{"id":507,"date":"2025-12-12T08:48:15","date_gmt":"2025-12-12T01:48:15","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=507"},"modified":"2025-12-12T08:48:21","modified_gmt":"2025-12-12T01:48:21","slug":"viem-tui-thanh-mac-day-chang-lien-gai","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=507","title":{"rendered":"VI\u00caM T\u00daI THANH M\u1ea0C D\u00c2Y CH\u1eb0NG LI\u00caN GAI"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Vi\u00eam t\u00fai thanh m\u1ea1c d\u00e2y ch\u1eb1ng li\u00ean gai\u00a0<mark>l\u00e0 t\u00ecnh tr\u1ea1ng\u00a0vi\u00eam \u1edf t\u00fai thanh m\u1ea1c\u00a0n\u1eb1m gi\u1eefa c\u00e1c gai x\u01b0\u01a1ng c\u1ed9t s\u1ed1ng v\u00e0 d\u00e2y ch\u1eb1ng, g\u00e2y ra\u00a0\u0111au v\u00e0 c\u1ee9ng kh\u1edbp<\/mark>. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf v\u00f9ng c\u1ed9t s\u1ed1ng c\u1ed5 v\u00e0 ng\u1ef1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 sinh ho\u1ea1t h\u00e0ng ng\u00e0y<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>NGUY\u00caN NH\u00c2N<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y vi\u00eam t\u00fai thanh m\u1ea1c d\u00e2y ch\u1eb1ng li\u00ean gai bao g\u1ed3m:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ch\u1ea5n th\u01b0\u01a1ng:<\/strong>\u00a0C\u00e1c tai n\u1ea1n ho\u1eb7c va \u0111\u1eadp m\u1ea1nh \u1edf v\u00f9ng c\u1ed9t s\u1ed1ng.<\/li>\n\n\n\n<li><strong>\u00c1p l\u1ef1c k\u00e9o d\u00e0i:<\/strong>\u00a0Ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y g\u00e2y \u00e1p l\u1ef1c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i ho\u1eb7c qu\u00e1 m\u1ee9c l\u00ean c\u1ed9t s\u1ed1ng (v\u00ed d\u1ee5: c\u00f4ng vi\u1ec7c ph\u1ea3i c\u00fai ng\u1eeda,g\u1eadp ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean ).<\/li>\n\n\n\n<li><strong>V\u1eadn \u0111\u1ed9ng qu\u00e1 m\u1ee9c:<\/strong>\u00a0C\u0103ng th\u1eb3ng do ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t c\u01b0\u1eddng \u0111\u1ed9 cao.<\/li>\n\n\n\n<li><strong>C\u00e1c b\u1ec7nh l\u00fd n\u1ec1n:<\/strong>\u00a0Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, tho\u00e1i h\u00f3a kh\u1edbp ho\u1eb7c gout c\u0169ng c\u00f3 th\u1ec3 l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>TRI\u1ec6U CH\u1ee8NG<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110au nh\u1ee9c:<\/strong>\u00a0C\u01a1n \u0111au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf v\u00f9ng c\u1ed9t s\u1ed1ng b\u1ecb \u1ea3nh h\u01b0\u1edfng (c\u1ed5, ng\u1ef1c, ho\u1eb7c th\u1eaft l\u01b0ng), c\u00f3 th\u1ec3 \u00e2m \u1ec9 ho\u1eb7c d\u1eef d\u1ed9i t\u00f9y m\u1ee9c \u0111\u1ed9 vi\u00eam.S\u1edd khe gi\u1eefa hai m\u1ecfm gai \u0111au ch\u00f3i<strong>.Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u0111au khu tr\u00fa \u1edf v\u00f9ng li\u00ean gai gi\u1eefa \u0111\u1ed1t s\u1ed1ng c\u1ed5 C7 v\u00e0 \u0111\u1ed1t s\u1ed1ng ng\u1ef1c T1 v\u00e0 kh\u00f4ng lan.<\/strong><\/li>\n\n\n\n<li><strong>C\u1ee9ng kh\u1edbp:<\/strong>\u00a0C\u1ea3m gi\u00e1c c\u1ee9ng \u1edf v\u00f9ng l\u01b0ng, \u0111\u1eb7c bi\u1ec7t v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c sau khi ng\u1ed3i l\u00e2u.<\/li>\n\n\n\n<li><strong>H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng:<\/strong>\u00a0Kh\u00f3 kh\u0103n khi c\u00fai, ng\u1eeda, ho\u1eb7c xoay ng\u01b0\u1eddi.<\/li>\n\n\n\n<li><strong>S\u01b0ng nh\u1eb9:<\/strong>\u00a0V\u00f9ng b\u1ecb vi\u00eam c\u00f3 th\u1ec3 s\u01b0ng ho\u1eb7c m\u1ec1m khi ch\u1ea1m v\u00e0o.<\/li>\n\n\n\n<li><strong>\u0110au v\u1ec1 \u0111\u00eam:<\/strong>\u00a0C\u01a1n \u0111au c\u00f3 th\u1ec3 t\u0103ng l\u00ean v\u00e0o ban \u0111\u00eam, l\u00e0m gi\u00e1n \u0111o\u1ea1n gi\u1ea5c ng\u1ee7.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"ftoc-heading-3\"><strong> Ch\u1ee5p MRI<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u n\u00e0o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam t\u00fai thanh m\u1ea1c v\u00f9ng c\u1ed5 ng\u1ef1c, m\u1eb7c d\u00f9 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ra hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam c\u1ee7a c\u00e1c t\u00fai thanh m\u1ea1c v\u00f9ng li\u00ean tai. X\u00e9t nghi\u1ec7m ch\u1ee7 y\u1ebfu nh\u1eb1m ph\u00e1t hi\u1ec7n c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00fd ti\u1ec1m \u1ea9n hay c\u00e1c b\u1ec7nh l\u00ed c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng v\u1edbi vi\u00eam t\u00fai thanh m\u1ea1c v\u00f9ng c\u1ed5 ng\u1ef1c (xem ph\u1ea7n \u201cch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t\u201d).<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"665\" src=\"https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/12\/4B-1.jpg\" alt=\"4B 1\" class=\"wp-image-509\" srcset=\"https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/12\/4B-1.jpg 600w, https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/12\/4B-1-271x300.jpg 271w, https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/12\/4B-1-64x71.jpg 64w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><figcaption class=\"wp-element-caption\"><strong>C\u1ed9ng h\u01b0\u1edfng t\u1eeb vi\u00eam t\u00fai ho\u1ea1t d\u1ecbch d\u00e2y ch\u1eb1ng li\u00ean gai C7-T1<\/strong><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ee5p X- quang th\u1ec3 ph\u00e1t hi\u1ec7n b\u1ea5t k\u1ef3 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 x\u01b0\u01a1ng v\u00f9ng\u00a0c\u1ed9t s\u1ed1ng c\u1ed5 bao g\u1ed3m vi\u00eam kh\u1edbp, g\u00e3y x\u01b0\u01a1ng, c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh (v\u00ed d\u1ee5 nh\u01b0 d\u1ecb t\u1eadt Arnold \u2013 Chiari) v\u00e0 kh\u1ed1i u. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n m\u1edbi b\u1ecb vi\u00eam t\u00fai thanh m\u1ea1c v\u00f9ng c\u00f3 ng\u1ef1c c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ch\u1ee5p MRI\u00a0c\u1ed9t s\u1ed1ng c\u1ed5\u00a0v\u00e0 n\u1ebfu c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au nhi\u1ec1u v\u00f9ng \u0111\u1ea7u v\u00e0 ch\u1ea5m th\u00ec ch\u1ee5p c\u1ea3 MRI s\u1ecd n\u00e3o.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>X\u00e9t nghi\u1ec7m m\u00e1u<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc bao g\u1ed3m c\u00f4ng th\u1ee9c m\u00e1u, t\u1ed1c \u0111\u1ed9 l\u0103ng m\u00e1u, x\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 kh\u00e1ng nh\u00e2n v\u00e0 sinh h\u00f3a m\u00e1u t\u1ef1 \u0111\u1ed9ng c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea5n kh\u00f3 ph\u00e1t hi\u1ec7n, nhi\u1ec5m tr\u00f9ng v\u00e0 kh\u1ed1i u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u1ea3m \u0111au, gi\u1ea3m vi\u00eam v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng. B\u00e1c s\u0129 chuy\u00ean khoa x\u01b0\u01a1ng kh\u1edbp s\u1ebd \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ngh\u1ec9 ng\u01a1i:<\/strong>\u00a0H\u1ea1n ch\u1ebf c\u00e1c ho\u1ea1t \u0111\u1ed9ng g\u00e2y \u00e1p l\u1ef1c l\u00ean v\u00f9ng b\u1ecb vi\u00eam.<\/li>\n\n\n\n<li><strong>Thu\u1ed1c:<\/strong>\u00a0S\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 s\u01b0ng. Thu\u1ed1c gi\u00e3n c\u01a1,thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m n\u1ebfu c\u00f3 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<strong><em>Ti\u00eam corticosteroid v\u00e0 thu\u1ed1c t\u00ea c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho tr\u01b0\u1eddng h\u1ee3p vi\u00eam n\u1eb7ng<\/em><\/strong>.<\/li>\n\n\n\n<li><strong>V\u1eadt l\u00fd tr\u1ecb li\u1ec7u:<\/strong>\u00a0C\u00e1c b\u00e0i t\u1eadp v\u00e0 ph\u01b0\u01a1ng ph\u00e1p tr\u1ecb li\u1ec7u gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u01a1 b\u1eafp, c\u1ea3i thi\u1ec7n ph\u1ea1m vi chuy\u1ec3n \u0111\u1ed9ng v\u00e0 gi\u1ea3m c\u1ee9ng kh\u1edbp.<\/li>\n\n\n\n<li><strong>Ph\u1eabu thu\u1eadt:<\/strong>\u00a0Hi\u1ebfm khi c\u1ea7n thi\u1ebft, ch\u1ec9 \u00e1p d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00e1c.\u00a0<\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam t\u00fai thanh m\u1ea1c d\u00e2y ch\u1eb1ng li\u00ean gai\u00a0l\u00e0 t\u00ecnh tr\u1ea1ng\u00a0vi\u00eam \u1edf t\u00fai thanh m\u1ea1c\u00a0n\u1eb1m gi\u1eefa c\u00e1c gai x\u01b0\u01a1ng c\u1ed9t s\u1ed1ng v\u00e0 d\u00e2y ch\u1eb1ng, g\u00e2y ra\u00a0\u0111au v\u00e0 c\u1ee9ng kh\u1edbp. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf v\u00f9ng c\u1ed9t s\u1ed1ng c\u1ed5 v\u00e0 ng\u1ef1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 sinh ho\u1ea1t h\u00e0ng ng\u00e0y.<\/p>\n","protected":false},"author":1,"featured_media":508,"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":"","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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[24],"tags":[277,281],"class_list":["post-507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-xuong-khop","tag-dau-vai-gay-2","tag-chan-doan-va-dieu-tri-viem-tui-thanh-mac-day-chang-lien-gai"],"jetpack_featured_media_url":"https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/12\/f021-001-9780323547314.webp","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/posts\/507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=507"}],"version-history":[{"count":1,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/posts\/507\/revisions"}],"predecessor-version":[{"id":510,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/posts\/507\/revisions\/510"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=\/wp\/v2\/media\/508"}],"wp:attachment":[{"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/xuongkhopviet.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}