{"id":28451,"date":"2023-04-25T22:22:54","date_gmt":"2023-04-25T15:22:54","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28451"},"modified":"2023-04-27T23:04:46","modified_gmt":"2023-04-27T16:04:46","slug":"co-che-benh-sinh-hoi-chung-guillain-barre","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/co-che-benh-sinh-hoi-chung-guillain-barre\/","title":{"rendered":"C\u01a1 ch\u1ebf b\u1ec7nh sinh h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9"},"content":{"rendered":"<p><strong>H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9 (GBS) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y li\u1ec7t m\u1ec1m c\u1ea5p t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra sau nhi\u1ec5m tr\u00f9ng, g\u00e2y \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ea1o n\u00ean c\u00e1c kh\u00e1ng th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ho\u1eb7c gi\u00e1n \u0111o\u1ea1n ch\u1ee9c n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a d\u00e2y th\u1ea7n kinh. H\u00e0ng n\u0103m t\u1ef7 l\u1ec7 m\u1eafc\u00a0 m\u1edbi 1-2\/100000 d\u00e2n. B\u1ec7nh hay g\u1eb7p \u1edf nam nhi\u1ec1u h\u01a1n n\u1eef. Trong b\u00e0i vi\u1ebft ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 chi ti\u1ebft v\u1ec1 c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a GBS.<\/strong><\/p>\n<h1>1.Y\u1ebfu t\u1ed1 kh\u1edfi ph\u00e1t<\/h1>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/tim-hieu-ve-hoi-chung-guillain-barre-viem-da-day-kinh-cap-tinh\/\">H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9<\/a>\u00a0 c\u00f3 76% xu\u1ea5t hi\u1ec7n sau 1-4 tu\u1ea7n b\u1ecb nhi\u1ec5m khu\u1ea9n, th\u01b0\u1eddng l\u00e0 sau nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, d\u1ea1 d\u00e0y -ru\u1ed9t. C\u0169ng c\u00f3 th\u1ec3 sau ph\u1eabu thu\u1eadt v\u00e0 ti\u00eam ch\u1ee7ng. Do s\u1ef1 li\u00ean quan m\u1eadt thi\u1ebft v\u1edbi nhi\u1ec5m tr\u00f9ng n\u00ean c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t t\u1ef7 l\u1ec7 m\u1edbi m\u1eafc gi\u1eefa c\u00e1c m\u00f9a trong n\u0103m. \u1ede c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c1 th\u01b0\u1eddng \u0111\u1ea1t \u0111\u1ec9nh v\u00e0o c\u00e1c th\u00e1ng m\u00f9a h\u00e8.<\/p>\n<ul>\n<li>Th\u01b0\u01a1\u0300ng g\u0103\u0323p nh\u00e2\u0301t la\u0300: \u00a0<em>Campylobacter jeuni &#8211; <\/em>tr\u1ef1c khu\u1ea9n gram \u00e2m c\u00f3 trong vi\u00eam da\u0323 da\u0300y, chi\u1ebfm 13-72% .<\/li>\n<li>\u00cdt g\u0103\u0323p h\u01a1n: nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean do <em>Cytomegalo virus (CMV)<\/em>,\u00a0<em>Epstein-barr virus,<\/em>\u00a0<em>Mycoplasma pneumoniae v\u00e0 Heamophilus Influenzae\u00a0<\/em><\/li>\n<li>Sau d\u00f9ng vacxin: b\u1ea1i li\u1ec7t, c\u00fam, s\u01a1\u0309i, b\u1ea1ch h\u1ea7u-ho ga\u0300-u\u1ed1n v\u00e1n.<\/li>\n<li>\u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9 \u0111\u00e3 ph\u00e1t tri\u1ec3n sau khi nhi\u1ec5m\u00a0 Zika &#8211; virus nh\u00f3m Flavivirus, l\u00e2y truy\u1ec1n \u0111\u01b0\u1eddng mu\u1ed7i \u0111\u1ed1t\u00a0ho\u1eb7c sau\u00a0COVID-19.<\/li>\n<\/ul>\n<h2>2.C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a h\u1ed9i ch\u1ee9ng Guillain &#8211; Barr\u00e9<\/h2>\n<p>H\u1ed9i ch\u1ee9ng n\u00e0y l\u00e0 \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch v\u1edbi nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3. Kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i t\u00e1c nh\u00e2n g\u00e2y nhi\u1ec5m tr\u00f9ng c\u00f3 ph\u1ea3n \u1ee9ng ch\u00e9o v\u1edbi\u00a0 kh\u00e1ng nguy\u00ean \u0111\u1eb7c hi\u1ec7u c\u1ee7a t\u1ebf b\u00e0o Schwann ho\u1eb7c m\u00e0ng b\u1ecdc s\u1ee3i tr\u1ee5c. GBS \u0111\u01b0\u1ee3c chia l\u00e0m hai th\u1ec3 ch\u00ednh d\u1ef1a theo v\u1ecb tr\u00ed c\u1ee7a kh\u00e1ng nguy\u00ean t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh:<\/p>\n<ul>\n<li>AIDP (Acute Inlfammatory Demyelinating Polyradiculoneuropathy)<\/li>\n<li>AMAN (Acute Motor Axonal Neuropathy)<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/hoithankinhhocvietnam.com.vn\/wp-content\/uploads\/2022\/08\/18.jpg\" alt=\"h\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9\" width=\"585\" height=\"506\" \/><\/p>\n<p><strong>2.1.Th\u1ec3 AIDP ( Th\u1ec3 m\u1ea5t myelin )<\/strong><\/p>\n<p>Th\u1ec3 AIDP \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a th\u00e2m nhi\u1ec5m vi\u00eam c\u1ee7a t\u1ebf b\u00e0o T v\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o bao g\u1ed3m c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o t\u1ea1o myelin.<\/p>\n<ul>\n<li>C\u00e1c \u0111\u00e1p \u1ee9ng vi\u00eam b\u1eaft \u0111\u1ea7u t\u1ea1i r\u1ec5 th\u1ea7n kinh, n\u01a1i h\u00e0ng r\u00e0o m\u00e1u &#8211; th\u1ea7n kinh ngo\u1ea1i bi\u00ean (TKNB) b\u1ecb khi\u1ebfm khuy\u1ebft. D\u1eabn \u0111\u1ebfn t\u1ea1i v\u1ecb tr\u00ed b\u00e1m c\u1ee7a m\u00e0ng c\u1ee9ng v\u00e0o r\u1ec5 th\u1ea7n kinh, h\u00e0ng r\u00e0o m\u00e1u &#8211; TKNB b\u1ecb ph\u00e1 v\u1ee1. X\u1ea3y ra t\u00ecnh tr\u1ea1ng th\u1ea5m protein t\u1eeb huy\u1ebft thanh v\u00e0 ph\u00e2n ly \u0111\u1ea1m t\u1ebf b\u00e0o.<\/li>\n<li>Th\u00e2m nhi\u1ec5m t\u1ebf b\u00e0o T ho\u1ea1t h\u00f3a ch\u1ee7 y\u1ebfu \u1edf c\u00e1c t\u0129nh m\u1ea1ch nh\u1ecf \u1edf l\u1edbp b\u00ean ngo\u00e0i bi\u1ec3u m\u00f4 th\u1ea7n kinh v\u00e0 l\u1edbp n\u1ed9i m\u00f4 th\u1ea7n kinh. Sau \u0111\u00f3 l\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o t\u1ed5 ch\u1ee9c c\u00f9ng v\u1edbi l\u1eafng \u0111\u1ecdng kh\u00e1ng th\u1ec3, b\u1ed5 th\u1ec3 t\u1ea1i bao myelin c\u1ee7a t\u1ebf b\u00e0o Schwann. \u0110\u1ea1i th\u1ef1c b\u00e0o t\u1eadp trung\u00a0 nhi\u1ec1u \u1edf\u00a0 v\u00f9ng bao myelin b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng. Giai \u0111o\u1ea1n mu\u1ed9n s\u1ebd &#8220;b\u00f3c tr\u1ea7n&#8221; v\u00e0 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi s\u1ee3i tr\u1ee5c.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng c\u1ee7a bao myelin theo ki\u1ec3u t\u1eebng \u1ed5 g\u00e2y t\u1eafc ngh\u1ebdn d\u1eabn truy\u1ec1n v\u00e0 ch\u1eadm t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t. T\u1ed5n th\u01b0\u01a1ng myelin \u0111\u01a1n thu\u1ea7n ti\u00ean l\u01b0\u1ee3ng h\u1ed3i ph\u1ee5c t\u1ed1t, th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh, ch\u1ec9 k\u00e9o d\u00e0i v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng.<\/li>\n<li>H\u1eadu qu\u1ea3 th\u1ee9 ph\u00e1t l\u00e0 tho\u00e1i h\u00f3a s\u1ee3i tr\u1ee5c, t\u00ecnh tr\u1ea1ng n\u1eb7ng ph\u1ee5 thu\u1ed9c\u00a0 t\u00ecnh tr\u1ea1ng \u0111\u00e1p \u1ee9ng vi\u00eam. Khi \u0111\u00f3 ti\u00ean l\u01b0\u1ee3ng h\u1ed3i ph\u1ee5c k\u00e9m, th\u1eddi gian h\u1ed3i ph\u1ee5c s\u1ebd k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 di ch\u1ee9ng t\u00e0n t\u1eadt\u00a0 nhi\u1ec1u n\u0103m.<\/li>\n<\/ul>\n<p><strong>2.2. Th\u1ec3 AMAN ( Th\u1ec3 s\u1ee3i tr\u1ee5c )<\/strong><\/p>\n<p>Ng\u01b0\u1ee3c l\u1ea1i v\u1edbi AIDP, b\u1ec7nh nh\u00e2n th\u1ec3 AMAN c\u00f3 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng s\u1ee3i tr\u1ee5c nguy\u00ean ph\u00e1t m\u00e0 kh\u00f4ng k\u00e8m theo th\u00e2m nhi\u1ec5m t\u1ebf b\u00e0o T hay h\u1ee7y myelin ma\u0300 thay va\u0300o \u0111o\u0301 la\u0300 \u0111\u1ea1i th\u1ef1c b\u00e0o, b\u1ed5 th\u1ec3 ho\u1ea1t h\u00f3a v\u00e0 IgG l\u1eafng \u0111\u1ecdng \u1edf m\u00e0ng s\u1ee3i tr\u1ee5c.<\/p>\n<p>T\u1ef1 kh\u00e1ng th\u1ec3 qua ho\u1ea1t h\u00f3a b\u1ed5 th\u1ec3 t\u1ea1o th\u00e0nh ph\u1ee9c h\u1ee3p t\u1ea5n c\u00f4ng m\u00e0ng t\u1ebf b\u00e0o v\u00e0 ho\u1ea1t h\u00f3a \u0111\u1ea1i th\u1ef1c b\u00e0o t\u1ed5 ch\u1ee9c:<\/p>\n<ul>\n<li>\u0110\u1ea1i th\u1ef1c b\u00e0o che ph\u1ee7 n\u1ed1t Ranvier. \u0110\u1ea1i th\u1ef1c b\u00e0o s\u1ebd v\u01b0\u01a1n d\u00e0i qua m\u00e0ng \u0111\u00e1y c\u1ee7a t\u1ebf b\u00e0o Schwann \u1edf n\u1ed1t Ranvier, ti\u1ebfp x\u00fac v\u1edbi m\u00e0ng s\u1ee3i tr\u1ee5c th\u1ea7n kinh.<\/li>\n<li>Ti\u1ebfp \u0111\u00f3 \u0111\u1ea1i th\u1ef1c b\u00e0o s\u1ebd lan r\u1ed9ng d\u01b0\u1edbi l\u1edbp t\u1eadn c\u00f9ng c\u1ee7a myelin, th\u00e2m nh\u1eadp v\u00e0o khoang quanh s\u1ee3i tr\u1ee5c, d\u1ed3n \u00e9p s\u1ee3i tr\u1ee5c th\u00e0nh c\u1ea5u tr\u00fac \u0111\u1eb7c v\u00e0 l\u00e0m l\u00f3c t\u00e1ch s\u1ee3i tr\u1ee5c kh\u1ecfi c\u1ea5u tr\u00fac c\u1ea1nh s\u1ee3i tr\u1ee5c t\u1ebf b\u00e0o Schwann.<\/li>\n<\/ul>\n<p>Khi \u0111\u00f3 \u0111\u1ea1i th\u1ef1c b\u00e0o c\u00f3 c\u1ea5u tr\u00fac bao quanh c\u00e1c s\u1ee3i tr\u1ee5c \u0111\u1eadm \u0111\u1eb7c. H\u1eadu qu\u1ea3 \u00a0l\u00e0m r\u1ed9ng n\u1ed1t, theo sau b\u01a1\u0309i bong myelin c\u1eadn n\u1ed1t, d\u1eabn \u0111\u1ebfn l\u00e0m ch\u1eadm t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n, ngh\u1ebdn d\u1eabn truy\u1ec1n tho\u00e1ng qua ( hi\u1ec7n t\u01b0\u1ee3ng Conduction Faillure). Sau \u0111\u00f3 s\u1ee3i tr\u1ee5c s\u1ebd h\u1ed3i ph\u1ee5c ho\u1eb7c b\u1ecb tho\u00e1i h\u00f3a. S\u1ef1 h\u1ed3i ph\u1ee5c ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng do l\u1eafng \u0111\u1ecdng kh\u00e1ng th\u1ec3. C\u00e1c d\u1eady th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng t\u1ed5n th\u01b0\u01a1ng \u1edf r\u1ec5 tr\u01b0\u1edbc, d\u00e2y th\u1ea7n kinh v\u00e0 \u0111o\u1ea1n g\u1ea7n t\u1eadn d\u00e2y th\u1ea7n kinh \u1edf trong c\u01a1.<\/p>\n<p>Ngo\u00e0i ra c\u00f2n c\u00f3 <strong>th\u1ec3 AMSAN<\/strong> ( s\u1ee3i tr\u1ee5c v\u1eadn \u0111\u1ed9ng &#8211; c\u1ea3m gi\u00e1c c\u1ea5p t\u00ednh). Th\u1ec3 n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c coi l\u00e0 th\u1ec3 b\u1ec7nh n\u1eb7ng h\u01a1n c\u1ee7a AMAN c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u00eam c\u00e1c s\u1ee3i th\u1ea7n kinh c\u1ea3m gi\u00e1c, c\u00f3 nguy c\u01a1 r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u1ef1c v\u1eadt cao h\u01a1n, ti\u00ean l\u01b0\u1ee3ng c\u0169ng k\u00e9m h\u01a1n. Nh\u01b0ng th\u1ec3 n\u00e0y r\u1ea5t \u00edt g\u1eb7p.<\/p>\n<h3>3.Tri\u1ec7u ch\u1ee9ng<\/h3>\n<p>H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9 c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111i\u1ec3n h\u00ecnh la\u0300 di\u0323 ca\u0309m \u0111\u00e2\u0300u ngo\u0301n ch\u00e2n va\u0300 \u0111\u00e2\u0300u ngo\u0301n tay, sau \u0111o\u0301 xu\u00e2\u0301t hi\u00ea\u0323n y\u00ea\u0301u t\u01b0\u0301 chi d\u01b0\u01a1\u0301i \u0111\u00f4\u0301i x\u01b0\u0301ng t\u0103ng d\u00e2\u0300n, hai chi d\u01b0\u01a1\u0301i n\u0103\u0323ng h\u01a1n hai chi tr\u00ean, va\u0300 trong tr\u01b0\u01a1\u0300ng h\u01a1\u0323p n\u0103\u0323ng co\u0301 th\u00ea\u0309 a\u0309nh h\u01b0\u01a1\u0309ng \u0111\u00ea\u0301n c\u01a1 h\u00f4 h\u00e2\u0301p.<\/p>\n<p>Ca\u0301c tri\u00ea\u0323u ch\u01b0\u0301ng th\u01b0\u01a1\u0300ng g\u0103\u0323p lu\u0301c nh\u00e2\u0323p vi\u00ea\u0323n:<\/p>\n<ul>\n<li>\u00a0Y\u00ea\u0301u t\u01b0\u0301 chi<\/li>\n<li>\u00a0\u0110au ki\u1ec3u r\u1ec5 th\u00e2\u0300n kinh<\/li>\n<li>Y\u00ea\u0301u hai chi d\u01b0\u01a1\u0301i<\/li>\n<li>T\u00f4\u0309n th\u01b0\u01a1ng th\u00e2\u0300n kinh so\u0323<\/li>\n<\/ul>\n<p>C\u00f3 nhi\u1ec1u b\u1ec7nh nh\u00e2n bi\u0323 r\u00f4\u0301i loa\u0323n th\u00e2\u0300n kinh th\u01b0\u0323c v\u00e2\u0323t v\u01a1\u0301i ca\u0301c bi\u00ea\u0309u hi\u00ea\u0323n: r\u00f4\u0301i loa\u0323n nhi\u0323p tim, huy\u00ea\u0301t a\u0301p, r\u00f4\u0301i loa\u0323n c\u01a1 vo\u0300ng (bi\u0301 ti\u00ea\u0309u, ta\u0301o bo\u0301n, li\u00ea\u0323t ru\u00f4\u0323t), r\u00f4\u0301i loa\u0323n th\u00e2n nhi\u00ea\u0323t, r\u00f4\u0301i loa\u0323n ti\u00ea\u0301t m\u00f4\u0300 h\u00f4i .<br \/>\nM\u00f4\u0323t s\u00f4 c\u0169ng se\u0303 co\u0301 bi\u00ea\u0309u hi\u00ea\u0323n cu\u0309a h\u00ea\u0323 th\u00e2\u0300n kinh trung \u01b0\u01a1ng b\u01a1\u0309i ti\u0300nh tra\u0323ng vi\u00eam th\u00e2n na\u0303o Bickerstaff.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9 (GBS) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y li\u1ec7t m\u1ec1m c\u1ea5p t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra sau nhi\u1ec5m tr\u00f9ng, g\u00e2y \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ea1o n\u00ean c\u00e1c kh\u00e1ng th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ho\u1eb7c gi\u00e1n \u0111o\u1ea1n ch\u1ee9c n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a d\u00e2y th\u1ea7n kinh. H\u00e0ng n\u0103m t\u1ef7 l\u1ec7 m\u1eafc\u00a0 [&hellip;]<\/p>\n","protected":false},"author":36,"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\u01a1 ch\u1ebf b\u1ec7nh sinh h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9 - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9 l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y li\u1ec7t m\u1ec1m c\u1ea5p t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra sau nhi\u1ec5m tr\u00f9ng, g\u00e2y \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ea1o n\u00ean c\u00e1c kh\u00e1ng th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ho\u1eb7c gi\u00e1n \u0111o\u1ea1n ch\u1ee9c n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a d\u00e2y th\u1ea7n kinh.\u00e0ng n\u0103m t\u1ef7 l\u1ec7 m\u1eafc\u00a0 m\u1edbi 1-2\/100000 d\u00e2n. B\u1ec7nh hay g\u1eb7p \u1edf nam nhi\u1ec1u h\u01a1n n\u1eef.\" \/>\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\u01a1 ch\u1ebf b\u1ec7nh sinh h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9 - Vinmec\" \/>\n<meta property=\"og:description\" content=\"H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9 l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y li\u1ec7t m\u1ec1m c\u1ea5p t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra sau nhi\u1ec5m tr\u00f9ng, g\u00e2y \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ea1o n\u00ean c\u00e1c kh\u00e1ng th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ho\u1eb7c gi\u00e1n \u0111o\u1ea1n ch\u1ee9c n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a d\u00e2y th\u1ea7n kinh.\u00e0ng n\u0103m t\u1ef7 l\u1ec7 m\u1eafc\u00a0 m\u1edbi 1-2\/100000 d\u00e2n. B\u1ec7nh hay g\u1eb7p \u1edf nam nhi\u1ec1u h\u01a1n n\u1eef.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/co-che-benh-sinh-hoi-chung-guillain-barre\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-25T15:22:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-27T16:04:46+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/hoithankinhhocvietnam.com.vn\/wp-content\/uploads\/2022\/08\/18.jpg\" \/>\n<meta name=\"author\" content=\"Yen Vu Thi Hoang\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Vu Thi Hoang\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 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\/25\/co-che-benh-sinh-hoi-chung-guillain-barre\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/co-che-benh-sinh-hoi-chung-guillain-barre\/\",\"name\":\"C\u01a1 ch\u1ebf b\u1ec7nh sinh h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9 - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-25T15:22:54+00:00\",\"dateModified\":\"2023-04-27T16:04:46+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/8d5d41fc2e592b344d41a53ca743075b\"},\"description\":\"H\u1ed9i ch\u1ee9ng Guillain \u2013 Barr\u00e9 l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y li\u1ec7t m\u1ec1m c\u1ea5p t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra sau nhi\u1ec5m tr\u00f9ng, g\u00e2y \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ea1o n\u00ean c\u00e1c kh\u00e1ng th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ho\u1eb7c gi\u00e1n \u0111o\u1ea1n ch\u1ee9c n\u0103ng d\u1eabn truy\u1ec1n c\u1ee7a d\u00e2y th\u1ea7n kinh.\u00e0ng n\u0103m t\u1ef7 l\u1ec7 m\u1eafc\u00a0 m\u1edbi 1-2\/100000 d\u00e2n. 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