{"id":28311,"date":"2023-04-27T14:05:15","date_gmt":"2023-04-27T07:05:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28311"},"modified":"2023-04-27T14:05:15","modified_gmt":"2023-04-27T07:05:15","slug":"ngon-tay-lo-xo-cach-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/ngon-tay-lo-xo-cach-dieu-tri\/","title":{"rendered":"Ng\u00f3n tay l\u00f2 xo: c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3"},"content":{"rendered":"

Ng\u00f3n tay l\u00f2 xo (Trigger finger) l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam bao g\u00e2n c\u1ee7a c\u00e1c g\u00e2n g\u1ea5p c\u00e1c ng\u00f3n tay g\u00e2y ch\u00edt h\u1eb9p bao g\u00e2<\/strong>n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e2n g\u1ea5p b\u1ecb vi\u00eam xu\u1ea5t hi\u1ec7n h\u1ea1t x\u01a1, l\u00e0m di \u0111\u1ed9ng c\u1ee7a g\u00e2n g\u1ea5p qua v\u1ecb tr\u00ed h\u1ea1t x\u01a1 b\u1ecb c\u1ea3n tr\u1edf. M\u1ed7i l\u1ea7n g\u1ea5p hay du\u1ed7i ng\u00f3n tay r\u1ea5t kh\u00f3 kh\u0103n, b\u1ec7nh nh\u00e2n ph\u1ea3i c\u1ed1 g\u1eafng m\u1edbi b\u1eadt \u0111\u01b0\u1ee3c ng\u00f3n tay ra ho\u1eb7c ph\u1ea3i d\u00f9ng tay b\u00ean l\u00e0nh k\u00e9o ng\u00f3n tay ra nh\u01b0 ki\u1ec3u ng\u00f3n tay c\u00f3 l\u00f2 xo. V\u00ec v\u1eady b\u1ec7nh c\u00f3 t\u00ean l\u00e0 ng\u00f3n tay <\/strong>l\u00f2 xo.<\/strong><\/p>\n

1. Nguy\u00ean nh\u00e2n<\/h2>\n
    \n
  • \u00a0M\u1ed9t s\u1ed1 ngh\u1ec1 nghi\u1ec7p c\u00f3 nhi\u1ec1u nguy c\u01a1 m\u1eafc b\u1ec7nh: N\u00f4ng d\u00e2n, gi\u00e1o vi\u00ean, th\u1ee3 c\u1eaft t\u00f3c, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt, th\u1ee3 th\u1ee7 c\u00f4ng…<\/li>\n
  • \u00a0Ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n
  • \u00a0H\u1eadu qu\u1ea3 c\u1ee7a m\u1ed9t s\u1ed1 b\u1ec7nh: Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, g\u00fat….<\/li>\n<\/ul>\n

    2. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

    2.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n
      \n
    • \u00a0D\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng t\u1ea1i ch\u1ed7.<\/li>\n
    • \u00a0\u0110au ng\u00f3n tay t\u1ea1i v\u1ecb tr\u00ed bao g\u00e2n b\u1ecb vi\u00eam v\u00e0 t\u1ea1i h\u1ea1t x\u01a1, kh\u00f3 c\u1eed \u0111\u1ed9ng ng\u00f3n tay.<\/li>\n
    • \u00a0Ng\u00f3n tay c\u00f3 th\u1ec3 b\u1ecb k\u1eb9t \u1edf t\u01b0 th\u1ebf g\u1ea5p v\u00e0o l\u00f2ng b\u00e0n tay ho\u1eb7c du\u1ed7i th\u1eb3ng.<\/li>\n
    • \u00a0Kh\u00e1m ng\u00f3n tay c\u00f3 th\u1ec3 c\u00f3 s\u01b0ng.<\/li>\n
    • \u00a0C\u00f3 th\u1ec3 s\u1edd th\u1ea5y h\u1ea1t x\u01a1 tr\u00ean g\u00e2n g\u1ea5p ng\u00f3n tay \u1edf v\u1ecb tr\u00ed kh\u1edbp \u0111\u1ed1t b\u00e0n ng\u00f3n tay. H\u1ea1t x\u01a1 di \u0111\u1ed9ng khi g\u1ea5p du\u1ed7i ng\u00f3n tay.<\/li>\n
    • \u00a0Ngo\u00e0i ra, s\u1eed d\u1ee5ng si\u00eau \u00e2m v\u1edbi \u0111\u1ea7u d\u00f2 t\u1ea7n s\u1ed1 > 7,5-20MHz c\u00f3 th\u1ec3 th\u1ea5y g\u00e2n, bao g\u00e2n d\u00e0y l\u00ean v\u00e0 c\u00f3 d\u1ecbch bao quanh. C\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh h\u1ea1t x\u01a1 bao g\u00e2n.<\/li>\n
    • \u00a0Kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1eb7c bi\u1ec7t c\u0169ng nh\u01b0 kh\u00f4ng c\u1ea7n ch\u1ee5p Xquang. Tuy nhi\u00ean c\u1ea7n ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n tr\u01b0\u1edbc khi cho thu\u1ed1c hay tr\u01b0\u1edbc khi ti\u00eam corticoid, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng m\u00e1u, ch\u1ee9c n\u0103ng gan th\u1eadn.<\/li>\n<\/ul>\n
      \"ngon-tay-lo-xo\"
      Ng\u00f3n tay l\u00f2 xo hay c\u00f2n g\u1ecdi l\u00e0 ng\u00f3n tay c\u00f2 s\u00fang<\/figcaption><\/figure>\n

      2.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n

      Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam kh\u1edbp ph\u1ea3n \u1ee9ng, vi\u00eam kh\u1edbp v\u1ea9y n\u1ebfn, g\u00fat: l\u00e0 nh\u1eefng b\u1ec7nh c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n s\u01b0ng \u0111au c\u00e1c kh\u1edbp \u1edf b\u00e0n tay. C\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng k\u00e8m theo v\u00e0 d\u1ef1a v\u00e0o si\u00eau \u00e2m.<\/p>\n

      3. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

      3.1. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/h3>\n
        \n
      • \u00a0K\u1ebft h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb: Kh\u00f4ng d\u00f9ng thu\u1ed1c, d\u00f9ng thu\u1ed1c, ti\u00eam
        \ncorticoid t\u1ea1i ch\u1ed7, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, ngo\u1ea1i khoa.<\/li>\n
      • \u00a0C\u1ea7n t\u00edch c\u1ef1c d\u1ef1 ph\u00f2ng b\u1ec7nh t\u00e1i ph\u00e1t b\u1eb1ng ch\u1ebf \u0111\u1ed9 lao \u0111\u1ed9ng, sinh ho\u1ea1t nh\u1eb9 nh\u00e0ng, h\u1ee3p l\u00fd, k\u1ebft h\u1ee3p v\u1edbi d\u00f9ng thu\u1ed1c, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n<\/ul>\n

        3.2. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 (n\u1ed9i khoa, ngo\u1ea1i khoa)<\/h3>\n

        3.2.1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c<\/h4>\n
          \n
        • \u00a0H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng g\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n
        • \u00a0Ch\u01b0\u1eddm l\u1ea1nh n\u1ebfu c\u00f3 s\u01b0ng n\u00f3ng \u0111\u1ecf, chi\u1ebfu tia h\u1ed3ng ngo\u1ea1i<\/li>\n<\/ul>\n

          3.2.2. Thu\u1ed1c<\/h4>\n

          Thu\u1ed1c gi\u1ea3m \u0111au:<\/strong><\/em> C\u00f3 t\u00e1c d\u1ee5ng h\u1ed7 tr\u1ee3 gi\u1ea3m \u0111au, ch\u1ec9 \u0111\u1ecbnh m\u1ed9t trong c\u00e1c thu\u1ed1c sau:
          \n+ Floctafenine 200mg x 2 vi\u00ean\/24h.
          \n+ Acetaminophen 0,5g x 2-4 vi\u00ean \/24h
          \n+ Paracetamol\/dextropropoxiphen 400mg\/30mg x 2 vi\u00ean \/24h
          \n+ Paracetamol\/tramadol x 3 vi\u00ean\/24h<\/p>\n

          Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid<\/em> <\/strong>b\u00f4i t\u1ea1i ch\u1ed7 ho\u1eb7c \u0111\u01b0\u1eddng to\u00e0n th\u00e2n: ch\u1ec9 \u0111\u1ecbnh m\u1ed9t trong c\u00e1c thu\u1ed1c sau:
          \n+ Diclofenac 50mg x 2 vi\u00ean\/24h
          \n+ Piroxicam 20mg x 1 vi\u00ean\/24h
          \n+ Meloxicam 7,5mg x 1-2 vi\u00ean\/24h
          \n+ Celecoxib 200 mg x 1 – 2 vi\u00ean\/24h
          \n+ Etoricoxib 60 mg x 1 – 2 vi\u00ean\/24h<\/p>\n

          Ti\u00eam corticoid t\u1ea1i ch\u1ed7:<\/em><\/strong> Ch\u1ec9 ti\u00eam v\u1edbi \u0111i\u1ec1u ki\u1ec7n c\u00f3 b\u00e1c s\u0129 chuy\u00ean khoa v\u00e0 ph\u1ea3i c\u00f3 ph\u00f2ng ti\u00eam v\u00f4 tr\u00f9ng. Khi ti\u1ebfn h\u00e0nh ti\u00eam corticoid t\u1ea1i ch\u1ed7 ph\u1ea3i \u0111\u1ea3m b\u1ea3o v\u00f4 tr\u00f9ng tuy\u1ec7t \u0111\u1ed1i. C\u00e1c ch\u1ebf ph\u1ea9m:
          \n+ Methyl prednisolon acetat (1ml = 40mg) l\u00e0 lo\u1ea1i t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i. Li\u1ec1u cho m\u1ed9t l\u1ea7n ti\u00eam trong bao g\u00e2n t\u1eeb 8 – 20mg\/1 l\u1ea7n (0,2 – 0,5ml\/1 l\u1ea7n) tu\u1ef3 thu\u1ed9c v\u1ecb tr\u00ed, m\u1ed7i \u0111\u1ee3t c\u00e1ch nhau 3-6 th\u00e1ng, m\u1ed7i n\u0103m kh\u00f4ng qu\u00e1 ba \u0111\u1ee3t.
          \n+ Betamethasone (1ml = 5mg Betamethasone dipropionate + 2mg Betamethasone sodium phosphate) l\u00e0 lo\u1ea1i t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i. Li\u1ec1u cho m\u1ed9t l\u1ea7n ti\u00eam c\u1ea1nh kh\u1edbp t\u1eeb 0,8 – 2mg\/1 l\u1ea7n (0,2 – 0,5ml\/1 l\u1ea7n) tu\u1ef3 thu\u1ed9c v\u1ecb tr\u00ed, m\u1ed7i \u0111\u1ee3t c\u00e1ch nhau 3-6 th\u00e1ng, m\u1ed7i n\u0103m kh\u00f4ng qu\u00e1 ba \u0111\u1ee3t.
          \n+ Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i ti\u00eam corticoid t\u1ea1i ch\u1ed7: C\u00e1c t\u1ed5n th\u01b0\u01a1ng do nhi\u1ec5m khu\u1ea9n, n\u1ea5m ho\u1eb7c ch\u01b0a lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c nhi\u1ec5m khu\u1ea9n; t\u1ed5n th\u01b0\u01a1ng nhi\u1ec5m tr\u00f9ng tr\u00ean ho\u1eb7c g\u1ea7n v\u1ecb tr\u00ed ti\u00eam.
          \n+ Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i ti\u00eam corticoid t\u1ea1i ch\u1ed7 (bao g\u1ed3m c\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a corticoid): Cao huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng (ph\u1ea3i \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i tr\u01b0\u1edbc v\u00e0 sau khi ti\u00eam), b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng ho\u1eb7c c\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.
          \n+ C\u00e1c t\u00e1c d\u1ee5ng ngo\u1ea1i \u00fd sau ti\u00eam cortioid t\u1ea1i ch\u1ed7: \u0110au sau ti\u00eam v\u00e0i gi\u1edd, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i m\u1ed9t v\u00e0i ng\u00e0y, th\u01b0\u1eddng hay g\u1eb7p sau ti\u00eam m\u0169i \u0111\u1ea7u ti\u00ean; teo da t\u1ea1i ch\u1ed7 ho\u1eb7c m\u1ea3ng s\u1eafc t\u1ed1 da do ti\u00eam qu\u00e1 n\u00f4ng, t\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd h\u1ebft trong v\u00e0i th\u00e1ng \u0111\u1ebfn hai n\u0103m; nhi\u1ec5m tr\u00f9ng.<\/p>\n

          \u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n k\u00e8m theo n\u1ebfu c\u00f3.<\/p>\n

          3.2.3. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/h4>\n

          Ph\u1eabu thu\u1eadt gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p, c\u1eaft b\u1ecf ph\u1ea7n vi\u00eam x\u01a1 n\u1ebfu \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa th\u1ea5t b\u1ea1i.<\/p>\n

          4. D\u1ef1 ph\u00f2ng<\/h2>\n

          – H\u1ea1n ch\u1ebf ho\u1ea1t \u0111\u1ed9ng ng\u00f3n tay ho\u1eb7c b\u00e0n tay qu\u00e1 m\u1ee9c.<\/p>\n

          – Tr\u00e1nh th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i trong su\u1ed1t m\u1ed9t th\u1eddi gian d\u00e0i v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 kh\u00f4ng n\u00ean g\u1ed3ng ng\u00f3n tay c\u00e1i th\u01b0\u1eddng xuy\u00ean.<\/p>\n

          – \u00c1p d\u1ee5ng ch\u1ebf \u0111\u1ed9 ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd.<\/p>\n

          – Th\u01b0\u1eddng xuy\u00ean t\u1eadp luy\u1ec7n v\u00f9ng g\u00e2n kh\u1edbp, ng\u00f3n tay c\u00e1i.<\/p>\n

          – Kh\u00f4ng n\u00ean xoa b\u00f3p b\u1eb1ng d\u1ea7u n\u00f3ng hay c\u00e1c lo\u1ea1i r\u01b0\u1ee3u thu\u1ed1c khi b\u1ecb vi\u00eam.<\/p>\n

          – Ng\u00f3n tay l\u00f2 xo c\u00f3 th\u1ec3 do b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Ch\u00ednh v\u00ec th\u1ebf, n\u00ean \u0111i\u1ec1u tr\u1ecb b\u1ec7nh k\u1ecbp th\u1eddi v\u00e0 th\u0103m kh\u00e1m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh t\u1ed1t, ph\u00f2ng ng\u1eeba ng\u00f3n tay l\u00f2 xo hi\u1ec7u qu\u1ea3.<\/p>\n

          – Tr\u00e1nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1: Tr\u00e1nh c\u00e1c vi ch\u1ea5n th\u01b0\u01a1ng. Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp, g\u00fat, tho\u00e1i ho\u00e1 kh\u1edbp, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, nhi\u1ec5m khu\u1ea9n. Ch\u1ec9nh c\u00e1c d\u1ecb t\u1eadt g\u00e2y l\u1ec7ch tr\u1ee5c c\u1ee7a chi.<\/p>\n

          – Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c nh\u00f3m Quinolon v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm khi c\u00f3 tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Ng\u00f3n tay l\u00f2 xo (Trigger finger) l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam bao g\u00e2n c\u1ee7a c\u00e1c g\u00e2n g\u1ea5p c\u00e1c ng\u00f3n tay g\u00e2y ch\u00edt h\u1eb9p bao g\u00e2n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e2n g\u1ea5p b\u1ecb vi\u00eam xu\u1ea5t hi\u1ec7n h\u1ea1t x\u01a1, l\u00e0m di \u0111\u1ed9ng c\u1ee7a g\u00e2n g\u1ea5p qua v\u1ecb tr\u00ed h\u1ea1t x\u01a1 b\u1ecb c\u1ea3n tr\u1edf. M\u1ed7i l\u1ea7n g\u1ea5p hay du\u1ed7i […]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nNg\u00f3n tay l\u00f2 xo: c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 - Vinmec<\/title>\n<meta name=\"description\" content=\"Ng\u00f3n tay l\u00f2 xo l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam bao g\u00e2n c\u1ee7a c\u00e1c g\u00e2n g\u1ea5p c\u00e1c ng\u00f3n tay g\u00e2y ch\u00edt h\u1eb9p bao g\u00e2n. 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