{"id":26646,"date":"2023-04-22T19:08:50","date_gmt":"2023-04-22T12:08:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26646"},"modified":"2023-04-22T19:08:50","modified_gmt":"2023-04-22T12:08:50","slug":"dieu-tri-giam-dau-lung-man-tinh-bang-dien-vi-dong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/dieu-tri-giam-dau-lung-man-tinh-bang-dien-vi-dong\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh b\u1eb1ng \u0111i\u1ec7n vi d\u00f2ng"},"content":{"rendered":"

\u0110i\u1ec7n vi d\u00f2ng ( (Transcutaneous electrical nerve stimulation – TENS) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh<\/a>. TENS ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t thi\u1ebft b\u1ecb t\u1ea1o ra m\u1ed9t d\u00f2ng \u0111i\u1ec7n nh\u1ecf \u0111\u1ec3 k\u00edch th\u00edch c\u00e1c th\u1ea7n kinh b\u00ean d\u01b0\u1edbi da \u1edf v\u00f9ng l\u01b0ng, l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb \u0111au l\u01b0ng v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 c\u1ee7a TENS c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi t\u1eebng ng\u01b0\u1eddi v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y \u0111au l\u01b0ng.<\/strong><\/p>\n

\"\"
\u0110au l\u01b0ng m\u1ea1n t\u00ednh l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh b\u1eb1ng \u0111i\u1ec7n vi d\u00f2ng<\/h2>\n

Vi d\u00f2ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eed d\u1ee5ng d\u00f2ng \u0111i\u1ec7n xung h\u00ecnh vu\u00f4ng m\u1ed9t pha li\u00ean t\u1ee5c, c\u00f3 th\u1ec3 \u0111\u1ea3o c\u1ef1c, c\u00f3 c\u01b0\u1eddng \u0111\u1ed9 d\u01b0\u1edbi ng\u01b0\u1ee1ng c\u1ea3m gi\u00e1c (c\u01b0\u1eddng \u0111\u1ed9 d\u00f2ng d\u01b0\u1edbi 1mA). \u0110i\u1ec7n vi d\u00f2ng c\u00f3 vai tr\u00f2 r\u1ea5t quan tr\u1ecdng trong h\u1ed3i ph\u1ee5c c\u00e1c m\u00f4 m\u1ec1m b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

\u0110i\u1ec7n vi d\u00f2ng (TENS) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au l\u01b0ng m\u1ea1n t\u00ednh \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1eeb th\u1eadp ni\u00ean 1970. TENS \u0111\u01b0\u1ee3c ph\u00e1t minh b\u1edfi m\u1ed9t nh\u00f3m c\u00e1c nh\u00e0 khoa h\u1ecdc t\u1ea1i Trung t\u00e2m Y t\u1ebf T\u1ed5ng h\u1ee3p Oregon \u1edf Hoa K\u1ef3. C\u00e1c nh\u00e0 khoa h\u1ecdc n\u00e0y \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng vi\u1ec7c k\u00edch th\u00edch c\u00e1c th\u1ea7n kinh b\u00ean d\u01b0\u1edbi da b\u1eb1ng m\u1ed9t d\u00f2ng \u0111i\u1ec7n nh\u1ecf c\u00f3 th\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh. T\u1eeb \u0111\u00f3, h\u1ecd \u0111\u00e3 ph\u00e1t tri\u1ec3n TENS \u0111\u1ec3 s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u0111au l\u01b0ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn \u0111au.<\/p>\n

TENS \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111au l\u01b0ng m\u1ea1n t\u00ednh v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 hi\u1ec7u qu\u1ea3 trong nhi\u1ec1u nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi t\u1eebng ng\u01b0\u1eddi v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y \u0111au l\u01b0ng.<\/p>\n

Hi\u1ec7n nay, TENS \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong c\u00e1c ph\u00f2ng kh\u00e1m v\u00e0 b\u1ec7nh vi\u1ec7n tr\u00ean to\u00e0n th\u1ebf gi\u1edbi \u0111\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn \u0111au.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u0111i\u1ec7n vi d\u00f2ng<\/strong><\/h2>\n

– Gi\u1ea3m \u0111au: \u0111au \u0111i\u1ec3m (trigger point<\/em>), \u0111au r\u1ec5 th\u1ea7n kinh, \u0111au l\u01b0ng, c\u00e1c \u0111au m\u1ea1n t\u00ednh.<\/p>\n

– Gi\u1ea3m ph\u00f9 n\u1ec1: do vi\u00eam, \u1ee9 tr\u1ec7 b\u1ea1ch huy\u1ebft.<\/p>\n

– D\u00e0y d\u00ednh m\u00e0ng ph\u1ed5i.<\/p>\n

– L\u00e0m li\u1ec1n v\u1ebft th\u01b0\u01a1ng: t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m, v\u1ebft th\u01b0\u01a1ng, v\u1ebft lo\u00e9t.<\/p>\n

– Vi\u00eam d\u00ednh, s\u1eb9o x\u01a1<\/p>\n

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

– Ng\u01b0\u1eddi b\u1ec7nh mang m\u00e1y t\u1ea1o nh\u1ecbp tim.<\/p>\n

– S\u1ed1t cao, kh\u1ed1i u \u00e1c t\u00ednh, b\u1ec7nh lao \u0111ang ti\u1ebfn tri\u1ec3n.<\/p>\n

– M\u1ea5t c\u1ea3m gi\u00e1c \u1edf v\u00f9ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Vi\u00eam da khu tr\u00fa, huy\u1ebft kh\u1ed1i.<\/p>\n

– Ph\u1ee5 n\u1eef \u0111ang mang thai, tr\u1ebb s\u01a1 sinh, v\u00f9ng c\u01a1 th\u1ec3 c\u00f3 kim lo\u1ea1i.<\/p>\n

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

Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/strong><\/p>\n

– B\u00e1c s\u0129 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n

– K\u1ef9 thu\u1eadt vi\u00ean v\u1eadt l\u00fd tr\u1ecb li\u1ec7u.<\/p>\n

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

Bao g\u1ed3m m\u00e1y vi d\u00f2ng v\u00e0 \u0111i\u1ec7n c\u1ef1c.<\/p>\n

– Ki\u1ec3m tra c\u00e1c th\u00f4ng s\u1ed1 k\u1ef9 thu\u1eadt c\u1ee7a m\u00e1y.<\/p>\n

– Ch\u1ecdn c\u00e1c th\u00f4ng s\u1ed1 k\u1ef9 thu\u1eadt ph\u00f9 h\u1ee3p.<\/p>\n

– Ch\u1ecdn \u0111i\u1ec7n c\u1ef1c c\u00f3 k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p.<\/p>\n

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

– Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t trong nh\u1eefng l\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u hay ng\u01b0\u1eddi b\u1ec7nh l\u00e0 tr\u1ebb em, ph\u1ee5 n\u1eef, ng\u01b0\u1eddi gi\u00e0\u2026<\/p>\n

– T\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i tho\u1ea3i m\u00e1i, t\u1ed1t nh\u1ea5t l\u00e0 \u1edf t\u01b0 th\u1ebf n\u1eb1m ho\u1eb7c ng\u1ed3i.<\/p>\n

– Ki\u1ec3m tra v\u00e0 b\u1ed9c l\u1ed9 v\u00f9ng da \u0111i\u1ec1u tr\u1ecb.<\/p>\n

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

– H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n theo quy \u0111\u1ecbnh.<\/p>\n

– Phi\u1ebfu \u0111i\u1ec1u tr\u1ecb c\u1ee7a chuy\u00ean khoa.<\/p>\n

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

– \u0110\u1eb7t v\u00e0 c\u1ed1 \u0111\u1ecbnh \u0111i\u1ec7n c\u1ef1c v\u00e0o v\u1ecb tr\u00ed b\u1ed9 ph\u1eadn v\u00f9ng \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n, v\u1ecb tr\u00ed c\u1ea7n \u0111i\u1ec1u tr\u1ecb (c\u00e1ch l\u00e0m gi\u1ed1ng nh\u01b0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111i\u1ec7n xung n\u00f3i chung).<\/p>\n

– \u0110\u1eb7t c\u00e1c th\u00f4ng s\u1ed1 theo ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

– \u0110\u1eb7t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb (trung b\u00ecnh t\u1eeb 20-30 ph\u00fat).<\/p>\n

– T\u0103ng c\u01b0\u1eddng \u0111\u1ed9 d\u00f2ng \u0111i\u1ec7n t\u1eeb t\u1eeb cho t\u1edbi m\u1ee9c c\u1ea7n thi\u1ebft (th\u00f4ng th\u01b0\u1eddng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 c\u1ea3m gi\u00e1c v\u1ec1 d\u00f2ng \u0111i\u1ec7n).<\/p>\n

– K\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb:<\/p>\n

+ Gi\u1ea3m c\u01b0\u1eddng \u0111\u1ed9 d\u00f2ng \u0111i\u1ec7n v\u1ec1 \u201c0\u201d r\u1ed3i t\u1eaft m\u00e1y. Nh\u1eefng m\u00e1y c\u00f3 ch\u1ebf \u0111\u1ed9 h\u1eb9n gi\u1edd t\u1ef1 \u0111\u1ed9ng th\u00ec khi h\u1ebft gi\u1edd m\u00e1y s\u1ebd t\u1ef1 \u0111\u1ed9ng gi\u1ea3m d\u00f2ng v\u1ec1 \u201c0\u201d.<\/p>\n

+ Th\u00e1o \u0111i\u1ec7n c\u1ef1c ra kh\u1ecfi v\u00f9ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n

L\u01b0u \u00fd: <\/em><\/strong>Th\u00f4ng th\u01b0\u1eddng c\u1ef1c d\u01b0\u01a1ng g\u00e2y co m\u1ea1ch l\u00e0m gi\u1ea3m \u0111au m\u1ea1nh h\u01a1n; c\u1ef1c \u00e2m g\u00e2y gi\u00e3n m\u1ea1ch l\u00e0m m\u1ec1m m\u00f4 s\u1ee3i v\u00e0 t\u0103ng c\u01b0\u1eddng tu\u1ea7n ho\u00e0n.<\/p>\n

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

– Ng\u01b0\u1eddi b\u1ec7nh:<\/p>\n

+ Ph\u1ea3n \u1ee9ng to\u00e0n th\u00e2n.<\/p>\n

+ Ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c.<\/p>\n

– Ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y.<\/p>\n

Tai bi\u1ebfn<\/strong><\/p>\n

C\u00f3 th\u1ec3 x\u1ea3y ra tai bi\u1ebfn \u0111i\u1ec7n gi\u1eadt m\u1ee9c \u0111\u1ed9 nh\u1eb9.<\/p>\n

X\u1eed tr\u00ed<\/strong><\/p>\n

X\u1eed tr\u00ed gi\u1ed1ng nh\u01b0 c\u00e1c c\u1ea5p c\u1ee9u \u0111i\u1ec7n gi\u1eadt kh\u00e1c.<\/p>\n

T\u00f3m l\u1ea1i, \u0111i\u1ec7n vi d\u00f2ng (TENS) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au l\u01b0ng m\u1ea1n t\u00ednh kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t thi\u1ebft b\u1ecb t\u1ea1o ra m\u1ed9t d\u00f2ng \u0111i\u1ec7n nh\u1ecf \u0111\u1ec3 k\u00edch th\u00edch c\u00e1c th\u1ea7n kinh b\u00ean d\u01b0\u1edbi da \u1edf v\u00f9ng l\u01b0ng, l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au. TENS \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111au l\u01b0ng m\u1ea1n t\u00ednh. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 c\u1ee7a TENS c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi t\u1eebng ng\u01b0\u1eddi v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y \u0111au l\u01b0ng. Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng TENS \u0111\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh, b\u1ec7nh nh\u00e2n c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 x\u00e1c \u0111\u1ecbnh li\u1ec7u ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh hay kh\u00f4ng. Ngo\u00e0i TENS, c\u00f2n c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh, bao g\u1ed3m v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ch\u00e2m c\u1ee9u, yoga, t\u1eadp th\u1ec3 d\u1ee5c … B\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh.<\/p>\n

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

\u0110i\u1ec7n vi d\u00f2ng ( (Transcutaneous electrical nerve stimulation – TENS) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh. TENS ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t thi\u1ebft b\u1ecb t\u1ea1o ra m\u1ed9t d\u00f2ng \u0111i\u1ec7n nh\u1ecf \u0111\u1ec3 k\u00edch th\u00edch c\u00e1c th\u1ea7n kinh b\u00ean d\u01b0\u1edbi da \u1edf v\u00f9ng l\u01b0ng, l\u00e0m gi\u1ea3m […]<\/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 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh b\u1eb1ng \u0111i\u1ec7n vi d\u00f2ng - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec7n vi d\u00f2ng ( (Transcutaneous electrical nerve stimulation - TENS) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh...\" \/>\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 gi\u1ea3m \u0111au l\u01b0ng m\u1ea1n t\u00ednh b\u1eb1ng \u0111i\u1ec7n vi d\u00f2ng - 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