- Ket hqfp xtfdng vtfng (co dinh ngo&i)
1.BONG GA N6 CO CHAN
Bong gan d cd chan rat hay gap. Da so' thtfdng tdn xay ra khi ban chan bi xoay vao trong va bi gap xuong ve phia gan chan lam cang dan hoac rach day chang sen - mac trtfcic, no la day ch&ng hay bi cang dan nhat, hay bi rach nhat trong cd the.
Tren lam sang, bong gan d cd chan co 3 mtic do Do 1: Day chling bi cang dan, cd chan viing
Do 2: Day chSng bi xe rach 1 phan, cd chan ttfdng ddi vting.
Do 3: Cac day chang bi dtft rach, hay bi nhat la dtft rach day chlm g sen mac trtfdc, day ch&ng got mac, lam cd chan mat vting.
Noi tdi day c h in g bi cang dan, bi dtit rach ta nen biet la d cd chan m at ngoai,
co 8 day chSng trong do vting nhat la day chSng got mac. No khoe hdn 2,5 lSn so vdi day ch&ng sen mac trtfdc.
(3 mat trong co chan, d dtfdi mat ca trong co day ch4ng Denta.
Khi bi bong gan d cd chan, kham lam sang rat quan trong. Benh nhan nam hay ngoi chung cac cd d co - ban chan. Quan sat thay co chan chong bi stfng ne, do chu vi cd chan co the chenh lech den 4cm so vdi ben lanh. M uon hdn d 1 ben co chan vung dtfdi hoac quanh mat ca, thay co vung b&m tim. Thong thtfdng d 80% sd ca sd thay co diem dau choi tren day chang sen mac trtfdc, d 70% so" ca thay cd diem dau choi tren day chang got mac. Sau do, ta kham cti dong cd chan.
VI du bi rach day chang ben ngoai (cd vet bam tim) ta co' dinh cd chan va xtfdng chay, be nhe ban chan ra ngoai thi khong dau, trai lai be nhe ban chan vao trong thi dau choi.
Bi bong gan nang, con kham thay dau hieu ngan keo, day la cd chan bi mat vting. Yeu cau chup X quang co chan, xem cd kem xtidng gay, sau dd chup cong htfdng tti de phat hien thtfdng tdn cac day ch&ng
Dieu tri
- Doi vdi bong gan nhe, do 1 cho niim nghi, gac cao chan, bang ep deu tay, chtfdm da lanh.
- D6i vdi bong gan do 2, do 3, nen cho bo bpt rach doc c&ng ban chan. Bot de
21 ngay.
Bot kho nen cho ty sdm roi cho di sdm, co the mang giiiy da cao cd va co the
khong c in gay nang.
21 ngay cho day c h in g dinh lien. Muon lien viing phai cin 42 ng&y. Trong
khi chd lien vting nen m ang phtfdng tien h6 trd: gi£y vai, gi&y da cao cd, gi£y n^p
— Khi bi bong gan nang co 2 cach dieu tri:
+ Mo cap ctiu, stia chtia cac day chang ben bi rach + Khong mo, bo bot roi tap cti dong sdm co hudng dan Nghien ctiu so sanh cho thay nhom mo kem hdn