{"id":2913,"date":"2025-04-18T10:25:30","date_gmt":"2025-04-18T03:25:30","guid":{"rendered":"https:\/\/baominhhealthcare.com\/?p=2913"},"modified":"2025-04-18T11:32:58","modified_gmt":"2025-04-18T04:32:58","slug":"nguyen-nhan-dau-lung","status":"publish","type":"post","link":"https:\/\/baominhhealthcare.com\/en\/nguyen-nhan-dau-lung\/","title":{"rendered":"Hi\u1ec3u r\u00f5 nguy\u00ean nh\u00e2n \u0111au l\u01b0ng v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n"},"content":{"rendered":"

\u0110au l\u01b0ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 ph\u1ed5 bi\u1ebfn v\u1ec1 s\u1ee9c kh\u1ecfe, \u0111a ph\u1ea7n m\u1ecdi ng\u01b0\u1eddi \u0111\u00e3 tr\u1ea3i qua \u0111au l\u01b0ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng. Kh\u00e1c v\u1edbi nhi\u1ec1u b\u1ec7nh l\u00fd \u0111\u1eb7c hi\u1ec7u, \u0111au l\u01b0ng kh\u00f4ng ch\u1ec9 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a m\u1ed9t nguy\u00ean nh\u00e2n duy nh\u1ea5t, m\u00e0 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng l\u00ean c\u1ea5u tr\u00fac c\u1ed9t s\u1ed1ng v\u00e0 c\u00e1c m\u00f4 xung quanh.<\/p>\n

Trong b\u1ed1i c\u1ea3nh y h\u1ecdc hi\u1ec7n \u0111\u1ea1i, \u0111au l\u01b0ng<\/a> \u0111\u01b0\u1ee3c xem l\u00e0 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng \u0111a nguy\u00ean nh\u00e2n, kh\u00f3 c\u00f3 m\u1ed9t c\u00f4ng th\u1ee9c chung \u0111\u1ec3 gi\u1ea3i th\u00edch c\u1eb7n k\u1ebd m\u1ecdi tr\u01b0\u1eddng h\u1ee3p. M\u1eb7c d\u00f9 y h\u1ecdc \u0111\u00e3 ti\u1ebfn b\u1ed9 \u0111\u00e1ng k\u1ec3, v\u1eabn c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111au l\u01b0ng kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng, v\u00ec m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p trong c\u01a1 ch\u1ebf b\u1ec7nh sinh, s\u1ef1 \u0111a d\u1ea1ng trong bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng. Tuy v\u1eady, v\u1eabn c\u00f3 th\u1ec3 ph\u00e2n t\u00edch c\u00e1c nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p, c\u01a1 ch\u1ebf gi\u1ea3i ph\u1eabu, sinh l\u00fd, c\u0169ng nh\u01b0 x\u00e2y d\u1ef1ng m\u1ed9t h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n, k\u1ebft h\u1ee3p \u0111a chuy\u00ean khoa.<\/p>\n

C\u1ea5u tr\u00fac c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng v\u00e0 c\u01a1 s\u1edf gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc<\/h2>\n

C\u1ed9t s\u1ed1ng con ng\u01b0\u1eddi c\u00f3 c\u1ea5u tr\u00fac ph\u1ee9c t\u1ea1p, bao g\u1ed3m nhi\u1ec1u \u0111\u1ed1t s\u1ed1ng x\u1ebfp ch\u1ed3ng l\u00ean nhau v\u00e0 \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i b\u1edfi c\u00e1c \u0111\u0129a \u0111\u1ec7m, kh\u1edbp li\u00ean m\u1ea5u, d\u00e2y ch\u1eb1ng, c\u00f9ng h\u1ec7 th\u1ed1ng c\u01a1 c\u1ea1nh s\u1ed1ng. V\u00f9ng th\u1eaft l\u01b0ng th\u01b0\u1eddng g\u1ecdi l\u00e0 \u201cth\u1eaft l\u01b0ng\u201d hay \u201cc\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng\u201d bao g\u1ed3m 5 \u0111\u1ed1t s\u1ed1ng: L1, L2, L3, L4, L5. Ph\u00eda d\u01b0\u1edbi L5 l\u00e0 x\u01b0\u01a1ng c\u00f9ng (S1-S5 d\u00ednh l\u1ea1i), c\u00f9ng v\u1edbi hai kh\u1edbp c\u00f9ng ch\u1eadu, gi\u00fap li\u00ean k\u1ebft c\u1ed9t s\u1ed1ng v\u1edbi x\u01b0\u01a1ng ch\u1eadu v\u00e0 khung ch\u1eadu.<\/p>\n

Gi\u1eefa c\u00e1c \u0111\u1ed1t s\u1ed1ng l\u00e0 \u0111\u0129a \u0111\u1ec7m (nh\u00e2n \u0111\u1ec7m v\u00e0 v\u00f2ng s\u1ee3i bao quanh), c\u00f3 vai tr\u00f2 gi\u1ea3m x\u00f3c, ph\u00e2n t\u00e1n l\u1ef1c t\u00e1c \u0111\u1ed9ng l\u00ean c\u1ed9t s\u1ed1ng khi ch\u00fang ta v\u1eadn \u0111\u1ed9ng, \u0111i l\u1ea1i, ch\u1ea1y nh\u1ea3y hay ng\u1ed3i \u0111\u1ee9ng. C\u00e1c \u0111\u1ed1t s\u1ed1ng kh\u00f4ng d\u00ednh ch\u1eb7t m\u00e0 c\u00f3 kh\u1edbp li\u00ean m\u1ea5u (facet joints) gi\u00fap c\u1ed9t s\u1ed1ng linh ho\u1ea1t, cho ph\u00e9p g\u1eadp, \u01b0\u1ee1n, nghi\u00eang tr\u00e1i ph\u1ea3i. \u0110\u1ed3ng th\u1eddi, c\u1ed9t s\u1ed1ng b\u1ea3o v\u1ec7 t\u1ee7y s\u1ed1ng v\u00e0 c\u00e1c r\u1ec5 th\u1ea7n kinh ch\u1ea1y trong \u1ed1ng s\u1ed1ng.<\/p>\n

R\u1ec5 th\u1ea7n kinh tho\u00e1t ra qua c\u00e1c l\u1ed7 li\u00ean h\u1ee3p gi\u1eefa hai \u0111\u1ed1t s\u1ed1ng, t\u1ea1o c\u1ea3m gi\u00e1c v\u00e0 v\u1eadn \u0111\u1ed9ng cho chi d\u01b0\u1edbi. Ch\u1ec9 c\u1ea7n m\u1ed9t bi\u1ebfn \u0111\u1ed5i nh\u1ecf trong c\u1ea5u tr\u00fac nh\u01b0 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, tho\u00e1i h\u00f3a kh\u1edbp li\u00ean m\u1ea5u, h\u1eb9p \u1ed1ng s\u1ed1ng ho\u1eb7c th\u1eadm ch\u00ed kh\u1ed1i u di c\u0103n \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh, d\u1eabn \u0111\u1ebfn \u0111au l\u01b0ng v\u00e0 \u0111au lan xu\u1ed1ng ch\u00e2n.<\/p>\n

Ngo\u00e0i ra, b\u00e1m v\u00e0o c\u1ed9t s\u1ed1ng l\u00e0 h\u1ec7 th\u1ed1ng c\u01a1, d\u00e2y ch\u1eb1ng ph\u1ee9c t\u1ea1p. C\u01a1 c\u1ea1nh s\u1ed1ng duy tr\u00ec t\u01b0 th\u1ebf, d\u00e2y ch\u1eb1ng li\u00ean gai, d\u1ecdc tr\u01b0\u1edbc, d\u1ecdc sau\u2026 gi\u00fap \u1ed5n \u0111\u1ecbnh c\u1ed9t s\u1ed1ng. B\u1ea5t k\u1ef3 t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c c\u0103ng th\u1eb3ng qu\u00e1 m\u1ee9c n\u00e0o l\u00ean c\u01a1, d\u00e2y ch\u1eb1ng, ho\u1eb7c kh\u1edbp c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111au l\u01b0ng.<\/p>\n

Gi\u1ea3 thuy\u1ebft \u0111au l\u01b0ng<\/h2>\n

M\u1ed9t c\u00e1ch gi\u1ea3i th\u00edch mang t\u00ednh h\u00ecnh t\u01b0\u1ee3ng cho r\u1eb1ng \u0111au l\u01b0ng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi v\u00ec ch\u00fang ta ti\u1ebfn h\u00f3a t\u1eeb \u0111i b\u1eb1ng b\u1ed1n ch\u00e2n sang \u0111i b\u1eb1ng hai ch\u00e2n. Khi di chuy\u1ec3n b\u1eb1ng hai ch\u00e2n, \u00e1p l\u1ef1c l\u00ean c\u1ed9t s\u1ed1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u00f9ng th\u1eaft l\u01b0ng, t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3 do to\u00e0n b\u1ed9 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 d\u1ed3n xu\u1ed1ng tr\u1ee5c c\u1ed9t s\u1ed1ng l\u01b0ng. Trong khi \u0111\u00f3, \u1edf \u0111\u1ed9ng v\u1eadt b\u1ed1n ch\u00e2n, l\u1ef1c ph\u00e2n b\u1ed1 \u0111\u1ec1u h\u01a1n, gi\u1ea3m t\u1ea3i cho c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng. Tuy nhi\u00ean, \u0111\u00e2y ch\u1ec9 l\u00e0 m\u1ed9t h\u00ecnh \u1ea3nh \u1ea9n d\u1ee5, kh\u00f4ng ph\u1ea3i b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc ch\u1eafc ch\u1eafn.<\/p>\n

Nhi\u1ec1u lo\u00e0i v\u1eadt b\u1ed1n ch\u00e2n c\u0169ng c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ed9t s\u1ed1ng, ch\u1ec9 l\u00e0 ch\u00fang kh\u00f4ng bi\u1ec3u hi\u1ec7n hay \u201cthan\u201d nh\u01b0 con ng\u01b0\u1eddi. D\u00f9 v\u1eady, s\u1ef1 thay \u0111\u1ed5i n\u00e0y c\u0169ng gi\u00fap ph\u1ea7n n\u00e0o l\u00fd gi\u1ea3i t\u1ea1i sao c\u1ea5u tr\u00fac l\u01b0ng c\u1ee7a con ng\u01b0\u1eddi d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng khi \u0111\u1ee9ng th\u1eb3ng l\u00e2u, mang v\u00e1c n\u1eb7ng ho\u1eb7c ng\u1ed3i sai t\u01b0 th\u1ebf.<\/p>\n

Nguy\u00ean nh\u00e2n \u0111au l\u01b0ng<\/h2>\n

Nh\u00f3m nguy\u00ean nh\u00e2n t\u1eeb c\u01a1, d\u00e2y ch\u1eb1ng v\u00e0 kh\u1edbp<\/h3>\n

\u0110au do c\u01a1 (\u0111au s\u01a1 c\u01a1): C\u0103ng c\u01a1, co th\u1eaft c\u01a1 c\u1ea1nh s\u1ed1ng, c\u01a1 v\u00f9ng l\u01b0ng c\u00f3 th\u1ec3 g\u00e2y \u0111au. Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi lao \u0111\u1ed9ng n\u1eb7ng, ng\u1ed3i sai t\u01b0 th\u1ebf, v\u1eadn \u0111\u1ed9ng qu\u00e1 m\u1ee9c ho\u1eb7c \u00edt v\u1eadn \u0111\u1ed9ng. \u0110\u00f4i khi, \u1ea5n v\u00e0o v\u00f9ng c\u01a1 b\u1ecb c\u0103ng th\u1ea5y \u0111au nh\u00f3i nh\u01b0ng c\u0169ng c\u00f3 c\u1ea3m gi\u00e1c \u201cd\u1ec5 ch\u1ecbu\u201d sau khi xoa b\u00f3p.<\/p>\n

\"Nguy\u00ean<\/p>\n

\u0110au do d\u00e2y ch\u1eb1ng: C\u00e1c d\u00e2y ch\u1eb1ng li\u00ean gai, d\u1ecdc tr\u01b0\u1edbc, d\u1ecdc sau c\u00f3 th\u1ec3 b\u1ecb c\u0103ng gi\u00e3n, vi\u00eam, g\u00e2y \u0111au. Vi\u1ec7c ng\u1ed3i l\u00e2u, c\u00fai g\u1eadp sai t\u01b0 th\u1ebf, ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng nh\u1eb9 k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng.<\/p>\n

\u0110au t\u1eeb kh\u1edbp li\u00ean m\u1ea5u (facet joints): C\u00e1c kh\u1edbp n\u00e0y t\u01b0\u01a1ng t\u1ef1 nh\u01b0 kh\u1edbp g\u1ed1i, c\u00f3 s\u1ee5n kh\u1edbp, d\u1ecbch kh\u1edbp, cho ph\u00e9p c\u1eed \u0111\u1ed9ng linh ho\u1ea1t. Tho\u00e1i h\u00f3a c\u00e1c kh\u1edbp li\u00ean m\u1ea5u d\u1eabn \u0111\u1ebfn vi\u00eam, tr\u00e0n d\u1ecbch trong kh\u1edbp, g\u00e2y \u0111au khi c\u1eed \u0111\u1ed9ng, \u0111\u1eb7c bi\u1ec7t bu\u1ed5i s\u00e1ng c\u00f3 th\u1ec3 c\u1ee9ng l\u01b0ng, v\u1eadn \u0111\u1ed9ng m\u1ed9t l\u00fac m\u1edbi \u0111\u1ee1.<\/p>\n

\u0110\u0129a \u0111\u1ec7m, tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh<\/h3>\n

Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m: \u0110\u0129a \u0111\u1ec7m n\u1eb1m gi\u1eefa c\u00e1c \u0111\u1ed1t s\u1ed1ng, khi v\u00f2ng s\u1ee3i b\u1ecb r\u00e1ch ho\u1eb7c suy y\u1ebfu, nh\u00e2n nh\u1ea7y b\u00ean trong c\u00f3 th\u1ec3 tho\u00e1t ra, ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh. V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 L4-L5, L5-S1.
\nCh\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh: Khi \u0111\u0129a \u0111\u1ec7m tho\u00e1t v\u1ecb \u0111\u1ea9y v\u00e0o \u1ed1ng s\u1ed1ng ho\u1eb7c l\u1ed7 li\u00ean h\u1ee3p, n\u00f3 g\u00e2y ch\u00e8n \u00e9p l\u00ean r\u1ec5 th\u1ea7n kinh, d\u1eabn \u0111\u1ebfn \u0111au lan xu\u1ed1ng m\u00f4ng, m\u1eb7t sau \u0111\u00f9i, c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111au th\u1ea7n kinh t\u1ecda.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng h\u01a1n, tho\u00e1t v\u1ecb ch\u00e8n v\u00e0o v\u00f9ng ch\u00f9m \u0111u\u00f4i ng\u1ef1a (cauda equina), c\u00f3 th\u1ec3 g\u00e2y li\u1ec7t hai ch\u00e2n, m\u1ea5t c\u1ea3m gi\u00e1c v\u00f9ng h\u1ed9i \u00e2m, ti\u1ec3u ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p c\u1ea7n can thi\u1ec7p ngay.<\/p>\n

Tho\u00e1i h\u00f3a v\u00e0 b\u1ec7nh l\u00fd vi\u00eam c\u1ed9t s\u1ed1ng<\/h3>\n

Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng: X\u1ea3y ra theo tu\u1ed5i t\u00e1c, g\u00e2y h\u1eb9p l\u1ed7 li\u00ean h\u1ee3p, gi\u1ea3m chi\u1ec1u cao \u0111\u0129a \u0111\u1ec7m, s\u1ee5n kh\u1edbp m\u00f2n. C\u00e1c hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y t\u0103ng \u00e1p l\u1ef1c l\u00ean r\u1ec5 th\u1ea7n kinh v\u00e0 c\u1ea5u tr\u00fac h\u1ed7 tr\u1ee3, d\u1eabn t\u1edbi \u0111au dai d\u1eb3ng.<\/p>\n

Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp: M\u1ed9t b\u1ec7nh l\u00fd vi\u00eam \u1ea3nh h\u01b0\u1edfng to\u00e0n th\u00e2n, th\u01b0\u1eddng kh\u1edfi ph\u00e1t \u1edf ng\u01b0\u1eddi tr\u1ebb, nh\u1ea5t l\u00e0 nam gi\u1edbi t\u1eeb 20-40 tu\u1ed5i. Bi\u1ec3u hi\u1ec7n b\u1eb1ng \u0111au l\u01b0ng m\u1ea1n t\u00ednh, \u0111au \u00e2m \u1ec9 k\u00e9o d\u00e0i tr\u00ean 6 th\u00e1ng, k\u00e8m c\u1ee9ng c\u1ed9t s\u1ed1ng bu\u1ed5i s\u00e1ng, \u0111au t\u0103ng v\u1ec1 \u0111\u00eam, c\u00f3 th\u1ec3 k\u00e8m vi\u00eam kh\u1edbp c\u00f9ng-ch\u1eadu. V\u1ec1 l\u00e2u d\u00e0i, c\u1ed9t s\u1ed1ng c\u00f3 th\u1ec3 d\u00ednh l\u1ea1i, gi\u1ea3m \u0111\u00e1ng k\u1ec3 bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng.
\nNguy\u00ean nh\u00e2n \u00e1c t\u00ednh v\u00e0 c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c<\/p>\n

Ung th\u01b0 di c\u0103n x\u01b0\u01a1ng: M\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 (v\u00fa, ph\u1ed5i, ti\u1ec1n li\u1ec7t tuy\u1ebfn\u2026) c\u00f3 xu h\u01b0\u1edbng di c\u0103n v\u00e0o c\u1ed9t s\u1ed1ng. \u1ede ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, \u0111au l\u01b0ng \u0111\u1ed9t ng\u1ed9t, d\u1eef d\u1ed9i c\u00f3 th\u1ec3 b\u00e1o hi\u1ec7u di c\u0103n. Khi nghi ng\u1edd, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p X-quang, MRI \u0111\u1ec3 t\u1ea7m so\u00e1t.<\/p>\n

Ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng: \u0110\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng khi ph\u00ecnh to, \u0111e d\u1ecda v\u1ee1, c\u0169ng c\u00f3 th\u1ec3 g\u00e2y \u0111au l\u01b0ng. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n \u00edt g\u1eb7p nh\u01b0ng nguy hi\u1ec3m.
\nY\u1ebfu t\u1ed1 c\u01a1 \u2013 sinh h\u1ecdc kh\u00e1c: Ng\u1ed3i l\u00e2u (v\u00ed d\u1ee5 h\u1ecdc sinh, sinh vi\u00ean \u00f4n b\u00e0i, nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng), mang v\u00e1c v\u1eadt n\u1eb7ng, b\u00e9o ph\u00ec l\u00e0m t\u0103ng \u00e1p l\u1ef1c l\u00ean c\u1ed9t s\u1ed1ng, g\u00e2y \u0111au.<\/p>\n

Tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/h2>\n

Tri\u1ec7u ch\u1ee9ng \u0111au l\u01b0ng r\u1ea5t \u0111a d\u1ea1ng, t\u1eeb \u0111\u01a1n gi\u1ea3n \u0111\u1ebfn ph\u1ee9c t\u1ea1p, c\u00f3 th\u1ec3 g\u1ed3m:
\n\u0110au khu tr\u00fa v\u00f9ng th\u1eaft l\u01b0ng: Th\u01b0\u1eddng \u0111au \u00e2m \u1ec9, t\u0103ng l\u00ean khi v\u1eadn \u0111\u1ed9ng, ng\u1ed3i l\u00e2u ho\u1eb7c mang v\u00e1c n\u1eb7ng. Nhi\u1ec1u ng\u01b0\u1eddi tr\u1ebb, h\u1ecdc sinh ng\u1ed3i h\u1ecdc c\u00fai g\u1eadp, c\u0169ng than \u0111au l\u01b0ng do c\u01a1, d\u00e2y ch\u1eb1ng c\u0103ng qu\u00e1 m\u1ee9c.<\/p>\n

C\u1ee9ng l\u01b0ng bu\u1ed5i s\u00e1ng: M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u1ea3m th\u1ea5y l\u01b0ng c\u1ee9ng, kh\u00f3 c\u1eed \u0111\u1ed9ng ngay sau khi th\u1ee9c d\u1eady. Sau khi v\u1eadn \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng, t\u1eadp m\u1ed9t s\u1ed1 \u0111\u1ed9ng t\u00e1c k\u00e9o gi\u00e3n, c\u01a1n \u0111au c\u00f3 th\u1ec3 d\u1ecbu b\u1edbt. \u0110\u00e2y th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u tho\u00e1i h\u00f3a ho\u1eb7c vi\u00eam kh\u1edbp li\u00ean m\u1ea5u.<\/p>\n

\u0110au lan xu\u1ed1ng ch\u00e2n: N\u1ebfu c\u00f3 ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh, \u0111au c\u00f3 th\u1ec3 lan d\u1ecdc xu\u1ed1ng chi d\u01b0\u1edbi (th\u01b0\u1eddng m\u1eb7t sau \u0111\u00f9i, c\u1eb3ng ch\u00e2n, g\u00f3t ch\u00e2n ho\u1eb7c mu b\u00e0n ch\u00e2n), g\u00e2y t\u00ea, y\u1ebfu c\u01a1, kh\u00f3 \u0111i l\u1ea1i. \u0110i b\u1ed9 kho\u1ea3ng v\u00e0i tr\u0103m m\u00e9t \u0111au t\u0103ng, bu\u1ed9c ph\u1ea3i ng\u1ed3i ngh\u1ec9.<\/p>\n

\"Tri\u1ec7u<\/p>\n

\u0110au v\u1ec1 \u0111\u00eam, kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i: Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd vi\u00eam to\u00e0n th\u00e2n c\u00f3 th\u1ec3 g\u00e2y \u0111au \u00e2m \u1ec9, t\u0103ng v\u1ec1 \u0111\u00eam, bu\u1ed9c ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u1ee9ng d\u1eady di chuy\u1ec3n. \u0110au kh\u00f4ng gi\u1ea3m khi ngh\u1ec9 ng\u01a1i m\u00e0 \u00e2m \u1ec9 li\u00ean t\u1ee5c, k\u00e9o d\u00e0i tr\u00ean 6 th\u00e1ng.<\/p>\n

\u0110au ki\u1ec3u \u201c\u0111\u00e3 \u0111au nh\u01b0ng \u1ea5n v\u00e0o l\u1ea1i d\u1ec5 ch\u1ecbu\u201d: Trong h\u1ed9i ch\u1ee9ng \u0111au s\u01a1 c\u01a1, khi \u1ea5n v\u00e0o c\u01a1 b\u1ecb \u0111au, b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y \u0111au nh\u00f3i nh\u01b0ng k\u1ef3 l\u1ea1 l\u00e0 l\u1ea1i c\u00f3 c\u1ea3m gi\u00e1c \u201cd\u1ec5 ch\u1ecbu\u201d, nh\u01b0 gi\u1ea3i t\u1ecfa \u0111\u01b0\u1ee3c c\u0103ng c\u01a1. Ng\u01b0\u1eddi b\u1ecb \u0111au s\u01a1 c\u01a1 th\u01b0\u1eddng c\u0169ng c\u00f3 v\u1ea5n \u0111\u1ec1 t\u00e2m l\u00fd \u0111i k\u00e8m nh\u01b0 tr\u1ea7m c\u1ea3m, stress, lo \u00e2u.<\/p>\n

Nh\u00ecn chung, tri\u1ec7u ch\u1ee9ng \u0111au l\u01b0ng c\u00f3 th\u1ec3 r\u1ea5t phong ph\u00fa. Vi\u1ec7c m\u00f4 t\u1ea3 ch\u00ednh x\u00e1c c\u1ea3m gi\u00e1c \u0111au, th\u1eddi \u0111i\u1ec3m \u0111au, c\u00e1c y\u1ebfu t\u1ed1 t\u0103ng gi\u1ea3m \u0111au, k\u00e8m theo t\u00ea b\u00ec, y\u1ebfu li\u1ec7t hay kh\u00f4ng, s\u1ebd gi\u00fap b\u00e1c s\u0129 \u0111\u1ecbnh h\u01b0\u1edbng nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c h\u01a1n.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n \u0111au l\u01b0ng<\/h2>\n

Ch\u1ea9n \u0111o\u00e1n \u0111au l\u01b0ng \u0111\u00f2i h\u1ecfi ti\u1ebfp c\u1eadn \u0111a chi\u1ec1u. B\u00e1c s\u0129 s\u1ebd b\u1eaft \u0111\u1ea7u b\u1eb1ng h\u1ecfi b\u1ec7nh, kh\u00e1m l\u00e2m s\u00e0ng, quan s\u00e1t d\u00e1ng \u0111i, t\u01b0 th\u1ebf, kh\u1ea3 n\u0103ng g\u1eadp \u01b0\u1ee1n, nghi\u00eang. Ti\u1ebfp \u0111\u00f3, c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n c\u1eadn l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng:<\/p>\n

    \n
  • X-quang c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng quan s\u00e1t c\u1ea5u tr\u00fac x\u01b0\u01a1ng, xem c\u00f3 gai x\u01b0\u01a1ng, tr\u01b0\u1ee3t \u0111\u1ed1t s\u1ed1ng, gi\u1ea3m khe kh\u1edbp, h\u1eb9p l\u1ed7 li\u00ean h\u1ee3p hay kh\u00f4ng. Ch\u1ee5p X-quang t\u01b0 th\u1ebf \u0111\u1ed9ng (b\u1ec7nh nh\u00e2n g\u1eadp, \u01b0\u1ee1n c\u1ed9t s\u1ed1ng) gi\u00fap \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 v\u1eefng v\u00e0 tr\u01b0\u1ee3t c\u1ee7a c\u00e1c \u0111\u1ed1t s\u1ed1ng.<\/li>\n
  • MRI (C\u1ed9ng h\u01b0\u1edfng t\u1eeb) cho h\u00ecnh \u1ea3nh chi ti\u1ebft v\u1ec1 m\u00f4 m\u1ec1m, \u0111\u0129a \u0111\u1ec7m, r\u1ec5 th\u1ea7n kinh. \u0110\u00e2y l\u00e0 \u201cti\u00eau chu\u1ea9n v\u00e0ng\u201d \u0111\u1ec3 ph\u00e1t hi\u1ec7n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, ch\u00e8n \u00e9p th\u1ea7n kinh, vi\u00eam kh\u1edbp li\u00ean m\u1ea5u, tr\u00e0n d\u1ecbch kh\u1edbp, hay kh\u1ed1i u.<\/li>\n
  • \u0110i\u1ec7n c\u01a1 (EMG) v\u00e0 d\u1eabn truy\u1ec1n th\u1ea7n kinh (NCS) \u0111o \u0111i\u1ec7n c\u01a1 ch\u00e2n gi\u00fap ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh, x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, \u0111\u1eb7c bi\u1ec7t khi \u0111au lan xu\u1ed1ng ch\u00e2n. N\u1ebfu k\u1ebft qu\u1ea3 EMG\/NCS cho th\u1ea5y b\u1ea5t th\u01b0\u1eddng, s\u1ebd kh\u1eb3ng \u0111\u1ecbnh c\u00f3 ch\u00e8n \u00e9p th\u1ea7n kinh t\u01b0\u01a1ng \u1ee9ng.<\/li>\n
  • X\u00e9t nghi\u1ec7m m\u00e1u \u00e1p d\u1ee5ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 lo\u1ea1i tr\u1eeb nguy\u00ean nh\u00e2n vi\u00eam, b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n, ho\u1eb7c ung th\u01b0.<\/li>\n<\/ul>\n

    D\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u00e1m, ch\u1ee5p phim, \u0111o \u0111i\u1ec7n c\u01a1, x\u00e9t nghi\u1ec7m, b\u00e1c s\u0129 s\u1ebd h\u00ecnh th\u00e0nh ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u00edt nh\u1ea5t l\u00e0 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t, t\u1eeb \u0111\u00f3 l\u1ef1a ch\u1ecdn li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

    \u0110i\u1ec1u tr\u1ecb \u0111au l\u01b0ng<\/h2>\n

    \u0110i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng v\u00e0 dinh d\u01b0\u1ee1ng<\/h3>\n

    Th\u1eeba c\u00e2n, b\u00e9o ph\u00ec l\u00e0m t\u0103ng \u00e1p l\u1ef1c l\u00ean c\u1ed9t s\u1ed1ng. Gi\u1ea3m c\u00e2n gi\u00fap gi\u1ea3m t\u1ea3i l\u00ean \u0111\u0129a \u0111\u1ec7m v\u00e0 kh\u1edbp, nh\u1edd \u0111\u00f3 gi\u1ea3m \u0111au. Vi\u1ec7c gi\u1ea3m 1 kg tr\u1ecdng l\u01b0\u1ee3ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 \u00e1p l\u1ef1c l\u00ean c\u1ed9t s\u1ed1ng (d\u00f9 con s\u1ed1 5 kg ch\u1ec9 l\u00e0 \u01b0\u1edbc l\u1ec7 minh h\u1ecda, nh\u01b0ng v\u1ec1 c\u01a1 b\u1ea3n gi\u1ea3m c\u00e2n lu\u00f4n c\u00f3 l\u1ee3i).<\/p>\n

    Ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u dinh d\u01b0\u1ee1ng, \u0111\u1ee7 \u0111\u1ea1m, vitamin D, canxi, v\u00e0 kho\u00e1ng ch\u1ea5t, h\u1ed7 tr\u1ee3 x\u01b0\u01a1ng kh\u1edbp ch\u1eafc kh\u1ecfe. Gi\u1ea3m th\u1ef1c ph\u1ea9m nhi\u1ec1u \u0111\u01b0\u1eddng, ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a.
    \nNg\u1ed3i th\u1eb3ng l\u01b0ng, ch\u1ecdn gh\u1ebf c\u00f3 t\u1ef1a l\u01b0ng chu\u1ea9n, h\u1ea1n ch\u1ebf mang v\u00e1c n\u1eb7ng sai t\u01b0 th\u1ebf, chia nh\u1ecf th\u1eddi gian ng\u1ed3i m\u00e1y t\u00ednh b\u1eb1ng c\u00e1ch \u0111\u1ee9ng l\u00ean \u0111i l\u1ea1i, v\u1eadn \u0111\u1ed9ng nh\u1eb9.<\/p>\n

    V\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/p>\n

    S\u1eed d\u1ee5ng m\u00e1y m\u00f3c nh\u01b0 laser c\u00f4ng su\u1ea5t th\u1ea5p, s\u00f3ng xung k\u00edch (shockwave), t\u1eeb tr\u01b0\u1eddng si\u00eau d\u1eabn, si\u00eau \u00e2m tr\u1ecb li\u1ec7u, \u0111i\u1ec7n xung, gi\u00fap gi\u1ea3m \u0111au, t\u0103ng c\u01b0\u1eddng tu\u1ea7n ho\u00e0n m\u00e1u, gi\u1ea3m vi\u00eam, gi\u1ea3m co th\u1eaft c\u01a1.
    \nChuy\u00ean gia v\u1eadt l\u00fd tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 h\u01b0\u1edbng d\u1eabn c\u00e1c b\u00e0i t\u1eadp ph\u00f9 h\u1ee3p, t\u0103ng c\u01b0\u1eddng c\u01a1 b\u1ee5ng, c\u01a1 l\u01b0ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 c\u1ed9t s\u1ed1ng. M\u1ee5c ti\u00eau l\u00e0 kh\u00f4i ph\u1ee5c t\u00ednh linh ho\u1ea1t, c\u1ea3i thi\u1ec7n bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng, gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t.<\/p>\n

    Y h\u1ecdc v\u1eadn \u0111\u1ed9ng v\u00e0 ch\u1ec9nh h\u00ecnh c\u1ed9t s\u1ed1ng<\/h3>\n

    Y h\u1ecdc v\u1eadn \u0111\u1ed9ng \u0111\u00e2y l\u00e0 h\u01b0\u1edbng ti\u1ebfp c\u1eadn t\u01b0\u01a1ng \u0111\u1ed1i m\u1edbi, nh\u1ea5n m\u1ea1nh v\u00e0o s\u1ef1 v\u1eadn \u0111\u1ed9ng khoa h\u1ecdc. Thay v\u00ec ch\u1ec9 u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u00e1c b\u00e0i t\u1eadp \u0111\u01b0\u1ee3c \u201cc\u00e1 th\u1ec3 h\u00f3a\u201d d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/p>\n

    C\u00e1c k\u1ef9 thu\u1eadt n\u1eafn ch\u1ec9nh c\u1ed9t s\u1ed1ng b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa, s\u1eed d\u1ee5ng \u0111ai l\u01b0ng h\u1ed7 tr\u1ee3, ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh t\u01b0 th\u1ebf l\u00e0m vi\u1ec7c gi\u00fap gi\u1ea3m \u00e1p l\u1ef1c l\u00ean th\u1eaft l\u01b0ng.<\/p>\n

    H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n v\u1ec1 t\u01b0 th\u1ebf t\u1ed1t, c\u00e1ch n\u00e2ng v\u1eadt n\u1eb7ng, c\u00e1ch ng\u1ed3i m\u00e1y t\u00ednh, c\u00e1ch ng\u1ee7 sao cho l\u01b0ng \u0111\u01b0\u1ee3c n\u00e2ng \u0111\u1ee1. S\u1ef1 tham gia t\u00edch c\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n trong hi\u1ec3u bi\u1ebft v\u00e0 th\u1ef1c h\u00e0nh l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh r\u1ea5t quan tr\u1ecdng.<\/p>\n

    \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa, ngo\u1ea1i khoa v\u00e0 \u0111a chuy\u00ean khoa<\/h3>\n

    Thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 kh\u00e1ng vi\u00eam: Bao g\u1ed3m thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng th\u01b0\u1eddng (paracetamol), thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAIDs), thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh (gabapentin, pregabalin) trong tr\u01b0\u1eddng h\u1ee3p ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh.<\/p>\n

    Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd n\u1ec1n: N\u1ebfu \u0111au l\u01b0ng li\u00ean quan \u0111\u1ebfn vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp, ung th\u01b0 di c\u0103n, ho\u1eb7c vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nguy\u00ean. C\u00e1c li\u1ec7u ph\u00e1p sinh h\u1ecdc, thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, \u0111i\u1ec1u tr\u1ecb ung th\u01b0 (h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb) c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft.<\/p>\n

    Can thi\u1ec7p ngo\u1ea1i khoa: Khi tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m n\u1eb7ng g\u00e2y li\u1ec7t, m\u1ea5t ki\u1ec3m so\u00e1t ti\u1ec3u ti\u1ec7n, ho\u1eb7c \u0111au d\u1eef d\u1ed9i kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa, ph\u1eabu thu\u1eadt gi\u1ea3i \u00e9p th\u1ea7n kinh, l\u1ea5y kh\u1ed1i tho\u00e1t v\u1ecb, th\u1eadm ch\u00ed thay \u0111\u0129a \u0111\u1ec7m nh\u00e2n t\u1ea1o, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc.<\/p>\n

    Ph\u1ed1i h\u1ee3p nhi\u1ec1u chuy\u00ean khoa: B\u00e1c s\u0129 c\u01a1 x\u01b0\u01a1ng kh\u1edbp, ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, th\u1ea7n kinh c\u1ed9t s\u1ed1ng, dinh d\u01b0\u1ee1ng, t\u00e2m l\u00fd, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u h\u1ee3p t\u00e1c x\u00e2y d\u1ef1ng ph\u00e1c \u0111\u1ed3 c\u00e1 th\u1ec3 h\u00f3a. M\u00f4 h\u00ecnh \u0111a m\u00f4 th\u1ee9c n\u00e0y tr\u00ean th\u1ebf gi\u1edbi r\u1ea5t ph\u1ed5 bi\u1ebfn, nh\u01b0ng t\u1ea1i Vi\u1ec7t Nam v\u1eabn m\u1edbi m\u1ebb. H\u01b0\u1edbng \u0111i n\u00e0y gi\u00fap n\u00e2ng cao hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, gi\u1ea3m t\u00e1i ph\u00e1t.<\/p>\n

    Ph\u00f2ng ng\u1eeba, ki\u1ec3m so\u00e1t v\u00e0 y h\u1ecdc d\u1ef1 ph\u00f2ng<\/h2>\n

    \u0110au l\u01b0ng, ngay c\u1ea3 khi \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi, v\u1eabn c\u00f3 nguy c\u01a1 t\u00e1i ph\u00e1t n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng duy tr\u00ec th\u00f3i quen t\u1ed1t. C\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng bao g\u1ed3m:<\/p>\n

      \n
    • Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li>\n
    • T\u1eadp luy\u1ec7n \u0111\u1ec1u \u0111\u1eb7n c\u00e1c m\u00f4n nh\u1eb9 nh\u00e0ng nh\u01b0 \u0111i b\u1ed9, b\u01a1i l\u1ed9i, yoga, pilates gi\u00fap t\u0103ng c\u01b0\u1eddng c\u01a1 h\u1ed7 tr\u1ee3 l\u01b0ng, c\u1ea3i thi\u1ec7n linh ho\u1ea1t.<\/li>\n
    • \u0110\u1ee9ng th\u1eb3ng, ng\u1ed3i \u0111\u00fang t\u01b0 th\u1ebf, \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 cao b\u00e0n gh\u1ebf, m\u00e0n h\u00ecnh m\u00e1y t\u00ednh ngang t\u1ea7m m\u1eaft. N\u00e2ng v\u1eadt n\u1eb7ng b\u1eb1ng c\u00e1ch g\u1eadp g\u1ed1i, gi\u1eef l\u01b0ng th\u1eb3ng.<\/li>\n
    • Ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd v\u00e0 gi\u1ea5c ng\u1ee7 \u0111\u1ee7: \u0110\u1ec7m n\u1eb1m \u00eam \u00e1i, n\u00e2ng \u0111\u1ee1 c\u1ed9t s\u1ed1ng, ch\u1ecdn g\u1ed1i ph\u00f9 h\u1ee3p. Gi\u1ea5c ng\u1ee7 s\u00e2u, \u0111\u1ee7 gi\u1edd h\u1ed7 tr\u1ee3 t\u00e1i t\u1ea1o c\u01a1 b\u1eafp, gi\u1ea3m c\u0103ng th\u1eb3ng.<\/li>\n
    • Li\u1ec7u ph\u00e1p th\u01b0 gi\u00e3n, thi\u1ec1n, yoga, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd c\u00f3 th\u1ec3 gi\u1ea3m \u0111au m\u1ea1n t\u00ednh.<\/li>\n<\/ul>\n

      Khi \u0111\u00e3 c\u00f3 ti\u1ec1n s\u1eed \u0111au l\u01b0ng, n\u00ean t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3, s\u1edbm ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng. \u0110i\u1ec1u tr\u1ecb s\u1edbm ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng n\u1eb7ng.<\/p>\n

      \"Ph\u00f2ng<\/p>\n

      M\u1ed9t s\u1ed1 v\u00ed d\u1ee5 \u0111i\u1ec3n h\u00ecnh v\u1ec1 b\u1ec7nh \u0111au l\u01b0ng<\/h2>\n

      Ng\u01b0\u1eddi tr\u1ebb \u0111au l\u01b0ng do ng\u1ed3i h\u1ecdc sai t\u01b0 th\u1ebf: H\u1ecdc sinh l\u1edbp 11, 12 ng\u1ed3i h\u1ecdc c\u00fai g\u1eadp nhi\u1ec1u gi\u1edd, c\u1ed9t s\u1ed1ng ch\u1ecbu l\u1ef1c kh\u00f4ng h\u1ee3p l\u00fd, g\u00e2y \u0111au v\u00f9ng th\u1eaft l\u01b0ng. \u0110i\u1ec1u ch\u1ec9nh t\u01b0 th\u1ebf ng\u1ed3i, b\u00e0n gh\u1ebf ph\u00f9 h\u1ee3p, xen k\u1ebd th\u1eddi gian ngh\u1ec9, th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp gi\u00e3n c\u01a1, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u nh\u1eb9 nh\u00e0ng.<\/p>\n

      Nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng \u0111au l\u01b0ng m\u1ea1n t\u00ednh: Th\u00f3i quen ng\u1ed3i l\u00e2u, \u00edt v\u1eadn \u0111\u1ed9ng, c\u00f3 th\u1ec3 g\u00e2y tho\u00e1i h\u00f3a, \u0111au kh\u1edbp li\u00ean m\u1ea5u. Thay \u0111\u1ed5i gh\u1ebf ng\u1ed3i, t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 gi\u1eefa gi\u1edd, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, gi\u1ea3m c\u00e2n, yoga.
      \nB\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh: \u0110au lan xu\u1ed1ng ch\u00e2n, kh\u00f3 \u0111i l\u1ea1i. Ch\u1ea9n \u0111o\u00e1n b\u1eb1ng MRI, \u0111o \u0111i\u1ec7n c\u01a1. Thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng, n\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n, xem x\u00e9t ph\u1eabu thu\u1eadt gi\u1ea3i \u00e9p.<\/p>\n

      B\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i \u0111au l\u01b0ng \u0111\u1ed9t ng\u1ed9t d\u1eef d\u1ed9i: Kh\u00e1m v\u00e0 ch\u1ee5p phim X-quang, MRI \u0111\u1ec3 lo\u1ea1i tr\u1eeb ung th\u01b0 di c\u0103n. N\u1ebfu ph\u00e1t hi\u1ec7n kh\u1ed1i u, c\u1ea7n ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00e0 ki\u1ec3m so\u00e1t \u0111au.<\/p>\n

      \u0110au l\u01b0ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 ph\u1ed5 bi\u1ebfn, ph\u1ee9c t\u1ea1p, v\u00e0 kh\u00f4ng ai \u0111\u1ea3m b\u1ea3o c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n tr\u00e1nh kh\u1ecfi trong su\u1ed1t cu\u1ed9c \u0111\u1eddi. Tuy nhi\u00ean, vi\u1ec7c hi\u1ec3u r\u00f5 c\u01a1 ch\u1ebf, nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, ph\u00f2ng ng\u1eeba s\u1ebd gi\u00fap ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng n\u00e0y t\u1ed1t h\u01a1n. Y h\u1ecdc hi\u1ec7n \u0111\u1ea1i kh\u00f4ng ch\u1ec9 t\u1eadp trung v\u00e0o d\u00f9ng thu\u1ed1c hay ph\u1eabu thu\u1eadt, m\u00e0 c\u00f2n ch\u00fa tr\u1ecdng \u0111\u1ebfn thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, luy\u1ec7n t\u1eadp, dinh d\u01b0\u1ee1ng, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 y h\u1ecdc v\u1eadn \u0111\u1ed9ng.<\/p>\n

      M\u1ed9t m\u00f4 h\u00ecnh ti\u1ebfp c\u1eadn \u0111a m\u00f4 th\u1ee9c, \u0111\u1eb7t ng\u01b0\u1eddi b\u1ec7nh v\u00e0o trung t\u00e2m, xem x\u00e9t c\u1ea3 m\u00f4i tr\u01b0\u1eddng s\u1ed1ng v\u00e0 l\u00e0m vi\u1ec7c, k\u1ebft h\u1ee3p m\u00e1y m\u00f3c, trang thi\u1ebft b\u1ecb tr\u1ecb li\u1ec7u hi\u1ec7n \u0111\u1ea1i, c\u00f9ng s\u1ef1 h\u1ee3p t\u00e1c c\u1ee7a nhi\u1ec1u chuy\u00ean khoa, s\u1ebd mang l\u1ea1i hi\u1ec7u qu\u1ea3 b\u1ec1n v\u1eefng. C\u1ed1t l\u00f5i l\u00e0 nh\u1eafm \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb t\u1eadn g\u1ed1c nguy\u00ean nh\u00e2n, h\u1ed7 tr\u1ee3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, v\u00e0 gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n duy tr\u00ec l\u1ed1i s\u1ed1ng khoa h\u1ecdc.<\/p>\n

      M\u1ee5c ti\u00eau cu\u1ed1i c\u00f9ng l\u00e0 kh\u00f4ng ch\u1ec9 gi\u1ea3m \u0111au l\u01b0ng trong ng\u1eafn h\u1ea1n, m\u00e0 c\u00f2n ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t, \u0111\u1ec3 ch\u00fang ta ch\u1ec9 ph\u1ea3i \u201c\u0111au l\u01b0ng m\u1ed9t l\u1ea7n trong \u0111\u1eddi\u201d ho\u1eb7c n\u1ebfu c\u00f3 b\u1ecb th\u00eam l\u1ea7n n\u1eefa, c\u0169ng bi\u1ebft c\u00e1ch ki\u1ec3m so\u00e1t, h\u1ea1n ch\u1ebf t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c l\u00ean ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. V\u1edbi ki\u1ebfn th\u1ee9c, s\u1ef1 h\u1ee3p t\u00e1c gi\u1eefa b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1c s\u0129, c\u00f9ng c\u00e1c bi\u1ec7n ph\u00e1p y h\u1ecdc ti\u00ean ti\u1ebfn, ch\u00fang ta c\u00f3 th\u1ec3 bi\u1ebfn \u0111au l\u01b0ng t\u1eeb m\u1ed9t n\u1ed7i \u00e1m \u1ea3nh th\u00e0nh m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng qu\u1ea3n l\u00fd.<\/p>\n","protected":false},"excerpt":{"rendered":"

      \u0110au l\u01b0ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 ph\u1ed5 bi\u1ebfn v\u1ec1 s\u1ee9c kh\u1ecfe, \u0111a ph\u1ea7n m\u1ecdi ng\u01b0\u1eddi \u0111\u00e3 tr\u1ea3i qua \u0111au l\u01b0ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng. Kh\u00e1c v\u1edbi nhi\u1ec1u b\u1ec7nh l\u00fd \u0111\u1eb7c hi\u1ec7u, \u0111au l\u01b0ng kh\u00f4ng ch\u1ec9 l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a m\u1ed9t nguy\u00ean nh\u00e2n duy nh\u1ea5t, m\u00e0 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng…<\/p>\n","protected":false},"author":2,"featured_media":2932,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36],"tags":[],"class_list":["post-2913","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-y-khoa"],"acf":[],"_links":{"self":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts\/2913","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/comments?post=2913"}],"version-history":[{"count":5,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts\/2913\/revisions"}],"predecessor-version":[{"id":2942,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts\/2913\/revisions\/2942"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/media\/2932"}],"wp:attachment":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/media?parent=2913"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/categories?post=2913"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/tags?post=2913"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}