{"id":179,"date":"2025-11-27T07:05:57","date_gmt":"2025-11-27T07:05:57","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=179"},"modified":"2025-11-27T07:05:59","modified_gmt":"2025-11-27T07:05:59","slug":"dau-khop-vai-don-thuan-do-benh-ly-gan","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=179","title":{"rendered":"\u0110AU KH\u1edaP VAI \u0110\u01a0N THU\u1ea6N DO B\u1ec6NH L\u00dd G\u00c2N"},"content":{"rendered":"\n

Vi\u00eam quanh kh\u1edbp vai (Periarthritis humeroscapularis) l\u00e0 thu\u1eadt ng\u1eef d\u00f9ng chung cho c\u00e1c b\u1ec7nh l\u00fd vi\u00eam c\u00e1c c\u1ea5u tr\u00fac ph\u1ea7n m\u1ec1m quanh kh\u1edbp vai: g\u00e2n, t\u00fai thanh d\u1ecbch, bao kh\u1edbp; kh\u00f4ng bao g\u1ed3m c\u00e1c b\u1ec7nh l\u00fd c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u0111\u1ea7u x\u01b0\u01a1ng, s\u1ee5n kh\u1edbp v\u00e0 m\u00e0ng ho\u1ea1t d\u1ecbch nh\u01b0 vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p\u2026 Theo Welfling (1981) c\u00f3 b\u1ed1n th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam quanh kh\u1edbp vai: <\/p>\n\n\n\n

\u2212 \u0110au vai \u0111\u01a1n thu\u1ea7n th\u01b0\u1eddng do b\u1ec7nh l\u00fd g\u00e2n. <\/p>\n\n\n\n

\u2212 \u0110au vai c\u1ea5p do l\u1eafng \u0111\u1ecdng vi tinh th\u1ec3. <\/p>\n\n\n\n

\u2212 Gi\u1ea3 li\u1ec7t kh\u1edbp vai do \u0111\u1ee9t c\u00e1c g\u00e2n c\u1ee7a b\u00f3 d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u ho\u1eb7c \u0111\u1ee9t c\u00e1c g\u00e2n m\u0169 c\u01a1 quay khi\u1ebfn c\u01a1 delta kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c. <\/p>\n\n\n\n

\u2212 C\u1ee9ng kh\u1edbp vai do vi\u00eam d\u00ednh bao ho\u1ea1t d\u1ecbch, co th\u1eaft bao kh\u1edbp, bao kh\u1edbp d\u00e0y, d\u1eabn \u0111\u1ebfn gi\u1ea3m v\u1eadn \u0111\u1ed9ng kh\u1edbp \u1ed5 ch\u1ea3o – x\u01b0\u01a1ng c\u00e1nh tay.<\/p>\n\n\n\n

\u0110au kh\u1edbp vai \u0111\u01a1n thu\u1ea7n l\u00e0 th\u1ec3 l\u00e2m s\u00e0ng hay g\u1eb7p nh\u1ea5t trong 4 th\u1ebf.T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i, ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi tr\u1ebb g\u1eb7p ch\u1ea5n th\u01b0\u01a1ng trong th\u1ec3 thao g\u00e2y vi\u00eam c\u00e1c g\u00e2n c\u1ee7a kh\u1edbp vai nh\u01b0 vi\u00eam \u0111\u1ea7u d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u, g\u00e2n c\u01a1 tr\u00ean gai, c\u01a1 d\u01b0\u1edbi gai, c\u01a1 d\u01b0\u1edbi vai, c\u01a1 tr\u00f2n nh\u1ecf. <\/p>\n\n\n\n

– Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a \u0111au kh\u1edbp vai \u0111\u01a1n thu\u1ea7n:<\/p>\n\n\n\n

+ \u0110au v\u00f9ng kh\u1edbp vai th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau v\u1eadn \u0111\u1ed9ng kh\u1edbp vai qu\u00e1 m\u1ee9c, ho\u1eb7c sau nh\u1eefng vi ch\u1ea5n th\u01b0\u01a1ng li\u00ean ti\u1ebfp \u1edf kh\u1edbp vai. <\/p>\n\n\n\n

+ \u0110au ki\u1ec3u c\u01a1 h\u1ecdc. \u0110au t\u0103ng khi l\u00e0m c\u00e1c \u0111\u1ed9ng t\u00e1c n\u00e2ng c\u00e1nh tay, co c\u00e1nh tay \u0111\u1ed1i kh\u00e1ng. \u00cdt h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng kh\u1edbp.C\u01a1n \u0111au t\u0103ng l\u00ean, th\u1eadm ch\u00ed lan t\u1ecfa xu\u1ed1ng c\u00e1nh tay, c\u1eb3ng tay khi n\u1eb1m t\u00ec v\u00e0o vai khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ch\u1ecbu, \u0111au \u0111\u1edbn v\u00e0 kh\u00f4ng th\u1ec3 n\u1eb1m nghi\u00eang.<\/p>\n\n\n\n

 + Th\u01b0\u1eddng g\u1eb7p t\u1ed5n th\u01b0\u01a1ng g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u v\u00e0 g\u00e2n c\u01a1 tr\u00ean gai. Th\u01b0\u1eddng c\u00f3 \u0111i\u1ec3m \u0111au ch\u00f3i khi \u1ea5n t\u1ea1i \u0111i\u1ec3m b\u00e1m t\u1eadn g\u00e2n b\u00f3 d\u00e0i c\u1ee7a g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u c\u00e1nh tay (m\u1eb7t tr\u01b0\u1edbc c\u1ee7a kh\u1edbp vai, d\u01b0\u1edbi m\u1ecfm qu\u1ea1 1cm) ho\u1eb7c g\u00e2n tr\u00ean gai (m\u1ecfm c\u00f9ng vai).<\/p>\n\n\n\n

– C\u1eadn l\u00e2m s\u00e0ng: <\/p>\n\n\n\n

 + H\u00ecnh \u1ea3nh Xquang kh\u1edbp vai b\u00ecnh th\u01b0\u1eddng ho\u1eb7c c\u00f3 \u0111i\u1ec3m canxi ho\u00e1 g\u00e2n<\/p>\n\n\n\n

 + H\u00ecnh \u1ea3nh si\u00eau \u00e2m: g\u00e2n gi\u1ea3m \u00e2m h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng,c\u00f3 th\u1ec3 th\u1ea5y n\u1ed1t v\u00f4i ho\u00e1 g\u00e2n,d\u1ecbch quanh g\u00e2n nh\u1ecb \u0111\u1ea7u,t\u0103ng sinh m\u1ea1ch m\u00e1u trong g\u00e2n ho\u1eb7c quanh g\u00e2n tr\u00ean si\u00eau \u00e2m doppler n\u0103ng l\u01b0\u1ee3ng<\/p>\n\n\n\n

– \u0110i\u1ec1u tr\u1ecb \u0111au kh\u1edbp vai \u0111\u01a1n thu\u1ea7n b\u1eb1ng ti\u00eam corticoid t\u1ea1i ch\u1ed7 kh\u00e1 hi\u1ec7u qu\u1ea3.Thu\u1ed1c ti\u00eam  t\u1ea1i ch\u1ed7 (v\u00e0o bao g\u00e2n, bao thanh d\u1ecbch d\u01b0\u1edbi c\u01a1 delta) th\u01b0\u1eddng s\u1eed d\u1ee5ng l\u00e0 c\u00e1c mu\u1ed1i c\u1ee7a corticoid nh\u01b0 methylprednisolon acetat 40mg; betamethason dipropionat 5mg ho\u1eb7c betamethason sodium phosphat 2mg ti\u00eam 1 l\u1ea7n duy nh\u1ea5t; sau 3-6 th\u00e1ng c\u00f3 th\u1ec3 ti\u00eam nh\u1eafc l\u1ea1i n\u1ebfu b\u1ec7nh nh\u00e2n \u0111au tr\u1edf l\u1ea1i. Tr\u00e1nh ti\u00eam corticoid \u1edf b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ee9t g\u00e2n b\u00e1n ph\u1ea7n do tho\u00e1i h\u00f3a. Ti\u00eam corticoid \u1edf b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed g\u00e2n v\u00e0 g\u00e2y \u0111\u1ee9t g\u00e2n ho\u00e0n to\u00e0n. N\u00ean ti\u00eam d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

<\/a>
Ti\u00eam  \u0111i\u1ec1u tr\u1ecb vi\u00eam g\u00e2n nh\u1ecb \u0111\u1ea7u d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

<\/a>
Ti\u00eam t\u00fai ho\u1ea1t d\u1ecbch d\u01b0\u1edbi c\u01a1 delta d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam g\u00e2n ch\u00f3p xoay l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y \u0111au vai hay x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i,lao \u0111\u1ed9ng n\u1eb7ng ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao \u1edf ng\u01b0\u1eddi tr\u1ebb khi s\u1eed d\u1ee5ng kh\u1edbp vai qu\u00e1 m\u1ee9c,qu\u00e1 t\u1ea7m.<\/p>\n","protected":false},"author":1,"featured_media":180,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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