{"id":27427,"date":"2023-04-24T18:39:06","date_gmt":"2023-04-24T11:39:06","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27427"},"modified":"2023-05-03T16:02:26","modified_gmt":"2023-05-03T09:02:26","slug":"rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/","title":{"rendered":"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p"},"content":{"rendered":"<p><b>Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft nh\u01b0ng kh\u00f4ng do ch\u1ee7 \u00fd c\u1ee7a c\u01a1 th\u1ec3. C\u00f3 th\u1ec3 l\u00e0 nh\u1eefng dao \u0111\u1ed9ng ngang, d\u1ecdc ho\u1eb7c nh\u1eefng dao \u0111\u1ed9ng xoay tr\u00f2n.<\/b><\/p>\n<h2><b>1. T\u1ed5ng quan\u00a0<\/b><\/h2>\n<p>B\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 nh\u00ecn r\u00f5 m\u1ed9t v\u1eadt, c\u1ea7n s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a 3 y\u1ebfu t\u1ed1 ch\u00ednh. C\u00e1c y\u1ebfu t\u1ed1 ch\u00ednh bao g\u1ed3m:<\/p>\n<ul>\n<li>S\u1ef1 \u0111\u1ecbnh th\u1ecb v\u1ecb tr\u00ed c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ecb gi\u00e1c.<\/li>\n<li>Ph\u1ea3n x\u1ea1 ti\u1ec1n \u0111\u00ecnh m\u1eaft.<\/li>\n<li>S\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh nh\u01b0 th\u1ea7n kinh \u0111i\u1ec1u ch\u1ec9nh c\u01a1 v\u1eadn nh\u00e3n&#8230;<\/li>\n<\/ul>\n<p>N\u1ebfu c\u00f3 s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng c\u1ee7a 3 y\u1ebfu t\u1ed1 n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng nh\u00e3n c\u1ea7n b\u1ecb chuy\u1ec3n \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p><span style=\"font-weight: 400;\"><strong>Rung gi\u1eadt nh\u00e3n c\u1ea7u<\/strong>\u00a0 ( RGNC ) l\u00e0 m\u1ed9t chuy\u1ec3n \u0111\u1ed9ng kh\u00f4ng t\u1ef1 ch\u1ee7 c\u1ee7a m\u1eaft bao g\u1ed3m hai chuy\u1ec3n \u0111\u1ed9ng (pha) c\u00f3 h\u01b0\u1edbng ng\u01b0\u1ee3c nhau: pha ch\u1eadm ti\u1ebfp theo l\u00e0 pha nhanh, nh\u01b0 m\u1ed9t s\u1ef1 gi\u1eadt m\u1ea1nh. RGNC d\u1ea1ng qu\u1ea3 l\u1eafc l\u00e0 d\u1ea1ng duy nh\u1ea5t kh\u00f4ng c\u00f3 pha nhanh m\u00e0 l\u00e0 hai pha ch\u1eadm ng\u01b0\u1ee3c chi\u1ec1u nhau.<\/span><\/p>\n<figure id=\"attachment_27435\" aria-describedby=\"caption-attachment-27435\" style=\"width: 261px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-27435\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-6.jpg\" alt=\"cac-pha-rung-giat-nhan-cau\" width=\"261\" height=\"300\" \/><figcaption id=\"caption-attachment-27435\" class=\"wp-caption-text\">\u1ea2nh m\u00f4 t\u1ea3 c\u00e1c pha rung gi\u1eadt nh\u00e3n c\u1ea7u<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Rung gi\u1eadt nh\u00e3n c\u1ea7u c\u00f3 pha nhanh v\u00e0 pha ch\u1eadm \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 RGNC gi\u1eadt (jerk nystagmus). H\u01b0\u1edbng c\u1ee7a RGNC (ngang, d\u1ecdc) \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean theo h\u01b0\u1edbng c\u1ee7a pha nhanh. Trong RGNC xo\u00e1y, thay v\u00e0o \u0111\u00f3 s\u1ebd l\u00e0 nh\u00e3n c\u1ea7u xoay theo m\u1eb7t ph\u1eb3ng ph\u00eda tr\u01b0\u1edbc.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RGNC c\u00f3 th\u1ec3 l\u00e0 sinh l\u00fd khi n\u00f3 x\u1ea3y ra trong th\u1eddi gian xoay k\u00e9o d\u00e0i ho\u1eb7c khi nh\u00ecn h\u00ecnh \u1ea3nh chuy\u1ec3n \u0111\u1ed9ng to\u00e0n tr\u01b0\u1eddng (optokinetic nystagmus &#8211; rung gi\u1eadt nh\u00e3n c\u1ea7u nh\u00ecn v\u1eadt chuy\u1ec3n \u0111\u1ed9ng), ho\u1eb7c n\u00f3 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u b\u1ec7nh l\u00fd c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n \u0111\u00ecnh ho\u1eb7c ti\u1ec3u n\u00e3o.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RGNC n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 \u1edf c\u00e1c v\u1ecb tr\u00ed m\u1eaft kh\u00e1c nhau (g\u00f3c nh\u00ecn ch\u1eb1m ch\u1eb1m &#8211; gaze angle), c\u1ea3 khi ng\u1ed3i v\u00e0 n\u1eb1m ng\u1eeda. N\u00f3 c\u0169ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea3 khi c\u1ed1 \u0111\u1ecbnh v\u00e0 kh\u00f4ng c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn. Trong tr\u01b0\u1eddng h\u1ee3p RGNC ngo\u1ea1i bi\u00ean, t\u01b0\u01a1ng t\u00e1c gi\u1eefa th\u1ecb gi\u00e1c-ti\u1ec1n \u0111\u00ecnh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m rung gi\u1eadt nh\u00e3n c\u1ea7u (t\u1ee9c l\u00e0 rung gi\u1eadt nh\u00e3n c\u1ea7u gi\u1ea3m khi c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn s\u1ebd c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 ngo\u1ea1i bi\u00ean).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0C\u00f3 th\u1ec3 ng\u0103n ng\u1eeba vi\u1ec7c c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u00ednh Frenzel, bao g\u1ed3m c\u00e1c \u1ed1ng k\u00ednh ph\u00f3ng \u0111\u1ea1i v\u00e0 backlit. Ngo\u00e0i ra, m\u1ed9t ngu\u1ed3n \u00e1nh s\u00e1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m ch\u00f3i m\u1ed9t m\u1eaft v\u00e0 ng\u0103n c\u1ea3n s\u1ef1 c\u1ed1 \u0111\u1ecbnh trong l\u00fac b\u00e1c s\u0129 quan s\u00e1t, trong khi m\u1eaft c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c che \u0111i.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p b\u1ed5 sung \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn trong khi v\u1eabn cho ph\u00e9p b\u00e1c s\u0129 quan s\u00e1t l\u00e0 \u0111\u1eb7t m\u1ed9t t\u1edd gi\u1ea5y tr\u1eafng tr\u01b0\u1edbc m\u1eaft c\u1ea7n quan s\u00e1t, bao ph\u1ee7 to\u00e0n b\u1ed9 th\u1ecb tr\u01b0\u1eddng.<\/span><\/p>\n<h2>2. Ph\u00e2n lo\u1ea1i rung gi\u1eadt nh\u00e3n c\u1ea7u<\/h2>\n<p><em><span style=\"font-weight: 400;\">2.1. Rung gi\u1eadt nh\u00e3n c\u1ea7u ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Rung gi\u1eadt nh\u00e3n c\u1ea7u ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean l\u00e0 do t\u1ed5n th\u01b0\u01a1ng m\u1ed9t b\u00ean c\u01a1 quan ti\u1ec1n \u0111\u00ecnh ho\u1eb7c d\u00e2y th\u1ea7n kinh ti\u1ec1n \u0111\u00ecnh. Tuy nhi\u00ean, m\u1ed9t t\u1ed5n th\u01b0\u01a1ng h\u00e0nh tu\u1ef7 khu tr\u00fa ngang m\u1ee9c nh\u00e2n ti\u1ec1n \u0111\u00ecnh ho\u1eb7c c\u00e1c s\u1ee3i th\u1ea7n kinh ti\u1ec1n \u0111\u00ecnh \u1edf th\u00e2n n\u00e3o, \u1edf v\u1ecb tr\u00ed r\u1ec5 \u0111i v\u00e0o, g\u00e2y ra rung gi\u1eadt nh\u00e3n c\u1ea7u v\u1edbi c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a ki\u1ec3u ngo\u1ea1i bi\u00ean.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Rung gi\u1eadt nh\u00e3n c\u1ea7u ngo\u1ea1i bi\u00ean th\u01b0\u1eddng l\u00e0 RGNC xo\u00e1y ngang, \u0111\u00e1nh v\u1ec1 ph\u00eda l\u00e0nh v\u00e0 gi\u1ea3m ho\u1eb7c b\u1ecb k\u00ecm h\u00e3m b\u1edfi vi\u1ec7c c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn. H\u01b0\u1edbng c\u1ee7a RGNC kh\u00f4ng thay \u0111\u1ed5i theo v\u1ecb tr\u00ed c\u1ee7a m\u1eaft trong \u1ed5 m\u1eaft, nh\u01b0ng bi\u00ean \u0111\u1ed9 v\u00e0 t\u1ed1c \u0111\u1ed9 c\u1ee7a RGNC \u0111\u01b0\u1ee3c t\u0103ng l\u00ean khi chuy\u1ec3n h\u01b0\u1edbng nh\u00ecn ch\u1eb1m ch\u1eb1m c\u1ee7a pha nhanh.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t \u0111\u00fang trong tr\u01b0\u1eddng h\u1ee3p ch\u00f3ng m\u1eb7t \u201cli\u00ean t\u1ee5c\u201d. Tuy nhi\u00ean, c\u00f3 nh\u1eefng ch\u00f3ng m\u1eb7t t\u01b0 th\u1ebf (t\u1ee9c l\u00e0 do thay \u0111\u1ed5i t\u01b0 th\u1ebf g\u00e2y ra) trong \u0111\u00f3 rung gi\u1eadt nh\u00e3n c\u1ea7u ngo\u1ea1i bi\u00ean theo chi\u1ec1u d\u1ecdc v\u00e0 xo\u00e1y v\u00e0 thay \u0111\u1ed5i h\u01b0\u1edbng \u1edf c\u00e1c t\u01b0 th\u1ebf kh\u00e1c nhau. Trong ch\u00f3ng m\u1eb7t t\u01b0 th\u1ebf, RGNC\u00a0 kh\u00f4ng t\u1ef1 ph\u00e1t m\u00e0 xu\u1ea5t hi\u1ec7n sau m\u1ed9t s\u1ed1 chuy\u1ec3n \u0111\u1ed9ng nh\u1ea5t \u0111\u1ecbnh, v\u00e0 trong ch\u00f3ng m\u1eb7t t\u01b0 th\u1ebf k\u1ecbch ph\u00e1t l\u00e0nh t\u00ednh, n\u00f3 c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m \u0111i\u1ec3n h\u00ecnh. Trong bi\u1ebfn th\u1ec3 \u1ed1ng b\u00e1n khuy\u00ean sau, nghi\u1ec7m ph\u00e1p Dix-Hallpike s\u1ebd g\u00e2y ra rung gi\u1eadt nh\u00e3n c\u1ea7u \u0111\u00e1nh l\u00ean theo chi\u1ec1u d\u1ecdc k\u00e8m xo\u00e1y, v\u1edbi rung gi\u1eadt nh\u00e3n c\u1ea7u \u0111\u1ea3o ng\u01b0\u1ee3c khi tr\u1edf l\u1ea1i t\u01b0 th\u1ebf ng\u1ed3i (n\u00f3 tr\u1edf th\u00e0nh RGNC\u00a0 \u0111\u00e1nh xu\u1ed1ng); trong bi\u1ebfn th\u1ec3 \u1ed1ng b\u00e1n khuy\u00ean b\u00ean, rung gi\u1eadt nh\u00e3n c\u1ea7u lu\u00f4n \u1edf v\u1ecb tr\u00ed ngang, \u0111\u1ed3ng h\u01b0\u1edbng (qua ph\u1ea3i \u1edf b\u00ean ph\u1ea3i v\u00e0 qua tr\u00e1i \u1edf b\u00ean tr\u00e1i), ho\u1eb7c d\u1ecb h\u01b0\u1edbng (qua tr\u00e1i \u1edf b\u00ean ph\u1ea3i v\u00e0 qua ph\u1ea3i \u1edf b\u00ean tr\u00e1i)<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><em>2.2. Rung gi\u1eadt nh\u00e3n c\u1ea7u khi nh\u00ecn ch\u1eb1m ch\u1eb1m<\/em>\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RGNC \u0111\u01b0\u1ee3c k\u00edch ph\u00e1t b\u1edfi nh\u00ecn ch\u1eb1m ch\u1eb1m l\u00e0 RGNC kh\u00f4ng x\u1ea3y ra \u1edf v\u1ecb tr\u00ed ban \u0111\u1ea7u m\u00e0 ch\u1ec9 v\u00e0o l\u00fac nh\u00ecn ch\u1eb1m ch\u1eb1m sang b\u00ean ph\u1ea3i ho\u1eb7c tr\u00e1i, nh\u00ecn l\u00ean ho\u1eb7c xu\u1ed1ng v\u00e0 \u0111\u00e1nh theo h\u01b0\u1edbng nh\u00ecn ch\u1eb1m ch\u1eb1m v\u00e0 s\u1ef1 thay \u0111\u1ed5i h\u01b0\u1edbng t\u00f9y thu\u1ed9c v\u00e0o h\u01b0\u1edbng nh\u00ecn ch\u1eb1m ch\u1eb1m. N\u00f3 kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn v\u00e0 c\u00f3 th\u1ec3 r\u00f5 r\u00e0ng h\u01a1n \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda.<\/span><\/p>\n<p><em><span style=\"font-weight: 400;\">2.3.\u00a0 Rung gi\u1eadt nh\u00e3n c\u1ea7u d\u1ecdc (h\u01b0\u1edbng l\u00ean ho\u1eb7c h\u01b0\u1edbng xu\u1ed1ng)<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\"> RGNC d\u1ecdc (\u0111\u1eadp l\u00ean tr\u00ean ho\u1eb7c xu\u1ed1ng d\u01b0\u1edbi) ho\u1eb7c RGNC xo\u00e1y \u0111\u01a1n thu\u1ea7n lu\u00f4n g\u1ee3i \u00fd nguy\u00ean nh\u00e2n trung \u01b0\u01a1ng. RGNC c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y \u1edf m\u1ecdi v\u1ecb tr\u00ed nh\u00ecn ch\u1eb1m ch\u1eb1m nh\u01b0ng th\u01b0\u1eddng l\u1edbn h\u01a1n khi nh\u00ecn m\u1ed9t b\u00ean. Nh\u00ecn h\u1ed9i t\u1ee5 (convergence) c\u00f3 th\u1ec3 l\u00e0m t\u0103ng l\u00ean, \u1ee9c ch\u1ebf ho\u1eb7c bi\u1ebfn n\u00f3 th\u00e0nh rung gi\u1eadt nh\u00e3n c\u1ea7u \u0111\u00e1nh l\u00ean. RGNC d\u1ecdc \u0111\u00e1nh xu\u1ed1ng kh\u00f4ng b\u1ecb \u1ee9c ch\u1ebf b\u1edfi s\u1ef1 c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn v\u00e0 th\u01b0\u1eddng l\u00e0 do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a th\u00f9y nhung ti\u1ec3u n\u00e3o (cerebellar flocculus). RGNC d\u1ecdc \u0111\u00e1nh l\u00ean th\u01b0\u1eddng t\u0103ng l\u00ean khi nh\u00ecn ch\u1eb1m ch\u1eb1m l\u00ean tr\u00ean. N\u00f3 c\u00f3 th\u1ec3 b\u1ecb t\u0103ng l\u00ean, b\u1ecb \u1ee9c ch\u1ebf ho\u1eb7c chuy\u1ec3n th\u00e0nh RGNC \u0111\u00e1nh xu\u1ed1ng b\u1edfi vi\u1ec7c nh\u00ecn h\u1ed9i t\u1ee5. N\u00f3 kh\u00f4ng b\u1ecb \u1ee9c ch\u1ebf b\u1edfi s\u1ef1 c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn. C\u00e1c v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng l\u00e0 v\u00f9ng c\u1eadn gi\u1eefa c\u1ee7a h\u00e0nh t\u1ee7y, c\u1ea7u n\u00e3o v\u00e0 trung n\u00e3o.\u00a0<\/span><\/p>\n<p><em><span style=\"font-weight: 400;\">2.4. Rung gi\u1eadt nh\u00e3n c\u1ea7u qu\u1ea3 l\u1eafc\u00a0<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\">Trong RGNC qu\u1ea3 l\u1eafc, kh\u00f4ng c\u00f3 pha nhanh m\u00e0 ch\u1ec9 c\u00f3 chuy\u1ec3n \u0111\u1ed9ng qua l\u1ea1i ch\u1eadm. H\u01b0\u1edbng c\u00f3 th\u1ec3 \u0111\u01a1n thu\u1ea7n l\u00e0 theo chi\u1ec1u ngang ho\u1eb7c chi\u1ec1u d\u1ecdc, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 th\u1ec3 l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u1ea3 hai ho\u1eb7c c\u00f3 c\u00e1c h\u01b0\u1edbng kh\u00e1c (v\u00ed d\u1ee5: \u0111\u01b0\u1eddng ch\u00e9o). C\u00e1c dao \u0111\u1ed9ng c\u00f3 th\u1ec3 li\u00ean h\u1ee3p (t\u1ee9c l\u00e0 gi\u1ed1ng h\u1ec7t nhau \u1edf c\u1ea3 hai m\u1eaft), nh\u01b0ng ch\u00fang th\u01b0\u1eddng kh\u00e1c nhau h\u01a1n (nhi\u1ec1u h\u01a1n \u1edf m\u1ed9t m\u1eaft). Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, RGNC c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t m\u1eaft. Trong c\u00e1c d\u1ea1ng m\u1eafc ph\u1ea3i, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u00e1o c\u00e1o v\u1ec1 hi\u1ec7n t\u01b0\u1ee3ng nh\u00ecn dao \u0111\u1ed9ng (oscillopsia). <\/span><\/p>\n<h2>3.C\u00e1c test li\u00ean quan<\/h2>\n<p><em><span style=\"font-weight: 400;\">3.1. Test l\u1eafc \u0111\u1ea7u ( HINT: head impulse test )<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\">HIT l\u00e0 m\u1ed9t b\u00e0i test t\u1ea1i gi\u01b0\u1eddng. Ng\u01b0\u1eddi kh\u00e1m xoay \u0111\u1ea7u b\u1ec7nh nh\u00e2n t\u1eeb v\u1ecb tr\u00ed b\u00ean (lu\u00e2n phi\u00ean tr\u00e1i v\u00e0 ph\u1ea3i) \u0111\u1ebfn v\u1ecb tr\u00ed trung t\u00e2m c\u00e0ng nhanh c\u00e0ng t\u1ed1t, trong khi b\u1ec7nh nh\u00e2n nh\u00ecn c\u1ed1 \u0111\u1ecbnh m\u1ee5c ti\u00eau trung t\u00e2m, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u0169i c\u1ee7a ng\u01b0\u1eddi kh\u00e1m. HIT c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch xoay \u0111\u1ea7u theo h\u01b0\u1edbng ng\u01b0\u1ee3c l\u1ea1i, t\u1eeb trung t\u00e2m ra ngo\u1ea1i vi. Ch\u1ec9 n\u00ean xoay \u0111\u1ea7u 10\u201315 \u0111\u1ed9.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n x\u1ea1 ti\u1ec1n \u0111\u00ecnh-m\u1eaft b\u00ecnh th\u01b0\u1eddng khi \u0111\u1ea7u xoay nhanh v\u00e0 th\u1ee5 \u0111\u1ed9ng, m\u1eaft s\u1ebd di chuy\u1ec3n theo h\u01b0\u1edbng ng\u01b0\u1ee3c l\u1ea1i v\u1edbi chuy\u1ec3n \u0111\u1ed9ng xoay c\u1ee7a \u0111\u1ea7u \u0111\u1ec3 gi\u1eef cho m\u1eaft nh\u00ecn v\u00e0o m\u1ee5c ti\u00eau; L\u00fac k\u1ebft th\u00fac chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a \u0111\u1ea7u, b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng ph\u1ea3i th\u1ef1c hi\u1ec7n b\u1ea5t k\u1ef3 chuy\u1ec3n \u0111\u1ed9ng nhanh n\u00e0o c\u1ee7a m\u1eaft (saccade-gi\u1eadt m\u1ea1nh) \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb l\u1ea1i h\u01b0\u1edbng nh\u00ecn v\u00e0o m\u1ee5c ti\u00eau (HIT \u00e2m t\u00ednh).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n x\u1ea1 ti\u1ec1n \u0111\u00ecnh-m\u1eaft b\u1ecb khi\u1ebfm khuy\u1ebft, khi k\u1ebft th\u00fac chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a \u0111\u1ea7u, b\u1ec7nh nh\u00e2n s\u1ebd th\u1ef1c hi\u1ec7n m\u1ed9t chuy\u1ec3n \u0111\u1ed9ng gi\u1eadt m\u1ea1nh theo h\u01b0\u1edbng ng\u01b0\u1ee3c l\u1ea1i v\u1edbi h\u01b0\u1edbng xoay c\u1ee7a \u0111\u1ea7u, \u0111\u1ec3 \u0111\u01b0a \u0111\u01b0\u1eddng ng\u1eafm (sight) tr\u1edf l\u1ea1i m\u1ee5c ti\u00eau (HIT d\u01b0\u01a1ng t\u00ednh).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean, v\u00e0 do \u0111\u00f3 l\u00e0 ch\u00f3ng m\u1eb7t ngo\u1ea1i bi\u00ean, trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh, HIT s\u1ebd d\u01b0\u01a1ng t\u00ednh v\u1edbi c\u00e1c chuy\u1ec3n \u0111\u1ed9ng xoay c\u1ee7a \u0111\u1ea7u v\u1ec1 ph\u00eda b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 \u00e2m t\u00ednh v\u1ec1 ph\u00eda l\u00e0nh. Trong tr\u01b0\u1eddng h\u1ee3p ch\u00f3ng m\u1eb7t trung \u01b0\u01a1ng, HIT c\u00f3 th\u1ec3 \u00e2m t\u00ednh. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 HIT kh\u00f4ng bao gi\u1edd \u0111\u01b0\u1ee3c t\u00e1ch r\u1eddi kh\u1ecfi vi\u1ec7c \u0111\u00e1nh gi\u00e1 rung gi\u1eadt nh\u00e3n c\u1ea7u v\u00e0 c\u00e1c nghi\u1ec7m ph\u00e1p kh\u00e1c theo s\u01a1 \u0111\u1ed3 ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t.<\/span><\/p>\n<p><em><span style=\"font-weight: 400;\">3.2. Test l\u1ec7ch nghi\u00eang ( Cover test hay Test of Skew )<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\">Th\u1ef1c hi\u1ec7n: Ng\u01b0\u1eddi kh\u00e1m lu\u00e2n phi\u00ean che m\u1eaft b\u1ec7nh nh\u00e2n; S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a m\u1ed9t chuy\u1ec3n \u0111\u1ed9ng gi\u1eadt m\u1ea1nh (saccade) \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh t\u1ea7m nh\u00ecn l\u1ea1i ngay sau khi m\u1edf t\u1eebng m\u1eaft ra, \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a l\u1ec7ch tr\u1ee5c theo chi\u1ec1u d\u1ecdc, l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a ch\u00f3ng m\u1eb7t c\u00f3 ngu\u1ed3n g\u1ed1c trung \u01b0\u01a1ng.\u00a0<\/span><\/p>\n<figure id=\"attachment_27429\" aria-describedby=\"caption-attachment-27429\" style=\"width: 898px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-27429\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screenshot-567.png\" alt=\"test-lech-nghieng\" width=\"898\" height=\"521\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screenshot-567.png 898w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screenshot-567-300x174.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screenshot-567-768x446.png 768w\" sizes=\"(max-width: 898px) 100vw, 898px\" \/><figcaption id=\"caption-attachment-27429\" class=\"wp-caption-text\">Minh h\u1ecda m\u1ed9t v\u00ed d\u1ee5 v\u1ec1 \u0111\u1ed9 l\u1ec7ch nghi\u00eang trong qu\u00e1 tr\u00ecnh test. \u1ede \u00f4 A c\u00f3 m\u1ed9t m\u1eaft tr\u00e1i b\u1ecb l\u00e1c d\u01b0\u1edbi (hypotropia), t\u1ee9c l\u00e0 khi nh\u00ecn b\u1eb1ng hai m\u1eaft th\u00ec c\u00e1c c\u01a1 ch\u1ebf h\u1ee3p nh\u1ea5t (fusional mechanisms) s\u1ebd khi\u1ebfn m\u1eaft tr\u00e1i th\u1ea5p h\u01a1n m\u1eaft ph\u1ea3i. N\u1ebfu m\u1eaft ph\u1ea3i b\u1ecb che l\u1ea1i, th\u00ec m\u1eaft tr\u00e1i ph\u1ea3i h\u01b0\u1edbng l\u00ean tr\u00ean \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh m\u1ee5c ti\u00eau v\u00e0 coi nh\u01b0 hai m\u1eaft chuy\u1ec3n \u0111\u1ed9ng li\u00ean h\u1ee3p (conjugated way) th\u00ec m\u1eaft ph\u1ea3i c\u0169ng h\u01b0\u1edbng l\u00ean tr\u00ean (\u00f4 B). Trong tr\u01b0\u1eddng h\u1ee3p l\u1ec7ch nghi\u00eang (\u00f4 B), t\u00edn hi\u1ec7u th\u1ea7n kinh c\u1ea7n thi\u1ebft \u0111\u1ec3 di chuy\u1ec3n m\u1eaft tr\u00e1i v\u1edbi bi\u00ean \u0111\u1ed9 mong mu\u1ed1n s\u1ebd di chuy\u1ec3n m\u1eaft ph\u1ea3i c\u00f9ng bi\u00ean \u0111\u1ed9: bi\u00ean \u0111\u1ed9 chuy\u1ec3n \u0111\u1ed9ng s\u1ebd gi\u1ed1ng nhau \u1edf c\u1ea3 hai m\u1eaft (m\u0169i t\u00ean), v\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa hai m\u1eaft (n\u00e9t \u0111\u1ee9t ngang) s\u1ebd kh\u00f4ng thay \u0111\u1ed5i. \u0110i\u1ec1u n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn khi m\u1eaft ph\u1ea3i kh\u00f4ng b\u1ecb che: m\u1ee9c \u0111\u1ed9 l\u1ec7ch tr\u1ee5c \u1edf \u00f4 C gi\u1ed1ng nh\u01b0 \u1edf \u00f4 A; H\u01a1n n\u1eefa, n\u1ebfu m\u1ee5c ti\u00eau \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1eb1ng m\u1eaft ph\u1ea3i, chuy\u1ec3n \u0111\u1ed9ng xu\u1ed1ng c\u1ee7a hai m\u1eaft c\u0169ng s\u1ebd c\u00f3 bi\u00ean \u0111\u1ed9 t\u01b0\u01a1ng t\u1ef1 (\u00f4 D, c\u00e1c m\u0169i t\u00ean).<\/figcaption><\/figure>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/rung-giat-nhan-cau-phan-loai-nguyen-nhan-va-cach-dieu-tri\/\">Rung gi\u1eadt nh\u00e3n c\u1ea7u: Ph\u00e2n lo\u1ea1i, nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb | Vinmec<\/a><\/p>\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o: Decision Algorithms for Emergengy Neurology, Giuseppe Micieli.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft nh\u01b0ng kh\u00f4ng do ch\u1ee7 \u00fd c\u1ee7a c\u01a1 th\u1ec3. C\u00f3 th\u1ec3 l\u00e0 nh\u1eefng dao \u0111\u1ed9ng ngang, d\u1ecdc ho\u1eb7c nh\u1eefng dao \u0111\u1ed9ng xoay tr\u00f2n. 1. T\u1ed5ng [&hellip;]<\/p>\n","protected":false},"author":17,"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>Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p - Vinmec<\/title>\n<meta name=\"description\" content=\"Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft.\" \/>\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=\"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-24T11:39:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-03T09:02:26+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-6.jpg\" \/>\n<meta name=\"author\" content=\"An Huynh Phan Ngoc\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"An Huynh Phan Ngoc\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/\",\"name\":\"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-24T11:39:06+00:00\",\"dateModified\":\"2023-05-03T09:02:26+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/106da77d14bd9697d17d477cee4fe3b8\"},\"description\":\"Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/106da77d14bd9697d17d477cee4fe3b8\",\"name\":\"An Huynh Phan Ngoc\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/1.gravatar.com\/avatar\/17bc5ae83cce85dafb710d1c71eb7825?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/1.gravatar.com\/avatar\/17bc5ae83cce85dafb710d1c71eb7825?s=96&d=mm&r=g\",\"caption\":\"An Huynh Phan Ngoc\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/huynhphanngocangmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p - Vinmec","description":"Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p - Vinmec","og_description":"Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/","og_site_name":"Vinmec","article_published_time":"2023-04-24T11:39:06+00:00","article_modified_time":"2023-05-03T09:02:26+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-6.jpg"}],"author":"An Huynh Phan Ngoc","twitter_card":"summary_large_image","twitter_misc":{"Written by":"An Huynh Phan Ngoc","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/","name":"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-24T11:39:06+00:00","dateModified":"2023-05-03T09:02:26+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/106da77d14bd9697d17d477cee4fe3b8"},"description":"Rung gi\u1eadt nh\u00e3n c\u1ea7u l\u00e0 ch\u1ec9 c\u00e1c v\u1eadn \u0111\u1ed9ng dao \u0111\u1ed9ng l\u1eb7p l\u1ea1i c\u1ee7a nh\u00e3n c\u1ea7u, v\u1eadn \u0111\u1ed9ng nh\u00e3n c\u1ea7u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai b\u00ean m\u1eaft.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/rung-giat-nhan-cau-nystagmus-cac-dang-thuong-gap\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Rung gi\u1eadt nh\u00e3n c\u1ea7u ( Nystagmus ): c\u00e1c d\u1ea1ng th\u01b0\u1eddng g\u1eb7p"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/106da77d14bd9697d17d477cee4fe3b8","name":"An Huynh Phan Ngoc","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/1.gravatar.com\/avatar\/17bc5ae83cce85dafb710d1c71eb7825?s=96&d=mm&r=g","contentUrl":"http:\/\/1.gravatar.com\/avatar\/17bc5ae83cce85dafb710d1c71eb7825?s=96&d=mm&r=g","caption":"An Huynh Phan Ngoc"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/huynhphanngocangmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27427"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=27427"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27427\/revisions"}],"predecessor-version":[{"id":31133,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27427\/revisions\/31133"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=27427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=27427"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=27427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}