{"id":19272,"date":"2023-04-12T17:42:01","date_gmt":"2023-04-12T10:42:01","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19272"},"modified":"2023-05-02T16:47:48","modified_gmt":"2023-05-02T09:47:48","slug":"benh-sau-rang-trieu-chung-lam-sang-va-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/12\/benh-sau-rang-trieu-chung-lam-sang-va-chan-doan\/","title":{"rendered":"B\u1ec7nh s\u00e2u r\u0103ng – Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n."},"content":{"rendered":"

Ng\u00e0y nay ph\u1ea7n l\u1edbn c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ec1u th\u1ed1ng nh\u1ea5t r\u1eb1ng: s\u00e2u r\u0103ng l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ee7a t\u1ed5 ch\u1ee9c calci ho\u00e1 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 hu\u1ef7 kho\u00e1ng c\u1ee7a th\u00e0nh ph\u1ea7n v\u00f4 c\u01a1 v\u00e0 s\u1ef1 ph\u00e1 hu\u1ef7 th\u00e0nh ph\u1ea7n h\u1eefu c\u01a1 c\u1ee7a m\u00f4 c\u1ee9ng. T\u1ed5n th\u01b0\u01a1ng l\u00e0 qu\u00e1 tr\u00ecnh ph\u1ee9c t\u1ea1p bao g\u1ed3m c\u00e1c ph\u1ea3n \u1ee9ng ho\u00e1 l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 di chuy\u1ec3n c\u00e1c ion b\u1ec1 m\u1eb7t gi\u1eefa r\u0103ng v\u00e0 m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng v\u00e0 l\u00e0 qu\u00e1 tr\u00ecnh sinh h\u1ecdc gi\u1eefa c\u00e1c vi khu\u1ea9n m\u1ea3ng b\u00e1m v\u1edbi c\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 c\u1ee7a v\u1eadt ch\u1ee7. B\u00e0i vi\u1ebft sau s\u1ebd n\u00f3i v\u1ec1 chi ti\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u0103n b\u1ec7nh n\u00e0y.<\/strong><\/p>\n

\"benh-sau-rang\"
B\u1ec7nh s\u00e2u r\u0103ng – c\u0103n b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn trong x\u00e3 h\u1ed9i ng\u00e0y nay<\/figcaption><\/figure>\n

1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n

S\u00e2u r\u0103ng chia l\u00e0m 2 giai \u0111o\u1ea1n: giai \u0111o\u1ea1n \u0111\u1ea7u t\u1ed5n th\u01b0\u01a1ng s\u1edbm ch\u01b0a h\u00ecnh th\u00e0nh l\u1ed7 s\u00e2u v\u00e0 giai \u0111o\u1ea1n \u0111\u00e3 h\u00ecnh th\u00e0nh l\u1ed7 s\u00e2u.<\/p>\n

1.1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng s\u1edbm<\/h3>\n

C\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng \u1edf giai \u0111o\u1ea1n ch\u01b0a h\u00ecnh th\u00e0nh l\u1ed7 s\u00e2u, hay n\u00f3i kh\u00e1c h\u01a1n l\u00e0 giai \u0111o\u1ea1n t\u1ed5n th\u01b0\u01a1ng m\u1edbi ch\u1edbm th\u01b0\u1eddng l\u00e0 s\u00e2u men.<\/p>\n

Theo \u0111i\u1ec1u tra c\u1ee7a CREDES \u1edf Ph\u00e1p n\u0103m 1998, chi ph\u00ed cho \u0111i\u1ec1u tr\u1ecb b\u1ec7nh r\u0103ng mi\u1ec7ng r\u1ea5t cao \u0111\u1ee9ng v\u1ecb tr\u00ed th\u1ee9 3 (6,3% trong t\u1ed5ng s\u1ed1 chi ph\u00ed \u0111i\u1ec1u tr\u1ecb t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i b\u1ec7nh) sau b\u1ec7nh tim m\u1ea1ch v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n; N\u0103m 2000: trong t\u1ed5ng s\u1ed1 tr\u01b0\u1eddng h\u1ee3p t\u1eeb ch\u1ed1i y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129 th\u00ec t\u1eeb ch\u1ed1i ch\u0103m s\u00f3c r\u0103ng, h\u00e0m gi\u1ea3 – ch\u1ec9nh nha chi\u1ebfm 46%; N\u0103m 2002: trong t\u1ed5ng s\u1ed1 chi ph\u00ed ch\u0103m s\u00f3c r\u0103ng t\u1eeb n\u0103m 1982 \u2013 2001 th\u00ec chi ph\u00ed \u0111\u1ec3 l\u00e0m h\u00e0m gi\u1ea3: 34,1%, ch\u1ec9nh nha: 6,3% v\u00e0 nha khoa b\u1ea3o t\u1ed3n l\u00e0: 59,6%.<\/p>\n

Do v\u1eady, nhu c\u1ea7u d\u1ef1 ph\u00f2ng v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm s\u00e2u r\u0103ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c t\u00e1i kho\u00e1ng ho\u1ea3 kh\u00f4ng c\u1ea7n khoan r\u0103ng ph\u1ee5c h\u1ed3i l\u00e0 h\u1ebft s\u1ee9c c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n c\u0169ng nh\u01b0 l\u00e0 gi\u1ea3m \u0111i chi ph\u00ed \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n v\u00e0 ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc.<\/p>\n

C\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng \u1edf giai \u0111o\u1ea1n s\u1edbm ch\u1ec9 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng m\u1eaft v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n kh\u00e1c ch\u1ee9 kh\u00f4ng \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m b\u1eb1ng th\u00e1m tr\u00e2m, tr\u00e1nh l\u00e0m s\u1eadp l\u1edbp b\u1ec1 m\u1eb7t c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

1.1.1. Th\u0103m kh\u00e1m b\u1eb1ng m\u1eaft: <\/strong><\/p>\n

Th\u1ed5i kh\u00f4 b\u1ec1 m\u1eb7t r\u0103ng th\u1ea5y t\u1ed5n th\u01b0\u01a1ng l\u00e0 c\u00e1c v\u1ebft tr\u1eafng, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 90% nh\u01b0ng \u0111\u1ed9 nh\u1ea1y trung b\u00ecnh ho\u1eb7c th\u1ea5p 0,6 – 0,7. C\u00e1c v\u1ebft tr\u1eafng ch\u1ec9 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y sau khi th\u1ed5i kh\u00f4 l\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c cao b\u1eb1ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb t\u00e1i kho\u00e1ng h\u00f3a m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i m\u00e0i r\u0103ng, ng\u01b0\u1ee3c l\u1ea1i, nh\u1eefng v\u1ebft tr\u1eafng c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y ngay \u1edf tr\u1ea1ng th\u00e1i \u01b0\u1edbt kh\u00f4ng c\u1ea7n ph\u1ea3i l\u00e0m kh\u00f3 r\u0103ng th\u00ec kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c s\u1ebd th\u1ea5p h\u01a1n.<\/p>\n

1.1.2. C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u1edbm:<\/strong><\/p>\n

\u2013 Phim c\u00e1nh c\u1eafn: C\u00e1c d\u1ea5u hi\u1ec7u m\u1ea5t c\u1ea3n quang \u1edf m\u1eb7t b\u00ean ho\u1eb7c m\u1eb7t nhai tr\u00ean Xquang ch\u1ec9 c\u00f3 th\u1ec3 cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n l\u00e0 c\u00f3 s\u1ef1 h\u1ee7y kho\u00e1ng ch\u1ee9 kh\u00f4ng ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c s\u1ef1 ph\u00e1 h\u1ee7y l\u1edbp b\u1ec1 m\u1eb7t v\u00e0 s\u1ef1 h\u00ecnh th\u00e0nh l\u1ed7 s\u00e2u, tr\u1eeb khi t\u1ed5n th\u01b0\u01a1ng b\u1ecb ph\u00e1 hu\u1ef7 r\u1ed9ng.<\/p>\n

\u2013 ERM (\u0111o \u0111i\u1ec7n tr\u1edf men): \u0111ang \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n, c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u \u0111\u1ec1u cao.<\/p>\n

\u2013 Laser hu\u1ef3nh quang:<\/p>\n

+ Gi\u00e1 tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng khi con s\u1ed1 hi\u1ec3n th\u1ecb tr\u00ean m\u00e0n h\u00ecnh t\u1eeb 14 (14 <DD > 25: s\u00e2u men; 25 < DD> 35: s\u00e2u men ho\u1eb7c s\u00e2u ng\u00e0; DD > 35: s\u00e2u ng\u00e0). Ng\u01b0\u1eddi ta cho r\u1eb1ng c\u00e1c s\u1ea3n ph\u1ea9m chuy\u1ec3n ho\u00e1 c\u1ee7a vi khu\u1ea9n l\u00e0 t\u00e1c nh\u00e2n g\u00e2y ph\u00e1t hu\u1ef3nh quang.<\/p>\n

+ \u1ee8ng d\u1ee5ng:<\/p>\n

\u2022 \u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 x\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng t\u1ed5n th\u01b0\u01a1ng s\u00e2u \u1edf m\u1eb7t nhai v\u00e0 m\u1eb7t nh\u1eabn c\u1ee7a r\u0103ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf v\u1ecb tr\u00ed h\u1ed1 r\u00e3nh nghi ng\u1edd v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng d\u1ea1ng \u1ea9n.<\/p>\n

\u2022 Thi\u1ebft b\u1ecb laser hu\u1ef3nh quang c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c tr\u00ean 90% nh\u01b0ng kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u0111\u1ed9 r\u1ed9ng, s\u00e2u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng. K\u1ebft qu\u1ea3 c\u0169ng c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nh\u01b0 m\u1ee9c \u0111\u1ed9 hu\u1ef7 kho\u00e1ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, m\u1ea3ng b\u00e1m r\u0103ng v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c c\u00f2n d\u00ednh tr\u00ean b\u1ec1 m\u1eb7t h\u1ed1 r\u00e3nh.<\/p>\n

\u2013 \u00c1nh s\u00e1ng xuy\u00ean s\u1ee3i (DIFOTI): Digital imaging fiber-optic transillumination):<\/p>\n

+ Nguy\u00ean t\u1eafc ho\u1ea1t \u0111\u1ed9ng: S\u1eed d\u1ee5ng ch\u00f9m tia s\u00e1ng tr\u1eafng m\u1ea1nh truy\u1ec1n qua s\u1ee3i c\u00e1p quang t\u1edbi \u0111\u1ea7u d\u00f2 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf m\u1ed9t m\u1eb7t c\u1ee7a r\u0103ng, tia s\u00e1ng sau khi chi\u1ebfu qua r\u0103ng \u0111\u01b0\u1ee3c thu nh\u1eadn \u1edf m\u1eb7t \u0111\u1ed1i di\u1ec7n b\u1edfi m\u1ed9t camera c\u00f3 kh\u1ea3 n\u0103ng chuy\u1ec3n c\u00e1c t\u00edn hi\u1ec7u quang h\u1ecdc sang t\u00edn hi\u1ec7u \u0111i\u1ec7n, c\u00e1c t\u00edn hi\u1ec7u n\u00e0y \u0111\u01b0\u1ee3c truy\u1ec1n t\u1edbi m\u00e1y t\u00ednh \u0111\u1ec3 x\u1eed l\u00fd v\u00e0 hi\u1ec3n th\u1ecb h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng tr\u00ean m\u00e0n h\u00ecnh.<\/p>\n

+ \u1ee8ng d\u1ee5ng:<\/p>\n

\u2022 \u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng v\u00e0 c\u00e1c v\u1ebft n\u1ee9t, r\u1ea1n v\u1ee1 \u1edf c\u00e1c b\u1ec1 m\u1eb7t c\u1ee7a r\u0103ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf m\u1eb7t b\u00ean tr\u01b0\u1edbc khi n\u00f3 xu\u1ea5t hi\u1ec7n tr\u00ean Xquang.<\/p>\n

\u2022 Ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u th\u1ee9 ph\u00e1t.<\/p>\n

\u2022 B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c t\u1eadn m\u1eaft c\u00e1c t\u1ed5n th\u01b0\u01a1ng r\u0103ng c\u1ee7a m\u00ecnh ngay t\u1ea1i th\u1eddi \u0111i\u1ec3m kh\u00e1m.<\/p>\n

\u2022 Ki\u1ec3m so\u00e1t vi\u1ec7c tr\u00e1m b\u00edt c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n

Tuy trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c k\u00edch th\u01b0\u1edbc l\u1ed7 s\u00e2u m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c (m\u1eb7t nhai), nh\u01b0ng c\u00f3 th\u1ec3 n\u00f3i ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 l\u00fd t\u01b0\u1edfng nh\u1ea5t trong vi\u1ec7c thay th\u1ebf cho ch\u1ee5p phim c\u1ea3nh c\u1eafn \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng s\u00e2u \u1edf m\u1eb7t b\u00ean.<\/p>\n

\u2013 Ph\u00e1t hi\u1ec7n s\u1edbm s\u00e2u r\u0103ng nh\u1edd kh\u1ea3 n\u0103ng ph\u00e1t hu\u1ef3nh quang t\u1ef1 nhi\u00ean c\u1ee7a r\u0103ng: H\u1ed7 tr\u1ee3 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u00f3 th\u1ec3 thay th\u1ebf cho tia X, \u0111\u1ed9 nh\u1ea1y l\u00e0 0,73, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u l\u00e0 0,99.<\/p>\n

+ Nguy\u00ean t\u1eafc ho\u1ea1t \u0111\u1ed9ng:<\/p>\n

\u2022 T\u1eeb l\u00e2u, ng\u01b0\u1eddi ta \u0111\u00e3 bi\u1ebft s\u1ef1 m\u1ea5t kho\u1ea3ng c\u1ee7a men, ng\u00e0 l\u00e0m thay \u0111\u1ed5i \u0111\u1eb7c t\u00ednh quang h\u1ecdc c\u1ee7a r\u0103ng ho\u1eb7c c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y b\u1eb1ng m\u1eaft th\u01b0\u1eddng nh\u01b0 \u201cv\u1ebft tr\u1eafng\u201d. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng ph\u00e1t hu\u1ef3nh quang t\u1ef1 nhi\u00ean c\u1ee7a r\u0103ng d\u01b0\u1edbi \u0111i\u1ec1u ki\u1ec7n \u00e1nh s\u00e1ng nh\u1ea5t \u0111\u1ecbnh. N\u1ebfu t\u1ed5 ch\u1ee9c r\u0103ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng m\u1ea5t kho\u1ea3ng th\u00ec kh\u1ea3 n\u0103ng ph\u00e1t hu\u1ef3nh quang s\u1ebd k\u00e9m h\u01a1n so v\u1edbi t\u1ed5 ch\u1ee9c r\u0103ng b\u00ecnh th\u01b0\u1eddng v\u1edbi m\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng \u1ee9ng.<\/p>\n

\u2022 T\u1eeb m\u1ed9t ngu\u1ed3n s\u00e1ng b\u00ecnh th\u01b0\u1eddng, \u00e1nh s\u00e1ng \u0111i qua b\u1ed9 l\u1ecdc s\u00e1ng ch\u1ec9 c\u00f2n l\u1ea1i \u00e1nh s\u00e1ng m\u00e0u xanh da tr\u1eddi, chi\u1ebfu v\u00e0o r\u0103ng trong mi\u1ec7ng. H\u00ecnh \u1ea3nh hu\u1ef3nh quang \u0111\u01b0\u1ee3c thu nh\u1eadn b\u1edfi m\u1ed9t camera m\u00e0u CCD, d\u1eef li\u1ec7u \u0111\u01b0\u1ee3c truy\u1ec1n v\u1ec1 m\u00e1y t\u00ednh \u0111\u1ec3 l\u01b0u gi\u1eef v\u00e0 x\u1eed l\u00fd v\u1edbi m\u1ed9t ph\u1ea7n m\u1ec1m th\u00edch h\u1ee3p.<\/p>\n

+ \u1ee8ng d\u1ee5ng:<\/p>\n

\u2022 Ph\u00e1t hi\u1ec7n s\u1edbm t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng \u1edf m\u1eb7t nhai, m\u1eb7t ngo\u00e0i, m\u1eb7t trong c\u1ee7a r\u0103ng, x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc t\u1ed5n th\u01b0\u01a1ng (\u0111\u1ed9 s\u00e2u, r\u1ed9ng).<\/p>\n

\u2022 \u0110\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c s\u1ef1 thay \u0111\u1ed5i m\u1ee9c \u0111\u1ed9 m\u1ea5t kho\u00e1ng ti\u1ebfn tri\u1ec3n hay t\u00e1i kho\u00e1ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, do \u0111\u00f3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t s\u1ef1 ph\u1ee5c h\u1ed3i c\u1ee7a t\u1ed5n th\u01b0\u01a1ng trong \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng.<\/p>\n

\u2022 Ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c m\u1ea3ng b\u00e1m r\u0103ng, cao r\u0103ng.<\/p>\n

\u2022 H\u1ea1n ch\u1ebf trong vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng m\u1eb7t b\u00ean.<\/p>\n

1.2. Ch\u1ea9n \u0111o\u00e1n s\u00e2u r\u0103ng giai \u0111o\u1ea1n h\u00ecnh th\u00e0nh l\u1ed7 s\u00e2u<\/h3>\n

Th\u00f4ng th\u01b0\u1eddng tr\u00ean l\u00e2m s\u00e0ng l\u00e0 s\u00e2u ng\u00e0.<\/p>\n

1.2.1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng:<\/strong><\/p>\n

C\u00f3 th\u1ec3 c\u00f3 h\u1ed9i ch\u1ee9ng ng\u00e0 \u00ea bu\u1ed1t v\u1edbi c\u00e1c k\u00edch th\u00edch (nh\u01b0 n\u00f3ng l\u1ea1nh, chua, ng\u1ecdt) ng\u1eebng k\u00edch th\u00edch h\u1ebft \u00ea bu\u1ed1t. Tr\u00ean l\u00e2m s\u00e0ng \u0111\u00f4i khi ch\u00fang ta g\u1eb7p nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u00e2u r\u0103ng \u1edf giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh, \u0111\u00e1y l\u1ed7 sau c\u1ee9ng, l\u00f2ng ch\u1ea3o, m\u00e0u x\u00e1m \u0111en, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u \u00ea bu\u1ed1t khi g\u1eb7p c\u00e1c k\u00edch th\u00edch tr\u00ean. Nh\u01b0 v\u1eady kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 tu\u1ef7 \u0111\u00e3 ch\u1ebft m\u00e0 c\u1ea7n ph\u1ea3i c\u00f3 th\u00eam c\u00e1c th\u1eed nghi\u1ec7m kh\u00e1c nh\u01b0 th\u1eed nghi\u1ec7m \u0111i\u1ec7n, th\u1eed nhi\u1ec7t ho\u1eb7c th\u1eed c\u01a1 h\u1ecdc \u0111\u1ec3 ki\u1ec3m tra x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng c\u1ee7a tu\u1ef7 r\u0103ng.<\/p>\n

1.2.2. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3:<\/strong><\/p>\n

+ T\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c m\u1eb7t r\u0103ng, t\u1ef7 l\u1ec7 t\u1ed5n th\u01b0\u01a1ng \u1edf c\u00e1c v\u1ecb tr\u00ed c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o \u1edf t\u1eebng \u0111\u1ed9 tu\u1ed5i hay lo\u1ea1i r\u0103ng. \u0110\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 th\u1ec3 t\u1ed5n th\u01b0\u01a1ng g\u1eb7p \u1edf m\u1eb7t b\u00ean. Ng\u01b0\u1eddi ta th\u1ea5y r\u1eb1ng, n\u1ebfu ch\u1ec9 kh\u00e1m b\u1eb1ng d\u1ee5ng c\u1ee5 th\u00f4ng th\u01b0\u1eddng tr\u00ean l\u00e2m s\u00e0ng chi ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c 30% t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng, c\u00f2n 70% ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng m\u1eb7t b\u00ean nh\u1edd v\u00e0o phim c\u00e1nh c\u1eafn.<\/p>\n

+ C\u00f3 l\u1ed7 s\u00e2u, \u0111\u00e1y g\u1ed3 gh\u1ec1, \u0111\u1ed5i m\u00e0u, m\u00e0u s\u1eafc thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

+ Khi kh\u00e1m th\u1ea5y \u0111\u00e1y l\u1ed7 s\u00e2u t\u1ed5n th\u01b0\u01a1ng m\u1ec1m ng\u01b0\u1eddi ta cho r\u1eb1ng \u0111\u00f3 l\u00e0 s\u00e2u r\u0103ng \u0111ang ti\u1ebfn tri\u1ec3n. N\u1ebfu kh\u00e1m th\u1ea5y \u0111\u00e1y l\u1ed7 s\u00e2u c\u1ee9ng \u0111\u00f3 l\u00e0 b\u1ec7nh s\u00e2u r\u0103ng \u0111\u00e3 \u1ed5n \u0111\u1ecbnh. Theo m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 th\u00ec m\u1ed7i \u0111\u1ee3t ti\u1ebfn tri\u1ec3n hay ng\u1eebng k\u00e9o d\u00e0i t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 1 n\u0103m \u1edf l\u1ed7 s\u00e2u nh\u1ecf 2-3mm.<\/p>\n

+ Theo ti\u1ebfn tri\u1ec3n: B\u1ec7nh s\u00e2u r\u0103ng c\u1ea5p th\u01b0\u1eddng \u0111\u00e1y l\u1ed7 s\u00e2u m\u1ec1m c\u00f3 nhi\u1ec1u ng\u00e0 m\u1ee7n, s\u00e2u r\u0103ng m\u1ea1n \u0111\u00e1y l\u1ed7 s\u00e2u \u0111en c\u1ee9ng.<\/p>\n

c) Xquang:<\/p>\n

Phim c\u00f3 gi\u00e1 tr\u1ecb nh\u1ea5t \u0111\u00f3 l\u00e0 phim c\u00e1nh c\u1eafn. Ch\u00fa \u00fd tr\u00ean phim Xquang, c\u00e1c d\u1ea5u hi\u1ec7u m\u1ea5t c\u1ea3n quang \u1edf m\u1eb7t b\u00ean ho\u1eb7c m\u1eb7t nhai tr\u00ean Xquang ch\u1ec9 c\u00f3 th\u1ec3 cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n l\u00e0 c\u00f3 s\u1ef1 h\u1ee7y kho\u00e1ng ch\u1ee9 kh\u00f4ng ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c l\u1edbp b\u1ec1 m\u1eb7t \u0111\u00f3 b\u1ecb ph\u00e1 hu\u1ef7 v\u00e0 s\u1ef1 h\u00ecnh th\u00e0nh l\u1ed7 s\u00e2u, tr\u1eeb khi t\u1ed5n th\u01b0\u01a1ng ph\u00e1 hu\u1ef7 r\u1ed9ng.<\/p>\n

d) Th\u1eed nghi\u1ec7m:<\/p>\n

Tr\u01b0\u1edbc \u0111\u00e2y ng\u01b0\u1eddi ta th\u01b0\u1eddng th\u1eed nghi\u1ec7m l\u1ea1nh b\u1eb1ng Kelen, nhi\u1ec1u n\u0103m g\u1ea7n \u0111\u00e2y ng\u01b0\u1eddi ta th\u1eed nghi\u1ec7m l\u1ea1nh hay d\u00f9ng th\u1ecfi \u0111\u00e1 \u0111\u1ec3 th\u1eed c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao h\u01a1n. Theo m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 th\u1eed nghi\u1ec7m l\u1ea1nh c\u0169ng ch\u1ec9 \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c 70%.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p th\u1eed nghi\u1ec7m ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh theo \u0111\u00fang c\u00e1ch n\u1ebfu kh\u00f4ng s\u1ebd c\u00f3 k\u1ebft qu\u1ea3 kh\u00f4ng ch\u00ednh x\u00e1c.<\/p>\n

e) C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh:<\/p>\n

+ Tr\u01b0\u1edbc khi th\u1eed c\u1ea7n l\u00e0m s\u1ea1ch c\u00e1c y\u1ebfu t\u1ed1 ngo\u1ea1i lai nh\u01b0 cao r\u0103ng hay m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

+ Ch\u1eb7n n\u01b0\u1edbc b\u1ecdt v\u00e0 l\u00e0m kh\u00f4 v\u00f9ng r\u0103ng c\u1ea7n th\u1eed nghi\u1ec7m.<\/p>\n

+ Th\u1eed nghi\u1ec7m t\u1eeb r\u0103ng l\u00e0nh \u0111\u1ebfn r\u0103ng b\u1ec7nh l\u00fd.<\/p>\n

+ V\u1ecb tr\u00ed th\u1eed nghi\u1ec7m \u1edf 1\/3 gi\u1eefa d\u1ecbch v\u1ec1 ph\u00eda c\u1ed5 r\u0103ng \u1edf m\u1eb7t ngo\u00e0i.<\/p>\n

Ng\u01b0\u1ee1ng k\u00edch th\u00edch \u0111i\u1ec7n t\u1eeb 2 \u2013 6 Micro Ampe.<\/p>\n

Trong \u0111i\u1ec1u ki\u1ec7n thi\u1ebfu ph\u01b0\u01a1ng ti\u1ec7n th\u1eed nghi\u1ec7m, khi ch\u00fang ta khoan l\u1ea5y ng\u00e0 b\u1ec7nh l\u00fd \u0111\u1ec3 t\u1ea1o l\u1ed7 h\u00e0n, n\u1ebfu b\u1ec7nh nh\u00e2n th\u1ea5y bu\u1ed1t c\u00f3 gi\u00e1 tr\u1ecb th\u1eed tu\u1ef7 d\u01b0\u01a1ng t\u00ednh.<\/p>\n

1.3. C\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f3 ch\u1ea9n \u0111o\u00e1n:<\/h3>\n

1.3.1. L\u1ed7 s\u00e2u h\u1ed1 r\u00e3nh<\/strong><\/p>\n

Kh\u00f3 ph\u00e1t hi\u1ec7n b\u1eb1ng th\u0103m kh\u00e1m. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n g\u1ed3m c\u00f3 3 d\u1ea5u hi\u1ec7u ch\u00ednh sau:<\/p>\n

1) \u0110\u00e1y r\u00e3nh m\u1ec1m.<\/p>\n

2) Men r\u0103ng \u0111\u1ee5c xung quanh h\u1ed1 r\u00e3nh.<\/p>\n

3) Ng\u00e0 m\u1ec1m c\u00f3 th\u1ec3 b\u1ecb bong ra do th\u0103m kh\u00e1m.<\/p>\n

Men r\u0103ng h\u1ee7y kho\u00e1ng tr\u1edf n\u00ean x\u1ed1p, tr\u1eafng nh\u01b0 ph\u1ea5n, \u0111\u1ee5c khi th\u1ed5i kh\u00f4. Khi s\u1ef1 h\u1ee7y kho\u00e1ng lan xu\u1ed1ng \u0111\u01b0\u1eddng ranh gi\u1edbi men \u2013 ng\u00e0, t\u1ed5n th\u01b0\u01a1ng lan sang b\u00ean t\u1ea1o m\u1ed9t l\u1edbp men kh\u00f4ng c\u00f3 ng\u00e0 n\u00e2ng \u0111\u1ee1, \u0111\u1ed5i m\u00e0u n\u00e2u x\u00e1m xung quanh r\u00e3nh.<\/p>\n

1.3.2. L\u1ed7 s\u00e2u m\u1eb7t b\u00ean<\/strong><\/p>\n

Ch\u1ee5p phim c\u00e1nh c\u1eafn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n l\u1ed7 s\u00e2u m\u1eb7t b\u00ean s\u1edbm nh\u1ea5t. N\u1ebfu s\u1ef1 h\u1ee7y kho\u00e1ng d\u01b0\u1edbi b\u1ec1 m\u1eb7t lan r\u1ed9ng \u0111\u1ebfn ng\u00e0 r\u0103ng l\u00e0m cho ng\u00e0 \u0111\u1ed5i m\u00e0u, c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y ph\u1ea7n men \u0111\u1ed5i m\u00e0u t\u1eeb ph\u00eda m\u1eb7t nhai ho\u1eb7c m\u1eb7t trong v\u00e0 m\u1eb7t ngo\u00e0i.<\/p>\n

1.3.3. L\u1ed7 s\u00e2u ch\u00e2n r\u0103ng<\/strong><\/p>\n

Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi gi\u00e0 do b\u1ec7nh nha chu, ch\u00e2n r\u0103ng b\u1ecb l\u1ed9. B\u1ec1 m\u1eb7t l\u1ed7 s\u00e2u c\u00f3 th\u1ec3 \u0111\u1ed5i m\u00e0u, \u0111\u00e1y c\u1ee9ng l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a s\u1ef1 t\u00e1i kho\u00e1ng h\u00f3a v\u00e0 l\u1ed7 s\u00e2u ng\u1eebng ti\u1ebfn tri\u1ec3n, ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu l\u1ed7 sau \u0111ang ho\u1ea1t \u0111\u1ed9ng th\u00ec \u0111\u00e1y m\u1ec1m v\u00e0 b\u1edbt \u0111\u1ed5i m\u00e0u.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h2>\n

2.1. T\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng s\u1edbm (th\u01b0\u1eddng l\u00e0 s\u00e2u men)<\/h3>\n

D\u1ef1a v\u00e0o d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n h\u1ed7 tr\u1ee3.<\/p>\n

2.2. S\u00e2u ng\u00e0<\/h3>\n

D\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng v\u00e0 th\u1ef1c th\u1ec3: C\u00f3 h\u1ed9i ch\u1ee9ng ng\u00e0, c\u00f3 l\u1ed7 s\u00e2u, th\u1eed nghi\u1ec7m tu\u1ef7 d\u01b0\u01a1ng t\u00ednh v\u1edbi ng\u01b0\u1ee1ng \u0111\u00e1p \u1ee9ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n

3.1. T\u1ed5n th\u01b0\u01a1ng s\u00e2u r\u0103ng s\u1edbm: c\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi<\/h3>\n

3.1.1. B\u1ec7nh nhi\u1ec5m fluorose<\/strong><\/p>\n

C\u00e1c ch\u1ea5m th\u01b0\u1eddng nh\u1eabn, nhi\u1ec1u \u1edf m\u1eb7t ngo\u00e0i, c\u00f3 \u0111\u1ec1u \u1edf c\u00e1c r\u0103ng \u0111\u1ed1i x\u1ee9ng.<\/p>\n

3.1.2. Sinh men b\u1ea5t to\u00e0n<\/strong><\/p>\n

\u2013 H\u00ecnh d\u1ea1ng: T\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng lan theo chi\u1ec1u r\u1ed9ng h\u01a1n, c\u00f3 t\u00ednh ch\u1ea5t t\u1eebng l\u1edbp.<\/p>\n

\u2013 V\u1ecb tr\u00ed: \u0110\u1ec9nh n\u00fam ho\u1eb7c b\u1edd c\u1eafn (hi\u1ebfm khi c\u00f3 b\u1ec7nh s\u00e2u r\u0103ng), m\u1eb7t ngo\u00e0i r\u0103ng, t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 nh\u00f3m r\u0103ng c\u00f3 c\u00f9ng th\u1eddi gian h\u00ecnh th\u00e0nh.<\/p>\n

3.2. S\u00e2u ng\u00e0:<\/h3>\n

C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi<\/p>\n

3.2.1. Ti\u00eau th\u00e2n r\u0103ng<\/strong><\/p>\n

V\u1ecb tr\u00ed th\u01b0\u1eddng \u1edf c\u1ed5 r\u0103ng, \u0111\u00e1y t\u1ed5n th\u01b0\u01a1ng h\u00ecnh nh\u1ecb di\u1ec7n, r\u1ea5t c\u1ee9ng, nh\u1eb5n v\u00e0 b\u00f3ng.<\/p>\n

3.2.2. M\u00f2n m\u1eb7t nhai<\/strong><\/p>\n

G\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i \u0111\u00e1y c\u1ee9ng v\u00e0 nh\u1eb5n.<\/p>\n

3.2.3. Vi\u00eam t\u1ee7y m\u1ea1n t\u00ednh<\/strong><\/p>\n

C\u00f3 c\u01a1n \u0111au tu\u1ef7.<\/p>\n

3.2.4. Tu\u1ef7 ho\u1ea1i t\u1eed<\/strong><\/p>\n

C\u00f3 ti\u1ec1n s\u1eed c\u01a1n \u0111au tu\u1ef7 \u0111i\u1ec3n h\u00ecnh, r\u0103ng \u0111\u1ed5i m\u00e0u, th\u1eed t\u1ee7y \u00e2m t\u00ednh.<\/p>\n

Ngu\u1ed3n:\u00a0<\/em><\/p>\n

1. Nguy\u1ec5n D\u01b0\u01a1ng H\u1ed3ng (1979), “B\u1ec7nh h\u1ecdc s\u00e2u r\u0103ng” R\u0103ng H\u00e0m M\u1eb7t, T\u1eadp 1. Nh\u00e0 xu\u1ea5t b\u1ea3n Gi\u00e1o d\u1ee5c.<\/em>
\n2. A.T. Hara, C. Silami de Magalhaes et al (2002), “effect of fluoride-containing restorative systems associated with dentrifices on root dentin”. Journal of Dentistry, 30:205-212.<\/em>
\n3. C.-Y.S. Hsu, T.H. Jordan et al (2000). “Effects of low-energy co2 laser irradiation and the organic matrix on inhibition of enamel demineralization” Journal of Dental Research, 79:1725-1730.<\/em>
\n4. Gilberto Minostroza H., (2009),” Dental caries,, 3th edition, Ripano book<\/em>
\n5. James B., William R., Thomas J. Et al (2006), “Fundamentals of Operative<\/em>
\ndentistry” 3th edition, Quintessce book.<\/em>
\n6. Luciana B., AubreyS., Marcelo B. (2008), “The association of dental caries with social factors and nutritional status in Brazilian preschoolchildren”, Eur J Oral Sci, 116: 37-43 Printed in Singapore.<\/em>
\n7. M. Lenander-Lumikari. V. Loimaranta (2000), “Saliva and Dental Caries” Adv Dent Res 14:40-47.<\/em>
\n8. Moun G., Hume W., (2009), “Prervation and restoration of tooth structure”, 2nd edition, Mosby, 1998.<\/em>
\n9. National Institutes of Health Office of the Director (2001). “Diagnosis and Management of Dental Caries Throughout Life” Volume 18, Number 1.<\/em>
\n10. Samuel Akpata (2011), “Dental Caries,, eighth edition, Mosby.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Ng\u00e0y nay ph\u1ea7n l\u1edbn c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ec1u th\u1ed1ng nh\u1ea5t r\u1eb1ng: s\u00e2u r\u0103ng l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m khu\u1ea9n c\u1ee7a t\u1ed5 ch\u1ee9c calci ho\u00e1 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 hu\u1ef7 kho\u00e1ng c\u1ee7a th\u00e0nh ph\u1ea7n v\u00f4 c\u01a1 v\u00e0 s\u1ef1 ph\u00e1 hu\u1ef7 th\u00e0nh ph\u1ea7n h\u1eefu c\u01a1 c\u1ee7a m\u00f4 c\u1ee9ng. T\u1ed5n th\u01b0\u01a1ng l\u00e0 qu\u00e1 tr\u00ecnh ph\u1ee9c t\u1ea1p bao g\u1ed3m […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nB\u1ec7nh s\u00e2u r\u0103ng - Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft s\u1ebd n\u00f3i chi ti\u1ebft tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u0103n b\u1ec7nh s\u00e2u r\u0103ng - m\u1ed9t c\u0103n b\u1ec7nh ph\u1ed5 bi\u1ebfn, gi\u00fap Nha s\u0129 c\u00f3 c\u00e1i nh\u00ecn \u0111\u00fang \u0111\u1eafn h\u01a1n.\" \/>\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=\"B\u1ec7nh s\u00e2u r\u0103ng - 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