{"id":5472,"date":"2020-12-28T08:59:40","date_gmt":"2020-12-28T08:59:40","guid":{"rendered":"https:\/\/pacific-cross-wp.eastplayers.io\/?p=5472"},"modified":"2021-10-26T15:39:50","modified_gmt":"2021-10-26T08:39:50","slug":"lao-mang-nao-va-he-than-kinh-trung-uong","status":"publish","type":"post","link":"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/","title":{"rendered":"Lao m\u00e0ng n\u00e3o: B\u1ec7nh l\u00fd hi\u1ebfm g\u1eb7p c\u00f3 kh\u1ea3 n\u0103ng t\u1eed vong cao"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">N\u1ed9i dung b\u00e0i vi\u1ebft \/ Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69d613f8e281a\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69d613f8e281a\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Benh_lao_mang_nao_gi\" >B\u1ec7nh lao m\u00e0ng n\u00e3o g\u00ec?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Muc_do_pho_bien_cua_lao_mang_nao_va_he_than_kinh_trung_uong\" >M\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a lao m\u00e0ng n\u00e3o v\u00e0 h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Nhung_dau_hieu_va_trieu_chung_cua_benh_lao_mang_nao_la_gi\" >Nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh lao m\u00e0ng n\u00e3o l\u00e0 g\u00ec?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Khi_nao_ban_can_gap_bac_si\" >Khi n\u00e0o b\u1ea1n c\u1ea7n g\u1eb7p b\u00e1c s\u0129?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Nguyen_nhan_nao_gay_ra_benh_lao_mang_nao\" >Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra b\u1ec7nh lao m\u00e0ng n\u00e3o?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Nhung_yeu_to_nao_lam_tang_nguy_co_mac_lao_mang_nao\" >Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0o l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc lao m\u00e0ng n\u00e3o?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Chan_doan_dieu_tri\" >Ch\u1ea9n \u0111o\u00e1n &amp; \u0111i\u1ec1u tr\u1ecb<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Nhung_ky_thuat_y_te_nao_dung_de_chan_doan_benh_lao_mang_nao\" >Nh\u1eefng k\u1ef9 thu\u1eadt y t\u1ebf n\u00e0o d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao m\u00e0ng n\u00e3o?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/pacificcross.com.vn\/vi\/lao-mang-nao-va-he-than-kinh-trung-uong\/#Nhung_phuong_phap_nao_dung_de_dieu_tri_benh_lao_mang_nao\" >Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao m\u00e0ng n\u00e3o?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Benh_lao_mang_nao_gi\"><\/span><strong>B\u1ec7nh lao m\u00e0ng n\u00e3o g\u00ec?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lao m\u00e0ng n\u00e3o l\u00e0 m\u1ed9t b\u1ec7nh \u1edf h\u1ec7 th\u1ea7n kinh, g\u00e2y ra b\u1edfi Mycobacterium tuberculosis. \u0110\u00e2y l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh lao hi\u1ebfm g\u1eb7p, g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, th\u01b0\u1eddng l\u00e0m t\u1eed vong trong th\u1eddi k\u1ef3 tr\u01b0\u1edbc khi c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb kh\u00e1ng lao.<\/p>\n<h3><img loading=\"lazy\" class=\"aligncenter size-large wp-image-10426\" src=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/1-40-1024x683.jpg\" alt=\"lao m\u00e0ng n\u00e3o\" width=\"1024\" height=\"683\" srcset=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/1-40-1024x683.jpg 1024w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/1-40-300x200.jpg 300w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/1-40-768x512.jpg 768w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/1-40-1536x1024.jpg 1536w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/1-40-2048x1366.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"Muc_do_pho_bien_cua_lao_mang_nao_va_he_than_kinh_trung_uong\"><\/span><strong>M\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a lao m\u00e0ng n\u00e3o v\u00e0 h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>B\u1ec7nh lao n\u00e3o c\u00f3 nguy hi\u1ec3m kh\u00f4ng &#8211; l\u00e0 c\u00e2u h\u1ecfi \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi quan t\u00e2m. Lao m\u00e0ng n\u00e3o chi\u1ebfm kho\u1ea3ng 1% trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh lao, v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong cao.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 \u0111au \u0111\u1edbn c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh th\u01b0\u1eddng kh\u00f4ng gi\u1ed1ng nhau \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch do nhi\u1ec5m virus HIV. H\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Nhung_dau_hieu_va_trieu_chung_cua_benh_lao_mang_nao_la_gi\"><\/span><strong>Nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh lao m\u00e0ng n\u00e3o l\u00e0 g\u00ec?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ng\u01b0\u1eddi l\u1edbn b\u1ecb lao m\u00e0ng n\u00e3o th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam m\u00e0ng n\u00e3o \u0111i\u1ec3n h\u00ecnh nh\u01b0 s\u1ed1t, nh\u1ee9c \u0111\u1ea7u v\u00e0 c\u1ee9ng c\u1ed5 c\u00f9ng v\u1edbi nh\u1eefng thi\u1ebfu s\u00f3t th\u1ea7n kinh c\u1ee5c b\u1ed9, thay \u0111\u1ed5i h\u00e0nh vi v\u00e0 thay \u0111\u1ed5i nh\u1eadn th\u1ee9c.<\/p>\n<p>Tr\u1ebb em b\u1ecb lao m\u00e0ng n\u00e3o th\u01b0\u1eddng c\u00f3 s\u1ed1t, c\u1ee9ng c\u1ed5, co gi\u1eadt v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf b\u1ee5ng nh\u01b0 bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. Nh\u1ee9c \u0111\u1ea7u \u00edt x\u1ea3y ra h\u01a1n so v\u1edbi ng\u01b0\u1eddi l\u1edbn. T\u00f9y thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh dao \u0111\u1ed9ng t\u1eeb th\u1edd \u01a1, k\u00edch \u0111\u1ed9ng \u0111\u1ebfn h\u00f4n m\u00ea.<\/p>\n<p>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a u lao n\u00e3o ho\u1eb7c \u00e1p xe n\u00e3o do lao ph\u1ee5 thu\u1ed9c ph\u1ea7n l\u1edbn v\u00e0o v\u1ecb tr\u00ed c\u1ee7a ch\u00fang v\u00e0 b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u1edbi \u0111au \u0111\u1ea7u, co gi\u1eadt, ph\u00f9 gai th\u1ecb ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/p>\n<p>T\u1ed1c \u0111\u1ed9 ph\u00e1t tri\u1ec3n tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng tu\u1ea7n \u0111\u1ebfn nhi\u1ec1u th\u00e1ng v\u1edbi kh\u1ed1i u lao n\u00e3o. Bi\u1ec3u hi\u1ec7n c\u1ee7a \u00e1p xe lao n\u00e3o c\u1ea5p t\u00ednh nhanh h\u01a1n (1 tu\u1ea7n \u0111\u1ebfn 3 th\u00e1ng) so v\u1edbi kh\u1ed1i u lao nh\u01b0ng ch\u1eadm h\u01a1n so v\u1edbi s\u1ef1 t\u1ea5n c\u00f4ng c\u1ee7a \u00e1p xe n\u00e3o m\u1ee7 (th\u01b0\u1eddng k\u1ebft h\u1ee3p v\u1edbi s\u1ed1t, nh\u1ee9c \u0111\u1ea7u v\u00e0 nh\u1eefng thi\u1ebfu s\u00f3t th\u1ea7n kinh khu tr\u00fa).<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh lao n\u00e3o kh\u00e1c kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp. N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 th\u1eafc m\u1eafc n\u00e0o v\u1ec1 c\u00e1c d\u1ea5u hi\u1ec7u b\u1ec7nh, h\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.<\/p>\n<h3><img loading=\"lazy\" class=\"aligncenter size-large wp-image-10428\" src=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-38-1024x683.jpg\" alt=\"lao m\u00e0ng n\u00e3o\" width=\"1024\" height=\"683\" srcset=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-38-1024x683.jpg 1024w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-38-300x200.jpg 300w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-38-768x512.jpg 768w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-38-1536x1024.jpg 1536w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-38-2048x1366.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"Khi_nao_ban_can_gap_bac_si\"><\/span><strong>Khi n\u00e0o b\u1ea1n c\u1ea7n g\u1eb7p b\u00e1c s\u0129?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng n\u00eau tr\u00ean ho\u1eb7c c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi n\u00e0o, xin vui l\u00f2ng tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129. C\u01a1 \u0111\u1ecba m\u1ed7i ng\u01b0\u1eddi l\u00e0 kh\u00e1c nhau. V\u00ec v\u1eady h\u00e3y h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng ph\u00e1p th\u00edch h\u1ee3p nh\u1ea5t.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Nguyen_nhan_nao_gay_ra_benh_lao_mang_nao\"><\/span><strong>Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra b\u1ec7nh lao m\u00e0ng n\u00e3o?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lao m\u00e0ng n\u00e3o b\u1eaft \u0111\u1ea7u khi Mycobacterium tuberculosis l\u00e2y lan qua \u0111\u01b0\u1eddng m\u00e1u v\u00e0 cu\u1ed1i c\u00f9ng \u0111\u1ebfn m\u00f4 th\u1ea7n kinh, b\u00f9ng ph\u00e1t v\u00e0o kh\u00f4ng gian xung quanh n\u00e3o ho\u1eb7c t\u1ee7y s\u1ed1ng v\u00e0 g\u00e2y vi\u00eam m\u00e0ng n\u00e3o. M\u1eb7t kh\u00e1c, n\u00f3 c\u00f3 th\u1ec3 t\u1ea1o ra ph\u1ea3n \u1ee9ng c\u1ee5c b\u1ed9, t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i u lao trong n\u00e3o.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Nhung_yeu_to_nao_lam_tang_nguy_co_mac_lao_mang_nao\"><\/span><strong>Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0o l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc lao m\u00e0ng n\u00e3o?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>C\u00f3 r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y lao m\u00e0ng n\u00e3o nh\u01b0:<\/p>\n<ul>\n<li>Nhi\u1ec5m HIV<\/li>\n<li>Suy dinh d\u01b0\u1ee1ng v\u00e0 b\u1ec7nh s\u1edfi g\u1ea7n \u0111\u00e2y \u1edf tr\u1ebb em<\/li>\n<li>Nghi\u1ec7n r\u01b0\u1ee3u, c\u00e1c b\u1ec7nh l\u00fd \u00e1c t\u00ednh v\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch \u1edf ng\u01b0\u1eddi l\u1edbn.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Chan_doan_dieu_tri\"><\/span><strong>Ch\u1ea9n \u0111o\u00e1n &amp; \u0111i\u1ec1u tr\u1ecb<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lao m\u00e0ng n\u00e3o \u0111i\u1ec1u tr\u1ecb trong bao l\u00e2u, lao m\u00e0ng n\u00e3o ch\u1ea9n \u0111o\u00e1n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o&#8230; Nh\u1eefng th\u00f4ng tin \u0111\u01b0\u1ee3c cung c\u1ea5p kh\u00f4ng th\u1ec3 thay th\u1ebf cho l\u1eddi khuy\u00ean c\u1ee7a c\u00e1c chuy\u00ean vi\u00ean y t\u1ebf. H\u00e3y lu\u00f4n tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Nhung_ky_thuat_y_te_nao_dung_de_chan_doan_benh_lao_mang_nao\"><\/span><strong>Nh\u1eefng k\u1ef9 thu\u1eadt y t\u1ebf n\u00e0o d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao m\u00e0ng n\u00e3o?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>M\u1eb7c d\u00f9 v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n \u0111\u1ea7y h\u1ee9a h\u1eb9n c\u1ee7a c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n ph\u00e2n t\u1eed, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh lao m\u00e0ng n\u00e3o ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o c\u00e1c ph\u01b0\u01a1ng ph\u00e1p vi sinh kh\u00f4ng nh\u1ea1y c\u1ea3m, do v\u1eady vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh v\u1eabn c\u00f2n l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c l\u1edbn. X\u00e9t nghi\u1ec7m th\u00f4ng th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>H\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) v\u1edbi t\u0103ng c\u01b0\u1eddng gadolinium<\/li>\n<li>X-quang<\/li>\n<li>Ch\u1ee5p CT n\u00e3o t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 t\u01b0\u01a1ng ph\u1ea3n<\/li>\n<li>Si\u00eau \u00e2m n\u00e3o<\/li>\n<li>Ch\u1ee5p CT \u0111\u01a1n ph\u00f3ng x\u1ea1 photon v\u1edbi hexamethyl propylene amine oxime (HMPAO)<\/li>\n<li>Ch\u1ee5p m\u1ea1ch m\u00e1u n\u00e3o<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Nhung_phuong_phap_nao_dung_de_dieu_tri_benh_lao_mang_nao\"><\/span><strong>Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao m\u00e0ng n\u00e3o?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u v\u1edbi isoniazid (10-20mg\/kg\/ng\u00e0y l\u00ean \u0111\u1ebfn 300mg), rifampicin (10-20mg\/kg\/ng\u00e0y, l\u00ean \u0111\u1ebfn 600mg\/ng\u00e0y) v\u00e0 pyrazinamid (15-30mg\/kg\/ng\u00e0y, l\u00ean \u0111\u1ebfn 2g ng\u00e0y).<\/p>\n<p>B\u1ea1n n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i nhi\u1ec5m \u0111\u1ed9c gan do rifampicin v\u00ec c\u00f3 \u0111\u1ebfn 20% b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y b\u1ecb nhi\u1ec5m \u0111\u1ed9c gan. Ethambutol ho\u1eb7c streptomycin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u1ed5 sung n\u1ebfu \u0111\u00e1p \u1ee9ng kh\u00f4ng th\u1ecfa \u0111\u00e1ng. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t 6 th\u00e1ng v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1eaft bu\u1ed9c l\u00ean \u0111\u1ebfn 12 th\u00e1ng.<\/p>\n<p>C\u00e1c ph\u00e1c \u0111\u1ed3 t\u1ed1i \u01b0u cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao m\u00e0ng n\u00e3o v\u00e0 h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng do mycobacteria kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m HIV ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp.<\/p>\n<p>Khuy\u1ebfn ngh\u1ecb hi\u1ec7n t\u1ea1i bao g\u1ed3m s\u1eed d\u1ee5ng azithromycin (500\u2013100mg\/ng\u00e0y) v\u00e0 clarithromycin (500\u20131.000mg\/ng\u00e0y) k\u1ebft h\u1ee3p v\u1edbi ethambutol (15mg\/kg\/ng\u00e0y) ho\u1eb7c clofazimine (100mg\/ng\u00e0y). Ph\u00e1c \u0111\u1ed3 thay th\u1ebf bao g\u1ed3m vi\u1ec7c s\u1eed d\u1ee5ng ciprofloxacin v\u00e0 rifampicin. B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV c\u00f3 th\u1ec3 gia t\u0103ng \u0111\u00e1ng k\u1ec3 c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i v\u1edbi \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng lao.<\/p>\n<p><strong>Vai tr\u00f2 c\u1ee7a corticosteroid<\/strong><\/p>\n<p>M\u1ed9t trong nh\u1eefng kh\u00eda c\u1ea1nh g\u00e2y tranh c\u00e3i trong \u0111i\u1ec1u tr\u1ecb lao m\u00e0ng n\u00e3o l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid. Ng\u01b0\u1eddi ta tin r\u1eb1ng corticosteroid kh\u00f4ng n\u00ean d\u00f9ng trong c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd lao m\u00e0ng n\u00e3o v\u00ec thu\u1ed1c kh\u00f4ng l\u00e0m thay \u0111\u1ed5i k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng, tuy nhi\u00ean, nhi\u1ec1u nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng corticosteroid c\u1ea3i thi\u1ec7n c\u1ea3 hai t\u1ef7 l\u1ec7 s\u1ed1ng v\u00e0 c\u1ea3i thi\u1ec7n v\u1ec1 th\u1ea7n kinh \u1edf b\u1ec7nh nh\u00e2n b\u1ecb lao m\u00e0ng n\u00e3o.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb prednisolon (60mg\/ng\u00e0y \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 1\u20133mg\/kg\/ng\u00e0y \u1edf tr\u1ebb em) \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb lao m\u00e0ng n\u00e3o v\u1edbi m\u1ed9t ho\u1eb7c nhi\u1ec1u d\u1ea5u hi\u1ec7u.<\/p>\n<p>Li\u1ec1u l\u01b0\u1ee3ng c\u00f3 th\u1ec3 gi\u1ea3m 50% trong tu\u1ea7n th\u1ee9 2 v\u00e0 th\u1ee9 3. Sau \u0111\u00f3, li\u1ec1u gi\u1ea3m d\u1ea7n d\u1ea7n trong v\u00f2ng 4 tu\u1ea7n ti\u1ebfp theo v\u00e0 b\u1ea1n kh\u00f4ng c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam corticosteroid v\u00e0o v\u1ecf n\u00e3o.<\/p>\n<p>L\u1eadp lu\u1eadn ch\u00ednh ch\u1ed1ng l\u1ea1i vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid l\u00e0 ch\u00fang gi\u1ea3m vi\u00eam m\u00e0ng n\u00e3o nh\u01b0ng l\u1ea1i \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 th\u00e2m nh\u1eadp thu\u1ed1c kh\u00e1ng lao. Tuy nhi\u00ean, trong m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng trong \u0111\u00f3 t\u00e1m b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng isoniazid, rifampicin, streptomycin v\u00e0 pyrazinamid, k\u1ebft h\u1ee3p v\u1edbi corticosteroid (dexamethasone, 5mg ti\u00eam t\u0129nh m\u1ea1ch m\u1ed7i gi\u1edd trong tu\u1ea7n \u0111\u1ea7u ti\u00ean, ti\u1ebfp theo l\u00e0 u\u1ed1ng prednisolon 60mg h\u00e0ng ng\u00e0y), vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid kh\u00f4ng l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 c\u1ee7a b\u1ea5t k\u1ef3 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng lao trong d\u1ecbch n\u00e3o t\u1ee7y.<\/p>\n<p><strong>T\u00ecnh tr\u1ea1ng x\u1ea5u \u0111i kh\u00f4ng l\u01b0\u1eddng tr\u01b0\u1edbc<\/strong><\/p>\n<p>Quan s\u00e1t th\u01b0\u1eddng th\u1ea5y u lao n\u1ed9i s\u1ecd xu\u1ea5t hi\u1ec7n ho\u1eb7c t\u0103ng k\u00edch th\u01b0\u1edbc kh\u00f4ng mong mu\u1ed1n khi b\u1ec7nh nh\u00e2n \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb lao m\u00e0ng n\u00e3o. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y th\u01b0\u1eddng ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd khi theo d\u00f5i ch\u1ee5p CT, \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean ho\u1eb7c khi c\u00f3 d\u1ea5u hi\u1ec7u th\u1ea7n kinh m\u1edbi ph\u00e1t tri\u1ec3n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb kh\u00e1ng lao.<\/p>\n<p>M\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y l\u01b0u \u00fd r\u1eb1ng kho\u1ea3ng 8% b\u1ec7nh nh\u00e2n ph\u00e1t tri\u1ec3n u lao n\u00e3o kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng trong th\u00e1ng \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. \u0110i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p v\u1edbi steroid c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba ch\u1ed1ng l\u1ea1i nh\u1eefng t\u1ed5n th\u01b0\u01a1ng c\u1ee5c b\u1ed9. U to l\u00ean b\u1ea5t th\u01b0\u1eddng c\u0169ng quan s\u00e1t th\u1ea5y trong u lao n\u1ed9i s\u1ecd b\u1ecb c\u00f4 l\u1eadp trong khi b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c kh\u00e1ng lao. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n ki\u00ean tr\u00ec \u0111i\u1ec1u tr\u1ecb, cu\u1ed1i c\u00f9ng u lao n\u00e3o s\u1ebd \u0111\u01b0\u1ee3c x\u1eed l\u00fd.<\/p>\n<p><strong>Ph\u1eabu thu\u1eadt<\/strong><\/p>\n<p>C\u00e1c th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb lao m\u00e0ng n\u00e3o ch\u1ee7 y\u1ebfu h\u01b0\u1edbng \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u00e3o \u00fang th\u1ee7y. Ch\u1ecdc d\u1ecbch n\u00e3o t\u1ee7y n\u1ed1i ti\u1ebfp, c\u00f9ng v\u1edbi thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00e0 c\u00e1c ch\u1ea5t th\u1ea9m th\u1ea5u l\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p r\u1ea5t h\u1eefu \u00edch t\u1ea1m th\u1eddi \u0111\u1ec3 gi\u1ea3m b\u1edbt \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, do \u0111\u00f3 c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 ph\u00e1t tri\u1ec3n n\u00e3o \u00fang th\u1ee7y.<\/p>\n<p>N\u1ebfu c\u00e1c b\u01b0\u1edbc t\u1ea1m th\u1eddi th\u1ea5t b\u1ea1i, ph\u01b0\u01a1ng ph\u00e1p b\u1eafc c\u1ea7u n\u00e3o th\u1ea5t\u2013m\u00e0ng b\u1ee5ng ho\u1eb7c n\u00e3o th\u1ea5t\u2013t\u00e2m nh\u0129 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a tr\u00e0n d\u1ecbch n\u00e3o v\u00e0 c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 c\u00e1c ch\u1ee9c n\u0103ng c\u1ea3m gi\u00e1c v\u00e0 thi\u1ebfu s\u00f3t th\u1ea7n kinh.<\/p>\n<p>N\u00f3i chung, b\u1eafc c\u1ea7u th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 c\u00e1ch an to\u00e0n, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ngay khi b\u1ec7nh \u0111ang \u1edf giai \u0111o\u1ea1n ho\u1ea1t \u0111\u1ed9ng, b\u1eafc c\u1ea7u s\u1edbm k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c c\u00f3 th\u1ec3 cho k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t.<\/p>\n<p>U lao n\u1ed9i s\u1ecd n\u00ean \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf. N\u1ebfu u lao ho\u00e0n to\u00e0n \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf, kho\u1ea3ng 80% b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i l\u00e2u d\u00e0i, \u0111\u1eb7c bi\u1ec7t n\u1ebfu h\u1ecd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh.<\/p>\n<p>H\u00e3y quan t\u00e2m nhi\u1ec1u h\u01a1n \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n v\u00e0 gia \u0111\u00ecnh m\u00ecnh ngay h\u00f4m nay.<\/p>\n<p>Pacific Cross Vi\u1ec7t Nam cung c\u1ea5p c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m s\u1ee9c kh\u1ecfe v\u00e0 b\u1ea3o hi\u1ec3m du l\u1ecbch ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng y\u00eau c\u1ea7u v\u00e0 ng\u00e2n s\u00e1ch c\u1ee7a kh\u00e1ch h\u00e0ng.<\/p>\n<p>Cho d\u00f9 l\u00e0 ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m cho c\u00e1 nh\u00e2n b\u1ea1n, cho gia \u0111\u00ecnh b\u1ea1n ho\u1eb7c doanh nghi\u1ec7p c\u1ee7a b\u1ea1n, ch\u00fang t\u00f4i \u1edf \u0111\u00e2y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ea3n ph\u1ea9m b\u1ea3o hi\u1ec3m t\u1ed1t nh\u1ea5t.<\/p>\n<p>N\u1ebfu b\u1ea1n ch\u01b0a ch\u1eafc ch\u1eafn v\u1ec1 ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m n\u00e0o ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a m\u00ecnh, h\u00e3y s\u1eed d\u1ee5ng <a href=\"https:\/\/pacificcross.com.vn\/vi\/health-insurance-select-app\">Ch\u01b0\u01a1ng tr\u00ecnh L\u1ef1a Ch\u1ecdn B\u1ea3o Hi\u1ec3m<\/a> c\u1ee7a ch\u00fang t\u00f4i ho\u1eb7c li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n mi\u1ec5n ph\u00ed qua email: <a href=\"mailto:inquiry@pacificcross.com.vn\">inquiry@pacificcross.com.vn<\/a>.<\/p>\n<hr \/>\n<p><em><strong>Ngu\u1ed3n tham kh\u1ea3o<\/strong><\/em><\/p>\n<ul>\n<li><em>Central Nervous System Tuberculosis. <a href=\"https:\/\/radiologykey.com\/central-nervous-system-tuberculosis\/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">https:\/\/radiologykey.com\/central-nervous-system-tuberculosis\/<\/a>. Ng\u00e0y truy c\u1eadp 08\/05\/2018.<\/em><\/li>\n<li><em>Imaging in CNS Tuberculosis. <a href=\"https:\/\/emedicine.medscape.com\/article\/344862-overview#showall\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">https:\/\/emedicine.medscape.com\/article\/344862-overview#showall<\/a>. Ng\u00e0y truy c\u1eadp 08\/05\/2018.<\/em><\/li>\n<li><em>Tuberculosis of meninges and central nerve system (CNS). <a href=\"http:\/\/tuberkulez-forever.com\/tuberkulez-likbez\/eng\/5-1-tuberculosis-of-meninges.html\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">http:\/\/tuberkulez-forever.com\/tuberkulez-likbez\/eng\/5-1-tuberculosis-of-meninges.html<\/a>. Ng\u00e0y truy c\u1eadp 08\/05\/2018.<\/em><\/li>\n<li><em>Tuberculosis of the central nervous system. <a href=\"http:\/\/pmj.bmj.com\/content\/75\/881\/133\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">http:\/\/pmj.bmj.com\/content\/75\/881\/133<\/a>. Ng\u00e0y truy c\u1eadp 08\/05\/2018.<\/em><\/li>\n<li><em>Central Nervous System Tuberculosis: Pathogenesis and Clinical Aspects. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2292571\/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2292571\/<\/a>. Ng\u00e0y truy c\u1eadp 08\/05\/2018.<\/em><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh lao m\u00e0ng n\u00e3o g\u00ec? Lao m\u00e0ng n\u00e3o l\u00e0 m\u1ed9t b\u1ec7nh \u1edf h\u1ec7 th\u1ea7n kinh, g\u00e2y ra b\u1edfi Mycobacterium tuberculosis. \u0110\u00e2y l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh lao hi\u1ebfm g\u1eb7p, g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, th\u01b0\u1eddng l\u00e0m t\u1eed vong trong th\u1eddi k\u1ef3 tr\u01b0\u1edbc khi c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb kh\u00e1ng lao. M\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a lao m\u00e0ng n\u00e3o [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12989,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","inline_featured_image":false},"categories":[54],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/posts\/5472"}],"collection":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/comments?post=5472"}],"version-history":[{"count":0,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/posts\/5472\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/media\/12989"}],"wp:attachment":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/media?parent=5472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/categories?post=5472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/tags?post=5472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}