{"id":32883,"date":"2023-05-13T09:11:45","date_gmt":"2023-05-13T02:11:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32883"},"modified":"2023-05-13T09:11:45","modified_gmt":"2023-05-13T02:11:45","slug":"di-dang-thong-dong-tinh-mach-nao-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/di-dang-thong-dong-tinh-mach-nao-chan-doan-va-dieu-tri\/","title":{"rendered":"D\u1ecb d\u1ea1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><b>Th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch l\u00e0 t\u1ed5n th\u01b0\u01a1ng b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh l\u01b0u th\u00f4ng m\u00e1u gi\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch. Ch\u00fang c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o tr\u00ean c\u01a1 th\u1ec3, tuy nhi\u00ean th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u1edf n\u00e3o. Qua b\u00e0i vi\u1ebft n\u00e0y ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd n\u00e0y.<\/b><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<ul>\n<li><span class=\"Y2IQFc\" lang=\"vi\">D\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch (AVM) l\u00e0 b\u1ec7nh l\u00fd ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u, bao g\u1ed3m c\u00e1c m\u1ea1ch m\u00e1u h\u00ecnh th\u00e0nh k\u00e9m, trong \u0111\u00f3 c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i c\u1ea5p m\u00e1u \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i tr\u1ef1c ti\u1ebfp v\u1edbi m\u1ea1ng l\u01b0\u1edbi t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 h\u1ec7 th\u1ed1ng mao m\u1ea1ch n\u00e0o xen k\u1ebd. AVM c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t c\u1ee9 \u0111\u00e2u trong c\u01a1 th\u1ec3, tuy nhi\u00ean, AVM t\u1ea1i n\u00e3o \u0111\u01b0\u1ee3c \u0111\u1eb7c bi\u1ec7t quan t\u00e2m v\u00ec nguy c\u01a1 g\u00e2y xu\u1ea5t huy\u1ebft cao c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/span><\/li>\n<li>C\u00f3 th\u1ec3 kh\u00f4ng bi\u1ebft c\u00f3 th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o cho \u0111\u1ebfn khi c\u00f3 tri\u1ec7u ch\u1ee9ng, nh\u01b0 \u0111au \u0111\u1ea7u ho\u1eb7c khi\u1ebfm khuy\u1ebft v\u1eadn \u0111\u1ed9ng. Trong tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, v\u1ee1 m\u1ea1ch m\u00e1u g\u00e2y ra ch\u1ea3y m\u00e1u trong n\u00e3o (xu\u1ea5t huy\u1ebft). Sau khi ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c b\u1ec7nh, th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng.<\/li>\n<\/ul>\n<h2>2. Sinh l\u00fd b\u1ec7nh d\u1ecb d\u1ea1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o<\/h2>\n<ul>\n<li><span class=\"Y2IQFc\" lang=\"vi\">D\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch l\u00e0 m\u1ed9t t\u1eadp h\u1ee3p c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch. Kh\u00f4ng c\u00f3 gi\u01b0\u1eddng mao m\u1ea1ch xen k\u1ebd, v\u00e0 c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i d\u01b0\u1ee1ng d\u1eabn l\u01b0u tr\u1ef1c ti\u1ebfp v\u00e0o c\u00e1c t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u b\u1eb1ng m\u1ed9t ho\u1eb7c nhi\u1ec1u l\u1ed7 r\u00f2. C\u00e1c \u0111\u1ed9ng m\u1ea1ch n\u00e0y thi\u1ebfu l\u1edbp c\u01a1 b\u00ecnh th\u01b0\u1eddng v\u00e0 c\u00e1c t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u th\u01b0\u1eddng b\u1ecb gi\u00e3n ra do c\u00e1c d\u00f2ng shunt \u0111i v\u00e0o qua c\u00e1c l\u1ed7 r\u00f2.<\/span><\/li>\n<li>AVM g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh th\u00f4ng qua ba c\u01a1 ch\u1ebf sinh l\u00fd b\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y ra sau \u0111\u00e2y.<\/li>\n<\/ul>\n<p>&#8211; Th\u1ee9 nh\u1ea5t, c\u00e1c m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng ch\u1ea3y m\u00e1u d\u1eabn \u0111\u1ebfn xu\u1ea5t huy\u1ebft v\u00e0o khoang d\u01b0\u1edbi nh\u1ec7n, khoang n\u00e3o th\u1ea5t ho\u1eb7c ph\u1ed5 bi\u1ebfn h\u01a1n l\u00e0 trong nhu m\u00f4 n\u00e3o.<\/p>\n<p>&#8211; Th\u1ee9 hai, trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng x\u1ea3y xu\u1ea5t huy\u1ebft, co gi\u1eadt c\u00f3 th\u1ec3 x\u1ea3y ra do hi\u1ec7u \u1ee9ng kh\u1ed1i c\u1ee7a AVM ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p t\u0129nh m\u1ea1ch trong t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u.<\/p>\n<p>&#8211; Th\u1ee9 ba, t\u00ecnh tr\u1ea1ng thi\u1ebfu s\u00f3t th\u1ea7n kinh ti\u1ebfn tri\u1ec3n ch\u1eadm \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn nhu m\u00f4 n\u00e3o b\u00ecnh th\u01b0\u1eddng b\u1ecb thi\u1ebfu ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 oxy, khi m\u00e1u kh\u00f4ng \u0111i qua gi\u01b0\u1eddng mao m\u1ea1ch b\u00ecnh th\u01b0\u1eddng m\u00e0 \u0111i v\u00e0o c\u00e1c k\u00eanh \u0111\u1ed9ng t\u0129nh m\u1ea1ch d\u1ecb d\u1ea1ng.<\/p>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n d\u1ecb d\u1ea1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o<\/h2>\n<p><strong>3.1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>Th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o th\u01b0\u1eddng kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u hay tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn khi v\u1ee1 th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch, d\u1eabn \u0111\u1ebfn ch\u1ea3y m\u00e1u trong n\u00e3o (xu\u1ea5t huy\u1ebft).<\/p>\n<ul>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o bao g\u1ed3m:<\/li>\n<\/ul>\n<p>&#8211; \u0110\u1ed9ng kinh.<\/p>\n<p>&#8211; \u00c2m ti\u1ebfng th\u1ed5i c\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c b\u1eb1ng \u1ed1ng nghe t\u1eeb h\u1ed9p s\u1ecd.<\/p>\n<p>&#8211; \u00d9 tai.<\/p>\n<p>&#8211; Nh\u1ee9c \u0111\u1ea7u.<\/p>\n<p>&#8211; \u0110i\u1ec3m y\u1ebfu ho\u1eb7c t\u00ea.<\/p>\n<ul>\n<li>Khi ch\u1ea3y m\u00e1u v\u00e0o trong n\u00e3o x\u1ea3y ra, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u1ed9t c\u01a1n \u0111\u1ed9t qu\u1ef5 v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m:<\/li>\n<\/ul>\n<p>&#8211; \u0110\u1ed9t ng\u1ed9t \u0111au \u0111\u1ea7u.<\/p>\n<p>&#8211; \u0110i\u1ec3m y\u1ebfu ho\u1eb7c t\u00ea.<\/p>\n<p>&#8211; M\u1ea5t t\u1ea7m nh\u00ecn.<\/p>\n<p>&#8211; Kh\u00f3 n\u00f3i.<\/p>\n<p>&#8211; Kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng hi\u1ec3u ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>&#8211; \u0110\u1ee9ng kh\u00f4ng v\u1eefng n\u1ebfu n\u1eb7ng.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u \u1edf b\u1ea5t c\u1ee9 tu\u1ed5i n\u00e0o, nh\u01b0ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng tr\u1ea3i qua tri\u1ec7u ch\u1ee9ng tr\u01b0\u1edbc tu\u1ed5i 50, c\u00f3 th\u1ec3 t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 n\u00e3o theo th\u1eddi gian. C\u00e1c hi\u1ec7u \u1ee9ng t\u1eeb t\u1eeb t\u0103ng l\u00ean, \u0111\u00f4i khi g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf giai \u0111o\u1ea1n s\u1edbm c\u1ee7a tr\u01b0\u1edfng th\u00e0nh. Tuy nhi\u00ean, khi \u0111\u1ea1t \u0111\u1ebfn tu\u1ed5i trung ni\u00ean, b\u1ec7nh c\u00f3 xu h\u01b0\u1edbng \u1ed5n \u0111\u1ecbnh v\u00e0 \u00edt c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng.<\/p>\n<figure id=\"attachment_32891\" aria-describedby=\"caption-attachment-32891\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-32891\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Di-dang-thong-dong-tinh-mach-300x160.png\" alt=\"Di-dang-thong-dong-tinh-mach\" width=\"300\" height=\"160\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Di-dang-thong-dong-tinh-mach-300x160.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Di-dang-thong-dong-tinh-mach.png 406w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-32891\" class=\"wp-caption-text\">D\u1ecb d\u1ea1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch<\/figcaption><\/figure>\n<p><strong>3.2. C\u1eadn l\u00e2m s\u00e0ng\u00a0<\/strong><\/p>\n<p>Ba c\u1eadn l\u00e2m s\u00e0ng ch\u00ednh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n:<\/p>\n<ul>\n<li>CT scan: Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scan) cho h\u00ecnh \u1ea3nh c\u1ee7a n\u00e3o b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng tia X. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea3n quang \u0111\u1ec3 c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i d\u01b0\u1ee1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o v\u00e0 c\u00e1c t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem chi ti\u1ebft h\u01a1n. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee5p c\u1eaft l\u1edbp CTA.<\/li>\n<li>MRI v\u00e0 MRA: H\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI), c\u00f3 \u0111\u1ed9 nh\u1ea1y cao h\u01a1n h\u01a1n so v\u1edbi CT trong th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o. MRI c\u0169ng cung c\u1ea5p th\u00f4ng tin v\u1ec1 v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a c\u00e1c d\u1ecb t\u1eadt, r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. Thu\u1ed1c \u0111\u1ed1i quang t\u1eeb c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam \u0111\u1ec3 xem l\u01b0u th\u00f4ng m\u00e1u trong n\u00e3o t\u1ed1t h\u01a1n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 MRA.<\/li>\n<li>Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch n\u00e3o: Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch n\u00e3o l\u00e0 kh\u1ea3o s\u00e1t chi ti\u1ebft nh\u1ea5t v\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. Kh\u1ea3o s\u00e1t cho th\u1ea5y v\u1ecb tr\u00ed v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i v\u00e0 t\u0129nh m\u1ea1ch tho\u00e1t.<\/li>\n<\/ul>\n<h2>4. \u0110i\u1ec1u tr\u1ecb<\/h2>\n<p><strong>4.1. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/strong><\/p>\n<ul>\n<li>Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb v\u1edbi kh\u1ed1i d\u1ecb d\u1ea1ng nh\u1ecf l\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3. M\u1ed9t ph\u1ea7n c\u1ee7a h\u1ed9p s\u1ecd b\u1ecb lo\u1ea1i b\u1ecf t\u1ea1m th\u1eddi \u0111\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn v\u00e0o th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o. Vi\u1ec7c gi\u1ea3i ph\u1eabu th\u1ea7n kinh, h\u1ed7 tr\u1ee3 b\u1eb1ng m\u1ed9t vi ph\u1eabu trong m\u1ed5. \u0110\u00f4i khi ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi laser. M\u1ea3nh x\u01b0\u01a1ng s\u1ecd sau \u0111\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u1ea1i v\u00e0 da \u0111\u1ea7u \u0111\u01b0\u1ee3c \u0111\u00f3ng l\u1ea1i.<\/li>\n<li>C\u1eaft b\u1ecf m\u1ea3nh x\u01b0\u01a1ng s\u1ecd th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i v\u1edbi r\u1ee7i ro ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ec3 ng\u0103n ng\u1eeba nguy c\u01a1 xu\u1ea5t huy\u1ebft hay co gi\u1eadt. V\u1ecb tr\u00ed \u1ed5 d\u1ecb d\u1ea1ng \u1edf c\u00e1c v\u00f9ng n\u00e3o s\u00e2u c\u00f3 nhi\u1ec1u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt h\u01a1n. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t.<\/li>\n<\/ul>\n<p><strong>4.2. N\u00fat m\u1ea1ch<\/strong><\/p>\n<ul>\n<li>Trong th\u1ee7 thu\u1eadt n\u00e0y b\u00e1c s\u0129 s\u1ebd lu\u1ed3n m\u1ed9t \u1ed1ng th\u00f4ng nh\u1ecf v\u00e0o m\u1ed9t \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i v\u00e0 lu\u1ed3n t\u1edbi \u0111\u1ed9ng m\u1ea1ch trong n\u00e3o v\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a X-quang. \u1ed0ng th\u00f4ng s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ee7a m\u1ed9t trong c\u00e1c \u0111\u1ed9ng m\u1ea1ch nu\u00f4i d\u01b0\u1ee1ng cho kh\u1ed1i d\u1ecb d\u1ea1ng v\u00e0 qua m\u1ed9t \u1ed1ng th\u00f4ng si\u00eau nh\u1ecf, m\u1ed9t ch\u1ea5t g\u00e2y t\u1eafc m\u1ea1ch s\u1ebd \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o \u0111\u1ec3 l\u00e0m t\u1eafc \u1ed5 d\u1ecb d\u1ea1ng, ch\u1eb7n v\u00e0 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0o th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o n\u00e0y.<\/li>\n<li>N\u00fat m\u1ea1ch c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u01a1n \u0111\u1ed9c, tr\u01b0\u1edbc c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u1ec3 gi\u1ea3m k\u00edch c\u1ee1 c\u1ee7a th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o, ho\u1eb7c \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ch\u1ea3y m\u00e1u trong qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<\/ul>\n<p><strong>4.3. S\u00f3ng b\u1ee9c x\u1ea1<\/strong><\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y s\u1eed d\u1ee5ng b\u1ee9c x\u1ea1 t\u1eadp trung ch\u00ednh x\u00e1c \u0111\u1ec3 lo\u1ea1i b\u1ecf th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o. \u0110i\u1ec1u tr\u1ecb n\u00e0y c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t cho th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o nh\u1ecf v\u00e0 cho nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng c\u00f3 xu\u1ea5t huy\u1ebft n\u00e3o \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n<p><strong>Ngu\u1ed3n tham kh\u1ea3o:<\/strong> <span class=\"title\">Arteriovenous Malformation Of The Brain &#8211; PubMed<\/span><\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/quy-trinh-chup-va-nut-di-dang-dong-tinh-mach-phan-mem-so-hoa-xoa-nen\/\">Quy tr\u00ecnh ch\u1ee5p v\u00e0 n\u00fat d\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch ph\u1ea7n m\u1ec1m s\u1ed1 ho\u00e1 xo\u00e1 n\u1ec1n<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch l\u00e0 t\u1ed5n th\u01b0\u01a1ng b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh l\u01b0u th\u00f4ng m\u00e1u gi\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch. Ch\u00fang c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o tr\u00ean c\u01a1 th\u1ec3, tuy nhi\u00ean th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u1edf n\u00e3o. Qua b\u00e0i vi\u1ebft n\u00e0y ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ch\u1ea9n [&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>D\u1ecb d\u1ea1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch l\u00e0 t\u1ed5n th\u01b0\u01a1ng l\u01b0u th\u00f4ng m\u00e1u gi\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o tr\u00eanc\u01a1 th\u1ec3, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf n\u00e3o.\" \/>\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=\"D\u1ecb d\u1ea1ng th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch n\u00e3o: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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