{"id":26639,"date":"2023-04-22T14:00:45","date_gmt":"2023-04-22T07:00:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26639"},"modified":"2023-05-02T09:52:13","modified_gmt":"2023-05-02T02:52:13","slug":"benh-ly-phuc-hop-tuy-mo-quanh-chop","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/benh-ly-phuc-hop-tuy-mo-quanh-chop\/","title":{"rendered":"B\u1ec7nh l\u00fd ph\u1ee9c h\u1ee3p tu\u1ef7 – m\u00f4 quanh ch\u00f3p."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch nguy\u00ean nh\u00e2n, \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh l\u00fd d\u1ea1ng ph\u1ee9c h\u1ee3p gi\u1eefa c\u1ea3 tu\u1ef7 v\u00e0 m\u00f4 quanh ch\u00f3p, \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch h\u00ecnh th\u1ee9c nhi\u1ec5m tr\u00f9ng n\u1ed9i nha ngo\u00e0i \u1ed1ng tu\u1ef7. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. B\u1ec7nh l\u00fd ph\u1ee9c h\u1ee3p tu\u1ef7 – m\u00f4 quanh ch\u00f3p<\/h2>\n

T\u1ee7y r\u0103ng c\u00f3 th\u1ec3 b\u1ecb vi\u00eam do c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0 s\u00e2u r\u0103ng, ch\u1ea5n th\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng c\u01a1 h\u1ecdc \u2013 h\u00f3a h\u1ecdc ho\u1eb7c l\u00e0 b\u1ec7nh nha chu. Tuy nhi\u00ean, nh\u1eefng nhi\u1ec5m tr\u00f9ng t\u1eeb s\u00e2u r\u0103ng (m\u1ea3ng b\u00e1m v\u00e0 biofilm) v\u1eabn l\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu. Khi s\u00e2u r\u0103ng th\u00e2m nh\u1eadp v\u00e0o l\u1edbp ng\u00e0 th\u00ec t\u00f9y thu\u1ed9c v\u00e0o ho\u1ea1t \u0111\u1ed9ng c\u1ee7a vi khu\u1ea9n trong l\u1ed7 s\u00e2u m\u00e0 c\u00e1c \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u2013 vi\u00eam th\u01b0\u1eddng x\u1ea3y ra \u1edf ph\u1ea7n m\u00f4 t\u1ee7y b\u00ean d\u01b0\u1edbi c\u00e1c \u1ed1ng ng\u00e0 li\u00ean quan \u0111\u1ebfn l\u1ed7 s\u00e2u.<\/p>\n

\"benh-ly-phuc-hop-2\"
(a) RCL 3 h\u00e0m tr\u00ean kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n nam 25 tu\u1ed5i, c\u00f3 l\u1ed7 s\u00e2u m\u1eb7t g\u1ea7n. H\u00ecnh \u1ea3nh l\u00e1t c\u1eaft m\u00f4 h\u1ecdc \u1edf m\u1eb7t ph\u1eb3ng g\u1ea7n \u2013 xa. Ng\u00e0 r\u0103ng kh\u00f4ng b\u1ecb ph\u00e1 h\u1ee7y nh\u01b0ng b\u1ecb ph\u00e2n l\u1edbp b\u1edfi m\u1ed9t l\u1edbp d\u00e0y biofilm. (b) H\u00ecnh \u1ea3nh chi ti\u1ebft v\u00f9ng \u0111\u01b0\u1ee3c ch\u1ec9 trong m\u0169i t\u00ean ph\u00eda d\u01b0\u1edbi \u1edf h\u00ecnh (a). C\u00e1c \u1ed1ng ng\u00e0 b\u1ecb vi khu\u1ea9n x\u00e2m chi\u1ebfm nhi\u1ec1u. (c) H\u00ecnh \u1ea3nh ph\u00f3ng to v\u00f9ng \u0111\u01b0\u1ee3c ch\u1ec9 trong m\u0169i t\u00ean ph\u00eda tr\u00ean \u1edf (a). M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf c\u00e1c t\u1ebf b\u00e0o vi\u00eam t\u00edch t\u1ee5 c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c \u1edf g\u1ea7n l\u1edbp nguy\u00ean b\u00e0o ng\u00e0, n\u01a1i m\u00e0 c\u00e1c \u1ed1ng ng\u00e0 c\u00f3 li\u00ean quan v\u1edbi t\u1ee7y r\u0103ng. (d) H\u00ecnh \u1ea3nh ph\u00f3ng to cho th\u1ea5y v\u00f9ng t\u1ed5n th\u01b0\u01a1ng g\u1ed3m c\u00e1c t\u1ebf b\u00e0o vi\u00eam m\u00e3n t\u00ednh \u0111\u01a1n nh\u00e2n, m\u00e0 ch\u1ee7 y\u1ebfu l\u00e0 lymphocyte.<\/figcaption><\/figure>\n

Vi khu\u1ea9n v\u00e0 \u0111\u1ed9c t\u1ed1 c\u1ee7a ch\u00fang c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 c\u00e1c kh\u00e1ng nguy\u00ean, th\u00fac \u0111\u1ea9y \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch b\u1ea9m sinh v\u00e0 mi\u1ec5n d\u1ecbch thu \u0111\u01b0\u1ee3c trong m\u00f4 t\u1ee7y. N\u1ebfu s\u00e2u r\u0103ng kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00ec \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u2013 vi\u00eam s\u1ebd ti\u1ebfp t\u1ee5c di\u1ec5n ra v\u00ec vi khu\u1ea9n v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i trong c\u00e1c \u1ed1ng ng\u00e0 kh\u00f4ng c\u00f3 m\u1ea1ch m\u00e1u, l\u00e0 v\u1ecb tr\u00ed m\u00e0 h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch c\u01a1 th\u1ec3 kh\u00f4ng ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c.<\/p>\n

M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u2013 vi\u00eam trong t\u1ee7y r\u0103ng t\u1ec9 l\u1ec7 v\u1edbi \u0111\u1ed9 s\u00e2u c\u1ee7a s\u1ef1 th\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n v\u00e0o l\u1ed7 s\u00e2u v\u1ec1 ph\u00eda bu\u1ed3ng t\u1ee7y. Khi kho\u1ea3ng c\u00e1ch gi\u1eefa b\u1ec1 m\u1eb7t x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n v\u00e0o ph\u1ea7n ng\u00e0 li\u00ean quan v\u1edbi tu\u1ef7 r\u0103ng, k\u1ec3 c\u1ea3 \u0111\u1ed9 d\u00e0y c\u1ee7a l\u1edbp ng\u00e0 ph\u1ea3n \u1ee9ng, v\u00e0o kho\u1ea3ng 1.1 mm ho\u1eb7c h\u01a1n th\u00ec vi\u00eam t\u1ee7y kh\u00f4ng nghi\u00eam tr\u1ecdng. Nh\u01b0ng khi vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0o l\u1edbp ng\u00e0 ph\u1ea3n \u1ee9ng, \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u2013 vi\u00eam c\u1ee7a t\u1ee7y r\u0103ng s\u1ebd kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c. N\u1ebfu s\u00e2u r\u0103ng l\u00e0m l\u1ed9 t\u1ee7y th\u00ec ng\u01b0\u1eddi ta quan s\u00e1t th\u1ea5y c\u00f3 vi khu\u1ea9n trong ph\u1ea7n m\u00f4 t\u1ee7y ho\u1ea1i t\u1eed t\u1ea1i v\u1ecb tr\u00ed t\u1ee7y b\u1ecb l\u1ed9 v\u00ec m\u00f4 ho\u1ea1i t\u1eed ho\u00e0n to\u00e0n m\u1ea5t \u0111i h\u1ec7 th\u1ed1ng ph\u00f2ng ng\u1ef1.<\/p>\n

\"benh-ly-phuc-hop-1\"
(a) RCL 3 h\u00e0m d\u01b0\u1edbi c\u00f3 tri\u1ec7u ch\u1ee9ng \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n nam 45 tu\u1ed5i, c\u00f3 l\u1ed7 s\u00e2u l\u1edbn \u1edf m\u1eb7t xa. L\u00e1t c\u1eaft m\u00f4 h\u1ecdc di qua v\u1ecb tr\u00ed l\u1ed7 s\u00e2u \u1edf s\u1eebng t\u1ee7y xa. M\u00f4 t\u1ee7y b\u00ean d\u01b0\u1edbi v\u1ecb tr\u00ed t\u1ee7y l\u1ed9 \u0111\u00e3 b\u1ecb ho\u1ea1i t\u1eed, trong khi ph\u1ea7n m\u00f4 t\u1ee7y \u1edf ph\u00eda g\u1ea7n v\u1eabn b\u00ecnh th\u01b0\u1eddng. (b) S\u1eebng t\u1ee7y xa \u1edf h\u00ecnh (a). Vi khu\u1ea9n \u1ea9n n\u00e1u trong c\u00e1c m\u1ea3nh v\u1ee5n m\u00f4. C\u00f3 th\u1ec3 th\u1ea5y m\u1ed9t c\u1ea5u tr\u00fac biofilm \u1edf th\u00e0nh ng\u00e0 ph\u00eda b\u00ean tr\u00e1i. Vi khu\u1ea9n c\u0169ng \u0111\u1ed3ng th\u1eddi \u1ea9n n\u00e1u trong m\u1ed9t s\u1ed1 \u1ed1ng ng\u00e0. (c) H\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee5m vi khu\u1ea9n \u1edf trung t\u00e2m c\u1ee7a s\u1eebng t\u1ee7y. Xung quanh l\u00e0 PMN n\u1ed3ng \u0111\u1ed9 cao.<\/figcaption><\/figure>\n

Ph\u1ea7n m\u00f4 t\u1ee7y xung quanh th\u01b0\u1eddng s\u1ebd b\u1ecb vi\u00eam nh\u01b0ng v\u1eabn v\u00f4 tr\u00f9ng. Ng\u01b0\u1eddi ta c\u00f4ng nh\u1eadn r\u1eb1ng khi s\u00e2u r\u0103ng g\u00e2y l\u1ed9 t\u1ee7y th\u00ec t\u1ee7y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 l\u00e0nh th\u01b0\u01a1ng n\u1eefa, v\u00ec n\u00f3 \u0111\u01b0\u1ee3c bao b\u1ecdc xung quanh b\u1edfi c\u00e1c th\u00e0nh ng\u00e0 c\u1ee9ng ch\u1eafc v\u00e0 thi\u1ebfu h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n ph\u1ee5 nh\u1eb1m ph\u00e2n b\u1ed1 c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ebf b\u00e0o v\u00e0 mi\u1ec5n d\u1ecbch d\u1ecbch th\u1ec3 \u0111\u1ebfn v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n. Do \u0111\u00f3 r\u0103ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb l\u1ea5y t\u1ee7y ch\u00e2n. Tuy nhi\u00ean nh\u1eefng b\u00e0i b\u00e1o c\u00e1o g\u1ea7n \u0111\u00e2y v\u1ec1 th\u1ee7 thu\u1eadt \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n cho th\u1ea5y \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng th\u00e0nh c\u00f4ng tr\u00ean nh\u1eefng r\u0103ng v\u0129nh vi\u1ec5n c\u00f3 t\u1ee7y s\u1ed1ng b\u1ecb l\u1ed9 t\u1ee7y do s\u00e2u r\u0103ng.<\/p>\n

N\u1ebfu \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb t\u1ee7y ch\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau khi l\u1ed9 t\u1ee7y do s\u00e2u r\u0103ng nh\u01b0 v\u1eady th\u00ec vi khu\u1ea9n trong nh\u1eefng \u1ed1ng t\u1ee7y nhi\u1ec5m tr\u00f9ng s\u1ebd ti\u1ebfp t\u1ee5c nh\u00e2n l\u00ean, \u00e1p \u0111\u1ea3o c\u1ea3 h\u1ec7 th\u1ed1ng h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 g\u00e2y nhi\u1ec5m tr\u00f9ng ph\u1ea7n m\u00f4 t\u1ee7y c\u00f2n l\u1ea1i. Cu\u1ed1i c\u00f9ng, vi\u00eam hay nhi\u1ec5m tr\u00f9ng \u1edf m\u00f4 t\u1ee7y s\u1ebd lan t\u1ecfa v\u00e0o m\u00f4 quanh ch\u00f3p, g\u00e2y ra vi\u00eam quanh ch\u00f3p. Khi vi khu\u1ea9n g\u00e2y nhi\u1ec5m tr\u00f9ng h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y, ch\u00fang s\u1ebd t\u1ea1o th\u00e0nh l\u1edbp biofilm c\u1ee9ng ch\u1eafc, d\u00ednh ch\u1eb7t v\u00e0o c\u00e1c th\u00e0nh \u1ed1ng t\u1ee7y nh\u1edd c\u00e1c khung ngo\u1ea1i b\u00e0o c\u1ee7a polymer. Ch\u00fang c\u0169ng \u0111\u1ed3ng th\u1eddi x\u00e2m nh\u1eadp v\u00e0o c\u00e1c \u0111o\u1ea1n eo t\u1ee7y, c\u00e1c \u1ed1ng ng\u00e0 \u1edf \u1ed1ng t\u1ee7y, c\u00e1c \u1ed1ng t\u1ee7y ph\u1ee5 v\u00e0 \u1ed1ng t\u1ee7y b\u00ean.<\/p>\n

\"\"
(a) Ph\u00eda b\u00ean tr\u00e1i c\u1ee7a th\u00e0nh \u1ed1ng t\u1ee7y; (b) Ph\u00eda b\u00ean ph\u1ea3i c\u1ee7a th\u00e0nh \u1ed1ng t\u1ee7y. Biofilm \u1edf th\u00e0nh \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng c\u1ee7a RCN h\u00e0m d\u01b0\u1edbi c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p l\u1edbn. Ng\u01b0\u1eddi ta g\u1ee3i \u00fd r\u1eb1ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm, nhi\u1ec5m tr\u00f9ng ngo\u00e0i \u1ed1ng t\u1ee7y nh\u01b0 actinomyces c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n \u0111\u1ed9c l\u1eadp v\u1edbi nhi\u1ec5m tr\u00f9ng trong \u1ed1ng t\u1ee7y. Tuy nhi\u00ean, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t c\u1ee5m actinomyces trong c\u00e1c m\u00f4 vi\u00eam quanh ch\u00f3p, v\u1ed1n \u0111\u01b0\u1ee3c xem l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra th\u1ea5t b\u1ea1i c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt m\u00e0 kh\u00f4ng t\u1ed3n t\u1ea1i nhi\u1ec5m tr\u00f9ng trong \u1ed1ng t\u1ee7y \u0111\u00e3 \u0111\u01b0\u1ee3c Ricucci v\u00e0 Siqueira \u0111\u1eb7t nghi v\u1eabn. C\u01a1 ch\u1ebf c\u1ee7a s\u1ef1 th\u00e0nh l\u1eadp nhi\u1ec5m tr\u00f9ng n\u1ed9i nha ngo\u00e0i \u1ed1ng t\u1ee7y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5, v\u00e0 c\u00f3 th\u1ec3 l\u00e0 do m\u1ed9t c\u1ed9ng \u0111\u1ed3ng vi khu\u1ea9n \u0111\u1eb7c bi\u1ec7t n\u00e0o \u0111\u00f3 v\u00e0\/ho\u1eb7c h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb suy y\u1ebfu.<\/figcaption><\/figure>\n

Vi khu\u1ea9n t\u1eeb nh\u1eefng \u1ed1ng t\u1ee7y b\u1ecb nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 t\u1ea1m th\u1eddi g\u00e2y nhi\u1ec5m tr\u00f9ng m\u00f4 quanh ch\u00f3p, v\u00e0 ch\u00fang ch\u1ec9 c\u00f3 th\u1ec3 b\u1ecb ti\u00eau di\u1ec7t b\u1edfi c\u01a1 ch\u1ebf h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch t\u1ef1 th\u00e2n, sau khi vi\u1ec7c ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u00e3 lo\u1ea1i tr\u1eeb ngu\u1ed3n g\u1ed1c nhi\u1ec5m tr\u00f9ng ban \u0111\u1ea7u trong \u1ed1ng t\u1ee7y. Trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p, vi khu\u1ea9n trong \u1ed1ng t\u1ee7y c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o v\u00f9ng m\u00f4 quanh ch\u00f3p ho\u1ea1i t\u1eed, g\u00e2y ra qu\u00e1 tr\u00ecnh nhi\u1ec5m tr\u00f9ng g\u1ecdi l\u00e0 nhi\u1ec5m tr\u00f9ng n\u1ed9i nha ngo\u00e0i \u1ed1ng t\u1ee7y.<\/p>\n

2. H\u00ecnh th\u1ee9c nhi\u1ec5m tr\u00f9ng n\u1ed9i nha ngo\u00e0i \u1ed1ng tu\u1ef7<\/h2>\n

C\u00f3 2 h\u00ecnh th\u1ee9c nhi\u1ec5m tr\u00f9ng ngo\u00e0i \u1ed1ng t\u1ee7y, kh\u00f4ng gi\u1ed1ng v\u1edbi abscess ch\u00f3p c\u1ea5p th\u01b0\u1eddng \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng r\u00f5 r\u00e0ng:<\/p>\n

1. S\u1ef1 h\u00ecnh th\u00e0nh c\u1ea5u tr\u00fac gi\u1ed1ng v\u1edbi biofilm ho\u1eb7c l\u00e0 m\u1ea3ng b\u00e1m vi khu\u1ea9n \u1edf b\u1ec1 m\u1eb7t b\u00ean ngo\u00e0i c\u1ee7a ch\u00f3p ch\u00e2n r\u0103ng.
\n2. S\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5m vi khu\u1ea9n li\u1ec1n nhau ngay trong v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng vi\u00eam nh\u01b0 actinomyces.<\/p>\n

C\u1ea5u tr\u00fac gi\u1ed1ng biofilm \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf b\u1ec1 m\u1eb7t b\u00ean ngo\u00e0i c\u1ee7a ph\u1ea7n ch\u00f3p r\u0103ng c\u00f3 vi\u00eam quanh ch\u00f3p dai d\u1eb3ng. Ricucci v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 m\u00f4 t\u1ea3 2 tr\u01b0\u1eddng h\u1ee3p trong \u0111\u00f3 m\u1ea3ng b\u00e1m vi khu\u1ea9n hi\u1ec7n di\u1ec7n \u1edf b\u1ec1 m\u1eb7t b\u00ean ngo\u00e0i c\u1ee7a ch\u00e2n r\u0103ng c\u00f3 vi\u00eam quanh ch\u00f3p dai d\u1eb3ng v\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt.<\/p>\n

Vi\u00eam t\u1ee7y ho\u1eb7c ho\u1ea1i t\u1eed t\u1ee7y c\u00f3 th\u1ec3 x\u1ea3y ra do ch\u1ea5n th\u01b0\u01a1ng, kh\u00f4ng c\u00f3 s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n v\u00e0 nhi\u1ec5m tr\u00f9ng. Nh\u1eefng r\u0103ng c\u00f3 vi\u00eam t\u1ee7y ho\u1eb7c ho\u1ea1i t\u1eed t\u1ee7y lo\u1ea1i n\u00e0y th\u01b0\u1eddng c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 gi\u1edbi h\u1ea1n, v\u00e0 kh\u00f4ng d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd vi\u00eam hay nhi\u1ec5m tr\u00f9ng quanh ch\u00f3p.<\/p>\n

M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa d\u1eef li\u1ec7u ch\u1ea9n \u0111o\u00e1n v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u00f4 h\u1ecdc th\u1ef1c s\u1ef1 c\u1ee7a t\u1ee7y r\u0103ng c\u00f2n k\u00e9m ch\u1eb7t ch\u1ebd. B\u1ec7nh l\u00fd t\u1ee7y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u00ean l\u00e2m s\u00e0ng l\u00e0 vi\u00eam t\u1ee7y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c th\u00ec kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 to\u00e0n b\u1ed9 ph\u1ea7n m\u00f4 t\u1ee7y \u0111\u1ec1u \u1edf t\u00ecnh tr\u1ea1ng nh\u01b0 v\u1eady, v\u00ec ph\u1ea7n m\u00f4 t\u1ee7y v\u00f9ng ch\u00f3p c\u00f3 th\u1ec3 kh\u00f4ng h\u1ec1 b\u1ecb vi\u00eam. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, vi\u00eam quanh ch\u00f3p kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 t\u1ee7y r\u0103ng trong c\u00e1c \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng \u0111\u1ec1u ho\u1ea1i t\u1eed to\u00e0n b\u1ed9. Vi\u00eam quanh ch\u00f3p l\u00e0 s\u1ef1 m\u1edf r\u1ed9ng c\u1ee7a vi\u00eam t\u1ee7y v\u00f9ng quanh ch\u00f3p.<\/p>\n

Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch nguy\u00ean nh\u00e2n, \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh l\u00fd d\u1ea1ng ph\u1ee9c h\u1ee3p gi\u1eefa c\u1ea3 tu\u1ef7 v\u00e0 m\u00f4 quanh ch\u00f3p, \u0111\u1ed3ng th\u1eddi ph\u00e2n t\u00edch h\u00ecnh th\u1ee9c nhi\u1ec5m tr\u00f9ng n\u1ed9i nha ngo\u00e0i \u1ed1ng tu\u1ef7. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1. B\u1ec7nh l\u00fd ph\u1ee9c h\u1ee3p tu\u1ef7 – m\u00f4 quanh […]<\/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":[],"yoast_head":"\nB\u1ec7nh l\u00fd ph\u1ee9c h\u1ee3p tu\u1ef7 - m\u00f4 quanh ch\u00f3p. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y ph\u00e2n t\u00edch nguy\u00ean nh\u00e2n, \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh l\u00fd d\u1ea1ng ph\u1ee9c h\u1ee3p tu\u1ef7 - m\u00f4 quanh ch\u00f3p. 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