{"id":873,"date":"2021-08-31T19:01:39","date_gmt":"2021-08-31T12:01:39","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=873"},"modified":"2021-08-31T19:01:42","modified_gmt":"2021-08-31T12:01:42","slug":"u-xuong-o-tre-em","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-xuong-o-tre-em\/","title":{"rendered":"U x\u01b0\u01a1ng \u1edf tr\u1ebb em"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>1. U x\u01b0\u01a1ng l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n<ul><li>U x\u01b0\u01a1ng l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o x\u01b0\u01a1ng ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng, t\u1ea1o th\u00e0nh kh\u1ed1i u trong x\u01b0\u01a1ng. Khi kh\u1ed1i u ph\u00e1t tri\u1ec3n, c\u00e1c m\u00f4 b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 b\u1ecb ph\u00e1 h\u1ee7y v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3.<\/li><li>Kh\u1ed1i u x\u01b0\u01a1ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t c\u1ee9 x\u01b0\u01a1ng n\u00e0o trong c\u01a1 th\u1ec3 v\u00e0 ph\u00e1t tri\u1ec3n \u1edf b\u1ea5t c\u1ee9 v\u1ecb tr\u00ed n\u00e0o c\u1ee7a x\u01b0\u01a1ng, t\u1eeb b\u1ec1 m\u1eb7t \u0111\u1ebfn trung t\u00e2m (h\u00ecnh 1).<\/li><li>U x\u01b0\u01a1ng nguy\u00ean ph\u00e1t \u0111\u1ee9ng h\u00e0ng th\u1ee9 6 trong c\u00e1c lo\u1ea1i u \u1edf tr\u1ebb em.<\/li><li>\u0110a s\u1ed1 c\u00e1c u th\u01b0\u1eddng \u00edt g\u1eb7p \u1edf \u0111\u1ed9 tu\u1ed5i d\u01b0\u1edbi 10 tu\u1ed5i<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>2. T\u1ea1i sao tr\u1ebb m\u1eafc b\u1ec7nh u x\u01b0\u01a1ng?<\/strong><\/p>\n\n\n\n<ul><li>Nguy\u00ean nh\u00e2n u x\u01b0\u01a1ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/li><li>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 bao g\u1ed3m di truy\u1ec1n, ch\u1ea5n th\u01b0\u01a1ng x\u01b0\u01a1ng ho\u1eb7c \u0111i\u1ec1u tr\u1ecb b\u1ee9c x\u1ea1\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>3. U x\u01b0\u01a1ng c\u00f3 nguy c\u01a1 \u00e1c t\u00ednh hay kh\u00f4ng?<\/strong><\/p>\n\n\n\n<ul><li>\u0110a s\u1ed1 c\u00e1c u x\u01b0\u01a1ng l\u00e0 l\u00e0nh t\u00ednh. M\u1ed9t s\u1ed1 u x\u01b0\u01a1ng l\u00e0nh t\u00ednh th\u01b0\u1eddng g\u1eb7p:<ul><li>U x\u01b0\u01a1ng d\u1ea1ng x\u01b0\u01a1ng (Osteoid osteoma)<\/li><\/ul><ul><li>U nguy\u00ean b\u00e0o x\u01b0\u01a1ng (Osteoblastoma)<\/li><\/ul><ul><li>U x\u01b0\u01a1ng s\u1ee5n (Osteochondroma)<\/li><\/ul><ul><li>U x\u01a1 kh\u00f4ng c\u1ed1t h\u00f3a (Nonossifying fibroma)<\/li><\/ul><ul><li>Nang x\u01b0\u01a1ng \u0111\u01a1n \u0111\u1ed9c (Unicameral bone cyst)<\/li><\/ul><ul><li>Nang x\u01b0\u01a1ng ph\u00ecnh m\u1ea1ch (Aneurysmal bone cyst)<\/li><\/ul><\/li><li>Tuy nhi\u00ean c\u0169ng c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p u \u00e1c t\u00ednh c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00ec b\u1ec7nh c\u00f3 th\u1ec3 di c\u0103n (ph\u1ed5i, tuy\u1ebfn gi\u00e1p, th\u1eadn\u2026) v\u00e0 t\u1ed5n th\u01b0\u01a1ng nh\u1eefng m\u00f4 x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng. Hai lo\u1ea1i u \u00e1c t\u00ednh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em l\u00e0 <strong>Sarcom x\u01b0\u01a1ng<\/strong> v\u00e0 <strong>Sarcom Ewing<\/strong>.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"702\" height=\"549\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-1.jpg\" alt=\"\" class=\"wp-image-876\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-1.jpg 702w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-1-300x235.jpg 300w\" sizes=\"(max-width: 702px) 100vw, 702px\" \/><figcaption><strong>H\u00ecnh 1. C\u00e1c lo\u1ea1i u ph\u00e2n b\u1ed1 theo tu\u1ed5i<\/strong><br><em>C\u00e1c lo\u1ea1i u \u00edt g\u1eb7p \u0111\u01b0\u1ee3c \u0111\u1eb7t trong d\u1ea5u ngo\u1eb7c \u0111\u01a1n.D\u1ea5u hoa th\u1ecb (*) d\u00e0nh cho c\u00e1c u \u00e1c<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>3. Nh\u1eefng bi\u1ec3u hi\u1ec7n c\u1ee7a u x\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 u \u00e1c t\u00ednh<\/strong><\/p>\n\n\n\n<ul><li>C\u00e1c kh\u1ed1i u x\u01b0\u01a1ng l\u00e0nh t\u00ednh c\u00f3 th\u1ec3 kh\u00f4ng d\u1eabn \u0111\u1ebfn b\u1ea5t c\u1ee9 d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft n\u00e0o. \u0110\u00f4i khi kh\u1ed1i u c\u00f3 th\u1ec3 v\u00f4 t\u00ecnh \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3.<\/li><li>Nh\u1eefng t\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng \u0111\u1ebfn kh\u00e1m v\u00ec kh\u1ed1i s\u01b0ng ho\u1eb7c \u0111au<ul><li>\u0110au, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111au ban \u0111\u00eam th\u01b0\u1eddng g\u1eb7p \u1edf u \u00e1c v\u00e0 m\u1ed9t s\u1ed1 u l\u00e0nh nh\u01b0 u x\u01b0\u01a1ng d\u1ea1ng x\u01b0\u01a1ng. C\u00e1c t\u1ed5n th\u01b0\u01a1ng \u00e1c t\u00ednh g\u00e2y \u0111au t\u0103ng d\u1ea7n trong th\u1eddi gian v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng. \u0110au \u0111\u1ed9t ng\u1ed9t th\u01b0\u1eddng do g\u00e3y x\u01b0\u01a1ng b\u1ec7nh l\u00fd. G\u00e3y b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf c\u00e1c b\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 x\u01b0\u01a1ng \u0111\u00f9i.<\/li><\/ul><ul><li>Kh\u1ed1i s\u01b0ng \u1edf ph\u1ea7n m\u1ec1m v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng (h\u00ecnh 2): th\u01b0\u1eddng ngh\u0129 \u0111\u1ebfn \u00e1c t\u00ednh. Tuy nhi\u00ean c\u00f3 m\u1ed9t s\u1ed1 u l\u00e0nh t\u00ednh c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m: nang x\u01b0\u01a1ng ph\u00ecnh m\u1ea1ch, u t\u1ebf b\u00e0o to (GCT), u x\u01b0\u01a1ng d\u1ea1ng x\u01b0\u01a1ng. Kh\u1ed1i \u1edf m\u00f4 m\u1ec1m \u0111\u1ec1u g\u1eb7p \u1edf sarcome Ewing v\u00e0 sarcome x\u01b0\u01a1ng nh\u01b0ng r\u00f5 n\u00e9t h\u01a1n \u1edf sarcome Ewing n\u00ean \u0111\u00e2y l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n bi\u1ec7t.<\/li><\/ul><\/li><li>Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n: s\u1ed1t, s\u1ee5t c\u00e2n.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"400\" height=\"295\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-dang-xuong.jpg\" alt=\"\" class=\"wp-image-877\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-dang-xuong.jpg 400w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-dang-xuong-300x221.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-xuong-dang-xuong-80x60.jpg 80w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><figcaption><strong>H\u00ecnh 2: Kh\u1ed1i s\u01b0ng ng\u00f3n tay \u1edf b\u1ec7nh nh\u00e2n u x\u01b0\u01a1ng d\u1ea1ng x\u01b0\u01a1ng<\/strong><br>(<em>https:\/\/orthoinfo.aaos.org\/<\/em>)<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>4. L\u00e0m sao \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n u x\u01b0\u01a1ng?<\/strong><\/p>\n\n\n\n<ul><li>X Quang \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u0169ng nh\u01b0 k\u00edch th\u01b0\u1edbc c\u1ee7a u.<\/li><li>M\u1ed9t s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb t\u00f9y t\u00ecnh hu\u1ed1ng.<ul><li>Ch\u1ee5p CTscan<\/li><li>MRI<\/li><li>PET scan<\/li><li>X\u1ea1 h\u00ecnh x\u01b0\u01a1ng<\/li><li>X\u00e9t nghi\u1ec7m m\u00e1u: c\u00f4ng th\u1ee9c m\u00e1u, CRP, t\u1ed1c \u0111\u1ed9 l\u1eafng m\u00e1u, Alkaline phosphatase.<\/li><li><strong><em>Sinh thi\u1ebft x\u01b0\u01a1ng: <\/em><\/strong><em>Th\u01b0\u1eddng sinh thi\u1ebft m\u1edf (open biopsy) trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p. Sinh thi\u1ebft b\u1eb1ng kim (needle biopsy) khi t\u1ed5n th\u01b0\u01a1ng n\u1eb1m \u1edf v\u1ecb tr\u00ed kh\u00f3 v\u1edbi t\u1edbi v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t.<\/em><\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>5. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul><li>Vi\u00eam x\u01b0\u01a1ng<\/li><li>Vi\u00eam c\u01a1 c\u1ed1t h\u00f3a<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>6. \u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p>T\u1ea5t c\u1ea3 u x\u01b0\u01a1ng d\u00f9 l\u00e0 l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb v\u00ec c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3 (do m\u00f4 b\u00ecnh th\u01b0\u1eddng b\u1ecb ph\u00e1 h\u1ee7y).<\/p>\n\n\n\n<p>T\u00f9y theo lo\u1ea1i u l\u00e0 l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh m\u00e0 c\u00f3 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau.<\/p>\n\n\n\n<p><strong><em>U x\u01b0\u01a1ng l\u00e0nh t\u00ednh<\/em><\/strong><\/p>\n\n\n\n<ul><li>Kh\u00f4ng ph\u1eabu thu\u1eadt:<ul><li>\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa (thu\u1ed1c) v\u00e0 theo d\u00f5i: \u0111\u00e1p \u1ee9ng v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i u (nh\u01b0 thu\u1ed1c kh\u00e1ng vi\u00eam \u0111i\u1ec1u tr\u1ecb u x\u01b0\u01a1ng d\u1ea1ng x\u01b0\u01a1ng\u2026)<\/li><li>Ti\u00eam steroid, ti\u00eam t\u1ee7y x\u01b0\u01a1ng: \u0111\u1ed1i v\u1edbi c\u00e1c lo\u1ea1i u d\u1ea1ng nang (u nang \u0111\u01a1n \u0111\u1ed9c, u nang \u0111a \u1ed5)<\/li><\/ul><\/li><li>Ph\u1eabu thu\u1eadt<ul><li>Ph\u1eabu thu\u1eadt n\u1ea1o nang v\u00e0 gh\u00e9p x\u01b0\u01a1ng.<\/li><li>Ph\u1eabu thu\u1eadt c\u1eaft u<\/li><li>M\u1ed9t s\u1ed1 u nh\u01b0 u x\u01b0\u01a1ng d\u1ea1ng x\u01b0\u01a1ng c\u00f3 th\u1ec3 can thi\u1ec7p b\u1eb1ng c\u1eaft \u0111\u1ed1t v\u00f4 tuy\u1ebfn cao t\u1ea7n.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong><em>U x\u01b0\u01a1ng \u00e1c t\u00ednh<\/em><\/strong><\/p>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt:<ul><li>Ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n:\u00a0Ph\u1eabu thu\u1eadt th\u01b0\u1eddng nh\u1eb1m m\u1ee5c \u0111\u00edch lo\u1ea1i b\u1ecf ph\u1ea7n x\u01b0\u01a1ng b\u1ecb ung th\u01b0 nh\u01b0ng b\u1ea3o t\u1ed3n c\u00e1c c\u01a1, g\u00e2n, d\u00e2y th\u1ea7n kinh v\u00e0 m\u1ea1ch m\u00e1u (n\u1ebfu c\u00f3 th\u1ec3). B\u00e1c s\u0129 ph\u1eabu thu\u1eadt s\u1ebd lo\u1ea1i b\u1ecf c\u00e1c kh\u1ed1i u v\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a m\u00f4 kh\u1ecfe m\u1ea1nh xung quanh. X\u01b0\u01a1ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf s\u1ebd \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng m\u1ed9t b\u1ed9 ph\u1eadn kim lo\u1ea1i ho\u1eb7c m\u1ed9t ph\u1ea7n x\u01b0\u01a1ng kh\u00e1c trong c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li><li>Ph\u1eabu thu\u1eadt c\u1eaft chi:\u00a0Trong tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n kh\u00f4ng mang l\u1ea1i hi\u1ec7u qu\u1ea3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb ph\u1eabu thu\u1eadt c\u1eaft chi. Ph\u1eabu thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb th\u1ef1c hi\u1ec7n khi kh\u1ed1i u x\u01b0\u01a1ng c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn ho\u1eb7c g\u00e2y ch\u00e8n \u00e9p c\u00e1c d\u00e2y th\u1ea7n kinh v\u00e0 m\u1ea1ch m\u00e1u li\u00ean quan.<\/li><\/ul><\/li><li>X\u1ea1 tr\u1ecb: X\u1ea1 tr\u1ecb s\u1eed d\u1ee5ng tia X li\u1ec1u cao \u0111\u1ec3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ung th\u01b0 v\u00e0 thu nh\u1ecf kh\u1ed1i u x\u01b0\u01a1ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u00e1c kh\u1ed1i u trong khu v\u1ef1c c\u1ee7a ch\u00f9m tia v\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf c\u00e1c khu v\u1ef1c kh\u00e1c trong c\u01a1 th\u1ec3. B\u00e1c s\u0129 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 c\u1ee7a li\u1ec7u ph\u00e1p v\u00e0 \u0111\u1ec1 ngh\u1ecb c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p.<\/li><li>H\u00f3a tr\u1ecb (\u0111i\u1ec1u tr\u1ecb to\u00e0n th\u00e2n): H\u00f3a tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o kh\u1ed1i u khi kh\u1ed1i u \u0111\u00e3 di c\u0103n v\u00e0o m\u00e1u nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n tr\u00ean c\u00e1c x\u00e9t nghi\u1ec7m y t\u1ebf. H\u00f3a tr\u1ecb c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb khi c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 c\u00f3 nguy c\u01a1 l\u00e2y lan cao. Thu\u1ed1c h\u00f3a tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch ho\u1eb7c s\u1eed d\u1ee5ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean nang v\u00e0 vi\u00ean con nh\u1ed9ng.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>7. Ti\u00ean l\u01b0\u1ee3ng, theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng cho u x\u01b0\u01a1ng ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i kh\u1ed1i u l\u00e0 \u00e1c t\u00ednh hay l\u00e0nh t\u00ednh<ul><li>H\u1ea7u h\u1ebft c\u00e1c kh\u1ed1i u l\u00e0nh t\u00ednh \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf. Tuy nhi\u00ean kh\u1ed1i u th\u1ec3 t\u00e1i ph\u00e1t, m\u1eb7c d\u00f9 kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t kh\u00f4ng cao, th\u01b0\u1eddng l\u00e0 d\u01b0\u1edbi 5%. Nguy c\u01a1 u x\u01b0\u01a1ng l\u00e0nh t\u00ednh ph\u00e1t tri\u1ec3n th\u00e0nh \u00e1c t\u00ednh r\u1ea5t th\u1ea5p.<\/li><li>\u0110\u1ed1i v\u1edbi c\u00e1c u \u00e1c t\u00ednh, t\u1ec9 l\u1ec7 s\u1ed1ng 5 n\u0103m c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 80% n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/li><\/ul><\/li><li>Tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan, v\u1ea5n \u0111\u1ec1 t\u00e1i ph\u00e1t (c\u00f3 th\u1ec3 g\u1eb7p \u1edf c\u1ea3 u l\u00e0nh v\u00e0 u \u00e1c) v\u00e0 t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Hu\u1ef3nh M\u1ea1nh Nhi. B\u01b0\u1edbu x\u01b0\u01a1ng, ph\u1ea7n m\u1ec1m. Ch\u1ec9nh h\u00ecnh nhi th\u1ef1c h\u00e0nh, tr 365 \u2013 384.<\/li><li><a href=\"https:\/\/www.uptodate.com\/contents\/nonmalignant-bone-lesions-in-children-and-adolescents\">https:\/\/www.uptodate.com\/contents\/nonmalignant-bone-lesions-in-children-and-adolescents<\/a><\/li><li><a href=\"http:\/\/bvdkquangnam.vn\/index.php\/ao-to-nckh\/tp-san-y-hc\/2868-2019-07-07-02-06-28\">http:\/\/bvdkquangnam.vn\/index.php\/ao-to-nckh\/tp-san-y-hc\/2868-2019-07-07-02-06-28<\/a><\/li><li>https:\/\/ihr.org.vn\/u-xuong-1033.html<\/li><li>https:\/\/orthoinfo.aaos.org\/en\/diseases&#8211;conditions\/osteoid-osteoma<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>1. U x\u01b0\u01a1ng l\u00e0 g\u00ec? U x\u01b0\u01a1ng l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o x\u01b0\u01a1ng ph\u00e1t tri\u1ec3n v\u00e0 ph\u00e2n chia m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng, t\u1ea1o th\u00e0nh kh\u1ed1i u trong x\u01b0\u01a1ng. Khi kh\u1ed1i u ph\u00e1t tri\u1ec3n, c\u00e1c <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/u-xuong-o-tre-em\/\" title=\"U x\u01b0\u01a1ng \u1edf tr\u1ebb em\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":879,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,21,10],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/873"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=873"}],"version-history":[{"count":4,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/873\/revisions"}],"predecessor-version":[{"id":880,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/873\/revisions\/880"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/879"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=873"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=873"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}