{"id":234,"date":"2025-11-27T12:37:34","date_gmt":"2025-11-27T12:37:34","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=234"},"modified":"2025-11-27T12:37:38","modified_gmt":"2025-11-27T12:37:38","slug":"hoai-tu-vo-khuan-chom-xuong-dui","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=234","title":{"rendered":"HO\u1ea0I T\u1eec V\u00d4 KHU\u1ea8N CH\u1eceM X\u01af\u01a0NG \u0110\u00d9I"},"content":{"rendered":"\n<p>Ho\u1ea1i t\u1eed v\u00f4 khu\u1ea9n ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i (HTVKCX\u0110) hay c\u00f2n g\u1ecdi l\u00e0 ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch (Avascular Necrosis) ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i l\u00e0 b\u1ec7nh c\u00f3 t\u1ed5n th\u01b0\u01a1ng ho\u1ea1i t\u1eed t\u1ebf b\u00e0o x\u01b0\u01a1ng v\u00e0 t\u1ee7y x\u01b0\u01a1ng do thi\u1ebfu m\u00e1u nu\u00f4i tr\u00ean ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i. V\u00f9ng ho\u1ea1i t\u1eed l\u00fac \u0111\u1ea7u t\u1ea1o ra c\u00e1c v\u00f9ng th\u01b0a x\u01b0\u01a1ng, c\u00e1c \u1ed5 khuy\u1ebft x\u01b0\u01a1ng, v\u1ec1 sau d\u1eabn \u0111\u1ebfn g\u00e3y x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n, cu\u1ed1i c\u00f9ng g\u00e2y x\u1eb9p ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i, tho\u00e1i h\u00f3a th\u1ee9 ph\u00e1t v\u00e0 m\u1ea5t ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp h\u00e1ng, d\u1eabn \u0111\u1ebfn t\u00e0n ph\u1ebf.<\/p>\n\n\n\n<p>Ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i t\u1ef1 ph\u00e1t th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean (20-50 tu\u1ed5i), nam th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u h\u01a1n n\u1eef (nam chi\u1ebfm 80%). Ngo\u00e0i ra HTVKCX\u0110 c\u00f2n xu\u1ea5t hi\u1ec7n th\u1ee9 ph\u00e1t sau ch\u1ea5n th\u01b0\u01a1ng v\u00e0 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i m\u1eafc c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n.<\/p>\n\n\n\n<p><strong>&nbsp;NGUY\u00caN NH\u00c2N<\/strong><\/p>\n\n\n\n<p>1. Nguy\u00ean nh\u00e2n t\u1ef1 ph\u00e1t. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/p>\n\n\n\n<p>2. Nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t.<\/p>\n\n\n\n<p><em>\u2022 Do ch\u1ea5n th\u01b0\u01a1ng:<\/em>\u00a0do tr\u1eadt kh\u1edbp ho\u1eb7c g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i. Th\u00f4ng th\u01b0\u1eddng ho\u1ea1i t\u1eed xu\u1ea5t hi\u1ec7n sau ch\u1ea5n th\u01b0\u01a1ng kho\u1ea3ng v\u00e0i n\u0103m v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn tu\u1ed5i v\u00e0 gi\u1edbi.<br><em>\u2022 Kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng:<\/em>\u00a0l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1, d\u00f9ng corticoid li\u1ec1u cao (thu\u1ed1c ch\u1ed1ng vi\u00eam), b\u1ec7nh kh\u00ed \u00e9p (th\u1ee3 l\u1eb7n, c\u00f4ng nh\u00e2n h\u1ea7m m\u1ecf), b\u1ec7nh h\u1ed3ng c\u1ea7u l\u01b0\u1ee1i li\u1ec1m, b\u1ec7nh t\u1ef1 mi\u1ec5n (lupus ban \u0111\u1ecf, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p), gh\u00e9p t\u1ea1ng, vi\u00eam ru\u1ed9t, b\u1ec7nh l\u00fd t\u0103ng \u0111\u00f4ng v\u00e0 b\u1ec7nh t\u1eafc m\u1ea1ch t\u1ef1 ph\u00e1t, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a m\u1ee1, thai ngh\u00e9n\u2026trong \u0111\u00f3 r\u01b0\u1ee3u v\u00e0 corticoid chi\u1ebfm kho\u1ea3ng 2\/3 nguy\u00ean nh\u00e2n g\u00e2y ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n\n\n\n<p><strong>CH\u1ea8N \u0110O\u00c1N&nbsp;<\/strong><\/p>\n\n\n\n<p>Th\u01b0\u01a1ng t\u1ed5n c\u00f3 th\u1ec3 \u1edf m\u1ed9t ho\u1eb7c hai b\u00ean kh\u1edbp h\u00e1ng, kho\u1ea3ng 70% c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n m\u1ed9t b\u00ean. \u1ede giai \u0111o\u1ea1n s\u1edbm th\u01b0\u1eddng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec \u0111\u1eb7c bi\u1ec7t. Giai \u0111o\u1ea1n mu\u1ed9n h\u01a1n, tri\u1ec7u ch\u1ee9ng ch\u00ednh l\u00e0 \u0111au kh\u1edbp h\u00e1ng b\u00ean t\u1ed5n th\u01b0\u01a1ng. \u0110au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n t\u1eeb t\u1eeb, t\u0103ng d\u1ea7n, \u0111au t\u0103ng l\u00ean khi \u0111i l\u1ea1i ho\u1eb7c \u0111\u1ee9ng l\u00e2u, gi\u1ea3m khi ngh\u1ec9 ng\u01a1i. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n to\u00e0n th\u00e2n nh\u01b0 s\u1ed1t\u2026tr\u1eeb c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u1ec1n n\u1ebfu c\u00f3 (lupus ban \u0111\u1ecf\u2026).<br>Kh\u00e1m th\u1ea5y: giai \u0111o\u1ea1n s\u1edbm, v\u1eadn \u0111\u1ed9ng kh\u1edbp h\u00e1ng kh\u00f4ng h\u1ea1n ch\u1ebf, mu\u1ed9n c\u00f3 bi\u1ec3u hi\u1ec7n h\u1ea1n ch\u1ebf bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng kh\u1edbp h\u00e1ng nh\u01b0 b\u1ec7nh nh\u00e2n ng\u1ed3i x\u1ed5m kh\u00f3 kh\u0103n ho\u1eb7c kh\u00f4ng ng\u1ed3i \u0111\u01b0\u1ee3c, b\u1ec7nh nh\u00e2n kh\u00f4ng xoay ho\u1eb7c d\u1ea1ng kh\u00e9p h\u00e1ng b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c, trong khi g\u1ea5p du\u1ed7i g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Giai \u0111o\u1ea1n mu\u1ed9n kh\u1edbp h\u00e1ng h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed9ng t\u00e1c.<br>Ngo\u00e0i ra c\u1ea7n khai th\u00e1c ti\u1ec1n s\u1eed nghi\u1ec7n thu\u1ed1c, r\u01b0\u1ee3u, d\u00f9ng corticoid li\u1ec1u cao, ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp h\u00e1ng ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd ph\u1ed1i h\u1ee3p kh\u00e1c khi b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u nghi ng\u1edd.<\/p>\n\n\n\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-quang:\u00a0Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c ch\u1ee5p X-quang kh\u1edbp h\u00e1ng th\u1eb3ng v\u00e0 nghi\u00eang. X-quang kh\u1edbp h\u00e1ng ki\u1ec3u \u0111\u00f9i ch\u1ebfch l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c ch\u1ecdn \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i. K\u1ebft qu\u1ea3 cho th\u1ea5y: Tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u2013 x\u01b0\u01a1ng b\u1ecb th\u01b0a, trung b\u00ecnh \u2013 x\u1eb9p ch\u1ecfm t\u1eeb nh\u1eb9 t\u1edbi n\u1eb7ng, n\u1eb7ng \u2013 m\u1ea5t m\u1ed9t ph\u1ea7n hay ho\u00e0n to\u1ea3n ch\u1ecfm, c\u00f3 h\u1eb9p khe kh\u1edbp h\u00e1ng<\/li>\n\n\n\n<li>MRI:\u00a0Khi k\u1ebft qu\u1ea3 tr\u00ean X-quang kh\u00f4ng r\u00f5 ho\u1eb7c kh\u00f4ng \u0111\u1ee7 c\u01a1 s\u1edf \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh ch\u1ee5p MRI \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i ho\u1eb7c ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd \u1edf giai \u0111o\u1ea1n s\u1edbm.<\/li>\n\n\n\n<li>D\u1ef1a v\u00e0o c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh cho ph\u00e9p ph\u00e2n giai \u0111o\u1ea1n c\u1ee7a ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i.Theo Ficat v\u00e0 Arlet (1997) c\u00f3 4 \u0111\u1ed9 d\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n phim Xquang c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i (n\u0103m 1985 m\u1edf r\u1ed9ng th\u00eam giai \u0111o\u1ea1n 0).<br><em>\u0110\u1ed9 0:<\/em>\u00a0ch\u1ec9 ph\u00e1t hi\u1ec7n d\u1ef1a tr\u00ean sinh thi\u1ebft<br><em>\u0110\u1ed9 1:<\/em>\u00a0Xquang: thay \u0111\u1ed5i c\u1ea5u tr\u00fac b\u00e8 x\u01b0\u01a1ng,lo\u00e3ng x\u01b0\u01a1ng khu tr\u00fa v\u1ecb tr\u00ed t\u00ec \u0111\u00e8 ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i<br><em>\u0110\u1ed9 2:<\/em>\u00a0X.quang b\u1ea5t th\u01b0\u01a1ng, ch\u01b0a c\u00f3 x\u1eb9p ch\u1ecfm.<br>\u2012 2a: \u0110\u1eb7c x\u01b0\u01a1ng h\u00ecnh d\u00e1ng \u0111a d\u1ea1ng, k\u00e8m h\u1ed1c s\u00e1ng.<br>\u2012 2b: D\u1ea5u hi\u1ec7u g\u1eaby x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n, bi\u1ec3u hi\u1ec7n \u0111\u01b0\u1eddng s\u00e1ng h\u00ecnh li\u1ec1m.<br><em>\u0110\u1ed9 3:<\/em>\u00a0X\u1eb9p ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i, v\u1ee1 x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n.<br><em>\u0110\u1ed9 4:<\/em>\u00a0Tho\u00e1i h\u00f3a kh\u1edbp th\u1ee9 ph\u00e1t, bi\u1ebfn d\u1ea1ng ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i.<\/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\/AVvXsEhfCD0f1syt2df5XkWlLdxq5F4pUwkD6VopUHZsFGIyndNyPn5fpMCkeEn_IT1VJ57qRoDSjCajOif5NIgh_on3eRTO5DME9YTPKxo59tpZFMGlnJFaRdmEFvIA-uua7mKiVgDPJYSaDRXWjAq7F7erB-ZJ5ZpKh3loeBhUxaygUs6Y7odIdbYVc_z1ig\/w556-h266\/xray.png\" alt=\"\" style=\"width:750px;height:auto\"\/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.blogger.com\/u\/1\/blog\/post\/edit\/3895835226438189012\/1495845724552056249#\" target=\"_blank\" rel=\"noopener\"><\/a><strong>\u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n\n\n\n<p>\u2022 Nguy\u00ean t\u1eafc: ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh \u1edf giai \u0111o\u1ea1n ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 tu\u1ed5i, m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111i k\u00e8m.<br>\u2022 Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb: theo 2 giai \u0111o\u1ea1n<br><em>Giai \u0111o\u1ea1n s\u1edbm:<\/em>\u00a0v\u1edbi m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 d\u1ef1 ph\u00f2ng v\u00e0 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a ti\u1ebfn tri\u1ec3n n\u1eb7ng l\u00ean. Ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng d\u00f9ng l\u00e0 khoan gi\u1ea3m \u00e1p.<br><em>Giai \u0111o\u1ea1n mu\u1ed9n:<\/em>\u00a0khi ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i \u0111\u00e3 bi\u1ebfn d\u1ea1ng ho\u1eb7c ti\u00eau ch\u1ecfm, khi \u0111\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng b\u00e1n ph\u1ea7n ho\u1eb7c to\u00e0n ph\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7t ra.<br>\u2022 \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3:<br><em>C\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c:<\/em><br>\u2012 Lo\u1ea1i b\u1ecf c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1:b\u1ecf thu\u1ed1c l\u00e1, tr\u00e1nh r\u01b0\u1ee3u bia, tr\u00e1nh ho\u1eb7c h\u1ea1n ch\u1ebf t\u1ed1i \u0111a s\u1eed d\u1ee5ng corticoid<br>\u2012 Gi\u1ea3m t\u1ea3i l\u00ean ch\u00e2n \u0111au: gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c d\u00f9ng n\u1ea1ng tr\u1ee3 \u0111\u1ee1 khi \u0111i l\u1ea1i<br>\u2012 T\u1eadp v\u1eadn \u0111\u1ed9ng kh\u1edbp, tr\u00e1nh bi\u1ebfn ch\u1ee9ng co kh\u1edbp<br>\u2012 K\u00edch th\u00edch \u0111i\u1ec7n<\/p>\n\n\n\n<p><em>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c:<\/em>\u00a0s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid ph\u1ed1i h\u1ee3p thu\u1ed1c gi\u1ea3m \u0111au thong th\u01b0\u1eddng, b\u1ed5 sung can xi. <strong><em>\u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ph\u1ed1i h\u1ee3p.Ti\u00eam MD collagen hip v\u00e0o kh\u1edbp h\u00e1ng\u00a0 d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m l\u00e0 gi\u1ea3i ph\u00e1p m\u1edbi \u0111\u00e1ng l\u01b0u t\u00e2m trong vi\u1ec7c c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 h\u1ea1n ch\u1ebf ti\u1ebfn tri\u1ec3n c\u1ee7a ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i \u0111\u1ed9 1,2.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEj-hdMjYOX3i-8WlTEtkTUptzxJHxKqJC1ws15Yeny5Lbr6ABptDjnH-joE7s5UPhN-W7LAfkFYv444PcL6htJDiJkSQEILCxRoicJRZveypdgP3Qu632VPT00lxBZvgvSz0PDxYJee8cO2zMbWGpbAE6rcoxIDoniqkzQCywGRCvM2bD5ZrA29vT_LnQ\/w574-h505\/5c50c77dc8bc97c35a1abcb9e1befdfb.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\/1495845724552056249#\" target=\"_blank\" rel=\"noopener\"><\/a><em>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt:<\/em><br>\u2012 Khoan gi\u1ea3m \u00e1p: khi t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9 1 v\u00e0 2\u00a0<br>\u2012 Gh\u00e9p x\u01b0\u01a1ng: khoan gi\u1ea3m \u00e1p k\u00e8m gh\u00e9p x\u01b0\u01a1ng c\u00f3 cu\u1ed1ng ho\u1eb7c t\u1ef1 do khi HTVKCX\u0110 \u0111\u1ed9 3<br>\u2012 \u0110\u1ee5c x\u01b0\u01a1ng s\u1eeda tr\u1ee5c (Osteotomy)<br>\u2012 Thay kh\u1edbp h\u00e1ng nh\u00e2n t\u1ea1o: l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ho\u1ea1i t\u1eed v\u00f4 khu\u1ea9n ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i giai \u0111o\u1ea1n mu\u1ed9n (\u0111\u1ed9 3 v\u00e0 4 theo Ficat), gi\u00fap ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m v\u00e0 h\u1ebft \u0111au, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng kh\u1edbp h\u00e1ng. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111i l\u1ea1i, lao \u0111\u1ed9ng g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p><strong>K\u1ebeT LU\u1eacN<\/strong><br>HTVKXC\u0110 kh\u1edfi ph\u00e1t l\u00fac \u0111\u1ea7u \u00e2m th\u1ea7m v\u00e0 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a th\u1eddi c\u00f2n tr\u1ebb. Khi b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng th\u00ec t\u1ed5n th\u01b0\u01a1ng ho\u1ea1i t\u1eed ti\u1ebfn tri\u1ec3n m\u1ee9c \u0111\u1ed9 nhanh \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m can thi\u1ec7p ph\u1eabu thu\u1eadt l\u00e0 c\u1ea7n thi\u1ebft.<br>Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, \u0111\u1eb7c bi\u1ec7t \u1edf giai \u0111o\u1ea1n c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu c\u1ee7a ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i c\u00f2n nguy\u00ean v\u1eb9n l\u00e0 l\u00fd t\u01b0\u1edfng v\u00ec d\u00f9 sao, m\u1ed9t kh\u1edbp h\u00e1ng th\u1eadt v\u1eabn t\u1ed1t h\u01a1n l\u00e0 s\u1eed d\u1ee5ng kh\u1edbp h\u00e1ng nh\u00e2n t\u1ea1o.<br>Vi\u1ec7c d\u1ef1 ph\u00f2ng HTVKCX\u0110 \u0111\u00f2i h\u1ecfi ph\u1ea3i lo\u1ea1i b\u1ecf c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, trong \u0111\u00f3 b\u00ean c\u1ea1nh c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh ngh\u1ec1 nghi\u1ec7p l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c l\u00e0 r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ho\u1ea1i t\u1eed v\u00f4 khu\u1ea9n ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i l\u00e0 b\u1ec7nh l\u00fd g\u00e2y ph\u00e1 h\u1ee7y ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i do t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u nu\u00f4i tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u,corticoid,suy gi\u1ea3m mi\u1ec5n d\u1ecbch.B\u1ec7nh di\u1ec5n bi\u1ebfn \u00e2m th\u1ea7m v\u00e0 tri\u1ec7u ch\u1ee9ng d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi \u0111au th\u1ea7n kinh t\u1ecda khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh ch\u1ee7 quan,\u0111\u1ebfn khi ph\u00e1t hi\u1ec7n ra th\u00ec \u0111\u00e3 \u1edf giai \u0111o\u1ea1n mu\u1ed9n.<\/p>\n","protected":false},"author":1,"featured_media":236,"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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