin-left: auto;margin-right: auto\" \/><\/p>\n<p style=\"text-align: center\"><em><span style=\"font-size: 110%\">Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb u v\u00fa c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i c\u01a1 s\u1edf y t\u1ebf c\u00f3 \u0111\u1ea7y \u0111\u1ee7 trang thi\u1ebft b\u1ecb v\u00e0 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean m\u00f4n<\/span><\/em><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 s\u1ebd cung c\u1ea5p cho b\u1ec7nh nh\u00e2n nh\u1eefng h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 c\u1ea7n tu\u00e2n th\u1ee7, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, c\u0169ng nh\u01b0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ng\u00e0y ph\u1eabu thu\u1eadt. \u0110\u1ed3ng th\u1eddi, b\u1ec7nh nh\u00e2n c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 v\u1ec1 quy tr\u00ecnh th\u1ef1c hi\u1ec7n, c\u00e1c nguy c\u01a1 c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c sau m\u1ed5.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">Sau ph\u1eabu thu\u1eadt, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng. M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p bao g\u1ed3m nhi\u1ec5m tr\u00f9ng, t\u1ee5 m\u00e1u ho\u1eb7c ph\u00f9 b\u1ea1ch huy\u1ebft g\u00e2y s\u01b0ng \u1edf c\u00e1nh tay ho\u1eb7c b\u00e0n tay. N\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 s\u01b0ng \u0111au, \u0111\u1ecf da, t\u00edch t\u1ee5 d\u1ecbch l\u1ecfng \u1edf v\u00fa ho\u1eb7c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n li\u00ean h\u1ec7 ngay v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 110%\">T\u00f3m l\u1ea1i, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u v\u00fa l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n \u0111\u1ed1i v\u1edbi nhi\u1ec1u b\u1ec7nh nh\u00e2n ung th\u01b0 v\u00fa giai \u0111o\u1ea1n s\u1edbm. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng ch\u1ec9 gi\u00fap ki\u1ec3m so\u00e1t b\u1ec7nh m\u00e0 c\u00f2n mang l\u1ea1i l\u1ee3i \u00edch l\u1edbn v\u1ec1 m\u1eb7t th\u1ea9m m\u1ef9 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, \u0111\u1eb7c bi\u1ec7t khi \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p b\u1ed5 tr\u1ee3 nh\u01b0 x\u1ea1 tr\u1ecb.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u v\u00fa l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn \u0111\u1ed1i v\u1edbi ung th\u01b0 v\u00fa giai \u0111o\u1ea1n s\u1edbm, \u0111\u1ed3ng&#8230;<\/p>\n","protected":false},"author":1,"featured_media":587,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"dv_news_topic":[],"class_list":["post-329","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-hoc-thuong-thuc"],"_links":{"self":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts\/329","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=329"}],"version-history":[{"count":1,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts\/329\/revisions"}],"predecessor-version":[{"id":704,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/posts\/329\/revisions\/704"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=\/wp\/v2\/media\/587"}],"wp:attachment":[{"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=329"},{"taxonomy":"dv_news_topic","embeddable":true,"href":"https:\/\/view.vietmediclinic.com\/index.php?rest_route=%2Fwp%2Fv2%2Fdv_news_topic&post=329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}