{"id":29022,"date":"2023-04-29T14:00:44","date_gmt":"2023-04-29T07:00:44","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29022"},"modified":"2023-04-29T14:00:44","modified_gmt":"2023-04-29T07:00:44","slug":"viem-mang-nao-ban-cap-do-nhiem-ki-sinh-trung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/viem-mang-nao-ban-cap-do-nhiem-ki-sinh-trung\/","title":{"rendered":"Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p do nhi\u1ec5m k\u00ed sinh tr\u00f9ng"},"content":{"rendered":"

Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ed1 lo\u1ea1i k\u00ed sinh tr\u00f9ng, ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c lo\u1ea1i amip v\u00e0 k\u00fd sinh tr\u00f9ng. B\u1ec7nh n\u00e0y th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 vi\u00eam m\u00e0ng n\u00e3o c\u1ea5p t\u00ednh, tuy nhi\u00ean m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a n\u00f3 th\u01b0\u1eddng th\u1ea5p h\u01a1n. Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p do nhi\u1ec5m k\u00ed sinh tr\u00f9ng th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng trong \u0111i\u1ec1u ki\u1ec7n v\u1ec7 sinh k\u00e9m ho\u1eb7c trong c\u00e1c khu v\u1ef1c c\u00f3 ngu\u1ed3n n\u01b0\u1edbc \u00f4 nhi\u1ec5m.\u00a0<\/strong><\/p>\n

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Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p do nhi\u1ec5m k\u00ed sinh tr\u00f9ng l\u00e0 b\u1ec7nh l\u00fd nguy hi\u1ec3m n\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi<\/figcaption><\/figure>\n

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

\u1ede c\u00e1c n\u01b0\u1edbc k\u00e9m ph\u00e1t tri\u1ec3n v\u00e0 \u0111ang ph\u00e1t tri\u1ec3n, s\u1ef1 nhi\u1ec5m giun – s\u00e1n (k\u00fd sinh tr\u00f9ng) h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng c\u00f3 th\u1ec3 g\u1eb7p d\u01b0\u1edbi d\u1ea1ng m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u201cnang – vi\u00eam \u201d. Ngu\u1ed3n l\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc n\u00e0y l\u00e0 \u1ea5u tr\u00f9ng s\u00e1n d\u00e2y l\u1ee3n (cysticercus), b\u1ec7nh \u1ea5u tr\u00f9ng giun \u0111\u0169a ch\u00f3 (Toxocara-canis) giun \u0111\u0169a m\u00e8o \u00a0 (Toxocara \u00a0 cati), Gnathosma spinigerum. Nh\u1eefng \u1ea5u tr\u00f9ng nh\u1ecf b\u00e9 \u00a0 b\u1ecdc nang trong n\u00e3o kh\u00f4ng g\u00e2y ra nhi\u1ec1u c\u00e1c tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn khi ch\u00fang ch\u1ebft th\u00ec \u0111i b\u1eaft \u0111\u1ea7u c\u00f3 s\u1ef1 vi\u00eam c\u1ee5c b\u1ed9, t\u0103ng sinh th\u1ea7n kinh \u0111\u1ec7m, ph\u00f9 n\u1ec1 v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u1ee5c b\u1ed9, \u0111\u1ed9ng kinh, t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd do t\u1eafc ngh\u1ebdn. S\u1ef1 v\u1ee1 c\u00e1c nang v\u00e0o d\u1ecbch n\u00e3o t\u1ee7y g\u00e2y vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p, t\u0103ng b\u1ea1ch c\u1ea7u toan t\u00ednh.<\/p>\n

M\u1ed9t v\u00e0i lo\u1ea1i s\u00e1n hi\u1ebfm g\u1eb7p c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng nh\u01b0 s\u00e1n m\u00e1ng, s\u00e1n d\u00e2y, s\u00e1n nhi\u1ec1u \u0111\u1ea7u.<\/span><\/p>\n

M\u1ed9t s\u1ed1’ k\u00fd sinh tr\u00f9ng c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng<\/span><\/p>\n

Lo\u1ea1i <\/span> \u0111\u01a1n <\/span> b\u00e0o <\/span> (Protozoan):\u00a0 <\/span> k\u00fd \u00a0 \u00a0 sinh <\/span> tr\u00f9ng <\/span> s\u1ed1t <\/span> r\u00e9t, <\/span> trypanosomiasis, Toxoplasmosis, Entamoeba histolytica (th\u1ec3 \u00e1p xe n\u00e3o), Amip (vi\u00eam m\u00e0ng n\u00e3o amip, \u00e1p xe), lo\u1ea1i giun tr\u00f2n (Nematodes), Angiostrongylus cantonensis. \u00a0 Gnathosma spinigerum, Toxocariasis; giun \u0111\u0169a ch\u00f3 (T.canis), giun \u0111\u0169a m\u00e8o (T. cati), Trichinella spiralis, s\u00e1n l\u00e1 (Trematodes), Schistosomiasis, Paragonimiasis s\u00e1n d\u1ea3i hay s\u00e1n d\u00e2y (Cestodes), s\u00e1n d\u00e2y l\u1ee3n…<\/span><\/p>\n

\u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m tr\u00f9ng h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng l\u00e0 th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng h\u1ed9i ch\u1ee9ng m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p hay m\u1ea1n t\u00ednh t\u00e1i ph\u00e1t. Th\u1eddi gian b\u1ec7nh t\u1ea1m l\u1eafng \u0111\u00f4i khi d\u1ec5 nh\u1ea7m t\u00ecnh tr\u1ea1ng b\u1ec7nh ph\u1ee5c h\u1ed3i hay kh\u1ecfi b\u1ec7nh; ti\u1ebfp \u0111\u1ebfn l\u00e0 \u00a0 tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1ea7u k\u00e9o d\u00e0i, \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9, y\u1ebfu li\u1ec7t v\u1eadn \u0111\u1ed9ng, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c, aphasia. Giai \u0111o\u1ea1n mu\u1ed9n hdn l\u00e0 h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd v\u1edbi \u0111au \u0111\u1ea7u, \u00f3i m\u1eeda, ph\u00f9 gai c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m c\u1ee9ng g\u00e1y. Trong giai \u0111o\u1ea1n b\u1ec7nh ph\u00e1t tri\u1ec3n, h\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng kh\u00f4ng r\u00f5 r\u00e0ng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, bi\u1ec3u hi\u1ec7n tr\u1ea1ng th\u00e1i t\u00e2m th\u1ea7n nh\u01b0 tr\u1ea7m c\u1ea3m, hoang t\u01b0\u1edfng, lo \u00e2u, gi\u1ea3m tr\u00ed nh\u1edb, m\u1ea5t ng\u1ee7 k\u00e9o d\u00e0i. B\u1ec7nh nh\u00e2n c\u1ed1 khi th\u1edd \u01a1 l\u00e3nh c\u1ea3m, sa s\u00fat tr\u00ed tu\u1ec7.<\/span><\/p>\n

C\u00e1c x\u00e9 tnghi\u1ec7m , t\u00edm k\u00fd sinh tr\u00f9ng trong ph\u00e2n hay trong sang th\u01b0\u01a1ng c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 h\u1eefu \u00edch. X\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc cho bi\u1ebft t\u00ecnh tr\u1ea1ng nhi\u1ec5m k\u00fd sinh tr\u00f9ng v\u00e0 l\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ecbnh h\u01b0\u1edbng cho ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m k\u00fd sinh tr\u00f9ng h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. C\u00e1c x\u00e9t nghi\u1ec7m CT, MRI c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y sang th\u01b0\u01a1ng \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh nhi\u1ec5m k\u00fd sinh tr\u00f9ng, v\u00e0 \u00a0 gi\u00fap \u00edch ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t c\u00e1c b\u1ec7nh l\u00fd: tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, sa s\u00fat tr\u00ed tu\u1ec7, vi\u00eam n\u00e3o…<\/span><\/p>\n

Do \u0111\u1eb7c t\u00ednh b\u1ec7nh th\u01b0\u1eddng g\u1eb7p v\u00e0 \u0111i\u1ec1u ki\u1ec7n ch\u1ea9n \u0111o\u00e1n n\u01b0\u1edbc ta c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3, ch\u00fang t\u00f4i \u0111\u1ec1 c\u1eadp <\/span>\u201cvi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p – m\u1ea1n t\u00ednh do s\u00e1n<\/span><\/i> d\u1ea3i<\/span><\/i> heo <\/span><\/i>\u201d<\/b><\/p>\n

2. B\u1ec7nh s\u00e1n d\u00e2y l\u1ee3n<\/strong><\/h2>\n

L\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p <\/span>\u1edf c\u00e1c <\/span><\/i>n\u01b0\u1edbc Ch\u00e2u \u00c1 v\u00e0 c\u00e1c n\u01b0\u1edbc Nam M\u1ef9. \u1edf Vi\u1ec7t Nam, trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, Khoa Th\u1ea7n kinh B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby c\u0169ng \u0111\u00e3 g\u1eb7p nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u00e0ng n\u00e3o do s\u00e1n d\u00e2y l\u1ee3n g\u00e2y ra, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y s\u1edbm v\u00e0 \u0111\u1ea7y \u0111\u1ee7 c\u00f3 k\u1ebft qu\u1ea3 r\u1ea5t kh\u1ea3 quan, h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 th\u1ea7n kinh .<\/span><\/p>\n

2.1. L\u00e2m s\u00e0ng<\/h3>\n

B\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m \u1ea5u tr\u00f9ng s\u00e1n d\u00e2y l\u1ee3n<\/a> kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, t\u00ean m\u1ed7i b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p ho\u1eb7c \u0111\u01a1n \u0111\u1ed9c. Kh\u00f4i ph\u00e1t c\u00f3 th\u1ec3 c\u1ea5p t\u00ednh nh\u01b0 thi\u1ebfu m\u00e1u n\u00e3o c\u1ee5c b\u1ed9, ti\u1ebfn tri\u1ec3n nh\u01b0 kh\u1ed1i cho\u00e1n ch\u1ed7 trong s\u1ecd, ho\u1eb7c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9.<\/span><\/p>\n

Th\u1ec3 c\u1ea5p t\u00ednh – b\u00e1n c\u1ea5p, th\u01b0\u1eddng l\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o xu\u1ea5t hi\u1ec7n nh\u01b0 m\u1ed9t vi\u00eam n\u00e3o b\u00e1n c\u1ea5p ti\u1ebfn tri\u1ec3n trong v\u00e0i tu\u1ea7n. \u1ede tr\u1ebb em xu\u1ea5t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng v\u1ec1 t\u00e2m th\u1ea7n, ch\u1eadm ch\u1ea1p \u00edt n\u00f3i, \u0111au \u0111\u1ea7u, gi\u1ea3m tr\u00ed nh\u1edb, y\u1ebfu li\u1ec7t v\u1eadn \u0111\u1ed9ng n\u1eeda ng\u01b0\u1eddi. Giai \u0111o\u1ea1n n\u1eb7ng ho\u1eb7c mu\u1ed9n xu\u1ea5t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (\u0111au \u0111\u1ea7u t\u0103ng l\u00ean, n\u00f4n \u00f3i th\u01b0\u1eddng xuy\u00ean, l\u00fa l\u1eabn t\u00e2m th\u1ea7n, kh\u00e1m \u0111\u00e1y m\u1eaft c\u00f3 th\u1ec3 ph\u1eeb gai, gi\u1ea3m th\u1ecb l\u1ef1c), co gi\u1eadt c\u1ee5c b\u1ed9. Th\u1ec3 l\u00e2m s\u00e0ng n\u00e0y c\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi u n\u00e3o, vi\u00eam n\u00e3o, \u0111\u1ed9t qu\u1ef5. Huy\u1ebft thanh ch\u1ea9n \u0111o\u00e1n v\u00e0 CT s\u1ecd l\u00e0 nh\u1eefng x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn.<\/span><\/p>\n

Th\u1ec3 m\u1ea1n t\u00ednh, trong nhi\u1ec1u nghi\u00ean c\u1ee9u, th\u1ec3 l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p l\u00e0 vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p – m\u1ea1n t\u00ednh. B\u1ec7nh nh\u00e2n \u0111au \u0111\u1ea7u dai d\u1eb3ng, ti\u1ebfn tri\u1ec3n, th\u1ec9nh tho\u1ea3ng xu\u1ea5t hi\u1ec7n n\u00f4n, ch\u00f3ng m\u1eb7t, g\u00e1y c\u1ee9ng, d\u1ea5u m\u00e0ng n\u00e3o \u00a0 (+) (Kernig, Brudzinski), ataxia, li\u1ec7t v\u1eadn \u0111\u1ed9ng ti\u1ebfn tri\u1ec3n, co gi\u1eadt, ph\u00f9 gai th\u1ecb, gi\u1ea3m th\u1ecb l\u1ef1c. Trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p – m\u1ea1n t\u00ednh k\u1ebft h\u1ee3p s\u1ef1 thay \u0111\u1ed5i d\u1ecbch n\u00e3o t\u1ee7y v\u1edbi protein t\u0103ng cao, gia t\u0103ng t\u1ebf b\u00e0o lympho. CT ho\u1eb7c MRI n\u00e3o th\u1ea5t gi\u00e3n r\u1ed9ng.<\/span><\/p>\n

Bi\u1ec3u hi\u1ec7n \u1ea5u tr\u00f9ng c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0:\u00a0 \u1ede <\/span><\/i>m\u1eaft, \u1ea5u tr\u00f9ng trong v\u00f5ng m\u1ea1c, th\u1ee7y tinh d\u1ecbch, g\u00e2y gi\u1ea3m th\u1ecb l\u1ef1c, li\u1ec7t v\u1eadn nh\u00e3n. \u1ede da, bi\u1ec3u hi\u1ec7n nh\u1eefng n\u1ed1t nh\u1ecf d\u01b0\u1edbi da. \u1ede c\u01a1, nh\u1eefng n\u1ed1t ph\u1ed3ng trong c\u01a1 g\u00e2y \u0111au, sinh thi\u1ebft x\u00e1c \u0111\u1ecbnh \u1ea5u tr\u00f9ng. C\u1edd tim c\u0169ng c\u00f3 th\u1ec3 b\u1ecb.<\/span><\/p>\n

2.2. X\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h3>\n
    \n
  • Huy\u1ebft h\u1ecdc, b\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng cao, t\u1eeb 5-10 tu\u1ea7n sau khi nhi\u1ec5m, s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng \u0111\u1ebfn 30-35%, IgM t\u0103ng cao c\u00f3 khi \u0111\u1ebfn 3-4 g\/1.<\/span><\/li>\n
  • D\u1ecbch n\u00e3o t\u1ee7y, trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p l\u1ea5y d\u1ecbch n\u00e3o t\u1ee7y x\u00e9t nghi\u1ec7m, \u00e1p l\u1ef1c t\u0103ng, protein t\u0103ng, \u0111\u01b0\u1eddng gi\u1ea3m nh\u1eb9, t\u1ebf b\u00e0o t\u0103ng ch\u1ee7 y\u1ebfu l\u00e0 lympho, eosin c\u00f3 th\u1ec3 t\u1eeb 2-40%, s\u1ef1 t\u0103ng t\u1ebf b\u00e0o \u00e1i toan l\u00e0 m\u1ed9t b\u1eb1ng ch\u1ee9ng cho nhi\u1ec5m k\u00fd sinh tr\u00f9ng h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u00f3, kho\u1ea3ng 50% tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 b\u1ea1ch c\u1ea7u \u00e1i<\/span><\/li>\n
  • Hi\u1ec7n t\u1ea1i ch\u00fang t\u00f4i \u0111ang d\u00f9ng th\u1eed nghi\u1ec7m ELISA \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p s\u0111m c\u00f3 \u1edf Vi\u1ec7t Nam, th\u1eed nghi\u1ec7m \u00edt t\u1ed1n k\u00e9m v\u00e0 tin c\u1eady d\u01b0\u1ee3c. B\u1ec7nh ph\u1ea9m l\u00e0 huy\u1ebft thanh b\u1ec7nh nh\u00e2n.<\/span><\/li>\n
  • CT s\u1ecd, l\u00e0 x\u00e9t nghi\u1ec7m th\u01b0\u1eddng d\u00f9ng nh\u1ea5t trong tr\u01b0\u01a1ng h\u1ee3p vi\u00eam m\u00e0ng n\u00e3o m\u1ea1n t\u00ednh ho\u1eb7c b\u00e1n c\u1ea5p: <\/span>Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh \u1ea5u tr\u00f9ng s\u00e1n d\u00e2y l\u1ee3n trong n\u00e3o – m\u00e0ng n\u00e3o: giai \u0111o\u1ea1n c\u1ea5p nhi\u1ec5m \u1ea5u tr\u00f9ng g\u00e2y ph\u00f9 \u0111a \u0111, t\u1eabn th\u01b0\u01a1ng c\u00f3 th\u1ec3 b\u1eaft c\u1ea3n quang \u0111\u1ed3ng nh\u1ea5t; giai \u0111o\u1ea1n m\u00e3n t\u00ednh nang ch\u1ee9a d\u1ecbch (4-20mm), nhi\u1ec1u nang hay \u0111\u01a1n \u0111\u1ed9c, c\u00f3 b\u1eaft ch\u1ea5t c\u1ea3n quang, v\u1ec1 <\/b>sau, \u0111\u00f3ng v\u00f4i \u1edf 70%, n\u00e3o \u00fang th\u1ee7y \u1edf 70% \u00a0 tr\u01b0\u1eddng h\u1ee3p. CT n\u00e3o gi\u00fap cho ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t c\u00e1c b\u1ec7nh n\u00e3o kh\u00e1c, nh\u1ea5t l\u00e0 b\u1ec7nh l\u00fd u n\u00e3o.<\/li>\n<\/ul>\n
      \n
    • MRI, l\u00e0 k\u1ef9 thu\u1eadt cao trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh h\u1ec7 th\u1ea7n Nh\u1eefng h\u00ecnh \u1ea3nh MRI b\u1ed5 sung cho k\u1ebft qu\u1ea3 tr\u00ean CT, nh\u1ea5t l\u00e0 t\u1ed5n th\u01b0\u01a1ng b\u1ec7nh h\u1ed1 sau v\u00e0 b\u1ec7nh t\u1eafc ngh\u1ebdn d\u1ecbch n\u00e3o t\u1ee7y.<\/span><\/li>\n<\/ul>\n

      2.3. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h3>\n

      Kh\u00e1ng sinh \u0111\u1eb7c hi\u1ec7u<\/span><\/i><\/p>\n

        \n
      • Praziquantel: 30-50 mg\/kg\/ng\u00e0y X 15 ng\u00e0y<\/span><\/li>\n
      • Albendazol:\u00a0 15mg\/kg\/ng\u00e0y \u00a0 X 30 \u00a0 ng\u00e0y<\/span><\/li>\n<\/ul>\n

        Kh\u00e1ng vi\u00eam:\u00a0 <\/span><\/i>Corticoid,\u00a0 dexamethason 5-20mg\/ ng\u00e0y rv.<\/span><\/p>\n

        Co gi\u1eadt: <\/span><\/i>c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, dilantin, Carbamazepin, diazepin.<\/span><\/p>\n

        \u0110i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng: <\/span><\/i>\u0111i\u1ec1u tr\u1ecb \u0111au \u0111\u1ea7u n\u00f4n, gi\u1ea3m \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/span><\/p>\n

        2.4. Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/h3>\n

        Kh\u00f4ng c\u00f3 m\u1ed9t ti\u00ean l\u01b0\u1ee3ng ch\u1ea5c ch\u1ea5n cho b\u1ec7nh nh\u00e2n nhi\u1ec5m \u1ea5u tr\u00f9ng s\u00e1n d\u1ea3i heo. \u1edf \u00a0 giai \u0111o\u1ea1n c\u1ea5p m\u1ed9t, v\u00e0i b\u1ec7nh nh\u00e2n kh\u1ecfi ho\u00e0n to\u00e0n, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng thuy\u00ean gi\u1ea3m, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c ti\u1ebfn tri\u1ec3n t\u1eed vong.<\/span><\/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":"

        Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ed1 lo\u1ea1i k\u00ed sinh tr\u00f9ng, ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c lo\u1ea1i amip v\u00e0 k\u00fd sinh tr\u00f9ng. B\u1ec7nh n\u00e0y th\u01b0\u1eddng c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 vi\u00eam m\u00e0ng n\u00e3o c\u1ea5p t\u00ednh, tuy nhi\u00ean m\u1ee9c \u0111\u1ed9 nghi\u00eam […]<\/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":"\nVi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p do nhi\u1ec5m k\u00ed sinh tr\u00f9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ed1 lo\u1ea1i k\u00ed sinh tr\u00f9ng, ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c ...\" \/>\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=\"Vi\u00eam m\u00e0ng n\u00e3o b\u00e1n c\u1ea5p do nhi\u1ec5m k\u00ed sinh tr\u00f9ng - 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