{"id":3575,"date":"2014-08-27T00:32:26","date_gmt":"2014-08-27T00:32:26","guid":{"rendered":"https:\/\/lpfch.org\/switch-packards-pediatric-transplant-program-takes-a-team-approach-to-saving-lives\/"},"modified":"2024-10-23T16:36:59","modified_gmt":"2024-10-23T16:36:59","slug":"switch-packards-pediatric-transplant-program-takes-a-team-approach-to-saving-lives","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/switch-packards-pediatric-transplant-program-takes-a-team-approach-to-saving-lives\/","title":{"rendered":"Chuy\u1ec3n \u0111\u1ed5i: Ch\u01b0\u01a1ng tr\u00ecnh c\u1ea5y gh\u00e9p nhi khoa c\u1ee7a Packard \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn theo nh\u00f3m \u0111\u1ec3 c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh"},"content":{"rendered":"

Jeremiah Kwakye \u1edf San Jose m\u1edbi ch\u1ec9 15 th\u00e1ng tu\u1ed5i khi b\u1ed1 m\u1eb9 \u0111\u01b0a em \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard \u0111\u1ec3 gh\u00e9p gan c\u1ee9u s\u1ed1ng. \u201cT\u00f4i trao con trai cho \u0111\u1ed9i ng\u0169 ph\u1eabu thu\u1eadt v\u00e0 n\u00f3i, '\u0110\u00e2y l\u00e0 \u0111\u1ee9a con duy nh\u1ea5t c\u1ee7a t\u00f4i, n\u00ean t\u00f4i c\u1ea7n c\u00e1c anh ch\u0103m s\u00f3c ch\u00e1u th\u1eadt t\u1ed1t'\u201d, Andrea Kwakye, m\u1eb9 c\u1ee7a Jeremiah, nh\u1edb l\u1ea1i. \u201c\u0110\u00f3 l\u00e0 l\u00fac t\u00f4i suy s\u1ee5p ho\u00e0n to\u00e0n. T\u00f4i v\u1eabn c\u00f2n r\u01b0ng r\u01b0ng n\u01b0\u1edbc m\u1eaft m\u1ed7i khi ngh\u0129 v\u1ec1 ng\u00e0y h\u00f4m \u0111\u00f3.\u201d<\/p>\n

Khi Jeremiah t\u1ec9nh d\u1eady sau n\u0103m gi\u1edd ph\u1eabu thu\u1eadt, t\u00ecnh tr\u1ea1ng c\u1ee7a b\u00e9 \u0111\u00e3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3. "\u0110i\u1ec1u \u0111\u1ea7u ti\u00ean t\u00f4i nh\u1eadn th\u1ea5y l\u00e0 \u0111\u00f4i m\u1eaft tr\u1eafng tuy\u1ec7t \u0111\u1eb9p c\u1ee7a b\u00e9", Andrea k\u1ec3. "Th\u1eadt kinh ng\u1ea1c, v\u00ec ch\u00fang \u0111\u00e3 v\u00e0ng hoe t\u1eeb ng\u00e0y b\u00e9 ch\u00e0o \u0111\u1eddi."<\/p>\n

Jeremiah Kwakye<\/h2>\n

T\u00ecnh tr\u1ea1ng v\u00e0ng da \u1edf m\u1eaft c\u1ee7a Jeremiah l\u00e0 do m\u1ed9t c\u0103n b\u1ec7nh di truy\u1ec1n c\u1ef1c k\u1ef3 hi\u1ebfm g\u1eb7p \u1edf gan, g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng Crigler-Najjar, m\u1ed9t t\u00ecnh tr\u1ea1ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u01b0a \u0111\u1ebfn m\u1ed9t trong m\u1ed9t tri\u1ec7u tr\u1ebb s\u01a1 sinh. C\u0103n b\u1ec7nh n\u00e0y g\u00e2y ra b\u1edfi m\u1ed9t khi\u1ebfm khuy\u1ebft di truy\u1ec1n \u1edf gan, ng\u0103n c\u1ea3n qu\u00e1 tr\u00ecnh ph\u00e2n h\u1ee7y bilirubin, m\u1ed9t s\u1eafc t\u1ed1 m\u00e0u v\u00e0ng, s\u1ea3n ph\u1ea9m ph\u1ee5 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u b\u1ecb \u0111\u00e0o th\u1ea3i. Theo th\u1eddi gian, s\u1ef1 t\u00edch t\u1ee5 bilirubin d\u01b0 th\u1eeba trong m\u00e1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng n\u00e3o.<\/p>\n

B\u00e1c s\u0129 ph\u1eabu thu\u1eadt Carlos Esquivel, Ti\u1ebfn s\u0129, B\u00e1c s\u0129 ph\u1eabu thu\u1eadt Packard v\u00e0 c\u00e1c \u0111\u1ed3ng nghi\u1ec7p c\u1ee7a \u00f4ng trong ch\u01b0\u01a1ng tr\u00ecnh gh\u00e9p gan cho tr\u1ebb em \u0111\u00e3 khuy\u1ebfn ngh\u1ecb thay th\u1ebf gan c\u1ee7a Jeremiah b\u1eb1ng m\u1ed9t c\u01a1 quan kh\u1ecfe m\u1ea1nh c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t enzyme ph\u00e1 v\u1ee1 bilirubin.<\/p>\n

\u201cHai m\u01b0\u01a1i l\u0103m n\u0103m tr\u01b0\u1edbc, m\u1ed9t \u0111\u1ee9a tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i nh\u01b0 Jeremiah \u0111\u00e3 kh\u00f4ng c\u00f3 c\u01a1 h\u1ed9i \u0111\u01b0\u1ee3c gh\u00e9p gan, v\u00ec t\u1ef7 l\u1ec7 t\u1eed vong qu\u00e1 cao,\u201d Esquivel, Gi\u00e1o s\u01b0 C\u1ea5y gh\u00e9p Nhi khoa Arnold v\u00e0 Barbara Silverman, cho bi\u1ebft. \u201cTrong ch\u01b0\u01a1ng tr\u00ecnh c\u1ee7a ch\u00fang t\u00f4i hi\u1ec7n nay, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a tr\u1ebb em \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i g\u1ea7n nh\u01b0 \u0111\u1ea1t 100 ph\u1ea7n tr\u0103m.\u201d<\/p>\n

Jeremiah, hi\u1ec7n 7 tu\u1ed5i, l\u00e0 m\u1ed9t trong nh\u1eefng c\u00e2u chuy\u1ec7n th\u00e0nh c\u00f4ng nh\u01b0 v\u1eady. "Con b\u00e9 \u0111ang h\u1ecdc r\u1ea5t gi\u1ecfi," Andrea n\u00f3i. "Con b\u00e9 l\u00e0m nh\u1eefng g\u00ec m\u1ed9t h\u1ecdc sinh l\u1edbp m\u1ed9t b\u00ecnh th\u01b0\u1eddng v\u1eabn l\u00e0m - ch\u01a1i \u0111\u00f9a, ch\u1ea1y nh\u1ea3y v\u00e0 l\u00e0m b\u1ed1 m\u1eb9 ph\u00e1t \u0111i\u00ean. Con \u0103n r\u1ea5t nhi\u1ec1u, \u0111ang l\u1edbn v\u00e0 r\u1ea5t th\u00f4ng minh."<\/p>\n

Andrea cho r\u1eb1ng s\u1ef1 thay \u0111\u1ed5i \u0111\u00e1ng kinh ng\u1ea1c c\u1ee7a con trai m\u00ecnh l\u00e0 nh\u1edd s\u1ef1 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t c\u1ee7a \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt, y t\u00e1, b\u00e1c s\u0129 chuy\u00ean khoa gan, b\u00e1c s\u0129 chuy\u00ean khoa ti\u00eau h\u00f3a, b\u00e1c s\u0129 g\u00e2y m\u00ea, tr\u1ee3 l\u00fd b\u00e1c s\u0129, \u0111i\u1ec1u ph\u1ed1i vi\u00ean c\u1ea5y gh\u00e9p, nh\u00e2n vi\u00ean x\u00e3 h\u1ed9i, chuy\u00ean gia ph\u00e1t tri\u1ec3n, chuy\u00ean gia dinh d\u01b0\u1ee1ng v\u00e0 d\u01b0\u1ee3c s\u0129.<\/p>\n

\u201cCh\u00fang t\u00f4i c\u00f3 m\u1ed9t \u0111\u1ed9i ng\u0169 gh\u00e9p t\u1ea1ng tuy\u1ec7t v\u1eddi, Jeremiah ch\u1eafc ch\u1eafn \u0111\u00e3 l\u00e0m r\u1ea5t t\u1ed1t,\u201d Andrea n\u00f3i. \u201cH\u1ecd r\u1ea5t nh\u00e2n h\u1eadu, trung th\u1ef1c v\u00e0 chu \u0111\u00e1o. H\u1ecd mu\u1ed1n con b\u1ea1n kh\u1ecfe m\u1ea1nh v\u00e0 l\u1edbn l\u00ean kh\u1ecfe m\u1ea1nh.\u201d<\/p>\n

Ng\u01b0\u1eddi \u0111\u1ee9ng \u0111\u1ea7u c\u1ea5y gh\u00e9p<\/h2>\n

\u0110\u1ed9i ng\u0169 gh\u00e9p t\u1ea1ng nhi khoa t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard th\u1ef1c hi\u1ec7n g\u1ea7n 70 ca gh\u00e9p gan v\u00e0 th\u1eadn m\u1ed7i n\u0103m, nhi\u1ec1u ca \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n cho tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb s\u01a1 sinh c\u00f3 nguy c\u01a1 cao. "Gan nh\u1ecf c\u00f3 m\u1ea1ch m\u00e1u r\u1ea5t nh\u1ecf", Esquivel, tr\u01b0\u1edfng khoa gh\u00e9p t\u1ea1ng t\u1ea1i Tr\u01b0\u1eddng Y Stanford, cho bi\u1ebft. "N\u1ebfu m\u1ea1ch m\u00e1u b\u1ecb \u0111\u00f4ng, gan s\u1ebd ho\u1ea1t \u0111\u1ed9ng k\u00e9m. B\u1ea1n ph\u1ea3i s\u1eed d\u1ee5ng nh\u1eefng m\u0169i kh\u00e2u r\u1ea5t nh\u1ecf, th\u1eadm ch\u00ed kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y b\u1eb1ng m\u1eaft th\u01b0\u1eddng."<\/p>\n

Theo B\u1ed9 Y t\u1ebf v\u00e0 D\u1ecbch v\u1ee5 Nh\u00e2n sinh Hoa K\u1ef3, k\u1ec3 t\u1eeb n\u0103m 2006, Packard lu\u00f4n \u0111\u01b0\u1ee3c x\u1ebfp h\u1ea1ng l\u00e0 m\u1ed9t trong ba trung t\u00e2m gh\u00e9p gan v\u00e0 th\u1eadn nhi khoa h\u00e0ng \u0111\u1ea7u t\u1ea1i Hoa K\u1ef3 v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng ca gh\u00e9p, k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t c\u1ee7a gh\u00e9p.<\/p>\n

\u201cCh\u00fang t\u00f4i l\u00e0 m\u1ed9t trong s\u1ed1 \u00edt n\u01a1i th\u1ef1c hi\u1ec7n gh\u00e9p \u0111a t\u1ea1ng,\u201d b\u00e1c s\u0129 Esquivel n\u00f3i th\u00eam. \u201cCh\u00fang t\u00f4i \u0111\u00e3 th\u1ef1c hi\u1ec7n gh\u00e9p gan-th\u1eadn, gh\u00e9p gan-tim, gh\u00e9p gan-ru\u1ed9t, v\u00e0 ca gh\u00e9p gan-ph\u1ed5i \u0111\u00f4i \u0111\u1ea7u ti\u00ean cho tr\u1ebb em. M\u1ed9t l\u1ee3i th\u1ebf khi \u0111i\u1ec1u tr\u1ecb t\u1ea1i \u0111\u00e2y l\u00e0 ch\u00fang t\u00f4i c\u00f3 r\u1ea5t nhi\u1ec1u chuy\u00ean gia gh\u00e9p t\u1ea1ng t\u1ea1i ch\u1ed7.\u201d<\/p>\n

Esquivel \u0111\u00e3 g\u00f3p ph\u1ea7n ti\u00ean phong trong m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt ti\u00ean ti\u1ebfn hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n nhi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. "Do t\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t n\u1ed9i t\u1ea1ng tr\u1ea7m tr\u1ecdng, ch\u00fang t\u00f4i ph\u1ea3i s\u00e1ng t\u1ea1o", \u00f4ng gi\u1ea3i th\u00edch. "V\u00ed d\u1ee5, ch\u00fang t\u00f4i \u0111\u00e3 t\u00ecm ra c\u00e1ch l\u1ea5y gan t\u1eeb m\u1ed9t ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng tr\u01b0\u1edfng th\u00e0nh \u0111\u00e3 ch\u1ebft v\u00e0 c\u1eaft nh\u1ecf n\u00f3 xu\u1ed1ng k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t \u0111\u1ee9a tr\u1ebb nh\u1ecf. Trong ca gh\u00e9p gan c\u1ee7a Jeremiah, t\u00f4i ch\u1ec9 s\u1eed d\u1ee5ng kho\u1ea3ng 40% gan c\u1ee7a ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng. Ch\u00fang t\u00f4i c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean gh\u00e9p m\u1ed9t ph\u1ea7n gan t\u1eeb ng\u01b0\u1eddi l\u1edbn c\u00f2n s\u1ed1ng cho m\u1ed9t \u0111\u1ee9a tr\u1ebb. Ph\u1ea7n gan \u0111\u01b0\u1ee3c gh\u00e9p \u0111\u00e3 ph\u00e1t tri\u1ec3n tr\u1edf l\u1ea1i k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng, v\u00e0 gan c\u1ee7a ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng c\u0169ng ph\u00e1t tri\u1ec3n tr\u1edf l\u1ea1i."<\/p>\n

Jeremiah Kwakye<\/h2>\n

Ng\u00e0y nay, nh\u00f3m gh\u00e9p gan t\u1ea1i Packard \u0111i\u1ec1u tr\u1ecb cho nhi\u1ec1u tr\u1ebb em b\u1ecb ung th\u01b0 gan h\u01a1n b\u1ea5t k\u1ef3 b\u1ec7nh vi\u1ec7n n\u00e0o kh\u00e1c t\u1ea1i Hoa K\u1ef3. "Kho\u1ea3ng 80% b\u1ec7nh nh\u00e2n gh\u00e9p gan c\u1ee7a ch\u00fang t\u00f4i kh\u00f4ng b\u1ecb ung th\u01b0 t\u00e1i ph\u00e1t", Ti\u1ebfn s\u0129 Kenneth Cox, Tr\u01b0\u1edfng khoa Ti\u00eau h\u00f3a, Gan m\u1eadt v\u00e0 Dinh d\u01b0\u1ee1ng Nhi khoa, cho bi\u1ebft. "Ch\u00fang t\u00f4i c\u0169ng ti\u1ebfp nh\u1eadn tr\u1ebb em m\u1eafc c\u00e1c b\u1ec7nh chuy\u1ec3n h\u00f3a hi\u1ebfm g\u1eb7p c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o, th\u1eadn, tim v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c. M\u1ee5c ti\u00eau c\u1ee7a ch\u00fang t\u00f4i l\u00e0 gh\u00e9p gan tr\u01b0\u1edbc khi t\u1ed5n th\u01b0\u01a1ng \u0111\u00f3 x\u1ea3y ra."<\/p>\n

S\u1ef1 n\u1ed5i l\u00ean c\u1ee7a Packard nh\u01b0 m\u1ed9t \u0111\u01a1n v\u1ecb d\u1eabn \u0111\u1ea7u to\u00e0n qu\u1ed1c v\u1ec1 gh\u00e9p t\u1ea1ng ph\u1ea7n l\u1edbn l\u00e0 nh\u1edd d\u1ecbch v\u1ee5 ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n v\u01b0\u1ee3t tr\u1ed9i. M\u1ea1ng l\u01b0\u1edbi c\u00e1c ph\u00f2ng kh\u00e1m ti\u1ebfp c\u1eadn tr\u1ea3i d\u00e0i kh\u1eafp mi\u1ec1n T\u00e2y Hoa K\u1ef3, v\u1edbi c\u00e1c c\u01a1 s\u1edf t\u1ea1i California, Hawaii, Nevada, New Mexico, Oregon v\u00e0 Washington. C\u00e1c b\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u ph\u1ed1i vi\u00ean gh\u00e9p t\u1ea1ng c\u1ee7a Packard th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 v\u00e0 gi\u1edbi thi\u1ec7u b\u1ec7nh nh\u00e2n t\u1ea1i ch\u1ed7, \u0111\u1ed3ng th\u1eddi cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c h\u1eadu gh\u00e9p li\u00ean t\u1ee5c, ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd v\u1edbi gia \u0111\u00ecnh v\u00e0 b\u00e1c s\u0129 nhi khoa \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00e1c ph\u00f2ng kh\u00e1m ti\u1ebfp c\u1eadn c\u1ed9ng \u0111\u1ed3ng c\u1ee7a Packard \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng \u0111\u00e1ng k\u1ec3 \u1edf nh\u1eefng khu v\u1ef1c h\u1ebbo l\u00e1nh tr\u00ean kh\u1eafp mi\u1ec1n T\u00e2y n\u00f4ng th\u00f4n. "\u0110\u00f3 l\u00e0 nh\u1edd ch\u00fang t\u00f4i gi\u00fap tr\u1ebb em h\u00f2a nh\u1eadp tr\u1edf l\u1ea1i c\u1ed9ng \u0111\u1ed3ng v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ed9ng \u0111\u1ed3ng c\u00e1ch ch\u0103m s\u00f3c c\u00e1c em", Cox n\u00f3i. "\u0110\u00e2y l\u00e0 m\u1ed9t m\u00f4 h\u00ecnh \u0111\u1ed9c \u0111\u00e1o, v\u00e0 l\u00e0 c\u00e1ch th\u1ee9c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n."<\/p>\n

Ch\u0103m s\u00f3c tr\u1ecdn \u0111\u1eddi<\/h2>\n

\u201cM\u1ed9t \u0111i\u1ec1u m\u00e0 nh\u00f3m gh\u00e9p t\u1ea1ng d\u1ea1y b\u1ea1n l\u00e0 ph\u1eabu thu\u1eadt kh\u00f4ng ph\u1ea3i l\u00e0 b\u01b0\u1edbc cu\u1ed1i c\u00f9ng c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb,\u201d Andrea Kwakye l\u01b0u \u00fd. \u201c\u0110\u00e2y l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh su\u1ed1t \u0111\u1eddi \u0111\u1ed1i v\u1edbi con b\u1ea1n.\u201d<\/p>\n

Con trai b\u00e0, Jeremiah, v\u1eabn th\u01b0\u1eddng xuy\u00ean \u0111\u1ebfn kh\u00e1m b\u00e1c s\u0129 Packard \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch sao cho c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u00e0o th\u1ea3i gan gh\u00e9p. \u0110\u00e2y l\u00e0 m\u1ed9t h\u00e0nh \u0111\u1ed9ng c\u00e2n b\u1eb1ng tinh t\u1ebf, b\u1edfi v\u00ec vi\u1ec7c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec5m tr\u00f9ng nguy hi\u1ec3m do virus Epstein-Barr, hay EBV, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ung th\u01b0.<\/p>\n

Jeremiah Kwakye<\/h2>\n

"Nhi\u1ec5m EBV l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy c\u01a1 cao nh\u1ea5t trong gh\u00e9p t\u1ea1ng nhi khoa", Cox n\u00f3i. "Packard l\u00e0 \u0111\u01a1n v\u1ecb ti\u00ean phong trong vi\u1ec7c nghi\u00ean c\u1ee9u c\u00e1ch ng\u0103n ng\u1eeba EBV h\u00ecnh th\u00e0nh ung th\u01b0 \u1edf tr\u1ebb em. Tr\u01b0\u1edbc \u0111\u00e2y, ch\u00fang t\u00f4i th\u1ea5y nguy c\u01a1 ung th\u01b0 \u1edf b\u1ec7nh nh\u00e2n gh\u00e9p t\u1ea1ng tr\u1ebb tu\u1ed5i l\u00e0 kho\u1ea3ng 6%, gi\u1edd \u0111\u00e2y con s\u1ed1 n\u00e0y \u0111\u00e3 gi\u1ea3m xu\u1ed1ng c\u00f2n 1%. Ch\u00fang t\u00f4i hy v\u1ecdng s\u1ebd lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n nguy c\u01a1 n\u00e0y trong t\u01b0\u01a1ng lai r\u1ea5t g\u1ea7n."<\/p>\n

C\u00e1c b\u00e1c s\u0129-khoa h\u1ecdc t\u1ea1i Packard c\u0169ng \u0111ang t\u00ecm c\u00e1ch gi\u1ea3m thi\u1ec3u vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. "Ch\u00fang t\u00f4i \u0111ang ti\u1ebfn h\u00e0nh kh\u00e1 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u01a1 ch\u1ebf \u0111\u00e0o th\u1ea3i n\u1ed9i t\u1ea1ng", Esquivel n\u00f3i. "\u0110\u00e2y l\u00e0 c\u00f4ng vi\u1ec7c ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn sinh h\u1ecdc ph\u00e2n t\u1eed v\u00e0 nghi\u00ean c\u1ee9u di truy\u1ec1n."<\/p>\n

Ng\u01b0\u1eddi ta \u01b0\u1edbc t\u00ednh r\u1eb1ng c\u00f3 t\u1edbi 25% tr\u1ebb em tr\u1ea3i qua gh\u00e9p gan c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. "V\u1ea5n \u0111\u1ec1 l\u00e0 ch\u00fang ta v\u1eabn ch\u01b0a c\u00f3 x\u00e9t nghi\u1ec7m n\u00e0o \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh tr\u1ebb n\u00e0o d\u1ec5 b\u1ecb \u0111\u00e0o th\u1ea3i v\u00e0 tr\u1ebb n\u00e0o kh\u00f4ng", Esquivel n\u00f3i. "Ch\u00fang t\u00f4i l\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean b\u00e1o c\u00e1o r\u1eb1ng tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n t\u00ecnh tr\u1ea1ng dung n\u1ea1p - n\u00f3i c\u00e1ch kh\u00e1c, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a ch\u00fang cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 h\u1ecdc c\u00e1ch dung n\u1ea1p m\u1ea3nh gh\u00e9p. Nh\u01b0ng ch\u00fang ta kh\u00f4ng c\u00f3 c\u00e1ch n\u00e0o t\u1ed1t \u0111\u1ec3 bi\u1ebft khi n\u00e0o th\u00ec an to\u00e0n \u0111\u1ec3 ng\u1eebng d\u00f9ng thu\u1ed1c. Hi\u1ec7n t\u1ea1i, t\u1ea5t c\u1ea3 ch\u1ec9 l\u00e0 th\u1eed nghi\u1ec7m v\u00e0 sai s\u00f3t."<\/p>\n

Cox v\u00e0 c\u00e1c \u0111\u1ed3ng nghi\u1ec7p \u0111ang ph\u00e1t tri\u1ec3n c\u00e1c li\u1ec7u ph\u00e1p ti\u00ean ti\u1ebfn c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba nhu c\u1ea7u gh\u00e9p gan trong m\u1ed9t s\u1ed1 b\u1ec7nh nh\u1ea5t \u0111\u1ecbnh. "N\u0103m 1993, t\u00f4i ph\u00e1t hi\u1ec7n ra r\u1eb1ng m\u1ed9t b\u1ec7nh gan v\u00e0 \u0111\u1ea1i tr\u00e0ng hi\u1ebfm g\u1eb7p c\u00f3 t\u00ean l\u00e0 vi\u00eam \u0111\u01b0\u1eddng m\u1eadt x\u01a1 c\u1ee9ng nguy\u00ean ph\u00e1t (PSC) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh \u0111\u01b0\u1eddng u\u1ed1ng vancomycin", Cox n\u00f3i. "T\u00f4i \u0111\u00e3 s\u1eed d\u1ee5ng vancomycin \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t \u0111\u1ee9a tr\u1ebb b\u1ecb PSC do nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n ri\u00eang bi\u1ec7t v\u00e0 nh\u1eadn th\u1ea5y PSC c\u0169ng \u0111\u00e3 bi\u1ebfn m\u1ea5t. V\u00e0o th\u1eddi \u0111i\u1ec3m \u0111\u00f3, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho PSC l\u00e0 gh\u00e9p gan, nh\u01b0ng v\u1edbi vancomycin, vi\u1ec7c gh\u00e9p gan \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00e1nh kh\u1ecfi. Ch\u00fang t\u00f4i v\u1eabn \u0111ang c\u1ed1 g\u1eafng hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1ch thu\u1ed1c n\u00e0y gi\u00fap c\u0103n b\u1ec7nh n\u00e0y bi\u1ebfn m\u1ea5t. T\u1ea1i Stanford, b\u1ea1n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n lo\u1ea1i nghi\u00ean c\u1ee9u \u0111\u00f3, v\u00ec b\u1ea1n c\u00f3 c\u00e1c nh\u00e0 khoa h\u1ecdc h\u00e0ng \u0111\u1ea7u t\u1eeb nhi\u1ec1u l\u0129nh v\u1ef1c \u0111\u1ec3 h\u1ee3p t\u00e1c."<\/p>\n

G\u1ea7n \u0111\u00e2y, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt Stephan Busque, Ti\u1ebfn s\u0129 Y khoa, thu\u1ed9c ch\u01b0\u01a1ng tr\u00ecnh gh\u00e9p th\u1eadn c\u1ee7a Packard \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh c\u00f3 th\u1ec3 cai thu\u1ed1c ch\u1ed1ng th\u1ea3i gh\u00e9p b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch b\u1eb1ng x\u1ea1 tr\u1ecb, sau \u0111\u00f3 truy\u1ec1n t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch t\u1eeb ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng v\u00e0o tuy\u1ebfn \u1ee9c. Li\u1ec7u ph\u00e1p \u0111\u1ed9t ph\u00e1 n\u00e0y c\u00f3 th\u1ec3 s\u1edbm \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m tr\u00ean b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i.<\/p>\n

\u201cNgh\u0129a v\u1ee5 c\u1ee7a ch\u00fang t\u00f4i l\u00e0 ch\u0103m s\u00f3c tr\u1ebb em,\u201d b\u00e1c s\u0129 William Berquist, b\u00e1c s\u0129 chuy\u00ean khoa ti\u00eau h\u00f3a t\u1ea1i Packard, cho bi\u1ebft. \u201c\u0110\u00f3 l\u00e0 tr\u00e1ch nhi\u1ec7m c\u1ee7a ch\u00fang t\u00f4i, v\u00e0 ch\u00fang t\u00f4i r\u1ea5t vui m\u1eebng \u0111\u01b0\u1ee3c \u0111\u00f3n nh\u1eadn. Khi b\u1ea1n ch\u0103m s\u00f3c m\u1ed9t em b\u00e9 nh\u1ecf v\u00e0 ch\u1ee9ng ki\u1ebfn con b\u00e9 t\u1ed1t nghi\u1ec7p trung h\u1ecdc, \u0111\u00f3 l\u00e0 \u0111i\u1ec1u v\u00f4 c\u00f9ng h\u1ea1nh ph\u00fac.\u201d<\/p>\n

Thi\u1ebfu h\u1ee5t n\u1ed9i t\u1ea1ng<\/h2>\n

M\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 l\u1edbn nh\u1ea5t trong y h\u1ecdc gh\u00e9p t\u1ea1ng l\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t n\u1ed9i t\u1ea1ng hi\u1ebfn t\u1eb7ng tr\u00ean to\u00e0n qu\u1ed1c. "Gia \u0111\u00ecnh b\u1ec7nh nh\u00e2n v\u00f4 c\u00f9ng lo l\u1eafng trong th\u1eddi gian ch\u1edd \u0111\u1ee3i", Debra Strichartz, \u0111i\u1ec1u d\u01b0\u1ee1ng vi\u00ean, qu\u1ea3n l\u00fd ch\u01b0\u01a1ng tr\u00ecnh gh\u00e9p gan v\u00e0 ru\u1ed9t, cho bi\u1ebft. "\u0110\u00f4i khi c\u00f3 nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1eadn \u0111\u01b0\u1ee3c n\u1ed9i t\u1ea1ng k\u1ecbp th\u1eddi".<\/p>\n

Karla Corona, 18 tu\u1ed5i, \u0111\u1ebfn t\u1eeb Nam San Francisco, \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o danh s\u00e1ch ch\u1edd gh\u00e9p th\u1eadn qu\u1ed1c gia v\u00e0o n\u0103m 2010 sau khi c\u00e1c b\u00e1c s\u0129 t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Packard ph\u00e1t hi\u1ec7n th\u1eadn c\u1ee7a c\u00f4 qu\u00e1 nh\u1ecf \u0111\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. M\u01b0\u1eddi b\u1ed1n th\u00e1ng sau, cu\u1ed1i c\u00f9ng c\u00f4 c\u0169ng nh\u1eadn \u0111\u01b0\u1ee3c cu\u1ed9c g\u1ecdi th\u00f4ng b\u00e1o c\u00f3 th\u1eadn hi\u1ebfn t\u1eb7ng.<\/p>\n

\u201cT\u00f4i \u0111\u00e3 r\u1ea5t lo l\u1eafng,\u201d Karla n\u00f3i. \u201cKhi h\u1ecd b\u00e1o \u0111\u00e3 t\u00ecm \u0111\u01b0\u1ee3c ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng, m\u1ecdi c\u1ea3m x\u00fac \u0111\u1ec1u \u00f9a v\u1ec1 trong t\u00f4i. Nh\u01b0ng khi t\u00f4i \u0111\u1ebfn Packard, m\u1ecdi ng\u01b0\u1eddi \u0111\u00e3 gi\u00fap t\u00f4i c\u1ea3m th\u1ea5y r\u1ea5t tho\u1ea3i m\u00e1i.\u201d<\/p>\n

Karla Corona<\/h2>\n

Ca gh\u00e9p th\u1eadn c\u1ee7a Karla b\u1eaft \u0111\u1ea7u l\u00fac n\u1eeda \u0111\u00eam v\u00e0 k\u1ebft th\u00fac v\u00e0o kho\u1ea3ng 4 gi\u1edd s\u00e1ng. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt Waldo Concepcion, Ti\u1ebfn s\u0129 Y khoa, \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh gi\u1eef nguy\u00ean th\u1eadn c\u1ee7a Karla, n\u00ean hi\u1ec7n t\u1ea1i c\u00f4 b\u00e9 c\u00f3 ba qu\u1ea3 th\u1eadn - hai qu\u1ea3 th\u1eadn nh\u1ecf v\u00e0 m\u1ed9t qu\u1ea3 th\u1eadn tr\u01b0\u1edfng th\u00e0nh b\u00ecnh th\u01b0\u1eddng.<\/p>\n

\u201cNi\u1ec1m \u0111am m\u00ea c\u1ee7a ch\u00fang t\u00f4i l\u00e0 tr\u1ebb em,\u201d Concepcion, tr\u01b0\u1edfng khoa gh\u00e9p th\u1eadn nhi, cho bi\u1ebft. \u201cC\u00e1c em ph\u1ee5 thu\u1ed9c v\u00e0o ch\u00fang t\u00f4i \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng. V\u00ec v\u1eady, n\u1ebfu c\u00f3 m\u1ed9t ca gh\u00e9p t\u1ea1ng l\u00fac n\u1eeda \u0111\u00eam ho\u1eb7c n\u0103m ca gh\u00e9p t\u1ea1ng trong hai ng\u00e0y, t\u1ea5t c\u1ea3 s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, b\u1edfi v\u00ec b\u1ea1n kh\u00f4ng bi\u1ebft khi n\u00e0o s\u1ebd c\u00f3 t\u1ea1ng ti\u1ebfp theo.\u201d<\/p>\n

Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n gh\u00e9p th\u1eadn t\u1ea1i Packard d\u01b0\u1edbi 2 tu\u1ed5i. Nhi\u1ec1u tr\u1ebb nh\u1ecf trong s\u1ed1 n\u00e0y \u0111\u01b0\u1ee3c gh\u00e9p t\u1ea1ng t\u1eeb ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng tr\u01b0\u1edfng th\u00e0nh, m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c ti\u00ean phong b\u1edfi Ti\u1ebfn s\u0129 Oscar Salvatierra, gi\u00e1o s\u01b0 danh d\u1ef1 v\u1ec1 ph\u1eabu thu\u1eadt v\u00e0 nhi khoa.<\/p>\n

"M\u1ed9t l\u1ee3i th\u1ebf c\u1ee7a th\u1eadn c\u1ee1 ng\u01b0\u1eddi l\u1edbn l\u00e0 m\u1ea1ch m\u00e1u l\u1edbn h\u01a1n v\u00e0 kh\u00f4ng b\u1ecb \u0111\u00f4ng m\u00e1u", Concepcion, gi\u00e1o s\u01b0 ph\u1eabu thu\u1eadt t\u1ea1i Stanford, cho bi\u1ebft. "Ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng ch\u1ee7 y\u1ebfu l\u00e0 cha m\u1eb9 - nh\u1eefng ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng t\u1ed1t nh\u1ea5t trong s\u1ed1 nh\u1eefng ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng t\u1ed1t nh\u1ea5t - v\u00ec v\u1eady c\u0169ng c\u00f3 l\u1ee3i th\u1ebf v\u1ec1 m\u1eb7t mi\u1ec5n d\u1ecbch \u1edf tr\u1ebb s\u01a1 sinh."<\/p>\n

Trong nhi\u1ec1u th\u1eadp k\u1ef7, steroid l\u00e0 n\u1ec1n t\u1ea3ng c\u1ee7a li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb sau gh\u00e9p. Nh\u01b0ng v\u00e0o nh\u1eefng n\u0103m 1990, Salvatierra \u0111\u00e3 gi\u1edbi thi\u1ec7u ph\u01b0\u01a1ng ph\u00e1p \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00f4ng steroid, hi\u1ec7n l\u00e0 ti\u00eau chu\u1ea9n ch\u0103m s\u00f3c cho c\u00e1c ca gh\u00e9p th\u1eadn. \u201cM\u1ed9t \u0111\u1ee9a tr\u1ebb t\u1eeb th\u1eddi k\u1ef3 gh\u00e9p t\u1ea1ng tr\u01b0\u1edbc \u0111\u00e2y th\u01b0\u1eddng ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c d\u1ecb t\u1eadt do steroid g\u00e2y ra\u2014lo\u1ea1n s\u1ea3n x\u01b0\u01a1ng h\u00f4ng cu\u1ed1i c\u00f9ng ph\u1ea3i ph\u1eabu thu\u1eadt, x\u01b0\u01a1ng y\u1ebfu g\u00e2y vi\u00eam kh\u1edbp \u1edf kh\u1edbp, c\u0169ng nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, nhi\u1ec5m tr\u00f9ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 chuy\u1ec3n h\u00f3a,\u201d Concepcion gi\u1ea3i th\u00edch. \u201cCh\u00fang ta ph\u1ea3i l\u00e0m nhi\u1ec1u h\u01a1n l\u00e0 ch\u1ec9 mang l\u1ea1i s\u1ef1 s\u1ed1ng cho c\u00e1c em sau khi gh\u00e9p t\u1ea1ng. Ch\u00fang ta c\u00f2n ph\u1ea3i mang l\u1ea1i cho c\u00e1c em m\u1ed9t cu\u1ed9c s\u1ed1ng th\u00e0nh c\u00f4ng, v\u00e0 \u0111i\u1ec1u \u0111\u00f3 bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf steroid kh\u1ecfi cu\u1ed9c s\u1ed1ng. \u0110i\u1ec1u \u0111\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.\u201d<\/p>\n

H\u01b0\u1edbng \u0111i trong t\u01b0\u01a1ng lai<\/h2>\n

N\u0103m 2007, Packard \u0111\u00e3 m\u1edf m\u1ed9t \u0111\u01a1n v\u1ecb l\u1ecdc m\u00e1u hi\u1ec7n \u0111\u1ea1i d\u00e0nh cho b\u1ec7nh nh\u00e2n th\u1eadn \u0111ang ch\u1edd t\u1ea1ng hi\u1ebfn. Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi tr\u1ebb em \u0111ang ch\u1edd gh\u00e9p gan, l\u1ecdc m\u00e1u kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn kh\u1ea3 thi. \u0110\u1ec3 gi\u1ea3i quy\u1ebft th\u00e1ch th\u1ee9c n\u00e0y, Esquivel v\u00e0 Olivia Martinez, Ti\u1ebfn s\u0129, gi\u00e1o s\u01b0 ph\u1eabu thu\u1eadt, \u0111ang nghi\u00ean c\u1ee9u vi\u1ec7c s\u1eed d\u1ee5ng t\u1ebf b\u00e0o g\u1ed1c nh\u01b0 m\u1ed9t c\u1ea7u n\u1ed1i ti\u1ec1m n\u0103ng cho vi\u1ec7c gh\u00e9p t\u1ea1ng. \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u1ebb em nh\u01b0 Jeremiah, t\u1ebf b\u00e0o g\u1ed1c cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 thay th\u1ebf gen b\u1ecb t\u1ed5n th\u01b0\u01a1ng, v\u1ed1n ng\u0103n c\u1ea3n s\u1ef1 ph\u00e2n h\u1ee7y bilirubin trong m\u00e1u. "Hi\u1ec7n t\u1ea1i, n\u1ebfu m\u1ed9t gen b\u1ecb l\u1ed7i, ch\u00fang ta ph\u1ea3i thay th\u1ebf to\u00e0n b\u1ed9 gan, \u0111i\u1ec1u n\u00e0y c\u00f3 v\u1ebb h\u01a1i qu\u00e1 m\u1ee9c c\u1ea7n thi\u1ebft", Esquivel n\u00f3i. "V\u00ec v\u1eady, ti\u1ec1m n\u0103ng c\u1ee7a nghi\u00ean c\u1ee9u t\u1ebf b\u00e0o g\u1ed1c l\u00e0 r\u1ea5t l\u1edbn."<\/p>\n

V\u1edbi t\u01b0 c\u00e1ch l\u00e0 ph\u00f3 gi\u00e1m \u0111\u1ed1c Vi\u1ec7n Mi\u1ec5n d\u1ecbch, C\u1ea5y gh\u00e9p v\u00e0 Nhi\u1ec5m tr\u00f9ng Stanford (ITI), Esquivel \u0111ang h\u1ee3p t\u00e1c v\u1edbi c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u1ec3 ph\u00e1t tri\u1ec3n hi\u1ec3u bi\u1ebft s\u00e2u h\u01a1n v\u1ec1 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch nh\u1eb1m thi\u1ebft k\u1ebf c\u00e1c li\u1ec7u ph\u00e1p nh\u1eafm m\u1ee5c ti\u00eau ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng \u0111\u00e0o th\u1ea3i c\u01a1 quan v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u lo\u1ea1i b\u1ec7nh mi\u1ec5n d\u1ecbch.<\/p>\n

Concepcion, m\u1ed9t c\u1ed9ng t\u00e1c vi\u00ean nghi\u00ean c\u1ee9u t\u1ea1i ITI, \u0111ang ph\u00e1t tri\u1ec3n m\u1ed9t nh\u00f3m nghi\u00ean c\u1ee9u \u0111a ng\u00e0nh g\u1ed3m c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u t\u1eeb nhi\u1ec1u chuy\u00ean khoa kh\u00e1c nhau \u0111\u1ec3 t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi cho t\u1eebng b\u1ec7nh nh\u00e2n gh\u00e9p t\u1ea1ng. "Hi\u1ec7n t\u1ea1i, ch\u00fang t\u00f4i c\u00f3 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn chung ph\u00f9 h\u1ee3p v\u1edbi t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi", \u00f4ng n\u00f3i. "Ch\u00fang t\u00f4i mu\u1ed1n c\u00f3 d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c c\u00e1 nh\u00e2n h\u00f3a \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng v\u00e0 \u0111\u00e0o th\u1ea3i virus, \u0111\u1ed3ng th\u1eddi k\u00e9o d\u00e0i tu\u1ed5i th\u1ecd gh\u00e9p t\u1ea1ng cho b\u1ec7nh nh\u00e2n."<\/p>\n

Karla Corona<\/h2>\n

\u0110\u1ed1i v\u1edbi Karla, hi\u1ec7n 19 tu\u1ed5i, ti\u00ean l\u01b0\u1ee3ng r\u1ea5t t\u1ed1t. C\u00f4 \u0111ang h\u1ecdc \u0111\u1ea1i h\u1ecdc, c\u00f3 b\u1ea1n trai v\u00e0 r\u1ea5t c\u1ea9n th\u1eadn khi d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. "T\u00f4i \u0111\u01b0\u1ee3c cho bi\u1ebft th\u1eadn c\u1ee7a t\u00f4i c\u00f3 th\u1ec3 s\u1ed1ng \u0111\u01b0\u1ee3c 50 n\u0103m", c\u00f4 n\u00f3i. "\u0110i\u1ec1u \u0111\u00f3 ph\u1ee5 thu\u1ed9c v\u00e0o t\u00f4i v\u00e0 c\u00e1ch t\u00f4i ch\u0103m s\u00f3c n\u00f3."<\/p>\n

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

Jeremiah Kwakye \u1edf San Jose m\u1edbi ch\u1ec9 15 th\u00e1ng tu\u1ed5i khi b\u1ed1 m\u1eb9 \u0111\u01b0a em \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nhi Lucile Packard \u0111\u1ec3 gh\u00e9p gan c\u1ee9u s\u1ed1ng em\u2026.<\/p>","protected":false},"author":17,"featured_media":3576,"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-3575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","category-patient-stories","health_topic-transplant"],"acf":[],"yoast_head":"\nSwitch: Packard\u2019s Pediatric Transplant Program Takes a Team Approach to Saving Lives - 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