{"id":35973,"date":"2023-07-02T23:20:58","date_gmt":"2023-07-02T16:20:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35973"},"modified":"2023-07-02T23:28:30","modified_gmt":"2023-07-02T16:28:30","slug":"benh-glaucoma-mat-nguyen-nhan-trieu-chung-va-phuong-phap-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/07\/02\/benh-glaucoma-mat-nguyen-nhan-trieu-chung-va-phuong-phap-chan-doan\/","title":{"rendered":"B\u1ec7nh glaucoma m\u1eaft: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>B\u1ec7nh Glaucoma m\u1eaft\u00a0 b\u1ec7nh c\u1ee7a th\u1ecb th\u1ea7n kinh. Bi\u1ec3u hi\u1ec7n b\u1edfi t\u1ed5n th\u01b0\u01a1ng gai th\u1ecb v\u00e0 th\u1ecb tr\u01b0\u1eddng. l\u00e0m t\u1ed5n h\u1ea1i th\u1ecb tr\u01b0\u1eddng d\u1eabn \u0111\u1ebfn gi\u1ea3m th\u1ecb l\u1ef1c.\u00a0 M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng g\u00e2y ra glaucoma l\u00e0 do \u00e1p l\u1ef1c n\u1ed9i nh\u00e3n t\u0103ng cao do t\u1eafc ngh\u1ebdn s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a th\u1ee7y d\u1ecbch. Th\u1ee7y d\u1ecbch b\u1ecb \u1ee9 l\u1ea1i \u1edf h\u1eadu ph\u00f2ng, g\u00e2y ch\u00eanh l\u1ec7ch \u00e1p l\u1ef1c gi\u1eefa h\u1eadu ph\u00f2ng v\u00e0 ti\u1ec1n ph\u00f2ng l\u00e0m t\u0103ng nh\u00e3n \u00e1p. Trong giai \u0111o\u1ea1n to\u00e0n ph\u00e1t c\u00f3 ba d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng cho m\u1ecdi h\u00ecnh th\u00e1i l\u00e0: \u00a0Nh\u00e3n \u00e1p t\u0103ng cao , th\u1ecb tr\u01b0\u1eddng thu h\u1eb9p, soi \u0111\u00e1y m\u1eaft th\u1ea5y l\u00f5m teo \u0111\u0129a th\u1ecb.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-35974\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/0a3b6dfa-10fc-48ca-af58-8f1775491cd1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/0a3b6dfa-10fc-48ca-af58-8f1775491cd1-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/0a3b6dfa-10fc-48ca-af58-8f1775491cd1-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/0a3b6dfa-10fc-48ca-af58-8f1775491cd1-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/07\/0a3b6dfa-10fc-48ca-af58-8f1775491cd1.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<p><strong>1.1 D\u1ecbch t\u1ec5<\/strong><\/p>\n<ul>\n<li>Glaucoma l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y m\u00f9 \u0111\u1ee9ng h\u00e0ng th\u1ee9 hai tr\u00ean th\u1ebf gi\u1edbi.<\/li>\n<li>Glaucoma nguy\u00ean ph\u00e1t (kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n) th\u01b0\u1eddng c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh.<\/li>\n<li>Li\u00ean quan \u0111\u1ebfn tu\u1ed5i: c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi \u0111\u1ed9 tu\u1ed5i nh\u01b0ng ph\u1ed5 bi\u1ebfn h\u01a1n 6 l\u1ea7n trong s\u1ed1 nh\u1eefng ng\u01b0\u1eddi\u00a0&gt;60 tu\u1ed5i.<\/li>\n<li>Glaucoma g\u00f3c \u0111\u00f3ng hay g\u1eb7p \u1edf nh\u1eefng m\u1eaft c\u00f3 c\u1ea5u tr\u00fac \u0111\u1eb7c bi\u1ec7t v\u00e0 nh\u1eefng ng\u01b0\u1eddi da v\u00e0ng<\/li>\n<li>Glaucoma g\u00f3c m\u1edf th\u01b0\u1eddng x\u1ea3y ra tr\u00ean ng\u01b0\u1eddi da \u0111en v\u00e0 da tr\u1eafng<\/li>\n<li>Th\u01b0\u1eddng tr\u00ean nh\u1eefng c\u01a1 \u0111\u1ecba d\u1ec5 x\u00fac c\u1ea3m (n\u1eef cao h\u01a1n \u1edf nam).<\/li>\n<\/ul>\n<p>Y\u1ebfu t\u1ed1 nguy c\u01a1:<\/p>\n<ul>\n<li>T\u0103ng nh\u00e3n \u00e1p l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, c\u1eadn th\u1ecb, vi\u1ec5n th\u1ecb, ti\u1ec1n ph\u00f2ng n\u00f4ng, tu\u1ed5i &gt;60, v\u00e0 c\u00e1c b\u1ec7nh l\u00fd l\u00e0m co th\u1eaft m\u1ea1ch m\u00e1u, d\u00f9ng steroid to\u00e0n th\u00e2n k\u00e9o d\u00e0i.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>1.2 B\u1ec7nh sinh<\/strong><\/p>\n<p>Ti\u1ec1n ph\u00f2ng l\u00e0 kho\u1ea3ng kh\u00f4ng gian t\u00ednh t\u1eeb m\u1eb7t sau c\u1ee7a gi\u00e1c m\u1ea1c \u0111\u1ebfn m\u1eb7t tr\u01b0\u1edbc c\u1ee7a m\u1ed1ng m\u1eaft . G\u00f3c ti\u1ec1n ph\u00f2ng l\u00e0 g\u00f3c nh\u1ecdn gi\u1eefa gi\u00e1c m\u1ea1c v\u00e0 m\u1ed1ng m\u1eaft.<\/p>\n<p>G\u00f3c ti\u1ec1n ph\u00f2ng r\u1ed9ng: \u0111\u1ed9<\/p>\n<p>G\u00f3c ti\u1ec1n ph\u00f2ng h\u1eb9p: 20 \u2013 45 \u0111\u1ed9<\/p>\n<p>G\u00f3c \u0111\u00f3ng: \u2264 20 \u0111\u1ed9<\/p>\n<p>Th\u1ee7y d\u1ecbch l\u00e0 d\u1ecbch \u0111\u01b0\u1ee3c ti\u1ebft ra t\u1eeb th\u1ec3 mi c\u00f3 vai tr\u00f2 t\u1ea1o nh\u00e3n \u00e1p v\u00e0 dinh d\u01b0\u1ee1ng cho gi\u00e1c m\u1ea1c. Nh\u00e3n \u00e1p l\u00e0 \u00e1p l\u1ef1c c\u1ee7a ch\u1ea5t l\u1ecfng b\u00ean trong nh\u00e3n c\u1ea7u t\u00e1c \u0111\u1ed9ng l\u00ean gi\u00e1c m\u1ea1c c\u00f3 vai tr\u1edd gi\u1eef cho nh\u00e3n c\u1ea7u \u1ed5n \u0111\u1ecbnh. Ta c\u00f3 c\u00f4ng th\u1ee9c:<\/p>\n<p>P=R*D+Pv<\/p>\n<p>P: nh\u00e3n \u00e1p<\/p>\n<p>R: tr\u1edf l\u01b0u v\u00f9ng b\u00e8<\/p>\n<p>D: l\u01b0\u1ee3ng th\u1ee7y d\u1ecbch<\/p>\n<p>Pv: \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch th\u01b0\u1ee3ng c\u0169ng m\u1ea1c.<\/p>\n<p>T\u1eeb c\u00f4ng th\u1ee9c tr\u00ean c\u00f3 th\u1ec3 th\u1ea5y nh\u00e3n \u00e1p ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u th\u1ee9, trong \u0111\u00f3 quan tr\u1ecdng nh\u1ea5t l\u00e0 s\u1ef1 l\u01b0u th\u00f4ng th\u1ee7y d\u1ecbch v\u00e0 \u0111\u1ed9 \u0111\u00e0n h\u1ed3i c\u1ee7a c\u0169ng m\u1ea1ch.<\/p>\n<p>Sinh b\u1ec7nh h\u1ecdc c\u1ee7a glaucoma g\u1ed3m hai c\u01a1 ch\u1ebf ch\u00ednh l\u00e0 s\u1ef1 \u0111\u00f3ng g\u1ecdc ti\u1ec1n ph\u00f2ng (Glaucome g\u00f3c \u0111\u00f3ng). Khi g\u00f3c \u0111\u00f3ng, l\u01b0u th\u00f4ng th\u1ee7y d\u1ecbch b\u1ecb c\u1ea3n tr\u1edf b\u1edfi chu vi m\u1ed1ng m\u1eaft l\u00e0m t\u1eafc v\u00f9ng b\u00e8.<\/p>\n<p>Trong Glaucome g\u00f3c m\u1edf, s\u1ef1 l\u01b0u th\u00f4ng th\u1ee7y d\u1ecbch b\u1ecb c\u1ea3n tr\u1edf b\u1edfi v\u00f9ng l\u01b0\u1edbi b\u00e8.<\/p>\n<p>Khi s\u1ef1 l\u01b0u th\u00f4ng th\u1ee7y d\u1ecbch n\u1ecb c\u1ea3n tr\u1edf s\u1ebd t\u00edch t\u1ee5 ng\u00e0y c\u00e0ng nhi\u1ec1u d\u1eabn \u0111\u1ebfn t\u0103ng nh\u00e3n \u00e1p d\u1eabn \u0111\u1ebfn gi\u00e1c m\u1ea1c ph\u00f9 n\u1ec1, thay \u0111\u1ed5i t\u00ednh th\u1ea5m m\u00e0ng bao th\u1ee7y tinh th\u1ec3 -&gt; \u0111\u1ee5c th\u1ee7y tinh th\u1ec3\u00a0 v\u00e0 ch\u00e8n \u00e9p th\u1ea7n kinh. Ch\u00e8n \u00e9p m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u gi\u00e1c m\u1ea1c v\u00e0 ch\u1ebft d\u1ea7n t\u1ebf b\u00e0o v\u00f5ng m\u1ea1c<\/p>\n<h2>2. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Glaucoma<\/h2>\n<p>&nbsp;<\/p>\n<p>+ \u00a0C\u1ea5p t\u00ednh:\u00a0 \u0111au n\u1eeda \u0111\u1ea7u, m\u1eaft, ch\u00e2n m\u00e0y, nh\u00ecn th\u1ea5y qu\u1ea7ng xanh \u0111\u1ecf, r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac, bu\u1ed3n n\u00f4n.<\/p>\n<p>&nbsp;<\/p>\n<p>+ Giai \u0111o\u1ea1n to\u00e0n ph\u00e1t: \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i v\u00e0 li\u00ean t\u1ee5c,\u00a0\u00a0 nh\u1ee9c m\u1eaft,\u00a0 t\u0103ng huy\u1ebft \u00e1p, n\u00f4n v\u00e0 bu\u1ed3n n\u00f4n.<\/p>\n<p>&nbsp;<\/p>\n<p>Kh\u00e1m m\u1eaft:\u00a0 \u0111\u1ed3ng t\u1eed gi\u00e3n, ph\u1ea3n x\u1ea1 \u00e1nh s\u00e1ng m\u1ea5t,\u00a0 gi\u00e1c m\u1ea1c m\u1edd \u0111\u1ee5c (kh\u00f3 soi \u0111\u00e1y m\u1eaft), nh\u00e3n \u00e1p cao, g\u00f3c ti\u1ec1n ph\u00f2ng \u0111\u00f3ng.<\/p>\n<p>&nbsp;<\/p>\n<h2>3. \u0110i\u1ec1u tr\u1ecb\u00a0 b\u1ec7nh Glaucoma<\/h2>\n<p><strong>3 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh \u0111\u1ec3 h\u1ea1 nh\u00e3n \u00e1p:<\/strong><br \/>\n&#8211; N\u1ed9i khoa: thu\u1ed1c \u2013 c\u00f3 th\u1ec3 d\u00f9ng su\u1ed1t \u0111\u1eddi<br \/>\n&#8211; Laser<br \/>\n&#8211; Ph\u1eabu thu\u1eadt.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh th\u1ecb gi\u00e1c \u0111\u1eb7c tr\u01b0ng li\u00ean quan \u0111\u1ebfn thay \u0111\u1ed5i tr\u01b0\u1eddng th\u1ecb gi\u00e1c l\u00e0 nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea5t k\u1ec3 k\u1ebft qu\u1ea3 \u00e1p l\u1ef1c n\u1ed9i nh\u00e3n. H\u1ea1 nh\u00e3n \u00e1p l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e2m s\u00e0ng tr\u00ean b\u1ec7nh nh\u00e2n Glaucoma. \u0110\u1ed1i v\u1edbi b\u1ec7nh t\u0103ng nh\u00e3n \u00e1p m\u00e3n t\u00ednh \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 thanh thi\u1ebfu ni\u00ean, IOP m\u1ee5c ti\u00eau ph\u1ea3i th\u1ea5p h\u01a1n 20-40% so v\u1edbi IOP tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>C\u00f3 ba ph\u01b0\u01a1ng ph\u00e1p: thu\u1ed1c, laser v\u00e0 ph\u1eabu thu\u1eadt. M\u1ed7i d\u1ea1ng t\u0103ng nh\u00e3n \u00e1p c\u00f3 c\u00e1ch \u0111i\u1ec1u tr\u1ecb ri\u00eang. Thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 laser c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i h\u1ec7 b\u00e0i ti\u1ebft v\u00e0 s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a th\u1ee7y d\u1ecbch. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng (v\u00ed d\u1ee5: ph\u1eabu thu\u1eadt l\u1ed7 r\u00f2 [c\u1eaft b\u1ecf b\u00e8], thi\u1ebft b\u1ecb d\u1eabn l\u01b0u th\u1ee7y d\u1ecbch (van d\u1eabn l\u01b0u ti\u1ec1n ph\u00f2ng) t\u1ea1o ra m\u1ed9t con \u0111\u01b0\u1eddng tu\u1ea7n ho\u00e0n m\u1edbi gi\u1eefa ti\u1ec1n ph\u00f2ng v\u00e0 k\u1ebft m\u1ea1c d\u01b0\u1edbi.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/p>\n<p><strong><em>\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa:<\/em><\/strong> mang t\u00ednh ch\u1ea5t t\u1ea1m th\u1eddi, ch\u00ednh y\u1ebfu v\u1eabn ph\u1eabu thu\u1eadt<\/p>\n<ul>\n<li>Acetazolamide (Diamox) 250 mg\/vi\u00ean, ng\u00e0y u\u1ed1ng 1gram. Ch\u00fa \u00fd b\u1ed3i ho\u00e0n Kali.<\/li>\n<li>Pilocarpin 1-2% c\u00f3 t\u00e1c d\u1ee5ng co \u0111\u1ed3ng t\u1eed<\/li>\n<li>Timoptol 0,5% nh\u1ecf m\u1eaft ng\u00e0y 2 l\u1ea7n<\/li>\n<\/ul>\n<p>&#8211; \u0110i\u1ec1\u1ee5 tr\u1ecb ngo\u1ea1i khoa: C\u1eaft m\u1ed1ng m\u1eaft chu bi\u00ean b\u1eb1ng laser YAG.<\/p>\n<h2><strong>4. H\u1ed9i ch\u1ee9ng Posner v\u00e0 Schlossmann<\/strong><\/h2>\n<p>H\u1ed9i ch\u1ee9ng Posner v\u00e0 Schlossmann \u00a0hay l\u00e0 c\u01a1n glocom th\u1ec3 mi t\u1ea1o ra m\u1ed9t th\u1ec3 lo\u1ea1i t\u0103ng nh\u00e3n \u00e1p k\u1ecbch ph\u00e1t r\u1ea5t \u0111\u1eb7c bi\u1ec7t.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng \u1edf m\u1ed9t m\u1eaft, lu\u00f4n lu\u00f4n x\u1ea3y ra <em>\u1edf<\/em> m\u1ed9t m\u1eaft \u00e2y; v\u1ec1 nguy\u00ean t\u00e1c, b\u1ec7nh x\u1ea3y ra <em>\u1edf <\/em>ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i.<\/p>\n<p>Nh\u00e3n \u00e1p cao, t\u1eeb 40 \u0111\u1ebfn 60 mmHg, t\u1eebng c\u01a1n, th\u1ecb l\u1ef1c v\u1eabn t\u1ed1t. M\u1eaft tr\u1eafng, \u0111\u00f4i khi ch\u1ec9 c\u00f3 m\u1ed9t ch\u00fat ph\u1ea3n \u1ee9ng th\u1ec3 mi nh\u1eb9. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng r\u1ea5t \u00edt \u1ecfi, v\u00e0 b\u1ec7nh nh\u00e2n th\u1ef1c t\u1ebf l\u00e0 kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au nh\u1ee9c. Soi \u0111\u00e8n khe th\u1ea5y ch\u1ea5m t\u1ee7a \u1edf m\u1eb7t sau gi\u00e1c m\u1ea1c, ch\u1ea5m m\u00e0u tr\u1eafng v\u00e0 tr\u00f2n. Nh\u1eefng ch\u1ea5m t\u1ee7a n\u00e0y kh\u00f4ng nhi\u1ec1u v\u00e0 sau khi nh\u00e3n \u00e1p tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng th\u00ec v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i \u00edt ng\u00e0y.<\/p>\n<p>Nh\u1eefng c\u01a1n \u0111\u1ea7u ti\u1ebfn tri\u1ec3n thu\u1eadn l\u1ee3i, v\u00e0 nh\u00e3n \u00e1p b\u00ecnh th\u01b0\u1eddng sau 2-3 tu\u1ea7n, v\u1ec1 nguy\u00ean t\u1eafc, h\u1ed9i ch\u1ee9ng Posner v\u00e0 Schlossmann kh\u00f4ng ti\u00ean tri\u1ec3n \u0111\u1ebfn t\u0103ng nh\u00e3n \u00e1p m\u1ea1n t\u00ednh v\u00e0 ti\u00ean l\u01b0\u1ee3ng v\u1eabn t\u1ed1t. Tuy nhi\u00ean, ng\u01b0\u1eddi ta c\u0169ng \u0111\u00e3 c\u00f3 n\u00eau l\u00ean nh\u1eefng th\u1ec3 b\u1ec7nh chuy\u00ean sang m\u1ea1n t\u00ednh, c\u0169ng nh\u01b0 ti\u1ebfn t\u1edbi c\u00f3 d\u1ecb s\u1eafc m\u1ed1ng m\u1eaft Fuchs.<\/p>\n<p>T\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb ngo\u1ea1n m\u1ee5c c\u00f9a cortison t\u1ea1i ch\u1ed7 c\u0169ng nh\u01b0 c\u1ee7a c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf anhydraza carbonic l\u00e0m cho ng\u01b0\u1eddi ta ngh\u0129 t\u1edbi ngu\u1ed3n g\u1ed1c d\u1ecb \u1ee9ng c\u1ee7a nh\u1eefng c\u01a1n glocom th\u1ec3 mi n\u00e0y.<\/p>\n<h2>5. Glaucoma kh\u00f4ng nh\u00e3n \u00e1p<\/h2>\n<p><strong>B\u1ec7nh GRAEFE VON <\/strong>\u00a0\u0110\u01b0\u1ee3c bi\u1ebft d\u01b0\u1edbi c\u00e1i t\u00ean glocom kh\u00f4ng nh\u00e3n \u00e1p, b\u1ec7nh Von Graefe c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0: l\u00f5m gai ki\u1ec3u glocom v\u1edbi c\u00e1c t\u1ed5n h\u1ea1i th\u1ecb tr\u01b0\u1eddng kinh \u0111i\u1ec3n, nh\u01b0ng \u0111o nh\u00e3n \u00e1p th\u00ec nh\u00e3n \u00e1p b\u00ecnh th\u01b0\u1eddng. Hi\u1ec7n nay, th\u1ef1c th\u1ec3 l\u00e2m s\u00e0ng n\u00e0y t\u00e1ch l\u1ebb ra nh\u01b0 sau:<\/p>\n<ul>\n<li>C\u00f3 th\u1ec3 glocom m\u1ea1n t\u00ednh m\u1edbi ph\u00e1t m\u00e0 ch\u1ec9 \u0111o nh\u00e3n \u00e1p nhi\u1ec1u l\u1ea7n (l\u00e0m bi\u1ec3u \u0111\u1ed3 theo d\u00f5i 24 gi\u1edd) v\u00e0 l\u00e0m c\u00e1c nghi\u1ec7m ph\u00e1p k\u00edch \u0111\u1ed9ng th\u00ec m\u1edbi x\u00e1c \u0111\u1ecbnh r\u00f5 nh\u00e3n \u00e1p t\u0103ng. D\u0129 nhi\u00ean l\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m \u0111o \u0111\u1ed9 r\u1eafn c\u1ee7ng m\u1ea1c, v\u00e0 nh\u1ea5t l\u00e0 l\u00e0m nh\u00e3n \u00e1p k\u00fd, s\u1ebd cho ph\u00e9p x\u00e1c \u0111\u1ecbnh r\u00f5 h\u01a1n l\u00e0 c\u00f3 hay kh\u00f4ng c\u00f3 glocom m\u1ea1n t\u00ednh: gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng b\u00e0i ti\u1ebft thu\u1ef7 d\u1ecbch c\u00f3 th\u1ec3 gi\u1ea3i th\u00edch cho m\u1ed9t nh\u00e3n \u00e1p b\u00ecnh th\u01b0\u1eddng trong khi s\u1ef1 l\u01b0u th\u00f4ng b\u1ecb k\u00e9m. \u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch m\u1eaft th\u1ea5p t\u01b0\u01a1ng \u0111\u1ed1i c\u00f3 th\u1ec3 gi\u1ea3i th\u00edch cho nh\u1eefng t\u1ed5n h\u1ea1i c\u1ee7a gai th\u1ecb g\u00e2y ra b\u1edfi m\u1ed9t nh\u00e3n \u00e1p g\u1ea7n m\u1ee9c b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, c\u00e1c h\u1ed9i ch\u1ee9ng g\u1ecdi l\u00e0 &#8220;glocom kh\u00f4ng nh\u00e3n \u00e1p&#8221; t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ed9t x\u01a1 c\u1ee9ng c\u00e1c \u0111\u1ed9ng m\u1ea1ch to \u1edf n\u1ec1n s\u1ecd (v\u00f4i h\u00f3a m\u1ea1ch). C\u0169ng v\u1eady, m\u1ed9t x\u01a1 c\u1ee9ng c\u00e1c m\u1ea1ch nh\u1ecf c\u1ee7a gai th\u1ecb, ho\u1eb7c m\u1ed9t \u0111\u1ed9ng m\u1ea1ch m\u1eaft c\u00f3 l\u01b0u th\u00f4ng qu\u00e1 y\u1ebfu, \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho \u0111\u0129a th\u1ecb. Sau khi \u0111\u00e3 kh\u00e1m b\u1eb1ng m\u1ecdi ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 lo\u1ea1i tr\u1eeb m\u1ed9t glocom m\u1ea1n t\u00ednh.<\/li>\n<\/ul>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/benh-duc-thuy-tinh-nguyen-nhan-trieu-chung-va-phan-loai\/\">B\u1ec7nh \u0111\u1ee5c th\u1ee7y tinh th\u1ec3: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u00e2n lo\u1ea1i<\/a><\/p>\n<p><strong>Tags: #Nh\u00e3n khoa, #Glaucoma m\u1eaft<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Glaucoma m\u1eaft\u00a0 b\u1ec7nh c\u1ee7a th\u1ecb th\u1ea7n kinh. Bi\u1ec3u hi\u1ec7n b\u1edfi t\u1ed5n th\u01b0\u01a1ng gai th\u1ecb v\u00e0 th\u1ecb tr\u01b0\u1eddng. l\u00e0m t\u1ed5n h\u1ea1i th\u1ecb tr\u01b0\u1eddng d\u1eabn \u0111\u1ebfn gi\u1ea3m th\u1ecb l\u1ef1c.\u00a0 M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng g\u00e2y ra glaucoma l\u00e0 do \u00e1p l\u1ef1c n\u1ed9i nh\u00e3n t\u0103ng cao do t\u1eafc ngh\u1ebdn s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a th\u1ee7y d\u1ecbch. [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[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 glaucoma m\u1eaft: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh Glaucoma l\u00e0\u00a0 b\u1ec7nh c\u1ee7a th\u1ecb th\u1ea7n kinh. 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