{"id":2855,"date":"2023-04-09T20:56:03","date_gmt":"2023-04-09T13:56:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2855"},"modified":"2023-04-14T14:44:39","modified_gmt":"2023-04-14T07:44:39","slug":"dai-cuong-thay-khop-vai-toan-phan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/","title":{"rendered":"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n"},"content":{"rendered":"<p><strong>Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh tho\u00e1i h\u00f3a kh\u1edbp vai, ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Ph\u01b0\u01a1ng ph\u00e1p thay kh\u1edbp vai to\u00e0n ph\u1ea7n n\u00e0y \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS.TS. Tr\u1ea7n Trung D\u0169ng, <span class=\"BodyText1\">TS. \u0110\u1ed7 V\u0103n Minh, ThS. L\u00ea Kh\u00e1nh Tr\u00ecnh, ThS. Nguy\u1ec5n Anh \u0110\u1ee9c, ThS. Nguy\u1ec5n Trung V\u00e3n, ThS. Tr\u1ea7n \u0110\u1ee9c Tu\u1ea5n, BsCKII. V\u0169 Quang Ngh\u0129a<\/span><\/p>\n<h1>1.S\u1ef1 t\u01b0\u01a1ng quan gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n gi\u1ea3i ph\u1eabu<\/h1>\n<p>M\u1ed1i li\u00ean quan gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay bao g\u1ed3m: \u0110\u1ed9 d\u00e0y c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, b\u00e1n k\u00ednh ch\u1ecfm, g\u00f3c c\u1ed5 th\u00e2n, offset c\u1ee7a ch\u1ecfm, offset \u1ed5 ch\u1ea3o-x\u01b0\u01a1ng c\u00e1nh tay, kho\u1ea3ng c\u00e1ch t\u1eeb c\u1ee7 l\u1edbn \u0111\u1ebfn m\u1ecfm c\u00f9ng vai, kho\u1ea3ng c\u00e1ch t\u1eeb c\u1ee7 l\u1edbn \u0111\u1ebfn ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, b\u00e1n k\u00ednh c\u1ee7a \u00f4 ch\u1ea3o, k\u00edch th\u01b0\u1edbc \u00f4 ch\u1ea3o, \u0111\u1ed9 xoay c\u1ee7a \u1ed5 ch\u1ea3o, offset c\u1ee7a \u1ed5 ch\u1ea3o. Ph\u1ee5c h\u1ed3i t\u1ea7m xoay c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay li\u00ean quan \u0111\u1ebfn tr\u1ee5c c\u1ee7a th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 trong vi\u1ec7c k\u00e9o d\u00e0i \u0111\u1ed9 b\u1ec1n c\u1ee7a c\u1ee7a \u1ed5 ch\u00e1o nh\u00e2n t\u1ea1o ho\u1eb7c gi\u1ea3m s\u1ef1 m\u00e0i m\u00f2n c\u1ee7a polyethylene.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-2859\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-09-203455-300x152.png\" alt=\"kh\u1edbp vai to\u00e0n ph\u1ea7n\" width=\"385\" height=\"195\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-09-203455-300x152.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-09-203455.png 688w\" sizes=\"(max-width: 385px) 100vw, 385px\" \/>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0G\u00f3c ng\u1ea3 sau c\u1ee7a ch\u1ec9m x\u01b0\u01a1ng c\u00e1nh tay trung b\u00ecnh t\u1eeb 20-30 \u0111\u1ed9, v\u1edbi bi\u00ean \u0111\u1ed9 dao \u0111\u1ed9ng r\u1ed9ng kh\u1ea3ng t\u1eeb 0 \u0111\u1ebfn 55 \u0111\u1ed9 . \u0110\u1ea9u g\u1ea7n v\u00e0 tr\u1ee5c \u0111\u1ea7u xa \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ecbnh ngh\u0129a g\u00f3c ng\u1ea3 sau v\u00e0 c\u1ecf nhi\u1ec1u bi\u1ebfn th\u1ec3. \u0110\u1ed1i v\u1edbi tham chi\u1ebfu tr\u1ee5c \u0111\u1ea7u g\u1ea7n, th\u00ec m\u1eb7t ph\u1eb3ng c\u00f9a b\u1ec1 m\u1eb7t kh\u1edbp, \u0111\u01b0\u1eddng th\u1eb3ng n\u1ed1i t\u00e2m xoay v\u00e0 \u0111i\u1ec3m trung t\u00e2m c\u1ee7a b\u1ed3 m\u1eb7t kh\u1edbp, \u0111\u01b0\u1eddng th\u1eb3ng n\u1ed1i k\u1ebb t\u1eeb c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay t\u1edbi \u0111i\u1ec3m trung t\u00e2m c\u1ee7a b\u1ec1 m\u1eb7t kh\u1edbp \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh g\u00f3c ng\u1ea3 sau. \u0110\u1ed1i v\u1edbi tham chi\u1ebfu tr\u1ee5c \u0111\u1ea7u xa th\u00ec tr\u1ee5c c\u1ee7a r\u00f2ng r\u1ecdc (\u0111\u01b0\u1eddng th\u1eb3ng n\u1ed1i gi\u1eefa hai l\u1ed3i c\u1ea7u) v\u00e0 c\u1eb3ng tay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ebf x\u00e1c \u0111\u1ecbnh g\u00f3c ng\u1ea3 sau.<\/p>\n<p>S\u1ef1 nghi\u00eang c\u1ee7a b\u1ec1 m\u1eb7t ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay v\u1edbi th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 g\u00f3c ch\u1ecfm-th\u00e2n c\u00f3 gi\u00e1 tr\u1ecb trung b\u00ecnh 45 \u0111\u1ed9 (\u00b15 \u0111\u1ed9) dao \u0111\u1ed9ng t\u1eeb 30-55 \u0111\u1ed9. Tr\u00ean c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean phim CT c\u0169ng cho th\u1ea5y v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng c\u00f9a b\u1ec1 m\u1eb7t kh\u1edbp li\u00ean quan \u0111\u1ebfn tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng b\u1ea3 vai, dao \u0111\u1ed9ng t\u1eeb ng\u1ea3 tr\u01b0\u1edbc 2 \u0111\u1ed9 \u0111\u1ebfn ng\u1ea3 sau 7 \u0111\u1ed9.<\/p>\n<p>Kho\u1ea3ng c\u00e1ch t\u1eeb b\u1edd ph\u00eda tr\u00ean nh\u1ea5t c\u1ee7a b\u1ec1 m\u1eb7t kh\u1edbp ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay \u0111\u1ebfn b\u1edd ph\u00eda tr\u00ean nh\u1ea5t c\u1ee7a c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay, th\u01b0\u1eddng t\u1eeb 8-10 mm (EF)<\/p>\n<p>Kho\u1ea3ng c\u00e1ch t\u1eeb b\u1edd ngo\u00e0i c\u00f9a n\u1ec1n m\u1ecfm qu\u1ea1 \u0111\u1ebfn b\u1edd ngo\u00e0i c\u1ee7a m\u1ea5u \u0111\u1ed9ng l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay g\u1ecdi l\u00e0 oiTset ngo\u00e0i c\u00e1nh tay. (FH)<\/p>\n<p>Duy tr\u00ec \u0111\u01b0\u1ee3c c\u00e1c kho\u1ea3ng c\u00e1ch n\u00e0y\u00a0 r\u1ea5t quan tr\u1ecdng b\u1edfi v\u00ec s\u1ef1 gi\u1ea3m r\u00f5 r\u1ec7t c\u00e1nh tay \u0111\u00f2n c\u1ee7a c\u01a1 Delta v\u00e0 c\u01a1 tr\u00ean gai s\u1ebd l\u00e0m suy y\u1ebfu ch\u1ee9c n\u0103ng gi\u1ea1ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng. S\u1ef1 gia t\u0103ng \u0111\u00e1ng k\u1ec3 s\u1ebd g\u00e2y ra c\u0103ng qu\u00e1 m\u1ee9c c\u1ee7a ph\u1ea7n m\u1ec1m bao quanh kh\u1edbp \u0111i\u1ec1u n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn m\u1ea5t chuy\u1ec3n \u0111\u1ed9ng. Vi\u1ec7c kh\u00f4i ph\u1ee5c gi\u1ea3i ph\u1eabu c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, s\u1ef1 thay \u0111\u1ed5i c\u1ee7a c\u00e1c th\u00f4ng s\u1ed1 n\u00ean n\u1eb1m trong kho\u1ea3ng 4mm \u0111\u1ec3 gi\u1ea3m s\u1ef1 c\u1ecd s\u00e1t v\u1edbi khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng, t\u1ed1i \u0111a t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp \u1ed5 ch\u1ea3o c\u00e1nh tay v\u00e0 ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng c\u01a1 sinh h\u1ecdc b\u00ecnh th\u01b0\u1eddng. S\u1ef1 t\u0103ng k\u00edch th\u01b0\u1edbc ch\u1ecfm (d\u00e0y l\u00ean) kho\u1ea3ng 5mm s\u1ebd cho gi\u1ea3m t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp \u1ed5 ch\u1ea3o &#8211; c\u00e1nh tay 20-30 \u0111\u1ed9<\/p>\n<p>Ngo\u00e0i c\u00e1c th\u00e0nh ph\u1ea7n n\u00eau tr\u00ean th\u00ec c\u00e1c c\u1ea5u tr\u00fac d\u00e2y ch\u1eb1ng c\u0169ng c\u00f3 ph\u1ea7n quan tr\u1ecdng trong ph\u1eabu thu\u1eadt thay kh\u1edbp vai to\u00e0n ph\u1ea7n, bao g\u1ed3m d\u00e2y ch\u1eb1ng qu\u1ea1 &#8211; m\u1ecfm c\u00f9ng vai, c\u00e1c d\u00e2y ch\u1eb1ng \u1ed5 ch\u1ea3o c\u00e1nh tay.<\/p>\n<h2>2. Chi \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p><strong>2.1.Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh thay kh\u1edbp vai to\u00e0n ph\u1ea7n ch\u00ednh tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb tho\u00e1i ho\u00e1 kh\u1edbp vai \u1edd giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 g\u00e2n ch\u00f3p xoay kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong m\u1ed9t s\u1ed1 b\u1ec7nh c\u1ea3nh:<\/p>\n<ul>\n<li>Tho\u00e1i h\u00f3a kh\u1edbp vai nguy\u00ean ph\u00e1t: \u0110\u00e0y l\u00e0 ch\u1ec9 \u0111\u1ecbnh ch\u1ee7 y\u1ebfu, ch\u1ec9 \u0111\u1ecbnh n\u00e0y chi\u1ebfm h\u01a1n n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n thay kh\u1edbp vai t\u1ea1i c\u00e1c trung t\u00e2m l\u1edbn.<\/li>\n<li><a href=\"https:\/\/vinmec.com\/vi\/benh\/viem-khop-dang-thap-3285\/\">Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/a>: L\u00e0 b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y vi\u00eam kh\u1edbp, 60 &#8211; 90% b\u1ec7nh nh\u00e2n vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p ti\u1ebfn tri\u1ec3n th\u00e0nh vi\u00eam kh\u1edbp vai, v\u00e0 c\u00f3 kho\u1ea3ng 12 % tr\u00ean t\u1ed3ng s\u1ed1 ph\u1ea3i ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt thay kh\u1edbp vai.<\/li>\n<li>Ho\u1ea1i t\u1eed v\u00f4 khu\u1ea9n x\u01b0\u01a1ng ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay<\/li>\n<li>Tho\u00e1i ho\u00e1 kh\u1edbp vai sau tr\u1eadt kh\u1edbp<\/li>\n<li>Tho\u00e1i h\u00f3a kh\u1edbp vai sau ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<li>M\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c nh\u01b0: Paget, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp, Vi\u00eam kh\u1edbp v\u1ea9y n\u1ebfn, lupus ban \u0111\u1ecf, x\u01a1 c\u1ee9ng b\u00ec&#8230;.<\/li>\n<\/ul>\n<p><strong>2.1.Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<ul>\n<li>Kh\u00f4ng \u0111\u1ee7 s\u1ee9c kh\u1ecfe ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt.<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng<\/li>\n<li>Li\u1ec7t th\u1ea7n kinh n\u00e1ch.<\/li>\n<li>Li\u1ec7t th\u1ea7n kinh tr\u00ean vai.<\/li>\n<li>R\u00e1ch ch\u00f3p xoay.<\/li>\n<li>Thi\u1ebfu x\u01b0\u01a1ng c\u00e1nh tay l\u1edbn.<\/li>\n<li>Thi\u1ebfu x\u01b0\u01a1ng \u1ed5 ch\u1ea3o l\u1edbn.<\/li>\n<li>\u0110\u00f4ng c\u1ee9ng kh\u1edbp vai.<\/li>\n<li>B\u1ec7nh nh\u00e2n li\u1ec7t bao g\u1ed3m c\u1ea3 m\u1ea5t ch\u1ee9c n\u0103ng c\u1ee7a c\u01a1 Delta, b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng v\u1eadt li\u1ec7u thay th\u1ec3 kh\u1edbp.<\/li>\n<\/ul>\n<h3>3.\u0110\u00e1nh gi\u00e1 tr\u01b0\u1edbc m\u1ed5 thay kh\u1edbp vai to\u00e0n ph\u1ea7n<\/h3>\n<p><strong>3.1.B\u1ec7nh s\u1eed<\/strong><\/p>\n<ul>\n<li>Xem l\u1ea1i v\u1ec1 b\u1ec7nh s\u1eed v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u khi\u1ebfn b\u1ec7nh nh\u00e2n than phi\u1ec1n \u0111\u1eb7c bi\u1ec7t v\u1ec1 vai, m\u1ee9c \u0111\u1ed9 c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng , th\u1eddi gian c\u1ee7a tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<li>C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed5 c\u00f3 th\u1ec3 l\u00e0m cho ph\u1eabu thu\u1eadt tr\u1edd n\u00ean kh\u00f3 kh\u0103n h\u01a1n nh\u01b0 s\u1eed d\u1ee5ng l\u00e2u d\u00e0i c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t m\u00e1u nhi\u1ec1u trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt v\u00ec v\u1eady c\u00e1c thu\u1ed1c n\u00e0y n\u00ean ng\u01b0ng m\u1ed9t tu\u1ea7n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 l\u1ea1i c\u00e1c ph\u1eabu thu\u1eadt tr\u01b0\u1edbc \u0111\u00e2y \u0111\u1eb7c bi\u1ec7t l\u00e0 lo\u1ea1i ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n \u0111\u1ebfn qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt thay kh\u1edbp.<\/li>\n<li>B\u1ea5t k\u1ef3 c\u00e1c tri\u1ec7u ch\u1eedng n\u00e0o v\u1ec1 nhi\u1ec5m tr\u00f9ng, \u0111\u1eb7c bi\u1ec7t tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1ea3i qua ph\u1eabu thu\u1eadt ho\u1eb7c b\u1ecb nhi\u1ec5m tr\u00f9ng. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ecb nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt v\u1ec1 vai ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd nhi\u1ec5m tr\u00f9ng (s\u1ed1t, n\u00f3ng, \u0111\u1ecf) th\u00ec c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra, \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li>\n<li>C\u00e1c b\u1ec7nh m\u1ea1n t\u00ednh nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, tim m\u1ea1ch.<\/li>\n<\/ul>\n<p><strong>3.2.Kh\u00e1m l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c kh\u00e1m kh\u1edbp vai tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u1ec1 t\u1ea7m v\u1eadn \u0111\u1ed9ng, s\u1ee9c c\u01a1 ch\u00f3p xoay<\/p>\n<ul>\n<li>T\u1ea7m v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u0111\u1ed9ng v\u00e0 th\u1ee5 \u0111\u1ed9ng c\u1ee7a vai \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 ghi ch\u00e9p l\u1ea1i c\u1ea9n th\u1eadn bao g\u1ed3m: N\u00e2ng, d\u1ea1ng, xoay ngo\u00e0i v\u1edbi c\u00e1nh tay s\u00e1t th\u00e2n, xoay ngo\u00e0i v\u1edbi c\u00e1nh tay d\u1ea1ng 90 \u0111\u1ed9, xoay trong c\u00e1nh tay \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi m\u1ee9c c\u1ed9t s\u1ed1ng v\u1edbi t\u1edbi v\u1edbi ng\u00f3n tay c\u00e1i dang r\u1ed9ng.<\/li>\n<\/ul>\n<ul>\n<li>Kh\u00e1m c\u01a1 ch\u00f3p xoay: tham kh\u1ea3o b\u00e0i r\u00e1ch ch\u00f3p xoay.<\/li>\n<\/ul>\n<p><strong>3.3. X-quang<\/strong><\/p>\n<p>B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 xem x\u00e9t c\u1ea9n th\u1eadn v\u1ec1 X-quang tr\u00ean c\u00e1c t\u01b0 th\u1ebf tr\u01b0\u1edbc sau (v\u1edbi c\u00e1nh tay t\u01b0 th\u1ec3 trung t\u00ednh), t\u01b0 th\u1ebf n\u00e1ch, t\u01b0 the outlet (outlet view)<\/p>\n<ul>\n<li>X-q\u01b0ang t\u01b0 th\u1ebf tr\u01b0\u1edbc sau \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kho\u1ea3ng c\u00e1ch kh\u1edbp \u1ed5 ch\u1ea3o c\u00e1nh tay, t\u00ecnh tr\u1ea1ng tho\u00e1i ho\u00e1 hi\u1ec7n t\u1ea1i c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 \u1ed5 ch\u1ea3o, k\u00edch th\u01b0\u1edbc c\u1ee7a \u1ed1ng tu\u1ef7 x\u01b0\u01a1ng c\u00e1nh tay, v\u00e0 b\u1ea5t k\u1ef3 s\u1ef1 d\u1ecb d\u1ea1ng v\u1ec1 tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng c\u00e1nh tay.<\/li>\n<li>X-quang t\u01b0 th\u1ebf n\u00e1ch th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kho\u1ea3ng c\u00e1ch kh\u1edbp vai, s\u1ef1 b\u00e1n tr\u1eadt ra tr\u01b0\u1edbc ho\u1eb7c ra sau c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, t\u00ecnh tr\u1ea1ng x\u01b0\u01a1ng bao quanh b\u1edd \u1ed5 ch\u1ea3o.<\/li>\n<li>X-quang x\u01b0\u01a1ng b\u1ea3 vai t\u01b0 th\u1ebf outlet th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u00e1n tr\u1eadt c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, b\u1ea5t th\u01b0\u1eddng v\u1ec1 tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng c\u00e1nh tay.<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u1ea3n h\u00ecnh \u1ea3nh kh\u00e1c nh\u01b0 MRI, CT c\u0169ng hay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc m\u1ed5 tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n thay kh\u1edbp vai \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 tinh tr\u1ea1ng g\u00e2n ch\u00f3p xoay, h\u00ecnh th\u00e1i \u1ed5 ch\u1ea3o v\u00e0 ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay, k\u00edch th\u01b0\u1edbc \u1ed5 ch\u1ea3o v\u00e0 \u1ed1ng tu\u1ef7 x\u01b0\u01a1ng c\u00e1nh tay qua \u0111\u00f3 c\u00f3 th\u1ec3 d\u1ef1 t\u00ednh tr\u01b0\u1edbc k\u00edch th\u01b0\u1edbc th\u1eadt c\u1ee7a kh\u1edbp nh\u00e2n t\u1ea1o.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh tho\u00e1i h\u00f3a kh\u1edbp vai, ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng c\u00e1nh tay khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Ph\u01b0\u01a1ng ph\u00e1p thay kh\u1edbp vai to\u00e0n ph\u1ea7n n\u00e0y \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft [&hellip;]<\/p>\n","protected":false},"author":36,"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>\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n - Vinmec<\/title>\n<meta name=\"description\" content=\"Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u00e0 kh\u00e1 tuy\u1ec7t v\u1eddi, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.\" \/>\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=\"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u00e0 kh\u00e1 tuy\u1ec7t v\u1eddi, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-09T13:56:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T07:44:39+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-09-203455-300x152.png\" \/>\n<meta name=\"author\" content=\"Yen Vu Thi Hoang\" \/>\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 Vu Thi Hoang\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/\",\"name\":\"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-09T13:56:03+00:00\",\"dateModified\":\"2023-04-14T07:44:39+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/8d5d41fc2e592b344d41a53ca743075b\"},\"description\":\"Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u00e0 kh\u00e1 tuy\u1ec7t v\u1eddi, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n\"}]},{\"@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\/8d5d41fc2e592b344d41a53ca743075b\",\"name\":\"Yen Vu Thi Hoang\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/bdc1db352f58bafd71a0ff474b0f8b0a?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/bdc1db352f58bafd71a0ff474b0f8b0a?s=96&d=mm&r=g\",\"caption\":\"Yen Vu Thi Hoang\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/vonotinhthuygmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n - Vinmec","description":"Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u00e0 kh\u00e1 tuy\u1ec7t v\u1eddi, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.","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":"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n - Vinmec","og_description":"Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u00e0 kh\u00e1 tuy\u1ec7t v\u1eddi, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/","og_site_name":"Vinmec","article_published_time":"2023-04-09T13:56:03+00:00","article_modified_time":"2023-04-14T07:44:39+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-09-203455-300x152.png"}],"author":"Yen Vu Thi Hoang","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Yen Vu Thi Hoang","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/","name":"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-09T13:56:03+00:00","dateModified":"2023-04-14T07:44:39+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/8d5d41fc2e592b344d41a53ca743075b"},"description":"Thay kh\u1edbp vai to\u00e0n ph\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3. Thay kh\u1edbp vai to\u00e0n ph\u1ea7n \u00edt ph\u1ed5 bi\u1ebfn nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 k\u1ebft qu\u00e0 kh\u00e1 tuy\u1ec7t v\u1eddi, l\u00e0m gi\u1ea3m v\u00e0 h\u1ebft \u0111au v\u00f9ng vai, ph\u1ee5c h\u1ed3i l\u1ea1i ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng kh\u1edbp vai b\u1ecb vi\u00eam, tho\u00e1i ho\u00e1.","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dai-cuong-thay-khop-vai-toan-phan\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"\u0110\u1ea1i c\u01b0\u01a1ng thay kh\u1edbp vai to\u00e0n ph\u1ea7n"}]},{"@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\/8d5d41fc2e592b344d41a53ca743075b","name":"Yen Vu Thi Hoang","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/bdc1db352f58bafd71a0ff474b0f8b0a?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/bdc1db352f58bafd71a0ff474b0f8b0a?s=96&d=mm&r=g","caption":"Yen Vu Thi Hoang"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/vonotinhthuygmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/2855"}],"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\/36"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=2855"}],"version-history":[{"count":7,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/2855\/revisions"}],"predecessor-version":[{"id":3039,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/2855\/revisions\/3039"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=2855"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=2855"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=2855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}