{"id":1177,"date":"2023-04-06T09:10:25","date_gmt":"2023-04-06T02:10:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1177"},"modified":"2023-04-13T22:47:27","modified_gmt":"2023-04-13T15:47:27","slug":"ung-dung-phan-do-gustilo-trong-dieu-tri-gay-xuong-ho","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/ung-dung-phan-do-gustilo-trong-dieu-tri-gay-xuong-ho\/","title":{"rendered":"\u1ee8ng d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf"},"content":{"rendered":"<p style=\"padding-left: 40px;\"><strong>Ph\u00e2n \u0111\u1ed9 Gustilo l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a g\u00e3y x\u01b0\u01a1ng h\u1edf v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p cho b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<p style=\"padding-left: 40px;\"><strong>\u00a0Vi\u1ec7c s\u1eed d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/strong><\/p>\n<h2 style=\"padding-left: 40px;\">1. Kh\u00e1i ni\u1ec7m v\u1ec1 g\u00e3y x\u01b0\u01a1ng h\u1edf v\u00e0 ph\u00e2n \u0111\u1ed9 Gustilo.<\/h2>\n<h3 style=\"padding-left: 40px;\">1.1 Kh\u00e1i ni\u1ec7m g\u00e3y x\u01b0\u01a1ng h\u1edf.<\/h3>\n<p style=\"padding-left: 40px;\">G\u00e3y x\u01b0\u01a1ng h\u1edf l\u00e0 m\u1ed9t d\u1ea1ng g\u00e3y x\u01b0\u01a1ng c\u00f3 s\u1ef1 th\u00f4ng th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp gi\u1eefa x\u01b0\u01a1ng v\u1edbi m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i.<\/p>\n<h3 style=\"padding-left: 40px;\">1.2 Ph\u00e2n \u0111\u1ed9 Gustilo l\u00e0 g\u00ec ?<\/h3>\n<p style=\"padding-left: 40px;\">\u0110\u00e2y l\u00e0 b\u1ea3ng ph\u00e2n \u0111\u1ed9 g\u00e3y x\u01b0\u01a1ng d\u1ef1a tr\u00ean \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng nhi\u1ec5m tr\u00f9ng v\u00e0 th\u1eddi gian l\u00e0nh d\u1ef1 ki\u1ebfn, \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 b\u1edfi Gustilo v\u00e0o n\u0103m 1984, v\u00e0 v\u1eabn \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i trong l\u00e2m s\u00e0ng cho \u0111\u1ebfn ng\u00e0y nay.<\/p>\n<p style=\"padding-left: 40px;\">Ph\u00e2n \u0111\u1ed9 Gustilo l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a g\u00e3y x\u01b0\u01a1ng h\u1edf v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p cho b\u1ec7nh nh\u00e2n.<\/p>\n<p style=\"padding-left: 40px;\">\u00a0Vi\u1ec7c s\u1eed d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/p>\n<p>&nbsp;<\/p>\n<h2 style=\"padding-left: 40px;\">2.T\u00ecm hi\u1ec3u v\u1ec1 ph\u00e2n \u0111\u1ed9 Gustilo v\u00e0 c\u00e1ch ph\u00e2n lo\u1ea1i v\u1ebft th\u01b0\u01a1ng h\u1edf.<\/h2>\n<h3 style=\"padding-left: 40px;\">B\u1ea3ng ph\u00e2n lo\u1ea1i theo Gustilo nh\u01b0 sau:<\/h3>\n<ul>\n<li><strong>\u0110\u1ed9 1<\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">R\u00e1ch da &lt; 1cm<\/p>\n<p style=\"padding-left: 40px;\">V\u1ebft th\u01b0\u01a1ng s\u1ea1ch, c\u01a1 d\u1eadp \u00edt<\/p>\n<p style=\"padding-left: 40px;\">\u0110\u01b0\u1eddng g\u00e3y x\u01b0\u01a1ng \u0111\u01a1n gi\u1ea3n, g\u00e3y ngang ho\u1eb7c ch\u00e9o ng\u1eafn<\/p>\n<p style=\"padding-left: 40px;\">Ch\u1ee7 y\u1ebfu l\u00e0 do g\u00e3y h\u1edf t\u1eeb trong ra.<\/p>\n<ul>\n<li><strong>\u0110\u1ed9 2<\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">R\u00e1ch da: 1cm &lt; r\u00e1ch da &lt; 10 cm<\/p>\n<p style=\"padding-left: 40px;\">T\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m r\u1ed9ng, tr\u00f3c da c\u00f3 th\u1ec3 c\u00f2n cu\u1ed1ng ho\u1eb7c tr\u00f3c h\u1eb3n v\u1ea1t da<\/p>\n<p style=\"padding-left: 40px;\">C\u01a1 d\u1eadp nh\u1eb9 \u0111\u1ebfn v\u1eeba, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng ch\u00e8n \u00e9p khoang<\/p>\n<p style=\"padding-left: 40px;\">X\u01b0\u01a1ng g\u00e3y ngang \u0111\u01a1n gi\u1ea3n ho\u1eb7c ch\u00e9o ng\u1eafn k\u00e8m m\u1ea3nh r\u1eddi nh\u1ecf<\/p>\n<p style=\"padding-left: 40px;\">\u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng \u1edf \u0111\u1ed9 I v\u00e0 II, n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn b\u1ec7nh vi\u1ec7n s\u1edbm, v\u1ebft th\u01b0\u01a1ng sau khi \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch, c\u00f3 th\u1ec3 kh\u00e2u k\u00edn v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u01b0 g\u00e3y x\u01b0\u01a1ng k\u00edn.<\/p>\n<ul>\n<li><strong>\u0110\u1ed9 3<\/strong><\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">G\u00e3y x\u01b0\u01a1ng \u0111\u1ed9 3 c\u00f3 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m r\u1ed9ng (bao g\u1ed3m c\u01a1, da v\u00e0 c\u1ea5u tr\u00fac th\u1ea7n kinh m\u1ea1ch m\u00e1u), r\u00e1ch da &gt; 10 cm. T\u1ed1c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng cao, d\u1eadp n\u00e1t ph\u1ea7n m\u1ec1m nhi\u1ec1u, g\u00e2y ch\u00e8n \u00e9p d\u1eef d\u1ed9i. G\u00e3y x\u01b0\u01a1ng \u0111\u1ed9 3 \u0111\u01b0\u1ee3c chia th\u00e0nh 3 nh\u00f3m:<\/p>\n<p style=\"padding-left: 40px;\"><strong>\u0110\u1ed9 IIIA<\/strong>: V\u1ebft r\u00e1ch ph\u1ea7n m\u1ec1m r\u1ed9ng nh\u01b0ng c\u00f2n \u0111\u1ee7 \u0111\u1ec3 che ph\u1ee7 v\u00f9ng x\u01b0\u01a1ng g\u00e3y, m\u00e0ng x\u01b0\u01a1ng b\u1ecb tr\u00f3c ra v\u00e0 \u0111\u1ea7u x\u01b0\u01a1ng g\u00e3y l\u1ed9 ra ngo\u00e0i. \u1ede t\u00ecnh tr\u1ea1ng n\u00e0y, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t l\u00e0 c\u1ed1 \u0111\u1ecbnh ngo\u00e0i, b\u00f3 b\u1ed9t,\u2026<\/p>\n<p style=\"padding-left: 40px;\"><strong>\u0110\u1ed9 IIIB<\/strong>: V\u1ebft r\u00e1ch ph\u1ea7n m\u1ec1m r\u1ed9ng, kh\u00f4ng \u0111\u1ee7 che ph\u1ee7 x\u01b0\u01a1ng g\u00e3y, tr\u00f3c m\u00e0ng x\u01b0\u01a1ng v\u00e0 \u0111\u1ea7u x\u01b0\u01a1ng b\u1ecb g\u00e3y l\u1ed9 ra ngo\u00e0i. V\u00f9ng g\u00e3y x\u01b0\u01a1ng b\u1ecb nhi\u1ec5m b\u1ea9n nhi\u1ec1u<\/p>\n<p style=\"padding-left: 40px;\"><strong>\u0110\u1ed9 IIIC<\/strong>: V\u1ebft th\u01b0\u01a1ng d\u1eadp n\u00e1t nhi\u1ec1u, x\u01b0\u01a1ng g\u00e3y ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u ch\u00ednh c\u1ea5p m\u00e1u cho chi. N\u1ebfu \u0111i\u1ec1u tr\u1ecb ch\u1eadm tr\u1ec5, chi b\u1ecb thi\u1ebfu m\u00e1u h\u01a1n 6 gi\u1edd c\u00f3 th\u1ec3 ho\u1ea1i t\u1eed v\u00e0 bu\u1ed9c ph\u1ea3i c\u1eaft c\u1ee5t chi \u0111\u1ec3 b\u1ea3o v\u1ec7 t\u00ednh m\u1ea1ng.<\/p>\n<h2 style=\"padding-left: 40px;\">3. \u1ee8ng d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo trong l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/h2>\n<h3 style=\"padding-left: 40px;\">3.1 Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf:<\/h3>\n<ul>\n<li><strong>L\u00e0m s\u1ea1ch v\u1ebft th\u01b0\u01a1ng:<\/strong> \u00a0B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf l\u00e0 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng b\u1eb1ng c\u00e1ch l\u00e0m s\u1ea1ch v\u1ebft th\u01b0\u01a1ng, lo\u1ea1i b\u1ecf d\u1ecb v\u1eadt v\u00e0 c\u00e1c m\u00f4 ho\u1ea1i t\u1eed.<\/li>\n<li><strong>R\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng:\u00a0<\/strong> Khi v\u1ebft th\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch, b\u0103ng b\u00f3 v\u00f4 tr\u00f9ng v\u00e0 c\u1ed1 \u0111\u1ecbnh t\u1ea1m th\u1eddi, b\u00e1c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng g\u00e3y x\u01b0\u01a1ng, \u0111\u1ec1 ra ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li><strong>C\u1ed1 \u0111\u1ecbnh ngo\u00e0i:<\/strong>\u00a0 Trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 s\u1ebd ch\u00e8n v\u00edt ho\u1eb7c ghim kim lo\u1ea1i v\u00e0o x\u01b0\u01a1ng \u1edf tr\u00ean v\u00e0 d\u01b0\u1edbi v\u1ecb tr\u00ed g\u00e3y. C\u00e1c ch\u1ed1t v\u00e0 \u0111inh v\u00edt nh\u00f4 ra kh\u1ecfi da s\u1ebd \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o c\u00e1c thanh l\u00e0m b\u1eb1ng kim lo\u1ea1i ho\u1eb7c s\u1ee3i carbon.<\/li>\n<li><strong>C\u1ed1 \u0111\u1ecbnh trong:<\/strong> B\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng c\u00e1c b\u1ed9 ph\u1eadn c\u1ea5y gh\u00e9p kim lo\u1ea1i (\u0111\u0129a, que, v\u00edt\u2026) \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a x\u01b0\u01a1ng g\u00e3y, gi\u00fap hai \u0111\u1ea7u x\u01b0\u01a1ng g\u00e3y li\u00ean k\u1ebft v\u1edbi nhau trong qu\u00e1 tr\u00ecnh l\u00e0nh l\u1ea1i.<\/li>\n<li><strong>X\u1eed l\u00fd c\u00e1c v\u1ebft th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p:<\/strong>\u00a0 M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e3y h\u1edf c\u00f3 v\u1ebft th\u01b0\u01a1ng l\u1edbn, m\u1ea5t m\u00f4 m\u1ec1m nhi\u1ec1u, kh\u00f3 kh\u00e2u l\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c b\u0103ng b\u00f3 t\u1ea1m th\u1eddi \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh l\u00e0nh l\u1ea1i. Sau m\u1ed9t th\u1eddi gian, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh kh\u00e2u v\u1ebft th\u01b0\u01a1ng b\u1eb1ng c\u00e1ch: gh\u00e9p da, v\u1ea1t t\u1ea1i ch\u1ed7, v\u1ea1t t\u1ef1 do<\/li>\n<\/ul>\n<h3 style=\"padding-left: 40px;\">3.2 \u00c1p d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo trong l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf:<\/h3>\n<ul>\n<li><strong>\u00a0\u0110\u1ed9 1<\/strong>: V\u1ebft th\u01b0\u01a1ng nh\u1eb9, kh\u00f4ng c\u00f3 nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m xung quanh v\u00e0 kh\u00f4ng c\u00f3 c\u00e1c m\u1ea3ng da b\u1ecb m\u00f2n ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho lo\u1ea1i v\u1ebft th\u01b0\u01a1ng n\u00e0y l\u00e0 ph\u1eabu thu\u1eadt \u0111\u00f3ng v\u1ebft th\u01b0\u01a1ng v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng.<\/li>\n<li><strong>\u0110\u1ed9 2<\/strong>: \u00a0V\u1ebft th\u01b0\u01a1ng trung b\u00ecnh, c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m xung quanh v\u1ebft th\u01b0\u01a1ng v\u00e0 c\u00e1c m\u1ea3ng da b\u1ecb m\u00f2n ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng h\u01a1n. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho lo\u1ea1i v\u1ebft th\u01b0\u01a1ng n\u00e0y l\u00e0 ph\u1eabu thu\u1eadt m\u1edf v\u1ebft th\u01b0\u01a1ng, l\u00e0m s\u1ea1ch v\u1ebft th\u01b0\u01a1ng, t\u00e1i thi\u1ebft c\u00e1c m\u00f4 b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng.<\/li>\n<li><strong>\u0110\u1ed9 3:<\/strong> \u00a0V\u1ebft th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng nh\u1ea5t, c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m xung quanh n\u1eb7ng v\u00e0 c\u00e1c m\u1ea3ng da b\u1ecb m\u00f2n ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng r\u1ea5t n\u1eb7ng. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho lo\u1ea1i v\u1ebft th\u01b0\u01a1ng n\u00e0y l\u00e0 ph\u1eabu thu\u1eadt m\u1edf v\u1ebft th\u01b0\u01a1ng, l\u00e0m s\u1ea1ch v\u1ebft th\u01b0\u01a1ng, t\u00e1i thi\u1ebft c\u00e1c m\u00f4 b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung nh\u01b0 truy\u1ec1n m\u00e1u ho\u1eb7c ph\u1eabu thu\u1eadt h\u1ed7 tr\u1ee3.<\/li>\n<\/ul>\n<h2 style=\"padding-left: 40px;\">4.\u1ee8ng d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo trong d\u1ef1 b\u00e1o k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb:<\/h2>\n<ul>\n<li><strong>D\u1ef1 b\u00e1o kh\u1ea3 n\u0103ng nhi\u1ec5m tr\u00f9ng:<\/strong> N\u1ebfu v\u1ebft th\u01b0\u01a1ng c\u00f3 ph\u00e2n \u0111\u1ed9 <a href=\"http:\/\/noithathoaphat.in\/ctv\/?p=1177&amp;preview=true\">Gustilo<\/a> cao (\u0111\u1ed9 2 ho\u1eb7c 3), nguy c\u01a1 nhi\u1ec5m tr\u00f9ng s\u1ebd cao h\u01a1n, do \u0111\u00f3 c\u00e1c chuy\u00ean gia y t\u1ebf s\u1ebd c\u1ea7n ph\u1ea3i \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u00f4 m\u1ec1m b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n<li><strong>D\u1ef1 b\u00e1o kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i:<\/strong> N\u1ebfu v\u1ebft th\u01b0\u01a1ng c\u00f3 ph\u00e2n \u0111\u1ed9 Gustilo cao, kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd th\u1ea5p h\u01a1n.\n<figure id=\"attachment_1182\" aria-describedby=\"caption-attachment-1182\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-1182\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-5-300x215.jpg\" alt=\"H\u00ecnh \u1ea3nh minh h\u1ecda g\u00e3y x\u01b0\u01a1ng h\u1edf v\u00e0 g\u00e3y x\u01b0\u01a1ng k\u00edn\" width=\"300\" height=\"215\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-5-300x215.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-5.jpg 344w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1182\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda h\u00e3y x\u01b0\u01a1ng h\u1edf v\u00e0 g\u00e3y k\u00edn<\/figcaption><\/figure>\n<p>Ngo\u00e0i nhi\u1ec5m tr\u00f9ng, v\u1ebft th\u01b0\u01a1ng h\u1edf c\u00f2n c\u00f3 nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c nh\u01b0 t\u0103ng \u00e1p l\u1ef1c n\u1ed9i b\u1ee5ng, suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn, huy\u1ebft kh\u1ed1i, ho\u1eb7c nhi\u1ec5m khu\u1ea9n n\u1eb7ng. Ph\u00e2n \u0111\u1ed9 Gustilo c\u0169ng cung c\u1ea5p th\u00f4ng tin v\u1ec1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u00e1c m\u00f4 m\u1ec1m xung quanh v\u1ebft th\u01b0\u01a1ng v\u00e0 c\u00e1c c\u01a1 quan v\u00e0 m\u1ea1ch m\u00e1u b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/li>\n<\/ul>\n<h2 style=\"padding-left: 40px;\"><\/h2>\n<p>Ph\u00e2n \u0111\u1ed9 Gustilo l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb <a href=\"https:\/\/www.vinmec.com\/vi\/co-xuong-khop\/cac-benh-thuong-gap\/gay-xuong-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/\">g\u00e3y x\u01b0\u01a1ng h\u1edf<\/a> v\u00ec n\u00f3 gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u00e1c m\u00f4 m\u1ec1m xung quanh v\u1ebft th\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 d\u1ef1 b\u00e1o k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Vi\u1ec7c \u00e1p d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c, t\u0103ng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u00fap cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/p>\n<p>Do \u0111\u00f3, ph\u00e2n \u0111\u1ed9 Gustilo \u0111\u00f3ng vai tr\u00f2 v\u00f4 c\u00f9ng quan tr\u1ecdng trong vi\u1ec7c qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf.<\/p>\n<p class=\"\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/co-xuong-khop\/cac-benh-thuong-gap\/gay-xuong-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/co-xuong-khop\/cac-benh-thuong-gap\/gay-xuong-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<div class=\"relate-video\">\n<div class=\"relate-videos-area text-center\"><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u00e2n \u0111\u1ed9 Gustilo l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a g\u00e3y x\u01b0\u01a1ng h\u1edf v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p cho b\u1ec7nh nh\u00e2n. \u00a0Vi\u1ec7c s\u1eed d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c. [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u1ee8ng d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u00e2n \u0111\u1ed9 Gustilo r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf v\u00ec n\u00f3 gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u00e1c m\u00f4 m\u1ec1m xung quanh v\u1ebft th\u01b0\u01a1ng\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u1ee8ng d\u1ee5ng ph\u00e2n \u0111\u1ed9 Gustilo trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng h\u1edf - 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