{"id":104509,"date":"2022-01-13T00:00:00","date_gmt":"2022-01-13T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/benh-hodgkin\/"},"modified":"2023-06-12T00:00:00","modified_gmt":"2023-06-12T00:00:00","slug":"benh-hodgkin","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/ung-buou\/benh-hodgkin\/","title":{"rendered":"B\u1ec7nh Hodgkin: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p>Ung th\u01b0 h\u1ea1ch Hodgkin, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh Hodgkin, l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 h\u1ea1ch. Ung th\u01b0 b\u1ea1ch huy\u1ebft l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh ung th\u01b0 m\u00e1u b\u1eaft \u0111\u1ea7u trong h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft. H\u1ec7 th\u1ed1ng n\u00e0y bao g\u1ed3m m\u1ed9t m\u1ea1ng l\u01b0\u1edbi c\u00e1c c\u01a1 quan, h\u1ea1ch v\u00e0 m\u1ea1ch kh\u1eafp c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n. H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a> t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 b\u1ec7nh ung th\u01b0 h\u1ea1ch Hodgkin, tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ti\u1ec1m n\u0103ng trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n<div id=\"toc_container\" class=\"no_bullets\"><p class=\"toc_title\">T&oacute;m t\u1eaft n\u1ed9i dung<\/p><ul class=\"toc_list\"><li><a href=\"#Tong_quan_ve_benh_Hodgkin\"><span class=\"toc_number toc_depth_1\">1<\/span> T\u1ed5ng quan v\u1ec1 b\u1ec7nh Hodgkin<\/a><\/li><li><a href=\"#Tong_quan_ve_he_thong_bach_huyet\"><span class=\"toc_number toc_depth_1\">2<\/span> T\u1ed5ng quan v\u1ec1 h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft<\/a><\/li><li><a href=\"#Cac_loai_ung_thu_hach_Hodgkin\"><span class=\"toc_number toc_depth_1\">3<\/span> C\u00e1c lo\u1ea1i ung th\u01b0 h\u1ea1ch Hodgkin<\/a><ul><li><a href=\"#Ung_thu_hach_Hodgkin_co_dien\"><span class=\"toc_number toc_depth_2\">3.1<\/span> Ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n<\/a><\/li><li><a href=\"#U_lympho_Hodgkin_chiem_uu_the_te_bao_dang_not_NLPHL\"><span class=\"toc_number toc_depth_2\">3.2<\/span> U lympho Hodgkin chi\u1ebfm \u01b0u th\u1ebf t\u1ebf b\u00e0o d\u1ea1ng n\u1ed1t (NLPHL)<\/a><\/li><\/ul><\/li><li><a href=\"#Cac_trieu_chung_cua_benh_Hodgkin_la_gi\"><span class=\"toc_number toc_depth_1\">4<\/span> C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Hodgkin l\u00e0 g\u00ec?<\/a><\/li><li><a href=\"#Nguyen_nhan_gay_ra_benh_ung_thu_hach_Hodgkin\"><span class=\"toc_number toc_depth_1\">5<\/span> Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh ung th\u01b0 h\u1ea1ch Hodgkin?<\/a><\/li><li><a href=\"#Cac_yeu_to_rui_ro_cua_benh_Hodgkin\"><span class=\"toc_number toc_depth_1\">6<\/span> C\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro c\u1ee7a b\u1ec7nh Hodgkin<\/a><\/li><li><a href=\"#Ung_thu_hach_Hodgkin_duoc_chan_doan_nhu_the_nao\"><span class=\"toc_number toc_depth_1\">7<\/span> Ung th\u01b0 h\u1ea1ch Hodgkin \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/a><\/li><li><a href=\"#Dieu_tri_ung_thu_hach_Hodgkin_nhu_the_nao\"><span class=\"toc_number toc_depth_1\">8<\/span> \u0110i\u1ec1u tr\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin nh\u01b0 th\u1ebf n\u00e0o?<\/a><ul><li><a href=\"#Xa_tri\"><span class=\"toc_number toc_depth_2\">8.1<\/span> X\u1ea1 tr\u1ecb<\/a><\/li><li><a href=\"#Hoa_tri_lieu\"><span class=\"toc_number toc_depth_2\">8.2<\/span> H\u00f3a tr\u1ecb li\u1ec7u<\/a><\/li><li><a href=\"#Cac_lieu_phap_dieu_tri_bang_thuoc_khac\"><span class=\"toc_number toc_depth_2\">8.3<\/span> C\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1c<\/a><\/li><li><a href=\"#Cay_ghep_tuy_xuong\"><span class=\"toc_number toc_depth_2\">8.4<\/span> C\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng<\/a><\/li><li><a href=\"#Phuong_phap_dieu_tri_thay_the\"><span class=\"toc_number toc_depth_2\">8.5<\/span> Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf<\/a><\/li><\/ul><\/li><\/ul><\/div>\n<h2 class=\"wp-block-heading\"><span id=\"Tong_quan_ve_benh_Hodgkin\">T\u1ed5ng quan v\u1ec1 b\u1ec7nh Hodgkin<\/span><\/h2>\n\n\n\n<p>Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u00ecnh th\u01b0\u1eddng, h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft c\u1ee7a b\u1ea1n gi\u00fap h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i v\u00e0 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng. C\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u trong h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u1ebf b\u00e0o b\u1ea1ch huy\u1ebft, gi\u00fap b\u1ea3o v\u1ec7 b\u1ea1n kh\u1ecfi vi tr\u00f9ng v\u00e0 nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n<p>Ung th\u01b0 h\u1ea1ch Hodgkin b\u1eaft ngu\u1ed3n t\u1eeb c\u00e1c t\u1ebf b\u00e0o lympho n\u00e0y. C\u1ee5 th\u1ec3 h\u01a1n, n\u00f3 c\u00f3 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n th\u00e0nh m\u1ed9t lo\u1ea1i t\u1ebf b\u00e0o g\u1ecdi l\u00e0 t\u1ebf b\u00e0o lympho B, s\u1ea3n sinh ra c\u00e1c protein g\u1ecdi l\u00e0 kh\u00e1ng th\u1ec3 b\u00e1m v\u00e0o nh\u1eefng k\u1ebb x\u00e2m l\u01b0\u1ee3c v\u00e0 y\u00eau c\u1ea7u h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n ti\u00eau di\u1ec7t ch\u00fang.<\/p>\n\n\n\n<p>\u1ede nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin, c\u00e1c t\u1ebf b\u00e0o lympho n\u00e0y ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng v\u00e0 l\u1ea5n \u00e1t c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u kh\u1ecfe m\u1ea1nh. Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, c\u01a1 th\u1ec3 b\u1ea1n c\u00e0ng kh\u00f3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-1.jpg\" alt=\"B\u1ec7nh Hodgkin\" class=\"wp-image-43290\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Tong_quan_ve_he_thong_bach_huyet\">T\u1ed5ng quan v\u1ec1 h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft<\/span><\/h2>\n\n\n\n<p>H\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft bao ph\u1ee7 h\u1ea7u h\u1ebft c\u01a1 th\u1ec3 v\u00e0 bao g\u1ed3m c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft, m\u1ea1ch b\u1ea1ch huy\u1ebft v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c nhau. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 t\u1ed5ng quan v\u1ec1 c\u00e1c c\u1ea5u tr\u00fac n\u00e0y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u1ecbch b\u1ea1ch huy\u1ebft:<\/strong> C\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ea1ch huy\u1ebft, ch\u1ea5t l\u1ecfng n\u00e0y bao g\u1ed3m ch\u1ea5t l\u1ecfng b\u1ed5 sung tho\u00e1t ra kh\u1ecfi t\u1ebf b\u00e0o, m\u1ea1ch m\u00e1u v\u00e0 m\u00f4 c\u1ee7a b\u1ea1n, c\u0169ng nh\u01b0 c\u00e1c ch\u1ea5t kh\u00e1c nh\u01b0 ch\u1ea5t b\u00e9o, protein, t\u1ebf b\u00e0o b\u1ecb h\u01b0 h\u1ecfng, kho\u00e1ng ch\u1ea5t, vi r\u00fat, vi khu\u1ea9n v\u00e0 c\u00e1c vi tr\u00f9ng kh\u00e1c. D\u1ecbch b\u1ea1ch huy\u1ebft c\u1ee7a b\u1ea1n c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 v\u1eadn chuy\u1ec3n c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch huy\u1ebft . C\u00f3 hai lo\u1ea1i t\u1ebf b\u00e0o lympho ch\u00ednh: t\u1ebf b\u00e0o lympho B (t\u1ebf b\u00e0o B) v\u00e0 t\u1ebf b\u00e0o lympho T (t\u1ebf b\u00e0o T). C\u00e1c t\u1ebf b\u00e0o lympho n\u00e0y l\u00e0m vi\u1ec7c c\u00f9ng nhau \u0111\u1ec3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng.<\/li>\n\n\n\n<li><strong>C\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft: <\/strong>C\u00e1c c\u1ea5u tr\u00fac h\u00ecnh h\u1ea1t \u0111\u1eadu n\u00e0y ch\u1ee9a c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u v\u00e0 c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch kh\u00e1c. B\u1ea1n c\u00f3 h\u00e0ng tr\u0103m h\u1ea1ch b\u1ea1ch huy\u1ebft kh\u1eafp c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u1ee5ng, ng\u1ef1c, h\u00e1ng v\u00e0 d\u01b0\u1edbi c\u00e1nh tay.<\/li>\n\n\n\n<li><strong>M\u1ea1ch b\u1ea1ch huy\u1ebft:<\/strong> C\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft c\u1ee7a b\u1ea1n l\u00e0 m\u1ed9t lo\u1ea1t c\u00e1c c\u1ea5u tr\u00fac gi\u1ed1ng nh\u01b0 t\u0129nh m\u1ea1ch k\u1ebft n\u1ed1i c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u1ee7a b\u1ea1n. Ch\u00fang gi\u00fap v\u1eadn chuy\u1ec3n b\u1ea1ch huy\u1ebft v\u00e0 c\u00e1c t\u1ebf b\u00e0o lympho ch\u1ed1ng nhi\u1ec5m tr\u00f9ng kh\u1eafp c\u01a1 th\u1ec3 b\u1ea1n.<\/li>\n\n\n\n<li><strong>L\u00e1ch:<\/strong> N\u1eb1m \u1edf b\u00ean tr\u00e1i c\u1ee7a c\u01a1 th\u1ec3, g\u1ea7n d\u1ea1 d\u00e0y, l\u00e1 l\u00e1ch c\u1ee7a b\u1ea1n l\u01b0u tr\u1eef c\u00e1c t\u1ebf b\u00e0o m\u00e1u, l\u1ecdc ra c\u00e1c t\u1ebf b\u00e0o b\u1ecb h\u01b0 h\u1ecfng v\u00e0 gi\u00fap duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng ch\u1ea5t l\u1ecfng b\u00ean ph\u1ea3i. N\u00f3 c\u0169ng t\u1ea1o ra c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch huy\u1ebft.<\/li>\n\n\n\n<li><strong>Amidan v\u00e0 m\u00f4 b\u1ea1ch huy\u1ebft:<\/strong> Amidan l\u00e0 t\u1eadp h\u1ee3p c\u00e1c m\u00f4 b\u1ea1ch huy\u1ebft trong c\u1ed5 h\u1ecdng gi\u00fap b\u1ea3o v\u1ec7 b\u1ea1n kh\u1ecfi nh\u1eefng k\u1ebb x\u00e2m l\u01b0\u1ee3c n\u01b0\u1edbc ngo\u00e0i. Adenoids l\u00e0 nh\u1eefng c\u1ee5c m\u00f4 b\u1ea1ch huy\u1ebft g\u1ea7n \u0111\u01b0\u1eddng m\u0169i c\u1ee7a b\u1ea1n.<\/li>\n\n\n\n<li><strong>Tuy\u1ebfn \u1ee9c:<\/strong> Tuy\u1ebfn \u1ee9c l\u00e0 m\u1ed9t c\u01a1 quan trong ng\u1ef1c \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o lympho T.<\/li>\n\n\n\n<li><strong>T\u1ee7y x\u01b0\u01a1ng:<\/strong> T\u1ee7y x\u01b0\u01a1ng l\u00e0 m\u00f4 x\u1ed1p b\u00ean trong x\u01b0\u01a1ng c\u1ee7a b\u1ea1n, n\u01a1i s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o m\u00e1u.<\/li>\n\n\n\n<li><strong>M\u00e0ng nh\u1ea7y d\u1ecbch v\u1ecb \u0111\u1eb7t trung c\u1ee7a ru\u1ed9t: <\/strong>\u0110\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u00e0ng nh\u1ea7y l\u00f3t ru\u1ed9t non c\u1ee7a b\u1ea1n, nh\u1eefng kh\u1ed1i m\u00f4 b\u1ea1ch huy\u1ebft nh\u1ecf n\u00e0y gi\u00fap ti\u00eau di\u1ec7t vi khu\u1ea9n trong ru\u1ed9t c\u1ee7a b\u1ea1n.<\/li>\n<\/ul>\n\n\n\n<p>Theo Hi\u1ec7p h\u1ed9i Ung th\u01b0 Hoa K\u1ef3, b\u1ec7nh Hodgkin th\u01b0\u1eddng ph\u00e1t tri\u1ec3n trong c\u00e1c t\u1ebf b\u00e0o lympho B \u1edf ph\u1ea7n tr\u00ean c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u1edf ng\u1ef1c, \u1edf c\u1ed5 ho\u1eb7c d\u01b0\u1edbi c\u00e1nh tay c\u1ee7a b\u1ea1n. N\u00f3 th\u01b0\u1eddng l\u00e2y lan sang c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft kh\u00e1c th\u00f4ng qua c\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft c\u1ee7a b\u1ea1n. Trong giai \u0111o\u1ea1n mu\u1ed9n, n\u00f3 c\u00f3 th\u1ec3 \u0111i v\u00e0o m\u00e1u v\u00e0 lan \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ee7y x\u01b0\u01a1ng, ph\u1ed5i ho\u1eb7c gan c\u1ee7a b\u1ea1n.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-2.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Cac_loai_ung_thu_hach_Hodgkin\">C\u00e1c lo\u1ea1i ung th\u01b0 h\u1ea1ch Hodgkin<\/span><\/h2>\n\n\n\n<p>Ung th\u01b0 h\u1ea1ch Hodgkin chi\u1ebfm 10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 h\u1ea1ch. 90% c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 ung th\u01b0 h\u1ea1ch kh\u00f4ng Hodgkin.<\/p>\n\n\n\n<p>S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u1ebf b\u00e0o Reed-Sternberg, nh\u1eefng t\u1ebf b\u00e0o l\u1edbn c\u00f3 th\u1ec3 ch\u1ee9a nhi\u1ec1u h\u01a1n m\u1ed9t nh\u00e2n, l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m x\u00e1c \u0111\u1ecbnh c\u1ee7a ung th\u01b0 h\u1ea1ch Hodgkin so v\u1edbi nh\u1eefng t\u1ebf b\u00e0o kh\u00f4ng Hodgkin.<\/p>\n\n\n\n<p>Ung th\u01b0 h\u1ea1ch Hodgkin \u0111\u01b0\u1ee3c chia th\u00e0nh u lympho Hodgkin c\u1ed5 \u0111i\u1ec3n v\u00e0 u lympho Hodgkin d\u1ea1ng n\u1ed1t (NLPHL). Vi\u1ec7c ph\u00e2n lo\u1ea1i ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c lo\u1ea1i t\u1ebf b\u00e0o li\u00ean quan v\u00e0 h\u00e0nh vi c\u1ee7a ch\u00fang. C\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0 h\u1ea1ch Hodgkin b\u1eb1ng c\u00e1ch xem x\u00e9t m\u1ed9t m\u1eabu m\u00f4 b\u1ea1ch huy\u1ebft m\u1edf r\u1ed9ng d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"Ung_thu_hach_Hodgkin_co_dien\">Ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n<\/span><\/h3>\n\n\n\n<p>95% trong s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh Hodgkin l\u00e0 lo\u1ea1i c\u1ed5 \u0111i\u1ec3n. C\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u1ee7a nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n th\u01b0\u1eddng ch\u1ee9a m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng nh\u1ecf c\u00e1c t\u1ebf b\u00e0o Reed-Sternberg \u0111\u01b0\u1ee3c bao quanh b\u1edfi c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch tr\u00f4ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p>Lo\u1ea1i ung th\u01b0 h\u1ea1ch n\u00e0y \u0111\u01b0\u1ee3c chia th\u00e0nh b\u1ed1n lo\u1ea1i ph\u1ee5 ch\u00ednh:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B\u1ec7nh u lympho Hodgkin d\u1ea1ng x\u01a1 c\u1ee9ng<\/strong>: Lo\u1ea1i n\u00e0y c\u00f3 xu h\u01b0\u1edbng xu\u1ea5t hi\u1ec7n \u1edf c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf ng\u1ef1c ho\u1eb7c c\u1ed5. M\u1eb7c d\u00f9 ai c\u0169ng c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh n\u00e0y, nh\u01b0ng n\u00f3 c\u00f3 xu h\u01b0\u1edbng ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf thanh thi\u1ebfu ni\u00ean v\u00e0 thanh ni\u00ean. N\u00f3 chi\u1ebfm kho\u1ea3ng 70% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n.<\/li>\n\n\n\n<li><strong>U lympho Hodgkin d\u1ea1ng t\u1ebf b\u00e0o h\u1ed7n h\u1ee3p<\/strong>: \u0110\u00e2y l\u00e0 lo\u1ea1i ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n ph\u1ed5 bi\u1ebfn th\u1ee9 hai. N\u00f3 c\u00f3 xu h\u01b0\u1edbng ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV v\u00e0 th\u01b0\u1eddng ph\u00e1t tri\u1ec3n \u1edf c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft c\u1ee7a ph\u1ea7n tr\u00ean c\u01a1 th\u1ec3.<\/li>\n\n\n\n<li><strong>U lympho Hodgkin c\u1ed5 \u0111i\u1ec3n gi\u00e0u t\u1ebf b\u00e0o b\u1ea1ch huy\u1ebft:<\/strong> Lo\u1ea1i n\u00e0y hi\u1ebfm h\u01a1n, chi\u1ebfm kho\u1ea3ng 5% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi h\u01a1n ph\u1ee5 n\u1eef.<\/li>\n\n\n\n<li><strong>U lympho Hodgkin b\u1ecb suy gi\u1ea3m t\u1ebf b\u00e0o b\u1ea1ch huy\u1ebft:<\/strong> \u0110\u00e2y l\u00e0 lo\u1ea1i hi\u1ebfm nh\u1ea5t v\u00e0 th\u01b0\u1eddng th\u1ea5y \u1edf c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf b\u1ee5ng, l\u00e1 l\u00e1ch, gan v\u00e0 t\u1ee7y x\u01b0\u01a1ng. N\u00f3 x\u1ea3y ra ch\u1ee7 y\u1ebfu \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u00e0 nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n n\u1eb7ng h\u01a1n.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-3.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"U_lympho_Hodgkin_chiem_uu_the_te_bao_dang_not_NLPHL\">U lympho Hodgkin chi\u1ebfm \u01b0u th\u1ebf t\u1ebf b\u00e0o d\u1ea1ng n\u1ed1t (NLPHL)<\/span><\/h3>\n\n\n\n<p>Lo\u1ea1i b\u1ec7nh Hodgkin n\u00e0y c\u00f3 xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n v\u00e0 hi\u1ebfm h\u01a1n lo\u1ea1i c\u1ed5 \u0111i\u1ec3n. N\u00f3 chi\u1ebfm kho\u1ea3ng 5% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 h\u1ea1ch Hodgkin v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nam gi\u1edbi g\u1ea5p ba l\u1ea7n so v\u1edbi n\u1eef gi\u1edbi.<\/p>\n\n\n\n<p>C\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng trong lo\u1ea1i n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u1ebf b\u00e0o b\u1ecfng ng\u00f4 &#8211; ch\u00fang l\u1edbn v\u00e0 tr\u00f4ng gi\u1ed1ng nh\u01b0 b\u1eafp rang b\u01a1 d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. Ch\u00fang l\u00e0 c\u00e1c bi\u1ebfn th\u1ec3 c\u1ee7a t\u1ebf b\u00e0o Reed-Sternberg \u0111\u01b0\u1ee3c th\u1ea5y trong b\u1ec7nh ung th\u01b0 h\u1ea1ch c\u1ed5 \u0111i\u1ec3n Hodgkin. NLPHL c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00e1c v\u1edbi ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Cac_trieu_chung_cua_benh_Hodgkin_la_gi\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Hodgkin l\u00e0 g\u00ec?<\/span><\/h2>\n\n\n\n<p>Tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh ung th\u01b0 h\u1ea1ch Hodgkin l\u00e0 s\u01b0ng h\u1ea1ch b\u1ea1ch huy\u1ebft, c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh kh\u1ed1i u d\u01b0\u1edbi da. Kh\u1ed1i u n\u00e0y th\u01b0\u1eddng kh\u00f4ng \u0111au. N\u00f3 th\u01b0\u1eddng ph\u00e1t tri\u1ec3n \u1edf m\u1ed9t trong c\u00e1c b\u1ed9 ph\u1eadn sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u1ede b\u00ean c\u1ed5 c\u1ee7a b\u1ea1n<\/li>\n\n\n\n<li>\u1ede n\u00e1ch c\u1ee7a b\u1ea1n<\/li>\n\n\n\n<li>Quanh h\u00e1ng c\u1ee7a b\u1ea1n<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a ung th\u01b0 h\u1ea1ch Hodgkin bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam<\/li>\n\n\n\n<li>Ng\u1ee9a da<\/li>\n\n\n\n<li>S\u1ed1t<\/li>\n\n\n\n<li>M\u1ec7t m\u1ecfi<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e2n ngo\u00e0i \u00fd mu\u1ed1n<\/li>\n\n\n\n<li>Ho dai d\u1eb3ng<\/li>\n\n\n\n<li>Kh\u00f3 th\u1edf<\/li>\n\n\n\n<li>\u0110au ng\u1ef1c<\/li>\n\n\n\n<li>\u0110au c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft sau khi u\u1ed1ng r\u01b0\u1ee3u<\/li>\n\n\n\n<li>L\u00e1 l\u00e1ch to<\/li>\n<\/ul>\n\n\n\n<p>Li\u00ean h\u1ec7 v\u1edbi chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ngay l\u1eadp t\u1ee9c n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong s\u1ed1 n\u00e0y. \u0110\u00e2y c\u0169ng c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00e1c v\u00e0 \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Nguyen_nhan_gay_ra_benh_ung_thu_hach_Hodgkin\">Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh ung th\u01b0 h\u1ea1ch Hodgkin?<\/span><\/h2>\n\n\n\n<p>Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh Hodgkin kh\u00f4ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5, nh\u01b0ng c\u0103n b\u1ec7nh n\u00e0y ph\u00e1t tri\u1ec3n khi nh\u1eefng thay \u0111\u1ed5i trong DNA c\u1ee7a c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch huy\u1ebft khi\u1ebfn ch\u00fang sao ch\u00e9p m\u1ed9t c\u00e1ch kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. Nghi\u00ean c\u1ee9u th\u00eam l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 hi\u1ec3u t\u1ea1i sao n\u00f3 ph\u00e1t tri\u1ec3n \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi m\u00e0 kh\u00f4ng ph\u1ea3i nh\u1eefng ng\u01b0\u1eddi kh\u00e1c.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 \u0111\u01b0\u1ee3c cho l\u00e0 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Di truy\u1ec1n h\u1ecdc<\/li>\n\n\n\n<li>\u1ee8cc ch\u1ebf mi\u1ec5n d\u1ecbch<\/li>\n\n\n\n<li>Nhi\u1ec5m vi r\u00fat Epstein-Barr g\u00e2y t\u0103ng b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n<\/li>\n<\/ul>\n\n\n\n<p>Ng\u01b0\u1eddi ta cho r\u1eb1ng di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 trong s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a NLPHL dom\u1ed9t s\u1ed1 gen nh\u1ea5t \u0111\u1ecbnh ch\u1eb3ng h\u1ea1n nh\u01b0 SGK1 , DUSP2 v\u00e0 JUNB .<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Cac_yeu_to_rui_ro_cua_benh_Hodgkin\">C\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro c\u1ee7a b\u1ec7nh Hodgkin<\/span><\/h2>\n\n\n\n<p>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00e3 bi\u1ebft \u0111\u1ed1i v\u1edbi ung th\u01b0 h\u1ea1ch Hodgkin bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gi\u00e0 \u0111i:<\/strong> H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi ph\u00e1t tri\u1ec3n ung th\u01b0 h\u1ea1ch Hodgkin \u1edf \u0111\u1ed9 tu\u1ed5i 20 v\u00e0 40 ho\u1eb7c tr\u00ean 55 tu\u1ed5i.<\/li>\n\n\n\n<li><strong>Virus Epstein-Barr:<\/strong> \u0110\u00e3 b\u1ecb nhi\u1ec5m vi r\u00fat g\u00e2y ra b\u1ec7nh b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u01a1n nh\u00e2n, \u0111\u01b0\u1ee3c cho l\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 h\u1ea1ch Hodgkin.<\/li>\n\n\n\n<li><strong>L\u00e0 nam gi\u1edbi:<\/strong> Nam gi\u1edbi c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh cao h\u01a1n so v\u1edbi n\u1eef gi\u1edbi. Kho\u1ea3ng 85% c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc ph\u1ea3i l\u00e0 tr\u1ebb em trai.<\/li>\n\n\n\n<li><strong>L\u1ecbch s\u1eed gia \u0111\u00ecnh:<\/strong> Nh\u1eefng ng\u01b0\u1eddi c\u00f3 anh ch\u1ecb em m\u1eafc b\u1ec7nh ung th\u01b0 h\u1ea1ch Hodgkin c\u0169ng c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh n\u00e0y cao h\u01a1n v\u00e0 c\u00e1c c\u1eb7p song sinh gi\u1ed1ng h\u1ec7t nhau c\u00f3 r\u1ee7i ro r\u1ea5t cao. Tuy nhi\u00ean, h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u1ec1 b\u1ec7nh n\u00e0y.<\/li>\n\n\n\n<li><strong>H\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch suy y\u1ebfu:<\/strong> Nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m HIV c\u00f3 nguy c\u01a1 cao b\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin. Nh\u1eefng ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch sau khi c\u1ea5y gh\u00e9p n\u1ed9i t\u1ea1ng c\u0169ng c\u00f3 nguy c\u01a1 cao.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Ung_thu_hach_Hodgkin_duoc_chan_doan_nhu_the_nao\">Ung th\u01b0 h\u1ea1ch Hodgkin \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/h2>\n\n\n\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 h\u1ea1ch Hodgkin, b\u00e1c s\u0129 s\u1ebd kh\u00e1m s\u1ee9c kh\u1ecfe v\u00e0 h\u1ecfi b\u1ea1n v\u1ec1 ti\u1ec1n s\u1eed b\u1ec7nh c\u1ee7a b\u1ea1n. B\u00e1c s\u0129 c\u0169ng s\u1ebd y\u00eau c\u1ea7u m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u1ec3 gi\u00fap h\u1ecd ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/p>\n\n\n\n<p>C\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n:<\/p>\n\n\n\n<p>C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh: C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 ch\u1ee5p X-quang, ch\u1ee5p PET ho\u1eb7c ch\u1ee5p CT c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 quan s\u00e1t b\u00ean trong c\u01a1 th\u1ec3 \u0111\u1ec3 t\u00ecm c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft m\u1edf r\u1ed9ng v\u00e0 gi\u00fap x\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sinh thi\u1ebft h\u1ea1ch:<\/strong> Sinh thi\u1ebft bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n m\u00f4 h\u1ea1ch b\u1ea1ch huy\u1ebft \u0111\u1ec3 ki\u1ec3m tra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng.<\/li>\n\n\n\n<li><strong>X\u00e9t nghi\u1ec7m m\u00e1u:<\/strong> B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u nh\u01b0 c\u00f4ng th\u1ee9c m\u00e1u to\u00e0n b\u1ed9 ho\u1eb7c x\u00e9t nghi\u1ec7m t\u1ed1c \u0111\u1ed9 l\u1eafng h\u1ed3ng c\u1ea7u \u0111\u1ec3 \u0111o m\u1ee9c \u0111\u1ed9 h\u1ed3ng c\u1ea7u, b\u1ea1ch c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u. C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y c\u0169ng c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 hi\u1ec3u m\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a ung th\u01b0 v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ea1n v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 y\u00eau c\u1ea7u x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 axit lactic dehydrogenase v\u00e0 axit uric trong m\u00e1u c\u1ee7a b\u1ea1n.<\/li>\n\n\n\n<li><strong>\u0110\u1ecbnh ki\u1ec3u mi\u1ec5n d\u1ecbch:<\/strong> C\u00e1c b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng c\u00e1c x\u00e9t nghi\u1ec7m trong ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u1ec3 ph\u00e2n t\u00edch c\u00e1c m\u1eabu sinh thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem c\u00f3 t\u1ebf b\u00e0o ung th\u01b0 h\u1ea1ch hay kh\u00f4ng v\u00e0 ch\u00fang thu\u1ed9c lo\u1ea1i n\u00e0o.<\/li>\n\n\n\n<li><strong>Ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ed5i v\u00e0 tim: <\/strong>Ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ed5i v\u00e0 si\u00eau \u00e2m tim c\u1ee7a b\u1ea1n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 si\u00eau \u00e2m tim c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh ph\u1ed5i v\u00e0 tim c\u1ee7a b\u1ea1n \u0111ang ho\u1ea1t \u0111\u1ed9ng t\u1ed1t nh\u01b0 th\u1ebf n\u00e0o<\/li>\n\n\n\n<li><strong>Sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng:<\/strong> Sinh thi\u1ebft t\u1ee7y x\u01b0\u01a1ng bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf v\u00e0 ki\u1ec3m tra t\u1ee7y b\u00ean trong x\u01b0\u01a1ng c\u1ee7a b\u1ea1n \u0111\u1ec3 xem li\u1ec7u ung th\u01b0 \u0111\u00e3 di c\u0103n hay ch\u01b0a.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-4.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"Dieu_tri_ung_thu_hach_Hodgkin_nhu_the_nao\">\u0110i\u1ec1u tr\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/h2>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh. C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ch\u00ednh l\u00e0 h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb. Sau khi \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 s\u1ebd mu\u1ed1n theo d\u00f5i b\u1ea1n m\u1ed9t c\u00e1ch th\u01b0\u1eddng xuy\u00ean. \u0110\u1ea3m b\u1ea3o gi\u1eef t\u1ea5t c\u1ea3 c\u00e1c cu\u1ed9c h\u1eb9n kh\u00e1m b\u1ec7nh c\u1ee7a b\u1ea1n v\u00e0 c\u1ea9n th\u1eadn l\u00e0m theo t\u1ea5t c\u1ea3 c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"Xa_tri\">X\u1ea1 tr\u1ecb<\/span><\/h3>\n\n\n\n<p>X\u1ea1 tr\u1ecb s\u1eed d\u1ee5ng ch\u00f9m tia b\u1ee9c x\u1ea1 n\u0103ng l\u01b0\u1ee3ng cao \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 \u1edf c\u00e1c khu v\u1ef1c c\u1ee5 th\u1ec3 c\u1ee7a c\u01a1 th\u1ec3. X\u1ea1 tr\u1ecb th\u01b0\u1eddng c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t trong vi\u1ec7c ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"Hoa_tri_lieu\">H\u00f3a tr\u1ecb li\u1ec7u<\/span><\/h3>\n\n\n\n<p>H\u00f3a tr\u1ecb li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0. Thu\u1ed1c h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam qua t\u0129nh m\u1ea1ch, t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng lo\u1ea1i thu\u1ed1c c\u1ee5 th\u1ec3.<\/p>\n\n\n\n<p>C\u00e1c h\u00f3a tr\u1ecb li\u1ec7u ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1ea1ch Hodgkin c\u1ed5 \u0111i\u1ec3n v\u00e0 NLPHL \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ABVD. N\u00f3 l\u00e0 m\u1ed9t h\u1ed7n h\u1ee3p c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adriamycin (doxorubicin)<\/li>\n\n\n\n<li>Bleomycin<\/li>\n\n\n\n<li>Vinblastine<\/li>\n\n\n\n<li>Dacarbazine (DTIC)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"Cac_lieu_phap_dieu_tri_bang_thuoc_khac\">C\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1c<\/span><\/h3>\n\n\n\n<p>C\u00f9ng v\u1edbi h\u00f3a tr\u1ecb li\u1ec7u, nhi\u1ec1u li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c steroid: Steroid \u0111\u00f4i khi \u0111\u01b0\u1ee3c th\u00eam v\u00e0o h\u00f3a tr\u1ecb li\u1ec7u n\u1ebfu \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c n\u1ebfu ung th\u01b0 \u0111\u00e3 ti\u1ebfn tri\u1ec3n.<\/li>\n\n\n\n<li>Li\u1ec7u ph\u00e1p nh\u1eafm m\u1ee5c ti\u00eau: Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1eafm m\u1ee5c ti\u00eau t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 m\u00e0 kh\u00f4ng l\u00e0m t\u1ed5n h\u1ea1i c\u00e1c t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh nhi\u1ec1u nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb. M\u1ed9t lo\u1ea1i thu\u1ed1c trong nh\u00f3m n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 rituximab c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u00eam v\u00e0o h\u00f3a tr\u1ecb li\u1ec7u n\u1ebfu b\u1ea1n m\u1eafc NLPHL.<\/li>\n\n\n\n<li>Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch: Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n \u0111\u1ec3 nh\u1eafm m\u1ee5c ti\u00eau v\u00e0 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0.<\/li>\n\n\n\n<li>Brentuximab vedotin: Brentuximab vedotin l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c m\u1edbi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ed9t lo\u1ea1i ung th\u01b0 h\u1ea1ch Hodgkin c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 h\u1ea1ch Hodgkin d\u01b0\u01a1ng t\u00ednh v\u1edbi CD30.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"Cay_ghep_tuy_xuong\">C\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng<\/span><\/h3>\n\n\n\n<p>C\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c, c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn n\u1ebfu b\u1ea1n kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi h\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb. C\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c truy\u1ec1n c\u00e1c t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u1ebf b\u00e0o g\u1ed1c, v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n \u0111\u1ec3 thay th\u1ebf c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong t\u1ee7y x\u01b0\u01a1ng c\u1ee7a b\u1ea1n.<\/p>\n\n\n\n<p>Hai lo\u1ea1i c\u1ea5y gh\u00e9p x\u01b0\u01a1ng ch\u00ednh l\u00e0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n: <\/strong>T\u1ebf b\u00e0o g\u1ed1c c\u1ee7a ch\u00ednh b\u1ea1n \u0111\u01b0\u1ee3c thu th\u1eadp tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u00e0 l\u01b0u tr\u1eef cho \u0111\u1ebfn sau khi b\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb li\u1ec1u cao. C\u00e1c t\u1ebf b\u00e0o t\u1ee7y x\u01b0\u01a1ng sau \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1edf l\u1ea1i c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n sau khi \u0111i\u1ec1u tr\u1ecb.<\/li>\n\n\n\n<li><strong>Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c d\u1ecb sinh:<\/strong> T\u1ebf b\u00e0o g\u1ed1c t\u1eeb m\u1ed9t ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng, th\u01b0\u1eddng l\u00e0 h\u1ecd h\u00e0ng g\u1ea7n, s\u1ebd \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o c\u01a1 th\u1ec3 b\u1ea1n. Vi\u1ec7c c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c d\u1ecb h\u1ee3p th\u01b0\u1eddng ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi m\u1ed9t ca c\u1ea5y gh\u00e9p t\u1ef1 th\u00e2n kh\u00f4ng th\u00e0nh c\u00f4ng.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"Phuong_phap_dieu_tri_thay_the\">Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf<\/span><\/h3>\n\n\n\n<p>M\u1ed9t s\u1ed1 li\u1ec7u ph\u00e1p thay th\u1ebf c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng ung th\u01b0 h\u1ea1ch, m\u1eb7c d\u00f9 ch\u00fang s\u1ebd kh\u00f4ng ch\u1eefa kh\u1ecfi b\u1ec7nh c\u1ee7a b\u1ea1n. Ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u00f9ng v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb truy\u1ec1n th\u1ed1ng nh\u01b0ng kh\u00f4ng n\u00ean thay th\u1ebf n\u00f3.<\/p>\n\n\n\n<p>C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u00e2m c\u1ee9u<\/li>\n\n\n\n<li>Li\u1ec7u ph\u00e1p xoa b\u00f3p<\/li>\n\n\n\n<li>C\u00e1c k\u1ef9 thu\u1eadt th\u01b0 gi\u00e3n nh\u01b0 yoga , kh\u00ed c\u00f4ng , th\u00e1i c\u1ef1c quy\u1ec1n ho\u1eb7c thi\u1ec1n \u0111\u1ecbnh<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-5.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p>N\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm, b\u1ec7nh Hodgkin s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 h\u01a1n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a ung th\u01b0 h\u1ea1ch. B\u1ec7nh n\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm th\u00ec kh\u1ea3 n\u0103ng c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t c\u00e0ng cao.<\/p>\n\n\n\n<p><em><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Doctor c\u00f3 s\u1eb5n Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 <\/em><a href=\"https:\/\/www.docosan.com\/\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><em> v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ung th\u01b0 h\u1ea1ch Hodgkin, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh Hodgkin, l\u00e0 m\u1ed9t lo\u1ea1i ung th\u01b0 h\u1ea1ch. Ung th\u01b0 b\u1ea1ch huy\u1ebft l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh ung th\u01b0 m\u00e1u b\u1eaft \u0111\u1ea7u trong h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft. H\u1ec7 th\u1ed1ng n\u00e0y bao g\u1ed3m m\u1ed9t m\u1ea1ng l\u01b0\u1edbi c\u00e1c c\u01a1 quan, h\u1ea1ch v\u00e0 m\u1ea1ch kh\u1eafp c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n. H\u00e3y c\u00f9ng [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":92091,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[58],"tags":[],"class_list":["post-104509","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ung-buou"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/benh-hodgkin-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=104509"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104509\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/92091"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}