{"id":9122,"date":"2025-09-11T10:28:38","date_gmt":"2025-09-11T10:28:38","guid":{"rendered":"https:\/\/advancedhand-stg.sgestaging.com\/?p=9122"},"modified":"2026-09-14T10:50:40","modified_gmt":"2026-09-14T10:50:40","slug":"distal-radius-fracture-associated-injuries-explained-for-patients","status":"publish","type":"post","link":"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/","title":{"rendered":"G\u00e3y \u0110\u1ea7u Xa X\u01b0\u01a1ng Quay: C\u00e1c Ch\u1ea5n Th\u01b0\u01a1ng K\u00e8m Theo \u0110\u01b0\u1ee3c Gi\u1ea3i Th\u00edch Cho B\u1ec7nh Nh\u00e2n"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 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\">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 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Chan_Thuong_TFCC_Kem_Gay_Xuong_Quay\" >Ch\u1ea5n Th\u01b0\u01a1ng TFCC K\u00e8m G\u00e3y X\u01b0\u01a1ng Quay<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Gay_Xuong_Thuyen_va_Dut_Day_Chang\" >G\u00e3y X\u01b0\u01a1ng Thuy\u1ec1n v\u00e0 \u0110\u1ee9t D\u00e2y Ch\u1eb1ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Bien_Chung_Than_Kinh_Giua_va_Than_Kinh_Tru\" >Bi\u1ebfn Ch\u1ee9ng Th\u1ea7n Kinh Gi\u1eefa v\u00e0 Th\u1ea7n Kinh Tr\u1ee5<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Chan_Thuong_Gan_va_Bien_Chung\" >Ch\u1ea5n Th\u01b0\u01a1ng G\u00e2n v\u00e0 Bi\u1ebfn Ch\u1ee9ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Phuong_Phap_Chan_Doan_va_Phat_Hien\" >Ph\u01b0\u01a1ng Ph\u00e1p Ch\u1ea9n \u0110o\u00e1n v\u00e0 Ph\u00e1t Hi\u1ec7n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Chuyen_Gia_Tay_Cua_Chung_Toi_Noi_Gi\" >Chuy\u00ean Gia Tay C\u1ee7a Ch\u00fang T\u00f4i N\u00f3i G\u00ec<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Ap_Dung_Vao_Thuc_Te\" >\u00c1p D\u1ee5ng V\u00e0o Th\u1ef1c T\u1ebf<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Khi_Nao_Can_Tim_Kiem_Su_Giup_Do_Chuyen_Nghiep\" >Khi N\u00e0o C\u1ea7n T\u00ecm Ki\u1ebfm S\u1ef1 Gi\u00fap \u0110\u1ee1 Chuy\u00ean Nghi\u1ec7p<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Cac_Cau_Hoi_Thuong_Gap\" >C\u00e1c C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/advancedhand-stg.sgestaging.com\/vi\/wrist-specialist-singapore\/distal-radius-fracture-associated-injuries-explained-for-patients\/#Cac_Buoc_Tiep_Theo\" >C\u00e1c B\u01b0\u1edbc Ti\u1ebfp Theo<\/a><\/li><\/ul><\/nav><\/div>\n<p>G\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay x\u1ea3y ra khi x\u01b0\u01a1ng c\u1eb3ng tay l\u1edbn h\u01a1n b\u1ecb g\u00e3y g\u1ea7n kh\u1edbp c\u1ed5 tay, th\u01b0\u1eddng trong v\u00f2ng 2,5 cm t\u00ednh t\u1eeb b\u1ec1 m\u1eb7t kh\u1edbp. Trong khi b\u1ea3n th\u00e2n g\u00e3y x\u01b0\u01a1ng quay c\u1ea7n \u0111\u01b0\u1ee3c ch\u00fa \u00fd ngay l\u1eadp t\u1ee9c, c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo \u1edf c\u00e1c c\u1ea5u tr\u00fac xung quanh th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ban \u0111\u1ea7u. Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn d\u00e2y ch\u1eb1ng, d\u00e2y th\u1ea7n kinh, x\u01b0\u01a1ng v\u00e0 c\u00e1c m\u00f4 m\u1ec1m ph\u1ed1i h\u1ee3p v\u1edbi nhau \u0111\u1ec3 cung c\u1ea5p s\u1ef1 \u1ed5n \u0111\u1ecbnh v\u00e0 ch\u1ee9c n\u0103ng cho c\u1ed5 tay.<\/p>\n<p>Gi\u1ea3i ph\u1eabu ph\u1ee9c t\u1ea1p c\u1ee7a c\u1ed5 tay c\u00f3 ngh\u0129a l\u00e0 l\u1ef1c g\u00e2y g\u00e3y x\u01b0\u01a1ng quay th\u01b0\u1eddng l\u00e0m t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u c\u1ea5u tr\u00fac c\u00f9ng l\u00fac. Ph\u1ee9c h\u1ee3p s\u1ee5n s\u1ee3i ba gi\u00e1c (TFCC), x\u01b0\u01a1ng thuy\u1ec1n, d\u00e2y th\u1ea7n kinh gi\u1eefa v\u00e0 c\u00e1c d\u00e2y ch\u1eb1ng kh\u00e1c nhau n\u1eb1m g\u1ea7n v\u1edbi \u0111\u1ea7u xa x\u01b0\u01a1ng quay.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Chan_Thuong_TFCC_Kem_Gay_Xuong_Quay\"><\/span>Ch\u1ea5n Th\u01b0\u01a1ng TFCC K\u00e8m G\u00e3y X\u01b0\u01a1ng Quay<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ph\u1ee9c h\u1ee3p s\u1ee5n s\u1ee3i ba gi\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t b\u1ed9 gi\u1ea3m x\u00f3c gi\u1eefa x\u01b0\u01a1ng tr\u1ee5 (x\u01b0\u01a1ng c\u1eb3ng tay nh\u1ecf h\u01a1n) v\u00e0 c\u00e1c x\u01b0\u01a1ng c\u1ed5 tay. C\u1ea5u tr\u00fac n\u00e0y \u1ed5n \u0111\u1ecbnh c\u1ed5 tay trong qu\u00e1 tr\u00ecnh xoay v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ea7m n\u1eafm. R\u00e1ch TFCC x\u1ea3y ra trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p g\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p li\u00ean quan \u0111\u1ebfn b\u1ec1 m\u1eb7t kh\u1edbp ho\u1eb7c di l\u1ec7ch \u0111\u00e1ng k\u1ec3.<\/p>\n<p>Ch\u1ea5n th\u01b0\u01a1ng TFCC bi\u1ec3u hi\u1ec7n qua \u0111au c\u1ed5 tay ph\u00eda x\u01b0\u01a1ng tr\u1ee5 (ph\u00eda ng\u00f3n \u00fat) tr\u1edf n\u00ean n\u1eb7ng h\u01a1n khi th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c xo\u1eafn nh\u01b0 m\u1edf l\u1ecd ho\u1eb7c xoay tay n\u1eafm c\u1eeda. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c l\u1ee5c c\u1ee5c khi xoay c\u1ed5 tay. C\u01a1n \u0111au th\u01b0\u1eddng k\u00e9o d\u00e0i sau khi g\u00e3y x\u01b0\u01a1ng quay \u0111\u00e3 l\u00e0nh, d\u1eabn \u0111\u1ebfn s\u1ef1 nh\u1ea7m l\u1eabn v\u1ec1 ti\u1ebfn tri\u1ec3n ph\u1ee5c h\u1ed3i.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n \u0111\u00f2i h\u1ecfi c\u00e1c thao t\u00e1c kh\u00e1m l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3 bao g\u1ed3m nghi\u1ec7m ph\u00f3 fovea, n\u01a1i \u00e1p l\u1ef1c t\u00e1c \u0111\u1ed9ng l\u00ean m\u1ed9t ch\u1ed7 l\u00f5m g\u1ea7n m\u1ecfm tr\u00e2m x\u01b0\u01a1ng tr\u1ee5 g\u00e2y ra c\u01a1n \u0111au. Ch\u1ee5p MRI kh\u1edbp c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang, n\u01a1i ch\u1ea5t c\u1ea3n quang t\u0103ng c\u01b0\u1eddng h\u00ecnh \u1ea3nh, cung c\u1ea5p ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh khi nghi ng\u1edd l\u00e2m s\u00e0ng v\u1eabn cao m\u1eb7c d\u00f9 X-quang b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb thay \u0111\u1ed5i d\u1ef1a tr\u00ean v\u1ecb tr\u00ed v\u00e0 h\u00ecnh th\u00e1i v\u1ebft r\u00e1ch. R\u00e1ch ngo\u1ea1i vi g\u1ea7n r\u00eca ngo\u00e0i gi\u00e0u m\u00e1u c\u00f3 th\u1ec3 l\u00e0nh khi b\u1ea5t \u0111\u1ed9ng trong 4-6 tu\u1ea7n. R\u00e1ch trung t\u00e2m thi\u1ebfu ngu\u1ed3n cung c\u1ea5p m\u00e1u th\u01b0\u1eddng c\u1ea7n c\u1eaft l\u1ecdc ho\u1eb7c s\u1eeda ch\u1eefa qua n\u1ed9i soi kh\u1edbp. Tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb d\u1eabn \u0111\u1ebfn m\u1ea5t \u1ed5n \u0111\u1ecbnh m\u00e3n t\u00ednh v\u00e0 c\u00e1c thay \u0111\u1ed5i tho\u00e1i h\u00f3a \u1edf kh\u1edbp quay-tr\u1ee5 xa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Gay_Xuong_Thuyen_va_Dut_Day_Chang\"><\/span>G\u00e3y X\u01b0\u01a1ng Thuy\u1ec1n v\u00e0 \u0110\u1ee9t D\u00e2y Ch\u1eb1ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>X\u01b0\u01a1ng thuy\u1ec1n n\u1eb1m ngay c\u1ea1nh \u0111\u1ea7u xa x\u01b0\u01a1ng quay v\u00e0 h\u1ea5p th\u1ee5 l\u1ef1c \u0111\u00e1ng k\u1ec3 trong ch\u1ea5n th\u01b0\u01a1ng c\u1ed5 tay. G\u00e3y x\u01b0\u01a1ng thuy\u1ec1n \u0111\u1ed3ng th\u1eddi x\u1ea3y ra th\u01b0\u1eddng xuy\u00ean nh\u01b0ng kh\u00f3 ph\u00e1t hi\u1ec7n tr\u00ean X-quang ban \u0111\u1ea7u. Ngu\u1ed3n cung c\u1ea5p m\u00e1u h\u1ea1n ch\u1ebf c\u1ee7a x\u01b0\u01a1ng thuy\u1ec1n t\u1ea1o ra c\u00e1c bi\u1ebfn ch\u1ee9ng l\u00e0nh x\u01b0\u01a1ng khi g\u00e3y x\u01b0\u01a1ng kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft.<\/p>\n<p>Ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng thuy\u1ec1n-nguy\u1ec7t \u0111\u1ea1i di\u1ec7n cho m\u1ed9t h\u00ecnh th\u00e1i ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo ph\u1ed5 bi\u1ebfn kh\u00e1c. D\u00e2y ch\u1eb1ng n\u00e0y k\u1ebft n\u1ed1i x\u01b0\u01a1ng thuy\u1ec1n v\u1edbi x\u01b0\u01a1ng nguy\u1ec7t, duy tr\u00ec s\u1ef1 th\u1eb3ng h\u00e0ng c\u1ee7a x\u01b0\u01a1ng c\u1ed5 tay. R\u00e1ch ho\u00e0n to\u00e0n t\u1ea1o ra kho\u1ea3ng c\u00e1ch b\u1ea5t th\u01b0\u1eddng gi\u1eefa c\u00e1c x\u01b0\u01a1ng n\u00e0y, c\u00f3 th\u1ec3 th\u1ea5y tr\u00ean X-quang \u0111\u01b0\u1ee3c ch\u1ee5p \u0111\u00fang t\u01b0 th\u1ebf d\u01b0\u1edbi d\u1ea1ng kho\u1ea3ng h\u1edf v\u01b0\u1ee3t qu\u00e1 3 mm.<\/p>\n<p>Kh\u00e1m l\u00e2m s\u00e0ng cho th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee5 th\u1ec3 cho t\u1eebng lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng. G\u00e3y x\u01b0\u01a1ng thuy\u1ec1n g\u00e2y \u0111au h\u1ed1 m\u0169i gi\u1ea3i ph\u1eabu &#8211; \u0111au khi \u1ea5n v\u00e0o ch\u1ed7 l\u00f5m gi\u1eefa c\u00e1c g\u00e2n ng\u00f3n c\u00e1i. Ch\u1ea5n th\u01b0\u01a1ng thuy\u1ec1n-nguy\u1ec7t g\u00e2y \u0111au m\u1eb7t l\u01b0ng c\u1ed5 tay v\u00e0 nghi\u1ec7m ph\u00f3 Watson d\u01b0\u01a1ng t\u00ednh, n\u01a1i \u00e1p l\u1ef1c t\u00e1c \u0111\u1ed9ng trong khi di chuy\u1ec3n c\u1ed5 tay t\u1ea1o ra ti\u1ebfng l\u1ee5c c\u1ee5c \u0111au \u0111\u1edbn.<\/p>\n<p>Ch\u1ee5p CT ph\u00e1t hi\u1ec7n c\u00e1c g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n tinh vi kh\u00f4ng th\u1ea5y \u0111\u01b0\u1ee3c tr\u00ean X-quang ti\u00eau chu\u1ea9n. MRI \u0111\u00e1nh gi\u00e1 t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a d\u00e2y ch\u1eb1ng v\u00e0 c\u00e1c m\u00f4 h\u00ecnh b\u1ea7m d\u1eadp x\u01b0\u01a1ng. Ch\u1ee5p X-quang c\u0103ng th\u1eb3ng th\u1ef1c hi\u1ec7n v\u1edbi n\u1eafm tay c\u00f3 th\u1ec3 b\u1ed9c l\u1ed9 s\u1ef1 m\u1ea5t \u1ed5n \u0111\u1ecbnh \u0111\u1ed9ng kh\u00f4ng r\u00f5 r\u00e0ng tr\u00ean c\u00e1c phim ch\u1ee5p ngh\u1ec9.<\/p>\n<blockquote><p>\ud83d\udca1 <strong>B\u1ea1n C\u00f3 Bi\u1ebft?<\/strong><br \/>\nX\u01b0\u01a1ng thuy\u1ec1n nh\u1eadn ngu\u1ed3n cung c\u1ea5p m\u00e1u t\u1eeb m\u1ed9t \u0111\u1ed9ng m\u1ea1ch duy nh\u1ea5t \u0111i v\u00e0o t\u1ea1i eo c\u1ee7a n\u00f3, l\u00e0m cho g\u00e3y x\u01b0\u01a1ng \u1edf khu v\u1ef1c n\u00e0y \u0111\u1eb7c bi\u1ec7t d\u1ec5 b\u1ecb bi\u1ebfn ch\u1ee9ng l\u00e0nh x\u01b0\u01a1ng v\u00e0 c\u1ea7n th\u1eddi gian b\u1ea5t \u0111\u1ed9ng k\u00e9o d\u00e0i.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Bien_Chung_Than_Kinh_Giua_va_Than_Kinh_Tru\"><\/span>Bi\u1ebfn Ch\u1ee9ng Th\u1ea7n Kinh Gi\u1eefa v\u00e0 Th\u1ea7n Kinh Tr\u1ee5<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh k\u00e8m theo g\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay dao \u0111\u1ed9ng t\u1eeb ch\u00e8n \u00e9p t\u1ea1m th\u1eddi \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp c\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt. D\u00e2y th\u1ea7n kinh gi\u1eefa \u0111i qua \u1ed1ng c\u1ed5 tay ngay c\u1ea1nh c\u00e1c m\u1ea3nh g\u00e3y, trong khi d\u00e2y th\u1ea7n kinh tr\u1ee5 \u0111i qua \u1ed1ng Guyon \u1edf ph\u00eda tr\u1ee5 c\u1ee7a c\u1ed5 tay.<\/p>\n<p>H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay c\u1ea5p t\u00ednh ph\u00e1t tri\u1ec3n khi kh\u1ed1i m\u00e1u t\u1ee5 g\u00e3y x\u01b0\u01a1ng v\u00e0 s\u01b0ng n\u1ec1 ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh gi\u1eefa trong \u1ed1ng h\u1eb9p c\u1ee7a n\u00f3. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m t\u00ea \u1edf ng\u00f3n c\u00e1i, ng\u00f3n tr\u1ecf, ng\u00f3n gi\u1eefa v\u00e0 m\u1ed9t n\u1eeda ng\u00f3n \u00e1p \u00fat. B\u1ec7nh nh\u00e2n m\u00f4 t\u1ea3 \u0111au r\u00e1t n\u1eb7ng h\u01a1n v\u1ec1 \u0111\u00eam v\u00e0 kh\u00f3 kh\u0103n v\u1edbi c\u00e1c v\u1eadn \u0111\u1ed9ng tinh nh\u01b0 c\u00e0i c\u00fac \u00e1o.<\/p>\n<p>Ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh tr\u1ee5 g\u00e2y t\u00ea \u1edf ng\u00f3n \u00e1p \u00fat v\u00e0 ng\u00f3n \u00fat k\u00e8m y\u1ebfu s\u1ee9c c\u1ea7m n\u1eafm. C\u00e1c tr\u01b0\u1eddng h\u1ee3p cho th\u1ea5y teo c\u01a1 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y gi\u1eefa c\u00e1c x\u01b0\u01a1ng b\u00e0n tay ng\u00f3n c\u00e1i v\u00e0 ng\u00f3n tr\u1ecf. T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh tr\u1ef1c ti\u1ebfp t\u1eeb c\u00e1c m\u1ea3nh g\u00e3y t\u1ea1o ra t\u00ea ho\u00e0n to\u00e0n ngay l\u1eadp t\u1ee9c, c\u1ea7n ph\u1eabu thu\u1eadt th\u00e1m s\u00e1t kh\u1ea9n c\u1ea5p.<\/p>\n<p>X\u00e9t nghi\u1ec7m \u0111i\u1ec7n ch\u1ea9n \u0111o\u00e1n th\u1ef1c hi\u1ec7n 3-4 tu\u1ea7n sau ch\u1ea5n th\u01b0\u01a1ng ph\u00e2n bi\u1ec7t gi\u1eefa ch\u00e8n \u00e9p c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u0129nh vi\u1ec5n. Nghi\u00ean c\u1ee9u d\u1eabn truy\u1ec1n th\u1ea7n kinh \u0111o t\u1ed1c \u0111\u1ed9 truy\u1ec1n t\u00edn hi\u1ec7u, trong khi \u0111i\u1ec7n c\u01a1 \u0111\u00e1nh gi\u00e1 c\u00e1c m\u00f4 h\u00ecnh \u0111\u00e1p \u1ee9ng c\u01a1. X\u00e9t nghi\u1ec7m n\u1ed1i ti\u1ebfp theo d\u00f5i ti\u1ebfn tri\u1ec3n ph\u1ee5c h\u1ed3i v\u00e0 h\u01b0\u1edbng d\u1eabn quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<blockquote><p>\u26a0\ufe0f <strong>L\u01b0u \u00dd Quan Tr\u1ecdng<\/strong><br \/>\nT\u00ea ho\u1eb7c ng\u1ee9a ran ti\u1ebfn tri\u1ec3n sau khi n\u1eafn ch\u1ec9nh g\u00e3y x\u01b0\u01a1ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 y t\u1ebf ngay l\u1eadp t\u1ee9c, v\u00ec h\u1ed9i ch\u1ee9ng khoang ho\u1eb7c ch\u00e8n \u00e9p th\u1ea7n kinh ti\u1ebfn tri\u1ec3n c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n trong v\u00f2ng v\u00e0i gi\u1edd.<\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Chan_Thuong_Gan_va_Bien_Chung\"><\/span>Ch\u1ea5n Th\u01b0\u01a1ng G\u00e2n v\u00e0 Bi\u1ebfn Ch\u1ee9ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0110\u1ee9t g\u00e2n du\u1ed7i ng\u00f3n c\u00e1i d\u00e0i (EPL) x\u1ea3y ra t\u1eeb v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng sau g\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p li\u00ean quan \u0111\u1ebfn c\u1ee7 Lister &#8211; m\u1ed9t l\u1ed3i x\u01b0\u01a1ng tr\u00ean x\u01b0\u01a1ng quay. G\u00e2n tr\u1edf n\u00ean thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 do s\u01b0ng n\u1ec1 v\u00e0 \u00e1p l\u1ef1c, cu\u1ed1i c\u00f9ng \u0111\u1ee9t trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u1ed9t nhi\u00ean m\u1ea5t kh\u1ea3 n\u0103ng du\u1ed7i ng\u00f3n c\u00e1i t\u1ea1i kh\u1edbp li\u00ean \u0111\u1ed1t. \u0110\u1ee9t g\u00e2n th\u01b0\u1eddng x\u1ea3y ra trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u0103ng th\u1eb3ng t\u1ed1i thi\u1ec3u nh\u01b0 nh\u1ea5c c\u1ed1c, kh\u00f4ng ph\u1ea3i trong khi s\u1eed d\u1ee5ng g\u1eafng s\u1ee9c. Kh\u00e1m l\u00e2m s\u00e0ng cho th\u1ea5y ch\u1ee9c n\u0103ng g\u00e2n m\u1ea5t v\u1edbi kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng nh\u1ea5c ng\u00f3n c\u00e1i kh\u1ecfi m\u1eb7t ph\u1eb3ng.<\/p>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng g\u00e2n kh\u00e1c bao g\u1ed3m d\u00ednh h\u1ea1n ch\u1ebf c\u1eed \u0111\u1ed9ng ng\u00f3n tay v\u00e0 hi\u1ec7n t\u01b0\u1ee3ng b\u1eadt ng\u00f3n t\u1eeb c\u00e1c bao g\u00e2n d\u00e0y l\u00ean. G\u00e2n g\u1ea5p c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n k\u00edch \u1ee9ng t\u1eeb d\u1ee5ng c\u1ee5 c\u1ed1 \u0111\u1ecbnh g\u00e3y x\u01b0\u01a1ng nh\u00f4 ra. C\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng c\u1ea3m gi\u00e1c v\u01b0\u1edbng, c\u1eed \u0111\u1ed9ng h\u1ea1n ch\u1ebf, ho\u1eb7c hi\u1ec7n t\u01b0\u1ee3ng d\u00e2y \u0111\u00e0n g\u00e2n c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y.<\/p>\n<p>T\u00e1i t\u1ea1o g\u00e2n ph\u1eabu thu\u1eadt s\u1eed d\u1ee5ng chuy\u1ec3n g\u00e2n (g\u00e2n du\u1ed7i ri\u00eang ng\u00f3n tr\u1ecf \u0111\u1ebfn EPL) ho\u1eb7c gh\u00e9p g\u00e2n cho c\u00e1c khuy\u1ebft t\u1eadt l\u1edbn h\u01a1n. C\u00e1c ph\u00e1c \u0111\u1ed3 v\u1eadn \u0111\u1ed9ng s\u1edbm sau s\u1eeda ch\u1eefa ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh d\u00ednh trong khi b\u1ea3o v\u1ec7 v\u1ecb tr\u00ed s\u1eeda ch\u1eefa. C\u00f3 th\u1ec3 c\u1ea7n th\u00e1o d\u1ee5ng c\u1ee5 khi c\u00e1c t\u1ea5m ho\u1eb7c v\u00edt g\u00e2y k\u00edch \u1ee9ng g\u00e2n k\u00e9o d\u00e0i.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Phuong_Phap_Chan_Doan_va_Phat_Hien\"><\/span>Ph\u01b0\u01a1ng Ph\u00e1p Ch\u1ea9n \u0110o\u00e1n v\u00e0 Ph\u00e1t Hi\u1ec7n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n sau g\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay \u0111\u00f2i h\u1ecfi th\u0103m kh\u00e1m c\u00f3 h\u1ec7 th\u1ed1ng v\u01b0\u1ee3t ra ngo\u00e0i X-quang c\u1ed5 tay ti\u00eau chu\u1ea9n. Ch\u1ee5p X-quang ban \u0111\u1ea7u \u1edf c\u00e1c t\u01b0 th\u1ebf sau-tr\u01b0\u1edbc, nghi\u00eang v\u00e0 ch\u1ebfch x\u00e1c l\u1eadp h\u00ecnh th\u00e1i g\u00e3y x\u01b0\u01a1ng v\u00e0 s\u1ef1 th\u1eb3ng h\u00e0ng. C\u00e1c t\u01b0 th\u1ebf b\u1ed5 sung nh\u1eafm v\u00e0o c\u00e1c c\u1ea5u tr\u00fac c\u1ee5 th\u1ec3 c\u1ea3i thi\u1ec7n ph\u00e1t hi\u1ec7n c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo.<\/p>\n<blockquote><p>\u2705 <strong>M\u1eb9o Nhanh<\/strong><br \/>\nY\u00eau c\u1ea7u ch\u1ee5p X-quang t\u01b0 th\u1ebf n\u1eafm ch\u1eb7t tay n\u1ebfu nghi ng\u1edd m\u1ea5t \u1ed5n \u0111\u1ecbnh thuy\u1ec1n-nguy\u1ec7t &#8211; t\u01b0 th\u1ebf c\u0103ng th\u1eb3ng n\u00e0y l\u00e0m n\u1ed5i b\u1eadt kho\u1ea3ng c\u00e1ch x\u01b0\u01a1ng c\u1ed5 tay b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n b\u00ecnh th\u01b0\u1eddng tr\u00ean phim ti\u00eau chu\u1ea9n.<\/p><\/blockquote>\n<p>Ch\u1ee5p CT cung c\u1ea5p b\u1ea3n \u0111\u1ed3 g\u00e3y x\u01b0\u01a1ng ba chi\u1ec1u \u0111\u1ec3 l\u1eadp k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt. T\u00e1i t\u1ea1o \u0111a m\u1eb7t ph\u1eb3ng b\u1ed9c l\u1ed9 c\u00e1c b\u1eadc thang kh\u1edbp nh\u1ecf t\u1edbi 1 mm v\u00e0 x\u00e1c \u0111\u1ecbnh g\u00e3y x\u01b0\u01a1ng c\u1ed5 tay ti\u1ec1m \u1ea9n. Ch\u1ee5p CT kh\u1edbp c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang k\u1ebft h\u1ee3p h\u00ecnh \u1ea3nh c\u1eaft l\u1edbp v\u1edbi t\u0103ng c\u01b0\u1eddng ch\u1ea5t c\u1ea3n quang \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 d\u00e2y ch\u1eb1ng.<\/p>\n<p>MRI v\u1eabn l\u00e0 ti\u00eau chu\u1ea9n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u00f4 m\u1ec1m. C\u00e1c chu\u1ed7i xung \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao ph\u00e1t hi\u1ec7n r\u00e1ch d\u00e2y ch\u1eb1ng m\u1ed9t ph\u1ea7n, t\u1ed5n th\u01b0\u01a1ng s\u1ee5n v\u00e0 c\u00e1c m\u00f4 h\u00ecnh ph\u00f9 t\u1ee7y x\u01b0\u01a1ng cho th\u1ea5y g\u00e3y x\u01b0\u01a1ng ti\u1ec1m \u1ea9n. T\u0103ng c\u01b0\u1eddng gadolinium ph\u00e2n bi\u1ec7t r\u00e1ch TFCC c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh d\u1ef1a tr\u00ean c\u00e1c m\u00f4 h\u00ecnh t\u0103ng c\u01b0\u1eddng.<\/p>\n<p>N\u1ed9i soi kh\u1edbp ph\u1ee5c v\u1ee5 c\u1ea3 vai tr\u00f2 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. Quan s\u00e1t tr\u1ef1c ti\u1ebfp x\u00e1c nh\u1eadn c\u00e1c ch\u1ea5n th\u01b0\u01a1ng nghi ng\u1edd v\u00e0 cho ph\u00e9p \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c. K\u1ebft qu\u1ea3 n\u1ed9i soi kh\u1edbp th\u01b0\u1eddng cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng r\u1ed9ng h\u01a1n so v\u1edbi g\u1ee3i \u00fd t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ch\u1ea5n th\u01b0\u01a1ng s\u1ee5n v\u00e0 d\u00e2y ch\u1eb1ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Chuyen_Gia_Tay_Cua_Chung_Toi_Noi_Gi\"><\/span>Chuy\u00ean Gia Tay C\u1ee7a Ch\u00fang T\u00f4i N\u00f3i G\u00ec<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00e1m l\u00e2m s\u00e0ng trong tu\u1ea7n \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng ch\u1ee9ng minh \u0111\u00e1ng tin c\u1eady h\u01a1n so v\u1edbi \u0111\u00e1nh gi\u00e1 mu\u1ed9n khi s\u01b0ng n\u1ec1 v\u00e0 co c\u1ee9ng \u0111\u00e3 ph\u00e1t tri\u1ec3n. Ch\u00fang t\u00f4i th\u1ef1c hi\u1ec7n s\u1edd n\u1eafn c\u00f3 h\u1ec7 th\u1ed1ng c\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu tr\u01b0\u1edbc khi s\u01b0ng n\u1ec1 che l\u1ea5p c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng. C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng cung c\u1ea5p manh m\u1ed1i c\u00f3 gi\u00e1 tr\u1ecb &#8211; ch\u1ea5n th\u01b0\u01a1ng n\u0103ng l\u01b0\u1ee3ng cao g\u1ee3i \u00fd s\u1ef1 li\u00ean quan c\u1ee7a nhi\u1ec1u c\u1ea5u tr\u00fac c\u1ea7n \u0111i\u1ec1u tra k\u1ef9 l\u01b0\u1ee1ng.<\/p>\n<p>Nhi\u1ec1u ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo ch\u1ec9 tr\u1edf n\u00ean r\u00f5 r\u00e0ng sau khi g\u00e3y x\u01b0\u01a1ng ban \u0111\u1ea7u l\u00e0nh khi b\u1ec7nh nh\u00e2n c\u1ed1 g\u1eafng th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. \u0110au k\u00e9o d\u00e0i, l\u1ee5c c\u1ee5c ho\u1eb7c y\u1ebfu v\u01b0\u1ee3t qu\u00e1 m\u1ed1c th\u1eddi gian ph\u1ee5c h\u1ed3i d\u1ef1 ki\u1ebfn c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u1ea1i \u0111\u1ec3 t\u00ecm c\u00e1c ch\u1ea5n th\u01b0\u01a1ng b\u1ecb b\u1ecf s\u00f3t. Ch\u00fang t\u00f4i duy tr\u00ec ng\u01b0\u1ee1ng th\u1ea5p \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh h\u00ecnh \u1ea3nh khi c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi l\u00e0nh x\u01b0\u01a1ng tr\u00ean X-quang.<\/p>\n<p>Th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn k\u1ebft qu\u1ea3 cho c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo. X\u1eed l\u00fd ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt g\u00e3y x\u01b0\u01a1ng ban \u0111\u1ea7u ng\u0103n ng\u1eeba m\u1ea5t \u1ed5n \u0111\u1ecbnh m\u00e3n t\u00ednh. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ch\u1ea5n th\u01b0\u01a1ng nh\u01b0 \u0111\u1ee9t EPL c\u1ea7n t\u00e1i t\u1ea1o mu\u1ed9n sau khi s\u01b0ng n\u1ec1 \u0111\u00e3 gi\u1ea3m.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ap_Dung_Vao_Thuc_Te\"><\/span>\u00c1p D\u1ee5ng V\u00e0o Th\u1ef1c T\u1ebf<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ol>\n<li>Ghi l\u1ea1i ch\u00ednh x\u00e1c c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng c\u1ee7a b\u1ea1n v\u00e0 b\u1ea5t k\u1ef3 thay \u0111\u1ed5i c\u1ea3m gi\u00e1c ngay l\u1eadp t\u1ee9c n\u00e0o \u0111\u1ec3 gi\u00fap b\u00e1c s\u0129 chuy\u00ean khoa c\u1ee7a b\u1ea1n x\u00e1c \u0111\u1ecbnh kh\u1ea3 n\u0103ng li\u00ean quan \u0111\u1ebfn th\u1ea7n kinh<\/li>\n<li>Th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp ng\u00f3n tay m\u1ed7i gi\u1edd trong th\u1eddi gian b\u1ea5t \u0111\u1ecbnh b\u1ed9t \u0111\u1ec3 ng\u0103n ng\u1eeba d\u00ednh g\u00e2n v\u00e0 duy tr\u00ec tr\u01b0\u1ee3t th\u1ea7n kinh<\/li>\n<li>Theo d\u00f5i c\u1ea3m gi\u00e1c \u1edf t\u1ea5t c\u1ea3 c\u00e1c ng\u00f3n tay h\u00e0ng ng\u00e0y v\u00e0 b\u00e1o c\u00e1o ngay t\u00ea ho\u1eb7c ng\u1ee9a ran m\u1edbi<\/li>\n<li>Tham d\u1ef1 t\u1ea5t c\u1ea3 c\u00e1c cu\u1ed9c h\u1eb9n t\u00e1i kh\u00e1m ngay c\u1ea3 khi g\u00e3y x\u01b0\u01a1ng c\u1ee7a b\u1ea1n c\u00f3 v\u1ebb \u0111\u00e3 l\u00e0nh tr\u00ean X-quang<\/li>\n<li>Gi\u1eef nh\u1eadt k\u00fd tri\u1ec7u ch\u1ee9ng ghi l\u1ea1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee5 th\u1ec3 g\u00e2y ra \u0111au, l\u1ee5c c\u1ee5c ho\u1eb7c y\u1ebfu sau khi th\u00e1o b\u1ed9t<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Khi_Nao_Can_Tim_Kiem_Su_Giup_Do_Chuyen_Nghiep\"><\/span>Khi N\u00e0o C\u1ea7n T\u00ecm Ki\u1ebfm S\u1ef1 Gi\u00fap \u0110\u1ee1 Chuy\u00ean Nghi\u1ec7p<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>T\u00ea m\u1edbi ho\u1eb7c ti\u1ebfn tri\u1ec3n \u1edf b\u1ea5t k\u1ef3 ng\u00f3n tay n\u00e0o<\/li>\n<li>\u0110\u1ed9t nhi\u00ean kh\u00f4ng th\u1ec3 du\u1ed7i ng\u00f3n c\u00e1i c\u1ee7a b\u1ea1n<\/li>\n<li>C\u1ea3m gi\u00e1c l\u1ee5c c\u1ee5c ho\u1eb7c v\u01b0\u1edbng khi c\u1eed \u0111\u1ed9ng c\u1ed5 tay<\/li>\n<li>\u0110au \u1edf ph\u00eda ng\u00f3n \u00fat c\u1ee7a c\u1ed5 tay k\u00e9o d\u00e0i sau khi g\u00e3y x\u01b0\u01a1ng l\u00e0nh<\/li>\n<li>Y\u1ebfu s\u1ee9c c\u1ea7m n\u1eafm so v\u1edbi b\u00e0n tay kh\u00f4ng b\u1ecb th\u01b0\u01a1ng c\u1ee7a b\u1ea1n<\/li>\n<li>Bi\u1ebfn d\u1ea1ng ho\u1eb7c kho\u1ea3ng c\u00e1ch r\u1ed9ng gi\u1eefa c\u00e1c x\u01b0\u01a1ng c\u1ed5 tay c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y<\/li>\n<li>\u0110au v\u1ec1 \u0111\u00eam l\u00e0m gi\u00e1n \u0111o\u1ea1n gi\u1ea5c ng\u1ee7 m\u1eb7c d\u00f9 g\u00e3y x\u01b0\u01a1ng \u0111\u00e3 l\u00e0nh<\/li>\n<li>Kh\u00f4ng th\u1ec3 ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng qua b\u00e0n tay \u1edf t\u01b0 th\u1ebf ch\u1ed1ng \u0111\u1ea9y<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Cau_Hoi_Thuong_Gap\"><\/span>C\u00e1c C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>T\u1ea1i sao c\u1ed5 tay c\u1ee7a t\u00f4i v\u1eabn \u0111au h\u00e0ng th\u00e1ng sau khi g\u00e3y x\u01b0\u01a1ng quay \u0111\u00e3 l\u00e0nh?<\/strong><br \/>\n\u0110au k\u00e9o d\u00e0i th\u01b0\u1eddng ch\u1ec9 ra c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 r\u00e1ch TFCC ho\u1eb7c \u0111\u1ee9t d\u00e2y ch\u1eb1ng. Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m n\u00e0y kh\u00f4ng xu\u1ea5t hi\u1ec7n tr\u00ean X-quang ti\u00eau chu\u1ea9n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n MRI ho\u1eb7c n\u1ed9i soi kh\u1edbp \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. S\u1ef1 h\u00ecnh th\u00e0nh m\u00f4 s\u1eb9o v\u00e0 c\u1ee9ng kh\u1edbp c\u0169ng g\u00f3p ph\u1ea7n g\u00e2y kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i.<\/p>\n<p><strong>C\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n sau g\u00e3y x\u01b0\u01a1ng ban \u0111\u1ea7u kh\u00f4ng?<\/strong><br \/>\n\u0110\u1ee9t g\u00e2n EPL th\u01b0\u1eddng x\u1ea3y ra 4-8 tu\u1ea7n sau g\u00e3y x\u01b0\u01a1ng do ngu\u1ed3n cung c\u1ea5p m\u00e1u b\u1ecb t\u1ed5n h\u1ea1i. Vi\u00eam kh\u1edbp sau ch\u1ea5n th\u01b0\u01a1ng ph\u00e1t tri\u1ec3n t\u1eeb v\u00e0i th\u00e1ng \u0111\u1ebfn v\u00e0i n\u0103m sau do t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ho\u1eb7c l\u1ec7ch tr\u1ee5c kh\u1edbp. M\u1ed9t s\u1ed1 ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u1ec9 tr\u1edf n\u00ean c\u00f3 tri\u1ec7u ch\u1ee9ng sau khi tr\u1edf l\u1ea1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p><strong>T\u00f4i n\u00ean \u0111\u1ee3i bao l\u00e2u tr\u01b0\u1edbc khi l\u00e0m th\u00eam x\u00e9t nghi\u1ec7m cho c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i?<\/strong><br \/>\nG\u00e3y x\u01b0\u01a1ng cho th\u1ea5y l\u00e0nh x\u01b0\u01a1ng \u0111\u00e1ng k\u1ec3 sau 6-8 tu\u1ea7n. C\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i v\u01b0\u1ee3t qu\u00e1 khung th\u1eddi gian n\u00e0y, ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi ph\u00e1t tri\u1ec3n trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i, c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u00eam. Ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n so v\u1edbi ch\u1ea9n \u0111o\u00e1n mu\u1ed9n.<\/p>\n<p><strong>T\u00f4i c\u00f3 c\u1ea7n nhi\u1ec1u cu\u1ed9c ph\u1eabu thu\u1eadt n\u1ebfu ph\u00e1t hi\u1ec7n ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo kh\u00f4ng?<\/strong><br \/>\n\u0110i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i ch\u1ea5n th\u01b0\u01a1ng v\u00e0 th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n. M\u1ed9t s\u1ed1 ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u1eed l\u00fd trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt g\u00e3y x\u01b0\u01a1ng ban \u0111\u1ea7u n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng kh\u00e1c c\u1ea7n c\u00e1c th\u1ee7 thu\u1eadt theo giai \u0111o\u1ea1n sau khi s\u01b0ng n\u1ec1 \u0111\u00e3 gi\u1ea3m ho\u1eb7c g\u00e3y x\u01b0\u01a1ng \u0111\u00e3 l\u00e0nh. C\u00e1c th\u1ee7 thu\u1eadt n\u1ed9i soi kh\u1edbp th\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u ch\u1ea5n th\u01b0\u01a1ng c\u00f9ng l\u00fac.<\/p>\n<div id=\"cta-widget\" class=\"single-post-cta-widget\"><div class=\"single-post-cta-wrap-inner\"><div class=\"single-post-cta-image\"><div class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1848 size-medium\" src=\"https:\/\/advancedhand-stg.sgestaging.com\/wp-content\/themes\/advanced-hand\/assets\/images\/cta-bg-mobile.jpg\" alt=\"Deviated Septum Patient In Singapore\" width=\"300\" height=\"158\"><\/div><\/div><div class=\"single-post-cta-contents\"><p class=\"single-post-cta-contents-info\">\u0110\u1eebng \u0110\u1ec3 \u0110au Tay \u1ea2nh H\u01b0\u1edfng \u0110\u1ebfn Cu\u1ed9c S\u1ed1ng C\u1ee7a B\u1ea1n<\/p><p class=\"single-post-cta-contents-title\">Ph\u1ee5c H\u1ed3i Ch\u1ee9c N\u0103ng v\u00e0 C\u1ea3i Thi\u1ec7n Ch\u1ea5t L\u01b0\u1ee3ng Cu\u1ed9c S\u1ed1ng C\u1ee7a B\u1ea1n<\/p><p class=\"single-post-cta-contents-descrtion\">Ph\u00f2ng kh\u00e1m c\u1ee7a ch\u00fang t\u00f4i cung c\u1ea5p d\u1ecbch v\u1ee5 to\u00e0n di\u1ec7n, m\u1ed9t \u0111i\u1ec3m d\u1eebng cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p><a class=\"single-post-cta-button\" href=\"#contact-form\">G\u1eedi Y\u00eau C\u1ea7u<\/a><\/div><\/div><\/div><style>\n\t#cta-widget.single-post-cta-widget {\n\t\tbackground-image: url(\"https:\/\/advancedhand-stg.sgestaging.com\/wp-content\/themes\/advanced-hand\/assets\/images\/cta-bg-desktop.jpg\");\n\t\tbackground-size: cover;\n    \tbackground-repeat: no-repeat;\n\t\tmargin-top: 32px;\n\t\tmargin-bottom: 32px;\n\t\tdisplay: inline-block;\n\t\twidth: 100%;\n\t\tborder-radius: 0px 32px;\n\t\tpadding: 60px 80px;\n\t\tbackground-color: #E9F0F4;\n\t}\n\t.single-post .post-content:last-child {\n\t\tmargin-bottom: 0 !important;\n\t}\n\t#cta-widget.single-post-cta-widget .single-post-cta-wrap-inner {\n\t    max-width: 400px;\n\t}\n\t\n\t#cta-widget.single-post-cta-widget .single-post-cta-wrap-inner .single-post-cta-image {\n\t\tdisplay: none;\n\t}\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-info {\n\t\tfont-family: Inter;\n\t\tfont-weight: 500;\n\t\tfont-size: 16px;\n\t\tline-height: 24px;\n\t\tletter-spacing: 0.08em;\n\t\ttext-transform: uppercase;\n\t\tcolor: #0E4C84;\n\t\tmargin: 0;\n\t}\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-title {\n\t\tfont-family: Times New Roman;\n\t\tfont-weight: 400;\n\t\tfont-size: 36px;\n\t\tline-height: 46px;\n\t\tletter-spacing: 0;\n\t\ttext-transform: capitalize;\n\t\tmargin-top: 16px;\n\t\tcolor: #000;\n\t}\n\t\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus,\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus,\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus,\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:focus {\n\t\topacity: 0.6;\n\t}\n\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button {\n\t\tposition: relative;\n\t\ttext-decoration: none !important;\n\t\tbackground: #0E4C84;\n\t\tborder-radius: 90px;\n\t\tpadding: 24px 64px;\n\t\tmargin-top: 32px;\n\t\tdisplay: inline-block;\n\t\tcolor: #fff;\n\t\tfont-family: Inter;\n\t\tfont-weight: 500;\n\t\tfont-size: 18px;\n\t\tline-height: 18px;\n\t\tletter-spacing: 0;\n\t\ttext-transform: uppercase;\n\t}\n\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button::before {\n\t\tcontent: \"\";\n\t\tposition: absolute;\n\t\tborder: #0E4C84 solid 1px;\n\t\ttop: 0;\n\t\tright: 0;\n\t\tborder-radius: 70px;\n\t\tbottom: 0;\n\t\tleft: 0;\n\t\topacity: 0;\n\t\ttransition-duration: 0.3s;\n\t\ttransition-property: top right bottom left;\n\t}\n\n\t#cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-button:hover::before {\n\t\ttop: -8px;\n\t\tright: -8px;\n\t\tbottom: -8px;\n\t\tleft: -8px;\n\t\topacity: 1;\n\t}\n\t@media screen and (max-width: 767px) {\n\t #cta-widget.single-post-cta-widget {\n\t\tbackground-image: none;\n\t\tpadding: 0;\n\t    border-radius: 12px !important;\n        overflow: hidden;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-wrap-inner {\n\t\t max-width: 100%;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-wrap-inner .single-post-cta-image {\n\t \tdisplay: block;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-wrap-inner .single-post-cta-image img {\n\t \twidth: 100%;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-contents {\n    \tpadding: 40px 20px;\n\t\ttext-align: center;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-info {\n\t    text-align:center;\n\t }\n\t #cta-widget.single-post-cta-widget .single-post-cta-contents .single-post-cta-contents-title {\n\t\tfont-size: 32px;\n\t\tline-height: 40px;\n\t\ttext-align: center;\n\t}\n\t}\n<\/style>\n<h2><span class=\"ez-toc-section\" id=\"Cac_Buoc_Tiep_Theo\"><\/span>C\u00e1c B\u01b0\u1edbc Ti\u1ebfp Theo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>G\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u1ea5u tr\u00fac xung quanh m\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng r\u00f5 r\u00e0ng ngay l\u1eadp t\u1ee9c. Nh\u1eadn bi\u1ebft s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo ng\u0103n ng\u1eeba \u0111au m\u00e3n t\u00ednh v\u00e0 h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i sau g\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay, b\u00e1c s\u0129 chuy\u00ean khoa tay \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u00f4ng nh\u1eadn c\u1ee7a ch\u00fang t\u00f4i c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n cho c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo v\u00e0 cung c\u1ea5p c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb chuy\u00ean bi\u1ec7t.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Learn about distal radius fracture associated injuries including TFCC tears, scaphoid fractures, and nerve damage. MOH-accredited hand specialist care available.<\/p>\n","protected":false},"author":3,"featured_media":6685,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"G\u00e3y \u0110\u1ea7u Xa X\u01b0\u01a1ng Quay: C\u00e1c Ch\u1ea5n Th\u01b0\u01a1ng K\u00e8m Theo \u0110\u01b0\u1ee3c Gi\u1ea3i Th\u00edch Cho B\u1ec7nh Nh\u00e2n","_seopress_titles_desc":"T\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo g\u00e3y \u0111\u1ea7u xa x\u01b0\u01a1ng quay bao g\u1ed3m r\u00e1ch TFCC, g\u00e3y x\u01b0\u01a1ng thuy\u1ec1n v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. 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