{"id":21659,"date":"2022-10-05T10:12:22","date_gmt":"2022-10-05T17:12:22","guid":{"rendered":"https:\/\/ameripharmaspe.wpengine.com\/?p=21659"},"modified":"2026-03-20T15:32:17","modified_gmt":"2026-03-20T22:32:17","slug":"hemophagocytic-lymphohistiocytosis-hlh","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/","title":{"rendered":"T\u0103ng sinh lympho b\u00e0o th\u1ef1c b\u00e0o m\u00e1u (HLH)"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng Lymphohistiocytosis (HLH) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 ch\u0103m s\u00f3c t\u00edch c\u1ef1c. \u0110\u00e2y l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch hi\u1ebfm g\u1eb7p, v\u1edbi s\u1ef1 ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c kh\u00f4ng ki\u1ec3m so\u00e1t c\u1ee7a c\u00e1c t\u1ebf b\u00e0o s\u00e1t th\u1ee7 m\u00e1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ebf b\u00e0o T (t\u1ebf b\u00e0o T g\u00e2y \u0111\u1ed9c v\u00e0 t\u1ebf b\u00e0o s\u00e1t th\u1ee7 t\u1ef1 nhi\u00ean) v\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o. B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi ph\u1ea3n \u1ee9ng vi\u00eam qu\u00e1 m\u1ee9c. C\u00e1c t\u1ebf b\u00e0o th\u1ef1c b\u00e0o ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c (t\u1ebf b\u00e0o T s\u00e1t th\u1ee7) c\u00f3 th\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u kh\u00e1c v\u00e0 ti\u00eau th\u1ee5 h\u1ed3ng c\u1ea7u (h\u1ed9i ch\u1ee9ng th\u1ef1c b\u00e0o m\u00e1u).<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-736c90b4f8c73c55b53185e172a44bb9\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tNh\u1eadn tr\u1ee3 gi\u00fap \u0111\u1ed3ng thanh to\u00e1n\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tN\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t chuy\u00ean gia\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<p><span style=\"font-weight: 400;\">HLH l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ti\u1ebfn tri\u1ec3n nhanh v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong, ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb s\u01a1 sinh v\u00e0 ng\u01b0\u1eddi tr\u1ebb, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i.<\/span><\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Chuy\u1ec3n \u0111\u1ed5i m\u1ee5c l\u1ee5c\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Chuy\u1ec3n \u0111\u1ed5i<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/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:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Types\" >C\u00e1c lo\u1ea1i<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Acquired_HLH\" >HLH m\u1eafc ph\u1ea3i<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Congenital_HLH_in_Babies\" >HLH b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Causes\" >Nguy\u00ean nh\u00e2n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Difference_Between_Leukemia_and_HLH\" >S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa b\u1ec7nh b\u1ea1ch c\u1ea7u v\u00e0 HLH<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Signs_and_Symptoms\" >D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Fever\" >S\u1ed1t<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Cytopenia\" >Gi\u1ea3m t\u1ebf b\u00e0o m\u00e1u<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Hepatosplenomegaly\" >Gan l\u00e1ch to<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Enlarged_Lymph_Nodes\" >H\u1ea1ch b\u1ea1ch huy\u1ebft to<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Jaundice\" >V\u00e0ng da<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Neurological_Dysfunction\" >R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Renal_and_Cardiac_Problems\" >C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn v\u00e0 tim<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Hyperferritinemia\" >T\u0103ng ferritin m\u00e1u<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Other_Symptoms\" >C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Diagnosis\" >Ch\u1ea9n \u0111o\u00e1n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Treatment\" >S\u1ef1 \u0111\u1ed1i \u0111\u00e3i<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Medical_Treatment\" >\u0110i\u1ec1u tr\u1ecb y t\u1ebf<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Autologous_Stem_Cell_Transplant\" >Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Important_Points_To_Remember\" >Nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng c\u1ea7n nh\u1edb<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Survival_Rate\" >T\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/hemophagocytic-lymphohistiocytosis-hlh\/#Ongoing_Research\" >Nghi\u00ean c\u1ee9u \u0111ang di\u1ec5n ra<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Types\"><\/span><span style=\"font-weight: 400;\">C\u00e1c lo\u1ea1i<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">HLH c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 b\u1ea9m sinh ho\u1eb7c m\u1eafc ph\u1ea3i.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Acquired_HLH\"><\/span><span style=\"font-weight: 400;\">HLH m\u1eafc ph\u1ea3i<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">HLH m\u1eafc ph\u1ea3i c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n m\u1eafc HLH m\u1eafc ph\u1ea3i l\u00e0 nh\u1eefng ng\u01b0\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch. HLH m\u1eafc ph\u1ea3i th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 HLH th\u1ee9 ph\u00e1t v\u00ec n\u00f3 ch\u1ee7 y\u1ebfu l\u00e0 th\u1ee9 ph\u00e1t sau m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n, n\u1ea5m ho\u1eb7c vi-r\u00fat nh\u01b0 vi-r\u00fat Epstein-Barr ho\u1eb7c vi-r\u00fat cytomegalovirus g\u00e2y ra<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ung th\u01b0 bi\u1ec3u m\u00f4 nh\u01b0 u lympho t\u1ebf b\u00e0o T ho\u1eb7c <\/span><a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/prostate-adenocarcinoma\"><span style=\"font-weight: 400;\">ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/span><\/a><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c b\u1ec7nh \u00e1c t\u00ednh v\u1ec1 huy\u1ebft h\u1ecdc (v\u00ed d\u1ee5, b\u1ec7nh b\u1ea1ch c\u1ea7u)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n nh\u01b0 c\u00e1c b\u1ec7nh t\u1ea5n c\u00f4ng t\u1ee7y x\u01b0\u01a1ng (t\u1ee9c l\u00e0 c\u00e1c b\u1ec7nh th\u1ea5p kh\u1edbp)<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c b\u1ec7nh x\u1ea3y ra do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch b\u1ecb \u1ee9c ch\u1ebf do s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, v.v.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Congenital_HLH_in_Babies\"><\/span><span style=\"font-weight: 400;\">HLH b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng HLH b\u1ea9m sinh ho\u1eb7c gia \u0111\u00ecnh l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n di truy\u1ec1n m\u00e0 tr\u1ebb em th\u1eeba h\u01b0\u1edfng. H\u1ed9i ch\u1ee9ng HLH gia \u0111\u00ecnh kh\u1edfi ph\u00e1t \u1edf \u0111\u1ed9 tu\u1ed5i r\u1ea5t s\u1edbm, th\u01b0\u1eddng theo sau b\u1edfi m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng th\u00f4ng th\u01b0\u1eddng. Tr\u1ebb s\u01a1 sinh b\u1ecb s\u1ed1t v\u00e0 t\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u1ebf b\u00e0o T ti\u00eau di\u1ec7t t\u1ef1 nhi\u00ean, \u0111\u1eb7c tr\u01b0ng b\u1edfi ph\u1ea3n \u1ee9ng vi\u00eam qu\u00e1 m\u1ee9c v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u gi\u1ea3m to\u00e0n th\u1ec3 huy\u1ebft c\u1ea7u (gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng c\u1ee7a ba lo\u1ea1i t\u1ebf b\u00e0o m\u00e1u - h\u1ed3ng c\u1ea7u, b\u1ea1ch c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u). C\u00f3 s\u1ed1t c\u00f9ng v\u1edbi gan to (gan to) v\u00e0 l\u00e1ch to (l\u00e1ch to). H\u1ed9i ch\u1ee9ng HLH b\u1ea9m sinh c\u00f3 t\u1edbi n\u0103m ph\u00e2n nh\u00f3m v\u1edbi c\u00e1c \u0111\u1ed9t bi\u1ebfn \u1edf c\u00e1c gen kh\u00e1c nhau li\u00ean quan \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u h\u00f2a s\u1ea3n xu\u1ea5t v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o th\u1ef1c b\u00e0o m\u00e1u. H\u1ed9i ch\u1ee9ng HLH b\u1ea9m sinh c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &quot;b\u1ec7nh t\u0103ng sinh lymphohistiocytosis m\u00e1u nguy\u00ean ph\u00e1t&quot;.&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Causes\"><\/span><span style=\"font-weight: 400;\">Nguy\u00ean nh\u00e2n<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a HLH. Ng\u01b0\u1eddi ta tin r\u1eb1ng n\u00f3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n h\u1eadu nhi\u1ec5m tr\u00f9ng m\u00e0 v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. Nguy\u00ean nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t l\u00e0 do nhi\u1ec5m tr\u00f9ng, b\u1ec7nh \u00e1c t\u00ednh ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c h\u00f3a tr\u1ecb li\u1ec7u ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch t\u1ea5n c\u00f4ng v\u1eadt ch\u1ea5t di truy\u1ec1n c\u1ee7a t\u1ebf b\u00e0o, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf t\u1ee7y x\u01b0\u01a1ng, n\u01a1i s\u1ea3n xu\u1ea5t ch\u00ednh c\u00e1c t\u1ebf b\u00e0o m\u00e1u. S\u1ef1 t\u1ed5n th\u01b0\u01a1ng DNA n\u00e0y g\u00e2y ra s\u1ef1 s\u1ea3n xu\u1ea5t qu\u00e1 m\u1ee9c m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o nh\u1ea5t \u0111\u1ecbnh (v\u00ed d\u1ee5: \u0111\u1ea1i th\u1ef1c b\u00e0o, t\u1ebf b\u00e0o T g\u00e2y \u0111\u1ed9c t\u1ebf b\u00e0o v\u00e0 t\u1ebf b\u00e0o T s\u00e1t th\u1ee7 t\u1ef1 nhi\u00ean). C\u00e1c t\u1ebf b\u00e0o th\u1ef1c b\u00e0o n\u00e0y t\u1ea1o ra ph\u1ea3n \u1ee9ng vi\u00eam qu\u00e1 m\u1ee9c v\u00e0 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 (v\u00ed d\u1ee5: h\u1ed3ng c\u1ea7u, ti\u1ec3u c\u1ea7u, b\u1ea1ch c\u1ea7u h\u1ea1t, v.v.), d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng gi\u1ea3m to\u00e0n b\u1ed9 t\u1ebf b\u00e0o m\u00e1u (\u1ee9c ch\u1ebf c\u1ea3 ba d\u00f2ng t\u1ebf b\u00e0o).<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Difference_Between_Leukemia_and_HLH\"><\/span><span style=\"font-weight: 400;\">S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa b\u1ec7nh b\u1ea1ch c\u1ea7u v\u00e0 HLH<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa <\/span><a href=\"https:\/\/www.cancer.org\/cancer\/acute-myeloid-leukemia\/about\/what-is-aml.html\"><span style=\"font-weight: 400;\">b\u1ec7nh b\u1ea1ch c\u1ea7u t\u1ee7y<\/span><\/a><span style=\"font-weight: 400;\"> v\u00e0 b\u1ec7nh HLH. Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh b\u1ea1ch c\u1ea7u c\u00f3 th\u1ec3 b\u1ecb HLH th\u1ee9 ph\u00e1t. B\u1ec7nh b\u1ea1ch c\u1ea7u c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ung th\u01b0 b\u1ea1ch c\u1ea7u. Trong t\u00ecnh tr\u1ea1ng n\u00e0y, c\u00f3 s\u1ef1 gia t\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u non b\u1ea5t th\u01b0\u1eddng (WBC) kh\u00f4ng th\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. M\u1eb7c d\u00f9 c\u00f3 s\u1ef1 gia t\u0103ng s\u1ea3n xu\u1ea5t WBC (\u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o v\u00e0 t\u1ebf b\u00e0o T) trong HLH, nh\u01b0ng \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 c\u00e1c t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng; thay v\u00e0o \u0111\u00f3, ch\u00fang l\u00e0 c\u00e1c t\u1ebf b\u00e0o s\u00e1t th\u1ee7 ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c, ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o x\u1ea5u v\u00e0 c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh kh\u00e1c nhau. Do ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c, ch\u00fang th\u01b0\u1eddng t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u t\u1ed1t b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 (bao g\u1ed3m ho\u1ea1t \u0111\u1ed9ng chung c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch), d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh b\u1ea1ch c\u1ea7u.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-11f005eae21ec3ead017ceee2e28c809\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tTham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a chuy\u00ean gia h\u00f3a tr\u1ecb\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tNh\u1eadn h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb h\u00f3a tr\u1ecb\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">L\u00ean l\u1ecbch t\u01b0 v\u1ea5n<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Signs_and_Symptoms\"><\/span><span style=\"font-weight: 400;\">D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">HLH l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111a h\u1ec7 th\u1ed1ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan nh\u01b0 t\u1ee7y x\u01b0\u01a1ng, gan, l\u00e1ch, n\u00e3o, th\u1eadn v\u00e0 tim, c\u0169ng nh\u01b0 c\u00e1c m\u00f4 c\u01a1 th\u1ec3 n\u00f3i chung. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i trong b\u1ec7nh HLH bao g\u1ed3m:<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fever\"><\/span><span style=\"font-weight: 400;\">S\u1ed1t<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"420\" height=\"280\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature.jpg\" alt=\"Nurse taking temperature\" class=\"wp-image-21665\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature.jpg 420w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature-300x200.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature-330x220.jpg 330w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature-86x57.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature-167x111.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature-280x187.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2022\/10\/nurse-taking-temperature-370x247.jpg 370w\" sizes=\"auto, (max-width: 420px) 100vw, 420px\" \/><\/figure>\n<\/div>\n\n\n<p><span style=\"font-weight: 400;\">Do ph\u1ea3n \u1ee9ng vi\u00eam qu\u00e1 m\u1ee9c c\u1ee7a b\u1ea1ch c\u1ea7u, l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u l\u01b0u th\u00f4ng t\u0103ng l\u00ean <\/span><a href=\"https:\/\/www.nature.com\/subjects\/lymphokines\"><span style=\"font-weight: 400;\">lymphokine<\/span><\/a><span style=\"font-weight: 400;\"> ch\u1eb3ng h\u1ea1n nh\u01b0 interleukin v\u00e0 bradykinin ki\u1ec3m so\u00e1t nhi\u1ec1u ch\u1ee9c n\u0103ng kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3 nh\u01b0 \u0111i\u1ec1u h\u00f2a nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn s\u1ed1t v\u00e0 t\u00edch t\u1ee5 d\u1ecbch trong c\u00e1c m\u00f4.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cytopenia\"><\/span><span style=\"font-weight: 400;\">Gi\u1ea3m t\u1ebf b\u00e0o m\u00e1u<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c t\u1ebf b\u00e0o th\u1ef1c b\u00e0o ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c b\u1eaft \u0111\u1ea7u t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o m\u00e1u ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, d\u1eabn \u0111\u1ebfn gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u00fap ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng. Th\u00f4ng th\u01b0\u1eddng, t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i t\u1ebf b\u00e0o m\u00e1u \u0111\u1ec1u gi\u1ea3m v\u00e0 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c ch\u1ee9c n\u0103ng kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ea1n ph\u1ea3i x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng xuy\u00ean (v\u00ed d\u1ee5: CBC, v.v.). N\u1ed3ng \u0111\u1ed9 h\u1ed3ng c\u1ea7u th\u1ea5p c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 th\u1edf do gi\u1ea3m cung c\u1ea5p oxy cho c\u00e1c m\u00f4. B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, da l\u1ea1nh, nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u v\u00e0 da v\u00e0ng nh\u1ee3t. N\u1ebfu b\u1ea1n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u, h\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n. V\u1edbi s\u1ef1 ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, b\u1ea1ch c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u, b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 b\u1ecb thi\u1ebfu m\u00e1u, kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi, nh\u01b0ng quan tr\u1ecdng h\u01a1n, b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng do vi khu\u1ea9n, n\u1ea5m, vi-r\u00fat v\u00e0 ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hepatosplenomegaly\"><\/span><span style=\"font-weight: 400;\">Gan l\u00e1ch to<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Th\u00f4ng th\u01b0\u1eddng, s\u1ef1 ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o m\u00e1u di\u1ec5n ra \u1edf t\u1ee7y x\u01b0\u01a1ng, gan, l\u00e1ch v\u00e0 h\u1ea1ch b\u1ea1ch huy\u1ebft. Th\u1ef1c b\u00e0o c\u00f3 th\u1ec3 t\u00edch t\u1ee5 trong l\u00e1ch v\u00e0 gan, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng l\u00e1ch to ra. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, t\u00ecnh tr\u1ea1ng l\u00e1ch to ra c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y tr\u00ean b\u1ec1 m\u1eb7t c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u00f9ng b\u1ee5ng. Gan to c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, bao g\u1ed3m v\u00e0ng da (s\u1ebd \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn sau), \u0111au b\u1ee5ng v\u00e0 n\u00f4n m\u1eeda.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Enlarged_Lymph_Nodes\"><\/span><span style=\"font-weight: 400;\">H\u1ea1ch b\u1ea1ch huy\u1ebft to<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">S\u1ef1 t\u00edch t\u1ee5 th\u1ef1c b\u00e0o trong c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft khi\u1ebfn ch\u00fang to ra. C\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft b\u1ecb s\u01b0ng l\u00ean, v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au v\u00e0 nh\u1ea1y c\u1ea3m tr\u00ean da.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Jaundice\"><\/span><span style=\"font-weight: 400;\">V\u00e0ng da<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">S\u1ef1 ph\u00e1 h\u1ee7y h\u1ed3ng c\u1ea7u t\u1ea1o ra bilirubin, s\u1ea3n ph\u1ea9m ph\u00e2n h\u1ee7y c\u1ee7a hemoglobin. Bilirubin n\u00e0y \u0111\u01b0\u1ee3c li\u00ean h\u1ee3p v\u1edbi c\u00e1c mu\u1ed1i nh\u01b0 glucuronate \u0111\u1ec3 d\u1ec5 h\u00f2a tan h\u01a1n, t\u1eeb \u0111\u00f3 d\u1ec5 d\u00e0ng \u0111\u00e0o th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1ed3ng c\u1ea7u b\u1ecb ph\u00e1 h\u1ee7y nghi\u00eam tr\u1ecdng, s\u1ea3n xu\u1ea5t bilirubin t\u0103ng l\u00ean c\u00f9ng v\u1edbi s\u1ef1 li\u00ean h\u1ee3p gi\u1ea3m do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan. Bilirubin b\u1eaft \u0111\u1ea7u t\u00edch t\u1ee5 trong m\u00e1u, d\u1eabn \u0111\u1ebfn v\u00e0ng da.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Neurological_Dysfunction\"><\/span><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">B\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh nh\u01b0 <\/span><a href=\"https:\/\/www.ninds.nih.gov\/health-information\/disorders\/encephalopathy\"><span style=\"font-weight: 400;\">b\u1ec7nh n\u00e3o<\/span><\/a><span style=\"font-weight: 400;\">. R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh l\u00e0 th\u1ee9 ph\u00e1t do n\u1ed3ng \u0111\u1ed9 bilirubin, ferritin, triglyceride v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m ph\u00e2n h\u1ee7y t\u1ebf b\u00e0o kh\u00e1c t\u0103ng cao. Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a n\u00e3o. T\u0103ng triglyceride m\u00e1u c\u00f3 th\u1ec3 g\u00e2y nh\u1ed3i m\u00e1u n\u00e3o th\u1ee9 ph\u00e1t do c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Renal_and_Cardiac_Problems\"><\/span><span style=\"font-weight: 400;\">C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn v\u00e0 tim<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">N\u1ed3ng \u0111\u1ed9 bilirubin kh\u00f4ng li\u00ean h\u1ee3p t\u0103ng cao \u0111\u00f4i khi c\u00f3 th\u1ec3 g\u00e2y suy th\u1eadn n\u1eb7ng. N\u00f3 ph\u00e1 h\u1ee7y c\u00e1c \u1ed1ng th\u1eadn\/nephron b\u1eb1ng c\u00e1ch ch\u1eb7n ch\u00fang. T\u0103ng triglyceride m\u00e1u c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch nh\u01b0: <\/span><a href=\"https:\/\/www.baptisthealth.com\/services\/heart-care\/conditions\/arteriosclerosis\"><span style=\"font-weight: 400;\">x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/span><\/a><span style=\"font-weight: 400;\">, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hyperferritinemia\"><\/span><span style=\"font-weight: 400;\">T\u0103ng ferritin m\u00e1u<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">T\u0103ng ferritin m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng n\u1ed3ng \u0111\u1ed9 ferritin, m\u1ed9t protein li\u00ean k\u1ebft s\u1eaft trong huy\u1ebft t\u01b0\u01a1ng. S\u1ef1 ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u l\u00e0m t\u0103ng h\u00e0m l\u01b0\u1ee3ng s\u1eaft t\u1ef1 do trong m\u00e1u. L\u01b0\u1ee3ng s\u1eaft d\u01b0 th\u1eeba n\u00e0y li\u00ean k\u1ebft v\u1edbi ferritin v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh d\u1ea1ng d\u1ef1 tr\u1eef. N\u1ed3ng \u0111\u1ed9 s\u1eaft t\u0103ng cao k\u00e9o d\u00e0i s\u1ebd d\u1eabn \u0111\u1ebfn t\u0103ng s\u1ea3n xu\u1ea5t ferritin, g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng ferritin m\u00e1u.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-5f1fb81f3e00e6a48818c82b26d2c95b\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tTh\u00f4ng tin \u0111i\u1ec1u tr\u1ecb HLH\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tNh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 cho ph\u00e9p tr\u01b0\u1edbc\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Other_Symptoms\"><\/span><span style=\"font-weight: 400;\">C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng b\u1ec7nh ph\u1ed5 bi\u1ebfn kh\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Ph\u00e1t ban da<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Bu\u1ed3n n\u00f4n<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Gi\u1ea3m c\u00e2n<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u th\u00fa v\u1ecb l\u00e0 c\u00f3 m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p HLH \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o c\u00f3 kh\u1ed1i u \u0111\u1eb7c. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, kh\u1ed1i u c\u00f3 li\u00ean quan \u0111\u1ebfn HLH v\u00e0 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong ung th\u01b0 v\u00fa, ung th\u01b0 tuy\u1ebfn gi\u00e1p v\u00e0 ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosis\"><\/span><span style=\"font-weight: 400;\">Ch\u1ea9n \u0111o\u00e1n<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Ch\u1ea9n \u0111o\u00e1n HLH r\u1ea5t kh\u00f3 kh\u0103n v\u00ec b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. Do t\u00ednh ch\u1ea5t hi\u1ebfm g\u1eb7p v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, nhi\u1ec1u khi vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ecb tr\u00ec ho\u00e3n. B\u1ec7nh th\u01b0\u1eddng b\u1ecb ch\u1ea9n \u0111o\u00e1n sai, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n v\u00e0 th\u1eadm ch\u00ed t\u1eed vong.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Theo nghi\u00ean c\u1ee9u, s\u1ed1t k\u00e9o d\u00e0i, n\u1ed3ng \u0111\u1ed9 ferritin trong m\u00e1u cao, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, <\/span><a href=\"https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/cytopenia\"><span style=\"font-weight: 400;\">gi\u1ea3m t\u1ebf b\u00e0o m\u00e1u<\/span><\/a><span style=\"font-weight: 400;\">v\u00e0 gan l\u00e1ch to l\u00e0 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m ch\u00ednh c\u1ee7a HLH khi\u1ebfn n\u00f3 kh\u00e1c v\u1edbi c\u00e1c lo\u1ea1i ung th\u01b0 WBC kh\u00e1c.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan t\u1ecfa v\u00e0 vi\u00eam lan r\u1ed9ng c\u0169ng \u0111\u01b0\u1ee3c th\u1ea5y \u1edf b\u1ec7nh nh\u00e2n HLH. Ph\u1ea7n l\u1edbn, nhi\u1ec5m tr\u00f9ng huy\u1ebft kh\u00f4ng xu\u1ea5t hi\u1ec7n do t\u00ecnh tr\u1ea1ng t\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u1ebf b\u00e0o lympho.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t c\u00f4ng c\u1ee5 r\u1ea5t h\u1eefu \u00edch trong ch\u1ea9n \u0111o\u00e1n HLH l\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u. \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc HLH, khi ch\u1ee5p m\u00e1u, ng\u01b0\u1eddi ta th\u1ea5y r\u00f5 c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c \u0111ang ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u c\u1ee7a ch\u00ednh c\u01a1 th\u1ec3 (th\u1ef1c b\u00e0o m\u00e1u), m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m ch\u00ednh c\u1ee7a b\u1ec7nh. T\u00ecnh tr\u1ea1ng t\u0103ng fibrinogen m\u00e1u \u1edf b\u1ec7nh nh\u00e2n HLH c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong m\u1ed9t s\u1ed1 d\u1ef1 \u00e1n nghi\u00ean c\u1ee9u.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Treatment\"><\/span><span style=\"font-weight: 400;\">S\u1ef1 \u0111\u1ed1i \u0111\u00e3i<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">V\u00ec HLH l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong, n\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. C\u1ea7n d\u00f9ng thu\u1ed1c c\u1ea5p c\u1ee9u \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh v\u00e0 gi\u00fap c\u01a1 th\u1ec3 ph\u1ee5c h\u1ed3i c\u00e1c ch\u1ee9c n\u0103ng quan tr\u1ecdng. Sau \u0111\u00f3, nguy\u00ean nh\u00e2n g\u00e2y ra r\u1ed1i lo\u1ea1n ti\u1ec1m \u1ea9n s\u1ebd \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n t\u00f9y theo nguy\u00ean nh\u00e2n.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Li\u1ec7u ph\u00e1p c\u00f3 hai lo\u1ea1i ch\u00ednh: n\u1ed9i khoa v\u00e0 ph\u1eabu thu\u1eadt.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Medical_Treatment\"><\/span><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb y t\u1ebf<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110\u1ea7u ti\u00ean, thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u00e0 l\u00e0m ch\u1eadm s\u1ef1 l\u00e2y lan c\u1ee7a b\u1ec7nh. Ki\u1ec3m so\u00e1t b\u1eb1ng thu\u1ed1c bao g\u1ed3m nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau. Corticosteroid nh\u01b0 dexamethasone \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ed1ng vi\u00eam. Thu\u1ed1c mi\u1ec5n d\u1ecbch tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ec7nh nh\u00e2n. N\u1ebfu HLH l\u00e0 th\u1ee9 ph\u00e1t sau m\u1ed9t s\u1ed1 b\u1ec7nh nhi\u1ec5m tr\u00f9ng nh\u01b0 nhi\u1ec5m khu\u1ea9n, virus ho\u1eb7c n\u1ea5m, c\u00e1c lo\u1ea1i kh\u00e1ng sinh t\u01b0\u01a1ng \u1ee9ng s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng (v\u00ed d\u1ee5: cyclosporine). Thu\u1ed1c \u0111a h\u00f3a tr\u1ecb ti\u00eam t\u0129nh m\u1ea1ch <\/span><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/ivig\/ivig\/\/immunoglobulins-ig\/\"><span style=\"font-weight: 400;\">globulin mi\u1ec5n d\u1ecbch<\/span><\/a><span style=\"font-weight: 400;\"> c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Ti\u1ebfp theo l\u00e0 c\u00e1c h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u1ea5t, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00f3a tr\u1ecb. Etoposide l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb li\u1ec7u ch\u00ednh \u0111\u01b0\u1ee3c d\u00f9ng cho b\u1ec7nh nh\u00e2n HLH. C\u00e1c lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c bao g\u1ed3m <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/discontinued\/cyclophosphamide\/\">cyclophosphamide<\/a>, doxorubicin, vincristine v\u00e0 prednisone.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u1ea7n l\u01b0u \u00fd r\u1eb1ng t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo ph\u01b0\u01a1ng ph\u00e1p th\u1eed nghi\u1ec7m. Kh\u00f4ng c\u00f3 thu\u1ed1c \u0111\u1eb7c hi\u1ec7u n\u00e0o \u0111\u1ec3 ch\u1eefa kh\u1ecfi HLH. Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c ho\u1eb7c gh\u00e9p t\u1ee7y x\u01b0\u01a1ng c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi b\u1ec7nh \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Autologous_Stem_Cell_Transplant\"><\/span><span style=\"font-weight: 400;\">Gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ef1 th\u00e2n&nbsp;<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><a href=\"https:\/\/iscrm.uw.edu\/how-does-stem-cell-therapy-work\/\"><span style=\"font-weight: 400;\">Li\u1ec7u ph\u00e1p t\u1ebf b\u00e0o g\u1ed1c<\/span><\/a><span style=\"font-weight: 400;\"> Li\u1ec7u ph\u00e1p t\u1ebf b\u00e0o g\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p v\u00e0 k\u1ebft qu\u1ea3 thu \u0111\u01b0\u1ee3c r\u1ea5t kh\u1ea3 quan. Li\u1ec7u ph\u00e1p t\u1ebf b\u00e0o g\u1ed1c bao g\u1ed3m vi\u1ec7c s\u1eed d\u1ee5ng t\u1ebf b\u00e0o g\u1ed1c kh\u1ecfe m\u1ea1nh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u0103n ng\u1eeba b\u1ec7nh. Trong li\u1ec7u ph\u00e1p n\u00e0y, t\u1ebf b\u00e0o g\u1ed1c \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb m\u1ed9t c\u00e1 th\u1ec3 kh\u1ecfe m\u1ea1nh v\u00e0 c\u1ea5y gh\u00e9p v\u00e0o t\u1ee7y x\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed9t lo\u1ea1t c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe th\u1ec3 ch\u1ea5t, t\u1eeb \u0111\u00f3 x\u00e1c \u0111\u1ecbnh xem b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c qu\u00e1 tr\u00ecnh c\u1ea5y gh\u00e9p hay kh\u00f4ng. Sau \u0111\u00f3, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o t\u1ee7y x\u01b0\u01a1ng b\u1ecb khi\u1ebfm khuy\u1ebft, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho c\u00e1c t\u1ebf b\u00e0o m\u1edbi \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &quot;\u0111i\u1ec1u ki\u1ec7n h\u00f3a&quot;. Sau khi \u0111i\u1ec1u ki\u1ec7n h\u00f3a th\u00e0nh c\u00f4ng, t\u1ebf b\u00e0o g\u1ed1c t\u1eeb ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng kh\u1ecfe m\u1ea1nh, t\u01b0\u01a1ng th\u00edch s\u1ebd \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p v\u00e0o t\u1ee7y x\u01b0\u01a1ng c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n sau \u0111\u00f3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf li\u00ean t\u1ee5c.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t trong nh\u1eefng h\u1ea1n ch\u1ebf l\u1edbn c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u00e0o th\u1ea3i gh\u00e9p. C\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o m\u1edbi \u0111\u01b0\u1ee3c gh\u00e9p. M\u1ed9t v\u1ea5n \u0111\u1ec1 l\u1edbn kh\u00e1c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u1ec9 c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi h\u1ed9i ch\u1ee9ng HLH th\u1ec3 gia \u0111\u00ecnh. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0 100%; thay v\u00e0o \u0111\u00f3, t\u1ef7 l\u1ec7 gh\u00e9p th\u00e0nh c\u00f4ng ch\u1ec9 \u1edf m\u1ee9c 40%.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-ddb6fca1d636f2bd2145a3eb9d9886c0\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tNh\u1eadn tr\u1ee3 gi\u00fap \u0111\u1ed3ng thanh to\u00e1n\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tN\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t chuy\u00ean gia\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">Nh\u1eadn \u0111\u00e1nh gi\u00e1 mi\u1ec5n ph\u00ed<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Important_Points_To_Remember\"><\/span><span style=\"font-weight: 400;\">Nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng c\u1ea7n nh\u1edb<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u0111i\u1ec3m quan tr\u1ecdng c\u1ea7n nh\u1edb v\u1ec1 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb:<\/span><span style=\"font-weight: 400;\"><br><\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Kh\u00f4ng bao gi\u1edd t\u1ef1 \u00fd \u0111i\u1ec1u tr\u1ecb.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Lu\u00f4n lu\u00f4n tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 b\u1ea5t c\u1ee9 khi n\u00e0o b\u1ea1n c\u1ea3m th\u1ea5y b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o. N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y b\u1ea5t k\u1ef3 s\u1ef1 ph\u00ecnh to n\u00e0o \u1edf v\u00f9ng b\u1ee5ng ho\u1eb7c c\u1ed5, b\u1eb9n, v\u00fa ho\u1eb7c v\u00f9ng n\u00e1ch, h\u00e3y t\u00ecm ki\u1ebfm s\u1ef1 tr\u1ee3 gi\u00fap y t\u1ebf ngay l\u1eadp t\u1ee9c. Th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p CT ho\u1eb7c MRI n\u1ebfu c\u1ea7n.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c \u0111\u01b0\u1ee3c quy \u0111\u1ecbnh ri\u00eang cho t\u1eebng ng\u01b0\u1eddi. B\u00e1c s\u0129 c\u00f3 th\u1ec3 t\u0103ng ho\u1eb7c gi\u1ea3m li\u1ec1u t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh ung th\u01b0, t\u00e1c d\u1ee5ng ph\u1ee5 ho\u1eb7c ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 b\u1ea1n v\u1edbi thu\u1ed1c.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ea1n ph\u1ea3i tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. Li\u1ec1u d\u00f9ng thu\u1ed1c kh\u00f4ng \u0111\u01b0\u1ee3c nhi\u1ec1u h\u01a1n ho\u1eb7c \u00edt h\u01a1n li\u1ec1u l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n. N\u1ebfu b\u1ea1n v\u00f4 t\u00ecnh qu\u00ean li\u1ec1u, kh\u00f4ng \u0111\u01b0\u1ee3c t\u0103ng g\u1ea5p \u0111\u00f4i li\u1ec1u. Thay v\u00e0o \u0111\u00f3, h\u00e3y ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c theo l\u1ecbch tr\u00ecnh th\u00f4ng th\u01b0\u1eddng ho\u1eb7c tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 n\u1ebfu c\u1ea7n.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Khi b\u1ea1n c\u1ea3m th\u1ea5y b\u1ea5t k\u1ef3 kh\u00f3 ch\u1ecbu n\u00e0o, \u0111\u1eebng ng\u1ea7n ng\u1ea1i n\u00f3i v\u1edbi b\u00e1c s\u0129. \u0110\u1eebng che gi\u1ea5u b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o. H\u00e3y th\u00f4ng b\u00e1o \u0111\u1ea7y \u0111\u1ee7 cho b\u00e1c s\u0129 \u0111\u1ec3 h\u1ecd c\u00f3 th\u1ec3 s\u1eafp x\u1ebfp nh\u1eefng vi\u1ec7c c\u1ea7n thi\u1ebft.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n c\u1ea5p t\u00ednh ho\u1eb7c mu\u1ed9n sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u00ec c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb HLH th\u01b0\u1eddng l\u00e0 thu\u1ed1c h\u00f3a tr\u1ecb. N\u1ebfu b\u00e1c s\u0129 k\u00ea \u0111\u01a1n thu\u1ed1c cho b\u1ea1n, h\u00e3y h\u1ecfi b\u00e1c s\u0129 v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 t\u00ecm hi\u1ec3u h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 tr\u00e1nh b\u1ea5t k\u1ef3 tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p n\u00e0o trong t\u01b0\u01a1ng lai. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t sau v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y sau khi b\u1eaft \u0111\u1ea7u h\u00f3a tr\u1ecb. N\u1ebfu kh\u00f4ng, h\u00e3y li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129. H\u00e3y ch\u00fa \u00fd \u0111\u1ebfn th\u00f3i quen \u0103n u\u1ed1ng c\u1ee7a b\u1ea1n. \u0102n c\u00e1c b\u1eefa nh\u1ecf, b\u1ed1n \u0111\u1ebfn s\u00e1u l\u1ea7n m\u1ed9t ng\u00e0y v\u00e0 kh\u00f4ng \u0103n qu\u00e1 nhi\u1ec1u c\u00f9ng m\u1ed9t l\u00fac. Duy tr\u00ec \u0111\u1ee7 n\u01b0\u1edbc cho c\u01a1 th\u1ec3 v\u00e0 u\u1ed1ng n\u01b0\u1edbc trong su\u1ed1t c\u1ea3 ng\u00e0y.<\/span><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Survival_Rate\"><\/span><span style=\"font-weight: 400;\">T\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Th\u1eadt kh\u00f4ng may, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a HLH r\u1ea5t th\u1ea5p. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7y \u0111\u1ee7 c\u00f3 th\u1ec3 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. \u0110i\u1ec1u n\u00e0y l\u00e0 do nhi\u1ec1u y\u1ebfu t\u1ed1 (v\u00ed d\u1ee5: ch\u1ea9n \u0111o\u00e1n b\u1ecb b\u1ecf s\u00f3t ho\u1eb7c ch\u1ea9n \u0111o\u00e1n mu\u1ed9n, b\u1ec7nh l\u00e2y lan nhanh v\u00e0 ti\u1ebfn tri\u1ec3n, kh\u00f4ng c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh, t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a gh\u00e9p t\u1ea1ng th\u1ea5p, v.v.). N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1eed vong trong v\u00f2ng v\u00e0i tu\u1ea7n ho\u1eb7c 1 <\/span><span style=\"font-weight: 400;\">\u2013 <\/span><span style=\"font-weight: 400;\">2 th\u00e1ng. Ngay c\u1ea3 v\u1edbi \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t, m\u1ed9t ph\u1ea7n nh\u1ecf b\u1ec7nh nh\u00e2n (20% <\/span><span style=\"font-weight: 400;\">\u2013<\/span><span style=\"font-weight: 400;\"> 25%) c\u00f3 tu\u1ed5i th\u1ecd d\u1ef1 ki\u1ebfn l\u00e0 5 n\u0103m.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Hi\u1ec7n nay, m\u1ed9t ph\u00e1c \u0111\u1ed3 thu\u1ed1c m\u1edbi \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb HLH c\u00f3 t\u00ean l\u00e0 \u201c<\/span><a href=\"https:\/\/ashpublications.org\/blood\/article\/100\/7\/2367\/106167\/Treatment-of-hemophagocytic-lymphohistiocytosis\"><span style=\"font-weight: 400;\">HLH-94<\/span><\/a><span style=\"font-weight: 400;\">&quot;Giao th\u1ee9c n\u00e0y bao g\u1ed3m etoposide k\u1ebft h\u1ee3p v\u1edbi dexamethasone. \u0110i\u1ec1u n\u00e0y \u0111\u00e3 mang l\u1ea1i t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t chung l\u00e0 55% trong m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a HLH kh\u00e1c nhau \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc HLH th\u1ee9 ph\u00e1t. B\u1ec7nh nh\u00e2n m\u1eafc HLH th\u1ee9 ph\u00e1t do b\u1ec7nh t\u1ef1 mi\u1ec5n c\u00f3 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t cao h\u01a1n nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc HLH th\u1ee9 ph\u00e1t do kh\u1ed1i u nh\u01b0 u lympho t\u1ebf b\u00e0o T.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ongoing_Research\"><\/span><span style=\"font-weight: 400;\">Nghi\u00ean c\u1ee9u \u0111ang di\u1ec5n ra<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i t\u1eadp trung v\u00e0o vi\u1ec7c x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a HLH. C\u00e1c th\u1eed nghi\u1ec7m cho c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3. Vi\u1ec7c s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p t\u1ebf b\u00e0o g\u1ed1c, k\u1ef9 thu\u1eadt di truy\u1ec1n v\u00e0 c\u00f4ng ngh\u1ec7 sinh h\u1ecdc trong \u0111i\u1ec1u tr\u1ecb c\u00e1c lo\u1ea1i b\u1ec7nh n\u00e0y l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng Lymphohistiocytosis (HLH) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 ch\u0103m s\u00f3c t\u00edch c\u1ef1c. \u0110\u00e2y l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch hi\u1ebfm g\u1eb7p, v\u1edbi s\u1ef1 ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c kh\u00f4ng ki\u1ec3m so\u00e1t c\u1ee7a c\u00e1c t\u1ebf b\u00e0o s\u00e1t th\u1ee7 m\u00e1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ebf b\u00e0o T (t\u1ebf b\u00e0o T g\u00e2y \u0111\u1ed9c v\u00e0 t\u1ebf b\u00e0o s\u00e1t th\u1ee7 t\u1ef1 nhi\u00ean) v\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o.<\/p>","protected":false},"author":20,"featured_media":21661,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[4],"tags":[25],"class_list":["post-21659","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-other-health-conditions","tag-dr-haresh-jhangiani"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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