{"id":219,"date":"2025-11-27T11:44:00","date_gmt":"2025-11-27T11:44:00","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=219"},"modified":"2025-11-27T11:44:04","modified_gmt":"2025-11-27T11:44:04","slug":"thoai-hoa-cot-song-co","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=219","title":{"rendered":"THO\u00c1I H\u00d3A C\u1ed8T S\u1ed0NG C\u1ed4"},"content":{"rendered":"\n<p>Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed5ng c\u1ed5&nbsp;l\u00e0 qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00fd \u1edf c\u00e1c \u0111\u1ed1t s\u1ed1ng c\u1ed5, b\u1eaft \u0111\u1ea7u b\u1eb1ng nh\u1eefng hi\u1ec7n t\u01b0\u1ee3ng h\u01b0 kh\u1edbp \u1edf c\u00e1c di\u1ec7n \u0111\u1ed1t s\u1ed1ng, \u0111\u0129a \u0111\u1ec7m \u0111\u1ed1t t\u1edbi c\u00e1c bao ho\u1ea1t d\u1ecbch, d\u00e2y ch\u1eb1ng, d\u1ea7n d\u1ea7n v\u1ec1 sau xu\u1ea5t hi\u1ec7n hi\u1ec7n t\u01b0\u1ee3ng tho\u00e1i h\u00f3a c\u00e1c \u0111\u1ed1t s\u1ed1ng, g\u00e2y \u0111au v\u00f9ng c\u1ed5, nh\u1ea5t l\u00e0 khi v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u1ed5. Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng c\u1ed5 l\u00e0 b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh kh\u00e1 ph\u1ed5 bi\u1ebfn, ti\u1ebfn tri\u1ec3n ch\u1eadm c\u00f3 th\u1ec3 g\u1eb7p tho\u00e1i h\u00f3a \u1edf b\u1ea5t k\u1ef3 \u0111o\u1ea1n n\u00e0o, \u0111o\u1ea1n C5-C6-C7 l\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/p>\n\n\n\n<p>Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng c\u1ed5 l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n b\u1ec7nh ph\u1ed5 bi\u1ebfn c\u1ee7a x\u00e3 h\u1ed9i. Tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5 kh\u00f4ng ch\u1ec9 \u1edf nh\u1eefng ng\u01b0\u1eddi cao tu\u1ed5i m\u00e0 c\u00f2n \u1edf c\u1ea3 nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i th\u01b0\u1eddng l\u00e0m vi\u1ec7c trong v\u0103n ph\u00f2ng, \u00edt v\u1eadn \u0111\u1ed9ng c\u01a1 th\u1ec3 ho\u1eb7c ph\u1ea3i c\u00fai nhi\u1ec1u l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi ph\u1ea3i s\u1eed d\u1ee5ng nhi\u1ec1u \u0111\u1ed9ng t\u00e1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u00f9ng \u0111\u1ea7u c\u1ed5. Tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5 g\u00e2y ra nhi\u1ec1u kh\u00f3 kh\u0103n trong sinh ho\u1ea1t c\u0169ng nh\u01b0 trong lao \u0111\u1ed9ng cho ng\u01b0\u1eddi b\u1ec7nh. T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u0111\u1ec1u g\u1eb7p c\u1ea3 hai gi\u1edbi nam v\u00e0 n\u1eef g\u1ea7n nh\u01b0 ngang nhau.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjRDqjNNDYdkADQZk0Np7gdSwOHtV3T8VeC9SDOYczkRQ0Q6suWQbQ-woa1vUS9iRo3d-gmax31QGsB3bcOKnI7-i7SdVHaFRGBUmE5Z1WRAIcbvFfXgPFqN1cP-LVfdpozyKAi3WOo3vfCMNVW-wQNAsQEERr11xHrmBLvPiVuAkWdR_tsSjOKhpuy8w\/w454-h338\/cot-song-co-bi-thoai-hoa(3).jpg\" alt=\"\" style=\"width:750px;height:auto\"\/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.blogger.com\/u\/1\/blog\/post\/edit\/3895835226438189012\/131742987147552496#\" target=\"_blank\" rel=\"noopener\"><\/a><\/p>\n\n\n\n<p><strong>Y\u1ebeU T\u1ed0 NGUY C\u01a0<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tu\u1ed5i: Ng\u01b0\u1eddi cao tu\u1ed5i l\u00e0 m\u1ed9t \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao. Tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u00ean nh\u1eefng ng\u01b0\u1eddi \u1edf tu\u1ed5i trung ni\u00ean (40 &#8211; 50 tu\u1ed5i), do qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a c\u00e1c \u0111\u0129a li\u00ean \u0111\u1ed1t, c\u00e1c th\u00e2n \u0111\u1ed1t do t\u01b0\u1edbi m\u00e1u k\u00e9m n\u00ean d\u1ec5 xu\u1ea5t hi\u1ec7n b\u1ec7nh.<\/li>\n\n\n\n<li>Ngh\u1ec1 nghi\u1ec7p: Nh\u1eefng l\u00e0m vi\u1ec7c \u1edf t\u01b0 th\u1ebf c\u00fai, c\u1eed \u0111\u1ed9ng nhi\u1ec1u \u1edf v\u00f9ng \u0111\u1ea7u c\u1ed5, c\u01b0\u1eddng \u0111\u1ed9 lao \u0111\u1ed9ng cao (l\u00e0m su\u1ed1t ng\u00e0y kh\u00f4ng ngh\u1ec9) v\u00e0 th\u00e2m ni\u00ean lao \u0111\u1ed9ng (tu\u1ed5i ngh\u1ec1). Nh\u1eefng ng\u01b0\u1eddi d\u1ec5 b\u1ecb tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5 nh\u1ea5t l\u00e0 ng\u01b0\u1eddi \u0111i c\u1ea5y, th\u1ee3 c\u1ea5y (tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5 v\u00e0 \u0111\u1ed1t s\u1ed1ng l\u01b0ng), th\u1ee3 c\u1eaft t\u00f3c, nha s\u0129, b\u00e1c s\u0129 chuy\u00ean khoa r\u0103ng, th\u1ee3 s\u01a1n tr\u1ea7n, th\u1ee3 tr\u00e1t v\u00e1ch, di\u1ec5n vi\u00ean xi\u1ebfc. \u0110\u00e2y c\u0169ng l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi l\u00e0m vi\u1ec7c trong v\u0103n ph\u00f2ng. Nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng l\u00e0 m\u1ed9t trong nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 kh\u1ea3 n\u0103ng m\u1eafc ch\u1ee9ng b\u1ec7nh n\u00e0y cao nh\u1ea5t do th\u01b0\u1eddng xuy\u00ean ng\u1ed3i m\u1ed9t ch\u1ed7, \u00edt v\u1eadn \u0111\u1ed9ng, \u00edt th\u1eddi gian ngh\u1ec9 ng\u01a1i.<\/li>\n\n\n\n<li>Ch\u1ea5n th\u01b0\u01a1ng c\u1ed5. Ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tr\u01b0\u1edbc \u0111\u00e2y xu\u1ea5t hi\u1ec7n l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5.<\/li>\n\n\n\n<li>Y\u1ebfu t\u1ed1 di truy\u1ec1n: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ng\u01b0\u1eddi th\u00e2n t\u1eebng m\u1eafc c\u0103n b\u1ec7nh n\u00e0y c\u0169ng c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh nhi\u1ec1u h\u01a1n nh\u1eefng ng\u01b0\u1eddi trong gia \u0111\u00ecnh kh\u00f4ng c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh.<\/li>\n\n\n\n<li>H\u00fat thu\u1ed1c: H\u00fat thu\u1ed1c c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng \u0111au c\u1ed5<\/li>\n<\/ul>\n\n\n\n<p><strong>TRI\u1ec6U CH\u1ee8NG L\u00c2M S\u00c0NG<\/strong><br>&#8211; H\u1ed9i ch\u1ee9ng c\u1ed9t s\u1ed1ng c\u1ed5: \u0111au, c\u00f3 th\u1ec3 k\u00e8m theo co c\u1ee9ng v\u00f9ng c\u01a1 c\u1ea1nh c\u1ed9t s\u1ed1ng c\u1ed5 c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh; tri\u1ec7u ch\u1ee9ng \u0111au t\u0103ng l\u00ean \u1edf t\u01b0 th\u1ebf c\u1ed5 th\u1eb3ng ho\u1eb7c c\u00fai \u0111\u1ea7u k\u00e9o d\u00e0i, m\u1ec7t m\u1ecfi, c\u0103ng th\u1eb3ng, lao \u0111\u1ed9ng n\u1eb7ng, thay \u0111\u1ed5i th\u1eddi ti\u1ebft \u0111\u1eb7c bi\u1ec7t b\u1ecb nhi\u1ec5m l\u1ea1nh; c\u00f3 \u0111i\u1ec3m \u0111au c\u1ed9t s\u1ed1ng c\u1ed5; h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u1ed5.&nbsp;<\/p>\n\n\n\n<p>&#8211; H\u1ed9i ch\u1ee9ng r\u1ec5 th\u1ea7n kinh c\u1ed5: T\u00f9y theo v\u1ecb tr\u00ed r\u1ec5 t\u1ed5n th\u01b0\u01a1ng (m\u1ed9t b\u00ean ho\u1eb7c c\u1ea3 hai b\u00ean) m\u00e0 \u0111au lan t\u1eeb c\u1ed5 xu\u1ed1ng tay b\u00ean \u0111\u00f3. C\u00f3 th\u1ec3 \u0111au t\u1ea1i v\u00f9ng g\u00e1y, \u0111au quanh kh\u1edbp vai. \u0110au s\u00e2u trong c\u01a1 x\u01b0\u01a1ng, b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3m gi\u00e1c nh\u1ee9c nh\u1ed1i; c\u00f3 th\u1ec3 k\u00e8m c\u1ea3m gi\u00e1c ki\u1ebfn b\u00f2, t\u00ea r\u1ea7n d\u1ecdc c\u00e1nh tay, c\u00f3 th\u1ec3 lan \u0111\u1ebfn c\u00e1c ng\u00f3n tay. \u0110au t\u0103ng l\u00ean v\u1eadn \u0111\u1ed9ng c\u1ed9 s\u1ed1ng c\u1ed5 \u1edf c\u00e1c t\u01b0 th\u1ebf (c\u00fai, ng\u1eeda, nghi\u00eang, quay) ho\u1eb7c khi ho, h\u1eaft h\u01a1i, ng\u1ed3i l\u00e2u\u2026C\u00f3 th\u1ec3 k\u00e8m theo hi\u1ec7n t\u01b0\u1ee3ng ch\u00f3ng m\u1eb7t, y\u1ebfu c\u01a1 ho\u1eb7c teo c\u01a1 t\u1ea1i vai, c\u00e1nh tay b\u00ean t\u1ed5n th\u01b0\u01a1ng.&nbsp;<\/p>\n\n\n\n<p>&#8211; H\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch \u0111\u1ed1t s\u1ed1ng: nh\u1ee9c \u0111\u1ea7u v\u00f9ng ch\u1ea9m, th\u00e1i d\u01b0\u01a1ng, tr\u00e1n v\u00e0 hai h\u1ed1 m\u1eaft th\u01b0\u1eddng x\u1ea3y ra v\u00e0o bu\u1ed5i s\u00e1ng; c\u00f3 khi k\u00e8m ch\u00f3ng m\u1eb7t, \u00f9 tai, hoa m\u1eaft, m\u1edd m\u1eaft, nu\u1ed1t v\u01b0\u1edbng; \u0111au tai, lan ra sau tai, \u0111au khi \u0111\u1ec3 \u0111\u1ea7u \u1edf m\u1ed9t t\u01b0 th\u1ebf nh\u1ea5t \u0111\u1ecbnh.&nbsp;<\/p>\n\n\n\n<p>&#8211; H\u1ed9i ch\u1ee9ng \u00e9p t\u1ee7y: t\u00f9y theo m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng m\u00e0 bi\u1ec3u hi\u1ec7n ch\u1ec9 \u1edf chi tr\u00ean ho\u1eb7c c\u1ea3 th\u00e2n v\u00e0 chi d\u01b0\u1edbi. D\u00e1ng \u0111i kh\u00f4ng v\u1eefng, \u0111i l\u1ea1i kh\u00f3 kh\u0103n; y\u1ebfu ho\u1eb7c li\u1ec7t chi, teo c\u01a1 ng\u1ecdn chi, d\u1ecb c\u1ea3m. T\u0103ng ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng.<\/p>\n\n\n\n<p>&#8211; Bi\u1ec3u hi\u1ec7n kh\u00e1c: d\u1ec5 c\u00e1u g\u1eaft, thay \u0111\u1ed5i t\u00ednh t\u00ecnh, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, gi\u1ea3m kh\u1ea3 n\u0103ng l\u00e0m vi\u1ec7c\u2026&nbsp;<\/p>\n\n\n\n<p>T\u00f9y theo v\u1ecb tr\u00ed c\u1ed9t s\u1ed1ng c\u1ed5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng m\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ri\u00eang l\u1ebb ho\u1eb7c \u0111\u1ed3ng th\u1eddi c\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean.\u00a0<\/p>\n\n\n\n<p><strong>C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/p>\n\n\n\n<p>-C\u00e1c x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u vi\u00eam, bilan phospho- calci th\u01b0\u1eddng \u1edf trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean c\u1ea7n ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m bilan vi\u00eam, c\u00e1c x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n nh\u1eb1m m\u1ee5c \u0111\u00edch lo\u1ea1i tr\u1eeb nh\u1eefng b\u1ec7nh l\u00fd nh\u01b0 vi\u00eam nhi\u1ec5m, b\u1ec7nh l\u00fd \u00e1c t\u00ednh v\u00e0 c\u1ea7n thi\u1ebft khi ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c\u00a0<\/p>\n\n\n\n<p>&#8211; X quang c\u1ed9t s\u1ed1ng c\u1ed5 th\u01b0\u1eddng qui v\u1edbi c\u00e1c t\u01b0 th\u1ebf sau: th\u1eb3ng, nghi\u00eang, ch\u1ebfch \u00be tr\u00e1i v\u00e0 ph\u1ea3i. Tr\u00ean phim X quang c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng: m\u1ea5t \u0111\u01b0\u1eddng cong sinh l\u00ed, gai x\u01b0\u01a1ng \u1edf th\u00e2n \u0111\u1ed1t s\u1ed1ng, gi\u1ea3m chi\u1ec1u cao \u0111\u1ed1t s\u1ed1ng, \u0111\u0129a \u0111\u1ec7m, \u0111\u1eb7c x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n, h\u1eb9p l\u1ed7 li\u00ean h\u1ee3p\u2026&nbsp;<\/p>\n\n\n\n<p>&#8211; Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) c\u1ed9t s\u1ed1ng c\u1ed5: ph\u01b0\u01a1ng ph\u00e1p c\u00f3 gi\u00e1 tr\u1ecb nh\u1ea5t nh\u1eb1m x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed r\u1ec5 b\u1ecb ch\u00e8n \u00e9p, v\u1ecb tr\u00ed kh\u1ed1i tho\u00e1t v\u1ecb, m\u1ee9c \u0111\u1ed9 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, m\u1ee9c \u0111\u1ed9 h\u1eb9p \u1ed1ng s\u1ed1ng, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c nguy\u00ean nh\u00e2n \u00edt g\u1eb7p kh\u00e1c (vi\u00eam \u0111\u0129a \u0111\u1ec7m \u0111\u1ed1t s\u1ed1ng, kh\u1ed1i u, \u2026).\u00a0<br>&#8211; \u0110i\u1ec7n c\u01a1: gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng c\u00e1c r\u1ec5 th\u1ea7n kinh<\/p>\n\n\n\n<p><strong>\u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u00f4c ch\u1ed1ng vi\u00eam gi\u1ea3m kh\u00f4ng \u0111au kh\u00f4ng steroid (NSAIDS): vi\u1ec7c l\u1ef1a ch\u1ecdn c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au trong nh\u00f3m n\u00e0y c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 c\u00e1c b\u1ec7nh k\u00e8m theo kh\u00e1c.<\/li>\n\n\n\n<li>Nh\u00f3m thu\u1ed1c ch\u1ed1ng tho\u00e1i h\u00f3a t\u00e1c d\u1ee5ng ch\u1eadm (glucosamine sulfate: 1500mg\/ng\u00e0y, d\u00f9ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi chondroitin sulfate); ho\u1eb7c diacerein 50mg x 2 vi\u00ean\/ng\u00e0y.\u00a0<\/li>\n\n\n\n<li>Thu\u1ed1c gi\u00e3n c\u01a1: m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, ch\u1eb3ng h\u1ea1n nh\u01b0 cyclobenzaprine, c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m s\u1ef1 co c\u01a1 t\u1eeb \u0111\u00f3 gi\u00fap gi\u1ea3m \u0111au.<\/li>\n\n\n\n<li>Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh: M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9ng kinh, ch\u1eb3ng h\u1ea1n nh\u01b0 gabapentin (Th\u1ea7n kinh, Horizant) v\u00e0 pregabalin (Lyrica), c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m c\u01a1n \u0111au c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n\n\n\n<li>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au c\u1ed5 do tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5.<\/li>\n\n\n\n<li>Ti\u00eam Glucocorticoid c\u1ea1nh c\u1ed9t s\u1ed1ng: c\u00f3 hi\u1ec7u qu\u1ea3 t\u1eeb v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i th\u00e1ng. Kh\u00f4ng n\u00ean ti\u00eam qu\u00e1 3 l\u1ea7n tr\u00ean c\u00f9ng 1 kh\u1edbp trong 1 n\u0103m. C\u1ea7n c\u00f3 s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa. Tr\u01b0\u1eddng h\u1ee3p ch\u00e8n \u00e9p r\u1ec5, c\u00f3 th\u1ec3 ti\u00eam th\u1ea9m ph\u00e2n corticosteroid t\u1ea1i r\u1ec5 b\u1ecb ch\u00e8n \u00e9p d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a CT.\u00a0<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEi29bO4gLal4En7GKgTGhvjNBlzOWp4PQZtFWTIu2hG0QnVjqiT8zHG4OrbMlRHenrUffMaONINbpf3_0cXlsyhT_OHlMLJ2SIxsyB9jSVYUm9bEHHte9uNAF3AMtCexddnKsxZfv2L5kqKf0KtBl6oP5a7n3mHjZedFKL9CRqHpZExPVi9uNqR8N12ig\/w668-h215\/lightbox_0cd81c2051db11ecbd9c571e7d84f0ea-Fig-2.png\" alt=\"\" style=\"width:750px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><a href=\"https:\/\/www.blogger.com\/u\/1\/blog\/post\/edit\/3895835226438189012\/131742987147552496#\" target=\"_blank\" rel=\"noopener\"><\/a><br><strong><em>Ti\u00eam c\u1ed9t s\u1ed1ng c\u1ed5 \u0111i\u1ec1u tr\u1ecb \u0111au d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u1ed5, \u0111\u1eb7c bi\u1ec7t v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e3 mang n\u1eb9p c\u1ed5 th\u1eddi gian d\u00e0i, b\u1ec7nh nh\u00e2n c\u00f3 c\u00f4ng vi\u1ec7c \u00edt v\u1eadn \u0111\u1ed9ng v\u00f9ng c\u1ed5.\u00a0Ngh\u1ec9 ng\u01a1i, gi\u1eef \u1ea5m, tr\u00e1nh thay \u0111\u1ed5i t\u01b0 th\u1ebf c\u1ed9t s\u1ed1ng c\u1ed5 \u0111\u1ed9t ng\u1ed9t.\u00a0\u00a0C\u00e1c li\u1ec7u ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u: s\u1eed d\u1ee5ng nhi\u1ec7t, s\u00f3ng si\u00eau \u00e2m&#8230; C\u00f3 th\u1ec3 k\u00e9o d\u00e3n c\u1ed9t s\u1ed1ng c\u1ed5 song n\u00ean th\u1ef1c hi\u1ec7n v\u1edbi m\u1ee9c \u0111\u1ed9 t\u0103ng d\u1ea7n t\u1eeb t\u1eeb.\u00a0<\/li>\n\n\n\n<li>Ph\u1eabu thu\u1eadt\u00a0 \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p: c\u00f3 bi\u1ec3u hi\u1ec7n ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh ho\u1eb7c t\u1ee7y s\u1ed1ng ti\u1ebfn tri\u1ec3n n\u1eb7ng, tr\u01b0\u1ee3t \u0111\u1ed1t s\u1ed1ng \u0111\u1ed9 3-4 ho\u1eb7c \u0111\u00e3 th\u1ea5t b\u1ea1i v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau 03 th\u00e1ng.\u00a0<\/li>\n<\/ul>\n\n\n\n<p><strong>PH\u00d2NG NG\u1eeaA<\/strong><\/p>\n\n\n\n<p>Tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5 l\u00e0 c\u0103n b\u1ec7nh ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u c\u1ee7a y\u1ebfu t\u1ed1 ngh\u1ec1 nghi\u1ec7p g\u00e2y n\u00ean do \u0111\u00f3 ph\u00f2ng b\u1ec7nh c\u00f3 vai tr\u00f2 r\u1ea5t l\u1edbn \u0111\u1ec3 h\u1ea1n ch\u1ebf b\u1ec7nh:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u1ef1c hi\u1ec7n xoa b\u00f3p, ch\u0103m s\u00f3c tr\u1ef1c ti\u1ebfp \u0111\u1ebfn v\u00f9ng c\u1ed5 th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng n\u00ean qu\u00e1 g\u1eafng s\u1ee9c trong c\u00f4ng vi\u1ec7c. C\u1ea7n c\u00f3 th\u1eddi gian lao \u0111\u1ed9ng v\u00e0 ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd, h\u1ea1n ch\u1ebf m\u1ee9c t\u1ed1i \u0111a nh\u1eefng t\u00e1c \u0111\u1ed9ng kh\u00f4ng t\u1ed1t \u0111\u1ebfn c\u00e1c \u0111\u1ed1t s\u1ed1ng c\u1ed5.<\/li>\n\n\n\n<li>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u00e0m v\u0103n ph\u00f2ng, l\u00e0m vi\u1ec7c v\u1edbi m\u00e1y vi t\u00ednh, c\u1ea7n t\u1ea1o l\u1eadp th\u00f3i quen b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe ngay t\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c, v\u1edbi nh\u1eefng \u0111\u1ed9ng t\u00e1c luy\u1ec7n t\u1eadp hay thay \u0111\u1ed5i t\u01b0 th\u1ebf \u0111\u01a1n gi\u1ea3n, kh\u00f4ng ng\u1ed3i \u1ef3 b\u00ean m\u00e1y t\u00ednh trong th\u1eddi gian qu\u00e1 d\u00e0i v\u00e0 k\u1ebft h\u1ee3p c\u00f9ng m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc.<\/li>\n\n\n\n<li>Ngo\u00e0i ra, gh\u1ebf l\u00e0m vi\u1ec7c ph\u1ea3i c\u00f3 \u0111\u1ed9 cao ph\u00f9 h\u1ee3p so v\u1edbi b\u00e0n l\u00e0m vi\u1ec7c v\u00e0 v\u1edbi chi\u1ec1u cao c\u1ee7a ng\u01b0\u1eddi s\u1eed d\u1ee5ng, kh\u00f4ng \u0111\u1ec3 gh\u1ebf ng\u1ed3i qu\u00e1 cao ho\u1eb7c qu\u00e1 th\u1ea5p. Khi l\u00e0 vi\u1ec7c gi\u1eef kho\u1ea3ng c\u00e1ch h\u1ee3p l\u00fd t\u1eeb tay \u0111\u1ebfn b\u00e0n l\u00e0m vi\u1ec7c hay m\u00e1y t\u00ednh. Ngo\u00e0i ra n\u00ean s\u1eed d\u1ee5ng m\u00e1y t\u00ednh c\u00f3 m\u00e0n h\u00ecnh l\u1edbn, t\u1ed1i thi\u1ec3u l\u00e0 t\u1eeb 17 inch tr\u1edf l\u00ean gi\u00fap c\u00e1c c\u01a1 c\u1ed5 kh\u00f4ng b\u1ecb c\u0103ng, m\u1ecfi. Ng\u1ed3i c\u00e1ch m\u00e0n h\u00ecnh vi t\u00ednh 50 \u2013 66 cm v\u00e0 \u0111\u1eb7t m\u00e0n h\u00ecnh d\u01b0\u1edbi t\u1ea7m m\u1eaft kho\u1ea3ng 10 &#8211; 20 \u0111\u1ed9 l\u00e0 kho\u1ea3ng c\u00e1ch t\u1ed1t nh\u1ea5t. Kh\u00f4ng \u0111\u1ec3 m\u00e0n h\u00ecnh m\u00e1y t\u00ednh qu\u00e1 cao ho\u1eb7c qu\u00e1 th\u1ea5p h\u01a1n so v\u1edbi t\u1ea7m m\u1eaft.<\/li>\n\n\n\n<li>Khi ng\u1ed3i g\u1ea7n b\u00e0n l\u00e0m vi\u1ec7c n\u00ean ch\u1ec9nh gh\u1ebf sao cho 2 c\u1eb3ng tay song song v\u1edbi m\u1eb7t s\u00e0n. Lu\u00f4n gi\u1eef th\u1eb3ng l\u01b0ng v\u00e0 2 vai gi\u1eef ngang b\u1eb1ng.<\/li>\n\n\n\n<li>Khi ng\u1ee7 h\u00e3y th\u01b0\u1eddng xuy\u00ean thay \u0111\u1ed5i t\u01b0 th\u1ebf, tr\u00e1nh n\u1eb1m ch\u1ec9 m\u1ed9t ho\u1eb7c 2 t\u01b0 th\u1ebf s\u1ebd r\u1ea5t d\u1ec5 b\u1ecb v\u1eb9o c\u1ed5. Kh\u00f4ng n\u00ean n\u1eb1m s\u1ea5p, b\u1edfi t\u01b0 th\u1ebf n\u00e0y s\u1ebd khi\u1ebfn cho c\u1ed5 b\u1ecb g\u1eadp xu\u1ed1ng r\u1ea5t d\u1ec5 g\u00e2y n\u00ean ch\u1ee9ng tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5. kh\u00f4ng n\u00ean n\u1eb1m g\u1ed1i \u0111\u1ea7u qu\u00e1 cao.<\/li>\n\n\n\n<li>\u0110\u1ec3 \u0111\u1ec1 ph\u00f2ng hi\u1ec7n t\u01b0\u1ee3ng &#8220;g\u00e3y&#8221;, tr\u1eadt kh\u1edbp m\u1ecfm \u0111\u1ed1t s\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y li\u1ec7t t\u1ee9 chi ho\u1eb7c th\u1eadm ch\u00ed t\u1eed vong, ng\u01b0\u1eddi b\u1ec7nh tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c &#8220;v\u1eb7n&#8221;, &#8220;\u1ea5n c\u1ed5&#8221;. khi n\u1eb1m, c\u1ea7n c\u00f3 g\u1ed1i \u0111\u1ea7u v\u1edbi \u0111\u1ed9 d\u00e0y v\u1eeba ph\u1ea3i, tr\u00e1nh t\u01b0 th\u1ebf qu\u00e1 \u01b0\u1ee1n c\u1ed5 ho\u1eb7c c\u00fai g\u1ea5p c\u1ed5.<\/li>\n<\/ul>\n\n\n\n<p>M\u1ed9t s\u1ed1 l\u01b0u \u00fd:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thay \u0111\u1ed5i t\u01b0 th\u1ebf l\u00e0m vi\u1ec7c khi ng\u1ed3i l\u00e0m vi\u1ec7c tr\u01b0\u1edbc m\u00e0n vi t\u00ednh, ho\u1eb7c ng\u1ed3i xem ti vi k\u00e9o d\u00e0i.<\/li>\n\n\n\n<li>Kh\u00f4ng n\u00ean v\u1eb7n b\u1ebb c\u1ed5 \u0111\u1ed9t ng\u1ed9t khi th\u1ea5y m\u1ecfi, b\u1edfi t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed9ng t\u00e1c n\u00e0y s\u1ebd l\u00e0m t\u0103ng tho\u00e1i h\u00f3a \u0111\u1ed1t s\u1ed1ng c\u1ed5.<\/li>\n\n\n\n<li>Kh\u00f4ng n\u00ean \u0111\u1ed9i v\u1eadt n\u1eb7ng tr\u00ean \u0111\u1ea7u.<\/li>\n\n\n\n<li>Kh\u00f4ng n\u00ean ng\u1ed3i c\u00fai ho\u1eb7c g\u1eadp c\u1ed5 qu\u00e1 l\u00e2u (xem tivi, \u0111\u1ecdc s\u00e1ch, b\u00e1o); ng\u1ed3i t\u00e0u xe \u0111\u01b0\u1eddng d\u00e0i c\u1ea7n c\u00f3 ph\u1ea7n t\u1ef1a \u0111\u1ea7u v\u00e0 t\u1ef1a l\u01b0ng.<\/li>\n\n\n\n<li>Khi luy\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng v\u00e0 xoa b\u00f3p c\u1ea7n c\u00f3 s\u1ef1 ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa.<\/li>\n\n\n\n<li>Khi th\u1ea5y \u0111au \u0111\u1ea7u, c\u1ed5, g\u00e1y lan xu\u1ed1ng c\u00e1nh tay, li\u1ec7t y\u1ebfu t\u1ee9 chi, kh\u00f4ng n\u00ean \u0111i b\u1ea5m n\u1eafn v\u1eb7n v\u1eb9o m\u1ea1nh d\u1ec5 g\u00e2y ra nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng m\u1ea1ch, d\u00e2y th\u1ea7n kinh v\u00f9ng c\u1ed5, khi \u0111\u00f3 c\u1ea7n \u0111i \u0111\u1ebfn c\u00e1c chuy\u00ean khoa th\u1ea7n kinh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh ch\u00ednh x\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng c\u1ed5 ng\u00e0y c\u00e0ng tr\u1ebb h\u00f3a do th\u00f3i quen t\u01b0 th\u1ebf sinh ho\u1ea1t,l\u00e0m vi\u1ec7c kh\u00f4ng \u0111\u00fang,lao \u0111\u1ed9ng c\u01b0\u1eddng \u0111\u1ed9 cao.Vi\u1ec7c ng\u0103n ch\u1eb7n ti\u1ebfn tri\u1ec3n v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 v\u00f4 c\u00f9ng quan 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