{"id":26886,"date":"2023-04-23T22:53:24","date_gmt":"2023-04-23T15:53:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26886"},"modified":"2023-04-23T22:53:24","modified_gmt":"2023-04-23T15:53:24","slug":"quy-trinh-ky-thuat-ghi-dien-co-cap-cuu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/quy-trinh-ky-thuat-ghi-dien-co-cap-cuu\/","title":{"rendered":"Quy tr\u00ecnh k\u1ef9 thu\u1eadt ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u"},"content":{"rendered":"

Ghi \u0111i\u1ec7n c\u01a1 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p<\/a> th\u0103m d\u00f2 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 nghi\u00ean c\u1ee9u ph\u1ea3n \u1ee9ng \u0111i\u1ec7n c\u1ee7a th\u1ea7n kinh v\u00e0 c\u01a1, \u0111\u00e1nh gi\u00e1 s\u1ef1 m\u1ea5t ph\u00e2n b\u1ed1 th\u1ea7n kinh c\u1ee7a c\u01a1. T\u1ed1t h\u01a1n l\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec7n \u1edf ngo\u1ea1i bi\u00ean. Ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ea1i ch\u1ed7, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p nh\u01b0 b\u1ecb t\u00ea li\u1ec7t hay suy gi\u1ea3m ch\u1ee9c n\u0103ng co c\u01a1 \u0111\u1ed9t ng\u1ed9t.\u00a0<\/strong><\/p>\n

\"\"
Ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ea1i ch\u1ed7<\/figcaption><\/figure>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

Ch\u1ea9n \u0111o\u00e1n c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u01a1 do th\u1ea7n kinh, do b\u1ec7nh c\u01a1 ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c:<\/p>\n

– T\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 c\u01a1 (b\u1ec7nh l\u00fd c\u01a1, vi\u00eam c\u01a1).<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i nh\u1eefng r\u1ed1i lo\u1ea1n ch\u1ed7 n\u1ed1i th\u1ea7n kinh c\u01a1 (b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, h\u1ed9i ch\u1ee9ng nh\u01b0\u1ee3c c\u01a1).<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 ti\u00ean l\u01b0\u1ee3ng t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh do ch\u1ea5n th\u01b0\u01a1ng (ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t t\u1ee7y, ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh).<\/p>\n

– \u0110\u1ecbnh khu nh\u1eefng t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh c\u1ee5c b\u1ed9 ho\u1eb7c do ch\u00e8n \u00e9p (h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, c\u1ed5 ch\u00e2n, \u00e9p r\u1ec5 th\u1ea7n kinh), vi\u00eam d\u00e2y th\u1ea7n kinh, b\u1ec7nh th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng, b\u1ec7nh \u0111\u01a1n d\u00e2y th\u1ea7n kinh, b\u1ec7nh r\u1ec5 th\u1ea7n kinh, b\u1ec7nh l\u00fd \u0111\u00e1m r\u1ed1i th\u1ea7n kinh.<\/p>\n

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

Khi ghi \u0111i\u1ec7n c\u1ef1c kim ho\u1eb7c \u0111o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n c\u00f3 th\u1ec3 kh\u00f4ng l\u00e0m khi b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng nh\u01b0 warfarin, heparin.<\/p>\n

3. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n

Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b>: M\u1ed9t b\u00e1c s\u0129, m\u1ed9t k\u1ef9 thu\u1eadt vi\u00ean<\/p>\n

Ph\u01b0\u01a1ng ti\u1ec7n, d\u1ee5ng c\u1ee5, thu\u1ed1c<\/b>: v\u1eadt t\u01b0 s\u1eed d\u1ee5ng trong \u0111o \u0110i\u1ec7n c\u01a1<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

ST T<\/b><\/p>\n<\/td>\n

\n

T\u00ean k\u1ef9 thu\u1eadt<\/b><\/p>\n<\/td>\n

\n

Nh\u00e2n l\u1ef1c<\/b><\/p>\n<\/td>\n

\n

Th\u1eddi gian<\/b><\/p>\n<\/td>\n

\n

V\u1eadt t\u01b0<\/b><\/p>\n<\/td>\n

\n

\u0110\u01a1n<\/b>\u00a0v\u1ecb<\/b>\u00a0t\u00ednh<\/b><\/p>\n<\/td>\n

\n

S\u1ed1 l\u01b0\u1ee3ng<\/b><\/p>\n<\/td>\n<\/tr>\n

\n

1<\/p>\n<\/td>\n

\u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh chi tr\u00ean; s\u00f3ng F chi tr\u00ean<\/td>\n\n

1 B\u00e1c s\u0129<\/p>\n

1 KTV<\/p>\n<\/td>\n

\n

75 ph\u00fat<\/p>\n<\/td>\n

\n

1<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c ghi b\u1ec1 m\u1eb7t (d\u00f9ng nhi\u1ec1u l\u1ea7n)<\/td>\n\n

b\u1ed9<\/p>\n<\/td>\n

\n

0.03<\/p>\n<\/td>\n<\/tr>\n

\n

2<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c k\u00edch th\u00edch l\u01b0\u1ee1ng c\u1ef1c<\/td>\n\n

c\u00e1i<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

3<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c ti\u1ebfp \u0111\u1ea5t<\/td>\n\n

c\u00e1i<\/p>\n<\/td>\n

\n

0.005<\/p>\n<\/td>\n<\/tr>\n

\n

4<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c nh\u1eabn<\/td>\n\n

b\u1ed9<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

5<\/p>\n<\/td>\n

Gel t\u1ea9y s\u1ea1ch da<\/td>\n\n

tu\u00fdp<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

6<\/p>\n<\/td>\n

Paste d\u1eabn \u0111i\u1ec7n<\/td>\n\n

l\u1ecd<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

7<\/p>\n<\/td>\n

N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd<\/td>\n\n

l\u00edt<\/p>\n<\/td>\n

\n

0.05<\/p>\n<\/td>\n<\/tr>\n

\n

8<\/p>\n<\/td>\n

Gi\u1ea5y in A4<\/td>\n\n

Gam<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

2<\/p>\n<\/td>\n

\u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh chi d\u01b0\u1edbi; s\u00f3ng F chi d\u01b0\u1edbi; ph\u1ea3n x\u1ea1 Hoffman<\/td>\n\n

1 B\u00e1c s\u0129<\/p>\n

1 KTV<\/p>\n<\/td>\n

\n

90 ph\u00fat<\/p>\n<\/td>\n

\n

1<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c ghi b\u1ec1 m\u1eb7t<\/td>\n\n

b\u1ed9<\/p>\n<\/td>\n

\n

0.03<\/p>\n<\/td>\n<\/tr>\n

\n

2<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c k\u00edch th\u00edch l\u01b0\u1ee1ng c\u1ef1c<\/td>\n\n

c\u00e1i<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

3<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c nh\u1eabn<\/td>\n\n

b\u1ed9<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

4<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c ti\u1ebfp \u0111\u1ea5t<\/td>\n\n

c\u00e1i<\/p>\n<\/td>\n

\n

0.005<\/p>\n<\/td>\n<\/tr>\n

\n

5<\/p>\n<\/td>\n

Gel t\u1ea9y s\u1ea1ch da<\/td>\n\n

tu\u00fdp<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

6<\/p>\n<\/td>\n

Paste d\u1eabn \u0111i\u1ec7n<\/td>\n\n

l\u1ecd<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

7<\/p>\n<\/td>\n

N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd<\/td>\n\n

l\u00edt<\/p>\n<\/td>\n

\n

0.05<\/p>\n<\/td>\n<\/tr>\n

\n

8<\/p>\n<\/td>\n

Gi\u1ea5y in A4<\/td>\n\n

gam<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

3<\/p>\n<\/td>\n

Test nh\u01b0\u1ee3c c\u01a1<\/td>\n\n

1 B\u00e1c s\u0129<\/p>\n

1 KTV<\/p>\n<\/td>\n

\n

20 ph\u00fat<\/p>\n<\/td>\n

\n

1<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c ghi b\u1ec1 m\u1eb7t<\/td>\n\n

b\u1ed9<\/p>\n<\/td>\n

\n

1<\/p>\n<\/td>\n<\/tr>\n

\n

2<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c k\u00edch th\u00edch l\u01b0\u1ee1ng c\u1ef1c<\/td>\n\n

c\u00e1i<\/p>\n<\/td>\n

\n

0.02<\/p>\n<\/td>\n<\/tr>\n

\n

3<\/p>\n<\/td>\n

\u0110i\u1ec7n c\u1ef1c ti\u1ebfp \u0111\u1ea5t<\/td>\n\n

c\u00e1i<\/p>\n<\/td>\n

\n

0.005<\/p>\n<\/td>\n<\/tr>\n

\n

4<\/p>\n<\/td>\n

Gel t\u1ea9y s\u1ea1ch da<\/td>\n\n

tu\u00fdp<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n

\n

5<\/p>\n<\/td>\n

Paste d\u1eabn \u0111i\u1ec7n<\/td>\n\n

l\u1ecd<\/p>\n<\/td>\n

\n

0.05<\/p>\n<\/td>\n<\/tr>\n

\n

6<\/p>\n<\/td>\n

N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd<\/td>\n\n

l\u00edt<\/p>\n<\/td>\n

\n

0.05<\/p>\n<\/td>\n<\/tr>\n

\n

7<\/p>\n<\/td>\n

Gi\u1ea5y in A4<\/td>\n\n

gam<\/p>\n<\/td>\n

\n

0.01<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Ng\u01b0\u1eddi b\u1ec7nh<\/b>: \u0111\u01b0\u1ee3c 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, \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o v\u00e0 gi\u1ea3i th\u00edch v\u1ec1 c\u00e1ch ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt.<\/p>\n

H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/b>: c\u1ea7n ghi r\u00f5 t\u00ean tu\u1ed5i \u0111\u1ecba ch\u1ec9, gi\u1edbi t\u00ednh, ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng, ng\u00e0y gi\u1edd ghi \u0111i\u1ec7n c\u01a1.<\/b><\/p>\n

4. Ti\u1ebfn h\u00e0nh<\/h2>\n

4.1. Ki\u1ec3m tra h\u1ed3 s\u01a1: <\/b><\/h3>\n

\u0110\u1ed1i chi\u1ebfu h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n v\u00e0 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

4.2. Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n

\u0110\u1eb7t ng\u01b0\u1eddi b\u1ec7nh \u1edf t\u01b0 th\u1ebf th\u01b0 gi\u00e3n c\u01a1 v\u00e0 chu\u1ea9n b\u1ecb m\u00e1y ghi.<\/p>\n

4.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt<\/b><\/h3>\n

4.3.1. \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n th\u1ea7n kinh<\/i><\/b><\/h4>\n

4.3.1 1. M\u1eafc \u0111i\u1ec7n c\u1ef1c:<\/strong> <\/i>\u0111\u1ec3 c\u1ef1c \u00e2m h\u01b0\u1edbng v\u1ec1 ph\u00eda c\u1eb7p \u0111i\u1ec7n c\u1ef1c ghi, v\u00e0 c\u1ef1c d\u01b0\u01a1ng \u1edf ph\u00eda xa. D\u00e2y \u0111\u1ea5t \u0111\u01b0\u1ee3c \u0111\u1eb7t gi\u1eefa \u0111i\u1ec7n c\u1ef1c ghi v\u00e0 \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch.<\/p>\n

– \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng: \u0111\u1eb7t m\u1ed9t c\u1eb7p \u0111i\u1ec7n c\u1ef1c ghi b\u1ec1 m\u1eb7t (d\u00e2y gi\u1eefa t\u1ea1i m\u00f4 c\u00e1i, d\u00e2y tr\u1ee5 t\u1ea1i m\u00f4 \u00fat).<\/p>\n

\u0110i\u1ec7n c\u1ef1c k\u00edch th\u00edch: \u0111\u1eb7t \u1edf th\u00e2n d\u00e2y th\u1ea7n kinh ngo\u1ea1i vi c\u1ee7a n\u00f3 (d\u00e2y gi\u1eefa, d\u00e2y tr\u1ee5 t\u1ea1i c\u1ed5 tay), khi k\u00edch th\u00edch ta c\u00f3 th\u1eddi gian ti\u1ec1m t\u00e0ng v\u1eadn \u0111\u1ed9ng ngo\u1ea1i vi. Sau \u0111\u00f3 k\u00edch th\u00edch ch\u00ednh d\u00e2y th\u1ea7n kinh \u0111\u00f3 \u1edf ph\u00eda tr\u00ean (d\u00e2y gi\u1eefa, d\u00e2y tr\u1ee5 \u1edf khu\u1ef7u).<\/p>\n

– \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c: d\u00e2y gi\u1eefa \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch \u0111\u1eb7t \u1edf ng\u00f3n tay (d\u00e2y gi\u1eefa \u1edf ng\u00f3n II, I, III) \u0111i\u1ec7n c\u1ef1c ghi \u1edf c\u1ed5 tay ho\u1eb7c n\u1ebfp khu\u1ef7u. D\u00e2y tr\u1ee5 \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch \u0111\u1eb7t \u1edf ng\u00f3n tay V. \u0110i\u1ec7n c\u1ef1c ghi \u1edf c\u1ed5 tay ho\u1eb7c r\u00e3nh khu\u1ef7u. D\u00e2y quay \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch \u0111\u1eb7t \u1edf ngay b\u1edd x\u01b0\u01a1ng quay, \u0111i\u1ec7n c\u1ef1c ghi \u1edf h\u00f5m l\u00e0o (da mu tay gi\u1eefa ng\u00f3n I v\u00e0 II).<\/p>\n

– S\u00f3ng F: \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch ph\u1ea3i \u0111\u1ec3 c\u1ef1c \u00e2m h\u01b0\u1edbng v\u1ec1 g\u1ed1c chi, c\u00f2n c\u1ef1c d\u01b0\u01a1ng \u1edf h\u01b0\u1edbng ng\u1ecdn d\u00e2y th\u1ea7n kinh.<\/p>\n

– Ph\u1ea3n x\u1ea1 Hoffman: \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c ghi \u1edf c\u01a1 d\u00e9p, k\u00edch th\u00edch \u0111i\u1ec7n v\u00e0o th\u00e2n d\u00e2y th\u1ea7n kinh \u1edf h\u1ed1 khoeo, v\u1ecb tr\u00ed \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c nh\u01b0 trong \u0111o d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng nh\u01b0ng \u0111i\u1ec7n c\u1ef1c \u00e2m \u1edf ph\u1ea7n g\u1ed1c (quay \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch 180o<\/sup>).<\/p>\n

4.3.1 2. C\u01b0\u1eddng \u0111\u1ed9 k\u00edch th\u00edch: <\/i><\/strong>th\u01b0\u1eddng d\u00f9ng xung \u0111i\u1ec7n m\u1ed9t chi\u1ec1u k\u00e9o d\u00e0i 0,2-0,5ms. C\u01b0\u1eddng \u0111\u1ed9 k\u00edch th\u00edch l\u00e0 c\u01b0\u1eddng \u0111\u1ed9 tr\u00ean c\u1ef1c \u0111\u1ea1i, th\u01b0\u1eddng 120% – 130% c\u1ee7a ch\u00ednh n\u00f3.<\/p>\n

4.3.1 3. Ti\u1ebfn h\u00e0nh:<\/i><\/strong>\u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng. \u0110o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c, s\u00f3ng F, ph\u1ea3n x\u1ea1 Hoffman, test nh\u01b0\u1ee3c c\u01a1 (n\u1ebfu c\u1ea7n).<\/p>\n

4.3.2.Test nh\u01b0\u1ee3c c\u01a1<\/i><\/b><\/h4>\n

– C\u00e1ch \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c k\u00edch th\u00edch v\u00e0 ghi gi\u1ed1ng nh\u01b0 khi l\u00e0m v\u1ec1 \u0111o t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng. K\u00edch th\u00edch l\u1eb7p l\u1ea1i li\u00ean ti\u1ebfp: Chu\u1ed7i 10 k\u00edch th\u00edch li\u00ean ti\u1ebfp, t\u1ea7n s\u1ed1 3Hz (3 k\u00edch th\u00edch\/gi\u00e2y)\u00a0\u00a0\u00de\u00a0ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0\u1ee3c c\u01a1:<\/p>\n

– L\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c khi nghi ng\u1edd D\u01af\u01a0NG T\u00cdNH gi\u1ea3m bi\u00ean \u0111\u1ed9 c\u00e1c s\u00f3ng > 10%, l\u1eb7p l\u1ea1i \u1edf ch\u00ednh c\u01a1 \u0111\u00f3 v\u00e0 gi\u1ea3m nh\u01b0 v\u1eady c\u00f3 \u1edf v\u00e0i c\u01a1 n\u1eefa.<\/p>\n

– Sau khi d\u00f9ng kh\u00e1ng cholinesterase: gi\u1ea3m nh\u1eb9 \u0111i ho\u1eb7c bi\u1ebfn m\u1ea5t, c\u00e0ng kh\u1eb3ng \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n nh\u01b0\u1ee3c c\u01a1. D\u01b0\u01a1ng t\u00ednh r\u00f5 r\u1ec7t \u1edf c\u01a1 y\u1ebfu nh\u1ea5t<\/p>\n

5. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3<\/b><\/h2>\n

– T\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh sau khi ghi \u0111i\u1ec7n c\u01a1 \u0111\u1ed3<\/p>\n

– Ng\u00e0y gi\u1edd ghi \u0111i\u1ec7n c\u01a1 \u0111\u1ed3.<\/p>\n

+ Nh\u1eadn x\u00e9t k\u1ebft qu\u1ea3: k\u1ebft qu\u1ea3 thu \u0111\u01b0\u1ee3c c\u00f3 thay \u0111\u1ed5i t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c, bi\u00ean \u0111\u1ed9 \u0111\u00e1p \u1ee9ng, th\u1eddi gian ti\u1ec1m t\u00e0ng ngo\u1ea1i vi c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh c\u00f3 thay \u0111\u1ed5i kh\u00f4ng v\u00e0 n\u1ebfu c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean ph\u1ea3i h\u01b0\u1edbng \u0111\u1ebfn \u01b0u th\u1ebf t\u1ed5n th\u01b0\u01a1ng m\u1ea5t myelin hay t\u1ed5n th\u01b0\u01a1ng s\u1ee3i tr\u1ee5c. Nh\u1eefng thay \u0111\u1ed5i do th\u1ea7n kinh (neurogen) bi\u1ec3u hi\u1ec7n l\u00e0 \u0111a pha, th\u1eddi kho\u1ea3ng r\u1ed9ng, bi\u00ean \u0111\u1ed9 cao v\u00e0 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.<\/p>\n

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

Ghi \u0111i\u1ec7n c\u01a1 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 nghi\u00ean c\u1ee9u ph\u1ea3n \u1ee9ng \u0111i\u1ec7n c\u1ee7a th\u1ea7n kinh v\u00e0 c\u01a1, \u0111\u00e1nh gi\u00e1 s\u1ef1 m\u1ea5t ph\u00e2n b\u1ed1 th\u1ea7n kinh c\u1ee7a c\u01a1. T\u1ed1t h\u01a1n l\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec7n \u1edf ngo\u1ea1i bi\u00ean. Ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u00e1nh […]<\/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":"\nQuy tr\u00ecnh k\u1ef9 thu\u1eadt ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u - Vinmec<\/title>\n<meta name=\"description\" content=\"Ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 nghi\u00ean c\u1ee9u ph\u1ea3n \u1ee9ng \u0111i\u1ec7n c\u1ee7a th\u1ea7n kinh v\u00e0 c\u01a1, \u0111\u00e1nh gi\u00e1 s\u1ef1 m\u1ea5t ph\u00e2n b\u1ed1 th\u1ea7n kinh...\" \/>\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=\"Quy tr\u00ecnh k\u1ef9 thu\u1eadt ghi \u0111i\u1ec7n c\u01a1 c\u1ea5p c\u1ee9u - 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