{"id":27275,"date":"2023-04-23T11:03:51","date_gmt":"2023-04-23T04:03:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27275"},"modified":"2023-05-02T09:46:03","modified_gmt":"2023-05-02T02:46:03","slug":"co-che-dau-cam-thu-do-nguon-goc-noi-nha","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/co-che-dau-cam-thu-do-nguon-goc-noi-nha\/","title":{"rendered":"C\u01a1 ch\u1ebf \u0111au c\u1ea3m th\u1ee5 do ngu\u1ed3n g\u1ed1c n\u1ed9i nha."},"content":{"rendered":"<p><strong>Ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 ngh\u0129 r\u1eb1ng thu\u1eadt ng\u1eef odontalgia hay toothache l\u00e0 m\u00f4 t\u1ea3 c\u00f9ng m\u1ed9t tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng gi\u1ed1ng nhau. Tuy nhi\u00ean hi\u1ec7n nay ch\u00fang ta \u0111\u00e3 bi\u1ebft r\u1eb1ng c\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n b\u1ec7nh sinh kh\u00e1c nhau d\u1eabn \u0111\u1ebfn \u0111au r\u0103ng bao g\u1ed3m vi\u00eam t\u1ee7y, vi\u00eam m\u00f4 quanh ch\u00f3p, k\u00edch th\u00edch t\u1eeb neuron t\u1ee7y v\u00e0 bao g\u1ed3m c\u1ea3 \u0111au dai d\u1eb3ng sau khi can thi\u1ec7p ph\u1eabu thu\u1eadt. B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u01a1 ch\u1ebf \u0111au c\u1ea3m th\u1ee5 (nociceptive pain) trong n\u1ed9i nha.<\/strong><\/p>\n<h2>1. C\u01a1 ch\u1ebf \u0111au c\u1ea3m th\u1ee5 (nociceptive pain)<\/h2>\n<p>\u0110au c\u1ea3m th\u1ee5 (nociceptive pain) m\u00f4 t\u1ea3 kh\u1ea3 n\u0103ng v\u1ed1n c\u00f3 c\u1ee7a c\u00e1c th\u1ee5 th\u1ec3 c\u1ea3m nh\u1eadn \u0111au (nociceptor), ph\u00e1t hi\u1ec7n c\u00e1c t\u00e1c nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u00f4n c\u00f3 th\u1ec3 c\u00f3 t\u00ednh ch\u1ea5t nhi\u1ec7t h\u1ecdc, c\u01a1 h\u1ecdc ho\u1eb7c h\u00f3a h\u1ecdc. \u0110au c\u1ea3m th\u1ee5 \u0111\u01b0\u1ee3c d\u1eabn truy\u1ec1n trung gian b\u1edfi c\u00e1c s\u1ee3i th\u1ea7n kinh c\u1ea3m gi\u00e1c h\u01b0\u1edbng t\u00e2m c\u00f3 \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf g\u1ed3m b\u00f3 s\u1ee3i A-\u03b4 c\u00f3 bao myelin v\u00e0 b\u00f3 s\u1ee3i C kh\u00f4ng c\u00f3 bao myelin. M\u00f4 t\u1ee7y r\u0103ng d\u01b0\u1eddng nh\u01b0 ch\u1ec9 c\u00f3 kh\u1ea3 n\u0103ng c\u1ea3m gi\u00e1c duy nh\u1ea5t, v\u00ec h\u1ea7u nh\u01b0 b\u1ea5t k\u1ef3 t\u00e1c nh\u00e2n k\u00edch th\u00edch n\u00e0o t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn \u0111\u1ea7u t\u1eadn c\u00f9ng th\u1ea7n kinh t\u1ee7y r\u0103ng th\u00ec \u0111\u1ec1u g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au. Y\u1ebfu t\u1ed1 th\u1ea7n kinh c\u1ee7a m\u00f4 t\u1ee7y bao g\u1ed3m b\u00f3 s\u1ee3i h\u01b0\u1edbng t\u00e2m c\u1ee7a th\u1ea7n kinh sinh ba, c\u00e1c b\u00f3 s\u1ee3i ly t\u00e2m c\u1ee7a th\u1ea7n kinh giao c\u1ea3m v\u00e0 th\u1ea7n kinh ph\u00f3 giao c\u1ea3m. Nh\u1eefng b\u00f3 s\u1ee3i n\u00e0y \u0111i v\u00e0o m\u00f4 t\u1ee7y c\u1ee7a c\u00e1c \u1ed1ng t\u1ee7y ch\u00e2n r\u0103ng th\u00f4ng qua l\u1ed7 ch\u00f3p ch\u00e2n r\u0103ng (foramen) v\u00e0 c\u00f3 li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi m\u1ea1ch m\u00e1u, t\u1ea1o th\u00e0nh m\u1ed9t b\u00f3 m\u1ea1ch th\u1ea7n kinh li\u00ean k\u1ebft v\u1edbi collagen. C\u00e1c nghi\u00ean c\u1ee9u gi\u1ea3i ph\u1eabu h\u1ecdc \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng ph\u1ea7n t\u1eadn c\u00f9ng c\u1ee7a c\u00e1c b\u00f3 s\u1ee3i h\u01b0\u1edbng t\u00e2m c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn 150 um \u1edf trong l\u1edbp ti\u1ec1n ng\u00e0 ho\u1eb7c c\u00e1c \u1ed1ng ng\u00e0, t\u1ea1o n\u00ean m\u1ed9t m\u1ed1i li\u00ean k\u1ebft m\u1eadt thi\u1ebft v\u1edbi c\u00e1c nguy\u00ean b\u00e0o ng\u00e0. Nh\u1eefng b\u00f3 s\u1ee3i c\u1ea3m gi\u00e1c n\u00e0y ho\u1ea1t \u0111\u1ed9ng nh\u01b0 c\u00e1c th\u1ee5 th\u1ec3 \u0111au (nociceptor) v\u00ec ch\u00fang g\u00e2y ra \u0111au khi b\u1ecb k\u00edch th\u00edch. Tuy nhi\u00ean, v\u1edbi \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a ch\u00fang, t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n v\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a c\u00e1c \u0111i\u1ec3m \u0111\u00e1nh d\u1ea5u \u0111\u1eb7c bi\u1ec7t gi\u00fap nh\u1eadn di\u1ec7n lo\u1ea1i neuron, th\u00ec h\u1ea7u h\u1ebft c\u00e1c s\u1ee3i n\u00e0y l\u00e0 b\u00f3 s\u1ee3i A-<em>\u03b2<\/em> \u0111\u01b0\u1eddng k\u00ednh l\u1edbn c\u00f3 bao myelin, l\u00e0 b\u00f3 s\u1ee3i \u0111\u1eb7c bi\u1ec7t d\u1eabn truy\u1ec1n c\u00e1c k\u00edch th\u00edch kh\u00f4ng g\u00e2y \u0111au, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1eefng c\u1ea3m gi\u00e1c \u0111au nh\u1eb9. \u0110\u00e2y r\u00f5 r\u00e0ng l\u00e0 m\u1ed9t ngh\u1ecbch l\u00fd, v\u00ec \u0111au \u0111\u01b0\u1ee3c cho l\u00e0 d\u1eabn truy\u1ec1n trung gian b\u1edfi s\u1ef1 k\u00edch ho\u1ea1t b\u00f3 s\u1ee3i A-\u03b4 v\u00e0 b\u00f3 s\u1ee3i C h\u01b0\u1edbng t\u00e2m. Khi c\u1ed1 g\u1eafng gi\u1ea3i th\u00edch ngh\u1ecbch l\u00fd n\u00e0y, Fried v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t thu\u1eadt ng\u1eef \u201calgoneuron\u201c \u0111\u1ec3 gi\u1ea3i th\u00edch cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p quan s\u00e1t th\u1ea5y t\u1ee7y r\u0103ng \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 th\u1ea7n kinh ch\u1ee7 y\u1ebfu b\u1edfi c\u00e1c b\u00f3 s\u1ee3i c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn, theo nh\u01b0 ngh\u1ecbch l\u00fd n\u00f3i tr\u00ean.<\/p>\n<p>Ng\u01b0\u1eddi ta c\u00f2n th\u1ea5y trong m\u00f4 t\u1ee7y c\u00e1c b\u00f3 s\u1ee3i A-\u03b4, l\u00e0 nh\u1eefng s\u1ee3i c\u00f3 \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf h\u01a1n v\u00e0 t\u1ed1c \u0111\u1ed9 d\u1eabn truy\u1ec1n ch\u1eadm h\u01a1n so v\u1edbi s\u1ee3i A-<em>\u03b2<\/em>. T\u1ea1i th\u1eddi \u0111i\u1ec3m n\u00e0y, ng\u01b0\u1eddi ta kh\u00f4ng bi\u1ebft li\u1ec7u nh\u1eefng s\u1ee3i Ao c\u00f3 ch\u1ee9c n\u0103ng kh\u00e1c bi\u1ec7t so v\u1edbi s\u1ee3i A-<em>\u03b2<\/em> hay kh\u00f4ng? C\u1ea3 s\u1ee3i A-<em>\u03b2<\/em> v\u00e0 A-\u03b4 khi \u0111\u00e1p \u1ee9ng v\u1edbi k\u00edch th\u00edch s\u1ebd t\u1ea1o ra s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a d\u1ecbch trong \u1ed1ng ng\u00e0, nh\u01b0 khi khoan, \u0103n th\u1ee9c \u0103n ng\u1ecdt, kh\u00f4ng kh\u00ed l\u1ea1nh v\u00e0 m\u00f4i tr\u01b0\u1eddng \u01b0u tr\u01b0\u01a1ng, g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au nh\u00f3i nh\u1eb9 khi k\u00edch th\u00edch. Ng\u01b0\u1ee1ng k\u00edch ho\u1ea1t th\u1ea5p v\u00e0 v\u1ecb tr\u00ed ngo\u1ea1i vi c\u1ee7a nh\u1eefng s\u1ee3i n\u00e0y cho th\u1ea5y ch\u00fang c\u00f3 th\u1ec3 b\u1ecb k\u00edch ho\u1ea1t v\u00e0 g\u00e2y ra \u0111au m\u00e0 kh\u00f4ng c\u1ea7n c\u00f3 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c. Nh\u1eefng s\u1ee3i n\u00e0y g\u00f3p ph\u1ea7n l\u00e0m t\u0103ng \u0111\u1ed9 nh\u1ea1y c\u1ea3m, \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y sau khi th\u1ef1c hi\u1ec7n nh\u1eefng ph\u1ee5c h\u1ed3i li\u00ean quan \u0111\u1ebfn s\u1ef1 lo\u1ea1i b\u1ecf l\u1edbp men v\u00e0 ng\u00e0 r\u0103ng, ho\u1eb7c m\u00f2n r\u0103ng do ch\u1ea3i r\u0103ng.<\/p>\n<h2>2. Vai tr\u00f2 c\u1ee7a s\u1ee3i th\u1ea7n kinh C \u0111\u1ed1i v\u1edbi c\u1ea3m gi\u00e1c n\u00e0y<\/h2>\n<p>Cu\u1ed1i c\u00f9ng, c\u00e1c nh\u00e1nh nh\u1ecf s\u1ee3i C c\u1ee7a neuron c\u1ea3m gi\u00e1c m\u1eb7c d\u00f9 kh\u00f4ng nhi\u1ec1u nh\u01b0ng c\u0169ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u00f4 t\u1ee7y. Ch\u00fang l\u00e0 c\u00e1c s\u1ee3i kh\u00f4ng c\u00f3 bao myelin, v\u1edbi v\u1eadn t\u1ed1c d\u1eabn truy\u1ec1n th\u1ea5p, \u0111\u01b0\u1eddng k\u00ednh nh\u1ecf v\u00e0 ng\u01b0\u1ee1ng k\u00edch ho\u1ea1t cao. Ch\u00fang n\u1eb1m \u1edf v\u1ecb tr\u00ed s\u00e2u h\u01a1n trong m\u00f4 t\u1ee7y so v\u1edbi c\u00e1c s\u1ee3i c\u00f3 bao myelin. S\u1ee3i C \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi k\u00edch th\u00edch nhi\u1ec7t, c\u01a1 v\u00e0 h\u00f3a h\u1ecdc, g\u00e2y ra \u0111au \u00e2m \u1ec9, lan t\u1ecfa v\u00e0 k\u00e9o d\u00e0i, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng m\u00f4 t\u1ea3 m\u1ed9t c\u01a1n \u0111au \u00e2m \u1ec9, lan t\u1ecfa n\u00ean kh\u00f3 x\u00e1c \u0111\u1ecbnh. Ki\u1ec3u \u0111au n\u00e0y g\u1ee3i \u00fd m\u1ed9t t\u1ed5n th\u01b0\u01a1ng x\u1ea3y ra \u1edf m\u00f4 t\u1ee7y, m\u00e0 nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 s\u1ebd kh\u00f4ng th\u1ec3 h\u1ed3i ph\u1ee5c. Khi m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng g\u00e2y ra s\u1ef1 gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh tu\u1ea7n ho\u00e0n c\u1ee7a m\u00f4 t\u1ee7y, c\u00e1c s\u1ee3i C ti\u1ebfp t\u1ee5c ho\u1ea1t \u0111\u1ed9ng trong m\u1ed9t th\u1eddi gian d\u00e0i h\u01a1n so v\u1edbi s\u1ee3i A v\u00ec l\u01b0\u1ee3ng oxy ch\u00fang ti\u00eau th\u1ee5 nhi\u1ec1u h\u01a1n so v\u1edbi s\u1ee3i A. \u0110\u1eb7c \u0111i\u1ec3m n\u00e0y c\u0169ng nh\u1ea5n m\u1ea1nh m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng quen thu\u1ed9c l\u00e0 d\u00f9 r\u0103ng \u0111\u00e1p \u1ee9ng \u00e2m t\u00ednh v\u1edbi test th\u1eed l\u1ea1nh b\u1eb1ng CO, nh\u01b0ng v\u1eabn \u0111au khi s\u1eeda so\u1ea1n c\u01a1 h\u1ecdc trong khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/p>\n<p>Kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n c\u00e1c lo\u1ea1i k\u00edch th\u00edch c\u1ee7a m\u1ed9t neuron c\u1ea3m gi\u00e1c \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi c\u00e1c receptor \u1edf \u0111\u1ea7u t\u1eadn c\u00f9ng c\u1ee7a th\u1ea7n kinh ngo\u1ea1i vi. \u0110\u1eb7c bi\u1ec7t li\u00ean quan \u0111\u1ebfn s\u1ef1 ph\u00e1t hi\u1ec7n c\u00e1c k\u00edch th\u00edch \u0111au thu\u1ed9c nhi\u1ec7t, c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc l\u00e0 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c k\u00eanh receptor ti\u1ec1m t\u00e0ng t\u1ea1m th\u1eddi (transient receptor potential channels \u2013 TRP). C\u00e1c k\u00eanh TRP \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u nh\u1ea5t l\u00e0 TRPV1, TRPV2, TRPA1 v\u00e0 TRPM8, t\u1ea5t c\u1ea3 ch\u00fang \u0111\u1ec1u c\u00f3 m\u1eb7t trong s\u1ee3i th\u1ea7n kinh h\u01b0\u1edbng t\u00e2m t\u1ee7y r\u0103ng v\u00e0 do \u0111\u00f3 c\u00f3 ti\u1ec1m n\u0103ng d\u1eabn truy\u1ec1n trung gian b\u1edfi s\u1ef1 k\u00edch ho\u1ea1t c\u1ee7a k\u00eanh TRP1. Ngo\u00e0i nhi\u1ec7t n\u00f3ng, c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh A-\u03b4 v\u00e0 C c\u0169ng \u0111\u00e1p \u1ee9ng v\u1edbi nhi\u1ec7t \u0111\u1ed9 l\u1ea1nh. C\u00e1c nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh calcium cho th\u1ea5y neuron ph\u1ea3n \u1ee9ng v\u1edbi nhi\u1ec7t \u0111\u1ed9 l\u1ea1nh &lt;18\u00b0C ph\u1ed5 bi\u1ebfn h\u01a1n trong h\u1ea1ch th\u1ea7n kinh sinh ba (14%) so v\u1edbi trong h\u1ea1ch r\u1ec5 l\u01b0ng (dorsal root ganglion) (7%). C\u1ea3 2 k\u00eanh TRPM8 v\u00e0 TRPA1 \u0111\u1ec1u b\u1ecb k\u00edch th\u00edch b\u1edfi nhi\u1ec7t \u0111\u1ed9 l\u1ea1nh v\u1edbi ng\u01b0\u1ee1ng t\u01b0\u01a1ng \u1ee9ng l\u00e0 25\u00b0C v\u00e0 17\u00b0C, v\u00e0 c\u1ea3 2 receptor \u0111\u1ec1u c\u00f3 trong c\u00e1c s\u1ee3i th\u1ea7n kinh ph\u00e2n b\u1ed1 trong t\u1ee7y r\u0103ng. C\u1ea7n th\u00eam nhi\u1ec1u nghi\u00ean c\u1ee9u n\u1eefa \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh li\u1ec7u TRPM8 v\u00e0 TRPA1 c\u00f3 g\u00f3p ph\u1ea7n d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c \u0111au do l\u1ea1nh trong m\u00f4 t\u1ee7y hay kh\u00f4ng.<\/p>\n<figure id=\"attachment_27291\" aria-describedby=\"caption-attachment-27291\" style=\"width: 661px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-27291\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-426.png\" alt=\"dau-cam-thu\" width=\"661\" height=\"907\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-426.png 661w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-426-219x300.png 219w\" sizes=\"(max-width: 661px) 100vw, 661px\" \/><figcaption id=\"caption-attachment-27291\" class=\"wp-caption-text\">C\u01a1 ch\u1ebf ph\u00e2n t\u1eed c\u1ee7a thuy\u1ebft th\u1ea7n kinh. C\u00e1c k\u00eanh TRP nhi\u1ec7t \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n v\u1ec1 m\u1eb7t ch\u1ee9c n\u0103ng b\u1edfi c\u00e1c s\u1ee3i th\u1ea7n kinh h\u01b0\u1edbng t\u00e2m c\u1ee7a t\u1ee7y r\u0103ng (h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c ch\u1ec9nh s\u1eeda b\u1edfi Chung v\u00e0 c\u1ed9ng s\u1ef1).<\/figcaption><\/figure>\n<p>Vai tr\u00f2 c\u1ee7a c\u00e1c nguy\u00ean b\u00e0o ng\u00e0 trong vi\u1ec7c d\u1eabn truy\u1ec1n \u0111au c\u1ea3m th\u1ee5 (nociceptive pain) trong m\u00f4 t\u1ee7y v\u1eabn l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c b\u00e0n lu\u1eadn s\u00f4i n\u1ed5i. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 trong c\u00e1c nguy\u00ean b\u00e0o ng\u00e0 c\u0169ng xu\u1ea5t hi\u1ec7n m\u1ed9t v\u00e0i receptor TRP, gi\u00fap h\u1ed7 tr\u1ee3 vai tr\u00f2 c\u1ee7a ch\u00fang trong vi\u1ec7c ph\u00e1t hi\u1ec7n c\u00e1c k\u00edch th\u00edch. C\u01a1 ch\u1ebf d\u1eabn truy\u1ec1n c\u00e1c k\u00edch th\u00edch c\u1ea3m gi\u00e1c t\u1eeb nguy\u00ean b\u00e0o ng\u00e0 \u0111\u1ebfn th\u1ea7n kinh ngo\u1ea1i vi c\u00f2n ch\u01b0a r\u00f5 r\u00e0ng, v\u00e0 nhi\u1ec1u nh\u00e0 nghi\u00ean c\u1ee9u hi\u1ec7n v\u1eabn \u0111ang c\u1ed1 g\u1eafng t\u00ecm hi\u1ec3u c\u00e1c c\u01a1 ch\u1ebf n\u00e0y.<\/p>\n<p><em>Ngu\u1ed3n: <span class=\"c-bibliographic-information__value\">Clinical Guide for Optimal Treatment Outcome &#8211; Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 ngh\u0129 r\u1eb1ng thu\u1eadt ng\u1eef odontalgia hay toothache l\u00e0 m\u00f4 t\u1ea3 c\u00f9ng m\u1ed9t tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng gi\u1ed1ng nhau. Tuy nhi\u00ean hi\u1ec7n nay ch\u00fang ta \u0111\u00e3 bi\u1ebft r\u1eb1ng c\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n b\u1ec7nh sinh kh\u00e1c nhau d\u1eabn \u0111\u1ebfn \u0111au r\u0103ng bao g\u1ed3m vi\u00eam t\u1ee7y, vi\u00eam m\u00f4 quanh ch\u00f3p, k\u00edch th\u00edch t\u1eeb [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u01a1 ch\u1ebf \u0111au c\u1ea3m th\u1ee5 do ngu\u1ed3n g\u1ed1c n\u1ed9i nha. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u01a1 ch\u1ebf \u0111au c\u1ea3m th\u1ee5 (nociceptive pain) trong n\u1ed9i nha. 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