{"id":392,"date":"2026-10-11T18:06:38","date_gmt":"2026-10-11T11:06:38","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/chan-thuong-dung-dap-co-tu-dau-dui-nguy-co-viem-cot-hoa-di-vi-va-quan-ly-hau-phau\/"},"modified":"2026-10-11T18:06:38","modified_gmt":"2026-10-11T11:06:38","slug":"chan-thuong-dung-dap-co-tu-dau-dui-nguy-co-viem-cot-hoa-di-vi-va-quan-ly-hau-phau","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/chan-thuong-dung-dap-co-tu-dau-dui-nguy-co-viem-cot-hoa-di-vi-va-quan-ly-hau-phau\/","title":{"rendered":"Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i: Nguy c\u01a1 vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb v\u00e0 qu\u1ea3n l\u00fd h\u1eadu ph\u1eabu"},"content":{"rendered":"<h2>Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i v\u00e0 bi\u1ebfn ch\u1ee9ng vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb<\/h2>\n<p>Vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb (myositis ossificans) l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh sinh l\u00fd b\u1ec7nh \u0111\u1eb7c bi\u1ec7t x\u1ea3y ra sau ch\u1ea5n th\u01b0\u01a1ng, trong \u0111\u00f3 m\u00f4 m\u1ec1m b\u1ecb t\u1ed5n th\u01b0\u01a1ng t\u1ea1o ra c\u00e1c m\u1ea3ng x\u01b0\u01a1ng b\u1ea5t th\u01b0\u1eddng b\u00ean ngo\u00e0i kh\u1edbp. \u0110\u1ed1i v\u1edbi ch\u1ea5n th\u01b0\u01a1ng c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i \u2013 m\u1ed9t nh\u00f3m ch\u1ea5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn g\u00e2n ch\u00e8n v\u00e0o x\u01b0\u01a1ng \u1ed1ng ch\u00e2n \u2013 vi\u1ec7c nh\u1eadn di\u1ec7n \u0111\u00fang lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean trong qu\u1ea3n l\u00fd l\u00e2m s\u00e0ng.<\/p>\n<p>C\u00e1c t\u00e0i li\u1ec7u chuy\u00ean khoa ch\u1ec9 ra r\u1eb1ng vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb th\u1ef1c s\u1ef1 c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t v\u1edbi qu\u00e1 tr\u00ecnh canxi h\u00f3a d\u1ecb v\u1ecb (heterotopic calcification) th\u00f4ng th\u01b0\u1eddng. Trong khi qu\u00e1 tr\u00ecnh n\u00e0y sau c\u00f9ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf kh\u1edbp c\u1ed5 tay ho\u1eb7c khu\u1ef7u tay, th\u00ec t\u1ea1i c\u00e1c v\u00f9ng nh\u01b0 c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i, t\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng \u00edt g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng h\u01a1n n\u1ebfu \u0111\u01b0\u1ee3c x\u1eed l\u00fd \u0111\u00fang c\u00e1ch [5].<\/p>\n<h3>Y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h3>\n<p>T\u1ea1i sao m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n l\u1ea1i ph\u00e1t tri\u1ec3n vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb n\u1eb7ng n\u1ec1 trong khi ng\u01b0\u1eddi kh\u00e1c kh\u00f4ng? C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 x\u00e1c \u0111\u1ecbnh m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng:<\/p>\n<ul>\n<li><strong>B\u1ea3n ch\u1ea5t c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng:<\/strong> Ch\u1ea5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u ho\u1eb7c m\u1ea5t \u1ed5n \u0111\u1ecbnh m\u00f4 m\u1ec1m, l\u00e0m t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh kh\u1ed1i x\u01b0\u01a1ng d\u1ecb v\u1ecb.<\/li>\n<li><strong>T\u00ecnh tr\u1ea1ng ti\u1ec1n s\u1eed:<\/strong> B\u1ec7nh nh\u00e2n t\u1eebng c\u00f3 ti\u1ec1n \u00e1n vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb ho\u1eb7c b\u1ecb tho\u00e1i h\u00f3a kh\u1edbp do ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng t\u00e1i ph\u00e1t cao h\u01a1n [1].<\/li>\n<li><strong>T\u00ednh ch\u1ea5t ph\u1eabu thu\u1eadt:<\/strong> Th\u1eddi gian ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i v\u00e0 vi\u1ec7c l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m qu\u00e1 m\u1ee9c trong qu\u00e1 tr\u00ecnh m\u1ed5 l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o t\u00edch c\u1ef1c cho s\u1ef1 h\u00ecnh th\u00e0nh vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb. Do \u0111\u00f3, k\u1ef9 thu\u1eadt c\u1eaft m\u1edf t\u1ec9 m\u1ec9 v\u00e0 th\u1eddi gian ph\u1eabu thu\u1eadt ng\u1eafn g\u1ecdn \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 gi\u1ea3m thi\u1ec3u r\u1ee7i ro [1].<\/li>\n<li><strong>T\u00ednh ch\u1ea5t gi\u1edbi t\u00ednh:<\/strong> M\u1ed9t s\u1ed1 b\u00e1o c\u00e1o ghi nh\u1eadn m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa nam gi\u1edbi v\u00e0 nguy c\u01a1 ph\u00e1t tri\u1ec3n vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb sau c\u00e1c th\u1ee7 thu\u1eadt ch\u1ec9nh h\u00ecnh ph\u1ee9c t\u1ea1p.<\/li>\n<\/ul>\n<h3>Qu\u1ea3n l\u00fd \u0111i\u1ec1u tr\u1ecb: B\u1ea3o t\u1ed3n hay can thi\u1ec7p ph\u1eabu thu\u1eadt?<\/h3>\n<p>Khi \u0111\u1ed1i m\u1eb7t v\u1edbi m\u1ed9t tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb, b\u00e1c s\u0129 c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa vi\u1ec7c ch\u1edd \u0111\u1ee3i t\u1ef1 nhi\u00ean v\u00e0 can thi\u1ec7p ph\u1eabu thu\u1eadt. M\u1ed9t quan \u0111i\u1ec3m quan tr\u1ecdng \u0111\u01b0\u1ee3c nh\u1ea5n m\u1ea1nh trong c\u00e1c t\u00e0i li\u1ec7u y khoa l\u00e0 s\u1ef1 ki\u00ean nh\u1eabn trong \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n.<\/p>\n<p>Nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng c\u1ea3 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng l\u1eabn hi\u1ec7n t\u01b0\u1ee3ng canxi h\u00f3a c\u00f3 th\u1ec3 t\u1ef1 bi\u1ebfn m\u1ea5t sau kho\u1ea3ng 2 n\u0103m m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt s\u1edbm [4]. Vi\u1ec7c c\u1eaft b\u1ecf kh\u1ed1i x\u01b0\u01a1ng qu\u00e1 s\u1edbm (trong giai \u0111o\u1ea1n vi\u00eam c\u1ea5p t\u00ednh) c\u00f3 nguy c\u01a1 k\u00edch th\u00edch l\u1ea1i s\u1ef1 h\u00ecnh th\u00e0nh m\u00f4 s\u1eb9o v\u00e0 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng m\u1ea5t ch\u1ee9c n\u0103ng. Do \u0111\u00f3, nguy\u00ean t\u1eafc &#8216;kh\u00f4ng can thi\u1ec7p s\u1edbm&#8217; th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh.<\/p>\n<p>Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i \u0111au \u0111\u1edbn d\u1eef d\u1ed9i ho\u1eb7c h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng nghi\u00eam tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng, th\u00ec ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft. M\u1ed9t ca \u0111i\u1ec3n h\u00ecnh ghi nh\u1eadn \u1edf tr\u1ebb em cho th\u1ea5y vi\u1ec7c c\u1eaft b\u1ecf kh\u1ed1i vi\u00eam c\u1ed1t h\u00f3a \u0111\u00e3 gi\u00fap gi\u1ea3m \u0111au v\u00e0 kh\u00f4i ph\u1ee5c l\u1ea1i ph\u1ea1m vi v\u1eadn \u0111\u1ed9ng \u0111\u1ea7y \u0111\u1ee7 [4].<\/p>\n<h3>Ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c<\/h3>\n<p>B\u00ean c\u1ea1nh vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb, c\u1ea7n l\u01b0u \u00fd \u0111\u1ebfn m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn:<\/p>\n<ul>\n<li><strong>Canxi h\u00f3a d\u00e2y ch\u1eb1ng:<\/strong> \u0110\u00e2y l\u00e0 qu\u00e1 tr\u00ecnh dystrophic (tho\u00e1i bi\u1ebfn) li\u00ean quan \u0111\u1ebfn canxi h\u00f3a trong c\u00e1c c\u1ea5u tr\u00fac d\u00e2y ch\u1eb1ng v\u00e0 bao kh\u1edbp, th\u01b0\u1eddng kh\u00f4ng g\u00e2y m\u1ea5t ch\u1ee9c n\u0103ng \u0111\u00e1ng k\u1ec3 [3].<\/li>\n<li><strong>B\u1ec7nh l\u00fd vi\u00eam t\u00fai ti\u1ec1n (Bursitis):<\/strong> C\u00e1c t\u1ed5n th\u01b0\u01a1ng nh\u01b0 vi\u00eam t\u00fai ti\u1ec1n tr\u01b0\u1edbc \u0111\u1ea7u g\u1ed1i ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn g\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n b\u1eb1ng ngh\u1ec9 ng\u01a1i, b\u0103ng ch\u01b0\u1eddm l\u1ea1nh v\u00e0 n\u1ea1o d\u1ecbch. Ch\u1ec9 khi c\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y th\u1ea5t b\u1ea1i m\u1edbi c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf [2].<\/li>\n<\/ul>\n<p>T\u00f3m l\u1ea1i, vi\u1ec7c qu\u1ea3n l\u00fd ch\u1ea5n th\u01b0\u01a1ng c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i li\u00ean quan \u0111\u1ebfn vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb \u0111\u00f2i h\u1ecfi s\u1ef1 hi\u1ec3u bi\u1ebft s\u00e2u s\u1eafc v\u1ec1 qu\u00e1 tr\u00ecnh t\u1ef1 nhi\u00ean c\u1ee7a b\u1ec7nh v\u00e0 kh\u1ea3 n\u0103ng ki\u00ean nh\u1eabn trong \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. Ch\u1ec9 khi c\u1ea7n thi\u1ebft, c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p ph\u1eabu thu\u1eadt m\u1edbi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 tr\u00e1nh nh\u1eefng h\u1eadu qu\u1ea3 kh\u00f4ng mong mu\u1ed1n.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 654<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 592<\/li>\n<li>[3] Rockwood and Green&#x27;s Fractures in Children, 9th Edition, 2020, trang 922<\/li>\n<li>[4] Rockwood and Green&#x27;s Fractures in Children, 9th Edition, 2020, trang 832<\/li>\n<li>[5] Rockwood and Green&#x27;s Fractures in Children, 9th Edition, 2020, trang 922<\/li>\n<\/ul>\n<p><!-- aiwriter:f7017bf9f255467e8881f84e --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hi\u1ec3u r\u00f5 v\u1ec1 nguy c\u01a1 vi\u00eam c\u1ed1t h\u00f3a d\u1ecb v\u1ecb sau ch\u1ea5n th\u01b0\u01a1ng c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i, c\u00e1c y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n hay ph\u1eabu thu\u1eadt.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-392","post","type-post","status-publish","format-standard","hentry","category-chi-duoi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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