{"id":1591,"date":"2024-09-04T15:00:51","date_gmt":"2024-09-04T15:00:51","guid":{"rendered":"https:\/\/tramedhealth.com\/?p=1591"},"modified":"2024-09-04T15:00:52","modified_gmt":"2024-09-04T15:00:52","slug":"herpes-zoster-how-to-relief-neuralgia","status":"publish","type":"post","link":"https:\/\/tramedhealth.com\/vi\/neurologycal-mental-disease\/herpes-zoster-how-to-relief-neuralgia\/","title":{"rendered":"Zona th\u1ea7n kinh v\u00e0 L\u00e0m sao gi\u1ea3m b\u1edbt c\u01a1n \u0111au?"},"content":{"rendered":"

\u0110\u1ecbnh ngh\u0129a Zona th\u1ea7n kinh<\/h2>\n\n\n\n

Zona th\u1ea7n kinh<\/a><\/strong>hay herpes zoster l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng da v\u00e0 th\u1ea7n kinh v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e0 c\u00e1c ban \u0111\u1ecf, m\u1ee5n n\u01b0\u1edbc, b\u00f3ng n\u01b0\u1edbc t\u1eadp trung th\u00e0nh \u0111\u00e1m, th\u00e0nh ch\u00f9m d\u1ecdc theo \u0111\u01b0\u1eddng ph\u00e2n b\u1ed1 c\u1ee7a th\u1ea7n kinh ngo\u1ea1i bi\u00ean. B\u1ec7nh do s\u1ef1 t\u00e1i ho\u1ea1t c\u1ee7a virus Varicella zoster (VZV) ti\u1ec1m \u1ea9n \u1edf r\u1ec5 th\u1ea7n kinh c\u1ea3m gi\u00e1c c\u1ea1nh c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n

B\u1ec7nh hay g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi gi\u00e0, nh\u1eefng ng\u01a3\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV\/AIDS.<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n<\/h2>\n\n\n\n

Varicella zoster virus (VZV) g\u00e2y ra 2 b\u1ec7nh c\u1ea3nh l\u00e0: th\u1ee7y \u0111\u1eadu<\/a> v\u00e0 zona th\u1ea7n kinh (shingles). Khi virus \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a, t\u1eeb h\u1ea1ch c\u1ea3m gi\u00e1c di chuy\u1ec3n ng\u01b0\u1ee3c l\u1ea1i d\u1ecdc theo t\u1ebf b\u00e0o th\u1ea7n kinh v\u00e0 lan truy\u1ec1n trong bi\u1ec3u b\u00ec m\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh, da ni\u00eam.<\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a Zona<\/h2>\n\n\n\n

Ti\u1ec1n tri\u1ec7u: b\u1ec7nh kh\u1edfi \u0111\u1ea7u v\u1edbi c\u00e1c c\u1ea3m gi\u00e1c b\u1ea5t th\u01b0\u1eddng tr\u00ean m\u1ed9t v\u00f9ng da nh\u01b0 b\u1ecfng, n\u00f3ng r\u00e1t, ch\u00e2m ch\u00edch, t\u00ea, \u0111au, nh\u1ea5t l\u00e0 v\u1ec1 \u0111\u00eam, hi\u1ebfm g\u1eb7p h\u01a1n l\u00e0 d\u1ecb c\u1ea3m \u1edf m\u1ed9t v\u00f9ng ho\u1eb7c nhi\u1ec1u d\u00e2y th\u1ea7n kinh chi ph\u1ed1i t\u1eeb 1-5 ng\u00e0y. K\u00e8m theo c\u00f3 th\u1ec3 nh\u1ee9c \u0111\u1ea7u, s\u1ee3 \u00e1nh s\u00e1ng v\u00e0 kh\u00f3 ch\u1ecbu. Th\u1eddi k\u1ef3 n\u00e0y \u0111\u01b0\u1ee3c cho l\u00e0 th\u1eddi k\u1ef3 virus lan truy\u1ec1n d\u1ecdc d\u00e2y th\u1ea7n kinh.<\/p>\n\n\n

\n
\"Herpes
Zona th\u1ea7n kinh<\/em><\/figcaption><\/figure><\/div>\n\n\n

Kh\u1edfi ph\u00e1t: kho\u1ea3ng n\u1eeda ng\u00e0y \u0111\u1ebfn m\u1ed9t ng\u00e0y sau, tr\u00ean v\u00f9ng da c\u00f3 d\u1ea5u hi\u1ec7u ti\u1ec1n tri\u1ec7u xu\u1ea5t hi\u1ec7n nh\u1eefng m\u1ea3ng \u0111\u1ecf, h\u01a1i n\u1ec1 nh\u1eb9, \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng v\u00e0i cm, g\u1edd cao h\u01a1n m\u1eb7t da, s\u1eafp x\u1ebfp d\u1ecdc theo \u0111\u01b0\u1eddng ph\u00e2n b\u1ed1 th\u1ea7n kinh v\u00e0 d\u1ea7n d\u1ea7n n\u1ed1i v\u1edbi nhau th\u00e0nh d\u1ea3i, th\u00e0nh v\u1ec7t.<\/p>\n\n\n\n

To\u00e0n ph\u00e1t:<\/h3>\n\n\n\n
    \n
  • Tri\u1ec7u ch\u1ee9ng da: v\u00e0i ng\u00e0y sau, tr\u00ean nh\u1eefng m\u1ea3ng \u0111\u1ecf da xu\u1ea5t hi\u1ec7n m\u1ee5n n\u01b0\u1edbc, b\u1ecdng n\u01b0\u1edbc t\u1eadp trung th\u00e0nh \u0111\u00e1m gi\u1ed1ng nh\u01b0 ch\u00f9m nho, l\u00fac \u0111\u1ea7u m\u1ee5n n\u01a3\u1edbc c\u0103ng, d\u1ecbch trong, sau \u0111\u1ee5c, h\u00f3a m\u1ee7, d\u1ea7n d\u1ea7n v\u1ee1 \u0111\u00f3ng v\u1ea3y ti\u1ebft. Th\u1eddi gian trung b\u00ecnh t\u1eeb khi ph\u00e1t t\u1ed5n th\u01a3\u01a1ng \u0111\u1ebfn khi l\u00e0nh s\u1eb9o kho\u1ea3ng 2-4 tu\u1ea7n.<\/li>\n\n\n\n
  • Ng\u01b0\u1eddi cao tu\u1ed5i t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u, di\u1ec7n r\u1ed9ng; m\u1ee5n n\u01a3\u1edbc, b\u00f3ng n\u01b0\u1edbc c\u00f3 th\u1ec3 xu\u1ea5t huy\u1ebft, ho\u1ea1i t\u1eed da, nhi\u1ec5m khu\u1ea9n, s\u1eb9o x\u1ea5u v\u00e0 k\u00e9o d\u00e0i.<\/li>\n\n\n\n
  • \u1ede tr\u1ebb em t\u1ed5n th\u01b0\u01a1ng \u00edt, ti\u1ebfn tri\u1ec3n nhanh.<\/li>\n\n\n\n
  • V\u1ecb tr\u00ed: th\u01b0\u1eddng ch\u1ec9 \u1edf m\u1ed9t b\u00ean, kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 \u0111\u01b0\u1eddng gi\u1eefa c\u01a1 th\u1ec3 v\u00e0 theo \u0111\u01b0\u1eddng ph\u00e2n b\u1ed1 c\u1ee7a m\u1ed9t d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean; c\u00e1 bi\u1ec7t b\u1ecb c\u1ea3 hai b\u00ean hay lan to\u1ea3.<\/li>\n\n\n\n
  • H\u1ea1ch b\u1ea1ch huy\u1ebft v\u00f9ng l\u00e2n c\u1eadn s\u01b0ng to.<\/li>\n\n\n\n
  • Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng: \u0111au xu\u1ea5t hi\u1ec7n s\u1edbm, c\u00f3 th\u1ec3 tr\u01a3\u1edbc c\u1ea3 t\u1ed5n th\u01a3\u01a1ng ngo\u00e0i da v\u00e0 lu\u00f4n thay \u0111\u1ed5i trong su\u1ed1t th\u1eddi gian b\u1ec7nh ti\u1ebfn tri\u1ec3n. M\u1ee9c \u0111\u1ed9 \u0111au r\u1ea5t \u0111a d\u1ea1ng t\u1eeb nh\u1eb9 nh\u01b0 c\u1ea3m gi\u00e1c r\u00e1t b\u1ecfng, \u00e2m \u1ec9 t\u1ea1i ch\u1ed7 hay n\u1eb7ng nh\u01b0 kim ch\u00e2m, gi\u1eadt t\u1eebng c\u01a1n.<\/li>\n\n\n\n
  • Tri\u1ec7u ch\u1ee9ng \u0111au th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c v\u00e0o l\u1ee9a tu\u1ed5i. \u1ede tr\u1ebb em, ng\u01a3\u1eddi tr\u1ebb \u0111au \u00edt. Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i \u0111au th\u00e0nh t\u1eebng c\u01a1n, k\u00e9o d\u00e0i, th\u1eadm ch\u00ed h\u00e0ng n\u0103m khi t\u1ed5n th\u01b0\u01a1ng ngo\u00e0i da \u0111\u00e3 l\u00e0nh s\u1eb9o, c\u00f2n g\u1ecdi l\u00e0 \u0111au sau zona.<\/li>\n\n\n\n
  • C\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c: c\u00f3 th\u1ec3 th\u1ea5y r\u1ed1i lo\u1ea1n b\u00e0i ti\u1ebft m\u1ed3 h\u00f4i, v\u1eadn m\u1ea1ch, ph\u1ea3n x\u1ea1 d\u1ef1ng l\u00f4ng (nh\u01b0ng hi\u1ebfm g\u1eb7p).<\/li>\n<\/ul>\n\n\n\n

    Ch\u1ea9n \u0111o\u00e1n Zona th\u1ea7n kinh<\/h2>\n\n\n\n

    Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh zona th\u1ea7n kinh ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n\n\n\n

    C\u00e1c th\u1ec3 l\u00e2m s\u00e0ng:<\/strong><\/h3>\n\n\n\n
      \n
    • Theo v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng\n
        \n
      • Zona li\u00ean s\u01b0\u1eddn v\u00e0 ng\u1ef1c b\u1ee5ng: l\u00e0 th\u1ec3 l\u00e2m s\u00e0ng hay g\u1eb7p nh\u1ea5t, chi\u1ebfm 50% tr\u01b0\u1eddng h\u1ee3p.<\/li>\n\n\n\n
      • Zona c\u1ed5 (\u0111\u00e1m r\u1ed1i c\u1ed5 n\u00f4ng) v\u00e0 c\u1ed5 c\u00e1nh tay.<\/li>\n\n\n\n
      • Zona g\u00e1y c\u1ed5: c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u1edf g\u00e1y, da \u0111\u1ea7u, v\u00e0nh tai.<\/li>\n\n\n\n
      • Zona h\u00f4ng, b\u1ee5ng, sinh d\u1ee5c, b\u1eb9n, x\u01b0\u01a1ng c\u00f9ng, \u1ee5 ng\u1ed3i, \u0111\u00f9i.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
      • Theo h\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng: nh\u1eefng h\u00ecnh th\u00e1i n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch nh\u01b0 HIV\/AIDS, ung th\u01b0, ho\u00e1 tr\u1ecb li\u1ec7u, \u2026 bao g\u1ed3m:\n
          \n
        • Zona lan to\u1ea3 (disseminated zoster).<\/li>\n\n\n\n
        • Zona nhi\u1ec1u d\u00e2y th\u1ea7n kinh.<\/li>\n\n\n\n
        • Zona t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n
          \n
          \"Herpes
          Zona g\u00e1y c\u1ed5<\/em><\/figcaption><\/figure><\/div>\n\n\n

          C\u00e1c th\u1ec3 zona \u0111\u1eb7c bi\u1ec7t:<\/h3>\n\n\n\n
            \n
          • Zona m\u1eaft: chi\u1ebfm 10-15% c\u00e1c th\u1ec3 zona. Do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh V hay th\u1ea7n kinh sinh ba chi ph\u1ed1i cho m\u1eaft, h\u00e0m tr\u00ean v\u00e0 h\u00e0m d\u01b0\u1edbi, trong \u0111\u00f3 t\u1ed5n th\u01b0\u01a1ng nh\u00e1nh m\u1eaft g\u1ea5p 5 l\u1ea7n c\u00e1c nh\u00e1nh kh\u00e1c. C\u00f3 th\u1ec3 c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 m\u1eaft nh\u01b0 vi\u00eam k\u1ebft m\u1ea1c, gi\u00e1c m\u1ea1c, c\u1ee7ng m\u1ea1c, th\u1eadm ch\u00ed n\u1eb7ng \u0111e do\u1ea1 th\u1ecb l\u1ef1c nh\u01b0 ho\u1ea1i t\u1eed v\u00f5ng m\u1ea1c c\u1ea5p t\u00ednh, vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c, h\u1ed9i ch\u1ee9ng \u0111\u1ec9nh \u1ed5 m\u1eaft, vi\u00eam h\u1eadu c\u1ee7ng m\u1ea1c, glaucome th\u1ee9 ph\u00e1t<\/li>\n\n\n\n
          • Zona h\u1ea1ch g\u1ed1i hay h\u1ed9i ch\u1ee9ng Ramsay Hunt: do th\u01b0\u01a1ng t\u1ed5n h\u1ea1ch g\u1ed1i c\u1ee7a d\u00e2y th\u1ea7n kinh VII. B\u1ec7nh nh\u00e2n li\u1ec7t m\u1eb7t m\u1ed9t b\u00ean, \u00f9 tai, nghe k\u00e9m ho\u1eb7c m\u1ea5t kh\u1ea3 n\u0103ng nghe, bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00f3ng m\u1eb7t v\u00e0 gi\u1eadt nh\u00e3n c\u1ea7u. M\u1eaft kh\u00f4ng nh\u1eafm k\u00edn \u0111\u01b0\u1ee3c (h\u1edf mi), c\u00f3 d\u1ea5u hi\u1ec7u Charles Bell. M\u1ea5t c\u1ea3m gi\u00e1c v\u1ecb gi\u00e1c m\u1ed9t b\u00ean 2\/3 tr\u01a3\u1edbc l\u01b0\u1ee1i, m\u1ee5n n\u01b0\u1edbc m\u1ecdc \u1edf m\u00e0ng nh\u0129, \u1ed1ng tai, v\u00e0nh tai. C\u00f3 th\u1ec3 c\u00f3 vi\u00eam n\u00e3o, m\u00e0ng n\u00e3o.<\/li>\n\n\n\n
          • Zona v\u00f9ng x\u01b0\u01a1ng c\u00f9ng (S2, S3, S4): do vi\u00eam d\u00e2y th\u1ea7n kinh chi ph\u1ed1i v\u00f9ng b\u00e0ng quang. B\u1ec7nh nh\u00e2n kh\u00f3 ti\u1ec3u, ti\u1ec3u d\u1eaft, b\u00ed ti\u1ec3u, c\u00f3 tr\u01b0\u1eddng h\u1ee3p ti\u1ec3u m\u00e1u v\u00e0 ti\u1ec3u m\u1ee7. \u0110au b\u1ee5ng gi\u1ed1ng nh\u01b0 c\u00e1c tri\u1ec7u ch\u1ee9ng ngo\u1ea1i khoa, \u0111au qu\u1eb7n b\u1ee5ng d\u01b0\u1edbi, c\u0103ng t\u1ee9c, b\u00ed trung \u0111\u1ea1i ti\u1ec7n, h\u1eadu m\u00f4n co th\u1eaft v\u00e0 c\u1ee9ng nh\u01b0 \u0111\u00e1 kh\u00f4ng th\u1ec3 kh\u00e1m \u0111\u01b0\u1ee3c, \u0111au nh\u1ee9c v\u00f9ng da m\u1ed9t b\u00ean sinh d\u1ee5c k\u00e8m theo th\u01b0\u01a1ng t\u1ed5n da \u0111i\u1ec3n h\u00ecnh.<\/li>\n\n\n\n
          • Zona tai: c\u1ea3m gi\u00e1c r\u00e1t b\u1ecfng, \u0111au v\u00f9ng tai, c\u00f3 th\u1ec3 lan ra th\u00e1i d\u01b0\u01a1ng v\u00e0 g\u00e1y. \u00d0au x\u1ea3y ra t\u1eebng c\u01a1n k\u00e9o d\u00e0i nhi\u1ec1u ng\u00e0y l\u00e0m b\u1ec7nh nh\u00e2n kh\u00f4ng \u0103n, kh\u00f4ng ng\u1ee7 \u0111\u01b0\u1ee3c, \u0111\u1eb7c bi\u1ec7t l\u00e0 zona tai k\u1ebft h\u1ee3p v\u1edbi zona h\u1ecdng g\u00e2y \u0111au h\u1ecdng kh\u00f4ng nu\u1ed1t \u0111\u01b0\u1ee3c. R\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c v\u00f9ng m\u1eb7t, li\u1ec7t m\u1eb7t ngo\u1ea1i bi\u00ean, nghe k\u00e9m.<\/li>\n\n\n\n
          • Zona \u1edf ng\u01b0\u1eddi nhi\u1ec5m HIV\/AIDS: b\u1ec7nh zona \u1edf ng\u01a3\u1eddi c\u00f3 HIV d\u01b0\u01a1ng t\u00ednh giai \u0111o\u1ea1n s\u1edbm t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1ec7nh zona \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. N\u1ebfu nhi\u1ec5m HIV giai \u0111o\u1ea1n mu\u1ed9n\/AIDS, zona c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t th\u01b0\u1eddng xuy\u00ean, t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 xu\u1ea5t hi\u1ec7n tr\u00ean di\u1ec7n r\u1ed9ng, m\u1ee5n n\u01b0\u1edbc xu\u1ea5t huy\u1ebft, ho\u1ea1i t\u1eed, nhi\u1ec5m khu\u1ea9n, s\u1eb9o x\u1ea5u, b\u1ec7nh k\u00e9o d\u00e0i.<\/li>\n<\/ul>\n\n\n\n

            C\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/p>\n\n\n\n

              \n
            • Ch\u1ea9n \u0111o\u00e1n t\u1ebf b\u00e0o Tzanck: th\u1ea5y c\u00e1c t\u1ebf b\u00e0o gai l\u1ec7ch h\u00ecnh v\u00e0 t\u1ebf b\u00e0o \u0111a nh\u00e2n kh\u1ed5ng l\u1ed3.<\/li>\n\n\n\n
            • Nu\u00f4i c\u1ea5y virus: th\u01b0\u1eddng \u00edt th\u1ef1c hi\u1ec7n.<\/li>\n\n\n\n
            • PCR v\u1edbi b\u1ec7nh ph\u1ea9m trong d\u1ecbch v\u00e0 c\u00e1c m\u00f4.<\/li>\n\n\n\n
            • Sinh thi\u1ebft da: \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh n\u1ebfu l\u00e2m s\u00e0ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/li>\n\n\n\n
            • X\u00e9t nghi\u1ec7m HIV.<\/li>\n<\/ul>\n\n\n\n

              Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong> t\u00f9y theo t\u1eebng giai \u0111o\u1ea1n<\/p>\n\n\n\n

                \n
              • Giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t: ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c lo\u1ea1i \u0111au nh\u01b0 \u0111au \u0111\u1ea7u, vi\u00eam m\u1ed1ng m\u1eaft, vi\u00eam m\u00e0ng ph\u1ed5i, vi\u00eam th\u1ea7n kinh c\u00e1nh tay, \u0111au do b\u1ec7nh tim, vi\u00eam ru\u1ed9t th\u1eeba ho\u1eb7c vi\u00eam t\u00fai m\u1eadt, s\u1ecfi m\u1eadt, \u0111au qu\u1eb7n th\u1eadn, tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, \u0111au th\u1ea7n kinh t\u1ecda<\/li>\n\n\n\n
              • Giai \u0111o\u1ea1n m\u1ee5n n\u01b0\u1edbc, b\u00f3ng n\u01b0\u1edbc: ph\u00e2n bi\u1ec7t v\u1edbi herpes simplex, vi\u00eam da ti\u1ebfp x\u00fac d\u1ecb \u1ee9ng (v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i c\u00e2y c\u1ecf, c\u00f4n tr\u00f9ng). Hi\u1ebfm h\u01a1n l\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh da b\u00f3ng n\u01b0\u1edbc t\u1ef1 mi\u1ec5n nh\u01b0 pemphigus, pemphigoid, Duhring-Brocq, b\u1ec7nh t\u0103ng IgA th\u00e0nh d\u1ea3i<\/li>\n<\/ul>\n\n\n\n

                \u0110i\u1ec1u tr\u1ecb<\/h2>\n\n\n\n

                M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb: l\u00e0m li\u1ec1n t\u1ed5n th\u01b0\u01a1ng; gi\u1ea3m \u0111au; ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n

                Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb<\/p>\n\n\n\n

                  \n
                • Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng bi\u1ebfn ch\u1ee9ng v\u00e0 \u1edf ng\u01b0\u1eddi c\u00f3 mi\u1ec5n d\u1ecbch b\u00ecnh th\u01b0\u1eddng: T\u1ea1i ch\u1ed7: b\u00f4i h\u1ed3 n\u01b0\u1edbc, dung d\u1ecbch m\u00e0u millian, castellani, m\u1ee1 acyclovir, m\u1ee1 kh\u00e1ng sinh n\u1ebfu c\u00f3 nhi\u1ec5m khu\u1ea9n.<\/li>\n\n\n\n
                • \u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c:\n
                    \n
                  • Thu\u1ed1c kh\u00e1ng virus (Acyclovir, Famciclovir, Valacyclovir) thu\u1ed1c kh\u00e1ng virus c\u00f3 t\u00e1c d\u1ee5ng nhanh l\u00e0nh v\u1ebft th\u01b0\u01a1ng, gi\u1ea3m s\u1ed1 t\u1ed5n th\u01b0\u01a1ng m\u1edbi v\u00e0 gi\u1ea3m \u0111au sau zona. Thu\u1ed1c n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng s\u1edbm, t\u1ed1t nh\u1ea5t trong v\u00f2ng 72 gi\u1edd \u0111\u1ea7u.<\/li>\n\n\n\n
                  • Kh\u00e1ng sinh n\u1ebfu c\u00f3 b\u1ed9i nhi\u1ec5m (Augmentin, Cefuroxim)<\/li>\n\n\n\n
                  • Gi\u1ea3m \u0111au th\u01b0\u1eddng d\u00f9ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh (Carbamazepin, Gabapentin, Pregabalin), Vitamin nh\u00f3m B.<\/li>\n\n\n\n
                  • B\u00f4i kem ch\u1ee9a corticoid v\u00e0 lidocain, prilocain t\u1ea1i ch\u1ed7.<\/li>\n\n\n\n
                  • Corticoid (Methylprednisolone, Betamethasone) c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au trong th\u1eddi k\u1ef3 c\u1ea5p t\u00ednh v\u00e0 nhi\u1ec1u t\u00e1c gi\u1ea3 cho r\u1eb1ng thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au sau zona.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

                    N\u00ean k\u1ebft h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t cho b\u1ec7nh nh\u00e2n c\u00f3 \u0111au sau zona.<\/p>\n\n\n\n

                    K\u1ebft h\u1ee3p ch\u00e2m c\u1ee9u v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb y h\u1ecdc c\u1ed5 truy\u1ec1n kh\u00e1c mang l\u1ea1i hi\u1ec7u qu\u1ea3 cao trong ki\u1ec3m so\u00e1t \u0111au.<\/p>\n\n\n\n

                    Ph\u00f2ng ng\u1eeba<\/h2>\n\n\n\n

                    C\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 ng\u0103n ng\u1eeba zona th\u1ea7n kinh l\u00e0 tr\u00e1nh l\u00e2y nhi\u1ec5m VZV. Nh\u01b0ng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn m\u1eafc b\u1ec7nh th\u1ee7y \u0111\u1eadu khi c\u00f2n nh\u1ecf v\u00e0 c\u00f3 VZV ti\u1ec1m \u1ea9n, chi\u1ebfn l\u01b0\u1ee3c ng\u0103n ng\u1eeba s\u1ef1 t\u00e1i ho\u1ea1t \u0111\u1ed9ng c\u1ee7a VZV l\u00e0 ti\u00eam ng\u1eeba vaccin ph\u00f2ng b\u1ec7nh.<\/p>\n\n\n\n

                    Ngo\u00e0i ra, n\u00e2ng cao h\u1ec7 mi\u1ec5n d\u1ecbch c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p gi\u00e1n ti\u1ebfp ph\u00f2ng ng\u1eeba VZV t\u00e1i ho\u1ea1t \u0111\u1ed9ng. \u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng, sinh ho\u1ea1t l\u00e0nh m\u1ea1nh, r\u00e8n luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao h\u1ee3p l\u00fd g\u00f3p ph\u1ea7n n\u00e2ng cao h\u1ec7 mi\u1ec5n d\u1ecbch.<\/p>","protected":false},"excerpt":{"rendered":"

                    B\u1ec7nh zona hay herpes zoster l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng da v\u00e0 th\u1ea7n kinh v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e0 c\u00e1c ban \u0111\u1ecf, m\u1ee5n n\u01b0\u1edbc, b\u00f3ng n\u01b0\u1edbc t\u1eadp trung th\u00e0nh \u0111\u00e1m, th\u00e0nh ch\u00f9m d\u1ecdc theo \u0111\u01b0\u1eddng ph\u00e2n b\u1ed1 c\u1ee7a th\u1ea7n kinh ngo\u1ea1i bi\u00ean. B\u1ec7nh do s\u1ef1 t\u00e1i ho\u1ea1t c\u1ee7a virus Varicella zoster (VZV) ti\u1ec1m \u1ea9n \u1edf r\u1ec5 th\u1ea7n kinh c\u1ea3m gi\u00e1c c\u1ea1nh c\u1ed9t s\u1ed1ng.<\/p>","protected":false},"author":2,"featured_media":1598,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[186,93],"tags":[189,190,188,187],"class_list":["post-1591","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatological-disease","category-neurologycal-mental-disease","tag-herpes-zoster","tag-shingles","tag-zona","tag-zona-than-kinh"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1591"}],"collection":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/comments?post=1591"}],"version-history":[{"count":3,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1591\/revisions"}],"predecessor-version":[{"id":1597,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1591\/revisions\/1597"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media\/1598"}],"wp:attachment":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media?parent=1591"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/categories?post=1591"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/tags?post=1591"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}