{"id":28442,"date":"2026-06-26T14:01:32","date_gmt":"2026-06-26T21:01:32","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/?post_type=faq&#038;p=28442"},"modified":"2026-06-26T14:01:32","modified_gmt":"2026-06-26T21:01:32","slug":"lieu-phap-mien-dich-co-lam-ban-met-moi-khong","status":"publish","type":"faq","link":"https:\/\/ameripharmaspecialty.com\/vi\/faq\/does-immunotherapy-make-you-tired\/","title":{"rendered":"Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch c\u00f3 l\u00e0m b\u1ea1n m\u1ec7t m\u1ecfi kh\u00f4ng?"},"content":{"rendered":"<p class=\"wp-block-paragraph\">\u0110\u00fang v\u1eady, m\u1ec7t m\u1ecfi l\u00e0 m\u1ed9t trong nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i ph\u1ed5 bi\u1ebfn nh\u1ea5t trong nhi\u1ec1u nh\u00f3m thu\u1ed1c mi\u1ec5n d\u1ecbch kh\u00e1c nhau. M\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 t\u1eeb nh\u1eb9 \u0111\u1ebfn ki\u1ec7t s\u1ee9c v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n nghi\u00eam tr\u1ecdng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00f4ng vi\u1ec7c, t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u1eb7c bi\u1ec7t ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf \u0111i\u1ec3m ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch. M\u1eb7c d\u00f9 m\u1ec7t m\u1ecfi li\u00ean quan \u0111\u1ebfn li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch th\u01b0\u1eddng c\u1ea3i thi\u1ec7n sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n v\u1eabn ti\u1ebfp t\u1ee5c g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y trong nhi\u1ec1u tu\u1ea7n ho\u1eb7c th\u1eadm ch\u00ed nhi\u1ec1u th\u00e1ng trong qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">M\u1ec7t m\u1ecfi c\u00f3 ph\u1ed5 bi\u1ebfn kh\u00f4ng khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/\">M\u1ec7t m\u1ecfi<\/a> \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch v\u00e0 x\u1ea3y ra \u1edf m\u1ed9t t\u1ef7 l\u1ec7 \u0111\u00e1ng k\u1ec3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. N\u00f3 \u0111\u1eb7c bi\u1ec7t ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf \u0111i\u1ec3m ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch, bao g\u1ed3m thu\u1ed1c \u1ee9c ch\u1ebf PD-1, PD-L1 v\u00e0 CTLA-4.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u00e3 b\u00e1o c\u00e1o t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi \u1edf kho\u1ea3ng <strong>T\u1eeb 16% \u0111\u1ebfn 37% b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf PD-1 \u0111\u01a1n l\u1ebb.<\/strong>, M\u1eb7c d\u00f9 t\u1ef7 l\u1ec7 m\u1eafc ph\u1ea3i c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i thu\u1ed1c c\u1ee5 th\u1ec3, lo\u1ea1i ung th\u01b0 v\u00e0 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nghi\u00ean c\u1ee9u. T\u1ef7 l\u1ec7 m\u1ec7t m\u1ecfi th\u01b0\u1eddng cao h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb m\u1ec7t m\u1ecfi do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. <strong>ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch k\u1ebft h\u1ee3p<\/strong>, V\u00ed d\u1ee5 nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c k\u1ebft h\u1ee3p ch\u1ea5t \u1ee9c ch\u1ebf PD-1 v\u00e0 CTLA-4.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi c\u0169ng \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf c\u00e1c h\u00ecnh th\u1ee9c \u0111i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch kh\u00e1c, bao g\u1ed3m... <strong>li\u1ec7u ph\u00e1p cytokine<\/strong> Ch\u1eb3ng h\u1ea1n nh\u01b0 interleukin-2 (IL-2) v\u00e0 interferon. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 k\u00edch ho\u1ea1t mi\u1ec5n d\u1ecbch to\u00e0n th\u00e2n m\u1ea1nh m\u1ebd h\u01a1n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra t\u1ef7 l\u1ec7 v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a m\u1ec7t m\u1ecfi cao h\u01a1n, c\u00f9ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam kh\u00e1c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra m\u1ec7t m\u1ecfi trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ec7t m\u1ecfi do li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 ph\u1ee9c t\u1ea1p. <a href=\"https:\/\/www.cancerresearch.org\/immunotherapy-side-effects\">t\u00e1c d\u1ee5ng ph\u1ee5<\/a> B\u1ec7nh n\u00e0y th\u01b0\u1eddng do nhi\u1ec1u y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n ch\u1ee9 kh\u00f4ng ph\u1ea3i ch\u1ec9 m\u1ed9t nguy\u00ean nh\u00e2n duy nh\u1ea5t. C\u01a1 ch\u1ebf c\u00f3 th\u1ec3 kh\u00e1c nhau \u1edf m\u1ed7i ng\u01b0\u1eddi v\u00e0 c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u1ea3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u1eabn ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111\u00f3.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>K\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch<\/strong><strong><br><\/strong>Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch k\u00edch th\u00edch h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch nh\u1eadn bi\u1ebft v\u00e0 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o ung th\u01b0. Ho\u1ea1t \u0111\u1ed9ng mi\u1ec5n d\u1ecbch t\u0103ng c\u01b0\u1eddng n\u00e0y \u0111\u00f2i h\u1ecfi m\u1ed9t l\u01b0\u1ee3ng n\u0103ng l\u01b0\u1ee3ng \u0111\u00e1ng k\u1ec3, v\u00e0 c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 ti\u00eau hao m\u1ed9t l\u01b0\u1ee3ng l\u1edbn ngu\u1ed3n l\u1ef1c \u0111\u1ec3 duy tr\u00ec s\u1ef1 gi\u00e1m s\u00e1t v\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch li\u00ean t\u1ee5c, g\u00f3p ph\u1ea7n g\u00e2y ra c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi.<\/li>\n\n\n\n<li><strong>Vi\u00eam v\u00e0 gi\u1ea3i ph\u00f3ng cytokine<\/strong><strong><br><\/strong>Khi h\u1ec7 mi\u1ec5n d\u1ecbch \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t, n\u00f3 s\u1ebd gi\u1ea3i ph\u00f3ng c\u00e1c protein truy\u1ec1n t\u00edn hi\u1ec7u g\u1ecdi l\u00e0 cytokine. Nh\u1eefng ph\u00e2n t\u1eed g\u00e2y vi\u00eam n\u00e0y c\u00f3 th\u1ec3 tr\u1ef1c ti\u1ebfp g\u00e2y ra m\u1ec7t m\u1ecfi, t\u1ea1o ra c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 khi b\u1ecb b\u1ec7nh do virus, ch\u1eb3ng h\u1ea1n nh\u01b0 ki\u1ec7t s\u1ee9c, thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng v\u00e0 gi\u1ea3m s\u1ee9c b\u1ec1n.<\/li>\n\n\n\n<li><strong>R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft (hormonal)<\/strong><strong><br><\/strong>M\u1ed9t s\u1ed1 thu\u1ed1c \u1ee9c ch\u1ebf \u0111i\u1ec3m ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn mi\u1ec5n d\u1ecbch l\u00ean c\u00e1c tuy\u1ebfn s\u1ea3n sinh hormone. C\u00e1c t\u00ecnh tr\u1ea1ng nh\u01b0 suy gi\u00e1p, suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u00e0 vi\u00eam tuy\u1ebfn y\u00ean (vi\u00eam tuy\u1ebfn h\u1ea1 \u0111\u1ed3i) c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ec7t m\u1ecfi \u0111\u00e1ng k\u1ec3 kh\u00f4ng li\u00ean quan \u0111\u1ebfn ch\u00ednh b\u1ec7nh ung th\u01b0. V\u00ec nh\u1eefng t\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c, n\u00ean vi\u1ec7c \u0111\u00e1nh gi\u00e1 th\u00edch h\u1ee3p r\u1ea5t quan tr\u1ecdng khi t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi tr\u1edf n\u00ean dai d\u1eb3ng ho\u1eb7c nghi\u00eam tr\u1ecdng.<\/li>\n\n\n\n<li><strong>Thi\u1ebfu m\u00e1u<\/strong><strong><br><\/strong>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t ho\u1eb7c s\u1ef1 s\u1ed1ng c\u1ee7a h\u1ed3ng c\u1ea7u. M\u1ee9c h\u1ed3ng c\u1ea7u gi\u1ea3m (thi\u1ebfu m\u00e1u) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng oxy cung c\u1ea5p cho to\u00e0n c\u01a1 th\u1ec3, g\u00f3p ph\u1ea7n g\u00e2y ra m\u1ec7t m\u1ecfi, suy nh\u01b0\u1ee3c v\u00e0 gi\u1ea3m s\u1ee9c b\u1ec1n th\u1ec3 ch\u1ea5t.<\/li>\n\n\n\n<li><strong>R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u1ee7a \u0111i\u1ec1u tr\u1ecb<\/strong><strong><br><\/strong>\u0110au \u0111\u1edbn, lo l\u1eafng, c\u0103ng th\u1eb3ng v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gi\u1ea5c ng\u1ee7 b\u00ecnh th\u01b0\u1eddng. Ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 k\u00e9m c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi ban ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng th\u00eam t\u00e1c \u0111\u1ed9ng c\u1ee7a s\u1ef1 k\u00edch ho\u1ea1t mi\u1ec5n d\u1ecbch v\u00e0 vi\u00eam nhi\u1ec5m.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\"><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">H\u1ed9i ch\u1ee9ng m\u1ec7t m\u1ecfi do li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch kh\u00e1c v\u1edbi h\u1ed9i ch\u1ee9ng m\u1ec7t m\u1ecfi do h\u00f3a tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 x\u1ea3y ra khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u1ea3 h\u00f3a tr\u1ecb v\u00e0 li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch, nh\u01b0ng ki\u1ec3u bi\u1ec3u hi\u1ec7n v\u00e0 nguy\u00ean nh\u00e2n c\u01a1 b\u1ea3n c\u00f3 th\u1ec3 kh\u00e1c nhau.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ec7t m\u1ecfi do h\u00f3a tr\u1ecb th\u01b0\u1eddng d\u1eef d\u1ed9i h\u01a1n v\u00e0 g\u1eafn li\u1ec1n ch\u1eb7t ch\u1ebd v\u1edbi c\u00e1c chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb. Nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y t\u1ed3i t\u1ec7 nh\u1ea5t trong nh\u1eefng ng\u00e0y ngay sau khi truy\u1ec1n thu\u1ed1c, sau \u0111\u00f3 t\u00ecnh tr\u1ea1ng s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n ph\u1ea7n n\u00e0o tr\u01b0\u1edbc khi chu k\u1ef3 ti\u1ebfp theo b\u1eaft \u0111\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ng\u01b0\u1ee3c l\u1ea1i, t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi li\u00ean quan \u0111\u1ebfn li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0 kh\u00f3 d\u1ef1 \u0111o\u00e1n h\u01a1n. N\u00f3 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng tu\u00e2n theo m\u1ed9t m\u00f4 h\u00ecnh r\u00f5 r\u00e0ng d\u1ef1a tr\u00ean li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c th\u1eddi \u0111i\u1ec3m truy\u1ec1n d\u1ecbch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t \u0111i\u1ec3m kh\u00e1c bi\u1ec7t quan tr\u1ecdng n\u1eefa l\u00e0 li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch \u0111\u00f4i khi c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 n\u1ed9i ti\u1ebft, ch\u1eb3ng h\u1ea1n nh\u01b0 suy gi\u00e1p. N\u1ebfu suy gi\u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 k\u00e9o d\u00e0i r\u1ea5t l\u00e2u sau khi li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch k\u1ebft th\u00fac. Tuy nhi\u00ean, m\u1ed9t khi \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, suy gi\u00e1p th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p thay th\u1ebf hormone tuy\u1ebfn gi\u00e1p.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb m\u1ec7t m\u1ecfi do r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft, vi\u1ec7c gi\u1ea3i quy\u1ebft s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng hormone ti\u1ec1m \u1ea9n th\u01b0\u1eddng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1ee9c n\u0103ng l\u01b0\u1ee3ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ecdc th\u00eam: <a href=\"https:\/\/www.mskcc.org\/cancer-care\/patient-education\/managing-your-immunotherapy-side-effects\">Qu\u1ea3n l\u00fd t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch \u2014 Trung t\u00e2m Ung th\u01b0 Memorial Sloan Kettering<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">H\u1ed9i ch\u1ee9ng m\u1ec7t m\u1ecfi do li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch k\u00e9o d\u00e0i bao l\u00e2u?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u1eddi gian m\u1ec7t m\u1ecfi do li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch g\u00e2y ra kh\u00e1c nhau \u1edf m\u1ed7i ng\u01b0\u1eddi v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n c\u01a1 b\u1ea3n. M\u1eb7c d\u00f9 nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y c\u1ea3i thi\u1ec7n d\u1ea7n sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c b\u1ecb m\u1ec7t m\u1ecfi trong nhi\u1ec1u tu\u1ea7n ho\u1eb7c nhi\u1ec1u th\u00e1ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi c\u1ea5p t\u00ednh li\u00ean quan \u0111\u1ebfn k\u00edch ho\u1ea1t h\u1ec7 mi\u1ec5n d\u1ecbch v\u00e0 gi\u1ea3i ph\u00f3ng cytokine th\u01b0\u1eddng c\u1ea3i thi\u1ec7n trong v\u00f2ng v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n sau khi \u0111i\u1ec1u tr\u1ecb. Khi t\u00ecnh tr\u1ea1ng vi\u00eam gi\u1ea3m d\u1ea7n, m\u1ee9c n\u0103ng l\u01b0\u1ee3ng c\u00f3 th\u1ec3 d\u1ea7n tr\u1edf l\u1ea1i m\u1ee9c ban \u0111\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean, s\u1ef1 m\u1ec7t m\u1ecfi do r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft g\u00e2y ra <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/treatment\/immunotherapy\/side-effects\">t\u00e1c d\u1ee5ng ph\u1ee5<\/a> C\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n. Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00ecnh tr\u1ea1ng nh\u01b0 suy gi\u00e1p ho\u1eb7c suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, v\u00e0 t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi li\u00ean quan \u0111\u1ebfn s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i cho \u0111\u1ebfn khi nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u0169ng b\u00e1o c\u00e1o t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng sau khi ho\u00e0n th\u00e0nh li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch. \u0110\u00e2y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd r\u1ed9ng h\u01a1n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>m\u1ec7t m\u1ecfi li\u00ean quan \u0111\u1ebfn ung th\u01b0 (CRF)<\/strong>, \u0110\u00e2y l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c. M\u1ec7t m\u1ecfi do ung th\u01b0 c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 th\u1ec3 ch\u1ea5t, h\u00e0nh vi v\u00e0 th\u1ea7n kinh v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i ngay c\u1ea3 sau khi \u0111i\u1ec1u tr\u1ecb k\u1ebft th\u00fac.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh nh\u00e2n n\u00ean th\u00f4ng b\u00e1o cho \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh v\u1ec1 t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i, nghi\u00eam tr\u1ecdng ho\u1eb7c ng\u00e0y c\u00e0ng tr\u1ea7m tr\u1ecdng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, m\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a m\u1ed9t ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i li\u00ean quan \u0111\u1ebfn h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">M\u1eb9o gi\u00fap ki\u1ec3m so\u00e1t m\u1ec7t m\u1ecfi trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb mi\u1ec5n d\u1ecbch<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ec7t m\u1ecfi l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p c\u1ee7a li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch, nh\u01b0ng m\u1ed9t s\u1ed1 chi\u1ebfn l\u01b0\u1ee3c thi\u1ebft th\u1ef1c c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n duy tr\u00ec m\u1ee9c n\u0103ng l\u01b0\u1ee3ng v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1c b\u00e0i t\u1eadp nh\u1eb9 nh\u00e0ng<\/strong><strong><br><\/strong>M\u1eb7c d\u00f9 nghe c\u00f3 v\u1ebb tr\u00e1i ng\u01b0\u1ee3c v\u1edbi tr\u1ef1c gi\u00e1c, nh\u01b0ng c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t nh\u1eb9 nh\u00e0ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m m\u1ec7t m\u1ecfi. \u0110i b\u1ed9 ng\u1eafn, gi\u00e3n c\u01a1, yoga ho\u1eb7c c\u00e1c b\u00e0i t\u1eadp nh\u1eb9 nh\u00e0ng kh\u00e1c ch\u1ec9 trong 10-20 ph\u00fat m\u1ed7i ng\u00e0y c\u00f3 th\u1ec3 gi\u00fap duy tr\u00ec n\u0103ng l\u01b0\u1ee3ng, h\u1ed7 tr\u1ee3 th\u1ec3 l\u1ef1c v\u00e0 c\u1ea3i thi\u1ec7n t\u00e2m tr\u1ea1ng m\u00e0 kh\u00f4ng g\u00e2y qu\u00e1 s\u1ee9c.<\/li>\n\n\n\n<li><strong>H\u00e3y \u0111i\u1ec1u ch\u1ec9nh t\u1ed1c \u0111\u1ed9 c\u1ee7a b\u1ea1n<\/strong><strong><br><\/strong>H\u00e3y c\u1ed1 g\u1eafng l\u00ean k\u1ebf ho\u1ea1ch c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u00e0o nh\u1eefng th\u1eddi \u0111i\u1ec3m trong ng\u00e0y m\u00e0 b\u1ea1n c\u00f3 nhi\u1ec1u n\u0103ng l\u01b0\u1ee3ng nh\u1ea5t. \u01afu ti\u00ean nh\u1eefng nhi\u1ec7m v\u1ee5 quan tr\u1ecdng, chia nh\u1ecf c\u00e1c ho\u1ea1t \u0111\u1ed9ng l\u1edbn th\u00e0nh c\u00e1c b\u01b0\u1edbc nh\u1ecf h\u01a1n v\u00e0 d\u00e0nh th\u1eddi gian ngh\u1ec9 ng\u01a1i gi\u1eefa c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec3 tr\u00e1nh b\u1ecb qu\u00e1 m\u1ec7t m\u1ecfi.<\/li>\n\n\n\n<li><strong>Ngh\u1ec9 ng\u01a1i m\u1ed9t c\u00e1ch chi\u1ebfn l\u01b0\u1ee3c<\/strong><strong><br><\/strong>Nh\u1eefng gi\u1ea5c ng\u1ee7 ng\u1eafn c\u00f3 th\u1ec3 gi\u00fap ph\u1ee5c h\u1ed3i n\u0103ng l\u01b0\u1ee3ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong nh\u1eefng l\u00fac m\u1ec7t m\u1ecfi. Gi\u1edbi h\u1ea1n th\u1eddi gian ng\u1ee7 ng\u1eafn kho\u1ea3ng 15-20 ph\u00fat c\u00f3 th\u1ec3 gi\u00fap tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gi\u1ea5c ng\u1ee7 ban \u0111\u00eam.<\/li>\n\n\n\n<li><strong>Duy tr\u00ec ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng v\u00e0 hydrat h\u00f3a t\u1ed1t.<\/strong><strong><br><\/strong>Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng v\u00e0 l\u01b0\u1ee3ng n\u01b0\u1edbc \u0111\u1ea7y \u0111\u1ee7 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec n\u0103ng l\u01b0\u1ee3ng. \u0102n u\u1ed1ng c\u00e2n b\u1eb1ng v\u00e0 u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m m\u1ec7t m\u1ecfi. B\u1ec7nh nh\u00e2n b\u1ecb ch\u00e1n \u0103n, s\u1ee5t c\u00e2n ho\u1eb7c kh\u00f3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng c\u00f3 th\u1ec3 tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a chuy\u00ean gia dinh d\u01b0\u1ee1ng.<\/li>\n\n\n\n<li><strong>Th\u1ef1c h\u00e0nh th\u00f3i quen ng\u1ee7 t\u1ed1t<\/strong><strong><br><\/strong>\u0110au \u0111\u1edbn, lo l\u1eafng, c\u0103ng th\u1eb3ng v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7. Thi\u1ebft l\u1eadp th\u00f3i quen ng\u1ee7 \u0111\u1ec1u \u0111\u1eb7n v\u00e0 gi\u1ea3i quy\u1ebft c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n n\u0103ng l\u01b0\u1ee3ng ban ng\u00e0y. B\u1ec7nh nh\u00e2n b\u1ecb m\u1ea5t ng\u1ee7 k\u00e9o d\u00e0i n\u00ean th\u1ea3o lu\u1eadn c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u00ecnh v\u1edbi nh\u00f3m \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/li>\n\n\n\n<li><strong>B\u00e1o c\u00e1o ngay khi b\u1ecb m\u1ec7t m\u1ecfi nghi\u00eam tr\u1ecdng ho\u1eb7c \u0111\u1ed9t ng\u1ed9t.<\/strong><strong><br><\/strong>T\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng, nghi\u00eam tr\u1ecdng ho\u1eb7c ti\u1ebfn tri\u1ec3n nhanh ch\u00f3ng kh\u00f4ng n\u00ean b\u1ecb b\u1ecf qua, \u0111\u1eb7c bi\u1ec7t khi \u0111i k\u00e8m v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi kh\u00e1c. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, m\u1ec7t m\u1ecfi \u0111\u00e1ng k\u1ec3 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a m\u1ed9t ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i li\u00ean quan \u0111\u1ebfn h\u1ec7 mi\u1ec5n d\u1ecbch (irAE), ch\u1eb3ng h\u1ea1n nh\u01b0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p, suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, ho\u1eb7c hi\u1ebfm g\u1eb7p h\u01a1n l\u00e0 c\u01a1n suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea5p t\u00ednh. Vi\u1ec7c th\u0103m kh\u00e1m y t\u1ebf k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00ecnh tr\u1ea1ng n\u00e0y tr\u01b0\u1edbc khi ch\u00fang tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n.<\/li>\n<\/ul>","protected":false},"author":30,"featured_media":0,"menu_order":0,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"class_list":["post-28442","faq","type-faq","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Does Immunotherapy Make You Tired? | AmeriPharma Specialty Care<\/title>\n<meta name=\"description\" content=\"Yes, fatigue is one of the most common immunotherapy side effects. It can range from mild tiredness to severe exhaustion and may persist after treatment ends. Learn what causes it and how to manage it.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/cau-hoi-thuong-gap\/lieu-phap-mien-dich-co-lam-ban-met-moi-khong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Does Immunotherapy Make You Tired? | AmeriPharma Specialty Care\" \/>\n<meta property=\"og:description\" content=\"Yes, fatigue is one of the most common immunotherapy side effects. It can range from mild tiredness to severe exhaustion and may persist after treatment ends. 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