{"id":2807,"date":"2023-04-09T19:49:57","date_gmt":"2023-04-09T12:49:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2807"},"modified":"2023-04-14T18:23:47","modified_gmt":"2023-04-14T11:23:47","slug":"ngo-vao-chinh-trong-noi-soi-khop-vai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/","title":{"rendered":"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai"},"content":{"rendered":"<p><strong>Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u1ec9nh th\u1ebf k\u1ef7 tr\u01b0\u1edbc. Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n. Ng\u00f5 v\u00e0o sai kh\u00f4ng chi ch\u1ee9a c\u00e1c y\u1ec3u t\u1ed1 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu m\u00e0 c\u00f2n c\u00f3 th\u1ebf ch\u1ea5m d\u1ee9t ph\u1eabu thu\u1eadt n\u1ebfu kh\u00f4ng quan s\u00e1t \u0111\u01b0\u1ee3c c\u00e1c th\u00e0nh ph\u1ea7n trong kh\u1edbp m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 . Th\u00f4ng qua b\u00e0i vi\u1ebft,\u00a0 ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 ch\u1ee7 \u0111\u1ec1 ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS. TS \u0110inh Ng\u1ecdc S\u01a1n, BS CKII V\u0169 Tr\u01b0\u1eddng Th\u1ecbnh<\/p>\n<p><strong>Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n<h2>1. C\u00e1ch x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai tr\u00ean gi\u1ea3i ph\u1eabu<\/h2>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o \u0111\u01b0\u1ee3c tr\u1ee3 gi\u00fap b\u1edfi c\u00e1c m\u1ed1c x\u01b0\u01a1ng d\u01b0\u1edbi da c\u00f3 th\u1ec3 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. Hi\u1ec3u bi\u1ebft v\u1ec1 gi\u1ea3i ph\u1eabu v\u00f9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c m\u1ed1c x\u01b0\u01a1ng c\u00f3 th\u1ec3 s\u1edd th\u1ea5y s\u1ebd \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 t\u0103ng \u0111\u1ed9 ch\u00ednh x\u00e1c trong vi\u1ec7c thi\u1ebft l\u1eadp c\u00e1c ng\u00f5 v\u00e0o mong mu\u1ed1n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu hay d\u00f9ng l\u00e0:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u0110\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Kh\u1edbp c\u00f9ng vai \u0111\u00f2n.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">M\u1ecfm c\u00f9ng vai, \u0111\u1eb7c bi\u1ec7t l\u00e0 g\u00f3c sau ngo\u00e0i.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">M\u1ecfm qu\u1ea1.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Gai vai.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec3m \u0111\u00e1nh d\u1ea5u m\u1ed1c x\u01b0\u01a1ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u1ea9n th\u1eadn b\u1eb1ng s\u1edd v\u00e0 \u0111\u00e1nh d\u1ea5u tr\u00ean b\u1ec1 m\u1eb7t da b\u1eb1ng b\u00fat kh\u00f4ng x\u00f3a tr\u01b0\u1edbc m\u1ed5. V\u1ecb tr\u00ed ng\u00f5 v\u00e0o d\u1ef1 ki\u1ebfn \u0111\u01b0\u1ee3c tham chi\u1ebfu t\u1eeb c\u00e1c \u0111i\u1ec3m \u0111\u00e1nh d\u1ea5u m\u1ed1c x\u01b0\u01a1ng n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c v\u1ebd l\u00ean b\u1ec1 m\u1eb7t da sau \u0111\u00f3 t\u1eeb \u0111i\u1ec3m \u0111\u00e1nh d\u1ea5u tr\u00ean b\u1ec1 m\u1eb7t da n\u00e0y d\u00f9ng tr\u1ee3 c\u1ee5 ph\u1eabu thu\u1eadt nh\u01b0 kim t\u1ee7y s\u1ed1ng v\u00e0 camera soi trong kh\u1edbp \u0111i qua ng\u00f5 sau \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ng\u00f5 v\u00e0o kh\u1edbp.<\/span><\/p>\n<h2><b>2. C\u00e1c ng\u00f5 v\u00e0o n\u1ed9i soi kh\u1edbp vai<\/b><\/h2>\n<p><strong>2.1 Ng\u00f5 sau<\/strong><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 v\u00e0o ch\u00ednh, s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t trong n\u1ed9i soi kh\u1edbp vai, lu\u00f4n lu\u00f4n <\/span>\u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u0111\u1ea7u ti\u00ean l\u00e0m ti\u1ec1n \u0111\u1ec1 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o kh\u00e1c.<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Cho ph\u00e9p quan s\u00e1t g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 kh\u1edbp vai: s\u1ee5n vi\u1ec1n <\/span><span style=\"font-weight: 400;\">0<\/span><span style=\"font-weight: 400;\"> ch\u00e0o, bao kh\u1edbp ph\u00eda sau v\u00e0 ph\u00eda tr\u01b0\u1edbc, m\u1eadt kh\u1edbp c\u1ee7a g\u00e2n c\u01a1 ch\u00f3p xoay, ph\u00eda sau tr\u00ean c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, g\u00e2n nh\u1ecb \u0111\u1ea7u, d\u00e2y ch\u00e0ng 0 ch\u1ea3o c\u00e1nh tay&#8230;<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec3m ngo\u00e0i da \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1ea3ng \u0111i\u1ec3m n\u1eb1m d\u01b0\u1edbi 2 cm v\u00e0 v\u00e0o trong 1cm so v\u1edbi g\u00f3c sau ngo\u00e0i m\u1ecfm c\u00f9ng vai, qua m\u1ed9t \u0111i\u1ec3m m\u1ec1m c\u00f3 th\u1ec3 s\u1edd n\u1eafn ph\u00eda sau kh\u1edbp, n\u01a1i ng\u0103n c\u00e1ch c\u01a1 d\u01b0\u1edbi gai v\u00e0 c\u01a1 tr\u00f2n b\u00e9.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Sau khi r\u1ea1ch da nh\u1ecf t\u1eeb \u0111i\u1ec3m tr\u00ean, ch\u1ecdc troca h\u01b0\u1edbng v\u1ec1 ph\u00eda m\u1ecfm qu\u1ea1 qua bao kh\u1edbp vai ph\u00eda sau v\u00e0o trong kh\u1edbp.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><b><\/b>Vi\u1ec7c \u0111\u1eb7t sai v\u1ecb tr\u00ed ho\u1eb7c l\u1ec7ch h\u01b0\u1edbng ti\u1ec1m \u1ea9n nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, 0 ch\u1ea3o, th\u1ea7n kinh n\u00e1ch, th\u1ea7n kinh tr\u00ean vai, \u0111\u1ed9ng m\u1ea1ch m\u0169 c\u00e1nh tay sau, m\u00f4 m\u1ec1m xung quanh. \u0110\u1ed3ng th\u1eddi t\u1ea1o kh\u00f3 kh\u0103n cho vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c ng\u00f5 v\u00e0o kh\u00e1c.\u00a0<\/span><\/p>\n<p><strong>2.2 Ng\u00f5 tr\u01b0\u1edbc<\/strong><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1eeb \u0111i\u1ec3m ngo\u00e0i da n\u1eb1m gi\u1eefa m\u1ecfm qu\u1ea1 v\u00e0 m\u1ecfm c\u00f9ng vai ch\u1ecdc kim h\u01b0\u1edbng v\u00e0o kh\u1edbp vai xuy\u00ean qua kho\u1ea3ng gian ch\u00f3p xoay d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a camera qua ng\u00f5 sau.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Qua ng\u00f5 n\u00e0y, v\u1edbi camera quan s\u00e1t t\u1eeb ng\u00f5 sau ch\u00fang ta c\u00f3 th\u1ec3 can thi\u1ec7p v\u00e0o g\u00e2n nh\u1ecb \u0111\u1ea7u, s\u1ee5n vi\u1ec1n tr\u01b0\u1edbc, g\u00f2 \u1ed5 ch\u1ea3o, bao kh\u1edbp <\/span><span style=\"font-weight: 400;\">tr\u01b0\u1edbc tr\u00ean, m\u1eb7t kh\u1edbp g\u00e2n ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">N\u1ebfu \u0111\u01b0a camera qua ng\u00f5 n\u00e0y ch\u00fang ta s\u1ebd th\u1ea5y s\u1ee5n vi\u1ec1n \u1ed3 ch\u00e0o ph\u00eda sau, ph\u00eda tr\u01b0\u1edbc tr\u00ean ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, m\u1eb7t kh\u1edbp g\u00e2n d\u01b0\u1edbi gai, bao kh\u1edbp sau v\u00e0 \u0111i\u1ec3m b\u00e1m t\u1eadn c\u1ee7a g\u00e2n nh\u1ecb \u0111\u1ea7u.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Nguy hi\u1ec3m: TK c\u01a1 b\u00ec v\u00e0 t\u0129nh m\u1ea1ch \u0111\u1ea7u<\/span><\/li>\n<\/ul>\n<p><b>2.2.1 Ng\u00f5 tr\u01b0\u1edbc d\u01b0\u1edbi (Midanterior &#8211;<\/b><b>MA)<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ng\u00f5 n\u00e0y th\u00edch h\u1ee3p \u0111\u1ec3 \u0111\u01b0a d\u1ee5ng c\u1ee5 nh\u01b0 m\u0169i khoan v\u00e0 ch\u1ec9 neo v\u00e0o g\u1edd \u00f4 ch\u1ea3o ph\u00eda <b><\/b><\/span><span style=\"font-weight: 400;\">tr\u01b0\u1edbc \u0111\u1ec3 s\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng Bankart, c\u0169ng nh\u01b0 \u0111\u1ebf kh\u00e2u bao kh\u1edbp ph\u00eda tr\u01b0\u1edbc v\u00e0 tr\u01b0\u1edbc d\u01b0\u1edbi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec3m v\u00e0o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u00ean ngo\u00e0i 1,5 cm v\u00e0 xu\u1ed1ng d\u01b0\u1edbi 1,5 cm so v\u1edbi m\u1ecfm qu\u1ea1.<\/span><\/p>\n<p><b>2.2.2 Ng\u00f5 tr\u01b0\u1edbc tr\u00ean (Anteriorsuperior <\/b><b>-AS)<\/b><\/p>\n<p>Gi\u00fap <span style=\"font-weight: 400;\">quan s\u00e1t g\u1edd v\u00e0 c\u00f4 \u00f4 ch\u1ea3o ph\u00eda tr\u01b0\u1edbc (S\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng Bankarrt), b\u1edd tr\u00ean g\u00e2n c\u01a1 d\u01b0\u1edbi vai n\u01a1i b\u00e1m v\u00e0o c\u1ee7 b\u00e9 \u0111\u1ebfn bao kh\u1edbp sau tr\u00ean, s\u1ee5n vi\u1ec1n, v\u00e0 \u1ed5<\/span><span style=\"font-weight: 400;\">\u00a0ch\u1ea3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ng\u00f5 n\u00e0y n\u1eb1m b\u00ean ngo\u00e0i g\u00f3c tr\u01b0\u1edbc ngo\u00e1i m\u1ecfm c\u00f9ng vai 1 cm.<\/span><\/p>\n<figure id=\"attachment_2824\" aria-describedby=\"caption-attachment-2824\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-2824\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58-300x191.png\" alt=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi\" width=\"300\" height=\"191\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58-300x191.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58-1024x651.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58-768x488.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58.png 1338w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2824\" class=\"wp-caption-text\">Ph\u1eabu thu\u1eadt n\u1ed9i soi<\/figcaption><\/figure>\n<p><strong><b>2.2.3 <\/b>Ng\u00f5 tr\u01b0\u1edbc ngo\u00e0i (Antoriorlateral)<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o ph\u00eda sau m\u1ecfm qu\u1ea1 v\u00e0 ph\u00eda tr\u01b0\u1edbc, sau, tr\u00ean c\u1ee7a g\u00e2n d\u01b0\u1edbi vai \u0111\u1ec3 gi\u1ea3i ph\u00f3ng g\u00e2n d\u01b0\u1edbi vai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed v\u00e0o \u1edf ph\u00eda tr\u01b0\u1edbc lcm v\u00e0 ra ngo\u00e0i 1-1,5 cm so v\u1edbi g\u00f3c tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/p>\n<p><b>2.2.4 Ng\u00f5 ngo\u00e0i m\u1ecfm qu\u1ea1 (Lateral <\/b><b><i>coracoids &#8211; LC)<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400;\">Cho ph\u00e9p \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o c\u1ee7 nh\u1ecf x\u01b0\u01a1ng c\u00e1nh tay \u0111\u1ec3 s\u1eeda ch\u1eefa th\u01b0\u01a1ng t\u00f4n c\u1ee7a g\u00e2n d\u01b0\u1edbi vai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u00ean ngo\u00e0i \u0111\u1ec9nh m\u1ecfm qu\u1ea1 1-1,5 cm v\u00e0 \u0111\u01b0a d\u1ee5ng c\u1ee5 h\u01b0\u1edbng v\u00e0o ph\u00eda c\u1ee7 nh\u1ecf x\u01b0\u01a1ng c\u00e1nh tay.<\/span><\/p>\n<p><strong>2.2.5 Ng\u00f5 sau ngo\u00e0i (<\/strong><b><i>Posteriorlateral &#8211;<\/i><\/b><b><i>PL hay Port of Whnington)<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ea1o \u0111i\u1ec1u ki\u1ec7n \u0111\u01b0a neo v\u00e0o vi\u1ec1n sau tr\u00ean \u1ed5<\/span><span style=\"font-weight: 400;\">\u00a0ch\u1ea3o s\u1eeda ch\u1eefa s\u1ee5n vi\u1ec1n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ng\u00f5 n\u00e0y c\u1ecf th\u1ec3 \u0111i qua g\u00e2n d\u01b0\u1edbi gai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ea1i v\u1ecb tr\u00ed c\u00e1ch 1,5 cm tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i 1,5 cm so v\u1edbi g\u00f3c sau ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/p>\n<p><b><i>2.2.6 Ng\u00f5 sau d\u01b0\u1edbi (Posteriorinferior <\/i><\/b><b><i>-PI)<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400;\">Gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o x\u1eed l\u00fd bao kh\u1edbp ph\u00eda sau.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed c\u00e1ch 2 cm ph\u00eda d\u01b0\u1edbi v\u00e0 ra ngo\u00e0i 1 cm so v\u1edbi ng\u00f5 sau.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh n\u00e1ch.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><strong>2.3\u00a0 C\u00e1c ng\u00f5 v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/strong><\/p>\n<figure id=\"attachment_2830\" aria-describedby=\"caption-attachment-2830\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-2830\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.39.31-300x200.png\" alt=\"Kh\u1edbp vai P b\u00eanh nh\u00e2n n\u1eb1m \u1edf t\u01b0 th\u1ebf LDP v\u1edbi c\u00e1c ng\u00f5 v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.39.31-300x200.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.39.31.png 598w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2830\" class=\"wp-caption-text\">Kh\u1edbp vai P b\u00eanh nh\u00e2n n\u1eb1m \u1edf t\u01b0 th\u1ebf LDP v\u1edbi c\u00e1c ng\u00f5 v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai<\/figcaption><\/figure>\n<p><b>2.3.1 Ng\u00f5 sau (Posterior &#8211; p&#8217;)<\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 quan tr\u1ecdng gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o x\u1eed l\u00fd m\u00e0ng ho\u1ea1t d\u1ecbch ph\u00eda sau, ch\u00f3p xoay, m\u1ecfm c\u00f9ng vai v\u00e0 c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed tr\u00ean da t\u01b0\u1edbng \u1ee9ng v\u1ecb tr\u00ed ng\u00f5 sau v\u00e0o kh\u1edbp vai.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Sau khi qua \u0111\u00e3 \u0111\u01b0a troca h\u01b0\u1edbng v\u1ec1\u00a0 <b><\/b><\/span><span style=\"font-weight: 400;\">ph\u00eda khoang d\u01b0\u1edbi mom c\u00f9ng vai.<\/span><\/li>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Qua \u0111\u00f3 ch\u00fang ta c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 kh\u00f4ng gian d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, kh\u1edbp c\u00f9ng \u0111\u00f2n, d\u00e2y ch\u1eb1ng qu\u1ea1 \u0111\u00f2n, g\u00e2n nh\u1ecb \u0111\u1ea7u \u1edf ngo\u00e0i kh\u1edbp&#8230;<\/span><\/li>\n<\/ul>\n<p><b><i>2.3.2 Ng\u00f5 ngo\u00e0i khoang d\u01b0\u1edbi m\u1ecfm <\/i><\/b><b><i>c\u00f9ng (Lateral Subacromial (LSA))<\/i><\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Quan s\u00e1t th\u1ea5y g\u00e2n tr\u00ean gai v\u00e0 d\u01b0\u1edbi gai h\u00f2a nh\u1eadp v\u00e0o nhau v\u00e0 b\u00e1m v\u00e0o c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay, kh\u1edbp c\u00f9ng \u0111\u00f2n, ph\u00eda tr\u01b0\u1edbc m\u1ecfm c\u00f9ng vai v\u00e0 m\u00e0ng ho\u1ea1t d\u1ecbch ph\u00eda sau.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed \u1edd ngo\u00e0i 2,5 &#8211; 3 cm v\u00e0 ra sau 0-1 cm so v\u1edbi g\u00f3c tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n<p><b><i>2.3.3 Ng\u00f5 tr\u01b0\u1edbc ngo\u00e0i khoang d\u01b0\u1edbi <\/i><\/b><b><i>m\u1ecfm c\u00f9ng (Anterolateral Subacromial <\/i><\/b><strong><i>(ALSA))<\/i><\/strong><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed x\u00e1c \u0111\u1ecbnh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u00f5 AL v\u00e0o kh\u1edbp vai nh\u01b0ng h\u01b0\u1edbng v\u1ec1 ph\u00eda khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Khi \u1edf ph\u00eda tr\u01b0\u1edbc khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai gi\u00fap ch\u00fang ta quan s\u00e1t g\u00e2n nh\u1ecb \u0111\u1ea7u \u1edf ngo\u00e0i kh\u1edbp, m\u1eb7t ho\u1ea1t d\u1ecbch g\u00e2n d\u01b0\u1edbi vai v\u00e0 c\u1ee7 b\u00e9<\/span><\/li>\n<li><b><\/b><span style=\"font-weight: 400;\">\u0110\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o c\u00f3 th\u1ec3 giai ph\u00f3ng hay kh\u00e2u g\u00e2n d\u01b0\u1edbi vai, t\u1ea1o h\u00ecnh m\u1ecfm qu\u1ea1&#8230;<\/span><\/li>\n<li>V\u1ecb tr\u00ed kho\u1ea3ng 1 cm g\u1ea7n ph\u00eda tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i <span style=\"font-weight: 400;\">\u00a01-1,5 cm so v\u1edbi g\u00f3c tr\u01b0\u1edbc ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n<p><b><em>2.3.4 N<\/em><i>g\u00f5 tr\u01b0\u1edbc khoang d\u01b0\u1edbi m\u1ecfm <\/i><\/b><b><i>c\u00f9ng (Anterior Sitbacrottiial-ASA)<\/i><\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec3m v\u00e0o t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u00f5 tr\u01b0\u1edbc v\u00e0o kh\u1edbp vai nh\u01b0ng h\u01b0\u1edbng v\u1ec1 khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u00fap quan s\u00e1t khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai nh\u01b0ng th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 ki\u1ebfm so\u00e1t qu\u00e1 tr\u00ecnh kh\u00e2u.<\/span><\/li>\n<\/ul>\n<p><b>2.3.5 Ng\u00f5<i> sau ngo\u00e0i khoang <\/i><\/b><b><i>d\u01b0\u1edbi m\u1ecfm c\u00f9ng (Posterolateral <\/i><\/b><b><i>Subacromial (PLSA))<\/i><\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 ch\u00ednh \u0111\u1ec3 x\u1ee9 l\u00fd b\u1ec7nh l\u00fd r\u00e1ch ch\u00f3p xoay<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00ecn th\u1ea5y kho\u1ea3ng kh\u00f4ng gian d\u01b0\u1edbi m\u00f3m c\u00f9ng vai v\u00e0 m\u1eb7t ho\u1ea1t d\u1ecbch g\u00e2n ch\u00f3p xoay<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed v\u00e0o kho\u1ea3ng 1 cm ph\u00eda tr\u01b0\u1edbc v\u00e0 ra ngo\u00e0i lcm so v\u1edbi g\u00f3c sau ngo\u00e0i c\u1ee7a m\u00f3m c\u00f9ng vai<\/span><\/li>\n<\/ul>\n<p><b>2.3.6 Ng\u00f5 ngo\u00e0i khoang (du\u1edbi m\u1ecfm c\u00f9ng (Lateral acromial (LA))<\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u00f5 ch\u00ednh gi\u00fap \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o ti\u1ebfp c\u1eadn c\u00f9 l\u1edbn x\u01b0\u01a1ng c\u00e1nh lay gi\u00fap khoan, t\u1ea1o Microfracture, hay \u0111\u1eb7t neo ch\u1ec9 c\u1ed1 \u0111\u1ecbnh g\u00e2n ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed v\u00e0o \u1edf ch\u00ednh gi\u1eefa b\u1edd ngo\u00e0i c\u1ee7a m\u1ecfm c\u00f9ng vai h\u01b0\u1edbng v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm.<\/span><\/li>\n<\/ul>\n<p><b>2.3.7 <\/b><b>Ng\u00f5 tr\u00ean trong (Superomedial (SM)) hay ng\u00f5 Neviaser<\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">D\u00f9ng \u0111\u1ebf \u0111\u01b0a ch\u1ec9 kh\u00e2u ho\u1eb7c d\u1ee5ng c\u1ee5 s\u1eefa ch\u1eefa t\u1ed5n th\u01b0\u01a1ng ch\u00f3p xoay.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed \u1edf trong 1 cm so v\u1edbi b\u1edd sau c\u1ee7a kh\u1edbp c\u00f9ng vai \u0111\u00f2n.<\/span><\/li>\n<\/ul>\n<p><b>2.3.8 Ng\u00f5 tr\u01b0\u1edbc kh\u1edbp c\u00f9ng \u0111\u00f2n <\/b><b>(Anterior acromiaclavicular (AA C))<\/b><\/p>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1ea1o ra \u0111\u01b0\u1eddng v\u00e0o ph\u00eda tr\u01b0\u1edbc \u0111\u1ec3 c\u1eaft b\u1ecf \u0111\u1ea7u xa x\u01b0\u01a1ng \u0111\u00f2n<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ede 2 cm ph\u00eda tr\u01b0\u1edbc d\u01b0\u1edbi kh\u1edbp c\u00f9ng vai \u0111\u00f2n.<\/span><\/li>\n<\/ul>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<strong>HOTLINE<\/strong>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<strong>T\u1ea0I \u0110\u00c2Y<\/strong>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a href=\"https:\/\/www.vinmec.com\/myvinmec\/\">\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u1ec9nh th\u1ebf k\u1ef7 tr\u01b0\u1edbc. Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n. Ng\u00f5 v\u00e0o sai [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n\" \/>\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=\"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-09T12:49:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T11:23:47+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58-300x191.png\" \/>\n<meta name=\"author\" content=\"Yen Cao Thi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Cao Thi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/\",\"name\":\"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-09T12:49:57+00:00\",\"dateModified\":\"2023-04-14T11:23:47+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\"},\"description\":\"Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\",\"name\":\"Yen Cao Thi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g\",\"caption\":\"Yen Cao Thi\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/caothiyen-workinggmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai - Vinmec","description":"Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai - Vinmec","og_description":"Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/","og_site_name":"Vinmec","article_published_time":"2023-04-09T12:49:57+00:00","article_modified_time":"2023-04-14T11:23:47+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-09-luc-19.32.58-300x191.png"}],"author":"Yen Cao Thi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Yen Cao Thi","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/","name":"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-09T12:49:57+00:00","dateModified":"2023-04-14T11:23:47+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684"},"description":"Ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t t\u1ed1i \u01b0u trong n\u1ed9i soi kh\u1edbp vai, \u0111ua d\u1ee5ng c\u1ee5 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed mong mu\u1ed1n","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ngo-vao-chinh-trong-noi-soi-khop-vai\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ng\u00f5 v\u00e0o ch\u00ednh trong n\u1ed9i soi kh\u1edbp vai"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684","name":"Yen Cao Thi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g","caption":"Yen Cao Thi"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/caothiyen-workinggmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/2807"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=2807"}],"version-history":[{"count":8,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/2807\/revisions"}],"predecessor-version":[{"id":3527,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/2807\/revisions\/3527"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=2807"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=2807"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=2807"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}