{"id":10826,"date":"2019-01-03T19:43:00","date_gmt":"2019-01-03T19:43:00","guid":{"rendered":"https:\/\/chuyenkhoacoxuongkhop.com\/?p=10826"},"modified":"2023-03-14T13:26:20","modified_gmt":"2023-03-14T13:26:20","slug":"viem-cot-song-dinh-khop-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"https:\/\/xuongkhopvietduc.com\/viem-cot-song-dinh-khop-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/","title":{"rendered":"Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n
L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026<\/strong><\/em><\/p>\n\n\n\n<\/a><\/figure><\/div>\n\n\n \ud83d\udca5C\u00e1c b\u00e1c s\u0129 h\u00e0ng \u0111\u1ea7u trong l\u0129nh v\u1ef1c C\u01a1 X\u01b0\u01a1ng Kh\u1edbp Ph\u00f2ng Kh\u00e1m Qu\u1ed1c T\u1ebf Vi\u1ec7t \u0110\u1ee9c<\/strong><\/strong><\/strong> Ph\u00f3 Gi\u00e1o S\u01b0, B\u00e1c s\u0129 Nguy\u1ec5n M\u1ea1nh H\u00f9ng. B\u00e1c s\u0129, \u0110\u1ea1i t\u00e1 Nguy\u1ec5n v\u0103n H\u00e1n chia s\u1ebb. <\/em><\/strong> <\/mark><\/p>\n\n\n\nT\u1ed5ng quan b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l<\/strong>\u00e0 b\u1ec7nh l\u00fd vi\u00eam m\u1ea1n t\u00ednh k\u00e9o d\u00e0i \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng \u0111au v\u00e0 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp c\u00f9ng ch\u1eadu, c\u1ed9t s\u1ed1ng v\u00e0 c\u00e1c kh\u1edbp chi d\u01b0\u1edbi. B\u1ec7nh khi\u1ebfn m\u1ed9t s\u1ed1 \u0111\u1ed1t s\u1ed1ng d\u00ednh l\u1ea1i v\u1edbi nhau l\u00e0m s\u01b0ng l\u00ean d\u1eabn \u0111\u1ebfn vi\u1ec7c kh\u00f3 c\u1eed \u0111\u1ed9ng l\u00e0m g\u00f9, v\u1eb9o, t\u00e0n ph\u1ebf.<\/p>\n\n\n\nTrong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c kh\u1edbp kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0 kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i, b\u00e0n ch\u00e2n, d\u00e2y ch\u1eb1ng, \u0111\u00f4i khi c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nh\u01b0 tim, gan, ph\u1ed5i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nNguy\u00ean nh\u00e2n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp c\u00f3 di truy\u1ec1n kh\u00f4ng?<\/strong><\/p>\n\n\n\nB\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp v\u1edbi nguy\u00ean nh\u00e2n hi\u1ec7n nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, tuy nhi\u00ean c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. Trong gia \u0111\u00ecnh n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp th\u00ec t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc s\u1ebd t\u0103ng l\u00ean. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn gen HLA-B27 \u2013 gen quy \u0111\u1ecbnh kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u ng\u01b0\u1eddi.<\/p>\n\n\n\n<\/a><\/figure><\/div>\n\n\nTri\u1ec7u ch\u1ee9ng b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nC\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp bao g\u1ed3m:<\/p>\n\n\n\n\nTri\u1ec7u ch\u1ee9ng g\u1eb7p s\u1edbm nh\u1ea5t l\u00e0 \u0111au c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng ho\u1eb7c \u0111au v\u00f9ng th\u1eaft l\u01b0ng. C\u01a1n \u0111au xu\u1ea5t hi\u1ec7n v\u00e0o bu\u1ed5i t\u1ed1i ho\u1eb7c s\u00e1ng s\u1edbm, \u0111i k\u00e8m theo nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee9ng kh\u1edbp. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb th\u1ee9c gi\u1ea5c khi ng\u1ee7 do nh\u1eefng c\u01a1n \u0111au g\u00e2y kh\u00f3 ch\u1ecbu.<\/li>\n\n\n\nC\u01a1n \u0111au l\u01b0ng kh\u1edfi ph\u00e1t t\u1eeb kh\u1edbp x\u01b0\u01a1ng v\u00f9ng ch\u1eadu. C\u01a1n \u0111au c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c lan ra to\u00e0n b\u1ed9 v\u00f9ng c\u1ed9t s\u1ed1ng. Ngo\u00e0i ra, vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu v\u1edbi bi\u1ec3u hi\u1ec7n \u0111au xu\u1ea5t hi\u1ec7n t\u1ea1i v\u00f9ng m\u00f4ng, m\u1ed9t ho\u1eb7c hai b\u00ean. Khi xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au l\u00e0m ph\u1ea7n d\u01b0\u1edbi x\u01b0\u01a1ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n k\u00e9m linh ho\u1ea1t, b\u1ec7nh nh\u00e2n l\u00fac n\u00e0y th\u01b0\u1eddng gi\u1ea3m \u0111au b\u1eb1ng n\u1eb1m nghi\u00eang co l\u01b0ng t\u00f4m hay n\u1eb1m ng\u1eeda k\u00ea g\u1ed1i cao \u0111\u1ea7u s\u1ebd l\u00e0m bi\u1ebfn ch\u1ee9ng l\u01b0ng b\u1ecb g\u00f9 kh\u00f4ng t\u1ed1t.<\/li>\n\n\n\nC\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 c\u0169ng xu\u1ea5t hi\u1ec7n \u0111au nh\u1ee9c nh\u01b0 c\u00e1c kh\u1edbp x\u01b0\u01a1ng s\u01b0\u1eddn, x\u01b0\u01a1ng \u1ee9c, vai, \u0111\u1ea7u g\u1ed1i.<\/li>\n<\/ul>\n\n\n\nKhi c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0103n u\u1ed1ng k\u00e9m, s\u00fat c\u00e2n c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f3 h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n\n\tL\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u k\u1ecbp th\u1eddi, B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111au, y\u1ebfu, t\u00ea b\u00ec ch\u00e2n, tay, teo c\u01a1, \u0111i l\u1ea1i kh\u00f3 kh\u0103n, th\u1eadm ch\u00ed t\u00e0n ph\u1ebf<\/b><\/p>\t\n<\/div>\n\n\n\n<\/a><\/figure><\/div>\n\n\n\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
\ud83d\udca5C\u00e1c b\u00e1c s\u0129 h\u00e0ng \u0111\u1ea7u trong l\u0129nh v\u1ef1c C\u01a1 X\u01b0\u01a1ng Kh\u1edbp Ph\u00f2ng Kh\u00e1m Qu\u1ed1c T\u1ebf Vi\u1ec7t \u0110\u1ee9c<\/strong><\/strong><\/strong> Ph\u00f3 Gi\u00e1o S\u01b0, B\u00e1c s\u0129 Nguy\u1ec5n M\u1ea1nh H\u00f9ng. B\u00e1c s\u0129, \u0110\u1ea1i t\u00e1 Nguy\u1ec5n v\u0103n H\u00e1n chia s\u1ebb. <\/em><\/strong> <\/mark><\/p>\n\n\n\nT\u1ed5ng quan b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l<\/strong>\u00e0 b\u1ec7nh l\u00fd vi\u00eam m\u1ea1n t\u00ednh k\u00e9o d\u00e0i \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng \u0111au v\u00e0 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp c\u00f9ng ch\u1eadu, c\u1ed9t s\u1ed1ng v\u00e0 c\u00e1c kh\u1edbp chi d\u01b0\u1edbi. B\u1ec7nh khi\u1ebfn m\u1ed9t s\u1ed1 \u0111\u1ed1t s\u1ed1ng d\u00ednh l\u1ea1i v\u1edbi nhau l\u00e0m s\u01b0ng l\u00ean d\u1eabn \u0111\u1ebfn vi\u1ec7c kh\u00f3 c\u1eed \u0111\u1ed9ng l\u00e0m g\u00f9, v\u1eb9o, t\u00e0n ph\u1ebf.<\/p>\n\n\n\nTrong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c kh\u1edbp kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0 kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i, b\u00e0n ch\u00e2n, d\u00e2y ch\u1eb1ng, \u0111\u00f4i khi c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nh\u01b0 tim, gan, ph\u1ed5i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nNguy\u00ean nh\u00e2n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp c\u00f3 di truy\u1ec1n kh\u00f4ng?<\/strong><\/p>\n\n\n\nB\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp v\u1edbi nguy\u00ean nh\u00e2n hi\u1ec7n nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, tuy nhi\u00ean c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. Trong gia \u0111\u00ecnh n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp th\u00ec t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc s\u1ebd t\u0103ng l\u00ean. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn gen HLA-B27 \u2013 gen quy \u0111\u1ecbnh kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u ng\u01b0\u1eddi.<\/p>\n\n\n\n<\/a><\/figure><\/div>\n\n\nTri\u1ec7u ch\u1ee9ng b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nC\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp bao g\u1ed3m:<\/p>\n\n\n\n\nTri\u1ec7u ch\u1ee9ng g\u1eb7p s\u1edbm nh\u1ea5t l\u00e0 \u0111au c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng ho\u1eb7c \u0111au v\u00f9ng th\u1eaft l\u01b0ng. C\u01a1n \u0111au xu\u1ea5t hi\u1ec7n v\u00e0o bu\u1ed5i t\u1ed1i ho\u1eb7c s\u00e1ng s\u1edbm, \u0111i k\u00e8m theo nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee9ng kh\u1edbp. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb th\u1ee9c gi\u1ea5c khi ng\u1ee7 do nh\u1eefng c\u01a1n \u0111au g\u00e2y kh\u00f3 ch\u1ecbu.<\/li>\n\n\n\nC\u01a1n \u0111au l\u01b0ng kh\u1edfi ph\u00e1t t\u1eeb kh\u1edbp x\u01b0\u01a1ng v\u00f9ng ch\u1eadu. C\u01a1n \u0111au c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c lan ra to\u00e0n b\u1ed9 v\u00f9ng c\u1ed9t s\u1ed1ng. Ngo\u00e0i ra, vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu v\u1edbi bi\u1ec3u hi\u1ec7n \u0111au xu\u1ea5t hi\u1ec7n t\u1ea1i v\u00f9ng m\u00f4ng, m\u1ed9t ho\u1eb7c hai b\u00ean. Khi xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au l\u00e0m ph\u1ea7n d\u01b0\u1edbi x\u01b0\u01a1ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n k\u00e9m linh ho\u1ea1t, b\u1ec7nh nh\u00e2n l\u00fac n\u00e0y th\u01b0\u1eddng gi\u1ea3m \u0111au b\u1eb1ng n\u1eb1m nghi\u00eang co l\u01b0ng t\u00f4m hay n\u1eb1m ng\u1eeda k\u00ea g\u1ed1i cao \u0111\u1ea7u s\u1ebd l\u00e0m bi\u1ebfn ch\u1ee9ng l\u01b0ng b\u1ecb g\u00f9 kh\u00f4ng t\u1ed1t.<\/li>\n\n\n\nC\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 c\u0169ng xu\u1ea5t hi\u1ec7n \u0111au nh\u1ee9c nh\u01b0 c\u00e1c kh\u1edbp x\u01b0\u01a1ng s\u01b0\u1eddn, x\u01b0\u01a1ng \u1ee9c, vai, \u0111\u1ea7u g\u1ed1i.<\/li>\n<\/ul>\n\n\n\nKhi c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0103n u\u1ed1ng k\u00e9m, s\u00fat c\u00e2n c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f3 h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n\n\tL\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u k\u1ecbp th\u1eddi, B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111au, y\u1ebfu, t\u00ea b\u00ec ch\u00e2n, tay, teo c\u01a1, \u0111i l\u1ea1i kh\u00f3 kh\u0103n, th\u1eadm ch\u00ed t\u00e0n ph\u1ebf<\/b><\/p>\t\n<\/div>\n\n\n\n<\/a><\/figure><\/div>\n\n\n\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l<\/strong>\u00e0 b\u1ec7nh l\u00fd vi\u00eam m\u1ea1n t\u00ednh k\u00e9o d\u00e0i \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng \u0111au v\u00e0 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp c\u00f9ng ch\u1eadu, c\u1ed9t s\u1ed1ng v\u00e0 c\u00e1c kh\u1edbp chi d\u01b0\u1edbi. B\u1ec7nh khi\u1ebfn m\u1ed9t s\u1ed1 \u0111\u1ed1t s\u1ed1ng d\u00ednh l\u1ea1i v\u1edbi nhau l\u00e0m s\u01b0ng l\u00ean d\u1eabn \u0111\u1ebfn vi\u1ec7c kh\u00f3 c\u1eed \u0111\u1ed9ng l\u00e0m g\u00f9, v\u1eb9o, t\u00e0n ph\u1ebf.<\/p>\n\n\n\nTrong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c kh\u1edbp kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0 kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i, b\u00e0n ch\u00e2n, d\u00e2y ch\u1eb1ng, \u0111\u00f4i khi c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nh\u01b0 tim, gan, ph\u1ed5i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nNguy\u00ean nh\u00e2n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp c\u00f3 di truy\u1ec1n kh\u00f4ng?<\/strong><\/p>\n\n\n\nB\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp v\u1edbi nguy\u00ean nh\u00e2n hi\u1ec7n nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, tuy nhi\u00ean c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. Trong gia \u0111\u00ecnh n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp th\u00ec t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc s\u1ebd t\u0103ng l\u00ean. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn gen HLA-B27 \u2013 gen quy \u0111\u1ecbnh kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u ng\u01b0\u1eddi.<\/p>\n\n\n\n<\/a><\/figure><\/div>\n\n\nTri\u1ec7u ch\u1ee9ng b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nC\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp bao g\u1ed3m:<\/p>\n\n\n\n\nTri\u1ec7u ch\u1ee9ng g\u1eb7p s\u1edbm nh\u1ea5t l\u00e0 \u0111au c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng ho\u1eb7c \u0111au v\u00f9ng th\u1eaft l\u01b0ng. C\u01a1n \u0111au xu\u1ea5t hi\u1ec7n v\u00e0o bu\u1ed5i t\u1ed1i ho\u1eb7c s\u00e1ng s\u1edbm, \u0111i k\u00e8m theo nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee9ng kh\u1edbp. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb th\u1ee9c gi\u1ea5c khi ng\u1ee7 do nh\u1eefng c\u01a1n \u0111au g\u00e2y kh\u00f3 ch\u1ecbu.<\/li>\n\n\n\nC\u01a1n \u0111au l\u01b0ng kh\u1edfi ph\u00e1t t\u1eeb kh\u1edbp x\u01b0\u01a1ng v\u00f9ng ch\u1eadu. C\u01a1n \u0111au c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c lan ra to\u00e0n b\u1ed9 v\u00f9ng c\u1ed9t s\u1ed1ng. Ngo\u00e0i ra, vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu v\u1edbi bi\u1ec3u hi\u1ec7n \u0111au xu\u1ea5t hi\u1ec7n t\u1ea1i v\u00f9ng m\u00f4ng, m\u1ed9t ho\u1eb7c hai b\u00ean. Khi xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au l\u00e0m ph\u1ea7n d\u01b0\u1edbi x\u01b0\u01a1ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n k\u00e9m linh ho\u1ea1t, b\u1ec7nh nh\u00e2n l\u00fac n\u00e0y th\u01b0\u1eddng gi\u1ea3m \u0111au b\u1eb1ng n\u1eb1m nghi\u00eang co l\u01b0ng t\u00f4m hay n\u1eb1m ng\u1eeda k\u00ea g\u1ed1i cao \u0111\u1ea7u s\u1ebd l\u00e0m bi\u1ebfn ch\u1ee9ng l\u01b0ng b\u1ecb g\u00f9 kh\u00f4ng t\u1ed1t.<\/li>\n\n\n\nC\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 c\u0169ng xu\u1ea5t hi\u1ec7n \u0111au nh\u1ee9c nh\u01b0 c\u00e1c kh\u1edbp x\u01b0\u01a1ng s\u01b0\u1eddn, x\u01b0\u01a1ng \u1ee9c, vai, \u0111\u1ea7u g\u1ed1i.<\/li>\n<\/ul>\n\n\n\nKhi c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0103n u\u1ed1ng k\u00e9m, s\u00fat c\u00e2n c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f3 h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n\n\tL\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u k\u1ecbp th\u1eddi, B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111au, y\u1ebfu, t\u00ea b\u00ec ch\u00e2n, tay, teo c\u01a1, \u0111i l\u1ea1i kh\u00f3 kh\u0103n, th\u1eadm ch\u00ed t\u00e0n ph\u1ebf<\/b><\/p>\t\n<\/div>\n\n\n\n<\/a><\/figure><\/div>\n\n\n\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l<\/strong>\u00e0 b\u1ec7nh l\u00fd vi\u00eam m\u1ea1n t\u00ednh k\u00e9o d\u00e0i \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng \u0111au v\u00e0 t\u1ed5n th\u01b0\u01a1ng kh\u1edbp c\u00f9ng ch\u1eadu, c\u1ed9t s\u1ed1ng v\u00e0 c\u00e1c kh\u1edbp chi d\u01b0\u1edbi. B\u1ec7nh khi\u1ebfn m\u1ed9t s\u1ed1 \u0111\u1ed1t s\u1ed1ng d\u00ednh l\u1ea1i v\u1edbi nhau l\u00e0m s\u01b0ng l\u00ean d\u1eabn \u0111\u1ebfn vi\u1ec7c kh\u00f3 c\u1eed \u0111\u1ed9ng l\u00e0m g\u00f9, v\u1eb9o, t\u00e0n ph\u1ebf.<\/p>\n\n\n\nTrong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c kh\u1edbp kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0 kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i, b\u00e0n ch\u00e2n, d\u00e2y ch\u1eb1ng, \u0111\u00f4i khi c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nh\u01b0 tim, gan, ph\u1ed5i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nNguy\u00ean nh\u00e2n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp c\u00f3 di truy\u1ec1n kh\u00f4ng?<\/strong><\/p>\n\n\n\nB\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp v\u1edbi nguy\u00ean nh\u00e2n hi\u1ec7n nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, tuy nhi\u00ean c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. Trong gia \u0111\u00ecnh n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp th\u00ec t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc s\u1ebd t\u0103ng l\u00ean. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn gen HLA-B27 \u2013 gen quy \u0111\u1ecbnh kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u ng\u01b0\u1eddi.<\/p>\n\n\n\n<\/a><\/figure><\/div>\n\n\nTri\u1ec7u ch\u1ee9ng b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nC\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp bao g\u1ed3m:<\/p>\n\n\n\n\nTri\u1ec7u ch\u1ee9ng g\u1eb7p s\u1edbm nh\u1ea5t l\u00e0 \u0111au c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng ho\u1eb7c \u0111au v\u00f9ng th\u1eaft l\u01b0ng. C\u01a1n \u0111au xu\u1ea5t hi\u1ec7n v\u00e0o bu\u1ed5i t\u1ed1i ho\u1eb7c s\u00e1ng s\u1edbm, \u0111i k\u00e8m theo nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee9ng kh\u1edbp. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb th\u1ee9c gi\u1ea5c khi ng\u1ee7 do nh\u1eefng c\u01a1n \u0111au g\u00e2y kh\u00f3 ch\u1ecbu.<\/li>\n\n\n\nC\u01a1n \u0111au l\u01b0ng kh\u1edfi ph\u00e1t t\u1eeb kh\u1edbp x\u01b0\u01a1ng v\u00f9ng ch\u1eadu. C\u01a1n \u0111au c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c lan ra to\u00e0n b\u1ed9 v\u00f9ng c\u1ed9t s\u1ed1ng. Ngo\u00e0i ra, vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu v\u1edbi bi\u1ec3u hi\u1ec7n \u0111au xu\u1ea5t hi\u1ec7n t\u1ea1i v\u00f9ng m\u00f4ng, m\u1ed9t ho\u1eb7c hai b\u00ean. Khi xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au l\u00e0m ph\u1ea7n d\u01b0\u1edbi x\u01b0\u01a1ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n k\u00e9m linh ho\u1ea1t, b\u1ec7nh nh\u00e2n l\u00fac n\u00e0y th\u01b0\u1eddng gi\u1ea3m \u0111au b\u1eb1ng n\u1eb1m nghi\u00eang co l\u01b0ng t\u00f4m hay n\u1eb1m ng\u1eeda k\u00ea g\u1ed1i cao \u0111\u1ea7u s\u1ebd l\u00e0m bi\u1ebfn ch\u1ee9ng l\u01b0ng b\u1ecb g\u00f9 kh\u00f4ng t\u1ed1t.<\/li>\n\n\n\nC\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 c\u0169ng xu\u1ea5t hi\u1ec7n \u0111au nh\u1ee9c nh\u01b0 c\u00e1c kh\u1edbp x\u01b0\u01a1ng s\u01b0\u1eddn, x\u01b0\u01a1ng \u1ee9c, vai, \u0111\u1ea7u g\u1ed1i.<\/li>\n<\/ul>\n\n\n\nKhi c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0103n u\u1ed1ng k\u00e9m, s\u00fat c\u00e2n c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f3 h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n\n\tL\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u k\u1ecbp th\u1eddi, B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111au, y\u1ebfu, t\u00ea b\u00ec ch\u00e2n, tay, teo c\u01a1, \u0111i l\u1ea1i kh\u00f3 kh\u0103n, th\u1eadm ch\u00ed t\u00e0n ph\u1ebf<\/b><\/p>\t\n<\/div>\n\n\n\n<\/a><\/figure><\/div>\n\n\n\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c kh\u1edbp kh\u00e1c trong c\u01a1 th\u1ec3 nh\u01b0 kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i, b\u00e0n ch\u00e2n, d\u00e2y ch\u1eb1ng, \u0111\u00f4i khi c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nh\u01b0 tim, gan, ph\u1ed5i.<\/p>\n\n\n
Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp c\u00f3 di truy\u1ec1n kh\u00f4ng?<\/strong><\/p>\n\n\n\nB\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp v\u1edbi nguy\u00ean nh\u00e2n hi\u1ec7n nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, tuy nhi\u00ean c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. Trong gia \u0111\u00ecnh n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp th\u00ec t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc s\u1ebd t\u0103ng l\u00ean. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn gen HLA-B27 \u2013 gen quy \u0111\u1ecbnh kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u ng\u01b0\u1eddi.<\/p>\n\n\n\n<\/a><\/figure><\/div>\n\n\nTri\u1ec7u ch\u1ee9ng b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nC\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp bao g\u1ed3m:<\/p>\n\n\n\n\nTri\u1ec7u ch\u1ee9ng g\u1eb7p s\u1edbm nh\u1ea5t l\u00e0 \u0111au c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng ho\u1eb7c \u0111au v\u00f9ng th\u1eaft l\u01b0ng. C\u01a1n \u0111au xu\u1ea5t hi\u1ec7n v\u00e0o bu\u1ed5i t\u1ed1i ho\u1eb7c s\u00e1ng s\u1edbm, \u0111i k\u00e8m theo nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee9ng kh\u1edbp. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb th\u1ee9c gi\u1ea5c khi ng\u1ee7 do nh\u1eefng c\u01a1n \u0111au g\u00e2y kh\u00f3 ch\u1ecbu.<\/li>\n\n\n\nC\u01a1n \u0111au l\u01b0ng kh\u1edfi ph\u00e1t t\u1eeb kh\u1edbp x\u01b0\u01a1ng v\u00f9ng ch\u1eadu. C\u01a1n \u0111au c\u00f3 th\u1ec3 khu tr\u00fa ho\u1eb7c lan ra to\u00e0n b\u1ed9 v\u00f9ng c\u1ed9t s\u1ed1ng. Ngo\u00e0i ra, vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu v\u1edbi bi\u1ec3u hi\u1ec7n \u0111au xu\u1ea5t hi\u1ec7n t\u1ea1i v\u00f9ng m\u00f4ng, m\u1ed9t ho\u1eb7c hai b\u00ean. Khi xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au l\u00e0m ph\u1ea7n d\u01b0\u1edbi x\u01b0\u01a1ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n k\u00e9m linh ho\u1ea1t, b\u1ec7nh nh\u00e2n l\u00fac n\u00e0y th\u01b0\u1eddng gi\u1ea3m \u0111au b\u1eb1ng n\u1eb1m nghi\u00eang co l\u01b0ng t\u00f4m hay n\u1eb1m ng\u1eeda k\u00ea g\u1ed1i cao \u0111\u1ea7u s\u1ebd l\u00e0m bi\u1ebfn ch\u1ee9ng l\u01b0ng b\u1ecb g\u00f9 kh\u00f4ng t\u1ed1t.<\/li>\n\n\n\nC\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 c\u0169ng xu\u1ea5t hi\u1ec7n \u0111au nh\u1ee9c nh\u01b0 c\u00e1c kh\u1edbp x\u01b0\u01a1ng s\u01b0\u1eddn, x\u01b0\u01a1ng \u1ee9c, vai, \u0111\u1ea7u g\u1ed1i.<\/li>\n<\/ul>\n\n\n\nKhi c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0103n u\u1ed1ng k\u00e9m, s\u00fat c\u00e2n c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f3 h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n\n\tL\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u k\u1ecbp th\u1eddi, B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111au, y\u1ebfu, t\u00ea b\u00ec ch\u00e2n, tay, teo c\u01a1, \u0111i l\u1ea1i kh\u00f3 kh\u0103n, th\u1eadm ch\u00ed t\u00e0n ph\u1ebf<\/b><\/p>\t\n<\/div>\n\n\n\n<\/a><\/figure><\/div>\n\n\n\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp v\u1edbi nguy\u00ean nh\u00e2n hi\u1ec7n nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, tuy nhi\u00ean c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ec9 ra b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. Trong gia \u0111\u00ecnh n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp th\u00ec t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc s\u1ebd t\u0103ng l\u00ean. Ngo\u00e0i ra, b\u1ec7nh c\u00f2n li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn gen HLA-B27 \u2013 gen quy \u0111\u1ecbnh kh\u00e1ng nguy\u00ean b\u1ea1ch c\u1ea7u ng\u01b0\u1eddi.<\/p>\n\n\n
C\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp bao g\u1ed3m:<\/p>\n\n\n\n
Khi c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0103n u\u1ed1ng k\u00e9m, s\u00fat c\u00e2n c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f3 h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n
L\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia:<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ecb li\u1ec7u k\u1ecbp th\u1eddi, B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111au, y\u1ebfu, t\u00ea b\u00ec ch\u00e2n, tay, teo c\u01a1, \u0111i l\u1ea1i kh\u00f3 kh\u0103n, th\u1eadm ch\u00ed t\u00e0n ph\u1ebf<\/b><\/p>\t\n<\/div>\n\n\n\n<\/a><\/figure><\/div>\n\n\n\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp l\u00e0 b\u1ec7nh r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n. B\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf nam gi\u1edbi v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u01b0\u1edbc tu\u1ed5i 35 v\u00e0 ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n sau 45 tu\u1ed5i. B\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng kh\u1edbp, t\u00e0n ph\u1ebf, ph\u1ee5 thu\u1ed9c v\u00e0 s\u1ef1 ch\u0103m s\u00f3c c\u1ee7a gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\nPh\u00f2ng ng\u1eeba b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\n\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n\n<\/figure><\/div>\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nKhi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\nKi\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\nX\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n[wiget t\u01b0 v\u1ea5n]<\/div>\n\n\n\nC\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/h2>\n\n\n\nVi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n\n\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c chuy\u00ean khoa theo ch\u1ec9 \u0111\u1ecbnh. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, gi\u1ea3m \u0111au, gi\u1ea3m t\u00ea c\u1ee9ng \u1edf kh\u1edbp. C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a di ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh<\/li>\n\n\n\n\u00b7Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u gi\u00fap c\u1ea3i thi\u1ec7n t\u01b0 th\u1ebf \u0111i l\u1ea1i gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 tho\u00e1i h\u00f3a v\u00e0 d\u00ednh kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\nPh\u1eabu thu\u1eadt trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng kh\u00f4ng th\u1ec3 ch\u1eefa tr\u1ecb theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n\n\n\nL\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
\u0102n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia v\u00e0 h\u00fat thu\u1ed1c l\u00e1 gi\u00fap ph\u00f2ng ng\u1eeba b\u1ec7nh. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf khi c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, kh\u00f4ng \u0111\u1ec3 b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng s\u1ebd \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i.<\/p>\n\n\n
Khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa, b\u00e1c s\u0129 s\u1ebd k\u1ebft h\u1ee3p gi\u1eefa bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ecfi b\u1ec7nh nh\u01b0 th\u1eddi gian \u0111au, t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed \u0111au hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh \u0111\u1ec3 c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng x\u00e1c \u0111\u1ecbnh b\u1ec7nh. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean khoa nh\u01b0:<\/p>\n\n\n\n
Ki\u1ec3m tra b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh mang l\u1ea1i gi\u00e1 tr\u1ecb cao nh\u01b0 X-quang, MRI gi\u00fap cho b\u00e1c s\u0129 th\u1ea5y r\u00f5 \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng, m\u00f4 m\u1ec1m \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n theo t\u1eebng n\u0103m \u0111\u1ec3 c\u00f3 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n
X\u00e9t nghi\u1ec7m m\u00e1u ki\u1ec3m tra gen HLA \u2013 B27 l\u00e0 gen li\u00ean quan \u0111\u1ebfn b\u1ec7nh hay l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp c\u00f3 \u00fd ngh\u0129a v\u00e0 gi\u00e1 tr\u1ecb cao trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n
Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp r\u1ea5t quan tr\u1ecdng, c\u1ea7n th\u1ef1c hi\u1ec7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Tuy\u1ec7t nhi\u00ean kh\u00f4ng \u0111\u1ec3 b\u1ec7nh l\u00e2u, b\u1ec7nh di\u1ec5n bi\u1ebfn x\u1ea5u s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng s\u1eed d\u1ee5ng nh\u01b0:<\/p>\n\n\n\n
L\u1ee3i \u00edch khi \u0111\u0103ng k\u00fd kh\u00e1m tr\u1ef1c tuy\u1ebfn:<\/em><\/strong><\/p>\n\n\n\n\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
\u00d0\u01b0\u1ee3c \u01b0u ti\u00ean kh\u00e1m tr\u01b0\u1edbc<\/em><\/strong><\/p>\n\n\n\n\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
\u0110\u1ebfn l\u00e0 \u0111\u01b0\u1ee3c kh\u00e1m ngay<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
\u0110\u01b0\u1ee3c l\u1ef1a ch\u1ecdn b\u00e1c s\u1ef9<\/em><\/strong><\/p>\n\n\n\n\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
\u0110\u01b0\u1ee3c h\u01b0\u1edfng \u01b0u \u0111\u00e3i<\/em><\/strong><\/p>\n\n\n\nS\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
S\u00c1NG Y \u0110\u1ee8C \u2013 V\u1eeeNG CHUY\u00caN M\u00d4N \u2013 VU\u00d4NG TR\u00d2N H\u1ea0NH PH\u00daC!<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n
L\u00e0m sao \u0111\u1ec3 \u0111\u1ea9y l\u00f9i c\u00e1c c\u01a1n \u0111au nh\u1ee9c, t\u00ea bu\u1ed1t kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i? L\u00e0m sao \u0111\u1ec3 t\u00ecm l\u1ea1i \u0111\u01b0\u1ee3c nh\u1eefng gi\u1ea5c ng\u1ee7 ngon h\u00e0ng \u0111\u00eam? L\u00e0m sao \u0111\u1ec3 tho\u1ea3i m\u00e1i v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y m\u00e0 kh\u00f4ng ph\u1ea3i t\u1ed1n qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c?\u2026 … \u0110\u1ecdc ti\u1ebfp Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[308],"tags":[],"class_list":["post-10826","post","type-post","status-publish","format-standard","hentry","category-viet-duc"],"yoast_head":"\nVi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp :Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - CHUY\u00caN KHOA X\u01af\u01a0NG KH\u1edaP VI\u1ec6T \u0110\u1ee8C<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n