- Dieu tri: Cit bo mong hoac mot phln mong de din liiu mu L il uy de lai goc mong de mong moc lai (hinh 12.8).
7.VIEM MO BAO HOAT D|CH GAN GAP NGON TAY 1 Viem mu bao hoat djch gan gap ngon 2,3,
7.1. Viem mu bao hoat djch gan gap ngon 2,3,4
7.1.1. Nguyen nhan
Do vet thtfdng trtfc tiep choc vao bao hoat dich. Neu xtf tri tot vet thtfdng ngay tti dau (rtia, bang con 70 do...) thi it khi bi nhiem khuan. Khi da viem mu ban hoat dich thi rat nguy hiem vi gan gap se mat trtfdt, se dinh va hoai ttf gan.
Hoac do viem mu lan can tran vao (chin me. viem xtfdng khdp)
7.1.2. Lam sang
- Ttf the ngon tay co quap
- Ngon tay stfng to deu va doi xting - Cang deu bao gan
- Du6i th in g ngon dau rat dti doi, nhat la goc ngon - An vao khdp ban - ngon rat dau
7.1.3. Dieu tri
• K h i chiia lam mu (2 4 -4 8 gid dau)
- Khang sinh lieu cao toan than
- Bat dong toan bo ban va ngon tay bang nep bot. Treo cao tay - Theo doi sat trong 48 gid
• M o dart litu m u: (sau 4 8 gid)
- Rach thao mu theo true ngon, dtfdng rach hdi lech ra sau de tranh mach mau va than kinh, rach theo dtfdng thang hoac dtfdng zich zac. Dtfdng rach ngon 2.3.4, d phia bd tru, dtfdng rach ngon 1 va 5 d phia bd quay.
- Dtfdng rach di suot chieu dai ngon. Dtfdng rach da la dtfdng lien tuc, con dtfdng rach bao hoat dich la dtfdng gian doan, de lai cac day chang vong nhan d vung nay.
- Cat loc bao gan, bao hoat dich bi viem, tudi rtfa vet mo bang ntfdc muoi sinh ly hay dung dich co pha khang sinh.
- De hd vet thtfdng de dan ltfu
- Phtfdng phap ttfdi rifa bao hoat dich
Rach mot dtfdng ngang chtfng 1,5cm, ttfdng tfng ndi cao nhat cua tui cung bao hoat dich, d dtfdi nep gap gan tay. Luon mot ong nhtfa nho (16Fr) qua dtfdng rach nay, luon vao bao hoat dich va day sau xuong dtfdi. Dong kin vet mo quanh ong nhtfa. Tien hanh ttfdi rifa (50ml ntfdc muoi sinh ly/1 gid) va bdm khang sinh vao bao hoat dich (hinh 12.9). Rut ong d in ltfu sau 2 ngay. Sau mot tuan tap van dong ngon binh thtfdng.
Rong roc
Oircmg
rach da Di/dng rach
de Iu6n ong tirdri rira
Hinh 12.9. Cac dtfdng rach va phtfdng phap dan ltfu mu bao hoat dich gan gap Ong nhira de rCra bao hoat dich
7.2. Viem mu bao hoat djch gan gap ngon 1 va 5
- Viem mu bao hoat dich gan gap ngon 1 va 5 co the lan len bao hoat dich
•>
quay va bao hoat dich tru, len cang tay.
- Benh nhan nhiem trung. nhiem doc. dien bien rat nhanh
- Dau doc dtfdng di cua gan, bao gan. dau len co tay lam han che cd nang co tay. - Ngon tay co nhtf mot cai moc, khong the duoi dtfdc
• M o dan lUu bao hoat dich gan gap ngon 1 vd bao hoat dich quay (adsbygoogle = window.adsbygoogle || []).push({});
Rach md bao gan d co tay, d nep o mo cai, luon ong nhtfa vao bao hoat dich ttfdi riia theo phtfdng phap kin trong 48 gid.
• M o ddn liiu bao hoat dich gan gap ngon 5 vd bao hoat dich tru
Tim va rach md bao gan d co tay, luon ong nhtfa vao bao hoat dich ttfdi riia theo phtfdng phap kin trong 48 gid.
Oi/dng rach bao hoat djch quay
Hinh 12.10. Dan ltfu