{"id":1329,"date":"2024-08-15T17:01:38","date_gmt":"2024-08-15T17:01:38","guid":{"rendered":"https:\/\/tramedhealth.com\/?p=1329"},"modified":"2024-08-16T09:42:22","modified_gmt":"2024-08-16T09:42:22","slug":"how-to-get-the-best-life-with-rheumatoid-arthritis","status":"publish","type":"post","link":"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/how-to-get-the-best-life-with-rheumatoid-arthritis\/","title":{"rendered":"L\u00e0m sao \u0111\u1ec3 s\u1ed1ng m\u1ed9t \u0111\u1eddi h\u1ea1nh ph\u00fac c\u00f9ng Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">\u0110\u1ecbnh ngh\u0129a Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/h2>\n\n\n\n<p><strong>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/strong> l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n \u0111i\u1ec3n h\u00ecnh, di\u1ec5n bi\u1ebfn m\u1ea1n t\u00ednh v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ea1i kh\u1edbp, ngo\u00e0i kh\u1edbp v\u00e0 to\u00e0n th\u00e2n \u1edf nhi\u1ec1u m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau.<\/p>\n\n\n\n<p>B\u1ec7nh di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, g\u00e2y h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1 do \u0111\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c ngay t\u1eeb \u0111\u1ea7u b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1eefu hi\u1ec7u \u0111\u1ec3 l\u00e0m ng\u1eebng hay l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh, h\u1ea1n ch\u1ebf t\u00e0n ph\u1ebf v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n c\u1ee7a Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, li\u00ean quan \u0111\u1ebfn nhi\u1ec5m khu\u1ea9n, c\u01a1 \u0111\u1ecba (n\u1eef gi\u1edbi, trung ni\u00ean, y\u1ebfu t\u1ed1 HLA) v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch.<\/li>\n\n\n\n<li>Trong \u0111\u00f3 vai tr\u00f2 c\u1ee7a lympho B (mi\u1ec5n d\u1ecbch d\u1ecbch th\u1ec3), lympho T (mi\u1ec5n d\u1ecbch qua trung gian t\u1ebf b\u00e0o), \u0111\u1ea1i th\u1ef1c b\u00e0o v\u1edbi s\u1ef1 tham gia c\u1ee7a c\u00e1c t\u1ef1 kh\u00e1ng th\u1ec3 (anti CCP, RF) v\u00e0 c\u00e1c cytokines (TNF\u03b1, IL6, IL1).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng<\/h2>\n\n\n\n<p><strong>D\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng.<\/li>\n\n\n\n<li>Vi\u00eam nh\u1eb9 m\u1ed9t v\u00e0i kh\u1edbp \u1edf chi. \u1ede tu\u1ed5i trung ni\u00ean, d\u1ea5u hi\u1ec7u \u0111au c\u01a1 th\u01b0\u1eddng d\u1ec5 nh\u1ea7m l\u1eabn.<\/li>\n\n\n\n<li>Th\u1eddi gian v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n.<\/li>\n\n\n\n<li>Th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p th\u01b0\u1eddng l\u00e0 sau khi kh\u1edfi b\u1ec7nh \u00edt nh\u1ea5t 6 th\u00e1ng, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ch\u1ea9n \u0111o\u00e1n tr\u1ec5, c\u00f3 th\u1ec3 nhi\u1ec1u n\u0103m.<\/li>\n<\/ul>\n\n\n\n<p><strong>D\u1ea5u hi\u1ec7u to\u00e0n ph\u00e1t<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>To\u00e0n th\u00e2n: G\u1ea7y s\u00fat, s\u1ed1t, m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, m\u1ea5t ng\u1ee7, t\u00ea m\u1ecfi c\u00e1c \u0111\u1ea7u chi, ra nhi\u1ec1u m\u1ed3 h\u00f4i<\/li>\n<\/ul>\n\n\n\n<p><strong>D\u1ea5u hi\u1ec7u t\u1ea1i kh\u1edbp<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng \u2265 1 gi\u1edd<\/li>\n\n\n\n<li>Vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch c\u00e1c kh\u1edbp ngo\u1ea1i bi\u00ean, v\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p nh\u01b0: kh\u1edbp ng\u00f3n tay, kh\u1edbp b\u00e0n ng\u00f3n tay, kh\u1edbp c\u1ed5 tay, kh\u1edbp khu\u1ef7u tay, kh\u1edbp ng\u00f3n ch\u00e2n, kh\u1edbp b\u00e0n ng\u00f3n ch\u00e2n, kh\u1edbp c\u1ed5 ch\u00e2n, kh\u1edbp g\u1ed1i.<\/li>\n\n\n\n<li>Th\u01b0\u1eddng \u0111\u1ed1i x\u1ee9ng<\/li>\n\n\n\n<li>C\u00f3 th\u1ec3 tr\u00e0n d\u1ecbch kh\u1edbp g\u1ed1i ho\u1eb7c kh\u1edbp c\u1ed5 tay<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"351\"   src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-VKDT.png\" alt=\"\" class=\"wp-image-1332\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-VKDT.png 1000w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-VKDT-300x105.png 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-VKDT-768x270.png 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-VKDT-18x6.png 18w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\"><em>C\u00e1c giai \u0111o\u1ea1n c\u1ee7a Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/em><\/figcaption><\/figure><\/div>\n\n\n<p><strong>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c, li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u1ee9ng kh\u1edbp bu\u1ed5i s\u00e1ng.<\/li>\n\n\n\n<li>Vi\u00eam (s\u01b0ng n\u00f3ng \u0111\u1ecf \u0111au) c\u00e1c kh\u1edbp ngo\u1ea1i vi<\/li>\n\n\n\n<li>Tr\u00e0n d\u1ecbch kh\u1edbp (th\u01b0\u1eddng 2 kh\u1edbp g\u1ed1i)<\/li>\n<\/ul>\n\n\n\n<p><strong>C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00f4ng th\u1ec3 h\u1ed3i ph\u1ee5c<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u01b0 h\u1ecfng v\u1ec1 ch\u1ee9c n\u0103ng v\u00e0 gi\u1ea3i ph\u1eabu c\u1ee7a kh\u1edbp<\/li>\n\n\n\n<li>T\u1ed5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp, \u0111\u1ea7u x\u01b0\u01a1ng, g\u00e2n c\u01a1, d\u00e2y ch\u1eb1ng<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<p><em>Ti\u00eau chu\u1ea9n c\u1ee7a H\u1ed9i Th\u1ea5p kh\u1edbp h\u1ecdc Hoa K\u1ef3 (ACR) 1987<\/em><br><em>Ti\u00eau chu\u1ea9n c\u1ee7a H\u1ed9i Th\u1ea5p kh\u1edbp h\u1ecdc Hoa K\u1ef3 v\u00e0 Li\u00ean \u0111o\u00e0n ch\u1ed1ng Th\u1ea5p kh\u1edbp ch\u00e2u \u00c2u 2010<\/em> (ACR\/EULAR 2010 &#8211; American College of Rheumatology\/European League Against Rheumatism)<\/p>\n\n\n\n<p><strong>C\u00e1c c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Y\u1ebfu t\u1ed1 d\u1ea1ng th\u1ea5p RF (Rheumatoid Factor): d\u01b0\u01a1ng t\u00ednh \u1edf 50-75% b\u1ec7nh nh\u00e2n VKDT.<\/li>\n\n\n\n<li>Kh\u00e1ng th\u1ec3 kh\u00e1ng peptide citrulline v\u00f2ng (Anti CCP): d\u01b0\u01a1ng t\u00ednh trong 70-80% b\u1ec7nh nh\u00e2n VKDT \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n r\u00f5 v\u00e0 50% trong VKDT s\u1edbm.<\/li>\n\n\n\n<li>C\u00f4ng th\u1ee9c m\u00e1u: gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u, t\u0103ng ti\u1ec3u c\u1ea7u v\u00e0 t\u0103ng nh\u1eb9 b\u1ea1ch c\u1ea7u l\u00e0 d\u1ea5u hi\u1ec7u th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/li>\n\n\n\n<li>T\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng (VS hay ESR): \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng vi\u00eam hay ho\u1ea1t t\u00ednh c\u1ee7a b\u1ec7nh, theo d\u00f5i ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh c\u0169ng nh\u01b0 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb.<\/li>\n\n\n\n<li>CRP: th\u01b0\u1eddng t\u0103ng trong b\u1ec7nh l\u00fd vi\u00eam, t\u1ef1 mi\u1ec5n v\u00e0 nhi\u1ec5m khu\u1ea9n. N\u1ebfu tr\u00ean BN VKDT m\u00e0 CRP t\u0103ng r\u1ea5t cao, c\u1ea7n xem x\u00e9t c\u1ea9n th\u1eadn kh\u1ea3 n\u0103ng BN c\u00f3 b\u1ed9i nhi\u1ec5m.<\/li>\n\n\n\n<li>Xquang: t\u1ed5n th\u01b0\u01a1ng \u0103n m\u00f2n \u1edf \u0111\u1ea7u x\u01b0\u01a1ng v\u00e0 n\u1eb7ng d\u1ea7n theo ti\u1ebfn tr\u00ecnh c\u1ee7a b\u1ec7nh, n\u1eb7ng h\u01a1n l\u00e0 h\u00ecnh \u1ea3nh \u0103n m\u00f2n s\u1ee5n kh\u1edbp, h\u1eb9p khe kh\u1edbp, l\u1ec7ch tr\u1ee5c, tr\u1eadt kh\u1edbp, tho\u00e1i h\u00f3a th\u1ee9 ph\u00e1t.<\/li>\n\n\n\n<li>Si\u00eau \u00e2m kh\u1edbp, si\u00eau \u00e2m doppler: \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch.<\/li>\n\n\n\n<li>\u0110o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (BMD: Bone mineral density): \u0111\u00e1nh gi\u00e1 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng, ch\u1ea9n \u0111o\u00e1n thi\u1ebfu x\u01b0\u01a1ng-lo\u00e3ng x\u01b0\u01a1ng v\u00e0 nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng tr\u00ean BN VKDT.<\/li>\n<\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/li>\n\n\n\n<li>Tho\u00e1i h\u00f3a kh\u1edbp<\/li>\n\n\n\n<li><a href=\"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/gout-and-how-to-control-pain-relapse\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Vi\u00eam kh\u1edbp Gout m\u1ea1n v\u00e0 gi\u1ea3 Gout<\/a><\/li>\n\n\n\n<li>Vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp<\/li>\n\n\n\n<li>Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/li>\n\n\n\n<li>Vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n (bao g\u1ed3m lao kh\u1edbp)<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"647\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-1024x647.jpeg\" alt=\"\" class=\"wp-image-1330\" style=\"width:505px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-1024x647.jpeg 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-300x190.jpeg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-768x485.jpeg 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-1536x971.jpeg 1536w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-2048x1294.jpeg 2048w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/05-VKDT-18x12.jpeg 18w\" sizes=\"auto, (max-width: 505px) 100vw, 505px\" \/><figcaption class=\"wp-element-caption\"><em>S\u1ef1 ph\u00e1 h\u1ee7y kh\u1edbp c\u1ee7a vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/em><\/figcaption><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb<\/h2>\n\n\n\n<p><strong>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/strong> \u0110i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, to\u00e0n di\u1ec7n v\u00e0 d\u00e0i h\u1ea1n ngay t\u1eeb \u0111\u1ea7u, g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1eb1ng thu\u1ed1c kh\u00e1ng vi\u00eam, gi\u1ea3m li\u1ec1u duy tr\u00ec li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n b\u1eb1ng c\u00e1c thu\u1ed1c DMARDs kinh \u0111i\u1ec3n, thu\u1ed1c sinh h\u1ecdc t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\n<li>Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp.<\/li>\n\n\n\n<li>Theo d\u00f5i, ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd, gi\u00e0u vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, \u0111\u1ea7y \u0111\u1ee7 acid amin c\u1ea7n thi\u1ebft cho c\u01a1 th\u1ec3. H\u1ea1n ch\u1ebf \u0111\u01b0\u1eddng, b\u1ed9t, ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a, mu\u1ed1i v\u00e0 kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1.<\/li>\n\n\n\n<li>B\u1ec7nh nh\u00e2n c\u1ea7n c\u00f3 ch\u1ebf \u0111\u1ed9 luy\u1ec7n t\u1eadp, v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean ch\u1ed1ng co r\u00fat g\u00e2n c\u01a1, ch\u1ed1ng d\u00ednh kh\u1edbp v\u00e0 teo c\u01a1.<\/li>\n\n\n\n<li>Trong \u0111\u1ee3t vi\u00eam c\u1ea5p: \u0111\u1ec3 kh\u1edbp ngh\u1ec9 \u1edf t\u01b0 th\u1ebf c\u01a1 n\u0103ng, tr\u00e1nh k\u00ea \u0111\u1ed9n kh\u00f4ng \u0111\u00fang t\u1ea1i kh\u1edbp, c\u00f3 th\u1ec3 d\u00f9ng n\u1eb9p ch\u1ec9nh h\u00ecnh \u0111\u1ec3 tr\u00e1nh co r\u00fat c\u00e1c kh\u1edbp v\u00e0o ban \u0111\u00eam.<\/li>\n\n\n\n<li>Khuy\u1ebfn kh\u00edch BN t\u1eadp khi tri\u1ec7u ch\u1ee9ng vi\u00eam thuy\u00ean gi\u1ea3m, t\u0103ng d\u1ea7n, nhi\u1ec1u l\u1ea7n trong ng\u00e0y, ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\n<li>Gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe, khuy\u1ebfn kh\u00edch ng\u01b0\u1eddi b\u1ec7nh tu\u00e2n th\u1ee7 c\u00e1c ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb, luy\u1ec7n t\u1eadp v\u00e0 theo d\u00f5i.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<br><\/strong>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng: nh\u1eb1m c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng vi\u00eam, gi\u1ea3m \u0111au, duy tr\u00ec kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng (nh\u01b0ng kh\u00f4ng l\u00e0m thay \u0111\u1ed5i \u0111\u01b0\u1ee3c s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh). C\u00e1c nh\u00f3m thu\u1ed1c th\u01b0\u1eddng s\u1eed d\u1ee5ng g\u1ed3m c\u00f3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAIDs): Diclofenac, Meloxicam, Celecoxib.<\/li>\n\n\n\n<li>Thu\u1ed1c Corticosteroids (prednisolone, prednisone, methylprednisolone)<\/li>\n\n\n\n<li>Thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01a1n thu\u1ea7n: Paracetamol\/tramadol\/codein.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n b\u1eb1ng c\u00e1c thu\u1ed1c ch\u1ed1ng th\u1ea5p l\u00e0m thay \u0111\u1ed5i ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh (Disease Modifying Anti Rheumatic Drug-DMARDs) \u0111\u1ec3 l\u00e0m ch\u1eadm ho\u1eb7c l\u00e0m ng\u1eebng ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh, c\u1ea7n \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i v\u00e0 theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng trong su\u1ed1t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb):\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c kinh \u0111i\u1ec3n: methotrexate (MTX), sulfasalazine (SSZ), hydroxycloroquine (HCQ), Leflunomide.<\/li>\n\n\n\n<li>Thu\u1ed1c sinh h\u1ecdc: kh\u00e1ng interleukin 6, kh\u00e1ng TNFa, kh\u00e1ng lympho B, kh\u00e1ng lympho T, kh\u00e1ng interleukin 1.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"624\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-VKDT-1024x624.jpg\" alt=\"\" class=\"wp-image-1331\" style=\"width:561px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-VKDT-1024x624.jpg 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-VKDT-300x183.jpg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-VKDT-768x468.jpg 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-VKDT-18x12.jpg 18w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-VKDT.jpg 1096w\" sizes=\"auto, (max-width: 561px) 100vw, 561px\" \/><figcaption class=\"wp-element-caption\"><em>Patient<\/em>B\u00e0n tay c\u1ee7a b\u1ec7nh nh\u00e2n vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/figcaption><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh \u0111\u1eb7c hi\u1ec7u, c\u00e1c can thi\u1ec7p ph\u00f2ng ng\u1eeba ch\u1ee7 \u0111\u1ed9ng \u0111\u1ed1i v\u1edbi VKDT l\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p chung nh\u1eb1m n\u00e2ng cao s\u1ee9c kho\u1ebb, th\u1ec3 tr\u1ea1ng bao g\u1ed3m \u0103n u\u1ed1ng, t\u1eadp luy\u1ec7n v\u00e0 l\u00e0m vi\u1ec7c, tr\u00e1nh c\u0103ng th\u1eb3ng.<\/li>\n\n\n\n<li>Tr\u00e1nh sinh ho\u1ea1t v\u00e0 l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng \u1ea9m th\u1ea5p k\u00e9o d\u00e0i.<\/li>\n\n\n\n<li>Ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c b\u1ec7nh l\u00fd nhi\u1ec5m tr\u00f9ng, c\u00e1c t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n \u0111i\u1ec3n h\u00ecnh ti\u1ebfn tri\u1ec3n m\u1ea1n t\u00ednh, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ea1i kh\u1edbp, ngo\u00e0i kh\u1edbp v\u00e0 to\u00e0n th\u00e2n \u1edf nhi\u1ec1u m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau.<\/p>","protected":false},"author":2,"featured_media":1334,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[50],"tags":[55,62,81,87,51,86,85],"class_list":["post-1329","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-disease","tag-co-xuong-khop","tag-dau","tag-dau-khop","tag-dau-khop-ngon-tay","tag-musculoskeletal-disease","tag-viem-khop","tag-viem-khop-dang-thap"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1329"}],"collection":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/comments?post=1329"}],"version-history":[{"count":3,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1329\/revisions"}],"predecessor-version":[{"id":1366,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1329\/revisions\/1366"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media\/1334"}],"wp:attachment":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media?parent=1329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/categories?post=1329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/tags?post=1329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}