{"id":27504,"date":"2023-04-24T18:38:11","date_gmt":"2023-04-24T11:38:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27504"},"modified":"2023-04-24T18:38:11","modified_gmt":"2023-04-24T11:38:11","slug":"cap-cuu-than-kinh-trong-thai-ky-hau-san","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/cap-cuu-than-kinh-trong-thai-ky-hau-san\/","title":{"rendered":"C\u1ea5p c\u1ee9u th\u1ea7n kinh trong thai k\u1ef3\/ h\u1eadu s\u1ea3n"},"content":{"rendered":"<p><strong>Ph\u1ee5 n\u1eef trong thai k\u1ef3\/h\u1eadu s\u1ea3n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh c\u1ea5p t\u00ednh l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t nh\u1ea1y c\u1ea3m m\u00e0 vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0169ng ph\u1ea3i t\u00ednh \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a thai hay em b\u00e9, trong tr\u01b0\u1eddng h\u1ee3p cho con b\u00fa. Th\u00f4ng qua b\u00e0i vi\u1ebft, xin g\u1eedi \u0111\u1ebfn \u0111\u1ecdc gi\u1ea3 nh\u1eefng th\u00f4ng tin b\u1ed5 \u00edch v\u1ec1 c\u1ea5p c\u1ee9u th\u1ea7n kinh trong thai k\u1ef3\/h\u1eadu s\u1ea3n.<\/strong><\/p>\n<h2><span style=\"font-weight: 400;\">1. T\u1ed5ng quan<\/span><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Mang thai: tr\u1ea1ng th\u00e1i c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 thai trong t\u1eed cung<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sau sinh (Postpartum): m\u1ed9t kho\u1ea3ng th\u1eddi gian b\u1eaft \u0111\u1ea7u ngay sau khi s\u1ed5 thai v\u00e0 k\u1ebft th\u00fac 2h sau \u0111\u00f3; sau sinh kh\u00f4ng thu\u1ed9c giai \u0111o\u1ea1n sinh n\u1edf v\u00e0 thay v\u00e0o \u0111\u00f3 l\u00e0 giai \u0111o\u1ea1n \u0111\u1ea7u ti\u00ean c\u1ee7a h\u1eadu s\u1ea3n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u1eadu s\u1ea3n (Puerperium): kho\u1ea3ng th\u1eddi gian gi\u1eefa vi\u1ec7c s\u1ed5 thai v\u00e0 \u0111\u01b0a t\u1eed cung tr\u1edf l\u1ea1i tr\u1ea1ng th\u00e1i b\u00ecnh th\u01b0\u1eddng tr\u01b0\u1edbc khi mang thai, th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 6 \u0111\u1ebfn 8 tu\u1ea7n.<\/span><\/li>\n<\/ul>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh c\u1ea5p t\u00ednh x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 sau sinh c\u00f3 th\u1ec3 l\u00e0:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bi\u1ec3u hi\u1ec7n c\u1ee7a r\u1ed1i lo\u1ea1n th\u1ea7n kinh t\u1eeb tr\u01b0\u1edbc tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh l\u00fd kh\u00f4ng li\u00ean quan \u0111\u1ebfn thai k\u1ef3\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0M\u1ed9t r\u1ed1i lo\u1ea1n th\u1ea7n kinh c\u1ea5p t\u00ednh x\u1ea3y ra th\u01b0\u1eddng xuy\u00ean nh\u1ea5t trong khi mang thai v\u00e0 h\u1eadu s\u1ea3n.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">2.\u00a0 \u00a0sinh l\u00fd b\u1ec7nh h\u1ecdc<\/span><\/h2>\n<p>2.1. <strong>Y\u1ebfu t\u1ed1 sinh l\u00fd<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 sinh l\u00fd b\u1ec7nh khi\u1ebfn ph\u1ee5 n\u1eef mang thai v\u00e0 sau sinh m\u1eafc c\u00e1c b\u1ec7nh th\u1ea7n kinh c\u1ea5p t\u00ednh.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Estrogen cao k\u00edch th\u00edch s\u1ea3n xu\u1ea5t c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u, l\u00e0m t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i. \u0110\u1ed3ng th\u1eddi, s\u1ef1 gia t\u0103ng th\u1ec3 t\u00edch huy\u1ebft t\u01b0\u01a1ng v\u00e0 m\u00e1u th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u0103ng huy\u1ebft \u00e1p. S\u1ef1 gia t\u0103ng n\u1ed3ng \u0111\u1ed9 progesterone trong thai k\u1ef3 mu\u1ed9n c\u00f3 xu h\u01b0\u1edbng l\u00e0m t\u0103ng s\u1ef1 gi\u00e3n c\u1ee7a c\u00e1c th\u00e0nh t\u0129nh m\u1ea1ch v\u00e0 nguy c\u01a1 ch\u1ea3y m\u00e1u c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch nh\u1ecf.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0M\u1eb7t kh\u00e1c, trong th\u1eddi k\u1ef3 sau sinh, c\u00f3 s\u1ef1 s\u1ee5t gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oestrogen cao. S\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c bi\u1ebfn \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng t\u00ednh th\u1ea5m mao m\u1ea1ch v\u00e0 ph\u00f9 n\u1ec1 m\u1ea1ch m\u00e1u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0T\u00ecnh tr\u1ea1ng mang thai l\u00e0m thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 oestrogen v\u00e0 progesterone trong m\u00e1u, \u0111i\u1ec1u ch\u1ec9nh ph\u1ea3n \u1ee9ng m\u1ea1ch m\u00e1u n\u00e3o v\u00e0 t\u0103ng huy\u1ebft \u00e1p; Nh\u1eefng thay \u0111\u1ed5i n\u00e0y c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a ho\u1ea1t \u0111\u1ed9ng sinh \u0111i\u1ec7n n\u00e3o v\u00e0\/ho\u1eb7c c\u1ee7a tu\u1ea7n ho\u00e0n n\u00e3o, g\u00e2y co gi\u1eadt \u0111\u1ed9ng kinh, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 n\u00e3o tho\u00e1ng qua ho\u1eb7c v\u0129nh vi\u1ec5n, xu\u1ea5t huy\u1ebft trong n\u00e3o ho\u1eb7c d\u01b0\u1edbi nh\u1ec7n v\u00e0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch n\u00e3o.<\/span><\/p>\n<p>2.2. <strong>Y\u1ebfu t\u1ed1 b\u1ec7nh l\u00fd<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/benh\/tien-san-giat-3233\/\">Ti\u1ec1n s\u1ea3n gi\u1eadt\/s\u1ea3n gi\u1eadt<\/a> l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n \u0111\u1eb7c tr\u01b0ng nh\u1ea5t c\u1ee7a thai k\u1ef3 g\u00e2y n\u00ean c\u00e1c bi\u1ec3u hi\u1ec7n th\u1ea7n kinh c\u1ea5p t\u00ednh. \u0110\u1eb7c \u0111i\u1ec3m ch\u00ednh trong c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt \/ s\u1ea3n gi\u1eadt d\u01b0\u1eddng nh\u01b0 l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a m\u1ed9t b\u00e1nh nhau b\u1ea5t th\u01b0\u1eddng v\u1edbi c\u00e1c \u0111\u1ed9ng m\u1ea1ch xo\u1eafn \u1ed1c v\u00e0 h\u1eb9p. Nhau thai b\u1ecb gi\u1ea3m t\u01b0\u1edbi m\u00e1u b\u1eaft \u0111\u1ea7u cung c\u1ea5p c\u00e1c protein ti\u1ec1n vi\u00eam g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o n\u1ed9i m\u00f4 v\u00e0 d\u1eabn \u0111\u1ebfn t\u0103ng t\u00ednh th\u1ea5m c\u1ee7a m\u1ea1ch m\u00e1u, co m\u1ea1ch v\u00e0 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i. C\u00e1c t\u00e1c \u0111\u1ed9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u00f4 l\u00e0 \u1edf c\u01a1 s\u1edf c\u1ee7a c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ch\u00ednh c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y. Co m\u1ea1ch v\u00e0 t\u0103ng\u00a0 t\u00ednh th\u1ea5m c\u1ee7a m\u1ea1ch m\u00e1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ec3u hi\u1ec7n th\u1ea7n kinh c\u1ea5p t\u00ednh nh\u01b0 h\u1ed9i ch\u1ee9ng co m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c (RCVS) v\u00e0 h\u1ed9i ch\u1ee9ng b\u1ec7nh n\u00e3o sau c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c (PRES).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ti\u1ec1n s\u1ea3n gi\u1eadt (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nhi\u1ec5m \u0111\u1ed9c m\u00e1u): l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u0103ng huy\u1ebft \u00e1p, protein ni\u1ec7u v\u00e0 ph\u00f9, sau tu\u1ea7n th\u1ee9 hai m\u01b0\u01a1i c\u1ee7a thai k\u1ef3, \u1edf ph\u1ee5 n\u1eef c\u00f3 huy\u1ebft \u00e1p tr\u01b0\u1edbc \u0111\u00e2y b\u00ecnh th\u01b0\u1eddng. T\u1ea7n su\u1ea5t c\u1ee7a t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 2-8% thai ph\u1ee5. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n ti\u1ec1n s\u1ea3n gi\u1eadt nh\u1eb9, HA \u2265 140\/90 v\u00e0 protein ni\u1ec7u \u2265 0,3 g\/24 gi\u1edd; n\u1eb7ng, \u00edt nh\u1ea5t hai \u0111\u1ee3t t\u0103ng huy\u1ebft \u00e1p v\u1edbi c\u00e1c gi\u00e1 tr\u1ecb \u2265160\/110 \u1edf kho\u1ea3ng c\u00e1ch \u00edt nh\u1ea5t 6 gi\u1edd, protein ni\u1ec7u \u22655g tr\u00ean 24 gi\u1edd v\u00e0 \u00edt nh\u1ea5t m\u1ed9t d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">3. C\u00e1c h\u1ed9i ch\u1ee9ng th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00e1c r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong thai k\u1ef3 th\u01b0\u1eddng l\u00e0 <strong>th\u1ee9 ph\u00e1t<\/strong> do:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/huyet-khoi-tinh-mach-nao-chan-doan-va-dieu-tri\/\">Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch n\u00e3o<\/a> ( Cerebral Venous Thrombosis &#8211; CVT)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<a href=\"https:\/\/www.vinmec.com\/vi\/chu-de\/hoi-chung-co-that-mach-nao-co-the-dao-nguoc\/\"> H\u1ed9i ch\u1ee9ng co m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c<\/a> ( Reversible cerebral vasoconstriction syndrome &#8211; RCVS)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; H\u1ed9i ch\u1ee9ng b\u1ec7nh n\u00e3o sau c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c ( Posterior reversible encephalopathy syndrome &#8211; PRES)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh t\u1eeb s\u1ea3n gi\u1eadt.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c nguy\u00ean nh\u00e2n hi\u1ebfm g\u1eb7p kh\u00e1c c\u1ee7a suy gi\u1ea3m th\u1ea7n kinh c\u1ea5p t\u00ednh:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/san-phu-khoa-va-ho-tro-sinh-san\/thuyen-tac-oi-bien-chung-san-khoa-nguy-hiem\/\">Thuy\u00ean t\u1eafc \u1ed1i<\/a>\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Choriocarcinoma\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/thuyen-tac-khi-nhung-dieu-can-biet\/\"><span style=\"font-weight: 400;\">\u00a0Thuy\u00ean t\u1eafc kh\u00ed\u00a0<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0B\u1ec7nh n\u00e3o Wernicke\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u huy\u1ebft kh\u1ed1i\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/hoi-chung-hellp-3725\/\">H\u1ed9i ch\u1ee9ng HELLP<\/a>\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Ng\u1eadp m\u00e1u tuy\u1ebfn y\u00ean (Pituitary Apoplexy)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ee9ng m\u00faa gi\u1eadt trong thai k\u1ef3 (Chorea gravidarum)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t m\u00f4 t\u1ea3 v\u1ec1 4 r\u1ed1i lo\u1ea1n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong thai k\u1ef3:<\/span><\/p>\n<p><strong>Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch n\u00e3o ( Cerebral Venous Thrombosis &#8211; CVT):<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0N\u00f3 \u0111\u1ea1i di\u1ec7n cho m\u1ed9t nguy\u00ean nh\u00e2n quan tr\u1ecdng c\u1ee7a \u0111\u1ed9t qu\u1ef5 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ph\u1ee5 n\u1eef trong khi mang thai ho\u1eb7c sau sinh. T\u1ef7 l\u1ec7 m\u1eafc m\u1edbi cao nh\u1ea5t trong ba th\u00e1ng \u0111\u1ea7u c\u00f3 th\u1ec3 l\u00e0 do nh\u1eefng ph\u1ee5 n\u1eef mang thai v\u1edbi b\u1ec7nh t\u0103ng \u0111\u00f4ng m\u00e1u ti\u1ec1m \u1ea9n, nh\u01b0ng h\u01a1n 75% c\u00e1c ca b\u1ec7nh CVT l\u00e0 sau sinh.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m sinh m\u1ed5, m\u1ea5t n\u01b0\u1edbc, ch\u1ea5n th\u01b0\u01a1ng khi chuy\u1ec3n d\u1ea1, thi\u1ebfu m\u00e1u, n\u1ed3ng \u0111\u1ed9 homocysteine cao v\u00e0 gi\u1ea3m \u00e1p l\u1ef1c n\u1ed9i s\u1ecd li\u00ean quan \u0111\u1ebfn th\u1ee7ng m\u00e0ng c\u1ee9ng do s\u01a1 xu\u1ea5t c\u1ee7a g\u00e2y m\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng. CVT ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf c\u00e1c n\u01b0\u1edbc ngh\u00e8o do t\u1ea7n su\u1ea5t suy dinh d\u01b0\u1ee1ng, nhi\u1ec5m tr\u00f9ng v\u00e0 m\u1ea5t n\u01b0\u1edbc t\u0103ng l\u00ean. B\u1ec7nh nh\u00e2n b\u1ecb CVT \u0111ang mang thai ho\u1eb7c d\u00f9ng thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng l\u00e2u d\u00e0i t\u1ed1t h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb CVT kh\u00f4ng mang thai. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n b\u1ecb \u0111au \u0111\u1ea7u lan t\u1ecfa, ti\u1ebfn tri\u1ec3n v\u00e0 li\u00ean t\u1ee5c, m\u1eb7c d\u00f9 10% b\u1ecb \u0111au \u0111\u1ea7u m\u1ea1nh, ki\u1ec3u xuy\u00ean th\u1ea5u.<\/span><\/span>\n<figure id=\"attachment_27521\" aria-describedby=\"caption-attachment-27521\" style=\"width: 881px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-27521\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0c156066e4864cef5b4912b54c88f65c.jpg\" alt=\"huyet-khoi-tinh-mach-nao\" width=\"881\" height=\"1018\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0c156066e4864cef5b4912b54c88f65c.jpg 881w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0c156066e4864cef5b4912b54c88f65c-260x300.jpg 260w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/0c156066e4864cef5b4912b54c88f65c-768x887.jpg 768w\" sizes=\"(max-width: 881px) 100vw, 881px\" \/><figcaption id=\"caption-attachment-27521\" class=\"wp-caption-text\">\u1ea2nh m\u00f4 t\u1ea3 huy\u1ebft kh\u1ed1i xoang t\u0129nh m\u1ea1ch g\u00e2y xu\u1ea5t huy\u1ebft trong nhu m\u00f4 n\u00e3o<\/figcaption><\/figure>\n<p>&nbsp;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c bao g\u1ed3m ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, co gi\u1eadt, ph\u00f9 gai th\u1ecb, c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a n\u1eeda b\u00ean ng\u01b0\u1eddi, l\u01a1 m\u01a1 v\u00e0 h\u00f4n m\u00ea. Bi\u1ec3u hi\u1ec7n c\u1ee5 th\u1ec3 ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed c\u1ee7a xoang m\u00e0ng c\u1ee9ng v\u00e0 t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u li\u00ean quan, tu\u1ea7n ho\u00e0n b\u00ean, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u00e1p l\u1ef1c n\u1ed9i s\u1ecd v\u00e0 b\u1ea5t k\u1ef3 xu\u1ea5t huy\u1ebft li\u00ean quan ho\u1eb7c nh\u1ed3i m\u00e1u t\u0129nh m\u1ea1ch n\u00e3o. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau v\u00e0 c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo th\u1eddi gian. N\u1ebfu kh\u00f4ng c\u00f3 thu\u1ed1c c\u1ea3n quang, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) n\u00e3o th\u01b0\u1eddng \u00e2m t\u00ednh, nh\u01b0ng 30% tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u gi\u00e1n ti\u1ebfp c\u1ee7a huy\u1ebft kh\u1ed1i ho\u1eb7c nh\u1ed3i m\u00e1u. Nh\u1ed3i m\u00e1u t\u0129nh m\u1ea1ch th\u01b0\u1eddng b\u1ecb chuy\u1ec3n d\u1ea1ng xu\u1ea5t huy\u1ebft. Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb n\u00e3o (MRI) v\u1edbi chu\u1ed7i xung spin echo l\u00e0 x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u trong ch\u1ea9n \u0111o\u00e1n CVT.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><strong>H\u1ed9i ch\u1ee9ng co m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c ( Reversible cerebral vasoconstriction syndrome &#8211; RCVS).<\/strong>\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 kh\u1edfi \u0111\u1ea7u \u0111\u1ed9t ng\u1ed9t c\u1ee7a \u0111au \u0111\u1ea7u s\u00e9t \u0111\u00e1nh. \u0110au \u0111\u1ea7u s\u00e9t \u0111\u00e1nh t\u00e1i ph\u00e1t h\u00e0ng ng\u00e0y trong v\u00e0i tu\u1ea7n sau m\u1ed9t c\u01a1n \u0111au \u0111\u1ea7u s\u00e9t \u0111\u00e1nh duy nh\u1ea5t g\u1ea7n nh\u01b0 l\u00e0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh. Nh\u1ee9c \u0111\u1ea7u th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi n\u00f4n m\u1eeda, l\u00fa l\u1eabn, s\u1ee3 \u00e1nh s\u00e1ng v\u00e0 thay \u0111\u1ed5i th\u1ecb gi\u00e1c. \u0110au \u0111\u1ea7u trong RCVS c\u00f3 th\u1ec3 b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi \u0111au \u0111\u1ea7u l\u00ednh canh (sentinel headache) do xu\u1ea5t huy\u1ebft d\u01b0\u1edbi nh\u1ec7n. S\u1ef1 t\u00e1i ph\u00e1t gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t. Khi co gi\u1eadt ho\u1eb7c khi\u1ebfm khuy\u1ebft th\u1ea7n kinh khu tr\u00fa ph\u00e1t tri\u1ec3n, ch\u00fang th\u01b0\u1eddng theo sau \u0111au \u0111\u1ea7u.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng tho\u00e1i lui sau 2-3 th\u00e1ng. Hai ph\u1ea7n ba s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb RCVS ph\u00e1t tri\u1ec3n c\u00e1c tri\u1ec7u ch\u1ee9ng trong v\u00f2ng m\u1ed9t tu\u1ea7n sau khi sinh v\u00e0 m\u1ed9t thai k\u1ef3 b\u00ecnh th\u01b0\u1eddng. RCVS kh\u00f4ng ch\u1ec9 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng sau sinh m\u00e0 c\u00f2n li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, ch\u1ea5t v\u1eadn m\u1ea1ch (bao g\u1ed3m thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin, cocaine v\u00e0 phenylpropanolamine), nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c, ch\u1ea5t n\u1ed9i sinh, kh\u1ed1i u ti\u1ebft ra m\u1ecf catecholamine, b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ed5-s\u1ecd v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c. M\u1eb7c d\u00f9 trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, RCVS c\u00f3 k\u1ebft qu\u1ea3 thu\u1eadn l\u1ee3i, nh\u01b0ng c\u00f3 m\u1ed9t kh\u1ea3 n\u0103ng ti\u1ebfn tri\u1ec3n kh\u00e1c nhau cho \u0111\u1ebfn k\u1ebft c\u1ee5c t\u1eed vong \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf b\u1ec7nh nh\u00e2n sau sinh.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 xu\u1ea5t huy\u1ebft d\u01b0\u1edbi nh\u1ec7n, sau \u0111\u00f3 l\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o v\u00e0 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 n\u00e3o. Bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft th\u01b0\u1eddng x\u1ea3y ra tr\u01b0\u1edbc c\u00e1c bi\u1ebfn ch\u1ee9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o ho\u1eb7c bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft, b\u1ec7nh s\u1ebd t\u1ef1 kh\u1ecfi. M\u1ed9t t\u1ef7 l\u1ec7 nh\u1ecf b\u1ec7nh nh\u00e2n b\u1ecb RCVS c\u0169ng b\u1ecb b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ed5-s\u1ecd. Tr\u1eeb khi c\u00f3 bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft, d\u1ecbch n\u00e3o t\u1ee7y th\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng nh\u01b0ng c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o lympho th\u1ea5p v\u00e0 t\u0103ng nh\u1eb9 protein.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ch\u1ea3y m\u00e1u, CT n\u00e3o th\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng. Lo ng\u1ea1i v\u1ec1 x\u1ea1 h\u00ecnh th\u1ea7n kinh (neuroradiological), \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i nh\u1eadn ra r\u1eb1ng RCVS l\u00e0 m\u1ed9t ti\u1ebfn tr\u00ecnh \u0111\u1ed9ng h\u1ecdc. TCD v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee5p m\u1ea1ch m\u00e1u tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp (CTA v\u00e0 MRA) r\u1ea5t h\u1eefu \u00edch nh\u01b0ng c\u00f3 th\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 b\u00ecnh th\u01b0\u1eddng d\u00f9 \u0111ang m\u1eafc b\u1ec7nh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. Ch\u1ee5p m\u1ea1ch m\u00e1u tr\u1ef1c ti\u1ebfp c\u00f3 th\u1ec3 cho th\u1ea5y co \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch. C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n nh\u01b0 CT ho\u1eb7c MRI v\u1edbi chu\u1ed7i m\u1ea1ch m\u00e1u d\u01b0\u01a1ng t\u00ednh \u1edf kho\u1ea3ng 80% b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u00f4i khi c\u00f3 th\u1ec3 cho th\u1ea5y c\u00e1c khu v\u1ef1c gi\u00e3n n\u1edf v\u00e0 co th\u1eaft m\u1ea1ch m\u00e1u xen k\u1ebd m\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c v\u1edbi vi\u00eam m\u1ea1ch m\u00e1u. Doppler xuy\u00ean s\u1ecd c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i s\u1ef1 kh\u1ecfi c\u1ee7a co m\u1ea1ch.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><strong>H\u1ed9i ch\u1ee9ng b\u1ec7nh n\u00e3o n\u00e3o c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c ( Posterior reversible encephalopathy syndrome &#8211; PRES).<\/strong>\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0\u0110\u00e2y l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng b\u1edfi \u0111au \u0111\u1ea7u, co gi\u1eadt, b\u1ec7nh n\u00e3o v\u00e0 r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c do ph\u00f9 n\u1ec1 m\u1ea1ch c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c \u0111\u01b0\u1ee3c ch\u1ee9ng minh b\u1eb1ng X quang th\u1ea7n kinh (CT ho\u1eb7c MRI) c\u1ee7a n\u00e3o. PRES c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u1ea5p t\u00ednh, ti\u1ec1n s\u1ea3n gi\u1eadt ho\u1eb7c s\u1ea3n gi\u1eadt, b\u1ec7nh th\u1eadn v\u00e0 nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 \u1edf nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t tri\u1ec3n m\u00e0 kh\u00f4ng c\u00f3 ti\u1ec1n tri\u1ec7u v\u00e0 ti\u1ebfn tri\u1ec3n nhanh ch\u00f3ng trong 12-48 gi\u1edd. Kho\u1ea3ng 90% b\u1ec7nh nh\u00e2n b\u1ecb co gi\u1eadt to\u00e0n th\u1ec3 (tonic-clonic)\u00a0 khu tr\u00fa v\u00e0 th\u1ee9 ph\u00e1t to\u00e0n th\u1ec3 h\u00f3a; co gi\u1eadt th\u01b0\u1eddng x\u1ea3y ra tr\u01b0\u1edbc nh\u1eefng thay \u0111\u1ed5i v\u1ec1 th\u1ecb gi\u00e1c v\u1edbi m\u1edd m\u1eaft hai b\u00ean v\u00e0 \u0111au \u0111\u1ea7u. C\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng. Lo ng\u1ea1i \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ee7a ph\u00f9 m\u1ea1ch, ch\u1ee7 y\u1ebfu n\u1eb1m \u1edf th\u00f9y ch\u1ea9m, kho\u1ea3ng 40% b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ecb gi\u00e1c nh\u01b0 \u1ea3o th\u1ecb, m\u1edd m\u1eaft, \u00e1m \u0111i\u1ec3m v\u00e0 song th\u1ecb; 1\u201315% b\u1ec7nh nh\u00e2n b\u1ecb m\u00f9 v\u1ecf n\u00e3o tho\u00e1ng qua. V\u00f5ng m\u1ea1c v\u00e0 \u0111\u1ed3ng t\u1eed l\u00e0 b\u00ecnh th\u01b0\u1eddng. Nhi\u1ec1u b\u1ec7nh nh\u00e2n l\u00fa l\u1eabn v\u00e0 m\u1ea5t tr\u00ed nh\u1edb.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Theo d\u00f5i \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ho\u1ea1t \u0111\u1ed9ng \u0111\u1ed9ng kinh. CT s\u1ebd ch\u1ec9 cho th\u1ea5y ph\u00f9 n\u1ec1 \u1edf 50\u201360% b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n c\u1ea7n ch\u1ee5p MRI khi nghi ng\u1edd PRES. MRI n\u00e3o cho th\u1ea5y ph\u00f9 n\u1ec1 khu tr\u00fa, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf th\u00f9y \u0111\u1ec9nh v\u00e0 th\u00f9y ch\u1ea9m. Kh\u00f4ng gi\u1ed1ng nh\u01b0 t\u1ed5n th\u01b0\u01a1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u1ee7a \u0111\u1ed9ng m\u1ea1ch n\u00e3o sau, t\u1ed5n th\u01b0\u01a1ng ch\u1ea9m kh\u00f4ng ch\u1ea1m \u0111\u1ebfn th\u00f9y ch\u1ea9m gi\u1eefa (medial occipital lobe) v\u00e0 v\u1ecf khe c\u1ef1a (calcarine cortex). Kho\u1ea3ng m\u1ed9t ph\u1ea7n ba s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb ph\u00f9 n\u1ec1 \u1edf c\u00e1c khu v\u1ef1c kh\u00e1c c\u1ee7a n\u00e3o, nh\u01b0ng h\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 \u0111\u1ec1u c\u00f3 li\u00ean quan \u0111\u1ebfn v\u00f9ng n\u00e3o sau \u0111\u1ed3ng th\u1eddi.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0C\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ecb gi\u00e1c th\u01b0\u1eddng thuy\u00ean gi\u1ea3m ho\u00e0n to\u00e0n trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y; C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00f9 tr\u00ean h\u00ecnh \u1ea3nh th\u1ea7n kinh m\u1ea5t nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 kh\u1ecfi h\u01a1n so v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng. Hi\u1ebfm khi, ph\u1ee5 n\u1eef mang thai ho\u1eb7c sau sinh ph\u00e1t tri\u1ec3n PRES v\u00ec c\u00e1c l\u00fd do kh\u00e1c (ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c) ch\u1ee9 kh\u00f4ng ph\u1ea3i do s\u1ea3n gi\u1eadt. Do \u0111\u00f3, m\u1eb7c d\u00f9 c\u00f3 s\u1ef1 ch\u1ed3ng ch\u00e9o \u1edf h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n, s\u1ea3n gi\u1eadt v\u00e0 PRES c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1ed9c l\u1eadp.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c nghi\u00ean c\u1ee9u so s\u00e1nh c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 X quang c\u1ee7a PRES \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng mang thai v\u1edbi b\u1ec7nh nh\u00e2n mang thai \u0111\u00e3 cho th\u1ea5y k\u1ebft qu\u1ea3 kh\u00e1c nhau. PRES v\u00e0 RCVS chia s\u1ebb m\u1ed9t ph\u1ea7n c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 gi\u1ed1ng nhau v\u00e0 c\u00f3 th\u1ec3 c\u00f9ng t\u1ed3n t\u1ea1i. C\u00e1c t\u1ed5n th\u01b0\u01a1ng PRES kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c n\u1ebfu c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y ra PRES kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf.<\/span><\/li>\n<\/ul>\n<p><strong>Bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh t\u1eeb s\u1ea3n gi\u1eadt.\u00a0<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Co gi\u1eadt l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng c\u1ee7a s\u1ea3n gi\u1eadt. Co gi\u1eadt trong s\u1ea3n gi\u1eadt th\u01b0\u1eddng l\u00e0 co gi\u1eadt-co c\u1ee9ng to\u00e0n th\u1ec3 h\u00f3a v\u00e0 k\u00e9o d\u00e0i kho\u1ea3ng 1 ph\u00fat. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra tr\u01b0\u1edbc co gi\u1eadt bao g\u1ed3m \u0111au \u0111\u1ea7u dai d\u1eb3ng \u1edf tr\u00e1n ho\u1eb7c ch\u1ea9m, m\u1edd m\u1eaft, s\u1ee3 \u00e1nh s\u00e1ng \u1edf g\u00f3c ph\u1ea7n t\u01b0 ph\u00eda tr\u00ean b\u00ean ph\u1ea3i ho\u1eb7c \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb v\u00e0 thay \u0111\u1ed5i \u00fd th\u1ee9c.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trong kho\u1ea3ng m\u1ed9t ph\u1ea7n ba c\u00e1c tr\u01b0\u1eddng h\u1ee3p, kh\u00f4ng c\u00f3 t\u0103ng huy\u1ebft \u00e1p hay protein ni\u1ec7u \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o tr\u01b0\u1edbc khi co gi\u1eadt. C\u00f3 m\u1ed9t s\u1ed1 gi\u1ea3 thuy\u1ebft v\u1ec1 c\u01a1 ch\u1ebf co gi\u1eadt s\u1ea3n gi\u1eadt: thay \u0111\u1ed5i t\u1ef1 \u0111i\u1ec1u h\u00f2a m\u1ea1ch m\u00e1u n\u00e3o trong ph\u1ea3n \u1ee9ng v\u1edbi t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn co th\u1eaft \u0111\u1ed9ng m\u1ea1ch v\u00e0 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 sau \u0111\u00f3 v\u1edbi ph\u00f9 n\u1ec1 g\u00e2y \u0111\u1ed9c t\u1ebf b\u00e0o; Ngo\u00e0i ra, m\u1ea5t kh\u1ea3 n\u0103ng t\u1ef1 \u0111i\u1ec1u h\u00f2a \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4, l\u00e0m t\u0103ng t\u00ednh th\u1ea5m mao m\u1ea1ch v\u1edbi ph\u00f9 n\u1ec1 do VAS; b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e0y c\u0169ng c\u00f3 th\u1ec3 g\u00e2y PRES ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 xu\u1ea5t huy\u1ebft.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0M\u1eb7c d\u00f9 ph\u00f9 m\u1ea1ch khu tr\u00fa l\u00e0 \u0111\u1eb7c tr\u01b0ng c\u1ee7a s\u1ea3n gi\u1eadt, nh\u01b0ng c\u00f3 \u0111\u1ebfn m\u1ed9t ph\u1ea7n t\u01b0 b\u1ec7nh nh\u00e2n c\u00f3 v\u00f9ng ph\u00f9 n\u1ec1 g\u00e2y \u0111\u1ed9c t\u1ebf b\u00e0o dai d\u1eb3ng, t\u01b0\u01a1ng \u1ee9ng v\u1edbi thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ho\u1eb7c xu\u1ea5t huy\u1ebft khu tr\u00fa. Do \u0111\u00f3, c\u00e1c khu v\u1ef1c thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ho\u1eb7c xu\u1ea5t huy\u1ebft c\u1ee7a PRES v\u00e0 RCVS c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y co gi\u1eadt s\u1ea3n gi\u1eadt. Kho\u1ea3ng 90% tr\u01b0\u1eddng h\u1ee3p s\u1ea3n gi\u1eadt x\u1ea3y ra v\u00e0o l\u00fac ho\u1eb7c sau 28 tu\u1ea7n tu\u1ed5i thai. Ch\u1ec9 h\u01a1n m\u1ed9t ph\u1ea7n ba c\u00e1c c\u01a1n s\u1ea3n gi\u1eadt x\u1ea3y ra v\u00e0o cu\u1ed1i thai k\u1ef3 v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong khi sinh ho\u1eb7c trong v\u00f2ng 48 gi\u1edd sau sinh. C\u00e1i g\u1ecdi l\u00e0 s\u1ea3n gi\u1eadt mu\u1ed9n ho\u1eb7c sau sinh, t\u1ee9c l\u00e0 s\u1ea3n gi\u1eadt b\u1eaft \u0111\u1ea7u h\u01a1n 48 gi\u1edd sau khi sinh, \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 \u0111ang t\u0103ng l\u00ean.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trong m\u1ed9t nghi\u00ean c\u1ee9u l\u1edbn v\u1ec1 s\u1ea3n gi\u1eadt sau sinh, hai ph\u1ea7n ba s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u00e0 t\u00e1i nh\u1eadp vi\u1ec7n do c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt sau sinh mu\u1ed9n, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u0111au \u0111\u1ea7u. T\u1ef7 l\u1ec7 ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 s\u1ea3n gi\u1eadt \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n sau khi sinh l\u00e0 11\u201355%, v\u00e0 con s\u1ed1 n\u00e0y c\u00f3 th\u1ec3 t\u0103ng l\u00ean khi nh\u1eadn bi\u1ebft tr\u01b0\u1edbc sinh t\u1ed1t h\u01a1n. Ph\u1ee5 n\u1eef sau sinh \u0111\u00f4i khi b\u1ecf qua c\u00e1c tri\u1ec7u ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111au \u0111\u1ea7u ho\u1eb7c \u0111au b\u1ee5ng v\u00e0 ch\u1ec9 t\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf sau khi co gi\u1eadt. B\u1ec7nh nh\u00e2n b\u1ecb s\u1ea3n gi\u1eadt sau sinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb s\u1ea3n gi\u1eadt sau sinh mu\u1ed9n, c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc m\u1edbi huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch n\u00e3o, xu\u1ea5t huy\u1ebft n\u00e3o v\u00e0 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 n\u00e3o c\u1ea5p t\u00ednh cao h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1eb7c d\u00f9 h\u1ea7u h\u1ebft ph\u1ee5 n\u1eef b\u1ecb s\u1ea3n gi\u1eadt \u0111i\u1ec3n h\u00ecnh kh\u00f4ng c\u1ea7n ki\u1ec3m tra h\u00ecnh \u1ea3nh th\u1ea7n kinh, nh\u01b0ng nh\u1eefng b\u1ec7nh nh\u00e2n s\u1ea3n gi\u1eadt sau chuy\u1ec3n d\u1ea1 c\u00f3 k\u00e8m khi\u1ebfm khuy\u1ebft th\u1ea7n kinh khu tr\u00fa, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c dai d\u1eb3ng v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1ng tr\u1ecb magi\u00ea, n\u00ean n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n, t\u1ed1t nh\u1ea5t l\u00e0 bao g\u1ed3m MRI n\u00e3o. C\u00e1c x\u00e9t nghi\u1ec7m X-quang th\u1ea7n kinh c\u0169ng c\u00f3 th\u1ec3 cho th\u1ea5y c\u00e1c v\u00f9ng co m\u1ea1ch ph\u00f9 h\u1ee3p v\u1edbi RCVS, v\u00e0, hi\u1ebfm khi, b\u1ec7nh nh\u00e2n mang thai, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi b\u1ecb RCVS, c\u00f3 th\u1ec3 b\u1ecb b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ed5-s\u1ecd. C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a XQ th\u1ea7n kinh \u1edf b\u1ec7nh nh\u00e2n ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 s\u1ea3n gi\u1eadt bao g\u1ed3m nh\u1ed3i m\u00e1u, xu\u1ea5t huy\u1ebft, co m\u1ea1ch, b\u00f3c t\u00e1ch v\u00e0 ph\u00f9 m\u1ea1ch v\u00e0 \u0111\u1ed9c t\u1ebf b\u00e0o.<\/span><\/li>\n<\/ul>\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n<ol class=\"c-breadcrumbs c-breadcrumbs--truncated\">\n<li id=\"breadcrumb1\" class=\"c-breadcrumbs__item\"><a class=\"c-breadcrumbs__link\" href=\"https:\/\/link.springer.com\/book\/10.1007\/978-3-030-51276-7\" data-track=\"click\" data-track-category=\"Chapter\" data-track-action=\"breadcrumbs\" data-track-label=\"breadcrumb2\">Decision Algorithms for Emergency Neurology<\/a>, pp 435\u2013508 &#8221; Neurological Emergencies in Pregnancy and Puerperium. &#8220;<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u1ee5 n\u1eef trong thai k\u1ef3\/h\u1eadu s\u1ea3n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh c\u1ea5p t\u00ednh l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t nh\u1ea1y c\u1ea3m m\u00e0 vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0169ng ph\u1ea3i t\u00ednh \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a thai hay em b\u00e9, trong tr\u01b0\u1eddng h\u1ee3p cho con b\u00fa. Th\u00f4ng qua b\u00e0i vi\u1ebft, xin g\u1eedi \u0111\u1ebfn \u0111\u1ecdc [&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>C\u1ea5p c\u1ee9u th\u1ea7n kinh trong thai k\u1ef3\/ h\u1eadu s\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 sinh l\u00fd b\u1ec7nh khi\u1ebfn ph\u1ee5 n\u1eef mang thai v\u00e0 sau sinh m\u1eafc c\u00e1c b\u1ec7nh th\u1ea7n kinh c\u1ea5p t\u00ednh.\u00a0C\u1ea7n \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi v\u00e0 nhanh ch\u00f3ng.\" \/>\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=\"C\u1ea5p c\u1ee9u th\u1ea7n kinh trong thai k\u1ef3\/ h\u1eadu s\u1ea3n - 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