{"id":26634,"date":"2023-04-22T19:09:04","date_gmt":"2023-04-22T12:09:04","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26634"},"modified":"2023-04-22T19:09:04","modified_gmt":"2023-04-22T12:09:04","slug":"dieu-tri-co-giat-mi-mat-bang-tiem-botulinum-toxine","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-co-giat-mi-mat-bang-tiem-botulinum-toxine\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb co gi\u1eadt m\u00ed m\u1eaft b\u1eb1ng ti\u00eam Botulinum toxine"},"content":{"rendered":"

Co gi\u1eadt m\u00ed m\u1eaft (blepharospasm<\/a>) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn s\u1ef1 co th\u1eaft kh\u00f4ng t\u1ef1 ch\u1ee7 c\u1ee7a c\u00e1c c\u01a1 quanh mi, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m so\u00e1t c\u1ee7a m\u00ed m\u1eaft. Ti\u00eam Botulinum toxine (Botox) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho co gi\u1eadt m\u00ed m\u1eaft. Vi\u1ec7c ti\u00eam Botox v\u00e0o c\u00e1c c\u01a1 quanh mi gi\u00fap l\u00e0m gi\u1ea3m s\u1ef1 co th\u1eaft c\u1ee7a ch\u00fang, gi\u1ea3m c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1edbn li\u00ean quan \u0111\u1ebfn b\u1ec7nh.\u00a0<\/strong><\/p>\n

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\u0110i\u1ec1u tr\u1ecb co gi\u1eadt m\u00ed m\u1eaft b\u1eb1ng ti\u00eam Botulinum toxine mang l\u1ea1i hi\u1ec7u qu\u1ea3 cao<\/figcaption><\/figure>\n

1. T\u1ed5ng quan\u00a0 v\u1ec1 b\u1ec7nh co gi\u1eadt m\u00ed m\u1eaft (Blepharospasm)<\/b><\/h2>\n

– Co gi\u1eadt m\u00ed m\u1eaft (Blepharospasm) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 khu tr\u00fa, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c c\u01a1 quanh m\u1eaft co kh\u00f4ng t\u1ef1 ch\u1ee7 g\u00e2y ra nh\u1eafm ch\u1eb7t m\u1eaft, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c nh\u1eafm v\u00e0 m\u1edf m\u1eaft b\u00ecnh th\u01b0\u1eddng. Vi\u1ec7c nh\u1eafm ch\u1eb7t m\u1eaft k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn m\u00f9 ch\u1ee9c n\u0103ng. Co gi\u1eadt m\u00ed m\u1eaft do co c\u00e1c c\u01a1 v\u00f2ng m\u1eaft v\u00e0 c\u00f3 th\u1ec3 li\u00ean quan v\u1edbi \u1ee9c ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u01a1 n\u00e2ng mi tr\u00ean ho\u1eb7c c\u00e1c v\u1eadn \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 \u1edf ph\u00eda d\u01b0\u1edbi m\u1eb7t ho\u1eb7c c\u00e1c c\u01a1 h\u00e0m (h\u1ed9i ch\u1ee9ng Meige). Co gi\u1eadt m\u00ed m\u1eaft \u0111\u01b0\u1ee3c coi l\u00e0 nguy\u00ean ph\u00e1t, v\u00e0 \u0111\u00f4i khi l\u00e0 th\u1ee9 ph\u00e1t sau t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac n\u00e3o ho\u1eb7c do thu\u1ed1c.<\/p>\n

– Co gi\u1eadt m\u00ed m\u1eaft (blepharospasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn s\u1ef1 co th\u1eaft kh\u00f4ng t\u1ef1 ch\u1ee7 c\u1ee7a c\u00e1c c\u01a1 quanh mi, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m so\u00e1t c\u1ee7a m\u00ed m\u1eaft. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t ho\u1eb7c c\u1ea3 hai m\u1eaft v\u00e0 c\u00f3 th\u1ec3 l\u00e0m cho b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu, m\u1ec7t m\u1ecfi v\u00e0 kh\u00f3 nh\u00ecn. Co gi\u1eadt m\u00ed m\u1eaft c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, bao g\u1ed3m stress, m\u1ec7t m\u1ecfi, s\u1eed d\u1ee5ng thu\u1ed1c, t\u1ed5n th\u01b0\u01a1ng n\u00e3o v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ecb gi\u00e1c.<\/p>\n

– Botulinum toxine nh\u00f3m A c\u00f3 t\u00e1c d\u1ee5ng \u1edf m\u00e0ng tr\u01b0\u1edbc kh\u1edbp th\u1ea7n kinh – c\u01a1 (sin\u00e1p), l\u00e0m \u1ee9c ch\u1ebf gi\u1ea3i ph\u00f3ng Acetylcholin (l\u00e0 m\u1ed9t ch\u1ea5t trung gian d\u1eabn truy\u1ec1n th\u1ea7n kinh), do \u0111\u00f3 l\u00e0m t\u00ea li\u1ec7t d\u1eabn truy\u1ec1n qua sinap th\u1ea7n kinh – c\u01a1 v\u00e0 l\u00e0m c\u01a1 gi n ra.<\/p>\n

– Ti\u00eam Botulinum toxine nh\u00f3m A (Dysport ho\u1eb7c Botox) v\u00e0o c\u00e1c c\u01a1 xung quanh m\u1eaft hi\u1ec7n nay l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n

Ng\u01b0\u1eddi b\u1ec7nh b\u1ecb co gi\u1eadt m\u00ed m\u1eaft.<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

– Ng\u01b0\u1eddi b\u1ec7nh r\u1ed1i lo\u1ea1n nu\u1ed1t.<\/p>\n

– B\u1ec7nh l\u00fd to\u00e0n th\u00e2n n\u1eb7ng (nhi\u1ec5m khu\u1ea9n n\u1eb7ng, suy th\u1eadn\u2026).<\/p>\n

4. Chu\u1ea9n b\u1ecb<\/strong><\/h2>\n

C\u00e1n b\u1ed9 th\u1ef1c hi\u1ec7n<\/strong><\/p>\n

– 01 b\u00e1c s\u0129 \u0111 c\u00f3 ch\u1ee9ng ch\u1ec9 ho\u1eb7c ch\u1ee9ng nh\u1eadn \u0111\u00e0o t\u1ea1o ti\u00eam thu\u1ed1c Botulinum toxin nh\u00f3m A.<\/p>\n

– 01 \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n

Ph\u01b0\u01a1ng ti\u1ec7n<\/strong><\/p>\n

– Thu\u1ed1c Botulinum toxine nh\u00f3m A (bi\u1ec7t d\u01b0\u1ee3c: Dysport 500UI ho\u1eb7c Botox 100 UI).<\/p>\n

– M\u1ed9t kim ti\u00eam lo\u1ea1i d\u01b0\u1edbi da, k\u00edch th\u01b0\u1edbc 28 – 30 gauge.<\/p>\n

– B\u01a1m ti\u00eam 1 ml: 02 c\u00e1i.<\/p>\n

– N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd 0.9% \u0111\u1ec3 pha thu\u1ed1c.<\/p>\n

– B\u00f4ng, c\u1ed3n s\u00e1t tr\u00f9ng 70o<\/sup> ho\u1eb7c Betadine.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n

Gi\u1ea3i th\u00edch, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ho\u00e0n th\u00e0nh th\u1ee7 t\u1ee5c tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt.<\/p>\n

H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/strong><\/p>\n

– Ho\u00e0n th\u00e0nh \u0111\u1ea7y \u0111\u1ee7, c\u00f3 ch\u1ea9n \u0111o\u00e1n, theo d\u00f5i b\u1ec7nh h\u1eb1ng ng\u00e0y.<\/p>\n

– Kh\u00e1m x\u00e9t c\u1ea9n th\u1eadn c\u00e1c c\u01a1 xung quanh h\u1ed1c m\u1eaft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u00f3m c\u01a1 ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 nh\u1eefng bi\u1ebfn \u0111\u1ed5i \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y.<\/p>\n

– Ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng thu\u1ed1c.<\/p>\n

5. Ti\u1ebfn h\u00e0nh<\/strong><\/h2>\n

– Ki\u1ec3m tra v\u00e0 kh\u00e1m x\u00e9t ng\u01b0\u1eddi b\u1ec7nh l\u1ea7n cu\u1ed1i tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt, x\u00e1c \u0111\u1ecbnh c\u00e1c c\u01a1 c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Ki\u1ec3m tra m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf.<\/p>\n

– Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt: 30 – 40 ph\u00fat.<\/p>\n

B\u01b0\u1edbc 1: <\/em><\/strong>chu\u1ea9n b\u1ecb thu\u1ed1c<\/p>\n

\u0110i\u1ec1u d\u01b0\u1ee1ng pha lo\u00e3ng thu\u1ed1c Botulinum toxine v\u1edbi dung d\u1ecbch Natriclorua 0,9%.<\/p>\n

\u0110\u1ed9 pha lo\u00e3ng \u0111\u1ed1i v\u1edbi c\u00e1c c\u01a1 v\u00f9ng \u1ed5 m\u1eaft: thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c pha v\u1edbi 2,5 ml dung d\u1ecbch NaCl 0.9% v\u1edbi t\u1ef7 l\u1ec7: 40 \u0111\u01a1n v\u1ecb Botox \/1 ml ho\u1eb7c 200 \u0111\u01a1n v\u1ecb Dysport\/1 ml.<\/p>\n

B\u01b0\u1edbc 2: <\/em><\/strong>s\u00e1t khu\u1ea9n t\u1ea1i ch\u1ed7 ti\u00eam b\u1eb1ng c\u1ed3n 70o<\/sup> ho\u1eb7c Betadine.<\/p>\n

L\u01b0u \u00fd: n\u1ebfu s\u00e1t tr\u00f9ng b\u1eb1ng c\u1ed3n 70o<\/sup>, ph\u1ea3i ch\u1edd c\u1ed3n kh\u00f4 m\u1edbi \u0111\u01b0\u1ee3c \u0111\u00e2m kim.<\/p>\n

B\u01b0\u1edbc 3: <\/em><\/strong>ti\u1ebfn h\u00e0nh ti\u00eam<\/p>\n

– Ti\u00eam d\u01b0\u1edbi da t\u1ea1i v\u1ecb tr\u00ed c\u00e1c c\u01a1 li\u00ean quan.<\/p>\n

– L\u01b0u \u00fd: kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o c\u01a1 n\u00e2ng mi tr\u00ean.<\/p>\n

B\u01b0\u1edbc 4: <\/em><\/strong>thu d\u1ecdn d\u1ee5ng c\u1ee5<\/p>\n

B\u1ea3ng 1<\/strong>: Li\u1ec1u l\u01b0\u1ee3ng ti\u00eam v\u00e0 c\u01a1 ti\u00eam (m\u1ed9t b\u00ean)<\/p>\n\n\n\n\n\n\n\n
C\u01a1 ti\u00eam<\/strong><\/td>\nS\u1ed1 v\u1ecb tr\u00ed ti\u00eam<\/strong><\/td>\nBotox (UI)<\/strong><\/td>\nDysport (UI)<\/strong><\/td>\n<\/tr>\n
C\u01a1 v\u00f2ng m\u1eaft (Orbicularis oculi)<\/p>\n

(Bao g\u1ed3m: ph\u1ea7n h\u1ed1c m\u1eaft, ph\u1ea7n tr\u00ean m\u00ed m\u1eaft v\u00e0 ph\u1ea7n tr\u00ean s\u1ee5n mi)<\/td>\n

4-5<\/td>\n10-40<\/td>\n40-120<\/td>\n<\/tr>\n
C\u01a1 tr\u00e1n (Frontalis)<\/td>\n1<\/td>\n2,5-5<\/td>\n10-25<\/td>\n<\/tr>\n
C\u01a1 cau m\u00e0y (Corrugator)<\/td>\n1<\/td>\n5-10<\/td>\n15-30<\/td>\n<\/tr>\n
C\u01a1 m\u1ea3nh kh\u1ea3nh (Procerus)<\/td>\n1<\/td>\n5-10<\/td>\n15-30<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

6. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/strong><\/h2>\n

Theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh sau ti\u00eam \u0111\u1ebfn 48 gi\u1edd.<\/p>\n

Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/b><\/p>\n

H\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ch\u1ec9 tho\u00e1ng qua v\u00e0 x\u1ea3y ra ch\u1ee7 y\u1ebfu trong v\u00e0i tu\u1ea7n \u0111\u1ea7u sau ti\u00eam, th\u01b0\u1eddng bi\u1ebfn m\u1ea5t trong v\u00f2ng 4 – 6 tu\u1ea7n.<\/p>\n

– S\u1ee5p mi: do thu\u1ed1c lan \u0111\u1ebfn c\u01a1 n\u00e2ng mi tr\u00ean. Ph\u00f2ng ng\u1eeba: tr\u00e1nh ti\u00eam v\u00e0o \u0111i\u1ec3m gi\u1eefa c\u1ee7a mi tr\u00ean.<\/p>\n

– Y\u1ebfu li\u1ec7t \u0111o\u1ea1n gi\u1eefa m\u1eb7t ho\u1eb7c m\u00f4i tr\u00ean.<\/p>\n

– Nh\u00ecn \u0111\u00f4i.<\/p>\n

T\u00f3m l\u1ea1i, ti\u00eam Botulinum toxine (Botox) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho co gi\u1eadt m\u00ed m\u1eaft (blepharospasm), gi\u00fap gi\u1ea3m s\u1ef1 co th\u1eaft c\u1ee7a c\u00e1c c\u01a1 quanh mi, gi\u1ea3m c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1edbn li\u00ean quan \u0111\u1ebfn b\u1ec7nh. Hi\u1ec7u qu\u1ea3 c\u1ee7a Botox th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng v\u00e0 c\u00f3 th\u1ec3 ti\u00eam l\u1ea1i sau \u0111\u00f3. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng Botox \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb co gi\u1eadt m\u00ed m\u1eaft c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 r\u1ee7i ro v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra, bao g\u1ed3m s\u1ee5p mi, y\u1ebfu li\u1ec7t m\u00f4i tr\u00ean hay nh\u00ecn \u0111\u00f4i. Vi\u1ec7c s\u1eed d\u1ee5ng Botox c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n v\u00e0 kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c n\u00e0y. Ngo\u00e0i ra, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n co gi\u1eadt m\u00ed m\u1eaft c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ch\u00ednh x\u00e1c b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf, v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 d\u00f9ng thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng n\u00e0y. Tuy nhi\u00ean, ti\u00eam Botox v\u1eabn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn v\u00e0 hi\u1ec7u qu\u1ea3 cho co gi\u1eadt m\u00ed m\u1eaft. Vi\u1ec7c s\u1eed d\u1ee5ng Botox c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf v\u00e0 \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a cho t\u1eebng b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n.<\/p>\n

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

Co gi\u1eadt m\u00ed m\u1eaft (blepharospasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn s\u1ef1 co th\u1eaft kh\u00f4ng t\u1ef1 ch\u1ee7 c\u1ee7a c\u00e1c c\u01a1 quanh mi, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m so\u00e1t c\u1ee7a m\u00ed m\u1eaft. Ti\u00eam Botulinum toxine (Botox) l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho co gi\u1eadt m\u00ed m\u1eaft. Vi\u1ec7c ti\u00eam […]<\/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\u1ec1u tr\u1ecb co gi\u1eadt m\u00ed m\u1eaft b\u1eb1ng ti\u00eam Botulinum toxine - Vinmec<\/title>\n<meta name=\"description\" content=\"Co gi\u1eadt m\u00ed m\u1eaft (blepharospasm) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn s\u1ef1 co th\u1eaft kh\u00f4ng t\u1ef1 ch\u1ee7 c\u1ee7a c\u00e1c c\u01a1 quanh mi, g\u00e2y ra c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m ...\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb co gi\u1eadt m\u00ed m\u1eaft b\u1eb1ng ti\u00eam Botulinum toxine - 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