{"id":25364,"date":"2023-04-21T14:35:41","date_gmt":"2023-04-21T07:35:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25364"},"modified":"2023-04-21T18:03:46","modified_gmt":"2023-04-21T11:03:46","slug":"phuong-phap-phau-thuat-dieu-tri-u-than-kinh-ngoai-bien","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/phuong-phap-phau-thuat-dieu-tri-u-than-kinh-ngoai-bien\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb u\u00a0th\u1ea7n kinh ngo\u1ea1i bi\u00ean"},"content":{"rendered":"

B\u1ec7nh u th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean ph\u1ed5 bi\u1ebfn. B\u1ec7nh \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u t\u1edbi ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/a> k\u1ecbp th\u1eddi b\u1ec7nh u th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

\"Ng\u01b0\u1eddi
Ng\u01b0\u1eddi b\u1ec7nh u th\u1ea7n kinh ngo\u1ea1i bi\u00ean th\u01b0\u1eddng c\u00f3 c\u00e1c \u0111\u1ed1m da m\u00e0u caf\u00e9 s\u1eefa (caf\u00e9-au-lait spots) \u1edf n\u1ebfp g\u1ea5p c\u1ee7a da nh\u01b0 n\u00e1ch, h\u00e1ng<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 u th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/b><\/h2>\n

U \u1edf c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i vi \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh do s\u1ef1 t\u0103ng sinh c\u1ee7a c\u00e1c t\u1ebf b\u00e0o li\u00ean k\u1ebft (nguy\u00ean b\u00e0o s\u1ee3i) c\u1ee7a bao ngo\u00e0i b\u00f3 th\u1ea7n kinh. U c\u00f3 th\u1ec3 m\u1ecdc \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o d\u1ecdc theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh. \u0110a s\u1ed1 u l\u00e0nh t\u00ednh, ti\u1ebfn tri\u1ec3n ch\u1eadm. U c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n \u0111\u01a1n \u0111\u1ed9c, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 m\u1ecdc \u1edf nhi\u1ec1u n\u01a1i g\u00e2y ra nh\u1eefng t\u1ed5n th\u01b0\u01a1ng tr\u1ea7m tr\u1ecdng v\u1ec1 ch\u1ee9c n\u0103ng s\u1ed1ng c\u0169ng nh\u01b0 th\u1ea9m m\u1ef9 cho ng\u01b0\u1eddi b\u1ec7nh, th\u1eadm ch\u00ed g\u00e2y t\u00e0n ph\u1ebf. \u0110\u00f3 th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh u x\u01a1 th\u1ea7n kinh type I (neurofibromatosis type I hay b\u1ec7nh Von Recklinghausen). Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 do r\u1ed1i lo\u1ea1n di truy\u1ec1n t\u00ednh tr\u1ed9i \u1edf nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 17. Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng c\u00f3 c\u00e1c \u0111\u1ed1m da m\u00e0u caf\u00e9 s\u1eefa (caf\u00e9-au-lait spots) hay t\u00e0n nhang \u1edf nh\u1eefng ch\u1ed7 n\u1ebfp g\u1ea5p c\u1ee7a da nh\u01b0 n\u00e1ch, h\u00e1ng\u2026U th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o th\u1eddi k\u1ef3 ni\u00ean thi\u1ebfu, t\u1ec9 l\u1ec7 kho\u1ea3ng 1\/3.000 tr\u1ebb. Tr\u00ean 50% s\u1ed1 tr\u1ebb b\u1ecb b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng t\u1eeb l\u00fac 2 tu\u1ed5i hay tr\u01b0\u1edbc 5 tu\u1ed5i.<\/p>\n

B\u1ec7nh u x\u01a1 th\u1ea7n kinh type I \u0111\u00f4i khi c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n nh\u01b0 gi\u1ea3m th\u1ecb l\u1ef1c, ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n, bi\u1ebfn d\u1ea1ng x\u01b0\u01a1ng, g\u00f9 v\u1eb9o c\u1ed1t s\u1ed1ng\u2026C\u00e1c bi\u1ec3u hi\u1ec7n \u1edf n\u1ed9i t\u1ea1ng th\u1ec3 hi\u1ec7n m\u1ee9c \u0111\u1ed9 tr\u1ea7m tr\u1ecdng c\u1ee7a b\u1ec7nh ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ea7m r\u1ed9 ngo\u00e0i da.<\/p>\n

B\u1ec7nh ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u, v\u1ea5n \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf vi\u1ec7c theo d\u00f5i m\u1ee9c \u0111\u1ed9 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 can thi\u1ec7p khi c\u00f3 tri\u1ec7u ch\u1ee9ng. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf men tyrosine kinase thu\u1ed9c nh\u00f3m IMATINIB (Glivec, Gleevec) b\u01b0\u1edbc \u0111\u1ea7u cho th\u1ea5y c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb c\u00e1c kh\u1ed1i u th\u1ea7n kinh trong NF1. \u0110i\u1ec1u tr\u1ecb laser c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c t\u1ed5n th\u01b0\u01a1ng tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a da v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ngo\u1ea1i h\u00ecnh.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n U th\u1ea7n kinh ngo\u1ea1i bi\u00ean, c\u00e1c b\u01b0\u1edbc sau c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n:<\/p>\n

    \n
  • Ti\u1ebfn h\u00e0nh kh\u00e1m l\u00e2m s\u00e0ng: B\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m \u0111au d\u00e2y th\u1ea7n kinh, t\u00ea b\u00ec, gi\u1ea3m s\u1ee9c m\u1ea1nh c\u01a1 b\u1eafp, m\u1ea5t c\u1ea3m gi\u00e1c, …<\/li>\n
  • S\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p MRI ho\u1eb7c CT scan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc v\u00e0 t\u00ednh ch\u1ea5t c\u1ee7a kh\u1ed1i u.<\/li>\n
  • Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh: C\u00e1c th\u1eed nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1ea7n kinh bao g\u1ed3m x\u00e1c \u0111\u1ecbnh s\u1ee9c c\u01a1, c\u1ea3m gi\u00e1c, ph\u1ea3n x\u1ea1 v\u00e0 th\u1eddi gian d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u th\u1ea7n kinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ednh ch\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a kh\u1ed1i u \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1ea7n kinh.<\/li>\n
  • Ti\u1ebfn h\u00e0nh x\u00e9t nghi\u1ec7m: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/li>\n
  • Ti\u1ebfn h\u00e0nh sinh thi\u1ebft c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ednh ch\u1ea5t ch\u00ednh x\u00e1c c\u1ee7a kh\u1ed1i u.<\/li>\n<\/ul>\n

    T\u1ea5t c\u1ea3 c\u00e1c b\u01b0\u1edbc tr\u00ean c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c c\u1ee7a U th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/p>\n

    3. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb u\u00a0th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/h2>\n

    3.1. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h3>\n

    – Kh\u1ed1i u g\u00e2y r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng hay \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ea9m m\u1ef9.<\/p>\n

    – Kh\u1ed1i u ph\u00e1t tri\u1ec3n nhanh v\u00e0\/ho\u1eb7c nghi ng\u1edd \u00e1c t\u00ednh (neurofibrosarcoma).<\/p>\n

    3.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h3>\n

    – T\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n n\u1eb7ng, nhi\u1ec1u d\u1ecb t\u1eadt ph\u1ed1i h\u1ee3p (bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, g\u00f9 v\u1eb9o c\u1ed9t s\u1ed1ng n\u1eb7ng\u2026).<\/p>\n

    – Nh\u1eefng kh\u1ed1i u \u1edf v\u00f9ng \u0111\u00e1m r\u1ed1i th\u1ea7n kinh hay u l\u1edbn, x\u00e2m l\u1ea5n m\u1ea1ch m\u00e1u\u2026 kh\u00f3 c\u00f3 kh\u1ea3 n\u0103ng l\u1ea5y u to\u00e0n b\u1ed9 hay \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng n\u1eb7ng n\u1ec1 cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    3.3. Chu\u1ea9n b\u1ecb<\/b><\/h3>\n

    3.3.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b><\/h4>\n

    – B\u00e1c s\u0129: 01 ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa ph\u1eabu thu\u1eadt th\u1ea7n kinh ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, 01 b\u00e1c s\u0129 ph\u1ee5 m\u1ed5, 01 b\u00e1c s\u1ef9 g\u00e2y m\u00ea. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt vi\u00ean m\u1ea1ch m\u00e1u, ti\u00eau h\u00f3a ho\u1eb7c t\u1ea1o h\u00ecnh.<\/p>\n

    – \u0110i\u1ec1u d\u01b0\u1ee1ng: 01 \u0111i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 m\u00ea, 01 \u0111i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5c v\u1ee5 d\u1ee5ng c\u1ee5 cho ph\u1eabu thu\u1eadt vi\u00ean, 01 \u0111i\u1ec1u d\u01b0\u1ee1ng ch\u1ea1y ngo\u00e0i.<\/p>\n

    3.3.2. Ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h4>\n

    – H\u1ecfi b\u1ec7nh, kh\u00e1m b\u1ec7nh chi ti\u1ebft, t\u1ec9 m\u1ec9 (l\u01b0u \u00fd ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh NF1 n\u1ebfu c\u00f3, khai th\u00e1c ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 t\u01b0 v\u1ea5n kh\u00e1m s\u00e0ng l\u1ecdc\u2026)<\/p>\n

    – Nh\u1ecbn \u0103n, v\u1ec7 sinh, kh\u00e1m g\u00e2y m\u00ea tr\u01b0\u1edbc m\u1ed5 theo quy \u0111\u1ecbnh.<\/p>\n

    – Ki\u1ec3m tra, \u0111\u1ed1i chi\u1ebfu h\u1ecd t\u00ean, tu\u1ed5i, b\u1ec7nh \u00e1n, x\u00e9t nghi\u1ec7m, phim\u2026 tr\u01b0\u1edbc khi m\u1ed5<\/p>\n

    3.3.3. Ph\u01b0\u01a1ng ti\u1ec7n<\/b><\/h4>\n

    – B\u1ed9 d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt th\u00f4ng th\u01b0\u1eddng: dao, k\u00e9o, pince, ph\u1eabu t\u00edch, k\u00ecm mang kim, m\u00e1y h\u00fat, dao \u0111i\u1ec7n \u0111\u01a1n c\u1ef1c v\u00e0 l\u01b0\u1ee1ng c\u1ef1c.<\/p>\n

    3.4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h3>\n

    3.4.1. T\u01b0 th\u1ebf:<\/b><\/h4>\n

    <\/b>T\u00f9y v\u1ecb tr\u00ed kh\u1ed1i u<\/p>\n

    3.4.2. V\u00f4 c\u1ea3m:<\/b><\/h4>\n

    T\u00f9y theo v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc kh\u1ed1i u m\u00e0 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p v\u00f4 c\u1ea3m ph\u00f9 h\u1ee3p: t\u00ea t\u1ea1i ch\u1ed7, t\u00ea \u0111\u00e1m r\u1ed1i, t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n.<\/p>\n

    3.4.3. K\u1ef9 thu\u1eadt:<\/b><\/h4>\n

    – S\u00e1t tr\u00f9ng r\u1ed9ng r\u00e3i v\u00f9ng m\u1ed5, tr\u1ea3i toan<\/p>\n

    – G\u00e2y t\u00ea v\u00f9ng r\u1ea1ch da.<\/p>\n

    – \u0110\u01b0\u1eddng r\u1ea1ch da \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn t\u00f9y theo v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc v\u00e0 t\u00ednh ch\u1ea5t c\u1ee7a kh\u1ed1i u, ph\u1ea3i \u0111\u1ea3m b\u1ea3o c\u00e1c y\u1ebfu t\u1ed1: c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn kh\u1ed1i u r\u1ed9ng r\u00e3i v\u00e0 an to\u00e0n nh\u1ea5t, nu\u00f4i d\u01b0\u1ee1ng da t\u1ed1t v\u00e0 th\u1ea9m m\u1ef9.<\/p>\n

    – R\u1ea1ch da. Ph\u1eabu t\u00edch t\u1eebng l\u1edbp b\u1ed9c l\u1ed9 kh\u1ed1i u. U th\u01b0\u1eddng tr\u00f2n, nh\u1eb5n, ranh gi\u1edbi r\u00f5. Ki\u1ec3m tra c\u00e1c c\u1ea5u tr\u00fac m\u1ea1ch m\u00e1u, th\u1ea7n kinh l\u00e2n c\u1eadn tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh c\u1eaft u to\u00e0n b\u1ed9 hay b\u00e1n ph\u1ea7n.<\/p>\n

    – C\u1ea7m m\u00e1u<\/p>\n

    – \u0110\u1eb7t d\u1eabn l\u01b0u n\u1ebfu \u1ed5 m\u1ed5 r\u1ed9ng, nguy c\u01a1 ch\u1ea3y m\u00e1u nhi\u1ec1u<\/p>\n

    – \u0110\u00f3ng v\u1ebft m\u1ed5.<\/p>\n

    3.5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed<\/b><\/h3>\n

    3.5.1. Theo d\u00f5i:<\/b><\/h4>\n

    – T\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n: M\u1ea1ch, huy\u1ebft \u00e1p, th\u1edf, nhi\u1ec7t \u0111\u1ed9<\/p>\n

    – T\u00ecnh tr\u1ea1ng th\u1ea7n kinh: D\u1ea5u hi\u1ec7u th\u1ea7n kinh khu tr\u00fa (li\u1ec7t ti\u1ebfn tri\u1ec3n)<\/p>\n

    – Ch\u1ea3y m\u00e1u v\u1ebft m\u1ed5<\/p>\n

    – D\u1eabn l\u01b0u (n\u1ebfu c\u00f3): th\u01b0\u1eddng r\u00fat trong 48h \u0111\u1ea7u<\/p>\n

    3.5.2. Bi\u1ebfn ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed<\/b><\/h4>\n

    – Ch\u1ea3y m\u00e1u: M\u1ed5 l\u1ea1i c\u1ea7m m\u00e1u.<\/p>\n

    – Nhi\u1ec5m tr\u00f9ng: \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa (kh\u00e1ng sinh).<\/p>\n

    – Li\u1ec7t ti\u1ebfn tri\u1ec3n: Theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa (ch\u1ed1ng vi\u00eam), ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n

    T\u00f3m l\u1ea1i, quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb u th\u1ea7n kinh ngo\u1ea1i bi\u00ean c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng t\u00ednh h\u1eefu d\u1ee5ng v\u00e0 nguy c\u01a1 c\u1ee7a t\u1eebng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh u th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean ph\u1ed5 bi\u1ebfn. B\u1ec7nh \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u t\u1edbi ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi b\u1ec7nh u th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"\nPh\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb u\u00a0th\u1ea7n kinh ngo\u1ea1i bi\u00ean - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh u th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean ph\u1ed5 bi\u1ebfn. 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