{"id":11546,"date":"2019-06-24T11:55:06","date_gmt":"2019-06-24T04:55:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=11546"},"modified":"2019-06-24T11:55:06","modified_gmt":"2019-06-24T04:55:06","slug":"benh-ly-tien-liet-tuyen","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/benh-ly-tien-liet-tuyen\/","title":{"rendered":"B\u1ec7nh l\u00fd ti\u1ec1n li\u1ec7t tuy\u1ebfn"},"content":{"rendered":"<p><strong>Ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/strong> \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 quan sinh s\u1ea3n c\u1ee7a nam gi\u1edbi. N\u00f3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 tinh tr\u00f9ng khi x\u00e2m nh\u1eadp v\u00e0o \u00e2m \u0111\u1ea1o t\u1eeb \u0111\u00f3 t\u0103ng t\u1ec9 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a tinh tr\u00f9ng v\u00e0 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng th\u1ee5 thai. V\u1edbi ch\u1ee9c n\u0103ng quan tr\u1ecdng nh\u01b0 th\u1ebf th\u00ec t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn tuy\u1ebfn ti\u1ec1n li\u1ec7t \u0111\u1ec1u c\u1ea7n r\u1ea5t th\u1eadn tr\u1ecdng n\u1ebfu kh\u00f4ng t\u1ec9 l\u1ec7 v\u00f4 sinh s\u1ebd r\u1ea5t cao. \u1ede b\u00e0i n\u00e0y <a href=\"https:\/\/www.vnras.com\/drug\">vnras.com\/drug<\/a> xin gi\u1edbi thi\u1ec7u t\u1edbi c\u00e1c b\u1ea1n t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/p>\n<h2>T\u1ed5ng quan v\u1ec1 ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/h2>\n<figure id=\"attachment_11631\" aria-describedby=\"caption-attachment-11631\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11631\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/vi_tri_tien_liet_tuyen-600x400.jpg\" alt=\"V\u1ecb tr\u00ed c\u1ee7a ti\u1ec1n li\u1ec7t tuy\u1ebfn\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/vi_tri_tien_liet_tuyen.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/vi_tri_tien_liet_tuyen-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11631\" class=\"wp-caption-text\">\u1ea2nh: V\u1ecb tr\u00ed c\u1ee7a ti\u1ec1n li\u1ec7t tuy\u1ebfn (prostate) trong c\u01a1 th\u1ec3.<\/figcaption><\/figure>\n<p>Ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0 m\u1ed9t tuy\u1ebfn ngo\u1ea1i ti\u1ebft quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng sinh s\u1ea3n nam gi\u1edbi. N\u00f3 n\u1eb1m \u1edf ph\u00eda d\u01b0\u1edbi b\u00e0ng quang v\u00e0 tr\u01b0\u1edbc tr\u1ef1c tr\u00e0ng. Ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u00f3 ch\u1ee9c n\u0103ng ti\u1ebft ra m\u1ed9t ch\u1ea5t d\u1ecbch l\u1ecfng m\u00e0u tr\u1eafng, t\u00ednh ki\u1ec1m, \u0111\u00f3ng g\u00f3p v\u00e0o kho\u1ea3ng 1\/3 th\u1ec3 t\u00edch tinh d\u1ecbch, c\u00f3 t\u00e1c d\u1ee5ng trung h\u00f2a m\u00f4i tr\u01b0\u1eddng acid \u00e2m \u0111\u1ea1o v\u00e0 b\u1ea3o v\u1ec7 tinh tr\u00f9ng.<\/p>\n<p>Khi m\u1edbi sinh, k\u00edch th\u01b0\u1edbc tuy\u1ebfn ti\u1ec1n li\u1ec7t r\u1ea5t nh\u1ecf (kho\u1ea3ng b\u1eb1ng h\u1ea1t \u0111\u1eadu), sau \u0111\u00f3 \u0111\u1ebfn tu\u1ed5i d\u1eady th\u00ec tuy\u1ebfn ph\u00e1t tri\u1ec3n m\u1ea1nh v\u00e0 \u0111\u1ea1t k\u00edch th\u01b0\u1edbc \u1ed5n \u0111\u1ecbnh khi tr\u01b0\u1edfng th\u00e0nh kho\u1ea3ng 4cm x 3cm x 2.5cm. \u0110\u1ebfn tu\u1ed5i kho\u1ea3ng 50, tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u1ee7a \u0111a s\u1ed1 \u0111\u00e0n \u00f4ng s\u1ebd t\u0103ng d\u1ea7n k\u00edch th\u01b0\u1edbc, g\u1ecdi l\u00e0 ph\u00ec \u0111\u1ea1i ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0nh t\u00ednh. Tuy r\u1eb1ng kh\u00f4ng ph\u1ea3i ung th\u01b0, nh\u01b0ng s\u1ef1 ph\u00ec \u0111\u1ea1i n\u00e0y c\u0169ng g\u00e2y nh\u1eefng kh\u00f3 kh\u0103n nh\u1ea5t \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n nh\u01b0 ti\u1ec3u b\u00ed, ti\u1ec3u r\u1eaft&#8230;<\/p>\n<p>B\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn ti\u1ec1n li\u1ec7t th\u01b0\u1eddng g\u1eb7p g\u1ed3m c\u00f3: Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn; U x\u01a1 ti\u1ec1n li\u1ec7t tuy\u1ebfn v\u00e0 Ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/p>\n<h2>Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/h2>\n<h3>Ph\u00e2n lo\u1ea1i Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/h3>\n<p>\u0110\u01b0\u1ee3c ph\u00e2n ra l\u00e0m 4 lo\u1ea1i:<\/p>\n<figure id=\"attachment_11633\" aria-describedby=\"caption-attachment-11633\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11633\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/viem_tien_liet_tuyen-600x400.jpg\" alt=\"Ti\u1ec1n li\u1ec7t tuy\u1ebfn b\u1ecb vi\u00eam\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/viem_tien_liet_tuyen.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/viem_tien_liet_tuyen-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11633\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: Ti\u1ec1n li\u1ec7t tuy\u1ebfn b\u1ecb vi\u00eam<\/figcaption><\/figure>\n<p><em>Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u1ea5p nhi\u1ec5m khu\u1ea9n (Acute Bacterial Prostatitis)<\/em><\/p>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ea5p t\u00ednh do vi khu\u1ea9n g\u00e2y ra. Vi khu\u1ea9n c\u00f3 th\u1ec3 c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb b\u1ec3 th\u1eadn, ni\u1ec7u qu\u1ea3n, b\u00e0ng quang, ni\u1ec7u \u0111\u1ea1o. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m di\u1ec5n ra nhanh ch\u00f3ng v\u00e0 nghi\u00eam tr\u1ecdng. N\u1ebfu g\u1eb7p ph\u1ea3i m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng d\u01b0\u1edbi \u0111\u00e2y, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf ngay l\u1eadp t\u1ee9c:<\/p>\n<ul>\n<li>Ti\u1ec3u b\u00ed, ti\u1ec3u r\u1eaft ho\u1eb7c c\u00f3 th\u1ec3 n\u01b0\u1edbc ti\u1ec3u t\u1ef1 ch\u1ea3y ra m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. Kh\u00f3 kh\u0103n khi \u0111i ti\u1ec3u.<\/li>\n<li>S\u1ed1t cao, \u1edbn l\u1ea1nh.<\/li>\n<li>\u0110au quanh g\u1ed1c d\u01b0\u01a1ng v\u1eadt ho\u1eb7c sau b\u00ecu.<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u \u0111\u1ee5c.<\/li>\n<\/ul>\n<p><em>Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn m\u1ea1n nhi\u1ec5m khu\u1ea9n (Chronic Bacterial Prostatitis)<\/em><\/p>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi gi\u00e0. B\u1ec7nh nh\u1eb9 h\u01a1n so v\u1edbi vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u1ea5p nhi\u1ec5m khu\u1ea9n v\u00e0 k\u00e9o d\u00e0i trong v\u00e0i th\u00e1ng. Th\u01b0\u1eddng vi khu\u1ea9n c\u00f3 nguy\u00ean nh\u00e2n t\u1eeb c\u00e1c v\u00f9ng c\u1ee7a h\u1ec7 ti\u1ebft ni\u1ec7u nh\u01b0 tr\u01b0\u1eddng h\u1ee3p vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u1ea5p nhi\u1ec5m khu\u1ea9n ho\u1eb7c do ti\u1ebfn tri\u1ec3n t\u1eeb vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u1ea5p nhi\u1ec5m khu\u1ea9n.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p l\u00e0:<\/p>\n<ul>\n<li>Ti\u1ec3u bu\u1ed1t, ti\u1ec3u r\u1eaft.<\/li>\n<li>Ti\u1ec3u \u0111\u00eam.<\/li>\n<li>\u0110au l\u01b0ng d\u01b0\u1edbi.<\/li>\n<li>\u0110au tr\u1ef1c tr\u00e0ng.<\/li>\n<li>\u0110au khi xu\u1ea5t tinh.<\/li>\n<li>C\u1ea3m gi\u00e1c n\u1eb7ng sau b\u00ecu.<\/li>\n<li>C\u00f3 m\u00e1u trong tinh d\u1ecbch.<\/li>\n<li>T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ni\u1ec7u.<\/li>\n<\/ul>\n<p><em>Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn m\u1ea1n \/ H\u1ed9i ch\u1ee9ng \u0111au v\u00f9ng ch\u1eadu m\u1ea1n t\u00ednh (Chronic prostatitis \/ Chronic pelvic pain\u00a0syndrome (CP\/CPPS))<\/em><\/p>\n<p>\u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn ph\u1ed5 bi\u1ebfn nh\u1ea5t. N\u00f3 c\u00f3 nhi\u1ec1u d\u1ea5u hi\u1ec7u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn nhi\u1ec5m khu\u1ea9n. Tuy nhi\u00ean kh\u00f4ng th\u1ec3 t\u00ecm th\u1ea5y vi khu\u1ea9n khi x\u00e9t nghi\u1ec7m.<\/p>\n<p>Nguy\u00ean nh\u00e2n g\u00e2y ra CP\/CPPS ch\u01b0a th\u1ef1c s\u1ef1 r\u00f5. Tuy nhi\u00ean ng\u01b0\u1eddi ta \u0111\u00e3 bi\u1ebft c\u00e1c y\u1ebfu t\u1ed1 l\u00e0m k\u00edch ho\u1ea1t b\u1ec7nh g\u1ed3m c\u00f3 stress, t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh g\u1ea7n v\u00f9ng ch\u1eadu ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng. CP\/CPPS c\u0169ng c\u00f3 li\u00ean quan \u0111\u1ebfn nh\u1eefng r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch nh\u01b0 h\u1ed9i ch\u1ee9ng m\u1ec7t m\u1ecfi m\u1ea1n t\u00ednh ho\u1eb7c h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch.<\/p>\n<ul>\n<li>\u0110au: d\u01b0\u01a1ng v\u1eadt, tr\u1ef1c tr\u00e0ng, gi\u1eefa d\u01b0\u01a1ng v\u1eadt v\u00e0 tr\u1ef1c tr\u00e0ng, b\u1ee5ng d\u01b0\u1edbi.<\/li>\n<li>\u0110au khi xu\u1ea5t tinh.<\/li>\n<li>Ti\u1ec3u nhi\u1ec1u ho\u1eb7c kh\u00f4ng c\u1ea7m \u0111\u01b0\u1ee3c n\u01b0\u1edbc ti\u1ec3u, d\u00f2ng n\u01b0\u1edbc ti\u1ec3u y\u1ebfu.<\/li>\n<\/ul>\n<p><em>Vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng<\/em><\/p>\n<p>B\u1ec7nh kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb, tuy nhi\u00ean c\u00f3 th\u1ec3 d\u1eabn t\u1edbi v\u00f4 sinh. B\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 t\u1ef1 ph\u00e1t hi\u1ec7n ra tri\u1ec7u ch\u1ee9ng m\u00e0 ch\u1ec9 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n khi l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra s\u1ee9c kh\u1ecfe ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/p>\n<h3>\u00a0C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn:<\/h3>\n<figure id=\"attachment_11634\" aria-describedby=\"caption-attachment-11634\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11634\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/yeu_to_nguy_co_gay_viem_tien_liet_tuyen-600x400.jpg\" alt=\"C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/yeu_to_nguy_co_gay_viem_tien_liet_tuyen.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/yeu_to_nguy_co_gay_viem_tien_liet_tuyen-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11634\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/figcaption><\/figure>\n<ul>\n<li>\u0110\u00e0n \u00f4ng t\u1eeb 60 tu\u1ed5i tr\u1edf n\u00ean.<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u.<\/li>\n<li>S\u1eed d\u1ee5ng \u1ed1ng th\u00f4ng ti\u1ec3u.<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng h\u00e1ng.<\/li>\n<li>Nhi\u1ec5m HIV\/AIDS.<\/li>\n<li>C\u00f3 sinh thi\u1ebft ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<li>Ti\u1ec1n s\u1eed vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<\/ul>\n<h3>\u0110i\u1ec1u tr\u1ecb<\/h3>\n<p><em>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<\/em><\/p>\n<p>Trong vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn nhi\u1ec5m khu\u1ea9n d\u00f9 c\u1ea5p hay m\u1ea1n t\u00ednh \u0111\u1ec1u ph\u1ea3i s\u1eed d\u1ee5ng kh\u00e1ng sinh. N\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u00fang theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, tr\u00e1nh t\u1ef1 \u00fd mua kh\u00e1ng sinh t\u1ea1i c\u00e1c nh\u00e0 thu\u1ed1c. V\u00ec c\u00e1c kh\u00e1ng sinh th\u01b0\u1eddng kh\u00f3 th\u1ea5m v\u00e0o m\u00f4 ti\u1ec1n li\u1ec7t tuy\u1ebfn, n\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n v\u00e0 k\u00e9o d\u00e0i \u0111\u1ebfn v\u00e0i th\u00e1ng. V\u1edbi vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn m\u1ea1n \/ h\u1ed9i ch\u1ee9ng \u0111au v\u00f9ng ch\u1eadu m\u1ea1n t\u00ednh v\u00e0 vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng do kh\u00f4ng c\u00f3 nhi\u1ec5m khu\u1ea9n n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb c\u00e1c ch\u1ea5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh v\u00f9ng ch\u1eadu n\u1ebfu c\u00f3 th\u1ec3.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec3u b\u00ed, ti\u1ec3u r\u1eaft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 cho b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1eb9n \u03b1-adrenergic (prazosin&#8230;) \u0111\u1ec3 gi\u1ea3m b\u1edbt c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/p>\n<p>C\u00f3 th\u1ec3 c\u00e2n nh\u1eafc c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam nh\u00f3m NSAIDs \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111\u00e2u cho b\u1ec7nh nh\u00e2n. N\u00ean c\u00e2n nh\u1eafc c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc COX-2 (celecoxib, piroxicam&#8230;) \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/em><\/p>\n<ul>\n<li>U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, tr\u00e1nh c\u00e1c \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n v\u00e0 cafein.<\/li>\n<li>H\u1ea1n ch\u1ebf c\u00e1c th\u1ee9c \u0103n cay n\u00f3ng (ti\u00eau, \u1edbt&#8230;).<\/li>\n<li>H\u1ea1n ch\u1ebf stress, c\u0103ng th\u1eb3ng.<\/li>\n<li>Gi\u1eef g\u00ecn v\u1ec7 sinh c\u01a1 quan sinh d\u1ee5c s\u1ea1ch s\u1ebd, quan h\u1ec7 t\u00ecnh d\u1ee5c l\u00e0nh m\u1ea1nh, \u0111i\u1ec1u \u0111\u1ed9.<\/li>\n<li>Ch\u1ecbu kh\u00f3 \u0111i l\u1ea1i, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, h\u1ea1n ch\u1ebf \u0111i xe \u0111\u1ea1p&#8230;<\/li>\n<\/ul>\n<h2>U x\u01a1 ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/h2>\n<figure id=\"attachment_11640\" aria-describedby=\"caption-attachment-11640\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11640\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/u_xo_tien_liet_tuyen-600x400.jpg\" alt=\"Ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb u x\u01a1\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/u_xo_tien_liet_tuyen.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/u_xo_tien_liet_tuyen-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11640\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: Ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb u x\u01a1<\/figcaption><\/figure>\n<p>U x\u01a1 ti\u1ec1n li\u1ec7t tuy\u1ebfn hay c\u00f2n g\u1ecdi l\u00e0 ph\u00ec \u0111\u1ea1i \/ t\u0103ng s\u1ea3n ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0nh t\u00ednh (Benign Prostatic Hyperplasia, BPH) l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u00e0n \u00f4ng tu\u1ed5i trung ni\u00ean. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u00e0n \u00f4ng t\u1eeb 50 tu\u1ed5i tr\u1edf l\u00ean v\u00e0 t\u1ec9 l\u1ec7 m\u1eafc t\u0103ng d\u1ea7n theo tu\u1ed5i. \u1ede tu\u1ed5i 60, h\u01a1n m\u1ed9t n\u1eeda nam gi\u1edbi m\u1eafc u x\u01a1 ti\u1ec1n li\u1ec7t tuy\u1ebfn v\u00e0 \u1edf tu\u1ed5i 85, con s\u1ed1 n\u00e0y t\u0103ng l\u00ean \u0111\u1ebfn 90%, theo Hi\u1ec7p h\u1ed9i Ti\u1ebft ni\u1ec7u Hoa K\u1ef3 (American Urological Association, AUA).<\/p>\n<h3>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a u x\u01a1 ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/h3>\n<ul>\n<li>D\u00f2ng n\u01b0\u1edbc ti\u1ec3u ch\u1eadm ho\u1eb7c y\u1ebfu.<\/li>\n<li>C\u1ea3m gi\u00e1c b\u00e0ng quang r\u1ed7ng kh\u00f4ng ho\u00e0n to\u00e0n.<\/li>\n<li>Kh\u00f3 b\u1eaft \u0111\u1ea7u ti\u1ec3u.<\/li>\n<li>\u0110i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean.<\/li>\n<li>\u0110i ti\u1ec3u kh\u1ea9n c\u1ea5p.<\/li>\n<li>Ti\u1ec3u \u0111\u00eam nhi\u1ec1u l\u1ea7n.<\/li>\n<li>Ch\u1ea3y n\u01b0\u1edbc ti\u1ec3u.<\/li>\n<\/ul>\n<p>Khi b\u00e0ng quang kh\u00f4ng r\u1ed7ng ho\u00e0n to\u00e0n, b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u, s\u1ecfi b\u00e0ng quang, ti\u1ec3u m\u00e1u, b\u00ed ti\u1ec3u c\u1ea5p, \u0111\u00f4i khi l\u00e0 t\u1ed5n th\u01b0\u01a1ng b\u00e0ng quang ho\u1eb7c th\u1eadn.<\/p>\n<h3>\u0110i\u1ec1u tr\u1ecb<\/h3>\n<p>C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t s\u1eed d\u1ee5ng thu\u1ed1c, bi\u1ec7n ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u ho\u1eb7c ph\u1eabu thu\u1eadt n\u1ebfu c\u1ea7n thi\u1ebft. \u0110i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng y t\u1ebf c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p><em>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/em><\/p>\n<ul>\n<li>Thu\u1ed1c ch\u1eb9n \u03b1-adrenergic: Thu\u1ed1c l\u00e0m gi\u00e3n c\u00e1c c\u01a1 quanh tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 c\u1ed5 b\u00e0ng quang, l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00ed ti\u1ec3u, ti\u1ec3u r\u1eaft. Bao g\u1ed3m alfuzosin, terazosin, doxazosin&#8230; Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng sau 1-2 ng\u00e0y. T\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn l\u00e0 ch\u00f3ng m\u1eb7t (do h\u1ea1 huy\u1ebft \u00e1p), t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c nh\u1eb9 v\u00e0 d\u1ec5 ki\u1ec3m so\u00e1t. Thu\u1ed1c kh\u00f4ng d\u00e0nh cho b\u1ec7nh nh\u00e2n nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u th\u01b0\u1eddng xuy\u00ean ho\u1eb7c gi\u1eef n\u01b0\u1edbc ti\u1ec3u \u0111\u00e1ng k\u1ec3.<\/li>\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf 5\u03b1-reductase: Thu\u1ed1c l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng dihydrotestosterone (DHT), t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc ti\u1ec1n li\u1ec7t tuy\u1ebfn. Bao g\u1ed3m finasteride, dutasteride. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1eadm, c\u1ea7n s\u1eed d\u1ee5ng 6-12 th\u00e1ng. Thu\u1ed1c gi\u00fap gi\u1ea3m nguy c\u01a1 \u1ee9 \u0111\u1ecdng n\u01b0\u1edbc ti\u1ec3u c\u1ea5p t\u00ednh v\u00e0 gi\u1ea3m nhu c\u1ea7u c\u1ea7n ph\u1eabu thu\u1eadt. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m gi\u1ea3m kh\u1ea3 n\u0103ng c\u01b0\u01a1ng c\u1ee9ng, gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c v\u00e0 gi\u1ea3m l\u01b0\u1ee3ng tinh d\u1ecbch.<\/li>\n<li>Thu\u1ed1c kh\u00e1ng muscarinic nh\u01b0 tolterodine c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi c\u00e1c thu\u1ed1c ch\u1eb9n \u03b1-adrenergic. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a acetylcholine l\u00ean c\u01a1 tr\u01a1n b\u00e0ng quang, gi\u1ea3m tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u00e0ng quang ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c.<\/li>\n<li>Sidenafil c\u0169ng cho th\u1ea5y c\u00f3 hi\u1ec7u qu\u1ea3 trong m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng, bao g\u1ed3m c\u1ea3 r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng (Erectile Dysfunction, ED).<\/li>\n<li>C\u00e1c thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t tuy nhi\u00ean ch\u01b0a c\u00f3 thu\u1ed1c n\u00e0o \u0111\u01b0\u1ee3c FDA ph\u00ea duy\u1ec7t. Nhi\u1ec1u nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y kh\u00f4ng c\u00f3 s\u1ee5 kh\u00e1c bi\u1ec7t gi\u1eefa thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c v\u00e0 gi\u1ea3 d\u01b0\u1ee3c (placebo).<\/li>\n<\/ul>\n<p><em>\u0110i\u1ec1u tr\u1ecb x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u:<\/em><\/p>\n<ul>\n<li>Li\u1ec7u ph\u00e1p TUMT (TransUrethral Microwave Thermotherapy): Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng b\u1ee9c x\u1ea1 vi s\u00f3ng \u0111\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c m\u00f4 c\u1ee7a ti\u1ec1n li\u1ec7t tuy\u1ebfn m\u1ed9t c\u00e1ch c\u00f3 ch\u1ecdn l\u1ecdc. S\u1ebd c\u00f3 m\u1ed9t h\u1ec7 th\u1ed1ng l\u00e0m m\u00e1t b\u1ea3o v\u1ec7 th\u00e0nh ni\u1ec7u \u0111\u1ea1o trong su\u1ed1t qu\u00e1 tr\u00ecnh. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u1ec9 c\u1ea7n g\u00e2y t\u00ea v\u00e0 gi\u1ea3m \u0111au t\u1ea1i ch\u1ed7. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m ti\u1ec3u \u0111au, xu\u1ea5t tinh \u00edt tinh d\u1ecbch, t\u0103ng t\u1ea7n su\u1ea5t \u0111i ti\u1ec3u&#8230;<\/li>\n<li>Li\u1ec7u ph\u00e1p TUNA (TransUrethral radio frequency Needle Ablation): S\u1eed d\u1ee5ng s\u00f3ng v\u00f4 tuy\u1ebfn cao t\u1ea7n \u0111\u1ec3 t\u1ea1o ra nhi\u1ec7t ph\u00e1 h\u1ee7y c\u00e1c m\u00f4 ti\u1ec1n li\u1ec7t tuy\u1ebfn ch\u1ecdn l\u1ecdc. S\u00f3ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o b\u1eb1ng hai kim \u0111\u01b0\u1ee3c ch\u00e8n tr\u1ef1c ti\u1ebfp v\u00e0o ti\u1ec1n li\u1ec7t tuy\u1ebfn (c\u00f3 th\u1ec3 g\u00e2y m\u00ea). B\u1ec7nh nh\u00e2n kh\u00f4ng c\u1ea7n n\u1eb1m vi\u1ec7n. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra bao g\u1ed3m ti\u1ec3u \u0111au, ti\u1ec3u th\u01b0\u1eddng xuy\u00ean&#8230;<\/li>\n<li>Stent ti\u1ec1n li\u1ec7t tuy\u1ebfn: S\u1eed d\u1ee5ng stent \u0111\u1ec3 m\u1edf r\u1ed9ng ni\u1ec7u \u0111\u1ea1o kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch cho h\u1ea7u h\u1ebft nam gi\u1edbi. S\u1eed d\u1ee5ng stent kh\u00e1 \u0111\u1eaft ti\u1ec1n, kh\u00f3 lo\u1ea1i b\u1ecf v\u00e0 c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam tri\u1ec7u ch\u1ee9ng. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ti\u1ec3u \u0111au, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u th\u01b0\u1eddng xuy\u00ean.<\/li>\n<\/ul>\n<p><em>Ph\u1eabu thu\u1eadt:<\/em><\/p>\n<ul>\n<li>Ph\u01b0\u01a1ng ph\u00e1p TURP (TransUrethral Resection of the Prostate): \u0110\u00e2y l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft ti\u1ec1n li\u1ec7t tuy\u1ebfn th\u00f4ng qua ni\u1ec7u \u0111\u1ea1o. Lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0y \u00edt ch\u1ea5n th\u01b0\u01a1ng h\u01a1n ph\u1eabu thu\u1eadt m\u1edf v\u00e0 th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh h\u01a1n. Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 xu\u1ea5t tinh ng\u01b0\u1ee3c v\u00e0o b\u00e0ng quang thay v\u00ec qua ni\u1ec7u \u0111\u1ea1o. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 l\u1edbn. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra bao g\u1ed3m m\u1ea5t m\u00e1u (hi\u1ebfm g\u1eb7p), ti\u1ec3u \u0111au, ti\u1ec3u ra m\u00e1u, h\u1eb9p c\u1ed1 b\u00e0ng quang, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u t\u00e1i ph\u00e1t, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u01b0\u01a1ng d\u01b0\u01a1ng (5-35%), tuy nhi\u00ean kh\u1ea3 n\u0103ng c\u01b0\u01a1ng c\u1ee9ng v\u00e0 \u0111\u1ea1t c\u1ef1c kho\u00e1i s\u1ebd tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng sau m\u1ed9t v\u00e0i th\u00e1ng.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p TUIP (TransUrethral Incision of the Prostate): Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c l\u00ean ni\u1ec7u \u0111\u1ea1o, gi\u00fap b\u1ec7nh nh\u00e2n \u0111i ti\u1ec3u d\u1ec5 d\u00e0ng. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c v\u1ec1 nh\u00e0 trong ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 mang \u1ed1ng th\u00f4ng 1-2 ng\u00e0y. C\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ea3m ch\u1eadm h\u01a1n TURP, tuy nhi\u00ean h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u1ec1u h\u00e0i l\u00f2ng. Xu\u1ea5t tinh ng\u01b0\u1ee3c \u00edt ph\u1ed5 bi\u1ebfn v\u00e0 \u00edt nghi\u00eam tr\u1ecdng h\u01a1n TURP. C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u01b0\u01a1ng d\u01b0\u01a1ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng TURP.<\/li>\n<li>Ph\u1eabu thu\u1eadt lade (Laser Surgery): Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng ch\u00f9m tia lade h\u00f3a h\u01a1i n\u0103ng l\u01b0\u1ee3ng cao ph\u00e1 h\u1ee7y m\u00f4 ti\u1ec1n li\u1ec7t tuy\u1ebfn (g\u00e2y m\u00ea to\u00e0n th\u00e2n). Tri\u1ec7u ch\u1ee9ng gi\u1ea3m nhanh v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ti\u1ec3u \u0111au trong v\u00e0i tu\u1ea7n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u00edt g\u00e2y m\u1ea5t m\u00e1u tuy nhi\u00ean c\u0169ng c\u00f3 th\u1ec3 g\u00e2y xu\u1ea5t tinh ng\u01b0\u1ee3c. Ph\u1eabu thu\u1eadt lade bao g\u1ed3m:<\/li>\n<li>HoLAP (Transurethral Holmium Laser Ablation of the Prostate): Lade Holminum c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<li>HoLEP (Transurethral Holmium Laser Enucleation of the Prostate): Lade Holminum b\u00f3c ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<li>HoLRP (Holmium Laser Resection of the Prostate): Lade Holminum c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<li>PVP (Photoselective Vaporization of the Prostate): K\u0129 thu\u1eadt bay h\u01a1i ch\u1ecdn l\u1ecdc h\u00ecnh \u1ea3nh ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/li>\n<li>Ph\u1eabu thu\u1eadt m\u1edf ti\u1ec1n li\u1ec7t tuy\u1ebfn (Open Prostate Surgery): \u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng khi ti\u1ec1n li\u1ec7t tuy\u1ebfn ph\u00ec \u0111\u1ea1i qu\u00e1 l\u1edbn, h\u1eb9p ni\u1ec7u \u0111\u1ea1o, s\u1ecfi b\u1eb1ng quang. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u00f2i h\u1ecfi g\u00e2y m\u00ea to\u00e0n th\u00e2n ho\u1eb7c c\u1ed9t s\u1ed1ng, m\u1ea5t v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng \u0111\u1ec3 ph\u1ee5c h\u1ed3i. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 t\u01b0\u01a1ng t\u1ef1 TURP.<\/li>\n<\/ul>\n<h2>Ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/h2>\n<figure id=\"attachment_11635\" aria-describedby=\"caption-attachment-11635\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11635\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/ung_thu_tuyen_tien_liet-1-600x400.jpg\" alt=\"Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/ung_thu_tuyen_tien_liet-1.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/ung_thu_tuyen_tien_liet-1-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11635\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: Ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/figcaption><\/figure>\n<p>Ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u00e1c t\u00ednh c\u1ee7a ti\u1ec1n li\u1ec7t tuy\u1ebfn. B\u1ec7nh th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n ch\u1eadm, tuy nhi\u00ean v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra di c\u0103n.<\/p>\n<p>Hi\u1ec7n nay ng\u01b0\u1eddi ta ch\u01b0a t\u00ecm ra nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng g\u00e2y ra \u01b0ng th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn. Tuy v\u1eady, c\u0169ng \u0111\u00e3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0 tu\u1ed5i t\u00e1c (tu\u1ed5i c\u00e0ng cao t\u1ec9 l\u1ec7 m\u1eafc c\u00e0ng cao), ch\u1ee7ng t\u1ed9c (\u0111\u00e0n \u00f4ng M\u1ef9 g\u1ed1c Phi v\u00e0 \u0111\u00e0n \u00f4ng g\u1ed1c Phi \u1edf Caribbean c\u00f3 t\u1ec9 l\u1ec7 m\u1eafc cao h\u01a1n), v\u1ecb tr\u00ed \u0111\u1ecba l\u00fd (B\u1eafc M\u1ef9, T\u00e2y B\u1eafc \u00c2u, \u00dac, c\u00e1c \u0111\u1ea3o Caribbean), ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 thay \u0111\u1ed5i gen di truy\u1ec1n (\u0111\u1ed9t bi\u1ebfn gen <em>BRCA1<\/em> v\u00e0 <em>BRCA2<\/em>, \u0111\u1ed9t bi\u1ebfn gen <em>RNASEL<\/em>, <em>MSH2 <\/em>v\u00e0<em> MLH1<\/em>, \u0111\u1ed9t bi\u1ebfn gen <em>HOXB13<\/em>, h\u1ed9i ch\u1ee9ng Lynch). C\u00e1c y\u1ebfu t\u1ed1 \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nguy c\u01a1 ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n, b\u00e9o ph\u00ec, h\u00fat thu\u1ed1c l\u00e1, ph\u01a1i nhi\u1ec5m h\u00f3a ch\u1ea5t, vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn, m\u1ed9t s\u1ed1 b\u1ec7nh t\u00ecnh d\u1ee5c v\u00e0 th\u1eaft \u1ed1ng d\u1eabn tinh.<\/p>\n<p>Ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn giai \u0111o\u1ea1n s\u1edbm th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, v\u00ec v\u1eady b\u1ec7nh nh\u00e2n n\u00ean s\u00e0ng l\u1ecdc ung th\u01b0 th\u01b0\u1eddng xuy\u00ean tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng. Th\u00f4ng th\u01b0\u1eddng b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm nh\u1edd x\u00e9t nghi\u1ec7m kh\u00e1ng nguy\u00ean \u0111\u1eb7c hi\u1ec7u ti\u1ec1n li\u1ec7t tuy\u1ebfn (PSA) ho\u1eb7c kh\u00e1m tr\u1ef1c tr\u00e0ng k\u0129 thu\u1eadt s\u1ed1 (DRE). Kho\u1ea3ng 85% \u0111\u00e0n \u00f4ng b\u1ecb ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u00f3 PSA &gt; 4 ng\/mL, n\u1ebfu PSA &gt; 10 ng\/mL, kh\u1ea3 n\u0103ng b\u1ecb ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0 h\u01a1n 50%. Sau c\u00e1c x\u00e9t nghi\u1ec7m tr\u00ean, n\u1ebfu nghi ng\u1edd, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1ebd y\u00eau c\u1ea7u sinh thi\u1ebft ti\u1ec1n li\u1ec7t tuy\u1ebfn \u0111\u1ec3 ch\u1eafc ch\u1eafn k\u1ebft qu\u1ea3.<\/p>\n<p>Ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn giai \u0111o\u1ea1n sau c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ph\u00ec \u0111\u1ea1i ti\u1ec1n li\u1ec7t tuy\u1ebfn l\u00e0nh t\u00ednh, vi\u1ec7c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t l\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n<p>Hi\u1ec7p h\u1ed9i Ung th\u01b0 Hoa K\u1ef3 (American Cancer Society) s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng c\u01a1 s\u1edf d\u1eef li\u1ec7u SEER \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u1ec9 l\u1ec7 s\u1ed1ng t\u01b0\u01a1ng \u0111\u1ed1i 5 n\u0103m c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<table style=\"width: 936px;\">\n<tbody>\n<tr>\n<td style=\"width: 498.4px;\">Ph\u00e2n lo\u1ea1i theo AJCC (SEER)<\/td>\n<td style=\"width: 423.2px;\">T\u1ec9 l\u1ec7 s\u1ed1ng t\u01b0\u01a1ng \u0111\u1ed1i 5 n\u0103m<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 498.4px;\">Giai \u0111o\u1ea1n I,II, m\u1ed9t s\u1ed1 giai \u0111o\u1ea1n III (SEER: localized)<\/td>\n<td style=\"width: 423.2px;\">G\u1ea7n 100%<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 498.4px;\">Giai \u0111o\u1ea1n IIIB, IVA (SEER: regional)<\/td>\n<td style=\"width: 423.2px;\">G\u1ea7n 100%<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 498.4px;\">Giai \u0111o\u1ea1n IVB (SEER: distant)<\/td>\n<td style=\"width: 423.2px;\">30%<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 498.4px;\">T\u1ea5t c\u1ea3 c\u00e1c giai \u0111o\u1ea1n<\/td>\n<td style=\"width: 423.2px;\">98%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>(!)D\u1eef li\u1ec7u t\u1eeb 2008 \u0111\u1ebfn 2014.<\/p>\n<h3><em>\u0110i\u1ec1u tr\u1ecb<\/em><\/h3>\n<figure id=\"attachment_11636\" aria-describedby=\"caption-attachment-11636\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11636\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/cac_te_bao_ung_thu_trong_tuyen_tien_liet-600x400.jpg\" alt=\"C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong tuy\u1ebfn ti\u1ec1n li\u1ec7t\" width=\"600\" height=\"400\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/cac_te_bao_ung_thu_trong_tuyen_tien_liet.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/cac_te_bao_ung_thu_trong_tuyen_tien_liet-350x233.jpg 350w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11636\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: C\u00e1c t\u1ebf b\u00e0o ung th\u01b0 trong tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/figcaption><\/figure>\n<p><em>Ph\u1eabu thu\u1eadt:<\/em><\/p>\n<ul>\n<li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn tri\u1ec7t \u0111\u1ec3 sau mu (Radical Retropubic Prostatectomy): Th\u01b0\u1eddng s\u1eed d\u1ee5ng khi kh\u1ed1i u ch\u01b0a lan r\u1ed9ng, v\u1eabn khu tr\u00fa t\u1ea1i ti\u1ec1n li\u1ec7t tuy\u1ebfn ho\u1eb7c m\u1edbi lan \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft g\u1ea7n \u0111\u00f3. B\u00e1c s\u0129 t\u1ea1o m\u1ed9t v\u1ebft c\u1eaft \u1edf b\u1ee5ng d\u01b0\u1edbi, t\u1eeb r\u1ed1n xu\u1ed1ng \u0111\u1ebfn x\u01b0\u01a1ng mu. B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y m\u00ea to\u00e0n th\u00e2n ho\u1eb7c g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c ngo\u00e0i m\u00e0ng c\u1ee9ng. Sau ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t \u1ed1ng th\u00f4ng v\u00e0o d\u01b0\u01a1ng v\u1eadt b\u1ec7nh nh\u00e2n \u0111\u1ec3 d\u1eabn l\u01b0u b\u00e0ng quang.<\/li>\n<\/ul>\n<p>C\u00e1c r\u1ee7i ro bao g\u1ed3m: ph\u1ea3n \u1ee9ng v\u1edbi thu\u1ed1c g\u00e2y m\u00ea, ch\u1ea3y m\u00e1u do ph\u1eabu thu\u1eadt, xu\u1ea5t hi\u1ec7n c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng t\u1ea1i ch\u00e2n v\u00e0 ph\u1ed5i, t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn ho\u1eb7c nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt.<\/p>\n<ul>\n<li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn tri\u1ec7t \u0111\u1ec3 \u0111\u00e1y ch\u1eadu (Radical Perineal Prostatectomy): Trong ph\u1eabu thu\u1eadt n\u00e0y v\u1ebft c\u1eaft \u1edf gi\u1eefa h\u1eadu m\u00f4n v\u00e0 b\u00ecu. Tuy nhi\u00ean c\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u01b0\u01a1ng c\u1ee9ng. C\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c g\u1eb7p ph\u1ea3i t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tr\u00ean.<\/li>\n<li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn tri\u1ec7t \u0111\u1ec3 n\u1ed9i soi \u1ed5 b\u1ee5ng (Laparoscopic Radical Prostatectomy): B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t s\u1ed1 \u1ed1ng n\u1ed9i soi v\u00e0o c\u01a1 th\u1ec3 th\u00f4ng qua c\u00e1c v\u1ebft m\u1ed5 nh\u1ecf \u0111\u1ec3 c\u1eaft b\u1ecf ti\u1ec1n li\u1ec7t tuy\u1ebfn. \u01afu \u0111i\u1ec3m: \u00edt m\u1ea5t m\u00e1u, \u00edt \u0111au, th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn h\u01a1n v\u00e0 th\u1eddi gian ph\u1ee5c h\u1ed3i nhanh h\u01a1n. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tr\u00ean. Ph\u1eabu thu\u1eadt n\u1ed9i soi c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng robot v\u1edbi kh\u1ea3 n\u0103ng c\u01a1 \u0111\u1ed9ng v\u00e0 \u0111\u1ed9 ch\u00ednh x\u00e1c cao h\u01a1n.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p TURP: nh\u01b0 tr\u00ean.<\/li>\n<\/ul>\n<p><em>X\u1ea1 tr\u1ecb ung th\u01b0:<\/em><\/p>\n<p>X\u1ea1 tr\u1ecb ung th\u01b0 g\u1ed3m hai lo\u1ea1i l\u00e0 x\u1ea1 tr\u1ecb ngo\u00e0i (x\u1ea1 tr\u1ecb t\u1eeb xa) v\u00e0 x\u1ea1 tr\u1ecb trong (x\u1ea1 tr\u1ecb \u00e1p s\u00e1t).<\/p>\n<p><em>X\u1ea1 tr\u1ecb ngo\u00e0i (EBRT):<\/em> Ch\u00f9m b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c t\u1eadp trung v\u00e0o ti\u1ec1n li\u1ec7t tuy\u1ebfn t\u1eeb b\u00ean ngo\u00e0i c\u01a1 th\u1ec3. C\u00e1c b\u00e1c s\u0129 s\u1ebd t\u00ednh g\u00f3c v\u00e0 li\u1ec1u l\u01b0\u1ee3ng ph\u00f9 h\u1ee3p. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kho\u1ea3ng 5 ng\u00e0y \/ tu\u1ea7n trong v\u00e0i tu\u1ea7n. Qu\u00e1 tr\u00ecnh chi\u1ebfu x\u1ea1 kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn v\u00e0 ch\u1ec9 k\u00e9o d\u00e0i trong v\u00e0i ph\u00fat.<\/p>\n<ul>\n<li>X\u1ea1 tr\u1ecb kh\u00f4ng gian ba chi\u1ec1u (3D-CRT): M\u00e1y t\u00ednh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u1eadp b\u1ea3n \u0111\u1ed3 ch\u00ednh x\u00e1c ti\u1ec1n li\u1ec7t tuy\u1ebfn, sau \u0111\u00f3 c\u00e1c ch\u00f9m b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c \u0111\u1ecbnh h\u00ecnh v\u00e0 nh\u1eafm v\u00e0o ti\u1ec1n li\u1ec7t tuy\u1ebfn t\u1eeb nhi\u1ec1u h\u01b0\u1edbng, gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean m\u00f4 l\u00e0nh.<\/li>\n<li>X\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 (IMRT): L\u00e0 lo\u1ea1i EBRT ph\u1ed5 bi\u1ebfn nh\u1ea5t trong ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn. M\u00e1y t\u00ednh di chuy\u1ec3n xung quanh b\u1ec7nh nh\u00e2n trong khi chi\u1ebfu b\u1ee9c x\u1ea1, ch\u00f9m tia \u0111\u01b0\u1ee3c \u0111\u1ecbnh h\u00ecnh v\u00e0 nh\u1eafm v\u00e0o ti\u1ec1n li\u1ec7t tuy\u1ebfn t\u1eeb nhi\u1ec1u g\u00f3c \u0111\u1ed9, c\u01b0\u1eddng \u0111\u1ed9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 h\u1ea1n ch\u1ebf li\u1ec1u ti\u1ebfp c\u1eadn l\u00ean c\u00e1c m\u00f4 l\u00e0nh. M\u1ed9t s\u1ed1 m\u00e1y b\u1ee9c x\u1ea1 \u0111\u01b0\u1ee3c t\u00edch h\u1ee3p m\u00e1y qu\u00e9t h\u00ecnh \u1ea3nh, g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p x\u1ea1 tr\u1ecb h\u01b0\u1edbng d\u1eabn b\u1eb1ng h\u00ecnh \u1ea3nh (IGRT). M\u1ed9t bi\u1ebfn th\u1ec3 kh\u00e1c l\u00e0 x\u1ea1 tr\u1ecb \u0111i\u1ec1u bi\u1ebfn th\u1ec3 t\u00edch cung tr\u00f2n (VMAT). Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y thu\u1eadn ti\u1ec7n h\u01a1n cho b\u1ec7nh nh\u00e2n tuy nhi\u00ean kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c l\u00e0 hi\u1ec7u qu\u1ea3 h\u01a1n IMRT th\u00f4ng th\u01b0\u1eddng.<\/li>\n<li>X\u1ea1 tr\u1ecb l\u1eadp th\u1ec3 \u0111\u1ecbnh v\u1ecb th\u00e2n (SBRT): Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng k\u0129 thu\u1eadt h\u01b0\u1edbng d\u1eabn h\u00ecnh \u1ea3nh ti\u00ean ti\u1ebfn, cung c\u1ea5p li\u1ec1u ph\u00f3ng x\u1ea1 cao \u0111\u1ebfn m\u1ed9t khu v\u1ef1c x\u00e1c \u0111\u1ecbnh, \u1edf \u0111\u00e2y l\u00e0 ti\u1ebfn li\u1ec7t tuy\u1ebfn. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u01a1n IMRT (v\u00e0i ng\u00e0y), tuy nhi\u00ean c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng kh\u00e1 h\u01a1n.<\/li>\n<li>X\u1ea1 tr\u1ecb ch\u00f9m proton: Kh\u00f4ng gi\u1ed1ng nh\u01b0 ch\u00f9m tia X, ch\u00f9m proton \u00edt g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u00f4 do ch\u00fang \u0111i qua, ch\u1ec9 g\u00e2y t\u1ed5n th\u01b0\u01a1ng khi \u0111\u00e3 \u0111i \u0111\u01b0\u1ee3c m\u1ed9t kho\u1ea3ng c\u00e1ch nh\u1ea5t \u0111\u1ecbnh. Tuy nhi\u00ean d\u00f9 v\u1ec1 l\u00ed thuy\u1ebft l\u00e0 an to\u00e0n h\u01a1n so v\u1edbi tia X, ch\u01b0a nghi\u00ean c\u1ee9u n\u00e0o cho th\u1ea5y \u0111i\u1ec1u n\u00e0y c\u00f3 \u0111\u00fang hay kh\u00f4ng. Li\u1ec7u ph\u00e1p n\u00e0y c\u0169ng b\u1ecb h\u1ea1n ch\u1ebf do r\u1ea5t \u0111\u1eaft ti\u1ec1n so v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p d\u00f9ng tia X th\u00f4ng th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>Nh\u00ecn chung v\u1edbi x\u1ea1 tr\u1ecb ngo\u00e0i b\u1ec7nh nh\u00e2n hay g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng ru\u1ed9t, \u0111\u01b0\u1eddng ni\u1ec7u, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng (b\u1ea5t l\u1ef1c), m\u1ec7t m\u1ecfi, ph\u00f9 b\u1ea1ch huy\u1ebft.<\/p>\n<p><em>X\u1ea1 tr\u1ecb trong:<\/em> Ph\u1ed1i h\u1ee3p v\u1edbi x\u1ea1 tr\u1ecb ngo\u00e0i \u0111\u1ec3 gi\u1ea3m b\u1edbt c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a x\u1ea1 tr\u1ecb ngo\u00e0i l\u00ean m\u00f4 l\u00e0nh, \u0111\u1ed3ng th\u1eddi t\u0103ng hi\u1ec7u qu\u1ea3 l\u00ean kh\u1ed1i u. X\u1ea1 tr\u1ecb trong \u0111\u01a1n thu\u1ea7n ch\u1ec9 \u0111\u01b0\u1ee3c d\u00f9ng cho nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0 giai \u0111o\u1ea1n \u0111\u1ea7u, ti\u1ebfn tri\u1ec3n ch\u1eadm. B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y m\u00ea to\u00e0n th\u00e2n ho\u1eb7c g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng. C\u00f3 hai lo\u1ea1i:<\/p>\n<ul>\n<li>X\u1ea1 tr\u1ecb trong l\u00e2u d\u00e0i (li\u1ec1u th\u1ea5p): C\u00e1c vi\u00ean ch\u1ee9a ch\u1ea5t ph\u00f3ng x\u1ea1 (nh\u01b0 iod-125 ho\u1eb7c palladium-103) \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ti\u1ec1n li\u1ec7t tuy\u1ebfn v\u00e0 th\u1ea3i ra li\u1ec1u ph\u00f3ng x\u1ea1 th\u1ea5p trong th\u1eddi gian d\u00e0i. B\u1ee9c x\u1ea1 ph\u00e1t ra m\u1ed9t l\u01b0\u1ee3ng l\u1edbn trong m\u1ed9t khu v\u1ef1c nh\u1ecf, gi\u1edbi h\u1ea1n m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c m\u00f4 g\u1ea7n \u0111\u00f3.<\/li>\n<li>X\u1ea1 tr\u1ecb trong t\u1ea1m th\u1eddi (li\u1ec1u cao): Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng li\u1ec1u ph\u00f3ng x\u1ea1 cao h\u01a1n trong th\u1eddi gian ng\u1eafn h\u01a1n. Vi\u00ean ph\u00f3ng x\u1ea1 sau khi s\u1eed d\u1ee5ng s\u1ebd \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ngay (Iridium-192 v\u00e0 Caesium-137). H\u1ea7u h\u1ebft b\u1ee9c x\u1ea1 t\u1eadp trung \u1edf ch\u00ednh tuy\u1ebfn ti\u1ec1n li\u1ec7t, tr\u00e1nh c\u00e1c m\u00f4 b\u00ecnh th\u01b0\u1eddng g\u1ea7n \u0111\u00f3.<\/li>\n<\/ul>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p t\u01b0\u01a1ng t\u1ef1 x\u1ea1 tr\u1ecb ngo\u00e0i.<\/p>\n<p><em>Li\u1ec7u ph\u00e1p \u00e1p l\u1ea1nh: <\/em>Li\u1ec7u ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng nhi\u1ec7t \u0111\u1ed9 r\u1ea5t l\u1ea1nh ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn giai \u0111o\u1ea1n \u0111\u1ea7u. \u0110\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u01b0u ti\u00ean cho b\u1ec7nh n\u00e0y. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 g\u1eb7p ph\u1ea3i th\u01b0\u1eddng g\u1eb7p l\u00e0 ti\u1ec3u m\u00e1u, ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, ch\u1ee9c n\u0103ng b\u00e0ng quang v\u00e0 tr\u1ef1c tr\u00e0ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<p><em>Li\u1ec7u ph\u00e1p hormon: <\/em>C\u00f2n g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p thi\u1ebfu h\u1ee5t androgen. C\u00e1c androgen g\u1ed3m testosterone v\u00e0 dihydrotestosterone (DHT) k\u00edch th\u00edch c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n. \u1ee8c ch\u1ebf c\u00e1c hormon n\u00e0y gi\u00fap ung th\u01b0 ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n m\u1ed9t th\u1eddi gian. Tuy nhi\u00ean c\u1ea7n ghi nh\u1edb r\u1eb1ng li\u1ec7u ph\u00e1p hormon \u0111\u01a1n thu\u1ea7n kh\u00f4ng ch\u1eefa \u0111\u01b0\u1ee3c ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>Thi\u1ebfn tinh ho\u00e0n: Tinh ho\u00e0n l\u00e0 n\u01a1i s\u1ea3n xu\u1ea5t ch\u1ee7 y\u1ebfu c\u00e1c androgen. H\u1ea7u h\u1ebft c\u00e1c ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn ng\u1eebng ph\u00e1t tri\u1ec3n ho\u1eb7c kh\u1ed1i u co l\u1ea1i m\u1ed9t th\u1eddi gian sau khi thi\u1ebfn.<\/li>\n<li>Ch\u1ea5t ch\u1ee7 v\u1eadn LHRH (ch\u1ee7 v\u1eadn GnRH): C\u00f2n g\u1ecdi l\u00e0 \u201cthi\u1ebfn h\u00f3a h\u1ecdc\u201d do l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng androgen t\u01b0\u01a1ng t\u1ef1 nh\u01b0 thi\u1ebfn tinh ho\u00e0n. H\u1ea7u h\u1ebft \u0111\u00e0n \u00f4ng \u0111\u1ec1u ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e0y thay v\u00ec ph\u1eabu thu\u1eadt thi\u1ebfn tinh ho\u00e0n. T\u1ea1i Hoa K\u1ef3 c\u00f3 s\u1eb5n 4 thu\u1ed1c: Leuprolide, Goserelin, Triptorelin v\u00e0 Histrelin.<\/li>\n<li>Ch\u1ea5t \u0111\u1ed1i kh\u00e1ng LHRH (Degarelix): Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 testosterone nhanh h\u01a1n v\u00e0 kh\u00f4ng g\u00e2y ra kh\u1ed1i u nh\u01b0 c\u00e1c ch\u1ea5t ch\u1ee7 v\u1eadn LHRH. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn ti\u1ebfn tri\u1ec3n.<\/li>\n<li>Ch\u1ea5t \u1ee9c ch\u1ebf CYP17: Abiraterone \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn ti\u1ebfn tri\u1ec3n: Nguy c\u01a1 cao (\u0111i\u1ec3m Glory cao ho\u1eb7c di c\u0103n x\u01b0\u01a1ng, lan \u0111\u1ebfn c\u01a1 quan kh\u00e1c) ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thi\u1ebfn.<\/li>\n<li>Ch\u1ea5t kh\u00e1ng androgen: Androgen ph\u1ea3i g\u1eafn v\u1edbi m\u1ed9t protein \u1edf t\u1ebf b\u00e0o tuy\u1ebfn ti\u1ec1n li\u1ec7t g\u1ecdi l\u00e0 th\u1ee5 th\u1ec3 androgen \u0111\u1ec3 ho\u1ea1t \u0111\u1ed9ng. C\u00e1c ch\u1ea5t kh\u00e1ng androgen g\u1eafn v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 n\u00e0y ng\u0103n ch\u1eb7n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a androgen. C\u00e1c thu\u1ed1c bao g\u1ed3m: Flutamide, Bicalutamide v\u00e0 Nilutamide. C\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p thi\u1ebfn \u1edf tr\u00ean. Enzalutamide v\u00e0 Apalutamide l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c th\u1ebf h\u1ec7 m\u1edbi h\u01a1n. Enzalutamide c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u1ea3 ung th\u01b0 di c\u0103n.<\/li>\n<li>C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf androgen kh\u00e1c: Estrogen (n\u1ebfu c\u00e1c li\u1ec7u ph\u00e1p hormon kh\u00e1c kh\u00f4ng hi\u1ec7u qu\u1ea3), Ketoconazole (n\u1ebfu c\u00e1c li\u1ec7u ph\u00e1p hormon kh\u00e1c kh\u00f4ng hi\u1ec7u qu\u1ea3).<\/li>\n<\/ul>\n<p>Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, c\u00e1c b\u00e1c s\u0129 ph\u1ea3i ph\u1ed1i h\u1ee3p nhi\u1ec1u thu\u1ed1c v\u1edbi nhau \u0111\u1ec3 t\u0103ng t\u00e1c d\u1ee5ng. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a li\u1ec7u ph\u00e1p hormon bao g\u1ed3m: gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3 ham mu\u1ed1n t\u00ecnh d\u1ee5c, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, v\u00fa ph\u00e1t tri\u1ec3n, lo\u00e3ng x\u01b0\u01a1ng, thi\u1ebfu m\u00e1u, gi\u1ea3m l\u01b0\u1ee3ng c\u01a1 b\u1eafp, t\u0103ng c\u00e2n, t\u0103ng cholesterol m\u00e1u&#8230;<\/p>\n<p><em>H\u00f3a tr\u1ecb li\u1ec7u ung th\u01b0:<\/em> S\u1eed d\u1ee5ng khi ung th\u01b0 di c\u0103n ho\u1eb7c li\u1ec7u ph\u00e1p hormon kh\u00f4ng c\u00f2n t\u00e1c d\u1ee5ng. M\u1ed9t s\u1ed1 thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0: Docetaxel, Cabazitaxel, Mitoxantrone v\u00e0 Estramustine. C\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ung th\u01b0 v\u00e0 l\u00e0m gi\u1ea3m\u00a0c\u00e1c tri\u1ec7u ch\u1ee9ng, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.\u00a0Tuy nhi\u00ean, h\u00f3a tr\u1ecb r\u1ea5t kh\u00f3 c\u00f3 kh\u1ea3 n\u0103ng ch\u1eefa \u0111\u01b0\u1ee3c ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a h\u00f3a tr\u1ecb li\u1ec7u bao g\u1ed3m: r\u1ee5ng t\u00f3c, lo\u00e9t mi\u1ec7ng, \u0103n kh\u00f4ng ngon, bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau ch\u1ea3y, thi\u1ebfu m\u00e1u, ch\u1ea3y m\u00e1u, nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/p>\n<p><em>Vaccin:\u00a0<\/em>Sipuleucel-T (<em>Provenge<\/em>) l\u00e0 m\u1ed9t vaccin gi\u00fap n\u00e2ng cao mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3, ch\u1ed1ng l\u1ea1i c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn ti\u1ebfn tri\u1ec3n kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec7u ph\u00e1p hormon. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a n\u00f3 nh\u1eb9 h\u01a1n h\u00f3a tr\u1ecb li\u1ec7u ho\u1eb7c li\u1ec7u ph\u00e1p hormon: s\u1ed1t, \u1edbn l\u1ea1nh, m\u1ec7t m\u1ecfi, \u0111au kh\u1edbp, \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u1ec1n li\u1ec7t tuy\u1ebfn \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 quan sinh s\u1ea3n c\u1ee7a nam gi\u1edbi. N\u00f3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 tinh tr\u00f9ng khi x\u00e2m nh\u1eadp v\u00e0o \u00e2m \u0111\u1ea1o t\u1eeb \u0111\u00f3 t\u0103ng t\u1ec9 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a tinh tr\u00f9ng v\u00e0 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng th\u1ee5 thai. V\u1edbi ch\u1ee9c n\u0103ng [&#8230;]\n","protected":false},"author":1,"featured_media":11641,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11546","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=11546"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11546\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/11641"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=11546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=11546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=11546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}