{"id":30704,"date":"2023-05-03T15:02:02","date_gmt":"2023-05-03T08:02:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30704"},"modified":"2023-05-03T15:02:02","modified_gmt":"2023-05-03T08:02:02","slug":"phu-bach-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/phu-bach-mach\/","title":{"rendered":"Ph\u00f9 b\u1ea1ch m\u1ea1ch ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Ph\u00f9 b\u1ea1ch m\u1ea1ch<\/a> l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 t\u00edch lu\u1ef9 qu\u00e1 m\u1ee9c d\u1ecbch gi\u00e0u protein trong c\u00e1c kho\u1ea3ng k\u1ebd do thay \u0111\u1ed5i th\u00e0nh ph\u1ea7n d\u1ecbch b\u1ea1ch huy\u1ebft, suy gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn chuy\u1ec3n, ho\u1eb7c th\u1ea5t b\u1ea1i c\u1ee7a s\u1ef1 ly gi\u1ea3i protein ngo\u00e0i h\u1ea1ch.<\/strong><\/p>\n

1.Ph\u00e2n lo\u1ea1i<\/h2>\n

D\u1ef1a v\u00e0o nguy\u00ean nh\u00e2n, \u0111\u01b0\u1ee3c chia th\u00e0nh ph\u00f9 b\u1ea1ch m\u1ea1ch nguy\u00ean ph\u00e1t v\u00e0 ph\u00f9 b\u1ea1ch m\u1ea1ch th\u1ee9 ph\u00e1t.<\/p>\n

Ph\u00f9 b\u1ea1ch m\u1ea1ch nguy\u00ean ph\u00e1t: <\/strong>L\u00e0 t\u00ecnh tr\u1ea1ng ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng h\u1ec7 th\u1ed1ng m\u1ea1ch b\u1ea1ch huy\u1ebft b\u1ea9m sinh, nguy\u00ean nh\u00e2n ch\u01b0a r\u00f5 r\u00e0ng, chi\u1ebfm t\u1ef7 l\u1ec7 1\/6000-10000 tr\u1ebb sinh ra c\u00f2n s\u1ed1ng. Ph\u00f9 b\u1ea1ch m\u1ea1ch nguy\u00ean ph\u00e1t \u0111\u01b0\u1ee3c chia l\u00e0m 3 nh\u00f3m:<\/p>\n

Ph\u00f9 b\u1ea1ch m\u1ea1ch b\u1ea9m sinh xu\u1ea5t hi\u1ec7n s\u1edbm (B\u1ec7nh Milroy): C hi\u1ebfm 10%, tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n ngay trong n\u0103m \u0111\u1ea7u sau sinh, g\u1eb7p ch\u1ee7 y\u1ebfu \u1edf nam, th\u01b0\u1eddng b\u1ecb c\u1ea3 hai ch\u00e2n.<\/p>\n

Ph\u00f9 b\u1ea1ch m\u1ea1ch sau d\u1eady th\u00ec (praecox primary lymphedema hay b\u1ec7nh Meige): Chi\u1ebfm 80%, hay xu\u1ea5t hi\u1ec7n \u1edf th\u1eddi k\u1ef3 thanh thi\u1ebfu ni\u00ean (2 – 35 tu\u1ed5i), g\u1eb7p ch\u1ee7 y\u1ebfu \u1edf n\u1eef (t\u1ef7 l\u1ec7 n\u1eef\/nam = 10\/1), th\u01b0\u1eddng ch\u1ec9 ph\u00f9 m\u1ed9t ch\u00e2n.<\/p>\n

Ph\u00f9 b\u1ea1ch m\u1ea1ch xu\u1ea5t hi\u1ec7n mu\u1ed9n (tarda primary lymphedema): Chi\u1ebfm 10%, tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n sau 3 5 tu\u1ed5i.<\/p>\n

Ph\u00f9 b\u1ea1ch m\u1ea1ch th\u1ee9 ph\u00e1t:<\/strong><\/p>\n

L\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 t\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ed1ng m\u1ea1ch b\u1ea1ch huy\u1ebft do c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ho\u1eb7c c\u00e1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/p>\n

C\u00e1c nguy\u00ean nh\u00e2n d\u0201n t\u1edbi t\u00ecnh tr\u1ea1ng ph\u00f9 n\u00e0y bao g\u1ed3m ung th\u01b0 (nh\u1ea5t l\u00e0 ung th\u01b0 v\u00fa, chi\u1ebfm 13 – 20%), v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 (n\u1ea1o v\u00e9t h\u1ea1ch, x\u1ea1 tia), nhi\u1ec5m tr\u00f9ng (giun ch\u1ec9 l\u00e0 k\u00fd sinh tr\u00f9ng g\u00e2y ph\u00f9 b\u1ea1ch m\u1ea1ch \u1edf c\u00e1c n\u01b0\u1edbc nhi\u1ec7t \u0111\u1edbi v\u00e0 c\u1eadn nhi\u1ec7t \u0111\u1edbi, nhi\u1ec5m tr\u00f9ng da t\u00e1i ph\u00e1t, lao…), c\u00e1c b\u1ec7nh l\u00fd vi\u00eam, b\u00e9o ph\u00ec v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i m\u1ea1n t\u00ednh d\u1ecbch trong kho\u1ea3ng k\u1ebd (suy t \u0129nh m\u1ea1ch m\u1ea1n t\u00ednh, ch\u1ea5n th\u01b0\u01a1ng, b\u1ecfng).<\/p>\n

2. Sinh l\u00fd b\u1ec7nh<\/h2>\n

Ph\u00f9 b\u1ea1ch m\u1ea1ch x\u1ea3y ra khi l\u01b0\u1ee3ng d\u1ecbch b\u1ea1ch huy\u1ebft t\u1ea1o ra v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng v\u1eadn chuy\u1ec3n c\u1ee7a h\u1ec7 b\u1ea1ch huy\u1ebft, d\u1ecbch n\u00e0y t\u00edch t\u1ee5 trong m\u00f4 k\u1ebd. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa s\u1ea3n xu\u1ea5t v\u00e0 v\u1eadn chuy\u1ec3n d\u1ecbch b\u1ea1ch huy\u1ebft c\u00f3 th\u1ec3 do d\u1ecb t\u1eadt b\u1ea9m sinh c\u1ee7a h\u1ec7 b\u1ea1ch huy\u1ebft, ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch b\u1ea1ch huy\u1ebft ho\u1eb7c h\u1ea1ch b\u1ea1ch huy\u1ebft d\u0201n \u0111\u1ebfn gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng k\u00eanh b\u1ea1ch huy\u1ebft ho\u1eb7c t\u1eafc ngh\u1ebdn c\u00e1c k\u00eanh n\u00e0y. S\u1ef1 t\u00edch t\u1ee5 li\u00ean t\u1ee5c c\u1ee7a d\u1ecbch b\u1ea1ch huy\u1ebft th\u00fac \u0111\u1ea9y s\u1ef1 t\u0103ng sinh c\u1ee7a c\u00e1c t\u1ebf b\u00e0o m\u1ee1 v\u00e0 l\u1eafng \u0111\u1ecdng c\u00e1c s\u1ee3i collagen \u1edf ngo\u1ea1i b\u00e0o v\u00e0 xung quanh mao m\u1ea1ch v\u00e0 \u1ed1ng g\u00f3p b\u1ea1ch huy\u1ebft.<\/p>\n

3. L\u00e2m s\u00e0ng<\/h2>\n

Kh\u1edfi ph\u00e1t ph\u00f9 b\u1ea1ch m\u1ea1ch th\u01b0\u1eddng t\u1eeb t\u1eeb. B\u1ec7nh nh\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng ban \u0111\u1ea7u c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au \u1edf chi b\u1ecb ph\u00f9. Ph\u00f9 n\u1ec1 l\u00e0 d\u1ea5u hi\u1ec7u xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc ti\u00ean, c\u00f3 th\u1ec3 ch\u1ec9 ph\u00f9 \u1edf g\u1ed1c chi ho\u1eb7c ch\u1ec9 ph\u00f9 \u1edf ng\u1ecdn chi, bao g\u1ed3m c\u00e1c ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n.<\/p>\n

Tr\u00ean l\u00e2m s\u00e0ng c\u1ea7n \u0111\u00e1nh gi\u00e1 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u, da, m\u00f4 m\u1ec1m v\u00e0 s\u1edd c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft.<\/p>\n

Ph\u00f9 \u1edf chi b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m ph\u00f9 m\u1ec1m v\u00e0 \u1ea5n l\u00f5m. M\u1ee9c \u0111\u1ed9 ph\u00f9 v\u00e0 s\u1ef1 thay \u0111\u1ed5i \u0111\u1eb7c \u0111i\u1ec3m da \u1edf chi t\u1ed5n th\u01b0\u01a1ng ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n ph\u00f9 b\u1ea1ch m\u1ea1ch. Khi ph\u00f9 b\u1ea1ch m\u1ea1ch l\u00e2u ng\u00e0y, v\u00f9ng da b\u1ecb \u1ea3nh h\u01b0\u1edfng s\u1ebd d\u00e0y h\u01a1n, kh\u00f4 v\u00e0 c\u1ee9ng h\u01a1n do x\u01a1 ho\u00e1 da v\u00e0 l\u1eafng \u0111\u1ecdng m\u1ee1.<\/p>\n

D\u1ea5u hi\u1ec7u Stemmer <\/em>l\u00e0 bi\u1ec3u hi\u1ec7n \u0111\u1eb7c tr\u01b0ng c\u1ee7a ph\u00f9 b\u1ea1ch m\u1ea1ch. D\u1ea5u hi\u1ec7u Stemmer d\u01b0\u01a1ng t\u00ednh khi t\u0103ng \u0111\u1ed9 d\u00e0y n\u1ebfp g\u1ea5p da \u1edf g\u1ed1c ng\u00f3n tay ho\u1eb7c ng\u00f3n ch\u00e2n th\u1ee9 hai. Ngo\u00e0i ra, d\u1ea5u hi\u1ec7u da nh\u01b0 v\u1ecf qu\u1ea3 cam c\u0169ng th\u01b0\u1eddng g\u1eb7p, do ph\u00f9 nhi\u1ec1u l\u00e0m gi\u00e3n l\u1edbn c\u00e1c l\u1ed7 ch\u00e2n l\u00f4ng.<\/p>\n

\"Ph\u00e2n<\/p>\n

Ph\u00e2n \u0111\u1ed9 ph\u00f9 b\u1ea1ch m\u1ea1ch<\/strong><\/p>\n

4. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

Trong h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p, ph\u00f9 b\u1ea1ch m\u1ea1ch \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u1ec9 c\u1ea7n d\u1ef1a v\u00e0o kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 h\u1ecfi b\u1ec7nh. C\u00e1c th\u0103m d\u00f2 c\u1eadn l\u00e2m s\u00e0ng c\u00f3 vai tr\u00f2 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n v\u00e0 lo\u1ea1i tr\u1eeb nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y ph\u00f9:<\/p>\n

    \n
  • Si\u00eau \u00e2m Doppler m\u1ea1ch m\u00e1u <\/em>gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd t\u0129nh m\u1ea1ch k\u00e8m theo.<\/li>\n
  • X\u1ea1 h\u00ecnh m\u1ea1ch b\u1ea1ch huy\u1ebft<\/em>: Ti\u00eam trong da \u0111\u1ed3ng v\u1ecb Technetium 99m (Tc 99m<\/sup> ) \u1edf mu b\u00e0n tay ho\u1eb7c mu b\u00e0n ch\u00e2n, sau \u0111\u00f3 ch\u1ea5t n\u00e0y s\u1ebd th\u1ea5m v\u00e0o h\u1ec7 m\u1ea1ch b\u1ea1ch huy\u1ebft. X\u1ea1 h\u00ecnh gi\u00fap so s\u00e1nh c\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft, c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00e0 s\u1ef1 l\u01b0u th\u00f4ng c\u1ee7a h\u1ec7 th\u1ed1ng b\u1ea1ch huy\u1ebft s\u00e2u.<\/li>\n
  • Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh\/c\u1ed9ng h\u01b0\u1edfng t\u1eeb <\/em>ch\u1ec9 \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u1ec3 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh (th\u1ec3 \u0111\u01a1n \u0111\u1ed9c khu tr\u00fa v\u00f9ng \u0111\u00f9i) v\u00e0 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t (ph\u00ec \u0111\u1ea1i chi, d\u1ecb d\u1ea1ng, ph\u00f9 do r\u1ed1i lo\u1ea1n ph\u00e2n b\u1ed1 m\u1ee1).<\/li>\n
  • Ch\u1ee5p b\u1ea1ch m\u1ea1ch qua da.<\/em><\/li>\n
  • \u0110o ch\u1ec9 s\u1ed1 c\u1ed5 ch\u00e2n – c\u00e1nh t ay (ABI) <\/em>\u0111\u1ec3 lo\u1ea1i tr\u1eeb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p b\u0103ng \u00e9p \u00e1p l\u1ef1c.<\/li>\n<\/ul>\n

    5. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n
      \n
    • Suy t\u0129nh m\u1ea1ch m\u1ea1n t\u00ednh <\/em>th\u01b0\u1eddng g\u00e2y ph\u00f9 \u1edf ngo\u1ea1i bi\u00ean k\u00e8m theo gi\u00e3n t\u0129nh m\u1ea1ch, r\u1ed1i lo\u1ea1n s\u1eafc t\u1ed1 da, c\u00e1c v\u1ebft lo\u00e9t v\u00e0 s\u1eb9o lo\u00e9t do suy t\u0129nh m\u1ea1ch.<\/li>\n
    • Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u chi d\u01b0\u1edbi <\/em>v\u00e0 h\u1ed9i ch\u1ee9ng h\u1eadu huy\u1ebft kh\u1ed1i <\/em>: B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch, c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd suy t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh.<\/li>\n
    • Ph\u00ec \u0111\u1ea1i chi <\/em>.<\/li>\n
    • Ph\u00f9 m\u1ee1 <\/em>: Ph\u00f9 do r\u1ed1i lo\u1ea1n ph\u00e2n b\u1ed1 m\u1ee1 th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef gi\u1edbi. V\u1ecb tr\u00ed th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n t\u0103ng k\u00edch th\u01b0\u1edbc l\u00e0 v\u00f9ng b\u1ee5ng v\u00e0 m\u1eaft c\u00e1 ch\u00e2n.<\/li>\n
    • Ph\u00f9 ni\u00eam tr\u01b0\u1edbc x\u01b0\u01a1ng ch\u00e0y <\/em>do b\u1ec7nh l\u00fd c\u01b0\u1eddng gi\u00e1p. Ngo\u00e0i bi\u1ec3u hi\u1ec7n ph\u00f9, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng gi\u00e1p.<\/li>\n
    • C\u00e1c kh\u1ed1i u <\/em>c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n nhanh n\u1ebfu c\u00f3 t\u00ednh ch\u1ea5t \u00e1c t\u00ednh.<\/li>\n<\/ul>\n

      6. Bi\u1ebfn ch\u1ee9ng<\/h2>\n
        \n
      • Bi\u1ebfn ch\u1ee9ng ch\u1ee7 y\u1ebfu c\u1ee7a ph\u00f9 b\u1ea1ch m\u1ea1ch l\u00e0 vi\u00eam m\u00f4 t\u1ebf b\u00e0o.<\/li>\n
      • \u0110\u1ed1i v\u1edbi chi tr\u00ean, v\u1ecb tr\u00ed hay x\u1ea3y ra \u1edf v\u00fa ho\u1eb7c th\u00e0nh ng\u1ef1c.<\/li>\n
      • \u0110\u1ed1i v\u1edbi chi d\u01b0\u1edbi, v\u1ecb tr\u00ed hay x\u1ea3y ra \u1edf x\u01b0\u01a1ng mu v\u00e0 b\u1ed9 ph\u1eadn sinh d\u1ee5c.<\/li>\n
      • Sarcome m\u1ea1ch b\u1ea1ch huy\u1ebft hay h\u1ed9i ch\u1ee9ng Stewart – Treves l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng \u0111\u1eb7c bi\u1ec7t, x\u1ea3y ra ch\u1ee7 y\u1ebfu \u1edf ph\u00f9 b\u1ea1ch m\u1ea1ch th\u1ee9 ph\u00e1t chi tr\u00ean. Bi\u1ec3u hi\u1ec7n l\u00e0 m\u1ed9t kh\u1ed1i u th\u00e2m nhi\u1ec5m gi\u1ed1ng nh\u01b0 kh\u1ed1i m\u00e1u t\u1ee5 dai d\u1eb3ng. Ti\u00ean l\u01b0\u1ee3ng r\u1ea5t n\u1eb7ng.<\/li>\n<\/ul>\n

        7. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

        M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n

        Gi\u00fap gi\u1ea3m d\u1ea7n k\u00edch th\u01b0\u1edbc chi b\u1ecb ph\u00f9 b\u1ea1ch m\u1ea1ch. H\u1ea1n ch\u1ebf c\u00e1c bi\u1ebfn ch\u1ee9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 vi\u00eam m\u00f4 t\u1ebf b\u00e0o. C\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ec7nh nh\u00e2n.<\/p>\n

        7.1 V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/h3>\n

        \u0110i\u1ec1u tr\u1ecb ph\u00f9 b\u1ea1ch m\u1ea1ch c\u1ea7n k\u1ebft h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p: D\u0201n l\u01b0u m\u1ea1ch b\u1ea1ch huy\u1ebft b\u1eb1ng tay, ph\u01b0\u01a1ng ph\u00e1p b\u0103ng cu\u1ed1n \u00e1p l\u1ef1c li\u00ean t\u1ee5c v\u00e0 ch\u0103m s\u00f3c da.<\/p>\n

        \u0110i\u1ec1u tr\u1ecb ph\u00f9 b\u1ea1ch m\u1ea1ch th\u01b0\u1eddng k\u1ebft h\u1ee3p 2 pha <\/em>\u0111i\u1ec1u tr\u1ecb:<\/p>\n

        Pha \u0111i\u1ec1u tr\u1ecb d\u1eabn l\u01b0u t\u00edch c\u1ef1c: <\/em>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c d\u0201n l\u01b0u m\u1ea1ch b\u1ea1ch huy\u1ebft b\u1eb1ng tay 5 ng\u00e0y\/tu\u1ea7n, k\u1ebft h\u1ee3p cu\u1ed1n nhi\u1ec1u l\u1edbp b\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9 cao \u0111\u1ec3 k\u00edch th\u00edch d\u0201n l\u01b0u d\u1ecbch b\u1ea1ch huy\u1ebft. M\u1ee5c ti\u00eau gi\u00fap gi\u1ea3m 30 – 40% th\u1ec3 t\u00edch ph\u00f9 sau khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

        Pha \u0111i\u1ec1u tr\u1ecb duy tr\u00ec: <\/em>B\u0103ng cu\u1ed1n \u00e1p l\u1ef1c l\u00e0 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 ng\u0103n ti\u1ebfn tri\u1ec3n ph\u00f9 b\u1ea1ch m\u1ea1ch. B\u1ec7nh nh\u00e2n cu\u1ed1n b\u0103ng \u00e1p l\u1ef1c li\u00ean t\u1ee5c c\u1ea3 ban ng\u00e0y l\u0201n ban \u0111\u00eam v\u1edbi b\u0103ng \u00e1p l\u1ef1c c\u00f3 \u0111\u1ed9 cao (\u0111\u1ed9 2 ho\u1eb7c \u0111\u1ed9 3).<\/p>\n

        7.2 Thu\u1ed1c<\/h3>\n

        Kh\u00e1ng sinh l\u00e0 thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng m\u00f4 m\u1ec1m. Nh\u1eefng \u0111\u1ee3t vi\u00eam m\u00f4 t\u1ebf b\u00e0o l\u00e0m n\u1eb7ng th\u00eam t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf da v\u00e0 t\u00ecnh tr\u1ea1ng ph\u00f9. Kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ngay khi nghi ng\u1edd ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a nhi\u1ec5m tr\u00f9ng m\u00f4 m\u1ec1m.<\/p>\n

        L\u1ee3i ti\u1ec3u ch\u1ec9 h\u1eefu \u00edch trong tr\u01b0\u1eddng h\u1ee3p ph\u00f9 t\u0129nh m\u1ea1ch ho\u1eb7c ph\u00f9 h\u1ed7n h\u1ee3p t\u0129nh m\u1ea1ch v\u00e0 b\u1ea1ch m\u1ea1ch.<\/p>\n

        7.3 Ph\u1eabu thu\u1eadt<\/h3>\n

        Ph\u0201u thu\u1eadt l\u1ecdc b\u1ecf m\u00f4 ph\u00ec \u0111\u1ea1i c\u00f3 vai tr\u00f2 gi\u1ea3m nh\u1eb9 ph\u00f9 b\u1ea1ch m\u1ea1ch. Chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb x\u00e2m l\u1ea5n c\u1ea7n thi\u1ebft \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c \u0111\u1ed9 ph\u00ec \u0111\u1ea1i m\u1ee1 d\u01b0\u1edbi da v\u00e0 x\u01a1 ho\u00e1 qu\u00e1 n\u1eb7ng. Ph\u0201u thu\u1eadt c\u1eaft b\u1ecf da th\u1eeba v\u00e0 c\u00e1c m\u00f4 b\u1ea1ch huy\u1ebft r\u1ed3i ti\u1ebfn h\u00e0nh gh\u00e9p da.<\/p>\n

        Ph\u0201u thu\u1eadt vi ph\u0201u gh\u00e9p h\u1ea1ch b\u1ea1ch huy\u1ebft t\u1ea1o ra c\u00e1c mi\u1ec7ng n\u1ed1i v\u00e0 t\u00e1i t\u1ea1o c\u00e1c \u0111\u01b0\u1eddng b\u1ea1ch huy\u1ebft \u0111\u1ec3 g\u00f3p ph\u1ea7n l\u01b0u th\u00f4ng d\u1ecbch b\u1ea1ch huy\u1ebft t\u1ed1t h\u01a1n.<\/p>\n

        Ph\u0201u thu\u1eadt h\u00fat m\u1ee1 \u00e1p d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p ph\u00f9 b\u1ea1ch huy\u1ebft m\u1ea1n t\u00ednh sau ph\u0201u thu\u1eadt. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u1ea3m th\u1ec3 t\u00edch m\u1ee1 d\u01b0 th\u1eeba.<\/p>\n

        7.4 Gi\u00e1o d\u1ee5c s\u1ee9c kho\u1ebb<\/h3>\n

        T\u01b0 v\u1ea5n \u0111\u1ec3 b\u1ec7nh nh\u00e2n hi\u1ec3u r\u00f5 v\u1ec1 b\u1ec7nh l\u00fd, c\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u1ec3 b\u1ec7nh nh\u00e2n t\u1ef1 tin<\/p>\n

        trong cu\u1ed9c s\u1ed1ng, l\u1ef1a ch\u1ecdn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u1eadp luy\u1ec7n th\u1ec3 l\u1ef1c, \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

        H\u01b0\u1edbng d\u0201n b\u1ec7nh nh\u00e2n v\u1ec1 gi\u1ea3m c\u00e2n n\u1eb7ng n\u1ebfu b\u00e9o ph\u00ec, c\u00e1ch b\u1ea3o v\u1ec7 da v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh s\u1edbm.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Ph\u00f9 b\u1ea1ch m\u1ea1ch l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 t\u00edch lu\u1ef9 qu\u00e1 m\u1ee9c d\u1ecbch gi\u00e0u protein trong c\u00e1c kho\u1ea3ng k\u1ebd do thay \u0111\u1ed5i th\u00e0nh ph\u1ea7n d\u1ecbch b\u1ea1ch huy\u1ebft, suy gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn chuy\u1ec3n, ho\u1eb7c th\u1ea5t b\u1ea1i c\u1ee7a s\u1ef1 ly gi\u1ea3i protein ngo\u00e0i h\u1ea1ch. 1.Ph\u00e2n lo\u1ea1i D\u1ef1a v\u00e0o nguy\u00ean nh\u00e2n, \u0111\u01b0\u1ee3c chia th\u00e0nh ph\u00f9 b\u1ea1ch m\u1ea1ch […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nPh\u00f9 b\u1ea1ch m\u1ea1ch ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u00f9 b\u1ea1ch m\u1ea1ch l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 t\u00edch lu\u1ef9 qu\u00e1 m\u1ee9c d\u1ecbch gi\u00e0u protein trong c\u00e1c kho\u1ea3ng k\u1ebd do thay \u0111\u1ed5i th\u00e0nh ph\u1ea7n d\u1ecbch b\u1ea1ch huy\u1ebft.\" \/>\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=\"Ph\u00f9 b\u1ea1ch m\u1ea1ch ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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