{"id":3537,"date":"2020-06-14T16:14:14","date_gmt":"2020-06-14T16:14:14","guid":{"rendered":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/?page_id=3537"},"modified":"2023-08-15T07:36:19","modified_gmt":"2023-08-15T07:36:19","slug":"chung-nhuoc-co-nang","status":"publish","type":"page","link":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/vi\/myasthenia-gravis\/","title":{"rendered":"Ch\u1ee9ng nh\u01b0\u1ee3c c\u01a1 n\u0103ng"},"content":{"rendered":"\n

T\u1ed4NG QU\u00c1T<\/h2>\n\n\n\n

MYASTHENIA GRAVIS L\u00c0 G\u00cc?<\/h3>\n\n\n\n

Myasthenia Gravis (MG) d\u1ecbch theo ngh\u0129a \u0111en t\u1eeb ti\u1ebfng Latinh l\u00e0 \u201cy\u1ebfu c\u01a1 nghi\u00eam tr\u1ecdng\u201d. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch d\u1eabn \u0111\u1ebfn y\u1ebfu c\u01a1 v\u00e0 ng\u00e0y c\u00e0ng tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n khi ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ee9c d\u1eady b\u00ecnh th\u01b0\u1eddng nh\u01b0ng d\u1ea7n d\u1ea7n c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi h\u01a1n trong su\u1ed1t c\u1ea3 ng\u00e0y. N\u00f3 c\u1ea3i thi\u1ec7n khi ngh\u1ec9 ng\u01a1i. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ea5y \u1edf ph\u1ee5 n\u1eef d\u01b0\u1edbi 30 tu\u1ed5i v\u00e0 nam gi\u1edbi tr\u00ean 60 tu\u1ed5i.<\/p>\n\n\n\n

C\u00f3 ba lo\u1ea1i MG ch\u00ednh. \u0110\u1ea7u ti\u00ean l\u00e0 MG t\u1ed5ng qu\u00e1t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y th\u1ec3 hi\u1ec7n s\u1ef1 y\u1ebfu k\u00e9m \u1edf c\u00e1c c\u01a1 m\u1eaft, c\u1ed5 h\u1ecdng, th\u00e0nh ng\u1ef1c v\u00e0 c\u00e1c chi d\u1eabn \u0111\u1ebfn s\u1ee5p m\u00ed m\u1eaft (ptosis), kh\u00f3 nu\u1ed1t, kh\u00f3 th\u1edf v\u00e0 kh\u00f3 c\u1eed \u0111\u1ed9ng.<\/p>\n\n\n\n

MG m\u1eaft \u1ea3nh h\u01b0\u1edfng ch\u1ee7 y\u1ebfu \u0111\u1ebfn c\u00e1c c\u01a1 m\u1eaft v\u00e0 c\u00f3 th\u1ec3 g\u00e2y s\u1ee5p mi v\u00e0 nh\u00ecn \u0111\u00f4i. \u0110i\u1ec1u n\u00e0y hi\u1ebfm h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n MG v\u00ec ph\u1ea7n l\u1edbn b\u1ecb MG t\u1ed5ng qu\u00e1t.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

Cu\u1ed1i c\u00f9ng, c\u0169ng c\u00f3 m\u1ed9t m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa MG v\u00e0 Thyoma l\u00e0 s\u1ef1 h\u00ecnh th\u00e0nh kh\u1ed1i u do ung th\u01b0 tuy\u1ebfn \u1ee9c. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng 20-30% b\u1ec7nh nh\u00e2n b\u1ecb U tuy\u1ebfn \u1ee9c s\u1ebd ph\u00e1t tri\u1ec3n th\u00e0nh MG.<\/p>\n\n\n\n

M\u1ee9c \u0111\u1ed9 m\u00e0 MG \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 dao \u0111\u1ed9ng nh\u01b0ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n khi g\u1eafng s\u1ee9c v\u1ec1 th\u1ec3 ch\u1ea5t, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, c\u00e1c b\u1ec7nh kh\u00e1c ho\u1eb7c mang thai.<\/p>\n\n\n\n

TRI\u1ec6U CH\u1ee8NG C\u1ee6A B\u1ec6NH NH\u01af\u1ee2C C\u01a0<\/h3>\n\n\n\n

B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb y\u1ebfu c\u01a1 m\u1eaft v\u00e0 c\u00f3 th\u1ec3 lan sang c\u00e1c c\u01a1 kh\u00e1c trong c\u01a1 th\u1ec3 theo th\u1eddi gian. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m:<\/p>\n\n\n\n

    \n
  • S\u1ee5p xu\u1ed1ng m\u1ed9t ho\u1eb7c c\u1ea3 hai m\u00ed m\u1eaft (ptosis)<\/li>\n\n\n\n
  • Nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i<\/li>\n\n\n\n
  • D\u00e1ng \u0111i kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c \u201cl\u1ea1ch b\u1ea1ch\u201d<\/li>\n\n\n\n
  • Y\u1ebfu \u1edf c\u00e1nh tay ho\u1eb7c ch\u00e2n<\/li>\n\n\n\n
  • Kh\u00f3 nu\u1ed1t<\/li>\n\n\n\n
  • Kh\u00f3 th\u1edf<\/li>\n\n\n\n
  • Kh\u00f3 n\u00f3i r\u00f5 r\u00e0ng<\/li>\n<\/ul>\n\n\n\n
    \"\"\/<\/figure>\n\n\n\n

    M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a MG c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n trong v\u00f2ng v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y k\u1ec3 t\u1eeb c\u00e1c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u v\u1edbi xu h\u01b0\u1edbng tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n khi t\u1eadp th\u1ec3 d\u1ee5c v\u00e0o cu\u1ed1i ng\u00e0y. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c qu\u1ea3n l\u00fd kh\u00f4ng \u0111\u00fang c\u00e1ch, b\u1ec7nh MG cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng nu\u1ed1t ho\u1eb7c th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n, g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n\n\n\n

    NGUY\u00caN NH N G Y B\u1ec6NH NH\u01af\u1ee2C C\u01a0<\/h3>\n\n\n\n
    \"\"\/<\/figure>\n\n\n\n

    T\u1ebf b\u00e0o th\u1ea7n kinh v\u1eadn \u0111\u1ed9ng l\u00e0 d\u00e2y th\u1ea7n kinh ki\u1ec3m so\u00e1t chuy\u1ec3n \u0111\u1ed9ng c\u01a1 b\u1eafp. M\u1ed7i t\u1ebf b\u00e0o th\u1ea7n kinh giao ti\u1ebfp v\u1edbi t\u1ebf b\u00e0o c\u01a1 t\u01b0\u01a1ng \u1ee9ng c\u1ee7a ch\u00fang th\u00f4ng qua ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh (h\u1ee3p ch\u1ea5t h\u00f3a h\u1ecdc gi\u00fap c\u01a1 co l\u1ea1i) \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 acetylcholine (ACh) t\u1ea1i \u0111i\u1ec3m n\u1ed1i th\u1ea7n kinh c\u01a1. Trong m\u1ed9t k\u1ecbch b\u1ea3n b\u00ecnh th\u01b0\u1eddng, Ach c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 tr\u00ean c\u00e1c t\u1ebf b\u00e0o c\u01a1 \u0111\u1ec3 g\u00e2y co th\u1eaft. Tuy nhi\u00ean, nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc ch\u1ee9ng MG b\u1ecb r\u1ed1i lo\u1ea1n khi\u1ebfn h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 t\u1ef1 t\u1ea5n c\u00f4ng ch\u00ednh n\u00f3. C\u00e1c kh\u00e1ng th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c h\u1ea1t vi-r\u00fat v\u00e0 m\u1ea7m b\u1ec7nh x\u00e2m nh\u1eadp b\u1eb1ng c\u00e1ch g\u1eafn v\u1edbi ch\u00fang v\u00e0 ng\u0103n ch\u1eb7n m\u1ed9t s\u1ed1 ch\u1ee9c n\u0103ng quan tr\u1ecdng ho\u1eb7c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t th\u1ebb g\u1eafn nh\u00e3n \u0111\u1ec3 b\u00e1o cho c\u01a1 th\u1ec3 ti\u00eau di\u1ec7t ch\u1ea5t l\u1ea1. \u1ede b\u1ec7nh nh\u00e2n MG, c\u00e1c kh\u00e1ng th\u1ec3 n\u00e0y l\u1ea1i \u0111i g\u1eafn v\u1edbi th\u1ee5 th\u1ec3 c\u01a1, v\u00ec v\u1eady ng\u0103n ch\u1eb7n Ach li\u00ean k\u1ebft v\u00e0 l\u00e0m gi\u1ea3m co c\u01a1.<\/p>\n\n\n\n

    C\u00e1c kh\u00e1ng th\u1ec3 kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi c\u00e1c ph\u00e2n t\u1eed ACh b\u00e1o hi\u1ec7u cho c\u01a1 th\u1ec3 ti\u00eau di\u1ec7t ch\u00fang. Theo m\u1ed9t con \u0111\u01b0\u1eddng kh\u00e1c, c\u00e1c kh\u00e1ng th\u1ec3 c\u00f3 th\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c protein m\u00e0 t\u1ebf b\u00e0o c\u01a1 c\u1ea7n \u0111\u1ec3 t\u1ea1o ra c\u00e1c th\u1ee5 th\u1ec3 m\u00e0 ACh li\u00ean k\u1ebft.<\/p>\n\n\n\n

    \"\"\/<\/figure>\n\n\n\n

    Tuy\u1ebfn \u1ee9c n\u1eb1m ph\u00eda sau x\u01b0\u01a1ng \u1ee9c c\u0169ng ti\u1ebft ra m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c kh\u00e1ng th\u1ec3 n\u00e0y.<\/p>\n\n\n\n

    Tuy\u1ebfn \u1ee9c l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 n\u00e0y. N\u00f3 th\u01b0\u1eddng co l\u1ea1i r\u1ea5t nhi\u1ec1u trong th\u1eddi th\u01a1 \u1ea5u \u0111\u1ebfn n\u1ed7i n\u00f3 kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng \u1edf ng\u01b0\u1eddi l\u1edbn. Tuy nhi\u00ean, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh MG, ng\u01b0\u1eddi ta ph\u00e1t hi\u1ec7n ra r\u1eb1ng ch\u00fang c\u00f3 ch\u1ee9a qu\u00e1 nhi\u1ec1u t\u1ebf b\u00e0o t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 ng\u0103n ch\u1eb7n th\u1ee5 th\u1ec3 n\u00e0y.<\/p>\n\n\n\n

    C\u00e1c kh\u00e1ng th\u1ec3 kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi c\u00e1c ph\u00e2n t\u1eed ACh b\u00e1o hi\u1ec7u cho c\u01a1 th\u1ec3 ti\u00eau di\u1ec7t ch\u00fang. Theo m\u1ed9t con \u0111\u01b0\u1eddng kh\u00e1c, c\u00e1c kh\u00e1ng th\u1ec3 c\u00f3 th\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c protein m\u00e0 t\u1ebf b\u00e0o c\u01a1 c\u1ea7n \u0111\u1ec3 t\u1ea1o ra c\u00e1c th\u1ee5 th\u1ec3 m\u00e0 ACh li\u00ean k\u1ebft.<\/p>\n\n\n\n

    CH\u1ea8N \u0110O\u00c1N B\u1ec6NH<\/h2>\n\n\n\n

    CH\u1ea8N \u0110O\u00c1N B\u1ec6NH NH\u01af\u1ee2C C\u01a0 NH\u01af TH\u1ebe N\u00c0O?<\/h3>\n\n\n\n

    Ch\u1ea9n \u0111o\u00e1n MG ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 kh\u00e1m th\u1ec3 ch\u1ea5t c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c b\u00e1c s\u0129 nh\u01b0 d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n\n\n\n

      \n
    • Ki\u1ec3m tra Tensilon: <\/strong>B\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i thu\u1ed1c g\u1ecdi l\u00e0 Tensilon c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf s\u1ef1 ph\u00e2n h\u1ee7y c\u1ee7a c\u00e1c ph\u00e2n t\u1eed ACh, do \u0111\u00f3 cho ph\u00e9p k\u00edch ho\u1ea1t c\u00e1c c\u01a1. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb MG, \u0111i\u1ec1u n\u00e0y s\u1ebd kh\u00f4ng c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng m\u1ecfi c\u01a1. Tuy nhi\u00ean, nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb MG s\u1ebd th\u1ea5y m\u1ed9t s\u1ef1 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 v\u1ec1 s\u1ee9c m\u1ea1nh k\u00e9o d\u00e0i trong v\u00e0i ph\u00fat.<\/li>\n\n\n\n
    • \u0110i\u1ec7n c\u01a1 \u0111\u1ed3 (EMG): <\/strong>\u0110\u00e2y l\u00e0 ph\u00e2n t\u00edch \u0111i\u1ec7n c\u1ee7a ch\u1ee9c n\u0103ng th\u1ea7n kinh v\u00e0 c\u01a1 b\u1eafp s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 \u0111\u01b0a ra m\u1ed9t b\u00e1o c\u00e1o k\u1ebft lu\u1eadn.<\/li>\n\n\n\n
    • X\u00e9t nghi\u1ec7m m\u00e1u: <\/strong>B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh MG s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u cho th\u1ea5y m\u1ee9c \u0111\u1ed9 kh\u00e1ng th\u1ec3 cao li\u00ean k\u1ebft v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 c\u01a1 ho\u1eb7c kh\u00e1ng th\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c protein m\u00e0 c\u01a1 c\u1ea7n \u0111\u1ec3 t\u1ea1o ra c\u00e1c th\u1ee5 th\u1ec3.<\/li>\n<\/ul>\n\n\n\n

      \u0110I\u1ec0U TR\u1eca<\/h2>\n\n\n\n
      \n
      Thu\u1ed1c \u1ee8c Ch\u1ebf Cholinesterase<\/span><\/i><\/i><\/span><\/span><\/div>
      \n

      \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c d\u1ea1ng MG nh\u1eb9 h\u01a1n b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf s\u1ef1 ph\u00e2n h\u1ee7y c\u1ee7a c\u00e1c ph\u00e2n t\u1eed ACh do \u0111\u00f3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a c\u01a1. D\u1ea1ng thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea toa ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 pyridostigmine.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

      Thu\u1ed1c \u1ee8c Ch\u1ebf Mi\u1ec5n D\u1ecbch<\/span><\/i><\/i><\/span><\/span><\/div>
      \n

      \u0110\u00e2y l\u00e0 lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 do \u0111\u00f3 l\u00e0m gi\u1ea3m s\u1ea3n xu\u1ea5t kh\u00e1ng th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1. \u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong s\u1ed1 n\u00e0y steroid l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean. Thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch m\u1ea1nh h\u01a1n nh\u01b0 Cyclosporine v\u00e0 Azathioprine sau \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c d\u1ea1ng MG nghi\u00eam tr\u1ecdng h\u01a1n do c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 g\u00e2y b\u1ea5t l\u1ee3i do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch b\u1ecb \u1ee9c ch\u1ebf.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

      C\u1eaft B\u1ecf Tuy\u1ebfn \u1ee8c<\/span><\/i><\/i><\/span><\/span><\/div>
      \n

      C\u1eaft b\u1ecf tuy\u1ebfn \u1ee9c l\u00e0 ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn \u1ee9c. Vi\u1ec7c n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i trung t\u00e2m c\u1ee7a ch\u00fang t\u00f4i b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng ph\u1eabu thu\u1eadt c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a robot, trong \u0111\u00f3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt v\u1edbi 3-4 v\u1ebft r\u1ea1ch nh\u1ecf (8 mm) v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau 1 \u0111\u1ebfn 2 ng\u00e0y. V\u1edbi n\u1ec1n t\u1ea3ng ph\u1eabu thu\u1eadt ti\u00ean ti\u1ebfn n\u00e0y, ch\u00fang ta c\u00f3 th\u1ec3 tr\u00e1nh ph\u01b0\u01a1ng ph\u00e1p th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch m\u1edf \u0111\u01b0\u1eddng m\u1ed5 gi\u1eefa x\u01b0\u01a1ng \u1ee9c. N\u1ebfu c\u00f3 m\u1ed9t kh\u1ed1i u li\u00ean quan, th\u00ec b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a b\u1ea1n s\u1ebd th\u1ea3o lu\u1eadn \u0111\u1ec3 l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng th\u1ee9c t\u1ed1t nh\u1ea5t trong tr\u01b0\u1eddng h\u1ee3p c\u1ee7a b\u1ea1n. Ph\u1eabu thu\u1eadt c\u00e0ng s\u1edbm sau khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng th\u00ec c\u01a1 h\u1ed9i c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 v\u1edbi s\u1ef1 thuy\u00ean gi\u1ea3m c\u00e0ng cao.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

      L\u1ecdc Huy\u1ebft T\u01b0\u01a1ng<\/span><\/i><\/i><\/span><\/span><\/div>
      \n

      Huy\u1ebft t\u01b0\u01a1ng chi\u1ebfm h\u01a1n 90% l\u01b0\u1ee3ng m\u00e1u c\u1ee7a ch\u00fang ta v\u00e0 v\u1eadn chuy\u1ec3n c\u00e1c kh\u00e1ng th\u1ec3 do c\u01a1 th\u1ec3 t\u1ea1o ra. Qu\u00e1 tr\u00ecnh l\u1ecdc huy\u1ebft t\u01b0\u01a1ng v\u1ec1 c\u01a1 b\u1ea3n l\u00e0 thay \u0111\u1ed5i huy\u1ebft t\u01b0\u01a1ng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng huy\u1ebft t\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c kh\u00e1ng th\u1ec3 ph\u00e1 v\u1ee1 c\u00e1c th\u1ee5 th\u1ec3 c\u01a1 trong m\u00e1u. Tuy nhi\u00ean, \u0111i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u01b0u \u00fd \u0111\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u r\u1ee7i ro, t\u1ed1n k\u00e9m v\u00e0 t\u1ed1n th\u1eddi gian.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

      IVIg<\/span><\/i><\/i><\/span><\/span><\/div>
      \n
      \n
      \n

      Truy\u1ec1n globulin mi\u1ec5n d\u1ecbch v\u00e0o t\u0129nh m\u1ea1ch c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch v\u00e0 l\u00e0m gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c kh\u00e1ng th\u1ec3 g\u00e2y b\u1ec7nh \u1edf b\u1ec7nh MG. N\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb MG v\u1edbi t\u00ecnh tr\u1ea1ng x\u1ea5u \u0111i c\u1ea5p t\u00ednh, \u0111\u1eb7c bi\u1ec7t l\u00e0 li\u00ean quan \u0111\u1ebfn h\u00f4 h\u1ea5p.<\/p>\n\n\n\n

      \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n MG, l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 gi\u00e1o d\u1ee5c v\u1ec1 b\u1ec7nh c\u00f3 th\u1ec3 t\u1ed1i \u0111a h\u00f3a vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh. M\u1ed9t s\u1ed1 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u0111i\u1ec1u n\u00e0y bao g\u1ed3m:<\/p>\n\n\n\n

        \n
      • \u0102n th\u1ef1c ph\u1ea9m gi\u00e0u kali nh\u01b0 chu\u1ed1i, c\u00e0 chua, qu\u1ea3 m\u01a1 v\u00e0 b\u00f4ng c\u1ea3i xanh<\/li>\n\n\n\n
      • Tr\u00e1nh g\u1eafng s\u1ee9c<\/li>\n\n\n\n
      • B\u00e1o cho b\u00e1c s\u0129 bi\u1ebft b\u1ec7nh n\u00e0y tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c theo toa c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh MG<\/li>\n\n\n\n
      • Tr\u00e1nh nhi\u1ec7t \u0111\u1ed9 qu\u00e1 cao<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"

        T\u1ed4NG QU\u00c1T MYASTHENIA GRAVIS L\u00c0 G\u00cc? Myasthenia Gravis (MG) d\u1ecbch theo ngh\u0129a \u0111en t\u1eeb ti\u1ebfng Latinh l\u00e0 \u201cy\u1ebfu c\u01a1 nghi\u00eam tr\u1ecdng\u201d. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch d\u1eabn \u0111\u1ebfn […]<\/p>\n","protected":false},"author":5,"featured_media":4496,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-3537","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nCh\u1ee9ng nh\u01b0\u1ee3c c\u01a1 n\u0103ng - International Centre for Thoracic Surgery in Singapore<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/vi\/myasthenia-gravis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ch\u1ee9ng nh\u01b0\u1ee3c c\u01a1 n\u0103ng - International Centre for Thoracic Surgery in Singapore\" \/>\n<meta property=\"og:description\" content=\"T\u1ed4NG QU\u00c1T MYASTHENIA GRAVIS L\u00c0 G\u00cc? 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