{"id":970,"date":"2023-04-01T10:04:08","date_gmt":"2023-04-01T03:04:08","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=970"},"modified":"2023-04-08T23:36:29","modified_gmt":"2023-04-08T16:36:29","slug":"dai-cuong-phau-thuat-cat-cut-chi-the","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/dai-cuong-phau-thuat-cat-cut-chi-the\/","title":{"rendered":"Outline of Amputation Surgery"},"content":{"rendered":"<h2>\u0110\u1ea0I C\u01af\u01a0NG<\/h2>\n<h3>S\u01a1 l\u01b0\u1ee3c l\u1ecbch s\u1eed ph\u1eabu thu\u1eadt c\u1eaft c\u1ee5t<\/h3>\n<p>Ph\u1eabu thu\u1eadt c\u1eaft <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">c\u1ee5t chi<\/a> th\u1ec3 c\u00f3 t\u1eeb r\u1ea5t s\u1edbm trong l\u1ecbch s\u1eed y h\u1ecdc, l\u00e0 nh\u1eefng h\u00ecnh ph\u1ea1t man r\u1ee3 trong c\u00e1c x\u00e3 h\u1ed9i th\u1eddi x\u01b0a, vi\u1ec7c c\u1ea7m m\u00e1u b\u1eb1ng c\u00e1ch bu\u1ed9c t\u00fam m\u1ecfm c\u1eaft ho\u1eb7c nh\u00fang v\u00e0o v\u1ea1t d\u1ea7u s\u00f4i. \u0110\u1ea7u th\u1ebf k\u1ef7 XVI, Ambroise Par\u00e9 (Ph\u00e1p) m\u00f4 t\u1ea3 k\u1ef9 h\u01a1n v\u1ec1 ch\u1ee9c n\u0103ng m\u1ecfm c\u1ee5t v\u00e0 l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean th\u1eaft bu\u1ed9c c\u00e1c m\u1ea1ch m\u00e1u khi c\u1eaft c\u1ee5t v\u00e0 \u0111\u1ec1 xu\u1ea5t chi gi\u1ea3. Th\u1ebf k\u1ef7 XVII, Morel gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1ch b\u0103ng garo m\u1ecfm c\u1ee5t,&#8230; Cho \u0111\u1ebfn g\u1ea7n \u0111\u00e2y, sau c\u00f4ng tr\u00ecnh c\u1ee7a Rolf-Diderich th\u00ec ph\u1eabu thu\u1eadt n\u00e0y m\u1edbi \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u s\u00e2u r\u1ed9ng. C\u1eaft c\u1ee5t kh\u00f4ng c\u00f2n l\u00e0 ph\u1eabu thu\u1eadt \u0111\u01a1n thu\u1ea7n m\u00e0 \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t chuy\u00ean ng\u00e0nh c\u00f3 nguy\u00ean l\u00fd \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 ri\u00eang bi\u1ec7t, trong \u0111\u00f3 lu\u00f4n lu\u00f4n c\u00f3 s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a: ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, <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> v\u00e0 t\u00e2m l\u00fd tr\u1ecb li\u1ec7u.<\/p>\n<p>M\u1ee5c \u0111\u00edch c\u1ee7a c\u1eaft c\u1ee5t kh\u00f4ng ch\u1ec9 \u1edf s\u1ef1 c\u1eaft b\u1ecf ph\u1ea7n chi m\u00e0 l\u00e0 \u1edf s\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ee7a \u0111o\u1ea1n chi \u0111\u00f3. Sau \u0111\u1ea1i chi\u1ebfn Th\u1ebf gi\u1edbi th\u1ee9 2, c\u1eaft c\u1ee5t \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 v\u1ec1 m\u1eb7t k\u1ef9 thu\u1eadt, v\u00ec h\u00e0ng v\u1ea1n ng\u01b0\u1eddi l\u00ednh tr\u1ebb b\u1ecb c\u1eaft c\u1ee5t do h\u1eadu qu\u1ea3 chi\u1ebfn tranh. Nh\u1eefng ti\u1ebfn b\u1ed9 tr\u00ean nhi\u1ec1u l\u0129nh v\u1ef1c \u0111\u00e3 \u0111\u01b0a c\u1eaft c\u1ee5t th\u00e0nh m\u1ed9t chuy\u00ean khoa l\u1edbn: c\u00e1c k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh c\u01a1, x\u01b0\u01a1ng, nh\u1eefng hi\u1ec3u bi\u1ebft c\u00e1c nguy\u00ean t\u1eafc sinh c\u01a1 h\u1ecdc trong v\u1eadn \u0111\u1ed9ng c\u01a1 th\u1ec3, x\u01b0\u01a1ng con ng\u01b0\u1eddi, nh\u1eefng t\u00ecm t\u00f2i s\u00e1ng t\u1ea1o c\u00e1c lo\u1ea1i chi gi\u1ea3 m\u1edbi c\u00f9ng v\u1edbi s\u1ef1 \u0111o l\u01b0\u1eddng kh\u1ea3 n\u0103ng ti\u00eau hao s\u1ee9c l\u1ef1c khi d\u00f9ng chi gi\u1ea3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>N\u0103m 1963, t\u1ea1i H\u1ed9i ngh\u1ecb Chi gi\u1ea3 l\u1ea7n th\u1ee9 6 \u1edf Copenhagen, Weliss (Balan) \u0111\u00e3 \u0111\u1ec1 ngh\u1ecb s\u1eed d\u1ee5ng chi gi\u1ea3 sau c\u1eaft c\u1ee5t m\u00e0 kh\u00f4ng ch\u1edd \u0111\u1ebfn khi l\u00e0nh v\u1ebft th\u01b0\u01a1ng. C\u00e1c ti\u1ebfn b\u1ed9 tr\u00ean \u0111\u01b0a \u0111\u1ebfn k\u1ebft qu\u1ea3 r\u1ea5t ph\u1ea5n kh\u1edfi l\u00e0 gi\u1ea3m \u0111\u01b0\u1ee3c s\u1ed1 l\u1ea7n m\u1ed5 l\u1ea1i \u0111\u1ec3 s\u1eeda c\u00e1c m\u1ecfm c\u1ee5t gi\u00fap ng\u01b0\u1eddi b\u1ecb c\u1eaft c\u1ee5t c\u00f3 m\u1ed9t cu\u1ed9c s\u1ed1ng sinh ho\u1ea1t g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng trong m\u1ed9t th\u1eddi gian ng\u1eafn. Nhi\u1ec1u t\u00e1c gi\u1ea3 \u0111\u1ecbnh ngh\u0129a c\u1eaft c\u1ee5t l\u00e0 th\u1ee7 thu\u1eadt nh\u1eb1m m\u1ee5c \u0111\u00edch c\u1eaft b\u1ecf \u0111i m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 chi th\u1ec3. N\u1ebfu \u0111\u01b0\u1eddng c\u1eaft \u0111i qua x\u01b0\u01a1ng g\u1ecdi l\u00e0 c\u1eaft c\u1ee5t th\u1ef1c th\u1ee5, n\u1ebfu \u0111\u01b0\u1eddng c\u1eaft \u0111i ngang qua khe kh\u1edbp g\u1ecdi l\u00e0 th\u00e1o kh\u1edbp.<\/p>\n<h3>Sinh l\u00fd b\u1ec7nh m\u1ecfm c\u1ee5t<\/h3>\n<p>Sau khi c\u1eaft c\u1ee5t chi th\u1ec3, c\u00e1c t\u1ed5 ch\u1ee9c m\u1ecfm c\u1ee5t c\u00f3 nh\u1eefng bi\u1ebfn \u0111\u1ed5i nh\u01b0 sau:<\/p>\n<h4>Nh\u1eefng bi\u1ebfn \u0111\u1ed5i t\u1ea1i ch\u1ed7<\/h4>\n<ol>\n<li>X\u01b0\u01a1ng\u00a0<\/li>\n<\/ol>\n<ul>\n<li>Lo\u00e3ng x\u01b0\u01a1ng \u1edf \u0111\u1ea7u m\u1ecfm c\u1ee5t lan d\u1ea7n l\u00ean tr\u00ean, c\u00f3 khi lan r\u1ed9ng \u0111\u1ebfn c\u00e1c x\u01b0\u01a1ng kh\u1edbp. Lo\u00e3ng x\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n r\u00f5 r\u1ec7t v\u00e0o ng\u00e0y th\u1ee9 10 v\u00e0 k\u00e9o d\u00e0i sau m\u1ed9t th\u1eddi gian d\u00e0i hay ng\u1eafn t\u00f9y theo t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n, c\u00f3 khi t\u1edbi h\u00e0ng n\u0103m.<\/li>\n<li>\u0110\u1ea7u x\u01b0\u01a1ng b\u1ecb teo nh\u1ecf d\u1ea7n l\u1ea1i. Ri\u00eang \u1edf tr\u1ebb em x\u01b0\u01a1ng d\u00e0i nhanh h\u01a1n c\u01a1 v\u00e0 da, nh\u1ea5t l\u00e0 v\u1ecb tr\u00ed c\u1eaft g\u1ea7n s\u1ee5n ti\u1ebfp h\u1ee3p. Do \u0111\u00f3, m\u1ecfm c\u1ee5t \u1edf tr\u1ebb em th\u01b0\u1eddng nh\u1ecf, nh\u1ecdn v\u00e0 \u0111\u1ea7u x\u01b0\u01a1ng th\u1ecdc ra ngo\u00e0i da, n\u00ean kh\u00f4ng l\u00e0m chi gi\u1ea3 v\u0129nh vi\u1ec5n ngay \u0111\u01b0\u1ee3c m\u00e0 ph\u1ea3i ch\u1edd t\u1edbi tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh, s\u1eeda l\u1ea1i m\u1ecfm c\u1ee5t m\u1edbi l\u1eafp chi gi\u1ea3 \u0111\u01b0\u1ee3c<\/li>\n<\/ul>\n<p>\u00a0 \u00a0 \u00a02. Da c\u01a1 v\u00e0 ph\u1ea7n m\u1ec1m kh\u00e1c<\/p>\n<ul>\n<li>Da: co r\u00fat kh\u00f4ng \u0111\u1ec1u nhau t\u00f9y t\u1eebng v\u1ecb tr\u00ed. N\u00f3i chung da m\u1ecfng, \u00edt t\u1ed5 ch\u1ee9c d\u01b0\u1edbi da, kh\u00f4ng d\u00ednh v\u00e0o t\u1ed5 ch\u1ee9c s\u00e2u co r\u00fat nhi\u1ec1u h\u01a1n.<\/li>\n<li>C\u01a1: nh\u1eefng c\u01a1 \u1edf n\u00f4ng c\u00f3 nguy\u00ean \u1ee7y, b\u00e1m t\u1eadn xa nhau th\u00ec co r\u00fat nhi\u1ec1u h\u01a1n nh\u1eefng c\u01a1 \u1edf s\u00e2u. Hi\u1ec7n t\u01b0\u1ee3ng c\u01a1 co r\u00fat x\u1ea3y ra ngay sau khi c\u1eaft v\u00e0 ng\u00e0y c\u00e0ng co r\u00fat th\u00eam.<\/li>\n<\/ul>\n<p>\u00a0 \u00a0 \u00a03. M\u1ea1ch m\u00e1u<\/p>\n<ul>\n<li>\n<p>\u0110\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch \u0111\u1ec1u teo nhanh, sau 2 th\u00e1ng c\u1eaft c\u1ee5t th\u00ec \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i nh\u1ecf l\u1ea1i ch\u1ec9 b\u1eb1ng \u0111\u1ed9ng m\u1ea1ch quay, \u0111\u1ed9ng m\u1ea1ch c\u00e1nh tay nh\u1ecf l\u1ea1i b\u1eb1ng \u0111\u1ed9ng m\u1ea1ch b\u00ean <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">ng\u00f3n tay<\/a>.<\/p>\n<\/li>\n<\/ul>\n<p>\u00a0 \u00a0 \u00a04. C\u00e1c d\u00e2y th\u1ea7n kinh kh\u00f4ng b\u1ecb teo l\u1ea1i nh\u01b0 c\u00e1c ph\u1ea7n m\u1ec1m kh\u00e1c, m\u00e0 c\u00f3 xu h\u01b0\u1edbng m\u1ecdc d\u00e0i ra nh\u01b0ng ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c s\u1ee3i tr\u1ee5c c\u1ee7a d\u00e2y th\u1ea7n S\u1ef1 ph\u00e1t tri\u1ec3n d\u00e0i ra n\u00e0y b\u1ecb s\u1ee9c c\u1ea3n c\u1ee7a m\u1ecfm c\u1ee5t l\u00e0m cho ch\u00fang cu\u1ed9n tr\u00f2n l\u1ea1i th\u00e0nh m\u1ed9t kh\u1ed1i u g\u1ecdi l\u00e0 u th\u1ea7n kinh. Trong u th\u1ea7n kinh c\u00f3 c\u00e1c nh\u00e1nh c\u1ea3m gi\u00e1c v\u00e0 v\u1eadn \u0111\u1ed9ng, c\u00e1c nh\u00e1nh c\u1ea3m gi\u00e1c v\u1eabn d\u1eabn truy\u1ec1n c\u00e1c k\u00edch th\u00edch v\u1ec1 trung \u01b0\u01a1ng. Do \u0111\u00f3, sau khi c\u1eaft c\u1ee5t, b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 c\u1ea3m gi\u00e1c c\u00f2n t\u1ed3n t\u1ea1i chi th\u1ec3 nh\u01b0 ch\u01b0a b\u1ecb c\u1eaft c\u1ee5t, \u0111\u00f3 l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng \u201cchi ma\u201d sau c\u1eaft c\u1ee5t. Hi\u1ec7n t\u01b0\u1ee3ng \u201cchi ma\u201d sinh l\u00fd s\u1ebd gi\u1ea3m d\u1ea7n v\u00e0 h\u1ebft h\u1eb3n sau m\u1ed9t th\u1eddi gian th\u00edch nghi \u0111\u01b0\u1ee3c. U th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c ph\u1ea3n x\u1ea1 nh\u01b0 lo\u1ea1n nh\u1ecbp tim, c\u00e1c c\u01a1n \u0111au tim, c\u00e1c c\u01a1n t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c c\u00e1c c\u01a1n hen.<\/p>\n<h4>Nh\u1eefng bi\u1ebfn \u0111\u1ed5i to\u00e0n th\u00e2n<\/h4>\n<p>C\u1eaft c\u1ee5t \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng, s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. Ng\u01b0\u1eddi b\u1ecb c\u1eaft c\u1ee5t chi tr\u00ean \u00edt b\u1ecb gi\u1ea3m b\u1edbt s\u1ee9c ho\u1ea1t \u0111\u1ed9ng, n\u00ean \u00edt c\u00f3 thay \u0111\u1ed5i l\u1edbn. Tr\u00e1i l\u1ea1i, ng\u01b0\u1eddi b\u1ecb c\u1eaft c\u1ee5t chi d\u01b0\u1edbi th\u01b0\u1eddng b\u1ecb gi\u1ea3m s\u1ee9c ho\u1ea1t \u0111\u1ed9ng nhi\u1ec1u h\u01a1n n\u00ean d\u1ec5 b\u1ecb b\u00e9o ph\u00ec nhi\u1ec1u h\u01a1n.<\/p>\n<h3>Ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t trong ch\u1ea5n th\u01b0\u01a1ng, v\u1ebft th\u01b0\u01a1ng<\/h3>\n<p>Ng\u00e0y nay, ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t chi \u0111\u01b0\u1ee3c thu h\u1eb9p l\u1ea1i nh\u1edd s\u1ef1 ti\u1ebfn b\u1ed9 v\u1ec1 khoa h\u1ecdc n\u00f3i chung v\u00e0 y h\u1ecdc n\u00f3i ri\u00eang nh\u01b0: h\u1ed3i s\u1ee9c, kh\u00e1ng sinh, k\u1ef9 thu\u1eadt n\u1ed1i gh\u00e9p, v\u1eadn chuy\u1ec3n. Do \u0111\u00f3, ch\u1ec9 c\u1eaft c\u1ee5t khi kh\u00f4ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n b\u1ea3o t\u1ed3n ho\u1eb7c kh\u00f4ng c\u00f2n bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c n\u1eefa.<\/p>\n<h4>Ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t k\u1ef3 \u0111\u1ea7u<\/h4>\n<ol>\n<li>V\u1ebft th\u01b0\u01a1ng \u0111\u1ebfn s\u1edbm<\/li>\n<\/ol>\n<ul>\n<li>Nh\u1eefng c\u1eaft c\u1ee5t t\u1ef1 nhi\u00ean: chi \u0111\u1ee9t ho\u00e0n to\u00e0n ho\u1eb7c c\u00f2n d\u00ednh m\u1ed9t ph\u1ea7n da, g\u00e2n m\u00e0 \u0111i\u1ec1u ki\u1ec7n n\u1ed1i gh\u00e9p kh\u00f4ng c\u00f3.<\/li>\n<\/ul>\n<p>\u00a0 \u00a0 \u00a02. V\u1ebft th\u01b0\u01a1ng \u0111\u1ebfn mu\u1ed9n<\/p>\n<ul>\n<li>Khi gar\u00f4 \u0111\u00e3 \u0111\u1eb7t l\u00e2u m\u00e0 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi ch\u1ed7 gar\u00f4 b\u1ecb <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">ho\u1ea1i t\u1eed<\/a> do thi\u1ebfu nu\u00f4i d\u01b0\u1ee1ng th\u00ec ph\u1ea3i c\u1eaft c\u1ee5t \u0111\u1ec3 c\u1ee9u s\u1ed1ng t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n.<\/li>\n<li>Nh\u1eefng v\u1ebft th\u01b0\u01a1ng nhi\u1ec5m khu\u1ea9n y\u1ebfm kh\u00ed ho\u1eb7c nhi\u1ec5m khu\u1ea9n n\u1eb7ng kh\u00e1c m\u00e0 x\u00e9t th\u1ea5y \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00f4ng k\u1ebft qu\u1ea3.<\/li>\n<\/ul>\n<h4>Ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t mu\u1ed9n<\/h4>\n<ul>\n<li>T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u nhi\u1ec1u nh\u01b0ng hy v\u1ecdng c\u00f2n c\u00f3 th\u1ec3 b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c th\u00ec \u0111\u1ec3 l\u1ea1i theo d\u00f5i m\u1ed9t th\u1eddi gian, n\u1ebfu th\u1ea5y t\u00ecnh tr\u1ea1ng thi\u1ebfu dinh d\u01b0\u1ee1ng c\u1ee7a chi th\u1ec3 ng\u00e0y m\u1ed9t n\u1eb7ng th\u00eam th\u00ec n\u00ean c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t.<\/li>\n<li>Chi th\u1ec3 b\u1ecb nhi\u1ec5m khu\u1ea9n c\u00f2n hy v\u1ecdng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c, nh\u01b0ng sau m\u1ed9t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n ng\u00e0y c\u00e0ng n\u1eb7ng th\u00eam, \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. C\u1eaft c\u1ee5t l\u00fac n\u00e0y nh\u1eb1m m\u1ee5c \u0111\u00edch tr\u1eeb b\u1ecf \u1ed5 nhi\u1ec5m khu\u1ea9n m\u1ed9t c\u00e1ch tri\u1ec7t \u0111\u1ec3 nh\u1ea5t \u0111\u1ec3 c\u1ee9u s\u1ed1ng t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<h4>Ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t k\u1ef3 hai<\/h4>\n<ul>\n<li>Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 l\u00e0m ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh, nh\u01b0ng kh\u00f4ng th\u1ec3 tr\u1ea3 l\u1ea1i c\u01a1 n\u0103ng chi th\u1ec3 th\u00edch h\u1ee3p v\u00ec c\u00e1c t\u01b0 th\u1ebf l\u1ec7ch v\u1eb9o, co qu\u1eafp, nhi\u1ec1u khi v\u01b0\u1edbng b\u1eadn th\u00eam trong lao \u0111\u1ed9ng v\u00e0 sinh ho\u1ea1t, c\u1ea7n c\u1eaft c\u1ee5t \u0111\u1ec3 thay th\u1ebf b\u1eb1ng chi gi\u1ea3 th\u00edch h\u1ee3p h\u01a1n.<\/li>\n<li>Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam x\u01b0\u01a1ng<\/a>, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">vi\u00eam kh\u1edbp<\/a> b\u1ecb h\u1ee7y ho\u1ea1i nhi\u1ec1u, c\u00f3 xu h\u01b0\u1edbng lan r\u1ed9ng m\u00e0 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00f4ng c\u00f2n.<\/li>\n<li>Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft c\u1ee5t ho\u1eb7c th\u00e1o kh\u1edbp m\u00e0 hi\u1ec7n t\u1ea1i m\u1ecfm c\u0169 x\u1ea5u ho\u1eb7c kh\u00f4ng \u0111\u1ea1t y\u00eau c\u1ea7u \u0111\u1ec3 l\u1eafp chi gi\u1ea3 (m\u1ecfm c\u1ee5t b\u1ecb vi\u00eam x\u01b0\u01a1ng, ch\u1ed3i x\u01b0\u01a1ng d\u01b0\u1edbi da, b\u1ecb lo\u00e9t,&#8230; ho\u1eb7c b\u1ecb \u0111au, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/bong-nguoi-lon\/\">b\u1ecfng<\/a> bu\u1ed1t do u th\u1ea7n kinh).<\/li>\n<\/ul>\n<h4>Ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t trong chi\u1ebfn tranh<\/h4>\n<p>Trong chi\u1ebfn tranh, ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t v\u1ec1 c\u01a1 b\u1ea3n gi\u1ed1ng nh\u01b0 th\u1eddi b\u00ecnh. Tuy nhi\u00ean, n\u00f3 c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o trang b\u1ecb, tr\u00ecnh \u0111\u1ed9 k\u1ef9 thu\u1eadt, kh\u1ea3 n\u0103ng thu dung \u0111i\u1ec1u tr\u1ecb c\u1ee7a t\u1eebng tuy\u1ebfn tr\u01b0\u1edbc m\u1ed9t kh\u1ed1i l\u01b0\u1ee3ng th\u01b0\u01a1ng binh \u0111\u00f4ng, do \u0111\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t th\u01b0\u1eddng r\u1ed9ng r\u00e3i h\u01a1n so v\u1edbi th\u1eddi b\u00ecnh. Song c\u0169ng c\u1ea7n nh\u1eafc k\u1ef9 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hai y\u00eau c\u1ea7u:<\/p>\n<ul>\n<li>C\u1ee9u s\u1ed1ng t\u00ednh m\u1ea1ng th\u01b0\u01a1ng binh, ti\u1ebft ki\u1ec7m t\u1ed1i \u0111a t\u1eebng ph\u1ea7n chi th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n n\u1ebfu c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c<\/li>\n<li>\u0110\u1ec3 h\u1edf v\u1ebft th\u01b0\u01a1ng.<\/li>\n<\/ul>\n<h3>K\u1ef9 thu\u1eadt c\u1eaft c\u1ee5t<\/h3>\n<h4>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eaft c\u1ee5t<\/h4>\n<p><em>Ph\u01b0\u01a1ng ph\u00e1p c\u1eaft tr\u00f2n<\/em><\/p>\n<ul>\n<li>C\u1eaft tr\u00f2n ph\u1eb3ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u1eaft c\u1ed5 \u0111i\u1ec3n, c\u1eaft ph\u1ea7n m\u1ec1m v\u00e0 x\u01b0\u01a1ng \u1edf c\u00f9ng m\u1ed9t m\u1ee9c, l\u01b0\u1ee1i dao \u0111\u1eb7t th\u1eb3ng g\u00f3c v\u1edbi tr\u1ee5c chi. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y nhanh v\u00e0 \u0111\u01a1n gi\u1ea3n, \u0111\u1ea7u m\u1ecfm c\u1ee5t \u0111\u01b0\u1ee3c ph\u01a1i b\u00e0y \u0111\u1ea7y \u0111\u1ee7 nh\u1ea5t t\u1eeb x\u01b0\u01a1ng \u0111\u1ebfn Sau khi c\u1eaft tr\u00f2n ph\u1eb3ng m\u1ecfm c\u1ee5t s\u1ebd thi\u1ebfu da v\u00e0 c\u01a1 n\u00ean x\u01b0\u01a1ng b\u1ecb tr\u1ed3i ra ngo\u00e0i, do \u0111\u00f3 ph\u1ea3i x\u1eed tr\u00ed k\u1ef3 hai m\u1ecfm c\u1ee5t m\u1edbi li\u1ec1n da v\u00e0 l\u1eafp chi gi\u1ea3 \u0111\u01b0\u1ee3c. V\u00ec v\u1eady, ch\u1ec9 \u00e1p d\u1ee5ng c\u1eaft tr\u00f2n ph\u1eb3ng \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p ho\u1ea1i th\u01b0 sinh h\u01a1i hay ga-r\u00f4 qu\u00e1 l\u00e2u m\u00e0 ph\u1ea7n d\u01b0\u1edbi ga-r\u00f4 \u0111\u00e3 ho\u1ea1i t\u1eed ho\u1eb7c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee7 s\u1ee9c ch\u1ecbu \u0111\u1ef1ng, ph\u1ea3i m\u1ed5 c\u1ea5p c\u1ee9u \u0111\u1ec3 c\u1ee9u s\u1ed1ng t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n (H\u00ecnh 18.1).<\/li>\n<\/ul>\n<figure id=\"attachment_978\" aria-describedby=\"caption-attachment-978\" style=\"width: 157px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-978\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-phang-157x300.png\" alt=\"C\u1eaft Tr\u00f2n Ph\u1eb3ng\" width=\"157\" height=\"300\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-phang-157x300.png 157w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-phang-6x12.png 6w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-phang.png 251w\" sizes=\"(max-width: 157px) 100vw, 157px\" \/><figcaption id=\"caption-attachment-978\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.1. <\/strong>C\u1eaft Tr\u00f2n Ph\u1eb3ng ( Ngu\u1ed3n: theo t\u00e1c gi\u1ea3 )<\/figcaption><\/figure>\n<ul>\n<li>C\u1eaft tr\u00f2n h\u00ecnh ph\u1ec5u l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u00f3 t\u00ednh to\u00e1n \u0111\u1ed9 co c\u1ee7a da v\u00e0 c\u01a1 theo v\u1ecb tr\u00ed \u0111\u1ecbnh c\u01b0a x\u01b0\u01a1ng, v\u00ec v\u1eady c\u00f2n g\u1ecdi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u1eaft c\u1ee5t \u0111i\u1ec3n h\u00ecnh (H\u00ecnh 18.2).<\/li>\n<\/ul>\n<p>+ C\u1ee5 th\u1ec3:<\/p>\n<ul>\n<li>X\u00e1c \u0111\u1ecbnh m\u1ed1c c\u01b0a x\u01b0\u01a1ng<\/li>\n<li>C\u1eaft da d\u01b0\u1edbi m\u1ed1c \u0111\u1ecbnh c\u01b0a x\u01b0\u01a1ng m\u1ed9t \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau c\u1ee7a ch\u1ed7 \u0111\u1ecbnh c\u01b0a x\u01b0\u01a1ng<\/li>\n<li>C\u1eaft c\u01a1 t\u1eebng l\u1edbp\n<ul>\n<li>C\u1eaft c\u01a1 l\u1edbp n\u00f4ng theo m\u1ee9c da co<\/li>\n<li>C\u1eaft c\u01a1 l\u1edbp s\u00e2u theo m\u1ee9c c\u01a1 n\u00f4ng co ho\u1eb7c ngang m\u1ee9c c\u01b0a x\u01b0\u01a1ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<figure id=\"attachment_979\" aria-describedby=\"caption-attachment-979\" style=\"width: 211px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-979\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-hinh-pheu-2-211x300.png\" alt=\"C\u1eaft Tr\u00f2n H\u00ecnh Ph\u1ec5u [2]\" width=\"211\" height=\"300\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-hinh-pheu-2-211x300.png 211w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-hinh-pheu-2-8x12.png 8w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-tron-hinh-pheu-2.png 247w\" sizes=\"(max-width: 211px) 100vw, 211px\" \/><figcaption id=\"caption-attachment-979\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.2.<\/strong>C\u1eaft Tr\u00f2n H\u00ecnh Ph\u1ec5u [2]<\/figcaption><\/figure>\n<p>+ C\u1eaft x\u01b0\u01a1ng \u1edf v\u1ecb tr\u00ed \u0111\u00e3 \u0111\u1ecbnh sau khi \u0111\u00e3 v\u00e9n c\u01a1 l\u00ean tr\u00ean m\u1ee9c \u0111\u1ecbnh c\u01b0a x\u01b0\u01a1ng.<\/p>\n<p>\u1ede c\u00e1c \u0111o\u1ea1n chi thon, n\u1ebfu kh\u00f3 v\u00e9n da v\u00e0 ph\u1ea7n m\u1ec1m l\u00ean cao \u0111\u1ec3 c\u01b0a x\u01b0\u01a1ng th\u00ec c\u00f3 th\u1ec3 x\u00e9 th\u00eam m\u1ed9t ho\u1eb7c hai \u0111\u01b0\u1eddng b\u00ean, \u0111\u1ec9nh r\u1ea3nh x\u1ebb ph\u1ea3i cao h\u01a1n m\u1ee9c c\u01b0a x\u01b0\u01a1ng.<\/p>\n<ul>\n<li>C\u1eaft tr\u00f2n \u0111\u1ec3 ng\u1ecf (ki\u1ec3u Pi\u2013r\u00f4-g\u00f4p) kh\u00f4ng \u1ea5n \u0111\u1ecbnh m\u1ee9c c\u01b0a x\u01b0\u01a1ng tr\u01b0\u1edbc, m\u1ee9c c\u1eaft x\u01b0\u01a1ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c c\u1eaft ph\u1ea7n m\u1ec1m.<\/li>\n<\/ul>\n<p>+ C\u1eaft da: c\u1eaft da \u1edf ch\u1ed7 l\u00e0nh ngay tr\u00ean v\u00f9ng th\u01b0\u01a1ng t\u1ed5n, b\u00ean n\u00e0o da co nhi\u1ec1u th\u00ec c\u1eaft b\u00ean \u0111\u00f3 th\u1ea5p h\u01a1n.<\/p>\n<p>+ C\u1eaft c\u01a1:<\/p>\n<ul>\n<li>C\u1eaft c\u01a1 l\u1edbp n\u00f4ng theo m\u1ee9c da co<\/li>\n<li>C\u1eaft c\u01a1 l\u1edbp s\u00e2u theo m\u1ee9c c\u01a1 n\u00f4ng co<\/li>\n<\/ul>\n<p>+ C\u1eaft x\u01b0\u01a1ng \u1edf ngay v\u1ecb tr\u00ed l\u1edbp c\u01a1 \u1edf s\u00e2u \u0111\u00e3 co.<\/p>\n<p>C\u0169ng nh\u01b0 c\u1eaft tr\u00f2n \u0111i\u1ec3n h\u00ecnh, c\u1eaft tr\u00f2n b\u1ecf ng\u1ecf c\u00f3 th\u1ec3 k\u00e8m theo \u0111\u01b0\u1eddng x\u1ebb r\u1ea3nh b\u00ean \u0111\u1ec3 gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p khi ph\u00f9 n\u1ec1 lan r\u1ed9ng l\u00ean cao.<\/p>\n<p><em>Ph\u01b0\u01a1ng ph\u00e1p c\u1eaft tr\u00f2n b\u1ecf ng\u1ecf c\u00f3 ch\u1ec9 \u0111\u1ecbnh khi:<\/em><\/p>\n<ul>\n<li>Gi\u1eadp n\u00e1t l\u1edbp chi th\u1ec3, th\u01b0\u01a1ng binh <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/da-chan-thuong-choang-chan-thuong\/\">cho\u00e1ng<\/a> n\u1eb7ng, c\u1eaft c\u1ee5t nh\u1eb1m ch\u1eefa c\u0103n nguy\u00ean g\u00e2y cho\u00e1ng.<\/li>\n<li>Chi th\u1ec3 nhi\u1ec5m tr\u00f9ng lan r\u1ed9ng, nhi\u1ec5m tr\u00f9ng k\u1ef5 kh\u00ed. Ph\u01b0\u01a1ng ph\u00e1p c\u1eaft h\u00ecnh b\u1ea7u d\u1ee5c<\/li>\n<\/ul>\n<p>\u0110\u01b0\u1eddng c\u1eaft h\u00ecnh qu\u1ea3 l\u00ea, \u0111\u1ee7 ph\u1ea7n m\u1ec1m \u0111\u1ec3 b\u1ecdc m\u1ecfm c\u1ee5t sau khi th\u00e1o kh\u1edbp ng\u00f3n tay, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">kh\u1edbp vai<\/a>.<\/p>\n<p><em>Ph\u01b0\u01a1ng ph\u00e1p c\u1eaft v\u1ea1t<\/em><\/p>\n<p><img decoding=\"async\" class=\"size-medium wp-image-980 aligncenter\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture3-300x271.png\" alt=\"Picture3\" width=\"300\" height=\"271\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture3-300x271.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture3-13x12.png 13w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Picture3.png 554w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><figure id=\"attachment_981\" aria-describedby=\"caption-attachment-981\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-981\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-hai-vat-bang-nhau-va-cat-hai-vat-khong-bang-nhau-3-300x189.png\" alt=\"C\u1eaft Hai V\u1ea1t B\u1eb1ng Nhau V\u00e0 C\u1eaft Hai V\u1ea1t Kh\u00f4ng B\u1eb1ng Nhau [3]\" width=\"300\" height=\"189\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-hai-vat-bang-nhau-va-cat-hai-vat-khong-bang-nhau-3-300x189.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-hai-vat-bang-nhau-va-cat-hai-vat-khong-bang-nhau-3-768x484.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-hai-vat-bang-nhau-va-cat-hai-vat-khong-bang-nhau-3-18x12.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Cat-hai-vat-bang-nhau-va-cat-hai-vat-khong-bang-nhau-3.png 791w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-981\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.3.<\/strong>C\u1eaft Hai V\u1ea1t B\u1eb1ng Nhau V\u00e0 C\u1eaft Hai V\u1ea1t Kh\u00f4ng B\u1eb1ng Nhau [3]<\/figcaption><\/figure> <figure id=\"attachment_982\" aria-describedby=\"caption-attachment-982\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-982\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-tren-goi-3-300x200.jpg\" alt=\"K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm C\u1ee5t Tr\u00ean G\u1ed1i [3]\" width=\"300\" height=\"200\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-tren-goi-3-300x200.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-tren-goi-3-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-tren-goi-3.jpg 499w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-982\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.4 <\/strong>K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm C\u1ee5t Tr\u00ean G\u1ed1i [3]<\/figcaption><\/figure> <figure id=\"attachment_983\" aria-describedby=\"caption-attachment-983\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-983\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-duoi-3-300x246.jpg\" alt=\"K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm D\u01b0\u1edbi [3]\" width=\"300\" height=\"246\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-duoi-3-300x246.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-duoi-3-15x12.jpg 15w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-duoi-3.jpg 492w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-983\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.5.<\/strong>K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm D\u01b0\u1edbi [3]<\/figcaption><\/figure> <figure id=\"attachment_984\" aria-describedby=\"caption-attachment-984\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-984\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-tay-3-300x144.jpg\" alt=\"K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm C\u1ee5t \u1edf Tay [3]\" width=\"300\" height=\"144\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-tay-3-300x144.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-tay-3-18x9.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-tay-3.jpg 527w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-984\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.6. <\/strong>K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm C\u1ee5t \u1edf Tay [3]<\/figcaption><\/figure><\/p>\n<p>Hai v\u1ea1t b\u1eb1ng nhau, ng\u1eafn d\u00e0i t\u00f9y theo v\u1ecb tr\u00ed v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m v\u1ebft th\u01b0\u01a1ng.<\/p>\n<p>\u0110\u1ec9nh r\u1ea3nh gi\u1eefa hai v\u1ea1t bao gi\u1edd c\u0169ng cao h\u01a1n m\u1ee9c c\u01b0a x\u01b0\u01a1ng v\u00e0 cao l\u00ean tr\u00ean ch\u1ed7 n\u1ec1 (n\u1ebfu c\u00f3). R\u00e3nh x\u1ebb ph\u1ea3i \u0111\u1ee7 c\u1ea3 l\u1edbp da, g\u00e2n, c\u01a1.<\/p>\n<p>Nguy\u00ean t\u1eafc t\u00ednh chi\u1ec1u d\u00e0i c\u1ee7a <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/vi-phau-thuat-va-vat-da\/\">v\u1ea1t da<\/a>: t\u1ed5ng \u0111\u1ed9 d\u00e0i hai v\u1ea1t b\u1eb1ng hai l\u1ea7n \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau ch\u1ed7 \u0111\u1ecbnh c\u01b0a x\u01b0\u01a1ng.<\/p>\n<ul>\n<li>C\u1eaft hai v\u1ea1t b\u1eb1ng nhau th\u01b0\u1eddng \u00e1p d\u1ee5ng \u1edf \u0111o\u1ea1n chi m\u00e0 c\u00e1c c\u01a1 c\u00e2n \u0111\u1ed1i \u1edf c\u1ea3 hai ph\u00eda c\u1ee7a chi th\u1ec3 (1\/3 gi\u1eefa \u0111\u00f9i, 1\/3 gi\u1eefa c\u1eb3ng tay), s\u1eb9o s\u1ebd \u1edf gi\u1eefa m\u1ecfm c\u1ee5t.<\/li>\n<li>C\u1eaft hai v\u1ea1t kh\u00f4ng b\u1eb1ng nhau khi c\u00e1c nh\u00f3m c\u01a1 \u1edf v\u1ecb tr\u00ed \u0111\u1ecbnh c\u1eaft kh\u00f4ng c\u00e2n \u0111\u1ed1i, nh\u01b0 1\/3 gi\u1eefa c\u1eb3ng ch\u00e2n, ho\u1eb7c trong v\u1ebft th\u01b0\u01a1ng chi\u1ebfn tranh, nh\u1eb1m t\u1eadn d\u1ee5ng c\u00e1c ph\u1ea7n m\u1ec1m c\u00f2n t\u1ed1t.<\/li>\n<\/ul>\n<p>Trong th\u1ef1c h\u00e0nh, \u0111\u1ec3 nhanh v\u00e0 c\u1eaft m\u1eb7t c\u01a1 b\u1eb1ng ph\u1eb3ng, c\u00f3 th\u1ec3 \u0111\u1eb7t m\u0169i dao c\u1eaft c\u1ee5t \u1edf m\u1ed9t g\u00f3c gi\u1eefa hai v\u1ea1t, t\u1eeb \u0111\u00f3 xuy\u00ean dao sang g\u00f3c b\u00ean kia c\u1ee7a hai v\u1ea1t, l\u01b0\u1ee1i dao \u1edf ngay m\u1eb7t tr\u01b0\u1edbc c\u1ee7a x\u01b0\u01a1ng, ch\u1ebfch 45 \u0111\u1ed9 so v\u1edbi tr\u1ee5c x\u01b0\u01a1ng. Tu\u1ed1t dao xu\u1ed1ng d\u01b0\u1edbi theo \u0111\u1ed9 ch\u1ebfch, ta t\u1ea1o xong v\u1ea1t tr\u01b0\u1edbc, v\u1ea1t sau c\u0169ng l\u00e0m nh\u01b0 v\u1eady.<\/p>\n<p>Sau \u0111\u00f3 ti\u1ebfp t\u1ee5c ti\u1ebfn h\u00e0nh theo nguy\u00ean t\u1eafc chung. N\u1ebfu c\u1eaft c\u1ee5t do v\u1ebft th\u01b0\u01a1ng chi\u1ebfn tranh th\u00ec kh\u00f4ng \u0111\u01b0\u1ee3c kh\u00e2u k\u00edn m\u00e0 ch\u1ec9 vi\u1ec7c \u00fap hai v\u1ea1t v\u00e0o nhau, \u0111\u1eb7t g\u1ea1c c\u1ee1 l\u1edbn v\u00e0 b\u0103ng, l\u00e0m nh\u01b0 v\u1eady th\u00ec x\u01b0\u01a1ng, m\u1ea1ch m\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c che ph\u1ee7 (g\u1ecdi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 c\u1eaft c\u1ee5t v\u1ea1t b\u1ecf ng\u1ecf).<\/p>\n<h4>D\u1ee5ng c\u1ee5 c\u1eaft c\u1ee5t<\/h4>\n<ul>\n<li>Dao d\u00e0i (dao c\u1eaft c\u1ee5t): dao d\u00e0i bao nhi\u00eau t\u00f9y thu\u1ed9c v\u1ecb tr\u00ed \u0111\u1ecbnh c\u1eaft c\u1ee5t<\/li>\n<li>C\u01b0a: th\u01b0\u1eddng d\u00f9ng c\u01b0a b\u00e0n ho\u1eb7c c\u01b0a khung<\/li>\n<li>D\u1ee5ng c\u1ee5 gi\u1eef x\u01b0\u01a1ng<\/li>\n<li>Tu\u1ed1t m\u00e0ng x\u01b0\u01a1ng, d\u0169a x\u01b0\u01a1ng<\/li>\n<li>K\u00ecm g\u1eb7m x\u01b0\u01a1ng, k\u00ecm c\u1eaft x\u01b0\u01a1ng<\/li>\n<li>D\u1ee5ng c\u1ee5 b\u1ea3o v\u1ec7 ph\u1ea7n m\u1ec1m khi c\u01b0a x\u01b0\u01a1ng: \u0111\u0129a v\u00e9n c\u01a1, g\u1ea1c to d\u00e0i<\/li>\n<li>L\u01b0\u1ee1i dao m\u1ecfng s\u1eafc \u0111\u1ec3 c\u1eaft d\u00e2y th\u1ea7n kinh (th\u01b0\u1eddng d\u00f9ng l\u01b0\u1ee1i lam c\u1ea1o)<\/li>\n<li>Lidocain 1% \u0111\u1ec3 phong b\u1ebf d\u00e2y th\u1ea7n kinh tr\u01b0\u1edbc khi c\u1eaft.<\/li>\n<\/ul>\n<h4>Gi\u00e1 tr\u1ecb c\u1ee7a v\u1ecb tr\u00ed c\u1eaft c\u1ee5t \u1edf t\u1eebng \u0111o\u1ea1n chi<\/h4>\n<p>Chi tr\u00ean<\/p>\n<ul>\n<li>Ng\u00f3n tay v\u00e0 b\u00e0n tay:<\/li>\n<\/ul>\n<p>+ Ng\u00f3n c\u00e1i: ph\u1ea3i h\u1ebft s\u1ee9c b\u1ea3o t\u1ed3n v\u00ec gi\u00e1 tr\u1ecb c\u1ee7a n\u00f3 b\u1eb1ng b\u1ed3n ng\u00f3n kh\u00e1c. Ng\u00f3n c\u00e1i \u0111\u1ed1i chi\u1ebfu v\u1edbi c\u00e1c ng\u00f3n kh\u00e1c l\u00e0 m\u1ed9t \u0111\u1ed9ng t\u00e1c c\u1ea7n thi\u1ebft trong sinh ho\u1ea1t, lao \u0111\u1ed9ng.<\/p>\n<p>+ Ng\u00f3n tr\u1ecf:<\/p>\n<ul>\n<li>N\u1ebfu c\u1ea3 ng\u00f3n tay b\u1ecb m\u1ea5t th\u00ec:\n<ul>\n<li>N\u00ean gi\u1eef x\u01b0\u01a1ng b\u00e0n tay 2 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1eb1ng<\/li>\n<li>N\u00ean c\u1eaft b\u1ecf c\u1ea3 x\u01b0\u01a1ng b\u00e0n tay 2 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u00e0m k\u1ef9 thu\u1eadt c\u1ea7n kh\u00e9o l\u00e9o. C\u1eaft b\u1ecf \u0111\u1ed1t b\u00e0n 2 nh\u1eb1m m\u1ee5c \u0111\u00edch v\u1ec1 sau c\u00f3 th\u1ec3 d\u00f9ng ng\u00f3n gi\u1eefa thay ng\u00f3n tr\u1ecf.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>+ Ng\u00f3n gi\u1eefa v\u00e0 ng\u00f3n tr\u1ecf:<\/p>\n<p>N\u1ebfu c\u1eaft b\u1ecf c\u1ea3 hai ng\u00f3n n\u00e0y th\u00ec n\u00ean l\u1ea5y b\u1ecf lu\u00f4n c\u1ea3 x\u01b0\u01a1ng b\u00e0n 3 v\u00e0 b\u00e0n 4 \u0111\u1ec3 c\u00e1c ng\u00f3n tay \u0111\u01b0\u1ee3c g\u1ea7n h\u01a1n.<\/p>\n<p>+ Ng\u00f3n \u00fat v\u00e0 ng\u00f3n nh\u1eabn:<\/p>\n<p>N\u1ebfu c\u1eaft b\u1ecf c\u1ea3 hai ng\u00f3n n\u00e0y th\u00ec n\u00ean gi\u1eef x\u01b0\u01a1ng b\u00e0n tay cho b\u00e0n tay \u0111\u01b0\u1ee3c to\u00e0n v\u1eb9n v\u00e0 kh\u1ecfe.<\/p>\n<ul>\n<li>C\u1eb3ng tay: v\u1ecb tr\u00ed t\u1ed1t nh\u1ea5t l\u00e0 1\/3 d\u01b0\u1edbi, \u0111o\u1ea1n c\u00f2n l\u1ea1i kho\u1ea3ng 15 \u2013 17 cm t\u00ednh t\u1eeb m\u1ecfm khu\u1ef7u (\u00edt nh\u1ea5t l\u00e0 9 cm)<\/li>\n<li>C\u00e1nh tay: v\u1ecb tr\u00ed t\u1ed1t nh\u1ea5t l\u00e0 1\/3 d\u01b0\u1edbi, \u0111o\u1ea1n c\u00f2n l\u1ea1i kho\u1ea3ng t\u1eeb 13 \u2013 22 cm, t\u00ednh t\u1eeb m\u1ecfm c\u00f9ng vai<\/li>\n<li>Kh\u1edbp vai: v\u00ec kh\u00f4ng th\u1ec3 mang chi gi\u1ea3 \u0111\u01b0\u1ee3c n\u00ean c\u1ed1 g\u1eafng \u0111\u1ec3 l\u1ea1i m\u1ed9t \u0111o\u1ea1n tr\u00ean c\u1ee7a \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay, d\u00f9 \u00edt c\u0169ng c\u00f2n t\u1ed1t h\u01a1n l\u00e0 th\u00e1o kh\u1edbp<\/li>\n<\/ul>\n<p>Chi d\u01b0\u1edbi<\/p>\n<ul>\n<li>Ng\u00f3n ch\u00e2n:<\/li>\n<\/ul>\n<p>C\u1eaft c\u1ee5t ng\u00f3n c\u00e1i ho\u1eb7c b\u1ed1n ng\u00f3n kia l\u00e0 tr\u01b0\u1eddng h\u1ee3p b\u1ea5t \u0111\u1eafc d\u0129 v\u00ec g\u00e2y kh\u00f3 \u0111i nhanh, kh\u00f3 ch\u1ea1y.<\/p>\n<ul>\n<li>B\u00e0n ch\u00e2n:<\/li>\n<\/ul>\n<p>T\u1ed1t nh\u1ea5t l\u00e0 c\u1eaft ngang x\u01b0\u01a1ng b\u00e0n ch\u00e2n \u1edf ngay th\u00e2n x\u01b0\u01a1ng. Ng\u00e0y nay th\u00e1o kh\u1edbp Chopart ho\u1eb7c Lisfranc \u00edt \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng.<\/p>\n<ul>\n<li>C\u1ed5 ch\u00e2n:<\/li>\n<\/ul>\n<p>+ K\u1ef9 thu\u1eadt Pi-r\u00f4-g\u00f4p: t\u1ea1o m\u1ecfm c\u1ee5t t\u1ed1t kh\u00f4ng \u0111au, \u0111i d\u1ec5 \u0111\u00e0ng, \u0111\u1ea3m b\u1ea3o t\u01b0\u01a1ng \u0111\u1ed1i \u0111\u1ed9 d\u00e0i so v\u1edbi ch\u00e2n l\u00e0nh.<\/p>\n<p>+ K\u1ef9 thu\u1eadt Syme-Ollier: c\u0169ng t\u1ea1o \u0111\u01b0\u1ee3c m\u1ed9t m\u1ecfm c\u1ee5t t\u1ed1t nh\u01b0ng thi\u1ebfu h\u1ee5t \u0111\u1ed9 d\u00e0i so v\u1edbi ch\u00e2n l\u00e0nh.<\/p>\n<ul>\n<li>C\u1eb3ng ch\u00e2n: t\u1ed1t nh\u1ea5t l\u00e0 c\u1eaft \u0111o\u1ea1n 1\/3 d\u01b0\u1edbi, \u0111o\u1ea1n c\u00f2n l\u1ea1i kho\u1ea3ng 10 \u2013 15 cm t\u00ednh t\u1eeb m\u00e2m ch\u00e0y<\/li>\n<li>\u0110\u00f9i: t\u1ed1t nh\u1ea5t l\u00e0 c\u1eaft c\u1ee5t 1\/3 d\u01b0\u1edbi, \u0111o\u1ea1n c\u00f2n l\u1ea1i kho\u1ea3ng 25 \u2013 30 cm t\u00ednh t\u1eeb m\u1ea5u chuy\u1ec3n l\u1edbn<\/li>\n<li><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>: kh\u00f4ng n\u00ean th\u00e1o kh\u1edbp g\u1ed1i. N\u1ebfu c\u1ea7n th\u00ec n\u00ean l\u00e0m ph\u1eabu thu\u1eadt Gritti<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/trat-khop-vai-khuyu-hang\/\">Kh\u1edbp h\u00e1ng<\/a>: kh\u00f4ng n\u00ean th\u00e1o kh\u1edbp h\u00e1ng, c\u1ed1 g\u1eafng gi\u1eef l\u1ea1i m\u1ed9t ph\u1ea7n \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>\u0111\u00f9i.<\/p>\n<h4>Y\u00eau c\u1ea7u v\u1ec1 k\u0129 thu\u1eadt<\/h4>\n<p>M\u1ed9t ph\u1eabu thu\u1eadt c\u1eaft c\u1ee5t l\u00e0m \u0111\u00fang ph\u1ea3i \u0111\u1ea1t y\u00eau c\u1ea7u sau:<\/p>\n<p>&#8211; M\u1ecfm c\u1ee5t t\u1ed1t<\/p>\n<p>+ S\u1eb9o m\u1ec1m m\u1ea1i, kh\u00f4ng d\u00ednh v\u00e0o t\u1ed5 ch\u1ee9c s\u00e2u<\/p>\n<p>+ Kh\u00f4ng \u0111au<\/p>\n<p>+ Da kh\u00f4ng b\u1ecb lo\u00e9t<\/p>\n<p>&#8211; \u0110o\u1ea1n chi c\u00f2n l\u1ea1i ph\u1ea3i mang \u0111\u01b0\u1ee3c chi gi\u1ea3<\/p>\n<p>+ \u0110\u1ee7 d\u00e0i<\/p>\n<p>+ C\u01a1 kh\u00f4ng teo, c\u1eed \u0111\u1ed9ng t\u1ed1t<\/p>\n<p>+ C\u00e1c kh\u1edbp ph\u00eda tr\u00ean ph\u1ea3i c\u1eed \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng<\/p>\n<h4>Nguy\u00ean t\u1eafc chung v\u1ec1 k\u1ef9 thu\u1eadt<\/h4>\n<ul>\n<li>V\u00f4 c\u1ea3m<\/li>\n<\/ul>\n<p>T\u00f9y theo v\u1ecb tr\u00ed c\u1eaft c\u1ee5t v\u00e0 t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n m\u00e0 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p v\u00f4 c\u1ea3m cho th\u00edch h\u1ee3p nh\u01b0: g\u00e2y m\u00ea, g\u00e2y t\u00ea trong x\u01b0\u01a1ng, g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 k\u1ebft h\u1ee3p v\u1edbi g\u00e2y t\u00ea v\u00f9ng.<\/p>\n<ul>\n<li>C\u1ea7m m\u00e1u t\u1ea1m th\u1eddi b\u1eb1ng garo sau khi \u0111\u00e3 cu\u1ed9n b\u0103ng Esmarck<\/li>\n<li>C\u1eaft v\u1ea1t da.<\/li>\n<\/ul>\n<p>+ Da v\u00e0 c\u00e2n n\u00f4ng th\u00ec c\u00f9ng c\u1eaft m\u1ed9t th\u00ec.<\/p>\n<p>+ Tr\u01b0\u1edbc khi c\u1eaft n\u00ean d\u00f9ng xanh-m\u00e9thylen v\u1ebd \u0111\u01b0\u1eddng c\u1eaft tr\u00ean da.<\/p>\n<ul>\n<li>C\u1eaft c\u01a1: c\u00f3 hai c\u00e1ch c\u1eaft<\/li>\n<\/ul>\n<p>+ C\u1eaft ngay m\u1ed9t th\u00ec cho t\u1edbi x\u01b0\u01a1ng (v\u1ebft th\u01b0\u01a1ng chi\u1ebfn tranh, v\u1ebft th\u01b0\u01a1ng ho\u1ea1i th\u01b0,\u2026)<\/p>\n<p>+ C\u1eaft t\u1eebng l\u1edbp:<\/p>\n<ul>\n<li>X\u1eed l\u00fd m\u1ea1ch m\u00e1u ch\u00ednh<\/li>\n<\/ul>\n<p>+ Ph\u1ea3i th\u1eaft bu\u1ed9c m\u1ea1ch m\u00e1u ngang m\u1ee9c c\u1eaft c\u1ee7a c\u01a1 m\u00e0 n\u00f3 nu\u00f4i d\u01b0\u1ee1ng.<\/p>\n<p>+ M\u1ea1ch m\u00e1u to c\u1ea7n ph\u1ea3i bu\u1ed9c hai l\u1ea7n.<\/p>\n<p>+ M\u1ea1ch m\u00e1u nh\u1ecf ch\u1ec9 c\u1ea7n bu\u1ed9t m\u1ed9t l\u1ea7n.<\/p>\n<ul>\n<li>Th\u1ea7n kinh<\/li>\n<\/ul>\n<p>+ Ph\u1ea3i c\u1eaft cao h\u01a1n m\u1ee9c c\u01b0a x\u01b0\u01a1ng.<\/p>\n<p>+ C\u1eaft d\u00e2y th\u1ea7n kinh ph\u1ea3i d\u00f9ng dao s\u1eafc, c\u1eaft m\u1ed9t nh\u00e1t g\u1ecdn v\u00e0 d\u1ee9t kho\u00e1t (th\u01b0\u1eddng d\u00f9ng dao c\u1ea1o).<\/p>\n<p>+ \u0110\u1ed1i v\u1edbi d\u00e2y th\u1ea7n kinh ng\u1ed3i c\u1ea7n ph\u1ea3i phong b\u1ebf lidocain tr\u01b0\u1edbc khi b\u00f3c t\u00e1ch (xem b\u00e0i C\u1eaft c\u1ee5t \u0111\u00f9i).<\/p>\n<p>+ Kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam c\u1ed3n ho\u1eb7c ch\u1ea5t k\u00edch th\u00edch kh\u00e1c v\u00e0o \u0111\u1ea7u s\u1ee3i th\u1ea7n kinh sau khi c\u1eaft.<\/p>\n<ul>\n<li>C\u01b0a x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p>Tr\u01b0\u1edbc khi c\u01b0a x\u01b0\u01a1ng d\u00f9ng \u0111\u0129a v\u00e9n c\u01a1 ho\u1eb7c g\u1ea1c v\u00e9n c\u00e1c c\u01a1 xung quanh l\u00ean cao, c\u1eaft m\u00e0ng x\u01b0\u01a1ng ch\u1ed7 \u0111\u1ecbnh c\u01b0a x\u01b0\u01a1ng v\u00e0 l\u00f3c t\u1eeb tr\u00ean xu\u1ed1ng. M\u1ee5c \u0111\u00edch c\u1ee7a c\u1eaft l\u00f3c m\u00e0ng x\u01b0\u01a1ng l\u00e0 \u0111\u1ec3 kh\u00f4ng l\u00e0m r\u00e1ch m\u00e0ng x\u01b0\u01a1ng trong v\u00f9ng c\u01b0a, tr\u00e1nh hi\u1ec7n t\u01b0\u1ee3ng m\u1ecdc gai xung quanh ch\u1ed7 c\u01b0a. \u0110\u1ed1i v\u1edbi chi c\u00f3 hai x\u01b0\u01a1ng th\u00ec c\u01b0a \u0111\u1ee9t x\u01b0\u01a1ng di \u0111\u1ed9ng tr\u01b0\u1edbc, c\u01b0a \u0111\u1ee9t x\u01b0\u01a1ng c\u1ed1 \u0111\u1ecbnh sau, nh\u01b0ng khi c\u01b0a ph\u1ea3i b\u1eaft \u0111\u1ea7u \u1edf x\u01b0\u01a1ng c\u1ed1 \u0111\u1ecbnh tr\u01b0\u1edbc. C\u01b0a xong ph\u1ea3i d\u0169a nh\u1eb5n c\u00e1c \u0111\u1ea7u x\u01b0\u01a1ng r\u1ed3i r\u1eeda s\u1ea1ch m\u00f9n x\u01b0\u01a1ng b\u1eb1ng huy\u1ebft thanh m\u1eb7n \u0111\u1eb3ng tr\u01b0\u01a1ng \u1ea5m.<\/p>\n<ul>\n<li>N\u1edbi t\u1eeb t\u1eeb garo v\u00e0 c\u1ea7m m\u00e1u b\u1ed5 xung, s\u1eeda l\u1ea1i m\u1ecfm c\u1ee5t.<\/li>\n<\/ul>\n<p>+ Ch\u00fa \u00fd: tr\u01b0\u1edbc khi n\u1edbi garo c\u1ea7n ti\u00eam tr\u1ee3 tim b\u1eb1ng cafein coramin.<\/p>\n<ul>\n<li>Kh\u00e2u m\u1ecfm c\u1ee5t (trong \u0111i\u1ec1u ki\u1ec7n cho ph\u00e9p).<\/li>\n<\/ul>\n<p>+ Kh\u00e2u c\u00e1c nh\u00f3m c\u01a1 \u0111\u1ed1i x\u1ee9ng v\u1edbi nhau b\u1eb1ng ch\u1ec9 Catgut.<\/p>\n<p>+ Kh\u00e2u c\u00e2n v\u00e0 da b\u1eb1ng ch\u1ec9 lanh.<\/p>\n<p>+ \u0110\u1eb7t d\u1eabn l\u01b0u trong 24 \u2013 28 gi\u1edd \u0111\u1ea7u.<\/p>\n<ul>\n<li>Sau khi m\u1ed5, d\u00f9ng kh\u00e1ng sinh to\u00e0n th\u00e2n li\u1ec1u cao<\/li>\n<\/ul>\n<p>+ Theo d\u00f5i ch\u1ea3y m\u00e1u v\u00e0 nhi\u1ec5m tr\u00f9ng.<\/p>\n<h2>BI\u1ebeN CH\u1ee8NG V\u00c0 CH\u0102M S\u00d3C H\u1eacU PH\u1eaaU<\/h2>\n<h3>Bi\u1ebfn ch\u1ee9ng sau m\u1ed5<\/h3>\n<ul>\n<li>M\u00e1u t\u1ee5 m\u1ecfm c\u1ee5t<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng<\/li>\n<li>Ho\u1ea1i t\u1eed<\/li>\n<li>Co r\u00fat t\u01b0 th\u1ebf x\u1ea5u<\/li>\n<li>U th\u1ea7n kinh<\/li>\n<li>U nh\u1ea1y c\u1ea3m chi ma.<\/li>\n<\/ul>\n<figure id=\"attachment_985\" aria-describedby=\"caption-attachment-985\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-985\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-chan-300x174.jpg\" alt=\"K\u1ef9 Thu\u1eadt B\u0103ng M\u1ecfm C\u1ee5t \u1edf Ch\u00e2n\" width=\"300\" height=\"174\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-chan-300x174.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-chan-18x10.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/04\/Ky-thuat-bang-mom-cut-o-chan.jpg 363w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-985\" class=\"wp-caption-text\"><strong>H\u00ecnh 18.7. K\u1ef9 thu\u1eadt b\u0103ng m\u1ecfm c\u1ee5t \u1edf ch\u00e2n <em>(Ngu\u1ed3n: <\/em><a href=\"http:\/\/www.prostheticrehabclinic.co.za\/\" target=\"_blank\" rel=\"noopener\"><em>https:\/\/www.prostheticrehabclinic.co.za\/<\/em><\/a> <em>understanding-prosthetics\/leg-prostheses\/)<\/em><\/strong><\/figcaption><\/figure>\n<p><em>\u00a0<\/em><\/p>\n<h3>Ch\u0103m s\u00f3c h\u1eadu ph\u1eabu<\/h3>\n<ul>\n<li>B\u0103ng m\u1ecfm c\u1ee5t: m\u1ecfm c\u1ee5t \u0111\u01b0\u1ee3c b\u0103ng b\u1eb1ng b\u0103ng thun v\u1edbi nh\u1eefng \u0111\u01b0\u1eddng b\u0103ng ch\u00e9o, s\u1ee9c \u00e9p nh\u1eb9 t\u1eeb ngo\u00e0i \u0111\u1ea7u m\u1ecfm c\u1ee5t v\u00e0o trong g\u1ed1c chi. Tr\u00e1nh b\u0103ng theo \u0111\u01b0\u1eddng tr\u00f2n quanh M\u1ee5c \u0111\u00edch l\u00e0 ph\u00f2ng ng\u1eeba ph\u00f9 n\u1ec1 v\u00e0 t\u1ea1o d\u00e1ng m\u1ecfm c\u1ee5t trong th\u1eddi gian b\u1eaft \u0111\u1ea7u t\u1eeb sau khi m\u1ed5 \u0111\u1ebfn khi mang chi gi\u1ea3.<\/li>\n<\/ul>\n<p>Sau 48 \u2013 72 gi\u1edd r\u00fat \u1ed1ng d\u1eabn l\u01b0u, 2 tu\u1ea7n sau c\u1eaft ch\u1ec9 v\u1ebft m\u1ed5. \u1ede b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u n\u00ean c\u1eaft ch\u1ec9 sau 2 tu\u1ea7n, kh\u00f4ng n\u00ean c\u1eaft ch\u1ec9 s\u1edbm v\u00ec da m\u1ecfm c\u1ee5t kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 trong c\u00e1c ng\u00e0y \u0111\u1ea7u r\u1ea5t d\u1ec5 h\u1edf v\u1ebft m\u1ed5.<\/p>\n<ul>\n<li>C\u00e1c t\u01b0 th\u1ebf c\u1ea7n tr\u00e1nh: \u0111\u00f3 l\u00e0 c\u00e1c t\u01b0 th\u1ebf g\u00e2y tr\u1edf ng\u1ea1i cho s\u1ef1 ho\u1ea1t \u0111\u1ed9ng sau n\u00e0y c\u1ee7a m\u1ecfm c\u1ee5t. C\u00e1c t\u01b0 th\u1ebf th\u01b0\u1eddng g\u1eb7p l\u00e0 du\u1ed7i c\u1ed5 ch\u00e2n, co g\u1ed1i, g\u1ea5p h\u00e1ng, g\u1ea5p khu\u1ef7u, kh\u00e9p c\u00e1nh tay, \u0111\u00e2y l\u00e0 c\u00e1c t\u01b0 th\u1ebf gi\u1ea3m \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n. C\u1ea7n \u0111\u1eb7t t\u01b0 th\u1ebf ch\u1ed1ng \u0111\u1ed1i l\u1ea1i.<\/li>\n<li>T\u1eadp v\u1eadn \u0111\u1ed9ng m\u1ecfm c\u1ee5t: b\u1eaft \u0111\u1ea7u s\u1edbm ngay sau khi m\u1ed5 v\u00e0 ti\u1ebfp t\u1ee5c cho \u0111\u1ebfn khi c\u00f3 kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng chi gi\u1ea3 m\u1ed9t c\u00e1ch th\u00e0nh th\u1ea1o nh\u1eb1m m\u1ee5c \u0111\u00edch ng\u0103n ng\u1eeba: t\u01b0 th\u1ebf x\u1ea5u c\u1ee7a m\u1ecfm c\u1ee5t, t\u1ea1o m\u1ecfm c\u1ee5t t\u1ed1t c\u00f3 \u0111\u1ed9 d\u00e0i \u0111\u00fang, d\u00e1ng thon \u0111\u1ea7u, s\u1eb9o kh\u00f4ng co r\u00fat, kh\u00f4ng d\u00ednh v\u00e0 t\u1ea1o s\u1ef1 qu\u00e2n b\u00ecnh gi\u1eefa c\u00e1c c\u01a1.<\/li>\n<\/ul>\n","protected":false},"featured_media":1282,"comment_status":"open","ping_status":"closed","template":"","tags":[109],"chuyen-muc":[58],"class_list":["post-970","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-cat-cut","chuyen-muc-dieu-tri-co-ban-trong-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/970","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=970"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/970\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/1282"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=970"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=970"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}