{"id":272,"date":"2026-02-04T07:26:44","date_gmt":"2026-02-04T07:26:44","guid":{"rendered":"https:\/\/dongythelong.vn\/?p=272"},"modified":"2026-02-04T07:26:44","modified_gmt":"2026-02-04T07:26:44","slug":"ky-thuat-phuc-hoi-chuc-nang-thoat-vi-dia-dem-cot-song-that-lung","status":"publish","type":"post","link":"https:\/\/dongythelong.vn\/index.php\/2026\/02\/04\/ky-thuat-phuc-hoi-chuc-nang-thoat-vi-dia-dem-cot-song-that-lung\/","title":{"rendered":"K\u1ef9 thu\u1eadt ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng"},"content":{"rendered":"\n
    \n
  1. 1. C\u00c1C K\u1ef8 THU\u1eacT V\u1eacT L\u00dd TR\u1eca LI\u1ec6U<\/strong><\/li>\n<\/ol>\n\n\n\n

    R\u1ea5t h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng:<\/p>\n\n\n\n

    1.1 \u0110i\u1ec1u tr\u1ecb b\u1eb1ng nhi\u1ec7t n\u00f3ng:<\/strong><\/p>\n\n\n\n

    Paraffin, t\u00fai silicagel, khay nhi\u1ec7t \u0111i\u1ec7n, c\u00e1c lo\u1ea1i t\u00fai tr\u01b0\u1eddm n\u00f3ng, b\u1ee9c x\u1ea1 h\u1ed3ng ngo\u1ea1i, t\u1eafm b\u00f9n kho\u00e1ng, n\u01b0\u1edbc kho\u00e1ng n\u00f3ng, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, t\u0103ng tu\u1ea7n ho\u00e0n v\u00e0 dinh d\u01b0\u1ee1ng cho c\u00e1c m\u00f4 v\u00f9ng c\u1ed9t s\u1ed1ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u01a1, ph\u1ee5c h\u1ed3i t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng, \u0111i\u1ec1u ch\u1ec9nh t\u01b0 th\u1ebf c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n

    1.2 K\u00e9o d\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng:<\/strong><\/p>\n\n\n\n

    C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng nh\u01b0 k\u00e9o b\u1eb1ng l\u1ef1c t\u1ef1 tr\u1ecdng tr\u00ean b\u00e0n d\u1ed1c, k\u00e9o gi\u00e3n d\u01b0\u1edbi n\u01b0\u1edbc, k\u00e9o gi\u00e3n b\u1eb1ng qu\u1ea3 c\u00e2n v\u00e0 d\u00f2ng d\u1ecdc, k\u00e9o gi\u00e3n b\u1eb1ng m\u00e1y k\u00e9o. K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng l\u00e0 bi\u1ec7n ph\u00e1p c\u01a1 h\u1ecdc l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m. \u00c1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m gi\u1ea3m l\u00e0m t\u0103ng th\u1ea5m nu\u00f4i d\u01b0\u1ee1ng \u0111\u0129a \u0111\u1ec7m, ph\u1ee5c h\u1ed3i l\u1ea1i chi\u1ec1u cao \u0111\u0129a \u0111\u1ec7m, \u0111\u1eb7t l\u1ea1i di\u1ec7n kh\u1edbp li\u00ean m\u1ea5u do b\u00e1n tr\u1eadt kh\u1edbp, l\u00e0m t\u0103ng \u0111\u01b0\u1eddng k\u00ednh d\u1ecdc c\u1ee7a l\u1ed7 gh\u00e9p, thu nh\u1ecf kh\u1ed1i tho\u00e1t v\u1ecb, l\u00e0m gi\u00e3n c\u01a1 th\u1ee5 \u0111\u1ed9ng. K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng l\u00e0 bi\u1ec7n ph\u00e1p r\u1ea5t t\u1ed1t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng v\u00e0 c\u1ea3 \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.<\/p>\n\n\n\n

    1.3 \u0110i\u1ec7n xung:<\/strong><\/p>\n\n\n\n

    S\u1eed d\u1ee5ng c\u00e1c d\u00f2ng \u0111i\u1ec7n xung c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m co c\u1ee9ng c\u01a1 r\u1ea5t t\u1ed1t. \u0110i\u1ec7n xung c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, gi\u00e3n c\u01a1 c\u1ea3 giai \u0111o\u1ea1n c\u1ea5p, b\u00e1n c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh.<\/p>\n\n\n\n

    Ng\u00e0y nay c\u00e1c th\u1ebf m\u00e1y \u0111i\u1ec7n xung hi\u1ec7n \u0111\u1ea1i, v\u1edbi nhi\u1ec1u ch\u01b0\u01a1ng tr\u00ecnh xung kh\u00e1c nhau, g\u1ed3m c\u00e1c d\u1ea1ng xung v\u1edbi h\u00ecnh d\u1ea1ng s\u00f3ng v\u00e0 bi\u00ean \u0111\u1ed9 kh\u00e1c nhau, d\u00f2ng TENS, \u0111i\u1ec7n xung giao thoa, \u0111i\u1ec7n xung k\u1ebft h\u1ee3p nhi\u1ec7t, \u0111i\u1ec7n xung k\u1ebft h\u1ee3p ch\u1ebf \u0111\u1ed9 rung c\u01a1, Massage c\u01a1\u2026 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh hi\u1ec7u \u1ee9ng c\u1ee7a d\u00f2ng \u0111i\u1ec7n xung \u0111\u1ebfn t\u1eebng v\u1ecb tr\u00ed, \u0111\u1ed9 n\u00f4ng s\u00e2u c\u1ee7a t\u1ed5 ch\u1ee9c, do \u0111\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb r\u1ea5t t\u1ed1t.<\/p>\n\n\n\n

    1.4 \u0110i\u1ec7n di ion thu\u1ed1c:<\/strong><\/p>\n\n\n\n

    S\u1eed d\u1ee5ng d\u00f2ng \u0111i\u1ec7n m\u1ed9t chi\u1ec1u \u0111\u1ec1u (d\u00f2ng Galvanic) \u0111\u1ec3 \u0111\u01b0a ion thuo\u1ed1c v\u00e0o d\u01b0\u1edbi da. C\u00e1c thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0 Natri salicylat 2%, Novocain 5%, Nivalin 2,5mg. \u0110i\u1ec7n c\u1ef1c thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u00f9ng th\u1eaft l\u01b0ng, \u0111i\u1ec7n c\u1ef1c kia \u0111\u1eb7t \u1edf b\u1eafp ch\u00e2n m\u1ed9t ho\u1eb7c hai b\u00ean.<\/p>\n\n\n\n

    Ngo\u00e0i t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec7n di c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng c\u1ee7a d\u00f2ng \u0111i\u1ec7n m\u1ed9t chi\u1ec1u \u0111\u1ec1u, l\u00e0m t\u0103ng t\u00ednh th\u1ea5m c\u1ee7a c\u00e1c m\u00e0ng sinh h\u1ecdc, t\u1ea1o ra s\u1ef1 ph\u00e2n c\u1ef1c gi\u1eefa hai ph\u00eda c\u1ee7a m\u00e0ng sinh h\u1ecdc k\u00edch th\u00edch c\u00e1c ph\u1ea3n \u1ee9ng th\u1ea7n kinh v\u00e0 th\u1ea7n kinh th\u1ec3 d\u1ecbch, t\u0103ng chuy\u1ec3n h\u00f3a v\u00e0 ph\u1ee5c h\u1ed3i t\u1ed5n th\u01b0\u01a1ng.<\/p>\n\n\n\n

    1.5. S\u00f3ng \u0111i\u1ec7n t\u1eeb tr\u01b0\u1eddng cao t\u1ea7n v\u00e0 si\u00eau cao t\u1ea7n:<\/strong><\/p>\n\n\n\n

    S\u00f3ng ng\u1eafn, s\u00f3ng c\u1ef1c ng\u1eafn, vi s\u00f3ng. C\u00e1c s\u00f3ng \u0111i\u1ec7n t\u1eeb tr\u01b0\u1eddng cao t\u1ea7n v\u00e0 si\u00eau cao t\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0o v\u00f9ng th\u1eaft l\u01b0ng l\u00e0m t\u0103ng nhi\u1ec7t \u0111\u1ed9 c\u1ee7a m\u00f4 \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m c\u1ea3 \u0111\u0129a \u0111\u1ec7m, m\u00f4 x\u01b0\u01a1ng d\u01b0\u1edbi s\u1ee5n, kh\u1edbp li\u00ean m\u1ea5u, c\u00e1c m\u00f4 m\u1ec1m v\u00f9ng \u0111i\u1ec1u tr\u1ecb l\u00e0m gi\u00e3n m\u1ea1ch, t\u0103ng tu\u1ea7n ho\u00e0n, t\u0103ng chuy\u1ec3n h\u00f3a, do \u0111\u00f3 l\u00e0m t\u0103ng dinh d\u01b0\u1ee1ng, ch\u1ed1ng vi\u00eam t\u1ed1t. Ngo\u00e0i ra c\u00e1c s\u00f3ng \u0111i\u1ec7n t\u1eeb tr\u01b0\u1eddng cao t\u1ea7n c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec7n t\u1eeb l\u00e0m t\u0103ng t\u00ednh th\u1ea5m, t\u0103ng chuy\u1ec3n h\u00f3a c\u1ee7a m\u00f4 r\u1ea5t th\u00edch h\u1ee3p cho \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.<\/p>\n\n\n\n

    Kh\u00e1c v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nhi\u1ec7t n\u00f3ng nh\u01b0 paraffin, h\u1ed3ng ngo\u1ea1i, l\u00e0 nhi\u1ec7t \u0111\u01b0\u1ee3c d\u1eabn truy\u1ec1n t\u1eeb ngo\u00e0i da v\u00e0o m\u00f4, s\u00f3ng \u0111i\u1ec7n t\u1eeb tr\u01b0\u1eddng cao t\u1ea7n l\u00e0m t\u0103ng nhi\u1ec7t ngay trong m\u00f4. M\u1ee9c \u0111\u1ed9 t\u0103ng nhi\u1ec7t ph\u1ee5 thu\u1ed9c v\u00e0o t\u1ec9 l\u1ec7 n\u01b0\u1edbc c\u00f3 trong m\u00f4, m\u00f4 c\u00f3 nhi\u1ec1u n\u01b0\u1edbc th\u00ec t\u0103ng nhi\u1ec7t nhi\u1ec1u h\u01a1n, do \u0111\u00f3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u00e1c m\u00f4 \u1edf s\u00e2u trong c\u01a1 th\u1ec3, r\u1ea5t th\u00edch h\u1ee3p cho \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.<\/p>\n\n\n\n

    1.6 Si\u00eau \u00e2m tr\u1ecb li\u1ec7u<\/strong><\/p>\n\n\n\n

    1.6.1. T\u00e1c d\u1ee5ng sinh h\u1ecdc<\/p>\n\n\n\n

    – Hi\u1ec7u \u1ee9ng c\u01a1 h\u1ecdc: Trong m\u00f4i tr\u01b0\u1eddng c\u00f3 si\u00eau \u00e2m truy\u1ec1n qua th\u00ec c\u00e1c ph\u1ea7n t\u1eed trong m\u00f4i tr\u01b0\u1eddng giao \u0111\u1ed9ng t\u1ea1o n\u00ean c\u00e1c pha n\u00e9n v\u00e0 pha gi\u00e3n. S\u1ef1 giao \u0111\u1ed9ng c\u1ee7a c\u00e1c ph\u1ea7n t\u1eed v\u00e0 s\u1ef1 thay \u0111\u1ed5i \u00e1p su\u1ea5t l\u00e0m t\u0103ng t\u00ednh th\u1ea5m qua c\u00e1c m\u00e0ng c\u1ee7a c\u00e1c t\u1ed5 ch\u1ee9c, t\u0103ng t\u00ednh khu\u1ebfch t\u00e1n v\u00e0 th\u1ea9m th\u1ea5u c\u1ee7a t\u1ed5 ch\u1ee9c, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng c\u00e1c qu\u00e1 tr\u00ecnh sinh h\u1ecdc c\u1ee7a t\u1ed5 ch\u1ee9c.<\/p>\n\n\n\n

    – Hi\u1ec7u \u1ee9ng h\u00f3a h\u1ecdc: C\u00e1c l\u1ed7 nh\u1ecf trong m\u00f4i tr\u01b0\u1eddng \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh d\u01b0\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a si\u00eau \u00e2m trong pha gi\u00e3n ch\u1ec9 t\u1ed3n t\u1ea1i trong m\u1ed9t kho\u1ea3ng th\u1eddi gian r\u1ea5t ng\u1eafn. Qu\u00e1 tr\u00ecnh gi\u1ea3m v\u00e0 t\u0103ng \u00e1p xu\u1ea5t t\u1ea1i m\u1ed7i \u0111i\u1ec3m di\u1ec5n ra trong m\u1ed9t n\u1eeda chu k\u1ef3 giao \u0111\u1ed9ng. Trong pha n\u00e9n, c\u00e1c l\u1ed7 b\u1ecb v\u1ee1 ra v\u1edbi m\u1ed9t \u00e1p su\u1ea5t l\u1edbn, l\u00fac n\u00e0y c\u00e1c ph\u00e2n t\u1eed trong m\u00f4i tr\u01b0\u1eddng chuy\u1ec3n \u0111\u1ed9ng v\u1edbi m\u1ed9t t\u1ed1c \u0111\u1ed9 l\u1edbn, qu\u00e1 tr\u00ecnh va ch\u1ea1m v\u00e0 ma s\u00e1t x\u1ea3y ra, k\u1ebft qu\u1ea3 l\u00e0 c\u00e1c ph\u00e2n t\u1eed c\u00f3 th\u1ec3 b\u1ecb k\u00edch th\u00edch hay ion h\u00f3a. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 c\u00e1c ph\u1ea3n \u1ee9ng sinh h\u1ecdc, t\u0103ng chuy\u1ec3n h\u00f3a c\u1ee7a t\u1ed5 ch\u1ee9c. Ngo\u00e0i ra c\u00f3 th\u1ec3 l\u00e0m h\u00ecnh th\u00e0nh c\u00e1c g\u1ed1c ion t\u1ef1 do nh\u01b0 O2- (anion superoxid), OH- (hydroxyl), 1O2 (oxy \u0111\u01a1n b\u1ed9i)… C\u00e1c ion v\u00e0 c\u00e1c g\u1ed1c t\u1ef1 do c\u00f3 ho\u1ea1t t\u00ednh m\u1ea1nh s\u1ebd t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c ch\u1ea5t c\u1ee7a t\u1ed5 ch\u1ee9c s\u1ed1ng nh\u01b0 c\u00e1c lipid m\u00e0ng t\u1ebf b\u00e0o, protein, men, acid nucleic… l\u00e0m bi\u1ebfn t\u00ednh v\u00e0 b\u1ea5t ho\u1ea1t c\u00e1c ph\u00e2n t\u1eed quan tr\u1ecdng n\u00e0y.<\/p>\n\n\n\n

    – Hi\u1ec7u \u1ee9ng nhi\u1ec7t: C\u00e1c ph\u1ea7n t\u1eed c\u1ee7a m\u00f4i tr\u01b0\u1eddng giao \u0111\u1ed9ng d\u01b0\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a si\u00eau \u00e2m, c\u01a1 n\u0103ng s\u1ebd chuy\u1ec3n th\u00e0nh nhi\u1ec7t n\u0103ng do ma s\u00e1t l\u00e0m t\u0103ng nhi\u1ec7t \u0111\u1ed9 c\u1ee7a t\u1ed5 ch\u1ee9c. Hi\u1ec7u \u1ee9ng nhi\u1ec7t ph\u1ee5 thu\u1ed9c v\u00e0o c\u01b0\u1eddng \u0111\u1ed9 v\u00e0 th\u1eddi gian t\u00e1c d\u1ee5ng c\u1ee7a si\u00eau \u00e2m. \u1ede c\u01b0\u1eddng \u0111\u1ed9 d\u01b0\u1edbi 1W\/cm2 th\u01b0\u1eddng ch\u1ec9 l\u00e0m xu\u1ea5t hi\u1ec7n trong t\u1ed5 ch\u1ee9c s\u1ed1ng c\u00e1c hi\u1ec7u \u1ee9ng sinh v\u1eadt d\u01b0\u01a1ng t\u00ednh. B\u00e0o t\u01b0\u01a1ng c\u1ee7a t\u1ebf b\u00e0o b\u1ecb khu\u1ea5y \u0111\u1ed9ng l\u00e0m t\u0103ng c\u00e1c qu\u00e1 tr\u00ecnh sinh h\u1ecdc b\u00ecnh th\u01b0\u1eddng. Si\u00eau \u00e2m li\u00ean t\u1ee5c 1,5W\/cm2 sau 5 ph\u00fat th\u1ea5y t\u1ed5 ch\u1ee9c ph\u1ea7n m\u1ec1m t\u0103ng 3,30C, bao kh\u1edbp t\u0103ng 6,30C, x\u01b0\u01a1ng t\u0103ng 9,30C. Nhi\u1ec7t \u0111\u1ed9 t\u0103ng nhi\u1ec1u t\u1ea1i ranh gi\u1edbi gi\u1eefa c\u00e1c t\u1ed5 ch\u1ee9c c\u00f3 tr\u1ecb s\u1ed1 ph\u1ea3n x\u1ea1 \u00e2m kh\u00e1c nhau. T\u0103ng nhi\u1ec7t \u0111\u1ed9 t\u1ed5 ch\u1ee9c d\u1eabn \u0111\u1ebfn t\u0103ng c\u00e1c qu\u00e1 tr\u00ecnh sinh h\u1ecdc nh\u01b0 t\u0103ng t\u1ed1c \u0111\u1ed9 c\u00e1c ph\u1ea3n \u1ee9ng sinh h\u1ecdc, t\u0103ng chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng… Si\u00eau \u00e2m li\u00ean t\u1ee5c l\u00e0m t\u0103ng nhi\u1ec7t \u0111\u1ed9 nhi\u1ec1u h\u01a1n si\u00eau \u00e2m xung, \u0111i\u1ec1u n\u00e0y c\u1ea7n l\u01b0u \u00fd khi \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5 ch\u1ee9c nh\u01b0 kh\u1edbp, c\u00e1c v\u00f9ng x\u01b0\u01a1ng g\u1ea7n s\u00e1t da, v\u00ec v\u1eady n\u00ean s\u1eed d\u1ee5ng si\u00eau \u00e2m xung.<\/p>\n\n\n\n

    1.6.2. T\u00e1c d\u1ee5ng v\u1edbi b\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m<\/strong><\/p>\n\n\n\n

    B\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m th\u01b0\u1eddng c\u00f3 h\u1ed9i ch\u1ee9ng c\u1ed9t s\u1ed1ng v\u00e0 h\u1ed9i ch\u1ee9ng r\u1ec5 th\u1ea7n kinh. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ed9t s\u1ed1ng hay g\u1eb7p l\u00e0 co c\u01a1 c\u1ea1nh s\u1ed1ng, \u0111au kh\u1ed1i c\u01a1 c\u1ea1nh s\u1ed1ng, \u0111au d\u1ecdc c\u1ed9t s\u1ed1ng v\u1edbi c\u00e1c \u0111i\u1ec3m \u0111au l\u00e0 d\u00e2y ch\u1eb1ng li\u00ean gai.<\/p>\n\n\n\n

    T\u00e1c d\u1ee5ng nhi\u1ec7t c\u1ee7a si\u00eau \u00e2m v\u00e0 c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p thu\u1ed1c ch\u1ed1ng vi\u00eam gi\u1ea3m \u0111au t\u1ea1i ch\u1ed7, gi\u00fap t\u0103ng tu\u1ea7n ho\u00e0n, gi\u00e3n c\u01a1, gi\u1ea3m \u0111au, gi\u1ea3m x\u01a1 h\u00f3a c\u00e1c t\u1ed5 ch\u1ee9c d\u01b0\u1edbi da.<\/p>\n\n\n\n

    1.7 C\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng<\/strong><\/p>\n\n\n\n

    1.7.1 T\u1eadp v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng b\u1eb1ng c\u00e1c b\u00e0i t\u1eadp chuy\u00ean c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng nh\u01b0 Mc Kenzie, Sinfield hay ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp CS-A15.<\/p>\n\n\n\n

    1.7.2. T\u1eadp c\u1ed9t s\u1ed1ng b\u1eb1ng d\u1ee5ng c\u1ee5<\/p>\n\n\n\n

    – M\u00e1y t\u1eadp chuy\u00ean d\u1ee5ng c\u1ed9t s\u1ed1ng l\u01b0ng: c\u00e1c m\u00e1y t\u1eadp chuy\u00ean bi\u1ec7t v\u00f9ng c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, c\u00f3 th\u1ec3 l\u01b0\u1ee3ng gi\u00e1 ch\u1ee9c n\u0103ng v\u00e0 l\u1ef1c v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u00e1c t\u01b0 th\u1ebf v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng. Ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng c\u1ee5 th\u1ec3 v\u1edbi t\u01b0 th\u1ebf t\u1eadp v\u00e0 l\u1ef1c t\u00e1c \u0111\u1ed9ng c\u1ed9t s\u1ed1ng theo t\u1eebng ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

    – D\u1ee5ng c\u1ee5 t\u1eadp c\u1ed9t s\u1ed1ng: b\u00f3ng t\u1eadp, b\u00e0n \u01b0\u1ee1n c\u1ed9t s\u1ed1ng, con l\u0103n c\u1ed9t s\u1ed1ng\u2026<\/p>\n\n\n\n

    1.7.3. Th\u1ec3 thao<\/p>\n\n\n\n

    Th\u1ec3 d\u1ee5c nh\u01b0 b\u01a1i l\u1ed9i, \u0111\u1ea1p xe \u0111\u1ea1p r\u1ea5t t\u1ed1t cho c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, gi\u00fap gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m t\u0103ng s\u1ee9c m\u1ea1nh c\u00e1c g\u00e2n c\u01a1 d\u00e2y ch\u1eb1ng b\u1ea3o v\u1ec7 c\u1ed9t s\u1ed1ng, gi\u1ea3m tho\u00e1t h\u00f3a \u0111\u0129a \u0111\u1ec7m. Tuy nhi\u00ean ch\u1ec9 n\u00ean th\u1ef1c hi\u1ec7n khi \u0111\u00e3 qua giai \u0111o\u1ea1n b\u1ec7nh c\u1ea5p t\u00ednh.<\/p>\n\n\n\n

    1.7.4. Ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ed9t s\u1ed1ng (CS – A15),<\/p>\n\n\n\n

    \u0110\u01b0\u1ee3c Ti\u1ebfn s\u0129 Nguy\u1ec5n V\u0103n Tu\u1ea5n v\u00e0 b\u1ed9 m\u00f4n Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng x\u00e2y d\u1ef1ng n\u0103m 2020, \u0111\u00e3 nghi\u00ean c\u1ee9u c\u01a1 b\u1ea3n v\u1ec1 t\u00e1c d\u1ee5ng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n. Hi\u1ec7u qu\u1ea3 c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n CS-A15 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 nhi\u1ec1u b\u00e0i b\u00e1o trong n\u01b0\u1edbc, v\u00e0 b\u1ea3o v\u1ec7 th\u00e0nh c\u00f4ng lu\u1eadn v\u0103n chuy\u00ean khoa II c\u1ee7a Ph\u1ea1m Thu H\u1eb1ng. Ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp CA-A15 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong t\u1ea5c c\u1ea3 c\u00e1c giai \u0111o\u1ea1n b\u1ec7nh tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m CSTL, v\u1edbi 15 b\u00e0i t\u1eadp chia th\u00e0nh 2 giai \u0111o\u1ea1n; c\u00f3 s\u1ef1 l\u01b0\u1ee3ng gi\u00e1, h\u01b0\u1edbng d\u1eabn t\u1eadp c\u1ee7a k\u1ef9 thu\u1eadt vi\u00ean ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n\n\n\n

      \n
    1. a) Giai \u0111o\u1ea1n c\u1ea5p:\u00a0<\/em><\/strong>G\u1ed3m 3 b\u00e0i t\u1eadp \u1edf t\u01b0 th\u1ebf n\u1eb1m. Gi\u00fap gi\u00e3n c\u01a1, gi\u1ea3m \u00e1p \u0111\u0129a \u0111\u1ec7m \u0111\u1ec3 gi\u1ea3m \u0111au.<\/li>\n<\/ol>\n\n\n\n

      B\u00e0i 1. T\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, \u0111\u1eb7t g\u1ed1i d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i<\/em><\/strong><\/p>\n\n\n\n

      – <\/strong>Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, l\u01b0ng ti\u1ebfp x\u00fac v\u1edbi m\u1eb7t ph\u1eb3ng, ch\u00e2n du\u1ed7i th\u1eb3ng, k\u00ea m\u1ed9t chi\u1ebfc g\u1ed1i nh\u1ecf d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i.<\/p>\n\n\n\n

      – <\/strong>M\u1ee5c \u0111\u00edch: Gi\u00fap c\u00e2n b\u1eb1ng l\u1ef1c v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1eddng cong sinh l\u00fd c\u1ed9t s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

      \n
      \"\"<\/figure>\n<\/figure>\n\n\n\n

      B\u00e0i 2. N\u1eb1m nghi\u00eang co ch\u00e2n sang 1 b\u00ean<\/em><\/strong><\/p>\n\n\n\n

      – Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m nghi\u00eang, co ch\u00e2n sang m\u1ed9t b\u00ean, \u0111\u1eb7t gi\u1eefa hai ch\u00e2n m\u1ed9t chi\u1ebfc g\u1ed1i nh\u1ecf.<\/p>\n\n\n\n

      – M\u1ee5c \u0111\u00edch: Gi\u00fap ph\u1ea7n l\u01b0ng \u0111\u01b0\u1ee3c k\u00e9o gi\u00e3n v\u00e0 gi\u1ea3m \u00e1p l\u1ef1c ph\u1ea7n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.<\/p>\n\n\n\n

      \n
      \"\"<\/figure>\n<\/figure>\n\n\n\n

      B\u00e0i 3. T\u01b0 th\u1ebf n\u1eb1m nghi\u00eang k\u00e9o gi\u00e3n kh\u1edbp CSTL b\u00ean \u0111au<\/em><\/strong><\/p>\n\n\n\n

      – <\/strong>N\u1eb1m nghi\u00eang v\u1ec1 m\u1ed9t ph\u00eda sao cho ch\u00e2n \u0111au \u1edf ph\u00eda tr\u00ean, \u0111\u1ea7u g\u1ed1i co l\u1ea1i \u1edf th\u1ebf gi\u1ea3m \u0111au h\u01a1n. Sau \u0111\u00f3 c\u1ed1 g\u1eafng di chuy\u1ec3n ph\u1ea7n th\u00e2n tr\u00ean c\u1ee7a b\u1ea1n sang b\u00ean ng\u01b0\u1ee3c l\u1ea1i, c\u00e1nh tay giang l\u00ean ph\u00eda tr\u00ean.<\/p>\n\n\n\n

      – <\/strong>M\u1ee5c \u0111\u00edch: gi\u00e3n c\u01a1 v\u00e0 kh\u1edbp c\u1ed9t s\u1ed1ng b\u00ean b\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, qua \u0111\u00f3 gi\u00fap gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m v\u00e0 gi\u1ea3m \u0111au c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n

      \n
      \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
      1. b) Gian \u0111o\u1ea1n b\u00e1n c\u1ea5p \u0111\u1ebfn giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh<\/em><\/strong>: G\u1ed3m 12 b\u00e0i t\u1eadp (t\u1eeb b\u00e0i 4 \u0111\u1ebfn b\u00e0i 15)<\/em><\/strong><\/li>\n<\/ol>\n\n\n\n

        B\u00e0i 4. T\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, khu\u1ef7u tay v\u00e0 g\u1ed1i h\u01b0\u1edbng \u0111\u1ebfn nhau \u0111\u1ed1i b\u00ean<\/em><\/strong><\/p>\n\n\n\n

        – <\/strong>B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda, hai tay \u0111an sau g\u00e1y.<\/p>\n\n\n\n

        – <\/strong>G\u1eadp ng\u01b0\u1eddi cho khu\u1ef7u tay v\u00e0 g\u1ed1i \u0111\u1ed1i b\u00ean h\u01b0\u1edbng \u0111\u1ebfn nhau, c\u00e0ng g\u1ea7n c\u00e0ng t\u1ed1t gi\u1eef trong 5 \u2013 10 gi\u00e2y sau \u0111\u00f3 du\u1ed7i th\u1eb3ng ch\u00e2n. \u0110\u1ed5i ng\u01b0\u1ee3c l\u1ea1i ch\u00e2n v\u00e0 tay \u0111\u1ed1i b\u00ean.<\/p>\n\n\n\n

        – <\/strong>L\u1eb7p l\u1ea1i 10 l\u1ea7n.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 5. T\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, hai g\u1ed1i ch\u1ea1m ng\u1ef1c<\/em><\/strong><\/p>\n\n\n\n

        – M\u1ee5c \u0111\u00edch: L\u00e0m du\u1ed7i nh\u00f3m c\u01a1 l\u01b0ng d\u01b0\u1edbi<\/p>\n\n\n\n

        – B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda v\u1edbi 2 \u0111\u1ea7u g\u1ed1i co, hai tay \u00f4m l\u1ea5y 2 \u0111\u1ea7u g\u1ed1i r\u1ed3i k\u00e9o m\u1ea1nh l\u00ean s\u00e1t ng\u1ef1c c\u00e0ng t\u1ed1t, gi\u1eefu \u0111\u1ea7u v\u00e0 c\u1ed5 th\u1eb3ng. Gi\u1eef trong 5 \u2013 10 gi\u00e2y sau \u0111\u00f3 du\u1ed7i ch\u00e2n v\u1ec1 v\u1ecb tr\u00ed n\u1eb1m ng\u1eeda.<\/p>\n\n\n\n

        – L\u1eb7p l\u1ea1i  5 – 10 l\u1ea7n.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 6. L\u0103n 2 g\u1ed1i \u0111\u1ec3 k\u00e9o gi\u00e3n v\u00e0 c\u1eed \u0111\u1ed9ng c\u1ed9t s\u1ed1ng<\/em><\/strong><\/p>\n\n\n\n

        – <\/strong>M\u1ee5c \u0111\u00edch: K\u00e9o gi\u00e3n th\u00e2n m\u00ecnh v\u00e0 c\u1ed9t s\u1ed1ng<\/p>\n\n\n\n

        – <\/strong>V\u1ecb tr\u00ed b\u1eaft \u0111\u1ea7u: N\u1eb1m ng\u1eeda, \u0111\u1eb7t 1 g\u1ed1i m\u1ecfng ho\u1eb7c cu\u1ed1n s\u00e1ch g\u1ed1i \u0111\u1ea7u. Gi\u1eef 2 \u0111\u1ea7u g\u1ed1i g\u1eadp s\u00e1t nhau, gi\u1eef c\u01a1 th\u1ec3 tho\u1ea3i m\u00e1i v\u00e0 c\u1eb1m nh\u1eb9 nh\u00e0ng thu l\u1ea1i<\/p>\n\n\n\n

        – <\/strong>C\u1eed \u0111\u1ed9ng: L\u0103n \u0111\u1ea7u g\u1ed1i c\u1ee7a b\u1ea1n sang m\u1ed9t b\u00ean, ti\u1ebfp theo l\u00e0 khung x\u01b0\u01a1ng ch\u1eadu c\u1ee7a b\u1ea1n, gi\u1eef cho c\u1ea3 2 vai tr\u00ean s\u00e0n nh\u00e0. Gi\u1eef c\u0103ng trong m\u1ed9t h\u01a1i th\u1edf s\u00e2u v\u00e0 tr\u1edf v\u1ec1 v\u1ecb tr\u00ed ban \u0111\u1ea7u. L\u1eb7p l\u1ea1i 5 \u2013 10 l\u1ea7n lu\u00e2n phi\u00ean.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 7. T\u01b0 th\u1ebf b\u1eafc c\u1ea7u<\/em><\/strong><\/p>\n\n\n\n

        – <\/strong>M\u1ee5c \u0111\u00edch: K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, l\u00e0m m\u1ea1nh c\u01a1 v\u00f9ng c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, k\u00e9o gi\u00e3n nh\u00f3m c\u01a1 d\u1ea1ng ( m\u1eb7t ngo\u00e0i \u0111\u00f9i)<\/p>\n\n\n\n

        – <\/strong>T\u01b0 th\u1ebf b\u1eaft \u0111\u1ea7u: Ng\u01b0\u1eddi t\u1eadp n\u1eb1m ng\u1eeda, g\u1ea5p hai g\u1ed1i vu\u00f4ng g\u00f3c, hai b\u00e0n ch\u00e2n s\u00e1t tr\u00ean s\u00e0n nh\u00e0. Sau \u0111\u00f3 l\u00e0m c\u0103ng b\u1ee5ng r\u1ed3i n\u00e2ng m\u00f4ng l\u00ean kh\u1ecfi s\u00e0n nh\u00e0, gi\u1eef th\u00e2n m\u00ecnh t\u1eeb vai \u0111\u1ebfn g\u1ed1i th\u1eb3ng h\u00e0ng.<\/p>\n\n\n\n

        – <\/strong>Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp: Ng\u01b0\u1eddi t\u1eadp n\u1eb1m nh\u01b0 tr\u00ean, \u00e9p gi\u1eef ch\u1eafc m\u00f4ng v\u00e0 c\u0103ng b\u1ee5ng, sau \u0111\u00f3 n\u00e2ng ch\u00e2n ph\u1ea3i v\u00e0 m\u00f4ng l\u00ean kh\u1ecfi s\u00e0n nh\u00e0, gi\u1eef \u1edf t\u01b0 th\u1ebf n\u00e0y trong 5 gi\u00e2y; r\u1ed3i \u0111\u01b0a ch\u00e2n v\u00e0 m\u00f4ng b\u00ean ph\u1ea3i tr\u1edf l\u1ea1i v\u1ecb th\u1ebf c\u0169. Ti\u1ebfp t\u1ee5c t\u1eadp nh\u01b0 v\u1eady v\u1edbi ch\u00e2n b\u00ean tr\u00e1i. T\u1eadp nh\u1eafc l\u1ea1i t\u1eeb 5 \u0111\u1ebfn 10 l\u1ea7n v\u1edbi m\u1ed7i ch\u00e2n.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 8. Qu\u1ef3 b\u1ed1n \u0111i\u1ec3m, l\u00e0m cong v\u00e0 l\u00f5m c\u1ed9t s\u1ed1ng<\/em><\/strong><\/p>\n\n\n\n

                  – <\/strong>M\u1ee5c \u0111\u00edch: K\u00e9o gi\u00e3n c\u01a1 c\u1ed9t s\u1ed1ng v\u00e0 gi\u1ea3m \u0111au CSTL<\/p>\n\n\n\n

                  – <\/strong>T\u01b0 th\u1ebf b\u1eaft \u0111\u1ea7u: Ng\u01b0\u1eddi t\u1eadp b\u00f2 \u1edf t\u01b0 th\u1ebf ti\u1ebfp x\u00fac b\u1ed1n chi v\u1edbi m\u1eb7t ph\u1eb3ng, hai tay du\u1ed7i, \u0111\u1ea7u v\u00e0 th\u00e2n m\u00ecnh th\u1eb3ng, hai m\u1eaft nh\u00ecn v\u1ec1 ph\u00eda s\u00e0n nh\u00e0.<\/p>\n\n\n\n

                  – <\/strong>Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp: T\u1eeb t\u1eeb l\u00e0m cong v\u00f5ng th\u1eaft l\u01b0ng xu\u1ed1ng \u0111\u1ebfn m\u1ee9c c\u00f3 th\u1ec3, gi\u1eef m\u1eb7t nh\u00ecn th\u1eb3ng xu\u1ed1ng s\u00e0n nh\u00e0, gi\u1eef nh\u01b0 v\u1eady trong 05 gi\u00e2y. Sau \u0111\u00f3 th\u1ea3 l\u1ecfng \u0111\u01b0a c\u1ed9t s\u1ed1ng v\u1ec1 tr\u1ea1ng th\u00e1i th\u1eb3ng, gi\u1eef nh\u01b0 v\u1eady trong 05 gi\u00e2y r\u1ed3i tr\u1edf v\u1ec1 v\u1ecb th\u1ebf b\u1eaft \u0111\u1ea7u. T\u1ea5t c\u1ea3 c\u00e1c v\u1eadn \u0111\u1ed9ng \u0111\u1ec1u b\u1eaft \u0111\u1ea7u t\u1eeb v\u00f9ng th\u1eaft l\u01b0ng, t\u1eadp 5 \u0111\u1ebfn 10 l\u1ea7n.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 9. T\u01b0 th\u1ebf nh\u1ea5c b\u1ed5ng th\u00e2n m\u00ecnh<\/em><\/strong><\/p>\n\n\n\n

                  – <\/strong>M\u1ee5c \u0111\u00edch: c\u1ea3i thi\u1ec7n s\u1ee9c m\u1ea1nh CSTL v\u00e0 vai<\/p>\n\n\n\n

                  <\/strong>– B\u1ec7nh nh\u00e2n n\u1eb1m s\u1ea5p n\u00e2ng \u0111\u1ed3ng th\u1eddi c\u1ea3 tay v\u00e0 ch\u00e2n m\u1edf r\u1ed9ng, si\u1ebft 2 b\u1ea3 vai v\u1edbi nhau, ng\u00f3n tay c\u00e1i h\u01b0\u1edbng l\u00ean  tr\u00ean, gi\u1eef 5 gi\u00e2y, hai tay dang ngang gi\u1eef 5 gi\u00e2y, hai tay ra sau, gi\u1eef 5 gi\u00e2y. Sau \u0111\u00f3 tr\u1edf v\u1ec1 v\u1ecb tr\u00ed ban \u0111\u1ea7u. L\u1eb7p l\u1ea1i 5 \u2013 10 l\u1ea7n.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 10. N\u1eb1m s\u1ea5p, \u0111\u1ea9y th\u00e2n m\u00ecnh<\/em><\/strong><\/p>\n\n\n\n

                  – M\u1ee5c \u0111\u00edch: L\u00e0m du\u1ed7i c\u1ed9t s\u1ed1ng<\/p>\n\n\n\n

                  – T\u01b0 th\u1ebf b\u1eaft \u0111\u1ea7u: Ng\u01b0\u1eddi t\u1eadp n\u1eb1m s\u1ea5p tr\u00ean \u0111\u1ec7m, ch\u1ed1ng hai b\u00e0n tay, khu\u1ef7u tay v\u00e0 c\u1eb3ng tay l\u00ean \u0111\u1ec7m \u0111\u1ec3 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 d\u1ed3n \u0111\u1ec1u l\u00ean hai c\u1eb3ng tay.<\/p>\n\n\n\n

                  – Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp: T\u1eeb t\u1eeb du\u1ed7i hai khu\u1ef7u tay, \u0111\u1ea9y n\u00e2ng th\u00e2n m\u00ecnh ph\u00eda tr\u00ean l\u00ean, hai tay du\u1ed7i th\u1eb3ng, hai b\u00e0n tay ch\u1ed1ng tr\u00ean m\u1eb7t \u0111\u1ec7m, v\u00f9ng th\u1eaft l\u01b0ng \u01b0\u1ee1n cong ra tr\u01b0\u1edbc, hai b\u00ean h\u00f4ng s\u00e1t tr\u00ean m\u1eb7t \u0111\u1ec7m nh\u01b0 trong h\u00ecnh b\u00ean. Gi\u1eef \u1edf t\u01b0 th\u1ebf \u0111\u00f3 trong 5 – 10 gi\u00e2y r\u1ed3i tr\u1edf v\u1ec1 v\u1ecb th\u1ebf b\u1eaft \u0111\u1ea7u. L\u1eb7p l\u1ea1i 5 \u2013 10 l\u1ea7n.<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 11. T\u01b0 th\u1ebf m\u00f4 ph\u1ecfng h\u00ecnh con chim v\u00e0 con ch\u00f3<\/em><\/strong><\/p>\n\n\n\n

                  – <\/strong>M\u1ee5c \u0111\u00edch: Gi\u1eef th\u0103ng b\u1eb1ng v\u00e0 t\u1eadp m\u1ea1nh nh\u00f3m c\u01a1 l\u01b0ng<\/p>\n\n\n\n

                  <\/strong>– B\u1eaft \u0111\u1ea7u v\u1edbi t\u01b0 th\u1ebf n\u1eb1m s\u1ea5p, ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n ch\u1ed1ng 2 tay v\u00e0 \u0111\u1ea7u g\u1ed1i l\u00ean s\u00e0n, b\u1ee5ng si\u1ebft ch\u1eb7t, m\u1eb7t h\u01b0\u1edbng xu\u1ed1ng s\u00e0n, c\u1ed5 th\u1eb3ng<\/p>\n\n\n\n

                  – <\/strong>T\u1eeb t\u1eeb \u0111\u01b0a ch\u00e2n tr\u00e1i ra sau trong khi \u0111\u01b0a c\u00e1nh tay ph\u1ea3i ra tr\u01b0\u1edbc, gi\u1eef h\u00f4ng v\u00e0 vai c\u0103ng trong 5 \u2013 10 gi\u00e2y. Sau \u0111\u00f3 tr\u1edf v\u1ec1 v\u1ecb tr\u00ed ban \u0111\u1ea7u<\/p>\n\n\n\n

                  – <\/strong>\u0110\u1ed5i ch\u00e2n v\u00e0 tay, l\u1eb7p l\u1ea1i \u0111\u1ed9ng t\u00e1c 5 \u2013 10 l\u1ea7n m\u1ed7i b\u00ean<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n
        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 12. T\u01b0 th\u1ebf si\u00eau nh\u00e2n<\/em><\/strong><\/p>\n\n\n\n

        – B\u1eaft \u0111\u1ea7u v\u1edbi t\u01b0 th\u1ebf n\u1eb1m s\u1ea5p xu\u1ed1ng s\u00e0n. Sau \u0111\u00f3 t\u1eeb t\u1eeb n\u00e2ng \u0111\u1ea7u, ng\u1ef1c, du\u1ed7i th\u1eb3ng hai ch\u00e2n v\u00e0 hai tay k\u00e9o d\u00e0i th\u00e2n m\u00ecnh ra. Sau \u0111\u00f3 \u0111\u1ed3ng th\u1eddi n\u00e2ng tay ph\u1ea3i, ch\u00e2n tr\u00e1i. Gi\u1eef t\u01b0 th\u1ebf trong 5 \u2013 10 gi\u00e2y, sau \u0111\u00f3 tr\u1edf v\u1ec1 v\u1ecb tr\u00ed b\u1eaft \u0111\u1ea7u ti\u1ebfp t\u1ee5c n\u00e2ng tay v\u00e0 ch\u00e2n \u0111\u1ed1i b\u00ean. L\u1eb7p l\u1ea1i nh\u01b0 v\u1eady v\u1edbi m\u1ed7i b\u00ean tay \u2013 ch\u00e2n 5 – 10 l\u1ea7n<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        \u00a0<\/em><\/strong><\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 13. G\u1eadp h\u00f4ng trong t\u01b0 th\u1ebf th\u1eb3ng l\u01b0ng<\/em><\/strong><\/p>\n\n\n\n

                  – T\u01b0 th\u1ebf b\u1eaft \u0111\u1ea7u: Ng\u01b0\u1eddi t\u1eadp \u0111\u1ee9ng th\u1eb3ng, \u0111\u1eb7t tay ph\u1ea3i tr\u01b0\u1edbc b\u1ee5ng, tay tr\u00e1i tr\u00ean ph\u1ea7n l\u01b0ng d\u01b0\u1edbi \u0111\u1ea3m b\u1ea3o CS trong t\u01b0 th\u1ebf t\u1ef1 nhi\u00ean v\u00e0 \u00f4m l\u1ea5y ph\u1ea7n b\u1ee5ng.<\/p>\n\n\n\n

        – Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp: T\u1eeb t\u1eeb c\u00fai ph\u1ea7n th\u00e2n tr\u00ean xu\u1ed1ng, k\u1ebft h\u1ee3p v\u1edbi \u0111\u00f3 \u0111\u1ea9y m\u00f4ng v\u1ec1 ph\u00eda sau, gi\u1eef c\u1ed9t s\u1ed1ng theo t\u01b0 th\u1ebf th\u1eb3ng gi\u1eef trong 5 \u2013 10 gi\u00e2y, tr\u1edf v\u1ec1 t\u01b0 th\u1ebf ban \u0111\u1ea7u. L\u1eb7p l\u1ea1i 5 – 10 l\u1ea7n<\/p>\n\n\n\n

        \n
        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 14. T\u01b0 th\u1ebf xu\u1ed1ng t\u1ea5n c\u01a1 b\u1ea3n<\/em><\/strong><\/p>\n\n\n\n

                  <\/strong>– T\u01b0 th\u1ebf b\u1eaft \u0111\u1ea7u: B\u1eaft \u0111\u1ea7u v\u1edbi t\u01b0 th\u1ebf \u0111\u1ee9ng th\u1eb3ng v\u1edbi ng\u1ef1c m\u1edf v\u00e0 l\u01b0ng th\u1eb3ng. B\u00e0n ch\u00e2n m\u1edf r\u1ed9ng h\u01a1n m\u1ed9t ch\u00fat so v\u1edbi vai. \u0110\u01b0a hai tay th\u1eb3ng l\u00ean cao ho\u1eb7c \u0111\u1eb7t sau g\u00e1y mi\u1ec5n sao b\u1ea1n th\u1ea5y tho\u1ea3i m\u00e1i.<\/p>\n\n\n\n

                  – <\/strong>Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp: G\u1eadp g\u1ed1i h\u1ea1 ng\u01b0\u1eddi xu\u1ed1ng, \u0111\u1ea9y h\u00f4ng d\u1ed3n tr\u1ecdng t\u00e2m v\u00e0o ph\u1ea7n m\u00f4ng v\u00e0 c\u1ea3m nh\u1eadn s\u1ef1 c\u0103ng gi\u00e3n c\u01a1 b\u1eafp. Ng\u1ed3i x\u1ed5m xu\u1ed1ng th\u1ea5p nh\u1ea5t c\u00f3 th\u1ec3, gi\u1eef trong kho\u1ea3ng 5 \u2013 10 gi\u00e2y, sau \u0111\u00f3 \u0111\u1ea9y ng\u01b0\u1eddi \u0111\u1ee9ng d\u1eady tr\u1edf l\u1ea1i t\u01b0 th\u1ebf chu\u1ea9n b\u1ecb. L\u1eb7p l\u1ea1i \u0111\u1ed9ng t\u00e1c li\u00ean t\u1ee5c, k\u1ebft h\u1ee3p nh\u1ecbp th\u1edf. T\u1ed1i thi\u1ec3u 5 l\u1ea7n.<\/p>\n\n\n\n

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        \"\"<\/figure>\n<\/figure>\n\n\n\n

        B\u00e0i 15. T\u01b0 th\u1ebf ch\u1ed1ng \u0111\u1ea9y c\u01a1 b\u1ea3n<\/em><\/strong><\/p>\n\n\n\n

        – <\/strong>T\u01b0 th\u1ebf b\u1eaft \u0111\u1ea7u: Ng\u01b0\u1eddi t\u1eadp ch\u1ed1ng hai b\u00e0n tay, khu\u1ef7u tay v\u00e0 c\u1eb3ng tay l\u00ean \u0111\u1ec7m \u0111\u1ec3 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 d\u1ed3n \u0111\u1ec1u l\u00ean hai c\u1eb3ng tay, v\u1edbi c\u01a1 ch\u1eadu h\u00f3p ch\u1eb7t, c\u1ed5 gi\u1eef th\u1eb3ng v\u00e0 b\u00e0n tay \u0111\u1eb7t th\u1eb3ng ph\u00eda d\u01b0\u1edbi vai. \u0110\u1ea3m b\u1ea3o r\u1eb1ng vai c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 xoay ra tr\u01b0\u1edbc v\u00e0 sau trong l\u00fac ch\u1ed1ng \u0111\u1ea9y.<\/p>\n\n\n\n

        – <\/strong>Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp: Khi b\u1ea1n h\u00f3p ch\u1eb7t b\u1ee5ng v\u00e0 gi\u1eef l\u01b0ng th\u1eb3ng, b\u1eaft \u0111\u1ea7u h\u1ea1 th\u1ea5p c\u01a1 th\u1ec3 xu\u1ed1ng v\u00e0 g\u1eadp khu\u1ef7u tay l\u1ea1i. H\u1ea1 ng\u01b0\u1eddi xu\u1ed1ng cho t\u1edbi khi ng\u1ef1c c\u00e1ch s\u00e0n kho\u1ea3ng 2-5cm, khu\u1ef7u tay h\u1ea1 xu\u1ed1ng s\u00e0n t\u1ea1o th\u00e0nh 1 g\u00f3c kho\u1ea3ng 45 \u0111\u1ed9. Ngay sau khi h\u1ea1 xu\u1ed1ng, d\u00f9ng l\u1ef1c t\u1eeb khu\u1ef7u tay \u0111\u1ea9y c\u01a1 th\u1ec3 v\u1ec1 v\u1ecb tr\u00ed b\u1eaft \u0111\u1ea7u. Th\u1ef1c hi\u1ec7n \u0111\u1ed9ng t\u00e1c n\u00e0y c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t v\u00e0 l\u1eb7p l\u1ea1i 3 l\u01b0\u1ee3t.<\/p>\n\n\n\n

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        \"\"<\/figure>\n<\/figure>\n\n\n\n

        –  Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a <\/em>b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ed9t s\u1ed1ng CS – A15:<\/em><\/strong><\/p>\n\n\n\n

             + B\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n<\/p>\n\n\n\n

            + B\u1ec7nh nh\u00e2n TV\u0110\u0110 c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng gia \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh, t\u1eadp \u0111\u1ec3 d\u1ef1 ph\u00f2ng t\u00e1i ph\u00e1t<\/p>\n\n\n\n

          \n
        • \u00c1p d\u1ee5ng b\u00e0i b\u00e0i t\u1eadp:<\/li>\n<\/ul>\n\n\n\n

          + Giai \u0111o\u1ea1n \u0111au c\u1ea5p, m\u1ee9c \u0111\u1ed9 \u0111au r\u1ea5t n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i n\u1eb1m m\u1ed9t ch\u1ed7: \u00e1p d\u1ee5ng b\u00e0i t\u1eadp t\u01b0 th\u1ebf n\u1eb1m t\u1eeb b\u00e0i 1 \u0111\u1ebfn b\u00e0i 3.<\/p>\n\n\n\n

          + Giai \u0111o\u1ea1n \u0111au b\u00e1n c\u1ea5p, b\u1ec7nh nh\u00e2n \u0111i l\u1ea1i \u0111\u01b0\u1ee3c, m\u1ee9c \u0111\u1ed9 \u0111au v\u1eeba ph\u1ea3i \u0111\u1ebfn n\u1eb7ng: Test c\u00e1c b\u00e0i t\u1eadp t\u1eeb b\u00e0i 4 \u2013 b\u00e0i 15, \u0111\u00e1nh gi\u00e1 t\u1eadp trong 1 tu\u1ea7n \u0111\u1ec3 ch\u1ecdn c\u00e1c b\u00e0i t\u1eadp ph\u00f9 h\u1ee3p<\/p>\n\n\n\n

          + Giai \u0111o\u1ea1n \u0111au nh\u1eb9 v\u00e0 h\u1ebft \u0111au, \u00e1p d\u1ee5ng c\u00e1c b\u00e0i t\u1eadp t\u0103ng s\u1ee9c m\u1ea1nh c\u01a1 v\u00e0 d\u00e2y ch\u1eb1ng, ph\u00f2ng tr\u00e1nh b\u1ecb t\u00e1i ph\u00e1t tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m: t\u1eadp \u0111\u1ee7 h\u1ebft c\u00e1c b\u00e0i trong quy tr\u00ecnh (t\u1eeb b\u00e0i 4 \u2013 b\u00e0i 15).<\/p>\n\n\n\n

          –  Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b<\/em>\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ed9t s\u1ed1ng (CS – A15)<\/em><\/strong>:<\/em> tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m th\u1ec3 l\u1ed7 gh\u00e9p, th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng \u0111u\u00f4i ng\u1ef1a, B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh k\u1ebft h\u1ee3p k\u00e8m theo nh\u01b0 tim m\u1ea1ch, huy\u1ebft \u00e1p, suy gan, suy th\u1eadn m\u1ee9c \u0111\u1ed9 n\u1eb7ng<\/p>\n\n\n\n

          – K\u1ebft qu\u1ea3 c\u1ea7n \u0111\u1ea1t c\u1ee7a b\u00e0i t\u1eadp:<\/em><\/strong><\/p>\n\n\n\n

          + L\u00e0m gi\u00e3n c\u00e1c c\u01a1, l\u00e0m gi\u1ea3m co c\u1ee9ng c\u01a1 v\u00f9ng c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n

          + L\u00e0m kh\u1ecfe c\u00e1c c\u01a1 du\u1ed7i th\u1eaft l\u01b0ng v\u00e0 c\u01a1 2 b\u00ean th\u00e2n m\u00ecnh.<\/p>\n\n\n\n

          + L\u00e0m gi\u00e3n ph\u1ea7n m\u1ec1m v\u00e0 c\u00e1c kh\u1edbp c\u1ee7a c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n

          + T\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng, ch\u1ed1ng teo c\u01a1 v\u00e0 l\u00e0m kh\u1ecfe c\u01a1, t\u0103ng t\u1ea7m ph\u1ed1i h\u1ee3p v\u1eadn \u0111\u1ed9ng c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, c\u00e2n b\u1eb1ng khi di chuy\u1ec3n.<\/p>\n\n\n\n

          + T\u0103ng dinh d\u01b0\u1ee1ng \u0111\u0129a \u0111\u1ec7m, gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m v\u00e0 gi\u1ea3m tho\u00e1i ho\u00e1 c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng<\/p>\n\n\n\n

          – Th\u1eddi l\u01b0\u1ee3ng:<\/em><\/strong> B\u1ec7nh nh\u00e2n t\u1eadp m\u1ed7i ng\u00e0y 1 l\u1ea7n k\u00e9o d\u00e0i 30 ph\u00fat v\u00e0 t\u1eadp 5 bu\u1ed5i trong th\u1eddi gian n\u1eb1m vi\u1ec7n. Sau khi ra vi\u1ec7n b\u1ec7nh nh\u00e2n s\u1ebd \u0111u\u1ee3c ph\u00e1t t\u1edd h\u01b0\u1edbng d\u1eabn v\u1ec1 nh\u00e0 \u0111\u1ec3 duy tr\u00ec t\u1eadp 1 l\u1ea7n\/ng\u00e0y trong 1th\u00e1ng.<\/p>\n\n\n\n

            \n
          1. 2. C\u00c1C BI\u1ec6N PH\u00c1P L\u00c0M GI\u1ea2M \u00c1P L\u1ef0C \u0110\u0128A \u0110\u1ec6M B\u1eb0NG V\u1eacT L\u00dd TR\u1eca LI\u1ec6U<\/strong><\/li>\n<\/ol>\n\n\n\n

            S\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p c\u01a1 h\u1ecdc: L\u00e0m gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p t\u00e1c \u0111\u1ed9ng v\u00e0o c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y v\u1eeba c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb v\u1eeba c\u00f3 t\u00e1c d\u1ee5ng d\u1ef1 ph\u00f2ng v\u00e0 l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng. C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p c\u01a1 h\u1ecdc kh\u00e1c nhau t\u1eeb \u0111\u01a1n gi\u1ea3n \u0111\u1ebfn ph\u1ee9c t\u1ea1p c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.<\/p>\n\n\n\n

            \n
            \"\"<\/figure>\n<\/figure>\n\n\n\n

            2.1. \u01af\u1ee1n th\u1eaft l\u01b0ng b\u1eb1ng \u0111\u1ec7m g\u1ed1i<\/strong><\/p>\n\n\n\n

            D\u00f9ng m\u1ed9t chi\u1ebfc g\u1ed1i c\u00f3 chi\u1ec1u cao 5 – 10 cm, r\u1ed9ng 20 – 30 cm ho\u1eb7c d\u00f9ng m\u1ed9t v\u1ecf ch\u0103n b\u1eb1ng v\u1ea3i m\u1ec1m, g\u1ea5p th\u00e0nh m\u1ed9t chi\u1ebfc g\u1ed1i cao \u1edf gi\u1eefa 5 – 10 cm, r\u1ed9ng 10 – 20 cm, c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t g\u1ed1i \u00f4m h\u00ecnh tr\u1ee5 d\u00e0i. Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, lu\u1ed3n g\u1ed1i v\u00e0o gi\u1eefa th\u1eaft l\u01b0ng \u0111\u1ec3 th\u1eaft l\u01b0ng \u01b0\u1ee1n ra ph\u00eda tr\u01b0\u1edbc, \u0111i\u1ec1u ch\u1ec9nh g\u1ed1i sao cho c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu, tho\u1ea3i m\u00e1i, kh\u00f4ng g\u00e2y \u0111au th\u1eaft l\u01b0ng t\u0103ng. N\u1eb1m th\u1ea3 l\u1ecfng c\u01a1 nh\u01b0 v\u1eady 20 – 30 ph\u00fat, h\u1ebft th\u1eddi gian t\u1eeb t\u1eeb l\u0103n nghi\u00eang ng\u01b0\u1eddi l\u1ea5y g\u1ed1i ra r\u1ed3i n\u1eb1m ng\u1eeda tr\u1edf l\u1ea1i th\u01b0 gi\u00e3n 20 – 30 ph\u00fat, m\u1ed7i ng\u00e0y m\u1ed9t \u0111\u1ebfn hai l\u1ea7n. L\u01b0u \u00fd kh\u00f4ng \u01b0\u1ee1n c\u1ed9t s\u1ed1ng qu\u00e1 l\u00e2u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng th\u1ea5m d\u1ecbch nhi\u1ec1u g\u00e2y ph\u00f9 n\u1ec1 \u0111\u0129a \u0111\u1ec7m.<\/p>\n\n\n\n

               Ph\u01b0\u01a1ng ph\u00e1p tr\u00ean g\u00e2y \u01b0\u1ee1n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng v\u1ec1 ph\u00eda tr\u01b0\u1edbc, c\u00e1c \u0111\u1ed1t s\u1ed1ng \u0111\u01b0\u1ee3c k\u00e9o gi\u00e3n ra, ch\u1ee7 y\u1ebfu m\u1edf v\u1ec1 ph\u00eda tr\u01b0\u1edbc, l\u00e0m \u00e1p l\u1ef1c trong \u0111\u0129a \u0111\u1ec7m gi\u1ea3m, k\u00e9o nh\u00e2n nh\u1ea7y chuy\u1ec3n d\u1ecbch v\u1ec1 ph\u00eda tr\u01b0\u1edbc, t\u0103ng th\u1ea5m d\u1ecbch v\u00e0o \u0111\u1ec3 nu\u00f4i d\u01b0\u1ee1ng \u0111\u0129a \u0111\u1ec7m v\u00e0 ph\u1ee5c h\u1ed3i l\u1ea1i chi\u1ec1u cao c\u1ee7a \u0111\u0129a \u0111\u1ec7m. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p nh\u1eb9 nh\u00e0ng, ti\u1ec7n l\u1ee3i, c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t cho c\u00e1c b\u1ec7nh nh\u00e2n tho\u00e1i h\u00f3a \u0111\u0129a \u0111\u1ec7m, gi\u00fap cho dinh d\u01b0\u1ee1ng \u0111\u0129a \u0111\u1ec7m \u0111\u01b0\u1ee3c \u0111\u1ea7y \u0111\u1ee7. N\u1ebfu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed7i ng\u00e0y 1 – 2 l\u1ea7n, t\u1eebng \u0111\u1ee3t 20 – 30 ng\u00e0y, s\u1ebd gi\u00fap gi\u1ea3m \u0111au th\u1eaft l\u01b0ng v\u00e0 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n c\u1ee7a tho\u00e1i h\u00f3a \u0111\u0129a \u0111\u1ec7m. N\u1ebfu sau khi ph\u1ea3i ng\u1ed3i l\u00e2u, ho\u1eb7c \u1edf t\u01b0 th\u1ebf kh\u00f4ng th\u00edch h\u1ee3p k\u00e9o d\u00e0i g\u00e2y \u0111au m\u1ecfi th\u1eaft l\u01b0ng, c\u0169ng n\u00ean th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt n\u00e0y \u0111\u1ec3 ph\u1ee5c h\u1ed3i l\u1ea1i dinh d\u01b0\u1ee1ng cho \u0111\u0129a \u0111\u1ec7m, gi\u00fap gi\u1ea3m \u0111au v\u00e0 ng\u0103n ng\u1eeba tho\u00e1i h\u00f3a \u0111\u0129a \u0111\u1ec7m. \u0110\u00e2y c\u0169ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 l\u1ed3i \u0111\u0129a \u0111\u1ec7m ho\u1eb7c tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m nh\u1eb9 v\u00e0 v\u1eeba m\u00e0 ch\u00fang t\u00f4i \u0111\u00e3 khuy\u1ebfn c\u00e1o b\u1ec7nh nh\u00e2n \u00e1p d\u1ee5ng c\u00f3 hi\u1ec7u qu\u1ea3 trong h\u01a1n 10 n\u0103m qua.<\/p>\n\n\n\n

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            \"\"<\/figure>\n<\/figure>\n\n\n\n

            2.2. \u01af\u1ee1n th\u1eaft l\u01b0ng b\u1eb1ng d\u1ee5ng c\u1ee5<\/strong><\/p>\n\n\n\n

            L\u00e0m m\u1ed9t d\u1ee5ng c\u1ee5 h\u00ecnh c\u00e1nh cung c\u00f3 b\u1ea3n r\u1ed9ng 40 cm b\u1eb1ng g\u1ed7 ho\u1eb7c tre \u00e9p nh\u01b0 trong h\u00ecnh, ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda tr\u00ean c\u00e1nh cung th\u1ea3 l\u1ecfng ng\u01b0\u1eddi 20 – 30 ph\u00fat. M\u1ed7i ng\u00e0y v\u00e0i l\u1ea7n, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n sau khi ph\u1ea3i ng\u1ed3i l\u00e2u ho\u1eb7c \u0111au m\u1ecfi th\u1eaft l\u01b0ng sau lao \u0111\u1ed9ng \u0111\u1ec3 gi\u00fap gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m, t\u0103ng dinh d\u01b0\u1ee1ng cho \u0111\u0129a \u0111\u1ec7m. Ch\u00fa \u00fd, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i th\u01b0 gi\u00e3n, l\u00e0m m\u1ec1m c\u01a1 ho\u00e0n to\u00e0n m\u1edbi c\u00f3 t\u00e1c d\u1ee5ng.<\/p>\n\n\n\n

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            \"\"<\/figure>\n<\/figure>\n\n\n\n

            2.3. K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng b\u1eb1ng l\u1ef1c t\u1ef1 tr\u1ecdng<\/strong><\/p>\n\n\n\n

            S\u1eed d\u1ee5ng b\u00e0n d\u1ed1c ho\u1eb7c b\u1eb1ng r\u00f2ng r\u1ecdc v\u00e0 qu\u1ea3 c\u00e2n: S\u1eed d\u1ee5ng m\u1ed9t b\u00e0n d\u1ed1c c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c \u0111\u1ed9 d\u1ed1c, n\u1eb1m ng\u1eeda tr\u00ean b\u00e0n, c\u1ed1 \u0111\u1ecbnh c\u1ed5 ch\u00e2n v\u00e0o v\u1ecb tr\u00ed tr\u00ean b\u00e0n \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf s\u1eb5n. \u0110i\u1ec1u ch\u1ec9nh cho b\u00e0n d\u1ed1c \u0111\u1ea7u xu\u1ed1ng t\u1eeb t\u1eeb, ban \u0111\u1ea7u ch\u1ec9 n\u00ean \u0111\u1ec3 b\u00e0n d\u1ed1c 40 \u0111\u1ed9, c\u00e1c l\u1ea7n sau t\u0103ng d\u1ea7n l\u00ean m\u1ed7i l\u1ea7n 10 \u0111\u1ed9 t\u00f9y theo s\u1ee9c kh\u1ecfe v\u00e0 c\u1ea3m gi\u00e1c ch\u1ecbu \u0111\u1ef1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, t\u1ed1i \u0111a c\u00f3 th\u1ec3 t\u0103ng l\u00ean t\u1edbi 90 \u0111\u1ed9. Th\u1eddi gian n\u1eb1m k\u00e9o gi\u00e3n ban \u0111\u1ea7u ch\u1ec9 n\u00ean 15 ph\u00fat, sau t\u0103ng d\u1ea7n l\u00ean t\u1ed1i \u0111a 30 ph\u00fat. M\u1ed7i ng\u00e0y k\u00e9o gi\u00e3n 1 \u2013 2 l\u1ea7n, m\u1ed7i \u0111\u1ee3t 20 \u2013 30 ng\u00e0y. L\u01b0u \u00fd: kh\u00f4ng \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt n\u00e0y cho ng\u01b0\u1eddi c\u00f3 b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p, suy tim.<\/p>\n\n\n\n

            C\u0169ng c\u00f3 th\u1ec3 k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng b\u1eb1ng b\u00e0n k\u00e9o v\u1edbi r\u00f2ng r\u1ecdc v\u00e0 qu\u1ea3 c\u00e2n. B\u00e0n \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf chia l\u00e0m hai ph\u1ea7n, n\u1eeda ph\u00eda \u0111\u1ea7u c\u1ed1 \u0111\u1ecbnh, n\u1eeda sau tr\u01b0\u1ee3t \u0111\u01b0\u1ee3c tr\u00ean m\u1ed9t m\u00e1ng tr\u01b0\u1ee3t \u0111\u1ec3 lo\u1ea1i tr\u1eeb l\u1ef1c ma s\u00e1t khi k\u00e9o. \u0110ai c\u1ed1 \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh quanh b\u1edd x\u01b0\u01a1ng s\u01b0\u1eddn c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111ai k\u00e9o n\u1ed1i v\u1edbi qu\u1ea3 c\u00e2n b\u1eb1ng d\u00e2y v\u1eaft qua m\u1ed9t r\u00f2ng r\u1ecdc \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh quanh b\u1edd x\u01b0\u01a1ng ch\u1eadu. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p k\u00e9o li\u00ean t\u1ee5c n\u00ean l\u1ef1c k\u00e9o ch\u1ec9 duy tr\u00ec b\u1eb1ng 50% tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed7i l\u1ea7n k\u00e9o 20 \u2013 30 ph\u00fat, m\u1ed7i ng\u00e0y k\u00e9o t\u1ed1i \u0111a 2 l\u1ea7n, m\u1ed9t \u0111\u1ee3t 20 \u2013 30 ng\u00e0y. <\/p>\n\n\n\n

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            \"\"<\/figure>\n<\/figure>\n\n\n\n

            2.4. K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng ki\u1ec3u xung l\u1ef1c b\u1eb1ng m\u00e1y k\u00e9o<\/strong><\/p>\n\n\n\n

            \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng hi\u1ec7n \u0111\u1ea1i v\u1edbi m\u00e1y k\u00e9o gi\u00e3n \u0111\u01b0\u1ee3c l\u1eadp tr\u00ecnh theo ch\u01b0\u01a1ng tr\u00ecnh k\u00e9o m\u00e0 c\u00e1c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh. M\u00e1y k\u00e9o ki\u1ec3u xung l\u1ef1c c\u00f3 l\u1ef1c n\u1ec1n, th\u1eddi gian duy tr\u00ec l\u1ef1c n\u1ec1n, l\u1ef1c k\u00e9o, th\u1eddi gian duy tr\u00ec l\u1ef1c k\u00e9o, \u0111i\u1ec1u ch\u1ec9nh th\u1eddi gian t\u0103ng gi\u1ea3m l\u1ef1c (\u0111\u1ed9 d\u1ed1c) v\u00e0 t\u1ed5ng th\u1eddi gian m\u1ed9t l\u1ea7n k\u00e9o. Ph\u01b0\u01a1ng ph\u00e1p k\u00e9o gi\u00e3n n\u00e0y r\u1ea5t hi\u1ec7u qu\u1ea3 v\u1edbi b\u1ec7nh nh\u00e2n tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 l\u1ed3i \u0111\u0129a \u0111\u1ec7m ho\u1eb7c tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 trung b\u00ecnh. K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n

            \u00c1p l\u1ef1c \u0111\u0129a \u0111\u1ec7m gi\u1ea3m g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng c\u01a1 b\u1ea3n sau:<\/p>\n\n\n\n

            – L\u00e0m t\u0103ng th\u1ea5m d\u1ecbch nu\u00f4i d\u01b0\u1ee1ng \u0111\u0129a \u0111\u1ec7m v\u00e0 ph\u1ee5c h\u1ed3i chi\u1ec1u cao \u0111\u0129a \u0111\u1ec7m.<\/p>\n\n\n\n

            – \u0110\u1eb7t l\u1ea1i di\u1ec7n kh\u1edbp li\u00ean m\u1ea5u, \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i t\u00ecnh tr\u1ea1ng b\u00e1n sai kh\u1edbp li\u00ean m\u1ea5u.<\/p>\n\n\n\n

            – Thu nh\u1ecf kh\u1ed1i tho\u00e1t v\u1ecb n\u1ebfu c\u00f3 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.<\/p>\n\n\n\n

            – L\u00e0m t\u0103ng \u0111\u01b0\u1eddng k\u00ednh d\u1ecdc c\u1ee7a l\u1ed7 gh\u00e9p do \u0111\u00f3 l\u00e0m gi\u1ea3m ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh.<\/p>\n\n\n\n

            – Gi\u00e3n c\u01a1 th\u1ee5 \u0111\u1ed9ng.<\/p>\n\n\n\n

                      Tr\u01b0\u1edbc khi k\u00e9o gi\u00e3n n\u00ean d\u00f9ng c\u00e1c bi\u1ec7n ph\u00e1p l\u00e0m gi\u00e3n c\u01a1 nh\u01b0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nhi\u1ec7t n\u00f3ng, \u0111i\u1ec7n xung v\u00e0o v\u00f9ng th\u1eaft l\u01b0ng ho\u1eb7c d\u00f9ng thu\u1ed1c gi\u00e3n c\u01a1 Myonal ho\u1eb7c Mydocalm \u0111\u1ec3 l\u00e0m t\u0103ng hi\u1ec7u qu\u1ea3 c\u1ee7a k\u00e9o gi\u00e3n. Trong th\u1eddi gian k\u00e9o gi\u00e3n b\u1ec7nh nh\u00e2n c\u1ea7n \u1edf t\u01b0 th\u1ebf ch\u00f9ng c\u01a1 v\u00e0 th\u01b0 gi\u00e3n ho\u00e0n to\u00e0n.<\/p>\n\n\n\n

                      K\u1ebft h\u1ee3p gi\u1eefa k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng v\u1edbi v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u00e3 tr\u1edf th\u00e0nh ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng v\u00e0 \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng c\u1ee7a ch\u00fang t\u00f4i t\u1ea1i khoa Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng b\u1ec7nh vi\u1ec7n 103 trong 10 n\u0103m qua. C\u00e1c nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i c\u0169ng \u0111\u00e3 ch\u1ee9ng minh ph\u00e1c \u0111\u1ed3 n\u00e0y mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n h\u1eb3n ch\u1ec9 s\u1eed d\u1ee5ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng thu\u1ed1c ho\u1eb7c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u01a1n thu\u1ea7n.<\/p>\n\n\n\n

            T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n

              \n
            1. 1. B\u1ed9 m\u00f4n ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng (2014). K\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng\/V\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, Gi\u00e1o tr\u00ecnh sau \u0111\u1ea1i h\u1ecdc, trang 156-163.<\/li>\n\n\n\n
            2. 2. H\u00e0 Ho\u00e0ng Ki\u1ec7m (2018). B\u1ec7nh tho\u00e1i h\u00f3a kh\u1edbp, ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng. Nh\u00e0 xu\u1ea5t b\u1ea3n th\u1ec3 thao v\u00e0 du l\u1ecbch.<\/li>\n\n\n\n
            3. 3. Ph\u1ea1m Thu H\u1eb1ng (2021). \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ed9t s\u1ed1ng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp CS-A15 \u1edf b\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng. Lu\u1eadn v\u0103n chuy\u00ean khoa c\u1ea5p II n\u0103m 2021, H\u1ecdc vi\u1ec7n qu\u00e2n y.<\/li>\n\n\n\n
            4. 4. Nguy\u1ec5n V\u0103n Tu\u1ea5n, Ho\u00e0ng V\u0103n Th\u1eafng, Ph\u1ea1m Thu H\u1eb1ng (2020). \u0110\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng c\u1ee7a b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ed9t s\u1ed1ng (CS-A15) \u1edf b\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng. T\u1ea1p ch\u00ed Y d\u01b0\u1ee3c h\u1ecdc qu\u00e2n s\u1ef1, s\u1ed1 \u0111\u1eb7c bi\u1ec7t, ISSN 1859-0748.<\/li>\n\n\n\n
            5. 5. Nguy\u1ec5n V\u0103n Ch\u01b0\u01a1ng (2016)\u00a0Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed5ng th\u1eaft l\u01b0ng.<\/em>\u00a0Th\u1ea7n
              kinh h\u1ecdc to\u00e0n t\u1eadp. NXB Y h\u1ecdc 2016. Tr.527-535<\/li>\n\n\n\n
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              <\/em>n\u0103ng<\/em>\u00a0NXB Y h\u1ecdc. tr. 10-24.<\/li>\n\n\n\n
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              tr\u1ecb li\u1ec7u: Nguy\u00ean l\u00fd – Thi\u1ebft b\u1ecb – Th\u1ef1c h\u00e0nh. NXB \u0110\u1ea1i h\u1ecdc Qu\u1ed1c gia TPHCM<\/li>\n\n\n\n
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            16. 16. James A Berry, Christopher Elia, Harneel S Saini, and Dan E Miulli (2019). A Review of Lumbar Radiculopathy, Diagnosis, and Treatment. Cureus 2019 Oct; 11(10): e5934.<\/li>\n<\/ol>\n\n\n\n

              <\/p>\n\n\n\n

              Ti\u1ebfn s\u0129 b\u00e1c s\u0129 Nguy\u1ec5n V\u0103n Tu\u1ea5n, Ch\u1ee7 nhi\u1ec7m B\u1ed9 m\u00f4n khoa Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

              R\u1ea5t h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng: 1.1 \u0110i\u1ec1u tr\u1ecb b\u1eb1ng nhi\u1ec7t n\u00f3ng: Paraffin, t\u00fai silicagel, khay nhi\u1ec7t \u0111i\u1ec7n, c\u00e1c lo\u1ea1i t\u00fai tr\u01b0\u1eddm n\u00f3ng, b\u1ee9c x\u1ea1 h\u1ed3ng ngo\u1ea1i, t\u1eafm b\u00f9n kho\u00e1ng, n\u01b0\u1edbc kho\u00e1ng n\u00f3ng, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, t\u0103ng tu\u1ea7n ho\u00e0n v\u00e0 dinh d\u01b0\u1ee1ng cho c\u00e1c m\u00f4 v\u00f9ng c\u1ed9t […]<\/p>\n","protected":false},"author":1,"featured_media":324,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-272","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-hoc"],"_links":{"self":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts\/272","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/comments?post=272"}],"version-history":[{"count":1,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts\/272\/revisions"}],"predecessor-version":[{"id":326,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/posts\/272\/revisions\/326"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/media\/324"}],"wp:attachment":[{"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/media?parent=272"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/categories?post=272"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dongythelong.vn\/index.php\/wp-json\/wp\/v2\/tags?post=272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}