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| Gay dot song lung la gi? Nguyen nhan, dau hieu, muc do nguy hiem va cach dieu tri
Gay dot song lung la tinh trang mot hoac nhieu dot song o vung lung bi nut, lun, vo hoac mat tinh lien tuc cua cau truc xuong. Day la chan thuong co the xay ra sau tai nan giao thong, te nga tu tren cao, tai nan lao dong hoac do loang xuong khien dot song tro nen yeu va de gay.
Tuy vi tri va muc do ton thuong, gay dot song lung co the chi gay dau tai cho hoac dan den nhung bien chung nghiem tr?ng nhu bien dang cot song, chen ep tuy song, ton thuong re than kinh, yeu liet hai chan va roi lo?n chuc nang dai tieu tien.
Khong phai tat ca truong hop gay dot song lung deu can phau thuat. Mot so nguoi benh co the duoc dieu tri bao ton bang thuoc, nep ho tro va phuc hoi chuc nang. Tuy nhien, nhung truong hop gay mat vung, chen ep than kinh hoac bien dang cot song nghiem trong co the can can thiep ngoai khoa.
Vay gay dot song lung co nguy hiem khong, bao lau thi lanh, co di lai duoc khong va dieu tri nhu the nao? Bai viet duoi day cua Benh Vien Thien Hanh (thienhanhhospital.com/) se cung cap nhung thong tin chi tiet ve nguyen nhan, trieu chung, phan loai, chan doan, dieu tri va cach cham soc nguoi benh.
Gay dot song lung la gi?
Gay dot song lung la ton thuong xuong xay ra tai mot hoac nhieu dot song thuoc vung cot song nguc hoac that lung.
Trong thuc te, thuat ngu nay thuong duoc su dung de chi nhung truong hop gay dot song that lung, chang han L1, L2, L3, L4 hoac L5. Tuy nhien, ton thuong cung co the xay ra o vung chuyen tiep nguc – that lung, dac biet tai T12 va L1.
Cot song co nhiem vu nang do co the, duy tri tu the, ho tro van dong va bao ve tuy song cung cac cau truc than kinh.
Khi dot song bi gay, cau truc chiu luc cua cot song co the bi anh huong. Trong mot so truong hop, cac manh xuong co the di lech vao ong song, gay chen ep tuy song hoac re than kinh.
Muc do nghiem tr?ng cua gay dot song lung phu thuoc vao hinh thai duong gay, vi tri, muc do mat vung va su hien dien cua ton thuong than kinh.
Cac loai gay dot song lung thuong gap
Gay dot song lung co nhieu hinh thai khac nhau. Viec phan loai giup bac si danh gia muc do on dinh cua cot song va lua chon phuong phap dieu tri.
Gay lun dot song
Gay lun dot song (Vertebral Compression Fracture) xay ra khi than dot song bi xep hoac giam chieu cao.
Tinh trang nay thuong gap o nguoi lon tuoi bi loang xuong, nhung cung co the xay ra sau chan thuong.
Nguoi benh co the dau lung cap tinh, dau tang khi dung hoac di lai.
Mot so truong hop gay lun nhe khong gay ton thuong than kinh va co the duoc dieu tri bao ton.
Gay vo than dot song
Gay vo than dot song (Burst Fracture) thuong xay ra khi cot song chiu luc nen manh theo truc.
Than dot song co the vo thanh nhieu manh, trong do mot so manh xuong co the lui ve phia ong song.
Day la dang ton thuong can duoc danh gia ky vi co the lien quan den mat vung cot song va chen ep than kinh.
Tuy nhien, khong phai moi truong hop gay vo than dot song deu can phau thuat.
Gay do gap – gian
Gay do gap – gian (Flexion-Distraction Injury) xay ra khi cot song chiu luc lam tach cac cau truc phia sau.
Mot vi du la ton thuong Chance, co the lien quan den tai nan giao thong.
Loai chan thuong nay doi khi di kem ton thuong day chang va cac co quan trong o bung.
Gay trat dot song
Gay trat dot song xay ra khi ton thuong xuong ket hop voi su di lech bat thuong giua cac dot song.
Day thuong la ton thuong nghiem tr?ng, co nguy co mat vung va ton thuong than kinh cao.
Gay mom ngang hoac mom gai
Mot so truong hop chi bi gay cac phan xuong phia sau hoac ben cua dot song.
Gay mom ngang don thuan thuong khong gay mat vung cot song nghiem tr?ng, nhung co the la dau hieu cua chan thuong nang luong cao va di kem ton thuong co quan khac.
Nguyen nhan gay dot song lung
Gay dot song lung co the xuat hien do chan thuong manh hoac do xuong suy yeu.
Tai nan giao thong
Tai nan xe may, o to hoac nhung phuong tien khac co the tao ra luc tac dong lon len cot song.
Cac co che nhu nen doc truc, gap m?nh, xoay hoac va dap truc tiep co the gay gay dot song.
Te nga tu tren cao
Nga tu cau thang, mai nha, gian giao hoac nhung vi tri cao co the gay luc nen m?nh len cot song.
Day la mot trong nh?ng nguyen nhan quan tr?ng c?a gay vo than dot song.
Tai nan lao dong
Nguoi lam viec trong linh vuc xay d?ng, van chuyen hoac cong viec co nguy co nga cao co the gap chan thuong cot song.
Chan thuong the thao
Mot so mon the thao co nguy co va cham m?nh hoac te nga co the gay ton thuong cot song.
Loang xuong
Loang xuong khien mat do va chat luong xuong suy giam, lam tang nguy co gay lun dot song.
O nguoi loang xuong nang, gay dot song co the xay ra sau nh?ng ho?t d?ng nhe nhu cui nguoi, nang vat hoac tham chi khong co chan thuong ro rang.
Ung thu di can xuong
Mot so benh ung thu co the di can den cot song, lam suy yeu cau truc xuong va gay gay benh ly.
Nhiem trung hoac benh ly xuong
Mot so benh ly nhu viem dot song, ton thuong xuong do nhiem trung hoac nhung benh chuyen hoa xuong co the lam tang nguy co gay.
Dau hieu gay dot song lung thuong gap
Trieu chung phu thuoc vao muc do gay, vi tri va tinh trang ton thuong than kinh.
Dau lung dot ngot
Day la trieu chung thuong gap nhat.
Con dau co the xuat hien ngay sau tai nan hoac sau mot dong tac nhe o nguoi co loang xuong.
Dau thuong khu tru tai vung dot song bi ton thuong.
Dau tang khi van dong
Nguoi benh co the dau tang khi dung, di lai, cui nguoi hoac thay doi tu the.
Kho dung hoac di lai
Gay dot song co the khien nguoi benh kho di chuyen do dau hoac mat vung cot song.
Co cung co lung
Cac co xung quanh vung ton thuong co the co cung phan xa, lam han che van dong.
Bien dang cot song
Mot so truong hop co the xuat hien gu hoac bien dang bat thuong.
Te bi chan
Neu ton thuong anh huong den re than kinh hoac tuy song, nguoi benh co the bi te, cham chich hoac giam cam giac o chan.
Yeu hoac liet chan
Day la dau hieu canh bao ton thuong than kinh nghiem tr?ng.
Roi lo?n dai tieu tien
Bi tieu, tieu khong tu chu hoac mat kiem soat dai tien co the lien quan den ton thuong tuy song hoac chum duoi ng?a.
Nhung trieu chung nay can duoc danh gia cap cuu.
Chan doan gay dot song lung nhu the nao?
Chan doan can ket hop tham kham lam sang va chan doan hinh anh.
Kham lam sang
Bac si danh gia vi tri dau, bien dang cot song, kha nang van dong va cac dau hieu chan thuong phoi hop.
Kham than kinh
Bac si kiem tra suc co, cam giac, phan xa va nhung dau hieu lien quan den chuc nang tuy song hoac re than kinh.
Chup X-quang cot song
X-quang co the phat hien mot so truong hop gay lun, giam chieu cao than dot song hoac bien dang cot song.
Tuy nhien, X-quang co the bo sot mot so ton thuong.
Chup CT cot song
CT la phuong phap quan tr?ng de danh gia chi tiet ton thuong xuong trong nhieu truong hop chan thuong cot song.
CT giup xac dinh duong gay, muc do vo than dot song, di lech manh xuong va nhung bat thuong lien quan.
Chup MRI cot song
MRI co the duoc chi dinh khi nghi ngo ton thuong tuy song, re than kinh, day chang hoac nhung cau truc phan mem khac.
MRI cung co the ho tro danh gia tuoi cua gay lun va phan biet mot so truong hop gay do loang xuong voi gay benh ly.
Do mat do xuong
O nguoi nghi ngo loang xuong, bac si co the chi dinh do mat do xuong de danh gia nguy co gay xuong trong tuong lai.
Cac phuong phap phau thuat gay dot song lung
Phau thuat co dinh cot song
Bac si co the su dung vit cuong cung va thanh noi de co dinh nh?ng dot song bi ton thuong.
Muc tieu la phuc hoi do on dinh cua cot song va ho tro qua trinh lien xuong.
Phau thuat giai ep than kinh
Neu co cau truc chen ep tuy song hoac re than kinh, bac si co the thuc hien giai ep khi co chi dinh.
Trong nhieu truong hop, giai ep can duoc ket hop voi co dinh cot song.
Phau thuat han xuong cot song
Han xuong cot song co the duoc thuc hien de tao su lien ket vung chac giua cac dot song.
Bom xi mang sinh hoc dot song
Bom xi mang sinh hoc co the duoc can nhac trong mot so truong hop gay lun dot song gay dau keo dai, dac biet o nguoi loang xuong, sau khi da danh gia ky loi ich va nguy co.
Khong phai moi truong hop gay lun deu can bom xi mang.
Tao hinh than dot song bang bong
Kyphoplasty la ky thuat su dung bong de tao khoang trong than dot song truoc khi bom v?t lieu tang cuong.
Phuong phap co the duoc lua chon o mot so truong hop gay lun phu hop.
Cach so cuu khi nghi ngo gay dot song lung
So cuu dung cach co vai tro quan tr?ng trong vi?c han che ton thuong thu phat.
Bao dam an toan hien truong
Truoc tien can bao dam khu v?c xay ra tai nan an toan cho nguoi bi nan va nguoi ho tro.
Goi cap cuu
Neu nguoi benh bi tai nan m?nh, dau lung du d?i, yeu chan hoac nghi ngo ton thuong cot song, can goi 115.
Han che di chuyen
Khong tu y keo, do dung day hoac xoay van nguoi benh.
Chi di chuyen khi co nguy hiem truc tiep t?i hien truong hoac can thuc hien nh?ng thao tac cuu song.
Giu cot song o tu the on dinh
Han che nh?ng chuyen d?ng khong can thiet trong khi cho nhan vien y te.
Theo doi y thuc va ho hap
Neu nguoi benh bat tinh hoac ngung tho, can uu tien cac bien phap cap cuu co ban theo huong dan cua nhan vien y te.
Khong tu y nan chinh
Khong co keo thang lung, nan dot song hoac xoa bop m?nh vung ton thuong.
Khong cho an uong
Nguoi benh co the can gay me hoac phau thuat, vi vay khong nen cho an uong khi dang cho danh gia cap cuu.
Tham kham gay dot song lung tai Buon Ma Thuot
Doi voi nguoi dan tai Ðak Lak va khu v?c Tay Nguyen, Benh vien Ða khoa Thien Hanh tai Buon Ma Thuot la m?t co so y te co the lien he de tim hieu ve vi?c tham kham cac trieu chung dau lung sau chan thuong hoac nghi ngo ton thuong cot song.
Gay dot song lung co the xuat hien sau tai nan giao thong, te nga, tai nan lao dong hoac do loang xuong. Vi vay, nguoi benh can duoc danh gia de xac dinh nguyen nhan va muc do ton thuong.
Trong qua trinh tham kham, bac si co the khai thac benh su, kiem tra chuc nang van dong, cam giac va can nhac nh?ng phuong phap chan doan hinh anh phu hop.
Nguoi benh co the lien he truc tiep Khoa noi tong hop - Benh Vien Ða Khoa Thien Hanh de xac nhan cac dich vu kham chuyen khoa, chan doan hinh anh va kha nang tiep nhan hien co.
Neu phat hien gay dot song phuc tap, mat vung hoac co dau hieu chen ep than kinh, nguoi benh can duoc danh gia t?i co so co chuyen mon ve chan thuong chinh hinh cot song hoac ngoai than kinh.
Ðac biet, nguoi bi tai nan m?nh kem dau lung du d?i, yeu liet chan, te vung yen ng?a ho?c roi lo?n dai tieu tien can duoc cap cuu ngay.
Khong nen tri hoan cap cuu de cho lich kham thong thuong.
Ket luan
Gay dot song lung la ton thuong cot song co the xay ra do tai nan, te nga, chan thuong the thao hoac cac benh ly lam suy yeu xuong nhu loang xuong. Muc do nghiem tr?ng thay doi t? gay lun on dinh den gay vo, gay trat kem ton thuong than kinh.
Cac trieu chung thuong gap bao gom dau lung, kho van dong, co cung co va trong nh?ng tru?ng h?p nghiem tr?ng co the xuat hien te bi, yeu liet hoac roi lo?n dai tieu tien.
Viec chan doan can ket hop kham lam sang, danh gia than kinh va cac phuong phap chan doan hinh anh nhu X-quang, CT hoac MRI khi phu hop.
Mot so truong hop co the dieu tri bao ton bang thuoc, nep ho tro va phuc hoi chuc nang. Nh?ng ton thuong mat vung hoac chen ep than kinh co the can phau thuat.
Nguoi dan tai Buon Ma Thuot va khu v?c Tay Nguyen co the lien he Benh Vien Thien Hanh Ðak Lak de duoc huong dan tham kham khi co trieu chung nghi ngo gay dot song lung va tim hieu phuong an danh gia chuyen sau phu hop.
Ðac biet, khi nghi ngo chan thuong cot song sau tai nan, can han che di chuyen nguoi benh va goi cap cuu kip thoi de giam nguy co ton thuong than kinh thu phat. |
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