{"id":490,"date":"2026-10-12T12:31:35","date_gmt":"2026-10-12T05:31:35","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/so-cuu-dut-lia-ngon-tay-cach-bao-quan-phan-dut-roi-dung-cach\/"},"modified":"2026-10-12T12:31:35","modified_gmt":"2026-10-12T05:31:35","slug":"so-cuu-dut-lia-ngon-tay-cach-bao-quan-phan-dut-roi-dung-cach","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/so-cuu-dut-lia-ngon-tay-cach-bao-quan-phan-dut-roi-dung-cach\/","title":{"rendered":"S\u01a1 c\u1ee9u \u0111\u1ee9t l\u00eca ng\u00f3n tay: c\u00e1ch b\u1ea3o qu\u1ea3n ph\u1ea7n \u0111\u1ee9t r\u1eddi \u0111\u00fang c\u00e1ch"},"content":{"rendered":"<p><strong>S\u01a1 c\u1ee9u \u0111\u1ee9t l\u00eca ng\u00f3n tay<\/strong> c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nhanh nh\u01b0ng nh\u1eb9 nh\u00e0ng. M\u1ee5c ti\u00eau ban \u0111\u1ea7u l\u00e0 \u1ed5n \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ecb n\u1ea1n, ki\u1ec3m so\u00e1t ch\u1ea3y m\u00e1u, b\u1ea3o v\u1ec7 ph\u1ea7n ng\u00f3n tay \u0111\u1ee9t r\u1eddi v\u00e0 nhanh ch\u00f3ng li\u00ean h\u1ec7 c\u01a1 s\u1edf c\u00f3 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt n\u1ed1i l\u1ea1i. Kh\u1ea3 n\u0103ng n\u1ed1i l\u1ea1i c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng, v\u1ecb tr\u00ed \u0111\u1ee9t, t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u1eddi gian t\u1eeb l\u00fac ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ebfn khi can thi\u1ec7p [3].<\/p>\n<h2>S\u01a1 c\u1ee9u \u0111\u1ee9t l\u00eca ng\u00f3n tay ngay t\u1ea1i hi\u1ec7n tr\u01b0\u1eddng<\/h2>\n<p>Tr\u01b0\u1edbc h\u1ebft, c\u1ea7n \u01b0u ti\u00ean c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng kh\u00e1c v\u00e0 t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ecb n\u1ea1n. N\u1ebfu c\u00f3 nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng, h\u00e3y gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh tr\u01b0\u1edbc khi t\u1eadp trung x\u1eed l\u00fd ph\u1ea7n ng\u00f3n tay \u0111\u1ee9t r\u1eddi [1].<\/p>\n<ul>\n<li><strong>Ki\u1ec3m so\u00e1t ch\u1ea3y m\u00e1u:<\/strong> \u0111\u1eb7t b\u0103ng \u00e9p l\u00ean v\u00f9ng t\u1ed5n th\u01b0\u01a1ng v\u00e0 duy tr\u00ec \u00e1p l\u1ef1c ph\u00f9 h\u1ee3p. Kh\u00f4ng k\u1eb9p ho\u1eb7c bu\u1ed9c th\u1eaft tr\u1ef1c ti\u1ebfp c\u00e1c m\u1ea1ch m\u00e1u [1].<\/li>\n<li>N\u1ebfu ch\u1ea3y m\u00e1u v\u1eabn ti\u1ebfp di\u1ec5n, t\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng b\u0103ng qu\u1ea5n theo d\u00f5i \u0111\u01b0\u1ee3c ho\u1eb7c v\u00f2ng b\u00edt huy\u1ebft \u00e1p \u0111\u1ec3 t\u1ea1o \u00e1p l\u1ef1c; kh\u00f4ng d\u00f9ng gar\u00f4 \u0111\u00e0n h\u1ed3i v\u00ec c\u00f3 th\u1ec3 b\u1ecb b\u1ecf qu\u00ean [1].<\/li>\n<li><strong>C\u1ed1 \u0111\u1ecbnh chi:<\/strong> n\u00e2ng \u0111\u1ee1 tay b\u1eb1ng n\u1eb9p c\u00f3 \u0111\u1ec7m. Kh\u00f4ng qu\u1ea5n qu\u00e1 ch\u1eb7t ho\u1eb7c d\u00f9ng b\u0103ng g\u00e2y si\u1ebft quanh chi [1].<\/li>\n<li>V\u1edbi tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee9t l\u00eca ho\u00e0n to\u00e0n, x\u1eed l\u00fd ph\u1ea7n ng\u00f3n tay t\u00e1ch r\u1eddi theo c\u00e1c b\u01b0\u1edbc b\u1ea3o qu\u1ea3n b\u00ean d\u01b0\u1edbi. V\u1edbi \u0111\u1ee9t kh\u00f4ng ho\u00e0n to\u00e0n, kh\u00f4ng c\u1ed1 k\u00e9o r\u1eddi ph\u1ea7n m\u00f4 c\u00f2n d\u00ednh; c\u1ea7n gi\u1eef ph\u1ea7n t\u1ed5n th\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh v\u00e0 chuy\u1ec3n c\u1ea5p c\u1ee9u.<\/li>\n<\/ul>\n<h2>C\u00e1ch l\u00e0m s\u1ea1ch v\u00e0 b\u1ea3o qu\u1ea3n ph\u1ea7n ng\u00f3n tay \u0111\u1ee9t r\u1eddi<\/h2>\n<p>Ph\u1ea7n \u0111\u1ee9t r\u1eddi c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea7m n\u1eafm c\u1ea9n th\u1eadn \u0111\u1ec3 tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u00eam c\u00e1c m\u1ea1ch m\u00e1u v\u00e0 th\u1ea7n kinh. C\u00f3 th\u1ec3 tr\u00e1ng nh\u1eb9 ph\u1ea7n n\u00e0y b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd v\u00f4 khu\u1ea9n ho\u1eb7c dung d\u1ecbch Ringer lactat \u0111\u1ec3 lo\u1ea1i b\u1ecf ch\u1ea5t b\u1ea9n nh\u00ecn th\u1ea5y. Kh\u00f4ng d\u00f9ng c\u1ed3n, formaldehyde ho\u1eb7c c\u00e1c dung d\u1ecbch kh\u00f4ng sinh l\u00fd kh\u00e1c [4].<\/p>\n<ol>\n<li><strong>Tr\u00e1ng nh\u1eb9:<\/strong> d\u00f9ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd v\u00f4 khu\u1ea9n ho\u1eb7c Ringer lactat. Kh\u00f4ng ch\u00e0 x\u00e1t, c\u1eaft l\u1ecdc hay t\u1ef1 s\u1eeda ph\u1ea7n m\u00f4 b\u1ecb \u0111\u1ee9t.<\/li>\n<li><strong>B\u1ecdc \u1ea9m:<\/strong> th\u1ea5m g\u1ea1c b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd ho\u1eb7c Ringer lactat, sau \u0111\u00f3 b\u1ecdc ph\u1ea7n \u0111\u1ee9t r\u1eddi trong g\u1ea1c \u0111\u00e3 l\u00e0m \u1ea9m [4].<\/li>\n<li><strong>\u0110\u1eb7t v\u00e0o t\u00fai k\u00edn:<\/strong> cho ph\u1ea7n ng\u00f3n tay \u0111\u00e3 b\u1ecdc v\u00e0o t\u00fai nh\u1ef1a s\u1ea1ch v\u00e0 \u0111\u00f3ng k\u00edn. M\u1ed9t l\u1ef1a ch\u1ecdn kh\u00e1c l\u00e0 \u0111\u1eb7t ph\u1ea7n \u0111\u1ee9t r\u1eddi trong t\u00fai nh\u1ef1a c\u00f3 ch\u1ee9a dung d\u1ecbch sinh l\u00fd [4].<\/li>\n<li><strong>L\u00e0m m\u00e1t gi\u00e1n ti\u1ebfp:<\/strong> \u0111\u1eb7t t\u00fai ch\u1ee9a ph\u1ea7n \u0111\u1ee9t r\u1eddi trong m\u1ed9t v\u1eadt ch\u1ee9a c\u00e1ch nhi\u1ec7t c\u00f3 \u0111\u00e1. Ph\u1ea7n m\u00f4 kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u0111\u00e1, kh\u00f4ng d\u00f9ng \u0111\u00e1 kh\u00f4 v\u00e0 kh\u00f4ng l\u00e0m \u1ea5m ph\u1ea7n \u0111\u1ee9t r\u1eddi [4].<\/li>\n<li><strong>Ghi nh\u1edb th\u1eddi \u0111i\u1ec3m:<\/strong> th\u00f4ng b\u00e1o cho nh\u00e2n vi\u00ean y t\u1ebf th\u1eddi \u0111i\u1ec3m x\u1ea3y ra tai n\u1ea1n v\u00e0 th\u1eddi \u0111i\u1ec3m ph\u1ea7n \u0111\u1ee9t r\u1eddi \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n, n\u1ebfu x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c.<\/li>\n<\/ol>\n<p><strong>Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u1eb7t tr\u1ef1c ti\u1ebfp ng\u00f3n tay v\u00e0o \u0111\u00e1 ho\u1eb7c ng\u00e2m tr\u1ef1c ti\u1ebfp trong n\u01b0\u1edbc \u0111\u00e1.<\/strong> Ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u0111\u00e1 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng do l\u1ea1nh; t\u00e0i li\u1ec7u c\u0169ng khuy\u1ebfn c\u00e1o kh\u00f4ng l\u00e0m \u1ea5m ph\u1ea7n \u0111\u1ee9t r\u1eddi v\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng \u0111\u00e1 kh\u00f4 [4]. Kh\u00f4ng \u0111\u1ed5 c\u1ed3n, formaldehyde hay dung d\u1ecbch t\u1ea9y r\u1eeda v\u00e0o ph\u1ea7n m\u00f4 [4].<\/p>\n<h2>V\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ph\u1ea7n \u0111\u1ee9t r\u1eddi<\/h2>\n<p>C\u1ea7n li\u00ean h\u1ec7 s\u1edbm v\u1edbi c\u01a1 s\u1edf ti\u1ebfp nh\u1eadn v\u00e0 \u0111\u1ed9i ph\u1eabu thu\u1eadt n\u1ed1i l\u1ea1i \u0111\u1ec3 h\u1ecd chu\u1ea9n b\u1ecb. Ph\u1ea7n ng\u00f3n tay \u0111\u1ee9t r\u1eddi n\u00ean \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n c\u00f9ng ng\u01b0\u1eddi b\u1ec7nh trong v\u1eadt ch\u1ee9a c\u00e1ch nhi\u1ec7t, ti\u1ebfp t\u1ee5c tr\u00e1nh ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u0111\u00e1 [1][4].<\/p>\n<ul>\n<li>V\u1eadn chuy\u1ec3n b\u1eb1ng \u0111\u01b0\u1eddng h\u00e0ng kh\u00f4ng \u0111\u01b0\u1ee3c xem l\u00e0 \u01b0u ti\u00ean trong h\u01b0\u1edbng d\u1eabn chuy\u00ean m\u00f4n.<\/li>\n<li>V\u1eadn chuy\u1ec3n \u0111\u01b0\u1eddng b\u1ed9 c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn \u0111\u01b0\u1ee3c \u0111\u1ed9i ph\u1eabu thu\u1eadt n\u1ed1i l\u1ea1i trong kho\u1ea3ng 2\u20133 gi\u1edd v\u00e0 ph\u1ea7n \u0111\u1ee9t r\u1eddi \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m m\u00e1t \u0111\u00fang c\u00e1ch [1].<\/li>\n<li>Trong qu\u00e1 tr\u00ecnh di chuy\u1ec3n, ti\u1ebfp t\u1ee5c theo d\u00f5i ch\u1ea3y m\u00e1u, gi\u1eef n\u1eb9p c\u00f3 \u0111\u1ec7m v\u00e0 tr\u00e1nh b\u0103ng si\u1ebft quanh chi [1].<\/li>\n<\/ul>\n<h2>M\u1ed9t s\u1ed1 l\u01b0u \u00fd quan tr\u1ecdng<\/h2>\n<p>N\u1ebfu ph\u1ea7n b\u1ecb \u0111\u1ee9t r\u1eddi v\u1eabn c\u00f2n m\u1ea1ch \u0111\u1eadp ho\u1eb7c c\u00f2n ch\u1ea3y m\u00e1u t\u1ea1i ph\u1ea7n t\u00e1ch r\u1eddi, t\u00e0i li\u1ec7u khuy\u1ebfn c\u00e1o <strong>kh\u00f4ng l\u00e0m m\u00e1t<\/strong> ph\u1ea7n \u0111\u00f3; c\u1ea7n trao \u0111\u1ed5i ngay v\u1edbi \u0111\u1ed9i ti\u1ebfp nh\u1eadn \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn theo t\u00ecnh tr\u1ea1ng t\u01b0\u1edbi m\u00e1u [1][4]. \u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng n\u1ed1i l\u1ea1i ph\u1ea3i do \u0111\u1ed9i ng\u0169 ph\u1eabu thu\u1eadt b\u00e0n tay v\u00e0 vi ph\u1eabu th\u1ef1c hi\u1ec7n. Ngay c\u1ea3 khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh, k\u1ebft qu\u1ea3 s\u1ed1ng c\u1ee7a ph\u1ea7n n\u1ed1i v\u00e0 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eabn c\u00f3 th\u1ec3 kh\u00f4ng ch\u1eafc ch\u1eafn; ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea7n trao \u0111\u1ed5i tr\u01b0\u1edbc v\u1ec1 kh\u1ea3 n\u0103ng ph\u1ea3i ph\u1eabu thu\u1eadt nhi\u1ec1u l\u1ea7n v\u00e0 vi\u1ec7c ph\u1ea7n \u0111\u01b0\u1ee3c n\u1ed1i l\u1ea1i c\u00f3 th\u1ec3 kh\u00f4ng tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng [2].<\/p>\n<h2>K\u1ebft lu\u1eadn<\/h2>\n<p>Trong s\u01a1 c\u1ee9u \u0111\u1ee9t l\u00eca ng\u00f3n tay, h\u00e3y \u01b0u ti\u00ean ng\u01b0\u1eddi b\u1ec7nh, \u00e9p c\u1ea7m m\u00e1u, n\u1eb9p tay v\u00e0 kh\u00f4ng d\u00f9ng b\u0103ng si\u1ebft. Ph\u1ea7n \u0111\u1ee9t r\u1eddi c\u1ea7n \u0111\u01b0\u1ee3c tr\u00e1ng nh\u1eb9 b\u1eb1ng dung d\u1ecbch sinh l\u00fd, b\u1ecdc trong g\u1ea1c \u1ea9m, \u0111\u1eb7t v\u00e0o t\u00fai k\u00edn r\u1ed3i l\u00e0m m\u00e1t gi\u00e1n ti\u1ebfp trong v\u1eadt ch\u1ee9a c\u00e1ch nhi\u1ec7t. Kh\u00f4ng \u0111\u1ec3 ph\u1ea7n m\u00f4 ch\u1ea1m \u0111\u00e1, kh\u00f4ng d\u00f9ng \u0111\u00e1 kh\u00f4, c\u1ed3n ho\u1eb7c formaldehyde. Chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ph\u1ea7n \u0111\u1ee9t r\u1eddi c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ebfn c\u01a1 s\u1edf c\u00f3 \u0111\u1ed9i ph\u1eabu thu\u1eadt n\u1ed1i l\u1ea1i.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3901<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3902<\/li>\n<li>[3] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3899<\/li>\n<li>[4] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3901<\/li>\n<\/ul>\n<p><!-- aiwriter:9fc26f5d40634f2ba4284d33 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u01b0\u1edbng d\u1eabn s\u01a1 c\u1ee9u \u0111\u1ee9t l\u00eca ng\u00f3n tay, ki\u1ec3m so\u00e1t ch\u1ea3y m\u00e1u v\u00e0 b\u1ea3o qu\u1ea3n ph\u1ea7n \u0111\u1ee9t r\u1eddi \u0111\u1ec3 chuy\u1ec3n \u0111\u1ebfn \u0111\u1ed9i ph\u1eabu thu\u1eadt b\u00e0n tay.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-490","post","type-post","status-publish","format-standard","hentry","category-chi-tren"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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