{"id":6144,"date":"2018-07-27T02:12:24","date_gmt":"2018-07-26T19:12:24","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/27\/viem-sun-suon\/"},"modified":"2024-03-17T04:22:52","modified_gmt":"2024-03-16T21:22:52","slug":"viem-sun-suon","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/viem-sun-suon\/","title":{"rendered":"Vi\u00eam s\u1ee5n s\u01b0\u1eddn"},"content":{"rendered":"<p>Vi\u00eam s\u1ee5n s\u01b0\u1eddn (hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam kh\u1edbp s\u1ee5n s\u01b0\u1eddn) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a th\u00e0nh ng\u1ef1c. Nguy\u00ean nh\u00e2n l\u00e0 do vi\u00eam c\u00e1c <strong>kh\u1edbp n\u1ed1i gi\u1eefa s\u1ee5n x\u01b0\u01a1ng s\u01b0\u1eddn v\u1edbi x\u01b0\u01a1ng \u1ee9c<\/strong>. M\u1eb7c d\u00f9 g\u00e2y \u0111au, nh\u01b0ng \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh nghi\u00eam tr\u1ecdng. Th\u00f4ng th\u01b0\u1eddng b\u1ec7nh n\u00e0y kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng v\u00e0 t\u1ef1 gi\u1ea3m theo th\u1eddi gian. C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 kh\u00e1ng vi\u00eam c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-11402 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/09\/viem-sun-suon..jpg\" alt=\"Vi\u00eam s\u1ee5n s\u01b0\u1eddn\" width=\"400\" height=\"463\" \/><\/p>\n<h2>Vi\u00eam s\u1ee5n s\u01b0\u1eddn l\u00e0 g\u00ec?<\/h2>\n<p><span style=\"font-size: 16px;\">Vi\u00eam s\u1ee5n s\u01b0\u1eddn l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng <strong>\u0111au c\u1ee7a th\u00e0nh ng\u1ef1c<\/strong>. B\u1ec7nh n\u00e0y g\u00e2y \u0111au ng\u1ef1c. May m\u1eafn thay \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u1ec7nh nghi\u00eam tr\u1ecdng.<\/span><\/p>\n<p>\u0110\u1ec3 hi\u1ec3u v\u1ec1 vi\u00eam s\u1ee5n s\u01b0\u1eddn, b\u1ea1n c\u1ea7n bi\u1ebft m\u1ed9t ch\u00fat v\u1ec1 gi\u1ea3i ph\u1eabu khung x\u01b0\u01a1ng s\u01b0\u1eddn (l\u1ed3ng ng\u1ef1c). Khung x\u01b0\u01a1ng s\u01b0\u1eddn l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac x\u01b0\u01a1ng \u0111\u1ec3 b\u1ea3o v\u1ec7 ph\u1ed5i b\u00ean trong. C\u00e1c x\u01b0\u01a1ng c\u1ee9ng v\u00e0 r\u1eafn, n\u00ean ch\u00fang kh\u00f4ng c\u00f3 khuynh h\u01b0\u1edbng b\u1ecb b\u1ebb cong hay di chuy\u1ec3n. Tuy nhi\u00ean, ph\u1ed5i c\u1ea7n d\u00e3n n\u1edf \u0111\u1ec3 ch\u00fang ta c\u00f3 th\u1ec3 h\u00edt th\u1edf.<\/p>\n<p>Khi ch\u00fang ta h\u00edt m\u1ed9t h\u01a1i s\u00e2u, c\u01a1 ho\u00e0nh s\u1ebd ho\u1ea1t \u0111\u1ed9ng nh\u01b0 sau. C\u01a1 ho\u00e0nh di chuy\u1ec3n xu\u1ed1ng v\u00e0 \u0111i\u1ec1u n\u00e0y gi\u00fap kh\u00f4ng kh\u00ed \u0111i qua mi\u1ec7ng v\u00e0 m\u0169i \u0111\u1ec3 v\u00e0o trong ph\u1ed5i. L\u00fac n\u00e0y l\u1ed3ng ng\u1ef1c c\u0169ng n\u1edf ra. \u0110\u1ec3 c\u00e1c x\u01b0\u01a1ng s\u01b0\u1eddn n\u1edf ra, x\u01b0\u01a1ng s\u01b0\u1eddn c\u1ea7n c\u00e1i g\u00ec \u0111\u00f3 cho ph\u00e9p n\u00f3 chuy\u1ec3n \u0111\u1ed9ng. C\u00e1c s\u1ee5n s\u01b0\u1eddn cho ph\u00e9p \u0111i\u1ec1u n\u00e0y. S\u1ee5n l\u00e0 m\u1ed9t ch\u1ea5t m\u1ec1m m\u1ea1i, co gi\u00e3n \u0111\u01b0\u1ee3c (nh\u01b0ng r\u1ea5t ch\u1eafc) t\u00ecm th\u1ea5y \u1edf c\u00e1c kh\u1edbp trong c\u01a1 th\u1ec3.<\/p>\n<p>C\u00e1c s\u1ee5n g\u1eafn x\u01b0\u01a1ng s\u01b0\u1eddn v\u00e0o x\u01b0\u01a1ng \u1ee9c v\u00e0 g\u1eafn x\u01b0\u01a1ng \u1ee9c v\u00e0o x\u01b0\u01a1ng \u0111\u00f2n. C\u00e1c kh\u1edbp gi\u1eefa x\u01b0\u01a1ng s\u01b0\u1eddn v\u00e0 s\u1ee5n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1edbp s\u1ee5n s\u01b0\u1eddn. C\u00e1c kh\u1edbp gi\u1eefa s\u1ee5n v\u00e0 x\u01b0\u01a1ng \u1ee9c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1edbp \u1ee9c s\u01b0\u1eddn. C\u00e1c kh\u1edbp gi\u1eefa x\u01b0\u01a1ng \u1ee9c v\u00e0 x\u01b0\u01a1ng \u0111\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1edbp \u1ee9c \u0111\u00f2n.<\/p>\n<p>Trong vi\u00eam s\u1ee5n s\u01b0\u1eddn, hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam t\u1ea1i kh\u1edbp s\u1ee5n s\u01b0\u1eddn, kh\u1edbp \u1ee9c s\u01b0\u1eddn ho\u1eb7c kh\u1edbp \u1ee9c \u0111\u00f2n (ho\u1eb7c k\u1ebft h\u1ee3p). \u0110i\u1ec1u n\u00e0y g\u00e2y \u0111au nh\u00f3i, \u0111\u1eb7c bi\u1ec7t t\u0103ng h\u01a1n khi c\u1eed \u0111\u1ed9ng ho\u1eb7c \u0111\u00e8 \u00e9p.<\/p>\n<p><strong>H\u1ed9i ch\u1ee9ng Tietze<\/strong> t\u01b0\u01a1ng t\u1ef1 nh\u01b0 vi\u00eam s\u1ee5n s\u01b0\u1eddn. Hai b\u1ec7nh l\u00fd n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ho\u00e1n \u0111\u1ed5i cho nhau (nh\u01b0ng \u0111i\u1ec1u n\u00e0y th\u1eadt s\u1ef1 kh\u00f4ng \u0111\u00fang). Tuy nhi\u00ean, h\u1ed9i ch\u1ee9ng Tietze l\u1ea1i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd kh\u00e1c. N\u00f3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1, v\u1eabn do vi\u00eam, nh\u01b0ng kh\u00e1c \u1edf ch\u1ed7 c\u00f3 khuynh h\u01b0\u1edbng g\u00e2y s\u01b0ng kh\u1edbp s\u1ee5n s\u01b0\u1eddn, \u1ee9c s\u01b0\u1eddn ho\u1eb7c \u1ee9c \u0111\u00f2n.<\/p>\n<p><strong>B\u1ec7nh Bornholm<\/strong> l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u01b0\u01a1ng t\u1ef1 kh\u00e1c. Tuy nhi\u00ean, b\u1ec7nh n\u00e0y l\u00e0 do nhi\u1ec5m si\u00eau vi (virus) d\u1eabn \u0111\u1ebfn \u0111au nh\u1ee9c c\u01a1, c\u0169ng nh\u01b0 \u0111au ng\u1ef1c. Virus coxsackie B l\u00e0 t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh Bornholm (m\u1eb7c d\u00f9 echovirus v\u00e0 Coxsackie A c\u0169ng c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n).<\/p>\n<h2>Th\u00f4ng tin quan tr\u1ecdng v\u1ec1 \u0111au ng\u1ef1c<\/h2>\n<p>C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c kh\u00e1c nhau. \u0110au ng\u1ef1c l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n.<\/p>\n<p><strong>L\u01b0u \u00fd<\/strong>: \u0110au ng\u1ef1c c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n nghi\u00eam tr\u1ecdng kh\u00e1c g\u00e2y ra. B\u1ea5t k\u00ec \u0111au ng\u1ef1c n\u00e0o k\u00e9o d\u00e0i, n\u1eb7ng ho\u1eb7c m\u1edbi kh\u1edfi ph\u00e1t n\u00ean \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m b\u1edfi b\u00e1c s\u0129. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng n\u1ebfu b\u1ea1n l\u00e0 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh v\u00e0 c\u00f3 ti\u1ec1n c\u0103n b\u1ec7nh tim ho\u1eb7c b\u1ec7nh ph\u1ed5i. N\u1ebfu \u0111au m\u1ee9c \u0111\u1ed9 n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t n\u1ebfu \u0111au lan ra c\u00e1nh tay ho\u1eb7c l\u00ean h\u00e0m, v\u00e0 b\u1ea1n c\u1ea3m th\u1ea5y kh\u00f4ng kh\u1ecfe, v\u00e3 m\u1ed3 h\u00f4i ho\u1eb7c kh\u00f3 th\u1edf, h\u00e3y g\u1ecdi c\u1ea5p c\u1ee9u 115. \u0110\u00e2y c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f2n tr\u1ebb v\u00e0 kh\u1ecfe m\u1ea1nh tr\u01b0\u1edbc \u0111\u00f3 th\u00ec \u0111au th\u00e0nh ng\u1ef1c th\u01b0\u1eddng \u00edt nhi\u1ec1u kh\u00f4ng nghi\u00eam tr\u1ecdng. Vi\u00eam s\u1ee5n s\u01b0\u1eddn l\u00e0 m\u1ed9t v\u00ed d\u1ee5 cho b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 g\u00e2y \u0111au th\u00e0nh ng\u1ef1c m\u00e0 kh\u00f4ng nghi\u00eam tr\u1ecdng. B\u1edfi v\u00ec \u0111au g\u00e2y ra b\u1edfi vi\u00eam s\u1ee5n s\u01b0\u1eddn \u0111\u00f4i khi c\u00f3 th\u1ec3 n\u1eb7ng n\u1ec1, l\u00e0m nhi\u1ec1u ng\u01b0\u1eddi tr\u1edf n\u00ean r\u1ea5t c\u0103ng th\u1eb3ng v\u00e0 lo l\u1eafng r\u1eb1ng \u0111au c\u00f3 th\u1ec3 do m\u1ed9t b\u1ec7nh l\u00fd n\u00e0o \u0111\u00f3 nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n<pre><em><strong>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/dau-nguc\/\" target=\"_blank\" rel=\"noopener\">\u0110au ng\u1ef1c<\/a>\u00a0c\u1ee7a <a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-phuc-quang-dien\/\" target=\"_blank\" rel=\"noopener\">BS. Nguy\u1ec5n Ph\u00fac Quang \u0110i\u1ec1n<\/a><\/strong><\/em><\/pre>\n<h2>Nguy\u00ean nh\u00e2n c\u1ee7a vi\u00eam s\u1ee5n s\u01b0\u1eddn?<\/h2>\n<p>Vi\u00eam s\u1ee5n s\u01b0\u1eddn th\u01b0\u1eddng v\u00f4 c\u0103n. \u0110\u00e2y l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef y khoa, c\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n\/ c\u0103n nguy\u00ean r\u00f5 r\u1ec7t. V\u00ec v\u1eady, trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n n\u00e0o \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y.<\/p>\n<p>\u0110\u00f4i khi vi\u00eam s\u1ee5n s\u01b0\u1eddn c\u00f3 th\u1ec3 x\u1ea3y ra sau nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng nh\u1ecf \u1edf th\u00e0nh ng\u1ef1c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i ho\u1eb7c sau nh\u1eefng ho\u1ea1t \u0111\u1ed9ng m\u00e0 m\u1ed9t ng\u01b0\u1eddi kh\u00f4ng quen thu\u1ed9c \u2013 c\u00f3 th\u1ec3 l\u00e0 trang tr\u00ed ho\u1eb7c di chuy\u1ec3n \u0111\u1ed3 \u0111\u1ea1c.<\/p>\n<h2>Ai c\u00f3 th\u1ec3 b\u1ecb vi\u00eam s\u1ee5n s\u01b0\u1eddn?<\/h2>\n<p>Ai c\u0169ng c\u00f3 nguy c\u01a1 b\u1ecb vi\u00eam s\u1ee5n s\u01b0\u1eddn. B\u1ec7nh n\u00e0y c\u00f3 khuynh h\u01b0\u1edbng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn <strong>ng\u01b0\u1eddi tr\u1ebb<\/strong>, \u0111\u1eb7c bi\u1ec7t l\u00e0 thanh thi\u1ebfu ni\u00ean. Tuy nhi\u00ean b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf tr\u1ebb em. Nh\u1eefng ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n c\u00e1c c\u1eed \u0111\u1ed9ng l\u1eb7p l\u1ea1i l\u00e0m c\u0103ng th\u00e0nh ng\u1ef1c, \u0111\u1eb7c bi\u1ec7t n\u1ebfu h\u1ecd kh\u00f4ng quen l\u00e0m nh\u1eefng \u0111\u1ed9ng t\u00e1c n\u00e0y tr\u01b0\u1edbc \u0111\u00f3, c\u00f3 th\u1ec3 d\u1ec5 b\u1ecb b\u1ec7nh h\u01a1n. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u g\u1ee3i \u00fd r\u1eb1ng ph\u1ee5 n\u1eef c\u00f3 khuynh h\u01b0\u1edbng b\u1ecb m\u1eafc b\u1ec7nh th\u01b0\u1eddng h\u01a1n nam gi\u1edbi.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ecb b\u1ec7nh \u0111au s\u1ee3i c\u01a1 (fibromyalgia) c\u00f3 xu h\u01b0\u1edbng vi\u00eam s\u1ee5n s\u01b0\u1eddn h\u01a1n nh\u1eefng ng\u01b0\u1eddi kh\u00e1c. B\u1ec7nh \u0111au s\u1ee3i c\u01a1 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh g\u00e2y \u0111au nh\u1ee9c to\u00e0n th\u00e2n v\u00e0 m\u1ec7t m\u1ecfi.<\/p>\n<h2>Vi\u00eam s\u1ee5n s\u01b0\u1eddn c\u00f3 th\u01b0\u1eddng g\u1eb7p kh\u00f4ng?<\/h2>\n<p>Kh\u00f3 \u0111\u1ec3 n\u00f3i ch\u00ednh x\u00e1c c\u00f3 bao nhi\u00eau ng\u01b0\u1eddi b\u1ecb vi\u00eam s\u1ee5n s\u01b0\u1eddn. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u01b0\u01a1ng \u0111\u1ed1i th\u01b0\u1eddng g\u1eb7p. C\u00f3 th\u1ec3 l\u00e0, nhi\u1ec1u ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u00e0y kh\u00f4ng b\u00e1o nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ecd cho b\u00e1c s\u0129. V\u00e0 v\u00ec b\u1ec7nh th\u01b0\u1eddng di\u1ec5n ti\u1ebfn ng\u1eafn h\u1ea1n v\u00e0 t\u1ef1 h\u1ebft, s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft.<\/p>\n<p>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u01b0\u1edbc t\u00ednh r\u1eb1ng c\u00f3 t\u1eeb 1 \u0111\u1ebfn 3 trong s\u1ed1 10 ng\u01b0\u1eddi b\u1ecb \u0111au ng\u1ef1c c\u00f3 nguy\u00ean nh\u00e2n c\u01a1 x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 \u0111au ng\u1ef1c li\u00ean quan \u0111\u1ebfn c\u01a1 ho\u1eb7c x\u01b0\u01a1ng s\u01b0\u1eddn. Vi\u00eam s\u1ee5n s\u01b0\u1eddn l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c do c\u01a1 x\u01b0\u01a1ng.<\/p>\n<h2>Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam s\u1ee5n s\u01b0\u1eddn?<\/h2>\n<p>Vi\u00eam s\u1ee5n s\u01b0\u1eddn g\u00e2y \u0111au ng\u1ef1c, \u1edf ph\u00eda tr\u01b0\u1edbc c\u1ee7a th\u00e0nh ng\u1ef1c. \u0110i\u1ec3n h\u00ecnh l\u00e0 c\u1ea3m gi\u00e1c \u0111au ch\u00f3i nh\u01b0 dao \u0111\u00e2m v\u00e0 c\u00f3 th\u1ec3 kh\u00e1 n\u1eb7ng. \u0110au t\u0103ng l\u00ean khi c\u1eed \u0111\u1ed9ng, g\u1eafng s\u1ee9c v\u00e0 h\u00edt th\u1edf s\u00e2u. \u0110\u00e8 \u00e9p l\u00ean v\u00f9ng b\u1ecb vi\u00eam c\u0169ng c\u00f3 th\u1ec3 g\u00e2y \u0111au ch\u00f3i. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au nh\u1ee9c hay c\u0103ng t\u1ee9c. \u0110au th\u01b0\u1eddng khu tr\u00fa \u1edf m\u1ed9t v\u00f9ng nh\u1ecf nh\u01b0ng c\u00f3 th\u1ec3 lan ra m\u1ed9t v\u00f9ng r\u1ed9ng. \u0110au c\u00f3 xu h\u01b0\u1edbng l\u00fac t\u0103ng l\u00fac gi\u1ea3m, v\u00e0 c\u00f3 th\u1ec3 gi\u1ea3m khi thay \u0111\u1ed5i t\u01b0 th\u1ebf ho\u1eb7c th\u1edf nh\u1eb9.<\/p>\n<p>V\u1ecb tr\u00ed \u0111au th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 g\u1ea7n x\u01b0\u01a1ng \u1ee9c, \u1edf m\u1ee9c x\u01b0\u01a1ng s\u01b0\u1eddn th\u1ee9 4, th\u1ee9 5 v\u00e0 th\u1ee9 6.<\/p>\n<p><strong>L\u01b0u \u00fd<\/strong>: <em><strong>N\u1ebfu kh\u00f4ng c\u00f3 ki\u1ec3u \u0111au nh\u00f3i, nguy\u00ean nh\u00e2n c\u1ee7a \u0111au ng\u1ef1c \u00edt khi l\u00e0 vi\u00eam s\u1ee5n s\u01b0\u1eddn. N\u00ean \u0111i kh\u00e1m b\u1ec7nh n\u1ebfu b\u1ea1n kh\u00f4ng ch\u1eafc v\u1ec1 nguy\u00ean nh\u00e2n g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng n\u00e0y.<\/strong><\/em><\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n vi\u00eam s\u1ee5n s\u01b0\u1eddn?<\/h2>\n<p>Vi\u00eam s\u1ee5n s\u01b0\u1eddn th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean tri\u1ec7u ch\u1ee9ng v\u00e0 qua qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m. Quan tr\u1ecdng l\u00e0 ph\u1ea3i lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c kh\u00e1c.<\/p>\n<h2>T\u00f4i c\u00f3 c\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m g\u00ec kh\u00f4ng?<\/h2>\n<p>Kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m n\u00e0o c\u1ea7n thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh vi\u00eam s\u1ee5n s\u01b0\u1eddn. Tuy nhi\u00ean, c\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c kh\u00e1c n\u1ebfu nguy\u00ean nh\u00e2n g\u00e2y \u0111au kh\u00f4ng r\u00f5. D\u1eabn ch\u1ee9ng cho m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m nh\u01b0 \u0111o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 hay ch\u1ee5p X-quang ng\u1ef1c.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb vi\u00eam s\u1ee5n s\u01b0\u1eddn<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb cho vi\u00eam s\u1ee5n s\u01b0\u1eddn ch\u1ee7 y\u1ebfu s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam. Th\u00f4ng th\u01b0\u1eddng, c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01a1n gi\u1ea3n nh\u01b0 paracetamol ho\u1eb7c codeine l\u00e0 \u0111\u1ee7 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Ibuprofen l\u00e0 m\u1ed9t thu\u1ed1c kh\u00e1ng vi\u00eam (c\u0169ng g\u1ecdi l\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid, hay NSAID) th\u01b0\u1eddng hi\u1ec7u qu\u1ea3 v\u1edbi vi\u00eam s\u1ee5n s\u01b0\u1eddn. C\u00e1c thu\u1ed1c NSAID kh\u00e1c c\u0169ng \u0111\u01b0\u1ee3c k\u00ea toa. NSAID kh\u00f4ng n\u00ean d\u00f9ng khi \u0111\u00f3i; c\u0169ng nh\u01b0 kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi \u0111ang u\u1ed1ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng (nh\u01b0 warfarin), hay ng\u01b0\u1eddi b\u1ecb hen suy\u1ec5n (tr\u1eeb khi \u0111\u01b0\u1ee3c theo d\u00f5i b\u1edfi b\u00e1c s\u0129). N\u1ebfu b\u1ea1n c\u00f3 ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y, ho\u1eb7c b\u1ecb kh\u00f3 ti\u00eau th\u01b0\u1eddng xuy\u00ean hay b\u1ecb tr\u00e0o ng\u01b0\u1ee3c acid d\u1ea1 d\u00e0y, b\u1ea1n n\u00ean tr\u00e1nh d\u00f9ng NSAID. N\u1ebfu b\u1ea1n xu\u1ea5t hi\u1ec7n \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau ho\u1eb7c bu\u1ed3n n\u00f4n trong khi \u0111ang d\u00f9ng thu\u1ed1c NSAID nh\u01b0 ibuprofen, b\u1ea1n n\u00ean ng\u01b0ng d\u00f9ng thu\u1ed1c n\u00e0y ngay l\u1eadp t\u1ee9c v\u00e0 \u0111i kh\u00e1m b\u1ec7nh.<\/p>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p vi\u00eam s\u1ee5n s\u01b0\u1eddn n\u1eb7ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 kh\u00e1ng vi\u00eam, ti\u00eam steroids ho\u1eb7c c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au to\u00e0n th\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n<p>Trong m\u1ed9t s\u1ed1 ca qu\u00e1 n\u1eb7ng, phong b\u1ebf th\u1ea7n kinh li\u00ean s\u01b0\u1eddn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n (th\u01b0\u1eddng b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa v\u1ec1 \u0111au (ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9) v\u00e0\/ho\u1eb7c g\u00e2y m\u00ea). Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y li\u00ean quan \u0111\u1ebfn vi\u1ec7c ti\u00eam m\u1ed9t thu\u1ed1c gi\u1ea3m \u0111au t\u1ea1i ch\u1ed7 quanh x\u01b0\u01a1ng s\u01b0\u1eddn b\u1ecb \u0111au, \u0111\u1ec3 phong b\u1ebf d\u00e2y th\u1ea7n kinh li\u00ean s\u01b0\u1eddn g\u1ea7n \u0111\u00f3. C\u00e1c th\u1ea7n kinh li\u00ean s\u01b0\u1eddn d\u1eabn truy\u1ec1n c\u1ea3m gi\u00e1c \u0111au trong vi\u00eam s\u1ee5n s\u01b0\u1eddn. Lo\u1ea1i ti\u00eam thu\u1ed1c n\u00e0y t\u1ea1m th\u1eddi l\u00e0m gi\u00e1n \u0111o\u1ea1n xung th\u1ea7n kinh \u0111\u1ec3 ng\u01b0ng c\u1ea3m gi\u00e1c \u0111au. Phong b\u1ebf th\u1ea7n kinh c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00e0i tu\u1ea7n hay v\u00e0i th\u00e1ng. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p vi\u00eam s\u1ee5n s\u01b0\u1eddn n\u1eb7ng, t\u00e1i ph\u00e1t, m\u1ed9t chu\u1ed7i c\u00e1c m\u0169i ti\u00eam c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u1ec3 ph\u00e1 h\u1ee7y l\u00e2u d\u00e0i d\u00e2y th\u1ea7n kinh g\u00e2y \u0111au.<\/p>\n<p>C\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u1ec3 l\u00e0m gi\u1ea3m \u0111au trong vi\u00eam s\u1ee5n s\u01b0\u1eddn bao g\u1ed3m:<\/p>\n<ul>\n<li>Mi\u1ebfng d\u00e1n nhi\u1ec7t \u0111\u1ec3 gi\u1ea3m \u0111au (cao d\u00e1n)<\/li>\n<li>\u0110\u1eafp l\u1ea1nh<\/li>\n<li>K\u00edch th\u00edch th\u1ea7n kinh b\u1eb1ng \u0111i\u1ec7n xuy\u00ean da \u2013 \u0111i\u1ec7n ch\u00e2m (TENS)<\/li>\n<li>Ch\u00e2m c\u1ee9u<\/li>\n<li>C\u00e1c b\u00e0i t\u1eadp k\u00e9o d\u00e3n nh\u1eb9 nh\u00e0ng<\/li>\n<li>Tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao l\u00e0m \u0111au t\u0103ng l\u00ean<\/li>\n<\/ul>\n<h2>Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a vi\u00eam s\u1ee5n s\u01b0\u1eddn<\/h2>\n<p>Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a vi\u00eam s\u1ee5n s\u01b0\u1eddn nh\u00ecn chung l\u00e0 r\u1ea5t t\u1ed1t. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1eb9, ng\u1eafn h\u1ea1n (th\u01b0\u1eddng kh\u00f4ng k\u00e9o d\u00e0i qu\u00e1 6 \u2013 8 tu\u1ea7n) v\u00e0 t\u1ef1 c\u1ea3i thi\u1ec7n. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra d\u00f9 c\u00f3 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c hay kh\u00f4ng. Trong g\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, t\u00ecnh tr\u1ea1ng n\u00e0y h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n trong 6 th\u00e1ng. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 r\u1ea5t \u00edt c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh k\u00e9o d\u00e0i l\u00e2u h\u01a1n. Vi\u00eam s\u1ee5n s\u01b0\u1eddn c\u00f3 th\u1ec3 b\u1ecb t\u00e1i l\u1ea1i, nh\u01b0ng hi\u1ebfm g\u1eb7p.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"http:\/\/patient.info\/health\/costochondritis\" target=\"_blank\" rel=\"noopener\">http:\/\/patient.info\/health\/costochondritis<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/dau-nguc\/\" target=\"_blank\" rel=\"noopener\">https:\/\/yhoccongdong.com\/thongtin\/dau-nguc\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam s\u1ee5n s\u01b0\u1eddn (c\u00f2n g\u1ecdi l\u00e0 vi\u00eam kh\u1edbp s\u1ee5n s\u01b0\u1eddn) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a th\u00e0nh ng\u1ef1c, do vi\u00eam c\u00e1c kh\u1edbp n\u1ed1i gi\u1eefa s\u1ee5n x\u01b0\u01a1ng s\u01b0\u1eddn v\u1edbi x\u01b0\u01a1ng \u1ee9c.<\/p>\n","protected":false},"author":51,"featured_media":6145,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5210,3703,5148,5209,5149],"tags":[3644,3342],"series":[1342],"coauthors":[2371],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam s\u1ee5n s\u01b0\u1eddn (Vi\u00eam kh\u1edbp s\u1ee5n s\u01b0\u1eddn) - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Vi\u00eam s\u1ee5n s\u01b0\u1eddn (c\u00f2n g\u1ecdi l\u00e0 vi\u00eam kh\u1edbp s\u1ee5n s\u01b0\u1eddn) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a th\u00e0nh ng\u1ef1c, do vi\u00eam c\u00e1c kh\u1edbp n\u1ed1i gi\u1eefa s\u1ee5n x\u01b0\u01a1ng s\u01b0\u1eddn v\u1edbi x\u01b0\u01a1ng \u1ee9c.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/viem-sun-suon\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vi\u00eam s\u1ee5n s\u01b0\u1eddn (Vi\u00eam kh\u1edbp s\u1ee5n s\u01b0\u1eddn) - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Vi\u00eam s\u1ee5n s\u01b0\u1eddn (c\u00f2n g\u1ecdi l\u00e0 vi\u00eam kh\u1edbp s\u1ee5n s\u01b0\u1eddn) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a th\u00e0nh ng\u1ef1c, do vi\u00eam c\u00e1c kh\u1edbp n\u1ed1i gi\u1eefa s\u1ee5n x\u01b0\u01a1ng s\u01b0\u1eddn v\u1edbi x\u01b0\u01a1ng \u1ee9c.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/viem-sun-suon\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/luu.ngocmai.9\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-26T19:12:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:22:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/09\/viem-khop-sun-suon-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS. 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