{"id":19649,"date":"2023-04-13T11:27:39","date_gmt":"2023-04-13T04:27:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19649"},"modified":"2023-04-14T18:23:06","modified_gmt":"2023-04-14T11:23:06","slug":"bien-chung-sau-phau-thuat-noi-soi-khop-vai-tai-dien","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/bien-chung-sau-phau-thuat-noi-soi-khop-vai-tai-dien\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n"},"content":{"rendered":"<p><strong>Tr\u1eadt kh\u1edbp vai l\u00e0 s\u1ef1 m\u1ea5t ti\u1ebfp x\u00fac c\u1ee7a di\u1ec7n kh\u1edbp \u1ed5 ch\u1ea3o v\u00e0 ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay. Tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n l\u00e0 t\u00ecnh tr\u1ea1ng tr\u1eadt kh\u1edbp vai t\u1eeb l\u1ea7n 2 tr\u1edf l\u00ean (th\u01b0\u1eddng tr\u00ean 10 l\u1ea7n), sau b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ef1 n\u1eafn \u0111\u01b0\u1ee3c. Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n th\u00ec kh\u00f4ng c\u00f2n nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a tr\u1eadt kh\u1edbp vai c\u1ea5p t\u00ednh n\u1eefa.\u00a0 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. Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 t\u00e1i ph\u00e1t sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n<\/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.Bi\u1ebfn ch\u1ee9ng\u00a0<\/b><\/h2>\n<p><b>1.1 T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh<\/b><\/p>\n<p><i><span style=\"font-weight: 400;\">.<\/span><\/i><span style=\"font-weight: 400;\"> T\u00f4n th\u01b0\u01a1ng th\u1ea7n kinh c\u00f3 th\u1ec3 x\u1ea3y ra do l\u1ef1c k\u00e9o ho\u1eb7c do \u00e1p xu\u1ea5t v\u00e0 th\u01b0\u1eddng l\u00e0 tho\u00e1ng qua.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u1ea7n kinh tr\u00ean vai c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00ec n\u00f3 n\u1eb1m ph\u00eda trong so v\u1edbi b\u1ec1 m\u1eb7t kh\u1edbp \u1ed1 ch\u1ea3o d\u01b0\u1edbi 2 cm v\u00e0 ch\u1ea1y d\u1ecdc theo c\u00f4 x\u01b0\u01a1ng vai.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u1ea9n kinh n\u00e1ch v\u00e0 th\u1ea7n kinh <\/span><b>c\u01a1 <\/b><span style=\"font-weight: 400;\">b\u00ec hi\u1ebfm khi th\u1ea5y t\u1ed5n th\u01b0\u01a1ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paulos v\u00e0 Franklin b\u00e1o c\u00e1o m\u1ed9t t\u1ef7 !\u1ec7 x\u1ea5p x\u1ec9 30% c\u1ee7a d\u1ecb c\u1ea3m tho\u00e1ng qua \u1edf da v\u00f9ng vai trong ph\u1eabu thu\u1eadt n\u1ed9i soi do l\u1ef1c k\u00e9o. Theo hai t\u00e1c gi\u1ea3 n\u00e0y t\u01b0 th\u1ebf vai d\u1ea1ng kho\u1ea3ng 30 \u0111\u1ebfn 70 \u0111\u1ed9, l\u1ef1c k\u00e9o \u0111\u1eb7t kho\u1ea3ng 45 \u0111\u1ebfn 60 (N) th\u00ec h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c t\u1ed1i \u0111a bi\u1ebfn ch\u1ee9ng v\u1ec1 th\u1ea7n kinh.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1edbi ph\u1eabu thu\u1eadt Latarjet, Shah v\u00e0 c\u1ed9ng s\u1ef1 b\u00e1o c\u00e1o t\u00fd l\u1ec7 ch\u1ea9n th\u01b0\u01a1ng th\u1ea7n kinh l\u00e0 10%.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_19661\" aria-describedby=\"caption-attachment-19661\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-19661\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17-300x300.png\" alt=\"Bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-19661\" class=\"wp-caption-text\">Bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai<\/figcaption><\/figure>\n<p><strong>1.2 Nhi\u1ec5m tr\u00f9ng<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trong ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai th\u00ec t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng th\u1ea5p (d\u01b0\u1edbi 1.<\/span><span style=\"font-weight: 400;\">25%) do x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, m\u1ea1ch m\u00e1u quanh kh\u1edbp phong ph\u00fa. Tuy nhi\u00ean, ph\u1ea3i \u0111\u1ea3m b\u1ea3o nguy\u00ean t\u1eafc v\u00f4 tr\u00f9ng trong qu\u00e1 tr\u00ecnh ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt<\/span><\/li>\n<\/ul>\n<p><strong>1.3 Tr\u1eadt kh\u1edbp t\u00e1i di\u1ec5n sau ph\u1eabu thu\u1eadt<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed1i v\u1edbi tr\u1eadt kh\u1edbp vai ra tr\u01b0\u1edbc th\u00ec t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i sau ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf v\u00e0 n\u1ed9i soi !\u1ee7 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau kho\u1ea3ng d\u01b0\u1edbi 20%. L\u00fd do c\u1ee7a th\u1ea5t b\u1ea1i g\u1ed3m: y\u1ebfu t\u1ed1 nguy c\u01a1, ch\u1ea9n \u0111o\u00e1n sai, ph\u01b0\u01a1ng ph\u00e1p v\u00e0 k\u1ef3 thu\u1eadt kh\u00f4ng ch\u00ednh x\u00e1c, b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng l\u1eb7p <\/span><span style=\"font-weight: 400;\">l\u1ea1i.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed1i v\u1edbi tr\u1eadt kh\u1edbp vai ra sau th\u00ec t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i Ilico y v\u0103n l\u00e0 d\u01b0\u1edbi 23% v\u1edbi n\u1ed9i soi kh\u1edbp vai, do ch\u1ea9n \u0111o\u00e1n c\u1ee7a tr\u1eadt kh\u1edbp vai ra sau \u00edt r\u00f5 rang, c\u00f3 th\u1ec3 ch\u1ed3ng chco v\u1edbi tr\u1eadt kh\u1edbp \u0111a h\u01b0\u1edbng, t\u1ed5n th\u01b0\u01a1ng giai ph\u1eabu b\u1ec7nh kh\u00f4ng r\u00f5 r\u00e0ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed1i v\u1edbi tr\u1eadt kh\u1edbp vai \u0111a h\u01b0\u1edbng Neer v\u00e0 Foster, Pollock v\u00e0 c\u1ed9ng s\u1ef1, Bak v\u00e0 c\u1ed9ng s\u1ef1 b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i l\u00e0 10% \u0111\u1ed1i v\u1edbi ph\u1eabu thu\u1eadt m\u00f4 m\u1edf.<\/span><\/li>\n<\/ul>\n<p><b>1.4 C\u1ee9ng kh\u1edbp<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">T\u00fd l\u1ec7 c\u1ee9ng kh\u1edbp c\u1ee7a ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf <\/span><span style=\"font-weight: 400;\">th\u01b0\u1eddng cao h\u01a1n so v\u1edbi n\u1ed9i soi kh\u1edbp.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">C\u1ee9ng kh\u1edbp trong n\u1ed9i soi s\u1eeda ch\u1eefa tr\u1eadt kh\u1edbp vai ra tr\u01b0\u1edbc \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 10 \u0111\u1ebfn I 5%<\/span><\/li>\n<li><span style=\"font-weight: 400;\">C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y c\u1ee9ng kh\u1edbp g\u1ed3m: c\u1ed1 \u0111\u1ecbnh k\u00e9o d\u00e0i v\u00e0 k\u00e9m tu\u00e2n th\u1ee7 ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/span><\/li>\n<\/ul>\n<p><b>1.5. T\u1ed5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ec3n ch\u1ee9ng n\u1eb7ng, c\u00f3 th\u1ebf g\u1eb7p \u1edd b\u1ec7nh nh\u00e2n b\u01a1m thu\u1ed1c gi\u1ea3m \u0111au (bupivacaine) v\u00e0o kh\u1edbp sau m\u1ed5, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh nh\u00e2n tr\u1ebb khi s\u1eed d\u1ee5ng m\u0169i neo<\/span><\/li>\n<\/ul>\n<p><strong>1.6 T\u1eafc m\u1ea1ch<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf c\u1ea3 hai b\u00ean chi tr\u00ean v\u00e0 chi d\u01b0\u1edbi. Kuremsky v\u00e0 c\u1ed9ng s\u1ef1 b\u00e1o c\u00e1o t\u1ef3 l\u1ec7 m\u1eafc ph\u1ea3i bi\u1ebfn ch\u1ee9ng n\u00e0y trong n\u1ed9i soi kh\u1edbp vai l\u00e0 0.31%.<\/span><\/li>\n<\/ul>\n<p><b>1.7 M\u1ed9t s\u1ed5 bi\u1ebfn ch\u1ee9ng kh\u00e1c<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u00e3y v\u1ee1 x\u01b0\u01a1ng \u1ed5 ch\u1ea3o<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1eb7t neo sai v\u1ecb tr\u00ed, neo b\u1ecb nh\u00f4 l\u00ean kh\u1ecfi v\u00e0nh \u1ed1 ch\u1ea3o<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u1ea3n \u1ee9ng v\u1edbi neo<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng c\u01a1 d\u01b0\u1edbi vai kh\u00f4ng h\u1ed5i ph\u1ee5c.<\/span><\/li>\n<\/ul>\n<h2><strong>2. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 l\u1ea1i ph\u00e1t sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01b0 ti\u1ec1m \u1ea9n c\u1ee7a m\u1ea5t v\u1eefng kh\u1edbp vai ra tr\u01b0\u1edbc sau khi n\u1ed9i soi s\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng Bankart t\u00e1i ph\u00e1t \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tu\u1ed5i, gi\u1edbi<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tay thu\u1eadn<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1ed1 l\u1ea7n tr\u1eadt kh\u1edbp tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kho\u1ea3ng th\u1eddi gian t\u1eeb l\u1ea7n tr\u1eadt kh\u1edbp \u0111\u1ea7u ti\u00ean \u0111\u1ebfn khi ph\u1eabu thu\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1ed1 l\u01b0\u1ee3ng v\u00e0 lo\u1ea1i thi\u1ebft b\u1ecb c\u1ed1 \u0111\u1ecbnh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng&#8230;<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Do \u0111\u00f3, kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u1ed1i v\u1edbi t\u1eebng b\u1ec7nh nh\u00e2n r\u1ea5t quan tr\u1ecdng. Balg F v\u00e0 Boileau \u0111\u00e3 \u0111\u01b0a ra b\u1ea3ng \u0111i\u1ec3m ch\u1ec9 s\u1ed1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng m\u1ea5t v\u1eebng v\u00e0 nh\u1eadn th\u1ea5y \u0111\u1ed1i v\u1edbi tr\u1eadt kh\u1edbp vai ra tr\u01b0\u1edbc:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n &lt; 6 \u0111i\u1ec3m d\u1ef1 \u0111o\u00e1n nguy c\u01a1 t\u00e1i ph\u00e1t sau s\u1eeda ch\u1eefa b\u1eb1ng ph\u1eabu thu\u1eadt n\u1ed9i soi kho\u1ea3ng 10%<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n &gt; 6 \u0111i\u1ec3m d\u1ef1 \u0111o\u00e1n nguy c\u01a1 t\u00e1i ph\u00e1t sau s\u1eeda ch\u1eefa b\u1eb1ng ph\u1eabu thu\u1eadt n\u1ed9i soi kho\u1ea3ng 70%<\/span><\/li>\n<\/ul>\n<h2>3. <b>Ph\u1ee5c <\/b><b>h\u1ed3i ch\u1ee9c n\u0103ng sau m\u1ed5 <\/b><strong>n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c b\u1ea5t \u0111\u1ed9ng vai b\u1eb1ng t\u00fai treo tay ngay sau khi m\u1ed5 4-6 tu\u1ea7n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u01b0\u1eddm \u0111\u00e1 (trong t\u00fai ch\u01b0\u1eddm l\u1ea1nh) v\u00f9ng vai trong v\u00f2ng 48 gi\u1edd sau m\u1ed5.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1eadp s\u1edbm ngay ng\u00e0y \u0111\u1ea7u ti\u00ean b\u1eb1ng g\u1ed3ng c\u01a1, co du\u1ed7i khu\u1ef7u tay, c\u1ed1 b\u00e0n tay v\u00e0 c\u00e1c ng\u00f3n tay.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">3 tu\u1ea7n \u0111\u1ea7u t\u1eadp v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u0111\u1ed9ng c\u00f3 tr\u1ee3 gi\u00fap. T\u1eadp s\u1ee9c m\u1ea1nh bang g\u1ed3ng c\u01a1. H\u1ea1n ch\u1ebf xoay ngo\u00e0i, kh\u00f4ng \u0111\u01b0a tay ra sau.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sau 4 tu\u1ea7n t\u1eadp vai th\u1ea3 L\u1ecfng, \u0111\u01b0a tay <\/span><span style=\"font-weight: 400;\">ra tr\u01b0\u1edbc v\u00e0 ra sau nh\u1eb9 nh\u00e0ng \u0111\u01b0\u1ee3c. Xoay ngo\u00e0i kho\u1ea3ng 20 \u0111\u1ed9, xoay trong kho\u1ea3ng 10 \u0111\u1ed9.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sau 8 tu\u1ea7n t\u1eadp ch\u1ee7 \u0111\u1ed9ng \u0111\u01b0a tay ra tr\u01b0\u1edbc, ra sau v\u1edbi bi\u00ean \u0111\u1ed9 r\u1ed9ng h\u01a1n, t\u1eadp d\u1ea1ng tay v\u00e0 t\u1eadp b\u00e0n tay \u0111i b\u1ed9 tr\u00ean t\u01b0\u1eddng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">San 3 th\u00e1ng t\u1eadp m\u1ea1nh s\u1ee9c c\u01a1, t\u0103ng <\/span><span style=\"font-weight: 400;\">xoay ngo\u00e0i v\u00e0 c\u00e1c b\u00e0i t\u1eadp k\u00e9o gi\u00e3n <\/span>bao kh\u1edbp.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sau 6 th\u00e1ng t\u1eadp v\u1eadn \u0111\u1ed9ng chuy\u00ean ngh\u00e0nh th\u1ec3 thao.<\/span><\/li>\n<\/ul>\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","protected":false},"excerpt":{"rendered":"<p>Tr\u1eadt kh\u1edbp vai l\u00e0 s\u1ef1 m\u1ea5t ti\u1ebfp x\u00fac c\u1ee7a di\u1ec7n kh\u1edbp \u1ed5 ch\u1ea3o v\u00e0 ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay. Tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n l\u00e0 t\u00ecnh tr\u1ea1ng tr\u1eadt kh\u1edbp vai t\u1eeb l\u1ea7n 2 tr\u1edf l\u00ean (th\u01b0\u1eddng tr\u00ean 10 l\u1ea7n), sau b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ef1 n\u1eafn \u0111\u01b0\u1ee3c. Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n [&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>Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n - Vinmec<\/title>\n<meta name=\"description\" content=\"Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, nhi\u1ec5m tr\u00f9ng, tr\u1eadt kh\u1edbp t\u00e1i di\u1ec5n sau 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=\"Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, nhi\u1ec5m tr\u00f9ng, tr\u1eadt kh\u1edbp t\u00e1i di\u1ec5n sau ph\u1eabu thu\u1eadt\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/bien-chung-sau-phau-thuat-noi-soi-khop-vai-tai-dien\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-13T04:27:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T11:23:06+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-17-300x300.png\" \/>\n<meta name=\"author\" content=\"Yen Cao Thi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Cao Thi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/bien-chung-sau-phau-thuat-noi-soi-khop-vai-tai-dien\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/bien-chung-sau-phau-thuat-noi-soi-khop-vai-tai-dien\/\",\"name\":\"Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai t\u00e1i di\u1ec5n - 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