{"id":18523,"date":"2023-04-14T18:42:39","date_gmt":"2023-04-14T11:42:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18523"},"modified":"2023-05-03T18:43:31","modified_gmt":"2023-05-03T11:43:31","slug":"loang-xuong-dinh-nghia-phan-loai-chan-doan-phong-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/loang-xuong-dinh-nghia-phan-loai-chan-doan-phong-benh\/","title":{"rendered":"Lo\u00e3ng x\u01b0\u01a1ng: \u0110\u1ecbnh ngh\u0129a, ph\u00e2n lo\u1ea1i, ch\u1ea9n \u0111o\u00e1n, ph\u00f2ng b\u1ec7nh"},"content":{"rendered":"<p><strong>Lo\u00e3ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 thay \u0111\u1ed5i s\u1ee9c m\u1ea1nh c\u1ee7a x\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u1edbi t\u1ef7 l\u1ec7 nguy c\u01a1 m\u1eafc b\u1ec7nh l\u00e0 1\/3 s\u1ed1 ph\u1ee5 n\u1eef v\u00e0 1\/8 s\u1ed1 nam gi\u1edbi tr\u00ean 50 tu\u1ed5i. Nguy\u00ean nh\u00e2n g\u00e2y ra lo\u00e3ng x\u01b0\u01a1ng bao g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n nguy\u00ean ph\u00e1t v\u00e0 th\u1ee9 ph\u00e1t. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng, ta d\u1ef1a v\u00e0o s\u1ed1 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng theo ti\u00eau chu\u1ea9n WHO n\u0103m 1993 v\u00e0 s\u1eeda \u0111\u1ed5i n\u0103m 2001. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh n\u00e0y, vi\u1ec7c ph\u00f2ng tr\u00e1nh ng\u00e3 l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng.<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n<p>Theo \u0111\u1ecbnh ngh\u0129a c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) n\u0103m 2001, lo\u00e3ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 thay \u0111\u1ed5i s\u1ee9c m\u1ea1nh c\u1ee7a x\u01b0\u01a1ng. S\u1ee9c m\u1ea1nh n\u00e0y \u0111\u1eb7c tr\u01b0ng b\u1edfi m\u1eadt \u0111\u1ed9 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a x\u01b0\u01a1ng. Ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a x\u01b0\u01a1ng s\u1ebd \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n qua: c\u1ea5u tr\u00fac x\u01b0\u01a1ng, chu chuy\u1ec3n x\u01b0\u01a1ng, \u0111\u1ed9 kho\u00e1ng h\u00f3a, t\u1ed5n th\u01b0\u01a1ng t\u00edch l\u0169y, v\u00e0 t\u00ednh ch\u1ea5t c\u1ee7a c\u00e1c ch\u1ea5t c\u01a1 b\u1ea3n c\u1ee7a x\u01b0\u01a1ng.<\/p>\n<figure id=\"attachment_18646\" aria-describedby=\"caption-attachment-18646\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Osteoporosis-What-You-Should-Know-at-All-Ages.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18646 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Osteoporosis-What-You-Should-Know-at-All-Ages.jpg\" alt=\"\" width=\"700\" height=\"425\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Osteoporosis-What-You-Should-Know-at-All-Ages.jpg 700w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Osteoporosis-What-You-Should-Know-at-All-Ages-300x182.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/a><figcaption id=\"caption-attachment-18646\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh lo\u00e3ng x\u01b0\u01a1ng<\/figcaption><\/figure>\n<h2>2. Ph\u00e2n lo\u1ea1i lo\u00e3ng x\u01b0\u01a1ng<\/h2>\n<p>Theo nguy\u00ean nh\u00e2n, lo\u00e3ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c chia l\u00e0m hai lo\u1ea1i l\u00e0:<\/p>\n<ul>\n<li>Lo\u00e3ng x\u01b0\u01a1ng nguy\u00ean ph\u00e1t: <em>lo\u00e3ng x\u01b0\u01a1ng sau m\u00e3n kinh (typ 1)<\/em> v\u00e0 <em>lo\u00e3ng x\u01b0\u01a1ng tu\u1ed5i gi\u00e0 (typ 2)<\/em>.<\/li>\n<li>Lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t.<\/li>\n<\/ul>\n<h3>2.1. C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a lo\u00e3ng x\u01b0\u01a1ng nguy\u00ean ph\u00e1t<\/h3>\n<ul>\n<li>Lo\u00e3ng x\u01b0\u01a1ng nguy\u00ean ph\u00e1t: khi kh\u00f4ng t\u00ecm th\u1ea5y c\u0103n nguy\u00ean n\u00e0o kh\u00e1c ngo\u00e0i tu\u1ed5i t\u00e1c v\u00e0\/ho\u1eb7c tr\u00ecnh tr\u1ea1ng m\u00e3n kinh \u1edf ph\u1ee5 n\u1eef.<\/li>\n<li>Nguy\u00ean nh\u00e2n l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa h\u1ee7y v\u00e0 t\u1ea1o x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y g\u00e2y ra gi\u1ea3m m\u1eadt \u0111\u1ed9, h\u01b0 h\u1ecfng c\u1ea5u tr\u00fac x\u01b0\u01a1ng.<\/li>\n<li>Kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng \u0111\u1ec9nh \u0111\u1ea1t \u0111\u01b0\u1ee3c quanh 25 tu\u1ed5i. Sau \u0111\u00f3 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng \u1edf c\u1ea3 hai gi\u1edbi s\u1ebd \u1ed5n \u0111\u1ecbnh cho \u0111\u1ebfn 45-55 tu\u1ed5i.<\/li>\n<li>Sau 55 tu\u1ed5i, s\u1ef1 m\u1ea5t x\u01b0\u01a1ng x\u1ea3y ra nhanh \u1edf ph\u1ee5 n\u1eef v\u1edbi 25%-30% kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng trong 5-10 n\u0103m. Ti\u1ebfp theo l\u00e0 m\u1ed9t giai \u0111o\u1ea1n m\u1ea5t x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh 0.5%-1% m\u1ed7i n\u0103m<\/li>\n<li>Nam gi\u1edbi kh\u00f4ng c\u00f3 th\u1eddi \u0111i\u1ec3m m\u1ea5t x\u01b0\u01a1ng nhanh. \u1ede nam gi\u1edbi s\u1ebd gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng t\u1eeb t\u1eeb v\u1edbi t\u1ef7 l\u1ec7 \u1ed5n \u0111\u1ecbnh.<\/li>\n<\/ul>\n<figure id=\"attachment_2323\" aria-describedby=\"caption-attachment-2323\" style=\"width: 590px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/075644thu-nho-590x380-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2323 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/075644thu-nho-590x380-1.jpg\" alt=\"\" width=\"590\" height=\"380\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/075644thu-nho-590x380-1.jpg 590w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/075644thu-nho-590x380-1-300x193.jpg 300w\" sizes=\"(max-width: 590px) 100vw, 590px\" \/><\/a><figcaption id=\"caption-attachment-2323\" class=\"wp-caption-text\">M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng gi\u1ea3m d\u1ea7n theo tu\u1ed5i<\/figcaption><\/figure>\n<h4>2.1.1. Lo\u00e3ng x\u01b0\u01a1ng nguy\u00ean ph\u00e1t typ 1<\/h4>\n<ul>\n<li>Th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef \u0111\u00e3 m\u00e3n kinh v\u00e0i n\u0103m, trong kho\u1ea3ng 50-60 tu\u1ed5i.<\/li>\n<li>Nguy\u00ean nh\u00e2n ch\u00ednh l\u00e0 do thi\u1ebfu h\u1ee5t estrogen.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng ch\u1ee7 y\u1ebfu l\u00e0 m\u1ea5t ch\u1ea5t kho\u00e1ng \u1edf x\u01b0\u01a1ng x\u1ed1p (x\u01b0\u01a1ng b\u00e8). Bi\u1ec3u hi\u1ec7n l\u00e0 s\u1ef1 l\u00fan x\u1eb9p c\u00e1c \u0111\u1ed1t s\u1ed1ng, g\u00e3y x\u01b0\u01a1ng t\u1ea1i \u0111\u1ed1t s\u1ed1ng ho\u1eb7c g\u00e3y x\u01b0\u01a1ng Pouteau &#8211; Colles.<\/li>\n<\/ul>\n<figure id=\"attachment_18625\" aria-describedby=\"caption-attachment-18625\" style=\"width: 715px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/patu.jpeg\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18625 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/patu.jpeg\" alt=\"\" width=\"715\" height=\"848\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/patu.jpeg 715w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/patu-253x300.jpeg 253w\" sizes=\"(max-width: 715px) 100vw, 715px\" \/><\/a><figcaption id=\"caption-attachment-18625\" class=\"wp-caption-text\">G\u00e3y Pouteau &#8211; Colles<\/figcaption><\/figure>\n<h4>2.1.2. Lo\u00e3ng x\u01b0\u01a1ng nguy\u00ean ph\u00e1t typ 2<\/h4>\n<ul>\n<li>G\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef, th\u01b0\u1eddng tr\u00ean 70 tu\u1ed5i.<\/li>\n<li>Nguy\u00ean nh\u00e2n th\u01b0\u1eddng do m\u1ea5t ch\u1ea5t kho\u00e1ng to\u00e0n th\u1ec3 c\u1ea3 x\u01b0\u01a1ng x\u1ed1p (x\u01b0\u01a1ng b\u00e8) v\u00e0 x\u01b0\u01a1ng \u0111\u1eb7c (x\u01b0\u01a1ng v\u1ecf)<\/li>\n<li>Lo\u1ea1i lo\u00e3ng x\u01b0\u01a1ng n\u00e0y li\u00ean quan \u0111\u1ebfn hai y\u1ebfu t\u1ed1 l\u00e0 gi\u1ea3m h\u1ea5p thu calci, gi\u1ea3m ch\u1ee9c n\u0103ng t\u1ea1o c\u1ed1t b\u00e0o.<\/li>\n<li>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1: tu\u1ed5i, estrogen, y\u1ebfu t\u1ed1 dinh d\u01b0\u1ee1ng, di truy\u1ec1n, c\u00e1c b\u1ec7nh l\u00fd,&#8230;<\/li>\n<\/ul>\n<figure id=\"attachment_2329\" aria-describedby=\"caption-attachment-2329\" style=\"width: 938px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/cung-tim-hieu-ve-loang-xuong-2-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2329 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/cung-tim-hieu-ve-loang-xuong-2-1.jpg\" alt=\"\" width=\"938\" height=\"577\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/cung-tim-hieu-ve-loang-xuong-2-1.jpg 938w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/cung-tim-hieu-ve-loang-xuong-2-1-300x185.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/cung-tim-hieu-ve-loang-xuong-2-1-768x472.jpg 768w\" sizes=\"(max-width: 938px) 100vw, 938px\" \/><\/a><figcaption id=\"caption-attachment-2329\" class=\"wp-caption-text\">C\u00e1c nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h3>2.2 Lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t<\/h3>\n<p>Nguy\u00ean nh\u00e2n g\u00e2y ra lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t th\u01b0\u1eddng do m\u1ed9t s\u1ed1 b\u1ec7nh ho\u1eb7c m\u1ed9t s\u1ed1 thu\u1ed1c:<\/p>\n<ul>\n<li>C\u01b0\u1eddng v\u1ecf th\u01b0\u1ee3ng th\u1eadn<\/li>\n<li>C\u01b0\u1eddng c\u1eadn gi\u00e1p<\/li>\n<li>C\u01b0\u1eddng gi\u00e1p tr\u1ea1ng<\/li>\n<li>D\u00f9ng n\u1ed9i ti\u1ebft t\u1ed1 v\u1ecf th\u01b0\u1ee3ng th\u1eadn k\u00e9o d\u00e0i<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 b\u1ec7nh \u00e1c t\u00ednh c\u0169ng g\u00e2y ra t\u00ecnh tr\u1ea1ng lo\u00e3ng x\u01b0\u01a1ng:<\/p>\n<ul>\n<li>\u0110a u t\u1ee7y x\u01b0\u01a1ng<\/li>\n<li>Ung th\u01b0 di c\u0103n x\u01b0\u01a1ng<\/li>\n<\/ul>\n<figure id=\"attachment_18658\" aria-describedby=\"caption-attachment-18658\" style=\"width: 405px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_151445_446986_da-u-tuy.max-1800x1800-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18658 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_151445_446986_da-u-tuy.max-1800x1800-1.jpg\" alt=\"\" width=\"405\" height=\"405\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_151445_446986_da-u-tuy.max-1800x1800-1.jpg 405w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_151445_446986_da-u-tuy.max-1800x1800-1-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191018_151445_446986_da-u-tuy.max-1800x1800-1-150x150.jpg 150w\" sizes=\"(max-width: 405px) 100vw, 405px\" \/><\/a><figcaption id=\"caption-attachment-18658\" class=\"wp-caption-text\">B\u1ec7nh \u0111a u t\u1ee7y x\u01b0\u01a1ng<\/figcaption><\/figure>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<h3><span dir=\"ltr\" role=\"presentation\">3.1. Tri<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng l\u00e2m s\u00e0ng<\/span><\/h3>\n<p><span dir=\"ltr\" role=\"presentation\">Lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng l\u00e0 b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh di<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec5<\/span><span dir=\"ltr\" role=\"presentation\">n bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n \u00e2m th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">m kh\u00f4ng c\u00f3 tri<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng l\u00e2m s\u00e0ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c tr<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span><span dir=\"ltr\" role=\"presentation\">ng, <\/span><span dir=\"ltr\" role=\"presentation\">ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\">u hi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">n khi<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00e3 c\u00f3 bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng. C\u00e1c bi\u1ebfn ch\u1ee9ng bao g\u1ed3m:<br \/>\n<\/span><\/p>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">\u0110<\/span><span dir=\"ltr\" role=\"presentation\">au x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">p v\u00e0 m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">n t\u00ednh.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng: G\u00f9, v<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">o c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng, gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m chi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u cao do th\u00e2n c\u00e1c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">g\u00e3y.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">\u0110<\/span><span dir=\"ltr\" role=\"presentation\">au ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span><span dir=\"ltr\" role=\"presentation\">c, kh\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1edf<\/span><span dir=\"ltr\" role=\"presentation\">, ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">m ti\u00eau&#8230; do<\/span> <span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">nh h<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edf<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed3<\/span><span dir=\"ltr\" role=\"presentation\">ng ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span><span dir=\"ltr\" role=\"presentation\">c v\u00e0 th\u00e2n c\u00e1c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">G<\/span><span dir=\"ltr\" role=\"presentation\">\u00e3<\/span><span dir=\"ltr\" role=\"presentation\">y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng: C\u00e1c v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">tr\u00ed th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng g<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">p l\u00e0 g\u00e3y<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">u d<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng quay, g\u00e3y c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng <\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f9i, g\u00e3y c\u00e1c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng (l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span><span dir=\"ltr\" role=\"presentation\">ng v\u00e0 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1eaf<\/span><span dir=\"ltr\" role=\"presentation\">t l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span><span dir=\"ltr\" role=\"presentation\">ng); xu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t hi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">n sau ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">n th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng r<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t nh<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">, th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">m ch\u00ed <\/span><span dir=\"ltr\" role=\"presentation\">kh\u00f4ng r\u00f5 ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">n th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_18648\" aria-describedby=\"caption-attachment-18648\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Compound-Fracture.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-large wp-image-18648\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Compound-Fracture-1024x683.jpg\" alt=\"\" width=\"1024\" height=\"683\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Compound-Fracture-1024x683.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Compound-Fracture-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Compound-Fracture-768x512.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Compound-Fracture.jpg 1500w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption id=\"caption-attachment-18648\" class=\"wp-caption-text\">G\u00e3y x\u01b0\u01a1ng<\/figcaption><\/figure>\n<h3><span dir=\"ltr\" role=\"presentation\">3.2. Tri<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n l\u00e2m s\u00e0ng<\/span><\/h3>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Xquang quy<\/span> <span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">c: h\u00ecnh<\/span> <span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">nh<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng t<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">u quang, bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ng th\u00e2n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng <\/span><span dir=\"ltr\" role=\"presentation\">(g\u00e3y l\u00e0m x<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">p v\u00e0 l\u00fan c\u00e1c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng), v<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i c\u00e1c x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng d\u00e0i th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">d\u00e0y v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecf<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">\u0110<\/span><span dir=\"ltr\" role=\"presentation\">o kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng (BMD) b<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb1<\/span><span dir=\"ltr\" role=\"presentation\">ng ph<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng ph\u00e1p<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">o h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">p ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">tia X n<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng <\/span><span dir=\"ltr\" role=\"presentation\">k\u00e9p (Dual Energy Xray Absorptiometry &#8211; DXA)<\/span> <span dir=\"ltr\" role=\"presentation\">\u1edf<\/span> <span dir=\"ltr\" role=\"presentation\">c\u00e1c v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">tr\u00ed trung t\u00e2m nh<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng v\u00f9ng <\/span><span dir=\"ltr\" role=\"presentation\">kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">p h\u00e1ng ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng th<\/span><span dir=\"ltr\" role=\"presentation\">\u1eaf<\/span><span dir=\"ltr\" role=\"presentation\">t l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span><span dir=\"ltr\" role=\"presentation\">ng.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">M<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span> <span dir=\"ltr\" role=\"presentation\">ph<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng ph\u00e1p kh\u00e1c: CT Scan ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c MRI c\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c s<\/span><span dir=\"ltr\" role=\"presentation\">\u1eed<\/span> <span dir=\"ltr\" role=\"presentation\">d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00e1nh <\/span><span dir=\"ltr\" role=\"presentation\">gi\u00e1 kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">t<\/span> <span dir=\"ltr\" role=\"presentation\">\u1edf<\/span> <span dir=\"ltr\" role=\"presentation\">c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f9i.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_18641\" aria-describedby=\"caption-attachment-18641\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/X-quang-loang-xuong.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-18641 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/X-quang-loang-xuong.jpg\" alt=\"\" width=\"300\" height=\"388\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/X-quang-loang-xuong.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/X-quang-loang-xuong-232x300.jpg 232w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-18641\" class=\"wp-caption-text\">Lo\u00e3ng x\u01b0\u01a1ng tr\u00ean x quang<\/figcaption><\/figure>\n<h3>3.3 Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n<p>Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng d\u1ef1a tr\u00ean \u0111o \u0111\u1ed9 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (BMD) b\u1eb1ng k\u1ef9 thu\u1eadt DXA v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n c\u1ee7a WHO:<\/p>\n<ul>\n<li>B\u00ecnh th\u01b0\u1eddng: BMD T-score t\u1eeb -1.0SD tr\u1edf l\u00ean<\/li>\n<li>Thi\u1ebfu x\u01b0\u01a1ng: BMD T-score t\u1eeb -1.0SD \u0111\u1ebfn -2.5SD<\/li>\n<li>Lo\u00e3ng x\u01b0\u01a1ng: BMD T-score d\u01b0\u1edbi -2.5SD<\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng n<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">ng: T score d<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i \u2013 2,5 SD k\u00e8m ti<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">n s<\/span><span dir=\"ltr\" role=\"presentation\">\u1eed<\/span><span dir=\"ltr\" role=\"presentation\">\/ hi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">n t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">i c\u00f3 g<\/span>\u00e3<span dir=\"ltr\" role=\"presentation\">y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_2350\" aria-describedby=\"caption-attachment-2350\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/064523-o_DXA__kim_tra_loang_xng_cn_lu__gi.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2350\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/064523-o_DXA__kim_tra_loang_xng_cn_lu__gi.jpg\" alt=\"\" width=\"1000\" height=\"743\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/064523-o_DXA__kim_tra_loang_xng_cn_lu__gi.jpg 1000w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/064523-o_DXA__kim_tra_loang_xng_cn_lu__gi-300x223.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/064523-o_DXA__kim_tra_loang_xng_cn_lu__gi-768x571.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/a><figcaption id=\"caption-attachment-2350\" class=\"wp-caption-text\">\u0110o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng<\/figcaption><\/figure>\n<h2>4. Ph\u00f2ng b\u1ec7nh<\/h2>\n<p><span dir=\"ltr\" role=\"presentation\">Lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng l\u00e0 b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh c\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">ph\u00f2ng ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">a:<\/span><\/p>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Cung c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">p<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">y<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ee7<\/span> <span dir=\"ltr\" role=\"presentation\">calci, vitamin D v\u00e0 c\u00e1c d<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee1<\/span><span dir=\"ltr\" role=\"presentation\">ng ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n thi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t chung cho c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\"> theo nhu c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">u c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">a t<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">ng l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">a tu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span><span dir=\"ltr\" role=\"presentation\">i v\u00e0 t\u00ecnh tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Duy tr\u00ec ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">ng th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng xuy\u00ean <\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">H<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">n ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span> <span dir=\"ltr\" role=\"presentation\">th\u00f3i quen: h\u00fat thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c l\u00e1, u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng nhi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u r<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">u, nhi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u c\u00e0 ph\u00ea, \u00edt v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">ng&#8230;<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_18652\" aria-describedby=\"caption-attachment-18652\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium.jpeg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-large wp-image-18652\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium-1024x684.jpeg\" alt=\"\" width=\"1024\" height=\"684\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium-1024x684.jpeg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium-300x200.jpeg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium-768x513.jpeg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium-1536x1025.jpeg 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/calcium-2048x1367.jpeg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption id=\"caption-attachment-18652\" class=\"wp-caption-text\">Cung c\u1ea5p calci \u0111\u1ea7y \u0111\u1ee7<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong><span dir=\"ltr\" role=\"presentation\">T\u00c0I LI<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec6<\/span><span dir=\"ltr\" role=\"presentation\">U THAM KH<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea2<\/span><span dir=\"ltr\" role=\"presentation\">O<\/span><\/strong><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">1.<\/span> <span dir=\"ltr\" role=\"presentation\">Bolland MJ et al<\/span><span dir=\"ltr\" role=\"presentation\">.\u201d Effective osteoporosis treatment on mortality in eight <\/span><span dir=\"ltr\" role=\"presentation\">randomized<\/span> <span dir=\"ltr\" role=\"presentation\">placebo<\/span> <span dir=\"ltr\" role=\"presentation\">\u2013<\/span> <span dir=\"ltr\" role=\"presentation\">controlled<\/span> <span dir=\"ltr\" role=\"presentation\">trials\u201d<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span> <span dir=\"ltr\" role=\"presentation\">J<\/span> <span dir=\"ltr\" role=\"presentation\">Clin<\/span> <span dir=\"ltr\" role=\"presentation\">Endocrinol<\/span> <span dir=\"ltr\" role=\"presentation\">Metab. <\/span><span dir=\"ltr\" role=\"presentation\">2010;95:1174-1181.<\/span><\/p>\n<p><span dir=\"ltr\" role=\"presentation\">2.<\/span> <span dir=\"ltr\" role=\"presentation\">IOF<\/span> <span dir=\"ltr\" role=\"presentation\">guidelines<\/span> <span dir=\"ltr\" role=\"presentation\">2010<\/span> <span dir=\"ltr\" role=\"presentation\">http:\/\/www.osteofound.org\/osteoporosis\/treatment.html <\/span><span dir=\"ltr\" role=\"presentation\">and APLAR guidelines 2010<\/span><\/p>\n<p><span dir=\"ltr\" role=\"presentation\">3.<\/span> <span dir=\"ltr\" role=\"presentation\">European guidance for the diagnosis and management of osteoporosis in <\/span><span dir=\"ltr\" role=\"presentation\">postmenopausal women. International Osteoporosis Foundation and National <\/span><span dir=\"ltr\" role=\"presentation\">Osteoporosis Foundation 2012<\/span><\/p>\n<p><span dir=\"ltr\" role=\"presentation\">4.<\/span> <span dir=\"ltr\" role=\"presentation\">National Osteoporosis Foundation (2013).<\/span> <span dir=\"ltr\" role=\"presentation\">\u201cClinician\u2019s guide to prevention and <\/span><span dir=\"ltr\" role=\"presentation\">treatment of osteoporosis\u201d.<\/span><\/p>\n<p><span dir=\"ltr\" role=\"presentation\">5.<\/span> <span dir=\"ltr\" role=\"presentation\">National Institutes of Health (2011), \u201c<\/span><span dir=\"ltr\" role=\"presentation\">Dietary supplement fact sheet: Calcium\u201d, <\/span><span dir=\"ltr\" role=\"presentation\">http:\/\/ods.od.nih.gov\/factsheets\/Calcium-HealthProfessional\/, (10\/9\/2013).<\/span><\/p>\n<p>6. B\u1ec7nh h\u1ecdc n\u1ed9i khoa &#8211; \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lo\u00e3ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 thay \u0111\u1ed5i s\u1ee9c m\u1ea1nh c\u1ee7a x\u01b0\u01a1ng. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u1edbi t\u1ef7 l\u1ec7 nguy c\u01a1 m\u1eafc b\u1ec7nh l\u00e0 1\/3 s\u1ed1 ph\u1ee5 n\u1eef v\u00e0 1\/8 s\u1ed1 nam gi\u1edbi tr\u00ean 50 tu\u1ed5i. Nguy\u00ean nh\u00e2n g\u00e2y ra lo\u00e3ng x\u01b0\u01a1ng bao g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n nguy\u00ean ph\u00e1t [&hellip;]<\/p>\n","protected":false},"author":50,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lo\u00e3ng x\u01b0\u01a1ng: \u0110\u1ecbnh ngh\u0129a, ph\u00e2n lo\u1ea1i, ch\u1ea9n \u0111o\u00e1n, ph\u00f2ng b\u1ec7nh - Vinmec<\/title>\n<meta name=\"description\" content=\"Lo\u00e3ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 thay \u0111\u1ed5i s\u1ee9c m\u1ea1nh c\u1ee7a x\u01b0\u01a1ng. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng, ta d\u1ef1a v\u00e0o s\u1ed1 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng theo ti\u00eau chu\u1ea9n WHO.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Lo\u00e3ng x\u01b0\u01a1ng: \u0110\u1ecbnh ngh\u0129a, ph\u00e2n lo\u1ea1i, ch\u1ea9n \u0111o\u00e1n, ph\u00f2ng b\u1ec7nh - 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