{"id":27868,"date":"2023-04-24T12:56:43","date_gmt":"2023-04-24T05:56:43","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27868"},"modified":"2023-05-02T09:26:59","modified_gmt":"2023-05-02T02:26:59","slug":"sua-soan-ong-tuy-muc-tieu-co-sinh-hoc-trong-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/sua-soan-ong-tuy-muc-tieu-co-sinh-hoc-trong-dieu-tri\/","title":{"rendered":"S\u1eeda so\u1ea1n \u1ed1ng tu\u1ef7 – M\u1ee5c ti\u00eau c\u01a1 sinh h\u1ecdc trong \u0111i\u1ec1u tr\u1ecb."},"content":{"rendered":"

S\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t trong nh\u1eefng b\u01b0\u1edbc quan tr\u1ecdng nh\u1ea5t quy\u1ebft \u0111\u1ecbnh s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Tuy nhi\u00ean, vi\u1ec7c s\u1eeda so\u1ea1n t\u1ed1t \u0111\u00f2i h\u1ecfi kh\u00e1 nhi\u1ec1u \u1edf ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb, v\u00ec gi\u1ea3i ph\u1eabu h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y r\u00f5 to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng gi\u1ea3i ph\u1eabu n\u00e0y qua phim c\u1eadn ch\u00f3p th\u01b0\u1eddng quy. B\u00ean c\u1ea1nh vi\u1ec7c s\u1eeda so\u1ea1n c\u01a1 h\u1ecdc, ng\u01b0\u1eddi ta c\u0169ng c\u00f4ng nh\u1eadn vi\u1ec7c b\u01a1m r\u1eeda b\u1eb1ng c\u00e1c t\u00e1c nh\u00e2n kh\u00e1ng khu\u1ea9n c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c h\u00f2a tan m\u00f4 t\u1ee7y vi\u00eam c\u0169ng nh\u01b0 m\u00f4 ho\u1ea1i t\u1eed v\u00e0 ph\u00e1 v\u1ee1 biofilm n\u1ed9i t\u1ee7y. B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp t\u1eadp trung v\u00e0o m\u1ee5c ti\u00eau c\u01a1 h\u1ecdc v\u00e0 sinh h\u1ecdc trong qu\u00e1 tr\u00ecnh s\u1eeda so\u1ea1n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u nh\u1ea5t cho qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

\"sua-soan-ong-tuy\"
S\u1eeda so\u1ea1n h\u1ec7 th\u1ed1ng \u1ed1ng tu\u1ef7 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb N\u1ed9i nha.<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 qu\u00e1 tr\u00ecnh s\u1eeda so\u1ea1n \u1ed1ng tu\u1ef7<\/h2>\n

S\u1eeda so\u1ea1n h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t trong nh\u1eefng b\u01b0\u1edbc quan tr\u1ecdng nh\u1ea5t quy\u1ebft \u0111\u1ecbnh s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Tuy nhi\u00ean, vi\u1ec7c s\u1eeda so\u1ea1n t\u1ed1t \u0111\u00f2i h\u1ecfi kh\u00e1 nhi\u1ec1u \u1edf ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb, v\u00ec gi\u1ea3i ph\u1eabu h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y r\u00f5 to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng gi\u1ea3i ph\u1eabu n\u00e0y qua phim c\u1eadn ch\u00f3p th\u01b0\u1eddng quy. B\u00ean c\u1ea1nh vi\u1ec7c s\u1eeda so\u1ea1n c\u01a1 h\u1ecdc, ng\u01b0\u1eddi ta c\u0169ng c\u00f4ng nh\u1eadn vi\u1ec7c b\u01a1m r\u1eeda b\u1eb1ng c\u00e1c t\u00e1c nh\u00e2n kh\u00e1ng khu\u1ea9n c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c h\u00f2a tan m\u00f4 t\u1ee7y vi\u00eam c\u0169ng nh\u01b0 m\u00f4 ho\u1ea1i t\u1eed v\u00e0 ph\u00e1 v\u1ee1 biofilm n\u1ed9i t\u1ee7y. Th\u00eam v\u00e0o \u0111\u00f3, vi\u1ec7c b\u0103ng thu\u1ed1c kh\u00e1ng khu\u1ea9n trong \u1ed1ng t\u1ee7y gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh l\u00fd quanh ch\u00f3p c\u00f3 nguy\u00ean nh\u00e2n t\u1eeb nhi\u1ec5m tr\u00f9ng \u1ed1ng t\u1ee7y.<\/p>\n

2. M\u1ee5c ti\u00eau sinh h\u1ecdc v\u00e0 c\u01a1 h\u1ecdc \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng t\u1ed1t nh\u1ea5t<\/h2>\n
    \n
  1. Lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n m\u00f4 t\u1ee7y vi\u00eam, ho\u1ea1i t\u1eed, nhi\u1ec5m tr\u00f9ng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u ho\u1eb7c ng\u0103n ch\u1eb7n ph\u1ea3n \u1ee9ng vi\u00eam c\u1ee7a k\u00ed ch\u1ee7.<\/li>\n
  2. T\u1ea1o kho\u1ea3ng tr\u1ed1ng th\u00edch h\u1ee3p \u0111\u1ec3 b\u01a1m r\u1eeda, b\u0103ng thu\u1ed1c v\u00e0 tr\u00e1m b\u00edt, t\u1eeb \u0111\u00f3 cho ph\u00e9p gi\u1ea3m thi\u1ec3u\/lo\u1ea1i b\u1ecf nh\u1eefng t\u00e1c nh\u00e2n k\u00edch th\u00edch, \u0111\u1ea3m b\u1ea3o k\u1ebft qu\u1ea3 tr\u00e1m b\u00edt t\u1ed1i \u01b0u.<\/li>\n
  3. B\u1ea3o t\u1ed3n l\u1ed7 ch\u00f3p (foramen) \u0111\u1ec3 ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng (nh\u01b0 l\u00e0m loe ch\u00f3p, t\u1ea1o kh\u1ea5c, t\u1eafc ngh\u1ebdn ch\u00f3p, tr\u00e1m b\u00edt qu\u00e1 ch\u00f3p).<\/li>\n
  4. Ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng g\u00e2y ra do \u0111i\u1ec1u tr\u1ecb (nh\u01b0 g\u00e3y tr\u00e2m, th\u1ee7ng s\u00e0n, t\u1ea1o kh\u1ea5c, t\u1eafc ngh\u1ebdn, thay \u0111\u1ed5i v\u1ecb tr\u00ed ch\u00f3p).<\/li>\n
  5. B\u1ea3o t\u1ed3n c\u1ea5u tr\u00fac r\u0103ng l\u00e0nh \u0111\u1ec3 duy tr\u00ec s\u1ef1 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a r\u0103ng (gi\u1ea3m thi\u1ec3u kh\u1ea3 n\u0103ng g\u00e3y d\u1ecdc ch\u00e2n r\u0103ng).<\/li>\n<\/ol>\n

    3. Nh\u1eefng kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh s\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y<\/h2>\n
      \n
    1. \u0110\u1ecbnh v\u1ecb t\u1ea5t c\u1ea3 c\u00e1c \u1ed1ng t\u1ee7y: S\u00f3t \u1ed1ng t\u1ee7y l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. Do v\u1eady, ki\u1ebfn th\u1ee9c v\u1ec1 r\u0103ng v\u00e0 gi\u1ea3i ph\u1eabu \u1ed1ng t\u1ee7y l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft, b\u00ean c\u1ea1nh s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a c\u00e1c thi\u1ebft b\u1ecb ph\u00f3ng \u0111\u1ea1i v\u00e0 chi\u1ebfu s\u00e1ng (ch\u1eb3ng h\u1ea1n nh\u01b0 k\u00ednh l\u00fap ph\u1eabu thu\u1eadt c\u00f3 \u0111\u00e8n ho\u1eb7c k\u00ednh hi\u1ec3n vi nha khoa). Nh\u1eefng thi\u1ebft b\u1ecb n\u00e0y gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng t\u00ecm v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u \u1ed1ng t\u1ee7y h\u01a1n.<\/li>\n
    2. Chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c: X\u00e1c \u0111\u1ecbnh v\u00e0 duy tr\u00ec chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb s\u1ebd \u0111\u1ea3m b\u1ea3o vi\u1ec7c lo\u1ea1i b\u1ecf t\u1ed1i \u0111a m\u00f4 ho\u1ea1i t\u1eed, ng\u0103n s\u1ef1 t\u1eafc \u1ed1ng t\u1ee7y v\u00e0 s\u1eeda so\u1ea1n qu\u00e1 ch\u00f3p. Nhi\u1ec1u lo\u1ea1i m\u00e1y \u0111\u1ecbnh v\u1ecb ch\u00f3p \u0111i\u1ec7n t\u1eed hi\u1ec7n nay \u0111\u00e3 tr\u1edf th\u00e0nh ph\u01b0\u01a1ng ti\u1ec7n quan tr\u1ecdng h\u1ed7 tr\u1ee3 vi\u1ec7c x\u00e1c \u0111\u1ecbnh chi\u1ec1u d\u00e0i \u1ed1ng t\u1ee7y.<\/li>\n
    3. Y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu: \u1ed0ng t\u1ee7y b\u00ean v\u00e0 \u1ed1ng t\u1ee7y ph\u1ee5, eo t\u1ee7y, \u0111o\u1ea1n cong, \u1ed1ng t\u1ee7y h\u00ecnh b\u1ea7u d\u1ee5c… l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n m\u00f4. \u0110i\u1ec1u n\u00e0y nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a c\u00e1c ch\u1ea5t b\u01a1m r\u1eeda c\u0169ng nh\u01b0 vi\u1ec7c b\u0103ng thu\u1ed1c trong \u1ed1ng t\u1ee7y gi\u1eefa c\u00e1c l\u1ea7n h\u1eb9n.<\/li>\n
    4. T\u1ea1o h\u00ecnh \u1ed1ng t\u1ee7y: Lo\u1ea1i b\u1ecf t\u1ed1t m\u1ea3nh v\u1ee5n m\u00f4 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi\u1ec7c l\u00e0m s\u1ea1ch, b\u01a1m r\u1eeda v\u00e0 tr\u00e1m b\u00edt t\u1ed1t nh\u1eb1m \u0111\u1ea1t k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng t\u1ed1t nh\u1ea5t. Tuy nhi\u00ean, ng\u01b0\u1eddi ta v\u1eabn kh\u00f4ng th\u1ec3 kh\u1eb3ng \u0111\u1ecbnh \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch v\u00e0 t\u1ea1o h\u00ecnh bao nhi\u00eau l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao nh\u1ea5t. L\u00e0m s\u1ea1ch v\u00e0 t\u1ea1o h\u00ecnh kh\u00f4ng t\u1ed1t c\u00f3 th\u1ec3 \u0111\u1ec3 s\u00f3t m\u1ed9t l\u01b0\u1ee3ng l\u1edbn m\u00f4 b\u1ec7nh v\u00e0 m\u00f4 nhi\u1ec5m tr\u00f9ng trong \u1ed1ng t\u1ee7y, g\u00e2y n\u00ean nh\u1eefng tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng v\u00e0 vi\u00eam quanh ch\u00f3p. Vi\u1ec7c t\u1ea1o h\u00ecnh \u1ed1ng t\u1ee7y qu\u00e1 m\u1ee9c th\u00ec l\u00e0m m\u1ea5t nhi\u1ec1u m\u00f4 r\u0103ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c r\u0103ng d\u1ec5 g\u00e3y sau n\u00e0y.<\/li>\n
    5. Kh\u1eed tr\u00f9ng \u1ed1ng t\u1ee7y: Gi\u1ea3m thi\u1ec3u\/lo\u1ea1i b\u1ecf hi\u1ec7u qu\u1ea3 m\u00e0ng vi khu\u1ea9n (biofilm) trong \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c xem l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft cho s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, m\u1eb7c d\u00f9 \u0111\u00e3 l\u00e0m s\u1ea1ch, t\u1ea1o h\u00ecnh, kh\u1eed tr\u00f9ng v\u00e0 tr\u00e1m b\u00edt k\u1ef9 l\u01b0\u1ee1ng nh\u01b0ng m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 vi\u00eam quanh ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u1eabn th\u1ea5t b\u1ea1i. Nguy\u00ean nh\u00e2n c\u1ee7a nh\u1eefng th\u1ea5t b\u1ea1i trong qu\u00e1 tr\u00ecnh s\u1eeda so\u1ea1n \u1ed1ng tu\u1ef7 n\u00e0y m\u1ed9t ph\u1ea7n l\u00e0 do nh\u1eefng nhi\u1ec5m tr\u00f9ng \u1edf \u0111o\u1ea1n ch\u00f3p \u1ed1ng t\u1ee7y kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ol>\n

      4. Chi\u1ec1u d\u00e0i l\u00e0m vi\u1ec7c (working length \u2013 WL) v\u00e0 chi\u1ec1u r\u1ed9ng l\u00e0m vi\u1ec7c (working width – WW) t\u1ed1i \u01b0u cho \u0111i\u1ec1u tr\u1ecb<\/h2>\n

      H\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u1ec1u cho th\u1ea5y \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u1ea1t k\u1ebft qu\u1ea3 cao nh\u1ea5t khi vi\u1ec7c s\u1eeda so\u1ea1n v\u00e0 tr\u00e1m b\u00edt ch\u1ec9 th\u1ef1c hi\u1ec7n gi\u1edbi h\u1ea1n trong l\u00f2ng \u1ed1ng t\u1ee7y. Tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y ng\u1eafn h\u01a1n t\u1eeb 0 \u2013 2 mm so v\u1edbi l\u1ed7 ch\u00f3p th\u1ea5y tr\u00ean phim X-quang cho k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng t\u1edbi 94%, c\u00e1ch h\u01a1n 2 mm cho t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng l\u00e0 68% v\u00e0 n\u1ebfu qu\u00e1 ch\u00f3p th\u00ec t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng l\u00e0 76%. G\u1ea7n \u0111\u00e2y, c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y vi\u1ec7c s\u1eeda so\u1ea1n v\u00e0 tr\u00e1m b\u00edt ng\u1eafn h\u01a1n 0.5 mm so v\u1edbi ch\u00f3p r\u0103ng tr\u00ean phim th\u00ec cho t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao nh\u1ea5t. Nh\u1eefng ph\u00e2n t\u00edch s\u00e2u h\u01a1n c\u0169ng cho th\u1ea5y vi\u1ec7c tr\u00e1m b\u00edt qu\u00e1 ch\u00f3p s\u1ebd l\u00e0m gi\u1ea3m t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng \u0111\u00e1ng k\u1ec3.<\/p>\n

      Chi\u1ec1u r\u1ed9ng l\u00e0m vi\u1ec7c l\u00e0 m\u1ee9c \u0111\u1ed9 m\u1edf r\u1ed9ng ch\u00f3p hay k\u00edch th\u01b0\u1edbc l\u1ed7 ch\u00f3p sau s\u1eeda so\u1ea1n, \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi nh\u00e0 l\u00e2m s\u00e0ng. Tuy nhi\u00ean, \u00edt \u00fd ki\u1ebfn \u0111\u1ed3ng \u00fd r\u1eb1ng k\u00edch th\u01b0\u1edbc l\u1ed7 ch\u00f3p sau c\u00f9ng c\u00f3 li\u00ean quan \u0111\u1ebfn th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb. Tr\u00ean th\u1ef1c t\u1ebf, m\u1ed9t nghi\u00ean c\u1ee9u th\u0103m d\u00f2 k\u1ebft lu\u1eadn r\u1eb1ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 n\u00e0o v\u1ec1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb gi\u1eefa nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1edf r\u1ed9ng l\u1ed7 ch\u00f3p t\u1edbi tr\u00e2m <#30 v\u00e0 >#30. Tuy nhi\u00ean, vi\u1ec7c c\u00f3 \u0111\u01b0\u1ee3c m\u1ed9t \u0111\u1ed9 r\u1ed9ng th\u00edch h\u1ee3p s\u1ebd cho hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao h\u01a1n. M\u1ed9t nghi\u00ean c\u1ee9u th\u0103m d\u00f2 ng\u1eabu nhi\u00ean g\u1ea7n \u0111\u00e2y th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c s\u1eeda so\u1ea1n k\u00edch th\u01b0\u1edbc l\u1ed7 ch\u00f3p li\u00ean h\u1ec7 v\u1edbi c\u00e2y tr\u00e2m \u0111\u1ea7u ti\u00ean v\u1eeba kh\u00edt ch\u00f3p (first apical binding file \u2014 FABF) khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t h\u00e0m d\u01b0\u1edbi. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u n\u00e0y nh\u1eadn th\u1ea5y t\u1ec9 l\u1ec7 l\u00e0nh th\u01b0\u01a1ng th\u00e0nh c\u00f4ng t\u0103ng khi t\u0103ng k\u00edch th\u01b0\u1edbc l\u1ed7 ch\u00f3p sau c\u00f9ng. C\u00e1c t\u00e1c gi\u1ea3 c\u0169ng k\u1ebft lu\u1eadn vi\u1ec7c m\u1edf r\u1ed9ng l\u1ed7 ch\u00f3p h\u01a1n 3 size so v\u1edbi FABF l\u00e0 ph\u00f9 h\u1ee3p, m\u1edf r\u1ed9ng h\u01a1n n\u1eefa s\u1ebd kh\u00f4ng \u0111em l\u1ea1i l\u1ee3i \u00edch cho \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/p>\n

      Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      S\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t trong nh\u1eefng b\u01b0\u1edbc quan tr\u1ecdng nh\u1ea5t quy\u1ebft \u0111\u1ecbnh s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Tuy nhi\u00ean, vi\u1ec7c s\u1eeda so\u1ea1n t\u1ed1t \u0111\u00f2i h\u1ecfi kh\u00e1 nhi\u1ec1u \u1edf ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb, v\u00ec gi\u1ea3i ph\u1eabu h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y r\u00f5 to\u00e0n […]<\/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":"\nS\u1eeda so\u1ea1n \u1ed1ng tu\u1ef7 - M\u1ee5c ti\u00eau c\u01a1 sinh h\u1ecdc trong \u0111i\u1ec1u tr\u1ecb. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft t\u1eadp trung v\u00e0o m\u1ee5c ti\u00eau c\u01a1 h\u1ecdc v\u00e0 sinh h\u1ecdc trong qu\u00e1 tr\u00ecnh s\u1eeda so\u1ea1n \u1ed1ng tu\u1ef7 \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t cho \u0111i\u1ec1u tr\u1ecb. 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