{"id":2724,"date":"2018-03-31T02:05:32","date_gmt":"2018-03-30T19:05:32","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2019\/02\/20\/tre-dung-som-bi-cong-chan\/"},"modified":"2024-03-04T13:48:32","modified_gmt":"2024-03-04T06:48:32","slug":"tre-dung-som-bi-cong-chan","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/tre-dung-som-bi-cong-chan\/","title":{"rendered":"Tr\u1ebb \u0111\u1ee9ng s\u1edbm b\u1ecb c\u00f2ng ch\u00e2n?"},"content":{"rendered":"<p>Tr\u1ebb \u0111\u1ee9ng s\u1edbm b\u1ecb c\u00f2ng ch\u00e2n?<\/p>\n<p>\u0110\u00e2y l\u00e0 c\u00e2u h\u1ecfi c\u1ee7a r\u1ea5t r\u1ea5t nhi\u1ec1u ba m\u1eb9, trong n\u1ed7i lo s\u1ee3 v\u00f4 v\u00e0n, c\u00f9ng s\u1ef1 \u0111e d\u1ecda kh\u00f4ng th\u01b0\u01a1ng ti\u1ebfc c\u1ee7a th\u1ebf h\u1ec7 \u0111i tr\u01b0\u1edbc nhi\u1ec1u kinh nghi\u1ec7m! V\u1eady th\u00ec, s\u1ef1 th\u1eadt l\u00e0 nh\u01b0 th\u1ebf n\u00e0o \u0111\u00e2y nh\u1ec9?<\/p>\n<h2>\u0110\u1ee9ng s\u1edbm l\u00e0 g\u00ec?<\/h2>\n<p>Tr\u01b0\u1edbc khi s\u1ee3, ch\u00fang ta ph\u1ea3i \u0111\u1ecbnh ngh\u0129a l\u1ea1i v\u00e0i \u0111i\u1ec1u, xem ch\u00fang ta th\u1eadt s\u1ef1 bi\u1ebft nh\u1eefng g\u00ec ch\u00fang ta \u0111ang \u201cs\u1ee3\u201d hay kh\u00f4ng nh\u00e9! S\u1ee3 m\u00e0 kh\u00f4ng bi\u1ebft r\u00f5 \u0111i\u1ec1u m\u00ecnh s\u1ee3, th\u00ec th\u1eadt l\u00e0&#8230; h\u01a1i v\u1edb v\u1ea9n, ph\u1ea3i kh\u00f4ng n\u00e0o?<\/p>\n<p>V\u1eady \u0111\u1ecbnh ngh\u0129a \u201c\u0111\u1ee9ng s\u1edbm\u201d l\u00e0 g\u00ec? 6 th\u00e1ng \u0111\u1ee9ng d\u1eady g\u1ecdi l\u00e0 s\u1edbm, 7 th\u00e1ng g\u1ecdi l\u00e0 s\u1edbm, hay 8 th\u00e1ng g\u1ecdi l\u00e0 s\u1edbm? hay l\u00e0 4 th\u00e1ng nh\u1ec9? \u0110i\u1ec1u b\u1ea1n n\u00ean bi\u1ebft r\u1eb1ng, m\u1ed1c ph\u00e1t tri\u1ec3n trung b\u00ecnh c\u1ee7a con tr\u1ebb, trong vi\u1ec7c \u0111i \u0111\u1ee9ng, l\u00e0 nh\u01b0 sau:<\/p>\n<ul>\n<li><strong>6 &#8211; 10 th\u00e1ng:<\/strong> \u0111a s\u1ed1 c\u00e1c tr\u1ebb b\u1eaft \u0111\u1ea7u h\u1ecdc c\u00e1ch v\u1ecbn \u0111\u1ed3 v\u1eadt, v\u00e0 k\u00e9o th\u00e2n m\u00ecnh l\u00ean v\u00e0o t\u01b0 th\u1ebf \u0111\u1ee9ng.<\/li>\n<li><strong>7 &#8211; 13 th\u00e1ng:<\/strong>\u00a0\u0111a s\u1ed1 tr\u1ebb s\u1ebd b\u1eaft \u0111\u1ea7u bi\u1ebft v\u1ecbn l\u1ea7n l\u1ea7n \u0111\u1ec3 di chuy\u1ec3n b\u1ea3n th\u00e2n. C\u0169ng trong th\u1eddi gian n\u00e0y, m\u1ed9t s\u1ed1 tr\u1ebb c\u0169ng c\u00f3 th\u1ec3 \u0111i \u0111\u01b0\u1ee3c v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a ng\u01b0\u1eddi l\u1edbn (nh\u01b0ng b\u1ea1n kh\u00f4ng n\u00ean b\u1eaft tr\u1ebb t\u1eadp \u0111i m\u1ed9t m\u00ecnh nh\u00e9, l\u00fd do s\u1ebd c\u00f3 \u1edf ph\u1ea7n sau)<\/li>\n<li><strong>11 &#8211; 14 th\u00e1ng<\/strong>: \u0111a s\u1ed1 tr\u1ebb s\u1ebd b\u1eaft \u0111\u1ea7u \u0111i \u0111\u01b0\u1ee3c m\u1ed9t m\u00ecnh<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 g\u00ec? n\u1ebfu con b\u1ea1n kho\u1ea3ng g\u1ea7n 6 th\u00e1ng tu\u1ed5i, m\u00e0 n\u00f3 b\u1eaft \u0111\u1ea7u v\u1ecbn \u0111\u1ee9ng, \u0111\u00f3 l\u00e0 \u201cl\u1ecbch ph\u00e1t tri\u1ec3n\u201d c\u1ee7a ri\u00eang con b\u1ea1n, b\u1ea1n n\u00ean th\u1ea5y vui, v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t b\u01b0\u1edbc ti\u1ebfn trong ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng c\u1ee7a con m\u00ecnh! Ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 t\u1ef1 nhi\u00ean r\u01b0\u1edbc lo v\u00e0o th\u00e2n, v\u00ec th\u1ea5y th\u1eb1ng nh\u1ecf kh\u00e1c 8 th\u00e1ng ch\u01b0a \u0111\u1ee9ng \u0111\u01b0\u1ee3c, sao con m\u00ecnh \u0111\u1ee9ng \u0111\u01b0\u1ee3c, nh\u00e9! M\u1ed7i b\u00e9 c\u00f3 m\u1ed9t l\u1ecbch tr\u00ecnh ph\u00e1t tri\u1ec3n ri\u00eang t\u1ef1 nhi\u00ean, \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00e0i s\u1eb5n r\u1ed3i, \u0111\u1eebng nh\u00ecn quanh m\u00e0 so s\u00e1nh l\u00e0m g\u00ec cho n\u00f3 m\u1ec7t.<\/p>\n<h2>C\u00f2ng ch\u00e2n l\u00e0 g\u00ec? C\u00f3 \u0111\u00e1ng lo hay kh\u00f4ng?<\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-15573 aligncenter\" src=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2018\/03\/anh-20221010-101441.jpg\" alt=\"\" width=\"660\" height=\"330\" \/><\/p>\n<h3>C\u00f2ng ch\u00e2n sinh l\u00fd<\/h3>\n<p>C\u00f2ng ch\u00e2n, hay ch\u00e2n v\u00f2ng ki\u1ec1ng, l\u00e0 m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng khi tr\u1ebb \u0111\u1ee9ng th\u1eb3ng, hai ch\u00e2n ch\u1ee5m l\u1ea1i, ng\u00f3n ch\u00e2n c\u00e1i h\u01b0\u1edbng ra ph\u00eda tr\u01b0\u1edbc, th\u00ec m\u1eafc c\u00e1 ch\u00e2n hai b\u00ean ch\u1ea1m v\u00f4 nhau, nh\u01b0ng \u0111\u1ea7u g\u1ed1i hai b\u00ean c\u00e1ch xa nhau. B\u1ea1n c\u00f3 bi\u1ebft r\u1eb1ng, c\u00f2ng ch\u00e2n (bow legs) l\u00e0 <strong>M\u1ed8T PH\u00c1T TRI\u1ec2N B\u00ccNH TH\u01af\u1edcNG<\/strong> c\u1ee7a h\u1ec7 c\u01a1 x\u01b0\u01a1ng c\u1ee7a tr\u1ebb nh\u0169 nhi. Th\u1eadt ra, t\u1eeb khi sinh ra, t\u1ea5t c\u1ea3 c\u00e1c tr\u1ebb \u0111\u1ec1u c\u00f3 c\u00f2ng ch\u00e2n, \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 n\u00e0o \u0111\u00f3, nh\u01b0ng ch\u1eb3ng ai th\u00e8m \u0111\u1ec3 \u00fd. Khi tr\u1ebb b\u1eaft \u0111\u1ea7u t\u1eadp \u0111\u1ee9ng, c\u00f2ng ch\u00e2n th\u1ea5y r\u00f5 h\u01a1n, ng\u01b0\u1eddi l\u1edbn m\u1edbi \u201cth\u1ea5y\u201d \u0111\u01b0\u1ee3c s\u1ef1 cong cong c\u1ee7a ch\u00e2n v\u00e0 m\u1edbi b\u1eaft \u0111\u1ea7u lo s\u1ee3. Khi tr\u1ebb l\u1edbn d\u1ea7n, c\u01a1 ph\u00e1t tri\u1ec3n m\u1ea1nh h\u01a1n, c\u00e1c x\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u thay \u0111\u1ed5i v\u00e0 d\u1ea7n d\u1ea7n th\u1eb3ng ra. \u0110\u1ebfn <strong>kho\u1ea3ng 18 th\u00e1ng tu\u1ed5i<\/strong>, ch\u00e2n c\u1ee7a tr\u1ebb th\u1eb3ng d\u1ea7n ra. \u0110\u1ebfn 2 &#8211; 3 tu\u1ed5i, c\u00f2ng ch\u00e2n sinh l\u00fd m\u1ea5t \u0111i, v\u00e0 ch\u00e2n c\u1ee7a tr\u1ebb l\u1ea1i c\u00f3 th\u1ec3 c\u00f3 d\u1ea1ng hai \u0111\u1ea7u g\u1ed1i khu\u1ef3nh v\u00e0o nhau (Knock knees \u2013 h\u00ecnh minh h\u1ecda), v\u00e0 t\u1eeb t\u1eeb tr\u1edf l\u1ea1i t\u01b0 th\u1ebf \u201cb\u00ecnh th\u01b0\u1eddng\u201d c\u1ee7a ng\u01b0\u1eddi l\u1edbn sau v\u00e0i n\u0103m sau n\u1eefa!<\/p>\n<p>C\u00f2ng ch\u00e2n b\u1ec7nh l\u00fd, chi\u1ebfm kho\u1ea3ng d\u01b0\u1edbi 1% c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f2ng ch\u00e2n \u1edf tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i. C\u00f3 hai lo\u1ea1i c\u00f2ng ch\u00e2n b\u1ec7nh l\u00fd m\u00e0 ch\u00fang ta c\u1ea7n bi\u1ebft, v\u00ec ph\u1ed5 bi\u1ebfn nh\u1ea5t:<\/p>\n<h3>B\u1ec7nh Blount<\/h3>\n<p>B\u1ec7nh Blount \u1edf tr\u1ebb nh\u0169 nhi: \u0111\u00e2y l\u00e0 m\u1ed9t c\u00f2ng ch\u00e2n b\u1ec7nh l\u00fd, b\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n, x\u1ea3y ra trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ebb. Ng\u01b0\u1eddi ta th\u1ea5y r\u1eb1ng b\u1ec7nh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng tr\u1ebb (th\u01b0\u1eddng b\u1ecb th\u1eeba c\u00e2n) t\u1ef1 \u0111i m\u1ed9t m\u00ecnh s\u1edbm tr\u01b0\u1edbc 12 th\u00e1ng tu\u1ed5i, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 y\u1ebfu t\u1ed1 di truy\u1ec1n.<\/p>\n<h3>B\u1ec7nh c\u00f2i x\u01b0\u01a1ng<\/h3>\n<p>B\u1ec7nh <a href=\"https:\/\/yhoccongdong.com\/thongtin\/coi-xuong-o-tre-em-nhan-biet-va-cach-phong-ngua\/\" target=\"_blank\" rel=\"noopener\">c\u00f2i x\u01b0\u01a1ng<\/a> do\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/hieu-dung-ve-thieu-canxi-va-vitamin-d-cau-hoi-nhi-khoa\/\" target=\"_blank\" rel=\"noopener\">thi\u1ebfu vitamin D<\/a>, g\u00e2y x\u01b0\u01a1ng m\u1ec1m, y\u1ebfu, d\u1ec5 bi\u1ebfn d\u1ea1ng khi ch\u1ecbu tr\u1ecdng l\u1ef1c c\u1ee7a tr\u1ebb. \u1ede c\u00e1c th\u1ebf h\u1ec7 tr\u01b0\u1edbc, b\u1ec7nh n\u00e0y kh\u00e1 th\u01b0\u1eddng g\u1eb7p. \u1ede th\u1eddi \u0111\u1ea1i ng\u00e0y nay, b\u1ec7nh n\u00e0y r\u1ea5t hi\u1ebfm g\u1eb7p. Khuy\u1ebfn c\u00e1o hi\u1ec7n nay l\u00e0 m\u1eb9 cho con b\u00fa m\u1eb9 ho\u00e0n to\u00e0n, n\u00ean b\u1ed5 sung vitamin D 400IU m\u1ed9t ng\u00e0y cho con, cho \u0111\u1ebfn khi con \u0111\u01b0\u1ee3c 1 tu\u1ed5i. N\u1ebfu tr\u1ebb b\u00fa s\u1eefa c\u00f4ng th\u1ee9c ho\u00e0n to\u00e0n, tr\u1ebb kh\u00f4ng c\u1ea7n b\u1ed5 sung th\u00eam vitamin D. Khi \u0111\u01b0\u1ee3c b\u1ed5 sung \u0111\u00fang v\u00e0 \u0111\u1ee7 vitamin D, ch\u00fang ta c\u00f3 th\u1ec3 tr\u00e1nh nguy c\u01a1 b\u1ec7nh c\u00f2i x\u01b0\u01a1ng \u1edf tr\u1ebb.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/thong-tin-nhanh-ve-calci-va-vitamin-d\/\" target=\"_blank\" rel=\"noopener\">Th\u00f4ng tin nhanh v\u1ec1 calci v\u00e0 vitamin D<\/a><\/pre>\n<p>V\u1eady cho n\u00ean, th\u1eadt s\u1ef1 l\u00e0, con b\u1ea1n \u0111\u1ee9ng \u201cs\u1edbm\u201d kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi nguy c\u01a1 b\u1ecb c\u00f2ng ch\u00e2n, m\u00e0 ch\u1ec9 l\u00e0 l\u00e0m r\u00f5 h\u01a1n s\u1ef1 c\u00f2ng ch\u00e2n sinh l\u00fd c\u1ee7a tr\u1ebb m\u00e0 th\u00f4i. Tr\u1ebb th\u1eeba c\u00e2n t\u1ef1 \u0111i s\u1edbm tr\u01b0\u1edbc 12 th\u00e1ng, c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00f2ng ch\u00e2n b\u1ec7nh l\u00fd, v\u00ec v\u1eady cho n\u00ean, <strong>kh\u00f4ng n\u00ean \u00e9p con tr\u1ebb t\u1eadp \u0111i m\u1ed9t m\u00ecnh qu\u00e1 s\u1edbm,<\/strong> v\u00e0 n\u1ebfu b\u00e9 c\u00f3 \u0111i trong giai \u0111o\u1ea1n tr\u01b0\u1edbc sinh nh\u1eadt 1 tu\u1ed5i, n\u00ean \u0111\u01b0\u1ee3c ng\u01b0\u1eddi l\u1edbn h\u1ed7 tr\u1ee3 \u0111\u1ec3 kh\u00f4ng t\u1ea1o \u00e1p l\u1ef1c tr\u1ecdng l\u1ef1c qu\u00e1 nhi\u1ec1u \u0111\u1ed1i v\u1edbi x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n c\u1ee7a tr\u1ebb.<\/p>\n<h2>Khi n\u00e0o cho tr\u1ebb \u0111i kh\u00e1m b\u00e1c s\u0129<\/h2>\n<p>Hi\u1ec7n nay, khuy\u1ebfn c\u00e1o b\u1ea1n ch\u1ec9 n\u00ean lo v\u1ec1 c\u00f2ng ch\u00e2n v\u00e0 cho tr\u1ebb \u0111i kh\u00e1m b\u00e1c s\u0129 khi:<\/p>\n<ul>\n<li>Tr\u1ebb b\u1ecb c\u00f2ng ch\u00e2n r\u1ea5t n\u1eb7ng<\/li>\n<li>Tr\u1ebb \u0111\u01b0\u1ee3c h\u01a1n 3 tu\u1ed5i v\u00e0 v\u1eabn c\u00f2n b\u1ecb c\u00f2ng ch\u00e2n<\/li>\n<li>Tr\u1ebb sau 8 tu\u1ed5i b\u1ecb khu\u1ef3nh g\u1ed1i n\u1eb7ng h\u01a1n<\/li>\n<li>Tr\u1ebb ch\u1ec9 b\u1ecb c\u00f2ng ch\u00e2n 1 b\u00ean m\u00e0 th\u00f4i<\/li>\n<li>Tr\u1ebb b\u1ecb \u0111au, ho\u1eb7c kh\u1eadp khi\u1ec5ng khi \u0111i.<\/li>\n<li>Tr\u1ebb c\u00f3 chi\u1ec1u cao th\u1ea5p b\u1ea5t th\u01b0\u1eddng so v\u1edbi tu\u1ed5i (theo bi\u1ec3u \u0111\u1ed3 t\u0103ng tr\u01b0\u1edfng)<\/li>\n<\/ul>\n<p>C\u00f2n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1c&#8230; c\u1ee9 v\u00f4 t\u01b0 \u0111i, c\u00e1c b\u1ea1n \u1ea1!<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/188231771563886\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/188231771563886<\/a><\/li>\n<li>Bow legs and knock knees in children; Victoria Paediatric Orthopaedic network, Victoria, Australia.<\/li>\n<li>Bowlegs in children; Boston\u2019s Children Hospital, America.<\/li>\n<li>Bowed legs; John Schlechter; AAOS- American academy of orthopedic surgeons; America.<\/li>\n<li>Blount\u2019s disease; Johns Hopkins Medicine; America.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Quan ni\u1ec7m \u0111\u1ee9ng s\u1edbm b\u1ecb c\u00f2ng ch\u00e2n, hi\u1ec3u sai v\u1ec1 \u0111\u1ecbnh ngh\u0129a c\u00f2ng ch\u00e2n c\u00f3 th\u1ec3 khi\u1ebfn m\u1eb9 gi\u1edbi h\u1ea1n s\u1ef1 ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t c\u1ee7a b\u00e9<\/p>\n","protected":false},"author":14,"featured_media":2725,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6105],"tags":[4971,4972,4949,4973,4974,4975],"series":[2543],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tr\u1ebb \u0111\u1ee9ng s\u1edbm b\u1ecb c\u00f2ng ch\u00e2n? 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