{"id":28442,"date":"2023-04-26T18:58:48","date_gmt":"2023-04-26T11:58:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28442"},"modified":"2023-04-26T18:58:48","modified_gmt":"2023-04-26T11:58:48","slug":"phan-biet-roi-loan-tien-dinh-ngoai-bien-va-trung-uong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/phan-biet-roi-loan-tien-dinh-ngoai-bien-va-trung-uong\/","title":{"rendered":"Ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng"},"content":{"rendered":"

R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh<\/a> ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng l\u00e0 hai lo\u1ea1i r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh kh\u00e1c nhau, c\u00f3 nguy\u00ean nh\u00e2n v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, v\u00e0 y\u00eau c\u1ea7u ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. N\u1ebfu kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c gi\u1eefa hai lo\u1ea1i r\u1ed1i lo\u1ea1n n\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch v\u00e0 c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng. V\u00ec v\u1eady, vi\u1ec7c ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh.<\/strong><\/p>\n

\"\"
Ch\u00f3ng m\u1eb7t l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh<\/figcaption><\/figure>\n

1. T\u1ed5ng quan<\/h2>\n

R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n. R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i ch\u00ednh: ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 ti\u1ec1n \u0111\u00ecnh trung \u01b0\u01a1ng.<\/p>\n

Ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean l\u00e0 r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh g\u00e2y ra b\u1edfi s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng trong h\u1ec7 th\u1ea7n kinh c\u1ea3m gi\u00e1c c\u1ee7a tai. \u0110\u00e2y l\u00e0 lo\u1ea1i r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c xem l\u00e0 kh\u00f4ng nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe. Tuy nhi\u00ean, n\u00f3 c\u00f3 th\u1ec3 l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, ho\u1eb7c c\u00f3 nh\u1eefng c\u1ea3m gi\u00e1c xoay v\u00f2ng, l\u1eafc l\u01b0 khi \u0111\u1ee9ng d\u1eady ho\u1eb7c thay \u0111\u1ed5i v\u1ecb tr\u00ed \u0111\u1ed9t ng\u1ed9t.<\/p>\n

Ti\u1ec1n \u0111\u00ecnh trung \u01b0\u01a1ng l\u00e0 r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh g\u00e2y ra b\u1edfi s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng trong h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, bao g\u1ed3m n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng. \u0110\u00e2y l\u00e0 lo\u1ea1i r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh nguy hi\u1ec3m h\u01a1n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 \u0111\u1ed9t qu\u1ef5.<\/p>\n

2. Ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng<\/h2>\n

2.1. R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean<\/strong><\/h3>\n

Ch\u00f3ng m\u1eb7t<\/a> t\u01b0 th\u1ebf l\u00e0nh t\u00ednh: th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, ch\u1ed1ng m\u1eb7t ng\u1eafn (kh\u00f4ng qu\u00e1 1 ph\u00fat) khi thay \u0111\u1ed5i t\u01b0 th\u1ebf do ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u, vi\u00eam m\u00ea \u0111\u1ea1o si\u00eau vi, t\u1eafc m\u1ea1ch m\u00e1u v\u00e0 50% kh\u00f4ng r\u00f5 nguy\u00ean do.<\/span><\/p>\n

B\u1ec7nh l\u00fd ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean c\u1ea5p (vi\u00eam m\u00ea \u0111\u1ea1o c\u1ea5p): th\u01b0\u1eddng g\u1eb7p nh\u1ea5t <\/span>\u1edf <\/span><\/i>b\u1ea5t k\u1ef3 tu\u1ed5i n\u00e0o. Kh\u1edfi \u0111\u1ea7u ch\u00f3ng m\u1eb7t c\u1ea5p, n\u00f4n, bu\u1ed3n n\u00f4n, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng tai, k\u00e9o d\u00e0i nhi\u1ec1u ng\u00e0y h\u1ea7u h\u1ebft c\u1ea3i thi\u1ec7n sau 1 \u0111\u1ebfn <\/span>2 <\/span><\/i>tu\u1ea7n, \u0111\u00f4i khi t\u00e1i ph\u00e1t hay th\u00e0nh d\u1ecbch nhi\u1ec1u ng\u01b0\u1eddi trong gia \u0111\u00ecnh b\u1ecb v\u00e0 ngh\u0129 nhi\u1ec1u do si\u00eau vi nh\u01b0ng ph\u00e2n l\u1eadp kh\u00f4ng th\u00e0nh c\u00f4ng; nh\u01b0ng ch\u1ea5n th\u01b0\u01a1ng, b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u v\u00e0 r\u1ed1i Lo\u1ea1n mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 hi\u1ec7n di\u1ec7n t\u01b0\u01a1ng t\u1ef1. C\u01a1n t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 x\u1ea3y ra th\u01b0\u1eddng nh\u1eb9 h\u01a1n (s\u1ef1 m\u1ea5t b\u00f9).<\/span><\/p>\n

B\u1ec7nh Meniere: \u0110\u1eb7c \u0111i\u1ec3m c\u01a1n ch\u00f3ng m\u1eb7t n\u1eb7ng v\u00e0 n\u00f4n \u00f3i k\u00e9o d\u00e0i t\u1eeb v\u00e0i ph\u00fat \u0111\u1ebfn v\u00e0i gi\u1edd, c\u01a1n ph\u1ed1i h\u1ee3p \u00f9 tai gi\u1ea3m th\u00ednh l\u1ef1c v\u00e0 c\u1ea3m th\u1ea5y \u0111\u1eb7c tai. M\u1eb7c d\u00f9 th\u00ednh l\u1ef1c c\u1ea3i thi\u1ec7n sau c\u01a1n, sau th\u1eddi gian d\u00e0i m\u1ea5t th\u00ednh l\u1ef1c th\u01b0\u1eddng x\u1ea3y ra. Nguy\u00ean nh\u00e2n do t\u0103ng th\u1ec3 t\u00edch n\u1ed9i d\u1ecbch v\u00e0 gi\u00e3n l\u00f2ng \u1ed1ng n\u1ed9i d\u1ecbch.<\/span><\/p>\n

Ch\u00f3ng m\u1eb7t sau ch\u1ea5n th\u01b0\u01a1ng: H\u1ed9i ch\u1ee9ng sau ch\u1ea5n \u0111\u1ed9ng n\u00e3o th\u01b0\u1eddng cho\u00e1ng v\u00e1ng, h\u1ed3i h\u1ed9p, kh\u00f3 t\u1eadp trung, \u0111au \u0111\u1ea7u, s\u1ee3 \u00e1nh s\u00e1ng c\u01a1 ch\u1ebf kh\u00f4ng r\u00f5.<\/span><\/p>\n

C\u00e1c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean kh\u00e1c c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi vi\u00eam tai x\u01b0\u01a1ng ch\u0169m m\u1ea1n t\u00ednh, x\u01a1 c\u1ee9ng tai, nhi\u1ec1u lo\u1ea1i thu\u1ed1c g\u00e2y t\u1ed5n th\u01b0\u01a1ng tai, ti\u1ec1n \u0111\u00ecnh.<\/span><\/p>\n

2.2. R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh trung \u01b0\u01a1ng<\/strong><\/h3>\n

Thi\u1ec3u n\u0103ng tu\u1ea7n ho\u00e0n n\u00e3o: H\u1ec7 \u0111\u1ed1t s\u1ed1ng th\u00e2n n\u1ec1n g\u00e2y ch\u00f3ng m\u1eb7t th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi gi\u00e0. S\u1ef1 ch\u00f3ng m\u1eb7t ph\u00e1t sinh t\u1eeb thi\u1ebfu m\u00e1u m\u00ea \u0111\u1ea1o, th\u00e2n n\u00e3o hay c\u00e1 hai th\u00ec ch\u01b0a r\u00f5, kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t th\u01b0\u1eddng k\u00e9o d\u00e0i v\u00e0i ph\u00fat k\u1ebft h\u1ee3p bu\u1ed3n n\u00f4n, n\u00f4n. Thi\u1ec3u n\u0103ng \u0111\u1ed9ng m\u1ea1ch c\u1ed9t s\u1ed1ng th\u00e2n n\u1ec1n th\u01b0\u01a1ng do x\u01a1 m\u1ee1 \u0111\u1ed9ng m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n, s\u1ed1ng, th\u00e2n n\u1ec1n \u0111\u00f4i khi do h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf, c\u01a1n Stokes-Adams hay ch\u00e8n \u00e9p do tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng c\u1ed5.<\/span><\/p>\n

\u0110\u1ed9t qu\u1ef5: nh\u1ed3i m\u00e1u v\u00f9ng h\u00e0nh t\u1ee7y n b\u00ean (h\u1ed9i ch\u1ee9ng Wallenberg) v\u1ec1 h\u1ea7u h\u1ebft do t\u1eafc \u0111\u1ed9ng m\u1ea1ch s\u1ed1ng \u1edf \u0111o\u1ea1n g\u1ea7n. \u0110\u00f4i khi nh\u0169n hay xu\u1ea5t huy\u1ebft ti\u1ec3u n\u00e3o hi\u1ec7n di\u1ec7n v\u1edbi ch\u00f3ng m\u1eb7t n\u00f4n \u00f3i v\u00e0 th\u1ea5t \u0111i\u1ec1u ch\u1ea9n \u0111o\u00e1n nh\u1ea7m ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean.<\/span><\/p>\n

C\u00e1c c\u0103n nguy\u00ean trung \u01b0\u01a1ng kh\u00e1c: U g\u1ed1c c\u1ea7u ti\u1ec3u n\u00e3o, x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c.<\/span><\/p>\n

3. Vai tr\u00f2 c\u1ee7a ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh<\/h2>\n

Ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean th\u01b0\u1eddng kh\u00f4ng nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe, tuy nhi\u00ean, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110i\u1ec1u tr\u1ecb cho lo\u1ea1i n\u00e0y th\u01b0\u1eddng bao g\u1ed3m thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, d\u00f9ng thu\u1ed1c ho\u1eb7c th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp c\u00e2n b\u1eb1ng. Trong khi \u0111\u00f3, r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh trung \u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c. \u0110i\u1ec1u tr\u1ecb cho lo\u1ea1i n\u00e0y th\u01b0\u1eddng bao g\u1ed3m thu\u1ed1c v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n

R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n. Ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Ngo\u00e0i ra, ph\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng c\u0169ng gi\u00fap cho c\u00e1c b\u00e1c s\u0129 v\u00e0 chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh t\u1eadt, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 h\u01a1n. R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean th\u01b0\u1eddng kh\u00f4ng nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe, tuy nhi\u00ean, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Trong khi \u0111\u00f3, r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh trung \u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: Th\u1ea7n kinh h\u1ecdc- \u0110H Y TP H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng l\u00e0 hai lo\u1ea1i r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh kh\u00e1c nhau, c\u00f3 nguy\u00ean nh\u00e2n v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, v\u00e0 y\u00eau c\u1ea7u ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. N\u1ebfu kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c gi\u1eefa hai lo\u1ea1i r\u1ed1i lo\u1ea1n n\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nPh\u00e2n bi\u1ec7t r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh ngo\u1ea1i bi\u00ean v\u00e0 trung \u01b0\u01a1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"R\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu v\u00e0 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n. 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