{"id":17738,"date":"2023-04-10T18:13:35","date_gmt":"2023-04-10T11:13:35","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17738"},"modified":"2023-04-11T11:54:59","modified_gmt":"2023-04-11T04:54:59","slug":"tong-quan-ve-gay-xuong-thuyen","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/tong-quan-ve-gay-xuong-thuyen\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n"},"content":{"rendered":"

G\u00e3y x\u01b0\u01a1ng thuy\u1ec1n<\/a> l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn \u1edf c\u1ed5 tay, th\u01b0\u1eddng x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi ch\u01a1i th\u1ec3 thao v\u00e0 ng\u01b0\u1eddi gi\u00e0. \u0110\u00e2y l\u00e0 lo\u1ea1i g\u00e3y x\u01b0\u01a1ng ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 kh\u00e1c nhau n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n, bao g\u1ed3m gi\u1ea3i ph\u1eabu, c\u01a1 ch\u1ebf , l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u0169ng nh\u01b0 ph\u00e2n lo\u1ea1i v\u1ec1 lo\u1ea1i b\u1ec7nh n\u00e0y<\/strong><\/p>\n

1.D\u1ecbch t\u1ec5 h\u1ecdc\u00a0<\/span><\/h2>\n

Theo th\u1ed1ng k\u00ea h\u00e0ng n\u0103m \u1edf M\u1ef9 c\u00f3 h\u01a1n 678.000 ca g\u00e3y x\u01b0\u01a1ng c\u1ed5 tay chi\u1ebfm 18% c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng v\u00f9ng c\u1ed5 tay v\u00e0 b\u00e0n tay, trong s\u1ed1 g\u00e3y x\u01b0\u01a1ng c\u1ed5 tay g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n (Scaphoid fracture) l\u00e0 g\u00e3y x\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, chi\u1ebfm 68,2% trong c\u00e1c g\u00e3y x\u01b0\u01a1ng v\u00f9ng c\u1ed5 tay. Ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nam gi\u1edbi 15-60 tu\u1ed5i, hi\u1ebfm g\u1eb7p \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi gi\u00e0. Th\u01b0\u1eddng g\u1eb7p trong TNSH ng\u00e3 ch\u1ed1ng tay xu\u1ed1ng \u0111\u1ea5t,TNGT v\u00e0 trong 1 s\u1ed1 m\u00f4n th\u1ec3 thao c\u00f3 l\u1ef1c t\u00e1c \u0111\u1ed9ng l\u1edbn \u0111\u1ebfn c\u1ed5 tay<\/span><\/p>\n

5-12% c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n c\u00f3 k\u00e8m theo g\u00e3y x\u01b0\u01a1ng kh\u00e1c. 70-80% g\u00e3y \u1edf eo x\u01b0\u01a1ng thuy\u1ec1n, 10-20% g\u00e3y \u1edf c\u1ef1c g\u1ea7n x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/p>\n

2.Gi\u1ea3i ph\u1eabu <\/span><\/h2>\n

\"16.1.Gi\u1ea3i<\/p>\n

1.Gi\u1ea3i ph\u1eabu kh\u1ed1i x\u01b0\u01a1ng c\u1ed5 tay<\/p>\n

X\u01b0\u01a1ng c\u1ed5 tay g\u1ed3m c\u00f3 8 x\u01b0\u01a1ng v\u00e0 \u0111\u01b0\u1ee3c s\u1eafp x\u1ebfp th\u00e0nh 2 h\u00e0ng (H\u00ecnh 1):<\/span><\/p>\n

    \n
  • H\u00e0ng tr\u00ean: thuy\u1ec1n, nguy\u1ec7t, th\u00e1p, \u0111\u1eadu.<\/span><\/li>\n
  • H\u00e0ng d\u01b0\u1edbi: thang, th\u00ea, c\u1ea3, m\u00f3c.<\/span><\/li>\n<\/ul>\n

    X\u01b0\u01a1ng thuy\u1ec1n n\u1eb1m \u1edf h\u00e0ng tr\u00ean, t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u00e1y c\u1ee7a h\u00f5m l\u00e0o gi\u1ea3i ph\u1eabu, tr\u00ean l\u00e2m s\u00e0ng t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng thuy\u1ec1n \u0111\u1eb7c tr\u01b0ng khi \u1ea5n \u0111au ch\u00f3i \u1edf h\u00f5m l\u00e0o gi\u1ea3i ph\u1eabu (H\u00ecnh 2)<\/span><\/p>\n

    \"16.2
    2.T\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c tr\u01b0ng trong g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n<\/figcaption><\/figure>\n

    X\u01b0\u01a1ng thuy\u1ec1n l\u00e0 x\u01b0\u01a1ng quan tr\u1ecdng nh\u1ea5t c\u1ee7a kh\u1ed1i x\u01b0\u01a1ng t\u1ee5 c\u1ed1t, n\u00f3 tham gia ch\u00ednh trong v\u1eadn \u0111\u1ed9ng kh\u1edbp c\u1ed5 tay. X\u01b0\u01a1ng thuy\u1ec1n n\u1eb1m ngo\u00e0i nh\u1ea5t v\u00e0 l\u1edbn nh\u1ea5t c\u1ee7a h\u00e0ng trong kh\u1ed1i x\u01b0\u01a1ng t\u1ee5 c\u1ed1t, c\u00f3 h\u00ecnh xo\u1eafn, cong u\u1ed1n gi\u1ed1ng chi\u1ebfc thuy\u1ec1n, v\u1ec1 c\u1ea5u t\u1ea1o, 75% b\u1ec1 m\u1eb7t x\u01b0\u01a1ng l\u00e0 s\u1ee5n kh\u1edbp.<\/span><\/p>\n

    X\u01b0\u01a1ng thuy\u1ec1n c\u00f3 6 m\u1eb7t, trong \u0111\u00f3 m\u1eb7t tr\u01b0\u1edbc v\u00e0 sau kh\u00f4ng c\u00f3 di\u1ec7n kh\u1edbp, m\u1eb7t tr\u00ean ti\u1ebfp kh\u1edbp v\u1edbi x\u01b0\u01a1ng quay, m\u1eb7t d\u01b0\u1edbi v\u1edbi x\u01b0\u01a1ng thang v\u00e0 x\u01b0\u01a1ng th\u00ea, m\u1eb7t trong v\u1edbi x\u01b0\u01a1ng nguy\u1ec7t, x\u01b0\u01a1ng c\u1ea3 v\u00e0 c\u00f3 m\u1ed9t m\u1eb7t t\u1ef1 do.<\/span><\/p>\n

    \u0110\u01b0\u1ee3c chia ra g\u1ed3m 2 ph\u1ea7n: ph\u1ea7n g\u1ea7n v\u00e0 ph\u1ea7n xa, n\u1ed1i gi\u1eefa 2 ph\u1ea7n l\u00e0 eo. M\u1eb7t sau c\u00f3 <\/span>r\u00e3nh xo\u1eafn l\u00e0 n\u01a1i m\u1ea1ch m\u00e1u \u0111i v\u00e0o nu\u00f4i x\u01b0\u01a1ng.<\/span><\/p>\n

    \"16.3
    3.C\u00e1c m\u1eb7t kh\u1edbp c\u1ee7a x\u01b0\u01a1ng thang<\/figcaption><\/figure>\n

    M\u1ea1ch m\u00e1u nu\u00f4i x\u01b0\u01a1ng g\u1ed3m 2 ngu\u1ed3n (H\u00ecnh 4), 80% m\u00e1u cung c\u1ea5p cho x\u01b0\u01a1ng thuy\u1ec1n l\u00e0 nh\u00e1nh t\u1eeb \u0110M quay \u0111i v\u00e0o r\u00e3nh xo\u1eafn \u1edf m\u1eb7t l\u01b0ng x\u01b0\u01a1ng thuy\u1ec1n. 20% c\u00f2n l\u1ea1i t\u1eeb m\u1ea1ch m\u00e1u \u0111i v\u00e0o l\u1ed3i c\u1ee7 x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

    \"16.4
    4.M\u1ea1ch m\u00e1u nu\u00f4i x\u01b0\u01a1ng<\/figcaption><\/figure>\n

    C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y m\u1ea1ch m\u00e1u nu\u00f4i x\u01b0\u01a1ng \u0111i v\u00e0o x\u01b0\u01a1ng \u1edf l\u1ed3i c\u1ee7 x\u01b0\u01a1ng thuy\u1ec1n t\u1ea1i 1\/3 d\u01b0\u1edbi ph\u00eda sau ho\u1eb7c sau ngo\u00e0i x\u01b0\u01a1ng thuy\u1ec1n. Nh\u01b0 v\u1eady c\u1ef1c tr\u00ean (1\/3 tr\u00ean) x\u01b0\u01a1ng thuy\u1ec1n l\u00e0 n\u01a1i b\u1ecb thi\u1ebfu m\u00e1u nu\u00f4i d\u01b0\u1ee1ng, 2\/3 d\u01b0\u1edbi th\u00ec \u0111\u01b0\u1ee3c t\u01b0\u1edbi m\u00e1u nhi\u1ec1u. C\u1ef1c tr\u00ean n\u1eb1m ho\u00e0n to\u00e0n trong kh\u1edbp, ch\u1ec9 c\u00f3 m\u1ed9t d\u00e2y ch\u1eb1ng quay- thuy\u1ec1n s\u00e2u, kh\u00f4ng th\u1ea5y c\u00f3 m\u00e1u nu\u00f4i d\u01b0\u1ee1ng \u0111\u1ed9c l\u1eadp n\u00ean c\u1ef1c tr\u00ean khi g\u00e3y r\u1ea5t kh\u00f3 li\u1ec1n, t\u1ef7 l\u1ec7 kh\u1edbp gi\u1ea3 khi g\u00e3y \u1edf c\u1ef1c tr\u00ean c\u00f3 th\u1ec3 chi\u1ebfm 35% (H\u00ecnh 5)<\/span><\/p>\n

    \"16.5
    5.Ph\u00e2n b\u1ed1 m\u00e1u nu\u00f4i x\u01b0\u01a1ng thuy\u1ec1n<\/figcaption><\/figure>\n

    3. C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng<\/span><\/h2>\n

    H\u1ea7u h\u1ebft c\u00e1c ca g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n l\u00e0 do c\u01a1 ch\u1ebf gi\u00e1n ti\u1ebfp khi ng\u00e3 ch\u1ed1ng tay, c\u1ed5 tay \u1edf t\u01b0 th\u1ebf du\u1ed7i qu\u00e1 m\u1ee9c v\u00e0 nghi\u00eang tr\u1ee5 (H\u00ecnh 6). C\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp do t\u00e1c \u0111\u1ed9ng m\u1ed9t l\u1ef1c tr\u1ef1c ti\u1ebfp v\u00e0o l\u00f2ng b\u00e0n tay ch\u1ec9 chi\u1ebfm ph\u1ea7n nh\u1ecf\u00a0<\/span><\/p>\n

    \"16.6
    6.C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng<\/figcaption><\/figure>\n

    \u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay th\u1ea5p h\u01a1n \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng tr\u1ee5 n\u00ean l\u00fac n\u00e0y, tr\u1ecdng l\u01b0\u1ee3ng to\u00e0n c\u01a1 th\u1ec3 \u0111\u01b0\u1ee3c d\u1ed3n ch\u1ee7 y\u1ebfu l\u00ean x\u01b0\u01a1ng quay. L\u1ef1c t\u00e1c \u0111\u1ed9ng \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecdc theo x\u01b0\u01a1ng quay xu\u1ed1ng v\u00f9ng c\u1ed5 tay. X\u01b0\u01a1ng thuy\u1ec1n l\u00e0 x\u01b0\u01a1ng n\u1eb1m ngo\u00e0i nh\u1ea5t, l\u1edbn nh\u1ea5t c\u1ee7a h\u00e0ng tr\u00ean x\u01b0\u01a1ng c\u1ed5 tay v\u00e0 ti\u1ebfp kh\u1edbp v\u1edbi x\u01b0\u01a1ng quay n\u00ean ph\u1ea3i ch\u1ecbu ph\u1ea7n l\u1edbn l\u1ef1c t\u1eeb tr\u00ean truy\u1ec1n xu\u1ed1ng. K\u1ebft qu\u1ea3 th\u01b0\u1eddng g\u1eb7p l\u00e0 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay ho\u1eb7c g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

    \u0110\u00f4i khi, do t\u1ea3i l\u1ef1c l\u1edbn t\u00e1c \u0111\u1ed9ng l\u00ean x\u01b0\u01a1ng thuy\u1ec1n l\u1eb7p \u0111i l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n, hay g\u1eb7p \u1edf v\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 d\u1ee5c d\u1ee5ng c\u1ee5 v\u00e0 \u0111\u1ea9y t\u1ea1.<\/span><\/p>\n

    4. L\u00e2m S\u00e0ng<\/span><\/h2>\n

    Ngay sau ch\u1ea5n th\u01b0\u01a1ng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n th\u01b0\u1eddng m\u01a1 h\u1ed3, kh\u00f4ng r\u00f5 r\u00e0ng, d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi ch\u1ea5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m c\u1ed5 tay, bong g\u00e2n. Sau 24 gi\u1edd b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ea5y s\u01b0ng, \u0111au t\u0103ng l\u00ean, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n b\u1ea7m t\u00edm c\u1ed5 tay v\u00f9ng h\u1ed1 l\u00e0o gi\u1ea3i ph\u1eabu, t\u00ea b\u00ec ng\u00f3n c\u00e1i, s\u1ef1 bi\u1ebfn d\u1ea1ng c\u1ee7a x\u01b0\u01a1ng kh\u00f4ng r\u00f5 r\u00e0ng.<\/span><\/p>\n

    Khi th\u0103m kh\u00e1m th\u1ea5y \u1ea5n \u0111au ch\u00f3i v\u00f9ng h\u00f5m l\u00e0o gi\u1ea3i ph\u1eabu khi g\u00e2y th\u00e2n ho\u1eb7c c\u1ef1c g\u1ea7n x\u01b0\u01a1ng thuy\u1ec1n, \u0111au t\u1ea1i l\u1ed3i c\u1ee7 x\u01b0\u01a1ng thuy\u1ec1n khi g\u00e3y c\u1ef1c xa x\u01b0\u01a1ng thuy\u1ec1n, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ed5 tay, ng\u00f3n c\u00e1i nh\u01b0 d\u1ea1ng kh\u00e9p ng\u00f3n c\u00e1i, c\u1ea7m n\u1eafm v\u1eadt s\u1ebd \u0111au t\u0103ng l\u00ean.<\/span><\/p>\n

    -Ngo\u00e0i ra c\u00f3 th\u1ec3 v\u1eadn d\u1ee5ng m\u1ed9t s\u1ed1 test \u0111\u1ec3 ki\u1ec3m tra:<\/span><\/p>\n

    + Watson test (H\u00ecnh 7): tay t\u01b0 th\u1ebf th\u1ea3 l\u1ecfng, l\u00f2ng b\u00e0n tay ng\u1eeda. Ng\u01b0\u1eddi kh\u00e1m \u1ea5n nh\u1eb9 v\u00e0o \u0111\u1ea7u g\u1ea7n ng\u00f3n c\u00e1i t\u01b0\u01a1ng \u1ee9ng v\u1edbi x\u01b0\u01a1ng thuy\u1ec3n, l\u1ea7n l\u01b0\u1ee3t nghi\u00eang tr\u1ee5, nghi\u00eang quay s\u1ebd c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c ch\u1ecf g\u00e3y c\u1ee7a x\u01b0\u01a1ng thuy\u1ec1n di l\u1ec7ch v\u1ec1 ph\u00eda mu tay, s\u1ebd khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh \u0111au v\u00f9ng mu c\u1ed5 tay.<\/span><\/p>\n

    \"16.7
    7.Watson test<\/figcaption><\/figure>\n

    + Nghi\u1ec7m ph\u00e1p \u1ea5n h\u00f5m l\u00e0o (H\u00ecnh 8): b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea3m th\u1ea5y \u0111au khi ng\u01b0\u1eddi kh\u00e1m \u1ea5n v\u00e0o v\u00f9ng h\u00f5m l\u00e0o. \u0110\u1ed9 \u0111\u1eb7c hi\u1ec7u l\u00e0 20% v\u00e0 \u0111\u1ed9 nh\u1ea1y l\u00e0 100%<\/span><\/p>\n

    \"16.8
    8.Nghi\u1ec7m ph\u00e1p \u1ea5n h\u00f5m l\u00e0o trong g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n<\/figcaption><\/figure>\n

    5.Ch\u1ea5n th\u01b0\u01a1ng li\u00ean quan\u00a0<\/span><\/h2>\n

    Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 th\u1ea5y k\u00e8m theo c\u00f3 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, tr\u1eadt x\u01b0\u01a1ng nguy\u1ec7t ho\u1eb7c g\u00e3y tr\u1eadt x\u01b0\u01a1ng nguy\u1ec7t nh\u01b0ng nh\u1eefng t\u1ed5n th\u01b0\u01a1ng n\u00e0y \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n.<\/span><\/p>\n

    T\u1ed5n th\u01b0\u01a1ng c\u1ee7a kh\u1edbp v\u00e0 d\u00e2y ch\u1eb1ng xung quanh. C\u1ea7n ch\u00fa \u00fd r\u1eb1ng trong b\u1ea5t k\u1ef3 c\u01a1 ch\u1ebf th\u00ec tr\u00ean phim X-Quang kh\u00f4ng th\u1ec3 cho ta bi\u1ebft \u0111\u01b0\u1ee3c h\u1ebft m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a kh\u1edbp v\u00e0 d\u00e2y ch\u1eb1ng k\u00e8m theo.<\/span><\/p>\n

    Da b\u1ecb x\u00e2y s\u00e1t, ph\u1ea7n m\u1ec1m b\u1ecb \u0111\u1ee5ng d\u1eadp do c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng g\u00e2y ra.<\/span><\/p>\n

    6.Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh trong g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/h2>\n

    X-quang<\/span><\/p>\n

    Phim X-quang c\u1ed5 tay ch\u1ee5p \u1edf t\u01b0 th\u1ebf th\u1eb3ng v\u00e0 nghi\u00eang 90\u00b0 th\u01b0\u1eddng quy kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n, v\u00ec h\u00ecnh \u1ea3nh x\u01b0\u01a1ng thuy\u1ec1n b\u1ecb che l\u1ea5p b\u1edfi c\u00e1c x\u01b0\u01a1ng v\u00f9ng c\u1ed5 tay l\u00e2n c\u1eadn, v\u00e0 \u0111\u01b0\u1eddng g\u00e3y b\u1ecb che l\u1ea5p b\u1edfi ch\u00ednh x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

    Nh\u00f3m t\u00e1c gi\u1ea3 ng\u01b0\u1eddi ph\u00e1p Bonalla – Caroli – Celli \u0111\u00e3 kh\u1ea3o s\u00e1t h\u00ecnh d\u1ea1ng x\u01b0\u01a1ng thuy\u1ec1n tr\u00ean X-Quang v\u1edbi c\u1ed5 tay \u1edf c\u00e1c t\u01b0 th\u1ebf kh\u00e1c nhau \u0111\u00e3 cho th\u1ea5y 3 t\u01b0 th\u1ebf ch\u1ee5p c\u1ee7a c\u1ed5 tay c\u00f3 gi\u00e1 tr\u1ecb x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed g\u00e3y, \u0111\u01b0\u1eddng g\u00e3y c\u00f3 di l\u1ec7ch kh\u00f4ng.<\/span><\/p>\n

    + Nghi\u00eang tr\u1ee5: c\u1ed5 tay du\u1ed7i 0\u00b0, nghi\u00eang tr\u1ee5 t\u1ed1i \u0111a, c\u00e1c ng\u00f3n tay du\u1ed7i ho\u00e0n to\u00e0n, cho ph\u00e9p ph\u00e1t hi\u1ec7n th\u01b0\u01a1ng t\u1ed5n \u1edf eo x\u01b0\u01a1ng.<\/span><\/p>\n

    + Schreck 1; c\u1ed5 tay du\u1ed7i m\u1eb7t l\u01b0ng 20\u00b0,tia t\u1eadp trung v\u00e0o n\u1ec1n x\u01b0\u01a1ng b\u00e0n II, tr\u00ean phim cho ph\u00e9p quan s\u00e1t t\u1ed5n th\u01b0\u01a1ng \u0111\u1ea7u g\u1ea7n x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

    + Schreck 2: t\u01b0 th\u1ebf b\u00e0n tay c\u1ea7m b\u00fat, cho ph\u00e9p kh\u1ea3o s\u00e1t v\u00e0 ph\u00e1t hi\u1ec7n th\u01b0\u01a1ng t\u1ed5n \u0111\u1ea7u xa x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

    \"16.9
    9.Phim ch\u1ee5p X-quang nghi\u00eang tr\u1ee5 v\u00e0 Schreck 2<\/figcaption><\/figure>\n

    \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e3y n\u1ee9t r\u1ea1n nh\u1ecf kh\u00f4ng th\u1ea5y tr\u00ean phim ch\u1ee5p nh\u01b0ng kh\u00e1m l\u00e2m s\u00e0ng c\u00f3 nghi ng\u1edd\u00a0 h\u1ea5u h\u1ebft c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ec1u \u0111\u1ec1 ngh\u1ecb l\u00ean b\u00f3 b\u1ed9t ho\u1eb7c cho b\u1ec7nh nh\u00e2n \u0111eo n\u1eb9p c\u1ed5 tay sau 10-15 ch\u1ee5p l\u1ea1i m\u1edbi ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ed7 g\u00e2\u1ef5.<\/span><\/p>\n

    CT scan:<\/span><\/p>\n

    X\u00e1c \u0111\u1ecbnh r\u00f5 h\u00ecnh \u1ea3nh \u0111\u01b0\u1eddng g\u00e3y, v\u1ecb tr\u00ed g\u00e3y gi\u00fap ph\u00e2n lo\u1ea1i v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng k\u00e8m theo (H\u00ecnh 10)<\/span><\/p>\n

    \"16.10
    10.H\u00ecnh \u1ea3nh CT scan c\u1ed5 tay<\/figcaption><\/figure>\n

    Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI)<\/span><\/p>\n

    L\u00e0 ph\u01b0\u01a1ng ph\u00e1p nh\u1ea1y c\u1ea3m, \u0111\u1eb7c th\u00f9 tuy nhi\u00ean gi\u00e1 th\u00e0nh cao. S\u1eed d\u1ee5ng khi nghi ng\u1edd c\u00f3 h\u00ecnh \u1ea3nh ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch x\u01b0\u01a1ng tr\u00ean X-quang trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y c\u0169 \u0111\u1ea7u g\u1eafn x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/p>\n

    \"16.11
    11.H\u00ecnh \u1ea3nh CT scan c\u1ed5 tay<\/figcaption><\/figure>\n

    7.Ph\u00e2n lo\u1ea1i\u00a0<\/span><\/h2>\n

    Lo\u1ea1i g\u00e3y x\u01b0\u01a1ng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo m\u00f4 t\u1ea3 gi\u1ea3i ph\u1eabu, bao g\u1ed3m v\u1ecb tr\u00ed, m\u1ee9c \u0111\u1ed9 di l\u1ec7ch, h\u00ecnh th\u00e1i, m\u1ea3nh r\u1eddi.<\/span><\/p>\n

    Theo Herbet:<\/span><\/p>\n

    T\u1ef5p A: g\u00e3y m\u1edbi, v\u1eefng:<\/span><\/p>\n

      \n
    • A1: g\u00e3y c\u1ee7 x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/li>\n
    • A2: g\u00e3y kh\u00f4ng ho\u00e0n to\u00e0n eo x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/li>\n<\/ul>\n

      Typ B: g\u00e3y m\u1edbi, m\u1ea5t v\u1eefng<\/span><\/p>\n

        \n
      • B1: g\u00e3y xi\u00ean xa<\/span><\/li>\n
      • B2: g\u00e3y ho\u00e0n to\u00e0n eo x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/li>\n
      • B3: g\u00e3y c\u1ef1c g\u1ea7n.<\/span><\/li>\n
      • B4: g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n k\u00e8m tr\u1eadt kh\u1edbp nguy\u1ec7t – c\u1ea3.<\/span><\/li>\n
      • B5: G\u00e3y nhi\u1ec1u m\u1ea3nh.<\/span><\/li>\n<\/ul>\n
        \"16.12
        12.Ph\u00e2n lo\u1ea1i g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n theo Herbet<\/figcaption><\/figure>\n

        Typ C: ch\u1eadm li\u1ec1n x\u01b0\u01a1ng<\/span><\/p>\n

        Typ D: kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng<\/span><\/p>\n

          \n
        • D1: kh\u1edbp gi\u1ea3<\/span><\/li>\n
        • D2: ti\u00eau x\u01b0\u01a1ng<\/span><\/li>\n<\/ul>\n

          Theo Russe<\/span><\/p>\n

          Chia l\u00e0m 3 typ theo m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa \u0111\u01b0\u1eddng g\u00e3y v\u00e0 tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

            \n
          • G\u00e3y ch\u00e9o ngang.<\/span><\/li>\n
          • G\u00e3y ngang.<\/span><\/li>\n
          • G\u00e3y ch\u00e9o d\u1ecdc.<\/span><\/li>\n<\/ul>\n

            Trong \u0111\u00f3, g\u00e3y ch\u00e9o d\u1ecdc d\u1ec5 b\u1ecb di l\u1ec7ch, trong khi xi\u00ean ngang v\u00e0 g\u00e2y ngang th\u00ec \u1ed5n \u0111\u1ecbnh h\u01a1n<\/span><\/p>\n

            \"16.13
            13.Ph\u00e2n lo\u1ea1i g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n theo Russe<\/figcaption><\/figure>\n

            Theo Mayo:<\/span><\/p>\n

            G\u1ea7n: g\u00e3y 1\/3 g\u1ea7n.<\/span><\/p>\n

            Gi\u1eefa: g\u00e3y 1\/3 gi\u1eefa.<\/span><\/p>\n

            Xa: g\u00e3y 1\/3 xa.<\/span><\/p>\n

              \n
            • \u00a0G\u00e3y b\u1ec1 m\u1eb7t kh\u1edbp xa.<\/span><\/li>\n
            • \u00a0G\u00e3y l\u1ed3i c\u1ee7 xa.<\/span><\/li>\n<\/ul>\n
              \"16.14
              14.Ph\u00e2n lo\u1ea1i g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n theo Mayo<\/figcaption><\/figure>\n

              Theo v\u1ecb tr\u00ed g\u00e3y<\/span><\/p>\n

              Typ A: g\u00e3y c\u1ee7 x\u01b0\u01a1ng thuy\u1ec1n.<\/span><\/p>\n

              Typ B: g\u00e3y c\u1ef1c xa.<\/span><\/p>\n

              Typ C:g\u00e3y eo.<\/span><\/p>\n

              Typ D: g\u00e3y c\u1ef1c g\u1ea7n.<\/span><\/p>\n

              \"16.15
              15.Ph\u00e2n lo\u1ea1i g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n theo v\u1ecb tr\u00ed g\u00e3y<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

              G\u00e3y x\u01b0\u01a1ng thuy\u1ec1n l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn \u1edf c\u1ed5 tay, th\u01b0\u1eddng x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi ch\u01a1i th\u1ec3 thao v\u00e0 ng\u01b0\u1eddi gi\u00e0. \u0110\u00e2y l\u00e0 lo\u1ea1i g\u00e3y x\u01b0\u01a1ng ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 kh\u00e1c nhau n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang […]<\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n - Vinmec<\/title>\n<meta name=\"description\" content=\"G\u00e3y x\u01b0\u01a1ng thuy\u1ec1n th\u01b0\u1eddng x\u1ea3y ra khi c\u00f3 m\u1ed9t l\u1ef1c t\u00e1c \u0111\u1ed9ng m\u1ea1nh v\u00e0o c\u1ed5 tay ph\u00e1 v\u1ee1 x\u01b0\u01a1ng thuy\u1ec1n n\u1eb1m gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 x\u01b0\u01a1ng \u0111\u00f9i\" \/>\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=\"T\u1ed5ng quan v\u1ec1 g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"G\u00e3y x\u01b0\u01a1ng thuy\u1ec1n th\u01b0\u1eddng x\u1ea3y ra khi c\u00f3 m\u1ed9t l\u1ef1c t\u00e1c \u0111\u1ed9ng m\u1ea1nh v\u00e0o c\u1ed5 tay ph\u00e1 v\u1ee1 x\u01b0\u01a1ng thuy\u1ec1n n\u1eb1m gi\u1eefa x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 x\u01b0\u01a1ng \u0111\u00f9i\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/tong-quan-ve-gay-xuong-thuyen\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-10T11:13:35+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-11T04:54:59+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/16.1-222x300.png\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/tong-quan-ve-gay-xuong-thuyen\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/tong-quan-ve-gay-xuong-thuyen\/\",\"name\":\"T\u1ed5ng quan v\u1ec1 g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n - 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