![\"\"](\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/1.PhongBenhViemKhop-444x536.jpg\")
<\/p>\nVi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p (VKDT) l\u00e0 m\u1ed9t b\u1ec7nh do tho\u00e1i h\u00f3a c\u01a1 x\u01b0\u01a1ng kh\u1edbp, trong qu\u00e1 tr\u00ecnh c\u1ee7a \u0111\u1eddi s\u1ed1ng con ng\u01b0\u1eddi, do tu\u1ed5i \u0111\u1eddi, do ch\u1ea5n th\u01b0\u01a1ng, do lao \u0111\u1ed9ng n\u1eb7ng nh\u1ecdc, do t\u00edch l\u0169y nh\u1eefng ch\u1ea5t \u0111\u1ed9c h\u1ea1i\u2026 c\u00e1c kh\u1edbp c\u00f3 th\u1ec3 b\u1ecb tho\u00e1i h\u00f3a, c\u00e1c t\u1ed5 ch\u1ee9c \u1edf kh\u1edbp b\u1ecb kh\u00f4 n\u01b0\u1edbc, h\u00f3a v\u00f4i, x\u01a1 h\u00f3a ho\u1eb7c bi\u1ebfn d\u1ea1ng. Nh\u1eefng s\u1ef1 thay \u0111\u1ed5i n\u00e0y l\u00e0m m\u1ea5t \u0111i t\u00ednh \u0111\u00e0n h\u1ed3i v\u00e0 s\u1ef1 linh ho\u1ea1t c\u1ea7n thi\u1ebft n\u00ean g\u00e2y \u0111au nh\u1ee9c v\u00e0 kh\u00f3 kh\u0103n khi chuy\u1ec3n \u0111\u1ed9ng.<\/p>\n
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B\u1ec7nh n\u00e0y g\u1eb7p \u1edf t\u1ea5t c\u1ea3 c\u00e1c n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi chi\u1ebfm 0,5 – 3% d\u00e2n s\u1ed1. \u1ede Vi\u1ec7t Nam, th\u00ec t\u1ef7 l\u1ec7 chung l\u00e0 0,5%, chi\u1ebfm 20% t\u1ed5ng s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh kh\u1edbp nh\u1eadp vi\u1ec7n. B\u1ec7nh n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef chi\u1ebfm 70 – 80% \u0111a s\u1ed1 \u1edf ph\u1ee5 n\u1eef trung ni\u00ean \u0111\u1ed9 tu\u1ed5i t\u1eeb 30 – 60 tu\u1ed5i, c\u00f3 tr\u01b0\u1eddng h\u1ee3p mang t\u00ednh ch\u1ea5t gia \u0111\u00ecnh nh\u01b0 tr\u1ebb em c\u0169ng b\u1ecb, nh\u01b0ng \u00edt h\u01a1n.<\/p>\n
B\u1ec7nh n\u00e0y c\u00f3 nhi\u1ec1u t\u00ean g\u1ecdi kh\u00e1c nhau nh\u01b0ng ng\u00e0y nay tr\u00ean th\u1ebf gi\u1edbi v\u00e0 \u1edf Vi\u1ec7t Nam th\u1ed1ng nh\u1ea5t t\u00ean g\u1ecdi chung l\u00e0 VKDT. VKDT l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch, t\u1ed5n th\u01b0\u01a1ng ch\u1ee7 y\u1ebfu l\u00e0 nh\u1eefng kh\u1edbp ngo\u1ea1i vi, b\u1ec7nh ti\u1ebfn tri\u1ec3n t\u1eeb t\u1eeb th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn teo c\u01a1, bi\u1ebfn d\u1ea1ng, c\u1ee9ng kh\u1edbp.<\/p>\n
Cho \u0111\u1ebfn nay th\u00ec ch\u01b0a r\u00f5 do nguy\u00ean nh\u00e2n, nh\u01b0ng theo t\u00e0i li\u1ec7u y v\u0103n th\u00ec \u0111\u00f3 l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n. B\u1ec7nh th\u01b0\u1eddng kh\u1edfi ph\u00e1t sau y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i nh\u01b0 nhi\u1ec5m khu\u1ea9n c\u1ea5p, ch\u1ea5n th\u01b0\u01a1ng ban \u0111\u1ea7u vi\u00eam m\u1ed9t kh\u1edbp nh\u01b0 kh\u1edbp b\u00e0n ng\u00f3n, kh\u1edbp \u0111\u1ed1t g\u1ea7n. B\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ed1t nh\u1eb9, ch\u00e1n \u0103n, c\u00e1c kh\u1edbp s\u01b0ng t\u1ea5y \u0111\u1ecf \u0111au, bu\u1ed5i s\u00e1ng kh\u1edbp b\u1ecb c\u1ee9ng, th\u1eddi gian \u0111au kh\u1edbp k\u00e9o d\u00e0i v\u00e0i th\u00e1ng. C\u00e1c kh\u1edbp di\u1ec5n ti\u1ebfn n\u1eb7ng h\u01a1n th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ed5 tay, kh\u1edbp g\u1ed1i, kh\u1edbp khu\u1ef7u, kh\u1edbp vai nh\u01b0ng kh\u1edbp h\u00e1ng v\u00e0 c\u1ed9t s\u1ed1ng th\u00ec \u00edt g\u1eb7p. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng h\u1ea1n ch\u1ebf c\u00e1c \u0111\u1ed9ng t\u00e1c nh\u01b0: tay kh\u00f4ng n\u1eafm \u0111\u01b0\u1ee3c, tay kh\u00f4ng gi\u1eef \u0111\u01b0\u1ee3c, c\u00e1c c\u01a1 li\u00ean \u0111\u1ed1t b\u1ecb teo, d\u1ea7n d\u1ea7n b\u1ecb d\u00ednh v\u00e0 bi\u1ebfn d\u1ea1ng th\u00e0nh ng\u00f3n tay h\u00ecnh con thoi, kh\u1edbp g\u1ed1i th\u00ec \u0111\u00f4i khi c\u00f3 tr\u00e0n d\u1ecbch kh\u1edbp g\u1ed1i, g\u00e2y teo c\u01a1, bi\u1ebfn d\u1ea1ng kh\u1edbp l\u00e0m cho t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n kh\u00e1c nhau: kh\u1edbp g\u1ed1i g\u00e2y t\u01b0 th\u1ebf du\u1ed7i co, kh\u1edbp c\u1ed5 ch\u00e2n g\u00e2y t\u01b0 th\u1ebf du\u1ed7i gi\u1ed1ng nh\u01b0 b\u00e0n ch\u00e2n ng\u01b0\u1ee3c.<\/p>\n
B\u1ec7nh n\u00e0y r\u1ea5t \u00edt khi ch\u1eefa tr\u1ecb kh\u1ecfi m\u00e0 ti\u1ebfn tri\u1ec3n t\u1eeb t\u1eeb k\u00e9o d\u00e0i, c\u00f3 nh\u1eefng bi\u1ebfn ch\u1ee9ng nh\u01b0: teo c\u01a1, c\u1ee9ng kh\u1edbp, bi\u1ebfn d\u1ea1ng kh\u1edbp v\u00e0 \u0111\u1ec3 l\u1ea1i b\u1ec7nh t\u1eadt su\u1ed1t \u0111\u1eddi, m\u1ea5t kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng. \u0110\u00e2y l\u00e0 b\u1ec7nh k\u00e9o d\u00e0i m\u00e3n t\u00ednh kh\u00f3 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00f3 th\u1ec3 t\u00e0n ph\u1ebf \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng, lao \u0111\u1ed9ng c\u1ee7a m\u1ecdi ng\u01b0\u1eddi.<\/p>\n
\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00f3 k\u1ebft qu\u1ea3 b\u1ec7nh VKDT, l\u00fac \u0111\u1ea7u b\u1ec7nh nh\u00e2n n\u00ean ngh\u1ec9 ng\u01a1i, t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u nh\u1eb9, \u0103n u\u1ed1ng b\u1ed3i d\u01b0\u1ee1ng nhi\u1ec1u Vitamin. Khi \u0111au d\u00f9ng c\u00e1c thu\u1ed1c Non steroid thu\u1ed1c \u1ee9c ch\u1ebf c\u1ea5p II, trong giai \u0111o\u1ea1n s\u01b0ng c\u1ea5p \u0111au nhi\u1ec1u th\u00ec d\u00f9ng corticoid u\u1ed1ng ho\u1eb7c ti\u00eam. Ng\u00e0y nay, c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au mi\u1ec5n d\u1ecbch c\u00f3 t\u00e1c d\u1ee5ng r\u1ea5t t\u1ed1t nh\u01b0ng khi s\u1eed d\u1ee5ng ph\u1ea3i c\u00f3 kinh nghi\u1ec7m v\u00e0 ph\u1ea3i c\u00f3 s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a c\u00e1c th\u1ea7y thu\u1ed1c chuy\u00ean khoa. \u0110\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi c\u00e1c thu\u1ed1c hi\u1ec7u Nsaid (thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid) \u0111\u00e3 c\u00f3 hi\u1ec7u qu\u1ea3 20 n\u0103m cho k\u1ebft qu\u1ea3 t\u1ed1t v\u00e0 ng\u00e0y nay c\u00f3 m\u1ed9t s\u1ed1 thu\u1ed1c m\u1edbi \u0111ang t\u00ecm \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ea5t t\u1ed1t nh\u01b0ng ph\u1ea3i c\u00f3 s\u1ef1 chuy\u00ean khoa trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.<\/p>\n
Ki\u1ec3m so\u00e1t t\u1ed1t b\u1ec7nh n\u00e0y l\u00e0 y\u1ebfu t\u1ed1 ch\u1ee7 y\u1ebfu \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng, b\u00e1c s\u0129 chuy\u00ean khoa khuy\u00ean n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch s\u1edbm \u0111\u1ec3 g\u00f3p ph\u1ea7n h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng x\u01b0\u01a1ng, ngo\u00e0i ra ch\u00fang ta ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ch\u1ebf \u0111\u1ed9 t\u1eadp h\u1ee3p l\u00fd s\u1ebd g\u00f3p ph\u1ea7n gi\u1ea3m bi\u1ebfn ch\u1ee9ng b\u1ec7nh g\u00e2y ra.\/.<\/p>\n
BS. Nguy\u1ec5n C\u00f4ng Nghi – Ph\u00f2ng KH-NV, TTYT Ch\u00e2u Ph\u00fa<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p (VKDT) l\u00e0 m\u1ed9t b\u1ec7nh do tho\u00e1i h\u00f3a c\u01a1 x\u01b0\u01a1ng kh\u1edbp, trong qu\u00e1 tr\u00ecnh c\u1ee7a \u0111\u1eddi s\u1ed1ng con ng\u01b0\u1eddi, do tu\u1ed5i \u0111\u1eddi, do ch\u1ea5n th\u01b0\u01a1ng, do lao \u0111\u1ed9ng n\u1eb7ng nh\u1ecdc, do t\u00edch l\u0169y nh\u1eefng ch\u1ea5t \u0111\u1ed9c h\u1ea1i\u2026 c\u00e1c kh\u1edbp c\u00f3 th\u1ec3 b\u1ecb tho\u00e1i h\u00f3a, c\u00e1c t\u1ed5 ch\u1ee9c \u1edf kh\u1edbp b\u1ecb kh\u00f4 n\u01b0\u1edbc, […]<\/p>\n","protected":false},"author":3,"featured_media":18369,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-18368","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=18368"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18368\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/18369"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}