{"id":27037,"date":"2023-04-23T22:53:32","date_gmt":"2023-04-23T15:53:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27037"},"modified":"2023-04-23T22:53:32","modified_gmt":"2023-04-23T15:53:32","slug":"tieu-chuan-chan-doan-dong-kinh-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/tieu-chuan-chan-doan-dong-kinh-theo-bo-y-te\/","title":{"rendered":"Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u1ed9ng kinh theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

C\u01a1n \u0111\u1ed9ng kinh l\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng x\u1ea3y ra do s\u1ef1 ph\u00f3ng \u0111i\u1ec7n b\u1ea5t th\u01b0\u1eddng, k\u1ecbch ph\u00e1t v\u00e0 qu\u00e1 m\u1ee9c c\u1ee7a m\u1ed9t nh\u00f3m neuron \u1edf n\u00e3o. Bi\u1ec3u hi\u1ec7n<\/a> tr\u00ean l\u00e2m s\u00e0ng l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t, t\u1ea1m th\u1eddi li\u00ean quan \u0111\u1ebfn v\u00f9ng v\u1ecf n\u00e3o b\u1ecb ph\u00f3ng \u0111i\u1ec7n bao g\u1ed3m bi\u1ebfn \u0111\u1ed5i \u00fd th\u1ee9c, v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c, t\u1ef1 \u0111\u1ed9ng ho\u1eb7c t\u00e2m th\u1ea7n. \u0110\u1ed9ng kinh l\u00e0 s\u1ef1 t\u00e1i di\u1ec5n t\u1eeb hai c\u01a1n \u0111\u1ed9ng kinh tr\u1edf l\u00ean c\u00e1ch nhau tr\u00ean 24 gi\u1edd, kh\u00f4ng ph\u1ea3i do s\u1ed1t cao v\u00e0 c\u00e1c nguy\u00ean nh\u00e2n c\u1ea5p t\u00ednh kh\u00e1c nh\u01b0 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, ng\u1eebng thu\u1ed1c hay ng\u1eebng r\u01b0\u1ee3u \u0111\u1ed9t ng\u1ed9t g\u00e2y ra. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1edbm \u0111\u1ed9ng kinh gi\u00fap qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3.<\/strong><\/p>\n

\"\"
Ch\u1ea9n \u0111o\u00e1n \u0111\u1ed9ng kinh d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 \u0111i\u1ec7n n\u00e3o \u0111\u1ed3<\/figcaption><\/figure>\n

1. Nguy\u00ean nh\u00e2n \u0111\u1ed9ng kinh<\/b><\/h2>\n

C\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ef1c th\u1ec3 ho\u1eb7c c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a c\u1ee7a n\u00e3o \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y n\u00ean c\u01a1n \u0111\u1ed9ng kinh nh\u01b0: ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, u n\u00e3o, b\u1ec7nh l\u00fd tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, nhi\u1ec1m khu\u1ea9n n\u1ed9i s\u1ecd: \u00e1p xe n\u00e3o, vi\u00eam n\u00e3o, vi\u00eam m\u00e0ng n\u00e3o, nguy\u00ean nh\u00e2n di truy\u1ec1n\u2026.<\/p>\n

Nguy\u00ean nh\u00e2n \u0111\u1ed9ng kinh tu\u1ef3 theo l\u1ee9a tu\u1ed5i:<\/p>\n

–\u00a0Tr\u1ebb s\u01a1 sinh: ng\u1ea1t l\u00fac sinh, ch\u1ea5n th\u01b0\u01a1ng s\u1ea3n khoa, ch\u1ea3y m\u00e1u trong s\u1ecd, nhi\u1ec5m khu\u1ea9n h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng ho\u1eb7c c\u00e1c nhi\u1ec5m khu\u1ea9n v\u00e0 r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 kh\u00e1c\u2026<\/p>\n

–\u00a0Tr\u1ebb em: \u0111\u1ed9ng kinh nguy\u00ean ph\u00e1t, b\u1ea1i n\u00e3o, nhi\u1ec5m khu\u1ea9n h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng (vi\u00eam n\u00e3o, vi\u00eam m\u00e0ng n\u00e3o), t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac trong s\u1ecd, b\u1ec7nh chuy\u1ec3n ho\u00e1, ng\u1ed9 \u0111\u1ed9c (thu\u1ed1c, ch\u00ec), b\u1ec7nh tho\u00e1i ho\u00e1 n\u00e3o, b\u1ec7nh h\u1ec7 th\u1ed1ng, b\u1ec7nh di truy\u1ec1n, ch\u1ea5n th\u01b0\u01a1ng\u2026<\/p>\n

–\u00a0Ng\u01b0\u1eddi l\u1edbn: \u0111\u1ed9ng kinh nguy\u00ean ph\u00e1t, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e3o, nhi\u1ec5m khu\u1ea9n h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, b\u1ec7nh tho\u00e1i ho\u00e1 n\u00e3o, b\u1ec7nh h\u1ec7 th\u1ed1ng, \u2026<\/p>\n

–\u00a0Ng\u01b0\u1eddi gi\u00e0: Ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i, \u0111\u1ed9ng kinh c\u00f3 th\u1ec3 do u n\u00e3o, ung th\u01b0 di c\u0103n n\u00e3o, x\u01a1 c\u1ee9ng m\u1ea1ch m\u00e1u n\u00e3o, teo n\u00e3o, \u0111\u1eb7c bi\u1ec7t c\u1ea7n quan t\u00e2m t\u1edbi thi\u1ebfu m\u00e1u n\u00e3o c\u1ea5p t\u00ednh.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n \u0111\u1ed9ng kinh<\/b><\/h2>\n

2.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh:<\/b><\/h3>\n

D\u1ef1a v\u00e0o l\u00e2m s\u00e0ng k\u1ebft h\u1ee3p v\u1edbi bi\u1ebfn \u0111\u1ed5i \u0111i\u1ec7n n\u00e3o \u0111\u1ed3, \u201ckh\u00f4ng ch\u1ea9n \u0111o\u00e1n \u0111\u1ed9ng kinh n\u1ebfu l\u00e2m s\u00e0ng kh\u00f4ng c\u00f3 c\u01a1n\u201d.<\/p>\n

2.1.1. Ph\u00e2n lo\u1ea1i \u0111\u1ed9ng kinh theo ph\u00e2n lo\u1ea1i qu\u1ed1c t\u1ebf c\u00e1c c\u01a1n \u0111\u1ed9ng kinh (1981)<\/h4>\n

a. C\u01a1n c\u1ee5c b\u1ed9<\/i><\/p>\n\n\n\n
C\u01a1n c\u1ee5c b\u1ed9 \u0111\u01a1n gi\u1ea3n (kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c)<\/b><\/p>\n

+ V\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1eadn \u0111\u1ed9ng: c\u1ee5c b\u1ed9 v\u1eadn \u0111\u1ed9ng, c\u1ee5c b\u1ed9 v\u1eadn \u0111\u1ed9ng v\u1edbi h\u00e0nh tr\u00ecnh jackson, c\u01a1n quay m\u1eaft quay \u0111\u1ea7u.<\/p>\n

+ V\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea3m gi\u00e1c ho\u1eb7c gi\u00e1c quan: r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c b\u1ea3n th\u1ec3, \u1ea3o th\u1ecb gi\u00e1c, \u1ea3o kh\u1ee9u gi\u00e1c, c\u01a1n ch\u00f3ng m\u1eb7t<\/p>\n

+ V\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh th\u1ef1c v\u1eadt<\/p>\n

+ V\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m th\u1ea7n: r\u1ed1i lo\u1ea1n c\u00e1c ch\u1ee9c n\u0103ng th\u1ea7n kinh cao c\u1ea5p, \u00edt khi bi\u1ebfn \u0111\u1ed5i \u00fd th\u1ee9c.<\/p>\n

+ R\u1ed1i lo\u1ea1n tr\u00ed nh\u1edb, r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac\u2026<\/td>\n

C\u01a1n c\u1ee5c b\u1ed9 ph\u1ee9c t\u1ea1p (c\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c)<\/b><\/p>\n

+ Kh\u1edfi ph\u00e1t c\u1ee5c b\u1ed9 \u0111\u01a1n gi\u1ea3n, ti\u1ebfp theo l\u00e0 c\u1ee5c b\u1ed9 ph\u1ee9c t\u1ea1p<\/p>\n

+ Kh\u1edfi ph\u00e1t l\u00e0 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c: r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ef1 \u0111\u1ed9ng<\/p>\n

C\u01a1n c\u1ee5c b\u1ed9 to\u00e0n th\u1ec3 h\u00f3a th\u1ee9 ph\u00e1t:<\/p>\n

+ C\u01a1n c\u1ee5c b\u1ed9 \u0111\u01a1n gi\u1ea3n ti\u1ebfn tri\u1ec3n sang to\u00e0n b\u1ed9 h\u00f3a th\u1ee9 ph\u00e1t<\/p>\n

+ C\u01a1n c\u1ee5c b\u1ed9 ph\u1ee9c t\u1ea1p ti\u1ebfn tri\u1ec3n sang to\u00e0n b\u1ed9 h\u00f3a th\u1ee9 ph\u00e1t<\/p>\n

+ C\u01a1n c\u1ee5c b\u1ed9 \u0111\u01a1n gi\u1ea3n ti\u1ebfn tri\u1ec3n sang c\u01a1n c\u1ee5c b\u1ed9 ph\u1ee9c t\u1ea1p r\u1ed3i to\u00e0n b\u1ed9 h\u00f3a th\u1ee9 ph\u00e1t.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

b. C\u01a1n to\u00e0n b\u1ed9<\/i><\/p>\n\n\n\n\n
–\u00a0C\u01a1n v\u1eafng \u00fd th\u1ee9c:<\/b><\/p>\n

C\u01a1n v\u1eafng \u00fd th\u1ee9c \u0111i\u1ec3n h\u00ecnh<\/b>:<\/p>\n

+ R\u1ed1i lo\u1ea1n \u00fd th\u1ee9c \u0111\u01a1n thu\u1ea7n<\/p>\n

+ K\u00e8m theo y\u1ebfu t\u1ed1 gi\u1eadt c\u01a1<\/p>\n

+ K\u00e8m theo y\u1ebfu t\u1ed1 m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c<\/p>\n

+ K\u00e8m theo y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u01a1ng l\u1ef1c<\/p>\n

+ K\u00e8m theo bi\u1ec3u hi\u1ec7n t\u1ef1 \u0111\u1ed9ng<\/p>\n

+ K\u00e8m theo y\u1ebfu t\u1ed1 th\u1ef1c v\u1eadt<\/td>\n

C\u01a1n v\u1eafng \u00fd th\u1ee9c kh\u00f4ng \u0111i\u1ec3n h\u00ecnh:<\/b><\/p>\n

+ Bi\u1ebfn \u0111\u1ed5i tr\u01b0\u01a1ng l\u1ef1c n\u1eb7ng h\u01a1n c\u01a1n v\u1eafng \u00fd th\u1ee9c \u0111i\u1ec3n h\u00ecnh<\/p>\n

+ Kh\u1edfi ph\u00e1t v\u00e0\/ ho\u1eb7c k\u1ebft th\u00fac \u00edt \u0111\u1ed9t ng\u1ed9t<\/p>\n

 <\/td>\n<\/tr>\n

–\u00a0C\u01a1n to\u00e0n b\u1ed9 c\u01a1n l\u1edbn<\/b><\/p>\n

+ C\u01a1n gi\u1eadt c\u01a1<\/p>\n

+ C\u01a1n gi\u1eadt<\/p>\n

+ C\u01a1n c\u00f3 c\u1ee9ng<\/p>\n

+ C\u01a1n co c\u1ee9ng-co gi\u1eadt<\/td>\n

 <\/p>\n

+ C\u01a1n m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c<\/p>\n

+ C\u01a1n ch\u01b0a ph\u00e2n lo\u1ea1i<\/p>\n

+ Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

c. C\u01a1n ch\u01b0a ph\u00e2n lo\u1ea1i<\/i><\/p>\n

d. Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh<\/i><\/p>\n

2.1.2. Ph\u00e2n lo\u1ea1i \u0111\u1ed9ng kinh theo ph\u00e2n lo\u1ea1i qu\u1ed1c t\u1ebf c\u00e1c c\u01a1n \u0111\u1ed9ng kinh n\u0103m 1989<\/h4>\n

a. \u0110\u1ed9ng kinh v\u00e0 h\u1ed9i ch\u1ee9ng c\u1ee5c b\u1ed9<\/i><\/p>\n

Nguy\u00ean ph\u00e1t:<\/b><\/p>\n

\u0110\u1ed9ng kinh l\u00e0nh t\u00ednh \u1edf tr\u1ebb em c\u00f3 nh\u1ecdn trung t\u00e2m \u2013 th\u00e1i d\u01b0\u01a1ng.<\/p>\n

\u0110\u1ed9ng kinh \u1edf tr\u1ebb em c\u00f3 k\u1ecbch phat v\u00f9ng ch\u1ea9m.<\/p>\n

\u0110\u1ed9ng kinh ti\u00ean ph\u00e1t khi \u0111\u1ecdc.<\/p>\n

Tri\u1ec7u ch\u1ee9ng:<\/b><\/p>\n

\u0110\u1ed9ng kinh c\u1ee5c b\u1ed9 li\u00ean t\u1ee5c ti\u1ebfn tri\u1ec3n m\u1ea1n t\u00ednh \u1edf tr\u1ebb em.<\/p>\n

H\u1ed9i ch\u1ee9ng c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 c\u00e1c c\u01a1n do c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111\u1eb7c hi\u1ec7u th\u00fac \u0111\u1ea9y g\u00e2y ra.<\/p>\n

C\u00e1c h\u1ed9i ch\u1ee9ng kh\u00e1c theo khu tr\u00fa ho\u1eb7c nguy\u00ean nh\u00e2n.<\/p>\n

\u0110\u1ed9ng kinh thu\u1ef3 th\u00e1i d\u01b0\u01a1ng<\/p>\n

\u0110\u1ed9ng kinh thu\u1ef3 tr\u00e1n<\/p>\n

\u0110\u1ed9ng kinh thu\u1ef3 ch\u1ea9m \u0110\u1ed9ng kinh thu\u1ef3 \u0111\u1ec9nh.<\/p>\n

C\u0103n nguy\u00ean \u1ea9n:<\/p>\n

b. \u0110\u1ed9ng kinh v\u00e0 h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng kinh to\u00e0n b\u1ed9<\/i><\/p>\n

Nguy\u00ean ph\u00e1t (kh\u1edfi ph\u00e1t li\u00ean quan \u0111\u1ebfn tu\u1ed5i)\u00a0<\/b>Co gi\u1eadt s\u01a1 sinh l\u00e0nh t\u00ednh gia \u0111\u00ecnh<\/p>\n

C\u01a1 gi\u1eadt s\u01a1 sinh l\u00e0nh t\u00ednh.<\/p>\n

\u0110\u1ed9ng kinh gi\u1eadt c\u01a1 l\u00e0nh t\u00ednh tu\u1ed5i th\u01a1.<\/p>\n

\u0110\u1ed9ng kinh c\u01a1n v\u1eafng \u00fd th\u1ee9c \u1edf tr\u1ebb em.<\/p>\n

\u0110\u1ed9ng kinh c\u01a1n v\u1eafng \u00fd th\u1ee9c thi\u1ebfu ni\u00ean.<\/p>\n

\u0110\u1ed9ng kinh gi\u1eadt c\u01a1 thi\u1ebfu ni\u00ean<\/p>\n

\u0110\u1ed9ng kinh c\u01a1n l\u1edbn l\u00fac t\u1ec9nh gi\u1ea5c<\/p>\n

\u0110\u1ed9ng kinh to\u00e0n b\u1ed9 nguy\u00ean ph\u00e1t (kh\u00f4ng n\u00eau \u1edf tr\u00ean).<\/p>\n

\u0110\u1ed9ng kinh v\u1edbi c\u00e1c c\u01a1n do c\u00e1c ph\u01b0\u01a1ng th\u1ee9c \u0111\u1eb7c hi\u1ec7u th\u00fac \u0111\u1ea9y g\u00e2y ra (\u0111\u1ed9ng kinh do \u00e1nh s\u00e1ng).<\/p>\n

C\u0103n nguy\u00ean \u1ea9n v\u00e0\/ho\u1eb7c tri\u1ec7u ch\u1ee9ng:\u00a0<\/b>H\u1ed9i ch\u1ee9ng West (co th\u1eaft g\u1ea5p tr\u1ebb em).<\/p>\n

H\u1ed9i ch\u1ee9ng Lennox \u2013 Gastaut<\/p>\n

\u0110\u1ed9ng kinh v\u1edbi c\u01a1n gi\u1eadt c\u01a1 – m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c.<\/p>\n

\u0110\u1ed9ng kinh v\u1edbi c\u01a1n v\u1eafng \u00fd th\u1ee9c gi\u1eadt c\u01a1.<\/p>\n

\u0110\u1ed9ng kinh tri\u1ec7u ch\u1ee9ng:\u00a0<\/b>Kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n \u0111\u1eb7c hi\u1ec7u, c\u00f3 th\u1ec3 g\u1eb7p<\/p>\n

B\u1ec7nh n\u00e3o gi\u1eadt c\u01a1 s\u1edbm.<\/p>\n

B\u1ec7nh n\u00e3o \u0111\u1ed9ng kinh tr\u1ebb em s\u1edbm.<\/p>\n

\u0110\u1ed9ng kinh to\u00e0n b\u1ed9 tri\u1ec7u ch\u1ee9ng (kh\u00f4ng n\u00eau \u1edf tr\u00ean).<\/p>\n

c. \u0110\u1ed9ng kinh v\u00e0 h\u1ed9i ch\u1ee9ng kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u1ee5c b\u1ed9 hay to\u00e0n b\u1ed9:<\/i><\/p>\n

V\u1edbi c\u01a1n to\u00e0n b\u1ed9 v\u00e0 c\u1ee5c b\u1ed9:<\/b><\/p>\n

C\u01a1n \u0111\u1ed9ng kinh s\u01a1 sinh<\/p>\n

\u0110\u1ed9ng kinh gi\u1eadt c\u01a1 n\u1eb7ng tu\u1ed5i th\u01a1.<\/p>\n

\u0110\u1ed9ng kinh c\u00f3 nh\u1ecdn \u2013 s\u00f3ng li\u00ean t\u1ee5c khi ng\u1ee7.<\/p>\n

\u0110\u1ed9ng kinh th\u1ea5t ng\u00f4n m\u1eafc ph\u1ea3i (h\u1ed9i ch\u1ee9ng Laudau – Kleffner).<\/p>\n

C\u00e1c \u0111\u1ed9ng kinh kh\u00e1c kh\u00f4ng r\u00f5 c\u1ee5c b\u1ed9 hay to\u00e0n b\u1ed9 (kh\u00f4ng n\u00eau \u1edf tr\u00ean).<\/p>\n

Kh\u00f4ng r\u00f5 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee5c b\u1ed9 ho\u1eb7c to\u00e0n b\u1ed9.<\/b><\/p>\n

C\u01a1n li\u00ean quan \u0111\u1ebfn m\u1ed9t tr\u1ea1ng th\u00e1i<\/b><\/p>\n

C\u01a1 gi\u1eadt do s\u1ed1t cao.<\/p>\n

C\u01a1n ch\u1ec9 x\u1ea3y ra trong b\u1ed1i c\u1ea3nh c\u1ee7a r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 c\u1ea5p.<\/p>\n

C\u01a1n \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c \u0111\u1ed9ng kinh li\u00ean t\u1ee5c \u0111\u01a1n \u0111\u1ed9c<\/p>\n

2.1.3. Ph\u00e2n lo\u1ea1i \u0111\u1ed9ng kinh theo (ICD 10 – 1992):<\/h4>\n

G.40. \u0110\u1ed9ng kinh<\/p>\n

G.40.0: \u0110\u1ed9ng kinh c\u1ee5c b\u1ed9 v\u00f4 c\u0103n<\/p>\n

G.40.1: \u0110\u1ed9ng kinh c\u1ee5c b\u1ed9 tri\u1ec7u ch\u1ee9ng v\u1edbi c\u01a1n c\u1ee5c b\u1ed9 \u0111\u01a1n gi\u1ea3n.<\/p>\n

G.40.2: \u0110\u1ed9ng kinh c\u1ee5c b\u1ed9 tri\u1ec7u ch\u1ee9ng v\u1edbi c\u01a1n c\u1ee5c b\u1ed9 ph\u1ee9c t\u1ea1p.<\/p>\n

G.40.3: \u0110\u1ed9ng kinh to\u00e0n th\u1ec3 v\u00f4 c\u0103n<\/p>\n

G.40.4: \u0110\u1ed9ng kinh to\u00e0n th\u1ec3 kh\u00e1c.<\/p>\n

G.40.5: Nh\u1eefng h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng kinh \u0111\u1eb7c bi\u1ec7t<\/p>\n

G.40.6: Nh\u1eefng c\u01a1n l\u1edbn kh\u00f4ng bi\u1ec7t \u0111\u1ecbnh.<\/p>\n

G.40.7: Nh\u1eefng c\u01a1n nh\u1ecf kh\u00f4ng bi\u1ec7t \u0111\u1ecbnh.<\/p>\n

G40.8: \u0110\u1ed9ng kinh kh\u00e1c<\/p>\n

G40.9: \u0110\u1ed9ng kinh kh\u00f4ng bi\u1ec7t \u0111\u1ecbnh<\/p>\n

G41: Tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh.<\/p>\n

2.1.4. C\u1eadn l\u00e2m s\u00e0ng<\/h4>\n

a. \u0110i\u1ec7n n\u00e3o \u0111\u1ed3:\u00a0<\/i>l\u00e0 c\u00f4ng c\u1ee5 \u0111\u1eb7c hi\u1ec7u x\u00e1c \u0111\u1ecbnh c\u01a1n, lo\u1ea1i c\u01a1n, v\u1ecb tr\u00ed \u1ed5 \u0111\u1ed9ng kinh. \u0110i\u1ec7n n\u00e3o \u0111\u1ed3 c\u00f3 th\u1ec3 ghi trong c\u01a1n ho\u1eb7c ngo\u00e0i c\u01a1n. T\u00f9y theo th\u1ec3 b\u1ec7nh m\u00e0 c\u00f3 th\u1ec3 ghi \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 chu\u1ea9n ho\u1eb7c \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 li\u00ean t\u1ee5c 24 gi\u1edd, \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 video\u2026<\/p>\n

b. X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, sinh h\u00f3a, di truy\u1ec1n, th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/i><\/p>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh s\u1ecd n\u00e3o, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb s\u1ecd n\u00e3o\u2026 t\u00ecm nguy\u00ean nh\u00e2n, theo d\u00f5i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

L\u01b0u huy\u1ebft n\u00e3o \u0111i\u1ec7n tim, c\u00e1c tr\u1eafc nghi\u1ec7m t\u00e2m l\u00fd<\/p>\n

C\u00e1c x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n kh\u00e1c: huy\u1ebft h\u1ecdc, sinh ho\u00e1 ch\u1ee9c n\u0103ng gan, th\u1eadn\u2026<\/p>\n

2.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/b><\/h3>\n

C\u01a1n co gi\u1eadt ph\u00e2n ly (Hysteria<\/b>): l\u00e0 r\u1ed1i lo\u1ea1n do c\u0103n nguy\u00ean t\u00e2m l\u00fd. Trong c\u01a1n b\u1ec7nh nh\u00e2n co gi\u1eadt, d\u1eaby d\u1ee5a ho\u1eb7c c\u1ed1 u\u1ed1n cong ng\u01b0\u1eddi l\u00ean, kh\u00f4ng m\u1ea5t \u00fd th\u1ee9c, c\u01a1n th\u01b0\u1eddng k\u00e9o d\u00e0i, kh\u00f4ng \u0111\u1ecbnh h\u00ecnh, kh\u00e1m th\u1ea7n kinh b\u00ecnh th\u01b0\u1eddng, \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng.<\/p>\n

C\u01a1n ng\u1ea5t (Syncopa):\u00a0<\/b>B\u1ec7nh nh\u00e2n m\u1ea5t \u00fd th\u1ee9c ng\u1eafn, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh, x\u1ea3y ra do c\u0103n nguy\u00ean v\u1ec1 tim m\u1ea1ch, c\u00f3 th\u1ec3 g\u1eb7p: ng\u1ea5t do r\u1ed1i lo\u1ea1n nh\u1ecbp tim: nh\u1ecbp tim \u0111\u1eadp qu\u00e1 ch\u1eadm (< 15 l\u1ea7n\/ph\u00fat) ho\u1eb7c ng\u1eebng tim ho\u00e0n to\u00e0n trong 1 \u2013 2 ph\u00fat, ph\u00e2n ly nh\u0129 th\u1ea5t ho\u00e0n to\u00e0n; ng\u1ea5t do k\u00edch th\u00edch xoang \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh ho\u1eb7c d\u00e2y th\u1ea7n kinh ph\u1ebf v\u1ecb; ng\u1ea5t do gi\u1ea3m huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng. \u0110i\u1ec7n n\u00e3o \u0111\u1ed3 b\u00ecnh th\u01b0\u1eddng.<\/p>\n

Co gi\u1eadt do h\u1ea1 canxi m\u00e1u (tetanie)<\/b>: hay g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh, tr\u1ebb nh\u1ecf. Bi\u1ec3u hi\u1ec7n l\u00e0 co c\u01a1 c\u1ee5c b\u1ed9 ho\u1eb7c to\u00e0n b\u1ed9, \u0111\u1eb7c bi\u1ec7t l\u00e0 co c\u00e1c c\u01a1 \u1edf b\u00e0n tay t\u1ea1o t\u01b0 th\u1ebf b\u00e0n tay s\u1ea3n khoa, c\u00f3 d\u1ea5u hi\u1ec7u Chvostek v\u00e0 nghi\u1ec7m ph\u00e1p g\u00e2y co th\u1eaft c\u01a1 \u1edf b\u00e0n tay khi garo tay kho\u1ea3ng 10 \u2013 15 ph\u00fat. X\u00e9t nghi\u1ec7m m\u00e1u th\u1ea5y canxi m\u00e1u gi\u1ea3m. \u0110i\u1ec7n n\u00e3o \u0111\u1ed3 kh\u00f4ng c\u00f3 s\u00f3ng \u0111\u1ed9ng kinh \u0111i\u1ec3n h\u00ecnh.<\/p>\n

C\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/b>: x\u1ea3y ra l\u00fac \u0111\u00f3i, ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

C\u01a1n migraine, c\u01a1n co gi\u1eadt do s\u1ed1t cao \u1edf tr\u1ebb em<\/b>…..<\/p>\n

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

C\u01a1n \u0111\u1ed9ng kinh l\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng x\u1ea3y ra do s\u1ef1 ph\u00f3ng \u0111i\u1ec7n b\u1ea5t th\u01b0\u1eddng, k\u1ecbch ph\u00e1t v\u00e0 qu\u00e1 m\u1ee9c c\u1ee7a m\u1ed9t nh\u00f3m neuron \u1edf n\u00e3o. Bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t, t\u1ea1m th\u1eddi li\u00ean quan \u0111\u1ebfn v\u00f9ng v\u1ecf n\u00e3o b\u1ecb ph\u00f3ng \u0111i\u1ec7n bao g\u1ed3m bi\u1ebfn \u0111\u1ed5i […]<\/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":"\nTi\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u1ed9ng kinh theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u01a1n \u0111\u1ed9ng kinh l\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng do s\u1ef1 ph\u00f3ng \u0111i\u1ec7n b\u1ea5t th\u01b0\u1eddng, k\u1ecbch ph\u00e1t v\u00e0 qu\u00e1 m\u1ee9c c\u1ee7a m\u1ed9t nh\u00f3m neuron \u1edf n\u00e3o. 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