NGO\u1ea0I C\u01a0 S\u1ede: KH\u00c1M CH\u1ea4N TH\u01af\u01a0NG C\u1ed8T S\u1ed0NG.
\nlinkdown full b\u00e0i gi\u1ea3ng: http:\/\/adf.ly\/1ZWILo<\/p>\n
KH\u00c1M CH\u1ea4N TH\u01af\u01a0NG C\u1ed8T S\u1ed0NG<\/p>\n
A. H\u00c0NH CH\u00cdNH<\/p>\n
1. T\u00ean m\u00f4n h\u1ecdc: Ngo\u1ea1i b\u1ec7nh l\u00fd<\/p>\n
2. T\u00ean b\u00e0i gi\u1ea3ng: Kh\u00e1m ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng<\/p>\n
3. H\u00ecnh th\u1ee9c gi\u1ea3ng v\u00e0 b\u00e0i gi\u1ea3ng: L\u00fd thuy\u1ebft<\/p>\n
4. \u0110\u1ed1i t\u01b0\u1ee3ng: Y3, CT2<\/p>\n
5. Th\u1eddi gian: 3 ti\u1ebft<\/p>\n
6. \u0110\u1ecba \u0111i\u1ec3m gi\u1ea3ng: Gi\u1ea3ng \u0111\u01b0\u1eddng<\/p>\n
7. Ng\u01b0\u1eddi bi\u00ean so\u1ea1n: Ths. L\u00ea Anh Tu\u1ea5n<\/p>\n
B. M\u1ee4C TI\u00caU<\/p>\n
1. Tr\u00ecnh b\u00e0y \u0111\u01b0\u1ee3c c\u00e1c h\u00ecnh th\u00e1i ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng.<\/p>\n
2. M\u00f4 t\u1ea3 \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng.<\/p>\n
C. N\u1ed8I DUNG H\u1eccC T\u1eacP<\/p>\n
I. \u0110\u1ea0I C\u01af\u01a0NG<\/p>\n
Ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng n\u00f3i chung chi\u1ebfm kho\u1ea3ng 4-6% so v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng. Trong<\/p>\n
th\u1ef1c t\u1ebf kh\u00e1m ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng l\u00e0 kh\u00e1m t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111\u1ed1t s\u1ed1ng, \u0111\u0129a \u0111\u1ec7m, d\u00e2y ch\u1eb1ng. T\u1ee7y s\u1ed1ng<\/p>\n
l\u00e0 ph\u1ea7n n\u1eb1m trong \u1ed1ng s\u1ed1ng th\u01b0\u1eddng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp do c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf c\u1ed9t s\u1ed1ng \u0111\u00e3 n\u00eau<\/p>\n
II. NGUY\u00caN NH\u00c2N, C\u01a0 CH\u1ebe V\u1eca TR\u00cd T\u1ed4N TH\u01af\u01a0NG<\/p>\n
1. NGUY\u00caN NH\u00c2N<\/p>\n
Ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng th\u01b0\u1eddng do c\u00e1c tai n\u1ea1n giao th\u00f4ng, ng\u00e3 t\u1eeb tr\u00ean cao xu\u1ed1ng, s\u1eadp h\u1ea7m,<\/p>\n
\u0111\u00e1nh nhau v\u00e0 c\u00e1c tai n\u1ea1n trong th\u1ec3 thao, nh\u01b0 \u0111ua m\u00f4 t\u00f4, \u00f4 t\u00f4…<\/p>\n
Trong ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u00f3 hai c\u01a1 ch\u1ebf n\u1ed5i b\u1eadt, c\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp v\u00e0 c\u01a1 ch\u1ebf gi\u00e1n ti\u1ebfp.<\/p>\n
\uf02d C\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp: b\u1ecb v\u1eadt c\u1ee9ng \u0111\u1eadp tr\u1ef1c ti\u1ebfp v\u00e0o c\u1ed9t s\u1ed1ng ho\u1eb7c b\u1ecb t\u00e9 ng\u1eefa l\u00e0m \u01b0\u1ee1n qu\u00e1 m\u1ee9c hay<\/p>\n
g\u1eadp qu\u00e1 m\u1ee9c c\u1ed9t s\u1ed1ng.<\/p>\n
\uf02d C\u01a1 ch\u1ebf gi\u00e1n ti\u1ebfp: \u00e9p theo tr\u1ee5c d\u1ecdc c\u1ed9t s\u1ed1ng t\u1eeb tr\u00ean xu\u1ed1ng ho\u1eb7c t\u1eeb d\u01b0\u1edbi l\u00ean. V\u00ed d\u1ee5 ng\u00e3 t\u1eeb tr\u00ean<\/p>\n
cao xu\u1ed1ng l\u1ed9n \u0111\u1ea7u xu\u1ed1ng tr\u01b0\u1edbc, v\u1eadt r\u01a1i t\u1eeb tr\u00ean cao \u0111\u00e8 xu\u1ed1ng b\u1ea3 vai, ng\u00e3 ng\u1ed3i. C\u01a1 ch\u1ebf ch\u1ea5n<\/p>\n
th\u01b0\u01a1ng gi\u00e1n ti\u1ebfp c\u00f2n \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp \u0111\u1ebfn trong tr\u01b0\u1eddng h\u1ee3p xoay ho\u1eb7c \u01b0\u1ee1n c\u1ed9t s\u1ed1ng qu\u00e1 m\u1ee9c.<\/p>\n
3. C\u00c1C V\u1eca TR\u00cd TH\u01af\u01a0NG T\u1ed4N<\/p>\n
C\u00f3 th\u1ec3 g\u1eb7p b\u1ea5t c\u1ee9 v\u1ecb tr\u00ed n\u00e0o tr\u00ean c\u1ed9t s\u1ed1ng nh\u01b0ng th\u01b0\u1eddng g\u1eb7p l\u00e0 \u1edf nh\u1eefng \u0111i\u1ec3m y\u1ebfu n\u01a1i ti\u1ebfp<\/p>\n
gi\u00e1p gi\u1eefa \u0111o\u1ea1n \u0111\u1ed1t s\u1ed1ng di \u0111\u1ed9ng v\u00e0 \u0111o\u1ea1n \u0111\u1ed1t s\u1ed1ng \u00edt di \u0111\u1ed9ng nh\u01b0 D12 – L1 v\u00e0 C5 – C6. Th\u00f4ng<\/p>\n
th\u01b0\u1eddng hay g\u1eb7p t\u1ed5n th\u01b0\u01a1ng m\u1ed9t \u0111\u1ed1t s\u1ed1ng, nh\u01b0ng c\u00f3 khi c\u0169ng g\u1eb7p t\u1ed5n th\u01b0\u01a1ng 2 – 3 \u0111\u1ed1t s\u1ed1ng li\u1ec1n<\/p>\n
nhau ho\u1eb7c kh\u00f4ng li\u1ec1n nhau.<\/p>\n
III. GI\u1ea2I PH\u1eaaU B\u1ec6NH V\u00c0 SINH L\u00dd B\u1ec6NH<\/p>\n
1. GI\u1ea2I PH\u1eaaU B\u1ec6NH<\/p>\n
1.1. V\u1ee0 TH\u00c2N \u0110\u1ed0T S\u1ed0NG<\/p>\n
Hay g\u1eb7p th\u00e2n \u0111\u1ed1t s\u1ed1ng b\u1ecb di l\u1ec7ch c\u00f3 m\u1ea3nh r\u1eddi g\u00e2y th\u01b0\u01a1ng t\u1ed5n m\u00f4 t\u1ee7y.<\/p>\n
1.2. TR\u1eacT KH\u1edaP C\u1ed8T S\u1ed0NG<\/p>\n
Hay x\u1ea3y ra \u1edf c\u1ed9t s\u1ed1ng c\u1ed5 v\u00e0 \u0111o\u1ea1n chuy\u1ec3n ti\u1ebfp l\u01b0ng th\u1eaft l\u01b0ng, h\u1eadu qu\u1ea3 l\u00e0 \u1ed1ng s\u1ed1ng b\u1ecb h\u1eb9p<\/p>\n
nhi\u1ec1u g\u00e2y gi\u1eadp m\u00f4 t\u1ee7y. Tr\u1eadt kh\u1edbp c\u1ed9t s\u1ed1ng c\u00f2n g\u00e2y n\u00ean nh\u1eefng th\u01b0\u01a1ng t\u1ed5n \u1edf c\u00e1c r\u1ec5 th\u1ea7n kinh, \u1edf<\/p>\n
\u0111\u0129a \u0111\u1ec7m, c\u00e1c d\u00e2y ch\u1eb1ng ph\u00eda sau th\u00e2n \u0111\u1ed1t s\u1ed1ng nh\u01b0 d\u00e2y ch\u1eb1ng li\u00ean gai, c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh<\/p>\n
1.3. V\u1ee0 V\u1ee4N TH\u00c2N \u0110\u1ed0T S\u1ed0NG<\/p>\n
a. C\u00e1c th\u01b0\u01a1ng t\u1ed5n m\u00f4 t\u1ee7y<\/p>\n
C\u00e1c th\u01b0\u01a1ng t\u1ed5n m\u00f4 t\u1ee7y do ho\u1ea1i t\u1eed m\u00f4 t\u1ee7y v\u00ec thi\u1ebfu m\u00e1u t\u1ea1i ch\u1ed7 v\u00e0 t\u1ee5 m\u00e1u trong m\u00f4 t\u1ee7y. \u0110\u1ed1i<\/p>\n
v\u1edbi c\u00e1c \u0111o\u1ea1n l\u01b0ng nh\u1ea5t l\u00e0 \u0111o\u1ea1n ngang khoanh t\u1ee7y s\u1ed1ng l\u01b0ng th\u1ee9 t\u01b0 tu\u1ea7n ho\u00e0n r\u1ea5t ngh\u00e8o n\u00e0n c\u00e1c<\/p>\n
th\u01b0\u01a1ng t\u1ed5n \u1edf \u0111\u00e2y r\u1ea5t tr\u1ea7m tr\u1ecdng.<\/p>\n
b. M\u00e1u t\u1ee5 ngo\u00e0i m\u00e0ng t\u1ee7y<\/p>\n
M\u00e1u t\u1ee5 ngo\u00e0i m\u00e0ng t\u1ee7y r\u1ea5t hi\u1ebfm g\u1eb7p, \u0111\u1ed1i v\u1edbi t\u1ee7y, c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ee9 ph\u00e1t nh\u01b0 m\u00e1ut\u1ee5 l\u00e0 \u00edt<\/p>\n
g\u1eb7p nh\u01b0ng ngay trong ch\u1ea5n th\u01b0\u01a1ng th\u00ec th\u01b0\u1eddng \u0111\u00e3 c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u00f4 t\u1ee7y nh\u01b0 ch\u1ea5n \u0111\u1ed9ng t\u1ee7y, d\u1eadp<\/p>\n
2. SINH L\u00dd B\u1ec6NH<\/p>\n
Hi\u1ec7n t\u01b0\u1ee3ng ph\u00f9 t\u1ee7y xu\u1ea5t hi\u1ec7n ngay sau ch\u1ea5n th\u01b0\u01a1ng \u1edf t\u1ee7y ngo\u00e0i ra c\u00f2n c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng co th\u1eaft<\/p>\n
\u0111\u1ed9ng m\u1ea1ch, mao m\u1ea1ch. Theo l\u00fd thuy\u1ebft m\u00f4 t\u1ee7y kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u1ef1ng thi\u1ebfu oxy qu\u00e1 6 gi\u1edd. Do v\u1eady,<\/p>\n
s\u1ef1 ch\u00e8n \u00e9p v\u00e0 thi\u1ebfu m\u00e1u \u1edf m\u00f4 t\u1ee7y qu\u00e1 th\u1eddi gian tr\u00ean d\u1ec5 \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. S\u1ed1c t\u1ee7y xu\u1ea5t hi\u1ec7n ngay<\/p>\n
sau khi t\u1ee7y s\u1ed1ng b\u1ecb va ch\u1ea1m, bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 \u0111\u00ecnh ch\u1ec9 to\u00e0n b\u1ed9 c\u00e1c ch\u1ee9c n\u0103ng ly t\u00e2m v\u00e0 h\u01b0\u1edbng<\/p>\n
t\u00e2m t\u1eeb v\u1ecb tr\u00ed th\u01b0\u01a1ng t\u1ed5n tr\u1edf xu\u1ed1ng. S\u1ed1c t\u1ee7y t\u1ed3n t\u1ea1i t\u1eeb v\u00e0i ng\u00e0y \u0111\u1ebfn 6 tu\u1ea7n.<\/p>\n
IV. PH\u00c2N LO\u1ea0I T\u1ed4N TH\u01af\u01a0NG<\/p>\n
D\u1ef1a v\u00e0o h\u00ecnh th\u00e1i th\u01b0\u01a1ng t\u1ed5n ng\u01b0\u1eddi ta chia ra:<\/p>\n
1. T\u1ed4N TH\u01af\u01a0NG C\u1ed8T S\u1ed0NG KH\u00d4NG C\u00d3 T\u1ed4N TH\u01af\u01a0NG T\u1ee6Y<\/p>\n
G\u1ed3m t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed1t s\u1ed1ng nh\u01b0 g\u00e3y x\u1eb9p th\u00e2n \u0111\u1ed1t s\u1ed1ng, g\u00e3y \u0111\u1ed1t s\u1ed1ng tr\u1eadt kh\u1edbp. T\u1ed5n th\u01b0\u01a1ng \u0111\u0129a<\/p>\n
\u0111\u1ec7m, t\u1ed5n th\u01b0\u01a1ng c\u00e1c d\u00e2y ch\u1eb1ng nh\u01b0 gi\u00e3n d\u00e2y ch\u1eb1ng, \u0111\u1ee9t d\u00e2y ch\u1eb1ng li\u00ean gai sau, d\u00e2y ch\u1eb1n d\u1ecdc<\/p>\n
tr\u01b0\u1edbc d\u1ecdc sau c\u1ee7a c\u1ed9t s\u1ed1ng.<\/p>\n
2. TH\u01af\u01a0NG T\u1ed4N C\u1ed8T S\u1ed0NG C\u00d3 TH\u01af\u01a0NG T\u1ed4N T\u1ee6Y<\/p>\n
Bao g\u1ed3m ch\u1ea5n \u0111\u1ed9ng t\u1ee7y, d\u1eadp t\u1ee7y, ch\u1ea3y m\u00e1u trong t\u1ee7y, t\u1ed5n th\u01b0\u01a1ng c\u00e1c ph\u1ea7n tr\u01b0\u1edbc c\u1ee7a t\u1ee7y, t\u1ed5n<\/p>\n
3. T\u1ed4N TH\u01af\u01a0NG T\u1ee6Y NH\u01afNG KH\u00d4NG C\u00d3 T\u1ed4N TH\u01af\u01a0NG C\u1ed8T S\u1ed0NG<\/p>\n
\u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng c\u00f3 t\u00ednh c\u00e1ch ngh\u1ecbch l\u00fd, c\u00f3 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y th\u1ef1c th\u1ec3 tr\u1ea7m tr\u1ecdng nh\u01b0ng kh\u00f4ng<\/p>\n
c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng.<\/p>\n
Ngo\u00e0i ph\u00e2n lo\u1ea1i theo 3 c\u00e1ch tr\u00ean ng\u01b0\u1eddi ta c\u00f2n chia t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng ra l\u00e0m 2 th\u1ec3<\/p>\n
\uf02d G\u00e3y v\u1eefng: g\u00e3y x\u1eb9p v\u1ee1 ho\u1eb7c r\u1ea1n th\u00e2n \u0111\u1ed1t s\u1ed1ng nh\u01b0ng kh\u00f4ng c\u00f3 di l\u1ec7ch \u0111\u1ed1t s\u1ed1ng. D\u00e2y ch\u1eb1ng<\/p>\n
li\u00ean gai sau c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ee9t, kh\u00f4ng g\u00e2y c\u00e1c m\u1ea5u kh\u1edbp.<\/p>\n
\uf02d G\u00e3y kh\u00f4ng v\u1eefng: l\u00e0 g\u00e3y \u0111\u1ed1t s\u1ed1ng k\u00e8m tr\u1eadt kh\u1edbp, g\u00e3y v\u1ee1 c\u00e1c m\u1ea5u kh\u1edbp \u0111\u1ed1t s\u1ed1ng di l\u1ec7ch, \u0111\u1ee9t<\/p>\n
r\u00e1ch c\u00e1c d\u00e2y ch\u1eb1ng.<\/p>\n
V. TRI\u1ec6U CH\u1ee8NG L\u00c2M S\u00c0NG V\u00c0 C\u1eacN L\u00c2M S\u00c0NG<\/p>\n
1. TRI\u1ec6U CH\u1ee8NG L\u00c2M S\u00c0NG<\/p>\n
a. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y<\/p>\n
\uf02d \u0110au: \u0110au khu tr\u00fa \u1edf \u0111\u1ed1t s\u1ed1ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng, c\u00f3 \u0111i\u1ec3m \u0111au nh\u00f3i t\u1ea1i ch\u1ed7.<\/p>\n
\uf02d H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng: Ng\u01b0\u1eddi b\u1ec7nh \u0111au nhi\u1ec1u khi \u0111i l\u1ea1i, n\u1eb1m ngh\u1ec9 ng\u01a1i \u0111\u1ee1 \u0111au trong tr\u01b0\u1eddng h\u1ee3p<\/p>\n
\uf02d Bi\u1ebfn d\u1ea1ng c\u1ed9t s\u1ed1ng<\/p>\n
C\u00f3 l\u00fac b\u1ec7nh nh\u00e2n n\u1eb1m nghi\u00eang c\u00f3 th\u1ec3 th\u1ea5y bi\u1ebfn d\u1ea1ng c\u1ed9t s\u1ed1ng h\u01a1i g\u1ed3 ra sau, nh\u00ecn c\u00f3 b\u1ea7m t\u00edm<\/p>\n
v\u00e0 s\u01b0ng n\u1ec1 t\u1ea1i ch\u1ed7, n\u1ebfu t\u1ed5n th\u01b0\u01a1ng \u1edf c\u1ed9t s\u1ed1ng c\u1ed5, c\u1ed5 s\u1ebd b\u1ecb h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111\u00f4i l\u00fac nh\u00ecn nh\u01b0<\/p>\n
b. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u00f3 li\u1ec7t t\u1ee7y<\/p>\n
\uf02d Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n: t\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ee7y b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c c\u00f3 th\u01b0\u01a1ng t\u1ed5n<\/p>\n
ph\u1ed1i h\u1ee3p hay kh\u00f4ng.<\/p>\n
\uf02d Tri gi\u00e1c: c\u00f3 th\u1ec3 r\u1ed1i lo\u1ea1n tri gi\u00e1c trong ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 c\u00f3 t\u1ed5n th\u01b0\u01a1ng t\u1ee7y.<\/p>\n
\uf02d H\u00f4 h\u1ea5p: r\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p g\u1eb7p trong ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 t\u1eeb C1- C5 do b\u1ecb \u1ea3nh h\u01b0\u1edfng tr\u1ef1c<\/p>\n
ti\u1ebfp t\u1edbi trung khu h\u00f4 h\u1ea5p \u1edf h\u00e0nh t\u1ee7y. B\u1ec7nh th\u1edf kh\u00f3, nh\u1ecbp th\u1edf ch\u1eadm 15 – 20 l\u1ea7n\/ph\u00fat, \u0111a s\u1ed1 c\u00f3 th\u1ec3<\/p>\n
t\u1eed vong. M\u1ea1ch th\u01b0\u1eddng ch\u1eadm 50 – 60 l\u1ea7n\/ph\u00fat v\u00e0 huy\u1ebft \u00e1p gi\u1ea3m do s\u1ed1c t\u1ee7y. Trong ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t<\/p>\n
s\u1ed1ng c\u1ed5 t\u1eeb C1 – C5 c\u00f3 th\u1ec3 th\u1ea5y nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 gi\u1ea3m th\u1ea5p t\u1eeb 35-360 do r\u1ed1i lo\u1ea1n trung khu v\u1eadn<\/p>\n
m\u1ea1ch, trong khu \u0111i\u1ec1u h\u00f2a th\u00e2n nhi\u1ec7t.<\/p>\n
c. Tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh<\/p>\n
Trong giai \u0111o\u1ea1n s\u1ed1c t\u1ee7y bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng t\u1ee7y l\u00e0 m\u1ea5t v\u1eadn \u0111\u1ed9ng bi\u1ec3u hi\u1ec7n li\u1ec7t<\/p>\n
m\u1ec1m m\u1ea5t to\u00e0n b\u1ed9 c\u00e1c ph\u1ea3n x\u1ea1, c\u1ea3m gi\u00e1c t\u1eeb ch\u1ed7 th\u01b0\u01a1ng t\u1ed5n tr\u1edf xu\u1ed1ng, r\u1ed1i lo\u1ea1n c\u01a1 th\u1eaft v\u1edbi bi\u1ec3u<\/p>\n
hi\u1ec7n b\u00ed ti\u1ec3u v\u00e0 \u0111\u1ea1i ti\u1ec7n.<\/p>\n
\uf02d T\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 t\u1eeb C1- C4: l\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng th\u01b0\u1eddng d\u1eabn t\u1edbi t\u1eed vong. Giai \u0111o\u1ea1n s\u1ed1c<\/p>\n
t\u1ee7y: li\u1ec7t m\u1ec1m v\u00e0 li\u1ec7t ngo\u1ea1i vi t\u1ee9 chi bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p v\u00e0 tim m\u1ea1ch n\u1eb7ng n\u00f3i kh\u00f3 v\u00e0 nu\u1ed1t<\/p>\n
kh\u00f3. Giai \u0111o\u1ea1n sau s\u1ed1c t\u1ee7y t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1, t\u0103ng ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng v\u00e0 ph\u1ea3n x\u1ea1 t\u1ef1 \u0111\u1ed9ng t\u1ee7y.<\/p>\n
\uf02d T\u1ed5n th\u01b0\u01a1ng t\u1eeb C5 – D1: giai \u0111o\u1ea1n s\u1ed1c t\u1ee7y li\u1ec7t m\u1ec1m, li\u1ec7t ngo\u1ea1i vi t\u1ee9 chi, giai \u0111o\u1ea1n sau s\u1ed1c t\u1ee7y<\/p>\n
t\u0103ng ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng v\u00e0 t\u1ef1 \u0111\u1ed9ng t\u1ee7y.<\/p>\n
\uf02d T\u1ed5n th\u01b0\u01a1ng t\u1eeb D2 – D10: giai \u0111o\u1ea1n s\u1ed1c t\u1ee7y li\u1ec7t m\u1ec1m hai ch\u00e2n, m\u1ea5t to\u00e0n b\u1ed9 c\u00e1c lo\u1ea1i c\u1ea3m gi\u00e1c<\/p>\n
(c\u1ea3m gi\u00e1c \u0111au, x\u00fac gi\u00e1 tinh t\u1ebf) t\u1eeb ch\u1ed7 t\u1ed5n th\u01b0\u01a1ng tr\u1edf xu\u1ed1ng. V\u1ecb tr\u00ed m\u1ea5t c\u1ea3m gi\u00e1c \u0111au c\u00f3 \u00fd ngh\u0129a \u0111\u1ec3<\/p>\n
ch\u1ea9n \u0111o\u00e1n \u0111\u1ecbnh khu \u0111\u1ed1t s\u1ed1ng t\u1ed5n th\u01b0\u01a1ng. V\u00ed d\u1ee5 m\u1ea5t c\u1ea3m gi\u00e1c \u0111au t\u1eeb li\u00ean s\u01b0\u1eddn 4 l\u00e0 do t\u1ed5n th\u01b0\u01a1ng<\/p>\n
\u0111o\u1ea1n t\u1ee7y D5 t\u01b0\u01a1ng \u1ee9ng v\u1edbi \u0111\u1ed1t s\u1ed1ng D3. Giai \u0111o\u1ea1n sau s\u1ed1c t\u1ee7y t\u0103ng ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng v\u00e0 ph\u1ea3n<\/p>\n
\uf02d T\u1ed5n th\u01b0\u01a1ng t\u1eeb D11 – L1: giai \u0111o\u1ea1n s\u1ed1c t\u1ee7y li\u1ec7t m\u1ec1m hai ch\u00e2n, b\u1ee5ng ch\u01b0\u1edbng do li\u1ec7t ru\u1ed9t c\u01a1<\/p>\n
n\u0103ng, d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi b\u1ee5ng ngo\u1ea1i khoa. M\u1ea5t c\u1ea3m gi\u00e1c \u0111au t\u1eeb ngang n\u1ebfp b\u1eb9n. Giai \u0111o\u1ea1n sau s\u1ed1c<\/p>\n
t\u1ee7y li\u1ec7t ngo\u1ea1i vi hai ch\u00e2n. Hai ch\u00e2n teo nhanh.<\/p>\n
\uf02d T\u1ed5n th\u01b0\u01a1ng t\u1eeb L2 – c\u00f9ng 1: bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng \u0111u\u00f4i ng\u1ef1a ho\u00e0n to\u00e0n: li\u1ec7t ngo\u1ea1i vi hai ch\u00e2n,<\/p>\n
hai ch\u00e2n teo nhanh, m\u1ea5t c\u1ea3m gi\u00e1c n\u1ebfp b\u1eb9n v\u00e0 v\u00f9ng \u0111\u00e1y H\u00ecnh 28.5: Tr\u01b0\u1ee3t \u0111\u1ed1t s\u1ed1ng C1-C2 g\u00e2y<\/p>\n
ch\u00e8n \u00e9p t\u1ee7y ch\u1eadu. Ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng \u0111u\u00f4i ng\u1ef1a kh\u00f4ng ho\u00e0n to\u00e0n: li\u1ec7t ngo\u1ea1i vi<\/p>\n
kh\u00f4ng ho\u00e0n to\u00e0n hai ch\u00e2n b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eadp \u0111\u00f9i v\u00e0o b\u1ee5ng m\u1ea5t c\u1ea3m gi\u00e1c v\u00f9ng \u0111\u00e1y ch\u1eadu, h\u1eadu<\/p>\n
m\u00f4n v\u00e0 b\u1ed9 ph\u1eadn sinh d\u1ee5c.<\/p>\n
2. PH\u00c2N BI\u1ec6T GI\u1eeeA LI\u1ec6T HO\u00c0N TO\u00c0N V\u1edaI LI\u1ec6T KH\u00d4NG HO\u00c0N<\/p>\n
Ph\u1ea3i sau 1-3 tu\u1ea7n m\u1edbi ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c.<\/p>\n
1. LI\u1ec6T HO\u00c0N TO\u00c0N<\/p>\n
\uf02d Ph\u1ea3n x\u1ea1 co g\u1ea5p chi d\u01b0\u1edbi r\u00f5.<\/p>\n
\uf02d C\u01b0\u01a1ng d\u01b0\u01a1ng v\u1eadt th\u01b0\u1eddng xuy\u00ean.<\/p>\n
\uf02d M\u1ea5t ho\u00e0n to\u00e0n c\u00e1c d\u1ea5u hi\u1ec7u th\u1ea7n kinh v\u00e0 kh\u00f4ng ph\u1ee5c h\u1ed3i.<\/p>\n
2. LI\u1ec6T KH\u00d4NG HO\u00c0N TO\u00c0N<\/p>\n
\uf02d Ph\u1ea3n x\u1ea1 co g\u1ea5p chi d\u01b0\u1edbi nh\u1eb9 v\u00e0 ch\u1eadm.<\/p>\n
\uf02d Kh\u00f4ng m\u1ea5t ho\u00e0n to\u00e0n c\u00e1c d\u1ea5u hi\u1ec7u th\u1ea7n kinh v\u00e0 h\u1ed3i ph\u1ee5c d\u1ea7n.<\/p>\n
3. M\u1ed8T S\u1ed0 TRI\u1ec6U CH\u1ee8NG X\u00c1C \u0110\u1ecaNH V\u00d9NG T\u1ee6Y B\u1eca CH\u1ea4N TH\u01af\u01a0NG<\/p>\n
\uf02d T\u1ee9 chi v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng: kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng tr\u1ea7m tr\u1ecdng c\u1ee7a t\u1ee7y s\u1ed1ng.<\/p>\n
\uf02d Hai chi d\u01b0\u1edbi li\u1ec7t t\u1ed5n th\u01b0\u01a1ng t\u1eeb s\u1ed1ng l\u01b0ng tr\u1edf xu\u1ed1ng.<\/p>\n
\uf02d T\u1ee9 chi li\u1ec7t: t\u1ed5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5.<\/p>\n
\uf02d C\u00e1c t\u01b0 th\u1ebf li\u1ec7t c\u1ee7a Bailav:<\/p>\n
\uf02b Hai chi tr\u00ean \u0111\u1ec3 cao tr\u00ean \u0111\u1ea7u, khu\u1ef7u g\u1ea5p, c\u1eb3ng tay ng\u1eefa c\u00e1c ng\u00f3n tay g\u1ea5p n\u1eefa ch\u1eebng trong<\/p>\n
\uf02b Hai chi tr\u00ean khu\u1ef7u g\u1ea5p \u0111\u1ec3 c\u1ea1nh ng\u1ef1c, c\u00e1c ng\u00f3n tay g\u1ea5p n\u1eefa ch\u1eebng trong t\u1ed5n th\u01b0\u01a1ng C7.<\/p>\n
\uf02b Hai chi tr\u00ean li\u1ec7t ho\u00e0n to\u00e0n nh\u01b0 ch\u1ebft n\u1eb1m d\u1ecdc theo th\u00e2n m\u00ecnh trong t\u1ed5n th\u01b0\u01a1ng C5.<\/p>\n
3. C\u1eacN L\u00c2M S\u00c0NG<\/p>\n
\uf02d Ch\u1ee5p phim c\u1ed9t s\u1ed1ng th\u1eb3ng nghi\u00eang t\u00f9y theo v\u1ecb tr\u00ed th\u01b0\u01a1ng t\u1ed5n tr\u00ean l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh g\u00e3y<\/p>\n
c\u1ed9t s\u1ed1ng (g\u00e3y th\u00e2n, g\u00e3y m\u1ecfm ngang, m\u1ecfm gai), tr\u01b0\u1ee3t \u0111\u1ed1t s\u1ed1ng, x\u1eb9p \u0111\u1ed1t s\u1ed1ng.<\/p>\n
\uf02d Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (IRM): \u0111\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng th\u01b0\u01a1ng t\u1ed5n tu\u1ef7 s\u1ed1ng.<\/p>\n
VI. NGUY\u00caN T\u1eaeC \u0110I\u1ec0U TR\u1eca PH\u1ee4 THU\u1ed8C V\u00c0O TH\u1ec2 V\u00c0 LO\u1ea0I G\u00c3Y<\/p>\n
\uf02d Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y v\u1eefng (th\u1ec3 1) \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa v\u00e0 t\u01b0 th\u1ebf n\u1eb1m ng\u1eefa tr\u00ean gi\u01b0\u1eddng c\u1ee9ng.<\/p>\n
T\u0103ng c\u01b0\u1eddng \u00e1o n\u1eb9p ho\u1eb7c b\u1ed9t khi \u0111i l\u1ea1i, n\u1ebfu kh\u00f4ng li\u1ec7t t\u1ee7y.<\/p>\n
\uf02d Ph\u1eabu thu\u1eadt l\u00e0m v\u1eefng \u0111o\u1ea1n g\u00e3y v\u1edbi gh\u00e9p x\u01b0\u01a1ng ho\u1eb7c ph\u01b0\u01a1ng ti\u1ec7n k\u00e9o. Theo c\u1eaft b\u1ea3n s\u1ed1ng<\/p>\n
(Laminectomie) gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p t\u1ee7y \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p g\u00e3y kh\u00f4ng v\u1eefng v\u00e0 c\u00f3 th\u01b0\u01a1ng<\/p>\n
\uf02d Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng l\u00e0 kh\u00e2u quan tr\u1ecdng trong ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u00f3 li\u1ec7t t\u1ee7y<\/p>\n
VII. D\u1ef0 PH\u00d2NG<\/p>\n
\uf02d Tuy\u00ean truy\u1ec1n v\u00e0 gi\u00e1o d\u1ee5c c\u1ed9ng \u0111\u1ed3ng v\u1ec1 lu\u1eadt giao th\u00f4ng.<\/p>\n
\uf02d \u0110\u01b0a v\u00e0o ch\u01b0\u01a1ng tr\u00ecnh gi\u1ea3ng d\u1ea1y c\u1ea5p c\u01a1 s\u1edf lu\u1eadt giao th\u00f4ng<\/p>\n
\uf02d Th\u1ef1c hi\u1ec7n t\u1ed1t lu\u1eadt an to\u00e0n lao \u0111\u1ed9ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf s\u1ea3n xu\u1ea5t v\u00e0 x\u00e2y d\u1ef1ng.<\/p>\n
\uf02d Hu\u1ea5n luy\u1ec7n t\u1ed1t \u1edf tuy\u1ebfn c\u01a1 s\u1edf trong s\u01a1 c\u1ee9u t\u1ea1i ch\u1ed7 ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng.<\/p>\n
VIII. C\u00c2U H\u1eceI L\u01af\u1ee2NG GI\u00c1<\/p>\n
1. C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng?<\/p>\n
2. Ph\u00e2n bi\u1ec7t gi\u1eefa li\u1ec7t ho\u00e0n to\u00e0n v\u00e0 li\u1ec7t kh\u00f4ng ho\u00e0n to\u00e0n?<\/p>\n
3. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng?<\/p>\n
IX. T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/p>\n
1. Keenen T,Benson D.Initial evaluation of the Spine-Injured Patient. Tn Browner B, Jupiter J,<\/p>\n
Levine A, Trafton P. Skeletal trauma. Philadelphia, WB Saunders Co; 1992.<\/p>\n
2. TatorC. Pathoshysiology and pathology of the spinal cord injury. In: Wilkins RH,<\/p>\n
Rengachery SS. Neurosurgery. New York, Mc Grw-Hill; 1995.<\/p>\n
3. Hadley M. Injuries to the Cervical Spine. In: Regachary SS, Wilkins RH. Principle of<\/p>\n
neurosurgery. London.<\/p>\n
4. Regachary S, Nussbaum E. Thoracolumbar Spine Fracture. In Regachary SS. Wilkins RH,<\/p>\n
Principle of neurosurgery. London, Wolfe.<\/p>\n
5. Benzel E. Management of acutes spina; cord injury. In Wilkins RH, Rengachary SS.<\/p>\n
Neurosurgery. New York, Mc Graw-Hill;1995.<\/p>\n
6. Greenberg M.Spine injurues. In: Greenberg M.Handbook of neurosurgery. Floryda,<\/p>\n
Greenberg Graphics, inc. 1994.<\/p>\n
7. Clack K. Injuries to the Cervical Spine and Spinal cors. In Youmans JR. Neurological<\/p>\n
surgery. Philadeiphia, W.B. Sauder Company, 182.<\/p>\n
8. Clack K. Injuries to the Cervical Spine and Spinal cors. In Youmans JR. Neurological<\/p>\n
surgery. Philadeiphia, W.B. Sauder Company, 182.<\/p>\n","protected":false},"excerpt":{"rendered":"
NGO\u1ea0I C\u01a0 S\u1ede: KH\u00c1M CH\u1ea4N TH\u01af\u01a0NG C\u1ed8T S\u1ed0NG. linkdown full b\u00e0i gi\u1ea3ng: http:\/\/adf.ly\/1ZWILo KH\u00c1M CH\u1ea4N TH\u01af\u01a0NG C\u1ed8T S\u1ed0NG A. H\u00c0NH CH\u00cdNH 1. T\u00ean m\u00f4n h\u1ecdc: Ngo\u1ea1i b\u1ec7nh l\u00fd 2. T\u00ean b\u00e0i gi\u1ea3ng: Kh\u00e1m ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng 3. H\u00ecnh th\u1ee9c gi\u1ea3ng v\u00e0 b\u00e0i gi\u1ea3ng: L\u00fd thuy\u1ebft 4. \u0110\u1ed1i t\u01b0\u1ee3ng: Y3, CT2 5. Th\u1eddi gian: 3 …<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[57,58],"tags":[],"class_list":["post-2273","post","type-post","status-publish","format-standard","","category-ngoai-khoa","category-ngoai-co-so"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=2273"}],"version-history":[{"count":2,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2273\/revisions"}],"predecessor-version":[{"id":2296,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2273\/revisions\/2296"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=2273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=2273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=2273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}