Thac mac ve viem gan B

Tags: BS Desmond Wai, BS Tan Kai Chah, Parkway Singapore, Desmond Wai, Tan Kai Chah, viem gan B, nguoi tham du, va phau thuat, trong truong hop, dieu tri, co the, xo gan, benh nhan, vi rut, Ghep Gan, ban


Thac mac ve viem gan B
BS Desmond Wai tai hoi thao Dieu tri va phau thuat cac benh ve gan do tap doan y te Parkway to chuc.

Trong hoi thao Dieu tri cac benh ve gan va ghep gan dien ra moi day tai Khach san Horison, 2 BS hang dau ve dieu tri va phau thuat gan la Tan Kai Chah va Desmond Wai cua Tap doan Y te Parkway Singapore da chia se voi hon mot ngan nguoi tham du nhung thong tin moi nhat ve ghep gan va dieu tri gan.

Rat nhieu nguoi tham du da gui cau hoi toi chuong trinh, cho thay muc do pho bien cua can benh cung nhu nguyen vong dieu tri cua nhieu benh nhan viem gan B. Duoi day la mot so cau hoi tieu bieu:

Viem gan B co thoi ky “cua so” khong?

Hoi: Sau khi tiem du 3 mui VGB nhung lam xet nghiem van chua co khang the. Xin duoc bac si giai thich?

BS Desmond Wai: Hien co khoang tu 5 - 30% so nguoi tiem vac xin khong phan ung voi thuoc va ban co the nam trong so do.

Hien nay da co nhung loai vac xin moi tiem phong viem gan B.

Ban cung nen kiem tra xem ban co bi mac viem gan B hay khong. Hay tham van them y kien cua cac chuyen gia gan.

Hoi: Xet nghiem dau tien duong tinh voi vi rut viem gan B nhung cac xet nghiem sau do deu cho ket qua am tinh. Vay viem gan B co thoi ky "cua so" nhu HIV khong?

BS Wai: Viem gan B cung co giai doan “cua so” tuy nhien chi xay ra doi voi benh nhan mac viem gan cap tinh. Co nhieu kha nang truong hop cua ban khong phai la viem gan B cap tinh. Toi cho rang day duong nhu la do sai sot khi anh di thuc hien kiem tra. Anh nen toi nhung trung tam dang tin cay de kiem tra lai.

Hoi: Khi mac benh viem gan B co nhat thiet phai dieu tri? Trong truong hop bi xo gan co chuong do vi rut viem gan B thi benh nhan can duoc cham soc nhu the nao?

BS Tan Kai Chah: Co rat nhieu benh nhan bi mac viem gan B khong can dieu tri, trong khi do lai co nhieu benh nhan mac xo gan hoac viem gan dang hoat dong lai can dieu tri va thuong phai dieu tri hang ngay.

Neu da chuyen sang xo gan co truong thi tinh trang benh da tuong doi nghiem trong. Chung toi thuong kiem soat vi rut bang cach dung thuoc va sau do dieu tri co truong bang mot loai thuoc khac. Neu viem gan tien trien, benh nhan co the se can phai thuc hien ghep gan.

Dang co thai thi biet bi mac viem gan B, toi muon biet chong toi co bi khong?

Toi rat lay lam tiec trong truong hop nay cua ban. Tuy nhien toi khong the dua ra bat ky ket luan nao tu thong tin ma ban cung cap cho chung toi. Tot nhat ca ban va chong ban nen toi mot trung tam dang tin cay de kiem tra lai tat ca cac ket qua de chung thuc tinh trang hien nay cua ban.

Co hien tuong “lon thuoc” trong dieu tri viem gan?

Hoi: Trong truong hop mac viem gan C nhung chua co kha nang dieu tri bang cach tiem thuoc dac tri thi co the dung cach khac khong? Neu dung thuoc dac tri thi ti le khoi benh la bao nhieu phan tram?

BS Desmond Wai: Phuong phap chuan dieu tri viem gan C hien nay la tiem thuoc hang tuan goi la pegylated interferon va lieu luong hang ngay la ribavirin. Loai thuoc nay tuong doi dat va chung thuong gay ra cac tac dung khong mong muon. Ty le thanh cong phu thuoc vao kieu gen vi rut ma nguoi benh dang mac phai.

Loi khuyen cua toi la nen dua benh nhan sang ben Singapore duoc cac chuyen gia ve gan cua chung toi tu van ve phuong phap dieu tri.

Hoi: Khi men gan tang cao, vi rut dang sinh soi va tan cong gan, nguoi benh phai dieu tri the nao va kha nang bien chung thanh xo gan, ung thu gan cua toi se ra sao?

BS Desmond Wai: Neu men gan cua benh nhan va ham luong HBV-DNA van cao thi toi khuyen ban nen dung thuoc chong vi rut duoi dang vien uong hang ngay.

Tren thuc te, viem gan B co the phat trien thanh xo gan thay tham chi la ung thu gan. Ban nen tham van cac chuyen gia ve gan de duoc danh gia va dieu tri day du hon.

Hoi: Khi dung thuoc dieu tri viem gan B khong dung theo chi dinh, bo cach quang khoang 10 ngay thi co the dan toi "lon thuoc" hay khong?

BS Desmond Wai: Tren thuc te, phuong phap dieu tri viem gan B co the kem theo cac van de nhu la dot bien vi rut.

Voi thuoc Zeffix co the gay ra hien tuong khang thuoc voi ty le 15-20% hang nam. Neu moi dung (3 thang) thi kha nang khang thuoc rat thap.

Tuy nhien, do phuong phap dieu tri viem gan B kha phuc tap nen nguoi benh can tham van cac chuyen gia nhieu kinh nghiem ve gan de quyet dinh khi nao nen bat dau va khi nao nen dung dieu tri.

Hoi: Mac du tuan thu rat dung lich dieu tri cung nhu sinh hoat cua bac si nhung cu vao mua lanh, xet nghiem thi men gan lai tang cao gap 5 lan binh thuong va HBeAg thi thuong la am tinh. Vay co cach nao dieu tri hieu qua hon?

BS Tan Kai Chah: Phuong phap dieu tri viem gan B rat phuc tap boi vi no co the dan toi dot bien vi rut. Hien nay da co cac loai thuoc dieu tri, tuy nhien do qua trinh dieu tri phuc tap nen ban can tham van cac chuyen gia gan nhieu kinh nghiem ngay khi co the.

Hoi: Xin hoi, khi moi chom xo gan, phuong phap dieu tri nao la toi uu nhat?

BS Tan Kai Chah: Viec dieu tri phu thuoc vao nguyen nhan cua xo gan. Nguyen nhan pho bien nhat cua nguoi Viet Nam hien nay la do viem gan B, C, xo gan do nghien ruou va cac benh do gan nhiem mo. Truoc tien, chung ta phai tim ra nguyen nhan cua benh, sau do se quyet dinh phac do dieu tri.

Neu chi can tien hanh sieu am da chuan doan duoc xo gan, nhieu kha nang benh dang o trong giai doan dau, do do thuong chung ta chi can theo doi bien chung. Tuy nhien benh nhan co the se can phai thuc hien ghep gan neu benh tien trien.

Hoi: Xin hoi, co the dieu tri viem gan B bang thuoc bac, thuoc dong y khong?

BS Desmond Wai: Hien chua co bang chung nao chung minh ve tac dung thuc su cua thuoc bac, thuoc dong y voi cac truong hop viem gan. Cung giong nhu cac truong hop dieu tri ung thu bang thuoc bac, thuoc dong y, cac truong hop mac viem gan dieu tri bang thuoc nay thuong lam dien tien benh xau hon, gay kho khan cho viec dieu tri.

Thu Phuong

Viet Bao
Thích và chia sẻ bài viết này trên facebook Theo dõi vietbao.vn trên facebook

Tìm hiểu: BS Desmond Wai, BS Tan Kai Chah, Parkway Singapore, Desmond Wai, Tan Kai Chah, viem gan B, nguoi tham du, va phau thuat, trong truong hop, dieu tri, co the, xo gan, benh nhan, vi rut, Ghep Gan, ban

Xem Bản Tiếng Việt Có Dấu: Thắc mắc về viêm gan B

Ban co the doc ban tieng Viet co dau cua bai viet Thắc mắc về viêm gan B bang cach nhan chuot vao duong dan tren.

Lien he ve tin Thac mac ve viem gan B

Nhan xet, hay lien he ve tin Thac mac ve viem gan B co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Thac mac ve viem gan B de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

Cac tin khac:

Xem tiep ... Tin suc khoe
Kenh Tin RSS Kenh Tin RSS | Du Bao Thoi Tiet | Lich Xem TV | Lien He - Contact | Quang Cao | Viec Lam | Dieu Kien Su Dung | Bao Ve Tinh Rieng Tu | Sitemap

Copyright©2008 VietBao.vn, Thu Vien Thong Tin Tong Hop Viet Nam va The Gioi, phien ban thu nghiem phan mem Viet Bao Viet Nam, beta 1.0