{"id":103512,"date":"2021-08-16T00:00:00","date_gmt":"2021-08-16T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/benh-nang-gan\/"},"modified":"2022-09-12T00:00:00","modified_gmt":"2022-09-12T00:00:00","slug":"benh-nang-gan","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/gan-mat\/benh-nang-gan\/","title":{"rendered":"B\u1ec7nh nang gan: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

B\u1ec7nh nang gan l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u1edf gan, \u00edt c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng m\u01a1 h\u1ed3 v\u00e0 th\u00f4ng th\u01b0\u1eddng ch\u1ec9 v\u00f4 t\u00ecnh ph\u00e1t hi\u1ec7n qua c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh h\u1ecdc. \u0110\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c li\u1ec7u b\u1ec7nh nang gan c\u00f3 nguy hi\u1ec3m kh\u00f4ng, v\u00e0 c\u00e1c \u0111i\u1ec1u tr\u1ecb nang gan nh\u01b0 th\u1ebf n\u00e0o, m\u1eddi b\u1ea1n c\u00f9ng Docosan<\/a> t\u00ecm hi\u1ec3u qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n\n\n\n

Nang gan l\u00e0 g\u00ec?<\/h2>\n\n\n\n

Thu\u1eadt ng\u1eef b\u1ec7nh nang gan th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 ch\u1ec9 c\u00e1c nang \u0111\u01a1n \u0111\u1ed9c (kh\u00f4ng do k\u00fd sinh tr\u00f9ng) \u1edf gan, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nang gan \u0111\u01a1n \u0111\u1ed9c. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang kh\u00e1c ph\u1ea3i \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c nang \u0111\u01a1n \u0111\u1ed9c, v\u00ed d\u1ee5 nh\u01b0<\/p>\n\n\n\n

  • Nang gan \u0111\u01a1n \u0111\u1ed9c<\/li>
  • B\u1ec7nh gan \u0111a nang (PCLD)<\/li>
  • Nang k\u00fd sinh tr\u00f9ng, hay c\u00f2n g\u1ecdi l\u00e0 nang s\u00e1n.<\/li>
  • Kh\u1ed1i u nang<\/li>
  • \u00c1p xe<\/li><\/ul>\n\n\n\n

    T\u1ef7 l\u1ec7 v\u00e0 t\u1ef7 l\u1ec7 ch\u00ednh x\u00e1c c\u1ee7a nang gan kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft, b\u1edfi v\u00ec h\u1ea7u h\u1ebft kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng; tuy nhi\u00ean, u nang gan \u0111\u00e3 \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh x\u1ea3y ra \u1edf 5% d\u00e2n s\u1ed1. Kh\u00f4ng qu\u00e1 10-15% trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng khi\u1ebfn u nang \u0111\u01b0\u1ee3c ch\u00fa \u00fd khi kh\u00e1m l\u00e2m s\u00e0ng. Nang gan th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y nh\u01b0 m\u1ed9t ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd tr\u00ean h\u00ecnh \u1ea3nh ho\u1eb7c t\u1ea1i th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng. H\u1ea7u h\u1ebft c\u00e1c lo\u1ea1t b\u00e0i trong t\u00e0i li\u1ec7u t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ecf, b\u00e1o c\u00e1o \u00edt h\u01a1n 50 b\u1ec7nh nh\u00e2n m\u1ed7i lo\u1ea1t.<\/p>\n\n\n\n

    \"nang
    Nang gan l\u00e0 g\u00ec?<\/figcaption><\/figure>\n\n\n\n

    Nguy\u00ean nh\u00e2n nang gan<\/h2>\n\n\n\n

    Nang gan \u0111\u01a1n \u0111\u1ed9c<\/h3>\n\n\n\n

    Nguy\u00ean nh\u00e2n c\u1ee7a nang gan \u0111\u01a1n \u0111\u1ed9c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft, nh\u01b0ng ch\u00fang \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 ngu\u1ed3n g\u1ed1c b\u1ea9m sinh. C\u00e1c u nang \u0111\u01b0\u1ee3c l\u00f3t b\u1edfi bi\u1ec3u m\u00f4 lo\u1ea1i \u0111\u01b0\u1eddng m\u1eadt, v\u00e0 c\u00f3 l\u1ebd l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 gi\u00e3n n\u1edf ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c microhamartomas \u0111\u01b0\u1eddng m\u1eadt – m\u1ed9t t\u1ed5n th\u01b0\u01a1ng t\u1ea1o th\u00e0nh do s\u1ef1 khi\u1ebfm khuy\u1ebft trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh c\u1ee7a bi\u1ec3u m\u00f4 \u1ed1ng m\u1eadt trong th\u1eddi k\u1ef3 ph\u00f4i thai. <\/p>\n\n\n\n

    D\u1ecbch trong nang \u0111\u01b0\u1ee3c ti\u1ebft ra li\u00ean t\u1ee5c b\u1edfi l\u1edbp bi\u1ec3u m\u00f4 c\u1ee7a nang. V\u00ec l\u00fd do n\u00e0y, kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi ch\u1ec9 b\u1eb1ng vi\u1ec7c ch\u1ecdc h\u00fat nang b\u1eb1ng kim, vi\u1ec7c t\u00e1i ph\u00e1t l\u00e0 r\u1ea5t ph\u1ed5 bi\u1ebfn.<\/p>\n\n\n\n

    B\u1ec7nh gan \u0111a nang (PCLD)<\/h3>\n\n\n\n

    PCLD ng\u01b0\u1eddi l\u1edbn (Adult-PCLD) l\u00e0 do b\u1ea9m sinh v\u00e0 th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn b\u1ec7nh th\u1eadn \u0111a nang chi\u1ebfm \u01b0u th\u1ebf tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng (AD-PKD). C\u00e1c \u0111\u1ed9t bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh trong gen PKD1 v\u00e0 PKD2. \u0110\u00f4i khi, PCLD \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 b\u1ec7nh th\u1eadn \u0111a nang (PKD).<\/p>\n\n\n\n

    \u1ede b\u1ec7nh nh\u00e2n PKD, nang th\u1eadn th\u01b0\u1eddng c\u00f3 tr\u01b0\u1edbc nang gan. PKD th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn suy th\u1eadn, trong khi nang gan hi\u1ebfm khi li\u00ean quan \u0111\u1ebfn x\u01a1 gan v\u00e0 suy gan.<\/p>\n\n\n\n

    U nang t\u00e2n sinh<\/h3>\n\n\n\n

    C\u00e1c kh\u1ed1i u gan b\u1ecb ho\u1ea1i t\u1eed trung t\u00e2m nh\u00ecn th\u1ea5y tr\u00ean x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh h\u1ecdc th\u01b0\u1eddng b\u1ecb ch\u1ea9n \u0111o\u00e1n nh\u1ea7m l\u00e0 u nang gan. Ung th\u01b0 gan do u nang th\u1ef1c s\u1ef1 r\u1ea5t hi\u1ebfm. Nguy\u00ean nh\u00e2n c\u1ee7a u nang d\u1ea1ng tuy\u1ebfn v\u00e0 u nang d\u1ea1ng bi\u1ec3u m\u00f4 ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 \u0111\u1ea1i di\u1ec7n cho s\u1ef1 t\u0103ng sinh b\u1ea5t th\u01b0\u1eddng c\u1ee7a t\u00fai m\u1eadt ho\u1eb7c bi\u1ec3u m\u00f4 \u0111\u01b0\u1eddng m\u1eadt. <\/p>\n\n\n\n

    U nang tuy\u1ebfn l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n \u00e1c t\u00ednh v\u1edbi s\u1ef1 bi\u1ebfn \u0111\u1ed5i t\u00e2n sinh th\u00e0nh ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o tuy\u1ebfn \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1edfi c\u1ea5u tr\u00fac \u1ed1ng mao d\u1eabn v\u00e0 s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a m\u00e0ng \u0111\u00e1y.<\/p>\n\n\n\n

    Nang s\u00e1n (k\u00fd sinh tr\u00f9ng)<\/h3>\n\n\n\n

    Nang s\u00e1n l\u00e0 do nhi\u1ec5m k\u00fd sinh tr\u00f9ng Echinococcus granulosus. Lo\u1ea1i k\u00fd sinh tr\u00f9ng n\u00e0y \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, nh\u01b0ng n\u00f3 \u0111\u1eb7c bi\u1ec7t ph\u1ed5 bi\u1ebfn \u1edf c\u00e1c khu v\u1ef1c ch\u0103n nu\u00f4i c\u1eebu v\u00e0 gia s\u00fac.<\/p>\n\n\n\n

    Khi con ng\u01b0\u1eddi \u0103n gan c\u1ee7a v\u1eadt ch\u1ee7 trung gian (lo\u00e0i v\u1eadt v\u00f4 t\u00ecnh nu\u1ed1t ph\u1ea3i tr\u1ee9ng\/ nang s\u00e1n), c\u00e1c \u0111\u1ea7u s\u00e1n c\u1ee7a nang con \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng trong ru\u1ed9t non v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh s\u00e1n tr\u01b0\u1edfng th\u00e0nh, do \u0111\u00f3 ho\u00e0n th\u00e0nh v\u00f2ng \u0111\u1eddi c\u1ee7a s\u00e1n.<\/p>\n\n\n\n

    \"nang
    K\u00fd sinh tr\u00f9ng Echinococcus granulosus g\u00e2y nang gan<\/figcaption><\/figure>\n\n\n\n

    \u00c1p xe gan<\/h3>\n\n\n\n

    \u00c1p-xe gan c\u00f3 th\u1ec3 c\u00f3 ngu\u1ed3n g\u1ed1c do vi khu\u1ea9n ho\u1eb7c amip. Entamoeba histolytica l\u00e0 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh trong \u00e1p xe gan do amip. N\u00f3 \u0111\u01b0\u1ee3c k\u00fd sinh khi \u0103n ph\u1ea3i th\u1ee9c \u0103n ho\u1eb7c n\u01b0\u1edbc b\u1ecb \u00f4 nhi\u1ec5m b\u1edfi giai \u0111o\u1ea1n u nang c\u1ee7a k\u00fd sinh tr\u00f9ng. B\u1ec7nh l\u1ef5 amip li\u00ean quan \u0111\u1ebfn ru\u1ed9t nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 x\u00e2m l\u1ea5n c\u00e1c ti\u1ec3u t\u0129nh m\u1ea1ch m\u1ea1c treo ru\u1ed9t d\u1eabn \u0111\u1ebfn \u00e1p xe gan. V\u1eadt ch\u1ee7 duy nh\u1ea5t c\u1ee7a n\u00f3 l\u00e0 con ng\u01b0\u1eddi.<\/p>\n\n\n\n

    \u00c1p-xe sinh m\u1ee7 c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a thi\u1ebft b\u1ecb \u0111o nh\u01b0ng th\u01b0\u1eddng l\u00e0 do vi\u00eam \u0111\u01b0\u1eddng m\u1eadt t\u0103ng d\u1ea7n trong b\u1ed1i c\u1ea3nh t\u1eafc m\u1eadt. C\u00e1c vi sinh v\u1eadt \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp th\u01b0\u1eddng l\u00e0 h\u1ec7 th\u1ef1c v\u1eadt ru\u1ed9t. C\u00e1c con \u0111\u01b0\u1eddng \u00f4 nhi\u1ec5m kh\u00e1c bao g\u1ed3m t\u0129nh m\u1ea1ch c\u1eeda v\u00e0 \u0111\u1ed9ng m\u1ea1ch gan.<\/p>\n\n\n\n

    Tri\u1ec7u ch\u1ee9ng nang gan<\/h2>\n\n\n\n

    Nang gan \u0111\u01a1n \u0111\u1ed9c<\/h3>\n\n\n\n

    C\u00e1c nang gan \u0111\u01a1n \u0111\u1ed9c th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y \u0111au \u00e2m \u1ec9 v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i n\u1ebfu c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn. B\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng nang gan \u0111\u01a1n \u0111\u1ed9c c\u0169ng c\u00f3 th\u1ec3 b\u00e1o c\u00e1o \u0111\u1ea7y b\u1ee5ng v\u00e0 c\u1ea3m gi\u00e1c no s\u1edbm. \u0110\u00f4i khi, m\u1ed9t kh\u1ed1i u nang \u0111\u1ee7 l\u1edbn \u0111\u1ec3 t\u1ea1o ra m\u1ed9t kh\u1ed1i \u1edf b\u1ee5ng c\u00f3 th\u1ec3 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c. <\/p>\n\n\n\n

    V\u00e0ng da do t\u1eafc ngh\u1ebdn \u1ed1ng m\u1eadt r\u1ea5t hi\u1ebfm, c\u0169ng nh\u01b0 v\u1ee1 u nang v\u00e0 xo\u1eafn c\u1ea5p t\u00ednh c\u1ee7a u nang di \u0111\u1ed9ng. B\u1ec7nh nh\u00e2n b\u1ecb xo\u1eafn nang c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ee5ng c\u1ea5p t\u00ednh. Khi c\u00e1c nang \u0111\u01a1n gi\u1ea3n b\u1ecb v\u1ee1, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t, d\u1eabn \u0111\u1ebfn bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u00e1p xe gan v\u1edbi \u0111au b\u1ee5ng, s\u1ed1t v\u00e0 t\u0103ng b\u1ea1ch c\u1ea7u.<\/p>\n\n\n\n

    B\u1ec7nh gan \u0111a nang<\/h3>\n\n\n\n

    B\u1ec7nh gan \u0111a nang (PCLD) \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf tu\u1ed5i d\u1eady th\u00ec v\u00e0 t\u0103ng l\u00ean khi tr\u01b0\u1edfng th\u00e0nh. Ph\u1ee5 n\u1eef th\u01b0\u1eddng b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u h\u01a1n, v\u00e0 s\u1ef1 gia t\u0103ng k\u00edch th\u01b0\u1edbc v\u00e0 s\u1ed1 l\u01b0\u1ee3ng u nang c\u00f3 t\u01b0\u01a1ng quan v\u1edbi m\u1ee9c \u0111\u1ed9 estrogen. Trong PCLD, gan to c\u00f3 th\u1ec3 n\u1ed5i r\u00f5 v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00f4i khi ti\u1ebfn tri\u1ec3n th\u00e0nh x\u01a1 gan, t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda v\u00e0 suy gan. B\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng do c\u00e1c kh\u1ed1i u to l\u00ean.<\/p>\n\n\n\n

    U nang t\u00e2n sinh<\/h3>\n\n\n\n

    U nang tuy\u1ebfn th\u01b0\u1eddng x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef trung ni\u00ean. Tuy nhi\u00ean, ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn nang \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 nam v\u00e0 n\u1eef nh\u01b0 nhau. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 nh\u1eefng ph\u00e0n n\u00e0n m\u01a1 h\u1ed3 v\u1ec1 b\u1ee5ng nh\u01b0 \u0111\u1ea7y h\u01a1i, bu\u1ed3n n\u00f4n v\u00e0 no. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y, gi\u1ed1ng nh\u01b0 t\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi b\u1ecb u nang gan, cu\u1ed1i c\u00f9ng c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng. V\u00e0ng da l\u00e0 r\u1ea5t hi\u1ebfm.<\/p>\n\n\n\n

    Nang s\u00e1n<\/h3>\n\n\n\n

    B\u1ec7nh nh\u00e2n b\u1ecb u nang s\u00e1n, gi\u1ed1ng nh\u01b0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nang gan \u0111\u01a1n \u0111\u1ed9c, th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, nh\u01b0ng c\u01a1n \u0111au c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n khi u nang l\u1edbn l\u00ean. C\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1edbn h\u01a1n th\u01b0\u1eddng g\u00e2y \u0111au v\u00e0 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng h\u01a1n c\u00e1c nang gan \u0111\u01a1n \u0111\u1ed9c. Khi kh\u00e1m, b\u00e1c s\u0129 th\u01b0\u1eddng c\u00f3 th\u1ec3 s\u1edd th\u1ea5y m\u1ed9t kh\u1ed1i \u1edf g\u00f3c ph\u1ea7n t\u01b0 ph\u00eda tr\u00ean b\u00ean ph\u1ea3i b\u1ee5ng b\u1ec7nh nh\u00e2n<\/p>\n\n\n\n

    V\u1ee1 u nang l\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u1ea5t c\u1ee7a u nang s\u00e1n. Nang c\u00f3 th\u1ec3 v\u1ee1 v\u00e0o \u0111\u01b0\u1eddng m\u1eadt, qua c\u01a1 ho\u00e0nh v\u00e0o l\u1ed3ng ng\u1ef1c, ho\u1eb7c t\u1ef1 do v\u00e0o \u1ed5 ph\u00fac m\u1ea1c. V\u1ee1 v\u00e0o \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 b\u1ecb v\u00e0ng da ho\u1eb7c vi\u00eam \u0111\u01b0\u1eddng m\u1eadt. V\u1ee1 t\u1ef1 do v\u00e0o khoang ph\u00fac m\u1ea1c c\u00f3 th\u1ec3 g\u00e2y s\u1ed1c ph\u1ea3n v\u1ec7. C\u0169ng nh\u01b0 c\u00e1c nang gan \u0111\u01a1n \u0111\u1ed9c, b\u1ec7nh nh\u00e2n b\u1ecb u nang s\u00e1n c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t v\u00e0 \u00e1p xe gan sau \u0111\u00f3.<\/p>\n\n\n\n

    \u00c1p xe gan<\/h3>\n\n\n\n

    B\u1ec7nh nh\u00e2n b\u1ecb \u00e1p xe gan c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng, s\u1ed1t v\u00e0 t\u0103ng b\u1ea1ch c\u1ea7u. Nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc \u00e1p xe do amip c\u00f3 th\u1ec3 c\u00f3 ti\u1ec1n s\u1eed ti\u00eau ch\u1ea3y v\u00e0 s\u1ee5t c\u00e2n, m\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. \u00c1p-xe sinh m\u1ee7 th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n v\u00e0ng da, s\u1ed1t, \u0111au b\u1ee5ng.<\/p>\n\n\n\n

    \"nang
    nang-gan<\/figcaption><\/figure>\n\n\n\n

    Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nang gan<\/h2>\n\n\n\n

    Vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 u nang gan \u0111\u01a1n gi\u1ea3n bao g\u1ed3m vi\u1ec7c ghi ch\u00e9p c\u1ea9n th\u1eadn ti\u1ec1n s\u1eed b\u1ec7nh nh\u00e2n v\u00e0 th\u1ef1c hi\u1ec7n kh\u00e1m s\u1ee9c kh\u1ecfe c\u1ed9ng v\u1edbi nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh (v\u00ed d\u1ee5: ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u1ed5 b\u1ee5ng CT scan \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh h\u00ecnh d\u1ea1ng, v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc c\u1ee7a u nang. B\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u chi ph\u00ed x\u00e9t nghi\u1ec7m b\u1eb1ng c\u00e1ch ch\u1ec9 thu th\u1eadp c\u00e1c nghi\u00ean c\u1ee9u ch\u00ednh c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

    Tr\u01b0\u1edbc khi c\u00f3 s\u1ef1 ph\u1ed5 bi\u1ebfn r\u1ed9ng r\u00e3i c\u1ee7a c\u00e1c k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh b\u1ee5ng, bao g\u1ed3m si\u00eau \u00e2m v\u00e0 ch\u1ee5p CT, nang gan ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi ch\u00fang ph\u00e1t tri\u1ec3n \u0111\u1ebfn k\u00edch th\u01b0\u1edbc kh\u1ed5ng l\u1ed3 v\u00e0 tr\u1edf n\u00ean r\u00f5 r\u00e0ng nh\u01b0 m\u1ed9t kh\u1ed1i \u1edf b\u1ee5ng ho\u1eb7c l\u00e0 m\u1ed9t ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng. Ng\u00e0y nay, c\u00e1c nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh th\u01b0\u1eddng t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n

    X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc <\/h3>\n\n\n\n

    K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m men gan, ch\u1eb3ng h\u1ea1n AST\/ ALT, c\u00f3 th\u1ec3 b\u1ea5t th\u01b0\u1eddng nh\u1eb9, nh\u01b0ng bilirubin, th\u1eddi gian prothrombin (PT) v\u00e0 th\u1eddi gian thromboplastin m\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t (aPTT) th\u01b0\u1eddng n\u1eb1m gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

    Trong b\u1ed1i c\u1ea3nh c\u1ee7a b\u1ec7nh gan \u0111a nang (PCLD), c\u00e1c b\u1ea5t th\u01b0\u1eddng l\u1edbn h\u01a1n trong k\u1ebft qu\u1ea3 men gan \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y, nh\u01b0ng suy gan l\u00e0 kh\u00f4ng ph\u1ed5 bi\u1ebfn. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn, bao g\u1ed3m nit\u01a1 ur\u00ea m\u00e1u (BUN) v\u00e0 n\u1ed3ng \u0111\u1ed9 creatinin, th\u01b0\u1eddng b\u1ea5t th\u01b0\u1eddng v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong ti\u1ebfp c\u1eadn ban \u0111\u1ea7u.<\/p>\n\n\n\n

    Khi c\u00f3 nang s\u00e1n, t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf kho\u1ea3ng 40% b\u1ec7nh nh\u00e2n v\u00e0 hi\u1ec7u gi\u00e1 kh\u00e1ng th\u1ec3 echinococcal d\u01b0\u01a1ng t\u00ednh \u1edf g\u1ea7n 80% b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

    M\u1ee9c \u0111\u1ed9 kh\u00e1ng nguy\u00ean carbohydrate (CA) 19-9 t\u0103ng cao \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. D\u1ecbch nang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ec3 x\u00e9t nghi\u1ec7m CA 19-9 t\u1ea1i th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt nh\u01b0 m\u1ed9t ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m cho u nang v\u00e0 ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o.<\/p>\n\n\n\n

    \"nang
    X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc ch\u1ea9n \u0111o\u00e1n nang gan<\/figcaption><\/figure>\n\n\n\n

    Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/h3>\n\n\n\n

    B\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 m\u1ed9t s\u1ed1 l\u1ef1a ch\u1ecdn \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh gan \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nang gan:<\/p>\n\n\n\n

    • Si\u00eau \u00e2m c\u00f3 s\u1eb5n, kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 c\u00f3 \u0111\u1ed9 nh\u1ea1y cao.<\/li>
    • CT c\u0169ng c\u00f3 \u0111\u1ed9 nh\u1ea1y cao v\u00e0 d\u1ec5 d\u00e0ng h\u01a1n cho h\u1ea7u h\u1ebft c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u1ec3 gi\u1ea3i th\u00edch, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ec3 l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/li>
    • Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI), qu\u00e9t thu\u1ed1c h\u1ea1t nh\u00e2n v\u00e0 ch\u1ee5p m\u1ea1ch gan c\u00f3 m\u1ed9t vai tr\u00f2 h\u1ea1n ch\u1ebf trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 u nang gan.<\/li>
    • \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n v\u00e0ng da do b\u1ec7nh nang s\u00e1n, n\u00ean th\u1ef1c hi\u1ec7n n\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP) \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem nang \u0111\u00e3 v\u1ee1 v\u00e0o \u1ed1ng m\u1eadt hay ch\u01b0a.<\/li><\/ul>\n\n\n\n

      M\u1ed9t v\u1ea5n \u0111\u1ec1 th\u1ef1c t\u1ebf trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng nang gan l\u00e0 ph\u00e2n bi\u1ec7t u nang v\u1edbi c\u00e1c nang gan \u0111\u01a1n \u0111\u1ed9c. Vi\u1ec7c \u0111\u00f3 c\u00f3 vai tr\u00f2 quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 ti\u00ean l\u01b0\u1ee3ng c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n\n\n\n

      C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c<\/h3>\n\n\n\n

      C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c th\u01b0\u1eddng kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 u nang gan. B\u00e1c s\u0129 \u00edt khi l\u1ef1a ch\u1ecdn ch\u1ecdc h\u00fat qua da v\u00ec \u0111\u00e1nh gi\u00e1 t\u1ebf b\u00e0o h\u1ecdc v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1ee7a d\u1ecbch nang \u0111\u01a1n \u0111\u1ed9c l\u00e0 kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c v\u00e0 c\u00f3 m\u1ed9t nguy c\u01a1 nh\u1ecf g\u00e2y ra s\u1ed1c ph\u1ea3n v\u1ec7 do r\u00f2 r\u1ec9 t\u1eeb nang s\u00e1n ho\u1eb7c g\u00e2y ra h\u00ecnh th\u00e0nh \u00e1p xe trong m\u1ed9t nang \u0111\u00e3 \u0111\u01b0\u1ee3c v\u00f4 tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n\n\n\n

      X\u00e9t nghi\u1ec7m m\u00f4 h\u1ecdc nh\u1eb1m \u0111\u00e1nh gi\u00e1 xem nang gan c\u00f3 ph\u1ea3i l\u00e0 ung th\u01b0 hay c\u00f3 kh\u1ea3 n\u0103ng di\u1ec5n ti\u1ebfn \u0111\u1ebfn ung th\u01b0 hay kh\u00f4ng.<\/p>\n\n\n\n

      \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nang gan \u1edf \u0111\u00e2u?<\/h2>\n\n\n\n
      • Ph\u00f2ng kh\u00e1m Vigor health \u2013 Q.3<\/li><\/ul>\n\n\n\n