{"id":5136,"date":"2018-07-24T01:37:33","date_gmt":"2018-07-23T18:37:33","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/24\/benh-xo-cung-rai-rac\/"},"modified":"2024-03-17T03:58:55","modified_gmt":"2024-03-16T20:58:55","slug":"benh-xo-cung-rai-rac","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-xo-cung-rai-rac\/","title":{"rendered":"B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c"},"content":{"rendered":"

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c (Multiple Sclerosis, MS) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n c\u1ee7a n\u00e3o b\u1ed9 v\u00e0 t\u1ee7y s\u1ed1ng<\/strong>. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, c\u00e1c \u0111\u1ee3t tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean c\u00f3 th\u1ec3 \u0111\u1ebfn v\u00e0 h\u1ebft trong nhi\u1ec1u n\u0103m. Theo th\u1eddi gian, m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh v\u0129nh vi\u1ec5n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra t\u00e0n ph\u1ebf. M\u1eb7c d\u00f9 kh\u00f4ng c\u00f3 c\u00e1ch ch\u1eefa kh\u1ecfi h\u1eb3n b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, nh\u01b0ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c nhau v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u1ea7n t\u00e1i ph\u00e1t v\u00e0 c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169ng nh\u01b0 t\u00e0n ph\u1ebf. <\/span> <\/span><\/p>\n

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0 g\u00ec?<\/h2>\n

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c (MS) l\u00e0 m\u1ed9t b\u1ec7nh do vi\u00eam<\/strong> x\u1ea3y ra t\u1ea1i c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a n\u00e3o v\u00e0\/ho\u1eb7c t\u1ee7y s\u1ed1ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a n\u00e3o, t\u1ee7y s\u1ed1ng v\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau (xem chi ti\u1ebft b\u00ean d\u01b0\u1edbi). <\/span> <\/span><\/p>\n

\"neuron\"<\/p>\n

T\u00ecm hi\u1ec3u v\u1ec1 n\u00e3o b\u1ed9, t\u1ee7y s\u1ed1ng v\u00e0 d\u00e2y th\u1ea7n kinh<\/h2>\n

H\u00e0ng ng\u00e0n s\u1ee3i th\u1ea7n kinh truy\u1ec1n c\u00e1c xung \u0111i\u1ec7n nh\u1ecf (t\u00edn hi\u1ec7u) gi\u1eefa c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng. M\u1ed7i s\u1ee3i th\u1ea7n kinh trong n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng \u0111\u01b0\u1ee3c bao quanh b\u1edfi m\u1ed9t l\u1edbp b\u1ea3o v\u1ec7 \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb m\u1ed9t ch\u1ea5t g\u1ecdi l\u00e0 myelin. V\u1ecf myelin ho\u1ea1t \u0111\u1ed9ng gi\u1ed1ng nh\u01b0 v\u1ecf c\u00e1ch \u0111i\u1ec7n xung quanh m\u1ed9t d\u00e2y \u0111i\u1ec7n<\/strong>\u00a0v\u00e0 c\u1ea7n thi\u1ebft cho c\u00e1c xung \u0111i\u1ec7n \u0111i m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c d\u1ecdc theo s\u1ee3i th\u1ea7n kinh. <\/span> <\/span><\/p>\n

D\u00e2y th\u1ea7n kinh \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb nhi\u1ec1u s\u1ee3i th\u1ea7n kinh. D\u00e2y th\u1ea7n kinh \u0111i ra kh\u1ecfi n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng v\u00e0 mang th\u00f4ng tin \u0111\u1ebfn v\u00e0 \u0111i t\u1eeb c\u01a1 b\u1eafp, da, b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3 v\u00e0 c\u00e1c m\u00f4. <\/span> <\/span><\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c?<\/h2>\n

MS \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n<\/strong>. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a r\u1eb1ng c\u00e1c t\u1ebf b\u00e0o c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u00f3 nhi\u1ec7m v\u1ee5 t\u1ea5n c\u00f4ng vi khu\u1ea9n, virus,\u2026 l\u1ea1i t\u1ea5n c\u00f4ng m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 th\u1ec3. Khi b\u1ec7nh \u0111ang \u1edf k\u1ef3 ho\u1ea1t \u0111\u1ed9ng, c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch, ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u1ebf b\u00e0o T, t\u1ea5n c\u00f4ng c\u00e1c v\u1ecf myelin bao quanh s\u1ee3i th\u1ea7n kinh trong n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng vi\u00eam. <\/span> <\/span><\/p>\n

Ng\u01b0\u1eddi ta v\u1eabn ch\u01b0a r\u00f5 \u0111i\u1ec1u g\u00ec k\u00edch ho\u1ea1t s\u1ef1 ph\u1ea3n \u1ee9ng c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y. M\u1ed9t gi\u1ea3 thuy\u1ebft cho r\u1eb1ng m\u1ed9t lo\u1ea1i virus, ho\u1eb7c m\u1ed9t y\u1ebfu t\u1ed1 trong m\u00f4i tr\u01b0\u1eddng \u0111\u00e3 k\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi v\u1edbi ki\u1ec3u di truy\u1ec1n nh\u1ea5t \u0111\u1ecbnh. <\/span> <\/span><\/p>\n

Vi\u00eam xung quanh v\u1ecf myelin l\u00e0m c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1ecb \u1ea3nh h\u01b0\u1edfng kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng t\u1ed1t n\u1eefa<\/strong>\u00a0v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng. Khi qu\u00e1 tr\u00ecnh vi\u00eam h\u1ebft, bao myelin c\u00f3 th\u1ec3 l\u00e0nh v\u00e0 \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa, sau \u0111\u00f3 c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1eaft \u0111\u1ea7u ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i. Tuy nhi\u00ean, t\u00ecnh tr\u1ea1ng vi\u00eam ho\u1eb7c s\u1ef1 l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u00e1c \u0111\u1ee3t vi\u00eam, c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i nh\u1eefng \u201cv\u1ebft s\u1eb9o\u201d nh\u1ecf (x\u01a1 c\u1ee9ng) g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c s\u1ee3i th\u1ea7n kinh v\u0129nh vi\u1ec5n. \u1ede ng\u01b0\u1eddi c\u00f3 b\u1ec7nh b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c \u0111i\u1ec3n h\u00ecnh, nhi\u1ec1u m\u1ea3ng x\u01a1 c\u1ee9ng h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n trong n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng. <\/span> <\/span><\/p>\n

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c ti\u1ebfn tri\u1ec3n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

M\u1ed9t khi c\u0103n b\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t, n\u00f3 c\u00f3 xu h\u01b0\u1edbng theo m\u1ed9t trong b\u1ed1n d\u1ea1ng (th\u1ec3) sau \u0111\u00e2y: <\/span> <\/span><\/p>\n

\"Ti\u1ebfn <\/span> <\/span><\/p>\n

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c d\u1ea1ng l\u00e0nh t\u00ednh (Benign form) <\/strong><\/h3>\n

Trong kho\u1ea3ng \u00edt h\u01a1n 1 trong 10 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh MS, ch\u1ec9 c\u00f3 m\u1ed9t v\u00e0i l\u1ea7n t\u00e1i ph\u00e1t trong c\u1ea3 cu\u1ed9c \u0111\u1eddi v\u00e0 th\u1eddi gian d\u00e0i kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. \u0110\u00e2y l\u00e0 d\u1ea1ng \u00edt nghi\u00eam tr\u1ecdng nh\u1ea5t<\/strong> c\u1ee7a c\u0103n b\u1ec7nh n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c l\u00e0nh t\u00ednh. <\/span> <\/span><\/p>\n

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c d\u1ea1ng t\u00e1i ph\u00e1t – thuy\u00ean gi\u1ea3m (Relapsing-remitting form) <\/strong><\/h3>\n

G\u1ea7n 9 trong 10 ng\u01b0\u1eddi c\u00f3 MS c\u00f3 chung d\u1ea1ng t\u00e1i ph\u00e1t c\u1ee7a b\u1ec7nh. T\u00e1i ph\u00e1t l\u00e0 giai \u0111o\u1ea1n x\u1ea3y ra c\u00e1c tri\u1ec7u ch\u1ee9ng. Trong th\u1eddi gian t\u00e1i ph\u00e1t, c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t tri\u1ec3n (m\u00f4 t\u1ea3 d\u01b0\u1edbi \u0111\u00e2y) v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i trong nhi\u1ec1u ng\u00e0y, nh\u01b0ng th\u01b0\u1eddng k\u00e9o d\u00e0i 2-6 tu\u1ea7n. C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00f4i khi k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng. C\u00e1c tri\u1ec7u ch\u1ee9ng sau \u0111\u00f3 c\u00f3 th\u1ec3 gi\u1ea3m nh\u1eb9 ho\u1eb7c bi\u1ebfn m\u1ea5t. B\u1ea1n \u0111\u01b0\u1ee3c cho l\u00e0 thuy\u00ean gi\u1ea3m b\u1ec7nh khi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00e3 gi\u1ea3m b\u1edbt ho\u1eb7c bi\u1ebfn m\u1ea5t. S\u1ef1 t\u00e1i ph\u00e1t sau \u0111\u00f3 ti\u1ebfp t\u1ee5c x\u1ea3y ra theo th\u1eddi gian. <\/span> <\/span><\/p>\n

Lo\u1ea1i v\u00e0 s\u1ed1 l\u01b0\u1ee3ng c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra trong qu\u00e1 tr\u00ecnh t\u00e1i ph\u00e1t kh\u00e1c nhau t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c, t\u00f9y thu\u1ed9c v\u00e0o n\u01a1i t\u1ed5n th\u01b0\u01a1ng myelin. T\u1ea7n su\u1ea5t t\u00e1i ph\u00e1t c\u0169ng thay \u0111\u1ed5i. M\u1ed9t ho\u1eb7c hai l\u1ea7n t\u00e1i ph\u00e1t m\u1ed7i hai n\u0103m l\u00e0 kh\u00e1 \u0111i\u1ec3n h\u00ecnh. Tuy nhi\u00ean, t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 x\u1ea3y ra nhi\u1ec1u h\u01a1n ho\u1eb7c \u00edt h\u01a1n. Khi t\u00e1i ph\u00e1t x\u1ea3y ra, c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u01b0\u1edbc \u0111\u00f3 c\u00f3 th\u1ec3 b\u1ecb tr\u1edf l\u1ea1i, ho\u1eb7c nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1edbi c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n. <\/span> <\/span><\/p>\n

Giai \u0111o\u1ea1n t\u00e1i ph\u00e1t- thuy\u00ean gi\u1ea3m n\u00e0y c\u00f3 xu h\u01b0\u1edbng k\u00e9o d\u00e0i trong nhi\u1ec1u n\u0103m. L\u00fac \u0111\u1ea7u, ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n kh\u1ecfi c\u00e1c tri\u1ec7u ch\u1ee9ng, ho\u1eb7c ph\u1ee5c h\u1ed3i g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n, l\u00e0 \u0111i\u1ec3n h\u00ecnh sau m\u1ed7i l\u1ea7n t\u00e1i ph\u00e1t. Theo th\u1eddi gian, t\u1ed5n th\u01b0\u01a1ng myelin c\u00f3 th\u1ec3 c\u0169ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng ch\u00ednh c\u00e1c s\u1ee3i th\u1ea7n kinh. <\/span> <\/span><\/p>\n

Cu\u1ed1i c\u00f9ng, th\u01b0\u1eddng sau 5-15 n\u0103m, m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng tr\u1edf th\u00e0nh v\u0129nh vi\u1ec5n<\/strong>. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng l\u00e0 do s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a m\u00f4 s\u1eb9o trong n\u00e3o v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00e1c s\u1ee3i th\u1ea7n kinh. T\u00ecnh tr\u1ea1ng th\u01b0\u1eddng sau \u0111\u00f3 t\u1eeb t\u1eeb tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n theo th\u1eddi gian. Giai \u0111o\u1ea1n n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c ti\u1ebfn tri\u1ec3n th\u1ee9 ph\u00e1t. Th\u00f4ng th\u01b0\u1eddng, kho\u1ea3ng hai ph\u1ea7n ba nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c t\u00e1i ph\u00e1t-thuy\u00ean gi\u1ea3m s\u1ebd ph\u00e1t tri\u1ec3n th\u00e0nh b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c ti\u1ebfn tri\u1ec3n th\u1ee9 ph\u00e1t sau 15 n\u0103m. <\/span> <\/span><\/p>\n

B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c d\u1ea1ng ti\u1ebfn tri\u1ec3n th\u1ee9 ph\u00e1t (Secondary progressive form) <\/span> <\/span><\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng ng\u00e0y c\u00e0ng x\u1ea5u \u0111i (c\u00f3 ho\u1eb7c kh\u00f4ng t\u00e1i ph\u00e1t) trong d\u1ea1ng n\u00e0y c\u1ee7a b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c. Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb d\u1ea1ng t\u00e1i ph\u00e1t \u2013 thuy\u00ean gi\u1ea3m sau \u0111\u00f3 ph\u00e1t tri\u1ec3n th\u00e0nh d\u1ea1ng ti\u1ebfn tri\u1ec3n th\u1ee9 ph\u00e1t n\u00e0y c\u1ee7a MS. <\/span> <\/span><\/p>\n

B<\/strong>\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c <\/strong> d\u1ea1ng <\/strong> ti\u1ebfn tri\u1ec3n nguy\u00ean ph\u00e1t (<\/strong>Primary progressive form) <\/strong> <\/span> <\/span><\/h3>\n

Trong kho\u1ea3ng 1 trong 10 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh MS, kh\u00f4ng c\u00f3 d\u1ea1ng t\u00e1i ph\u00e1t \u2013 thuy\u00ean gi\u1ea3m ban \u0111\u1ea7u. C\u00e1c tri\u1ec7u ch\u1ee9ng d\u1ea7n d\u1ea7n t\u1ed3i t\u1ec7 h\u01a1n ngay t\u1eeb \u0111\u1ea7u, v\u00e0 kh\u00f4ng ph\u1ee5c h\u1ed3i. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c ti\u1ebfn tri\u1ec3n nguy\u00ean ph\u00e1t. <\/span> <\/span><\/p>\n

Ai b\u1ecb b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c?<\/h2>\n

Kho\u1ea3ng 1 trong 1.000 ng\u01b0\u1eddi \u1edf Anh b\u1ecb MS. N\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t c\u1ee9 ai \u1edf b\u1ea5t c\u1ee9 tu\u1ed5i n\u00e0o, m\u1eb7c d\u00f9 n\u00f3 l\u00e0 r\u1ea5t hi\u1ebfm \u1edf tr\u1ebb nh\u1ecf. N\u00f3 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t xung quanh tu\u1ed5i 30. MS l\u00e0 c\u0103n b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i \u1edf Anh. B\u1ec7nh ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ph\u1ee5 n\u1eef v\u1edbi t\u1ec9 l\u1ec7 n\u1eef gi\u1edbi: nam gi\u1edbi l\u00e0 2:1. <\/span> <\/span><\/p>\n

MS kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh di truy\u1ec1n nghi\u00eam ng\u1eb7t. Tuy nhi\u00ean, nguy c\u01a1 b\u1ecb MS th\u01b0\u1eddng gia t\u0103ng \u1edf th\u00e2n nh\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. V\u00ed d\u1ee5, cha m\u1eb9, anh em c\u1ee7a ng\u01b0\u1eddi b\u1ecb MS c\u00f3 kho\u1ea3ng 1% x\u00e1c su\u1ea5t b\u1ecb MS (so v\u1edbi t\u1ec9 l\u1ec7 kho\u1ea3ng 0.1% \u1edf c\u1ed9ng \u0111\u1ed3ng.<\/span><\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c<\/h2>\n

MS g\u00e2y ra m\u1ed9t lo\u1ea1t c\u00e1c tri\u1ec7u ch\u1ee9ng. Nhi\u1ec1u ng\u01b0\u1eddi ch\u1ec9 tr\u1ea3i qua m\u1ed9t v\u00e0i tri\u1ec7u ch\u1ee9ng v\u00e0 kh\u00f4ng ch\u1eafc r\u1eb1ng m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 t\u1ea5t c\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf \u0111\u00e2y. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a MS th\u01b0\u1eddng kh\u00f4ng th\u1ec3 \u0111o\u00e1n tr\u01b0\u1edbc. <\/span> <\/span><\/p>\n

M\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u1ea5y r\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea5u \u0111i d\u1ea7n theo th\u1eddi gian<\/strong>. Th\u01b0\u1eddng, c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn v\u00e0 \u0111i t\u1ea1i nh\u1eefng th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau. Kho\u1ea3ng th\u1eddi gian khi c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1eddi k\u1ef3 <\/strong> t\u00e1i ph\u00e1t<\/strong>. Kho\u1ea3ng th\u1eddi gian khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea3i thi\u1ec7n (ho\u1eb7c th\u1eadm ch\u00ed bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n) \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1eddi k\u1ef3 <\/strong> thuy\u00ean gi\u1ea3m<\/strong>. <\/span> <\/span><\/p>\n

T\u00e1i ph\u00e1t c\u00f3 th\u1ec3 x\u1ea3y ra b\u1ea5t c\u1ee9 l\u00fac n\u00e0o v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 kh\u00e1c nhau trong m\u1ed7i l\u1ea7n t\u00e1i ph\u00e1t. M\u1eb7c d\u00f9 s\u1ef1 t\u00e1i ph\u00e1t th\u01b0\u1eddng x\u1ea3y ra kh\u00f4ng c\u00f3 l\u00fd do r\u00f5 r\u00e0ng, nhi\u1ec1u k\u00edch th\u00edch \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn nh\u01b0 nhi\u1ec5m tr\u00f9ng, t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 th\u1eadm ch\u00ed c\u1ea3 th\u1eddi ti\u1ebft n\u00f3ng. C\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra trong qu\u00e1 tr\u00ecnh t\u00e1i ph\u00e1t ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t ho\u1eb7c nh\u1eefng ph\u1ea7n c\u1ee7a n\u00e3o b\u1ed9 ho\u1eb7c t\u1ee7y s\u1ed1ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. B\u1ea1n c\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 m\u1ed9t tri\u1ec7u ch\u1ee9ng trong m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 th\u1ec3, ho\u1eb7c m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n do c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng l\u00e0m vi\u1ec7c \u0111\u00fang c\u00e1ch. <\/span> <\/span><\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p h\u01a1n bao g\u1ed3m: <\/span> <\/span><\/p>\n

V\u1ea5n \u0111\u1ec1 th\u1ecb gi\u00e1c <\/strong> <\/span> <\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean c\u1ee7a MS \u0111\u1ed1i v\u1edbi kho\u1ea3ng 1\/4 ng\u01b0\u1eddi b\u1ecb MS l\u00e0 r\u1ed1i lo\u1ea1n th\u1ecb l\u1ef1c. Vi\u00eam th\u1ea7n kinh th\u1ecb gi\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra \u0111au sau m\u1eaft v\u00e0 c\u0169ng c\u00f3 th\u1ec3 m\u1ea5t m\u1ed9t ph\u1ea7n th\u1ecb l\u1ef1c c\u1ee7a b\u1ea1n. Tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t m\u1eaft. Tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a m\u1eaft c\u00f3 th\u1ec3 bao g\u1ed3m nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i. <\/span> <\/span><\/p>\n

Co th\u1eaft c\u01a1 v\u00e0 co c\u1ee9ng <\/strong> <\/span> <\/span><\/p>\n

B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb run ho\u1eb7c co gi\u1eadt \u1edf m\u1ed9t s\u1ed1 c\u01a1. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng l\u00e0 do t\u1ed5n th\u01b0\u01a1ng \u1edf c\u00e1c d\u00e2y th\u1ea7n kinh \u0111i\u1ec1u khi\u1ec3n c\u00e1c c\u01a1 b\u1eafp \u0111\u00f3. M\u1ed9t s\u1ed1 c\u01a1 c\u00f3 th\u1ec3 co m\u1ea1nh v\u00e0 sau \u0111\u00f3 c\u00f3 th\u1ec3 tr\u1edf n\u00ean c\u1ee9ng h\u01a1n v\u00e0 kh\u00f3 s\u1eed d\u1ee5ng h\u01a1n. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 co c\u1ee9ng. <\/span> <\/span><\/p>\n

\u0110au <\/strong> <\/span> <\/span><\/p>\n

C\u00f3 hai lo\u1ea1i c\u01a1n \u0111au ch\u00ednh c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 MS: <\/span> <\/span><\/p>\n