Những điều cần biết về chích khớp

^

Tiem vao khoang dudi mom cung vai

Khi di kham bfinh dfldc bdc si ehi dinh chich

khdp dd giam dau, chdm thodi hda khdp,

chac ban ai cung se rtft lo lang lieu cd hifiu

qua khdng? Cd tdc dung phu ^ khdng? Thutfc nao

ttft? Chich bao lau?...

Vific chich khdp trong tien trinh dieu tri nfin thtf

ndo dd dat ke't qua cao?

Chi dinh Id'y dich trong khd p

Khi khdp sflng to, thfldng gap Id khdp gtfi gfiy dau

dfl doi, da dung nhilu loai thutfe khang viem va giam

dau nhflng khdng giam, bac si thdm kham tha'y "dfi'u

bfip benh banh che dfldng tinh" khang dinh mdt Iflpng

dich ddng ke trong khdp nen chi dinh choc hut dich

trong khdp. Vific lfim ndy nhfim 2 mue dich: Giam

bdt fip Iflc trong khdp giup giam dau, dich lay ra td

khdp sfi dfltfc quan sfit ve mau sac, dp due, thd cdc

phan flng sinh hda, te' bao, vi trung, miln dich dd xac

dinh nguyfin nhfin gfiy bfinh.

Cdc bfinh ly thfldng gap gdy sifng khdp:

• Vifim khdp nhiem trflng

• Chfi'n thfldng tu mau trong khdp gfi'i

• Viem khdp tinh thd nhfl bfinh gout

• Cfic benh viem khdp man tinh nhfl viem khdp

dang thfi'p

• Ddt cap ciia thodi hda khdp.

Chi dinh tiem thuo^c vao khdp

Benh xfldng khdp da phan la benh keo dai va khd

dilu tri. Khi da cd chdn doan xac dinh ro nguyen nhan

benh, dCing cac loai thud'c uo'ng dac tri, thutfc giam

dau, khdng vifim khfing giam, hay khdng the uong

dflpc thud'c do tac dung phu nhfl viem loet da dfiy,

non di, xufi't huyet tieu hda, hoi chdng Cushing, loang

xfltfng,... bac si se dfla thfim bien phap dieu tri chich

vao khdp nham giam dau, it tac dung phu, mang lai

cho ban chfi't Ifldng cude sd'ng tot nha't.

Sau day la cdc chat thfldng dflpc dflng de tiem:

• Chdtt nh&n khdp (acid hyaluronic)

Ban bi thoai hoa khdp, khdp ban keu "rot rfit"

khi CO dudi, ban dau rat nhilu vd utfng thud'c hay tap

luyen khdng cai thien, bae si cd the de nghi chich

chfit nhdn vao khdp de lam cham qufi tnnh thodi hda

khdp vd giup ban giam dau.

24

MiiOtg dieu

Binh thfldng sun khdp titft ra nhOtog chtft dich bfii

trdn dtf khdp hoat dfing. Khi thodi hda khdp, ldp sun

bat dau hi pha buy (idn, vific tiet chfi't nhdn bdi trdn

se giam vl stf Ifldng vd chat Ifltfng. Luc ndy khdp

kem linh hoat hdn va dd hi tdn thfldng sun hdn. De

ldm giam dau, han chtf tdn thfldng sun, ngodi vific

tfip luyfin cho ctf chac khde, bdc si se dl nghi tifim

chtft nhdn dd giam dau va kfeh thich tang sinh acid

hyEduronic npi sinh.

Tiiy vdo mdc dfi thodi hda khdp mfi bae si se de

nghi lieu trinh dieu tri.

Mfit stf loai thufi'c chifi't xutft td mdo gd, do vdy ban

nen thdng bao cho bae sl ne'u ban hi di dng thit gd.

Tdc dung phu ciia tiem chtft nhdn vao khdp rat

it gdp.

'^Huyet tiiffng gidu tieu cdu (PRP - Platelet￾rich plasma)

Cung gid'ng nhfl ehi dinh chich cha^t nhdn, bdc si

cd thtf dl nghi Itfy mau cua ban rdi quay ly tfim de

thu dfldc huye't tfldng giau titfu cau. Chat dich ndy sfi

dfldc tifim trd lai vfio khdp cua ban.

Trong huyfi't tfltfng gidu tidu cdu cd chda nhilu yfi'u

to tang trfldng hay khi tidu cdu phdn huy sfi phdng

thich cdc ye'u tfi' tdng trfldng vfi mfit so eytokin giup

cho sfl lanh mo. Ctf quan Idem sodt thutfc vd thflc

pham Hoa Ky (FDA: Food and Drug Administration)

da chfi'p nhfin phfltfng phdp ndy trong dilu tri gidm

dau thdng qua nhilu thd nghiem. Chi dinh chich PRP

cdn ed the gap trong tdn thfldng thdn kinh, viem gfin,

thodi hda khdp, tham my...

Huyet tuang giau lieu

cau (mau vang) sau

khi duac quay ly tam

tach tU mau cua ban

(mau do)

Chlch huydt tMng gidu tidu ciu vdo khdp

THUdc & sCc KH6 E stf 489 (1.12.2013)