{"id":1270,"date":"2022-04-01T13:28:50","date_gmt":"2022-04-01T13:28:50","guid":{"rendered":"https:\/\/lieuphapyhoctaitao.com\/?p=1270"},"modified":"2022-04-01T13:36:32","modified_gmt":"2022-04-01T13:36:32","slug":"cac-phuong-phap-dieu-tri-dau-co-vai-gay","status":"publish","type":"post","link":"https:\/\/lieuphapyhoctaitao.com\/?p=1270","title":{"rendered":"C\u00e1c Ph\u01b0\u01a1ng Ph\u00e1p \u0110i\u1ec1u Tr\u1ecb \u0110au C\u1ed5 Vai G\u00e1y"},"content":{"rendered":"

Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb <\/em><\/strong><\/span><\/p>\n

\uf0b7 \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1ec7nh k\u1ebft h\u1ee3p v\u1edbi gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n n\u1ebfu c\u00f3 th\u1ec3.<\/span><\/p>\n

\uf0b7 K\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb thu\u1ed1c v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c kh\u00e1c.<\/span><\/p>\n

\uf0b7 Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa khi c\u1ea7n thi\u1ebft.<\/span><\/p>\n

\u00a0\u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 <\/em><\/strong><\/span><\/p>\n

C\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c<\/span><\/strong><\/p>\n

Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n, thay \u0111\u1ed5i th\u00f3i quen sinh ho\u1ea1t, c\u00f4ng vi\u1ec7c (t\u01b0 th\u1ebf ng\u1ed3i l\u00e0m vi\u1ec7c, s\u1eed d\u1ee5ng m\u00e1y t\u00ednh, \u2026).<\/span><\/p>\n

\uf0b7 Trong giai \u0111o\u1ea1n c\u1ea5p khi c\u00f3 \u0111au nhi\u1ec1u ho\u1eb7c sau ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 b\u1ea5t \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u1ed5 t\u01b0\u01a1ng \u0111\u1ed1i b\u1eb1ng \u0111ai c\u1ed5 m\u1ec1m k\u1ebft h\u1ee3p ch\u01b0\u1eddm \u1ea5m v\u00f9ng c\u1ed5 vai b\u1eb1ng mi\u1ebfng \u0111\u1ec7m n\u00f3ng ho\u1eb7c xoa b\u00f3p vai g\u00e1y nh\u1eb9 nh\u00e0ng \u0111\u1ec3 t\u0103ng l\u01b0u th\u00f4ng m\u00e1u, gi\u00fap c\u01a1 \u0111\u01b0\u1ee3c th\u01b0 gi\u00e3n.<\/span><\/p>\n

\uf0b7 T\u1eadp v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u1ed5, vai, c\u00e1nh tay v\u1edbi c\u00e1c b\u00e0i t\u1eadp th\u00edch h\u1ee3p<\/span><\/p>\n

\uf0b7 V\u1eadt l\u00fd tr\u1ecb li\u1ec7u: Li\u1ec7u ph\u00e1p nhi\u1ec7t, k\u00edch th\u00edch \u0111i\u1ec7n, si\u00eau \u00e2m li\u1ec7u ph\u00e1p, xoa b\u00f3p b\u1ea5m huy\u1ec7t, ch\u00e2m c\u1ee9u, k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng (t\u1ea1i c\u00e1c c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb v\u1eadt l\u00fd v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng).<\/span><\/p>\n

\"\"<\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thu\u1ed1c <\/em><\/strong><\/span><\/p>\n

\u2212 Thu\u1ed1c gi\u1ea3m \u0111au: <\/strong>T\u00f9y m\u1ee9c \u0111\u1ed9 \u0111au, c\u00f3 th\u1ec3 d\u00f9ng \u0111\u01a1n thu\u1ea7n ho\u1eb7c ph\u1ed1i h\u1ee3p c\u00e1c nh\u00f3m thu\u1ed1c sau:<\/span><\/p>\n

+ Thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng th\u01b0\u1eddng: Paracetamol vi\u00ean 0,5-0,65g x 2-4 vi\u00ean\/24h (kh\u00f4ng d\u00f9ng qu\u00e1 4 gam paracetamol\/24h).<\/span><\/p>\n

+ Thu\u1ed1c gi\u1ea3m \u0111au d\u1ea1ng ph\u1ed1i h\u1ee3p: Paracetamol k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t opiad nh\u1eb9 nh\u01b0 codein ho\u1eb7c tramadol: 2-4 vi\u00ean\/24h.<\/span><\/p>\n

+ Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID): L\u1ef1a ch\u1ecdn m\u1ed9t thu\u1ed1c th\u00edch h\u1ee3p t\u00f9y c\u01a1 \u0111\u1ecba b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1c nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5. Li\u1ec1u th\u01b0\u1eddng d\u00f9ng: diclofenac 75-150 mg\/ng\u00e0y; piroxicam 20 mg\/ng\u00e0y; meloxicam 7,5-15 mg\/ng\u00e0y; celecoxib 100- 200 mg\/ng\u00e0y; ho\u1eb7c etoricoxib 30-60 mg\/ng\u00e0y. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd d\u1ea1 d\u00e0y- t\u00e1 tr\u00e0ng n\u00ean d\u00f9ng nh\u00f3m \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc COX-2 ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi m\u1ed9t thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton.<\/span><\/p>\n

\u2212 Thu\u1ed1c gi\u00e3n c\u01a1: <\/strong><\/span><\/p>\n

+Th\u01b0\u1eddng d\u00f9ng trong \u0111\u1ee3t \u0111au c\u1ea5p, \u0111\u1eb7c bi\u1ec7t khi c\u00f3 t\u00ecnh tr\u1ea1ng co c\u1ee9ng c\u01a1.<\/span><\/p>\n

+ C\u00e1c thu\u1ed1c th\u01b0\u1eddng d\u00f9ng: Epirisone 50 mg x 2-3 l\u1ea7n\/ng\u00e0y, ho\u1eb7c tolperisone 50-150 mg x 2-3 l\u1ea7n\/ng\u00e0y), ho\u1eb7c mephenesine 250 mg x 2-4 l\u1ea7n\/ng\u00e0y, ho\u1eb7c diazepam.<\/span><\/p>\n

\u2212 C\u00e1c thu\u1ed1c kh\u00e1c: <\/strong><\/span><\/p>\n

+ Thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh: C\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 b\u1ec7nh l\u00fd r\u1ec5 th\u1ea7n kinh n\u1eb7ng ho\u1eb7c dai d\u1eb3ng, n\u00ean b\u1eaft \u0111\u1ea7u b\u1eb1ng li\u1ec1u th\u1ea5p, sau \u0111\u00f3 t\u0103ng li\u1ec1u d\u1ea7n t\u00f9y theo \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb: gabapentin 600-1200 mg\/ng\u00e0y, ho\u1eb7c pregabalin 150-300 mg\/ng\u00e0y.<\/span><\/p>\n

+ Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng (li\u1ec1u th\u1ea5p): amitriptyline ho\u1eb7c nortriptyline (10-25 mg\/ng\u00e0y) khi c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au th\u1ea7n kinh m\u1ea1n t\u00ednh ho\u1eb7c khi c\u00f3 k\u00e8m r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<\/span><\/p>\n

+ Vitamin nh\u00f3m B: Vi\u00ean 3B (B1, B6, B12) ho\u1eb7c d\u1eabn ch\u1ea5t B12 mecobalamin (1000 -1500 mcg\/ng\u00e0y).<\/span><\/p>\n

+ Corticosteroid: Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ec3u hi\u1ec7n ch\u00e8n \u00e9p r\u1ec5 n\u1eb7ng v\u00e0 c\u00f3 t\u00ednh ch\u1ea5t c\u1ea5p t\u00ednh m\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c \u00edt hi\u1ec7u qu\u1ea3, c\u00f3 th\u1ec3 xem x\u00e9t d\u00f9ng m\u1ed9t \u0111\u1ee3t ng\u1eafn h\u1ea1n corticosteroid \u0111\u01b0\u1eddng u\u1ed1ng (prednisolone, methylprednisolone) trong 1-2 tu\u1ea7n.<\/span><\/p>\n

\u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa <\/em><\/strong><\/span><\/p>\n

\u2212 M\u1ed9t s\u1ed1 ch\u1ec9 \u0111\u1ecbnh: <\/strong>\u0110au nhi\u1ec1u song \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u00edt c\u00f3 k\u1ebft qu\u1ea3, c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh n\u1eb7ng v\u00e0 ti\u1ebfn tri\u1ec3n, c\u00f3 ch\u00e8n \u00e9p t\u1ee7y c\u1ed5 \u0111\u00e1ng k\u1ec3.<\/span><\/p>\n

\u2212 M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ch\u1ee7 y\u1ebfu<\/strong>: Ch\u1ec9nh s\u1eeda c\u1ed9t s\u1ed1ng \u0111\u1ec3 gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p th\u1ea7n kinh t\u1ea1i c\u00e1c l\u1ed7 ti\u1ebfp h\u1ee3p b\u1ecb h\u1eb9p, l\u1ea5y nh\u00e2n nh\u00e0y \u0111\u0129a \u0111\u1ec7m tho\u00e1t v\u1ecb, l\u00e0m d\u00ednh v\u00e0 v\u1eefng c\u1ed9t s\u1ed1ng.<\/span><\/p>\n

Ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t v\u00e0 dinh d\u01b0\u1ee1ng khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh <\/em><\/strong><\/span><\/p>\n

\u0110\u1ec3 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111au vai g\u00e1y \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n k\u1ebft h\u1ee3p thay \u0111\u1ed5i th\u00f3i quen sinh ho\u1ea1t c\u0169ng nh\u01b0 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng h\u1eb1ng ng\u00e0y:<\/span><\/p>\n

\uf0b7 Tu\u00e2n th\u1ee7 \u0111\u00fang theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, tr\u00e1nh vi\u1ec7c t\u1ef1 \u00fd ng\u1eebng \u0111i\u1ec1u tr\u1ecb khi th\u1ea5y c\u01a1n \u0111au \u0111\u00e3 thuy\u00ean gi\u1ea3m.<\/span><\/p>\n

\uf0b7 H\u1ea1n ch\u1ebf c\u00e1c ho\u1ea1t \u0111\u1ed9ng xoay v\u1eb7n m\u1ea1nh c\u1ed9t s\u1ed1ng c\u1ed5 v\u00ec c\u00f3 th\u1ec3 g\u00e2y th\u00eam c\u00e1c t\u1ed5n th\u01b0\u01a1ng cho d\u00e2y th\u1ea7n kinh.<\/span><\/p>\n

\"\"<\/p>\n","protected":false},"excerpt":{"rendered":"

Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb \uf0b7 \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1ec7nh k\u1ebft h\u1ee3p v\u1edbi gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n n\u1ebfu c\u00f3 th\u1ec3. \uf0b7 K\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb thu\u1ed1c v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c kh\u00e1c. \uf0b7 Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa khi c\u1ea7n […]\n","protected":false},"author":2,"featured_media":1272,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3,7],"tags":[],"_links":{"self":[{"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts\/1270"}],"collection":[{"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1270"}],"version-history":[{"count":3,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts\/1270\/revisions"}],"predecessor-version":[{"id":1275,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts\/1270\/revisions\/1275"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/media\/1272"}],"wp:attachment":[{"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1270"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1270"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}