{"id":28203,"date":"2023-04-25T05:42:18","date_gmt":"2023-04-24T22:42:18","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28203"},"modified":"2023-06-12T09:17:57","modified_gmt":"2023-06-12T02:17:57","slug":"nhung-dieu-can-biet-ve-viem-quanh-khop-vai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/nhung-dieu-can-biet-ve-viem-quanh-khop-vai\/","title":{"rendered":"Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 vi\u00eam quanh kh\u1edbp vai"},"content":{"rendered":"<p><strong>Vi\u00eam quanh kh\u1edbp vai (Periarthritis humeroscapularis) l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng chung cho c\u00e1c b\u1ec7nh l\u00fd vi\u00eam c\u00e1c c\u1ea5u tr\u00fac ph\u1ea7n m\u1ec1m quanh kh\u1edbp vai: g\u00e2n, t\u00fai thanh d\u1ecbch, bao kh\u1edbp; kh\u00f4ng bao g\u1ed3m c\u00e1c b\u1ec7nh l\u00fd c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u0111\u1ea7u x\u01b0\u01a1ng, s\u1ee5n kh\u1edbp v\u00e0 m\u00e0ng ho\u1ea1t d\u1ecbch nh\u01b0 vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p\u2026<\/strong><\/p>\n<h2>1. Vi\u00eam quanh kh\u1edbp vai l\u00e0 g\u00ec?<\/h2>\n<p>Theo Welfling (1981) c\u00f3 b\u1ed1n th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam quanh kh\u1edbp vai:<\/p>\n<ul>\n<li>\u00a0\u0110au vai \u0111\u01a1n thu\u1ea7n th\u01b0\u1eddng do b\u1ec7nh l\u00fd g\u00e2n.<\/li>\n<li>\u00a0\u0110au vai c\u1ea5p do l\u1eafng \u0111\u1ecdng vi tinh th\u1ec3.<\/li>\n<li>\u00a0Gi\u1ea3 li\u1ec7t kh\u1edbp vai do \u0111\u1ee9t c\u00e1c g\u00e2n c\u1ee7a b\u00f3 d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u ho\u1eb7c \u0111\u1ee9t c\u00e1c g\u00e2n m\u0169 c\u01a1 quay khi\u1ebfn c\u01a1 delta kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c.<\/li>\n<li>C\u1ee9ng kh\u1edbp vai do vi\u00eam d\u00ednh bao ho\u1ea1t d\u1ecbch, co th\u1eaft bao kh\u1edbp, bao kh\u1edbp d\u00e0y, d\u1eabn \u0111\u1ebfn gi\u1ea3m v\u1eadn \u0111\u1ed9ng kh\u1edbp \u1ed5 ch\u1ea3o &#8211; x\u01b0\u01a1ng c\u00e1nh tay.<\/li>\n<\/ul>\n<figure id=\"attachment_28204\" aria-describedby=\"caption-attachment-28204\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-28204 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/khop-vai-300x190.png\" alt=\"viem-quanh-khop-vai\" width=\"300\" height=\"190\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/khop-vai-300x190.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/khop-vai.png 563w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28204\" class=\"wp-caption-text\">Gi\u1ea3i ph\u1eabu kh\u1edbp vai<\/figcaption><\/figure>\n<h2>2. Nguy\u00ean nh\u00e2n c\u1ee7a Vi\u00eam quanh kh\u1edbp vai<\/h2>\n<ul>\n<li>\u00a0Tho\u00e1i h\u00f3a g\u00e2n do tu\u1ed5i t\u00e1c: B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i.<\/li>\n<li>\u00a0Ngh\u1ec1 nghi\u1ec7p lao \u0111\u1ed9ng n\u1eb7ng c\u00f3 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng c\u01a1 h\u1ecdc l\u1eb7p \u0111i l\u1eb7p l\u1ea1i, g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c g\u00e2n c\u01a1 quanh kh\u1edbp vai nh\u01b0 g\u00e2n c\u01a1 tr\u00ean gai, c\u01a1 nh\u1ecb \u0111\u1ea7u c\u00e1nh tay.<\/li>\n<li>\u00a0T\u1eadp th\u1ec3 thao qu\u00e1 s\u1ee9c, ch\u01a1i m\u1ed9t s\u1ed1 m\u00f4n th\u1ec3 thao \u0111\u00f2i h\u1ecfi ph\u1ea3i nh\u1ea5c tay l\u00ean qu\u00e1 vai nh\u01b0 ch\u01a1i c\u1ea7u l\u00f4ng, tennis, b\u00f3ng r\u1ed5, b\u00f3ng chuy\u1ec1n.<\/li>\n<li>\u00a0Ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng vai do ng\u00e3, tr\u01b0\u1ee3t, tai n\u1ea1n \u00f4 t\u00f4, xe m\u00e1y.<\/li>\n<li>\u00a0M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c (tim m\u1ea1ch, h\u00f4 h\u1ea5p, ti\u1ec3u \u0111\u01b0\u1eddng, ung th\u01b0 v\u00fa, th\u1ea7n kinh, l\u1ea1m d\u1ee5ng thu\u1ed1c ng\u1ee7).<\/li>\n<\/ul>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<h3>3.1. L\u00e2m s\u00e0ng<\/h3>\n<h4>3.1.1. \u0110au kh\u1edbp vai \u0111\u01a1n thu\u1ea7n (vi\u00eam g\u00e2n m\u1ea1n t\u00ednh)<\/h4>\n<ul>\n<li>\u0110au v\u00f9ng kh\u1edbp vai th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau v\u1eadn \u0111\u1ed9ng kh\u1edbp vai qu\u00e1 m\u1ee9c, ho\u1eb7c sau nh\u1eefng vi ch\u1ea5n th\u01b0\u01a1ng li\u00ean ti\u1ebfp \u1edf kh\u1edbp vai.<\/li>\n<li>\u0110au ki\u1ec3u c\u01a1 h\u1ecdc.<\/li>\n<li>\u0110au t\u0103ng khi l\u00e0m c\u00e1c \u0111\u1ed9ng t\u00e1c co c\u00e1nh tay \u0111\u1ed1i kh\u00e1ng.<\/li>\n<li>\u00cdt h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp. Th\u01b0\u1eddng g\u1eb7p t\u1ed5n th\u01b0\u01a1ng g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u v\u00e0 g\u00e2n c\u01a1 tr\u00ean gai.<\/li>\n<li>Th\u01b0\u1eddng c\u00f3 \u0111i\u1ec3m \u0111au ch\u00f3i khi \u1ea5n t\u1ea1i \u0111i\u1ec3m b\u00e1m t\u1eadn g\u00e2n b\u00f3 d\u00e0i c\u1ee7a g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u c\u00e1nh tay (m\u1eb7t tr\u01b0\u1edbc c\u1ee7a kh\u1edbp vai, d\u01b0\u1edbi m\u1ecfm qu\u1ea1 1cm) ho\u1eb7c g\u00e2n tr\u00ean gai (m\u1ecfm c\u00f9ng vai).<\/li>\n<\/ul>\n<h4>3.1.2. \u0110au vai c\u1ea5p (vi\u00eam kh\u1edbp vi tinh th\u1ec3)<\/h4>\n<ul>\n<li>\u0110au vai xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t v\u1edbi c\u00e1c t\u00ednh ch\u1ea5t d\u1eef d\u1ed9i, \u0111au g\u00e2y m\u1ea5t ng\u1ee7, \u0111au lan to\u00e0n b\u1ed9 vai, lan l\u00ean c\u1ed5, lan xu\u1ed1ng tay, \u0111\u00f4i khi xu\u1ed1ng t\u1eadn b\u00e0n tay.<\/li>\n<li>B\u1ec7nh nh\u00e2n gi\u1ea3m v\u1eadn \u0111\u1ed9ng kh\u1edbp vai nhi\u1ec1u th\u01b0\u1eddng c\u00f3 t\u01b0 th\u1ebf c\u00e1nh tay s\u00e1t v\u00e0o th\u00e2n, kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c \u0111\u1ed9ng t\u00e1c v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng kh\u1edbp vai, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed9ng t\u00e1c gi\u1ea1ng (gi\u1ea3 c\u1ee9ng kh\u1edbp vai do \u0111au).<\/li>\n<li>Vai s\u01b0ng to n\u00f3ng. C\u00f3 th\u1ec3 th\u1ea5y kh\u1ed1i s\u01b0ng b\u00f9ng nh\u00f9ng \u1edf tr\u01b0\u1edbc c\u00e1nh tay t\u01b0\u01a1ng \u1ee9ng v\u1edbi t\u00fai thanh m\u1ea1c b\u1ecb vi\u00eam.<\/li>\n<li>C\u00f3 th\u1ec3 c\u00f3 s\u1ed1t nh\u1eb9.<\/li>\n<\/ul>\n<h4>3.1.3. Gi\u1ea3 li\u1ec7t kh\u1edbp vai (\u0111\u1ee9t m\u0169 g\u00e2n c\u01a1 quay)<\/h4>\n<ul>\n<li>\u0110au d\u1eef d\u1ed9i k\u00e8m theo ti\u1ebfng k\u00eau r\u0103ng r\u1eafc, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u0111\u00e1m b\u1ea7m t\u00edm \u1edf ph\u1ea7n tr\u01b0\u1edbc tr\u00ean c\u00e1nh tay sau \u0111\u00f3 v\u00e0i ng\u00e0y.<\/li>\n<li>\u0110au k\u1ebft h\u1ee3p v\u1edbi h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng r\u00f5. Kh\u00e1m th\u1ea5y m\u1ea5t \u0111\u1ed9ng t\u00e1c n\u00e2ng vai ch\u1ee7 \u0111\u1ed9ng, trong khi v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u th\u1ea7n kinh.<\/li>\n<li>N\u1ebfu \u0111\u1ee9t b\u00f3 d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u kh\u00e1m th\u1ea5y ph\u1ea7n \u0111\u1ee9t c\u01a1 \u1edf tr\u01b0\u1edbc d\u01b0\u1edbi c\u00e1nh tay khi g\u1ea5p c\u00f3 \u0111\u1ed1i kh\u00e1ng c\u1eb3ng tay.<\/li>\n<\/ul>\n<h4>3.1.4. C\u1ee9ng kh\u1edbp vai (\u0111\u00f4ng c\u1ee9ng kh\u1edbp vai)<\/h4>\n<ul>\n<li>\u0110au kh\u1edbp vai ki\u1ec3u c\u01a1 h\u1ecdc, \u0111\u00f4i khi \u0111au v\u1ec1 \u0111\u00eam.<\/li>\n<li>Kh\u00e1m: h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp vai c\u1ea3 \u0111\u1ed9ng t\u00e1c ch\u1ee7 \u0111\u1ed9ng v\u00e0 th\u1ee5 \u0111\u1ed9ng. H\u1ea1n ch\u1ebf c\u00e1c \u0111\u1ed9ng t\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed9ng t\u00e1c gi\u1ea1ng v\u00e0 quay ngo\u00e0i.<\/li>\n<li>Khi quan s\u00e1t b\u1ec7nh nh\u00e2n t\u1eeb ph\u00eda sau, l\u00fac b\u1ec7nh nh\u00e2n gi\u01a1 tay l\u00ean s\u1ebd th\u1ea5y x\u01b0\u01a1ng b\u1ea3 vai di chuy\u1ec3n c\u00f9ng m\u1ed9t kh\u1ed1i v\u1edbi x\u01b0\u01a1ng c\u00e1nh tay.<\/li>\n<\/ul>\n<h3>3.2. C\u1eadn l\u00e2m s\u00e0ng<\/h3>\n<h4>3.2.1. X\u00e9t nghi\u1ec7m m\u00e1u<\/h4>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u v\u1ec1 h\u1ed9i ch\u1ee9ng vi\u00eam sinh h\u1ecdc th\u01b0\u1eddng \u00e2m t\u00ednh.<\/p>\n<h4>3.2.2. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/h4>\n<p><em><strong>\u2212 \u0110au kh\u1edbp vai \u0111\u01a1n thu\u1ea7n (vi\u00eam g\u00e2n m\u1ea1n t\u00ednh):<\/strong><\/em><br \/>\n+ H\u00ecnh \u1ea3nh Xquang b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh calci h\u00f3a t\u1ea1i g\u00e2n.<br \/>\n+ Si\u00eau \u00e2m: H\u00ecnh \u1ea3nh g\u00e2n gi\u1ea3m \u00e2m h\u01a1n b\u00ecnh th\u01b0\u1eddng. N\u1ebfu g\u00e2n b\u1ecb v\u00f4i h\u00f3a s\u1ebd th\u1ea5y n\u1ed1t t\u0103ng \u00e2m k\u00e8m b\u00f3ng c\u1ea3n. C\u00f3 th\u1ec3 th\u1ea5y d\u1ecbch quanh bao g\u00e2n nh\u1ecb \u0111\u1ea7u. Tr\u00ean Doppler n\u0103ng l\u01b0\u1ee3ng th\u1ea5y h\u00ecnh \u1ea3nh t\u0103ng sinh m\u1ea1ch trong g\u00e2n ho\u1eb7c bao g\u00e2n.<\/p>\n<p><strong><em>\u2212 \u0110au vai c\u1ea5p (vi\u00eam kh\u1edbp vi tinh th\u1ec3):<\/em><\/strong><br \/>\n+ Xquang: Th\u01b0\u1eddng th\u1ea5y h\u00ecnh \u1ea3nh calci h\u00f3a k\u00edch th\u01b0\u1edbc kh\u00e1c nhau \u1edf kho\u1ea3ng c\u00f9ng vai &#8211; m\u1ea5u \u0111\u1ed9ng. C\u00e1c calci h\u00f3a n\u00e0y c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t sau v\u00e0i ng\u00e0y.<br \/>\n+ Si\u00eau \u00e2m: C\u00f3 h\u00ecnh \u1ea3nh c\u00e1c n\u1ed1t t\u0103ng \u00e2m k\u00e8m b\u00f3ng c\u1ea3n (calci h\u00f3a) \u1edf g\u00e2n v\u00e0 bao thanh d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, c\u00f3 th\u1ec3 c\u00f3 d\u1ecbch (c\u1ea5u tr\u00fac tr\u1ed1ng \u00e2m) \u1edf bao thanh d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai. Tr\u00ean Doppler n\u0103ng l\u01b0\u1ee3ng c\u00f3 h\u00ecnh \u1ea3nh t\u0103ng sinh m\u1ea1ch trong g\u00e2n, bao g\u00e2n, ho\u1eb7c bao thanh d\u1ecbch.<\/p>\n<p><strong><em>\u2212 Gi\u1ea3 li\u1ec7t kh\u1edbp vai (\u0111\u1ee9t g\u00e2n m\u0169 c\u01a1 quay):<\/em><\/strong><br \/>\n+ Xquang: Ch\u1ee5p kh\u1edbp vai c\u1ea3n quang ph\u00e1t hi\u1ec7n \u0111\u1ee9t c\u00e1c g\u00e2n m\u0169 c\u01a1 quay do th\u1ea5y h\u00ecnh c\u1ea3n quang c\u1ee7a t\u00fai thanh m\u1ea1c d\u01b0\u1edbi m\u1ecfm c\u00f9ng c\u01a1 delta, ch\u1ee9ng t\u1ecf s\u1ef1 th\u00f4ng th\u01b0\u01a1ng gi\u1eefa khoang kh\u1edbp v\u00e0 t\u00fai thanh m\u1ea1c. G\u1ea7n \u0111\u00e2y th\u01b0\u1eddng ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng \u0111\u1ee9t g\u00e2n tr\u00ean c\u1ed9ng h\u01b0\u1edfng t\u1eeb.<br \/>\n+ Si\u00eau \u00e2m: \u0110\u1ee9t g\u00e2n nh\u1ecb \u0111\u1ea7u, kh\u00f4ng th\u1ea5y h\u00ecnh \u1ea3nh g\u00e2n nh\u1ecb \u0111\u1ea7u \u1edf h\u1ed1 li\u00ean m\u1ea5u \u0111\u1ed9ng ho\u1eb7c ph\u00eda trong h\u1ed1 li\u00ean m\u1ea5u \u0111\u1ed9ng; c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh t\u1ee5 m\u00e1u trong c\u01a1 m\u1eb7t tr\u01b0\u1edbc c\u00e1nh tay. N\u1ebfu \u0111\u1ee9t g\u00e2n tr\u00ean gai th\u1ea5y g\u00e2n m\u1ea5t t\u00ednh li\u00ean t\u1ee5c, co r\u00fat hai \u0111\u1ea7u g\u00e2n \u0111\u1ee9t. Th\u01b0\u1eddng c\u00f3 d\u1ecbch \u1edf v\u1ecb tr\u00ed \u0111\u1ee9t.<\/p>\n<p><strong><em>\u2212 C\u1ee9ng kh\u1edbp vai (\u0111\u00f4ng c\u1ee9ng kh\u1edbp vai):<\/em><\/strong><br \/>\n+ Xquang: Ch\u1ee5p kh\u1edbp v\u1edbi thu\u1ed1c c\u1ea3n quang, kh\u00f3 kh\u0103n khi b\u01a1m thu\u1ed1c. H\u00ecnh \u1ea3nh cho th\u1ea5y khoang kh\u1edbp b\u1ecb thu h\u1eb9p (ch\u1ec9 5-10ml trong khi b\u00ecnh th\u01b0\u1eddng 30-35ml); gi\u1ea3m c\u1ea3n quang kh\u1edbp, c\u00e1c t\u00fai c\u00f9ng m\u00e0ng ho\u1ea1t d\u1ecbch bi\u1ebfn m\u1ea5t. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p v\u1eeba ch\u1ea9n \u0111o\u00e1n v\u1eeba \u0111i\u1ec1u tr\u1ecb: b\u01a1m thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng nong r\u1ed9ng khoang kh\u1edbp, sau th\u1ee7 thu\u1eadt b\u1ec7nh nh\u00e2n v\u1eadn \u0111\u1ed9ng d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n<h3>3.3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n<p>D\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng.<\/p>\n<h3>3.4. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n<ul>\n<li>\u00a0\u0110au vai do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0 \u0111au th\u1eaft ng\u1ef1c, t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec9nh ph\u1ed5i, \u0111au r\u1ec5 c\u1ed9t s\u1ed1ng c\u1ed5 \u2026<\/li>\n<li>\u00a0B\u1ec7nh l\u00fd x\u01b0\u01a1ng: Ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay.<\/li>\n<li>\u00a0B\u1ec7nh l\u00fd kh\u1edbp: Vi\u00eam kh\u1edbp m\u1ee7, vi\u00eam kh\u1edbp do lao, vi\u00eam do tinh th\u1ec3 nh\u01b0 g\u00fat ho\u1eb7c calci h\u00f3a s\u1ee5n kh\u1edbp, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp\u2026<\/li>\n<\/ul>\n<h2>4. \u0110i\u1ec1u tr\u1ecb Vi\u00eam quanh kh\u1edbp vai<\/h2>\n<h3>4.1. Nguy\u00ean t\u1eafc chung<\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb vi\u00eam quanh kh\u1edbp vai bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb \u0111\u1ee3t c\u1ea5p v\u00e0 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec. C\u1ea7n k\u1ebft h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p kh\u00e1c nhau nh\u01b0 n\u1ed9i khoa, ngo\u1ea1i khoa, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n<h3>4.2. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/h3>\n<h4>4.2.1. N\u1ed9i khoa<\/h4>\n<p>\u2212 <em><strong>Thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng th\u01b0\u1eddng<\/strong><\/em>\u00a0S\u1eed d\u1ee5ng thu\u1ed1c theo b\u1eadc thang c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebfTh\u1ebf gi\u1edbi. Ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau: acetaminophen 0,5g x 2-4 vi\u00ean \/24h; acetaminophen k\u1ebft h\u1ee3p v\u1edbi codein ho\u1eb7c tramadol 2-4 vi\u00ean\/ 24h.<\/p>\n<p>\u2212 <em><strong>Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid:<\/strong><\/em> Ch\u1ec9 \u0111\u1ecbnh m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<br \/>\n+ Diclofenac 50mg x 2 vi\u00ean\/24h.<br \/>\n+ Piroxicam 20mg x 1 vi\u00ean\/24h.<br \/>\n+ Meloxicam 7,5mg x 1-2 vi\u00ean\/24h.<br \/>\n+ Celecoxib 200mg x 1 \u2013 2 vi\u00ean\/24h.<\/p>\n<p>\u2212 <strong><em>Ti\u00eam corticoid t\u1ea1i ch\u1ed7<\/em> <\/strong>\u00e1p d\u1ee5ng cho th\u1ec3 vi\u00eam kh\u1edbp vai \u0111\u01a1n thu\u1ea7n. Thu\u1ed1c ti\u00eam t\u1ea1i ch\u1ed7 (v\u00e0o bao g\u00e2n, bao thanh d\u1ecbch d\u01b0\u1edbi c\u01a1 delta) th\u01b0\u1eddng s\u1eed d\u1ee5ng l\u00e0 c\u00e1c mu\u1ed1i c\u1ee7a corticoid nh\u01b0 methylprednisolon acetat 40mg; betamethason dipropionat 5mg ho\u1eb7c betamethason sodium phosphat 2mg ti\u00eam 1 l\u1ea7n duy nh\u1ea5t; sau 3-6 th\u00e1ng c\u00f3 th\u1ec3 ti\u00eam nh\u1eafc l\u1ea1i n\u1ebfu b\u1ec7nh nh\u00e2n \u0111au tr\u1edf l\u1ea1i. Tr\u00e1nh ti\u00eam corticoid \u1edf b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ee9t g\u00e2n b\u00e1n ph\u1ea7n do tho\u00e1i h\u00f3a. Ti\u00eam corticoid \u1edf b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed g\u00e2n v\u00e0 g\u00e2y \u0111\u1ee9t g\u00e2n<br \/>\nho\u00e0n to\u00e0n. N\u00ean ti\u00eam d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m.<\/p>\n<p>\u2212 <strong><em>Nh\u00f3m thu\u1ed1c ch\u1ed1ng tho\u00e1i h\u00f3a kh\u1edbp t\u00e1c d\u1ee5ng ch\u1eadm<\/em><\/strong>:<br \/>\n+ Glucosamin sulfat: 1500mg x 1g\u00f3i\/24h.<br \/>\n+ Diacerein 50mg: 01-02 vi\u00ean m\u1ed7i ng\u00e0y. C\u00f3 th\u1ec3 duy tr\u00ec 3 th\u00e1ng.<\/p>\n<p>\u2212 <em><strong>Ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t v\u1eadn \u0111\u1ed9ng<\/strong><\/em> h\u1ee3p l\u00fd: Trong giai \u0111o\u1ea1n \u0111au vai c\u1ea5p t\u00ednh c\u1ea7n ph\u1ea3i \u0111\u1ec3 cho vai \u0111\u01b0\u1ee3c ngh\u1ec9 ng\u01a1i. Sau khi \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3 th\u00ec b\u1eaft \u0111\u1ea7u t\u1eadp luy\u1ec7n \u0111\u1ec3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng kh\u1edbp vai, \u0111\u1eb7c bi\u1ec7t th\u1ec3 \u0111\u00f4ng c\u1ee9ng kh\u1edbp vai. Tr\u00e1nh lao \u0111\u1ed9ng qu\u00e1 m\u1ee9c trong th\u1eddi gian d\u00e0i, tr\u00e1nh c\u00e1c \u0111\u1ed9ng t\u00e1c d\u1ea1ng qu\u00e1 m\u1ee9c hay n\u00e2ng tay l\u00ean cao qu\u00e1 vai.<\/p>\n<p>&#8211; <em><strong>N\u1ed9i soi \u1ed5 kh\u1edbp<\/strong><\/em> l\u1ea5y c\u00e1c tinh th\u1ec3 calci l\u1eafng \u0111\u1ecdng.<\/p>\n<p>&#8211; <strong><em>Ti\u00eam huy\u1ebft t\u01b0\u01a1ng gi\u00e0u ti\u1ec3u c\u1ea7u t\u1ef1 th\u00e2n<\/em><\/strong> \u00e1p d\u1ee5ng cho c\u00e1c th\u1ec3 \u0111\u1ee9t b\u00e1n ph\u1ea7n c\u00e1c g\u00e2n m\u0169 c\u01a1 quay do ch\u1ea5n th\u01b0\u01a1ng \u1edf b\u1ec7nh nh\u00e2n &lt; 60 tu\u1ed5i.<\/p>\n<h3>4.2.2. Ngo\u1ea1i khoa<\/h3>\n<p>\u2212 Ch\u1ec9 \u0111\u1ecbnh v\u1edbi th\u1ec3 gi\u1ea3 li\u1ec7t, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i c\u00f3 \u0111\u1ee9t c\u00e1c g\u00e2n v\u00f9ng kh\u1edbp vai do ch\u1ea5n th\u01b0\u01a1ng. Ph\u1eabu thu\u1eadt n\u1ed1i g\u00e2n b\u1ecb \u0111\u1ee9t. \u1ede ng\u01b0\u1eddi l\u1edbn tu\u1ed5i (&gt; 60 tu\u1ed5i), \u0111\u1ee9t g\u00e2n do tho\u00e1i h\u00f3a, ch\u1ec9 \u0111\u1ecbnh ngo\u1ea1i khoa c\u1ea7n th\u1eadn tr\u1ecdng.<br \/>\n\u2212 C\u1ea7n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 sau 1-3 th\u00e1ng, t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh. C\u00f3 th\u1ec3 si\u00eau \u00e2m kh\u1edbp vai \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng c\u1ee7a g\u00e2n, bao g\u00e2n v\u00e0 kh\u1edbp vai.<\/p>\n<h2>5. Ti\u1ebfn tri\u1ec3n v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a Vi\u00eam quanh kh\u1edbp vai<\/h2>\n<p>\u0110\u1ed1i v\u1edbi th\u1ec3 \u0111au vai \u0111\u01a1n thu\u1ea7n v\u00e0 \u0111au vai c\u1ea5p n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u0111au dai d\u1eb3ng v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp vai, \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 theo th\u1eddi gian s\u1ebd d\u1eabn \u0111\u1ebfn vi\u00eam quanh kh\u1edbp vai th\u1ec3 \u0111\u00f4ng c\u1ee9ng ho\u1eb7c \u0111\u1ee9t g\u00e2n.<\/p>\n<h2>6. Ph\u00f2ng b\u1ec7nh<\/h2>\n<ul>\n<li>Tr\u00e1nh lao \u0111\u1ed9ng qu\u00e1 m\u1ee9c, tr\u00e1nh c\u00e1c \u0111\u1ed9ng t\u00e1c d\u1ea1ng qu\u00e1 m\u1ee9c hay n\u00e2ng tay l\u00ean cao qu\u00e1 vai.<\/li>\n<li>Tr\u00e1nh c\u00e1c ch\u1ea5n th\u01b0\u01a1ng \u1edf v\u00f9ng kh\u1edbp vai.<\/li>\n<li>\u00a0Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au vai \u0111\u01a1n thu\u1ea7n v\u00e0 \u0111au vai c\u1ea5p.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam quanh kh\u1edbp vai (Periarthritis humeroscapularis) l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng chung cho c\u00e1c b\u1ec7nh l\u00fd vi\u00eam c\u00e1c c\u1ea5u tr\u00fac ph\u1ea7n m\u1ec1m quanh kh\u1edbp vai: g\u00e2n, t\u00fai thanh d\u1ecbch, bao kh\u1edbp; kh\u00f4ng bao g\u1ed3m c\u00e1c b\u1ec7nh l\u00fd c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u0111\u1ea7u x\u01b0\u01a1ng, s\u1ee5n kh\u1edbp v\u00e0 m\u00e0ng ho\u1ea1t d\u1ecbch nh\u01b0 vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n, vi\u00eam kh\u1edbp d\u1ea1ng [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[144],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 vi\u00eam quanh kh\u1edbp vai - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam quanh kh\u1edbp vai l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng chung cho c\u00e1c b\u1ec7nh l\u00fd vi\u00eam c\u00e1c c\u1ea5u tr\u00fac ph\u1ea7n m\u1ec1m quanh kh\u1edbp vai. 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