Truc tuyen Benh cot song va phau thuat thoat vi dia dem

Thứ bảy, 05 Tháng chín 2009, 14:54 GMT+7

TS thuc hien Giao luu truc tuyen ve "Benh cot song va phau thuat thoat vi dia dem” voi BS David Wong Him Choon, chuyen gia tu van ve cot song va phau thuat chinh hinh, Benh vien Raffles Singapore. Ngay tu bay gio ban doc quan tam co the dat cau hoi cho Bac si David Wong Him Choon tai day .

“Thay vi phai can rang chiu dung nhung con dau dai dang va noi buc boi vi cam giac vo dung khong lam noi viec gi, gio day toi da co the di bo hon 100m mot cach thoai mai, tham chi cui gap nguoi trong cac bai the duc”, benh nhan Gleb Klokov, la doanh nhan nguoi Nga 44 tuoi bi benh cot song duoc dieu tri bang phuong phap moi tai Rafles tam su.

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Dau cot song: Noi kho tam khong chi cua nhung nguoi lon tuoi.

Day la ket qua dang ngac nhien bang phuong phap dieu tri moi thuong chi co o vai chuc phan tram ca benh duoc chua dung va hieu qua theo cach cu.

Bac si David Wong Him Choon la nguoi di tien phong trong viec phat trien va ung dung phuong phap dieu tri moi cho nhung benh nhan bi benh ly ve cot song that lung o Singapore. Ong cho hay, dau that lung do roi loan ve co xuong la hien tuong thuong gap nhat, trong 5 nguoi thi co 4 se cam nhan dau that lung trong doi minh.

Trong khi do phau thuat gan dot song co dien se lam cac dot song tro nen cung va thieu su linh hoat, khien toan bo luc se don len nhung dia dem cot song lien ke. Hau qua la nhung dia dem nay phai tang cuong hoat dong de bu dap cho thieu hut van dong cua nhung dot song da duoc co dinh, gay ra nhung benh ly ve dia dem sau nay.

Bac sy se tu van cho 30 benh nhan dau tien, cac benh nhan co nguyen vong xin gui ho so benh an dich tieng Anh toi VPGD OSSC tai 69 Tran Xuan Soan, Ha Noi vao ngay 06/09/2009. De biet them thong tin xin vui long lien he VPGD OSSC. Dien thoai: 04 3944 8500; duong day nong 0913 560 450.

Ngoai ra, khoang 20% benh nhan da trai qua phau thuat gan dot song theo phuong phap truyen thong truoc day se bi thoai hoa dia dem hoac mac cac benh ly ve bo phan nay trong thoi gian 10 nam.

Do vay, bac si Wong du dinh su dung vat lieu moi de gan nhung dia dem bi anh huong va ngan ngua thoai hoa cua nhung dia dem lien ke. Cach tri benh hieu qua se giup benh nhan quay tro lai voi cac hoat dong thuong nhat mot cach ngan nhat va tich cuc nhat.

Voi phuong phap nay, phau thuat chi can tien hanh tu phia sau lung. Mo cay duoc thiet ke su dung tai Singapore la mot doan thanh cung lien ket cac dia dem bi thoai hoa dong thoi co nhung doan noi linh dong giup bao ve cac dia dem khac.

Dieu quan trong nhat cua loai hinh phau thuat moi nay la no phu hop cho tat ca ca benh nhan o nhung giai doan khac nhau cua thoai hoa dia dem, giup lam giam nguy co khong on dinh va thoai hoa o nhung dot song lien ke hay han che van dong. Ngoai ra, no cung lam cham dut nhung con dau hanh ha benh nhan dai dang trong nhieu nam.

TS thuc hien giao luu truc tuyen, ban doc co the dat cau hoi, nhung thac mac cua minh ve tinh trang dau cot song va thoat vi dia dem den bac si tai day .

Mo ta anh.
Giao luu truc tuyen voi ban doc TS ve benh cot song va phau thuat thoat vi dia dem

Toan van giao luu:

Nguyen Huyen Dieu, Nam - 35 Tuoi: Toi bi thoai vi dia dem o co gay dau va te hai tay. 5 thang truoc, toi da di dot nhan nhay dia dem de giam ap luc dia dem voi hy vong giam chen cua dia dem len day than kinh. Tuy nhien, lieu phap nay da khong co ket qua voi toi, co the do toi bi qua nang. Xin bac sy cho biet voi toi, con phuong phap nao kha thi va tuong doi an toan de giai quyet thoai vi nay khong?

Mo ta anh.
BS David Wong Him Choon
BS David Wong Him Choon: Nhu vay trong truong hop cua ban phuong phap nay la khong co hieu qua. Ban nen tien hanh phuong phap thay dia dem nhan tao hoac phuong phap noi dot song.

Dao Thi Hang , Nu - 24 Tuoi: Em lam ke toan, cong viec doi hoi phai ngoi lam viec tren may tinh ca ngay. Thoi gian gan day em thay lien tuc dau ngang that lung. Nhieu luc ca phan vai va khap lung dau nhuc, co khi ngu chi can tro minh nhe cung dau. Xin hoi Bac sy cac dau hieu tren co phai la benh ve cot song va thoai vi dia dem khong a?

BS David Wong Him Choon: Ban nen di kham chuyen khoa va chup cong huong tu de xac dinh chinh xac ve nguyen nhan. Toi nghi cong viec cua ban khien ban duy tri mot tu the ngoi qua lau co the la can nguyen cua can benh thoai hoa dot song. Truong hop cua ban neu co bi benh thi cung chua o muc do nang, nen di kham som, de BS dua ra lieu phap dieu tri hieu qua cho ban.

to mai hoa , Nu - 39 Tuoi:
Sau phau thuat, thoi gian hoi phuc la bao lau? Bo toi nam nay da 72 tuoi, duoc chan doan la cong veo cot song, thoai hoa gay hep ong song doan L2, L3. Vay co su dung duoc phuong phap nay hay khong?

BS David Wong Him Choon: Truong hop nay benh nhan can phai tien hanh phuong phap phau thuat giam luc chen cot song, benh nhan cung co the can hoac khong can lam phuong phap dinh vi nep cot song neu nhu lam phuong phap giam luc chen cot song tren gia khoang 18.000 va thoi gian nam vien khoang 3 ngay.

Pham Ngoc Anh , Nam - 33 Tuoi:
Cach day 2 nam toi bi thoat vi dia dem, da di kham rat nhieu noi nhung khong khoi,bac sy cung chi dinh la toi co the phai mo. Sau do tu dung toi lai khoi. Hien gio thay binh thuong khong bi dau lung nua. Xin hoi khi ve gia toi co bi lai nua khong? Va muon phong tranh bi lai thi toi phai lam the nao? Xin cam on bac sy.

BS David Wong Him Choon: Chuc mung anh, anh la mot trong so 15-20% benh nhan thoat vi dia dem ma cac trieu chung dau tu bien mat. Tuy nhien, benh co the tro lai hoac tai phat . Anh nen tranh nhung viec nang nhoc, nhu khuan vac, ngoi mot tu the qua lau... Ban nen di bo hoac boi loi de ngan benh tai phat. Khong hut thuoc la... Khi nao cam thay cac trieu chung nhu: dau nhuc moi lung, chan co dau hieu te moi, thi ban nen di kham lai.

HUYNH KIM THUTHUY, Nu - 38 Tuoi: Xin Duoc phep hoi Bac sy tinh trang benh cua toi nhu sau: - Toi bi dau that lung khoang gan 10 nam, chup hinh X-Quang Bac sy bao bi gai doi cot song roi cho thuoc giam dau uong. Sau thoi gian gan day toi thuong di cong tac xa va di qua cac doan duong nhieu o ga va lung bi dau lai va dau lan ra den mong va cho ngay that lung. Toi lai di kham Bac sy tiep va ky nay Bac sy yeu cau chup MRI, ket qua toi bi thoat vi dia dem tai L4,L5, S1. Sau do toi co den Phan vien Vat ly Y Sinh hoc dieu tri benh bang phuong phap ban Laser vao 2 dot L4, L5. Den thoi diem nay da duoc 8 thang roi nhu thoi gian gan day toi bat dau bi dau lai. Vay rat mong Bac sy tu van dum. Chan thanh cam on. Rat mong nhan duoc hoi am cua Bac sy.

BS David Wong Him Choon : Truong hop cua ban can phai den gap bac sy de duoc tu van va mang theo film chup MRI de bac sy chuan doan phuong phap cho truong hop cua ban co the se la noi dot song hoac la thay dia dem nhan tao. Gia tien cho phuong phap noi dot song tu 25 den 28 ngan Singapore Dollar, thoi gian nam vien khoang 3 den 4 ngay.

Ngo thanh Hai , Nam - 47 Tuoi: Toi cu moi nam lai bi dau cot song khoang 2 lan, moi lan dau ca tuan moi khoi. Co luc vi khieng mot vat nang, cung co luc chi hoi cui nguoi de mac quan la bi dau. Bieu hien luc do la bong dung thay nhoi dau ngay dot song that lung, va sau do khoang 15 phut thi khong the dung thang nguoi hoac thay doi tu the duoc nua. Moi lan muon thay doi tu the phai mat 5 phut va thuong xuyen nin tho vi con dau "khung khiep". Ngay truoc, luc 18 tuoi toi mang vac nang va hanh quan cung don vi o chien truong K , toi da bi dau theo cach noi cua ban be la cup xuong song. Tu do den nay moi nam lai bi khoang 1-2 lan. Toi da mac benh cot song va phai chua tri o dau, kha nang khoi benh the nao. Vi co luc chi hoi cui nguoi de mac quan cung khoi dau cho mot con dau keo dai 1 tuan den 10 ngay. Rat kinh mong duoc tu van cua cac Bac sy.

BS David Wong Him Choon: Truong hop cua ban nen chup film cong huong tu MRI thi bac sy moi chuan doan duoc muc do thoai hoa cua dia dem va dua ra phuong phap dieu tri thich hop hoac la phuong phap mo noi soi va phau thuat khac tuy theo muc do.

Nguyen Duy Bao, Nam - 50 tuoi: Anh trai toi 60 tuoi, bi benh gai cot song. Nam 2008, dieu tri 4 tuan tai Benh vien Quan Y 108 Ha Noi. Trong thoi gian dieu tri, benh co giam dau nhung khong khoi. Hien nay, benh van phat nang: ngoi dau, di lai kho khan, khong tu di duoc bang xe may, de giam dau chu yeu phai nam. Xin BS cho biet, theo phuong phap nao va o dau Co the dieu tri khoi benh nay? Tran trong cam on BS!

Mo ta anh.
Bac sy David Wong Him Choon va Giam doc marketing benh vien quoc te Raffles ba Phan Nhung

BS David Wong Him Choon:
Anh trai cua bac can lam them 1 so xet nghiem chup cat lop va cong huong tu de chan doan. Theo bac mieu ta, thi benh cua anh trai bac da kha nang, toi raattiec khong the t uvan cu the hoo cho bac, khi khong co cac ket qua xet nghiem do.Tuy nhien, bac nen dua anh trai di kham lai va gui ket qua cho chung toi tai dia chi: 69 Tran Xuan Soan, HN.

Diep Van Cuong, Nam - 29 Tuoi: Toi da tung bi thoat vi dia dem L5, da tien hanh mo vao 9/2005 tai Benh vien Viet Duc, tu do den nay toi thay cot song hoat dong binh thuong, di lai va lam viec dac biet la choi the thao rat on. Doi khi vao nhung ngay thoi tiet xau van co cam giac moi o lung. Dau hieu nhu vay co van de gi khong, va lam cach nao toi co the kiem tra tinh trang cua cot song tot nhat de biet duoc cac bien co co the xay ra. Xin Bac sy vui long tu van giup toi. Tran trong cam on nhieu!

BS David Wong Him Choon: Khi ma tro troi ma ban dau nhu vay thi ban co dung thuoc gi khong ? Khi dung thuoc co thay tot hon khong? Neu khong tot hon thi ban nen di chup film cong huong tu MRI thi bac sy moi chuan doan duoc dieu kien hien tai cua ban.

Hoang Thanh Binh, Nam - 38 Tuoi: Xin chao Bac sy, toi duoc chan doan thoat vi dia dem L3, va lech dia dem, gay dau hong. Toi muon duoc Bac sy tu van va trong truong hop toi muon sang Singapore phau thuat, toi se phai lam cac thu tuc nhu the nao? Xin cho toi duoc biet chi phi cho 1 ca phau thuat dia dem cung nhu thoi gian toi can o lai trong bao lau?

BS David Wong Him Choon: Bac si co the tien hanh phuong phap noi dot xuong song bang phuong phap moi hoac phuong phap nep dinh vi cot song. Chi phi uoc chung khoang tu 20 den 25 ngan Singapore Dollar. Thoi gian o lai Singapore khoang tu 3 den 4 ngay. Thu tuc thi xin ban vui long dang ky voi VP thong tin y te benh vien Raffles tai Viet Nam : Cong ty TNHH OSSC tai 69 Tran Xuan Soan - HN, hoac ban co the goi theo duong day nong : 0913.560.450.

Ho My Hanh , Nu - 39 Tuoi: Me chong toi da 70 tuoi, cach day khoang 5 nam bi te do hung nuoc mua va duoc bac si o Trung tam chinh hinh Tp. HCM chan doan va dieu tri voi benh ly la thoat vi dia dem. Thoi gian dau sau khi dieu tri, me toi co the dung len ngoi xuong binh thuong, sau do thi kho khan hon va hien nay benh van chua co tien trien tot. Theo Bac sy benh nay chua co khoi khong?
Truong hop me chi toi khong nghi la benh thoat vi dia dem, chi khong noi ro me chi dau do bi nga hay dau tu truoc do, neeula ddu do tai nan ca nhan toi nghi do phai la nguyen nhan khac, co the bi ran o dot song, chi nen dua me di kham va chup cat lop va cong huong tu de tim ro nguyen nhan. Neu tim duoc nguyen nhan va lieu phap dieu tri dung, benh co the khoi hoan toan.

Dinh The Hieu , Nam - 29 Tuoi: Hien tai vo toi ( Nguyen Thi Thuy ) sau khi sinh xong duoc 1,5 thang thi ngoi day khong duoc, sau khi di chup X- Quang thi xac nhan la bi xep dot song L1. Vo toi da nhap vien. Sau khi duoc cac Bac sy kiem tra thi bao rang bi benh U da Tuy xuong. Khi truoc gio vo toi khong bi benh an gi het cung nhu khong bi te nga. Vay cho toi hoi co cach nao de kiem tra co dung benh U da Tuy xuong khong? Cach dieu tri nhu the nao. O Viet Nam Benh vien nao thuong xuyen chua tri benh nay?

BS David Wong Him Choon: Benh nhan can phai chup film MRI de xac nhan xem khoi u nay nam o dau, neu nhu khoi u nay nam o xuong thi se duoc bac si phau thuat khoa chinh hinh tien hanh, neu khoi u nay nam o day than kinh thi se duoc phau thuat boi bac si ngoai than kinh.

tran nguyen dung, Nam - 25 Tuoi:
Hien tai toi da bi thoat vi dia dem hon 1 nam nay. Do chan thuong do da bong bi nga. Hien tai toi di lai buoi sang binh thuong nhung den toi lai bi dau do chen ep day than kinh ben trai hong. toi da uong thuoc Tay, thuoc nam, da di dieu tri vat ly tri lieu nhung cung thay chua khoi han. da di chup MRI, xin bac sy cho loi khuyen.

BS David Wong Him Choon: Toi nghi neu anh cho toi biet ket qua chup cong huong tu, thi toi co the tu van ro hon. Tuy nhien, nhung trieu chung do anh mo ta, van chua het thi toi nghi anh nen di kham lai va lieu phap dieu tri co the la phai mo de can thiep.

Hoang Tuan Hung , Nam - 27 Tuoi:
Toi bi thoat vi dia dem cach day 3 nam. Toi thay co nhieu nguoi bi nhu toi da di mo noi soi nhung van bi dau. Toi muon hoi neu dieu tri theo phuong phap cua Bac sy thi co dut han dau lung khong va co anh huong ve sau khong? Chi phi cho dieu tri co ton kem khong? Rat mong duoc som hoi am. Xin cam on Bac sy!

BS David Wong Him Choon: Dua vao cau hoi cua ban thi toi co the tra loi cho ban biet rang phuong phap thay dia dem nhan tao se giup ban hoan toan tranh duoc con dau quay tro lai. Nhung khong phai truong hop nao cung ap dung phuong phap nay. Ve gia ca, neu nhu ma thay dia dem nhan tao 1 dia thi se la 28000$ Singapore Dollars, neu ma 2 dia thi se la 35000 Singapore Dollars. Thoi gian nam vien tu 4 - 5 ngay, sau do tai kham va benh nhan co the xuat vien ve Viet Nam. Hay lien he voi van phong thong tin cua benh vien Raffles - OSSC, 69 Tran Xuan Soan (HN) de duoc ho tro tu van.

Ha Thi Minh Nguyen , Nu - 24 Tuoi:
Em thuong xuyen bi dau lung, chup X - Quang thi khong co van de gi. Em van di dung binh thuong, tham chi em van tap aerobic hang ngay, luc van dong thi khong thay dau, nhung luc nghi ngoi hay di ngu thi lai nhuc o vung lung. Em bi nhu vay da duoc 3 nam. Tuy da dieu tri nhieu noi nhung em khong thay do. Cuoi cung em danh song chung voi con dau nay. Hien tai em dang la sinh vien o tro, cu he ve que hoac qua nha ban o la con dau lung khong con nua. Bac sy cho em hoi co phai em dau lung do moi truong song am thap cua phong tro hay do em nam dem qua lun khong a? Em phai dieu tri lam sao, thua Bac sy. Em xin chan thanh cam on!

BS David Wong Him Choon: Truong hop nay cua em cung nen di chup them citi de biet ro them nhung trieu chung em mo ta cung khong ro rang, co the do tu the ngoi vi vay em coothe chinh lai tu the ngoi khi lam viec hoac hoc tap. Nam dem qua lun hoac qua mem cung k tot cho dot song cua ban.

Tran Chau Thuong , Nu - 34 Tuoi:
Xin chao Bac sy. Me em nam nay 62 tuoi. Cach day 3 nam me em bi dau o chan phai va khong di duoc vi dau. Me em da di kham va chup cong huong tu, Bac sy ket luan la bi thoat vi dia dem dot L3, L4, L5. Sau day me em co dieu tri uong thuoc va tiem thuoc. Sau khi dieu tri thi me em da khong con dau nua nhung cai chan phai truoc day bi dau thi nay lai chuyen sang run. Me em chi bi rung chan phai con chan trai va hai tay deu khong bi rung. Chan phai ngay cang run manh va ba hoat dong ngay mot cham chap. Moi day em co dua me di kham o cac benh vien lon trong Ha noi va ho deu ket luan la thoat vi dia dem va bi chen day than kinh nen chan bi run. Ba da uong thuoc nhung hien tai benh van khong giam, me em khong dau nhung chan van bi run. Vay em rat mong Bac sy chan doan va huong dan cach dieu tri benh cua me em nhu the nao de bot run o chan. Em cam on Bac sy.

BS David Wong Him Choon : Bac sy can phai xem film va xac dinh ro la day than kinh cua benh nhan bi chen o diem nao. thong thuong benh nhan chi bi chen tu 1 den 2 diem thoi, trong truong hop nay thi benh nhan phai tien hanh phau thuat giam ap luc cot song ket hop voi phuong phap phau thuat lam cho xuong song duoc on dinh.

Vu Xuan Diep , Nam - 35 Tuoi:
Toi bi thoai hoa cot song dot so 5 va da di chup phim. Xin hoi cach tap luyen va dieu tri nhu the nao?

BS David Wong Him Choon: Thoai hoa dot song la van de de gap phai trong cuoc song hang ngay, ngoi lien tuc o mot tu the, hoac cui xuong qua lau cung khong tot cho song lung cua ban. Trong ucoo soon haan ngay, de phong benh, cung nhu han che thoai hoa dot song lung, chung ta nen van dong, tap luyen nhung mon the thao nhe, nhu di bo, dac biet la boi loi, rat tot doi voi viec phong chong thoai hoa cot song cung nhu gop phan dieu tri can benh nay.

Tran Mai Chi , Nu - 29 Tuoi:
Chau chao Bac sy. Chau co mot van de lien quan den cot song va chau rat mong nhan duoc su tu van va tro giup cua Bac sy. Chau da bi nga tu do cao 2.5m, bi vo 2 dot song lung va duoc phau thuat nep vit cot song. 2 thang dau sau khi phau thuat, chau da di lai binh thuong va suc khoe noi chung cung duoc phuc hoi nhieu. Tuy nhien, cach day 1.5 thang, chau co hien tuong te va cam thay ran ran hai ban tay dac biet khi chau cui xuong. Chau da uong vitamin 3B va tang cuong canxi nhung den nay cac trieu chung do cung khong giam. Bac sy co the chi giup cho chau nguyen nhan va cach chua tri bieu hien nay duoc khong a? Chau rat mong nhan duoc su giup do cua Bac sy. Chau xin chan thanh cam on Bac sy.

BS David Wong Him Choon: Truong hop cua ban can phai gap bac sy than kinh va bac si than kinh se yeu cau ban chup film MRI phan co de xem ban co bi van de gi lien quan den viec ep chen day than kinh hay khong.

Nguyen Anh Tuan, Nam - 26 Tuoi:
Em bi dau lung,di kham va chup Xquang bac si noi em bi gai doi cot song,tu do ve sau em khong hoat dong manh cung nhu lam cac viec nang duoc. Moi lan tap the thao manh la ve nha bi dau lung 1 ngay sau. Em xin hoi co cach dieu tri benh cua em nao hieu qua khong a? neu co xin bac si chi dan cho em. Em xin chan thanh cam on!

BS David Wong Him Choon: Ban can di chup citi de co chan doan chinh xac hon ve tinh trang gai. ban mo ta bi dad khi tap the thao manh, con dau se keo dai sang ngay hom sau, thi ban nen di chup them MRI-cong huong tu, tu do BS co the cho ban loi khuyen cu the hon.

pham thai nguyen , Nam - 40 Tuoi: T
hua bac si toi bi thoai hoa cot song khoang 2 nam .Toi khong di kham ma tu mua thuoc GLUCOSAMIN lieu 250mg ,1 ngay toi uong 2 vien,va ket hop tap the duc nhe ,toi thay do dau, xin hoi bac si toi uong thuoc nhu vay co dung khong? va uong lau dai co anh huong gi khong? Xin cam on bac si.

BS. David Wong Him Choon: Neu ban khong cam thay qua dau thi ban van tiep tuc dung thuoc, tap the duc, tranh mang nang va nen ngoi va di lai dung tu the.

Mo ta anh.
nguyen thi thai thanh , Nu - 34 Tuoi: Toi xin chao Bac sy! Chong toi nam nay 43 tuoi, cao 1m62, nang 56 kg. Cach day 6 thang, do van dong sai tu the nen chong toi thay dau manh o ngang that lung. Khi di kham co chup phim MRAI, Bac sy chan doan bi thoat vi dia dem dot L4, L5, Bac sy chi dinh mo va cho uong thuoc, nhung chong toi khong muon mo. Sau mot thoi gian uong thuoc, chong toi thay benh co phan nhe di, tuy van con dau o chan va thay dau chan khi dung lau. Vay toi xin hoi, chong toi co can phai mo hay tiep tuc dieu tri bang thuoc dong y?

BS David Wong Him Choon :
Truong hop cua chong co co the la do dia dem cua chong co bi loi ra gay nen su dau o chan. Tuy nhien, bac si cung can phai xem film chup MRI de danh gia duoc muc do thoai hoa cua dia dem, neu nhu chi o muc do nhe thi co the mo noi soi, neu nhu viec thoai hoa ma o muc do nang hon thi phai phau thuat ho.

phan hoang thong, Nam - 27 Tuoi:
Toi bi dau chan trai khong duoi thang duoc khi tap the duc. Di kham, chup X-quang bac si ket luan la bi gai doi cot song bam sinh. Cho toi hoi Bac si cach chua benh nay, kham chua benh o dau la tot nhat. Co phuong phap nao tap the duc de giam dau khong? Xin cam on Bac si.

Bac si David Wong Him Choon: Trong truong hop nay, anh khong noi ro hay mieu ta ro trieu chung dau o lung hay chi chan trai khong duoi thang duoc khi tap the duc. Neu chi dau chan, ban nen kiem tra dau goi, con neu ban dau lung, do moi van de cua gai cot song. Rat tiec ban khong noi ro nen toi khong the tu van them cho ban. Tuy nhien ban co the di kham chuyen khoa de co loi khuyen cho minh.

Le Thi Oanh, Nu - 41 Tuoi:
Toi cu ngoi chi khoang 10 phut la lung rat dau, neu di lai thi do hon. Ngoai ra toi bi dau ca co, dau dot song gan that lung, va con bi dau doc theo hai ben lung xuong den dui . Thinh thoang dau nua dau. Toi di thu mau thi ket qua binh thuong chi co ham luong cholesterol la hoi cao (57) . Chup phim thi bac si noi cot song binh thuong. Va ket luan toi dau than kinh toa Toi muon hoi bac si co phai toi bi thoat vi dia dem hay khong vi toi nghe noi thoat vi dia dem dan den dau than kinh toa. Xin cam on bac si

Bac si David Wong Him Choon: Vi ban khong noi ro film chup cua ban la gi ? Neu nhu la X-ray thi ban can phai lam them film MRI, neu tu film MRI do bac si nhin thay thoat vi dia dem o muc do nao thi moi dua ra phuong phap dieu tri cu the, vi du nhu phuong phap mo noi soi , xam lan toi thieu , hoac phuong phap noi dot xuong hoac thay dia dem nhan tao.

Le Trong Dai, Nam - 22 Tuoi: Thua bac si toi hien nay la sinh vien. do van dong toi cam thay minh dau o that lung. toi da di chup phim x-quang va duoc biet la bi gai doi cot song khong hoan toan. Toi khong hieu gi ve benh nay va rat lo lang .mong bs giai dap giup toi ve nguyen nhan va cach chua tri. cam on bac si!

Bac si David Wong Him Choon: Trong truong hop cua anh, hien tai ban van con tre, cac tootnhat la nen duy tri van dong on dinh va han che tang can. Trong thooigian sau nay, neu coo dau cang ngay cang ro ret, thi mo se la bien phap can thiet.

Nguyen Van Huy , Nam - 29 Tuoi: Chao Bac sy, toi phat hien ra minh bi thoat vi dia dem cach day 3 nam, nhung toi chua di chua o dau ca vi chua co dieu kien ve kinh te. Vay toi xin hoi Bac sy la chi phi nhu the nao va phau thuat o dau a? Cam on Bac sy!

Bac si David Wong Him Choon: Thoat vi dia dem co nhieu cach chua tri, bac si can phai xem hinh anh phim chup cong huong tu thi moi dua ra duoc huong dieu tri cu the. Viec dieu tri co the bang cach la : Noi dot xuong hoac cung co the la thay dia dem nhan tao, cung co the phuong phap mo noi soi xam lan toi thieu. Yeu to khac nua nhu la benh nhan co can phai luyen tap the thao nhieu khong ? Neu nhu can phai luyen tap nhieu, thi phuong phap huu hieu nhat se la thay dia dem nhan tao nhung ma cai phuong phap nay gia tien se la cao nhat nhung cung se mang lai ket qua huu hieu nhat.

Tong Thuy Vinh , Nu - 46 Tuoi: Thoai hoa dot song lung L4,L5vaf gai doi thi co nen mo hay khong neu khong thi toi co the dieu tri bang phuong phap gi

Bac si David Wong Him Choon: Co khong noi ro thoi gian bi benh da bao lau roi, boi neu bi tu 3-4 nam thi phuong phap mo con phai chan doan qua phim chup X quang gan nhat de xem 2 dot do co on dinh hay khong. Vi tri gai o tren hay duoi.

vu huy hoang , Nam - 42 Tuoi: Khoang 3 nam nay toi bi dau vung that lung, dau theo kieu nhuc moi, di bo khoang 2 km thi chan trai te cung. Lieu nhu vay co phai la toi bi thoai hoa cot song dia dem khong va dieu tri ra sao. Toi xin cam on!

Bac si David Wong Him Choon: Co the la bi thoat vi dia dem va co the la khong, neu phan dia dem loi ra va chen vao day than kinh co the gay ra su dau moi nhung co the la khong phai bi thoat vi dia dem, bac si can phai dua vao film va cac xet nghiem chuan doan khac thi moi ket luan duoc.

Nguyen Van Huy , Nam - 29 Tuoi: Chao Bac sy, toi phat hien ra minh bi thoat vi dia dem cach day 3 nam, nhung toi chua di chua o dau ca vi chua co dieu kien ve kinh te. Vay toi xin hoi Bac sy la chi phi nhu the nao va phau thuat o dau a? Cam on Bac sy!

Bac si David Wong Him Choon: Thoat vi dia dem co nhieu cach chua tri, bac si can phai xem hinh anh phim chup cong huong tu thi moi dua ra duoc huong dieu tri cu the. Viec dieu tri co the bang cach la : Noi dot xuong hoac cung co the la thay dia dem nhan tao, cung co the phuong phap mo noi soi xam lan toi thieu. Yeu to khac nua nhu la benh nhan co can phai luyen tap the thao nhieu khong? Neu nhu can phai luyen tap nhieu, thi phuong phap huu hieu nhat se la thay dia dem nhan tao nhung ma cai phuong phap nay gia tien se la cao nhat nhung cung se mang lai ket qua huu hieu nhat.

Do nhieu cau hoi trung lap ve noi dung va thoi gian giao luu co han, nhieu cau hoi khong duoc tra loi truc tiep, mong quy ban doc thong cam. Xin cam on.
  • TS

Viet Bao
 
Xem Bản Tiếng Việt Có Dấu: Trực tuyến: Bệnh cột sống và phẫu thuật thoát vị đĩa đệm
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