{"id":1326,"date":"2026-07-03T22:31:54","date_gmt":"2026-07-03T15:31:54","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=1326"},"modified":"2026-07-05T15:48:15","modified_gmt":"2026-07-05T08:48:15","slug":"1326-2","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/1326-2\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng tr\u01b0\u1ee3t s\u1ee5n s\u01b0\u1eddn"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<p><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/u\/0\/d\/1znjRsEYnZXtwb7omOPEvV2IGlgfUgGv5=s0\" \/><\/p>\n<p data-path-to-node=\"3\">Khi m\u1ed9t b\u1ec7nh nh\u00e2n than phi\u1ec1n v\u1ec1 t\u00ecnh tr\u1ea1ng \u0111au nh\u00f3i, \u0111au nh\u01b0 dao \u0111\u00e2m \u1edf v\u00f9ng s\u01b0\u1eddn d\u01b0\u1edbi v\u00e0 \u0111au t\u0103ng l\u00ean khi th\u1edf s\u00e2u ho\u1eb7c xoay ng\u01b0\u1eddi, ch\u1ea9n \u0111o\u00e1n m\u1eb7c \u0111\u1ecbnh h\u1ea7u nh\u01b0 lu\u00f4n l\u00e0 vi\u00eam s\u1ee5n s\u01b0\u1eddn (Costochondritis). Tuy nhi\u00ean, khi vi\u1ec7c s\u1eed d\u1ee5ng NSAID v\u00e0 ngh\u1ec9 ng\u01a1i trong nhi\u1ec1u th\u00e1ng kh\u00f4ng th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c c\u01a1n \u0111au, nguy\u00ean nh\u00e2n th\u1ef1c s\u1ef1 th\u01b0\u1eddng l\u00e0 do m\u1ea5t v\u1eefng c\u01a1 h\u1ecdc: H\u1ed9i ch\u1ee9ng tr\u01b0\u1ee3t x\u01b0\u01a1ng s\u01b0\u1eddn (Slipping Rib Syndrome &#8211; SRS).<\/p>\n<p data-path-to-node=\"4\">C\u00e1c t\u00e0i li\u1ec7u l\u00e2m s\u00e0ng g\u1ea7n \u0111\u00e2y nh\u1ea5n m\u1ea1nh r\u1eb1ng SRS l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n g\u00e2y \u0111au v\u00f9ng ng\u1ef1c-b\u1ee5ng ch\u01b0a \u0111\u01b0\u1ee3c nh\u1eadn di\u1ec7n \u0111\u00fang m\u1ee9c, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 gi\u1ea3 l\u00e0m c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng v\u1ec1 ti\u00eau h\u00f3a, d\u1eabn \u0111\u1ebfn vi\u1ec7c tr\u00ec ho\u00e3n ch\u1ea9n \u0111o\u00e1n k\u00e9o d\u00e0i.<\/p>\n<h3 data-path-to-node=\"5\">H\u1ed9i ch\u1ee9ng tr\u01b0\u1ee3t x\u01b0\u01a1ng s\u01b0\u1eddn l\u00e0 g\u00ec?<\/h3>\n<p data-path-to-node=\"6\">SRS l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00fang m\u1ee9c, trong \u0111\u00f3 m\u1ed9t s\u1ed1 x\u01b0\u01a1ng s\u01b0\u1eddn kh\u00f4ng \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i v\u1edbi x\u01b0\u01a1ng \u1ee9c, g\u00e2y t\u0103ng \u0111\u1ed9 l\u1ecfng l\u1ebbo c\u1ee7a d\u00e2y ch\u1eb1ng gian s\u1ee5n. S\u1ef1 t\u0103ng \u0111\u1ed9ng n\u00e0y khi\u1ebfn ph\u1ea7n s\u1ee5n ph\u00eda tr\u01b0\u1edbc c\u1ee7a c\u00e1c x\u01b0\u01a1ng s\u01b0\u1eddn gi\u1ea3 (th\u01b0\u1eddng l\u00e0 t\u1eeb x\u01b0\u01a1ng s\u01b0\u1eddn s\u1ed1 8 \u0111\u1ebfn s\u1ed1 10) b\u1ecb b\u00e1n tr\u1eadt kh\u1edbp v\u1ec1 m\u1eb7t c\u01a1 h\u1ecdc ho\u1eb7c &#8220;tr\u01b0\u1ee3t&#8221; ra ph\u00eda d\u01b0\u1edbi x\u01b0\u01a1ng s\u01b0\u1eddn ngay ph\u00eda tr\u00ean n\u00f3.<\/p>\n<h3 data-path-to-node=\"7\">B\u1ec7nh sinh<\/h3>\n<p data-path-to-node=\"8\">C\u01a1 ch\u1ebf c\u01a1 b\u1ea3n c\u1ee7a SRS li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u00e1ch r\u1eddi c\u00e1c kh\u1edbp s\u1ee5n gian s\u1ee5n, d\u1eabn \u0111\u1ebfn s\u1ef1 gi\u00e1n \u0111o\u1ea1n c\u1ea5u tr\u00fac c\u1ee7a b\u1edd s\u01b0\u1eddn. Do c\u00f3 \u0111\u1ed9 nh\u1ea1y c\u1ea3m cao, c\u00e1c d\u00e2y th\u1ea7n kinh gian s\u01b0\u1eddn \u0111\u1eb7c bi\u1ec7t d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 t\u1ea1o ra c\u01a1n \u0111au th\u00e0nh ng\u1ef1c m\u1ea1n t\u00ednh, suy nh\u01b0\u1ee3c khi b\u1ecb k\u00edch th\u00edch b\u1edfi ph\u1ea7n s\u1ee5n b\u1ecb tr\u01b0\u1ee3t.<\/p>\n<h3 data-path-to-node=\"9\">Ph\u00e2n b\u1ed1 tri\u1ec7u ch\u1ee9ng \u0111au \u0111i\u1ec3n h\u00ecnh<\/h3>\n<p data-path-to-node=\"10\">Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng th\u01b0\u1eddng bao g\u1ed3m \u0111au khu tr\u00fa d\u1ecdc theo b\u1edd s\u01b0\u1eddn d\u01b0\u1edbi, \u0111au t\u0103ng l\u00ean khi v\u1eadn \u0111\u1ed9ng th\u00e2n m\u00ecnh, h\u00edt v\u00e0o g\u1eafng s\u1ee9c ho\u1eb7c ho. \u0110\u00e1ng ng\u1ea1c nhi\u00ean l\u00e0 SRS c\u0169ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu b\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a, ch\u1eb3ng h\u1ea1n nh\u01b0 bu\u1ed3n n\u00f4n sau \u0103n v\u00e0 n\u00f4n t\u00e1i ph\u00e1t, \u0111i\u1ec1u n\u00e0y c\u00e0ng g\u00f3p ph\u1ea7n l\u00e0m ch\u1ea9n \u0111o\u00e1n sai.<\/p>\n<h3 data-path-to-node=\"11\">C\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ch\u00ednh<\/h3>\n<ul data-path-to-node=\"12\">\n<li>\n<p data-path-to-node=\"12,0,0\"><strong data-path-to-node=\"12,0,0\" data-index-in-node=\"0\">Nghi\u1ec7m ph\u00e1p m\u00f3c (Hooking Maneuver) d\u01b0\u01a1ng t\u00ednh:<\/strong> B\u00e1c s\u0129 l\u00e2m s\u00e0ng m\u00f3c c\u00e1c ng\u00f3n tay d\u01b0\u1edbi b\u1edd s\u01b0\u1eddn d\u01b0\u1edbi c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 k\u00e9o ra ph\u00eda tr\u01b0\u1edbc v\u00e0 l\u00ean ph\u00eda tr\u00ean. Nghi\u1ec7m ph\u00e1p d\u01b0\u01a1ng t\u00ednh s\u1ebd t\u1ea1o ra m\u1ed9t ti\u1ebfng &#8220;kh\u1ee5c&#8221; (click) c\u00f3 th\u1ec3 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c v\u00e0 t\u00e1i hi\u1ec7n l\u1ea1i m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng ch\u00ednh x\u00e1c c\u01a1n \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"12,1,0\"><strong data-path-to-node=\"12,1,0\" data-index-in-node=\"0\">Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh th\u00f4ng th\u01b0\u1eddng \u00e2m t\u00ednh:<\/strong> Phim X-quang ho\u1eb7c ch\u1ee5p CT b\u00ecnh th\u01b0\u1eddng kh\u00f4ng lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng n\u00e0y; c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 h\u1ecdc c\u00f3 th\u1ec3 t\u00e1i hi\u1ec7n khi th\u0103m kh\u00e1m l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"12,2,0\"><strong data-path-to-node=\"12,2,0\" data-index-in-node=\"0\">Si\u00eau \u00e2m \u0111\u1ed9ng:<\/strong> Si\u00eau \u00e2m c\u01a1 x\u01b0\u01a1ng kh\u1edbp \u0111\u1ed9ng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ef1 di l\u1ec7ch b\u1ea5t th\u01b0\u1eddng, c\u00f3 th\u1ec3 t\u00e1i hi\u1ec7n c\u1ee7a s\u1ee5n s\u01b0\u1eddn.<\/p>\n<\/li>\n<\/ul>\n<h3 data-path-to-node=\"13\">T\u1ea1i sao b\u1ec7nh th\u01b0\u1eddng b\u1ecb ch\u1ea9n \u0111o\u00e1n sai<\/h3>\n<p data-path-to-node=\"14\">Do v\u1ecb tr\u00ed c\u1ee7a c\u01a1n \u0111au, n\u00f3 m\u00f4 ph\u1ecfng ho\u00e0n h\u1ea3o c\u00e1c b\u1ec7nh l\u00fd sau:<\/p>\n<ul data-path-to-node=\"15\">\n<li>\n<p data-path-to-node=\"15,0,0\">Vi\u00eam s\u1ee5n s\u01b0\u1eddn (t\u00ecnh tr\u1ea1ng thi\u1ebfu s\u1ef1 t\u0103ng \u0111\u1ed9ng v\u00e0 ti\u1ebfng &#8220;kh\u1ee5c&#8221; c\u1ee7a SRS)<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"15,0,0\">B\u1ec7nh l\u00fd t\u00fai m\u1eadt (C\u01a1n \u0111au qu\u1eb7n m\u1eadt)<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"15,2,0\">Vi\u00eam m\u00e0ng ph\u1ed5i<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"15,3,0\">H\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch ho\u1eb7c ch\u1ee9ng kh\u00f3 ti\u00eau ch\u1ee9c n\u0103ng<\/p>\n<\/li>\n<\/ul>\n<h3 data-path-to-node=\"16\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng<\/h3>\n<p data-path-to-node=\"17\">Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01a1n thu\u1ea7n nh\u01b0 m\u1ed9t ch\u1ee9ng vi\u00eam m\u00f4 m\u1ec1m s\u1ebd kh\u00f4ng gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng m\u1ea5t v\u1eefng c\u01a1 h\u1ecdc.<\/p>\n<p data-path-to-node=\"18\"><strong data-path-to-node=\"18\" data-index-in-node=\"0\">\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n<\/strong><\/p>\n<ul data-path-to-node=\"19\">\n<li>\n<p data-path-to-node=\"19,0,0\">Qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n v\u1edbi v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 thu\u1ed1c gi\u1ea3m \u0111au. \u1ed4n \u0111\u1ecbnh c\u01a1 l\u00f5i v\u00e0 tr\u00e1nh xoay l\u1ed3ng ng\u1ef1c qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n<\/li>\n<\/ul>\n<p data-path-to-node=\"20\"><strong data-path-to-node=\"20\" data-index-in-node=\"0\">C\u00e1c l\u1ef1a ch\u1ecdn can thi\u1ec7p<\/strong><\/p>\n<ul data-path-to-node=\"21\">\n<li>\n<p data-path-to-node=\"21,0,0\">H\u1ee7y th\u1ea7n kinh gian s\u01b0\u1eddn b\u1eb1ng \u00e1p l\u1ea1nh (cryoneurolysis) d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u gi\u00fap gi\u1ea3m \u0111au d\u00e0i h\u1ea1n.<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"21,1,0\">\u0110\u1ed1t s\u00f3ng cao t\u1ea7n (RFA) d\u00e2y th\u1ea7n kinh gian s\u01b0\u1eddn \u0111\u00e3 n\u1ed5i l\u00ean v\u00e0o n\u0103m 2026 nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ea7u n\u1ed1i x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u r\u1ea5t th\u00e0nh c\u00f4ng cho t\u00ecnh tr\u1ea1ng \u0111au d\u00e2y th\u1ea7n kinh m\u1ea1n t\u00ednh do SRS.<\/p>\n<\/li>\n<li>\n<p data-path-to-node=\"21,2,0\">\u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1ng tr\u1ecb, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111o\u1ea1n s\u1ee5n s\u01b0\u1eddn di \u0111\u1ed9ng ho\u1eb7c c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng s\u01b0\u1eddn x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u s\u1ebd gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng tri\u1ec7t \u0111\u1ec3.<\/p>\n<\/li>\n<\/ul>\n<h3 data-path-to-node=\"22\">B\u00e0i h\u1ecdc l\u00e2m s\u00e0ng b\u00e0i r\u00fat ra<\/h3>\n<p data-path-to-node=\"23\">N\u1ebfu b\u1ec7nh nh\u00e2n vi\u00eam s\u1ee5n s\u01b0\u1eddn c\u1ee7a b\u1ea1n c\u00f3 c\u1ea3m gi\u00e1c &#8220;kh\u1ee5c&#8221; \u1edf v\u00f9ng s\u01b0\u1eddn d\u01b0\u1edbi, ho\u1eb7c n\u1ebfu h\u1ecd nh\u1eadp vi\u1ec7n v\u00ec \u0111au ng\u1ef1c d\u01b0\u1edbi kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n k\u00e8m theo bu\u1ed3n n\u00f4n sau \u0103n, h\u00e3y th\u1ef1c hi\u1ec7n Nghi\u1ec7m ph\u00e1p m\u00f3c. Ph\u00e1t hi\u1ec7n s\u1edbm H\u1ed9i ch\u1ee9ng tr\u01b0\u1ee3t x\u01b0\u01a1ng s\u01b0\u1eddn s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n tr\u00e1nh \u0111\u01b0\u1ee3c nhi\u1ec1u n\u0103m \u0111au \u0111\u1edbn m\u1ea1n t\u00ednh v\u00e0 c\u00e1c th\u0103m kh\u00e1m ti\u00eau h\u00f3a kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n<p data-path-to-node=\"23\">\u00a0<\/p>\n<blockquote>\n<p data-path-to-node=\"23\">https:\/\/www.facebook.com\/share\/p\/1MtahHvaCz\/<\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Khi m\u1ed9t b\u1ec7nh nh\u00e2n than phi\u1ec1n v\u1ec1 t\u00ecnh tr\u1ea1ng \u0111au nh\u00f3i, \u0111au nh\u01b0 dao \u0111\u00e2m \u1edf v\u00f9ng s\u01b0\u1eddn d\u01b0\u1edbi v\u00e0 \u0111au t\u0103ng l\u00ean khi th\u1edf s\u00e2u ho\u1eb7c xoay ng\u01b0\u1eddi, ch\u1ea9n \u0111o\u00e1n m\u1eb7c \u0111\u1ecbnh h\u1ea7u nh\u01b0 lu\u00f4n l\u00e0 vi\u00eam s\u1ee5n s\u01b0\u1eddn (Costochondritis). Tuy nhi\u00ean, khi vi\u1ec7c s\u1eed d\u1ee5ng NSAID v\u00e0 ngh\u1ec9 ng\u01a1i trong nhi\u1ec1u th\u00e1ng kh\u00f4ng th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c c\u01a1n \u0111au, nguy\u00ean nh\u00e2n th\u1ef1c s\u1ef1 th\u01b0\u1eddng l\u00e0 do m\u1ea5t v\u1eefng c\u01a1 h\u1ecdc: H\u1ed9i ch\u1ee9ng tr\u01b0\u1ee3t x\u01b0\u01a1ng s\u01b0\u1eddn (Slipping Rib Syndrome &#8211; SRS).<\/p>\n","protected":false},"author":1,"featured_media":1330,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,2,7],"tags":[],"class_list":["post-1326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khong-phan-loai","category-doc-sach-cho-vui","category-phan-mem-cxk"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1326","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=1326"}],"version-history":[{"count":4,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1326\/revisions"}],"predecessor-version":[{"id":1332,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1326\/revisions\/1332"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media\/1330"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=1326"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=1326"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=1326"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}