{"id":105308,"date":"2022-06-24T00:00:00","date_gmt":"2022-06-24T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/dieu-tri-ap-xe-nao\/"},"modified":"2022-08-25T00:00:00","modified_gmt":"2022-08-25T00:00:00","slug":"dieu-tri-ap-xe-nao","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/than-kinh\/dieu-tri-ap-xe-nao\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o an to\u00e0n, \u00edt bi\u1ebfn ch\u1ee9ng"},"content":{"rendered":"\n

\u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o k\u1ecbp th\u1eddi l\u00e0 m\u1ed9t trong nh\u1eefng vi\u1ec7c h\u1ebft s\u1ee9c quan tr\u1ecdng \u0111\u1ec3 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n v\u00ec \u00e1p xe n\u00e3o l\u00e0 c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong. H\u00e3y c\u00f9ng Docosan<\/a> t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1ch \u0111i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y!<\/strong><\/p>\n\n\n\n

\u00c1p xe n\u00e3o l\u00e0 g\u00ec? <\/h2>\n\n\n\n

\u00c1p xe n\u00e3o l\u00e0 s\u1ef1 t\u00edch t\u1ee5 m\u1ee7 trong m\u00f4 n\u00e3o c\u00f3 th\u1ec3 do h\u1eadu qu\u1ea3 t\u1eeb s\u1ef1 nhi\u1ec5m tr\u00f9ng khu tr\u00fa hay t\u1eeb h\u1ec7 th\u1ed1ng c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n\n\n\n

\"\u0111i\u1ec1u
\u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o – c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m<\/figcaption><\/figure>\n\n\n\n

Nguy\u00ean nh\u00e2n g\u00e2y \u00e1p xe n\u00e3o c\u00f3 th\u1ec3 ngh\u0129 \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c ph\u1eabu thu\u1eadt khi ph\u1eabu thu\u1eadt th\u1ea7n kinh ho\u1eb7c b\u1ecb ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o s\u1ebd c\u00f3 nguy c\u01a1 x\u1ea3y ra t\u00ecnh tr\u1ea1ng \u00e1p xe \u1edf n\u00e3o hay khi b\u1ecb \u0111\u00e1nh v\u00e0o \u0111\u1ea7u d\u1eabn t\u1edbi v\u1ee1 x\u01b0\u01a1ng s\u1ecd v\u00e0 nh\u1eefng m\u1ea3nh x\u01b0\u01a1ng n\u00e0y c\u00f3 nguy c\u01a1 \u0111\u00e2m v\u00e0o c\u00e1c t\u1ebf b\u00e0o n\u00e3o v\u00e0 g\u00e2y ra \u00e1p xe ho\u1eb7c nhi\u1ec5m khu\u1ea9n t\u1eeb c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c r\u1ed3i l\u00e2y lan l\u00ean n\u00e3o qua \u0111\u01b0\u1eddng m\u00e1u .<\/p>\n\n\n\n

\"\u0111i\u1ec1u
\u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o – c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m<\/figcaption><\/figure>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a \u00e1p xe n\u00e3o<\/h2>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a \u00e1p xe n\u00e3o kh\u00e1c nhau \u1edf t\u1eebng c\u00e1 th\u1ec3 b\u1ec7nh t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9, t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00e1c ca b\u1ec7nh \u00e1p xe n\u00e3o di\u1ec5n bi\u1ebfn t\u1eeb t\u1eeb, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p l\u1ea1i ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh, khi\u1ebfn n\u00e3o b\u1ed9 b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng n\u1ec1. Th\u00f4ng th\u01b0\u1eddng, \u00e1p xe n\u00e3o g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1eb1m trong 3 h\u1ed9i ch\u1ee9ng sau \u0111\u00e2y:<\/p>\n\n\n\n

  • H\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng: ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ea5u hi\u1ec7u s\u1ed1t cao t\u1eeb 39 – 40 \u0111\u1ed9 C. T\u00ecnh tr\u1ea1ng s\u1ed1t cao xu\u1ea5t hi\u1ec7n khi \u1ed5 \u00e1p xe \u1edf giai \u0111o\u1ea1n lan t\u1ecfa. Khi \u00e1p xe khu tr\u00fa ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u00edt s\u1ed1t h\u01a1n. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u00f2n c\u00f3 c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, m\u00f4i kh\u00f4, l\u01b0\u1ee1i b\u1ea9n, s\u1ee5t c\u00e2n nhanh<\/li>
  • H\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd: \u0111au \u0111\u1ea7u \u00e2m \u1ec9, \u0111au lan ra kh\u1eafp \u0111\u1ea7u nh\u1ea5t l\u00e0 \u1edf v\u00f9ng \u1ed5 \u00e1p xe khu tr\u00fa. T\u00ecnh tr\u1ea1ng \u0111au \u0111\u1ea7u t\u0103ng l\u00ean v\u1ec1 \u0111\u00eam ho\u1eb7c khi ng\u01b0\u1eddi b\u1ec7nh thay \u0111\u1ed5i t\u01b0 th\u1ebf. \u0110i k\u00e8m l\u00e0 c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda, n\u00f4n v\u1ecdt. B\u1ec7nh c\u00e0ng \u0111\u1ec3 l\u00e2u, \u00e1p l\u1ef1c n\u1ed9i s\u1ecd c\u00e0ng t\u0103ng, ng\u01b0\u1eddi b\u1ec7nh n\u00f4n c\u00e0ng nhi\u1ec1u, n\u00f4n kh\u00f4ng ki\u1ec3m so\u00e1t, ph\u00f9 gai th\u1ecb, tinh th\u1ea7n ch\u1eadm ch\u1ea1p, ng\u01b0\u1eddi l\u00fa l\u1eabn, m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng, g\u1eb7p kh\u00f3 kh\u0103n trong giao ti\u1ebfp, co gi\u1eadt, tri gi\u00e1c gi\u1ea3m: l\u01a1 m\u01a1, b\u1ee9t r\u1ee9t th\u1eadm ch\u00ed l\u00e0 h\u00f4n m\u00ea…<\/li>
  • H\u1ed9i ch\u1ee9ng th\u1ea7n kinh khu tr\u00fa:
    • N\u1ebfu \u1ed5 \u00e1p xe \u1edf m\u1ed9t b\u00ean b\u00e1n c\u1ea7u, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd b\u1ecb li\u1ec7t n\u1eeda ng\u01b0\u1eddi<\/li>
    • N\u1ebfu \u1ed5 \u00e1p xe \u1edf hai b\u00ean b\u00e1n c\u1ea7u, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd b\u1ecb li\u1ec7t t\u1ee9 chi<\/li>
    • Li\u1ec7t d\u00e2y th\u1ea7n kinh s\u1ecd n\u00e3o<\/li>
    • C\u00f3 c\u00e1c c\u01a1n \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9<\/li>
    • \u0110\u1ed9ng kinh.<\/li><\/ul><\/li>
    • Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0: T\u00e2m l\u00fd thay \u0111\u1ed5i, ch\u1eb3ng h\u1ea1n \u00edt n\u00f3i h\u01a1n b\u00ecnh th\u01b0\u1eddng v\u00e0 h\u00e0nh vi xu\u1ea5t hi\u1ec7n nhi\u1ec1u bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng, b\u1ec7nh nh\u00e2n nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, kh\u1ea3 n\u0103ng ph\u1ea3n x\u1ea1 k\u00e9m. <\/li><\/ul>\n\n\n\n

      C\u00e1ch ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng hi\u1ec7n nay tr\u00ean l\u00e2m s\u00e0ng l\u00e0 s\u1eed d\u1ee5ng h\u00ecnh \u1ea3nh h\u1ecdc c\u1ee7a CT-scan, MRI n\u00e3o, \u0111o \u00e1p l\u1ef1c n\u00e3o, EEG. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ecdc d\u00f2 t\u1ee7y s\u1ed1ng.<\/p>\n\n\n\n

      \"\u0111i\u1ec1u
      \u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o – c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m<\/figcaption><\/figure>\n\n\n\n

      \u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o <\/h2>\n\n\n\n

      Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/h4>\n\n\n\n

      Hi\u1ec7n t\u1ea1i v\u1eabn ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u n\u00e0o t\u1ed1t nh\u1ea5t cho \u00e1p-xe, \u0111i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o l\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p gi\u1eefa ph\u1eabu thu\u1eadt v\u1edbi kh\u00e1ng sinh k\u00e9o d\u00e0i v\u00e0 gi\u1ea3i quy\u1ebft nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t.<\/p>\n\n\n\n

      \u0110i\u1ec1u Tr\u1ecb \u0110\u1eb7c Hi\u1ec7u<\/h4>\n\n\n\n

      G\u1ed3m \u0111i\u1ec1u tr\u1ecb n\u1ed9i v\u00e0 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u0111\u01a1n thu\u1ea7n ho\u1eb7c k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa, \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh.<\/p>\n\n\n\n

      • \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa \u0111\u01a1n thu\u1ea7n g\u1ed3m:
        • Kh\u00e1ng sinh:
          • S\u1eed d\u1ee5ng kh\u00e1ng sinh theo kinh nghi\u1ec7m, ch\u1ecdn kh\u00e1ng sinh c\u00f3 kh\u1ea3 n\u0103ng khu\u1ebfch t\u00e1n cao, v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7 n\u00e3o b\u1ed9. <\/li>
          • C\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng kh\u00e1ng sinh li\u1ec1u cao trong th\u1eddi gian d\u00e0i.<\/li>
          • Ban \u0111\u1ea7u d\u00f9ng kh\u00e1ng sinh d\u01b0\u1edbi d\u1ea1ng ti\u00eam \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch k\u00e9o d\u00e0i 6-8 tu\u1ea7n, sau khi \u0111\u00e3 \u1ed5n \u0111\u1ecbnh th\u00ec chuy\u1ec3n sang d\u1ea1ng u\u1ed1ng th\u00eam 4-8 tu\u1ea7n <\/li>
          • \u0110\u1ed5i kh\u00e1ng sinh ngay khi c\u00f3 kh\u00e1ng sinh \u0111\u1ed3: c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i kh\u00e1ng sinh nh\u01b0 Vancomycin, Metronidazole, Clidamycin, … k\u1ebft h\u1ee3p t\u00f9y theo t\u1eebng tr\u01b0\u1eddng b\u1ec7nh c\u1ee5 th\u1ec3.<\/li><\/ul><\/li>
          • N\u1ebfu ngh\u0129 t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh l\u00e0 n\u1ea5m th\u00ec c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c di\u1ec7t n\u1ea5m Amphotericin B ho\u1eb7c n\u1ebfu do Toxoplasma gondii s\u1eed d\u1ee5ng Sulfadiazin + Pyrimethamine.<\/li>
          • D\u00f9ng corticoid:
            • C\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng ph\u00f9 n\u00e3o s\u1eed d\u1ee5ng khi c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 c\u1ee7a hi\u1ec7u \u1ee9ng kh\u1ed1i (tri gi\u00e1c gi\u1ea3m, d\u1ea5u th\u1ea7n kinh khu tr\u00fa, ph\u00f9 n\u00e3o r\u1ed9ng tr\u00ean h\u00ecnh \u1ea3nh h\u1ecdc). <\/li>
            • Tuy nhi\u00ean n\u00f3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m xuy\u00ean th\u1ea5u c\u1ee7a kh\u00e1ng sinh v\u00e0o bao \u00e1p-xe v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. V\u00ec v\u1eady ch\u1ec9 n\u00ean d\u00f9ng ng\u1eafn ng\u00e0y (3-5 ng\u00e0y). Thu\u1ed1c d\u00f9ng l\u00e0 Dexamethasone 8-10mg\/ 4-6gi\u1edd, ti\u00eam m\u1ea1ch<\/li><\/ul><\/li><\/ul>
              • \u0110i\u1ec1u tr\u1ecb ch\u1ed1ng t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, ch\u1ed1ng \u0111\u1ed9ng kinh:
                • Ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 c\u01a1n co gi\u1eadt (Phenytoin, Deparkin…) th\u1eddi gian \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i \u0111\u00ean skhi \u00e1p-xe bi\u1ebfn m\u1ea5t v\u00e0 vi\u1ec7c d\u00f9ng theem bao l\u00e2u n\u1eefa th\u00ec kh\u00f4ng nh\u1ea5t \u0111\u1ecbnh ph\u1ea3i t\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p, d\u1ef1 ph\u00f2ng \u0111\u1ed9ng kinh trong \u00e1p-xe n\u00e3o th\u01b0\u1eddng kh\u00f4ng b\u1eaft bu\u1ed9c <\/li><\/ul><\/li>
                • N\u00e2ng cao t\u1ed5ng tr\u1ea1ng: h\u1ea1 s\u1ed1t, truy\u1ec1n d\u1ecbch, th\u1edf oxy.<\/li>
                • L\u01b0u \u00fd: kh\u00e1ng sinh li\u1ec7u ph\u00e1p ch\u1ec9 d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho \u00e1p-xe n\u00e3o nguy\u00ean ph\u00e1t. N\u1ebfu \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00f4ng hi\u1ec7u qu\u1ea3 th\u00ec d\u1eabn l\u01b0u \u1ed5 \u00e1p-xe.<\/li>
                • \u0110i\u1ec3m b\u1ea5t l\u1ee3i c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u00e1c nh\u00e2n, ph\u1ea3i theo d\u00f5i b\u1eb1ng CT m\u1ed7i 1-2 tu\u1ea7n n\u00ean kh\u00e1 t\u1ed1n k\u00e9m, th\u1eddi gian n\u1eb1m vi\u1ec7n d\u00e0i c\u0169ng nh\u01b0 chi ph\u00ed cao.<\/li>
                • Ch\u1ec9 \u0111\u1ecbnh: vi\u00eam n\u00e3o, \u00e1p-xe n\u00e3o nh\u1ecf (trung b\u00ecnh t\u1eeb 1,7 – 2,5cm), \u00e1p xe nhi\u1ec1u \u1ed5 nh\u1ecf, v\u1ecb tr\u00ed kh\u00f3 ph\u1eabu thu\u1eadt: th\u00e2n n\u00e3o, v\u00f9ng ch\u1ee9c n\u0103ng quan tr\u1ecdng, t\u1ed5ng tr\u1ea1ng k\u00e9m.<\/li>
                • C\u1ea7n chuy\u1ec3n s\u00e0ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa k\u1ebft h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt khi: l\u00e2m s\u00e0ng x\u1ea5u h\u01a1n, \u00e1p-xe l\u1edbn h\u01a1n sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, \u00e1p-xe kh\u00f4ng nh\u1ecf l\u1ea1i sau 4 tu\u1ea7n<\/li><\/ul><\/li><\/ul>\n\n\n\n
                  \"\u0111i\u1ec1u
                  \u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o – c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m<\/figcaption><\/figure>\n\n\n\n
                  • N\u1ebfu vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh kh\u00f4ng gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa b\u1eb1ng c\u00e1ch ph\u1eabu thu\u1eadt, ch\u1ecdc h\u00fat \u1ed5 \u00e1p xe, d\u1eabn l\u01b0u v\u00e0 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n \u1ed5 \u00e1p xe. Tr\u01b0\u1eddng h\u1ee3p \u1ed5 \u00e1p xe \u1edf v\u1ecb tr\u00ed s\u00e2u c\u1ea7n ti\u1ebfn h\u00e0nh ch\u1ecdc h\u00fat. C\u00f2n n\u1ebfu \u1ed5 \u00e1p xe \u1edf v\u1ecb tr\u00ed n\u00f4ng, k\u00edch th\u01b0\u1edbc l\u1edbn h\u01a1n 3cm v\u00e0 ch\u1ec9 c\u00f3 1 \u1ed5 duy nh\u1ea5t th\u00ec c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ph\u1eabu thu\u1eadt ngo\u1ea1i khoa.<\/li><\/ul>\n\n\n\n
                    • \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa k\u1ebft h\u1ee3p v\u1edbi ngo\u1ea1i khoa: N\u1ebfu vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh kh\u00f4ng gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa b\u1eb1ng c\u00e1ch ph\u1eabu thu\u1eadt, ch\u1ecdc h\u00fat \u1ed5 \u00e1p xe, d\u1eabn l\u01b0u v\u00e0 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n \u1ed5 \u00e1p xe. Tr\u01b0\u1eddng h\u1ee3p \u1ed5 \u00e1p xe \u1edf v\u1ecb tr\u00ed s\u00e2u c\u1ea7n ti\u1ebfn h\u00e0nh ch\u1ecdc h\u00fat. C\u00f2n n\u1ebfu \u1ed5 \u00e1p xe \u1edf v\u1ecb tr\u00ed n\u00f4ng, k\u00edch th\u01b0\u1edbc l\u1edbn h\u01a1n 3cm v\u00e0 ch\u1ec9 c\u00f3 1 \u1ed5 duy nh\u1ea5t th\u00ec c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ph\u1eabu thu\u1eadt ngo\u1ea1i khoa. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa bao g\u1ed3m:
                      • B\u00f3c Bao \u00c1p-Xe
                        • Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh r\u00fat ng\u1eafn c\u00f2n 7-10 ng\u00e0y.<\/li>
                        • Ch\u1ec9 \u0111\u1ecbnh: \u00e1p-xe c\u00f3 bao r\u00f5, v\u1ecb tr\u00ed n\u00f4ng, kh\u00f4ng n\u1eb1m trong v\u00f9ng n\u00e3o ch\u1ee9c n\u0103ng, \u00e1p-xe c\u00f3 1 \u1ed5, \u00e1p-xe ch\u1ecdc h\u00fat nhi\u1ec1u l\u1ea7n th\u1ea5t b\u1ea1i, \u00e1p-xe c\u00f3 d\u1ecb v\u1eadt, \u00e1p-xe do Norcardia ho\u1eb7c n\u1ea5m.<\/li><\/ul><\/li>
                        • Ch\u1ecdc H\u00fat \u00c1p-Xe
                          • Ch\u1ecdc h\u00fat d\u01b0\u1edbi g\u00e2y t\u00ea v\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m ho\u1eb7c khung \u0111\u1ecbnh v\u1ecb Stereotaxy, ho\u1eb7c g\u00e2y m\u00ea m\u1ed5 h\u1edf c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ef1 h\u01b0\u1edbng d\u1eabn Navigation.<\/li>
                          • C\u1ea7n b\u01a1m r\u1eeda v\u1edbi n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd ho\u1eb7c kh\u00e1ng sinh trong l\u00fac m\u1ed5<\/li>
                          • Ch\u1ecdn l\u1ef1a \u0111\u01b0\u1eddng v\u00e0o \u00e1p-xe ng\u1eafn nh\u1ea5t, tr\u00e1nh \u0111\u1ee5ng d\u1eadp c\u00e1c c\u1ea5u tr\u00fac n\u00e3o quan tr\u1ecdng, tr\u00e1nh ch\u1ecdc qua n\u00e3o th\u1ea5t ho\u1eb7c qua v\u1ebft th\u01b0\u01a1ng nhi\u1ec5m tr\u00f9ng ho\u1eb7c qua xoang h\u01a1i.<\/li>
                          • Tr\u01b0\u1eddng h\u1ee3p nhi\u1ec1u \u1ed5 \u00e1p-xe th\u00ec ch\u1ecdn \u1ed5 l\u1edbn nh\u1ea5t ho\u1eb7c \u1ed5 g\u00e2y tri\u1ec7u ch\u1ee9ng ho\u1eb7c \u1ed5 \u00e1p-xe l\u1edbn c\u00f3 nguy c\u01a1 v\u1ee1 v\u00e0o n\u00e3o th\u1ea5t \u0111\u1ec3 ch\u1ecdc, \u0111\u00f4i khi ph\u1ea3i ch\u1ecdc nhi\u1ec1u \u1ed5 l\u1edbn ho\u1eb7c ph\u1ea3i ch\u1ecdc h\u00fat nhi\u1ec1u l\u1ea7n.<\/li>
                          • Ch\u1ecdc h\u00fat \u00e1p-xe ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng kh\u00e1ng sinh theo kinh nghi\u1ec7m.<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n
                            \"\u0111i\u1ec1u
                            \u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o – c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m<\/figcaption><\/figure>\n\n\n\n
                            • V\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u00e1p xe n\u00e3o do bi\u1ebfn ch\u1ee9ng t\u1eeb ph\u1eabu thu\u1eadt ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 vi\u00eam tai gi\u1eefa, vi\u00eam xoang, \u00e1p xe r\u0103ng… ng\u01b0\u1eddi b\u1ec7nh c\u00f2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n \u0111\u1ec3 ti\u00eau di\u1ec7t t\u1eadn g\u1ed1c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh<\/li><\/ul>\n\n\n\n
                              • Theo d\u00f5i:
                                • Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i li\u00ean t\u1ee5c, t\u1eeb sinh hi\u1ec7u (m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf, huy\u1ebft \u00e1p), ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh CT ho\u1eb7c ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb MRI \u1edf n\u00e3o 3 – 4 ng\u00e0y\/l\u1ea7n \u0111\u1ec3 ki\u1ec3m tra di\u1ec5n bi\u1ebfn c\u1ee7a b\u1ec7nh cho \u0111\u1ebfn khi c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng d\u01b0\u1ee3c c\u1ea3i thi\u1ec7n.<\/li>
                                • Sau xu\u1ea5t vi\u1ec7n d\u00f9ng kh\u00e1ng sinh \u0111\u01b0\u1eddng u\u1ed1ng th\u00eam 4 tu\u1ea7n, t\u00e1i kh\u00e1m sau 1 th\u00e1ng, 3 th\u00e1ng ki\u1ec3m tra CT ho\u1eb7c MRI c\u1ea3n t\u1eeb. K\u1ebft qu\u1ea3 t\u1ed1t l\u00e0 khi \u00e1p-xe bi\u1ebfn m\u1ea5t tr\u00ean CT nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u1ed5 t\u0103ng quang nh\u1ecf c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i sau 6 th\u00e1ng v\u00e0 m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p \u00e1p-xe s\u1ebd t\u00e1i ph\u00e1t.<\/li><\/ul><\/li><\/ul>\n\n\n\n

                                  \u00c1p xe n\u00e3o l\u00e0 s\u1ef1 t\u00edch t\u1ee5 m\u1ee7 trong m\u00f4 n\u00e3o c\u00f3 th\u1ec3 do h\u1eadu qu\u1ea3 t\u1eeb s\u1ef1 nhi\u1ec5m tr\u00f9ng khu tr\u00fa hay t\u1eeb h\u1ec7 th\u1ed1ng c\u1ee7a c\u01a1 th\u1ec3. C\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y \u00e1p xe n\u00e3o nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c ph\u1eabu thu\u1eadt, nhi\u1ec5m tr\u00f9ng, … \u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o g\u1ed3m \u0111i\u1ec1u tr\u1ecb n\u1ed9i \u0111\u01a1n thu\u1ea7n b\u1eb1ng kh\u00e1ng sinh, corticoid, h\u1ea1 s\u1ed1t, truy\u1ec1n d\u1ecbch, … v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i nh\u01b0 ph\u1eabu thu\u1eadt, ch\u1ecdc h\u00fat \u1ed5 \u00e1p xe, d\u1eabn l\u01b0u v\u00e0 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n \u1ed5 \u00e1p xe cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u00e1p xe n\u00e3o n\u1eb7ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa.<\/p>\n\n\n\n

                                  B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

                                  \u0110i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o k\u1ecbp th\u1eddi l\u00e0 m\u1ed9t trong nh\u1eefng vi\u1ec7c h\u1ebft s\u1ee9c quan tr\u1ecdng \u0111\u1ec3 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n v\u00ec \u00e1p xe n\u00e3o l\u00e0 c\u0103n b\u1ec7nh v\u00f4 c\u00f9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong. H\u00e3y c\u00f9ng Docosan t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1ch \u0111i\u1ec1u tr\u1ecb \u00e1p xe n\u00e3o qua b\u00e0i vi\u1ebft d\u01b0\u1edbi […]<\/p>\n","protected":false},"author":7,"featured_media":97316,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[312],"tags":[],"class_list":["post-105308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-than-kinh"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/06\/Dieu-tri-ap-xe-nao-3-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/06\/Dieu-tri-ap-xe-nao-3-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105308","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105308"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105308\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/97316"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105308"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105308"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105308"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}