{"id":189,"date":"2025-11-27T08:02:55","date_gmt":"2025-11-27T08:02:55","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=189"},"modified":"2025-11-27T08:05:59","modified_gmt":"2025-11-27T08:05:59","slug":"hoi-chung-ong-co-tay","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=189","title":{"rendered":"H\u1ed8I CH\u1ee8NG \u1ed0NG C\u1ed4 TAY"},"content":{"rendered":"\n<p>H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay\u00a0(ti\u1ebfng Anh l\u00e0 Carpal Tunnel Syndrome)\u00a0l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean hay g\u1eb7p nh\u1ea5t. H\u1ed9i ch\u1ee9ng n\u00e0y x\u1ea3y ra khi th\u1ea7n kinh gi\u1eefa b\u1ecb ch\u00e8n \u00e9p khi \u0111i ngang qua \u1ed1ng c\u1ed5 tay. H\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c ch\u00e8n \u00e9p l\u00e0 g\u00e2y vi\u00eam, \u0111au, t\u00ea, gi\u1ea3m ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c v\u00f9ng da b\u00e0n tay thu\u1ed9c chi ph\u1ed1i c\u1ee7a th\u1ea7n kinh gi\u1eefa, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh\u00a0 kh\u00f3 ch\u1ecbu.<\/p>\n\n\n\n<p>B\u1ec7nh g\u1eb7p \u1edf n\u1eef nhi\u1ec1u h\u01a1n nam,t\u1ef7 l\u1ec7 3:1.L\u1ee9a tu\u1ed5i m\u1eafc b\u1ec7nh nhi\u1ec1u nh\u1ea5t l\u00e0 45-60 tu\u1ed5i.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEi93PFsskybsIJoIjNi-mvGL9YFpRQxI1nrbhCj3uhhgQPHuOb_04uLQacSxHwORiTIU82l24Ye16H3jUYA9NWscemtOt8DeF7_FY6hMIYlbU606EUtsgVT0cgeXv7HWEsFUkEW1wyS_SMoms-Iqx9I12CW5umVQg4hLPSQZwjX7ATYohRXM6keJZD8-A\/w459-h270\/hcoct.jpg\" alt=\"\" style=\"width:750px;height:auto\"\/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/3560317691548966527#\" target=\"_blank\" rel=\"noopener\"><\/a><\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_78 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/xuongkhopviet.vn\/?p=189\/#NGUYEN_NHAN\" >NGUY\u00caN NH\u00c2N<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/xuongkhopviet.vn\/?p=189\/#Cac_nguyen_nhan_ngoai_sinh\" >C\u00e1c nguy\u00ean nh\u00e2n ngo\u1ea1i sinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/xuongkhopviet.vn\/?p=189\/#Cac_nguyen_nhan_noi_sinh\" >C\u00e1c nguy\u00ean nh\u00e2n n\u1ed9i sinh<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-nao-gay-ra-hoi-chung-co-tay\"><span class=\"ez-toc-section\" id=\"NGUYEN_NHAN\"><\/span>NGUY\u00caN NH\u00c2N<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"2-cac-nguyen-nhan-ngoai-sinh\"><span class=\"ez-toc-section\" id=\"Cac_nguyen_nhan_ngoai_sinh\"><\/span>C\u00e1c nguy\u00ean nh\u00e2n ngo\u1ea1i sinh<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bi\u1ebfn d\u1ea1ng kh\u1edbp v\u00e0 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng c\u1ed5 tay:\u00a0G\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, g\u00e3y x\u01b0\u01a1ng c\u1ed5 tay, kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng thuy\u1ec1n, b\u00e1n tr\u1eadt xoay x\u01b0\u01a1ng thuy\u1ec1n, tr\u1eadt x\u01b0\u01a1ng nguy\u1ec7t, vi\u00eam kh\u1edbp c\u1ed5 tay g\u00e2y\u00a0<em>ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa trong \u1ed1ng c\u1ed5 tay<\/em><\/li>\n\n\n\n<li>Hemophilia, b\u1ec7nh u t\u1ee7y<\/li>\n\n\n\n<li>C\u00e1c lo\u1ea1i u: U t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 x\u01b0\u01a1ng v\u00e0 bao g\u00e2n, u m\u00e1u, nang ho\u1ea1t d\u1ecbch, u h\u1ea1t tophy\u2026 g\u00e2y l\u1ea5n ch\u1ed7 \u1ed1ng c\u1ed5 tay v\u00e0 d\u1eabn \u0111\u1ebfn ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"3-cac-nguyen-nhan-noi-sinh\"><span class=\"ez-toc-section\" id=\"Cac_nguyen_nhan_noi_sinh\"><\/span>C\u00e1c nguy\u00ean nh\u00e2n n\u1ed9i sinh<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u1ee8 d\u1ecbch l\u00fac mang thai: Trong thai k\u1ef3, s\u1ef1 \u1ee9 \u0111\u1ecdng d\u1ecbch l\u00e0m t\u0103ng l\u01b0\u1ee3ng d\u1ecbch trong \u1ed1ng c\u1ed5 tay, d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c k\u1ebd trong \u1ed1ng c\u1ed5 tay g\u00e2y ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa.<\/li>\n\n\n\n<li>B\u1ec7nh gout: Do s\u1ef1 l\u1eafng \u0111\u1ecdng tinh th\u1ec3 urat trong g\u00e2n g\u1ea5p g\u00e2y ph\u00ec \u0111\u1ea1i g\u00e2n, ho\u1eb7c t\u00ecnh tr\u1ea1ng vi\u00eam ph\u00ec \u0111\u1ea1i bao g\u00e2n g\u1ea5p do gout c\u0169ng g\u00e2y ra ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa.<\/li>\n\n\n\n<li>Suy gi\u00e1p: Nguy\u00ean nh\u00e2n l\u00e0 do s\u1ef1 t\u00edch t\u1ee5 Myxedemateous m\u00f4 trong d\u00e2y ch\u1eb1ng c\u1ed5 tay ngang.<\/li>\n\n\n\n<li>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p: G\u00e2y ra vi\u00eam bao g\u00e2n\/m\u00e0ng ho\u1ea1t d\u1ecbch d\u1eabn \u0111\u1ebfn ph\u00f9 n\u1ec1 v\u00e0 \u1ee9 d\u1ecbch trong bao g\u00e2n g\u1ea5p.<\/li>\n\n\n\n<li>Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u0111\u1ecbnh k\u1ef3: B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n c\u00f3 li\u00ean quan t\u1edbi t\u0103ng ure m\u00e1u.<\/li>\n<\/ul>\n\n\n\n<p><strong>TRI\u1ec6U CH\u1ee8NG<\/strong><\/p>\n\n\n\n<p>&#8211;\u00a0B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c t\u00ea b\u00ec tay ch\u00e2n, d\u1ecb c\u1ea3m, \u0111au bu\u1ed1t do kim ch\u00e2m ho\u1eb7c r\u00e1t b\u1ecfng \u1edf v\u00f9ng da thu\u1ed9c chi ph\u1ed1i c\u1ee7a d\u00e2y th\u1ea7n kinh gi\u1eefa (ng\u00f3n c\u00e1i, ng\u00f3n tr\u1ecf, ng\u00f3n gi\u1eefa v\u00e0 m\u1ed9t n\u1eeda ng\u00f3n \u00e1p \u00fat), c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y bi\u1ec3u hi\u1ec7n t\u1eeb c\u1ed5 tay \u0111\u1ebfn c\u00e1c ng\u00f3n. Tri\u1ec7u ch\u1ee9ng v\u1ec1 c\u1ea3m gi\u00e1c th\u01b0\u1eddng t\u0103ng v\u1ec1 \u0111\u00eam, l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh th\u1ee9c gi\u1ea5c, g\u00e2y m\u1ea5t ng\u1ee7. C\u00e1c \u0111\u1ed9ng t\u00e1c g\u1ea5p ho\u1eb7c ng\u1eeda c\u1ed5 tay qu\u00e1 ho\u1eb7c t\u1ef3 \u0111\u00e8 l\u00ean v\u00f9ng \u1ed1ng c\u1ed5 tay nh\u01b0 \u0111i xe m\u00e1y c\u00f9ng l\u00e0m c\u1ea3m gi\u00e1c t\u00ea t\u0103ng l\u00ean, tri\u1ec7u ch\u1ee9ng gi\u1ea3m \u0111i khi ng\u1eebng v\u1eadn \u0111\u1ed9ng, ngh\u1ec9 ng\u01a1i, v\u1ea9y tay.Nh\u1eefng than phi\u1ec1n t\u1eadp trung l\u00f2ng b\u00e0n tay c\u1ee7a 4 ng\u00f3n \u0111\u1ea7u v\u00e0 ph\u1ea7n xa l\u00f2ng b\u00e0n tay. C\u1ea3m gi\u00e1c t\u00ea t\u1ed3n t\u1ea1i ch\u1ee7 y\u1ebfu \u1edf ng\u00f3n 5 ho\u1eb7c lan r\u1ed9ng \u0111\u1ebfn m\u00f4 c\u00e1i ho\u1eb7c m\u1eb7t l\u01b0ng c\u1ee7a b\u00e0n tay th\u00ec n\u00ean ngh\u1ec9 \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n kh\u00e1c. C\u00f3 m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00e1 bi\u1ec7t l\u00e0 c\u1ea3m gi\u00e1c t\u00ea lan r\u1ed9ng c\u1ea3 b\u00e0n tay, n\u00ean trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u0169ng kh\u00f4ng lo\u1ea1i tr\u1eeb h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/p>\n\n\n\n<p>&#8211;\u00a0\u00a0C\u1ea3m gi\u00e1c \u0111au \u0111\u00f3m c\u1ea3 m\u1eb7t tr\u01b0\u1edbc c\u1ed5 tay. C\u1ea3m gi\u00e1c \u0111au n\u00e0y c\u00f3 th\u1ec3 lan \u0111\u1ebfn \u0111\u1ea7u xa c\u1ee7a b\u00e0n tay v\u00e0 ng\u00f3n tay, hay th\u01b0\u1eddng hom l\u00e0 lan d\u1ecdc l\u00ean tr\u00ean m\u1eb7t tr\u01b0\u1edbc c\u1eb3ng tay<\/p>\n\n\n\n<p>&#8211;\u00a0\u00a0Tri\u1ec7u ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a b\u1ec7nh do d\u00e2y th\u1ea7n kinh gi\u1eefa b\u1ecb r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng. M\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng l\u00e0 c\u1ea7m n\u1eafm kh\u00f3, c\u00e1c \u0111\u1ed9ng t\u00e1c kh\u00e9o l\u00e9o c\u1ee7a b\u00e0n tay gi\u1ea3m, hay \u0111\u00e1nh r\u01a1i \u0111\u1ed3 v\u1eadt.-<\/p>\n\n\n\n<p>&#8211; \u00cdt g\u1eb7p: C\u1ea3m gi\u00e1c th\u1eaft ch\u1eb7t hay s\u01b0ng n\u1ec1 b\u00e0n tay ho\u1eb7c thay \u0111\u1ed5i nhi\u1ec7t \u0111\u1ed9,r\u00f3i lo\u1ea1n ti\u1ebft m\u1ed3 h\u00f4i<\/p>\n\n\n\n<p><strong>C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/p>\n\n\n\n<p>\u0110i\u1ec7n c\u01a1 \u0111o d\u1eabn truy\u1ec1n th\u1ea7n kinh l\u00e0 h\u00e0ng \u0111\u1ea7u trong ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay. B\u1ea5t th\u01b0\u1eddng trong \u0111i\u1ec7n c\u01a1 \u0111i k\u00e8m v\u1edbi nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c xem l\u00e0 ti\u00eau chu\u1ea9n chu\u1ea9n cho ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng OCT. H\u01a1n n\u1eefa nh\u1eefng b\u1ec7nh l\u00fd th\u1ea7n kinh kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb v\u1edbi k\u1ebft qu\u1ea3 test n\u00e0y.<\/p>\n\n\n\n<p>\u0110i\u1ec7n c\u01a1 c\u00f2n \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, do v\u1eady c\u00f3 th\u1ec3 x\u1eed l\u00fd tr\u1ef1c ti\u1ebfp v\u00e0 l\u00e0 ti\u00eau chu\u1ea9n kh\u00e1ch quan cho ti\u00ean l\u01b0\u1ee3ng.<\/p>\n\n\n\n<p>G\u1ea7n \u0111\u00e2y, c\u00e1c b\u00e1c s\u0129 ngo\u1ea1i khoa ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng c\u00f4ng ngh\u1ec7 si\u00eau \u00e2m c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 h\u01a1n trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh xem b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay kh\u00f4ng.M\u00e1y si\u00eau \u00e2m hi\u1ec7n \u0111\u1ea1i v\u1edbi d\u1ea7u d\u00f2 t\u1ea7n s\u1ed1 cao c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh si\u00eau \u00e2m d\u00e2y th\u1ea7n kinh \u0111\u01a1n gi\u1ea3n, d\u1ec5 th\u1ef1c hi\u1ec7n v\u00e0 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong \u0111\u00e1nh gi\u00e1 s\u1ef1 thay \u0111\u1ed5i h\u00ecnh th\u00e1i c\u1ee7a d\u00e2y th\u1ea7n kinh. Si\u00eau \u00e2m c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng t\u0103ng k\u00edch th\u01b0\u1edbc th\u1ea7n kinh do ch\u00e8n \u00e9p \u1edf \u0111o\u1ea1n \u1ed1ng c\u1ed5 tay d\u1ef1a tr\u00ean \u0111o ti\u1ebft di\u1ec7n c\u1eaft ngang c\u1ee7a d\u00e2y th\u1ea7n kinh \u1edf c\u00e1c v\u1ecb tr\u00ed kh\u00e1c nhau trong \u1ed1ng c\u1ed5 tay, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n h\u00ecnh \u1ea3nh gi\u00e1n ti\u1ebfp c\u1ee7a t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p l\u1ef1c trong \u1ed1ng c\u1ed5 tay b\u1eb1ng \u0111o \u0111\u1ed9 v\u1ed3ng c\u1ee7a d\u00e2y ch\u1eb1ng v\u00f2ng c\u1ed5 tay. B\u00ean c\u1ea1nh \u0111\u00f3, si\u00eau \u00e2m c\u00f2n x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n ch\u00e8n \u00e9p t\u1eeb b\u00ean ngo\u00e0i n\u1ebfu c\u00f3 nh\u01b0 u, nang, vi\u00eam bao ho\u1ea1t d\u1ecbch g\u00e2n..Si\u00eau c\u00f2n c\u00f3 gi\u00e1 tr\u1ecb trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 sau ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/3560317691548966527#\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjnlZmtbGQ4NfNQwoi-yubBXWpsktBx9LjALx_CLonYuP2568GR7TNyLN-weullhh5VLXM2vb4vuuBgXAGKB3lgNSItgmofEz5Qi6mhf2O1d79Mbn_q0QX_uT2jY4Fh7IEOkC8oSfH2s02L6LWEKPobCUKSgOLIxD65-Q_rekvE1trxFZdbjPn9PI9jIw\/w467-h330\/10067_2020_5293_Fig2_HTML.jpg\" alt=\"\" style=\"width:750px;height:auto\"\/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-left\"><strong>\u0110I\u1ec0U TR\u1eca<\/strong><\/p>\n\n\n\n<p><strong>1. V\u1eadt l\u00fd tr\u1ecb li\u1ec7u:<\/strong><\/p>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay th\u01b0\u1eddng li\u00ean quan \u00edt v\u1eadn \u0111\u1ed9ng v\u00e0 t\u0103ng BMI n\u00ean c\u1ea7n khuy\u1ebfn kh\u00edch b\u1ec7nh&nbsp;nh\u00e2n t\u1eadp v\u1eadn \u0111\u1ed9ng th\u00edch h\u1ee3p v\u00e0 gi\u1ea3m c\u00e2n. Nh\u1eefng v\u1eadn \u0111\u1ed9ng l\u00e0m c\u0103ng th\u1eb3ng tr\u00ean v\u00f9ng c\u1ed5 tay n\u00ean tr\u00e1nh nh\u01b0 ch\u1ea1y xe g\u1eafn m\u00e1y, xe \u0111\u1ea1p&#8230;<\/p>\n\n\n\n<p>S\u1eed d\u1ee5ng nh\u1eefng m\u00f4 th\u1ee9c (\u0111\u1eb7c bi\u1ec7t si\u00eau \u00e2m \u0111i\u1ec1u tr\u1ecb) c\u00f3 th\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng nhi\u1ec1u b\u1ec7nh nh\u00e2n trong th\u1eddi gian ng\u1eafn&nbsp;<\/p>\n\n\n\n<p>N\u1eb9p c\u1ed5 tay t\u01b0 th\u1ebf trung t\u00ednh ho\u1eb7c du\u1ed7i nh\u1eb9 v\u00e0o ban \u0111\u00eam t\u1ed1i thi\u1ec3u 3 -4 tu\u1ea7n c\u00f3 1 v\u00e0i b\u1eb1ng ch\u1ee9ng cho l\u00e0 hi\u1ec7u qu\u1ea3. B\u1edfi v\u00ec gi\u00e1 th\u1ea5p v\u00e0 kh\u00f4ng c\u00f3 nguy c\u01a1 g\u00ec n\u00ean ph\u01b0\u01a1ng th\u1ee9c n\u00e0y \u0111\u01b0\u1ee3c xem l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u&nbsp;<\/p>\n\n\n\n<p><strong>2. \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n:<\/strong><\/p>\n\n\n\n<p>H\u1ea7u h\u1ebft nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay t\u1eeb nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh \u0111\u00e1p \u1ee9ng t\u1ed1t v\u00f3i \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u01b0\u1eddng bao g\u1ed3m mang n\u1eb9p \u0111\u00eam 03 tu\u1ea7n, thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid. Vitamin B6, B12 h\u1ed7 tr\u1ee3 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh&nbsp;l\u00e0 c\u00f3 l\u1ee3i<\/p>\n\n\n\n<p>Ti\u00eam steroid v\u00e0o c\u1ed5 tay cho th\u1ea5y hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1eed n\u1ebfu \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u1ea5t b\u1ea1i\u00a0 Ti\u00eam steroid c\u00f2n c\u00f3 gi\u00e1 tr\u1ecb tr\u01b0\u1edbc khi ch\u1edd \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt, ch\u00edch d\u01b0\u1edbi si\u00eau \u00e2m c\u00f3 th\u1ec3 gi\u00fap tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/p>\n\n\n\n<p><strong>K\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch th\u1ea7n kinh gi\u1eefa (hydrodissection) b\u1eb1ng dung d\u1ecbch dextrose 5% (D5W)<\/strong> mang \u0111\u1ebfn t\u00e1c d\u1ee5ng v\u01b0\u1ee3t tr\u1ed9i trong gi\u1ea3m \u0111au,gi\u1ea3m ch\u00e8n \u00e9p th\u1ea7n kinh,c\u1ea3i hi\u1ec7n d\u1eabn truy\u1ec1n,t\u00ednh an to\u00e0n cao so v\u1edbi ti\u00eam corticoid, th\u1eddi gian t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i l\u00ean \u0111\u1ebfn 12 th\u00e1ng.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"437\" src=\"https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/11\/2-16394657638481119855647.webp\" alt=\"2 16394657638481119855647\" class=\"wp-image-190\" style=\"width:750px;height:auto\" srcset=\"https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/11\/2-16394657638481119855647.webp 1024w, https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/11\/2-16394657638481119855647-300x128.webp 300w, https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/11\/2-16394657638481119855647-768x328.webp 768w, https:\/\/xuongkhopviet.vn\/wp-content\/uploads\/2025\/11\/2-16394657638481119855647-600x256.webp 600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">                                                           <strong><em>    B\u00f3c t\u00e1ch th\u1ea7n kinh gi\u1eefa d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m<\/em><\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong>3. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt:<\/strong><\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c theo d\u00f5i \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00f4ng c\u00f3 c\u1ea3i thi\u1ec7n (sau 4-6 tu\u1ea7n) v\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng OCT n\u1eb7ng n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t ph\u1eabu thu\u1eadt. Ph\u1eabu thu\u1eadt c\u1eaft d\u00e2y ch\u1eb1ng ngang c\u1ed5 tay gi\u1ea3i ph\u00f3ng th\u1ea7n kinh gi\u1eefa c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao (h\u01a1n 90%), t\u1ec9 l\u1ec7 bi\u1ebfn ch\u1ee9ng th\u1ea5p, tuy nhi\u00ean t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 th\u1ea5p h\u01a1n tr\u01b0\u1edbc \u0111\u00f3 (60% sau 5 n\u0103m)<\/p>\n\n\n\n<p><strong>TI\u00caN L\u01af\u1ee2NG<\/strong><\/p>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c t\u0103ng t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh&nbsp;gi\u1eefa v\u00e0 d\u1eabn \u0111\u1ebfn suy y\u1ebfu v\u00e0 m\u1ea5t kh\u1ea3 n\u0103ng v\u0129nh vi\u1ec5n, ngay c\u1ea3 khi c\u00f3 ph\u1eabu thu\u1eadt sau \u0111\u00f3 . M\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh \u0111au c\u1ed5 tay v\u00e0 b\u00e0n tay m\u00e3n t\u00ednh.<\/p>\n\n\n\n<p>Ban \u0111\u1ea7u, kho\u1ea3ng 90% h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay t\u1eeb nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. Tuy nhi\u00ean theo th\u1eddi gian th\u00ec m\u1ed9t s\u1ed1 trong nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay th\u1ee9 ph\u00e1t v\u1edbi b\u1ec7nh l\u00fd n\u1ec1n (nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, g\u00e3y x\u01b0\u01a1ng v\u00f9ng c\u1ed5 tay&#8230;) c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u00f4ng t\u1ed1t b\u1eb1ng nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u00e2y t\u00ea c\u00e1c ng\u00f3n tay.B\u1ec7nh li\u00ean quan \u0111\u1ebfn ngh\u1ec1 nghi\u1ec7p v\u00e0 d\u1ec5 t\u00e1i ph\u00e1t n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb khoa h\u1ecdc.<\/p>\n","protected":false},"author":1,"featured_media":191,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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