{"id":3128,"date":"2024-04-22T10:41:15","date_gmt":"2024-04-22T03:41:15","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?p=3128"},"modified":"2024-04-22T10:47:44","modified_gmt":"2024-04-22T03:47:44","slug":"viem-khop-vay-nen-anh-huong-ra-sao","status":"publish","type":"post","link":"https:\/\/bsvothanhtoan.com\/en\/viem-khop-vay-nen-anh-huong-ra-sao\/","title":{"rendered":"Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1eefng c\u01a1 quan trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi ra sao?"},"content":{"rendered":"

Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn (PsA) kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 da li\u1ec5u m\u00e0 c\u00f2n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam kh\u1edbp c\u00f3 li\u00ean quan \u0111\u1eb7c bi\u1ec7t. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau ph\u1ee5 thu\u1ed9c v\u00e0o c\u01a1 \u0111\u1ecba v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee7a m\u1ed7i ng\u01b0\u1eddi.<\/span><\/h2>\n

Arthritis<\/a> v\u1ea3y n\u1ebfn th\u01b0\u1eddng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, s\u01b0ng v\u00e0 c\u1ee9ng kh\u1edbp. C\u00e1c kh\u1edbp c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng bao g\u1ed3m c\u1ea3 \u0111\u1ea7u ng\u00f3n tay<\/a> v\u00e0 c\u1ed9t s\u1ed1ng, v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng.<\/p>\n

\"Vi\u00eam
Vi\u00eam Kh\u1edbp V\u1ea3y N\u1ebfn<\/figcaption><\/figure>\n

Nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c r\u00f5 r\u00e0ng, nh\u01b0ng m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh bao g\u1ed3m:<\/strong><\/p>\n

1. H\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu: Ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch d\u1eabn \u0111\u1ebfn vi\u00eam kh\u1edbp v\u00e0 t\u0103ng s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o da.
\n2. Y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 m\u00f4i tr\u01b0\u1eddng: Ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u1ec1 b\u1ec7nh v\u1ea3y n\u1ebfn ho\u1eb7c vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh.
\n3. Ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c nhi\u1ec5m tr\u00f9ng: C\u00e1c s\u1ef1 ki\u1ec7n n\u00e0y c\u00f3 th\u1ec3 k\u00edch th\u00edch ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u00e0 g\u00e2y ra b\u1ec7nh \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1.<\/p>\n

Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a da m\u00e0 c\u00f2n g\u00e2y ra nh\u1eefng v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi kh\u1edbp v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi s\u1ef1 ch\u0103m s\u00f3c v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh t\u1ed1t \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, bao g\u1ed3m:<\/strong><\/p>\n

– S\u01b0ng, \u0111au, v\u00e0 c\u1ee9ng kh\u1edbp: C\u00e1c kh\u1edbp c\u00f3 th\u1ec3 tr\u1edf n\u00ean \u0111au \u0111\u1edbn, s\u01b0ng t\u1ea5y v\u00e0 c\u1ee9ng c\u1ecfi, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u00f3n tay v\u00e0 ng\u00f3n ch\u00e2n.<\/p>\n

– Bi\u1ec3u hi\u1ec7n da: C\u00e1c m\u1ea3ng da kh\u00f4, v\u1ea3y d\u00e0y m\u00e0u tr\u1eafng, \u0111\u1ecf ho\u1eb7c b\u1ea1c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u00ean da, th\u01b0\u1eddng g\u00e2y ng\u1ee9a v\u00e0 \u0111au.<\/p>\n

– Thay \u0111\u1ed5i m\u00f3ng tay: M\u00f3ng tay c\u00f3 th\u1ec3 bong tr\u00f3c, cong v\u00eanh ho\u1eb7c c\u00f3 v\u1ebft l\u00f5m s\u00e2u.<\/p>\n

– M\u1ec7t m\u1ecfi v\u00e0 \u0111au nh\u1ee9c: Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0111au \u0111\u1edbn v\u00e0 kh\u00f3 ch\u1ecbu nhi\u1ec1u.<\/p>\n

– Vi\u00eam m\u1eaft: Vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o ho\u1eb7c vi\u00eam k\u1ebft m\u1ea1c c\u00f3 th\u1ec3 g\u00e2y \u0111au m\u1eaft v\u00e0 s\u01b0ng t\u1ea5y.<\/p>\n

– \u0110au ch\u00e2n: Vi\u00eam g\u00f3t ch\u00e2n v\u00e0 vi\u00eam g\u00e2n<\/a> c\u00f3 th\u1ec3 x\u1ea3y ra, g\u00e2y ra \u0111au v\u00e0 kh\u00f3 kh\u0103n khi di chuy\u1ec3n.<\/p>\n

– \u0110au l\u01b0ng d\u01b0\u1edbi: Vi\u00eam c\u1ed9t s\u1ed1ng v\u00e0 vi\u00eam kh\u1edbp gi\u1eefa c\u00e1c \u0111\u1ed1t s\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y ra \u0111au l\u01b0ng d\u01b0\u1edbi.<\/p>\n

\"H\u00ecnh
Vi\u00eam Kh\u1edbp V\u1ea3y N\u1ebfn 1<\/figcaption><\/figure>\n

B\u00ean c\u1ea1nh c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean, vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3. Ch\u1eb3ng h\u1ea1n, n\u00f3 c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch<\/a> v\u00e0 suy tim, v\u1edbi t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh cao h\u01a1n 43% so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng m\u1eafc b\u1ec7nh. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u0169ng c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc c\u00e1c v\u1ea5n \u0111\u1ec1 chuy\u1ec3n h\u00f3a, bao g\u1ed3m c\u1ea3 ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n

Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a da v\u00e0 kh\u1edbp m\u00e0 c\u00f2n c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn m\u1eaft. Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o, vi\u00eam xung quanh m\u1eaft v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn m\u1eaft.<\/p>\n

Theo T\u1ed5 ch\u1ee9c B\u1ec7nh v\u1ea9y n\u1ebfn Qu\u1ed1c gia (NPF), kho\u1ea3ng 7% ng\u01b0\u1eddi m\u1eafc vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn s\u1ebd ph\u00e1t tri\u1ec3n vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t th\u1ecb l\u1ef1c ho\u1eb7c th\u1eadm ch\u00ed m\u00f9 l\u00f2a.<\/p>\n

Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng steroid trong th\u1eddi gian d\u00e0i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u1eaft nh\u01b0:<\/p>\n

– T\u0103ng nh\u00e3n \u00e1p: \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c trong m\u1eaft, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 \u0111au m\u1eaft v\u00e0 suy gi\u1ea3m th\u1ecb l\u1ef1c.<\/p>\n

– \u0110\u1ee5c th\u1ee7y tinh th\u1ec3: \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng l\u00e0m m\u1edd th\u1ee7y tinh th\u1ec3 trong m\u1eaft, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng nh\u00ecn r\u00f5.<\/p>\n

– Vi\u00eam k\u1ebft m\u1ea1c: T\u00ecnh tr\u1ea1ng n\u00e0y g\u00e2y ra \u0111au m\u1eaft v\u00e0 \u0111\u1ecf m\u1eaft.<\/p>\n

\"Vi\u00eam
Vi\u00eam Kh\u1edbp V\u1ea3y N\u1ebfn 2<\/figcaption><\/figure>\n

C\u00f3 m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn v\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng ng\u01b0\u1eddi m\u1eafc vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2. C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 t\u0103ng adipokine v\u00e0 TNF-a (protein g\u00e2y vi\u00eam) \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi kh\u1ea3 n\u0103ng kh\u00e1ng insulin, t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng steroid v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng duy tr\u00ec l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/p>\n

Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 c\u01a1 th\u1ec3 m\u00e0 c\u00f2n c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho h\u1ec7 h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. C\u1ee5 th\u1ec3, t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i, l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ph\u1ed5i k\u1ebd (ILD) – m\u1ed9t lo\u1ea1i b\u1ec7nh g\u00e2y ra c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi v\u00e0 kh\u00f3 th\u1edf. ILD th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p v\u00e0 vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn. C\u00e1c nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y r\u1eb1ng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh vi\u00eam ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng m\u1eafc.<\/p>\n

\u0110\u1eb7c bi\u1ec7t, \u1edf nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5i m\u1eafc vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, nguy c\u01a1 m\u1eafc b\u1ec7nh hen suy\u1ec5n c\u0169ng t\u0103ng cao. Do \u0111\u00f3, vi\u1ec7c h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1 v\u00e0 c\u00e1c ch\u1ea5t k\u00edch th\u00edch ph\u1ed5i, c\u0169ng nh\u01b0 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i b\u1ee5i l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 h\u00f4 h\u1ea5p.<\/p>\n

Ngo\u00e0i ra, c\u00f3 m\u1ed9t m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn v\u00e0 b\u1ec7nh gan. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00f3 \u0111\u1ebfn 47% ng\u01b0\u1eddi m\u1eafc vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u0169ng m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a ch\u1ea5t b\u00e9o (MASLD) – m\u1ed9t t\u00ecnh tr\u1ea1ng khi\u1ebfn ch\u1ea5t b\u00e9o t\u00edch t\u1ee5 v\u00e0 ph\u00e1t tri\u1ec3n tr\u00ean gan, g\u00e2y ra s\u1eb9o v\u00e0 t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n. T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh gan nhi\u1ec5m m\u1ee1 c\u0169ng cao h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn. Ngo\u00e0i ra, b\u1ec7nh b\u00e9o ph\u00ec c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u0111\u1ed3ng th\u1eddi v\u1edbi vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn. C\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn nh\u01b0 NSAID v\u00e0 methotrexate c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn gan, g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 t\u0103ng men gan, x\u01a1 gan, vi\u00eam gan m\u00e3n t\u00ednh v\u00e0 gan nhi\u1ec5m m\u1ee1.<\/p>\n

\"Vi\u00eam
Vi\u00eam Kh\u1edbp V\u1ea3y N\u1ebfn 3<\/figcaption><\/figure>\n

H\u1ec7 ti\u00eau h\u00f3a l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3 m\u00e0 vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn. \u1ede ng\u01b0\u1eddi b\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, nguy c\u01a1 m\u1eafc b\u1ec7nh Crohn v\u00e0 vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng cao g\u1ea5p \u0111\u00f4i so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng m\u1eafc. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 nguy c\u01a1 cao m\u1eafc c\u00e1c b\u1ec7nh sau:<\/p>\n

1. B\u1ec7nh Crohn: \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh vi\u00eam ru\u1ed9t m\u00e3n t\u00ednh, g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ni\u00eam m\u1ea1c c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n

2. Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng: \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ebft lo\u00e9t.<\/p>\n

3. Vi\u00eam th\u1ef1c qu\u1ea3n tr\u00e0o ng\u01b0\u1ee3c: T\u00ecnh tr\u1ea1ng vi\u00eam g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho th\u1ef1c qu\u1ea3n, g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au v\u00e0 kh\u00f3 ch\u1ecbu.<\/p>\n

4. B\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng: G\u00e2y ra c\u00e1c v\u1ebft lo\u00e9t v\u00e0 \u0111au \u0111\u1edbn \u1edf ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y ho\u1eb7c ru\u1ed9t non.<\/p>\n

B\u1ec7nh l\u00fd vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, n\u00f3 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n n\u1eb7ng v\u00e0 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Nh\u1eefng \u1ea3nh h\u01b0\u1edfng c\u1ee7a vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn \u0111\u1ebfn c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh m\u1eafc ph\u1ea3i t\u00ecnh tr\u1ea1ng lo l\u1eafng v\u00e0 tr\u1ea7m c\u1ea3m. Do \u0111\u00f3, vi\u1ec7c theo d\u00f5i v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 ng\u0103n ng\u1eeba b\u1ec7nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn.<\/p>\n

Xem th\u00eam c\u00e1c ki\u1ebfn th\u1ee9c kh\u00e1c<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn (PsA) kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 da li\u1ec5u m\u00e0 c\u00f2n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng vi\u00eam kh\u1edbp c\u00f3 li\u00ean quan \u0111\u1eb7c bi\u1ec7t. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau ph\u1ee5 thu\u1ed9c v\u00e0o c\u01a1 \u0111\u1ecba v\u00e0 t\u00ecnh […]<\/p>\n","protected":false},"author":1,"featured_media":3135,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nxb":"","tac-gia":"","the-loai":"","nam-xuat-ban":"","ngon-ngu":"","isbn":"","gia":"","muc-luc":"","footnotes":""},"categories":[19],"tags":[],"class_list":["post-3128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=3128"}],"version-history":[{"count":4,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3128\/revisions"}],"predecessor-version":[{"id":3136,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/posts\/3128\/revisions\/3136"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/3135"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=3128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/categories?post=3128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=3128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}