{"id":104631,"date":"2022-02-13T00:00:00","date_gmt":"2022-02-13T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/viem-gan-man\/"},"modified":"2024-10-23T10:44:40","modified_gmt":"2024-10-23T03:44:40","slug":"viem-gan-man","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/gan-mat\/viem-gan-man\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 vi\u00eam gan m\u1ea1n (vi\u00eam gan m\u00e3n t\u00ednh)"},"content":{"rendered":"\r\n<p><strong>Vi\u00eam gan m\u1ea1n l\u00e0 t\u00ecnh tr\u1ea1ng gan b\u1ecb vi\u00eam k\u00e9o d\u00e0i h\u01a1n s\u00e1u th\u00e1ng. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 nh\u1eb9, g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u01b0\u01a1ng \u0111\u1ed1i \u00edt, ho\u1eb7c nghi\u00eam tr\u1ecdng h\u01a1n l\u00e0 khi\u1ebfn nhi\u1ec1u t\u1ebf b\u00e0o gan b\u1ecb ph\u00e1 h\u1ee7y. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn x\u01a1 gan v\u00e0 suy gan. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 b\u1ec7nh l\u00fd c\u0169ng nh\u01b0 c\u00e1ch ph\u00f2ng ch\u1ed1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh, m\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a> t\u00ecm hi\u1ec3u n\u1ed9i dung d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"viem-gan-m\u1ea1n-la-gi\">Vi\u00eam gan m\u1ea1n l\u00e0 g\u00ec?<\/h2>\r\n\r\n\r\n\r\n<p>Vi\u00eam gan m\u00e3n t\u00ednh l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam gan k\u00e9o d\u00e0i h\u01a1n 6 th\u00e1ng. M\u1eb7c d\u00f9 b\u1ec7nh \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n nhi\u1ec1u so v\u1edbi vi\u00eam gan vi r\u00fat c\u1ea5p t\u00ednh , nh\u01b0ng c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong nhi\u1ec1u n\u0103m. Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn c\u1ee7a b\u1ec7nh th\u01b0\u1eddng do vi r\u00fat vi\u00eam gan B v\u00e0 C v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan m\u00e3n t\u00ednh k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng gan t\u1eeb t\u1eeb, cu\u1ed1i c\u00f9ng d\u1eabn \u0111\u1ebfn x\u01a1 gan (s\u1eb9o n\u1eb7ng \u1edf gan), suy gan v\u00e0 \u0111\u00f4i khi l\u00e0 ung th\u01b0 gan.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-1.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-viem-gan-m\u1ea1n\">Nguy\u00ean nh\u00e2n vi\u00eam gan m\u1ea1n<\/h2>\r\n\r\n\r\n\r\n<p>Nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh vi\u00eam gan m\u00e3n t\u00ednh l\u00e0:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Vi\u00eam gan C<\/li>\r\n\r\n\r\n\r\n<li>Vi\u00eam gan B<\/li>\r\n\r\n\r\n\r\n<li>Gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do s\u1eed d\u1ee5ng r\u01b0\u1ee3u<\/li>\r\n\r\n\r\n\r\n<li>B\u1ec7nh gan li\u00ean quan \u0111\u1ebfn r\u01b0\u1ee3u<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Vi r\u00fat vi\u00eam gan C g\u00e2y ra kho\u1ea3ng 60 \u0111\u1ebfn 70% c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan m\u00e3n t\u00ednh v\u00e0 \u00edt nh\u1ea5t 75% c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan C c\u1ea5p t\u00ednh tr\u1edf th\u00e0nh m\u00e3n t\u00ednh.<\/p>\r\n\r\n\r\n\r\n<p>Kho\u1ea3ng 5 \u0111\u1ebfn 10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan B \u1edf ng\u01b0\u1eddi l\u1edbn, \u0111\u00f4i khi \u0111\u1ed3ng nhi\u1ec5m vi\u00eam gan D tr\u1edf th\u00e0nh m\u00e3n t\u00ednh. (Vi\u00eam gan D kh\u00f4ng t\u1ef1 x\u1ea3y ra. N\u00f3 ch\u1ec9 x\u1ea3y ra khi \u0111\u1ed3ng nhi\u1ec5m v\u1edbi vi\u00eam gan B.) Vi\u00eam gan B c\u1ea5p t\u00ednh tr\u1edf th\u00e0nh m\u00e3n t\u00ednh \u1edf 90% tr\u1ebb s\u01a1 sinh b\u1ecb nhi\u1ec5m b\u1ec7nh.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-2.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<p>Vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi b\u00e9o ph\u00ec, ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c m\u1ee9c \u0111\u1ed9 b\u1ea5t th\u01b0\u1eddng c\u1ee7a cholesterol v\u00e0 c\u00e1c ch\u1ea5t b\u00e9o kh\u00e1c (lipid) trong m\u00e1u. T\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u ki\u1ec7n n\u00e0y khi\u1ebfn c\u01a1 th\u1ec3 t\u1ed5ng h\u1ee3p nhi\u1ec1u ch\u1ea5t b\u00e9o h\u01a1n ho\u1eb7c x\u1eed l\u00fd (chuy\u1ec3n h\u00f3a) v\u00e0 \u0111\u00e0o th\u1ea3i ch\u1ea5t b\u00e9o ra ngo\u00e0i ch\u1eadm h\u01a1n.<\/p>\r\n\r\n\r\n\r\n<p>K\u1ebft qu\u1ea3 l\u00e0 ch\u1ea5t b\u00e9o t\u00edch t\u1ee5 v\u00e0 sau \u0111\u00f3 \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef b\u00ean trong c\u00e1c t\u1ebf b\u00e0o gan (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 gan nhi\u1ec5m m\u1ee1). Gan nhi\u1ec5m m\u1ee1 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam m\u00e3n t\u00ednh v\u00e0 cu\u1ed1i c\u00f9ng ti\u1ebfn tri\u1ec3n th\u00e0nh x\u01a1 gan.<\/p>\r\n\r\n\r\n\r\n<p>R\u01b0\u1ee3u sau khi \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u1edf gan. Khi r\u01b0\u1ee3u \u0111\u01b0\u1ee3c x\u1eed l\u00fd, c\u00e1c ch\u1ea5t c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho gan \u0111\u01b0\u1ee3c s\u1ea3n sinh ra. B\u1ec7nh gan li\u00ean quan \u0111\u1ebfn r\u01b0\u1ee3u th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u trong nhi\u1ec1u th\u00e1ng ho\u1eb7c nhi\u1ec1u n\u0103m. N\u1ebfu m\u1ecdi ng\u01b0\u1eddi ti\u1ebfp t\u1ee5c u\u1ed1ng r\u01b0\u1ee3u, m\u00f4 s\u1eb9o c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh trong gan v\u00e0 cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 thay th\u1ebf m\u1ed9t l\u01b0\u1ee3ng l\u1edbn m\u00f4 gan b\u00ecnh th\u01b0\u1eddng, d\u1eabn \u0111\u1ebfn x\u01a1 gan.<\/p>\r\n\r\n\r\n\r\n<p>C\u00e1c nguy\u00ean nh\u00e2n \u00edt g\u1eb7p:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Vi\u00eam gan t\u1ef1 mi\u1ec5n<\/li>\r\n\r\n\r\n\r\n<li>Ma t\u00fay<\/li>\r\n\r\n\r\n\r\n<li>Thi\u1ebfu alpha-1 antitrypsin (m\u1ed9t ch\u1ee9ng r\u1ed1i lo\u1ea1n di truy\u1ec1n)<\/li>\r\n\r\n\r\n\r\n<li>B\u1ec7nh celiac<\/li>\r\n\r\n\r\n\r\n<li>Hemochromatosis (m\u1ed9t ch\u1ee9ng r\u1ed1i lo\u1ea1n di truy\u1ec1n khi\u1ebfn c\u01a1 th\u1ec3 h\u1ea5p th\u1ee5 qu\u00e1 nhi\u1ec1u s\u1eaft)<\/li>\r\n\r\n\r\n\r\n<li>Vi\u00eam \u0111\u01b0\u1eddng m\u1eadt nguy\u00ean ph\u00e1t<\/li>\r\n\r\n\r\n\r\n<li>R\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>\u1ede tr\u1ebb em v\u00e0 thanh ni\u00ean, b\u1ec7nh Wilson (m\u1ed9t r\u1ed1i lo\u1ea1n di truy\u1ec1n hi\u1ebfm g\u1eb7p li\u00ean quan \u0111\u1ebfn vi\u1ec7c gi\u1eef \u0111\u1ed3ng b\u1ea5t th\u01b0\u1eddng trong gan)<\/p>\r\n\r\n\r\n\r\n<p>Vi\u00eam gan t\u1ef1 mi\u1ec5n l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e3n t\u00ednh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 t\u00ecnh tr\u1ea1ng vi\u00eam do c\u01a1 th\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c m\u00f4 c\u1ee7a ch\u00ednh m\u00ecnh (m\u1ed9t ph\u1ea3n \u1ee9ng t\u1ef1 mi\u1ec5n d\u1ecbch). Vi\u00eam gan t\u1ef1 mi\u1ec5n ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef h\u01a1n nam gi\u1edbi.<\/p>\r\n\r\n\r\n\r\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y vi\u00eam gan m\u00e3n t\u00ednh, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi ch\u00fang \u0111\u01b0\u1ee3c d\u00f9ng trong th\u1eddi gian d\u00e0i. Ch\u00fang bao g\u1ed3m amiodarone, isoniazid, methotrexate, methyldopa, nitrofurantoin, tamoxifen v\u00e0 hi\u1ebfm khi l\u00e0 acetaminophen.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-b\u1ec7nh-viem-gan-m\u1ea1n\">Tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam gan m\u1ea1n<\/h2>\r\n\r\n\r\n\r\n<p>\u1ede kho\u1ea3ng 2\/3 s\u1ed1 ng\u01b0\u1eddi, vi\u00eam gan m\u00e3n t\u00ednh ph\u00e1t tri\u1ec3n d\u1ea7n d\u1ea7n, th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n gan n\u00e0o cho \u0111\u1ebfn khi x\u01a1 gan x\u1ea3y ra. Trong m\u1ed9t ph\u1ea7n ba c\u00f2n l\u1ea1i, n\u00f3 ph\u00e1t tri\u1ec3n sau m\u1ed9t \u0111\u1ee3t vi\u00eam gan vi r\u00fat c\u1ea5p t\u00ednh k\u00e9o d\u00e0i ho\u1eb7c t\u00e1i ph\u00e1t (th\u01b0\u1eddng v\u00e0i tu\u1ea7n sau \u0111\u00f3).<\/p>\r\n\r\n\r\n\r\n<p>Vi\u00eam gan m\u00e3n t\u00ednh th\u01b0\u1eddng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng chung, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u1ea3m gi\u00e1c m\u01a1 h\u1ed3 v\u1ec1 b\u1ec7nh t\u1eadt, k\u00e9m \u0103n v\u00e0 m\u1ec7t m\u1ecfi. \u0110\u00f4i khi nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u1ea3nh h\u01b0\u1edfng c\u0169ng b\u1ecb s\u1ed1t nh\u1eb9 v\u00e0 kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng b\u1ee5ng tr\u00ean. V\u00e0ng da (s\u1ef1 \u0111\u1ed5i m\u00e0u v\u00e0ng c\u1ee7a da v\u00e0 l\u00f2ng tr\u1eafng c\u1ee7a m\u1eaft do l\u1eafng \u0111\u1ecdng l\u01b0\u1ee3ng bilirubin d\u01b0 th\u1eeba) l\u00e0 r\u1ea5t hi\u1ebfm tr\u1eeb khi b\u1ecb suy gan.<\/p>\r\n\r\n\r\n\r\n<p>Th\u00f4ng th\u01b0\u1eddng, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee5 th\u1ec3 \u0111\u1ea7u ti\u00ean x\u1ea3y ra khi b\u1ec7nh gan \u0111\u00e3 ti\u1ebfn tri\u1ec3n v\u00e0 c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a b\u1ec7nh x\u01a1 gan. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>L\u00e1 l\u00e1ch to<\/li>\r\n\r\n\r\n\r\n<li>C\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf h\u00ecnh m\u1ea1ng nh\u1ec7n c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y tr\u00ean da (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 u m\u1ea1ch m\u1ea1ng nh\u1ec7n)<\/li>\r\n\r\n\r\n\r\n<li>\u0110\u1ecf l\u00f2ng b\u00e0n tay<\/li>\r\n\r\n\r\n\r\n<li>T\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng trong b\u1ee5ng (c\u1ed5 tr\u01b0\u1edbng)<\/li>\r\n\r\n\r\n\r\n<li>Xu h\u01b0\u1edbng ch\u1ea3y m\u00e1u (r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u)<\/li>\r\n\r\n\r\n\r\n<li>V\u00e0ng da<\/li>\r\n\r\n\r\n\r\n<li>Suy gi\u1ea3m ch\u1ee9c n\u0103ng n\u00e3o (b\u1ec7nh n\u00e3o gan)<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-3.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<p>Ch\u1ee9c n\u0103ng n\u00e3o b\u1ecb suy gi\u1ea3m do gan b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i ra kh\u1ecfi m\u00e1u nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Nh\u1eefng ch\u1ea5t n\u00e0y sau \u0111\u00f3 s\u1ebd t\u00edch t\u1ee5 trong m\u00e1u v\u00e0 \u0111\u1ebfn n\u00e3o. Th\u00f4ng th\u01b0\u1eddng, gan lo\u1ea1i b\u1ecf ch\u00fang kh\u1ecfi m\u00e1u, ph\u00e2n h\u1ee7y ch\u00fang, sau \u0111\u00f3 b\u00e0i ti\u1ebft ch\u00fang d\u01b0\u1edbi d\u1ea1ng c\u00e1c s\u1ea3n ph\u1ea9m ph\u1ee5 v\u00f4 h\u1ea1i v\u00e0o m\u1eadt (ch\u1ea5t d\u1ecbch m\u00e0u v\u00e0ng xanh h\u1ed7 tr\u1ee3 ti\u00eau h\u00f3a) ho\u1eb7c m\u00e1u. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e3o gan c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng n\u00e3o v\u0129nh vi\u1ec5n.<\/p>\r\n\r\n\r\n\r\n<p>Vi\u00eam gan t\u1ef1 mi\u1ec5n c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn c\u00e1c h\u1ec7 th\u1ed1ng c\u01a1 th\u1ec3 kh\u00e1c. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m ng\u1eebng kinh nguy\u1ec7t, \u0111au v\u00e0 s\u01b0ng kh\u1edbp, ch\u00e1n \u0103n v\u00e0 bu\u1ed3n n\u00f4n. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam gan t\u1ef1 mi\u1ec5n c\u0169ng c\u00f3 th\u1ec3 b\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n kh\u00e1c nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00fdp 1, vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, b\u1ec7nh celiac, ho\u1eb7c c\u00e1c r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n g\u00e2y thi\u1ebfu m\u00e1u ho\u1eb7c vi\u00eam tuy\u1ebfn gi\u00e1p ho\u1eb7c th\u1eadn.<\/p>\r\n\r\n\r\n\r\n<p>\u1ede nhi\u1ec1u ng\u01b0\u1eddi, vi\u00eam gan m\u00e3n t\u00ednh kh\u00f4ng ti\u1ebfn tri\u1ec3n trong nhi\u1ec1u n\u0103m. Nh\u01b0ng \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00e1c, b\u1ec7nh s\u1ebd ng\u00e0y c\u00e0ng\u00a0 tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n. Ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c m\u1ed9t ph\u1ea7n v\u00e0o lo\u1ea1i vi r\u00fat g\u00e2y b\u1ec7nh v\u00e0 li\u1ec7u c\u00f3 s\u1eb5n ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hay kh\u00f4ng:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Vi\u00eam gan C m\u00e3n t\u00ednh:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, s\u1ebd g\u00e2y ra x\u01a1 gan \u1edf kho\u1ea3ng 20 \u0111\u1ebfn 30% s\u1ed1 ng\u01b0\u1eddi. Nguy c\u01a1 ung th\u01b0 gan th\u01b0\u1eddng t\u0103ng l\u00ean n\u1ebfu b\u1ecb x\u01a1 gan<\/li>\r\n\r\n\r\n\r\n<li><strong>Vi\u00eam gan B m\u00e3n t\u00ednh:<\/strong> C\u00f3 xu h\u01b0\u1edbng ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n, d\u1eabn \u0111\u1ebfn x\u01a1 gan. Vi\u00eam gan B m\u00e3n t\u00ednh c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 gan cho d\u00f9 x\u01a1 gan c\u00f3 ph\u00e1t tri\u1ec3n hay kh\u00f4ng. B\u1ec7nh vi\u00eam gan B m\u00e3n t\u00ednh s\u1ebd kh\u00f4ng t\u1ef1 kh\u1ecfi m\u00e0 c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb<\/li>\r\n\r\n\r\n\r\n<li><strong>\u0110\u1ed3ng nhi\u1ec5m m\u00e3n t\u00ednh v\u1edbi vi\u00eam gan B v\u00e0 D:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y x\u01a1 gan l\u00ean \u0111\u1ebfn 70%<\/li>\r\n\r\n\r\n\r\n<li><strong>Vi\u00eam gan t\u1ef1 mi\u1ec5n:<\/strong> C\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 \u1edf h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi, nh\u01b0ng m\u1ed9t s\u1ed1 l\u1ea1i ph\u00e1t tri\u1ec3n th\u00e0nh x\u01a1 gan<\/li>\r\n\r\n\r\n\r\n<li><strong>Vi\u00eam gan m\u00e3n t\u00ednh do thu\u1ed1c:<\/strong> Th\u01b0\u1eddng kh\u1ecfi ho\u00e0n to\u00e0n sau khi ng\u1eebng thu\u1ed1c<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan-viem-gan-man-tinh\">Ch\u1ea9n \u0111o\u00e1n vi\u00eam gan m\u00e3n t\u00ednh<\/h2>\r\n\r\n\r\n\r\n<p>Hai ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam gan m\u1ea1n l\u00e0:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>X\u00e9t nghi\u1ec7m m\u00e1u<\/li>\r\n\r\n\r\n\r\n<li>Sinh thi\u1ebft gan<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"xet-nghi\u1ec7m-mau\">X\u00e9t nghi\u1ec7m m\u00e1u<\/h3>\r\n\r\n\r\n\r\n<p>C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 nghi ng\u1edd vi\u00eam gan m\u00e3n t\u00ednh khi:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Ng\u01b0\u1eddi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh<\/li>\r\n\r\n\r\n\r\n<li>X\u00e9t nghi\u1ec7m m\u00e1u (th\u1ef1c hi\u1ec7n v\u00ec c\u00e1c l\u00fd do kh\u00e1c) ph\u00e1t hi\u1ec7n men gan t\u0103ng cao<\/li>\r\n\r\n\r\n\r\n<li>Ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng b\u1ecb vi\u00eam gan c\u1ea5p t\u00ednh tr\u01b0\u1edbc \u0111\u00e2y<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Ngo\u00e0i ra, t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean, b\u1ea5t k\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng hay kh\u00f4ng, n\u00ean x\u00e9t nghi\u1ec7m vi\u00eam gan C \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n v\u00ec b\u1ec7nh vi\u00eam gan C th\u01b0\u1eddng kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng.<\/p>\r\n\r\n\r\n\r\n<p>X\u00e9t nghi\u1ec7m vi\u00eam gan m\u00e3n t\u00ednh th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 men gan v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c do gan s\u1ea3n xu\u1ea5t (x\u00e9t nghi\u1ec7m gan). C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 gi\u00fap lo\u1ea1i tr\u1eeb ch\u1ea9n \u0111o\u00e1n vi\u00eam gan, x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng gan.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-4.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<p>C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u c\u0169ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 gi\u00fap c\u00e1c b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh li\u1ec7u virus vi\u00eam gan c\u00f3 g\u00e2y ra nhi\u1ec5m tr\u00f9ng hay kh\u00f4ng. N\u1ebfu kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c vi r\u00fat, c\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u kh\u00e1c \u0111\u1ec3 ki\u1ec3m tra c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u00eam gan t\u1ef1 mi\u1ec5n.<\/p>\r\n<p><span style=\"font-weight: 400;\">M\u1eddi b\u1ea1n tham kh\u1ea3o<\/span><a href=\"https:\/\/cares.docosan.com\/products\/goi-xet-nghiem-viem-gan-b-khang-the-viem-gan-b\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">G\u00f3i x\u00e9t nghi\u1ec7m vi\u00eam gan B\/Kh\u00e1ng th\u1ec3 Vi\u00eam Gan B<\/span><\/a><\/p>\r\n\r\n\r\n<p><iframe class=\"product-widget\" src=\"https:\/\/www.docosan.com\/blog\/cares-product-widget\/?id=20014\" width=\"100%\" frameborder=\"0\"><\/iframe><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"sinh-thi\u1ebft-gan\">Sinh thi\u1ebft gan<\/h3>\r\n\r\n\r\n\r\n<p>Sinh thi\u1ebft gan \u0111\u00f4i khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n. C\u00e1c b\u01b0\u1edbc sinh thi\u1ebft gan bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>X\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00ecnh tr\u1ea1ng vi\u00eam<\/li>\r\n\r\n\r\n\r\n<li>X\u00e1c \u0111\u1ecbnh xem c\u00f3 s\u1eb9o (x\u01a1 h\u00f3a) ho\u1eb7c x\u01a1 gan \u0111\u00e3 ph\u00e1t tri\u1ec3n hay kh\u00f4ng<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a gan v\u00e0 ki\u1ec3m tra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 gan kh\u00e1c. C\u00e1c b\u00e0i ki\u1ec3m tra c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh chuy\u00ean bi\u1ec7t, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111o \u0111\u1ed9 \u0111\u00e0n h\u1ed3i si\u00eau \u00e2m v\u00e0 \u0111o \u0111\u1ed9 \u0111\u00e0n h\u1ed3i c\u1ed9ng h\u01b0\u1edfng t\u1eeb<\/li>\r\n\r\n\r\n\r\n<li>X\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111o c\u00e1c ch\u1ea5t (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u0111\u00e1nh d\u1ea5u) cho bi\u1ebft c\u00f3 hay kh\u00f4ng v\u00e0 m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a<\/li>\r\n\r\n\r\n\r\n<li>Si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i v\u00e0 \u0111\u00e0n h\u1ed3i c\u1ed9ng h\u01b0\u1edfng t\u1eeb s\u1eed d\u1ee5ng s\u00f3ng \u00e2m thanh, \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho v\u00f9ng b\u1ee5ng, \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 c\u1ee9ng c\u1ee7a m\u00f4 gan.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"t\u1ea7m-soat-ung-th\u01b0-gan\">T\u1ea7m so\u00e1t ung th\u01b0 gan<\/h3>\r\n\r\n\r\n\r\n<p>N\u1ebfu nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam gan B m\u00e3n t\u00ednh (ho\u1eb7c x\u01a1 gan do b\u1ea5t k\u1ef3 r\u1ed1i lo\u1ea1n n\u00e0o v\u1ec1 gan), vi\u1ec7c t\u1ea7m so\u00e1t ung th\u01b0 gan n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n 6 th\u00e1ng m\u1ed9t l\u1ea7n. Hai b\u00e0i ki\u1ec3m tra th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Si\u00eau \u00e2m<\/li>\r\n\r\n\r\n\r\n<li>\u0110o m\u1ee9c alpha-fetoprotein trong m\u00e1u<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><em>M\u1ee9c \u0111\u1ed9 alpha-fetoprotein l\u00e0 m\u1ed9t lo\u1ea1i protein th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00e1c t\u1ebf b\u00e0o gan ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u1edf thai nhi &#8211; c\u00f3 th\u1ec3 t\u0103ng cao khi b\u1ecb ung th\u01b0 gan.<\/em><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-viem-gan-man-tinh\">\u0110i\u1ec1u tr\u1ecb vi\u00eam gan m\u00e3n t\u00ednh<\/h2>\r\n\r\n\r\n\r\n<p>Th\u00f4ng th\u01b0\u1eddng qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb vi\u00eam gan m\u1ea1n th\u01b0\u1eddng b\u1eb1ng hai c\u00e1ch l\u00e0 \u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n (ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c kh\u00e1ng vi-r\u00fat cho b\u1ec7nh vi\u00eam gan B ho\u1eb7c C) ho\u1eb7c \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\r\n\r\n\r\n\r\n<p>\u0110i\u1ec1u tr\u1ecb vi\u00eam gan m\u00e3n t\u00ednh t\u1eadp trung v\u00e0o \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u1ed5 tr\u01b0\u1edbng v\u00e0 b\u1ec7nh n\u00e3o gan \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan.<\/p>\r\n\r\n\r\n\r\n<p>N\u1ebfu nguy\u00ean nh\u00e2n l\u00e0 do m\u1ed9t l\u1ecda thu\u1ed1c th\u00ec thu\u1ed1c \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c ng\u1eebng s\u1eed d\u1ee5ng. N\u1ebfu r\u1ed1i lo\u1ea1n kh\u00e1c l\u00e0 nguy\u00ean nh\u00e2n, n\u00f3 s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. N\u1ebfu nguy\u00ean nh\u00e2n l\u00e0 b\u1ec7nh gan do r\u01b0\u1ee3u, c\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o n\u00ean thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, ch\u1ee7 y\u1ebfu l\u00e0 ki\u00eang r\u01b0\u1ee3u.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-5.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"viem-gan-b-va-c\">Vi\u00eam gan B v\u00e0 C<\/h3>\r\n\r\n\r\n\r\n<p>N\u1ebfu b\u1ec7nh vi\u00eam gan B m\u00e3n t\u00ednh tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n ho\u1eb7c n\u1ebfu n\u1ed3ng \u0111\u1ed9 men gan cao, b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi-r\u00fat \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\r\n\r\n\r\n\r\n<p>\u1ede m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, vi\u00eam gan B c\u00f3 xu h\u01b0\u1edbng t\u00e1i ph\u00e1t sau khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c v\u00e0 th\u1eadm ch\u00ed c\u00f3 th\u1ec3 tr\u1ea7m tr\u1ecdng h\u01a1n. Do \u0111\u00f3, nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng thu\u1ed1c kh\u00e1ng vi-r\u00fat v\u00f4 th\u1eddi h\u1ea1n.<\/p>\r\n\r\n\r\n\r\n<p>V\u1edbi b\u1ec7nh vi\u00eam gan C m\u00e3n t\u00ednh, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi-r\u00fat \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-6.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"viem-gan-nhi\u1ec5m-m\u1ee1-khong-do-r\u01b0\u1ee3u\">Vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<\/h3>\r\n\r\n\r\n\r\n<p>\u0110i\u1ec1u tr\u1ecb vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u t\u1eadp trung v\u00e0o vi\u1ec7c ki\u1ec3m so\u00e1t c\u00e1c t\u00ecnh tr\u1ea1ng g\u00e2y ra n\u00f3. V\u00ed d\u1ee5, \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Gi\u1ea3m c\u00e2n<\/li>\r\n\r\n\r\n\r\n<li>\u0102n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh (c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 c\u00f3 th\u1ec3 c\u1ea3 m\u1ee9c lipid)<\/li>\r\n\r\n\r\n\r\n<li>D\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\r\n\r\n\r\n\r\n<li>D\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m m\u1ee9c lipid<\/li>\r\n\r\n\r\n\r\n<li>Kh\u00f4ng d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y ra r\u1ed1i lo\u1ea1n (ch\u1eb3ng h\u1ea1n nh\u01b0 tamoxifen, corticosteroid v\u00e0 estrogen t\u1ed5ng h\u1ee3p)<\/li>\r\n\r\n\r\n\r\n<li>Tr\u00e1nh \u0111\u1ed9c t\u1ed1, ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c tr\u1eeb s\u00e2u<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-7.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"viem-gan-t\u1ef1-mi\u1ec5n\">Vi\u00eam gan t\u1ef1 mi\u1ec5n<\/h3>\r\n\r\n\r\n\r\n<p>Th\u00f4ng th\u01b0\u1eddng, corticosteroid (ch\u1eb3ng h\u1ea1n nh\u01b0 prednisone ho\u1eb7c budesonide ) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam gan t\u1ef1 mi\u1ec5n d\u1ecbch c\u00f9ng v\u1edbi azathioprine. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y ng\u0103n ch\u1eb7n t\u00ecnh tr\u1ea1ng vi\u00eam, gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng s\u1ed1ng l\u00e2u d\u00e0i. Tuy nhi\u00ean, s\u1eb9o \u1edf gan c\u00f3 th\u1ec3 d\u1ea7n d\u1ea7n x\u1ea5u \u0111i.<\/p>\r\n\r\n\r\n\r\n<p>Ng\u1eebng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn t\u00e1i ph\u00e1t vi\u00eam, v\u00ec v\u1eady h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi ph\u1ea3i d\u00f9ng thu\u1ed1c v\u00f4 th\u1eddi h\u1ea1n. Tuy nhi\u00ean, d\u00f9ng corticosteroid trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00e1ng k\u1ec3. V\u00ec v\u1eady, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng gi\u1ea3m d\u1ea7n li\u1ec1u corticosteroid \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c. Sau \u0111\u00f3, c\u00f3 th\u1ec3 d\u00f9ng azathioprine ho\u1eb7c mycophenolate (c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c \u1ee9c ch\u1ebf h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch) v\u00f4 th\u1eddi h\u1ea1n.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-cac-bi\u1ebfn-ch\u1ee9ng\">\u0110i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng<\/h3>\r\n\r\n\r\n\r\n<p>B\u1ea5t k\u1ec3 nguy\u00ean nh\u00e2n ho\u1eb7c lo\u1ea1i vi\u00eam gan m\u00e3n t\u00ednh, x\u01a1 gan, suy gan v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a ch\u00fang \u0111\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>\u0110i\u1ec1u tr\u1ecb c\u1ed5 tr\u01b0\u1edbng b\u1eb1ng c\u00e1ch h\u1ea1n ch\u1ebf ti\u00eau th\u1ee5 mu\u1ed1i v\u00e0 d\u00f9ng m\u1ed9t lo\u1ea1i thu\u1ed1c gi\u00fap th\u1eadn b\u00e0i ti\u1ebft nhi\u1ec1u natri v\u00e0 n\u01b0\u1edbc v\u00e0o n\u01b0\u1edbc ti\u1ec3u (thu\u1ed1c l\u1ee3i ti\u1ec3u).<\/li>\r\n\r\n\r\n\r\n<li>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e3o gan bao g\u1ed3m vi\u1ec7c d\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u00fap c\u01a1 th\u1ec3 \u0111\u00e0o th\u1ea3i c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i c\u00f3 th\u1ec3 khi\u1ebfn ch\u1ee9c n\u0103ng n\u00e3o b\u1ecb suy gi\u1ea3m.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-9.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"c\u1ea5y-ghep-gan\">C\u1ea5y gh\u00e9p gan<\/h3>\r\n\r\n\r\n\r\n<p>Gh\u00e9p gan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy gan n\u1eb7ng.<\/p>\r\n\r\n\r\n\r\n<p>N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi dai d\u1eb3ng, tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh vi\u00eam gan m\u00e3n t\u00ednh, h\u00e3y h\u1eb9n g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng gan. N\u1ebfu b\u1ea1n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb b\u1ec7nh vi\u00eam gan m\u00e3n t\u00ednh ho\u1eb7c suy gan, ch\u1eb3ng h\u1ea1n nh\u01b0 v\u00e0ng da, s\u01b0ng b\u1ee5ng ho\u1eb7c gi\u1ea3m c\u00e2n, b\u1ea1n c\u1ea7n n\u00ean th\u0103m kh\u00e1m c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 ph\u00f2ng tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-8.jpg\" alt=\"\" \/><\/figure>\r\n\r\n\r\n\r\n<p><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\/\" target=\"_blank\" rel=\"noreferrer noopener\"><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><\/p>\r\n<p><span style=\"font-weight: 400;\">Ngo\u00e0i ra, m\u1eddi b\u1ea1n tham kh\u1ea3o th\u00eam<\/span><a href=\"https:\/\/cares.docosan.com\/products\/goi-xet-nghiem-viem-gan-c\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">G\u00f3i x\u00e9t nghi\u1ec7m vi\u00eam gan C<\/span><\/a><span style=\"font-weight: 400;\"> c\u00f3 t\u1ea1i Docosan<\/span><\/p>\r\n\r\n\r\n<p><iframe class=\"product-widget\" src=\"https:\/\/www.docosan.com\/blog\/cares-product-widget\/?id=20015\" width=\"100%\" frameborder=\"0\"><\/iframe><\/p>\r\n\r\n\r\n\r\n<p><strong><em>Ngu\u1ed3n tham kh\u1ea3o: msdmanuals.com<\/em><\/strong><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam gan m\u1ea1n l\u00e0 t\u00ecnh tr\u1ea1ng gan b\u1ecb vi\u00eam k\u00e9o d\u00e0i h\u01a1n s\u00e1u th\u00e1ng. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 nh\u1eb9, g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u01b0\u01a1ng \u0111\u1ed1i \u00edt, ho\u1eb7c nghi\u00eam tr\u1ecdng h\u01a1n l\u00e0 khi\u1ebfn nhi\u1ec1u t\u1ebf b\u00e0o gan b\u1ecb ph\u00e1 h\u1ee7y. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn x\u01a1 gan v\u00e0 suy gan. \u0110\u1ec3 hi\u1ec3u [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":94230,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[64],"tags":[],"class_list":["post-104631","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gan-mat"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/viem-gan-man-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\/104631","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=104631"}],"version-history":[{"count":2,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104631\/revisions"}],"predecessor-version":[{"id":144113,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104631\/revisions\/144113"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/94230"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104631"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104631"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}