{"id":21978,"date":"2023-04-16T21:37:53","date_gmt":"2023-04-16T14:37:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21978"},"modified":"2023-05-03T18:34:02","modified_gmt":"2023-05-03T11:34:02","slug":"dieu-tri-va-theo-doi-benh-loang-xuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/dieu-tri-va-theo-doi-benh-loang-xuong\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng"},"content":{"rendered":"<p><strong>M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 m\u1ea5t x\u01b0\u01a1ng \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh nh\u00e2n m\u1eafc lo\u00e3ng x\u01b0\u01a1ng.<\/strong><\/p>\n<h2>1. \u0110i\u1ec1u tr\u1ecb<\/h2>\n<h3>1.1. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/h3>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">n u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng: B<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">sung ngu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed3<\/span><span dir=\"ltr\" role=\"presentation\">n th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">n gi\u00e0u calci, s\u1eefa, d\u01b0\u1ee3c ph\u1ea9m (theo nhu c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">u c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">a c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">: t<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb <\/span><span dir=\"ltr\" role=\"presentation\">1.000-1.500mg h\u00e0ng ng\u00e0y).\u00a0<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Tr\u00e1nh c\u00e1c y<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">u t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1 <\/span><span dir=\"ltr\" role=\"presentation\">nguy c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">: thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c l\u00e1, caf\u00e9, r<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">u&#8230; tr\u00e1nh th<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">a c\u00e2n ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c thi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">u c\u00e2n.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">sinh ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">t: t<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">ng, t<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebb<\/span><span dir=\"ltr\" role=\"presentation\">o dai c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span> <span dir=\"ltr\" role=\"presentation\">b<\/span><span dir=\"ltr\" role=\"presentation\">\u1eaf<\/span><span dir=\"ltr\" role=\"presentation\">p, tr\u00e1nh t\u00e9 ng\u00e3&#8230;<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">S<\/span><span dir=\"ltr\" role=\"presentation\">\u1eed<\/span> <span dir=\"ltr\" role=\"presentation\">d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng c\u00e1c d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">, n<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">p ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span><span dir=\"ltr\" role=\"presentation\">nh h\u00ecnh (cho c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng, cho kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">p h\u00e1ng). M\u1ee5c \u0111\u00edch l\u00e0 gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span> <span dir=\"ltr\" role=\"presentation\">t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef3 <\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00e8 l\u00ean c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">u x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng, x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng v\u00f9ng h\u00f4ng.<\/span><\/li>\n<\/ul>\n<h3>1.2. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/h3>\n<h4><span dir=\"ltr\" role=\"presentation\">1.2.1. C\u00e1c thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">sung n<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">u ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">n kh\u00f4ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ee7<\/span>. D<span dir=\"ltr\" role=\"presentation\">\u00f9ng thu\u1ed1c h\u00e0ng ng\u00e0y trong su<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t qu\u00e1 <\/span><span dir=\"ltr\" role=\"presentation\">tr\u00ecnh<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/h4>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Calci: c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">sung calci 500 \u2013 1.500mg h\u00e0ng ng\u00e0y.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Vitamin D 800 &#8211; 1.000 UI h\u00e0ng ng\u00e0y ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t chuy<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\">n ho\u00e1 c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">a vitamin D l\u00e0 <\/span><span dir=\"ltr\" role=\"presentation\">Calcitriol 0,25 \u2013 0,5 mcg. Th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh cho c\u00e1c b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh nh\u00e2n l<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">n tu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span><span dir=\"ltr\" role=\"presentation\">i ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c suy th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n v\u00ec <\/span><span dir=\"ltr\" role=\"presentation\">kh\u00f4ng chuy<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\">n h\u00f3a<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c vitamin D.<\/span><\/li>\n<\/ul>\n<h4><span dir=\"ltr\" role=\"presentation\">1.2.2. C\u00e1c thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng. <\/span><\/h4>\n<p><span dir=\"ltr\" role=\"presentation\">Nh\u1eefng thu\u1ed1c n\u00e0y l\u00e0m gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">t t\u00ednh t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">b\u00e0o h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng.<\/span><\/p>\n<h5><span dir=\"ltr\" role=\"presentation\"><em>Nh\u00f3m Bisphosphonat<\/em> <\/span><\/h5>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Hi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">n l\u00e0 nh\u00f3m thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span><span dir=\"ltr\" role=\"presentation\">a ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecd<\/span><span dir=\"ltr\" role=\"presentation\">n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">u ti\u00ean trong<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u <\/span><span dir=\"ltr\" role=\"presentation\">tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">c\u00e1c<\/span> <span dir=\"ltr\" role=\"presentation\">b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh<\/span> <span dir=\"ltr\" role=\"presentation\">l\u00fd lo\u00e3ng<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">(ng<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span> <span dir=\"ltr\" role=\"presentation\">gi\u00e0,<\/span> <span dir=\"ltr\" role=\"presentation\">ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">n<\/span><span dir=\"ltr\" role=\"presentation\">\u1eef<\/span> <span dir=\"ltr\" role=\"presentation\">sau<\/span> <span dir=\"ltr\" role=\"presentation\">m\u00e3n<\/span> <span dir=\"ltr\" role=\"presentation\">kinh,<\/span> <span dir=\"ltr\" role=\"presentation\">nam<\/span> <span dir=\"ltr\" role=\"presentation\">gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i,<\/span> <span dir=\"ltr\" role=\"presentation\">do <\/span><span dir=\"ltr\" role=\"presentation\">corticosteroid). <\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh: ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">n<\/span><span dir=\"ltr\" role=\"presentation\">\u1eef<\/span> <span dir=\"ltr\" role=\"presentation\">c\u00f3 thai v\u00e0 cho con b\u00fa; ng\u01b0\u1eddi d<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i 18 tu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span><span dir=\"ltr\" role=\"presentation\">i (<\/span>xem x\u00e9t <span dir=\"ltr\" role=\"presentation\">t<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">ng tr<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\">); suy th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n v<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">c l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecd<\/span><span dir=\"ltr\" role=\"presentation\">c c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">u th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n (GFR)&lt;35 ml\/ph\u00fat.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_21989\" aria-describedby=\"caption-attachment-21989\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/co-thai-khi-dang-cho-con-bu-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-21989\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/co-thai-khi-dang-cho-con-bu-1.jpg\" alt=\"\" width=\"700\" height=\"466\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/co-thai-khi-dang-cho-con-bu-1.jpg 700w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/co-thai-khi-dang-cho-con-bu-1-300x200.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/a><figcaption id=\"caption-attachment-21989\" class=\"wp-caption-text\">Nh\u00f3m thu\u1ed1c bisphotphonat ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/figcaption><\/figure>\n<h5><span dir=\"ltr\" role=\"presentation\">Alendronat 70mg ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c Alendronat 70mg + Cholecalciferol 2800UI <\/span><\/h5>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Thu\u1ed1c u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng s\u00e1ng <\/span><span dir=\"ltr\" role=\"presentation\">s<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">m, khi b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f3i, m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t tu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n, u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng k\u00e8m nhi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u n<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">c. Sau u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng n\u00ean v<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n \u0111\u1ed9ng, kh\u00f4ng n\u1eb1m sau u\u1ed1ng thu\u1ed1c \u00edt nh\u1ea5t 30 ph\u00fat. <\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">T\u00e1c d\u1ee5ng ph\u1ee5 ch\u1ee7 y\u1ebfu c\u1ee7a bisphosphonate d\u1ea1ng u\u1ed1ng: l\u00e0 k\u00edch \u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 vi\u00eam th\u1ef1c qu\u1ea3n, lo\u00e9t d\u1ea1 d\u00e0y, nu\u1ed1t kh\u00f3&#8230;<br \/>\n<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_21990\" aria-describedby=\"caption-attachment-21990\" style=\"width: 960px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Chao-buoi-sang-tieng-anh.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-21990\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Chao-buoi-sang-tieng-anh.jpg\" alt=\"\" width=\"960\" height=\"648\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Chao-buoi-sang-tieng-anh.jpg 960w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Chao-buoi-sang-tieng-anh-300x203.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Chao-buoi-sang-tieng-anh-768x518.jpg 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/><\/a><figcaption id=\"caption-attachment-21990\" class=\"wp-caption-text\">Thu\u1ed1c u\u1ed1ng v\u00e0o bu\u1ed5i s\u00e1ng s\u1edbm<\/figcaption><\/figure>\n<h5><span dir=\"ltr\" role=\"presentation\">Calcitonin (chi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t su<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t t<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span> <span dir=\"ltr\" role=\"presentation\">c\u00e1 h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed3<\/span><span dir=\"ltr\" role=\"presentation\">i) 100UI ti\u00eam d<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i da ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c 200UI <\/span><\/h5>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">X<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">t qua ni\u00eam <\/span><span dir=\"ltr\" role=\"presentation\">m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">c m<\/span><span dir=\"ltr\" role=\"presentation\">\u0169<\/span><span dir=\"ltr\" role=\"presentation\">i h\u00e0ng ng\u00e0y. <\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1eaf<\/span><span dir=\"ltr\" role=\"presentation\">n ng\u00e0y (2 \u2013 4 tu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n) trong tr<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p m<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i g<\/span><span dir=\"ltr\" role=\"presentation\">\u00e3<\/span><span dir=\"ltr\" role=\"presentation\">y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng, <\/span><span dir=\"ltr\" role=\"presentation\">\u0111\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">t khi c\u00f3 k\u00e8m tri<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au. <\/span><\/li>\n<li><span style=\"text-decoration: underline;\"><span dir=\"ltr\" role=\"presentation\">Kh\u00f4ng d\u00f9ng d\u00e0i ng\u00e0y trong<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><\/span><span dir=\"ltr\" role=\"presentation\"><span style=\"text-decoration: underline;\">ng<\/span>. K<\/span><span dir=\"ltr\" role=\"presentation\">hi b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh nh\u00e2n gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">ti<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">p b<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb1<\/span><span dir=\"ltr\" role=\"presentation\">ng nh\u00f3m Bisphosphonat (u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c truy<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">n <\/span><span dir=\"ltr\" role=\"presentation\">t<\/span><span dir=\"ltr\" role=\"presentation\">\u0129<\/span><span dir=\"ltr\" role=\"presentation\">nh m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ch).<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_22608\" aria-describedby=\"caption-attachment-22608\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Calcitonin.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-22608\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Calcitonin.jpg\" alt=\"\" width=\"1024\" height=\"1024\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Calcitonin.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Calcitonin-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Calcitonin-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Calcitonin-768x768.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption id=\"caption-attachment-22608\" class=\"wp-caption-text\">Calcitonin<\/figcaption><\/figure>\n<h5><span dir=\"ltr\" role=\"presentation\">Li<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u ph\u00e1p s<\/span><span dir=\"ltr\" role=\"presentation\">\u1eed<\/span> <span dir=\"ltr\" role=\"presentation\">d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng c\u00e1c ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng hormon <\/span><\/h5>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i v<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">n<\/span><span dir=\"ltr\" role=\"presentation\">\u1eef<\/span> <span dir=\"ltr\" role=\"presentation\">sau m\u00e3n <\/span><span dir=\"ltr\" role=\"presentation\">kinh c\u00f3 nguy c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span> <span dir=\"ltr\" role=\"presentation\">cao ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c c\u00f3 lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng sau m\u00e3n kinh.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Raloxifen, ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u ho\u00e0 ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecd<\/span><span dir=\"ltr\" role=\"presentation\">n l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecd<\/span><span dir=\"ltr\" role=\"presentation\">c th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">Estrogen (SERMs). C\u00e1ch d\u00f9ng: 60mg u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng h\u00e0ng <\/span><span dir=\"ltr\" role=\"presentation\">ng\u00e0y, trong th<\/span><span dir=\"ltr\" role=\"presentation\">\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">i gian<\/span> <span dir=\"ltr\" role=\"presentation\">\u2264<\/span> <span dir=\"ltr\" role=\"presentation\">2 n<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">m.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_21988\" aria-describedby=\"caption-attachment-21988\" style=\"width: 730px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/man-kinh-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-21988\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/man-kinh-1.jpg\" alt=\"\" width=\"730\" height=\"487\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/man-kinh-1.jpg 730w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/man-kinh-1-300x200.jpg 300w\" sizes=\"(max-width: 730px) 100vw, 730px\" \/><\/a><figcaption id=\"caption-attachment-21988\" class=\"wp-caption-text\">Ph\u1ee5 n\u1eef m\u00e3n kinh<\/figcaption><\/figure>\n<h5><span dir=\"ltr\" role=\"presentation\">Thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c c\u00f3 t\u00e1c d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng k\u00e9p: Strontium ranelat<\/span><\/h5>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c v<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">a c\u00f3 t\u00e1c d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng t<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">o x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng v<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">a c\u00f3 t\u00e1c d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">c ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng. <\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Hi\u1ec7n <\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">ang<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c coi l\u00e0 thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c c\u00f3 t\u00e1c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">ng k\u00e9p ph\u00f9 h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">t<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">ng sinh l\u00fd c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">a x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Li<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u d\u00f9ng 2g<\/span> <span dir=\"ltr\" role=\"presentation\">u<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng ng\u00e0y m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n v\u00e0o bu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span><span dir=\"ltr\" role=\"presentation\">i t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i (sau b<\/span><span dir=\"ltr\" role=\"presentation\">\u1eef<\/span><span dir=\"ltr\" role=\"presentation\">a<\/span> <span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">n 2 gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">, tr<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">c khi<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i <\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span> <span dir=\"ltr\" role=\"presentation\">t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i).<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh khi b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh nh\u00e2n c\u00f3 ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c kh\u00f4ng dung n<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">p <\/span><span dir=\"ltr\" role=\"presentation\">nh\u00f3m bisphosphonates. Thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">c ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">osteocalcin: Menatetrenon (vitamin K2).<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span dir=\"ltr\" role=\"presentation\">C\u00e1c nh\u00f3m thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c kh\u00e1c c\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p trong nh<\/span><span dir=\"ltr\" role=\"presentation\">\u1eef<\/span><span dir=\"ltr\" role=\"presentation\">ng tr<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n thi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t<\/span><\/h5>\n<p><span dir=\"ltr\" role=\"presentation\">Thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c l\u00e0m t<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng qu\u00e1 tr\u00ecnh<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed3<\/span><span dir=\"ltr\" role=\"presentation\">ng ho\u00e1: Deca Durabolin v\u00e0 Durabolin<\/span><\/p>\n<h3>1.3. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/h3>\n<p><span dir=\"ltr\" role=\"presentation\">\u0110<\/span><span dir=\"ltr\" role=\"presentation\">au c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecd<\/span><span dir=\"ltr\" role=\"presentation\">c c\u00e1c x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng&#8230;(khi m<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i g\u00e3y<\/span><span dir=\"ltr\" role=\"presentation\"> x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng, l\u00fan x<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">p<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng).<\/span><\/p>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\"> Ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9 <\/span><span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh calcitonine v\u00e0 c\u00e1c thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au theo b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">c thang c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span><span dir=\"ltr\" role=\"presentation\">a T<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">c Y t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">Th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i. <\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">C\u00f3 <\/span><span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">k<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c kh\u00e1ng vi\u00eam gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au kh\u00f4ng steroids, thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">c 2 (ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p <\/span><span dir=\"ltr\" role=\"presentation\">nh\u00f3m opiat nh<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span> <span dir=\"ltr\" role=\"presentation\">v\u00e0 v<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span><span dir=\"ltr\" role=\"presentation\">a), thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c gi\u00e3n c<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">&#8230;<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_21991\" aria-describedby=\"caption-attachment-21991\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/psoriatic-arthritis-and-nsaids-5-questions-to-ask-your-doctor-1440x810-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-large wp-image-21991\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/psoriatic-arthritis-and-nsaids-5-questions-to-ask-your-doctor-1440x810-1-1024x576.jpg\" alt=\"\" width=\"1024\" height=\"576\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/psoriatic-arthritis-and-nsaids-5-questions-to-ask-your-doctor-1440x810-1-1024x576.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/psoriatic-arthritis-and-nsaids-5-questions-to-ask-your-doctor-1440x810-1-300x169.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/psoriatic-arthritis-and-nsaids-5-questions-to-ask-your-doctor-1440x810-1-768x432.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/psoriatic-arthritis-and-nsaids-5-questions-to-ask-your-doctor-1440x810-1.jpg 1440w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption id=\"caption-attachment-21991\" class=\"wp-caption-text\">Thu\u1ed1c gi\u1ea3m \u0111au ch\u1ed1ng vi\u00eam kh\u00f4ng steroids<\/figcaption><\/figure>\n<p><span dir=\"ltr\" role=\"presentation\">Ch\u00e8n \u00e9p r<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec5<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n kinh li\u00ean s<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">n (<\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span><span dir=\"ltr\" role=\"presentation\">c kh\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1edf<\/span><span dir=\"ltr\" role=\"presentation\">, ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">m ti\u00eau,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au lan theo r<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec5 <\/span><span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n kinh, d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m, t\u00ea&#8230;)<\/span><\/p>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\"> N<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">p th<\/span><span dir=\"ltr\" role=\"presentation\">\u1eaf<\/span><span dir=\"ltr\" role=\"presentation\">t l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span><span dir=\"ltr\" role=\"presentation\">ng,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec9<\/span><span dir=\"ltr\" role=\"presentation\">nh t<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0<\/span> <span dir=\"ltr\" role=\"presentation\">th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span> <span dir=\"ltr\" role=\"presentation\">ng<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed3<\/span><span dir=\"ltr\" role=\"presentation\">i ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m <\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au, thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">c gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">au th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n kinh, vitamin nh\u00f3m B&#8230; n<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">u c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n.<\/span><\/li>\n<\/ul>\n<h3><span dir=\"ltr\" role=\"presentation\">1.4. \u0110<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">ngo<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">i khoa c\u00e1c bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">ng g<\/span><span dir=\"ltr\" role=\"presentation\">\u00e3<\/span><span dir=\"ltr\" role=\"presentation\">y c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f9i, g<\/span><span dir=\"ltr\" role=\"presentation\">\u00e3<\/span><span dir=\"ltr\" role=\"presentation\">y th\u00e2n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span><\/h3>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">Tr<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">ng h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">p g<\/span><span dir=\"ltr\" role=\"presentation\">\u00e3y<\/span><span dir=\"ltr\" role=\"presentation\"> c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f9i c\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">b<\/span><span dir=\"ltr\" role=\"presentation\">\u1eaf<\/span><span dir=\"ltr\" role=\"presentation\">t v\u00edt x<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">p, thay ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecf<\/span><span dir=\"ltr\" role=\"presentation\">m x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f9i ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c <\/span><span dir=\"ltr\" role=\"presentation\">thay to\u00e0n b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">p h\u00e1ng.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">G\u00e3y<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng, bi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">n d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng: Ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">c h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed3<\/span><span dir=\"ltr\" role=\"presentation\">i chi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u cao<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng b<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb1<\/span><span dir=\"ltr\" role=\"presentation\">ng c\u00e1c ph<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng <\/span><span dir=\"ltr\" role=\"presentation\">ph\u00e1p t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">o h\u00ecnh<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng (b<\/span><span dir=\"ltr\" role=\"presentation\">\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">m xi m<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">ng v\u00e0o th\u00e2n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng, thay<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng nh\u00e2n t<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">o&#8230;)<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span> <span dir=\"ltr\" role=\"presentation\">n<\/span><span dir=\"ltr\" role=\"presentation\">\u1eef<\/span> <span dir=\"ltr\" role=\"presentation\">sau m\u00e3n kinh, nam gi<\/span><span dir=\"ltr\" role=\"presentation\">\u1edb<\/span><span dir=\"ltr\" role=\"presentation\">i &gt; 60 tu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span><span dir=\"ltr\" role=\"presentation\">i b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">g\u00e3y<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">ng, g\u00e3y c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f9i <\/span><span dir=\"ltr\" role=\"presentation\">ho<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb7<\/span><span dir=\"ltr\" role=\"presentation\">c g\u00e3y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed5<\/span> <span dir=\"ltr\" role=\"presentation\">tay do ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">n th<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng nh<\/span><span dir=\"ltr\" role=\"presentation\">\u1eb9<\/span><span dir=\"ltr\" role=\"presentation\">. C\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng m\u00e0 kh\u00f4ng <\/span><span dir=\"ltr\" role=\"presentation\">c<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea7<\/span><span dir=\"ltr\" role=\"presentation\">n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">o kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng. Vi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">o kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebd<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span><span dir=\"ltr\" role=\"presentation\">c hi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">n sau<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f3, khi <\/span><span dir=\"ltr\" role=\"presentation\">thu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ead<\/span><span dir=\"ltr\" role=\"presentation\">n ti<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">n,<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">theo d\u00f5i v\u00e0<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00e1nh gi\u00e1 k<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t qu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_21993\" aria-describedby=\"caption-attachment-21993\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190502_070226_065377_image1_29.max-1800x1800-1.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-21993\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190502_070226_065377_image1_29.max-1800x1800-1.jpg\" alt=\"\" width=\"640\" height=\"331\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190502_070226_065377_image1_29.max-1800x1800-1.jpg 640w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190502_070226_065377_image1_29.max-1800x1800-1-300x155.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><figcaption id=\"caption-attachment-21993\" class=\"wp-caption-text\">Thay kh\u1edbp h\u00e1ng \u0111i\u1ec1u tr\u1ecb g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i<\/figcaption><\/figure>\n<h2>2. Theo d\u00f5i v\u00e0 qu\u1ea3n l\u00fd<\/h2>\n<ul>\n<li><span dir=\"ltr\" role=\"presentation\">B<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh nh\u00e2n ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">l\u00e2u d\u00e0i v\u00e0 theo d\u00f5i s\u00e1t<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">o<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">m s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ef1<\/span> <span dir=\"ltr\" role=\"presentation\">tu\u00e2n th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7 <\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">. <strong>N<\/strong><\/span><strong><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">u kh\u00f4ng tu\u00e2n th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee7<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">, s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebd<\/span> <span dir=\"ltr\" role=\"presentation\">kh\u00f4ng c\u00f3 hi<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u qu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/strong><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">C\u00f3 th<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">s<\/span><span dir=\"ltr\" role=\"presentation\">\u1eed<\/span> <span dir=\"ltr\" role=\"presentation\">d<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee5<\/span><span dir=\"ltr\" role=\"presentation\">ng m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed9<\/span><span dir=\"ltr\" role=\"presentation\">t s<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span> <span dir=\"ltr\" role=\"presentation\">markers chu chuy<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec3<\/span><span dir=\"ltr\" role=\"presentation\">n x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">h<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed7<\/span> <span dir=\"ltr\" role=\"presentation\">tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee3<\/span> <span dir=\"ltr\" role=\"presentation\">ch<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea9<\/span><span dir=\"ltr\" role=\"presentation\">n<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">o\u00e1n, ti\u00ean <\/span><span dir=\"ltr\" role=\"presentation\">l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng g\u00e3y x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng, ti\u00ean l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng t\u00ecnh tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ng m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea5<\/span><span dir=\"ltr\" role=\"presentation\">t x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng v\u00e0 theo d\u00f5i<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">\u0110<\/span><span dir=\"ltr\" role=\"presentation\">o kh<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed1<\/span><span dir=\"ltr\" role=\"presentation\">i l<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u1ee3<\/span><span dir=\"ltr\" role=\"presentation\">ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng (ph<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng ph\u00e1p DXA) m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ed7<\/span><span dir=\"ltr\" role=\"presentation\">i 2 n<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">m<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ec3<\/span> <span dir=\"ltr\" role=\"presentation\">theo d\u00f5i v\u00e0<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00e1nh gi\u00e1 <\/span><span dir=\"ltr\" role=\"presentation\">k<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t qu<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">.<\/span><\/li>\n<li><span dir=\"ltr\" role=\"presentation\">Th<\/span><span dir=\"ltr\" role=\"presentation\">\u1edd<\/span><span dir=\"ltr\" role=\"presentation\">i gian<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">i<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec1<\/span><span dir=\"ltr\" role=\"presentation\">u tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">ph<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea3<\/span><span dir=\"ltr\" role=\"presentation\">i k\u00e9o d\u00e0i t<\/span><span dir=\"ltr\" role=\"presentation\">\u1eeb<\/span> <span dir=\"ltr\" role=\"presentation\">3 \u2013 5 n<\/span><span dir=\"ltr\" role=\"presentation\">\u0103<\/span><span dir=\"ltr\" role=\"presentation\">m (t\u00f9y m<\/span><span dir=\"ltr\" role=\"presentation\">\u1ee9<\/span><span dir=\"ltr\" role=\"presentation\">c<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ed9<\/span> <span dir=\"ltr\" role=\"presentation\">lo\u00e3ng x<\/span><span dir=\"ltr\" role=\"presentation\">\u01b0\u01a1<\/span><span dir=\"ltr\" role=\"presentation\">ng), sau<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00f3 <\/span><span dir=\"ltr\" role=\"presentation\">\u0111<\/span><span dir=\"ltr\" role=\"presentation\">\u00e1nh gi\u00e1 l<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">i t\u00ecnh tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ea1<\/span><span dir=\"ltr\" role=\"presentation\">ng b<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">nh v\u00e0 quy<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">t<\/span> <span dir=\"ltr\" role=\"presentation\">\u0111\u1ecb<\/span><span dir=\"ltr\" role=\"presentation\">nh c\u00e1c tr<\/span><span dir=\"ltr\" role=\"presentation\">\u1ecb<\/span> <span dir=\"ltr\" role=\"presentation\">li<\/span><span dir=\"ltr\" role=\"presentation\">\u1ec7<\/span><span dir=\"ltr\" role=\"presentation\">u ti<\/span><span dir=\"ltr\" role=\"presentation\">\u1ebf<\/span><span dir=\"ltr\" role=\"presentation\">p theo.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_21992\" aria-describedby=\"caption-attachment-21992\" style=\"width: 660px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-kham.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-21992\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-kham.jpg\" alt=\"\" width=\"660\" height=\"452\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-kham.jpg 660w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-kham-300x205.jpg 300w\" sizes=\"(max-width: 660px) 100vw, 660px\" \/><\/a><figcaption id=\"caption-attachment-21992\" class=\"wp-caption-text\">T\u01b0 v\u1ea5n b\u1ec7nh nh\u00e2n t\u00e1i kh\u00e1m th\u01b0\u1eddng xuy\u00ean v\u00e0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 m\u1ea5t x\u01b0\u01a1ng \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh nh\u00e2n m\u1eafc lo\u00e3ng x\u01b0\u01a1ng. 1. \u0110i\u1ec1u tr\u1ecb 1.1. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: B\u1ed5 sung ngu\u1ed3n th\u1ee9c \u0103n gi\u00e0u calci, s\u1eefa, d\u01b0\u1ee3c ph\u1ea9m (theo nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3 : t\u1eeb [&hellip;]<\/p>\n","protected":false},"author":50,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[85],"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 v\u00e0 theo d\u00f5i 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