{"id":27983,"date":"2023-04-26T16:55:49","date_gmt":"2023-04-26T09:55:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27983"},"modified":"2023-04-26T16:55:49","modified_gmt":"2023-04-26T09:55:49","slug":"cac-hoi-chung-chat-xam-tuy-song","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/","title":{"rendered":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng"},"content":{"rendered":"<p><strong>C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m l\u00e0 nh\u1eefng h\u1ed9i ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 t\u1ee7y s\u1ed1ng. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 gi\u1ea3i ph\u1eabu, ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y s\u1ed1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ea5t x\u00e1m gi\u00fap \u0111\u1ecbnh h\u01b0\u1edbng t\u1ed1t h\u01a1n t\u1ed5n th\u01b0\u01a1ng v\u00f9ng ch\u1ea5t x\u00e1m, ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng.\u00a0<\/strong><\/p>\n<h2><span style=\"font-weight: 400;\">1. Ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">H\u1ec7 th\u1ed1ng h\u00f3a ch\u1ea5t x\u00e1m d\u1ef1a tr\u00ean c\u01a1 s\u1edf c\u1ea5u th\u00e0nh t\u1eeb ph\u00f4i:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u01b0\u1edbc \u0111\u1ea7u, ch\u1ea5t x\u00e1m c\u1ee7a t\u1ee7y s\u1ed1ng c\u00f3 s\u1ef1 ph\u00e2n bi\u1ec7t: h\u1ec7 ti\u1ebfp ngo\u1ea1i v\u00e0 h\u1ec7 th\u1ef1c v\u1eadt. Hai s\u1eebng tr\u01b0\u1edbc v\u00e0 sau \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng ti\u1ebfp ngo\u1ea1i &#8211; ngo\u1ea1i b\u1ea3n th\u1ec3 (x\u01b0\u01a1ng, da, c\u01a1 b\u00ec). Ph\u1ea7n trung gian \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng n\u1ed9i th\u1ec3 &#8211; n\u1ed9i t\u1ea1ng t\u1eeb l\u00e0 th\u1ea7n kinh th\u1ef1c v\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u01b0\u1edbc th\u1ee9 hai, c\u00f3 s\u1ef1 ph\u00e2n c\u00f4ng ch\u1ee9c n\u0103ng. Ph\u1ea7n tr\u01b0\u1edbc (ph\u1ea7n tr\u01b0\u1edbc k\u00eanh gi\u1eefa c\u1ee7a ch\u1ea5t x\u00e1m) c\u00f3 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, c\u00f2n ph\u1ea7n sau l\u00e0 ch\u1ee9c n\u0103ng c\u1ea3m gi\u00e1c.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">K\u1ebft h\u1ee3p hai b\u01b0\u1edbc tr\u00ean, ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 4 v\u00f9ng: v\u1eadn \u0111\u1ed9ng ti\u1ebfp ngo\u1ea1i, c\u1ea3m gi\u00e1c ti\u1ebfp ngo\u1ea1i, v\u1eadn \u0111\u1ed9ng th\u1ef1c v\u1eadt v\u00e0 c\u1ea3m gi\u00e1c th\u1ef1c v\u1eadt.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u01b0\u1edbc th\u1ee9 ba: c\u00f3 s\u1ef1 ph\u00e2n khu \u1edf ch\u1ea5t x\u00e1m. M\u1ed7i v\u00f9ng chia th\u00e0nh hai khu, m\u1ed7i khu c\u00f3 m\u1ed9t ho\u1eb7c hai nh\u00e2n.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">1.1 V\u00f9ng v\u1eadn \u0111\u1ed9ng ti\u1ebfp ngo\u1ea1i<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">V\u00f9ng v\u1eadn \u0111\u1ed9ng ti\u1ebfp ngo\u1ea1i l\u00e0 trung t\u00e2m v\u1eadn \u0111\u1ed9ng h\u1eefu \u00fd c\u00e1c c\u01a1 v\u00e2n. V\u00f9ng n\u00e0y c\u00f3 2 nh\u00f3m nh\u00e2n:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00e2n gi\u1eefa hay l\u00e0 tr\u01b0\u1edbc trong chi ph\u1ed1i c\u00e1c c\u01a1 tr\u1ee5c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00e2n b\u00ean hay l\u00e0 tr\u01b0\u1edbc ngo\u00e0i chi ph\u1ed1i c\u00e1c c\u01a1 th\u00e0nh v\u00e0 c\u00e1c chi<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u1ede t\u1ee7y c\u1ed5 tr\u00ean, nh\u00e2n gi\u1eefa ph\u1ee5 tr\u00e1ch v\u1eadn \u0111\u1ed9ng c\u01a1 g\u00e1y c\u00f2n nh\u00e2n b\u00ean cho ngu\u1ed3n g\u1ed1c d\u00e2y XI. T\u1ee7y chi ph\u1ed1i v\u1eadn \u0111\u1ed9ng c\u00e1c c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m, c\u01a1 thang (\u1edf \u0111\u00e2y s\u1ee3i ra \u0111i ngang)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1eb7c bi\u1ec7t \u1edf c\u00e1c ch\u1ed7 ph\u00ecnh, c\u00e1c nh\u00e2n gi\u1eefa chi ph\u1ed1i c\u00e1c c\u01a1 \u0111ai (hay c\u01a1 \u1edf g\u1ed1c chi) c\u00f2n c\u00e1c nh\u00e2n b\u00ean chi ph\u1ed1i c\u00e1c c\u01a1 ng\u1ecdn chi v\u00e0 c\u1ea3 hai \u0111\u1ec1u c\u00f3 hai nh\u00f3m. Nh\u00f3m tr\u01b0\u1edbc l\u00e0 c\u01a1 du\u1ed7i v\u00e0 nh\u00f3m sau l\u00e0 c\u01a1 g\u1ea5p.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1.2 V\u00f9ng c\u1ea3m gi\u00e1c ti\u1ebfp ngo\u1ea1i<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">V\u00f9ng c\u1ea3m gi\u00e1c ti\u1ebfp ngo\u1ea1i chia th\u00e0nh hai nh\u00f3m nh\u00e2n:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00f3m nh\u00e2n \u1edf \u0111\u1ea7u s\u1eebng sau: h\u1ee3p v\u1edbi noron th\u1ee9 hai c\u1ee7a \u0111\u01b0\u1eddng c\u1ea3m gi\u00e1c ngo\u1ea1i th\u1ec3 (kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c nh\u00f3m \u0111au, nh\u00f3m l\u1ea1nh).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00f3m nh\u00e2n \u1edf n\u1ec1n s\u1eebng sau: \u0111\u00f3 l\u00e0 nh\u1eefng c\u1ea3m gi\u00e1c b\u1ea3n th\u1ec3 kh\u00f4ng \u00fd th\u1ee9c, l\u00e0 \u0111\u01b0\u1eddng v\u00f2ng kh\u00f4ng qua n\u00e3o s\u1ebd qua ti\u1ec3u n\u00e3o \u0111\u1ec3 \u0111i\u1ec1u khi\u1ec3n t\u1ef1 \u0111\u1ed9ng. \u1ede ph\u00eda ngo\u00e0i l\u00e0 nh\u00e2n Bechterev, \u1edf ph\u00eda trong l\u00e0 nh\u00e2n Clarke (c\u00f3 \u1edf t\u1ee7y l\u01b0ng v\u00e0 t\u1ee7y th\u1eaft l\u01b0ng)<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">1.3 V\u00f9ng th\u1ef1c v\u1eadt n\u1ed9i t\u1ea1ng<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c v\u00f9ng th\u1ef1c v\u1eadt n\u1ed9i t\u1ea1ng v\u1ec1 v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c m\u1eb7c d\u00f9 trong s\u01a1 \u0111\u1ed3 c\u00f3 n\u00eau nh\u1eefng ph\u00e2n bi\u1ec7t giao c\u1ea3m v\u00e0 c\u1eadn giao c\u1ea3m<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><em>V\u00f9ng giao c\u1ea3m <\/em>\u0111i su\u1ed1t d\u1ecdc t\u1ee7y s\u1ed1ng v\u1edbi hai c\u1ed9t nh\u00e2n: nh\u00e2n trung gian trong s\u00e1t v\u1edbi k\u00eanh \u1ed1ng n\u1ed9i t\u1ee7y v\u00e0 nh\u00e2n trung trung gian. B\u00ecnh th\u01b0\u1eddng \u1edf t\u1ee7y c\u1ed5 tr\u00ean v\u00e0 l\u01b0ng tr\u00ean th\u00e0nh s\u1eebng b\u00ean. Theo chi\u1ec1u d\u1ecdc, \u0111\u00e2y l\u00e0 nh\u1eefng h\u1ea1t n\u1ed1i v\u1edbi nhau nh\u01b0 chu\u1ed1i h\u1ea1t l\u1ea1i c\u00f3 c\u1ea7u b\u1eafc ngang.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><em>C\u1eadn giao c\u1ea3m<\/em>: ch\u1ec9 th\u1ea5y \u1edf t\u1ee7y c\u00f9ng. T\u1ea5t c\u1ea3 n\u1ed9i t\u1ea1ng t\u1eeb c\u00e1c khoang tr\u00ean do d\u00e2y X ph\u1ee5 tr\u00e1ch l\u00e0 \u1edf c\u1ed9t nh\u00e2n \u1edf n\u1ec1n s\u1eebng tr\u01b0\u1edbc<\/span><\/p>\n<figure id=\"attachment_28012\" aria-describedby=\"caption-attachment-28012\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-28012\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/hinh-anh-cung-phan-xa-tuy--300x143.png\" alt=\"h\u00ecnh \u1ea3nh cung ph\u1ea3n x\u1ea1 t\u1ee7y\" width=\"300\" height=\"143\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/hinh-anh-cung-phan-xa-tuy--300x143.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/hinh-anh-cung-phan-xa-tuy--768x365.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/hinh-anh-cung-phan-xa-tuy-.png 991w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28012\" class=\"wp-caption-text\">h\u00ecnh \u1ea3nh cung ph\u1ea3n x\u1ea1 t\u1ee7y<\/figcaption><\/figure>\n<h2><span style=\"font-weight: 400;\">2. C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">2.1 H\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">&#8211; H\u1ed9i ch\u1ee9ng v\u1eadn \u0111\u1ed9ng ngo\u1ea1i bi\u00ean:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0 T\u1ed5n th\u01b0\u01a1ng t\u1ee7y ho\u1eb7c s\u1eebng tr\u01b0\u1edbc t\u1ee7y th\u01b0\u1eddng g\u1eb7p \u1edf giai \u0111o\u1ea1n c\u1ea5p t\u00ednh giai \u0111o\u1ea1n cu\u1ed1i. Bi\u1ec3u hi\u1ec7n chung l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng gi\u00e1n \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng v\u00f2ng cung ph\u1ea3n x\u1ea1 v\u1edbi li\u1ec7t v\u1eadn \u0111\u1ed9ng ngo\u1ea1i bi\u00ean (li\u1ec7t m\u1ec1m, m\u1ea5t ph\u1ea3n x\u1ea1, teo c\u01a1, r\u1ed1i lo\u1ea1n ph\u1ea3n \u1ee9ng \u0111i\u1ec7n).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0T\u1ed5n th\u01b0\u01a1ng k\u00edch th\u00edch th\u01b0\u1eddng g\u1eb7p \u1edf giai \u0111o\u1ea1n m\u1ea1n t\u00ednh v\u1edbi nh\u1eefng hi\u1ec7n t\u01b0\u1ee3ng gi\u1eadt c\u01a1, gi\u1eadt th\u1edb c\u01a1.<\/span><\/p>\n<p><b>Vi\u00eam s\u1eebng tr\u01b0\u1edbc t\u1ee7y c\u1ea5p<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Vi\u00eam s\u1eebng tr\u01b0\u1edbc t\u1ee7y c\u1ea5p l\u00e0 b\u1ec7nh do t\u1ed5n th\u01b0\u01a1ng n\u01a1ron v\u1eadn \u0111\u1ed9ng anpha c\u1ee7a \u0111\u01b0\u1eddng ch\u00f3t chung v\u1edbi t\u00ednh ch\u1ea5t li\u1ec7t t\u1ea5t c\u1ea3 m\u1ecdi h\u00ecnh th\u1ee9c v\u1eadn \u0111\u1ed9ng: li\u1ec7t ho\u00e0n to\u00e0n, li\u1ec7t m\u1ec1m m\u1ea5t ph\u1ea3n x\u1ea1, c\u00f3 teo c\u01a1, r\u1ed1i lo\u1ea1n ph\u1ea3n \u1ee9ng tho\u00e1i h\u00f3a \u0111i\u1ec7n v\u00e0 kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u01b0\u01a1ng t\u1ed5n th\u01b0\u1eddng r\u1ea3i r\u00e1c, \u1edf b\u1ea5t c\u1ee9 \u0111o\u1ea1n n\u00e0o, kh\u00f4ng h\u1ec7 th\u1ed1ng v\u00e0 kh\u00f4ng theo v\u1edbi di\u1ec5n bi\u1ebfn l\u00e2m s\u00e0ng<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1eb7c bi\u1ec7t vi\u00eam s\u1eebng tr\u01b0\u1edbc t\u1ee7y c\u1ea5p do virus b\u1ea1i li\u1ec7t. B\u1ec7nh b\u1ea1i li\u1ec7t c\u00f3 th\u1ec3 x\u00e2m ph\u1ea1m ch\u1ea5t x\u00e1m \u1edf th\u00e2n n\u00e3o v\u1edbi li\u1ec7t VII ngo\u1ea1i bi\u00ean \u1edf hai b\u00ean.\u00a0<\/span><\/p>\n<p><b>Vi\u00eam ch\u1ea5t x\u00e1m m\u1ea1n t\u00ednh<\/b><span style=\"font-weight: 400;\">: l\u00e0 nh\u1eefng b\u1ec7nh tho\u00e1i h\u00f3a c\u1ee7a t\u1ed5 ch\u1ee9c th\u1ea7n kinh<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u1ede ph\u00ecnh t\u1ee7y c\u1ed5, sau \u0111\u00f3 b\u1ecb teo c\u01a1 to\u00e0n b\u1ed9 do t\u1ee7y ti\u1ebfn tri\u1ec3n c\u1ee7a Aran Duchenne. L\u00e0 m\u1ed9t trong c\u00e1c lo\u1ea1i b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng th\u00e2n t\u1ebf b\u00e0o c\u1ee7a n\u01a1ron ngo\u1ea1i vi (v\u1edbi myelin s\u1ee3i\u00a0 tr\u1ee5c c\u00e1c r\u1ec5), v\u00e0 c\u00e1c s\u1ee3i b\u00f3 th\u00e1p ch\u00e9o. Th\u01b0\u1eddng t\u1ed5n th\u01b0\u01a1ng \u1edf hai b\u00ean, g\u1eb7p \u1edf tu\u1ed5i tr\u1ebb, nam nhi\u1ec1u h\u01a1n n\u1eef (3 nam : 1 n\u1eef)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ban \u0111\u1ea7u, t\u1ed5n th\u01b0\u01a1ng \u1edf v\u1ecb tr\u00ed t\u1ee7y c\u1ed5 &#8211; l\u01b0ng v\u1edbi li\u1ec7t ngo\u1ea1i bi\u00ean \u1edf tay ng\u1ef1c, r\u1ed3i b\u00e0n tay (teo c\u01a1 b\u00e0n tay), kh\u00f4ng c\u00f3 li\u1ec7t c\u1ee9ng; ban \u0111\u1ea7u ph\u1ea3n x\u1ea1 b\u00ecnh th\u01b0\u1eddng sau gi\u1ea3m v\u00e0 m\u1ea5t. Sau \u0111\u00f3, t\u1ed5n th\u01b0\u01a1ng lan xu\u1ed1ng chi d\u01b0\u1edbi v\u00e0 c\u1ea3 ng\u01b0\u1eddi<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u1ede t\u1ee7y l\u01b0ng, sau \u0111\u00f3 to\u00e0n b\u1ed9 vi\u00eam m\u1ea1n t\u00ednh r\u1ea3i r\u00e1c Werding &#8211; Hoffmann: B\u1ec7nh n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf tu\u1ed5i nh\u1ecf c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh, di truy\u1ec1n. B\u1eaft \u0111\u1ea7u \u1edf v\u00f9ng l\u01b0ng, th\u1eaft l\u01b0ng r\u1ed3i sau lan xu\u1ed1ng v\u00f9ng ch\u00e2n, v\u00f9ng vai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u1ede ph\u00ecnh t\u1ee7y th\u1eaft l\u01b0ng sau \u0111\u00f3 ph\u00e1t tri\u1ec3n l\u00ean. <\/span><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nguyen-nhan-gay-benh-charcot-marie-tooth-benh-teo-co-mac\/\"><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">B\u1ec7nh Charcot &#8211; Marie &#8211; Tooth<\/span><\/a><span style=\"font-weight: 400;\"> l\u00e0 b\u1ec7nh c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u1edf n\u01a1ron v\u1eadn \u0111\u1ed9ng ngo\u1ea1i bi\u00ean tr\u01b0\u1edbc v\u00e0 vi\u00eam d\u00e2y th\u1ea7n kinh k\u1ebd; ban \u0111\u1ea7u v\u00e0o d\u00e2y th\u1ea7n kinh h\u00f4ng, d\u00e2y th\u1ea7n kinh h\u00f4ng khoeo ngo\u00e0i, sau \u0111\u00f3 v\u00e0o ph\u00ecnh th\u1eaft l\u01b0ng v\u00e0 ph\u00ecnh c\u1ed5. Sau \u0111\u00f3 c\u0169ng t\u1ed5n th\u01b0\u01a1ng c\u1ea3 v\u00e0o r\u1ec5 sau v\u00e0 d\u1ea3i sau.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.2 H\u1ed9i ch\u1ee9ng s\u1eebng sau<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng s\u1eebng sau hay g\u1eb7p l\u00e0 nh\u1eefng h\u1ed9i ch\u1ee9ng c\u1ee7a h\u1ea1ch gai, th\u01b0\u1eddng g\u1eb7p l\u00e0 b\u1ec7nh Zona<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bi\u1ec3u hi\u1ec7n chung l\u00e0 h\u1ed9i ch\u1ee9ng \u0111au: \u0111au t\u1ef1 nhi\u00ean, \u0111au \u00e2m \u1ec9, nung n\u1ea5u, \u0111\u1ed3ng th\u1eddi c\u00f3 t\u0103ng c\u1ea3m gi\u00e1c \u1edf v\u00f9ng b\u1ecb \u0111au; kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u01b0\u1eddng khu tr\u00fa \u1edf m\u1ed9t v\u00f9ng r\u1ec5 v\u00e0 \u1edf m\u1ed9t b\u00ean, t\u1edbi \u0111\u00fang \u0111\u01b0\u1eddng gi\u1eefa. Sau khi v\u1ee1 b\u1ecdng Zona, \u0111au ch\u1ee7 quan c\u00f2n t\u1ed3n t\u1ea1i, c\u00f3 khi c\u00f2n \u0111au t\u0103ng h\u01a1n. \u1ede v\u00f9ng \u0111\u00f3 sau c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng m\u1ea5t c\u1ea3m gi\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00f3 3 th\u1ec3 l\u00e2m s\u00e0ng theo khu v\u1ef1c<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zona li\u00ean s\u01b0\u1eddn: th\u01b0\u1eddng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng \u0111au \u1edf ph\u00eda sau ng\u1ef1c, ho\u1eb7c ph\u00eda tr\u01b0\u1edbc ng\u1ef1c, \u0111\u00f4i khi \u1edf b\u00ean m\u1ea1n s\u01b0\u1eddn, v\u00e0 \u1edf nh\u1eefng ch\u1ed7 c\u00f3 nh\u1eefng b\u1ecdng Zona th\u00e0nh ch\u00f9m nh\u01b0 t\u1eebng ch\u00f9m nho.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zona th\u1ecb gi\u00e1c: th\u01b0\u1eddng th\u1ea5y nh\u1ee9c \u0111\u1ea7u \u1edf v\u00f9ng tr\u00e1n, \u0111\u1ec9nh, c\u00f3 n\u1ed5i m\u1ed9t s\u1ed1 b\u1ecdng \u1edf \u1ed5 m\u1eaft v\u00e0 c\u00f3 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng \u1edf m\u1eaft.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zona h\u1ea1ch g\u1ed1i: do vi\u00eam lan tr\u00e0n, \u00e9p v\u00e0o d\u00e2y VII, c\u00f3 li\u1ec7t ngo\u1ea1i bi\u00ean, \u0111\u1ed3ng th\u1eddi c\u00f3 nh\u1eefng b\u1ecdng Zona \u1edf m\u00e0ng nh\u0129.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">2.3 H\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec3n h\u00ecnh l\u00e0<\/span><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-rong-tuy-la-gi-va-nguy-hiem-ra-sao\/\"><span style=\"font-weight: 400;\"> b\u1ec7nh t\u1ee7y r\u1ed7ng<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u c\u1ee7a u n\u1ed9i t\u1ee7y (glicom), c\u00f3 khi l\u00e0 m\u1ed9t k\u00e9n kyste kho\u00e9t r\u1ed7ng \u1ed1ng t\u1ee7y (khuynh h\u01b0\u1edbng \u0111i v\u1ec1 ph\u00eda sau &#8211; ngh\u0129a l\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u00e9p x\u00e1m sau) v\u00e0 theo m\u1ed9t chi\u1ec1u d\u00e0i ch\u1eebng m\u1ed9t v\u00e0i khoanh t\u1ee7y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bi\u1ec3u hi\u1ec7n chung l\u00e0 ph\u00e2n ly c\u1ea3m gi\u00e1c ki\u1ec3u r\u1ed7ng t\u1ee7y: m\u1ea5t c\u1ea3m gi\u00e1c \u0111au, n\u00f3ng l\u1ea1nh v\u00e0 c\u00f2n c\u1ea3m gi\u00e1c th\u00f4 s\u01a1.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u01b0\u1eddng khu tr\u00fa \u1edf v\u00f9ng ph\u00ecnh t\u1ee7y c\u1ed5, sau \u0111\u00f3 ti\u1ebfn tri\u1ec3n theo chi\u1ec1u ngang v\u00e0 chi\u1ec1u d\u1ecdc. Theo chi\u1ec1u d\u1ecdc, t\u1ed5n th\u01b0\u01a1ng t\u1eeb ph\u00ecnh t\u1ee7y c\u1ed5 lan xu\u1ed1ng ph\u00ecnh t\u1ee7y th\u1eaft l\u01b0ng. Theo chi\u1ec1u r\u1ed9ng, t\u1ed5n th\u01b0\u01a1ng lan ra s\u1eebng b\u00ean, r\u1ed3i s\u1eebng tr\u01b0\u1edbc g\u00e2y r\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng th\u1ef1c v\u1eadt, v\u1eadn \u0111\u1ed9ng (nh\u01b0 c\u1ee7a vi\u00eam s\u1eebng tr\u01b0\u1edbc t\u1ee7y m\u1ea1n t\u00ednh), lo\u00e9t dinh d\u01b0\u1ee1ng \u1edf ch\u00e2n, li\u1ec7t ngo\u1ea1i bi\u00ean, teo tay (b\u00e0n tay kh\u1ec9). Ch\u00fa \u00fd ph\u00e2n \u0111\u1ecbnh v\u1edbi vi\u00eam d\u00e2y th\u1ea7n kinh trong b\u1ec7nh h\u1ee7i: teo c\u01a1 v\u00e0 m\u1ea5t c\u1ea3m gi\u00e1c.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m l\u00e0 nh\u1eefng h\u1ed9i ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 t\u1ee7y s\u1ed1ng. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 gi\u1ea3i ph\u1eabu, ch\u1ee9c n\u0103ng c\u1ee7a t\u1ee7y s\u1ed1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ea5t x\u00e1m gi\u00fap \u0111\u1ecbnh [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m.\" \/>\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\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng - Vinmec\" \/>\n<meta property=\"og:description\" content=\"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-26T09:55:49+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/hinh-anh-cung-phan-xa-tuy--300x143.png\" \/>\n<meta name=\"author\" content=\"Duyet Vu Hong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Duyet Vu Hong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 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\/26\/cac-hoi-chung-chat-xam-tuy-song\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/\",\"name\":\"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-26T09:55:49+00:00\",\"dateModified\":\"2023-04-26T09:55:49+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b3acb87ab3cf5a5e1c05914874837021\"},\"description\":\"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng\"}]},{\"@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\/b3acb87ab3cf5a5e1c05914874837021\",\"name\":\"Duyet Vu Hong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g\",\"caption\":\"Duyet Vu Hong\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/vuhongduyethmugmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng - Vinmec","description":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m.","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":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng - Vinmec","og_description":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/","og_site_name":"Vinmec","article_published_time":"2023-04-26T09:55:49+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/hinh-anh-cung-phan-xa-tuy--300x143.png"}],"author":"Duyet Vu Hong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Duyet Vu Hong","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/","name":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-26T09:55:49+00:00","dateModified":"2023-04-26T09:55:49+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b3acb87ab3cf5a5e1c05914874837021"},"description":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 h\u1ed9i ch\u1ee9ng s\u1eebng tr\u01b0\u1edbc, h\u1ed9i ch\u1ee9ng s\u1eebng sau, h\u1ed9i ch\u1ee9ng m\u00e9p x\u00e1m.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-hoi-chung-chat-xam-tuy-song\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"C\u00e1c h\u1ed9i ch\u1ee9ng ch\u1ea5t x\u00e1m t\u1ee7y s\u1ed1ng"}]},{"@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\/b3acb87ab3cf5a5e1c05914874837021","name":"Duyet Vu Hong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/9fca43b29ef8d2d734cc712a43f77cf6?s=96&d=mm&r=g","caption":"Duyet Vu Hong"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/vuhongduyethmugmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27983"}],"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\/26"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=27983"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27983\/revisions"}],"predecessor-version":[{"id":28626,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/27983\/revisions\/28626"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=27983"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=27983"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=27983"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}