{"id":3571,"date":"2014-08-27T00:24:11","date_gmt":"2014-08-27T00:24:11","guid":{"rendered":"https:\/\/lpfch.org\/life-after-cancer-helping-children-and-families-cope-with-long-term-effects-of-cancer-survival\/"},"modified":"2024-10-23T16:33:28","modified_gmt":"2024-10-23T16:33:28","slug":"life-after-cancer-helping-children-and-families-cope-with-long-term-effects-of-cancer-survival","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/life-after-cancer-helping-children-and-families-cope-with-long-term-effects-of-cancer-survival\/","title":{"rendered":"Cu\u1ed9c s\u1ed1ng sau ung th\u01b0: Gi\u00fap tr\u1ebb em v\u00e0 gia \u0111\u00ecnh \u0111\u1ed1i ph\u00f3 v\u1edbi nh\u1eefng \u1ea3nh h\u01b0\u1edfng l\u00e2u d\u00e0i c\u1ee7a vi\u1ec7c s\u1ed1ng s\u00f3t sau ung th\u01b0"},"content":{"rendered":"

\u0110\u1ed1i v\u1edbi Claire Harding \u1edf San Mateo, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u00e3 c\u1ee9u s\u1ed1ng c\u00f4 b\u00e9 \u2013 v\u00e0 thay \u0111\u1ed5i cu\u1ed9c \u0111\u1eddi c\u00f4 b\u00e9. Ch\u1ec9 v\u00e0i ng\u00e0y tr\u01b0\u1edbc sinh nh\u1eadt l\u1ea7n th\u1ee9 m\u01b0\u1eddi, c\u00f4 b\u00e9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc u nguy\u00ean b\u00e0o t\u1ee7y, m\u1ed9t kh\u1ed1i u n\u00e3o \u00e1c t\u00ednh. Sau ca ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf kh\u1ed1i u, s\u00e1u tu\u1ea7n x\u1ea1 tr\u1ecb v\u00f9ng \u0111\u1ea7u v\u00e0 c\u1ed9t s\u1ed1ng, c\u00f9ng m\u1ed9t n\u0103m h\u00f3a tr\u1ecb, Claire \u0111\u00e3 kh\u1ecfi ung th\u01b0. \u0110\u00f3 l\u00e0 chuy\u1ec7n c\u1ee7a h\u01a1n 10 n\u0103m v\u1ec1 tr\u01b0\u1edbc.<\/p>\n

Hi\u1ec7n t\u1ea1i, Claire l\u00e0 sinh vi\u00ean n\u0103m ba t\u1ea1i \u0110\u1ea1i h\u1ecdc Samuel Merritt, \u0111ang theo h\u1ecdc ng\u00e0nh y t\u00e1 \u2013 m\u1ed9t l\u1ef1a ch\u1ecdn ngh\u1ec1 nghi\u1ec7p, theo c\u00f4, l\u00e0 k\u1ebft qu\u1ea3 tr\u1ef1c ti\u1ebfp t\u1eeb nh\u1eefng tr\u1ea3i nghi\u1ec7m th\u1eddi th\u01a1 \u1ea5u c\u1ee7a c\u00f4. \u201cY t\u00e1 l\u00e0 m\u1ed9t ph\u1ea7n kh\u00f4ng th\u1ec3 thi\u1ebfu trong cu\u1ed9c s\u1ed1ng c\u1ee7a t\u00f4i,\u201d c\u00f4 nh\u1edb l\u1ea1i.<\/p>\n

M\u1eb7c d\u00f9 b\u1ecf l\u1ee1 h\u1ea7u h\u1ebft ch\u01b0\u01a1ng tr\u00ecnh l\u1edbp b\u1ed1n v\u00e0 l\u1edbp n\u0103m, Claire v\u1eabn theo k\u1ecbp ch\u01b0\u01a1ng tr\u00ecnh h\u1ecdc b\u1eb1ng c\u00e1ch theo h\u1ecdc t\u1ea1i Tr\u01b0\u1eddng Nhi khoa Packard, n\u01a1i c\u00f4 b\u00e9 \u0111\u01b0\u1ee3c k\u00e8m c\u1eb7p ri\u00eang \u0111\u1ec3 ho\u00e0n th\u00e0nh b\u00e0i t\u1eadp m\u1ed7i tu\u1ea7n. Hi\u1ec7n t\u1ea1i, \u1edf tu\u1ed5i 20, ngo\u00e0i vi\u1ec7c c\u00f3 th\u00eam th\u1eddi gian l\u00e0m b\u00e0i ki\u1ec3m tra, Claire kh\u00f4ng g\u1eb7p b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 h\u1ecdc t\u1eadp n\u00e0o kh\u00e1c.<\/p>\n

Nh\u01b0ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u1ec3 l\u1ea1i d\u1ea5u \u1ea5n tr\u00ean th\u1ec3 ch\u1ea5t c\u1ee7a c\u00f4. C\u00f4 b\u1ecb m\u1ea5t th\u00ednh l\u1ef1c t\u1ea7n s\u1ed1 cao, r\u1ed1i lo\u1ea1n m\u1eaft nh\u1eb9, suy gi\u00e1p v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u1edf m\u1eaft c\u00e1 ch\u00e2n, m\u1ed9t t\u00ecnh tr\u1ea1ng g\u1ecdi l\u00e0 b\u00e0n ch\u00e2n r\u1ee7. C\u00f4 ti\u1ebfp t\u1ee5c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u th\u01b0\u1eddng xuy\u00ean, u\u1ed1ng thu\u1ed1c b\u1ed5 sung hormone h\u00e0ng ng\u00e0y v\u00e0 mang n\u1eb9p ch\u1ec9nh h\u00ecnh trong gi\u00e0y. Tuy nhi\u00ean, Claire kh\u00f4ng \u0111\u1ec3 \u00fd \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nh\u1eefng di ch\u1ee9ng mu\u1ed9n, n\u00f3i r\u1eb1ng c\u0103n b\u1ec7nh ung th\u01b0 c\u1ee7a c\u00f4 l\u00e0 m\u1ed9t \u0111i\u1ec1u may m\u1eafn. "Gi\u1edd \u0111\u00e2y, t\u00f4i \u0111\u00e3 \u0111\u1ed3ng c\u1ea3m h\u01a1n r\u1ea5t nhi\u1ec1u nh\u1edd c\u0103n b\u1ec7nh c\u1ee7a m\u00ecnh", c\u00f4 n\u00f3i.<\/p>\n

Kh\u00f4ng ph\u1ea3i b\u1ec7nh nh\u00e2n ung th\u01b0 th\u1eddi th\u01a1 \u1ea5u n\u00e0o c\u0169ng may m\u1eafn nh\u01b0 Claire. Nhi\u1ec1u ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1ecf tu\u1ed5i nh\u1ea5t ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u nh\u1ea5t, b\u1ecb suy gi\u1ea3m nh\u1eadn th\u1ee9c v\u00e0 h\u1ea1n ch\u1ebf th\u1ec3 ch\u1ea5t nghi\u00eam tr\u1ecdng h\u01a1n nhi\u1ec1u sau khi \u0111i\u1ec1u tr\u1ecb. Hi\u1ec7n nay, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard \u0111ang n\u1ed7 l\u1ef1c kh\u00f4ng ng\u1eebng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng n\u00e0y.<\/p>\n

\u0110\u01b0\u1eddng d\u00e2y \u0111i\u1ec1u tr\u1ecb<\/h2>\n

T\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t sau ung th\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 khi c\u00e1c b\u00e1c s\u0129 ung th\u01b0 b\u1eaft \u0111\u1ea7u k\u1ebft h\u1ee3p c\u00e1c li\u1ec7u ph\u00e1p hi\u1ec7n c\u00f3 v\u00e0 t\u0103ng li\u1ec1u l\u01b0\u1ee3ng. Nh\u01b0ng th\u00e0nh c\u00f4ng \u0111\u00f3 c\u0169ng ph\u1ea3i tr\u1ea3 gi\u00e1. H\u01a1n 70% tr\u1ebb em tr\u1ea3i qua ph\u1eabu thu\u1eadt, x\u1ea1 tr\u1ecb ho\u1eb7c h\u00f3a tr\u1ecb m\u1eafc c\u00e1c b\u1ec7nh m\u00e3n t\u00ednh sau khi \u0111i\u1ec1u tr\u1ecb, m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 mu\u1ed9n.<\/p>\n

\u201cM\u1eb7c d\u00f9 ch\u00fang t\u00f4i v\u00f4 c\u00f9ng vui m\u1eebng v\u1ec1 s\u1ef1 gia t\u0103ng t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t, nh\u01b0ng r\u00f5 r\u00e0ng l\u00e0 ph\u1ea3i tr\u1ea3 gi\u00e1,\u201d Ti\u1ebfn s\u0129, B\u00e1c s\u0129 Harvey Cohen, Gi\u00e1o s\u01b0 Nhi khoa Gia \u0111\u00ecnh Deborah E. Addicott-John A. Kriewall v\u00e0 Elizabeth A. Haehl, cho bi\u1ebft. \u201cT\u00f4i g\u1ecdi \u0111\u00f3 l\u00e0 n\u1ed7i \u0111au chi\u1ebfn th\u1eafng \u2013 ch\u00fang t\u00f4i \u0111\u00e3 ch\u1eefa kh\u1ecfi b\u1ec7nh ung th\u01b0 cho \u0111\u1ee9a tr\u1ebb, nh\u01b0ng \u0111\u00f3 l\u00e0 n\u1ed7i \u0111au v\u00ec nh\u1eefng di ch\u1ee9ng mu\u1ed9n.\u201d<\/p>\n

\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan v\u00e0 x\u01b0\u01a1ng; thay \u0111\u1ed5i ch\u1ee9c n\u0103ng c\u01a1 th\u1ec3, s\u1ef1 t\u0103ng tr\u01b0\u1edfng, ph\u00e1t tri\u1ec3n, t\u00e2m tr\u1ea1ng, c\u1ea3m x\u00fac v\u00e0 h\u00e0nh \u0111\u1ed9ng c\u1ee7a tr\u1ebb; g\u00e2y ra nh\u1eefng khi\u1ebfm khuy\u1ebft v\u1ec1 t\u01b0 duy, h\u1ecdc t\u1eadp v\u00e0 tr\u00ed nh\u1edb; v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc ung th\u01b0 th\u1ee9 ph\u00e1t.<\/p>\n

Ti\u1ebfn s\u0129, Ti\u1ebfn s\u0129 Michelle Monje-Deisseroth, ph\u00f3 gi\u00e1o s\u01b0 khoa th\u1ea7n kinh h\u1ecdc v\u00e0 khoa h\u1ecdc th\u1ea7n kinh cho bi\u1ebft: "\u0110\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong th\u1eadp k\u1ef7 qua nh\u1eb1m t\u1ed1i \u0111a h\u00f3a kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t \u0111\u1ed3ng th\u1eddi gi\u1ea3m thi\u1ec3u \u0111\u1ed9c t\u00ednh".<\/p>\n

M\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 li\u1ec7u ph\u00e1p th\u00edch \u1ee9ng v\u1edbi r\u1ee7i ro - m\u1ed9t n\u1ed7 l\u1ef1c \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c h\u01a1n h\u1ed3 s\u01a1 r\u1ee7i ro c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, sau \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb cho ph\u00f9 h\u1ee3p. C\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u \u0111\u1ed9c t\u00ednh c\u1ee7a li\u1ec7u ph\u00e1p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 th\u1ea5p h\u01a1n v\u00e0 ch\u1ec9 \u00e1p d\u1ee5ng li\u1ec7u ph\u00e1p chuy\u00ean s\u00e2u nh\u1ea5t cho tr\u1ebb em c\u00f3 nguy c\u01a1 t\u1eed vong cao do b\u1ec7nh.<\/p>\n

Trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p, cha m\u1eb9 \u0111\u1ec1u \u0111\u01b0\u1ee3c gi\u00e1o d\u1ee5c v\u1ec1 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 ti\u1ec1m \u1ea9n v\u00e0 c\u00f3 ti\u1ebfng n\u00f3i trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho con m\u00ecnh.<\/p>\n

Ch\u0103m s\u00f3c l\u1ea5y gia \u0111\u00ecnh l\u00e0m trung t\u00e2m<\/h2>\n

Khi Rosemary v\u00e0 Geoff Walls \u1edf Napa \u0111\u01b0a c\u1eadu con trai 22 th\u00e1ng tu\u1ed5i, Luc, \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi Packard v\u00e0o n\u0103m 2006, h\u1ecd \u0111\u00e3 m\u1ea5t h\u00e0ng tu\u1ea7n tr\u1eddi ra v\u00e0o ph\u00f2ng kh\u00e1m b\u00e1c s\u0129, tuy\u1ec7t v\u1ecdng t\u00ecm hi\u1ec3u l\u00fd do t\u1ea1i sao con m\u00ecnh l\u1ea1i b\u00f2 tr\u1edf l\u1ea1i v\u00e0 n\u00f4n li\u00ean t\u1ee5c. Ch\u1ec9 v\u00e0i ph\u00fat sau khi v\u00e0o ph\u00f2ng c\u1ea5p c\u1ee9u c\u1ee7a Stanford, v\u1ee3 ch\u1ed3ng Walls \u0111\u00e3 xem k\u1ebft qu\u1ea3 ch\u1ee5p CT di \u0111\u1ed9ng v\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean nh\u00ecn th\u1ea5y kh\u1ed1i u to b\u1eb1ng qu\u1ea3 b\u00f3ng golf trong n\u00e3o con.<\/p>\n

Luc b\u1ecb kh\u1ed1i u d\u1ea1ng c\u01a1 v\u00e2n teratoid b\u1ea5t th\u01b0\u1eddng, c\u00f3 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t d\u01b0\u1edbi 10%. "V\u1ec1 c\u01a1 b\u1ea3n, \u0111\u00f3 l\u00e0 kh\u1ed1i u cu\u1ed1i c\u00f9ng m\u00e0 b\u1ea5t k\u1ef3 b\u1eadc cha m\u1eb9 n\u00e0o c\u0169ng mu\u1ed1n nghe", b\u00e1c s\u0129 Paul Fisher, b\u00e1c s\u0129 chuy\u00ean khoa ung th\u01b0 c\u1ee7a Luc, Gi\u00e1o s\u01b0 t\u1ea1i Khoa Gia \u0111\u00ecnh Beirne, cho bi\u1ebft.<\/p>\n

Ung th\u01b0 th\u1ea7n kinh nhi khoa.<\/h2>\n

V\u00ec Luc c\u00f2n qu\u00e1 nh\u1ecf, x\u1ea1 tr\u1ecb to\u00e0n b\u1ed9 n\u00e3o s\u1ebd g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn nh\u1eadn th\u1ee9c. Nh\u01b0ng v\u1ee3 ch\u1ed3ng Walls \u0111\u00e3 nghi\u00ean c\u1ee9u \u0111\u1ee7 k\u1ef9 \u0111\u1ec3 bi\u1ebft r\u1eb1ng ch\u1ec9 h\u00f3a tr\u1ecb th\u00f4i s\u1ebd kh\u00f4ng \u0111\u1ee7. "Ch\u00fang t\u00f4i bi\u1ebft ho\u00e0n c\u1ea3nh m\u00ecnh ph\u1ea3i \u0111\u1ed1i m\u1eb7t: m\u1ed9t \u0111\u1ee9a tr\u1ebb c\u00f3 th\u1ec3 b\u1ecb khuy\u1ebft t\u1eadt, ho\u1eb7c kh\u00f4ng c\u00f3 con", Geoff nh\u1edb l\u1ea1i. V\u00e0 h\u1ecd \u0111\u00e3 \u0111\u1ec1 ngh\u1ecb x\u1ea1 tr\u1ecb sau ca ph\u1eabu thu\u1eadt.<\/p>\n

Kh\u1ed1i u c\u1ee7a Luc n\u1eb1m \u1edf ph\u1ea7n d\u01b0\u1edbi n\u00e3o, n\u00ean anh ch\u1ec9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng x\u1ea1 tr\u1ecb \u0111\u1ed3ng d\u1ea1ng v\u00e0o v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng ch\u1ee9 kh\u00f4ng ph\u1ea3i to\u00e0n b\u1ed9 \u0111\u1ea7u. M\u1ed9t th\u00e1ng x\u1ea1 tr\u1ecb h\u00e0ng ng\u00e0y \u0111\u01b0\u1ee3c theo sau b\u1edfi b\u1ea3y th\u00e1ng h\u00f3a tr\u1ecb, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c m\u1edbi tr\u1ef1c ti\u1ebfp v\u00e0o d\u1ecbch n\u00e3o t\u1ee7y.<\/p>\n

H\u00f4m nay, n\u0103m n\u0103m sau, Luc v\u1eabn kh\u1ecfe m\u1ea1nh, kh\u00f4ng c\u00f2n ung th\u01b0. M\u1eb7c d\u00f9 b\u1ecb \u0111i\u1ebfc ho\u00e0n to\u00e0n b\u00ean tai tr\u00e1i v\u00e0 ph\u1ea3i \u0111eo m\u00e1y tr\u1ee3 th\u00ednh b\u00ean tai ph\u1ea3i, c\u1eadu b\u00e9 v\u1eabn n\u00f3i \u0111\u01b0\u1ee3c hai th\u1ee9 ti\u1ebfng, h\u1ecdc h\u00e0nh ch\u0103m ch\u1ec9 v\u00e0 b\u1eaft \u0111\u1ea7u h\u00f2a nh\u1eadp t\u1ed1t. Th\u1ef1c t\u1ebf, theo l\u1eddi b\u1ed1 c\u1eadu b\u00e9, h\u1ea7u h\u1ebft b\u1ea1n b\u00e8 v\u00e0 cha m\u1eb9 c\u1ee7a h\u1ecd th\u1eadm ch\u00ed c\u00f2n kh\u00f4ng bi\u1ebft v\u1ec1 b\u1ec7nh s\u1eed \u0111\u1eb7c bi\u1ec7t c\u1ee7a c\u1eadu.<\/p>\n

Vi\u1ec7c \u0111\u01b0a ra nh\u1eefng quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n n\u00e0y l\u00e0 c\u00f4ng vi\u1ec7c chung c\u1ee7a c\u1ea3 t\u1eadp th\u1ec3 t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard. B\u1ec7nh vi\u1ec7n n\u00e0y l\u00e0 th\u00e0nh vi\u00ean c\u1ee7a m\u1ed9t li\u00ean minh qu\u1ed1c gia g\u1ed3m h\u01a1n 200 b\u1ec7nh vi\u1ec7n nhi, n\u01a1i chia s\u1ebb th\u00f4ng tin m\u1edbi nh\u1ea5t v\u1ec1 c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh ung th\u01b0 ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf tr\u1ebb em. "Nh\u1edd ki\u1ebfn th\u1ee9c chung n\u00e0y", Cohen n\u00f3i, "ch\u00fang t\u00f4i \u0111\u00e3 bi\u1ebft n\u00ean s\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c n\u00e0o v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng ch\u00fang m\u1ed9t c\u00e1ch an to\u00e0n nh\u1ea5t c\u00f3 th\u1ec3."<\/p>\n

\u0110\u1ed1i v\u1edbi tr\u1ebb em \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc c\u00e1c lo\u1ea1i ung th\u01b0 hi\u1ebfm g\u1eb7p h\u01a1n, H\u1ed9i \u0111\u1ed3ng Ung th\u01b0 Nhi khoa Packard \u2013 m\u1ed9t nh\u00f3m g\u1ed3m c\u00e1c b\u00e1c s\u0129 ung th\u01b0 nhi khoa, b\u00e1c s\u0129 x\u1ea1 tr\u1ecb, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 X-quang v\u00e0 b\u00e1c s\u0129 gi\u1ea3i ph\u1eabu b\u1ec7nh \u2013 h\u1ecdp h\u00e0ng tu\u1ea7n \u0111\u1ec3 xem x\u00e9t t\u1eebng tr\u01b0\u1eddng h\u1ee3p v\u00e0 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. "C\u00e1c b\u1ea1n \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb r\u1ea5t nhi\u1ec1u chuy\u00ean gia t\u1ea1i Packard", Cohen n\u00f3i th\u00eam.<\/p>\n

B\u1ec7nh nh\u00e2n tr\u1ecdn \u0111\u1eddi<\/h2>\n

Claire v\u00e0 Luc ch\u1ec9 l\u00e0 hai trong s\u1ed1 h\u01a1n 275.000 ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau ung th\u01b0 th\u1eddi th\u01a1 \u1ea5u t\u1ea1i Hoa K\u1ef3, nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd \u0111\u1eb7c bi\u1ec7t \u0111\u00e3 b\u1ecb thay \u0111\u1ed5i m\u00e3i m\u00e3i sau qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. T\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard, nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau ung th\u01b0 th\u1eddi th\u01a1 \u1ea5u \u0111\u01b0\u1ee3c \u0111\u1ed9i ng\u0169 chuy\u00ean khoa th\u1ea7n kinh ung th\u01b0 ho\u1eb7c ph\u00f2ng kh\u00e1m S\u1ee9c kh\u1ecfe Sau \u0110i\u1ec1u tr\u1ecb (HAT) theo d\u00f5i.<\/p>\n

\u201cTr\u1ebb em v\u1eabn c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ban \u0111\u1ea7u,\u201d Fisher n\u00f3i. \u201cNh\u01b0ng v\u1ec1 vi\u1ec7c gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe l\u1edbn h\u01a1n, h\u1eadu qu\u1ea3 tr\u1ef1c ti\u1ebfp c\u1ee7a li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0, ch\u00fang ta c\u1ea7n ph\u1ea3i quan t\u00e2m \u0111\u1ebfn c\u00e1c em.\u201d<\/p>\n

Trong c\u00e1c bu\u1ed5i kh\u00e1m b\u1ec7nh \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m, b\u00e1c s\u0129 Arun Rangaswami, gi\u00e1m \u0111\u1ed1c l\u00e2m s\u00e0ng c\u1ee7a HAT, v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng vi\u00ean Verna Mitchell, b\u00e1c s\u0129 \u0111a khoa, lu\u00f4n nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. Trong c\u00e1c bu\u1ed5i kh\u00e1m k\u00e9o d\u00e0i 60 \u0111\u1ebfn 90 ph\u00fat, h\u1ecd s\u1ebd ghi ch\u00e9p ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd v\u00e0 x\u00e3 h\u1ed9i, sau \u0111\u00f3 c\u00e1 nh\u00e2n h\u00f3a vi\u1ec7c theo d\u00f5i d\u1ef1a tr\u00ean lo\u1ea1i ung th\u01b0 tr\u1ebb m\u1eafc ph\u1ea3i, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng, c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t v\u00e0 th\u00f3i quen c\u1ee7a tr\u1ebb. Sau \u0111\u00f3, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c cung c\u1ea5p l\u1ecbch tr\u00ecnh ch\u0103m s\u00f3c theo d\u00f5i, x\u00e9t nghi\u1ec7m v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m gi\u00e1m s\u00e1t c\u1ea7n thi\u1ebft.<\/p>\n

Tr\u1ebb em g\u1eb7p kh\u00f3 kh\u0103n \u1edf tr\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c t\u1ef1 \u0111\u1ed9ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn ch\u01b0\u01a1ng tr\u00ecnh Li\u00ean l\u1ea1c H\u1ed7 tr\u1ee3 Gi\u00e1o d\u1ee5c B\u1ec7nh vi\u1ec7n (HEAL), do Jeanne Kane ch\u1ec9 \u0111\u1ea1o. C\u00e1c nh\u00e2n vi\u00ean HEAL h\u1ed7 tr\u1ee3 tr\u1ebb em c\u00f3 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe y\u1ebfu, \u0111\u1ebfn t\u1eadn tr\u01b0\u1eddng \u0111\u1ec3 gi\u00e1o d\u1ee5c gi\u00e1o vi\u00ean v\u00e0 h\u1ecdc sinh v\u1ec1 nh\u1eefng di ch\u1ee9ng mu\u1ed9n c\u1ee7a b\u1ec7nh ung th\u01b0, v\u00e0 tham d\u1ef1 c\u00e1c bu\u1ed5i h\u1ecdp l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 h\u1ed7 tr\u1ee3 v\u1edbi ph\u1ee5 huynh v\u00e0 nh\u00e0 gi\u00e1o d\u1ee5c.<\/p>\n

C\u00e1c chuy\u00ean gia t\u00e2m l\u00fd th\u1ea7n kinh v\u00e0 gi\u00e1o d\u1ee5c t\u1eadn t\u00e2m c\u1ee7a HEAL s\u1ebd ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau ung th\u01b0 th\u1eddi th\u01a1 \u1ea5u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c khuy\u1ebft t\u1eadt h\u1ecdc t\u1eadp v\u00e0 h\u01b0\u1edbng d\u1eabn b\u1ea5t k\u1ef3 s\u1ef1 \u0111i\u1ec1u ch\u1ec9nh c\u1ea7n thi\u1ebft n\u00e0o t\u1ea1i tr\u01b0\u1eddng h\u1ecdc ho\u1eb7c c\u00e1c li\u1ec7u ph\u00e1p tri\u1ec7u ch\u1ee9ng ti\u1ec1m n\u0103ng. V\u00ed d\u1ee5, c\u00e1c ch\u1ea5t k\u00edch th\u00edch nh\u01b0 methylphenidate (Ritalin) c\u00f3 th\u1ec3 gi\u00fap \u00edch cho nh\u1eefng b\u1ec7nh nh\u00e2n g\u1eb7p kh\u00f3 kh\u0103n trong x\u1eed l\u00fd th\u00f4ng tin, t\u1eadp trung ho\u1eb7c ch\u00fa \u00fd, v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng m\u1ea5t tr\u00ed nh\u1edb c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n tr\u00ed nh\u1edb.<\/p>\n

Rangaswami nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c theo d\u00f5i nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau ung th\u01b0 su\u1ed1t \u0111\u1eddi. "Ch\u00fang t\u00f4i \u0111\u00e3 h\u1ecdc \u0111\u01b0\u1ee3c r\u1eb1ng vi\u1ec7c s\u1ed1ng s\u00f3t sau ung th\u01b0 kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t c\u00e2u chuy\u1ec7n c\u1ea3m \u0111\u1ed9ng", \u00f4ng n\u00f3i. "M\u1ed7i l\u1ef1a ch\u1ecdn m\u00e0 ch\u00fang t\u00f4i \u0111\u01b0a ra v\u1edbi t\u01b0 c\u00e1ch l\u00e0 ng\u01b0\u1eddi cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c \u0111\u1ec1u c\u00f3 \u1ea3nh h\u01b0\u1edfng s\u00e2u s\u1eafc \u0111\u1ebfn b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh h\u1ecd."<\/p>","protected":false},"excerpt":{"rendered":"

\u0110\u1ed1i v\u1edbi Claire Harding \u1edf San Mateo, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u00e3 c\u1ee9u s\u1ed1ng c\u00f4 b\u00e9 \u2013 v\u00e0 thay \u0111\u1ed5i cu\u1ed9c \u0111\u1eddi c\u00f4 b\u00e9. Ch\u1ec9 v\u00e0i ng\u00e0y tr\u01b0\u1edbc sinh nh\u1eadt l\u1ea7n th\u1ee9 m\u01b0\u1eddi, c\u00f4 b\u00e9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc\u2026<\/p>","protected":false},"author":17,"featured_media":3572,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[148,22],"class_list":["post-3571","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","category-patient-stories","health_topic-pediatric-cancer"],"acf":[],"yoast_head":"\nLife After Cancer: Helping Children and Families Cope with Long-Term Effects of Cancer Survival - Lucile Packard Foundation for Children's Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lpfch.org\/vi\/impact-stories\/life-after-cancer-helping-children-and-families-cope-with-long-term-effects-of-cancer-survival\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Life After Cancer: Helping Children and Families Cope with Long-Term Effects of Cancer Survival\" \/>\n<meta property=\"og:description\" content=\"For Claire Harding of San Mateo, cancer treatment was life saving \u2013 and life changing. 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