{"id":1400,"date":"2021-03-18T12:46:25","date_gmt":"2021-03-18T12:46:25","guid":{"rendered":"https:\/\/mathanoi.techdigi.dev\/2021\/03\/18\/benh-vien-mat-ha-noi-trien-khai-tiem-vac-xin-dot-i-phong-covid-19\/"},"modified":"2022-07-13T08:10:20","modified_gmt":"2022-07-13T08:10:20","slug":"nhung-benh-ly-vong-mac-thuong-gap","status":"publish","type":"post","link":"https:\/\/hdzsoft.com\/nhung-benh-ly-vong-mac-thuong-gap\/","title":{"rendered":"NH\u1eeeNG B\u1ec6NH L\u00dd V\u00d5NG M\u1ea0C TH\u01af\u1edcNG G\u1eb6P"},"content":{"rendered":"
B\u1ec7nh v\u00f5ng m\u1ea1c l\u00e0 t\u00ean g\u1ecdi chung c\u1ee7a m\u1ed9t s\u1ed1 c\u00e1c ch\u1ee9ng b\u1ec7nh v\u1ec1 m\u1eaft do r\u1ed1i lo\u1ea1n trong v\u00f5ng m\u1ea1c (hay c\u00f2n g\u1ecdi l\u00e0 \u0111\u00e1y m\u1eaft). B\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u1ee9ng th\u1ee9 hai, sau \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 trong c\u00e1c lo\u1ea1i b\u1ec7nh g\u00e2y m\u00f9 l\u00f2a. Trong \u0111\u00f3 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 b\u1ec7nh bong v\u00f5ng m\u1ea1c v\u00e0 b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng.<\/span><\/p>\n I. BONG V\u00d5NG M\u1ea0C<\/strong><\/span><\/p>\n Bong v\u00f5ng m\u1ea1c l\u00e0 m\u1ed9t ch\u1ee9ng b\u1ec7nh v\u1ec1 m\u1eaft m\u00e0 trong \u0111\u00f3 v\u00f5ng m\u1ea1c b\u1ecb bong ra kh\u1ecfi l\u1edbp m\u00f4 \u1edf \u0111\u00e1y m\u1eaft. Ban \u0111\u1ea7u nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0 do v\u00f5ng m\u1ea1c b\u1ecb m\u1ed9t v\u1ebft r\u00e1ch nh\u1ecf, khi\u1ebfn cho d\u1ecbch trong m\u1eaft tr\u00e0n xu\u1ed1ng d\u01b0\u1edbi v\u00f5ng m\u1ea1c, d\u1ea7n d\u1ea7n l\u00e0m l\u1edbp v\u00f5ng m\u1ea1c b\u1ecb bong ra v\u00e0 n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb nhanh ch\u00f3ng to\u00e0n b\u1ed9 v\u00f5ng m\u1ea1c c\u00f3 th\u1ec3 b\u1ecb t\u00e1ch r\u1eddi, d\u1eabn t\u1edbi m\u1ea5t th\u1ecb l\u1ef1c v\u00e0 m\u00f9. \u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ee9ng b\u1ec7nh nguy hi\u1ec3m c\u1ea7n x\u1eed tr\u00ed c\u1ea5p c\u1ee9u. Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu nh\u01b0 b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 24-72 gi\u1edd. Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh bao g\u1ed3m:\u00a0 hoa m\u1eaft, \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n \u201cru\u1ed3i bay\u201d tr\u01b0\u1edbc m\u1eaft, c\u1ea3m gi\u00e1c h\u01a1i n\u1eb7ng trong m\u1eaft, \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n c\u00e1c b\u00f3ng \u0111en trong m\u1ed9t ph\u1ea7n c\u1ee7a th\u1ecb tr\u01b0\u1eddng.<\/span><\/p>\n Nh\u1eefng nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn b\u1ec7nh bong v\u00f5ng m\u1ea1c bao g\u1ed3m c\u1eadn th\u1ecb n\u1eb7ng, r\u00e1ch v\u00f5ng m\u1ea1c, ch\u1ea5n th\u01b0\u01a1ng, l\u1ecbch s\u1eed gia \u0111\u00ecnh, v\u00e0 bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt \u0111\u1ee5c th\u1ee7y tinh th\u1ec3.<\/span><\/p>\n N\u1ebfu nh\u01b0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh bong v\u00f5ng m\u1ea1c s\u1ebd d\u1ec5 d\u00e0ng h\u01a1n r\u1ea5t nhi\u1ec1u. V\u00ed d\u1ee5 nh\u01b0 c\u00e1c v\u1ebft r\u00e1ch trong v\u00f5ng m\u1ea1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p laser n\u1ed9i nh\u00e3n, ph\u00f2ng ng\u1eeba bong v\u00f5ng m\u1ea1c. V\u00ec l\u00ed do \u0111\u00f3, ch\u00fang ta n\u00ean ki\u1ec3m tra m\u1eaft th\u01b0\u1eddng xuy\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 thao. Khi ph\u00e1t hi\u1ec7n nh\u1eefng b\u1ea5t th\u01b0\u1eddng trong m\u1eaft, c\u1ea7n ngay l\u1eadp t\u1ee9c \u0111\u1ebfn ki\u1ec3m tra t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u00f3 \u0111\u1ea7y \u0111\u1ee7 trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i.<\/span><\/p>\n <\/p>\n II. B\u1ec6NH V\u00d5NG M\u1ea0C TI\u1ec2U \u0110\u01af\u1edcNG<\/strong><\/span><\/p>\n B\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng m\u1eafc ph\u1ea3i do nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u00f9 l\u00f2a. \u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng v\u1ec1 m\u1eaft mang t\u00ednh h\u1ec7 th\u1ed1ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc ti\u1ec3u \u0111\u01b0\u1eddng tr\u00ean 10 n\u0103m c\u00f3 t\u1edbi 80% nguy c\u01a1 m\u1eafc ph\u1ea3i b\u1ec7nh n\u00e0y. M\u1eb7c d\u00f9 t\u1ec9 l\u1ec7 m\u1eafc ph\u1ea3i r\u1ea5t cao, tuy nhi\u00ean \u00edt nh\u1ea5t 90% nh\u1eefng ca m\u1edbi m\u1eafc ph\u1ea3i s\u1ebd thuy\u00ean gi\u1ea3m n\u1ebfu nh\u01b0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb m\u1ed9t c\u00e1ch th\u00edch h\u1ee3p v\u00e0 th\u1eadn tr\u1ecdng, k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c ki\u1ec3m tra m\u1eaft th\u01b0\u1eddng xuy\u00ean. N\u1ebfu b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00e0ng l\u00e2u th\u00ec nguy c\u01a1 m\u1eafc b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng c\u00e0ng cao. Theo th\u1ed1ng k\u00ea th\u00ec n\u00f3 chi\u1ebfm 12% nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn m\u00f9 l\u00f2a t\u1ea1i M\u1ef9 v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn m\u00f9 l\u00f2a \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 20 \u0111\u1ebfn 64.<\/span><\/p>\n B\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o s\u1edbm. Trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng ch\u01b0a t\u0103ng sinh (NPDR), kh\u00f4ng ph\u00e1t hi\u1ec7n th\u1ea5y c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00e0o. C\u00e1ch duy nh\u1ea5t \u0111\u1ec3 ph\u00e1t hi\u1ec7n ra NPDR l\u00e0 ch\u1ee5p \u1ea3nh \u0111\u00e1y m\u1eaft, khi \u0111\u00f3 th\u00ec ch\u00fang ta s\u1ebd th\u1ea5y tri\u1ec7u ch\u1ee9ng ph\u00ecnh mao m\u1ea1ch. N\u1ebfu th\u1ecb l\u1ef1c ng\u01b0\u1eddi b\u1ec7nh b\u1ecb gi\u1ea3m, c\u00e1c b\u00e1c s\u0129 s\u1ebd ch\u1ee5p \u0111\u00e1y m\u1eaft b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p hu\u1ef3nh quang v\u00f5ng m\u1ea1c. C\u00e1c m\u1ea1ch m\u00e1u b\u1ecb h\u1eb9p ho\u1eb7c t\u1eafc ngh\u1ebdn s\u1ebd \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thi\u1ebfu m\u00e1u v\u00f5ng m\u1ea1c c\u1ee5c b\u1ed9. Ch\u1ee9ng ph\u00f9 ho\u00e0ng \u0111i\u1ec3m c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n n\u00e0y. Tri\u1ec7u ch\u1ee9ng c\u1ee7a n\u00f3 l\u00e0 m\u1edd m\u1eaft, t\u1ea7m nh\u00ecn b\u1ecb thu h\u1eb9p hay h\u00ecnh \u1ea3nh nh\u00ecn th\u1ea5y b\u1ecb bi\u1ebfn \u0111\u1ed5i v\u1edbi s\u1ef1 kh\u00e1c nhau \u1edf hai m\u1eaft. 10% b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c li\u00ean quan \u0111\u1ebfn ch\u1ee9ng ph\u00f9 ho\u00e0ng \u0111i\u1ec3m.<\/span><\/p>\n \u1ede giai \u0111o\u1ea1n th\u1ee9 hai, nh\u1eefng m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u00e1y m\u1eaft, v\u00e0 n\u00f3 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a giai \u0111o\u1ea1n t\u0103ng sinh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng (PDR), n\u00f3 c\u00f3 th\u1ec3 g\u00e2y r\u00e1ch, ch\u1ea3y m\u00e1u (xu\u1ea5t huy\u1ebft d\u1ecbch k\u00ednh) v\u00e0 l\u00e0m gi\u1ea3m th\u1ecb l\u1ef1c, do c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi r\u1ea5t y\u1ebfu. L\u1ea7n \u0111\u1ea7u xu\u1ea5t hi\u1ec7n, n\u00f3 s\u1ebd kh\u00f4ng qu\u00e1 tr\u1ea7m tr\u1ecdng. H\u1ea7u nh\u01b0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00f3 s\u1ebd \u0111\u1ec3 l\u1ea1i nh\u1eefng v\u1ec7t m\u00e1u v\u00e0 \u0111\u1ed1m \u0111\u1ecf tr\u00f4i n\u1ed5i trong t\u1ea7m nh\u00ecn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, d\u00f9 nh\u1eefng \u0111\u1ed1m \u0111\u00f3 th\u01b0\u1eddng bi\u1ebfn m\u1ea5t sau v\u00e0i gi\u1edd. Sau v\u00e0i ng\u00e0y ho\u1eb7c v\u00e0i tu\u1ea7n, b\u1ec7nh nh\u00e2n s\u1ebd bi xu\u1ea5t huy\u1ebft nhi\u1ec1u h\u01a1n, khi\u1ebfn th\u1ecb l\u1ef1c gi\u1ea3m. S\u1ef1 xu\u1ea5t huy\u1ebft n\u00e0y c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong v\u00e0i ng\u00e0y, v\u00e0i th\u00e1ng, c\u1ea3 n\u0103m ho\u1eb7c th\u1eadm ch\u00ed kh\u00f4ng m\u1ea5t \u0111i. N\u00f3 c\u00f3 xu h\u01b0\u1edbng xu\u1ea5t hi\u1ec7n nhi\u1ec1u h\u01a1n m\u1ed9t l\u1ea7n, th\u01b0\u1eddng l\u00e0 trong l\u00fac ng\u01b0\u1eddi b\u1ec7nh ch\u00ecm v\u00e0o gi\u1ea5c ng\u1ee7. Th\u01b0\u1eddng th\u00ec c\u00e1c b\u00e1c s\u0129 s\u1ebd ph\u1ea3i d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p soi \u0111\u00e1y m\u1eaft \u0111\u1ec3 c\u00f3 th\u1ec3 ki\u1ec3m tra c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00f3i tr\u00ean.<\/span><\/p>\n <\/p>\n Hi\u1ec7n nay c\u00f3 ba ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng. N\u1ebfu nh\u01b0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm th\u00ec ng\u01b0\u1eddi b\u1ec7nh s\u1ebd v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng r\u1ea5t cao kh\u00f4ng b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c, do c\u00e1c b\u00e1c s\u0129 s\u1ebd c\u00f3 th\u1ec3 t\u1eadp trung \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi v\u00f5ng m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng n\u1ec1 h\u01a1n. Ba ph\u01b0\u01a1ng ph\u00e1p n\u00f3i tr\u00ean l\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng laser, ti\u00eam Anti-VEGF n\u1ed9i nh\u00e3n, v\u00e0 ph\u1eabu thu\u1eadt c\u1eaft d\u1ecbch k\u00ednh.<\/span><\/p>\n V\u1edbi \u0111\u1ed9i ng\u0169 chuy\u00ean gia b\u00e1c s\u0129 \u0111\u1ea7u ng\u00e0nh v\u1ec1 d\u1ecbch k\u00ednh v\u00f5ng m\u1ea1c v\u1edbi chuy\u00ean m\u00f4n cao, gi\u00e0u kinh nghi\u1ec7m, trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i trong th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb , b\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i t\u1ef1 h\u00e0o l\u00e0 \u0111\u01a1n v\u1ecb c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u00f5ng m\u1ea1c h\u00e0ng \u0111\u1ea7u Vi\u1ec7t Nam.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" B\u1ec7nh v\u00f5ng m\u1ea1c l\u00e0 t\u00ean g\u1ecdi chung c\u1ee7a m\u1ed9t s\u1ed1 c\u00e1c ch\u1ee9ng b\u1ec7nh v\u1ec1 m\u1eaft do r\u1ed1i lo\u1ea1n trong v\u00f5ng m\u1ea1c (hay c\u00f2n g\u1ecdi l\u00e0 \u0111\u00e1y m\u1eaft). B\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u1ee9ng th\u1ee9 hai, sau \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 trong c\u00e1c lo\u1ea1i b\u1ec7nh g\u00e2y m\u00f9 l\u00f2a. Trong \u0111\u00f3 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 b\u1ec7nh bong v\u00f5ng m\u1ea1c […]<\/p>\n","protected":false},"author":1,"featured_media":1892,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[45,123,25],"tags":[61],"acf":[],"yoast_head":"\n