{"id":24496,"date":"2023-04-24T05:08:47","date_gmt":"2023-04-23T22:08:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24496"},"modified":"2023-04-24T15:50:10","modified_gmt":"2023-04-24T08:50:10","slug":"cac-nghiem-phap-giup-chan-doan-benh-dau-than-kinh-toa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/cac-nghiem-phap-giup-chan-doan-benh-dau-than-kinh-toa\/","title":{"rendered":"C\u00e1c nghi\u1ec7m ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0110au th\u1ea7n kinh t\u1ecda"},"content":{"rendered":"<p><strong>\u0110au th\u1ea7n kinh t\u1ecda l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn tr\u00ean l\u00e2m s\u00e0ng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh t\u1ecda s\u1edbm v\u00e0 ch\u00ednh x\u00e1c gi\u00fap c\u00e1c b\u00e1c s\u0129 c\u00f3 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c nghi\u1ec7m ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh t\u1ecda th\u01b0\u1eddng d\u00f9ng tr\u00ean l\u00e2m s\u00e0ng.<\/strong><\/p>\n<h2>1. Nghi\u1ec7m ph\u00e1p trong kh\u00e1m h\u1ed9i ch\u1ee9ng c\u1ed9t s\u1ed1ng<\/h2>\n<p>Quy tr\u00ecnh kh\u00e1m h\u1ed9i ch\u1ee9ng c\u1ed9t s\u1ed1ng:<\/p>\n<ul>\n<li>Nh\u00ecn: \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 h\u00ecnh d\u00e1ng c\u1ed9t s\u1ed1ng, ki\u1ec3m tra tr\u1ee5c c\u1ed9t s\u1ed1ng, \u0111\u00e1nh gi\u00e1 tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ea1nh s\u1ed1ng<\/li>\n<li>S\u1edd n\u1eafn: ki\u1ec3m tra tr\u01b0\u01a1ng l\u1ef1c c\u01a1, t\u00ecm \u0111i\u1ec3m \u0111au c\u1ed9t s\u1ed1ng v\u00e0 \u0111i\u1ec3m \u0111au c\u00e1c c\u01a1 c\u1ea1nh s\u1ed1ng<\/li>\n<li>Kh\u00e1m v\u1eadn \u0111\u1ed9ng: ki\u1ec3m tra c\u00e1c ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 c\u00fai, ng\u1eeda, nghi\u00eang v\u00e0 xoay.<\/li>\n<\/ul>\n<p>C\u00e1c nghi\u1ec7m ph\u00e1p trong ph\u1ea7n kh\u00e1m v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u1ed9t s\u1ed1ng:<\/p>\n<ul>\n<li>Nghi\u1ec7m ph\u00e1p ng\u00f3n tay ch\u1ea1m \u0111\u1ea5t: Ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng th\u1eb3ng, 2 ch\u00e2n s\u00e1t nhau, ng\u01b0\u1eddi b\u1ec7nh c\u00fai t\u1ed1i \u0111a, ch\u00e2n th\u1eb3ng, gi\u01a1 th\u1eb3ng 2 tay h\u01b0\u1edbng xu\u1ed1ng \u0111\u1ea5y, \u0111o kho\u1ea3ng c\u00e1c t\u1eeb ng\u00f3n tay gi\u1eefa c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn n\u1ec1n \u0111\u1ea5t. \u0110\u00e1nh gi\u00e1: 0cm &#8211; ng\u01b0\u1eddi c\u00f3 c\u1ed9t s\u1ed1ng kh\u1ecfe m\u1ea1nh, &gt;0 cm &#8211; ng\u01b0\u1eddi b\u1ec7nh tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m (do tho\u00e1t v\u1ecb l\u00e0m k\u00edch th\u00edch r\u1ec5 th\u1ea7n kinh n\u00ean ng\u00f3n tay kh\u00f4ng ch\u1ea1m \u0111\u1ea5t \u0111\u01b0\u1ee3c)<\/li>\n<li>Nghi\u1ec7m ph\u00e1p Schober: \u0111\u00e1nh gi\u00e1 ch\u1ec9 s\u1ed1 n\u00e0y, cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng th\u1eb3ng, x\u00e1c \u0111\u1ecbnh m\u1ecfm gai c\u1ee7a \u0111\u1ed1t s\u1ed1ng S11 v\u00e0 \u0111\u00e1nh d\u1ea5u \u0111i\u1ec3m th\u1ee9 1. T\u1eeb \u0111i\u1ec3m n\u00e0y, \u0111o l\u00ean tr\u00ean 10cm, \u0111\u00e1nh d\u1ea5u \u0111i\u1ec3m th\u1ee9 2. Sau \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u00fai t\u1ed1i \u0111a, 2 ch\u00e2n du\u1ed7i th\u1eb3ng l\u1ea1i kh\u1edbp g\u1ed1i, \u0111o l\u1ea1i kho\u1ea3ng c\u00e1ch gi\u1eefa 2 \u0111i\u1ec3m tr\u00ean (\u1edf t\u01b0 th\u1ebf c\u00fai c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh).<br \/>\nCh\u1ec9 s\u1ed1 schober = s\u1ed1 \u0111o l\u1ea7n 1 \/s\u1ed1 \u0111o l\u1ea7n 2. \u1ede ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng thu\u1ed9c nh\u00f3m tu\u1ed5i thanh ni\u00ean, ch\u1ec9 s\u1ed1 Schober kho\u1ea3ng 14\/10 &#8211; 15\/10. \u1ede ng\u01b0\u1eddi b\u1ec7nh c\u00f3 h\u1ed9i ch\u1ee9ng th\u1eaft l\u01b0ng h\u00f4ng &#8211; ch\u1ec9 s\u1ed1 n\u00e0y gi\u1ea3m.<\/li>\n<li>Xoay v\u00e0 nghi\u00eang c\u1ed9t s\u1ed1ng: d\u00f9ng th\u01b0\u1edbc \u0111o \u0111\u1ed9 xoay v\u00e0 \u0111\u1ed9 nghi\u00eang: C\u1ed9t s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng nghi\u00eang \u0111\u01b0\u1ee3c 29 &#8211; 31\u00b0 v\u1ec1 2 b\u00ean v\u00e0 xoay \u0111\u01b0\u1ee3c kho\u1ea3ng 30 &#8211; 32\u00b0 . N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111au khi nghi\u00eang ho\u1eb7c xoay ho\u1eb7c g\u00f3c nghi\u00eang v\u00e0 xoay b\u1ecb h\u1ea1n ch\u1ebf th\u00ec ch\u1ee9ng t\u1ecf c\u00f3 b\u1ec7nh l\u00fd.<\/li>\n<\/ul>\n<h2>2. Nghi\u1ec7m ph\u00e1p \u0111\u00e1nh gi\u00e1 d\u1ea5u hi\u1ec7u c\u0103ng r\u1ec5 th\u1ea7n kinh t\u1ecda<\/h2>\n<ul>\n<li>\u0110i\u1ec3m \u0111au c\u1ea1nh s\u1ed1ng: ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng ho\u1eb7c n\u1eb1m v\u1edbi t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i, \u1ea5n tr\u00ean \u0111\u01b0\u1eddng c\u1ea1nh s\u1ed1ng (c\u00e1ch tr\u1ee5c c\u1ed9t s\u1ed1ng kho\u1ea3ng 2 cm v\u1ec1 2 ph\u00eda tr\u00e1i v\u00e0 ph\u1ea3i) ngang m\u1ee9c \u0111i\u1ec3m gi\u1eefa kho\u1ea3ng c\u00e1ch li\u00ean gai. Khi \u1ea5n v\u00e0o, c\u00e1c r\u1ec5 th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ebd c\u00f3 c\u1ea3m gi\u00e1c \u0111au.<\/li>\n<li>D\u1ea5u hi\u1ec7u Lasegue: ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, 2 ch\u00e2n du\u1ed7i th\u1eb3ng v\u1edbi t\u1eed th\u1ebf tho\u1ea3i m\u00e1i. Ti\u1ebfp theo, ng\u01b0\u1eddi kh\u00e1m d\u00f9ng 1 tay c\u1ee7a m\u00ecnh c\u1ea7m c\u1ed5 ch\u00e2n, tay c\u00f2n l\u1ea1i \u0111\u1eb7t \u1edf \u0111\u1ea7u g\u1ed1i ng\u01b0\u1eddi b\u1ec7nh, gi\u1eef ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh th\u1eb3ng v\u00e0 kh\u00e1m theo 2 b\u01b0\u1edbc sau:<br \/>\n&#8211; B\u01b0\u1edbc 1: ng\u01b0\u1eddi kh\u00e1m n\u00e2ng cao ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh (\u1edf t\u01b0 th\u1ebf du\u1ed7i th\u1eb3ng) l\u00ean kh\u1ecfi m\u1eb7t gi\u01b0\u1eddng, h\u01b0\u1edbng t\u1edbi g\u00f3c 90\u00b0 cho t\u1edbi khi ng\u01b0\u1eddi b\u1ec7nh k\u00eau \u0111au, c\u0103ng d\u1ecdc m\u1eb7t sau ch\u00e2n th\u00ec d\u1eebng l\u1ea1i. Ti\u1ebfp theo, x\u00e1c \u0111\u1ecbnh g\u00f3c gi\u1eefa ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh v\u00e0 m\u1eb7t gi\u01b0\u1eddng &#8211; \u0111\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 g\u00f3c Lasegue. V\u00ed d\u1ee5, n\u1ebfu n\u00e2ng ch\u00e2n t\u1edbi 45\u00b0 m\u00e0 ng\u01b0\u1eddi b\u1ec7nh k\u00eau \u0111au th\u00ec g\u00f3c Lasegue l\u00e0 45\u00b0.<br \/>\n&#8211; B\u01b0\u1edbc 2: ng\u01b0\u1eddi kh\u00e1m gi\u1eef nguy\u00ean g\u00f3c \u0111\u1ed9 \u0111\u00f3 v\u00e0 g\u1ea5p ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i kh\u1edbp g\u1ed1i, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f2n \u0111au d\u1ecdc m\u1eb7t sau ch\u00e2n. Th\u1ef1c hi\u1ec7n kh\u00e1m l\u1ea7n l\u01b0\u1ee3t 2 ch\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<br \/>\n&#8211; \u0110\u00e1nh gi\u00e1: ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng c\u00f3 g\u00f3c Lasegue l\u00e0 90\u00b0. D\u1ea5u hi\u1ec7u Lasegue d\u01b0\u01a1ng t\u00ednh bi\u1ec3u hi\u1ec7n \u0111\u1ed3ng th\u1eddi \u1edf 2 y\u1ebfu t\u1ed1 l\u00e0 ng\u01b0\u1eddi b\u1ec7nh th\u1ea5y \u0111au khi ch\u00e2n ch\u01b0a vu\u00f4ng g\u00f3c v\u1edbi m\u1eb7t gi\u01b0\u1eddng (b\u01b0\u1edbc 1) v\u00e0 khi g\u1ea5p ch\u00e2n l\u1ea1i ng\u01b0\u1eddi b\u1ec7nh h\u1ebft \u0111au (b\u01b0\u1edbc 2).<\/li>\n<\/ul>\n<figure id=\"attachment_25034\" aria-describedby=\"caption-attachment-25034\" style=\"width: 297px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25034\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-6.jpg\" alt=\"\" width=\"297\" height=\"170\" \/><figcaption id=\"caption-attachment-25034\" class=\"wp-caption-text\">Nghi\u1ec7m ph\u00e1p Lassegue<\/figcaption><\/figure>\n<ul>\n<li>D\u1ea5u hi\u1ec7u Lasegue ch\u00e9o: t\u00ecm d\u1ea5u hi\u1ec7u Lasegue \u1edf b\u00ean ch\u00e2n l\u00e0nh th\u00ec ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111au t\u0103ng \u1edf b\u00ean ch\u00e2n b\u1ecb b\u1ec7nh.<\/li>\n<li>D\u1ea5u hi\u1ec7u chu\u00f4ng b\u1ea5m: b\u1ec7nh nh\u00e2n n\u1eb1m ho\u1eb7c \u0111\u1ee9ng v\u1edbi t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i, \u1ea5n tr\u00ean c\u00e1c \u0111i\u1ec3m nh\u01b0 \u1edf thao t\u00e1c ki\u1ec3m tra \u0111i\u1ec3m \u0111au c\u1ed9t s\u1ed1ng. D\u1ea5u hi\u1ec7u d\u01b0\u01a1ng t\u00ednh khi ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y c\u01a1n \u0111au lan d\u1ecdc theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a d\u00e2y th\u1ea7n kinh t\u1ecda c\u00f9ng b\u00ean xu\u1ed1ng d\u01b0\u1edbi ch\u00e2n.<\/li>\n<li>H\u1ec7 th\u1ed1ng c\u00e1c \u0111i\u1ec3m Valleix (\u00e1p th\u1ed1ng \u0111i\u1ec3m Valleix): l\u00e0 c\u00e1c \u0111i\u1ec3m m\u00e0 d\u00e2y th\u1ea7n kinh t\u1ecda \u0111i qua, g\u1ed3m \u0111i\u1ec3m gi\u1eefa n\u1ebfp l\u1eb1n m\u00f4ng, \u0111i\u1ec3m gi\u1eefa \u1ee5 ng\u1ed3i v\u00e0 m\u1ea5u chuy\u1ec3n, \u0111i\u1ec3m gi\u1eefa m\u1eb7t sau \u0111\u00f9i, \u0111i\u1ec3m gi\u1eefa n\u1ebfp khoeo ch\u00e2n, \u0111i\u1ec3m \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng m\u00e1c, \u0111i\u1ec3m gi\u1eefa b\u1eafp ch\u00e2n, \u0111i\u1ec3m m\u1eaft c\u00e1 ngo\u00e0i. Trong \u0111au th\u1ea7n kinh t\u1ecda, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y \u0111au ch\u00f3i khi \u1ea5n v\u00e0o c\u00e1c \u0111i\u1ec3m n\u00e0y.<\/li>\n<li>D\u1ea5u hi\u1ec7u Dejerine: ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111au t\u0103ng v\u00f9ng th\u1eaft l\u01b0ng khi ho, h\u1eaft h\u01a1i.<\/li>\n<li>D\u1ea5u hi\u1ec7u Neri: ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng th\u1eb3ng, sau \u0111\u00f3 c\u00fai g\u1eadp ng\u01b0\u1eddi, gi\u01a1 2 tay ch\u1ea1m \u0111\u1ea5t v\u00e0 2 \u0111\u1ea7u g\u1ed1i gi\u1eef th\u1eb3ng.D\u1ea5u hi\u1ec7u Neri d\u01b0\u01a1ng t\u00ednh khi ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y \u0111au d\u1ecdc ch\u00e2n b\u1ecb b\u1ec7nh v\u00e0 ch\u00e2n \u0111\u00f3 co l\u1ea1i t\u1ea1i kh\u1edbp g\u1ed1i.<\/li>\n<li>D\u1ea5u hi\u1ec7u Siccar: ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda tho\u1ea3i m\u00e1i v\u00e0 du\u1ed7i th\u1eb3ng 2 ch\u00e2n, kh\u00e1m nh\u01b0 ki\u1ec3m tra d\u1ea5u hi\u1ec7u Lasegue \u1edf b\u01b0\u1edbc 1, n\u00e2ng ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh l\u00ean kh\u1ecfi m\u1eb7t gi\u01b0\u1eddng, t\u1edbi khi ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111au th\u00ec d\u1eebng l\u1ea1i, g\u1ea5p b\u00e0n ch\u00e2n b\u00ean \u0111\u00f3 v\u1ec1 ph\u00eda mu b\u00e0n ch\u00e2n. D\u1ea5u hi\u1ec7u Siccar d\u01b0\u01a1ng t\u00ednh n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y \u0111au t\u0103ng d\u1ecdc m\u1eb7t sau c\u1ee7a ch\u00e2n \u0111ang \u0111\u01b0\u1ee3c kh\u00e1m.<\/li>\n<li>D\u1ea5u hi\u1ec7u Bonnet: ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, du\u1ed7i th\u1eb3ng 2 ch\u00e2n v\u1edbi t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i, g\u1ea5p c\u1eb3ng ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh v\u00e0o \u0111\u00f9i r\u1ed3i g\u1ea5p \u0111\u00f9i v\u00e0o b\u1ee5ng. D\u1ea5u hi\u1ec7u Bonnet d\u01b0\u01a1ng t\u00ednh n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111au v\u00f9ng sau \u0111\u00f9i v\u00e0 m\u00f4ng \u1edf b\u00ean \u0111\u01b0\u1ee3c kh\u00e1m.<\/li>\n<\/ul>\n<h2>3. \u0110\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng c\u00e1c r\u1ec5 th\u1ea7n kinh<\/h2>\n<p>Kh\u00e1m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a r\u1ec5 L5 v\u00e0 r\u1ec5 S1 v\u00ec 2 r\u1ec5 n\u00e0y r\u1ea5t hay b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m:<\/p>\n<p>R\u1ec5 L5: chi ph\u1ed1i v\u1eadn \u0111\u1ed9ng c\u1ee7a nh\u00f3m c\u01a1 ch\u00e0y tr\u01b0\u1edbc, ch\u1ee9c n\u0103ng g\u1ea5p b\u00e0n ch\u00e2n v\u00e0 g\u1ea5p ng\u00f3n 1, 2 v\u1ec1 ph\u00eda mu b\u00e0n ch\u00e2n.<\/p>\n<ul>\n<li>Nghi\u1ec7m ph\u00e1p \u0111\u1ee9ng g\u00f3t: Khi kh\u00e1m, b\u00e1c s\u0129 ki\u1ec3m tra s\u1ee9c c\u01a1 g\u1ea5p b\u00e0n ch\u00e2n v\u00e0 g\u1ea5p ng\u00f3n 1 &#8211; 2 v\u1ec1 ph\u00eda mu \u1edf c\u1ea3 2 b\u00ean ch\u00e2n, cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng tr\u00ean g\u00f3t ch\u00e2n. \u1ede ng\u01b0\u1eddi c\u00f3 t\u1ed5n th\u01b0\u01a1ng r\u1ec5 L5, ng\u01b0\u1eddi b\u1ec7nh r\u1ea5t kh\u00f3 ho\u1eb7c kh\u00f4ng \u0111\u1ee9ng \u0111\u01b0\u1ee3c \u1edf b\u00ean g\u00f3t ch\u00e2n b\u00ean t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n<p>R\u1ec5 S1: chi ph\u1ed1i v\u1eadn \u0111\u1ed9ng cho c\u01a1 d\u00e9p (sau c\u1eb3ng ch\u00e2n) v\u00e0 c\u00f3 ch\u1ee9c n\u0103ng du\u1ed7i b\u00e0i ch\u00e2n.<\/p>\n<ul>\n<li>Nghi\u1ec7m ph\u00e1p \u0111\u1ee9ng m\u0169i: Khi kh\u00e1m, b\u00e1c s\u0129 ki\u1ec3m tra s\u1ee9c c\u01a1 du\u1ed7i th\u1eb3ng b\u00e0n ch\u00e2n ho\u1eb7c cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng tr\u00ean m\u0169i b\u00e0n ch\u00e2n. \u1ede ng\u01b0\u1eddi b\u1ecb t\u1ed5n th\u01b0\u01a1ng r\u1ec5 S1, ng\u01b0\u1eddi b\u1ec7nh r\u1ea5t kh\u00f3 ho\u1eb7c kh\u00f4ng \u0111\u1ee9n \u0111\u01b0\u1ee3c \u1edf tr\u00ean m\u0169i b\u00e0n ch\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng. R\u1ed1i lo\u1ea1n ph\u1ea3n x\u1ea1: ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ea3n x\u1ea1 c\u1ee7a c\u00e1c r\u1ec5 th\u1ea7n kinh; \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ea3n x\u1ea1 g\u00e2n c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i (r\u1ec5 L3, L4) v\u00e0 ph\u1ea3n x\u1ea1 g\u00e2n g\u00f3t (r\u1ec5 S1).<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u0110au th\u1ea7n kinh t\u1ecda l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn tr\u00ean l\u00e2m s\u00e0ng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh t\u1ecda s\u1edbm v\u00e0 ch\u00ednh x\u00e1c gi\u00fap c\u00e1c b\u00e1c s\u0129 c\u00f3 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c nghi\u1ec7m ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c nghi\u1ec7m ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0110au th\u1ea7n kinh t\u1ecda - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110au th\u1ea7n kinh t\u1ecda l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn, c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c nghi\u1ec7m ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0111au th\u1ea7n kinh t\u1ecda th\u01b0\u1eddng d\u00f9ng tr\u00ean l\u00e2m s\u00e0ng.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1c nghi\u1ec7m ph\u00e1p gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0110au th\u1ea7n kinh t\u1ecda - 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