{"id":28622,"date":"2023-04-26T17:10:31","date_gmt":"2023-04-26T10:10:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28622"},"modified":"2023-05-01T23:47:50","modified_gmt":"2023-05-01T16:47:50","slug":"noi-nha-khong-phau-thuat-lan-dau-tien-luong-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/noi-nha-khong-phau-thuat-lan-dau-tien-luong-va-dieu-tri\/","title":{"rendered":"N\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u &#8211; Ti\u00ean l\u01b0\u1ee3ng v\u00e0 \u0111i\u1ec1u tr\u1ecb."},"content":{"rendered":"<p><strong>K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u\u00a0 \u0111\u00e1ng quan t\u00e2m: M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nh\u1eefng c\u01a1n \u0111au do n\u1ed9i nha tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 trong v\u00f2ng 1 ng\u00e0y sau \u0111i\u1ec1u tr\u1ecb, v\u00e0 gi\u1ea3m xu\u1ed1ng m\u1ee9c th\u1ea5p nh\u1ea5t sau m\u1ed9t tu\u1ea7n, t\u1ec9 l\u1ec7 than phi\u1ec1n th\u01b0\u1eddng th\u1ea5p, chi ph\u00ed th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u v\u00e0 ph\u1ee5c h\u1ed3i c\u0169ng th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3&#8230; C\u00f9ng t\u00ecm hi\u1ec3u ti\u00ean l\u01b0\u1ee3ng v\u00e0 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/strong><\/p>\n<h2>1. C\u00e1c k\u1ebft qu\u1ea3 tr\u00ean b\u1ec7nh nh\u00e2n c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u<\/h2>\n<p>B\u1ec7nh nh\u00e2n l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u \u0111\u1ec3 gi\u1eef l\u1ea1i r\u0103ng, duy tr\u00ec v\u1ebb \u0111\u1eb9p t\u1ef1 nhi\u00ean c\u1ee7a n\u1ee5 c\u01b0\u1eddi v\u00e0 \u0111\u1ec3 l\u00e0m gi\u1ea3m \u0111au. M\u1ed9t b\u00e0i \u0111\u00e1nh gi\u00e1 t\u1ed5ng quan g\u1ea7n \u0111\u00e2y cho th\u1ea5y m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nh\u1eefng c\u01a1n \u0111au do n\u1ed9i nha tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 trong v\u00f2ng 1 ng\u00e0y sau \u0111i\u1ec1u tr\u1ecb, v\u00e0 gi\u1ea3m xu\u1ed1ng m\u1ee9c th\u1ea5p nh\u1ea5t sau 1 tu\u1ea7n. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, t\u1ec9 l\u1ec7 \u0111au c\u0169ng gi\u1ea3m xu\u1ed1ng trong v\u00f2ng 1 tu\u1ea7n. M\u1ed9t t\u1ec9 l\u1ec7 l\u1edbn b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u s\u1eb5n l\u00f2ng l\u1ef1a ch\u1ecdn th\u1ee7 thu\u1eadt n\u00e0y m\u1ed9t l\u1ea7n n\u1eefa. X\u1ebfp h\u1ea1ng \u0111\u1ed9 h\u00e0i l\u00f2ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha n\u00f3i chung l\u00e0 r\u1ea5t cao. T\u1ec9 l\u1ec7 than phi\u1ec1n th\u01b0\u1eddng th\u1ea5p. Chi ph\u00ed th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u v\u00e0 ph\u1ee5c h\u1ed3i c\u0169ng th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi vi\u1ec7c thay th\u1ebf r\u0103ng m\u1ea5t b\u1eb1ng implant \u0111\u01a1n l\u1ebb ho\u1eb7c ph\u1ee5c h\u00ecnh c\u1ed1 \u0111\u1ecbnh.<\/p>\n<h2>2. C\u00e1c ch\u1ec9 s\u1ed1 ti\u00ean l\u01b0\u1ee3ng c\u1ee7a qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p>C\u1ea7n ph\u1ea3i hi\u1ec3u r\u1eb1ng c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 ch\u1ec9 s\u1ed1 ti\u00ean l\u01b0\u1ee3ng s\u1eed d\u1ee5ng nh\u1eefng ti\u00eau chu\u1ea9n X quang nghi\u00eam ng\u1eb7t nh\u01b0 c\u1ee7a Strindberg ho\u1eb7c Orstavik ch\u1ec9 l\u00e0 nghi\u00ean c\u1ee9u tr\u00ean c\u00e1c ch\u1ec9 s\u1ed1 ti\u00ean l\u01b0\u1ee3ng ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 k\u1ebft qu\u1ea3 tr\u00ean b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y \u0111\u00e3 gi\u00fap c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1 h\u1ed9i l\u00e0nh th\u01b0\u01a1ng cao hay th\u1ea5p sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u.<\/p>\n<p>H\u1ea7u h\u1ebft c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean b\u1ec7nh nh\u00e2n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u. V\u00ed d\u1ee5 tu\u1ed5i cao v\u00e0 t\u00ecnh tr\u1ea1ng HIV kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng. Tuy nhi\u00ean, b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 li\u1ec7u ph\u00e1p steroid c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ti\u00ean l\u01b0\u1ee3ng. R\u0103ng t\u1ee7y s\u1ed1ng th\u00ec ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n r\u0103ng ho\u1ea1i t\u1eed t\u1ee7y. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a v\u00f9ng th\u1ea5u quang quanh ch\u00f3p c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ti\u00ean l\u01b0\u1ee3ng; t\u01b0\u01a1ng t\u1ef1 s\u1ef1 v\u1eafng m\u1eb7t th\u1ea5u quang th\u00ec l\u00e0m t\u0103ng ti\u00ean l\u01b0\u1ee3ng. Ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1ea5t nhi\u00ean l\u00e0 kh\u00f4ng ph\u1ea3i b\u00e0n c\u00e3i.<\/p>\n<p>\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u c\u00f3 th\u1ec3 mang l\u1ea1i l\u1ee3i \u00edch cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ea3y m\u00e1u, b\u1ec7nh nh\u00e2n \u0111\u00e3 x\u1ea1 tr\u1ecb \u0111\u1ea7u v\u00e0 c\u1ed5 ho\u1eb7c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb bisphosphonate li\u1ec1u cao v\u00ec c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng nguy c\u01a1 khi nh\u1ed5 r\u0103ng v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u1eabu thu\u1eadt kh\u00e1c bao g\u1ed3m c\u1eafm implant.<\/p>\n<p>N\u00f3i chung, c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean b\u1ec7nh nh\u00e2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u th\u01b0\u1eddng \u00edt, v\u00ec t\u00e1c \u0111\u1ed9ng c\u1ee7a ch\u00fang th\u01b0\u1eddng ch\u1ec9 \u1edf m\u1ee9c v\u1eeba ph\u1ea3i.<\/p>\n<h2>3. \u0110i\u1ec1u tr\u1ecb n\u1ed9i nha v\u1edbi r\u0103ng kh\u00f4ng l\u00e0nh th\u01b0\u01a1ng<\/h2>\n<p>Ph\u1ea7n l\u1edbn c\u00e1c r\u0103ng \u0111i\u1ec1u tr\u1ecb \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u \u0111\u1ec1u l\u00e0nh th\u01b0\u01a1ng m\u00e0 kh\u00f4ng c\u1ea7n b\u1ea5t c\u1ee9 s\u1ef1 can thi\u1ec7p n\u00e0o, nh\u01b0ng c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha b\u1ed5 tr\u1ee3 c\u00f3 th\u1ec3 cung c\u1ea5p m\u1ed9t h\u1ec7 th\u1ed1ng \u0111i\u1ec1u tr\u1ecb an to\u00e0n. Ch\u00fang ch\u1ee7 y\u1ebfu bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt, ph\u1eabu thu\u1eadt n\u1ed9i nha, tr\u1ed3ng l\u1ea1i r\u0103ng c\u00f3 ch\u1ee7 \u0111\u00edch v\u00e0 c\u1eafm gh\u00e9p r\u0103ng t\u1ef1 th\u00e2n.<\/p>\n<figure id=\"attachment_28632\" aria-describedby=\"caption-attachment-28632\" style=\"width: 1169px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-28632\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-473.png\" alt=\"dieu-tri-noi-nha-khong-phau-thuat-lan-dau-1\" width=\"1169\" height=\"837\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-473.png 1169w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-473-300x215.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-473-1024x733.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Untitled-473-768x550.png 768w\" sizes=\"(max-width: 1169px) 100vw, 1169px\" \/><figcaption id=\"caption-attachment-28632\" class=\"wp-caption-text\">S\u01a1 \u0111\u1ed3 lu\u1ed3ng c\u00e1c l\u1ef1a ch\u1ecdn ch\u00ednh khi \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111em l\u1ea1i s\u1ef1 l\u00e0nh th\u01b0\u01a1ng. Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u l\u00e0nh th\u01b0\u01a1ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u, ch\u1ec9 m\u1ed9t s\u1ed1 \u00edt kh\u00f4ng l\u00e0nh th\u00ec n\u00f3i chung gi\u1ea3i quy\u1ebft t\u1ed1t nh\u1ea5t b\u1eb1ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt. T\u1ec9 l\u1ec7 r\u1ea5t nh\u1ecf c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng l\u00e0nh th\u01b0\u01a1ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt th\u00ec x\u1eed l\u00ed t\u1ed1t nh\u1ea5t b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u1eaft ch\u00f3p vi ph\u1eabu; tuy nhi\u00ean, c\u00f2n c\u00f3 m\u1ed9t lo\u1ea1t c\u00e1c l\u1ef1a ch\u1ecdn cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 kh\u00e1c c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh nh\u1ed5 r\u0103ng.<\/figcaption><\/figure>\n<p>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt n\u00f3i chung l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3i quy\u1ebft th\u1ea5t b\u1ea1i c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u, n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u r\u1ed9ng r\u00e3i v\u00e0 cho th\u1ea5y t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng chung r\u1ea5t cao. \u0110i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt s\u1ebd gi\u1ea3i quy\u1ebft nh\u1eefng nguy\u00ean nh\u00e2n th\u1ea5t b\u1ea1i th\u01b0\u1eddng th\u1ea5y l\u00e0 lo\u1ea1i b\u1ecf vi khu\u1ea9n c\u00f2n s\u00f3t l\u1ea1i trong h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y ho\u1eb7c vi khu\u1ea9n t\u00e1i x\u00e2m nh\u1eadp th\u00f4ng qua r\u00f2 r\u1ec9 t\u1eeb th\u00e2n r\u0103ng. R\u0103ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt c\u00f3 xu h\u01b0\u1edbng t\u0103ng t\u1ec9 l\u1ec7 l\u00e0nh th\u01b0\u01a1ng theo th\u1eddi gian, \u0111em l\u1ea1i k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i t\u1ed1t h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt.<\/p>\n<p>Ph\u1eabu thu\u1eadt c\u1eaft ch\u00f3p (apicoectomy) th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng ri\u00eang cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u00e0 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u1ea1i kh\u00f4ng ph\u1eabu thu\u1eadt kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c ho\u1eb7c trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p n\u00f3 kh\u00f4ng th\u00e0nh c\u00f4ng. C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y v\u1ec1 vi ph\u1eabu n\u1ed9i nha hi\u1ec7n \u0111\u1ea1i, s\u1eed d\u1ee5ng k\u00ednh hi\u1ec3n vi, d\u1ee5ng c\u1ee5 si\u00eau \u00e2m ho\u1eb7c c\u00e1c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt hi\u1ec7n c\u00f3, \u0111\u00e3 \u0111em l\u1ea1i nh\u1eefng k\u1ebft qu\u1ea3 tuy\u1ec7t v\u1eddi so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt n\u1ed9i nha truy\u1ec1n th\u1ed1ng. Ph\u1eabu thu\u1eadt c\u1eaft ch\u00f3p ch\u1ec9 x\u1eed l\u00ed ph\u1ea7n ch\u00f3p r\u0103ng ch\u1ee9 kh\u00f4ng ph\u1ea3i to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y. R\u0103ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt th\u00ec l\u00fac \u0111\u1ea7u th\u01b0\u1eddng l\u00e0nh t\u1ed1t nh\u01b0ng c\u00f3 khuynh h\u01b0\u1edbng th\u1ea5t b\u1ea1i theo th\u1eddi gian.<\/p>\n<p>Tr\u1ed3ng l\u1ea1i r\u0103ng c\u00f3 ch\u1ee7 \u0111\u00edch (intentional replantation), l\u00e0 t\u1ea1m th\u1eddi nh\u1ed5 r\u0103ng ra, \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1eafm l\u1ea1i r\u0103ng v\u00e0o ch\u00ednh \u1ed5 r\u0103ng c\u1ee7a n\u00f3, ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi kh\u00f4ng c\u00f3 c\u00e1ch n\u00e0o kh\u00e1c \u0111\u1ec3 gi\u1eef l\u1ea1i r\u0103ng theo k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb. Tr\u1ed3ng l\u1ea1i r\u0103ng c\u00f3 ch\u1ee7 \u0111\u00edch th\u01b0\u1eddng th\u00e0nh c\u00f4ng n\u1ebfu l\u1ef1a ch\u1ecdn c\u1ea9n th\u1eadn ca b\u1ec7nh.<\/p>\n<p>C\u1ea5y chuy\u1ec3n r\u0103ng t\u1ef1 th\u00e2n (autotransplantation), l\u00e0 chuy\u1ec3n m\u1ed9t r\u0103ng t\u1eeb \u1ed5 r\u0103ng n\u00e0y \u0111\u1ebfn m\u1ed9t v\u1ecb tr\u00ed kh\u00e1c tr\u00ean c\u00f9ng m\u1ed9t b\u1ec7nh nh\u00e2n, c\u00f3 th\u1ec3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t. C\u1ee9ng kh\u1edbp (ankylosis) v\u00e0 ti\u00eau ng\u00f3t l\u00e0 2 nguy\u00ean nh\u00e2n th\u1ea5t b\u1ea1i ch\u1ee7 y\u1ebfu c\u1ee7a c\u1ea5y chuy\u1ec3n r\u0103ng. C\u1ea5y chuy\u1ec3n r\u0103ng t\u1ef1 th\u00e2n, \u0111\u00f4i l\u00fac g\u1ecdi t\u1eaft l\u00e0 c\u1ea5y chuy\u1ec3n r\u0103ng, c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn h\u1eefu \u00edch \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb \u0111ang tu\u1ed5i ph\u00e1t tri\u1ec3n v\u00e0 c\u00f3 r\u0103ng cho th\u00edch h\u1ee3p.<\/p>\n<p>C\u1eaft b\u1ecf ch\u00e2n r\u0103ng c\u00f3 hi\u1ec7u qu\u1ea3 khi b\u1ec7nh l\u00fd c\u00f2n l\u1ea1i ch\u1ec9 khu tr\u00fa \u1edf m\u1ed9t ch\u00e2n r\u0103ng duy nh\u1ea5t trong khi c\u1ea5u tr\u00fac r\u0103ng c\u00f2n th\u00edch h\u1ee3p v\u00e0 m\u00f4 nha chu n\u00e2ng \u0111\u1ee1 v\u1eabn c\u00f2n.<\/p>\n<p><em>Ngu\u1ed3n: <span class=\"c-bibliographic-information__value\">Clinical Guide for Optimal Treatment Outcome &#8211; Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u\u00a0 \u0111\u00e1ng quan t\u00e2m: M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nh\u1eefng c\u01a1n \u0111au do n\u1ed9i nha tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 trong v\u00f2ng 1 ng\u00e0y sau \u0111i\u1ec1u tr\u1ecb, v\u00e0 gi\u1ea3m xu\u1ed1ng m\u1ee9c th\u1ea5p nh\u1ea5t sau m\u1ed9t tu\u1ea7n, t\u1ec9 l\u1ec7 than phi\u1ec1n th\u01b0\u1eddng th\u1ea5p, chi [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>N\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u - Ti\u00ean l\u01b0\u1ee3ng v\u00e0 \u0111i\u1ec1u tr\u1ecb. - Vinmec<\/title>\n<meta name=\"description\" content=\"Th\u1eadt v\u1eady, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha kh\u00f4ng ph\u1eabu thu\u1eadt l\u1ea7n \u0111\u1ea7u r\u1ea5t t\u1ed1t. 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