\n| \n QUAN TR\u1eccNG – \u0110\u1ecdc \u0111i\u1ec1u n\u00e0y tr\u01b0\u1edbc ti\u00ean<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Song th\u1ecb xu\u1ea5t hi\u1ec7n \u0110\u1ed8T NG\u1ed8T, \u0111\u1eb7c bi\u1ec7t k\u00e8m \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i, m\u00e9o mi\u1ec7ng, tay ch\u00e2n y\u1ebfu ho\u1eb7c n\u00f3i kh\u00f3: G\u1eccI C\u1ea4P C\u1ee8U 115 NGAY, kh\u00f4ng ch\u1edd \u0111\u1eb7t l\u1ecbch kh\u00e1m.<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb \u0111\u1ed9t ng\u1ed9t sau ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u ho\u1eb7c tai n\u1ea1n: \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u ngay l\u1eadp t\u1ee9c.<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb t\u1eeb t\u1eeb, kh\u00f4ng k\u00e8m tri\u1ec7u ch\u1ee9ng nguy hi\u1ec3m kh\u00e1c: \u0111\u1eb7t l\u1ecbch kh\u00e1m nh\u00e3n khoa chuy\u00ean khoa trong v\u00f2ng 1- 7 ng\u00e0y.<\/p>\n<\/td>\n<\/tr>\n | \n| \n B\u00e0i vi\u1ebft n\u00e0y gi\u00fap b\u1ea1n nh\u1eadn bi\u1ebft lo\u1ea1i n\u00e0o, nh\u01b0ng kh\u00f4ng thay th\u1ebf \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u00e1c s\u0129.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n ![\"Song](\"https:\/\/matquocte.vn\/wp-content\/uploads\/2022\/07\/song-thi.jpg\") Song th\u1ecb m\u1ed9t m\u1eaft x\u1ea3y ra khi nh\u00ecn \u0111\u00f4i v\u1eabn c\u00f2n d\u00f9 b\u1ecbt m\u1eaft kia l\u1ea1i.<\/p><\/div>\n 1.\u00a0\u00a0 Song \u00a0th\u1ecb l\u00e0 g\u00ec? \u0110\u1ecbnh ngh\u0129a v\u00e0 ph\u00e2n lo\u1ea1i<\/h2>\nSong th\u1ecb (diplopia) l\u00e0 t\u00ecnh tr\u1ea1ng nh\u00ecn m\u1ed9t v\u1eadt th\u1ec3 nh\u01b0ng th\u1ea5y hai h\u00ecnh \u1ea3nh, hai h\u00ecnh c\u00f3 th\u1ec3 n\u1eb1m c\u1ea1nh nhau theo chi\u1ec1u ngang, chi\u1ec1u d\u1ecdc, ho\u1eb7c l\u1ec7ch ch\u00e9o. Song th\u1ecb kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh \u0111\u1ed9c l\u1eadp m\u00e0 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, t\u1eeb r\u1ea5t th\u00f4ng th\u01b0\u1eddng \u0111\u1ebfn r\u1ea5t nguy hi\u1ec3m.<\/p>\n Song th\u1ecb m\u1ed9t m\u1eaft (monocular diplopia) – \u00edt nguy hi\u1ec3m h\u01a1n<\/h3>\nSong th\u1ecb m\u1ed9t m\u1eaft x\u1ea3y ra khi nh\u00ecn \u0111\u00f4i v\u1eabn c\u00f2n d\u00f9 b\u1ecbt m\u1eaft kia l\u1ea1i. Khi b\u1ecbt m\u1eaft ph\u1ea3i v\u00e0 nh\u00ecn b\u1eb1ng m\u1eaft tr\u00e1i v\u1eabn th\u1ea5y hai h\u00ecnh, \u0111\u00f3 l\u00e0 song th\u1ecb m\u1eaft tr\u00e1i. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng n\u1eb1m trong ch\u00ednh nh\u00e3n c\u1ea7u: lo\u1ea1n th\u1ecb n\u1eb7ng, \u0111\u1ee5c thu\u1ef7 tinh th\u1ec3, kh\u00f4 m\u1eaft n\u1eb7ng ho\u1eb7c b\u1ea5t th\u01b0\u1eddng gi\u00e1c m\u1ea1c.<\/p>\n Song th\u1ecb hai m\u1eaft (binocular diplopia) – c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn h\u01a1n<\/h3>\nSong th\u1ecb hai m\u1eaft ch\u1ec9 x\u1ea3y ra khi hai m\u1eaft c\u00f9ng m\u1edf, b\u1ecbt m\u1ed9t m\u1eaft l\u1ea1i th\u00ec h\u00ecnh \u1ea3nh tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng. Nguy\u00ean nh\u00e2n li\u00ean quan \u0111\u1ebfn s\u1ef1 m\u1ea5t ph\u1ed1i h\u1ee3p gi\u1eefa hai m\u1eaft do c\u01a1 v\u1eadn nh\u00e3n, th\u1ea7n kinh \u0111i\u1ec1u khi\u1ec3n m\u1eaft, ho\u1eb7c c\u00e1c c\u1ea5u tr\u00fac n\u00e3o b\u1ed9. Lo\u1ea1i n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd th\u1ea7n kinh nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n <\/p>\n \n\n\n| \n \u0110\u1eb7c \u0111i\u1ec3m<\/strong><\/p>\n<\/td>\n| \n Song th\u1ecb m\u1ed9t m\u1eaft<\/strong><\/p>\n<\/td>\n| \n Song th\u1ecb hai m\u1eaft<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n B\u1ecbt m\u1ed9t m\u1eaft<\/p>\n<\/td>\n | \n V\u1eabn nh\u00ecn \u0111\u00f4i – h\u00ecnh \u1ea3nh kh\u00f4ng tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng<\/p>\n<\/td>\n | \n Nh\u00ecn v\u1ec1 b\u00ecnh th\u01b0\u1eddng ngay khi b\u1ecbt m\u1ed9t m\u1eaft<\/p>\n<\/td>\n<\/tr>\n | \n| \n Nguy\u00ean nh\u00e2n ch\u00ednh<\/p>\n<\/td>\n | \n B\u1ea5t th\u01b0\u1eddng trong nh\u00e3n c\u1ea7u (gi\u00e1c m\u1ea1c, thu\u1ef7 tinh th\u1ec3)<\/p>\n<\/td>\n | \n M\u1ea5t ph\u1ed1i h\u1ee3p c\u01a1 v\u1eadn nh\u00e3n ho\u1eb7c th\u1ea7n kinh<\/p>\n<\/td>\n<\/tr>\n | \n| \n M\u1ee9c \u0111\u1ed9 kh\u1ea9n c\u1ea5p<\/p>\n<\/td>\n | \n Th\u01b0\u1eddng \u00edt kh\u1ea9n c\u1ea5p h\u01a1n<\/p>\n<\/td>\n | \n C\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9, c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u th\u1ea7n kinh<\/p>\n<\/td>\n<\/tr>\n | \n| \n Chuy\u00ean khoa<\/p>\n<\/td>\n | \n Nh\u00e3n khoa<\/p>\n<\/td>\n | \n Nh\u00e3n khoa + th\u1ea7n kinh n\u1ebfu c\u1ea7n<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n H\u01b0\u1edbng c\u1ee7a h\u00ecnh \u1ea3nh nh\u00ecn \u0111\u00f4i<\/h3>\n\n\n\n| \n Lo\u1ea1i song th\u1ecb<\/strong><\/p>\n<\/td>\n| \n H\u00ecnh \u1ea3nh nh\u01b0 th\u1ebf n\u00e0o<\/strong><\/p>\n<\/td>\n| \n G\u1ee3i \u00fd nguy\u00ean nh\u00e2n<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Song th\u1ecb ngang<\/p>\n<\/td>\n | \n Hai h\u00ecnh n\u1eb1m c\u1ea1nh nhau tr\u00e1i-ph\u1ea3i<\/p>\n<\/td>\n | \n Li\u1ec7t c\u01a1 v\u1eadn nh\u00e3n ngang (c\u01a1 th\u1eb3ng trong\/ngo\u00e0i)<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb d\u1ecdc<\/p>\n<\/td>\n | \n Hai h\u00ecnh tr\u00ean-d\u01b0\u1edbi<\/p>\n<\/td>\n | \n Li\u1ec7t c\u01a1 v\u1eadn nh\u00e3n d\u1ecdc (c\u01a1 th\u1eb3ng tr\u00ean\/d\u01b0\u1edbi), d\u00e2y th\u1ea7n kinh s\u1ed1 IV<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb ch\u00e9o<\/p>\n<\/td>\n | \n Hai h\u00ecnh l\u1ec7ch theo \u0111\u01b0\u1eddng ch\u00e9o<\/p>\n<\/td>\n | \n Li\u1ec7t ph\u1ee9c t\u1ea1p, c\u1ea7n \u0111\u00e1nh gi\u00e1 chuy\u00ean s\u00e2u<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb xoay<\/p>\n<\/td>\n | \n M\u1ed9t h\u00ecnh b\u1ecb nghi\u00eang so v\u1edbi h\u00ecnh kia<\/p>\n<\/td>\n | \n Li\u00ean quan d\u00e2y th\u1ea7n kinh s\u1ed1 IV ho\u1eb7c b\u1ec7nh l\u00fd ti\u1ec1n \u0111\u00ecnh<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n 2. Nguy\u00ean nh\u00e2n g\u00e2y ra song th\u1ecb – T\u1eeb th\u00f4ng th\u01b0\u1eddng \u0111\u1ebfn kh\u1ea9n c\u1ea5p<\/h2>\nD\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c nh\u00f3m nguy\u00ean nh\u00e2n song th\u1ecb \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp t\u1eeb \u00edt kh\u1ea9n c\u1ea5p \u0111\u1ebfn c\u1ea7n x\u1eed tr\u00ed ngay, \u0111\u1ec3 b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng nhanh h\u01a1n:<\/p>\n ![\"Song](\"https:\/\/nhathuocphuongchinh.com\/static\/Benh\/song-thi.jpg\") Khi thu\u1ef7 tinh th\u1ec3 \u0111\u1ee5c kh\u00f4ng \u0111\u1ec1u, \u00e1nh s\u00e1ng b\u1ecb ph\u00e2n t\u00e1n t\u1ea1o ra h\u00ecnh \u1ea3nh ma<\/p><\/div>\n <\/p>\n \n\n\n| \n Th\u00f4ng th\u01b0\u1eddng (Kh\u00e1m trong 1\u20137 ng\u00e0y)<\/strong><\/p>\n<\/td>\n| \n Lo\u1ea1n th\u1ecb n\u1eb7ng ch\u01b0a \u0111i\u1ec1u ch\u1ec9nh – nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a song th\u1ecb m\u1ed9t m\u1eaft<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n <\/p>\n<\/td>\n | \n Gi\u00e1c m\u1ea1c kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u khi\u1ebfn \u00e1nh s\u00e1ng kh\u00fac x\u1ea1 theo nhi\u1ec1u h\u01b0\u1edbng \u2192 t\u1ea1o ra hai h\u00ecnh \u1ea3nh trong m\u1ed9t m\u1eaft.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n \u0110\u1eb7c bi\u1ec7t r\u00f5 khi \u0111\u1ecdc ch\u1eef nh\u1ecf ho\u1eb7c nh\u00ecn \u00e1nh \u0111\u00e8n ban \u0111\u00eam.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n \u0110i\u1ec1u tr\u1ecb: \u0111o kh\u00fac x\u1ea1 \u0111\u00fang v\u00e0 c\u1eaft k\u00ednh ph\u00f9 h\u1ee3p, h\u01b0\u1edbng gi\u1ea3i quy\u1ebft ho\u00e0n to\u00e0n.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n Th\u00f4ng th\u01b0\u1eddng (Kh\u00e1m trong 1- 7 ng\u00e0y)<\/strong><\/p>\n<\/td>\n| \n \u0110\u1ee5c thu\u1ef7 tinh th\u1ec3, g\u00e2y t\u00e1n x\u1ea1 \u00e1nh s\u00e1ng trong thu\u1ef7 tinh th\u1ec3<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n <\/p>\n<\/td>\n | \n Khi thu\u1ef7 tinh th\u1ec3 \u0111\u1ee5c kh\u00f4ng \u0111\u1ec1u, \u00e1nh s\u00e1ng b\u1ecb ph\u00e2n t\u00e1n t\u1ea1o ra h\u00ecnh \u1ea3nh ma (ghost image) c\u1ea1nh h\u00ecnh ch\u00ednh.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u00ean 55 tu\u1ed5i, k\u00e8m theo m\u1edd m\u1eaft chung v\u00e0 nh\u00ecn \u0111\u00e8n ban \u0111\u00eam c\u00f3 qu\u1ea7ng s\u00e1ng.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n \u0110i\u1ec1u tr\u1ecb: ph\u1eabu thu\u1eadt Phaco thay thu\u1ef7 tinh th\u1ec3.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n Th\u00f4ng th\u01b0\u1eddng (Kh\u00e1m trong 1- 7 ng\u00e0y)<\/strong><\/p>\n<\/td>\n| \n Kh\u00f4 m\u1eaft n\u1eb7ng – m\u00e0ng n\u01b0\u1edbc m\u1eaft kh\u00f4ng \u0111\u1ec1u g\u00e2y m\u00e9o h\u00ecnh \u1ea3nh<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n <\/p>\n<\/td>\n | \n Khi m\u00e0ng n\u01b0\u1edbc m\u1eaft kh\u00f4ng ph\u1ee7 \u0111\u1ec1u gi\u00e1c m\u1ea1c, \u00e1nh s\u00e1ng b\u1ecb kh\u00fac x\u1ea1 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Song th\u1ecb nh\u1eb9, thay \u0111\u1ed5i theo th\u1eddi \u0111i\u1ec3m, t\u1ed1t h\u01a1n sau khi ch\u1edbp m\u1eaft ho\u1eb7c nh\u1ecf n\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n \u0110i\u1ec1u tr\u1ecb: dung d\u1ecbch n\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o + \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n kh\u00f4 m\u1eaft.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n Th\u00f4ng th\u01b0\u1eddng (Kh\u00e1m trong 1-7 ng\u00e0y)<\/strong><\/p>\n<\/td>\n| \n L\u00e1c m\u1eaft (strabismus) – hai m\u1eaft kh\u00f4ng nh\u00ecn c\u00f9ng m\u1ed9t \u0111i\u1ec3m<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n <\/p>\n<\/td>\n | \n Khi hai m\u1eaft l\u1ec7ch h\u01b0\u1edbng, n\u00e3o nh\u1eadn hai h\u00ecnh \u1ea3nh t\u1eeb hai g\u00f3c kh\u00e1c nhau \u2192 nh\u00ecn \u0111\u00f4i.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n L\u00e1c m\u1eaft m\u1edbi xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi l\u1edbn kh\u00e1c v\u1edbi l\u00e1c b\u1ea9m sinh \u1edf tr\u1ebb em v\u00e0 c\u1ea7n \u0111\u00e1nh gi\u00e1 nguy\u00ean nh\u00e2n.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n \u0110i\u1ec1u tr\u1ecb: k\u00ednh l\u0103ng k\u00ednh, ti\u00eam Botox ho\u1eb7c ph\u1eabu thu\u1eadt c\u01a1 m\u1eaft tu\u1ef3 nguy\u00ean nh\u00e2n.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n C\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9 h\u01a1n (3-5 ng\u00e0y)<\/strong><\/p>\n<\/td>\n| \n Li\u1ec7t c\u01a1 v\u1eadn nh\u00e3n – d\u00e2y th\u1ea7n kinh s\u1ed1 III, IV ho\u1eb7c VI<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n <\/p>\n<\/td>\n | \n Ba d\u00e2y th\u1ea7n kinh s\u1ecd n\u00e3o (III, IV, VI) \u0111i\u1ec1u khi\u1ec3n 6 c\u01a1 v\u1eadn nh\u00e3n c\u1ee7a m\u1ed7i m\u1eaft. T\u1ed5n th\u01b0\u01a1ng b\u1ea5t k\u1ef3 d\u00e2y n\u00e0o g\u00e2y l\u1ec7ch m\u1eaft v\u00e0 nh\u00ecn \u0111\u00f4i.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Li\u1ec7t d\u00e2y III (ph\u1ed5 bi\u1ebfn nh\u1ea5t): m\u1eaft l\u1ec7ch xu\u1ed1ng ngo\u00e0i, s\u1ee5p m\u00ed, \u0111\u1ed3ng t\u1eed gi\u00e3n, \u00a0C\u00d3 TH\u1ec2 L\u00c0 D\u1ea4U HI\u1ec6U PH\u00ccNH M\u1ea0CH N\u00c3O.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Li\u1ec7t d\u00e2y IV: kh\u00f3 nh\u00ecn xu\u1ed1ng, hay nghi\u00eang \u0111\u1ea7u \u0111\u1ec3 b\u00f9 tr\u1eeb.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Li\u1ec7t d\u00e2y VI: m\u1eaft kh\u00f4ng quay ra ngo\u00e0i \u0111\u01b0\u1ee3c, song th\u1ecb khi nh\u00ecn sang b\u00ean.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Nguy\u00ean nh\u00e2n: ti\u1ec3u \u0111\u01b0\u1eddng (ph\u1ed5 bi\u1ebfn nh\u1ea5t), t\u0103ng huy\u1ebft \u00e1p, u n\u00e3o, ph\u00ecnh m\u1ea1ch m\u00e1u n\u00e3o.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n KH\u1ea8N C\u1ea4P (C\u1ea5p c\u1ee9u ngay)<\/strong><\/p>\n<\/td>\n| \n Song th\u1ecb \u0111\u1ed9t ng\u1ed9t – d\u1ea5u hi\u1ec7u c\u1ea5p c\u1ee9u th\u1ea7n kinh<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n <\/p>\n<\/td>\n | \n \u0110\u1ed9t qu\u1ef5 n\u00e3o (stroke): Song th\u1ecb \u0111\u1ed9t ng\u1ed9t k\u00e8m li\u1ec7t m\u1eb7t, tay ch\u00e2n y\u1ebfu, n\u00f3i kh\u00f3, \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i \u2192 G\u1eccI 115 NGAY.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Ph\u00ecnh m\u1ea1ch m\u00e1u n\u00e3o (aneurysm): Song th\u1ecb + \u0111au \u0111\u1ea7u ‘t\u1ec7 nh\u1ea5t \u0111\u1eddi’ + c\u1ee9ng c\u1ed5 \u2192 C\u1ea5p c\u1ee9u kh\u1ea9n.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Ch\u00e8n \u00e9p th\u00e2n n\u00e3o: Song th\u1ecb k\u00e8m m\u1ea5t th\u0103ng b\u1eb1ng, nu\u1ed1t kh\u00f3, y\u1ebfu t\u1ee9 chi.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Vi\u00eam n\u00e3o, m\u00e0ng n\u00e3o: Song th\u1ecb + s\u1ed1t cao + c\u1ee9ng c\u1ed5 + s\u1ee3 \u00e1nh s\u00e1ng.<\/p>\n<\/td>\n<\/tr>\n | \n| \n <\/p>\n<\/td>\n | \n Ch\u1ea5n th\u01b0\u01a1ng h\u1ed1c m\u1eaft: Sau va \u0111\u1eadp m\u1ea1nh v\u00e0o m\u1eaft ho\u1eb7c \u0111\u1ea7u \u2192 Song th\u1ecb do c\u01a1 m\u1eaft b\u1ecb k\u1eb9t.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n 3. C\u00e1c nguy\u00ean nh\u00e2n \u0111\u1eb7c bi\u1ec7t c\u1ea7n l\u01b0u \u00fd<\/h2>\nB\u1ec7nh Graves (c\u01b0\u1eddng gi\u00e1p) – nguy\u00ean nh\u00e2n \u00edt ng\u01b0\u1eddi bi\u1ebft<\/h3>\nB\u1ec7nh Graves l\u00e0 b\u1ec7nh t\u1ef1 mi\u1ec5n l\u00e0m tuy\u1ebfn gi\u00e1p ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c, \u0111\u1ed3ng th\u1eddi g\u00e2y vi\u00eam v\u00e0 ph\u00f9 n\u1ec1 c\u00e1c c\u01a1 v\u1eadn nh\u00e3n trong h\u1ed1c m\u1eaft. C\u01a1 m\u1eaft ph\u00f9 n\u1ec1, kh\u00f4ng co du\u1ed7i t\u1ef1 do \u2192 m\u1eaft l\u1ec7ch h\u01b0\u1edbng \u2192 song th\u1ecb. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n song th\u1ecb \u1edf ng\u01b0\u1eddi trung ni\u00ean c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t, \u0111\u1eb7c bi\u1ec7t n\u1ebfu k\u00e8m m\u1eaft l\u1ed3i, ch\u1ea3y n\u01b0\u1edbc m\u1eaft nhi\u1ec1u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng gi\u00e1p.<\/p>\n Nh\u01b0\u1ee3c c\u01a1 (myasthenia gravis)<\/h3>\nB\u1ec7nh t\u1ef1 mi\u1ec5n l\u00e0m suy y\u1ebfu ti\u1ebfp h\u1ee3p th\u1ea7n kinh-c\u01a1. C\u01a1 m\u1eaft m\u1ec7t m\u1ecfi nhanh \u2192 song th\u1ecb th\u01b0\u1eddng n\u1eb7ng h\u01a1n v\u00e0o bu\u1ed5i chi\u1ec1u v\u00e0 gi\u1ea3m sau ngh\u1ec9 ng\u01a1i. \u0110\u1eb7c tr\u01b0ng: s\u1ee5p m\u00ed bi\u1ebfn \u0111\u1ed9ng (t\u1ed1t bu\u1ed5i s\u00e1ng, x\u1ea5u h\u01a1n v\u1ec1 chi\u1ec1u), song th\u1ecb thay \u0111\u1ed5i.<\/p>\n \u0110a x\u01a1 c\u1ee9ng (multiple sclerosis)<\/h3>\nB\u1ec7nh t\u1ef1 mi\u1ec5n t\u1ea5n c\u00f4ng bao myelin d\u00e2y th\u1ea7n kinh. Song th\u1ecb l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u – th\u01b0\u1eddng k\u00e8m theo nh\u00ecn m\u1edd, m\u1ea5t c\u1ea3m gi\u00e1c, m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng. Ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi tr\u1ebb 20\u201340 tu\u1ed5i.<\/p>\n Ti\u1ec3u \u0111\u01b0\u1eddng – nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn c\u1ee7a li\u1ec7t c\u01a1 m\u1eaft \u1edf ng\u01b0\u1eddi l\u1edbn<\/h3>\nTi\u1ec3u \u0111\u01b0\u1eddng g\u00e2y t\u1ed5n th\u01b0\u01a1ng vi m\u1ea1ch nu\u00f4i d\u00e2y th\u1ea7n kinh v\u1eadn nh\u00e3n (th\u01b0\u1eddng l\u00e0 d\u00e2y III ho\u1eb7c VI, \u00a0g\u00e2y li\u1ec7t d\u00e2y th\u1ea7n kinh v\u00e0 song th\u1ecb. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a li\u1ec7t d\u00e2y III do ti\u1ec3u \u0111\u01b0\u1eddng: \u0111\u1ed3ng t\u1eed b\u00ecnh th\u01b0\u1eddng (kh\u00e1c v\u1edbi li\u1ec7t d\u00e2y III do ph\u00ecnh m\u1ea1ch n\u00e3o – \u0111\u1ed3ng t\u1eed gi\u00e3n). Th\u01b0\u1eddng t\u1ef1 h\u1ed3i ph\u1ee5c trong 3\u20136 th\u00e1ng n\u1ebfu \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t.<\/p>\n <\/p>\n 4.B\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n song th\u1ecb nh\u01b0 th\u1ebf n\u00e0o<\/h2>\nCh\u1ea9n \u0111o\u00e1n song th\u1ecb \u0111\u00f2i h\u1ecfi quy tr\u00ecnh kh\u00e1m c\u00f3 h\u1ec7 th\u1ed1ng v\u00ec nguy\u00ean nh\u00e2n r\u1ea5t \u0111a d\u1ea1ng. T\u1ea1i DND B\u1eafc Giang, quy tr\u00ecnh kh\u00e1m song th\u1ecb bao g\u1ed3m:<\/p>\n \n\n\n| \n B\u01b0\u1edbc kh\u00e1m<\/strong><\/p>\n<\/td>\n| \n M\u1ee5c \u0111\u00edch<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n H\u1ecfi b\u1ec7nh s\u1eed chi ti\u1ebft<\/p>\n<\/td>\n | \n Kh\u1edfi ph\u00e1t khi n\u00e0o (\u0111\u1ed9t ng\u1ed9t hay t\u1eeb t\u1eeb), h\u01b0\u1edbng song th\u1ecb, c\u00f3 k\u00e8m tri\u1ec7u ch\u1ee9ng kh\u00e1c kh\u00f4ng, ti\u1ec1n s\u1eed ti\u1ec3u \u0111\u01b0\u1eddng, huy\u1ebft \u00e1p, ch\u1ea5n th\u01b0\u01a1ng<\/p>\n<\/td>\n<\/tr>\n | \n| \n Test b\u1ecbt m\u1eaft (Cover test)<\/p>\n<\/td>\n | \n Ph\u00e2n bi\u1ec7t song th\u1ecb m\u1ed9t m\u1eaft hay hai m\u1eaft – b\u01b0\u1edbc \u0111\u01a1n gi\u1ea3n nh\u1ea5t<\/p>\n<\/td>\n<\/tr>\n | \n| \n \u0110o th\u1ecb l\u1ef1c t\u1eebng m\u1eaft<\/p>\n<\/td>\n | \n Ph\u00e1t hi\u1ec7n t\u1eadt kh\u00fac x\u1ea1 g\u00e2y song th\u1ecb m\u1ed9t m\u1eaft<\/p>\n<\/td>\n<\/tr>\n | \n| \n \u0110\u00e1nh gi\u00e1 c\u01a1 v\u1eadn nh\u00e3n<\/p>\n<\/td>\n | \n Ki\u1ec3m tra chuy\u1ec3n \u0111\u1ed9ng m\u1eaft theo 8 h\u01b0\u1edbng, ph\u00e1t hi\u1ec7n li\u1ec7t c\u01a1<\/p>\n<\/td>\n<\/tr>\n | \n| \n Soi \u0111\u00e8n khe<\/p>\n<\/td>\n | \n Ki\u1ec3m tra gi\u00e1c m\u1ea1c, thu\u1ef7 tinh th\u1ec3, t\u00ecm nguy\u00ean nh\u00e2n trong nh\u00e3n c\u1ea7u<\/p>\n<\/td>\n<\/tr>\n | \n| \n \u0110o nh\u00e3n \u00e1p<\/p>\n<\/td>\n | \n Lo\u1ea1i tr\u1eeb t\u0103ng nh\u00e3n \u00e1p g\u00e2y \u1ea3nh h\u01b0\u1edfng th\u1ea7n kinh th\u1ecb<\/p>\n<\/td>\n<\/tr>\n | \n| \n Soi \u0111\u00e1y m\u1eaft<\/p>\n<\/td>\n | \n Ki\u1ec3m tra th\u1ea7n kinh th\u1ecb, m\u1ea1ch m\u00e1u v\u00f5ng m\u1ea1c<\/p>\n<\/td>\n<\/tr>\n | \n| \n H\u1ed9i ch\u1ea9n th\u1ea7n kinh (n\u1ebfu c\u1ea7n)<\/p>\n<\/td>\n | \n Khi nghi ng\u1edd nguy\u00ean nh\u00e2n th\u1ea7n kinh, ch\u1ec9 \u0111\u1ecbnh CT\/MRI n\u00e3o<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n Nh\u1eefng th\u00f4ng tin quan tr\u1ecdng c\u1ea7n k\u1ec3 v\u1edbi b\u00e1c s\u0129 khi \u0111\u1ebfn kh\u00e1m<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Song th\u1ecb xu\u1ea5t hi\u1ec7n l\u00fac n\u00e0o, \u0111\u1ed9t ng\u1ed9t hay t\u1eeb t\u1eeb?<\/p>\n<\/td>\n<\/tr>\n | \n| \n B\u1ecbt m\u1ed9t m\u1eaft c\u00f3 h\u1ebft nh\u00ecn \u0111\u00f4i kh\u00f4ng?<\/p>\n<\/td>\n<\/tr>\n | \n| \n Nh\u00ecn \u0111\u00f4i theo h\u01b0\u1edbng n\u00e0o, ngang, d\u1ecdc hay ch\u00e9o?<\/p>\n<\/td>\n<\/tr>\n | \n| \n C\u00f3 k\u00e8m \u0111au \u0111\u1ea7u, \u0111au m\u1eaft, s\u1ee5p m\u00ed kh\u00f4ng?<\/p>\n<\/td>\n<\/tr>\n | \n| \n C\u00f3 ti\u1ec1n s\u1eed ti\u1ec3u \u0111\u01b0\u1eddng, cao huy\u1ebft \u00e1p, b\u1ec7nh tuy\u1ebfn gi\u00e1p kh\u00f4ng?<\/p>\n<\/td>\n<\/tr>\n | \n| \n G\u1ea7n \u0111\u00e2y c\u00f3 ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u ho\u1eb7c m\u1eaft kh\u00f4ng?<\/p>\n<\/td>\n<\/tr>\n | \n| \n Tri\u1ec7u ch\u1ee9ng c\u00f3 t\u1ed1t h\u01a1n v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 x\u1ea5u h\u01a1n v\u1ec1 chi\u1ec1u kh\u00f4ng?<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n 5. Song th\u1ecb \u1edf tr\u1ebb em – \u0110i\u1ec3m \u0111\u1eb7c bi\u1ec7t c\u1ea7n l\u01b0u \u00fd<\/h2>\nSong th\u1ecb \u1edf tr\u1ebb em kh\u00e1c ng\u01b0\u1eddi l\u1edbn \u1edf m\u1ed9t \u0111i\u1ec3m quan tr\u1ecdng: n\u00e3o tr\u1ebb em c\u00f3 kh\u1ea3 n\u0103ng th\u00edch nghi cao, \u00a0thay v\u00ec ch\u1ea5p nh\u1eadn nh\u00ecn \u0111\u00f4i, n\u00e3o tr\u1ebb th\u01b0\u1eddng t\u1ef1 ‘t\u1eaft’ m\u1ed9t h\u00ecnh \u1ea3nh \u0111i. K\u1ebft qu\u1ea3: tr\u1ebb kh\u00f4ng ph\u00e0n n\u00e0n nh\u00ecn \u0111\u00f4i m\u00e0 thay v\u00e0o \u0111\u00f3 ph\u00e1t tri\u1ec3n nh\u01b0\u1ee3c th\u1ecb (m\u1eaft l\u01b0\u1eddi).<\/p>\n D\u1ea5u hi\u1ec7u song th\u1ecb \u1edf tr\u1ebb, th\u01b0\u1eddng gi\u00e1n ti\u1ebfp<\/h3>\n\n- Hay nh\u1eafm m\u1ed9t m\u1eaft khi nh\u00ecn ho\u1eb7c \u0111\u1ecdc s\u00e1ch<\/li>\n
- Nghi\u00eang \u0111\u1ea7u sang m\u1ed9t b\u00ean li\u00ean t\u1ee5c khi nh\u00ecn, c\u1ed1 b\u00f9 tr\u1eeb song th\u1ecb<\/li>\n
- M\u1ed9t m\u1eaft tr\u00f4ng l\u1ec7ch h\u01b0\u1edbng, l\u00e1c m\u1eaft<\/li>\n
- Hay v\u1ea5p ng\u00e3, kh\u00f3 ph\u00e1n \u0111o\u00e1n kho\u1ea3ng c\u00e1ch, th\u1ecb gi\u00e1c chi\u1ec1u s\u00e2u k\u00e9m<\/li>\n
- K\u1ebft qu\u1ea3 h\u1ecdc t\u1eadp k\u00e9m kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/li>\n<\/ul>\n
<\/p>\n N\u1ebfu tr\u1ebb c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u n\u00e0o tr\u00ean: \u0111\u01b0a \u0111\u1ebfn kh\u00e1m nh\u00e3n nhi chuy\u00ean khoa, kh\u00f4ng ch\u1edd xem tr\u1ebb ‘l\u1edbn l\u00ean t\u1ef1 kh\u1ecfi’. \u0110i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t khi tr\u1ebb c\u00f2n trong ‘c\u1eeda s\u1ed5 v\u00e0ng’ d\u01b0\u1edbi 7 tu\u1ed5i.<\/p>\n <\/p>\n 6. C\u00e1ch x\u1eed l\u00fd song th\u1ecb theo t\u1eebng nguy\u00ean nh\u00e2n \u00a0<\/h2>\nKh\u00f4ng c\u00f3 m\u1ed9t c\u00e1ch \u0111i\u1ec1u tr\u1ecb song th\u1ecb duy nh\u1ea5t, m\u1ed7i nguy\u00ean nh\u00e2n c\u00f3 ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd ri\u00eang. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 x\u00e1c \u0111\u1ecbnh \u0111\u00fang nguy\u00ean nh\u00e2n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n \n\n\n| \n Nguy\u00ean nh\u00e2n<\/strong><\/p>\n<\/td>\n| \n \u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n<\/td>\n| \n Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Lo\u1ea1n th\u1ecb ch\u01b0a \u0111i\u1ec1u ch\u1ec9nh<\/p>\n<\/td>\n | \n C\u1eaft k\u00ednh \u0111\u00fang s\u1ed1, c\u00f3 th\u1ec3 c\u1eaft th\u00eam l\u0103ng k\u00ednh n\u1ebfu c\u1ea7n<\/p>\n<\/td>\n | \n R\u1ea5t t\u1ed1t, \u0111i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m<\/p>\n<\/td>\n<\/tr>\n | \n| \n \u0110\u1ee5c thu\u1ef7 tinh th\u1ec3<\/p>\n<\/td>\n | \n Ph\u1eabu thu\u1eadt Phaco thay thu\u1ef7 tinh th\u1ec3<\/p>\n<\/td>\n | \n R\u1ea5t t\u1ed1t, h\u1ebft song th\u1ecb sau m\u1ed5<\/p>\n<\/td>\n<\/tr>\n | \n| \n Kh\u00f4 m\u1eaft<\/p>\n<\/td>\n | \n N\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o + \u0111i\u1ec1u tr\u1ecb kh\u00f4 m\u1eaft<\/p>\n<\/td>\n | \n T\u1ed1t n\u1ebfu \u0111i\u1ec1u tr\u1ecb \u0111\u00fang nguy\u00ean nh\u00e2n<\/p>\n<\/td>\n<\/tr>\n | \n| \n L\u00e1c m\u1eaft<\/p>\n<\/td>\n | \n K\u00ednh l\u0103ng k\u00ednh, ti\u00eam Botox ho\u1eb7c ph\u1eabu thu\u1eadt c\u01a1 m\u1eaft<\/p>\n<\/td>\n | \n T\u1ed1t \u0111\u1ebfn kh\u00e1, ph\u1ee5 thu\u1ed9c lo\u1ea1i l\u00e1c<\/p>\n<\/td>\n<\/tr>\n | \n| \n Li\u1ec7t d\u00e2y th\u1ea7n kinh do ti\u1ec3u \u0111\u01b0\u1eddng<\/p>\n<\/td>\n | \n Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft + theo d\u00f5i – \u00a0th\u01b0\u1eddng t\u1ef1 h\u1ed3i ph\u1ee5c 3\u20136 th\u00e1ng<\/p>\n<\/td>\n | \n Kh\u00e1, h\u1ea7u h\u1ebft t\u1ef1 h\u1ed3i ph\u1ee5c<\/p>\n<\/td>\n<\/tr>\n | \n| \n B\u1ec7nh Graves (gi\u00e1p)<\/p>\n<\/td>\n | \n \u0110i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p + x\u1eed l\u00fd bi\u1ebfn ch\u1ee9ng m\u1eaft<\/p>\n<\/td>\n | \n Kh\u00e1 \u0111\u1ebfn trung b\u00ecnh<\/p>\n<\/td>\n<\/tr>\n | \n| \n Nh\u01b0\u1ee3c c\u01a1<\/p>\n<\/td>\n | \n Thu\u1ed1c kh\u00e1ng men cholinesterase, \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/p>\n<\/td>\n | \n Ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c, kh\u00f4ng kh\u1ecfi ho\u00e0n to\u00e0n<\/p>\n<\/td>\n<\/tr>\n | \n| \n \u0110\u1ed9t qu\u1ef5 \/ ph\u00ecnh m\u1ea1ch n\u00e3o<\/p>\n<\/td>\n | \n C\u1ea5p c\u1ee9u can thi\u1ec7p th\u1ea7n kinh m\u1ea1ch m\u00e1u<\/p>\n<\/td>\n | \n Ph\u1ee5 thu\u1ed9c m\u1ee9c \u0111\u1ed9 \u2014 c\u1ea7n can thi\u1ec7p s\u1edbm<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n K\u00ednh l\u0103ng k\u00ednh – gi\u1ea3i ph\u00e1p t\u1ea1m th\u1eddi hi\u1ec7u qu\u1ea3<\/h3>\nV\u1edbi nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p song th\u1ecb hai m\u1eaft, k\u00ednh l\u0103ng k\u00ednh (prism glasses) c\u00f3 th\u1ec3 gi\u00fap h\u1ee3p nh\u1ea5t hai h\u00ecnh \u1ea3nh th\u00e0nh m\u1ed9t trong khi ch\u1edd \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n g\u1ed1c. L\u0103ng k\u00ednh b\u1ebb h\u01b0\u1edbng \u00e1nh s\u00e1ng \u0111\u1ec3 b\u00f9 l\u1ea1i s\u1ef1 l\u1ec7ch tr\u1ee5c c\u1ee7a hai m\u1eaft \u2014 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n nh\u01b0ng gi\u00fap ng\u01b0\u1eddi b\u1ec7nh nh\u00ecn b\u00ecnh th\u01b0\u1eddng v\u00e0 an to\u00e0n h\u01a1n trong cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y.<\/p>\n T\u1eadp th\u1ecb gi\u00e1c (Vision therapy)<\/h3>\nV\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p song th\u1ecb do m\u1ea5t c\u00e2n b\u1eb1ng c\u01a1 v\u1eadn nh\u00e3n nh\u1eb9, li\u1ec7u ph\u00e1p t\u1eadp th\u1ecb gi\u00e1c (c\u00e1c b\u00e0i t\u1eadp m\u1eaft c\u00f3 h\u01b0\u1edbng d\u1eabn) c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n s\u1ef1 ph\u1ed1i h\u1ee3p hai m\u1eaft. Th\u01b0\u1eddng k\u1ebft h\u1ee3p v\u1edbi k\u00ednh l\u0103ng k\u00ednh v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 nh\u00e3n khoa.<\/p>\n <\/p>\n 7. Khi n\u00e0o c\u1ea7n kh\u00e1m ngay \u2013 H\u01b0\u1edbng d\u1eabn \u01b0u ti\u00ean<\/h2>\n\u0110\u00e2y l\u00e0 ph\u1ea7n quan tr\u1ecdng nh\u1ea5t c\u1ee7a b\u00e0i vi\u1ebft. Song th\u1ecb l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129, \u00a0c\u00e2u h\u1ecfi ch\u1ec9 l\u00e0 M\u1ee8C \u0110\u1ed8 KH\u1ea8N C\u1ea4P l\u00e0 bao nhi\u00eau.<\/p>\n \n\n\n| \n KH\u1ea8N C\u1ea4P – \u00a0G\u1ecdi 115 ho\u1eb7c \u0111\u1ebfn c\u1ea5p c\u1ee9u NGAY (kh\u00f4ng ch\u1edd l\u1ecbch kh\u00e1m)<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Song th\u1ecb xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u b\u00e1o tr\u01b0\u1edbc<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb k\u00e8m \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i – \u0111\u1eb7c bi\u1ec7t \u0111au ki\u1ec3u ‘t\u1ec7 nh\u1ea5t trong \u0111\u1eddi’<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb k\u00e8m li\u1ec7t ho\u1eb7c y\u1ebfu tay ch\u00e2n, m\u00e9o mi\u1ec7ng, n\u00f3i ng\u1ecdng kh\u00f3<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb k\u00e8m m\u1ea5t th\u0103ng b\u1eb1ng, \u0111i kh\u00f4ng v\u1eefng, ng\u00e3 kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb sau ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u ho\u1eb7c tai n\u1ea1n<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb k\u00e8m s\u1ed1t cao v\u00e0 c\u1ee9ng c\u1ed5<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb k\u00e8m \u0111\u1ed3ng t\u1eed m\u1ed9t b\u00ean gi\u00e3n to b\u1ea5t th\u01b0\u1eddng<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n C\u1ea7n kh\u00e1m chuy\u00ean khoa nh\u00e3n khoa trong 1- 3 ng\u00e0y<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Song th\u1ecb m\u1ed9t m\u1eaft m\u1edbi xu\u1ea5t hi\u1ec7n – \u00a0m\u1edd + nh\u00ecn \u0111\u00f4i khi b\u1ecbt m\u1eaft kia v\u1eabn c\u00f2n<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb k\u00e8m s\u1ee5p m\u00ed m\u1eaft m\u1edbi xu\u1ea5t hi\u1ec7n<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb sau khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c m\u1edbi<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb x\u1ea3y ra \u1edf tr\u1ebb em (b\u1ea5t k\u1ef3 m\u1ee9c \u0111\u1ed9 n\u00e0o)<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb \u0111i k\u00e8m v\u1edbi c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi m\u1eaft t\u0103ng d\u1ea7n v\u1ec1 chi\u1ec1u<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/p>\n \n\n\n| \n C\u00f3 th\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m trong 3- 7 ng\u00e0y n\u1ebfu<\/strong><\/p>\n<\/td>\n<\/tr>\n\n| \n Song th\u1ecb nh\u1eb9, kh\u00f4ng t\u0103ng n\u1eb7ng, kh\u00f4ng k\u00e8m tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb c\u00f3 t\u1eeb l\u00e2u, kh\u00f4ng thay \u0111\u1ed5i \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb tho\u00e1ng qua, bi\u1ebfn m\u1ea5t khi ch\u1edbp m\u1eaft – c\u00f3 th\u1ec3 do kh\u00f4 m\u1eaft<\/p>\n<\/td>\n<\/tr>\n | \n| \n Song th\u1ecb khi \u0111\u1ecdc s\u00e1ch, c\u00f3 th\u1ec3 do lo\u1ea1n th\u1ecb ch\u01b0a \u0111i\u1ec1u ch\u1ec9nh<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n ![\"Song](\"https:\/\/bvnguyentriphuong.com.vn\/uploads\/images\/cac_chuyen_khoa\/Chuy%C3%AAn%20khoa%20l%E1%BA%BB\/song-thi.jpg\") Song th\u1ecb k\u00e8m \u0111\u1ed3ng t\u1eed m\u1ed9t b\u00ean gi\u00e3n to b\u1ea5t th\u01b0\u1eddng<\/p><\/div>\n 8. C\u00e1c c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p v\u1ec1 song th\u1ecb<\/h2>\nSong th\u1ecb c\u00f3 t\u1ef1 kh\u1ecfi kh\u00f4ng?<\/strong><\/p>\nPh\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n. Li\u1ec7t d\u00e2y th\u1ea7n kinh v\u1eadn nh\u00e3n do ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng t\u1ef1 h\u1ed3i ph\u1ee5c trong 3- 6 th\u00e1ng khi ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1t. Song th\u1ecb do lo\u1ea1n th\u1ecb h\u1ebft ngay khi c\u1eaft k\u00ednh \u0111\u00fang. Nh\u01b0ng song th\u1ecb do \u0111\u1ed9t qu\u1ef5, u n\u00e3o ho\u1eb7c b\u1ec7nh t\u1ef1 mi\u1ec5n kh\u00f4ng t\u1ef1 kh\u1ecfi, \u00a0c\u1ea7n \u0111i\u1ec1u tr\u1ecb chuy\u00ean khoa. Kh\u00f4ng n\u00ean ch\u1edd \u0111\u1ee3i m\u00e0 kh\u00f4ng kh\u00e1m.<\/p>\n Song th\u1ecb m\u1ed9t m\u1eaft c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/strong><\/p>\n\u00cdt nguy hi\u1ec3m h\u01a1n song th\u1ecb hai m\u1eaft, nh\u01b0ng v\u1eabn c\u1ea7n kh\u00e1m \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n. Th\u01b0\u1eddng do lo\u1ea1n th\u1ecb, \u0111\u1ee5c thu\u1ef7 tinh th\u1ec3 ho\u1eb7c kh\u00f4 m\u1eaft, \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd gi\u00e1c m\u1ea1c ho\u1eb7c b\u1ea5t th\u01b0\u1eddng v\u00f5ng m\u1ea1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y song th\u1ecb m\u1ed9t m\u1eaft v\u00e0 c\u1ea7n ph\u00e1t hi\u1ec7n s\u1edbm.<\/p>\n T\u00f4i b\u1ecb nh\u00ecn \u0111\u00f4i khi m\u1ec7t ho\u1eb7c \u0111\u1ecdc l\u00e2u, c\u00f3 ph\u1ea3i song th\u1ecb kh\u00f4ng?<\/strong><\/p>\nC\u00f3 th\u1ec3 l\u00e0 song th\u1ecb nh\u1eb9 do m\u1ea5t c\u00e2n b\u1eb1ng c\u01a1 h\u1ed9i t\u1ee5 (convergence insufficiency), t\u00ecnh tr\u1ea1ng hai m\u1eaft kh\u00f3 duy tr\u00ec h\u1ed9i t\u1ee5 khi nh\u00ecn g\u1ea7n l\u00e2u. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng: ch\u1eef nh\u00e2n \u0111\u00f4i khi \u0111\u1ecdc l\u00e2u, \u0111au \u0111\u1ea7u sau khi \u0111\u1ecdc, ph\u1ea3i nh\u1eafm m\u1ed9t m\u1eaft \u0111\u1ec3 \u0111\u1ecdc ti\u1ebfp. \u0110i\u1ec1u tr\u1ecb: t\u1eadp th\u1ecb gi\u00e1c + k\u00ednh l\u0103ng k\u00ednh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. C\u1ea7n kh\u00e1m \u0111\u1ec3 x\u00e1c nh\u1eadn.<\/p>\n Tr\u1ebb em b\u1ecb nh\u1eafm m\u1ed9t m\u1eaft khi nh\u00ecn c\u00f3 ph\u1ea3i song th\u1ecb kh\u00f4ng?<\/strong><\/p>\nR\u1ea5t c\u00f3 th\u1ec3. Tr\u1ebb nh\u1eafm m\u1ed9t m\u1eaft th\u01b0\u1eddng l\u00e0 c\u00e1ch n\u00e3o gi\u1ea3i quy\u1ebft song th\u1ecb, kh\u00f4ng ph\u1ea3i th\u00f3i quen. \u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u c\u1ea7n kh\u00e1m nh\u00e3n nhi kh\u1ea9n. Kh\u00f4ng n\u00ean xem nh\u1eb9 d\u00f9 tr\u1ebb kh\u00f4ng ph\u00e0n n\u00e0n nh\u00ecn m\u1edd hay nh\u00ecn \u0111\u00f4i v\u00ec n\u00e3o tr\u1ebb \u0111\u00e3 t\u1ef1 ‘t\u1eaft’ b\u1edbt m\u1ed9t h\u00ecnh.<\/p>\n Song th\u1ecb c\u00f3 c\u1ea7n ch\u1ee5p MRI n\u00e3o kh\u00f4ng?<\/strong><\/p>\nKh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3. B\u00e1c s\u0129 nh\u00e3n khoa s\u1ebd \u0111\u00e1nh gi\u00e1 v\u00e0 quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n h\u1ed9i ch\u1ea9n th\u1ea7n kinh v\u00e0 ch\u1ee5p h\u00ecnh \u1ea3nh n\u00e3o kh\u00f4ng. N\u1ebfu song th\u1ecb \u0111\u1ed9t ng\u1ed9t, k\u00e8m tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh, ho\u1eb7c kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c b\u1eb1ng nguy\u00ean nh\u00e2n m\u1eaft: MRI n\u00e3o ho\u1eb7c CT scan \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. N\u1ebfu song th\u1ecb m\u1ed9t m\u1eaft do lo\u1ea1n th\u1ecb ho\u1eb7c \u0111\u1ee5c thu\u1ef7 tinh th\u1ec3: kh\u00f4ng c\u1ea7n.<\/p>\n Kh\u00e1m song th\u1ecb \u1edf \u0111\u00e2u t\u1ea1i B\u1eafc Giang?<\/strong><\/p>\nB\u1ec7nh vi\u1ec7n M\u1eaft Qu\u1ed1c t\u1ebf DND B\u1eafc Giang c\u00f3 kh\u00e1m nh\u00e3n khoa to\u00e0n di\u1ec7n bao g\u1ed3m \u0111\u00e1nh gi\u00e1 c\u01a1 v\u1eadn nh\u00e3n, soi \u0111\u00e8n khe v\u00e0 soi \u0111\u00e1y m\u1eaft, \u0111\u1ee7 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u1ea7u h\u1ebft nguy\u00ean nh\u00e2n song th\u1ecb v\u00e0 h\u1ed9i ch\u1ea9n th\u1ea7n kinh khi c\u1ea7n. Tr\u01b0\u1eddng h\u1ee3p song th\u1ecb \u0111\u1ed9t ng\u1ed9t k\u00e8m tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh: \u0111\u1ebfn c\u1ea5p c\u1ee9u b\u1ec7nh vi\u1ec7n \u0111a khoa g\u1ea7n nh\u1ea5t ngay.<\/p>\n 9. K\u1ebft lu\u1eadn – Song th\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, kh\u00f4ng ch\u1edd t\u1ef1 kh\u1ecfi<\/h2>\nSong th\u1ecb, nh\u00ecn m\u1ed9t th\u00e0nh hai l\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 d\u1ea3i nguy\u00ean nh\u00e2n r\u1ea5t r\u1ed9ng: t\u1eeb lo\u1ea1n th\u1ecb \u0111\u01a1n gi\u1ea3n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng k\u00ednh, \u0111\u1ebfn \u0111\u1ed9t qu\u1ef5 n\u00e3o c\u1ea7n c\u1ea5p c\u1ee9u trong v\u00f2ng v\u00e0i gi\u1edd. \u0110i\u1ec3m chung: kh\u00f4ng n\u00ean t\u1ef1 ch\u1ea9n \u0111o\u00e1n v\u00e0 kh\u00f4ng n\u00ean ch\u1edd \u0111\u1ee3i.<\/p>\n Quy t\u1eafc th\u1ef1c t\u1ebf: Song th\u1ecb \u0111\u1ed9t ng\u1ed9t + b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh n\u00e0o = g\u1ecdi 115 ngay. Song th\u1ecb t\u1eeb t\u1eeb, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng nguy hi\u1ec3m kh\u00e1c = \u0111\u1eb7t l\u1ecbch kh\u00e1m nh\u00e3n khoa trong v\u00f2ng 1 tu\u1ea7n. Tr\u1ebb em c\u00f3 d\u1ea5u hi\u1ec7u song th\u1ecb = kh\u00e1m s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n <\/p>\n <\/p>","protected":false},"excerpt":{"rendered":" Sorry, this entry is only available in Ti\u1ebfng Vi\u1ec7t. For the sake of viewer convenience, the content is shown below in the alternative language. You may click the link to switch the active language. \u0110\u1ed9t nhi\u00ean nh\u00ecn m\u1ed9t v\u1eadt m\u00e0 th\u1ea5y hai h\u00ecnh ho\u1eb7c ch\u1eef b\u1ecb nh\u00e2n \u0111\u00f4i khi \u0111\u1ecdc s\u00e1ch, nh\u00ecn bi\u1ec3n \u0111\u01b0\u1eddng th\u1ea5y […]<\/p>\n","protected":false},"author":35,"featured_media":6302,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[322,60],"tags":[],"class_list":["post-6301","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hieu-ve-doi-mat","category-tin-tuc-su-kien"],"acf":[],"_links":{"self":[{"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/posts\/6301"}],"collection":[{"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/users\/35"}],"replies":[{"embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/comments?post=6301"}],"version-history":[{"count":0,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/posts\/6301\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/media\/6302"}],"wp:attachment":[{"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/media?parent=6301"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/categories?post=6301"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/tags?post=6301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}} | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |