{"id":17492,"date":"2023-04-10T14:24:26","date_gmt":"2023-04-10T07:24:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17492"},"modified":"2023-04-14T14:43:35","modified_gmt":"2023-04-14T07:43:35","slug":"gay-than-xuong-canh-tay","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/gay-than-xuong-canh-tay\/","title":{"rendered":"G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay: gi\u1ea3i ph\u1eabu, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 g\u00e3y t\u1eeb d\u01b0\u1edbi m\u1ea5u chuy\u1ec3n l\u1edbn \u0111\u1ebfn tr\u00ean m\u1ecfm tr\u00ean l\u1ed3i\u00a0c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay. \u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng hay g\u1eb7p, chi\u1ebfm kho\u1ea3ng 3-5% trong t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i g\u00e3\u1ef5 x\u01b0\u01a1ng. G\u00e3y 1\/3 gi\u1eefa chi\u1ebfm 60% t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay. Trong khi g\u00e3y 1\/3 tr\u00ean v\u00e0 1\/3 d\u01b0\u1edbi ch\u1ec9 chi\u1ebfm 30% v\u00e0 10%. Trong b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y chi ti\u1ebft h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> ThS.BS. Ngu\u1ef5\u1ec5n \u0110\u1ee9c B\u00ecnh, 8S. Ph\u1ea1m Xu\u00e2n H\u01b0ng<\/span><\/p>\n<h1>1.Gi\u1ea3i ph\u1eabu<\/h1>\n<p>X\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t x\u01b0\u01a1ng d\u00e0i, th\u1eb3ng, \u1edf 1 \/3 tr\u00ean h\u01a1i tr\u00f2n, 2\/3 d\u01b0\u1edbi h\u00ecnh l\u0103ng tr\u1ee5 tam gi\u00e1c, n\u01a1i ti\u1ebfp gi\u00e1p gi\u1eefa hai \u0111o\u1ea1n n\u00e0y l\u00e0 m\u1ed9t \u0111i\u1ec3m y\u1ebfu. Ph\u00eda tr\u00ean c\u1ed5 gi\u1ea3i ph\u1eabu c\u0169ng l\u00e0 m\u1ed9t \u0111i\u1ec3m y\u1ebfu d\u1ec5 g\u00e3y.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/bvdkquangnam.vn\/images\/stories\/2017\/phcngayxuong.jpg\" alt=\"phcngayxuong\" width=\"411\" height=\"270\" \/><\/p>\n<ul>\n<li>V\u1ecb tr\u00ed 1\/3 tr\u00ean c\u00f3 r\u00e3nh xo\u1eafn \u1edf m\u1eb7t trong th\u00e2n x\u01b0\u01a1ng, trong r\u00e3nh xo\u1eafn c\u00f3 th\u1ea7n kinh quay, n\u00ean khi g\u00e3y \u1edf 1\/3 tr\u00ean d\u1ec5 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh quay.<\/li>\n<li>\u0110i trong \u1ed1ng c\u00e1nh tay n\u1eb1m ph\u00eda trong x\u01b0\u01a1ng c\u00f3 b\u00f3 m\u1ea1ch th\u1ea7n kinh c\u00e1nh tay, n\u00ean khi g\u00e3y x\u01b0\u01a1ng c\u00e1nh tay d\u1ec5 t\u1ed5n th\u01b0\u01a1ng b\u00f3 m\u1ea1ch th\u1ea7n kinh c\u00e1nh ta\u1ef5.<\/li>\n<li>G\u00e3y 1\/3 gi\u1eefa d\u1ec5 g\u00e2y kh\u1edbp gi\u1ea3 v\u00ec k\u00e9m nu\u00f4i d\u01b0\u1ee1ng.<\/li>\n<\/ul>\n<p>1.1.\u0110\u1eb7c \u0111i\u1ec3m di l\u1ec7ch<\/p>\n<p>-G\u00e3y 1\/3 tr\u00ean: c\u00f3 c\u01a1 ng\u1ef1c to, c\u01a1 ng\u1ef1c b\u00e9 v\u00e0 c\u01a1 Delta b\u00e1m n\u00ean g\u00e3y \u1edf \u0111\u00e2\u1ef5 c\u00f3 di l\u1ec7ch l\u1edbn. C\u00f3 3 v\u1ecb tr\u00ed g\u00e3y kh\u00e1c nhau:<\/p>\n<ul>\n<li>G\u00e3y d\u01b0\u1edbi m\u1ea5u \u0111\u1ed9ng v\u00e0 tr\u00ean ch\u1ed7 b\u00e1m c\u1ee7a c\u01a1 ng\u1ef1c l\u1edbn:<\/li>\n<\/ul>\n<p>\u0110\u1ea7u trung t\u00e2m b\u1ecb c\u01a1 vai k\u00e9o d\u1ea1ng v\u00e0 xoay ngo\u00e0i.\u0110\u1ea7u ngo\u1ea1i vi b\u1ecb c\u01a1 vai &#8211; ng\u1ef1c &#8211; c\u00e1nh tay (c\u01a1 Delta, qu\u1ea1 c\u00e1nh tay, c\u01a1 nh\u1ecb \u0111\u1ea5u) k\u00e9o l\u00ean tr\u00ean, ra tr\u01b0\u1edbc v\u00e0 v\u00e0o trong\u00a0 t\u1ea1o g\u00f3c m\u1edf v\u00e0o trong.<\/p>\n<ul>\n<li>G\u00e3y d\u01b0\u1edbi ch\u1ed7 b\u00e1m c\u1ee7a c\u01a1 ng\u1ef1c l\u1edbn v\u00e0 tr\u00ean ch\u1ed7 b\u00e1m c\u1ee7a c\u01a1 Delta:<\/li>\n<\/ul>\n<p>\u0110\u1ea7u trung t\u00e2m b\u1ecb c\u01a1 ng\u1ef1c k\u00e9o v\u00e0o trong v\u00e0 ra tr\u01b0\u1edbc. \u0110\u1ea7u ngo\u1ea1i vi b\u1ecb c\u01a1 Delta v\u00e0 c\u01a1 tam \u0111\u1ea7u k\u00e9o l\u00ean tr\u00ean v\u00e0 ra ngo\u00e0i -&gt; t\u1ea1o g\u00f3c m\u1edf ra ngo\u00e0i.<\/p>\n<ul>\n<li>G\u00e3y d\u01b0\u1edbi ch\u1ed7 b\u00e1m c\u1ee7a c\u01a1 Delta:<\/li>\n<\/ul>\n<p>\u0110\u1ea7u trung t\u00e2m b\u1ecb c\u01a1 Delta k\u00e9o d\u1ea1ng ra ngo\u00e0i. \u0110\u1ea7u ngo\u1ea1i vi b\u1ecb c\u01a1 qu\u1ea1 c\u00e1nh tay, c\u01a1 nh\u1ecb \u0111\u1ea9u k\u00e9o l\u00ean tr\u00ean\u00a0 t\u1ea1o g\u00f3c m\u1edf v\u00e0o trong.<\/p>\n<p>-G\u00e3y 1\/3 gi\u1eefa: \u00edt di l\u1ec7ch v\u00ec c\u01a1 tam \u0111\u1ea7u v\u00e0 c\u01a1 c\u00e1nh tay bao b\u1ecdc, n\u1ebfu c\u00f3 th\u00ec di l\u1ec7ch ch\u1ed3ng v\u00e0 c\u00f3 c\u01a1 ch\u00e8n v\u00e0o gi\u1eefa<\/p>\n<ul>\n<li>\u0110\u1ea7u x\u01b0\u01a1ng g\u00e3y.<\/li>\n<li>\u0110\u1ea7u trung t\u00e2m b\u1ecb c\u01a1 Delta k\u00e9o ra tr\u01b0\u1edbc v\u00e0 d\u1ea1ng ra ngo\u00e0i.<\/li>\n<li>\u0110\u1ea7u ngo\u1ea1i vi b\u1ecb c\u01a1 tam \u0111\u1ea7u k\u00e9o l\u00ean tr\u00ean -&gt; T\u1ea1o g\u00f3c m\u1edf v\u00e0o trong.<\/li>\n<\/ul>\n<p>-G\u00e3y 1\/3 d\u01b0\u1edbi<\/p>\n<ul>\n<li>\u0110o\u1ea1n trung t\u00e2m \u00edt di l\u1ec7ch.<\/li>\n<li>\u0110o\u1ea1n ngo\u1ea1i vi b\u1ecb c\u00e1c c\u01a1 b\u00e1m \u1edf m\u1ecfm tr\u00ean l\u1ed3i c\u1ea5u v\u00e0 m\u1ecfm tr\u00ean r\u00f2ng r\u1ecdc k\u00e9o v\u1ec1 ph\u00eda tr\u01b0\u1edbc -&gt; t\u1ea1o g\u00f3c m\u1edf ra sau. Khi g\u00e3y 1\/3 d\u01b0\u1edbi th\u1ea5p di l\u1ec7ch nhi\u1ec1u d\u1ec5 g\u00e2y t\u1ed5n th\u01b0\u01a1ng b\u00f3 m\u1ea1ch th\u1ea7n kinh c\u00e1nh tay, g\u00e2y r\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng, co c\u1ee9ng do thi\u1ebfu m\u00e1u l\u00e0m h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng ho\u1eb7c c\u1ee9ng kh\u1edbp khu\u1ef7u.<\/li>\n<\/ul>\n<h1>2.C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng<\/h1>\n<p>C\u01a1 ch\u00ea ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp g\u1eb7p ch\u1ee7 y\u1ebfu<sub>;<\/sub> x\u1ea3y ra do v\u1eadt c\u1ee9ng \u0111\u1eadp v\u00e0o c\u00e1nh tay ho\u1eb7c TNGT, ph\u1ea7n nhi\u1ec1u g\u00e2y n\u00ean g\u00e3y ph\u1ee9c t\u1ea1p, g\u00e3y x\u01b0\u01a1ng h\u1edf.<\/p>\n<p>C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp: do ng\u00e3 ch\u1ed1ng tay, g\u00e3y ch\u00e9o xo\u1eafn 1\/3 gi\u1eefa, 1\/3 d\u01b0\u1edbi<\/p>\n<p>Ngo\u00e0i ra, c\u00f2n c\u00f3 th\u1ec3 g\u1eb7p g\u00e3y x\u01b0\u01a1ng b\u1ec7nh l\u00fd do u x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng \u1edf tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa.<\/p>\n<h1>3. \u0110\u01b0\u1eddng g\u00e3y<\/h1>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20200709_015843_213766_screenshot_1594259900.max-800x800.png\" alt=\"G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay \" width=\"521\" height=\"304\" \/><\/p>\n<h1>4. Ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng<\/h1>\n<ul>\n<li>D\u1ea5u hi\u1ec7u g\u00e3y x\u01b0\u01a1ng:<\/li>\n<\/ul>\n<p>+ \u0110au nhi\u1ec1u \u1ed5 g\u00e3y sau tai n\u1ea1n.<\/p>\n<p>+ M\u1ea5t c\u01a1 n\u0103ng kh\u1edbp vai v\u00e0 kh\u1edbp khu\u1ef7u.<\/p>\n<p>+ Bi\u1ebfn d\u1ea1ng g\u1ea5p g\u00f3c c\u00e1nh tay.<\/p>\n<p>+ C\u00f3 th\u1ec3 nghe ti\u1ebfng l\u1ea1o x\u1ea1o x\u01b0\u01a1ng.<\/p>\n<ul>\n<li>D\u1ea5u hi\u1ec7u li\u1ec7t th\u1ea9n kinh quay: b\u00e0n tay r\u1ee7, kh\u00f4ng du\u1ed7i \u0111\u01b0\u1ee3c c\u1ed5 tay v\u00e0 c\u00e1c ng\u00f3n tay, kh\u00f4ng d\u1ea1ng \u0111\u01b0\u1ee3c ng\u00f3n c\u00e1i, m\u1ea5t c\u1ea3m gi\u00e1c mu tay c\u1ee7a ng\u00f3n I, II v\u00e0 \u00f4 m\u00f4 c\u00e1i.<\/li>\n<\/ul>\n<h1>5.Ch\u1ea9n \u0111o\u00e1n c\u1eadn l\u00e2m s\u00e0ng<\/h1>\n<p>-Ch\u1ee5p XQ:\u00a0XQ th\u1eb3ng v\u00e0 XQ nghi\u00eang<\/p>\n<p>Ch\u1ee5p XQ chu\u1ea9n l\u1ea5y h\u1ebft kh\u1edbp vai v\u00e0 kh\u1edbp khu\u1ef7u tay \u1edf hai b\u00ecnh di\u1ec7n vu\u00f4ng g\u00f3c v\u1edbi nhau, th\u01b0\u1eddng ph\u1ea3i d\u1ecbch chuy\u1ec3n thay \u0111\u1ed5i t\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n \u0111\u1ec3 ch\u1ee5p, kh\u00f4ng n\u00ean ch\u1ec9 xoay c\u00e1nh tay \u0111\u1ec3 ch\u1ee5p.<\/p>\n<p>Tr\u00ean phim ghi nh\u1eadn \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed g\u00e3y, \u0111\u01b0\u1eddng g\u00e2y, di l\u1ec7ch, m\u1ea3nh r\u1eddi&#8230;<\/p>\n<p>-Trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y b\u1ec7nh l\u00fd, c\u1ea7n \u0111\u00e1nh gi\u00e1 th\u00eam b\u1eb1ng phim c\u1eaft l\u1edbp vi t\u00ednh (CT Scanner), ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) \u0111\u1ec3 n\u1eafm \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n c\u1ee7a x\u01b0\u01a1ng b\u1ec7nh l\u00fd tr\u01b0\u1edbc khi ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20200709_020447_817524_gay-xuong-canh-tay.max-1800x1800.jpg\" alt=\"G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay \" width=\"295\" height=\"171\" \/><\/p>\n<h1>6.\u0110i\u1ec1u tr\u1ecb<\/h1>\n<h2>6.1.S\u01a1 c\u1ee9u:<\/h2>\n<ul>\n<li>Gi\u1ea3m \u0111au to\u00e0n th\u00e2n.<\/li>\n<li>C\u1ed1 \u0111\u1ecbnh t\u1ea1m th\u1eddi b\u1eb1ng 2 n\u1eb9p g\u1ed7 \u00f4m gi\u1eefa c\u00e1nh tay ho\u1eb7c n\u1eb9p Crame c\u00e1nh ta\u1ef5-b\u00e0n ta\u1ef5.<\/li>\n<\/ul>\n<h2>6.2.\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n:<\/h2>\n<p>B\u00f3 b\u1ed9t.<\/p>\n<p>*Ch\u1ec9 \u0110\u1ecbnh:<\/p>\n<ul>\n<li>G\u00e3y h\u1edf \u1edf tr\u1ebb em.<\/li>\n<li>G\u00e3y k\u00edn \u00edt ho\u1eb7c kh\u00f4ng di l\u1ec7ch.<\/li>\n<li>M\u1ee9c \u0111\u1ed9 n\u1eafn ch\u1ec9nh ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c: (Acceptable Reduction)<\/li>\n<li>Di l\u1ec7ch g\u1ea5p g\u00f3c ra tr\u01b0\u1edbc &lt; 20\u00b0.<\/li>\n<li>Di l\u1ec7ch v\u1eb9o trong ho\u1eb7c v\u1eb9o ngo\u00e0i &lt; 30\u00b0.<\/li>\n<li>Di l\u1ec7ch ch\u1ed5ng (ng\u1eafn chi) &lt; 3 cm.<\/li>\n<\/ul>\n<p>*Ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n<ul>\n<li>G\u00e2y m\u00ea ho\u1eb7c g\u00e2y t\u00ea \u0111\u00e1m r\u1ed1i th\u1ea7n kinh c\u00e1nh tay<\/li>\n<li>N\u1eafn ch\u1ec9nh, c\u1ed1 \u0111\u1ecbnh, b\u00f3 b\u1ed9t ki\u1ec3u b\u1ed9t ng\u1ef1c-vai-c\u00e1nh tay<\/li>\n<li>G\u00e3y 1\/3 tr\u00ean: b\u00f3 b\u1ed9t ng\u1ef1c c\u00e1nh tay \u1edf t\u01b0 th\u1ebf gi\u1ea1ng v\u1ecb tr\u00ed g\u00e3y c\u00e0ng cao th\u00ec gi\u1ea1ng c\u00e0ng nhi\u1ec1u, g\u00e3y tr\u00ean ch\u1ed7 b\u00e1m c\u01a1 ng\u1ef1c to c\u00e1nh tay gi\u1ea1ng 80 -90\u00b0, ra tr\u01b0\u1edbc 30 -40\u00b0.<\/li>\n<li>G\u00e3y d\u01b0\u1edbi ch\u1ed7 b\u00e1m c\u01a1 ng\u1ef1c to c\u00e1nh tay gi\u1ea1ng 60 -70\u00b0, ra tr\u01b0\u1edbc 30\u00b0. Kh\u1edbp khu\u1ef7u g\u1ea5p 90\u00b0, c\u1eb3ng tay n\u1eeda s\u1ea5p n\u1eeda ng\u1eeda.<\/li>\n<\/ul>\n<ul>\n<li>Th\u1eddi gian c\u1ed1 \u0111\u1ecbnh 3 -4tu\u1ea9n.<\/li>\n<\/ul>\n<p>*Nh\u01b0\u1ee3c \u0111i\u1ec3m:<\/p>\n<ul>\n<li>D\u1ec5 gi\u00e3n c\u00e1ch do tr\u1ecdng l\u01b0\u1ee3ng chi th\u1ec3.<\/li>\n<li>Di l\u1ec7ch th\u1ee9 ph\u00e1t<\/li>\n<li>Kh\u1edbp gi\u1ea3.<\/li>\n<\/ul>\n<h2>6.3.\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/h2>\n<p>-Ch\u1ec9 \u0111\u1ecbnh:<\/p>\n<ul>\n<li>G\u00e3y c\u00f3 bi\u1ebfn ch\u1ee9ng: g\u00e3y h\u1edf, t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u th\u1eafn kinh.<\/li>\n<li>G\u00e3y x\u01b0\u01a1ng c\u00f3 di l\u1ec7ch l\u1edbn n\u1eafn ch\u1ec9nh th\u1ea5t b\u1ea1i<\/li>\n<li>G\u00e3y c\u00f3 ch\u00e8n \u00e9p c\u01a1 v\u00e0o 2 \u0111\u1ea7u g\u00e3y.<\/li>\n<\/ul>\n<p>-Ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n<ul>\n<li>V\u00f4 c\u1ea3m: g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n ho\u1eb7c g\u00e2\u1ef5 t\u00ea \u0111\u00e1m r\u1ed1i th\u1ea7n kinh c\u00e1nh tay.<\/li>\n<li>Khung c\u1ed1 \u0111\u1ecbnh ngo\u1ea1i vi trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y h\u1edf ph\u1ee9c t\u1ea1p, c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng,<\/li>\n<li>KHX b\u1eb1ng \u0111inh n\u1ed9i t\u1ee7y c\u00f3 ch\u1ed1t.<\/li>\n<li>KHX b\u1eb1ng \u0111inh Metaizeau d\u01b0\u1edbi m\u00e0n t\u0103ng s\u00e1ng.<\/li>\n<li>KHX b\u1eb1ng n\u1eb9p vis.<\/li>\n<\/ul>\n<p>-Nh\u01b0\u1ee3c \u0111i\u1ec3m:<\/p>\n<ul>\n<li>T\u1ed1n k\u00e9m.<\/li>\n<li>T\u1ea1o m\u1ed9t cu\u1ed9c m\u1ed5 g\u00e2y \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/li>\n<li>D\u1ec5 t\u1ed5n th\u01b0\u01a1ng th\u1ea9n kinh quay.<\/li>\n<\/ul>\n<h1>7.Bi\u1ebfn ch\u1ee9ng<\/h1>\n<ul>\n<li>Li\u1ec7t th\u1ea7n kinh quay<\/li>\n<\/ul>\n<p>G\u1eb7p 18% trong g\u00e3y k\u00edn th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay, trong s\u1ed1 n\u00e0y 90% l\u00e0 li\u1ec7t c\u01a1 n\u0103ng (neurapraxia), b\u1ec7nh nh\u00e2n th\u01b0\u1eddng ph\u1ee5c h\u1ed3i t\u1ef1 nhi\u00ean sau 3-4 th\u00e1ng.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u1ebfu sau 10 tu\u1ea7n kh\u00f4ng th\u1ea5y d\u1ea5u hi\u1ec7u h\u1ed5i ph\u1ee5c.<\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt chuy\u1ec3n g\u00e2n n\u1ebfu kh\u00f4ng th\u1ec3 h\u1ed5i ph\u1ee5c \u0111\u01b0\u1ee3c li\u1ec7t TK quay. K\u1ef9 thu\u1eadt chuy\u1ec3n g\u00e2n Boyde ho\u1eb7c Smith.<\/p>\n<ul>\n<li>Can x\u01b0\u01a1ng li\u1ec1n t\u01b0 th\u1ebf x\u1ea5u<\/li>\n<\/ul>\n<p>Th\u01b0\u1eddng th\u00ec g\u1eadp g\u00f3c 20-30\u00b0 ho\u1eb7c ng\u1eafn chi 2-3 cm \u00edt \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng g\u00ec l\u1edbn. Bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng r\u1ed9ng c\u1ee7a vai l\u00e0m gi\u1ea3m \u0111i \u1ea3nh h\u01b0\u1edfng c\u1ee7a can x\u1ea5u do xoay, ngay c\u1ea3 nh\u1eefng bi\u1ebfn d\u1ea1ng l\u1edbn h\u01a1n c\u0169ng \u0111\u01b0\u1ee3c th\u00edch nghi v\u1edbi m\u1ed9t h\u1ea1n ch\u1ebf c\u01a1 n\u0103ng kh\u00f4ng \u0111\u00e1ng k\u1ec3.<\/p>\n<ul>\n<li>Kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>5% \u1edf b\u1ec7nh nh\u00e2n \u0111i\u1ec3u tr\u1ecb b\u1ea3o t\u1ed3n v\u00e0 25% \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt ngay k\u1ef3 \u0111\u1ea7u. Kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng g\u1eb7p nhi\u1ec1u h\u01a1n trong c\u00e1c g\u00e3y h\u1edf, g\u00e3y do ch\u1ea5n th\u01b0\u01a1ng t\u1ed1c \u0111\u1ed9 cao, g\u00e3y c\u00f3 m\u1ea3nh r\u1eddi, c\u00e1c g\u00e3y m\u00e0 n\u1eafn kh\u00f4ng t\u1ed1t, g\u00e3y \u0111\u01b0\u1ee3c m\u1ed5 nh\u01b0ng b\u1ea5t \u0111\u1ed9ng kh\u00f4ng v\u1eefng. C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i l\u00e0 c\u1ee9ng kh\u1edbp vai hay kh\u1edbp khu\u1ef7u c\u00f3 s\u1eb5n tr\u01b0\u1edbc \u0111\u00f3, ph\u1ea9n m\u1ec1m che ph\u1ee7 k\u00e9m, b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec, b\u1ecb ung th\u01b0 di c\u0103n, nghi\u1ec7n r\u01b0\u1ee3u d\u1eabn \u0111\u1ebfn lo\u00e3ng x\u01b0\u01a1ng, \u0111ang \u0111i\u1ec1u tr\u1ecb v\u1edbi corticosteroid, ho\u1eb7c b\u1ecb \u0111a ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n<ul>\n<li>Nhi\u1ec5m tr\u00f9ng kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>Li\u00ean quan tr\u1ef1c ti\u1ebfp gi\u1eefa b\u1ea5t \u0111\u1ed9ng kh\u00f4ng v\u1eefng v\u00e0 nhi\u1ec5m tr\u00f9ng, \u0111\u1eb7c bi\u1ec7t trong g\u00e3y h\u1edf. B\u1ea5t \u0111\u1ed9ng v\u1eefng, c\u1ea5t l\u1ecdc tri\u1ec7t \u0111\u1ec3 c\u00e1c m\u00f4 ch\u1ebft k\u1ec3 c\u1ea3 x\u01b0\u01a1ng, r\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng v\u00e0 d\u00f9ng kh\u00e1ng sinh c\u00f3 h\u1ec7 th\u1ed1ng s\u1ebd d\u1eabn \u0111\u1ebfn li\u1ec1n x\u01b0\u01a1ng trong \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<ul>\n<li>Kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng v\u1edbi khuy\u1ebft x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>Khi kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng x\u1ea3y ra k\u00e8m v\u1edbi khuy\u1ebft x\u01b0\u01a1ng tr\u00ean 5cm th\u00ec \u0111\u00f2i h\u1ecfi ph\u1ea3i can thi\u1ec7p ph\u1eabu thu\u1eadt l\u1ea1i. Ng\u01b0\u1eddi ta khuy\u00ean n\u00ean gh\u00e9p x\u01b0\u01a1ng x\u1ed1p d\u00e0y c\u00f3 k\u00e8m theo v\u1ecf x\u01b0\u01a1ng, ho\u1eb7c gh\u00e9p x\u01b0\u01a1ng c\u00f3 cu\u1ed1ng m\u1ea1ch.<\/p>\n<ul>\n<li>Bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u<\/li>\n<\/ul>\n<p>\u00cdt g\u1eb7p trong g\u00e3y k\u00edn, hay g\u1eb7p trong g\u00e3y h\u1edf, g\u00e3y do dao ch\u00e9m ho\u1eb7c h\u1ecfa kh\u00ed. N\u1ebfu nghi ng\u1edd c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u ho\u1eb7c trong c\u00e1c g\u00e3y x\u01b0\u01a1ng c\u00f3 nguy c\u01a1 cao t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u th\u00ec n\u00ean ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 ph\u1ee5c h\u1ed3i l\u1ea1i. Vi\u1ec7c ph\u1ee5c h\u1ed3i l\u1ea1i m\u1ea1ch m\u00e1u \u0111\u01b0\u1ee3c xem l\u00e0 ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ea5t \u0111\u1ed9ng x\u01b0\u01a1ng v\u1eefng ch\u1eafc v\u1edbi n\u1eb9p vis ho\u1eb7c c\u1ed1 \u0111\u1ecbnh ngo\u00e0i.<\/p>\n<h1>8.Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/h1>\n<ul>\n<li>Cho b\u1ec7nh nh\u00e2n t\u1eadp co c\u01a1 t\u0129nh: l\u00ean g\u00e2n c\u00e1c c\u01a1 trong b\u1ed9t v\u00e0 t\u1eadp v\u1eadn \u0111\u1ed9ng c\u00e1c kh\u1edbp kh\u00f4ng b\u1ea5t \u0111\u1ed9ng.<\/li>\n<li>Sau khi th\u00e1o b\u1ed9t ho\u1eb7c sau 3 &#8211; 5 ng\u00e0y m\u1ed5 KHX cho b\u1ec7nh nh\u00e2n ti\u1ebfn h\u00e0nh t\u1eadp v\u1eadn \u0111\u1ed9ng ph\u1ee5c h\u1ed5i ch\u1ee9c n\u0103ng h\u1ec7 th\u1ed1ng c\u01a1, g\u00e2n kh\u1edbp vai kh\u1edbp khu\u1ef7u.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/vinmec.com\/co-xuong-khop\/suc-khoe-thuong-thuc\/gay-xuong-canh-tay-dieu-tri-the-nao\/\">G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay<\/a> l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng g\u00e3y x\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p, c\u1ea9n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn v\u00ec c\u00f3 th\u1ec3 b\u1ecf x\u00f3t nh\u1eefng th\u01b0\u01a1ng t\u1ed5n k\u00e8m theo, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ed5n th\u01b0\u01a1ng TK quay. \u0110i\u1ec1u tr\u1ecb g\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay c\u00f3 r\u1ea5t nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p, tuy nhi\u00ean v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y ngang, g\u00e3y \u00edt m\u1ea3nh c\u00f3 th\u1ec3 m\u1ed5 k\u00edn d\u01b0\u1edbi m\u00e0n t\u0103ng s\u00e1ng v\u1edbi nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u1ec1 li\u1ec1n x\u01b0\u01a1ng v\u00e0 th\u1ea9m m\u1ef9.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 g\u00e3y t\u1eeb d\u01b0\u1edbi m\u1ea5u chuy\u1ec3n l\u1edbn \u0111\u1ebfn tr\u00ean m\u1ecfm tr\u00ean l\u1ed3i\u00a0c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay. \u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng hay g\u1eb7p, chi\u1ebfm kho\u1ea3ng 3-5% trong t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i g\u00e3\u1ef5 x\u01b0\u01a1ng. G\u00e3y 1\/3 gi\u1eefa chi\u1ebfm 60% t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay. Trong khi g\u00e3y [&hellip;]<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay: gi\u1ea3i ph\u1eabu, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 g\u00e3y t\u1eeb d\u01b0\u1edbi m\u1ea5u chuy\u1ec3n l\u1edbn \u0111\u1ebfn tr\u00ean m\u1ecfm tr\u00ean l\u1ed3i\u00a0c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay. \u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng hay g\u1eb7p, chi\u1ebfm kho\u1ea3ng 3-5% trong t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i g\u00e3\u1ef5 x\u01b0\u01a1ng. 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