{"id":26682,"date":"2023-04-22T14:33:32","date_gmt":"2023-04-22T07:33:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26682"},"modified":"2023-05-02T09:50:23","modified_gmt":"2023-05-02T02:50:23","slug":"quan-diem-sinh-hoc-dieu-tri-tuy-co-hoac-khong-bi-viem-quanh-chop","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/quan-diem-sinh-hoc-dieu-tri-tuy-co-hoac-khong-bi-viem-quanh-chop\/","title":{"rendered":"Quan \u0111i\u1ec3m sinh h\u1ecdc \u0111i\u1ec1u tr\u1ecb tu\u1ef7 c\u00f3 ho\u1eb7c kh\u00f4ng b\u1ecb vi\u00eam quanh ch\u00f3p."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn hai quan \u0111i\u1ec3m sinh h\u1ecdc trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u1edf nh\u1eefng r\u0103ng tr\u01b0\u1edfng th\u00e0nh c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng b\u1ecb vi\u00eam quanh ch\u00f3p, cung c\u1ea5p cho nha s\u0129 m\u1ed9t g\u00f3c nh\u00ecn m\u1edbi tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/strong><\/p>\n

1. Quan \u0111i\u1ec3m sinh h\u1ecdc trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u1edf nh\u1eefng r\u0103ng tr\u01b0\u1edfng th\u00e0nh kh\u00f4ng b\u1ecb vi\u00eam quanh ch\u00f3p<\/h2>\n

T\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1eefng b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng kh\u00e1c, m\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u1edbi ph\u1ea7n t\u1ee7y r\u0103ng b\u1ecb nhi\u1ec5m tr\u00f9ng ho\u1eb7c ho\u1ea1i t\u1eed l\u00e0 lo\u1ea1i b\u1ecf vi khu\u1ea9n v\u00e0 m\u00f4 ho\u1ea1i t\u1eed trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y. M\u1eb7c d\u00f9 kh\u00e1ng sinh \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 cao trong vi\u1ec7c h\u1ed7 tr\u1ee3 h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch c\u01a1 th\u1ec3 c\u00f9ng ch\u1ed1ng l\u1ea1i vi khu\u1ea9n, nh\u01b0ng ch\u00fang l\u1ea1i kh\u00f4ng h\u1eefu \u00edch m\u1ea5y khi s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u00ec vi khu\u1ea9n \u1ea9n n\u00e1u trong m\u00f4 t\u1ee7y ho\u1ea1i t\u1eed, l\u00e0 n\u01a1i kh\u00f4ng c\u00f2n m\u1ea1ch m\u00e1u. V\u00ec th\u1ebf, kh\u00e1ng sinh kh\u00f4ng th\u1ec3 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp \u0111\u1ec3 c\u00f3 th\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n. \u0110i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u00f2i h\u1ecfi vi\u1ec7c lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3nh v\u1ee5n b\u1eb1ng c\u01a1 h\u1ecdc, k\u1ebft h\u1ee3p b\u01a1m r\u1eeda b\u1eb1ng c\u00e1c ch\u1ea5t kh\u00e1ng khu\u1ea9n \u0111\u1ec3 ph\u00e1 v\u1ee1 v\u00e0 lo\u1ea1i b\u1ecf biofilm tr\u00ean c\u00e1c th\u00e0nh \u1ed1ng t\u1ee7y, k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng khu\u1ea9n n\u1ed9i t\u1ee7y \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y, ch\u1eb3ng h\u1ea1n nh\u01b0 eo t\u1ee7y, \u1ed1ng t\u1ee7y ph\u1ee5, \u1ed1ng t\u1ee7y b\u00ean v\u00e0 c\u00e1c \u1ed1ng ng\u00e0. C\u00e1c lo\u1ea1i h\u1ee3p ch\u1ea5t th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y v\u00e0 b\u0103ng thu\u1ed1c n\u1ed9i t\u1ee7y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 NaOCl v\u00e0 calcium hydroxide. R\u0103ng c\u00f3 vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c th\u00ec vi khu\u1ea9n th\u01b0\u1eddng ch\u1ec9 c\u01b0 tr\u00fa t\u1ea1i ph\u1ea7n th\u00e2n r\u0103ng c\u1ee7a m\u00f4 t\u1ee7y ho\u1ea1i t\u1eed ho\u1eb7c v\u00f9ng c\u00f3 abscess.<\/p>\n

\"khong-bi-viem-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\u00f9y 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

Nh\u1eefng ph\u1ea7n m\u00f4 t\u1ee7y c\u00f2n l\u1ea1i th\u01b0\u1eddng kh\u00f4ng c\u00f3 vi khu\u1ea9n. V\u00ec th\u1ebf, sau khi lo\u1ea1i b\u1ecf ph\u1ea7n m\u00f4 t\u1ee7y nhi\u1ec5m tr\u00f9ng v\u00e0 ho\u1ea1i t\u1eed \u1edf bu\u1ed3ng t\u1ee7y b\u1eb1ng m\u0169i khoan v\u1edbi tay khoan low \u2013 speed v\u00e0 b\u01a1m r\u1eeda v\u1edbi NaOCl, ph\u1ea7n m\u00f4 t\u1ee7y s\u1ed1ng c\u00f2n l\u1ea1i trong \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng s\u1ebd b\u1ecb lo\u1ea1i b\u1ecf b\u1edfi vi\u1ec7c s\u1eeda so\u1ea1n c\u01a1 h\u1ecdc v\u00e0 b\u01a1m r\u1eeda b\u1eb1ng c\u00e1c ch\u1ea5t kh\u00e1ng khu\u1ea9n, v\u00e0 m\u1ed9t v\u1ebft c\u1eaft t\u1ee7y \u2013 c\u00e0ng nh\u1ecf c\u00e0ng t\u1ed1t \u2013 s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i v\u1ecb tr\u00ed \u0111i\u1ec3m th\u1eaft ch\u00f3p. Th\u1ee7 thu\u1eadt \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u00f4 tr\u00f9ng ph\u1ea3i \u0111\u01b0\u1ee3c tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t \u0111\u1ec3 tr\u00e1nh \u0111\u01b0a vi khu\u1ea9n v\u00e0o trong \u1ed1ng t\u1ee7y. \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p t\u1ee7y s\u1ed1ng, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c, vi\u1ec7c lo\u1ea1i b\u1ecf qu\u00e1 m\u1ee9c th\u00e0nh ng\u00e0 \u1ed1ng t\u1ee7y l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft v\u00ec ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 \u00edt \u1ed1ng ng\u00e0 \u1edf th\u00e2n r\u0103ng l\u00e0 b\u1ecb vi khu\u1ea9n x\u00e2m nh\u1eadp. R\u0103ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c, v\u00ed d\u1ee5 nh\u01b0 nhi\u1ec5m tr\u00f9ng ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf s\u1eebng t\u1ee7y, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t l\u1ea7n h\u1eb9n, kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i b\u0103ng thu\u1ed1c n\u1ed9i t\u1ee7y \u0111\u1ec3 tr\u00e1nh vi\u1ec7c t\u00e1i nhi\u1ec5m gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n.<\/p>\n

N\u1ebfu nhi\u1ec5m tr\u00f9ng x\u1ea3y ra \u1edf to\u00e0n b\u1ed9 m\u00f4 t\u1ee7y, th\u00ec biofilm s\u1ebd \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp \u1edf c\u00e1c th\u00e0nh \u1ed1ng t\u1ee7y, t\u1eeb \u0111\u00f3 vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0o c\u00e1c eo t\u1ee7y, \u1ed1ng t\u1ee7y ph\u1ee5, \u1ed1ng t\u1ee7y b\u00ean v\u00e0 c\u00e1c \u1ed1ng ng\u00e0 trong \u1ed1ng t\u1ee7y. B\u1edfi v\u00ec th\u1ebf, lo\u1ea1i tr\u1eeb m\u1ea3nh v\u1ee5n trong \u1ed1ng t\u1ee7y b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc \u0111\u1ed1i v\u1edbi nh\u1eefng r\u0103ng c\u00f3 nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed9t c\u00e1ch k\u1ef9 l\u01b0\u1ee1ng h\u01a1n so v\u1edbi nh\u1eefng r\u0103ng c\u00f3 vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c, \u0111\u1ec3 ph\u00e1 h\u1ee7y l\u1edbp biofilm, lo\u1ea1i tr\u1eeb \u0111\u1ed9c t\u1ed1 vi khu\u1ea9n c\u0169ng nh\u01b0 vi khu\u1ea9n trong c\u00e1c \u1ed1ng ng\u00e0 v\u00e0 m\u1ea3nh v\u1ee5n m\u00f4 ho\u1ea1i t\u1eed. H\u01a1n n\u1eefa, c\u1ea7n b\u0103ng thu\u1ed1c kh\u00e1ng khu\u1ea9n n\u1ed9i t\u1ee7y \u0111\u1ec3 ti\u00eau di\u1ec7t l\u01b0\u1ee3ng vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n v\u00ec vi\u1ec7c s\u1eeda so\u1ea1n c\u01a1 h\u1ecdc v\u00e0 b\u01a1m r\u1eeda b\u1eb1ng ch\u1ea5t kh\u00e1ng khu\u1ea9n kh\u00f4ng ho\u00e0n to\u00e0n ti\u00eau di\u1ec7t \u0111\u01b0\u1ee3c h\u1ebft vi khu\u1ea9n trong \u1ed1ng t\u1ee7y. Khi \u0111\u00f3, vi khu\u1ea9n k\u1ecb kh\u00ed c\u00f2n l\u1ea1i s\u1ebd b\u1eaft \u0111\u1ea7u nh\u00e2n l\u00ean trong m\u00f4i tr\u01b0\u1eddng thi\u1ebfu Oxi sau khi c\u00e1c \u1ed1ng t\u1ee7y \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u01a1 \u2013 h\u00f3a h\u1ecdc.<\/p>\n

L\u01b0u \u00fd quan tr\u1ecdng!: Khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng m\u1ed9t ho\u1eb7c nhi\u1ec1u lo\u1ea1i thu\u1ed1c s\u00e1t khu\u1ea9n n\u1ed9i t\u1ee7y \u0111\u1ec3 h\u1ed7 tr\u1ee3 cho ph\u01b0\u01a1ng ph\u00e1p l\u00e0m s\u1ea1ch c\u01a1 \u2212h\u00f3a h\u1ecdc \u0111\u1ed1i v\u1edbi nh\u1eefng r\u0103ng c\u00f3 nhi\u1ec5m tr\u00f9ng t\u1ee7y nghi\u00eam tr\u1ecdng m\u00e0 kh\u00f4ng c\u00f3 vi\u00eam quanh ch\u00f3p.<\/strong><\/em><\/p>\n

N\u1ebfu r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y do ch\u1ea5n th\u01b0\u01a1ng th\u00ec kh\u00f4ng b\u1ecb nhi\u1ec5m tr\u00f9ng, v\u1ea5n \u0111\u1ec1 sinh h\u1ecdc trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha r\u0103ng nguy\u00ean nh\u00e2n l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft, b\u1edfi v\u00ec lo\u1ea1i b\u1ec7nh l\u00fd tu\u1ef7 n\u00e0y c\u00f3 th\u1ec3 t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 n\u00f3 kh\u00f4ng g\u00e2y ra vi\u00eam quanh ch\u00f3p. Tuy nhi\u00ean, r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y th\u00ec ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 h\u1ec7 th\u1ed1ng h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch, n\u00ean s\u1ebd d\u1ec5 d\u00e0ng b\u1ecb nhi\u1ec5m tr\u00f9ng v\u00e0 ph\u00e1t tri\u1ec3n th\u00e0nh vi\u00eam quanh ch\u00f3p; \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u00ean ch\u1ec9 \u0111\u1ecbnh tr\u01b0\u1edbc khi ti\u1ebfn tri\u1ec3n th\u00e0nh vi\u00eam quanh ch\u00f3p, \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. V\u1ec1 m\u1eb7t sinh h\u1ecdc, r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y do ch\u1ea5n th\u01b0\u01a1ng kh\u00f4ng c\u00f3 nhi\u1ec5m tr\u00f9ng, th\u00ec c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 r\u0103ng vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c.<\/p>\n

2. Quan \u0111i\u1ec3m sinh h\u1ecdc v\u1ec1 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha tr\u00ean nh\u1eefng r\u0103ng tr\u01b0\u1edfng th\u00e0nh, c\u00f3 vi\u00eam quanh ch\u00f3p.<\/h2>\n

\u0110\u1ed1i v\u1edbi nh\u1eefng r\u0103ng c\u00f3 vi\u00eam quanh ch\u00f3p th\u00ec nhi\u1ec5m tr\u00f9ng x\u1ea3y ra \u1edf h\u1ec7 th\u1ed1ng c\u00e1c \u1ed1ng t\u1ee7y. S\u1ef1 h\u00ecnh th\u00e0nh biofilm v\u00e0 c\u00e1c c\u1ee5m vi khu\u1ea9n \u1edf eo t\u1ee7y, \u1ed1ng t\u1ee7y ph\u1ee5\/\u1ed1ng t\u1ee7y b\u00ean v\u00e0 c\u00e1c \u1ed1ng ng\u00e0 tr\u1edf n\u00ean r\u00f5 r\u1ec7t h\u01a1n.<\/p>\n

\"khong-bi-viem-2\"
(a) L\u00e1t c\u1eaft ngang qua ch\u00e2n g\u1ea7n c\u1ee7a RCL th\u1ee9 nh\u1ea5t h\u00e0m d\u01b0\u1edbi c\u00f3 vi\u00eam quanh ch\u00f3p. V\u1ecb tr\u00ed l\u00e1t c\u1eaft l\u00e0 v\u1ecb tr\u00ed chuy\u1ec3n ti\u1ebfp gi\u1eefa 1\/3 ch\u00f3p v\u00e0 1\/3 gi\u1eefa ch\u00e2n r\u0103ng. C\u00f3 m\u1ed9t eo t\u1ee7y h\u1eb9p v\u00e0 d\u00e0i, v\u1edbi m\u1ed9t ch\u1ed7 ph\u00ecnh ra \u1edf gi\u1eefa. (b) H\u00ecnh \u1ea3nh chi ti\u1ebft v\u00f9ng \u0111\u01b0\u1ee3c ch\u1ec9 b\u1edfi m\u0169i t\u00ean \u1edf (a). m\u1ed9t l\u1edbp biofilm d\u00e0y v\u1edbi m\u1ed9t l\u01b0\u1ee3ng l\u1edbn ch\u1ea5t n\u1ec1n ngo\u1ea1i b\u00e0o \u0111\u01b0\u1ee3c l\u1ea5p \u0111\u1ea7y b\u1edfi lumen \u1edf m\u1ee9c n\u00e0y.<\/figcaption><\/figure>\n

 <\/p>\n

\"khong-bi-viem-3\"
(a) Ch\u00e2n XN c\u1ee7a RCL th\u1ee9 nh\u1ea5t h\u00e0m tr\u00ean c\u00f3 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng vi\u00eam quanh ch\u00f3p l\u1edbn. L\u00e1t c\u1eaft bao g\u1ed3m \u1ed1ng t\u1ee7y \u0111o\u1ea1n ch\u00f3p. \u00d4ng t\u1ee7y n\u00e0y \u0111\u00e3 b\u1ecb l\u1ea5p \u0111\u1ea7y b\u1edfi m\u1ed9t l\u1edbp biofilm. L\u01b0u \u00fd v\u1ecb tr\u00ed l\u1ed7 ch\u00f3p v\u00e0 m\u1ed9t ch\u1ed7 ph\u00e2n nh\u00e1nh nh\u1ecf \u1edf ch\u00f3p. (b) H\u00ecnh \u1ea3nh chi ti\u1ebft l\u1ed7 ch\u00f3p. (c) H\u00ecnh \u1ea3nh ph\u00f3ng l\u1edbn ch\u1ed7 ph\u00e2n nh\u00e1nh nh\u1ecf \u1edf ch\u00f3p.<\/figcaption><\/figure>\n

 <\/p>\n

\"\"
(a) Ch\u00e2n xa c\u1ee7a RCL th\u1ee9 nh\u1ea5t h\u00e0m d\u01b0\u1edbi c\u00f3 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng vi\u00eam quanh ch\u00f3p l\u1edbn. L\u00e1t c\u1eaft ngang qua 1\/3 ch\u00f3p. C\u00e1c m\u1ea3nh v\u1ee5n m\u00f4 v\u00e0 biofilm hi\u1ec7n di\u1ec7n \u1edf xung quanh \u1ed1ng t\u1ee7y. (b) H\u00ecnh \u1ea3nh chi ti\u1ebft th\u00e0nh ng\u00e0 b\u00ean (T). Vi khu\u1ea9n \u1ea9n n\u00e1u s\u00e2u trong nh\u1eefng \u1ed1ng ng\u00e0.<\/figcaption><\/figure>\n

Vi khu\u1ea9n \u1edf \u0111o\u1ea1n \u1ed1ng t\u1ee7y c\u00e1ch ch\u00f3p 5 mm r\u1ea5t kh\u00f3 b\u1ecb lo\u1ea1i b\u1ecf. V\u00ec v\u1eady, vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n m\u00f4 b\u1eb1ng c\u01a1 \u2013 h\u00f3a h\u1ecdc \u1edf h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y c\u1ee7a r\u0103ng b\u1ecb nhi\u1ec5m tr\u00f9ng c\u00f3 vi\u00eam quanh ch\u00f3p c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tri\u1ec7t \u0111\u1ec3 h\u01a1n so v\u1edbi r\u0103ng nhi\u1ec5m tr\u00f9ng kh\u00f4ng c\u00f3 vi\u00eam quanh ch\u00f3p, v\u00e0 vi\u1ec7c b\u0103ng thu\u1ed1c kh\u00e1ng khu\u1ea9n n\u1ed9i t\u1ee7y l\u00e0 b\u1eaft bu\u1ed9c \u0111\u1ec3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i. Trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p, nhi\u1ec5m tr\u00f9ng n\u1ed9i nha ngo\u00e0i \u1ed1ng t\u1ee7y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u00eam quanh ch\u00f3p t\u1ed3n t\u1ea1i dai d\u1eb3ng. \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady, c\u1ea7n ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u1ed9i nha \u0111\u1ec3 lo\u1ea1i b\u1ecf nhi\u1ec5m tr\u00f9ng.<\/p>\n

M\u1eb7c d\u00f9 vi khu\u1ea9n c\u00f2n l\u1ea1i trong c\u00e1c \u1ed1ng ng\u00e0 c\u1ee7a nh\u1eefng r\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u00e1m b\u00edt t\u1ed1t sau khi \u0111\u00e3 th\u1ef1c hi\u1ec7n vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n b\u1eb1ng c\u01a1 \u2013 h\u00f3a h\u1ecdc v\u00e0 b\u0103ng thu\u1ed1c kh\u00e1ng khu\u1ea9n n\u1ed9i t\u1ee7y kh\u00f4ng ch\u1eafc s\u1ebd l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, nh\u01b0ng vi khu\u1ea9n trong nh\u1eefng \u1ed1ng ng\u00e0 \u0111\u00f3 v\u1eabn c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i, sinh tr\u01b0\u1edfng v\u00e0 g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u1ebfn nh\u1eefng \u1ed1ng t\u1ee7y ch\u01b0a \u0111\u01b0\u1ee3c b\u00edt t\u1ed1t.
\nB\u1edfi v\u00ec s\u1ef1 nhi\u1ec5m tr\u00f9ng trong \u1ed1ng t\u1ee7y t\u1ed3n t\u1ea1i dai d\u1eb3ng l\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu g\u00e2y th\u1ea5t b\u1ea1i khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng r\u0103ng c\u00f3 vi\u00eam quanh ch\u00f3p c\u1ea7n \u0111\u00f2i h\u1ecfi nhi\u1ec1u n\u1ed7 l\u1ef1c v\u00e0 c\u00f4ng s\u1ee9c h\u01a1n n\u1eefa.<\/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 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn hai quan \u0111i\u1ec3m sinh h\u1ecdc trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u1edf nh\u1eefng r\u0103ng tr\u01b0\u1edfng th\u00e0nh c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng b\u1ecb vi\u00eam quanh ch\u00f3p, cung c\u1ea5p cho nha s\u0129 m\u1ed9t g\u00f3c nh\u00ecn m\u1edbi tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y. 1. Quan \u0111i\u1ec3m sinh h\u1ecdc […]<\/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":"\nQuan \u0111i\u1ec3m sinh h\u1ecdc \u0111i\u1ec1u tr\u1ecb tu\u1ef7 c\u00f3 ho\u1eb7c kh\u00f4ng b\u1ecb vi\u00eam quanh ch\u00f3p.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00f3i \u0111\u1ebfn quan \u0111i\u1ec3m sinh h\u1ecdc trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u1edf nh\u1eefng r\u0103ng tr\u01b0\u1edfng th\u00e0nh c\u00f3 ho\u1eb7c kh\u00f4ng b\u1ecb vi\u00eam quanh ch\u00f3p. 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