{"id":300,"date":"2025-11-28T00:44:01","date_gmt":"2025-11-28T00:44:01","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=300"},"modified":"2025-11-28T00:49:05","modified_gmt":"2025-11-28T00:49:05","slug":"chan-doan-va-dieu-tri-dau-than-kinh-cham","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=300","title":{"rendered":"CH\u1ea8N \u0110O\u00c1N V\u00c0 \u0110I\u1ec0U TR\u1eca \u0110AU TH\u1ea6N KINH CH\u1ea8M"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">&nbsp;\u0110au d\u00e2y th\u1ea7n kinh ch\u1ea9m l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n g\u00e2y \u0111au \u0111\u1ea7u th\u01b0\u1eddng g\u1eb7p, d\u00e2y th\u1ea7n kinh ch\u1ea9m xu\u1ea5t ph\u00e1t t\u1eeb \u0111\u1ed1t s\u1ed1ng c\u1ed5 th\u1ee9 hai v\u00e0 th\u1ee9 ba (C2,C3) \u0111i l\u00ean chi ph\u1ed1i&nbsp;da \u0111\u1ea7u v\u00f9ng g\u00e1y. C\u01a1n \u0111au \u0111i\u1ec3n h\u00ecnh th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1ea1i n\u1ec1n s\u1ecd ngay v\u00f9ng g\u00e1y v\u00e0 c\u00f3 th\u1ec3 \u0111au lan t\u1edbi v\u00f9ng sau m\u1eaft, ph\u00eda sau, ph\u00eda tr\u01b0\u1edbc v\u00e0 ph\u00eda b\u00ean \u0111\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110au \u0111\u1ea7u v\u00f9ng ch\u1ea9m c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111au \u0111\u1ea7u Arnold (Arnold&#8217;s neuralgia). Hi\u1ec7p h\u1ed9i \u0111au \u0111\u1ea7u qu\u1ed1c t\u1ebf IHS (internantional headache society) \u0111\u1ecbnh ngh\u0129a \u0111au&nbsp; \u0111\u1ea7u v\u00f9ng ch\u1ea9m l\u00e0 nh\u1eefng c\u01a1n \u0111au k\u1ecbch ph\u00e1t nh\u01b0 dao \u0111\u00e2m \u1edf ph\u1ea7n sau c\u1ee7a h\u1ed9p s\u1ecd t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u01b0\u1eddng \u0111i v\u00e0 ph\u00e2n b\u1ed1 c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh ch\u1ea9m l\u1edbn v\u00e0 ch\u1ea9m b\u00e9, c\u00f3 th\u1ec3 m\u1ed9t ho\u1eb7c hai b\u00ean.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1ecb tr\u00ed \u0111au \u0111i\u1ec3n h\u00ecnh \u0111au t\u1eeb v\u00f9ng \u1ee5 ch\u1ea9m lan d\u1ecdc l\u00ean ph\u00eda \u0111\u1ec9nh \u0111\u1ea7u thu\u1ed9c \u0111\u01b0\u1eddng \u0111i v\u00e0 ph\u00e2n b\u1ed1 c\u1ee7a c\u00e1c th\u1ea7n kinh ch\u1ea9m l\u1edbn GON (greater occipital nerve), th\u1ea7n kinh ch\u1ea9m b\u00e9 LON (lesser occipital nerve) ho\u1eb7c th\u1ea7n kinh ch\u1ea9m th\u1ee9 3 TON (third occipital nerve). C\u01a1n \u0111au kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t, k\u00e9o d\u00e0i kho\u1ea3ng 1-3 ng\u00e0y, th\u01b0\u1eddng m\u1ed9t b\u00ean. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd r\u1ea5t th\u01b0\u1eddng g\u1eb7p, IHS \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 5% d\u00e2n s\u1ed1 \u1edf \u0111\u1ed9 tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh m\u1eafc ch\u1ee9ng n\u00e0y.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEi-FRSUFcoM7LJeXt0qhyIoNanNPqciVh9iWyM8ZOdIqxsDs68ZZZYopcOcMw1XSr5WINbU9b8cSotN9OAI0kG3N7_Q23_OQxjCQjgZrgLdRxkFea0ifxdNcQRX5OmfMcGkR-ffsx-eezqD_PFznKULMexp08XzHsWAR8x0eO1veSmYzOIBS-n4gIy4Tf9U=w641-h388\" alt=\"\" style=\"width:750px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/1875689709897175472#\" target=\"_blank\" rel=\"noopener\"><\/a><strong><em>Gi\u1ea3i ph\u1eabu d\u00e2y th\u1ea7n kinh ch\u1ea9m.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1. Nguy\u00ean nh\u00e2n<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1ec1 nguy\u00ean nh\u00e2n, \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au Arnold \u0111\u1ec1u t\u1ef1 ph\u00e1t, kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111au th\u1ea7n kinh ch\u1ea9m do c\u0103ng c\u01a1 c\u1ed5 m\u00e3n t\u00ednh. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ng\u01b0\u1eddi ta t\u00ecm th\u1ea5y m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n bao g\u1ed3m: ch\u1ea5n th\u01b0\u01a1ng, vi\u00eam kh\u1edbp \u0111\u1ed1t s\u1ed1ng c\u1ed5 C2, \u0111au th\u1ea7n kinh sinh ba c\u00f9ng b\u00ean, xung \u0111\u1ed9t th\u00e2n kinh m\u1ea1ch m\u00e1u gi\u1eefa \u0110M ti\u1ec3u n\u00e3o sau d\u01b0\u1edbi v\u1edbi r\u1ec5 th\u1ea7n kinh C1\/C2, th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch m\u00e0ng c\u1ee9ng v\u00f9ng C1\/C2, c\u00e1c kh\u1ed1i u ph\u1ea7n m\u1ec1m v\u00f9ng C1\/C2, vi\u00eam \u0111\u1ed1t s\u1ed1ng c\u1ed5 C2, tho\u00e1i ho\u00e1 \u0111\u1ed1t s\u1ed1ng c\u1ed5 cao, u m\u1ea1ch th\u1ec3 hang trong tu\u1ef7 c\u1ed5&#8230;.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110au th\u1ea7n kinh ch\u1ea9m kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n (nguy\u00ean ph\u00e1t), c\u00f3 nguy\u00ean nh\u00e2n (th\u1ee9 ph\u00e1t). B\u1ec7nh g\u1ecdi l\u00e0 th\u1ee9 ph\u00e1t khi c\u00f3 li\u00ean quan \u0111\u1ebfn m\u1ed9t b\u1ec7nh n\u1ec1n nh\u01b0: u, ch\u1ea5n th\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng, b\u1ec7nh h\u1ec7 th\u1ed1ng ho\u1eb7c xu\u1ea5t huy\u1ebft.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng nguy\u00ean nh\u00e2n d\u01b0\u1edbi \u0111\u00e2y c\u00f3 th\u1ec3 g\u00e2y \u0111au d\u00e2y th\u1ea7n kinh ch\u1ea9m:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Vi\u00eam x\u01b0\u01a1ng kh\u1edbp c\u1ee7a c\u1ed9t s\u1ed1ng c\u1ed5 cao.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Ch\u1ea5n th\u01b0\u01a1ng c\u00e1c d\u00e2y th\u1ea7n kinh ch\u1ea9m l\u1edbn v\u00e0 \/ ho\u1eb7c ch\u1ea9m nh\u1ecf.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; C\u00e1c d\u00e2y th\u1ea7n kinh ch\u1ea9m l\u1edbn v\u00e0 \/ ho\u1eb7c ch\u1ea9m nh\u1ecf ho\u1eb7c r\u1ec5 c\u1ed5 C2 v\u00e0 \/ ho\u1eb7c C3 b\u1ecb ch\u00e8n \u00e9p do thay \u0111\u1ed5i tho\u00e1i ho\u00e1 c\u1ed9t s\u1ed1ng c\u1ed5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; B\u1ec7nh \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Kh\u1ed1i u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn r\u1ec5 th\u1ea7n kinh C2 v\u00e0 C3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Gout.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Vi\u00eam m\u1ea1ch m\u00e1u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. Tri\u1ec7u ch\u1ee9ng<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111au li\u00ean t\u1ee5c, r\u00e1t b\u1ecfng, hay b\u01b0ng b\u01b0ng (\u0111au th\u00e0nh nh\u1ecbp), k\u00e8m xen k\u1ebd nh\u1eefng c\u01a1n \u0111au nh\u00f3i, \u0111au nh\u01b0 \u0111i\u1ec7n gi\u1eadt. C\u01a1n \u0111au th\u01b0\u1eddng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 gi\u1ed1ng ch\u1ee9ng \u0111au n\u1eeda \u0111\u1ea7u Migraine v\u00e0 \u0111au \u0111\u1ea7u c\u1ee5m (Cluster headaches). C\u01a1n th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1ea1i n\u1ec1n h\u1ed9p s\u1ecd v\u00e0 c\u00f3 th\u1ec3 \u0111au lan sang ph\u00eda sau hay d\u1ecdc theo ph\u1ea7n b\u00ean \u0111\u1ea7u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y \u0111au ph\u00eda sau m\u1eaft c\u00f9ng b\u00ean b\u1ecb \u1ea3nh h\u01b0\u1edfng. h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111au \u1edf m\u1ed9t b\u00ean \u0111\u1ea7u, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 hai b\u00ean \u0111\u1ea7u. \u1ede v\u00e0i ng\u01b0\u1eddi, c\u1eed \u0111\u1ed9ng c\u1ed5 c\u00f3 th\u1ec3 g\u00e2y \u0111au. Da \u0111\u1ea7u c\u00f3 th\u1ec3 tr\u1edf n\u00ean nh\u1ea1y c\u1ea3m \u0111au, v\u00e0 th\u1eadm ch\u00ed ch\u1ea3i t\u00f3c c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng c\u01a1n \u0111au.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3. \u0110i\u1ec1u tr\u1ecb<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3.1. Kh\u00f4ng can thi\u1ec7p<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111\u1ec3 gi\u1ea3m \u0111au. Th\u01b0\u1eddng th\u00ec \u0111au s\u1ebd gi\u1ea3m ho\u1eb7c h\u1ebft khi ch\u01b0\u1eddm \u1ea5m, ngh\u1ec9 ng\u01a1i v\u00e0 \/ ho\u1eb7c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, nh\u01b0 xoa b\u00f3p, d\u00f9ng thu\u1ed1c kh\u00e1ng vi\u00eam, thu\u1ed1c gi\u00e3n c\u01a1. C\u00e1c thu\u1ed1c ch\u1ed1ng co gi\u1eadt nh\u01b0 carbamazepine v\u00e0 gabapentin c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Phong b\u1ebf d\u00e2y th\u1ea7n kinh qua da (Percutaneous nerve blocks) kh\u00f4ng ch\u1ec9 gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0111au d\u00e2y th\u1ea7n kinh ch\u1ea9m, m\u00e0 c\u00f2n c\u00f3 th\u1ec3 gi\u1ea3m \u0111au t\u1ed1t. Phong b\u1ebf d\u00e2y th\u1ea7n kinh qua da c\u00f3 th\u1ec3 t\u1ea1i c\u00e1c d\u00e2y th\u1ea7n kinh ch\u1ea9m ho\u1eb7c, \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, t\u1ea1i c\u00e1c h\u1ea1ch th\u1ea7n kinh C2 v\u00e0 \/ ho\u1eb7c C3. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u1ea7n l\u01b0u \u00fd l\u00e0 steroids s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb phong b\u1ebf d\u00e2y th\u1ea7n kinh qua da c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3.2. Ph\u1ea9u thu\u1eadt<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Can thi\u1ec7p ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t khi b\u1ec7nh nh\u00e2n \u0111au nhi\u1ec1u, k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. Nh\u1eefng l\u1ee3i \u00edch v\u00e0 nh\u1eefng nguy c\u01a1 c\u1ee7a ph\u1eabu thu\u1eadt lu\u00f4n lu\u00f4n c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc k\u0129.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gi\u1ea3i \u00e9p m\u1ea1ch m\u00e1u vi ph\u1eabu (Microvascular decompression) l\u00e0 k\u1ef9 thu\u1eadt b\u1ed9c l\u1ed9 d\u00e2y th\u1ea7n kinh b\u1ecb \u1ea3nh h\u01b0\u1edfng, x\u00e1c \u0111\u1ecbnh c\u00e1c m\u1ea1ch m\u00e1u c\u00f3 th\u1ec3 ch\u00e8n \u00e9p c\u00e1c d\u00e2y th\u1ea7n kinh v\u00e0 nh\u1eb9 nh\u00e0ng t\u00e1ch ch\u00fang ra kh\u1ecfi \u0111i\u1ec3m ch\u00e8n \u00e9p. Vi\u1ec7c \u201cgi\u1ea3i \u00e9p\u201d gi\u00fap d\u00e2y th\u1ea7n kinh b\u1edbt nh\u1ea1y c\u1ea3m, cho ph\u00e9p ch\u00fang h\u1ed3i ph\u1ee5c v\u00e0 kh\u00f4ng c\u00f2n \u0111au n\u1eefa. C\u00e1c d\u00e2y th\u1ea7n kinh \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c r\u1ec5 th\u1ea7n kinh C2, h\u1ea1ch v\u00e0 th\u1ea7n kinh h\u1eadu h\u1ea1ch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u00edch th\u00edch th\u1ea7n kinh ch\u1ea9m (Occipital nerve stimulation) s\u1eed d\u1ee5ng m\u00e1y k\u00edch th\u00edch th\u1ea7n kinh \u0111\u01b0a xung \u0111i\u1ec7n qua d\u00e2y d\u1eabn c\u00e1ch \u0111i\u1ec7n lu\u1ed3n d\u01b0\u1edbi da \u0111\u1ebfn g\u1ea7n c\u00e1c d\u00e2y th\u1ea7n kinh ch\u1ea9m t\u1ea1i n\u1ec1n s\u1ecd. C\u00e1c xung \u0111i\u1ec7n c\u00f3 th\u1ec3 gi\u00fap ch\u1eb7n c\u00e1c t\u00edn hi\u1ec7u \u0111au \u0111\u1ebfn n\u00e3o. L\u1ee3i \u00edch c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 n\u00f3 x\u00e2m h\u1ea1i c\u01a1 th\u1ec3 r\u1ea5t \u00edt, c\u00e1c d\u00e2y th\u1ea7n kinh v\u00e0 c\u1ea5u tr\u00fac xung quanh kh\u00e1c kh\u00f4ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3.3. Phong b\u1ebf th\u1ea7n kinh ch\u1ea9m<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Phong b\u1ebf th\u1ea7n kinh ch\u1ea9m (occpital nerve block) l\u00e0 m\u1ed9t lo\u1ea1i k\u1ef9 thu\u1eadt g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, ti\u00eam h\u1ed7n h\u1ee3p dung d\u1ecbch g\u1ed3m thu\u1ed1c g\u00e2y t\u00ea v\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam corticoid v\u00e0o d\u00e2y th\u1ea7n kinh ch\u1ea9m \u0111\u1ec3 c\u1eaft \u0111\u1ee9t \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n nh\u1eefng k\u00edch th\u00edch g\u00e2y \u0111au \u0111i qua th\u1ea7n kinh ch\u1ea9m. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng v\u1eeba \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh, v\u1eeba \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ki\u1ec3m so\u00e1t \u0111au n\u1eeda \u0111\u1ea7u c\u00f3 nguy\u00ean nh\u00e2n t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ch\u1ea9m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay, \u0111a s\u1ed1 c\u00e1c b\u00e1c s\u1ef9 s\u1eed d\u1ee5ng si\u00eau \u00e2m c\u00f3 \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh th\u1ea7n kinh ch\u1ea9m l\u1edbn, ch\u1ea9m b\u00e9 \u0111\u1ec3 th\u1ef1c hi\u1ec7n phong b\u1ebf. Do c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c tr\u1ef1c ti\u1ebfp c\u00e1c d\u00e2y th\u1ea7n kinh tr\u00ean si\u00eau \u00e2m n\u00ean vi\u1ec7c phong b\u1ebf tr\u00fang \u0111\u00edch h\u1ea7u nh\u01b0 \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o tuy\u1ec7t \u0111\u1ed1i, do v\u1eady hi\u1ec7u qu\u1ea3 phong b\u1ebf s\u1ebd \u0111\u1ea1t t\u1ed1i \u0111a. Tr\u00ean h\u00ecnh \u1ea3nh si\u00eau \u00e2m, th\u1ea7n kinh ch\u1ea9m<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><img fetchpriority=\"high\" decoding=\"async\" height=\"274\" src=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEhf-ii6wyfFvUQ9NaWQaC2VvOtOPWMqRR_buSHCwg3T46Oulrgeruz_isbbp7on4__bfpkKzJD8-flnXyaZynDrgNvD2_Mc9XKvUhNkxSQ7OrFC_iBa9L259SCjKvBYcfFWiDR08HwryCFKv3eFB5dq6DWCJ9Xga9REFg9FNxm4KLqO9R9kLC3mPgTO4bMD\" width=\"285\"><img decoding=\"async\" height=\"254\" src=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEgI8G99ureGLr4bnVEyFvlNkL8CD9xPiRtk1L_Qmk2CdtjoeaD6VVDzExcS6Xb2Ypw3Sm84K0gf5XB7ckpWca_VO1KSaVLmJUZBf0Da3EDwTrGekYxVWuMM0bXPUWEv4LNWA8Zz8NLdiGyTSKK2UHrXJwGKmxObyUeM2p6d7Nfc4FJWVLK8j0lSRuTN-__W\" width=\"264\">&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>\u1ede ngang m\u1ee9c \u0111\u1ed1t s\u1ed1ng c\u1ed5 C2, th\u1ea7n kinh ch\u1ea9m l\u1edbn (m\u0169i t\u00ean) n\u1eb1m gi\u1eefa 2 l\u1edbp c\u01a1 v\u00f9ng ch\u1ea9m SC (semi-spinalis capitis) v\u00e0 OCI (obliquus capiti inferior). D\u00f9ng kim 22G (\u0111\u1ea7u m\u0169i t\u00ean) ti\u1ebfp c\u1eadn ch\u00ednh x\u00e1c th\u1ea7n kinh ch\u1ea9m l\u1edbn d\u01b0\u1edbi s\u1ef1 \u0111\u1ecbnh v\u1ecb c\u1ee7a h\u00ecnh \u1ea3nh si\u00eau \u00e2m.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Ngay sau khi phong b\u1ebf th\u1ea7n kinh ch\u1ea9m, ng\u01b0\u1eddi b\u00eanh th\u01b0\u1eddng gi\u1ea3m \u0111au ngay l\u1eadp t\u1ee9c. Theo nhi\u1ec1u nghi\u00ean c\u1ee9u (Navani et al, 2006) th\u00ec kho\u1ea3ng 60-70% c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1ebft \u0111au ho\u1eb7c gi\u1ea3m \u0111au \u0111\u00e1ng k\u1ec3 trong th\u1eddi gian 4-5 th\u00e1ng. Sau th\u1eddi gian n\u00e0y, n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e1i di\u1ec5n, ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n l\u1eb7p l\u1ea1i quy tr\u00ecnh phong b\u1ebf t\u01b0\u01a1ng t\u1ef1.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u0110au d\u00e2y th\u1ea7n kinh ch\u1ea9m l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n g\u00e2y \u0111au \u0111\u1ea7u th\u01b0\u1eddng g\u1eb7p, d\u00e2y th\u1ea7n kinh ch\u1ea9m xu\u1ea5t ph\u00e1t t\u1eeb \u0111\u1ed1t s\u1ed1ng c\u1ed5 th\u1ee9 hai v\u00e0 th\u1ee9 ba (C2,C3) \u0111i l\u00ean chi ph\u1ed1i\u00a0da \u0111\u1ea7u v\u00f9ng g\u00e1y. C\u01a1n \u0111au \u0111i\u1ec3n h\u00ecnh th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1ea1i n\u1ec1n s\u1ecd ngay v\u00f9ng g\u00e1y v\u00e0 c\u00f3 th\u1ec3 \u0111au lan t\u1edbi v\u00f9ng sau m\u1eaft, ph\u00eda sau, ph\u00eda tr\u01b0\u1edbc v\u00e0 ph\u00eda b\u00ean \u0111\u1ea7u.<\/p>\n","protected":false},"author":1,"featured_media":301,"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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