{"id":102739,"date":"2021-05-03T00:00:00","date_gmt":"2021-05-03T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/tang-ap-luc-noi-so\/"},"modified":"2022-09-15T00:00:00","modified_gmt":"2022-09-15T00:00:00","slug":"tang-ap-luc-noi-so","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/than-kinh\/tang-ap-luc-noi-so\/","title":{"rendered":"T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (t\u00ean ti\u1ebfng Anh l\u00e0 Increased intracranial pressure) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd thu\u1ed9c chuy\u00ean khoa th\u1ea7n kinh. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh nguy hi\u1ec3m, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u00ednh m\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. V\u1eady t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 g\u00ec? Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh do \u0111\u00e2u m\u00e0 c\u00f3? Tri\u1ec7u ch\u1ee9ng nh\u01b0 th\u1ebf n\u00e0o v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb ra sao? H\u00e3y theo d\u00f5i b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y c\u00f9ng Docosan<\/a> \u0111\u1ec3 c\u00f3 c\u00e2u tr\u1ea3 l\u1eddi ch\u00ednh x\u00e1c nh\u1ea5t.<\/strong><\/p>\n\n\n\n

T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 g\u00ec?<\/h2>\n\n\n\n

T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd (ICP) l\u00e0 s\u1ef1 gia t\u0103ng \u00e1p l\u1ef1c xung quanh n\u00e3o c\u1ee7a b\u1ec7nh nh\u00e2n. N\u00f3 c\u00f3 th\u1ec3 l\u00e0 do s\u1ef1 gia t\u0103ng l\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng xung quanh n\u00e3o . V\u00ed d\u1ee5, c\u00f3 th\u1ec3 c\u00f3 l\u01b0\u1ee3ng d\u1ecbch n\u00e3o t\u1ee7y t\u0103ng l\u00ean t\u1ef1 nhi\u00ean \u0111\u1ec7m n\u00e3o c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean ho\u1eb7c t\u0103ng l\u01b0\u1ee3ng m\u00e1u trong n\u00e3o do ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c kh\u1ed1i u b\u1ecb v\u1ee1. <\/p>\n\n\n\n

Vi\u1ec7c gia t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd t\u0103ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 b\u1ea3n th\u00e2n m\u00f4 n\u00e3o c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang b\u1ecb s\u01b0ng l\u00ean, do ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u ho\u1eb7c do c\u00e1c b\u1ec7nh l\u00fd \u1edf th\u1ea7n kinh nh\u01b0 \u0111\u1ed9ng kinh. C\u00e1c ch\u00e1n th\u01b0\u01a1ng \u1edf n\u00e3o c\u0169ng c\u00f3 th\u1ec3 g\u00e2y n\u00ean gia t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/p>\n\n\n\n

\"t\u0103ng
T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 g\u00ec?<\/figcaption><\/figure>\n\n\n\n

Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0 b\u1ec7nh l\u00fd c\u1ef1c k\u00ec nguy hi\u1ec3m, \u0111e d\u1ecda tr\u1ef1c ti\u1ebfp \u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Khi ph\u00e1t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh, c\u1ea7n ph\u1ea3i nhanh ch\u00f3ng \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 k\u1ecbp th\u1eddi c\u1ee9u ch\u1eefa. <\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/h2>\n\n\n\n

Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng th\u1ea5y c\u1ee7a t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd l\u00e0: <\/p>\n\n\n\n

  • Xu\u1ea5t hi\u1ec7n nh\u1eefng c\u01a1n \u0111au \u0111\u1ea7u<\/li>
  • Th\u01b0\u1eddng xuy\u00ean c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n <\/li>
  • T\u0103ng huy\u1ebft \u00e1p<\/li>
  • Suy gi\u1ea3m kh\u1ea3 n\u0103ng tr\u00ed \u00f3c<\/li>
  • B\u1ecb nh\u1ea7m l\u1eabn v\u1ec1 kh\u00f4ng gian v\u00e0 th\u1eddi gian<\/li>
  • Kh\u1ea3 n\u0103ng th\u1ecb l\u1ef1c b\u1ecb suy gi\u1ea3m, m\u1eaft nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i. \u0110\u1ed3ng t\u1eed kh\u00f4ng ph\u1ea3n \u1ee9ng v\u1edbi s\u1ef1 thay \u0111\u1ed5i \u00e1nh s\u00e1ng \u0111\u1ed9t ng\u1ed9t<\/li>
  • Kh\u1ea3 n\u0103ng th\u1edf b\u1ecb suy y\u1ebfu<\/li>
  • Th\u01b0\u1eddng l\u00ean c\u01a1n co gi\u1eadt<\/li>
  • R\u01a1i v\u00e0o nh\u1eefng c\u01a1n h\u00f4n m\u00ea<\/li><\/ul>\n\n\n\n
    \"t\u0103ng
    Tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/figcaption><\/figure>\n\n\n\n

    Ngo\u00e0i ra, nh\u1eefng tri\u1ec7u ch\u1ee9ng – d\u1ea5u hi\u1ec7u tr\u00ean c\u00f3 th\u1ec3 cho th\u1ea5y ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ch\u1ec9 \u0111ang b\u1ecb h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd m\u00e0 c\u00f2n nh\u1eefng b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng kh\u00e1c nh\u01b0 \u0111\u1ed9t qu\u1ef5, kh\u1ed1i u n\u00e3o,…<\/p>\n\n\n\n

    B\u00ean c\u1ea1nh \u0111\u00f3, t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd c\u0169ng xu\u1ea5t hi\u1ec7n \u1edf tr\u1ebb s\u01a1 sinh. Nguy\u00ean nh\u00e2n l\u00e0 do nh\u1eefng tai n\u1ea1n nh\u01b0 t\u00e9 ng\u00e3 g\u00e2y ra nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf n\u00e3o. C\u00e1c d\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u01b0\u1eddi l\u1edbn. Tuy nhi\u00ean, c\u00f3 th\u00eam m\u1ed9t tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n l\u00e0 th\u00f3p \u0111\u1ec9nh \u0111\u1ea7u c\u1ee7a tr\u1ebb b\u1ecb l\u1ed3i ra, ph\u1ed3ng l\u00ean, c\u00f3 th\u1ec3 quan s\u00e1t r\u00f5 b\u1eb1ng m\u1eaft th\u01b0\u1eddng.<\/p>\n\n\n\n

    Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/h2>\n\n\n\n

    Nguy\u00ean nh\u00e2n th\u01b0\u1eddng th\u1ea5y nh\u1ea5t c\u1ee7a t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd ch\u00ednh l\u00e0 tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y b\u1ec7nh c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0:<\/p>\n\n\n\n

    • Nhi\u1ec5m tr\u00f9ng n\u00e3o (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam n\u00e3o)<\/strong>: T\u00ecnh tr\u1ea1ng n\u00e3o xu\u1ea5t hi\u1ec7n vi khu\u1ea9n hay c\u00e1c lo\u1ea1i virus s\u1ed1ng k\u00fd sinh, g\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng nhi\u1ec5m tr\u00f9ng n\u00e3o<\/li>
    • C\u00f3 xu\u1ea5t hi\u1ec7n kh\u1ed1i u \u1edf trong n\u00e3o<\/strong>: Kh\u1ed1i u n\u00e0y c\u00f3 th\u1ec3 l\u00e0 kh\u1ed1i u l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh <\/li>
    • Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u<\/strong>: Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng \u1edf \u0111\u1ea7u do tai n\u1ea1n c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/li>
    • V\u1ee1 ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch n\u00e3o<\/strong>: Hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o, \u0111\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n c\u1ee7a h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o<\/li>
    • \u0110\u1ed9ng kinh<\/strong>: S\u1ef1 r\u1ed1i lo\u1ea1n c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh, g\u00e2y n\u00ean nh\u1eefng c\u01a1n co gi\u1eadt. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u1ed9ng kinh.<\/li>
    • N\u00e3o \u00fang th\u1ee7y<\/strong>: L\u00e0 hi\u1ec7n t\u01b0\u1ee3ng tr\u00e0n d\u1ecbch t\u1ee7y \u1edf trong n\u00e3o.<\/li>
    • T\u1ed5n th\u01b0\u01a1ng \u1edf n\u00e3o do huy\u1ebft \u00e1p cao<\/strong>: D\u1eabn d\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng xu\u1ea5t huy\u1ebft n\u00e3o<\/li>
    • Vi\u00eam m\u00e0ng n\u00e3o<\/strong>: Hi\u1ec7n t\u01b0\u1ee3ng m\u00e0ng n\u00e3o b\u1ecb vi\u00eam do vi khu\u1ea9n, hay virus g\u00e2y ra <\/li>
    • Thi\u1ebfu oxy trong m\u00e1u<\/strong>: Khi l\u01b0\u1ee3ng oxy trong m\u00e1u th\u1ea5p h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng<\/li><\/ul>\n\n\n\n
      \"t\u0103ng
      Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/figcaption><\/figure>\n\n\n\n

      Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/h2>\n\n\n\n

      M\u1ee5c ti\u00eau ti\u00ean quy\u1ebft trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd ch\u00ednh l\u00e0 vi\u1ec7c l\u00e0m suy gi\u1ea3m \u00e1p l\u1ef1c b\u00ean trong h\u1ed9p s\u1ecd c\u1ee7a b\u1ec7nh nh\u00e2n. K\u1ebf \u0111\u1ebfn, c\u00e1c b\u00e1c s\u0129 s\u1ebd gi\u1ea3i quy\u1ebft c\u00e1c b\u1ec7nh l\u00fd, nguy\u00ean nh\u00e2n g\u00e2y n\u00ean h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/p>\n\n\n\n

      M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd th\u00f4ng th\u01b0\u1eddng l\u00e0: <\/p>\n\n\n\n

      • D\u1eabn l\u01b0u n\u00e3o th\u1ea5t<\/li>
      • S\u1eed d\u1ee5ng thu\u1ed1c manitol v\u00e0 k\u1ebft h\u1ee3p v\u1edbi n\u01b0\u1edbc mu\u1ed1i \u01b0u tr\u01b0\u01a1ng<\/li>
      • B\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng th\u00eam thu\u1ed1c an th\u1ea7n \u0111\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c c\u01a1n \u0111\u1ed9ng kinh. <\/li><\/ul>\n\n\n\n
        \"t\u0103ng
        D\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129<\/figcaption><\/figure>\n\n\n\n

        Ngo\u00e0i nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p tr\u00ean, m\u1ed9t v\u00e0i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng, m\u1eb7c d\u00f9 \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n:<\/p>\n\n\n\n

        • Lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n c\u1ee7a h\u1ed9p s\u1ecd<\/li>
        • S\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y m\u00ea<\/li>
        • H\u1ea1 th\u00e2n nhi\u1ec7n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh <\/li><\/ul>\n\n\n\n

          Ch\u00fa \u00fd: nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u00ean ch\u1ec9 mang t\u00ednh ch\u1ea5t tham kh\u1ea3o, t\u00f9y thu\u1ed9c v\u00e0o c\u01a1 \u0111\u1ecba v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh m\u00e0 c\u00e1c b\u00e1c s\u0129 s\u1ebd d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p nh\u1ea5t \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh.<\/em><\/p>\n\n\n\n

          M\u1ed9t s\u1ed1 b\u00e1c s\u0129 c\u00f3 th\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/h2>\n\n\n\n
          • B\u00e1c s\u0129 Chuy\u00ean khoa I \u0110\u1eb7ng Th\u1ebf \u00c2n, 24 n\u0103m kinh nghi\u1ec7m, B\u00ecnh Th\u1ea1nh, Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh.<\/li><\/ul>\n\n\n\n