{"id":6638,"date":"2026-05-27T15:02:10","date_gmt":"2026-05-27T08:02:10","guid":{"rendered":"http:\/\/bacgiang.matquocte.vn\/?p=6638"},"modified":"2026-05-27T15:02:10","modified_gmt":"2026-05-27T08:02:10","slug":"viem-day-kinh-thi-giac-mat-bong-mo-khong-dau-dau","status":"publish","type":"post","link":"https:\/\/bacgiang.matquocte.vn\/en\/tieng-viet-viem-day-than-kinh-thi-giac-mat-bong-mo-khong-dau-do-dau\/","title":{"rendered":"(Ti\u1ebfng Vi\u1ec7t) Vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c: M\u1eaft b\u1ed7ng m\u1edd kh\u00f4ng \u0111au do \u0111\u00e2u?"},"content":{"rendered":"

Sorry, this entry is only available in Ti\u1ebfng Vi\u1ec7t<\/a>. 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.<\/p>

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Nhi\u1ec1u ng\u01b0\u1eddi th\u01b0\u1eddng ch\u1ee7 quan b\u1ecf qua hi\u1ec7n t\u01b0\u1ee3ng m\u1eaft b\u1ecb m\u1edd \u0111i v\u00ec cho r\u1eb1ng kh\u00f4ng \u0111au nh\u1ee9c th\u00ec kh\u00f4ng \u0111\u00e1ng lo ng\u1ea1i. Tuy nhi\u00ean, \u0111\u00e2y l\u1ea1i l\u00e0 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o ng\u1ea7m c\u1ee7a nhi\u1ec1u b\u1ec7nh l\u00fd v\u1ec1 m\u1eaft ph\u1ee9c t\u1ea1p, \u0111i\u1ec3n h\u00ecnh l\u00e0 vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c. T\u00ecnh tr\u1ea1ng n\u00e0y n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ecb l\u1ef1c v\u0129nh vi\u1ec5n.\u00a0<\/span><\/p>\n

V\u1eady nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh n\u00e0y l\u00e0 g\u00ec v\u00e0 m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m c\u1ee7a n\u00f3 ra sao? B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y t\u1eeb B\u1ec7nh vi\u1ec7n M\u1eaft Qu\u1ed1c t\u1ebf DND s\u1ebd cung c\u1ea5p cho b\u1ea1n c\u00e1i nh\u00ecn to\u00e0n di\u1ec7n v\u00e0 ch\u00ednh x\u00e1c nh\u1ea5t.<\/span><\/p>\n

D\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c l\u00e0 g\u00ec?\u00a0<\/span><\/h1>\n

D\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c (d\u00e2y s\u1ecd s\u1ed1 II) l\u00e0 \u0111\u01b0\u1eddng truy\u1ec1n d\u1eabn t\u00edn hi\u1ec7u \u00e1nh s\u00e1ng, h\u00ecnh \u1ea3nh v\u00e0 m\u00e0u s\u1eafc t\u1eeb v\u00f5ng m\u1ea1c v\u1ec1 th\u00f9y ch\u1ea9m \u1edf n\u00e3o b\u1ed9 \u0111\u1ec3 x\u1eed l\u00fd. M\u1ed7i m\u1eaft s\u1edf h\u1eefu m\u1ed9t d\u00e2y th\u1ea7n kinh ri\u00eang bi\u1ec7t ch\u1ea1y \u0111\u1ed1i x\u1ee9ng nhau sang hai b\u00e1n c\u1ea7u n\u00e3o.<\/span><\/p>\n

T\u1ed5ng chi\u1ec1u d\u00e0i c\u1ee7a d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c kho\u1ea3ngh\u01a1n 5 cm. N\u00f3 di chuy\u1ec3n qua 4 \u0111o\u1ea1n c\u1ee5 th\u1ec3 nh\u01b0 sau:<\/span><\/p>\n

– Kh\u1edfi \u0111\u1ea7u: Xu\u1ea5t ph\u00e1t t\u1eeb gai th\u1ecb, xuy\u00ean qua c\u1ee7ng m\u1ea1c (0,7 mm).<\/span><\/p>\n

– \u0110o\u1ea1n h\u1ed1c m\u1eaft: D\u00e0i kho\u1ea3ng 3 cm.<\/span><\/p>\n

– \u0110o\u1ea1n \u1ed1ng th\u1ecb gi\u00e1c: D\u00e0i kho\u1ea3ng 0,6 cm.<\/span><\/p>\n

– \u0110o\u1ea1n trong s\u1ecd: D\u00e0i kho\u1ea3ng 1 cm tr\u01b0\u1edbc khi v\u00e0o n\u00e3o.<\/span><\/p>\n

Kh\u00e1i ni\u1ec7m vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c<\/span><\/h1>\n

Vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng s\u01b0ng vi\u00eam, nhi\u1ec5m tr\u00f9ng c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh t\u1ea1i d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c. T\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0m c\u1ea3n tr\u1edf \u0111\u01b0\u1eddng truy\u1ec1n t\u00edn hi\u1ec7u h\u00ecnh \u1ea3nh l\u00ean n\u00e3o, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ecb l\u1ef1c nghi\u00eam tr\u1ecdng.<\/span><\/p>\n

Vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c th\u01b0\u1eddng x\u1ea3y ra \u1edf m\u1ed9t b\u00ean m\u1eaft, \u0111\u00f4i khi lan ra c\u1ea3 hai b\u00ean tr\u00ean m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 s\u1ee3i th\u1ea7n kinh. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, t\u1ed5n th\u01b0\u01a1ng s\u1ebd ti\u1ebfn tri\u1ec3n n\u1eb7ng v\u00e0 c\u00f3 nguy c\u01a1 g\u00e2y m\u00f9 l\u00f2a v\u0129nh vi\u1ec5n.<\/span><\/p>\n

B\u1ec7nh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf ng\u01b0\u1eddi tr\u1ebb v\u00e0 trung ni\u00ean t\u1eeb 20 – 45 tu\u1ed5i. Trong \u0111\u00f3, n\u1eef gi\u1edbi c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh cao g\u1ea5p \u0111\u00f4i nam gi\u1edbi.<\/span><\/p>\n

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H\u00ecnh \u1ea3nh vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c.<\/p><\/div>\n

Nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n d\u1eabn \u0111\u1ebfn vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c<\/span><\/h1>\n

\u0110a s\u1ed1 c\u00e1c c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc vi\u00eam th\u1ecb th\u1ea7n kinh kh\u00f4ng t\u00ecm th\u1ea5y nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng. \u1ede c\u00e1c tr\u01b0\u1eddng h\u1ee3p x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n, b\u1ec7nh th\u01b0\u1eddng c\u00f3 m\u1ed1i li\u00ean h\u1ec7 m\u1eadt thi\u1ebft v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n th\u1ea7n kinh ho\u1eb7c ph\u1ea3n \u1ee9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a h\u1ec7 mi\u1ec5n d\u1ecbch.<\/span><\/p>\n

C\u00e1c t\u00e1c nh\u00e2n ch\u00ednh \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh bao g\u1ed3m:<\/span><\/p>\n

– B\u1ec7nh \u0111a x\u01a1 c\u1ee9ng (MS): B\u1ec7nh \u0111a x\u01a1 c\u1ee9ng l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y vi\u00eam d\u00e2y th\u1ea7n kinh m\u1eaft. \u0110\u00e2y l\u00e0 b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u0111\u1eb7c tr\u01b0ng b\u1edfi vi\u1ec7c h\u1ec7 mi\u1ec5n d\u1ecbch t\u1ef1 ph\u00e1 h\u1ee7y l\u1edbp v\u1ecf b\u1ea3o v\u1ec7 (bao myelin) c\u1ee7a s\u1ee3i th\u1ea7n kinh.\u00a0<\/span><\/p>\n

– C\u00e1c \u1ed5 nhi\u1ec5m tr\u00f9ng: B\u1ec7nh c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t sau c\u00e1c \u0111\u1ee3t nhi\u1ec5m tr\u00f9ng to\u00e0n th\u00e2n ho\u1eb7c vi\u00eam nhi\u1ec5m v\u00f9ng l\u00e2n c\u1eadn nh\u01b0: vi\u00eam xoang, vi\u00eam m\u00e0ng n\u00e3o, lao, quai b\u1ecb, s\u1edfi, zona th\u1ea7n kinh, b\u1ec7nh Lyme v\u00e0 giang mai.<\/span><\/p>\n

– Vi\u00eam t\u1ee7y – th\u1ecb th\u1ea7n kinh (NMO): H\u1ed9i ch\u1ee9ng t\u1ef1 mi\u1ec5n nguy hi\u1ec3m, t\u1ea5n c\u00f4ng tr\u1ef1c ti\u1ebfp v\u00e0 g\u00e2y t\u1ed5n th\u01b0\u01a1ng s\u00e2u s\u1eafc l\u00ean h\u1ec7 th\u1ed1ng t\u1ee7y s\u1ed1ng c\u00f9ng d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c.<\/span><\/p>\n

– t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c: Vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5, l\u00e0m t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c k\u00edch \u1ee9ng h\u1ec7 th\u1ea7n kinh m\u1eaft.<\/span><\/p>\n

– Ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch sau ti\u00eam ch\u1ee7ng: M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p ghi nh\u1eadn h\u1ec7 mi\u1ec5n d\u1ecbch ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn v\u00e0 g\u00e2y vi\u00eam sau khi ti\u00eam v\u1eafc-xin.<\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng nh\u1eadn bi\u1ebft vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c<\/span><\/h1>\n

B\u1ec7nh vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c th\u01b0\u1eddng kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh \u1edf m\u1eaft. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ea1i m\u1eaft kh\u00f4ng th\u1ec3 ch\u1ee7 quan:<\/span><\/p>\n

– \u0110au nh\u1ee9c h\u1ed1c m\u1eaft: C\u01a1n \u0111au c\u00f3 m\u1ee9c \u0111\u1ed9 t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng ngay ph\u00eda sau nh\u00e3n c\u1ea7u. C\u1ea3m gi\u00e1c \u0111au nh\u1ee9c n\u00e0y s\u1ebd t\u0103ng l\u00ean r\u00f5 r\u1ec7t m\u1ed7i khi ng\u01b0\u1eddi b\u1ec7nh li\u1ebfc ho\u1eb7c c\u1eed \u0111\u1ed9ng m\u1eaft.<\/span><\/p>\n

– M\u1ea5t th\u1ecb l\u1ef1c m\u1ed9t b\u00ean: M\u1eaft c\u00f3 d\u1ea5u hi\u1ec7u m\u1edd \u0111i nhanh ch\u00f3ng sau v\u00e0i gi\u1edd (c\u1ea5p t\u00ednh) ho\u1eb7c gi\u1ea3m d\u1ea7n sau v\u00e0i tu\u1ea7n (m\u1ea1n t\u00ednh), th\u1eadm ch\u00ed m\u1ea5t th\u1ecb gi\u00e1c ho\u00e0n to\u00e0n. \u0110\u1eb7c bi\u1ec7t, th\u1ecb l\u1ef1c s\u1ebd m\u1edd \u0111\u1eadm h\u01a1n khi th\u00e2n nhi\u1ec7t t\u0103ng do t\u1eadp th\u1ec3 d\u1ee5c hay t\u1eafm n\u01b0\u1edbc n\u00f3ng (hi\u1ec7n t\u01b0\u1ee3ng Uhthoff).<\/span><\/p>\n

– Thu h\u1eb9p t\u1ea7m nh\u00ecn: V\u00f9ng kh\u00f4ng gian quan s\u00e1t xung quanh b\u1ecb thu h\u1eb9p \u0111\u00e1ng k\u1ec3. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c \u0111i\u1ec3m t\u1ed1i (\u00e1m \u0111i\u1ec3m) \u1edf trung t\u00e2m ho\u1eb7c m\u1ea5t h\u1eb3n t\u1ea7m nh\u00ecn ngo\u1ea1i vi.<\/span><\/p>\n

– Suy gi\u1ea3m kh\u1ea3 n\u0103ng ph\u00e2n bi\u1ec7t m\u00e0u s\u1eafc: Ng\u01b0\u1eddi b\u1ec7nh th\u1ea5y m\u00e0u s\u1eafc xung quanh b\u1ecb nh\u1ea1t nh\u00f2a, m\u1edd \u0111\u1ee5c, k\u00e9m s\u1ed1ng \u0111\u1ed9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 kh\u00f3 nh\u1eadn di\u1ec7n m\u00e0u \u0111\u1ecf.<\/span><\/p>\n

– Th\u1ea5y ch\u1edbp s\u00e1ng: Xu\u1ea5t hi\u1ec7n c\u00e1c \u0111\u1ed1m s\u00e1ng ho\u1eb7c v\u1ec7t s\u00e1ng ch\u1edbp nh\u00e1y tr\u01b0\u1edbc m\u1eaft, t\u1ea7n su\u1ea5t t\u0103ng l\u00ean khi di chuy\u1ec3n nh\u00e3n c\u1ea7u.<\/span><\/p>\n

– Xu\u1ea5t hi\u1ec7n hi\u1ec7n t\u01b0\u1ee3ng Pulfrich: R\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh nh\u00ecn m\u1ed9t v\u1eadt th\u1ec3 \u0111ang chuy\u1ec3n \u0111\u1ed9ng theo \u0111\u01b0\u1eddng th\u1eb3ng th\u00e0nh chuy\u1ec3n \u0111\u1ed9ng theo \u0111\u01b0\u1eddng cong. Bi\u1ec3u hi\u1ec7n n\u00e0y do v\u1eadn t\u1ed1c d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u gi\u1eefa hai b\u00ean m\u1eaft kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u.<\/span><\/p>\n

\u0110\u1eb7c bi\u1ec7t, n\u1ebfu t\u00ecnh tr\u1ea1ng vi\u00eam th\u1ecb gi\u00e1c lan r\u1ed9ng ho\u1eb7c li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 mi\u1ec5n (nh\u01b0 \u0111a x\u01a1 c\u1ee9ng), ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0:<\/span><\/p>\n

– T\u00ea b\u00ec, ch\u00e2m ch\u00edch ho\u1eb7c y\u1ebfu m\u1ecfi m\u1ed9t hay nhi\u1ec1u chi.<\/span><\/p>\n

– M\u1ea5t th\u0103ng b\u1eb1ng, \u0111i l\u1ea1i lo\u1ea1ng cho\u1ea1ng.<\/span><\/p>\n

– R\u1ed1i lo\u1ea1n tri gi\u00e1c (\u1edf giai \u0111o\u1ea1n bi\u1ebfn ch\u1ee9ng n\u1eb7ng).<\/span><\/p>\n

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M\u1edd m\u1eaft l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ec7nh vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c.<\/p><\/div>\n

Nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a vi\u00eam d\u00e2y th\u1ea7n kinh m\u1eaft<\/span><\/h1>\n

Vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c l\u00e0 b\u1ec7nh l\u00fd nh\u00e3n khoa r\u1ea5t nguy hi\u1ec3m. N\u1ebfu b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1.<\/span><\/p>\n

M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c ta c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn l\u00e0:<\/span><\/p>\n

– H\u1ecfng d\u00e2y th\u1ea7n kinh m\u1eaft v\u0129nh vi\u1ec5n: T\u00ecnh tr\u1ea1ng vi\u00eam l\u00e2u ng\u00e0y s\u1ebd l\u00e0m c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1ecb suy y\u1ebfu v\u00e0 teo \u0111i. D\u00e2y th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00e0ng n\u1eb7ng th\u00ec kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c c\u00e0ng th\u1ea5p.<\/span><\/p>\n

– M\u00f9 l\u00f2a ho\u1eb7c suy gi\u1ea3m th\u1ecb l\u1ef1c: \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u1ea5t.<\/span><\/p>\n

– T\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb: \u0110\u1ec3 ch\u1eefa vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c, b\u00e1c s\u0129 th\u01b0\u1eddng ph\u1ea3i d\u00f9ng thu\u1ed1c kh\u00e1ng vi\u00eam m\u1ea1nh (Corticoid) li\u1ec1u cao. Thu\u1ed1c n\u00e0y n\u1ebfu d\u00f9ng l\u00e2u d\u00e0i s\u1ebd g\u00e2y h\u1ea1i cho c\u01a1 th\u1ec3 nh\u01b0: l\u00e0m lo\u00e9t d\u1ea1 d\u00e0y, lo\u00e3ng x\u01b0\u01a1ng, t\u0103ng c\u00e2n, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 l\u00e0m gi\u1ea3m s\u1ee9c \u0111\u1ec1 kh\u00e1ng.<\/span><\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c<\/span><\/h1>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c, c\u00e1c b\u00e1c s\u0129 nh\u00e3n khoa s\u1ebd th\u1ef1c hi\u1ec7n k\u1ebft h\u1ee3p nhi\u1ec1u b\u01b0\u1edbc th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng chuy\u00ean s\u00e2u.<\/span><\/p>\n

Kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/span><\/h2>\n

– Soi \u0111\u00e1y m\u1eaft: B\u00e1c s\u0129 nh\u00e3n khoa s\u1eed d\u1ee5ng k\u00ednh soi \u0111\u00e1y m\u1eaft chuy\u00ean d\u1ee5ng \u0111\u1ec3 quan s\u00e1t c\u1ea5u tr\u00fac b\u00ean trong, ki\u1ec3m tra xem gai th\u1ecb v\u00e0 \u0111\u1ea7u d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c c\u00f3 b\u1ecb s\u01b0ng n\u1ec1, xu\u1ea5t huy\u1ebft hay kh\u00f4ng.<\/span><\/p>\n

– \u0110o th\u1ecb tr\u01b0\u1eddng (Ki\u1ec3m tra t\u1ea7m nh\u00ecn): Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 ph\u1ea7n t\u1ea7m nh\u00ecn ngo\u1ea1i vi c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ecb thu h\u1eb9p hay kh\u00f4ng.\u00a0<\/span><\/p>\n

– Ki\u1ec3m tra s\u1eafc gi\u00e1c (Kh\u1ea3 n\u0103ng nh\u1eadn di\u1ec7n m\u00e0u s\u1eafc): B\u00e1c s\u0129 s\u1eed d\u1ee5ng c\u00e1c b\u1ea3ng m\u00e0u chu\u1ea9n y khoa \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 r\u1ed1i lo\u1ea1n s\u1eafc gi\u00e1c, do ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng th\u1ea5y m\u00e0u s\u1eafc b\u1ecb nh\u1ea1t nh\u00f2a ho\u1eb7c sai l\u1ec7ch.<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 ph\u1ea3n x\u1ea1 \u0111\u1ed3ng t\u1eed: B\u00e1c s\u0129 chi\u1ebfu \u0111\u00e8n \u0111\u1ec3 ki\u1ec3m tra \u0111\u1ed9 nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng c\u1ee7a \u0111\u1ed3ng t\u1eed. Khi d\u00e2y th\u1ea7n kinh b\u1ecb vi\u00eam, \u0111\u1ed3ng t\u1eed \u1edf m\u1eaft t\u1ed5n th\u01b0\u01a1ng s\u1ebd ph\u1ea3n x\u1ea1 k\u00e9m h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n

Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh chuy\u00ean s\u00e2u<\/span><\/h2>\n

Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n t\u00ecm ch\u00ednh x\u00e1c nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh th\u00eam ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) ho\u1eb7c ch\u1ee5p CT n\u00e3o – h\u1ed1c m\u1eaft. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7n \u0111\u1ea1i gi\u00fap ph\u00e1t hi\u1ec7n xem c\u00f3 kh\u1ed1i u n\u00e0o \u0111ang ch\u00e8n \u00e9p \u0111\u01b0\u1eddng truy\u1ec1n th\u1ea7n kinh hay kh\u00f4ng, \u0111\u1ed3ng th\u1eddi ki\u1ec3m tra c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng (MS).<\/span><\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c hi\u1ec7u qu\u1ea3<\/span><\/h1>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean\u00a0 nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh v\u00e0 th\u1ec3 tr\u1ea1ng c\u1ee7a m\u1ed7i ng\u01b0\u1eddi. Do b\u1ec7nh kh\u1edfi ph\u00e1t do nhi\u1ec1u nguy\u00ean nh\u00e2n n\u00ean qu\u00e1 tr\u00ecnh ch\u1eefa tr\u1ecb \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p to\u00e0n di\u1ec7n gi\u1eefa chuy\u00ean khoa M\u1eaft v\u00e0 c\u00e1c chuy\u00ean khoa li\u00ean quan nh\u01b0 Th\u1ea7n kinh, Tai M\u0169i H\u1ecdng,…<\/span><\/p>\n

\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c vi\u1ec7c \u0111\u1ea7u ti\u00ean c\u1ea7n l\u00e0m l\u00e0 nhanh ch\u00f3ng lo\u1ea1i b\u1ecf t\u00e1c nh\u00e2n g\u00e2y vi\u00eam, gi\u1ea3m s\u01b0ng n\u1ec1 d\u00e2y th\u1ea7n kinh. Do \u0111\u00f3 sau khi th\u0103m kh\u00e1m, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c b\u1eb1ng c\u00e1c nh\u00f3m thu\u1ed1c ch\u00ednh sau:<\/span><\/p>\n

– Li\u1ec7u ph\u00e1p Corticosteroid li\u1ec1u cao: B\u00e1c s\u0129 th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh ti\u00eam Steroid t\u0129nh m\u1ea1ch trong v\u00e0i ng\u00e0y \u0111\u1ea7u \u0111\u1ec3 \u1ee9c ch\u1ebf ph\u1ea3n \u1ee9ng vi\u00eam nhanh ch\u00f3ng, sau \u0111\u00f3 chuy\u1ec3n sang d\u1ea1ng thu\u1ed1c u\u1ed1ng duy tr\u00ec v\u00e0 gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb.<\/span><\/p>\n

– Thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c kh\u00e1ng virus: \u0110\u01b0\u1ee3c \u00e1p d\u1ee5ng ngay khi x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n vi\u00eam d\u00e2y th\u1ea7n kinh m\u1eaft do nhi\u1ec5m khu\u1ea9n, nhi\u1ec5m virus t\u1eeb c\u00e1c \u1ed5 vi\u00eam l\u00e2n c\u1eadn nh\u01b0 vi\u00eam xoang, vi\u00eam m\u00e0ng n\u00e3o, quai b\u1ecb ho\u1eb7c zona th\u1ea7n kinh.<\/span><\/p>\n

– \u0110i\u1ec1u tr\u1ecb theo nguy\u00ean nh\u00e2n \u0111\u1eb7c hi\u1ec7u: S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch ho\u1eb7c l\u1ecdc huy\u1ebft t\u01b0\u01a1ng n\u1ebfu b\u1ec7nh kh\u1edfi ph\u00e1t do c\u00e1c h\u1ed9i ch\u1ee9ng t\u1ef1 mi\u1ec5n nh\u01b0 \u0111a x\u01a1 c\u1ee9ng (MS) ho\u1eb7c vi\u00eam t\u1ee7y – th\u1ecb th\u1ea7n kinh (NMO).<\/span><\/p>\n

Nh\u1eefng lo\u1ea1i thu\u1ed1c tr\u00ean, b\u1ec7nh nh\u00e2n ph\u1ea3i tu\u00e2n th\u1ee7 theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd mua v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 tr\u00e1nh t\u00e1c d\u1ee5ng ng\u01b0\u1ee3c \u0111\u00e1ng ti\u1ebfc.<\/span><\/p>\n

M\u1eb7c d\u00f9 b\u1ec7nh vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 h\u1ed3i ph\u1ee5c cao nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng m\u00f9 l\u00f2a n\u1ebfu ch\u1ee7 quan. Khi nh\u1eadn th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u1edf m\u1eaft, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111i kh\u00e1m ngay l\u1eadp t\u1ee9c \u0111\u1ec3 kh\u00f4ng b\u1ecf l\u1ee1 “th\u1eddi gian v\u00e0ng” \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

\u0110\u1ec3 b\u1ea3o v\u1ec7 c\u1eeda s\u1ed5 t\u00e2m h\u1ed3n, B\u1ec7nh vi\u1ec7n M\u1eaft Qu\u1ed1c t\u1ebf DND B\u1eafc Giang ch\u00ednh l\u00e0 \u0111i\u1ec3m \u0111\u1ebfn \u0111\u00e1ng tin c\u1eady. T\u1ea1i \u0111\u00e2y quy t\u1ee5 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 nh\u00e3n khoa gi\u1ecfi chuy\u00ean m\u00f4n, c\u00f9ng h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n qu\u1ed1c t\u1ebf. B\u1ec7nh vi\u1ec7n cam k\u1ebft mang \u0111\u1ebfn s\u1ef1 h\u00e0i l\u00f2ng cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

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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. Nhi\u1ec1u ng\u01b0\u1eddi th\u01b0\u1eddng ch\u1ee7 quan b\u1ecf qua hi\u1ec7n t\u01b0\u1ee3ng m\u1eaft b\u1ecb m\u1edd \u0111i v\u00ec cho r\u1eb1ng kh\u00f4ng \u0111au nh\u1ee9c th\u00ec kh\u00f4ng […]<\/p>\n","protected":false},"author":36,"featured_media":6641,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[322,60],"tags":[],"class_list":["post-6638","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\/6638"}],"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\/36"}],"replies":[{"embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/comments?post=6638"}],"version-history":[{"count":0,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/posts\/6638\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/media\/6641"}],"wp:attachment":[{"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/media?parent=6638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/categories?post=6638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bacgiang.matquocte.vn\/en\/wp-json\/wp\/v2\/tags?post=6638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}