{"id":25661,"date":"2023-04-21T11:30:35","date_gmt":"2023-04-21T04:30:35","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25661"},"modified":"2023-04-21T11:32:00","modified_gmt":"2023-04-21T04:32:00","slug":"mot-so-the-lam-sang-dinh-khu-cua-dot-quy-thieu-mau-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/mot-so-the-lam-sang-dinh-khu-cua-dot-quy-thieu-mau-nao\/","title":{"rendered":"M\u1ed9t s\u1ed1 th\u1ec3 l\u00e2m s\u00e0ng \u0111\u1ecbnh khu c\u1ee7a \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o"},"content":{"rendered":"

\u0110\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (Ischemic Stroke) l\u00e0 m\u1ed9t lo\u1ea1i \u0111\u1ed9t qu\u1ef5 x\u1ea3y ra do t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c gi\u1ea3m d\u00f2ng ch\u1ea3y m\u00e1u \u0111\u1ebfn m\u1ed9t khu v\u1ef1c c\u1ee7a n\u00e3o, g\u00e2y t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c ch\u1ebft c\u00e1c t\u1ebf b\u00e0o n\u00e3o trong khu v\u1ef1c \u0111\u00f3. \u0110\u00e2y l\u00e0 lo\u1ea1i \u0111\u1ed9t qu\u1ef5 ph\u1ed5 bi\u1ebfn nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 87% tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9t qu\u1ef5. \u0110\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o ph\u00e2n th\u00e0nh m\u1ed9t s\u1ed1 th\u1ec3 l\u00e2m s\u00e0ng \u0111\u1ecbnh khu t\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng.<\/strong><\/p>\n

\"\u0110\u1ed9t
\u0110\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o l\u00e0 m\u1ed9t lo\u1ea1i \u0111\u1ed9t qu\u1ef5 x\u1ea3y ra do t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch<\/figcaption><\/figure>\n

1. L\u00e2m s\u00e0ng c\u1ee7a \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o<\/span><\/b><\/h2>\n

1.1. Khai th\u00e1c ti\u1ec1n s\u1eed v\u00e0 h\u1ecfi b\u1ec7nh<\/span><\/b><\/h3>\n

C\u1ea7n khai th\u00e1c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch, bao g\u1ed3m:<\/span><\/p>\n

– T\u0103ng huy\u1ebft \u00e1p<\/span><\/p>\n

– \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/span><\/p>\n

– H\u00fat thu\u1ed1c l\u00e1, thu\u1ed1c l\u00e0o<\/span><\/p>\n

– R\u1ed1i lo\u1ea1n lipid m\u00e1u<\/span><\/p>\n

– Ti\u1ec1n s\u1eed b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u1eafc c\u1ea7u ch\u1ee7 v\u00e0nh, rung nh\u0129…<\/span><\/p>\n

Nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i h\u01a1n c\u1ea7n khai th\u00e1c th\u00eam:<\/span><\/p>\n

– Ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng<\/span><\/p>\n

– C\u00e1c b\u1ec7nh v\u1ec1 \u0111\u00f4ng m\u00e1u<\/span><\/p>\n

– D\u00f9ng ch\u1ea5t k\u00edch th\u00edch (\u0111\u1eb7c bi\u1ec7t l\u00e0 cocaine)<\/span><\/p>\n

– \u0110au \u0111\u1ea7u migraine<\/span><\/p>\n

– U\u1ed1ng thu\u1ed1c tr\u00e1nh thai<\/span><\/p>\n

C\u1ea7n ngh\u0129 t\u1edbi \u0111\u1ed9t qu\u1ef5 khi b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u th\u1ea7n kinh (khu tr\u00fa ho\u1eb7c lan t\u1ecfa) ho\u1eb7c r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c \u0111\u1ed9t ng\u1ed9t. Kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t r\u00f5 r\u00e0ng gi\u1eefa \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (nh\u1ed3i m\u00e1u n\u00e3o) v\u00e0 \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o (xu\u1ea5t huy\u1ebft n\u00e3o) m\u1eb7c d\u00f9 c\u00e1c tri\u1ec7u ch\u1ee9ng bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au \u0111\u1ea7u, \u0111\u1ed9t ng\u1ed9t thay \u0111\u1ed5i \u00fd th\u1ee9c g\u1eb7p nhi\u1ec1u h\u01a1n trong xu\u1ea5t huy\u1ebft n\u00e3o.<\/span><\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t:<\/span><\/p>\n

– Li\u1ec7t n\u1eeda ng\u01b0\u1eddi ho\u1eb7c li\u1ec7t 1 ph\u1ea7n c\u01a1 th\u1ec3<\/span><\/p>\n

– M\u1ea5t ho\u1eb7c gi\u1ea3m c\u1ea3m gi\u00e1c m\u1ed9t b\u00ean c\u01a1 th\u1ec3<\/span><\/p>\n

– M\u1ea5t th\u1ecb l\u1ef1c m\u1ed9t ho\u1eb7c hai m\u1eaft<\/span><\/p>\n

– M\u1ea5t ho\u1eb7c gi\u1ea3m th\u1ecb tr\u01b0\u1eddng<\/span><\/p>\n

– Nh\u00ecn \u0111\u00f4i (song th\u1ecb).<\/span><\/p>\n

– Gi\u1ea3m ho\u1eb7c kh\u00f4ng v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c kh\u1edbp x\u01b0\u01a1ng<\/span><\/p>\n

– Li\u1ec7t m\u1eb7t<\/span><\/p>\n

– Th\u1ea5t \u0111i\u1ec1u<\/span><\/p>\n

– Ch\u00f3ng m\u1eb7t (hi\u1ebfm khi xu\u1ea5t hi\u1ec7n \u0111\u01a1n l\u1ebb).<\/span><\/p>\n

– Th\u1ea5t ng\u00f4n<\/span><\/p>\n

– R\u1ed1i lo\u1ea1n \u00fd th\u1ee9c \u0111\u1ed9t ng\u1ed9t<\/span><\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean c\u00f3 th\u1ec3 \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p. Ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c c\u1ea7n x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m cu\u1ed1i c\u00f9ng b\u1ec7nh nh\u00e2n c\u00f2n b\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. C\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 tr\u00ec ho\u00e3n th\u1eddi gian ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf nh\u01b0 \u0111\u1ed9t qu\u1ef5 trong khi ng\u1ee7, kh\u00f4ng ph\u00e1t hi\u1ec7n ra cho \u0111\u1ebfn khi t\u1ec9nh d\u1eady; \u0111\u1ed9t qu\u1ef5 nh\u01b0ng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 g\u1ecdi s\u1ef1 gi\u00fap \u0111\u1ee1 v\u00e0 \u0111\u00f4i khi, b\u1ec7nh nh\u00e2n ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c kh\u00f4ng nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c d\u1ea5u hi\u1ec7u \u0111\u1ed9t qu\u1ef5…<\/span><\/p>\n

1.2. Kh\u00e1m l\u00e2m s\u00e0ng<\/span><\/b><\/h3>\n

1.2.1. Kh\u00e1m to\u00e0n th\u00e2n v\u00e0 tim m\u1ea1ch<\/span><\/b><\/h4>\n

M\u1ee5c ti\u00eau:<\/span><\/b><\/p>\n

– X\u00e1c nh\u1eadn c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ed9t qu\u1ef5 (suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea7n kinh) tr\u00ean ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

– Ph\u00e2n bi\u1ec7t \u0111\u1ed9t qu\u1ef5 n\u00e3o v\u1edbi nh\u1eefng b\u1ec7nh c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng \u0111\u1ed9t qu\u1ef5.<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n c\u1ee7a \u0111\u1ed9t qu\u1ef5 v\u00e0 t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

Kh\u00e1m l\u00e2m s\u00e0ng c\u1ea7n ch\u00fa \u00fd \u0111\u1eb7c bi\u1ec7t \u0111\u1ebfn c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea5n th\u01b0\u01a1ng, t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng v\u00f9ng \u0111\u1ea7u – c\u1ed5, d\u1ea5u hi\u1ec7u k\u00edch th\u00edch m\u00e0ng n\u00e3o. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng sau g\u1ee3i \u00fd nguy\u00ean nh\u00e2n tim m\u1ea1ch:<\/span><\/p>\n

– B\u1ec7nh l\u00fd \u0111\u00e1y m\u1eaft: b\u1ec7nh v\u00f5ng m\u1ea1c, t\u1eafc m\u1ea1ch, xu\u1ea5t huy\u1ebft.<\/span><\/p>\n

– Tim: lo\u1ea1n nh\u1ecbp ho\u00e0n to\u00e0n, ti\u1ebfng th\u1ed5i b\u1ea5t th\u01b0\u1eddng, ti\u1ebfng ng\u1ef1a phi.<\/span><\/p>\n

– M\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean: ti\u1ebfng th\u1ed5i ho\u1eb7c rung miu \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, m\u1ea1ch quay ho\u1eb7c m\u1ea1ch \u0111\u00f9i b\u1eaft y\u1ebfu.<\/span><\/p>\n

– Kh\u00e1m to\u00e0n th\u00e2n:<\/span><\/p>\n

\u25cb Ki\u1ec3m tra \u0111\u01b0\u1eddng th\u1edf, nh\u1ecbp th\u1edf v\u00e0 tu\u1ea7n ho\u00e0n, c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n. Ch\u00fa \u00fd b\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng th\u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n \u00fd v\u00e0 ph\u1ea3n x\u1ea1 ho, nu\u1ed1t.<\/span><\/p>\n

\u25cb Huy\u1ebft \u00e1p: huy\u1ebft \u00e1p c\u00f3 th\u1ec3 t\u0103ng cao sau \u0111\u1ed9t qu\u1ef5 v\u00e0 ph\u1ea7n l\u1edbn huy\u1ebft \u00e1p s\u1ebd gi\u1ea3m d\u1ea7n v\u1ec1 m\u1ee9c n\u1ec1n.<\/span><\/p>\n

\u25cb \u0110\u1ea7u, m\u1eb7t, c\u1ed5: ki\u1ec3m tra \u0111\u1ec3 ph\u00e1t hi\u1ec7n ch\u1ea5n th\u01b0\u01a1ng.<\/span><\/p>\n

1.2.2. Kh\u00e1m th\u1ea7n kinh<\/span><\/b><\/h4>\n

Th\u1ea7y thu\u1ed1c ph\u1ea3i \u0111\u00e1nh gi\u00e1 nhanh nh\u01b0ng c\u1ea7n ch\u00ednh x\u00e1c b\u1ec7nh nh\u00e2n nghi ng\u1edd \u0111\u1ed9t qu\u1ef5 \u0111\u1ec3 xem x\u00e9t \u0111i\u1ec1u tr\u1ecb ti\u00eau s\u1ee3i huy\u1ebft ho\u1eb7c h\u00fat huy\u1ebft kh\u1ed1i. M\u1ee5c \u0111\u00edch kh\u00e1m th\u1ea7n kinh nh\u1eb1m:<\/span><\/p>\n

– M\u1ed9t l\u1ea7n n\u1eefa x\u00e1c \u0111\u1ecbnh tri\u1ec7u ch\u1ee9ng \u0111\u1ed9t qu\u1ef5.<\/span><\/p>\n

– \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 thi\u1ebfu h\u1ee5t th\u1ea7n kinh v\u00e0 theo d\u00f5i ti\u1ebfn tri\u1ec3n theo thang \u0111i\u1ec3m NIHSS [2].<\/span><\/p>\n

– Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u nh\u1ea5t<\/span><\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u c\u1ea7n \u0111\u00e1nh gi\u00e1 g\u1ed3m:<\/span><\/p>\n

– C\u00e1c d\u00e2y th\u1ea7n kinh s\u1ecd.<\/span><\/p>\n

– Ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c.<\/span><\/p>\n

– Ch\u1ee9c n\u0103ng ti\u1ec3u n\u00e3o.<\/span><\/p>\n

– D\u00e1ng \u0111i.<\/span><\/p>\n

– Ng\u00f4n ng\u1eef: kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u00e0 nh\u1eadn th\u1ee9c.<\/span><\/p>\n

– \u00dd th\u1ee9c.<\/span><\/p>\n

Ngo\u00e0i ra c\u1ea7n \u0111\u00e1nh gi\u00e1 s\u1ecd n\u00e3o v\u00e0 c\u1ed9t s\u1ed1ng, t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng.<\/span><\/p>\n

Thang \u0111i\u1ec3m NIHSS (National Institutes of Health Stroke Scale) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch l\u01b0\u1ee3ng gi\u00e1 m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea7n kinh, g\u1ed3m 6 y\u1ebfu t\u1ed1 ch\u00ednh sau \u0111\u00e2y [2]:<\/span><\/p>\n

– M\u1ee9c \u0111\u1ed9 \u00fd th\u1ee9c.<\/span><\/p>\n

– Th\u1ecb l\u1ef1c, th\u1ecb tr\u01b0\u1eddng.<\/span><\/p>\n

– Ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng.<\/span><\/p>\n

– C\u1ea3m gi\u00e1c v\u00e0 m\u1ee9c \u0111\u1ed9 ch\u00fa \u00fd.<\/span><\/p>\n

– Ch\u1ee9c n\u0103ng ti\u1ec3u n\u00e3o.<\/span><\/p>\n

– Ng\u00f4n ng\u1eef.<\/span><\/p>\n

T\u1ed5ng \u0111i\u1ec3m NIHSS l\u00e0 42 \u0111i\u1ec3m. B\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 nh\u1eb9 c\u00f3 \u0111i\u1ec3m NIHSS < 5 \u0111i\u1ec3m v\u00e0 n\u1eb7ng l\u00e0 tr\u00ean 24 \u0111i\u1ec3m.<\/span><\/p>\n

2. M\u1ed9t s\u1ed1 th\u1ec3 l\u00e2m s\u00e0ng \u0111\u1ecbnh khu<\/span><\/b><\/h2>\n

2.1. Nh\u1ed3i m\u00e1u n\u00e3o \u0111\u1ed9ng m\u1ea1ch n\u00e3o gi\u1eefa<\/span><\/b><\/h3>\n

T\u1eafc \u0111\u1ed9ng m\u1ea1ch n\u00e3o gi\u1eefa th\u01b0\u1eddng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u sau:<\/span><\/p>\n

– Li\u1ec7t n\u1eeda ng\u01b0\u1eddi \u0111\u1ed1i b\u00ean.<\/span><\/p>\n

– T\u00ea b\u00ec n\u1eeda ng\u01b0\u1eddi \u0111\u1ed1i b\u00ean.<\/span><\/p>\n

– B\u00e1n manh c\u00f9ng b\u00ean.<\/span><\/p>\n

– Nh\u00ecn v\u1ec1 ph\u00eda t\u1ed5n th\u01b0\u01a1ng.<\/span><\/p>\n

– M\u1ea5t nh\u1eadn th\u1ee9c.<\/span><\/p>\n

– Th\u1ea5t ng\u00f4n, n\u1ebfu t\u1ed5n th\u01b0\u01a1ng \u1edf b\u00ean b\u00e1n c\u1ea7u \u01b0u th\u1ebf.<\/span><\/p>\n

– Th\u1edd \u01a1, gi\u1ea3m ch\u00fa \u00fd, th\u1ea5t \u0111i\u1ec1u g\u1eb7p trong m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng \u1edf b\u00e1n c\u1ea7u kh\u00f4ng \u01b0u th\u1ebf.<\/span><\/p>\n

\u0110\u1ed9ng m\u1ea1ch n\u00e3o gi\u1eefa c\u1ea5p m\u00e1u cho v\u00f9ng ki\u1ec3m so\u00e1t v\u1eadn \u0111\u1ed9ng chi tr\u00ean. Do \u0111\u00f3, m\u1ee9c \u0111\u1ed9 li\u1ec7t m\u1eb7t v\u00e0 tay th\u01b0\u1eddng n\u1eb7ng h\u01a1n li\u1ec7t chi d\u01b0\u1edbi.<\/span><\/p>\n

2.2. Nh\u1ed3i m\u00e1u n\u00e3o \u0111\u1ed9ng m\u1ea1ch n\u00e3o tr\u01b0\u1edbc<\/span><\/b><\/h3>\n

T\u1eafc \u0111\u1ed9ng m\u1ea1ch n\u00e3o tr\u01b0\u1edbc \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u00f9y tr\u00e1n. C\u00e1c tri\u1ec7u ch\u1ee9ng g\u1ed3m:<\/span><\/p>\n

– M\u1ea5t \u1ee9c ch\u1ebf v\u00e0 m\u1ea5t ki\u1ec3m so\u00e1t l\u1eddi n\u00f3i,<\/span><\/p>\n

– Ph\u1ea3n x\u1ea1 nguy\u00ean ph\u00e1t (v\u00ed d\u1ee5: ph\u1ea3n x\u1ea1 n\u1eafm tay, ph\u1ea3n x\u1ea1 m\u00fat),<\/span><\/p>\n

– Thay \u0111\u1ed5i t\u00e2m l\u00fd,<\/span><\/p>\n

– Suy gi\u1ea3m kh\u1ea3 n\u0103ng t\u01b0 duy,<\/span><\/p>\n

– Li\u1ec7t \u0111\u1ed1i b\u00ean (li\u1ec7t chi d\u01b0\u1edbi n\u1eb7ng h\u01a1n chi tr\u00ean),<\/span><\/p>\n

– Thi\u1ebfu h\u1ee5t c\u1ea3m gi\u00e1c v\u1ecf n\u00e3o \u0111\u1ed1i b\u00ean,<\/span><\/p>\n

– D\u00e1ng \u0111i b\u1ea5t th\u01b0\u1eddng,<\/span><\/p>\n

– Ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7.<\/span><\/p>\n

2.3. Nh\u1ed3i m\u00e1u n\u00e3o \u0111\u1ed9ng m\u1ea1ch n\u00e3o sau<\/span><\/b><\/h3>\n

T\u1eafc \u0111\u1ed9ng m\u1ea1ch n\u00e3o sau \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ecb gi\u00e1c v\u00e0 kh\u1ea3 n\u0103ng suy ngh\u0129. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng:<\/span><\/p>\n

– B\u00e1n manh \u0111\u1ed1i b\u00ean,<\/span><\/p>\n

– M\u00f9 v\u1ecf n\u00e3o,<\/span><\/p>\n

– M\u1ea5t nh\u1eadn th\u1ee9c th\u1ecb gi\u00e1c,<\/span><\/p>\n

– Thay \u0111\u1ed5i t\u00e2m l\u00fd,<\/span><\/p>\n

– Gi\u1ea3m tr\u00ed nh\u1edb.<\/span><\/p>\n

T\u1eafc \u0111\u1ed9ng m\u1ea1ch s\u1ed1ng n\u1ec1n r\u1ea5t kh\u00f3 \u0111\u1ec3 \u0111\u1ecbnh khu v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng do c\u00e1c tri\u1ec7u ch\u1ee9ng lan t\u1ecfa nh\u01b0 li\u1ec7t c\u00e1c d\u00e2y th\u1ea7n kinh s\u1ecd n\u00e3o, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ti\u1ec3u n\u00e3o, c\u00e1c nh\u00e2n x\u00e1m v\u00e0 c\u00f3 th\u1ec3 tri\u1ec7u ch\u1ee9ng kh\u00f4ng r\u00f5 r\u00e0ng. C\u00e1c d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd bao g\u1ed3m:<\/span><\/p>\n

– Ch\u00f3ng m\u1eb7t,<\/span><\/p>\n

– Rung gi\u1eadt nh\u00e3n c\u1ea7u,<\/span><\/p>\n

– Nh\u00ecn \u0111\u00f4i,<\/span><\/p>\n

– M\u1ea5t th\u1ecb tr\u01b0\u1eddng,<\/span><\/p>\n

– Nu\u1ed1t kh\u00f3,<\/span><\/p>\n

– Kh\u00f3 v\u1eadn \u0111\u1ed9ng kh\u1edbp,<\/span><\/p>\n

– T\u00ea b\u00ec v\u00f9ng m\u1eb7t,<\/span><\/p>\n

– Ng\u1ea5t,<\/span><\/p>\n

– Th\u1ea5t \u0111i\u1ec1u.<\/span><\/p>\n

M\u1ed9t d\u1ea5u hi\u1ec7u quan tr\u1ecdng c\u1ee7a \u0111\u1ed9t qu\u1ef5 tu\u1ea7n ho\u00e0n n\u00e3o sau l\u00e0 li\u1ec7t d\u00e2y th\u1ea7n kinh s\u1ecd c\u00f9ng b\u00ean k\u00e8m li\u1ec7t v\u1eadn \u0111\u1ed9ng \u0111\u1ed1i b\u00ean. Trong khi \u0111\u00f3, \u0111\u1ed9t qu\u1ef5 tu\u1ea7n ho\u00e0n n\u00e3o tr\u01b0\u1edbc g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng li\u1ec7t c\u00f9ng b\u00ean.<\/span><\/p>\n

2.4. Nh\u1ed3i m\u00e1u \u1ed5 khuy\u1ebft<\/span><\/b><\/h3>\n

\u0110\u1ed9t qu\u1ef5 \u1ed5 khuy\u1ebft do t\u1eafc c\u00e1c \u0111\u1ed9ng m\u1ea1ch nh\u1ecf, \u0111\u1ed9ng m\u1ea1ch xuy\u00ean \u1edf v\u00f9ng d\u01b0\u1edbi v\u1ecf. K\u00edch th\u01b0\u1edbc \u1ed5 nh\u1ed3i m\u00e1u th\u01b0\u1eddng t\u1eeb 2-20 mm. C\u00e1c h\u1ed9i ch\u1ee9ng nh\u1ed3i m\u00e1u \u1ed5 khuy\u1ebft ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u1ed3m:<\/span><\/p>\n

– Li\u1ec7t v\u1eadn \u0111\u1ed9ng ho\u1eb7c c\u1ea3m gi\u00e1c \u0111\u01a1n thu\u1ea7n, th\u1ea5t \u0111i\u1ec1u \u0111\u1ed1i b\u00ean.<\/span><\/p>\n

– \u00cdt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1eadn th\u1ee9c, tr\u00ed nh\u1edb, l\u1eddi n\u00f3i, \u00fd th\u1ee9c.<\/span><\/p>\n

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

\u0110\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (Ischemic Stroke) l\u00e0 m\u1ed9t lo\u1ea1i \u0111\u1ed9t qu\u1ef5 x\u1ea3y ra do t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c gi\u1ea3m d\u00f2ng ch\u1ea3y m\u00e1u \u0111\u1ebfn m\u1ed9t khu v\u1ef1c c\u1ee7a n\u00e3o, g\u00e2y t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c ch\u1ebft c\u00e1c t\u1ebf b\u00e0o n\u00e3o trong khu v\u1ef1c \u0111\u00f3. \u0110\u00e2y l\u00e0 lo\u1ea1i \u0111\u1ed9t qu\u1ef5 ph\u1ed5 bi\u1ebfn nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 87% tr\u01b0\u1eddng […]<\/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":"\nM\u1ed9t s\u1ed1 th\u1ec3 l\u00e2m s\u00e0ng \u0111\u1ecbnh khu c\u1ee7a \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (Ischemic Stroke) l\u00e0 m\u1ed9t lo\u1ea1i \u0111\u1ed9t qu\u1ef5 x\u1ea3y ra do t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c gi\u1ea3m d\u00f2ng ch\u1ea3y m\u00e1u \u0111\u1ebfn m\u1ed9t khu v\u1ef1c ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u1ed9t s\u1ed1 th\u1ec3 l\u00e2m s\u00e0ng \u0111\u1ecbnh khu c\u1ee7a \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o - 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