the cao.
7.3. Di chtimg
- Viem xtfdng sau chan thtfdng. Day la mot di chting nang ne, dieu tri con kho khan, phtic tap.
- Cham lien xUdng, khdp gia: trong gay xtfdng hd thi cham lien, khdp gia chiem ty le cao vi mat di sU lien xUdng sinh ly.
- P h iu thuat ghep xUdng la b i t buoc
- Can lech xtfdng, neu chi ngan qua 2cm, gap goc tren 10 do thi phai md lai de pha can, stia true chi.
- Teo cd, cting khdp vi phai bat dong lau
8. KET LUAN
- Gay xtfdng hd gap nhieu nhat trong cap ctiu chan thtfdng
- Chan doan xac dinh de, nhtfng co the bo sot cac gay xUdng hd nho
- Cap ctiu ban d iu va phau thuat kip thdi, dung phtfdng phap giam ty le cac bien chting cua gay xtfdng hd.
- Cat loc rach rong cd dinh xtfdng vting va de da hd la nguyen t i c chinh trong dieu tri gay xtfdng hd.
G A Y X I O N G CO BIEN CHlTNG THAN KINH
1. DAI CITONG
Gay xifdng co bien chting than kinh chiem chting 10% tong so. K h on g phai chi co thay thuoc ngoai chung la de sot, k h on g ghi vao benh an ma th&y thuoc chuyen khoa d benh vien chuyen khoa c u n g de sot nhieu, con so de sot den bat ngd, den 20%. ThUdng do la benh nhan da chan thUdng, co nhieu thUdng ton de doa ti'nh m ang phai lo cap ctiu trUdc chUa ke benh nhan bi so nao, hon me, k h o n g hoi dtfdc benh khi kham. M a kham than kinh trong cap ctiu chu yeu la k h a m ca m giac.
Cho nen, biet nhting vung rieng biet ve cam giac cho tting than kinh se giup cho tham kham cap ctiu dtfdc ky hdn.
Cung can biet cach du ddan, tien ltfdng trtfcfc thtfdng ton de co thai do xti tri neu can va biet cach giai thi'ch cho benh nhan yen tam.
2. n hAc l a i v e g ia i p hAu
Quanh 1 sdi than kinh co 1 vo bao mong, trong vo bao co chtia cac sdi van dong, cam giac va giao cam. Be day vo bao la l,3-100p (micron). Vo bao bao ve thin kinh khi cti dong khdp khi bi cang dan, vo bao khong cho cac chat ngam vao than kinh, khong cho nhiem trung lan vao than kinh.
Trong vo bao, m6i sdi than kinh co cac bo than kinh hoac cac nhom bo. Vi du than kinh tru chi co 3 hoac 4 bo than kinh. Da so' la 4 bo - than kinh gitia d 1/3 tren cang tay lai co nhieu bo va nhom bo. Vo bo la to chtic lien ket, trong bo co cac tru true than kinh, cac te bao Schwann cua vo bo va chat myelin. Vo bo khong cho than kinh cang dan va bao ve cac tru true than kinh.
Khi bi thUdng ton than kinh, ngoai het van dong, m at ca m giac, con bi hau qua cua roi loan dinh dUdng cho than kinh giao cam , co khi bi rat nang.
3. CAC KY THUAT MO CO BAN
Khi khau than kinh bi dtit co 4 ky thuat: - Khau vo bao than kinh