{"id":869,"date":"2022-03-14T01:43:52","date_gmt":"2022-03-14T01:43:52","guid":{"rendered":"https:\/\/lieuphapyhoctaitao.com\/?p=869"},"modified":"2022-04-01T02:46:52","modified_gmt":"2022-04-01T02:46:52","slug":"rach-sun-vien-o-chao","status":"publish","type":"post","link":"https:\/\/lieuphapyhoctaitao.com\/?p=869","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb r\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o kh\u1edbp vai"},"content":{"rendered":"

B\u1ec7nh nh\u00e2n r\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o bi\u1ec3u hi\u1ec7n \u0111au m\u1ea1n ho\u1eb7c m\u1ea5t v\u1eefng \u00edt v\u00f9ng kh\u1edbp vai (kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ph\u1eabu thu\u1eadt) c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n.<\/p>\n

    \n
  1. L\u1ef0A CH\u1eccN B\u1ec6NH NH\u00c2N
    \nHai ki\u1ec3u r\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 r\u00e1ch ki\u1ec3u SLAP (r\u00e1ch s\u1ee5n vi\u1ec1n tr\u00ean t\u1eeb tr\u01b0\u1edbc ra sau) v\u00e0 t\u1ed5n th\u01b0\u01a1ng\/r\u00e1ch Bankart.<\/li>\n<\/ol>\n

    R\u00e1ch SLAP x\u1ea3y ra khi g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u b\u00e1m v\u00e0o tr\u00ean \u1ed5 ch\u1ea3o. Ng\u01b0\u1ee3c l\u1ea1i, r\u00e1ch th\u01b0\u1eddng x\u1ea3y ra do tr\u1eadt kh\u1edbp vai; \u0111\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay di l\u1ec7ch v\u1ec1 ph\u00eda tr\u01b0\u1edbc c\u01a1 th\u1ec3 g\u00e2y \u201cm\u1ea5t v\u1eefng tr\u01b0\u1edbc\u201d, ho\u1eb7c di l\u1ec7ch v\u1ec1 ph\u00eda sau g\u00e2y \u201cm\u1ea5t v\u1eefng sau\u201d. C\u1ea3 hai ki\u1ec3u r\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o \u0111\u1ec1u bi\u1ec3u hi\u1ec7n \u0111au nh\u1ee9c dai d\u1eb3ng, kh\u00f3 v\u1eadn \u0111\u1ed9ng v\u00f9ng vai.
    \n\u0110\u1eb7c bi\u1ec7t v\u1edbi ki\u1ec3u r\u00e1ch Bankart, b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3m gi\u00e1c vai c\u00f3 th\u1ec3 \u201ctu\u1ed9t\u201d ra kh\u1ecfi v\u1ecb tr\u00ed, hay tr\u1eadt vai, trong m\u1ed9t s\u1ed1 t\u01b0 th\u1ebf nh\u1ea5t \u0111\u1ecbnh.
    \nB\u1ec7nh nh\u00e2n r\u00e1ch ki\u1ec3u SLAP c\u00f3 th\u1ec3 th\u1ea5y \u0111au ph\u1ea7n tr\u01b0\u1edbc vai, g\u1ea7n v\u1ecb tr\u00ed g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u.<\/p>\n

    \"\"<\/a>
    image description<\/figcaption><\/figure>\n

    2. L\u1ef0A CH\u1eccN KIT PRP
    \n\u0110i\u1ec1u tr\u1ecb l\u00fd t\u01b0\u1edfng cho b\u1ec7nh l\u00fd n\u00e0y l\u00e0 kit PRP lo\u1ea1i dung t\u00edch nh\u1ecf \u0111\u01a1n t\u00e1n, h\u00e0m l\u01b0\u1ee3ng leukocyte th\u1ea5p. M\u1ed9t l\u1ea7n ti\u00eam 5-7 ml v\u00e0o kh\u1edbp \u1ed5 ch\u1ea3o-c\u00e1nh tay.<\/p>\n

      \n
    1. CHU\u1ea8N B\u1eca
      \n\u2022 Bi\u1ebfn n\u0103ng s\u00f3ng cao t\u1ea7n tuy\u1ebfn t\u00ednh c\u00f3 ch\u1ec9 d\u1eabn si\u00eau \u00e2m, t\u1ea7n s\u1ed1 t\u1eeb 9 MHz tr\u1edf l\u00ean.
      \n\u2022 Xi-lanh 10 ml
      \n\u2022 Kim ch\u1ecdc t\u1ee7y 20G \u0111\u1ec3 ti\u00eam
      \n\u2022 5-7 ml PRP ngh\u00e8o leukocyte.
      \n\u0110\u1ec3 ti\u00eam v\u00f9ng n\u1ed9i kh\u1edbp \u1ed5 ch\u1ea3o-c\u00e1nh tay ch\u00fang t\u00f4i s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng ti\u1ebfp c\u1eadn l\u1ed1i sau.<\/li>\n
    2. CH\u1ec8 D\u1eaaN TI\u1ec0N TH\u1ee6 THU\u1eacT
      \nKhuy\u00ean b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n c\u00e1c \u0111i\u1ec1u sau:
      \n\u2013 Tr\u00e1nh s\u1eed d\u1ee5ng Aspirin, Motrin, ibuprofen, Aleve (to\u00e0n b\u1ed9 c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00ean nh\u00f3m steroid v\u00e0 kh\u00f4ng steroid), curcumin, turmeric, Gingko biloba, t\u1ecfi, d\u1ea7u h\u1ea1t lanh, d\u1ea7u gan c\u00e1, vitamin A, vitamin E, v\u00e0 m\u1ecdi ch\u1ea5t b\u00e9o thi\u1ebft y\u1ebfu kh\u00e1c \u00edt nh\u1ea5t m\u1ed9t tu\u1ea7n tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb. C\u1ea7n tr\u00e1nh c\u1ea3 c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au d\u1ea1ng gel nh\u01b0 Voltaren hay Salonpas. Lu\u00f4n l\u01b0u \u00fd m\u1ee5c ti\u00eau th\u1ee7 thu\u1eadt l\u00e0 t\u1ea1o \u1ed5 vi\u00eam.
      \n\u2013 C\u1ea7n s\u00e0ng l\u1ecdc b\u1ec7nh nh\u00e2n, kh\u00f4ng d\u00f9ng steroid to\u00e0n th\u00e2n nh\u01b0 Prednisone, Hydrocortisone, \u00edt nh\u1ea5t hai tu\u1ea7n tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m c\u1ea3 ti\u00eam steroid ngo\u00e0i m\u00e0ng c\u1ee9ng hay c\u00e1c h\u00ecnh th\u1ee9c ti\u00eam steroid kh\u00e1c.
      \n\u2013 N\u00ean khuy\u00ean b\u1ec7nh nh\u00e2n tr\u00e1nh luy\u1ec7n t\u1eadp n\u1eb7ng, tr\u00e1nh \u00e1nh n\u1eafng tr\u1ef1c ti\u1ebfp, tr\u00e1nh nhi\u1ec7t \u0111\u1ed9 cao \u00edt nh\u1ea5t ba ng\u00e0y tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb. B\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n ki\u00eang r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1 3 ng\u00e0y tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ol>\n

      V\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng:
      \n\u2013 L\u1ea5y m\u00e1u l\u00e0 m\u1ed9t c\u00f4ng \u0111o\u1ea1n quan tr\u1ecdng, do \u0111\u00f3 b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng b\u1ed5 sung n\u01b0\u1edbc tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb; u\u1ed1ng hai ly n\u01b0\u1edbc m\u1ed7i bu\u1ed5i s\u00e1ng, hai ly v\u00e0o bu\u1ed5i tr\u01b0a, v\u00e0 hai ly v\u00e0o bu\u1ed5i t\u1ed1i.
      \n\u2013 B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e9p \u0103n s\u00e1ng, \u0103n tr\u01b0a b\u00ecnh th\u01b0\u1eddng v\u00e0o ng\u00e0y ti\u1ebfn h\u00e0nh ti\u00eam PRP. Kh\u00f4ng \u0103n u\u1ed1ng trong v\u00f2ng 3 ti\u1ebfng tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb.
      \n\u2013 B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 u\u1ed1ng c\u00e1c thu\u1ed1c \u0111ang \u0111i\u1ec1u tr\u1ecb nh\u01b0 b\u00ecnh th\u01b0\u1eddng v\u00e0o ng\u00e0y l\u00e0m th\u1ee7 thu\u1eadt, ngo\u1ea1i tr\u1eeb c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam v\u00e0 thu\u1ed1c lo\u00e3ng m\u00e1u \u0111\u00e3 k\u1ec3 tr\u00ean.<\/p>\n

       <\/p>\n\n\n\n\n
      Quy\u0301 kha\u0301ch ha\u0300ng, b\u00ea\u0323nh nh\u00e2n va\u0300 ca\u0301c \u0111\u00f4\u0301i ta\u0301c c\u00e2\u0300n t\u01b0 v\u00e2\u0301n, h\u00f4\u0303 tr\u01a1\u0323 v\u00ea\u0300 “R\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o” xin vui lo\u0300ng li\u00ean h\u00ea\u0323:<\/span><\/b><\/td>\n<\/tr>\n
      \"\"<\/span><\/a>Hotline ba\u0301c si\u0303<\/span><\/a><\/td>\n\n

      \"\"<\/span><\/a><\/p>\n

      Zalo ba\u0301c si\u0303<\/a><\/p>\n<\/td>\n

      		\n

      \"\"<\/span><\/a><\/p>\n

      Nh\u0103\u0301n tin ba\u0301c si\u0303<\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

      B\u1ec7nh nh\u00e2n r\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o bi\u1ec3u hi\u1ec7n \u0111au m\u1ea1n ho\u1eb7c m\u1ea5t v\u1eefng \u00edt v\u00f9ng kh\u1edbp vai (kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ph\u1eabu thu\u1eadt) c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. L\u1ef0A CH\u1eccN B\u1ec6NH NH\u00c2N Hai ki\u1ec3u r\u00e1ch s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 r\u00e1ch ki\u1ec3u SLAP (r\u00e1ch s\u1ee5n vi\u1ec1n tr\u00ean t\u1eeb tr\u01b0\u1edbc ra […]\n","protected":false},"author":1,"featured_media":870,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts\/869"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=869"}],"version-history":[{"count":3,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts\/869\/revisions"}],"predecessor-version":[{"id":1260,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/posts\/869\/revisions\/1260"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=\/wp\/v2\/media\/870"}],"wp:attachment":[{"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=869"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lieuphapyhoctaitao.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}