{"id":26101,"date":"2023-04-22T11:05:09","date_gmt":"2023-04-22T04:05:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26101"},"modified":"2023-04-22T11:05:09","modified_gmt":"2023-04-22T04:05:09","slug":"dien-than-kinh-co-chi-dinh-chong-chi-dinh-va-cach-tien-hanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dien-than-kinh-co-chi-dinh-chong-chi-dinh-va-cach-tien-hanh\/","title":{"rendered":"\u0110i\u1ec7n th\u1ea7n kinh c\u01a1: Ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 c\u00e1ch ti\u1ebfn h\u00e0nh"},"content":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec7n th\u1ea7n kinh c\u01a1:bao g\u1ed3m ghi \u0111i\u1ec7n c\u01a1 (electromyography<\/a>) (th\u01b0\u1eddng g\u1ecdi l\u00e0 \u0111i\u1ec7n c\u01a1 kim) v\u00e0 \u0111o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh (nerve conduction studies) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 nghi\u00ean c\u1ee9u kh\u1ea3 n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1, \u0111\u00e1nh gi\u00e1 s\u1ef1 m\u1ea5t ph\u00e2n b\u1ed1 th\u1ea7n kinh c\u1ee7a c\u01a1. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c d\u00e2y, r\u1ec5 th\u1ea7n kinh ngo\u1ea1i vi, synap th\u1ea7n kinh – c\u01a1 v\u00e0 c\u00e1c c\u01a1.\u00a0<\/strong><\/p>\n

\"\"
Ph\u01b0\u01a1ng ph\u00e1p Electromyography<\/figcaption><\/figure>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n
    \n
  • B\u1ec7nh l\u00fd r\u1ec5 th\u1ea7n kinh.<\/li>\n
  • B\u1ec7nh l\u00fd \u0111\u01a1n d\u00e2y th\u1ea7n kinh.<\/li>\n
  • B\u1ec7nh l\u00fd \u0111\u00e1m r\u1ed1i th\u1ea7n kinh (\u0111\u00e1m r\u1ed1i th\u1ea7n kinh c\u00e1nh tay, \u0111\u00e1m r\u1ed1i th\u1eaft l\u01b0ng c\u00f9ng).<\/li>\n
  • H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, h\u1ed9i ch\u1ee9ng k\u00eanh Guyon, h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 ch\u00e2n, h\u1ed9i ch\u1ee9ng Guillan \u2013 Barre…<\/li>\n
  • B\u1ec7nh \u0111a d\u00e2y th\u1ea7n kinh, nhi\u1ec1u d\u00e2y th\u1ea7n kinh…<\/li>\n
  • B\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/li>\n
  • B\u1ec7nh c\u01a1 (lo\u1ea1n d\u01b0\u1ee1ng c\u01a1, vi\u00eam \u0111a c\u01a1 …).<\/li>\n
  • B\u1ec7nh l\u00fd t\u1ebf b\u00e0o th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng (x\u01a1 c\u1ed9t b\u00ean teo c\u01a1, teo c\u01a1 t\u1ee7y s\u1ed1ng tu\u1ea7n ti\u1ebfn….).<\/li>\n<\/ul>\n

    2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n
      \n
    • Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u1ed3ng \u00fd.<\/li>\n
    • Ng\u01b0\u1eddi b\u1ec7nh h\u00f4n m\u00ea, t\u00e2m th\u1ea7n, kh\u00f4ng h\u1ee3p t\u00e1c, h\u1ee3p t\u00e1c k\u00e9m.<\/li>\n
    • Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/li>\n<\/ul>\n

      * Th\u1eadn tr\u1ecdng: <\/strong><\/p>\n

        \n
      • Ng\u01b0\u1eddi b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch giai \u0111o\u1ea1n cu\u1ed1i (suy tim, suy th\u1eadn, suy gan, suy \u0111a t\u1ea1ng\u2026).<\/li>\n
      • Ng\u01b0\u1eddi b\u1ec7nh truy\u1ec1n nhi\u1ec5m nh\u01b0 HIV – AIDS, SARS, b\u1ec7nh phong, ung th\u01b0 giai \u0111o\u1ea1n cu\u1ed1i\u2026<\/li>\n<\/ul>\n

        3. C\u00e1ch ti\u1ebfn h\u00e0nh<\/strong><\/h2>\n

        3.1. Chu\u1ea9n b\u1ecb<\/strong><\/h3>\n

        3.1.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n <\/strong><\/h4>\n

        B\u00e1c s\u0129 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, k\u1ef9 thu\u1eadt vi\u00ean ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec7n th\u1ea7n kinh c\u01a1.<\/p>\n

        3.1.2. Ph\u01b0\u01a1ng ti\u1ec7n v\u00e0 d\u1ee5ng c\u1ee5 <\/strong><\/h4>\n
          \n
        • M\u00e1y \u0111i\u1ec7n c\u01a1.<\/li>\n
        • \u0110i\u1ec7n c\u1ef1c: b\u1ec1 m\u1eb7t (\u0111i\u1ec7n c\u1ef1c ghi), \u0111\u1ea5t.<\/li>\n
        • M\u00e1y in.<\/li>\n
        • M\u00e1y t\u00ednh.<\/li>\n
        • B\u00f4ng g\u1ea1c, panh k\u1eb9p, g\u0103ng tay, c\u1ed3n Betadin 1%, g\u0103ng tay, m\u0169, kh\u1ea9u trang.<\/li>\n
        • Kim d\u1eabn \u0111i\u1ec7n.<\/li>\n<\/ul>\n

          3.1.3. Ng\u01b0\u1eddi b\u1ec7nh <\/strong><\/h3>\n
            \n
          • V\u1ec7 sinh tay ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh s\u1ea1ch s\u1ebd tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh \u0111o \u0111i\u1ec7n c\u01a1.<\/li>\n
          • Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh c\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh ph\u1ed1i h\u1ee3p trong qu\u00e1 tr\u00ecnh \u0111o \u0111i\u1ec7n c\u01a1.<\/li>\n
          • \u0110\u1ed1i v\u1edbi tr\u1ebb em, c\u1ea7n chu\u1ea9n b\u1ecb t\u00e2m l\u00fd tr\u01b0\u1edbc cho tr\u1ebb t\u00f9y theo l\u1ee9a tu\u1ed5i, th\u00e1i \u0111\u1ed9 v\u00e0 kinh nghi\u1ec7m c\u1ee7a tr\u1ebb.<\/li>\n<\/ul>\n

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

            3.2.1. Chu\u1ea9n b\u1ecb m\u00e1y, \u0111i\u1ec7n c\u1ef1c ghi v\u00e0 kim d\u1eabn \u0111i\u1ec7n <\/strong><\/h4>\n

            3.2.2. Chu\u1ea9n b\u1ecb ng\u01b0\u1eddi b\u1ec7nh <\/strong><\/h4>\n

            Th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy, chu\u1ea9n b\u1ecb t\u01b0 t\u01b0\u1edfng, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh ph\u1ed1i h\u1ee3p trong khi \u0111o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u00e0 ghi \u0111i\u1ec7n c\u01a1, gi\u1ea3i th\u00edch c\u1ea3m gi\u00e1c d\u00f2ng \u0111i\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 tr\u00e1nh gi\u1eadt m\u00ecnh.<\/p>\n

            3.2.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt <\/strong><\/h4>\n

            \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c<\/strong> \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng <\/strong><\/p>\n

            B\u01b0\u1edbc 1: \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c <\/strong><\/p>\n

            \uf02d \u0110i\u1ec7n c\u1ef1c b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u1ea1i v\u1ecb tr\u00ed kh\u1ed1i c\u01a1 c\u00f3 d\u00e2y th\u1ea7n kinh th\u0103m d\u00f2 chi ph\u1ed1i (th\u1ea7n kinh gi\u1eefa, tr\u1ee5, quay, ch\u00e0y, m\u00e1c, \u0111\u00f9i\u2026).<\/p>\n

            B\u01b0\u1edbc 2: k\u00edch th\u00edch<\/strong><\/p>\n

            S\u1eed d\u1ee5ng c\u00e1c xung vu\u00f4ng 0,5 – 1 ms k\u00edch th\u00edch v\u00e0o c\u00e1c \u0111i\u1ec3m d\u1ecdc theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a d\u00e2y th\u1ea7n kinh theo 2 ph\u00eda ngo\u1ea1i vi v\u00e0 trung t\u00e2m.<\/p>\n

            T\u00ednh t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n<\/strong>: n\u1ebfu g\u1ecdi L1<\/sub> l\u00e0 th\u1eddi gian ti\u1ec1m t\u00e0ng (t\u00ednh t\u1eeb l\u00fac k\u00edch th\u00edch \u0111\u1ebfn khi xu\u1ea5t hi\u1ec7n \u0111\u00e1p \u1ee9ng co c\u01a1 \u1edf ph\u1ea7n ng\u1ecdn d\u00e2y th\u1ea7n kinh), g\u1ecdi L2<\/sub>l\u00e0 th\u1eddi gian ti\u1ec1m t\u00e0ng khi k\u00edch th\u00edch ph\u1ea7n g\u1ed1c d\u00e2y th\u1ea7n kinh (t\u00ednh b\u1eb1ng miligi\u00e2y – ms), D l\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa hai \u0111i\u1ec3m k\u00edch th\u00edch (milim\u00e9t – mm), t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh (V) (m\u00e9t\/gi\u00e2y \u2013 m\/s) gi\u1eefa hai \u0111i\u1ec3m k\u00edch th\u00edch s\u1ebd \u0111\u01b0\u1ee3c t\u00ednh theo c\u00f4ng th\u1ee9c:<\/p>\n

            V(m\/s) = D (mm)\/T(ms)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ( T = L2(ms) \u2013 L1(ms) )<\/p>\n

            Bi\u00ean \u0111\u1ed9<\/strong>:<\/strong> \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb \u0111i\u1ec3m th\u1ea5p nh\u1ea5t cho \u0111\u1ebfn \u0111i\u1ec3m cao nh\u1ea5t c\u1ee7a s\u00f3ng co c\u01a1, t\u00ednh b\u1eb1ng miliVolt (mV).<\/p>\n

            \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u1ea3m gi\u00e1c<\/strong><\/p>\n

            B\u01b0\u1edbc 1: \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c<\/strong><\/p>\n

            \u0110i\u1ec7n c\u1ef1c b\u1ec1 m\u1eb7t ghi \u0111\u00e1p \u1ee9ng tr\u00ean \u0111\u01b0\u1eddng \u0111i c\u1ee7a d\u00e2y th\u1ea7n kinh \u0111\u1ecbnh th\u0103m d\u00f2. Th\u1eddi gian ti\u1ec1m c\u1ea3m gi\u00e1c ch\u00ednh l\u00e0 th\u1eddi gian d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c c\u1ee7a ch\u00ednh d\u00e2y th\u1ea7n kinh \u0111\u00f3.<\/p>\n

            *B\u01b0\u1edbc 2: k\u00edch th\u00edch<\/strong><\/p>\n

            S\u1eed d\u1ee5ng c\u00e1c xung vu\u00f4ng 0,5 – 1ms k\u00edch th\u00edch t\u1ea1i m\u1ed9t \u0111i\u1ec3m d\u1ecdc theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c ngo\u1ea1i vi (d\u00e2y th\u1ea7n kinh gi\u1eefa, tr\u1ee5, quay, m\u00e1c n\u00f4ng, b\u1eafp ch\u00e2n\u2026).<\/p>\n

            T\u00ednh t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh: g\u1ecdi th\u1eddi gian ti\u1ec1m t\u00e0ng c\u1ea3m gi\u00e1c l\u00e0 t (t\u00ednh b\u1eb1ng gi\u00e2y – s), kho\u1ea3ng c\u00e1ch t\u1eeb \u0111i\u1ec7n c\u1ef1c ghi t\u1edbi \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch l\u00e0 d (t\u00ednh b\u1eb1ng mm), t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c v \u0111\u01b0\u1ee3c t\u00ednh theo c\u00f4ng th\u1ee9c: v = d\/t<\/p>\n

            Bi\u00ean \u0111\u1ed9 \u0111\u01b0\u1ee3c t\u00ednh t\u1eeb \u0111i\u1ec3m th\u1ea5p nh\u1ea5t cho \u0111\u1ebfn \u0111i\u1ec3m cao nh\u1ea5t c\u1ee7a \u0111i\u1ec7n th\u1ebf c\u1ea3m gi\u00e1c, t\u00ednh b\u1eb1ng microVolt (\u03bcV).<\/p>\n

            C\u00e1c th\u00f4ng s\u1ed1 thu th\u1eadp tr\u00ean m\u00e1y \u0111i\u1ec7n c\u01a1: th\u1eddi gian ti\u1ec1m (latency), t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng (motor conduction velocity), t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c (sensory conduction velocity), bi\u00ean \u0111\u1ed9 (amplitude), c\u00e1c pha, th\u1eddi kho\u1ea3ng (duration), di\u1ec7n t\u00edch (area).<\/p>\n

            B\u01b0\u1edbc 3: nh\u1eadn \u0111\u1ecbnh k\u1ebft qu\u1ea3<\/strong><\/p>\n

            Gi\u1ea3m t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u00e0 k\u00e9o d\u00e0i th\u1eddi gian ti\u1ec1m ph\u1ea3n \u00e1nh t\u1ed5n th\u01b0\u01a1ng myelin.<\/p>\n

            Gi\u1ea3m bi\u00ean \u0111\u1ed9 c\u00e1c \u0111\u00e1p \u1ee9ng th\u1ec3 hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng s\u1ee3i tr\u1ee5c.<\/p>\n

            Ghi \u0111i\u1ec7n c\u01a1 \u0111\u1ed3 b\u1eb1ng \u0111i\u1ec7n c\u1ef1c kim <\/strong><\/p>\n

            Ng\u01b0\u1eddi b\u1ec7nh \u1edf t\u01b0 th\u1ebf th\u01b0 gi n c\u01a1.<\/p>\n

            B\u01b0\u1edbc 1:<\/strong> s\u00e1t tr\u00f9ng v\u00f9ng da c\u1ea7n kh\u1ea3o s\u00e1t c\u01a1<\/p>\n

            B\u01b0\u1edbc 2:<\/strong> c\u1eafm kim \u0111i\u1ec7n c\u1ef1c v\u00e0o c\u01a1<\/p>\n

            \uf02d C\u1eafm kim xuy\u00ean qua da v\u00e0o c\u01a1, r\u1ed3i \u0111\u00e2m kim t\u1eebng n\u1ea5c m\u1ed9t nh\u1eb1m kh\u1ea3o s\u00e1t c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n do kim \u0111\u00e2m g\u00e2y ra.<\/p>\n

            B\u01b0\u1edbc 3: <\/strong>c\u01a1 th\u01b0 gi n ho\u00e0n to\u00e0n<\/p>\n

            \u0110\u1ec3 kim n\u1eb1m im trong khi b\u1eafp c\u01a1 \u0111ang th\u01b0 gi n ho\u00e0n to\u00e0n (kh\u00f4ng co c\u01a1), nh\u1eb1m t\u00ecm c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n t\u1ef1 ph\u00e1t c\u1ee7a c\u01a1 \u0111\u00f3 n\u1ebfu c\u00f3.<\/p>\n

            B\u01b0\u1edbc 4:<\/strong> co c\u01a1 nh\u1eb9<\/p>\n

            H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh co c\u01a1 m\u1ed9t c\u00e1ch nh\u1eb9 nh\u00e0ng v\u00e0 \u0111\u1ec3 c\u00e1c \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng ph\u00e1t xung r\u1eddi r\u1ea1c, kh\u1ea3o s\u00e1t h\u00ecnh \u1ea3nh c\u1ee7a t\u1eebng \u0111i\u1ec7n th\u1ebf c\u1ee7a \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng.<\/p>\n

            B\u01b0\u1edbc 5:<\/strong> c\u01a1 c\u01a1 m\u1ea1nh d\u1ea7n<\/p>\n

            Y\u00eau c\u1ea7u ng\u01b0\u1eddi b\u1ec7nh co c\u01a1 m\u1ea1nh d\u1ea7n l\u00ean \u0111\u1ec3 kh\u1ea3o s\u00e1t hi\u1ec7n t\u01b0\u1ee3ng k\u1ebft t\u1eadp c\u1ee7a c\u00e1c \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng, cho t\u1edbi m\u1ee9c ng\u01b0\u1eddi b\u1ec7nh co c\u01a1 t\u1ed1i \u0111a \u0111\u1ec3 xem h\u00ecnh \u1ea3nh giao thoa c\u1ee7a c\u00e1c \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng. Ch\u00fa \u00fd khi ghi quan s\u00e1t c\u00e1c s\u00f3ng ghi \u0111\u01b0\u1ee3c tr\u00ean m\u00e0n h\u00ecnh c\u1ea7n nghe c\u1ea3 \u00e2m thanh c\u00e1c s\u00f3ng ph\u00e1t ra.<\/p>\n

            B\u01b0\u1edbc 5:<\/strong> \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3<\/p>\n

            Nh\u1eefng thay \u0111\u1ed5i do th\u1ea7n kinh (neurogen) l\u00e0 qu\u00e1 tr\u00ecnh t\u00e1i ph\u00e2n b\u1ed1 th\u1ea7n kinh v\u00e0 \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi 2 d\u1ea1ng: t\u00e1i ph\u00e2n b\u1ed1 s\u1ee3i tr\u1ee5c bi\u1ec3u hi\u1ec7n l\u00e0 \u0111a pha, th\u1eddi kho\u1ea3ng r\u1ed9ng, bi\u00ean \u0111\u1ed9 cao.<\/p>\n

            Thay \u0111\u1ed5i do th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p trong c\u00e1c b\u1ec7nh th\u1ea7n kinh g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u01a1. Khi co c\u01a1 t\u0103ng d\u1ea7n t\u1edbi c\u1ef1c \u0111\u1ea1i: c\u00e1c \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng l\u1edbn h\u01a1n xu\u1ea5t hi\u1ec7n s\u1edbm, c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng t\u1ed1c, c\u00f3 kho\u1ea3ng tr\u1ed1ng \u0111i\u1ec7n c\u01a1.<\/p>\n

            Nh\u1eefng thay \u0111\u1ed5i do b\u1ec7nh c\u01a1 c\u00f3 c\u00e1c \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng gi\u1ea3m v\u1ec1 bi\u00ean \u0111\u1ed9, th\u1eddi kho\u1ea3ng ng\u1eafn, \u0111a pha (h\u1eb9p, th\u1ea5p, \u0111a pha, k\u1ebft t\u1eadp s\u1edbm).<\/p>\n

            L\u01a3u \u00fd <\/strong>\uf02d V\u00ec s\u1eed d\u1ee5ng d\u00f2ng \u0111i\u1ec7n n\u00ean khi th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt c\u1ea7n quan s\u00e1t v\u00e0 h\u1ecfi ng\u01b0\u1eddi b\u1ec7nh, t\u0103ng d\u1ea7n c\u01b0\u1eddng \u0111\u1ed9 d\u00f2ng \u0111i\u1ec7n \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh th\u00edch nghi d\u1ea7n, tr\u00e1nh d\u00f9ng d\u00f2ng \u0111i\u1ec7n cao v\u00e0 \u0111\u1ed9t ng\u1ed9t ngay t\u1eeb \u0111\u1ea7u g\u00e2y kh\u00f3 ch\u1ecbu cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

            \uf02d Th\u1eddi gian th\u1ef1c hi\u1ec7n: 15 – 60 ph\u00fat, t\u00f9y theo ng\u01b0\u1eddi b\u1ec7nh v\u00e0 k\u1ef9 thu\u1eadt th\u0103m d\u00f2 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

            4. Theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h2>\n
              \n
            • Ng\u01b0\u1eddi b\u1ec7nh m\u1ec7t v\u00e0 cho\u00e1ng do k\u00edch th\u00edch c\u1ee7a d\u00f2ng \u0111i\u1ec7n li\u00ean t\u1ee5c:<\/li>\n
            • ki\u1ec3m tra m\u1ea1ch, huy\u1ebft \u00e1p, \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ngh\u1ec9, theo d\u00f5i v\u00e0 gi\u1ea3i th\u00edch \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh y\u00ean t\u00e2m.<\/li>\n
            • \u0110au t\u1ea1i v\u1ecb tr\u00ed ch\u00e2m kim: gi\u1ea3i th\u00edch \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh y\u00ean t\u00e2m, d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n

              5. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/strong><\/h2>\n

              \u0110i\u1ec7n gi\u1eadt: t\u1eaft m\u00e1y v\u00e0 x\u1eed tr\u00ed c\u1ea5p c\u1ee9u \u0111i\u1ec7n gi\u1eadt.<\/p>\n

              Nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ecb tr\u00ed ch\u00e2m kim: c\u1ea7n \u0111\u1ea3m b\u1ea3o v\u00f4 khu\u1ea9n khi l\u00e0m \u0111i\u1ec7n c\u1ef1c kim, d\u00f9ng kh\u00e1ng sinh n\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a nhi\u1ec5m khu\u1ea9n.<\/p>\n

              Ch\u1ea3y m\u00e1u t\u1ea1i v\u1ecb tr\u00ed ch\u00e2m kim: c\u1ea7n ki\u1ec3m tra ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u, h\u1ecfi ti\u1ec1n s\u1eed c\u00e1c b\u1ec7nh v\u1ec1 m\u00e1u. Gi\u1ea3i th\u00edch \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh y\u00ean t\u00e2m, b\u0103ng \u00e9p c\u1ea7m m\u00e1u, d\u00f9ng thu\u1ed1c c\u1ea7m m\u00e1u n\u1ebfu c\u1ea7n.<\/p>\n

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

              Ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec7n th\u1ea7n kinh c\u01a1:bao g\u1ed3m ghi \u0111i\u1ec7n c\u01a1 (electromyography) (th\u01b0\u1eddng g\u1ecdi l\u00e0 \u0111i\u1ec7n c\u01a1 kim) v\u00e0 \u0111o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh (nerve conduction studies) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 nghi\u00ean c\u1ee9u kh\u1ea3 n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1, […]<\/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":[],"yoast_head":"\n\u0110i\u1ec7n th\u1ea7n kinh c\u01a1: Ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 c\u00e1ch ti\u1ebfn h\u00e0nh<\/title>\n<meta name=\"description\" content=\"Ch\u1ea9n \u0111o\u00e1n 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