{"id":21,"date":"2026-06-07T01:06:30","date_gmt":"2026-06-06T23:06:30","guid":{"rendered":"https:\/\/themedicinereview.com\/vi\/2026\/06\/07\/gan-tai-sinh-khac-biet-giua-nguoi-hien-va-nguoi-nhan-ghep\/"},"modified":"2026-06-07T01:07:23","modified_gmt":"2026-06-06T23:07:23","slug":"gan-tai-sinh-khac-biet-giua-nguoi-hien-va-nguoi-nhan-ghep","status":"publish","type":"post","link":"https:\/\/themedicinereview.com\/vi\/2026\/06\/07\/gan-tai-sinh-khac-biet-giua-nguoi-hien-va-nguoi-nhan-ghep\/","title":{"rendered":"Gan t\u00e1i sinh kh\u00e1c bi\u1ec7t gi\u1eefa ng\u01b0\u1eddi hi\u1ebfn v\u00e0 ng\u01b0\u1eddi nh\u1eadn gh\u00e9p"},"content":{"rendered":"

“`html<\/p>\n

Gan t\u00e1i sinh kh\u00e1c bi\u1ec7t gi\u1eefa ng\u01b0\u1eddi hi\u1ebfn v\u00e0 ng\u01b0\u1eddi nh\u1eadn gh\u00e9p<\/h1>\n

Gh\u00e9p gan t\u1eeb ng\u01b0\u1eddi hi\u1ebfn s\u1ed1ng l\u00e0 m\u1ed9t ca ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p, gi\u00fap c\u1ee9u s\u1ed1ng nhi\u1ec1u ng\u01b0\u1eddi b\u1eb1ng c\u00e1ch \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ng\u00e0y c\u00e0ng t\u0103ng v\u1ec1 c\u01a1 quan. K\u1ef9 thu\u1eadt n\u00e0y d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng \u0111\u00e1ng kinh ng\u1ea1c c\u1ee7a gan: kh\u1ea3 n\u0103ng t\u00e1i sinh sau khi b\u1ecb c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n. \u1ede ng\u01b0\u1eddi hi\u1ebfn kh\u1ecfe m\u1ea1nh, gan c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i t\u1edbi 155% th\u1ec3 t\u00edch ban \u0111\u1ea7u trong v\u00f2ng hai n\u0103m, v\u1edbi t\u1ed1c \u0111\u1ed9 t\u00e1i sinh cao h\u01a1n trong nh\u1eefng th\u00e1ng \u0111\u1ea7u ti\u00ean. Nh\u1eefng ng\u01b0\u1eddi hi\u1ebfn b\u1ecb c\u1eaft b\u1ecf th\u00f9y gan ph\u1ea3i c\u00f3 t\u1ed1c \u0111\u1ed9 t\u00e1i sinh nhanh h\u01a1n v\u00e0 m\u1ea1nh m\u1ebd h\u01a1n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi m\u1ea5t th\u00f9y gan tr\u00e1i, b\u1edfi v\u00ec th\u00f9y gan c\u00f2n l\u1ea1i nh\u1ecf h\u01a1n v\u00e0 ph\u1ea3i b\u00f9 \u0111\u1eafp cho th\u1ec3 t\u00edch l\u1edbn h\u01a1n.<\/p>\n

\u1ede ng\u01b0\u1eddi nh\u1eadn, s\u1ef1 t\u00e1i sinh c\u1ee7a gan gh\u00e9p di\u1ec5n ra nhanh h\u01a1n v\u00e0o giai \u0111o\u1ea1n \u0111\u1ea7u, \u0111\u1ea1t \u0111\u1ec9nh v\u00e0o hai \u0111\u1ebfn ba th\u00e1ng, sau \u0111\u00f3 ch\u1eadm l\u1ea1i. Gan c\u1ee7a h\u1ecd \u0111\u1ea1t trung b\u00ecnh 80% th\u1ec3 t\u00edch \u01b0\u1edbc t\u00ednh sau hai n\u0103m. S\u1ef1 kh\u00e1c bi\u1ec7t n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch b\u1edfi t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p v\u1ec1 chuy\u1ec3n h\u00f3a m\u00e0 c\u01a1 th\u1ec3 ng\u01b0\u1eddi nh\u1eadn ph\u1ea3i \u0111\u1ed1i m\u1eb7t sau khi gh\u00e9p. Gan c\u1ee7a h\u1ecd c\u1ea7n nhanh ch\u00f3ng th\u00edch nghi \u0111\u1ec3 \u0111\u00e1p \u1ee9ng c\u00e1c nhu c\u1ea7u s\u1ed1ng c\u00f2n, th\u01b0\u1eddng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi b\u1ec7nh gan t\u1ed3n t\u1ea1i tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

K\u00edch th\u01b0\u1edbc gan c\u00f2n l\u1ea1i sau ph\u1eabu thu\u1eadt \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn qu\u00e1 tr\u00ecnh t\u00e1i sinh: th\u1ec3 t\u00edch c\u00e0ng nh\u1ecf, t\u00e1i sinh c\u00e0ng m\u1ea1nh m\u1ebd. Ch\u1ee9c n\u0103ng gan tr\u01b0\u1edbc ph\u1eabu thu\u1eadt t\u1ed1i \u01b0u, \u0111\u01b0\u1ee3c ch\u1ec9 ra b\u1edfi n\u1ed3ng \u0111\u1ed9 th\u1ea5p c\u1ee7a c\u00e1c enzyme nh\u01b0 transaminase, c\u0169ng th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh n\u00e0y. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ed3ng \u0111\u1ed9 cao c\u1ee7a c\u00e1c enzyme n\u00e0y, d\u1ea5u hi\u1ec7u c\u1ee7a gan \u0111\u00e3 b\u1ecb suy y\u1ebfu, c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng t\u00e1i sinh.<\/p>\n

M\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng kh\u00e1c \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y l\u00e0 s\u1ef1 gi\u1ea3m th\u1ec3 t\u00edch l\u00e1 l\u00e1ch \u1edf ng\u01b0\u1eddi nh\u1eadn. S\u1ef1 gi\u1ea3m n\u00e0y, trung b\u00ecnh \u0111\u1ea1t 11% sau m\u1ed9t n\u0103m, li\u00ean quan \u0111\u1ebfn s\u1ef1 b\u00ecnh th\u01b0\u1eddng h\u00f3a c\u1ee7a \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda sau gh\u00e9p. L\u00e1 l\u00e1ch, th\u01b0\u1eddng b\u1ecb ph\u00ec \u0111\u1ea1i tr\u01b0\u1edbc ph\u1eabu thu\u1eadt do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, d\u1ea7n gi\u1ea3m th\u1ec3 t\u00edch. S\u1ef1 gi\u1ea3m n\u00e0y r\u00f5 r\u1ec7t h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 l\u00e1 l\u00e1ch r\u1ea5t to tr\u01b0\u1edbc khi gh\u00e9p ho\u1eb7c c\u00f3 n\u1ed3ng \u0111\u1ed9 ti\u1ec3u c\u1ea7u th\u1ea5p, d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ef1 t\u00edch t\u1ee5 \u0111\u00e1ng k\u1ec3 trong l\u00e1 l\u00e1ch.<\/p>\n

Th\u00e0nh ph\u1ea7n c\u01a1 th\u1ec3 c\u0169ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng. Kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 b\u1eafp l\u1edbn h\u01a1n v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u01a1 b\u1eafp t\u1ed1t h\u01a1n k\u00edch th\u00edch s\u1ef1 t\u00e1i sinh gan. Ng\u01b0\u1ee3c l\u1ea1i, th\u1eeba m\u1ee1 n\u1ed9i t\u1ea1ng ho\u1eb7c ch\u1ee9ng teo c\u01a1 (sarcop\u00e9nie), t\u1ee9c l\u00e0 m\u1ea5t kh\u1ed1i l\u01b0\u1ee3ng v\u00e0 s\u1ee9c m\u1ea1nh c\u01a1 b\u1eafp, c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh n\u00e0y. \u1ede ng\u01b0\u1eddi hi\u1ebfn, t\u00ecnh tr\u1ea1ng c\u01a1 b\u1eafp t\u1ed1t h\u01a1n li\u00ean quan \u0111\u1ebfn t\u00e1i sinh nhanh h\u01a1n, trong khi \u1edf ng\u01b0\u1eddi nh\u1eadn, kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 b\u1eafp gi\u1ea3m h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng n\u00e0y.<\/p>\n

Nam gi\u1edbi d\u01b0\u1eddng nh\u01b0 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb qu\u00e1 tr\u00ecnh t\u00e1i sinh nhanh h\u01a1n n\u1eef gi\u1edbi, m\u1eb7c d\u00f9 l\u00fd do ch\u00ednh x\u00e1c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m s\u00e1ng t\u1ecf. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn d\u1ef1 tr\u1eef dinh d\u01b0\u1ee1ng d\u1ed3i d\u00e0o h\u01a1n ho\u1eb7c nhu c\u1ea7u chuy\u1ec3n h\u00f3a kh\u00e1c bi\u1ec7t. Tuy nhi\u00ean, quan s\u00e1t n\u00e0y c\u1ea7n th\u00eam c\u00e1c nghi\u00ean c\u1ee9u b\u1ed5 sung \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn.<\/p>\n

Cu\u1ed1i c\u00f9ng, nghi\u00ean c\u1ee9u n\u00e0y cho th\u1ea5y s\u1ef1 t\u00e1i sinh c\u1ee7a gan kh\u00f4ng ch\u1ec9 ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc c\u1ee7a gan gh\u00e9p ho\u1eb7c gan c\u00f2n l\u1ea1i, m\u00e0 c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o m\u00f4i tr\u01b0\u1eddng chuy\u1ec3n h\u00f3a t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. Gan t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 l\u00e1 l\u00e1ch v\u00e0 \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c t\u00edn hi\u1ec7u to\u00e0n th\u00e2n, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u00eam ho\u1eb7c tr\u1ea1ng th\u00e1i dinh d\u01b0\u1ee1ng. Do \u0111\u00f3, ngay c\u1ea3 khi gan kh\u00f4ng lu\u00f4n ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c th\u1ec3 t\u00edch ban \u0111\u1ea7u, n\u00f3 v\u1eabn c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng, \u0111\u00e2y l\u00e0 m\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a ca gh\u00e9p.<\/p>\n

“`<\/p>\n

\n

Attributions l\u00e9gales<\/h2>\n

Citation de l\u2019\u00e9tude<\/h3>\n

DOI\u00a0:<\/strong> https:\/\/doi.org\/10.1007\/s00261-026-05567-1<\/a><\/p>\n

Titre\u00a0:<\/strong> Liver regeneration after living donor liver transplantation (LDLT)<\/p>\n

Revue : <\/strong> Abdominal Radiology<\/p>\n

\u00c9diteur : <\/strong> Springer Science and Business Media LLC<\/p>\n

Auteurs : <\/strong> Annarita Pecchi; Francesca Camaione; Barbara Catellani; Martina Susi; Riccardo Cuoghi Costantini; Roberto D\u2019Amico; Francesco Prampolini; Fabrizio Di Benedetto; Stefano Di Sandro; Pietro Torricelli<\/p>\n","protected":false},"excerpt":{"rendered":"

“`html Gan t\u00e1i sinh kh\u00e1c bi\u1ec7t gi\u1eefa ng\u01b0\u1eddi hi\u1ebfn v\u00e0 ng\u01b0\u1eddi nh\u1eadn gh\u00e9p Gh\u00e9p gan t\u1eeb ng\u01b0\u1eddi hi\u1ebfn s\u1ed1ng l\u00e0 m\u1ed9t ca ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p, gi\u00fap c\u1ee9u s\u1ed1ng nhi\u1ec1u ng\u01b0\u1eddi b\u1eb1ng c\u00e1ch \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ng\u00e0y c\u00e0ng t\u0103ng v\u1ec1 c\u01a1 quan. K\u1ef9 thu\u1eadt n\u00e0y d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng \u0111\u00e1ng kinh ng\u1ea1c c\u1ee7a gan:… Continue reading Gan t\u00e1i sinh kh\u00e1c bi\u1ec7t gi\u1eefa ng\u01b0\u1eddi hi\u1ebfn v\u00e0 ng\u01b0\u1eddi nh\u1eadn gh\u00e9p<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,2,6],"tags":[],"class_list":["post-21","post","type-post","status-publish","format-standard","hentry","category-moi-truong","category-suc-khoe","category-tu-phap-phap-luat","entry"],"_links":{"self":[{"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/posts\/21","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/comments?post=21"}],"version-history":[{"count":1,"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/posts\/21\/revisions"}],"predecessor-version":[{"id":22,"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/posts\/21\/revisions\/22"}],"wp:attachment":[{"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/media?parent=21"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/categories?post=21"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/themedicinereview.com\/vi\/wp-json\/wp\/v2\/tags?post=21"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}