{"id":25233,"date":"2023-05-04T15:53:10","date_gmt":"2023-05-04T08:53:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25233"},"modified":"2023-05-04T15:53:10","modified_gmt":"2023-05-04T08:53:10","slug":"huong-dan-kham-lam-sang-chi-tren","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/huong-dan-kham-lam-sang-chi-tren\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean"},"content":{"rendered":"<p><strong>Kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean r\u1ea5t quan tr\u1ecdng trong h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 chi \u0111\u1ec3 t\u1eeb \u0111\u00f3 \u0111\u01b0a ra \u0111\u1ecbnh h\u01b0\u1edbng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1ch kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean trong b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n<figure id=\"attachment_25235\" aria-describedby=\"caption-attachment-25235\" style=\"width: 200px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-25235\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-200x300.jpg\" alt=\"H\u00ecnh \u1ea3nh minh h\u1ecda chi tr\u00ean \u1edf ng\u01b0\u1eddi\" width=\"200\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-200x300.jpg 200w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-683x1024.jpg 683w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-768x1152.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-1024x1536.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-1365x2048.jpg 1365w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/livia-rocha-H4STV63ICrs-unsplash-scaled.jpg 1706w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><figcaption id=\"caption-attachment-25235\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda chi tr\u00ean \u1edf ng\u01b0\u1eddi<\/figcaption><\/figure>\n<h2><b>1. Nguy\u00ean t\u1eafc th\u0103m kh\u00e1m:<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00e1m chi trong ph\u00f2ng kh\u00e1m chuy\u00ean khoa c\u00f3 \u0111\u1ea7y \u0111\u1ee7 ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ec3 kh\u00e1m.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00e1m theo tr\u00ecnh t\u1ef1: nh\u00ecn, s\u1edd, \u0111o chi v\u00e0 \u0111o bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00e1m b\u00ean l\u00e0nh tr\u01b0\u1edbc b\u00ean \u0111au, so s\u00e1nh hai chi.<\/span><\/li>\n<\/ul>\n<h2><b>2. D\u1ee5ng c\u1ee5 c\u1ea7n thi\u1ebft \u0111\u1ec3 th\u0103m kh\u00e1m:<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00f2ng kh\u00e1m b\u1ec7nh: r\u1ed9ng r\u00e3i, s\u1ea1ch s\u1ebd, tho\u00e1ng m\u00e1t.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n l\u00e0m c\u00e1c \u0111\u1ed9ng t\u00e1c, \u0111i l\u1ea1i tho\u1ea3i m\u00e1i \u0111\u1ec3 th\u1ea7y thu\u1ed1c quan s\u00e1t \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ed9t gi\u01b0\u1eddng kh\u00e1m c\u00f3 b\u1ec1 m\u1eb7t ph\u1eb3ng (kh\u00f4ng c\u00f3 th\u00e0nh gi\u01b0\u1eddng 4 b\u00ean).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ed9t gh\u1ebf \u0111\u1ea9u (gh\u1ebf kh\u00f4ng c\u00f3 t\u1ef1a).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ee5ng c\u1ee5 \u0111\u1ec3 kh\u00e1m: 1 th\u01b0\u1edbc \u0111o b\u1eb1ng v\u1ea3i, 1 th\u01b0\u1edbc \u0111o g\u00f3c, 1 b\u00faa ph\u1ea3n x\u1ea1, b\u00fat v\u1ebd tr\u00ean da, kim v\u00e0 t\u0103m b\u00f4ng \u0111\u1ec3 kh\u00e1m c\u1ea3m gi\u00e1c.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ngo\u00e0i ra c\u00f2n c\u1ea7n th\u00eam c\u00e1c mi\u1ebfng v\u00e1n g\u1ed7 c\u00f3 chi\u1ec1u d\u00e0y t\u1eeb 0,5 \u2013 3 cm \u0111\u1ec3 \u0111o nhanh chi\u1ec1u d\u00e0i chi d\u01b0\u1edbi so v\u1edbi b\u00ean l\u00e0nh.<\/span><\/li>\n<\/ul>\n<h2><b>3.C\u00e1ch kh\u00e1m chi tr\u00ean:<\/b><\/h2>\n<ol start=\"3\">\n<li><b> 1. Nh\u00ecn <\/b><span style=\"font-weight: 400;\">l\u00e0 m\u1ed9t b\u01b0\u1edbc quan tr\u1ecdng \u0111\u1ea7u ti\u00ean, r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 g\u1ee3i \u00fd ch\u1ea9n \u0111o\u00e1n b\u1ec7nh.\u00a0<\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd x\u01b0\u01a1ng \u2013 kh\u1edbp ch\u1ec9 c\u1ea7n nh\u00ecn c\u0169ng c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nh\u00ecn t\u01b0 th\u1ebf chung c\u1ee7a BN khi \u0111\u1ebfn kh\u00e1m.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Quan s\u00e1t da b\u1ec7nh nh\u00e2n: c\u00f3 v\u1ebft th\u01b0\u01a1ng kh\u00f4ng, c\u00f3 u n\u1ed5i l\u00ean kh\u00f4ng, c\u00f3 \u0111\u1ed5i m\u00e0u so v\u1edbi b\u00ean l\u00e0nh kh\u00f4ng (U m\u00e1u , Reckling haugen, l\u1ec7ch tr\u1ee5c chi?\u2026)<\/span><span style=\"font-weight: 400;\"> V\u00ed d\u1ee5: l\u1ed7 d\u00f2 \u1edf c\u00e1c \u0111\u1ea7u x\u01b0\u01a1ng g\u1eb7p \u1edf tr\u1ebb em d\u1ec5 do vi\u00eam x\u01b0\u01a1ng.<\/span><\/li>\n<\/ul>\n<ol start=\"3\">\n<li><b> 2. S\u1edd<\/b><\/li>\n<\/ol>\n<h4 style=\"padding-left: 40px;\"><b>Ch\u1ecdn m\u1ed1c v\u00e0 \u0111\u00e1nh d\u1ea5u<\/b><\/h4>\n<p style=\"padding-left: 40px;\"><span style=\"font-weight: 400;\">C\u00e1c m\u1ed1c x\u01b0\u01a1ng th\u01b0\u1eddng l\u00e0 c\u00e1c m\u1ecfm, l\u1ed3i c\u1ee7 nh\u00f4 l\u00ean d\u01b0\u1edbi da ho\u1eb7c khe kh\u1edbp s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c. Kh\u00f4ng bao gi\u1edd ch\u1ecdn m\u1ed1c l\u00e0 ph\u1ea7n m\u1ec1m v\u00ec n\u00f3 s\u1ebd kh\u00f4ng ch\u00ednh x\u00e1c khi b\u1ec7nh nh\u00e2n thay \u0111\u1ed5i t\u01b0 th\u1ebf.\u00a0<\/span><\/p>\n<p style=\"padding-left: 40px;\"><span style=\"font-weight: 400;\">Sau khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ed1c, c\u1ea7n d\u00f9ng b\u00fat \u0111\u00e1nh d\u1ea5u.<\/span><\/p>\n<p style=\"padding-left: 40px;\">\u1ede chi tr\u00ean<span style=\"font-weight: 400;\">: m\u1ecfm c\u00f9ng, c\u1ee7 l\u1edbn x\u01b0\u01a1ng c\u00e1nh tay, m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i, m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong, m\u1ecfm khu\u1ef7u, ch\u1ecfm x\u01b0\u01a1ng quay, m\u1ecfm tr\u00e2m quay, m\u1ecfm tr\u00e2m tr\u1ee5\u2026<\/span><\/p>\n<h4 style=\"padding-left: 40px;\"><b>S\u1edd t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u<\/b><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">C\u00f3 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/thang-diem-dau-vas-la-gi\/\">\u0111i\u1ec3m \u0111au<\/a> hay kh\u00f4ng.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">C\u00f3 u, c\u1ee5c g\u00ec hay kh\u00f4ng: u c\u1ee9ng r\u1eafn ( u x\u01b0\u01a1ng, can x\u01b0\u01a1ng\u2026), u m\u1ec1m ( u x\u01a1, u m\u00e1u\u2026).<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Kh\u00e1m c\u1ea3m gi\u00e1c: n\u00f4ng, s\u00e2u.<\/span><\/li>\n<\/ul>\n<h3><b>3.3. \u0110o chi<\/b><\/h3>\n<h4><b>3.3.1 Nguy\u00ean t\u1eafc \u0111o chi<\/b><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ef1a v\u00e0o m\u1ed1c x\u01b0\u01a1ng \u0111\u1ec3 \u0111o.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">So s\u00e1nh v\u1edbi chi l\u00e0nh.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u00f9ng c\u00e1c lo\u1ea1i th\u01b0\u1edbc \u0111\u1ec3 \u0111o.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0\u00a0C\u00f3 3 c\u00e1ch \u0111o chi: \u0111o tr\u1ee5c chi, \u0111o chi\u1ec1u d\u00e0i, \u0111o chu vi chi.<\/span><\/p>\n<h4><b>\u0110o tr\u1ee5c chi<\/b><\/h4>\n<p>Tr\u1ee5c chi tr\u00ean<span style=\"font-weight: 400;\"> l\u00e0 m\u1ed9t \u0111\u01b0\u1eddng n\u1ed1i t\u1eeb m\u1ecfm c\u00f9ng vai, \u0111i qua gi\u1eefa n\u1ebfp khu\u1ef7u, \u0111\u1ebfn gi\u1eefa n\u1ebfp g\u1ea5p c\u1ed5 tay (gi\u1eefa ng\u00f3n 3), kh\u1edbp khu\u1ef7u m\u1edf ra ngo\u00e0i m\u1ed9t g\u00f3c 10 \u0111\u1ed9.<\/span><\/p>\n<h4><b>\u0110o chu vi chi<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">T\u1eeb m\u1ed9t m\u1ed1c x\u01b0\u01a1ng \u0111\u00e3 ch\u1ecdn, \u0111o l\u00ean ho\u1eb7c xu\u1ed1ng m\u1ed9t \u0111o\u1ea1n 10, 15, 20 cm, \u0111\u00e1nh d\u1ea5u n\u01a1i n\u00e0y, sau \u0111\u00f3 d\u00f9ng th\u01b0\u1edbc d\u00e2y \u0111o v\u00f2ng chi n\u01a1i v\u1eeba \u0111\u00e1nh d\u1ea5u so s\u00e1nh b\u00ean l\u00e0nh.<\/span><\/p>\n<h4><b>\u0110o chi\u1ec1u d\u00e0i<\/b><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u00f9ng th\u01b0\u1edbc d\u00e2y \u0111o chi\u1ec1u d\u00e0i gi\u1eefa hai m\u1ed1c x\u01b0\u01a1ng \u0111\u00e3 ch\u1ecdn.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i: chi\u1ec1u d\u00e0i \u0111o qua m\u1ed9t kh\u1edbp.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i: chi\u1ec1u d\u00e0i \u0111o kh\u00f4ng qua m\u1ed9t kh\u1edbp.<\/span><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><b>Chi c\u1ea7n \u0111o<\/b><\/td>\n<td><b>Chi\u1ec1u d\u00e0i t\u01b0\u01a1ng \u0111\u1ed1i<\/b><\/td>\n<td><b>Chi\u1ec1u d\u00e0i tuy\u1ec7t \u0111\u1ed1i<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">C\u00e1nh tay<\/span><\/td>\n<td><span style=\"font-weight: 400;\">T\u1eeb m\u1ecfm c\u00f9ng vai \u0111\u1ebfn<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i c\u00e1nh tay<\/span><\/td>\n<td><span style=\"font-weight: 400;\">T\u1eeb c\u1ee7 l\u1edbn \u0111\u1ebfn m\u1ecfm\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i c\u00e1nh tay.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">C\u1eb3ng tay<\/span><\/td>\n<td><span style=\"font-weight: 400;\">T\u1eeb m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i \u0111\u1ebfn m\u1ecfm tr\u00e2m quay<\/span><\/td>\n<td><span style=\"font-weight: 400;\">T\u1eeb m\u1ecfm khu\u1ef7u \u0111\u1ebfn<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0m\u1ecfm tr\u00e2m tr\u1ee5<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Chi d\u01b0\u1edbi<\/span><\/td>\n<td><span style=\"font-weight: 400;\">T\u1eeb gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean \u0111\u1ebfn\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0111\u1ec9nh m\u1eaft c\u00e1 trong<\/span><\/td>\n<td><span style=\"font-weight: 400;\">T\u1eeb m\u1ea5u chuy\u1ec3n \u0111\u1ebfn\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0111\u1ec9nh m\u1eaft c\u00e1 ngo\u00e0i<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><b>3.3.2 C\u00e1ch \u0111o v\u00e0 ghi bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp<\/b><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110o v\u00e0 ghi bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp theo <\/span>t\u01b0 th\u1ebf xu\u1ea5t ph\u00e1t O<span style=\"font-weight: 400;\"> (Zero starting position)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u01b0 th\u1ebf xu\u1ea5t ph\u00e1t O l\u00e0 \u201ct\u01b0 th\u1ebf b\u00ecnh th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu\u201d c\u1ee7a m\u1ed9t ng\u01b0\u1eddi \u0111\u1ee9ng th\u1eb3ng, hai ng\u00f3n ch\u00e2n c\u00e1i ch\u1ea1m v\u00e0o nhau, b\u00e0n tay bu\u00f4ng th\u00f5ng d\u1ecdc th\u00e2n m\u00ecnh, l\u00f2ng b\u00e0n tay \u00fap v\u00e0o trong. \u1ede t\u01b0 th\u1ebf n\u00e0y, t\u1ea5t c\u1ea3 c\u00e1c kh\u1edbp trong c\u01a1 th\u1ec3 \u0111\u01b0\u1ee3c xem l\u00e0 0 \u0111\u1ed9<\/span><span style=\"font-weight: 400;\">\u00a0v\u00e0 t\u00ednh t\u1eeb \u0111\u00e2y \u0111\u1ec3 \u0111o c\u1eed \u0111\u1ed9ng m\u1ed9t kh\u1edbp n\u00e0o \u0111\u00f3.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1eadn \u0111\u1ed9ng c\u00e1c kh\u1edbp \u0111\u01b0\u1ee3c kh\u00e1m theo t\u1eebng c\u1eb7p, th\u00ed d\u1ee5: g\u1ea5p \u2013 du\u1ed7i , s\u1ea5p \u2013 ng\u1eeda, xoay trong \u2013 xoay ngo\u00e0i, d\u1ea1ng \u2013 kh\u00e9p , nghi\u00eang quay \u2013 nghi\u00eang tr\u1ee5\u2026<\/span><\/li>\n<\/ul>\n<h4><b>3.3.3 C\u00e1ch g\u1ecdi t\u00ean c\u00e1c c\u1eed \u0111\u1ed9ng kh\u1edbp<\/b><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed9ng t\u00e1c g\u1ea5p l\u00e0 c\u1eed \u0111\u1ed9ng c\u1ee7a m\u1ed9t kh\u1edbp k\u1ec3 t\u1eeb t\u01b0 th\u1ebf xu\u1ea5t ph\u00e1t 0.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed9ng t\u00e1c du\u1ed7i l\u00e0 c\u1eed \u0111\u1ed9ng c\u1ee7a m\u1ed9t kh\u1edbp tr\u1edf v\u1ec1 t\u01b0 th\u1ebf xu\u1ea5t ph\u00e1t 0.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ed9ng t\u00e1c g\u1ea5p du\u1ed7i \u1edf c\u1ed5 ch\u00e2n: g\u1ecdi l\u00e0 g\u1ea5p v\u1ec1 ph\u00eda gan ch\u00e2n v\u00e0 g\u1ea5p v\u1ec1 ph\u00eda mu ch\u00e2n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Du\u1ed7i qu\u00e1 m\u1ee9c l\u00e0 c\u1eed \u0111\u1ed9ng theo h\u01b0\u1edbng ng\u01b0\u1ee3c l\u1ea1i v\u1edbi g\u1ea5p.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00e9p l\u00e0 \u0111\u01b0a ph\u1ea7n chi kh\u00e9p d\u1ea7n v\u1ec1 tr\u1ee5c c\u01a1 th\u1ec3.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ea1ng l\u00e0 \u0111\u01b0a ph\u1ea7n chi ra xa tr\u1ee5c c\u01a1 th\u1ec3. Ri\u00eang \u1edf c\u1ed5 tay th\u00ec hay d\u00f9ng danh t\u1eeb nghi\u00eang ph\u00eda tr\u1ee5, hay nghi\u00eang ph\u00eda quay.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u1eeda l\u00e0 \u0111\u1ed9ng t\u00e1c quay l\u00f2ng b\u00e0n tay, b\u00e0n ch\u00e2n h\u01b0\u1edbng ra m\u1eb7t tr\u01b0\u1edbc c\u1ee7a c\u01a1 th\u1ec3 hay h\u01b0\u1edbng l\u00ean tr\u00ean. C\u00f2n s\u1ea5p l\u00e0 ng\u01b0\u1ee3c l\u1ea1i, quay h\u01b0\u1edbng ra m\u1eb7t sau hay xu\u1ed1ng d\u01b0\u1edbi.<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">V\u00ed d\u1ee5 1:<\/span><\/i><span style=\"font-weight: 400;\"> \u0111o t\u1ea7m ho\u1ea1t \u0111\u1ed9ng g\u1ea5p \u2013 du\u1ed7i kh\u1edbp khu\u1ef7u \u0111\u01b0\u1ee3c c\u00e1c ch\u1ec9 s\u1ed1:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Kh\u1edbp khu\u1ef7u<\/span><\/td>\n<td><span style=\"font-weight: 400;\">G\u1ea5p<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Du\u1ed7i<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u01af\u1ee1n ra sau<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00e1ch ghi<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 1<\/span><\/td>\n<td><span style=\"font-weight: 400;\">150 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0 \u0111\u1ed9<\/span><\/td>\n<td><\/td>\n<td><span style=\"font-weight: 400;\">150\/0\/0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 2<\/span><\/td>\n<td><span style=\"font-weight: 400;\">150 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">5 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">150\/0\/5<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">150 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90 \u0111\u1ed9<\/span><\/td>\n<td><\/td>\n<td><span style=\"font-weight: 400;\">150\/90\/0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 4<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0 \u0111\u1ed9<\/span><\/td>\n<td><\/td>\n<td><span style=\"font-weight: 400;\">90\/0\/0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 5<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90 \u0111\u1ed9<\/span><\/td>\n<td><\/td>\n<td><span style=\"font-weight: 400;\">90\/90\/0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 6<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0 \u0111\u1ed9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">0 \u0111\u1ed9<\/span><\/td>\n<td><\/td>\n<td><span style=\"font-weight: 400;\">0\/0\/0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 1 : kh\u1edbp khu\u1ef7u ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 2 : kh\u1edbp khu\u1ef7u ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng (g\u1eb7p \u1edf m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef, tr\u1ebb em c\u00f3 l\u1ecfng kh\u1edbp sinh l\u00fd).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 3: kh\u1edbp khu\u1ef7u g\u1ea5p h\u1ebft nh\u01b0ng kh\u00f4ng du\u1ed7i th\u1eb3ng \u0111\u01b0\u1ee3c, ch\u1ec9 90 \u0111\u1ed9, s\u1ed1 0 ra sau.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 4: kh\u1edbp khu\u1ef7u du\u1ed7i h\u1ebft nh\u01b0ng ch\u1ec9 g\u1ea5p \u0111\u01b0\u1ee3c 90 \u0111\u1ed9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 5: kh\u1edbp khu\u1ef7u c\u1ee9ng \u1edf t\u01b0 th\u1ebf 90 \u0111\u1ed9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh c\u1ea3nh 6: kh\u1edbp khu\u1ef7u c\u1ee9ng \u1edf t\u01b0 th\u1ebf 0 \u0111\u1ed9 (c\u1ee9ng du\u1ed7i khu\u1ef7u \u1edf b\u1ec7nh nh\u00e2n tr\u1eadt kh\u1edbp khu\u1ef7u c\u0169).<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">V\u00ed d\u1ee5 2:<\/span><\/i><span style=\"font-weight: 400;\"> minh ho\u1ea1 r\u00f5 h\u01a1n v\u1ec1 c\u00e1ch ghi n\u00e0y:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kh\u00e1m s\u1ea5p ng\u1eeda c\u1eb3ng tay 6 tr\u01b0\u1eddng h\u1ee3p v\u1edbi k\u1ebft qu\u1ea3 ghi nh\u1eadn \u0111\u01b0\u1ee3c:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><\/td>\n<td><span style=\"font-weight: 400;\">K\u1ebft qu\u1ea3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u00dd ngh\u0129a:<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">1<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S \u2013 N: 85 \/ 0 \/ 90<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S\u1ea5p: 85 \u0111\u1ed9 v\u00e0 ng\u1eeda : 90 \u0111\u1ed9<\/span><\/p>\n<p><span style=\"font-weight: 400;\">( bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">2<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S \u2013 N: 90 \/ 60 \/ 0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng ng\u1eeda \u0111\u01b0\u1ee3c c\u1eb3ng tay,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">c\u1eb3ng tay lu\u00f4n s\u1ea5p t\u1eeb 60 \u2013 90 \u0111\u1ed9<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S \u2013 N: 0 \/ 60 \/ 90<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng s\u1ea5p \u0111\u01b0\u1ee3c c\u1eb3ng tay,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">c\u1eb3ng tay lu\u00f4n ng\u1eeda t\u1eeb 60 \u2013 90 \u0111\u1ed9<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">4<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S \u2013 N: 0 \/ 0\/ 0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u1eb3ng tay lu\u00f4n \u1edf t\u01b0 th\u1ebf trung b\u00ecnh,<\/span><\/p>\n<p><span style=\"font-weight: 400;\">kh\u00f4ng s\u1ea5p v\u00e0 ng\u1eeda \u0111\u01b0\u1ee3c<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">5<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S \u2013 N: 0 \/ 60 \/ 60<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u1eb3ng tay lu\u00f4n \u1edf t\u01b0 th\u1ebf ng\u1eeda 60 \u0111\u1ed9<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">6<\/span><\/td>\n<td><span style=\"font-weight: 400;\">S \u2013 N: 60 \/ 60 \/ 0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u1eb3ng tay lu\u00f4n \u1edf t\u01b0 th\u1ebf s\u1ea5p 60 \u0111\u1ed9<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><b>4. Th\u0103m kh\u00e1m v\u00f9ng vai v\u00e0 c\u00e1nh tay:<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Kh\u1edbp vai l\u00e0 m\u1ed9t kh\u1edbp ch\u1ecfm tr\u00f2n, l\u1ea1i \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi b\u1ea3 vai, n\u00ean c\u00f3 nhi\u1ec1u \u0111\u1ed9ng t\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Khi kh\u00e1m v\u1eadn \u0111\u1ed9ng v\u00f9ng vai ph\u1ea3i bi\u1ebft bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng th\u1ef1c c\u1ee7a kh\u1edbp vai b\u1eb1ng c\u00e1ch h\u00e3m x\u01b0\u01a1ng b\u1ea3 vai l\u1ea1i, n\u1ebfu kh\u00f4ng bi\u00ean \u0111\u1ed9 c\u1ee7a vai r\u1ea5t l\u1edbn.<\/span><\/p>\n<h3><b>4.1. Bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a kh\u1edbp vai<\/b><\/h3>\n<table>\n<tbody>\n<tr>\n<td><b>Kh\u00e1m v\u1eadn \u0111\u1ed9ng<\/b><\/td>\n<td><b>Kh\u1edbp vai kh\u00f4ng h\u00e3m<\/b><\/td>\n<td><b>Bi\u00ean \u0111\u1ed9 kh\u1edbp vai th\u1ef1c<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">D\u1ea1ng \u2013 kh\u00e9p<\/span><\/td>\n<td><span style=\"font-weight: 400;\">180 \/ 0\/ 75<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90\/ 0\/ 20<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0110\u01b0a tr\u01b0\u1edbc \u2013 sau<\/span><\/td>\n<td><span style=\"font-weight: 400;\">180\/ 0\/ 60<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90\/ 0\/ 40<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Xoay ngo\u00e0i \u2013 trong<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90\/ 0\/ 80<\/span><\/td>\n<td><span style=\"font-weight: 400;\">90\/ 0\/ 30<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>4.2 Ch\u00fa \u00fd t\u01b0 th\u1ebf kh\u1edfi \u0111\u1ea7u khi kh\u00e1m v\u1eadn \u0111\u1ed9ng<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ea1ng \u2013 kh\u00e9p, \u0111\u01b0a tr\u01b0\u1edbc \u2013 sau: c\u00e1nh tay xu\u00f4i d\u1ecdc th\u00e2n m\u00ecnh.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Xoay ngo\u00e0i \u2013 xoay trong: khu\u1ef7u tay g\u1ea5p 90 \u0111\u1ed9, c\u1eb3ng tay h\u01b0\u1edbng ra tr\u01b0\u1edbc ( ho\u1eb7c \u0111\u1ec3 c\u00e1nh tay d\u1ea1ng 90 \u0111\u1ed9, c\u1eb3ng tay n\u1eb1m ngang: xoay trong; c\u1eb3ng tay \u0111\u01b0a xu\u1ed1ng, xoay ngo\u00e0i; c\u1eb3ng tay \u0111\u01b0a l\u00ean).<\/span><\/li>\n<\/ul>\n<p><b>4.3 C\u00e1c test th\u01b0\u1eddng l\u00e0m \u1edf v\u00f9ng vai<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nghi\u1ec7m ph\u00e1p co c\u01a1 ch\u1ee7 \u0111\u1ed9ng c\u00f3 s\u1ee9c c\u1ea3n gi\u1eef g\u00e2y \u0111au: x\u00e1c \u0111\u1ecbnh v\u00f9ng \u0111au v\u00e0 \u0111\u1ed9ng t\u00e1c g\u00e2y \u0111au.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nghi\u1ec7m ph\u00e1p Yergason (ng\u1eeda c\u1eb3ng tay c\u00f3 s\u1ee9c c\u1ea3n gi\u1eef): kh\u00e1m g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nghi\u1ec7m ph\u00e1p c\u00e1nh tay r\u01a1i th\u1ecfng: kh\u00e1m c\u01a1 tr\u00ean gai.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nghi\u1ec7m ph\u00e1p v\u1ec1 ch\u00eanh v\u00eanh kh\u1edbp vai: kh\u00e1m d\u00e2y ch\u1eb1ng v\u00e0 bao kh\u1edbp vai.<\/span><\/li>\n<\/ul>\n<h2><b>5. Th\u0103m kh\u00e1m v\u00f9ng khu\u1ef7u v\u00e0 c\u1eb3ng tay:<\/b><\/h2>\n<h3><b>5.1. Li\u00ean quan c\u00e1c m\u1ed1c x\u01b0\u01a1ng \u1edf khu\u1ef7u<\/b><\/h3>\n<table>\n<tbody>\n<tr>\n<td><b>Li\u00ean quan\u00a0 3 m\u1ed1c x\u01b0\u01a1ng<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ecfm tr\u00ean r\u00f2ng r\u1ecdc<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ecfm khu\u1ef7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Khu\u1ef7u du\u1ed7i<\/b><span style=\"font-weight: 400;\">: 3 m\u1ed1c n\u1eb1m tr\u00ean 1 \u0111\u01b0\u1eddng n\u1eb1m ngang (\u0111\u01b0\u1eddng Nelaton)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Khu\u1ef7u g\u1ea5p 90<\/b><b>o<\/b><span style=\"font-weight: 400;\">: 3 m\u1ed1c t\u1ea1o th\u00e0nh tam gi\u00e1c c\u00e2n \u0111\u1ec9nh \u1edf d\u01b0\u1edbi ( tam gi\u00e1c Hueter)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0=&gt; kh\u1edbp khu\u1ef7u b\u00ecnh th\u01b0\u1eddng\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00f4ng th\u1eb3ng h\u00e0ng ho\u1eb7c kh\u00f4ng n\u1eb1m ngang.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tam gi\u00e1c kh\u00f4ng c\u00e2n ho\u1eb7c tam gi\u00e1c \u0111\u1ea3o ng\u01b0\u1ee3c.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0=&gt; kh\u1edbp khu\u1ef7u b\u1ec7nh l\u00fd<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><b>5.2. Kh\u00e1m v\u1eadn \u0111\u1ed9ng kh\u1edbp khu\u1ef7u<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Khu\u1ef7u l\u00e0 m\u1ed9t kh\u1edbp r\u00f2ng r\u1ecdc n\u00ean ch\u1ec9 c\u00f3 2 \u0111\u1ed9ng t\u00e1c g\u1ea5p v\u00e0 du\u1ed7i, kh\u00f4ng c\u00f3 \u0111\u1ed9ng t\u00e1c l\u1eafc ngang. N\u1ebfu c\u00f3 \u0111\u1ed9ng t\u00e1c n\u00e0y l\u00e0 kh\u1edbp b\u1ec7nh l\u00fd.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1ea5p \u2013 ng\u1eeda l\u00e0 \u0111\u1ed9ng t\u00e1c c\u1ee7a c\u1eb3ng tay.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u1ee5c quay c\u1eb3ng tay: x\u01b0\u01a1ng quay, quay quanh x\u01b0\u01a1ng tr\u1ee5 theo m\u1ed9t tr\u1ee5c l\u00e0 \u0111\u01b0\u1eddng n\u1ed1i t\u1eeb ch\u1ecfm quay \u0111\u1ebfn m\u1ecfm tr\u00e2m tr\u1ee5.<\/span><\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><b>6. Th\u0103m kh\u00e1m v\u00f9ng c\u1ed5 tay, b\u00e0n tay:<\/b><\/h2>\n<h3><b>6.1. C\u00e1c \u0111i\u1ec3m c\u1ea7n ch\u00fa \u00fd khi <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/kham-lam-sang-la-gi\/\">kh\u00e1m<\/a><\/b><\/h3>\n<table>\n<tbody>\n<tr>\n<td><\/td>\n<td><b>M\u1ed1c x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng<\/b><\/td>\n<td><b>B\u1ec7nh l\u00fd<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Li\u00ean quan 2<\/span><\/p>\n<p><span style=\"font-weight: 400;\">m\u1ecfm tr\u00e2m<\/span><\/td>\n<td><span style=\"font-weight: 400;\">M\u1ecfm tr\u00e2m quay th\u1ea5p h\u01a1n m\u1ecfm tr\u00e2m tr\u1ee5 1 \u2013 1,5 cm<\/span><\/td>\n<td><span style=\"font-weight: 400;\">M\u1ecfm tr\u00e2m quay ngang b\u1eb1ng ho\u1eb7c cao h\u01a1n m\u1ecfm tr\u00e2m tr\u1ee5 (g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed\u00a0 x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u1ede \u0111\u00e1y h\u1ed1 l\u00e0o ( gi\u1eefa 2 g\u00e2n du\u1ed7i v\u00e0 d\u1ea1ng d\u00e0i ng\u00f3n c\u00e1i), \u1ea5n \u0111au \u00edt<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u1ea4n \u0111au ch\u00f3i ( g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed x\u01b0\u01a1ng b\u00e1n nguy\u1ec7t<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u1ede ph\u00eda tr\u01b0\u1edbc c\u1ed5 tay gi\u1eefa g\u00f2 c\u00e1i v\u00e0 g\u00f2 \u00fat<\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tr\u1ee5c c\u00e1c ng\u00f3n tay<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Khi du\u1ed7i: tr\u1ee5c c\u00e1c x\u01b0\u01a1ng b\u00e0n g\u1eb7p nhau \u1edf x\u01b0\u01a1ng b\u00e1n nguy\u1ec7t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Khi g\u1ea5p: tr\u1ee5c c\u00e1c ng\u00f3n 2 \u2013 5 g\u1eb7p nhau \u1edf x\u01b0\u01a1ng thuy\u1ec1n<\/span><\/td>\n<td><span style=\"font-weight: 400;\">L\u1ec7ch tr\u1ee5c khi c\u00f3 g\u00e3y x\u01b0\u01a1ng hay tr\u1eadt kh\u1edbp<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3><b>6.2 Kh\u00e1m v\u1eadn \u0111\u1ed9ng:<\/b><\/h3>\n<h4><b>V\u1eadn \u0111\u1ed9ng c\u1ed5 tay<\/b><b><i>:<\/i><\/b><span style=\"font-weight: 400;\"> G\u1ea5p \u2013 du\u1ed7i: 90 \/ 0 \/ 70 , nghi\u00eang quay \u2013 nghi\u00eang tr\u1ee5: 25 \/ 0 \/ 80 .<\/span><\/h4>\n<h4><b>V\u1eadn \u0111\u00f4ng kh\u1edbp ng\u00f3n tay:<\/b><\/h4>\n<h4><strong>Ng\u00f3n 1:<\/strong><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u1eadp \u2013 du\u1ed7i kh\u1edbp b\u00e0n ng\u00f3n: 50 \/ 0 \/ 5<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u1eadp \u2013 du\u1ed7i kh\u1edbp li\u00ean \u0111\u1ed1t: 85 \/ 0 \/ 15<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ea1ng \u2013 kh\u00e9p kh\u1edbp thang b\u00e0n: 95 \/ 0 \/ 45<\/span><\/li>\n<\/ul>\n<p><strong>Ng\u00f3n 2 \u2013 5:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u1ea5p \u2013 du\u1ed7i kh\u1edbp b\u00e0n ng\u00f3n: 95 \/ 0 \/ 45<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u1eadp \u2013 du\u1ed7i kh\u1edbp li\u00ean \u0111\u1ed1t 1: 100 \u2013\/ 0 \/ 0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u1eadp \u2013 du\u1ed7i kh\u1edbp li\u00ean \u0111\u1ed1t 2: 80 \/ 0 \/ 0<\/span><\/li>\n<\/ul>\n<h3><b>6.3 Kh\u00e1m c\u00e1c g\u00e2n g\u1ea5p:<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u00e2n g\u1ea5p s\u00e2u: gi\u1eef \u0111\u1ed1t 2 cho g\u1eadp \u0111\u1ed1t 3.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">G\u00e2n g\u1ea5p n\u00f4ng: gi\u1eef \u0111\u1ed1t 1 cho g\u1eadp \u0111\u1ed1t 2 \u0111\u1ed3ng th\u1eddi ph\u1ea3i gi\u1eef kh\u00f4ng cho g\u1eadp c\u00e1c ng\u00f3n tay l\u00e2n c\u1eadn.<\/span><\/li>\n<\/ul>\n<h3><b>6.4 Kh\u00e1m c\u1ea3m gi\u00e1c<\/b><span style=\"font-weight: 400;\"> \u1edf l\u00f2ng b\u00e0n tay (th\u1ea7n kinh quay, gi\u1eefa, tr\u1ee5): d\u1ef1a v\u00e0o v\u00f9ng chi ph\u1ed1i c\u1ea3m gi\u00e1c c\u1ee7a c\u00e1c d\u00e2y th\u1ea7n kinh.<\/span><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>Kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean r\u1ea5t quan tr\u1ecdng trong h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 chi \u0111\u1ec3 t\u1eeb \u0111\u00f3 \u0111\u01b0a ra \u0111\u1ecbnh h\u01b0\u1edbng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. C\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1ch kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean trong b\u00e0i vi\u1ebft n\u00e0y. 1. Nguy\u00ean t\u1eafc th\u0103m kh\u00e1m: Kh\u00e1m chi trong ph\u00f2ng [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u01b0\u1edbng d\u1eabn kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean r\u1ea5t quan tr\u1ecdng trong h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 chi \u0111\u1ec3 t\u1eeb \u0111\u00f3 \u0111\u01b0a ra \u0111\u1ecbnh h\u01b0\u1edbng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.\" \/>\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\u01b0\u1edbng d\u1eabn kh\u00e1m l\u00e2m s\u00e0ng chi tr\u00ean - 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