{"id":46,"date":"2023-11-07T22:42:15","date_gmt":"2023-11-07T15:42:15","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/?p=46"},"modified":"2023-11-07T22:44:45","modified_gmt":"2023-11-07T15:44:45","slug":"gay-dau-duoi-xuong-quay-o-nguoi-lon","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2023\/11\/07\/gay-dau-duoi-xuong-quay-o-nguoi-lon\/","title":{"rendered":"G\u00c3Y \u0110\u1ea6U D\u01af\u1edaI X\u01af\u01a0NG QUAY \u1ede NG\u01af\u1edcI L\u1edaN"},"content":{"rendered":"\n<p class=\"has-text-align-right\">(L\u01b0\u1ee3c d\u1ecbch t\u1eeb Uptodate, c\u1eadp nh\u1eadt ng\u00e0y 31\/10\/2023)<\/p>\n\n\n\n<p>G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 lo\u1ea1i g\u00e3y hay g\u1eb7p nh\u1ea5t \u1edf chi tr\u00ean. Theo th\u1ed1ng k\u00ea c\u00f3 \u0111\u1ebfn 1\/6 c\u00e1c ca g\u00e3y x\u01b0\u01a1ng nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u l\u00e0 do lo\u1ea1i g\u00e3y n\u00e0y. V\u1edbi t\u1ea7m quan tr\u1ecdng c\u1ee7a c\u1ed5 tay trong s\u1ef1 v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y, v\u1ea5n \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd lo\u1ea1i g\u00e3y n\u00e0y l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n<p>Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay th\u01b0\u1eddng g\u1eb7p \u1edf 2 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng ch\u00ednh l\u00e0: ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i b\u1ecb t\u00e9 ng\u00e3 khi tham gia th\u1ec3 thao hay tai n\u1ea1n giao th\u00f4ng v\u1edbi m\u1ee9c ch\u1ea5n th\u01b0\u01a1ng n\u0103ng l\u01b0\u1ee3ng t\u01b0\u01a1ng t\u1ed1i cao v\u00e0 \u1edf ng\u01b0\u1eddi gi\u00e0 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng t\u00e9 ng\u00e3 ch\u1ed1ng tay khi sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p><strong>L\u00c2M S\u00c0NG<\/strong><\/p>\n\n\n\n<p><strong><em>B\u00e1c s\u0129 n\u00ean khai th\u00e1c k\u0129 v\u1ec1:<\/em><\/strong><\/p>\n\n\n\n<p>&#8211; C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n\n\n\n<p>&#8211; Ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c ph\u1eabu thu\u1eadt v\u00f9ng c\u1ed5 tay tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n\n\n\n<p>&#8211; B\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tay b\u1ecb th\u01b0\u01a1ng: h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean, x\u01a1 c\u1ee9ng b\u00ec, vi\u00eam t\u00e1c m\u1ea1ch m\u00e1u.<\/p>\n\n\n\n<p><strong><em>Kh\u00e1m b\u1ec7nh:<\/em><\/strong><\/p>\n\n\n\n<p>&#8211; S\u01b0ng \u0111au, bi\u1ebfn d\u1ea1ng, ki\u1ec3m tra t\u00ecnh tr\u1ea1ng g\u00e3y x\u01b0\u01a1ng k\u00ednh hay h\u1edf.<\/p>\n\n\n\n<p>&#8211; \u0110\u00e1nh gi\u00e1 th\u1ea7n kinh: ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh gi\u1eefa, quay v\u00e0 tr\u1ee5. C\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd \u0111\u1ebfn c\u1ea3m gi\u00e1c \u1edf ng\u00f3n c\u00e1i v\u00e0 ng\u00f3n tr\u1ecf v\u00ec th\u01b0\u1eddng x\u1ea3y ra ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh gi\u1eefa c\u1ea5p t\u00ednh, \u0111\u1eb7c bi\u1ec7t v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng di l\u1ec7ch n\u1eb7ng.<\/p>\n\n\n\n<p>&#8211; \u0110\u00e1nh gi\u00e1 tu\u1ea7n ho\u00e0n b\u1eb1ng c\u00e1ch b\u1eaft m\u1ea1ch quay v\u00e0 ki\u1ec3m tra kh\u1ea3 n\u0103ng l\u00e0m \u0111\u1ea7y mao m\u1ea1ch c\u1ee7a gi\u01b0\u1eddng m\u00f3ng tay v\u00e0 \u0111\u1ea7u ng\u00f3n tay.<\/p>\n\n\n\n<p>&#8211; \u0110\u00e1nh gi\u00e1 t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u1ed5 tay bao g\u1ed3m s\u1ea5p, ng\u1eeda, g\u1ea5p, du\u1ed7i n\u1ebfu c\u00f3 th\u1ec3.<\/p>\n\n\n\n<p>&#8211; \u0110\u1ec3 tr\u00e1nh b\u1ecf s\u00f3t t\u1ed5n th\u01b0\u01a1ng, b\u00e1c s\u0129 n\u00ean ki\u1ec3m tra to\u00e0n b\u1ed9 chi b\u1ecb li\u00ean quan, \u0111\u1eb7c bi\u1ec7t l\u00e0 kh\u1edbp khu\u1ef7u tay v\u00e0 kh\u1edbp vai.<\/p>\n\n\n\n<p><strong>CH\u1ea8N<\/strong><strong> \u0110O\u00c1N H\u00ccNH \u1ea2NH<\/strong><\/p>\n\n\n\n<p>D\u1ef1a v\u00e0o Xquang, c\u1ea7n tr\u1ea3 l\u1eddi \u0111\u01b0\u1ee3c 4 c\u00e2u h\u1ecfi quan tr\u1ecdng:<\/p>\n\n\n\n<p>&#8211; C\u00f3 m\u1ea5t c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu b\u00ecnh th\u01b0\u1eddng kh\u00f4ng (v\u00ed d\u1ee5: g\u00e3y x\u01b0\u01a1ng di l\u1ec7ch ho\u1eb7c g\u1eadp g\u00f3c, m\u1ea5t chi\u1ec1u cao x\u01b0\u01a1ng quay)?<\/p>\n\n\n\n<p>&#8211; C\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1edbp quay c\u1ed5 tay ho\u1eb7c kh\u1edbp tr\u1ee5 d\u01b0\u1edbi kh\u00f4ng?<\/p>\n\n\n\n<p>&#8211; N\u1ebfu kh\u1edbp b\u1ecb t\u1ed5n th\u01b0\u01a1ng, b\u1ec1 m\u1eb7t kh\u1edbp c\u00f3 b\u1ecb l\u00fan hay t\u00e1ch r\u1eddi kh\u00f4ng?<\/p>\n\n\n\n<p>&#8211; C\u00f3 \u0111\u1eb7c \u0111i\u1ec3m nguy c\u01a1 cao n\u00e0o kh\u00f4ng (v\u00ed d\u1ee5: g\u00e3y v\u1ee5n, l\u00fan m\u1eb7t kh\u1edbp &gt;2 mm, g\u00e3y x\u01b0\u01a1ng-tr\u1eadt kh\u1edbp)?<\/p>\n\n\n\n<p><strong>Ch\u1ee5p Xquang sau-tr\u01b0\u1edbc (PA) <\/strong>(m\u1eb7c d\u00f9 h\u00ecnh \u1ea3nh PA \u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi trong t\u00e0i li\u1ec7u y khoa l\u00e0 \u201cAP\u201d [tr\u01b0\u1edbc-sau], \u0111i\u1ec1u n\u00e0y kh\u00f4ng ch\u00ednh x\u00e1c v\u1ec1 m\u1eb7t k\u1ef9 thu\u1eadt). C\u00e1c m\u1ed1c tr\u00ean Xquang PA bao g\u1ed3m c\u00e1c m\u1ecfm tr\u00e2m quay v\u00e0 tr\u1ee5, kh\u1edbp tr\u1ee5 quay d\u01b0\u1edbi (DRUJ) v\u00e0 kh\u1edbp quay c\u1ed5 tay. C\u00e1c ph\u00e9p \u0111o Xquang quan tr\u1ecdng bao g\u1ed3m g\u00f3c nghi\u00eang x\u01b0\u01a1ng quay (radial inclination), \u0111\u1ed9 d\u00e0i x\u01b0\u01a1ng quay (radial height) v\u00e0 \u0111\u1ed9 ch\u00eanh x\u01b0\u01a1ng tr\u1ee5 (ulnar variance).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><em>G\u00f3c nghi\u00eang x\u01b0\u01a1ng quay<\/em><\/strong> (radial inclination): l\u00e0 g\u00f3c gi\u1eefa m\u1ed9t \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c d\u1ecdc x\u01b0\u01a1ng quay v\u00e0 \u0111\u01b0\u1eddng th\u1ee9 hai t\u1eeb \u0111\u1ea7u c\u1ee7a m\u1ecfm tr\u00e2m quay \u0111\u1ebfn \u0111i\u1ec3m tham chi\u1ebfu trung t\u00e2m (CRP). CRP n\u1eb1m \u1edf gi\u1eefa g\u00f3c tr\u1ee5 c\u1ee7a l\u00f2ng b\u00e0n tay v\u00e0 g\u00f3c tr\u1ee5 sau c\u1ee7a \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay. G\u00f3c nghi\u00eang x\u01b0\u01a1ng quay trung b\u00ecnh kho\u1ea3ng 20 \u0111\u1ebfn 25 \u0111\u1ed9, m\u1eb7c d\u00f9 c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t nh\u1ecf v\u1ec1 gi\u1edbi t\u00ednh (24,7 \u00b1 2,5 \u0111\u1ed1i v\u1edbi n\u1eef; 22,5 \u00b1 2,1 \u0111\u1ed1i v\u1edbi nam). G\u00f3c th\u01b0\u1eddng nh\u1ecf h\u01a1n trong g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay.<\/li>\n\n\n\n<li>(radial height): l\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa hai \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c d\u1ecdc x\u01b0\u01a1ng quay, m\u1ed9t \u0111\u01b0\u1eddng \u0111i qua \u0111\u1ea7u xa c\u1ee7a m\u1ecfm tr\u00e2m quay v\u00e0 \u0111\u01b0\u1eddng th\u1ee9 hai \u0111i qua CRP. \u0110\u1ed9 d\u00e0i x\u01b0\u01a1ng quay trung b\u00ecnh l\u00e0 11,6 \u00b1 1,6 mm. \u0110\u1ed9 d\u00e0i \u0111o \u0111\u01b0\u1ee3c th\u01b0\u1eddng nh\u1ecf h\u01a1n trong g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay.<\/li>\n\n\n\n<li><strong><em>\u0110\u1ed9 ch\u00eanh x\u01b0\u01a1ng tr\u1ee5<\/em><\/strong> (ulnar variance): l\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa hai \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c d\u1ecdc x\u01b0\u01a1ng quay, m\u1ed9t \u0111\u01b0\u1eddng \u0111i qua b\u1ec1 m\u1eb7t kh\u1edbp x\u01b0\u01a1ng tr\u1ee5 v\u00e0 \u0111\u01b0\u1eddng th\u1ee9 hai \u0111i qua CRP. Th\u00f4ng th\u01b0\u1eddng, m\u1eb7t kh\u1edbp x\u01b0\u01a1ng quay c\u00e1ch m\u1eb7t kh\u1edbp x\u01b0\u01a1ng tr\u1ee5 1 \u0111\u1ebfn 2 mm (\u0111\u1ed9 ch\u00eanh x\u01b0\u01a1ng tr\u1ee5 \u00e2m). Khi m\u1eb7t kh\u1edbp x\u01b0\u01a1ng tr\u1ee5 c\u00e1ch xa m\u1eb7t kh\u1edbp x\u01b0\u01a1ng quay (\u0111\u1ed9 ch\u00eanh x\u01b0\u01a1ng tr\u1ee5 d\u01b0\u01a1ng), c\u01a1 sinh h\u1ecdc c\u1ee7a c\u1ed5 tay c\u00f3 th\u1ec3 b\u1ecb suy gi\u1ea3m, \u0111\u1eb7c bi\u1ec7t n\u1ebfu kho\u1ea3ng c\u00e1ch l\u1edbn h\u01a1n 5 mm so v\u1edbi c\u1ed5 tay \u0111\u1ed1i di\u1ec7n.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"666\" height=\"589\" data-id=\"47\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image.png\" alt=\"\" class=\"wp-image-47\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image.png 666w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-300x265.png 300w\" sizes=\"auto, (max-width: 666px) 100vw, 666px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"669\" height=\"566\" data-id=\"48\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-1.png\" alt=\"\" class=\"wp-image-48\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-1.png 669w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-1-300x254.png 300w\" sizes=\"auto, (max-width: 669px) 100vw, 669px\" \/><\/figure>\n<\/figure>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"850\" height=\"927\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-2.png\" alt=\"\" class=\"wp-image-49\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-2.png 850w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-2-275x300.png 275w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-2-768x838.png 768w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><\/figure>\n<\/div>\n\n\n<p><strong>Ch\u1ee5p Xquang nghi\u00eang<\/strong>: trong phim \u0111\u00fang t\u01b0 th\u1ebf x\u01b0\u01a1ng quay v\u00e0 x\u01b0\u01a1ng tr\u1ee5 s\u1ebd ch\u1ed3ng l\u00ean nhau v\u00e0 x\u01b0\u01a1ng \u0111\u1eadu \u1edf tr\u00ean c\u1ef1c xa c\u1ee7a x\u01b0\u01a1ng thuy\u1ec1n. N\u1ebfu x\u01b0\u01a1ng \u0111\u1eadu \u1edf ph\u00eda sau c\u1ee7a x\u01b0\u01a1ng thuy\u1ec1n, b\u1ec7nh nh\u00e2n \u0111ang \u1edf t\u01b0 th\u1ebf s\u1ea5p. N\u1ebfu x\u01b0\u01a1ng \u0111\u1eadu \u1edf ph\u00eda l\u00f2ng b\u00e0n tay, b\u1ec7nh nh\u00e2n \u0111ang \u1edf t\u01b0 th\u1ebf ng\u1eeda. Th\u00f4ng th\u01b0\u1eddng, x\u01b0\u01a1ng nguy\u1ec7t n\u1eb1m trong h\u1ed1 c\u1ee7a \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay v\u00e0 \u0111\u1ed9 cong c\u1ee7a b\u1ec1 m\u1eb7t kh\u1edbp c\u1ee7a ch\u00fang ph\u1ea3i t\u01b0\u01a1ng \u1ee9ng. Tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng nguy\u1ec7t ph\u1ea3i th\u1eb3ng h\u00e0ng v\u1edbi tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng quay. S\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a x\u01b0\u01a1ng nguy\u1ec7t v\u1ec1 ph\u00eda l\u00f2ng b\u00e0n tay l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ef1 m\u1ea5t v\u1eefng kh\u1edbp quay c\u1ed5 tay. Ph\u00e9p \u0111o quan tr\u1ecdng nh\u1ea5t tr\u00ean phim nghi\u00eang l\u00e0 \u0111\u1ed9 nghi\u00eang c\u1ee7a l\u00f2ng b\u00e0n tay (palmar tilt). Kho\u1ea3ng c\u00e1ch tr\u01b0\u1edbc sau (AP) c\u0169ng c\u00f3 th\u1ec3 h\u1eefu \u00edch.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><em>\u0110\u1ed9 nghi\u00eang c\u1ee7a l\u00f2ng b\u00e0n tay<\/em><\/strong> (palmar tilt) l\u00e0 g\u00f3c \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh b\u1edfi giao \u0111i\u1ec3m c\u1ee7a m\u1ed9t \u0111\u01b0\u1eddng vu\u00f4ng g\u00f3c v\u1edbi tr\u1ee5c d\u1ecdc x\u01b0\u01a1ng quay v\u00e0 \u0111\u01b0\u1eddng th\u1ee9 hai \u0111\u01b0\u1ee3c v\u1ebd qua \u0111\u1ec9nh x\u01b0\u01a1ng \u1edf m\u1eb7t l\u00f2ng v\u00e0 m\u1eb7t mu c\u1ee7a x\u01b0\u01a1ng quay. \u0110\u1ed9 nghi\u00eang c\u1ee7a l\u00f2ng b\u00e0n tay b\u00ecnh th\u01b0\u1eddng tr\u00ean phim nghi\u00eang ti\u00eau chu\u1ea9n trung b\u00ecnh l\u00e0 11,2 \u00b1 4,6 \u0111\u1ed9 v\u00e0 kh\u00f4ng kh\u00e1c nhau gi\u1eefa nam v\u00e0 n\u1eef. \u0110\u1ed9 nghi\u00eang l\u00f2ng b\u00e0n tay nh\u1ecf h\u01a1n do g\u00e3y x\u01b0\u01a1ng l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn \u0111au \u0111\u1edbn v\u00e0 t\u00e0n t\u1eadt sau n\u00e0y.<\/li>\n\n\n\n<li><strong><em>Kho\u1ea3ng c\u00e1ch tr\u01b0\u1edbc sau<\/em><\/strong> (AP) n\u1eb1m gi\u1eefa \u0111\u1ec9nh x\u01b0\u01a1ng \u1edf m\u1eb7t l\u00f2ng v\u00e0 m\u1eb7t mu c\u1ee7a x\u01b0\u01a1ng quay. Th\u00f4ng th\u01b0\u1eddng, kho\u1ea3ng c\u00e1ch AP ph\u1ea3i l\u1edbn h\u01a1n m\u1ed9t ch\u00fat so v\u1edbi chi\u1ec1u r\u1ed9ng x\u01b0\u01a1ng nguy\u1ec7t v\u00e0 trung b\u00ecnh l\u00e0 19,1 \u00b1 1,7 mm. Kho\u1ea3ng c\u00e1ch n\u00e0y l\u1edbn h\u01a1n \u0111\u00e1ng k\u1ec3 \u1edf nam gi\u1edbi (20,4 \u00b1 1,1) so v\u1edbi n\u1eef gi\u1edbi (17,8 \u00b1 1,7). V\u00e0 c\u00f3 th\u1ec3 t\u0103ng l\u00ean do ch\u1ea5n th\u01b0\u01a1ng do l\u1ef1c t\u00e1c \u0111\u1ed9ng d\u1ecdc tr\u1ee5c v\u00e0 g\u1ee3i \u00fd t\u00ecnh tr\u1ea1ng l\u00fan kh\u1edbp.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"688\" data-id=\"50\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-3.png\" alt=\"\" class=\"wp-image-50\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-3.png 550w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-3-240x300.png 240w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"845\" height=\"961\" data-id=\"51\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-4.png\" alt=\"\" class=\"wp-image-51\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-4.png 845w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-4-264x300.png 264w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-4-768x873.png 768w\" sizes=\"auto, (max-width: 845px) 100vw, 845px\" \/><\/figure>\n<\/figure>\n\n\n\n<p><strong>PH\u00c2N LO\u1ea0I<\/strong><\/p>\n\n\n\n<p>M\u1eb7c d\u00f9 c\u00f3 nhi\u1ec1u h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i cho g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, nh\u01b0ng kh\u00f4ng c\u00f3 h\u1ec7 th\u1ed1ng n\u00e0o \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn. G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng ph\u00e2n lo\u1ea1i theo t\u1eebng m\u1ea3nh c\u1ee5 th\u1ec3 ho\u1eb7c ph\u00e2n lo\u1ea1i Frykman ti\u00eau chu\u1ea9n. H\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i Frykman chia g\u00e3y x\u01b0\u01a1ng th\u00e0nh b\u1ed1n nh\u00f3m ch\u00ednh d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 li\u00ean quan c\u1ee7a kh\u1edbp. Trong m\u1ed7i nh\u00f3m ch\u00ednh, c\u00e1c g\u00e3y x\u01b0\u01a1ng c\u00f3 s\u1ed1 ch\u1eb5n li\u00ean quan \u0111\u1ebfn g\u00e3y m\u1ecfm tr\u00e2m tr\u1ee5 \u0111\u1ed3ng th\u1eddi. C\u00e1c danh m\u1ee5c c\u1ee7a Frykman l\u00e0: <\/p>\n\n\n\n<p>-Lo\u1ea1i I\/II: Ho\u00e0n to\u00e0n ngo\u00e0i kh\u1edbp; c\u00e1c bi\u1ebfn ch\u1ee9ng \u00edt g\u1eb7p khi \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 li\u00ean k\u1ebft v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"675\" data-id=\"52\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-5.png\" alt=\"\" class=\"wp-image-52\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-5.png 450w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-5-200x300.png 200w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption class=\"wp-element-caption\">Frykman I<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"675\" data-id=\"53\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-6.png\" alt=\"\" class=\"wp-image-53\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-6.png 450w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-6-200x300.png 200w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption class=\"wp-element-caption\">Frykman I<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"675\" data-id=\"54\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-7.png\" alt=\"\" class=\"wp-image-54\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-7.png 450w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-7-200x300.png 200w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><figcaption class=\"wp-element-caption\">Frykman I<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p>&#8211; Lo\u1ea1i III\/IV: G\u00e3y x\u01b0\u01a1ng ph\u1ea1m kh\u1edbp c\u1ed5 tay<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"486\" height=\"672\" data-id=\"55\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-8.png\" alt=\"\" class=\"wp-image-55\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-8.png 486w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-8-217x300.png 217w\" sizes=\"auto, (max-width: 486px) 100vw, 486px\" \/><figcaption class=\"wp-element-caption\">Frykman IV<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"541\" height=\"731\" data-id=\"56\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-9.png\" alt=\"\" class=\"wp-image-56\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-9.png 541w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-9-222x300.png 222w\" sizes=\"auto, (max-width: 541px) 100vw, 541px\" \/><figcaption class=\"wp-element-caption\">Frykman IV<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p>&#8211; Lo\u1ea1i V\/VI: G\u00e3y x\u01b0\u01a1ng li\u00ean quan kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi (DRUJ)<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-5 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"466\" height=\"653\" data-id=\"57\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-10.png\" alt=\"\" class=\"wp-image-57\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-10.png 466w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-10-214x300.png 214w\" sizes=\"auto, (max-width: 466px) 100vw, 466px\" \/><figcaption class=\"wp-element-caption\">Frykman Type VI<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p>Lo\u1ea1i VII\/VIII: Li\u00ean quan \u0111\u1ebfn c\u1ea3 b\u1ec1 m\u1eb7t kh\u1edbp c\u1ed5 tay v\u00e0 kh\u1edbp DRUJ v\u00e0 m\u1ea5t v\u1eefng<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-6 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"469\" height=\"773\" data-id=\"58\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-11.png\" alt=\"\" class=\"wp-image-58\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-11.png 469w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-11-182x300.png 182w\" sizes=\"auto, (max-width: 469px) 100vw, 469px\" \/><figcaption class=\"wp-element-caption\">Frykman Type VI<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p>Tr\u00ean l\u00e2m s\u00e0ng c\u0169ng hay g\u1eb7p c\u00e1ch ph\u00e2n lo\u1ea1i theo s\u1ef1 di l\u1ec7ch c\u1ee7a \u0111\u1ea7u g\u00e3y xa x\u01b0\u01a1ng quay. G\u00e3y Colles li\u00ean quan \u0111\u1ebfn s\u1ef1 d\u1ecbch chuy\u1ec3n v\u1ec1 ph\u00eda sau c\u1ee7a \u0111\u1ea7u m\u1ea3nh g\u00e3y xa x\u01b0\u01a1ng quay. G\u00e3y Smith li\u00ean quan \u0111\u1ebfn s\u1ef1 d\u1ecbch chuy\u1ec3n v\u1ec1 ph\u00eda l\u00f2ng b\u00e0n tay c\u1ee7a m\u1ea3nh g\u00e3y xa x\u01b0\u01a1ng quay.<\/p>\n\n\n\n<p>G\u00e3y tr\u1eadt kh\u1edbp: c\u00f3 2 lo\u1ea1i ch\u00ednh l\u00e0 Barton v\u00e0 Hutchinson. G\u00e3y Barton \u0111\u01b0\u1ee3c chia th\u00e0nh g\u00e3y Barton m\u1eb7t l\u00f2ng v\u00e0 g\u00e3y Barton m\u1eb7t l\u01b0ng. \u0110\u01b0\u1ee3c th\u1ea5y r\u00f5 nh\u1ea5t tr\u00ean Xquang nghi\u00eang. G\u00e3y Barton m\u1eb7t l\u00f2ng x\u1ea3y ra khi c\u00e1c d\u00e2y ch\u1eb1ng \u1ed1ng c\u1ed5 tay \u1edf l\u00f2ng b\u00e0n tay t\u00e1ch ra m\u1ed9t m\u1ea3nh x\u01b0\u01a1ng quay v\u00e0 tr\u1eadt kh\u1ed1i x\u01b0\u01a1ng c\u1ed5 tay. Trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y Barton l\u01b0ng, c\u00e1c d\u00e2y ch\u1eb1ng c\u1ed5 tay sau t\u00e1ch ra m\u1ed9t m\u1ea3nh quay v\u00e0 \u0111\u1ea9y kh\u1ed1i x\u01b0\u01a1ng c\u1ed5 tay v\u1ec1 ph\u00eda sau. Trong c\u1ea3 hai lo\u1ea1i, m\u1ea3nh g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay duy tr\u00ec li\u00ean k\u1ebft v\u1edbi x\u01b0\u01a1ng c\u1ed5 tay, g\u00e2y ra s\u1ef1 tr\u1eadt kh\u1edbp v\u00e0 m\u1ea5t v\u1eefng. C\u00f3 th\u1ec3 c\u1ed1 g\u1eafng n\u1eafn ch\u1ec9nh k\u00edn, nh\u01b0ng \u0111\u00e2y l\u00e0 lo\u1ea1i g\u00e3y m\u1ea5t v\u1eefng v\u00e0 n\u1eafn k\u00edn th\u01b0\u1eddng th\u1ea5t b\u1ea1i. Do \u0111\u00f3 g\u00e3y Barton th\u01b0\u1eddng c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"936\" height=\"467\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-12.png\" alt=\"\" class=\"wp-image-59\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-12.png 936w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-12-300x150.png 300w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-12-768x383.png 768w\" sizes=\"auto, (max-width: 936px) 100vw, 936px\" \/><\/figure>\n<\/div>\n\n\n<p>Lo\u1ea1i g\u00e3y tr\u1eadt kh\u1edbp th\u1ee9 hai c\u00f3 t\u00ean g\u1ecdi l\u00e0 g\u00e3y x\u01b0\u01a1ng Hutchinson, hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 g\u00e3y x\u01b0\u01a1ng t\u00e0i x\u1ebf. C\u01a1 ch\u1ebf \u0111i\u1ec3n h\u00ecnh l\u00e0 m\u1ed9t l\u1ef1c t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o m\u1ecfm tr\u00e2m quay (ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00f3 th\u1ec3 x\u1ea3y ra khi tay quay kh\u1edfi \u0111\u1ed9ng c\u1ee7a m\u1ed9t chi\u1ebfc \u00f4 t\u00f4 \u0111\u1eddi \u0111\u1ea7u \u0111\u1ed9t ng\u1ed9t quay ng\u01b0\u1ee3c v\u1edbi m\u1ed9t lu\u1ed3ng ph\u1ea3n l\u1ef1c \u0111\u1eadp v\u00e0o c\u1ed5 tay c\u1ee7a ng\u01b0\u1eddi t\u00e0i x\u1ebf), ho\u1eb7c ng\u00e3 ng\u1eeda v\u1edbi t\u01b0 th\u1ebf b\u00e0n tay dang ra nghi\u00eang tr\u1ee5 v\u00e0 ng\u1eeda . C\u01a1 ch\u1ebf nh\u01b0 v\u1eady l\u00e0m cho d\u00e2y ch\u1eb1ng x\u01b0\u01a1ng b\u1ea3 vai b\u1ecb \u0111\u1ee9t ra m\u1ed9t m\u1ea3nh l\u1edbn c\u1ee7a m\u1ecfm tr\u00e2m quay. Ch\u1ea5n th\u01b0\u01a1ng n\u00e0y th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn tr\u1eadt kh\u1edbp x\u01b0\u01a1ng nguy\u1ec7t ho\u1eb7c tr\u1eadt kh\u1edbp thuy\u1ec1n nguy\u1ec7t.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"297\" height=\"613\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-13.png\" alt=\"\" class=\"wp-image-60\" style=\"aspect-ratio:0.48450244698205547;width:211px;height:auto\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-13.png 297w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-13-145x300.png 145w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/figure>\n<\/div>\n\n\n<p><strong>CH\u1ea8N \u0110O\u00c1N<\/strong><\/p>\n\n\n\n<p>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean c\u01a1 s\u1edf ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, \u0111i\u1ec3n h\u00ecnh l\u00e0 ch\u1ee5p Xquang c\u1ed5 tay. Ch\u1ee5p Xquang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi nghi ng\u1edd ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed g\u1ee3i \u00fd, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn vi\u1ec7c ng\u00e3 v\u1edbi b\u00e0n tay dang ra v\u00e0 c\u00e1c ph\u00e1t hi\u1ec7n khi kh\u00e1m, bao g\u1ed3m \u0111au, d\u1ecb c\u1ea3m v\u00e0 c\u00f3 th\u1ec3 bi\u1ebfn d\u1ea1ng \u1edf c\u1ed5 tay.<\/p>\n\n\n\n<p><strong>CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T<\/strong><\/p>\n\n\n\n<p>C\u01a1 ch\u1ebf g\u00e2y ra g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay th\u01b0\u1eddng l\u00e0 ng\u00e3 v\u1edbi t\u01b0 th\u1ebf b\u00e0n tay dang ra, c\u00f3 li\u00ean quan \u0111\u1ebfn m\u1ed9t s\u1ed1 ch\u1ea5n th\u01b0\u01a1ng kh\u00e1c c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t khi \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n b\u1ecb \u0111au c\u1ed5 tay c\u1ea5p t\u00ednh do ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp. Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng n\u00e0y bao g\u1ed3m g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n v\u00e0 c\u00e1c x\u01b0\u01a1ng c\u1ed5 tay kh\u00e1c, ch\u1ea5n th\u01b0\u01a1ng \u1edf kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi ho\u1eb7c ph\u1ee9c h\u1ee3p s\u1ee5n s\u1ee3i tam gi\u00e1c (TFCC) v\u00e0 ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng, bi\u1ec3u hi\u1ec7n kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o d\u00e2y ch\u1eb1ng li\u00ean quan (v\u00ed d\u1ee5, tr\u1eadt kh\u1edbp x\u01b0\u01a1ng nguy\u1ec7t ho\u1eb7c quanh nguy\u1ec7t, tr\u1eadt kh\u1edbp thuy\u1ec1n nguy\u1ec7t). Ch\u1ea5n th\u01b0\u01a1ng x\u01b0\u01a1ng thuy\u1ec1n l\u00e0 ph\u1ed5 bi\u1ebfn v\u00e0 th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u1ea3m gi\u00e1c \u0111au nh\u1ee9c \u1edf h\u00f5m l\u00e0o gi\u1ea3i ph\u1eabu.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"630\" height=\"788\" src=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-14.png\" alt=\"\" class=\"wp-image-61\" style=\"aspect-ratio:0.799492385786802;width:294px;height:auto\" srcset=\"https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-14.png 630w, https:\/\/bscoxuongkhop.io.vn\/wp-content\/uploads\/2023\/11\/image-14-240x300.png 240w\" sizes=\"auto, (max-width: 630px) 100vw, 630px\" \/><\/figure>\n<\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(L\u01b0\u1ee3c d\u1ecbch t\u1eeb Uptodate, c\u1eadp nh\u1eadt ng\u00e0y 31\/10\/2023) G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 lo\u1ea1i g\u00e3y hay g\u1eb7p nh\u1ea5t \u1edf chi tr\u00ean. Theo th\u1ed1ng k\u00ea c\u00f3 \u0111\u1ebfn 1\/6 c\u00e1c ca g\u00e3y x\u01b0\u01a1ng nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u l\u00e0 do lo\u1ea1i g\u00e3y n\u00e0y. V\u1edbi t\u1ea7m quan tr\u1ecdng c\u1ee7a c\u1ed5 tay trong s\u1ef1 v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y, v\u1ea5n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[7,8,4,3,5,6],"class_list":["post-46","post","type-post","status-publish","format-standard","hentry","category-chi-tren","tag-bac-si-chan-thuong-chinh-hinh-o-da-nang","tag-bac-si-chan-thuong-chinh-hinh-o-quang-nam","tag-dieu-tri-gay-dau-duoi-xuong-quay","tag-gay-dau-duoi-xuong-quay","tag-mo-gay-dau-duoi-xuong-quay","tag-mo-gay-dau-duoi-xuong-quay-o-da-nang"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>G\u00c3Y \u0110\u1ea6U D\u01af\u1edaI X\u01af\u01a0NG QUAY \u1ede NG\u01af\u1edcI L\u1edaN - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bscoxuongkhop.io.vn\/index.php\/2023\/11\/07\/gay-dau-duoi-xuong-quay-o-nguoi-lon\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"G\u00c3Y \u0110\u1ea6U D\u01af\u1edaI X\u01af\u01a0NG QUAY \u1ede NG\u01af\u1edcI L\u1edaN - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH\" \/>\n<meta property=\"og:description\" content=\"(L\u01b0\u1ee3c d\u1ecbch t\u1eeb Uptodate, c\u1eadp nh\u1eadt ng\u00e0y 31\/10\/2023) G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 lo\u1ea1i g\u00e3y hay g\u1eb7p nh\u1ea5t \u1edf chi tr\u00ean. 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