{"id":5648,"date":"2025-06-21T19:22:42","date_gmt":"2025-03-25T09:21:13","guid":{"rendered":"https:\/\/www.ckconitsha.com\/vn\/?p=5648"},"modified":"2025-06-24T13:34:50","modified_gmt":"2025-06-24T06:34:50","slug":"egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr","status":"publish","type":"post","link":"https:\/\/www.ckconitsha.com\/vn\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr\/","title":{"rendered":"eGFR bao nhi\u00eau l\u00e0 b\u00ecnh th\u01b0\u1eddng? H\u01b0\u1edbng d\u1eabn \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 gi\u00e1 tr\u1ecb eGFR"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.ckconitsha.com\/vn\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr\/#EGFR_la_gi\" >EGFR l\u00e0 g\u00ec?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.ckconitsha.com\/vn\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr\/#EGFR_co_gia_bao_nhieu\" >EGFR c\u00f3 gi\u00e1 bao nhi\u00eau?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.ckconitsha.com\/vn\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr\/#Cac_yeu_to_anh_huong_den_EGFR\" >C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn EGFR<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.ckconitsha.com\/vn\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr\/#Tam_quan_trong_cua_viec_theo_doi_EGFR\" >T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i EGFR<\/a><\/li><\/ul><\/nav><\/div>\n<p>EGFR (\u01b0\u1edbc t\u00ednh t\u1ef7 l\u1ec7 l\u1ecdc c\u1ea7u th\u1eadn) l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng c\u1ee7a \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn. Nhi\u1ec1u ng\u01b0\u1eddi mu\u1ed1n bi\u1ebft &#8220;EGFR l\u00e0 g\u00ec?&#8221; V\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 k\u1ebft qu\u1ea3 ki\u1ec3m tra. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1ea3i th\u00edch m\u1ee9c \u0111\u1ed9 EGFR b\u00ecnh th\u01b0\u1eddng v\u00e0 b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 gi\u00fap b\u1ea1n hi\u1ec3u c\u00e1ch \u0111\u1ecdc k\u1ebft qu\u1ea3 v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd l\u00e0 s\u1ee9c kh\u1ecfe th\u1eadn t\u1ed1t nh\u1ea5t.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"EGFR_la_gi\"><\/span>EGFR l\u00e0 g\u00ec?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>EGFR ho\u1eb7c &#8220;t\u1ef7 l\u1ec7 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh&#8221; l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn. N\u00f3 c\u00f3 th\u1ec3 \u0111o m\u1ee9c \u0111\u1ed9 l\u1ecdc c\u1ee7a th\u1eadn trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh (th\u01b0\u1eddng l\u00e0 m\u1ed7i ph\u00fat) v\u00e0 ch\u1ec9 ra m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1eadn lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i v\u00e0 n\u01b0\u1edbc t\u1eeb m\u00e1u d\u01b0 th\u1eeba.<\/p>\n<ul>\n<li style=\"font-weight: 400\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh th\u1eadn: EGFR gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn, bao g\u1ed3m b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh (CKD). N\u1ebfu ch\u1ec9 s\u1ed1 n\u00e0y gi\u1ea3m, ho\u1ea1t \u0111\u1ed9ng th\u1eadn c\u00f3 th\u1ec3 k\u00e9m.<\/li>\n<li style=\"font-weight: 400\">Theo d\u00f5i t\u00ecnh tr\u1ea1ng th\u1eadn: \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh th\u1eadn, EGFR c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh ho\u1eb7c hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li style=\"font-weight: 400\">\u0110\u00e1nh gi\u00e1 r\u1ee7i ro: EGFR c\u0169ng gi\u00fap \u0111\u00e1nh gi\u00e1 nguy c\u01a1 c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe th\u1eadn.<\/li>\n<\/ul>\n<p><img decoding=\"async\" src=\"https:\/\/external-content.duckduckgo.com\/iu\/?u=https:\/\/susach.edu.vn\/upload\/\/2024\/08\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr-0.webp\" alt=\"EGFR l\u00e0 g\u00ec?\" title=\"EGFR l\u00e0 g\u00ec?\"><\/p>\n<p>EGFR th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n d\u1ef1a tr\u00ean c\u00e1c m\u1eabu m\u00e1u \u0111\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 creatinine, l\u00e0 ch\u1ea5t th\u1ea3i \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u01a1 b\u1eafp v\u00e0 th\u1eadn. C\u00f4ng th\u1ee9c t\u00ednh to\u00e1n EGFR c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 tu\u1ed5i, gi\u1edbi t\u00ednh v\u00e0 ch\u1ee7ng t\u1ed9c. Hai c\u00f4ng th\u1ee9c ph\u1ed5 bi\u1ebfn l\u00e0:<\/p>\n<ul>\n<li style=\"font-weight: 400\">Cockcroft-Gault: T\u00ednh to\u00e1n d\u1ef1a tr\u00ean huy\u1ebft thanh, tu\u1ed5i, c\u00e2n n\u1eb7ng v\u00e0 creatinine gi\u1edbi t\u00ednh.<\/li>\n<li style=\"font-weight: 400\">MDRD (s\u1eeda \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng trong b\u1ec7nh th\u1eadn): T\u00ednh to\u00e1n d\u1ef1a tr\u00ean huy\u1ebft thanh, tu\u1ed5i t\u00e1c, gi\u1edbi t\u00ednh v\u00e0 ch\u1ee7ng t\u1ed9c.<\/li>\n<\/ul>\n<p>C\u00e1c k\u1ebft qu\u1ea3 EGFR \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o th\u01b0\u1eddng l\u00e0 60 mL\/ph\u00fat\/1,73 m2 v\u00e0 c\u00e1c gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng th\u01b0\u1eddng n\u1eb1m trong kho\u1ea3ng t\u1eeb 90 \u0111\u1ebfn 120 ml\/ph\u00fat\/1,73 m2 \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh.<\/p>\n<p>N\u1ebfu EGFR c\u1ee7a b\u1ea1n th\u1ea5p h\u01a1n b\u00ecnh th\u01b0\u1eddng, b\u1ea1n n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn \u200b\u200bb\u00e1c s\u0129 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng th\u1eadn v\u00e0 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111\u00fang c\u00e1ch.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"EGFR_co_gia_bao_nhieu\"><\/span>EGFR c\u00f3 gi\u00e1 bao nhi\u00eau?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t m\u00f4 t\u1ea3 chi ti\u1ebft h\u01a1n v\u1ec1 gi\u00e1 tr\u1ecb EGFR v\u00e0 \u00fd ngh\u0129a c\u1ee7a n\u00f3:<\/p>\n<p>EGFR \u226590ml\/ph\u00fat\/1,73m\u00b2: Ch\u1ee9c n\u0103ng th\u1eadn \u0111\u01b0\u1ee3c coi l\u00e0 b\u00ecnh th\u01b0\u1eddng khi EGFR n\u1eb1m trong ph\u1ea1m vi n\u00e0y. Th\u1eadn c\u1ee7a b\u1ea1n \u0111ang l\u1ecdc ch\u1ea5t th\u1ea3i m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 n\u01b0\u1edbc th\u1eeba t\u1eeb m\u00e1u. Tuy nhi\u00ean, x\u00e9t nghi\u1ec7m th\u01b0\u1eddng xuy\u00ean v\u1eabn \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ch\u1ee9c n\u0103ng th\u1eadn kh\u00f4ng thay \u0111\u1ed5i theo th\u1eddi gian, \u0111\u1eb7c bi\u1ec7t n\u1ebfu b\u1ea1n c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn th\u1eadn.<\/p>\n<p>EGFR 60-89 mL\/ph\u00fat\/1.73m\u00b2: C\u00e1c gi\u00e1 tr\u1ecb EGFR trong ph\u1ea1m vi n\u00e0y c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ef1 gi\u1ea3m nh\u1eb9 c\u1ee7a ch\u1ee9c n\u0103ng th\u1eadn. M\u1eb7c d\u00f9 n\u00f3 kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng l\u00e0 m\u1ed9t b\u1ec7nh th\u1eadn nghi\u00eam tr\u1ecdng, nh\u01b0ng \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a m\u1ed9t v\u1ea5n \u0111\u1ec1 \u1ea9n, \u0111\u1eb7c bi\u1ec7t n\u1ebfu b\u1ea1n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, huy\u1ebft \u00e1p cao ho\u1eb7c ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh th\u1eadn. \u0110\u00e2y l\u00e0 kho\u1ea3ng th\u1eddi gian c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng khuy\u1ebfn kh\u00edch theo d\u00f5i v\u00e0 ph\u00f2ng ng\u1eeba ch\u1eb7t ch\u1ebd \u0111\u1ec3 b\u1ea3o v\u1ec7 ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>EGFR 30-59 mL\/ph\u00fat\/1,73 m2: Gi\u00e1 tr\u1ecb n\u00e0y thu\u1ed9c v\u1ec1 giai \u0111o\u1ea1n th\u1ee9 3 c\u1ee7a b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh (CKD). \u1ede giai \u0111o\u1ea1n n\u00e0y, ch\u1ee9c n\u0103ng th\u1eadn \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 v\u00e0 vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh \u0111\u00e3 tr\u1edf n\u00ean quan tr\u1ecdng h\u01a1n. B\u1ec7nh nh\u00e2n n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ng\u0103n ng\u1eeba suy y\u1ebfu ch\u1ee9c n\u0103ng th\u1eadn, ch\u1eb3ng h\u1ea1n nh\u01b0 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p, ki\u1ec3m so\u00e1t b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/external-content.duckduckgo.com\/iu\/?u=https:\/\/susach.edu.vn\/upload\/\/2024\/08\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr-1.webp\" alt=\"EGFR c\u00f3 gi\u00e1 bao nhi\u00eau?\" title=\"EGFR c\u00f3 gi\u00e1 bao nhi\u00eau?\"><\/p>\n<p>EGFR 15-29 ml\/ph\u00fat\/1,73 m2: Khi EGFR gi\u1ea3m xu\u1ed1ng m\u1ee9c n\u00e0y, b\u1ea1n \u0111ang \u1edf giai \u0111o\u1ea1n 4 c\u1ee7a b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh. \u0110\u00e2y l\u00e0 m\u1ed9t kho\u1ea3ng th\u1eddi gian nghi\u00eam tr\u1ecdng v\u00e0 c\u00e1c y\u00eau c\u1ea7u qu\u1ea3n l\u00fd \u0111\u1eb7c bi\u1ec7t. \u0110i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m chu\u1ea9n b\u1ecb \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn, ch\u1eb3ng h\u1ea1n nh\u01b0 l\u1ecdc m\u00e1u ho\u1eb7c gh\u00e9p th\u1eadn. \u0110i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111\u1ec3 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n<p>EGFR &lt;15 ml\/ph\u00fat\/1,73 m2: \u0110\u00e2y l\u00e0 giai \u0111o\u1ea1n th\u1ee9 5 c\u1ee7a b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i. Khi EGFR gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi m\u1ee9c n\u00e0y, th\u1eadn g\u1ea7n nh\u01b0 m\u1ea5t kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u1ea7n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o ho\u1eb7c gh\u00e9p th\u1eadn, \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng. \u0110\u00e2y l\u00e0 m\u1ed9t giai \u0111o\u1ea1n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn suy th\u1eadn trong m\u1ed9t kho\u1ea3ng th\u1eddi gian.<\/p>\n<p>EGFR l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn. Hi\u1ec3u gi\u00e1 tr\u1ecb c\u1ee7a EGFR v\u00e0 \u00fd ngh\u0129a c\u1ee7a n\u00f3 c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n tr\u1edf n\u00ean ch\u1ee7 \u0111\u1ed9ng h\u01a1n trong qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe th\u1eadn v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u1ea7n thi\u1ebft. N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi n\u00e0o v\u1ec1 gi\u00e1 tr\u1ecb c\u1ee7a EGFR ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn, vui l\u00f2ng tham kh\u1ea3o \u00fd ki\u1ebfn \u200b\u200bb\u00e1c s\u0129 c\u1ee7a b\u1ea1n \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cac_yeu_to_anh_huong_den_EGFR\"><\/span>C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn EGFR<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Nhi\u1ec1u y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gi\u00e1 tr\u1ecb EGFR, thay \u0111\u1ed5i \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a ch\u1ec9 s\u1ed1 trong \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn. \u0110\u00e2y l\u00e0 y\u1ebfu t\u1ed1 ch\u00ednh:<\/p>\n<p>Creatinine huy\u1ebft thanh: EGFR th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n d\u1ef1a tr\u00ean n\u1ed3ng \u0111\u1ed9 creatinine huy\u1ebft thanh. Creatinine l\u00e0 s\u1ea3n ph\u1ea9m ph\u1ee5 c\u1ee7a chuy\u1ec3n h\u00f3a c\u01a1 v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ecdc ra. N\u1ed3ng \u0111\u1ed9 creatinine cao c\u00f3 th\u1ec3 ch\u1ec9 ra t\u00e1c d\u1ee5ng th\u1eadn k\u00e9m. Tuy nhi\u00ean, m\u1ee9c \u0111\u1ed9 creatinine c\u0169ng c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 b\u1eafp v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng.<\/p>\n<p>Tu\u1ed5i: Ch\u1ee9c n\u0103ng th\u1eadn th\u01b0\u1eddng gi\u1ea3m theo tu\u1ed5i. Khi b\u1ea1n l\u1edbn l\u00ean, s\u1ed1 l\u01b0\u1ee3ng \u0111\u01a1n v\u1ecb nephron (\u0111\u01a1n v\u1ecb ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn) gi\u1ea3m, d\u1eabn \u0111\u1ebfn gi\u1ea3m EGFR. Do \u0111\u00f3, EGFR b\u00ecnh th\u01b0\u1eddng \u1edf ng\u01b0\u1eddi gi\u00e0 c\u00f3 th\u1ec3 th\u1ea5p h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i.<\/p>\n<p>Gi\u1edbi t\u00ednh: EGFR th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo gi\u1edbi t\u00ednh, v\u00ec \u0111\u00e0n \u00f4ng th\u01b0\u1eddng c\u00f3 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 b\u1eafp nhi\u1ec1u h\u01a1n ph\u1ee5 n\u1eef, d\u1eabn \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 creatinine huy\u1ebft thanh cao h\u01a1n. Do \u0111\u00f3, c\u00f4ng th\u1ee9c t\u00ednh to\u00e1n EGFR th\u01b0\u1eddng c\u00f3 \u0111i\u1ec1u ch\u1ec9nh gi\u1edbi t\u00ednh.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/external-content.duckduckgo.com\/iu\/?u=https:\/\/susach.edu.vn\/upload\/\/2024\/08\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr-2.webp\" alt=\"C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn EGFR\" title=\"C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn EGFR\"><\/p>\n<p>Ch\u1ee7ng t\u1ed9c: M\u1ed9t s\u1ed1 c\u00f4ng th\u1ee9c c\u1ee7a EGFR (nh\u01b0 MDRD) \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh ch\u1ee7ng t\u1ed9c v\u00ec nh\u1eefng ng\u01b0\u1eddi thu\u1ed9c m\u1ed9t s\u1ed1 ch\u1ee7ng t\u1ed9c nh\u1ea5t \u0111\u1ecbnh c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 creatinine huy\u1ebft thanh kh\u00e1c nhau so v\u1edbi c\u00e1c ch\u1ee7ng t\u1ed9c kh\u00e1c. V\u00ed d\u1ee5, ng\u01b0\u1eddi da \u0111en c\u00f3 th\u1ec3 c\u00f3 n\u1ed3ng \u0111\u1ed9 creatinine huy\u1ebft thanh cao h\u01a1n ng\u01b0\u1eddi da tr\u1eafng.<\/p>\n<p>Kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 h\u1ecdc: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 l\u1edbn h\u01a1n th\u01b0\u1eddng c\u00f3 n\u1ed3ng \u0111\u1ed9 creatinine cao h\u01a1n do s\u1ea3n xu\u1ea5t nhi\u1ec1u creatinine h\u01a1n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m t\u0103ng gi\u00e1 tr\u1ecb creatinine huy\u1ebft thanh v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 EGFR.<\/p>\n<p>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 creatinine trong m\u00e1u. M\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang protein c\u00f3 th\u1ec3 l\u00e0m t\u0103ng m\u1ee9c \u0111\u1ed9 creatinine. Ngo\u00e0i ra, m\u1ea5t n\u01b0\u1edbc ho\u1eb7c m\u1ea5t n\u01b0\u1edbc c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 creatinine huy\u1ebft thanh.<\/p>\n<p>S\u1ee9c kh\u1ecfe n\u00f3i chung: C\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tim m\u1ea1ch v\u00e0 c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn, do \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn EGFR. C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 b\u1ec7nh th\u1eadn \u0111a nang ho\u1eb7c b\u1ec7nh th\u1eadn g\u00e2y ra b\u1edfi b\u1ec7nh l\u00fd di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn EGFR.<\/p>\n<p>Thu\u1ed1c \u0111\u00e3 s\u1eed d\u1ee5ng: M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 thay \u0111\u1ed5i m\u1ee9c \u0111\u1ed9 creatinine trong m\u00e1u. V\u00ed d\u1ee5, thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1ng sinh c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<p>T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ea5p t\u00ednh: C\u00e1c b\u1ec7nh c\u1ea5p t\u00ednh, ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec5m tr\u00f9ng n\u1eb7ng, suy tim c\u1ea5p t\u00ednh ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn t\u1ea1m th\u1eddi v\u00e0 gi\u1ea3m EGFR.<\/p>\n<p>T\u00ecnh tr\u1ea1ng th\u1ec3 ch\u1ea5t: T\u1eadp th\u1ec3 d\u1ee5c, c\u00e2n n\u1eb7ng v\u00e0 dinh d\u01b0\u1ee1ng c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 creatinine v\u00e0 EGFR. V\u00ed d\u1ee5, suy dinh d\u01b0\u1ee1ng ho\u1eb7c t\u00ecnh tr\u1ea1ng th\u1ec3 ch\u1ea5t k\u00e9m c\u00f3 th\u1ec3 thay \u0111\u1ed5i k\u1ebft qu\u1ea3.<\/p>\n<p>\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c ch\u1ee9c n\u0103ng th\u1eadn, EGFR c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t k\u1ebft h\u1ee3p v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c v\u00e0 m\u1ed9t n\u1ec1n t\u1ea3ng to\u00e0n di\u1ec7n v\u1ec1 s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n. N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi ho\u1eb7c m\u1ed1i quan t\u00e2m n\u00e0o v\u1ec1 ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c gi\u00e1 tr\u1ecb EGFR, t\u01b0 v\u1ea5n b\u00e1c s\u0129 c\u1ee7a b\u1ea1n l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tam_quan_trong_cua_viec_theo_doi_EGFR\"><\/span>T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i EGFR<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Theo d\u00f5i t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh (t\u1ef7 l\u1ec7 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh EGFR) r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 qu\u1ea3n l\u00fd c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn th\u1eadn. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 l\u00fd do quan tr\u1ecdng \u0111\u1ec3 theo d\u00f5i EGFR:<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/external-content.duckduckgo.com\/iu\/?u=https:\/\/susach.edu.vn\/upload\/\/2024\/08\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr-3.webp\" alt=\"T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i EGFR\" title=\"T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i EGFR\"><\/p>\n<p>Ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh th\u1eadn: Theo d\u00f5i EGFR gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh (CKD) ho\u1eb7c suy th\u1eadn. Ph\u00e1t hi\u1ec7n s\u1edbm c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh, \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng c\u1ee7a b\u1ea1n v\u00e0 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb s\u1edbm, do \u0111\u00f3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\n<p>Theo d\u00f5i qu\u00e1 tr\u00ecnh b\u1ec7nh: \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh, EGFR l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 theo d\u00f5i ti\u1ebfn tri\u1ec3n b\u1ec7nh. C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng s\u1ed1 li\u1ec7u n\u00e0y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p. Gi\u00e1m s\u00e1t th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u ch\u1ec9nh c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, ch\u1eb3ng h\u1ea1n nh\u01b0 thay \u0111\u1ed5i thu\u1ed1c ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng.<\/p>\n<p>\u0110\u00e1nh gi\u00e1 nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng: EGFR th\u1ea5p c\u00f3 th\u1ec3 ch\u1ec9 ra r\u1eb1ng th\u1eadn kh\u00f4ng th\u1ec3 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3, do \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tim m\u1ea1ch v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 x\u01b0\u01a1ng. Theo d\u00f5i EGFR gi\u00fap x\u00e1c \u0111\u1ecbnh r\u1ee7i ro n\u00e0y s\u1edbm v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u1ea7n thi\u1ebft.<\/p>\n<p>L\u01b0u \u00fd \u0111i\u1ec1u tr\u1ecb: C\u00e1c gi\u00e1 tr\u1ecb EGFR cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng v\u1ec1 m\u1ee9c \u0111\u1ed9 ch\u1ee9c n\u0103ng th\u1eadn, do \u0111\u00f3 h\u01b0\u1edbng d\u1eabn b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 EGFR th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3, \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c bi\u1ec7n ph\u00e1p nh\u01b0 l\u1ecdc m\u00e1u, gh\u00e9p th\u1eadn ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng.<\/p>\n<p>\u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb: Theo d\u00f5i EGFR c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a li\u1ec7u ph\u00e1p th\u1eadn. N\u1ebfu EGFR c\u1ea3i thi\u1ec7n, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 ch\u1ec9 ra r\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111ang ho\u1ea1t \u0111\u1ed9ng. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu EGFR ti\u1ebfp t\u1ee5c gi\u1ea3m, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u1ee7a h\u1ecd \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/p>\n<p>Qu\u1ea3n l\u00fd c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u0111i k\u00e8m: Nhi\u1ec1u ng\u01b0\u1eddi m\u1eafc b\u1ec7nh th\u1eadn c\u00f3 th\u1ec3 c\u00f3 c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, huy\u1ebft \u00e1p cao ho\u1eb7c b\u1ec7nh tim m\u1ea1ch. Gi\u00e1m s\u00e1t EGFR gi\u00fap qu\u1ea3n l\u00fd t\u1ed1t h\u01a1n c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u0111i k\u00e8m trong khi th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p tr\u1ecb li\u1ec7u \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/external-content.duckduckgo.com\/iu\/?u=https:\/\/susach.edu.vn\/upload\/\/2024\/08\/egfr-bao-nhieu-la-binh-thuong-huong-dan-day-du-ve-gia-tri-egfr-4.webp\" alt=\"T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i EGFR 2\" title=\"T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i EGFR 2\"><\/p>\n<p>C\u1ea3i thi\u1ec7n nh\u1eadn th\u1ee9c v\u00e0 t\u1ef1 qu\u1ea3n l\u00fd: Theo d\u00f5i EGFR gi\u00fap b\u1ec7nh nh\u00e2n t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 s\u1ee9c kh\u1ecfe th\u1eadn v\u00e0 khuy\u1ebfn kh\u00edch t\u1ef1 qu\u1ea3n l\u00fd. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u1ee7a h\u1ecd, theo ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 thu\u1ed1c \u0111\u1ec3 duy tr\u00ec ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 ng\u0103n ng\u1eeba c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng th\u1eadn c\u1ea5p t\u00ednh: Ngo\u00e0i vi\u1ec7c theo d\u00f5i b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh, EGFR c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh th\u1eadn c\u1ea5p t\u00ednh, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh (AKI). S\u1ef1 suy gi\u1ea3m nhanh ch\u00f3ng trong EGFR c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a can thi\u1ec7p y t\u1ebf kh\u1ea9n c\u1ea5p.<\/p>\n<p>Theo d\u00f5i th\u01b0\u1eddng xuy\u00ean EGFR l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n v\u00e0 gi\u00fap duy tr\u00ec ch\u1ee9c n\u0103ng th\u1eadn t\u1ed1i \u01b0u.<\/p>\n<p>Hi\u1ec3u EGFR v\u00e0 bi\u1ebft EGFR t\u1ed1t nh\u01b0 th\u1ebf n\u00e0o, c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n theo d\u00f5i v\u00e0 duy tr\u00ec hi\u1ec7u qu\u1ea3 s\u1ee9c kh\u1ecfe c\u1ee7a th\u1eadn. N\u1ebfu ch\u1ec9 m\u1ee5c c\u1ee7a b\u1ea1n n\u1eb1m trong ph\u1ea1m vi b\u00ecnh th\u01b0\u1eddng, b\u1ea1n c\u00f3 th\u1ec3 y\u00ean t\u00e2m. N\u1ebfu kh\u00f4ng, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh th\u00edch h\u1ee3p v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe th\u1eadn th\u00edch h\u1ee3p.<\/p>\n<p>Ngu\u1ed3n: <a href=\"http:\/\/www.ckconitsha.com\/vn\/\">http:\/\/www.ckconitsha.com\/vn\/<\/a> T\u00e1c gi\u1ea3: <a href=\"https:\/\/www.ckconitsha.com\/vn\/author\/nguyenlandung\">Nguy\u1ec5n L\u00e2n d\u0169ng<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>EGFR (\u01b0\u1edbc t\u00ednh t\u1ef7 l\u1ec7 l\u1ecdc c\u1ea7u th\u1eadn) l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng c\u1ee7a \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn. Nhi\u1ec1u ng\u01b0\u1eddi mu\u1ed1n bi\u1ebft &#8220;EGFR l\u00e0 g\u00ec?&#8221; V\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 k\u1ebft qu\u1ea3 ki\u1ec3m tra. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1ea3i th\u00edch m\u1ee9c \u0111\u1ed9 EGFR b\u00ecnh th\u01b0\u1eddng v\u00e0 b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5648","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/posts\/5648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/comments?post=5648"}],"version-history":[{"count":2,"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/posts\/5648\/revisions"}],"predecessor-version":[{"id":21151,"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/posts\/5648\/revisions\/21151"}],"wp:attachment":[{"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/media?parent=5648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/categories?post=5648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ckconitsha.com\/vn\/wp-json\/wp\/v2\/tags?post=5648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}