{"id":27480,"date":"2023-05-03T22:29:07","date_gmt":"2023-05-03T15:29:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27480"},"modified":"2023-05-03T22:29:07","modified_gmt":"2023-05-03T15:29:07","slug":"trat-khop-hang-cac-phuong-phap-nan-kin","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/trat-khop-hang-cac-phuong-phap-nan-kin\/","title":{"rendered":"Tr\u1eadt kh\u1edbp h\u00e1ng: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn (ph\u1ea7n 1)"},"content":{"rendered":"

Tr\u1eadt kh\u1edbp h\u00e1ng l\u00e0 t\u00ecnh tr\u1ea1ng khi ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 \u1ed5 c\u1ed1i b\u1ecb l\u1ec7ch kh\u1ecfi v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n ho\u1eb7c m\u1ed9t ph\u1ea7n. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p l\u00e0 do ch\u1ea5n th\u01b0\u01a1ng. N\u1eafn k\u00edn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, th\u01b0\u1eddng x\u1ea3y ra trong ph\u00f2ng c\u1ea5p c\u1ee9u. Sau \u0111\u00e2y s\u1ebd l\u00e0 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn th\u01b0\u1eddng d\u00f9ng tr\u00ean l\u00e2m s\u00e0ng.<\/span><\/span><\/span><\/strong><\/p>\n

1. \u0110\u00e1nh gi\u00e1 ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n tr\u1eadt kh\u1edbp h\u00e1ng<\/h2>\n

Tr\u1eadt kh\u1edbp h\u00e1ng l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u y khoa nh\u1ea1y c\u1ea3m th\u1eddi gian. Ch\u00ednh v\u00ec v\u1eady, tr\u1eadt kh\u1edbp h\u00e1ng ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng v\u0129nh vi\u1ec5n. Vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c s\u01a1 c\u1ee9u ban \u0111\u1ea7u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh b\u1ec7nh nh\u00e2n b\u1ecb th\u01b0\u01a1ng. N\u1ebfu ch\u1ea5n th\u01b0\u01a1ng do va ch\u1ea1m nh\u1eb9, v\u1eabn n\u00ean kh\u00e1m to\u00e0n tr\u1ea1ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb g\u00e3y x\u01b0\u01a1ng ho\u1eb7c c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111i k\u00e8m. <\/span><\/span><\/span><\/p>\n

Khai th\u00e1c ti\u1ec1n s\u1eed, b\u1ec7nh s\u1eed \u0111\u1ea7y \u0111\u1ee7 s\u1ebd gi\u00fap bi\u1ebft nguy\u00ean nh\u00e2n tr\u1eadt kh\u1edbp (sau thay kh\u1edbp h\u00e1ng to\u00e0n ph\u1ea7n hay tr\u1eadt kh\u1edbp t\u1ef1 nhi\u00ean) v\u00e0 lo\u1ea1i tr\u1eadt kh\u1edbp (sau hay tr\u01b0\u1edbc). Kh\u00e1m l\u00e2m s\u00e0ng r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 nh\u1eadn \u0111\u1ecbnh tr\u1eadt kh\u1edbp h\u00e1ng c\u0169ng c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111i k\u00e8m. C\u1ea7n ch\u00fa \u00fd g\u00e3y x\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u00f4 m\u1ec1m c\u00f9ng b\u00ean.<\/span><\/span><\/span><\/p>\n

B\u1ec7nh nh\u00e2n b\u1ecb tr\u1eadt kh\u1edbp ra sau c\u00f3 tr\u1eadt h\u01b0\u1edbng sau – tr\u00ean (ki\u1ec3u ch\u1eadu) v\u00e0 h\u01b0\u1edbng sau – d\u01b0\u1edbi (ki\u1ec3u ng\u1ed3i). Tr\u1eadt kh\u1edbp h\u00e1ng ra tr\u01b0\u1edbc \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 tr\u1eadt kh\u1edbp h\u00e1ng tr\u00ean- tr\u01b0\u1edbc (ki\u1ec3u mu) ho\u1eb7c tr\u1eadt kh\u1edbp h\u00e1ng d\u01b0\u1edbi – tr\u01b0\u1edbc (ki\u1ec3u b\u1ecbt).
\n<\/span><\/span><\/span><\/p>\n

\"\"<\/a>
Tr\u1eadt kh\u1edbp h\u00e1ng: ki\u1ec3u ch\u1eadu; ki\u1ec3u ng\u1ed3i; ki\u1ec3u mu; ki\u1ec3u b\u1ecbt<\/figcaption><\/figure>\n

2. Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng<\/h2>\n

Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 , t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i tr\u1eadt kh\u1edbp h\u00e1ng \u0111\u1ec1u l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u, c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. To\u00e0n b\u1ed9 th\u1eddi gian t\u1eeb khi nh\u1eadp vi\u1ec7n \u0111\u1ebfn khi n\u1eafn ch\u1ec9nh kh\u00f4ng qu\u00e1 6 ti\u1ebfng. N\u1ebfu kh\u00f4ng b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng v\u0129nh vi\u1ec5n ho\u1eb7c ph\u1ea3i can thi\u1ec7p ngo\u1ea1i khoa.
\n<\/span><\/span><\/span><\/p>\n

2.1. N\u1eafn k\u00edn trong tr\u1eadt kh\u1edbp h\u00e1ng ra sau<\/h3>\n

2.1.1. Ph\u01b0\u01a1ng ph\u00e1p Allis<\/h4>\n

B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, b\u00e1c s\u0129 \u0111\u1ee9ng ph\u00eda tr\u00ean b\u1ec7nh nh\u00e2n. B\u00e1c s\u0129 \u00e1p d\u1ee5ng l\u1ef1c k\u00e9o th\u1eb3ng h\u00e0ng tr\u00ean ch\u00e2n c\u00f9ng b\u00ean, \u0111\u1ec3 \u0111\u1ea7u g\u1ed1i c\u00f9ng b\u00ean \u0111\u1ebfn 90\u00b0. Trong khi \u0111\u00f3, ng\u01b0\u1eddi ph\u1ee5 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng ch\u1eadu d\u1ef1a v\u00e0o c\u00e1ng \u0111\u1ec3 ch\u1ed1ng l\u1ea1i l\u1ef1c k\u00e9o. K\u00e9o nh\u1eb9 ch\u00e2n c\u00f9ng b\u00ean v\u1edbi xoay ngo\u00e0i cho ph\u00e9p ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i \u0111i v\u00e0o \u1ed5 c\u1ed1i. C\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c ti\u1ebfng \u201cc\u1ea1ch c\u1ea1ch\u201d khi n\u1eafn th\u00e0nh c\u00f4ng.<\/span><\/span><\/span><\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/a>
Ph\u01b0\u01a1ng ph\u00e1p Allis<\/figcaption><\/figure>\n

2.1.2. Ph\u01b0\u01a1ng ph\u00e1p Bigelow<\/h4>\n

V\u1edbi b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, b\u00e1c s\u0129 ch\u00ednh n\u1eafm l\u1ea5y chi c\u00f9ng b\u00ean \u1edf m\u1eaft c\u00e1 ch\u00e2n b\u1eb1ng m\u1ed9t tay v\u00e0 \u0111\u1eb7t b\u00e0n tay c\u00f2n l\u1ea1i ph\u00eda sau \u0111\u1ea7u g\u1ed1i. Ng\u01b0\u1eddi ph\u1ee5 t\u00e1c d\u1ee5ng m\u1ed9t l\u1ef1c h\u01b0\u1edbng xu\u1ed1ng l\u00ean gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean \u0111\u1ec3 ch\u1ed1ng l\u1ea1i l\u1ef1c k\u00e9o. B\u00e1c s\u0129 ch\u00ednh \u00e1p d\u1ee5ng l\u1ef1c k\u00e9o d\u1ecdc b\u00ean trong, u\u1ed1n cong \u0111\u1ea7u g\u1ed1i c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ebfn 90\u00b0. Khi n\u1eafn, b\u00e1c s\u0129 \u00e1p d\u1ee5ng c\u00e1c \u0111\u1ed9ng t\u00e1c du\u1ed7i, gi\u1ea1ng v\u00e0 xoay ngo\u00e0i nh\u1eb9 nh\u00e0ng \u0111\u1ec3 ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i di chuy\u1ec3n v\u00e0o \u1ed5 c\u1ed1i. B\u00e1c s\u0129 ch\u00ednh n\u00ean \u0111\u1ee9ng \u1edf b\u00ean c\u1ea1nh gi\u01b0\u1eddng trong khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt n\u00e0y \u0111\u1ec3 th\u00eam an to\u00e0n.
\n<\/span><\/span><\/span><\/p>\n

\"\"<\/a>
Ph\u01b0\u01a1ng ph\u00e1p Bigelow<\/figcaption><\/figure>\n

2.1.3. Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn Lefkowitz<\/h4>\n

B\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, v\u00e0 b\u00e1c s\u0129 \u0111\u1ee9ng b\u00ean c\u1ea1nh chi b\u1ecb b\u1ec7nh.<\/span><\/span> B\u00e1c s\u0129 \u0111\u1eb7t \u0111\u1ea7u g\u1ed1i \u0111\u00e3 g\u1eadp c\u1ee7a m\u00ecnh d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i c\u00f9ng b\u00ean c\u1ee7a b\u1ec7nh nh\u00e2n trong h\u1ed1 khoeo v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1eb7t l\u00ean c\u00e1ng.<\/span><\/span> V\u1edbi \u0111\u1ea7u g\u1ed1i c\u1ee7a b\u1ec7nh nh\u00e2n u\u1ed1n cong tr\u00ean ch\u00e2n c\u1ee7a b\u00e1c s\u0129, b\u00e1c s\u0129 s\u1ebd t\u00e1c d\u1ee5ng m\u1ed9t l\u1ef1c nh\u1eb9 nh\u00e0ng xu\u1ed1ng ch\u00e2n cho \u0111\u1ebfn khi kh\u1edbp h\u00e1ng \u0111\u00e3 \u0111\u01b0\u1ee3c n\u1eafn.
\n<\/span><\/span><\/span><\/p>\n

\"\"<\/a>
Ph\u01b0\u01a1ng ph\u00e1p Lefkowitz<\/figcaption><\/figure>\n

2.1.4. K\u1ef9 thu\u1eadt Captain Morgan<\/h4>\n

B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, b\u00e1c s\u0129 \u0111\u1ee9ng b\u00ean b\u1ec7nh nh\u00e2n.<\/span><\/span> X\u01b0\u01a1ng ch\u1eadu \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh v\u00e0 \u1ed5n \u0111\u1ecbnh v\u1edbi c\u00e1ng.<\/span><\/span> H\u00f4ng v\u00e0 \u0111\u1ea7u g\u1ed1i c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c u\u1ed1n cong 90\u00b0. B\u00e1c s\u0129 \u0111\u1eb7t \u0111\u1ea7u g\u1ed1i \u0111\u00e3 \u0111\u01b0\u1ee3c u\u1ed1n cong c\u1ee7a b\u1ec7nh nh\u00e2n d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i c\u00f9ng b\u00ean trong h\u1ed1 khoeo.<\/span><\/span> B\u00e1c s\u0129 n\u1eafm l\u1ea5y m\u1eaft c\u00e1 ch\u00e2n c\u00f9ng b\u00ean b\u1eb1ng m\u1ed9t tay v\u00e0 \u0111\u1eb7t b\u00e0n tay c\u00f2n l\u1ea1i d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i c\u00f9ng b\u00ean. T\u00e1c d\u1ee5ng m\u1ed9t l\u1ef1c h\u01b0\u1edbng l\u00ean b\u1eb1ng c\u00e1ch u\u1ed1n cong b\u00e0n ch\u00e2n cho \u0111\u1ebfn khi n\u1eafn th\u00e0nh c\u00f4ng.<\/span><\/span> M\u1eb7c d\u00f9 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 thao t\u00e1c Lefkowitz, thao t\u00e1c Captain Morgan s\u1eed d\u1ee5ng s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a x\u01b0\u01a1ng ch\u1eadu d\u1ef1a v\u00e0o c\u00e1ng v\u00e0 b\u00e0n tay t\u1ef1 do b\u00ean d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i c\u00f9ng b\u00ean.<\/span><\/span><\/span><\/p>\n

\"\"<\/a>
Ph\u01b0\u01a1ng ph\u00e1p Captain Morgan<\/figcaption><\/figure>\n

2.1.5. Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn East Baltimore Lift<\/h4>\n

B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda.<\/span><\/span> B\u00e1c s\u0129 ch\u00ednh \u0111\u1ee9ng \u1edf ph\u00eda b\u1ecb tr\u1eadt, v\u00e0 m\u1ed9t ng\u01b0\u1eddi ph\u1ee5 \u0111\u1ee9ng \u1edf ph\u00eda \u0111\u1ed1i di\u1ec7n.<\/span><\/span> Chi c\u00f9ng b\u00ean \u0111\u01b0\u1ee3c u\u1ed1n cong \u0111\u1ec3 h\u00f4ng v\u00e0 \u0111\u1ea7u g\u1ed1i \u1edf 90\u00b0.<\/span><\/span> Khi b\u00e1c s\u0129 ch\u00ednh v\u00e0 ng\u01b0\u1eddi ph\u1ee5 quay m\u1eb7t v\u1ec1 ph\u00eda \u0111\u1ea7u gi\u01b0\u1eddng, c\u1ea3 hai \u0111\u1eb7t m\u1ed9t c\u00e1nh tay b\u00ean d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i c\u1ee7a h\u00f4ng c\u00f9ng b\u00ean, m\u00f3c c\u00e1nh tay c\u1ee7a h\u1ecd d\u01b0\u1edbi h\u1ed1 khoeo v\u00e0 \u0111\u1eb7t tay l\u00ean vai nhau.<\/span><\/span> B\u00e1c s\u0129 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng ch\u1eadu b\u1eb1ng tay t\u1ef1 do, ng\u01b0\u1eddi ph\u1ee5 th\u1ee9 hai t\u00e1c d\u1ee5ng l\u1ef1c h\u01b0\u1edbng xu\u1ed1ng trong khi b\u00e1c s\u0129 v\u00e0 ng\u01b0\u1eddi ph\u1ee5 th\u1ee9 nh\u1ea5t t\u00e1c d\u1ee5ng l\u1ef1c h\u01b0\u1edbng l\u00ean.<\/span><\/span> B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt kh\u00e9p, gi\u1ea1ng v\u00e0 xoay trong v\u00e0 ngo\u00e0i b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1eaft c\u00e1 ch\u00e2n c\u00f9ng b\u00ean.<\/span><\/span> Ch\u1ec9 c\u1ea7n c\u00f3 2 ng\u01b0\u1eddi th\u00ec k\u1ef9 thu\u1eadt n\u00e0y v\u1eabn c\u00f3 th\u1ec3 ho\u00e0n th\u00e0nh.<\/span><\/span>\u00a0<\/span><\/p>\n

\"\"<\/a>
Ph\u01b0\u01a1ng ph\u00e1p East-Baltimore lift<\/figcaption><\/figure>\n

2.1. Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn trong tr\u1eadt kh\u1edbp h\u00e1ng ra tr\u01b0\u1edbc<\/h3>\n

C\u00e1c k\u1ef9 thu\u1eadt n\u1eafn ch\u1ec9nh k\u00edn \u0111\u1ed1i v\u1edbi tr\u1eadt kh\u1edbp ra tr\u01b0\u1edbc ch\u1ec9 \u0111\u00f2i h\u1ecfi m\u1ed9t ch\u00fat thay \u0111\u1ed5i trong c\u00e1c thao t\u00e1c, nh\u01b0ng vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u00f2i h\u1ecfi l\u1ef1c k\u00e9o t\u01b0\u01a1ng \u0111\u01b0\u01a1ng l\u00ean x\u01b0\u01a1ng \u0111\u00f9i, du\u1ed7i h\u00f4ng v\u00e0 xoay ngo\u00e0i.<\/span><\/span> Tr\u1eeb khi n\u1eafn tr\u1eadt kh\u1edbp ki\u1ec3u b\u1ecbt, kh\u00f4ng th\u1ec3 g\u1eadp h\u00f4ng do ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i n\u1eb1m tr\u00ean b\u1ec1 m\u1eb7t tr\u01b0\u1edbc c\u1ee7a khung ch\u1eadu.<\/span><\/span> N\u1eafn ch\u1ec9nh \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng ra tr\u01b0\u1edbc h\u00fang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi c\u00f9ng m\u1ed9t c\u00e1ch thi\u1ebft l\u1eadp nh\u01b0 tr\u1eadt kh\u1edbp ra sau.<\/span><\/span><\/span><\/p>\n

3. T\u1ed5ng k\u1ebft<\/h2>\n

Tr\u00ean \u0111\u00e2y l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u1eadt kh\u1edbp h\u00e1ng. N\u1ebfu c\u00e1c b\u1ea1n mu\u1ed1n t\u00ecm hi\u1ec3u th\u00eam c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn kh\u00e1c, b\u1ea1n c\u00f3 th\u1ec3 xem ph\u1ea7n 2 c\u1ee7a b\u00e0i vi\u1ebft.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/h3>\n

1. Dwyer AJ, John B, Singh SA, Mam MK. Complications after posterior dislocation of the hip<\/span>. Int Orthop<\/span>. 2006. August;30<\/span>(4<\/span>):224-227. doi: 10.1007\/s00264-005-0056-9<\/span><\/p>\n

2. Dreinh\u00f6fer KE, Schwarzkopf SR, Haas NP, Tscherne H. Isolated traumatic dislocation of the hip. Long-term results in 50 patients<\/span>. J Bone Joint Surg Br<\/span>. 1994. January;76<\/span>(1<\/span>):6-12. <\/span><\/p>\n

3. Waddell BS, Mohamed S, Glomset JT, Meyer MS. A detailed review of hip reduction maneuvers: a focus on physician safety and introduction of the Waddell technique<\/span>. Orthop Rev (Pavia)<\/span>. 2016. March 21;8<\/span>(1<\/span>):6253. doi: 10.4081\/or.2016.6253.<\/span><\/p>\n

4. Dawson I, van Rijn AB. Traumatic anterior dislocation of the hip<\/span>. Arch Orthop Trauma Surg<\/span>. 1989;108<\/span>(1<\/span>):55-57. doi: 10.1007\/BF00934160.<\/span><\/p>\n

5. Clegg TE, Roberts CS, Greene JW, Prather BA. Hip dislocations\u2014epidemiology, treatment, and outcomes<\/span>. Injury<\/span>. 2010. April;41<\/span>(4<\/span>):329-334. doi: 10.1016\/j.injury.2009.08.007.<\/span><\/p>\n

6. Sanders S, Tejwani N, Egol KA. Traumatic hip dislocation\u2014a review<\/span>. Bull NYU Hosp Jt Dis<\/span>. 2010;68<\/span>(2<\/span>):91-96. <\/span><\/p>\n

7. Dawson-Amoah K, Raszewski J, Duplantier N, Waddell BS. Dislocation of the Hip: A Review of Types, Causes, and Treatment. Ochsner J. 2018 Fall;18(3):242-252. doi: 10.31486\/toj.17.0079. PMID: 30275789; PMCID: PMC6162140.<\/p>\n","protected":false},"excerpt":{"rendered":"

Tr\u1eadt kh\u1edbp h\u00e1ng l\u00e0 t\u00ecnh tr\u1ea1ng khi ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 \u1ed5 c\u1ed1i b\u1ecb l\u1ec7ch kh\u1ecfi v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n ho\u1eb7c m\u1ed9t ph\u1ea7n. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p l\u00e0 do ch\u1ea5n th\u01b0\u01a1ng. N\u1eafn k\u00edn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u, th\u01b0\u1eddng x\u1ea3y ra trong ph\u00f2ng c\u1ea5p c\u1ee9u. Sau \u0111\u00e2y s\u1ebd l\u00e0 […]<\/p>\n","protected":false},"author":50,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[87],"yoast_head":"\nTr\u1eadt kh\u1edbp h\u00e1ng: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn (ph\u1ea7n 1) - Vinmec<\/title>\n<meta name=\"description\" content=\"Tr\u1eadt kh\u1edbp h\u00e1ng l\u00e0 t\u00ecnh tr\u1ea1ng khi ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 \u1ed5 c\u1ed1i b\u1ecb l\u1ec7ch kh\u1ecfi v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng, n\u1eafn k\u00edn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u t\u1ea1i ph\u00f2ng c\u1ea5p c\u1ee9u.\" \/>\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=\"Tr\u1eadt kh\u1edbp h\u00e1ng: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn (ph\u1ea7n 1) - 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