{"id":27507,"date":"2023-04-23T16:45:40","date_gmt":"2023-04-23T09:45:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27507"},"modified":"2023-05-02T09:38:41","modified_gmt":"2023-05-02T02:38:41","slug":"cac-phuong-phap-giam-dau-sau-dieu-tri-noi-nha","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/cac-phuong-phap-giam-dau-sau-dieu-tri-noi-nha\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, b\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam ph\u1ed5 bi\u1ebfn, k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng, hay s\u1eed d\u1ee5ng nh\u00f3m Corticosteroid gi\u00fap gi\u1ea3m \u0111au ch\u1ed1ng vi\u00eam \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u1ea7n ki\u1ec3m so\u00e1t k\u1ef9 c\u00e0ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au ph\u00f9 h\u1ee3p v\u00e0 \u0111\u01b0a ra ch\u1ec9 \u0111\u1ecbnh h\u1ee3p l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh.<\/strong><\/p>\n

1. Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid – Ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au ph\u1ed5 bi\u1ebfn<\/h2>\n

L\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au trong \u0111i\u1ec1u tr\u1ecb \u0111au r\u0103ng, k\u1ec3 c\u1ea3 \u0111au sau \u0111i\u1ec1u tr\u1ecb, l\u00e0 c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID), ch\u00fang bao g\u1ed3m c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng th\u01b0\u1eddng c\u00f3 b\u00e1n s\u1eb5n nh\u01b0 ibuprofen, aspirin v\u00e0 naproxen. V\u00ec vi\u00eam l\u00e0 m\u1ed9t c\u01a1 ch\u1ebf g\u00f3p ph\u1ea7n quan tr\u1ecdng g\u00e2y \u0111au r\u0103ng n\u00ean thu\u1ed1c kh\u00e1ng vi\u00eam s\u1ebd l\u00e0m gi\u1ea3m \u0111au kh\u00e1 hi\u1ec7u qu\u1ea3. Ibuprofen hi\u1ec7u qu\u1ea3 h\u01a1n aspirin, acetaminophen ho\u1eb7c c\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p nh\u01b0 vicodin c\u00f3 ch\u1ee9a acetaminophen hay m\u1ed9t s\u1ed1 d\u1ea1ng thu\u1ed1c phi\u1ec7n nh\u01b0 hydrocodone, \u0111\u1ec3 gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ph\u1eabu thu\u1eadt mi\u1ec7ng. C\u0169ng c\u00f3 nh\u1eefng b\u1eb1ng ch\u1ee9ng cho th\u1ea5y ibuprofen l\u00e0 thu\u1ed1c hi\u1ec7u qu\u1ea3 l\u00e0m gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. \u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u01b0u \u00fd l\u00e0 nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y th\u1eed nghi\u1ec7m m\u1ed9t li\u1ec1u thu\u1ed1c sau \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t v\u00e0 theo d\u00f5i hi\u1ec7u qu\u1ea3 trong 24 gi\u1edd ho\u1eb7c l\u00e2u h\u01a1n. Vi\u1ec7c ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au, \u1edf nh\u1eefng th\u1eddi \u0111i\u1ec3m \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o, s\u1ebd c\u00f3 t\u00e1c \u0111\u1ed9ng l\u1edbn \u0111\u1ebfn vi\u1ec7c l\u00e0m gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb. N\u00f3i t\u00f3m l\u1ea1i, m\u1ed9t li\u1ec1u ibuprofen duy nh\u1ea5t (400 \u2013 600 mg) s\u1eed d\u1ee5ng sau \u0111i\u1ec1u tr\u1ecb s\u1ebd gi\u00fap gi\u1ea3m \u0111au, nh\u01b0ng v\u1eabn n\u00ean ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng li\u1ec1u 24 \u2013 48 gi\u1edd, m\u1ed7i 6 \u2013 8 gi\u1edd, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 an to\u00e0n khi s\u1eed d\u1ee5ng thu\u1ed1c (l\u01b0u \u00fd \u0111\u1ecdc th\u00eam v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a nh\u00f3m NSAIDs v\u00e0 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c)<\/p>\n

2. Thu\u1ed1c ph\u1ed1i h\u1ee3p ibuprofen v\u00e0 acetaminophen<\/h2>\n

C\u00f3 r\u1ea5t nhi\u1ec1u b\u1eb1ng ch\u1ee9ng \u0111\u00e1ng tin c\u1eady cho r\u1eb1ng s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa ibuprofen v\u00e0 acetaminophen l\u00e0m gi\u1ea3m \u0111au t\u1ed1t h\u01a1n ch\u1ec9 d\u00f9ng 1 lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01a1n thu\u1ea7n trong \u0111i\u1ec1u tr\u1ecb \u0111au c\u1ea5p t\u00ednh, nh\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng v\u00e0 \u0111\u01b0\u1ee3c t\u00f3m t\u1eaft trong c\u00e1c b\u00e0i t\u1ed5ng h\u1ee3p Cochrane g\u1ea7n \u0111\u00e2y. C\u0169ng c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a s\u1ef1 k\u1ebft h\u1ee3p n\u00e0y, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Kh\u00e1i ni\u1ec7m s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au ph\u1ed1i h\u1ee3p xu\u1ea5t ph\u00e1t t\u1eeb quan \u0111i\u1ec3m sinh h\u1ecdc, v\u00ec c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1c nhau nh\u1eb1m v\u00e0o c\u00e1c \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n \u0111au kh\u00e1c nhau, do \u0111\u00f3 vi\u1ec7c k\u1ebft h\u1ee3p c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au s\u1ebd ng\u0103n ch\u1eb7n c\u00e1c \u0111\u01b0\u1eddng d\u1eabn t\u00edn hi\u1ec7u \u0111au r\u1ed9ng r\u00e3i h\u01a1n n\u00ean l\u00e0m gi\u1ea3m \u0111au t\u1ed1t h\u01a1n. N\u00ean ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c gi\u1ea3m \u0111au ph\u1ed1i h\u1ee3p ibuprofen v\u00e0 acetaminophen khi ti\u00ean l\u01b0\u1ee3ng tr\u01b0\u1edbc c\u00f3 \u0111au t\u1eeb v\u1eeba t\u1edbi n\u1eb7ng.<\/p>\n

3. C\u00e1c opioid v\u00e0 thu\u1ed1c ph\u1ed1i h\u1ee3p opioid<\/h2>\n

C\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p opioid nh\u01b0 ph\u1ed1i h\u1ee3p acetaminophen v\u00e0 hydrocodone ho\u1eb7c codeine (v\u00ed d\u1ee5 Vicodin ho\u1eb7c Tylenol III) th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au r\u0103ng v\u00e0 \u0111au sau \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, b\u1ea3n th\u00e2n ch\u00fang c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au \u00edt hi\u1ec7u qu\u1ea3 h\u01a1n so v\u1edbi c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au s\u1eb5n c\u00f3 kh\u00e1c tr\u00ean th\u1ecb tr\u01b0\u1eddng, v\u1edbi \u0111\u1eb7c t\u00ednh ch\u1ed1ng vi\u00eam nh\u01b0 ibuprofen. Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, vi\u1ec7c k\u00ea toa thu\u1ed1c gi\u1ea3m \u0111au opioid tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn h\u01a1n n\u00ean vi\u1ec7c s\u1eed d\u1ee5ng ch\u00fang ngo\u00e0i ph\u1ea1m vi y khoa v\u00e0 l\u1ea1m d\u1ee5ng thu\u1ed1c \u0111\u00e3 g\u00e2y ra k\u1ebft qu\u1ea3 t\u1eed vong kh\u00f4ng mong mu\u1ed1n do qu\u00e1 li\u1ec1u. Khi nh\u00ecn s\u00e2u h\u01a1n v\u1ec1 xu h\u01b0\u1edbng \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng c\u1ee7a vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh opioid sai m\u1ee5c \u0111\u00edch ho\u1eb7c l\u1ea1m d\u1ee5ng qu\u00e1 m\u1ee9c n\u00e0y th\u00ec c\u00e1c b\u00e1c s\u0129 nha khoa \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 m\u1ed9t ngu\u1ed3n l\u1edbn c\u1ee7a c\u00e1c \u0111\u01a1n thu\u1ed1c opiod (\u0111\u1ee9ng th\u1ee9 2 ch\u1ec9 sau c\u00e1c b\u00e1c s\u0129 gia \u0111\u00ecnh). \u0110i\u1ec1u n\u00e0y t\u1ea1o ra th\u1ef1c t\u1ebf l\u00e0 c\u1ea7n ch\u00fa \u00fd nhi\u1ec1u h\u01a1n khi k\u00ea \u0111\u01a1n c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y, v\u00ec c\u00f3 kh\u1ea3 n\u0103ng ch\u00fang s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi m\u1ee5c \u0111\u00edch phi y t\u1ebf ch\u1ee9 kh\u00f4ng ph\u1ea3i cho b\u1ec7nh nh\u00e2n. Khi s\u1eed d\u1ee5ng c\u1ea9n tr\u1ecdng, c\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p opioid c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au n\u1eb7ng v\u00e0 NSAID b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, ho\u1eb7c \u0111au kh\u00f4ng thuy\u00ean gi\u1ea3m sau s\u1eed d\u1ee5ng NSAID ho\u1eb7c thu\u1ed1c ph\u1ed1i h\u1ee3p ibuprofen\/acetaminophen. \u0110\u1ec3 tr\u00e1nh vi\u1ec7c s\u1eed d\u1ee5ng sai m\u1ee5c \u0111\u00edch l\u01b0\u1ee3ng thu\u1ed1c c\u00f2n s\u00f3t l\u1ea1i, th\u1eddi gian d\u00f9ng thu\u1ed1c n\u00ean ch\u1ec9 gi\u1edbi h\u1ea1n trong 24 \u2013 48 gi\u1edd, \u0111\u00f3 l\u00e0 kho\u1ea3ng th\u1eddi gian m\u00e0 \u0111au \u0111\u01b0\u1ee3c ti\u00ean l\u01b0\u1ee3ng l\u00e0 nghi\u00eam tr\u1ecdng nh\u1ea5t.<\/p>\n

4. Ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au b\u1eb1ng thu\u1ed1c steroid<\/h2>\n

C\u00f3 h\u00e0ng lo\u1ea1t c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid to\u00e0n th\u00e2n \u0111\u1ed1i v\u1edbi vi\u1ec7c l\u00e0m gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb. Nh\u00ecn chung, c\u00f3 nhi\u1ec1u b\u00e0i vi\u1ebft c\u1ee7ng c\u1ed1 cho \u0111i\u1ec3m steroid c\u00f3 hi\u1ec7u qu\u1ea3 gi\u00fap gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Steroid quan to\u00e0n th\u00e2n th\u01b0\u1eddng d\u00f9ng l\u00e0 dexamethasone, s\u1eed d\u1ee5ng ti\u00eam b\u1eafp ho\u1eb7c \u0111\u01b0\u1eddng u\u1ed1ng, l\u00e0m gi\u1ea3m t\u1ec9 l\u1ec7 v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 \u1ee9c ch\u1ebf \u0111au sau \u0111i\u1ec1u tr\u1ecb khi s\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7 k\u1ec3 c\u1ea3 trong \u1ed1ng t\u1ee7y, b\u1eb1ng c\u00e1ch ti\u00eam v\u00e0o trong d\u00e2y ch\u1eb1ng ho\u1eb7c ti\u00eam trong x\u01b0\u01a1ng. S\u1eed d\u1ee5ng thu\u1ed1c t\u1ea1i ch\u1ed7 c\u00f3 l\u1ee3i \u00edch trong vi\u1ec7c h\u1ea1n ch\u1ebf s\u1ef1 ti\u1ebfp x\u00fac to\u00e0n th\u00e2n v\u1edbi corticosteroid, do \u0111\u00f3 h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c c\u00e1c ph\u1ea3n \u1ee9ng ph\u1ee5 ti\u1ec1m \u1ea9n (m\u1eb7c d\u00f9 s\u1eed d\u1ee5ng steroid ng\u1eafn h\u1ea1n kh\u00e1 an to\u00e0n v\u1edbi h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n). C\u1ea7n l\u00e0m r\u00f5 th\u00eam v\u1ec1 c\u00e1c lo\u1ea1i \u0111au n\u1ed9i nha \u0111\u00e1p \u1ee9ng t\u1ed1t nh\u1ea5t v\u1edbi corticosteroid (ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111au do vi\u00eam t\u1ee7y kh\u00f4ng h\u1ed3i ph\u1ee5c v\u1edbi \u0111au vi\u00eam quanh ch\u00f3p t\u1eeb m\u1ed9t r\u0103ng c\u00f3 ho\u1ea1i t\u1eed t\u1ee7y ho\u1eb7c \u0111au b\u00f9ng ph\u00e1t).<\/p>\n

5. \u0110au dai d\u1eb3ng sau \u0111i\u1ec1u tr\u1ecb<\/h2>\n

\u0110au dai d\u1eb3ng sau can thi\u1ec7p ph\u1eabu thu\u1eadt g\u1ea7n \u0111\u00e2y \u0111\u00e3 tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng \u0111\u00e1ng ch\u00fa \u00fd, nh\u1edd v\u1eady t\u1ea1o ra c\u01a1 h\u1ed9i \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng ng\u0103n ng\u1eeba \u0111au c\u1ea5p t\u00ednh chuy\u1ec3n \u0111\u1ed5i th\u00e0nh \u0111au m\u00e3n t\u00ednh. M\u1eb7c d\u00f9 t\u1ec9 l\u1ec7 x\u1ea3y ra \u00edt h\u01a1n so v\u1edbi c\u00e1c ph\u1eabu thu\u1eadt y khoa l\u1edbn, nh\u01b0ng kh\u1ea3 n\u0103ng \u0111au dai d\u1eb3ng sau khi th\u1ef1c hi\u1ec7n can thi\u1ec7p ph\u1eabu thu\u1eadt nha khoa, k\u1ec3 c\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha c\u00f3 ph\u1eabu thu\u1eadt ho\u1eb7c kh\u00f4ng ph\u1eabu thu\u1eadt, c\u1eafm gh\u00e9p implant, ph\u1eabu thu\u1eadt trong mi\u1ec7ng c\u0169ng \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 c\u00f3 x\u1ea3y ra. C\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha c\u00f3 th\u1ec3 do nguy\u00ean nh\u00e2n t\u1eeb r\u0103ng nh\u01b0 n\u1ee9t g\u00e3y ch\u00e2n r\u0103ng kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ho\u1eb7c nhi\u1ec5m tr\u00f9ng t\u00e1i ph\u00e1t, v\u00e0 c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au dai d\u1eb3ng v\u1eabn t\u1ed3n t\u1ea1i d\u00f9 cho kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh l\u00fd g\u00ec. Tr\u01b0\u1edbc \u0111\u00e2y, nh\u1eefng c\u01a1n \u0111au dai d\u1eb3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111au r\u0103ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, hay \u201c\u0111au r\u0103ng ma\u201d (phantom tooth pain). Thu\u1eadt ng\u1eef hi\u1ec7n t\u1ea1i l\u00e0 \u0111au x\u01b0\u01a1ng \u1ed5 r\u0103ng dai d\u1eb3ng (persistent dentoalveolar pain) ho\u1eb7c b\u1ec7nh l\u00fd t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh sinh ba g\u00e2y \u0111au ngo\u1ea1i vi (peripheral painful traumatic trigeminal neuropathy).<\/p>\n

\"phuong-phap-giam-dau-1\"
B\u1ec7nh l\u00fd t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh sinh ba g\u00e2y \u0111au ngo\u1ea1i vi (peripheral painful traumatic trigeminal neuropathy)<\/figcaption><\/figure>\n

M\u1eb7c d\u00f9 c\u00e1c cu\u1ed9c th\u1ea3o lu\u1eadn li\u00ean quan \u0111\u1ebfn ti\u00eau ch\u00ed ph\u00e2n lo\u1ea1i th\u1ef1c th\u1ec3 l\u00e2m s\u00e0ng n\u00e0y v\u1eabn \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh, v\u00e0 ch\u1eafc ch\u1eafn s\u1ebd c\u00f2n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 \u0111\u1ea1i di\u1ec7n cho m\u1ed9t lo\u1ea1i r\u1ea5t \u0111\u1eb7c bi\u1ec7t kh\u00e1c c\u1ee7a \u0111au dai d\u1eb3ng sau ph\u1eabu thu\u1eadt. Nguy\u00ean nh\u00e2n c\u1ee7a \u0111au dai d\u1eb3ng kh\u00f4ng do r\u0103ng sau th\u1ee7 thu\u1eadt \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha c\u00f2n ch\u01b0a bi\u1ebft r\u00f5, nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y c\u00e1c c\u01a1 ch\u1ebf v\u1ec1 th\u1ea7n kinh c\u00f3 th\u1ec3 li\u00ean quan. C\u1ea7n c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u01a1 ch\u1ebf sinh h\u1ecdc g\u00f3p ph\u1ea7n g\u00e2y ra \u0111au dai d\u1eb3ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u00e0y.<\/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 t\u1ed5ng quan v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, b\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam ph\u1ed5 bi\u1ebfn, k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng, hay s\u1eed d\u1ee5ng nh\u00f3m Corticosteroid gi\u00fap gi\u1ea3m \u0111au ch\u1ed1ng vi\u00eam \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp. \u0110i\u1ec1u quan tr\u1ecdng […]<\/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":"\nC\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft t\u1ed5ng quan ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. 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