{"id":194,"date":"2025-11-27T08:18:33","date_gmt":"2025-11-27T08:18:33","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=194"},"modified":"2025-11-27T08:18:38","modified_gmt":"2025-11-27T08:18:38","slug":"dau-than-kinh-toa","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=194","title":{"rendered":"\u0110AU TH\u1ea6N KINH TO\u1ea0"},"content":{"rendered":"\n

Th\u1ea7n kinh to\u1ea1 l\u00e0 d\u00e2y th\u1ea7n kinh l\u1edbn nh\u1ea5t c\u1ee7a c\u01a1 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea1o n\u00ean b\u1edfi c\u00e1c r\u1ec5 th\u1ea7n kinh t\u1eeb \u0111\u1ed1t s\u1ed1ng th\u1eaft l\u01b0ng L3,L4,L5,S1.\u0110au th\u1ea7n kinh to\u1ea1 l\u00e0 bi\u1ec3u hi\u1ec7n hay g\u1eb7p,l\u00e0 bi\u1ec3u hi\u1ec7n n\u1eb7ng n\u1ec1 nh\u1ea5t trong b\u1ec7nh c\u1ea3nh chung c\u1ee7a \u0111au c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.Bi\u1ec3u hi\u1ec7n n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t,c\u00f3 th\u1ec3 h\u1ebft sau v\u00e0i tu\u1ea7n nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng ,nhi\u1ec1u n\u0103m g\u00e2y \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n\n

Tu\u1ed5i th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 30-60 tu\u1ed5i,t\u1ef7 l\u1ec7 nam\/n\u1eef l\u00e0 3\/1<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa l\u00e0 ch\u00ednh.Tuy nhi\u00ean n\u1ebfu \u0111au nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ea7n xem x\u00e9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

TRI\u1ec6U CH\u1ee8NG<\/strong><\/p>\n\n\n\n

– \u0110au th\u1eaft l\u01b0ng lan xu\u1ed1ng m\u00f4ng,khoeo,c\u1eb3ng ch\u00e2n theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a d\u00e2y th\u1ea7n kinh<\/p>\n\n\n\n

– \u0110au \u00e2m \u1ec9 nh\u01b0ng th\u01b0\u1eddng \u0111au d\u1eef d\u1ed9i,\u0111au t\u0103ng khi ho,h\u1eaft h\u01a1i,c\u00fai<\/p>\n\n\n\n

– \u0110au t\u0103ng v\u1ec1 \u0111\u00eam,gi\u1ea3m khi n\u1eb1m gi\u01b0\u1eddng c\u1ee9ng v\u00e0 g\u1ed1i co l\u1ea1i<\/p>\n\n\n\n

– C\u00f3 th\u1ec3 th\u1ea5y t\u00ea b\u1ecb ki\u1ebfn b\u00f2,t\u00ea c\u00f3ng ho\u1eb7c nh\u01b0 kim ch\u00e2m b\u1edd ngo\u00e0i b\u00e0n ch\u00e2n b\u1eaft ch\u00e9o qua mu ch\u00e2n \u0111\u1ebfn ng\u00f3n c\u00e1i (r\u1ec5 L5),\u1edf g\u00f3t ch\u00e2n ho\u1eb7c ng\u00f2n \u00fat (r\u1ec5 S1)<\/p>\n\n\n\n

– M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n \u0111au h\u1ea1 b\u1ed9 ho\u1eb7c \u0111au khi ti\u1ec3u ti\u1ec7n khi t\u1ed5n th\u01b0\u01a1ng r\u1ed9ng x\u00e2m ph\u1ea1m c\u00e1c r\u1ec5 c\u1ee7a \u0111\u00e1m r\u1ed3i th\u1ea7n kinh \u0111u\u00f4i ng\u1ef1a<\/p>\n\n\n\n

– Tr\u01b0\u1eddng h\u1ee3p n\u0103ng: Teo c\u01a1 c\u1eb3ng ch\u00e2n tr\u01b0\u1edbc ngo\u00e0i,c\u01a1 mu ch\u00e2n,kh\u00f4ng \u0111i \u0111\u01b0\u1ee3c b\u1eb1ng g\u00f3t (r\u1ec5 L5) ho\u1eb7c c\u01a1 b\u1eafp ch\u00e2n,gan b\u00e0n ch\u00e2n,kh\u00f4ng \u0111i \u0111\u01b0\u1ee3c b\u1eb1ng m\u0169i ch\u00e2n(r\u1ec5 S1)<\/p>\n\n\n\n

C\u1eacN L\u00c2M S\u00c0NG; <\/strong><\/p>\n\n\n\n

-Xquang: \u0110\u00e1nh gi\u00e1 h\u00ecnh th\u00e1i c\u1ed9t s\u1ed1ng \u0111\u1ed1t s\u1ed1ng , lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0 kh\u1ed1i u,x\u1eb9p l\u00fan \u0111\u1ed1t s\u1ed1ng,vi\u00eam \u0111\u1ed1t s\u1ed1ng \u0111\u0129a \u0111\u1ec7m,vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu,…<\/p>\n\n\n\n

– C\u1ed9ng h\u01b0\u1edfng t\u1eeb MRI l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh hi\u1ec7n \u0111\u1ea1i nh\u1ea5t v\u00e0 h\u1eefu hi\u1ec7u nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng,cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 nh\u1eady,c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n d\u01b0\u1edbi 30% nh\u1eefng t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.Tuy nhi\u00ean,c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 s\u1ef1 t\u01b0\u01a1ng x\u1ee9ng gi\u1eefa tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u1edbi bi\u1ec3u hi\u1ec7n tr\u00ean MRI<\/p>\n\n\n\n

– \u0110i\u1ec7n c\u01a1 \u0111\u1ed3: ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng ngu\u1ed3n g\u1ed1c th\u1ea7n kinh,x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed d\u00e2y th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng<\/p>\n\n\n\n

– C\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 th\u0103m d\u00f2 kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t…<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

\u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n\n\n\n

– B\u1ea5t \u0111\u1ed9ng trong giai \u0111o\u1ea1n \u0111au c\u1ea5p t\u00ednh<\/p>\n\n\n\n

– Gi\u1ea3m c\u00e2n,kh\u00f4ng x\u00e0i ch\u1ea5t k\u00edch th\u00edch r\u01b0\u1ee3u bia thu\u1ed1c l\u00e1<\/p>\n\n\n\n

– T\u1eadp th\u1ec3 d\u1ee5c: b\u01a1i l\u1ed9i,yoga,b\u00e0i t\u1eadp k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng<\/p>\n\n\n\n

– V\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 ph\u1ea3n x\u1ea1 li\u1ec7u ph\u00e1p: xoa b\u00f3p,b\u1ea5m huy\u1ec7t,ch\u00e2m c\u1ee9u,\u0111i\u1ec7n xung,…<\/p>\n\n\n\n

– Thu\u1ed1c:\u00a0\u00a0 <\/p>\n\n\n\n

Gi\u1ea3m \u0111au, ch\u1ed1ng vi\u00eam\u00a0<\/p>\n\n\n\n

Thu\u1ed1c gi\u00e3n c\u01a1\u00a0<\/p>\n\n\n\n

Thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh: Neurontin,lyrica,trileptan,vitamin B12\u00a0 <\/p>\n\n\n\n

Thu\u1ed1c ch\u1ea5m tr\u1ea7m c\u1ea3m 3 v\u00f2ng amitryptilin<\/p>\n\n\n\n

Ti\u00eam th\u1ea9m ph\u00e2n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng b\u1eb1ng Corticoid l\u00e0 m\u1ed9t trong c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp t\u1edbi trong y v\u0103n th\u1ebf gi\u1edbi v\u00e0 c\u00f3 nhi\u1ec1u b\u00e1o c\u00e1o kh\u1eb3ng \u0111\u1ecbnh v\u1ec1 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 t\u00ednh an to\u00e0n c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p.<\/strong><\/p>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0: c\u00f3 th\u1ec3 gi\u1ea3m \u0111au nhanh, k\u1ef9 thu\u1eadt x\u00e2m l\u1ea5n m\u1ee9c \u0111\u1ed9 t\u1ed1i thi\u1ec3u, thu\u1ed1c \u0111\u01b0\u1ee3c t\u1eadp trung khu tr\u00fa t\u1ea1i v\u1ecb tr\u00ed \u0111au gi\u00fap gi\u1ea3m \u0111\u01b0\u1ee3c li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng qua \u0111\u01b0\u1eddng u\u1ed1ng c\u0169ng nh\u01b0 h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng to\u00e0n th\u00e2n, ….<\/strong><\/p>\n\n\n\n

Hi\u1ec7n nay c\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p ti\u00eam ch\u00ednh hay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0: ti\u00eam ngo\u00e0i m\u00e0ng c\u1ee9ng, ti\u00eam ch\u1ecdn l\u1ecdc r\u1ec5 th\u1ea7n kinh v\u00e0 ti\u00eam kh\u1edbp m\u1ea5u sau. Trong \u0111\u00f3 ti\u00eam ngo\u00e0i m\u00e0ng c\u1ee9ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho \u0111au th\u1eaft l\u01b0ng th\u1ee9 ph\u00e1t do h\u1eb9p \u1ed1ng s\u1ed1ng, tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111au ki\u1ec3u r\u1ec5 ho\u1eb7c \u0111au th\u1eaft l\u01b0ng kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Ti\u00eam kh\u1edbp m\u1ea5u sau \u0111\u01b0\u1ee3c d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p \u0111au l\u01b0ng do tho\u00e1i ho\u00e1 kh\u1edbp m\u1ea5u sau ho\u1eb7c do ch\u1ea5n th\u01b0\u01a1ng. Ti\u00eam th\u1ea9m ph\u00e2n ch\u1ecdn l\u1ecdc r\u1ec5 th\u1ea7n kinh \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u1ea9n \u0111o\u00e1n \u0111au l\u01b0ng, th\u1eaft l\u01b0ng c\u1ea5p ho\u1eb7c m\u00e3n t\u00ednh ki\u1ec3u r\u1ec5.Ti\u00eam th\u1ea9m ph\u00e2n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi si\u00eau \u00e2m ho\u1eb7c c\u1eaft l\u1edbp vi t\u00ednh \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

Ti\u00eam ngo\u00e0i m\u00e0ng c\u1ee9ng d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00e9u \u00e2m<\/strong><\/p>\n\n\n\n

–\u00a0\u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u0111\u00fang c\u00e1ch sau 3-6 th\u00e1ng kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3 ho\u1eb7c khi b\u1ec7nh nh\u00e2n c\u00f3 teo c\u01a1 nhanh,r\u1ed1i lo\u1ea1n \u0111\u1ea1i ti\u1ec3u ti\u1ec7n,li\u1ec7t hai chi d\u01b0\u1edbi<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110au th\u1ea7n kinh t\u1ecda l\u00e0 h\u1ed9i ch\u1ee9ng ph\u1ed5 bi\u1ebfn g\u00e2y \u0111au t\u00ea m\u1eb7t sau m\u00f4ng lan xu\u1ed1ng c\u1eb3ng ch\u00e2n.Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu do tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh ng\u00e0y c\u00e0ng t\u0103ng do lao \u0111\u1ed9ng n\u1eb7ng v\u00e0 sinh ho\u1ea1t v\u1eadn \u0111\u1ed9ng sai c\u00e1ch g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng.<\/p>\n","protected":false},"author":1,"featured_media":195,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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