Dieu tri dau khuyu tay

Tags: tac dong co hoc, xuong canh tay, Dieu tri dau, co cau truc, khuyu tay, co the, the thao, chan thuong, nguyen nhan, loi cau, viem, nang, gay, gan, gap


Khuyu tay la khop co cau truc dac biet, co toi ba xuong tham gia la xuong canh tay, xuong tru va xuong quay cua cang tay. Vung khuyu tay cung thuong truc tiep chiu cac tac dong co hoc, ti de nen de bi ton thuong. 

Mot so benh khop gay dau khuyu tay

Benh khop khuyu: Ton thuong tu trong khop khuyu thuong co bieu hien bat dau dot ngot, van dong gap khuyu va ngua ban tay bi han che. Viem khop du co nguon goc nhiem khuan hay viem deu co cac trieu chung Xquang tuong tu nhu nhau. Do la cac dau hieu hep khe khop, tran dich khop va mat khoang duoi sun, ket hop voi khuyet xuong quanh sun va hoc xuong duoi sun. Benh khop chuyen hoa (gut hay voi hoa sun khop) tuong doi hiem gap o khuyu. Thoai hoa khop khuyu thuong la thu phat sau chan thuong hay sau cac vi sang chan lap lai (do ket qua cua hoat dong nghe nghiep hay luyen tap the thao. Di vat khop thuong xay ra va co the la dau hieu phat hien benh. Dieu tri phu thuoc vao nguyen nhan gay benh. Neu viem khop nhiem khuan thi can dieu tri bang cac thuoc khang sinh thich hop trong 2 thang. Truong hop thoai hoa khop thi co the dieu tri bang cac thuoc chong viem giam dau, tiem khop bang che pham chua cortioid trong cac dot dau cap.

Viem loi cau xuong canh tay: Viem loi cau xuong canh tay thuong xay ra o nguoi sau 30 tuoi, co the gap som hon o nhung van dong vien the thao. The hien bang dau o mat ngoai khuyu tay, o vi tri bam tan gan loi cau. Daulan doc theo cang tay, tang len khi lam cac dong tac gap duoi khuyu tay hay sap ngua ban tay, khi an vao loi cau khuyu tay. Hoan canh xuat hien la choi the thao nhu tennis, golf, lao dong nghe nghiep, giai tri (don dep nha cua, lam vuon) hay bi chan thuong truc tiep vao khuyu tay.

Ve mat dieu tri, khop can duoc nghi ngoi, dac biet la khong choi the thao trong it nhat 2 tuan. Su dung thuoc giam dau don thuan, thuoc chong viem khong steroid (celebrex) trong 10-15 ngay. Ket hop chuom da, xoa bop trong 10-12 buoi, keo dan thu dong hay dung sieu am. Trong truong hop khong dap ung thi co the tiem tai cho bang corticoid, nhac lai sau 1-2 tuan neu can thiet. Tuy nhien tiem tai cho co the gay dau tang len trong vong 24 - 48 gio. Co the can co dinh khuyu trong 2-3 tuan sau khi tiem tai cho. Sau do co the tap the thao lai dan dan, can chu y dung trang thiet bi the thao thich hop va chan chinh cac dong tac the thao cho dung. Mot so truong hop that bai sau nhieu thang dieu tri thi co the phau thuat. Do la bien phap giai phong bao gan hay chuyen vi tri gan bam tan de gan co duoc nghi ngoi, cat gan vong cua khuyu va cat bo phan diem bao hoat dich ket giua loi cau va mau xuong quay. Ket qua nhin chung thuan loi.


Viem mom khuyu: Viem mom khuyu hiem gap, nguyen nhan do ton thuong gan bam tan mom khuyu. Benh gap o nguoi lao dong chan tay nang nhoc, van dong vien the thao, tham chi sau tuoi 40 ma khong co nguyen nhan ro rang. Dau o mom khuyu, lan xuong mat trong cang tay, tang len khi an truc tiep hay gap va up sap ban tay co doi khang. Dieu tri noi khoa tuong tu nhu viem loi cau. Rat it khi phai can den phau thuat chuyen vi gan chung co bam khuyu.

Nang dich mom khuyu: Thuong gap, dac biet o nam gioi, co the gap o hai ben. Nguyen nhan co the la do vi chan thuong, trong benh gut hay benh khop viem, hay do nhiem khuan. Sung bao thanh dich khuyu tay. The tich nang thuong trung binh, it gay han che chuc nang khuyu. Bao hoat dich day len. Tuy nhien nang co the bi nhiem khuan khida bi loet hay xay sat, tro nen viem, dau va do ra ngoai. Trong benh viem khop dang thap, nang thuong hay ket hop voi hat thap duoi da o thanh tui thanh dich. Chan doan dua chu yeu vao lam sang. Xquang khuyu nghieng thuong cho thay hinh anh gai xuong hay choi xuong mom khuyu. Choc hut nang va xet nghiem dich cho thay so luong it bach cau da nhan trung tinh (< 2.000/mm3) trong nang dich chan thuong va so luong bach cau da nhan tang len trong nang dich do gut, viem hay nhiem khuan. Trong nang dich nhiem khuan, co the tim thay vi khuan gay benh, thuong la tu cau vang. Ve mat dieu tri, nang dich vi chan thuong hay viem can phai duoc choc hut. Khi tai phat thi co the tiem corticoid tai cho. Nang boi nhiem can phai dieu tri bang khang sinh duong toan than trong 2-3 tuan. Nang hay tai phat co the duoc cat bo bang ngoai khoa.

Chan thuong khuyu: Chan thuong khuyu bao gom cac gay xuong canh tay, xuong tru hay xuong quay, co the phat hien nhanh chong tren Xquang khop khuyu. Thuong kem theo tran dich trong khop khuyu va quanh khop, dan dan dan den thoai hoa khop. Dieu tri gay xuong canh tay bang cac phuong phap ngoai khoa. Doi voi tung truong hop cu the thi co ke hoach dieu tri thich hop.

Vat la trong khop: Co 4 nguyen nhan chinh gay vat la trong khop. Do la viem sun boc tach, thoai hoa khop, gay xuong boc tach, voi sun hoa mang hoat dich khop do loan san mang hoat dich. Chup Xquang co the giup xac dinh duoc nguyen nhan cua di vat trong khop, vi tri va so luong cua chung. Ve mat dieu tri, can phai lay di vat ra khoi khop bang phuong phap ngoai khoa. Khi xac dinh duoc nguyen nhan benh thi can ap dung cac bien phap dieu tri thich hop tungnguyen nhan gay benh.  


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Tìm hiểu: tac dong co hoc, xuong canh tay, Dieu tri dau, co cau truc, khuyu tay, co the, the thao, chan thuong, nguyen nhan, loi cau, viem, nang, gay, gan, gap

Xem Bản Tiếng Việt Có Dấu: Điều trị đau khuỷu tay

Ban co the doc ban tieng Viet co dau cua bai viet Điều trị đau khuỷu tay bang cach nhan chuot vao duong dan tren.

Lien he ve tin Dieu tri dau khuyu tay

Nhan xet, hay lien he ve tin Dieu tri dau khuyu tay co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Dieu tri dau khuyu tay de lam tham khao. Bai viet nay thuoc chuyen de Nhung dieu nen biet trong chuyen muc Suc khoe.

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