{"id":26889,"date":"2023-04-22T23:14:17","date_gmt":"2023-04-22T16:14:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26889"},"modified":"2023-04-22T23:14:17","modified_gmt":"2023-04-22T16:14:17","slug":"do-toc-do-phan-xa-hoffmann-va-f-wave-bang-dien-co","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/do-toc-do-phan-xa-hoffmann-va-f-wave-bang-dien-co\/","title":{"rendered":"\u0110o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-Wave b\u1eb1ng \u0111i\u1ec7n c\u01a1"},"content":{"rendered":"<p style=\"text-align: left;\" align=\"center\"><strong>\u0110o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-wave th\u00f4ng qua <a href=\"https:\/\/vinmec.com\/vi\/co-xuong-khop\/suc-khoe-thuong-thuc\/ghi-dien-co-va-toc-do-dan-truyen-cua-day-kinh\/\">\u0111o \u0111i\u1ec7n c\u01a1<\/a> l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ea1i ch\u1ed7. C\u1ea3 \u0111o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-wave \u0111\u1ec1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia trong l\u0129nh v\u1ef1c \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh. C\u00e1c k\u1ebft qu\u1ea3 \u0111o n\u00e0y cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng v\u1ec1 ch\u1ee9c n\u0103ng th\u1ea7n kinh v\u00e0 c\u00f3 th\u1ec3 gi\u00fap trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd th\u1ea7n kinh.<\/strong><\/p>\n<figure id=\"attachment_26993\" aria-describedby=\"caption-attachment-26993\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-26993 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-Figure1-1-300x127.png\" alt=\"\" width=\"300\" height=\"127\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-Figure1-1-300x127.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-Figure1-1-1024x434.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-Figure1-1-768x325.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-Figure1-1.png 1332w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26993\" class=\"wp-caption-text\">Ph\u1ea3n x\u1ea1 Hoffmann (ph\u1ea3n x\u1ea1 H) l\u00e0 ph\u1ea3n x\u1ea1 \u0111\u01a1n c\u1ee7a synap th\u1ea7n kinh<\/figcaption><\/figure>\n<h2><b>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-Wave<\/b><\/h2>\n<p>S\u00f3ng F (F- Wave):C\u00e1c xung \u0111i\u1ec7n truy\u1ec1n trong s\u1ee3i th\u1ea7n kinh theo hai chi\u1ec1u. Khi k\u00edch th\u00edch d\u00e2y th\u1ea7n kinh, c\u00e1c xung \u0111i\u1ec7n truy\u1ec1n t\u1edbi th\u00e2n t\u1ebf b\u00e0o n\u1eb1m trong t\u1ee7y s\u1ed1ng v\u00e0 k\u00edch th\u00edch th\u00e2n t\u1ebf b\u00e0o. Th\u00e2n t\u1ebf b\u00e0o b\u1ecb k\u00edch th\u00edch n\u00e0y s\u1ebd h\u00ecnh th\u00e0nh c\u00e1c xung \u0111i\u1ec7n truy\u1ec1n ng\u01b0\u1ee3c l\u1ea1i tr\u00ean c\u00f9ng m\u1ed9t d\u00e2y th\u1ea7n kinh \u0111\u1ebfn c\u00e1c s\u1ee3i c\u01a1. \u0110\u00e2y g\u1ecdi l\u00e0 s\u00f3ng F.<\/p>\n<p>&#8211; Ph\u1ea3n x\u1ea1 Hoffmann (ph\u1ea3n x\u1ea1 H) l\u00e0 ph\u1ea3n x\u1ea1 \u0111\u01a1n c\u1ee7a synap th\u1ea7n kinh v\u00e0 th\u01b0\u1eddng ch\u1ec9 \u0111o \u0111\u01b0\u1ee3c \u1edf v\u00e0i c\u01a1. Ph\u1ea3n x\u1ea1 H \u0111\u01b0\u1ee3c t\u1ea1o ra so v\u1edbi k\u00edch th\u00edch s\u1ee3i Ia c\u1ee7a th\u1ea7n kinh ch\u00e0y ho\u1eb7c gi\u1eefa, \u0111i qua h\u1ea1ch r\u1ec5 sau, v\u00e0 chuy\u1ec3n qua synap trung t\u00e2m \u0111\u1ebfn s\u1eebng tr\u01b0\u1edbc t\u1ee7y r\u1ed3i \u0111i t\u1edbi c\u01a1 theo s\u1ee3i tr\u1ee5c v\u1eadn \u0111\u1ed9ng alpha..<\/p>\n<h2><b>2. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n<p><b>Ch\u1ec9 \u0111\u1ecbnh \u0111o ph\u1ea3n x\u1ea1 H:<\/b><\/p>\n<p>&#8211; Ph\u1ea3n x\u1ea1 H l\u00e0 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n s\u1edbm \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain Barre<\/p>\n<p>&#8211; Gi\u00e1n ti\u1ebfp ch\u1ea9n \u0111o\u00e1n xem c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ch\u00e8n \u00e9p t\u1ee7y tr\u00ean khoanh t\u1ee7y chi ph\u1ed1i.<\/p>\n<p>&#8211; Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd r\u1ec5 S1 (ch\u00eanh l\u1ec7ch th\u1eddi gian ti\u1ec1m 2 b\u00ean &gt;1,5ms), c\u1ed5 7.<\/p>\n<p>&#8211; \u1ee8ng d\u1ee5ng trong du h\u00e0nh trong kh\u00f4ng gian trong tr\u1ea1ng th\u00e1i kh\u00f4ng tr\u1ecdng l\u01b0\u1ee3ng k\u00e9o d\u00e0i. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a hai ch\u00e2n sau chuy\u1ebfn bay d\u00e0i ng\u00e0y: \u1ee9ng d\u1ee5ng ph\u1ea3n x\u1ea1 H \u0111\u1ec3 nghi\u00ean c\u1ee9u v\u1ec1 t\u00ednh ch\u1ecbu k\u00edch th\u00edch c\u1ee7a t\u1ee7y s\u1ed1ng.<\/p>\n<p><b>Ch\u1ec9 \u0111\u1ecbnh \u0111o s\u00f3ng F:\u00a0<\/b>S\u00f3ng F c\u00f3 th\u1ec3 cho bi\u1ebft t\u00ecnh tr\u1ea1ng kh\u00f4ng nh\u1eefng c\u00e1c d\u00e2y th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng (motor nerves), m\u00e0 c\u00f2n cho bi\u1ebft t\u00ecnh tr\u1ea1ng c\u1ee7a d\u00e2y th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng g\u1ea7n v\u00e0 s\u1eebng tr\u01b0\u1edbc t\u1ee7y trong t\u1ee7y s\u1ed1ng.<\/p>\n<h2><b>3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n<p>Kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/p>\n<h2><b>4. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n<p><b>Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b>: M\u1ed9t b\u00e1c s\u0129, m\u1ed9t k\u1ef9 thu\u1eadt vi\u00ean<\/p>\n<p><b>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<table style=\"height: 1056px;\" border=\"0\" width=\"1349\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"31\">\n<p align=\"center\"><b>TT<\/b><\/p>\n<\/td>\n<td width=\"74\">\n<p align=\"center\"><b>T\u00ean k\u1ef9 thu\u1eadt<\/b><\/p>\n<\/td>\n<td width=\"64\">\n<p align=\"center\"><b>Nh\u00e2n<\/b>\u00a0<b>l\u1ef1c<\/b><\/p>\n<\/td>\n<td width=\"44\">\n<p align=\"center\"><b>Th\u1eddi<\/b>\u00a0<b>gian<\/b><\/p>\n<\/td>\n<td colspan=\"2\" width=\"231\">\n<p align=\"center\"><b>V\u1eadt t\u01b0<\/b><\/p>\n<\/td>\n<td width=\"49\">\n<p align=\"center\"><b>\u0110\u01a1n<\/b>\u00a0<b>v\u1ecb<\/b>\u00a0<b>t\u00ednh<\/b><\/p>\n<\/td>\n<td width=\"54\">\n<p align=\"center\"><b>S\u1ed1 l\u01b0\u1ee3ng<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"8\" width=\"31\">\n<p align=\"center\">1<\/p>\n<\/td>\n<td rowspan=\"8\" width=\"74\">\n<p align=\"center\">S\u00f3ng F chi tr\u00ean, ph\u1ea3n x\u1ea1 Hoffman<\/p>\n<\/td>\n<td rowspan=\"8\" width=\"64\">\n<p align=\"center\">1 B\u00e1c s\u0129<\/p>\n<p align=\"center\">1 KTV<\/p>\n<\/td>\n<td rowspan=\"8\" width=\"44\">\n<p align=\"center\">75 ph\u00fat<\/p>\n<\/td>\n<td width=\"20\">\n<p align=\"center\">1<\/p>\n<\/td>\n<td width=\"212\">\u0110i\u1ec7n c\u1ef1c ghi b\u1ec1 m\u1eb7t (d\u00f9ng nhi\u1ec1u l\u1ea7n)<\/td>\n<td width=\"49\">\n<p align=\"center\">b\u1ed9<\/p>\n<\/td>\n<td width=\"54\">\n<p align=\"center\">0.03<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"20\">\n<p align=\"center\">2<\/p>\n<\/td>\n<td width=\"212\">\u0110i\u1ec7n c\u1ef1c k\u00edch th\u00edch l\u01b0\u1ee1ng c\u1ef1c<\/td>\n<td width=\"49\">\n<p align=\"center\">c\u00e1i<\/p>\n<\/td>\n<td width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">3<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">\u0110i\u1ec7n c\u1ef1c ti\u1ebfp \u0111\u1ea5t<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">c\u00e1i<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.005<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">4<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">\u0110i\u1ec7n c\u1ef1c nh\u1eabn<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">b\u1ed9<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">5<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">Gel t\u1ea9y s\u1ea1ch da<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">tu\u00fdp<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">6<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">Paste d\u1eabn \u0111i\u1ec7n<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">l\u1ecd<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">7<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">l\u00edt<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.05<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">8<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">Gi\u1ea5y in A4<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">gam<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"8\" width=\"31\">\n<p align=\"center\">2<\/p>\n<\/td>\n<td rowspan=\"8\" width=\"74\">\n<p align=\"center\">S\u00f3ng F chi d\u01b0\u1edbi; ph\u1ea3n x\u1ea1 Hoffman<\/p>\n<\/td>\n<td rowspan=\"8\" width=\"64\">1 B\u00e1c s\u0129<\/p>\n<p>1 KTV<\/td>\n<td rowspan=\"8\" width=\"44\">\n<p align=\"center\">90 ph\u00fat<\/p>\n<\/td>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">1<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">\u0110i\u1ec7n c\u1ef1c ghi b\u1ec1 m\u1eb7t<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">b\u1ed9<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.03<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">2<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">\u0110i\u1ec7n c\u1ef1c k\u00edch th\u00edch l\u01b0\u1ee1ng c\u1ef1c<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">c\u00e1i<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">3<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">\u0110i\u1ec7n c\u1ef1c nh\u1eabn<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">b\u1ed9<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">4<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">\u0110i\u1ec7n c\u1ef1c ti\u1ebfp \u0111\u1ea5t<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">c\u00e1i<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.005<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">5<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">Gel t\u1ea9y s\u1ea1ch da<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">tu\u00fdp<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">6<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">Paste d\u1eabn \u0111i\u1ec7n<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">l\u1ecd<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">7<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">l\u00edt<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.05<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\">\n<p align=\"center\">8<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">Gi\u1ea5y in A4<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">gam<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0.01<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\" width=\"232\">\n<p align=\"center\">Kh\u1ea5u hao chung<\/p>\n<\/td>\n<td valign=\"top\" width=\"212\">M\u00e1y \u0111i\u1ec7n c\u01a1<\/td>\n<td valign=\"top\" width=\"49\">\n<p align=\"center\">1 m\u00e1y<\/p>\n<\/td>\n<td valign=\"top\" width=\"54\">\n<p align=\"center\">0,0001<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>Ng\u01b0\u1eddi b\u1ec7nh<\/b>: ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch v\u1ec1 c\u00e1ch ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt.<\/p>\n<p><b>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.<\/p>\n<h2><b>5. Ti\u1ebfn h\u00e0nh \u0111o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-Wave b\u1eb1ng \u0111i\u1ec7n c\u01a1<\/b><\/h2>\n<h3><b>5.1. Ki\u1ec3m tra h\u1ed3 s\u01a1:\u00a0<\/b><\/h3>\n<p>\u0110\u1ed1i chi\u1ebfu h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n v\u00e0 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h3><b>5.2. Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u1edf t\u01b0 th\u1ebf th\u01b0 gi\u00e3n c\u01a1 v\u00e0 chu\u1ea9n b\u1ecb m\u00e1y<\/p>\n<h3><b>5.3. Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt<\/b><\/h3>\n<p><b>\u0110o t\u1ed1c \u0111\u1ed9<\/b><\/p>\n<p><b><i>3.1. S\u00f3ng F:\u00a0<\/i><\/b>\u0110\u1eb7t \u0111i\u1ec7n c\u1ef1c t\u01b0\u01a1ng t\u1ef1 trong \u0111o d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng nh\u01b0ng \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. C\u01b0\u1eddng \u0111\u1ed9 k\u00edch th\u00edch tr\u00ean m\u1ee9c t\u1ed1i \u0111a (120%). S\u00f3ng F xu\u1ea5t hi\u1ec7n m\u1ed9t c\u00e1ch ng\u1eabu nhi\u00ean sau s\u00f3ng M (s\u00f3ng c\u01a1) t\u1ea1i nh\u1eefng \u0111i\u1ec3m v\u1edbi c\u00e1c h\u00ecnh d\u1ea1ng kh\u00e1c nhau.<\/p>\n<p><b><i>3.2. Ph\u1ea3n x\u1ea1 Hoffman:\u00a0<\/i><\/b>\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 180<sup>o<\/sup>). C\u01b0\u1eddng \u0111\u1ed9 k\u00edch th\u00edch tr\u00ean t\u1ed1i \u0111a t\u00ecm s\u00f3ng F r\u1ed3i gi\u1ea3m d\u1ea7n t\u00ecm ph\u1ea3n x\u1ea1 H ho\u1eb7c c\u01b0\u1eddng \u0111\u1ed9 k\u00edch th\u00edch r\u1ea5t nh\u1ecf t\u00ecm ph\u1ea3n x\u1ea1 H r\u1ed3i t\u0103ng d\u1ea7n cho \u0111\u1ebfn ph\u00e1t hi\u1ec7n s\u00f3ng F.<\/p>\n<h2><b>6. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3<\/b><\/h2>\n<p>&#8211; T\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh sau khi ghi \u0111i\u1ec7n c\u01a1 \u0111\u1ed3.<\/p>\n<p>&#8211; Ng\u00e0y gi\u1edd ghi \u0111i\u1ec7n c\u01a1 \u0111\u1ed3.<\/p>\n<p>+ Nh\u1eadn x\u00e9t k\u1ebft qu\u1ea3:<\/p>\n<p><b>S\u00f3ng F:\u00a0<\/b>h\u00ecnh d\u1ea1ng kh\u00e1c v\u00e0 th\u1ea5p h\u01a1n s\u00f3ng M v\u00e0 lu\u00f4n thay \u0111\u1ed5i, th\u01b0\u1eddng d\u01b0\u1edbi 5% c\u1ee7a M. N\u1ebfu th\u1eddi gian ti\u1ec1m c\u1ee7a s\u00f3ng F k\u00e9o d\u00e0i m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng th\u00ec c\u00f3 th\u1ec3 \u0111o\u1ea1n b\u1ec7nh l\u00fd n\u1eb1m \u1edf \u0111o\u1ea1n g\u1ed1c d\u00e2y th\u1ea7n kinh, c\u00e1c \u0111\u00e1m r\u1ed1i th\u1ea7n kinh ho\u1eb7c r\u1ec5 tr\u01b0\u1edbc. T\u1ed5n th\u01b0\u01a1ng \u0111\u00e1m r\u1ed1i c\u00e1nh tay, s\u00f3ng F t\u1ea1i d\u00e2y gi\u1eefa v\u00e0 tr\u1ee5 c\u00f3 th\u1eddi gian ti\u1ec1m d\u00e0i ra v\u00e0 t\u1ea7n s\u1ed1 gi\u1ea3m xu\u1ed1ng. Trong h\u1ed9i ch\u1ee9ng Guillain Barre giai \u0111o\u1ea1n s\u1edbm th\u1eddi gian ti\u1ec1m s\u00f3ng F k\u00e9o d\u00e0i ra r\u00f5 r\u1ec7t ho\u1eb7c m\u1ea5t h\u1eb3n th\u1eadm ch\u00ed ngay c\u1ea3 khi d\u1ecbch t\u1ee7y b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p><b>Ph\u1ea3n x\u1ea1 H:\u00a0<\/b>C\u01b0\u1eddng \u0111\u1ed9 th\u1ea5p, th\u1eddi gian ti\u1ec1m kh\u00f4ng thay \u0111\u1ed5i, h\u00ecnh d\u1ea1ng g\u1ea7n gi\u1ed1ng M v\u00e0 \u1ed5n \u0111\u1ecbnh. Bi\u00ean \u0111\u1ed9 cao 50%-100% t\u1ed1i \u0111a M. T\u0103ng c\u01b0\u1eddng \u0111\u1ed9 k\u00edch th\u00edch bi\u1ebfn m\u1ea5t v\u00e0 thay b\u1eb1ng F, tr\u00ean 1,5ms. Ph\u1ea3n x\u1ea1 H \u1edf c\u01a1 d\u00e9p\/c\u01a1 sinh \u0111\u00f4i c\u1eb3ng ch\u00e2n gi\u00fap kh\u1ea3 n\u0103ng kh\u1ea3o s\u00e1t t\u1ed5n th\u01b0\u01a1ng r\u1ec5 S1, \u1edf c\u01a1 g\u1ea5p c\u1ed5 tay quay cho th\u00f4ng tin v\u1ec1 d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c h\u01b0\u1edbng t\u00e2m \u0111o\u1ea1n g\u1ea7n g\u1ed1c c\u1ee7a r\u1ec5 c\u1ed5 6 v\u00e0 7. M\u1ea5t ph\u1ea3n x\u1ea1 H l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain Barre.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-wave th\u00f4ng qua \u0111o \u0111i\u1ec7n c\u01a1 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ea1i ch\u1ed7. C\u1ea3 \u0111o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-wave \u0111\u1ec1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia trong l\u0129nh v\u1ef1c \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh. C\u00e1c k\u1ebft qu\u1ea3 \u0111o [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-Wave b\u1eb1ng \u0111i\u1ec7n c\u01a1 - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110o t\u1ed1c \u0111\u1ed9 ph\u1ea3n x\u1ea1 Hoffmann v\u00e0 F-wave th\u00f4ng qua \u0111o \u0111i\u1ec7n c\u01a1 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ea1i ch\u1ed7. 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