{"id":19560,"date":"2023-04-13T07:48:14","date_gmt":"2023-04-13T00:48:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19560"},"modified":"2023-04-14T18:23:14","modified_gmt":"2023-04-14T11:23:14","slug":"cac-phuong-phap-dieu-tri-trat-khop-vai-tai-dien-ra-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/cac-phuong-phap-dieu-tri-trat-khop-vai-tai-dien-ra-sau\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u00a0<strong>Tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau chi\u1ebfm kho\u1ea3ng 2 &#8211; 5% c\u1ee7a tr\u1eadt kh\u1edbp vai. <\/strong><\/span><strong>Sinh b\u1ec7nh h\u1ecdc c\u1ee7a tr\u1eadt kh\u1edbp t\u00e1i di\u1ec5n ra sau c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb m\u1ed9t tr\u1eadt kh\u1edbp c\u1ea5p t\u00ednh. Tuy nhi\u00ean, th\u00f4ng th\u01b0\u1eddng th\u00ec b\u1eaft \u0111\u1ea7u v\u1edbi m\u1ed9t b\u00e1n tr\u1eadt kh\u1edbp kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng (r\u1ed1i lo\u1ea1n th\u1ea7n kinh c\u01a1, b\u1ec7nh h\u1ec7 th\u1ed1ng&#8230;) ho\u1eb7c m\u1ed9t vi ch\u1ea5n th\u01b0\u01a1ng l\u1eb7p \u0111i l\u1eb7p lai.<\/strong><strong> Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS. TS \u0110inh Ng\u1ecdc S\u01a1n, BS CKII V\u0169 Tr\u01b0\u1eddng Th\u1ecbnh<\/p>\n<p><strong>Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n<h2><b>1. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt \u0111\u1ed1i v\u1edbi tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau tr\u00ean c\u01a1 s\u1edf l\u00e0 do sinh b\u1ec7nh h\u1ecdc ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7 v\u00e0 k\u1ebft qu\u1ea3 s\u1eeda <\/span><span style=\"font-weight: 400;\">ch\u1eefa s\u1ee5n vi\u1ec1n bao kh\u1edbp ph\u00eda sau kh\u00f3 c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt ch\u1ee7 y\u1ebfu l\u00e0 t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh, t\u1eadp luy\u1ec7n, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u01a1 v\u00e0 t\u01b0 v\u1ea5n t\u00e2m l\u00fd cho b\u1ec7nh nh\u00e2n t\u1ef1 \u00fd tr\u1eadt kh\u1edbp. T\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh ch\u1ee7 y\u00eau t\u1eadp trung v\u00e0o h\u1ec7 th\u1ed1ng \u1ed5n \u0111\u1ecbnh d\u1ed9ng c\u1ee7a kh\u1edbp vai: c\u01a1 ch\u00f3p xoay, b\u00f3 sau c\u01a1 Delta, c\u00e1c c\u01a1 \u0111ai vai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ea5t v\u1eefng kh\u1edbp vai ra sau cao, trong m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u l\u00e0 68%. Ng\u01b0\u1ee3c l\u1ea1i, \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt th\u00ec t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao kho\u1ea3ng 90%.<\/span><\/p>\n<h2><b>2. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/b><\/h2>\n<p><strong>2.1 Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u1eadt kh\u1edbp vai ra sau th\u1ea5t b\u1ea1i trong \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng Hill &#8211; Sach ng\u01b0\u1ee3c &gt; 20 &#8211; <\/span><span style=\"font-weight: 400;\">25%<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng r\u00e1ch s\u1ee5n vi\u1ec1n bao kh\u1edbp ph\u00eda sau<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Khuy\u1ebft x\u01b0\u01a1ng \u1ed3 ch\u1ea3o ph\u00eda sau.<\/span><\/li>\n<\/ul>\n<p><strong>2.2 Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/strong><\/p>\n<p><b>2.2.1 Ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf<\/b><\/p>\n<p><b>Ph\u1eabu thu\u1eadt kh\u00e2u bao kh\u1edbp ph\u00eda <\/b><b>sau (Poster\u00edor Capsulorhaphy)<\/b><\/p>\n<p><strong>Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5 v\u00e0 b\u1ec7nh nh\u00e2n<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u01b0 th\u1ebf m\u1ed5: n\u1eb1m nghi\u00eang ho\u1eb7c t\u01b0 th\u1ebf <\/span><span style=\"font-weight: 400;\">\u201cbeach chair\u201d<\/span><\/li>\n<\/ul>\n<p><strong>B\u1ed9 d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt m\u1edd kh\u1edbp vai ti\u00eau chu\u1ea9n<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u0169i kh\u00e2u neo<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00c1o c\u1ed5 \u0111\u1ecbnh vai sau m\u1ed5<\/span><\/li>\n<\/ul>\n<p><strong>\u0110\u01b0\u1eddng m\u1ed5 v\u00e0 c\u00e1ch th\u1ee9c ph\u1eabu thu\u1eadt<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng m\u1ed5 v\u00e0o kh\u1edbp vai t\u1eeb ph\u00eda sau, \u0111i gi\u1eefa hai c\u01b0: c\u01a1 d\u01b0\u1edbi gai vai<\/span>\u00a0c\u01a1 tr\u00f2n b\u00e9 \u0111\u1ec3 b\u1ed9c l\u1ed9 bao kh\u1edbp ph\u00eda sau.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bao kh\u1edbp \u0111\u01b0\u1ee3c m\u1edf ngang t\u1ea1i \u0111i\u1ebfm gi\u1eefa t\u1eeb trong ra ngo\u00e0i (c\u00e1ch xa d\u00e2y th\u1ea7n kinh tr\u00ean vai), ti\u1ebfp theo l\u00e0 m\u1ed9t v\u1ebft r\u1ea1ch d\u1ecdc kho\u1ea3ng 5 mm v\u1ec1 ph\u00eda ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay (m\u1edd bao kh\u1edbp h\u00ecnh ch\u1eef \u201cT\u201d)<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_19561\" aria-describedby=\"caption-attachment-19561\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19561\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.33.16-300x260.png\" alt=\" \u0110\u01b0\u1eddng m\u1ed5 v\u00e0o kh\u1edbp vai t\u1eeb ph\u00eda sau: m\u1edf bao kh\u1edbp h\u00ecnh ch\u1eef &quot;T\u201d\" width=\"300\" height=\"260\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.33.16-300x260.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.33.16.png 644w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19561\" class=\"wp-caption-text\">\u0110\u01b0\u1eddng m\u1ed5 v\u00e0o kh\u1edbp vai t\u1eeb ph\u00eda sau: m\u1edf bao kh\u1edbp h\u00ecnh ch\u1eef &#8220;T\u201d<\/figcaption><\/figure>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u01b0u \u00fd v\u1ebft r\u1ea1ch bao kh\u1edbp ph\u1ea3i m\u1edf <\/span><span style=\"font-weight: 400;\">r\u1ed9ng xu\u1ed1ng ph\u00eda d\u01b0\u1edbi \u0111\u1ee7 \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng l\u1ecfng l\u1ebbo d\u00e2y ch\u1eb1ng bao kh\u1edbp d\u01b0\u1edbi. Th\u00f4ng th\u01b0\u1eddng r\u1ea1ch xu\u1ed1ng \u0111\u1ebfn v\u1ecb tr\u00ed 6 gi\u1edd l\u00e0 \u0111\u1ee7 ,t\u00e1ch bao kh\u1edbp, m\u1edf ra xung quanh b\u1eb1ng 3 m\u0169i ch\u1ec9 treo<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1eb7t m\u1ed9t d\u1ee5ng c\u1ee5 \u201cRetractor\u201d \u0111\u1eb7t v\u00e0o kh\u1edbp \u0111\u1ec3 \u00e9p ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay ra tr\u01b0\u1edbc, ch\u00fa \u00fd kh\u00f4ng \u0111\u01b0\u1ee3c l\u00e0m t\u1ed5n th\u01b0\u01a1ng s\u1ee5n,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ki\u1ec3m tra t\u1ed5n th\u01b0\u01a1ng s\u1ee5n vi\u1ec1n ph\u00eda sau. N\u1ebfu ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng th\u00ec ti\u1ebfn h\u00e0nh chu\u1ea9n b\u1ecb v\u00e0nh v\u00e0 c\u1ed5 \u1ed3 ch\u1ea3o ph\u00eda sau b\u1eb1ng d\u1ee5ng c\u1ee5 \u201cRasp\u201d v\u00e0 \u0111\u1eb7t neo, th\u01b0\u1eddng kho\u1ea3ng 3 neo.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ec9 neo \u0111\u01b0\u1ee3c kh\u00e2u xung quanh s\u1ee5n vi\u1ec3n v\u00e0 th\u1eaft n\u00fat ch\u1ec9 neo c\u1ed1 \u0111\u1ecbnh s\u1ee5n vi\u1ec1n sau v\u00e0o v\u00e0nh \u1ed1 ch\u1ea3o v\u1edbi n\u01a1i c\u1ee7a n\u00fat th\u1eaft n\u1eb1m ngo\u00e0i b\u1ec1 m\u1eb7t c\u1ee7a s\u1ee5n vi\u1ec1n\/bao kh\u1edbp.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sau khi bu\u1ed9c, c\u00e1nh tay \u0111\u1eb7t \u1edf t\u01b0 th\u1ebf d\u1ea1ng 20 \u0111\u1ed9 v\u00e0 xoay trung gian. Ch\u00fa \u00fd sau \u0111\u00f3 s\u1ebd chuy\u1ec3n sang di chuy\u1ec3n bao kh\u1edbp sau &#8211; d\u01b0\u1edbi.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ea1t c\u1ee7a bao kh\u1edbp ph\u00eda d\u01b0\u1edbi (c\u1eaft bao kh\u1edbp ch\u1eef \u201cT\u201d) \u0111\u01b0\u1ee3c k\u00e9o ra ngo\u00e0i v\u00e0 l\u00ean tr\u00ean \u0111\u1ec3 gi\u1ea3m s\u1ef1 dir th\u1eeba c\u1ee7a bao kh\u1edbp d\u01b0\u1edbi, v\u1edbi 2 m\u0169i ch\u1ec9 kh\u00f4ng ti\u00eau v\u00e0 c\u1ed1 \u0111\u1ecbnh v\u1edbi bao kh\u1edbp ph\u00eda ngo\u00e0i.<\/span><\/li>\n<\/ul>\n<p><strong>2.2.2 Ph\u1eabu thu\u1eadt n\u1ed9i soi<\/strong><\/p>\n<p><b>Ph\u1eabu thu\u1eadt n\u1ed9i soi s\u1eeda ch\u1eefa s\u1ee5n vi\u1ec1n v\u00e0 kh\u00e2u bao kh\u1edbp ph\u00eda sau<\/b><\/p>\n<p><strong>Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5 v\u00e0 t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u01b0 th\u1ebf m\u1ed5: n\u1eb1m nghi\u00eang k\u00e9o tay ho\u1eb7c t\u01b0 th\u1ec3 gh\u1ebf ng\u1ed3i b\u00e3i bi\u1ec3n<\/span><\/li>\n<\/ul>\n<p><strong>D\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt t\u01b0\u01a1ng t\u1ef1 ph\u1eabu thu\u1eadt n\u1ed9i soi Bankart<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00c1o c\u1ed1 \u0111\u1ecbnh vai sau m\u1ed5<\/span><\/li>\n<\/ul>\n<p><strong>Ng\u00f5 v\u00e0o<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 v\u00e0o ph\u00eda sau: qua ng\u00f5 n\u00e0y \u0111\u1ec3 n\u1ed9i kh\u1edbp soi ch\u1ea9n \u0111o\u00e1n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 v\u00e0o ph\u00eda tr\u01b0\u1edbc &#8211; d\u01b0\u1edbi: qua ng\u00f5 n\u00e0y r\u1ea5t quan tr\u1ecdng \u0111\u1ebf \u0111\u00e1nh gi\u00e1 r\u00e1ch\u00a0<\/span><span style=\"font-weight: 400;\">s\u1ee5n vi\u1ec1n v\u00e0 chu\u1ea9n b\u1ecb kh\u00e2u s\u1ee5n<\/span><\/li>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 v\u00e0o ph\u00eda sau &#8211; ngo\u00e0i: ng\u00f5 n\u00e0y x\u00e1c \u0111\u1ecbnh \u1edf v\u1ecb tr\u00ed so v\u1edbi g\u00f3c sau ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai xu\u1ed1ng d\u01b0\u1edbi 2 cm. Ng\u1ecf n\u00e0y d\u00f9ng \u0111\u1ec3 \u0111\u1eb7t neo v\u00e0 c\u00e1c d\u1ee5ng c\u1ee5 n\u1ed9i soi s\u1eeda ch\u1eefa s\u1ee5n vi\u1ec1n.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_19563\" aria-describedby=\"caption-attachment-19563\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19563\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.40.23-300x206.png\" alt=\"H\u00ecnh \u1ea3nh minh h\u1ecda c\u00e1c ng\u00f5 v\u00e0o\" width=\"300\" height=\"206\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.40.23-300x206.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.40.23-768x527.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.40.23.png 816w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19563\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda c\u00e1c ng\u00f5 v\u00e0o<\/figcaption><\/figure>\n<p><b>C\u00e1ch th\u1ee9c ph\u1eabu thu\u1eadt<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sau khi n\u1ed9i soi kh\u1edbp ch\u1ea9n \u0111o\u00e1n qua ng\u1ed1 sau, ti\u1ebfn h\u00e0nh \u0111\u01b0a l\u1ea7n l\u01b0\u1ee3t d\u1ee5ng c\u1ee5 n\u1ed9i soi \u201ct\u00e1ch\u201d v\u00e0 \u201cb\u00e0o\u201d <\/span><\/span>v\u00e0o kh\u1edbp qua ng\u00f5 tr\u01b0\u1edbc &#8211; d\u01b0\u1edbi \u0111c g\u1ee1 d\u00ednh s\u1ee5n vi\u1ec1n sau &#8211; d\u01b0\u1edbi, chu\u1ea9n b\u1ecb c\u1ed5 v\u00e0 v\u00e0nh \u1ed5 ch\u1ea3o sau d\u01b0\u1edbi<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0110\u1eb7t neo tr\u00ean b\u1ec1 m\u1eb7t v\u00f9ng sau &#8211; d\u01b0\u1edbi c\u1ee7a \u1ed5 ch\u1ea3o, c\u00e1ch l\u1ec1 \u1ed5 ch\u1ea3o 2 mm qua ng\u00f5 ph\u00eda sau (ho\u1eb7c ng\u00f5 sau &#8211; ngo\u00e0i)<\/span><\/p>\n<figure id=\"attachment_19564\" aria-describedby=\"caption-attachment-19564\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19564\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.42.23-300x255.png\" alt=\" V\u1ecb tr\u00ed \u0111\u1eb7t neo\" width=\"300\" height=\"255\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.42.23-300x255.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.42.23.png 608w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19564\" class=\"wp-caption-text\">V\u1ecb tr\u00ed \u0111\u1eb7t neo<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Kh\u00e2u l\u1ea1i s\u1ee5n vi\u1ec1n v\u1edbi s\u1ed1 neo tu\u1ef3 theo m\u1ee9c \u0111\u1ed9 r\u1ed9ng c\u1ee7a t\u00f4n th\u01b0\u01a1ng kho\u1ea3ng c\u00e1ch m\u1ed3i neo kho\u1ea3ng 5mm.<\/span><\/p>\n<figure id=\"attachment_19565\" aria-describedby=\"caption-attachment-19565\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19565\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.43.00-300x148.png\" alt=\"H\u00ecnh \u1ea3nh minh h\u1ecda bu\u1ed9c chi qua ng\u00f5 sau v\u00e0 kh\u00e2u ch\u00f4ng ng\u0103n bao kh\u1edbp\" width=\"300\" height=\"148\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.43.00-300x148.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.43.00-1024x505.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.43.00-768x379.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-13-luc-07.43.00.png 1038w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19565\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda bu\u1ed9c chi qua ng\u00f5 sau v\u00e0 kh\u00e2u ch\u00f4ng ng\u0103n bao kh\u1edbp<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Ngo\u00e0i ra, n\u1ebfu c\u00f3 t\u1ed1n th\u01b0\u01a1ng s\u1ee5n vi\u1ec1n sau d\u1ea1ng s\u00f3i m\u00f2n b\u1ec1 m\u1eb7t s\u1ee5n, s\u1ee5n g\u1eafn k\u1ebft gi\u1eefa s\u1ee5n vi\u1ec1n v\u00e0 \u1ed5 ch\u1ea3o c\u00f2n nguy\u00ean v\u1eb9n th\u00ec th\u1ef1c hi\u1ec7n thay \u0111\u1ed5i bao kh\u1edbp san (kh\u00e2u ch\u1ed3ng ng\u1eafn bao kh\u1edbp) m\u00e0 kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng neo. \u0110\u01b0a m\u00f3c ki\u1ec3u con thoi v\u00e0o ng\u00f5 ph\u00eda sau, xuy\u00ean qua b\u00f3 sau c\u1ee7a d\u00e2y ch\u1eb1ng \u1ed5 ch\u1ea3o c\u00e1nh tay d\u01b0\u1edbi, di chuy\u1ebfn m\u00f3c kho\u1ea3ng 1 cm, sau \u0111\u00f3 xuy\u00ean qua ph\u00eda d\u01b0\u1edbi s\u1ee5n vi\u1ec1n. T\u1ea3i m\u1ed9t s\u1ee3i ch\u1ec9 kh\u00f4ng ti\u00eau v\u00e0o m\u00f3c qua \u201ccon thoi\u201d v\u00e0 bu\u1ed9c c\u1ed1 \u0111\u1ecbnh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 \u0111\u0103ng k\u00fd kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec, Qu\u00fd Kh\u00e1ch c\u00f3 th\u1ec3 li\u00ean h\u1ec7 \u0111\u1ebfn\u00a0<b class=\"link-in-body\">Hotline<\/b>\u00a0H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec tr\u00ean to\u00e0n qu\u1ed1c, ho\u1eb7c \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/dat-kham\/\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a><b>.<\/b><\/span><\/p>\n<h2><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau chi\u1ebfm kho\u1ea3ng 2 &#8211; 5% c\u1ee7a tr\u1eadt kh\u1edbp vai. Sinh b\u1ec7nh h\u1ecdc c\u1ee7a tr\u1eadt kh\u1edbp t\u00e1i di\u1ec5n ra sau c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb m\u1ed9t tr\u1eadt kh\u1edbp c\u1ea5p t\u00ednh. Tuy nhi\u00ean, th\u00f4ng th\u01b0\u1eddng th\u00ec b\u1eaft \u0111\u1ea7u v\u1edbi m\u1ed9t b\u00e1n tr\u1eadt kh\u1edbp kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng (r\u1ed1i lo\u1ea1n th\u1ea7n [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt v\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt\" \/>\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=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n ra sau - 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