{"id":3406,"date":"2019-02-13T18:10:06","date_gmt":"2019-02-13T11:10:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=3406"},"modified":"2019-02-13T18:11:25","modified_gmt":"2019-02-13T11:11:25","slug":"ca-lam-sang-dau-than-kinh-tru-trai-sau-zona-than-kinh","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/ca-lam-sang-dau-than-kinh-tru-trai-sau-zona-than-kinh\/","title":{"rendered":"Ca l\u00e2m s\u00e0ng \u0110au th\u1ea7n kinh tr\u1ee5 tr\u00e1i sau zona th\u1ea7n kinh"},"content":{"rendered":"

Ngu\u1ed3n : PGS. TS. B\u00e1c s\u0129 H\u00e0 Ho\u00e0ng Ki\u1ec7m b\u1ec7nh vi\u1ec7n 103.<\/p>\n

Ca l\u00e2m s\u00e0ng B\u1ec7nh nh\u00e2n N\u1eef 56 tu\u1ed5i.<\/h2>\n
– M\u00f4 t\u1ea3 b\u1ec7nh: C\u00e1ch \u0111\u00e2y 3 th\u00e1ng b\u1ecb zona th\u1ea7n kinh nh\u01b0ng ch\u1ec9 c\u00f3 v\u00e0i n\u1ed1t ph\u1ed5ng n\u01b0\u1edbc v\u00f9ng da ph\u00eda tr\u00ean gai x\u01b0\u01a1ng b\u1ea3 vai tr\u00e1i. Sau khi kh\u1ecfi xu\u1ea5t hi\u1ec7n \u0111au d\u1ecdc b\u1edd trong c\u00e1nh tay tr\u00e1i t\u1eebng c\u01a1n nh\u01b0 \u0111i\u1ec7n gi\u1eadt, v\u1ec1 sau \u0111au xu\u1ed1ng b\u1edd trong c\u1eb3ng tay v\u1edbi t\u00ednh ch\u1ea5t tr\u00ean. Kho\u1ea3ng 2 th\u00e1ng nay xu\u1ea5t hi\u1ec7n \u0111au t\u1eeb v\u00f9ng c\u1ed5 tay xu\u1ed1ng ng\u00f3n 4 v\u00e0 5 b\u00e0n tay tr\u00e1i. \u0110au c\u00f3 t\u00ednh ch\u1ea5t nh\u01b0 c\u00f3 k\u00ecm c\u1eb7p si\u1ebft hai ng\u00f3n tay, bu\u1ed1t v\u00e0 ng\u1ee9a v\u00f9ng g\u1ed1c b\u00e0n tay c\u1ee7a \u00f4 m\u00f4 \u00fat. \u0110au xu\u1ea5t hi\u1ec7n khi c\u00f3 k\u00edch th\u00edch nh\u01b0 gi\u00f3, ch\u00e2m ch\u00edch v\u00f9ng ng\u00f3n tay 4, 5 v\u00e0 \u00f4 m\u00f4 \u00fat. \u0110au bu\u1ed1t \u0111\u1ebfn m\u1ee9c b\u1ec7nh nh\u00e2n kh\u00f4ng ng\u1ee7 \u0111\u01b0\u1ee3c ho\u1eb7c ph\u1ea3i \u00f4m c\u1ed5 tay, ch\u1ea3y n\u01b0\u1edbc m\u1eaft. \u0110\u00f4i khi \u0111au lan l\u00ean theo m\u1ed9t \u0111\u01b0\u1eddng d\u1ecdc b\u1edd trong c\u1eb3ng tay \u0111\u1ebfn r\u00e3nh r\u00f2ng d\u1ecdc khu\u1ef7u. B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb \u1edf nhi\u1ec1u b\u1ec7nh vi\u1ec7n c\u1ea3 m\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n tuy\u1ebfn trung \u01b0\u01a1ng.<\/p>\n
– C\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m \u1edf tuy\u1ebfn tr\u01b0\u1edbc:<\/p>\n
\n
C\u00f4ng th\u1ee9c m\u00e1u: C\u00e1c th\u00f4ng s\u1ed1 \u0111\u1ec1u trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n
Sinh h\u00f3a m\u00e1u: C\u00e1c th\u00f4ng s\u1ed1 glucose, Protein, m\u1ee1, men gan trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n
N\u01b0\u1edbc ti\u1ec3u 10 th\u00f4ng s\u1ed1 b\u00ecnh th\u01b0\u1eddng.<\/li>\n
Ch\u1ee5p X-quang c\u1ed5 b\u00e0n tay tr\u00e1i: x\u01b0\u01a1ng v\u00e0 kh\u1edbp c\u1ed5 b\u00e0n tay b\u00ecnh th\u01b0\u1eddng.<\/li>\n
Si\u00eau \u00e2m \u1ed5 b\u1ee5ng: gan, th\u1eadn, b\u00e0ng quang, t\u1eed cung, bu\u1ed3ng tr\u1ee9ng b\u00ecnh th\u01b0\u1eddng.<\/li>\n
Si\u00eau \u00e2m Doppler m\u1ea1ch v\u00f9ng c\u1ed5 b\u00e0n tay tr\u00e1i: c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng co m\u1ea1ch \u1edf v\u00f9ng \u00f4 m\u00f4 \u00fat, kh\u00f4ng h\u1eb9p kh\u00f4ng t\u1eafc \u0111\u1ed9ng m\u1ea1ch.<\/li>\n
\u0110i\u1ec7n th\u1ea7n kinh c\u01a1: d\u00e2y th\u1ea7n kinh gi\u1eefa, d\u00e2y th\u1ea7n kinh quay tay tr\u00e1i b\u00ecnh th\u01b0\u1eddng. D\u00e2y th\u1ea7n kinh tr\u1ee5 c\u00f3 bi\u1ec3u hi\u1ec7n t\u0103ng th\u1eddi gian ti\u1ec1m, gi\u1ea3m t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n.<\/li>\n
Ch\u1ee5p MRI c\u1ed9t s\u1ed1ng c\u1ed5: Kh\u00f4ng c\u00f3 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5, tho\u00e1i h\u00f3a nh\u1eb9 c\u1ed9t s\u1ed1ng c\u1ed5.<\/li>\n<\/ul>\n
– B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c nh\u1eadn nhi\u1ec1u ch\u1ea9n \u0111o\u00e1n kh\u00e1c nhau: \u0110au th\u1ea7n kinh sau Zona, h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00f9ng c\u1ed5 tay v\u00e0 c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c nhau nh\u01b0: ti\u00eam corticoid v\u00e0o \u1ed1ng c\u1ed5 tay 3 m\u0169i c\u00e1ch nhau 1 tu\u1ea7n, corticoid u\u1ed1ng, thu\u1ed1c t\u0103ng ph\u1ee5c h\u1ed3i th\u1ea7n kinh g\u1ed3m neurobion, nivalin ti\u00eam, c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au, c\u00f9ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c ph\u1ee5 tr\u1ee3 kh\u00e1c nh\u01b0ng tri\u1ec7u ch\u1ee9ng kh\u00f4ng thuy\u00ean gi\u1ea3m, b\u1eaft \u0111\u1ea7u c\u00f3 bi\u1ec3u hi\u1ec7n gi\u1eef n\u01b0\u1edbc do corticoid (t\u0103ng 4kg\/2 th\u00e1ng, m\u1eb7t tr\u00f2n, m\u1ee1 d\u01b0\u1edbi da b\u1ee5ng d\u00e0y).<\/p>\n
– Kh\u00e1m:<\/p>\n
\n
Da v\u00f9ng \u00f4 m\u00f4 \u00fat b\u00e0n tay tr\u00e1i h\u01a1i \u0111\u1ecf, kh\u00f4ng c\u00f3 teo c\u01a1, kh\u00f4ng ph\u00f9 n\u1ec1.<\/li>\n
C\u1ea3m gi\u00e1c ng\u00f3n 4, 5 tay tr\u00e1i gi\u1ea3m h\u01a1n c\u00e1c ng\u00f3n kh\u00e1c, s\u1ee9c c\u01a1 ng\u00f3n 4, 5 c\u0169ng gi\u1ea3m h\u01a1n. C\u1ea3m gi\u00e1c v\u00e0 s\u1ee9c c\u01a1 c\u00e1c ng\u00f3n c\u00f2n l\u1ea1i c\u1ee7a b\u00e0n tay tr\u00e1i b\u00ecnh th\u01b0\u1eddng.<\/li>\n
Khi kh\u00e1m t\u1ea1o ra k\u00edch th\u00edch g\u00e2y c\u01a1n \u0111au d\u1eef d\u1ed9i v\u00f9ng \u00f4 m\u00f4 \u00fat, c\u1ea3m gi\u00e1c nh\u01b0 b\u1ecb k\u1eb9p b\u1edfi k\u00ecm \u1edf v\u00f9ng \u00f4 m\u00f4 \u00fat v\u00e0 \u0111\u1ed1t m\u1ed9t c\u1ee7a hai ng\u00f3n 4 v\u00e0 5.<\/li>\n
D\u1ea5u hi\u1ec7u Tunnel c\u1ed5 tay tr\u00e1i \u00e2m t\u00ednh.<\/li>\n
Kh\u00f4ng c\u00f3 b\u00e0n tay vu\u1ed1t tr\u1ee5.<\/li>\n
\u0110\u1ed9ng m\u1ea1ch quay v\u00e0 tr\u1ee5 n\u1ea3y \u0111\u1ec1u t\u01b0\u01a1ng t\u1ef1 b\u00ean ph\u1ea3i. \u1ea4n m\u00f3ng tay r\u1ed3i th\u1ea3 ra, v\u00f9ng tr\u1eafng \u1edf m\u00f3ng tay h\u1ed3ng l\u1ea1i nhanh t\u01b0\u01a1ng t\u1ef1 b\u00ean tay ph\u1ea3i.<\/li>\n
Kh\u00e1m c\u1ed9t s\u1ed1ng c\u1ed5: Kh\u00f4ng c\u00f3 \u0111i\u1ec3m \u0111au, kh\u00f4ng c\u00f3 h\u1ed9i ch\u1ee9ng r\u1ec5 th\u1ea7n kinh c\u1ed5, v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u1ed5 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n
V\u1edbi c\u00e1c th\u00f4ng tin tr\u00ean theo c\u00e1c b\u1ea1n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 g\u00ec? C\u00e1ch \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/p>\n
Th\u1ea3o lu\u1eadn<\/h2>\n
V\u1edbi ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay: \u1ed0ng c\u1ed5 tay \u0111\u01b0\u1ee3c t\u1ea1o b\u1edfi ph\u00eda sau l\u00e0 8 x\u01b0\u01a1ng nh\u1ecf x\u1ebfp th\u00e0nh hai h\u00e0ng (thuy\u1ec1n, nguy\u1ec7t, th\u00e1p, \u0111\u1eadu; thang, th\u00ea, c\u1ea3, m\u00f3c). C\u00e1c x\u01b0\u01a1ng n\u00e0y x\u1ebfp h\u00ecnh v\u00f2ng cung, chi\u1ec1u l\u00f5m ra ph\u00eda tr\u01b0\u1edbc. M\u1eb7t tr\u01b0\u1edbc c\u00f3 d\u00e2y ch\u1eb1ng ngang c\u1ed5 tay n\u1ed1i hai \u0111\u1ea7u cung x\u01b0\u01a1ng t\u1ea1o th\u00e0nh m\u1ed9t \u1ed1ng g\u1ecdi l\u00e0 \u1ed1ng c\u1ed5 tay. Trong \u1ed1ng c\u1ed5 tay c\u00f3 g\u00e2n c\u01a1 g\u1ea5p chung s\u00e2u, g\u00e2n c\u01a1 g\u1ea5p chung n\u00f4ng v\u00e0 c\u00e1c bao ho\u1ea1t d\u1ecbch c\u1ee7a ch\u00fang, ngo\u00e0i ra c\u00f2n c\u00f3 d\u00e2y th\u1ea7n kinh gi\u1eefa. Khi \u1ed1ng c\u1ed5 tay b\u1ecb vi\u00eam n\u1ec1 do vi\u00eam c\u00e1c bao ho\u1ea1t d\u1ecbch, x\u01a1 h\u00f3a c\u00e1c t\u1ed5 ch\u1ee9c g\u00e2y ch\u00e8n \u00e9p v\u00e0o th\u1ea7n kinh gi\u1eefa, l\u00fac n\u00e0y tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay xu\u1ea5t hi\u1ec7n v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh gi\u1eefa. \u1ede b\u1ec7nh nh\u00e2n n\u00e0y kh\u00e1m c\u1ea3m gi\u00e1c, v\u1eadn \u0111\u1ed9ng, \u0111o \u0111i\u1ec7n th\u1ea7n kinh c\u01a1 c\u1ee7a th\u1ea7n kinh gi\u1eefa b\u00ecnh th\u01b0\u1eddng, b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam corticoid 3 m\u0169i c\u00e1ch nhau m\u1ed9t tu\u1ea7n m\u1ed9t m\u0169i kh\u00f4ng th\u1ea5y thuy\u00ean gi\u1ea3m tri\u1ec7u ch\u1ee9ng, l\u00e0m nghi\u1ec7m ph\u00e1p Tunnel \u00e2m t\u00ednh. Nh\u01b0 v\u1eady c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb h\u1ed9i ch\u1ee9ng \u0111\u01b0\u1eddng h\u1ea7m c\u1ed5 tay.<\/p>\n
– V\u1edbi ch\u1ea9n \u0111o\u00e1n t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch: V\u00f9ng b\u00e0n v\u00e0 ng\u00f3n tay \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u b\u1edfi hai \u0111\u1ed9ng m\u1ea1ch tr\u1ee5 v\u00e0 quay, hai \u0111\u1ed9ng m\u1ea1ch n\u1ed1i th\u00f4ng v\u1edbi nhau t\u1ea1o th\u00e0nh cung \u0111\u1ed9ng m\u1ea1ch gan tay, \u0111i\u1ec1u \u0111\u00f3 \u0111\u1ea3m b\u1ea3o c\u1ea5p m\u00e1u cho b\u00e0n tay \u0111\u01b0\u1ee3c duy tr\u00ec khi m\u1ed9t \u0111\u1ed9ng m\u1ea1ch b\u1ecb h\u1eb9p t\u1eafc.
\nN\u1ebfu t\u1ed5n th\u01b0\u01a1ng h\u1eb9p t\u1eafc \u0111\u1ed9ng m\u1ea1ch th\u00ec tri\u1ec7u ch\u1ee9ng b\u00e0n tay ph\u1ea3i t\u00e1i, l\u1ea1nh, m\u1ea1ch v\u00f9ng c\u1ed5 tay y\u1ebfu kh\u00f3 b\u1eaft. \u1ede b\u1ec7nh nh\u00e2n n\u00e0y kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u00ean, da v\u00f9ng \u00f4 m\u00f4 \u00fat c\u00f2n h\u01a1i \u0111\u1ecf, m\u1ea1ch quay n\u1ea3y b\u00ecnh th\u01b0\u1eddng, \u1ea5n m\u00f3ng tay th\u1ea3 ra v\u00f9ng tr\u1eafng \u1edf m\u00f3ng tay h\u1ed3ng tr\u1edf l\u1ea1i nhanh t\u01b0\u01a1ng t\u1ef1 b\u00ean tay ph\u1ea3i, ch\u1ee9ng t\u1ecf h\u1ec7 mao m\u1ea1ch c\u00f2n \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u \u0111\u1ea7y \u0111\u1ee7. Si\u00eau \u00e2m m\u1ea1ch kh\u00f4ng ph\u00e1t hi\u1ec7n h\u1eb9p t\u1eafc \u1edf \u0111\u1ed9ng m\u1ea1ch quay v\u00e0 tr\u1ee5. Nh\u01b0 v\u1eady c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh l\u200e\u00ed m\u1ea1ch m\u00e1u v\u00f9ng c\u1ed5 tay.<\/p>\n
– V\u1edbi h\u1ed9i ch\u1ee9ng c\u1ed5 vai c\u00e1nh tay tr\u00e1i do ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh c\u1ed5: ph\u00f9 h\u1ee3p \u0111au theo th\u1ea7n kinh tr\u1ee5 tr\u00e1i. Kh\u00f4ng ph\u00f9 h\u1ee3p kh\u00f4ng dau v\u00f9ng c\u1ed9t s\u1ed1ng c\u1ed5, ch\u1ee5p MRI c\u1ed9t s\u1ed1ng c\u1ed5 kh\u00f4ng c\u00f3 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5, ch\u1ec9 tho\u00e1i h\u00f3a nh\u1eb9. Lo\u1ea1i tr\u1eeb h\u1ed9i ch\u1ee9ng c\u1ed5 vai tay do ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh c\u1ed5.<\/p>\n
V\u00ec b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u00e1m \u0111i\u1ec1u tr\u1ecb ba th\u00e1ng \u1edf nhi\u1ec1u c\u01a1 s\u1edf y t\u1ebf, c\u1ea3 m\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n trung \u01b0\u01a1ng, \u0111\u00e3 l\u00e0m kh\u00e1 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c x\u00e9t nghi\u1ec7m, nh\u01b0ng kh\u00f4ng \u0111\u1ee1. T\u00ecnh tr\u1ea1ng \u0111au \u1edf m\u1ee9c \u0111\u1ed9 n\u1eb7ng khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c v\u00e0 r\u1ea5t lo l\u1eafng. \u0110\u01b0\u1ee3c m\u1ecdi ng\u01b0\u1eddi m\u00e1ch v\u00e0 cho \u0111\u1ecba ch\u1ec9, b\u1ec7nh nh\u00e2n \u0111\u00e3 bay ra H\u00e0 N\u1ed9i v\u00e0 t\u00ecm g\u1eb7p t\u00f4i. Tr\u01b0\u1edbc s\u1ef1 tin t\u01b0\u1edfng c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 m\u1ed9t l\u00ed do khi\u1ebfn t\u00f4i ph\u1ea3i h\u1ebft s\u1ee9c l\u01b0u \u00ed, c\u1ea7n ph\u1ea3i c\u00e2n nh\u1eafc v\u00e0 kh\u00e1m x\u00e9t t\u1ec9 m\u1ef7, cu\u1ed1i c\u00f9ng t\u00f4i \u0111\u01b0a ra k\u1ebft lu\u1eadn:<\/p>\n
– Ch\u1ea9n \u0111o\u00e1n c\u1ee7a t\u00f4i: \u0110au th\u1ea7n kinh tr\u1ee5 tr\u00e1i sau zona th\u1ea7n kinh.<\/h2>\n
L\u200e\u00ed do:<\/p>\n
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Tri\u1ec7u ch\u1ee9ng x\u1ea3y ra sa khi b\u1ecb zona th\u1ea7n kinh, v\u00f9ng t\u1ed5n th\u01b0\u01a1ng da do zona l\u00e0 v\u00f9ng ph\u00eda tr\u00ean gai x\u01b0\u01a1ng b\u1ea3 tr\u00e1i, t\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u00f9ng chi ph\u1ed1i c\u1ee7a r\u1ec5 th\u1ea7n kinh C7, C8 v\u00e0 T1 c\u0169ng l\u00e0 c\u00e1c r\u1ec5 t\u1ea1o n\u00ean d\u00e2y th\u1ea7n kinh tr\u1ee5 tr\u00e1i.<\/li>\n
Tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c v\u00e0 y\u1ebfu v\u1eadn \u0111\u1ed9ng ph\u00f9 h\u1ee3p v\u1edbi v\u00f9ng chi ph\u1ed1i c\u1ee7a d\u00e2y th\u1ea7n kinh tr\u1ee5 tr\u00e1i.<\/li>\n
T\u00ednh ch\u1ea5t \u0111au gi\u1ed1ng v\u1edbi \u0111au c\u1ee7a zona th\u1ea7n kinh.<\/li>\n<\/ul>\n
– \u0110i\u1ec1u tr\u1ecb:<\/p>\n
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Gi\u1ea3m \u0111au b\u1eb1ng Neurontin 300mg \u00d7 3 vi\u00ean\/ng\u00e0y chia 3 l\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi Amytriptylin 25mg \u00d7 3 vi\u00ean\/ng\u00e0y chia 3 l\u1ea7n.<\/li>\n
Ph\u1ee5c h\u1ed3i th\u1ea7n kinh: Neurobion 5000mg \u00d7 4 vi\u00ean\/ng\u00e0y ph\u1ed1i h\u1ee3p v\u1edbi nucleo CMP \u00d7 4 vi\u00ean\/ng\u00e0y. Kh\u00f4ng d\u00f9ng nivalin.<\/li>\n
Phong b\u1ebf lidocain 40mg \u00d7 1 \u1ed1ng pha v\u1edbi 1 \u1ed1ng Diprospan 40mg 3 l\u1ea7n, m\u1ed7i tu\u1ea7n 1 l\u1ea7n v\u00e0o th\u1ea7n kinh tr\u1ee5 v\u00f9ng c\u1ed5 tay.<\/li>\n
\u0110i\u1ec1u tr\u1ecb nhi\u1ec7t g\u1ed3m paraffin v\u00e0 s\u00f3ng ng\u1eafn v\u00e0o v\u00f9ng c\u1ed5 b\u00e0n tay tr\u00e1i h\u00e0ng ng\u00e0y m\u1ed7i ng\u00e0y 1 l\u1ea7n.<\/li>\n<\/ul>\n
Sau 2 tu\u1ea7n c\u00e1c tri\u1ec7u ch\u1ee9ng thuy\u00ean gi\u1ea3m r\u00f5 r\u1ec7t, sau 4 tu\u1ea7n b\u1ec7nh nh\u00e2n ch\u1ec9 c\u00f2n \u0111au nh\u1eb9 khi c\u00f3 k\u00edch th\u00edch nh\u01b0 nh\u00fang n\u01b0\u1edbc l\u1ea1nh, ch\u00e2m ch\u00edch.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Ngu\u1ed3n : PGS. TS. B\u00e1c s\u0129 H\u00e0 Ho\u00e0ng Ki\u1ec7m b\u1ec7nh vi\u1ec7n 103. Ca l\u00e2m s\u00e0ng B\u1ec7nh nh\u00e2n N\u1eef 56 tu\u1ed5i. – M\u00f4 t\u1ea3 b\u1ec7nh: C\u00e1ch \u0111\u00e2y 3 th\u00e1ng b\u1ecb zona th\u1ea7n kinh nh\u01b0ng ch\u1ec9 c\u00f3 v\u00e0i n\u1ed1t ph\u1ed5ng n\u01b0\u1edbc v\u00f9ng da ph\u00eda tr\u00ean gai x\u01b0\u01a1ng b\u1ea3 vai tr\u00e1i. Sau khi kh\u1ecfi xu\u1ea5t hi\u1ec7n \u0111au d\u1ecdc […]\n","protected":false},"author":1,"featured_media":3407,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3406","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/3406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=3406"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/3406\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/3407"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=3406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=3406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=3406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}