{"id":1350,"date":"2021-03-01T10:36:39","date_gmt":"2021-03-01T03:36:39","guid":{"rendered":"http:\/\/www.benhvienmatquangduc.vn\/?p=1350"},"modified":"2021-03-01T10:36:43","modified_gmt":"2021-03-01T03:36:43","slug":"viem-vong-mac-sac-to-chan-doan-va-cach-dieu-tri","status":"publish","type":"post","link":"https:\/\/benhvienmatquangduc.vn\/?p=1350","title":{"rendered":"Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/strong><\/a><\/strong><\/p>\n\n\n\n

Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 (Retinitis pigmentosa) l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm c\u00f3 c\u0103n nguy\u00ean do nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 gen. T\u00f9y thu\u1ed9c m\u1ee9c \u0111\u1ed9 \u0111\u1ed9t bi\u1ebfn gen v\u00e0 c\u00e1ch th\u1ee9c di truy\u1ec1n m\u00e0 b\u1ec7nh c\u00f3 m\u1ee9c \u0111\u1ed9 tr\u1ea7m tr\u1ecdng v\u00e0 t\u1ed1c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n kh\u00e1c nhau.<\/p>\n\n\n\n

B\u1ec7nh h\u1ecdc<\/strong><\/p>\n\n\n\n

Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm g\u1eb7p, t\u1ec9 l\u1ec7 m\u1eafc b\u1ec7nh trong c\u1ed9ng \u0111\u1ed3ng t\u1eeb 1\/4000 \u0111\u1ebfn 1\/3000 d\u00e2n. Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u c\u00f3 th\u1ec3 do bi\u1ebfn \u0111\u1ed5i tr\u00ean 50 lo\u1ea1i gen g\u00e2y ra d\u1eabn \u0111\u1ebfn s\u1ef1 tho\u00e1i tri\u1ec3n c\u1ee7a nh\u1eefng t\u1ebf b\u00e0o nh\u1eadn c\u1ea3m \u00e1nh s\u00e1ng c\u1ee7a v\u00f5ng m\u1ea1c.<\/p>\n\n\n\n

B\u1ec7nh do \u0111\u1ed9t bi\u1ebfn gen di truy\u1ec1n t\u1eeb b\u1ed1 ho\u1eb7c m\u1eb9, ho\u1eb7c t\u1eeb c\u1ea3 b\u1ed1 m\u1eb9, trong \u0111\u00f3 di truy\u1ec1n l\u1eb7n chi\u1ebfm kho\u1ea3ng 60% \u2013 70%, di truy\u1ec1n tr\u1ed9i chi\u1ebfm 25%, s\u1ed1 c\u00f2n l\u1ea1i l\u00e0 di truy\u1ec1n li\u00ean k\u1ebft nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh X. B\u1ec7nh g\u1eb7p \u1edf nam nhi\u1ec1u h\u01a1n n\u1eef.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n tho\u00e1i h\u00f3a bi\u1ec3u m\u00f4 s\u1eafc t\u1ed1 v\u00f5ng m\u1ea1c c\u00f3 th\u1ec3 t\u1eeb khi tr\u1ebb m\u1edbi ra \u0111\u1eddi (m\u00f9 Leber), ho\u1eb7c xu\u1ea5t hi\u1ec7n mu\u1ed9n h\u01a1n, nh\u01b0ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n 10-30 tu\u1ed5i.<\/p>\n\n\n\n

B\u1ec7nh kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 vi\u00eam m\u00e0 ch\u1ee7 y\u1ebfu l\u00e0 tho\u00e1i h\u00f3a ti\u1ebfn tri\u1ec3n d\u1ea7n d\u1ea7n, \u0111\u1ea7u ti\u00ean l\u00e0 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o c\u1ea3m th\u1ee5 \u00e1nh s\u00e1ng h\u00ecnh que c\u1ee7a v\u00f5ng m\u1ea1c (c\u00e1c t\u1ebf b\u00e0o n\u00e0y t\u1eadp trung ch\u1ee7 y\u1ebfu \u1edf v\u00f5ng m\u1ea1c ngo\u1ea1i vi, gi\u00fap ch\u00fang ta nh\u00ecn r\u00f5 v\u1eadt trong \u0111i\u1ec1u ki\u1ec7n thi\u1ebfu \u00e1nh s\u00e1ng).<\/p>\n\n\n\n

Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n qu\u00e1ng g\u00e0 (nh\u00ecn k\u00e9m khi tr\u1eddi b\u1eaft \u0111\u1ea7u nh\u1eadp nho\u1ea1ng t\u1ed1i)\u2026 Khi c\u00e1c t\u1ebf b\u00e0o que b\u1ecb tho\u00e1i h\u00f3a, v\u00f9ng nh\u00ecn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh s\u1ebd b\u1ecb thu h\u1eb9p d\u1ea7n theo h\u00ecnh \u1ed1ng, cu\u1ed1i c\u00f9ng ch\u1ec9 c\u00f2n nh\u01b0 nh\u00ecn qua \u1ed1ng nh\u00f2m (th\u1ecb tr\u01b0\u1eddng h\u00ecnh \u1ed1ng).<\/p>\n\n\n\n

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

H\u00ecnh \u1ea3nh \u0111\u00e1m s\u1eafc t\u1ed1 h\u00ecnh t\u1ebf b\u00e0o x\u01b0\u01a1ng \u1edf v\u00f5ng m\u1ea1c ngo\u1ea1i bi\u00ean v\u00e0 \u0111\u1ed9ng m\u1ea1ch trung t\u00e2m v\u00f5ng m\u1ea1c co nh\u1ecf.<\/p>\n\n\n\n

S\u1ef1 tho\u00e1i h\u00f3a ti\u1ebfp theo \u1edf c\u00e1c t\u1ebf b\u00e0o n\u00f3n. C\u00e1c t\u1ebf b\u00e0o n\u00e0y t\u1eadp trung \u1edf v\u00f9ng ho\u00e0ng \u0111i\u1ec3m, ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho t\u1ea7m nh\u00ecn trung t\u00e2m v\u00e0 c\u1ea3m nh\u1eadn m\u00e0u s\u1eafc. V\u00ec th\u1ebf th\u1ecb l\u1ef1c trung t\u00e2m tr\u00ean nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i \u0111\u00e1ng k\u1ec3 \u2013  nh\u01b0ng t\u1eeb tr\u00ean 40 tu\u1ed5i th\u00ec th\u01b0\u1eddng gi\u1ea3m s\u00fat tr\u1ea7m tr\u1ecdng. Ngo\u00e0i ra b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n s\u1eafc gi\u00e1c<\/a> tr\u1ee5c xanh \u2013 v\u00e0ng.<\/p>\n\n\n\n

Ch\u1ea9n \u0111o\u00e1n vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1<\/strong><\/p>\n\n\n\n

Kh\u00e1m \u0111\u00e1y m\u1eaft c\u00f3 h\u00ecnh \u1ea3nh \u0111\u1eb7c tr\u01b0ng l\u00e0 c\u00e1c s\u1eafc t\u1ed1 \u0111en t\u1ee5 l\u1ea1i th\u00e0nh t\u1eebng \u0111\u00e1m c\u00f3 h\u00ecnh d\u1ea1ng nh\u01b0 t\u1ebf b\u00e0o x\u01b0\u01a1ng n\u1eb1m d\u1ecdc ho\u1eb7c bao quanh m\u1ea1ch m\u00e1u. Th\u1eddi k\u1ef3 \u0111\u1ea7u s\u1eafc t\u1ed1 ch\u1ec9 c\u00f3 \u1edf v\u00f9ng x\u00edch \u0111\u1ea1o, sau \u0111\u00f3 t\u1ecfa lan v\u1ec1 chu bi\u00ean v\u00e0 trung t\u00e2m cho \u0111\u1ebfn g\u1ea7n to\u00e0n b\u1ed9 v\u00f5ng m\u1ea1c.<\/p>\n\n\n\n

M\u00e0ng Bruch b\u1ecb x\u00e2m ph\u1ea1m, v\u00f5ng m\u1ea1c m\u1ecfng d\u1ea7n v\u00e0 chuy\u1ec3n th\u00e0nh m\u00e0u x\u00e1m, m\u1ea1ch m\u00e1u nh\u1ecf d\u1ea7n \u2013 nh\u1ea5t l\u00e0 mao \u0111\u1ed9ng m\u1ea1ch, v\u1ec1 sau \u0111\u1ed9ng m\u1ea1ch v\u00f5ng m\u1ea1c teo d\u1ea7n, h\u00ecnh nh\u01b0 s\u1ee3i ch\u1ec9 tr\u1eafng. Giai \u0111o\u1ea1n mu\u1ed9n, \u0111\u0129a th\u1ecb teo, m\u00e0u tr\u1eafng \u0111\u1ee5c nh\u01b0 s\u00e1p ong.<\/p>\n\n\n\n

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

X\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng: \u0111\u1eb7c tr\u01b0ng nh\u1ea5t c\u1ee7a b\u1ec7nh l\u00e0 \u0111i\u1ec7n v\u00f5ng m\u1ea1c ti\u00eau h\u1ee7y s\u1edbm. C\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tr\u00ean l\u00e2m s\u00e0ng ch\u1eadm xu\u1ea5t hi\u1ec7n s\u1eafc t\u1ed1, nh\u01b0ng \u0111i\u1ec7n v\u00f5ng m\u1ea1c \u0111\u00e3 ti\u00eau h\u1ee7y ho\u00e0n to\u00e0n. \u0110i\u1ec7n v\u00f5ng m\u1ea1c c\u00f2n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi  c\u00e1c tho\u00e1i h\u00f3a s\u1eafc t\u1ed1 th\u1ee9 ph\u00e1t thu\u1ed9c nguy\u00ean nh\u00e2n kh\u00e1c.<\/p>\n\n\n\n

M\u1ed9t s\u1ed1 h\u00ecnh th\u00e1i hi\u1ebfm g\u1eb7p c\u1ee7a vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1<\/strong><\/p>\n\n\n\n

*Tho\u00e1i h\u00f3a s\u1eafc t\u1ed1 \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 s\u1eafc t\u1ed1: ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u01b0ng h\u01a1n 30 tu\u1ed5i m\u1edbi c\u00f3 r\u1ed1i lo\u1ea1n s\u1eafc t\u1ed1.<\/p>\n\n\n\n

* Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 ch\u1ec9 \u1edf m\u1ed9t m\u1eaft: c\u00f3 \u0111\u1ee7 d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 \u1edf m\u1ed9t m\u1eaft trong khi m\u1eaft kia g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 th\u1ea5y t\u1ed5n h\u1ea1i nh\u1eb9 s\u1eafc gi\u00e1c v\u00e0 \u0111i\u1ec7n v\u00f5ng m\u1ea1c.<\/p>\n\n\n\n

* Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 k\u00e8m theo d\u1ecb th\u01b0\u1eddng kh\u00e1c \u1edf m\u1eaft: nh\u01b0 gi\u00e1c m\u1ea1c h\u00ecnh ch\u00f3p<\/a>, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3<\/a> b\u1ea9m sinh.<\/p>\n\n\n\n

* Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 h\u00ecnh th\u00e1i \u0111\u1ea3o ng\u01b0\u1ee3c: t\u1ebf b\u00e0o n\u00f3n b\u1ecb t\u1ed5n h\u1ea1i tr\u01b0\u1edbc t\u1ebf b\u00e0o que. B\u1ec7nh nh\u00e2n b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c trung t\u00e2m v\u00e0 t\u1ed5n h\u1ea1i s\u1eafc gi\u00e1c (kh\u1ea3 n\u0103ng c\u1ea3m nh\u1eadn m\u00e0u s\u1eafc) s\u1edbm tr\u01b0\u1edbc c\u1ea3 thu h\u1eb9p th\u1ecb tr\u01b0\u1eddng v\u00e0 bi\u1ec3u hi\u1ec7n qu\u00e1ng g\u00e0.<\/p>\n\n\n\n

* Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 n\u1eb1m trong c\u00e1c b\u1ec7nh v\u00e0 h\u1ed9i ch\u1ee9ng to\u00e0n th\u00e2n ph\u1ed1i h\u1ee3p:<\/p>\n\n\n\n

\u2013 B\u1ec7nh m\u00f9 Leber: m\u00f9 ngay khi m\u1edbi ra \u0111\u1eddi, rung gi\u1eadt nh\u00e3n c\u1ea7u<\/p>\n\n\n\n

\u2013 B\u1ec7nh Laurence Moon: ch\u00e2n tay th\u1eeba ng\u00f3n, ph\u00ec sinh d\u1ee5c<\/p>\n\n\n\n

\u2013 B\u1ec7nh Usche: k\u00e8m theo c\u00e2m \u0111i\u1ebfc<\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1<\/strong><\/p>\n\n\n\n

Vi\u1ec7c b\u1ed5 sung vitamin A h\u00e0ng ng\u00e0y v\u1edbi li\u1ec1u 15000UI s\u1ebd gi\u00fap l\u00e0m ch\u1eadm th\u1eddi gian m\u00f9 l\u00f2a trong vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1.<\/p>\n\n\n\n

C\u00e1c nh\u00e0 khoa h\u1ecdc nghi\u00ean c\u1ee9u m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c c\u1ea5y gh\u00e9p v\u00f5ng m\u1ea1c, c\u1ea5y gh\u00e9p v\u00f5ng m\u1ea1c nh\u00e2n t\u1ea1o, li\u1ec7u ph\u00e1p gen \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0 ghi nh\u1eadn c\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, tuy nhi\u00ean hi\u1ec7n ch\u01b0a ph\u1ed5 bi\u1ebfn v\u00e0 chi ph\u00ed kh\u00e1 cao.<\/p>\n\n\n\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 c\u1ea7n \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 ngay khi c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 k\u00e8m theo nh\u01b0: t\u1eadt kh\u00fac x\u1ea1<\/a>, \u0111\u1ee5c th\u1ec3 th\u1ee7y tinh<\/a>, gl\u00f4c\u00f4m<\/a>, bong v\u00f5ng m\u1ea1c<\/a>\u2026 Vi\u1ec7c \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 kh\u00e1m khi c\u00f3 b\u1ea5t th\u01b0\u1eddng s\u1ebd gi\u00fap \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ea3o t\u1ed3n th\u1ecb l\u1ef1c t\u1ed1i \u01b0u.<\/p>\n\n\n\n

Ngu\u1ed3n: Interner<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb Vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1 (Retinitis pigmentosa) l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm c\u00f3 c\u0103n nguy\u00ean do nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 gen. T\u00f9y thu\u1ed9c m\u1ee9c \u0111\u1ed9 \u0111\u1ed9t bi\u1ebfn gen v\u00e0 c\u00e1ch th\u1ee9c di truy\u1ec1n m\u00e0 b\u1ec7nh c\u00f3 m\u1ee9c \u0111\u1ed9 tr\u1ea7m tr\u1ecdng v\u00e0 t\u1ed1c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n […]\n","protected":false},"author":1,"featured_media":1351,"comment_status":"open","ping_status":"closed","sticky":true,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/1350"}],"collection":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1350"}],"version-history":[{"count":2,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/1350\/revisions"}],"predecessor-version":[{"id":1355,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/posts\/1350\/revisions\/1355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=\/wp\/v2\/media\/1351"}],"wp:attachment":[{"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienmatquangduc.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}