{"id":503,"date":"2023-04-05T08:51:08","date_gmt":"2023-04-05T01:51:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=503"},"modified":"2023-04-27T11:33:19","modified_gmt":"2023-04-27T04:33:19","slug":"hoi-chung-ong-co-tay-nguy-hiem-hon-ban-tuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/05\/hoi-chung-ong-co-tay-nguy-hiem-hon-ban-tuong\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay – Nguy hi\u1ec3m h\u01a1n b\u1ea1n t\u01b0\u1edfng"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay l\u00e0 t\u00ecnh tr\u1ea1ng d\u00e2y th\u1ea7n kinh gi\u1eefa b\u1ecb ch\u00e8n \u00e9p khi \u0111i qua \u1ed1ng c\u1ed5 tay, g\u00e2y ra \u0111au, t\u00ea, gi\u1ea3m c\u1ea3m gi\u00e1c, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y teo c\u01a1, y\u1ebfu c\u01a1, gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u00e0n tay. \u0110\u00e2y l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p do c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi s\u1ef1 linh ho\u1ea1t v\u00e0 l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u1ee7a c\u1ed5 tay. Khi g\u00e2n g\u1ea5p b\u1ecb vi\u00eam ho\u1eb7c c\u1ed5 tay th\u01b0\u1eddng xuy\u00ean \u0111\u01b0\u1ee3c g\u1ea5p du\u1ed7i, s\u1ebd t\u1ea1o ra \u00e1p l\u1ef1c v\u00e0 g\u00e2y thi\u1ec3u d\u01b0\u1ee1ng cho d\u00e2y th\u1ea7n kinh. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n d\u1ea7n theo th\u1eddi gian.<\/em><\/p>\n

1. Nguy\u00ean nh\u00e2n<\/h2>\n
\"hoi-chung-ong-co-tay\"
H\u1ed9i ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kho\u1ebb ng\u01b0\u1eddi b\u1ec7nh<\/figcaption><\/figure>\n

Nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau c\u00f3 th\u1ec3 g\u00e2y ra h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, bao g\u1ed3m c\u00e1c t\u00e1c \u0111\u1ed9ng ngo\u1ea1i l\u1ef1c, qu\u00e1 tr\u00ecnh vi\u00eam nhi\u1ec5m, c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c \u1edf c\u1ed5 tay v\u00e0 t\u01b0 th\u1ebf l\u00e0m vi\u1ec7c kh\u00f4ng \u0111\u00fang c\u00e1ch.<\/p>\n

Theo t\u00e0i li\u1ec7u c\u1ee7a Vi\u1ec7n Y h\u1ecdc Qu\u1ed1c gia M\u1ef9 (National Institutes of Health), h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi l\u00e0m c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi s\u1ef1 linh ho\u1ea1t v\u00e0 l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u1ee7a c\u1ed5 tay. C\u00e1c ngh\u1ec1 nghi\u1ec7p th\u01b0\u1eddng xuy\u00ean g\u00e2y ra h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay bao g\u1ed3m c\u00e1c c\u00f4ng vi\u1ec7c v\u0103n ph\u00f2ng, c\u00f4ng vi\u1ec7c c\u1ea7n s\u1eed d\u1ee5ng m\u00e1y t\u00ednh, c\u00f4ng vi\u1ec7c th\u1ee7 c\u00f4ng nh\u01b0 may, th\u00eau ho\u1eb7c l\u00e0m \u0111\u1ed3 g\u1ed7, c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi s\u1eed d\u1ee5ng nhi\u1ec1u tay nh\u01b0 n\u1ea5u \u0103n, ph\u1ee5c v\u1ee5 kh\u00e1ch h\u00e0ng ho\u1eb7c l\u00e1i xe.<\/p>\n

Ngo\u00e0i ra, m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, bao g\u1ed3m vi\u00eam kh\u1edbp c\u1ed5 tay, d\u1ecb v\u1eadt \u1edf c\u1ed5 tay, b\u1ec7nh lupus, b\u1ec7nh th\u1ea7n kinh tay v\u00e0 c\u1ed5 tay, b\u1ec7nh th\u1ee7y \u0111\u1eadu v\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n

T\u01b0 th\u1ebf l\u00e0m vi\u1ec7c kh\u00f4ng \u0111\u00fang c\u00e1ch c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay. N\u1ebfu b\u1ea1n th\u01b0\u1eddng xuy\u00ean ph\u1ea3i l\u00e0m vi\u1ec7c v\u1edbi m\u00e1y t\u00ednh ho\u1eb7c l\u00e0m vi\u1ec7c th\u1ee7 c\u00f4ng, b\u1ea1n n\u00ean s\u1eed d\u1ee5ng \u0111\u00fang t\u01b0 th\u1ebf, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u01b0 th\u1ebf ng\u1ed3i v\u00e0 \u0111\u1ee9ng. Ngo\u00e0i ra, b\u1ea1n c\u0169ng n\u00ean th\u01b0\u1eddng xuy\u00ean ngh\u1ec9 ng\u01a1i v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u1ecb h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay.<\/p>\n

2. Bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng c\u1ee7a h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/h2>\n

Khi m\u1eafc h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n t\u00ea, ng\u1ee9a ran v\u00e0 \u0111au ch\u1ee7 y\u1ebfu \u1edf ng\u00f3n c\u00e1i, ng\u00f3n tr\u1ecf, ng\u00f3n gi\u1eefa v\u00e0 ng\u00f3n \u0111eo nh\u1eabn. T\u00ecnh tr\u1ea1ng n\u1eb7ng h\u01a1n th\u01b0\u1eddng x\u1ea3y ra v\u00e0o ban \u0111\u00eam. \u0110\u00e2y l\u00e0 do t\u01b0 th\u1ebf n\u1eb1m c\u1ee7a c\u1ed5 tay l\u00e0m t\u0103ng \u00e1p l\u1ef1c v\u00e0 g\u00e2y ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh.<\/p>\n

Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh c\u00f2n c\u00f3 c\u1ea3m gi\u00e1c “kim ch\u00e2m” \u1edf tay, c\u1ea3m gi\u00e1c s\u01b0ng \u1edf ng\u00f3n tay; c\u1ea3m gi\u00e1c \u0111au v\u00e0 ng\u1ee9a ran c\u00f3 th\u1ec3 lan l\u00ean ph\u1ea7n c\u1eb3ng tay v\u00e0 vai. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y do ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 s\u1ef1 gi\u1ea3m cung c\u1ea5p m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t \u0111\u1ebfn c\u00e1c c\u01a1 v\u00e0 d\u00e2y th\u1ea7n kinh.<\/p>\n

Tay ng\u01b0\u1eddi b\u1ec7nh y\u1ebfu, kh\u00f3 c\u1ea7m n\u1eafm \u0111\u1ed3 v\u1eadt ho\u1eb7c c\u00e0i c\u00fac \u00e1o, s\u1eed d\u1ee5ng \u0111i\u1ec7n tho\u1ea1i. \u0110i\u1ec1u n\u00e0y do \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 v\u00e0 d\u00e2y th\u1ea7n kinh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi, h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u00f3 th\u1ec3 g\u00e2y suy gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u00e0n tay v\u00e0 teo c\u01a1 tay.<\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba<\/h2>\n
\"\"
Si\u00eau \u00e2m gi\u00fap ch\u1ea9n \u0111o\u00e1n h\u1eefu hi\u1ec7u<\/figcaption><\/figure>\n

3.1. Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/h3>\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay, c\u00e1c b\u00e1c s\u0129 s\u1ebd d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh l\u00fd. Tuy nhi\u00ean, \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c, c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 si\u00eau \u00e2m c\u1ed5 tay, \u0111o d\u1eabn truy\u1ec1n \u0111i\u1ec7n th\u1ea7n kinh v\u00e0 X-quang c\u1ed5 tay \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

Si\u00eau \u00e2m c\u1ed5 tay l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00f4ng x\u00e2m l\u1ea5n, gi\u00fap b\u00e1c s\u0129 xem x\u00e9t c\u00e1c c\u1ea5u tr\u00fac m\u1ec1m nh\u01b0 c\u00e1c d\u00e2y th\u1ea7n kinh, m\u1ea1ch m\u00e1u v\u00e0 m\u00f4 m\u1ec1m kh\u00e1c trong khu v\u1ef1c c\u1ed5 tay. \u0110o d\u1eabn truy\u1ec1n \u0111i\u1ec7n th\u1ea7n kinh l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u1ee7a b\u00e0n tay v\u00e0 c\u1ed5 tay. X-quang c\u1ed5 tay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c b\u1ec7nh l\u00fd c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng v\u00e0 kh\u1edbp.<\/p>\n

K\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n s\u1ebd cho bi\u1ebft h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \u1edf giai \u0111o\u1ea1n n\u00e0o v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c \u1edf c\u1ed5 tay c\u0169ng g\u00e2y \u0111au t\u01b0\u01a1ng t\u1ef1 ho\u1eb7c t\u00ecm nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd.<\/p>\n

3.2. Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/h3>\n

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh, ch\u00fang ta c\u1ea7n l\u01b0u \u00fd \u0111\u1ebfn t\u01b0 th\u1ebf khi l\u00e0m vi\u1ec7c nh\u01b0 gi\u1eef cho b\u00e0n tay tr\u00ean c\u00f9ng m\u1eb7t ph\u1eb3ng v\u1edbi c\u1eb3ng tay, kh\u00f4ng n\u1eafm d\u1ee5ng c\u1ee5 qu\u00e1 m\u1ea1nh, kh\u00f4ng g\u00f5 b\u00e0n ph\u00edm qu\u00e1 m\u1ea1nh, \u0111\u1ed5i tay n\u1ebfu c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c, ngh\u1ec9 th\u01b0 gi\u00e3n m\u1ed7i 15-20 ph\u00fat, gi\u1eef tay \u1ea5m, kh\u00f4ng g\u1ed1i \u0111\u1ea7u tr\u00ean tay khi ng\u1ee7 v\u00e0 th\u01b0 gi\u00e3n, tr\u00e1nh c\u0103ng th\u1eb3ng.<\/p>\n

N\u1ebfu ph\u00e1t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u n\u00e0y, c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u0111\u01a1n gi\u1ea3n, nhanh g\u1ecdn b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m ph\u00f9 h\u1ee3p. T\u00f9y thu\u1ed9c v\u00e0o t\u1eebng c\u00e1 nh\u00e2n v\u00e0 giai \u0111o\u1ea1n b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Trong giai \u0111o\u1ea1n nh\u1eb9, s\u1eed d\u1ee5ng n\u1eb9p c\u1ed5 tay \u0111\u1ec3 tr\u00e1nh c\u00e1c c\u1eed \u0111\u1ed9ng l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n c\u1ee7a c\u1ed5 tay v\u00e0 t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ec3 t\u0103ng tu\u1ea7n ho\u00e0n c\u1ee7a b\u00e0n tay v\u00e0 c\u1ed5 tay, l\u00e0m gi\u1ea3m ph\u00f9 v\u00e0 k\u00edch th\u00edch c\u00e1c m\u00f4 m\u1ec1m kh\u1ecfe h\u01a1n. Ngo\u00e0i ra, s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam NSAIDs hay ti\u00eam corticoide t\u1ea1i ch\u1ed7 \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd k\u1ebft h\u1ee3p (n\u1ebfu c\u00f3) g\u00e2y n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng vi\u00eam \u1ed1ng c\u1ed5 tay. Trong giai \u0111o\u1ea1n n\u1eb7ng, ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ea5u hi\u1ec7u r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c, teo c\u01a1 ho\u1eb7c \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa nhi\u1ec1u th\u00e1ng m\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh kh\u00f4ng thuy\u00ean gi\u1ea3m.<\/p>\n

Tr\u00ean \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n ch\u00ednh, c\u0169ng nh\u01b0 h\u1eadu qu\u1ea3 c\u1ee7a h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay. Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ea5n \u0111\u1ec1 n\u00e0y s\u1ebd gi\u00fap ch\u00fang ta c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng n\u00e0y m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3. N\u1ebfu b\u1ea1n th\u1ea5y b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o, h\u00e3y nhanh ch\u00f3ng t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay l\u00e0 t\u00ecnh tr\u1ea1ng d\u00e2y th\u1ea7n kinh gi\u1eefa b\u1ecb ch\u00e8n \u00e9p khi \u0111i qua \u1ed1ng c\u1ed5 tay, g\u00e2y ra \u0111au, t\u00ea, gi\u1ea3m c\u1ea3m gi\u00e1c, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y teo c\u01a1, y\u1ebfu c\u01a1, gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u00e0n tay. \u0110\u00e2y l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p do c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75],"tags":[],"yoast_head":"\nH\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay - Nguy hi\u1ec3m h\u01a1n b\u1ea1n t\u01b0\u1edfng - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y n\u00f3i v\u1ec1 tri\u1ec7u ch\u1ee9ng, \u0111\u1eb7c \u0111i\u1ec3m, nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay. 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