{"id":28225,"date":"2023-04-25T11:29:32","date_gmt":"2023-04-25T04:29:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28225"},"modified":"2023-05-02T08:50:24","modified_gmt":"2023-05-02T01:50:24","slug":"phuc-hoi-rang-sau-tong-quan-sau-dieu-tri-noi-nha","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/phuc-hoi-rang-sau-tong-quan-sau-dieu-tri-noi-nha\/","title":{"rendered":"Ph\u1ee5c h\u1ed3i r\u0103ng sau – T\u1ed5ng quan sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y t\u1ed5ng quan v\u1ec1 nh\u1eefng ph\u1ee5c h\u1ed3i r\u0103ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1ed3ng th\u1eddi b\u00e0i vi\u1ebft n\u00f3i k\u1ef9 h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 ch\u1ed1t \u0111\u1ed1i v\u1edbi ph\u1ee5c h\u00ecnh r\u0103ng, nh\u1eb1m \u0111\u01b0a ra m\u1ed9t g\u00f3c nh\u00ecn \u0111a chi\u1ec1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/strong><\/p>\n

1. Ph\u1ee5c h\u1ed3i r\u0103ng sau – R\u0103ng tr\u01b0\u1edfng th\u00e0nh<\/h2>\n

\u1ede nh\u1eefng r\u0103ng sau, hai ho\u1eb7c ba th\u00e0nh r\u0103ng nguy\u00ean v\u1eb9n l\u00e0 c\u1ea7n thi\u1ebft cho vi\u1ec7c t\u00e1i t\u1ea1o. N\u1ebfu v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c d\u00e1n v\u00e0o men v\u00e0 ng\u00e0 th\u00ec kh\u00f4ng c\u1ea7n m\u1edf r\u1ed9ng v\u1eadt li\u1ec7u v\u00e0o c\u00e1c mi\u1ec7ng \u1ed1ng t\u1ee7y. N\u1ebfu v\u1eadt li\u1ec7u kh\u00f4ng \u0111\u01b0\u1ee3c d\u00e1n, v\u00ed d\u1ee5 nh\u01b0 amalgam, th\u00ec c\u00f3 th\u1ec3 ph\u1ea3i l\u00e0m loe xu\u1ed1ng mi\u1ec7ng \u1ed1ng t\u1ee7y. Tuy nhi\u00ean, kh\u00f4ng c\u00f3 lo\u1ea1i v\u1eadt li\u1ec7u ph\u1ee5c h\u1ed3i n\u00e0o c\u00f3 kh\u1ea3 n\u0103ng b\u1ecbt k\u00edn v\u00e0 kh\u00e1ng r\u00f2 r\u1ec9 v\u0129nh vi\u1ec5n. N\u1ebfu r\u0103ng kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i ngay l\u1eadp t\u1ee9c \u0111\u01b0\u1ee3c th\u00ec khuy\u1ebfn c\u00e1o n\u00ean tr\u00e1m k\u00edn c\u00e1c l\u1ed7 \u1ed1ng t\u1ee7y v\u1edbi v\u1eadt li\u1ec7u tr\u00e1m nh\u01b0 composite l\u1ecfng, nh\u1ef1a hydrophylic ho\u1eb7c glass ionomer. T\u00e1i t\u1ea1o th\u00e2n r\u0103ng b\u1eb1ng composite c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ngay sau tr\u00f9ng h\u1ee3p b\u1edfi quang h\u1ecdc, h\u00f3a h\u1ecdc (t\u1ef1 tr\u00f9ng h\u1ee3p) ho\u1eb7c tr\u00f9ng h\u1ee3p k\u00e9p. Composite t\u1ef1 tr\u00f9ng h\u1ee3p \u0111\u1ea3m b\u1ea3o to\u00e0n b\u1ed9 b\u1ec1 d\u00e0y c\u1ee7a kh\u1ed1i v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c tr\u00f9ng h\u1ee3p ho\u00e0n to\u00e0n. M\u1ed9t nghi\u00ean c\u1ee9u in vitro g\u1ea7n \u0111\u00e2y \u0111\u00e3 ki\u1ec3m tra \u0111\u1ed9 b\u1ec1n d\u00e1n c\u1ee7a l\u1edbp n\u1ec1n composite tr\u00f9ng h\u1ee3p k\u00e9p, s\u1eed d\u1ee5ng c\u1ea3 h\u1ec7 th\u1ed1ng k\u1ebft d\u00ednh c\u1ee7a quang tr\u00f9ng h\u1ee3p, h\u00f3a tr\u00f9ng h\u1ee3p ho\u1eb7c tr\u00f9ng h\u1ee3p k\u00e9p, cho th\u1ea5y c\u00e1c h\u1ec7 th\u1ed1ng tr\u00f9ng h\u1ee3p k\u00e9p kh\u00f4ng t\u1ea1o ra \u0111\u1ed9 b\u1ec1n d\u00e1n \u1edf m\u1ee9c ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c v\u1edbi ng\u00e0 r\u0103ng. C\u00f3 th\u1ec3 k\u1ebft lu\u1eadn r\u1eb1ng, h\u1ec7 th\u1ed1ng quang tr\u00f9ng h\u1ee3p k\u1ebft d\u00ednh m\u00e0 kh\u00f4ng c\u1ea7n k\u00edch ho\u1ea1t h\u00f3a h\u1ecdc l\u00e0m c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ed9 b\u1ec1n d\u00e1n tr\u00ean ng\u00e0 r\u0103ng.<\/p>\n

C\u00e1c r\u0103ng c\u1ed1i nh\u1ecf \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha th\u1ec3 hi\u1ec7n m\u1ed9t t\u00ecnh tr\u1ea1ng trung gian gi\u1eefa c\u00e1c r\u0103ng tr\u01b0\u1edbc v\u00e0 c\u00e1c r\u0103ng c\u1ed1i l\u1edbn. C\u00e1c r\u0103ng c\u1ed1i nh\u1ecf th\u1ee9 nh\u1ea5t h\u00e0m d\u01b0\u1edbi v\u1edbi l\u1ed1i v\u00e0o t\u1ee7y b\u1ea3o t\u1ed3n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1ee5c h\u1ed3i b\u00e1n ph\u1ea7n. Nh\u1eefng r\u0103ng n\u00e0y kh\u00f4ng c\u00f3 l\u1ed3ng m\u00fai kh\u1edbp c\u1eafn quan tr\u1ecdng, th\u01b0\u1eddng \u0111\u1eb7c tr\u01b0ng b\u1edfi m\u00fai trong nh\u1ecf v\u00e0 k\u00e9m ph\u00e1t tri\u1ec3n. C\u00e1c r\u0103ng c\u1ed1i nh\u1ecf c\u00f2n c\u1ea3 th\u00e0nh ngo\u00e0i v\u00e0 th\u00e0nh trong c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o b\u00ecnh th\u01b0\u1eddng m\u00e0 kh\u00f4ng c\u1ea7n \u0111\u1eb7t ch\u1ed1t, ch\u1ec9 c\u1ea7n t\u00e1i t\u1ea1o c\u00f9i nh\u01b0 l\u00e0 m\u1ed9t ph\u1ee5c h\u1ed3i.<\/p>\n

2. Ch\u1ed1t<\/h2>\n

\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 \u00edt r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7t ch\u1ed1t th\u00ec \u1ed1ng mang ch\u1ed1t n\u00ean \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n b\u1ea3o t\u1ed3n, song song, th\u1ee5 \u0111\u1ed9ng.<\/p>\n

Ch\u1ed1t ch\u1ec9 c\u1ea7n thi\u1ebft v\u1edbi c\u00e1c r\u0103ng ph\u00eda tr\u01b0\u1edbc khi c\u1ea5u tr\u00fac th\u00e2n r\u0103ng c\u00f2n l\u1ea1i \u00edt. Ch\u1ed1t cung c\u1ea5p h\u00ecnh th\u1ec3 kh\u00e1ng l\u1ea1i c\u00e1c l\u1ef1c l\u00e0m nghi\u00eang ho\u1eb7c c\u00e1c l\u1ef1c b\u00ean v\u00e0 g\u00f3p ph\u1ea7n l\u00e0m t\u0103ng h\u00ecnh th\u1ec3 l\u01b0u gi\u1eef. Ch\u1ed1t kh\u00f4ng l\u00e0m t\u0103ng \u0111\u1ed9 b\u1ec1n c\u1ee7a r\u0103ng; ch\u00fang c\u00f3 xu h\u01b0\u1edbng l\u00e0m y\u1ebfu r\u0103ng th\u00f4ng qua vi\u1ec7c lo\u1ea1i b\u1ecf th\u00eam m\u00f4 ng\u00e0 v\u00e0 t\u1ea1o s\u1ef1 c\u00e1c l\u1ef1c c\u0103ng b\u1ea5t l\u1ee3i. \u0110\u1ed1i v\u1edbi r\u0103ng c\u1ed1i l\u1edbn \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb tu\u1ef7 th\u00ec s\u1ee9c kh\u00e1ng c\u1ef1 v\u00e0 s\u1ee9c l\u01b0u gi\u1eef c\u00f3 th\u1ec3 nh\u1edd v\u00e0o c\u00e1c th\u00e0nh c\u00f2n l\u1ea1i c\u1ee7a bu\u1ed3ng t\u1ee7y th\u00f4ng qua m\u1ed1i d\u00e1n c\u1ee7a m\u1ed9t ph\u1ee5c h\u1ed3i. N\u00ean \u01b0u ti\u00ean ph\u1ee5c h\u1ed3i r\u0103ng c\u1ed1i l\u1edbn m\u00e0 kh\u00f4ng \u0111\u1eb7t ch\u1ed1t khi c\u00f2n \u0111\u1ee7 l\u01b0\u1ee3ng c\u1ea5u tr\u00fac r\u0103ng th\u00edch h\u1ee3p.<\/p>\n

Ng\u01b0\u1eddi ta khuy\u1ebfn c\u00e1o ch\u1ed1t kim lo\u1ea1i v\u1edbi c\u00e1c th\u00e0nh b\u00ean song song v\u00e0 thu\u00f4n d\u1ea7n \u1edf \u0111o\u1ea1n ch\u00f3p 2 \u2013 3 mm l\u00e0 t\u1ed1i \u01b0u nh\u1ea5t \u0111\u1ec3 l\u00e0m gi\u1ea3m l\u1ef1c ph\u00e2n b\u1ed1, nh\u1edd \u0111\u00f3 b\u1ea3o t\u1ed3n t\u1ed1i \u0111a \u0111\u1ed9 d\u00e0y ng\u00e0 r\u0103ng ph\u00eda ch\u00f3p tr\u01b0\u1edbc khi g\u1eafn ch\u1ed1t. Thi\u1ebft k\u1ebf ch\u1ed1t h\u1ee3p l\u00ed c\u00f3 th\u1ec3 l\u00e0 \u0111i\u1ec3m m\u1ea5u ch\u1ed1t \u0111\u1ea3m b\u1ea3o ti\u00ean l\u01b0\u1ee3ng thu\u1eadn l\u1ee3i v\u1ec1 sau. Th\u00e9p kh\u00f4ng g\u1ec9 t\u1eeb l\u00e2u \u0111\u00e3 l\u00e0 v\u1eadt li\u1ec7u \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn l\u00e0m ch\u1ed1t v\u00ec n\u00f3 b\u1ec1n h\u01a1n ch\u1ed1t b\u1eb1ng titanium ho\u1eb7c nh\u1ef1a epoxy \u0111\u01b0\u1ee3c gia c\u1ed1 b\u1edfi s\u1ee3i th\u1ee7y tinh (glass fiber-reinforced (GFR) epoxy resin). Nh\u1ef1a epoxy \u0111\u01b0\u1ee3c gia c\u1ed1 b\u1edfi s\u1ee3i th\u1ee7y tinh d\u1ebbo h\u01a1n th\u00e9p kh\u00f4ng g\u1ec9; \u0111i\u1ec1u n\u00e0y d\u01b0\u1eddng nh\u01b0 l\u00e0m t\u0103ng nguy c\u01a1 th\u1ea5t b\u1ea1i nh\u01b0ng l\u00e0m gi\u1ea3m nguy c\u01a1 n\u1ee9t g\u00e3y ch\u00e2n r\u0103ng so v\u1edbi ch\u1ed1t kim lo\u1ea1i.<\/p>\n

Ch\u1ed1t \u0111\u00fac, n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh, th\u00ec c\u0169ng n\u00ean \u0111\u01b0\u1ee3c s\u1eeda so\u1ea1n b\u1ea3o t\u1ed3n, th\u1ee5 \u0111\u1ed9ng; \u01b0u \u0111i\u1ec3m c\u1ee7a ch\u00fang l\u00e0 kh\u00edt s\u00e1t t\u1ed1t, \u0111\u1ed9 b\u1ec1n cao, c\u1ea3i thi\u1ec7n s\u1ef1 ph\u00e2n b\u1ed1 l\u1ef1c t\u1eeb b\u1edd ch\u1ed1t cho \u0111\u1ebfn m\u00f4 r\u0103ng. \u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n nh\u1edb l\u00e0 ph\u1ea3i \u0111\u1ec3 l\u1ea1i l\u00e0 4 \u2013 6 mm GP ho\u1eb7c c\u00e1c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt kh\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111o\u1ea1n ch\u00f3p \u0111\u01b0\u1ee3c b\u1ecbt k\u00edn.<\/p>\n

\"\"
Phim c\u1eadn ch\u00f3p c\u1ee7a m\u1ed9t r\u0103ng c\u1eeda gi\u1eefa v\u00e0 r\u0103ng c\u1eeda b\u00ean h\u00e0m tr\u00ean b\u00ean tr\u00e1i sau khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i v\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7t ch\u1ed1t. R\u0103ng c\u1eeda gi\u1eefa cho th\u1ea5y 4 mm GP c\u00f2n l\u1ea1i (m\u0169i t\u00ean) v\u00e0 r\u0103ng c\u1eeda b\u00ean cho th\u1ea5y 6 mm v\u1eadt li\u1ec7u tr\u00e1m b\u00edt c\u00f2n l\u1ea1i (m\u0169i t\u00ean). L\u01b0\u1ee3ng v\u1eadt li\u1ec7u tr\u00e1m b\u00edt \u0111\u01b0\u1ee3c ch\u1eeba l\u1ea1i \u1edf r\u0103ng c\u1eeda b\u00ean nhi\u1ec1u h\u01a1n l\u00e0 do \u0111o\u1ea1n cong \u1edf ph\u00eda ch\u00f3p.<\/figcaption><\/figure>\n

B\u00ean c\u1ea1nh vi\u1ec7c b\u1ecbt k\u00edn \u0111o\u1ea1n ch\u00f3p, th\u00ec vi\u1ec7c \u0111\u1ec3 l\u1ea1i 4 \u2013 6 mm v\u1eadt li\u1ec7u tr\u00e1m b\u00edt \u1edf 1\/3 ch\u00f3p ch\u00e2n r\u0103ng c\u00f2n gi\u00fap b\u1ea3o v\u1ec7 khu v\u1ef1c c\u00f3 ch\u1ee9a gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p, \u1ed1ng t\u1ee7y ph\u1ee5, v\u00f9ng ch\u1ebd, delta ch\u00f3p… \u0110o\u1ea1n ch\u00f3p ch\u00e2n r\u0103ng c\u0169ng r\u1ea5t m\u1ecfng, y\u1ebfu v\u00e0 d\u1ec5 b\u1ecb th\u1ee7ng n\u1ebfu s\u1eeda so\u1ea1n \u1ed1ng mang ch\u1ed1t \u1edf \u0111\u00f3.<\/p>\n

M\u1ed9t v\u00e0i b\u1ea3n h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t nh\u1eb1m quy\u1ebft \u0111\u1ecbnh chi\u1ec1u d\u00e0i l\u00ed t\u01b0\u1edfng \u0111\u1ec3 \u0111\u1eb7t ch\u1ed1t. T\u1ed1t nh\u1ea5t l\u00e0 chi\u1ec1u d\u00e0i t\u1ed1i thi\u1ec3u c\u1ee7a ch\u1ed1t n\u00ean b\u1eb1ng v\u1edbi chi\u1ec1u cao th\u00e2n r\u0103ng l\u00e2m s\u00e0ng, nh\u01b0ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i, \u0111\u00f4i khi c\u1ea7n m\u1ed9t ch\u1ed1t ng\u1eafn h\u01a1n. M\u1eb7c d\u00f9 c\u00e1c ch\u1ed1t ng\u1eafn th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng, nh\u01b0ng c\u00f3 l\u00fac ch\u00fang l\u00e0 b\u1eaft bu\u1ed9c tr\u00ean nh\u1eefng r\u0103ng c\u00f3 ch\u00e2n ng\u1eafn v\u00e0 m\u1ecfng. C\u00e1c ch\u1ed1t ng\u1eafn kh\u00f4ng l\u00e0m ph\u00e2n b\u1ed1 l\u1ef1c \u0111\u1ed3ng \u0111\u1ec1u d\u1ecdc theo tr\u1ee5c d\u00e0i c\u1ee7a ch\u00e2n r\u0103ng, th\u01b0\u1eddng g\u00e2y ra n\u1ee9t g\u00e3y \u1edf ph\u1ea7n th\u00e2n r\u0103ng v\u00e0 \u0111o\u1ea1n 1\/3 gi\u1eefa.<\/p>\n

\"phuc-hoi-rang-sau-2\"
X quang ch\u1ee5p khi t\u00e1i kh\u00e1m c\u1ee7a (a) r\u0103ng c\u1ed1i nh\u1ecf 2 h\u00e0m d\u01b0\u1edbi b\u00ean tr\u00e1i v\u1edbi m\u1ed9t ch\u1ed1t \u0111\u00fac ng\u1eafn cho th\u1ea5y t\u00ecnh tr\u1ea1ng ti\u00eau x\u01b0\u01a1ng (m\u0169i t\u00ean) v\u00e0 kho\u1ea3ng d\u00e2y ch\u1eb3ng nha chu d\u00e0y l\u00ean ph\u00f9 h\u1ee3p v\u1edbi ch\u1ea9n \u0111o\u00e1n n\u1ee9t r\u0103ng theo chi\u1ec1u d\u1ecdc. (b) H\u00ecnh \u1ea3nh X quang r\u0103ng c\u1ed1i nh\u1ecf 1 h\u00e0m tr\u00ean b\u00ean tr\u00e1i v\u1edbi m\u1ed9t ch\u1ed1t l\u00e0m b\u1eb1ng th\u00e9p kh\u00f4ng g\u1ec9 ng\u1eafn, n\u1ee9t r\u0103ng theo chi\u1ec1u d\u1ecdc (m\u0169i t\u00ean), s\u00e2u r\u0103ng th\u1ee9 ph\u00e1t v\u00e0 b\u1ec7nh l\u00fd v\u00f9ng quanh ch\u00f3p.<\/figcaption><\/figure>\n

C\u00e1c ch\u1ed1t d\u00e0i c\u00f3 \u0111\u1ed9 c\u1ee9ng ch\u1eafc cao nh\u1ea5t v\u00e0 \u00edt khi b\u1ecb l\u1ec7ch tr\u1ee5c ch\u00e2n r\u0103ng; tuy nhi\u00ean, \u0111\u1ed9 c\u1ee9ng ch\u1eafc l\u00e0 m\u1ed9t con dao 2 l\u01b0\u1ee1i, n\u00f3 b\u1ea3o v\u1ec7 ph\u1ee5c h\u1ed3i nh\u01b0ng c\u0169ng l\u00e0m c\u0103ng ch\u00e2n r\u0103ng, n\u00ean ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u1ec3 l\u1ea1i m\u1ed9t l\u01b0\u1ee3ng ch\u1ea5t tr\u00e1m b\u00edt th\u00edch h\u1ee3p. C\u1ea7n ph\u1ea3i c\u1ea9n th\u1eadn khi thao t\u00e1c v\u1edbi c\u00e1c ch\u1ed1t d\u00e0i \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1ed9 d\u00e0y ch\u00e2n r\u0103ng c\u00f2n l\u1ea1i th\u00edch h\u1ee3p nh\u1eb1m b\u1ea3o t\u1ed3n m\u00f4 r\u0103ng \u0111o\u1ea1n ch\u00f3p, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ch\u00e2n r\u0103ng d\u1eb9t v\u00e0 l\u00f5m. Khi th\u00e2n r\u0103ng c\u00f2n l\u1ea1i 2 ho\u1eb7c nhi\u1ec1u h\u01a1n 2 th\u00e0nh, \u0111\u1ed9 d\u00e0y sau khi s\u1eeda so\u1ea1n c\u00f2n kho\u1ea3ng 1 mm v\u00e0 chi\u1ec1u cao 4 mm th\u00ec t\u00e1i t\u1ea1o c\u00f9i, c\u00f3 d\u00e1n ho\u1eb7c kh\u00f4ng d\u00e1n, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh m\u00e0 kh\u00f4ng c\u1ea7n \u0111\u1eb7t ch\u1ed1t.<\/p>\n

Ch\u1ed1t n\u00ean \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng 1\/4 chi\u1ec1u r\u1ed9ng ch\u00e2n r\u0103ng, ho\u1eb7c nh\u1ecf h\u01a1n. Tuy nhi\u00ean nh\u01b0 v\u1eady th\u00ec trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed9 b\u1ec1n t\u1ed1i \u01b0u c\u1ee7a ch\u1ed1t. Khi r\u0103ng c\u00f3 ch\u00e2n r\u0103ng \u1edf m\u1ee9c trung b\u00ecnh ho\u1eb7c d\u01b0\u1edbi m\u1ee9c trung b\u00ecnh, ch\u1ed1t chi\u1ebfm 2\/3 chi\u1ec1u d\u00e0i ch\u00e2n r\u0103ng ho\u1eb7c h\u01a1n th\u00ec kh\u00f4ng th\u1ec3 ch\u1eeba l\u1ea1i 4 mmm v\u1eadt li\u1ec7u tr\u00e1m b\u00edt \u1edf \u0111o\u1ea1n ch\u00f3p \u0111\u01b0\u1ee3c. Do \u0111\u00f3, \u0111\u1ed9 d\u00e0i t\u1ed1i \u01b0u c\u1ee7a ch\u1ed1t n\u00ean \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi 5mm GP ho\u1eb7c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt kh\u00e1c c\u00f2n l\u1ea1i \u1edf ch\u00f3p, v\u00e0 gi\u1edbi h\u1ea1n ch\u1ed1t \u1edf ngang \u0111\u1ed9 s\u00e2u \u0111\u00f3. Tuy nhi\u00ean, v\u1edbi nh\u1eefng r\u0103ng c\u00f3 gi\u1ea3i ph\u1eabu ch\u00e2n r\u0103ng ng\u1eafn, th\u00ec l\u01b0\u1ee3ng v\u1eadt li\u1ec7u tr\u00e1m b\u00edt ch\u1eeba l\u1ea1i n\u00ean \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh c\u1ea9n th\u1eadn trong t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 v\u1edbi m\u1ee5c ti\u00eau cu\u1ed1i c\u00f9ng l\u00e0 tr\u00e1nh th\u1ef1c hi\u1ec7n ch\u1ed1t qu\u00e1 ng\u1eafn.<\/p>\n

Th\u1ef1c hi\u1ec7n nhi\u1ec1u ch\u1ed1t \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 c\u00f9i gi\u1ea3 tr\u00ean nh\u1eefng r\u0103ng c\u1ed1i nh\u1ecf v\u00e0 r\u0103ng c\u1ed1i l\u1edbn th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch. M\u1ed9t ch\u1ed1t \u0111\u01a1n \u0111\u1ed9c n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf ch\u00e2n xa c\u1ee7a r\u0103ng c\u1ed1i l\u1edbn h\u00e0m d\u01b0\u1edbi, ch\u00e2n trong c\u1ee7a r\u0103ng c\u1ed1i l\u1edbn h\u00e0m tr\u00ean, ch\u00e2n d\u00e0i nh\u1ea5t v\u00e0 th\u1eb3ng nh\u1ea5t c\u1ee7a r\u0103ng c\u1ed1i nh\u1ecf h\u00e0m tr\u00ean.<\/p>\n

\"phuc-hoi-rang-sau-3\"
X quang c\u1eadn ch\u00f3p c\u1ee7a (a) r\u0103ng c\u1ed1i l\u1edbn 1 h\u00e0m d\u01b0\u1edbi b\u00ean tr\u00e1i, (b) r\u0103ng c\u1ed1i l\u1edbn 1 h\u00e0m d\u01b0\u1edbi b\u00ean ph\u1ea3i v\u00e0 (c) r\u0103ng c\u1ed1i l\u1edbn 1 h\u00e0m d\u01b0\u1edbi b\u00ean ph\u1ea3i \u0111\u01b0\u1ee3c l\u00e0m nhi\u1ec1u ch\u1ed1t k\u00e8m theo h\u1eadu qu\u1ea3 l\u00e0 n\u1ee9t d\u1ecdc ch\u00e2n r\u0103ng.<\/figcaption><\/figure>\n

\u0110\u01b0\u1eddng k\u00ednh ch\u1ed1t kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 1\/3 \u0111\u01b0\u1eddng k\u00ednh ch\u00e2n r\u0103ng. \u0110\u01b0\u1eddng k\u00ednh ch\u1ed1t n\u00ean v\u00e0o kho\u1ea3ng 0.5 \u2014 1.5 mm t\u00f9y theo t\u1eebng r\u0103ng, v\u00e0 ch\u1ec9 n\u00ean s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 s\u1eeda so\u1ea1n ch\u1ed1t ph\u00f9 h\u1ee3p v\u1edbi \u0111\u01b0\u1eddng k\u00ednh ch\u1ed1t mong mu\u1ed1n.<\/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 nh\u1eefng ph\u1ee5c h\u1ed3i r\u0103ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1ed3ng th\u1eddi b\u00e0i vi\u1ebft n\u00f3i k\u1ef9 h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 ch\u1ed1t \u0111\u1ed1i v\u1edbi ph\u1ee5c h\u00ecnh r\u0103ng, nh\u1eb1m \u0111\u01b0a ra m\u1ed9t g\u00f3c nh\u00ecn \u0111a chi\u1ec1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. C\u00f9ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y. […]<\/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":"\nPh\u1ee5c h\u1ed3i r\u0103ng sau - T\u1ed5ng quan sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft t\u1ed5ng quan v\u1ec1 ph\u1ee5c h\u1ed3i r\u0103ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, \u0111\u1ed3ng th\u1eddi n\u00f3i v\u1ec1 ch\u1ed1t trong ph\u1ee5c h\u00ecnh n\u00e0y. 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