{"id":7778,"date":"2017-06-19T01:29:31","date_gmt":"2017-06-18T18:29:31","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/benh-than-kinh-ngoai-bien-trong-ung-thu\/"},"modified":"2024-04-29T16:26:41","modified_gmt":"2024-04-29T09:26:41","slug":"benh-than-kinh-ngoai-bien-trong-ung-thu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/benh-than-kinh-ngoai-bien-trong-ung-thu\/","title":{"rendered":"B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean trong ung th\u01b0"},"content":{"rendered":"<h2>B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/h2>\n<p>H\u1ec7 th\u1ea7n kinh ngo\u1ea1i bi\u00ean bao g\u1ed3m nh\u1eefng d\u00e2y th\u1ea7n kinh b\u00ean ngo\u00e0i n\u00e3o b\u1ed9 v\u00e0 t\u1ee7y s\u1ed1ng. N\u00e3o b\u1ed9 v\u00e0 t\u1ee7y s\u1ed1ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0m nhi\u1ec7m v\u1ee5 <strong>truy\u1ec1n tin<\/strong> gi\u1eefa h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a c\u01a1 th\u1ec3. B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 s\u1ef1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh thu\u1ed9c h\u1ec7 th\u1ea7n kinh ngo\u1ea1i bi\u00ean. T\u00f9y thu\u1ed9c v\u00e0o d\u00e2y th\u1ea7n kinh n\u00e0o b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ghi nh\u1eadn nh\u1eefng tri\u1ec7u ch\u1ee9ng sau:<\/p>\n<ul>\n<li>D\u1ecb c\u1ea3m, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n nh\u01b0 b\u1ecb t\u00ea, ch\u00e2m ch\u00edch ho\u1eb7c \u0111au nh\u1ee9c;<\/li>\n<li>Y\u1ebfu c\u01a1 (nh\u01b0\u1ee3c c\u01a1), g\u1ecdi l\u00e0 c\u00e1c b\u1ec7nh v\u1ec1 c\u01a1;<\/li>\n<li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan, d\u1eabn \u0111\u1ebfn ch\u00f3ng m\u1eb7t ho\u1eb7c t\u00e1o b\u00f3n.<\/li>\n<\/ul>\n<h2>Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/h2>\n<p>C\u00f3 th\u1ec3 l\u00e0:<\/p>\n<ul>\n<li>C\u00e1c b\u1ec7nh nh\u01b0: ung th\u01b0, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\">\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> ho\u1eb7c b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p;<\/li>\n<li>V\u1ea5n \u0111\u1ec1 v\u1ec1 dinh d\u01b0\u1ee1ng, ch\u1eb3ng h\u1ea1n nh\u01b0 thi\u1ebfu <a href=\"https:\/\/yhoccongdong.com\/thongtin\/vitamin-b12\/\" target=\"_blank\" rel=\"noopener\">vitamin B12<\/a>;<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-di-truyen-va-nhung-xet-nghiem-giup-phat-hien-benh-di-truyen\/\" target=\"_blank\" rel=\"noopener\">B\u1ec7nh di truy\u1ec1n<\/a>, nh\u01b0 b\u1ec7nh Charcot-Marie-Tooth<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra r\u1ed1i lo\u1ea1n v\u1ec1 th\u1ea7n kinh ngo\u1ea1i bi\u00ean ho\u1eb7c khi\u1ebfn c\u00e1c r\u1ed1i lo\u1ea1n n\u00e0y tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n.<\/p>\n<h2>Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan \u0111\u1ebfn ung th\u01b0<\/h2>\n<p>B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p li\u00ean quan \u0111\u1ebfn ung th\u01b0. B\u1ea5t c\u1ee9 ai b\u1ecb ch\u1ea9n \u0111o\u00e1n ung th\u01b0 \u0111\u1ec1u c\u00f3 nguy c\u01a1 m\u1eafc ph\u1ea3i r\u1ed1i lo\u1ea1n n\u00e0y.<\/p>\n<p>Nh\u1eefng y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 l\u00e0m gia t\u0103ng nguy c\u01a1 g\u1ed3m:<\/p>\n<ul>\n<li><strong>V\u1ecb tr\u00ed<\/strong> kh\u1ed1i u: Kh\u1ed1i u ch\u00e8n l\u00ean d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean hay x\u00e2m l\u1ea5n d\u00e2y th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/dieu-gi-se-dien-ra-trong-dieu-tri-hoa-tri\/\" target=\"_blank\" rel=\"noopener\"><strong>H\u00f3a tr\u1ecb<\/strong>:<\/a> M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u00f3a tr\u1ecb \u0111\u1eb7c th\u00f9, \u0111\u1eb7c bi\u1ec7t \u1edf li\u1ec1u cao, c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean. Bao g\u1ed3m c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb sau:\n<ul>\n<li>Bortezomib (Velcade)<\/li>\n<li>Platinums, g\u1ed3m cisplatin (Platinol), oxaliplatin (Eloxatin) v\u00e0 carboplatin (Paraplatin)<\/li>\n<li>Taxanes, g\u1ed3m docetaxel (Docefrez, Taxotere) v\u00e0 paclitaxel (Taxol)<\/li>\n<li>Nh\u00f3m Thalidomide (Synovir, Thalomid)<\/li>\n<li>Vinca alkaloids, g\u1ed3m vincristine (Vincasar), vinorelbine (Navelbine)v\u00e0 vinblastine (Velban)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/xa-tri-trong-dieu-tri-ung-thu\/\" target=\"_blank\" rel=\"noopener\"><strong>X\u1ea1 tr\u1ecb<\/strong>:<\/a> X\u1ea1 tr\u1ecb c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u1ec5, sau v\u00e0i n\u0103m.<\/li>\n<li><strong>Ph\u1eabu thu\u1eadt<\/strong>: Ph\u1eabu thu\u1eadt \u1edf ph\u1ed5i, v\u00fa ho\u1eb7c \u0111o\u1ea1n chi \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng d\u1eabn \u0111\u1ebfn b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/li>\n<li><strong>C\u00e1c r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn ung th\u01b0:<\/strong> Hi\u1ebfm g\u1eb7p l\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n do <strong>h\u1ed9i ch\u1ee9ng c\u1eadn ung<\/strong>. Ch\u00fang ph\u00e1t sinh khi h\u1ec7 mi\u1ec5n d\u1ecbch ph\u1ea3n \u1ee9ng v\u1edbi t\u1ebf b\u00e0o ung th\u01b0. Nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i vi. Nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb ung th\u01b0 ph\u1ed5i. B\u1ec7nh zona l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m virut th\u01b0\u1eddng g\u00e2y \u0111au v\u00e0 ph\u00e1t ban \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch y\u1ebfu, b\u1ec7nh n\u00e0y c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/li>\n<\/ul>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0, h\u00e3y b\u00e1o cho b\u00e1c s\u0129 hay n\u1ebfu b\u1ea1n \u0111\u00e3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean. B\u1ea1n c\u0169ng n\u00ean th\u1ea3o lu\u1eadn v\u1ec1 b\u1ea5t k\u1ef3 y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0o kh\u00e1c m\u00e0 b\u1ea1n m\u1eafc ph\u1ea3i (s\u1ebd \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea d\u01b0\u1edbi \u0111\u00e2y). C\u00e1c y\u1ebfu t\u1ed1 sau l\u00e0 nh\u1eefng nguy c\u01a1 c\u1ee7a b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/p>\n<h2>C\u00e1c nguy c\u01a1 kh\u00f4ng li\u00ean quan t\u1edbi ung th\u01b0<\/h2>\n<p>Nh\u1eefng \u0111i\u1ec1u ki\u1ec7n c\u00f3 s\u1eb5n sau \u0111\u00e2y \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean. B\u1ec7nh nh\u00e2n m\u1eafc ph\u1ea3i b\u1ea5t k\u1ef3 b\u1ec7nh n\u00e0o trong s\u1ed1 c\u00e1c b\u1ec7nh sau \u0111\u1ec1u c\u00f3 c\u00f3 nguy c\u01a1 cao b\u1ecb m\u1eafc b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\">\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a>;<\/li>\n<li>Nghi\u1ec7n r\u01b0\u1ee3u;<\/li>\n<li>B\u1ec7nh truy\u1ec1n nhi\u1ec5m, ch\u1eb3ng h\u1ea1n nh\u01b0 HIV-AIDS;<\/li>\n<li>C\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n, nh\u01b0 lupus v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/viem-khop-dang-thap-nguyen-nhan-trieu-chung-va-dieu-tri\/\" target=\"_blank\" rel=\"noopener\">vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/a>;<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/suy-giap\/\" target=\"_blank\" rel=\"noopener\">Nh\u01b0\u1ee3c gi\u00e1p<\/a>;<\/li>\n<li>B\u1ec7nh l\u00fd th\u1eadn ho\u1eb7c suy th\u1eadn;<\/li>\n<li>C\u00e1c b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean di truy\u1ec1n nh\u01b0 b\u1ec7nh Charcot-Marie-Tooth;<\/li>\n<li>Ng\u1ed9 \u0111\u1ed9c ch\u00ec ho\u1eb7c nhi\u1ec5m thu\u1ed1c tr\u1eeb s\u00e2u;<\/li>\n<li>Stress n\u1eb7ng.<\/li>\n<\/ul>\n<h2>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-13244 aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2017\/06\/benh-than-kinh-ngoai-bien.jpg\" alt=\"Tri\u1ec7u ch\u1ee9ng b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean\" width=\"393\" height=\"217\" \/><\/p>\n<p>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean \u1edf m\u1ed7i ng\u01b0\u1eddi l\u00e0 kh\u00e1c nhau. C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh <strong>ph\u1ee5 thu\u1ed9c v\u00e0o d\u00e2y th\u1ea7n kinh n\u00e0o b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng d\u00e2y th\u1ea7n kinh b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/strong><\/p>\n<p>Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ho\u1eb7c m\u1ed9t th\u1eddi gian ng\u1eafn sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0. B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n ch\u1eadm ho\u1eb7c tr\u1edf n\u1eb7ng sau khi \u0111i\u1ec1u tr\u1ecb k\u1ebft th\u00fac. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng ng\u01b0\u1eddi s\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c platinum v\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c taxanes. C\u00f3 3 nh\u00f3m th\u1ea7n kinh ngo\u1ea1i bi\u00ean c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng:<\/p>\n<ul>\n<li><strong>Th\u1ea7n kinh c\u1ea3m gi\u00e1c<\/strong>: Nh\u1eefng b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3m gi\u00e1c s\u1edd v\u00e0 c\u1ea3m nh\u1eadn \u1edf tay v\u00e0 ch\u00e2n. Sau \u0111\u00e2y l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng khi th\u1ea7n kinh c\u1ea3m gi\u00e1c b\u1ecb \u1ea3nh h\u01b0\u1edfng:\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 t\u00ea, ch\u00e2m ch\u00edch, b\u1ecfng r\u00e1t ho\u1eb7c nh\u01b0 b\u1ecb \u0111i\u1ec7n gi\u1eadt. Tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u \u1edf ng\u00f3n ch\u00e2n v\u00e0 ng\u00f3n tay, sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111i d\u1ecdc l\u00ean c\u1eb3ng ch\u00e2n v\u00e0 c\u00e1nh tay.<\/li>\n<li>B\u1ea1n c\u00f3 th\u1ec3 c\u00f3 c\u1ea3m gi\u00e1c nh\u01b0 m\u00ecnh \u0111ang \u0111eo g\u0103ng tay ho\u1eb7c mang v\u1edb ch\u1eb7t b\u00f3.<\/li>\n<li>B\u1ea1n c\u00f3 c\u1ea3m gi\u00e1c kh\u00f4ng tho\u1ea3i m\u00e1i \u1edf b\u00e0n tay ho\u1eb7c b\u00e0n ch\u00e2n, nh\u1ea5t l\u00e0 khi ch\u1ea1m v\u00e0o c\u00e1c \u0111\u1ed3 v\u1eadt.<\/li>\n<li>C\u00e1c v\u1eadt d\u01b0\u1edbi ch\u00e2n th\u01b0\u1eddng ng\u00e0y kh\u00f4ng g\u00e2y \u0111au nh\u01b0 gi\u00e0y d\u00e9p, t\u1ea5m drap tr\u1ea3i gi\u01b0\u1eddng&#8230; nay l\u1ea1i g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au.<\/li>\n<li>B\u1ea1n c\u00f3 th\u1ec3 t\u0103ng c\u1ea3m gi\u00e1c \u0111au t\u1ef1a nh\u01b0 b\u1ecb ng\u1eaft nh\u00e9o, \u0111\u00e2m, n\u00f3ng b\u1ecfng v\u00e0 \u0111i\u1ec7n gi\u1eadt.<\/li>\n<li>B\u1ea1n c\u00f3 th\u1ec3 \u00edt c\u1ea3m nh\u1eadn v\u1edbi nhi\u1ec7t \u0111\u1ed9 n\u00f3ng ho\u1eb7c l\u1ea1nh, ho\u1eb7c kh\u00f4ng bi\u1ebft r\u1eb1ng m\u00ecnh t\u1ef1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li>B\u1ea1n c\u00f3 th\u1ec3 r\u1ea5t kh\u00f3 kh\u0103n \u0111\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed c\u1ee7a b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a m\u00ecnh \u0111ang \u1edf \u0111\u00e2u. T\u00ecnh tr\u1ea1ng n\u1ea7y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u1ea5t \u0111\u1ecbnh v\u1ecb. N\u00f3 l\u00e0m cho vi\u1ec7c \u0111i l\u1ea1i ho\u1eb7c c\u1ea7m n\u1eafm \u0111\u1ed3 v\u1eadt tr\u1edf n\u00ean kh\u00f3 kh\u0103n h\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi \u1edf trong ph\u00f2ng t\u1ed1i ho\u1eb7c khi c\u1ea7m n\u1eafm nh\u1eefng v\u1eadt nh\u1ecf.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><strong>Th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng: <\/strong>Nh\u00f3m th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng \u0111\u1ea3m nh\u1eadn ch\u1ee9c n\u0103ng truy\u1ec1n th\u00f4ng tin gi\u1eefa n\u00e3o v\u00e0 c\u00e1c c\u01a1. Khi nh\u1eefng d\u00e2y th\u1ea7n kinh n\u00e0y b\u1ecb t\u1ed5n th\u01b0\u01a1ng, b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y:\n<ul>\n<li>\u0110i l\u1ea1i v\u00e0 di chuy\u1ec3n kh\u00f3 kh\u0103n.<\/li>\n<li>C\u1ea3m gi\u00e1c n\u1eb7ng hay y\u1ebfu \u1edf ch\u00e2n v\u00e0 tay, g\u00e2y ra s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng v\u00e0 m\u1ea5t ph\u1ed1i h\u1ee3p c\u00e1c \u0111\u1ed9ng t\u00e1c.<\/li>\n<li>G\u1eb7p kh\u00f3 kh\u0103n khi s\u1eed d\u1ee5ng b\u00e0n tay v\u00e0 c\u00e1nh tay.<\/li>\n<li>Kh\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c th\u01b0\u1eddng ng\u00e0y nh\u01b0 g\u00f5 nh\u1eafn tin ho\u1eb7c c\u00e0i n\u00fat \u00e1o.<\/li>\n<li>Chu\u1ed9t r\u00fat ho\u1eb7c c\u00e1c t\u00ecnh tr\u1ea1ng teo c\u01a1 \u1edf tay v\u00e0 ch\u00e2n.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng:<\/strong> Nh\u1eefng d\u00e2y th\u1ea7n kinh n\u00e0y ki\u1ec3m so\u00e1t c\u00e1c ch\u1ee9c n\u0103ng c\u01a1 th\u1ec3 m\u00e0 ta kh\u00f4ng \u0111i\u1ec1u khi\u1ec3n \u0111\u01b0\u1ee3c, ch\u1eb3ng h\u1ea1n nh\u01b0 huy\u1ebft \u00e1p hay ch\u1ee9c n\u0103ng co th\u1eaft c\u1ee7a ru\u1ed9t v\u00e0 b\u00e0ng quang. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m:\n<ul>\n<li>Kh\u00f4ng ra m\u1ed3 h\u00f4i nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>C\u00e1c r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a nh\u01b0 ti\u00eau ch\u1ea3y v\u00e0 t\u00e1o b\u00f3n.<\/li>\n<li>Ch\u00f3ng m\u1eb7t ho\u1eb7c cho\u00e1ng v\u00e1ng.<\/li>\n<li>Nu\u1ed1t kh\u00f3.<\/li>\n<li>C\u00e1c kh\u00f3 kh\u0103n trong t\u00ecnh d\u1ee5c.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong s\u1ed1 nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y, h\u00e3y b\u00e1o cho b\u00e1c s\u0129 hay \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb h\u1ecd.<\/p>\n<h2>Ph\u00f2ng ng\u1eeba b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean li\u00ean quan \u0111\u1ebfn h\u00f3a tr\u1ecb<\/h2>\n<p>Kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o minh ch\u1ee9ng trong vi\u1ec7c ng\u0103n ng\u1eeba b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean do h\u00f3a tr\u1ecb. Kh\u00f4ng c\u00f3 nh\u1eefng b\u1eb1ng ch\u1ee9ng tin c\u1eady cho th\u1ea5y b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c, vitamin hay c\u00e1c thu\u1ed1c b\u1ed5 sung n\u00e0o c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh \u0111\u01b0\u1ee3c b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean.<\/p>\n<p>Hi\u1ec7n nay, m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u, nh\u01b0ng hi\u1ec7n ch\u01b0a c\u00f3 b\u1ea5t k\u1ef3 b\u1eb1ng ch\u1ee9ng n\u00e0o cho th\u1ea5y l\u1ee3i \u00edch c\u1ee7a c\u00e1c d\u01b0\u1ee3c ch\u1ea5t tr\u00ean c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean do h\u00f3a tr\u1ecb. H\u1ed9i ung th\u01b0 l\u00e2m s\u00e0ng Hoa K\u1ef3 (ASCO) <strong>kh\u00f4ng<\/strong>\u00a0khuy\u1ebfn kh\u00edch b\u1ea1n s\u1eed d\u1ee5ng c\u00e1c vitamin ho\u1eb7c c\u00e1c thu\u1ed1c b\u1ed5 sung sau \u0111\u00e2y \u0111\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean do h\u00f3a tr\u1ecb:<\/p>\n<ul>\n<li>Acetyl-L-carnitine;<\/li>\n<li>Canxi v\u00e0 magi\u00ea;<\/li>\n<li>Glutathione;<\/li>\n<li>Vitamin E.<\/li>\n<\/ul>\n<h2>Ki\u1ec3m so\u00e1t b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/h2>\n<p>Gi\u1ea3m c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9) l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n chia s\u1ebb, trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u1ec1 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o h\u1ecd g\u1eb7p ph\u1ea3i, bao g\u1ed3m nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1edbi ho\u1eb7c s\u1ef1 thay \u0111\u1ed5i tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. C\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n sau v\u00e0i th\u00e1ng ho\u1eb7c v\u00e0i n\u0103m. \u0110\u00f4i khi, m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 kh\u00f3 \u0111i\u1ec1u tr\u1ecb h\u01a1n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n th\u1eddi gian \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i h\u01a1n. B\u00e1c s\u0129 s\u1ebd ch\u1ea9n \u0111o\u00e1n v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng. M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 gi\u1ea3m b\u1edbt c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Thu\u1ed1c<\/strong>: m\u1eb7c d\u00f9 thu\u1ed1c kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, thu\u1ed1c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c t\u00ea. Hi\u1ec7n nay c\u00e1c thu\u1ed1c ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au do th\u1ea7n kinh l\u00e0 thu\u1ed1c an th\u1ea7n v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m. \u0110\u1ed1i v\u1edbi b\u1ec7nh th\u1ea7n kinh li\u00ean quan \u0111\u1ebfn h\u00f3a tr\u1ecb li\u1ec7u, ASCO khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m Duloxetine (Cymbalta). Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng c\u1ea7n k\u00ea toa (OTC) cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au nh\u1eb9.<\/li>\n<\/ul>\n<p style=\"padding-left: 30px\">C\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) ho\u1eb7c c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au t\u00e1c d\u1ee5ng m\u1ea1nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng c\u01a1n \u0111au m\u1ee9c \u0111\u1ed9 n\u1eb7ng. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c mi\u1ebfng d\u00e1n Lidocaine v\u00e0 c\u00e1c lo\u1ea1i kem, c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u01a1n \u0111au. Ngo\u00e0i ra nh\u1eefng nghi\u00ean c\u1ee9u ban \u0111\u1ea7u cho th\u1ea5y vi\u1ec7c s\u1eed d\u1ee5ng Menthol 1% t\u1ea1i ch\u1ed7 c\u0169ng mang l\u1ea1i h\u1eefu \u00edch.<\/p>\n<ul>\n<li><strong>Dinh d\u01b0\u1ee1ng<\/strong>: ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng gi\u00e0u vitamin B (g\u1ed3m c\u1ea3 B1 v\u00e0 B12), axit folic, v\u00e0 ch\u1ea5t ch\u1ed1ng oxy ho\u00e1 c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean. B\u1ea1n c\u0169ng n\u00ean \u0103n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n c\u00e2n b\u1eb1ng v\u00e0 tr\u00e1nh u\u1ed1ng qu\u00e1 nhi\u1ec1u r\u01b0\u1ee3u.<\/li>\n<li><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/vat-ly-tri-lieu\/\" target=\"_blank\" rel=\"noopener\">V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/a>\/ho\u1ea1t \u0111\u1ed9ng tr\u1ecb li\u1ec7u v\u00e0 \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p<\/strong>: v\u1eadt l\u00fd tr\u1ecb li\u1ec7u\/ho\u1ea1t \u0111\u1ed9ng tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 gi\u00fap c\u01a1 b\u1eafp kh\u1ecfe m\u1ea1nh v\u00e0 c\u1ea3i thi\u1ec7n s\u1ef1 \u0111i\u1ec1u ph\u1ed1i \u0111\u1ed9ng t\u00e1c v\u00e0 c\u00e2n b\u1eb1ng. C\u00e1c nh\u00e0 tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 \u0111\u1ec3 b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y m\u1ed9t c\u00e1ch d\u1ec5 d\u00e0ng. T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n c\u0169ng c\u00f3 th\u1ec3 gi\u00fap l\u00e0m gi\u1ea3m \u0111au. Vi\u1ec7c k\u00edch th\u00edch da b\u1eb1ng \u0111i\u1ec7n c\u0169ng c\u00f3 th\u1ec3 h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1ea7n kinh, nh\u01b0ng c\u1ea7n \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u h\u01a1n.<\/li>\n<li><strong>Y h\u1ecdc ph\u1ed1i h\u1ee3p<\/strong>: xoa b\u00f3p, ch\u00e2m c\u1ee9u v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt th\u01b0 gi\u00e3n c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m c\u0103ng th\u1eb3ng. Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c m\u1eb9o kh\u00e1c bao g\u1ed3m:\n<ul>\n<li>\u0110\u1eb7t th\u1ea3m l\u00f3t s\u00e0n trong nh\u00e0 v\u00e0 n\u01a1i l\u00e0m vi\u1ec7c \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u00e0n ch\u00e2n.<\/li>\n<li>Mang gi\u00e0y c\u00f3 g\u00f3t tr\u00f2n v\u00e0 \u0111\u1ebf d\u00e0y h\u01a1n b\u00ecnh th\u01b0\u1eddng (rocker bottom shoe).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>An to\u00e0n trong nh\u00e0<\/h2>\n<p>Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean c\u00f3 nguy c\u01a1 t\u1ef1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong nh\u00e0. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1ea5t c\u1ea3m gi\u00e1c ho\u1eb7c v\u1eadn \u0111\u1ed9ng, nh\u1eefng l\u1eddi khuy\u00ean sau c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c ch\u1ea5n th\u01b0\u01a1ng:<\/p>\n<ul>\n<li>L\u1eafp \u0111\u00e8n s\u00e1ng \u1edf t\u1ea5t c\u1ea3 c\u00e1c ph\u00f2ng, h\u00e0nh lang, v\u00e0 c\u1ea7u thang.<\/li>\n<li>L\u1eafp lan can tay v\u1ecbn \u1edf c\u1ea3 hai b\u00ean c\u1ea7u thang.<\/li>\n<li>Lo\u1ea1i b\u1ecf \u0111\u1ed3 v\u1eadt c\u00f3 th\u1ec3 g\u00e2y tr\u1ee3t t\u00e9, nh\u01b0 nh\u1eefng t\u1ea5m th\u1ea3m nh\u1ecf ho\u1eb7c \u0111\u1ed3 \u0111\u1ea1c l\u1ed9n x\u1ed9n.<\/li>\n<li>L\u1eafp nh\u1eefng tay n\u1eafm trong bu\u1ed3ng t\u1eafm ho\u1eb7c trong b\u1ed3n t\u1eafm. \u0110\u1eb7t th\u00eam c\u00e1c t\u1ea5m ch\u1ed1ng tr\u01a1n tr\u01b0\u1ee3t trong b\u1ed3n t\u1eafm.<\/li>\n<li>\u0110\u1ea3m b\u1ea3o nhi\u1ec7t \u0111\u1ed9 n\u01b0\u1edbc v\u00f2i hoa sen ho\u1eb7c n\u01b0\u1edbc trong b\u1ed3n t\u1eafm d\u01b0\u1edbi 43 \u0111\u1ed9 C. S\u1eed d\u1ee5ng nhi\u1ec7t k\u1ebf \u0111\u1ec3 ki\u1ec3m tra nhi\u1ec7t \u0111\u1ed9 n\u01b0\u1edbc v\u00e0 ch\u1ec9nh m\u00e1y n\u01b0\u1edbc n\u00f3ng \u1edf nhi\u1ec7t \u0111\u1ed9 th\u1ea5p h\u01a1n.<\/li>\n<li>Lau kh\u00f4 n\u01b0\u1edbc vun v\u00e3i khi s\u1eed d\u1ee5ng xong nh\u00e0 t\u1eafm.<\/li>\n<li>D\u00f9ng c\u00e1c lo\u1ea1i ch\u00e9n \u0111\u0129a kh\u00f4ng v\u1ee1.<\/li>\n<li>S\u1eed d\u1ee5ng g\u0103ng tay trong khi c\u1ea7m n\u1ed3i ch\u1ea3o n\u00f3ng v\u00e0 g\u0103ng tay cao su khi r\u1eeda ch\u00e9n.<\/li>\n<li>N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh l\u00e1i xe, h\u00e3y ch\u1eafc ch\u1eafn b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c ch\u00e2n ga v\u00e0 ch\u00e2n th\u1eafng (phanh) c\u0169ng nh\u01b0 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c v\u00f4 l\u0103ng. Ph\u1ea3i ch\u1eafc ch\u1eafn r\u1eb1ng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nhanh ch\u00f3ng \u0111\u1ed5i ch\u00e2n t\u1eeb b\u00e0n \u0111\u1ea1p ga qua b\u00e0n \u0111\u1ea1p th\u1eafng.<\/li>\n<li>N\u1ebfu b\u00e1c s\u0129 ra toa s\u1eed d\u1ee5ng g\u1eady ho\u1eb7c khung \u0111i b\u1ed9, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i s\u1eed d\u1ee5ng n\u00f3 m\u1ed7i khi di chuy\u1ec3n t\u1eeb ph\u00f2ng n\u00e0y sang ph\u00f2ng kh\u00e1c.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/peripheral-neuropathy\" target=\"_blank\" rel=\"noopener\">http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/peripheral-neuropathy<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p li\u00ean quan \u0111\u1ebfn ung th\u01b0. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 nh\u01b0 h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb, ph\u1eabu thu\u1eadt<\/p>\n","protected":false},"author":318,"featured_media":11587,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3752],"tags":[2632,2633,2472,2631,2548,2532,2478],"series":[1420],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean trong ung th\u01b0 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p li\u00ean quan \u0111\u1ebfn ung th\u01b0. 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