{"id":17817,"date":"2023-04-10T19:08:15","date_gmt":"2023-04-10T12:08:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17817"},"modified":"2023-04-14T14:43:14","modified_gmt":"2023-04-14T07:43:14","slug":"gay-tren-va-lien-loi-cau-xuong-canh-tay-giai-phau-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/gay-tren-va-lien-loi-cau-xuong-canh-tay-giai-phau-chan-doan-va-dieu-tri\/","title":{"rendered":"G\u00e3y tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u 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 tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t d\u1ea1ng g\u00e3y \u0111\u1ea7u\u00a0 d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, l\u00e0 1 lo\u1ea1i g\u00e3y kh\u00f3. V\u1ecb tr\u00ed g\u00e3y l\u00e0 n\u01a1i c\u00f3 h\u1ed1 m\u1ecfm khu\u1ef7u v\u00e0 h\u1ed1 m\u1ecfm v\u1eb9t l\u00e0m x\u01b0\u01a1ng m\u1ecfng v\u00e0 y\u1ebfu, l\u00e0 lo\u1ea1i g\u00e3y n\u1ed9i kh\u1edbp, g\u1ea7n th\u1ea9n kinh quay v\u00e0 th\u1ea7n kinh tr\u1ee5. Chi\u1ebfm kho\u1ea3ng h\u01a1n 60% c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng v\u00f9ng khu\u1ef7u. B\u00e0i vi\u1ebft n\u00e0y ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y chi ti\u1ebft h\u01a1n v\u1ec1 d\u1ea1ng g\u00e3y x\u01b0\u01a1ng n\u00e0y.<\/strong><\/p>\n<p><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS.TS. Tr\u1ea7n Trung D\u0169ng, ThS.BS. Tr\u1ea7n Qu\u1ed1c L\u00e2m, BS. Ph\u1ea1m Xu\u00e2n H\u01b0ng.<\/p>\n<h1>1.Gi\u1ea3i ph\u1eabu<\/h1>\n<p>\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay (XCT)\u00a0 d\u1eb9t v\u00e0 b\u00e8 ngang sang hai b\u00ean, \u0111\u01b0\u1ee3c c\u1ea5u t\u1ea1o ch\u1ee7 y\u1ec3u b\u1edfi m\u1ed9t kh\u1ed1i c\u00e1c di\u1ec7n kh\u1edbp v\u00e0 c\u00e1c h\u1ed1, c\u00e1c m\u1ecfm \u0111i k\u00e8m.<\/p>\n<ul>\n<li>R\u00f2ng r\u1ecdc x\u01b0\u01a1ng c\u00e1nh tay: l\u00e0 di\u1ec7n kh\u1edbp \u0111\u1ea7u d\u01b0\u1edbi XCT ti\u1ebfp kh\u1edbp v\u1edbi di\u1ec7n kh\u1edbp \u0111\u1ea9u tr\u00ean x\u01b0\u01a1ng tr\u1ee5. \u1ede ph\u00eda sau c\u1ee7a r\u00f2ng r\u1ecdc r\u1ed9ng h\u01a1n \u1edf ph\u00eda tr\u01b0\u1edbc, s\u01b0\u1eddn trong d\u00e0i h\u01a1n s\u01b0\u1eddn ngo\u00e0i, gi\u1eefa hai s\u01b0\u1eddn l\u00e0 m\u1ed9t ch\u1ed7 th\u1eaft \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 m\u1ed9t \u0111\u01b0\u1eddng xo\u1eafn \u1ed1c. Tr\u00ean r\u00f2ng r\u1ecdc, \u1edf ph\u00eda sau l\u00e0 h\u1ed1 khu\u1ef7u, ph\u00eda tr\u01b0\u1edbc !\u00e0 h\u1ed1 v\u1eb9t.<\/li>\n<li style=\"text-align: left;\">L\u1ed3i c\u1ea7u ngo\u00e0i (LCN) x\u01b0\u01a1ng c\u00e1nh tay: l\u00e0 di\u1ec7n kh\u1edbp \u0111\u1ea7u d\u01b0\u1edbi XCT ti\u1ebfp kh\u1edbp v\u1edbi\u00a0 m\u1ed9t \u0111\u1ea7u m\u1ecfm x\u01b0\u01a1ng h\u00ecnh c\u1ea7u h\u01b0\u1edbng xu\u1ed1ng d\u01b0\u1edbi v\u00e0 ra tr\u01b0\u1edbc. Ph\u00eda tr\u01b0\u1edbc v\u00e0 ngay tr\u00ean l\u1ed3i c\u1ea9u l\u00e0 h\u00f4 tr\u00ean l\u1ed3i c\u1ea7u (h\u1ed1 quay).<\/li>\n<li>R\u00e3nh li\u00ean t\u1ed3i c\u1ea7u &#8211; r\u00f2ng r\u1ecdc: l\u00e0 r\u00e3nh gi\u1eefa l\u1ed3i c\u1ea9u v\u00e0 r\u00f2ng r\u1ecdc, c\u00f3 s\u01b0\u1eddn ngo\u00e0i l\u00e0 ph\u00e2n trong c\u1ee7a l\u1ed3i c\u1ea7u v\u00e0 s\u01b0\u1eddn trong c\u0169ng ch\u00ednh l\u00e0 b\u1edd ngo\u00e0i c\u1ee7a r\u00f2ng r\u1ecdc, \u0111\u01b0\u1ee3c m\u00e0i v\u1eb9t theo m\u1ed9t b\u00ecnh di\u1ec7n ch\u00e9o t\u1eeb trong ra ngo\u00e0i, t\u1eeb d\u01b0\u1edbi l\u00ean tr\u00ean.<\/li>\n<\/ul>\n<ul>\n<li>M\u1ecfm tr\u00ean r\u00f2ng r\u1ecdc v\u00e0 m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u: l\u00e0 hai kh\u1ed1i x\u01b0\u01a1ng n\u1eb1m \u1edf ph\u00eda tr\u00ean c\u1ee7a c\u00e1c di\u1ec7n kh\u1edbp (r\u00f2ng r\u1ecdc v\u00e0 l\u1ed3i c\u1ea7u), \u1edf \u0111\u00f3 c\u00f3 c\u00e1c kh\u1ed1i c\u01a1 b\u00e1m v\u00e0o. C\u00e1c nh\u00e0 ph\u1eabu thu\u1eadt c\u00f2n chia \u0111\u1ea7u d\u01b0\u1edbi XCT l\u00e0m hai kh\u1ed1i, \u0111\u00f3 l\u00e0 kh\u1ed1i LCN v\u00e0 kh\u1ed1i l\u1ed3i c\u1ea7u trong.<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/cdn1.youmed.vn\/tin-tuc\/wp-content\/uploads\/2020\/12\/Untitled.png\" alt=\"g\u00e3y tr\u00ean v\u00e0\" width=\"480\" height=\"474\" \/><\/p>\n<h1>2.Ch\u1ea9n \u0111o\u00e1n<\/h1>\n<p>Ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng kh\u00f3 v\u00ec kh\u1edbp khu\u1ef7u r\u1ea5t s\u01b0ng n\u1ec1 v\u00e0 c\u00f3 m\u00e1u t\u1ee5 l\u1edbn. C\u00f3 th\u1ec3 s\u1edd th\u1ea5y c\u00e1c l\u1ed3i c\u1ea9u b\u1ecb di l\u1ec7ch. Do \u0111\u00f3, ri\u00eang \u1edf v\u00f9ng khu\u1ef7u khi \u0111\u00e3 s\u01b0ng n\u1ec1 nhi\u1ec1u, n\u00ean ch\u1edd XQ \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>N\u1ebfu m\u1ea3nh g\u00e3y b\u00e9 ho\u1eb7c b\u1ec7nh nh\u00e2n nh\u1ecf tu\u1ed5i, kh\u00f3 ch\u1ea9n \u0111o\u00e1n, c\u00f3 khi ph\u1ea3i ch\u1ee5p kh\u1edbp khu\u1ef7u 2 b\u00ean \u0111\u1ec3 so s\u00e1nh.<\/p>\n<ul>\n<li>XQ: ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean phim XQt\u01b0th\u00ea&#8217; th\u1eb3ng v\u00e0 nghi\u00eang.<\/li>\n<li>Ch\u1ee5p CT khu\u1ef7u trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y ph\u1ee9c t\u1ea1p, ph\u1ea1m kh\u1edbp. Ch\u1ee5p CT scanner \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc m\u1ed5, CT 3D d\u1ef1ng h\u00ecnh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p g\u00e3y ph\u1ea1m kh\u1edbp<\/li>\n<\/ul>\n<p>Trong th\u0103m kh\u00e1m t\u00e2m s\u00e0ng, c\u1ea9n l\u01b0u \u00fd \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, th\u1ea9n kinh.<\/p>\n<h1>3. Ph\u00e2n lo\u1ea1i<\/h1>\n<p><strong>3.1.Theo v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu<\/strong><\/p>\n<ul>\n<li>G\u00e3y li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay: g\u00e3y n\u1ed9i kh\u1edbp, di l\u1ec7ch ph\u1ee9c t\u1ea1p.<\/li>\n<li>G\u00e3y li\u00ean l\u1ed3i c\u1ea7u lo\u1ea1i g\u00e3y ch\u1eef T: g\u00e3y ngang tr\u00ean l\u1ed3i c\u1ea7u v\u00e0 g\u00e3y d\u1ecdc t\u00e1ch r\u1eddi l\u1ed3i c\u1ea7u v\u00e0 r\u00f2ng r\u1ecdc.<\/li>\n<li>G\u00e3y li\u00ean l\u1ed3i c\u1ea7u lo\u1ea1i g\u00e3y ch\u1eef V: hai \u0111\u01b0\u1eddng g\u00e3y ch\u00e9o nhau, \u0111\u1ea7u g\u00e3y tr\u00ean nh\u1ecdn th\u00fac xu\u1ed5ng l\u00e0m b\u1eeda r\u1ed9ng l\u1ed3i c\u1ea7u v\u00e0 r\u00f2ng r\u1ecdc.<\/li>\n<\/ul>\n<p><strong>3.2.Theo AO<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-17838 \" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-184927-300x214.png\" alt=\"g\u00e3y tr\u00ean v\u00e0 \" width=\"386\" height=\"275\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-184927-300x214.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-184927-768x547.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-184927.png 781w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/p>\n<p><strong>3.3.Theo Milch:\u00a0<\/strong><\/p>\n<ul>\n<li>V\u1edbi g\u00e3y l\u1ed3i c\u1ea5u ngo\u00e0i<\/li>\n<\/ul>\n<p>Type I: g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i, \u0111\u01b0\u1eddng g\u00e3y \u0111i qua ch\u1ecfm con.<\/p>\n<p>Type II: g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i, \u0111\u01b0\u1eddng g\u00e3y kh\u00f4ng \u0111i qua ch\u1ecfm con.<\/p>\n<ul>\n<li>V\u1edbi g\u00e3y l\u1ed3i c\u1ea7u trong:<\/li>\n<\/ul>\n<p>Type I: g\u00e3y l\u1ed3i c\u1ea7u trong, \u0111\u01b0\u1eddng g\u00e3y kh\u00f4ng \u0111i qua ch\u1ecfm con.<\/p>\n<p>Type II: g\u00e3y l\u1ed3i c\u1ea7u trong, \u0111\u01b0\u1eddng g\u00e3y \u0111i qua 1 ph\u1ea7n ch\u1ecfm con.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-17842 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-190358-300x261.png\" alt=\"\" width=\"300\" height=\"261\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-190358-300x261.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-man-hinh-2023-04-10-190358.png 622w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>3.4.Theo Riseborough<\/strong><\/p>\n<p>Type A: g\u00e3y kh\u00f4ng di l\u1ec7ch.<\/p>\n<p>T\u1ef5pe B: g\u00e3y l\u1ed3i c\u1ea7u, r\u00f2ng r\u1ecdc kh\u00f4ng xoay.<\/p>\n<p>Type C: g\u00e3y l\u1ed3i c\u1ea7u, r\u00f2ng r\u1ecdc r\u1eddi xa nhau v\u00e0 xoay.<\/p>\n<p>Type D: g\u00e3y v\u1ee5n nhi\u1ec1u m\u1ea3nh di\u1ec7n kh\u1edbp.<\/p>\n<h1>4.\u0110i\u1ec1u tr\u1ecb<\/h1>\n<h2>4.1.Nguy\u00ean t\u1eafc<\/h2>\n<ul>\n<li>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi tr\u1ebb, ph\u1ea3i c\u1ed1 \u0111\u1ecbnh l\u1ea1i gi\u1ea3i ph\u1eabu \u0111\u1ec3 t\u1eadp s\u1edbm. V\u1edbi ng\u01b0\u1eddi gi\u00e0, cho t\u1eadp s\u1edbm quan tr\u1ecdng h\u01a1n l\u00e0 ph\u1ee5c h\u1ed3i gi\u1ea3i ph\u1eabu.<\/li>\n<li>D\u00f9 l\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb g\u00ec m\u00e0 b\u1ea5t \u0111\u1ed9ng l\u00e2u \u0111\u1ec1u s\u1ebd b\u1ecb c\u1ee9ng kh\u1edbp.<\/li>\n<\/ul>\n<h2>4.2.\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p Milch type I:<\/p>\n<p>4.2.1.B\u1ea5t \u0111\u1ed9ng b\u1ed9t<\/p>\n<p>-Ch\u1ec9 \u0111\u1ecbnh: g\u00e3y kh\u00f4ng di l\u1ec7ch.<\/p>\n<p>-K\u1ef9 thu\u1eadt: k\u00e9o \u00e1p l\u1ed3i c\u1ea7u v\u00e0 r\u00f2ng r\u1ecdc, \u0111\u1eb7t khu\u1ef7u vu\u00f4ng, b\u1ed9t c\u00e1nh c\u1eb3ng b\u00e0n tay r\u1ea1ch d\u1ecdc, g\u00e1c tay cao cho \u0111\u1ee1 s\u01b0ng. Khi \u0111\u1ee1 s\u01b0ng, \u00e1p th\u00eam 2 b\u00ean khu\u1ef7u, cho b\u00f3 tr\u00f2n. Sau 2-3 tu\u1ea7n, b\u1ed9t treo tay v\u00e0o kh\u0103n qu\u00e0ng c\u1ed5 t\u1eadp.<\/p>\n<p>4.2.2.K\u00e9o li\u00ean t\u1ee5c:<\/p>\n<p>-Ch\u1ec9 \u0111\u1ecbnh:<\/p>\n<ul>\n<li>C\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh m\u1ed5: s\u01b0ng n\u1ec3 nhi\u1ec1u qu\u00e1, da b\u1ecb \u0111\u1ee5ng d\u1eadp nhi\u1ec1u, to\u00e0n tr\u1ea1ng k\u00e9m.<\/li>\n<li>Ch\u1edd m\u1ed5.<\/li>\n<li>G\u00e3y v\u1ee5n nhi\u1ec1u m\u1ea3nh.<\/li>\n<li>G\u00e3y h\u1edf b\u1ea9n.<\/li>\n<\/ul>\n<p>-K\u1ef9 thu\u1eadt: xuy\u00ean \u0111inh v\u00e0o m\u1ecfm khu\u1ef7u, k\u00e9o t\u1ea1 th\u1eb3ng l\u00ean tr\u1eddi k\u1ebft h\u1ee3p n\u1eafn \u00e9p c\u00e1c m\u1ea3nh g\u00e3y. Th\u1eddi gian k\u00e9o li\u00ean t\u1ee5c 6 tu\u1ea7n. B\u1ecf t\u1ea1 k\u00e9o, t\u1eadp c\u1eed \u0111\u1ed9ng kh\u1edbp khu\u1ef7u.<\/p>\n<h2>4.3.\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/h2>\n<p>-V\u00f4 c\u1ea3m: g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n ho\u1eb7c g\u00e2y t\u00ea \u0111\u00e1m r\u1ed1i TK c\u00e1nh tay.<\/p>\n<p>-T\u01b0 th\u1ebf: b\u1ec7nh nh\u00e2n n\u1eb1m nghi\u00eang c\u00f3 gi\u00e1 \u0111\u1ee1 khu\u1ef7u ho\u1eb7c n\u1eb1m s\u1ea5p \u0111\u1eadt khu\u1ef7u t\u01b0 th\u1ebf vu\u00f4ng g\u00f3c.<\/p>\n<p>-Ch\u1ec9 \u0111\u1ecbnh: b\u1ec7nh nh\u00e2n tr\u1ebb, ch\u1ea5t l\u01b0\u1ee3ng x\u01b0\u01a1ng t\u1ed1t, m\u1ea3nh v\u1ee1 \u0111\u1ee7 to \u0111\u1ec3 k\u1ebft h\u1ee3p x\u01b0\u01a1ng.<\/p>\n<p>-\u0110\u01b0\u1eddng m\u1ed5:<\/p>\n<ul>\n<li>D\u00f9ng \u0111\u01b0\u1eddng m\u1ed5 ph\u00eda sau \u0111\u1ec3 b\u1ed9c l\u1ed9 \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng kh\u1ed1i l\u1ed3i c\u1ea7u v\u00e0 c\u0169ng \u0111\u1ec3 thu\u1eadn ti\u1ec7n cho vi\u1ec7c c\u1eaft (\u0111\u1ee5c) m\u1ecfm khu\u1ef7u, b\u1ed9c l\u1ed9 kh\u1ed1i l\u1ed3i c\u1ea7u.<\/li>\n<li>C\u1eaft (\u0111\u1ee5c) m\u1ecfm khu\u1ef7u: c\u00f3 nhi\u1ec1u quan \u0111i\u1ec3m cho k\u1ef9 thu\u1eadt n\u00e0y, tuy nhi\u00ean n\u1ebfu \u0111\u1ee5c m\u1ecfm khu\u1ef7u h\u00ecnh ch\u1eef V s\u1ebd t\u1ea1o \u0111i\u1ec1u ki\u1ec7n k\u1ebft x\u01b0\u01a1ng m\u1ecfm khu\u1ef7u d\u1ec5 d\u00e0ng h\u01a1n, tr\u00e1nh vi\u1ec7c di l\u1ec7ch gi\u00e3n c\u00e1ch sau khi m\u1ed5.<\/li>\n<li>B\u00f3c t\u00e1ch b\u1ed9c l\u1ed9 TK tr\u1ee5, v\u00e9n TK tr\u1ee5 sang b\u00ean, b\u1ea3o v\u1ec7 TK.<\/li>\n<li>B\u1ed9c l\u1ed9 \u0111\u01b0\u1eddng g\u00e3y li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay. Tr\u01b0\u1edbc h\u1ebft c\u1ea7n c\u1ed1 \u0111\u1ecbnh l\u1ea1i kh\u1ed1i l\u1ed3i c\u1ea7u.<\/li>\n<\/ul>\n<p>-K\u1ef9 thu\u1eadt:<\/p>\n<ul>\n<li>N\u1eafn ch\u1ec9nh, c\u1ed1 \u0111\u1ecbnh t\u1ea1m th\u1eddi b\u1eb1ng\u00a0 \u0111inh Kirschner, quan s\u00e1t di\u1ec7n kh\u1edbp r\u00f2ng r\u1ecdc. Sau \u0111\u00f3 c\u1ed1 \u0111\u1ecbnh v\u1eefng kh\u1ed1i l\u1ed3i c\u1ea5u b\u1eb1ng vis x\u1ed1p r\u1ed7ng n\u00f2ng, c\u00f3 th\u1ec3 d\u00f9ng 1 ho\u1eb7c 2 vis x\u1ed1p, t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 v\u1eefng sau khi c\u1ed1 \u0111\u1ecbnh.<\/li>\n<li>N\u1eafn ch\u1ec9nh v\u00e0 s\u1eafp x\u1ebfp c\u00e1c m\u1ea3nh g\u00e3y ph\u00eda tr\u00ean l\u1ed3i c\u1ea7u, \u0111\u1eb7t n\u1eb9p vis c\u1ed1 \u0111\u1ecbnh, c\u00f3 th\u1ec3 d\u00f9ng 1 ho\u1eb7c 2 n\u1eb9p cho m\u1ed7i b\u00ean c\u1ed9t x\u01b0\u01a1ng, ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed \u0111\u01b0\u1eddng g\u00e3y v\u00e0 m\u1ee9c \u0111\u1ed9 v\u1eefng sau khi c\u1ed1 \u0111\u1ecbnh<\/li>\n<li>C\u1ed1\u0111\u1ecbnh l\u1ea1i m\u1ecfm khu\u1ef7u b\u1eb1ng k\u1ef9 thu\u1eadt xuy\u00ean x\u01b0\u01a1ng, n\u00e9o \u00e9p ch\u1ec9 th\u00e9p.<\/li>\n<\/ul>\n<h1>5.Bi\u1ebfn ch\u1ee9ng<\/h1>\n<p>&#8211;<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/gay-me-phau-thuat-va-ton-thuong-kinh-chi-tren\/\">Th\u1ea7n kinh<\/a>, m\u1ea1ch m\u00e1u<\/p>\n<p>-Kh\u00f4ng li\u1ec1n x\u01b0\u01a1ng: hi\u1ebfm g\u1eb7p<\/p>\n<p>-Ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch: r\u1ea5t hi\u1ebfm.<\/p>\n<p>-C\u1ee9ng khu\u1ef7u, m\u1ea5t c\u1eed \u0111\u1ed9ng khu\u1ef7u: \u0111\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng ch\u1ee7 y\u1ebfu do:<\/p>\n<ul>\n<li>Ch\u00e8n \u00e9p c\u01a1 h\u1ecdc: \u0111\u1ea7u x\u01b0\u01a1ng ch\u1ed3i c\u1ea3n tr\u1edf g\u1ea5p khu\u1ef7u, c\u00e1c l\u1ed3i c\u1ea9u bi\u1ebfn d\u1ea1ng, di\u1ec7n kh\u1edbp h\u1ecfng. C\u00e1c h\u1ed1 m\u1ecfm khu\u1ef7u, m\u1ecfm v\u1eb9t b\u1ecb \u0111\u1ea9y v\u00ec can s\u00f9i, t\u1ed5 ch\u1ee9c x\u01a1 l\u1ea5p \u0111\u1ea7y, g\u00e3y l\u1ed3i c\u1ea7u di l\u1ec7ch.<\/li>\n<li>X\u01a1 ho\u00e1 c\u1ea1nh kh\u1edbp sau ch\u1ea5n th\u01b0\u01a1ng, k\u1ef9 thu\u1eadt n\u1eb9p v\u00edt k\u00e9m.<\/li>\n<li>Nhi\u1ec5m khu\u1ea9n.<\/li>\n<li>Thao t\u00e1c m\u1ea1nh kh\u1ec9 \u0111ang li\u1ec1n x\u01b0\u01a1ng, l\u00e0m r\u00e1ch c\u00e1c ch\u1ed7 d\u00ednh g\u00e2y c\u1ee9ng kh\u1edbp.<\/li>\n<li>B\u1ea5t \u0111\u1ed9ng l\u00e2u qu\u00e1.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>G\u00e3y tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t th\u01b0\u01a1ng t\u1ed5n ph\u1ee9c t\u1ea1p, li\u00ean quan \u0111\u1ebfn kh\u1edbp khu\u1ef7u. Ch\u1ea9n \u0111o\u00e1n kh\u00f4ng qu\u00e1 kh\u00f3, tuy nhi\u00ean c\u1ea7n tr\u00e1nh b\u1ecf s\u00f3t c\u00e1c th\u01b0\u01a1ng t\u1ed5n ph\u1ed1i h\u1ee3p. \u0110i\u1ec1u tr\u1ecb g\u00e3y tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay th\u01b0\u1eddng l\u00e0 ph\u1eabu thu\u1eadt do t\u00ednh \u0111\u00f2i h\u1ecfi t\u1ec9 m\u1ec9 v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu c\u1ee7a v\u00f9ng kh\u1edbp khu\u1ef7u, KHX v\u1eefng ch\u1eafc, ph\u1ee5c h\u1ed3i gi\u1ea3i ph\u1eabu l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh \u0111\u1ebfn ch\u1ee9c n\u0103ng kh\u1edbp khu\u1ef7u sau m\u1ed5.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e3y tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t d\u1ea1ng g\u00e3y \u0111\u1ea7u\u00a0 d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, l\u00e0 1 lo\u1ea1i g\u00e3y kh\u00f3. V\u1ecb tr\u00ed g\u00e3y l\u00e0 n\u01a1i c\u00f3 h\u1ed1 m\u1ecfm khu\u1ef7u v\u00e0 h\u1ed1 m\u1ecfm v\u1eb9t l\u00e0m x\u01b0\u01a1ng m\u1ecfng v\u00e0 y\u1ebfu, l\u00e0 lo\u1ea1i g\u00e3y n\u1ed9i kh\u1edbp, g\u1ea7n th\u1ea9n kinh quay [&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 tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u 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 tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t d\u1ea1ng g\u00e3y \u0111\u1ea9u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, l\u00e0 1 lo\u1ea1i g\u00e3y kh\u00f3. V\u1ecb tr\u00ed g\u00e3y l\u00e0 n\u01a1i c\u00f3 h\u1ed1 m\u1ecfm khu\u1ef7u v\u00e0 h\u1ed1 m\u1ecfm v\u1eb9t l\u00e0m x\u01b0\u01a1ng m\u1ecfng v\u00e0 y\u1ebfu, l\u00e0 lo\u1ea1i g\u00e3y n\u1ed9i kh\u1edbp, g\u1ea7n th\u1ea9n kinh quay v\u00e0 th\u1ea7n kinh tr\u1ee5. Chi\u1ebfm kho\u1ea3ng h\u01a1n 60% c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng v\u00f9ng khu\u1ef7u\" \/>\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=\"G\u00e3y tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay: gi\u1ea3i ph\u1eabu, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\" \/>\n<meta property=\"og:description\" content=\"G\u00e3y tr\u00ean v\u00e0 li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 m\u1ed9t d\u1ea1ng g\u00e3y \u0111\u1ea9u d\u01b0\u1edbi x\u01b0\u01a1ng c\u00e1nh tay, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, l\u00e0 1 lo\u1ea1i g\u00e3y kh\u00f3. V\u1ecb tr\u00ed g\u00e3y l\u00e0 n\u01a1i c\u00f3 h\u1ed1 m\u1ecfm khu\u1ef7u v\u00e0 h\u1ed1 m\u1ecfm v\u1eb9t l\u00e0m x\u01b0\u01a1ng m\u1ecfng v\u00e0 y\u1ebfu, l\u00e0 lo\u1ea1i g\u00e3y n\u1ed9i kh\u1edbp, g\u1ea7n th\u1ea9n kinh quay v\u00e0 th\u1ea7n kinh tr\u1ee5. 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V\u1ecb tr\u00ed g\u00e3y l\u00e0 n\u01a1i c\u00f3 h\u1ed1 m\u1ecfm khu\u1ef7u v\u00e0 h\u1ed1 m\u1ecfm v\u1eb9t l\u00e0m x\u01b0\u01a1ng m\u1ecfng v\u00e0 y\u1ebfu, l\u00e0 lo\u1ea1i g\u00e3y n\u1ed9i kh\u1edbp, g\u1ea7n th\u1ea9n kinh quay v\u00e0 th\u1ea7n kinh tr\u1ee5. 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