{"id":19286,"date":"2023-04-13T20:57:00","date_gmt":"2023-04-13T13:57:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19286"},"modified":"2023-04-14T11:38:01","modified_gmt":"2023-04-14T04:38:01","slug":"cac-hoi-chung-ton-thuong-tuy-song-thuong-gap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/cac-hoi-chung-ton-thuong-tuy-song-thuong-gap\/","title":{"rendered":"C\u00e1c h\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng th\u01b0\u1eddng g\u1eb7p"},"content":{"rendered":"<p><strong>B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1c h\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 c\u00e1c h\u1ed9i ch\u1ee9ng n\u00e0y s\u1ebd gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng hi\u1ec7u qu\u1ea3 h\u01a1n.<\/strong><\/p>\n<h2>1. Ph\u00e2n lo\u1ea1i<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i ch\u00ednh l\u00e0 h\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n v\u00e0 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng ho\u00e0n to\u00e0n.<\/p>\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n (complete spinal cord injury) l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ho\u00e0n to\u00e0n kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a c\u00e1c ph\u1ea7n c\u01a1 th\u1ec3 n\u1eb1m d\u01b0\u1edbi v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng. T\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 g\u00e2y li\u1ec7t to\u00e0n th\u00e2n ho\u1eb7c li\u1ec7t m\u1ed9t n\u1eeda th\u00e2n.<\/p>\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng ho\u00e0n to\u00e0n (incomplete spinal cord injury) l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 th\u1ec3 n\u1eb1m d\u01b0\u1edbi v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<p>Vi\u1ec7c x\u00e1c \u0111\u1ecbnh lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 \u0111\u01b0a ra d\u1ef1 \u0111o\u00e1n v\u1ec1 t\u00ecnh tr\u1ea1ng ph\u1ee5c h\u1ed3i.<\/p>\n<h2>2. H\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ho\u00e0n to\u00e0n kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a c\u00e1c ph\u1ea7n c\u01a1 th\u1ec3 \u1edf v\u00f9ng t\u1ee7y c\u00f9ng th\u1ea5p nh\u1ea5t. C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>Y\u1ebfu li\u1ec7t v\u1eadn \u0111\u1ed9ng d\u01b0\u1edbi m\u1ee9c t\u1ed5n th\u01b0\u01a1ng: y\u1ebfu li\u1ec7t t\u1ee9 chi (t\u1ed5n th\u01b0\u01a1ng t\u1ee7y c\u1ed5), y\u1ebfu li\u1ec7t hai chi d\u01b0\u1edbi (t\u1ed5n th\u01b0\u01a1ng t\u1ee7y ng\u1ef1c, th\u1eaft l\u01b0ng, ch\u00f3p t\u1ee7y)<\/li>\n<li>Ti\u00eau ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7: T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng \u1edf v\u00f9ng th\u1ea5p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n b\u00e0ng quang v\u00e0 ru\u1ed9t.<\/li>\n<li>R\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c: b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c c\u1ea3m gi\u00e1c ch\u1ea1m, n\u00f3ng, l\u1ea1nh v\u00e0 \u0111au \u1edf v\u00f9ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>Suy gi\u1ea3m kh\u1ea3 n\u0103ng h\u00f4 h\u1ea5p: T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng \u1edf c\u1ed5 c\u00f3 th\u1ec3 g\u00e2y ra suy gi\u1ea3m kh\u1ea3 n\u0103ng h\u00f4 h\u1ea5p v\u00e0 c\u1ea7n thi\u1ebft ph\u1ea3i s\u1eed d\u1ee5ng m\u00e1y th\u1edf \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c: T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 \u0111au \u0111\u1ea7u, v\u00e3 m\u1ed3 h\u00f4i, t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n nh\u1ecbp tim&#8230;<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng c\u1ee7a bi\u1ebfn ch\u1ee9ng: lo\u00e9t da, teo c\u01a1, c\u1ee9ng kh\u1edbp&#8230;<\/li>\n<\/ul>\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c \u0111\u00fang c\u00e1ch r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c t\u1ed1i \u0111a kh\u1ea3 n\u0103ng c\u01a1 th\u1ec3 v\u00e0\u00a0 h\u1ea1n ch\u1ebf c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n<h2>3. H\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng ho\u00e0n to\u00e0n<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng ho\u00e0n to\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng ho\u1eb7c c\u1ea3m gi\u00e1c m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 th\u1ec3 n\u1eb1m d\u01b0\u1edbi v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng. Tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng ho\u00e0n to\u00e0n ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng.<\/p>\n<h3>3.1. H\u1ed9i ch\u1ee9ng t\u1ee7y trung t\u00e2m<\/h3>\n<ul>\n<li>Th\u01b0\u1eddng g\u1eb7p trong t\u1ed5n th\u01b0\u01a1ng t\u1ee7y c\u1ed5 .<\/li>\n<li>Y\u1ebfu chi tr\u00ean h\u01a1n chi d\u01b0\u1edbi.<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au, nhi\u1ec7t ki\u1ec3u \u00e1o cho\u00e0ng, c\u00f2n c\u1ea3m gi\u00e1c s\u1edd th\u00f4, c\u1ea3m gi\u00e1c s\u00e2u.<\/li>\n<\/ul>\n<h3>3.2. H\u1ed9i ch\u1ee9ng Brown-Sequard<\/h3>\n<ul>\n<li>X\u1ea3y ra khi t\u1ee7y s\u1ed1ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng m\u1ed9t b\u00ean nhi\u1ec1u h\u01a1n b\u00ean kia<\/li>\n<li>Gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u00f9ng b\u00ean t\u1ed5n th\u01b0\u01a1ng<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c s\u00e2u c\u00f9ng b\u00ean t\u1ed5n th\u01b0\u01a1ng<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au nhi\u1ec7t \u0111\u1ed1i b\u00ean t\u1ed5n th\u01b0\u01a1ng<\/li>\n<\/ul>\n<h3>3.3. H\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc t\u1ee7y<\/h3>\n<ul>\n<li>Do t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n tr\u01b0\u1edbc t\u1ee7y s\u1ed1ng<\/li>\n<li>Gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng d\u01b0\u1edbi m\u1ee9c t\u1ed5n th\u01b0\u01a1ng<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au, nhi\u1ec7t d\u01b0\u1edbi m\u1ee9c t\u1ed5n th\u01b0\u01a1ng<\/li>\n<li>C\u00f2n c\u1ea3m gi\u00e1c s\u1edd<\/li>\n<\/ul>\n<h3>3.4. H\u1ed9i ch\u1ee9ng s\u1eebng sau t\u1ee7y<\/h3>\n<ul>\n<li>Th\u01b0\u1eddng hi\u1ebfm g\u1eb7p<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c s\u00e2u d\u01b0\u1edbi m\u1ee9c t\u1ed5n th\u01b0\u01a1ng<\/li>\n<li>Ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c s\u1edd, \u0111au, nhi\u1ec7t, b\u00ecnh th\u01b0\u1eddng<\/li>\n<\/ul>\n<h3>3.5 H\u1ed9i ch\u1ee9ng ch\u00f9m \u0111u\u00f4i ng\u1ef1a<\/h3>\n<ul>\n<li>Y\u1ebfu chi d\u01b0\u1edbi<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c s\u1edd, \u0111au, nhi\u1ec7t<\/li>\n<li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ru\u1ed9t, b\u00e0ng quang (n\u1ebfu t\u1ed5n th\u01b0\u01a1ng th\u1ea5p)<\/li>\n<\/ul>\n<figure id=\"attachment_19322\" aria-describedby=\"caption-attachment-19322\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19322\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_071110_532121_hoi-chung-chum-duoi.max-1800x1800-1-300x240.jpg\" alt=\"\" width=\"300\" height=\"240\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_071110_532121_hoi-chung-chum-duoi.max-1800x1800-1-300x240.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_071110_532121_hoi-chung-chum-duoi.max-1800x1800-1.jpg 601w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19322\" class=\"wp-caption-text\">H\u1ed9i ch\u1ee9ng ch\u00f9m \u0111u\u00f4i ng\u1ef1a (CES) l\u00e0 t\u00ecnh tr\u1ea1ng c\u00e1c r\u1ec5 c\u1ee7a \u0111\u00e1m r\u1ed1i th\u1ea7n kinh \u0111u\u00f4i ng\u1ef1a b\u1ecb ch\u00e8n \u00e9p<\/figcaption><\/figure>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"http:\/\/0283 6221 166\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/vinmec.com\/vi\/dangkykham\/\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<p>*Ngu\u1ed3n tham kh\u1ea3o: T\u1ed5ng h\u1ee3p<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1c h\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 c\u00e1c h\u1ed9i ch\u1ee9ng n\u00e0y s\u1ebd gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng hi\u1ec7u qu\u1ea3 h\u01a1n. 1. Ph\u00e2n lo\u1ea1i T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c h\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng th\u01b0\u1eddng g\u1eb7p - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i: h\u1ed9i ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng ho\u00e0n to\u00e0n. 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