{"id":20546,"date":"2023-04-14T10:44:23","date_gmt":"2023-04-14T03:44:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20546"},"modified":"2023-04-14T18:22:42","modified_gmt":"2023-04-14T11:22:42","slug":"dieu-tri-benh-ly-chen-ep-khoang-duoi-mom-cung-vai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/dieu-tri-benh-ly-chen-ep-khoang-duoi-mom-cung-vai\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai"},"content":{"rendered":"<p><b> <strong>B\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra \u0111au vai. T\u1ef7 l\u1ec7 b\u1ecb \u0111au v\u00f9ng vai n\u00f3i chung \u1edf Ch\u00e2u \u00c2u l\u00e0 24 b\u1ec7nh nh\u00e2n trong s\u1ed1 m\u1ed7i 1000 b\u1ec7nh nh\u00e2n t\u1edbi kh\u00e1m, t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh c\u1ee7a b\u1ec7nh t\u00ednh b\u00ecnh qu\u00e2n kho\u1ea3ng 35 b\u1ec7nh nh\u00e2n trong s\u00f4 1000 b\u1ec7nh nh\u00e2n m\u1ed7i n\u0103m. Trong l\u1ee9a tu\u1ed5i tr\u00ean 20 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef nhi\u1ec1u h\u01a1n nam, t\u1ef7 l\u1ec7 b\u1ecb b\u1ec7nh t\u0103ng l\u00ean trong \u0111\u1ed9 tu\u1ed5i kho\u1ea3ng t\u1eeb 50-59 v\u00e0 sau \u0111\u1ea5y gi\u1ea3m d\u1ea7n. <\/strong><strong>Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/strong><\/b><\/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. P<strong>h\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/strong><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Giai \u0111o\u1ea1n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb s\u1ebd l\u00e0 \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au, kh\u00e1ng vi\u00eam. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng s\u1eed d\u1ee5ng <\/span><b>l\u00e0 <\/b><span style=\"font-weight: 400;\">ngh\u1ec9 ng\u01a1i, ch\u01b0\u1eddm \u0111\u00e1 ph\u1ed1i li\u1ee3p v\u1edbi thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 aspirin, naproxen, diclofenac. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 si\u00eau \u00e2m, chi\u1ebfu tia h\u1ed3ng ngo\u1ea1i \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng l\u01b0\u1ee3ng m\u00e1u t\u1edbi c\u00e1c m\u00f4 \u1edf kh\u1edbp vai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Khi b\u1ec7nh nh\u00e2n \u0111\u1ee1 \u0111au s\u1ebd ti\u1ebfn h\u00e0nh c\u00e1c b\u00e0i t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. Ch\u01b0\u01a1ng trinh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng bao g\u1ed3m duy tr\u00ec t\u1ea7m v\u1eadn \u0111\u1ed9ng, t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u01a1 Denta, s\u1ef1 on \u0111\u1ecbnh x\u01b0\u01a1ng b\u1ea3 vai v\u00e0 c\u01a1 ch\u00f3p xoay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ebfu c\u00e1c bi\u1ec7n ph\u00e1p tr\u00ean kh\u00f4ng mang l\u1ea1i hi\u1ec7u qu\u1ea3, c\u1ecf th\u1ec3 ti\u00eam steroid tr\u1ef1c ti\u1ebfp v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng. Tuy nhi\u00ean steroid c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ee9t g\u00e2n c\u0169ng nh\u01b0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 l\u00e2u d\u00e0i n\u00ean n\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i cho h\u1ed9i ch\u1ee9ng ch\u00e8n \u00e9p d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai c\u0169ng nh\u01b0 c\u00e1c <\/span><span style=\"font-weight: 400;\">b\u1ec7nh l\u00fd kh\u00e1c \u1edd v\u00f9ng vai (2 ho\u1eb7c 3 l\u1ea7n <\/span><span style=\"font-weight: 400;\">ti\u00eam, c\u00e1ch nhau 2 th\u00e1ng m\u1ed3i l\u1ea7n). <\/span><\/p>\n<h2><b>2. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/b><\/h2>\n<p><b><i>2.1 Ch\u1ec9 \u0111\u1ecbnh<\/i><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac g\u00e2y<\/span>\u00a0ra s\u1ef1 ch\u00e8n \u00e9p b\u1ec1 ngo\u00e0i nh\u01b0: M\u1ecfm c\u00f9ng vai type 2 ho\u1eb7c 3, n\u1edf to d\u00e2y ch\u1eb1ng c\u00f9ng vai-qu\u1ea1, ch\u1ed3i x\u01b0\u01a1ng ph\u00eda d\u01b0\u1edbi kh\u1edbp c\u00f9ng-\u0111\u00f2n, liypertrophic t\u00fai ho\u1ea1t d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<span style=\"font-weight: 400;\">B\u1ec7nh <\/span><b>nh\u00e2n <\/b><span style=\"font-weight: 400;\">th\u1ea5t b\u1ea1i sau \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n: \u0110au v\u00f9ng vai t\u00e1i ph\u00e1t sau 12 th\u00e1ng \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u1ea3i thi\u1ec7n c\u0169ng nh\u01b0 gia t\u0103ng m\u1ee9c \u0111\u1ed9 \u0111au sau 6 th\u00e1ng \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n ho\u1eb7c sau 03 \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u00e0ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam k\u1ebft h\u1ee3p v\u1edbi ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u kh\u00f4ng ti\u1ebfn tri\u1ec3n.<\/span><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u00f3 r\u00e1ch b\u00e1n ph\u1ea7n b\u1ec1 m\u1eb7t ho\u1ea1t d\u1ecbch c\u1ee7a g\u00e2n ch\u00f3p xoay.<\/span>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt kh\u00e2u ph\u1ee5c h\u1ed3i ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n<p><b>2.2 Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">C\u00f3 hai ph\u01b0\u01a1ng <span style=\"font-weight: 400;\">ph\u00e1p hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 m\u1ed5 m\u1edf v\u00e0 m\u1ed5 n\u1ed9i soi, c\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec1u c\u00f3 th\u1ec3 s\u1eeda ch\u1eefa c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00e0 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c \u0111\u00e8 \u00e9p l\u00ean t\u00fai ho\u1ea1t d\u1ecbch v\u00e0 ch\u00f3p xoay.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nhi\u1ec1u t\u00e1c gi\u1ea3 b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i soi m\u00e0i t\u1ea1o h\u00ecnh khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai t\u1eeb 70%-90%. C\u00e1c t\u00e1c gi\u1ea3 c\u0169ng \u0111\u1ed3ng th\u1eddi nh\u1ea5n m\u1ea1nh r\u00e0ng ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb ch\u1ec9 th\u00e0nh c\u00f4ng khi ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u00e0 do nguy\u00ean nh\u00e2n b\u00ean ngo\u00e0i, n\u00f3 kh\u00f4ng th\u00e0nh c\u00f4ng khi nguy\u00ean nh\u00e2n ch\u00e8n \u00e9p l\u00e0 do c\u00e1c y\u1ebfu t\u1ed1 b\u00ean trong.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00e0y nay, ph\u1eabu thu\u1eadt v\u1edbi k\u1ef9 thu\u1eadt n\u1ed9i soi ph\u1ed5 bi\u1ebfn h\u01a1n do nh\u1eefng \u01b0u vi\u1ec7t trong vi\u1ec7c c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au v\u00e0 t\u00ednh th\u1ea9m m\u1ef9.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 nh\u00e0m r\u1ed9ng kho\u1ea3ng c\u00e1ch gi\u1eefa m\u1ecfm c\u00f9ng vai v\u00e0 g\u00e2n ch\u00f3p xoay b\u00e0ng c\u00e1ch l\u00e0m s\u1ea1ch c\u00e1c t\u1ed5n th\u01b0\u01a1ng tho\u00e1i ho\u00e1, c\u00e1c ch\u1ed3i x\u01b0\u01a1ng v\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a m\u1ecfm c\u00f9ng vai. N\u1ebfu c\u00f3 t\u1ed5n th\u01b0\u01a1ng r\u00e1ch ch\u00f3p xoay c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i \u0111\u1ed3ng th\u1eddi.<\/span><\/li>\n<\/ul>\n<p><strong>2.3 <i><\/i><i>Ph\u1eabu thu\u1eadt m\u1ed5 n\u1ed9i soi<\/i><\/strong><\/p>\n<p><strong>2.3.1 Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u1edbn v\u00e0 d\u1ee5ng c\u1ee5<\/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 \u201cbeach chair\u201d.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Trong qu\u00e1 tr\u00ecnh g\u00e2y m\u00ea n\u1ebfu duy tr\u00ec \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p t\u00e2m thu trong kho\u1ea3ng t\u1eeb 95-105 mm Hg th\u00ec l\u00e0 l\u00fd t\u01b0\u1edfng nh\u1ea5t cho cu\u1ed9c ph\u1eabu thu\u1eadt.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">\u00c1p l\u1ef1c m\u00e1y b\u01a1m n\u01b0\u1edbc t\u1eeb 40-50 <span style=\"font-weight: 400;\">mmHg th\u01b0\u1eddng l\u00e0 \u0111\u1ee7 (v\u1edbi \u0111i\u1ec1u ki\u1ec7n huy\u1ebft \u00e1p t\u00e2m thu trong kho\u1ea3ng l\u00fd t\u01b0\u1edfng)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ed0ng k\u00ednh 30\u00b0 v\u00e0 l\u01b0\u1eddi m\u00e0i x\u01b0\u01a1ng d\u00f9ng trong n\u1ed9i soi<\/span><\/li>\n<\/ul>\n<p><strong>2.3.2 Ng\u00f5 v\u00e0o<\/strong><\/p>\n<p><b>C<\/b>hi ti\u1ebft trong b\u00e0i \u0110\u1ea1i c\u01b0\u01a1ng<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">X\u00e1c \u0111\u1ecbnh, \u0111\u00e1nh d\u1ea5u c\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o, t\u00f9y theo th\u00f3i quen l\u00e0m vi\u1ec7c c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean m\u00e0 s\u1ed1 l\u01b0\u1ee3ng c\u0169ng nh\u01b0 ng\u1ed7 v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u1ee7ng vai c\u00f3 th\u1ec3 t\u00f9y bi\u1ebfn, ch\u00fang t\u00f4i xin gi\u1edbi thi\u1ec7u m\u1ed9t s\u1ed1 ng\u00f5 v\u00e0o ph\u1ed5 bi\u1ebfn hay ctir\u1ee3c s\u1eed d\u1ee5ng:<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 sau<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 sau ngo\u00e0i<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_20564\" aria-describedby=\"caption-attachment-20564\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20564\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.48-300x116.png\" alt=\"Ng\u00f5 v\u00e0o ph\u00eda sau v\u00e0 x\u00e1c \u0111\u1ecbnh \u0111i\u1ec3m \u201csoft spot\u201d\" width=\"300\" height=\"116\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.48-300x116.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.48-1024x395.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.48-768x297.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.48.png 1326w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20564\" class=\"wp-caption-text\">Ng\u00f5 v\u00e0o ph\u00eda sau v\u00e0 x\u00e1c \u0111\u1ecbnh \u0111i\u1ec3m \u201csoft spot\u201d<\/figcaption><\/figure>\n<p>Ng\u00f5 ngo\u00e0i<\/p>\n<figure id=\"attachment_20563\" aria-describedby=\"caption-attachment-20563\" style=\"width: 283px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20563\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.20-283x300.png\" alt=\"Ng\u00f5 v\u00e0o ph\u00eda b\u00ean ngo\u00e0i\" width=\"283\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.20-283x300.png 283w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.20-768x814.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-14-luc-10.28.20.png 806w\" sizes=\"(max-width: 283px) 100vw, 283px\" \/><figcaption id=\"caption-attachment-20563\" class=\"wp-caption-text\">Ng\u00f5 v\u00e0o ph\u00eda b\u00ean ngo\u00e0i<\/figcaption><\/figure>\n<p><strong>2.3.3 N\u1ed9i soi kh\u1edbp ch\u1ea9n \u0111o\u00e1n <b>b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/b><\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u1ed9i soi ch\u1ea9n \u0111o\u00e1n b\u1eaft \u0111\u1ea7u v\u1edbi \u0111\u01b0\u1eddng v\u00e0o kh\u1edbp vai ph\u00eda sau. Quan s\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n c\u00e1c c\u1ea5u tr\u00fac trong kh\u1edbp \u1ed3 ch\u1ea3o &#8211; c\u00e1nh tay<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u00ean khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai qua \u0111\u01b0\u1eddng v\u00e0o ph\u00eda sau, quan s\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai:<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00ecnh tr\u1ea1ng t\u00fai ho\u1ea1t d\u1ecbch khoang d\u01b0\u1edbi <\/span><span style=\"font-weight: 400;\">m\u1ecfm c\u00f9ng vai, d\u00e2y ch\u1eb1ng qu\u1ea1-m\u1ecfm c\u00f9ng vai g\u1ed3m xung huy\u1ebft v\u00e0 c\u1ecd s\u1eddn ( t\u01b0\u1edbc), th\u01b0\u1eddng k\u00e8m theo t\u00ecnh tr\u1ea1ng t\u0103ng sinh vi\u00eam t\u1ee7i ho\u1ea1t \u0111\u1ecbch.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng m\u1ecfm c\u00f9ng vai v\u00e0 kh\u1edbp c\u00f9ng &#8211; \u0111\u00f2n,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00ecnh tr\u1ea1ng g\u00e2n ch\u00f3p xoay : Vi\u00eam, r\u00e1ch ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n<p><strong>D\u1ecdn t\u00fai ho\u1ea1t d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/strong><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Ch\u00fa \u00fd: Kh\u00f4ng b\u00e0o v\u00e0o khu v\u1ef1c ph\u00eda trong c\u1ee7a t\u00fai ho\u1ea1t d\u1ecbch v\u00ec n\u00f3 kh\u00f4ng g\u00f3p ph\u1ea7n v\u00e0o g\u00e2y ra h\u1ed9i ch\u1ee9ng h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm <\/span>c\u00f9ng v\u00e0 n\u1ebfu kh\u00f4ng c\u1ea9n th\u1eadn c\u00f3 th\u1ec3 ch\u1ea1m v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a t\u00fai ho\u1ea1t d\u1ecbch g\u00e2y ch\u1ea3y m\u00e1u kh\u00f3 ki\u1ebfm so\u00e1t, v\u00e0 \u0111\u1ee9t c\u01a1 ch\u00f3p xoay<\/li>\n<\/ul>\n<p><strong>H\u1ea1 d\u00e2y ch\u1eb1ng qu\u1ea1-c\u00f9ng vai<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u00e2y ch\u00e0ng n\u00e0y bao ph\u1ee7 l\u00ean m\u1eb7t d\u01b0\u1edbi c\u1ee7a g\u00f3c tr\u01b0\u1edbc ngo\u00e0i m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u00f9ng \u0111\u1ea7u \u0111\u1ed1t \u0111i\u1ec7n b\u1ed9c l\u1ed9 b\u1ec1 m\u1eb7t x\u01b0\u01a1ng v\u00e0 ph\u1ea7n ranh gi\u1edbi gi\u1eefa\u00a0<\/span><span style=\"font-weight: 400;\">x\u01b0\u01a1ng <\/span>v\u00e0 ph\u1ea7n m\u1ec1m bao quanh v\u00f9ng g\u00f3c tr\u01b0\u1edbc ngo\u00e0i m\u1ecfm c\u00f9ng vai. Th\u01b0\u1eddng ti\u1ebfn h\u00e0nh h\u1ea1 \u0111\u1ed3ng th\u1eddi \u0111i\u1ec3m b\u00e1m v\u00e0o m\u1ecfm c\u00f9ng vai c\u1ee7a d\u00e2y ch\u1eb1ng.<\/li>\n<\/ul>\n<p><strong>M\u00e0i t\u1ea1o h\u00ecnh khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Qua ng\u00f5 v\u00e0o ph\u00eda ngo\u00e0i, \u0111\u1eb7t l\u01b0\u1ee1i m\u00e0i x\u01b0\u01a1ng t\u1ea1i v\u1ecb tr\u00ed m\u00e9p ph\u00eda tr\u01b0\u1edbc ngo\u00e0i m\u1ecfm c\u00f9ng vai, b\u00e1t \u0111\u1ea7u m\u00e0i x\u01b0\u01a1ng \u0111\u1ebfn khi nh\u00ecn th\u1ea5y l\u1edbp c\u00e2n c\u1ee7a c\u01a1 Denta l\u00e0 \u0111\u01b0\u1ee3c.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u1ebfn h\u00e0nh m\u00e0i t\u1eeb ngo\u00e0i v\u00e0o trong, t\u1eeb tr\u01b0\u1edbc ra sau \u0111\u1ebfn khi n\u00e0o m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai c\u00f3 d\u1ea1ng phang v\u1edbi g\u00f3c nh\u00ecn c\u1ee7a \u1ed1ng k\u00ednh n\u1ed9i soi t\u1eeb ph\u00eda sau h\u01b0\u1edbng ra tr\u01b0\u1edbc.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00f3 2 c\u00e1ch ki\u1ec3m tra m\u00e0i t\u1ea1o h\u00ecnh khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai hay s\u1eed d\u1ee5ng:<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u1ee9 nh\u00e1t l\u00e0 quan s\u00e1t qua ng\u1ed7 v\u00e0o ph\u00eda sau v\u1edbi g\u00f3c nghi\u00eang \u1ed5ng k\u00ednh h\u01b0\u1edbng xu\u1ed1ng d\u01b0\u1edbi, v\u1edbi c\u00e1ch quan s\u00e1t n\u00e0y s\u1ebd cho g\u00f3c nh\u00ecn song song v\u1edbi m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai v\u00e0 b\u00e0o <\/span><span style=\"font-weight: 400;\">ph\u1eb3ng \u0111\u01b0\u1ee3c ph\u1ea7n x\u01b0\u01a1ng c\u00f2n l\u1ed3i xu\u1ed1ng ph\u00eda d\u01b0\u1edbi.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1ch th\u1ee9 hai l\u00e0 di chuy\u1ec3n \u1ed5ng k\u00ednh qua ng\u00f5 b\u00ean, d\u00f9ng l\u01b0\u1ee1i b\u00e0o \u0111\u01b0a qua ng\u00f5 v\u00e0o ph\u00eda sau v\u00e0 \u0111\u1eb7t v\u00e0o m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai \u0111\u1ec3 ki\u1ec3m tra xem s\u1ef1 b\u1eb1ng ph\u1eb3ng c\u1ee7a b\u1ec1 m\u1eb7t x\u01b0\u01a1ng.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ngo\u00e0i hai c\u00e1ch tr\u00ean, ch\u00fang t\u00f4i c\u00f2n s\u1eed d\u1ee5ng th\u00eam m\u1ed9t c\u00e1ch kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 m\u00e0i t\u1ea1o h\u00ecnh x\u01b0\u01a1ng \u0111\u00e3 \u0111\u1ee7 hay ch\u01b0a b\u1eb1ng c\u00e1ch th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p Hawking test sau khi m\u00e0i t\u1ea1o h\u00ecnh. N\u1ebfu kh\u00f4ng c\u00f2n s\u1ef1 c\u1ecd s\u00e1t c\u1ee7a m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai v\u1edbi g\u00e2n ch\u00f3p xoay l\u00e0 \u0111\u01b0\u1ee3c.<\/span><\/li>\n<\/ul>\n<p><strong>K\u1ef9 thu\u1eadt \u201ccutting block\u201d<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u1ef3 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c mi\u00eau t\u1ea3 b\u1edbi Sampson v\u00e0 c\u1ed9ng s\u1ef1.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1ee3c ti\u1ebfn h\u00e0nh sau khi n\u1eeda tr\u01b0\u1edbc c\u1ee7a m\u1ecfm c\u00f9ng vai \u0111\u01b0\u1ee3c b\u1ed9c l\u1ed9 r\u00f5 v\u00e0 b\u1edd ph\u00eda tr\u01b0\u1edbc ngo\u00e0i x\u01b0\u01a1ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf t\u1ed1i thi\u1ec3u.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chuy\u1ebfn \u1ed1ng k\u00ednh n\u1ed9i soi sang ng\u00f5 ph\u00eda b\u00ean ngo\u00e0i \u0111\u00ea quan s\u00e1t. \u0110\u01b0a l\u01b0\u1eddi m\u00e0i x\u01b0\u01a1ng qua ng\u00f5 v\u00e0o ph\u00eda sau v\u00e0\u00a0<\/span><span style=\"font-weight: 400;\">\u0111\u1eb7t ngay s\u00e1t m\u1eb7t d\u01b0\u1edbi, ph\u00eda n\u1eeda sau c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ti\u1ebfn h\u00e0nh m\u00e0i ph\u1eb3ng x\u01b0\u01a1ng d\u1ea7n d\u1ea7n ra ph\u00eda tr\u01b0\u1edbc, t\u1eeb trong ra ngo\u00e0i.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra \u0111au v\u00f9ng vai, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh kh\u00f4ng qu\u00e1 ph\u1ee9c t\u1ea1p tuy nhi\u00ean ph\u1ea3i n\u1eafm r\u00f5 quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u0169ng nh\u01b0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a can thi\u1ec7p ngo\u1ea1i khoa. S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a m\u1ed5 n\u1ed9i soi gi\u1ea3i \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai \u0111\u00e0 \u0111\u01b0\u1ee3c kh\u1eafng \u0111\u1ecbnh v\u00e0 n\u00f3 kh\u00f4ng chi \u0111\u01a1n thu\u1ea7n l\u00e0 k\u1ef9 thu\u1eadt n\u1ed9i soi m\u00e0 c\u00f2n l\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n th\u00edch \u0111\u00e1ng. S\u1ef1 l\u1ea1m d\u1ee5ng m\u00e0i t\u1ea1o h\u00ecnh khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai qu\u00e1 nhi\u1ec1u <\/span><span style=\"font-weight: 400;\">c\u00f3 th\u1ec3 c\u00f3 h\u1ea1i v\u00e0 n\u00f3 ch\u1ec9 l\u00ean \u0111\u01b0\u1ee3c l\u00e0m khi c\u00f3 nh\u0169ng b\u1eb1ng ch\u1eedng d\u1ef1a tr\u00ean kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh. Tr\u00e1nh m\u00f4 n\u1ed9i soi gi\u1ea3i \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai b\u00ecnh th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edd b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i. Trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, n\u1ed9i soi \u0111\u00e1nh gi\u00e1 s\u1ebd x\u00e1c th\u1ef1c nguy\u00ean nh\u00e2n b\u00ean ngo\u00e0i b\u00e0ng h\u00ecnh \u1ea3nh s\u01a1 t\u01b0\u1edbc c\u1ee7a m\u1eb7t ho\u1ea1t d\u1ecbch v\u00e0 s\u1ef1 thay \u0111\u1ed5i t\u01b0\u01a1ng \u1ee9ng \u1edd ph\u1ea7n ti\u1ebfp ti\u1ebfp x\u00fac c\u1ee7a cung c\u00f9ng &#8211; qu\u1ea1.<\/span><\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<b class=\"link-in-body\">HOTLINE<\/b>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra \u0111au vai. T\u1ef7 l\u1ec7 b\u1ecb \u0111au v\u00f9ng vai n\u00f3i chung \u1edf Ch\u00e2u \u00c2u l\u00e0 24 b\u1ec7nh nh\u00e2n trong s\u1ed1 m\u1ed7i 1000 b\u1ec7nh nh\u00e2n t\u1edbi kh\u00e1m, t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh c\u1ee7a b\u1ec7nh t\u00ednh b\u00ecnh qu\u00e2n kho\u1ea3ng 35 b\u1ec7nh nh\u00e2n trong [&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>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai bao g\u1ed3m: \u0111i\u1ec1u tr\u1ecb ph\u1eabu th\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=\"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai - 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