{"id":9017,"date":"2019-04-21T10:50:20","date_gmt":"2019-04-21T08:50:20","guid":{"rendered":"https:\/\/aa-pnh.org\/?page_id=9017"},"modified":"2026-04-04T13:49:52","modified_gmt":"2026-04-04T11:49:52","slug":"function-of-the-bone-marrow","status":"publish","type":"page","link":"https:\/\/aa-pnh.org\/vi\/diseases\/function-of-the-bone-marrow\/","title":{"rendered":"Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng (Function of the Bone Marrow)"},"content":{"rendered":"<h1><span style=\"color: #9e0e6d\">Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng<\/span><\/h1>\n<p><!-- N\u1ed9i dung --><\/p>\n<h4><a href=\"#kmfunktion\">1 Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng<\/a><\/h4>\n<h4><a href=\"#kmstammzelle\">2 T\u1ebf b\u00e0o g\u1ed1c t\u1ee7y x\u01b0\u01a1ng v\u00e0 m\u00f4i tr\u01b0\u1eddng xung quanh<\/a><\/h4>\n<h4><a href=\"#kmstoerung\">3 R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ee7y x\u01b0\u01a1ng (suy t\u1ee7y x\u01b0\u01a1ng)<\/a><\/h4>\n<p>&nbsp;<\/p>\n<h2><a name=\"kmfunktion\"><\/a><span style=\"color: #9e0e6d\">1 Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng<\/span><\/h2>\n<p>B\u00ean trong x\u01b0\u01a1ng ph\u1eb3ng c\u00f3 t\u1ee7y x\u01b0\u01a1ng, n\u01a1i s\u1ea3n xu\u1ea5t t\u1ea5t c\u1ea3 c\u00e1c t\u1ebf b\u00e0o m\u00e1u. C\u00f3 ba lo\u1ea1i t\u1ebf b\u00e0o: <strong>h\u1ed3ng c\u1ea7u<\/strong> (<em>erythrocytes<\/em>), <strong>b\u1ea1ch c\u1ea7u<\/strong> (<em>leukocytes<\/em>) v\u00e0 <strong>ti\u1ec3u c\u1ea7u<\/strong> (<em>thrombocytes<\/em>).<\/p>\n<ul>\n<li>C\u00e1c <strong>h\u1ed3ng c\u1ea7u <\/strong>ch\u1ee9a ch\u1ea5t m\u00e0u m\u00e1u <em>hemoglobin<\/em>, ch\u1ea5t n\u00e0y t\u1ea1o cho ch\u00fang m\u00e0u \u0111\u1ecf \u0111\u1eb7c tr\u01b0ng. <em>Hemoglobin<\/em> r\u1ea5t quan tr\u1ecdng cho vi\u1ec7c v\u1eadn chuy\u1ec3n oxy t\u1eeb ph\u1ed5i \u0111\u1ebfn c\u00e1c m\u00f4 c\u01a1 th\u1ec3 (<em>m\u00f4 ngo\u1ea1i vi<\/em>) v\u00e0 v\u1eadn chuy\u1ec3n carbon dioxide t\u1eeb <em>ngo\u1ea1i vi<\/em> tr\u1edf l\u1ea1i ph\u1ed5i.<\/li>\n<li>C\u00e1c <strong>t\u1ebf b\u00e0o m\u00e1u tr\u1eafng <\/strong>c\u00f3 ch\u1ee9c n\u0103ng b\u1ea3o v\u1ec7 h\u1ec7 mi\u1ec5n d\u1ecbch v\u00e0 b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 kh\u1ecfi c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng, v\u00ed d\u1ee5 nh\u01b0 do vi-r\u00fat, vi khu\u1ea9n, n\u1ea5m. Ch\u00fang \u0111\u01b0\u1ee3c chia th\u00e0nh <em>t\u1ebf b\u00e0o h\u1ea1t<\/em> v\u00e0 <em>t\u1ebf b\u00e0o lympho<\/em>.<\/li>\n<li>C\u00e1c <strong>ti\u1ec3u c\u1ea7u<\/strong> r\u1ea5t quan tr\u1ecdng cho qu\u00e1 tr\u00ecnh c\u1ea7m m\u00e1u.<\/li>\n<\/ul>\n<p>T\u1ee7y x\u01b0\u01a1ng li\u00ean t\u1ee5c s\u1ea3n xu\u1ea5t c\u00e1c t\u1ebf b\u00e0o m\u00e1u m\u1edbi, sau qu\u00e1 tr\u00ecnh tr\u01b0\u1edfng th\u00e0nh, c\u00e1c t\u1ebf b\u00e0o n\u00e0y s\u1ebd \u0111i v\u00e0o m\u00e1u (xem h\u00ecnh 1). Ch\u00fang ch\u1ec9 c\u00f3 tu\u1ed5i th\u1ecd h\u1ea1n ch\u1ebf: tu\u1ed5i th\u1ecd c\u1ee7a <em>h\u1ed3ng c\u1ea7u<\/em> l\u00e0 kho\u1ea3ng 4 th\u00e1ng, c\u1ee7a <em>b\u1ea1ch c\u1ea7u<\/em> ch\u1ec9 v\u00e0i gi\u1edd v\u00e0 c\u1ee7a <em>ti\u1ec3u c\u1ea7u<\/em> l\u00e0 v\u00e0i ng\u00e0y.<\/p>\n<div id=\"attachment_9020\" style=\"width: 484px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9020\" class=\"wp-image-9020 size-large\" src=\"https:\/\/aa-pnh.org\/wp-content\/uploads\/AABild5-viet-474x500.png\" alt=\"\" width=\"474\" height=\"500\" srcset=\"https:\/\/aa-pnh.org\/wp-content\/uploads\/AABild5-viet-474x500.png 474w, https:\/\/aa-pnh.org\/wp-content\/uploads\/AABild5-viet-284x300.png 284w, https:\/\/aa-pnh.org\/wp-content\/uploads\/AABild5-viet-768x810.png 768w, https:\/\/aa-pnh.org\/wp-content\/uploads\/AABild5-viet-700x739.png 700w, https:\/\/aa-pnh.org\/wp-content\/uploads\/AABild5-viet.png 1014w\" sizes=\"auto, (max-width: 474px) 100vw, 474px\" \/><p id=\"caption-attachment-9020\" class=\"wp-caption-text\">S\u01a1 \u0111\u1ed3 h\u00ecnh th\u00e0nh m\u00e1u (\u0111\u01a1n gi\u1ea3n h\u00f3a)<\/p><\/div>\n<p>Th\u00f4ng th\u01b0\u1eddng, c\u00e1c c\u01a1 ch\u1ebf \u0111i\u1ec1u ti\u1ebft s\u1ebd s\u1ea3n xu\u1ea5t s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o m\u00e1u m\u1edbi m\u00e0 c\u01a1 th\u1ec3 c\u1ea7n. V\u00ed d\u1ee5, khi s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u gi\u1ea3m do thi\u1ebfu m\u00e1u (<em>anemia<\/em>) ho\u1eb7c ch\u1ea3y m\u00e1u, c\u01a1 th\u1ec3 s\u1ebd t\u0103ng c\u01b0\u1eddng s\u1ea3n xu\u1ea5t h\u1ed3ng c\u1ea7u. Khi c\u01a1 th\u1ec3 ph\u1ea3i ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng, t\u1ee7y x\u01b0\u01a1ng s\u1ebd s\u1ea3n xu\u1ea5t nhi\u1ec1u b\u1ea1ch c\u1ea7u h\u01a1n.<\/p>\n<p>&nbsp;<\/p>\n<h2><a name=\"kmstammzelle\"><\/a><span style=\"color: #9e0e6d\">2 T\u1ebf b\u00e0o g\u1ed1c t\u1ee7y x\u01b0\u01a1ng v\u00e0 m\u00f4i tr\u01b0\u1eddng xung quanh<\/span><\/h2>\n<p>T\u1ee7y x\u01b0\u01a1ng ch\u1ee9a m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf t\u1ebf b\u00e0o g\u1ed1c m\u00e1u, t\u1eeb \u0111\u00f3 h\u00ecnh th\u00e0nh c\u00e1c t\u1ebf b\u00e0o m\u00e1u m\u1edbi. Kh\u00f4ng ch\u1ec9 c\u00e1c t\u1ebf b\u00e0o tr\u01b0\u1edfng th\u00e0nh ho\u00e0n to\u00e0n \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t, m\u00e0 c\u00e1c t\u1ebf b\u00e0o g\u1ed1c m\u1edbi c\u0169ng li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t \u0111\u1ec3 duy tr\u00ec chu k\u1ef3 t\u00e1i t\u1ea1o li\u00ean t\u1ee5c n\u00e0y.<br \/>\nN\u1ebfu t\u1ebf b\u00e0o g\u1ed1c kh\u00f4ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 m\u00f4i tr\u01b0\u1eddng xung quanh t\u1ebf b\u00e0o g\u1ed1c, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed1c t\u1ebf b\u00e0o g\u1ed1c, v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n, th\u00ec qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o m\u00e1u v\u00e0 t\u1ebf b\u00e0o g\u1ed1c kh\u1ecfe m\u1ea1nh c\u00f3 th\u1ec3 di\u1ec5n ra b\u00ecnh th\u01b0\u1eddng. N\u1ebfu ch\u1ec9 m\u1ed9t trong hai th\u00e0nh ph\u1ea7n n\u00e0y b\u1ecb l\u1ed7i, s\u1ebd d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o, th\u1eadm ch\u00ed l\u00e0 suy t\u1ee7y x\u01b0\u01a1ng ho\u00e0n to\u00e0n.<\/p>\n<p>&nbsp;<\/p>\n<h2><a name=\"kmstoerung\"><\/a><span style=\"color: #9e0e6d\">3 R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ee7y x\u01b0\u01a1ng (suy t\u1ee7y x\u01b0\u01a1ng)<\/span><\/h2>\n<p>N\u1ebfu qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o trong t\u1ee7y x\u01b0\u01a1ng b\u1ecb r\u1ed1i lo\u1ea1n, s\u1ebd kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o m\u00e1u <em>(t\u1ee7y x\u01b0\u01a1ng gi\u1ea3m s\u1ea3n)<\/em>. T\u00f9y thu\u1ed9c v\u00e0o vi\u1ec7c s\u1ea3n xu\u1ea5t <em>h\u1ed3ng c\u1ea7u<\/em>, <em>b\u1ea1ch c\u1ea7u <\/em>ho\u1eb7c <em>ti\u1ec3u c\u1ea7u <\/em>b\u1ecb r\u1ed1i lo\u1ea1n, c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 xanh xao, d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng ho\u1eb7c ch\u1ea3y m\u00e1u s\u1ebd xu\u1ea5t hi\u1ec7n. N\u1ebfu s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a c\u1ea3 ba lo\u1ea1i t\u1ebf b\u00e0o b\u1ecb r\u1ed1i lo\u1ea1n <em>(pancytopenia)<\/em>, ng\u01b0\u1eddi ta g\u1ecdi \u0111\u00f3 l\u00e0 suy t\u1ee7y x\u01b0\u01a1ng <em>(<\/em>aplasia t\u1ee7y x\u01b0\u01a1ng).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng 1 Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng 2 T\u1ebf b\u00e0o g\u1ed1c t\u1ee7y x\u01b0\u01a1ng v\u00e0 m\u00f4i tr\u01b0\u1eddng xung quanh 3 R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ee7y x\u01b0\u01a1ng (suy t\u1ee7y x\u01b0\u01a1ng) &nbsp; 1 Ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y x\u01b0\u01a1ng B\u00ean trong x\u01b0\u01a1ng ph\u1eb3ng c\u00f3 t\u1ee7y&#8230;<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":8967,"menu_order":25,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9017","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/pages\/9017","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/comments?post=9017"}],"version-history":[{"count":2,"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/pages\/9017\/revisions"}],"predecessor-version":[{"id":9137,"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/pages\/9017\/revisions\/9137"}],"up":[{"embeddable":true,"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/pages\/8967"}],"wp:attachment":[{"href":"https:\/\/aa-pnh.org\/vi\/wp-json\/wp\/v2\/media?parent=9017"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}