{"id":2586,"date":"2023-04-09T13:57:34","date_gmt":"2023-04-09T06:57:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2586"},"modified":"2023-04-10T14:27:44","modified_gmt":"2023-04-10T07:27:44","slug":"giai-phau-va-co-sinh-hoc-khop-goi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/giai-phau-va-co-sinh-hoc-khop-goi\/","title":{"rendered":"Gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc kh\u1edbp g\u1ed1i"},"content":{"rendered":"<p><strong>Kh\u1edbp g\u1ed1i l\u00e0 m\u1ed9t kh\u1edbp ph\u1ee9c h\u1ee3p bao g\u1ed3m 2 kh\u1edbp: Gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng ch\u00e0y (thu\u1ed9c lo\u1ea1i kh\u1edbp l\u1ed3i c\u1ea7u) v\u00e0 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng b\u00e1nh ch\u00e8 (thu\u1ed9c lo\u1ea1i kh\u1edbp ph\u1eb3ng). Kh\u1edbp g\u1ed1i l\u00e0 kh\u1edbp quan tr\u1ecdng c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, n\u00f3 cho ph\u00e9p ch\u00fang ta di chuy\u1ec3n v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y. Gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc kh\u1edbp g\u1ed1i bao g\u1ed3m c\u00e1c th\u00e0nh ph\u1ea7n v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp g\u1ed1i. Kh\u1edbp g\u1ed1i l\u00e0 m\u1ed9t kh\u1edbp g\u1ed3m r\u1ea5t nhi\u1ec1u c\u1ea5u tr\u00fac kh\u00e1c nhau, bao g\u1ed3m x\u01b0\u01a1ng, c\u01a1, d\u00e2y ch\u1eb1ng, m\u00f4 m\u1ec1m v\u00e0 c\u00e1c m\u00f4 li\u00ean k\u1ebft. C\u00e1c c\u01a1 v\u00e0 d\u00e2y ch\u1eb1ng n\u00e0y ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec3 gi\u1eef cho kh\u1edbp g\u1ed1i \u1ed5n \u0111\u1ecbnh v\u00e0 cho ph\u00e9p ch\u00fang ta th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng kh\u00e1c nhau.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS.TS \u0110inh Ng\u1ecdc S\u01a1n, BSCKII. V\u0169 Tr\u01b0\u1eddng Th\u1ecbnh<\/p>\n<p><strong>Ng\u00e0y ph\u00e1t h\u00e0nh:<\/strong> 30\/03\/2022<\/p>\n<h2><b>1. Gi\u1ea3i ph\u1eabu<\/b><\/h2>\n<h3><b>1.1 C\u1ea5u tr\u00fac x\u01b0\u01a1ng<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i: c\u00f3 l\u1ed3i c\u1ea7u trong to h\u01a1n v\u00e0 th\u1ea5p h\u01a1n l\u1ed3i c\u1ea7u ngo\u00e0i. M\u1eb7t tr\u01b0\u1edbc hai l\u1ed3i c\u1ea7u h\u01a1i ph\u1eb3ng, m\u1eb7t sau tr\u00f2n nh\u01b0 m\u1ed9t ph\u1ea7n h\u00ecnh c\u1ea7u. So v\u1edbi th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i, hai l\u1ed3i c\u1ea7u \u1edf ph\u00eda sau nhi\u1ec1u h\u01a1n. Gi\u1eefa hai l\u1ed3i c\u1ea7u l\u00e0 r\u00e3nh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ C\u00e1c th\u00e0nh ph\u1ea7n b\u00e1m v\u00e0o l\u1ed3i c\u1ea7u trong: c\u01a1 kh\u00e9p l\u1edbn, \u0111\u1ea7u trong c\u01a1 b\u1ee5ng ch\u00e2n, d\u00e2y ch\u1eb1ng b\u00ean ch\u1ea3y v\u00e0 h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng gi\u1eef kh\u1edbp g\u1ed1i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ C\u00e1c th\u00e0nh ph\u1ea7n b\u00e1m v\u00e0o l\u1ed3i c\u1ea7u ngo\u00e0i: d\u1ea3i ch\u1eadu-ch\u00e0y, c\u01a1 ch\u00e0y tr\u01b0\u1edbc, c\u01a1 du\u1ed7i c\u00e1c ng\u00f3n ch\u00e2n d\u00e0i, \u0111\u1ea7u ngo\u00e0i c\u01a1 b\u1ee5ng ch\u00e2n, c\u01a1 gan ch\u00e2n, c\u01a1 khoeo, d\u00e2y ch\u1eb1ng b\u00ean m\u00e1c v\u00e0 h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng gi\u1eef kh\u1edbp g\u1ed1i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u00e2m ch\u00e0y: kh\u00f4ng n\u1eb1m trong m\u1eb7t ph\u1eb3ng ngang m\u00e0 ph\u00eda sau th\u1ea5p h\u01a1n ph\u00eda tr\u01b0\u1edbc, l\u00e0m m\u1ed9t g\u00f3c 20\u00b0 v\u1edbi m\u1eb7t ph\u1eb3ng n\u00e0y. M\u1eb7t kh\u1edbp m\u00e2m ch\u00e0y trong ph\u1eb3ng v\u00e0 th\u1ea5p h\u01a1n m\u00e2m ch\u00e0y ngo\u00e0i; m\u1eb7t kh\u1edbp m\u00e2m ch\u00e0y ngo\u00e0i h\u01a1i tr\u0169ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">X\u01b0\u01a1ng b\u00e1nh ch\u00e8: c\u00f3 d\u1ea1ng tam gi\u00e1c. M\u1eb7t kh\u1edbp c\u00f3 hai di\u1ec7n trong v\u00e0 ngo\u00e0i, ph\u00e2n c\u00e1ch b\u1edfi m\u1ed9t g\u1edd. Di\u1ec7n trong nh\u1ecf h\u01a1n ngo\u00e0i. Khi g\u1ed1i du\u1ed7i, di\u1ec7n ngo\u00e0i b\u00e1nh ch\u00e8 ti\u1ebfp x\u00fac ho\u00e0n to\u00e0n v\u1edbi m\u1eb7t kh\u1edbp l\u1ed3i c\u1ea7u ngo\u00e0i \u0111\u00f9i. Ch\u1ec9 l\u00fac g\u1ed1i g\u1ea5p ho\u00e0n to\u00e0n, di\u1ec7n trong b\u00e1nh ch\u00e8 m\u1edbi ti\u1ebfp x\u00fac s\u00e1t v\u00e0 t\u1ea1o l\u1ef1c \u00e9p l\u1edbn nh\u1ea5t l\u00ean m\u1eb7t kh\u1edbp l\u1ed3i c\u1ea7u trong \u0111\u00f9i.<\/span><\/p>\n<h3><b>1.2. H\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng gi\u1eef kh\u1edbp<\/b><\/h3>\n<figure id=\"attachment_2596\" aria-describedby=\"caption-attachment-2596\" style=\"width: 209px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2596 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/a-209x300.jpg\" alt=\"Gi\u1ea3i ph\u1eabu h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng gi\u1eef kh\u1edbp\" width=\"209\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/a-209x300.jpg 209w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/a.jpg 476w\" sizes=\"(max-width: 209px) 100vw, 209px\" \/><figcaption id=\"caption-attachment-2596\" class=\"wp-caption-text\">Gi\u1ea3i ph\u1eabu h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng gi\u1eef kh\u1edbp<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">C\u00f3 5 h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c d\u00e2y ch\u1eb1ng b\u00ean:<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng b\u00ean ch\u00e0y \u0111i t\u1eeb m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i xu\u1ed1ng d\u01b0\u1edbi v\u00e0 ra tr\u01b0\u1edbc b\u00e1m v\u00e0o \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng b\u00ean m\u00e1c \u0111i t\u1eeb m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f9i xu\u1ed1ng d\u01b0\u1edbi v\u00e0 ra sau b\u00e1m v\u00e0o ch\u00f2m x\u01b0\u01a1ng m\u00e1c.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c d\u00e2y ch\u1eb1ng tr\u01b0\u1edbc:<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng b\u00e1nh ch\u00e8.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ M\u1ea1c gi\u1eef b\u00e1nh ch\u00e8 trong.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ M\u1ea1c gi\u1eef b\u00e1nh ch\u00e8 ngo\u00e0i.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c d\u00e2y ch\u1eb1ng sau:<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng khoeo ch\u00e9o l\u00e0 m\u1ed9t ch\u1ebd qu\u1eb7t ng\u01b0\u1ee3c c\u1ee7a g\u00e2n c\u01a1 b\u00e1n m\u1ea1c, \u0111i t\u1eeb trong ra ngo\u00e0i v\u00e0 l\u00ean tr\u00ean, b\u00e1m v\u00e0o v\u1ecf l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f9i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng khoeo cung \u0111i t\u1eeb ch\u1ecfm x\u01b0\u01a1ng m\u00e1c t\u1ecfa th\u00e0nh 2 b\u00f3 b\u00e1m v\u00e0o x\u01b0\u01a1ng ch\u00e0y v\u00e0 x\u01b0\u01a1ng \u0111\u00f9i, t\u1ea1o th\u00e0nh m\u1ed9t v\u00e0nh cung c\u00f3 c\u01a1 khoeo \u0111i qua.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c d\u00e2y ch\u1eb1ng b\u1eaft ch\u00e9o \u1edf h\u1ed1 gian l\u1ed3i c\u1ea7u:<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc \u0111i t\u1eeb l\u1ed3i c\u1ea7u ngo\u00e0i t\u1edbi di\u1ec7n gian l\u1ed3i c\u1ea7u tr\u01b0\u1edbc.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng ch\u00e9o sau \u0111i t\u1eeb l\u1ed3i c\u1ea7u trong t\u1edbi di\u1ec7n gian l\u1ed3i c\u1ea7u sau.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hai d\u00e2y ch\u1eb1ng b\u1eaft ch\u00e9o th\u00e0nh h\u00ecnh ch\u1eef X, r\u1ea5t ch\u1eafc gi\u1eef cho kh\u1edbp g\u1ed1i kh\u00f4ng b\u1ecb tr\u1eadt theo chi\u1ec1u tr\u01b0\u1edbc sau.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c d\u00e2y ch\u1eb1ng s\u1ee5n ch\u00eam:<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng ngang g\u1ed1i n\u1ed1i 2 s\u1eebng tr\u01b0\u1edbc c\u1ee7a s\u1ee5n ch\u00eam v\u1edbi nhau.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng ch\u00eam \u0111\u00f9i tr\u01b0\u1edbc l\u00e0 m\u1ed9t s\u1ed1 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng b\u1eaft ch\u00e9o tr\u01b0\u1edbc, \u0111i t\u1eeb l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f9i t\u1edbi b\u00e1m v\u00e0o s\u1eebng tr\u01b0\u1edbc c\u1ee7a s\u1ee5n ch\u00eam trong.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ D\u00e2y ch\u1eb1ng ch\u00eam \u0111\u00f9i sau l\u00e0 m\u1ed9t s\u1ed1 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng b\u1eaft ch\u00e9o sau \u0111i t\u1eeb l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i t\u1edbi b\u00e1m v\u00e0o s\u1ee5n ch\u00eam ngo\u00e0i.<\/span><\/p>\n<h3><b>1.3. Th\u1ea7n kinh, m\u1ea1ch m\u00e1u<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Khi l\u00e0m KGTP ch\u00fa \u00fd to\u00e0n b\u1ed9 th\u1ea7n kinh, m\u1ea1ch m\u00e1u l\u1edbn c\u1ee7a g\u1ed1i \u0111\u1ec1u n\u1eb1m ph\u00eda sau. G\u1ea7n nh\u1ea5t v\u1edbi ph\u1eabu tr\u01b0\u1eddng l\u00e0 \u0111\u1ed9ng m\u1ea1ch, xa h\u01a1n l\u00e0 t\u0129nh m\u1ea1ch v\u00e0 xa nh\u1ea5t l\u00e0 th\u1ea7n kinh. Ngo\u00e0i ra, tr\u00ean v\u00e0 d\u01b0\u1edbi l\u00e0 b\u00f3 m\u1ea1ch g\u1ed1i. Ph\u00eda ngo\u00e0i c\u00f3 th\u1ea7n kinh m\u00e1c chung r\u1ea5t d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u1ed1i bi\u1ebfn d\u1ea1ng v\u1eb9o ngo\u00e0i nhi\u1ec1u.<\/span><\/p>\n<h2><b>2. C\u01a1 sinh h\u1ecdc kh\u1edbp g\u1ed1i<\/b><\/h2>\n<h3><b>2.1. Tr\u1ee5c gi\u1ea3i ph\u1eabu v\u00e0 tr\u1ee5c c\u01a1 h\u1ecdc<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e2m kh\u1edbp g\u1ed1i: l\u00e0 giao \u0111i\u1ec3m gi\u1eefa \u0111\u01b0\u1eddng th\u1eb3ng ti\u1ebfp tuy\u1ebfn hai gai ch\u00e0y v\u1edbi \u0111\u01b0\u1eddng n\u1ed1i b\u1edd d\u01b0\u1edbi hai l\u1ed3i c\u1ea7u \u0111\u00f9i.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ee5c gi\u1ea3i ph\u1eabu: Trong m\u1eb7t ph\u1eb3ng tr\u00e1n, tr\u1ee5c th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i h\u1ee3p v\u1edbi tr\u1ee5c th\u00e2n x\u01b0\u01a1ng ch\u00e0y 5-8\u00b0 m\u1edf ngo\u00e0i.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ee5c c\u01a1 h\u1ecdc l\u00e0 \u0111\u01b0\u1eddng n\u1ed1i t\u1eeb t\u00e2m ch\u1ecfm \u0111\u1ebfn t\u00e2m g\u1ed1i v\u00e0 t\u00e2m c\u1ed5 ch\u00e2n. B\u00ecnh th\u01b0\u1eddng tr\u1ee5c c\u01a1 h\u1ecdc l\u00e0 m\u1ed9t \u0111\u01b0\u1eddng th\u1eb3ng, h\u1ee3p v\u1edbi tr\u1ee5c \u0111\u1ee9ng m\u1ed9t g\u00f3c 3\u00b0.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trong t\u01b0 th\u1ebf th\u1eb3ng \u0111\u1ee9ng<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">+ Tr\u1ee5c c\u01a1 h\u1ecdc t\u1ea1o v\u1edbi tr\u1ee5c th\u1eb3ng \u0111\u1ee9ng m\u1ed9t g\u00f3c 3\u00b0.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Tr\u1ee5c gi\u1ea3i ph\u1eabu \u0111\u00f9i t\u1ea1o v\u1edbi tr\u1ee5c c\u01a1 h\u1ecdc m\u1ed9t g\u00f3c 6\u00b0.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u00e2y l\u00e0 nh\u1eefng ch\u1ec9 s\u1ed1 c\u01a1 b\u1ea3n c\u1ee7a tr\u1ee5c gi\u1ea3i ph\u1eabu, tr\u1ee5c c\u01a1 h\u1ecdc c\u1ee7a chi d\u01b0\u1edbi. Khi l\u00e0m KGTP ph\u1ea3i ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y, c\u00e0ng g\u1ea7n sinh l\u00fd c\u00e0ng t\u1ed1t.<\/span><\/p>\n<h3><b>2.2. Tr\u1ee5c ngang g\u1ed1i trong qu\u00e1 tr\u00ecnh g\u1eadp-du\u1ed7i<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Tr\u1ee5c ngang g\u1ed1i l\u00e0 m\u1ed9t \u0111\u01b0\u1eddng ngang song song v\u1edbi m\u1eb7t \u0111\u1ea5t, qua \u0111\u00f3 m\u00e2m ch\u00e0y tr\u01b0\u1ee3t tr\u00ean l\u1ed3i c\u1ea7u \u0111\u00f9i. Theo Gunston trong qu\u00e1 tr\u00ecnh g\u1ea5p du\u1ed7i g\u1ed1i tr\u1ee5c n\u00e0y kh\u00f4ng duy nh\u1ea5t, m\u00e0 t\u1ea1i m\u1ed7i v\u1ecb tr\u00ed c\u1eb3ng ch\u00e2n so v\u1edbi \u0111\u00f9i c\u00f3 m\u1ed9t tr\u1ee5c ngang g\u1ed1i kh\u00e1c nhau. Khi g\u1ea5p g\u1ed1i t\u1eeb 0\u00b0 \u0111\u1ebfn 120\u00b0 c\u00e1c tr\u1ee5c n\u00e0y t\u1ea1o th\u00e0nh h\u00ecnh ch\u1eef J. Nh\u01b0 v\u1eady l\u00e0 m\u00e2m ch\u00e0y v\u1eeba tr\u01b0\u1ee3t, v\u1eeba l\u0103n tr\u00ean l\u1ed3i c\u1ea7u \u0111\u00f9i trong qu\u00e1 tr\u00ecnh g\u1ea5p du\u1ed7i g\u1ed1i.<\/span><\/p>\n<figure id=\"attachment_2597\" aria-describedby=\"caption-attachment-2597\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2597 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-5-300x290.jpg\" alt=\"Gi\u1ea3i ph\u1eabu tr\u1ee5c ngang g\u1ed1i\" width=\"300\" height=\"290\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-5-300x290.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-5.jpg 442w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2597\" class=\"wp-caption-text\">Gi\u1ea3i ph\u1eabu tr\u1ee5c ngang g\u1ed1i<\/figcaption><\/figure>\n<h3><b>2.3. C\u00e1c tr\u1ee5c gi\u1ea3i ph\u1eabu c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c m\u1ed1c x\u01b0\u01a1ng \u1edf \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i t\u1ea1o n\u00ean 3 tr\u1ee5c gi\u1ea3i ph\u1eabu c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i l\u00e0: tr\u1ee5c n\u1ed1i b\u1edd tr\u01b0\u1edbc sau l\u1ed3i c\u1ea7u \u0111\u00f9i (AnteroPosterior axis APA), tr\u1ee5c li\u00ean m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u \u0111\u00f9i (Transepicondylar axis &#8211; TEA) v\u00e0 tr\u1ee5c n\u1ed1i b\u1edd sau hai l\u1ed3i c\u1ea7u \u0111\u00f9i (PosteriorCon\u0111ylar axis &#8211; PCA)<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ee5c n\u1ed1i b\u1edd tr\u01b0\u1edbc sau l\u1ed3i c\u1ea7u \u0111\u00f9i (\u0111\u01b0\u1eddng Whiteside)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tr\u1ee5c n\u1ed1i b\u00f2&#8217; tr\u01b0\u1edbc sau l\u1ed3i c\u1ea7u \u0111\u00f9i l\u00e0 \u0111\u01b0\u1eddng n\u1ed1i \u0111i\u1ec3m th\u1ea5p nh\u1ea5t c\u1ee7a h\u00f5m r\u00f2ng r\u1ecdc \u1edf ph\u00eda tr\u01b0\u1edbc v\u1edbi \u0111i\u1ec3m cao nh\u1ea5t c\u1ee7a m\u00e1i l\u1ed3i c\u1ea9u \u1edf ph\u00eda sau. N\u00f3 ph\u1ee5 thu\u1ed9c v\u00e0o gi\u1ea3i ph\u1eabu b\u00ecnh th\u01b0\u1eddng c\u1ee7a h\u00f5m r\u00f2ng r\u1ecdc v\u00e0 m\u00e1i l\u1ed3i c\u1ea9u \u1edf \u0111\u1ea7u xa x\u01b0\u01a1ng \u0111\u00f9i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Arima v\u00e0 c\u1ed9ng s\u1ef1 th\u1ea5y r\u1eb1ng, khi \u0111\u1eb7t tr\u1ee5c ngang kh\u1edbp g\u1ed1i vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c APA, c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a kh\u1edbp \u0111\u00f9i ch\u00e8 gi\u1ea3m c\u00f3 \u00fd ngh\u0129a so v\u1edbi khi \u0111\u1eb7t c\u00e1c tr\u1ee5c n\u00e0y song song v\u1edbi tr\u1ee5c PCA. Kh\u00f4ng gi\u1ed1ng nh\u01b0 PCA, tr\u1ee5c APA v\u1eabn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p ph\u1ea7n x\u01b0\u01a1ng ph\u00eda sau l\u1ed3i c\u1ea7u b\u1ecb m\u00f2n ho\u1eb7c thi\u1ec3u s\u00e0n, Poil Vache v\u00e0 c\u1ed9ng s\u1ef1 nh\u1eadn th\u1ea5y r\u1eb1ng s\u1ef1 thi\u1ec3u s\u1ea3n n\u1eb7ng c\u1ee7a r\u00e3nh r\u00f2ng r\u1ecdc g\u00e2y ra xoay ngo\u00e0i qu\u00e1 m\u1ee9c c\u1ee7a \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i. Nagamine v\u00e0 c\u1ed9ng s\u1ef1 c\u00f9ng l\u01b0u \u00fd r\u1eb1ng, \u0111\u01b0\u1eddng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c APA \u1edf kh\u1edbp g\u1ed1i b\u00ecnh th\u01b0\u1eddng xoay ngo\u00e0i kho\u1ea3ng 3,5\u00b0 so v\u1edbi tr\u1ee5c PCA tr\u00ean ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u1edf 84 kh\u1edbp g\u1ed1i, v\u00e0 xoay ngo\u00e0i h\u01a1n \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tho\u00e1i h\u1ecfa n\u1eb7ng ng\u0103n kh\u1edbp \u0111\u00f9i &#8211; ch\u00e0y trong. Vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u01a1n \u0111\u1ed9c tr\u1ee5c APA \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tho\u00e1i h\u00f3a n\u1eb7ng ng\u0103n kh\u1edbp \u0111\u00f9i &#8211; ch\u00e0y trong l\u00e0m xoay ngo\u00e0i qu\u00e1 m\u1ee9c ph\u1ea7n \u0111\u00f9i v\u00e0 do \u0111\u00f3, s\u1ebd l\u00e0m m\u1ea5t v\u1eefng g\u1ed1i khi g\u1ea5p. Trong m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c, Yau v\u00e0 c\u1ed9ng s\u1ef1 [9] nh\u1eadn th\u1ea5y s\u1ef1 sai l\u1ec7ch trong s\u1ef1 xoay c\u1ee7a tr\u1ee5c ngang kh\u1edbp g\u1ed1i l\u00e0 3,2\u00b0 (1,5\u00b0 xoay ngo\u00e0i v\u00e0 1,7\u00b0 xoay trong). Benjamin nh\u1eadn th\u1ea5y r\u1eb1ng tr\u1ee5c APA chi l\u1ec7ch chu\u1ea9n kho\u1ea3ng 1\u00b0 trong 26% c\u00e1c tr\u01b0\u1eddng h\u1ee3p thay kh\u1edbp g\u1ed1i.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ee5c li\u00ean m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u \u0111\u00f9i.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tr\u1ee5c li\u00ean m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u \u0111\u00f9i l\u00e0 \u0111\u01b0\u1eddng n\u1ed1i \u0111i\u1ec3m l\u1ed3i nh\u1ea5t c\u1ee7a m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i v\u1edbi \u0111i\u1ec3m l\u1ed3i nh\u1ea5t m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong (tr\u1ee5c TEA l\u00e2m s\u00e0ng, clinical TransEpicondylar axis cTEA), ho\u1eb7c v\u1edbi r\u00e0nh khuy\u1ebft c\u1ee7a m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong (tr\u1ee5c TEA ph\u1eabu thu\u1eadt, surgical TransEpicondylar axis sTEA). Trong \u0111\u00f3, tr\u1ee5c sTEA ph\u1ea3n \u00e1nh ch\u00ednh x\u00e1c nh\u1ea5t tr\u1ee5c ngang c\u1ee7a g\u1ed1i, t\u01b0\u01a1ng \u1ee9ng v\u1edbi nguy\u00ean \u1ee7y c\u1ee7a c\u00e1c d\u00e2y ch\u1eb1ng b\u00ean, do \u0111\u00f3 khi tr\u1ee5c ngang c\u1ee7a kh\u1edbp g\u1ed1i song song v\u1edbi sTEA s\u1ebd \u0111\u1ea3m b\u1ea3o c\u01a1 sinh h\u1ecdc kh\u1edbp \u0111\u00f9i &#8211; ch\u00e0y v\u00e0 \u0111\u00f9i-b\u00e1nh ch\u00e8 nh\u1ea5t. Nghi\u00ean c\u1ee9u c\u1ee7a Olcott v\u00e0 Scott [10] chi ra r\u1eb1ng \u0111\u1eb7t tr\u1ee5c ngang kh\u1edbp g\u1ed1i song song v\u1edbi sTEA gi\u00fap \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u1ea3ng g\u1ea5p du\u1ed7i t\u1ed1t nh\u1ea5t (90% s\u1eed d\u1ee5ng sTEA, 83% s\u1eed d\u1ee5ng AP\u00c0, v\u00e0 70% s\u1eed d\u1ee5ng PCA). Ch\u00ednh v\u00ec th\u1ebf sTEA l\u00e0 \u0111\u01b0\u1eddng tham chi\u1ebfu chu\u1ea9n trong tr\u01b0\u1eddng h\u1ee3p thay l\u1ea1i kh\u1edbp g\u1ed1i to\u00e0n ph\u1ea7n v\u00e0 trong ph\u1eabu thu\u1eadt TKGTP l\u1ea7n \u0111\u1ea7u, \u0111\u1eb7c bi\u1ec7t khi ph\u1ea7n sau l\u1ed3i c\u1ea7u b\u1ecb m\u00f2n; thi\u1ec3u s\u1ea3n ho\u1eb7c kh\u1edbp g\u1ed1i tho\u00e1i h\u00f3a bi\u1ebfn d\u1ea1ng n\u1eb7ng. Tuy nhi\u00ean, vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c tr\u1ee5c n\u00e0y trong ph\u1eabu thu\u1eadt l\u00e0 kh\u00e1 kh\u00f3 kh\u0103n, g\u00e2y nhi\u1ec1u tr\u1edf ng\u1ea1i cho c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean, do b\u1ecb c\u00e1c d\u00e2y ch\u1eb1ng v\u00e0 kh\u1ed1i c\u01a1 che ph\u1ee7 xung quanh. Theo Nobuyuki Yoshino v\u00e0 Tiezheng Sun, ch\u1ec9 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c tr\u1ee5c sTEA tr\u00ean 80% phim ch\u1ee5p CHT, 20% c\u00f2n l\u1ea1i l\u00e0 kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c, b\u1ec7nh nh\u00e2n c\u00e0ng t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng n\u1eb7ng th\u00ec c\u00e0ng kh\u00f3 x\u00e1c \u0111\u1ecbnh tr\u1ee5c n\u00e0y [11],[12]. V\u00ec v\u1eady, vi\u1ec7c x\u00e1c \u0111\u1ecbnh tr\u1ee5c sTEA gi\u00e1n ti\u1ebfp qua m\u1ed9t tr\u1ee5c gi\u1ea3i ph\u1eabu kh\u00e1c v\u00e0 tr\u1ee5c n\u00e0y l\u1ea1i d\u1ec5 x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111\u00e1nh d\u1ea5u trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt l\u00e0 h\u1ebft s\u1ee9c c\u1ea7n thi\u1ebft.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ee5c n\u1ed1i b\u1edd sau hai l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tr\u1ee5c sau l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i l\u00e0 m\u1ed9t \u0111\u01b0\u1eddng k\u1ebb ti\u1ebfp tuy\u1ebfn v\u1edbi b\u1edd sau c\u1ee7a hai l\u1ed3i c\u1ea7u \u0111\u00f9i. G\u00f3c t\u1ea1o b\u1edfi tr\u1ee5c PCA v\u1edbi tr\u1ee5c cTEA l\u00e0 g\u00f3c l\u1ed3i c\u1ea7u xo\u1eafn (condylar twist angle), c\u00f2n g\u00f3c t\u1ea1o b\u1edfi tr\u1ee5c PCA v\u1edbi tr\u1ee5c sTEA g\u1ecdi l\u00e0 g\u00f3c l\u1ed3i c\u1ea7u sau (posterior condylar angle). Khi gi\u1ea3i ph\u1eabu ph\u1ea7n sau l\u1ed3i c\u1ea7u \u0111\u00f9i b\u00ecnh th\u01b0\u1eddng, PCA s\u1ebd xoay trong 3\u00b0 &#8211; 4\u00b0 so v\u1edbi m\u1eb7t c\u1eaft x\u01b0\u01a1ng \u0111\u00f9i theo \u0111\u01b0\u1eddng vu\u00f4ng g\u00f3c v\u1edbi APA, \u0111i\u1ec1u n\u00e0y gi\u00fap \u0111\u1ecbnh h\u01b0\u1edbng cho m\u1eb7t c\u00e1t x\u01b0\u01a1ng ch\u00e0y. \u0110\u01b0\u1eddng c\u00e1t x\u01b0\u01a1ng ch\u00e0y vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c c\u01a1 h\u1ecdc s\u1ebd lo\u1ea1i b\u1ecf s\u1ef1 v\u1eb9o trong 3\u00b0 c\u1ee7a m\u1eb7t kh\u1edbp x\u01b0\u01a1ng ch\u00e0y. Do \u0111\u00f3, vi\u1ec7c xoay ngo\u00e0i 3\u00b0 c\u1ee7a l\u1ed3i c\u1ea7u \u0111\u00f9i s\u1ebd gi\u00fap cho kho\u00e1ng g\u1ea5p \u0111\u01b0\u1ee3c \u0111\u1ed1i x\u1ee9ng, t\u1ee9c l\u00e0 t\u1ea1o th\u00e0nh h\u00ecnh ch\u1eef nh\u1eadt. \u1eda c\u00e1c kh\u1edbp g\u1ed1i kh\u00f4ng c\u00f3 s\u1ef1 l\u1ec7ch tr\u1ee5c c\u01a1 h\u1ecdc, v\u1eb9o trong \u00edt v\u00e0 kh\u00f4ng b\u1ecb thi\u1ec3u s\u1ea3n l\u1ed3i c\u1ea7u \u0111\u00f9i, c\u00e1c d\u1ee5ng c\u1ee5 \u0111\u1ecbnh v\u1ecb \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m l\u00e1t c\u1eaft b\u1edd tr\u01b0\u1edbc v\u00e0 b\u1edd sau l\u1ed3i c\u1ea7u \u0111\u00f9i xoay ngo\u00e0i 3\u00b0 &#8211; 6\u00b0. Nh\u1eefng d\u1ee5ng c\u1ee5 n\u00e0y th\u01b0\u1eddng \u0111\u01a1n gi\u1ea3n v\u00e0 kh\u00e1 ch\u00ednh x\u00e1c (h\u00ecnh 1.5).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng tr\u1ee5c PCA c\u0169ng c\u00f3 nhi\u1ec1u b\u1ea5t l\u1ee3i do s\u1ef1 kh\u00e1c nhau v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu c\u1ee7a m\u1ed3i b\u1ec7nh nh\u00e2n, kh\u00f3 \u0111i\u1ec1u ch\u1ec9nh ch\u00ednh x\u00e1c trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb bi\u1ebfn d\u1ea1ng kh\u1edbp g\u1ed1i n\u1eb7ng ho\u1eb7c thay l\u1ea1i kh\u1edbp g\u1ed1i. \u1edb bi\u1ebfn d\u1ea1ng g\u1ed1i v\u1eb9o ngo\u00e0i, b\u1edd sau c\u1ee7a l\u1ed3i c\u1ea7u ngo\u00e0i th\u01b0\u1eddng b\u1ecb m\u00f2n ho\u1eb7c thi\u1ec3u s\u1ea3n, c\u00f2n \u1edf bi\u1ec3n d\u1ea1ng g\u1ed1i v\u1eb9o trong, \u1edf sau c\u1ee7a l\u1ed3i c\u1ea7u trong th\u01b0\u1eddng b\u1ecb m\u00f2n nhi\u1ec1u h\u01a1n. Do \u0111\u00f3, s\u1eed d\u1ee5ng tr\u1ef1c PCA \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn nh\u1eefng sai l\u1ec7ch l\u1edbn c\u1ee7a tr\u1ee5c ngang kh\u1edbp g\u1ed1i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u00f3m l\u1ea1i, nh\u1eefng sai l\u1ec7ch khi s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt c\u1eaft x\u01b0\u01a1ng \u0111\u1ed9c l\u1eadp d\u1ef1a v\u00e0o c\u00e1c tr\u1ee5c gi\u1ea3i ph\u1eabu c\u00f3 th\u1ebf x\u1ea3y ra khi c\u00f3 s\u1ef1 thay \u0111\u1ed5i v\u1ec1 gi\u1ea3i ph\u1eabu c\u1ee7a c\u00e1c m\u1ed1c x\u01b0\u01a1ng n\u00e0y. V\u00ec v\u1eady, vi\u1ec7c s\u1eed d\u1ee5ng t\u1ea5t c\u1ea3 c\u00e1c tr\u1ee5c gi\u1ea3i ph\u1eabu x\u01b0\u01a1ng \u0111\u00f9i, so s\u00e1nh v\u00e0 \u0111\u1ed1i chi\u1ebfu c\u00e1c tr\u1ee5c n\u00e0y v\u1edbi nhau \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh g\u00f3c xoay ngo\u00e0i c\u1ee7a ph\u1ea7n \u0111\u00f9i l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00e0 c\u1ea7n thi\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 <\/span><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><b>HOTLINE<\/b><\/a><span style=\"font-weight: 400;\"> ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp <\/span><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><b>T\u1ea0I \u0110\u00c2Y<\/b><\/a><span style=\"font-weight: 400;\">. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean <\/span><a href=\"https:\/\/www.vinmec.com\/myvinmec\/\"><span style=\"font-weight: 400;\">\u1ee9ng d\u1ee5ng MyVinmec<\/span><\/a><span style=\"font-weight: 400;\"> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kh\u1edbp g\u1ed1i l\u00e0 m\u1ed9t kh\u1edbp ph\u1ee9c h\u1ee3p bao g\u1ed3m 2 kh\u1edbp: Gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng ch\u00e0y (thu\u1ed9c lo\u1ea1i kh\u1edbp l\u1ed3i c\u1ea7u) v\u00e0 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng b\u00e1nh ch\u00e8 (thu\u1ed9c lo\u1ea1i kh\u1edbp ph\u1eb3ng). Kh\u1edbp g\u1ed1i l\u00e0 kh\u1edbp quan tr\u1ecdng c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, n\u00f3 cho ph\u00e9p ch\u00fang ta di chuy\u1ec3n v\u00e0 th\u1ef1c hi\u1ec7n [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc kh\u1edbp g\u1ed1i - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u1edbp g\u1ed1i l\u00e0 m\u1ed9t kh\u1edbp ph\u1ee9c h\u1ee3p bao g\u1ed3m 2 kh\u1edbp: Gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng ch\u00e0y (thu\u1ed9c lo\u1ea1i kh\u1edbp l\u1ed3i c\u1ea7u) v\u00e0 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng b\u00e1nh ch\u00e8 ...\" \/>\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=\"Gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc kh\u1edbp g\u1ed1i - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Kh\u1edbp g\u1ed1i l\u00e0 m\u1ed9t kh\u1edbp ph\u1ee9c h\u1ee3p bao g\u1ed3m 2 kh\u1edbp: Gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng ch\u00e0y (thu\u1ed9c lo\u1ea1i kh\u1edbp l\u1ed3i c\u1ea7u) v\u00e0 gi\u1eefa x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 x\u01b0\u01a1ng b\u00e1nh ch\u00e8 ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/giai-phau-va-co-sinh-hoc-khop-goi\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-09T06:57:34+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-10T07:27:44+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/a-209x300.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/giai-phau-va-co-sinh-hoc-khop-goi\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/giai-phau-va-co-sinh-hoc-khop-goi\/\",\"name\":\"Gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc kh\u1edbp g\u1ed1i - 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