{"id":28480,"date":"2023-04-26T18:53:37","date_gmt":"2023-04-26T11:53:37","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28480"},"modified":"2023-04-26T18:53:37","modified_gmt":"2023-04-26T11:53:37","slug":"viem-mang-nao-vo-khuan-cap-nguyen-nhan-trieu-chung-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/viem-mang-nao-vo-khuan-cap-nguyen-nhan-trieu-chung-va-dieu-tri\/","title":{"rendered":"Vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n c\u1ea5p: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Thu\u1eadt ng\u1eef vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n \u201caseptic meningitis\u201d ch\u1ec9 h\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng m\u00e0ng n\u00e3o nh\u01b0ng khi c\u1ea5y vi tr\u00f9ng \u00e2m t\u00ednh. Vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n bao g\u1ed3m c\u00e1c h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng do b\u1ea5t k\u1ef3 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh n\u00e0o, ph\u1ea7n l\u1edbn l\u00e0 do si\u00eau vi, m\u1ed9t s\u1ed1 \u00edt c\u00f3 th\u1ec3 l\u00e0 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/ho-keo-dai-do-vi-khuan-mycoplasma\/\">vi tr\u00f9ng Mycoplasma<\/a>, <a href=\"https:\/\/vinmec.com\/vi\/chu-de\/nhiem-rickettsia\/\">Rickettsia<\/a>, ho\u1eb7c kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. T\u1ed5n th\u01b0\u01a1ng m\u00e0ng n\u00e3o trong vi\u00eam m\u00e0ng n\u00e3o h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c hi\u1ec7u cho t\u1eebng lo\u1ea1i. C\u00f3 hai lo\u1ea1i vi\u00eam m\u00e0ng n\u00e3o: <\/strong><strong>Vi\u00eam m\u00e0ng n\u00e3o c\u1ea5p t\u00ednh v\u00f4 khu\u1ea9n v\u00e0 v<\/strong><strong>i\u00eam m\u00e0ng n\u00e3o m\u00e3n t\u00ednh v\u00e0 t\u00e1i ph\u00e1t.<\/strong><\/p>\n<figure id=\"attachment_28540\" aria-describedby=\"caption-attachment-28540\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-28540\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1372323487-612x612-1-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1372323487-612x612-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1372323487-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28540\" class=\"wp-caption-text\">\u0110au \u0111\u1ea7u l\u00e0 tri\u1ec7u ch\u1ee9ng s\u1edbm c\u1ee7a vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n c\u1ea5p<\/figcaption><\/figure>\n<h2><strong>1. Nguy\u00ean nh\u00e2n c\u1ee7a vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n c\u1ea5p<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">&#8211; Nguy\u00ean nh\u00e2n vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n c\u1ea5p: l\u00e0 b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p trong l\u00e2m s\u00e0ng th\u1ea7n kinh, t\u1ef7 l\u1ec7 kho\u1ea3ng 10-27 tr\u01b0\u1eddng h\u1ee3p trong 000 d\u00e2n. Ph\u1ea7n l\u1edbn l\u00e0 do nhi\u1ec5m si\u00eau vi, nh\u00f3m si\u00eau vi th\u01b0\u1eddng g\u1eb7p l\u00e0 Enterovirus, Coxsackievirus, si\u00eau vi quai b\u1ecb, HSV-2 lymphocytic choriomeningitis (LCM), Adenovirus, EBV, Leptospirosis, Mycoplasma pneumoniae, si\u00eau vi c\u00fam.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Nguy\u00ean nh\u00e2n vi\u00eam m\u00e0ng n\u00e3o t\u00e1i ph\u00e1t v\u00e0 m\u1ea1n t\u00ednh: \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a lo\u1ea1i n\u00e0y di\u1ec5n ti\u1ebfn kh\u00f4ng r\u00f5 r\u00e0ng, k\u00e9o d\u00e0i, \u0111\u00f4i khi nh\u01b0 vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p. D\u1ecbch n\u00e3o t\u1ee7y l\u00e0 x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft cho ch\u1ea9n \u0111o\u00e1n. Vi\u00eam m\u00e0ng n\u00e3o m\u00e3n t\u00ednh v\u00e0 t\u00e1i ph\u00e1t v\u00f4 khu\u1ea9n c\u1ea7n ph\u00e2n bi\u1ec7t nguy\u00ean nh\u00e2n:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u1ed4 nhi\u1ec5m tr\u00f9ng n\u1eb1m g\u1ea7n m\u00e0ng n\u00e3o; th\u00f4ng th\u01b0\u1eddng nh\u1eefng nguy\u00ean nh\u00e2n n\u00e0y b\u1eaft ngu\u1ed3n t\u1eeb v\u00f9ng tai m\u0169i h\u1ecdng, m\u1ed9t sang th\u01b0\u01a1ng ki\u1ec3u ph\u1ea3n \u1ee9ng vi\u00eam m\u00e0ng n\u00e3o. D\u1ecbch n\u00e3o t\u1ee7y c\u00f3 ph\u1ea3n \u1ee9ng t\u1ebf b\u00e0o nh\u1eb9, ch\u1ee7 y\u1ebfu l\u00e0 lympho b\u00e0o, tuy nhi\u00ean c\u0169ng c\u00f3 th\u1ec3 c\u00f3 t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n ho\u1eb7c \u0111a nh\u00e2n trong gi\u1edbi h\u1ea1n d\u01b0\u1edbi 50%. \u0110\u1ea1m t\u0103ng nh\u1eb9, \u0111\u01b0\u01a1ng kh\u00f4ng gi\u1ea3m. Khi c\u1ed1 ch\u1ea9n \u0111o\u00e1n, vi\u1ec7c d\u00f9ng kh\u00e1ng sinh tr\u1ecb li\u1ec7u c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p hay m\u1ea1n t\u00ednh do nhi\u1ec5m khu\u1ea9n, nh\u00f3m nguy\u00ean nh\u00e2n n\u00e0y ch\u1ee7 y\u1ebfu l\u00e0: giang mai, nhi\u1ec5m n\u1ea5m Cryptococcus v\u00e0 lao, b\u1ec7nh Lyme,&#8230; Vi\u1ec7c s\u1eed d\u1ee5ng ng\u00e0y c\u00e0ng nhi\u1ec1u li\u1ec7u ph\u00e1p l\u00e0m suy gi\u1ea3m mi\u1ec5n d\u1ecbch nh\u01b0 d\u00f9ng corticoid k\u00e9o d\u00e0i v\u00e0 s\u1ef1 lan tr\u00e0n c\u1ee7a b\u1ec7nh AIDS \u0111\u00e3 l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 nhi\u1ec5m n\u1ea5m h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, ph\u1ed5 bi\u1ebfn l\u00e0 nhi\u1ec5m Cryptococcus, v\u00e0 c\u0169ng l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh Hodgkin, ..<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Vi\u00eam m\u00e0ng n\u00e3o m\u00e3n t\u00ednh v\u00f4 khu\u1ea9n c\u1ed1 th\u1ec3 do s\u1ef1 th\u00e2m nhi\u1ec5m m\u00e0ng m\u1ec1m, hay s\u1ef1 ph\u1ea3n \u1ee9ng vi\u00eam c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf nh\u01b0 b\u1ec7nh sarcoidosis, b\u1ec7nh Behcet, granulomatous, vi\u00eam \u0111\u1ed9ng m\u1ea1ch. T\u1eafc ngh\u1ebdn nhi\u1ec1u m\u1ea1ch m\u00e1u nh\u1ecf b\u1edfi l\u1ea5p m\u1ea1ch g\u00e2y n\u00ean ph\u1ea3n \u1ee9ng m\u00e0ng n\u00e3o v\u00e0 t\u1ebf b\u00e0o lympho bao g\u1ed3m t\u0103ng Eosinophil. L\u00e2m s\u00e0ng c\u00f3 th\u1ec3 l\u00e0 h\u1ed9i ch\u1ee9ng m\u00e0ng n\u00e3o \u0111\u01a1n thu\u1ea7n ho\u1eb7c h\u1ed9i ch\u1ee9ng n\u00e3o-m\u00e0ng n\u00e3o.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Vi\u00eam m\u00e0ng n\u00e3o do u t\u00e2n sinh v\u1edbi s\u1ef1 lan tr\u00e0n \u1edf m\u00e0ng n\u00e3o &#8211; t\u1ee7y m\u1ec1m, ch\u1eb3ng h\u1ea1n s\u1ef1 ph\u1ea3n \u1ee9ng m\u00e0ng n\u00e3o \u1edf l\u1ee9a \u0111\u1ebb b\u1ecb b\u1ec7nh b\u1ea1ch c\u1ea7u nguy\u00ean b\u00e0o lympho c\u1ea5p g\u00e2y vi\u00eam m\u00e0ng n\u00e3o lymphoma, hay vi\u00eam m\u00e0ng n\u00e3o b\u1ea1ch c\u1ea7u c\u1ea5p \u201cleukemic meningitis\u201d, nh\u1ea5t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb h\u00f3a ch\u1ea5 t thu\u1ed1c n\u00e0y kh\u00f4ng qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">&#8211; Cu\u1ed1i c\u00f9ng l\u00e0 nh\u00f3m vi\u00eam m\u00e0ng n\u00e3o kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, nhi\u1ec1u tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 g\u1ee3i \u00fd cho h\u01b0\u1edbng ch\u1ea9n \u0111o\u00e1n nh\u01b0 nhi\u1ec5m k\u00fd sinh tr\u00f9ng, b\u1ec7nh to\u00e0n th\u1ec3, m\u1ed9t khi kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n th\u00ec v\u1ea5n \u0111\u1ec1 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u t\u01b0 d\u1ecbch n\u00e3o t\u1ee7y, sinh thi\u1ebft m\u00e0ng n\u00e3o s\u1ebd gi\u00fap cho ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c h\u01a1n.<\/span><\/p>\n<h2><strong>2. Tri\u1ec7u ch\u1ee9ng <\/strong><strong>c\u1ee7a vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n c\u1ea5p<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Vi\u00eam m\u00e0ng n\u00e3o l\u00e0 th\u1ec3 th\u01b0\u1eddng g\u1eb7p; th\u01b0\u1eddng l\u00e0 vi\u00eam <a href=\"https:\/\/vinmecdr.com\/chan-doan-va-dieu-tri-viem-mang-nao-mu-tre-em\/\">m\u00e0ng nh\u1ec7n<\/a>, \u00edt khi lan \u0111\u1ebfn m\u00e0ng c\u1ee9ng. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng r\u1ea5t \u0111a d\u1ea1ng, xu\u1ea5t hi\u1ec7n t\u1eeb t\u1eeb hay \u0111\u1ed9t ng\u1ed9t.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u l\u00e0 tri\u1ec7u ch\u1ee9ng s\u1edbm v\u00e0 th\u01b0\u1eddng g\u1eb7p \u1edf t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n. \u0110au c\u1ed1 th\u1ec3 \u1edf v\u00f9ng tr\u00e1n, th\u00e1i d\u01b0\u01a1ng hay \u1ed9 h\u1ed1c m\u1eaft. \u0110au t\u00e1i \u0111i t\u00e1i l\u1ea1i hay ng\u1eaft qu\u00e3ng v\u00e0 ng\u00e0y c\u00e0ng n\u1eb7ng, k\u00e9o d\u00e0i trong nhi\u1ec1u tu\u1ea7n, th\u1eddi gian v\u1ec1 sau c\u00e0ng d\u00e0i v\u00e0 xu\u1ea5t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">S\u1ed1t c\u0169ng th\u01b0\u1eddng th\u1ea5y, s\u1ed1t 38-40\u00b0C. s\u1ed1t c\u0169ng r\u1ea5t th\u1ea5t th\u01b0\u1eddng trong ng\u00e0y; m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c th\u00e2n nhi\u1ec7t b\u00ecnh th\u01b0\u1eddng.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">D\u1ea5u hi\u1ec7u m\u00e0ng n\u00e3o nh\u01b0 c\u1ee9ng g\u00e1y, d\u1ea5u Brudzinski and Kernig c\u0169ng th\u01b0\u1eddng g\u1eb7p.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">D\u1ea5u hi\u1ec7u m\u1eaft; nh\u00ecn \u0111\u00f4i, gi\u1ea3m th\u1ecb l\u1ef1c, th\u1ecb tr\u01b0\u1eddng b\u1ecb thu h\u1eb9p, nystagmus, s\u1ee3 \u00e1nh s\u00e1ng, ph\u00f9 gai th\u1ecb.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 bu\u1ed3n n\u00f4n hay n\u00f4n v\u1ecdt, n\u1eb1m c\u00f3, k\u00edch th\u00edch l\u1eabn l\u1ed9n, cho\u00e1ng v\u00e1ng, ch\u00f3ng m\u1eb7t, m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p c\u00f3 \u0111au c\u1ed5 h\u1ecdng k\u00e8m theo&#8230;<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u1edf giai \u0111o\u1ea1n mu\u1ed9n h\u01a1n xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m th\u1ea7n: r\u1ed1i lo\u1ea1n v\u1ec1 kh\u00ed s\u1eafc, bu\u1ed3n r\u1ea7u, lo l\u1eafng. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y thay \u0111\u1ed5i trong ng\u00e0y.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Nh\u1eefng d\u1ea5u th\u1ea7n kinh kh\u00e1c: Li\u1ec7t th\u1ea7n kinh VI m\u1ed9t b\u00ean ho\u1eb7c hai b\u00ean, li\u1ec7t th\u1ea7n kinh VII trung \u01b0\u01a1ng v\u00e0 ngo\u1ea1i bi\u00ean, li\u1ec7t n\u1eeda ng\u01b0\u1eddi, \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: t\u00e1o b\u00f3n. Ph\u1ea3n x\u1ea1 nh\u1ea1y t\u1ee9 chi, d\u1ea5u Babinski, Hoffmann, Clonus. Tri\u1ec7u ch\u1ee9ng v\u1ec1 t\u00e2m th\u1ea7n, bi\u1ec3u hi\u1ec7n v\u1ec1 t\u00e2m th\u1ea7n nhi\u1ec1u khi r\u00f5 r\u1ec7t v\u1edbi tr\u1ea1ng th\u00e1i k\u00edch th\u00edch l\u00e0m b\u1ec7nh nh\u00e2n \u0111i l\u1ea1i l\u1ed9n x\u1ed9n, k\u00edch \u0111\u1ed9ng, la h\u00e9t, b\u1ef1c t\u1ee9c, n\u00f3i nhi\u1ec1u ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i l\u00e0 v\u00f4 c\u1ea3m, tr\u00ec tr\u1ec7 t\u00e2m th\u1ea7n, l\u00fa l\u1eabn, khi\u1ebfm khuy\u1ebft tr\u00ed n\u00e3o, \u1ea3o gi\u00e1c, \u1ea3o thinh hay m\u1ed9t r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n th\u1ef1c s\u1ef1.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">M\u1ed9t v\u00e0i th\u1ec3 l\u00e2m s\u00e0ng vi\u00eam m\u00e0ng n\u00e3o c\u00f3 th\u1ec3 g\u1eb7p: vi\u00eam m\u00e0ng n\u00e3o do si\u00eau vi quai b\u1ecb, b\u1ec7nh nh\u00e2n c\u00f3 h\u1ea1ch d\u01b0\u1edbi mang tai, vi\u00eam tinh ho\u00e0n&#8230;<\/span><\/li>\n<\/ul>\n<h2><strong>3. X\u00e9t nghi\u1ec7m d\u1ecbch n\u00e3o t\u1ee7y<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Ph\u1ea3n \u1ee9ng d\u1ecbch n\u00e3o t\u1ee7y th\u01b0\u1eddng x\u1ea3y ra s\u1edbm khi c\u00f3 tri\u1ec7u ch\u1ee9ng m\u00e0ng n\u00e3o, \u00e1p l\u1ef1c c\u00f3 th\u1ec3 t\u0103ng nh\u1eb9, m\u00e0u tr\u1eafng trong. Th\u00e0nh ph\u1ea7n t\u1ebf b\u00e0o bi\u1ebfn \u0111\u1ed5i s\u1edbm xu h\u01b0\u1edbng t\u0103ng t\u1ebf b\u00e0o lympho, trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 t\u0103ng t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n v\u1edbi s\u1ed1 l\u01b0\u1ee3ng trung b\u00ecnh, t\u1ebf b\u00e0o \u0111a nh\u00e2n c\u00f3 th\u1ec3 t\u0103ng nh\u01b0ng hi\u1ebfm khi chi\u1ebfm t\u1ef7 l\u1ec7 tr\u00ean 50%, trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p t\u0103ng Eosinophil c\u00f3 th\u1ec3 g\u1eb7p trong nhi\u1ec5m k\u00fd sinh tr\u00f9ng. Th\u00e0nh ph\u1ea7n sinh h\u00f3a: protein t\u0103ng nh\u1eb9 ho\u1eb7c trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng, glucose trong d\u1ecbch n\u00e3o t\u1ee7y b\u00ecnh th\u01b0\u1eddng, khi c\u00f3 gi\u1ea3m glucose c\u1ea7n xem l\u1ea1i ch\u1ea9n \u0111o\u00e1n, hi\u1ebfm g\u1eb7p tr\u01b0\u01a1ng h\u1ee3p glucose gi\u1ea3m d\u01b0\u1edbi 25 mg\/dl. Th\u00f4ng th\u01b0\u1eddng, khi c\u00f3 h\u1ed9i ch\u1ee9ng m\u00e0ng n\u00e3o, d\u1ecbch n\u00e3o t\u1ee7y l\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n s\u0111m. V\u00ec th\u1ebf, b\u00ean c\u1ea1nh c\u00e1c x\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o, sinh h\u00f3a, c\u1ea7n l\u00e0m ngay soi t\u01b0\u01a1i t\u00ecm vi n\u1ea5m, vi tr\u00f9ng v\u00e0 c\u1ea5y.<\/span><\/p>\n<h2><strong>4. \u0110i\u1ec1u tr\u1ecb\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn tr\u1ea7m tr\u1ecdng nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 b\u00ecnh ph\u1ee5c ho\u00e0n to\u00e0n, t\u1ef7 l\u1ec7 t\u1eed vong kh\u00e1c nhau t\u00f9y theo nguy\u00ean nh\u00e2n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n: l\u00e0 do , n\u1ea5m Cryptococcus, Lyme, k\u00fd sinh tr\u00f9ng&#8230;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vi\u00eam m\u00e0ng n\u00e3o sarcoma: Prednisolon 80mg\/ ng\u00e0y cho u\u1ed1ng trong 3 tu\u1ea7n, sau gi\u1ea3m li\u1ec1u d\u1ea7n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 nh\u01b0 vi\u00eam n\u00e3o c\u1ea5p.<\/span><\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: <em>Th\u1ea7n kinh h\u1ecdc- \u0110\u1ea1i h\u1ecdc Y TP H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1eadt ng\u1eef vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n \u201caseptic meningitis\u201d ch\u1ec9 h\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng m\u00e0ng n\u00e3o nh\u01b0ng khi c\u1ea5y vi tr\u00f9ng \u00e2m t\u00ednh. 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