{"id":1242,"date":"2025-12-12T00:00:00","date_gmt":"2025-12-12T00:00:00","guid":{"rendered":"http:\/\/ttviet.vn\/dl"},"modified":"2025-12-12T00:00:00","modified_gmt":"2025-12-12T00:00:00","slug":"","status":"publish","type":"post","link":"http:\/\/ytevn.com\/?p=1242","title":{"rendered":"K\u1ef9 thu\u1eadt m\u1ed5 m\u1edbi gi\u00fap h\u00e0ng tr\u0103m ngh\u00ecn ng\u01b0\u1eddi b\u1ecb \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c n\u00e2ng ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng"},"content":{"rendered":"

H\u00f4m nay (10\/12), t\u1ea1i B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c di\u1ec5n ra h\u1ed9i th\u1ea3o qu\u1ed1c t\u1ebf v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh, quy t\u1ee5 kh\u00e1 \u0111\u00f4ng c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong n\u01b0\u1edbc v\u00e0 qu\u1ed1c t\u1ebf tham d\u1ef1. <\/p>\n

T\u1ea1i \u0111\u00e2y c\u00e1c chuy\u00ean gia \u0111\u00e3 c\u00f9ng chia s\u1ebb nh\u1eefng th\u00f4ng tin, trao \u0111\u1ed5i v\u1ec1 nhi\u1ec1u th\u00e0nh t\u1ef1u trong ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh, trong \u0111\u00f3 nh\u1ea5n m\u1ea1nh \u0111\u1ebfn vai tr\u00f2 c\u1ee7a \u0111i\u1ec7n c\u1ef1c x\u00e2m l\u1ea5n (SEEG) trong \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc m\u1ed5.<\/p>\n

\"K\u1ef9 — \n
\n<\/figcaption><\/figure>\n
Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 710 ngh\u00ecn ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u1ed9ng kinh<\/h2>\n
Th\u00f4ng tin t\u1ea1i h\u1ed9i th\u1ea3o cho th\u1ea5y, hi\u1ec7n nay, t\u1ea1i Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 710 ngh\u00ecn ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u1ed9ng kinh, trong \u0111\u00f3 c\u00f3 kho\u1ea3ng 213 ngh\u00ecn ng\u01b0\u1eddi kh\u00e1ng thu\u1ed1c, t\u1ec9 l\u1ec7 m\u1eafc \u0111\u1ed9ng kinh h\u00e0ng n\u0103m dao \u0111\u1ed9ng t\u1eeb 4 \u0111\u1ebfn 14 ng\u01b0\u1eddi trong 1000 d\u00e2n. Tr\u1ebb em m\u1eafc b\u1ec7nh \u0111\u1ed9ng kinh chi\u1ebfm t\u1edbi 30 – 40% ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9ng kinh t\u1ea1i Vi\u1ec7t Nam. <\/p>\n
S\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc \u0111\u1ed9ng kinh t\u1ea1i Vi\u1ec7t Nam so v\u1edbi c\u00e1c qu\u1ed1c gia kh\u00e1c nh\u01b0 Nh\u1eadt B\u1ea3n (870 ngh\u00ecn), Th\u00e1i Lan (50 ngh\u00ecn), Trung Qu\u1ed1c (g\u1ea7n 10 tri\u1ec7u ng\u01b0\u1eddi), \u1ea4n \u0110\u1ed9 (h\u01a1n 10 tri\u1ec7u ng\u01b0\u1eddi)\u2026<\/p>\n
\u0110\u1ed9ng kinh kh\u00e1ng thu\u1ed1c (t\u1ee9c l\u00e0 c\u00e1c c\u01a1n co gi\u1eadt v\u1eabn ti\u1ebfp di\u1ec5n m\u1eb7c d\u00f9 \u0111\u00e3 s\u1eed d\u1ee5ng \u00edt nh\u1ea5t 2 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh th\u00edch h\u1ee3p) g\u1eb7p \u1edf kho\u1ea3ng 30 % b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh.<\/p>\n
Khi thu\u1ed1c kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c, ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i.<\/p>\n
Tuy nhi\u00ean, m\u1ed9t trong nh\u1eefng \u0111i\u1ec1u ki\u1ec7n then ch\u1ed1t \u0111\u1ec3 ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng l\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u00f9ng sinh c\u01a1n (epileptogenic zone – EZ): ph\u1ea7n n\u00e3o ch\u1ecbu tr\u00e1ch nhi\u1ec7m kh\u1edfi ph\u00e1t v\u00e0 lan truy\u1ec1n c\u01a1n \u0111\u1ed9ng kinh.<\/p>\n
N\u1ebfu c\u1eaft b\u1ecf ho\u1eb7c can thi\u1ec7p v\u00f9ng n\u00e0y m\u00e0 kh\u00f4ng l\u00e0m t\u1ed5n h\u1ea1i qu\u00e1 nhi\u1ec1u ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng, kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f2n c\u01a1n \u0111\u1ed9ng kinh ho\u1eb7c gi\u1ea3m r\u1ea5t nhi\u1ec1u l\u00e0 r\u1ea5t cao.<\/p>\n
Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 nghi ng\u1edd v\u00f9ng sinh c\u01a1n ph\u1ee9c t\u1ea1p – v\u00ed d\u1ee5 c\u01a1n b\u1eaft \u0111\u1ea7u \u1edf v\u00f9ng s\u00e2u, v\u00f9ng hai b\u00ean, ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb kh\u00f4ng r\u00f5 r\u00e0ng – ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n ghi \u0111i\u1ec7n n\u00e3o s\u00e2u l\u00e0 c\u1ea7n thi\u1ebft. \u0110\u00f3 l\u00e0 khi ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 (SEEG) tr\u1edf n\u00ean r\u1ea5t gi\u00e1 tr\u1ecb.<\/p>\n
\u0110i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 l\u00e0 g\u00ec?<\/h2>\n
Th\u00f4ng tin t\u1ea1i h\u1ed9i th\u1ea3o cho bi\u1ebft, ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 – SEEG (Stereo-Electroencephalography) l\u00e0 k\u1ef9 thu\u1eadt \u0111\u1eb7t c\u00e1c \u0111i\u1ec7n c\u1ef1c d\u1ea1ng s\u00e2u (depth electrodes) xuy\u00ean qua s\u1ecd v\u00e0o trong n\u00e3o, \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c ba chi\u1ec1u, \u0111\u1ec3 ghi l\u1ea1i ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n n\u00e3o t\u1eeb c\u00e1c v\u00f9ng s\u00e2u v\u00e0 ph\u1ee9c t\u1ea1p.<\/p>\n
Nh\u1edd c\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 thu th\u1eadp d\u1eef li\u1ec7u \u0111i\u1ec7n n\u00e3o trong giai \u0111o\u1ea1n “ngo\u00e0i m\u1ed5” (extra-operative monitoring) \u1edf nhi\u1ec1u v\u00f9ng c\u00f9ng l\u00fac – so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p “n\u00f4ng” h\u01a1n nh\u01b0 l\u01b0\u1edbi \u0111i\u1ec7n c\u1ef1c b\u1ec1 m\u1eb7t.<\/p>\n
Ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m n\u1ed5i b\u1eadt nh\u01b0 c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn v\u00f9ng n\u00e3o s\u00e2u nh\u01b0 h\u1ea3i m\u00e3, h\u1ea1nh nh\u00e2n, th\u00f9y \u0111\u1ea3o, v\u00f9ng m\u1eb7t trong\/trung t\u00e2m c\u1ee7a b\u00e1n c\u1ea7u – n\u01a1i th\u01b0\u1eddng r\u1ea5t kh\u00f3 ti\u1ebfp c\u1eadn v\u1edbi \u0111i\u1ec7n c\u1ef1c b\u1ec1 m\u1eb7t; \u00cdt x\u00e2m l\u1ea5n h\u01a1n so v\u1edbi m\u1edf s\u1ecd l\u1edbn (craniotomy) \u0111\u1ec3 \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c d\u01b0\u1edbi m\u00e0ng c\u1ee9ng (SDE).<\/p>\n
\u0110\u1ed3ng th\u1eddi cho ph\u00e9p \u0111\u1ecbnh h\u00ecnh m\u1ea1ng l\u01b0\u1edbi kh\u1edfi ph\u00e1t v\u00e0 lan truy\u1ec1n c\u01a1n \u0111\u1ed9ng kinh m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c h\u01a1n – t\u1eeb \u0111\u00f3 t\u0103ng kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng.<\/p>\n
M\u1ed9t trong nh\u1eefng m\u1ed1i quan t\u00e2m l\u1edbn l\u00e0 “\u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c s\u00e2u c\u00f3 an to\u00e0n kh\u00f4ng?” Theo th\u00f4ng tin t\u1ea1i h\u1ed9i th\u1ea3o, c\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n nay cho th\u1ea5y t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 th\u1ea5p. V\u00ed d\u1ee5, trong m\u1ed9t ph\u00e2n t\u00edch h\u1ec7 th\u1ed1ng g\u1ed3m 57 b\u00e0i b\u00e1o v\u00e0 h\u01a1n 2.500 b\u1ec7nh nh\u00e2n: t\u1ef7 l\u1ec7 ch\u1ea3y m\u00e1u l\u00e0 kho\u1ea3ng 1% v\u00e0 t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng l\u00e0 kho\u1ea3ng 0,8%. T\u1ef7 l\u1ec7 t\u1ed5ng bi\u1ebfn ch\u1ee9ng l\u00e0 kho\u1ea3ng 1,3%<\/p>\n
V\u1ec1 m\u1eb7t an to\u00e0n t\u1ed5ng th\u1ec3: ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 \u0111\u01b0\u1ee3c xem l\u00e0 “an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3” n\u1ebfu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf trung t\u00e2m ngo\u1ea1i khoa l\u1edbn v\u1edbi chu\u1ea9n quy tr\u00ecnh t\u1ed1t.<\/p>\n
Tuy nhi\u00ean, c\u00e1c chuy\u00ean gia v\u1ec1 ph\u1eabu thu\u1eadt th\u1ea7n kinh c\u0169ng nh\u1ea5n m\u1ea1nh, b\u1ea5t k\u1ef3 th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n n\u00e0o c\u0169ng c\u00f3 r\u1ee7i ro – ch\u1ea3y m\u00e1u trong n\u00e3o, t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u nh\u1ecf, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng \u0111i\u1ec7n c\u1ef1c ho\u1eb7c bi\u1ebfn ch\u1ee9ng sau khi c\u1eaft\/ph\u1eabu thu\u1eadt. V\u00ec v\u1eady, b\u00e1c s\u0129 c\u1ea7n lu\u00f4n c\u00e2n nh\u1eafc k\u1ef9 gi\u1eefa l\u1ee3i \u00edch ti\u1ec1m n\u0103ng v\u00e0 r\u1ee7i ro v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n s\u00e2u tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n.<\/p>\n
Ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh: Gi\u1ea3i ph\u00e1p c\u1ee9u c\u00e1nh cho b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c <\/h2>\n
PGS.TS \u0110\u1ed3ng V\u0103n H\u1ec7 – Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c, Ch\u1ee7 t\u1ecbch H\u1ed9i Th\u1ea7n kinh Vi\u1ec7t Nam cho hay, trong 10 n\u0103m qua, Trung t\u00e2m ph\u1eabu thu\u1eadt th\u1ea7n kinh c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 kh\u00e1m v\u00e0 s\u00e0ng l\u1ecdc h\u00e0ng tr\u0103m ngh\u00ecn l\u01b0\u1ee3t ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9ng kinh, trong \u0111\u00f3 c\u00f3 r\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9ng kinh ph\u1ee9c t\u1ea1p.<\/p>\n
C\u00e1c b\u00e1c s\u0129 t\u1ea1i \u0111\u00e2y c\u0169ng \u0111\u00e3 ph\u1eabu thu\u1eadt h\u01a1n 150 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c, s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng th\u0103m d\u00f2 quan tr\u1ecdng v\u00e0 hi\u1ec7n \u0111\u1ea1i nh\u01b0 m\u00e1y c\u1ed9ng h\u01b0\u1edfng t\u1eeb 3.0 Tesla, \u00e1p d\u1ee5ng ph\u00e1c \u0111\u1ed3 chu\u1ea9n qu\u1ed1c t\u1ebf HARNESS, PET CT, h\u1ec7 th\u1ed1ng \u0111i\u1ec7n n\u00e3o video.<\/p>\n
“K\u1ebft qu\u1ea3 ki\u1ec3m so\u00e1t c\u01a1n \u0111\u1ed9ng kinh l\u00ean t\u1edbi 80%, mang l\u1ea1i ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng thay \u0111\u1ed5i r\u00f5 r\u1ec7t cho ng\u01b0\u1eddi b\u1ec7nh”- PGS.TS \u0110\u1ed3ng V\u0103n H\u1ec7 n\u00f3i.<\/p>\n
V\u1ecb chuy\u00ean gia n\u00e0y c\u0169ng nh\u1ea5n m\u1ea1nh: Ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh ng\u00e0y c\u00e0ng l\u00e0 gi\u1ea3i ph\u00e1p c\u1ee9u c\u00e1nh cho b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c v\u00e0 vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u00f9ng sinh c\u01a1n l\u00e0 y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh th\u00e0nh c\u00f4ng.<\/p>\n
Xu h\u01b0\u1edbng \u00e1p d\u1ee5ng SEEG \u0111ang gia t\u0103ng to\u00e0n c\u1ea7u, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c trung t\u00e2m chuy\u00ean s\u00e2u t\u1ea1i M\u1ef9, ch\u00e2u \u00c2u, Trung Qu\u1ed1c, \u1ea4n \u0110\u1ed9.<\/p>\n
“T\u1ea1i Vi\u1ec7t Nam, v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ng\u00e0nh ngo\u1ea1i th\u1ea7n kinh v\u00e0 \u0111i\u1ec7n sinh l\u00fd th\u1ea7n kinh, SEEG l\u00e0 h\u01b0\u1edbng ph\u00e1t tri\u1ec3n quan tr\u1ecdng nh\u1eb1m n\u00e2ng cao hi\u1ec7u qu\u1ea3 ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh, gi\u00fap nhi\u1ec1u b\u1ec7nh nh\u00e2n tho\u00e1t kh\u1ecfi c\u01a1n co gi\u1eadt v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng”- PGS.TS \u0110\u1ed3ng V\u0103n H\u1ec7 n\u00f3i.<\/p>\n
\n $\"K\u1ef9$ <\/a>\u00c1p d\u1ee5ng k\u1ef9 thu\u1eadt m\u1edbi trong ph\u1eabu thu\u1eadt u th\u1ea7n kinh \u0111\u1ec7m lan t\u1ecfa, r\u00fat ng\u1eafn th\u1eddi gian m\u1ed5<\/a><\/p>\n
SK\u0110S – Ng\u00e0y 2\/12, B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c th\u00f4ng tin, l\u1ea7n \u0111\u1ea7u ti\u00ean c\u00e1c b\u00e1c s\u0129 t\u1ea1i \u0111\u00e2y \u0111\u00e3 \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c theo d\u00f5i ch\u1ee9c n\u0103ng li\u00ean t\u1ee5c trong trong ph\u1eabu thu\u1eadt u th\u1ea7n kinh \u0111\u1ec7m lan t\u1ecfa. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y thay th\u1ebf cho ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 th\u1ee9c t\u1ec9nh v\u1ed1n kh\u00f3 \u00e1p d\u1ee5ng v\u1edbi kh\u1ed1i u qu\u00e1 l\u1edbn v\u00e0 th\u1eddi gian m\u1ed5 k\u00e9o d\u00e0i.<\/p>\n<\/div>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
H\u00f4m nay (10\/12), t\u1ea1i B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c di\u1ec5n ra h\u1ed9i th\u1ea3o qu\u1ed1c t\u1ebf v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh, quy t\u1ee5 kh\u00e1 \u0111\u00f4ng c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong n\u01b0\u1edbc v\u00e0 qu\u1ed1c t\u1ebf tham d\u1ef1. T\u1ea1i \u0111\u00e2y c\u00e1c chuy\u00ean gia \u0111\u00e3 c\u00f9ng chia s\u1ebb nh\u1eefng th\u00f4ng tin, trao \u0111\u1ed5i v\u1ec1 nhi\u1ec1u th\u00e0nh t\u1ef1u […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-1242","post","type-post","status-publish","format-standard","hentry","category-tin-y-te"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1242"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1242\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1242"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

\"K\u1ef9 — \n
\n<\/figcaption><\/figure>\n
Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 710 ngh\u00ecn ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u1ed9ng kinh<\/h2>\n
Th\u00f4ng tin t\u1ea1i h\u1ed9i th\u1ea3o cho th\u1ea5y, hi\u1ec7n nay, t\u1ea1i Vi\u1ec7t Nam c\u00f3 kho\u1ea3ng 710 ngh\u00ecn ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u1ed9ng kinh, trong \u0111\u00f3 c\u00f3 kho\u1ea3ng 213 ngh\u00ecn ng\u01b0\u1eddi kh\u00e1ng thu\u1ed1c, t\u1ec9 l\u1ec7 m\u1eafc \u0111\u1ed9ng kinh h\u00e0ng n\u0103m dao \u0111\u1ed9ng t\u1eeb 4 \u0111\u1ebfn 14 ng\u01b0\u1eddi trong 1000 d\u00e2n. Tr\u1ebb em m\u1eafc b\u1ec7nh \u0111\u1ed9ng kinh chi\u1ebfm t\u1edbi 30 – 40% ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9ng kinh t\u1ea1i Vi\u1ec7t Nam. <\/p>\n
S\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc \u0111\u1ed9ng kinh t\u1ea1i Vi\u1ec7t Nam so v\u1edbi c\u00e1c qu\u1ed1c gia kh\u00e1c nh\u01b0 Nh\u1eadt B\u1ea3n (870 ngh\u00ecn), Th\u00e1i Lan (50 ngh\u00ecn), Trung Qu\u1ed1c (g\u1ea7n 10 tri\u1ec7u ng\u01b0\u1eddi), \u1ea4n \u0110\u1ed9 (h\u01a1n 10 tri\u1ec7u ng\u01b0\u1eddi)\u2026<\/p>\n
\u0110\u1ed9ng kinh kh\u00e1ng thu\u1ed1c (t\u1ee9c l\u00e0 c\u00e1c c\u01a1n co gi\u1eadt v\u1eabn ti\u1ebfp di\u1ec5n m\u1eb7c d\u00f9 \u0111\u00e3 s\u1eed d\u1ee5ng \u00edt nh\u1ea5t 2 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh th\u00edch h\u1ee3p) g\u1eb7p \u1edf kho\u1ea3ng 30 % b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh.<\/p>\n
Khi thu\u1ed1c kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c, ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i.<\/p>\n
Tuy nhi\u00ean, m\u1ed9t trong nh\u1eefng \u0111i\u1ec1u ki\u1ec7n then ch\u1ed1t \u0111\u1ec3 ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng l\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u00f9ng sinh c\u01a1n (epileptogenic zone – EZ): ph\u1ea7n n\u00e3o ch\u1ecbu tr\u00e1ch nhi\u1ec7m kh\u1edfi ph\u00e1t v\u00e0 lan truy\u1ec1n c\u01a1n \u0111\u1ed9ng kinh.<\/p>\n
N\u1ebfu c\u1eaft b\u1ecf ho\u1eb7c can thi\u1ec7p v\u00f9ng n\u00e0y m\u00e0 kh\u00f4ng l\u00e0m t\u1ed5n h\u1ea1i qu\u00e1 nhi\u1ec1u ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng, kh\u1ea3 n\u0103ng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f2n c\u01a1n \u0111\u1ed9ng kinh ho\u1eb7c gi\u1ea3m r\u1ea5t nhi\u1ec1u l\u00e0 r\u1ea5t cao.<\/p>\n
Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 nghi ng\u1edd v\u00f9ng sinh c\u01a1n ph\u1ee9c t\u1ea1p – v\u00ed d\u1ee5 c\u01a1n b\u1eaft \u0111\u1ea7u \u1edf v\u00f9ng s\u00e2u, v\u00f9ng hai b\u00ean, ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb kh\u00f4ng r\u00f5 r\u00e0ng – ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n ghi \u0111i\u1ec7n n\u00e3o s\u00e2u l\u00e0 c\u1ea7n thi\u1ebft. \u0110\u00f3 l\u00e0 khi ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 (SEEG) tr\u1edf n\u00ean r\u1ea5t gi\u00e1 tr\u1ecb.<\/p>\n
\u0110i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 l\u00e0 g\u00ec?<\/h2>\n
Th\u00f4ng tin t\u1ea1i h\u1ed9i th\u1ea3o cho bi\u1ebft, ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 – SEEG (Stereo-Electroencephalography) l\u00e0 k\u1ef9 thu\u1eadt \u0111\u1eb7t c\u00e1c \u0111i\u1ec7n c\u1ef1c d\u1ea1ng s\u00e2u (depth electrodes) xuy\u00ean qua s\u1ecd v\u00e0o trong n\u00e3o, \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c ba chi\u1ec1u, \u0111\u1ec3 ghi l\u1ea1i ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n n\u00e3o t\u1eeb c\u00e1c v\u00f9ng s\u00e2u v\u00e0 ph\u1ee9c t\u1ea1p.<\/p>\n
Nh\u1edd c\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 thu th\u1eadp d\u1eef li\u1ec7u \u0111i\u1ec7n n\u00e3o trong giai \u0111o\u1ea1n “ngo\u00e0i m\u1ed5” (extra-operative monitoring) \u1edf nhi\u1ec1u v\u00f9ng c\u00f9ng l\u00fac – so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p “n\u00f4ng” h\u01a1n nh\u01b0 l\u01b0\u1edbi \u0111i\u1ec7n c\u1ef1c b\u1ec1 m\u1eb7t.<\/p>\n
Ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m n\u1ed5i b\u1eadt nh\u01b0 c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn v\u00f9ng n\u00e3o s\u00e2u nh\u01b0 h\u1ea3i m\u00e3, h\u1ea1nh nh\u00e2n, th\u00f9y \u0111\u1ea3o, v\u00f9ng m\u1eb7t trong\/trung t\u00e2m c\u1ee7a b\u00e1n c\u1ea7u – n\u01a1i th\u01b0\u1eddng r\u1ea5t kh\u00f3 ti\u1ebfp c\u1eadn v\u1edbi \u0111i\u1ec7n c\u1ef1c b\u1ec1 m\u1eb7t; \u00cdt x\u00e2m l\u1ea5n h\u01a1n so v\u1edbi m\u1edf s\u1ecd l\u1edbn (craniotomy) \u0111\u1ec3 \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c d\u01b0\u1edbi m\u00e0ng c\u1ee9ng (SDE).<\/p>\n
\u0110\u1ed3ng th\u1eddi cho ph\u00e9p \u0111\u1ecbnh h\u00ecnh m\u1ea1ng l\u01b0\u1edbi kh\u1edfi ph\u00e1t v\u00e0 lan truy\u1ec1n c\u01a1n \u0111\u1ed9ng kinh m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c h\u01a1n – t\u1eeb \u0111\u00f3 t\u0103ng kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng.<\/p>\n
M\u1ed9t trong nh\u1eefng m\u1ed1i quan t\u00e2m l\u1edbn l\u00e0 “\u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c s\u00e2u c\u00f3 an to\u00e0n kh\u00f4ng?” Theo th\u00f4ng tin t\u1ea1i h\u1ed9i th\u1ea3o, c\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n nay cho th\u1ea5y t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 th\u1ea5p. V\u00ed d\u1ee5, trong m\u1ed9t ph\u00e2n t\u00edch h\u1ec7 th\u1ed1ng g\u1ed3m 57 b\u00e0i b\u00e1o v\u00e0 h\u01a1n 2.500 b\u1ec7nh nh\u00e2n: t\u1ef7 l\u1ec7 ch\u1ea3y m\u00e1u l\u00e0 kho\u1ea3ng 1% v\u00e0 t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng l\u00e0 kho\u1ea3ng 0,8%. T\u1ef7 l\u1ec7 t\u1ed5ng bi\u1ebfn ch\u1ee9ng l\u00e0 kho\u1ea3ng 1,3%<\/p>\n
V\u1ec1 m\u1eb7t an to\u00e0n t\u1ed5ng th\u1ec3: ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n n\u00e3o xuy\u00ean nhu m\u00f4 \u0111\u01b0\u1ee3c xem l\u00e0 “an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3” n\u1ebfu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf trung t\u00e2m ngo\u1ea1i khoa l\u1edbn v\u1edbi chu\u1ea9n quy tr\u00ecnh t\u1ed1t.<\/p>\n
Tuy nhi\u00ean, c\u00e1c chuy\u00ean gia v\u1ec1 ph\u1eabu thu\u1eadt th\u1ea7n kinh c\u0169ng nh\u1ea5n m\u1ea1nh, b\u1ea5t k\u1ef3 th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n n\u00e0o c\u0169ng c\u00f3 r\u1ee7i ro – ch\u1ea3y m\u00e1u trong n\u00e3o, t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u nh\u1ecf, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng \u0111i\u1ec7n c\u1ef1c ho\u1eb7c bi\u1ebfn ch\u1ee9ng sau khi c\u1eaft\/ph\u1eabu thu\u1eadt. V\u00ec v\u1eady, b\u00e1c s\u0129 c\u1ea7n lu\u00f4n c\u00e2n nh\u1eafc k\u1ef9 gi\u1eefa l\u1ee3i \u00edch ti\u1ec1m n\u0103ng v\u00e0 r\u1ee7i ro v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n s\u00e2u tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n.<\/p>\n
Ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh: Gi\u1ea3i ph\u00e1p c\u1ee9u c\u00e1nh cho b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c <\/h2>\n
PGS.TS \u0110\u1ed3ng V\u0103n H\u1ec7 – Ph\u00f3 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c, Ch\u1ee7 t\u1ecbch H\u1ed9i Th\u1ea7n kinh Vi\u1ec7t Nam cho hay, trong 10 n\u0103m qua, Trung t\u00e2m ph\u1eabu thu\u1eadt th\u1ea7n kinh c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 kh\u00e1m v\u00e0 s\u00e0ng l\u1ecdc h\u00e0ng tr\u0103m ngh\u00ecn l\u01b0\u1ee3t ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9ng kinh, trong \u0111\u00f3 c\u00f3 r\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9ng kinh ph\u1ee9c t\u1ea1p.<\/p>\n
C\u00e1c b\u00e1c s\u0129 t\u1ea1i \u0111\u00e2y c\u0169ng \u0111\u00e3 ph\u1eabu thu\u1eadt h\u01a1n 150 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c, s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng th\u0103m d\u00f2 quan tr\u1ecdng v\u00e0 hi\u1ec7n \u0111\u1ea1i nh\u01b0 m\u00e1y c\u1ed9ng h\u01b0\u1edfng t\u1eeb 3.0 Tesla, \u00e1p d\u1ee5ng ph\u00e1c \u0111\u1ed3 chu\u1ea9n qu\u1ed1c t\u1ebf HARNESS, PET CT, h\u1ec7 th\u1ed1ng \u0111i\u1ec7n n\u00e3o video.<\/p>\n
“K\u1ebft qu\u1ea3 ki\u1ec3m so\u00e1t c\u01a1n \u0111\u1ed9ng kinh l\u00ean t\u1edbi 80%, mang l\u1ea1i ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng thay \u0111\u1ed5i r\u00f5 r\u1ec7t cho ng\u01b0\u1eddi b\u1ec7nh”- PGS.TS \u0110\u1ed3ng V\u0103n H\u1ec7 n\u00f3i.<\/p>\n
V\u1ecb chuy\u00ean gia n\u00e0y c\u0169ng nh\u1ea5n m\u1ea1nh: Ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh ng\u00e0y c\u00e0ng l\u00e0 gi\u1ea3i ph\u00e1p c\u1ee9u c\u00e1nh cho b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00e1ng thu\u1ed1c v\u00e0 vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u00f9ng sinh c\u01a1n l\u00e0 y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh th\u00e0nh c\u00f4ng.<\/p>\n
Xu h\u01b0\u1edbng \u00e1p d\u1ee5ng SEEG \u0111ang gia t\u0103ng to\u00e0n c\u1ea7u, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c trung t\u00e2m chuy\u00ean s\u00e2u t\u1ea1i M\u1ef9, ch\u00e2u \u00c2u, Trung Qu\u1ed1c, \u1ea4n \u0110\u1ed9.<\/p>\n
“T\u1ea1i Vi\u1ec7t Nam, v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ng\u00e0nh ngo\u1ea1i th\u1ea7n kinh v\u00e0 \u0111i\u1ec7n sinh l\u00fd th\u1ea7n kinh, SEEG l\u00e0 h\u01b0\u1edbng ph\u00e1t tri\u1ec3n quan tr\u1ecdng nh\u1eb1m n\u00e2ng cao hi\u1ec7u qu\u1ea3 ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh, gi\u00fap nhi\u1ec1u b\u1ec7nh nh\u00e2n tho\u00e1t kh\u1ecfi c\u01a1n co gi\u1eadt v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng”- PGS.TS \u0110\u1ed3ng V\u0103n H\u1ec7 n\u00f3i.<\/p>\n
\n $\"K\u1ef9$ <\/a>\u00c1p d\u1ee5ng k\u1ef9 thu\u1eadt m\u1edbi trong ph\u1eabu thu\u1eadt u th\u1ea7n kinh \u0111\u1ec7m lan t\u1ecfa, r\u00fat ng\u1eafn th\u1eddi gian m\u1ed5<\/a><\/p>\n
SK\u0110S – Ng\u00e0y 2\/12, B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c th\u00f4ng tin, l\u1ea7n \u0111\u1ea7u ti\u00ean c\u00e1c b\u00e1c s\u0129 t\u1ea1i \u0111\u00e2y \u0111\u00e3 \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c theo d\u00f5i ch\u1ee9c n\u0103ng li\u00ean t\u1ee5c trong trong ph\u1eabu thu\u1eadt u th\u1ea7n kinh \u0111\u1ec7m lan t\u1ecfa. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y thay th\u1ebf cho ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 th\u1ee9c t\u1ec9nh v\u1ed1n kh\u00f3 \u00e1p d\u1ee5ng v\u1edbi kh\u1ed1i u qu\u00e1 l\u1edbn v\u00e0 th\u1eddi gian m\u1ed5 k\u00e9o d\u00e0i.<\/p>\n<\/div>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
H\u00f4m nay (10\/12), t\u1ea1i B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c di\u1ec5n ra h\u1ed9i th\u1ea3o qu\u1ed1c t\u1ebf v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u1ed9ng kinh, quy t\u1ee5 kh\u00e1 \u0111\u00f4ng c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong n\u01b0\u1edbc v\u00e0 qu\u1ed1c t\u1ebf tham d\u1ef1. T\u1ea1i \u0111\u00e2y c\u00e1c chuy\u00ean gia \u0111\u00e3 c\u00f9ng chia s\u1ebb nh\u1eefng th\u00f4ng tin, trao \u0111\u1ed5i v\u1ec1 nhi\u1ec1u th\u00e0nh t\u1ef1u […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-1242","post","type-post","status-publish","format-standard","hentry","category-tin-y-te"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1242"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1242\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1242"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}