- Khd iu tuy ,u bong Vater Viem tuy cap do thudc
2. Giai phau benh
- Xd hoa dau tuy d in den pha huy nhu mo tuy noi va ngoai tiet.
- Co 2 the:
+ Viem tuy man ti'nh do viem , thieu hut protein, calci hoa, ong tuy gian hay khong.
+ Viem tuy man ti'nh do tac nghen.
3. Chan doanLam sang: Lam sang:
- Nam 40 tuoi. - Dau bung.
- Vung thtfdng vi dtf doi. - Khdi phat: thtic an + rtfdu. - Htfdng lan ra ltfng.
- Giam dau cui gap ve phi'a trtfdc va dung thuoc giam dau. - Sut can.
Can lam sang:
* Sinh hoa: tang men tuy (thoang qua = viem tuy cap, keo dai = viem tuy m an), tang dtfdng mau, ti mat, phan m3, bilan phospho - calci (loai trti ctfdng can giap).
* Hinh anh:
- Chup bung khong chuan bi: calci hoa.
- Sieu am bung/C T: calci hoa, tuy khong deu, gian khong deu ong W irsung.
- Ltfa chon 2: sieu am noi soi (nhin ro tuy, khi nghi ngd ung thtf), chup m at tuy ngtfdc dong (4 bien chting: viem tuy cap, viem dtfdng mat, thung, chay mau), IRM ong W irsung.
4. Bien chumg
* S6m:
- Cdn viem tuy cap 5 nam dau. - Gia nang.
+ Thtfdng gap.
+ Dau tren ron, keo dai, khoi u, men tuy tang hang dinh. + Bien chting: chen ep tang lan can (ong mat chu, ta trang, tinh mach lach) v3 nang, chay mau trong nang va nhiem trung.
- Vang da: chen ep vao dtfdng mat chinh, xd hoa quanh tuy hay K.
- Xuat huyet tieu hoa (chup ong W irsung, tang ap ltfc tinh mach ciia, loet da day ta trang ket hdp).
- Tran dich cac m ang (m ang bung hay gap nhat). - Chen ep ta trang (xd tuy, K tuy).
- Hoi chiing W eber - Christian. * Muon:
- Suy tuy noi tiet: dai dtfdng. - Suy tuy ngoai tiet: kho tieu. - K tuy.
5. Dieu trj
- Che do an kieng: + Bo rtfdu vlnh vien.
+ Che do an giau calo, ngheo lipide va nhieu protides. - Khi co dau: bo rtfdu, giam dau.
- Khi phan md: chiet xuat men tuy. - 2 can thiep chinh:
+ Choc hay dan ltfu tuy qua da hay noi soi.
+ Bo chen ep ong tuy bang cach dat orig thong theo dtfdng noi soi.
- Ngoai khoa: viem tuy man co bien chiing:
+ Gia nang: noi nang - tieu hoa, hep dtfdng mat chinh: noi mat - ruot.
+ Hep ta trang: noi da day - ruot + Dau nhieu:
O ngW irsung gian: noi ongW irsung-hong trang O ng W irsung khong gian: cat tuy.
- Dieu tri cac bien chiing khac cua riidu.