{"id":102992,"date":"2021-06-05T00:00:00","date_gmt":"2021-06-05T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/dieu-tri-viem-khop-vay-nen\/"},"modified":"2022-09-14T00:00:00","modified_gmt":"2022-09-14T00:00:00","slug":"dieu-tri-viem-khop-vay-nen","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/co-xuong-khop\/dieu-tri-viem-khop-vay-nen\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn hi\u1ec7u qu\u1ea3"},"content":{"rendered":"\n<p class=\"has-gray-200-background-color has-background wp-block-paragraph\"><strong><a href=\"https:\/\/www.docosan.com\/blog\/co-xuong-khop\/viem-khop-vay-nen\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/a> l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u1ea3y n\u1ebfn. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea9y n\u1ebfn k\u1ecbp th\u1eddi s\u1ebd c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y c\u1ee7a <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> s\u1ebd cung c\u1ea5p m\u1ed9t v\u00e0i gi\u1ea3i ph\u00e1p m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u0103n b\u1ec7nh n\u00e0y hi\u1ec7u qu\u1ea3.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, c\u00e1c b\u00e1c s\u0129 s\u1ebd b\u0103t \u0111\u1ea7u b\u1eb1ng vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh. B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u00f2n gi\u00fap c\u00e1c b\u00e1c s\u0129 lo\u1ea1i b\u1ecf c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng li\u00ean quan nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p hay b\u1ec7nh gout.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1eb1ng h\u00ecnh \u1ea3nh bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ch\u1ee5p X-quang: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u00e1c kh\u1edbp, x\u01b0\u01a1ng do b\u1ec7nh. Th\u01b0\u1eddng g\u1eb7p l\u00e0 d\u1ea5u hi\u1ec7u b\u00e0o m\u00f2n, h\u1eb9p khe kh\u1edbp, d\u00ednh kh\u1edbp \u1edf c\u00e1c kh\u1edbp li\u00ean \u0111\u1ed1t ng\u00f3n, kh\u00f4ng \u0111\u1ed1i x\u1ee9ng. T\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c hi\u1ec7u l\u00e0 d\u1ea5u hi\u1ec7u ph\u00e1 h\u1ee7y ki\u1ec3u g\u1ecdt nh\u1ecdn \u0111\u1ea7u xa c\u00e1c x\u01b0\u01a1ng \u0111\u1ed1t ng\u00f3n. Ti\u00eau x\u01b0\u01a1ng n\u1eb7ng c\u00f3 th\u1ec3 l\u00e0m cho khe kh\u1edbp r\u1ed9ng ra v\u00e0 bi\u1ebfn d\u1ea1ng kh\u1edbp n\u1eb7ng. C\u00f3 th\u1ec3 c\u00f3 vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu m\u1ed9t b\u00ean; c\u1ea7u x\u01b0\u01a1ng to, th\u00f4, kh\u00f4ng \u0111\u1ed1i x\u1ee9ng \u1edf c\u1ed9t s\u1ed1ng.<\/li><li>Ch\u1ee5p MRI: Ph\u01b0\u01a1ng ch\u1ea9n \u0111o\u00e1n n\u00e0y \u0111\u00e1nh gi\u00e1 s\u1edbm c\u00e1c t\u1ed5n th\u01b0\u01a1ng vi\u00eam \u0111i\u1ec3m b\u00e1m g\u00e2n v\u00e0 c\u00e1c t\u1ecfn th\u01b0\u01a1ng quanh kh\u1edbp, vi\u00eam kh\u1edbp c\u00f9ng ch\u1eadu. Vi\u1ec7c n\u00e0y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 ki\u1ec3m tra c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u1edbp, g\u00e2n, ho\u1eb7c d\u00e2y ch\u1eb1ng giai \u0111o\u1ea1n s\u1edbm.<\/li><li>Ch\u1ee5p CT v\u00e0 si\u00eau \u00e2m: Ph\u01b0\u01a1ng ph\u00e1p gi\u00fap c\u00e1c b\u00e1c s\u0129 bi\u1ebft \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh \u0111\u1ebfn c\u00e1c kh\u1edbp nh\u01b0 th\u1ebf n\u00e0o.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/dieu-tri-viem-khop-vay-nen-2.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn\" class=\"wp-image-43390\"\/><figcaption>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>X\u00e9t nghi\u1ec7m CRP (C-reactive protein): protein ph\u1ea3n \u1ee9ng CC l\u00e0 m\u1ed9t glycoprotein do gan s\u1ea3n xu\u1ea5t ch\u1ee7 y\u1ebfu, nh\u1eb1m \u0111\u00e1p \u1ee9ng v\u1edbi t\u00ecnh tr\u1ea1ng vi\u00eam trong c\u01a1 th\u1ec3. <\/li><li>X\u00e9t nghi\u1ec7m t\u1ed1c \u0111\u1ed9 l\u1eafng c\u1ee7a h\u1ed3ng c\u1ea7u: T\u1ed1c \u0111\u1ed9 l\u1eafng c\u1ee7a h\u1ed3ng c\u1ea7u ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 vi\u00eam trong c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. H\u1ed3ng c\u1ea7u l\u1eafng c\u00e0ng nhanh, ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam \u0111ang di\u1ec5n ti\u1ebfn. Tuy nhi\u00ean, \u0111i\u1ec3m h\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 kh\u00f4ng th\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng vi\u00eam do vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn hay l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n n\u00e0o kh\u00e1c g\u00e2y ra.<\/li><li>X\u00e9t nghi\u1ec7m RF (Rheunmatoid Factor): hay c\u00f2n g\u1ecdi l\u00e0 x\u00e9t nghi\u1ec7m y\u1ebfu t\u1ed1 d\u1ea1ng th\u1ea5p, \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i protein \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh t\u1eeb nh\u1eefng ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3. Kh\u00e1ng th\u1ec3 n\u00e0y c\u00f3 th\u1ec3 t\u1ea5n c\u00f4ng v\u00e0 c\u00e1c t\u1ebf b\u00e0o c\u1ee7a c\u01a1 th\u1ec3 do s\u1ef1 nh\u1ea7m l\u1eabn trong c\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 kh\u1ecfi s\u1ef1 x\u00e2m l\u1ea5n c\u1ee7a c\u00e1c t\u00e1c nh\u00e2n l\u1ea1. RF th\u01b0\u1eddng t\u0103ng v\u01b0\u1ee3t ng\u01b0\u1ee1ng trong vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p nh\u01b0ng d\u01b0\u1edbi ng\u01b0\u1ee1ng v\u1edbi b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn. Do \u0111\u00f3, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c ng\u01b0\u1eddi b\u1ec7nh m\u1eafc vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn hay vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p.<\/li><li>X\u00e9t nghi\u1ec7m d\u1ecbch kh\u1edbp: c\u00e1c b\u00e1c s\u0129 s\u1ebd l\u1ea5y m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf d\u1ecbch trong kh\u1edbp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m. N\u1ebfu trong d\u1ecbch kh\u1edbp c\u00f3 tinh th\u1ec3 axit uric th\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 m\u1eafc b\u1ec7nh gout, thay v\u00ec b\u1ec7nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn.<\/li><li>Ki\u1ec3m tra s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u: S\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u \u1edf trong m\u00e1u b\u1ecb suy gi\u1ea3m th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn. Tuy nhi\u00ean x\u00e9t nghi\u1ec7m n\u00e0y kh\u00f4ng d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn m\u00e0 \u0111\u1ec3 theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng do b\u1ec7nh g\u00e2y ra. <\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 c\u01a1 \u0111\u1ecba c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e0 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 t\u1ed5n th\u01b0\u01a1ng da hay vi\u00eam kh\u1edbp do v\u1ea3y n\u1ebfn g\u00e2y ra.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn l\u00e0: <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAIDs)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid trong \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn s\u1ebd gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng \u0111au v\u00e0 s\u01b0ng kh\u1edbp. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh l\u00e0 ibuprofen (Advil) v\u00e0 naproxen (Aleve). N\u1ebfu 2 lo\u1ea1i thu\u1ed1c tr\u00ean kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng, c\u00e1c b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c kh\u00e1c v\u1edbi t\u00e1c d\u1ee5ng m\u1ea1nh h\u01a1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh s\u1eed d\u1ee5ng thu\u1ed1c m\u1ed9t c\u00e1ch t\u00f9y ti\u1ec7n l\u00e0: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>K\u00edch \u1ee9ng d\u1ea1 d\u00e0y<\/li><li>Xu\u1ea5t huy\u1ebft d\u1ea1 d\u00e0y<\/li><li>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch<\/li><li>\u0110\u1ed9t qu\u1ef5<\/li><li>T\u1ed5n th\u01b0\u01a1ng gan v\u00e0 th\u1eadn<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/dieu-tri-viem-khop-vay-nen-3.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn\" class=\"wp-image-43391\"\/><figcaption> S\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAIDs)<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Thu\u1ed1c ch\u1ed1ng th\u1ea5p kh\u1edbp (Disease-modifying antirheumatic drugs &#8211; DMARDs)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c ch\u1ed1ng th\u1ea5p kh\u1edbp c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p m\u00e0 b\u00e1c s\u0129 th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, \u0111\u1eb7c bi\u1ec7t nh\u1eefng tr\u01b0\u1eddng h\u1ee3p trung b\u00ecnh v\u00e0 n\u1eb7ng. Ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y l\u00e0 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh ph\u00e1 hu\u1ef7 s\u1ee5n v\u00e0 x\u01b0\u01a1ng c\u1ee7a vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, do \u0111\u00f3 gi\u1ea3m t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m v\u00e0 gi\u1ea3m \u0111au kh\u1edbp.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1eb1ng nhi\u1ec1u c\u00e1ch nh\u01b0 u\u1ed1ng ti\u00eam ho\u1eb7c truy\u1ec1n th\u1eb3ng v\u00e0o c\u01a1 th\u1ec3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng th\u1ea5p kh\u1edbp m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u00e0: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Methotrexate (MTX)<\/li><li>Leflunomide (LEF)<\/li><li>Sulfasalazine (SSZ)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Khi s\u1eed d\u1ee5ng m\u1ed9t c\u00e1ch t\u00f9y ti\u1ec7n th\u00ec ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>T\u1ed5n th\u01b0\u01a1ng gan<\/li><li>\u1ee8c ch\u1ebf t\u1ee7y x\u01b0\u01a1ng<\/li><li>Nhi\u1ec5m tr\u00f9ng ph\u1ed5i, x\u01a1 ph\u1ed5i<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/dieu-tri-viem-khop-vay-nen-4.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn\" class=\"wp-image-43393\"\/><figcaption> Thu\u1ed1c ch\u1ed1ng th\u1ea5p kh\u1edbp (Disease-modifying antirheumatic drugs &#8211; DMARDs)<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Thu\u1ed1c sinh h\u1ecdc ho\u1eb7c DMARD t\u1ed5ng h\u1ee3p m\u1edbi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb7ng ho\u1eb7c khi kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 v\u1edbi c\u00e1c thu\u1ed1c NSAID v\u00e0\/ho\u1eb7c DMARD c\u1ed5 \u0111i\u1ec3n (trong \u0111\u00f3 c\u00f3 MTX). Thu\u1ed1c \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo t\u1eebng ch\u1ee9c n\u0103ng: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>\u1ee8c ch\u1ebf y\u1ebfu t\u1ed1 ho\u1ea1i t\u1eed kh\u1ed1i u-alpha (Tumour necrosis factor \u03b1 &#8211; TNF \u03b1)<ul><li>Adalimimab (Humira)<\/li><li>Certolizumab (Cimzia)<\/li><li>Golimumbab (Simponi)<\/li><li>Etanercept (Enbrel)<\/li><li>Infliximab (Remicade)<\/li><\/ul><\/li><li>\u1ee8c ch\u1ebf IL-12\/23<ul><li>Ustekinumab (Stelara)<\/li><\/ul><\/li><li>\u1ee8c ch\u1ebf IL-17<ul><li>Secukinumab (Consentyx)<\/li><li>Brodalumab (Siliq)<\/li><li>Ixekizumab (Taltz)<\/li><\/ul><\/li><li>\u1ee8c ch\u1ebf IL-23<ul><li>Guselkumab (Tremfya)<\/li><li>Tildrakizumab-asmn (Ilumya)<\/li><\/ul><\/li><li>\u1ee8c ch\u1ebf t\u1ebf b\u00e0o T<ul><li>Abatacept<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam d\u01b0\u1edbi da ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch cho b\u1ec7nh nh\u00e2n. C\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t thu\u1ed1c sinh h\u1ecdc \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p m\u1ed9t thu\u1ed1c sinh h\u1ecdc v\u1edbi MTX. Thu\u1ed1c s\u1ebd t\u1ea1m th\u1eddi l\u00e0m gi\u1ea3m ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh n\u00ean c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 b\u1ecb nhi\u1ec5m tr\u00f9ng. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c bao g\u1ed3m bu\u1ed3n n\u00f4n v\u00e0 ti\u00eau ch\u1ea3y.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Thu\u1ed1c ti\u00eam Corticosteroid<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Trong \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, r\u1ea5t th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng corticoid to\u00e0n th\u00e2n v\u00ec hi\u1ec7u qu\u1ea3 kh\u00e1 h\u1ea1n ch\u1ebf nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng da khi gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u01b0ng thu\u1ed1c. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng corticoid \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o kh\u1edbp b\u1ecb t\u1ed5n th\u01b0\u01a1ng, tu\u1ef3 theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng trong th\u1eddi gian d\u00e0i l\u00e0 t\u0103ng nguy c\u01a1 suy th\u01b0\u1ee3ng th\u1eadn, lo\u00e3ng x\u01b0\u01a1ng do t\u0103ng ti\u00eau x\u01b0\u01a1ng v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/dieu-tri-viem-khop-vay-nen-5.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn\" class=\"wp-image-43392\"\/><figcaption> Thu\u1ed1c ti\u00eam Corticosteroid \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn m\u00e0 c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch nh\u1eb1m l\u00e0m gi\u1ea3m \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch qu\u00e1 m\u1ee9c c\u1ee7a c\u01a1 th\u1ec3 trong b\u1ec7nh c\u1ea3nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng l\u00e0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Azathioprine (Imuran)<\/li><li>Cyclosporine (Gengraf)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c l\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng hay t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 gan, th\u1eadn. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng da<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh m\u1ed9t s\u1ed1 lo\u1ea1i kem b\u00f4i, thu\u1ed1c m\u1ee1 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng da \u1edf b\u1ec7nh nh\u00e2n vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn. M\u1ed9t s\u1ed1 thu\u1ed1c m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u00e0: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Anthralin<\/li><li>Calcitriol ho\u1eb7c calcipotriene, l\u00e0 c\u00e1c d\u1ea1ng kem c\u00f3 ch\u1ee9a vitamin D-3<\/li><li>Axit salicylic<\/li><li>Kem c\u00f3 steroid<\/li><li>Tazarotene, m\u00f4t d\u1ea1ng kem c\u00f3 ch\u1ee9a c\u1ee7a vitamin A<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/dieu-tri-viem-khop-vay-nen-6.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn\" class=\"wp-image-43395\"\/><figcaption>Thu\u1ed1c b\u00f4i \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1ch ph\u00f2ng tr\u00e1nh vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn t\u00e1i ph\u00e1t<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00ean c\u1ea1nh vi\u1ec7c \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng v\u00e0 th\u00f3i quen c\u0169ng gi\u00fap cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>T\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, duy tr\u00ec c\u00e2n n\u1eb7ng<\/li><li>Ng\u01b0ng s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1 v\u00e0 r\u01b0\u1ee3u bia<\/li><li>C\u00e1c b\u00e0i t\u1eadp thi\u1ec1n, yoga c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m c\u0103ng th\u1eb3ng<\/li><li>Ho\u1ea1t \u0111\u1ed9ng \u0111\u00fang t\u01b0 th\u1ebf \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u00e1c kh\u1edbp<\/li><li>Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd, c\u00e2n \u0111\u1ed1i gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n dinh d\u01b0\u1ee1ng kh\u00e1c nhau<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/01\/dieu-tri-viem-khop-vay-nen-7.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn\" class=\"wp-image-43394\"\/><figcaption>X\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 khoa h\u1ecdc l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">M\u1ed9t s\u1ed1 b\u00e1c s\u0129 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Th\u1ea1c s\u0129, B\u00e1c s\u0129 Ph\u1ea1m Ch\u00ed L\u0103ng, h\u01a1n 30 n\u0103m kinh nghi\u1ec7m, qu\u1eadn B\u00ecnh T\u00e2n, TP.HCM<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/481?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>Th\u1ea1c s\u0129, B\u00e1c s\u0129 D\u01b0\u01a1ng \u0110\u00ecnh Tri\u1ebft, h\u01a1n 15 n\u0103m kinh nghi\u1ec7m, Qu\u1eadn 5, TP.HCM<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/707?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>BSCKII Nguy\u1ec5n T\u1ea5n To\u00e0n, h\u01a1n 20 n\u0103m kinh nghi\u1ec7m, Qu\u1eadn 5, TP.HCM<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/720?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn t\u00f9y thu\u1ed9c v\u00e0o c\u01a1 \u0111\u1ecba v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i m\u1ed9t s\u1ed1 th\u00f3i quen trong cu\u1ed9c s\u1ed1ng \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u00e1i di\u1ec5n. N\u1ebfu c\u1ea3m th\u1ea5y \u0111i\u1ec1u g\u00ec b\u1ea5t th\u01b0\u1eddng, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n g\u1eb7p c\u00e1c b\u00e1c s\u0129 C\u01a1 &#8211; X\u01b0\u01a1ng &#8211; Kh\u1edbp c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o b\u00e1c s\u0129 Tr\u1ea7n B\u1ea3o Ng\u1ecdc v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n t\u1ea1i Docosan \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb<\/em>.<\/p>\n\n\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.healthline.com\/health\/psoriatic-arthritis#types\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Everything You Need to Know About Psoriatic Arthritis &#8211; Healthline.com<\/a><\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u1ea3y n\u1ebfn. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp v\u1ea9y n\u1ebfn k\u1ecbp th\u1eddi s\u1ebd c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y c\u1ee7a Docosan s\u1ebd cung c\u1ea5p m\u1ed9t v\u00e0i gi\u1ea3i ph\u00e1p m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":86612,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[138],"tags":[],"class_list":["post-102992","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-co-xuong-khop"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/06\/dieu-tri-viem-khop-vay-nen-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/06\/dieu-tri-viem-khop-vay-nen-1-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/102992","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=102992"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/102992\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/86612"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=102992"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=102992"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=102992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}