{"id":2357,"date":"2022-09-02T12:09:40","date_gmt":"2022-09-02T05:09:40","guid":{"rendered":"https:\/\/www.gens.com.vn\/?p=2357"},"modified":"2022-08-26T23:10:29","modified_gmt":"2022-08-26T16:10:29","slug":"dau-than-kinh-toa-o-mong","status":"publish","type":"post","link":"https:\/\/www.gens.com.vn\/dau-than-kinh-toa-o-mong\/","title":{"rendered":"\u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng l\u00e0 b\u1ec7nh g\u00ec, c\u00f3 ch\u1eefa \u0111\u01b0\u1ee3c kh\u00f4ng"},"content":{"rendered":"

\u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng<\/a> l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p \u1edf nam gi\u1edbi t\u1eeb 30 \u0111\u1ebfn 60 tu\u1ed5i. H\u1ed9i ch\u1ee9ng n\u00e0y \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n t\u1eeb v\u00f9ng l\u01b0ng d\u01b0\u1edbi v\u00e0 lan xu\u1ed1ng m\u00f4ng, h\u00f4ng, \u0111\u00f9i v\u00e0 b\u00e0n ch\u00e2n, k\u00e8m theo ng\u1ee9a ran, t\u00ea v\u00e0 d\u1ecb c\u1ea3m kh\u00f3 ch\u1ecbu. N\u1ebfu b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

\u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng l\u00e0 b\u1ec7nh g\u00ec<\/h2>\n

\u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u01a1n \u0111au b\u1eaft \u0111\u1ea7u t\u1eeb v\u00f9ng l\u01b0ng d\u01b0\u1edbi v\u00e0 lan xu\u1ed1ng m\u00f4ng, \u0111\u00f9i v\u00e0 b\u00e0n ch\u00e2n. B\u1ec7nh l\u00fd l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c r\u1ec5 th\u1ea7n kinh b\u1ecb ch\u00e8n \u00e9p b\u1edfi c\u00e1c gai x\u01b0\u01a1ng, \u0111\u0129a \u0111\u1ec7m, gai x\u01b0\u01a1ng ho\u1eb7c c\u00e1c kh\u1ed1i u b\u1ea5t th\u01b0\u1eddng.<\/p>\n

\"\u0110au
\u0110au d\u00e2y th\u1ea7n kinh t\u1ecda l\u00e0 h\u1ed9i ch\u1ee9ng th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p \u1edf nam gi\u1edbi t\u1eeb 30-60 tu\u1ed5i<\/figcaption><\/figure>\n

Tr\u00ean th\u1ef1c t\u1ebf, c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh, nh\u01b0ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 b\u1ec7nh tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m (chi\u1ebfm 60 – 90% c\u00e1c tr\u01b0\u1eddng h\u1ee3p).\u00a0B\u1ec7nh ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nam gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 30 \u0111\u1ebfn 60. Th\u1ed1ng k\u00ea cho th\u1ea5y, t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3 \u1edf nh\u1eefng ng\u01b0\u1eddi l\u00e0m c\u00f4ng vi\u1ec7c \u00edt v\u1eadn \u0111\u1ed9ng nh\u01b0 c\u00f4ng vi\u1ec7c v\u0103n ph\u00f2ng, l\u00e1i xe, l\u00e1i t\u00e0u, v.v.<\/p>\n

D\u00e2y th\u1ea7n kinh t\u1ecda kh\u00f4ng ch\u1ec9 ki\u1ec3m so\u00e1t c\u1ea3m gi\u00e1c, nguy\u00ean nh\u00e2n ho\u1ea1t \u0111\u1ed9ng \u1edf chi d\u01b0\u1edbi m\u00e0 c\u00f2n \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c v\u1eadn chuy\u1ec3n c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng.\u00a0Do \u0111\u00f3, vi\u1ec7c ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

D\u1ea5u hi\u1ec7u \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng<\/h2>\n

Th\u00f4ng th\u01b0\u1eddng, \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111i\u1ec3n h\u00ecnh.\u00a0Theo \u0111\u00f3, c\u00e1c bi\u1ec3u hi\u1ec7n \u0111\u01b0\u1ee3c chia th\u00e0nh hai h\u1ed9i ch\u1ee9ng l\u00e0 \u0111au m\u1ed9t b\u00ean m\u00f4ng v\u00e0 \u0111au c\u01a1 m\u00f4ng.<\/p>\n

\"C\u1ea3m
C\u1ea3m gi\u00e1c \u0111au \u1edf l\u01b0ng d\u01b0\u1edbi, c\u00f3 xu h\u01b0\u1edbng lan xu\u1ed1ng h\u00f4ng, m\u00f4ng v\u00e0 \u0111\u00f9i<\/figcaption><\/figure>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh:<\/p>\n

\u0110au m\u1ed9t b\u00ean m\u00f4ng<\/h3>\n
    \n
  • C\u1ea3m gi\u00e1c \u0111au \u1edf l\u01b0ng d\u01b0\u1edbi, c\u00f3 xu h\u01b0\u1edbng lan xu\u1ed1ng h\u00f4ng, m\u00f4ng v\u00e0 \u0111\u00f9i.\u00a0Th\u00f4ng th\u01b0\u1eddng, c\u01a1n \u0111au s\u1ebd ch\u1ea1y d\u1ecdc m\u1ed9t b\u00ean c\u01a1 th\u1ec3 nh\u01b0 \u0111au d\u1ecdc th\u1eaft l\u01b0ng ph\u1ea3i – \u0111au h\u00f4ng ph\u1ea3i – m\u00f4ng ph\u1ea3i – \u0111\u00f9i ph\u1ea3i – ch\u00e2n ph\u1ea3i.<\/li>\n
  • C\u01a1n \u0111au th\u01b0\u1eddng \u00e2m \u1ec9 v\u00e0 n\u1eb7ng h\u01a1n khi c\u1eed \u0111\u1ed9ng.\u00a0Sau khi ngh\u1ec9 ng\u01a1i, c\u01a1n \u0111au s\u1ebd gi\u1ea3m d\u1ea7n.\u00a0Th\u1eddi gian \u0111\u1ea7u, c\u01a1n \u0111au m\u1ea1nh h\u01a1n v\u00e0o ban ng\u00e0y.<\/li>\n
  • H\u00f4ng v\u00e0 m\u00f4ng b\u1ecb \u0111au khi thay \u0111\u1ed5i t\u01b0 th\u1ebf \u0111\u1ed9t ng\u1ed9t.\u00a0Ngay c\u1ea3 h\u00e0nh \u0111\u1ed9ng nh\u1eb9 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng c\u01a1n \u0111au bu\u1ed1t k\u00e9o d\u00e0i t\u1eeb l\u01b0ng sang hai b\u00ean, m\u00f4ng do h\u1ed9i ch\u1ee9ng ch\u00e8n \u00e9p.<\/li>\n
  • C\u1ed9t s\u1ed1ng b\u1ecb c\u1ee9ng, c\u00e1c c\u01a1n \u0111au v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e8m theo khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 c\u00fai ho\u1eb7c xoay ng\u01b0\u1eddi.<\/li>\n<\/ul>\n

    \u0110au c\u01a1 m\u00f4ng<\/h3>\n
      \n
    • V\u00f9ng m\u00f4ng th\u01b0\u1eddng b\u1ecb t\u00ea, ng\u1ee9a ran v\u00e0 ch\u00e2m ch\u00edch nh\u01b0 ki\u1ebfn \u200b\u200bb\u00f2 ho\u1eb7c kim ch\u00e2m.\u00a0Th\u1ec9nh tho\u1ea3ng, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u1ea3m gi\u00e1c \u0111au nh\u00f3i kh\u00f3 ch\u1ecbu.<\/li>\n
    • Tr\u01b0\u1eddng h\u1ee3p \u0111au th\u1ea7n kinh t\u1ecda ti\u1ebfn tri\u1ec3n n\u1eb7ng \u1edf v\u00f9ng m\u00f4ng, ng\u01b0\u1eddi b\u1ec7nh g\u1ea7n nh\u01b0 m\u1ea5t c\u1ea3m gi\u00e1c \u1edf v\u00f9ng n\u00e0y.\u00a0Nghi\u00eam tr\u1ecdng h\u01a1n c\u00f3 th\u1ec3 g\u00e2y teo c\u01a1, kh\u00f4ng t\u1ef1 ch\u1ee7 \u0111\u01b0\u1ee3c khi \u0111\u1ea1i ti\u1ec7n, ti\u1ec3u ti\u1ec7n.<\/li>\n<\/ul>\n

      Nguy\u00ean nh\u00e2n \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng<\/h2>\n

      Nh\u01b0 \u0111\u00e3 n\u00f3i, c\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n v\u00e0 y\u1ebfu t\u1ed1 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng. Trong \u0111\u00f3, t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u1edf c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, r\u1ec5 th\u1ea7n kinh v\u00f9ng m\u00f4ng g\u00e2y ra c\u00e1c c\u01a1n \u0111au, t\u00ea, d\u1ecb c\u1ea3m.<\/p>\n

      M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn c\u1ee7a t\u00ecnh tr\u1ea1ng n\u00e0y bao g\u1ed3m:<\/p>\n

      1. \u0110\u0129a \u0111\u1ec7m<\/h3>\n

      Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng.\u00a0B\u1ec7nh xu\u1ea5t hi\u1ec7n do ch\u1ea5n th\u01b0\u01a1ng, t\u00e1c \u0111\u1ed9ng c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a khi\u1ebfn bao \u0111\u0129a \u0111\u1ec7m b\u1ecb gi\u00e3n n\u1edf, x\u01a1 h\u00f3a, nh\u00e2n nh\u1ea7y b\u1ecb sa ra ngo\u00e0i.<\/p>\n

      \"Tho\u00e1t
      Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng<\/figcaption><\/figure>\n

      Tr\u01b0\u1eddng h\u1ee3p tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m x\u1ea3y ra \u1edf c\u00e1c \u0111\u0129a \u0111\u1ec7m L4-L5, L5-S1 th\u01b0\u1eddng g\u00e2y ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh v\u00e0 l\u00e0m kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng. Th\u1ed1ng k\u00ea cho th\u1ea5y c\u00f3 \u0111\u1ebfn 60% tr\u01b0\u1eddng h\u1ee3p tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng m\u1eafc ph\u1ea3i h\u1ed9i ch\u1ee9ng n\u00e0y.<\/p>\n

      2. Ch\u1ea5n th\u01b0\u01a1ng<\/h3>\n

      \u0110au th\u1ea7n kinh t\u1ecda c\u00f3 th\u1ec3 do ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn r\u1ec5 th\u1ea7n kinh \u1edf m\u00f4ng (t\u00e9 ng\u00e3, tai n\u1ea1n …). B\u00ean c\u1ea1nh \u0111\u00f3, m\u1ed9t s\u1ed1 ch\u1ea5n th\u01b0\u01a1ng k\u00e9o d\u00e0i nh\u01b0 g\u00e3y x\u01b0\u01a1ng ch\u1eadu, gi\u00e3n d\u00e2y ch\u1eb1ng v\u00f9ng m\u00f4ng, g\u00e3y c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng,\u2026 c\u00f3 th\u1ec3 g\u00e2y ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh v\u00e0 l\u00e0m b\u00f9ng ph\u00e1t b\u1ec7nh.<\/p>\n

      3. \u1ea2nh h\u01b0\u1edfng m\u1ed9t s\u1ed1 b\u1ec7nh v\u1ec1 c\u1ed9t s\u1ed1ng<\/h3>\n

      Ngo\u00e0i tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng c\u00f2n c\u00f3 th\u1ec3 do m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd \u1edf c\u1ed9t s\u1ed1ng g\u00e2y ra nh\u01b0:<\/p>\n

        \n
      • Lo\u00e3ng x\u01b0\u01a1ng:<\/strong> T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1ecb suy gi\u1ea3m.\u00a0Theo th\u1eddi gian, c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng c\u00f3 xu h\u01b0\u1edbng x\u1eb9p xu\u1ed1ng do s\u1ee9c \u00e9p t\u1eeb tr\u1ecdng l\u01b0\u1ee3ng c\u1ee7a c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh t\u1ecda v\u00e0 c\u00e1c m\u00f4 m\u1ec1m xung quanh.<\/li>\n
      • Tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng l\u01b0ng:<\/strong> Tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng l\u01b0ng khi\u1ebfn khoang \u0111\u0129a \u0111\u1ec7m, c\u00e1c m\u00f4 m\u1ec1m xung quanh, c\u00e1c m\u00f4 n\u00e2ng \u0111\u1ee1, bao kh\u1edbp d\u1ea7n b\u1ecb suy y\u1ebfu v\u00e0 m\u1ea5t th\u0103ng b\u1eb1ng.\u00a0Khi c\u1ea5u tr\u00fac c\u1ed9t s\u1ed1ng b\u1ecb r\u1ed1i lo\u1ea1n s\u1ebd ch\u00e8n \u00e9p v\u00e0o c\u00e1c r\u1ec5 th\u1ea7n kinh g\u00e2y n\u00ean nh\u1eefng c\u01a1n \u0111au th\u1ea7n kinh t\u1ecda lan xu\u1ed1ng v\u00f9ng h\u00f4ng, m\u00f4ng.<\/li>\n
      • Vi\u00eam \u0111\u1ed1t s\u1ed1ng:<\/strong> Vi\u00eam \u0111\u1ed1t s\u1ed1ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn h\u1eb9p \u1ed1ng s\u1ed1ng, c\u00e1c \u0111\u00e1m r\u1ed1i th\u1ea7n kinh \u0111\u1ec7m d\u1eabn \u0111\u1ebfn ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh.\u00a0B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra do nhi\u1ec5m tr\u00f9ng (c\u00f3 th\u1ec3 x\u1ea3y ra do tr\u1ef1c khu\u1ea9n lao, t\u1ee5 c\u1ea7u sau nhi\u1ec5m tr\u00f9ng ph\u1ed5i, nhi\u1ec5m tr\u00f9ng da ho\u1eb7c ti\u1ebft ni\u1ec7u).<\/li>\n
      • Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp:<\/strong> L\u00e0 c\u0103n b\u1ec7nh khi\u1ebfn c\u00e1c kh\u1edbp c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng c\u00f3 d\u1ea5u hi\u1ec7u t\u00ea b\u00ec ho\u00e0n to\u00e0n.\u00a0Theo th\u1eddi gian, c\u00e1c \u0111\u1ed1t s\u1ed1ng n\u00e0y c\u00f3 xu h\u01b0\u1edbng d\u00ednh v\u00e0o nhau, c\u00e1c d\u00e2y ch\u1eb1ng b\u1ecb v\u00f4i h\u00f3a, kh\u00f4ng gian \u0111\u1ed1t s\u1ed1ng b\u1ecb thu h\u1eb9p d\u1ea7n.\u00a0T\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh, g\u00e2y ra b\u1ec7nh \u0111au th\u1ea7n kinh t\u1ecda.<\/li>\n
      • Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng:<\/strong> \u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 kh\u1edfi ph\u00e1t do tr\u01b0\u1ee3t c\u1ed9t s\u1ed1ng. L\u00e0 t\u00ecnh tr\u1ea1ng c\u1ed9t s\u1ed1ng b\u1ecb tr\u01b0\u1ee3t v\u1ec1 ph\u00eda tr\u01b0\u1edbc ho\u1eb7c ph\u00eda sau do ch\u1ea5n th\u01b0\u01a1ng, \u1ea3nh h\u01b0\u1edfng c\u1ee7a qu\u00e1 tr\u00ecnh tho\u00e1i h\u00f3a. T\u00ecnh tr\u1ea1ng n\u00e0y ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ph\u1ee5 n\u1eef, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. Khi c\u00e1c \u0111\u1ed1t s\u1ed1ng b\u1ecb tr\u01b0\u1ee3t ra kh\u1ecfi c\u1ea5u tr\u00fac c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u00e8n \u00e9p c\u00e1c r\u1ec5 th\u1ea7n kinh L5, S1 v\u00e0 g\u00e2y b\u00f9ng ph\u00e1t b\u1ec7nh l\u00fd.<\/li>\n<\/ul>\n

        5. C\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro<\/h3>\n

        Nguy c\u01a1 \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng c\u00f3 th\u1ec3 t\u0103ng l\u00ean v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 sau:<\/p>\n

          \n
        • Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\n
        • Nam gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 30 \u0111\u1ebfn 60<\/li>\n
        • B\u1ecb b\u1ec7nh vi\u00eam nhi\u1ec5m nh\u01b0 HIV, virus herpes, giang mai, v.v.<\/li>\n
        • Ng\u1ed3i nhi\u1ec1u, sai t\u01b0 th\u1ebf, lao \u0111\u1ed9ng n\u1eb7ng nh\u1ecdc, v.v.<\/li>\n
        • S\u1ed1ng \u1edf n\u01a1i c\u00f3 kh\u00ed h\u1eadu l\u1ea1nh, \u1ea9m\u2026<\/li>\n
        • Ung th\u01b0 di c\u0103n<\/li>\n
        • R\u1ec5 th\u1ea7n kinh L5, S1 to h\u01a1n b\u00ecnh th\u01b0\u1eddng<\/li>\n<\/ul>\n

          \u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng c\u00f3 nguy hi\u1ec3m kh\u00f4ng<\/h2>\n

          \u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng th\u1ea7n kinh kh\u00e1 ph\u1ed5 bi\u1ebfn. C\u00e1c tri\u1ec7u ch\u1ee9ng ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t n\u1ebfu th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Ng\u01b0\u1ee3c l\u1ea1i, tr\u01b0\u1eddng h\u1ee3p ch\u1ee7 quan c\u00f3 th\u1ec3 khi\u1ebfn r\u1ec5 th\u1ea7n kinh b\u1ecb ch\u00e8n \u00e9p nghi\u00eam tr\u1ecdng v\u00e0 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

          \"Li\u1ec7t
          Li\u1ec7t hai chi d\u01b0\u1edbi l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p do \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng.<\/figcaption><\/figure>\n

          M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p do b\u1ec7nh g\u00e2y ra bao g\u1ed3m:<\/p>\n

            \n
          • H\u1ed9i ch\u1ee9ng Cauda equina: \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng do r\u1ec5 th\u1ea7n kinh b\u1ecb ch\u00e8n \u00e9p l\u00e2u ng\u00e0y g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, l\u00fa l\u1eabn, suy nh\u01b0\u1ee3c. H\u1ed9i ch\u1ee9ng n\u00e0y \u0111\u1eb7c tr\u01b0ng b\u1edfi y\u1ebfu chi d\u01b0\u1edbi, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c k\u00e8m theo r\u1ed1i lo\u1ea1n c\u01a1 tr\u00f2n nh\u01b0 t\u00e1o b\u00f3n, li\u1ec7t d\u01b0\u01a1ng (nam), b\u00ed ti\u1ec3u.<\/li>\n
          • Li\u1ec7t chi d\u01b0\u1edbi: Li\u1ec7t chi d\u01b0\u1edbi l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p do b\u1ec7nh l\u00fd g\u00e2y ra.\u00a0T\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra do r\u1ec5 th\u1ea7n kinh b\u1ecb ch\u00e8n \u00e9p, l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng \u0111i\u1ec1u khi\u1ec3n v\u1eadn \u0111\u1ed9ng.\u00a0H\u01a1n n\u1eefa, y\u1ebfu chi d\u01b0\u1edbi c\u0169ng c\u00f3 th\u1ec3 do s\u1ef1 v\u1eadn chuy\u1ec3n ch\u1ea5t dinh d\u01b0\u1ee1ng trong d\u00e2y th\u1ea7n kinh t\u1ecda xa b\u1ecb suy gi\u1ea3m.<\/li>\n
          • Ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng gi\u1ea3m s\u00fat r\u00f5 r\u1ec7t: C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng t\u0103ng d\u1ea7n theo th\u1eddi gian.\u00a0L\u00fac \u0111\u1ea7u, b\u1ec7nh ch\u1ec9 g\u00e2y kh\u00f3 ch\u1ecbu trong th\u1eddi gian ng\u1eafn v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng.\u00a0Tuy nhi\u00ean, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n v\u1edbi t\u1ea7n su\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y, gi\u1ea3m n\u0103ng su\u1ea5t lao \u0111\u1ed9ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c.\u00a0, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nam gi\u1edbi\u2026<\/li>\n<\/ul>\n

            Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/h2>\n

            \u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ee9ng b\u1ec7nh r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u1ef1c v\u1eadt th\u01b0\u1eddng g\u1eb7p. Tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd y\u00eau c\u1ea7u ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 b\u1ec7nh. \u0110\u1eb7c bi\u1ec7t:<\/p>\n

              \n
            • Ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng:<\/strong> \u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng th\u01b0\u1eddng c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng \u0111\u1ed1i \u0111i\u1ec3n h\u00ecnh.\u00a0V\u00ec v\u1eady, b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd ti\u1ebfn h\u00e0nh th\u0103m kh\u00e1m l\u00e2m s\u00e0ng tr\u01b0\u1edbc khi ch\u1ec9 \u0111\u1ecbnh m\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n c\u1eadn l\u00e2m s\u00e0ng.<\/li>\n
            • Ch\u1ee5p X-quang th\u00f4ng th\u01b0\u1eddng:<\/strong> Tr\u00ean th\u1ef1c t\u1ebf, c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh X-quang kh\u00f4ng mang nhi\u1ec1u \u00fd ngh\u0129a trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111au th\u1ea7n kinh t\u1ecda.\u00a0Tuy nhi\u00ean, th\u00f4ng qua h\u00ecnh \u1ea3nh x\u00e9t nghi\u1ec7m n\u00e0y, b\u00e1c s\u0129 s\u1ebd d\u1ec5 d\u00e0ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh (th\u01b0\u1eddng l\u00e0 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m).\u00a0\u0110\u1ed3ng th\u1eddi gi\u00fap lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 x\u1ea3y ra nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng, u \u0111\u1ed1t s\u1ed1ng, tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng, h\u1eb9p \u0111\u1ed1t s\u1ed1ng, tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng, vi\u00eam \u0111\u1ed1t s\u1ed1ng,\u2026.<\/li>\n
            • MRI (Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb):<\/strong> Theo c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa, MRI l\u00e0 k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n c\u00f3 gi\u00e1 tr\u1ecb nh\u1ea5t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng do tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m. T\u1eeb x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh n\u00e0y, c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c t\u1ed5n th\u01b0\u01a1ng b\u00ean trong t\u1ee7y s\u1ed1ng, x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed c\u1ee7a \u0111\u0129a \u0111\u1ec7m tho\u00e1t v\u1ecb.<\/li>\n
            • CT scan (Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh):<\/strong> CT scan \u00edt c\u00f3 gi\u00e1 tr\u1ecb h\u01a1n MRI trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd do tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.\u00a0Tuy nhi\u00ean, ch\u1ea9n \u0111o\u00e1n n\u00e0y c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng ho\u1eb7c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p MRI.<\/li>\n
            • C\u00e1c x\u00e9t nghi\u1ec7m sinh h\u00f3a – t\u1ebf b\u00e0o h\u1ecdc:<\/strong> X\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u, t\u1ed1c \u0111\u1ed9 l\u1eafng h\u1ed3ng c\u1ea7u, sinh h\u00f3a m\u00e1u, ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u\u2026 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng. M\u1ee5c \u0111\u00edch c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y l\u00e0 gi\u00fap lo\u1ea1i tr\u1eeb \u0111au th\u1ea7n kinh t\u1ecda c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh to\u00e0n th\u00e2n v\u00e0 vi\u00eam.<\/li>\n
            • Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong> Ngo\u00e0i ra, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 y\u00eau c\u1ea7u ng\u01b0\u1eddi b\u1ec7nh ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tho\u00e1i h\u00f3a kh\u1edbp h\u00e1ng, \u0111au kh\u1edbp x\u01b0\u01a1ng c\u00f9ng,\u2026.<\/li>\n<\/ul>\n

              Tr\u00ean th\u1ef1c t\u1ebf, c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh t\u1ecda ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 ti\u1ec1n s\u1eed c\u1ee7a t\u1eebng tr\u01b0\u1eddng h\u1ee3p.\u00a0Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee5 th\u1ec3, b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 th\u1ec3 y\u00eau c\u1ea7u m\u1ed9t s\u1ed1 ch\u1ea9n \u0111o\u00e1n kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp trong b\u00e0i b\u00e1o.<\/p>\n

              Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng<\/h2>\n

              \u0110au th\u1ea7n kinh t\u1ecda ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch.\u00a0Th\u1ed1ng k\u00ea cho th\u1ea5y, kho\u1ea3ng 90% tr\u01b0\u1eddng h\u1ee3p \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u.<\/p>\n

              D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh t\u1ecda ph\u1ed5 bi\u1ebfn:<\/p>\n

              1. \u0110i\u1ec1u tr\u1ecb y t\u1ebf<\/h3>\n

              Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng bao g\u1ed3m d\u00f9ng thu\u1ed1c v\u00e0 b\u1ea5t \u0111\u1ed9ng.<\/p>\n

              \"S\u1eed
              S\u1eed d\u1ee5ng thu\u1ed1c ch\u1eefa \u0111au th\u1ea7n kinh t\u1ecda \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c v\u00e0 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng k\u00e8m theo<\/figcaption><\/figure>\n

              B\u1ea5t \u0111\u1ed9ng:<\/strong><\/p>\n

              B\u1ea5t \u0111\u1ed9ng l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au th\u1ea7n kinh t\u1ecda c\u1ea5p v\u00e0 n\u1eb7ng do tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.\u00a0M\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e0 gi\u1ea3m b\u1edbt s\u1ef1 ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh v\u00e0 ng\u0103n kh\u00f4ng cho nh\u00e2n nh\u1ea7y t\u1eeb \u0111\u0129a \u0111\u1ec7m tr\u00e0n ra ngo\u00e0i.<\/p>\n

                \n
              • Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda.\u00a0Hai ch\u00e2n co nh\u1eb9 \u1edf kh\u1edbp h\u00e1ng v\u00e0 kh\u1edbp g\u1ed1i \u0111\u1ec3 gi\u1ea3m \u00e1p l\u1ef1c l\u00ean c\u00e1c \u0111\u0129a \u0111\u1ec7m.<\/li>\n
              • Th\u1eddi gian b\u1ea5t \u0111\u1ed9ng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i kho\u1ea3ng 1-2 ng\u00e0y ho\u1eb7c 5-6 ng\u00e0y t\u00f9y theo m\u1ee9c \u0111\u1ed9 b\u1ec7nh.<\/li>\n
              • Sau khi h\u1ebft th\u1eddi gian b\u1ea5t \u0111\u1ed9ng, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0111i l\u1ea1i v\u00e0 th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 b\u00e0i t\u1eadp c\u01b0\u1eddng \u0111\u1ed9 nh\u1eb9 nh\u00e0ng \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng.<\/li>\n<\/ul>\n

                S\u1eed d\u1ee5ng thu\u1ed1c:<\/strong><\/p>\n

                S\u1eed d\u1ee5ng thu\u1ed1c u\u1ed1ng ch\u1eefa \u0111au th\u1ea7n kinh t\u1ecda \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c v\u00e0 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng k\u00e8m theo, \u0111\u1ed3ng th\u1eddi ng\u0103n ng\u1eeba tho\u00e1i h\u00f3a d\u00e2y th\u1ea7n kinh do ch\u00e8n \u00e9p l\u00e2u ng\u00e0y.\u00a0T\u00f9y theo m\u1ee9c \u0111\u1ed9 tri\u1ec7u ch\u1ee9ng, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ea1n m\u00e0 b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh nh\u1eefng lo\u1ea1i thu\u1ed1c ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a b\u1ea1n.<\/p>\n

                M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng bao g\u1ed3m:<\/p>\n

                  \n
                • Thu\u1ed1c gi\u1ea3m \u0111au, ch\u1ed1ng vi\u00eam:<\/strong> M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, ch\u1ed1ng vi\u00eam nh\u01b0 Paracetamol.\u00a0Diclofenac, Aspirin,\u2026 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au, c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m cho ng\u01b0\u1eddi b\u1ec7nh.\u00a0T\u00f9y theo m\u1ee9c \u0111\u1ed9 \u0111au m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c \u1edf d\u1ea1ng u\u1ed1ng ho\u1eb7c ti\u00eam.<\/li>\n
                • Thu\u1ed1c gi\u00e3n c\u01a1:<\/strong> Nh\u00f3m thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au nhi\u1ec1u, co th\u1eaft m\u1ea1nh g\u1ea7n c\u1ed9t s\u1ed1ng.\u00a0Theo \u0111\u00f3, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 k\u00ea m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c gi\u00fap gi\u00e3n c\u01a1 x\u01b0\u01a1ng nh\u01b0 Mydocalm, Decontracyl.<\/li>\n
                • Thu\u1ed1c k\u00edch th\u00edch t\u0103ng d\u1eabn truy\u1ec1n v\u00e0 ph\u1ee5c h\u1ed3i th\u1ea7n kinh:<\/strong> Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5c h\u1ed3i t\u1ebf b\u00e0o th\u1ea7n kinh, th\u00fac \u0111\u1ea9y chuy\u1ec3n h\u00f3a lipid v\u00e0 protein, b\u00ecnh th\u01b0\u1eddng h\u00f3a t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n trong d\u00e2y th\u1ea7n kinh t\u1ecda.<\/li>\n
                • Vitamin nh\u00f3m B:<\/strong> Vitamin nh\u00f3m B th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t c\u1ee7a t\u1ebf b\u00e0o, h\u1ed7 tr\u1ee3 ph\u1ee5c h\u1ed3i c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.\u00a0Ngo\u00e0i ra, nh\u00f3m vitamin n\u00e0y c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng n\u00e2ng cao c\u01a1 b\u1eafp, ch\u1ed1ng tho\u00e1i h\u00f3a d\u00e2y th\u1ea7n kinh do r\u1ec5 th\u1ea7n kinh b\u1ecb ch\u00e8n \u00e9p l\u00e2u ng\u00e0y.<\/li>\n
                • M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c:<\/strong> Ngo\u00e0i ra, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0 thu\u1ed1c kh\u00e1ng sinh (trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb nhi\u1ec5m tr\u00f9ng), s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c b\u1ed3i b\u1ed5, ti\u00eam Novocain,\u2026<\/li>\n<\/ul>\n

                  \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 tr\u00e1nh r\u1ee7i ro, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n d\u00f9ng thu\u1ed1c theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.\u00a0\u0110\u1ed3ng th\u1eddi, ch\u1ee7 \u0111\u1ed9ng th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng ho\u1eb7c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o trong qu\u00e1 tr\u00ecnh d\u00f9ng thu\u1ed1c.<\/p>\n

                  2. V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/h3>\n

                  V\u1eadt l\u00fd tr\u1ecb li\u1ec7u th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb y t\u1ebf \u0111\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u01a1n \u0111au, c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y th\u1ea7n kinh t\u1ecda v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan.<\/p>\n

                  \"V\u1eadt
                  V\u1eadt l\u00fd tr\u1ecb li\u1ec7u th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb y t\u1ebf \u0111\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u01a1n \u0111au v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng.<\/figcaption><\/figure>\n

                  C\u00e1c bi\u1ec7n ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng, bao g\u1ed3m:<\/p>\n

                    \n
                  • Ch\u00e2m c\u1ee9u (\u0111i\u1ec7n ch\u00e2m, c\u1ea5y ch\u1ec9, th\u1ee7y ch\u00e2m,\u2026), xoa b\u00f3p b\u1ea5m huy\u1ec7t<\/li>\n
                  • T\u00e1c \u0111\u1ed9ng c\u01a1 h\u1ecdc th\u00f4ng qua v\u1eadn \u0111\u1ed9ng tr\u1ecb li\u1ec7u, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn kh\u1edbp, ch\u1ec9nh h\u00ecnh, k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng<\/li>\n
                  • Li\u1ec7u ph\u00e1p si\u00eau \u00e2m, \u0111i\u1ec7n tr\u1ecb li\u1ec7u, nhi\u1ec7t tr\u1ecb li\u1ec7u (tia h\u1ed3ng ngo\u1ea1i, s\u00f3ng ng\u1eafn,\u2026) \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c, gi\u1ea3m s\u01b0ng vi\u00eam, t\u00ea nh\u1ee9c v\u00e0 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng k\u00e8m theo.<\/li>\n<\/ul>\n

                    Tr\u01b0\u1eddng h\u1ee3p tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 thuy\u00ean gi\u1ea3m sau 3-6 th\u00e1ng.<\/p>\n

                    3. Can thi\u1ec7p ph\u1eabu thu\u1eadt<\/h3>\n

                    \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa (ph\u1eabu thu\u1eadt) th\u01b0\u1eddng \u0111\u01b0\u1ee3c xem x\u00e9t trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n

                      \n
                    • Xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng teo c\u01a1, y\u1ebfu c\u01a1:<\/strong> \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au th\u1ea7n kinh t\u1ecda xu\u1ea5t hi\u1ec7n nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y, b\u00e1c s\u0129 th\u01b0\u1eddng y\u00eau c\u1ea7u ph\u1eabu thu\u1eadt \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u \u0111\u1ec3 b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, tr\u00e1nh t\u00e0n ph\u1ebf.<\/li>\n
                    • H\u1ed9i ch\u1ee9ng Cauda equina:<\/strong> H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng \u0111\u1ec1u xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng cauda equina c\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt k\u1ecbp th\u1eddi, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 m\u1ea5t ki\u1ec3m so\u00e1t trong vi\u1ec7c \u0111\u1ea1i ti\u1ec7n, ti\u1ec3u ti\u1ec7n, li\u1ec7t d\u01b0\u01a1ng \u1edf nam gi\u1edbi,\u2026<\/li>\n
                    • \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00f4ng \u0111\u00e1p \u1ee9ng:<\/strong> Ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p ngo\u1ea1i khoa \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n t\u1eeb 3 – 6 th\u00e1ng nh\u01b0 th\u1ea5t b\u1ea1i, \u0111au nhi\u1ec1u, \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/li>\n
                    • \u0110au th\u1ea7n kinh t\u1ecda t\u00e1i ph\u00e1t \u1edf m\u00f4ng:<\/strong> Tr\u00ean th\u1ef1c t\u1ebf, \u0111au th\u1ea7n kinh t\u1ecda c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n (th\u01b0\u1eddng l\u00e0 do c\u00e1c ch\u1ea5n th\u01b0\u01a1ng \u1edf c\u1ed9t s\u1ed1ng).\u00a0Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh, t\u1eeb \u0111\u00f3 h\u1ea1n ch\u1ebf nguy c\u01a1 t\u00e1i ph\u00e1t, c\u1ea3i thi\u1ec7n, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/li>\n<\/ul>\n

                      Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng v\u00e0 r\u1ee7i ro. V\u00ec v\u1eady, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa ch\u1ec9 y\u00eau c\u1ea7u can thi\u1ec7p ngo\u1ea1i khoa trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft. Th\u1ed1ng k\u00ea cho th\u1ea5y c\u00f3 d\u01b0\u1edbi 10% b\u1ec7nh nh\u00e2n b\u1ecb \u0111au th\u1ea7n kinh t\u1ecda ph\u1ea3i can thi\u1ec7p ph\u1eabu thu\u1eadt.<\/p>\n

                      Ki\u1ec3m so\u00e1t v\u00e0 ng\u0103n ng\u1eeba \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng<\/h2>\n

                      \u0110au th\u1ea7n kinh t\u1ecda do nhi\u1ec1u y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng nh\u01b0ng y\u1ebfu t\u1ed1 tr\u1ef1c ti\u1ebfp b\u1eaft ngu\u1ed3n t\u1eeb v\u1ea5n \u0111\u1ec1 \u1edf c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.\u00a0\u0110\u1ec3 ph\u00f2ng tr\u00e1nh c\u0103n b\u1ec7nh n\u00e0y, c\u1ea7n ki\u1ec3m so\u00e1t nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf c\u1ed9t s\u1ed1ng, tr\u00e1nh nh\u1eefng ho\u1ea1t \u0111\u1ed9ng d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng \u1edf c\u01a1 quan n\u00e0y.<\/p>\n

                      \"V\u1eadn
                      V\u1eadn \u0111\u1ed9ng c\u01a1 th\u1ec3 gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe, t\u0103ng s\u1ee9c d\u1ebbo dai v\u00e0 ph\u00f2ng ch\u1ed1ng b\u1ec7nh t\u1eadt hi\u1ec7u qu\u1ea3<\/figcaption><\/figure>\n

                      C\u00e1c bi\u1ec7n ph\u00e1p gi\u00fap ng\u0103n ng\u1eeba \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng:<\/p>\n

                        \n
                      • H\u1ea1n ch\u1ebf c\u00e1c ho\u1ea1t \u0111\u1ed9ng l\u00e0m t\u0103ng \u00e1p l\u1ef1c l\u00ean c\u1ed9t s\u1ed1ng L4, L5, S1 nh\u01b0 mang v\u00e1c n\u1eb7ng, ng\u1ed3i ho\u1eb7c \u0111\u1ee9ng qu\u00e1 l\u00e2u,\u2026 B\u00ean c\u1ea1nh \u0111\u00f3, b\u1ea1n n\u00ean h\u1ea1n ch\u1ebf lao \u0111\u1ed9ng n\u1eb7ng, v\u1eadn \u0111\u1ed9ng, luy\u1ec7n t\u1eadp qu\u00e1 s\u1ee9c.<\/li>\n
                      • \u0110i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00e1c v\u1ea5n \u0111\u1ec1 \u1edf c\u1ed9t s\u1ed1ng l\u00e0 m\u1ed9t trong nh\u1eefng c\u00e1ch ph\u00f2ng tr\u00e1nh \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng hi\u1ec7u qu\u1ea3.<\/li>\n
                      • Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n thay \u0111\u1ed5i c\u00e1c t\u01b0 th\u1ebf sai, \u0111\u1ed3ng th\u1eddi h\u1ea1n ch\u1ebf c\u00e1c ho\u1ea1t \u0111\u1ed9ng g\u00e2y ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh nh\u01b0 n\u1eb1m nghi\u00eang khi ng\u1ee7, ng\u1ed3i v\u1eaft ch\u00e9o ch\u00e2n, n\u1eb1m n\u1ec7m m\u1ec1m, \u0111eo ba l\u00f4 m\u1ed9t b\u00ean vai, v.v.<\/li>\n
                      • Th\u01b0\u1eddng xuy\u00ean t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 r\u00e8n luy\u1ec7n s\u1ee9c kh\u1ecfe.\u00a0V\u1eadn \u0111\u1ed9ng c\u01a1 th\u1ec3 gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe, t\u0103ng s\u1ef1 d\u1ebbo dai, ng\u0103n ng\u1eeba b\u1ec7nh \u0111au th\u1ea7n kinh t\u1ecda c\u0169ng nh\u01b0 m\u1ed9t s\u1ed1 b\u1ec7nh x\u01b0\u01a1ng kh\u1edbp th\u01b0\u1eddng g\u1eb7p.<\/li>\n
                      • Ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng l\u00e0 m\u1ed9t trong nh\u1eefng c\u00e1ch gi\u00fap b\u1ea1n ph\u00f2ng tr\u00e1nh c\u00e1c b\u1ec7nh v\u1ec1 c\u1ed9t s\u1ed1ng, \u0111au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n gi\u1ea3m c\u00e2n m\u1ed9t c\u00e1ch khoa h\u1ecdc b\u1eb1ng c\u00e1ch x\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p v\u00e0 luy\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c th\u1ec3 thao th\u01b0\u1eddng xuy\u00ean.<\/li>\n
                      • Ph\u1ee5 n\u1eef n\u00ean tr\u00e1nh \u0111i gi\u00e0y cao g\u00f3t.\u00a0Thay v\u00e0o \u0111\u00f3, c\u1ea7n ch\u1ecdn nh\u1eefng \u0111\u00f4i gi\u00e0y c\u00f3 \u0111\u1ed9 cao v\u1eeba ph\u1ea3i, ch\u1ea5t li\u1ec7u m\u1ec1m m\u1ea1i, tho\u1ea3i m\u00e1i.<\/li>\n
                      • C\u1ea7n ch\u00fa \u00fd gi\u1eef \u1ea5m c\u01a1 th\u1ec3 khi th\u1eddi ti\u1ebft chuy\u1ec3n l\u1ea1nh v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 b\u1ec7nh kh\u00f4ng t\u00e1i ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n.<\/li>\n<\/ul>\n

                        \u0110au th\u1ea7n kinh t\u1ecda c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm.\u00a0Ng\u01b0\u1ee3c l\u1ea1i, tr\u01b0\u1eddng h\u1ee3p ch\u1ee7 quan c\u00f3 th\u1ec3 khi\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh n\u1eb7ng h\u01a1n v\u00e0 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.\u00a0V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch ngay khi nh\u1eadn th\u1ea5y nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng.<\/p>\n","protected":false},"excerpt":{"rendered":"

                        \u0110au th\u1ea7n kinh t\u1ecda \u1edf m\u00f4ng l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p \u1edf nam gi\u1edbi t\u1eeb 30 \u0111\u1ebfn 60 tu\u1ed5i. H\u1ed9i ch\u1ee9ng n\u00e0y \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n t\u1eeb v\u00f9ng l\u01b0ng d\u01b0\u1edbi v\u00e0 lan xu\u1ed1ng m\u00f4ng, h\u00f4ng, \u0111\u00f9i v\u00e0 b\u00e0n ch\u00e2n, k\u00e8m theo ng\u1ee9a ran, t\u00ea v\u00e0 d\u1ecb c\u1ea3m kh\u00f3<\/p>\n","protected":false},"author":1,"featured_media":2387,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"_links":{"self":[{"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/posts\/2357"}],"collection":[{"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/comments?post=2357"}],"version-history":[{"count":0,"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/posts\/2357\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/media\/2387"}],"wp:attachment":[{"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/media?parent=2357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/categories?post=2357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gens.com.vn\/wp-json\/wp\/v2\/tags?post=2357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}