{"id":22025,"date":"2023-04-16T11:42:15","date_gmt":"2023-04-16T04:42:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22025"},"modified":"2023-05-02T15:13:58","modified_gmt":"2023-05-02T08:13:58","slug":"cac-nguyen-tac-dieu-tri-can-ho-phia-truoc-va-phan-loai-can-ho","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/cac-nguyen-tac-dieu-tri-can-ho-phia-truoc-va-phan-loai-can-ho\/","title":{"rendered":"C\u00e1c nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 ph\u00e2n lo\u1ea1i c\u1eafn h\u1edf."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c nguy\u00ean t\u1eafc chung \u0111i\u1ec1u tr\u1ecb c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 \u0111\u1ed3ng th\u1eddi ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 c\u1eafn h\u1edf tr\u00ean l\u00e2m s\u00e0ng. T\u1eeb \u0111\u00f3, \u0111\u01b0a ra c\u00e1c gi\u1ea3i ph\u00e1p nh\u1eb1m gi\u1ea3m thi\u1ec3u, h\u1ea1n ch\u1ebf v\u00e0 kh\u1eafc ph\u1ee5c v\u1ea5n \u0111\u1ec1 c\u1eafn h\u1edf. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. Nguy\u00ean t\u1eafc chung \u0111i\u1ec1u tr\u1ecb<\/h2>\n

Tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee7a c\u1eafn h\u1edf<\/strong><\/p>\n

C\u1ed1 g\u1eafng x\u00e1c \u0111\u1ecbnh n\u1ebfu th\u00f3i quen l\u01b0\u1ee1i g\u00e2y ra c\u1eafn h\u1edf ho\u1eb7c n\u1ebfu v\u1ecb tr\u00ed l\u01b0\u1ee1i l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a c\u1eafn h\u1edf v\u00e0 th\u00f3i quen l\u01b0\u1ee1i kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb, ch\u00fang ta ph\u1ea3i c\u00f9ng l\u00e0m vi\u1ec7c v\u1edbi th\u00f3i quen l\u01b0\u1ee1i. C\u00f3 nhi\u1ec1u BN c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc v\u1edbi b\u1ed9 r\u0103ng \u1ed5n \u0111\u1ecbnh. N\u1ebfu r\u0103ng \u0111\u01b0\u1ee3c di chuy\u1ec3n ho\u1eb7c \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i \u1ea3nh h\u01b0\u1edfng t\u1edbi v\u1ecb tr\u00ed l\u01b0\u1ee1i, l\u01b0\u1ee1i s\u1ebd th\u1eafng. C\u00e1c r\u0103ng s\u1ebd l\u00fan ho\u1eb7c di chuy\u1ec3n cho t\u1edbi khi l\u01b0\u1ee1i l\u1ea5y l\u1ea1i \u0111\u01b0\u1ee3c kh\u00f4ng gian ban \u0111\u1ea7u c\u1ee7a n\u00f3.<\/p>\n

\"can-ho-phia-truoc\"
Ba BN c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc m\u00e0 kh\u00f4ng th\u1ec3 thay \u0111\u1ed5i th\u00f3i quen c\u1eafn l\u01b0\u1ee1i. B\u1ed9 r\u0103ng h\u00e0m tr\u00ean tr\u00e1i \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i ban \u0111\u1ea7u \u0111\u1ec3 ho\u00e0n thi\u1ec7n ti\u1ebfp x\u00fac kh\u1edbp c\u1eafn. L\u01b0\u1ee1i l\u1ea5y l\u1ea1i v\u1ecb tr\u00ed ban \u0111\u1ea7u c\u1ee7a n\u00f3 gi\u1eefa c\u00e1c r\u0103ng v\u00e0 quay l\u1ea1i kho\u1ea3ng c\u1eafn h\u1edf v\u1edbi k\u00edch th\u01b0\u1edbc v\u00e0 \u0111\u01b0\u1eddng vi\u00ean c\u1ee7a n\u00f3. S\u1ef1 h\u1edf l\u1ea1i x\u1ea3y ra m\u00e0 kh\u00f4ng g\u00e2y ra s\u1ef1 kh\u00f4ng tho\u1ea3i m\u00e1i cho b\u1ec7nh nh\u00e2n trong v\u00f2ng 10 \u2013 12 th\u00e1ng. N\u00f3 kh\u00f4ng g\u00e2y ra b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o v\u1edbi m\u00f4 n\u00e2ng \u0111\u1ee1. Ch\u00eca kh\u00f3a \u0111\u1ec3 quan s\u00e1t khi c\u1eafn h\u1edf n\u00ean l\u00e0: r\u0103ng \u1ed5n \u0111\u1ecbnh, b\u1ec7nh nh\u00e2n tho\u1ea3i m\u00e1i. K\u00ec l\u1ea1 l\u00e0 nh\u1eefng BN n\u00e0y th\u01b0\u1eddng kh\u00f4ng lo l\u1eafng \u0111\u1ebfn s\u1ef1 xu\u1ea5t hi\u1ec7n n\u1ee5 c\u01b0\u1eddi c\u1ee7a h\u1ecd, v\u00ec n\u00f3 th\u01b0\u1eddng kh\u00f4ng ph\u1ea3i l\u00e0 v\u1ea5n \u0111\u1ec1. N\u1ebfu b\u1ea1n ph\u1ea3i ph\u1ee5c h\u1ed3i r\u0103ng, ph\u1ea3i xem x\u00e9t v\u1ecb tr\u00ed l\u01b0\u1ee1i.<\/figcaption><\/figure>\n

Ph\u00f2ng ng\u1eeba th\u00f3i quen c\u1eafn l\u01b0\u1ee1i<\/strong><\/p>\n

Nhi\u1ec1u BN c\u00f3 l\u01b0\u1ee1i \u0111\u1eb7t gi\u1eefa c\u00e1c r\u0103ng \u0111\u1ec3 b\u1ea3o v\u1ec7 ti\u1ebfp x\u00fac s\u1edbm c\u1ee7a r\u0103ng. H\u1ecd kh\u00f4ng nh\u1eadn th\u1ee9c th\u00f3i quen v\u00e0 th\u00f3i quen th\u01b0\u1eddng bi\u1ebfn m\u1ea5t khi kh\u1edbp c\u1eafn \u0111\u01b0\u1ee3c ch\u1ec9nh s\u1eeda. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh s\u1eeda l\u00e0 \u0111\u1ec3 c\u00e2n b\u1eb1ng kh\u1edbp c\u1eafn n\u1ebfu n\u00f3 c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c ti\u1ebfp x\u00fac t\u1ed1i \u0111a m\u00e0 kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng. N\u1ebfu nguy\u00ean nh\u00e2n \u0111\u1ea9y l\u01b0\u1ee1i l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng b\u1ea3o v\u1ec7, l\u01b0\u1ee1i s\u1ebd th\u1ee5t l\u1ea1i v\u00ec v\u1eady c\u00e1c r\u0103ng s\u1ebd m\u1ecdc \u0111\u1ec1n v\u1ecb tr\u00ed ti\u1ebfp x\u00fac v\u1edbi nhau.<\/p>\n

2. Ph\u00e2n lo\u1ea1i<\/h2>\n

2.1. C\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc t\u1ed1i thi\u1ec3u<\/h3>\n

\u0110\u1ed9 c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc x\u1ea5p x\u1ec9 1mm th\u01b0\u1eddng g\u00e2y ra b\u1edfi th\u00f3i quen m\u00fat m\u00f4i. BN bi\u1ec3u l\u1ed9 m\u1ed9t \u00e1p l\u1ef1c \u00e2m v\u00e0 m\u00fat c\u00e1c m\u00f4 ni\u00eam m\u1ea1c gi\u1eefa c\u00e1c r\u0103ng tr\u01b0\u1edbc. Th\u00f3i quen n\u00e0y th\u01b0\u1eddng li\u00ean quan t\u1edbi m\u1eb7t trong m\u00f4i d\u01b0\u1edbi ho\u1eb7c ngay t\u1ea1i ranh gi\u1edbi l\u00e0n m\u00f4i \u0111\u1ecf n\u00ean kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng d\u1ec5 d\u00e0ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c. Th\u00f3i quen n\u00e0y th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n nh\u01b0 l\u00e0 m\u1ed9t c\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 \u0111\u1ec3 tr\u00e1nh c\u1ea3n tr\u1edf c\u1eafn ph\u00eda r\u0103ng sau. Vi\u1ec7c t\u1ea1o ra s\u1ef1 ti\u1ebfp x\u00fac ph\u00eda sau l\u00fd t\u01b0\u1edfng th\u00f4ng qua m\u00e0i ch\u1ec9nh kh\u1edbp c\u1eafn s\u1ebd lo\u1ea1i b\u1ecf s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a c\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 n\u00e0y v\u00e0 th\u00f3i quen th\u01b0\u1eddng s\u1ebd bi\u1ebfn m\u1ea5t sau khi m\u00e0i ch\u1ec9nh. Sau khi lo\u1ea1i b\u1ecf th\u00f3i quen, c\u00e1c r\u0103ng tr\u01b0\u1edbc s\u1ebd tr\u1edf l\u1ea1i ti\u1ebfp x\u00fac nhau m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb g\u00ec th\u00eam.<\/p>\n

Th\u1eddi gian c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00e1c r\u0103ng tr\u1edf l\u1ea1i v\u1ecb tr\u00ed ban \u0111\u1ea7u c\u1ee7a ch\u00fang sau khi th\u00f3i quen \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf r\u1ea5t kh\u00e1c nhau gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n. T\u00e1c gi\u1ea3 th\u1ea5y m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n gi\u1ea3m khe h\u1edf sau 2-3 tu\u1ea7n, trong khi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00e1c l\u1ea1i c\u1ea7n h\u00e0ng th\u00e1ng. N\u1ebfu t\u01b0\u01a1ng quan cung h\u00e0m cho ph\u00e9p ti\u1ebfp x\u00fac c\u00e1c r\u0103ng ph\u00eda tr\u01b0\u1edbc v\u00e0 kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 g\u00ec gi\u1eefa c\u00e1c r\u0103ng ng\u0103n c\u1ea3n m\u1ecdc r\u0103ng th\u00ec r\u0103ng tr\u01b0\u1edbc h\u00e0m d\u01b0\u1edbi s\u1ebd m\u1ecdc l\u00ean v\u00e0 r\u0103ng tr\u01b0\u1edbc h\u00e0m tr\u00ean s\u1ebd t\u00ecm \u0111\u1ebfn v\u1ecb tr\u00ed c\u00e2n b\u1eb1ng v\u1edbi \u00e1p l\u1ef1c m\u00f4i.<\/p>\n

Trong tr\u01b0\u1eddng h\u1ee3p c\u00e1c r\u0103ng tr\u01b0\u1edbc kh\u00f4ng y\u00eau c\u1ea7u ph\u1ee5c h\u00ecnh v\u00ec c\u00e1c l\u00fd do kh\u00e1c nhau, ch\u00fang ta n\u00ean b\u00ecnh t\u0129nh trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng nh\u00ecn th\u1ea5y k\u1ebft qu\u1ea3 ngay l\u1eadp t\u1ee9c. Ch\u00fang ta n\u00ean gi\u1eef kh\u1edbp c\u1eafn ph\u00eda sau l\u00fd t\u01b0\u1edfng nh\u1ea5t c\u00f3 th\u1ec3 v\u00e0 c\u00e1c r\u0103ng tr\u01b0\u1edbc s\u1ebd t\u1ef1 \u0111\u1ecbnh h\u01b0\u1edbng m\u1ecdc l\u1ea1i. R\u1ea5t \u00edt b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng. M\u1ed9t v\u00e0i BN s\u1ebd kh\u00f4ng t\u1eeb b\u1ecf th\u00f3i quen m\u00fat m\u00f4i b\u1ea5t k\u1ec3 kh\u1edbp c\u1eafn ph\u00eda sau ho\u00e0n h\u1ea3o \u0111\u01b0\u1ee3c nh\u01b0 th\u1ebf n\u00e0o. Ch\u00fang ta kh\u00f4ng c\u00f3 s\u1ef1 l\u1ef1a ch\u1ecdn nh\u01b0ng l\u00e0m vi\u1ec7c c\u00f9ng v\u1edbi th\u00f3i quen c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n r\u1ea5t hi\u1ec7u qu\u1ea3.<\/p>\n

\"can-ho-toi-thieu-3\"
C\u1eafn h\u1edf t\u1ed1i thi\u1ec3u l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c kh\u00f4ng lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c th\u00f3i quen c\u1eafn l\u01b0\u1ee1i hay m\u00f4i. M\u1ed1i quan h\u1ec7 gi\u1eefa c\u00e1c r\u0103ng v\u1edbi m\u00f4i ho\u1eb7c l\u01b0\u1ee1i v\u1eabn duy tr\u00ec khi l\u00e0m vi\u1ec7c v\u1edbi m\u1ed9t m\u1eabu c\u1ee7a m\u1ecdi s\u1eeda so\u1ea1n r\u0103ng tr\u01b0\u1edbc. M\u00f4 h\u00ecnh m\u1eabu E\/O (m\u1ecdi\/kh\u00e1c) \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o m\u1eabu ch\u00ednh n\u00ean c\u00f3 th\u1ec3 sao ch\u00e9p ch\u00ednh x\u00e1c \u0111\u01b0\u1eddng vi\u1ec1n ph\u00eda l\u01b0\u1ee1i. Ph\u1ee5c h\u00ecnh cu\u1ed1i c\u00f9ng s\u1ebd \u1ed5n \u0111\u1ecbnh v\u00e0 tho\u1ea3i m\u00e1i ho\u00e0n to\u00e0n. Ch\u00fa gi\u1ea3i: N\u1ebfu kho\u1ea3ng h\u1edf do c\u00f3 th\u00f3i quen c\u1eafn m\u00f4i ho\u1eb7c l\u01b0\u1ee1i \u0111\u01b0\u1ee3c l\u1ea5p \u0111\u1ea7y, l\u01b0\u1ee1i ho\u1eb7c m\u00f4i s\u1ebd tr\u1edf l\u1ea1i v\u1ecb tr\u00ed gi\u1eefa c\u00e1c r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i v\u00e0 t\u00e1c d\u1ee5ng l\u1ef1c l\u00ean ch\u00fang, \u0111\u1ea9y ch\u00fang v\u1ec1 ph\u00eda tr\u01b0\u1edbc. N\u1ebfu kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c th\u00f3i quen, t\u1ed1t h\u01a1n l\u00e0 n\u00ean duy tr\u00ec c\u1eafn h\u1edf v\u00e0 s\u1ef1 c\u00e2n b\u1eb1ng c\u00e1c r\u0103ng v\u1edbi th\u00f3i quen.<\/figcaption><\/figure>\n

N\u1ebfu c\u00e1c r\u0103ng tr\u01b0\u1edbc ph\u1ea3i \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i trong tr\u01b0\u1eddng h\u1ee3p th\u00f3i quen kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf, b\u1ec1 m\u1eb7t \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i ph\u1ea3i \u1edf v\u1ecb tr\u00ed t\u01b0\u01a1ng t\u1ef1 b\u1ec1 m\u1eb7t t\u1ef1 nhi\u00ean ban \u0111\u1ea7u. M\u1ed9t v\u00e0i ch\u1ec9nh s\u1eeda th\u1ea9m m\u1ef9 nh\u1ecf th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, nh\u01b0ng b\u1ec1 m\u1eb7t ph\u00eda m\u00f4i v\u00e0 ph\u00eda l\u01b0\u1ee1i ph\u1ea3i \u1edf v\u1ecb tr\u00ed t\u01b0\u01a1ng t\u1ef1.<\/p>\n

Chu\u1ea9n b\u1ecb c\u00e1c r\u0103ng tr\u01b0\u1edbc theo ki\u1ec3u xen k\u1ebd l\u00e0 ph\u01b0\u01a1ng ph\u00e1p thi\u1ebft th\u1ef1c nh\u1ea5t. B\u1eb1ng c\u00e1ch \u0111\u00f3, c\u1ea3 hai \u0111\u01b0\u1eddng vi\u1ec1n ph\u00eda m\u00f4i v\u00e0 ph\u00eda l\u01b0\u1ee1i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i theo r\u0103ng li\u1ec1n k\u1ec1 ch\u01b0a \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb. V\u1ecb tr\u00ed r\u00eda c\u1eafn r\u0103ng c\u1eeda c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i ch\u00ednh x\u00e1c v\u00e0 ph\u1ee5c h\u1ed3i r\u0103ng s\u1ebd ph\u00f9 h\u1ee3p trong v\u1ecb tr\u00ed m\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi th\u00f3i quen.<\/p>\n

Ch\u00fang ta c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n khe h\u1edf s\u1edbm b\u1eb1ng c\u00e1ch \u0111\u1eb7t c\u00e2u h\u1ecfi ho\u1eb7c quan s\u00e1t c\u00f3 v\u1eadt gi\u1eefa c\u00e1c r\u0103ng kh\u00f4ng. Kho\u1ea3ng h\u1edf s\u1ebd kh\u00f4ng gi\u1ea3m tr\u1eeb khi BN s\u1eb5n s\u00e0ng ng\u1eebng th\u00f3i quen. N\u1ebfu vi\u1ec7c ng\u1eadm t\u1ea9u thu\u1ed1c l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a khe h\u1edf, khe h\u1edf n\u00ean \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i trong b\u1ea5t k\u1ef3 ph\u1ee5c h\u1ed3i n\u00e0o \u1edf v\u00f9ng n\u00e0y n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f2n ti\u1ebfp t\u1ee5c h\u00fat t\u1ea9u thu\u1ed1c. C\u1eafn b\u00fat ch\u00ec, m\u00f3ng tay, ho\u1eb7c th\u00f3i quen ngh\u1ec1 nghi\u1ec7p li\u00ean quan kh\u00e1c n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng t\u1ef1.<\/p>\n

\"\"
A, C\u1eafn h\u1edf nh\u1ecf \u1edf r\u0103ng nanh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 ng\u1eadm t\u1ea9u thu\u1ed1c. B, Khi th\u00f3i quen gi\u1eef th\u00e2n t\u1ea9u thu\u1ed1c \u0111\u01b0\u1ee3c ng\u1eebng l\u1ea1i, l\u01b0\u1ee1i \u0111\u00e3 \u00e9p v\u00e0o kho\u1ea3ng \u0111\u00f3 \u0111\u1ec3 duy tr\u00ec n\u00f3. \u0110\u1ec3 ng\u0103n ng\u1eeba c\u1eafn l\u01b0\u1ee1i, gi\u1ea3m kho\u1ea3ng n\u00e0y y\u00eau c\u1ea7u ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ph\u1ea7n l\u01b0\u1ee1i m\u1edf r\u1ed9ng v\u00e0o trong kho\u1ea3ng \u0111\u00f3.<\/figcaption><\/figure>\n

C\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh li\u1ec7u m\u1ed9t kh\u1edbp c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc m\u1ee9c \u0111\u1ed9 trung b\u00ecnh c\u00f3 th\u1ef1c s\u1ef1 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 hay kh\u00f4ng. N\u1ebfu h\u01b0\u1edbng d\u1eabn r\u0103ng nanh kh\u00f4ng b\u1ecb x\u00e1o tr\u1ed9n b\u1edfi c\u1eafn h\u1edf c\u00e1c r\u0103ng c\u1eeda th\u00ec s\u1ebd t\u1ed1t cho s\u1ef1 \u1ed5n \u0111\u1ecbnh kh\u1edbp c\u1eafn. Kh\u1edbp c\u1eafn n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra c\u1ea9n th\u1eadn \u0111\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng kh\u00f4ng c\u00f3 c\u1ea3n tr\u1edf b\u00ean l\u00e0m vi\u1ec7c v\u00e0 c\u00e1c r\u0103ng sau n\u00ean \u0111\u01b0\u1ee3c nh\u1ea3 kh\u1edbp khi \u0111\u01b0a h\u00e0m ra tr\u01b0\u1edbc trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng. Khi s\u1ef1 h\u00e0i h\u00f2a kh\u1edbp c\u1eafn ph\u00eda sau \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 ho\u00e0n thi\u1ec7n, ng\u1ea1c nhi\u00ean khi gi\u1ea3m kho\u1ea3ng h\u1edf ph\u00eda tr\u01b0\u1edbc, th\u1eadm ch\u00ed khi kho\u1ea3ng h\u1edf ph\u00eda tr\u01b0\u1edbc kh\u00f4ng gi\u1ea3m, s\u1ebd kh\u00f4ng g\u00e2y ra t\u00e1c h\u1ea1i n\u1ebfu nh\u01b0 c\u00e1c \u00e1p l\u1ef1c c\u00f3 th\u1ec3 ph\u00e2n b\u1ed1 tr\u00ean h\u1ea7u h\u1ebft c\u00e1c r\u0103ng.<\/p>\n

\"\"
A, N\u1ee5 r\u0103ng v\u1eabn hi\u1ec7n di\u1ec7n \u1edf BN 42 tu\u1ed5i. T\u01b0 th\u1ebf l\u01b0\u1ee1i ng\u0103n c\u1ea3n c\u00e1c ti\u1ebfp x\u00fac. Kh\u1edbp c\u1eafn v\u1eabn \u1ed5n \u0111\u1ecbnh v\u00e0 h\u00e0i h\u00f2a v\u1edbi t\u01b0\u01a1ng quan trung t\u00e2m. B, L\u01b0u \u00fd ti\u1ebfp x\u00fac r\u0103ng nanh \u1edf l\u1ed3ng m\u00fai t\u1ed1i \u0111a.<\/figcaption><\/figure>\n

2.2. C\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc tr\u1ea7m tr\u1ecdng\u00a0(5mm ho\u1eb7c l\u1edbn h\u01a1n)<\/h3>\n

M\u1eb7c d\u00f9 ch\u1eafc ch\u1eafn r\u1eb1ng ki\u1ec3u nu\u1ed1t kh\u00f4ng b\u00ecnh th\u01b0\u1eddng v\u00e0 ki\u1ec3u \u0111\u1ea9y l\u01b0\u1ee1i kh\u00e1c \u0111\u00f3ng m\u1ed9t vai tr\u00f2 nh\u1ea5t \u0111\u1ecbnh trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc tr\u1ea7m tr\u1ecdng, n\u00f3 c\u0169ng th\u1ec3 hi\u1ec7n r\u00f5 trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 lo\u1ea1n s\u1ea3n trong h\u1ec7 th\u1ed1ng x\u01b0\u01a1ng theo chi\u1ec1u d\u1ecdc. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc, c\u00e1c r\u0103ng tr\u01b0\u1edbc th\u1ef1c s\u1ef1 tr\u1ed3i qu\u00e1 m\u1ee9c trong n\u1ed7 l\u1ef1c kh\u00f4ng th\u00e0nh c\u00f4ng \u0111\u1ec3 gi\u1ea3m kho\u1ea3ng h\u1edf. Ng\u01b0\u1eddi ta nghi ng\u1edd m\u1ecdc qu\u00e1 m\u1ee9c nh\u01b0 v\u1eady l\u00e0 k\u1ebft qu\u1ea3 t\u1eeb m\u1ed9t lo\u1ea1i \u00e1p l\u1ef1c c\u1ee7a th\u00f3i quen l\u01b0\u1ee1i. Ch\u00fang ta ph\u1ea3i ph\u00e2n bi\u1ec7t gi\u1eefa sai t\u01b0\u01a1ng quan x\u01b0\u01a1ng nh\u01b0 tr\u00ean v\u00e0 nguy\u00ean nh\u00e2n ban \u0111\u1ea7u b\u1edfi th\u00f3i quen t\u1ea1o \u00e1p l\u1ef1c \u1edf v\u00f9ng r\u0103ng tr\u01b0\u1edbc.<\/p>\n

R\u1ea5t th\u01b0\u1eddng g\u1eb7p, nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1eafn h\u1edf tr\u1ea7m tr\u1ecdng l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a nh\u1eefng th\u00f3i quen \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi nh\u1eefng th\u00f3i quen kh\u00e1c. C\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc l\u00e0 k\u1ebft qu\u1ea3 t\u1eeb th\u00f3i quen m\u00fat ng\u00f3n tay th\u01b0\u1eddng \u0111\u01b0\u1ee3c duy tr\u00ec b\u1edfi m\u1ed9t th\u00f3i quen \u0111\u1ea9y l\u01b0\u1ee1i khi nu\u1ed1t. Th\u00f3i quen \u0111\u1ea9y l\u01b0\u1ee1i xu\u1ea5t ph\u00e1t t\u1eeb vi\u1ec7c b\u1ec7nh nh\u00e2n c\u1ed1 g\u1eafng \u0111\u00f3ng k\u00edn kho\u1ea3ng r\u0103ng tr\u01b0\u1edbc nh\u1eb1m t\u1ea1o ra m\u1ed9t \u00e1p l\u1ef1c \u00e2m khi nu\u1ed1t.<\/p>\n

K\u1ebft h\u1ee3p ch\u1ec9nh s\u1eeda kh\u1edbp c\u1eafn v\u1edbi li\u1ec7u ph\u00e1p ch\u1ee9c n\u0103ng c\u01a1 c\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 n\u1ebfu BN c\u00f3 th\u1ec3 h\u1ee3p t\u00e1c, nh\u01b0ng ti\u00ean l\u01b0\u1ee3ng kh\u00f4ng ch\u1eafc ch\u1eafn v\u00ec kh\u00f3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c s\u1ef1 h\u1ee3p t\u00e1c c\u1ee7a BN trong thay \u0111\u1ed5i m\u1ed9t ki\u1ec3u nu\u1ed1t \u0111\u00e3 \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh. K\u1ebft qu\u1ea3 li\u1ec7u ph\u00e1p ch\u1ee9c n\u0103ng c\u01a1 \u0111\u00e3 kh\u00f4ng th\u00e0nh c\u00f4ng trong m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i.<\/p>\n

N\u1ebfu v\u1ea5n \u0111\u1ec1 l\u00e0 th\u00f3i quen g\u00e2y ra, ti\u1ebfn h\u00e0nh ch\u1ec9nh nha h\u1ea7u nh\u01b0 lu\u00f4n lu\u00f4n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng th\u00e0nh c\u00f4ng \u0111\u1ec3 t\u1ed5 ch\u1ee9c l\u1ea1i c\u00e1c r\u0103ng tr\u01b0\u1edbc. V\u1ea5n \u0111\u1ec1 duy nh\u1ea5t l\u00e0 gi\u1eef c\u00e1c r\u0103ng \u1edf v\u1ecb tr\u00ed m\u1edbi sau khi di chuy\u1ec3n r\u0103ng.<\/p>\n

Gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 nh\u1eb1m \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u01b0\u01a1ng quan ph\u00eda tr\u01b0\u1edbc \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 y\u00eau c\u1ea7u li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb g\u1ed3m k\u1ebft h\u1ee3p ba ph\u01b0\u01a1ng ph\u00e1p sau:<\/p>\n

1. Ch\u1ec9nh nha ch\u1ec9nh s\u1eeda t\u01b0\u01a1ng quan c\u00e1c r\u0103ng ph\u00eda tr\u01b0\u1edbc.<\/strong><\/p>\n

2. M\u00e0i ch\u1ec9nh kh\u1edbp c\u1eafn \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a th\u00f3i b\u1ea3o v\u1ec7 c\u1ee7a m\u00f4i v\u00e0 l\u01b0\u1ee1i. quen<\/strong><\/p>\n

3. S\u1eed d\u1ee5ng m\u1ed9t kh\u00ed c\u1ee5 duy tr\u00ec ban \u0111\u00eam.<\/strong><\/p>\n

Theo: S\u00e1ch Functional Occlusion From TMJ to Smile Design – Dawson<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c nguy\u00ean t\u1eafc chung \u0111i\u1ec1u tr\u1ecb c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 \u0111\u1ed3ng th\u1eddi ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 c\u1eafn h\u1edf tr\u00ean l\u00e2m s\u00e0ng. T\u1eeb \u0111\u00f3, \u0111\u01b0a ra c\u00e1c gi\u1ea3i ph\u00e1p nh\u1eb1m gi\u1ea3m thi\u1ec3u, h\u1ea1n ch\u1ebf v\u00e0 kh\u1eafc ph\u1ee5c v\u1ea5n \u0111\u1ec1 c\u1eafn h\u1edf. C\u00f9ng t\u00ecm hi\u1ec3u. 1. Nguy\u00ean t\u1eafc chung […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nC\u00e1c nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 ph\u00e2n lo\u1ea1i c\u1eafn h\u1edf.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb c\u1eafn h\u1edf ph\u00eda tr\u01b0\u1edbc. T\u1eeb \u0111\u00f3, \u0111\u01b0a ra gi\u1ea3i ph\u00e1p nh\u1eb1m h\u1ea1n ch\u1ebf v\u00e0 kh\u1eafc ph\u1ee5c v\u1ea5n \u0111\u1ec1 n\u00e0y. 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