{"id":33351,"date":"2022-07-11T17:36:34","date_gmt":"2022-07-11T10:36:34","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33351"},"modified":"2022-07-11T17:37:32","modified_gmt":"2022-07-11T10:37:32","slug":"loan-duong-xuong-do-than-renal-osteodystrophy","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/loan-duong-xuong-do-than-renal-osteodystrophy\/","title":{"rendered":"Lo\u1ea1n d\u01b0\u1ee1ng x\u01b0\u01a1ng do th\u1eadn – Renal osteodystrophy"},"content":{"rendered":"

T\u1ea3i file PDF b\u00e0i vi\u1ebft Lo\u1ea1n d\u01b0\u1ee1ng x\u01b0\u01a1ng do th\u1eadn – Renal osteodystrophy<\/a> t\u1ea1i \u0111\u00e2y<\/a><\/p>\n

B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy<\/p>\n

Gi\u1edbi thi\u1ec7u<\/h2>\n
Lo\u1ea1n d\u01b0\u1ee1ng x\u01b0\u01a1ng do suy th\u1eadn (Renal osteodystrophy (ROD) hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh l\u00fd x\u01b0\u01a1ng do ure m\u00e1u cao \u0111\u1ec1 c\u1eadp \u0111\u1ebfn nh\u1eefng b\u1ea5t th\u01b0\u1eddng x\u01b0\u01a1ng \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n t\u00ednh, bao g\u1ed3m:<\/p>\n
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– Lo\u00e3ng x\u01b0\u01a1ng (ng\u01b0\u1eddi l\u1edbn) v\u00e0 c\u00f2i x\u01b0\u01a1ng (\u1edf tr\u1ebb em).<\/li>\n
– C\u01b0\u1eddng c\u1eadn gi\u00e1p th\u1ee9 ph\u00e1t (r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a canxi v\u00e0 photphat):\n
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+ Ti\u00eau x\u01b0\u01a1ng<\/li>\n
+ X\u01a1 x\u01b0\u01a1ng<\/li>\n
+ V\u00f4i h\u00f3a ph\u1ea7n m\u1ec1m v\u00e0 m\u1ea1ch m\u00e1u<\/li>\n
+ C\u00e1c kh\u1ed1i u n\u00e2u<\/li>\n<\/ul>\n<\/li>\n
– Nhi\u1ec5m \u0111\u1ed9c nh\u00f4m: \u1edf b\u1ec7nh nh\u00e2n ch\u1ea1y th\u1eadn.<\/li>\n<\/ul>\n
\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n
Lo\u00e3ng x\u01b0\u01a1ng: th\u01b0\u1eddng x\u1ea3y ra s\u1edbm. M\u1ecfng v\u1ecf x\u01b0\u01a1ng v\u00e0 c\u00e1c b\u00e8 x\u01b0\u01a1ng. H\u00ecnh \u1ea3nh mu\u1ed1i ti\u00eau \u1edf x\u01b0\u01a1ng s\u1ecd \u201csalt and pepper skull\u201d. C\u00e1c \u1ed5 ti\u00eau x\u01b0\u01a1ng: th\u01b0\u1eddng \u1edf d\u01b0\u1edbi m\u00e0ng x\u01b0\u01a1ng, c\u0169ng c\u00f3 th\u1ec3 \u1edf b\u1ec1 m\u1eb7t kh\u1edbp, d\u01b0\u1edbi s\u1ee5n, v\u1ecf x\u01b0\u01a1ng, v\u00f9ng d\u01b0\u1edbi d\u00e2y ch\u1eb1ng, ho\u1eb7c b\u00e8 x\u01b0\u01a1ng. S\u1ef1 t\u00e1i t\u1ea1o d\u01b0\u1edbi m\u00e0ng x\u01b0\u01a1ng: \u0111i\u1ec3n h\u00ecnh x\u1ea3y ra \u1edf m\u1eb7t quay \u0111\u1ed1t gi\u1eefa c\u1ee7a ng\u00f3n tr\u1ecf v\u00e0 ng\u00f3n gi\u1eefa.<\/p>\n
X\u01a1 x\u01b0\u01a1ng: x\u01a1 x\u01b0\u01a1ng lan t\u1ecfa\/ rugger jersey spine: x\u01a1 x\u01b0\u01a1ng \u1edf th\u00e2n \u0111\u1ed1t s\u1ed1ng. V\u00f4i h\u00f3a m\u00f4 m\u1ec1m. L\u1eafng \u0111\u1ecdng amyloid: x\u00f3i m\u00f2n xung quanh v\u00e0 \u1edf kh\u1edbp. G\u00e3y x\u01b0\u01a1ng thi\u1ebfu. C\u00e1c kh\u1ed1i u n\u00e2u.<\/p>\n
Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n
B\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng. Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p. B\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng huy\u1ebft thanh \u00e2m t\u00ednh C\u00e1c kh\u1ed1i u: \u0111a u t\u1ee7y x\u01b0\u01a1ng, di c\u0103n. Kh\u1ed1i u n\u00e2u c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn v\u1edbi kh\u1ed1i u \u00e1c t\u00ednh nguy\u00ean ph\u00e1t \u1edf x\u01b0\u01a1ng. L\u1eafng \u0111\u1ecdng amyloid c\u00f3 th\u1ec3 nh\u1ea7m v\u1edbi vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch th\u1ec3 l\u00f4ng n\u1ed1t s\u1eafc t\u1ed1 (Pigmented villonodular synovitis) ho\u1eb7c u s\u1ee5n m\u00e0ng ho\u1ea1t d\u1ecbch (Synovial chondromatosis). Vi\u00eam x\u01b0\u01a1ng t\u1ee7y. Nh\u1eefng b\u1ea5t th\u01b0\u1eddng trong t\u1ee7y x\u01b0\u01a1ng.<\/p>\n
C\u00e1c v\u00ed d\u1ee5<\/h2>\n
V\u00ed d\u1ee5 1<\/h3>\n
B\u1ec7nh nh\u00e2n 30 tu\u1ed5i, suy th\u1eadn m\u1ea1n v\u00e0 c\u01b0\u1eddng c\u1eadn gi\u00e1p. C\u00f3 s\u1ef1 l\u1eafng \u0111\u1ecdng x\u01b0\u01a1ng d\u01b0\u1edbi m\u00e0ng x\u01b0\u01a1ng th\u1ea5y r\u00f5 nh\u1ea5t \u1edf b\u1edd quay c\u00e1c \u0111\u1ed1t ng\u00f3n g\u1ea7n v\u00e0 gi\u1eefa.<\/p>\n
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V\u00ed d\u1ee5 2<\/h3>\n
Rugger-jersey spine. T\u0103ng \u0111\u1eadm \u0111\u1ed9 b\u1ec1 m\u1eb7t th\u00e2n \u0111\u1ed1t s\u1ed1ng c\u1ee7a c\u00e1c \u0111\u1ed1t s\u1ed1ng li\u1ec1n k\u1ec1 nhau t\u1ea1o h\u00ecnh h\u00ecnh \u1ea3nh \u201ct\u1ed1i-s\u00e1ng-t\u1ed1i\u201d gi\u1ed1ng nh\u01b0 nh\u1eefng s\u1ecdc ngang c\u1ee7a chi\u1ebfc \u00e1o c\u1ea7u th\u1ee7 b\u00f3ng b\u1ea7u d\u1ee5c.<\/p>\n
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V\u00ed d\u1ee5 3<\/h3>\n
Brown tumors. Phim ch\u1ee5p x-quang b\u00e0n tay c\u1ee7a b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n t\u00ednh c\u00f3 bi\u1ec3u hi\u1ec7n c\u01b0\u1eddng c\u1eadn gi\u00e1p th\u1ee9 ph\u00e1t.<\/p>\n
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– \u0110\u01b0\u1eddng b\u1edd v\u1ecf x\u01b0\u01a1ng kh\u00f4ng r\u00f5, kh\u00f4ng \u0111\u1ec1u, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1edd quay c\u00e1c \u0111\u1ed1t ng\u00f3n gi\u1eefa -> t\u00e1i t\u1ea1o x\u01b0\u01a1ng d\u01b0\u1edbi m\u00e0ng x\u01b0\u01a1ng.<\/li>\n
– Nhi\u1ec1u \u1ed5 ti\u00eau x\u01b0\u01a1ng nh\u1ecf -> c\u00e1c kh\u1ed1i u n\u00e2u (m\u0169i t\u00ean).<\/li>\n
– X\u01a1 x\u01b0\u01a1ng.<\/li>\n<\/ul>\n
V\u00ed d\u1ee5 4<\/h3>\n
Gi\u1ea3m m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u1edf b\u00e0n tay v\u00e0 c\u1ed5 tay. Ph\u1ea3n \u1ee9ng m\u00e0ng x\u01b0\u01a1ng \u1edf b\u1edd quay c\u00e1c \u0111\u1ed1t ng\u00f3n tay. Can x\u01b0\u01a1ng \u1edf \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay v\u00e0 x\u01b0\u01a1ng tr\u1ee5 do g\u00e3y x\u01b0\u01a1ng thi\u1ebfu, bi\u1ebfn ch\u1ee9ng c\u1ee7a lo\u1ea1n d\u01b0\u1ee1ng x\u01b0\u01a1ng do suy th\u1eadn v\u00e0 k\u00e8m v\u1edbi c\u01b0\u1eddng c\u1eadn gi\u00e1p th\u1ee9 ph\u00e1t.<\/p>\n
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V\u00ed d\u1ee5 5<\/h3>\n
\u0110\u1eb7c \u0111i\u1ec3m n\u1ed5i b\u1eadt \u1edf b\u1ec7nh nh\u00e2n n\u00e0y l\u00e0 v\u00f4i h\u00f3a m\u00f4 m\u1ec1m. V\u00f4i h\u00f3a gi\u1ea3 u \u1edf b\u00e0n tay, ph\u00eda d\u01b0\u1edbi vai ph\u1ea3i (tr\u00ean x-quang) v\u00e0 kh\u1edbp h\u00e1ng ph\u1ea3i, t\u00fai ho\u1ea1t d\u1ecbch. Ngo\u00e0i ra c\u00f2n th\u1ea5y v\u00f4i h\u00f3a d\u00e2y ch\u1eb1ng qu\u1ea1 \u0111\u00f2n tr\u00ean phim x-quang ng\u1ef1c.<\/p>\n
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V\u00ed d\u1ee5 6<\/h3>\n
L\u1eafng \u0111\u1ecdng amyloid. Nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang d\u01b0\u1edbi s\u1ee5n \u1edf v\u00f9ng kh\u1edbp v\u1edbi b\u1edd x\u01a1 x\u01b0\u01a1ng r\u00f5 v\u00e0 m\u1ea5t li\u00ean t\u1ee5c v\u1ecf x\u01b0\u01a1ng \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay. S\u01b0ng n\u1ec1 ph\u1ea7n m\u1ec1m c\u1ea1nh kh\u1edbp.<\/p>\n
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V\u00ed d\u1ee5 7<\/h3>\n
B\u1ec7nh nh\u00e2n nam 70 tu\u1ed5i. Xu\u1ea5t hi\u1ec7n h\u00ecnh \u1ea3nh c\u00e1c ch\u1ea5m d\u1ea1ng mu\u1ed1i ti\u00eau \u1edf x\u01b0\u01a1ng s\u1ecd do \u1ea3nh h\u01b0\u1edfng c\u1ee7a n\u1ed3ng \u0111\u1ed9 cao hormone tuy\u1ebfn c\u1eadn gi\u00e1p g\u00e2y t\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u00e1c t\u1ebf b\u00e0o h\u1ee7y x\u01b0\u01a1ng.<\/p>\n
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V\u00ed d\u1ee5 8<\/h3>\n
B\u1ec7nh nh\u00e2n nam 45 tu\u1ed5i suy th\u1eadn v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c gh\u00e9p th\u1eadn, c\u00f3 b\u1ea5t th\u01b0\u1eddng trong x\u00e9t nghi\u1ec7m sinh h\u00f3a m\u00e1u. Phim ch\u1ee5p c\u00f3 h\u00ecnh \u1ea3nh rugger jersey spine v\u00e0 h\u00ecnh \u1ea3nh th\u1eadn gh\u00e9p n\u1eb1m \u1edf khung ch\u1eadu.<\/p>\n
Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n
Dr Avni K P Skandhan, Renal osteodystrophy<\/a>, Radiopaedia. Truy c\u1eadp ng\u00e0y 11\/7\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u1ea3i file PDF b\u00e0i vi\u1ebft Lo\u1ea1n d\u01b0\u1ee1ng x\u01b0\u01a1ng do th\u1eadn – Renal osteodystrophy t\u1ea1i \u0111\u00e2y B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu, Dr. L\u00ea V\u0169 Duy Gi\u1edbi thi\u1ec7u Lo\u1ea1n d\u01b0\u1ee1ng x\u01b0\u01a1ng do suy th\u1eadn (Renal osteodystrophy (ROD) hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh l\u00fd x\u01b0\u01a1ng do ure m\u00e1u cao \u0111\u1ec1 c\u1eadp \u0111\u1ebfn nh\u1eefng b\u1ea5t th\u01b0\u1eddng […]\n","protected":false},"author":1,"featured_media":33360,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33351","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33351","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=33351"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33351\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/33360"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33351"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33351"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

C\u00e1c v\u00ed d\u1ee5<\/h2>\n

V\u00ed d\u1ee5 3<\/h3>\nBrown tumors. Phim ch\u1ee5p x-quang b\u00e0n tay c\u1ee7a b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n t\u00ednh c\u00f3 bi\u1ec3u hi\u1ec7n c\u01b0\u1eddng c\u1eadn gi\u00e1p th\u1ee9 ph\u00e1t.<\/p>\n