\n $\"Nhu$ \n <\/div>

TS.BS. Tr\u1ea7n Th\u1ecb Minh Nguy\u1ec7t-Khoa Kh\u00e1m t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng tr\u1ebb em-Vi\u1ec7n Dinh d\u01b0\u1ee1ng Qu\u1ed1c gia.<\/p>\n<\/figcaption><\/figure>\n

1. Th\u00e1ch th\u1ee9c dinh d\u01b0\u1ee1ng \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0 gan<\/span><\/b><\/h2>\n
B\u1ec7nh nh\u00e2n ung th\u01b0 gan th\u01b0\u1eddng \u0111\u1ed1i m\u1eb7t v\u1edbi:<\/span><\/p>\n
\n
Suy gi\u1ea3m d\u1ef1 tr\u1eef n\u0103ng l\u01b0\u1ee3ng v\u00e0 kh\u1ed1i c\u01a1 do gi\u1ea3m \u0103n, ch\u00e1n \u0103n<\/a>, bu\u1ed3n n\u00f4n, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a.<\/li>\n
R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, t\u0103ng d\u1ecb h\u00f3a protein, gi\u1ea3m t\u1ed5ng h\u1ee3p albumin, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a lipid v\u00e0 glucose.<\/li>\n
Nguy c\u01a1 thi\u1ebfu vi ch\u1ea5t do gi\u1ea3m h\u1ea5p thu, ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang khem qu\u00e1 m\u1ee9c ho\u1eb7c do ch\u1ee9c n\u0103ng gan suy gi\u1ea3m.<\/li>\n
Bi\u1ebfn ch\u1ee9ng x\u01a1 gan, c\u1ed5 tr\u01b0\u1edbng, b\u1ec7nh n\u00e3o gan \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u1ef1a ch\u1ecdn v\u00e0 dung n\u1ea1p th\u1ef1c ph\u1ea9m.<\/li>\n<\/ul>\n
Do \u0111\u00f3, nhu c\u1ea7u dinh d\u01b0\u1ee1ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, m\u1ee9c \u0111\u1ed9 suy gan<\/a> v\u00e0 giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb.<\/p>\n
2. Nhu c\u1ea7u c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0 gan<\/h2>\n
Nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng<\/b><\/p>\n
Nguy\u00ean t\u1eafc chung: <\/i>B\u1ec7nh nh\u00e2n ung th\u01b0 gan c\u1ea7n t\u0103ng n\u0103ng l\u01b0\u1ee3ng so v\u1edbi nhu c\u1ea7u c\u01a1 b\u1ea3n \u0111\u1ec3 b\u00f9 \u0111\u1eafp t\u00ecnh tr\u1ea1ng d\u1ecb h\u00f3a v\u00e0 duy tr\u00ec c\u00e2n n\u1eb7ng<\/a>.<\/p>\n
Khuy\u1ebfn ngh\u1ecb (ESPEN, 2022): <\/i>N\u0103ng l\u01b0\u1ee3ng 30\u201335 kcal\/kg c\u00e2n n\u1eb7ng\/ng\u00e0y. V\u1edbi b\u1ec7nh nh\u00e2n g\u1ea7y s\u00fat c\u00e2n ho\u1eb7c suy m\u00f2n (cachexia), c\u00f3 th\u1ec3 t\u0103ng \u0111\u1ebfn 35\u201340 kcal\/kg\/ng\u00e0y. \u1ede b\u1ec7nh nh\u00e2n th\u1eeba c\u00e2n nh\u01b0ng suy ki\u1ec7t kh\u1ed1i c\u01a1, n\u00ean t\u00ednh n\u0103ng l\u01b0\u1ee3ng d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng hi\u1ec7u ch\u1ec9nh \u0111\u1ec3 tr\u00e1nh d\u01b0 th\u1eeba n\u0103ng l\u01b0\u1ee3ng g\u00e2y gan nhi\u1ec5m m\u1ee1<\/a> v\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n
V\u00ed d\u1ee5: <\/i>B\u1ec7nh nh\u00e2n 50kg, ung th\u01b0 gan giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n, \u0103n k\u00e9m… nhu c\u1ea7u kho\u1ea3ng 1.600\u20131.750 kcal\/ng\u00e0y, \u01b0u ti\u00ean th\u1ef1c ph\u1ea9m \u0111\u1eadm n\u0103ng l\u01b0\u1ee3ng.<\/p>\n
Nhu c\u1ea7u protein (\u0111\u1ea1m)<\/b><\/p>\n
Gan l\u00e0 trung t\u00e2m t\u1ed5ng h\u1ee3p protein, v\u00ec v\u1eady khi ch\u1ee9c n\u0103ng gan gi\u1ea3m, kh\u1ea3 n\u0103ng duy tr\u00ec c\u00e2n b\u1eb1ng nit\u01a1 b\u1ecb \u1ea3nh h\u01b0\u1edfng. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n ung th\u01b0 gan kh\u00f4ng n\u00ean ki\u00eang \u0111\u1ea1m qu\u00e1 m\u1ee9c tr\u1eeb khi c\u00f3 b\u1ec7nh n\u00e3o gan n\u1eb7ng.<\/p>\n
Khuy\u1ebfn ngh\u1ecb:<\/i><\/p>\n
\n
Giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh ho\u1eb7c sau ph\u1eabu thu\u1eadt: 1,2\u20131,5g protein\/kg\/ng\u00e0y.<\/li>\n
Suy ki\u1ec7t n\u1eb7ng: 1,5\u20132,0 g\/kg\/ng\u00e0y, \u01b0u ti\u00ean \u0111\u1ea1m ch\u1ea5t l\u01b0\u1ee3ng cao (c\u00e1, th\u1ecbt gia c\u1ea7m, s\u1eefa, tr\u1ee9ng, \u0111\u1eadu ph\u1ee5).<\/li>\n
B\u1ec7nh n\u00e3o gan: Ban \u0111\u1ea7u c\u00f3 th\u1ec3 gi\u1ea3m nh\u1eb9 xu\u1ed1ng 0,8\u20131,0g\/kg\/ng\u00e0y, nh\u01b0ng sau khi ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng c\u1ea7n quay l\u1ea1i m\u1ee9c t\u1ed1i \u01b0u \u0111\u1ec3 tr\u00e1nh m\u1ea5t c\u01a1.<\/li>\n
B\u1ed5 sung BCAA (Branched-Chain Amino Acids): C\u00e1c acid amin chu\u1ed7i nh\u00e1nh (leucine, isoleucine, valine) \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u1ea3i thi\u1ec7n kh\u1ed1i c\u01a1, gi\u1ea3m tri\u1ec7u ch\u1ee9ng b\u1ec7nh n\u00e3o gan v\u00e0 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng gan (WHO, 2018).<\/li>\n<\/ul>\n
\n
\n $\"Nhu$ \n <\/div>
\n
C\u00e1 bi\u1ec3n gi\u00e0u omega t\u1ed1t cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan.<\/p>\n<\/figcaption><\/figure>\n
<\/span>Nhu c\u1ea7u ch\u1ea5t b\u00e9o<\/span><\/b><\/p>\n
Ch\u1ea5t b\u00e9o cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng \u0111\u1eadm \u0111\u1eb7c, gi\u00fap duy tr\u00ec c\u00e2n n\u1eb7ng nh\u01b0ng c\u1ea7n c\u00e2n \u0111\u1ed1i gi\u1eefa c\u00e1c lo\u1ea1i ch\u1ea5t b\u00e9o:<\/span><\/p>\n
\n
T\u1ed5ng ch\u1ea5t b\u00e9o: 25\u201335% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng.<\/li>\n
\u01afu ti\u00ean acid b\u00e9o kh\u00f4ng b\u00e3o h\u00f2a (omega-3, omega-6) t\u1eeb c\u00e1 bi\u1ec3n, d\u1ea7u th\u1ef1c v\u1eadt (d\u1ea7u oliu, d\u1ea7u h\u1ea1t c\u1ea3i, d\u1ea7u m\u00e8). Omega-3 (EPA, DHA) gi\u00fap ch\u1ed1ng vi\u00eam, c\u1ea3i thi\u1ec7n c\u1ea3m gi\u00e1c th\u00e8m \u0103n v\u00e0 kh\u1ed1i c\u01a1.<\/li>\n
H\u1ea1n ch\u1ebf acid b\u00e9o b\u00e3o h\u00f2a v\u00e0 trans fat \u0111\u1ec3 gi\u1ea3m g\u00e1nh n\u1eb7ng chuy\u1ec3n h\u00f3a cho gan.<\/li>\n
Tr\u01b0\u1eddng h\u1ee3p c\u00f3 ti\u00eau ch\u1ea3y do k\u00e9m h\u1ea5p thu m\u1ee1: S\u1eed d\u1ee5ng ch\u1ea5t b\u00e9o MCT (Medium chain triglycerides)- l\u00e0 ch\u1ea5t b\u00e9o d\u1ec5 h\u1ea5p thu, d\u1ec5 ti\u00eau h\u00f3a, kh\u00f4ng c\u1ea7n mu\u1ed1i m\u1eadt, cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng cho c\u01a1 th\u1ec3, ph\u00e1t tri\u1ec3n tr\u00ed n\u00e3o.<\/li>\n<\/ul>\n
Nhu c\u1ea7u carbohydrate<\/span><\/b><\/p>\n
\n
Cung c\u1ea5p 50\u201360% n\u0103ng l\u01b0\u1ee3ng, \u01b0u ti\u00ean carbohydrate ph\u1ee9c h\u1ee3p (ng\u0169 c\u1ed1c nguy\u00ean c\u00e1m, khoai c\u1ee7) \u0111\u1ec3 duy tr\u00ec \u0111\u01b0\u1eddng huy\u1ebft \u1ed5n \u0111\u1ecbnh.<\/li>\n
H\u1ea1n ch\u1ebf \u0111\u01b0\u1eddng \u0111\u01a1n (n\u01b0\u1edbc ng\u1ecdt, b\u00e1nh k\u1eb9o) \u0111\u1ec3 tr\u00e1nh t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 gan nhi\u1ec5m m\u1ee1.<\/li>\n
\u1ede b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> k\u00e8m theo, c\u1ea7n ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng tinh b\u1ed9t ch\u1eb7t ch\u1ebd.<\/li>\n<\/ul>\n
\n
\n $\"Nhu$ \n <\/div>
\n
Ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 gan n\u00ean tr\u00e1nh xa c\u00e1c lo\u1ea1i n\u01b0\u1edbc ng\u1ecdt.<\/p>\n<\/figcaption><\/figure>\n
Nhu c\u1ea7u vitamin v\u00e0 kho\u00e1ng ch\u1ea5t<\/span><\/b><\/p>\n
B\u1ec7nh nh\u00e2n ung th\u01b0 gan d\u1ec5 thi\u1ebfu vi ch\u1ea5t do \u0103n u\u1ed1ng k\u00e9m, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c:<\/span><\/p>\n
\n
Vitamin tan trong d\u1ea7u (A, D, E, K): D\u1ec5 thi\u1ebfu khi suy m\u1eadt ho\u1eb7c ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang m\u1ee1.<\/li>\n
Vitamin nh\u00f3m B,<\/a> \u0111\u1eb7c bi\u1ec7t B1 (thiamin) \u0111\u1ec3 ph\u00f2ng b\u1ec7nh n\u00e3o Wernicke \u1edf b\u1ec7nh nh\u00e2n suy dinh d\u01b0\u1ee1ng ho\u1eb7c nghi\u1ec7n r\u01b0\u1ee3u.<\/li>\n
K\u1ebdm<\/a> (Zn): H\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch, gi\u1ea3m b\u1ec7nh n\u00e3o gan.<\/li>\n
Selen: Ch\u1ed1ng oxy h\u00f3a, h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng gan.<\/li>\n
S\u1eaft: Ch\u1ec9 b\u1ed5 sung khi thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft<\/a>, tr\u00e1nh d\u01b0 th\u1eeba g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan.<\/li>\n
Calci v\u00e0 vitamin D: Ph\u00f2ng lo\u00e3ng x\u01b0\u01a1ng do gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c v\u00e0 s\u1eed d\u1ee5ng corticoid.<\/li>\n<\/ul>\n
3. Kh\u00e1c bi\u1ec7t v\u1ec1 dinh d\u01b0\u1ee1ng theo giai \u0111o\u1ea1n b\u1ec7nh v\u00e0 th\u1ec3 tr\u1ea1ng<\/span><\/b><\/h2>\n
\n\n\n\n\n\n\n\n\n\n\n
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Giai \u0111o\u1ea1n b\u1ec7nh\/th\u1ec3 tr\u1ea1ng<\/span><\/b><\/p>\n<\/td>\n
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\u0110\u1eb7c \u0111i\u1ec3m<\/span><\/b><\/p>\n<\/td>\n
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Chi\u1ebfn l\u01b0\u1ee3c dinh d\u01b0\u1ee1ng<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n
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Giai \u0111o\u1ea1n s\u1edbm (c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt ho\u1eb7c can thi\u1ec7p)<\/p>\n<\/td>\n
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Ch\u1ee9c n\u0103ng gan t\u01b0\u01a1ng \u0111\u1ed1i b\u1ea3o t\u1ed3n<\/span><\/p>\n<\/td>\n
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T\u0103ng n\u0103ng l\u01b0\u1ee3ng, protein \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 d\u1ef1 tr\u1eef tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb; b\u1ed5 sung vi ch\u1ea5t d\u1ef1 ph\u00f2ng thi\u1ebfu h\u1ee5t.<\/span><\/p>\n<\/td>\n<\/tr>\n
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Giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt\/can thi\u1ec7p m\u1ea1ch<\/span><\/span><\/p>\n<\/td>\n
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Nhu c\u1ea7u h\u1ed3i ph\u1ee5c cao, c\u00f3 th\u1ec3 \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n<\/span><\/p>\n<\/td>\n
\n
Th\u1ef1c \u0111\u01a1n gi\u00e0u n\u0103ng l\u01b0\u1ee3ng, protein cao, chia nh\u1ecf b\u1eefa; b\u1ed5 sung BCAA, vitamin, ch\u1ea5t kho\u00e1ng.<\/span><\/p>\n<\/td>\n<\/tr>\n
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Giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n nh\u01b0ng ch\u01b0a c\u00f3 b\u1ec7nh n\u00e3o gan<\/span><\/span><\/p>\n<\/td>\n
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D\u1ecb h\u00f3a cao, s\u00fat c\u00e2n nhanh<\/span><\/p>\n<\/td>\n
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35\u201340 kcal\/kg, 1,5\u20132,0 g protein\/kg, t\u0103ng omega-3, MCT oil n\u1ebfu k\u00e9m h\u1ea5p thu.<\/span><\/p>\n<\/td>\n<\/tr>\n
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B\u1ec7nh n\u00e3o gan<\/span><\/span><\/p>\n<\/td>\n
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R\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, nguy c\u01a1 t\u0103ng amoniac m\u00e1u<\/span><\/p>\n<\/td>\n
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Gi\u1ea3m nh\u1eb9 protein t\u1ea1m th\u1eddi (0,8\u20131,0 g\/kg), \u01b0u ti\u00ean \u0111\u1ea1m th\u1ef1c v\u1eadt\/BCAA, ki\u1ec3m so\u00e1t t\u00e1o b\u00f3n.<\/span><\/p>\n<\/td>\n<\/tr>\n
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C\u00f3 c\u1ed5 tr\u01b0\u1edbng, ph\u00f9<\/span><\/span><\/p>\n<\/td>\n
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H\u1ea1n ch\u1ebf mu\u1ed1i (2\u20134g NaCl\/ng\u00e0y), ki\u1ec3m so\u00e1t d\u1ecbch<\/span><\/p>\n<\/td>\n
\n
V\u1eabn \u0111\u1ea3m b\u1ea3o n\u0103ng l\u01b0\u1ee3ng cao nh\u01b0ng gi\u1ea3m natri, theo d\u00f5i kali.<\/span><\/p>\n<\/td>\n<\/tr>\n
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Suy ki\u1ec7t n\u1eb7ng (cachexia)<\/span><\/p>\n<\/td>\n
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M\u1ea5t kh\u1ed1i c\u01a1, m\u1ee1, \u0103n r\u1ea5t k\u00e9m<\/span><\/p>\n<\/td>\n
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Th\u1ee9c \u0103n \u0111\u1eadm n\u0103ng l\u01b0\u1ee3ng, b\u1ed5 sung \u0111\u01b0\u1eddng u\u1ed1ng gi\u00e0u protein v\u00e0 omega-3, c\u00f3 th\u1ec3 nu\u00f4i d\u01b0\u1ee1ng qua \u1ed1ng\/m\u1ea1ch.<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
Dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan c\u1ea7n c\u00e1 th\u1ec3 h\u00f3a d\u1ef1a tr\u00ean giai \u0111o\u1ea1n b\u1ec7nh, ch\u1ee9c n\u0103ng gan v\u00e0 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng. N\u0103ng l\u01b0\u1ee3ng th\u01b0\u1eddng c\u1ea7n 30\u201340 kcal\/kg\/ng\u00e0y, protein 1,2\u20132,0 g\/kg\/ng\u00e0y, ch\u1ea5t b\u00e9o chi\u1ebfm 25\u201335% n\u0103ng l\u01b0\u1ee3ng v\u1edbi \u01b0u ti\u00ean omega-3 v\u00e0 ch\u1ea5t b\u00e9o MCT khi c\u1ea7n, carbohydrate ch\u1ee7 y\u1ebfu t\u1eeb ngu\u1ed3n ph\u1ee9c h\u1ee3p, \u0111\u1ed3ng th\u1eddi b\u1ed5 sung \u0111\u1ea7y \u0111\u1ee7 vitamin v\u00e0 kho\u00e1ng ch\u1ea5t thi\u1ebft y\u1ebfu.<\/p>\n
Vi\u1ec7c x\u00e2y d\u1ef1ng v\u00e0 \u0111i\u1ec1u ch\u1ec9nh th\u1ef1c \u0111\u01a1n n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi chuy\u00ean gia dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u.<\/span><\/p>\n
Xem th\u00eam b\u00e0i \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m:<\/b><\/span><\/p>\n
\n $\"Ng\u01b0\u1eddi$ <\/a>Ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng tho\u00e1t ung th\u01b0 gan nh\u1edd m\u1ed9t l\u1ea7n t\u1ea7m so\u00e1t<\/a><\/p>\n
SK\u0110S – M\u1ed9t l\u1ea7n kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 t\u01b0\u1edfng ch\u1eebng b\u00ecnh th\u01b0\u1eddng \u0111\u00e3 c\u1ee9u m\u1ea1ng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng trung ni\u00ean khi b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n kh\u1ed1i u gan ch\u1ec9 1,5 cm \u2013 giai \u0111o\u1ea1n r\u1ea5t s\u1edbm c\u1ee7a ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Ung th\u01b0 gan (hepatocellular carcinoma \u2013 HCC) l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn t\u1ea1i Vi\u1ec7t Nam v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. Ngo\u00e0i y\u1ebfu t\u1ed1 \u0111i\u1ec1u tr\u1ecb y khoa (ph\u1eabu thu\u1eadt, can thi\u1ec7p m\u1ea1ch, h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb), dinh d\u01b0\u1ee1ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong c\u1ea3i thi\u1ec7n th\u1ec3 tr\u1ea1ng, n\u00e2ng […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-1788","post","type-post","status-publish","format-standard","hentry","category-thuoc-dinh-duong"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1788","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1788"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1788\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1788"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1788"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

\n Giai \u0111o\u1ea1n b\u1ec7nh\/th\u1ec3 tr\u1ea1ng<\/span><\/b><\/p>\n<\/td>\n	\n \u0110\u1eb7c \u0111i\u1ec3m<\/span><\/b><\/p>\n<\/td>\n	\n Chi\u1ebfn l\u01b0\u1ee3c dinh d\u01b0\u1ee1ng<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n
\n Giai \u0111o\u1ea1n s\u1edbm (c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt ho\u1eb7c can thi\u1ec7p)<\/p>\n<\/td>\n	\n Ch\u1ee9c n\u0103ng gan t\u01b0\u01a1ng \u0111\u1ed1i b\u1ea3o t\u1ed3n<\/span><\/p>\n<\/td>\n	\n T\u0103ng n\u0103ng l\u01b0\u1ee3ng, protein \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 d\u1ef1 tr\u1eef tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb; b\u1ed5 sung vi ch\u1ea5t d\u1ef1 ph\u00f2ng thi\u1ebfu h\u1ee5t.<\/span><\/p>\n<\/td>\n<\/tr>\n
\n Giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt\/can thi\u1ec7p m\u1ea1ch<\/span><\/span><\/p>\n<\/td>\n	\n Nhu c\u1ea7u h\u1ed3i ph\u1ee5c cao, c\u00f3 th\u1ec3 \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n<\/span><\/p>\n<\/td>\n	\n Th\u1ef1c \u0111\u01a1n gi\u00e0u n\u0103ng l\u01b0\u1ee3ng, protein cao, chia nh\u1ecf b\u1eefa; b\u1ed5 sung BCAA, vitamin, ch\u1ea5t kho\u00e1ng.<\/span><\/p>\n<\/td>\n<\/tr>\n
\n Giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n nh\u01b0ng ch\u01b0a c\u00f3 b\u1ec7nh n\u00e3o gan<\/span><\/span><\/p>\n<\/td>\n	\n D\u1ecb h\u00f3a cao, s\u00fat c\u00e2n nhanh<\/span><\/p>\n<\/td>\n	\n 35\u201340 kcal\/kg, 1,5\u20132,0 g protein\/kg, t\u0103ng omega-3, MCT oil n\u1ebfu k\u00e9m h\u1ea5p thu.<\/span><\/p>\n<\/td>\n<\/tr>\n
\n B\u1ec7nh n\u00e3o gan<\/span><\/span><\/p>\n<\/td>\n	\n R\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, nguy c\u01a1 t\u0103ng amoniac m\u00e1u<\/span><\/p>\n<\/td>\n	\n Gi\u1ea3m nh\u1eb9 protein t\u1ea1m th\u1eddi (0,8\u20131,0 g\/kg), \u01b0u ti\u00ean \u0111\u1ea1m th\u1ef1c v\u1eadt\/BCAA, ki\u1ec3m so\u00e1t t\u00e1o b\u00f3n.<\/span><\/p>\n<\/td>\n<\/tr>\n
\n C\u00f3 c\u1ed5 tr\u01b0\u1edbng, ph\u00f9<\/span><\/span><\/p>\n<\/td>\n	\n H\u1ea1n ch\u1ebf mu\u1ed1i (2\u20134g NaCl\/ng\u00e0y), ki\u1ec3m so\u00e1t d\u1ecbch<\/span><\/p>\n<\/td>\n	\n V\u1eabn \u0111\u1ea3m b\u1ea3o n\u0103ng l\u01b0\u1ee3ng cao nh\u01b0ng gi\u1ea3m natri, theo d\u00f5i kali.<\/span><\/p>\n<\/td>\n<\/tr>\n
\n Suy ki\u1ec7t n\u1eb7ng (cachexia)<\/span><\/p>\n<\/td>\n	\n M\u1ea5t kh\u1ed1i c\u01a1, m\u1ee1, \u0103n r\u1ea5t k\u00e9m<\/span><\/p>\n<\/td>\n	\n Th\u1ee9c \u0103n \u0111\u1eadm n\u0103ng l\u01b0\u1ee3ng, b\u1ed5 sung \u0111\u01b0\u1eddng u\u1ed1ng gi\u00e0u protein v\u00e0 omega-3, c\u00f3 th\u1ec3 nu\u00f4i d\u01b0\u1ee1ng qua \u1ed1ng\/m\u1ea1ch.<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n Dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n ung th\u01b0 gan c\u1ea7n c\u00e1 th\u1ec3 h\u00f3a d\u1ef1a tr\u00ean giai \u0111o\u1ea1n b\u1ec7nh, ch\u1ee9c n\u0103ng gan v\u00e0 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng. N\u0103ng l\u01b0\u1ee3ng th\u01b0\u1eddng c\u1ea7n 30\u201340 kcal\/kg\/ng\u00e0y, protein 1,2\u20132,0 g\/kg\/ng\u00e0y, ch\u1ea5t b\u00e9o chi\u1ebfm 25\u201335% n\u0103ng l\u01b0\u1ee3ng v\u1edbi \u01b0u ti\u00ean omega-3 v\u00e0 ch\u1ea5t b\u00e9o MCT khi c\u1ea7n, carbohydrate ch\u1ee7 y\u1ebfu t\u1eeb ngu\u1ed3n ph\u1ee9c h\u1ee3p, \u0111\u1ed3ng th\u1eddi b\u1ed5 sung \u0111\u1ea7y \u0111\u1ee7 vitamin v\u00e0 kho\u00e1ng ch\u1ea5t thi\u1ebft y\u1ebfu.<\/p>\n Vi\u1ec7c x\u00e2y d\u1ef1ng v\u00e0 \u0111i\u1ec1u ch\u1ec9nh th\u1ef1c \u0111\u01a1n n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi chuy\u00ean gia dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u.<\/span><\/p>\n Xem th\u00eam b\u00e0i \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m:<\/b><\/span><\/p>\n \n $\"Ng\u01b0\u1eddi$ <\/a>Ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng tho\u00e1t ung th\u01b0 gan nh\u1edd m\u1ed9t l\u1ea7n t\u1ea7m so\u00e1t<\/a><\/p>\n SK\u0110S – M\u1ed9t l\u1ea7n kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 t\u01b0\u1edfng ch\u1eebng b\u00ecnh th\u01b0\u1eddng \u0111\u00e3 c\u1ee9u m\u1ea1ng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng trung ni\u00ean khi b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n kh\u1ed1i u gan ch\u1ec9 1,5 cm \u2013 giai \u0111o\u1ea1n r\u1ea5t s\u1edbm c\u1ee7a ung th\u01b0 bi\u1ec3u m\u00f4 t\u1ebf b\u00e0o gan.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Ung th\u01b0 gan (hepatocellular carcinoma \u2013 HCC) l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i ung th\u01b0 ph\u1ed5 bi\u1ebfn t\u1ea1i Vi\u1ec7t Nam v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. Ngo\u00e0i y\u1ebfu t\u1ed1 \u0111i\u1ec1u tr\u1ecb y khoa (ph\u1eabu thu\u1eadt, can thi\u1ec7p m\u1ea1ch, h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb), dinh d\u01b0\u1ee1ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong c\u1ea3i thi\u1ec7n th\u1ec3 tr\u1ea1ng, n\u00e2ng […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-1788","post","type-post","status-publish","format-standard","hentry","category-thuoc-dinh-duong"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1788","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1788"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1788\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1788"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1788"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}