{"id":1134,"date":"2025-03-29T07:25:51","date_gmt":"2025-03-29T07:25:51","guid":{"rendered":"https:\/\/dienmayklp.vn\/?p=1134"},"modified":"2025-03-29T07:25:53","modified_gmt":"2025-03-29T07:25:53","slug":"hit-khi-hydro-giup-lam-giam-ton-thuong-tuy-xuong-do-xa-tri-dieu-bien-cuong-do-imrt-gay-ra-o-benh-nhan-ung-thu","status":"publish","type":"post","link":"https:\/\/songxanhwater.com\/?p=1134","title":{"rendered":"H\u00edt kh\u00ed Hydro gi\u00fap l\u00e0m gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng do x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 (IMRT) g\u00e2y ra \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0"},"content":{"rendered":"\n\n\n

X\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 (IMRT) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0. M\u1eb7c d\u00f9 c\u00f3 t\u00e1c d\u1ee5ng gi\u00fap c\u1ea3i thi\u1ec7n b\u1ec7nh nh\u01b0ng IMRT c\u0169ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u00e1ng ch\u00fa \u00fd l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng. H\u00edt kh\u00ed Hydro \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u l\u00e0 c\u00f3 c\u00f4ng d\u1ee5ng gi\u00fap l\u00e0m gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng do x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9  (IMRT) g\u00e2y ra. C\u00f9ng Kim Long Ph\u00e1t<\/a> t\u00ecm hi\u1ec3u chi ti\u1ebft n\u1ed9i dung n\u00e0y \u1edf b\u00e0i vi\u1ebft b\u00ean d\u01b0\u1edbi nh\u00e9!<\/p>\n\n\n\n

1. T\u00ecm hi\u1ec3u v\u1ec1 li\u1ec7u ph\u00e1p h\u00edt kh\u00ed Hydro <\/h2>\n\n\n\n

1.1. Kh\u00ed Hydro l\u00e0 kh\u00ed g\u00ec? <\/h3>\n\n\n\n

Hydro l\u00e0 nguy\u00ean t\u1ed1 nh\u1eb9 nh\u1ea5t v\u00e0 t\u1ed3n t\u1ea1i \u1edf th\u1ec3 kh\u00ed, ph\u1ed5 bi\u1ebfn nh\u1ea5t trong v\u0169 tr\u1ee5, t\u1ea1o n\u00ean kho\u1ea3ng 75% t\u1ed5ng kh\u1ed1i l\u01b0\u1ee3ng v\u0169 tr\u1ee5 v\u00e0 t\u1edbi tr\u00ean 90% t\u1ed5ng s\u1ed1 nguy\u00ean t\u1eed. Hydro c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng nguy\u00ean t\u1eed 1,00794 amu, kh\u1ed1i l\u01b0\u1ee3ng mol l\u00e0 kho\u1ea3ng 2,016 g\/mol. \u1ede nhi\u1ec7t \u0111\u1ed9 v\u00e0 \u00e1p su\u1ea5t ti\u00eau chu\u1ea9n, Hydro l\u00e0 m\u1ed9t kh\u00ed l\u01b0\u1ee1ng nguy\u00ean t\u1eed c\u00f3 c\u00f4ng th\u1ee9c ph\u00e2n t\u1eed H2, kh\u00f4ng m\u00e0u, kh\u00f4ng m\u00f9i, d\u1ec5 b\u1eaft ch\u00e1y, r\u1ea5t nh\u1eb9 v\u00e0 r\u1ea5t d\u1ec5 bay h\u01a1i. Trong Y h\u1ecdc, Hydro l\u00e0 m\u1ed9t ch\u1ea5t ch\u1ed1ng oxy h\u00f3a m\u1ea1nh.<\/p>\n\n\n\n

\"Hydro<\/figure>\n\n\n\n

Hydro ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t ch\u1ea5t ch\u1ed1ng oxy h\u00f3a tr\u1ecb li\u1ec7u b\u1eb1ng c\u00e1ch kh\u1eed ch\u1ecdn l\u1ecdc c\u00e1c g\u1ed1c oxy g\u00e2y \u0111\u1ed9c t\u1ebf b\u00e0o<\/p>\n\n\n\n

Qu\u00fd b\u1ea1n \u0111\u1ecdc c\u00f3 th\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 Hydro – l\u00e0 ch\u1ea5t ch\u1ed1ng oxy h\u00f3a m\u1ea1nh v\u00e0 an to\u00e0n cho c\u01a1 th\u1ec3 trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y: <\/p>\n\n\n\n

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Hydro: Ch\u1ea5t ch\u1ed1ng oxy h\u00f3a m\u1ea1nh v\u00e0 an to\u00e0n cho c\u01a1 th\u1ec3, gi\u00fap b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe t\u1eeb s\u00e2u b\u00ean trong t\u1ebf b\u00e0o<\/em><\/a><\/p>\n<\/blockquote>\n\n\n\n

1.2. C\u00f4ng d\u1ee5ng c\u1ee7a li\u1ec7u ph\u00e1p h\u00edt kh\u00ed Hydro \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe<\/h3>\n\n\n\n

Li\u1ec7u ph\u00e1p h\u00edt kh\u00ed Hydro \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf, Lao \u0111\u1ed9ng v\u00e0 Ph\u00fac l\u1ee3i Nh\u1eadt B\u1ea3n c\u00f4ng nh\u1eadn l\u00e0 \u201cLi\u1ec7u ph\u00e1p Y t\u1ebf Ti\u00ean ti\u1ebfn B\u201d, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m t\u1ea1i Nh\u1eadt B\u1ea3n. H\u00edt kh\u00ed Hydro c\u00f3 c\u00f4ng d\u1ee5ng h\u1ed7 tr\u1ee3 ng\u0103n ng\u1eeba, c\u1ea3i thi\u1ec7n nhi\u1ec1u lo\u1ea1i b\u1ec7nh nh\u01b0: ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh<\/a>, hen suy\u1ec5n<\/a>, vi\u00eam m\u0169i d\u1ecb \u1ee9ng<\/a>, stress<\/a>, m\u1ea5t ng\u1ee7<\/a>, ung th\u01b0 t\u00fai m\u1eadt di c\u0103n gan<\/a>, c\u1ea3i thi\u1ec7n th\u00ednh gi\u00e1c<\/a>\u2026 <\/p>\n\n\n\n

2. T\u00ecm hi\u1ec3u v\u1ec1 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng do x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 g\u00e2y ra \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0<\/h2>\n\n\n\n

2.1. Ph\u01b0\u01a1ng ph\u00e1p x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 (IMRT) l\u00e0 g\u00ec? <\/h3>\n\n\n\n

X\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9, c\u00f2n g\u1ecdi l\u00e0 IMRT, l\u00e0 m\u1ed9t lo\u1ea1i x\u1ea1 tr\u1ecb ti\u00ean ti\u1ebfn. X\u1ea1 tr\u1ecb s\u1eed d\u1ee5ng ch\u00f9m n\u0103ng l\u01b0\u1ee3ng m\u1ea1nh \u0111\u1ec3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0. N\u0103ng l\u01b0\u1ee3ng c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb tia X, proton ho\u1eb7c c\u00e1c ngu\u1ed3n kh\u00e1c.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 khi\u1ebfn ch\u00fang kh\u00f3 t\u00e1i t\u1ea1o<\/p>\n\n\n\n

V\u1edbi IMRT, c\u00e1c ch\u00f9m b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c t\u00f9y ch\u1ec9nh c\u1ea9n th\u1eadn. C\u00e1c ch\u00f9m tia \u0111\u01b0\u1ee3c \u0111\u1ecbnh h\u00ecnh \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi h\u00ecnh d\u1ea1ng c\u1ee7a b\u1ec7nh ung th\u01b0. C\u00e1c ch\u00f9m tia c\u00f3 th\u1ec3 di chuy\u1ec3n qua m\u1ed9t v\u00f2ng cung trong khi ch\u00fang ph\u00e1t ra b\u1ee9c x\u1ea1. C\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a m\u1ed7i ch\u00f9m tia c\u00f3 th\u1ec3 thay \u0111\u1ed5i. K\u1ebft qu\u1ea3 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u00ednh x\u00e1c. IMRT cung c\u1ea5p li\u1ec1u b\u1ee9c x\u1ea1 ch\u00ednh x\u00e1c m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n\n\n\n

IMRT \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t, ung th\u01b0 \u0111\u1ea7u v\u00e0 c\u1ed5, ung th\u01b0 ph\u1ed5i, ung th\u01b0 n\u00e3o, ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 ung th\u01b0 v\u00fa\u2026 v\u00ec nh\u1eefng kh\u1ed1i u n\u00e0y c\u00f3 xu h\u01b0\u1edbng n\u1eb1m g\u1ea7n c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 quan tr\u1ecdng trong c\u01a1 th\u1ec3. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 h\u1ea1ch, ung th\u01b0 ph\u1ee5 khoa v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh ung th\u01b0 \u1edf tr\u1ebb em.  <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng v\u1eabn x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0 c\u00f3 nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng kh\u1ed1i u v\u00e0 l\u01b0\u1ee3ng chi\u1ebfu x\u1ea1 l\u1edbn<\/p>\n\n\n\n

T\u00f9y thu\u1ed9c v\u00e0o v\u00f9ng \u0111i\u1ec1u tr\u1ecb, khi s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 v\u1eabn g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh nh\u01b0: r\u1ee5ng t\u00f3c, kh\u00f3 nu\u1ed1t khi \u0103n u\u1ed1ng, c\u00f3 c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n v\u00e0 \u00f3i m\u1eeda, d\u1ec5 m\u1eafc b\u1ec7nh ti\u00eau ch\u1ea3y, nh\u1ee9c \u0111\u1ea7u, \u0111au nh\u1ee9c v\u00e0 s\u01b0ng t\u1ea5y \u1edf v\u00f9ng \u0111i\u1ec1u tr\u1ecb, thay \u0111\u1ed5i ti\u1ebft ni\u1ec7u v\u00e0 b\u00e0ng quang\u2026 \u0111\u1eb7c bi\u1ec7t d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng. <\/p>\n\n\n\n

2.2. X\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0<\/h3>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng, ch\u1eb3ng h\u1ea1n nh\u01b0 gi\u1ea3m b\u1ea1ch c\u1ea7u v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u th\u01b0\u1eddng x\u1ea3y ra trong qu\u00e1 tr\u00ecnh x\u1ea1 tr\u1ecb ung th\u01b0, bao g\u1ed3m c\u1ea3 x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 (IMRT). V\u00ec gi\u1ea3m b\u1ea1ch c\u1ea7u v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng v\u00e0 ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u00ean vi\u1ec7c c\u1ea3i thi\u1ec7n t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng l\u00e0 r\u1ea5t quan tr\u1ecdng, gi\u00fap ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng v\u00e0 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a. Do \u0111\u00f3, c\u1ea7n thi\u1ebft ph\u1ea3i c\u00f3 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p gi\u00fap gi\u1ea3m thi\u1ec3u t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng do IMRT g\u00e2y ra.<\/p>\n\n\n\n

3. H\u00edt kh\u00ed Hydro gi\u00fap l\u00e0m gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng do x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9<\/h2>\n\n\n\n

H\u00edt kh\u00ed Hydro \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u l\u00e0 c\u00f3 c\u00f4ng d\u1ee5ng gi\u00fap l\u00e0m gi\u1ea3m t\u1ed5n th\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng do x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 g\u00e2y ra.<\/p>\n\n\n\n

C\u00f3 23 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng IMRT v\u00e0 \u0111\u01b0\u1ee3c chia th\u00e0nh 2 nh\u00f3m:<\/p>\n\n\n\n