{"id":737,"date":"2023-03-13T17:55:38","date_gmt":"2023-03-13T10:55:38","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=737"},"modified":"2023-03-12T18:18:00","modified_gmt":"2023-03-12T11:18:00","slug":"gay-xuong-chi-duoi","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-chi-duoi\/","title":{"rendered":"Lower Extremity Fractures"},"content":{"rendered":"<h2>G\u00c3Y C\u1ed4 X\u01af\u01a0NG \u0110\u00d9I<\/h2>\n<h3>\u0110\u1ea1i c\u01b0\u01a1ng<\/h3>\n<p>G\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i (<a href=\"https:\/\/dictionary.cambridge.org\/example\/english\/hip-fracture\" target=\"_blank\" rel=\"noopener\">femoral head fractures<\/a>) l\u00e0 m\u1ed9t trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y x\u01b0\u01a1ng<\/a> chi d\u01b0\u1edbi m\u00e0 \u0111\u01b0\u1eddng g\u00e3y l\u00e0 \u1edf gi\u1eefa ch\u1ecfm v\u00e0 kh\u1ed1i m\u1ea5u chuy\u1ec3n. Th\u01b0\u1eddng g\u1eb7p \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi gi\u00e0, cho d\u00f9 l\u00e0 m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng nh\u1eb9 (nh\u01b0 t\u00e9 \u0111\u1eadp m\u00f4ng). R\u1ea5t hi\u1ebfm g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u1ebb v\u00e0 tr\u1ebb em. Ti\u00ean l\u01b0\u1ee3ng v\u1ec1 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/cham-lanh-xuong-va-khong-lanh-xuong\/\">li\u1ec1n x\u01b0\u01a1ng<\/a> kh\u00e1 ph\u1ee9c t\u1ea1p do kh\u1edbp gi\u1ea3 v\u00e0 s\u1ef1 ti\u00eau ch\u1ecfm. Th\u01b0\u1eddng \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1edfi c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam ph\u1ed5i, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u, suy tim, l\u1edf lo\u00e9t do n\u1eb1m l\u00e2u.<\/p>\n<h3>Nh\u1eafc l\u1ea1i c\u00e1c y\u1ebfu t\u1ed1 quan tr\u1ecdng v\u1ec1 gi\u1ea3i ph\u1eabu<\/h3>\n<p>\u0110i\u1ec3m y\u1ebfu n\u1eb1m gi\u1eefa hai h\u1ec7 x\u01b0\u01a1ng: h\u1ec7 qu\u1ea1t ch\u00e2n \u0111\u1ebf v\u00e0 h\u1ec7 cung nh\u1ecdn.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" width=\"699\" height=\"497\" class=\"wp-image-738 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-1.png\" alt=\"Diagram\n\nDescription automatically generated\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-1.png 699w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-1-300x213.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-1-18x12.png 18w\" sizes=\"(max-width: 699px) 100vw, 699px\" \/><\/p>\n<p><strong>H\u00ecnh 6.1. <\/strong>\u0110i\u1ec3m y\u1ebfu ch\u1ed7 ti\u1ebfp gi\u00e1p gi\u1eefa hai h\u1ec7 x\u01b0\u01a1ng [1]<\/p>\n<ul>\n<li>V\u1ec1 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a><\/li>\n<\/ul>\n<p><strong>\u0110\u01b0\u1eddng cung c\u1ed5 b\u1ecbt: <\/strong>l\u00e0 \u0111\u01b0\u1eddng h\u00ecnh cung n\u1ed1i li\u00ean t\u1ee5c c\u1ee7a b\u1edd c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 g\u1edd tr\u00ean l\u1ed7 b\u1ecbt.<\/p>\n<p><img decoding=\"async\" width=\"408\" height=\"541\" class=\"wp-image-739\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/3-129.jpeg\" alt=\"3-129\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/3-129.jpeg 408w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/3-129-226x300.jpeg 226w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/3-129-9x12.jpeg 9w\" sizes=\"(max-width: 408px) 100vw, 408px\" \/><\/p>\n<p><strong>H\u00ecnh 6.2. <\/strong>Cung c\u1ed5 b\u1ecbt [2]<\/p>\n<ul>\n<li><strong>G\u00f3c c\u1ed5 th\u00e2n: <\/strong>l\u00e0 g\u00f3c \u0111\u01b0\u1ee3c t\u1ea1o b\u1edfi tr\u1ee5c c\u1ee7a c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 c\u1ee7a th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i.<\/li>\n<\/ul>\n<p>B\u00ecnh th\u01b0\u1eddng g\u00f3c kho\u1ea3ng 130<sup>o<\/sup>.<\/p>\n<ul>\n<li>V\u1ec1 tu\u1ea7n ho\u00e0n nu\u00f4i d\u01b0\u1ee1ng ch\u1ecfm<\/li>\n<\/ul>\n<p>Nh\u00f3m tr\u00ean: \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh t\u1eeb 3 \u2013 4 nh\u00e1nh nh\u1ecf t\u00e1ch ra t\u1eeb \u0111\u1ed9ng m\u1ea1ch m\u0169 trong, n\u1ed1i v\u1edbi c\u00e1c nh\u00e1nh m\u0169 ngo\u00e0i, nh\u00e1nh b\u1ecbt, c\u00e1c nh\u00e1nh \u0111i theo bao kh\u1edbp v\u00e0o nu\u00f4i d\u01b0\u1ee1ng kho\u1ea3ng tr\u00ean c\u1ee7a ch\u1ecfm.<\/p>\n<p>Nh\u00f3m d\u01b0\u1edbi \u2013 trong: t\u00e1ch ra t\u1eeb \u0111\u1ed9ng m\u1ea1ch m\u0169 trong nu\u00f4i d\u01b0\u1ee1ng 1\/4 d\u01b0\u1edbi c\u1ee7a ch\u1ecfm.<\/p>\n<p>\u0110\u1ed9ng m\u1ea1ch d\u00e2y ch\u1eb1ng tr\u00f2n: t\u00e1ch t\u1eeb \u0111\u1ed9ng m\u1ea1ch b\u1ecbt, c\u00f3 vai tr\u00f2 r\u1ea5t nh\u1ecf ch\u1ec9 nu\u00f4i d\u01b0\u1ee1ng m\u1ed9t ph\u1ea7n c\u1ee7a ch\u1ecfm.<\/p>\n<h3>Ph\u00e2n lo\u1ea1i<\/h3>\n<p><strong>Theo Garden: <\/strong>d\u1ef1a v\u00e0o c\u00e1c t\u01b0\u01a1ng quan hi\u1ec7n c\u00f3 c\u1ee7a c\u00e1c th\u1edb x\u01b0\u01a1ng d\u1ecdc. N\u1ebfu s\u1ef1 t\u01b0\u01a1ng quan c\u00f2n \u0111\u01b0\u1ee3c duy tr\u00ec, t\u1ee9c s\u1ef1 di l\u1ec7ch \u00edt quan tr\u1ecdng v\u00e0 s\u1ef1 nu\u00f4i d\u01b0\u1ee1ng ch\u1ecfm s\u1ebd t\u1ed1t nh\u1edd bao kh\u1edbp c\u00f2n nguy\u00ean v\u1eb9n. Ti\u00ean l\u01b0\u1ee3ng s\u1ebd t\u1ed1t.<\/p>\n<ul>\n<li><strong>\u0110\u1ed9 I: <\/strong>G\u00e3y m\u1ed9t v\u1ecf x\u01b0\u01a1ng.<\/li>\n<li><strong>\u0110\u1ed9 II: <\/strong>G\u00e3y to\u00e0n b\u1ed9 th\u00e0nh x\u01b0\u01a1ng, kh\u00f4ng di l\u1ec7ch.<\/li>\n<li><strong>\u0110\u1ed9 III: <\/strong>G\u00e3y to\u00e0n b\u1ed9 th\u00e0nh x\u01b0\u01a1ng, di l\u1ec7ch m\u1ed9t ph\u1ea7n, hai m\u1eb7t g\u00e3y c\u00f2n \u00e1p v\u00e0o nhau.<\/li>\n<li><strong>\u0110\u1ed9 IV: <\/strong>G\u00e3y di l\u1ec7ch ho\u00e0n to\u00e0n, \u0111\u1ea7u x\u01b0\u01a1ng t\u1ef1 do trong \u1ed5 c\u1ed1i. T\u1ec9 l\u1ec7 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed<\/a> ch\u1ecfm cao.<\/li>\n<\/ul>\n<p><img decoding=\"async\" width=\"501\" height=\"393\" class=\"wp-image-740 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/word-image-737-3.jpeg\" alt=\"\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/word-image-737-3.jpeg 501w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/word-image-737-3-300x235.jpeg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/word-image-737-3-15x12.jpeg 15w\" sizes=\"(max-width: 501px) 100vw, 501px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>H\u00ecnh 6.3. <\/strong>Ph\u00e2n \u0111\u1ed9 Garden [3]<\/p>\n<h3>Theo Pauwels:<\/h3>\n<p><strong>\u0110\u1ed9 I: <\/strong>\u0110\u01b0\u1eddng g\u00e3y t\u1ea1o v\u1edbi \u0111\u01b0\u1eddng n\u1eb1m ngang m\u1ed9t g\u00f3c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 30<sup>o<\/sup>, d\u1ec5 li\u1ec1n x\u01b0\u01a1ng.<\/p>\n<p><strong>\u0110\u1ed9 II: <\/strong>G\u00f3c n\u00e0y t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 30 \u2013 50<sup>o<\/sup>, ti\u00ean l\u01b0\u1ee3ng li\u1ec1n x\u01b0\u01a1ng kh\u00f3.<\/p>\n<p><strong>\u0110\u1ed9 III: <\/strong>G\u00f3c n\u00e0y t\u01b0\u01a1ng \u0111\u01b0\u01a1ng &gt; 50<sup>o<\/sup>, nguy c\u01a1 ho\u1ea1i t\u1eed ch\u1ecfm cao.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"476\" height=\"238\" class=\"wp-image-741 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-2.png\" alt=\"Diagram\n\nDescription automatically generated\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-2.png 476w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-2-300x150.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/diagram-description-automatically-generated-2-18x9.png 18w\" sizes=\"(max-width: 476px) 100vw, 476px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>H\u00ecnh 6.4. <\/strong>Ph\u00e2n \u0111\u1ed9 Pauwels [4]<\/p>\n<h3>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h3>\n<p>T\u00f9y theo d\u1ea1ng g\u00e3y (g\u00e3y kh\u00e9p hay d\u1ea1ng) m\u00e0 bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u00f3 kh\u00e1c nhau.<\/p>\n<p>G\u00e3y c\u1ed5 ch\u00ednh danh d\u1ea1ng g\u00e3y kh\u00e9p: th\u01b0\u1eddng hay g\u1eb7p, c\u00e1c \u0111o\u1ea1n g\u00e3y t\u00e1ch r\u1eddi xa b\u1edfi co k\u00e9o c\u1ee7a c\u01a1. \u0110o\u1ea1n g\u00e3y d\u01b0\u1edbi \u1edf t\u01b0 th\u1ebf kh\u00e9p v\u00e0 xoay ngo\u00e0i.<\/p>\n<h3>V\u1ecb tr\u00ed:<\/h3>\n<ul>\n<li>Lo\u1ea1i g\u00e3y d\u01b0\u1edbi ch\u1ecfm: lo\u1ea1i n\u00e0y \u0111i\u1ec1u tr\u1ecb ph\u1ee9c t\u1ea1p v\u00ec ch\u1ec9 c\u00f2n ch\u1ecfm x\u01b0\u01a1ng nh\u1ecf. Ph\u1ea7n ch\u1ecfm nu\u00f4i d\u01b0\u1ee1ng k\u00e9m ch\u1ec9 c\u00f2n \u0111\u1ed9ng m\u1ea1ch d\u00e2y ch\u1eb1ng tr\u00f2n, do \u0111\u00f3 li\u1ec1n x\u01b0\u01a1ng kh\u00f3, d\u1ec5 \u0111\u01b0a \u0111\u1ebfn kh\u1edbp gi\u1ea3 ho\u1eb7c ti\u00eau ch\u1ecfm.<\/li>\n<li>G\u00e3y xuy\u00ean c\u1ed5: ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n lo\u1ea1i tr\u00ean v\u00ec c\u00f2n m\u1ed9t ph\u1ea7n x\u01b0\u01a1ng d\u00ednh v\u00e0o ch\u1ecfm, dinh d\u01b0\u1ee1ng t\u1ed1t h\u01a1n.\n<ul>\n<li>H\u01b0\u1edbng \u0111\u01b0\u1eddng g\u00e3y: th\u01b0\u1eddng ch\u1ebfch t\u1eeb d\u01b0\u1edbi l\u00ean tr\u00ean t\u1eeb trong ra ngo\u00e0i<\/li>\n<li>Di l\u1ec7ch: c\u00e1c \u0111o\u1ea1n g\u00e3y kh\u00f4ng c\u00e0i nhau<\/li>\n<li>\u0110o\u1ea1n xa di l\u1ec7ch l\u00ean tr\u00ean do c\u01a1 m\u00f4ng k\u00e9o, hai \u0111o\u1ea1n x\u01b0\u01a1ng g\u1eadp g\u00f3c, \u1edf g\u00f3c xu\u1ed1ng d\u01b0\u1edbi v\u00e0 ra sau.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>L\u00e2m s\u00e0ng<\/h3>\n<ul>\n<li>\u0110au: \u0111au nhi\u1ec1u nh\u1ea5t l\u00e0 khi g\u1eafng c\u1eed \u0111\u1ed9ng h\u00e1ng<\/li>\n<li>M\u1ea5t c\u01a1 n\u0103ng ho\u00e0n to\u00e0n: kh\u00f4ng th\u1ec3 nh\u1ea5c ch\u00e2n l\u00ean kh\u1ecfi m\u1eb7t ph\u1eb3ng gi\u01b0\u1eddng<\/li>\n<li>Bi\u1ebfn d\u1ea1ng: ch\u00e2n g\u00e3y ng\u1eafn, \u0111\u00f9i kh\u00e9p, b\u00e0n ch\u00e2n xoay ra ngo\u00e0i<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"311\" height=\"686\" class=\"wp-image-742 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/a-picture-containing-person-description-automatic.jpeg\" alt=\"A picture containing person\n\nDescription automatically generated\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/a-picture-containing-person-description-automatic.jpeg 311w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/a-picture-containing-person-description-automatic-136x300.jpeg 136w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/a-picture-containing-person-description-automatic-5x12.jpeg 5w\" sizes=\"(max-width: 311px) 100vw, 311px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>H\u00ecnh 6.5. <\/strong>T\u01b0 th\u1ebf bi\u1ebfn d\u1ea1ng th\u01b0\u1eddng g\u1eb7p <em>(ngu\u1ed3n: T\u00e1c gi\u1ea3)<\/em><\/p>\n<ul>\n<li>S\u1edd th\u1ea5y m\u1ea5u chuy\u1ec3n l\u1edbn b\u1ecb k\u00e9o l\u00ean tr\u00ean<\/li>\n<li>\u00a0C\u00f3 s\u1ef1 thay \u0111\u1ed5i c\u1ee7a \u0111\u01b0\u1eddng N\u00e9laton Roser, b\u00ecnh th\u01b0\u1eddng th\u00ec gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean m\u1ea5u chuy\u1ec3n l\u1edbn, \u1ee5 ng\u1ed3i \u1edf c\u00f9ng tr\u00ean m\u1ed9t \u0111\u01b0\u1eddng th\u1eb3ng. Khi g\u00e3y m\u1ea5u \u0111\u1ed9ng to b\u1ecb k\u00e9o l\u00ean cao, \u1edf tr\u00ean \u0111\u01b0\u1eddng n\u1ed1i gai ch\u1eadu tr\u01b0\u1edbc tr\u00ean v\u00e0 \u1ee5 ng\u1ed3i.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"344\" height=\"443\" class=\"wp-image-743 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/l_1423324233.jpeg\" alt=\"l_1423324233\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/l_1423324233.jpeg 344w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/l_1423324233-233x300.jpeg 233w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/03\/l_1423324233-9x12.jpeg 9w\" sizes=\"(max-width: 344px) 100vw, 344px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>H\u00ecnh 6.6. <\/strong>\u0110\u01b0\u1eddng Nelaton Roser [5]<\/p>\n<ul>\n<li>C\u00f3 th\u1ec3 c\u00f3 tr\u00e0n d\u1ecbch <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">kh\u1edbp g\u1ed1i<\/a> b\u00ean g\u00e3y.<\/li>\n<\/ul>\n<p>X-quang: c\u1ea7n ch\u1ee5p th\u1eb3ng v\u00e0 nghi\u00eang h\u00e1ng b\u00ean g\u00e3y.<\/p>\n<p><strong>G\u00e3y c\u1ed5 ch\u00ednh danh g\u00e3y d\u1ea1ng: <\/strong>\u00edt g\u1eb7p h\u01a1n g\u00e3y kh\u00e9p v\u00ec hai \u0111o\u1ea1n c\u00e0i nhau.<\/p>\n<p>L\u00e2m s\u00e0ng: sau ng\u00e3 \u0111\u1eadp kh\u1ed1i m\u1ea5u chuy\u1ec3n xu\u1ed1ng \u0111\u1ea5t, x\u01b0\u01a1ng g\u00e3y v\u00e0 l\u00e0m c\u00e0i c\u1ed5 x\u01b0\u01a1ng. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u01b0\u1eddng kh\u00f4ng r\u00f5 r\u00e0ng, gi\u1ea3m c\u01a1 n\u0103ng kh\u00f4ng ho\u00e0n to\u00e0n, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1ea5c g\u00f3t ch\u00e2n kh\u1ecfi gi\u01b0\u1eddng v\u00e0 c\u00f3 tr\u01b0\u1eddng h\u1ee3p v\u1eabn \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c, sau \u0111\u00f3 \u0111o\u1ea1n g\u00e3y c\u00f3 th\u1ec3 b\u1ecb t\u00e1ch r\u1eddi ra tr\u1edf th\u00e0nh g\u00e3y kh\u00e9p<\/p>\n<p>X-quang: \u0111\u01b0\u1eddng g\u00e3y d\u01b0\u1edbi ch\u1ecfm ho\u1eb7c xuy\u00ean c\u1ed5 g\u1ea7n nh\u01b0 l\u00e0 ngang. Hai \u0111o\u1ea1n g\u00e3y c\u00e0i nhau l\u00e0m m\u1edf r\u1ed9ng g\u00f3c c\u1ed5 th\u00e2n<\/p>\n<p>Ti\u1ebfn tri\u1ec3n v\u00e0 bi\u1ebfn ch\u1ee9ng: n\u1ebfu \u0111i\u1ec1u tr\u1ecb t\u1ed1t c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng to\u00e0n th\u00e2n, x\u01b0\u01a1ng li\u1ec1n sau 3 \u2013 4 th\u00e1ng, kh\u00f4ng c\u00f3 di ch\u1ee9ng. N\u1ebfu \u0111i\u1ec1u tr\u1ecb kh\u00f4ng t\u1ed1t th\u00ec \u0111\u1ec3 l\u1ea1i nhi\u1ec1u bi\u1ebfn ch\u1ee9ng<\/p>\n<ul>\n<li>Bi\u1ebfn ch\u1ee9ng s\u1edbm: <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">cho\u00e1ng ch\u1ea5n th\u01b0\u01a1ng<\/a> (hi\u1ebfm g\u1eb7p)<\/li>\n<li>Th\u01b0\u01a1ng t\u1ed5n ph\u1ed1i h\u1ee3p: t\u1ed5n th\u01b0\u01a1ng \u1ed5 c\u1ed1i ho\u1eb7c g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng mu\u1ed9n.<\/li>\n<\/ul>\n<h3>To\u00e0n th\u00e2n<\/h3>\n<p>Th\u01b0\u01a1ng t\u1ed5n lo\u00e9t da, lo\u00e9t m\u00f4ng, g\u00f3t ch\u00e2n x\u01b0\u01a1ng c\u00f9ng<\/p>\n<p>Th\u01b0\u01a1ng t\u1ed5n tim ph\u1ed5i: vi\u00eam ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i, nguy c\u01a1 suy tim Bi\u1ebfn ch\u1ee9ng ti\u1ebft ni\u1ec7u: nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/p>\n<p>Tai bi\u1ebfn huy\u1ebft kh\u1ed1i: vi\u00eam t\u0129nh m\u1ea1ch v\u00e0 huy\u1ebft kh\u1ed1i ph\u1ed5i.<\/p>\n<h3>T\u1ea1i ch\u1ed7<\/h3>\n<p>Can l\u1ec7ch: trong t\u01b0 th\u1ebf h\u00e1ng kh\u00e9p, ng\u1eafn chi 4 \u2013 5 cm v\u00e0 c\u00f3 th\u1ec3 b\u00f9 tr\u1eeb b\u1eb1ng v\u1eb9o ch\u1eadu h\u00f4ng, c\u1ed9t s\u1ed1ng, \u0111i d\u00e9p \u0111\u1ebf cao.<\/p>\n<p>Can x\u1ea5u: d\u1ec5 c\u00f3 nguy c\u01a1 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/thoai-hoa-khop\/\">tho\u00e1i h\u00f3a kh\u1edbp<\/a> nh\u1ea5t l\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp h\u00e1ng<\/a>, c\u1ed9t s\u1ed1ng. Kh\u1edbp gi\u1ea3: do thi\u1ebfu s\u00f3t v\u1ec1 \u0111i\u1ec1u tr\u1ecb nh\u01b0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> k\u00e9m, t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm.<\/p>\n<p>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/p>\n<ul>\n<li>Ph\u01b0\u01a1ng ph\u00e1p ch\u1ec9nh h\u00ecnh<\/li>\n<\/ul>\n<p>\u00c1p d\u1ee5ng \u0111\u1ed1i v\u1edbi g\u00e3y c\u00e0i: \u0111\u00e2y l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, kh\u00f4ng b\u1eaft bu\u1ed9c b\u1ec7nh nh\u00e2n ph\u1ea3i n\u1eb1m y\u00ean tr\u00ean gi\u01b0\u1eddng. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1ea5c g\u00f3t ch\u00e2n v\u00e0 n\u1ebfu \u0111\u01b0\u1ee3c c\u00f3 th\u1ec3 b\u01b0\u1edbc \u0111i. X-quang ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u1ec3 theo d\u00f5i \u0111\u01b0\u1eddng g\u00e3y. Tuy nhi\u00ean, nguy c\u01a1 di l\u1ec7ch th\u1ee9 ph\u00e1t l\u00e0 r\u1ea5t quan tr\u1ecdng, ph\u1ea3i can thi\u1ec7p ph\u1eabu thu\u1eadt. Do v\u1eady c\u1ea7n ph\u1ea3i \u0111\u1ec1 ph\u00f2ng di l\u1ec7ch th\u1ee9 ph\u00e1t.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1eabu thu\u1eadt vi\u00ean \u0111i\u1ec1u tr\u1ecb v\u1edbi n\u1eb1m ngh\u1ec9 t\u1ea1i gi\u01b0\u1eddng v\u00e0 v\u1eadn \u0111\u1ed9ng ch\u00e2n nh\u1eb9 nh\u00e0ng.<\/p>\n<p>S\u1ed1 kh\u00e1c l\u1ea1i kh\u00e1c th\u00edch <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/bo-bot\/\">b\u00f3 b\u1ed9t<\/a> ch\u1eadu \u0111\u00f9i \u0111\u1ec3 t\u1eadp \u0111i d\u1ea7n d\u1ea7n v\u00e0 gi\u00fap nhanh li\u1ec1n x\u01b0\u01a1ng.<\/p>\n<p>Theo \u0111i\u1ec1u tr\u1ecb c\u1ed5 \u0111i\u1ec3n, ng\u01b0\u1eddi ta \u0111i\u1ec1u tr\u1ecb v\u1edbi b\u00f3 b\u1ed9t Whitman l\u00e0 lo\u1ea1i b\u1ed9t d\u1ef1a v\u00e0o x\u01b0\u01a1ng \u1ee9c s\u00e1t n\u00e1ch xu\u1ed1ng \u0111\u1ebfn c\u00e1c ng\u00f3n ch\u00e2n. Khi b\u1ed9t kh\u00f4 cho b\u1ec7nh nh\u00e2n t\u1eadp \u0111\u1ee9ng, \u0111i v\u00e0 \u0111\u1ec3 b\u1ed9t kho\u1ea3ng 3 \u2013 4 th\u00e1ng. Tuy nhi\u00ean, do b\u1ed9t n\u1eb7ng n\u1ec1 n\u00ean ch\u1ec9 \u00e1p d\u1ee5ng cho ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh.<\/p>\n<p><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/keo-lien-tuc-trong-chan-thuong\/\">K\u00e9o li\u00ean t\u1ee5c<\/a>: n\u1ebfu kh\u00f4ng th\u1ec3 b\u00f3 b\u1ed9t \u0111\u01b0\u1ee3c, ng\u01b0\u1eddi ta xuy\u00ean \u0111inh qua \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 k\u00e9o li\u00ean t\u1ee5c tr\u00ean khung Braun v\u1edbi h\u00e1ng d\u1ea1ng, b\u00e0n ch\u00e2n xoay trong. Tuy nhi\u00ean, do k\u00e9o b\u1ec7nh nh\u00e2n ph\u1ea3i n\u1eb1m l\u00e2u d\u1ec5 c\u00f3 bi\u1ebfn ch\u1ee9ng to\u00e0n th\u00e2n, do v\u1eady \u00edt \u00e1p d\u1ee5ng.<\/p>\n<ul>\n<li>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt\n<ul>\n<li>\u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u1edbi m\u1ecdi tr\u01b0\u1eddng h\u1ee3p g\u00e3y di l\u1ec7ch. C\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 li\u1ec1n x\u01b0\u01a1ng t\u1ef1 nhi\u00ean v\u00e0 ti\u1ebfn \u0111\u1ebfn kh\u1edbp gi\u1ea3 l\u1ecfng v\u1edbi ng\u1eafn chi v\u00e0 \u0111i\u1ec3m t\u1ef1a kh\u00f4ng t\u1ed1t tr\u00ean chi. M\u1ee5c \u0111\u00edch c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111\u1ec3 tr\u00e1nh n\u1eb1m l\u00e2u tr\u00ean gi\u01b0\u1eddng do v\u1eady ho\u1eb7c l\u00e0 k\u1ebft h\u1ee3p x\u01b0\u01a1ng v\u1eefng ch\u1eafc \u0111\u1ec3 cho ph\u00e9p t\u1eadp \u0111i v\u1edbi n\u1ea1ng v\u00e0 ch\u1ed1ng ch\u00e2n d\u1ea7n ph\u00eda g\u00e3y v\u00e0 t\u1eadp luy\u1ec7n <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> s\u1edbm, ho\u1eb7c l\u00e0 ph\u1eabu thu\u1eadt thay kh\u1edbp h\u00e1ng \u0111\u1ec3 cho ph\u00e9p ch\u1ed1ng ch\u00e2n \u0111i l\u1ea1i t\u1ee9c kh\u1eafc.<\/li>\n<li>K\u1ebft h\u1ee3p x\u01b0\u01a1ng: tr\u01b0\u1edbc h\u1ebft c\u1ea7n n\u1eafn tr\u00ean b\u00e0n ch\u1ec9nh h\u00ecnh v\u1edbi g\u00e2y m\u00ea to\u00e0n th\u00e2n v\u00e0 ki\u1ec3m tra X-quang.<\/li>\n<li>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt nh\u01b0 d\u00f9ng \u0111inh, v\u00edt \u0111\u01a1n thu\u1ea7n, v\u00edt \u00e9p DHS (Dynamique Hip Scew), n\u1eb9p L,&#8230; sau ph\u1eabu thu\u1eadt ph\u1ea3i cho ph\u00e9p t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm v\u00e0 t\u1ef1a d\u1ea7n d\u1ea7n tr\u00ean chi g\u00e3y. T\u1ef1a ch\u00e2n ho\u00e0n to\u00e0n khi c\u00f3 s\u1ef1 li\u1ec1n x\u01b0\u01a1ng th\u1ea5y r\u00f5 tr\u00ean X-quang, th\u01b0\u1eddng sau 2 th\u00e1ng ph\u1eabu thu\u1eadt. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c t\u1eebng tr\u01b0\u1eddng ph\u00e1i c\u0169ng nh\u01b0 th\u00f3i quen c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean.<\/li>\n<li>Thay kh\u1edbp h\u00e1ng: to\u00e0n ph\u1ea7n v\u00e0 b\u00e1n ph\u1ea7n.<\/li>\n<\/ul>\n<\/li>\n<li>Ti\u00ean l\u01b0\u1ee3ng\n<ul>\n<li>Ho\u1ea1i t\u1eed ch\u1ecfm c\u00f3 th\u1ec3 x\u1ea3y ra trong th\u1eddi gian k\u1ebft h\u1ee3p x\u01b0\u01a1ng \u0111\u1ebfn 2 n\u0103m nh\u1ea5t l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng di l\u1ec7ch nhi\u1ec1u.<\/li>\n<li>Kh\u1edbp gi\u1ea3 sau k\u1ebft h\u1ee3p x\u01b0\u01a1ng.<\/li>\n<li>Vi\u00eam \u1ed5 c\u1ed1i do ch\u1ecfm gi\u1ea3, l\u1ecfng xi-m\u0103ng \u1edf th\u00e2n kh\u1edbp gi\u1ea3.<\/li>\n<\/ul>\n<\/li>\n<li>D\u1ef1 ph\u00f2ng\n<ul>\n<li>Tuy\u00ean truy\u1ec1n v\u00e0 gi\u00e1o d\u1ee5c trong c\u1ed9ng \u0111\u1ed3ng v\u1ec1 lu\u1eadt giao th\u00f4ng v\u00e0 lao \u0111\u1ed9ng.<\/li>\n<li>C\u1ea7n gi\u00e1o d\u1ee5c c\u1ed9ng \u0111\u1ed3ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">s\u01a1 c\u1ee9u<\/a> t\u1ea1i ch\u1ed7 t\u1ed1t c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng \u0111\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c bi\u1ebfn ch\u1ee9ng trong g\u00e3y x\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1ed1i v\u1edbi c\u00e1c tuy\u1ebfn y t\u1ebf c\u01a1 s\u1edf c\u1ea7n ch\u1ea9n \u0111o\u00e1n s\u1edbm, x\u1eed l\u00fd \u0111\u00fang v\u00e0 chuy\u1ec3n l\u00ean tuy\u1ebfn y t\u1ebf chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng do g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i.<\/li>\n<li>Gi\u00e1o d\u1ee5c cho b\u1ec7nh nh\u00e2n t\u1eadp luy\u1ec7n ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>G\u00c3Y TH\u00c2N X\u01af\u01a0NG \u0110\u00d9I<\/h2>\n<h3>\u0110\u1ea1i c\u01b0\u01a1ng<\/h3>\n<p>G\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n t\u1eeb b\u1edd d\u01b0\u1edbi m\u1ea5u chuy\u1ec3n l\u1edbn \u0111\u1ebfn b\u1edd tr\u00ean l\u1ed3i c\u1ea7u ngo\u00e0i 5 cm. X\u01b0\u01a1ng \u0111\u00f9i l\u00e0 m\u1ed9t x\u01b0\u01a1ng c\u00f3 s\u1ef1 ch\u1ed1ng \u0111\u1ee1 \u0111\u1eb7c th\u00f9 \u0111\u1ed1i v\u1edbi m\u1ecdi ch\u1ea5n th\u01b0\u01a1ng do c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu c\u1ee7a n\u00f3. \u0110\u00f3 l\u00e0 do ba \u0111\u1ed9 cong sinh l\u00fd v\u00e0 s\u1ef1 b\u1ed1 tr\u00ed v\u00f9ng ch\u1ecbu l\u1ef1c. V\u00ec l\u00e0 m\u1ed9t x\u01b0\u01a1ng l\u1edbn c\u00f3 nhi\u1ec1u c\u01a1 m\u1ea1nh b\u00e1m v\u00e0o n\u00ean g\u00e3y x\u01b0\u01a1ng \u0111\u00f9i th\u01b0\u1eddng do ch\u1ea5n th\u01b0\u01a1ng m\u1ea1nh, do v\u1eady d\u1ec5 g\u00e2y ra <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">cho\u00e1ng<\/a> m\u00e0 c\u1ea7n x\u1eed l\u00fd c\u1ea5p c\u1ee9u l\u00e0 b\u1ed3i ph\u1ee5 tu\u1ea7n ho\u00e0n v\u00e0 b\u1ea5t \u0111\u1ed9ng. Th\u01b0\u1eddng x\u1ea3y ra \u1edf l\u1ee9a tu\u1ed5i lao \u0111\u1ed9ng 12 \u2013 15% v\u00e0 ng\u00e0y nay g\u1eb7p nhi\u1ec1u trong tai n\u1ea1n giao th\u00f4ng.<\/p>\n<p>G\u00e3y x\u01b0\u01a1ng \u0111\u00f9i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo gi\u1ea3i ph\u1eabu h\u1ecdc v\u00e0 v\u1ecb tr\u00ed \u0111\u01b0\u1eddng g\u00e3y: 1\/3 tr\u00ean, 1\/3 gi\u1eefa, 1\/3 d\u01b0\u1edbi. \u0110\u1ed1i v\u1edbi g\u00e3y 1\/3 tr\u00ean s\u00e1t m\u1ea5u chuy\u1ec3n th\u00ec kh\u00f3 ph\u00e2n bi\u1ec7t g\u00e3y m\u1ea5u chuy\u1ec3n. Ch\u00fa \u00fd g\u00e3y 1\/3 d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i ho\u1eb7c g\u00e3y li\u00ean l\u1ed3i c\u1ea7u, \u0111i\u1ec1u tr\u1ecb kh\u00e1 ph\u1ee9c t\u1ea1p, bi\u1ebfn ch\u1ee9ng c\u1ee9ng kh\u1edbp g\u1ed1i d\u1ec5 x\u1ea3y ra.<\/p>\n<h3>Sinh l\u00fd gi\u1ea3i ph\u1eabu<\/h3>\n<p>\u1ed4 g\u00e3y \u1edf \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i. V\u1ecb tr\u00ed g\u00e3y \u1edf v\u00f9ng 5 cm d\u01b0\u1edbi m\u1ea5u chuy\u1ec3n b\u00e9. \u0110\u00e2y l\u00e0 v\u1ecb tr\u00ed g\u00e3y c\u00f3 nhi\u1ec1u di l\u1ec7ch ph\u1ee9c t\u1ea1p do s\u1ef1 co k\u00e9o m\u1ea1nh c\u1ee7a c\u00e1c kh\u1ed1i c\u01a1 theo nhi\u1ec1u h\u01b0\u1edbng kh\u00e1c nhau \u1edf \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i. C\u00e1c c\u01a1 m\u00f4ng r\u1ea5t m\u1ea1nh b\u00e1m v\u00e0o v\u00f9ng m\u1ea5u chuy\u1ec3n l\u1edbn, khi co k\u00e9o g\u00e3y \u0111\u1ea7u tr\u00ean d\u1ea1ng v\u00e0 xoay ra ngo\u00e0i. C\u01a1 th\u1eaft l\u01b0ng ch\u1eadu b\u00e1m v\u00e0o m\u1ea5u chuy\u1ec3n b\u00e9 l\u00e0m \u0111\u1ea7u tr\u00ean g\u1eadp ra tr\u01b0\u1edbc. K\u1ebft qu\u1ea3 l\u00e0 g\u00e2y g\u1eadp g\u00f3c v\u00e0 di l\u1ec7ch nhi\u1ec1u. C\u00e1c c\u01a1 kh\u00e9p v\u00e0 c\u01a1 th\u1eb3ng trong k\u00e9o m\u1ea1nh \u0111o\u1ea1n d\u01b0\u1edbi v\u00e0o trong v\u00e0 xoay ra ngo\u00e0i.<\/p>\n<p>\u1ed4 g\u00e3y 2\/4 gi\u1eefa th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i \u00edt c\u00f3 s\u1ef1 di l\u1ec7ch ph\u1ee9c t\u1ea1p so v\u1edbi \u0111o\u1ea1n g\u00e3y tr\u00ean, \u1ed1ng t\u1ee7y h\u1eb9p \u0111\u1ec1u v\u00e0 c\u00f3 h\u00ecnh tr\u1ee5 tr\u00ean m\u1ed9t \u0111o\u1ea1n d\u00e0i, t\u00ednh ch\u1ea5t n\u00e0y thu\u1eadn l\u1ee3i cho vi\u1ec7c \u00e1p d\u1ee5ng \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y h\u01a1n l\u00e0 \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/p>\n<p>\u1ed4 g\u00e3y \u1edf \u0111\u1ea7u d\u01b0\u1edbi th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i. \u0110\u01b0\u1eddng g\u00e3y th\u01b0\u1eddng l\u00e0 ngang ho\u1eb7c ch\u00e9o xu\u1ed1ng d\u01b0\u1edbi v\u00e0 ra tr\u01b0\u1edbc. \u0110o\u1ea1n g\u00e3y tr\u00ean d\u1ec5 b\u1ecb co k\u00e9o m\u1ea1nh v\u00e0 \u0111\u00e2m th\u1ecdc v\u00e0o kh\u1ed1i c\u01a1 du\u1ed7i \u0111\u00f9i, trong khi \u0111\u00f3 \u0111o\u1ea1n d\u01b0\u1edbi b\u1ecb k\u00e9o ra sau b\u1edfi kh\u1ed1i c\u01a1 sinh \u0111\u00f4i, do v\u1eady d\u1ec5 g\u00e2y th\u01b0\u01a1ng t\u1ed5n b\u00f3 m\u1ea1ch \u2013 th\u1ea7n kinh \u1edf ph\u00eda sau.<\/p>\n<h3>L\u00e2m s\u00e0ng<\/h3>\n<p>Nguy\u00ean nh\u00e2n: th\u01b0\u1eddng do l\u1ef1c ch\u1ea5n th\u01b0\u01a1ng m\u1ea1nh tr\u1ef1c ti\u1ebfp nh\u01b0 tai n\u1ea1n giao th\u00f4ng, ho\u1eb7c m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp k\u1ebft h\u1ee3p v\u1edbi g\u1ea5p v\u00e0 v\u1eb7n xo\u1eafn. Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb t\u1eeb 3 \u2013 5 tu\u1ed5i.<\/p>\n<p>\u0110\u01b0\u1eddng g\u00e3y: g\u1ed3m c\u00f3 g\u00e3y ngang, g\u00e3y ch\u00e9o, g\u00e3y xo\u1eafn, g\u00e3y hai t\u1ea7ng, g\u00e3y m\u1ea3nh th\u1ee9 ba ho\u1eb7c g\u00e3y v\u1ee5n.<\/p>\n<p>S\u1ef1 di l\u1ec7ch: t\u00f9y theo v\u1ecb tr\u00ed g\u00e3y v\u00e0 c\u00f3 c\u00e1c h\u00ecnh th\u00e1i di l\u1ec7ch kh\u00e1c nhau. C\u00e1c di l\u1ec7ch th\u01b0\u1eddng g\u1eb7p l\u00e0 g\u1eadp g\u00f3c, l\u1ec7ch sang b\u00ean, ch\u1ed3ng ng\u1eafn, xoay ngo\u00e0i c\u1ee7a \u0111o\u1ea1n g\u00e3y xa.<\/p>\n<h3>Th\u0103m kh\u00e1m l\u00e2m s\u00e0ng<\/h3>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111au d\u1eef d\u1ed9i \u1edf v\u00f9ng \u0111\u00f9i.<\/p>\n<p>M\u1ea5t c\u01a1 n\u0103ng ho\u00e0n to\u00e0n, b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 nh\u1ea5c ch\u00e2n l\u00ean \u0111\u01b0\u1ee3c. C\u1ea7n ph\u1ea3i ngh\u0129 \u0111\u1ebfn cho\u00e1ng c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1ec3 \u0111\u1ec1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Kh\u00e1m t\u1ea1i ch\u1ed7 th\u01b0\u1eddng th\u1ea5y r\u00f5 c\u00e1c bi\u1ebfn d\u1ea1ng \u0111\u1eb7c th\u00f9: g\u1eadp g\u00f3c, l\u00e0m \u0111\u00f9i c\u00f3 d\u00e1ng v\u00f2ng quai do m\u1edf g\u00f3c v\u00e0o trong nh\u1ea5t l\u00e0 khi g\u00e3y \u1edf \u0111o\u1ea1n tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i.<\/p>\n<p>\u0110\u00f9i s\u01b0ng to.<\/p>\n<p>Chi th\u01b0\u1eddng ng\u1eafn so v\u1edbi b\u00ean l\u00e0nh.<\/p>\n<p>B\u00e0n ch\u00e2n xoay ngo\u00e0i, b\u1edd ngo\u00e0i b\u00e0n ch\u00e2n n\u1eb1m s\u00e1t m\u1eb7t ph\u1eb3ng n\u1eb1m c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110\u1ed1i v\u1edbi g\u00e3y th\u1ea5p, do \u0111\u1ea7u g\u00e3y xa b\u1ecb k\u00e9o ra sau d\u1ec5 ch\u00e8n v\u00e0o b\u00f3 m\u1ea1ch, th\u1ea7n kinh, \u1ed5 khoeo, do v\u1eady c\u1ea7n x\u00e1c \u0111\u1ecbnh r\u00f5 c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, th\u1ea7n kinh hay kh\u00f4ng. Ch\u00fa \u00fd v\u1eadn \u0111\u1ed9ng g\u1ea5p du\u1ed7i b\u00e0n ch\u00e2n ho\u1eb7c v\u00f9ng m\u1ea5t c\u1ea3m gi\u00e1c \u1edf gan ch\u00e2n v\u00e0 m\u1ed9t v\u00f9ng nh\u1ecf tr\u01b0\u1edbc c\u1ed5 ch\u00e2n trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u00e8n \u00e9p th\u1ea7n kinh h\u00f4ng khoeo. Ngo\u00e0i ra, c\u1ea7n kh\u00e1m k\u1ef9 v\u00f9ng h\u00e1ng v\u00e0 g\u1ed1i \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c th\u01b0\u01a1ng t\u1ed5n ph\u1ed1i h\u1ee3p nh\u01b0 v\u1ee1 \u1ed5 c\u1ed1i, tr\u1eadt kh\u1edbp h\u00e1ng, \u0111\u1ee9t <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-day-chang-cheo\/\">d\u00e2y ch\u1eb1ng ch\u00e9o<\/a> sau, v\u1ee1 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-xuong-banh-che\/\">x\u01b0\u01a1ng b\u00e1nh ch\u00e8<\/a>.<\/p>\n<p>C\u1ea7n kh\u00e1m k\u1ef9 b\u00e0n ch\u00e2n \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c th\u01b0\u01a1ng t\u1ed5n do <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">\u0111a ch\u1ea5n th\u01b0\u01a1ng<\/a>. Ch\u00fa \u00fd s\u1ecd n\u00e3o, c\u1ed9t s\u1ed1ng, v\u1ee1 t\u1ea1ng trong \u1ed5 b\u1ee5ng.<\/p>\n<h3>X-quang<\/h3>\n<p>M\u1eb7c d\u00f9 ch\u1ea9n \u0111o\u00e1n b\u1eb1ng X-quang l\u00e0 c\u1ea7n thi\u1ebft, nh\u01b0ng c\u1ea7n kh\u00e1m k\u1ef9 l\u00e2m s\u00e0ng \u0111\u1ec3 tr\u00e1nh b\u1ecf s\u00f3t th\u01b0\u01a1ng t\u1ed5n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ecf s\u00f3t tr\u1eadt kh\u1edbp h\u00e1ng ho\u1eb7c g\u00e3y \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i \u0111i k\u00e8m trong g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i v\u00ec ch\u1ec9 ch\u1ee5p gi\u1edbi h\u1ea1n \u1ed5 g\u00e3y. Do v\u1eady, \u0111\u1ec3 c\u00f3 m\u1ed9t phim X-quang t\u1ed1t c\u1ea7n ch\u00fa \u00fd:<\/p>\n<ul>\n<li>Ch\u1ee5p l\u1ea5y \u0111\u01b0\u1ee3c hai kh\u1edbp c\u1ee7a \u0111\u1ea7u x\u01b0\u01a1ng g\u00e3y \u00edt nh\u1ea5t hai b\u00ecnh di\u1ec7n th\u1eb3ng v\u00e0 nghi\u00eang.<\/li>\n<li>Ch\u1ee5p x\u01b0\u01a1ng b\u00ean l\u00e0nh \u0111\u1ec3 so s\u00e1nh n\u1ebfu th\u1ea5y c\u1ea7n thi\u1ebft (th\u01b0\u1eddng \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi tr\u1ebb em).<\/li>\n<\/ul>\n<h3>Bi\u1ebfn ch\u1ee9ng<\/h3>\n<h4>Cho\u00e1ng<\/h4>\n<p>Cho\u00e1ng c\u00f3 th\u1ec3 tho\u00e1ng qua nh\u1edd gi\u1ea3m \u0111au b\u1edfi b\u1ea5t \u0111\u1ed9ng t\u1ea1m th\u1eddi t\u1ed1t, cho\u00e1ng n\u00e0y th\u01b0\u1eddng do \u0111au \u0111\u1edbn. Cho\u00e1ng c\u00f3 th\u1ec3 do m\u1ea5t m\u00e1u c\u1ee7a \u1ed5 g\u00e3y, c\u1ea7n \u0111o v\u00f2ng \u0111\u00f9i \u0111\u1ec3 \u01b0\u1edbc l\u01b0\u1ee3ng, n\u1ebfu v\u00f2ng \u0111\u00f9i qu\u00e1 c\u0103ng so v\u1edbi b\u00ean l\u00e0nh c\u00f3 th\u1ec3 m\u1ea5t qu\u00e1 500 mL \u1edf ng\u01b0\u1eddi 50 kg.<\/p>\n<h4>M\u1ea5t m\u1ea1ch \u1edf khoeo v\u00e0 c\u1ed5 ch\u00e2n<\/h4>\n<ul>\n<li>Nguy\u00ean nh\u00e2n do \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i b\u1ecb \u0111\u1ee9t ho\u1eb7c do ch\u00e8n \u00e9p c\u1ee7a \u0111o\u1ea1n g\u00e3y xa nh\u1ea5t l\u00e0 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i, g\u00e3y tr\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i. Ho\u1eb7c c\u00f3 th\u1ec3 do m\u00e1u t\u1eeb \u1ed5 g\u00e3y tr\u00e0n v\u00e0o ch\u00e8n \u00e9p \u0111\u1ed9ng m\u1ea1ch khoeo. Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n v\u1edbi \u0111au nh\u1ee9c v\u00f9ng c\u1eb3ng ch\u00e2n, t\u00ea r\u1ea7n \u0111\u1ea7u chi, v\u00f9ng c\u1eb3ng b\u00e0n ch\u00e2n l\u1ea1nh, t\u1ea1i v\u00f9ng h\u1ecfm khoeo r\u1ea5t c\u0103ng.<\/li>\n<li>Khi ch\u1ea9n \u0111o\u00e1n c\u00f3 s\u1ef1 ch\u00e8n \u00e9p ho\u1eb7c \u0111\u1ee9t m\u1ea1ch \u1edf khoeo ph\u1ea3i ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u \u0111\u1ec3 n\u1ed1i m\u1ea1ch ho\u1eb7c gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p.<\/li>\n<\/ul>\n<h4>T\u1eafc m\u1ea1ch do m\u1ee1<\/h4>\n<ul>\n<li>Hi\u1ebfm g\u1eb7p, c\u1ea7n ch\u00fa \u00fd khi: g\u00e3y x\u01b0\u01a1ng nhi\u1ec1u m\u1ea3nh, d\u1eadp m\u00f4 m\u1ec1m nhi\u1ec1u.<\/li>\n<li>\u0110e d\u1ecda cho\u00e1ng ho\u1eb7c c\u00f3 cho\u00e1ng:\n<ul>\n<li>Xu\u1ea5t huy\u1ebft k\u1ebft m\u1ea1c m\u1eaft, da<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>PCO<sub>2<\/sub> m\u00e1u t\u0103ng cao<\/li>\n<li>C\u00f3 v\u00e1ng m\u1ee1 trong n\u01b0\u1edbc ti\u1ec3u<\/li>\n<li>C\u1ea7n ph\u1ea3i c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi v\u00ec t\u1ec9 l\u1ec7 t\u1eed vong cao.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/h3>\n<h4>S\u01a1 c\u1ee9u, c\u1ea5p c\u1ee9u:<\/h4>\n<ul>\n<li>C\u1ea7n b\u1ea5t \u0111\u1ed9ng t\u1ea1m th\u1eddi v\u00e0 ch\u1ed1ng cho\u00e1ng. \u1ede ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 m\u1ea5t \u0111\u1ebfn 1 l\u00edt m\u00e1u qua \u1ed5 g\u00e3y. N\u1ebfu b\u1ea5t \u0111\u1ed9ng k\u00e9m s\u1ebd g\u00e2y th\u00eam \u0111au \u0111\u1edbn v\u00e0 c\u00f3 th\u1ec3 cho\u00e1ng n\u1eb7ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Do v\u1eady, c\u1ea7n ph\u1ea3i ch\u1ed1ng cho\u00e1ng, c\u1ea7n truy\u1ec1n 1 \u2013 2 l\u00edt d\u1ecbch v\u00e0 truy\u1ec1n m\u00e1u n\u1ebfu c\u00f3, sau \u0111\u00f3 ki\u1ec3m tra \u0111\u00e3 b\u1ea5t \u0111\u1ed9ng t\u1ed1t ch\u01b0a r\u1ed3i m\u1edbi v\u1eadn chuy\u1ec3n \u0111\u1ebfn n\u01a1i \u0111i\u1ec1u tr\u1ecb th\u1ef1c th\u1ee5.<\/li>\n<li>N\u1ebfu \u1ed5 g\u00e3y c\u00f3 x\u00e2y x\u00e1t da ho\u1eb7c c\u00f3 v\u1ebft th\u01b0\u01a1ng r\u1ed9ng c\u1ea7n b\u0103ng \u00e9p v\u00f4 tr\u00f9ng, d\u00f9ng kh\u00e1ng sinh m\u1ea1nh \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch v\u00e0 thu\u1ed1c ch\u1ed1ng u\u1ed1n v\u00e1n.<\/li>\n<li>B\u1ea5t \u0111\u1ed9ng x\u01b0\u01a1ng \u0111\u00f9i v\u1eefng ch\u1eafc \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u1eb7t n\u1eb9p qu\u00e1 ch\u1eadu h\u00f4ng, c\u00f3 lo\u1ea1i n\u1eb9p kh\u00e1 ti\u1ec7n d\u1ee5ng l\u00e0 n\u1eb9p Thomas \u2013 Lardennois, v\u1eeba b\u1ea5t \u0111\u1ed9ng v\u1eeba k\u00e9o li\u00ean t\u1ee5c nh\u1eb9 v\u00e0 c\u1ed1 \u0111\u1ecbnh nhanh ch\u00f3ng nh\u1ea5t l\u00e0 trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 h\u00e0ng lo\u1ea1t ch\u1ea5n th\u01b0\u01a1ng. \u1ede Vi\u1ec7t Nam c\u00f3 th\u1ec3 d\u00f9ng n\u1eb9p tre, g\u1ed7. N\u1eb9p ph\u1ea3i to b\u1ea3n (10 cm) v\u00e0 d\u00e0y (1 cm). C\u00f3 th\u1ec3 d\u00f9ng hai ho\u1eb7c ba n\u1eb9p, th\u01b0\u1eddng d\u00f9ng hai n\u1eb9p: 1 \u0111\u1eb7t \u1edf ngo\u00e0i t\u1eeb n\u00e1ch \u0111\u1ebfn qu\u00e1 m\u1eaft c\u00e1 ngo\u00e0i; 1 n\u1eb9p \u1edf h\u00e1ng \u0111\u1ebfn m\u1eaft c\u00e1 trong.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb th\u1ef1c th\u1ee5: do x\u01b0\u01a1ng \u0111\u00f9i to ch\u1eafc, c\u00f3 nhi\u1ec1u c\u01a1 m\u1ea1nh b\u00e1m cho n\u00ean d\u00f9 n\u1eafn t\u1ed1t c\u0169ng kh\u00f4ng th\u1ec3 c\u1ed1 \u0111\u1ecbnh t\u1ed1t trong b\u1ed9t \u0111\u01b0\u1ee3c, r\u1ea5t d\u1ec5 b\u1ecb di l\u1ec7ch th\u1ee9 ph\u00e1t. Hi\u1ec7n nay ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ec9nh h\u00ecnh ch\u1ee7 y\u1ebfu \u00e1p d\u1ee5ng cho tr\u1ebb &lt; 15 tu\u1ed5i, c\u00f2n l\u1ea1i ph\u1ea7n l\u1edbn ph\u1ea3i ph\u1eabu thu\u1eadt.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p ch\u1ec9nh h\u00ecnh:\n<ul>\n<li><em>B\u00f3 b\u1ed9t: <\/em>ch\u1ec9 \u00e1p d\u1ee5ng cho tr\u1ebb em, c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y nhi\u1ec1u m\u1ea3nh \u00edt di l\u1ec7ch, g\u00e3y kh\u00f4ng di l\u1ec7ch, g\u00e3y c\u00e0i nhau. Ngo\u00e0i ra, trong ho\u00e0n c\u1ea3nh n\u01b0\u1edbc ta c\u00e1c n\u01a1i kh\u00f4ng \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n v\u00f4 tr\u00f9ng, d\u1ee5ng c\u1ee5, kinh t\u1ebf th\u00ec \u0111\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p duy nh\u1ea5t. Sau hai th\u00e1ng, khi th\u1ea5y x\u01b0\u01a1ng \u0111\u00e3 li\u1ec1n c\u00f3 th\u1ec3 cho \u0111i tr\u00ean b\u1ed9t t\u1eeb 1 \u2013 2 th\u00e1ng n\u1eefa. Sau khi m\u1edf b\u1ed9t, b\u1ec7nh nh\u00e2n t\u1eadp \u0111i ch\u1ed1ng ch\u00e2n \u0111au c\u00f3 n\u1ea1ng, d\u1ea7n d\u1ea7n c\u01a1 t\u1ee9 \u0111\u1ea7u, kh\u1edbp h\u00e1ng v\u00e0 g\u1ed1i s\u1ebd ph\u1ee5c h\u1ed3i t\u1eeb 6 th\u00e1ng \u0111\u1ebfn m\u1ed9t n\u0103m.<\/li>\n<li><em>Xuy\u00ean \u0111inh k\u00e9o t\u1ea1 li\u00ean t\u1ee5c: <\/em>th\u01b0\u1eddng \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi tr\u1ebb em (kh\u00f4ng m\u1ed5), ng\u01b0\u1eddi gi\u00e0, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ho\/\">g\u00e3y h\u1edf<\/a>, g\u00e3y v\u1ee5n, g\u00e3y b\u1ec7nh l\u00fd, t\u1ed5ng tr\u1ea1ng k\u00e9m ho\u1eb7c k\u00e9o trong th\u1eddi gian ch\u1edd m\u1ed5. Vi\u1ec7c k\u00e9o \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n qua trung gian m\u1ed9t m\u00f3c k\u00e9o v\u1edbi t\u1ea1 # 1\/10 \u2013 1\/7 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3, k\u00e9o theo tr\u1ee5c x\u01b0\u01a1ng \u0111\u00f9i. C\u00f3 th\u1ec3 xuy\u00ean \u0111inh qua l\u1ed3i c\u1ee7 tr\u01b0\u1edbc x\u01b0\u01a1ng ch\u00e0y \u0111\u1ec3 k\u00e9o trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y 1\/3 d\u01b0\u1edbi, b\u1ea5t ti\u1ec7n l\u00e0 d\u00e3n d\u00e2y ch\u1eb1ng kh\u1edbp. Ho\u1eb7c k\u00e9o x\u01b0\u01a1ng qua c\u00e1c l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i, cho ph\u00e9p k\u00e9o tr\u1ef1c ti\u1ebfp tr\u00ean x\u01b0\u01a1ng \u0111\u00f9i, kh\u00f4ng s\u1ee3 d\u00e3n d\u00e2y ch\u1eb1ng g\u1ed1i nh\u01b0ng b\u1ea5t ti\u1ec7n l\u00e0 g\u00e2y tr\u1edf ng\u1ea1i cho k\u1ebft h\u1ee3p x\u01b0\u01a1ng sau n\u00e0y. C\u1ea7n d\u00f9ng \u0111inh to (Steimann 4 mm). N\u00ean k\u00e9o tr\u00ean khung Braun, g\u1ed1i g\u1ea5p nh\u1eb9, b\u00e0n ch\u00e2n 90<sup>o<\/sup>. \u0110\u00f9i n\u00ean gi\u1eef \u1edf sau \u0111\u1ec3 tr\u00e1nh s\u1ef1 d\u00e3n qu\u00e1 m\u1ee9c. Trong th\u1eddi gian k\u00e9o n\u00ean ki\u1ec3m tra l\u00e2m s\u00e0ng h\u1eb1ng ng\u00e0y v\u00e0 X-quang h\u00e0ng tu\u1ea7n \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh t\u1ea1 k\u00e9o, b\u1eaft \u0111\u1ea7u gi\u1ea3m tr\u1ecdng l\u01b0\u1ee3ng t\u1ea1 d\u1ea7n d\u1ea7n t\u1eeb tu\u1ea7n 8 v\u00e0 sau 6 tu\u1ea7n c\u00f3 th\u1ec3 l\u00e0m b\u1ed9t ch\u1eadu \u2013 l\u01b0ng \u2013 ch\u00e2n. Trong th\u1eddi gian k\u00e9o t\u1ea1 c\u1ea7n t\u1eadp v\u1eadn \u0111\u1ed9ng c\u01a1 t\u1ee9 \u0111\u1ea7u, c\u00e1c kh\u1edbp \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng sau khi \u0111\u00e3 li\u1ec1n x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1eefu hi\u1ec7u t\u00edch c\u1ef1c nh\u1ea5t hi\u1ec7n nay.\n<ul>\n<li>\u0110\u00f3ng \u0111inh n\u1ed9i t\u1ee7y: \u00e1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i, t\u1ed1t nh\u1ea5t \u0111o\u1ea1n 2\/4 gi\u1eefa, \u00e1p d\u1ee5ng trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y ngang, ch\u00e9o, nhi\u1ec1u m\u1ea3nh, g\u00e3y 2 \u1ed5. \u0110\u00f3ng \u0111inh n\u1ed9i t\u1ee7y \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ed1t nh\u1ea5t hi\u1ec7n nay. Nh\u1edd m\u00e0n t\u0103ng s\u00e1ng, ng\u01b0\u1eddi ta \u0111\u00f3ng \u0111inh kh\u00f4ng m\u1edf \u1ed5 g\u00e3y v\u00e0 c\u00f3 khoan r\u1ed9ng \u1ed1ng t\u1ee7y. \u0110\u1ec3 ch\u1ed1ng xoay c\u1ee7a \u0111o\u1ea1n g\u00e3y xa ng\u01b0\u1eddi ta t\u0103ng c\u01b0\u1eddng ch\u1ed1t ngang qua x\u01b0\u01a1ng. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1eddng g\u00e3y th\u1ea5p \u1edf \u0111o\u1ea1n 1\/3 gi\u1eefa v\u00e0 d\u01b0\u1edbi, c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y c\u00f3 ch\u1ed1t ngang ng\u01b0\u1ee3c d\u00f2ng t\u1eeb \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f9i. \u0110\u1ed1i v\u1edbi g\u00e3y v\u1ee5n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n khoan \u1ed1ng t\u1ee7y, ch\u1ec9 mang t\u00ednh ch\u1ea5t s\u1eafp x\u1ebfp x\u01b0\u01a1ng th\u1eb3ng tr\u1ee5c, ng\u01b0\u1eddi ta k\u00e9o li\u00ean t\u1ee5c t\u0103ng c\u01b0\u1eddng 2 \u2013 3 tu\u1ea7n \u0111\u1ebfn khi c\u00f3 can \u0111\u1ec3 ch\u1ed1ng xoay.<\/li>\n<li>K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng n\u1eb9p v\u00edt:\n<ul>\n<li>\u01afu \u0111i\u1ec3m l\u00e0 n\u1eafn ho\u00e0n ch\u1ec9nh \u0111o\u1ea1n x\u01b0\u01a1ng g\u00e3y, t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm.<\/li>\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m:\n<ul>\n<li>L\u00e0m ch\u1eadm li\u1ec1n x\u01b0\u01a1ng<\/li>\n<li>Gi\u1edbi h\u1ea1n c\u00e1c v\u1eadn \u0111\u1ed9ng c\u01a1 do b\u00f3c t\u00e1ch khi m\u1ed5<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng.<\/li>\n<\/ul>\n<\/li>\n<li>K\u1ebft h\u1ee3p x\u01b0\u01a1ng n\u1eb9p v\u00edt th\u01b0\u1eddng \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y g\u1ea7n c\u00e1c \u0111\u1ea7u x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<\/li>\n<li>C\u1ed1 \u0111\u1ecbnh ngo\u00e0i: \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y h\u1edf v\u1edbi th\u01b0\u01a1ng t\u1ed5n ph\u1ea7n m\u1ec1m v\u00e0 th\u01b0\u01a1ng t\u1ed5n m\u1ea1ch m\u00e1u th\u1ea7n kinh.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>D\u1ef1 ph\u00f2ng<\/h3>\n<p>Tuy\u00ean truy\u1ec1n v\u00e0 gi\u00e1o d\u1ee5c trong c\u1ed9ng \u0111\u1ed3ng v\u1ec1 lu\u1eadt giao th\u00f4ng v\u00e0 lao \u0111\u1ed9ng.<\/p>\n<p>C\u1ea7n gi\u00e1o d\u1ee5c c\u1ed9ng \u0111\u1ed3ng s\u01a1 c\u1ee9u t\u1ea1i ch\u1ed7 v\u00e0 b\u1ea5t \u0111\u1ed9ng g\u00e3y x\u01b0\u01a1ng t\u1ed1t c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng \u0111\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c bi\u1ebfn ch\u1ee9ng trong g\u00e3y x\u01b0\u01a1ng v\u00e0 cho\u00e1ng.<\/p>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c tuy\u1ebfn y t\u1ebf c\u01a1 s\u1edf c\u1ea7n ch\u1ea9n \u0111o\u00e1n s\u1edbm, x\u1eed l\u00fd \u0111\u00fang v\u00e0 chuy\u1ec3n l\u00ean tuy\u1ebfn y t\u1ebf chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng do g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i.<\/p>\n<p>Gi\u00e1o d\u1ee5c cho b\u1ec7nh nh\u00e2n t\u1eadp luy\u1ec7n ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2>G\u00c3Y TH\u00c2N HAI X\u01af\u01a0NG C\u1eb2NG CH\u00c2N<\/h2>\n<h3>\u0110\u1ea1i c\u01b0\u01a1ng<\/h3>\n<p>G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u00e2n x\u01b0\u01a1ng ch\u00e0y t\u1eeb d\u01b0\u1edbi hai l\u1ed3i c\u1ea7u \u0111\u1ebfn tr\u00ean m\u1eaft c\u00e1 trong, c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m g\u00e3y x\u01b0\u01a1ng m\u00e1c t\u1eeb c\u1ed5 t\u1edbi tr\u00ean m\u1eaft c\u00e1 ngo\u00e0i.<\/p>\n<h3>T\u1ea7n su\u1ea5t<\/h3>\n<p>G\u00e3y th\u00e2n x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n kh\u00e1 ph\u1ed5 bi\u1ebfn, chi\u1ebfm t\u1ec9 l\u1ec7 kho\u1ea3ng 20% t\u1ed5ng s\u1ed1 g\u00e3y x\u01b0\u01a1ng v\u00e0 x\u1ea3y ra \u1edf nam nhi\u1ec1u h\u01a1n n\u1eef.<\/p>\n<h3><strong>Nguy\u00ean nh\u00e2n<\/strong><\/h3>\n<p>c\u00f3 hai c\u01a1 ch\u1ebf ch\u00ednh:<\/p>\n<ul>\n<li>C\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp:\n<ul>\n<li>Th\u01b0\u1eddng do tai n\u1ea1n giao th\u00f4ng, tai n\u1ea1n lao \u0111\u1ed9ng, do v\u1eadt n\u1eb7ng \u0111\u00e8 v\u00e0o. G\u00e3y x\u01b0\u01a1ng x\u1ea3y ra b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o t\u00f9y n\u01a1i va ch\u1ea1m, d\u1ec5 b\u1ecb g\u00e3y h\u1edf t\u1eeb ngo\u00e0i v\u00e0o v\u1edbi m\u1ee9c \u0111\u1ed9 nhi\u1ec5m b\u1ea9n n\u1eb7ng.<\/li>\n<li>Ngo\u00e0i c\u00e1c nguy\u00ean nh\u00e2n tr\u00ean, tai n\u1ea1n th\u1ec3 thao l\u00e0m g\u00e3y x\u01b0\u01a1ng ch\u00e0y l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a m\u00f4n b\u00f3ng \u0111\u00e1.<\/li>\n<\/ul>\n<\/li>\n<li>C\u01a1 ch\u1ebf gi\u00e1n ti\u1ebfp:\n<ul>\n<li>V\u00ed d\u1ee5, g\u00e3y do k\u1eb9t ch\u00e2n l\u00e0m g\u1eadp c\u1eb3ng ch\u00e2n l\u00e0m g\u00e3y x\u01b0\u01a1ng th\u01b0\u1eddng g\u00e3y ch\u00e9o, xo\u1eafn, n\u01a1i c\u00f3 c\u1ea5u tr\u00fac x\u01b0\u01a1ng y\u1ebfu (ch\u1ed7 n\u1ed1i 1\/3 gi\u1eefa v\u00e0 1\/3 d\u01b0\u1edbi). X\u01b0\u01a1ng m\u00e1c c\u00f3 th\u1ec3 g\u00e3y cao t\u1eadn c\u1ed5 x\u01b0\u01a1ng. \u1ed4 g\u00e3y c\u00f3 \u0111\u1ea7u nh\u1ecdn d\u1ec5 ch\u1ecdc th\u1ee7ng da v\u00e0 l\u00e0m g\u00e3y h\u1edf, nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh h\u00f4ng khoeo ngo\u00e0i.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>V\u00e0i y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu \u0111\u00e1ng ch\u00fa \u00fd<\/h3>\n<p>M\u00e0ng li\u00ean x\u01b0\u01a1ng: ch\u1eafc, h\u1ea1n ch\u1ebf s\u1ef1 di l\u1ec7ch c\u1ee7a hai x\u01b0\u01a1ng.<\/p>\n<p>B\u1edd tr\u01b0\u1edbc v\u00e0 m\u1eb7t trong x\u01b0\u01a1ng ch\u00e0y n\u1eb1m s\u00e1t d\u01b0\u1edbi da kh\u00f4ng \u0111\u01b0\u1ee3c c\u01a1 b\u1ea3o v\u1ec7, m\u1eb7t ngo\u00e0i \u0111\u01b0\u1ee3c c\u00e1c c\u01a1 du\u1ed7i che ph\u1ee7 nh\u01b0ng c\u0169ng m\u1ecfng manh v\u00e0 trong khi \u0111\u00f3 m\u1eb7t sau x\u01b0\u01a1ng ch\u00e0y \u0111\u01b0\u1ee3c kh\u1ed1i c\u01a1 g\u1ea5p b\u1ea3o v\u1ec7 v\u00e0 l\u1ef1c kh\u1ed1i c\u01a1 n\u00e0y m\u1ea1nh g\u1ea5p 4 l\u1ea7n kh\u1ed1i c\u01a1 du\u1ed7i. \u1ede \u0111\u1ea7u<\/p>\n<p>xa x\u01b0\u01a1ng ch\u00e0y c\u00e1c c\u01a1 \u0111\u00e3 chuy\u1ec3n th\u00e0nh g\u00e2n c\u1ea3 m\u1eb7t tr\u01b0\u1edbc v\u00e0 sau, l\u1edbp m\u00f4 m\u1ec1m b\u1ea3o v\u1ec7 x\u01b0\u01a1ng m\u1ecfng manh.<\/p>\n<p>V\u1ec1 tu\u1ea7n ho\u00e0n: c\u00f3 ba h\u1ec7 th\u1ed1ng nu\u00f4i d\u01b0\u1ee1ng x\u01b0\u01a1ng (h\u1ec7 th\u1ed1ng trong \u1ed1ng t\u1ee7y, h\u00e0nh x\u01b0\u01a1ng v\u00e0 m\u00e0ng x\u01b0\u01a1ng). \u0110\u1ed9ng m\u1ea1ch ch\u00ednh nu\u00f4i x\u01b0\u01a1ng ch\u00e0y l\u00e0 \u0111\u1ed9ng m\u1ea1ch nu\u00f4i t\u00e1ch ra t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u00e0y sau, xuy\u00ean qua l\u1ed7 nu\u00f4i x\u01b0\u01a1ng \u1edf m\u1eb7t sau, \u1edf \u0111o\u1ea1n n\u1ed1i 1\/3 tr\u00ean v\u00e0 gi\u1eefa, v\u00e0o \u1ed1ng t\u1ee7y \u0111\u1ec3 ti\u1ebfp n\u1ed1i v\u1edbi h\u1ec7 m\u1ea1ch h\u00e0nh x\u01b0\u01a1ng (ch\u00fa \u00fd: \u0111\u1ed9ng m\u1ea1ch nu\u00f4i d\u1ec5 b\u1ecb th\u01b0\u01a1ng t\u1ed5n khi b\u1ecb g\u00e3y x\u01b0\u01a1ng \u1edf v\u00f9ng n\u00e0y).<\/p>\n<h3>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h3>\n<h4>G\u00e3y k\u00edn c\u00f3 di l\u1ec7ch<\/h4>\n<p>&#8211; N\u1ebfu \u0111\u1ebfn s\u1edbm<\/p>\n<p>\u0110au ch\u00f3i t\u1ea1i v\u00f9ng g\u00e3y, b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c.<\/p>\n<p>Nh\u00ecn th\u1ea5y r\u00f5 s\u1ef1 di l\u1ec7ch v\u1edbi ng\u1eafn chi, b\u00e0n ch\u00e2n xoay ngo\u00e0i, g\u1eadp g\u00f3c m\u1edf ra sau.<\/p>\n<p>S\u1edd th\u1ea5y \u0111\u1ea7u x\u01b0\u01a1ng g\u00e3y g\u1ed3 d\u01b0\u1edbi da \u1edf m\u1eb7t trong c\u1eb3ng ch\u00e2n. S\u1edd c\u00f2n ph\u00e1t hi\u1ec7n d\u1ea5u \u0111au ch\u00f3i v\u00e0 ti\u1ebfng l\u1ea1o x\u1ea1o c\u1ee7a x\u01b0\u01a1ng g\u00e3y.<\/p>\n<p>&#8211; N\u1ebfu \u0111\u1ebfn mu\u1ed9n<\/p>\n<p>Th\u01b0\u1eddng c\u1eb3ng ch\u00e2n b\u1ecb s\u01b0ng n\u1ec1 nhi\u1ec1u, kh\u00f3 ph\u00e1t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ch\u00f3i v\u00e0 th\u1ea5y \u0111\u1ea7u x\u01b0\u01a1ng g\u00e3y. \u0110i\u1ec1u quan tr\u1ecdng \u1edf \u0111\u00e2y l\u00e0 ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng ch\u00e8n \u00e9p m\u1ea1ch khoeo ho\u1eb7c ch\u00e0y sau, bi\u1ebfn ch\u1ee9ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoi-chung-chen-ep-khoang\/\">ch\u00e8n \u00e9p khoang<\/a>. Do v\u1eady c\u1ea7n kh\u00e1m k\u1ef9 m\u1ea1ch \u1edf mu ch\u00e2n, \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ph\u00f9 n\u1ec1 c\u1eb3ng ch\u00e2n, kh\u00e1m c\u1ea3m gi\u00e1c v\u00e0 v\u1eadn \u0111\u1ed9ng c\u00e1c ng\u00f3n. C\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c n\u1ed1t ph\u1ecfng n\u01b0\u1edbc, bi\u1ec3u hi\u1ec7n s\u1ef1 tr\u1ea7m tr\u1ecdng c\u1ee7a bi\u1ebfn ch\u1ee9ng ch\u00e8n \u00e9p khoang. Th\u0103m kh\u00e1m c\u1ea7n x\u00e1c \u0111\u1ecbnh c\u00e1c th\u01b0\u01a1ng t\u1ed5n c\u1ed5 ch\u00e2n, g\u00e3y c\u1ed5 x\u01b0\u01a1ng m\u00e1c, t\u1ed5n th\u01b0\u01a1ng c\u00e1c d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i.<\/p>\n<h4>G\u00e3y \u00edt di l\u1ec7ch<\/h4>\n<p>\u1ede ng\u01b0\u1eddi l\u1edbn d\u00f9 \u00edt c\u00f3 bi\u1ebfn d\u1ea1ng r\u00f5, c\u00f3 th\u1ec3 th\u1ea5y \u0111i\u1ec3m \u0111au ch\u00f3i v\u00e0 ch\u1ed7 g\u1ed3 nh\u1eb9 c\u1ee7a \u0111\u1ea7u x\u01b0\u01a1ng g\u00e3y.<\/p>\n<p>\u1ede tr\u1ebb em lo\u1ea1i g\u00e3y c\u00e0nh t\u01b0\u01a1i kh\u00f3 x\u00e1c \u0111\u1ecbnh.<\/p>\n<h3>Bi\u1ebfn ch\u1ee9ng c\u1ee7a g\u00e3y th\u00e2n x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n<\/h3>\n<p>Cho\u00e1ng ch\u1ea5n th\u01b0\u01a1ng: \u00edt x\u1ea3y ra trong <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">g\u00e3y k\u00edn<\/a>, th\u01b0\u1eddng g\u1eb7p trong g\u00e3y h\u1edf. X\u01b0\u01a1ng g\u00e3y nhi\u1ec1u m\u1ea3nh, d\u1eadp n\u00e1t ph\u1ea7n m\u1ec1m nhi\u1ec1u.<\/p>\n<p>Ch\u00e8n \u00e9p khoang: chi\u1ebfm 65% trong c\u00e1c ch\u00e8n \u00e9p khoang c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u0111\u1ed1i v\u1edbi g\u00e3y 1\/3 tr\u00ean x\u01b0\u01a1ng ch\u00e0y, g\u00e3y nhi\u1ec1u m\u1ea3nh, g\u00e3y xo\u1eafn.<\/p>\n<p>T\u1eafc m\u1ea1ch m\u00e1u do m\u1ee1: th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y nhi\u1ec1u x\u01b0\u01a1ng, d\u1eadp ph\u1ea7n m\u1ec1m nhi\u1ec1u, c\u1ea7n ph\u00e1t hi\u1ec7n s\u1edbm m\u1edbi c\u1ee9u \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n. Ch\u00fa \u00fd c\u00e1c tri\u1ec7u ch\u1ee9ng:<\/p>\n<ul>\n<li>L\u01a1 m\u01a1 (lo\u1ea1i tr\u1eeb ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o)<\/li>\n<li>Xu\u1ea5t huy\u1ebft k\u1ebft m\u1ea1c m\u1eaft<\/li>\n<li>Xu\u1ea5t huy\u1ebft th\u00e0nh ng\u1ef1c, n\u00e1ch<\/li>\n<li>C\u00f3 t\u1ebf b\u00e0o m\u1ee1 trong n\u01b0\u1edbc ti\u1ec3u. C\u1ea7n c\u1ea5p c\u1ee9u \u0111i\u1ec1u tr\u1ecb v\u1edbi:\n<ul>\n<li>Th\u1edf oxy (6 l\u00edt\/ph\u00fat)<\/li>\n<li>Depersolone<\/li>\n<li>H\u00e9parine<\/li>\n<li>Lasix.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Nhi\u1ec5m tr\u00f9ng: g\u1eb7p nhi\u1ec1u trong g\u00e3y h\u1edf, t\u1ec9 l\u1ec7 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam x\u01b0\u01a1ng<\/a> kh\u00e1 cao 12 \u2013 30% (B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby); 8,5% Allgoewer (Th\u1ee5y S\u0129). C\u1ea7n c\u1eaft l\u1ecdc t\u1ed1t, kh\u00e1ng sinh li\u1ec1u cao \u0111\u00fang quy c\u00e1ch m\u1edbi h\u1ea1n ch\u1ebf nhi\u1ec5m khu\u1ea9n.<\/p>\n<p>Bi\u1ebfn ch\u1ee9ng v\u1ebft th\u01b0\u01a1ng da h\u1edf do x\u01b0\u01a1ng ch\u00e0y n\u1eb1m s\u00e1t da v\u00e0 g\u1eadp g\u00f3c ra sau. <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/di-chung-ton-thuong-than-kinh-ngoai-bien-liet-than-kinh-quay-giua-tru\/\">Li\u1ec7t th\u1ea7n kinh<\/a> m\u00e1c chung trong g\u00e3y c\u1ed5 x\u01b0\u01a1ng m\u00e1c.<\/p>\n<p>R\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng bi\u1ec3u hi\u1ec7n s\u1edbm, xu\u1ea5t hi\u1ec7n c\u00e1c n\u1ed1t ph\u1ecfng c\u00f3 d\u1ecbch v\u00e0 m\u00e1u. R\u1ed1i lo\u1ea1n mu\u1ed9n sau th\u00e1o b\u1ed9t th\u01b0\u1eddng th\u1ea5y b\u00e0n ch\u00e2n s\u01b0ng n\u1ec1, da kh\u00f4, \u0111au. \u0110\u1ec3 \u0111\u1ec1 ph\u00f2ng c\u1ea7n t\u1eadp v\u1eadn \u0111\u1ed9ng s\u1edbm v\u00e0 ch\u1ed1ng huy\u1ebft kh\u1ed1i \u1edf b\u1ec7nh nh\u00e2n n\u1eb1m l\u00e2u.<\/p>\n<p>Kh\u1edbp gi\u1ea3 l\u00e0 bi\u1ebfn ch\u1ee9ng mu\u1ed9n, th\u01b0\u1eddng do nguy\u00ean nh\u00e2n t\u1ea1i ch\u1ed7 nh\u01b0:<\/p>\n<ul>\n<li>G\u00e3y ba m\u1ea3nh, m\u1ea1ch m\u00e1u kh\u00f4ng nu\u00f4i d\u01b0\u1ee1ng \u0111\u1ee7 m\u1ea3nh \u1edf gi\u1eefa<\/li>\n<li>X\u01b0\u01a1ng m\u00e1c li\u1ec1n nhanh l\u00e0m c\u1ea3n tr\u1edf s\u1ef1 li\u1ec1n x\u01b0\u01a1ng c\u1ee7a x\u01b0\u01a1ng ch\u00e0y ho\u1eb7c do x\u01b0\u01a1ng m\u00e1c kh\u00f4ng g\u00e3y.<\/li>\n<\/ul>\n<p>Can x\u1ea5u, di l\u1ec7ch:<\/p>\n<ul>\n<li>Can l\u1ec7ch tr\u1ee5c x\u01b0\u01a1ng ch\u00e0y &gt; 20<sup>o<\/sup> th\u00ec c\u1ea7n ph\u1ea3i ch\u1ec9nh tr\u1ee5c.<\/li>\n<li>Can g\u1ed3 x\u1ea5u \u1edf ng\u01b0\u1eddi tr\u1ebb c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt do v\u1ea5n \u0111\u1ec1 th\u1ea9m m\u1ef9.<\/li>\n<\/ul>\n<h3>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/h3>\n<p>\u0110i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n quy t\u1ee5 v\u00e0o \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng ch\u00e0y. X\u01b0\u01a1ng m\u00e1c d\u1eabu c\u00f3 can l\u1ec7ch c\u0169ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng c\u01a1 n\u0103ng c\u1ee7a c\u1eb3ng ch\u00e2n. N\u1ebfu \u0111i\u1ec1u tr\u1ecb s\u1edbm th\u00ec n\u1eafn t\u01b0\u01a1ng \u0111\u1ed1i d\u1ec5 v\u00ec ch\u01b0a s\u01b0ng n\u1ec1 nhi\u1ec1u, m\u00e1u t\u1ee5 c\u00f2n \u00edt, c\u01a1 ch\u01b0a co r\u00fat nhi\u1ec1u. N\u1ebfu \u0111\u1ec3 mu\u1ed9n, t\u1ea1i ch\u1ed7 s\u01b0ng n\u1ec1 nhi\u1ec1u, c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c n\u1ed1t ph\u1ecfng n\u01b0\u1edbc, c\u01a1 co k\u00e9o m\u1ea1nh, do v\u1eady n\u1eafn s\u1ebd kh\u00f3 ngay c\u1ea3 trong ph\u1eabu thu\u1eadt.<\/p>\n<p>M\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m: t\u1ea1o can x\u01b0\u01a1ng t\u1ed1t kh\u00f4ng ng\u1eafn chi, kh\u00f4ng xoay, kh\u00f4ng c\u1ee9ng kh\u1edbp g\u1ed1i v\u00e0 c\u1ed5 ch\u00e2n.<\/p>\n<h4>B\u00f3 b\u1ed9t<\/h4>\n<p>\u00c1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul>\n<li>G\u00e3y kh\u00f4ng l\u1ec7ch ho\u1eb7c di l\u1ec7ch \u00edt d\u00f9 lo\u1ea1i g\u00e3y n\u00e0o (ngang, ch\u00e9o, xo\u1eafn) \u0111\u1ec1u b\u00f3 b\u1ed9t c\u1ed1 \u0111\u1ecbnh ngay. B\u1ed9t \u0111\u00f9i \u2013 c\u1eb3ng \u2013 b\u00e0n ch\u00e2n c\u00f3 r\u1ea1ch d\u1ecdc, b\u00f3 v\u1edbi t\u01b0 th\u1ebf g\u1ed1i h\u01a1i g\u1ea5p b\u00e0n ch\u00e2n 90<sup>o<\/sup>.<\/li>\n<li>Sau 7 \u2013 10 ng\u00e0y, khi s\u01b0ng n\u1ec1 \u0111\u00e3 gi\u1ea3m c\u00f3 th\u1ec3 qu\u1ea5n th\u00eam b\u1ed9t k\u00edn v\u00f2ng tr\u00f2n ho\u1eb7c thay b\u1ed9t kh\u00e1c n\u1ebfu b\u1ed9t qu\u00e1 l\u1ecfng. Trong qu\u00e1 tr\u00ecnh b\u00f3, h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n t\u1eadp \u0111\u01b0a cao c\u1eb3ng ch\u00e2n, kh\u00e9p, d\u1ea1ng. Sau 3 tu\u1ea7n cho t\u1eadp \u0111i n\u1ea1ng v\u00e0 ch\u1ed1ng ch\u00e2n d\u1ea7n \u0111\u1ec3 tr\u00e1nh r\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng. B\u1ed9t gi\u1eef 8 \u2013 10 tu\u1ea7n.<\/li>\n<li>G\u00e3y di l\u1ec7ch nhi\u1ec1u: c\u1ea7n g\u00e2y t\u00ea \u1ed5 g\u00e3y v\u00e0 n\u1eafn ngay tr\u00ean khung k\u00e9o ki\u1ec3u Boehler, k\u00e9o v\u1edbi t\u1ea1 7 \u2013 14 kg, k\u00e9o t\u1eeb 10 \u2013 20 ph\u00fat. Sau khi k\u00e9o, ki\u1ec3m tra h\u1ebft ng\u1eafn chi, h\u1ebft xoay, c\u1ea7n n\u1eafn s\u1eeda di l\u1ec7ch ngang, ki\u1ec3m tra X-quang r\u1ed3i b\u00f3 b\u1ed9t \u0111\u00f9i \u2013 c\u1eb3ng \u2013 b\u00e0n ch\u00e2n ho\u1eb7c b\u00f3 tr\u01b0\u1edbc r\u1ed3i ki\u1ec3m tra X-quang sau. N\u1ebfu ki\u1ec3m tra X-quang c\u00f2n di l\u1ec7ch \u00edt th\u00ec cho b\u1ec7nh nh\u00e2n n\u1eb1m k\u00ea cao ch\u00e2n trong 3 \u2013 4 ng\u00e0y. B\u1ed9t gi\u1eef 6 \u2013 8 tu\u1ea7n, sau 3 tu\u1ea7n cho t\u1eadp \u0111i n\u1ea1ng.<\/li>\n<\/ul>\n<p>Theo Boehler, n\u1ebfu ki\u1ec3m tra X-quang c\u00f2n di l\u1ec7ch trong b\u1ed9t th\u00ec n\u00ean k\u00e9o t\u1ea1 tr\u00ean b\u1ed9t trong 3 tu\u1ea7n tr\u00ean khung Braun.<\/p>\n<p>Theo A. Sarmiento, sau khi k\u00e9o n\u1eafn th\u00ec cho b\u00f3 b\u1ed9t \u0111\u00f9i \u2013 c\u1eb3ng \u2013 b\u00e0n ch\u00e2n ngay, k\u00ea ch\u00e2n cao 3 \u2013 5 ng\u00e0y tr\u00e1nh r\u1ed1i lo\u1ea1n dinh d\u01b0\u1ee1ng, cho b\u1ec7nh nh\u00e2n t\u1eadp \u0111\u01b0a ch\u00e2n l\u00ean xu\u1ed1ng trong 2 tu\u1ea7n. Khi \u0111\u1ee1 \u0111au t\u1ea1i \u1ed5 g\u00e3y th\u00ec chuy\u1ec3n b\u1ed9t \u0111\u00f9i \u2013 c\u1eb3ng \u2013 b\u00e0n ch\u00e2n th\u00e0nh b\u1ed9t ch\u1ee9c n\u0103ng d\u01b0\u1edbi g\u1ed1i \u0111\u1ec3 b\u1ec7nh nh\u00e2n t\u1eadp v\u1eadn \u0111\u1ed9ng kh\u1edbp g\u1ed1i v\u00e0 t\u1eadp \u0111i l\u1ea1i ch\u1ed1ng n\u1ea1ng.<\/p>\n<p>B\u1ed9t ch\u1ee9c n\u0103ng gi\u1eef 8 \u2013 12 tu\u1ea7n. Lo\u1ea1i b\u1ed9t n\u00e0y th\u01b0\u1eddng \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y th\u1ea5p hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n.<\/p>\n<p>Theo m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3, n\u1ebfu x\u01b0\u01a1ng ch\u00e0y g\u00e3y ch\u00e9o, xo\u1eafn, b\u00f3 b\u1ed9t nh\u01b0 tr\u00ean th\u01b0\u1eddng kh\u00f4ng v\u1eefng d\u1ec5 di l\u1ec7ch th\u1ee9 ph\u00e1t. Do v\u1eady, n\u00ean xuy\u00ean \u0111inh qua x\u01b0\u01a1ng g\u00f3t k\u00e9o kho\u1ea3ng 3 tu\u1ea7n r\u1ed3i chuy\u1ec3n sang b\u00f3 b\u1ed9t.<\/p>\n<h4>K\u00e9o t\u1ea1<\/h4>\n<p>D\u00f9ng \u0111inh Steimann ho\u1eb7c \u0111inh Kirschner l\u1edbn xuy\u00ean qua x\u01b0\u01a1ng g\u00f3t \u0111\u1ec3 k\u00e9o li\u00ean t\u1ee5c tr\u00ean gi\u00e0n Braun. K\u00e9o t\u1ea1 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y kh\u00f4ng v\u1eefng, g\u00e3y di l\u1ec7ch nhi\u1ec1u. K\u00e9o t\u1ea1 s\u1ebd n\u1eafn ch\u1ec9nh \u0111\u01b0\u1ee3c di l\u1ec7ch ch\u1ed3ng ng\u1eafn, xoay ngo\u00e0i v\u00e0 m\u1ed9t ph\u1ea7n n\u00e0o di l\u1ec7ch ngang.<\/p>\n<p>T\u1ea1 k\u00e9o th\u01b0\u1eddng v\u1edbi 1\/10 \u2013 1\/7 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 v\u00e0 t\u0103ng d\u1ea7n m\u1ed7i gi\u1edd sau \u0111\u00f3. K\u00e9o t\u1ea1 cho \u0111\u1ebfn khi c\u00f3 can l\u00e2m s\u00e0ng th\u00ec chuy\u1ec3n sang b\u0103ng b\u1ed9t \u0111\u1ec3 thu ng\u1eafn th\u1eddi gian n\u1eb1m tr\u00ean gi\u01b0\u1eddng.<\/p>\n<h4>Ph\u1eabu thu\u1eadt<\/h4>\n<p>&#8211; Ch\u1ec9 \u0111\u1ecbnh:<\/p>\n<p>C\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y ch\u00e9o xo\u1eafn n\u1eafn kh\u00f4ng v\u00e0o, nghi do ph\u1ea7n m\u1ec1m ch\u00e8n v\u00e0o<\/p>\n<p>G\u00e3y hai t\u1ea7ng c\u00f3 \u0111o\u1ea1n gi\u1eefa d\u00e0i, g\u00e3y ph\u1ee9c t\u1ea1p<\/p>\n<p>G\u00e3y \u0111\u01a1n thu\u1ea7n x\u01b0\u01a1ng ch\u00e0y \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>&#8211; Ph\u01b0\u01a1ng ph\u00e1p<\/p>\n<p>\u0110\u00f3ng \u0111inh n\u1ed9i t\u1ee7y: \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong g\u00e3y 1\/3 gi\u1eefa ho\u1eb7c 1\/3 d\u01b0\u1edbi th\u00e2n x\u01b0\u01a1ng ch\u00e0y ho\u1eb7c trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y do c\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp ph\u1ea7n m\u1ec1m b\u1ea7m d\u1eadp nhi\u1ec1u. Kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh trong g\u00e3y 1\/3 tr\u00ean x\u01b0\u01a1ng ch\u00e0y. K\u1ef9 thu\u1eadt c\u00f3 th\u1ec3 \u0111\u00f3ng k\u00edn ho\u1eb7c c\u00f3 m\u1edf \u1ed5 g\u00e3y. \u0110\u00f3ng \u0111inh c\u00f3 th\u1ec3 d\u00f9ng \u0111inh c\u00f3 ch\u1ed1t \u0111\u1ec3 ch\u1ed1ng di l\u1ec7ch xoay n\u00ean ch\u1ec9 \u0111\u1ecbnh c\u00f3 th\u1ec3 m\u1edf r\u1ed9ng c\u1ea3 cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y cao 1\/3 tr\u00ean.<\/p>\n<p>K\u1ebft h\u1ee3p x\u01b0\u01a1ng n\u1eb9p v\u00edt: \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y ch\u00e9o xo\u1eafn c\u00f3 m\u1ea3nh th\u1ee9 3, g\u00e3y nhi\u1ec1u m\u1ea3nh, g\u00e3y cao x\u01b0\u01a1ng ch\u00e0y.<\/p>\n<p>C\u1ed1 \u0111\u1ecbnh ngo\u00e0i: \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y ph\u1ee9c t\u1ea1p ho\u1eb7c g\u00e3y v\u1edbi t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m nhi\u1ec1u, g\u00e3y h\u1edf \u0111\u1ed9 II v\u00e0 III.<\/p>\n<p>\u0110inh n\u1ed9i t\u1ee7y v\u00e0 n\u1eb9p v\u00edt n\u00ean l\u1ea5y ra sau m\u1ed9t n\u0103m. C\u1ed1 \u0111\u1ecbnh ngo\u00e0i n\u00ean l\u1ea5y b\u1ecf khi \u1ed5 g\u00e3y c\u00f3 can.<\/p>\n<h4>V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/h4>\n<p>Ngo\u00e0i vi\u1ec7c k\u00ea cao ch\u00e2n ch\u1ed1ng ph\u00f9 n\u1ec1 sau m\u1ed5, c\u1ea7n c\u00f3 ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n ngay khi b\u1ec7nh nh\u00e2n t\u1ec9nh. C\u1ea7n luy\u1ec7n t\u1eadp c\u01a1 nh\u1eb9 nh\u00e0ng v\u00e0 kh\u00f4ng \u0111au.<\/p>\n<p>\u01afu \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 x\u01b0\u01a1ng l\u00e0nh theo \u00fd mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb, kh\u1edbp kh\u00f4ng b\u1ecb c\u1ee9ng, b\u1ec7nh nh\u00e2n ch\u00f3ng tr\u1edf l\u1ea1i sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng. Song nguy c\u01a1 nhi\u1ec5m tr\u00f9ng khi m\u1ed5 c\u00f2n cao do kh\u00f4ng \u0111\u1ea3m b\u1ea3o v\u00f4 tr\u00f9ng (10 \u2013 25%). Ngo\u00e0i ra, c\u00e1c bi\u1ebfn ch\u1ee9ng g\u00e3y n\u1eb9p, bung n\u1eb9p c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n<h4>D\u1ef1 ph\u00f2ng<\/h4>\n<p>Tuy\u00ean truy\u1ec1n v\u00e0 gi\u00e1o d\u1ee5c trong c\u1ed9ng \u0111\u1ed3ng v\u1ec1 lu\u1eadt giao th\u00f4ng v\u00e0 lao \u0111\u1ed9ng.<\/p>\n<p>C\u1ea7n gi\u00e1o d\u1ee5c c\u1ed9ng \u0111\u1ed3ng s\u01a1 c\u1ee9u t\u1ea1i ch\u1ed7 v\u00e0 b\u1ea5t \u0111\u1ed9ng g\u00e3y x\u01b0\u01a1ng t\u1ed1t c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng \u0111\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c bi\u1ebfn ch\u1ee9ng trong g\u00e3y x\u01b0\u01a1ng.<\/p>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c tuy\u1ebfn y t\u1ebf c\u01a1 s\u1edf c\u1ea7n ch\u1ea9n \u0111o\u00e1n s\u1edbm, x\u1eed l\u00fd \u0111\u00fang v\u00e0 chuy\u1ec3n l\u00ean tuy\u1ebfn y t\u1ebf chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng do g\u00e3y hai x\u01b0\u01a1ng c\u1eb3ng ch\u00e2n.<\/p>\n<p>H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n t\u1eadp luy\u1ec7n ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n","protected":false},"featured_media":747,"comment_status":"open","ping_status":"closed","template":"","tags":[49,46,44,57,48,45],"chuyen-muc":[35],"class_list":["post-737","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-gay-ho","tag-gay-kin","tag-gay-xuong","tag-gay-xuong-chi-duoi","tag-gay-xuong-ho","tag-gay-xuong-kin","chuyen-muc-nhap-mon-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/737","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=737"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/737\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/747"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=737"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=737"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=737"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}