{"id":25037,"date":"2023-04-20T19:02:53","date_gmt":"2023-04-20T12:02:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25037"},"modified":"2023-04-21T11:07:54","modified_gmt":"2023-04-21T04:07:54","slug":"hoi-chung-ong-co-tay-co-nguy-hiem-khong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/hoi-chung-ong-co-tay-co-nguy-hiem-khong\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u00f3 nguy hi\u1ec3m kh\u00f4ng?"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay (carpal tunnel syndrome) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ed5 tay, do s\u1ef1 ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh gi\u1eefa, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, t\u00ea \u1edf b\u00e0n tay v\u00e0 ng\u00f3n tay. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi l\u00e0m vi\u1ec7c v\u0103n ph\u00f2ng, th\u1ee3 may, th\u1ee3 kim ho\u00e0n, hay nh\u1eefng ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean c\u00f3 t\u01b0 th\u1ebf c\u1ed5 tay li\u00ean t\u1ee5c duy tr\u00ec \u1edf m\u1ed9t t\u01b0 th\u1ebf c\u1ed1 \u0111\u1ecbnh trong m\u1ed9t th\u1eddi gian d\u00e0i g\u00e2y t\u0103ng \u00e1p l\u1ef1c trong \u1ed1ng c\u1ed5 tay.\u00a0<\/strong><\/p>\n

1. C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/h2>\n

D\u00e2y th\u1ea7n kinh gi\u1eefa c\u00f3 c\u00e1c ch\u1ee9c n\u0103ng g\u1ed3m c\u1ea3m gi\u00e1c (3 ng\u00f3n r\u01b0\u1ee1i b\u00ean ngo\u00e0i) v\u00e0 v\u1eadn \u0111\u1ed9ng (c\u01a1 d\u1ea1ng ng\u00f3n c\u00e1i ng\u1eafn, c\u01a1 g\u1ea5p ng\u00f3n c\u00e1i ng\u1eafn, c\u01a1 \u0111\u1ed1i ng\u00f3n c\u00e1i, c\u01a1 giun 1 v\u00e0 2) Sinh l\u00fd b\u1ec7nh ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5 nh\u01b0ng c\u00f3 th\u1ec3 do c\u01a1 ch\u1ebf t\u0103ng \u00e1p l\u1ef1c trong \u1ed1ng c\u1ed5 tay g\u00e2y r\u1ed1i lo\u1ea1n vi m\u1ea1ch nu\u00f4i d\u01b0\u1ee1ng \u1edf bao ngo\u00e0i v\u00e0 bao trong, t\u1eeb \u0111\u00f3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng do t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh gi\u1eefa.<\/p>\n

\"hoi-chung-ong-co-tay\"
H\u1ed9i ch\u1ee9ng \u1ed5ng c\u1ed5 tay do d\u00e2y th\u1ea7n kinh gi\u1eefa b\u1ecb ch\u00e8n \u00e9p<\/figcaption><\/figure>\n

2. Kh\u00e1m l\u00e2m s\u00e0ng<\/h2>\n

T\u00ea tay: tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u l\u00e0 \u0111au, d\u1ecb c\u1ea3m b\u00e0n ng\u00f3n tay theo s\u1ef1 chi ph\u1ed1i c\u1ee7a d\u00e2y th\u1ea7n kinh gi\u1eefa (\u1edf m\u1eb7t l\u00f2ng c\u00e1c ng\u00f3n tay c\u00e1i, tr\u1ecf, gi\u1eefa v\u00e0 n\u1eeda m\u1eb7t ngo\u00e0i ng\u00f3n nh\u1eabn), t\u0103ng khi v\u1eadn \u0111\u1ed9ng g\u1ea5p c\u1ed5 tay.<\/p>\n

N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng n\u1eb7ng m\u1ea5t c\u1ea3m gi\u00e1c, m\u1ea5t ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng b\u00e0n tay (g\u00f2 m\u00f4 c\u00e1i b\u1ecb teo r\u00f5 r\u00e0ng, gi\u1ea3m c\u1eed \u0111\u1ed9ng nh\u00f3m c\u01a1 g\u00f2 ng\u00f3n c\u00e1i \u1edf c\u00e1c \u0111\u1ed9ng t\u00e1c \u0111\u1ed1i, d\u1ea1ng ng\u00f3n c\u00e1i).<\/p>\n

M\u1ed9t s\u1ed1 nghi\u1ec7m ph\u00e1p th\u0103m kh\u00e1m tr\u00ean l\u00e2m s\u00e0ng<\/p>\n

    \n
  • T\u00ecm d\u1ea5u hi\u1ec7u Tinel tr\u00ean d\u00e2y th\u1ea7n kinh gi\u1eefa \u1edf c\u1ed5 tay: g\u00f5 tr\u00ean \u1ed1ng c\u1ed5 tay \u1edf t\u01b0 th\u1ebf du\u1ed7i c\u1ed5 tay t\u1ed1i \u0111a g\u00e2y c\u1ea3m gi\u00e1c \u0111au hay t\u00ea gi\u1eadt l\u00ean c\u00e1c ng\u00f3n tay.<\/li>\n
  • Th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p Phallen: khi ng\u01b0\u1eddi b\u1ec7nh g\u1eadp c\u1ed5 tay ch\u1ee7 \u0111\u1ed9ng v\u00e0 gi\u1eef c\u1eb3ng tay th\u1eb3ng \u0111\u1ee9ng trong 60 gi\u00e2y s\u1ebd th\u1ea5y t\u00ea c\u00e1c ng\u00f3n tay hay gia t\u0103ng t\u00ea c\u00e1c ng\u00f3n tay.<\/li>\n<\/ul>\n

    3. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n
      \n
    • \u0110o \u0111i\u1ec7n c\u01a1 \u0111\u1ed3 tay (EMG) l\u00e0 c\u1eadn l\u00e2m s\u00e0ng quan tr\u1ecdng, \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y.<\/li>\n
    • Si\u00eau \u00e2m c\u1ed5 tay: c\u00f3 th\u1ec3 xem x\u00e9t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh gi\u1eefa d\u1ef1a v\u00e0o k\u00edch th\u01b0\u1edbc thi\u1ebft di\u1ec7n c\u1eaft ngang tr\u00ean si\u00eau \u00e2m.<\/li>\n<\/ul>\n

      4. Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/h2>\n

      4.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n

      Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh h\u1ed9i ch\u1ee9ng n\u00e0y li\u00ean quan ngh\u1ec1 nghi\u1ec7p c\u1ee7a Vi\u1ec7n qu\u1ed1c gia Hoa K\u1ef3 v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 an to\u00e0n ngh\u1ec1 nghi\u1ec7p – National Institute of Occupational Safety and Health (NIOSH)): ph\u1ea3i c\u00f3 hai ho\u1eb7c nhi\u1ec1u h\u01a1n nh\u1eefng ti\u00eau chu\u1ea9n sau \u0111\u00e2y (m\u1ed9t ho\u1eb7c nhi\u1ec1u h\u01a1n m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng (TCCN) v\u00e0 m\u1ed9t ho\u1eb7c nhi\u1ec1u h\u01a1n m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3):<\/p>\n

        \n
      • Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng g\u1ed3m nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u1ec1 c\u1ea3m gi\u00e1c v\u00f9ng da do th\u1ea7n kinh gi\u1eefa chi ph\u1ed1i \u1edf b\u00e0n tay: d\u1ecb c\u1ea3m, gi\u1ea3m c\u1ea3m gi\u00e1c, \u0111au, t\u00ea c\u1ee9ng.<\/li>\n
      • Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3 g\u1ed3m: d\u1ea5u hi\u1ec7u Tinel d\u01b0\u01a1ng t\u00ednh, nghi\u1ec7m ph\u00e1p Phalen d\u01b0\u01a1ng t\u00ednh, gi\u1ea3m ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c ch\u00e2m ch\u00edch v\u00f9ng da th\u1ea7n kinh gi\u1eefa chi ph\u1ed1i ho\u1eb7c test d\u1eabn truy\u1ec1n th\u1ea7n kinh cho th\u1ea5y c\u00f3 s\u1ef1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh gi\u1eefa v\u00f9ng \u1ed1ng c\u1ed5 tay.<\/li>\n<\/ul>\n

        V\u00c0 B\u1eb1ng ch\u1ee9ng v\u1ec1 s\u1ef1 li\u00ean quan \u0111\u1ebfn c\u00f4ng vi\u1ec7c – ti\u1ec1n s\u1eed c\u1ee7a m\u1ed9t c\u00f4ng vi\u1ec7c li\u00ean \u0111\u1ebfn m\u1ed9t ho\u1eb7c nhi\u1ec1u ho\u1ea1t \u0111\u1ed9ng sau \u0111\u00e2y tr\u01b0\u1edbc khi ph\u00e1t tri\u1ec3n c\u00e1c tri\u1ec7u ch\u1ee9ng CTS:<\/p>\n

        a. S\u1eed d\u1ee5ng b\u00e0n tay ho\u1eb7c c\u1ed5 tay th\u01b0\u1eddng xuy\u00ean, l\u1eb7p \u0111i l\u1eb7p l\u1ea1i
        \nb. C\u00e1c c\u00f4ng vi\u1ec7c th\u01b0\u1eddng xuy\u00ean \u0111\u00f2i h\u1ecfi ph\u1ea3i t\u1ea1o ra l\u1ef1c c\u00f3 m\u1ee9c \u0111\u1ed9 l\u1edbn b\u1eb1ng tay, xuy\u00ean ho\u1eb7c li\u00ean t\u1ee5c v\u1ecb tr\u00ed tay
        \nc. C\u00e1c c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi duy tr\u00ec th\u01b0\u1eddng
        \nd. Th\u01b0\u1eddng xuy\u00ean s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 rung
        \ne. \u00c1p l\u1ef1c th\u01b0\u1eddng xuy\u00ean ho\u1eb7c k\u00e9o d\u00e0i l\u00ean c\u1ed5 tay ho\u1eb7c l\u00f2ng b\u00e0n tay.<\/p>\n

        4.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n

        H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh kh\u00e1c. Giai \u0111o\u1ea1n \u0111\u1ea7u th\u01b0\u1eddng d\u1ec5 nh\u1ea7m sang nh\u1eefng b\u1ec7nh v\u1ec1 c\u01a1 x\u01b0\u01a1ng kh\u1edbp ho\u1eb7c nh\u1eefng b\u1ec7nh v\u1ec1 th\u1ea7n kinh bao g\u1ed3m Ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa \u1edf khu\u1ef7u; B\u1ec7nh r\u1ec5 C6 – C7; H\u1ed9i ch\u1ee9ng c\u1ed5 vai tay; B\u1ec7nh t\u1ee7y c\u1ed5; X\u01a1 c\u1ed9t b\u00ean teo c\u01a1; B\u1ec7nh Lyme; Nhi\u1ec5m \u0111\u1ed9c ch\u00ec, photpho; B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean; Ch\u00e8n \u00e9p \u1edf d\u00e2y ch\u1eb1ng Struthers. L\u01b0u \u00fd, H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh nguy\u00ean ph\u00e1t hay th\u1ee9 ph\u00e1t \u0111\u1ec3 ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

        5. Nh\u1eefng t\u00e1c \u0111\u1ed9ng c\u1ee7a h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/h2>\n
          \n
        • C\u1ea3m gi\u00e1c \u0111au: B\u1ec7nh nh\u00e2n\u00a0 c\u1ea3m th\u1ea5y \u0111au v\u00e0 kh\u00f3 ch\u1ecbu \u1edf khu v\u1ef1c c\u1ed5 tay, b\u00e0n tay v\u00e0 ng\u00f3n tay. Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n
        • T\u00ea tay: H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m d\u00f2ng m\u00e1u \u0111\u1ebfn khu v\u1ef1c c\u1ed5 tay, g\u00e2y ra c\u1ea3m gi\u00e1c t\u00ea b\u00e0n tay, ng\u00f3n tay. Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng c\u1ea3m nh\u1eadn v\u00e0 s\u1ef1 linh ho\u1ea1t c\u1ee7a tay v\u00e0 ng\u00f3n tay.<\/li>\n
        • Gi\u1ea3m s\u1ee9c c\u01a1: H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ee9c m\u1ea1nh v\u00e0 kh\u1ea3 n\u0103ng c\u1eed \u0111\u1ed9ng c\u1ee7a tay v\u00e0 ng\u00f3n tay. Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y v\u00e0 c\u00f4ng vi\u1ec7c.<\/li>\n<\/ul>\n

          6. D\u1ef1 ph\u00f2ng<\/h2>\n
            \n
          • Thay \u0111\u1ed5i c\u00f4ng th\u00e1i h\u1ecdc (Ergonomic) trong c\u00f4ng vi\u1ec7c v\u00e0 ho\u1ea1t \u0111\u1ed9ng h\u1eb1ng ng\u00e0y \u0111\u1eb7c bi\u1ec7t trong c\u00e1c ng\u00e0nh ngh\u1ec1\/c\u00f4ng vi\u1ec7c c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n th\u00e0nh h\u1ed9i ch\u1ee9ng CTS bao g\u1ed3m s\u1eafp x\u1ebfp v\u1ecb tr\u00ed \u0111\u1eb7t b\u00e0n l\u00e0m vi\u1ec7c, m\u00e0n h\u00ecnh m\u00e1y t\u00ednh, chu\u1ed9t v\u00e0 b\u00e0n ph\u00edm m\u00e1y t\u00ednh…<\/li>\n
          • Mang n\u1eb9p c\u00f4 tay nh\u1ea5t l\u00e0 ban \u0111\u00eam, ngh\u1ec9 nh\u1eefng kho\u1ea3ng th\u1eddi gian ng\u1eafn trong l\u00fac l\u00e0m vi\u1ec7c ho\u1eb7c thay \u0111\u1ed5i t\u01b0 th\u1ebf ho\u1eb7c xen k\u1ebd v\u1edbi m\u1ed9t ho\u1ea1t \u0111\u1ed9ng kh\u00e1c \u0111\u1ec3 th\u01b0 gi\u00e3n c\u1ed5 tay; c\u00e1c b\u00e0i t\u1eadp tay v\u00e0 c\u1ed5 tay nh\u01b0 xoay c\u1ed5 tay v\u00e0 gi\u00e3n l\u00f2ng b\u00e0n tay, ng\u00f3n tay; tr\u00e1nh g\u1ed1i \u0111\u1ea7u l\u00ean tay khi ng\u1ee7. Kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00e1c nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u1ee7a h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay.<\/li>\n
          • K\u1ebft h\u1ee3p ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, h\u1ea1n ch\u1ebf t\u00e1i ph\u00e1t sau can thi\u1ec7p ph\u1eabu thu\u1eadt b\u1eb1ng c\u00e1ch thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng nh\u01b0 tr\u00ean.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

            H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay (carpal tunnel syndrome) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ed5 tay, do s\u1ef1 ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh gi\u1eefa, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, t\u00ea \u1edf b\u00e0n tay v\u00e0 ng\u00f3n tay. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi l\u00e0m vi\u1ec7c v\u0103n ph\u00f2ng, th\u1ee3 may, th\u1ee3 kim ho\u00e0n, hay […]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"\nH\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u00f3 nguy hi\u1ec3m kh\u00f4ng? - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd do s\u1ef1 ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh gi\u1eefa, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, t\u00ea \u1edf c\u1ed5 tay, b\u00e0n tay v\u00e0 ng\u00f3n tay.\" \/>\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=\"H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u00f3 nguy hi\u1ec3m kh\u00f4ng? 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