{"id":26152,"date":"2023-04-21T18:11:42","date_gmt":"2023-04-21T11:11:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26152"},"modified":"2023-04-21T18:11:42","modified_gmt":"2023-04-21T11:11:42","slug":"viem-nao-tuy-hau-nhiem-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/viem-nao-tuy-hau-nhiem-chan-doan-va-dieu-tri\/","title":{"rendered":"Vi\u00eam n\u00e3o t\u1ee7y h\u1eadu nhi\u1ec5m: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Vi\u00eam n\u00e3o t\u1ee7y h\u1eadu nhi\u1ec5m (Post infectious encephalomyelitis &#8211; Piem) &#8211;\u00a0 l\u00e0 m\u1ed9t th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a r\u1ed1i lo\u1ea1n m\u1ea5t myeline nguy\u00ean ph\u00e1t h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng ch\u1ea5t tr\u1eafng nhi\u1ec1u \u1ed5 t\u1ea1i n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng; c\u00e1c th\u1ec3 l\u00e2m s\u00e0ng g\u1ed3m: x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c (multiple sclerosis), vi\u00eam t\u1ee7y c\u1eaft ngang (transverse myelitis), vi\u00eam t\u1ee7y th\u1ecb th\u1ea7n kinh (devic\u2019s disease). Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m th\u1eddi gian n\u1eb1m vi\u1ec7n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<ol>\n<li>\n<h2><strong><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/strong><\/h2>\n<\/li>\n<\/ol>\n<ul>\n<li>Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu l\u00e0 ch\u1ee9c n\u0103ng ngo\u1ea1i v\u1ec7 suy gi\u1ea3m. D\u1ecbch \u0111\u1ed9c x\u00e2m ph\u1ea1m v\u00e0o c\u01a1 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng t\u00e2n d\u1ecbch, m\u1eaft kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng n\u00ean m\u1eaft m\u1edd ho\u1eb7c m\u1ea5t th\u1ecb l\u1ef1c, chi th\u1ec3 v\u1eadn \u0111\u1ed9ng kh\u00f3 ho\u1eb7c li\u1ec7t, th\u1eadm ch\u00ed g\u00e2y bi\u1ebfn ch\u1ee9ng nguy k\u1ecbch (r\u1ea5t n\u1eb7ng).<\/li>\n<li>\u00a0Vi\u00eam n\u00e3o t\u1ee7y h\u1eadu nhi\u1ec5m t\u01b0\u01a1ng t\u1ef1 vi\u00eam n\u00e3o t\u1ee7y c\u1ea5p t\u00ednh lan t\u1ecfa (acute disseminated encephalomyelitis- adem) nh\u01b0ng adem c\u00f3 th\u1ec3 kh\u00f4ng r\u00f5 nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n<li>Kh\u00f4ng c\u00f3 test ch\u1ea9n \u0111o\u00e1n \u0111\u1eb7c hi\u1ec7u, m\u1ed9t s\u1ed1 t\u1ef1 c\u1ea3i thi\u1ec7n, h\u1ea7u h\u1ebft \u0111\u00e1p \u1ee9ng methylprednisolone, l\u1ecdc huy\u1ebft t\u01b0\u01a1ng ho\u1eb7c immunoglobulin t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n<h2>2. Nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam n\u00e3o t\u1ee7y\u00a0 h\u1eadu nhi\u1ec5m t\u1ee7y<\/h2>\n<p>&#8211; \u00a0Th\u01b0\u1eddng sau nhi\u1ec5m si\u00eau vi: s\u1edfi, quai b\u1ecb, rubella, th\u1ee7y \u0111\u1eadu, c\u00fam, vi\u00eam gan, herpes simplex, epstein-barr, cytomegalovirus, coxsackie; vi tr\u00f9ng (mycoplasma, leptospira, chlamydia, cambylopacter, streptococcus,..)<\/p>\n<p>&#8211; Ho\u1eb7c sau ch\u1ee7ng ng\u1eeba: b\u1ea1ch h\u1ea7u, ho g\u00e0, b\u1ea1i li\u1ec7t, th\u1ee7y \u0111\u1eadu, s\u1edfi, vi\u00eam n\u00e3o nh\u1eadt b\u1ea3n,\u2026. vai tr\u00f2 c\u1ee7a \u0111\u00e1p \u1ee9ng h\u1ec7 mi\u1ec5n d\u1ecbch \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh.<\/p>\n<p>&#8211; Vi\u00eam n\u00e3o t\u1ee7y ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p><strong>\u00a03.1. L\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211; \u00a0Ph\u1ea7n nhi\u1ec1u kh\u1edfi b\u1ec7nh c\u1ea5p t\u00ednh, \u0111\u1ed9t nhi\u00ean \u0111au \u0111\u1ea7u, n\u00f4n m\u1eeda, th\u01b0\u1eddng c\u00f3 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/hoi-chung-mang-nao-dau-hieu-nguyen-nhan-va-cach-dieu-tri\/\"><b>h\u1ed9i ch\u1ee9ng m\u00e0ng n\u00e3o<\/b>\u00a0<\/a>k\u00e8m theo \u1ea3o gi\u00e1c, hoang t\u01b0\u1edfng, th\u1ecb l\u1ef1c gi\u1ea3m n\u1eb7ng ho\u1eb7c m\u00f9, th\u1eadm ch\u00ed h\u00f4n m\u00ea v\u00e0 co c\u1ee9ng m\u1ea5t n\u00e3o.<\/p>\n<p>&#8211; Ti\u1ec1n s\u1eed b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn truy\u1ec1n huy\u1ebft thanh, ho\u1eb7c sau vi\u00eam nhi\u1ec5m, nhi\u1ec5m tr\u00f9ng.<\/p>\n<p>&#8211; Tr\u01b0\u1edbc khi ph\u00e1t b\u1ec7nh 1 &#8211; 2 tu\u1ea7n, \u0111a ph\u1ea7n c\u00f3 vi\u00eam nhi\u1ec5m, nhi\u1ec5m \u0111\u1ed9c t\u1ed1 c\u1ee7a m\u1ed9t s\u1ed1 b\u1ec7nh: <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/benh-soi-2971\/\">s\u1edfi<\/a>,\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/benh\/thuy-dau-2969\/\">th\u1ee7y \u0111\u1eadu<\/a>,\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/benh\/viem-tuyen-nuoc-bot-3056\/\">vi\u00eam tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt<\/a>,<a href=\"https:\/\/www.vinmec.com\/vi\/benh\/cum-3162\/\"> c\u1ea3m c\u00fam<\/a>.<\/p>\n<p>&#8211; G\u1eb7p m\u1ecdi l\u1ee9a tu\u1ed5i, tr\u1ebb em nhi\u1ec1u h\u01a1n ng\u01b0\u1eddi l\u1edbn, hay g\u1eb7p m\u00f9a \u0111\u00f4ng v\u00e0 xu\u00e2n.<\/p>\n<p>&#8211; Nhi\u1ec5m tr\u00f9ng c\u00f3 tr\u01b0\u1edbc g\u1eb7p trong 2\/3 tr\u01b0\u1eddng h\u1ee3p, th\u1eddi gian sau nhi\u1ec5m tr\u00f9ng thay \u0111\u1ed5i t\u1eeb 1 ng\u00e0y t\u1edbi 3 tu\u1ea7n t\u00f9y t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh, di\u1ec5n ti\u1ebfn trong v\u00e0i gi\u1edd \u0111\u1ebfn \u0111\u1ec9nh cao trong v\u00e0i ng\u00e0y.<\/p>\n<p>&#8211; Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n: s\u1ed1t, m\u1ec7t m\u1ecfi, \u0111au c\u01a1, nh\u1ee9c \u0111\u1ea7u, bu\u1ed3n n\u00f4n, n\u00f4n.<\/p>\n<p>&#8211; Tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh t\u00f9y thu\u1ed9c: v\u1ecb tr\u00ed \u1ed5 t\u1ed5n th\u01b0\u01a1ng, c\u00f3 m\u1ed9t hay nhi\u1ec1u \u1ed5 t\u1ed5n th\u01b0\u01a1ng, m\u1ee9c \u0111\u1ed9 m\u1ea5t myeline c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng.<\/p>\n<p>+ R\u1ed1i lo\u1ea1n tri gi\u00e1c t\u1eeb ng\u1ee7 g\u00e0 \u0111\u1ebfn h\u00f4n m\u00ea, tr\u1ebb l\u1edbn hay r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n.<\/p>\n<p>+ H\u1ed9i ch\u1ee9ng m\u00e0ng n\u00e3o, th\u1ea5t \u0111i\u1ec1u, r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, li\u1ec7t n\u1eeda ng\u01b0\u1eddi, li\u1ec7t hai chi, li\u1ec7t d\u00e2y th\u1ea7n kinh s\u1ecd, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh m\u1eaft hai b\u00ean, r\u1ed1i lo\u1ea1n c\u01a1 v\u00f2ng, li\u1ec7t h\u1ea7n kinh ngo\u1ea1i bi\u00ean\u2026 (\u0111\u00f4i khi g\u1eb7p piem \u0111i k\u00e8m h\u1ed9i ch\u1ee9ng guillain \u2013 barr\u00e9)<\/p>\n<p>+ Co gi\u1eadt th\u01b0\u1eddng g\u1eb7p sau nhi\u1ec5m tr\u00f9ng h\u01a1n l\u00e0 sau ch\u00edch ng\u1eeba.<\/p>\n<p>+ Suy h\u00f4 h\u1ea5p th\u1ee9 ph\u00e1t c\u00f3 th\u1ec3 x\u1ea3y ra sau vi\u00eam t\u1ee7y c\u1ed5.<\/p>\n<p>&#8211; Di\u1ec5n ti\u1ebfn t\u1ef1 ph\u1ee5c h\u1ed3i trong 1 tu\u1ea7n \u0111\u1ebfn 1 th\u00e1ng (50%), t\u00e1i ph\u00e1t trong th\u1ec3 hai pha. di ch\u1ee9ng g\u1ed3m: m\u1ea5t kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng, gi\u1ea3m nh\u1eadn th\u1ee9c, m\u1ea5t th\u1ecb l\u1ef1c, r\u1ed1i lo\u1ea1n h\u00e0nh vi, \u0111\u1ed9ng kinh\u2026<\/p>\n<p><strong>3.2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>&#8211;<em> D\u1ecbch n\u00e3o t\u1ee7y:<\/em><\/p>\n<p>+ \u00a0L\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh ph\u00f2ng \u0111\u1ec3 l\u1ea5y d\u1ecbch n\u00e3o t\u1ee7y x\u00e9t nghi\u1ec7m nh\u1eb1m x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00ecnh tr\u1ea1ng vi\u00eam, t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh v\u00e0 s\u1ef1 nh\u1ea1y c\u1ea3m c\u1ee7a vi sinh v\u1eadt \u0111\u1ed1i v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c.<\/p>\n<figure id=\"attachment_26160\" aria-describedby=\"caption-attachment-26160\" style=\"width: 277px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-26160\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/R-3.jpg\" alt=\"choc-do-dich-nao-tuy\" width=\"277\" height=\"400\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/R-3.jpg 277w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/R-3-208x300.jpg 208w\" sizes=\"(max-width: 277px) 100vw, 277px\" \/><figcaption id=\"caption-attachment-26160\" class=\"wp-caption-text\">\u1ea2nh minh h\u1ecda ch\u1ecdc d\u00f2 d\u1ecbch n\u00e3o t\u1ee7y<\/figcaption><\/figure>\n<p>+ K\u1ebft qu\u1ea3: t\u0103ng protein, t\u0103ng lympho, \u0111\u00f4i khi t\u0103ng \u0111a nh\u00e2n trung t\u00ednh, c\u00f3 th\u1ec3 t\u0103ng igg, glucose b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>&#8211; <em>H\u00ecnh \u1ea3nh h\u1ecdc:<\/em><\/p>\n<p>+ MRI: th\u1ea5y b\u1ea5t th\u01b0\u1eddng t\u1eeb 5 -&gt; 14 ng\u00e0y v\u1edbi nhi\u1ec1u \u1ed5 t\u1ed5n th\u01b0\u01a1ng l\u1edbn v\u00e0 \u0111\u1ed1i x\u1ee9ng \u1edf ch\u1ea5t tr\u1eafng ti\u1ec3u n\u00e3o v\u00e0 b\u00e1n c\u1ea7u \u0111\u1ea1i n\u00e3o, th\u1ec9nh tho\u1ea3ng c\u00f3 \u1edf h\u1ea1ch n\u1ec1n. t\u0103ng t\u00edn hi\u1ec7u tr\u00ean t2, t\u1ed5n th\u01b0\u01a1ng r\u00f5 h\u01a1n sau ti\u00eam c\u1ea3n t\u1eeb.<\/p>\n<p>+ CT scan: sang th\u01b0\u01a1ng gi\u1ea3m \u0111\u1eadm \u0111\u1ed9 ch\u1ea5t tr\u1eafng d\u01b0\u1edbi v\u1ecf. trong th\u1ec3 vi\u00eam n\u00e3o t\u1ee7y xu\u1ea5t huy\u1ebft c\u1ea5p c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh xu\u1ea5t huy\u1ebft v\u00e0 ph\u00f9 trong c\u1ea5u tr\u00fac n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng.<\/p>\n<p>&#8211; <em>\u0110i\u1ec7n n\u00e3o \u0111\u1ed3<\/em>: b\u1ea5t th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, c\u00f3 th\u1ec3 th\u1ea5y t\u0103ng ho\u1ea1t \u0111\u1ed9ng gi\u1ea5c ng\u1ee7, t\u0103ng s\u00f3ng ch\u1eadm, s\u00f3ng ch\u1eadm th\u00e0nh \u1ed5 v\u00e0 \u0111\u00f4i khi s\u00f3ng d\u1ea1ng \u0111\u1ed9ng kinh.<\/p>\n<p><strong>3.3. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n<\/strong>: b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh c\u1ea5p t\u00ednh + b\u1ea5t th\u01b0\u1eddng h\u00ecnh \u1ea3nh h\u1ecdc n\u00e3o ho\u1eb7c t\u1ee7y s\u1ed1ng \u00b1 nhi\u1ec5m tr\u00f9ng c\u00f3 tr\u01b0\u1edbc.<\/p>\n<p><strong>3.4. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n<p>&#8211; \u0110\u1ee3t \u0111\u1ea7u c\u1ee7a x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c: th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb l\u1edbn v\u00e0 ng\u01b0\u1eddi l\u1edbn, kh\u00f4ng c\u00f3 nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3, di\u1ec5n ti\u1ebfn ch\u1eadm, th\u01b0\u1eddng t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa, t\u00e1i ph\u00e1t, c\u00f3 sang th\u01b0\u01a1ng m\u1edbi tr\u00ean mri.<\/p>\n<p>&#8211; S\u1ed1t r\u00e9t \u00e1c t\u00ednh th\u1ec3 n\u00e3o.<\/p>\n<h2>4. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p>&#8211; \u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u.<\/p>\n<p>&#8211; \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng.<\/p>\n<p><strong>4.1. Ph\u00e2n c\u1ea5p \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n<p>&#8211; C\u1ea5p 1:<\/p>\n<p>+ H\u1ecfi b\u1ec7nh s\u1eed v\u1ec1 nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>+ Ghi nh\u1eadn c\u00e1c b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh c\u01a1 n\u0103ng v\u00e0 th\u1ef1c th\u1ec3.<\/p>\n<p>+ Chuy\u1ec3n khoa th\u1ea7n kinh n\u1ebfu ch\u01b0a c\u1ea7n h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u<\/p>\n<p>&#8211; C\u1ea5p 2:<\/p>\n<p><em>+ \u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u:<\/em><\/p>\n<ol>\n<li>Corticosteroids: methylpredenisolone: 30mg\/kg\/ ng\u00e0y (tr\u1ebb l\u1edbn 1g\/ng\u00e0y) x 3- 5 ng\u00e0y, sau \u0111\u00f3 chuy\u1ec3n prednisone u\u1ed1ng 1mg\/kg\/ng\u00e0y x 4 tu\u1ea7n. c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m vi\u00eam, gi\u1ea3m ph\u00f9 n\u1ec1 v\u00e0 b\u1ea3o v\u1ec7 h\u00e0ng r\u00e0o m\u00e1u n\u00e3o.<\/li>\n<li>Ch\u00edch t\u0129nh m\u1ea1ch immunoglobulin: ch\u1ec9 \u0111\u1ecbnh khi kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi corticoides v\u00e0 kh\u00f4ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n l\u1ecdc huy\u1ebft t\u01b0\u01a1ng. Li\u1ec1u 0,4g\/kg\/ng\u00e0y t\u0129nh m\u1ea1ch x 5 ng\u00e0y.<\/li>\n<\/ol>\n<p>+<em> C\u00e1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c:<\/em><\/p>\n<ul>\n<li>Ch\u1ed1ng co gi\u1eadt n\u1ebfu c\u00f3, \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh.<\/li>\n<li>T\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, kh\u00e1ng sinh ch\u1ed1ng nhi\u1ec5m tr\u00f9ng\u2026.<\/li>\n<li>Tr\u01b0\u1eddng h\u1ee3p vi\u00eam n\u00e3o t\u1ee7y c\u1ea5p th\u1ec3 xu\u1ea5t huy\u1ebft c\u00f3 ph\u00f9 n\u00e3o ph\u1ed1i h\u1ee3p v\u1edbi mannitol, t\u0103ng th\u00f4ng kh\u00ed, n\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n xem x\u00e9t m\u1edf s\u1ecd.<\/li>\n<li>Vi\u00eam n\u00e3o t\u1ee7y sau ph\u1ea3n \u1ee9ng vaccin kh\u00f4ng ch\u00edch ng\u1eeba \u00edt nh\u1ea5t 6 th\u00e1ng.<\/li>\n<\/ul>\n<p><strong>Ti\u00eau chu\u1ea9n xu\u1ea5t vi\u1ec7n<\/strong>:<\/p>\n<p>&#8211; C\u00e1c d\u1ea5u hi\u1ec7u th\u1ea7n kinh m\u1ea5t, gi\u1ea3m ho\u1eb7c ph\u1ee5c h\u1ed3i.<\/p>\n<p>&#8211; Kh\u1ea3 n\u0103ng sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f2n di\u1ec5n ti\u1ebfn nguy hi\u1ec3m.<\/p>\n<p><strong>Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/strong> h\u00e0ng th\u00e1ng k\u1ebft h\u1ee3p t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd khi tr\u1ebb b\u1ecb b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ea5p ho\u1eb7c c\u1ea7n ch\u00edch ng\u1eeba.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam n\u00e3o t\u1ee7y h\u1eadu nhi\u1ec5m (Post infectious encephalomyelitis &#8211; Piem) &#8211;\u00a0 l\u00e0 m\u1ed9t th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a r\u1ed1i lo\u1ea1n m\u1ea5t myeline nguy\u00ean ph\u00e1t h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng ch\u1ea5t tr\u1eafng nhi\u1ec1u \u1ed5 t\u1ea1i n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng; c\u00e1c th\u1ec3 l\u00e2m s\u00e0ng g\u1ed3m: x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c (multiple sclerosis), vi\u00eam t\u1ee7y c\u1eaft ngang [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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