{"id":28992,"date":"2023-04-27T23:29:48","date_gmt":"2023-04-27T16:29:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28992"},"modified":"2023-05-01T23:31:49","modified_gmt":"2023-05-01T16:31:49","slug":"benh-ly-y-khoa-nguy-co-khong-dang-ke-den-dieu-tri-implant","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/benh-ly-y-khoa-nguy-co-khong-dang-ke-den-dieu-tri-implant\/","title":{"rendered":"B\u1ec7nh l\u00fd Y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb Implant."},"content":{"rendered":"

C\u00e1c b\u1ec7nh l\u00fd Y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb Implant c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng, b\u1ec7nh Crohn’s, b\u1ec7nh tim m\u1ea1ch v\u00e0 h\u00fat thu\u1ed1c l\u00e1. C\u00f9ng t\u00ecm hi\u1ec3u l\u1ea7n l\u01b0\u1ee3t c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m v\u1ec1 t\u1eebng b\u1ec7nh l\u00fd\/\u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 c\u00f3 c\u00e1i nh\u00ecn \u0111\u00e1nh gi\u00e1 tr\u1ef1c quan \u0111\u1ed1i v\u1edbi c\u00e1c nguy c\u01a1 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb Implant.<\/strong><\/p>\n

\"benh-ly-y-khoa\"<\/p>\n

1. Lo\u00e3ng x\u01b0\u01a1ng – B\u1ec7nh l\u00fd y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb Implant<\/h2>\n

\u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh chuy\u1ec3n h\u00f3a th\u01b0\u1eddng g\u1eb7p, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng v\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng to\u00e0n b\u1ed9 m\u00e0 kh\u00f4ng k\u00e8m theo b\u1ea5t th\u01b0\u1eddng x\u01b0\u01a1ng n\u00e0o kh\u00e1c, v\u00e0 t\u0103ng nguy c\u01a1 v\u00e0\/ho\u1eb7c t\u1ef7 l\u1ec7 g\u00e3y x\u01b0\u01a1ng. T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi \u0111\u00e3 thi\u1ebft l\u1eadp ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng d\u1ef1a tr\u00ean s\u1ed1 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng x\u00e1c \u0111\u1ecbnh b\u1eb1ng m\u00e1y \u0111o \u0111\u1ed9 h\u1ea5p th\u1ee5 tia X n\u0103ng l\u01b0\u1ee3ng k\u00e9p ngo\u1ea1i bi\u00ean. Ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp khi m\u1eadt \u0111\u1ed9 kho\u00e1ng x\u01b0\u01a1ng T c\u00f3 \u0111\u1ed9 l\u1ec7ch chu\u1ea9n th\u1ea5p h\u01a1n t\u1ed1i thi\u1ec3u 2.5 so v\u1edbi d\u00e2n s\u1ed1 tr\u1ebb trung b\u00ecnh (T\u2264 2.5). M\u1ed1i lo ng\u1ea1i ch\u00ednh c\u1ee7a lo\u00e3ng x\u01b0\u01a1ng trong c\u1ea5y gh\u00e9p implant l\u00e0 n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m thay \u0111\u1ed5i ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng, s\u1ef1 t\u1ea1o x\u01b0\u01a1ng, ho\u1eb7c s\u1ef1 l\u00e0nh th\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng. Khi \u0111\u00e1nh gi\u00e1 xem li\u1ec7u c\u1ea5y gh\u00e9p implant \u1edf b\u1ec7nh nh\u00e2n c\u00f3 lo\u00e3ng x\u01b0\u01a1ng c\u00f3 k\u1ebft qu\u1ea3 d\u00e0i h\u1ea1n kh\u00e1c bi\u1ec7t hay kh\u00f4ng, m\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 b\u00e1o c\u00e1o v\u1ec1 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n tr\u00ean \u0111\u1ed9ng v\u1eadt v\u00e0 b\u1ec7nh nh\u00e2n, nh\u01b0ng m\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng nh\u1eadn th\u1ea5y kh\u00f4ng c\u00f3 m\u1ed1i li\u00ean quan gi\u1eefa m\u1eadt \u0111\u1ed9 kho\u1ea3ng x\u01b0\u01a1ng to\u00e0n th\u00e2n (BMD), BMD h\u00e0m d\u01b0\u1edbi, ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng v\u1edbi s\u1ef1 th\u1ea5t b\u1ea1i c\u1ee7a implant, t\u1eeb \u0111\u00f3 k\u1ebft lu\u1eadn r\u1eb1ng lo\u00e3ng x\u01b0\u01a1ng kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a c\u1ea5y gh\u00e9p nha khoa. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c c\u0169ng kh\u00f4ng ghi nh\u1eadn \u0111\u01b0\u1ee3c m\u1ed1i li\u00ean quan gi\u1eefa lo\u00e3ng x\u01b0\u01a1ng v\u1edbi vi\u00eam quanh implant, v\u00e0 ngay c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n lo\u00e3ng x\u01b0\u01a1ng tr\u1ea7m tr\u1ecdng c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i th\u00e0nh c\u00f4ng b\u1eb1ng ph\u1ee5c h\u00ecnh tr\u00ean implant. C\u00e1c t\u00e1c gi\u1ea3 trong m\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng theo nh\u1eefng b\u1eb1ng ch\u1ee9ng hi\u1ec7n nay, m\u1ed9t m\u00ecnh lo\u00e3ng x\u01b0\u01a1ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant. Tuy nhi\u00ean, m\u1ed9t t\u1ed5ng quan kh\u00e1c l\u1ea1i nh\u1eadn th\u1ea5y c\u00f3 m\u1ed1i t\u01b0\u01a1ng quan y\u1ebfu gi\u1eefa lo\u00e3ng x\u01b0\u01a1ng v\u1edbi nguy c\u01a1 c\u1ea5y gh\u00e9p th\u1ea5t b\u1ea1i. Do \u0111\u00f3, c\u1ea7n \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n v\u00e0 ph\u00e2n t\u00edch ch\u00ednh x\u00e1c ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng tr\u01b0\u1edbc khi \u0111\u1eb7t implant. M\u1ed9t bi\u1ebfn ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ec7nh nh\u00e2n lo\u00e3ng x\u01b0\u01a1ng l\u00e0 s\u1ef1 chu chuy\u1ec3n x\u01b0\u01a1ng t\u1ea1i giao di\u1ec7n implant c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng do vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng v\u00e0 c\u00f3 nguy c\u01a1 ho\u1ea1i t\u1eed x\u01b0\u01a1ng h\u00e0m do bisphosphonate (BRONJ).<\/p>\n

2. B\u1ec7nh Crohn’s<\/h2>\n

\u0110\u00e2y l\u00e0 r\u1ed1i lo\u1ea1n vi\u00eam \u0111\u01b0\u1eddng ti\u00eau h\u00f3a m\u1ea1n t\u00ednh v\u00f4 c\u0103n v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ed1c mi\u1ec7ng. Qu\u00e1 tr\u00ecnh b\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 b\u00f9ng ph\u00e1t v\u00e0 suy gi\u1ea3m l\u1eb7p \u0111i l\u1eb7p l\u1ea1i. B\u1ec7nh Crohn’s \u0111\u01b0\u1ee3c xem l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a c\u1ea5y gh\u00e9p nha khoa. N\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng v\u00e0 khi\u1ebfm khuy\u1ebft mi\u1ec5n d\u1ecbch, do \u0111\u00f3 n\u00f3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant. Tuy nhi\u00ean, y v\u0103n v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a implant \u1edf b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh Crohn’s v\u1eabn c\u00f2n khan hi\u1ebfm v\u1edbi m\u1ee9c \u0111\u1ed9 b\u1eb1ng ch\u1ee9ng r\u1ea5t th\u1ea5p. Trong c\u00e1c nghi\u00ean c\u1ee9u ti\u1ebfn c\u1ee9u v\u00e0 h\u1ed3i c\u1ee9u kh\u00e1c nhau, ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y implant \u0111\u1eb7t \u1edf b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh Crohn’s \u0111\u00e3 t\u00edch h\u1ee3p th\u00e0nh c\u00f4ng, r\u1ea5t \u00edt th\u1ea5t b\u1ea1i s\u1edbm. Do b\u1eb1ng ch\u1ee9ng c\u00f2n \u00edt \u1ecfi n\u00ean v\u1eabn ch\u01b0a th\u1ec3 r\u00fat ra k\u1ebft lu\u1eadn cu\u1ed1i c\u00f9ng, nh\u01b0ng c\u1ea7n th\u1eadn tr\u1ecdng khi l\u00ean k\u1ebf ho\u1ea1ch implant \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y. C\u00e1c ph\u1ee9c h\u1ee3p kh\u00e1ng nguy\u00ean-kh\u00e1ng th\u1ec3 tu\u1ea7n ho\u00e0n trong b\u1ec7nh Crohn’s c\u00f3 th\u1ec3 g\u00e2y ra qu\u00e1 tr\u00ecnh vi\u00eam t\u1ef1 mi\u1ec5n \u1edf m\u1ed9t s\u1ed1 b\u1ed9 ph\u1eadn trong c\u01a1 th\u1ec3. Nh\u1eefng y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd n\u00e0y, ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c ho\u1eb7c suy dinh d\u01b0\u1ee1ng, c\u0169ng \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong c\u1ea5y gh\u00e9p.<\/p>\n

3. B\u1ec7nh tim m\u1ea1ch – B\u1ec7nh l\u00fd Y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3<\/h2>\n

C\u00f3 5 d\u1ea1ng b\u1ec7nh tim m\u1ea1ch (cao huy\u1ebft \u00e1p, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, h\u1eb9p m\u1ea1ch m\u00e1u, b\u1ec7nh m\u1ea1ch v\u00e0nh, v\u00e0 suy tim sung huy\u1ebft) c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng, t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 cung c\u1ea5p oxy t\u1eeb d\u00f2ng m\u00e1u b\u00ecnh th\u01b0\u1eddng. B\u1ec7nh tim to\u00e0n th\u00e2n c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m v\u00e0 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng \u1edf m\u00f4 x\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 t\u00edch h\u1ee3p x\u01b0\u01a1ng c\u1ee7a implant. M\u1ed9t v\u00e0i t\u00e1c gi\u1ea3 c\u00f2n cho r\u1eb1ng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh tim to\u00e0n th\u00e2n l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a c\u1ea5y gh\u00e9p nha khoa do c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m tr\u00f9ng cao h\u01a1n. Ng\u01b0\u1ee3c l\u1ea1i, d\u01b0\u1eddng nh\u01b0 kh\u00f4ng t\u1ed3n t\u1ea1i m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa vi\u1ec7c kh\u00f4ng t\u00edch h\u1ee3p x\u01b0\u01a1ng c\u1ee7a implant v\u1edbi b\u1ec7nh tim to\u00e0n th\u00e2n, theo k\u1ebft lu\u1eadn c\u1ee7a m\u1ed9t nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u: t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i c\u1ee7a implant l\u00e0 t\u01b0\u01a1ng t\u1ef1 nhau gi\u1eefa nh\u00f3m b\u1ec7nh tim m\u1ea1ch v\u00e0 nh\u00f3m ch\u1ee9ng. M\u1eb7c d\u00f9 g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i sinh l\u00fd, nh\u01b0ng b\u1ec7nh tim m\u1ea1ch d\u01b0\u1eddng nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng l\u00e2m s\u00e0ng c\u1ee7a implant. Ngo\u00e0i ra, theo 2 nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u v\u00e0 1 nghi\u00ean c\u1ee9u ti\u1ebfn c\u1ee9u t\u1eeb m\u1ed9t trung t\u00e2m, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u c\u0169ng kh\u00f4ng ph\u00e1t hi\u1ec7n m\u1ed1i li\u00ean quan gi\u1eefa th\u1ea5t b\u1ea1i s\u1edbm c\u1ee7a implant v\u1edbi b\u1ec7nh tim m\u1ea1ch, k\u1ec3 c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh tim m\u1ea1ch kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng li\u00ean quan (ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111au th\u1eaft ng\u1ef1c, b\u1ea5t th\u01b0\u1eddng van tim, v\u00e0 lo\u1ea1n nh\u1ecbp tim). Y v\u0103n v\u1ec1 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng v\u00e0 th\u1ea5t b\u1ea1i c\u1ee7a implant \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tim m\u1ea1ch v\u1eabn c\u00f2n khan hi\u1ebfm. C\u00e1c nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n v\u1ec1 implant th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng l\u00e0 c\u1ea7n thi\u1ebft, nh\u01b0ng d\u01b0\u1eddng nh\u01b0 b\u1ec7nh tim m\u1ea1ch kh\u00f4ng l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 t\u1ed3n t\u1ea1i ban \u0111\u1ea7u c\u1ee7a implant. M\u1eb7c d\u00f9 v\u1eady, c\u1ea7n nh\u1edb r\u1eb1ng b\u1ec7nh nh\u00e2n fim m\u1ea1ch th\u01b0\u1eddng u\u1ed1ng thu\u1ed1c ki\u1ec3m so\u00e1t, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb c\u1ea5y gh\u00e9p.<\/p>\n

4. H\u00fat thu\u1ed1c l\u00e1.<\/h2>\n

Ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i t\u00ecnh tr\u1ea1ng th\u1ec3 ch\u1ea5t ASA II (b\u1ec7nh l\u00fd to\u00e0n th\u00e2n nh\u1eb9). C\u00e1c s\u1ea3n ph\u1ea9m ph\u1ee5 t\u1eeb thu\u1ed1c l\u00e1 nh\u01b0 nicotine, carbon monoxide, v\u00e0 hydrogen cyanide g\u00e2y ra c\u00e1c \u0111\u00e1p \u1ee9ng sinh h\u1ecdc \u0111\u1ed9c h\u1ea1i. Nicotine g\u00e2y gi\u1ea3m h\u1ed3ng c\u1ea7u, nguy\u00ean b\u00e0o s\u1ee3i, v\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o, l\u00e0m t\u0103ng s\u1ef1 b\u00e1m d\u00ednh ti\u1ec3u c\u1ea7u, v\u00e0 g\u00e2y co m\u1ea1ch do ph\u00f3ng th\u00edch epinephrine; t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn thi\u1ebfu s\u1ef1 truy\u1ec1n d\u1ecbch v\u00e0 ch\u1eadm l\u00e0nh th\u01b0\u01a1ng. Carbon monoxide li\u00ean k\u1ebft c\u1ea1nh tranh v\u1edbi hemoglobin, do \u0111\u00f3 l\u00e0m gi\u1ea3m s\u1ef1 oxy h\u00f3a m\u00f4. Hydrogen cyanide \u1ee9c ch\u1ebf c\u00e1c h\u1ec7 th\u1ed1ng enzyme c\u1ea7n thi\u1ebft cho s\u1ef1 trao \u0111\u1ed5i ch\u1ea5t oxy h\u00f3a v\u00e0 s\u1ef1 v\u1eadn chuy\u1ec3n t\u1ebf b\u00e0o. Ngo\u00e0i ra, h\u00fat thu\u1ed1c l\u00e1 c\u00f2n l\u00e0m t\u0103ng bi\u1ec3u hi\u1ec7n c\u1ee7a c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam (v\u00ed d\u1ee5 nh\u01b0 y\u1ebfu t\u1ed1 ho\u1ea1i t\u1eed m\u00f4 v\u00e0 prostaglandin E2), v\u00e0 l\u00e0m gi\u1ea3m h\u00f3a h\u01b0\u1edbng \u0111\u1ed9ng b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh, s\u1ef1 th\u1ef1c b\u00e0o, v\u00e0 c\u00e1c c\u01a1 ch\u1ebf \u0111\u1ed1t ch\u00e1y oxy h\u00f3a. N\u00f3 c\u0169ng l\u00e0m t\u0103ng s\u1ea3n xu\u1ea5t enzyme ph\u00e2n h\u1ee7y c\u1ea5u tr\u00fac n\u1ec1n (v\u00ed d\u1ee5 nh\u01b0 collagenase v\u00e0 elastase) t\u1eeb b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y \u1ea3nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c l\u00e1 \u0111\u1ebfn s\u1ef1 th\u1ea5t b\u1ea1i c\u1ee7a implant. M\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u nh\u1eadn th\u1ea5y ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1 c\u00f3 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n, c\u00f3 th\u1ec3 g\u1ea5p 2.5 l\u1ea7n so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1. S\u1ed1 l\u01b0\u1ee3ng implant h\u00e0m tr\u00ean b\u1ecb th\u1ea5t b\u1ea1i \u1edf ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1 cao h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi ng\u01b0\u1eddi hi\u1ec7n kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, t\u1eeb \u0111\u00f3 cho th\u1ea5y h\u00e0m tr\u00ean c\u00f3 s\u1ef1 ch\u00eanh l\u1ec7ch th\u1ea5t b\u1ea1i l\u1edbn gi\u1eefa ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1 v\u00e0 ng\u01b0\u1eddi kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1. Trong m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean ti\u1ebfn c\u1ee9u 8 n\u0103m, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng h\u00fat thu\u1ed1c l\u00e1 trong th\u1eddi gian d\u00e0i sau c\u1ea5y gh\u00e9p s\u1ebd l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a x\u01b0\u01a1ng ho\u1eb7c m\u00f4 nha chu kh\u00e1c theo th\u1eddi gian, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ea5t c\u1ea3 nh\u1eefng giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo. Ng\u01b0\u1eddi ta \u0111\u1ec1 ngh\u1ecb r\u1eb1ng c\u00e1c \u1ee9ng vi\u00ean c\u1ea5y gh\u00e9p n\u00ean b\u1ecf h\u00fat thu\u1ed1c l\u00e1. Ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 \u00edt nghi\u00ean c\u1ee9u k\u1ebft lu\u1eadn r\u1eb1ng h\u00fat thu\u1ed1c l\u00e1 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant. Hai nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u \u0111\u00e3 k\u1ebft lu\u1eadn h\u00fat thu\u1ed1c l\u00e1 kh\u00f4ng ph\u1ea3i l\u00e0 y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh s\u1ef1 th\u1ea5t b\u1ea1i c\u1ee7a implant. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c nh\u1eadn th\u1ea5y implant \u0111\u01b0\u1ee3c x\u1eed l\u00fd b\u1ec1 m\u1eb7t c\u00f3 th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u00e1c \u0111\u1ed9ng t\u1eeb thu\u1ed1c l\u00e1.<\/p>\n

Nh\u00ecn chung, h\u00fat thu\u1ed1c l\u00e1 c\u0169ng thu\u1ed9c nh\u00f3m b\u1ec7nh l\u00fd y khoa, nguy c\u01a1 l\u00e0m gi\u1ea3m s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a implant \u1edf h\u00e0m tr\u00ean, v\u00e0 vi\u1ec7c ng\u01b0ng h\u00fat thu\u1ed1c l\u00e1 tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb implant d\u01b0\u1eddng nh\u01b0 gi\u00fap c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3. Nhi\u1ec1u t\u00e1c gi\u1ea3 cho r\u1eb1ng c\u00f3 s\u1ef1 li\u00ean quan \u0111\u00e1ng k\u1ec3 gi\u1eefa h\u00fat thu\u1ed1c l\u00e1 v\u1edbi s\u1ef1 th\u1ea5t b\u1ea1i c\u1ee7a implant. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c implant \u0111\u01b0\u1ee3c x\u1eed l\u00fd b\u1ec1 m\u1eb7t c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 th\u1ea5t b\u1ea1i \u1edf ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1, nh\u01b0ng b\u1eb1ng ch\u1ee9ng n\u00e0y ch\u1ec9 mang t\u00ednh s\u01a1 b\u1ed9.<\/p>\n

Ngu\u1ed3n t\u00e0i li\u1ec7u: Clinical Cases in Implant Dentistry, First Edition – Published 2017 by John Wiley & Sons, Inc.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00e1c b\u1ec7nh l\u00fd Y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb Implant c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng, b\u1ec7nh Crohn’s, b\u1ec7nh tim m\u1ea1ch v\u00e0 h\u00fat thu\u1ed1c l\u00e1. C\u00f9ng t\u00ecm hi\u1ec3u l\u1ea7n l\u01b0\u1ee3t c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m v\u1ec1 t\u1eebng b\u1ec7nh l\u00fd\/\u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 c\u00f3 c\u00e1i nh\u00ecn \u0111\u00e1nh gi\u00e1 tr\u1ef1c quan \u0111\u1ed1i v\u1edbi […]<\/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":"\nB\u1ec7nh l\u00fd Y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb Implant.<\/title>\n<meta name=\"description\" content=\"C\u00e1c b\u1ec7nh l\u00fd Y khoa nguy c\u01a1 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb Implant nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng, b\u1ec7nh Crohn's, b\u1ec7nh tim m\u1ea1ch v\u00e0 h\u00fat thu\u1ed1c l\u00e1. 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