{"id":23308,"date":"2023-04-17T15:35:45","date_gmt":"2023-04-17T08:35:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23308"},"modified":"2023-05-02T13:58:34","modified_gmt":"2023-05-02T06:58:34","slug":"khop-thai-duong-ham-giai-phau-chuc-nang-bao-khop","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/khop-thai-duong-ham-giai-phau-chuc-nang-bao-khop\/","title":{"rendered":"Kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m – Gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng bao kh\u1edbp."},"content":{"rendered":"

Hai kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m l\u00e0 nh\u1eefng kh\u1edbp \u0111\u1ed9ng duy nh\u1ea5t c\u1ee7a s\u1ecd. C\u00e1c m\u00f4 t\u1ea3 v\u1ec1 kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong nhi\u1ec1u s\u00e1ch gi\u1ea3i ph\u1eabu. B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng c\u1ee7a bao kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam.<\/strong><\/p>\n

1. Gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng bao kh\u1edbp<\/h2>\n

Bao kh\u1edbp g\u1ed3m c\u00e1c m\u00f4 t\u1ea1o n\u00ean th\u00e0nh c\u1ee7a khoang kh\u1edbp. Bao kh\u1edbp h\u00ecnh ph\u1ec5u, r\u1ed9ng \u1edf ph\u00eda n\u1ec1n s\u1ecd v\u00e0 thu\u00f4n l\u1ea1i \u1edf ph\u00eda l\u1ed3i c\u1ea7u, gi\u1ed1ng nh\u01b0 m\u1ed9t c\u1ed5 tay \u00e1o (H\u00ecnh 1).<\/p>\n

\"bao-khop-1\"
H\u00ecnh 1: Bao kh\u1edbp<\/figcaption><\/figure>\n

Nguy\u00ean \u1ee7y c\u1ee7a bao kh\u1edbp \u1edf \u0111\u01b0\u1eddng chu vi c\u1ee7a di\u1ec7n kh\u1edbp \u1edf s\u1ecd, g\u1ed3m: ph\u00eda tr\u01b0\u1edbc: b\u1edd tr\u01b0\u1edbc l\u1ed3i kh\u1edbp, ph\u00eda sau: \u0111\u00e1y c\u1ee7a h\u00f5m kh\u1edbp (khe nh\u0129-trai – Fissura tympano squamosa), ph\u00eda ngo\u00e0i: b\u1edd ngo\u00e0i h\u00f5m kh\u1edbp, ph\u00eda trong: \u0111\u01b0\u1eddng kh\u1edbp b\u01b0\u1edbm-trai (Sutura spheno squamosa). B\u00e1m t\u1eadn: bao kh\u1edbp b\u00e1m v\u00e0o g\u1edd ngay d\u01b0\u1edbi di\u1ec7n kh\u1edbp c\u1ee7a l\u1ed3i c\u1ea7u. C\u00e1c th\u1edb s\u1ee3i c\u1ee7a bao kh\u1edbp n\u1ed1i v\u1edbi c\u00e1c s\u1ee3i c\u1ee7a b\u1edd tr\u01b0\u1edbc v\u00e0 b\u1edd sau \u0111\u0129a kh\u1edbp tr\u00ean to\u00e0n b\u1ed9 chu vi c\u1ee7a \u0111\u0129a kh\u1edbp, h\u00ecnh th\u00e0nh hai bu\u1ed3ng kh\u1edbp: bu\u1ed3ng kh\u1edbp tr\u00ean (\u0111\u0129a kh\u1edbp x\u01b0\u01a1ng th\u00e1i d\u01b0\u01a1ng) v\u00e0 bu\u1ed3ng kh\u1edbp d\u01b0\u1edbi (\u0111\u0129a kh\u1edbp-l\u1ed3i c\u1ea7u). C\u00e1c bu\u1ed3ng kh\u1edbp ch\u1ee9a d\u1ecbch c\u1ee7a bao ho\u1ea1t d\u1ecbch (d\u1ecbch kh\u1edbp).<\/p>\n

1.1. C\u00e1c bu\u1ed3ng kh\u1edbp<\/h3>\n

C\u00f3 hai bu\u1ed3ng kh\u1edbp, bu\u1ed3ng kh\u1edbp tr\u00ean l\u1edbn h\u01a1n bu\u1ed3ng kh\u1edbp d\u01b0\u1edbi. Bu\u1ed3ng kh\u1edbp c\u00f3 c\u00e1c ng\u00e1ch, l\u00e0m cho n\u00f3 lan xu\u1ed1ng d\u01b0\u1edbi l\u1ed3i c\u1ea7u do c\u00e1ch b\u00e1m c\u1ee7a c\u00e1c v\u1ea1t ngo\u00e0i v\u00e0 trong. Bu\u1ed3ng kh\u1edbp tr\u00ean ch\u1ee9a kho\u1ea3ng 1,2 ml d\u1ecbch kh\u1edbp, n\u1eb1m v\u1ec1 ph\u00eda tr\u01b0\u1edbc h\u01a1n so v\u1edbi bu\u1ed3ng kh\u1edbp d\u01b0\u1edbi, c\u00f3 h\u00ecnh th\u1ec3 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 h\u00ecnh th\u1ec3 c\u1ee7a h\u00f5m kh\u1edbp. Bu\u1ed3ng kh\u1edbp d\u01b0\u1edbi ch\u1ee9a kho\u1ea3ng 0,9 ml d\u1ecbch kh\u1edbp, n\u1eb1m tr\u00ean \u0111\u1ea7u l\u1ed3i c\u1ea7u, k\u00e9o d\u00e0i v\u1ec1 ph\u00eda sau \u0111\u1ea7u l\u1ed3i c\u1ea7u.<\/p>\n

Trong \u0111\u1ed9ng t\u00e1c h\u00e1 mi\u1ec7ng, l\u1ed3i c\u1ea7u d\u1ea7n r\u1eddi kh\u1ecfi h\u00f5m kh\u1edbp \u0111\u1ec3 d\u1ecbch chuy\u1ec3n v\u1ec1 ph\u00eda tr\u01b0\u1edbc, c\u00e1ch b\u00e1m c\u1ee7a bao kh\u1edbp l\u00e0m n\u00f3 kh\u00f4ng b\u1ecb c\u0103ng. Khi mi\u1ec7ng h\u00e1 t\u1ed1i \u0111a, l\u1ed3i c\u1ea7u th\u01b0\u1eddng \u1edf d\u01b0\u1edbi v\u00e0 ngay tr\u01b0\u1edbc ch\u1ed7 l\u1ed3i nh\u1ea5t c\u1ee7a l\u1ed3i kh\u1edbp, \u0111\u1ed3ng th\u1eddi l\u1ed3i c\u1ea7u h\u01b0\u1edbng v\u1ec1 ph\u00eda tr\u01b0\u1edbc v\u00e0 \u1edf d\u01b0\u1edbi \u0111\u0129a kh\u1edbp, l\u00fac n\u00e0y, \u0111\u0129a kh\u1edbp nh\u01b0 c\u00e1i m\u0169 tr\u01b0\u1ee3t v\u1ec1 ph\u00eda sau. Khi hai h\u00e0m c\u1eafn l\u1ea1i ho\u1eb7c khi h\u00e0m d\u01b0\u1edbi \u1edf v\u1ecb tr\u00ed b\u1ea3n l\u1ec1, c\u00e1c s\u1ee3i \u1edf ph\u1ea7n tr\u01b0\u1edbc bao kh\u1edbp g\u1ea7n nh\u01b0 ch\u1ea1y theo h\u01b0\u1edbng ngang t\u1eeb tr\u01b0\u1edbc ra sau. Ng\u01b0\u1eddi ta cho r\u1eb1ng \u1edf v\u00f9ng n\u00e0y, c\u00f3 s\u1ef1 li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa bao kh\u1edbp v\u00e0 \u0111\u0129a kh\u1edbp.<\/p>\n

1.2. M\u00f4 ho\u1ea1t d\u1ecbch<\/h3>\n

M\u00f4 ho\u1ea1t d\u1ecbch l\u00e0 m\u1ed9t m\u00f4 li\u00ean k\u1ebft gi\u00e0u m\u1ea1ch m\u00e1u, l\u00f3t m\u1eb7t trong bao kh\u1edbp. V\u00f9ng l\u1edbn nh\u1ea5t c\u1ee7a m\u00f4 ho\u1ea1t d\u1ecbch l\u00e0 \u1edf ph\u00eda tr\u00ean v\u00e0 d\u01b0\u1edbi m\u00f4 sau \u0111\u0129a. \u1ede \u0111\u00e2y, m\u00f4 ho\u1ea1t d\u1ecbch t\u1ea1o th\u00e0nh nh\u1eefng n\u1ebfp g\u1ea5p nh\u1ecf hay nhung mao, nh\u1eefng n\u1ebfp g\u1ea5p nh\u1ecf gi\u00fap m\u00f4 ho\u1ea1t d\u1ecbch d\u1ec5 thay \u0111\u1ed5i h\u00ecnh d\u1ea1ng, ch\u00fang c\u00f3 th\u1ec3 c\u0103ng ra khi l\u1ed3i c\u1ea7u v\u00e0 \u0111\u0129a kh\u1edbp d\u1ecbch chuy\u1ec3n. Di\u1ec7n l\u00e0m vi\u1ec7c c\u1ee7a xu\u01a1ng th\u00e1i d\u01b0\u01a1ng, l\u1ed3i c\u1ea7u v\u00e0 \u0111\u0129a kh\u1edbp kh\u00f4ng \u0111\u01b0\u1ee3c m\u00f4 ho\u1ea1t d\u1ecbch che ph\u1ee7 nh\u01b0ng lu\u00f4n c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a d\u1ecbch kh\u1edbp.<\/p>\n

M\u00f4 ho\u1ea1t d\u1ecbch c\u00f3 th\u1ec3 chia l\u00e0m ba l\u1edbp: l\u1edbp l\u00f3t ho\u1ea1t d\u1ecbch l\u00e0 l\u1edbp c\u00f3 li\u00ean h\u1ec7 m\u1eadt thi\u1ebft v\u1edbi c\u00e1c di\u1ec7n kh\u1edbp, l\u00e0 m\u1ed9t l\u1edbp kh\u00f4ng li\u00ean t\u1ee5c, c\u00f3 t\u1eeb m\u1ed9t \u0111\u1ebfn b\u1ed1n l\u1edbp t\u1ebf b\u00e0o, v\u00f9ng c\u00f3 li\u00ean h\u1ec7 v\u1edbi v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp th\u01b0\u1eddng m\u1ecfng. \u1ede m\u1ed9t kh\u1edbp b\u00ecnh th\u01b0\u1eddng, l\u1edbp l\u00f3t ho\u1ea1t d\u1ecbch kh\u00f4ng b\u1ecb k\u1eb9t gi\u1eefa c\u00e1c m\u1eb7t c\u1ee7a \u0111\u0129a kh\u1edbp trong qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng. L\u1edbp th\u1ee9 hai l\u00e0 l\u1edbp m\u00f4 ho\u1ea1t d\u1ecbch d\u01b0\u1edbi, g\u1ed3m c\u00e1c t\u1ebf b\u00e0o t\u01b0\u01a1ng t\u1ef1 l\u1edbp l\u00f3t nh\u01b0ng m\u1ea1ng l\u01b0\u1edbi m\u00f4 li\u00ean k\u1ebft ph\u00e1t tri\u1ec3n h\u01a1n, v\u00e0 c\u00f3 ngu\u1ed3n cung c\u1ea5p m\u00e1u d\u1ed3i d\u00e0o. L\u1edbp th\u1ee9 ba l\u00e0 bao kh\u1edbp, t\u1ea1o n\u00ean b\u1edfi c\u00e1c d\u1ea3i collagen d\u00e0y, kh\u00f4ng t\u1ebf b\u00e0o.<\/p>\n

1.3. D\u1ecbch kh\u1edbp<\/h3>\n

D\u1ecbch kh\u1edbp c\u00f3 b\u1ea3n ch\u1ea5t l\u00e0 huy\u1ebft thanh c\u1ee7a kho\u1ea3ng gian b\u00e0o, t\u1eeb c\u00e1c mao m\u1ea1ch tho\u00e1t ra theo c\u01a1 ch\u1ebf khu\u1ebfch t\u00e1n th\u1ee5 \u0111\u1ed9ng do chuy\u1ec3n d\u1ecbch c\u1ee7a m\u00f4 ho\u1ea1t d\u1ecbch. Ngo\u00e0i ra, c\u00f3 m\u1ed9t s\u1ed1 ph\u00e2n t\u1eed l\u1edbn v\u00e0 nh\u1ecf c\u0169ng c\u00f3 m\u1eb7t theo c\u01a1 ch\u1ebf v\u1eadn chuy\u1ec3n ch\u1ee7 \u0111\u1ed9ng.<\/p>\n

C\u00f3 hai c\u01a1 ch\u1ebf b\u00f4i tr\u01a1n \u1edf kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m:<\/p>\n

    \n
  • Trong c\u00e1c qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng d\u01b0\u1edbi \u0111i\u1ec1u ki\u1ec7n ch\u1ecbu t\u1ea3i, \u00e1p l\u1ef1c th\u1ee7y t\u0129nh v\u01b0\u1ee3t qu\u00e1 \u00e1p l\u1ef1c trong m\u00f4 ho\u1ea1t d\u1ecbch, l\u00e0m cho d\u1ecbch ho\u1ea1t d\u1ecbch b\u1ecb v\u1eaft ra, \u0111\u1ea9y ra ph\u00eda c\u00e1c b\u1ec1 m\u1eb7t ti\u1ebfp x\u00fac c\u1ee7a kh\u1edbp. \u0110\u00e2y l\u00e0 c\u01a1 ch\u1ebf b\u00f4i tr\u01a1n r\u1ec9 (weeping lubrication).<\/li>\n
  • Trong c\u00e1c qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng trong \u0111i\u1ec1u ki\u1ec7n \u00edt ho\u1eb7c kh\u00f4ng ch\u1ecbu t\u1ea3i, trong khe kh\u1edbp hi\u1ec7n di\u1ec7n m\u1ed9t glycoprotein d\u00ednh tr\u00ean b\u1ec1 m\u1eb7t s\u1ee5n, g\u1ecdi l\u00e0 protein b\u00f4i tr\u01a1n, gi\u1eefa hai m\u1eb7t c\u1ee7a di\u1ec7n kh\u1edbp, \u0111\u00e2y l\u00e0 c\u01a1 ch\u1ebf b\u00f4i tr\u01a1n m\u00e0ng (boundary lubrication).<\/li>\n<\/ul>\n

    1.4. C\u01a1 ch\u1ebf d\u1ecbch chuy\u1ec3n \u0111\u0129a kh\u1edbp trong gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng<\/h3>\n

    C\u00f3 th\u1ec3 t\u00f3m t\u1eaft nh\u01b0 sau: Trong c\u00e1c v\u1eadn \u0111\u1ed9ng c\u1ee7a h\u00e0m d\u01b0\u1edbi, \u0111\u0129a kh\u1edbp d\u1ecbch chuy\u1ec3n m\u1ed9t c\u00e1ch th\u1ee5 \u0111\u1ed9ng v\u00e0 t\u1ef1 do v\u00e0o khe t\u1ea1m th\u1eddi gi\u1eefa c\u00e1c di\u1ec7n kh\u1edbp c\u1ee7a x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00e0 x\u01b0\u01a1ng th\u00e1i d\u01b0\u01a1ng. Ch\u1ec9 khi \u0111\u0129a kh\u1edbp gi\u00fap \u1ed5n \u0111\u1ecbnh x\u01b0\u01a1ng h\u00e0m, n\u00f3 \u0111\u01b0\u1ee3c k\u00e9o v\u1ec1 ph\u00eda tr\u01b0\u1edbc do t\u00e1c d\u1ee5ng co c\u1ee7a b\u00f3 tr\u00ean c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i.<\/p>\n

    Trong c\u00e1c v\u1eadn \u0111\u1ed9ng ho\u1eb7c \u1edf nh\u1eefng v\u1ecb tr\u00ed, khi c\u00e1c c\u01a1 gi\u1eef cho h\u00e0m d\u01b0\u1edbi \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1ee3c huy \u0111\u1ed9ng, c\u00f3 th\u1ec3 c\u1ea7n th\u00eam s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a \u0111\u0129a kh\u1edbp. L\u00fac n\u00e0y, \u0111\u0129a kh\u1edbp \u0111\u01b0\u1ee3c gi\u1eef l\u1ea1i \u1edf s\u01b0\u1eddn nghi\u00eang sau c\u1ee7a l\u1ed3i kh\u1edbp nh\u1edd s\u1ef1 co c\u1ee7a b\u00f3 tr\u00ean c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i (ph\u1ea7n c\u01a1 n\u00e0y d\u00ednh v\u00e0o ph\u1ea7n tr\u01b0\u1edbc c\u1ee7a bao kh\u1edbp v\u00e0 \u0111\u0129a kh\u1edbp, khi co, c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o \u0111\u0129a kh\u1edbp ra tr\u01b0\u1edbc v\u00e0 v\u00e0o trong). Khi ph\u1ea7n tr\u00ean c\u01a1 ch\u00e2n b\u01b0\u1edbm ngo\u00e0i \u1edf tr\u1ea1ng th\u00e1i du\u1ed7i, \u0111\u0129a kh\u1edbp tr\u01b0\u1ee3t tr\u1edf l\u1ea1i m\u1ed9t c\u00e1ch b\u1ecb \u0111\u1ed9ng v\u00e0o khoang kh\u1edbp \u0111\u1ec3 chi\u1ebfm v\u1ecb tr\u00ed v\u1eeba kh\u00edt v\u1edbi n\u00f3 nh\u1ea5t.<\/p>\n

    Khi \u0111\u0129a \u0111\u01b0\u1ee3c gi\u1eef \u1edf ph\u1ea7n sau c\u1ee7a h\u00f5m kh\u1edbp, l\u1ed3i c\u1ea7u c\u00f3 th\u1ec3 tr\u01b0\u1ee3t nh\u1eb9 v\u1ec1 ph\u00eda b\u00ean, tr\u00ean m\u1eb7t d\u01b0\u1edbi tr\u01a1n nh\u1eb5n c\u1ee7a \u0111\u0129a kh\u1edbp. Khi \u0111i\u1ec1u n\u00e0y di\u1ec5n ra nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a v\u1eadn \u0111\u1ed9ng sang b\u00ean c\u1ee7a h\u00e0m d\u01b0\u1edbi, v\u1eadn \u0111\u1ed9ng tr\u01b0\u1ee3t nh\u1eb9 \u0111\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 v\u1eadn \u0111\u1ed9ng Bennett.<\/p>\n

    1.5. Gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng d\u00e2y ch\u1eb1ng bao kh\u1edbp<\/h3>\n

    Bao kh\u1edbp \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng \u1edf ph\u00eda ngo\u00e0i v\u00e0 ph\u00eda trong b\u1edfi c\u00e1c s\u1ee3i. C\u00e1c s\u1ee3i \u1edf ph\u00eda ngo\u00e0i d\u00e0y h\u01a1n, m\u1ea1nh h\u01a1n, th\u1ec3 hi\u1ec7n \u0111\u1eb7c t\u00ednh c\u1ee7a m\u1ed9t d\u00e2y ch\u1eb1ng: d\u00e2y ch\u1eb1ng kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m (H\u00ecnh 2).<\/p>\n

    \"bao-khop-2\"
    H\u00ecnh 2: Bao kh\u1edbp v\u00e0 d\u00e2y ch\u1eb1ng kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m<\/figcaption><\/figure>\n

    D\u00e2y ch\u1eb3ng c\u00f3 h\u00ecnh qu\u1ea1t, r\u1ed9ng \u1edf ph\u00eda cung g\u00f2 m\u00e1 v\u00e0 h\u1eb9p \u1edf n\u01a1i b\u00e1m v\u00e0o c\u1ed5 l\u1ed3i c\u1ea7u. C\u00e1c th\u1edb s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng \u0111i theo h\u01b0\u1edbng t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi v\u00e0 t\u1eeb tr\u01b0\u1edbc ra sau, t\u1eeb v\u00f9ng l\u1ed3i kh\u1edbp \u0111\u1ebfn ph\u00eda sau c\u1ed5 l\u1ed3i c\u1ea7u.<\/p>\n

    Trong pha b\u1eaft \u0111\u1ea7u c\u1ee7a v\u1eadn \u0111\u1ed9ng h\u00e1 mi\u1ec7ng, ph\u1ea7n tr\u01b0\u1edbc c\u1ee7a d\u00e2y ch\u1eb1ng tho\u1ea1t ti\u00ean c\u0103ng v\u00ec \u0111i\u1ec3m b\u00e1m c\u1ee7a n\u00f3 \u1edf c\u1ed5 l\u1ed3i c\u1ea7u b\u1ecb \u0111\u01b0a v\u1ec1 ph\u00eda sau. Khi b\u1ecb c\u0103ng t\u1edbi m\u1ed9t m\u1ee9c n\u00e0o \u0111\u00f3, d\u00e2y ch\u1eb1ng gi\u1eef cho c\u1ed5 l\u1ed3i c\u1ea7u kh\u00f4ng \u0111\u01b0a th\u00eam v\u1ec1 ph\u00eda sau n\u1eefa, l\u1ed3i c\u1ea7u d\u1ecbch chuy\u1ec3n ra tr\u01b0\u1edbc v\u00e0 xu\u1ed1ng d\u01b0\u1edbi, tr\u01b0\u1ee3t tr\u00ean \u0111\u0129a v\u00e0 s\u01b0\u1eddn nghi\u00eang sau c\u1ee7a l\u1ed3i kh\u1edbp. \u0110\u00e2y ch\u00ednh l\u00e0 th\u1eddi \u0111i\u1ec3m di\u1ec5n ra s\u1ef1 u\u1ed1n c\u1ee7a \u0111\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng h\u00e1-lui sau c\u1ee7a h\u00e0m d\u01b0\u1edbi. S\u1ef1 c\u0103ng d\u00e2y ch\u1eb1ng ti\u1ebfp t\u1ee5c lan chuy\u1ec3n \u0111\u1ebfn c\u00e1c s\u1ee3i \u1edf ph\u00eda sau khi h\u00e0m d\u01b0\u1edbi ti\u1ebfp t\u1ee5c h\u00e1.<\/p>\n

    Nh\u01b0 v\u1eady, trong \u0111\u1ed9ng t\u00e1c h\u00e1 mi\u1ec7ng, ph\u1ea7n tr\u01b0\u1edbc c\u1ee7a d\u00e2y ch\u1eb1ng b\u1ecb k\u00e9o c\u0103ng, tuy v\u1eady, d\u00e2y ch\u1eb1ng kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m d\u1ef1 ph\u00f2ng s\u1ef1 tr\u1eadt kh\u1edbp ra sau c\u1ee7a l\u1ed3i c\u1ea7u h\u01a1n l\u00e0 c\u00f3 th\u1ec3 c\u0103ng theo m\u1ee9c \u0111\u1ed9 h\u00e1. D\u00e2y ch\u1eb1ng c\u0169ng \u0111\u1ec1 ph\u00f2ng cho l\u1ed3i c\u1ea7u kh\u1ecfi nh\u1eefng v\u1eadn \u0111\u1ed9ng sang b\u00ean qu\u00e1 m\u1ee9c. D\u00e2y ch\u1eb1ng v\u00e0 bao kh\u1edbp gi\u1eef vai tr\u00f2 quan tr\u1ecdng trong ph\u1ed1i h\u1ee3p th\u1ea7n kinh c\u1ee7a c\u00e1c v\u1eadn \u0111\u1ed9ng, t\u01b0 th\u1ebf ngh\u1ec9 v\u00e0 \u0111\u1ecbnh v\u1ecb c\u1ee7a h\u00e0m d\u01b0\u1edbi, ch\u00fang ch\u1ee9a \u0111\u1ef1ng nhi\u1ec1u \u0111i\u1ec3m c\u1ee7a th\u1ec3 th\u1ee5 c\u1ea3m.<\/p>\n

    Nh\u00ecn t\u1ed5ng qu\u00e1t, kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m c\u00f3 c\u00e1c \u0111\u1eb7c tr\u01b0ng sau \u0111\u00e2y:<\/p>\n

      \n
    1. \u00a0L\u00e0 m\u1ed9t trong nh\u1eefng kh\u1edbp \u0111\u1ed9ng ph\u1ee9c t\u1ea1p nh\u1ea5t c\u1ee7a c\u01a1 th\u1ec3, l\u00e0 lo\u1ea1i kh\u1edbp b\u1ea3n l\u1ec1 tr\u01b0\u1ee3t.<\/li>\n
    2. L\u00e0 kh\u1edbp gi\u1eefa hai c\u1ea5u tr\u00fac l\u1ed3i (l\u1ed3i kh\u1edbp v\u00e0 l\u1ed3i c\u1ea7u x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi), c\u1ea7n c\u00f3 m\u1ed9t c\u1ea5u tr\u00fac l\u00f5m hai m\u1eb7t (\u0111\u0129a kh\u1edbp) \u0111\u1ec3 ho\u00e0n thi\u1ec7n c\u01a1 ch\u1ebf \u201cb\u1ea3n l\u1ec1\u201d c\u1ee7a kh\u1edbp.<\/li>\n
    3. C\u00e1c di\u1ec7n kh\u1edbp \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1edfi m\u00f4 s\u1ee3i kh\u00f4ng m\u1ea1ch m\u00e1u (kh\u00f4ng ph\u1ea3i l\u00e0 m\u00f4 s\u1ee5n).<\/li>\n
    4. C\u00e1c kh\u1edbp thu\u1ed9c m\u1ed9t h\u1ec7 th\u1ed1ng kh\u1edbp \u0111\u1ed9ng hai b\u00ean, m\u1ed7i kh\u1edbp \u0111\u1ed9c l\u1eadp v\u1edbi nhau v\u1ec1 gi\u1ea3i ph\u1eabu nh\u01b0ng kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n v\u1eadn \u0111\u1ed9ng m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp, m\u00e0 li\u00ean thu\u1ed9c nhau.<\/li>\n
    5. B\u1ed9 r\u0103ng d\u1ef1 ph\u1ea7n quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a kh\u1edbp. Ngo\u00e0i nh\u1eefng y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng m\u00f4 t\u1ea3 tr\u00ean, c\u00f9ng v\u1edbi t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u01a1 h\u00e0m \u0111\u1ec3 t\u1ea1o n\u00ean c\u00e1c v\u1eadn \u0111\u1ed9ng c\u1ee7a h\u00e0m d\u01b0\u1edbi, kh\u1edbp c\u1eafn (quan h\u1ec7 r\u0103ng-r\u0103ng) l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m: m\u1ed7i khi c\u00f3 s\u1ef1 ti\u1ebfp x\u00fac gi\u1eefa c\u00e1c r\u0103ng, m\u1ed9t l\u1ef1c \u0111\u00f3ng h\u00e0m \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh. L\u1ef1c \u0111\u00f3ng h\u00e0m v\u00e0 quan h\u1ec7 gi\u1eefa c\u00e1c r\u0103ng c\u1ee7a hai h\u00e0m x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a c\u00e1c l\u1ed3i c\u1ea7u. Khi hai h\u00e0m \u1edf v\u1ecb tr\u00ed l\u1ed3ng m\u00fai t\u1ed1i \u0111a, c\u00e1c l\u1ed3i c\u1ea7u \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c v\u00e0 ch\u1eafc ch\u1eafn (\u1ee9ng v\u1edbi v\u1ecb tr\u00ed l\u1ed3ng m\u00fai t\u1ed1i \u0111a, c\u00e1c l\u1ed3i c\u1ea7u c\u00f3 v\u1ecb tr\u00ed x\u00e1c \u0111\u1ecbnh trong kh\u1edbp; khi l\u1ed3ng m\u00fai t\u1ed1i \u0111a c\u00f3 s\u1ef1 thay \u0111\u1ed5i, k\u00e9o theo s\u1ef1 thay \u0111\u1ed5i v\u1ecb tr\u00ed c\u1ee7a c\u00e1c l\u1ed3i c\u1ea7u trong kh\u1edbp). V\u1ecb tr\u00ed n\u00e0y c\u00f3 th\u1ec3 l\u00e0 v\u1ecb tr\u00ed h\u00e0i h\u00f2a gi\u1eefa t\u00e1c \u0111\u1ed9ng c\u1ee7a kh\u1edbp c\u1eafn v\u1edbi t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u01a1, c\u0169ng c\u00f3 th\u1ec3 kh\u00f4ng h\u00e0i h\u00f2a v\u1edbi v\u1ecb tr\u00ed do c\u01a1 x\u00e1c \u0111\u1ecbnh. S\u1ef1 b\u1ea5t h\u00e0i h\u00f2a gi\u1eefa t\u00e1c \u0111\u1ed9ng c\u1ee7a kh\u1edbp c\u1eafn v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u01a1 c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn lo\u1ea1n n\u0103ng h\u1ec7 th\u1ed1ng nhai ho\u1eb7c g\u00e2y qu\u00e1 t\u1ea3i c\u00e1c m\u00f4 n\u00e2ng \u0111\u1ee1 r\u0103ng v\u00e0 c\u1ee7a kh\u1edbp.<\/li>\n
    6. Kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m l\u00e0 trung t\u00e2m t\u00edch h\u1ee3p gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng c\u1ee7a h\u1ec7 th\u1ed1ng nhai.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      Hai kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m l\u00e0 nh\u1eefng kh\u1edbp \u0111\u1ed9ng duy nh\u1ea5t c\u1ee7a s\u1ecd. C\u00e1c m\u00f4 t\u1ea3 v\u1ec1 kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong nhi\u1ec1u s\u00e1ch gi\u1ea3i ph\u1eabu. B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng c\u1ee7a bao kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam. 1. Gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng bao […]<\/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":"\nKh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m - Gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng bao kh\u1edbp. - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c m\u00f4 t\u1ea3 v\u1ec1 kh\u1edbp th\u00e1i d\u01b0\u01a1ng h\u00e0m \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y nhi\u1ec1u t\u1eeb tr\u01b0\u1edbc. B\u00e0i vi\u1ebft n\u00f3i v\u1ec1 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng bao kh\u1edbp. 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