{"id":28073,"date":"2023-04-27T23:02:25","date_gmt":"2023-04-27T16:02:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28073"},"modified":"2023-04-27T23:02:25","modified_gmt":"2023-04-27T16:02:25","slug":"viem-tuy-cat-ngang-nguyen-nhan-phan-loai-va-trieu-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/viem-tuy-cat-ngang-nguyen-nhan-phan-loai-va-trieu-chung\/","title":{"rendered":"Vi\u00eam t\u1ee7y c\u1eaft ngang: Nguy\u00ean nh\u00e2n, ph\u00e2n lo\u1ea1i v\u00e0 tri\u1ec7u ch\u1ee9ng"},"content":{"rendered":"<p><strong><a href=\"https:\/\/www.vinmec.com\/co-xuong-khop\/tu-van-bac-si\/dau-hieu-benh-viem-tuy-cat-ngang-la-gi\/?link_type=related_posts\">Vi\u00eam t\u1ee7y c\u1eaft ngang<\/a> l\u00e0 qu\u00e1 tr\u00ecnh vi\u00eam c\u1ee7a m\u1ed9t ho\u1eb7c nhi\u1ec1u khoanh t\u1ee7y li\u00ean ti\u1ebfp, th\u01b0\u1eddng l\u00e0 \u0111o\u1ea1n t\u1ee7y ng\u1ef1c, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00e1c neuron th\u1ea7n kinh, c\u00e1c b\u00f3 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c, th\u1ea7n kinh th\u1ef1c v\u1eadt ph\u00eda d\u01b0\u1edbi n\u01a1i t\u1ed5n th\u01b0\u01a1ng. B\u1ec7nh bi\u1ec3u hi\u1ec7n li\u1ec7t v\u1eadn \u0111\u1ed9ng, m\u1ea5t c\u1ea3m gi\u00e1c d\u01b0\u1edbi n\u01a1i t\u1ed5n th\u01b0\u01a1ng, r\u1ed1i lo\u1ea1n c\u01a1 tr\u00f2n,&#8230; Hay g\u1eb7p nh\u1ea5t \u1edf 10-19 tu\u1ed5i v\u00e0 30-39 tu\u1ed5i, \u0111\u1ed3ng \u0111\u1ec1u \u1edf hai gi\u1edbi.<\/strong><\/p>\n<h1>1.Nguy\u00ean nh\u00e2n<\/h1>\n<p>1.1.C\u1ea5p t\u00ednh<\/p>\n<ul>\n<li>Nh\u1ed3i m\u00e1u t\u1ee7y<\/li>\n<li>Thuy\u00ean t\u1eafc do m\u1ea3nh x\u01a1 s\u1ee5n<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng<\/li>\n<li>\u0110\u1ee5ng d\u1eadp t\u1ee7y<\/li>\n<li>M\u00e1u t\u1ee5 trong t\u1ee7y, ngo\u00e0i m\u00e0ng c\u1ee9ng t\u1ee7y<\/li>\n<\/ul>\n<p>1.2.B\u00e1n c\u1ea5p<\/p>\n<ul>\n<li>B\u1ec7nh vi\u00eam m\u1ea5t Myelin: Vi\u00eam n\u00e3o t\u1ee7y c\u1ea5p t\u00ednh r\u1ea3i r\u00e1c , x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, vi\u00eam t\u1ee7y th\u1ecb th\u1ea7n kinh.<\/li>\n<li>Sarcoidosis t\u1ee7y s\u1ed1ng<\/li>\n<li>H\u1ed9i ch\u1ee9ng c\u1eadn ung th\u01b0 ( ung th\u1ee9 v\u00fa v\u00e0 ung th\u01b0 ph\u1ed5i hay g\u1eb7p nh\u1ea5t).<\/li>\n<li>B\u1ec7nh m\u00f4 li\u00ean k\u1ebft, b\u1ec7nh h\u1ec7 th\u1ed1ng: SLE, Behcet, Sjogren.<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng: vi khu\u1ea9n ( giang mai, lao,&#8230;) v\u00e0 virus ( HSV, HIV,Enterovirus,&#8230;)<\/li>\n<li>K\u00fd sinh tr\u00f9ng<\/li>\n<\/ul>\n<p>1.3. Ti\u1ebfn tri\u1ec3n m\u1ea1n ( kh\u1edfi ph\u00e1t c\u1ea5p ho\u1eb7c b\u00e1n c\u1ea5p)<\/p>\n<ul>\n<li>U m\u1ea1ch d\u1ea1ng hang<\/li>\n<li>D\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch m\u00e0ng c\u1ee9ng t\u1ee7y<\/li>\n<li>X\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c ti\u00ean ph\u00e1t<\/li>\n<li>Sarcoidosis t\u1ee7y s\u1ed1ng<\/li>\n<li>C\u1eadn ung th\u01b0<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng : giang mai , lao, HTLV1, HIV<\/li>\n<li>U th\u1ea7n kinh \u0111\u1ec7m ti\u00ean ph\u00e1t t\u1ee7y<\/li>\n<li>Ung th\u01b0 di c\u0103n n\u1ed9i t\u1ee7y ho\u1eb7c ngo\u00e0i t\u1ee7y trong \u1ed1ng s\u1ed1ng<\/li>\n<li>Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng, ch\u1ea5n th\u01b0\u01a1ng g\u00e2y b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac t\u1ee7y<\/li>\n<li>Di truy\u1ec1n:\u00a0 H\u1ea1 li\u1ec7t c\u1ee9ng, lo\u1ea1n s\u1ea3n ch\u1ea5t tr\u1eafng v\u1ecf th\u01b0\u1ee3ng th\u1eadn,&#8230;<\/li>\n<li>Thi\u1ebfu dinh d\u01b0\u1ee1ng B12, \u0111\u1ed3ng, vitamin E<\/li>\n<li>Ng\u1ed9 \u0111\u1ed9c B6, N2O, Metrothexat trong \u1ed1ng s\u1ed1ng<\/li>\n<li>X\u1ea1 tr\u1ecb<\/li>\n<\/ul>\n<p>1.4.V\u00f4 c\u0103n:\u00a0 \u0111\u00e3 l\u00e0m h\u1ebft c\u00e1c th\u0103m d\u00f2 v\u1eabn kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n.<\/p>\n<h2>2. Ph\u00e2n lo\u1ea1i<\/h2>\n<p>2.1.Ph\u00e2n lo\u1ea1i theo t\u01b0\u01a1ng quan gi\u1eefa t\u1ed5n th\u01b0\u01a1ng t\u1ee7y v\u00e0 th\u00e0nh ph\u1ea7n ch\u1ea5t x\u00e1m b\u1ecb t\u1ed5n th\u01b0\u01a1ng, m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng lan theo chi\u1ec1u d\u1ecdc c\u1ee7a t\u1ee7y s\u1ed1ng:<\/p>\n<ul>\n<li>Vi\u00eam t\u1ee7y ngang b\u00e1n ph\u1ea7n: tri\u1ec7u ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng b\u1ea5t \u0111\u1ed1i x\u1ee9ng tr\u00ean l\u00e2m s\u00e0ng, t\u1ed5n th\u01b0\u01a1ng ch\u1ec9 lan kho\u1ea3ng 1-2 th\u00e2n \u0111\u1ed1t s\u1ed1ng.<\/li>\n<li>Vi\u00eam t\u1ee7y c\u1eaft ngang to\u00e0n ph\u1ea7n: tri\u1ec7u ch\u1ee9ng \u0111\u1ed1i x\u1ee9ng tr\u00ean l\u00e2m s\u00e0ng. Li\u1ec7t v\u1eadn \u0111\u1ed9ng, gi\u1ea3m c\u1ea3m gi\u00e1c v\u00e0 th\u1ea7n kinh t\u1ef1 ch\u1ee7 g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n.<\/li>\n<li>Vi\u00eam t\u1ee7y c\u1eaft ngang lan r\u1ed9ng theo chi\u1ec1u d\u00e0i (LETM): t\u1ed5n th\u01b0\u01a1ng g\u1ea7n ho\u00e0n to\u00e0n, chi\u1ebfm h\u1ea7u h\u1ebft chu vi t\u1ee7y, lan r\u1ed9n t\u1eeb 3 \u0111\u1ed1t s\u1ed1ng tr\u1edf l\u00ean.<\/li>\n<li>Vi\u00eam ch\u1ea5t x\u00e1m trung t\u00e2m t\u1ee7y s\u00f4ng\/ HC li\u1ec7t m\u1ec1m c\u1ea5p t\u00ednh (AFM): t\u1ed5n th\u01b0\u01a1ng neuron v\u1eadn \u0111\u1ed9ng d\u01b0\u1edbi d\u1eabn \u0111\u1ebfn li\u1ec7t, gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1.<\/li>\n<\/ul>\n<p>2.2.Ph\u00e2n lo\u1ea1i theo nguy\u00ean nh\u00e2n:<\/p>\n<ul>\n<li>Vi\u00eam t\u1ee7y li\u00ean quan b\u1ec7nh \u0111\u1eb7c hi\u1ec7u (nhi\u1ec5m tr\u00f9ng, qua trung gian mi\u1ec5n d\u1ecbch,&#8230;)<\/li>\n<li>Vi\u00eam t\u1ee7y c\u1eaft ngang v\u00f4 c\u0103n<\/li>\n<\/ul>\n<h3>3.Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam t\u1ee7y c\u1eaft ngang<\/h3>\n<p>-Tri\u1ec7u ch\u1ee9ng ti\u1ebfn tri\u1ec3n theo th\u1eddi gian:<\/p>\n<ul>\n<li>t\u1ed1i c\u1ea5p: d\u01b0\u1edbi 12 gi\u1edd<\/li>\n<li>c\u1ea5p\/b\u00e1n c\u1ea5p: 1-21 ng\u00e0y<\/li>\n<li>ti\u1ebfn tri\u1ec3n m\u1ea1n t\u00ednh (tri\u1ec7u ch\u1ee9ng ti\u1ebfn tri\u1ec3n n\u1eb7ng l\u00ean sau 21 ng\u00e0y)<img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/cdn1.youmed.vn\/tin-tuc\/wp-content\/uploads\/2020\/08\/transversemyelitis01mdbackpainfeversmrt28yo.jpg\" alt=\"vi\u00eam t\u1ee7y c\u1eaft ngang\" width=\"600\" height=\"600\" \/><\/li>\n<\/ul>\n<p>-V\u1eadn \u0111\u1ed9ng: Thi\u1ebfu s\u00f3t v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n nhanh t\u00f9y thu\u1ed9c v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng. Th\u01b0\u1eddng t\u1ed5n th\u01b0\u01a1ng \u0111o\u1ea1n t\u1ee7y ng\u1ef1c. Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh th\u01b0\u1eddng li\u1ec7t m\u1ec1m, sau \u0111\u00f3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 do t\u1ed5n th\u01b0\u01a1ng ch\u1ea5t tr\u1eafng. Y\u1ebfu li\u1ec7t m\u1ed9t ho\u1eb7c hai ch\u00e2n ti\u1ebfn tri\u1ec3n nhanh, c\u00f3 th\u1ec3 li\u1ec7t ho\u00e0n to\u00e0n hai ch\u00e2n b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u0111i l\u1ea1i \u0111\u01b0\u1ee3c. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng x\u1ea3y ra \u1edf t\u1ee7y c\u1ed5 th\u00ec b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 li\u1ec7t c\u1ea3 2 tay.<\/p>\n<p>-C\u1ea3m gi\u00e1c: R\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c \u0111i\u1ec3n h\u00ecnh hay g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u00e0 \u0111au, d\u1ecb c\u1ea3m, t\u00ea b\u00ec, ng\u1ee9a ran, l\u1ea1nh ho\u1eb7c n\u00f3ng r\u00e1t. Th\u01b0\u1eddng s\u1ebd c\u00f3 ranh gi\u1edbi r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c r\u00f5.<\/p>\n<ul>\n<li>C\u01a1n \u0111au bu\u1ed1t c\u00f3 th\u1ec3 lan d\u1ecdc xu\u1ed1ng ch\u00e2n, tay ho\u1eb7c xung quanh ng\u1ef1c, b\u1ee5ng c\u1ee7a b\u1ea1n. C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o ph\u1ea7n t\u1ee7y s\u1ed1ng c\u1ee7a b\u1ea1n b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/li>\n<li>T\u00ea b\u00ec, c\u00f3 th\u1ec3 c\u1ea3m gi\u00e1c nh\u01b0 kim ch\u00e2m, ki\u1ebfn b\u00f2 \u1edf tay ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh d\u01b0\u1edbi \u0111o\u1ea1n t\u1ee7y b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 th\u1ea5y l\u1ea1nh c\u00f3ng ho\u1eb7c n\u00f3ng r\u00e1t, \u0111\u00e8 n\u1eb7ng hay ch\u00e8n \u00e9p,.. .C\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng L&#8217;hermitte ( c\u1ea3m gi\u00e1c \u0111i\u1ec7n gi\u1eadt lan d\u1ecdc c\u1ed9t s\u1ed1ng t\u1edbi ng\u1ecdn chi khi c\u00fai c\u1ed5)<\/li>\n<\/ul>\n<p>-R\u1ed1i lo\u1ea1n c\u01a1 tr\u00f2n, \u0111\u1ea1i ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7, kh\u00f3 ti\u1ec3u, t\u00e1o b\u00f3n.<\/p>\n<p>-R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, m\u1ed9t bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a vi\u00eam t\u1ee7y c\u1eaft ngang. Nam gi\u1edbi g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c c\u01b0\u01a1ng c\u1ee9ng ho\u1eb7c \u0111\u1ea1t c\u1ef1c kho\u00e1i, ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 kh\u00f3 \u0111\u1ea1t c\u1ef1c kho\u00e1i.<\/p>\n<p>R\u1ea5t kh\u00f3 \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n di\u1ec5n bi\u1ebfn c\u1ee7a vi\u00eam t\u1ee7y c\u1eaft ngang. Ti\u00ean l\u01b0\u1ee3ng v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n, h\u1ed9i ch\u1ee9ng v\u00e0 m\u1ed9t ph\u1ea7n do c\u00e1ch \u0111i\u1ec1u tr\u1ecb \u0111\u00fang v\u00e0 s\u1edbm. B\u1ec7nh ti\u1ebfn tri\u1ec3n c\u00e0ng nhanh, ti\u00ean l\u01b0\u1ee3ng c\u00e0ng n\u1eb7ng.<\/p>\n<p>H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam t\u1ee7y c\u1eaft ngang \u00edt nh\u1ea5t c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c m\u1ed9t ph\u1ea7n. Qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 1 \u0111\u1ebfn 3 th\u00e1ng, ho\u1eb7c l\u00e2u h\u01a1n. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ti\u1ebfp t\u1ee5c t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. N\u1ebfu tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u x\u1ea3y ra nhanh, k\u00e8m theo li\u1ec7t ho\u00e0n to\u00e0n 2 ch\u00e2n th\u00ec ti\u00ean l\u01b0\u1ee3ng h\u1ed3i ph\u1ee5c s\u1ebd k\u00e9m h\u01a1n. Ch\u1ec9 kho\u1ea3ng 10-20 % b\u1ec7nh nh\u00e2n s\u1ebd b\u1ecb t\u00e1i ph\u00e1t.<\/p>\n<p>\u0110\u1ec3 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3, vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh c\u00f3 vai tr\u00f2 r\u1ea5t quan tr\u1ecdng. V\u00ec v\u1eady, khi ph\u00e1t hi\u1ec7n c\u01a1 th\u1ec3 xu\u1ea5t hi\u1ec7n nh\u1eefng bi\u1ec3u hi\u1ec7n l\u1ea1, b\u1ea1n n\u00ean \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf uy t\u00edn \u0111\u1ec3 kh\u00e1m. \u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i b\u1ec7nh vi\u1ec7n VINMEC, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 <b class=\"link-in-body\">HOTLINE<\/b>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp<a href=\"https:\/\/myvinmec.page.link\/download\">\u00a0<b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/myvinmec.page.link\/download\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam t\u1ee7y c\u1eaft ngang l\u00e0 qu\u00e1 tr\u00ecnh vi\u00eam c\u1ee7a m\u1ed9t ho\u1eb7c nhi\u1ec1u khoanh t\u1ee7y li\u00ean ti\u1ebfp, th\u01b0\u1eddng l\u00e0 \u0111o\u1ea1n t\u1ee7y ng\u1ef1c, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00e1c neuron th\u1ea7n kinh, c\u00e1c b\u00f3 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c, th\u1ea7n kinh th\u1ef1c v\u1eadt ph\u00eda d\u01b0\u1edbi n\u01a1i t\u1ed5n th\u01b0\u01a1ng. B\u1ec7nh bi\u1ec3u hi\u1ec7n li\u1ec7t v\u1eadn \u0111\u1ed9ng, m\u1ea5t c\u1ea3m [&hellip;]<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,32],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam t\u1ee7y c\u1eaft ngang: Nguy\u00ean nh\u00e2n, ph\u00e2n lo\u1ea1i v\u00e0 tri\u1ec7u ch\u1ee9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam t\u1ee7y c\u1eaft ngang l\u00e0 qu\u00e1 tr\u00ecnh vi\u00eam c\u1ee7a m\u1ed9t ho\u1eb7c nhi\u1ec1u khoanh t\u1ee7y li\u00ean ti\u1ebfp, th\u01b0\u1eddng l\u00e0 \u0111o\u1ea1n t\u1ee7y ng\u1ef1c, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00e1c neuron th\u1ea7n kinh, c\u00e1c b\u00f3 d\u1eabn truy\u1ec1n v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c, th\u1ea7n kinh th\u1ef1c v\u1eadt ph\u00eda d\u01b0\u1edbi n\u01a1i t\u1ed5n th\u01b0\u01a1ng. 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