B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n b\u1edfi : Ths.BS Nguy\u1ec5n Th\u1ecb Qu\u1ef3nh \u2013 Tr\u01b0\u1edfng Khoa \u0110\u00e1y M\u1eaft b\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i.<\/b><\/span><\/p>\n I. B\u1ec6NH V\u00d5NG M\u1ea0C \u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG L\u00c0 G\u00cc?<\/span><\/strong><\/p>\n B\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (VM\u0110T\u0110) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd do t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u \u1edf v\u00f5ng m\u1ea1c g\u00e2y ra b\u1edfi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y m\u00f9 l\u00f2a \u1edf nh\u1eefng ng\u01b0\u1eddi trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 30- 64 \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n v\u00e0 b\u1ec7nh l\u00fd n\u00e0y c\u0169ng \u0111ang tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh t\u1ea1i Vi\u1ec7t Nam.<\/span><\/p>\n T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh VM\u0110T\u0110 gia t\u0103ng theo th\u1eddi gian b\u1ecb b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Kho\u1ea3ng 60% b\u1ec7nh nh\u00e2n c\u00f3 th\u1eddi gian m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u1eeb 10 n\u0103m<\/span> tr\u1edf l\u00ean s\u1ebd b\u1ecb t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u trong m\u1eaft v\u00e0 7-10%trong s\u1ed1 n\u00e0y s\u1ebd c\u00f3 nguy c\u01a1 m\u00f9 l\u00f2a.<\/span><\/span><\/p>\n Nhi\u1ec1u y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh VM\u0110T\u0110, bao g\u1ed3m:<\/span><\/p>\n B\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u1edf m\u1eaft c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m th\u1ecb l\u1ef1c v\u00e0 m\u00f9 l\u00f2a \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. N\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u trong v\u00f5ng m\u1ea1c (l\u1edbp m\u00e0ng th\u1ea7n kinh nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng \u1edf ph\u00eda sau m\u1eaft c\u1ee7a b\u1ea1n).<\/span><\/p>\n B\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/span><\/p>\n II. NGUY\u00caN NH\u00c2N<\/b><\/span><\/span><\/p>\n B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng g\u00e2y n\u00ean t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a to\u00e0n b\u1ed9 c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3, bi\u1ec3u hi\u1ec7n r\u00f5 nh\u1ea5t \u1edf c\u00e1c vi m\u1ea1ch m\u00e1u. T\u1ea1i m\u1eaft, do t\u1ed5n th\u01b0\u01a1ng c\u00e1c mao m\u1ea1ch v\u00f5ng m\u1ea1c, b\u1ed5 sung l\u00e0m t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch, tho\u00e1t huy\u1ebft t\u01b0\u01a1ng v\u00e0o v\u00f5ng m\u1ea1c g\u00e2y ph\u00f9 n\u1ec1. Khi mao m\u1ea1ch b\u1ecb ph\u00e1 h\u1ee7y g\u00e2y t\u1eafc v\u00e0 l\u00e0m thi\u1ebfu m\u00e1u v\u00f5ng m\u1ea1c, khi \u0111\u00f3 c\u01a1 th\u1ec3 ph\u1ea3n \u1ee9ng b\u1eb1ng c\u00e1ch ti\u1ebft ra c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch s\u1ef1 ph\u00e1t tri\u1ec3n c\u00e1c m\u1ea1ch m\u00e1u m\u1edbi (t\u00e2n m\u1ea1ch) \u0111\u1ec3 nu\u00f4i d\u01b0\u1ee1ng nh\u1eefng v\u00f9ng v\u00f5ng m\u1ea1c n\u00e0y. Tuy nhi\u00ean nh\u1eefng m\u1ea1ch m\u00e1u n\u00e0y m\u1ecfng manh d\u1ec5 v\u1ee1 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft d\u1ecbch k\u00ednh, x\u01a1 h\u00f3a g\u00e2y co k\u00e9o bong v\u00f5ng m\u1ea1c.<\/span><\/p>\n V\u00f5ng m\u1ea1c l\u00e0 b\u1ed9 ph\u1eadn c\u1ea3m th\u1ee5 \u00e1nh s\u00e1ng, trong \u0111\u00f3 ho\u00e0ng \u0111i\u1ec3m l\u00e0 trung t\u00e2m c\u1ee7a v\u00f5ng m\u1ea1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 90% th\u1ecb l\u1ef1c b\u1ec7nh nh\u00e2n.<\/span> \u1ea2nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u00ean v\u00f5ng m\u1ea1c l\u00e0m cho v\u00f5ng m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, \u1ea3nh h\u01b0\u1edfng tr\u1ea7m tr\u1ecdng t\u1edbi ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c.<\/span><\/span><\/p>\n III. TRI\u1ec6U CH\u1ee8NG<\/b><\/p>\n Giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi nh\u1eadn th\u1ea5y nh\u00ecn m\u1edd \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai m\u1eaft tuy nhi\u00ean ch\u1ec9 tho\u00e1ng qua trong m\u1ed9t th\u1eddi gian ng\u1eafn.<\/span><\/p>\n Trong giai \u0111o\u1ea1n sau c\u1ee7a b\u1ec7nh, c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a v\u00f5ng m\u1ea1c v\u1ee1 ra v\u00e0 m\u00e0u t\u1eeb l\u00f2ng m\u1ea1ch ch\u1ea3y v\u00e0o bu\u1ed3ng d\u1ecbch k\u00ednh . Khi \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c \u0111\u1ed1m ho\u1eb7c v\u1ec7t s\u1eabm m\u00e0u, n\u1ed5i tr\u00f4ng gi\u1ed1ng nh\u01b0 m\u1ea1ng nh\u1ec7n. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y t\u1ef1 bi\u1ebfn m\u1ea5t – nh\u01b0ng c\u1ea7n ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra tr\u1edf l\u1ea1i, tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n ho\u1eb7c g\u00e2y ra t\u0103ng sinh x\u01a1 co k\u00e9o trong bu\u1ed3ng d\u1ecbch k\u00ednh hay co k\u00e9o trong bong v\u00f5ng m\u1ea1c.<\/span><\/p>\n M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng b\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/span><\/p>\n IV. TI\u1ebeN TRI\u1ec2N<\/b><\/p>\n B\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c kh\u1edfi ph\u00e1t:<\/i><\/b><\/span><\/p>\n B\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c kh\u1edfi ph\u00e1t l\u00e0 giai \u0111o\u1ea1n s\u1edbm c\u1ee7a b\u1ec7nh VM\u0110T\u0110 v\u00e0 s\u1ebd ti\u1ebfn tri\u1ec3n ch\u1eadm qua nhi\u1ec1u n\u0103m. \u1ede giai \u0111o\u1ea1n n\u00e0y, c\u00e1c \u0111\u1ed1m xu\u1ea5t huy\u1ebft nh\u1ecf c\u00f3 m\u1ee1 l\u1eafng \u0111\u1ecdng s\u1ebd xu\u1ea5t hi\u1ec7n tr\u00ean v\u00f5ng m\u1ea1c.<\/span><\/p>\n Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c, nh\u01b0ng th\u1ecb l\u1ef1c s\u1ebd gi\u1ea3m d\u1ea7n m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c. \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, c\u00e1c m\u1ea1ch m\u00e1u b\u1ecb r\u00f2 r\u1ec9 \u1edf v\u00f9ng ho\u00e0ng \u0111i\u1ec3m – l\u00e0 b\u1ed9 ph\u1eadn n\u1eb1m \u1edf trung t\u00e2m v\u00f5ng m\u1ea1c c\u00f3 ch\u1ee9c n\u0103ng cho th\u1ecb l\u1ef1c trung t\u00e2m – g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c.<\/span><\/p>\n B\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c t\u0103ng sinh:<\/i><\/b><\/span><\/p>\n B\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c t\u0103ng sinh ph\u00e1t tri\u1ec3n t\u1eeb b\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c kh\u1edfi ph\u00e1t, \u0111\u00e2y l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ef7 l\u1ec7 m\u00f9 2 m\u1eaft sau 5 n\u0103m l\u00e0 50% Nh\u1eefng m\u1ea1ch m\u00e1u m\u1edbi s\u1ebd h\u00ecnh th\u00e0nh (t\u0103ng sinh) tr\u00ean b\u1ec1 m\u1eb7t v\u00f5ng m\u1ea1c v\u00e0 th\u1ea7n kinh th\u1ecb gi\u00e1c. C\u00e1c m\u1ea1ch m\u00e1u n\u00e0y c\u00f3 xu h\u01b0\u1edbng d\u1ec5 v\u1ee1 v\u00e0 ch\u1ea3y m\u00e1u v\u00e0o bu\u1ed3ng d\u1ecbch k\u00ednh. C\u00e1c m\u00e0ng x\u01a1 d\u1ecbch k\u00ednh v\u00f5ng m\u1ea1c c\u0169ng c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh t\u1eeb m\u1ea1ch m\u00e1u b\u1ecb v\u1ee1 g\u00e2y ra t\u00ecnh tr\u1ea1ng co k\u00e9o l\u00e0m bong v\u00f5ng m\u1ea1c d\u1eabn \u0111\u1ebfn m\u1ea5t th\u1ecb l\u1ef1c. C\u00e1c m\u1ea1ch m\u00e1u m\u1edbi c\u0169ng c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh \u1edf m\u1ed1ng m\u1eaft g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng nh\u00e3n \u00e1p v\u00e0 t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u00f9 l\u00f2a.<\/span><\/p>\n Khi t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft x\u1ea3y ra \u1edf giai \u0111o\u1ea1n b\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c t\u0103ng sinh, b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3m gi\u00e1c nh\u01b0 nh\u00ecn qua s\u01b0\u01a1ng m\u00f9, ru\u1ed3i bay hay m\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n. M\u1eb7c d\u00f9 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111au nh\u1ee9c, nh\u01b0ng \u0111\u00e2y l\u00e0 giai \u0111o\u1ea1n b\u1ec7nh l\u00fd VM\u0110T\u0110 nghi\u00eam tr\u1ecdng n\u00ean b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ngay.<\/span><\/p>\n V. \u0110I\u1ec0U TR\u1eca<\/span><\/strong><\/p>\n \u00cdt nh\u1ea5t 90% tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh giai \u0111o\u1ea1n \u0111\u1ea7u c\u00f3 th\u1ec3 thuy\u00ean gi\u1ea3m n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i m\u1eaft \u0111\u00fang c\u00e1ch. Do v\u1eady, vi\u1ec7c kh\u00e1m m\u1eaft h\u00e0ng n\u0103m s\u00e0ng l\u1ecdc b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi t\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/span><\/p>\n Trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng, b\u00e1c s\u0129 nh\u00e3n khoa c\u00f3 th\u1ec3 s\u1ebd ch\u1ec9 theo d\u00f5i t\u00ecnh tr\u1ea1ng m\u1eaft c\u1ee7a b\u1ea1n. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 c\u1ea7n kh\u00e1m m\u1eaft sau gi\u00e3n \u0111\u1ed3ng t\u1eed th\u01b0\u1eddng xuy\u00ean t\u1eeb 2 \u0111\u1ebfn 4 th\u00e1ng m\u1ed9t l\u1ea7n.\u00a0\u00a0<\/span><\/p>\n C\u1ea7n \u0111\u1ed3ng th\u1eddi \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh kh\u00e1c c\u00f3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn b\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, t\u0103ng lipid m\u00e1u, h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u, \u00edt v\u1eadn \u0111\u1ed9ng, ng\u1ee7 ng\u00e1y,…<\/span><\/p>\n \u0110i\u1ec1u tr\u1ecb b\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh: laser, ti\u00eam n\u1ed9i nh\u00e3n v\u00e0 ph\u1eabu thu\u1eadt. Vi\u1ec7c \u00e1p d\u1ee5ng \u0111\u01a1n tr\u1ecb li\u1ec7u ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3. \u0110i\u1ec1u tr\u1ecb s\u1edbm, t\u00edch c\u1ef1c c\u00f3 th\u1ec3 l\u00e0m d\u1eebng ho\u1eb7c h\u1ea1n ch\u1ebf gi\u1ea3m th\u1ecb l\u1ef1c m\u1eaft b\u1ecb b\u1ec7nh nh\u01b0ng kh\u00f4ng th\u1ec3 l\u00e0m kh\u1ecfi b\u1ec7nh.<\/span><\/p>\n Laser quang \u0111\u00f4ng l\u00e0 d\u00f9ng laser t\u1ea1o ra nh\u1eefng \u0111i\u1ec3m b\u1ecfng nh\u1ecf tr\u00ean v\u00f5ng m\u1ea1c, l\u00e0m gi\u1ea3m nhu c\u1ea7u s\u1eed d\u1ee5ng \u00f4-xy, \u01b0u ti\u00ean cho v\u00f9ng ho\u00e0ng \u0111i\u1ec3m quan tr\u1ecdng h\u01a1n. V\u1edbi nhi\u1ec1u ki\u1ec3u laser kh\u00e1c nhau, \u00e1p d\u1ee5ng t\u00f9y t\u00ecnh tr\u1ea1ng m\u1eaft b\u1ec7nh, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ph\u00f9 ho\u00e0ng \u0111i\u1ec3m ho\u1eb7c h\u1ea1n ch\u1ebf t\u00e2n m\u1ea1ch v\u00f5ng m\u1ea1c nh\u01b0ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n 1 ph\u1ea7n v\u00f5ng chu bi\u00ean<\/span><\/p>\n Ti\u00eam thu\u1ed1c v\u00e0o nh\u00e3n c\u1ea7u v\u1edbi corticosteroid (nh\u01b0 triamcinolon, dexamethason) v\u00e0 g\u1ea7n \u0111\u00e2y l\u00e0 c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf y\u1ebfu t\u1ed1 ph\u00e1t tri\u1ec3n n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u (anti-vaso endothelial growth factor\/VEGF) nh\u01b0 Lucentis, Avastin, Aflibercept c\u00f3 t\u00e1c d\u1ee5ng r\u1ea5t t\u1ed1t v\u1edbi ph\u00f9 ho\u00e0ng \u0111i\u1ec3m v\u00e0 t\u00e2n m\u1ea1ch v\u00f5ng m\u1ea1c, an to\u00e0n nh\u01b0ng gi\u00e1 thu\u1ed1c c\u00f2n \u0111\u1eaft \u0111\u1ecf. Tuy nhi\u00ean, b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u00e3 chi tr\u1ea3 cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ebb BHYT.\u00a0<\/span><\/p>\n B\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i t\u1ef1 h\u00e0o l\u00e0 1 trong 2 b\u1ec7nh vi\u1ec7n chuy\u00ean khoa m\u1eaft duy nh\u1ea5t t\u1ea1i H\u00e0 N\u1ed9i \u00e1p d\u1ee5ng ch\u1ebf \u0111\u1ed9 th\u00f4ng tuy\u1ebfn BHYT trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa, ph\u1eabu thu\u1eadt gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edfng quy\u1ec1n l\u1ee3i b\u1ea3o hi\u1ec3m cao nh\u1ea5t.<\/span><\/p>\n Ti\u00eam thu\u1ed1c v\u00e0o nh\u00e3n c\u1ea7u trong \u0111i\u1ec1u tr\u1ecb VM\u0110T\u0110<\/span><\/p>\n Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u01b0 xu\u1ea5t huy\u1ebft d\u1ecbch k\u00ednh, m\u00e0ng t\u0103ng sinh co k\u00e9o v\u00f5ng m\u1ea1c,… nh\u1eb1m lo\u1ea1i b\u1ecf m\u00e1u v\u00e0 m\u00e0ng x\u01a1 trong bu\u1ed3ng d\u1ecbch k\u00ednh, tr\u00ean v\u00f5ng m\u1ea1c<\/span> ph\u1ee5c h\u1ed3i th\u1ecb l\u1ef1c cho m\u1eaft b\u1ec7nh, h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng.<\/span><\/span><\/p>\n M\u1ed9t s\u1ed1 <\/span>thu\u1ed1c ti\u00eam VEGF s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb VM\u0110T\u0110<\/span><\/span><\/p>\n VI. PH\u00d2NG NG\u1eeaA<\/span><\/strong><\/p>\n Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd VM\u0110T\u0110 th\u00e0nh c\u00f4ng s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u1ea7n ki\u1ec3m so\u00e1t b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u1ee7a m\u00ecnh qua ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 tr\u00ec ho\u00e3n ho\u1eb7c ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ec7nh l\u00fd VM\u0110T\u0110 v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c. B\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n th\u1ef1c hi\u1ec7n vi\u1ec7c kh\u00e1m m\u1eaft \u0111\u1ecbnh k\u00ec h\u1eb1ng n\u0103m.<\/span><\/p>\n B\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i t\u1ef1 h\u00e0o l\u00e0 b\u1ec7nh vi\u1ec7n chuy\u00ean khoa M\u1eaft \u0111\u1ea7u ng\u00e0nh v\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 v\u1edbi chuy\u00ean m\u00f4n cao, gi\u00e0u kinh nghi\u1ec7m c\u00f9ng v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n v\u00e0 trang thi\u1ebft b\u1ecb \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i \u0111\u00e3 th\u1ef1c hi\u1ec7n kh\u00e1m ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho h\u00e0ng ng\u00e0n b\u1ec7nh nh\u00e2n kh\u00f4ng may b\u1ecb b\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/b><\/span><\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" B\u1ec7nh v\u00f5ng m\u1ea1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra m\u00f9 l\u00f2a \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n v\u00e0 d\u1ea7n tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. B\u1ec7nh v\u00f5ng m\u1ea1c ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u1edf m\u1eaft c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m th\u1ecb l\u1ef1c v\u00e0 m\u00f9 l\u00f2a \u1edf nh\u1eefng ng\u01b0\u1eddi […]<\/p>\n","protected":false},"author":1,"featured_media":2734,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[45,25],"tags":[174,226,227,228],"acf":[],"yoast_head":"\n![\"\"](\"https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/12\/Thiet-ke-khong-ten-1024x768.png\")
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