{"id":34900,"date":"2023-06-15T07:52:15","date_gmt":"2023-06-15T00:52:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34900"},"modified":"2023-06-15T07:52:15","modified_gmt":"2023-06-15T00:52:15","slug":"hoi-chung-guillain-barre-chan-doan-som-dieu-tri-hieu-qua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/15\/hoi-chung-guillain-barre-chan-doan-som-dieu-tri-hieu-qua\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng Guillain-Barre: ch\u1ea9n \u0111o\u00e1n s\u1edbm, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3"},"content":{"rendered":"

Guillain-Barre l\u00e0 h\u1ed9i ch\u1ee9ng hi\u1ebfm g\u1eb7p, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 ti\u1ebfn tri\u1ec3n tri\u1ec7u ch\u1ee9ng r\u1ea7m r\u1ed9, nhanh ch\u00f3ng v\u00e0 \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng n\u00e0y.<\/p>\n

1. H\u1ed9i ch\u1ee9ng Guillain-Barre l\u00e0 g\u00ec?<\/h2>\n

H\u1ed9i ch\u1ee9ng Guillain-Barre<\/a> (GBS) hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam \u0111a d\u00e2y th\u1ea7n kinh c\u1ea5p t\u00ednh, \u0111\u00e2y l\u00e0 m\u1ed9t ch\u1ee9ng r\u1ed1i lo\u1ea1n th\u1ea7n kinh hi\u1ebfm g\u1eb7p \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh ngo\u1ea1i vi, d\u1eabn \u0111\u1ebfn nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 x\u1ea3y ra. T\u00ecnh tr\u1ea1ng suy nh\u01b0\u1ee3c n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 t\u1ea5n c\u00f4ng nh\u1ea7m v\u00e0o c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i vi, d\u1eabn \u0111\u1ebfn y\u1ebfu c\u01a1, t\u00ea li\u1ec7t v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p l\u00e0 suy h\u00f4 h\u1ea5p.<\/p>\n

2. Nguy\u00ean nh\u00e2n<\/h2>\n

Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9 hi\u1ec7n v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m s\u00e1ng t\u1ecf ho\u00e0n to\u00e0n. Kho\u1ea3ng 60% tr\u01b0\u1eddng h\u1ee3p, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y. \u0110\u1eb7c bi\u1ec7t, nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 h\u1ec7 h\u00f4 h\u1ea5p v\u00e0 h\u1ec7 ti\u00eau h\u00f3a tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a GBS. Tuy nhi\u00ean, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u v\u1eabn ch\u01b0a hi\u1ec3u \u0111\u01b0\u1ee3c t\u1ea1i sao nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 g\u00e2y ra GBS \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi trong khi kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi kh\u00e1c. Ngo\u00e0i ra, c\u0169ng \u0111\u00e3 ghi nh\u1eadn nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p GBS x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/p>\n

Trong h\u1ed9i ch\u1ee9ng GBS, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch th\u01b0\u1eddng t\u1ea5n c\u00f4ng c\u00e1c v\u1eadt ngo\u1ea1i lai v\u00e0 c\u00e1c t\u00e1c nh\u00e2n x\u00e2m nh\u1eadp, nh\u01b0ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch b\u1eaft \u0111\u1ea7u t\u1ea5n c\u00f4ng c\u00e1c d\u00e2y th\u1ea7n kinh truy\u1ec1n t\u00edn hi\u1ec7u gi\u1eefa c\u01a1 th\u1ec3 v\u00e0 n\u00e3o. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn s\u1ef1 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a b\u1ea3o v\u1ec7 d\u00e2y th\u1ea7n kinh (bao myelin) v\u00e0 g\u00e2y c\u1ea3n tr\u1edf qu\u00e1 tr\u00ecnh truy\u1ec1n t\u00edn hi\u1ec7u. K\u1ebft qu\u1ea3 l\u00e0 suy y\u1ebfu, t\u00ea c\u00f3ng ho\u1eb7c t\u00ea li\u1ec7t xu\u1ea5t hi\u1ec7n \u1edf c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng. Qu\u00e1 tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 di\u1ec5n ra do m\u1ed9t ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch t\u1ef1 ph\u00e1t, trong \u0111\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch t\u1ef1 \u0111\u00e1nh m\u1ea5t kh\u1ea3 n\u0103ng ph\u00e2n bi\u1ec7t gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a d\u00e2y th\u1ea7n kinh v\u00e0 c\u00e1c t\u00e1c nh\u00e2n ngo\u1ea1i lai, g\u00e2y ra s\u1ef1 t\u1ea5n c\u00f4ng kh\u00f4ng mong mu\u1ed1n l\u00ean h\u1ec7 th\u1ed1ng th\u1ea7n kinh.<\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng Guillain-Barre<\/h2>\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a GBS
\nC\u00e1c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n nh\u01b0 suy nh\u01b0\u1ee3c, c\u1ea3m gi\u00e1c ng\u1ee9a ran v\u00e0 t\u00ea \u1edf t\u1ee9 chi.<\/p>\n

Khi t\u00ecnh tr\u1ea1ng ti\u1ebfn tri\u1ec3n, xu\u1ea5t hi\u1ec7n y\u1ebfu c\u01a1 lan r\u1ed9ng \u0111\u1ed1i x\u1ee9ng, th\u01b0\u1eddng t\u0103ng d\u1ea7n t\u1eeb ch\u00e2n l\u00ean c\u00e1nh tay v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng d\u1eabn \u0111\u1ebfn t\u00ea li\u1ec7t ho\u00e0n to\u00e0n.<\/p>\n

Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c c\u01a1 ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 h\u00f4 h\u1ea5p, l\u00e0m cho b\u1ec7nh nh\u00e2n ph\u1ea3i th\u1edf m\u00e1y. \u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u01b0u \u00fd l\u00e0 s\u1ef1 kh\u1edfi ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng khi m\u1eafc h\u1ed9i ch\u1ee9ng Guillain-Barre c\u00f3 th\u1ec3 kh\u00e1c nhau gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n.<\/p>\n

\"guillain-barre\"
Tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng c\u1ee7a GBS l\u00e0 y\u1ebfu c\u01a1 \u0111\u1ed1i x\u1ee9ng, ti\u1ebfn tri\u1ec3n c\u1ea5p t\u00ednh<\/figcaption><\/figure>\n

4. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

M\u1ed9t s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh H\u1ed9i ch\u1ee9ng Guillain-Barre.<\/p>\n

\u0110o \u0111i\u1ec7n c\u01a1 (EMG), \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh. N\u00f3 gi\u00fap \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a c\u01a1, t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng v\u1ec1 d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1. Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00e1c b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh \u0111\u1eb7c tr\u01b0ng cho h\u1ed9i ch\u1ee9ng n\u00e0y.<\/p>\n

Ngo\u00e0i ra, ph\u00e2n t\u00edch d\u1ecbch n\u00e3o t\u1ee7y th\u00f4ng qua ch\u1ecdc d\u00f2 t\u1ee7y s\u1ed1ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 ph\u00e1t hi\u1ec7n n\u1ed3ng \u0111\u1ed9 protein t\u0103ng cao v\u00e0 s\u1ef1 ph\u00e2n ly albuminocytological, h\u1ed7 tr\u1ee3 th\u00eam cho ch\u1ea9n \u0111o\u00e1n.<\/p>\n

5. \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3<\/h2>\n

H\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9 (GBS) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u y\u00eau c\u1ea7u theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng sinh t\u1ed3n, th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u1ed9t \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c c\u1ea5p c\u1ee9u. \u0110o dung t\u00edch s\u1ed1ng ph\u1ed5i th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111o th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p khi c\u1ea7n thi\u1ebft; n\u1ebfu dung t\u00edch s\u1ed1ng d\u01b0\u1edbi 15 mL\/kg, c\u1ea7n \u0111\u1eb7t \u1ed1ng th\u00f4ng kh\u00ed v\u00e0o \u0111\u01b0\u1eddng th\u1edf. M\u1ed9t d\u1ea5u hi\u1ec7u nguy hi\u1ec3m l\u00e0 khi b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 g\u1eadp c\u1ed5 \u0111\u1ec3 n\u00e2ng \u0111\u1ea7u kh\u1ecfi gi\u01b0\u1eddng. GBS th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n song song v\u1edbi li\u1ec7t th\u1ea7n kinh c\u01a1 ho\u00e0nh.<\/p>\n

Trong tr\u01b0\u1eddng h\u1ee3p g\u1eb7p kh\u00f3 kh\u0103n khi u\u1ed1ng, c\u00f3 th\u1ec3 cung c\u1ea5p d\u1ecbch qua t\u0129nh m\u1ea1ch \u0111\u1ec3 duy tr\u00ec l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u t\u1ed1i thi\u1ec3u t\u1eeb 1 \u0111\u1ebfn 1,5L\/ng\u00e0y. C\u1ea7n tr\u00e1nh ch\u1ea5n th\u01b0\u01a1ng v\u00e0 \u00e1p l\u1ef1c \u0111\u00e8 n\u00e9n t\u1ea1i c\u00e1c t\u1ee9 chi khi n\u1eb1m tr\u00ean gi\u01b0\u1eddng.<\/p>\n

V\u1eadt l\u00fd tr\u1ecb li\u1ec7u nhi\u1ec7t gi\u00fap gi\u1ea3m \u0111au v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho v\u1eadn \u0111\u1ed9ng. Kh\u00f4ng n\u00ean gi\u1eef nguy\u00ean t\u01b0 th\u1ebf kh\u00f4ng di chuy\u1ec3n \u0111\u1ec3 tr\u00e1nh c\u1ee9ng kh\u1edbp v\u00e0 co c\u1ee9ng c\u01a1. C\u00e1c b\u00e0i t\u1eadp th\u1ee5 \u0111\u1ed9ng \u0111\u1ec3 duy tr\u00ec kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u00e1c kh\u1edbp n\u00ean \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u s\u1edbm, ngay khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea5p t\u00ednh gi\u1ea3m \u0111i. Heparin tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p (LMWH) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u \u1edf b\u1ec7nh nh\u00e2n n\u1eb1m li\u1ec7t gi\u01b0\u1eddng. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean v\u00e0 ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng LMWH c\u00f3 hi\u1ec7u qu\u1ea3 h\u01a1n heparin kh\u00f4ng ph\u00e2n \u0111o\u1ea1n li\u1ec1u th\u1ea5p (th\u01b0\u1eddng l\u00e0 5000 \u0111\u01a1n v\u1ecb m\u1ed7i ng\u00e0y) v\u00e0 c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u t\u01b0\u01a1ng t\u1ef1.<\/p>\n

5.1 Li\u1ec7u ph\u00e1p mi\u1ec5n d\u1ecbch<\/h3>\n

S\u1eed d\u1ee5ng globulin mi\u1ec5n d\u1ecbch ti\u00eam t\u0129nh m\u1ea1ch (IVIG) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p tr\u1ecb li\u1ec7u mi\u1ec5n d\u1ecbch ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n GBS. IVIG ch\u1ee9a c\u00e1c kh\u00e1ng th\u1ec3 t\u1ed5ng h\u1ee3p t\u1eeb nh\u1eefng ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng kh\u1ecfe m\u1ea1nh v\u00e0 ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u0111i\u1ec1u ch\u1ec9nh ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 t\u1ea5n c\u00f4ng v\u00e0o c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/p>\n

Vi\u1ec7c s\u1eed d\u1ee5ng IVIG s\u1edbm, v\u1edbi li\u1ec1u 2g\/kg trong 1-2 ng\u00e0y ho\u1eb7c ch\u1eadm h\u01a1n, nh\u01b0 l\u00e0 400mg\/kg ti\u00eam t\u0129nh m\u1ea1ch m\u1ed7i ng\u00e0y trong 5 ng\u00e0y li\u00ean ti\u1ebfp, l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn. IVIG \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 m\u1ed9t s\u1ed1 l\u1ee3i \u00edch k\u00e9o d\u00e0i \u0111\u1ebfn 1 th\u00e1ng sau khi b\u1ec7nh xu\u1ea5t hi\u1ec7n.<\/p>\n

5.2 L\u1ecdc huy\u1ebft t\u01b0\u01a1ng<\/h3>\n

Thay th\u1ebf huy\u1ebft t\u01b0\u01a1ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p c\u00f3 hi\u1ec7u qu\u1ea3 khi th\u1ef1c hi\u1ec7n s\u1edbm, v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi IVIG kh\u00f4ng \u0111\u1ea1t hi\u1ec7u qu\u1ea3 mong mu\u1ed1n. Qu\u00e1 tr\u00ecnh l\u1ecdc huy\u1ebft t\u01b0\u01a1ng c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u th\u1eddi gian m\u1eafc b\u1ec7nh v\u00e0 th\u1eddi gian n\u1eb1m vi\u1ec7n, \u0111\u1ed3ng th\u1eddi gi\u1ea3m nguy c\u01a1 t\u1eed vong v\u00e0 t\u1ef7 l\u1ec7 di ch\u1ee9ng li\u1ec7t v\u0129nh vi\u1ec5n. Tuy nhi\u00ean, vi\u1ec7c l\u1ecdc huy\u1ebft t\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p do l\u01b0\u1ee3ng d\u1ecbch truy\u1ec1n l\u1edbn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng trong qu\u00e1 tr\u00ecnh ti\u1ebfp c\u1eadn qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Ngo\u00e0i ra, qu\u00e1 tr\u00ecnh l\u1ecdc huy\u1ebft t\u01b0\u01a1ng lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n c\u00e1c IVIG \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc \u0111\u00f3, l\u00e0m m\u1ea5t \u0111i t\u00e1c d\u1ee5ng c\u1ee7a IVIG, do \u0111\u00f3 kh\u00f4ng bao gi\u1edd n\u00ean th\u1ef1c hi\u1ec7n l\u1ecdc huy\u1ebft t\u01b0\u01a1ng trong ho\u1eb7c ngay sau khi s\u1eed d\u1ee5ng IVIG. T\u1ed1t nh\u1ea5t l\u00e0 \u0111\u1ee3i \u00edt nh\u1ea5t 2 \u0111\u1ebfn 3 ng\u00e0y sau khi ng\u1eebng s\u1eed d\u1ee5ng IVIG tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n qu\u00e1 tr\u00ecnh l\u1ecdc huy\u1ebft t\u01b0\u01a1ng.<\/p>\n

6. Ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng Guillain-Barre<\/h2>\n

Do h\u1ed9i ch\u1ee9ng Guillain-Barre l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3 nh\u01b0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ho\u1eb7c \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. M\u1eb7c d\u00f9 nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a GBS v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7, nh\u01b0ng th\u1ef1c h\u00e0nh v\u1ec7 sinh t\u1ed1t v\u00e0 tu\u00e2n theo c\u00e1c h\u01b0\u1edbng d\u1eabn ti\u00eam ch\u1ee7ng l\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u1ea7n thi\u1ebft. Duy tr\u00ec v\u1ec7 sinh tay \u0111\u00fang c\u00e1ch, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong th\u1eddi gian c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng gia t\u0103ng, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng m\u1eafc c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 g\u00e2y ra GBS. Vi\u1ec7c ch\u1ee7ng ng\u1eeba c\u00e1c b\u1ec7nh \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn GBS, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00fam v\u00e0 Campylobacter jejuni, c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb. Nghi\u00ean c\u1ee9u \u0111ang th\u1ef1c hi\u1ec7n nh\u1eb1m m\u1ee5c \u0111\u00edch x\u00e1c \u0111\u1ecbnh c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba ti\u1ec1m n\u0103ng,<\/p>\n","protected":false},"excerpt":{"rendered":"

Guillain-Barre l\u00e0 h\u1ed9i ch\u1ee9ng hi\u1ebfm g\u1eb7p, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 ti\u1ebfn tri\u1ec3n tri\u1ec7u ch\u1ee9ng r\u1ea7m r\u1ed9, nhanh ch\u00f3ng v\u00e0 \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng n\u00e0y. 1. H\u1ed9i ch\u1ee9ng Guillain-Barre l\u00e0 […]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"\nH\u1ed9i ch\u1ee9ng Guillain-Barre: ch\u1ea9n \u0111o\u00e1n s\u1edbm, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3<\/title>\n<meta name=\"description\" content=\"Guillain-Barre l\u00e0 h\u1ed9i ch\u1ee9ng hi\u1ebfm g\u1eb7p, \u0111\u1eb7c tr\u01b0ng b\u1edfi tri\u1ec7u ch\u1ee9ng r\u1ea7m r\u1ed9 v\u00e0 h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1. 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