<\/span><\/h2>\n\n\n\nVi\u00eam \u0111i\u1ec3m b\u00e1m g\u00e2n v\u00e0 vi\u00eam ph\u1ea7n m\u1ec1m quanh kh\u1edbp c\u00f3 nhi\u1ec1u th\u1ec3 b\u1ec7nh kh\u00e1c nhau ch\u1ee9 kh\u00f4ng ph\u1ea3i 1 b\u1ec7nh \u0111\u01a1n nh\u1ea5t. Nh\u1eadn bi\u1ebft \u0111\u00fang th\u1ec3 b\u1ec7nh gi\u00fap vi\u1ec7c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 h\u01a1n.<\/em><\/p>\n\n\n\n<\/span>3.1. Vi\u00eam l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay<\/span><\/h3>\n\n\n\n\u2013 L\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 n\u01a1i b\u00e1m c\u1ee7a g\u00e2n c\u00e1c c\u01a1 du\u1ed7i c\u1ed5 tay quay, c\u01a1 du\u1ed7i chung c\u00e1c ng\u00f3n, c\u01a1 du\u1ed7i ng\u00f3n \u00fat, c\u01a1 khu\u1ef7u. Kho\u1ea3ng 40-50% ng\u01b0\u1eddi ch\u01a1i qu\u1ea7n v\u1ee3t b\u1ecb vi\u00eam l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay, v\u00ec v\u1eady b\u1ec7nh n\u00e0y c\u00f2n c\u00f3 t\u00ean l\u00e0 \u201cKhu\u1ef7u tay \u0111au do ch\u01a1i tenis\u201d (Tennis\u2019 elbow).<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture1-6.jpg\")
<\/figure>\n\n\n\n(H\u00ecnh \u1ea3nh: Vi\u00eam l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay)<\/em><\/p>\n\n\n\n\u2013 Tri\u1ec7u ch\u1ee9ng:<\/em> \u0111au khu tr\u00fa \u1edf v\u00f9ng m\u1eb7t ngo\u00e0i khu\u1ef7u tay, c\u00f3 khi \u0111au lan l\u00ean tr\u00ean c\u00e1nh tay v\u00e0 xu\u1ed1ng d\u01b0\u1edbi c\u1eb3ng tay; \u0111au c\u00f3 th\u1ec3 t\u0103ng v\u00e0o bu\u1ed5i chi\u1ec1u t\u1ed1i. \u0110au t\u0103ng khi l\u00e0m c\u00e1c \u0111\u1ed9ng t\u00e1c xoay c\u1eb3ng tay, g\u1ea5p du\u1ed7i ng\u00f3n tay, n\u1eafm ch\u1eb7t tay. Kh\u00e1m \u00edt khi th\u1ea5y s\u01b0ng, n\u00f3ng, \u0111\u1ecf; \u1ea5n v\u00e0o l\u1ed3i c\u1ea7u ngo\u00e0i \u0111au t\u0103ng l\u00ean ho\u1eb7c \u0111au ch\u00f3i. Kh\u00e1m c\u01a1 l\u1ef1c n\u1eafm tay hai b\u00ean c\u00f3 th\u1ec3 th\u1ea5y gi\u1ea3m s\u1ee9c n\u1eafm b\u00ean t\u1ed5n th\u01b0\u01a1ng. V\u1eadn \u0111\u1ed9ng kh\u1edbp khu\u1ef7u tay b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n\u2013 C\u1eadn l\u00e2m s\u00e0ng:<\/em>\u00a0X\u00e9t nghi\u1ec7m m\u00e1u: nh\u00ecn chung kh\u00f4ng thay \u0111\u1ed5i. Ch\u1ee5p X-quang h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 h\u00ecnh \u1ea3nh b\u1ea5t th\u01b0\u1eddng. C\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh calci h\u00f3a\u00a0\u1edf \u0111\u1ea7u g\u00e2n. Ph\u1ea7n l\u1edbn k\u00e9o d\u00e0i m\u1ed9t th\u1eddi gian r\u1ed3i t\u1ef1 kh\u1ecfi nh\u01b0ng hay t\u00e1i ph\u00e1t \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 calci h\u00f3a.<\/p>\n\n\n\n<\/span>3.2. Vi\u00eam m\u1ecfm tr\u00e2m x\u01b0\u01a1ng quay (H\u1ed9i ch\u1ee9ng De Quervain)<\/span><\/h3>\n\n\n\nB\u00ecnh th\u01b0\u1eddng c\u01a1 d\u1ea1ng d\u00e0i v\u00e0 du\u1ed7i ng\u00f3n tay c\u00e1i tr\u01b0\u1ee3t d\u1ec5 d\u00e0ng trong bao g\u00e2n. Khi bao n\u00e0y b\u1ecb vi\u00eam s\u1ebd ch\u00e8n \u00e9p c\u00e1c th\u00e0nh ph\u1ea7n b\u00ean trong g\u00e2y \u0111au v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng ng\u00f3n c\u00e1i.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture3-2.jpg\")
<\/figure>\n\n\n\nH\u00ecnh \u1ea3nh: Vi\u00eam g\u00e2n du\u1ed7i ng\u1eafn v\u00e0 d\u1ea1ng d\u00e0i ng\u00f3n c\u00e1i \u2013 H\u1ed9i ch\u1ee9ng De Quervain<\/em><\/p>\n\n\n\nNguy\u00ean nh\u00e2n:<\/em> hay g\u1eb7p \u1edf ph\u1ee5 n\u1eef, do v\u1eadn \u0111\u1ed9ng ng\u00f3n c\u00e1i qu\u00e1 m\u1ee9c k\u00e9o d\u00e0i nh\u01b0 gi\u1eb7t, b\u1ebf con, d\u1ec7t\u2026 C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng d\u1ea1ng ng\u00f3n c\u00e1i qu\u00e1 m\u1ee9c, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lao, s\u1eb9o sau ph\u1eabu thu\u1eadt ho\u1eb7c kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n\n\n\nTri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/em><\/p>\n\n\n\n\u2013 S\u01b0ng \u0111au v\u00f9ng m\u1ecfm tr\u00e2m x\u01b0\u01a1ng quay, \u0111au t\u0103ng khi v\u1eadn \u0111\u1ed9ng ng\u00f3n c\u00e1i, \u0111au li\u00ean t\u1ee5c, \u0111au nhi\u1ec1u v\u1ec1 \u0111\u00eam. \u0110au c\u00f3 th\u1ec3 lan ra ng\u00f3n c\u00e1i v\u00e0 lan l\u00ean c\u1eb3ng tay.<\/p>\n\n\n\n
\u2013 S\u1edd th\u1ea5y bao g\u00e2n ph\u00eda ngo\u00e0i m\u1ecfm tr\u00e2m quay d\u1ea7y l\u00ean, c\u00f3 th\u1ec3 c\u00f3 n\u00f3ng \u0111\u1ecf, \u1ea5n th\u1ea5y \u0111au ch\u00f3i.<\/p>\n\n\n\n
\u2013 Khi v\u1eadn \u0111\u1ed9ng ng\u00f3n c\u00e1i c\u00f3 th\u1ec3 nghe th\u1ea5y ti\u1ebfng k\u00eau c\u00f3t k\u00e9t.<\/p>\n\n\n\n
\u2013 Test Finkelstein: g\u1ea5p ng\u00f3n c\u00e1i v\u00e0o trong l\u00f2ng b\u00e0n tay, n\u1eafm c\u00e1c ng\u00f3n tay tr\u00f9m l\u00ean ng\u00f3n c\u00e1i, u\u1ed1n c\u1ed5 tay nghi\u00eang v\u1ec1 ph\u00eda tr\u1ee5. Khi b\u1ec7nh nh\u00e2n th\u1ea5y \u0111au ch\u00f3i v\u00f9ng g\u00e2n d\u1ea1ng d\u00e0i v\u00e0 g\u00e2n du\u1ed7i ng\u00f3n c\u00e1i hay \u1edf g\u1ed1c ng\u00f3n c\u00e1i l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam bao g\u00e2n (De Quervain).<\/p>\n\n\n\n
Si\u00eau \u00e2m c\u00f3 th\u1ec3 th\u1ea5y bao g\u00e2n d\u1ea7y l\u00ean v\u00e0 c\u00f3 d\u1ecbch bao quanh\u2026<\/p>\n\n\n\n
<\/span>3.3. Vi\u00eam \u0111\u1ea7u d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u<\/span><\/h3>\n\n\n\nNguy\u00ean nh\u00e2n:<\/em><\/em><\/p>\n\n\n\n\u2013 T\u00ecnh tr\u1ea1ng vi\u00eam g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u ch\u1ee7 y\u1ebfu l\u00e0 do s\u1ef1 tho\u00e1i h\u00f3a t\u1ef1 nhi\u00ean, m\u00e0 kh\u00f4ng \u0111\u1ebfn t\u1eeb b\u1ec7nh l\u00fd c\u01a1 x\u01b0\u01a1ng kh\u1edbp hay d\u00e2y ch\u1eb1ng. Theo \u0111\u00f3, c\u00e0ng l\u1edbn tu\u1ed5i th\u00ec c\u00e1c g\u00e2n c\u00e0ng y\u1ebfu v\u00e0 d\u1ec5 m\u00f2n \u0111i. Khi g\u00e2n nh\u1ecb \u0111\u1ea7u b\u1ecb k\u00edch th\u00edch qu\u00e1 nhi\u1ec1u b\u1edfi ho\u1ea1t \u0111\u1ed9ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i h\u1eb1ng ng\u00e0y, \u0111i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 t\u0103ng c\u01a1n \u0111au d\u1eef d\u1ed9i, kh\u00f3 ch\u1ecbu; m\u00e0 c\u00f2n c\u1ecd x\u00e1t, l\u00e0m vi\u00eam \u0111o\u1ea1n \u0111i trong r\u00e3nh nh\u1ecb \u0111\u1ea7u, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng s\u1ee5n v\u00e0 g\u00e2n nh\u1ecb \u0111\u1ea7u k\u00e9o d\u00e0i, th\u1eadm ch\u00ed l\u00e0 \u0111\u1ee9t g\u00e2n.\u00a0<\/p>\n\n\n\n
\u2013 Ngo\u00e0i ra,ch\u1ea5n th\u01b0\u01a1ng khi ch\u01a1i th\u1ec3 thao, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c m\u00f4n y\u00eau c\u1ea7u ho\u1ea1t \u0111\u1ed9ng qu\u00e1 \u0111\u1ea7u nh\u01b0 b\u01a1i l\u1ed9i, qu\u1ea7n v\u1ee3t, c\u1ea7u l\u00f4ng, b\u00f3ng ch\u00e0y, ch\u00e8o thuy\u1ec1n ho\u1eb7c ch\u01a1i golf, c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn \u0111\u1ea7u d\u00e0i c\u01a1 nh\u1ecb \u0111\u1ea7u b\u1ecb vi\u00eam, \u0111i k\u00e8m l\u00e0 t\u00ecnh tr\u1ea1ng r\u00e1ch g\u00e2n ch\u00f3p xoay , vi\u00eam x\u01b0\u01a1ng kh\u1edbp v\u00e0 m\u1ea5t v\u1eefng kh\u1edbp vai m\u00e3n t\u00ednh.\u00a0<\/p>\n\n\n\n
\u2013 M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c t\u0103ng nguy c\u01a1 vi\u00eam g\u00e2n nh\u1ecb \u0111\u1ea7u bao g\u1ed3m h\u00fat thu\u1ed1c l\u00e1, b\u00e9o ph\u00ec \u2013 th\u1eeba c\u00e2n ho\u1eb7c vi\u00eam kh\u1edbp\u00a0tr\u01b0\u1edbc \u0111\u00f3 t\u1ea1o ra nhi\u1ec1u gai x\u01b0\u01a1ng, t\u00e1c \u0111\u1ed9ng x\u1ea5u v\u00e0o g\u00e2n c\u1ee7a c\u01a1 nh\u1ecb \u0111\u1ea7u.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture5-2.jpg\")
<\/figure>\n\n\n\n(H\u00ecnh \u1ea3nh: Vi\u00eam \u0111\u1ea7u d\u00e0i g\u00e2n nh\u1ecb \u0111\u1ea7u kh\u1edbp vai)<\/em><\/p>\n\n\n\nTri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/em><\/em><\/p>\n\n\n\n\u2013 \u0110au m\u1eb7t tr\u01b0\u1edbc vai v\u00e0 lan d\u1ea7n xu\u1ed1ng c\u00e1nh tay, khu\u1ef7u tay.<\/p>\n\n\n\n
\u2013 C\u01a1n \u0111au t\u0103ng \u0111\u1ed9t ng\u1ed9t khi\u1ebfn cho b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y t\u00ea m\u1ecfi \u1edf v\u00f9ng vai v\u00e0 c\u00e1nh tay.<\/p>\n\n\n\n
\u2013 Kh\u00f3 kh\u0103n khi c\u1eed \u0111\u1ed9ng hai c\u00e1nh tay, th\u1eadm ch\u00ed gi\u01a1 tay, vung tay hay l\u00e0 nh\u1ea5c tay c\u0169ng s\u1ebd l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y v\u00f4 c\u00f9ng \u0111au \u0111\u1edbn.<\/p>\n\n\n\n
\u2013 B\u1ec7nh vi\u00eam g\u00e2n c\u01a1 nh\u1ecb \u0111\u1ea7u vai n\u1ebfu k\u00e9o d\u00e0i th\u00ec s\u1ebd d\u1eabn t\u1edbi kh\u1ea3 n\u0103ng b\u1ecb suy gi\u1ea3m nghi\u00eam tr\u1ecdng s\u1ef1 v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp. H\u01a1n n\u1eefa, g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi nghi\u00eam tr\u1ecdng \u0111\u1ebfn c\u00f4ng vi\u1ec7c c\u0169ng nh\u01b0 l\u00e0 qu\u00e1 tr\u00ecnh sinh ho\u1ea1t.<\/p>\n\n\n\n
C\u1eadn l\u00e2m s\u00e0ng:<\/em><\/em><\/p>\n\n\n\n\u2013 Si\u00eau \u00e2m: \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p h\u1eefu hi\u1ec7u nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u1ee7a g\u00e2n v\u00e0 t\u00fai ho\u1ea1t d\u1ecbch g\u00e2n. B\u00ean c\u1ea1nh \u0111\u00f3, si\u00eau \u00e2m kh\u1edbp vai c\u0169ng l\u00e0 c\u00e1ch theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. <\/p>\n\n\n\n
\u2013 Ch\u1ee5p X-quang: M\u1eb7c d\u00f9 k\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n c\u1ee7a ch\u1ee5p X-quang l\u00e0 m\u00f4 t\u1ea3 b\u1ec7nh l\u00fd v\u1ec1 x\u01b0\u01a1ng, kh\u1edbp. Nh\u01b0ng, c\u00e1ch n\u00e0y c\u00f2n c\u00f3 \u00edch trong vi\u1ec7c quan s\u00e1t, \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1ea5n \u0111\u1ec1 \u1edf kh\u1edbp vai.<\/p>\n\n\n\n
\u2013 Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI): Cho ph\u00e9p \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng g\u00e2n, bao ho\u1ea1t d\u1ecbch g\u00e2n v\u00e0 s\u1ed1 l\u01b0\u1ee3ng d\u1ecbch vi\u00eam m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c. T\u1eeb \u0111\u00f3, x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 vi\u00eam g\u00e2n nh\u1ecb \u0111\u1ea7u l\u00e0 n\u1eb7ng hay nh\u1eb9.<\/p>\n\n\n\n
<\/span>3.4. Vi\u00eam g\u00e2n ch\u00f3p xoay vai<\/span><\/h3>\n\n\n\nCh\u00f3p xoay l\u00e0 m\u1ed9t nh\u00f3m g\u00e2n t\u1ea1i kh\u1edbp vai, \u0111\u01b0\u1ee3c c\u1ea5u t\u1ea1o b\u1edfi 4 g\u00e2n: c\u01a1 tr\u00ean gai, c\u01a1 d\u01b0\u1edbi gai, c\u01a1 d\u01b0\u1edbi vai v\u00e0 c\u01a1 tr\u00f2n b\u00e9. \u0110\u00e2y l\u00e0 nh\u00f3m g\u00e2n v\u00f4 c\u00f9ng quan tr\u1ecdng, n\u00f3 tham gia v\u00e0o t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed9ng t\u00e1c c\u1ee7a kh\u1edbp vai c\u0169ng nh\u01b0 gi\u00fap kh\u1edbi vai v\u1eefng ch\u00e3i, h\u1ea1n ch\u1ebf nguy c\u01a1 tr\u1eadt kh\u1edbp.<\/p>\n\n\n\n
T\u1ed5n th\u01b0\u01a1ng c\u00e1c g\u00e2n ch\u00f3p xoay r\u1ea5t \u0111a d\u1ea1ng nh\u01b0: vi\u00eam g\u00e2n, vi\u00eam bao thanh d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, \u0111\u1ee9t g\u00e2n b\u00e1n ph\u1ea7n, \u0111\u1ee9t g\u00e2n to\u00e0n b\u1ed9\u2026 \u0111\u00f4i khi k\u00e8m theo s\u1ef1 l\u1eafng \u0111\u1ecdng canxi \u1edf g\u00e2n g\u00e2y \u0111au nh\u1ee9c. Tr\u01b0\u1edbc \u0111\u00e2y b\u1ec7nh vi\u00eam g\u00e2n ch\u00f3p xoay x\u1ea3y ra ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi trung ni\u00ean, khi c\u00e1c kh\u1edbp d\u1ea7n b\u1ecb tho\u00e1i h\u00f3a. Nh\u01b0ng hi\u1ec7n nay t\u1ef7 l\u1ec7 ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i b\u1ecb vi\u00eam ch\u00f3p xoay vai c\u0169ng \u0111ang gia t\u0103ng, ch\u1ee7 y\u1ebfu l\u00e0 do ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c v\u1eadn \u0111\u1ed9ng vai kh\u00f4ng \u0111\u00fang c\u00e1ch.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture7.jpg\")
<\/figure>\n\n\n\n(Vi\u00eam g\u00e2n c\u01a1 tr\u00ean vai g\u00e2y \u0111au nh\u1ee9c v\u00e0 t\u00ea m\u1ecfi v\u00f9ng vai v\u00e0 c\u00e1nh tay)<\/em><\/p>\n\n\n\nNguy\u00ean nh\u00e2n g\u00e2y vi\u00eam g\u00e2n c\u01a1 ch\u00f3p xoay vai<\/em><\/em><\/p>\n\n\n\nC\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn vi\u00eam g\u00e2n c\u01a1 ch\u00f3p xoay vai nh\u01b0:<\/p>\n\n\n\n
Vi\u00eam g\u00e2n ch\u00f3p xoay vai do bi\u1ebfn ch\u1ee9ng b\u1ec7nh l\u00fd: Tho\u00e1i h\u00f3a kh\u1edbp vai, thi\u1ebfu m\u00e1u nu\u00f4i g\u00e2n, vi\u00eam bao ho\u1ea1t d\u1ecbch d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, vi\u00eam g\u00e2n, r\u00e1ch g\u00e2n, vi\u00eam tho\u00e1i h\u00f3a ch\u00f3p\u2026 l\u00e0 nh\u1eefng b\u1ec7nh l\u00fd \u0111i\u1ec3n h\u00ecnh g\u00e2y n\u00ean b\u1ec7nh vi\u00eam g\u00e2n c\u01a1 ch\u00f3p xoay.<\/p>\n\n\n\n
Ch\u1ea5n th\u01b0\u01a1ng g\u00e2y \u00e1p l\u1ef1c l\u00ean vai: Ch\u1ed1ng tay ho\u1eb7c \u0111\u00e8 m\u1ea1nh l\u00ean vai khi b\u1ecb t\u00e9 ng\u00e3 khi\u1ebfn tay ch\u1ecbu s\u1ee9c n\u1eb7ng l\u1edbn g\u00e2y ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng vai, l\u00e0m d\u1eadp ho\u1eb7c r\u00e1ch g\u00e2n c\u01a1 ch\u00f3p xoay.<\/p>\n\n\n\n
Sinh ho\u1ea1t sai t\u01b0 th\u1ebf: N\u1ebfu n\u00e2ng v\u1eadt n\u1eb7ng ho\u1eb7c \u0111\u01b0a tay qua \u0111\u1ea7u kh\u00f4ng \u0111\u00fang t\u01b0 th\u1ebf, l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u0169ng khi\u1ebfn ch\u00f3p xoay kh\u1edbp vai b\u1ecb vi\u00eam, r\u00e1ch. Nh\u1ea5t l\u00e0 v\u1edbi nh\u1eefng ng\u01b0\u1eddi hay ng\u1ee7 nghi\u00eang m\u1ed9t b\u00ean, nh\u1eefng ng\u01b0\u1eddi l\u00e0m ngh\u1ec1 th\u01b0\u1eddng xuy\u00ean gi\u01a1 cao (th\u1ee3 s\u01a1n, th\u1ee3 m\u1ed9c,..) ho\u1eb7c v\u1eadn \u0111\u1ed9ng vi\u00ean (n\u00e2ng t\u1ea1, \u0111\u00e1nh golf, b\u00f3ng r\u1ed5, b\u00f3ng chuy\u1ec1n,\u2026).<\/p>\n\n\n\n
<\/span>Tu\u1ed5i t\u00e1c: Tu\u1ed5i t\u00e1c l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n d\u1ec5 d\u1eabn \u0111\u1ebfn vi\u00eam g\u00e2n ch\u00f3p xoay.<\/span><\/h3>\n\n\n\n<\/span>Tri\u1ec7u ch\u1ee9ng vi\u00eam ch\u00f3p xoay vai: <\/em>Khi m\u1edbi kh\u1edfi ph\u00e1t, vi\u00eam ch\u00f3p xoay vai th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n nh\u1eb9 n\u00ean d\u1ec5 b\u1ecb ph\u1edbt l\u1edd, b\u1ecf qua. M\u1ed9t v\u00e0i d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh nh\u01b0:<\/span><\/h3>\n\n\n\n\n- V\u00f9ng vai b\u1ecb \u0111au \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 khi ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c ngh\u1ec9 ng\u01a1i.<\/li>\n\n\n\n
- Ph\u00eda tr\u00ean kh\u1edbp vai c\u00f3 d\u1ea5u hi\u1ec7u \u0111au v\u00e0 s\u01b0ng.<\/li>\n\n\n\n
- C\u01a1n \u0111au tr\u1ea3i d\u00e0i t\u1eeb ph\u00eda tr\u01b0\u1edbc kh\u1edbp vai xu\u1ed1ng m\u1eb7t ngo\u00e0i c\u00e1nh tay.<\/li>\n\n\n\n
- Khi ch\u1ea1m v\u00e0o v\u00f9ng vai ho\u1eb7c nh\u1ea5c c\u00e1nh tay l\u00ean \u0111\u1ed9t ng\u1ed9t, v\u00f9ng vai c\u00f3 c\u1ea3m gi\u00e1c \u0111au nh\u1ee9c.<\/li>\n\n\n\n
- Ph\u00e1t ra \u00e2m thanh \u201cl\u00e1ch c\u00e1ch\u201d khi ho\u1ea1t \u0111\u1ed9ng kh\u1edbp vai.<\/li>\n\n\n\n
- Theo th\u1eddi gian, t\u00ecnh tr\u1ea1ng vi\u00eam ch\u00f3p xoay s\u1ebd ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0:<\/li>\n\n\n\n
- C\u01a1n \u0111au nh\u1ee9c d\u1eef d\u1ed9i khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 nh\u1ea5c c\u00e1nh tay l\u00ean. C\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh ho\u1ea1t h\u00e0ng ng\u00e0y nh\u01b0 ch\u1ea3i t\u00f3c, m\u1eb7c qu\u1ea7n \u00e1o\u2026 c\u0169ng tr\u1edf n\u00ean kh\u00f3 kh\u0103n.<\/li>\n\n\n\n
- Nghi\u00eam tr\u1ecdng h\u01a1n, v\u1edbi nh\u1eefng ng\u01b0\u1eddi thu\u1eadn b\u00ean ph\u1ea3i, n\u1ebfu b\u1ecb vi\u00eam g\u00e2n c\u01a1 ch\u00f3p xoay vai ph\u1ea3i s\u1ebd g\u00e2y \u1ea3nh h\u01b0\u1edfng kh\u00f4ng nh\u1ecf \u0111\u1ebfn cu\u1ed9c s\u1ed1ng v\u00e0 ng\u01b0\u1ee3c l\u1ea1i.<\/li>\n\n\n\n
- C\u00e1c c\u01a1 vai y\u1ebfu d\u1ea7n, kh\u00f4ng th\u1ec3 v\u1eadn \u0111\u1ed9ng kh\u1edbp vai nhi\u1ec1u nh\u01b0 l\u00fac tr\u01b0\u1edbc.<\/li>\n\n\n\n
- C\u01a1n \u0111au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u1ec1 \u0111\u00eam, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh m\u1ea5t ng\u1ee7 v\u00e0 ph\u1ea3i \u0111\u1ed5i t\u01b0 th\u1ebf li\u00ean t\u1ee5c \u0111\u1ec3 c\u01a1n \u0111au d\u1ecbu \u0111i.<\/li>\n\n\n\n
- \u1ede nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, c\u01a1 vai m\u1ea5t \u0111i kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng k\u00e8m nh\u1eefng c\u01a1n \u0111au nh\u1ee9c li\u00ean t\u1ee5c.<\/li>\n<\/ul>\n\n\n\n
Bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a vi\u00eam g\u00e2n ch\u00f3p xoay vai: <\/em>\u0110\u1eebng ch\u1ee7 quan b\u1ecf qua nh\u1eefng d\u1ea5u hi\u1ec7u vi\u00eam ch\u00f3p xoay vai, v\u00ec n\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i s\u1ebd c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0:<\/p>\n\n\n\n\n- G\u00e2y vi\u00eam g\u00e2n m\u00e3n t\u00ednh, d\u1eabn \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ph\u1ee9c t\u1ea1p v\u00e0 m\u1ea5t nhi\u1ec1u chi ph\u00ed, th\u1eddi gian.<\/li>\n\n\n\n
- Kh\u1edbp vai b\u1ecb c\u1ee9ng, t\u1ea7n su\u1ea5t v\u00e0 hi\u1ec7u su\u1ea5t ho\u1ea1t \u0111\u1ed9ng c\u1ee7a vai gi\u1ea3m r\u00f5 r\u1ec7t.<\/li>\n\n\n\n
- C\u01a1 vai kh\u00f4ng c\u00f2n linh ho\u1ea1t v\u00e0 s\u1ee9c m\u1ea1nh, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u00e1nh tay, ng\u1ef1c, l\u01b0ng.<\/li>\n\n\n\n
- C\u01a1n \u0111au t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, th\u1eadm ch\u00ed l\u00e0 li\u00ean t\u1ee5c, k\u1ec3 c\u1ea3 gi\u1ea5c ng\u1ee7, t\u1eeb \u0111\u00f3 g\u00e2y ra t\u00ecnh tr\u1ea1ng m\u1ea5t ng\u1ee7 k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u b\u1ec7nh l\u00fd th\u1ea7n kinh.<\/li>\n<\/ul>\n\n\n\n
<\/span>Ch\u1ea9n \u0111o\u00e1n vi\u00eam g\u00e2n ch\u00f3p xoay:<\/em><\/em><\/span><\/h3>\n\n\n\nKhi xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam g\u00e2n ch\u00f3p xoay vai, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ch\u1ee7 quan, d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au t\u1ea1i nh\u00e0 \u0111\u1ec3 c\u1eaft gi\u1ea3m c\u01a1n \u0111au t\u1ea1m th\u1eddi. V\u00ec sau khi thu\u1ed1c h\u1ebft hi\u1ec7u l\u1ef1c, c\u01a1n \u0111au s\u1ebd t\u00e1i ph\u00e1t l\u1ea1i v\u00e0 ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n, g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n\n\n\n
Khi th\u0103m kh\u00e1m, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c ki\u1ec3m tra ho\u1ea1t \u0111\u1ed9ng c\u1ee7a vai c\u00f3 b\u00ecnh th\u01b0\u1eddng hay kh\u00f4ng. Ngo\u00e0i ra, m\u1ed9t v\u00e0i x\u00e9t nghi\u1ec7m c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 vi\u00eam, t\u1ed5n th\u01b0\u01a1ng t\u1ea1i vai, nh\u1eb1m x\u00e2y d\u1ef1ng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Nh\u1eefng x\u00e9t nghi\u1ec7m th\u01b0\u1eddng g\u1eb7p c\u00f3 th\u1ec3 l\u00e0:<\/p>\n\n\n\n
\n- Ch\u1ee5p X-quang: Gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c gai x\u01b0\u01a1ng nh\u1ecf v\u00e0 b\u1ecb v\u00f4i h\u00f3a trong g\u00e2n.<\/li>\n\n\n\n
- Si\u00eau \u00e2m kh\u1edbp vai: Cho k\u1ebft qu\u1ea3 r\u00f5 n\u00e9t h\u01a1n v\u1ec1 c\u1ea5u tr\u00fac c\u00e1c ph\u1ea7n m\u00f4 m\u1ec1m nh\u01b0 g\u00e2n, c\u01a1.<\/li>\n\n\n\n
- Ch\u1ee5p MRI: Ki\u1ec3m tra t\u00ecnh tr\u1ea1ng vi\u00eam, t\u1ee5 d\u1ecbch ho\u1eb7c c\u00e1c t\u1ed5n th\u01b0\u01a1ng nh\u01b0 r\u00e1ch g\u00e2n, tho\u00e1i h\u00f3a g\u00e2n.<\/li>\n<\/ul>\n\n\n\n
<\/span>3.5. Ng\u00f3n tay l\u00f2 xo<\/span><\/h3>\n\n\n\nL\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam bao g\u00e2n c\u1ee7a c\u00e1c g\u00e2n g\u1ea5p c\u00e1c ng\u00f3n tay g\u00e2y ch\u00edt h\u1eb9p bao g\u00e2n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e2n g\u1ea5p b\u1ecb vi\u00eam xu\u1ea5t hi\u1ec7n c\u1ee5c x\u01a1, l\u00e0m di \u0111\u1ed9ng c\u1ee7a g\u00e2n g\u1ea5p qua v\u00f9ng ng\u00f3n tay b\u1ecb c\u1ea3n tr\u1edf. M\u1ed7i l\u1ea7n g\u1ea5p hay du\u1ed7i ng\u00f3n tay r\u1ea5t kh\u00f3 kh\u0103n, b\u1ec7nh nh\u00e2n ph\u1ea3i c\u1ed1 g\u1eafng m\u1edbi b\u1eadt \u0111\u01b0\u1ee3c ng\u00f3n tay ra ho\u1eb7c ph\u1ea3i d\u00f9ng tay b\u00ean l\u00e0nh k\u00e9o ng\u00f3n tay ra nh\u01b0 ki\u1ec3u ng\u00f3n tay c\u00f3 l\u00f2 xo. V\u00ec v\u1eady b\u1ec7nh c\u00f3 t\u00ean l\u00e0 ng\u00f3n tay l\u00f2 xo.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture10.png\")
<\/figure>\n\n\n\nTri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/em><\/p>\n\n\n\n\u2013 \u0110au ng\u00f3n tay t\u1ea1i v\u1ecb tr\u00ed bao g\u00e2n b\u1ecb vi\u00eam v\u00e0 t\u1ea1i c\u1ee5c x\u01a1, kh\u00f3 c\u1eed \u0111\u1ed9ng ng\u00f3n tay. Tri\u1ec7u ch\u1ee9ng n\u00e0y n\u1eb7ng h\u01a1n v\u00e0o bu\u1ed5i s\u00e1ng, m\u1edbi ng\u1ee7 d\u1eady.<\/p>\n\n\n\n
\u2013 Ng\u00f3n tay c\u00f3 th\u1ec3 b\u1ecb k\u1eb9t \u1edf t\u01b0 th\u1ebf g\u1ea5p v\u00e0o l\u00f2ng b\u00e0n tay ho\u1eb7c du\u1ed7i th\u1eb3ng.<\/p>\n\n\n\n
\u2013 C\u00f3 th\u1ec3 c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ed9t ho\u1eb7c nhi\u1ec1u ng\u00f3n tay c\u00f9ng m\u1ed9t l\u00fac.<\/p>\n\n\n\n
\u2013 Kh\u00e1m ng\u00f3n tay c\u00f3 th\u1ec3 c\u00f3 s\u01b0ng, s\u1edd d\u1ecdc g\u00e2n g\u1ea5p c\u00f3 th\u1ec3 th\u1ea5y c\u1ee5c x\u01a1 d\u1ecdc tr\u00ean g\u00e2n g\u1ea5p ng\u00f3n tay.<\/p>\n\n\n\n
\u2013 Th\u01b0\u1eddng s\u1edd th\u1ea5y c\u1ee5c x\u01a1 \u1edf v\u1ecb tr\u00ed kh\u1edbp \u0111\u1ed1t b\u00e0n ng\u00f3n tay, c\u1ee5c x\u01a1 di \u0111\u1ed9ng khi g\u1ea5p du\u1ed7i ng\u00f3n tay.<\/p>\n\n\n\n
<\/span>3.6. H\u1ed9i ch\u1ee9ng \u0111\u01b0\u1eddng h\u1ea7m c\u1ed5 tay<\/span><\/h3>\n\n\n\nTrong \u0111\u01b0\u1eddng h\u1ea7m c\u1ed5 tay c\u00f3 g\u00e2n c\u01a1 g\u1ea5p ng\u00f3n c\u00e1i d\u00e0i n\u1eb1m trong bao ho\u1ea1t d\u1ecbch quay, g\u00e2n c\u00e1c c\u01a1 du\u1ed7i n\u00f4ng v\u00e0 s\u00e2u c\u00e1c ng\u00f3n n\u1eb1m trong ho\u1ea1t d\u1ecbch tr\u1ee5, gi\u1eefa hai bao d\u1ecbch n\u00e0y l\u00e0 th\u1ea7n kinh gi\u1eefa. Khi c\u00e1c bao d\u1ecbch n\u00e0y b\u1ecb vi\u00eam s\u1ebd g\u00e2y s\u01b0ng n\u1ec1 ch\u00e8n \u00e9p th\u1ea7n kinh gi\u1eefa g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng \u0111\u01b0\u1eddng h\u1ea7m hay \u1ed1ng c\u1ed5 tay.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture13.jpg\")
<\/figure>\n\n\n\n(H\u00ecnh \u1ea3nh: D\u00e2y th\u1ea7n kinh gi\u1eefa b\u1ecb ch\u00e8n em g\u00e2y H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay)<\/em><\/p>\n\n\n\nNguy\u00ean nh\u00e2n:<\/em><\/p>\n\n\n\n\u2013 Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p<\/p>\n\n\n\n
\u2013 C\u00e1c ch\u1ea5n th\u01b0\u01a1ng v\u00f9ng c\u1ed5 tay: g\u00e3y x\u01b0\u01a1ng c\u1ee7a nh\u00f3m x\u01b0\u01a1ng c\u00e1, sai kh\u1edbp x\u01b0\u01a1ng b\u00e1n nguy\u1ec7t, g\u00e3y c\u1ed5 tay ki\u1ec3u Pouteau Colles.<\/p>\n\n\n\n
\u2013 M\u1ed9t s\u1ed1 ngh\u1ec1 nghi\u1ec7p s\u1eed d\u1ee5ng c\u1ed5 tay nhi\u1ec1u: \u00e9p, v\u1eb7n xoay\u2026<\/p>\n\n\n\n
\u2013 Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n\n\n\n
Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/em><\/p>\n\n\n\n\u2013 R\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c v\u00f9ng th\u1ea7n kinh gi\u1eefa chi ph\u1ed1i, b\u1ec7nh nh\u00e2n th\u1ea5y t\u00ea v\u00e0 \u0111au bu\u1ed1t \u1edf c\u00e1c ng\u00f3n tay c\u00e1i v\u00e0 ng\u00f3n hai, ba v\u00e0 v\u00f9ng gan b\u00e0n tay \u0111\u1eb7c bi\u1ec7t l\u00e0 khi b\u1ec7nh nh\u00e2n l\u00e0m \u0111\u1ed9ng t\u00e1c du\u1ed7i c\u1ed5 tay, th\u01b0\u1eddng \u0111au li\u00ean t\u1ee5c, t\u0103ng v\u1ec1 \u0111\u00eam, n\u1eb7ng l\u00ean khi th\u1eddi ti\u1ebft l\u1ea1nh.<\/p>\n\n\n\n
\u2013 V\u00f9ng c\u1ed5 tay c\u00f3 th\u1ec3 s\u01b0ng nh\u1eb9 so v\u1edbi b\u00ean l\u00e0nh.<\/p>\n\n\n\n
\u2013 Kh\u00e1m: l\u00e0m m\u1ed9t s\u1ed1 nghi\u1ec7m ph\u00e1p l\u00e0m t\u0103ng s\u1ee9c \u00e9p l\u00ean \u0111\u01b0\u1eddng h\u1ea7m<\/p>\n\n\n\n
\n- Du\u1ed7i c\u1ed5 tay h\u1ebft c\u1ee1, d\u00f9ng b\u00faa ph\u1ea3n x\u1ea1 g\u00f5 v\u00e0o v\u00f9ng c\u1ed5 tay g\u00e2y n\u00ean t\u00ea v\u00e0 \u0111au c\u00e1c ng\u00f3n 1,2,3 v\u00e0 d\u1ecdc 1\/2 ng\u00f3n 4<\/li>\n\n\n\n
- D\u00f9ng d\u00e2y garo th\u1eaft ch\u1eb7t ph\u1ea7n tr\u00ean c\u1eb3ng tay, sau m\u1ed9t th\u1eddi gian ng\u1eafn th\u1ea5y \u0111au nh\u01b0 tr\u00ean<\/li>\n\n\n\n
- Nghi\u1ec7m ph\u00e1p g\u1ecdng k\u00ecm c\u1ee7a ng\u00f3n c\u00e1i v\u00e0 ng\u00f3n tr\u1ecf th\u1ea5y c\u01a1 l\u1ef1c gi\u1ea3m r\u00f5 so v\u1edbi b\u00ean l\u00e0nh<\/li>\n\n\n\n
- M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng ho\u1eb7c vi\u00eam k\u00e9o d\u00e0i s\u1ebd th\u1ea5y teo c\u01a1 m\u00f4 c\u00e1i v\u00e0 gi\u1ea3m c\u1ea3m gi\u00e1c n\u00f4ng c\u1ee7a c\u00e1c ng\u00f3n 1,2,3 v\u00e0 1\/2 ng\u00f3n 4.<\/li>\n<\/ul>\n\n\n\n
C\u1eadn l\u00e2m s\u00e0ng:<\/em><\/p>\n\n\n\n\u2013 \u0110i\u1ec7n c\u01a1: c\u00f3 s\u1ef1 d\u1eabn truy\u1ec1n b\u1ea5t th\u01b0\u1eddng c\u1ee7a th\u1ea7n kinh gi\u1eefa thu\u1ed9c \u0111o\u1ea1n c\u1eb3ng tay. \u0110i\u1ec7n c\u01a1 gi\u00fap ph\u00e2n bi\u1ec7t v\u1edbi h\u1ed9i ch\u1ee9ng r\u1ec5-d\u00e2y th\u1ea7n kinh c\u1ed9t s\u1ed1ng c\u1ed5, h\u1ed9i ch\u1ee9ng \u0111\u00e1m r\u1ed1i th\u1ea7n kinh c\u00e1nh tay.<\/p>\n\n\n\n
\u2013 Si\u00eau \u00e2m b\u1eb1ng \u0111\u1ea7u d\u00f2 t\u1ea7n s\u1ed1 cao th\u1ea5y d\u1ea7y bao g\u00e2n v\u00e0 d\u1ecbch h\u1ed9i t\u1ee5 quanh bao g\u00e2n trong \u0111\u01b0\u1eddng h\u1ea7m c\u1ed5 tay.<\/p>\n\n\n\n
<\/span>3.7. Vi\u00eam g\u00e2n g\u00f3t ch\u00e2n (vi\u00eam g\u00e2n Achilles)<\/span><\/h3>\n\n\n\nNguy\u00ean nh\u00e2n:<\/em> vi\u00eam g\u00e2n g\u00f3t ph\u1ea7n l\u1edbn do ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c b\u00e0n ch\u00e2n nh\u01b0 nh\u1ea3y, \u0111i gi\u00e0y cao g\u00f3t\u2026Ngo\u00e0i ra m\u1ed9t s\u1ed1 b\u1ec7nh to\u00e0n th\u00e2n nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c do d\u1ecb t\u1eadt l\u1ec7ch tr\u1ee5c x\u01b0\u01a1ng g\u00f3t.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture15.jpg\")
<\/figure>\n\n\n\n(H\u00ecnh \u1ea3nh: Vi\u00eam g\u00e2n g\u00f3t ch\u00e2n \u2013 Vi\u00eam g\u00e2n Achilles)<\/em><\/p>\n\n\n\nTri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/em><\/p>\n\n\n\n\u2013 Tri\u1ec7u ch\u1ee9ng \u0111au l\u00e0 n\u1ed5i b\u1eadt, \u0111au v\u00f9ng g\u00e2n g\u00f3t, \u0111au nhi\u1ec1u khi \u0111i l\u1ea1i v\u00e0 ki\u1ec5ng ch\u00e2n, \u0111au nh\u1ee9c nh\u1ed1i ho\u1eb7c \u0111au ch\u00f3i.<\/p>\n\n\n\n
\u2013 Kh\u00e1m g\u00e2n g\u00f3t th\u1ea5y s\u01b0ng r\u00f5, \u00edt n\u00f3ng \u0111\u1ecf, s\u1edd c\u00f3 th\u1ec3 th\u1ea5y n\u1ed5i c\u1ee5c, \u1ea5n \u0111au, g\u1ea5p du\u1ed7i m\u1ea1nh b\u00e0n ch\u00e2n th\u00ec \u0111au t\u0103ng.<\/p>\n\n\n\n
\u2013 Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 \u0111\u1ee9t g\u00e2n t\u1eebng ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 l\u00e0m b\u1ec7nh nh\u00e2n r\u1ea5t \u0111au v\u00e0 m\u1ea5t kh\u1ea3 n\u0103ng \u0111i b\u1ed9, kh\u00f4ng \u0111\u1ee9ng \u0111\u01b0\u1ee3c tr\u00ean c\u00e1c ng\u00f3n ch\u00e2n. Th\u1eed test Thompson th\u1ea5y b\u1ea5t th\u01b0\u1eddng cho b\u1ec7nh nh\u00e2n n\u1eb1m s\u1ea5p, hai ch\u00e2n \u0111\u1ec3 t\u1ef1 do (kh\u00f4ng t\u1ef3 v\u00e0o v\u1eadt g\u00ec). B\u00e1c s\u0129 d\u00f9ng tay \u0111\u00e8 l\u00ean b\u1eafp ch\u00e2n b\u1ec7nh nh\u00e2n. N\u1ebfu kh\u00f4ng c\u00f3 \u0111\u1ee9t g\u00e2n g\u00f3t th\u00ec b\u00e0n ch\u00e2n s\u1ebd du\u1ed7i nh\u1eb9, n\u1ebfu c\u00f3 \u0111\u1ee9t g\u00e2n g\u00f3t th\u00ec b\u00e0n ch\u00e2n kh\u00f4ng c\u1eed \u0111\u1ed9ng v\u00e0 c\u00f3 th\u1ec3 th\u1ea5y c\u00f3 ch\u1ed7 l\u00f5m xu\u1ed1ng d\u1ecdc g\u00e2n g\u00f3t (so v\u1edbi b\u00ean l\u00e0nh).<\/p>\n\n\n\n
C\u1eadn l\u00e2m s\u00e0ng:<\/em><\/p>\n\n\n\n\u2013 Ch\u1ee5p X-quang ch\u1ec9 c\u00f3 vai tr\u00f2 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf x\u01b0\u01a1ng g\u00f3t. \u0110\u00f4i khi tr\u00ean phim nghi\u00eang c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh g\u00e2n g\u00f3t ph\u1ed3ng to nh\u1edd s\u1ef1 t\u01b0\u01a1ng ph\u1ea3n v\u1edbi t\u1ed5 ch\u1ee9c m\u1ee1 bao quanh g\u00e2n.<\/p>\n\n\n\n
\u2013 Si\u00eau \u00e2m g\u00e2n g\u00f3t th\u1ea5y t\u0103ng k\u00edch th\u01b0\u1edbc, gi\u1ea3m \u0111\u1eadm \u0111\u1ed9 si\u00eau \u00e2m do ph\u00f9 n\u1ec1 trong g\u00e2n, bao g\u00e2n d\u1ea7y l\u00ean, c\u00f3 th\u1ec3 c\u00f3 t\u1ee5 d\u1ecbch ngo\u00e0i bao g\u00e2n.<\/p>\n\n\n\n
\u2013 Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI): t\u0103ng k\u00edch th\u01b0\u1edbc g\u00e2n g\u00f3t, bao g\u00e2n d\u1ea7y, c\u00f3 th\u1ec3 \u0111\u1ee9t g\u00e2n t\u1eebng ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 (bi\u1ec3u hi\u1ec7n b\u1edfi c\u00e1c \u1ed5 b\u1ea5t th\u01b0\u1eddng t\u00edn hi\u1ec7u trong g\u00e2n). MRI c\u0169ng gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c v\u00f9ng c\u1ed5 ch\u00e2n.<\/p>\n\n\n\n
3.8. Vi\u00eam c\u00e2n gan ch\u00e2n<\/p>\n\n\n\n
Vi\u00eam c\u00e2n gan ch\u00e2n l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a \u0111au g\u00f3t ch\u00e2n. N\u00f3 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a m\u1ed9t d\u1ea3i m\u00f4 d\u00e0y ch\u1ea1y d\u1ecdc d\u01b0\u1edbi gan ch\u00e2n v\u00e0 k\u1ebft n\u1ed1i x\u01b0\u01a1ng g\u00f3t ch\u00e2n v\u1edbi ng\u00f3n ch\u00e2n.<\/p>\n\n\n\n
Tri\u1ec7u ch\u1ee9ng vi\u00eam c\u00e2n gan ch\u00e2n:<\/em><\/em><\/p>\n\n\n\nTri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a\u00a0vi\u00eam c\u00e2n gan ch\u00e2n l\u00e0: \u0111au nh\u00f3i th\u01b0\u1eddng x\u1ea3y ra v\u1edbi nh\u1eefng b\u01b0\u1edbc \u0111i \u0111\u1ea7u ti\u00ean v\u00e0o bu\u1ed5i s\u00e1ng. Khi \u0111\u1ee9ng d\u1eady v\u00e0 di chuy\u1ec3n, c\u01a1n \u0111au th\u01b0\u1eddng gi\u1ea3m, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 quay tr\u1edf l\u1ea1i sau th\u1eddi gian d\u00e0i \u0111\u1ee9ng ho\u1eb7c \u0111\u1ee9ng d\u1eady sau khi ng\u1ed3i.<\/p>\n\n\n\n![\"\"](\"https:\/\/benhvien71tw.vn\/wp-content\/uploads\/Picture16.jpg\")
<\/figure>\n\n\n\n(Vi\u00eam c\u00e2n gan b\u00e0n b\u00e0n ch\u00e2n l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n b\u1ec7nh hay g\u1eb7p nh\u1ea5t \u1edf v\u00f9ng g\u00f3t ch\u00e2n)<\/em><\/p>\n\n\n\nNguy\u00ean nh\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1:<\/em><\/em><\/p>\n\n\n\n\u2013 Vi\u00eam c\u00e2n gan ch\u00e2n ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ng\u01b0\u1eddi ch\u1ea1y b\u1ed9. Nh\u1eefng ng\u01b0\u1eddi th\u1eeba c\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111i gi\u00e0y d\u00e9p v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 c\u0169ng c\u00f3 nguy c\u01a1 b\u1ecb vi\u00eam c\u00e2n gan ch\u00e2n.<\/p>\n\n\n\n
\u2013 Khi c\u00e2n gan ch\u00e2n b\u1ecb c\u0103ng ra k\u00e9o d\u00e0i.<\/p>\n\n\n\n
\u2013 Tu\u1ed5i t\u00e1c: Vi\u00eam c\u00e2n gan ch\u00e2n l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 40 \u0111\u1ebfn 60.<\/p>\n\n\n\n
\u2013 M\u1ed9t s\u1ed1 lo\u1ea1i b\u00e0i t\u1eadp: C\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u1ea1o \u00e1p l\u1ef1c nhi\u1ec1u l\u00ean g\u00f3t ch\u00e2n v\u00e0 m\u00f4 k\u00e8m theo, v\u00ed d\u1ee5 nh\u01b0 ch\u1ea1y \u0111\u01b0\u1eddng d\u00e0i, m\u00faa ba l\u00ea v\u00e0 nh\u1ea3y aerobic.<\/p>\n\n\n\n
\u2013 C\u00e1c b\u1ea5t th\u01b0\u1eddng gan b\u00e0n ch\u00e2n: B\u00e0n ch\u00e2n ph\u1eb3ng, b\u00e0n ch\u00e2n l\u00f5m ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 m\u1ed9t ki\u1ec3u \u0111i b\u1ed9 b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1ch ph\u00e2n b\u1ed5 tr\u1ecdng l\u01b0\u1ee3ng khi \u0111\u1ee9ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y th\u00eam \u00e1p l\u1ef1c cho c\u00e2n gan ch\u00e2n.<\/p>\n\n\n\n
\u2013 B\u00e9o ph\u00ec, th\u1eeba c\u00e2n g\u00e2y th\u00eam \u00e1p l\u1ef1c cho c\u00e2n gan ch\u00e2n v\u00e0 d\u1ec5 g\u00e2y vi\u00eam c\u00e2n gan ch\u00e2n.<\/p>\n\n\n\n
\u2013 Ngh\u1ec1 nghi\u1ec7p \u1ea3nh h\u01b0\u1edfng: C\u00f4ng nh\u00e2n nh\u00e0 m\u00e1y, gi\u00e1o vi\u00ean v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c d\u00e0nh ph\u1ea7n l\u1edbn th\u1eddi gian l\u00e0m vi\u1ec7c c\u1ee7a h\u1ecd \u0111i b\u1ed9 ho\u1eb7c \u0111\u1ee9ng tr\u00ean b\u1ec1 m\u1eb7t c\u1ee9ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam c\u00e2n gan ch\u00e2n.<\/p>\n\n\n\n
Ch\u1ea9n \u0111o\u00e1n vi\u00eam c\u00e2n gan ch\u00e2n:<\/em><\/em><\/p>\n\n\n\n\u2013 L\u00e2m s\u00e0ng: D\u1ef1a v\u00e0o t\u00ednh ch\u1ea5t \u0111au g\u00f3t ch\u00e2n nh\u01b0 \u0111\u00e3 m\u00f4 t\u1ea3 \u1edf tr\u00ean.<\/p>\n\n\n\n
\u2013 XQuang c\u00f3 th\u1ec3 th\u1ea5y gai x\u01b0\u01a1ng g\u00f3t<\/p>\n\n\n\n
\u2013 Si\u00eau \u00e2m ho\u1eb7c c\u1ed9ng h\u01b0\u1edfng t\u1eeb: Th\u1ea5y \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh vi\u00eam c\u00e2n gan ch\u00e2n ho\u1eb7c vi\u00eam \u0111i\u1ec3m b\u00e1m c\u00e2n gan ch\u00e2n v\u00e0o x\u01b0\u01a1ng g\u00f3t.<\/p>\n\n\n\n