{"id":73,"date":"2025-11-26T07:33:11","date_gmt":"2025-11-26T07:33:11","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=73"},"modified":"2025-11-26T07:52:35","modified_gmt":"2025-11-26T07:52:35","slug":"viem-khop-cung-chau","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=73","title":{"rendered":"VI\u00caM KH\u1edaP C\u00d9NG CH\u1eacU"},"content":{"rendered":"\n<p>&nbsp;<strong>Vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu&nbsp;(Sacroiliitis)<\/strong>&nbsp;l\u00e0 t\u00ecnh tr\u1ea1ng&nbsp;vi\u00eam t\u1ea1i kh\u1edbp c\u00f9ng\u2013ch\u1eadu, t\u1ee9c kh\u1edbp n\u1ed1i gi\u1eefa x\u01b0\u01a1ng c\u00f9ng (ph\u1ea7n cu\u1ed1i c\u1ed9t s\u1ed1ng) v\u00e0 x\u01b0\u01a1ng ch\u1eadu. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n kh\u00e1 ph\u1ed5 bi\u1ebfn g\u00e2y&nbsp;\u0111au v\u00f9ng th\u1eaft l\u01b0ng \u2013 h\u00f4ng \u2013 m\u00f4ng&nbsp;v\u00e0 th\u01b0\u1eddng d\u1ec5 nh\u1ea7m v\u1edbi c\u00e1c b\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/8638269571790719368#\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEi4xA_qxgUq0NjC2J4ImyxBuhEgHbeUbJl2s1w_q6gaPSavboJICAKWXeCt5DedGS4LxKwd8G_VX3Tti_XVEM_dU1KMXNHNrpy3d6IBukMQk1iHM9NhUTLhS2-Zeyb6JFXIGhZgVV7DG0gtw9PtYCACbeiu9JHpC9WiXX3jNeY0SjAooDjT-VuwgL4coCsx\/w640-h426\/473597769_1015903877238678_1085055590912464092_n.jpg\" alt=\"\"\/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_78 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#%F0%9F%94%8D_Trieu_chung_thuong_gap\" >\ud83d\udd0d&nbsp;Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#%F0%9F%93%8C_Nguyen_nhan\" >\ud83d\udccc&nbsp;Nguy\u00ean nh\u00e2n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#%F0%9F%A9%BA_Chan_doan\" >\ud83e\ude7a&nbsp;Ch\u1ea9n \u0111o\u00e1n<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#Hinh_anh_viem_khop_cung_chau_tren_phim_chup_Xquang_thuong_quy\" >H\u00ecnh \u1ea3nh vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu tr\u00ean phim ch\u1ee5p Xquang th\u01b0\u1eddng quy<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#%F0%9F%92%8A_Dieu_tri\" >\ud83d\udc8a&nbsp;\u0110i\u1ec1u tr\u1ecb<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#1_Thuoc\" >1.&nbsp;Thu\u1ed1c<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#2_Vat_ly_tri_lieu\" >2.&nbsp;V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#3_Thay_doi_loi_song\" >3.&nbsp;Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/xuongkhopviet.vn\/?p=73\/#4_Phau_thuat\" >4.&nbsp;Ph\u1eabu thu\u1eadt<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%F0%9F%94%8D_Trieu_chung_thuong_gap\"><\/span>\ud83d\udd0d&nbsp;Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au v\u00f9ng m\u00f4ng, th\u1eaft l\u01b0ng, \u0111\u00f4i khi lan xu\u1ed1ng \u0111\u00f9i, b\u1eb9n, kh\u00f4ng bao gi\u1edd lan xu\u1ed1ng b\u00e0n ch\u00e2n.<\/li>\n\n\n\n<li>\u0110au \u00e2m \u1ec9,t\u0103ng khi \u0111\u1ee9ng l\u00e2u, \u0111i l\u1ea1i, leo c\u1ea7u thang, ch\u1ea1y nh\u1ea3y, ho\u1eb7c l\u00ean xu\u1ed1ng xe.<\/li>\n\n\n\n<li>C\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng, gi\u1ea3m d\u1ea7n khi v\u1eadn \u0111\u1ed9ng.<\/li>\n\n\n\n<li>\u0110au t\u0103ng khi \u0111\u1ed5i t\u01b0 th\u1ebf \u0111\u1ed9t ng\u1ed9t ho\u1eb7c xoay ng\u01b0\u1eddi.<\/li>\n\n\n\n<li>C\u00f3 th\u1ec3 \u0111au c\u1ea3 hai b\u00ean ho\u1eb7c ch\u1ec9 m\u1ed9t b\u00ean.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%F0%9F%93%8C_Nguyen_nhan\"><\/span>\ud83d\udccc&nbsp;Nguy\u00ean nh\u00e2n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu c\u00f3 th\u1ec3 do:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp\u00a0(AS \u2013 ankylosing spondylitis).<\/li>\n\n\n\n<li>Tho\u00e1i h\u00f3a\u00a0ho\u1eb7c\u00a0l\u1ec7ch kh\u1edbp, qu\u00e1 t\u1ea3i do lao \u0111\u1ed9ng n\u1eb7ng.<\/li>\n\n\n\n<li>Ch\u1ea5n th\u01b0\u01a1ng, t\u00e9 ng\u00e3.<\/li>\n\n\n\n<li>Sau sinh\u00a0\u2013 do thay \u0111\u1ed5i khung ch\u1eadu \u1edf ph\u1ee5 n\u1eef.<\/li>\n\n\n\n<li>Nhi\u1ec5m tr\u00f9ng\u00a0(hi\u1ebfm).<\/li>\n\n\n\n<li>B\u1ea5t th\u01b0\u1eddng v\u1ec1 d\u00e1ng \u0111i, kh\u00e1c chi\u1ec1u d\u00e0i hai ch\u00e2n.<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%F0%9F%A9%BA_Chan_doan\"><\/span>\ud83e\ude7a&nbsp;Ch\u1ea9n \u0111o\u00e1n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00e1m l\u00e2m s\u00e0ng (test g\u1ee3i \u00fd \u0111au kh\u1edbp c\u00f9ng ch\u1eadu)\u00a0 \u00a0<strong>FABER\u00a0<\/strong><strong>test<\/strong>\u00a0(Flexion\u2013Abduction\u2013External Rotation) \u2192\u0111au\u00a0v\u00f9ng kh\u1edbp c\u00f9ng ch\u1eadu.<\/li>\n\n\n\n<li>X-quang,\u00a0MRI\u00a0(MRI ph\u00e1t hi\u1ec7n s\u1edbm d\u1ea5u hi\u1ec7u vi\u00eam).<\/li>\n\n\n\n<li><strong>MRI l\u00e0\u00a0ph\u01b0\u01a1ng ti\u1ec7n t\u1ed1t nh\u1ea5t \u0111\u1ec3 ph\u00e1t hi\u1ec7n vi\u00eam kh\u1edbp c\u00f9ng\u00a0<\/strong><strong>ch\u1eadu s\u1edbm, \u0111\u1eb7c bi\u1ec7t qua d\u1ea5u hi\u1ec7u\u00a0ph\u00f9 t\u1ee7y x\u01b0\u01a1ng.<\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image is-resized\"><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/8638269571790719368#\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEglD7uaGTFJjkEjWwe6U-JUV4wCgtePaZ4Hj9ByAPzKNViT-_e41ZugGXgQUXvyVEVCM_jIaWl7DbluVJLPoazU3glFLFFs3UKtIIoakfCsQDYYHDrBDB5rm5Q4Hy0qIQs1bTENLwIQCQShh-Q0eW_ITWuCpP7-52750wubFl9NQfwVTS8Vx-poKUuwCv7P\/w640-h470\/201311golder-fig-2.gif\" alt=\"\" style=\"width:750px;height:auto\"\/><\/a><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"heading-jru3frvmm\"><span class=\"ez-toc-section\" id=\"Hinh_anh_viem_khop_cung_chau_tren_phim_chup_Xquang_thuong_quy\"><\/span>H\u00ecnh \u1ea3nh vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu tr\u00ean phim ch\u1ee5p Xquang th\u01b0\u1eddng quy<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Giai \u0111o\u1ea1n 1: m\u1ea5t ch\u1ea5t kho\u00e1ng c\u1ee7a b\u1edd kh\u1edbp, khe kh\u1edbp c\u00f9ng ch\u1eadu r\u1ed9ng.<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n 2: h\u00ecnh \u1ea3nh b\u00e0o m\u00f2n, tem th\u01b0 \u1edf r\u00eca kh\u1edbp.<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n 3: \u0111\u1eb7c x\u01b0\u01a1ng \u1edf b\u1edd kh\u1edbp, d\u00ednh m\u1ed9t ph\u1ea7n kh\u1edbp c\u00f9ng ch\u1eadu.<\/li>\n\n\n\n<li>Giai \u0111o\u1ea1n 4: d\u00ednh kh\u1edbp c\u00f9ng ch\u1eadu ho\u00e0n to\u00e0n.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image is-resized\"><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/8638269571790719368#\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjDFOCF1PdJgnsK5rtPbM7_OEme6ZOI2uGc6aCwC8dzfgvOV4-3EGmhtS9TwsfneaUQxOtAsN13h6R7kg2TdyM6HFyPkHWitSV-ftBa2ml1vqf8adO4AlWcyW-9cAGK01H7tgoZe3VEpPrZnRz80Fywrpmcw6TqotTwhM03FtG5pm_0Xu5nrvkec6ioYUKk\/w640-h640\/287255808d2f19b1fefe3985769cfc_big_gallery.jpeg\" alt=\"\" style=\"width:750px;height:auto\"\/><\/a><\/figure>\n\n\n\n<p><strong>H\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1eddng t\u1eeb vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu b\u00ean tr\u00e1i<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m m\u00e1u: CRP\/ESR, HLA-B27 n\u1ebfu nghi vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%F0%9F%92%8A_Dieu_tri\"><\/span>\ud83d\udc8a&nbsp;\u0110i\u1ec1u tr\u1ecb<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Ph\u1ee5 thu\u1ed9c nguy\u00ean nh\u00e2n, th\u01b0\u1eddng g\u1ed3m:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_Thuoc\"><\/span>1.&nbsp;Thu\u1ed1c<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c gi\u1ea3m \u0111au \u2013 kh\u00e1ng vi\u00eam\u00a0NSAIDs.<\/li>\n\n\n\n<li>Thu\u1ed1c gi\u00e3n c\u01a1.<\/li>\n\n\n\n<li><strong>Ti\u00eam\u00a0corticoid v\u00e0o kh\u1edbp c\u00f9ng\u2013ch\u1eadu\u00a0n\u1ebfu \u0111au k\u00e9o d\u00e0i.<\/strong><\/li>\n\n\n\n<li>Thu\u1ed1c sinh h\u1ecdc (TNF\u2013alpha, IL-17) n\u1ebfu do vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_Vat_ly_tri_lieu\"><\/span>2.&nbsp;V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1eadp k\u00e9o gi\u00e3n c\u01a1 l\u01b0ng \u2013 h\u00f4ng.<\/li>\n\n\n\n<li>T\u0103ng c\u01b0\u1eddng c\u01a1 m\u00f4ng, c\u01a1 l\u00f5i (core).<\/li>\n\n\n\n<li>Nhi\u1ec7t tr\u1ecb li\u1ec7u, s\u00f3ng xung k\u00edch n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"3_Thay_doi_loi_song\"><\/span>3.&nbsp;Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u00e1nh ng\u1ed3i ho\u1eb7c \u0111\u1ee9ng qu\u00e1 l\u00e2u.<\/li>\n\n\n\n<li>Gi\u1ea3m t\u1ea3i khi n\u00e2ng v\u1eadt n\u1eb7ng.<\/li>\n\n\n\n<li>T\u1eadp c\u00e1c m\u00f4n nh\u1eb9: b\u01a1i, \u0111i b\u1ed9, yoga m\u1ee9c \u0111\u1ed9 ph\u00f9 h\u1ee3p.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"4_Phau_thuat\"><\/span>4.&nbsp;Ph\u1eabu thu\u1eadt<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>R\u1ea5t hi\u1ebfm khi c\u1ea7n, ch\u1ec9 khi kh\u1edbp b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng kh\u00f4ng \u0111\u00e1p \u1ee9ng tr\u1ecb li\u1ec7u.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;Vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu&nbsp;(Sacroiliitis)&nbsp;l\u00e0 t\u00ecnh tr\u1ea1ng&nbsp;vi\u00eam t\u1ea1i kh\u1edbp c\u00f9ng\u2013ch\u1eadu, t\u1ee9c kh\u1edbp n\u1ed1i gi\u1eefa x\u01b0\u01a1ng c\u00f9ng (ph\u1ea7n cu\u1ed1i c\u1ed9t s\u1ed1ng) v\u00e0 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":74,"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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