{"id":28343,"date":"2023-04-25T16:37:27","date_gmt":"2023-04-25T09:37:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28343"},"modified":"2023-05-02T08:44:11","modified_gmt":"2023-05-02T01:44:11","slug":"tien-luong-benh-ly-tuy-giai-phau-va-yeu-to-truoc-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/tien-luong-benh-ly-tuy-giai-phau-va-yeu-to-truoc-dieu-tri\/","title":{"rendered":"Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd tu\u1ef7 – Gi\u1ea3i ph\u1eabu v\u00e0 y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb."},"content":{"rendered":"

B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu, bao g\u1ed3m lo\u1ea1i r\u0103ng, s\u1ed1 l\u01b0\u1ee3ng ch\u00e2n r\u0103ng, ti\u1ebfp x\u00fac m\u1eb7t b\u00ean v\u00e0 y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m t\u00ecnh tr\u1ea1ng m\u00f4 tu\u1ef7, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, t\u00ecnh tr\u1ea1ng m\u00f4 quanh ch\u00f3p, nha chu v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd tu\u1ef7. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam.<\/strong><\/p>\n

1. Y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd tu\u1ef7<\/h2>\n

Lo\u1ea1i r\u0103ng<\/strong><\/p>\n

C\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha li\u00ean h\u1ec7 v\u1edbi lo\u1ea1i r\u0103ng, nh\u01b0ng \u0111\u1ec1u c\u00f3 k\u1ebft lu\u1eadn kh\u00e1c nhau. Kerekes v\u00e0 Tronstad nh\u1eadn th\u1ea5y nh\u1eefng r\u0103ng \u0111\u1eb7c bi\u1ec7t (r\u0103ng nanh h\u00e0m tr\u00ean, r\u0103ng c\u1ed1i nh\u1ecf 2 v\u00e0 r\u0103ng nanh h\u00e0m d\u01b0\u1edbi) c\u00f3 th\u1ec3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n nh\u1eefng r\u0103ng kh\u00e1c. M\u1ed9t s\u1ed1 \u00edt nghi\u00ean c\u1ee9u cho th\u1ea5y r\u0103ng c\u1ed1i l\u1edbn h\u00e0m d\u01b0\u1edbi c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng th\u1ea5p \u0111\u00e1ng k\u1ec3 so v\u1edbi nh\u1eefng lo\u1ea1i r\u0103ng kh\u00e1c. Ng\u01b0\u1ee3c l\u1ea1i, m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c l\u1ea1i quan s\u00e1t th\u1ea5y r\u0103ng h\u00e0m d\u01b0\u1edbi c\u00f3 th\u1ec3 c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao h\u01a1n r\u0103ng h\u00e0m tr\u00ean.<\/p>\n

Nghi\u00ean c\u1ee9u tr\u00ean nh\u1eefng r\u0103ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i c\u0169ng cho k\u1ebft qu\u1ea3 r\u0103ng h\u00e0m d\u01b0\u1edbi n\u00f3i chung l\u00e0 c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng th\u1ea5p h\u01a1n khi so v\u1edbi r\u0103ng h\u00e0m tr\u00ean.<\/p>\n

M\u1ed9t b\u00e0i \u0111\u00e1nh gi\u00e1 h\u1ec7 th\u1ed1ng v\u1ec1 t\u1ec9 l\u1ec7 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha cho bi\u1ebft nh\u1eefng r\u0103ng kh\u00f4ng thu\u1ed9c nh\u00f3m r\u0103ng c\u1ed1i l\u1edbn th\u00ec c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n so v\u1edbi nh\u1eefng r\u0103ng c\u1ed1i l\u1edbn.<\/p>\n

S\u1ed1 l\u01b0\u1ee3ng ch\u00e2n r\u0103ng<\/strong><\/p>\n

C\u00f3 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha d\u1ef1a tr\u00ean s\u1ed1 l\u01b0\u1ee3ng ch\u00e2n r\u0103ng. Strindberg v\u00e0 Engstrom nh\u1eadn th\u1ea5y r\u0103ng 1 ch\u00e2n th\u01b0\u1eddng c\u00f3 t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n so v\u1edbi r\u0103ng 2 ho\u1eb7c 3 ch\u00e2n. Grahnen v\u00e0 Hansson c\u0169ng nh\u1eadn th\u1ea5y k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng \u1edf nh\u1eefng r\u0103ng 3 ch\u00e2n cao h\u01a1n so v\u1edbi r\u0103ng 2 ch\u00e2n, v\u00e0 th\u1ea5p nh\u1ea5t \u1edf nh\u1eefng r\u0103ng 1 ch\u00e2n. Ng\u01b0\u1ee3c l\u1ea1i, Friedman nh\u1eadn th\u1ea5y r\u0103ng c\u00f3 1 \u1ed1ng t\u1ee7y \u0111\u01a1n \u0111\u1ed9c th\u00ec c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao h\u01a1n r\u0103ng c\u00f3 nhi\u1ec1u \u1ed1ng t\u1ee7y. K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u Toronto c\u0169ng tr\u00ecnh b\u00e0y r\u1eb1ng r\u0103ng 1 ch\u00e2n c\u00f3 th\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n r\u0103ng nhi\u1ec1u ch\u00e2n.<\/p>\n

Ti\u1ebfp x\u00fac m\u1eb7t b\u00ean<\/strong><\/p>\n

\u1ea2nh h\u01b0\u1edfng c\u1ee7a c\u00e1c ti\u1ebfp x\u00fac m\u1eb7t b\u00ean \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u ch\u1ee7 y\u1ebfu l\u00e0 li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a r\u0103ng. R\u0103ng c\u00f3 2 ti\u1ebfp x\u00fac m\u1eb7t b\u00ean th\u00ec cho th\u1ea5y t\u1ec9 l\u1ec7 t\u1ed3n t\u1ea1i cao h\u01a1n r\u0103ng ch\u1ec9 c\u00f3 1 ho\u1eb7c kh\u00f4ng c\u00f3 ti\u1ebfp x\u00fac b\u00ean. Trong m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u, ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha c\u00f3 \u00edt h\u01a1n 2 ti\u1ebfp x\u00fac m\u1eb7t b\u00ean th\u00ec b\u1ecb m\u1ea5t s\u1edbm v\u1edbi t\u1ec9 l\u1ec7 cao h\u01a1n g\u1ea5p 3 l\u1ea7n so v\u1edbi r\u0103ng c\u00f3 2 ti\u1ebfp x\u00fac m\u1eb7t b\u00ean.<\/p>\n

2. Y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb<\/h2>\n

T\u00ecnh tr\u1ea1ng m\u00f4 t\u1ee7y<\/strong><\/p>\n

C\u00f3 m\u1ed9t s\u1ef1 t\u01b0\u01a1ng ph\u1ea3n r\u1ea5t l\u1edbn gi\u1eefa k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd t\u1ee7y \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. C\u1ea7n ph\u1ea3i l\u01b0u \u00fd r\u1eb1ng ho\u1ea1i t\u1eed t\u1ee7y h\u1ea7u h\u1ebft \u0111\u1ec1u li\u00ean quan \u0111\u1ebfn vi\u00eam quanh ch\u00f3p, n\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u1edf nh\u1eefng r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y c\u00f3 th\u1ec3 c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng th\u1ea5p l\u00e0 do s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a b\u1ec7nh l\u00fd vi\u00eam quanh ch\u00f3p ch\u1ee9 kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 do t\u00ecnh tr\u1ea1ng t\u1ee7y r\u0103ng. Trong m\u1ed9t b\u00e0i \u0111\u00e1nh gi\u00e1 h\u1ec7 th\u1ed1ng, sau khi \u0111\u00e3 ki\u1ec3m so\u00e1t nh\u1eefng y\u1ebfu t\u1ed1 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nhi\u1ec5u n\u00e0y th\u00ec kh\u00f4ng t\u00ecm th\u1ea5y s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00e1ng k\u1ec3 v\u1ec1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha gi\u1eefa r\u0103ng s\u1ed1ng v\u1edbi r\u0103ng ch\u1ebft t\u1ee7y.<\/p>\n

Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd<\/strong><\/p>\n

M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u1edbi t\u00ecnh tr\u1ea1ng m\u00f4 h\u1ecdc th\u1ef1c s\u1ef1 c\u1ee7a t\u1ee7y r\u0103ng v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd vi\u00eam quanh ch\u00f3p th\u01b0\u1eddng \u0111\u00fang. Do \u0111\u00f3, b\u1ea5t k\u1ef3 nghi\u00ean c\u1ee9u n\u00e0o d\u1ef1a v\u00e0o m\u1ed1i li\u00ean h\u1ec7 n\u00e0y \u0111\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u1eadt c\u1ea9n th\u1eadn. M\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u nh\u1eadn th\u1ea5y \u0111au tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn th\u00e0nh c\u00f4ng l\u00e2u d\u00e0i c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean theo \u0111\u1ea1i \u0111a s\u1ed1 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u c\u0169ng v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y th\u00ec l\u1ea1i cho th\u1ea5y tri\u1ec7u ch\u1ee9ng tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha ho\u1eb7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i. Trong m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c, ng\u01b0\u1eddi ta th\u1ea5y l\u1ed7 d\u00f2 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1ee3c l\u1ea1i, nh\u1eefng nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00f3 l\u1ea1i kh\u00f4ng nh\u1eadn th\u1ea5y s\u1ef1 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 n\u00e0o c\u1ee7a y\u1ebfu t\u1ed1 n\u00e0y.<\/p>\n

T\u00ecnh tr\u1ea1ng m\u00f4 quanh ch\u00f3p<\/strong><\/p>\n

S\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a m\u1ed9t t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c nhi\u1ec1u \u00fd ki\u1ebfn \u0111\u1ed3ng t\u00ecnh r\u1eb1ng s\u1ebd g\u00e2y \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p nh\u1eefng r\u0103ng m\u1edbi \u0111i\u1ec1u tr\u1ecb l\u1ea7n \u0111\u1ea7u, trong m\u1ed9t b\u00e0i t\u1ed5ng quan h\u1ec7 th\u1ed1ng t\u1eeb 14 nghi\u00ean c\u1ee9u, ng\u01b0\u1eddi ta k\u1ebft lu\u1eadn r\u1eb1ng nh\u1eefng r\u0103ng ch\u1ebft t\u1ee7y kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p th\u00ec c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao h\u01a1n g\u1ea5p 1.95 l\u1ea7n so v\u1edbi r\u0103ng ch\u1ebft t\u1ee7y c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. C\u00f2n \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb t\u1ee7y l\u1ea1i, m\u1ed9t b\u00e0i t\u1ed5ng quan h\u1ec7 th\u1ed1ng kh\u00e1c d\u1ef1a tr\u00ean 8 nghi\u00ean c\u1ee9u k\u1ebft lu\u1eadn r\u1eb1ng r\u0103ng ch\u1ebft t\u1ee7y kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao g\u1ea5p 6.32 l\u1ea7n so v\u1edbi r\u0103ng ch\u1ebft t\u1ee7y c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p. Nh\u01b0 v\u1eady, c\u00f3 v\u1ebb nh\u01b0 s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a b\u1ec7nh l\u00fd m\u00f4 quanh ch\u00f3p c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a nh\u1eefng ca \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i h\u01a1n l\u00e0 nh\u1eefng ca \u0111i\u1ec1u tr\u1ecb m\u1edbi.<\/p>\n

K\u00edch th\u01b0\u1edbc c\u1ee7a t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p<\/strong><\/p>\n

M\u1ed9t b\u00e0i vi\u1ebft t\u1ed5ng h\u1ee3p c\u00e1c k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb t\u1ee7y l\u1ea7n \u0111\u1ea7u kh\u00f4ng t\u00ecm th\u1ea5y s\u1ef1 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng ghi nh\u1eadn n\u00e0o c\u1ee7a k\u00edch th\u01b0\u1edbc t\u1ed5n th\u01b0\u01a1ng (>5 ho\u1eb7c <5 mm) l\u00ean k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean m\u1ed9t b\u00e0i t\u1ed5ng h\u1ee3p kh\u00e1c v\u1ec1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ee7y l\u1ea1i th\u00ec nh\u1eadn th\u1ea5y r\u0103ng v\u1edbi t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p 25 mm l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng so v\u1edbi r\u0103ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng <5 mm.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc<\/strong><\/p>\n

Kho\u1ea3ng th\u1eddi gian gi\u1eefa l\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean v\u00e0 l\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u1ee9 2:<\/em><\/span> D\u1ef1a tr\u00ean nh\u1eefng b\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3 th\u00ec kho\u1ea3ng th\u1eddi gian gi\u1eefa l\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean v\u1edbi l\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u1ee9 2 d\u01b0\u1eddng nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng l\u1eafm \u0111\u1ebfn th\u00e0nh c\u00f4ng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i. Tuy nhi\u00ean, y\u1ebfu t\u1ed1 n\u00e0y n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t c\u1ea9n th\u1eadn v\u00ec th\u1eddi gian ch\u00ednh x\u00e1c c\u1ee7a l\u1ea7n \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u th\u01b0\u1eddng kh\u00f3 x\u00e1c \u0111\u1ecbnh.<\/p>\n

Ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a l\u1ea7n \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u1ea7u ti\u00ean:<\/span><\/em> Theo nh\u01b0 m\u1ed9t nghi\u00ean c\u1ee9u, ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a v\u1eadt li\u1ec7u tr\u00e1m b\u00edt tr\u01b0\u1edbc kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i. Tuy nhi\u00ean, m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c l\u1ea1i nh\u1eadn th\u1ea5y trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb th\u00ec \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i th\u00e0nh c\u00f4ng v\u1edbi ch\u1ea5t l\u01b0\u1ee3ng tr\u00e1m b\u00edt t\u1ed1t tr\u01b0\u1edbc \u0111\u00f3 (c\u00e1ch ch\u00f3p r\u0103ng tr\u00ean phim t\u1eeb 0 \u2013 2 mmm v\u00e0 kh\u00f4ng c\u00f3 k\u1ebd h\u1edf) cao h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi r\u0103ng c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng tr\u00e1m b\u00edt k\u00e9m. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u00e3 \u0111\u00e1nh gi\u00e1 c\u00f9ng m\u1ed9t y\u1ebfu t\u1ed1, nh\u01b0ng k\u1ebft qu\u1ea3 kh\u00f4ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea sau khi \u0111i\u1ec1u ch\u1ec9nh k\u1ebft qu\u1ea3 do s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng quanh ch\u00f3p.<\/p>\n

D\u1ecb v\u1eadt trong \u1ed1ng t\u1ee7y:<\/span><\/em> V\u1edbi tr\u01b0\u1eddng h\u1ee3p d\u1ecb v\u1eadt trong \u1ed1ng t\u1ee7y th\u00ec c\u00e1c k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u r\u1ea5t kh\u00e1c nhau. D\u01b0\u1eddng nh\u01b0 d\u1ecb v\u1eadt trong \u1ed1ng t\u1ee7y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i n\u1ebfu nh\u01b0 n\u00f3 ng\u0103n c\u1ea3n vi\u1ec7c s\u1eeda so\u1ea1n c\u01a1 \u2013 h\u00f3a h\u1ecdc t\u1eeb \u0111o\u1ea1n ch\u00f3p cho \u0111\u1ebfn v\u1ecb tr\u00ed d\u1ecb v\u1eadt. \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p n\u1ed9i nha l\u1ea1i, ng\u01b0\u1eddi ta cho r\u1eb1ng mi\u1ec5n l\u00e0 \u0111o\u1ea1n t\u1eadn c\u00f9ng c\u1ee7a \u1ed1ng t\u1ee7y v\u1eabn \u0111\u01b0\u1ee3c b\u1ecbt k\u00edn th\u00ec t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi d\u1ecb v\u1eadt, cho d\u00f9 n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf hay \u0111\u00e3 \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qua.<\/p>\n

Th\u1ee7ng ch\u00e2n r\u0103ng tr\u01b0\u1edbc \u0111\u00f3:<\/span><\/em> Trong m\u1ed9t b\u00e0i vi\u1ebft t\u1ed5ng h\u1ee3p, ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y ch\u00e2n r\u0103ng b\u1ecb th\u1ee7ng \u1edf l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i l\u00ean \u0111\u1ebfn 32% so v\u1edbi r\u0103ng kh\u00f4ng b\u1ecb th\u1ee7ng.<\/p>\n

T\u00ecnh tr\u1ea1ng m\u00f4 nha chu<\/strong><\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu khi\u1ebfn cho r\u0103ng \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha ph\u1ea3i b\u1ecb nh\u1ed5 b\u1ecf th\u01b0\u1eddng kh\u00f4ng ph\u1ea3i l\u00e0 do k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha th\u1ea5t b\u1ea1i, m\u00e0 l\u00e0 do th\u1ea5t b\u1ea1i c\u1ee7a ph\u1ee5c h\u1ed3i ho\u1eb7c b\u1ec7nh l\u00fd m\u00f4 nha chu. \u1ede m\u1ed9t nghi\u00ean c\u1ee9u, s\u1ef1 n\u00e2ng \u0111\u1ee1 c\u1ee7a b\u1edd x\u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u1ea5y l\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb. Setzer c\u0169ng nh\u1eadn th\u1ea5y m\u1ed1i t\u01b0\u01a1ng quan c\u00f3 \u00fd ngh\u0129a gi\u1eefa s\u1ef1 m\u1ea5t b\u00e1m d\u00ednh c\u1ee7a r\u0103ng v\u1edbi nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t l\u1ee3i tr\u00ean c\u00e1c r\u0103ng c\u1ed1i l\u1edbn. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c nh\u1eadn th\u1ea5y r\u0103ng b\u1ecb n\u1ee9t g\u00e3y v\u1edbi t\u00fai nha chu s\u00e2u >3 mm c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u1ed3n t\u1ea1i l\u00e2u d\u00e0i c\u1ee7a r\u0103ng. Nh\u1eefng ph\u00e1t hi\u1ec7n n\u00e0y nh\u1ea5n m\u1ea1nh s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u00f4 nha chu tr\u01b0\u1edbc khi \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":"

B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu, bao g\u1ed3m lo\u1ea1i r\u0103ng, s\u1ed1 l\u01b0\u1ee3ng ch\u00e2n r\u0103ng, ti\u1ebfp x\u00fac m\u1eb7t b\u00ean v\u00e0 y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m t\u00ecnh tr\u1ea1ng m\u00f4 tu\u1ef7, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, t\u00ecnh tr\u1ea1ng m\u00f4 quanh ch\u00f3p, nha chu v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn l\u1ea7n \u0111i\u1ec1u tr\u1ecb […]<\/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":"\nTi\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd tu\u1ef7 - Gi\u1ea3i ph\u1eabu v\u00e0 y\u1ebfu t\u1ed1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec1 c\u1eadp y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh l\u00fd tu\u1ef7. 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