{"id":2749,"date":"2023-04-09T17:40:09","date_gmt":"2023-04-09T10:40:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2749"},"modified":"2023-04-10T14:20:44","modified_gmt":"2023-04-10T07:20:44","slug":"dai-cuong-ve-thay-khop","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-ve-thay-khop\/","title":{"rendered":"\u0110\u1ea1i c\u01b0\u01a1ng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay kh\u1edbp vai"},"content":{"rendered":"

Kh\u1edbp vai l\u00e0 m\u1ed9t trong nh\u1eefng kh\u1edbp quan tr\u1ecdng nh\u1ea5t trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi. N\u00f3 cho ph\u00e9p ch\u00fang ta di chuy\u1ec3n tay v\u00e0 c\u00e1nh tay theo nhi\u1ec1u h\u01b0\u1edbng kh\u00e1c nhau, \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 kh\u1edbp ch\u1ecbu t\u1ea3i tr\u1ecdng l\u1edbn nh\u1ea5t trong c\u01a1 th\u1ec3. Ch\u00ednh v\u00ec l\u1ebd \u0111\u00f3, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng c\u1ea7n ph\u1ea3i thay kh\u1edbp vai. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y, ch\u00fang t\u00f4i xin tr\u00ecnh b\u00e0y nh\u1eefng ki\u1ebfn th\u1ee9c li\u00ean quan \u0111\u1ebfn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay kh\u1edbp vai<\/strong><\/p>\n

T\u00e1c gi\u1ea3:<\/strong> PGS.TS. Tr\u1ea7n Trung D\u0169ng<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai<\/strong><\/h2>\n

Thay kh\u1edbp vai l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn kh\u1edbp vai, bao g\u1ed3m c\u00e1c ch\u1ea5n th\u01b0\u01a1ng, tho\u00e1i h\u00f3a kh\u1edbp, ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Th\u1ee7 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia ph\u1eabu thu\u1eadt v\u00e0 y\u00eau c\u1ea7u s\u1ef1 chu\u1ea9n b\u1ecb v\u00e0 ch\u0103m s\u00f3c k\u1ef9 l\u01b0\u1ee1ng \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/p>\n

Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n thay kh\u1edbp vai, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00fang v\u1ec1 t\u00ecnh tr\u1ea1ng kh\u1edbp v\u00e0 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a c\u01a1 th\u1ec3. B\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 tia X, si\u00eau \u00e2m v\u00e0 MRI \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng v\u00e0 b\u1ec7nh l\u00fd c\u1ee7a kh\u1edbp vai. B\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n ph\u1ea3i th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 l\u1ecbch s\u1eed b\u1ec7nh l\u00fd v\u00e0 thu\u1ed1c \u0111ang d\u00f9ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng th\u1ee7 thu\u1eadt s\u1ebd kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a h\u1ecd.<\/p>\n

V\u1ecb tr\u00ed \u0111\u00e8n tr\u1ea7n l\u00e0 m\u1ed9t thi\u1ebft l\u1eadp hay b\u1ecb qu\u00ean kh\u00f4ng chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. N\u00f3 r\u1ea5t quan tr\u1ecdng trong ph\u1eabu thu\u1eadt thay vai, v\u1ecb tr\u00ed thu\u1eadn ti\u1ec7n nh\u1ea5t c\u1ee7a n\u00f3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong h\u00ecnh d\u01b0\u1edbi, m\u1ed9t \u0111\u00e8n n\u00ean \u0111\u1ec3 v\u00e0o v\u1ecb tr\u00ed tay thu\u1eadn cho ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh chi\u1ebfu th\u1eb3ng t\u1eeb tr\u00ean xu\u1ed1ng, m\u1ed9t \u0111\u00e8n n\u1eefa chi\u1ebfu t\u1eeb ph\u00eda b\u00ean ngo\u00e0i, sau vai c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean nh\u00e0m tr\u00e1nh b\u1ecb c\u1ea3n \u0111\u01b0\u1eddng \u00e1nh s\u00e1ng. \u0110\u00f4i khi n\u1ebfu c\u1ea7n, b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111eo th\u00eam \u0111\u00e8n \u0111eo \u0111\u1ea7u \u0111\u1ec3 t\u1eadp trung \u00e1nh s\u00e1ng v\u00e0o ph\u1eabu tr\u01b0\u1eddng theo \u00fd mu\u1ed1n.<\/p>\n

\"Minh
Minh ho\u1ea1 m\u00f4 h\u00ecnh ph\u00f2ng m\u1ed5<\/figcaption><\/figure>\n

Trong qu\u00e1 tr\u00ecnh thay kh\u1edbp vai, b\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n m\u1ed9t ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf kh\u1edbp vai b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 thay th\u1ebf b\u1eb1ng kh\u1edbp nh\u00e2n t\u1ea1o. Th\u1ee7 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi t\u00ecnh tr\u1ea1ng t\u00ea c\u1ee5c b\u1ed9 ho\u1eb7c t\u00ecnh tr\u1ea1ng m\u00ea ho\u1eb7c t\u00ea to\u00e0n th\u00e2n, t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2. M\u1ed9t s\u1ed1 d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng trong thay kh\u1edbp vai<\/h2>\n

\u0110\u1ec3 th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt thay kh\u1edbp vai, c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng \u0111\u1ec3 gi\u00fap thao t\u00e1c ch\u00ednh x\u00e1c v\u00e0 an to\u00e0n. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 d\u1ee5ng c\u1ee5 ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt thay kh\u1edbp vai:<\/p>\n

    \n
  1. Dao ph\u1eabu thu\u1eadt: \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i dao s\u1eafc \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea1o ra c\u00e1c c\u1eaft v\u00e0 khuy\u1ebft t\u1eadt trong da v\u00e0 c\u01a1 \u0111\u1ec3 ti\u1ebft l\u1ed9 kh\u1edbp vai.<\/li>\n
  2. K\u00ecm v\u00e0 t\u00e1ch m\u00f4: \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u00e1ch v\u00e0 gi\u1eef c\u00e1c m\u00f4 xung quanh kh\u1edbp vai trong qu\u00e1 tr\u00ecnh thay th\u1ebf kh\u1edbp.<\/li>\n
  3. D\u1ee5ng c\u1ee5 n\u1eb7n x\u01b0\u01a1ng: \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i d\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 n\u1eb7n v\u00e0 thay \u0111\u1ed5i h\u00ecnh d\u1ea1ng c\u00e1c x\u01b0\u01a1ng xung quanh kh\u1edbp vai, \u0111\u1ec3 t\u1ea1o ra kh\u00f4ng gian cho vi\u1ec7c thay th\u1ebf kh\u1edbp nh\u00e2n t\u1ea1o.<\/li>\n
  4. D\u1ee5ng c\u1ee5 m\u00e0i x\u01b0\u01a1ng: \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i d\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 m\u00e0i v\u00e0 x\u1eed l\u00fd c\u00e1c b\u1ec1 m\u1eb7t x\u01b0\u01a1ng c\u1ee7a kh\u1edbp vai, \u0111\u1ec3 t\u1ea1o ra b\u1ec1 m\u1eb7t ph\u1eb3ng v\u00e0 t\u1ea1o ra kh\u00f4ng gian cho vi\u1ec7c \u0111\u1eb7t kh\u1edbp nh\u00e2n t\u1ea1o.<\/li>\n
  5. D\u1ee5ng c\u1ee5 gh\u00e9p kh\u1edbp nh\u00e2n t\u1ea1o: \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i d\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 ph\u1eabu thu\u1eadt gh\u00e9p kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0o v\u1ecb tr\u00ed th\u00edch h\u1ee3p trong kh\u1edbp vai. D\u1ee5ng c\u1ee5 n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi k\u00edch th\u01b0\u1edbc v\u00e0 h\u00ecnh d\u1ea1ng c\u1ee7a kh\u1edbp vai c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ol>\n

    Ngo\u00e0i ra, trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00f2n s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3 kh\u00e1c nh\u01b0 m\u00e1y m\u00f3c v\u00e0 thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed \u0111\u1ec3 gi\u00fap qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt tr\u1edf n\u00ean hi\u1ec7u qu\u1ea3 h\u01a1n. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia ph\u1eabu thu\u1eadt c\u00f3 kinh nghi\u1ec7m v\u00e0 \u0111\u00e0o t\u1ea1o chuy\u00ean s\u00e2u.<\/p>\n

    3. T\u01b0 th\u1ebftrong ph\u1eabu thu\u1eadt thay kh\u1edbp vai<\/h2>\n

    Vi\u1ec7c k\u00ea t\u01b0 th\u1ebf tr\u01b0\u1edbc m\u1ed5 cho b\u1ec7nh nh\u00e2n thay kh\u1edbp vai l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng, l\u00e0m cho ph\u1eabu thu\u1eadt thu\u1eadn l\u1ee3i v\u00e0 d\u1ec5 d\u00e0ng h\u01a1n. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t theo t\u01b0 th\u1ebf beach chair (gh\u1ebf b\u00e3i bi\u1ec3n), b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c kh\u00f3a \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh. \u0110\u1ea7u v\u00e0 c\u1ed5 b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u1ea3m b\u1ea3o \u1edf t\u01b0 th\u1ebf trung gian tr\u00e1nh g\u1eadp \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n. Sau \u0111\u00f3 tr\u00e1n v\u00e0 c\u1eb1m s\u1ebd \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh b\u1eb1ng b\u0103ng d\u00ednh to b\u1ea3n. V\u1edbi b\u1ec7nh nh\u00e2n da m\u1ecfng th\u00ec n\u00ean \u0111\u1ec7m g\u1ea1c \u0111\u1ec3 tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng da ch\u1ed7 \u0111\u00ednh.<\/p>\n

    <\/p>\n

    4. M\u1ed9t s\u1ed1\u00a0th\u1ee7 thu\u1eadt trong thay kh\u1edbp vai<\/h2>\n

    4.1. C\u1ea1o l\u00f4ng<\/h3>\n

    C\u1ea1o l\u00f4ng v\u00f9ng m\u1ed5 tr\u01b0\u1edbc ng\u00e0y ph\u1eabu thu\u1eadt (v\u00f9ng \u0111ai vai v\u00e0 v\u00f9ng n\u00e1ch), ch\u00fa \u00fd tr\u00e1nh l\u00e0m x\u01b0\u1edbc hay t\u1ed5n th\u01b0\u01a1ng da; sau \u0111\u00f3 t\u1eafm b\u1eb1ng dung d\u1ecbch x\u00e0 ph\u00f2ng kh\u1eed khu\u1ea9n v\u00e0o bu\u1ed5i s\u00e1ng ng\u00e0y ph\u1eabu thu\u1eadt, Khi v\u00e0o ph\u00f2ng m\u1ed5, sau khi chu\u1ea9n b\u1ecb t\u01b0 th\u1ebf n\u00ean l\u00e0m s\u1ea1ch v\u00f9ng m\u1ed5 m\u1ed9t l\u1ea7n n\u1eefa b\u1eb1ng c\u1ed3n, ti\u1ebfp theo l\u00e0 betadin, th\u1ea7m kh\u00f4 b\u1eb1ng kh\u0103n. V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb k\u00edch \u1ee9ng v\u1edbi th\u00e0nh ph\u1ea7n c\u1ee7a betadine th\u00ec d\u00f9ng dung d\u1ecbch chlorhexidine gluconate 4%.<\/p>\n

    <\/p>\n

    H\u00ecnh 8.54. Dung d\u1ecbch Chlorhexidine gluconate 4%<\/em><\/p>\n

    4.2. Tr\u1ea3i x\u0103ng v\u00f4 tr\u00f9ng<\/h3>\n

    Tr\u1ea3i x\u0103ng v\u00f4 tr\u00f9ng ho\u1eb7c t\u1ed1t nh\u1ea5t s\u1eed d\u1ee5ng b\u1ed9 x\u0103ng \u00e1o m\u1ed5 chuy\u00ean d\u1ee5ng kh\u00f4ng th\u1ea5m n\u01b0\u1edbc. Tay \u0111\u01b0\u1ee3c b\u1ecdc trong t\u00fai v\u00e0 qu\u1ea5n b\u0103ng thun b\u00ean ngo\u00e0i. C\u00f3 th\u1ec3 v\u1ebd \u0111\u01b0\u1eddng r\u1ea1ch da b\u1eb1ng b\u00fat \u0111\u00e1nh d\u1ea5u \u0111\u00e3 h\u1ea5p v\u00f4 khu\u1ea9n.<\/p>\n

    <\/p>\n

    \u0110\u1ec3 th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt thay kh\u1edbp vai, b\u00e1c s\u0129 s\u1ebd t\u1ea1o m\u1ed9t khuy\u1ebft t\u1eadt trong da v\u00e0 c\u01a1, ti\u1ebft l\u1ed9 kh\u1edbp vai v\u00e0 lo\u1ea1i b\u1ecf b\u1ed9 ph\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd thay th\u1ebf kh\u1edbp vai b\u1eb1ng m\u1ed9t b\u1ed9 ph\u1eadn nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng c\u00e1c v\u1eadt li\u1ec7u ch\u1ea5t l\u01b0\u1ee3ng cao, bao g\u1ed3m th\u00e9p kh\u00f4ng g\u1ec9, titan v\u00e0 nh\u1ef1a.<\/p>\n

    K\u1ebft lu\u1eadn\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n

    Theo di\u1ec5n ti\u1ebfn c\u1ee7a l\u1ecbch s\u1eed c\u0169ng nh\u01b0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a khoa h\u1ecdc c\u00f4ng ngh\u1ec7 th\u00ec s\u1ebd c\u00e0ng ng\u00e0y c\u00e0ng c\u00f3 c\u00e1c th\u1ebf h\u1ec7 kh\u1edbp vai m\u1edbi ra \u0111\u1eddi v\u1edbi m\u1ee5c \u0111\u00edch cu\u1ed1i c\u00f9ng l\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c gi\u1ea3i ph\u1eabu ho\u00e0n h\u1ea3o nh\u01b0 kh\u1edbp vai ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n. Xu h\u01b0\u1edbng c\u00e1 nh\u00e2n h\u00f3a ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 \u0111ang tr\u1edf th\u00e0nh t\u00e2m \u0111i\u1ec3m c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00f3i chung v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 thay kh\u1edbp, trong \u0111\u00f3 c\u00f3 kh\u1edbp vai.<\/p>\n

    \u0110\u01b0\u1ee3c tr\u1edf th\u00e0nh ph\u1eabu thu\u1eadt vi\u00ean thay kh\u1edbp th\u00ec b\u1ea1n ph\u1ea3i th\u1ef1c s\u1ef1 am hi\u1ec3u kh\u00f4ng ch\u1ec9 v\u1ec1 gi\u1ea3i ph\u1eabu \u0111\u1ecbnh khu v\u00f9ng g\u1ed3m c\u1ea3 gi\u1ea3i ph\u1eabu t\u1eebng t\u1ea7ng, t\u1eebng l\u1edbp r\u1ea5t ch\u1eafc ch\u1eafn, c\u0169ng nh\u01b0 n\u1eafm \u0111\u01b0\u1ee3c c\u01a1 sinh h\u1ecdc \u0111\u1eb7c bi\u1ec7t c\u1ee7a v\u00f9ng vai. \u0110\u00e2y l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 c\u01a1 b\u1ea3n, sau \u0111\u00f3 b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o tr\u00ean m\u00f4 h\u00ecnh, tr\u00ean x\u00e1c, r\u1ed3i m\u1edbi th\u1ef1c h\u00e0nh tr\u00ean b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y r\u00fat ng\u1eafn th\u1eddi gian th\u00e0nh th\u1ea1o c\u1ee7a b\u1ea1n khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt thay kh\u1edbp vai. Th\u1ee9 \u0111\u1ebfn l\u00e0 ph\u1ea3i chu\u1ea9n b\u1ecb r\u1ea5t c\u1ee5 th\u1ec3, chi ti\u1ebft tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u0169ng nh\u01b0 b\u1ec7nh nh\u00e2n, nh\u1eefng \u0111i\u1ec1u gi\u00fap cho ch\u00fang ta c\u00f3 th\u1ec3 t\u1eadp trung v\u00e0o cu\u1ed9c m\u1ed5 100% v\u00e0 th\u1ef1c s\u1ef1 r\u1ea5t thu\u1eadn l\u1ee3i trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt. M\u1ed7i b\u01b0\u1edbc chu\u1ea9n b\u1ecb \u0111\u1ec1u \u0111\u00f3ng g\u00f3p v\u00e0o k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng chung c\u1ee7a ca m\u1ed5. Cu\u1ed1i c\u00f9ng, ch\u00fang t\u00f4i mu\u1ed1n nh\u1eafc nh\u1edf c\u00e1c b\u00e1c s\u0129, vi\u1ec7c chu\u1ea9n b\u1ecb c\u00e1c b\u01b0\u1edbc \u0111\u1ec3 thay vai lu\u00f4n ph\u1ea3i \u0111i k\u00e8m y\u1ebfu t\u1ed1 ph\u00f2ng tr\u00e1nh nhi\u1ec5m khu\u1ea9n m\u1ed9t c\u00e1ch t\u1ed1i \u0111a.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Kh\u1edbp vai l\u00e0 m\u1ed9t trong nh\u1eefng kh\u1edbp quan tr\u1ecdng nh\u1ea5t trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi. N\u00f3 cho ph\u00e9p ch\u00fang ta di chuy\u1ec3n tay v\u00e0 c\u00e1nh tay theo nhi\u1ec1u h\u01b0\u1edbng kh\u00e1c nhau, \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 kh\u1edbp ch\u1ecbu t\u1ea3i tr\u1ecdng l\u1edbn nh\u1ea5t trong c\u01a1 th\u1ec3. Ch\u00ednh v\u00ec l\u1ebd \u0111\u00f3, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"\n\u0110\u1ea1i c\u01b0\u01a1ng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay kh\u1edbp vai - Vinmec<\/title>\n<meta name=\"description\" content=\"Thay kh\u1edbp vai l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn kh\u1edbp vai, bao g\u1ed3m c\u00e1c ch\u1ea5n th\u01b0\u01a1ng, tho\u00e1i h\u00f3a kh\u1edbp\" \/>\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=\"\u0110\u1ea1i c\u01b0\u01a1ng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay kh\u1edbp vai - 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