{"id":3228,"date":"2023-08-23T16:57:49","date_gmt":"2023-08-23T09:57:49","guid":{"rendered":"https:\/\/opfe.vn\/?p=3228"},"modified":"2023-08-23T16:57:49","modified_gmt":"2023-08-23T09:57:49","slug":"bai-nao-va-phuong-phap-dieu-tri-phan-2-2","status":"publish","type":"post","link":"https:\/\/opfe.vn\/index.php\/2023\/08\/23\/bai-nao-va-phuong-phap-dieu-tri-phan-2-2\/","title":{"rendered":"B\u1ea0I N\u00c3O V\u00c0 PH\u01af\u01a0NG PH\u00c1P \u0110I\u1ec0U TR\u1eca (PH\u1ea6N 2\/2)"},"content":{"rendered":"\n

2. Ph\u00e2n lo\u1ea1i b\u1ea1i n\u00e3o theo th\u1ec3 l\u00e2m s\u00e0ng<\/h3>\n\n\n\n

\"\ud83c\udf31\"\u00a0B\u1ea1i n\u00e3o th\u1ec3 li\u1ec7t c\u1ee9ng (spastic cerebral palsy)<\/strong><\/p>\n\n\n\n

– B\u1ea1i n\u00e3o th\u1ec3 li\u1ec7t c\u1ee9ng chi\u1ebfm kho\u1ea3ng 70 – 80%.
Tr\u1ebb m\u1eafc th\u1ec3 n\u00e0y c\u00f3 bi\u1ec3u hi\u1ec7n c\u00e1c c\u01a1 co c\u1ee9ng, lu\u00f4n \u1edf tr\u1ea1ng th\u00e1i t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1. M\u1ecdi ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a tr\u1ebb \u0111\u1ec1u r\u1ea5t kh\u00f3 kh\u0103n. Tr\u1ebb kh\u00f3 c\u1ea7m n\u1eafm, b\u00f2 ho\u1eb7c \u0111i. Th\u1ec3 l\u00e2m s\u00e0ng n\u00e0y l\u1ea1i \u0111\u01b0\u1ee3c chia l\u00e0m ba ph\u00e2n nh\u00f3m nh\u1ecf:<\/p>\n\n\n\n

+ Li\u1ec7t c\u1ee9ng 2 chi d\u01b0\u1edbi
Tr\u1ebb c\u00f3 b\u1ea5t th\u01b0\u1eddng co c\u1ee9ng r\u00f5 \u1edf 2 chi d\u01b0\u1edbi. \u1ede th\u1ec3 n\u00e0y, do c\u00e1c c\u01a1 kh\u00e9p \u0111\u00f9i b\u1ecb co c\u1ee9ng, ch\u00e2n tr\u1ebb lu\u00f4n b\u1ecb k\u00e9o v\u00e0o trong l\u00e0m cho tr\u1ebb c\u00f3 d\u00e1ng \u0111i b\u1eaft ch\u00e9o hai ch\u00e2n r\u1ea5t \u0111\u1eb7c tr\u01b0ng.<\/p>\n\n\n\n

+ Li\u1ec7t c\u1ee9ng n\u1eeda ng\u01b0\u1eddi
Th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n li\u1ec7t c\u1ee9ng m\u1ed9t b\u00ean (ph\u1ea3i ho\u1eb7c tr\u00e1i). Th\u01b0\u1eddng th\u00ec chi tr\u00ean b\u1ecb \u1ea3nh h\u01b0\u1edfng n\u1eb7ng h\u01a1n chi d\u01b0\u1edbi.<\/p>\n\n\n\n

+ Li\u1ec7t c\u1ee9ng t\u1ee9 chi
B\u1ec7nh nh\u00e2n thu\u1ed9c nh\u00f3m n\u00e0y c\u00f3 bi\u1ec3u hi\u1ec7n li\u1ec7t c\u1ee9ng c\u1ea3 2 chi tr\u00ean v\u00e0 2 chi d\u01b0\u1edbi c\u00f9ng v\u1edbi c\u00e1c c\u01a1 tr\u1ee5c th\u00e2n. C\u1ea3 c\u00e1c c\u01a1 \u1edf m\u1eb7t c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng l\u00e0m cho tr\u1ebb b\u1ecb t\u00e0n ph\u1ebf r\u1ea5t n\u1eb7ng.<\/p>\n\n\n\n

\"\ud83c\udf31\"\u00a0B\u1ea1i n\u00e3o th\u1ec3 m\u00faa v\u1eddn hay lo\u1ea1n \u0111\u1ed9ng<\/strong><\/p>\n\n\n\n

+ Kho\u1ea3ng 6% b\u1ec7nh nh\u00e2n b\u1ea1i n\u00e3o thu\u1ed9c th\u1ec3 n\u00e0y.<\/p>\n\n\n\n

+ Th\u1ec3 lo\u1ea1n \u0111\u1ed9ng \u0111\u1eb7c tr\u01b0ng b\u1eb1ng s\u1ef1 thay \u0111\u1ed5i th\u1ea5t th\u01b0\u1eddng c\u1ee7a tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (l\u00fac t\u0103ng, l\u00fac gi\u1ea3m).<\/p>\n\n\n\n

+ Tr\u1ebb th\u01b0\u1eddng c\u00f3 c\u00e1c \u0111\u1ed9ng t\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. C\u00e1c \u0111\u1ed9ng t\u00e1c n\u00e0y c\u00f3 nh\u1ecbp \u0111i\u1ec7u ch\u1eadm, bi\u00ean \u0111\u1ed9 \u0111\u00f4i khi r\u1ed9ng nh\u01b0 \u0111ang m\u00faa nh\u01b0ng tr\u1ebb kh\u00f4ng \u00fd th\u1ee9c \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y.<\/p>\n\n\n\n

+ Do b\u1ea5t th\u01b0\u1eddng trong ki\u1ec3m so\u00e1t c\u00e1c c\u1eed \u0111\u1ed9ng, b\u1ec7nh nh\u00e2n kh\u00f3 c\u00f3 t\u01b0 th\u1ebf v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, c\u00e1c c\u01a1 \u1edf m\u1eb7t v\u00e0 l\u01b0\u1ee1i c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng l\u00e0m tr\u1ebb kh\u00f3 b\u00fa, kh\u00f3 nu\u1ed1t, kh\u00f3 n\u00f3i.<\/p>\n\n\n\n

\"\ud83c\udf31\"\u00a0B\u1ea1i n\u00e3o th\u1ec3 th\u1ea5t \u0111i\u1ec1u<\/strong><\/p>\n\n\n\n

+ Th\u1ec3 th\u1ea5t \u0111i\u1ec1u chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 6%.<\/p>\n\n\n\n

+ \u1ede th\u1ec3 n\u00e0y, c\u00e2n b\u1eb1ng t\u01b0 th\u1ebf v\u00e0 ph\u1ed1i h\u1ee3p \u0111\u1ed9ng t\u00e1c b\u1ecb \u1ea3nh h\u01b0\u1edfng, tr\u1ebb kh\u00f3 ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf d\u00e1ng \u0111i l\u1ea3o \u0111\u1ea3o, v\u00f9ng th\u1eaft l\u01b0ng hay \u0111ong \u0111\u01b0a. Kh\u1ea3 n\u0103ng ph\u1ed1i h\u1ee3p v\u1eadn \u0111\u1ed9ng k\u00e9m do \u0111\u00f3 tr\u1ebb kh\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c \u0111\u00f2i h\u1ecfi s\u1ef1 nh\u1ecbp nh\u00e0ng nh\u01b0 v\u1ed7 tay theo nh\u1ecbp hay vi\u1ebft ch\u1eef.<\/p>\n\n\n\n

\"\ud83c\udf31\"\u00a0B\u1ea1i n\u00e3o th\u1ec3 ph\u1ed1i h\u1ee3p<\/strong>
Tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o th\u1ec3 ph\u1ed1i h\u1ee3p th\u01b0\u1eddng ph\u1ed1i h\u1ee3p 2 trong c\u00e1c th\u1ec3 b\u1ea1i n\u00e3o tr\u00ean, th\u01b0\u1eddng g\u1eb7p ph\u1ed1i h\u1ee3p th\u1ec3 co c\u1ee9ng v\u1edbi th\u1ec3 m\u00faa v\u1eddn, nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y th\u01b0\u1eddng b\u1ecb t\u00e0n t\u1eadt n\u1eb7ng n\u1ec1.<\/p>\n\n\n\n

3. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/h3>\n\n\n\n

+ Do b\u1ea1i n\u00e3o li\u00ean quan t\u1edbi c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u0129nh vi\u1ec5n c\u1ee7a c\u1ea5u tr\u00fac n\u00e3o, n\u00f3 kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi \u0111\u01b0\u1ee3c nh\u01b0ng kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng c\u00f3 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb. \u0110i\u1ec1u tr\u1ecb b\u1ea1i n\u00e3o th\u00f4ng th\u01b0\u1eddng li\u00ean quan t\u1edbi ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn \u0111a ng\u00e0nh, t\u1eadp h\u1ee3p c\u00e1c chuy\u00ean gia l\u00e2m s\u00e0ng nh\u01b0: b\u00e1c s\u0129 th\u1ea7n kinh, b\u00e1c s\u0129 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. Nh\u1edd tr\u1ecb li\u1ec7u v\u00e0 ng\u00f4n ng\u1eef v\u1edbi hy v\u1ecdng t\u00ecm ra c\u00e1ch ti\u1ebfp c\u1eadn t\u1ed1t nh\u1ea5t cho t\u1eebng b\u1ec7nh nh\u00e2n nh\u1eb1m n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a h\u1ecd.<\/p>\n\n\n\n

+ V\u1eadt l\u00fd tr\u1ecb li\u1ec7u: c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 r\u00e8n luy\u1ec7n th\u1ec3 l\u1ef1c v\u00e0 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng \u0111i l\u1ea1i c\u00f9ng v\u1edbi vi\u1ec7c gi\u00e3n c\u01a1 \u0111\u1ec3 gi\u1ea3m co r\u00fat c\u00e1c m\u00f4 c\u01a1 b\u1ecb r\u00fat ng\u1eafn v\u0129nh vi\u1ec5n v\u00ec t\u0103ng tr\u01b0\u01a1ng l\u1ef1c hay co th\u1eaft qu\u00e1 l\u00e2u.<\/p>\n\n\n\n

+ \u0110\u00f4i khi c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c gi\u00e3n c\u01a1 ho\u1eb7c \u0111\u1ed9c t\u1ed1 Botulinum ti\u00eam v\u00e0o m\u1ed9t s\u1ed1 c\u01a1 \u0111\u1ec3 gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c v\u00e0 gi\u00e3n c\u01a1. C\u1ea3 hai c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m c\u01a1n \u0111au \u0111i k\u00e8m v\u1edbi t\u00ecnh tr\u1ea1ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n v\u1eeba v\u00e0o c\u00e1c n\u1eb9p ch\u1ec9nh h\u00ecnh.<\/p>\n\n\n\n

+ Ngo\u00e0i ra, c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u1ea3i quy\u1ebft m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 nh\u01b0 n\u1edbi l\u1ecfng c\u00e1c c\u01a1 co c\u1ee9ng, l\u00e0m th\u1eb3ng c\u00e1c x\u01b0\u01a1ng ch\u1ecbu \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c l\u1ef1c c\u01a1 b\u1ea5t th\u01b0\u1eddng trong th\u1eddi gian d\u00e0i v\u00e0 c\u1eaft m\u1ed9t s\u1ed1 d\u00e2y th\u1ea7n kinh \u0111\u1ec3 gi\u1ea3m c\u00e1c v\u1eadn \u0111\u1ed9ng \u0111i k\u00e8m v\u00e0 t\u00ecnh tr\u1ea1ng co th\u1eaft<\/p>\n\n\n\n

\"\ud83d\udd3a\" M\u1ed9t \u0111i\u1ec3m c\u1ef1c k\u1ef3 quan tr\u1ecdng v\u1ec1 b\u1ea1i n\u00e3o c\u1ea7n nh\u1edb \u0111\u00f3 l\u00e0 b\u1ec7nh kh\u00f4ng n\u1eb7ng d\u1ea7n theo th\u1eddi gian v\u00ec l\u00fd do \u0111\u00f3 n\u00f3 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t b\u1ec7nh kh\u00f4ng ti\u1ebfn tri\u1ec3n.<\/p>\n\n\n\n

Ban bi\u00ean t\u1eadp OPFE.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

2. Ph\u00e2n lo\u1ea1i b\u1ea1i n\u00e3o theo th\u1ec3 l\u00e2m s\u00e0ng \u00a0B\u1ea1i n\u00e3o th\u1ec3 li\u1ec7t c\u1ee9ng (spastic cerebral palsy) – B\u1ea1i n\u00e3o th\u1ec3 li\u1ec7t c\u1ee9ng chi\u1ebfm kho\u1ea3ng 70 – 80%.Tr\u1ebb m\u1eafc th\u1ec3 n\u00e0y c\u00f3 bi\u1ec3u hi\u1ec7n c\u00e1c c\u01a1 co c\u1ee9ng, lu\u00f4n \u1edf tr\u1ea1ng th\u00e1i t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1. M\u1ecdi ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a tr\u1ebb \u0111\u1ec1u r\u1ea5t […]<\/p>\n","protected":false},"author":9,"featured_media":3229,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[41],"tags":[289,290],"class_list":["post-3228","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe","tag-bai-nao","tag-phuong-phap-dieu-tri"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/comments?post=3228"}],"version-history":[{"count":1,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3228\/revisions"}],"predecessor-version":[{"id":3230,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3228\/revisions\/3230"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/media\/3229"}],"wp:attachment":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/media?parent=3228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/categories?post=3228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/tags?post=3228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}