{"id":21722,"date":"2023-04-15T21:55:27","date_gmt":"2023-04-15T14:55:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21722"},"modified":"2023-04-17T16:53:35","modified_gmt":"2023-04-17T09:53:35","slug":"thay-khop-vai-dao-nguoc-dai-cuong-chi-dinh-va-chong-chi-dinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/thay-khop-vai-dao-nguoc-dai-cuong-chi-dinh-va-chong-chi-dinh\/","title":{"rendered":"Thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c: \u0110\u1ea1i c\u01b0\u01a1ng, ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh"},"content":{"rendered":"

Thay kh\u1edbp vai<\/a> \u0111\u1ea3o ng\u01b0\u1ee3c hay thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u0111\u1ea3o ng\u01b0\u1ee3c xu\u1ea5t hi\u1ec7n t\u1eeb n\u0103m 1970 v\u00e0 b\u1eaft \u0111\u1ea7u tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn v\u00e0o nh\u1eefng n\u0103m 1990. Kh\u00e1c v\u1edbi lo\u1ea1i kh\u1edbp vai to\u00e0n ph\u1ea7n truy\u1ec1n th\u1ed1ng, kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c thay \u0111\u1ed5i vai tr\u00f2 c\u1ee7a hai th\u00e0nh ph\u1ea7n kh\u1edbp nh\u00e2n t\u1ea1o: ph\u1ea7n \u1ed5 ch\u1ea3o c\u00f3 d\u1ea1ng ch\u1ecfm c\u1ea7u trong khi ph\u1ea7n x\u01b0\u01a1ng c\u00e1nh tay c\u00f3 d\u1ea1ng m\u1eb7t \u0111\u0129a l\u00f5m \u00f4m l\u1ea5y ph\u1ea7n ch\u1ecfm c\u1ea7u c\u1ee7a \u1ed5 ch\u1ea3o. <\/strong>Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 ph\u1ea7n \u0111\u1ea1i c\u01b0\u01a1ng, ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c.<\/strong><\/b><\/p>\n

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

Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c<\/b><\/h2>\n

Lo\u1ea1i kh\u1edbp vai n\u00e0y s\u1eed \u0111\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p tho\u00e1i ho\u00e1 kh\u1edbp vai k\u00e8m theo ton th\u01b0\u01a1ng ch\u00f3p xoay kh\u00f4ng th\u1ebf ph\u1ee5c h\u1ed3i, hay \u1edd c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e0y ph\u1ee9c t\u1ea1p \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay ho\u1eb7c thay l\u1ea1i kh\u1edbp vai khi th\u00e0nh ph\u1ea7n ch\u00f3p xoay b\u1ecb m\u1ea5t ch\u1ee9c n\u0103ng ho\u1eb7c kh\u00f4ng th\u1ec3 kh\u00f4i ph\u1ee5c. Kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c b\u01b0\u1edbc \u0111\u1ea7u cho k\u1ebft qu\u1ea3 r\u1ea5t t\u1ed1t v\u1ec1 gi\u00e2m \u0111au, \u0111\u1ed9 v\u1eefng kh\u1edbp vai c\u0169ng nh\u01b0 ch\u1ee9c n\u0103ng kh\u1edbp vai khi so v\u1edbi kh\u1edbp vai ki\u1ec3u gi\u1ea3i ph\u1eabu.<\/span><\/p>\n

\"H\u00ecnh
H\u00ecnh \u1ea3nh X-quang (A) v\u00e0 h\u00ecnh v\u1ebd m\u00f4 t\u1ea3 (B) kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c<\/figcaption><\/figure>\n

N<\/b>guy\u00ean l\u00fd c\u01a1 s<\/b>inh h\u1ecdc c\u1ee7a kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c<\/b><\/p>\n

Kh\u1edbp vai nh\u00e2n t\u1ea1o kinh \u0111i\u1ec3n c\u00f3 thi\u1ebft k\u1ebf t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u1ea5u tr\u00fac kh\u1edbp vai b\u00ecnh th\u01b0\u1eddng. Ph\u1ea7n \u1ed3 ch\u1ea3o x\u01b0\u01a1ng c\u00e1nh tay \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 thay th\u1ec3 <\/span>0 <\/span>ch\u1ea3o th\u00f4ng th\u01b0\u1eddng v\u1edbi c\u1ea9u tr\u00fac d\u1ea1ng \u201c\u0111\u0129a\u201d m\u00f2ng v\u00e0 n\u00f4ng, ph\u1ea7n ch\u1ecfm nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf thay th\u1ebf ph\u1ea7n ch\u1ecfm c\u1ea7u c\u1ee7a x\u01b0\u01a1ng c\u00e1nh tay. C\u01a1 ch\u1ec1 n\u00e0y t\u01b0\u01a1ng t\u1ef1 nh\u01b0 chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a vi\u00ean bi tr\u00ean c\u00e1i \u0111\u0129a. c\u1ea5u tr\u00fac bao kh\u1edbp v\u00e0 h\u1ec7 th\u1ed1ng g\u00e2n ch\u00f3p xoay gi\u00fap gi\u1eef cho vi\u00ean bi chuy\u1ebfn \u0111\u1ed9ng \u0111\u00eau xung quanh <\/span>c\u00e1ch d\u1ec5 d\u00e0ng tr\u00ean c\u00e1i \u0111\u0129a, kh\u00f4ng b\u1ecb tr\u1eadt ra ngo\u00e0i v\u00e0 lu\u00f4n \u1edf v\u1ecb tr\u00ed trung t\u00e2m. Khi ch\u00f3p xoay b\u1ecb t\u1ed5n (h\u01b0\u01a1ng, vi\u00ean bi s\u1ebd kh\u00f4ng chuy\u1ebfn \u0111\u1ed9ng \u0111\u1ec1u n\u1eefa m\u00e0 c\u00f3 xu h\u01b0\u1edbng tr\u01b0\u1ee3t tr\u00ean \u0111\u0129a do l\u1ef1c k\u00e9o c\u1ee7a c\u01a1 delta do \u0111\u00f3, kh\u1ea3 n\u0103ng n\u00e2ng vai c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb h\u1ea1n ch\u1ebf v\u00e0 s\u1ef1 m\u00e0i m\u00f2n t\u0103ng nhanh l\u00e0m b\u1ec7nh nh\u00e2n s\u1edbm xu\u1ea5t hi\u1ec7n \u0111au tr\u1edf l\u1ea1i.<\/span><\/p>\n

\u0110\u1ed5 gi\u1ea3i quy\u1ebft \u0111i\u1ec1u n\u00e0y, vi\u1ec7c thay \u0111\u1ed5i c\u01a1 ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u01a1 h\u1ecdc c\u1ee7a kh\u1edbp vai nh\u00e2n t\u1ea1o c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u1eb7t ra v\u00e0 kh\u1edbp vai nh\u00e2n t\u1ea1o s\u1ebd ho\u1ea1t \u0111\u1ed9ng theo c\u01a1 ch\u1ebf kh\u00e1c th\u00edch nghi v\u1edbi t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u00f3 ch\u00f3p xoay. Gi\u1ea3i ph\u00e1p l\u00e0 \u0111\u1ea3o ng\u01b0\u1ee3c vai tr\u00f2 c\u1ee7a 2 th\u00e0nh ph\u1ea9n kh\u1edbp nh\u00e2n t\u1ea1o v\u00ec v\u1eady kh\u1edbp vai nh\u00e2n t\u1ea1o ki\u1ec3u n\u00e0y g\u1ecdi l\u00e0 kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c.<\/span><\/p>\n

Ph\u1ea7n \u1ed1 ch\u1ea3o s\u1ebd c\u00f3 c\u1ea5u tr\u00fac d\u1ea1ng ch\u1ecfm c\u1ea7u c\u00f2n ph\u1ea7n ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay s\u1ebd \u0111\u01b0\u1ee3c thay th\u1ebf b\u1edfi c\u1ea5u tr\u00fac d\u1ea1ng \u201c\u0111\u0129a\u201d nh\u01b0ng s\u00e2u v\u00e0 \u00f4m kh\u00edt l\u1ea5y ch\u1ecfm c\u1ea7u. Thi\u1ebft ke n\u00e0y gi\u00fap cho kh\u1edbp nh\u00e2n t\u1ea1o v\u1eefng h\u01a1n v\u00e0 c\u00f3 th\u1ec3 v\u1eadn \u0111\u1ed9ng n\u00e2ng tay l\u00ean cao kh\u00f4ng c\u1ea7n c\u00f3 g\u00e2n c\u01a1 ch\u00f3p xoay. Vi\u1ec7c l\u00e0m v\u1eefng kh\u1edbp nh\u00e2n t\u1ea1o l\u00e0 do c\u1ea5u tr\u00fac \u201c\u0111\u00eca\u201d \u0111\u01b0\u1ee3c l\u00e0m s\u00e2u v\u00e0 \u00f4m kh\u00edt l\u1ea5y c\u1ea5u tr\u00fac ch\u1ecfm c\u1ea7u do \u0111\u00f3 l\u00e0m cho ch\u1edfm c\u1ea7u kh\u00f4ng tr\u01b0\u1ee3t m\u00e0 xoay khi th\u1ef1c hi\u1ec7n \u0111\u1ed9ng t\u00e1c n\u00e2ng tay.<\/span><\/p>\n

Trong cung v\u1eadn \u0111\u1ed9ng n\u00e2ng c\u00e1nh tay, c\u01a1 delta tham gia t\u1eeb 0-60 \u0111\u1ed9, t\u1eeb 60 \u201c 120 \u0111\u1ed9 do c\u00e1c c\u01a1 ch\u00f3p xoay \u0111\u1ea3m nhi\u1ec7m, ph\u1ea7n c\u00f2n l\u1ea1i t\u1eeb 120 – 180 \u0111\u1ed9 do kh\u1edbp b\u1ea3 vai l\u1ed3ng ng\u1ef1c \u0111\u1ea3m nhi\u1ec7m. Nh\u1edd ph\u1ed5i h\u1ecdp c\u1ee7a 3 giai \u0111o\u1ea1n c\u1ee7a cung chuy\u1ebfn \u0111\u1ed9ng \u0111\u00f3 m\u00e0 ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay ho\u1eb7c ch\u1ecfm kh\u1edbp nh\u00e2n t\u1ea1o kinh \u0111i\u1ec3n s\u1ebd xoay tr\u00f2n tr\u00ean 0 ch\u00e0o kh\u1edbp vai (ho\u1eb7c \u1ed5 ch\u1ea3o nh\u00e2n t\u1ea1o). Khi t\u1ed5n th\u01b0\u01a1ng g\u00e2n c\u01a1 ch\u00f3p xoay, \u1edd giai \u0111o\u1ea1n cung v\u1eadn \u0111\u1ed9ng do g\u00e2n c\u01a1 ch\u00f3p xoay \u0111\u1ea3m nhi\u1ec7m, l\u1ef1c k\u00e9o c\u1ee7a c\u01a1 delta s\u1ebd k\u00e9o l\u00e0m cho ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay ho\u1eb7c ch\u1ecfm nh\u00e2n t\u1ea1o kinh \u0111icn tr\u01b0\u1ee3t l\u00ean theo chi\u1ec1u d\u1ecdc tr\u00ean \u201c\u0111\u0129a\u201d \u1ed1 ch\u1ea3o, do \u0111\u00f3 c\u00e1nh tay kh\u00f4ng th\u1ec3 n\u00e2ng l\u00ean ti\u1ebfp \u0111\u01b0\u1ee3c v\u00e0 o ch\u1ea3o b\u1ecb ma s\u00e1t g\u00e2y m\u00e0i m\u00f2n.<\/span><\/p>\n

V\u1edbi thi\u1ebft k\u1ebf kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c, t\u1ea5m xoay c\u1ee7a kh\u1edbp vai d\u1ecbch v\u00e0o trong l\u00e0m cho c\u00e1nh tay \u0111\u00f2n c\u1ee7a c\u01a1 delta t\u0103ng l\u00ean, l\u00e0m t\u0103ng momen l\u1ef1c c\u1ee7a c\u01a1 delta. Trong kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c, chi\u1ec1u d\u00e0i c\u01a1 delta l\u00fac ngh\u1ec9 c\u0169ng t\u0103ng l\u00ean, l\u00e0m t\u0103ng bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng c\u01a1 delta, b\u00f9 l\u1ea1i s\u1ef1 thi\u1ebfu h\u1ee5t c\u1ee7a c\u01a1 tr\u00ean gai. Ngo\u00e0i ra, khi t\u00e2m xoay d\u1ecbch chuy\u1ec3n v\u00e0o trong, ph\u1ea7n c\u01a1 delta tham gia v\u00e0o \u0111\u1ed9ng t\u00e1c gi\u1ea1ng vai s\u1ebd: t\u0103ng l\u00ean<\/span><\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\u00a0<\/strong><\/h2>\n

2.1 Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n

2.1.1 T\u1ed5n th\u01b0\u01a1ng ch\u00f3p xoay<\/strong><\/p>\n

    \n
  • Ch\u1ec9 \u0111\u1ecbnh ph\u00f4 bi\u00ean c\u1ee7a thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c l\u00e0 t\u00ecnh tr\u1ea1ng tho\u00e1i ho\u00e1 kh\u1edbp vai k\u00e8m t\u1ed5n th\u01b0\u01a1ng g\u00e2n c\u01a1 ch\u00f3p xoay. Ngo\u00e0i ra, thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c c\u00f2n ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng ch\u00f3p xoay d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u201cgi\u1ea3 li\u1ec7t\u201d m\u1eb7c d\u00f9 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a tho\u00e1i ho\u00e1 kh\u1edbp v\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ecdp g\u00e0y ph\u1ee9c t\u1ea1p ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay.<\/span><\/li>\n
  • \u0110\u1ed1i v\u1edbi c\u00e1c t\u1ed1n th\u01b0\u01a1ng ch\u00f3p xoay n\u1eb7ng, c\u00f3 the \u0111\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u201cgi\u1ea3 li\u1ec7t\u201d, ngh\u0129a l\u00e0 m\u1eb7c d\u00f9 ko c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh (li\u1ec7t th\u1ea7n kinh) nh\u01b0ng do t\u1ed5n th\u01b0\u01a1ng g\u00e2n c\u01a1 ch\u00f3p xoay n\u1eb7ng n\u00ean b\u1ec7nh nh\u00e2n v\u1eabn kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ed9ng t\u00e1c n\u00e2ng vai. V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, m\u1eb7c d\u00f9 kh\u1edbp kh\u00f4ng c\u00f3 t\u1ed1n th\u01b0\u01a1ng tho\u00e1i ho\u00e1 nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c.<\/span>n\u1eefa, \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i ch\u00f3p xoay th\u01b0\u1eddng b\u1ecb t\u1ed5n th\u01b0\u01a1ng tho\u00e1i ho\u00e1. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111en vi\u1ec7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/span><\/li>\n<\/ul>\n

    2.1.2 G\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay\u00a0<\/strong><\/p>\n

    \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p g\u00e3y ph\u1ee9c t\u1ea1p \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay \u1edf b\u1ec7nh nh\u00e2n cao tu\u1ed5i, k\u1ebft x\u01b0\u01a1ng th\u01b0\u1eddng kh\u00f3 kh\u0103n v\u00e0 c\u00f3 nhi\u1ec1u nguy c\u01a1 th\u1ea5t b\u1ea1i thay kh\u1edbp vai b\u00e1n ph\u1ea7n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. Tuy nhi\u00ean thay kh\u1edbp vai b\u00e1n ph\u1ea7n c\u00f3 th\u1ec3 s\u1ebd g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n trong vi\u1ec7c kh\u00f4i ph\u1ee5c m\u1ea5u \u0111\u1ed9ng l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay (di\u1ec7n b\u00e1m ch\u00f3p xoay) do t\u1ed5n th\u01b0\u01a1ng g\u00e2y ph\u1ee9c t\u1ea1p h\u01a1n\u00a0k\u00e9m sau thay kh\u1edbp vai b\u00e1n ph\u1ea7n. \u0110e kh\u1eafc ph\u1ee5c nh\u01b0\u1ee3c \u0111i\u1ec3m n\u00e0y, thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y ph\u1ee9c t\u1ea1p \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i.<\/span><\/p>\n

    2.1.3 Thay l\u1ea1i kh\u1edbp vai<\/strong><\/p>\n

    Trong thay l\u1ea1i kh\u1edbp vai, kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng ch\u00f3p xoay kh\u00f4ng th\u1ebf ph\u1ee5c h\u1ed3i, m\u1ea5t ho\u1eb7c kh\u00f4ng li\u1ec1n m\u1ea5u \u0111\u1ed9ng l\u1edbn, m\u1ea5t v\u1eefng kh\u1edbp vai.<\/span><\/p>\n

    2.1.4 Ung th\u01b0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay<\/strong><\/p>\n

    \u0110\u1ed1i v\u1edbi ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n chi trong ung th\u01b0 \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay, ch\u00f3p xoay c\u00f3 th\u1ebf b\u1ecb c\u1eaft b\u1ecf \u0111\u1ebf \u0111\u1ea3m b\u1ea3o di\u1ec7n c\u1eaft l\u00e0nh t\u00ednh, \u01a1 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng kh\u1edbp vai sau mo so v\u1edbi kh\u1edbp vai to\u00e0n ph\u1ea7n ki\u1ec3u gi\u1ea3i ph\u1eabu.<\/span><\/p>\n

    2.2 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/p>\n

      \n
    • Nhi\u1ec5m tr\u00f9ng t\u1ea1i ch\u1ed7 ho\u1eb7c to\u00e0n th\u00e2n<\/span><\/li>\n
    • Li\u1ec7t c\u01a1 Delta<\/span><\/li>\n
    • Ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng k\u00e9m (ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 \u1ed5 ch\u1ea3o)<\/span><\/li>\n
    • Ti\u00eau x\u01b0\u01a1ng \u1ed5<\/span>\u00a0ch\u1ea3o<\/span><\/li>\n
    • C\u1ee9ng kh\u1edbp vai<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

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Kh\u00e1c v\u1edbi lo\u1ea1i kh\u1edbp vai to\u00e0n ph\u1ea7n truy\u1ec1n th\u1ed1ng, kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c thay \u0111\u1ed5i vai tr\u00f2 c\u1ee7a hai th\u00e0nh ph\u1ea7n kh\u1edbp nh\u00e2n t\u1ea1o: ph\u1ea7n \u1ed5 […]<\/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":"\nThay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c: \u0110\u1ea1i c\u01b0\u01a1ng, ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c thay \u0111\u1ed5i vai tr\u00f2 c\u1ee7a hai th\u00e0nh ph\u1ea7n kh\u1edbp nh\u00e2n t\u1ea1o, \u0111\u1ea1i c\u01b0\u01a1ng, sinh l\u00fd b\u1ec7nh, ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\" \/>\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=\"Thay kh\u1edbp vai \u0111\u1ea3o ng\u01b0\u1ee3c: \u0110\u1ea1i c\u01b0\u01a1ng, ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh - 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