- Loai C: Gay hoan toan cung sau, ton thtfdng m&'t viing ca chieu ngang va chieu doc.
6.DIEU TR( GAY XUONG CHAU 1 Cap cun ban dau
6.1. Cap cun ban dau
- Bat dong benh nhan bang cach cho nam ngtia tren van cting. don khoeo - Chong soc b^ng truyen mau hoac cac dich thay the, dtfa vao mach. huyet ap va so ltfdng hong cau.
- Giam dau khi da loai trti cac thtfdng ton phoi hdp hoac cac bien chting
6.2. Dieu tri thtic thu• • •
Dtfdc tien hanh sau khi da qua giai doan soc va xti tri cac thtidng ton phoi hdp • Da so cac trtidng hdp gay vting, gay m ot phan xtidng ch au , von g chau binh
thtfdng thi k h on g can can th iep ngoai k h oa (80% ): b en h n h an n&m n gh i tai gitidng sau 4-6 tuan roi ch o tap ngoi.
• D ieu tri ch in h h inh
- N am tren von g khi toac khdp m u, khdp c u n g - ch a u (loai B), rat htiu dung ch o cac trtidng hdp n ay de k hep lai khdp m u va khdp cu n g ch a u (h in h 21.10).
- NSm v5ng va keo lien tuc: k6o qua loi c lu dui, trong ltfdng tti 11 den 12kg trong 6 tuan (mot hay hai ben), khi ton thtfdng loai C co mat vting ca true doc va true ngang (hinh 21.11).
Hinh 21.10. Dieu tri bang nam vong Hinh 21.11. Nam vong va keo lien tuc
. Ket hdp xtfdng: khi gay khong vting. di lech nhieu (hinh 21.12)
- Nep vit xtfdng mu: toac khdp mu ddn thuan hay gay xtidng mu phoi hdp. Nep vit xtidng mu khi toac khdp mu: tren 2,5cm.
— Bat vit qua khdp cung chau vdi dtfdng rach phia sau khi toac khdp cung chau va di lech.
• Co dinh ngoai co the sti dung de lam vting, khong phai boc lo xtidng, ap dung cho cac trtidng hdp toac khdp mu (d phia trtidc) va cung ch §u (d phia sau). Cac vit bat vao canh chau (hinh 21.12).