{"id":16882,"date":"2010-11-18T01:20:00","date_gmt":"2010-11-18T01:20:00","guid":{"rendered":"http:\/\/damau.org\/archives\/16882"},"modified":"2022-02-23T11:16:23","modified_gmt":"2022-02-23T11:16:23","slug":"mot-cao-xuan-huy-khac","status":"publish","type":"post","link":"https:\/\/damau.org\/en\/16882\/mot-cao-xuan-huy-khac","title":{"rendered":"M\u1ed9t Cao Xu\u00e2n Huy Kh\u00e1c"},"content":{"rendered":"
\n

LTG:<\/strong> Trong t\u00ecnh b\u1eb1ng h\u1eefu nhi\u1ec1u n\u0103m v\u1edbi Huy, \u0111\u01b0\u1ee3c s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a ch\u1ecb Cao Xu\u00e2n Huy v\u00e0 hai ch\u00e1u Ch\u00fac Dung & Xu\u00e2n Dung, b\u00e0i vi\u1ebft thi\u00ean v\u1ec1 kh\u00eda c\u1ea1nh y khoa n\u00e0y, n\u00f3i v\u1ec1 m\u1ed9t Cao Xu\u00e2n Huy kh\u00e1c, ng\u01b0\u1eddi b\u1ec7nh Cao Xu\u00e2n Huy ch\u00eanh v\u00eanh tr\u00ean con d\u1ed1c c\u1ee7a t\u1eed sinh, \u0111\u00e3 can tr\u01b0\u1eddng ch\u1ed1ng ch\u1ecfi v\u1edbi b\u1ec7nh t\u1eadt cho t\u1edbi nh\u1eefng ng\u00e0y v\u00e0 gi\u1edd ph\u00fat cu\u1ed1i c\u00f9ng v\u00e0 \u0111\u00e3 ra \u0111i v\u1edbi t\u1ea5t c\u1ea3 \u201cph\u1ea9m gi\u00e1\u201d. <\/em><\/p>\n<\/blockquote>\n

Melanoma l\u00e0 lo\u1ea1i ung th\u01b0 ph\u00e1t tri\u1ec3n t\u1eeb nh\u1eefng t\u1ebf b\u00e0o s\u1ea3n xu\u1ea5t s\u1eafc t\u1ed1 melanin \/ melanocytes,<\/em> y\u1ebfu t\u1ed1 \u0111\u1ecbnh h\u00ecnh m\u00e0u da c\u1ee7a m\u1ed7i ch\u1ee7ng t\u1ed9c. Th\u00f4ng th\u01b0\u1eddng melanoma l\u00e0 lo\u1ea1i ung th\u01b0 da \/ melanoma skin cancer<\/em>, nh\u01b0ng m\u1eaft c\u0169ng c\u00f3 th\u1ec3 l\u00e0 n\u01a1i ph\u00e1t tri\u1ec3n lo\u1ea1i ung th\u01b0 n\u00e0y, tuy kh\u00e1 hi\u1ebfm. Ung th\u01b0 s\u1eafc t\u1ed1 melanoma trong m\u1eaft th\u00ec kh\u00f4ng d\u1ec5 ph\u00e1t hi\u1ec7n nh\u01b0 \u1edf ngo\u00e0i da. Khi ph\u00e1t hi\u1ec7n th\u01b0\u1eddng l\u00e0 \u0111\u00e3 tr\u1ec5. \u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p Cao Xu\u00e2n Huy, r\u1ea5t t\u00ecnh c\u1edd, khi Huy nheo m\u1ed9t b\u00ean m\u1eaft th\u00ec m\u1eaft kia kh\u00f4ng th\u1ea5y g\u00ec. Huy b\u00e1o tin cho t\u00f4i bi\u1ebft.<\/p>\n

Khi \u0111\u1ed9t ng\u1ed9t m\u1ea5t th\u1ecb gi\u00e1c m\u1ed9t m\u1eaft, ph\u1ea3i ngh\u0129 t\u1edbi nh\u1eefng nguy\u00ean nh\u00e2n kh\u1ea9n c\u1ea5p kh\u00e1c [ nh\u01b0 bong v\u00f5ng m\u1ea1c \/ retinal detachment, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o \/ stroke, thi\u00ean \u0111\u1ea7u th\u1ed1ng \/ migraine, cao \u00e1p nh\u00e3n \/ glaucoma\u2026] thay v\u00ec ngh\u0129 ngay t\u1edbi ung th\u01b0 m\u1eaft. M\u1ed9t b\u00e1c s\u0129 nh\u00e3n khoa Vi\u1ec7t Nam \u0111\u00e3 kh\u00e1m ngay cho Huy, ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean cho \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 do m\u1ed9t lo\u1ea1i n\u1ea5m kh\u00e1 hi\u1ebfm m\u1ecdc tr\u00ean v\u00f5ng m\u00f4 \/ retina. Nh\u01b0ng c\u0169ng r\u1ea5t s\u1edbm, nh\u1eefng ng\u00e0y sau \u0111\u00f3, UCLA \u0111\u00e3 c\u00f3 m\u1ed9t ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c cho Huy: ung th\u01b0 s\u1eafc t\u1ed1 m\u1eaft \/ ocular melanoma<\/em>. T\u1eeb \u0111\u00e2y, trong su\u1ed1t b\u00e0i n\u00e0y ch\u1ec9 \u0111\u01a1n gi\u1ea3n g\u1ecdi l\u00e0 \u201cmelanoma-m\u1eaft.\u201d<\/em><\/p>\n

Kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, nh\u01b0ng s\u1ed1 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh melanoma-m\u1eaft<\/em> th\u00ec cao h\u01a1n \u1edf nh\u00f3m ng\u01b0\u1eddi da tr\u1eafng, m\u1eaft xanh [ kh\u00f4ng ph\u1ea3i Huy], ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 v\u00ec \u201chi\u1ec7u \u1ee9ng g\u00e2y ung th\u01b0 \/ oncogenic effects\u201d<\/em> do ph\u01a1i ngo\u00e0i n\u1eafng l\u00e2u d\u00e0i; <\/em>ri\u00eang \u0111\u1eb7c t\u00ednh n\u00e0y th\u00ec Huy \u0111\u01b0\u1ee3c xem nh\u01b0 \u201coverqualified\u201d,<\/em> do nh\u1eefng n\u0103m d\u00e0i l\u00ednh tr\u00e1ng h\u00e0nh qu\u00e2n kh\u1eafp b\u1ed1n v\u00f9ng chi\u1ebfn thu\u1eadt v\u00e0 sau \u0111\u00f3 l\u00e0 th\u00eam nh\u1eefng n\u0103m lao \u0111\u1ed9ng kh\u1ed5 sai t\u00f9 \u0111\u1ea7y \u1edf m\u1ed9t x\u1ee9 s\u1edf nhi\u1ec7t \u0111\u1edbi nh\u01b0 Vi\u1ec7t Nam. N\u00f3i th\u00eam, theo thu\u1eadt ng\u1eef y khoa, th\u00ec \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 do \u201csai l\u1ea7m c\u1ee7a gene bi\u1ebfn th\u1ec3 \/ mutated gene\u201d<\/em> \u0111\u00e3 ra l\u1ec7nh ho\u1ea3ng cho c\u00e1c t\u1ebf b\u00e0o s\u1ea3n xu\u1ea5t melanin <\/em>ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n thay v\u00ec b\u00ecnh th\u01b0\u1eddng theo chu k\u1ef3 l\u00e3o h\u00f3a v\u00e0 r\u1ed3i ch\u1ebft \u0111i. Y khoa b\u01b0\u1edbc \u0111\u1ea7u c\u0169ng \u0111\u00e3 t\u00ecm ra nh\u1eefng \u201cd\u1ea5u \u1ea5n ph\u00e2n t\u1eed \/ molecular markers\u201d <\/em>trong nhi\u1ec5m s\u1eafc th\u1ec3 \/ chromosome \u0111\u1ec3 ph\u00e1t hi\u1ec7n r\u1ea5t s\u1edbm c\u00e1c di c\u0103n.<\/p>\n

Melanoma-m\u1eaft<\/em> l\u00e0 lo\u1ea1i ung th\u01b0 hi\u1ebfm, r\u1ea5t th\u1ea7m l\u1eb7ng v\u00e0 khi ph\u00e1t hi\u1ec7n th\u01b0\u1eddng l\u00e0 tr\u1ec5 v\u1edbi h\u01a1n 50% \u0111\u00e3 c\u00f3 di c\u0103n, n\u00ean tu\u1ed5i th\u1ecd \/ life expextancy c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y r\u1ea5t l\u00e0 ng\u1eafn, c\u00f2n kho\u1ea3ng t\u1eeb 2 t\u1edbi 7 th\u00e1ng; ch\u1ec9 c\u00f3 kho\u1ea3ng 15% b\u1ec7nh nh\u00e2n l\u00e0 s\u1ed1ng l\u00e2u h\u01a1n 12 th\u00e1ng. L\u00fd do ch\u00ednh l\u00e0 melanoma m\u1eaft v\u1edbi di c\u0103n t\u1edbi gan, h\u1ea7u nh\u01b0 kh\u00e1ng l\u1ea1i m\u1ecdi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Melanoma-m\u1eaft<\/em> c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec ban \u0111\u1ea7u, khi c\u00f3 tri\u1ec7u ch\u1ee9ng c\u0169ng kh\u00f4ng \u0111\u1eb7c th\u00f9 nh\u01b0 l\u00f3a m\u1eaft \/ flashing lights, m\u1edd m\u1eaft \/ blurred vision hay v\u1edbi tri\u1ec7u ch\u1ee9ng nh\u1ee9c m\u1eaft do t\u0103ng nh\u00e3n \u00e1p \/ glaucoma ho\u1eb7c m\u1ea5t th\u1ecb gi\u00e1c \/ vision loss [ tr\u01b0\u1eddng h\u1ee3p c\u1ee7a Huy ], v\u00e0 di\u1ec5n ti\u1ebfn l\u00e2m s\u00e0ng th\u00ec r\u1ea5t b\u1ea5t \u0111\u1ecbnh v\u1ec1 th\u1eddi gian tr\u01b0\u1edbc khi c\u00f3 di c\u0103n t\u1edbi c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c ngo\u00e0i xa m\u1eaft nh\u01b0 gan, ph\u1ed5i, n\u00e3o v\u00e0 x\u01b0\u01a1ng.<\/p>\n

C\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n bao g\u1ed3m: th\u1eed m\u00e1u ch\u1ee9c n\u0103ng gan, si\u00eau \u00e2m m\u1eaft \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u01b0\u1edbu trong m\u1eaft, ch\u1ee5p m\u1ea1ch m\u00e1u m\u1eaft v\u1edbi ch\u1ea5t c\u1ea3n quang, v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n t\u1edbi sinh thi\u1ebft \/ biopsy<\/em> v\u00f9ng b\u01b0\u1edbu trong m\u1eaft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0. Ti\u1ebfp theo l\u00e0 theo d\u00f5i \u0111\u1ecbnh k\u1ef3, c\u0169ng v\u1edbi x\u00e9t nghi\u1ec7m m\u00e1u, h\u00ecnh ph\u1ed5i, CT scan thay MRI \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00f9ng b\u1ecb di c\u0103n. UCLA \u0111\u00e3 cung \u1ee9ng cho Cao Xu\u00e2n Huy g\u1ea7n nh\u01b0 \u0111\u1ea7y \u0111\u1ee7 nh\u1eefng \u201cti\u00eau chu\u1ea9n\u201d nh\u01b0 v\u1eady.<\/p>\n

Nh\u01b0ng y\u1ebfu t\u1ed1 th\u1eddi gian v\u1eabn l\u00e0 ti\u00ean quy\u1ebft. Th\u1eed ch\u1ee9c n\u0103ng gan \u0111\u00f4i khi v\u1eabn b\u00ecnh th\u01b0\u1eddng nh\u01b0ng c\u00f3 th\u1ec3 ung th\u01b0 \u0111\u00e3 lan t\u1edbi gan, v\u1edbi nh\u1eefng di c\u0103n r\u1ea5t nh\u1ecf \/ micrometastases<\/em>.<\/p>\n

Melanoma-da v\u00e0 melanoma-m\u1eaft<\/em>, tuy c\u00f9ng t\u00ean g\u1ecdi nh\u01b0ng l\u1ea1i l\u00e0 hai lo\u00e0i \u201cd\u00e3 th\u00fa\u201d<\/em> kh\u00e1c nhau. \u201cH\u00f3a tr\u1ecb \/ chemotherapy\u201d<\/em> c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 v\u1edbi melanoma-da nh\u01b0ng l\u1ea1i g\u1ea7n nh\u01b0 \u201cb\u1ea5t tr\u1ecb\u201d \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p th\u1ee9 hai. Kinh nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb di c\u0103n \/ metastases gan t\u1eeb melanoma-m\u1eaft<\/em> kh\u00f4ng nhi\u1ec1u. Hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a nh\u01b0 b\u01b0\u1edbu di c\u0103n thu nh\u1ecf l\u1ea1i 50% hay h\u01a1n. N\u1ebfu \u0111\u00e1p \u1ee9ng ch\u1ec9 \u0111\u01b0\u1ee3c 15% kh\u00f4ng kh\u00e1c v\u1edbi hi\u1ec7u \u1ee9ng placebo\/ gi\u1ea3 d\u01b0\u1ee3c th\u00ec vi\u1ec7c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb th\u00eam n\u1eefa ch\u1ec9 l\u00e0m th\u1ed1ng kh\u1ed5 th\u00eam ng\u01b0\u1eddi b\u1ec7nh trong nh\u1eefng th\u00e1ng ng\u00e0y ng\u1eafn ng\u1ee7i c\u00f2n l\u1ea1i.<\/p>\n

Cao Xu\u00e2n Huy kh\u00f4ng l\u00e0 con b\u1ec7nh c\u1ee7a ph\u1eabu thu\u1eadt \/ surgical candidate. Kh\u1edfi \u0111\u1ea7u, Huy \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb \/ radiation therapy tr\u00ean v\u00f9ng m\u1eaft b\u1ec7nh hay t\u1eeb chuy\u00ean m\u00f4n c\u00f2n g\u1ecdi l\u00e0 brachytherapy<\/em>, nh\u01b0 m\u1ed9t lo\u1ea1i kim ph\u00f3ng x\u1ea1 \/ radioactive seeds.<\/p>\n

Sau b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u1ea5y, Huy v\u1eabn \u0111\u01b0\u1ee3c UCLA th\u01b0\u1eddng xuy\u00ean theo d\u00f5i. Do ch\u1ec9 c\u00f2n nh\u00ecn \u0111\u01b0\u1ee3c v\u1edbi m\u1ed9t m\u1eaft n\u00ean t\u1ea7m th\u1ecb gi\u00e1c c\u1ee7a Huy b\u1ecb gi\u1ea3m \u0111\u00e1ng k\u1ec3, m\u1ea5t kh\u1ea3 n\u0103ng l\u01b0\u1ee3ng gi\u00e1 chi\u1ec1u s\u00e2u \/ depth perception<\/em>, nh\u01b0ng Huy th\u00ec v\u1eabn th\u1ea3n nhi\u00ean sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, h\u00e0ng ng\u00e0y l\u00e1i xe kh\u00e1 xa t\u1eeb nh\u00e0 \u1edf Lake Forest \u0111i l\u00e0m tr\u00ean Little Saigon, khi l\u00e1i xe v\u1ec1 nh\u00e0 ban \u0111\u00eam Huy \u0111\u00e3 th\u1ea5y kh\u00f3 kh\u0103n h\u01a1n.<\/p>\n

H\u00f3a tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb melanoma da v\u00e0 m\u1eaft. Thu\u1ed1c cho qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, theo \u0111\u01b0\u1eddng d\u1eabn c\u1ee7a m\u00e1u t\u1edbi v\u00f9ng ung th\u01b0 nh\u1eb1m nhanh ch\u00f3ng gi\u1ebft ch\u1ebft c\u00e1c \u201ct\u1ebf b\u00e0o \u00e1c\u201d. C\u0169ng kh\u00f4ng tr\u00e1nh \u0111\u01b0\u1ee3c thu\u1ed1c \u1ea5y gi\u1ebft h\u1ea1i c\u1ea3 nh\u1eefng t\u1ebf b\u00e0o l\u00e0nh. V\u00e0 d\u0129 nhi\u00ean c\u00f3 v\u00f4 s\u1ed1 nh\u1eefng bi\u1ebfn ch\u1ee9ng ph\u1ee5 \/ side effects<\/em> do thu\u1ed1c, khi\u1ebfn kh\u00f4ng \u00edt s\u1ed1 b\u1ec7nh nh\u1eadn ph\u1ea3i b\u1ecf cu\u1ed9c, bao g\u1ed3m: tr\u1ea7m c\u1ea3m, m\u1ecfi m\u1ec7t, n\u00f4n m\u1eeda xu\u1ed1ng c\u00e2n, thi\u1ebfu m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u nghi\u00eam tr\u1ecdng \/ neutropenia l\u00e0m m\u1ea5t kh\u1ea3 n\u0103ng \u0111\u1ec1 kh\u00e1ng d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng n\u1eb7ng g\u00e2y t\u1eed vong\u2026Ti\u1ebfn b\u1ed9 c\u1ee7a y khoa \u0111\u00e3 c\u00f3 nh\u1eefng thu\u1ed1c m\u1edbi l\u00e0m gi\u1ea3m thi\u1ec3u c\u00e1c ph\u1ea3n \u1ee9ng ph\u1ee5 n\u00e0y. Ch\u1ec9 kho\u1ea3ng 20% b\u1ec7nh nh\u00e2n malanoma-da c\u00f3 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb. Ch\u01b0a c\u00f3 h\u00f3a tr\u1ecb li\u1ec7u n\u00e0o ch\u1ee9ng t\u1ecf c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi di c\u0103n melanoma-m\u1eaft xu\u1ed1ng gan<\/em>, nh\u01b0 tr\u01b0\u1eddng h\u1ee3p Cao Xu\u00e2n Huy.<\/p>\n

B\u01b0\u1edbu di c\u0103n c\u1ee7a lo\u1ea1i melanoma n\u00e0y kh\u00f4ng ph\u1ea3i ch\u1ec9 c\u00f3 m\u1ed9t, do c\u00f3 nhi\u1ec1u b\u01b0\u1edbu nh\u1ecf trong gan, n\u00ean ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \/ resection kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n

N\u00f3i chung, m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 c\u00f3 th\u1ec3 ch\u1eefa l\u00e0nh, nh\u01b0ng melanoma-m\u1eaft v\u1edbi di c\u0103n gan<\/em> th\u00ec kh\u00f4ng c\u00f3 hay \u0111\u00fang h\u01a1n l\u00e0 ch\u01b0a c\u00f3 trong danh s\u00e1ch \u1ea5y, n\u00f3 thu\u1ed9c lo\u1ea1i r\u1ea5t \u201c\u00e1c t\u00ednh\u201d v\u1eabn c\u00f2n l\u00e0 m\u1ed9t th\u00e1ch \u0111\u1ed1 v\u1edbi ti\u1ebfn b\u1ed9 c\u1ee7a y khoa trong th\u1ebf k\u1ef7 21.<\/p>\n

C\u0169ng nh\u01b0 khi c\u1ea7m b\u00fat, Huy vi\u1ebft v\u1ec1 c\u00e1i x\u1ea5u c\u00e1i t\u1ed1t c\u1ee7a m\u00ecnh m\u1ed9t c\u00e1ch th\u1ea3n nhi\u00ean, th\u00ec nay n\u00f3i v\u1ec1 b\u1ec7nh ung th\u01b0 m\u1eaft c\u1ee7a m\u00ecnh c\u0169ng v\u1edbi m\u1ed9t s\u1ef1 th\u1ea3n nhi\u00ean nh\u01b0 v\u1eady, trong khi ng\u01b0\u1eddi nghe th\u00ec kh\u00f4ng tr\u00e1nh \u0111\u01b0\u1ee3c n\u1ed7i x\u00fac \u0111\u1ed9ng hay c\u1ea3 h\u1ed1t ho\u1ea3ng. M\u1ed9t ng\u01b0\u1eddi b\u1ea1n th\u00e2n sau khi g\u1eb7p Huy \u0111\u00e3 ph\u00e1t bi\u1ec3u: \u201cHuy b\u1ec7nh ng\u1eb7t ngh\u00e8o nh\u01b0 v\u1eady m\u00e0 ch\u00ednh m\u00ecnh l\u1ea1i nh\u01b0 \u0111\u01b0\u1ee3c n\u00f3 an \u1ee7i.\u201d<\/em><\/p>\n

Theo d\u00f5i Huy, m\u1edbi th\u1ea5y Huy l\u00e0 ng\u01b0\u1eddi b\u1ec7nh kh\u00e1 m\u1eabu m\u1ef1c, d\u1ee9t b\u1ecf r\u01b0\u1ee3u d\u1ec5 d\u00e0ng, r\u1ea5t k\u1ef7 lu\u1eadt trong t\u1eebng giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb, Huy c\u0169ng \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c nh\u1eefng ch\u0103m s\u00f3c y khoa ti\u00ean ti\u1ebfn nh\u1ea5t m\u00e0 anh r\u1ea5t x\u1ee9ng \u0111\u00e1ng \u0111\u01b0\u1ee3c h\u01b0\u1edfng. \u0110\u1ed5i l\u1ea1i, Huy \u0111\u00e3 c\u1ed1ng hi\u1ebfn cho y khoa m\u1ed9t \u201ccase study\u201d<\/em> t\u1ed1t nh\u1ea5t trong cu\u1ed9c chi\u1ebfn \u0111\u1ea5u khu\u1ea5t ph\u1ee5c lo\u1ea1i ung th\u01b0 m\u1eaft d\u1eef d\u1eb1n n\u00e0y.<\/p>\n

Huy \u0111\u00e3 can \u0111\u1ea3m ch\u1ecbu \u0111\u1ef1ng, v\u01b0\u1ee3t l\u00ean tr\u00ean nh\u1eefng th\u1ed1ng kh\u1ed5 do h\u1eadu qu\u1ea3 c\u1ee7a c\u00e1c b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb m\u00e0 ngay t\u1eeb b\u01b0\u1edbc \u0111\u1ea7u \u0111\u00e3 kh\u00f4ng c\u00f3 m\u1ed9t h\u1ee9a h\u1eb9n th\u1eafng l\u1ee3i n\u00e0o. Anh c\u0169ng \u0111\u01b0\u1ee3c b\u00e1o tr\u01b0\u1edbc r\u1eb1ng khi ch\u1ea5p nh\u1eadn \u0111i\u1ec1u tr\u1ecb, ph\u1ea9m ch\u1ea5t nh\u1eefng th\u00e1ng ng\u00e0y c\u00f2n l\u1ea1i c\u1ee7a anh c\u00f3 th\u1ec3 s\u1ebd b\u1ecb \u1ea3nh h\u01b0\u1edfng kh\u00f4ng nh\u1eefng th\u1ebf qu\u1ef9 th\u1eddi gian c\u1ee7a Huy c\u00f2n c\u00f3 th\u1ec3 b\u1ecb r\u00fat ng\u1eafn h\u01a1n. Huy \u0111\u00e3 can \u0111\u1ea3m ch\u1ea5p nh\u1eadn t\u1ea5t c\u1ea3.<\/p>\n

Huy v\u00e0 t\u00f4i, qua cell v\u1eabn li\u00ean l\u1ea1c v\u1edbi nhau h\u00e0ng tu\u1ea7n, th\u01b0\u1eddng l\u00e0 ng\u00e0y th\u1ee9 N\u0103m sau ng\u00e0y t\u00e1i kh\u00e1m \u1edf UCLA v\u1ec1. Th\u01b0\u1eddng l\u00e0 t\u00f4i phone cho Huy, nh\u01b0ng l\u1ea7n n\u00e0y Huy g\u1ecdi t\u00f4i b\u00e1o tin cho bi\u1ebft CT scan m\u1edbi ph\u00e1t hi\u1ec7n c\u00f3 b\u01b0\u1edbu nh\u1ecf trong gan. Nhi\u1ec1u ph\u1ea7n c\u00f3 th\u1ec3 l\u00e0 do di c\u0103n t\u1eeb ung th\u01b0 m\u1eaft nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t b\u01b0\u1edbu gan ti\u00ean kh\u1edfi \/ primary tumor kh\u00f4ng c\u00f3 li\u00ean h\u1ec7 g\u00ec t\u1edbi melanoma-m\u1eaft<\/em>, khi m\u00e0 t\u1ec9 l\u1ec7 ung th\u01b0 gan do vi\u00eam gan si\u00eau vi B c\u1ee7a ng\u01b0\u1eddi Vi\u1ec7t Nam hay c\u00e1c s\u1eafc d\u00e2n \u00c1 ch\u00e2u n\u00f3i chung kh\u00e1 cao. D\u00f9 tr\u01b0\u1eddng h\u1ee3p n\u00e0o th\u00ec \u0111i\u1ec1u tr\u1ecb c\u0169ng l\u00e0 r\u1ea5t kh\u00f3 kh\u0103n.<\/p>\n

Tu\u1ea7n l\u1ec5 sau \u0111\u00f3, con g\u00e1i Huy \u0111\u01b0a b\u1ed1 v\u00e0o UCLA l\u00e0m biopsy \/ sinh thi\u1ebft gan, v\u00e0 ch\u01b0a bao gi\u1edd nghe Huy m\u1edf mi\u1ec7ng than \u0111au. K\u1ebft qu\u1ea3 sinh thi\u1ebft gan x\u00e1c \u0111\u1ecbnh b\u01b0\u1edbu gan l\u00e0 do di c\u0103n t\u1eeb ung th\u01b0 m\u1eaft. Kh\u00f4ng th\u1ec3 gi\u1ea3i quy\u1ebft b\u1eb1ng ph\u1eabu thu\u1eadt, m\u00e0 x\u1ea1 tr\u1ecb \/ radiation therapy hay h\u00f3a tr\u1ecb \/ chemotherapy \u0111\u1ec1u kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi lo\u1ea1i di c\u0103n n\u00e0y. Cu\u1ed9c chi\u1ebfn \u0111\u1ea5u s\u1eafp t\u1edbi c\u1ee7a Huy c\u00f3 ph\u1ea7n gay go h\u01a1n. Huy r\u1ea5t bi\u1ebft c\u00f3 m\u1ed9t d\u1ef1 h\u1eadu \/ prognosis<\/em> kh\u00f4ng s\u00e1ng s\u1ee7a nh\u01b0 v\u1eady nh\u01b0ng v\u1eabn ch\u1ea5p nh\u1eadn \u201cm\u1ed9t v\u00f2ng \/ cycle ho\u00e1 tr\u1ecb li\u1ec7u\u201d<\/em> \u0111\u1ea7u ti\u00ean, m\u1ed7i tu\u1ea7n v\u00e0o ng\u00e0y th\u1ee9 T\u01b0 trong 6 tu\u1ea7n l\u1ec5. Huy v\u01b0\u1ee3t qua v\u00f2ng \u0111\u1ea7u m\u1ed9t c\u00e1ch d\u1ec5 d\u00e0ng d\u0129 nhi\u00ean c\u0169ng ph\u1ea3i tr\u1ea3i qua t\u1ea5t c\u1ea3 nh\u1eefng bi\u1ebfn ch\u1ee9ng ph\u1ee5 do thu\u1ed1c. Th\u1eddi gian n\u00e0y, Huy v\u1eabn t\u1ef1 l\u00e1i xe \u0111i l\u00e0m v\u00e0 c\u1ea3 cu\u1ed1i tu\u1ea7n th\u00ec g\u1eb7p g\u1ee1 c\u00e1c b\u1eb1ng h\u1eefu. T\u00e1i l\u01b0\u1ee3ng gi\u00e1 sau v\u00f2ng 1 ho\u00e1 tr\u1ecb, v\u00f9ng di c\u0103n \u1ed5n \u0111\u1ecbnh, kh\u00f4ng l\u1edbn ra hay ph\u00e1t t\u00e1n th\u00eam. Nh\u01b0 m\u1ed9t ch\u00fat \u00e1nh s\u00e1ng cu\u1ed1i \u0111\u01b0\u1eddng h\u1ea7m, nh\u01b0ng kh\u00f4ng th\u1ec3 n\u00f3i \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u00f3 hi\u1ec7u qu\u1ea3. Trong cu\u1ed9c chi\u1ebfn r\u1ea5t kh\u00f4ng c\u00e2n x\u1ee9ng \u1ea5y, th\u1eafng l\u1ee3i \u0111\u1ea7u ti\u00ean kh\u00f4ng ph\u1ea3i l\u00e0 di\u1ec7t m\u00e0 l\u00e0 \u201cc\u1ea7m ch\u00e2n \u0111\u1ecbch\u201d. V\u00e0 Huy ch\u1ea5p nh\u1eadn th\u00eam m\u1ed9t \u201cv\u00f2ng h\u00f3a tr\u1ecb th\u1ee9 hai\u201d<\/em>, c\u0169ng m\u1ed7i tu\u1ea7n trong 6 tu\u1ea7n l\u1ec5 n\u1eefa.<\/p>\n

Kh\u00f4ng bi\u1ebft b\u00ean \u0111\u1ecbch t\u1ed5n th\u1ea5t bao nhi\u00eau, nh\u01b0ng r\u00f5 r\u00e0ng Huy b\u1eaft \u0111\u1ea7u ph\u1ea3i tr\u1ea3 gi\u00e1. Tu\u1ea7n l\u1ec5 \u0111\u1ea7u ti\u00ean, sau l\u1ea7n h\u00f3a tr\u1ecb c\u1ee7a v\u00f2ng 2, Huy cho bi\u1ebft, ngo\u00e0i c\u00e1c ph\u1ea3n \u1ee9ng ph\u1ee5 \u0111\u00e3 tr\u1ea3i qua nh\u01b0 \u1edf v\u00f2ng \u0111\u1ea7u, th\u00ec l\u1ea7n n\u00e0y kh\u1eafp m\u00ecnh m\u1ea9y th\u00eam c\u00e1i \u201c\u0111au nh\u01b0 x\u00e9 th\u1ecbt\u201d <\/em>_ ch\u1eef c\u1ee7a Cao Xu\u00e2n Huy. Huy ch\u01b0a bao gi\u1edd bi\u1ebft than \u0111au, c\u00f3 ngh\u0129a l\u00e0 ng\u01b0\u1ee1ng ch\u1ecbu \u0111au \/ pain threshold <\/em>c\u1ee7a Huy r\u1ea5t cao, c\u00e1i \u0111au 10\/10 v\u1eabn kh\u00f4ng khi\u1ebfn Huy c\u00f3 \u00fd \u0111\u1ecbnh b\u1ecf cu\u1ed9c. Tu\u1ea7n l\u1ec5 th\u1ee9 hai, v\u1edbi s\u1ef1 d\u00e8 d\u1eb7t c\u1ee7a to\u00e1n \u0111i\u1ec1u tr\u1ecb, nh\u01b0ng Huy v\u1eabn y\u00eau c\u1ea7u ti\u1ebfp t\u1ee5c b\u01b0\u1edbc th\u1ee9 hai. V\u1eabn c\u00e1i \u201c\u0111au x\u00e9 th\u1ecbt\u201d<\/em> \u1ea5y nh\u01b0ng c\u01b0\u1eddng \u0111\u1ed9 th\u00ec l\u1edbn h\u01a1n v\u00e0 k\u00e9o d\u00e0i h\u01a1n m\u1ea5y ng\u00e0y sau khi\u1ebfn Huy ph\u1ea3i c\u1ea7n thu\u1ed1c gi\u1ea3m \u0111au. \u0110\u00e2y l\u00e0 m\u1ed9t kh\u00fac r\u1ebd quan tr\u1ecdng, do s\u1ee9c ng\u01b0\u1eddi c\u00f3 h\u1ea1n, Huy kh\u00f4ng th\u1ec3 \u0111i nh\u1eefng b\u01b0\u1edbc ti\u1ebfp theo, theo l\u01b0\u1ee3ng \u0111\u1ecbnh c\u1ee7a to\u00e1n \u0111i\u1ec1u tr\u1ecb ch\u1ee9 kh\u00f4ng ph\u1ea3i do Huy. S\u1ef1 can tr\u01b0\u1eddng v\u1edbi s\u1ee9c m\u1ea1nh tinh th\u1ea7n v\u1ed1n c\u00f3 c\u1ee7a Huy \u0111\u00e3 kh\u00f4ng t\u1ec9 l\u1ec7 v\u1edbi th\u1ec3 tr\u1ea1ng c\u1ee7a Huy b\u00e2y gi\u1edd. Huy c\u1ea7n m\u1ed9t \u201cth\u1eddi gian d\u01b0\u1ee1ng th\u01b0\u01a1ng\u201d<\/em> tr\u01b0\u1edbc khi c\u00f3 th\u1ec3 ho\u1ea1ch \u0111\u1ecbnh m\u1ed9t b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/p>\n

R\u1ed3i b\u01b0\u1edbc t\u00e1i l\u01b0\u1ee3ng gi\u00e1 ti\u1ebfp theo, Huy \u0111\u01b0\u1ee3c b\u00e1o cho bi\u1ebft b\u01b0\u1edbu di c\u0103n c\u0169 th\u00ec \u0111\u00e3 l\u1edbn h\u01a1n v\u00e0 c\u00f3 th\u00eam nh\u01b0ng di c\u0103n m\u1edbi trong gan. Ri\u00eang Huy c\u0169ng c\u1ea3m th\u1ea5y v\u00f9ng gan b\u00e2y gi\u1edd kh\u00f4ng ch\u1ec9 c\u1ee9ng h\u01a1n m\u00e0 c\u00f2n l\u1edbn h\u01a1n v\u00e0 \u0103n u\u1ed1ng th\u00ec kh\u00f3 kh\u0103n. T\u1eeb \u0111\u00e2y Huy xu\u1ed1ng s\u1eafc, xu\u1ed1ng c\u00e2n v\u00e0 y\u1ebfu \u0111i r\u1ea5t nhanh, duy tinh th\u1ea7n th\u00ec v\u1eabn v\u1eefng v\u00e0ng. Nh\u01b0 t\u1eeb bao gi\u1edd, Huy v\u1eabn v\u1edbi th\u00e1i \u0111\u1ed9 r\u1ea5t th\u1ea3n nhi\u00ean, v\u00e0 nh\u01b0 kh\u00f4ng c\u00f3 g\u00ec \u0111\u1ec3 h\u1ed1i ti\u1ebfc.<\/p>\n

C\u00f3 l\u1ea7n g\u1eb7p Huy \u0111\u00e3 qu\u00e1 y\u1ebfu, kh\u00f4ng c\u00f2n \u0111\u1ee9ng v\u1eefng tr\u00ean hai ch\u00e2n, s\u1eafp ng\u00e3 qu\u1ef5 m\u00e0 Huy v\u1eabn kh\u00f4ng mu\u1ed1n v\u1ecbn tr\u00ean c\u00e1nh tay ng\u01b0\u1eddi b\u1ea1n \u0111\u1ee9ng b\u00ean m\u00ecnh.<\/p>\n

Nh\u01b0 v\u1eady UCLA c\u0169ng \u0111\u00e3 b\u00f3 tay, v\u00e0 g\u1eedi tr\u1ea3 Huy v\u1ec1 v\u1edbi b\u00e1c s\u0129 gia \u0111\u00ecnh. Thay v\u00ec \u0111\u01b0a v\u00e0o hospice \/ n\u01a1i ch\u0103m s\u00f3c ng\u01b0\u1eddi c\u1eadn t\u1eed<\/em>, th\u00ec Huy v\u1eabn s\u1ed1ng v\u1edbi s\u1ef1 ch\u0103m s\u00f3c \u0111\u1ea7y \u1eafp th\u01b0\u01a1ng y\u00eau c\u1ee7a gia \u0111\u00ecnh v\u1edbi v\u1ee3 v\u00e0 hai con.<\/p>\n

Ch\u1ee7 Nh\u1eadt 07\/11\/2010, l\u1ec5 h\u1ee9a h\u00f4n con g\u00e1i th\u1ee9 hai c\u1ee7a Huy [ ch\u00e1u Xu\u00e2n Dung ] \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c s\u1edbm h\u01a1n trong gia \u0111\u00ecnh cho Huy vui v\u00e0 Huy \u0111\u00e3 th\u1ef1c s\u1ef1 vui v\u1edbi ng\u00e0y vui \u1ea5y c\u1ee7a con g\u00e1i. Sau n\u00e0y t\u00f4i kh\u00e1m ph\u00e1 ra m\u1ed9t \u0111i\u1ec1u, m\u1ed9t Cao Xu\u00e2n Huy tuy c\u1ee9ng c\u1ecfi nh\u01b0ng c\u0169ng bi\u1ebft s\u1ee3, r\u1ea5t s\u1ee3 \u0111\u1ee9a con g\u00e1i th\u1ee9 hai. Huy c\u00f3 th\u1ec3 kh\u00f4ng nghe \u0111\u00f4i l\u1eddi khuy\u00ean c\u1ee7a t\u00f4i, nh\u01b0ng nh\u1eefng g\u00ec nh\u1eafn qua qua Xu\u00e2n Dung, nh\u01b0 m\u1ec7nh l\u1ec7nh c\u1ee7a tr\u00e1i tim, t\u00f4i bi\u1ebft ch\u1eafc Huy s\u1ebd l\u00e0m.<\/p>\n

Nh\u1eefng ng\u00e0y sau \u0111\u00f3, c\u00e1c c\u01a1n \u0111au khi\u1ebfn ng\u01b0\u1eddi Huy co l\u1ea1i nh\u01b0ng Huy v\u1eabn kh\u00f4ng mu\u1ed1n d\u00f9ng nhi\u1ec1u thu\u1ed1c gi\u1ea3m \u0111au. Cu\u1ed1i c\u00f9ng th\u00ec ph\u1ea3i c\u1ea7n t\u1edbi morphine v\u1edbi li\u1ec1u l\u01b0\u1ee3ng c\u00e0ng ng\u00e0y c\u00e0ng t\u0103ng m\u1ed7i hai ti\u1ebfng v\u00e0 c\u0169ng ch\u1ec9 ph\u1ea7n n\u00e0o gi\u1ea3m c\u00e1c c\u01a1n \u0111au \u0111\u1ed5 \u1eadp t\u1edbi. Huy th\u00ec v\u1eabn kh\u1eafc k\u1ef7 ch\u1ecbu \u0111\u1ef1ng, kh\u00f4ng r\u00ean si\u1ebft hay m\u1ed9t l\u1eddi than \u0111au v\u00e0 v\u1eabn kh\u00f4ng thi\u1ebfu n\u1ee5 c\u01b0\u1eddi hi\u1ec1n v\u1edbi ng\u01b0\u1eddi th\u00e2n v\u00e0 c\u00e1c b\u1eb1ng h\u1eefu r\u1ea5t qu\u00fd Huy t\u1edbi th\u0103m.<\/p>\n

N\u0103m ng\u00e0y sau, 4 gi\u1edd 53 chi\u1ec1u th\u1ee9 S\u00e1u 12 th\u00e1ng 11, Huy \u0111\u00e3 y\u00ean t\u0129nh v\u00e0 m\u00e3n nguy\u1ec7n ra \u0111i v\u1eabn b\u00ean s\u1ef1 ch\u0103m s\u00f3c th\u01b0\u01a1ng y\u00eau c\u1ee7a v\u1ee3 con v\u00e0 c\u00f3 th\u00eam hai ng\u01b0\u1eddi b\u1ea1n v\u00f4 c\u00f9ng th\u00e2n thi\u1ebft: m\u1ed9t t\u1eeb thu\u1edf th\u01a1 \u1ea5u, Bs Nguy\u1ec5n \u0110\u1ee9c m\u1edbi t\u1edbi t\u1eeb Florida, m\u1ed9t t\u1eeb th\u1eddi qu\u00e2n ng\u0169 TQLC, anh Tr\u1ea7n Nh\u01b0 H\u00f9ng \u0111\u00e3 \u0111\u1ebfn k\u1ecbp t\u1eeb \u00dac Ch\u00e2u.<\/p>\n

B\u01b0\u1edbc tr\u00ean con d\u1ed1c ch\u00eanh v\u00eanh c\u1ee7a t\u1eed sinh, trong cu\u1ed9c chi\u1ebfn kh\u00f4ng c\u00e2n s\u1ee9c \u1ea5y, Cao Xu\u00e2n Huy nh\u01b0 m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh m\u1eabu m\u1ef1c, \u0111\u00e3 can tr\u01b0\u1eddng ho\u00e0n t\u1ea5t cu\u1ed9c chi\u1ebfn \u0111\u1ea5u cu\u1ed1i c\u00f9ng c\u1ee7a \u0111\u1eddi m\u00ecnh, v\u1edbi t\u1ea5t c\u1ea3 s\u1ee9c m\u1ea1nh tinh th\u1ea7n v\u00e0 \u0111\u00e3 ra \u0111i v\u1edbi nguy\u00ean v\u1eb9n ph\u1ea9m gi\u00e1 \/ with dignity.<\/em><\/p>\n

NG\u00d4 TH\u1ebe VINH
California, 11\/16\/2010<\/em><\/p>\n

.<\/p>\n","protected":false},"excerpt":{"rendered":"

[Ung th\u01b0] melanoma-m\u1eaft v\u1edbi di c\u0103n gan thu\u1ed9c lo\u1ea1i r\u1ea5t \u201c\u00e1c t\u00ednh\u201d v\u1eabn c\u00f2n l\u00e0 m\u1ed9t th\u00e1ch \u0111\u1ed1 v\u1edbi ti\u1ebfn b\u1ed9 c\u1ee7a y khoa trong th\u1ebf k\u1ef7 21. [Nh\u01b0ng] trong cu\u1ed9c chi\u1ebfn kh\u00f4ng c\u00e2n s\u1ee9c \u1ea5y, Cao Xu\u00e2n Huy nh\u01b0 m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh m\u1eabu m\u1ef1c, \u0111\u00e3 can tr\u01b0\u1eddng ho\u00e0n t\u1ea5t cu\u1ed9c chi\u1ebfn \u0111\u1ea5u cu\u1ed1i c\u00f9ng c\u1ee7a \u0111\u1eddi m\u00ecnh, v\u1edbi t\u1ea5t c\u1ea3 s\u1ee9c m\u1ea1nh tinh th\u1ea7n v\u00e0 \u0111\u00e3 ra \u0111i v\u1edbi nguy\u00ean v\u1eb9n ph\u1ea9m gi\u00e1.<\/p>\n","protected":false},"author":1233,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"h5ap_radio_sources":[],"footnotes":""},"categories":[202,181,264],"tags":[399,314],"class_list":["post-16882","post","type-post","status-publish","format-standard","hentry","category-tap-ghi","category-tu-lieu","category-tuong-niem-cao-xuan-huy","tag-cao-xuan-huy","tag-ngo-the-vinh"],"_links":{"self":[{"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/posts\/16882","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/users\/1233"}],"replies":[{"embeddable":true,"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/comments?post=16882"}],"version-history":[{"count":6,"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/posts\/16882\/revisions"}],"predecessor-version":[{"id":71531,"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/posts\/16882\/revisions\/71531"}],"wp:attachment":[{"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/media?parent=16882"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/categories?post=16882"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/damau.org\/en\/wp-json\/wp\/v2\/tags?post=16882"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}