n tp C Nhn iu Dng - 2012

7/17/2012

Dng trng lc ca t hoc c th lm mi c nn li xng

Ko t ch l giai on u ca cc phng php iu tr khc nh bng bt hay m kt hp xng Ko t: ko lin tc lu di va nn va bt ng. Ko nn: ko lin tc trong thi gian ngn nn xng gy trc khi bt ng bng cc hnh thc khc.

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

Gim tnh trng gy xng, gip xng tr v v tr ban u, lm thng trc vi c th

Gim co c, ngn co rt c lm on xng gy sai v tr v gy au Phng nga hay chnh bin dng bi s co c v da xung quanh khp hay phn tn thng.

NGI LN

Thng qua cc khung: Braun, Thomas, Rieunau, Russell

TR EM

Xuyn inh qua li c chy, lin li cu xng i hoc xng gt Trng lng t gii hn 1/10 1/7 trng lng c th

Tm thi Trng lng t gii hn 2,3 3,6 kg

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

Khung Braun Khung Russell

Khung Thomas

CHUN B BNH NHN

Tm l Gii thch cho BN bit cng vic sp lm, qu trnh iu tr BN hp tc.

Dng c xuyn inh

Kim Steinmann hoc Krischner hay bng keo (nu ko qua da) Khoan tay hay khoan my v khun Khn l, ng tim, chn chun ng dung dch st khun, thuc t, km Kelly, gc v gng tay v khun.

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

CHUN B BNH NHN

Dng c ko t Cung mng nga, dy treo t, cc qu cn, khung ko, ging bnh, dng c bo v u inh.

Mc treo inh (khung mng nga)

Khoan

L bt u inh

Thuc t

inh Steinmann hoc Krischner

Dao

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

DY KO T KHUNG MNG NGA KHUNG KO

TNH TRNG KHUNG KO V tr, t th khung kp H thng ko t: trng lng t, dy, thi gian ko

Duy tr t ko:
ng rnh rng rc Dy ko phi vng chc, khng chng, cc nt ct phi chc chn Trc dy ko bnh thng song song vi trc xng gy

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

T KO T th t do, khng chm thnh ging Trng lng t thay i ty theo chi gy, thng t 1/10 1/7 trng lng c th, nu BN au nhiu cng nn gim t. Trng lng t tng ti a trong tun u tin, sau l thi gian duy tr (khong 2 tun), tun l cui cn gim t khi hnh thnh cal xng. Trnh nhc t Khi di chuyn phi c nh t vo thnh ging, trnh t ong a, trnh t t ln ging Khi tng t phi tng t t K cao chn ging hng ko t Bo m cc dng c, chn mn, nm khng nh hng n dng c ko t T cch mt t khong 15-20 cm

TRNH TRNG BNH NHN Tm l BN: an tm hay lo lng T th: khung ko Ni xuyn inh: au, tit dch, du hiu nhim trng Vt thng: mu sc, tnh trng vt thng Ton thn: du hiu nhim trng, kh th, lot da Dinh dng: n t th no trn ging, thc n Vn ng: BN t xoay tr hay cn s h tr V sinh c nhn: da sch s, mi m hi, rng ming, tiu tiu

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

T TH BNH NHN BN khng c nm nghing hay sp m phi nm thng gia ging. Khng trt v pha ko t, khng c nng u ging ln nu khng c y lnh. Khi c php gi u ging khng c qu cao, trnh vo hng. Chn ko t dang nh khong 300. Bn chn thng gc cng chn, dy ko nm gia ngn 1 v 2 ca chi ko.

CHM SC NI CHN INH KO T Cn gi sch v kh chn inh. Trnh mng nga t vo da. m bo mng nga bm st vo chn inh. Thay bng hng ngy v dng bng thm dung dch betadine bng vng quanh chn inh. Dng dng c che cc u nhn ca inh.

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

Chm sc da ni khc: ngn nga lot, phi nng, v sinh da trnh bnh ngoi da

Vn ng h tr:
Chi ang ko: gng c, tp cc c khp trong gii hn cho php Chi lnh: tp ht bin khp

DO XUYN INH Chy mu th thut ng cch Vim xng m bo v trnh khi xuyn inh, chm sc chn inh

DO QU TRNH KO Khp gi tp luyn thng xuyn

Chm sc bnh nhn ko t

n tp C Nhn iu Dng - 2012

7/17/2012

DO NM LU Lot da do chn p nng mng mi 2 gi, xoay tr mi 2 gi, massage To bn ung nhiu nc, thc n nhiu x, tp vn ng bng Si tit niu ung nhiu nc Vim phi m, ht th su, tp th Long xng phi nng, vn ng, n ung nhiu calci Teo c, cng khp tp vn ng trong c, gng c Vim tc tnh mch chng ng mu d phng

Hng dn BN cch chm sc ni xuyn inh Hng dn BN cch n ung Hng dn BN t th ng trong sut thi gian ko t, ngn nga cc bin

chng trong thi gian ko t

Cung cp thng tin sau ko t nh: phu thut, b bt Cung cp nhng thng tin khi BN xut vin: trnh lm nng vi chi gy, trnh tn thng ni gy, khng lm vic nng hay gng sc

Chm sc bnh nhn ko t