{"id":5893,"date":"2023-10-15T06:18:06","date_gmt":"2023-10-15T13:18:06","guid":{"rendered":"https:\/\/dactrung.com\/blog\/?p=5893"},"modified":"2023-10-15T08:05:37","modified_gmt":"2023-10-15T15:05:37","slug":"toi-di-mo-o-benh-vien-stanford","status":"publish","type":"post","link":"https:\/\/dactrung.com\/blog\/uncategorized\/toi-di-mo-o-benh-vien-stanford\/nhuhoa\/","title":{"rendered":"T\u00f4i \u0110i M\u1ed5 \u1ede B\u1ec7nh Vi\u1ec7n Stanford"},"content":{"rendered":"

Tr\u1ea7n \u0110\u00ecnh \u0110\u1ee9c<\/p>\n

N\u1ebfu ng\u01b0\u1eddi n\u00e0o b\u1ecb \u0111au nh\u01b0 dao \u0111\u00e2m ho\u1eb7c \u0111i\u1ec7n gi\u1eadt \u1edf m\u00f4i, m\u00e1, m\u0169i, mi\u1ec7ng, tr\u00e1n, \u0111\u1ec9nh \u0111\u1ea7u, c\u1eb1m v\u00e0 quai h\u00e0m th\u00ec ng\u01b0\u1eddi \u0111\u00f3 c\u00f3 th\u1ec3 b\u1ecb \u0111au d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m. L\u00fac \u0111\u00e1nh r\u0103ng, cu\u1eddi, n\u00f3i, \u0103n u\u1ed1ng, s\u1edd ho\u1eb7c gi\u00f3 th\u1ed5i th\u00ec h\u1ecd b\u1ecb \u0111au nhi\u1ec1u h\u01a1n. Nh\u1eefng c\u01a1n \u0111au n\u00e0y k\u00e9o d\u00e0i ch\u1eebng m\u1ea5y gi\u00e2y cho t\u1edbi v\u00e0i ph\u00fat v\u1edbi c\u01b0\u1eddng \u0111\u1ed9 ng\u00e0y c\u00e0ng m\u1ea1nh h\u01a1n. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ch\u1ec9 \u0111au m\u1ed9t b\u00ean, hi\u1ebfm khi ng\u01b0\u1eddi n\u00e0o \u0111au c\u1ea3 hai b\u00ean.<\/p>\n

B\u1ec7nh nh\u00e2n b\u1ecb nh\u1eefng c\u01a1n \u0111au h\u00e0nh h\u1ea1 khi\u1ebfn h\u1ecd m\u1ea5t \u0103n m\u1ea5t ng\u1ee7 v\u00e0 kh\u00f4ng t\u1eadp trung l\u00e0m vi\u1ec7c g\u00ec \u0111\u01b0\u1ee3c. V\u00ec v\u1eady h\u1ecd h\u1ea1n ch\u1ebf sinh ho\u1ea1t h\u00e0ng ng\u00e0y v\u00e0 \u00edt ti\u1ebfp x\u00fac v\u1edbi x\u00e3 h\u1ed9i. C\u0103n b\u1ec7nh n\u00e0y l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i b\u1ec7nh g\u00e2y \u0111au \u0111\u1edbn nh\u1ea5t cho con ng\u01b0\u1eddi. Nh\u1eefng c\u01a1n \u0111au n\u00e0y l\u00e0m \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng v\u00e0 c\u00f4ng vi\u1ec7c c\u1ee7a b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra n\u00f3 c\u00f2n l\u00e0m cho h\u1ecd b\u1ecb tr\u1ea7m c\u1ea3m v\u00ec l\u00fac n\u00e0o c\u0169ng lo l\u1eafng kh\u00f4ng bi\u1ebft t\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i \u0111\u1ebfn bao gi\u1edd?<\/p>\n

\"\"<\/p>\n

Theo National Institute of Neurological Disorders and Stroke th\u1ed1ng k\u00ea th\u00ec trong s\u1ed1 8330 ng\u01b0\u1eddi s\u1ebd c\u00f3 m\u1ed9t ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y h\u1eb1ng n\u0103m. M\u1eb7c d\u1ea7u b\u1ea5t c\u1ee9 ai \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0o \u0111i\u1ec1u c\u00f3 th\u1ec3 m\u1eafc ch\u1ee9ng b\u1ec7nh n\u00e0y nh\u01b0ng h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u1ec1u l\u00e0 nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i. N\u1eef gi\u1edbi c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh cao h\u01a1n nam gi\u1edbi. N\u1ebfu qu\u00fd v\u1ecb c\u1ea3m th\u1ea5y m\u00ecnh b\u1ecb \u0111au d\u00e2y th\u1ea7n kinh tr\u00ean m\u1eb7t th\u00ec n\u00ean \u0111i g\u1eb7p B\u00e1c S\u1ef9 khoa th\u1ea7n kinh, Neurologist c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. V\u00ec n\u1ebfu c\u00e0ng \u0111\u1ec3 l\u00e2u kh\u00f4ng ch\u1eefa, b\u1ec7nh s\u1ebd ng\u00e0y c\u00e0ng n\u1eb7ng th\u00eam. Sau khi kh\u00e1m b\u1ec7nh, B\u00e1c S\u1ef9 s\u1ebd cho qu\u00fd v\u1ecb bi\u1ebft m\u00ecnh c\u00f3 m\u1eafc b\u1ec7nh \u0111au d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m hay kh\u00f4ng?<\/p>\n

*<\/p>\n

L\u00fac \u0111\u1ea7u ai b\u1ecb b\u1ec7nh n\u00e0y c\u0169ng l\u1ea7m t\u01b0\u1edfng l\u00e0 m\u00ecnh b\u1ecb \u0111au r\u0103ng n\u00ean h\u1ecd c\u1ee9 \u0111i g\u1eb7p Nha S\u1ef9 ho\u00e0i. Cho \u0111\u1ebfn khi h\u1ecd bi\u1ebft ch\u1eafc l\u00e0 m\u00ecnh b\u1ecb \u0111au d\u00e2y th\u1ea7n kinh th\u00ec h\u1ecd m\u1edbi ng\u01b0ng \u0111i g\u1eb7p Nha S\u1ef9. B\u1ec7nh n\u00e0y ti\u1ebfng M\u1ef9 g\u1ecdi l\u00e0 Trigeminal Neuralgia, l\u00e0 ch\u1ee9ng b\u1ec7nh \u0111au d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m. D\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m, Trigeminal nerve l\u00e0 m\u1ed9t \u0111\u00f4i d\u00e2y th\u1ea7n kinh s\u1ecd l\u1edbn nh\u1ea5t trong s\u1ed1 m\u01b0\u1eddi hai \u0111\u00f4i d\u00e2y th\u1ea7n kinh n\u1eb1m \u1edf n\u00e3o. N\u00f3 \u0111i t\u1eeb n\u00e3o ra kh\u1ecfi h\u1ed9p s\u1ecd, ch\u1ea1y ra phi\u00e1 tr\u01b0\u1edbc l\u1ed7 tai r\u1ed3i m\u1edbi t\u1edbi khu\u00f4n m\u1eb7t. Nhi\u1ec7m v\u1ee5 c\u1ee7a n\u00f3 l\u00e0 \u0111i\u1ec1u khi\u1ec3n vi\u1ec7c nhai, c\u1eafn, ki\u1ec3m so\u00e1t vi\u1ec7c t\u1ea1o ra n\u01b0\u1edbc b\u1ecdt v\u00e0 n\u01b0\u1edbc m\u1eaft \u0111\u1ed3ng th\u1eddi chi ph\u1ed1i c\u1ea3m gi\u00e1c tr\u00ean m\u1eb7t. G\u1ed1c r\u1ec5 c\u1ee7a d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m n\u1eb1m \u1edf phi\u00e1 g\u1ea7n l\u1ed7 tai. T\u1eeb \u0111i\u1ec3m \u0111\u00f3, n\u00f3 t\u1ebb ra l\u00e0m 3 nh\u00e1nh V1, V2 v\u00e0 V3.<\/p>\n

Nh\u00e1nh \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 V1, Ophthalmic nerve hay l\u00e0 d\u00e2y th\u1ea7n kinh m\u1eaft l\u00e0 v\u00f9ng n\u1eb1m xung quanh m\u1eaft g\u1ed3m c\u1ea3 ph\u1ea7n da \u0111\u1ea7u t\u1eeb tr\u00e1n l\u00ean t\u1edbi \u0111\u1ec9nh \u0111\u1ea7u, m\u00ed m\u1eaft tr\u00ean, s\u1ed1ng m\u0169i. T\u00f4i b\u1ecb \u0111au nh\u1ea5t \u1edf v\u00f9ng l\u00f4ng m\u00e0y v\u00e0 xung quanh \u0111\u1ec9nh \u0111\u1ea7u. Nh\u00e1nh th\u1ee9 hai l\u00e0 V2, Maxillary nerve l\u00e0 d\u00e2y th\u1ea7n kinh h\u00e0m tr\u00ean bao g\u1ed3m v\u00f9ng t\u1eeb m\u00ed m\u1eaft d\u01b0\u1edbi ch\u1ea1y t\u1edbi g\u00f2 m\u00e1, mi\u1ec7ng, m\u00f4i tr\u00ean, h\u00e0m tr\u00ean l\u1ea7n t\u1edbi c\u00e1nh m\u0169i, m\u00e1, n\u01b0\u1edbu v\u00e0 r\u0103ng h\u00e0m tr\u00ean. T\u00f4i b\u1ecb \u0111au nhi\u1ec1u \u1edf v\u00f9ng c\u00e1nh m\u0169i b\u00ean ph\u1ea3i. Nh\u00e1nh th\u1ee9 ba \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 V3, Mandibular nerve l\u00e0 d\u00e2y th\u1ea7n kinh h\u00e0m d\u01b0\u1edbi g\u1ed3m c\u00f3 h\u00e0m d\u01b0\u1edbi, v\u00f9ng th\u00e1i d\u01b0\u01a1ng, m\u00f4i d\u01b0\u1edbi, c\u1eb1m, ph\u1ea7n ngo\u00e0i l\u1ed7 tai, m\u00e1 n\u01b0\u1edbu r\u0103ng h\u00e0m d\u01b0\u1edbi, c\u1ea3m gi\u00e1c hai ph\u1ea7n ba d\u01b0\u1edbi l\u01b0\u1ee1i. Cho t\u1edbi b\u00e2y gi\u1edd ng\u01b0\u1eddi ta v\u1eabn ch\u01b0a bi\u1ebft \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh n\u00e0y. Nh\u01b0ng c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u cho r\u1eb1ng s\u1ef1 m\u1ea5t ch\u1ea5t bao b\u1ecdc “myelin”, bao g\u1ed3m ch\u1ea5t b\u00e9o v\u00e0 protein xung quanh d\u00e2y th\u1ea7n kinh khi\u1ebfn cho b\u1ec7nh nh\u00e2n b\u1ecb \u0111au. N\u00f3 x\u1ea3y ra khi d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m b\u1ecb \u0111\u00e8 b\u1edfi m\u1ed9t m\u1ea1ch m\u00e1u n\u00e0o \u0111\u00f3.<\/p>\n

V\u00ec \u0111au qu\u00e1 n\u00ean t\u00f4i ph\u1ea3i ngh\u1ec9 l\u00e0m t\u1eeb cu\u1ed1i n\u0103m 2016 \u0111\u1ec3 \u1edf nh\u00e0 ch\u1eefa b\u1ec7nh. L\u00fac \u0111\u00f3 B\u00e1c S\u1ef9 gia \u0111\u00ecnh gi\u1edbi thi\u1ec7u t\u00f4i \u0111\u1ebfn g\u1eb7p B\u00e1c S\u1ef9 chuy\u00ean khoa th\u1ea7n kinh. Sau khi kh\u00e1m b\u1ec7nh, \u00f4ng cho t\u00f4i bi\u1ebft l\u00e0 t\u00f4i b\u1ecb b\u1ec7nh \u0111au d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m v\u00e0 cho u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au. M\u1edbi \u0111\u1ea7u \u00f4ng cho u\u1ed1ng hai vi\u00ean Carbamazepine 200mg m\u1ed7i ng\u00e0y.<\/p>\n

Tu\u1ea7n sau nghe t\u00f4i n\u00f3i c\u00f2n \u0111au \u00f4ng cho th\u00eam Gabapentin 300mg u\u1ed1ng ba vi\u00ean m\u1ed7i ng\u00e0y. V\u00ec li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c qu\u00e1 cao khi\u1ebfn t\u00f4i cho\u00e1ng v\u00e1ng kh\u00f4ng l\u00e1i xe ho\u1eb7c l\u00e0m vi\u1ec7c g\u00ec \u0111\u01b0\u1ee3c. T\u00f4i n\u00f3i v\u1edbi B\u00e1c S\u1ef9 l\u00e0 t\u00f4i mu\u1ed1n gi\u1ea3m thu\u1ed1c. B\u00e1c S\u1ef9 n\u00f3i t\u00f4i u\u1ed1ng m\u1ed7i th\u1ee9 m\u1ed9t vi\u00ean c\u0169ng \u0111\u01b0\u1ee3c. M\u1ed7i ng\u00e0y t\u00f4i u\u1ed1ng m\u1ed9t vi\u00ean Carbamazepine, \u0111\u00f4i l\u00fac t\u0103ng th\u00e0nh hai vi\u00ean nh\u01b0ng v\u1eabn kh\u00f4ng h\u1ebft \u0111au m\u00e0 c\u00f2n b\u1ecb kh\u00f3 ng\u1ee7. Khi n\u00e0o \u0111au nhi\u1ec1u t\u00f4i m\u1edbi u\u1ed1ng th\u00eam m\u1ed9t vi\u00ean Gabapentin.<\/p>\n

Nh\u1eefng th\u1ee9 thu\u1ed1c n\u00e0y l\u00e0m t\u00f4i b\u1ecb ch\u00f3ng m\u1eb7t, m\u1eaft m\u1edd v\u00e0 tr\u00ed \u00f3c kh\u00f4ng c\u00f2n minh m\u1eabn n\u00ean c\u1ea3 ng\u00e0y kh\u00f4ng l\u00e0m g\u00ec \u0111\u01b0\u1ee3c. \u0110i\u1ec3m th\u1ee9 hai l\u00e0 n\u1ebfu u\u1ed1ng l\u00e2u ng\u00e0y s\u1ebd b\u1ecb l\u1eddn thu\u1ed1c khi\u1ebfn t\u00f4i ph\u1ea3i t\u0103ng th\u00eam li\u1ec1u l\u01b0\u1ee3ng. V\u00ec th\u1ebf t\u00f4i ch\u1ec9 u\u1ed1ng thu\u1ed1c c\u1ea7m ch\u1eebng v\u00e0 c\u1ed1 g\u1eafng ch\u1ecbu \u0111\u1ef1ng nh\u1eefng c\u01a1n \u0111au. Trong khi u\u1ed1ng thu\u1ed1c th\u00ec B\u00e1c S\u1ef9 cho t\u00f4i ch\u1ee5p MRI \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n. K\u1ebft qu\u1ea3 MRI kh\u00f4ng th\u1ea5y g\u00ec h\u1ebft n\u00ean \u00f4ng ti\u1ebfp t\u1ee5c cho t\u00f4i u\u1ed1ng thu\u1ed1c.<\/p>\n

Ng\u01b0\u1eddi ta n\u00f3i thu\u1ed1c t\u00e2y l\u00e0 con dao hai l\u01b0\u1ee1i v\u00ec n\u00f3 c\u00f3 c\u1ea3 m\u1eb7t t\u1ed1t l\u1eabn m\u1eb7t x\u1ea5u. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng ch\u1eefa b\u1ec7nh nh\u01b0ng n\u1ebfu ai l\u1ea1m d\u1ee5ng qu\u00e1 m\u1ee9c s\u1ebd g\u00e1nh nh\u1eefng h\u1eadu qu\u1ea3 kh\u00f4ng l\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u01b0\u1ee3c. Hi\u1ec7n t\u1ea1i v\u1ea5n n\u1ea1n Opioids \u0111ang l\u00e0 m\u1ed9t \u0111\u1ec1 t\u00e0i nan gi\u1ea3i cho c\u1ea3 n\u01b0\u1edbc M\u1ef9 v\u00ec t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au tr\u00e0n lan \u1edf kh\u1eafp m\u1ecdi n\u01a1i. Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb nghi\u1ec7n sau khi d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au \u0111\u1ec3 tr\u1ecb b\u1ec7nh trong m\u1ed9t th\u1eddi gian d\u00e0i. B\u00e1c S\u1ef9 cho t\u00f4i u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au Hydrocodone-Acetaminophen l\u00fac t\u00f4i c\u00f2n n\u1eb1m trong b\u1ec7nh vi\u1ec7n. Nh\u01b0ng khi v\u1ec1 nh\u00e0 l\u00e0 t\u00f4i ng\u01b0ng thu\u1ed1c n\u00e0y li\u1ec1n v\u00ec th\u1ea5y kh\u00f4ng c\u00f2n c\u1ea7n thi\u1ebft n\u1eefa.<\/p>\n

Theo B\u1ed9 Y t\u1ebf v\u00e0 D\u1ecbch v\u1ee5 Nh\u00e2n sinh Hoa K\u1ef3, United States Department of Health and Human Services th\u00ec c\u00f3 kho\u1ea3ng 42,249 ng\u01b0\u1eddi \u1edf M\u1ef9 \u0111\u00e3 ch\u1ebft v\u00ec u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au Opioids qu\u00e1 li\u1ec1u trong n\u0103m 2016. Do \u0111\u00f3 khi n\u00e0o c\u1ea7n thi\u1ebft l\u1eafm t\u00f4i m\u1edbi d\u00f9ng thu\u1ed1c t\u00e2y v\u00ec kh\u00f4ng mu\u1ed1n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c nh\u1ea5t l\u00e0 ch\u1ea5t g\u00e2y nghi\u1ec7n.<\/p>\n

U\u1ed1ng thu\u1ed1c ch\u1ec9 l\u00e0 c\u00e1ch tr\u1ecb li\u1ec7u t\u1ea1m th\u1eddi. V\u1ec1 hi\u1ec7u qu\u1ea3 l\u00e2u d\u00e0i c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau nh\u01b0 d\u00f9ng t\u1ea7n s\u1ed1 v\u00f4 tuy\u1ebfn \u0111\u1ec3 ng\u0103n ch\u1eb7n nh\u1eefng t\u00edn hi\u1ec7u truy\u1ec1n s\u1ef1 \u0111au \u0111\u1edbn (Percutaneous radiofrequency rhizotomy), b\u1eafn tia ph\u00f3ng x\u1ea1 t\u1edbi ch\u1ed7 d\u00e2y th\u1ea7n kinh b\u1ecb \u0111au c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u1ea1 tr\u1ecb (CyberKnife Radiosurgery). Ngo\u00e0i ra c\u00f2n v\u00e0i ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3i ph\u1eabu kh\u00e1c n\u1eefa. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111\u00f3 c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng kh\u00f4ng cao c\u00f2n \u0111\u1ec3 l\u1ea1i nhi\u1ec1u bi\u1ebfn ch\u1ee9ng. \u0110\u00f3 l\u00e0 ch\u01b0a n\u00f3i b\u1ec7nh c\u0169 s\u1ebd t\u00e1i ph\u00e1t trong kho\u1ea3ng th\u1eddi gian t\u1eeb hai \u0111\u1ebfn ba n\u0103m.<\/p>\n

Sau khi t\u00ecm hi\u1ec3u nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch ch\u1eefa tr\u1ecb tr\u00ean internet, t\u00f4i quy\u1ebft \u0111\u1ecbnh ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p m\u1ed5, Microvascular decompression. MVD l\u00e0 gi\u1ea3i ph\u1eabu tr\u00ean \u0111\u1ea7u ph\u00eda sau l\u1ed7 tai, th\u00f4ng qua k\u00ednh hi\u1ec3n vi \u0111\u1ec3 \u0111\u1eb7t m\u1ed9t mi\u1ebfng \u0111\u1ec7m gi\u1eefa m\u1ea1ch m\u00e1u v\u00e0 d\u00e2y th\u1ea7n kinh. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 gi\u1ea3i ph\u00e1p t\u1ed1t nh\u1ea5t v\u00ec t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a n\u00f3 t\u1edbi h\u01a1n ch\u00edn m\u01b0\u01a1i ph\u1ea7n tr\u0103m. N\u00f3 kh\u00f4ng c\u00f3 nhi\u1ec1u r\u1ee7i ro nh\u01b0 nh\u1eefng c\u00e1ch m\u1ed5 kh\u00e1c v\u00ec ch\u1ec9 c\u00f3 n\u0103m ph\u1ea7n tr\u0103m b\u1ec7nh nh\u00e2n b\u1ecb t\u00ea v\u00e0 hai ph\u1ea7n tr\u0103m b\u1ecb \u0111i\u1ebfc.<\/p>\n

T\u00f4i g\u1ecdi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n Stanford l\u1ea5y h\u1eb9n \u0111\u1ec3 g\u1eb7p Neurosurgeon sau khi c\u00f3 gi\u1ea5y gi\u1edbi thi\u1ec7u c\u1ee7a B\u00e1c S\u1ef9 gia \u0111\u00ecnh. C\u00f4 th\u01b0 k\u00fd cho t\u00f4i c\u00e1i h\u1eb9n s\u1edbm nh\u1ea5t v\u00e0o tu\u1ea7n t\u1edbi. T\u00f4i l\u00e1i xe t\u1eeb San Jose t\u1edbi Stanford Neuroscience Health Center \u1edf th\u00e0nh ph\u1ed1 Palo Alto thu\u1ed9c mi\u1ec1n B\u1eafc California b\u1eb1ng freeway 101 North. Sau khi exit \u0111\u01b0\u1eddng Embarcadero, ch\u1ea1y \u0111\u1ebfn cu\u1ed1i \u0111\u01b0\u1eddng \u0111\u1ed5i th\u00e0nh Galvez th\u00ec qu\u1eb9o ph\u1ea3i li\u1ec1n \u0111\u01b0\u1eddng Arboretum. T\u1edbi \u0111\u00e2y th\u00ec t\u00f4i \u0111\u00e3 v\u00e0o khu\u00f4n vi\u00ean r\u1ed9ng l\u1edbn c\u1ee7a tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Stanford. Ch\u1ea1y \u0111\u1ebfn \u0111\u01b0\u1eddng Quarry th\u00ec t\u00f4i qu\u1eb9o ph\u1ea3i l\u00e0 \u0111\u1ebfn n\u01a1i.<\/p>\n

T\u00f4i n\u00f3i v\u1edbi c\u00f4 th\u01b0 k\u00fd \u1edf qu\u1ea7y ti\u1ebfp t\u00e2n l\u00e0 h\u00f4m nay t\u00f4i c\u00f3 h\u1eb9n th\u00ec c\u00f4 in ra cho t\u00f4i c\u00e1i patient pass r\u1ed3i ch\u1ec9 v\u1ec1 h\u01b0\u1edbng thang m\u00e1y. Sau khi thang m\u00e1y \u0111\u01b0a t\u00f4i l\u00ean t\u1edbi l\u1ea7u ba, t\u00f4i scan barcode c\u1ee7a patient pass d\u01b0\u1edbi c\u00e1i TV l\u1edbn. M\u00e0n \u1ea3nh tr\u00ean TV hi\u1ec7n l\u00ean ng\u00e0y gi\u1edd t\u00f4i g\u1eb7p B\u00e1c S\u1ef9 Steven Daniel Chang t\u1ea1i khoa gi\u1ea3i ph\u1eabu th\u1ea7n kinh.<\/p>\n

Ng\u1ed3i ch\u1edd m\u1ed9t l\u00fac t\u00f4i \u0111\u01b0\u1ee3c c\u00f4 Y T\u00e1 g\u1ecdi t\u00ean \u0111\u1ec3 v\u00e0o ph\u00f2ng kh\u00e1m. Sau khi \u0111o huy\u1ebft \u00e1p v\u00e0 th\u00e2n nhi\u1ec7t, C\u00f4 Y T\u00e1 h\u1ecfi v\u1ec1 b\u1ec7nh t\u00ecnh c\u1ee7a t\u00f4i \u0111\u1ec3 ghi v\u00e0o h\u1ed3 s\u01a1.<\/p>\n

M\u1ed9t l\u00fac sau, B\u00e1c S\u1ef9 Steven b\u01b0\u1edbc v\u00e0o ph\u00f2ng kh\u00e1m. \u00d4ng h\u1ecfi t\u00f4i v\u1ec1 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u0103n b\u1ec7nh v\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c m\u00e0 t\u00f4i \u0111ang u\u1ed1ng. Sau khi n\u00f3i chuy\u1ec7n v\u1edbi t\u00f4i m\u1ed9t h\u1ed3i, \u00f4ng k\u1ebft lu\u1eadn l\u00e0 t\u00f4i b\u1ecb \u0111au d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m lo\u1ea1i TN1. \u00d4ng n\u00f3i ch\u1ec9 c\u00f3 MVD l\u00e0 c\u00e1ch ch\u1eefa tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t v\u00ec t\u00f4i s\u1ebd h\u1ebft \u0111au sau khi m\u1ed5. T\u00f4i n\u00f3i v\u1edbi \u00f4ng l\u00e0 t\u00f4i b\u1ecb b\u1ec7nh n\u00e0y \u0111\u00e3 hai m\u01b0\u01a1i n\u0103m r\u1ed3i, hi\u1ec7n gi\u1edd r\u1ea5t \u0111au n\u00ean t\u00f4i mu\u1ed1n \u00f4ng m\u1ed5 g\u1ea5p cho t\u00f4i. Nghe t\u00f4i n\u00f3i xong th\u00ec \u00f4ng n\u00f3i s\u1ebd tr\u1edf l\u1ea1i trong v\u00f2ng m\u01b0\u1eddi ph\u00fat \u0111\u1ed3ng th\u1eddi \u00f4ng b\u01b0\u1edbc ra ngo\u00e0i h\u01b0\u1edbng v\u1ec1 ph\u00eda h\u00e0nh lang b\u00ean tr\u00e1i.<\/p>\n

Khi B\u00e1c S\u1ef9 tr\u1edf l\u1ea1i \u00f4ng n\u00f3i th\u1ee9 Hai t\u1edbi \u00f4ng s\u1ebd m\u1ed5 cho t\u00f4i. Sau \u0111\u00f3 th\u00ec c\u00f4 Y T\u00e1 \u0111\u1ebfn g\u1eb7p t\u00f4i \u0111\u1ec3 \u0111\u01b0a gi\u1ea5y t\u1edd cho t\u00f4i k\u00fd v\u00e0 d\u1eb7n d\u00f2 \u0111\u1ee7 th\u1ee9. Xong xu\u00f4i, t\u00f4i \u0111i th\u1eed m\u00e1u v\u00e0 l\u00e0m h\u1eb9n ch\u1ee5p MRI t\u1ea1i b\u1ec7nh vi\u1ec7n Stanford tr\u01b0\u1edbc ng\u00e0y m\u1ed5. B\u00e1c S\u1ef9 Steven gi\u1edbi thi\u1ec7u c\u00f4 Vee Vo v\u1edbi t\u00f4i \u0111\u1ec3 xem t\u00f4i c\u00f3 c\u1ea7n gi\u00fap \u0111\u1ee1 g\u00ec kh\u00f4ng? C\u00f4 Vee Vo hi\u1ec7n th\u1eddi l\u00e0 Program Manager of Neurosurgery Department. C\u00f4 cho t\u00f4i bi\u1ebft l\u00e0 h\u1ecd l\u00e0m vi\u1ec7c theo nh\u00f3m \u0111\u1ec3 ph\u1ee5c v\u1ee5 b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch ho\u00e0n h\u1ea3o nh\u1ea5t. T\u00f4i kh\u00f4ng bi\u1ebft b\u1ec7nh vi\u1ec7n Stanford c\u00f3 m\u1ed9t c\u00f4 gi\u00e1m \u0111\u1ed1c ng\u01b0\u1eddi Vi\u1ec7t tr\u1ebb \u0111\u1eb9p v\u00e0 gi\u1ecfi giang nh\u01b0 v\u1eady.<\/p>\n

Tr\u01b0\u1edbc ng\u00e0y m\u1ed5, B\u00e1c S\u1ef9 c\u00f2n cho t\u00f4i g\u1eb7p m\u1ed9t b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u00f4ng m\u1ed5 c\u00e1ch \u0111\u00e2y m\u1ed9t th\u00e1ng. Ch\u00fa C\u01b0\u1eddng khoe t\u00f4i t\u1ea5m h\u00ecnh ch\u1ee5p \u00f4ng \u0111\u1ee9ng c\u1ea1nh gi\u01b0\u1eddng b\u1ec7nh. Ch\u00fa ch\u1ec9 cho t\u00f4i th\u1ea5y m\u1ed9t v\u1ebft s\u1eb9o \u0111\u00e3 l\u00e0nh d\u00e0i ch\u1eebng n\u0103m ph\u00e2n t\u00e2y ch\u1ea1y d\u1ecdc ph\u00eda sau l\u1ed7 tai b\u00ean tr\u00e1i c\u1ee7a ch\u00fa. Ch\u00fa n\u00f3i l\u00e0 sau khi m\u1ed5 m\u1ed9t ng\u00e0y th\u00ec ch\u00fa ra kh\u00e1ch s\u1ea1n \u1edf. M\u1ed9t tu\u1ea7n sau ch\u00fa tr\u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ec3 c\u00f4 Y T\u00e1 l\u1ea5y staples ra.<\/p>\n

H\u00f4m nay ch\u00fa C\u01b0\u1eddng tr\u1edf l\u1ea1i \u0111\u1ec3 g\u1eb7p B\u00e1c S\u1ef9 Steven kh\u00e1m b\u1ec7nh l\u1ea7n cu\u1ed1i. Ch\u00fa \u0111i c\u00f9ng v\u1edbi m\u1ed9t B\u00e1c S\u1ef9 quen bi\u1ebft \u1edf San Jose. Ch\u00fa tr\u1ea5n an t\u00f4i l\u00e0 \u0111\u1eebng c\u00f3 s\u1ee3 c\u00e1i g\u00ec h\u1ebft, m\u1ed5 r\u1ed3i s\u1ebd h\u1ebft b\u1ec7nh kh\u00f4ng c\u00f3 sao \u0111\u00e2u. V\u00ec \u0111\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111i m\u1ed5 nh\u1ea5t l\u00e0 m\u1ed5 tr\u00ean \u0111\u1ea7u n\u1eefa n\u00ean trong l\u00f2ng t\u00f4i h\u01a1i \u0111\u00e1nh loto.<\/p>\n

M\u00e0 kh\u00f4ng c\u00f3 sao thi\u1ec7t v\u00ec t\u00f4i g\u1eb7p ch\u00fa C\u01b0\u1eddng n\u00e0y \u0111\u00e3 b\u1ea3y m\u01b0\u01a1i l\u0103m tu\u1ed5i r\u1ed3i m\u00e0 tr\u00f4ng ch\u00fa r\u1ea5t kh\u1ecfe m\u1ea1nh kh\u00f4ng c\u00f3 v\u1ebb b\u1ec7nh ho\u1ea1n g\u00ec c\u1ea3. T\u00f4i m\u1edbi \u0111em b\u1ec7nh t\u00ecnh c\u1ee7a m\u00ecnh ra k\u1ec3 c\u0169ng nh\u01b0 h\u1ecfi th\u0103m ch\u00fa v\u1ec1 v\u1ebft m\u1ed5. L\u00fac \u0111\u00f3 ch\u00fa C\u01b0\u1eddng m\u1edbi h\u1ecfi t\u00f4i qua M\u1ef9 \u0111\u01b0\u1ee3c bao l\u00e2u r\u1ed3i? T\u00f4i tr\u1ea3 l\u1eddi v\u1edbi ch\u00fa r\u1eb1ng t\u00f4i \u0111i v\u01b0\u1ee3t bi\u00ean t\u1edbi M\u1ef9 \u0111\u01b0\u1ee3c ba m\u01b0\u01a1i ba n\u0103m r\u1ed3i. Ch\u00fa n\u00f3i \u0111i v\u01b0\u1ee3t bi\u00ean m\u00e0 kh\u00f4ng ch\u1ebft th\u00ec m\u1ed5 c\u00e1i n\u00e0y kh\u00f4ng c\u00f3 ch\u1ebft \u0111\u00e2u!<\/p>\n

Ch\u00fa C\u01b0\u1eddng n\u00f3i \u0111\u00fang qu\u00e1. C\u00f3 l\u1ebd t\u00f4i “chicken” thi\u1ec7t! V\u00ec b\u1eb3ng \u0111i m\u1ea5y tu\u1ea7n nghe t\u00f4i n\u00f3i \u0111i m\u1ed5 m\u00e0 v\u1eabn ch\u01b0a m\u1ed5 xong th\u00ec ch\u00fa H\u00f9ng, m\u1ed9t ng\u01b0\u1eddi quen l\u00e2u n\u0103m c\u1ee7a t\u00f4i n\u00f3i \u0111i m\u1ed5 \u0111i \u0111\u1eebng c\u00f3 lo qu\u00e1! Th\u1ebf l\u00e0 t\u00f4i v\u1ed9i v\u00e0ng l\u00e0m h\u1eb9n \u0111\u1ec3 m\u1ed5 sau khi \u0111\u00e3 tr\u00ec ho\u00e3n h\u01a1n hai tu\u1ea7n. Tr\u00f2 chuy\u1ec7n m\u1ed9t h\u1ed3i th\u00ec ch\u00fa C\u01b0\u1eddng chia tay t\u00f4i \u0111\u1ec3 ra v\u1ec1 cho k\u1ecbp chuy\u1ebfn bay tr\u1edf l\u1ea1i Los Angeles.<\/p>\n

B\u1ea5t c\u1ee9 l\u00fac n\u00e0o t\u00f4i th\u1eafc m\u1eafc ho\u1eb7c c\u00f3 c\u00e2u h\u1ecfi g\u00ec li\u00ean quan t\u1edbi b\u1ec7nh c\u1ee7a m\u00ecnh, t\u00f4i \u0111i\u1ec1u li\u00ean l\u1ea1c v\u1edbi b\u1ec7nh vi\u1ec7n b\u1eb1ng \u0111i\u1ec7n tho\u1ea1i ho\u1eb7c message qua MyHealth account c\u1ee7a Stanford. Sau khi Y T\u00e1 nh\u1eadn \u0111\u01b0\u1ee3c message c\u1ee7a t\u00f4i \u0111i\u1ec1u tr\u1ea3 l\u1eddi nhanh ch\u00f3ng nh\u1ea5t l\u00e0 message trong MyHealth account.<\/p>\n

B\u1ec7nh vi\u1ec7n Stanford l\u00e0 m\u1ed9t trong m\u01b0\u1eddi b\u1ec7nh vi\u1ec7n \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ed1t nh\u1ea5t th\u1ebf gi\u1edbi. Stanford c\u00f3 nhi\u1ec1u chuy\u00ean khoa kh\u00e1c nhau nh\u01b0 gi\u1ea3i ph\u1eabu th\u1ea7n kinh, c\u1ea5y gh\u00e9p b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3, thu\u1ed1c tim m\u1ea1ch, ch\u1ea9n \u0111o\u00e1n v\u00e0 ch\u1eefa tr\u1ecb c\u00e1c b\u1ec7nh ung th\u01b0. B\u1ec7nh vi\u1ec7n \u0111\u00f3ng m\u1ed9t v\u00e0i tr\u00f2 kh\u00e1 quan tr\u1ecdng trong vi\u1ec7c gi\u1ea3ng d\u1ea1y v\u00e0 nghi\u00ean c\u1ee9u v\u1ec1 y khoa. N\u00f3 c\u0169ng l\u00e0 n\u01a1i d\u00e0nh cho c\u00e1c sinh vi\u00ean y khoa v\u00e0 nghi\u00ean c\u1ee9u sinh \u0111\u1ebfn \u0111\u1ec3 th\u1ef1c t\u1eadp. Ngo\u00e0i \u0111\u1ed9i ng\u0169 B\u00e1c S\u1ef9 v\u00e0 Y T\u00e1 chuy\u00ean nghi\u1ec7p th\u00ec b\u1ec7nh vi\u1ec7n c\u00f2n x\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i d\u1ee5ng c\u1ee5 y khoa thu\u1ed9c v\u00e0o lo\u1ea1i t\u1ed1i t\u00e2n nh\u1ea5t th\u1ebf gi\u1edbi.<\/p>\n

V\u00e0o cu\u1ed1i th\u00e1ng gi\u00eang n\u0103m 2018, tr\u01b0\u1eddng \u0110\u1ea1i H\u1ecdc Y Khoa Stanford c\u00f4ng b\u1ed1 l\u00e0 h\u1ecd \u0111\u00e3 ph\u00e1t m\u00ecnh ra m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u00edch \u0111\u1ec3 tr\u1ecb b\u1ec7nh ung th\u01b0. B\u00e1c S\u1ef9 Ronald Levy l\u00e0 gi\u00e1o s\u01b0 \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 t\u00e1c gi\u1ea3 c\u1ee7a c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u n\u00e0y, n\u00f3i r\u1eb1ng h\u1ecd \u0111\u00e3 th\u1eed nghi\u1ec7m th\u00e0nh c\u00f4ng thu\u1ed1c n\u00e0y tr\u00ean lo\u00e0i chu\u1ed9t. Kho\u1ea3ng 87 tr\u00ean 90 con chu\u1ed9t \u0111\u00e3 h\u1ebft b\u1ec7nh ung th\u01b0 sau khi \u0111\u01b0\u1ee3c ch\u00edch hai m\u0169i thu\u1ed1c trong \u0111\u1ee3t \u0111\u1ea7u ti\u00ean.<\/p>\n

C\u00e1c th\u1eed nghi\u1ec7m \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh v\u1edbi m\u01b0\u1eddi l\u0103m b\u1ec7nh nh\u00e2n m\u1edbi b\u1ecb ung th\u01b0 b\u1ea1ch huy\u1ebft ‘Lymphoma’. N\u1ebfu vi\u1ec7c th\u1eed nghi\u1ec7m n\u00e0y th\u00e0nh c\u00f4ng tr\u00ean con ng\u01b0\u1eddi th\u00ec t\u1eeb nay ng\u01b0\u1eddi ta kh\u00f4ng c\u1ea7n l\u00e0m x\u1ea1 tr\u1ecb hay ho\u00e1 tr\u1ecb n\u1eefa. Ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 c\u1ea7n ch\u00edch v\u00e0i m\u0169i thu\u1ed1c l\u00e0 c\u00f3 th\u1ec3 h\u1ebft b\u1ec7nh ung th\u01b0.<\/p>\n

Hy v\u1ecdng tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Stanford c\u00f3 th\u00eam nhi\u1ec1u kh\u00e1m ph\u00e1 m\u1edbi \u0111\u1ec3 gi\u00fap cho nh\u00e2n lo\u1ea1i b\u1edbt \u0111i nh\u1eefng c\u0103n b\u1ec7nh hi\u1ec3m ngh\u00e8o. C\u00f3 th\u1ec3 trong m\u1ed9t th\u1eddi gian kh\u00f4ng xa, con ng\u01b0\u1eddi s\u1ebd h\u1ebft b\u1ec7nh ung th\u01b0 sau khi \u0111\u01b0\u1ee3c ch\u00edch lo\u1ea1i thu\u1ed1c n\u00e0y.<\/p>\n

Kh\u00f4ng bi\u1ebft qu\u00fd v\u1ecb c\u00f3 bi\u1ebft c\u00e2u chuy\u1ec7n v\u1ec1 b\u00e9 Thi\u00ean \u00c2n hay ch\u01b0a? Nh\u1edd \u0111\u1ecdc nh\u1eefng b\u00e0i ph\u00f3ng s\u1ef1 c\u1ee7a ph\u00f3ng vi\u00ean Ng\u1ecdc Lan tr\u00ean b\u00e1o Ng\u01b0\u1eddi Vi\u1ec7t Online n\u00ean t\u00f4i m\u1edbi bi\u1ebft \u0111\u1ebfn anh C\u01b0\u1eddng L\u00ea v\u00e0 h\u1ed9i “K\u1ebft N\u1ed1i Vi\u1ec7t”. Do s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a anh C\u01b0\u1eddng L\u00ea m\u00e0 b\u00e9 Thi\u00ean \u00c2n \u0111\u01b0\u1ee3c h\u00e3ng b\u00e0o ch\u1ebf thu\u1ed1c Roche c\u1ee7a Th\u1ee5y S\u1ef9 nh\u1eadn v\u00e0o ch\u01b0\u01a1ng tr\u00ecnh th\u1eed thu\u1ed1c c\u1ee7a h\u1ecd t\u1ea1i B\u1ec7nh Vi\u1ec7n Nhi Khoa Stanford. Ch\u01b0\u01a1ng tr\u00ecnh n\u00e0y s\u1ebd th\u1eed nghi\u1ec7m m\u1ed9t lo\u1ea1i thu\u1ed1c m\u1edbi \u0111\u1ec3 ch\u1eefa tr\u1ecb c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh \u1edf c\u1ed9t s\u1ed1ng b\u1ecb t\u00ea li\u1ec7t, Spinal Muscular Atrophy Type 1. N\u1ebfu s\u1ef1 t\u00ea li\u1ec7t n\u00e0y x\u1ea3y ra th\u00ec con ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 t\u1ef1 m\u00ecnh \u0111i\u1ec1u khi\u1ec3n nh\u1eefng chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n

\u0110\u1ebfn th\u00e1ng 3 n\u0103m 2018 c\u0169ng nh\u1edd v\u00e0o s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a anh C\u01b0\u1eddng L\u00ea v\u00e0 h\u1ed9i “K\u1ebft N\u1ed1i Vi\u1ec7t”, ng\u01b0\u1eddi Vi\u1ec7t ch\u00fang ta l\u1ea1i c\u00f3 th\u00eam m\u1ed9t em b\u00e9 th\u1ee9 hai l\u00e0 Gia Linh \u0111\u01b0\u1ee3c h\u00e3ng b\u00e0o ch\u1ebf Roche nh\u1eadn v\u00e0o ch\u01b0\u01a1ng tr\u00ecnh th\u1eed thu\u1ed1c Firefish t\u1ea1i B\u1ec7nh Vi\u1ec7n Nhi Khoa \u1edf Genova, Italy. Sau khi qu\u00fd v\u1ecb \u0111\u1ecdc nh\u1eefng b\u00e0i vi\u1ebft c\u1ee7a ph\u00f3ng vi\u00ean Ng\u1ecdc Lan theo nh\u1eefng c\u00e1i link n\u1eb1m \u1edf cu\u1ed1i b\u00e0i th\u00ec qu\u00fd \u0111\u1ed9c gi\u1ea3 s\u1ebd bi\u1ebft r\u00f5 h\u01a1n.<\/p>\n

Kho\u1ea3ng th\u00e1ng 10 n\u0103m 2017, t\u00f4i mang xe t\u1edbi ti\u1ec7m s\u1eeda xe \u0111\u1ec3 thay nh\u1edbt th\u00ec t\u00ecnh c\u1edd g\u1eb7p \u0111\u01b0\u1ee3c ch\u00fa S\u01a1n c\u0169ng \u0111i thay nh\u1edbt xe v\u1edbi b\u1ea1n c\u1ee7a ch\u00fa. Sau m\u1ed9t h\u1ed3i l\u1eafng nghe t\u00e2m s\u1ef1 c\u1ee7a t\u00f4i k\u1ec3 v\u1ec1 ch\u1ee9ng b\u1ec7nh c\u1ee7a m\u00ecnh th\u00ec ch\u00fa n\u00f3i l\u00e0 ch\u00fa c\u0169ng b\u1ecb \u0111au d\u00e2y th\u1ea7n kinh \u1edf tr\u00ean tr\u00e1n, nh\u01b0ng nay \u0111\u00e3 kh\u1ecfi r\u1ed3i. Ch\u00fa n\u00f3i r\u1eb1ng ch\u00fa b\u1ecb b\u1ec7nh n\u00e0y t\u1eeb l\u00fac ch\u00fa c\u00f2n \u1edf Saigon. L\u00fac \u0111\u00f3 ch\u00fa r\u1ea5t \u0111au v\u00e0 kh\u00f4ng t\u1eadp trung l\u00e0m vi\u1ec7c g\u00ec \u0111\u01b0\u1ee3c. Sau khi \u0111\u00e3 ch\u1eefa ch\u1ea1y kh\u1eafp n\u01a1i \u1edf Saigon m\u00e0 kh\u00f4ng kh\u1ecfi th\u00ec ch\u00fa \u0111\u01b0\u1ee3c B\u00e1c S\u1ef9 c\u1ee7a ch\u00fa gi\u1edbi thi\u1ec7u \u0111i Singapore \u0111\u1ec3 m\u1ed5. B\u00e1c S\u1ef9 \u1edf Singapore n\u00f3i r\u1eb1ng kh\u1ea3 n\u0103ng h\u1ebft b\u1ec7nh sau khi m\u1ed5 ch\u1ec9 l\u00e0 n\u0103m ph\u1ea7n tr\u0103m. Nh\u01b0ng v\u00ec ch\u00fa S\u01a1n mu\u1ed1n m\u00ecnh h\u1ebft b\u1ec7nh n\u00ean \u0111\u00e3 b\u1eb1ng l\u00f2ng cho B\u00e1c S\u1ef9 m\u1ed5. Sau khi B\u00e1c S\u1ef9 c\u1eaft v\u00e0i m\u1ea1ch m\u00e1u \u0111\u00e8 l\u00ean d\u00e2y th\u1ea7n kinh th\u00ec ch\u00fa h\u1ebft b\u1ec7nh v\u00e0o cu\u1ed1i n\u0103m 1998.<\/p>\n

Ng\u00e0y th\u1ee9 hai 9 th\u00e1ng 4 n\u0103m 2018, sau khi n\u1eb1m l\u00ean gi\u01b0\u1eddng th\u00ec t\u00f4i \u0111\u01b0\u1ee3c \u0111\u1ea9y v\u00e0o ph\u00f2ng m\u1ed5 ngay l\u1eadp t\u1ee9c. K\u1ec3 t\u1eeb l\u00fac \u0111\u00f3 th\u00ec t\u00f4i kh\u00f4ng c\u00f2n bi\u1ebft g\u00ec. \u0110\u1ebfn khi t\u1ec9nh d\u1eady t\u00f4i th\u1ea5y m\u00ecnh \u0111ang n\u1eb1m trong ph\u00f2ng ICU. V\u00ec ch\u01b0a c\u00f3 ph\u00f2ng tr\u1ed1ng n\u00ean t\u00f4i ph\u1ea3i n\u00e1n l\u1ea1i \u1edf ICU h\u01a1n m\u1ed9t ti\u1ebfng \u0111\u1ed3ng h\u1ed3. H\u1ecd chuy\u1ec3n t\u00f4i t\u1edbi ph\u00f2ng d\u00e0nh cho b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kho\u1ea3ng hai ti\u1ebfng th\u00ec b\u00e0 x\u00e3 t\u00f4i \u0111\u01b0\u1ee3c v\u00e0o th\u0103m. T\u00f4i r\u1ea5t m\u1eebng v\u00ec m\u00ecnh v\u1eeba tr\u1ea3i qua \u0111\u01b0\u1ee3c ca m\u1ed5 th\u00e0nh c\u00f4ng m\u1eb7c d\u1ea7u t\u00f4i c\u1ea3m th\u1ea5y r\u1ea5t \u0111au \u1edf v\u00f9ng l\u1ed7 tai b\u00ean ph\u1ea3i.<\/p>\n

C\u1ee9 m\u1ed7i s\u00e1u ti\u1ebfng t\u00f4i \u0111\u01b0\u1ee3c c\u00e1c c\u00f4 Y T\u00e1 gh\u00e9 qua gi\u01b0\u1eddng b\u1ec7nh \u0111\u1ec3 \u0111o huy\u1ebft \u00e1p v\u00e0 \u0111\u01b0a thu\u1ed1c cho t\u00f4i u\u1ed1ng. Ng\u00e0y h\u00f4m sau t\u00f4i t\u1eadp \u0111i b\u1eb1ng xe \u0111\u1ea9y c\u00f3 b\u1ed1n b\u00e1nh xe nh\u01b0ng v\u00ec c\u00f2n y\u1ebfu n\u00ean c\u00f4 Joti ph\u1ea3i \u0111i theo \u0111\u1ec3 tr\u00f4ng ch\u1eebng. M\u1ed7i ng\u00e0y t\u00f4i \u0111\u01b0\u1ee3c \u0103n ba b\u1eefa v\u1edbi th\u1ef1c \u0111\u01a1n r\u1ea5t phong ph\u00fa g\u1ed3m nhi\u1ec1u m\u00f3n \u0103n kh\u00e1c nhau tha h\u1ed3 m\u00e0 ch\u1ecdn m\u00f3n m\u00ecnh th\u00edch. V\u00ec v\u1eady t\u00f4i \u0103n r\u1ea5t ngon mi\u1ec7ng ch\u1ea3 kh\u00e1c g\u00ec \u1edf nh\u00e0 h\u00e0ng b\u00ean ngo\u00e0i. Ngo\u00e0i ra t\u00f4i c\u00f2n \u0111\u01b0\u1ee3c xem movie tr\u00ean c\u00e1i TV treo \u1edf tr\u01b0\u1edbc m\u1eb7t.<\/p>\n

C\u00f4 Y T\u00e1 n\u00e0o c\u0169ng c\u00f3 m\u1ed9t c\u00e1i smartphone \u0111\u1ec3 text v\u1edbi nhau trong l\u00fac l\u00e0m vi\u1ec7c thay v\u00ec n\u00f3i chuy\u1ec7n \u1ed3n \u00e0o tr\u00ean phone. Ng\u01b0\u1eddi n\u00e0o c\u0169ng t\u1eadn t\u00e2m, chu \u0111\u00e1o v\u00e0 vui v\u1ebb, nh\u1ea5t l\u00e0 c\u00f4 Y T\u00e1 Laurie l\u00fac n\u00e0o c\u0169ng c\u00f3 n\u1ee5 c\u01b0\u1eddi tr\u00ean m\u00f4i. T\u00f4i th\u00edch tr\u00f2 chuy\u1ec7n v\u1edbi c\u00f4 Laurie v\u00ec nh\u1eefng c\u00e2u n\u00f3i d\u00ed d\u1ecfm v\u00e0 s\u1ef1 nhi\u1ec7t t\u00ecnh c\u1ee7a c\u00f4 \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n. C\u00e1c c\u00f4 Y T\u00e1 Ann Pan, Rita v\u00e0 Carol th\u00ec l\u00fac n\u00e0o c\u0169ng nh\u1eb9 nh\u00e0ng v\u00e0 t\u1ec9 m\u1ec9. Ng\u00e0y n\u00e0o c\u0169ng c\u00f3 c\u00e1c v\u1ecb B\u00e1c S\u1ef9 tham d\u1ef1 v\u00e0o ca m\u1ed5 c\u1ee7a t\u00f4i \u0111\u1ebfn th\u0103m.<\/p>\n

M\u1eb7c d\u1ea7u ch\u1ec9 \u1edf c\u00f3 hai ng\u00e0y nh\u01b0ng t\u00f4i c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 th\u0103m h\u1ecfi t\u1eadn t\u00ecnh c\u0169ng nh\u01b0 ch\u0103m s\u00f3c chu \u0111\u00e1o c\u1ee7a c\u00e1c B\u00e1c S\u1ef9 v\u00e0 Y T\u00e1. N\u1eb1m b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c hai ng\u00e0y th\u00ec t\u00f4i \u0111\u01b0\u1ee3c B\u00e1c S\u1ef9 b\u00e1o l\u00e0 ng\u00e0y mai s\u1ebd \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n. H\u00f4m sau b\u00e0 x\u00e3 \u0111\u00f3n t\u00f4i v\u1ec1 nh\u00e0 m\u00e0 t\u00f4i t\u01b0\u1edfng m\u00ecnh xa nh\u00e0 \u0111\u00e3 l\u00e2u.<\/p>\n

Nh\u00e2n \u0111\u00e2y t\u00f4i mu\u1ed1n g\u1edfi l\u1eddi c\u1ea3m \u01a1n \u0111\u1ebfn b\u00e0 x\u00e3 c\u1ee7a m\u00ecnh l\u00e0 Thu V\u00e2n. N\u00e0ng \u0111\u00e3 kh\u00f4ng ng\u1ea1i v\u1ea5t v\u1ea3 v\u00e0 c\u1ef1c nh\u1ecdc \u0111\u1ec3 ch\u0103m s\u00f3c t\u00f4i trong th\u1eddi gian t\u00f4i b\u1ecb b\u1ec7nh. Nhi\u1ec1u l\u00fac t\u00f4i th\u1ea5y n\u00e0ng ng\u1ee7 g\u1eadt tr\u00ean gi\u01b0\u1eddng b\u1ec7nh c\u1ee7a m\u00ecnh m\u00e0 n\u01b0\u1edbc m\u1eaft t\u00f4i c\u1ee9 tr\u00e0o ra m\u00e3i. Xin c\u1ea3m \u01a1n em r\u1ea5t nhi\u1ec1u, Thu V\u00e2n c\u1ee7a anh!<\/p>\n

Ng\u01b0\u1eddi th\u1ee9 hai m\u00e0 t\u00f4i mu\u1ed1n c\u00e1m \u01a1n l\u00e0 ch\u1ecb Ng\u1ecdc C\u1ea7m c\u1ee7a t\u00f4i. C\u00f3 l\u1ebd t\u00f4i kh\u00f4ng th\u1ec3 n\u00e0o v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c n\u1ed7i \u0111au \u0111\u1edbn v\u1ec1 th\u1ec3 x\u00e1c c\u0169ng nh\u01b0 tinh th\u1ea7n n\u1ebfu nh\u01b0 kh\u00f4ng c\u00f3 s\u1ef1 gi\u00fap \u0111\u1ee1, an \u1ee7i v\u00e0 khuy\u1ebfn kh\u00edch c\u1ee7a ch\u1ecb. Nh\u1ea5t l\u00e0 l\u00fac t\u00f4i c\u1ea7n m\u1ed9t ng\u01b0\u1eddi th\u00e2n b\u00ean c\u1ea1nh th\u00ec ch\u1ecb \u1ea5y xu\u1ea5t hi\u1ec7n nh\u01b0 l\u00e0 v\u1ecb c\u1ee9u tinh c\u1ee7a t\u00f4i. Em xin c\u1ea3m \u01a1n ch\u1ecb r\u1ea5t nhi\u1ec1u v\u00ec ch\u1ecb \u0111\u00e3 gi\u00fap em v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c n\u1ed7i kh\u00f3 kh\u0103n n\u00e0y.<\/p>\n

*<\/p>\n

Sau c\u00f9ng, s\u1ee9c kh\u1ecfe l\u00e0 c\u00e1i m\u00e0 t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi ch\u00fang ta ai c\u0169ng mong \u01b0\u1edbc. V\u00ec n\u1ebfu ng\u01b0\u1eddi ta c\u00f3 s\u1ee9c kh\u1ecfe th\u00ec h\u1ecd m\u1edbi c\u00f3 c\u01a1 h\u1ed9i \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng g\u00ec m\u00e0 m\u00ecnh mong mu\u1ed1n. N\u1ebfu ai c\u00f3 m\u1eafc b\u1ec7nh n\u00e0y th\u00ec \u0111\u1eebng c\u00f3 n\u1ea3n l\u00f2ng m\u00e0 ph\u1ea3i ki\u00ean tr\u00ec t\u00ecm n\u01a1i ch\u1eefa tr\u1ecb cho m\u00ecnh. Ch\u1eb3ng h\u1ea1n nh\u01b0 l\u00fac \u0111\u1ea7u t\u00f4i r\u1ea5t bi quan v\u1ec1 b\u1ec7nh t\u00ecnh c\u1ee7a m\u00ecnh v\u00ec ngh\u0129 r\u1eb1ng kh\u00f4ng c\u00f3 c\u00e1ch g\u00ec \u0111\u1ec3 tr\u1ecb h\u1ebft b\u1ec7nh. Nh\u01b0ng sau khi t\u00ecm hi\u1ec3u v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y tr\u00ean internet, t\u00f4i t\u00ecm \u0111\u01b0\u1ee3c n\u01a1i tr\u1ecb b\u1ec7nh l\u00e0 b\u1ec7nh vi\u1ec7n Stanford. T\u00f4i xin c\u1ea3m \u01a1n B\u00e1c S\u1ef9 Steven c\u00f9ng c\u00e1c c\u1ed9ng s\u1ef1 c\u1ee7a \u00f4ng \u0111\u00e3 ch\u1eefa cho t\u00f4i h\u1ebft b\u1ec7nh. Nh\u1edd v\u1eady m\u00e0 t\u00f4i c\u00f3 l\u1ea1i cu\u1ed9c s\u1ed1ng c\u1ee7a m\u00ecnh.<\/p>\n","protected":false},"excerpt":{"rendered":"

Tr\u1ea7n \u0110\u00ecnh \u0110\u1ee9c N\u1ebfu ng\u01b0\u1eddi n\u00e0o b\u1ecb \u0111au nh\u01b0 dao \u0111\u00e2m ho\u1eb7c \u0111i\u1ec7n gi\u1eadt \u1edf m\u00f4i, m\u00e1, m\u0169i, mi\u1ec7ng, tr\u00e1n, \u0111\u1ec9nh \u0111\u1ea7u, c\u1eb1m v\u00e0 quai h\u00e0m th\u00ec ng\u01b0\u1eddi \u0111\u00f3 c\u00f3 th\u1ec3 b\u1ecb \u0111au d\u00e2y th\u1ea7n kinh s\u1ed1 n\u0103m. L\u00fac \u0111\u00e1nh r\u0103ng, cu\u1eddi, n\u00f3i, \u0103n u\u1ed1ng,…<\/p>\n","protected":false},"author":4,"featured_media":3212,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1,4],"tags":[],"post_series":[],"class_list":["post-5893","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","category-tuy-but"],"acf":[],"_links":{"self":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts\/5893","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/comments?post=5893"}],"version-history":[{"count":1,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts\/5893\/revisions"}],"predecessor-version":[{"id":5894,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts\/5893\/revisions\/5894"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/media\/3212"}],"wp:attachment":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/media?parent=5893"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/categories?post=5893"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/tags?post=5893"},{"taxonomy":"post_series","embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/post_series?post=5893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}