{"id":2863,"date":"2023-04-09T21:13:49","date_gmt":"2023-04-09T14:13:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2863"},"modified":"2023-04-14T14:46:32","modified_gmt":"2023-04-14T07:46:32","slug":"chan-doan-va-dieu-tri-viem-khop-cung-don","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/chan-doan-va-dieu-tri-viem-khop-cung-don\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n"},"content":{"rendered":"<p><strong>Vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n hay vi\u00eam tho\u00e1i ho\u00e1 kh\u1edbp c\u00f9ng \u0111\u00f2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn c\u1ee7a kh\u1edbp c\u00f9ng \u0111\u00f2n, g\u00e2y \u0111au v\u00e0 h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng kh\u1edbp vai, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c \u0111\u1ed9ng t\u00e1c tay qu\u00e1 \u0111\u1ea7u ho\u1eb7c b\u1eaft ch\u00e9o tay sang b\u00ean \u0111\u1ed1i di\u1ec7n. Vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, th\u01b0\u1eddng x\u1ea3y ra \u1edf tu\u1ed5i trung ni\u00ean do s\u1ef1 tho\u00e1i ho\u00e1 c\u1ee7a \u0111\u0129a s\u1ee5n-s\u1ee3i c\u00f3 vai tr\u00f2 nh\u01b0 l\u1edbp \u0111\u1ec7m c\u1ee7a s\u1ee5n kh\u1edbp. Khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa th\u1ea5t b\u1ea1i, vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS.TS. Tr\u1ea7n Trung D\u0169ng, TS. \u0110\u1ed7 V\u0103n Minh, ThS. L\u00ea Kh\u00e1ng Tr\u00ecnh, ThS. Nguy\u1ec5n Anh \u0110\u1ee9c, ThS. Nguy\u1ec5n Trung V\u0103n, ThS. Tr\u1ea7n \u0110\u1ee9c Tu\u1ea5n, Bs.CKII. V\u0169 Quang Ngh\u0129a.<\/p>\n<h2>1. L\u00e2m s\u00e0ng vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h2>\n<p>B\u1ec7nh nh\u00e2n \u0111au \u1edf v\u1ecb tr\u00ed kh\u1edbp c\u00f9ng &#8211; \u0111\u00f2n: \u0111\u1eb7c bi\u1ec7t khi th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c kh\u00e9p vai b\u1eaft ch\u00e9o qua th\u00e2n m\u00ecnh (khi v\u1ec7 sinh v\u00f9ng n\u00e1ch b\u00ean \u0111\u1ed1i di\u1ec7n ho\u1eb7c khi c\u00e0i d\u00e2y an to\u00e0n) ho\u1eb7c c\u00e1c \u0111\u1ed9ng t\u00e1c xoay trong \u0111\u01b0a tay ra sau l\u01b0ng (c\u00e0i th\u1eaft l\u01b0ng ho\u1eb7c \u00e1o ng\u1ef1c).<\/p>\n<p>\u0110au khi \u1ea5n v\u00e0o m\u1eb7t tr\u01b0\u1edbc v\u00e0 tr\u00ean c\u1ee7a kh\u1edbp c\u00f9ng \u0111\u00f2n,<\/p>\n<p>N\u1ebfu vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n do nguy\u00ean nh\u00e2n tr\u1eadt kh\u1edbp c\u00f9ng \u0111\u00f2n, c\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y v\u00f9ng \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n nh\u00f4 cao l\u00ean.<\/p>\n<p>Nghi\u1ec7m ph\u00e1p \u00e9p O&#8217;Brien: Vai b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf g\u1ea5p 90\u00b0 v\u00e0 kh\u00e9p 10\u00b0, xoay trong t\u1ed1i \u0111a. B\u1ec7nh nh\u00e2n c\u1ed1 g\u1eafng n\u00e2ng tay l\u00ean trong khi b\u00e1c s\u0129 kh\u00e1m b\u1ec7nh d\u00f9ng tay c\u1ea3n l\u1ea1i l\u1ef1c n\u00e2ng c\u1ee7a b\u1ec7nh nh\u00e2n. Th\u1ef1c hi\u1ec7n l\u1ea1i v\u1edbi t\u01b0 th\u1ebf xoay ngo\u00e0i t\u1ed1i \u0111a (b\u00e0n tay ng\u1eeda l\u00ean tr\u00ean). B\u1ec7nh nh\u00e2n \u0111au khi th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p \u1edf t\u01b0 th\u1ebf xoay trong th\u01b0\u1eddng ngh\u0129 \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng s\u1ee5n vi\u1ec1n tr\u00ean t\u1eeb tr\u01b0\u1edbc ra sau (SLAP), trong khi \u0111au \u1edf t\u01b0 th\u1ebf xoay ngo\u00e0i t\u1ed1i \u0111a th\u01b0\u1eddng g\u1ecdi \u00fd c\u00f3 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp c\u00f9ng \u0111\u00f2n.<\/p>\n<figure id=\"attachment_2879\" aria-describedby=\"caption-attachment-2879\" style=\"width: 206px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2879 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-8.jpg\" alt=\"minh-hoa-nghiem-phap-O-Brien\" width=\"206\" height=\"308\" \/><figcaption id=\"caption-attachment-2879\" class=\"wp-caption-text\">H\u00ecnh 1: Nghi\u1ec7m ph\u00e1p \u00e9p O &#8216;Brien<\/figcaption><\/figure>\n<p>Nghi\u1ec7m ph\u00e1p v\u1eaft tay qua ng\u1ef1c (kh\u00e9p vai): Vai b\u1ec7nh nh\u00e2n g\u1ea5p 90\u00b0, b\u00e1c s\u0129 \u0111\u1ea9y khu\u1ef7u tay b\u1ec7nh nh\u00e2n sang b\u00ean \u0111\u1ed1i di\u1ec7n. Nghi\u1ec7m ph\u00e1p d\u01b0\u01a1ng t\u00ednh khi b\u1ec7nh nh\u00e2n th\u1ea5y \u0111au khi l\u00e0m \u0111\u1ed9ng t\u00e1c n\u00e0y.<\/p>\n<p><figure id=\"attachment_2880\" aria-describedby=\"caption-attachment-2880\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2880 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-7-300x245.jpg\" alt=\"minh-hoa-NP-vat-tay-qua-nguc\" width=\"300\" height=\"245\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-7-300x245.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-7.jpg 327w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2880\" class=\"wp-caption-text\">H\u00ecnh 2: Nghi\u1ec7m ph\u00e1p v\u1eaft tay qua ng\u1ef1c [6]<\/figcaption><\/figure>Nghi\u1ec7m ph\u00e1p du\u1ed7i vai c\u00f3 tr\u1edf kh\u00e1ng: Vai b\u1ec7nh nh\u00e2n g\u1ea5p 90\u00b0 ra tr\u01b0\u1edbc. B\u1ec7nh nh\u00e2n c\u1ed1 g\u1eafng du\u1ed7i vai \u0111\u01b0a vai ra sau trong khi b\u00e1c s\u0129 d\u00f9ng tay c\u1ea3n l\u1ea1i. Nghi\u1ec7m ph\u00e1p d\u01b0\u01a1ng t\u1ec9nh khi b\u1ec7nh nh\u00e2n th\u1ea5y \u0111au.<\/p>\n<figure id=\"attachment_2881\" aria-describedby=\"caption-attachment-2881\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2881 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3-6-300x236.jpg\" alt=\"minh-hoa-NP-duoi-vai-tro-khang\" width=\"300\" height=\"236\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3-6-300x236.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3-6.jpg 342w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2881\" class=\"wp-caption-text\">H\u00ecnh 3: Nghi\u1ec7m ph\u00e1p du\u1ed7i vai c\u00f3 tr\u1edf kh\u00e1ng [6]<\/figcaption><\/figure>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/h2>\n<p>Kh\u1edbp c\u00f9ng \u0111\u00f2n c\u00f3 th\u1ec3 quan s\u00e1t d\u01b0\u1edbi phim X-quang vai th\u1eb3ng, tuy nhi\u00ean phim X-quang t\u01b0 th\u1ebf Zanca (t\u01b0\u01a1ng t\u1ef1 phim th\u1eb3ng, nh\u01b0ng \u0111\u1ea7u ph\u00e1t tia nghi\u00eang 10\u00b0 v\u1ec1 ph\u00eda \u0111\u1ea7u) gi\u00fap quan s\u00e1t kh\u1edbp c\u00f9ng \u0111\u00f2n t\u1ed1t h\u01a1n.<\/p>\n<p><figure id=\"attachment_2882\" aria-describedby=\"caption-attachment-2882\" style=\"width: 521px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2882 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-2-300x137.jpg\" alt=\"X-quang-khop-cung-don\" width=\"521\" height=\"238\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-2-300x137.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-2.jpg 404w\" sizes=\"(max-width: 521px) 100vw, 521px\" \/><figcaption id=\"caption-attachment-2882\" class=\"wp-caption-text\">H\u00ecnh 4: X-quang t\u01b0 th\u1ebf Zanca (A) gi\u00fap quan s\u00e1t kh\u1edbp c\u00f9ng \u0111\u00f2n t\u1ed1t h\u01a1n so v\u1edbi phim th\u1eb3ng (B) [7]<\/figcaption><\/figure>Tr\u00ean phim X-quang c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh\u00a0 bi\u1ec3u hi\u1ec7n b\u1eb1ng h\u1eb9p khe kh\u1edbp, ti\u00eau x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n, ch\u1ed3i x\u01b0\u01a1ng.<\/p>\n<p>Phim MRI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed \u0111\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1edbp c\u00f9ng \u0111\u00f2n v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m xung quanh, nh\u01b0 ph\u00ec \u0111\u1ea1i bao kh\u1edbp, tr\u00e0n d\u1ecbch, ph\u00f9 n\u1ec1 x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n.<\/p>\n<p><figure id=\"attachment_2883\" aria-describedby=\"caption-attachment-2883\" style=\"width: 469px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2883\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/5-2-300x226.jpg\" alt=\"MRI-khop-cung-don\" width=\"469\" height=\"353\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/5-2-300x226.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/5-2.jpg 329w\" sizes=\"(max-width: 469px) 100vw, 469px\" \/><figcaption id=\"caption-attachment-2883\" class=\"wp-caption-text\">H\u00ecnh 5: MRI kh\u1edbp vai cho th\u1ea5y h\u00ecnh \u1ea3nh vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n [7]<\/figcaption><\/figure>Si\u00eau \u00e2m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 h\u1eb9p khe kh\u1edbp ho\u1eb7c ch\u1ed3i x\u01b0\u01a1ng, tuy nhi\u00ean ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0y r\u1ea5t ph\u1ee5 thu\u1ed9c v\u00e0o tr\u00ecnh \u0111\u1ed9 b\u00e1c s\u0129 ch\u00e2n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/p>\n<h2>3. Ti\u00eam kh\u1edbp ch\u1ea9n \u0111o\u00e1n vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h2>\n<p>Ti\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1eeba \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1eeba \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n. Th\u01b0\u1eddng s\u1eed d\u1ee5ng thu\u1ed1c t\u00ea k\u1ebft h\u1ee3p v\u1edbi corticoid \u0111\u1ec3 ti\u00eam. Sau khi ti\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n 30 ph\u00fat \u0111\u1ebfn v\u00e0i ti\u1ebfng, n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au gi\u1ea3m ho\u1eb7c m\u1ea5t g\u1ee3i \u00fd \u0111\u1ebfn b\u1ec7nh l\u00fd kh\u1edbp c\u00f9ng \u0111\u00f2n.<\/p>\n<h2>4. \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h2>\n<p>H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam tho\u00e1i ho\u00e1 kh\u1edbp c\u00f9ng \u0111\u00f2n n\u00ean \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u \u0111i\u00eau tr\u1ecb kh\u00f4ng ph\u1eabu thu\u1eadt, g\u1ed3m v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, thay \u0111\u1ed5i v\u1eadn \u0111\u1ed9ng, b\u1ea5t \u0111\u1ed9ng, u\u1ed1ng thu\u1ed1c ch\u1ed1ng vi\u00eam, v\u00e0 ti\u00eam kh\u1edbp.<\/p>\n<h3>4.1 V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/h3>\n<p>Th\u01b0\u1eddng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au nhi\u1ec1u, nh\u01b0ng c\u00f3 th\u1ec3\u00a0 c\u1ea3i thi\u1ec7n t\u1ea7m v\u1eadn \u0111\u1ed9ng v\u00e0 s\u1ee9c c\u01a1.<\/p>\n<h3>4.2 Thay \u0111\u1ed5i v\u1eadn d\u1ed9ng<\/h3>\n<p>Tr\u00e1nh l\u1eb7p l\u1ea1i c\u00e1c \u0111\u1ed9ng t\u00e1c b\u1eaft tay ch\u00e9o qua ng\u1ef1c ho\u1eb7c gi\u01a1 tay qu\u00e1 \u0111\u1ea7u c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au.<\/p>\n<h3>4.3 B\u1ea5t d\u1ed9ng<\/h3>\n<p>Trong \u0111\u1ee3t \u0111au c\u1ea5p t\u00ednh, c\u00f3 th\u1ec3 b\u1ea5t \u0111\u1ed9ng vai b\u1eb1ng t\u00fai treo tay k\u1ebft h\u1ee3p ch\u01b0\u1eddm m\u00e1t trong kho\u1ea3ng 3-7 ng\u00e0y.<\/p>\n<h3>4.4 Thu\u1ed1c ch\u1ed1ng vi\u00eam<\/h3>\n<p>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) ho\u1eb7c corticoid. C\u1ea7n r\u1ea5t th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng corticoid v\u00ec nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f9a n\u00f3.<\/p>\n<h3>4.5 Ti\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h3>\n<p>Thu\u1ed1c s\u1eed d\u1ee5ng: Thu\u1ed1c t\u00ea k\u1ebft h\u1ee3p corticoid<\/p>\n<h3>K\u1ef9 thu\u1eadt:<\/h3>\n<p>+ Sau khi \u0111\u00e1nh d\u1ea5u c\u00e1c m\u1ed1c x\u01b0\u01a1ng, x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed kh\u1edbp c\u00f9ng \u0111\u00f2n.<\/p>\n<p>+ S\u00e1t khu\u1ea9n v\u00f9ng ti\u00eam<\/p>\n<p>+ T\u1eeb t\u1eeb cho kim v\u00e0o kh\u1edbp c\u00f9ng \u0111\u00f2n theo h\u01b0\u1edbng t\u1eeb tr\u00ean xu\u1ed1ng vu\u00f4ng g\u00f3c b\u1ec1 m\u1eb7t da, c\u1ea3m nh\u1eadn khi kim \u0111i qua b\u1ec1 d\u00e0y bao kh\u1edbp.<\/p>\n<p>+ B\u01a1m thu\u1ed1c v\u00e0o kh\u1edbp c\u00f9ng \u0111\u00f2n, khi \u0111\u1ea7u kim \u1edf trong kh\u1edbp c\u1ea3m gi\u00e1c b\u01a1m s\u1ebd d\u1ec1 d\u00e0ng.<\/p>\n<h2>5. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h2>\n<h3>5.1 Ch\u1ec9 \u0111\u1ecbnh<\/h3>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng, X-quang v\u00e0 c\u00f3 th\u1ec3 c\u1ea3 MRI, \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa tr\u00ean 6 th\u00e1ng kh\u00f4ng \u0111\u1ee1 ho\u1eb7c \u0111\u1ee1 \u00edt.<\/p>\n<h3>5.2 C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/h3>\n<h4>5.2.1 M\u1ed7 m\u1edf c\u1eaft \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n<\/h4>\n<p>V\u00f4 c\u1ea3m: G\u00e2y m\u00ea to\u00e0n th\u00e2n ho\u1eb7c t\u00ea v\u00f9ng<\/p>\n<p>T\u01b0 th\u1ec3 b\u1ec7nh nh\u00e2n: T\u01b0 th\u1ebf beach- chair<\/p>\n<p><figure id=\"attachment_2884\" aria-describedby=\"caption-attachment-2884\" style=\"width: 346px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2884\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6-2.jpg\" alt=\"minh-hoa-duong-mo\" width=\"346\" height=\"366\" \/><figcaption id=\"caption-attachment-2884\" class=\"wp-caption-text\">H\u00ecnh 6. \u0110\u01b0\u1eddng m\u1ed5 ph\u00eda tr\u00ean v\u00e0o kh\u1edbp c\u00f9ng \u0111\u00f2n [5]<\/figcaption><\/figure>\u0110\u01b0\u1eddng m\u1ed5: \u0110\u01b0\u1eddng m\u1ed5 ph\u00eda tr\u00ean \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n, t\u1eeb tr\u01b0\u1edbc ra sau, d\u00e0i 3-4 cm v\u00e0 ph\u00eda trong kh\u1edbp c\u00f9ng \u0111\u00f2n 1 cm.<\/p>\n<h5>K\u1ef9 thu\u1eadt<\/h5>\n<p>&#8211; D\u00f9ng dao \u0111i\u1ec7n b\u00f3c t\u00e1ch ph\u1ea7n m\u1ec1m ph\u00eda tr\u00ean kh\u1edbp c\u00f9ng \u0111\u00f2n, b\u1eaft \u0111\u1ea7u t\u1eeb kho\u1ea3ng 2-2.5 cm ph\u00eda trong kh\u1edbp c\u00f9ng \u0111\u00f2n, ra ph\u00eda ngo\u00e0i kh\u1edbp c\u00f9ng \u0111\u00f2n kho\u1ea3ng 0.5-1cm.<\/p>\n<p>&#8211; B\u00f3c t\u00e1ch m\u00e0ng x\u01b0\u01a1ng \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n c\u00f9ng bao kh\u1edbp v\u00e0 d\u00e2y ch\u1eb1ng tr\u00ean kh\u1edbp c\u00f9ng \u0111\u00f2n, b\u1ed9c \u00a0l\u1ed9 kh\u1edbp c\u00f9ng \u0111\u00f2n v\u00e0 \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n.<\/p>\n<p>&#8211; \u0110\u00e1nh d\u1ea5u v\u1ecb tr\u00ed c\u1eaft x\u01b0\u01a1ng \u0111\u00f2n: chi\u1ec1u d\u00e0i ph\u1ea7n x\u01b0\u01a1ng \u0111\u00f2n c\u1ea7n c\u1eaft kho\u1ea3ng 1,25 cm. \u0110\u01b0\u1eddng c\u1eaft vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c x\u01b0\u01a1ng \u0111\u00f2n.<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng c\u01b0a rung c\u1eaft x\u01b0\u01a1ng \u0111\u00f2n theo v\u1ecb tr\u00ed \u0111\u00e3 \u0111\u00e1nh d\u1ea5u, l\u1ea5y b\u1ecf ph\u1ea7n \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n \u0111\u00e3 c\u1eaft kh\u1ecfi ph\u1ea7n m\u1ec1m xung quanh.<\/p>\n<p><figure id=\"attachment_2885\" aria-describedby=\"caption-attachment-2885\" style=\"width: 348px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2885 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/7-1.jpg\" alt=\"minh-hoa-cat-dau-ngoai-xuong-don\" width=\"348\" height=\"271\" \/><figcaption id=\"caption-attachment-2885\" class=\"wp-caption-text\">H\u00ecnh 7: c\u1eaft \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n b\u1eb1ng c\u01b0a rung [5]<\/figcaption><\/figure>\u00a0S\u1eed d\u1ee5ng ng\u00f3n tay \u0111\u1eb7t v\u00e0o kho\u1ea3ng gi\u1eefa ph\u1ea7n \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ea5y b\u1ecf, ki\u1ec3m tra s\u1ef1 ti\u1ebfp x\u00fac c\u1ee7a m\u1ecfm c\u00f9ng vai v\u1edbi ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a x\u01b0\u01a1ng \u0111\u00f2n \u1edf t\u01b0 th\u1ebf kh\u00e9p vai t\u1ed1i \u0111a. M\u1ecfm c\u00f9ng vai v\u1eabn c\u00f2n c\u1ea5n v\u00e0o x\u01b0\u01a1ng \u0111\u00f2n, c\u1ea7n c\u1eaft th\u00eam x\u01b0\u01a1ng \u0111\u00f2n.<\/p>\n<p>Bao kh\u1edbp v\u00e0 c\u00e2n c\u01a1 sau \u0111\u00f3 \u0111\u01b0\u1ee3c kh\u00e2u l\u1ea1i b\u00e0ng 3 m\u0169i kh\u00e2u ch\u1eef X. D\u1eabn l\u01b0u v\u00e0 \u0111\u00f3ng v\u1ebft m\u1ed5.<\/p>\n<h4>5.2.2 N\u1ed9i soi m\u00e0i di\u1ec7n kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h4>\n<ul>\n<li>V\u00f4 c\u1ea3m: G\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n.<\/li>\n<li>T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n: T\u01b0 th\u1ebf beach- chair ho\u1eb7c n\u1eb1m nghi\u00eang<\/li>\n<\/ul>\n<h5>Ng\u00f5 v\u00e0o:<\/h5>\n<ul>\n<li>Ng\u00f5 sau ngo\u00e0i ti\u00eau chu\u1ea9n: T\u1eeb g\u00f3c sau ngo\u00e0i m\u1ecfm c\u00f9ng vai, xu\u1ed1ng 2 cm v\u00e0 v\u00e0o trong 1 cm. Ng\u00f5 sau c\u00f3 th\u1ebf \u0111\u1eb7t ra ngo\u00e0i so v\u1edbi v\u1ecb tr\u00ed chu\u1ea9n kho\u1ea3ng 2-3 mm s\u1ebd thu\u1eadn l\u1ee3i h\u01a1n.<\/li>\n<li>Ng\u00f5 b\u00ean ngo\u00e0i: C\u00e1ch b\u1edd ngo\u00e0i m\u1ecfm c\u00f9ng vai 3-5 cm, ra sau 1-3 cm so v\u1edbi b\u1edd tr\u01b0\u1edbc m\u1ecfm c\u00f9ng vai.<\/li>\n<li>Ng\u00f5 tr\u01b0\u1edbc kh\u1edbp c\u00f9ng \u0111\u00f2n: Ngay ph\u00eda tr\u01b0\u1edbc kh\u1edbp c\u00f9ng \u0111\u00f2n, t\u1ed1t nh\u1ea5t n\u00ean s\u1eed d\u1ee5ng kim \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb ch\u00ednh x\u00e1c ng\u00f5 n\u00e0y qua n\u1ed9i soi.<\/li>\n<\/ul>\n<p><figure id=\"attachment_2887\" aria-describedby=\"caption-attachment-2887\" style=\"width: 282px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2887 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/9-2.jpg\" alt=\"minh-hoa-ngo-vao-sau-ben-ngoai\" width=\"282\" height=\"209\" \/><figcaption id=\"caption-attachment-2887\" class=\"wp-caption-text\">H\u00ecnh 8: Ng\u00f5 v\u00e0o sau v\u00e0 b\u00ean ngo\u00e0i [5]<\/figcaption><\/figure><figure id=\"attachment_2888\" aria-describedby=\"caption-attachment-2888\" style=\"width: 353px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2888\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/10-1.jpg\" alt=\"minh-hoa-ngo-vao-truoc-khop-cung-don\" width=\"353\" height=\"379\" \/><figcaption id=\"caption-attachment-2888\" class=\"wp-caption-text\">H\u00ecnh 9 Ng\u00f5 v\u00e0o ph\u00eda tr\u01b0\u1edbc kh\u1edbp c\u00f9ng \u0111\u00f2n [5]<\/figcaption><\/figure><\/p>\n<h5>K\u1ef9 thu\u1eadt:<\/h5>\n<p>Sau khi v\u00e0o kh\u1edbp vai ki\u1ec3m tra, cho trocart v\u00e0o khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai t\u1eeb ng\u00f5 sau ngo\u00e0i. D\u00f9ng kim \u0111\u1ecbnh v\u1ecb \u0111\u1ec3 m\u1edf ng\u00f5 b\u00ean ngo\u00e0i, s\u1eed d\u1ee5ng l\u00e0m ng\u00f5 thao t\u00e1c.<\/p>\n<p>D\u00f9ng l\u01b0\u1ee1i b\u00e0o v\u00e0 \u0111\u1ea7u \u0111\u1ed1t n\u1ed9i soi d\u1ecdn s\u1ea1ch ph\u1ea7n m\u1ec1m v\u00e0 m\u00e0ng ho\u1ea1t d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, b\u1ed9c l\u1ed9 r\u00f5 m\u1eb7t d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai v\u00e0 kh\u1edbp c\u00f9ng \u0111\u00f2n.<\/p>\n<p><figure id=\"attachment_2889\" aria-describedby=\"caption-attachment-2889\" style=\"width: 600px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2889\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/11-2-300x114.jpg\" alt=\"minh-hoa-mai-mat-duoi\" width=\"600\" height=\"228\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/11-2-300x114.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/11-2.jpg 509w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-2889\" class=\"wp-caption-text\">H\u00ecnh 10: M\u00e0i m\u1eb7t d\u01b0\u1edbi b\u1edd trong m\u1ecfm c\u00f9ng vai (tr\u00e1i) cho \u0111\u1ebfn khi \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n \u0111\u01b0\u1ee3c b\u1ed9c l\u1ed9 (ph\u1ea3i). [5]<\/figcaption><\/figure>M\u00e0i m\u1eb7t d\u01b0\u1edbi c\u1ee7a b\u1edd trong m\u1ecfm c\u00f9ng vai, cho \u0111\u1ebfn khi quan s\u00e1t \u0111\u01b0\u1ee3c ph\u1ea7n m\u1ec1m ho\u1eb7c \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n.<\/p>\n<p>M\u1edf ng\u00f5 ph\u00eda tr\u01b0\u1edbc kh\u1edbp c\u00f9ng \u0111\u00f2n d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a kim l\u1ea5y thu\u1ed1c.<\/p>\n<p><figure id=\"attachment_2890\" aria-describedby=\"caption-attachment-2890\" style=\"width: 382px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2890 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/12-1.jpg\" alt=\"minh-hoa-dung-kim-dinh-vi\" width=\"382\" height=\"289\" \/><figcaption id=\"caption-attachment-2890\" class=\"wp-caption-text\">H\u00ecnh 11: D\u00f9ng kim \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb ng\u00f5 tr\u01b0\u1edbc kh\u1edbp c\u00f9ng \u0111\u00f2n [5]<\/figcaption><\/figure>D\u00f9ng l\u01b0\u1ee1i m\u00e0i \u0111\u1ec3 m\u00e0i b\u1edd trong c\u1ee7a m\u1ecfm c\u00f9ng vai, t\u1eeb tr\u01b0\u1edbc ra sau. c\u1ea7n ch\u00fa \u00fd kh\u00f4ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng bao kh\u1edbp ph\u00eda tr\u00ean c\u1ee7a kh\u1edbp c\u00f9ng \u0111\u00f2n. Th\u00f4ng th\u01b0\u1eddng, m\u00e0i b\u1edd trong m\u1ecfm c\u00f9ng vai kho\u1ea3ng 5 mm l\u00e0 \u0111\u1ee7.<\/p>\n<p><figure id=\"attachment_2891\" aria-describedby=\"caption-attachment-2891\" style=\"width: 284px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2891 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/13.jpg\" alt=\"\" width=\"284\" height=\"209\" \/><figcaption id=\"caption-attachment-2891\" class=\"wp-caption-text\">H\u00ecnh 12: M\u00e0\u00ec b\u1edd trong c\u00f9a m\u00f3m c\u00f9ng vai [5]<\/figcaption><\/figure>Ti\u1ebfp theo m\u00e0i \u0111\u1ea7u ngo\u00e0i x\u01b0\u01a1ng \u0111\u00f2n t\u1eeb tr\u01b0\u1edbc ra sau. Ph\u1ea7n x\u01b0\u01a1ng \u0111\u00f2n \u0111\u01b0\u1ee3c m\u00e0i c\u00f3 b\u1ec1 d\u00e0y kho\u1ea3ng 5-10 mm l\u00e0 \u0111\u1ee7.<\/p>\n<p>Sau khi m\u00e0i x\u01b0\u01a1ng, ph\u1ea7n x\u01b0\u01a1ng \u0111\u01b0\u1ee3c m\u00e0i c\u00f3 b\u1ec1 d\u00e0y 10-15 mm (m\u00e0i m\u1ecfm c\u00f9ng vai 5 mm, m\u00e0i x\u01b0\u01a1ng \u0111\u00f2n 5-10 mm). c\u1ecf th\u1ec3 d\u00f9ng trocart ho\u1eb7c l\u01b0\u1ee1i m\u00e0i (\u0111\u00e3 bi\u1ebft k\u00edch th\u01b0\u1edbc) \u0111\u1ec3 ki\u1ec3m tra xem kho\u1ea3ng c\u00e1ch gi\u1eefa x\u01b0\u01a1ng \u0111\u00f2n v\u00e0 m\u1ecfm c\u00f9ng vai \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00e0i \u0111\u1ee7 hay ch\u01b0a.<\/p>\n<p>B\u01a1m r\u1eeda, c\u1ea7m m\u00e1u, d\u1eabn l\u01b0u n\u1ebfu c\u1ea7n, \u0111\u00f3ng c\u00e1c ng\u00f5 v\u00e0o.<\/p>\n<h2>8. Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau m\u1ed5 vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h2>\n<ul>\n<li>Sau m\u1ed5 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c b\u1ea5t \u0111\u1ed9ng b\u1eb1ng t\u00fai treo tay v\u00e0 c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u ngay b\u00e0i t\u1eadp con l\u1eafc.<\/li>\n<li>Sau 2 tu\u1ea7n, b\u1eaft \u0111\u1ea7u t\u1eadp t\u1ea7m v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng v\u00e0 ch\u1ee7 \u0111\u1ed9ng c\u00f3 h\u1ed7 tr\u1ee3.<\/li>\n<\/ul>\n<h2>9. Bi\u1ebfn ch\u1ee9ng sau m\u1ed5 vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n<\/h2>\n<h3>9.1 M\u1ea5t v\u1eebng kh\u1ee9p c\u00f9ng \u0111\u00f2n<\/h3>\n<p>Th\u01b0\u1eddng do c\u1eaft x\u01b0\u01a1ng \u0111\u00f2n qu\u00e1 m\u1ee9c c\u1ea7n thi\u1ebft, c\u1ea7n gi\u1edbi h\u1ea1n chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f2n m\u00e0i ho\u1eb7c c\u1eaft \u0111i t\u1ed1i \u0111a 10-15 mm. Khi n\u1ed9i soi m\u00e0i x\u01b0\u01a1ng, tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m d\u00e2y ch\u1eb1ng bao kh\u1edbp \u1edf m\u1eb7t tr\u00ean.<\/p>\n<p>Sau 4 tu\u1ea7n, b\u1ecf t\u00fai treo tay v\u00e0 cho ph\u00e9p v\u1eadn \u0111\u1ed9ng vai h\u1ebft t\u1ea7m.<\/p>\n<h3>9.2 C\u1ea5n c\u00f9ng vai-\u0111\u00f2n<\/h3>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p m\u00e0i ho\u1eb7c c\u1eaft x\u01b0\u01a1ng kh\u00f4ng \u0111\u1ee7, m\u1ecfm c\u00f9ng vai s\u1ebd b\u1ecb c\u1ea5n v\u00e0o ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a x\u01b0\u01a1ng \u0111\u00f2n khi v\u1eadn \u0111\u1ed9ng vai, nh\u1ea5t l\u00e0 \u0111\u1ed9ng t\u00e1c kh\u00e9p vai.<\/p>\n<h2>10. K\u1ebft lu\u1eadn<\/h2>\n<p>Vi\u00eam tho\u00e1i ho\u00e1 kh\u1edbp c\u00f9ng \u0111\u00f2n l\u00e0 b\u1ec7nh l\u00fd ph\u1ed5\u00a0 bi\u1ebfn tuy nhi\u00ean ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng kh\u00f3 kh\u0103n. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh d\u1ef1a v\u00e0o khai th\u00e1c c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 \u00a0n\u0103ng, kh\u00e1m l\u00e2m s\u00e0ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh. Khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa th\u1ea5t b\u1ea1i, vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt n\u1ed9i soi ho\u1eb7c m\u1ed5 m\u1edf.<\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/vinmec.com\/vi\/co-xuong-khop\/suc-khoe-thuong-thuc\/trieu-chung-trat-khop-cung-don\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/vinmec.com\/vi\/co-xuong-khop\/suc-khoe-thuong-thuc\/trieu-chung-trat-khop-cung-don\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<p>T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/p>\n<ol>\n<li>Andreas B.I Jonathan B.T., Augustus D.M., Andreas V. (2018) Atlas of advanced shoulder arthroscopy, CRC Press, 295-312.<\/li>\n<li>George Bentley (2014) European surgical orthopaedics and traumatology, Springer, 1019-1038.<\/li>\n<li>Charles M.C., James D.H., Margaret M.M., et al. (2015) Rockwoodand Green&#8217;s fractures in adults, 8th Edition, Wolter Kluwer, 1573-1606.<\/li>\n<li>Charles A. Rocwood, Frederick A. Matsen (2008) The shoulder, 4th Edition, Saunders Elsevier, 453-526.<\/li>\n<li>Gary M. Gartsman (2009) Shoulder arthroscopy, 2nd Edition, Saunders Elsevier, 306-315.<\/li>\n<li>Ryan J. Warth, Peter J. Milieu (2015) Physical examination of the shoulder, Spinger, 183-207.<\/li>\n<li>Joseph P. Iannotti, Gerald R. Williams (2007) Disorder of the shoulder: Diagnosis &amp; management, 2nd Edition, Lippencott William &amp; Wilkins, 979-1053.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n hay vi\u00eam tho\u00e1i ho\u00e1 kh\u1edbp c\u00f9ng \u0111\u00f2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn c\u1ee7a kh\u1edbp c\u00f9ng \u0111\u00f2n, g\u00e2y \u0111au v\u00e0 h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng kh\u1edbp vai, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c \u0111\u1ed9ng t\u00e1c tay qu\u00e1 \u0111\u1ea7u ho\u1eb7c b\u1eaft ch\u00e9o tay sang b\u00ean \u0111\u1ed1i di\u1ec7n. Vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n c\u00f3 th\u1ec3 do nhi\u1ec1u [&hellip;]<\/p>\n","protected":false},"author":16,"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>Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n hay vi\u00eam tho\u00e1i ho\u00e1 kh\u1edbp c\u00f9ng \u0111\u00f2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn c\u1ee7a kh\u1edbp c\u00f9ng \u0111\u00f2n, g\u00e2y \u0111au v\u00e0 h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng kh\u1edbp vai.\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n - 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