{"id":29555,"date":"2023-04-30T12:59:45","date_gmt":"2023-04-30T05:59:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29555"},"modified":"2023-04-30T12:59:45","modified_gmt":"2023-04-30T05:59:45","slug":"benh-xo-cung-rai-rac","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/benh-xo-cung-rai-rac\/","title":{"rendered":"B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd n\u1eb1m trong nh\u00f3m b\u1ec7nh t\u1ee7y tho\u00e1i h\u00f3a th\u1ea7n kinh Myelin. Khi h\u1ec7 th\u1ed1ng ph\u00f2ng ch\u1ed1ng nhi\u1ec5m tr\u00f9ng c\u1ee7a c\u01a1 th\u1ec3, g\u1ecdi l\u00e0 \u201ch\u1ec7 mi\u1ec5n d\u1ecbch\u201d t\u1ea5n c\u00f4ng v\u00e0o c\u00e1c t\u1ebf b\u00e0o c\u1ee7a ch\u00ednh c\u01a1 th\u1ec3 ch\u00fang ta \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cph\u1ea3n \u1ee9ng t\u1ef1 mi\u1ec5n\u201d. N\u00f3 g\u00e2y ra ph\u00e1 h\u1ee7y bao myelin &#8211; b\u1ecdc ngo\u00e0i c\u00e1c d\u00e2y th\u1ea7n kinh. Khi bao myelin b\u1ecb ph\u00e1 h\u1ee7y, s\u1ef1 d\u1eabn truy\u1ec1n th\u00f4ng tin t\u1eeb n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 kh\u00f4ng truy\u1ec1n t\u1edbi \u0111\u00edch hay \u0111\u1ee7 th\u00f4ng tin \u0111\u01b0\u1ee3c. Nhi\u1ec1u ng\u01b0\u1eddi g\u1ecdi b\u1ec7nh n\u00e0y l\u00e0 b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng hay theo t\u1eeb ti\u1ebfng Anh vi\u1ebft t\u1eaft l\u00e0 \u201cMS\u201d.<\/strong><\/p>\n<h2><strong>1. D\u1ecbch t\u1ec5 h\u1ecdc<\/strong><\/h2>\n<p>X\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p \u00f4 c\u00e1c n\u01b0\u1edbc \u00c2u &#8211; M\u1ef9, g\u1ea7n \u0111\u00e2y t\u1ec9 l\u1ec7 b\u1ec7nh n\u00e0y c\u0169ng t\u0103ng \u1edf c\u00e1c v\u00f9ng \u0111\u1ecba l\u00fd kh\u00e1c. B\u1ec7nh \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh tr\u00ean l\u00e2m s\u00e0ng b\u1edfi t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u n\u01a1i kh\u00e1c nhau c\u1ee7a h\u1ec7 TKTW t\u1ea1i nh\u1eefng th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau, \u0111\u1ed3ng th\u1eddi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng trung \u01b0\u01a1ng nhi\u1ec1u \u1ed5 \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb. N\u00f3i chung, tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u tr\u01b0\u1edbc 55 tu\u1ed5i, v\u1edbi t\u1ea7n s\u1ed1 m\u1edbi m\u1eafc cao nh\u1ea5t l\u00e0 \u1edf gi\u1eefa 20- 40tu\u1ed5i, ph\u1ee5 n\u1eef m\u1eafc b\u1ec7nh g\u1ea7n g\u1ea5p 2 nam . Ng\u00e0y nay, b\u1ec7nh \u0111\u01b0\u1ee3c cho l\u00e0 do nguy\u00ean nh\u00e2n t\u1ef1 mi\u1ec5n.<\/p>\n<h2>2. Tri\u1ec7u ch\u1ee9ng x\u01a1 b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c<\/h2>\n<p>B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c v\u00f9ng tho\u00e1i ho\u00e1 myelin r\u1ea3i r\u00e1c t\u1eebng \u1ed5, th\u01b0\u1eddng quanh n\u00e3o th\u1ea5t, c\u0169ng c\u00f3 th\u1ec3 c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u1ee3i tr\u1ee5c. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y g\u1eb7p \u1edf ch\u1ea5t tr\u1eafng c\u1ee7a n\u00e3o v\u00e0 t\u1ee7y v\u00e0 trong th\u1ea7n kinh th\u1ecb (II).<br \/>\n<strong>C\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng:<\/strong><\/p>\n<p><strong>A . C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u1edfi ph\u00e1t<\/strong><br \/>\nThan phi\u1ec1n kh\u1edfi \u0111\u1ea7u th\u01b0\u1eddng g\u1eb7p l\u00e0 y\u1ebfu khu tr\u00fa, t\u00ea, ho\u1eb7c kh\u00f4ng v\u1eefng \u1edf m\u1ed9t chi; m\u1ea5t ho\u1eb7c m\u1edd \u0111\u1ed9t ng\u1ed9t th\u1ecb l\u1ef1c \u1edf m\u1ed9t &#8211; m\u1eaft (vi\u00eam th\u1ea7n kinh th\u1ecb), nh\u00ecn \u0111\u00f4i, r\u1ed1i lo\u1ea1n th\u0103ng b\u1eb1ng, ho\u1eb7c m\u1ed9t r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng b\u00e0ng quang (ti\u1ec3u g\u1ea5p ho\u1eb7c ti\u1ec3u kh\u00f3). C\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 v\u1eady th\u01b0\u1eddng tho\u00e1ng qua, bi\u1ebfn m\u1ea5t sau v\u00e0i ng\u00e0y ho\u1eb7c v\u00e0i tu\u1ea7n, ho\u1eb7c \u0111\u1ec3 l\u1ea1i c\u00e1c khi\u1ebfm khuy\u1ebft c\u00f3 th\u1ec3 d\u01b0\u1ee3c ph\u00e1t hi\u1ec7n khi kh\u00e1m th\u1ea7n kinh c\u1ea9n th\u1eadn.<br \/>\n<strong>B. Di\u1ec5n ti\u1ebfn k\u1ebf ti\u1ebfp<\/strong><br \/>\nB\u1ec7nh di\u1ec5n ra theo nhi\u1ec1u \u0111\u1ee3t, c\u00f3 th\u1ec3 c\u00e1ch nhau v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m sau \u0111\u1ee3t \u0111\u1ea7u v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169 t\u00e1i ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi ph\u00e1t tri\u1ec3n. C\u00e1c \u0111\u1ee3t t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi nhi\u1ec5m tr\u00f9ng ho\u1eb7c sau khi sinh \u1edf ph\u1ee5 n\u1eef. Theo th\u1eddi gian v\u00e0 sau m\u1ed9t s\u1ed1 \u0111\u1ee3t t\u00e1i ph\u00e1t v\u00e0 th\u01b0\u1eddng thuy\u00ean gi\u1ea3m kh\u00f4ng ho\u00e0n to\u00e0n, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ng\u00e0y c\u00e0ng t\u00e0n ph\u1ebf do y\u1ebfu, c\u1ee9ng, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c, th\u1ea5t \u0111i\u1ec1u chi, gi\u1ea3m th\u1ecb l\u1ef1c, ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t.<br \/>\nTh\u0103m kh\u00e1m trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh di\u1ec5n ti\u1ebfn th\u01b0\u1eddng cho th\u1ea5y teo gai th\u1ecb, rung gi\u1eadt nh\u00e3n c\u1ea7u, r\u1ed1i lo\u1ea1n v\u1eadn ng\u00f4n, v\u00e0 c\u00e1c y\u1ebfu li\u1ec7t v\u1eadn \u0111\u1ed9ng ki\u1ec3u trung \u01b0\u01a1ng, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c ho\u1eb7c ti\u1ec3u n\u00e3o \u1edf v\u00e0i v\u00f9ng ho\u1eb7c to\u00e0n b\u1ed9 chi. Ch\u00fa \u00fd r\u1eb1ng vi\u1ec7c ch\u1ea9n \u0111o\u00e1n kh\u00f4ng d\u1ef1a v\u00e0o b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng \u0111\u01a1n \u0111\u1ed9c n\u00e0o m\u00e0 ch\u1ec9 d\u1ef1a v\u00e0o to\u00e0n b\u1ed9 b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng m\u00e0 n\u00f3 ch\u1ec9 ra l\u00e0 t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u n\u01a1i kh\u00e1c nhau c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng t\u1ea1i nh\u1eefng th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau.<\/p>\n<figure id=\"attachment_29589\" aria-describedby=\"caption-attachment-29589\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-29589\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Benh-xo-cung-rai-rac-300x167.jpg\" alt=\"benh-xo-cung-rai-rac\" width=\"300\" height=\"167\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Benh-xo-cung-rai-rac-300x167.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Benh-xo-cung-rai-rac-768x427.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Benh-xo-cung-rai-rac.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-29589\" class=\"wp-caption-text\">Minh h\u1ecda b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c<\/figcaption><\/figure>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0 ch\u1ea9n \u0111o\u00e1n cu\u1ed1i c\u00f9ng sau khi \u0111\u00e3 lo\u1ea1i tr\u1eed c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c c\u1ea7n b\u1eb1ng ch\u1ee9ng c\u1ee7a \u00edt nh\u1ea5t 2 v\u00f9ng ch\u1ea5t tr\u1eafng trung \u01b0\u01a1ng kh\u00e1c nhau b\u1ecb \u1ea3nh h\u01b0\u1edfng t\u1ea1i nh\u1eefng th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh tr\u00ean l\u00e2m s\u00e0ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n v\u1edbi di\u1ebdn ti\u1ebfn t\u00e1i ph\u00fat &#8211; thuy\u00ean gi\u1ea3m v\u00e0 c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a \u00edt nh\u1ea5t 2 t\u1ed5n th\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn 2 v\u00f9ng ch\u1ea5t tr\u1eafng trung \u01b0\u01a1ng kh\u00e1c nhau. X\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c c\u00f3 kh\u1ea3 n\u0103ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi b\u1ec7nh nh\u00e2n c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd ch\u1ea5t tr\u1eafng \u0111a \u1ed5 nh\u01b0ng ch\u1ec9 c\u00f3 m\u1ed9t \u0111\u1ee3t l\u00e2m s\u00e0ng, ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed \u00edt nh\u1ea5t 2 \u0111\u1ee3t b\u1ec7nh l\u00e2m s\u00e0ng nh\u01b0ng c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u1ec9 c\u1ee7a 1 t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<h2>4. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n<p>C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n n\u00e0y gi\u00fap h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0ng b\u1ea3n th\u00e2n ch\u00fang kh\u00f4ng \u0111\u01b0a ra 1 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh cho b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c.<\/p>\n<ul>\n<li>D\u1ecbch n\u00e3o t\u1ee7y th\u01b0\u1eddng b\u1ea5t th\u01b0\u1eddng v\u1edbi t\u0103ng nh\u1eb9 t\u1ebf b\u00e0o lympho ho\u1eb7c t\u0103ng nh\u1eb9 protein, \u0111\u1eb7c bi\u1ec7t n\u1ebfu l\u1ea5y s\u1edbm sau \u0111\u1ee3t t\u00e1i ph\u00e1t c\u1ea5p. \u0110i\u1ec7n di protein d\u1ecbch n\u00e3o t\u1ee7y cho th\u00e2y c\u00f3 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c chu\u1ed7i \u0111\u01a1n l\u1ebb trong v\u00f9ng IgG (c\u00e1c chu\u1ed7i \u0111\u01a1n d\u00f2ng) trong 90% b\u1ec7nh nh\u00e2n. C\u00e1c kh\u00e1ng nguy\u00ean n\u00e0o ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho c\u00e1c kh\u00e1ng th\u1ec3 n\u00e0y th\u1ec9 ch\u01b0a bi\u1ebft \u0111\u01b0\u1ee3c.<\/li>\n<li>N\u1ebfu b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a m\u1ed9t t\u1ed5n th\u01b0\u01a1ng t\u1ed3n t\u1ea1i ch\u1ec9 m\u1ed9t v\u1ecb tr\u00ed trong h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, th\u00ec kh\u00f4ng th\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c m\u1ed9t c\u00e1ch h\u1ee3p l\u00fd tr\u1eeb phi c\u00e1c v\u00f9ng kh\u00e1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng d\u01b0\u1edbi l\u00e2m s\u00e0ng, nh\u01b0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1edfi c\u00e1c \u0111\u00e1p \u1ee9ng \u0111i\u1ec7n n\u00e3o \u0111\u01b0\u1ee3c g\u1ee3i ra b\u1edfi m\u1ed9t ho\u1eb7c nhi\u1ec1u c\u00e1ch sau: \u0111i\u1ec7n th\u1ebf g\u1ee3i th\u1ecb gi\u00e1c, \u0111i\u1ec7n th\u1ebf g\u1ee3i th\u00ednh gi\u00e1c th\u00e2n n\u00e3o, ho\u1eb7c \u0111i\u1ec7n th\u1ebf g\u1ee3i c\u1ea3m gi\u00e1c th\u00e2n th\u1ec3.<\/li>\n<li>MRI c\u0169ng ph\u00e1t hi\u1ec7n t\u1ed5n\u00a0 th\u01b0\u01a1ng d\u01b0\u1edbi l\u00e2m s\u00e0ng v\u00e0 tr\u1edf n\u00ean kh\u00e1 c\u1ea7n thi\u1ebft trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n b\u1ec7nh n\u00e0y. MRI gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c \u1edf n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng.<\/li>\n<\/ul>\n<h2>5. \u0110i\u1ec1u tr\u1ecb<\/h2>\n<ul>\n<li>Corticosteroids \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 ph\u1ee5c h\u1ed3i t\u1eeb c\u00e1c \u0111\u1ee3t t\u00e1i ph\u00e1t c\u1ea5p. Vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh steroid k\u00e9o d\u00e0i kh\u00f4ng ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c t\u00e1i ph\u00e1t v\u00e0 kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng v\u00ec nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5. Ph\u00e1c \u0111\u1ed3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1ea5t l\u00e0 methylprednisolon TM l g \/ ng\u00e0y cho 3 -5 ng\u00e0y. Sau \u0111\u00f3 prednison u\u1ed1ng gi\u1ea3m li\u1ec1u ( l mg \/ kg \/ ng\u00e0y x 7 ng\u00e0y, r\u1ed3i gi\u1ea3m nhanh trong 1- 2 tu\u1ea7n).<\/li>\n<li>\u1ede b\u1ec7nh nh\u00e2n b\u1ec7nh c\u00f3 nhi\u1ec1u \u0111\u1ee3t thuy\u00ean gi\u1ea3m &#8211; t\u00e1i ph\u00e1t, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng interferon <b>\u03b2 <\/b>&#8211; la ti\u00eam b\u1eafp m\u1ed7i m\u1ea7n 1 l\u1ea7n ho\u1eb7c interferon <b>\u03b2<\/b> &#8211; 1b ti\u00eam d\u01b0\u1edbi da c\u00e1ch ng\u00e0y xen k\u1ebd l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t.<\/li>\n<li>Duy tr\u00ec s\u1ee9c kho\u1ebb chung v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c. Th\u1ec3 d\u1ee5c v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u l\u00e0 quan h\u1ecdng, nh\u01b0ng ph\u1ea3i tr\u00e1nh g\u1eafng s\u1ee9c qu\u00e1 m\u1ee9c. \u0110i\u1ec1u tr\u1ecb co c\u1ee9ng ki\u1ec3u th\u00e1p b\u1eb1ng nh\u00f3m thu\u1ed1c gi\u00e3n c\u01a1 trung \u01b0\u01a1ng.<\/li>\n<\/ul>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/benh-xo-cung-rai-rac-hay-benh-da-xo-cung-la-gi\/\">B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c (hay b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng) l\u00e0 g\u00ec?<\/a><\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: Gi\u00e1o tr\u00ecnh Th\u1ea7n kinh h\u1ecdc &#8211; \u0110HYD Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd n\u1eb1m trong nh\u00f3m b\u1ec7nh t\u1ee7y tho\u00e1i h\u00f3a th\u1ea7n kinh Myelin. Khi h\u1ec7 th\u1ed1ng ph\u00f2ng ch\u1ed1ng nhi\u1ec5m tr\u00f9ng c\u1ee7a c\u01a1 th\u1ec3, g\u1ecdi l\u00e0 \u201ch\u1ec7 mi\u1ec5n d\u1ecbch\u201d t\u1ea5n c\u00f4ng v\u00e0o c\u00e1c t\u1ebf b\u00e0o c\u1ee7a ch\u00ednh c\u01a1 th\u1ec3 ch\u00fang ta \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cph\u1ea3n \u1ee9ng t\u1ef1 mi\u1ec5n\u201d. N\u00f3 g\u00e2y [&hellip;]<\/p>\n","protected":false},"author":26,"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>B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd n\u1eb1m trong nh\u00f3m b\u1ec7nh t\u1ee7y tho\u00e1i h\u00f3a th\u1ea7n kinh Myelin. 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