{"id":6428,"date":"2018-09-11T05:30:53","date_gmt":"2018-09-10T22:30:53","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/09\/11\/mat-dieu-hoa-that-dieu-va-roi-loan-chuc-nang-van-dong-tieu-nao\/"},"modified":"2024-03-17T05:07:33","modified_gmt":"2024-03-16T22:07:33","slug":"mat-dieu-hoa-that-dieu-va-roi-loan-chuc-nang-van-dong-tieu-nao","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/mat-dieu-hoa-that-dieu-va-roi-loan-chuc-nang-van-dong-tieu-nao\/","title":{"rendered":"M\u1ea5t \u0111i\u1ec1u h\u00f2a (th\u1ea5t \u0111i\u1ec1u) v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng ti\u1ec3u n\u00e3o"},"content":{"rendered":"<h2><strong>Gi\u1edbi thi\u1ec7u chung<\/strong><\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-23005 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/09\/that-dieu-tieu-nao-300x245-1.png\" alt=\"\" width=\"404\" height=\"331\" \/><\/p>\n<h3><strong>Ti\u1ec3u n\u00e3o v\u00e0 th\u00e2n n\u00e3o<\/strong><\/h3>\n<p>M\u1ea5t \u0111i\u1ec1u h\u00f2a (th\u1ea5t \u0111i\u1ec1u) l\u00e0 <strong>thi\u1ebfu s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1<\/strong> ho\u1eb7c thi\u1ebfu s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c v\u1eadn \u0111\u1ed9ng t\u1ef1 ch\u1ee7, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111i l\u1ea1i hay nh\u1eb7t \u0111\u1ed3 v\u1eadt. Th\u1ea5t \u0111i\u1ec1u l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c v\u1eadn \u0111\u1ed9ng kh\u00e1c nhau, g\u00e2y n\u00f3i kh\u00f3, nu\u1ed1t kh\u00f3 v\u00e0 kh\u00f3 kh\u0103n khi v\u1eadn \u0111\u1ed9ng m\u1eaft.<\/p>\n<p>Th\u1ea5t \u0111i\u1ec1u v\u0129nh vi\u1ec5n th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n n\u00e3o b\u1ed9 ki\u1ec3m so\u00e1t s\u1ef1 ph\u1ed1i h\u1ee3p c\u00e1c c\u01a1 (ti\u1ec3u n\u00e3o). Nhi\u1ec1u nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y th\u1ea5t \u0111i\u1ec1u, bao g\u1ed3m nghi\u1ec7n r\u01b0\u1ee3u, thu\u1ed1c, \u0111\u1ed9t qu\u1ecb, kh\u1ed1i u, b\u1ea1i n\u00e3o, tho\u00e1i h\u00f3a n\u00e3o v\u00e0 x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c. C\u00e1c<strong> gen b\u1ecb khi\u1ebfm khuy\u1ebft<\/strong> di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb th\u1ea5t \u0111i\u1ec1u t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n. C\u00e1c d\u1ee5ng c\u1ee5 th\u00edch \u1ee9ng nh\u01b0 khung t\u1eadp \u0111i hay g\u1eady c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n kh\u00f4ng b\u1ecb ph\u1ee5 thu\u1ed9c. V\u1eadt l\u00fd tr\u1ecb li\u1ec7u, lao \u0111\u1ed9ng tr\u1ecb li\u1ec7u, ng\u00f4n ng\u1eef tr\u1ecb li\u1ec7u v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u00edch.<\/p>\n<h2><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p>Th\u1ea5t \u0111i\u1ec1u c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n t\u1eeb t\u1eeb ho\u1eb7c xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t. Th\u1ea5t \u0111i\u1ec1u c\u00f3 th\u1ec3 g\u00e2y c\u00e1c r\u1ed1i lo\u1ea1n th\u1ea7n kinh nh\u01b0:<\/p>\n<ul>\n<li>K\u00e9m ph\u1ed1i h\u1ee3p.<\/li>\n<li>\u0110i kh\u00f4ng v\u1eefng v\u00e0 c\u00f3 xu h\u01b0\u1edbng t\u00e9 ng\u00e3.<\/li>\n<li>Kh\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c kh\u00e9o l\u00e9o nh\u01b0 \u0103n, vi\u1ebft hay c\u00e0i n\u00fat \u00e1o.<\/li>\n<li>Thay \u0111\u1ed5i gi\u1ecdng n\u00f3i.<\/li>\n<li>C\u1eed \u0111\u1ed9ng m\u1eaft t\u1edbi lui kh\u00f4ng t\u1ef1 ch\u1ee7 (rung gi\u1eadt nh\u00e3n c\u1ea7u- nystagmus).<\/li>\n<li>Kh\u00f3 nu\u1ed1t.<\/li>\n<\/ul>\n<h2><strong>Khi n\u00e0o c\u1ea7n \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129<\/strong><\/h2>\n<p>N\u1ebfu b\u1ea1n hi\u1ec7n t\u1ea1i ch\u01b0a m\u1eafc b\u1ec7nh g\u00ec c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y th\u1ea5t \u0111i\u1ec1u, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, th\u00ec b\u1ea1n n\u00ean \u0111i kh\u00e1m ngay khi:<\/p>\n<ul>\n<li>M\u1ea5t th\u0103ng b\u1eb1ng.<\/li>\n<li>M\u1ea5t ph\u1ed1i h\u1ee3p \u0111\u1ed9ng t\u00e1c b\u00e0n tay, tay ho\u1eb7c ch\u00e2n.<\/li>\n<li>\u0110i l\u1ea1i kh\u00f3 kh\u0103n.<\/li>\n<li>N\u00f3i l\u00edu nh\u00edu (slur).<\/li>\n<li>Kh\u00f3 nu\u1ed1t.<\/li>\n<\/ul>\n<h2><strong>C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y th\u1ea5t \u0111i\u1ec1u<\/strong><\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng, tho\u00e1i h\u00f3a hay m\u1ea5t c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh \u1edf ph\u1ea7n n\u00e3o ki\u1ec3m so\u00e1t s\u1ef1 ph\u1ed1i h\u1ee3p c\u01a1 (ti\u1ec3u n\u00e3o) g\u00e2y ra th\u1ea5t \u0111i\u1ec1u. Ti\u1ec3u n\u00e3o g\u1ed3m hai kh\u1ed1i m\u00f4 c\u00f3 c\u00e1c n\u1ebfp g\u1ea5p b\u1ec1 m\u1eb7t h\u00ecnh qu\u1ea3 b\u00f3ng nh\u1ecf n\u1eb1m \u1edf \u0111\u00e1y n\u00e3o, g\u1ea7n th\u00e2n n\u00e3o.<\/p>\n<p>Ti\u1ec3u n\u00e3o ph\u1ea3i ki\u1ec3m so\u00e1t ph\u1ed1i h\u1ee3p v\u1eadn \u0111\u1ed9ng n\u1eeda ph\u1ea3i c\u01a1 th\u1ec3, ti\u1ec3u n\u00e3o tr\u00e1i ki\u1ec3m so\u00e1t ph\u1ed1i h\u1ee3p v\u1eadn \u0111\u1ed9ng n\u1eeda tr\u00e1i c\u01a1 th\u1ec3.<\/p>\n<p>C\u00e1c b\u1ec7nh g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng v\u00e0 c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean k\u1ebft n\u1ed1i t\u1eeb ti\u1ec3u n\u00e3o \u0111\u1ebfn c\u00e1c c\u01a1 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y th\u1ea5t \u0111i\u1ec1u.<\/p>\n<p>C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y th\u1ea5t \u0111i\u1ec1u:<\/p>\n<ul>\n<li><strong>Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u.\u00a0<\/strong>T\u1ed5n th\u01b0\u01a1ng n\u00e3o ho\u1eb7c t\u1ee7y s\u1ed1ng do b\u1ecb \u0111\u1eadp v\u00e0o \u0111\u1ea7u, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ecb tai n\u1ea1n giao th\u00f4ng g\u00e2y th\u1ea5t \u0111i\u1ec1u c\u1ea5p, xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t.<\/li>\n<li><strong>\u0110\u1ed9t qu\u1ecb.\u00a0<\/strong>Khi t\u1eafc ngh\u1ebdn l\u01b0u th\u00f4ng ho\u1eb7c gi\u1ea3m s\u00fat nghi\u00eam tr\u1ecdng l\u01b0\u1ee3ng m\u00e1u t\u1edbi nu\u00f4i m\u1ed9t ph\u1ea7n n\u00e3o b\u1ed9, l\u00e0m m\u1ea5t \u0111i ngu\u1ed3n cung c\u1ea5p oxy v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t cho n\u00e3o, t\u1ebf b\u00e0o n\u00e3o s\u1ebd ch\u1ebft.<\/li>\n<li><strong>B\u1ea1i n\u00e3o.\u00a0<\/strong>\u0110\u00e2y l\u00e0 thu\u1eadt ng\u1eef chung \u0111\u1ec3 ch\u1ec9 m\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o b\u1ed9 tr\u1ebb em t\u1eeb r\u1ea5t s\u1edbm- tr\u01b0\u1edbc, trong ho\u1eb7c ngay sau sinh &#8211; \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ed1i h\u1ee3p c\u00e1c v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3.<\/li>\n<li><strong>C\u00e1c b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n.\u00a0<\/strong>X\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, sarcoidosis, b\u1ec7nh Celiac v\u00e0 c\u00e1c b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n kh\u00e1c c\u0169ng g\u00e2y th\u1ea5t \u0111i\u1ec1u.<\/li>\n<li><strong>Nhi\u1ec5m tr\u00f9ng.\u00a0<\/strong>Th\u1ea5t \u0111i\u1ec1u c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng kh\u00f4ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a th\u1ee7y \u0111\u1eadu v\u00e0 m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng nhi\u1ec5m virus kh\u00e1c. N\u00f3 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh v\u00e0 k\u00e9o d\u00e0i v\u00e0i ng\u00e0y, v\u00e0i tu\u1ea7n. Th\u00f4ng th\u01b0\u1eddng t\u00ecnh tr\u1ea1ng th\u1ea5t \u0111i\u1ec1u n\u00e0y s\u1ebd t\u1ef1 h\u1ebft sau m\u1ed9t th\u1eddi gian.<\/li>\n<li><strong>H\u1ed9i ch\u1ee9ng c\u1eadn ung (Paraneoplastic syndromes).\u00a0<\/strong>\u0110\u00e2y l\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n tho\u00e1i h\u00f3a hi\u1ebfm g\u1eb7p do h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n \u0111\u00e1p \u1ee9ng v\u1edbi kh\u1ed1i t\u1ebf b\u00e0o ung th\u01b0 (m\u00f4 t\u00e2n sinh), th\u01b0\u1eddng g\u1eb7p trong ung th\u01b0 ph\u1ed5i, bu\u1ed3ng tr\u1ee9ng, v\u00fa hay h\u1ea1ch b\u1ea1ch huy\u1ebft. Th\u1ea5t \u0111i\u1ec1u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m tr\u01b0\u1edbc khi b\u1ec7nh ung th\u01b0 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/li>\n<li><strong>Kh\u1ed1i u.\u00a0<\/strong>M\u1ed9t kh\u1ed1i u ph\u00e1t tri\u1ec3n trong n\u00e3o, l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh, c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ti\u1ec3u n\u00e3o.<\/li>\n<li><strong>Ph\u1ea3n \u1ee9ng \u0111\u1ed9c ch\u1ea5t.\u00a0<\/strong>Th\u1ea5t \u0111i\u1ec1u l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 ti\u1ec1m t\u00e0ng c\u1ee7a m\u1ed9t s\u1ed1 thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 barbiturates, ch\u1eb3ng h\u1ea1n nh\u01b0 phenobarbital, thu\u1ed1c an th\u1ea7n, nh\u01b0 benzodiazepines, v\u00e0 m\u1ed9t v\u00e0i lo\u1ea1i h\u00f3a tr\u1ecb li\u1ec7u. Vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n n\u00e0y l\u00e0 quan tr\u1ecdng v\u00ec c\u00e1c t\u00e1c d\u1ee5ng n\u00e0y th\u01b0\u1eddng s\u1ebd ph\u1ee5c h\u1ed3i.<br \/>\nM\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c b\u1ea1n u\u1ed1ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y c\u00e1c v\u1ea5n \u0111\u1ec1 khi b\u1ea1n c\u00f3 tu\u1ed5i.<br \/>\nNg\u1ed9 \u0111\u1ed9c r\u01b0\u1ee3u v\u00e0 thu\u1ed1c, ng\u1ed9 \u0111\u1ed9c kim lo\u1ea1i n\u1eb7ng nh\u01b0 ch\u00ec hay th\u1ee7y ng\u00e2n, ng\u1ed9 \u0111\u1ed9c dung m\u00f4i nh\u01b0 ch\u1ea5t pha lo\u00e3ng s\u01a1n c\u0169ng c\u00f3 th\u1ec3 g\u00e2y th\u1ea5t \u0111i\u1ec1u.<\/li>\n<li><strong>Thi\u1ebfu Vitamin E, vitamin B-12 hay Thiamine.\u00a0<\/strong>\u0102n kh\u00f4ng \u0111\u1ee7 dinh d\u01b0\u1ee1ng do k\u00e9m h\u1ea5p thu, do nghi\u1ec7n r\u01b0\u1ee3u hay do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn th\u1ea5t \u0111i\u1ec1u.<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p th\u1ea5t \u0111i\u1ec1u l\u1ebb t\u1ebb g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn kh\u00f4ng t\u00ecm th\u1ea5y nguy\u00ean nh\u00e2n \u0111\u1eb7c hi\u1ec7u. Th\u1ea5t \u0111i\u1ec1u l\u1ebb t\u1ebb c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t s\u1ed1 h\u00ecnh th\u1ee9c, bao g\u1ed3m teo \u0111a h\u1ec7 th\u1ed1ng (MSA- multiple system atrophy), m\u1ed9t r\u1ed1i lo\u1ea1n tho\u00e1i h\u00f3a ti\u1ebfn tri\u1ec3n.<\/p>\n<h2><strong>C\u00e1c th\u1ea5t \u0111i\u1ec1u di truy\u1ec1n<\/strong><\/h2>\n<p>M\u1ed9t s\u1ed1 d\u1ea1ng th\u1ea5t \u0111i\u1ec1u v\u00e0 c\u00e1c b\u1ec7nh l\u00fd g\u00e2y th\u1ea5t \u0111i\u1ec1u l\u00e0 b\u1ec7nh l\u00fd di truy\u1ec1n. Nh\u1eefng ng\u01b0\u1eddi n\u00e0y l\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c sinh ra c\u00f3 mang c\u00e1c khi\u1ebfm khuy\u1ebft \u1edf m\u1ed9t gen nh\u1ea5t \u0111\u1ecbnh t\u1ed5ng h\u1ee3p n\u00ean c\u00e1c protein b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>C\u00e1c protein b\u1ea5t th\u01b0\u1eddng g\u00e2y t\u1ed5n h\u1ea1i c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh, tr\u01b0\u1edbc ti\u00ean l\u00e0 \u1edf ti\u1ec3u n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng, l\u00e0m tho\u00e1i h\u00f3a ch\u00fang. V\u00ec b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u00ean c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u1ed1i h\u1ee3p s\u1ebd x\u1ea5u d\u1ea7n \u0111i.<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 th\u1eeba h\u01b0\u1edfng th\u1ea5t \u0111i\u1ec1u do gen t\u1eeb m\u1ed9t gen tr\u1ed9i c\u1ee7a ba ho\u1eb7c m\u1eb9 (r\u1ed1i lo\u1ea1n di truy\u1ec1n tr\u1ed9i tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng) hay t\u1eeb m\u1ed9t gen l\u1eb7n t\u1eeb c\u1ea3 ba v\u00e0 m\u1eb9 (r\u1ed1i lo\u1ea1n di truy\u1ec1n l\u1eb7n tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng). Trong tr\u01b0\u1eddng h\u1ee3p sau, c\u00f3 th\u1ec3 c\u1ea3 ba v\u00e0 m\u1eb9 \u0111\u1ec1u kh\u00f4ng b\u1ecb b\u1ec7nh (\u0111\u1ed9t bi\u1ebfn im l\u1eb7ng &#8211; silent mutation), v\u00ec th\u1ebf c\u00f3 th\u1ec3 kh\u00f4ng t\u00ecm th\u1ea5y ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh.<\/p>\n<p>C\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 gen kh\u00e1c nhau c\u00f3 th\u1ec3 g\u00e2y c\u00e1c d\u1ea1ng th\u1ea5t \u0111i\u1ec1u kh\u00e1c nhau, \u0111a s\u1ed1 c\u00e1c d\u1ea1ng l\u00e0 ti\u1ebfn tri\u1ec3n. C\u00e1c d\u1ea1ng \u0111\u1ec1u g\u00e2y m\u1ea5t ph\u1ed1i h\u1ee3p n\u1eb7ng, nh\u01b0ng m\u1ed7i d\u1ea1ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c hi\u1ec7u.<\/p>\n<h2><strong>C\u00e1c th\u1ea5t \u0111i\u1ec1u di truy\u1ec1n tr\u1ed9i nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng<\/strong><\/h2>\n<p><img decoding=\"async\" class=\"size-full wp-image-22975 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/09\/1-1.png\" alt=\"\" width=\"274\" height=\"248\" \/><\/p>\n<h3><strong>Ki\u1ec3u h\u00ecnh di truy\u1ec1n tr\u1ed9i nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng<\/strong><\/h3>\n<p>Bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>C\u00e1c th\u1ea5t \u0111i\u1ec1u gai- ti\u1ec3u n\u00e3o (Spinocerebellar ataxias).\u00a0<\/strong>C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 g\u1ecdi t\u00ean h\u01a1n 35 gen tr\u1ed9i g\u00e2y th\u1ea5t \u0111i\u1ec1u tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng, v\u00e0 con s\u1ed1 n\u00e0y \u0111ang c\u00f2n ti\u1ebfp t\u1ee5c t\u0103ng l\u00ean. Th\u1ea5t \u0111i\u1ec1u ti\u1ec3u n\u00e3o v\u00e0 tho\u00e1i h\u00f3a ti\u1ec3u n\u00e3o l\u00e0 th\u01b0\u1eddng g\u1eb7p trong t\u1ea5t c\u1ea3 c\u00e1c d\u1ea1ng, nh\u01b0ng c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u0169ng nh\u01b0 tu\u1ed5i kh\u1edfi ph\u00e1t th\u00ec kh\u00e1c nhau, t\u00f9y v\u00e0o \u0111\u1ed9t bi\u1ebfn gen \u0111\u1eb7c hi\u1ec7u.<\/li>\n<li><strong>Th\u1ea5t \u0111i\u1ec1u t\u1eebng \u0111\u1ee3t (Episodic ataxia &#8211; EA).\u00a0<\/strong>C\u00e1c 7 d\u1ea1ng th\u1ea5t \u0111i\u1ec1u di\u1ec5n ti\u1ebfn t\u1eebng \u0111\u1ee3t h\u01a1n l2 ti\u1ebfn tri\u1ec3n \u2013 t\u1eeb EA1 \u0111\u1ebfn EA7. EA1 v\u00e0 EA2 l\u00e0 hay g\u1eb7p nh\u1ea5t. EA1 c\u00f3 c\u00e1c \u0111\u1ee3t th\u1ea5t \u0111i\u1ec1u ng\u1eafn k\u00e9o d\u00e0i v\u00e0i gi\u00e2y \u0111\u1ebfn v\u00e0i ph\u00fat. C\u00e1c \u0111\u1ee3t n\u00e0y kh\u1edfi ph\u00e1t do c\u0103ng th\u1eb3ng (stress), b\u1ecb gi\u1eadt m\u00ecnh hay b\u1ecb di chuy\u1ec3n \u0111\u1ed9t ng\u1ed9t, v\u00e0 th\u01b0\u1eddng k\u00e8m theo co gi\u1eadt c\u01a1 (muscle twitching).<\/li>\n<\/ul>\n<p>EA2 c\u00f3 c\u00e1c \u0111\u1ee3t th\u1ea5t \u0111i\u1ec1u d\u00e0i h\u01a1n, th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 30 ph\u00fat \u0111\u1ebfn 6 gi\u1edd, c\u0169ng g\u00e2y ra do c\u0103ng th\u1eb3ng. B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb cho\u00e1ng v\u00e1ng (ch\u00f3ng m\u1eb7t), m\u1ec7t m\u1ecfi v\u00e0 y\u1ebfu c\u01a1 trong l\u00fac \u0111\u00f3. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, sau \u0111\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ebd kh\u00f4ng c\u00f2n n\u1eefa.<\/p>\n<p>Th\u1ea5t \u0111i\u1ec1u t\u1eebng \u0111\u1ee3t kh\u00f4ng l\u00e0m gi\u1ea3m tu\u1ed5i th\u1ecd v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c.<\/p>\n<h2><strong>C\u00e1c d\u1ea1ng th\u1ea5t \u0111i\u1ec1u di truy\u1ec1n l\u1eb7n nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng<\/strong><\/h2>\n<p><img decoding=\"async\" class=\"size-full wp-image-23006 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/09\/di-truyen-lan.png\" alt=\"\" width=\"266\" height=\"289\" \/><\/p>\n<h3><strong>C\u00e1c ki\u1ec3u h\u00ecnh di truy\u1ec1n l\u1eb7n nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng<\/strong><\/h3>\n<p>Bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Th\u1ea5t \u0111i\u1ec1u Friedreich.\u00a0<\/strong>\u0110\u00e2y l\u00e0 d\u1ea1ng th\u1ea5t \u0111i\u1ec1u di truy\u1ec1n ph\u1ed5 bi\u1ebfn do t\u1ed5n th\u01b0\u01a1ng ti\u1ec3u n\u00e3o, t\u1ee7y s\u1ed1ng v\u00e0 c\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean. C\u00e1c d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean mang t\u00edn hi\u1ec7u t\u1eeb n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng \u0111\u1ebfn c\u00e1c c\u01a1 c\u1ee7a b\u1ea1n.<\/li>\n<\/ul>\n<p>Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n s\u1edbm tr\u01b0\u1edbc 25 tu\u1ed5i.<\/p>\n<p>T\u1ed1c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh thay \u0111\u1ed5i. D\u1ea5u hi\u1ec7u ch\u1ec9 \u0111i\u1ec3m \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng g\u1eb7p l\u00e0 <strong>\u0111i l\u1ea1i kh\u00f3 kh\u0103n<\/strong> (th\u1ea5t \u0111i\u1ec1u d\u00e1ng \u0111i). B\u1ec7nh ti\u1ebfn tri\u1ec3n m\u1ed9t c\u00e1ch \u0111i\u1ec3n h\u00ecnh th\u00ec t\u1edbi th\u1ea5t \u0111i\u1ec1u tay v\u00e0 th\u00e2n tr\u1ee5c. Y\u1ebfu v\u00e0 teo c\u01a1 xu\u1ea5t hi\u1ec7n khi b\u1ec7nh \u0111\u00e3 ti\u1ebfn xa, g\u00e2y c\u00e1c d\u1ecb d\u1ea1ng \u0111\u1eb7c bi\u1ec7t \u1edf b\u00e0n ch\u00e2n, c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n tay.<\/p>\n<p>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n khi b\u1ec7nh ti\u1ebfn tri\u1ec3n bao g\u1ed3m n\u00f3i ch\u1eadm, l\u00edu nh\u00edu (n\u00f3i kh\u00f3- dysarthria), m\u1ec7t m\u1ecfi, c\u1eed \u0111\u1ed9ng m\u1eaft kh\u00f4ng t\u1ef1 ch\u1ee7 nhanh (rung gi\u1eadt nh\u00e3n c\u1ea7u- nystagmus); cong v\u1eb9o c\u1ed9t s\u1ed1ng (scoliosis); m\u1ea5t th\u00ednh l\u1ef1c; v\u00e0 b\u1ec7nh tim nh\u01b0 ph\u00ec \u0111\u1ea1i tim (b\u1ec7nh c\u01a1 tim) v\u00e0 suy tim. \u0110i\u1ec1u tr\u1ecb s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 s\u1ef1 s\u1ed1ng c\u00f2n.<\/p>\n<ul>\n<li><strong>Ch\u1ee9ng th\u1ea5t \u0111i\u1ec1u- gi\u00e3n m\u1ea1ch (Ataxia-telangiectasia).\u00a0<\/strong>\u0110\u00e2y l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n hi\u1ebfm g\u1eb7p c\u1ee7a tr\u1ebb nh\u1ecf g\u00e2y tho\u00e1i h\u00f3a n\u00e3o v\u00e0 c\u00e1c h\u1ec7 c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3. B\u1ec7nh c\u0169ng g\u00e2y suy gi\u1ea3m h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch (b\u1ec7nh l\u00fd suy gi\u1ea3m mi\u1ec5n d\u1ecbch), t\u0103ng kh\u1ea3 n\u0103ng m\u1eafc c\u00e1c b\u1ec7nh kh\u00e1c nh\u01b0 nhi\u1ec5m tr\u00f9ng hay b\u1ecb kh\u1ed1i u. N\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u t\u1ea1ng kh\u00e1c nhau trong c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n<p><strong>Hi\u1ec7n t\u01b0\u1ee3ng gi\u00e3n m\u1ea1ch<\/strong> l\u00e0 c\u00e1c t\u0129nh m\u1ea1ch h\u00ecnh m\u1ea1ng nh\u1ec7n m\u00e0u \u0111\u1ecf nh\u1ecf li ti c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf g\u00f3c m\u1eaft, tr\u00ean tai ho\u1eb7c m\u00e1 c\u1ee7a tr\u1ebb. Ch\u1eadm ph\u00e1t tri\u1ec3n k\u0129 n\u0103ng v\u1eadn \u0111\u1ed9ng, gi\u1eef th\u0103ng b\u1eb1ng k\u00e9m v\u00e0 n\u00f3i l\u00edu nh\u00edu l\u00e0 c\u00e1c ch\u1ec9 \u0111i\u1ec3m \u0111i\u1ec3n h\u00ecnh \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh. Vi\u00eam xoang\u00a0 v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p t\u00e1i ph\u00e1t l\u00e0 th\u01b0\u1eddng g\u1eb7p.<\/p>\n<p>Tr\u1ebb em b\u1ecb ch\u1ee9ng th\u1ea5t \u0111i\u1ec1u- gi\u00e3n m\u1ea1ch c\u00f3 nguy c\u01a1 cao b\u1ecb ung th\u01b0, \u0111\u1eb7c bi\u1ec7t l\u00e0 <strong>ung th\u01b0 m\u00e1u<\/strong> (b\u1ec7nh b\u1ea1ch c\u1ea7u- leukemia) ho\u1eb7c ung th\u01b0 h\u1ea1ch lympho (lymphoma). H\u1ea7u h\u1ebft ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn xe l\u0103n tr\u01b0\u1edbc tu\u1ed5i v\u1ecb th\u00e0nh ni\u00ean v\u00e0 ch\u1ebft tr\u01b0\u1edbc 30 tu\u1ed5i, th\u01b0\u1eddng do c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 ho\u1eb7c b\u1ec7nh ph\u1ed5i.<\/p>\n<ul>\n<li><strong>Th\u1ea5t \u0111i\u1ec1u ti\u1ec3u n\u00e3o b\u1ea9m sinh.\u00a0<\/strong>D\u1ea1ng th\u1ea5t \u0111i\u1ec1u n\u00e0y th\u01b0\u1eddng do t\u1ed5n th\u01b0\u01a1ng ti\u1ec3u n\u00e3o \u0111\u00e3 hi\u1ec7n di\u1ec7n l\u00fac sinh.<\/li>\n<li><strong>B\u1ec7nh Wilson.\u00a0<\/strong>Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y b\u1ecb \u1ee9 \u0111\u1ecdng \u0111\u1ed3ng trong n\u00e3o, gan v\u00e0 c\u00e1c t\u1ea1ng kh\u00e1c, g\u00e2y c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ea7n kinh bao g\u1ed3m th\u1ea5t \u0111i\u1ec1u. Nh\u1eadn bi\u1ebft b\u1ec7nh s\u1edbm c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb gi\u00fap l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n b\u1ec7nh.<\/li>\n<\/ul>\n<h2>Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>N\u1ebfu b\u1ea1n b\u1ecb th\u1ea5t \u0111i\u1ec1u, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd t\u00ecm ki\u1ebfm m\u1ed9t nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb. B\u00ean c\u1ea1nh vi\u1ec7c ti\u1ebfn h\u00e0nh th\u0103m kh\u00e1m th\u1ef1c th\u1ec3 v\u00e0 th\u0103m kh\u00e1m th\u1ea7n kinh, g\u1ed3m ki\u1ec3m tra tr\u00ed nh\u1edb v\u00e0 s\u1ef1 t\u1eadp trung, ki\u1ec3m tra th\u1ecb gi\u00e1c, th\u00ednh gi\u00e1c, s\u1ef1 th\u0103ng b\u1eb1ng, s\u1ef1 ph\u1ed1i h\u1ee3p v\u00e0 c\u00e1c ph\u1ea3n x\u1ea1, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f2n \u0111\u00f2i h\u1ecfi b\u1ea1n l\u00e0m c\u00e1c c\u1eadn l\u00e2m s\u00e0ng nh\u01b0:<\/p>\n<ul>\n<li><strong>H\u00ecnh \u1ea3nh h\u1ecdc.\u00a0<\/strong>M\u1ed9t h\u00ecnh CT ho\u1eb7c MRI n\u00e3o c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00e1c nguy\u00ean nh\u00e2n ti\u1ec1m t\u00e0ng. MRI th\u1ec9nh tho\u1ea3ng c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ef1 co r\u00fat (teo) c\u1ee7a ti\u1ec3u n\u00e3o v\u00e0 c\u00e1c c\u1ea5u tr\u00fac kh\u00e1c trong n\u00e3o b\u1ed9 ng\u01b0\u1eddi b\u1ecb th\u1ea5t \u0111i\u1ec1u. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 cho th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u1ee5c m\u00e1u \u0111\u00f4ng ho\u1eb7c u l\u00e0nh t\u00ednh g\u00e2y ch\u00e8n \u00e9p ti\u1ec3u n\u00e3o.<\/li>\n<li><strong>Ch\u1ecdc t\u1ee7y s\u1ed1ng.\u00a0<\/strong>M\u1ed9t c\u00e2y kim ch\u1ecdc v\u00e0o v\u00f9ng th\u1eaft l\u01b0ng c\u1ee7a b\u1ea1n \u1edf gi\u1eefa hai x\u01b0\u01a1ng s\u1ed1ng \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu d\u1ecbch n\u00e3o t\u1ee7y. D\u1ecbch n\u00e3o t\u1ee7y, l\u00e0 ch\u1ea5t d\u1ecbch bao xung quanh v\u00e0 b\u1ea3o v\u1ec7 n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng, s\u1ebd \u0111\u01b0\u1ee3c g\u1eedi \u0111i l\u00e0m x\u00e9t nghi\u1ec7m.<\/li>\n<li><strong>X\u00e9t nghi\u1ec7m gen.\u00a0<\/strong>B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb b\u1ea1n l\u00e0m x\u00e9t nghi\u1ec7m gen \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem b\u1ea1n v\u00e0 con c\u00e1i b\u1ea1n c\u00f3 mang \u0111\u1ed9t bi\u1ebfn gen g\u00e2y c\u00e1c b\u1ec7nh th\u1ea5t \u0111i\u1ec1u di truy\u1ec1n kh\u00f4ng. X\u00e9t nghi\u1ec7m gen l\u00e0 s\u1eb5n c\u00f3 cho kh\u00e1 nhi\u1ec1u nh\u01b0ng kh\u00f4ng ph\u1ea3i cho t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh l\u00fd th\u1ea5t \u0111i\u1ec1u di truy\u1ec1n.<\/li>\n<\/ul>\n<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p>Kh\u00f4ng c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho th\u1ea5t \u0111i\u1ec1u. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n n\u1ec1n c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c th\u1ea5t \u0111i\u1ec1u, ch\u1eb3ng h\u1ea1n d\u1eebng c\u00e1c thu\u1ed1c g\u00e2y th\u1ea5t \u0111i\u1ec1u. V\u00e0i tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, v\u00ed d\u1ee5 c\u00e1c th\u1ea5t \u0111i\u1ec1u do th\u1ee7y \u0111\u1eadu hay do nhi\u1ec5m c\u00e1c virus kh\u00e1c, h\u1ea7u nh\u01b0 s\u1ebd t\u1ef1 h\u1ebft. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb c\u00e1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, m\u1ec7t m\u1ecfi ho\u1eb7c cho\u00e1ng v\u00e1ng, hay \u0111\u1ec1 ngh\u1ecb d\u00f9ng c\u00e1c d\u1ee5ng c\u1ee5 th\u00edch \u1ee9ng ho\u1eb7c c\u00e1c tr\u1ecb li\u1ec7u tr\u1ee3 gi\u00fap cho t\u00ecnh tr\u1ea1ng th\u1ea5t \u0111i\u1ec1u c\u1ee7a b\u1ea1n.<\/p>\n<h3>C\u00e1c d\u1ee5ng c\u1ee5 th\u00edch \u1ee9ng<\/h3>\n<p>Th\u1ea5t \u0111i\u1ec1u do m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c ho\u1eb7c b\u1ec7nh b\u1ea1i n\u00e3o c\u00f3 l\u1ebd kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd \u0111\u1ec1 ngh\u1ecb b\u1ea1n d\u00f9ng c\u00e1c d\u1ee5ng c\u1ee5 gi\u00fap th\u00edch \u1ee9ng, bao g\u1ed3m:<\/p>\n<ul>\n<li>G\u1eady ho\u1eb7c khung t\u1eadp \u0111i.<\/li>\n<li>D\u1ea1ng c\u1ee5 h\u1ed7 tr\u1ee3 khi \u0103n.<\/li>\n<li>C\u00e1c h\u1ed7 tr\u1ee3 trong giao ti\u1ebfp khi n\u00f3i.<\/li>\n<\/ul>\n<h3>Tr\u1ecb li\u1ec7u<\/h3>\n<p>C\u00e1c ph\u01b0\u01a1ng th\u1ee9c tr\u1ecb li\u1ec7u sau c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i:<\/p>\n<ul>\n<li>V\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap cho s\u1ef1 ph\u1ed1i h\u1ee3p v\u00e0 t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u1ea1n.<\/li>\n<li>Lao \u0111\u1ed9ng tr\u1ecb li\u1ec7u gi\u00fap b\u1ea1n trong c\u00e1c sinh ho\u1ea1t h\u00e0ng ng\u00e0y, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ef1 m\u00ecnh \u0103n u\u1ed1ng.<\/li>\n<li>Ng\u00f4n ng\u1eef tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n l\u1eddi n\u00f3i v\u00e0 h\u1ed7 tr\u1ee3 nu\u1ed1t.<\/li>\n<\/ul>\n<p>T\u00f3m l\u01b0\u1ee3c m\u1ed9t s\u1ed1 k\u1ebft qu\u1ea3 \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o v\u00e0o th\u00e1ng 2 n\u0103m 2018 trong <em>\u201c<\/em><em>Ch\u1ec9 d\u1eabn \u0111i\u1ec1u tr\u1ecb th\u1ea5t \u0111i\u1ec1u v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng ti\u1ec3u n\u00e3o<\/em><em>\u201d<\/em> c\u1ee7a Vi\u1ec7n H\u00e0n L\u00e2m Th\u1ea7n Kinh H\u1ecdc M\u1ef9 (American Academy of Neurology \u2013 AAN):<\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb th\u1ea5t \u0111i\u1ec1u t\u1eebng \u0111\u1ee3t type 2 (EA2): \u00a04-aminopyridine 15 mg\/ng\u00e0y c\u00f3 th\u1ec3 gi\u1ea3m t\u1ea7n s\u1ed1 c\u00e1c \u0111\u1ee3t th\u1ea5t \u0111i\u1ec1u tr\u00ean 3 th\u00e1ng (1 nghi\u00ean c\u1ee9u nh\u00f3m I).<\/li>\n<li>B\u1ec7nh nh\u00e2n th\u1ea5t \u0111i\u1ec1u do c\u0103n nguy\u00ean h\u1ed7n h\u1ee3p (mixed etiology): \u00a0riluzole c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng th\u1ea5t \u0111i\u1ec1u khi \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c 8 tu\u1ea7n (1 nghi\u00ean c\u1ee9u nh\u00f3m I).<\/li>\n<li>B\u1ec7nh nh\u00e2n th\u1ea5t \u0111i\u1ec1u Friedreich ho\u1eb7c th\u1ea5t \u0111i\u1ec1u gai ti\u1ec3u n\u00e3o (spinocerebellar ataxia -SCA): riluzole gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng th\u1ea5t \u0111i\u1ec1u khi \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c 12 tu\u1ea7n (1 nghi\u00ean c\u1ee9u nh\u00f3m I).<\/li>\n<li>B\u1ec7nh nh\u00e2n th\u1ea5t \u0111i\u1ec1u gai ti\u1ec3u n\u00e3o (SCA) type 3: valproic acid 1200 mg\/ng\u00e0y c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n th\u1ea5t \u0111i\u1ec1u khi \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c 12 tu\u1ea7n. (1 nghi\u00ean c\u1ee9u nh\u00f3m I).<\/li>\n<li>B\u1ec7nh nh\u00e2n tho\u00e1i h\u00f3a gai ti\u1ec3u n\u00e3o, hormon gi\u1ea3i ph\u00f3ng thyrotropin (thyrotropin-releasing hormone) c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n v\u00e0i d\u1ea5u hi\u1ec7u th\u1ea5t \u0111i\u1ec1u sau \u0111i\u1ec1u tr\u1ecb tr\u00ean 10- 14 ng\u00e0y (1 nghi\u00ean c\u1ee9u nh\u00f3m II).<\/li>\n<li>B\u1ec7nh nh\u00e2n th\u1ea5t \u0111i\u1ec1u gai ti\u1ec3u n\u00e3o SCA type 3 \u0111\u00e3 ng\u1ed3i xe l\u0103n, lithium kh\u00f4ng gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7n th\u1ea5t \u0111i\u1ec1u sau \u0111i\u1ec1u tr\u1ecb tr\u00ean 48 tu\u1ea7n (1 nghi\u00ean c\u1ee9u nh\u00f3m I).<\/li>\n<li>B\u1ec7nh nh\u00e2n th\u1ea5t \u0111i\u1ec1u Friedreich, deferiprone c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng c\u00e1c d\u1ea5u hi\u1ec7u th\u1ea5t \u0111i\u1ec1u khi \u0111i\u1ec1u tr\u1ecb tr\u00ean 6 th\u00e1ng (1 nghi\u00ean c\u1ee9u nh\u00f3m II).<\/li>\n<li>Ch\u01b0a \u0111\u1ee7 d\u1eef li\u1ec7u \u0111\u1ec3 \u1ee7ng h\u1ed9 hay t\u1eeb ch\u1ed1i l\u1ee3i \u00edch c\u1ee7a nhi\u1ec1u t\u00e1c nh\u00e2n. \u0110\u1ed1i v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u1ecb li\u1ec7u kh\u00f4ng d\u00f9ng thu\u1ed1c, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng n\u1ed9i tr\u00fa (trong b\u1ec7nh vi\u1ec7n) cho c\u00e1c b\u1ec7nh nh\u00e2n th\u1ea5t \u0111i\u1ec1u do tho\u00e1i h\u00f3a gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ea5t \u0111i\u1ec1u v\u00e0 ch\u1ee9c n\u0103ng (1 nghi\u00ean c\u1ee9u nh\u00f3m I); k\u00edch th\u00edch t\u1eeb tr\u01b0\u1eddng xuy\u00ean s\u1ecd c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c d\u1ea5u ti\u1ec3u n\u00e3o khi \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c 21 ng\u00e0y (1 nghi\u00ean c\u1ee9u nh\u00f3m II).<\/li>\n<\/ul>\n<h2>C\u00e1c \u0111i\u1ec1u ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u00e0 c\u00e1c h\u1ed7 tr\u1ee3<\/h2>\n<p>C\u00e1c th\u00e1ch th\u1ee9c b\u1ea1n ph\u1ea3i \u0111\u1ed1i m\u1eb7t khi s\u1ed1ng v\u1edbi c\u0103n b\u1ec7nh th\u1ea5t \u0111i\u1ec1u ho\u1eb7c c\u00f3 m\u1ed9t \u0111\u1ee9a con m\u1eafc b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn b\u1ea1n c\u1ea3m th\u1ea5y c\u00f4 \u0111\u01a1n ho\u1eb7c d\u1eabn \u0111\u1ebfn tr\u1ea7m c\u1ea3m v\u00e0 lo \u00e2u. N\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t nh\u00e2n vi\u00ean t\u01b0 v\u1ea5n ho\u1eb7c chuy\u00ean vi\u00ean tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 gi\u00fap \u00edch cho b\u1ea1n. Ho\u1eb7c b\u1ea1n c\u00f3 th\u1ec3 t\u00ecm th\u1ea5y s\u1ef1 \u0111\u1ed9ng vi\u00ean hay \u0111\u1ed3ng c\u1ea3m trong m\u1ed9t nh\u00f3m h\u1ed7 tr\u1ee3, c\u00f3 th\u1ec3 g\u1ed3m nh\u1eefng ng\u01b0\u1eddi b\u1ecb th\u1ea5t \u0111i\u1ec1u ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi b\u1ecb c\u00e1c b\u1ec7nh gi\u1ed1ng b\u1ea1n ch\u1eb3ng h\u1ea1n ung th\u01b0 hay x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c.<\/p>\n<p>M\u1eb7c d\u00f9 c\u00e1c nh\u00f3m h\u1ed7 tr\u1ee3 kh\u00f4ng d\u00e0nh cho t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi, nh\u01b0ng c\u00e1c nh\u00f3m n\u00e0y c\u00f3 th\u1ec3 l\u00e0 ngu\u1ed3n cung c\u1ea5p th\u00f4ng tin t\u1ed1t. C\u00e1c th\u00e0nh vi\u00ean nh\u00f3m th\u01b0\u1eddng bi\u1ebft v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t v\u00e0 c\u00f3 xu h\u01b0\u1edbng chia s\u1ebb kinh nghi\u1ec7m c\u1ee7a ri\u00eang h\u1ecd. N\u1ebfu b\u1ea1n quan t\u00e2m, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u m\u1ed9t nh\u00f3m trong khu v\u1ef1c c\u1ee7a b\u1ea1n.<\/p>\n<h2>Chu\u1ea9n b\u1ecb \u0111\u1ec3 \u0111i kh\u00e1m b\u1ec7nh<\/h2>\n<p>Tr\u01b0\u1edbc ti\u00ean, b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p b\u00e1c s\u0129 gia \u0111\u00ecnh ho\u1eb7c m\u1ed9t b\u00e1c s\u0129 \u0111a khoa. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u b\u1ea1n \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa n\u1ed9i th\u1ea7n kinh.<\/p>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin gi\u00fap b\u1ea1n s\u1eb5n s\u00e0ng cho cu\u1ed9c h\u1eb9n c\u1ee7a m\u00ecnh:<\/p>\n<h3><strong>B\u1ea1n c\u00f3 th\u1ec3 l\u00e0m g\u00ec<\/strong><\/h3>\n<p>Khi \u0111\u1ebfn kh\u00e1m, h\u00e3y h\u1ecfi xem b\u1ea1n c\u00f3 c\u1ea7n l\u00e0m g\u00ec tr\u01b0\u1edbc kh\u00f4ng, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1ecbn \u0103n tr\u01b0\u1edbc khi l\u00e0m x\u00e9t nghi\u1ec7m. L\u00e0m m\u1ed9t danh s\u00e1ch g\u1ed3m:<\/p>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n (bao g\u1ed3m b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o d\u00f9 c\u00f3 v\u1ebb kh\u00f4ng li\u00ean quan \u0111\u1ebfn l\u00fd do b\u1ea1n \u0111\u1ebfn kh\u00e1m) v\u00e0 th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>C\u00e1c th\u00f4ng tin c\u00e1 nh\u00e2n ch\u1ee7 y\u1ebfu, bao g\u1ed3m ti\u1ec1n s\u1eed b\u1ec7nh c\u1ee7a b\u1ea1n v\u00e0 ti\u1ec1n s\u1eed b\u1ec7nh gia \u0111\u00ecnh.<\/li>\n<li>T\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c, vitamin ho\u1eb7c ch\u1ea5t b\u1ed5 sung b\u1ea1n d\u00f9ng, li\u1ec1u l\u01b0\u1ee3ng<\/li>\n<li>C\u00e1c c\u00e2u h\u1ecfi \u0111\u1ec3 h\u1ecfi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n.<\/li>\n<\/ul>\n<p>H\u00e3y \u0111i c\u00f9ng m\u1ed9t th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh ho\u1eb7c b\u1ea1n b\u00e8, n\u1ebfu c\u00f3 th\u1ec3, \u0111\u1ec3 gi\u00fap b\u1ea1n nh\u1edb th\u00f4ng tin b\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c.<\/p>\n<p><strong>\u0110\u1ed1i v\u1edbi b\u1ec7nh m\u1ea5t \u0111i\u1ec1u h\u00f2a, c\u00e1c c\u00e2u h\u1ecfi c\u01a1 b\u1ea3n \u0111\u1ec3 h\u1ecfi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n bao g\u1ed3m:<\/strong><\/p>\n<ul>\n<li>\u0110i\u1ec1u g\u00ec c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u00f4i?<\/li>\n<li>Ngo\u00e0i nguy\u00ean nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng nh\u1ea5t, c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 l\u00e0 g\u00ec?<\/li>\n<li>T\u00f4i c\u1ea7n nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0o?<\/li>\n<li>T\u00ecnh tr\u1ea1ng c\u1ee7a t\u00f4i ch\u1ec9 l\u00e0 t\u1ea1m th\u1eddi hay m\u00e3n t\u00ednh?<\/li>\n<li>L\u00e0m g\u00ec l\u00e0 t\u1ed1t nh\u1ea5t cho t\u00f4i?<\/li>\n<li>C\u00f3 thi\u1ebft b\u1ecb n\u00e0o c\u00f3 th\u1ec3 gi\u00fap t\u00f4i ph\u1ed1i h\u1ee3p kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00e1c. L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 t\u00f4i c\u00f3 th\u1ec3 qu\u1ea3n l\u00fd ch\u00fang t\u1ed1t nh\u1ea5t v\u1edbi nhau?<\/li>\n<li>T\u00f4i c\u00f3 c\u1ea7n ph\u1ea3i ki\u00eang c\u1eed g\u00ec kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 n\u00ean g\u1eb7p chuy\u00ean gia kh\u00f4ng?<\/li>\n<li>C\u00f3 t\u1edd b\u01b0\u1edbm ho\u1eb7c t\u00e0i li\u1ec7u in n\u00e0o m\u00e0 t\u00f4i c\u00f3 th\u1ec3 mang theo b\u00ean m\u00ecnh kh\u00f4ng? B\u00e1c s\u0129 c\u00f3 \u0111\u1ec1 ngh\u1ecb trang web n\u00e0o kh\u00f4ng?<\/li>\n<li>B\u00e1c s\u0129 c\u00f3 bi\u1ebft c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 th\u1ea5t \u0111i\u1ec1u m\u00e0 t\u00f4i c\u00f3 th\u1ec3 tham gia kh\u00f4ng?<\/li>\n<\/ul>\n<p>\u0110\u1eebng ng\u1ea7n ng\u1ea1i \u0111\u1eb7t c\u00e2u h\u1ecfi kh\u00e1c.<\/p>\n<h3><strong>Nh\u1eefng g\u00ec mong \u0111\u1ee3i t\u1eeb b\u00e1c s\u0129 c\u1ee7a b\u1ea1n<\/strong><\/h3>\n<p>B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi b\u1ea1n nh\u1eefng c\u00e2u h\u1ecfi, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n c\u00f3 li\u00ean t\u1ee5c ho\u1eb7c th\u1ec9nh tho\u1ea3ng kh\u00f4ng?<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n n\u1eb7ng \u0111\u1ebfn m\u1ee9c n\u00e0o?<\/li>\n<li>\u0110i\u1ec1u g\u00ec d\u01b0\u1eddng nh\u01b0 gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n?<\/li>\n<li>\u0110i\u1ec1u g\u00ec c\u00f3 v\u1ebb l\u00e0m x\u1ea5u \u0111i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n?<\/li>\n<li>B\u1ea1n c\u00f3 ng\u01b0\u1eddi nh\u00e0 m\u1eafc c\u00e1c lo\u1ea1i tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f4ng?<\/li>\n<li>B\u1ea1n c\u00f3 s\u1eed d\u1ee5ng r\u01b0\u1ee3u ho\u1eb7c ma t\u00fay kh\u00f4ng?<\/li>\n<li>B\u1ea1n \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t \u0111\u1ed9c kh\u00f4ng?<\/li>\n<li>G\u1ea7n \u0111\u00e2y b\u1ea1n c\u00f3 b\u1ecb nhi\u1ec5m vi-r\u00fat kh\u00f4ng?<\/li>\n<\/ul>\n<h3><strong>B\u1ea1n c\u00f3 th\u1ec3 l\u00e0m g\u00ec trong th\u1eddi gian ch\u1edd \u0111\u1ee3i<\/strong><\/h3>\n<p>Kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u ho\u1eb7c u\u1ed1ng ch\u1ea5t k\u00edch th\u00edch, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m cho tri\u1ec7u ch\u1ee9ng th\u1ea5t \u0111i\u1ec1u c\u1ee7a b\u1ea1n t\u1ed3i t\u1ec7 h\u01a1n.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>Trang <a href=\"http:\/\/www.mayoclinic.org\">mayoclinic.org<\/a>, link: <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/ataxia\/symptoms-causes\/syc-20355652\">https:\/\/www.mayoclinic.org\/diseases-conditions\/ataxia\/symptoms-causes\/syc-20355652<\/a><\/li>\n<li>Treatment of Cerebellar Motor Dysfunction and Ataxia , link pdf: https:\/\/www.aan.com\/Guidelines\/Home\/GetGuidelineContent\/893<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ea5t \u0111i\u1ec1u h\u00f2a (th\u1ea5t \u0111i\u1ec1u) l\u00e0 thi\u1ebfu s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 ho\u1eb7c thi\u1ebfu s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c v\u1eadn \u0111\u1ed9ng t\u1ef1 ch\u1ee7, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111i l\u1ea1i hay nh\u1eb7t \u0111\u1ed3 v\u1eadt.<\/p>\n","protected":false},"author":110,"featured_media":6431,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3884,5148,3353,5149,5230,1],"tags":[4825,4826],"series":[1583],"coauthors":[1778],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u1ea5t \u0111i\u1ec1u h\u00f2a v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng ti\u1ec3u n\u00e3o -Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"M\u1ea5t \u0111i\u1ec1u h\u00f2a (th\u1ea5t \u0111i\u1ec1u) l\u00e0 thi\u1ebfu s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 ho\u1eb7c thi\u1ebfu s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c v\u1eadn \u0111\u1ed9ng t\u1ef1 ch\u1ee7, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111i l\u1ea1i hay nh\u1eb7t \u0111\u1ed3 v\u1eadt.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/mat-dieu-hoa-that-dieu-va-roi-loan-chuc-nang-van-dong-tieu-nao\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u1ea5t \u0111i\u1ec1u h\u00f2a v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng ti\u1ec3u n\u00e3o -Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"M\u1ea5t \u0111i\u1ec1u h\u00f2a (th\u1ea5t \u0111i\u1ec1u) l\u00e0 thi\u1ebfu s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a c\u01a1 ho\u1eb7c thi\u1ebfu s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c v\u1eadn \u0111\u1ed9ng t\u1ef1 ch\u1ee7, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111i l\u1ea1i hay nh\u1eb7t \u0111\u1ed3 v\u1eadt.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/mat-dieu-hoa-that-dieu-va-roi-loan-chuc-nang-van-dong-tieu-nao\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/phuongkhanhph\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-10T22:30:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T22:07:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2018\/09\/mat-dieu-hoa-that-dieu-va-roi-loan-chuc-nang-van-dong-tieu-nao-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths.BS. 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