X phu nh v khc l mt thay th.

Th tc ny cung cp Thu gn v ph i - loi b hon ton t ti bc x rt tp trung trc

tip vo vng ca AVM gy so v co rt.
N c bit hu ch cho AVMs nh su trong no, l kh khn loi b bng phu
thut.
Thuc chng co git nh phenytoin, thng c quy nh nu cn co git xy ra.
Outlook (Tin lng)
Khong 1 trong 10 ngi c triu chng u tin l chy mu no qu mc s cht. Mt s
bnh nhn c th b co git thng trc v b no v h thng thn kinh c vn .
AVMs m khng gy ra cc triu chng ca ngi dn thi gian t n 40 tui hoc 50
tui u c nhiu kh nng duy tr n nh v t khi gy ra cc triu chng.
Ti phng cp cu hoc gi s khn cp a phng (nh 911) nu bn c:
Cng tm kim s chm sc y t nu bn c mt cn ng kinh ln u, v AVM c th l
nguyn nhn gy ra cc cn ng kinh.
Selman WR, Blackham K, Tarr RW, Ratcheson RA. Bnh v mch mu ca h thng thn
kinh: d dng mch mu. Trong: Bradley WG, Daroff RB, Fenichel Gm, Jankovic J, eds.
Neurology Bradley 's trong thc hnh lm sng
Zivin JA. Bnh mch mu no xut huyt. Trong: Goldman L, Ausiello D, eds. Cecil Y
Goldman
Brown Jr. RD AVMs no cha v: cha tr hay khng iu tr. Lancet Neurol
Vim khp l tnh trng vim ca mt hoc nhiu khp. Mt doanh l khu vc m hai xng
gp nhau. C hn 100 loi khc nhau ca bnh vim khp.
Nguyn nhn
Vim khp lin quan n s phn hy ca sn. Sn bnh thng bo v mt phn v cho
php n di chuyn thng sut. Sn cng hp th sc khi p lc c t ln khp, chng
hn nh khi bn i b. Nu khng c s lng bnh thng ca sn, xng ch xt vi
nhau. iu ny gy ra, sng (vim), v cng.
Mt bnh t min dch (h thng min dch ca c th tn cng nhm cc m khe mnh)
Trong hu ht cc trng hp, cc tnh trng vim khp s bin mt sau khi nguyn nhn
bin mt hoc c iu tr. i khi n khng. Khi iu ny xy ra, bn b vim khp mn
tnh. Vim khp c th xy ra n ng hay ph n. Vim xng khp l loi ph bin
nht.
Khc, loi ph bin hn ca vim khp bao gm:
Systemic lupus erythematosus (SLE)Cc Thu gn v ph i - loi b hon ton t ti nh
cung cp chm sc y t s thc hin mt k thi vt l v t cu hi v lch s y t ca bn.

Cc k thi vt l c th hin th:

Dch quanh khp
m p, mu , khp thu
Kh khn di chuyn mt phn (gi l "phm vi gii hn ca chuyn ng")
Mt s loi vim khp c th gy bin dng khp. y c th l mt du hiu ca s, khng
c iu tr vim khp dng thp nng.
Xt nghim mu v doanh x-quang thng c thc hin kim tra xem c b nhim
trng v cc nguyn nhn khc ca bnh vim khp.
Bc s cng c th loi b mt mu dch khp vi mt cy kim v gi n n mt phng th
nghim c kim tra.
iu tr
Mc tiu ca iu tr l lm gim au, ci thin chc nng, v ngn nga tn thng khp
hn na. Nguyn nhn c bn thng khng th cha khi.
THAY I LIFESTYLE
Thay i li sng l iu tr u tin cho vim xng khp v cc loi sng khp. Tp th
dc c th gip lm gim cng, lm gim au v mt mi, v ci thin c bp v sc
mnh ca xng. i ng chm sc sc khe ca bn c th gip bn thit k mt chng
trnh tp th dc tt nht cho bn.
Chng trnh tp th dc c th bao gm:
Hot ng hiu kh thp tc ng (hay cn gi l bi tp sc bn)
Phm vi ca chuyn ng linh hot cho cc bi tp
Cung cp dch v chm sc sc khe ca bn c th ngh vt l tr liu. iu ny c th
bao gm:
Np chnh hnh hoc h tr khp v gip ci thin v tr ca h; ny thng cn thit i
vi vim khp dng thp
Nhng iu khc bn c th lm bao gm:
Nhn ng nhiu. Ng 8-10 ting mi m v ng tra ung trong ngy c th gip bn khi
phc t mt flare-up mt cch nhanh chng hn, v thm ch c th gip ngn nga bng
pht.
Trnh trong mt v tr qu lu.
Trnh cc v tr hoc c ng m t thm cng thng trn cc khp au ca bn.
Thay i nh ca bn lm Thu gn v ph i - loi b hon ton t ti cho hot ng d
dng hn. V d, ci t cc thanh vn trong phng tm, bn tm, v gn nh v sinh.