{"id":2385,"date":"2021-09-15T06:16:24","date_gmt":"2021-09-15T06:16:24","guid":{"rendered":"https:\/\/hdzsoft.com\/?p=2385"},"modified":"2022-04-14T01:06:55","modified_gmt":"2022-04-14T01:06:55","slug":"chuyen-gia-nhan-khoa-dau-nganh-chia-se-bi-quyet-dieu-tri-nhuoc-thi","status":"publish","type":"post","link":"https:\/\/hdzsoft.com\/chuyen-gia-nhan-khoa-dau-nganh-chia-se-bi-quyet-dieu-tri-nhuoc-thi\/","title":{"rendered":"CHUY\u00caN GIA M\u1eaeT TR\u1eba EM H\u00c0NG \u0110\u1ea6U VI\u1ec6T NAM CHIA S\u1eba B\u00cd QUY\u1ebeT \u0110I\u1ec0U TR\u1eca NH\u01af\u1ee2C TH\u1eca"},"content":{"rendered":"
Nh\u01b0\u1ee3c th\u1ecb l\u00e0 b\u1ec7nh m\u1eaft kh\u00e1 hay g\u1eb7p v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y gi\u1ea3m th\u1ecb l\u1ef1c \u1edf tr\u1ebb em. T\u1ec9 l\u1ec7 nh\u01b0\u1ee3c th\u1ecb hi\u1ec7n nay chi\u1ebfm 2 – 5 % d\u00e2n s\u1ed1. \u1ede n\u01b0\u1edbc ta, theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y t\u1ef7 l\u1ec7 nh\u01b0\u1ee3c th\u1ecb trong s\u1ed1 tr\u1ebb em b\u1ecb l\u00e1c c\u01a1 n\u0103ng c\u00f3 th\u1ec3 l\u00ean t\u1edbi 50-60%, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u1eadt kh\u00fac x\u1ea1 l\u00e0 kho\u1ea3ng 30%.<\/span><\/em><\/strong><\/span><\/p>\n B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n b\u1edfi : TS.BS Nguy\u1ec5n Xu\u00e2n T\u1ecbnh – Gi\u00e1m \u0110\u1ed1c b\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i<\/strong><\/span><\/p>\n <\/p>\n I. NH\u01af\u1ee2C TH\u1eca L\u00c0 G\u00cc?<\/b><\/span><\/span><\/p>\n \u00a0Nh\u01b0\u1ee3c th\u1ecb l\u00e0 t\u00ecnh tr\u1ea1ng th\u1ecb l\u1ef1c k\u00e9m g\u00e2y ra do b\u1ea5t b\u00ecnh th\u01b0\u1eddng c\u1ee7a qu\u00e1 tr\u00ecnh k\u00edch th\u00edch th\u1ecb gi\u00e1c trong nh\u1eefng n\u0103m \u0111\u1ea7u \u0111\u1eddi c\u1ee7a tr\u1ebb, l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a trung t\u00e2m th\u1ecb gi\u00e1c \u1edf v\u1ecf n\u00e3o. <\/span> <\/p>\n II. NGUY\u00caN NH\u00c2N G\u00c2Y NH\u01af\u1ee2C TH\u1eca<\/span><\/strong><\/span><\/p>\n Nguy\u00ean nh\u00e2n g\u00e2y ra nh\u01b0\u1ee3c th\u1ecb r\u1ea5t nhi\u1ec1u. <\/span> III. KHI N\u00c0O TR\u1eba \u0110\u01af\u1ee2C CH\u1ea8N \u0110O\u00c1N L\u00c0 NH\u01af\u1ee2C TH\u1eca<\/span><\/strong><\/span><\/p>\n Tr\u1ebb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 nh\u01b0\u1ee3c th\u1ecb khi th\u1ecb l\u1ef1c sau khi ch\u1ec9nh k\u00ednh t\u1ed1t \u0111a kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c 20\/30 ( t\u01b0\u01a1ng \u0111\u01b0\u01a1ng < 8\/10) v\u00e0 k\u00e8m theo c\u00f3 nguy\u00ean nh\u00e2n g\u00e2y ra nh\u01b0\u1ee3c th\u1ecb ( t\u1eadt kh\u00fac x\u1ea1 cao, l\u00e1c\u2026)<\/span><\/p>\n <\/span><\/p>\n IV. L\u00c0M TH\u1ebe N\u00c0O \u0110\u1ec2 PH\u00c1T HI\u1ec6N NH\u01af\u1ee2C TH\u1eca S\u1edaM?<\/b><\/span><\/span><\/p>\n V\u1edbi nh\u1eefng tr\u1ebb c\u00f3 b\u1ec7nh l\u00fd t\u1ea1i m\u1eaft th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u1ed1 m\u1eb9 quan t\u00e2m v\u00e0 \u0111\u01b0a \u0111i kh\u00e1m s\u1edbm t\u1ea1i c\u00e1c c\u01a1 s\u1edf chuy\u00ean khoa m\u1eaft th\u00ec c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u1eaft b\u1ecb nh\u01b0\u1ee3c th\u1ecb s\u1edbm h\u01a1n. B\u1ec7nh l\u00fd t\u1ea1i m\u1eaft hay g\u1eb7p v\u00e0 d\u1ec5 g\u00e2y nh\u01b0\u1ee3c th\u1ecb m\u00e0 b\u1ed1 m\u1eb9 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u00f3 l\u00e0 khi tr\u1ebb b\u1ecb l\u00e1c, nh\u1ea5t l\u00e0 l\u00e1c 1 b\u00ean m\u1eaft, ho\u1eb7c khi tr\u1ebb nh\u00ecn m\u1edd, \u0111\u1ee9ng xa xem TV kh\u00f4ng r\u00f5, \u0111\u1ecdc ch\u1eef tr\u00ean b\u1ea3ng m\u1edd\u2026 Khi tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n n\u00e0y, ph\u1ee5 huynh c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/span><\/p>\n V\u1edbi tr\u1ebb b\u1ecb nh\u01b0\u1ee3c th\u1ecb do t\u1eadt kh\u00fac x\u1ea1 th\u00ec r\u1ea5t kh\u00f3 ph\u00e1t hi\u1ec7n, nh\u1ea5t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 m\u1ed9t m\u1eaft b\u00ecnh th\u01b0\u1eddng, ch\u1ec9 b\u1ecb nh\u01b0\u1ee3c th\u1ecb m\u1ed9t m\u1eaft, th\u1eadm ch\u00ed c\u00f3 khi ng\u01b0\u1eddi l\u1edbn c\u0169ng kh\u00f4ng bi\u1ebft l\u00e0 m\u00ecnh b\u1ecb 1 b\u00ean m\u1eaft nh\u00ecn k\u00e9m do nh\u01b0\u1ee3c th\u1ecb. R\u1ea5t nhi\u1ec1u h\u1ecdc sinh ph\u00e1t hi\u1ec7n m\u1eaft b\u1ecb nh\u01b0\u1ee3c th\u1ecb l\u00e0 do t\u00ecnh c\u1edd che 1 b\u00ean m\u1eaft, th\u1ea5y 1 m\u1eaft nh\u00ecn m\u1edd m\u1edbi bi\u1ebft. <\/span> <\/span><\/p>\n V. \u0110I\u1ec0U TR\u1eca NH\u01af\u1ee2C TH\u1eca<\/span><\/strong><\/span><\/p>\n C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0\u1ee3c th\u1ecb hay d\u00f9ng hi\u1ec7n nay bao g\u1ed3m:<\/span><\/em><\/span><\/p>\n <\/span><\/p>\n VI. TH\u1edcI \u0110I\u1ec2M N\u00c0O \u0110I\u1ec0U TR\u1eca NH\u01af\u1ee2C TH\u1eca L\u00c0 HI\u1ec6U QU\u1ea2 NH\u1ea4T<\/span><\/strong><\/span><\/p>\n Nh\u01b0\u1ee3c th\u1ecb \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm th\u1ecb l\u1ef1c ph\u1ee5c h\u1ed3i c\u00e0ng nhi\u1ec1u v\u00e0 c\u00e0ng nhanh. Ng\u01b0\u1ee3c l\u1ea1i, nh\u01b0\u1ee3c th\u1ecb \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00e0ng mu\u1ed9n, khi tr\u1ebb c\u00e0ng l\u1edbn th\u00ec c\u00e0ng k\u00e9m hi\u1ec7u qu\u1ea3. Tr\u01b0\u1edbc tu\u1ed5i \u0111i h\u1ecdc (l\u1edbp 1) \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3 cao nh\u1ea5t, sau 8 tu\u1ed5i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb k\u00e9m d\u1ea7n, tr\u00ean 11-12 tu\u1ed5i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb r\u1ea5t k\u00e9m.<\/span><\/p>\n <\/span><\/p>\n VII. K\u1ebeT LU\u1eacN<\/span><\/strong><\/span><\/p>\n Nh\u01b0\u1ee3c th\u1ecb l\u00e0 b\u1ec7nh r\u1ea5t hay g\u1eb7p \u1edf tr\u1ebb, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c, c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/span> TS.BS Nguy\u1ec5n Xu\u00e2n T\u1ecbnh – Gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i<\/span><\/strong><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Nh\u01b0\u1ee3c th\u1ecb l\u00e0 b\u1ec7nh m\u1eaft kh\u00e1 hay g\u1eb7p v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y gi\u1ea3m th\u1ecb l\u1ef1c \u1edf tr\u1ebb em. T\u1ec9 l\u1ec7 nh\u01b0\u1ee3c th\u1ecb hi\u1ec7n nay chi\u1ebfm 2 – 5 % d\u00e2n s\u1ed1. \u1ede n\u01b0\u1edbc ta, theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y t\u1ef7 l\u1ec7 nh\u01b0\u1ee3c th\u1ecb trong s\u1ed1 tr\u1ebb em […]<\/p>\n","protected":false},"author":1,"featured_media":2386,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[26,40,25,117],"tags":[166,131,132],"acf":[],"yoast_head":"\n
\nNh\u01b0\u1ee3c th\u1ecb n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tri k\u1ecbp th\u1eddi \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c th\u1ecb l\u1ef1c v\u00e0 ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0\u1ee3c th\u1ecb s\u1ebd g\u00e2y ra gi\u1ea3m th\u1ecb l\u1ef1c v\u0129nh vi\u1ec5n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng, h\u1ecdc t\u1eadp v\u00e0 sinh ho\u1ea1t c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/p>\n
\nNh\u01b0\u1ee3c th\u1ecb do l\u00e1c, nh\u1ea5t l\u00e0 l\u00e1c 1 b\u00ean m\u1eaft; do t\u1eadt kh\u00fac x\u1ea1, \u0111\u1eb7c bi\u1ec7t l\u00e0 do vi\u1ec5n th\u1ecb v\u00e0 lo\u1ea1n th\u1ecb cao, ho\u1eb7c l\u1ec7ch kh\u00fac x\u1ea1 gi\u1eefa 2 m\u1eaft l\u1edbn; ho\u1eb7c tr\u1ebb c\u00f3 c\u00e1c b\u1ec7nh l\u00fd t\u1ea1i m\u1eaft nh\u01b0 \u0111\u1ee5c TTT, glaucoma, s\u1eb9o gi\u00e1c m\u1ea1c\u2026<\/span><\/p>\n
\nV\u00ec v\u1eady, \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n s\u1edbm tr\u1ebb b\u1ecb nh\u01b0\u1ee3c th\u1ecb, c\u00e1c ph\u1ee5 huynh c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111\u01b0a con \u0111i ki\u1ec3m tra m\u1eaft \u00edt nh\u1ea5t 1 l\u1ea7n tr\u01b0\u1edbc tu\u1ed5i \u0111i h\u1ecdc, l\u00fac tr\u1ebb 3-5 tu\u1ed5i, ngay c\u1ea3 khi kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng. V\u00ec n\u1ebfu ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh \u1edf tu\u1ed5i c\u00e0ng nh\u1ecf th\u00ec \u0111i\u1ec1u tr\u1ecb c\u00e0ng c\u00f3 hi\u1ec7u qu\u1ea3, th\u1ecb l\u1ef1c ph\u1ee5c h\u1ed3i c\u00e0ng nhanh v\u00e0 c\u00e0ng nhi\u1ec1u.<\/span>
\nKhi \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m t\u1ea1i c\u00e1c c\u01a1 s\u1edf chuy\u00ean khoa m\u1eaft, tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c \u0111o th\u1ecb l\u1ef1c, ki\u1ec3m tra t\u1eadt kh\u00fac x\u1ea1, th\u1eed k\u00ednh v\u00e0 kh\u00e1m m\u1eaft \u0111\u1ea7y \u0111\u1ee7 theo \u0111\u00fang quy tr\u00ecnh, gi\u00fap ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c tr\u1ebb c\u00f3 b\u1ecb nh\u01b0\u1ee3c th\u1ecb kh\u00f4ng, nh\u01b0\u1ee3c th\u1ecb m\u1ed9t m\u1eaft hay 2 m\u1eaft, nguy\u00ean nh\u00e2n g\u00e2y ra nh\u01b0\u1ee3c th\u1ecb l\u00e0 g\u00ec, h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ra sao\u2026<\/span><\/p>\n\n
\nPh\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng thu\u1ed1c Atropin 0,5% nh\u1ecf v\u00e0o m\u1eaft t\u1ed1t, l\u00e0m m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u ti\u1ebft c\u1ee7a m\u1eaft n\u00e0y, l\u00e0m cho m\u1eaft nh\u00ecn m\u1edd. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 hi\u1ec7u qu\u1ea3 khi m\u1eaft t\u1ed1t b\u1ecb vi\u1ec5n th\u1ecb v\u00e0 m\u1eaft kia nh\u01b0\u1ee3c th\u1ecb nh\u1eb9<\/span><\/li>\n
\nM\u1ed9t l\u1ea7n n\u1eefa ch\u00fang t\u00f4i khuy\u00ean c\u00e1c ph\u1ee5 huynh n\u00ean \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m m\u1eaft \u00edt nh\u1ea5t 1 l\u1ea7n tr\u01b0\u1edbc tu\u1ed5i \u0111i h\u1ecdc \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm nh\u01b0\u1ee3c th\u1ecb \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, gi\u00fap tr\u1ebb ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c m\u1ed9t c\u00e1ch t\u1ed1t nh\u1ea5t.<\/span>
\nC\u1ea3m \u01a1n c\u00e1c b\u1ea1n \u0111\u00e3 quan t\u00e2m theo d\u00f5i, n\u1ebfu c\u00e1c b\u1ea1n th\u1ea5y c\u00e1c th\u00f4ng tin n\u00e0y b\u1ed5 \u00edch xin \u0111\u01b0\u1ee3c chia s\u1ebb v\u1edbi anh em, b\u1ea1n b\u00e8 ng\u01b0\u1eddi th\u00e2n \u0111\u1ec3 nhi\u1ec1u ng\u01b0\u1eddi bi\u1ebft, \u0111\u01b0a con \u0111i kh\u00e1m tr\u01b0\u1edbc khi qu\u00e1 mu\u1ed9n.\u00a0<\/span><\/p>\n