{"id":18209,"date":"2023-04-11T06:17:50","date_gmt":"2023-04-10T23:17:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18209"},"modified":"2023-04-11T10:46:22","modified_gmt":"2023-04-11T03:46:22","slug":"dieu-tri-bien-chung-phuc-hoi-chuc-nang-gay-dau-duoi-xuong-quay","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/dieu-tri-bien-chung-phuc-hoi-chuc-nang-gay-dau-duoi-xuong-quay\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay"},"content":{"rendered":"<p><strong>\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed7 tr\u1ee3 cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3. Tuy nhi\u00ean, khi \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay b\u1ecb t\u1ed5n th\u01b0\u01a1ng, ch\u1ee9c n\u0103ng c\u1ee7a n\u00f3 s\u1ebd b\u1ecb \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng, g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe. G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay th\u01b0\u1eddng x\u1ea3y ra do c\u00e1c va ch\u1ea1m m\u1ea1nh ho\u1eb7c c\u00e1c tai n\u1ea1n giao th\u00f4ng. Tri\u1ec7u ch\u1ee9ng c\u1ee7a g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay bao g\u1ed3m \u0111au, s\u01b0ng, kh\u00f3 kh\u0103n trong vi\u1ec7c di chuy\u1ec3n v\u00e0 xoay \u0111\u1ea7u. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh nh\u01b0 ch\u1ee5p X-quang ho\u1eb7c CT scan. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 g\u00e3y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 l\u00ean ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS.TS. Tr\u1ea7n Trung D\u0169ng, ThS.BS. Nguy\u1ec5n Trung Tuy\u1ebfn, Th.S.BS. Nguy\u1ec5n H\u1eefu M\u1ea1nh, BS. Nguy\u1ec5n \u0110\u1ee9c Phong.<\/span><\/p>\n<h2>1. \u0110i\u1ec1u tr\u1ecb g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">\u0110a s\u1ed1 l\u00e0 n\u1eafn k\u00edn v\u00e0 b\u00f3 b\u1ed9t<\/span><\/li>\n<li>Ph\u1eabu thu\u1eadt: h\u01b0\u01a1ng ph\u00e1p xuy\u00ean kim, k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng n\u1eb9p v\u00edt, c\u1ed1 \u0111\u1ecbnh ngo\u00e0i<\/li>\n<\/ul>\n<h3><strong>1.1. B\u1ea3o t\u1ed3n<\/strong><\/h3>\n<p><strong>*Ch\u1ec9 \u0111\u1ecbnh:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\"><a href=\"http:\/\/msdmanuals.com\">G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/a> \u0111\u01a1n thu\u1ea7n \u00edt di l\u1ec7ch ho\u1eb7c g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay k\u00e8m tr\u1eadt kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">G\u00e3y theo ki\u1ec3u Pouteau-Colles, Smith&#8217;s.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">G\u00e3y c\u00e0nh t\u01b0\u01a1i \u1edf tr\u1ebb em.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">Ng\u01b0\u1eddi gi\u00e0 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt.<\/span><\/p>\n<p><strong>*K\u1ef9 thu\u1eadt:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">V\u00f4 c\u1ea3m: ti\u00eam 1 m\u0169i gi\u1ea3m \u0111au ho\u1eb7c u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au tr\u01b0\u1edbc khi n\u1eafn.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn ch\u1ec9nh:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ BN n\u1eb1m ng\u1eeda, khu\u1ef7u g\u1ea5p 90 \u0111\u1ed9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Ng\u01b0\u1eddi ph\u1ee5 m\u1ed9t tay n\u1eafm ng\u00f3n c\u00e1i, m\u1ed9t tay c\u00f2n l\u1ea1i n\u1eafm ng\u00f3n II-III-IV k\u00e9o th\u1eb3ng tr\u1ee5c nh\u01b0 v\u1eady \u0111\u1ec3 ch\u1ec9nh di l\u1ec7ch ch\u1ed3ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Ng\u01b0\u1eddi n\u1eafn n\u1eafm s\u00e1t ngay tr\u00ean ch\u1ed7 g\u00e3y, 4 ng\u00f3n tay c\u1ee7a 2 tay v\u00f2ng ra tr\u01b0\u1edbc t\u1ef3 l\u00ean \u0111\u1ea7u g\u00e3y trung t\u00e2m \u0111\u1ec3 l\u00e0m \u0111\u1ed1i l\u1ef1c trong khi 2 ng\u00f3n tay c\u00e1i \u0111\u1ea9y \u0111o\u1ea1n ngo\u1ea1i vi ra tr\u01b0\u1edbc, \u0111\u1ed5ng th\u1eddi ng\u01b0\u1eddi ph\u1ee5 cho g\u1eadp c\u1ed5 tay t\u1ed1i \u0111a.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Sau c\u00f9ng, ng\u01b0\u1eddi ph\u1ee5 k\u00e9o m\u1ea1nh b\u00e0n tay v\u00e0o trong k\u1ebft h\u1ee3p c\u00f9ng ng\u01b0\u1eddi n\u1eafn \u0111\u1ea9y \u0111o\u1ea1n ngo\u1ea1i vi v\u00e0o trong ch\u1eefa di l\u1ec7ch ra ngo\u00e0i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Ki\u1ec3m tra h\u1ebft di l\u1ec7ch th\u00ec b\u00f3 b\u1ed9t t\u1eeb 1 \/3T c\u1eb3ng tay t\u1edbi kh\u1edbp b\u00e0n &#8211; ng\u00f3n tay, b\u00e0n tay nghi\u00eang tr\u1ee5, \u0111\u1ec3 th\u1eb3ng theo tr\u1ee5c c\u1eb3ng tay ho\u1eb7c h\u01a1i du\u1ed7i ho\u1eb7c h\u01a1i g\u1ea5p kho\u1ea3ng 20-30 \u0111\u1ed9 t\u00f9y theo ki\u1ec3u g\u00e3y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ \u0110\u1ec3 b\u1ed9t r\u1ea1ch d\u1ecdc trong tu\u1ea7n \u0111\u1ea7u \u0111\u1ec3 h\u1ebft n\u1ec1, sau \u0111\u00f3 ph\u1ea3i b\u00f3 b\u1ed9t tr\u00f2n k\u00edn \u0111\u1ec3 gi\u1eef \u1ed5 g\u00e3y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ \u0110\u1ec3 b\u1ed9t t\u1ed1i \u0111a 5 tu\u1ea7n.<\/span><\/p>\n<figure id=\"attachment_18211\" aria-describedby=\"caption-attachment-18211\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18211\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Minh-hoa-gay-dau-duoi-xuong-quay-tay-P-da-nan-bot-cang-ban-tay-300x107.png\" alt=\"Minh-hoa-gay-dau-duoi-xuong-quay-tay-P-da-nan-bot-cang-ban-tay\" width=\"300\" height=\"107\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Minh-hoa-gay-dau-duoi-xuong-quay-tay-P-da-nan-bot-cang-ban-tay-300x107.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Minh-hoa-gay-dau-duoi-xuong-quay-tay-P-da-nan-bot-cang-ban-tay.png 556w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18211\" class=\"wp-caption-text\">Minh h\u1ecda g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay tay (P) \u0111\u00e3 n\u1eafn b\u1ed9t c\u1eb3ng b\u00e0n tay<\/figcaption><\/figure>\n<h3><strong>1.2. Ph\u1eabu thu\u1eadt g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">Ch\u1ec9 \u0111\u1ecbnh: g\u00e3y th\u1ea5u kh\u1edbp, g\u00e3y h\u1edf, k\u00e8m theo g\u00e3y x\u01b0\u01a1ng c\u1ed5 tay, t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u th\u1ea7n kinh, \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u1ea5t b\u1ea1i.<\/span><\/p>\n<h4><strong>1.2.1. Xuy\u00ean \u0111inh Kirschner qua da<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb l\u1ea7n \u0111\u1ea9u ti\u00ean c\u1ee7a Lambotte n\u0103m 1908 b\u1eb1ng \u0111inh Kirschner qua m\u1ecfm tr\u00e2m quay. M\u1ed9t v\u00e0i thay \u0111\u1ed5i v\u1ec1 v\u1ecb tr\u00ed, h\u01b0\u1edbng xuy\u00ean \u0111inh \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u, nh\u1eefng m\u1ee5c \u0111\u00edch v\u1eabn l\u00e0 c\u1ed1 \u0111\u1ecbnh m\u1ea3nh g\u00e3y v\u00e0o v\u1ecf x\u01b0\u01a1ng \u0111\u1ed1i di\u1ec7n c\u1ee7a c\u00e1c lo\u1ea1i g\u00e3y ph\u1ee9c t\u1ea1p,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">K\u1ef9 thu\u1eadt ph\u1ed5 bi\u1ebfn l\u00e0 Kapandji hay \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u1edbi g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay ngo\u1ea1i kh\u1edbp. C\u00e1ch th\u1ee9c ph\u1eabu thu\u1eadt \u0111\u01a1n gi\u1ea3n, d\u1ec5 th\u1ef1c hi\u1ec7n, th\u1eddi gian ph\u1eabu thu\u1eadt ng\u1eafn.\u00a0<\/span><\/p>\n<figure id=\"attachment_18212\" aria-describedby=\"caption-attachment-18212\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18212\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-2-300x214.png\" alt=\"Hinh-minh-hoa\" width=\"300\" height=\"214\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-2-300x214.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-2.png 564w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18212\" class=\"wp-caption-text\">Minh h\u1ecda ph\u01b0\u01a1ng ph\u00e1p xuy\u00ean \u0111inh Kischner qua da: <strong>A.<\/strong> <span style=\"font-size: 16px;\">K\u00e9o gi\u00e3n \u1ed5 g\u00e3y \u0111\u1ec3 ch\u1ec9nh s\u1eeda th\u1eb3ng tr\u1ee5c, d\u00f9ng ng\u00f3n tay c\u00e1i v\u00e0 c\u00e1c ng\u00f3n kh\u00e1c n\u1eafn ch\u1ec9nh v\u00e0 gi\u1eef \u1ed5 g\u00e3y, <strong>B.<\/strong> X\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1eddng m\u1ed5, <strong>C.<\/strong> Ghim \u0111inh Kirschner qua da d\u01b0\u1edbi C-arm, <strong>D.<\/strong> <\/span><span style=\"font-size: 16px;\">Tr\u00ean phim nghi\u00eang C-arm<\/span><\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Th\u1ee9 T\u1ef1 Xuy\u00ean, v\u1ecb tr\u00ed xuy\u00ean ph\u1ea3i ch\u00ednh x\u00e1c \u0111\u1ea3m b\u1ea3o c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng t\u1ed1t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">\u0110inh th\u1ee9 nh\u1ea5t (m\u1eb7t ngo\u00e0i): l\u00e0 \u0111i\u1ec3m gi\u1eefa c\u01a1 du\u1ed7i c\u1ed5 tay quay ng\u1eafn \u1edf trong v\u00e0 g\u00e2n c\u01a1 d\u1ea1ng d\u00e0i, du\u1ed7i ng\u1eafn ng\u00f3n c\u00e1i \u1edf ngo\u00e0i. \u0110\u1ea9u ti\u00ean xuy\u00ean \u0111inh vu\u00f4ng g\u00f3c qua th\u00e0nh x\u01b0\u01a1ng th\u1ee9 1, sau \u0111\u00f3 ch\u1ebfch 1 g\u00f3c 45\u00b0 sang th\u00e0nh b\u00ean kia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">\u0110inh th\u1ee9 hai (m\u1eb7t l\u01b0ng): \u0111i v\u00e0o gi\u1eefa g\u00e2n du\u1ed7i d\u00e0i ng\u00f3n I v\u00e0 du\u1ed7i ng\u00f3n II, ngay trong l\u1ed3i c\u1ee7 Lister.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">C\u00f3 th\u1ec3 th\u00eam \u0111inh th\u1ee9 ba: \u0111i v\u00e0o ph\u00eda trong g\u00e2n du\u1ed7i d\u00e0i ng\u00f3n I ho\u1eb7c c\u00f3 th\u1ec3 gi\u1eefa g\u00e2n du\u1ed7i ng\u00f3n IV, V.\u00a0<\/span><\/p>\n<figure id=\"attachment_18213\" aria-describedby=\"caption-attachment-18213\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18213\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoac-3-300x111.png\" alt=\"Hinh-minh-hoa\" width=\"300\" height=\"111\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoac-3-300x111.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoac-3.png 547w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18213\" class=\"wp-caption-text\"><span style=\"font-weight: 400;\">Minh h\u1ecda v\u1ecb tr\u00ed xuy\u00ean \u0111inh Kirschner: A, B, C: v\u1ecb tr\u00ed xuy\u00ean \u0111inh 1,2,3 v\u00e0 v\u1ecb tr\u00ed h\u01b0\u1edbng<\/span><br \/><span style=\"font-weight: 400;\">xuy\u00ean \u0111inh qua m\u1eb7t ph\u1eb3ng c\u1eaft ngang.\u00a0<\/span><\/figcaption><\/figure>\n<figure id=\"attachment_18214\" aria-describedby=\"caption-attachment-18214\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18214\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-4-300x174.png\" alt=\"Hinh-minh-hoa\" width=\"300\" height=\"174\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-4-300x174.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-4.png 473w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18214\" class=\"wp-caption-text\"><span style=\"font-weight: 400;\">Minh h\u1ecda c\u00e1ch xuy\u00ean \u0111inh Kirschner: <strong>A:<\/strong> Xuy\u00ean \u0111inh m\u1eb7t ngo\u00e0i. <strong>B:<\/strong> Xuy\u00ean \u0111inh m\u1eb7t l\u01b0ng.<strong> C:<\/strong> Sau m\u1ed5 (nh\u00ecn th\u1eb3ng). <strong>D:<\/strong> Sau m\u1ed5 (nh\u00ecn nghi\u00eang)<\/span><\/figcaption><\/figure>\n<h4><strong>1.2.2. K\u1ebft h\u1ee3p x\u01b0\u01a1ng n\u1eb9p v\u00edt<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y hay \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y ph\u1ea1m kh\u1edbp di l\u1ec7ch, g\u00e3y l\u00fan m\u1eb7t kh\u1edbp kh\u00f4ng th\u1ec3 n\u1eafn ch\u1ec9nh h\u1ebft b\u1eb1ng k\u00e9o li\u00ean t\u1ee5c. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u1ed1 \u0111\u1ecbnh v\u1eefng \u1ed5 g\u00e3y gi\u00fap c\u1ed5 tay v\u1eadn \u0111\u1ed9ng s\u1edbm.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211;<\/span> <span style=\"font-weight: 400;\">D\u00f9ng \u0111\u01b0\u1eddng m\u1ed5 Henry \u0111\u1ec3 b\u1ed9c l\u1ed9 \u1ed5 g\u00e3y.<\/span><\/p>\n<figure id=\"attachment_18216\" aria-describedby=\"caption-attachment-18216\" style=\"width: 275px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18216\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-5-275x300.png\" alt=\"Hinh-minh-hoa\" width=\"275\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-5-275x300.png 275w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Hinh-minh-hoa-5.png 391w\" sizes=\"(max-width: 275px) 100vw, 275px\" \/><figcaption id=\"caption-attachment-18216\" class=\"wp-caption-text\"><span style=\"font-weight: 400;\">Minh h\u1ecda: <strong>A<\/strong>.V\u1ebd \u0111\u01b0\u1eddng m\u1ed5 (theo \u0111\u01b0\u1eddng Herry), <strong>B.<\/strong> Qua da v\u00e0 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi da v\u00e0o th\u1ea5y g\u00e2n g\u1ea5p d\u00e0i ng\u00f3n c\u00e1i,<strong> C.<\/strong> T\u00e1ch v\u00e9n g\u00e2n g\u1ea5p d\u00e0i ng\u00f3n c\u00e1i v\u00e0o trong, <strong>D.<\/strong> D\u00f9ng l\u00f3c c\u1ed1t m\u1ea1c b\u1ed9c l\u1ed9 \u1ed5 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay,<strong> E.<\/strong> N\u1eafn ch\u1ec9nh \u1ed5 g\u00e3y v\u1ec1 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu, <strong>F.<\/strong> K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng n\u1eb9p v\u00edt.\u00a0<\/span><\/figcaption><\/figure>\n<h2><strong>2. Bi\u1ebfn ch\u1ee9ng g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/strong><\/h2>\n<h3><strong>2.1. T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh gi\u1eefa<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong \u0111a s\u1ed1 c\u00e1c nghi\u00ean c\u1ee9u, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh gi\u1eefa t\u1ea1m th\u1eddi do \u0111\u1ee5ng d\u1eadp ho\u1eb7c c\u0103ng gi\u00e3n qu\u00e1 m\u1ee9c li\u00ean quan \u0111\u1ebfn lo\u1ea1i g\u00e3y, m\u1ee9c \u0111\u1ed9 di l\u1ec7ch ban \u0111\u1ea7u, n\u1eafn x\u01b0\u01a1ng ban \u0111\u1ea7u. Ng\u01b0\u1ee3c l\u1ea1i, ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa l\u00e2u d\u00e0i th\u01b0\u1eddng do can l\u1ec7ch, nh\u1ea5t l\u00e0 can l\u1ec7ch g\u1eadp g\u00f3c ra sau nhi\u1ec1u.<\/span><\/p>\n<h3><strong>2.2. R\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 hi\u1ec7n t\u01b0\u1ee3ng r\u1ed1i lo\u1ea1n v\u1eadn m\u1ea1ch th\u1ea7n kinh g\u00e2y r\u1ed1i lo\u1ea1n l\u01b0u th\u00f4ng m\u00e1u c\u1ee5c b\u1ed9 \u1edf chi xu\u1ea5t hi\u1ec7n sau ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c vi\u00eam t\u1ea5y.<\/span><\/p>\n<h3><strong>2.3. T\u1ed5n th\u01b0\u01a1ng g\u00e2n<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">G\u1ed3m t\u1ed5n th\u01b0\u01a1ng: vi\u00eam d\u00ednh g\u00e2n g\u1ea5p v\u00e0 g\u00e2n du\u1ed7i, \u0111\u1ee9t g\u00e2n. V\u1eadn \u0111\u1ed9ng s\u1edbm c\u00e1c ng\u00f3n tay ph\u1ea3i \u0111\u01b0\u1ee3c ch\u00fa \u00fd sau g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quai g\u00e2y h\u1ea1n ch\u1ebf d\u00ednh g\u00e2n v\u00e0 gi\u1ea3m ph\u00f9 n\u1ec1 m\u00f4 m\u1ec1m.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 \u0111\u1ee9t g\u00e2n du\u1ed7i d\u00e0i ng\u00f3n c\u00e1i. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng l\u00e0 do thi\u1ebfu m\u00e1u nu\u00f4i d\u01b0\u1ee1ng c\u1ee5c b\u1ed9 h\u01a1n l\u00e0 do gai x\u01b0\u01a1ng c\u1ecd m\u00f2n g\u00e2n. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng n\u1ed1i t\u1eadn t\u1eadn th\u01b0\u1eddng kh\u00f4ng th\u00e0nh c\u00f4ng, c\u1ea7n chuy\u1ec3n g\u00e2n du\u1ed7i ng\u00f3n II thay th\u1ebf.<\/span><\/p>\n<h3><strong>2.4. Cal l\u1ec7ch<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Cal l\u1ec7ch th\u01b0\u1eddng x\u1ea3y ra theo h\u01b0\u1edbng di l\u1ec7ch ban \u0111\u1ea7u, g\u1ed3m: g\u1eadp g\u00f3c, ng\u1eafn x\u01b0\u01a1ng hay m\u1ea5t g\u00f3c nghi\u00eang tr\u1ee5.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cal l\u1ec7ch c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u1edbn t\u1edbi s\u1ef1 truy\u1ec1n l\u1ef1c qua kh\u1edbp c\u1ed5 tay v\u00e0 kh\u1edbp quay tr\u1ee5 d\u01b0\u1edbi, g\u1eadp g\u00f3c v\u1ec1 ph\u00eda l\u01b0ng qu\u00e1 m\u1ee9c s\u1ebd l\u00e0m h\u1ea1n ch\u1ebf g\u1eadp v\u00e0 du\u1ed7i qu\u00e1 m\u1ee9c =&gt; \u0111au kh\u1edbp quay c\u1ed5 tay v\u00e0 b\u00e1n tr\u1eadt c\u1ed5 tay, nh\u1ea5t l\u00e0 nh\u1eefng ng\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng c\u1ed5 tay nhi\u1ec1u.<\/span><\/p>\n<h3><strong>2.5. Kh\u1edbp gi\u1ea3<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p. Nguy\u00ean nh\u00e2n g\u1ed3m b\u1ea5t \u0111\u1ed9ng kh\u00f4ng t\u1ed1t, k\u00e9o xa c\u00e1c m\u1ea3nh g\u00e3y qu\u00e1 m\u1ee9c trong c\u1ed1 \u0111\u1ecbnh ngo\u00e0i. \u0110i\u1ec1u tr\u1ecb g\u1ed3m gh\u00e9p x\u01b0\u01a1ng, k\u1ebft h\u1ee3p x\u01b0\u01a1ng, c\u1ed1 \u0111\u1ecbnh ngo\u00e0i th\u00edch h\u1ee3p.\u00a0<\/span><\/p>\n<h2>3. Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/h2>\n<h3><strong>3.1.\u00a0\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u00f3 b\u1ed9t<\/strong><\/h3>\n<h4><strong>3.1.1. Giai \u0111o\u1ea1n b\u1ea5t \u0111\u1ed9ng<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">+ Treo tay cao trong 1 -2 tu\u1ea7n \u0111\u1ec3 ch\u1ed1ng ph\u00f9 n\u1ec1 b\u00e0n tay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ V\u1eadn \u0111\u1ed9ng t\u1eadp ch\u1ee7 \u0111\u1ed9ng t\u1ef1 do c\u00e1c kh\u1edbp khu\u1ef7u, vai, c\u00e1c kh\u1edbp li\u00ean \u0111\u1ed1t, b\u00e0n \u0111\u1ed1t b\u00ean t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 duy tr\u00ec t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u00e1c kh\u1edbp n\u00e0y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Co c\u01a1 t\u0129nh ph\u1ea9n b\u1ea5t \u0111\u1ed9ng trong b\u1ed9t sau khi b\u1ed9t kh\u00f4 \u0111\u1ec3 ng\u1eeba teo c\u01a1, d\u00ednh kh\u1edbp, th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh li\u1ec1n x\u01b0\u01a1ng.<\/span><\/p>\n<h4><strong>3.1.2. Giai \u0111o\u1ea1n sau b\u1ea5t \u0111\u1ed9ng<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">+ V\u1eadn \u0111\u1ed9ng tr\u1ecb li\u1ec7u: b\u00e0i t\u1eadp ch\u1ee7 \u0111\u1ed9ng c\u00f3 tr\u1ee3 gi\u00fap ti\u1ebfn \u0111\u1ebfn ch\u1ee7 \u0111\u1ed9ng c\u00f3 \u0111\u1ec1 kh\u00e1ng c\u00e1c \u0111\u1ed9ng t\u00e1c g\u1eadp du\u1ed7i c\u1ed5 tay, nghi\u00eang tr\u1ee5, nghi\u00eang quay, quay s\u1ea5p hay ng\u1eeda c\u1ed5 tay, t\u1eadp m\u1ea1nh c\u00e1c c\u01a1 c\u1ea7m n\u1eafm \u0111\u1ec3 gia t\u0103ng t\u1ea7m v\u1eadn \u0111\u1ed9ng kh\u1edbp c\u1ed5 tay. V\u1eadn \u0111\u1ed9ng t\u1ef1 do c\u00f3 \u0111\u1ec1 kh\u00e1ng c\u00e1c kh\u1edbp khu\u1ef7u, vai, li\u00ean \u0111\u1ed1t b\u00e0n \u0111\u1ed1t. N\u1ebfu t\u1ea7m v\u1eadn \u0111\u1ed9ng g\u1ea7n \u0111\u1ea1t t\u1edbi m\u1ee9c ch\u1ee9c n\u0103ng (g\u1eadp 40\u00b0, du\u1ed7i 40\u00b0, k\u1ebft h\u1ee3p v\u1edbi nghi\u00eang tr\u1ee5 nghi\u00eang quay 40\u00b0) th\u00ec c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea9u t\u1eadp t\u1ea1 nh\u1eb9 nh\u00e0ng t\u1eeb 1\/2 kg t\u1edbi 1 kg. T\u0103ng c\u01b0\u1eddng b\u00e0i t\u1eadp v\u1edbi t\u1ea1 trong su\u1ed1t t\u1ea7m v\u1eadn \u0111\u1ed9ng sau 10-12 tu\u1ea7n sau ch\u1ea5n th\u01b0\u01a1ng n\u1ebfu b\u1ec7nh nh\u00e2n ch\u1ecbu \u0111\u01b0\u1ee3c.T\u0103ng c\u01b0\u1eddng b\u00e0i t\u1eadp ch\u01b0\u01a1ng tr\u00ecnh b\u1eb1ng c\u00e1c b\u00e0i t\u1eadp li\u00ean quan \u0111\u1ebfn ngh\u1ec1 nghi\u1ec7p c\u1ee7a b\u1ec7nh nh\u00e2n sau 16 tu\u1ea7n n\u1ebfu \u0111\u01b0\u1ee3c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Ho\u1ea1t \u0111\u1ed9ng tr\u1ecb li\u1ec7u: t\u0103ng c\u01b0\u1eddng c\u00e1c b\u00e0i t\u1eadp ch\u1ee9c n\u0103ng c\u1ed5 b\u00e0n tay nh\u01b0 c\u1ea7m th\u1ea3 v\u1eadt, v\u1eaft kh\u0103n, m\u1edf n\u1eafp chai l\u1ecd, m\u1eb7c v\u00e0 c\u1edfi qu\u1ea7n \u00e1o, l\u0103n b\u00f3ng, l\u1eadt trang s\u00e1ch, l\u1eadt qu\u00e2n b\u00e0i.<\/span><\/p>\n<h3><strong>3.2. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<h4><strong>3.2.1. Giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt 1 -3 tu\u1ea7n<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">+ N\u00e2ng cao tay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ V\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng c\u1ed5 tay v\u00e0 b\u00e0n tay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ V\u1eadn \u0111\u1ed9ng ch\u1ee7 \u0111\u1ed9ng tr\u1ee3 gi\u00fap c\u00e1c kh\u1edbp li\u00ean \u0111\u1ed1t b\u00e0n \u0111\u1ed1t, kh\u1edbp kh\u1ee7y v\u00e0 vai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ \u0110\u1eb7t c\u1ed5 tay trong m\u00e1ng b\u1ed9t du\u1ed7i c\u1ed5 tay 30\u00b0.<\/span><\/p>\n<h4><strong>3.2.2. Giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt 4-7 tu\u1ea7n<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">+ T\u1eadp ch\u1ee7 \u0111\u1ed9ng nh\u1eb9 c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u1ed5 tay nh\u01b0 g\u1eadp, du\u1ed7i, nghi\u00eang tr\u1ee5, nghi\u00eang quay, quay s\u1ea5p, hay ng\u1eeda.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ T\u1eadp c\u00e1c b\u00e0i t\u1eadp t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh nh\u00f3m c\u01a1 c\u1ea7m n\u1eafm b\u00e0n tay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">+ Ho\u1ea1t \u0111\u1ed9ng tr\u1ecb li\u1ec7u c\u00e1c c\u1eed \u0111\u1ed9ng ph\u1ed1i h\u1ee3p, kh\u00e9o l\u00e9o b\u00e0n ng\u00f3n tay trong sinh ho\u1ea1t h\u00e0ng ng\u00e0y nh\u01b0 c\u1ea7m n\u1eafm, nh\u1eb7t v\u1eadt nh\u1ecf&#8230;<\/span><\/p>\n<h2><strong>4. K\u1ebft lu\u1eadn<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">&#8211; G\u00e3y x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ch\u1ea5n th\u01b0\u01a1ng r\u1ea5t ph\u1ed5 bi\u1ebfn th\u01b0\u1eddng g\u1eb7p trong ph\u00f2ng c\u1ea5p c\u1ee9u v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng c\u1eb3ng tay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng c\u00f3 \u00fd ngh\u0129a trong ph\u00e2n lo\u1ea1i v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111a s\u1ed1 l\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n n\u1eafn b\u00f3 b\u1ed9t \u0111em l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y di l\u1ec7ch ph\u1ea1m kh\u1edbp, g\u00e3y l\u00fan kh\u1edbp, g\u00e3y ph\u1ee9c t\u1ea1p k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng n\u1eb9p v\u00edt ho\u1eb7c xuy\u00ean \u0111inh Kirschner tr\u00ean m\u00e0n t\u0103ng sang \u0111em l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t.<\/span><\/p>\n<p style=\"text-align: center;\">Ngu\u1ed3n t\u00e1c gi\u1ea3<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed7 tr\u1ee3 cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3. Tuy nhi\u00ean, khi \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay b\u1ecb t\u1ed5n th\u01b0\u01a1ng, ch\u1ee9c n\u0103ng c\u1ee7a n\u00f3 s\u1ebd b\u1ecb \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng, g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 [&hellip;]<\/p>\n","protected":false},"author":53,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110i\u1ec1u tr\u1ecb, bi\u1ebfn ch\u1ee9ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay<\/title>\n<meta name=\"description\" content=\"\u0110\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00f3 nhi\u1ec7m v\u1ee5 h\u1ed7 tr\u1ee3 cho c\u00e1c 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