{"id":1178,"date":"2023-05-14T01:45:30","date_gmt":"2023-05-13T18:45:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1178"},"modified":"2023-05-14T01:45:30","modified_gmt":"2023-05-13T18:45:30","slug":"huy-myelin-cap-da-xo-cung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/14\/huy-myelin-cap-da-xo-cung\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb hu\u1ef7 myelin c\u1ea5p (b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng)"},"content":{"rendered":"

B\u1ec7nh hu\u1ef7 myelin c\u1ea5p (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh. B\u1ec7nh g\u00e2y m\u1ea5t b\u1ea3o v\u1ec7 c\u1ee7a l\u1edbp myelin bao ph\u1ee7 c\u00e1c s\u1ee3i th\u1ea7n kinh, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n, gi\u1ea3m c\u1ea3m gi\u00e1c, co gi\u1eadt v\u00e0 m\u1ec7t m\u1ecfi. C\u1eadp nh\u1eadt ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

1. T\u1ed5ng quan:<\/h2>\n

1.1. \u0110\u1ecbnh ngh\u0129a:<\/h3>\n

B\u1ec7nh hu\u1ef7 myelin c\u1ea5p<\/strong> (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng<\/strong>) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh. B\u1ec7nh g\u00e2y m\u1ea5t b\u1ea3o v\u1ec7 c\u1ee7a l\u1edbp myelin bao ph\u1ee7 c\u00e1c s\u1ee3i th\u1ea7n kinh, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n, gi\u1ea3m c\u1ea3m gi\u00e1c, co gi\u1eadt v\u00e0 m\u1ec7t m\u1ecfi.<\/p>\n

B\u1ec7nh hu\u1ef7 myelin c\u1ea5p th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean, v\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. Tuy nhi\u00ean, nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng v\u00e0 c\u00e1c t\u00e1c nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ec7nh<\/p>\n

1.2. Nguy\u00ean nh\u00e2n hu\u1ef7 myelin c\u1ea5p:<\/h3>\n

Nghi\u00ean c\u1ee9u cho th\u1ea5y b\u1ec7nh hu\u1ef7 myelin c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n d\u1ecbch, trong \u0111\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 t\u1ea5n c\u00f4ng v\u00e0 ph\u00e1 h\u1ee7y l\u1edbp b\u1ea3o v\u1ec7 myelin bao quanh c\u00e1c s\u1ee3i th\u1ea7n kinh. Tuy nhi\u00ean, nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng.<\/p>\n

1.3. C\u01a1 ch\u1ebf hu\u1ef7 myelin c\u1ea5p:<\/h3>\n

Nghi\u00ean c\u1ee9u cho th\u1ea5y s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh hu\u1ef7 myelin c\u1ea5p li\u00ean quan \u0111\u1ebfn m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch, nh\u01b0 t\u1ebf b\u00e0o T v\u00e0 B, v\u00e0 c\u00e1c ch\u1ea5t g\u00e2y vi\u00eam v\u00e0 g\u00e2y h\u1ea1i cho t\u1ebf b\u00e0o th\u1ea7n kinh. Nh\u1eefng t\u1ebf b\u00e0o n\u00e0y g\u00e2y ra s\u1ef1 ph\u00e1 h\u1ee7y myelin b\u1ea3o v\u1ec7 tr\u00ean c\u00e1c s\u1ee3i th\u1ea7n kinh, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n

\"Hu\u1ef7
Hu\u1ef7 myelin c\u1ea5p<\/figcaption><\/figure>\n

1.4. Tri\u1ec7u ch\u1ee9ng hu\u1ef7 myelin c\u1ea5p:<\/h3>\n

B\u1ec7nh g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u nh\u01b0 sau:<\/p>\n

    \n
  • Kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111i l\u1ea1i, ch\u00e2n y\u1ebfu ho\u1eb7c b\u1ecb run.<\/li>\n
  • Gi\u1ea3m c\u1ea3m gi\u00e1c<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ea3m c\u1ea3m gi\u00e1c, bao g\u1ed3m t\u00ea tay ch\u00e2n, c\u1ea3m gi\u00e1c m\u1ea5t c\u00e2n b\u1eb1ng v\u00e0 kh\u00f3 kh\u0103n trong vi\u1ec7c c\u1ea7m v\u1eadt.<\/li>\n
  • Co gi\u1eadt<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng co gi\u1eadt, \u0111au \u0111\u1ea7u, \u0111au m\u1eaft v\u00e0 m\u1ea5t th\u1ecb l\u1ef1c.<\/li>\n
  • M\u1ec7t m\u1ecfi<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 kh\u00f3 t\u1eadp trung.<\/li>\n
  • R\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1 nh\u01b0 t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y v\u00e0 \u0111au b\u1ee5ng.<\/li>\n
  • Suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, bao g\u1ed3m suy gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c v\u00e0 kh\u00f3 c\u00f3 con.<\/li>\n
  • R\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, bao g\u1ed3m m\u1edd m\u1eaft, m\u1ea5t th\u1ecb l\u1ef1c v\u00e0 kh\u00f3 nh\u00ecn v\u00e0o \u00e1nh s\u00e1ng.<\/li>\n
  • R\u1ed1i lo\u1ea1n ng\u00f4n ng\u1eef v\u00e0 tr\u00ed nh\u1edb<\/strong>: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n ng\u00f4n ng\u1eef v\u00e0 tr\u00ed nh\u1edb, bao g\u1ed3m kh\u00f3 n\u00f3i, kh\u00f3 nghe v\u00e0 kh\u00f3 nh\u1edb.<\/li>\n<\/ul>\n

    C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh hu\u1ef7 myelin c\u1ea5p c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh<\/p>\n

    2. Ch\u1ea9n \u0111o\u00e1n hu\u1ef7 myelin c\u1ea5p:<\/h2>\n

    2.1. Ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1ea7n kinh trong hu\u1ef7 myelin c\u1ea5p:<\/h3>\n

    B\u00e1c s\u0129 s\u1ebd ki\u1ec3m tra c\u00e1c ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n nh\u01b0 ph\u1ea3n x\u1ea1, c\u1ea3m gi\u00e1c, kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n c\u01a1 b\u1eafp. Ki\u1ec3m tra n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/p>\n

    2.2. X\u00e9t nghi\u1ec7m \u0111i\u1ec7n c\u1ef1c \u0111a ph\u01b0\u01a1ng ti\u1ec7n (EEG): <\/strong><\/h3>\n

    X\u00e9t nghi\u1ec7m n\u00e0y s\u1ebd \u0111o ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a n\u00e3o \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd. Khi b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh hu\u1ef7 myelin c\u1ea5p, EEG c\u00f3 th\u1ec3 cho th\u1ea5y s\u00f3ng \u0111i\u1ec7n n\u00e3o b\u1ea5t th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh c\u1ee7a b\u1ec7nh.<\/p>\n

    2.3 X\u00e9t nghi\u1ec7m d\u1ecbch n\u00e3o tu\u1ef7:<\/h3>\n

    X\u00e9t nghi\u1ec7m n\u00e0y s\u1ebd \u0111\u00e1nh gi\u00e1 d\u1ecbch n\u00e3o tu\u1ef7 c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh hu\u1ef7 myelin c\u1ea5p, x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ef1 t\u0103ng \u0111\u00e1ng k\u1ec3 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch trong d\u1ecbch n\u00e3o tu\u1ef7.<\/p>\n

    2.4. MRI trong hu\u1ef7 myelin c\u1ea5p:<\/h3>\n

    MRI c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c. MRI c\u00f3 th\u1ec3 cho th\u1ea5y c\u00e1c v\u00f9ng t\u1ed5n th\u01b0\u01a1ng, c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam v\u00e0 s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch trong c\u00e1c khu v\u1ef1c n\u00e0y.<\/p>\n

    3. \u0110i\u1ec1u tr\u1ecb:<\/h2>\n

    \u0110i\u1ec1u tr\u1ecb b\u1ec7nh hu\u1ef7 myelin c\u1ea5p t\u1eadp trung v\u00e0o vi\u1ec7c ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n

      \n
    • Thu\u1ed1c kh\u00e1ng vi\u00eam<\/strong>: Thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 interferon beta, glatiramer acetate v\u00e0 natalizumab c\u00f3 th\u1ec3 gi\u1ea3m s\u1ef1 vi\u00eam v\u00e0 gi\u1ea3m t\u1ea7n su\u1ea5t c\u00e1c c\u01a1n b\u1ec7nh.<\/li>\n
    • Corticosteroid<\/strong>: Corticosteroid nh\u01b0 prednisone v\u00e0 methylprednisolone c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m vi\u00eam v\u00e0 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng trong c\u00e1c c\u01a1n b\u1ec7nh.<\/li>\n
    • Thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/strong>: C\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch nh\u01b0 azathioprine, cyclophosphamide v\u00e0 rituximab c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/li>\n
    • Thu\u1ed1c gi\u1ea3m \u0111au<\/strong>: Thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 gabapentin v\u00e0 pregabalin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u01a1n co gi\u1eadt.<\/li>\n
    • D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch<\/strong>: D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch nh\u01b0 plasmapheresis c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u1ecdc c\u00e1c kh\u00e1ng th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u1ee7a l\u1edbp myelin.<\/li>\n
    • \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3<\/strong>: \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 nh\u01b0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, tr\u1ecb li\u1ec7u ng\u00f4n ng\u1eef v\u00e0 tr\u1ecb li\u1ec7u n\u00f3i chuy\u1ec7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n t\u1eadp trung v\u00e0o vi\u1ec7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n

      Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u1ea7n ch\u0103m s\u00f3c t\u1ed1t s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh b\u1eb1ng c\u00e1ch duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean v\u00e0 gi\u1ea3m stress \u0111\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/p>\n

      4. Ph\u00f2ng ng\u1eeba v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh:<\/h2>\n
        \n
      • Ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh<\/li>\n
      • Th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p qu\u1ea3n l\u00fd stress \u0111\u1ec3 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng<\/li>\n
      • Tham gia c\u00e1c nh\u00f3m h\u1ed7 tr\u1ee3 \u0111\u1ec3 c\u00f3 th\u1ec3 chia s\u1ebb v\u00e0 h\u1ecdc h\u1ecfi kinh nghi\u1ec7m t\u1eeb c\u00e1c b\u1ec7nh nh\u00e2n kh\u00e1c<\/li>\n<\/ul>\n

        5. C\u00e1c t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t:<\/h2>\n
          \n
        • C\u00e1c t\u00ecnh hu\u1ed1ng m\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n s\u1ef1 can thi\u1ec7p nhanh ch\u00f3ng, v\u00ed d\u1ee5 nh\u01b0 c\u01a1n \u0111au d\u1eef d\u1ed9i ho\u1eb7c kh\u00f3 th\u1edf, c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c<\/li>\n
        • B\u1ec7nh nh\u00e2n c\u1ea7n duy tr\u00ec m\u1ed9t l\u1ecbch tr\u00ecnh ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u1ea7n thi\u1ebft<\/li>\n<\/ul>\n

          6. T\u1ea7m quan tr\u1ecdng c\u1ee7a h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd:<\/h2>\n
            \n
          • B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd \u0111\u1ec3 gi\u1ea3m stress v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng<\/li>\n
          • C\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tham gia c\u00e1c nh\u00f3m h\u1ed7 tr\u1ee3 ho\u1eb7c t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb gia \u0111\u00ecnh v\u00e0 b\u1ea1n b\u00e8 \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng tinh th\u1ea7n v\u00e0 c\u1ea3m gi\u00e1c tin t\u01b0\u1edfng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

            B\u1ec7nh hu\u1ef7 myelin c\u1ea5p (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh. B\u1ec7nh g\u00e2y m\u1ea5t b\u1ea3o v\u1ec7 c\u1ee7a l\u1edbp myelin bao ph\u1ee7 c\u00e1c s\u1ee3i th\u1ea7n kinh, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n, gi\u1ea3m c\u1ea3m gi\u00e1c, co […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"\nCh\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb hu\u1ef7 myelin c\u1ea5p (b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng) - Vinmec<\/title>\n<meta name=\"description\" content=\"Hu\u1ef7 myelin c\u1ea5p (\u0111a x\u01a1 c\u1ee9ng) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh. 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