{"id":28982,"date":"2023-04-29T22:58:53","date_gmt":"2023-04-29T15:58:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28982"},"modified":"2023-04-29T22:58:53","modified_gmt":"2023-04-29T15:58:53","slug":"phuong-phap-kham-day-than-kinh-viii","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/phuong-phap-kham-day-than-kinh-viii\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII"},"content":{"rendered":"

Kh\u00e1m d\u00e2y th\u1ea7n kinh VIII l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y th\u1ea7n kinh VIII (c\u00f2n g\u1ecdi l\u00e0 d\u00e2y th\u1ea7n kinh gi\u00e1c quan – auditory nerve). D\u00e2y th\u1ea7n kinh n\u00e0y l\u00e0 m\u1ed9t trong nh\u1eefng d\u00e2y th\u1ea7n kinh quan tr\u1ecdng nh\u1ea5t trong h\u1ec7 th\u1ea7n kinh, ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho vi\u1ec7c truy\u1ec1n t\u00edn hi\u1ec7u \u00e2m thanh t\u1eeb tai \u0111\u1ebfn n\u00e3o. Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee7a c\u00e1c v\u1ea5n \u0111\u1ec1 th\u00ednh gi\u00e1c v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/strong><\/p>\n

1. Gi\u1ea3i ph\u1eabu v\u00e0 sinh l\u00fd<\/strong><\/h2>\n

Th\u1ea7n kinh VIII g\u1ed3m hai ph\u1ea7n: \u1ed1c tai, ph\u1ee5 tr\u00e1ch v\u1ec1 th\u00ednh gi\u00e1c v\u00e0 ti\u1ec1n \u0111\u00ecnh, ph\u1ee5 tr\u00e1ch v\u1ec1 th\u0103ng b\u1eb1ng, hai ph\u1ea7n n\u00e0y c\u00f3 h\u1ec7 th\u1ed1ng c\u1ea3m th\u1ee5 ri\u00eang, tuy nhi\u00ean c\u00f3 \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n chung l\u00e0 th\u1ea7n kinh \u1ed1c tai.<\/span><\/p>\n

C\u01a1 quan c\u1ea3m th\u1ee5 l\u00e0 c\u00e1c t\u1ebf b\u00e0o th\u00ednh gi\u00e1c n\u1eb1m \u1edf c\u01a1 quan Corti. S\u1ee3i h\u01b0\u1edbng t\u00e2m t\u1ea1o th\u00e0nh th\u1ea7n kinh th\u00ednh gi\u00e1c, \u0111i qua \u1ed1ng tai trong \u1edf ph\u00eda ngo\u00e0i v\u00e0 d\u01b0\u1edbi c\u1ee7a th\u1ea7n kinh VII, \u0111i v\u00e0o th\u00e2n n\u00e3o \u1edf ph\u1ea7n tr\u00ean h\u00e0nh t\u1ee7y t\u1ea1i n\u01a1i ti\u1ebfp gi\u00e1p v\u1edbi c\u1ea7u n\u00e3o, s\u1ee3i th\u1ea7n kinh \u0111i b\u1eaft ch\u00e9o \u1edf c\u1ea7u n\u00e3o.<\/span><\/p>\n

Ch\u1ee9c n\u0103ng ph\u1ea7n \u1ed1c tai l\u00e0 ti\u1ebfp nh\u1eadn c\u1ea3m gi\u00e1c v\u00e0 d\u1eabn truy\u1ec1n th\u00f4ng tin n\u00e0y \u0111i th\u00f9y th\u00e1i d\u01b0\u01a1ng hai b\u00ean.<\/span><\/p>\n

2. Kh\u00e1m l\u00e2m s\u00e0ng<\/strong><\/h2>\n

2.1. Kh\u00e1m b\u1eb1ng ti\u1ebfng n\u00f3i th\u1ea7m: <\/strong><\/h3>\n

Trong ph\u00f2ng k\u00edn ti\u1ebfng n\u00f3i th\u1ea7m c\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c t\u1edbi 3m, ph\u1ea3i n\u00f3i th\u1ea7m \u0111\u00fang c\u00e1ch: th\u1edf h\u1ebft h\u01a1i trong ph\u1ed5i ra r\u1ed3i m\u1edbi n\u00f3i, trong khi n\u00f3i \u0111\u1ec3 tay tr\u00ean s\u1ee5n gi\u00e1p th\u00ec s\u1ee5n gi\u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c rung. Khi n\u00f3i ch\u00fang ta n\u00ean \u0111\u1ee9ng m\u1ed9t b\u00ean c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ph\u00e1t \u00e2m t\u1eebng t\u1eeb m\u1ed9t ch\u1ee9 kh\u00f4ng n\u00ean n\u00f3i c\u1ea3 c\u00e2u d\u00e0i \u0111\u1ec3 b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u0111o\u00e1n \u0111\u01b0\u1ee3c. C\u00f3 th\u1ec3 kh\u00e1m b\u1eb1ng c\u00e1ch \u0111\u1ec3 \u0111\u1ed3ng h\u1ed3 v\u00e0o tai b\u1ec7nh nh\u00e2n ho\u1eb7c v\u1ebd hai \u0111\u1ea7u ng\u00f3n tay c\u00e1i v\u00e0 ng\u00f3n tay tr\u1ecf.<\/span><\/p>\n

2.2. Kh\u00e1m b\u1eb1ng \u00e2m thoa:<\/strong><\/h3>\n

\"\"<\/p>\n

D\u00f9ng \u00e2m thoa c\u00f3 t\u1ea7n s\u1ed1 256, b\u00fang nh\u1eb9 v\u00e0o \u00e2m thoa r\u1ed3i \u0111\u1ec3 v\u00e0o t\u1eebng tai cho b\u1ec7nh nh\u00e2n so s\u00e1nh hai b\u00ean.<\/span><\/p>\n

N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 gi\u1ea3m th\u00ednh l\u1ef1c<\/a>, ta l\u00e0m c\u00e1c nghi\u1ec7m ph\u00e1p sau:<\/span><\/p>\n

* Nghi\u1ec7m ph\u00e1p Weber: \u0111\u1ec3 ch\u00e2n \u00e2m thoa v\u00e0o \u0111\u1ec9nh \u0111\u1ea7u ho\u1eb7c ch\u00e2n m\u0169i \u0111\u1ec3 xem b\u1ec7nh nh\u00e2n nghe c\u00f3 \u0111\u1ec1u hai b\u00ean kh\u00f4ng, n\u1ebfu b\u1ec7nh nh\u00e2n nghe r\u00f5 m\u1ed9t b\u00ean h\u01a1n th\u00ec ghi nh\u1eadn Weber l\u1ec7ch v\u1ec1 b\u00ean \u0111\u00f3.<\/span><\/p>\n

* Nghi\u1ec7m ph\u00e1p Rinne: rung \u00e2m thoa, sau \u0111\u00f3 \u0111\u1ec3 ch\u00e2n \u00e2m thoa v\u00e0o x\u01b0\u01a1ng \u0111\u00e1, khi b\u1ec7nh nh\u00e2n h\u1ebft nghe thi \u0111\u1ec3 \u0111\u1ea7u \u00e2m thoa v\u00e0o tai, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f2n nghe th\u00ec nghi\u1ec7m ph\u00e1p d\u01b0\u01a1ng t\u00ednh, n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f2n nghe th\u00ec \u00e2m t\u00ednh.<\/span><\/p>\n

3. C\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng<\/strong><\/h2>\n

– T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u1ed1c tai l\u00e0m\u00a0 gi\u1ea3m th\u00ednh l\u1ef1c, tuy nhi\u00ean c\u00e1c b\u1ec7nh c\u1ee7a tai c\u0169ng l\u00e0m gi\u1ea3m th\u00ednh l\u1ef1c, \u0111\u1ec3 ph\u00e2n bi\u1ec7t ch\u00fang ta d\u1ef1a v\u00e0o hai nghi\u1ec7m ph\u00e1p Weber v\u00e0 Rinne.<\/span><\/p>\n

    \n
  • \u0110i\u1ebfc d\u1eabn truy\u1ec1n: Rinne \u00e2m t\u00ednh, Weber l\u1ec7ch v\u1ec1 tai b\u1ec7nh.<\/span><\/li>\n
  • \u0110i\u1ebfc th\u1ea7n kinh: Rinne th\u01b0\u1eddng v\u1eabn d\u01b0\u01a1ng t\u00ednh, Weber l\u1ec7ch v\u1ec1 tai l\u00e0nh.<\/span><\/li>\n<\/ul>\n

    – C\u00e1c tri\u1ec7u ch\u1ee9ng do t\u1ed5n th\u01b0\u01a1ng \u1ed1c tai:<\/span><\/p>\n

      \n
    • Hyperacousie, anna cousie: gi\u1ea3m ho\u1eb7c m\u1ea5t th\u00ednh l\u1ef1c, do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh \u1ed1c tai ho\u1eb7c c\u01a1 quan Corti.<\/span><\/li>\n
    • Hyperacousie, peracousie: \u00f9 tai ho\u1eb7c ti\u1ebfng \u1ea7m, g\u1eb7p trong li\u1ec7t VII ngo\u1ea1i bi\u00ean, aura c\u1ee7a c\u01a1n \u0111\u1ed9ng kinh, migraine, lo\u1ea1n t\u00e2m th\u1ea7n.<\/span><\/li>\n<\/ul>\n

      – Tinnitus: C\u00f3 ti\u1ebfng \u00f9 b\u1ea5t th\u01b0\u1eddng \u1edf tai. Th\u01b0\u1eddng l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh VIII , ti\u1ebfng \u00f9 c\u00f3 th\u1ec3 li\u00ean t\u1ee5c hay ng\u1eaft qu\u00e3ng, c\u00f3 th\u1ec3 thay \u0111\u1ed5i v\u1ec1 c\u01b0\u1eddng \u0111\u1ed9 trong ng\u00e0y v\u00e0 th\u01b0\u1eddng ph\u1ed1i h\u1ee3p v\u1edbi gi\u1ea3m th\u00ednh l\u1ef1c, tuy nhi\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y c\u0169ng g\u1eb7p trong c\u00e1c b\u1ec7nh c\u1ee7a tai nh\u01b0 tai b\u1ecb n\u01b0\u1edbc ho\u1eb7c r\u00e1y tai, vi\u00eam tai gi\u1eefa, ng\u1ed9 \u0111\u1ed9c thu\u1ed1c.<\/span><\/p>\n

      – External tinnitus: \u0110\u00e2y l\u00e0 c\u00e1c ti\u1ebfng \u00f9 c\u00f3 nguy\u00ean nh\u00e2n ngo\u00e0i tai v\u00e0 c\u00f3 khi ng\u01b0\u1eddi kh\u00e1m c\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch d\u00f9ng \u1ed1ng nghe \u0111\u1ec3 v\u00e0o x\u01b0\u01a1ng ch\u0169m, th\u01b0\u1eddng hay g\u1eb7p trong x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c nguy\u00ean nh\u00e2n t\u0129nh m\u1ea1ch, trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y th\u00ec ti\u1ebfng \u00f9 thay \u0111\u1ed5i theo t\u01b0 th\u1ebf \u0111\u1ea7u ho\u1eb7c gi\u1ea3m khi \u00e9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh chung ho\u1eb7c t\u0129nh m\u1ea1ch h\u1ea7u trong.<\/span><\/p>\n

      Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn th\u00ednh gi\u00e1c. D\u00e2y th\u1ea7n kinh VIII l\u00e0 m\u1ed9t trong nh\u1eefng d\u00e2y th\u1ea7n kinh quan tr\u1ecdng nh\u1ea5t trong h\u1ec7 th\u1ea7n kinh, ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho vi\u1ec7c truy\u1ec1n t\u00edn hi\u1ec7u \u00e2m thanh t\u1eeb tai \u0111\u1ebfn n\u00e3o. Khi d\u00e2y th\u1ea7n kinh VIII b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u00fang c\u00e1ch, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u00ednh gi\u00e1c nh\u01b0 \u0111i\u1ebfc, r\u1ed1i lo\u1ea1n th\u00ednh gi\u00e1c ho\u1eb7c ch\u00f3ng m\u1eb7t. Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y th\u1ea7n kinh b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt ki\u1ec3m tra kh\u00e1c nhau. C\u00e1c k\u1ef9 thu\u1eadt n\u00e0y cho ph\u00e9p \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng truy\u1ec1n t\u00edn hi\u1ec7u \u00e2m thanh t\u1eeb tai \u0111\u1ebfn n\u00e3o v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ee9c n\u0103ng d\u00e2y th\u1ea7n kinh VIII.<\/p>\n

      Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII c\u0169ng \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng nghe c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch ki\u1ec3m tra \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a tai v\u1edbi c\u00e1c t\u1ea7n s\u1ed1 \u00e2m thanh kh\u00e1c nhau v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng nghe v\u00e0 ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c \u00e2m thanh t\u1ea7n s\u1ed1 cao ho\u1eb7c th\u1ea5p. T\u1eeb \u0111\u00f3, c\u00e1c chuy\u00ean gia ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee7a c\u00e1c v\u1ea5n \u0111\u1ec1 th\u00ednh gi\u00e1c v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn th\u00ednh gi\u00e1c. N\u00f3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y th\u1ea7n kinh VIII v\u00e0 kh\u1ea3 n\u0103ng nghe c\u1ee7a b\u1ec7nh nh\u00e2n, gi\u00fap c\u00e1c chuy\u00ean gia ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/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":"

      Kh\u00e1m d\u00e2y th\u1ea7n kinh VIII l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y th\u1ea7n kinh VIII (c\u00f2n g\u1ecdi l\u00e0 d\u00e2y th\u1ea7n kinh gi\u00e1c quan – auditory nerve). D\u00e2y th\u1ea7n kinh n\u00e0y l\u00e0 m\u1ed9t trong nh\u1eefng d\u00e2y th\u1ea7n kinh quan tr\u1ecdng nh\u1ea5t trong h\u1ec7 th\u1ea7n kinh, ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho vi\u1ec7c truy\u1ec1n t\u00edn hi\u1ec7u \u00e2m […]<\/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\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u00e1m d\u00e2y th\u1ea7n kinh VIII l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y th\u1ea7n kinh VIII (c\u00f2n g\u1ecdi l\u00e0 d\u00e2y th\u1ea7n kinh gi\u00e1c quan - auditory nerve)...\" \/>\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=\"Ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m d\u00e2y th\u1ea7n kinh VIII - 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