{"id":28699,"date":"2023-05-01T23:05:54","date_gmt":"2023-05-01T16:05:54","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28699"},"modified":"2023-05-01T23:05:54","modified_gmt":"2023-05-01T16:05:54","slug":"giang-mai-than-kinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/giang-mai-than-kinh\/","title":{"rendered":"Giang mai th\u1ea7n kinh"},"content":{"rendered":"

B\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a b\u1ec7nh giang mai, m\u1ed9t b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c do vi khu\u1ea9n Treponema pallidum g\u00e2y ra. B\u1ec7nh giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, \u0111au kh\u1edbp, m\u1ea5t c\u1ea3m gi\u00e1c, t\u00ea li\u1ec7t v\u00e0 m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n c\u00e1c c\u01a1. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n v\u00e0 g\u00e2y ra t\u00e0n ph\u1ebf c\u0169ng nh\u01b0 t\u1eed vong.<\/strong><\/p>\n

I. \u0110\u1ecbnh ngh\u0129a<\/h2>\n

B\u1ec7nh giang mai l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c, do vi khu\u1ea9n Treponema pallidum g\u00e2y ra. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 h\u1ec7 th\u1ea7n kinh. B\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t d\u1ea1ng bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a b\u1ec7nh giang mai, khi vi khu\u1ea9n T. pallidum x\u00e2m nh\u1eadp v\u00e0o h\u1ec7 th\u1ea7n kinh.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 bao g\u1ed3m \u0111au \u0111\u1ea7u, \u0111au kh\u1edbp, \u0111au th\u1ea7n kinh, m\u1ea5t c\u1ea3m gi\u00e1c, kh\u00f3 ch\u1ecbu, t\u00ea li\u1ec7t v\u00e0 m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n c\u00e1c c\u01a1. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n, bao g\u1ed3m t\u00e0n ph\u1ebf v\u00e0 t\u1eed vong.<\/p>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh giang mai th\u1ea7n kinh, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 x\u00e9t nghi\u1ec7m m\u00e1u, x\u00e9t nghi\u1ec7m d\u1ecbch t\u1ee7y ho\u1eb7c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 MRI. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh giang mai th\u1ea7n kinh bao g\u1ed3m s\u1eed d\u1ee5ng kh\u00e1ng sinh, th\u01b0\u1eddng l\u00e0 penicillin, trong m\u1ed9t kho\u1ea3ng th\u1eddi gian k\u00e9o d\u00e0i. Tuy nhi\u00ean, n\u1ebfu t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u0111\u00e3 x\u1ea3y ra, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 kh\u00f3 kh\u0103n h\u01a1n v\u00e0 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 kh\u00e1c nh\u01b0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n

Ngo\u00e0i vi\u1ec7c s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng b\u1ea3o v\u1ec7 khi quan h\u1ec7 t\u00ecnh d\u1ee5c, vi\u1ec7c th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh giang mai k\u1ecbp th\u1eddi c\u0169ng l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh giang mai th\u1ea7n kinh.<\/p>\n

\"giang-mai-than-kinh\"
Xo\u1eafn khu\u1ea9n giang mai<\/figcaption><\/figure>\n

II. D\u1ecbch t\u1ec5 h\u1ecdc<\/h2>\n

Theo Centers for Disease Control and Prevention (CDC) c\u1ee7a Hoa K\u1ef3, b\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a b\u1ec7nh giang mai, v\u00e0 ch\u1ec9 kho\u1ea3ng 10-15% s\u1ed1 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh giang mai c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh b\u1ec7nh giang mai th\u1ea7n kinh. Tuy nhi\u00ean, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u00e0nh vi t\u00ecnh d\u1ee5c r\u1ee7i ro v\u00e0 c\u00f3 th\u1ec3 l\u00e2y lan th\u00f4ng qua c\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n. Vi khu\u1ea9n T. pallidum c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 qua c\u00e1c v\u1ebft th\u01b0\u01a1ng \u1edf ni\u00eam m\u1ea1c ho\u1eb7c da, v\u00e0 sau \u0111\u00f3 l\u00e2y lan sang c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, bao g\u1ed3m c\u1ea3 h\u1ec7 th\u1ea7n kinh.<\/p>\n

 <\/p>\n

III. C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h2>\n

C\u01a1 ch\u1ebf sinh l\u00fd c\u1ee7a b\u1ec7nh giang mai th\u1ea7n kinh li\u00ean quan \u0111\u1ebfn vi\u1ec7c vi khu\u1ea9n Treponema pallidum x\u00e2m nh\u1eadp v\u00e0o h\u1ec7 th\u1ed1ng th\u1ea7n kinh v\u00e0 g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 m\u00f4 m\u1ec1m xung quanh.<\/p>\n

Khi vi khu\u1ea9n T. pallidum x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3, ch\u00fang ph\u00e1t tri\u1ec3n v\u00e0 sinh s\u1ea3n t\u1ea1i v\u1ebft th\u01b0\u01a1ng ban \u0111\u1ea7u tr\u00ean ni\u00eam m\u1ea1c ho\u1eb7c da. Sau \u0111\u00f3, ch\u00fang lan truy\u1ec1n sang c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 qua c\u00e1c \u0111\u01b0\u1eddng l\u00e1ch qua nh\u01b0 m\u1ea1ch m\u00e1u hay th\u1ea7n kinh. Vi khu\u1ea9n T. pallidum c\u00f3 kh\u1ea3 n\u0103ng x\u00e2m nh\u1eadp qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o v\u00e0 b\u00e1m v\u00e0o c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh, g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 m\u00f4 m\u1ec1m xung quanh.<\/p>\n

Vi khu\u1ea9n T. pallidum g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ch\u1ee7 y\u1ebfu b\u1eb1ng c\u00e1ch k\u00edch ho\u1ea1t h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3, g\u00e2y ra ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u00f4. S\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch v\u00e0 c\u00e1c ch\u1ea5t trung gian vi\u00eam c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 m\u00f4 m\u1ec1m xung quanh.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh giang mai th\u1ea7n kinh bao g\u1ed3m \u0111au \u0111\u1ea7u, \u0111au kh\u1edbp, m\u1ea5t c\u1ea3m gi\u00e1c, t\u00ea li\u1ec7t, m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n c\u00e1c c\u01a1 v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh giang mai th\u1ea7n kinh bao g\u1ed3m s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n T. pallidum v\u00e0 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. Tuy nhi\u00ean, n\u1ebfu t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u0111\u00e3 x\u1ea3y ra, \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 kh\u00f3 kh\u0103n h\u01a1n v\u00e0 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 kh\u00e1c nh\u01b0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n

<\/h2>\n

IV. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n

B\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh giang mai, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00e1c nhau. C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n

1. \u0110au \u0111\u1ea7u: \u0110au \u0111\u1ea7u l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a giang mai th\u1ea7n kinh. \u0110au \u0111\u1ea7u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o tr\u00ean \u0111\u1ea7u v\u00e0 th\u01b0\u1eddng l\u00e0 c\u01a1n \u0111au m\u1ea1n t\u00ednh.<\/p>\n

2. \u0110au kh\u1edbp: \u0110au kh\u1edbp l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong giang mai th\u1ea7n kinh. \u0110au kh\u1edbp c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 kh\u1edbp n\u00e0o trong c\u01a1 th\u1ec3.<\/p>\n

3. M\u1ea5t c\u1ea3m gi\u00e1c: M\u1ea5t c\u1ea3m gi\u00e1c l\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00e1c th\u01b0\u1eddng g\u1eb7p trong giang mai th\u1ea7n kinh. M\u1ea5t c\u1ea3m gi\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o tr\u00ean c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ea3m gi\u00e1c ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c ho\u00e0n to\u00e0n.<\/p>\n

4. T\u00ea li\u1ec7t: T\u00ea li\u1ec7t l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng. T\u00ea li\u1ec7t c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 b\u1ed9 ph\u1eadn n\u00e0o trong c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 l\u00e0 t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/p>\n

5. R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh: B\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh kh\u00e1c nhau, bao g\u1ed3m r\u1ed1i lo\u1ea1n h\u00e0nh vi, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac v\u00e0 r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c.<\/p>\n

N\u1ebfu b\u1ea1n nghi ng\u1edd m\u00ecnh \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh giang mai ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh, b\u1ea1n n\u00ean h\u1ecfi \u00fd ki\u1ebfn \u200b\u200bc\u1ee7a b\u00e1c s\u0129 ho\u1eb7c nha s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm.<\/p>\n

V. Tri\u1ec7u ch\u1ee9ng c\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

B\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh giang mai. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh giang mai th\u1ea7n kinh bao g\u1ed3m:<\/p>\n

1. X\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi khu\u1ea9n Treponema pallidum trong m\u00e1u. Tuy nhi\u00ean, x\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n duy nh\u1ea5t v\u00ec c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n k\u1ebft qu\u1ea3 gi\u1ea3 \u00e2m t\u00ednh trong giai \u0111o\u1ea1n s\u1edbm c\u1ee7a b\u1ec7nh.<\/p>\n

2. \u0110i\u1ec7n n\u00e3o \u0111\u1ed3 (EEG): EEG c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. EEG s\u1ebd \u0111o ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a n\u00e3o v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c s\u1ef1 thay \u0111\u1ed5i trong ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a n\u00e3o li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/p>\n

3. C\u1eaft l\u1edbp h\u00ecnh \u1ea3nh: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eaft l\u1edbp MRI ho\u1eb7c CT scan c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd t\u1ea1o ra h\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

4. X\u00e9t nghi\u1ec7m spinal fluid: X\u00e9t nghi\u1ec7m spinal fluid c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n Treponema pallidum v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), vi\u1ec7c k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nhau s\u1ebd gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh giang mai th\u1ea7n kinh ch\u00ednh x\u00e1c h\u01a1n. Do \u0111\u00f3, vi\u1ec7c t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia y t\u1ebf l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh giang mai th\u1ea7n kinh.<\/p>\n

VI. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

\u0110i\u1ec1u tr\u1ecb b\u1ec7nh\u00a0 bao g\u1ed3m s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n Treponema pallidum g\u00e2y ra b\u1ec7nh. T\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, li\u1ec7u ph\u00e1p c\u00f3 th\u1ec3 bao g\u1ed3m thu\u1ed1c kh\u00e1ng vi\u00eam v\u00e0\/ho\u1eb7c d\u00f9ng corticosteroid \u0111\u1ec3 gi\u1ea3m vi\u00eam v\u00e0 gi\u1ea3m \u0111au.<\/p>\n

Theo H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), \u0111i\u1ec1u tr\u1ecb b\u1ec7nh giang mai th\u1ea7n kinh bao g\u1ed3m:<\/p>\n

1. Kh\u00e1ng sinh: Kh\u00e1ng sinh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n g\u00e2y b\u1ec7nh. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh giang mai th\u1ea7n kinh, benzathine penicillin G l\u00e0 li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o.<\/p>\n

2. Thu\u1ed1c kh\u00e1ng vi\u00eam: Thu\u1ed1c kh\u00e1ng vi\u00eam c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m vi\u00eam v\u00e0 gi\u1ea3m \u0111au do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 aspirin v\u00e0 ibuprofen c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh giang mai th\u1ea7n kinh nh\u1eb1m gi\u1ea3m \u0111au v\u00e0 vi\u00eam.<\/p>\n

3. Corticosteroid: Corticosteroid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng vi\u00eam c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m vi\u00eam v\u00e0 gi\u1ea3m \u0111au do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid c\u1ea7n \u0111\u01b0\u1ee3c th\u1eadn tr\u1ecdng v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi c\u1ea7n thi\u1ebft.<\/p>\n

4. Ch\u0103m s\u00f3c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh: N\u1ebfu t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh nghi\u00eam tr\u1ecdng, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 quan s\u00e1t th\u01b0\u1eddng xuy\u00ean b\u1edfi chuy\u00ean gia y t\u1ebf \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ef1 ph\u1ee5c h\u1ed3i t\u1ed1i \u0111a c\u1ee7a ch\u1ee9c n\u0103ng th\u1ea7n kinh.<\/p>\n

Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u1edbm \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng th\u1ea7n kinh. B\u1ec7nh nh\u00e2n c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ch\u00ednh x\u00e1c.<\/p>\n

V. D\u1ef1 ph\u00f2ng<\/h2>\n

\u0110\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng nh\u01b0 sau:<\/p>\n

    \n
  1. Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng b\u1ec7nh giang mai, bao g\u1ed3m s\u1eed d\u1ee5ng b\u1ea3o v\u1ec7 khi quan h\u1ec7 t\u00ecnh d\u1ee5c v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t b\u1ea9n v\u00e0 v\u1eadt d\u1ee5ng c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh.<\/li>\n
  2. Th\u1ef1c hi\u1ec7n ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh giang mai k\u1ecbp th\u1eddi. N\u1ebfu ph\u00e1t hi\u1ec7n c\u00f3 d\u1ea5u hi\u1ec7u b\u1ec7nh giang mai, c\u1ea7n \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng v\u00e0 l\u00e2y lan b\u1ec7nh cho ng\u01b0\u1eddi kh\u00e1c.<\/li>\n
  3. C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao nhi\u1ec5m b\u1ec7nh giang mai nh\u01b0 nh\u1eefng ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng trong m\u00f4i tr\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng b\u1eb1ng vaccine ph\u00f2ng b\u1ec7nh giang mai.<\/li>\n
  4. N\u1ebfu b\u1ea1n nghi ng\u1edd m\u00ecnh \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh giang mai, c\u1ea7n \u0111i kh\u00e1m v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n
  5. C\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh kh\u00e1c nh\u01b0 t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe, \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7, h\u1ee3p l\u00fd v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a b\u1ec7nh giang mai, m\u1ed9t b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c do vi khu\u1ea9n Treponema pallidum g\u00e2y ra. B\u1ec7nh giang mai th\u1ea7n kinh c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, \u0111au kh\u1edbp, m\u1ea5t c\u1ea3m […]<\/p>\n","protected":false},"author":51,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nGiang mai th\u1ea7n kinh - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh giang mai th\u1ea7n kinh l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a b\u1ec7nh giang mai, m\u1ed9t b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c do vi khu\u1ea9n Treponema pallidum\" \/>\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=\"Giang mai th\u1ea7n kinh - 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