- 12 Kirschner doc noi tuy
NHIEM TRUNG BAN TAY
1. DAI CUONG
La nhiem k huan nhting to chtic cau tao nen ngon tay va ban tay. ThU dng gay cac bien chting nang, dien bien phtic tap va tan phe. Vi vay ph ai ch a n d oa n sdm, dieu tri dting, kip thdi.
N g u y e n n h a n
Vi khuan: hay gap nhat la tu c l u va n g gay benh , h iem gap hdn la lien c lu khuan, trUc k h u ln lao va cac tap k h u ln .
N hiem yem khi la m ot the ben h cUc ky n gu y hiem k h o n g n h tin g vdi b a n tay ma con de doa tdi tinh m ang benh nhan
N hiem trting ban tay thUdng do cac vet thUdng trtic tiep, v e t thUdng choc, m anh thuy tinh, kim dam va o tay m a chim d oa n va dieu tri k h o n g d u n g.
Benh hay gap d nhting ngtidi co stic de khang kem: dai dtidng, suy gan-th&n, nghien ma tuy, nhiem HIV.
Nguyen tac chan doan
— Phai xac dinh ro diem dau, vung dau de khu trti o viem nhiem . Tim dtidng vao cua vi khuan (cac vet thtidng cu)
— Phai ch in doan loai thUdng ton: chin me nong, chin me sau hay viem bao gan. N g u y e n ta c d ie u tri
Khi chUa lam mu: dting k h a n g sinh lieu ca o toan than, b a t d o n g tay d tu the chting gan va treo cao, th eo doi dien bien cua ben h , thUdng k h oi sau 7 -10 ngay.
V iem qua 48 gid (khi da co m u): trich d i n lUu, c i t loc to chtic h oa i tti.
Chon phUdng phap vo cam : tot nhat la gay m e toan than, neu k h o n g thi gay te dam ro'i t h in k inh ca n h tay. N h ilm tru n g b a n tay cam gay te tai ch o vi k h o n g co tac dung, hdn ntia se gay n guy h iem la lam vi k h u a n lan rong.
Dtidng rach khong cheo qua cac nep gap tu nhien cua ban tay va ngon tay 0 ngon tay, rach doc hai ben dot ngon, tranh b o m ach th an k in h d trtidc ben, tran h pham va o b a o gan va gan.
Dat garo tot nhat la garo hdi, phai dat cao phia canh tay, kh ong don m au ve vi vi khuan se lan rong.