{"id":1025,"date":"2023-04-01T16:19:58","date_gmt":"2023-04-01T09:19:58","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=1025"},"modified":"2023-04-11T22:03:04","modified_gmt":"2023-04-11T15:03:04","slug":"vet-thuong-ban-tay","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/vet-thuong-ban-tay\/","title":{"rendered":"Hand Wound"},"content":{"rendered":"<h3>\u0110\u1ea0I C\u01af\u01a0NG<\/h3>\n<ul>\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/B%C3%A0n_tay\" target=\"_blank\" rel=\"noopener\">B\u00e0n tay<\/a> l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, nh\u1edd c\u00f3 b\u00e0n tay m\u00e0 con ng\u01b0\u1eddi s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c c\u00e1c c\u00f4ng c\u1ee5 trong lao \u0111\u1ed9ng, sinh ho\u1ea1t t\u1eeb c\u00f4ng c\u1ee5 \u0111\u01a1n gi\u1ea3n \u0111\u1ebfn c\u00f4ng c\u1ee5 ph\u1ee9c t\u1ea1p.<\/li>\n<li>V\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu: b\u00e0n tay c\u00f3 c\u1ea5u tr\u00fac tinh vi ph\u1ee9c t\u1ea1p, trong m\u1ed9t th\u1ec3 t\u00edch h\u1eb9p ch\u1ee9a \u0111\u1ef1ng nhi\u1ec1u c\u01a1 quan t\u1ed5 ch\u1ee9c qu\u00fd l\u00e0 da, g\u00e2n, c\u01a1, m\u1ea1ch m\u00e1u, th\u1ea7n kinh,&#8230;<\/li>\n<li>V\u1ec1 m\u1eb7t sinh l\u00fd, b\u00e0n tay c\u00f3 hai ch\u1ee9c n\u0103ng ch\u00ednh l\u00e0 c\u1ea7m n\u1eafm v\u00e0 s\u1edd m\u00f3. Hai ch\u1ee9c n\u0103ng n\u00e0y c\u00f3 quan h\u1ec7 m\u1eadt thi\u1ebft v\u1edbi nhau v\u00e0 lu\u00f4n b\u1ed5 sung cho nhau.<\/li>\n<li>V\u1ebft th\u01b0\u01a1ng b\u00e0n tay c\u00f3 th\u01b0\u01a1ng t\u1ed5n ph\u1ee9c t\u1ea1p v\u00ec c\u00f9ng m\u1ed9t l\u00fac, c\u00f9ng v\u1ecb tr\u00ed c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u th\u01b0\u01a1ng t\u1ed5n da, m\u1ea1ch m\u00e1u, th\u1ea7n kinh, g\u00e2n, x\u01b0\u01a1ng.<\/li>\n<li>V\u1ebft th\u01b0\u01a1ng b\u00e0n tay d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng v\u00ec \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb th\u01b0\u01a1ng \u0111\u1ec1u \u1edf trong t\u00ecnh tr\u1ea1ng \u0111ang l\u00e0m vi\u1ec7c.<\/li>\n<li>C\u00f4ng t\u00e1c \u0111i\u1ec1u tr\u1ecb r\u1ea5t kh\u00f3 kh\u0103n do th\u01b0\u01a1ng t\u1ed5n ph\u1ee9c t\u1ea1p, d\u1ec5 b\u1ecb nhi\u1ec5m khu\u1ea9n v\u00e0 c\u00f9ng m\u1ed9t l\u00fac ph\u1ea3i \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u th\u01b0\u01a1ng t\u1ed5n (m\u1ea1ch m\u00e1u, th\u1ea7n kinh, g\u00e2n, x\u01b0\u01a1ng, da) \u0111\u1ec3 ph\u1ee5c h\u1ed3i c\u1ea3 c\u01a1 n\u0103ng v\u00e0 gi\u1ea3i ph\u1eabu.<\/li>\n<\/ul>\n<h2>NH\u1eaeC L\u1ea0I V\u1ec0 GI\u1ea2I PH\u1eaaU B\u1eb0NG TAY<\/h2>\n<p>\u0110\u00e2y l\u00e0 nh\u1eefng n\u00e9t c\u01a1 b\u1ea3n, li\u00ean quan \u1ee9ng d\u1ee5ng trong th\u1ef1c ti\u1ec5n l\u00e2m s\u00e0ng. Do v\u1eady, vi\u1ec7c n\u1eafm v\u1eefng v\u1ec1 gi\u1ea3i ph\u1eabu c\u0169ng nh\u01b0 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u00e0n tay h\u1ebft s\u1ee9c quan tr\u1ecdng v\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n<figure id=\"attachment_1026\" aria-describedby=\"caption-attachment-1026\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-1026\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay-300x236.png\" alt=\"Gi\u1ea3i Ph\u1eabu B\u00e0n Tay\" width=\"300\" height=\"236\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay-300x236.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay-1024x805.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay-768x604.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay-1536x1208.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay-15x12.png 15w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Giai-phau-ban-tay.png 1857w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1026\" class=\"wp-caption-text\"><strong>H\u00ecnh 20.1. <\/strong>Gi\u1ea3i ph\u1eabu b\u00e0n tay <em>(Atlas Gi\u1ea3i ph\u1eabu ng\u01b0\u1eddi, Frank H. Netter, 5th edition, 2007)<\/em><\/figcaption><\/figure>\n<h3>G\u00e2n g\u1ea5p c\u1ee7a b\u00e0n tay<\/h3>\n<ul>\n<li>\u0110\u00e2y l\u00e0 c\u00e1c g\u00e2n c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 di chuy\u1ec3n trong nh\u1eefng r\u00f2ng r\u1ecdc, vai tr\u00f2 c\u1ee7a r\u00f2ng r\u1ecdc l\u00e0 gi\u1eef cho g\u00e2n ti\u1ebfp x\u00fac v\u1edbi th\u00e0nh ph\u1ea7n xung quanh v\u00e0 c\u00f3 ch\u1ee9c n\u0103ng sinh l\u00fd \u0111\u1ed1i v\u1edbi ch\u00fang, \u0111\u1ed3ng th\u1eddi c\u00e1c lo\u1ea1i r\u00f2ng r\u1ecdc n\u00e0y l\u00e0m t\u0103ng th\u00eam s\u1ee9c m\u1ea1nh v\u00e0 l\u00e0 \u0111i\u1ec3m t\u1ef1a c\u1ee7a g\u00e2n khi c\u1ea7n s\u1eed d\u1ee5ng \u0111\u1ebfn s\u1ee9c m\u1ea1nh.<\/li>\n<li>R\u00f2ng r\u1ecdc quan tr\u1ecdng l\u00e0 A2 v\u00e0 A4, do \u0111\u00f3, khi hai r\u00f2ng r\u1ecdc n\u00e0y b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u00ec ph\u1ea3i ph\u1ee5c h\u1ed3i l\u1ea1i. G\u00e2n g\u1ea5p chung s\u00e2u c\u00f3 nhi\u1ec7m v\u1ee5 l\u00e0m g\u1ea5p \u0111\u1ed1t 3 v\u00e0o \u0111\u1ed1t 2.<\/li>\n<li>G\u00e2n g\u1ea5p chung n\u00f4ng c\u1ee7a c\u00e1c ng\u00f3n l\u00e0m g\u1ea5p \u0111\u1ed1t 2 v\u00e0o \u0111\u1ed1t 1.<\/li>\n<\/ul>\n<h3>G\u00e2n du\u1ed7i c\u1ee7a b\u00e0n tay<\/h3>\n<p>Mu\u1ed1n ki\u1ec3m tra m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c s\u1ef1 v\u1eadn \u0111\u1ed9ng c\u1ee7a g\u00e2n du\u1ed7i th\u00ec ph\u1ea3i h\u1ea1n ch\u1ebf s\u1ef1 v\u1eadn \u0111\u1ed9ng c\u1ee7a nh\u00f3m c\u01a1 giun v\u00e0 c\u01a1 li\u00ean c\u1ed1t, v\u00ec c\u00e1c nh\u00f3m c\u01a1 n\u00e0y tham gia v\u00e0o v\u1eadn \u0111\u1ed9ng ch\u00ednh c\u1ee7a kh\u1edbp b\u00e0n ng\u00f3n v\u00e0 tham gia v\u00e0o v\u1eadn \u0111\u1ed9ng du\u1ed7i c\u1ee7a c\u00e1c kh\u1edbp li\u00ean \u0111\u1ed1t c\u0169ng nh\u01b0 l\u00e0m d\u1ea1ng c\u1ee7a c\u00e1c <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">ng\u00f3n tay<\/a>.<\/p>\n<h3>Th\u1ea7n kinh chi ph\u1ed1i<\/h3>\n<ul>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/di-chung-ton-thuong-than-kinh-ngoai-bien-liet-than-kinh-quay-giua-tru\/\">Th\u1ea7n kinh gi\u1eefa<\/a> ch\u1ee7 y\u1ebfu chi ph\u1ed1i cho c\u01a1 \u1edf c\u1eb3ng tay tr\u01b0\u1edbc tr\u1eeb c\u01a1 tr\u1ee5 tr\u01b0\u1edbc, th\u1ea7n kinh gi\u1eefa c\u00f3 xu h\u01b0\u1edbng \u0111i d\u1ea7n ra n\u00f4ng v\u00e0 \u0111i d\u01b0\u1edbi d\u00e2y ch\u1eb1ng v\u00f2ng \u1edf c\u1ed5 tay v\u00e0 chia cho c\u00e1c nh\u00e1nh.\n<ul>\n<li>Nh\u00e1nh v\u1eadn \u0111\u1ed9ng cho ng\u00f3n c\u00e1i, tr\u1eeb c\u01a1 kh\u00e9p ng\u00f3n c\u00e1i v\u00e0 b\u00f3 s\u00e2u c\u1ee7a c\u01a1 g\u1ea5p ng\u1eafn, chi ph\u1ed1i cho c\u01a1 giun 1 v\u00e0 2<\/li>\n<li>Nh\u00e1nh c\u1ea3m gi\u00e1c cho c\u00e1c ng\u00f3n 1, 2, 3 v\u00e0 1\/2 ngo\u00e0i c\u1ee7a ng\u00f3n 4.<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/di-chung-ton-thuong-than-kinh-ngoai-bien-liet-than-kinh-quay-giua-tru\/\">Th\u1ea7n kinh tr\u1ee5<\/a> chi ph\u1ed1i v\u00f9ng tr\u01b0\u1edbc trong c\u1ee7a c\u1eb3ng tay sau \u0111i qua r\u00e3nh r\u00f2ng r\u1ecdc khu\u1ef7u, \u0111\u1ed3ng th\u1eddi chi ph\u1ed1i cho b\u00f3 trong c\u1ee7a c\u01a1 g\u1ea5p s\u00e2u c\u1ee7a ng\u00f3n 4 v\u00e0 Th\u1ea7n kinh tr\u1ee5 sau khi \u0111i qua \u1ed1ng Guyon th\u00ec chia nh\u00e1nh:\n<ul>\n<li>Nh\u00e1nh v\u1eadn \u0111\u1ed9ng \u00f4 m\u00f4 \u00fat, t\u1ea5t c\u1ea3 c\u00e1c c\u01a1 li\u00ean c\u1ed1t, c\u01a1 giun 3 v\u00e0 4, c\u01a1 kh\u00e9p ng\u00f3n c\u00e1i v\u00e0 b\u00f3 s\u00e2u c\u1ee7a c\u01a1 g\u1ea5p ng\u00f3n 1<\/li>\n<li>Nh\u00e1nh c\u1ea3m gi\u00e1c 1\/2 ph\u00eda b\u1edd tr\u1ee5 c\u1ee7a ng\u00f3n 4 v\u00e0 to\u00e0n b\u1ed9 ng\u00f3n 5.<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/di-chung-ton-thuong-than-kinh-ngoai-bien-liet-than-kinh-quay-giua-tru\/\">Th\u1ea7n kinh quay<\/a> \u0111i t\u1eeb tr\u00ean c\u00e1nh tay xu\u1ed1ng t\u1edbi m\u1eb7t tr\u01b0\u1edbc c\u1ee7a khu\u1ef7u th\u00ec ph\u00e2n nh\u00e1nh:<\/li>\n<\/ul>\n<p>Nh\u00e1nh c\u1ea3m gi\u00e1c \u1edf ph\u00eda tr\u01b0\u1edbc, \u0111i v\u00f2ng qua b\u1edd c\u1ee7a x\u01b0\u01a1ng quay \u0111\u1ec3 ph\u00e2n nh\u00e1nh \u1edf mu tay. Chi ph\u1ed1i cho ng\u00f3n c\u00e1i, v\u00f9ng \u0111\u1ed1t 1 c\u1ee7a ng\u00f3n 2 v\u00e0 3, chi ph\u1ed1i cho 1\/2 c\u1ee7a ng\u00f3n 4.<\/p>\n<p>Nh\u00e1nh v\u1eadn \u0111\u1ed9ng \u1edf ph\u00eda sau th\u00ec chi ph\u1ed1i cho t\u1ea5t c\u1ea3 c\u00e1c c\u01a1 \u1edf ph\u00eda sau.<\/p>\n<h3>M\u1ea1ch m\u00e1u nu\u00f4i d\u01b0\u1ee1ng<\/h3>\n<ul>\n<li>Nu\u00f4i d\u01b0\u1ee1ng b\u1edfi \u0111\u1ed9ng m\u1ea1ch quay sau khi \u0111i qua h\u00f5m l\u00e0o gi\u1ea3i ph\u1eabu<\/li>\n<li>\u0110\u1ed9ng m\u1ea1ch tr\u1ee5 th\u01b0\u1eddng \u0111i k\u00e8m theo th\u1ea7n kinh tr\u1ee5<\/li>\n<li>\u0110\u1ed9ng m\u1ea1ch li\u00ean c\u1ed1t tr\u01b0\u1edbc th\u00ec n\u1eb1m \u1edf r\u1ea5t s\u00e2u v\u00e0 \u1edf v\u1ecb tr\u00ed gi\u1eefa c\u1ee7a c\u1ed5<\/li>\n<li>\u0110\u1ed9ng m\u1ea1ch quay v\u00e0 \u0111\u1ed9ng m\u1ea1ch tr\u1ee5 n\u1ed1i v\u1edbi nhau b\u1eb1ng cung gan tay n\u00f4ng, cung gan tay s\u00e2u, cung gan c\u1ed5 tay, cho ph\u00e2n nh\u00e1nh c\u00f9ng v\u1edbi th\u1ea7n kinh t\u1edbi t\u1eadn \u0111\u1ea7u xa c\u1ee7a c\u00e1c ng\u00f3n tay v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m ph\u00e2n nh\u00e1nh nhi\u1ec1u, do v\u1eady khi c\u00f3 th\u01b0\u01a1ng t\u00edch m\u1ea1ch m\u00e1u \u0111\u00f4i khi ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n.<\/li>\n<li>Khi c\u00f3 th\u01b0\u01a1ng t\u1ed5n m\u1ea1ch m\u00e1u th\u00ec bao gi\u1edd c\u0169ng ngh\u0129 t\u1edbi t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, v\u00ec \u0111\u01b0\u1eddng \u0111i c\u1ee7a th\u1ea7n kinh th\u01b0\u1eddng \u0111i k\u00e8m theo m\u1ea1ch m\u00e1u.<\/li>\n<\/ul>\n<p><figure id=\"attachment_1027\" aria-describedby=\"caption-attachment-1027\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1027\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-1-300x208.jpg\" alt=\"V\u1ebft Th\u01b0\u01a1ng D\u1eadp N\u00e1t B\u00e0n Tay [1]\" width=\"300\" height=\"208\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-1-300x208.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-1-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-1.jpg 403w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1027\" class=\"wp-caption-text\"><strong>H\u00ecnh 20.2. <\/strong>V\u1ebft th\u01b0\u01a1ng d\u1eadp n\u00e1t b\u00e0n tay [1]<\/figcaption><\/figure> <figure id=\"attachment_1028\" aria-describedby=\"caption-attachment-1028\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-1028\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-tiep-theo-1-300x199.png\" alt=\"V\u1ebft Th\u01b0\u01a1ng D\u1eadp N\u00e1t B\u00e0n Tay (ti\u1ebfp Theo) [1]\" width=\"300\" height=\"199\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-tiep-theo-1-300x199.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-tiep-theo-1-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dap-nat-ban-tay-tiep-theo-1.png 525w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1028\" class=\"wp-caption-text\"><strong>H\u00ecnh 20.2. <\/strong>V\u1ebft Th\u01b0\u01a1ng D\u1eadp N\u00e1t B\u00e0n Tay (ti\u1ebfp Theo) [1]<\/figcaption><\/figure><\/p>\n<h2>NGUY\u00caN T\u1eaeC V\u00c0 TH\u00c1I \u0110\u1ed8 X\u1eec TR\u00cd V\u1ebeT TH\u01af\u01a0NG B\u00c0N TAY<\/h2>\n<h3>Nguy\u00ean t\u1eafc chung<\/h3>\n<ul>\n<li>C\u1ea5u t\u1ea1o c\u1ee7a b\u00e0n tay v\u00f4 c\u00f9ng ph\u1ee9c t\u1ea1p, ph\u1eabu tr\u01b0\u1eddng th\u01b0\u1eddng nh\u1ecf, b\u00ean c\u1ea1nh \u0111\u00f3 c\u00f3 r\u1ea5t nhi\u1ec1u th\u00e0nh ph\u1ea7n li\u00ean quan<\/li>\n<li>V\u1edbi nh\u1eefng t\u1ed5n th\u01b0\u01a1ng t\u1ebf nh\u1ecb nh\u01b0: \u0111\u1ee9t g\u00e2n b\u00e1n ph\u1ea7n, v\u1ebft th\u01b0\u01a1ng b\u00ean c\u1ee7a th\u1ea7n kinh, v\u1ebft th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, v\u1ebft th\u01b0\u01a1ng kh\u1edbp,&#8230; \u0111\u00f4i khi r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean l\u00e2m s\u00e0ng, c\u1ea7n th\u0103m kh\u00e1m k\u1ef9 l\u01b0\u1ee1ng v\u00e0 to\u00e0n di\u1ec7n v\u1ebft th\u01b0\u01a1ng<\/li>\n<li>C\u1ea7n n\u1eafm \u0111\u01b0\u1ee3c v\u1ec1: l\u1ee9a tu\u1ed5i, ngh\u1ec1 nghi\u1ec7p, tay b\u00ean thu\u1eadn, nguy\u00ean nh\u00e2n tai n\u1ea1n, \u0111\u00e3 ti\u00eam ph\u00f2ng u\u1ed1n v\u00e1n hay ch\u01b0a<\/li>\n<li>C\u1ea7n l\u01b0u \u00fd k\u1ef9 v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 \u00fd \u0111\u1ecbnh t\u1ef1 s\u00e1t<\/li>\n<li>\u0110\u00e1nh gi\u00e1 k\u1ef9 v\u1ec1 nhi\u1ec7t \u0111\u1ed9, m\u00e0u s\u1eafc, tu\u1ea7n ho\u00e0n mao m\u1ea1ch v\u00e0 \u0111\u1eb7c bi\u1ec7t c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u1ec1 g\u00e2n c\u0169ng nh\u01b0 m\u1ea1ch m\u00e1u v\u00e0 th\u1ea7n kinh<\/li>\n<li>Cho ch\u1ee5p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a> v\u1edbi c\u00e1c t\u01b0 th\u1ebf: th\u1eb3ng, nghi\u00eang, ch\u1ebfch, nh\u1eb1m t\u00ecm t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p v\u1ec1 x\u01b0\u01a1ng c\u0169ng nh\u01b0 d\u1ecb v\u1eadt n\u1ebfu c\u00f3<\/li>\n<li>R\u1eeda s\u1ea1ch v\u1ebft th\u01b0\u01a1ng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd ho\u1eb7c pha v\u1edbi dung d\u1ecbch Bentadine, v\u1edbi v\u1ebft th\u01b0\u01a1ng ch\u1ea3y m\u00e1u nhi\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c b\u0103ng \u00e9p c\u1ea7m m\u00e1u, \u0111\u1eb7t b\u00e0n tay \u1edf t\u01b0 th\u1ebf ngh\u1ec9 ng\u01a1i \u0111\u1ec3 gi\u1ea3m \u0111au c\u0169ng nh\u01b0 gi\u1ea3m s\u01b0ng n\u1ec1<\/li>\n<li>Cu\u1ed1i c\u00f9ng l\u00e0 th\u0103m kh\u00e1m \u0111\u1ec3 ph\u00e1t hi\u1ec7n th\u01b0\u01a1ng t\u1ed5n k\u00e8m theo n\u1ebfu c\u00f3.<\/li>\n<\/ul>\n<h3>Ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb<\/h3>\n<ul>\n<li>C\u00e1c th\u01b0\u01a1ng t\u00edch b\u00e0n tay, c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed l\u00fd ngay m\u1ed9t l\u1ea7n, c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa c\u0169ng nh\u01b0 t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf chuy\u00ean s\u00e2u<\/li>\n<li>Ph\u1ea3i n\u1eafm v\u00e0 hi\u1ec3u k\u1ef9 v\u1ec1 gi\u1ea3i ph\u1eabu b\u00e0n tay c\u0169ng nh\u01b0 nguy\u00ean t\u1eafc ph\u1eabu thu\u1eadt<\/li>\n<li>X\u00e1c \u0111\u1ecbnh \u0111\u00e2y l\u00e0 lo\u1ea1i ph\u1eabu thu\u1eadt c\u1ea7n nhi\u1ec1u th\u1eddi gian<\/li>\n<li>S\u1eed d\u1ee5ng k\u00ednh l\u00fap ho\u1eb7c k\u00ednh hi\u1ec3n <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/vi-phau-thuat-va-vat-da\/\">vi ph\u1eabu<\/a> thu\u1eadt n\u1ebfu c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u th\u1ea7n kinh<\/li>\n<li>Ph\u1eabu thu\u1eadt b\u00e0n tay kh\u00f4ng ch\u1ec9 k\u1ebft th\u00fac khi ph\u1eabu thu\u1eadt ho\u00e0n th\u00e0nh m\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 \u0111i\u1ec1u tr\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/a> ti\u1ebfp theo.<\/li>\n<\/ul>\n<h3>X\u1eed tr\u00ed m\u1ed9t s\u1ed1 lo\u1ea1i th\u01b0\u01a1ng t\u1ed5n \u1edf b\u00e0n tay t\u1ea1i tuy\u1ebfn chuy\u00ean khoa<\/h3>\n<h4>Th\u01b0\u01a1ng t\u1ed5n da<\/h4>\n<ul>\n<li>Khi c\u1eaft l\u1ecdc da \u1edf v\u00f9ng b\u00e0n ng\u00f3n tay ph\u1ea3i h\u1ebft s\u1ee9c ti\u1ebft ki\u1ec7m. Da v\u00f9ng n\u00e0y k\u00e9m \u0111\u00e0n h\u1ed3i, nh\u1ea5t l\u00e0 \u1edf gan tay n\u1ebfu c\u1eaft nhi\u1ec1u s\u1ebd thi\u1ebfu v\u00e0 kh\u00f4ng th\u1ec3 b\u00f3c t\u00e1ch hai b\u00ean \u0111\u1ec3 k\u00e9o l\u1ea1i \u0111\u01b0\u1ee3c. N\u1ebfu khuy\u1ebft da c\u1ea7n ph\u1ea3i l\u00e0m c\u00e1c ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh che ph\u1ee7.<\/li>\n<\/ul>\n<h5>M\u1ed9t s\u1ed1 c\u00e1ch che ph\u1ee7 c\u00e1c khuy\u1ebft da \u1edf b\u00e0n, ng\u00f3n tay trong c\u1ea5p c\u1ee9u:<\/h5>\n<ul>\n<li>M\u1ea5t da \u1edf \u0111\u1ea7u m\u00fat ng\u00f3n tay: n\u1ebfu m\u1ea5t \u00edt th\u00ec chuy\u1ec3n v\u1ea1t t\u1ea1i ch\u1ed7 t\u1eeb ph\u00eda d\u01b0\u1edbi ho\u1eb7c hai b\u00ean. Ch\u1ed7 tr\u01b0\u1ee3t l\u00ean \u0111\u01b0\u1ee3c gh\u00e9p da m\u1ecfng ho\u1eb7c kh\u00e2u k\u00edn<\/li>\n<li>N\u1ebfu m\u1ea5t di\u1ec7n r\u1ed9ng h\u01a1n: d\u00f9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/vi-phau-thuat-va-vat-da\/\">v\u1ea1t da<\/a> c\u00f3 cu\u1ed1ng \u1edf mu ng\u00f3n b\u00ean c\u1ea1nh, \u1edf \u00f4 m\u00f4 c\u00e1i ho\u1eb7c \u00f4 m\u00f4 \u00fat gan tay hay \u1edf c\u00e1nh tay,&#8230;<\/li>\n<li>C\u00e1c m\u1ea5t da r\u1ed9ng \u1edf gan tay, mu tay n\u1ebfu kh\u00f4ng kh\u00e2u k\u00edn \u0111\u01b0\u1ee3c ph\u1ea3i che ph\u1ee7 b\u1eb1ng c\u00e1c v\u1ea1t da c\u00e2n c\u00f3 cu\u1ed1ng. Th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 d\u00f9ng v\u1ea1t b\u1eb9n, v\u1ea1t b\u1ee5ng,&#8230;<\/li>\n<\/ul>\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00f3c da to\u00e0n b\u1ed9 \u1edf gan tay hay mu N\u1ebfu c\u00f2n cu\u1ed1ng, ta c\u1eaft l\u1ecdc s\u1ea1ch v\u1ea1t da b\u1ecb l\u00f3c, r\u1eeda huy\u1ebft thanh \u1ea5m. R\u1ea1ch m\u1eaft l\u01b0\u1edbi kh\u00e2u v\u00e0 b\u0103ng \u00e9p. Tr\u01b0\u1eddng h\u1ee3p m\u1ea5t ho\u00e0n to\u00e0n ph\u1ea3i d\u00f9ng nh\u1eefng v\u1ea1t b\u1ee5ng, v\u1ea1t b\u1eb9n \u0111\u1ec3 che ph\u1ee7<\/p>\n<h4>Th\u01b0\u01a1ng t\u1ed5n m\u1ea1ch m\u00e1u<\/h4>\n<p>C\u00f3 th\u1ec3 g\u1eb7p v\u1ebft th\u01b0\u01a1ng b\u00e0n tay c\u00f3 th\u01b0\u01a1ng t\u1ed5n cung \u0111\u1ed9ng m\u1ea1ch gan tay n\u00f4ng, cung \u0111\u1ed9ng m\u1ea1ch gan tay s\u00e2u, \u0111\u1ed9ng m\u1ea1ch ng\u00f3n tay,&#8230;<\/p>\n<ul>\n<li>N\u1ebfu \u0111\u1ee9t c\u1ea3 hai \u0111\u1ed9ng m\u1ea1ch b\u00ean c\u1ee7a ng\u00f3n tay, ng\u00f3n tay s\u1ebd b\u1ecb tr\u1eafng b\u1ec7ch, da nh\u0103n v\u00e0 ng\u00f3n tay teo nh\u1ecf h\u01a1n ng\u00f3n b\u00ean c\u1ea1nh. Khi th\u01b0\u01a1ng t\u1ed5n \u0111\u1ed9ng m\u1ea1ch nu\u00f4i ng\u00f3n hai b\u00ean ta c\u1ea7n ch\u1ee7 \u0111\u1ed9ng n\u1ed1i s\u1edbm b\u1eb1ng k\u1ef9 thu\u1eadt vi ph\u1eabu<\/li>\n<li>Ri\u00eang th\u01b0\u01a1ng t\u1ed5n m\u1ea1ch \u1edf v\u00f9ng \u0111\u1ed1t 3 th\u01b0\u1eddng kh\u00f3 kh\u00e2u n\u1ed1i v\u00ec \u0111\u1ed9ng m\u1ea1ch qu\u00e1 nh\u1ecf m\u00e0 ch\u1ee7 y\u1ebfu l\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e2u v\u1ebft th\u01b0\u01a1ng, c\u1ed1 \u0111\u1ecbnh ng\u00f3n cho v\u1eefng v\u00e0 hy v\u1ecdng ph\u1ea7n \u0111\u1ea7u m\u00fat ng\u00f3n tay s\u1ebd s\u1ed1ng nh\u1edd c\u00e1c nh\u00e1nh m\u1ea1ch b\u00ean.<\/li>\n<li>Khi \u0111\u1ee9t \u0111\u1ed9ng m\u1ea1ch \u1edf v\u00f9ng c\u1ed5 tay \u2013 n\u1ebfu \u0111\u1ee9t m\u1ed9t trong hai \u0111\u1ed9ng m\u1ea1ch th\u00ec c\u00f3 th\u1ec3 th\u1eaft \u0111\u01b0\u1ee3c. N\u1ebfu \u0111\u1ee9t c\u1ea3 hai th\u00ec ph\u1ea3i kh\u00e2u n\u1ed1i c\u1ea3 hai ho\u1eb7c m\u1ed9t trong hai.<\/li>\n<\/ul>\n<figure id=\"attachment_1029\" aria-describedby=\"caption-attachment-1029\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1029\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dut-ca-hai-dong-mach-ben-cua-ngon-tay-2-300x197.jpg\" alt=\"V\u1ebft Th\u01b0\u01a1ng \u0111\u1ee9t C\u1ea3 Hai \u0111\u1ed9ng M\u1ea1ch B\u00ean C\u1ee7a Ng\u00f3n Tay [2]\" width=\"300\" height=\"197\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dut-ca-hai-dong-mach-ben-cua-ngon-tay-2-300x197.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dut-ca-hai-dong-mach-ben-cua-ngon-tay-2-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Vet-thuong-dut-ca-hai-dong-mach-ben-cua-ngon-tay-2.jpg 488w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1029\" class=\"wp-caption-text\"><strong>H\u00ecnh 20.3.<\/strong>V\u1ebft Th\u01b0\u01a1ng \u0111\u1ee9t C\u1ea3 Hai \u0111\u1ed9ng M\u1ea1ch B\u00ean C\u1ee7a Ng\u00f3n Tay [2]<\/figcaption><\/figure>\n<h4>Th\u01b0\u01a1ng t\u1ed5n th\u1ea7n kinh<\/h4>\n<ul>\n<li>T\u00f9y theo th\u01b0\u01a1ng t\u1ed5n m\u00e0 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p khi \u0111\u1ee9t c\u00e1c nh\u00e1nh th\u1ea7n kinh \u1edf v\u00f9ng c\u1ed5 tay, v\u00ed d\u1ee5, \u0111\u1ee9t th\u1ea7n kinh gi\u1eefa, th\u1ea7n kinh tr\u1ee5 ho\u1eb7c quay, ta n\u00ean n\u1ed1i ngay cho b\u1ec7nh nh\u00e2n (kh\u00e2u t\u1eeb b\u00f3 hay kh\u00e2u n\u1ed1i bao b\u00f3 l\u00e0 t\u00f9y kh\u1ea3 n\u0103ng c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean,&#8230;).<\/li>\n<li>N\u1ebfu th\u1ea7n kinh \u0111\u1ee9t kh\u00f4ng th\u1ec3 r\u00e1p n\u1ed1i l\u1ea1i \u0111\u1ec3 kh\u00e2u th\u00ec \u0111\u1ec3 l\u1ea1i sau n\u00e0y gh\u00e9p th\u1ea7n kinh sau 3 \u2013 4 tu\u1ea7n.<\/li>\n<\/ul>\n<h4>Th\u01b0\u01a1ng t\u1ed5n g\u00e2n g\u1ea5p<\/h4>\n<ul>\n<li>Th\u01b0\u01a1ng t\u1ed5n g\u00e2n g\u1ea5p l\u00e0 nh\u1eefng th\u01b0\u01a1ng t\u1ed5n r\u1ea5t ph\u1ee9c t\u1ea1p. C\u1ea3 hai g\u00e2n g\u1ea5p chung n\u00f4ng v\u00e0 g\u1ea5p chung s\u00e2u c\u00f9ng n\u1eb1m trong <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/benh-ly-viem-bao-gan\/\">bao g\u00e2n<\/a>, n\u00ean khi b\u1ecb th\u01b0\u01a1ng th\u00ec bao g\u00e2n d\u1ec5 b\u1ecb vi\u00eam v\u00e0 g\u00e2n s\u1ebd b\u1ecb d\u00ednh.<\/li>\n<li>Trong tr\u01b0\u1eddng h\u1ee3p v\u1ebft th\u01b0\u01a1ng g\u1ecdn s\u1ea1ch, \u1edf ngo\u00e0i v\u00f9ng c\u1ea5m, c\u00f3 th\u1ec3 c\u1eaft l\u1ecdc v\u1ebft th\u01b0\u01a1ng, v\u00e0 \u00e1p kh\u00edt hai \u0111\u1ea7u g\u00e2n, kh\u00e2u n\u1ed1i t\u1eadn t\u1eadn v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> \u1edf t\u01b0 th\u1ebf ch\u00f9ng g\u00e2n.<\/li>\n<li>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e2u g\u00e2n g\u1ea5p nh\u01b0: k\u1ef9 thu\u1eadt kh\u00e2u n\u1ed1i g\u00e2n c\u1ee7a <em>Cuneo, Iselin, Kleinert, Kessler Tajma, Sterling \u2013 Bunnell.<\/em><\/li>\n<\/ul>\n<h4>Th\u01b0\u01a1ng t\u1ed5n g\u00e2n du\u1ed7i<\/h4>\n<ul>\n<li>V\u1ebft th\u01b0\u01a1ng \u0111\u1ee9t g\u00e2n du\u1ed7i sau khi c\u1eaft l\u1ecdc c\u00f3 th\u1ec3 kh\u00e2u n\u1ed1i k\u1ef3 \u0111\u1ea7u v\u00e0 th\u01b0\u1eddng \u0111em l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t<\/li>\n<li>Khi \u0111\u1ee9t g\u00e2n du\u1ed7i ng\u00f3n \u1edf s\u00e1t \u0111i\u1ec3m b\u00e1m t\u1eadn ta ch\u1ec9 c\u1ea7n b\u1ea5t \u0111\u1ed9ng ng\u00f3n \u1edf t\u01b0 th\u1ebf du\u1ed7i t\u1ed1i \u0111a trong 3 tu\u1ea7n l\u00e0 \u0111\u1ee7.<\/li>\n<\/ul>\n<h4>Th\u01b0\u01a1ng t\u1ed5n l\u00e0m c\u1ee5t ng\u00f3n<\/h4>\n<ul>\n<li>V\u1edbi m\u1ecfm c\u1ee5t ng\u00f3n 1, 2 ta n\u00ean c\u1ed1 g\u1eafng b\u1ea3o t\u1ed3n t\u1ed1i \u0111a \u0111\u1ed9 d\u00e0i, sau khi <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/dai-cuong-phau-thuat-cat-cut-chi-the\/\">c\u1eaft c\u1ee5t<\/a> x\u01b0\u01a1ng, n\u1ebfu thi\u1ebfu da c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng c\u00e1c v\u1ea1t da c\u00f3 cu\u1ed1ng nu\u00f4i da \u0111\u1ec3 che ph\u1ee7<\/li>\n<li>C\u00e1c \u0111\u1ea7u ng\u00f3n tay kh\u00e1c c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c kh\u00e2u d\u00fam. Khi t\u1ea1o m\u1ecfm c\u1ee5t n\u00ean \u0111\u1ec3 n\u1ec1n s\u1eb9o \u1edf ph\u00eda mu trong<\/li>\n<li>Khi m\u1ecfm c\u1ee5t l\u00e0 ch\u1ecfm x\u01b0\u01a1ng ta c\u1ea7n c\u1eaft b\u1ecf h\u1ebft s\u1ee5n \u1edf ch\u1ecfm.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":1059,"comment_status":"open","ping_status":"closed","template":"","tags":[69,81],"chuyen-muc":[58],"class_list":["post-1025","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-ban-tay","tag-vet-thuong","chuyen-muc-dieu-tri-co-ban-trong-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1025","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=1025"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1025\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1059"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=1025"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=1025"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=1025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}