CHN THNG CT SNG TY SNG

BS PHNG VN C

CHN THNG CT SNG TY SNG

GII PHU V SINH L BNH CC DNG TN THNG THN KINH CHN AN CHN THNG CT SNG NGC V THT LNG IU TR CHM SC

GII PHU V SINH L BNH

Ty sng c ng knh thay i, phnh ln vng c v tht lng a s cc trng hp tn thng ty sng do ng p hoc chn p,. Chn thng ct sngsc ty: ri lan chc nng m thn kinh ty da trn ph v sinh l hn ph v cu trc.Sc ty phc hi khi cc cung phn x di mc thng tn bt u hat ng tr li.

CC DNG THNG TN THN KINH

1. TN THNG TY HAN TAN

Thiu st thn kinh han tan r rng ngay t u nu mt han tan cc chc nng vn ng, cm gic di mc thng tn v cn phn x hnh hang (bulbocavernousreflex).

CC DNG THNG TN THN KINH

TN THNG TY KHNG HAN TAN

Cn vi chc nng ty hin din di mc thng tn.

HI CHNG TY TRUNGTM (CENTRAL CORD SYNDROME)

Dng thng gp nht. Ph hy cht xm trung tm,bo tn cu trc ty ngai vi,cc b v gai v v i th Lm sng: Lit t chi, cn cm gic quanh hu mn v sm c s phc hi kh nng kim sat bng quang rut.

HI CHNG TY TRC (ANTERIOR CORD SYNDROME)

Mt vn ng ,cm gic Ch cn cm gic p su v cm gic bn th ca thn mnh v chi di Tin lng xu,10% hi phc chc nng vn ng

HI CHNG TY SAU (POSTERIOR CORD SYNDROME)

Him gp.

Mt cm gac su, au su v bn th, nhng chc nng khc ca ty bnh thng.

HI CHNG BROWN-SEQUARD
Tn thng ty 1 bn. Lm sng: thiu ht vn ng cng bn tn thng ty cng vigim cm gic au,nhit i bn.

CHN AN
Khm lm sng
Quan st chuyn ng t nhin Xc nh bn th bng hay th ngc S p ng cc kch thch, phn x Ghi nhn s bin dng ct sng,bnh s. Khm vn ng Khm phn x

CHN AN
X-quang: Chp x-quang ct sng c,lng tht lng CT-SCAN: MRI:ch nh Thiu st thn kinh khng han tan(x-quang ct sng bnh thng) Din tin xu i Khng tng xng gia TTTS v ct sng

CHN THNG CT SNG NGC V THT LNG

C ch Khi chn thng c nhiu lc tc ng, nhng ch c 1 hoc 2 lc chnh quyt nh kiu thng tn Phn lai Gy ln: gy phn trc thn sng, ct gia cn nguyn. Gy nhiu mnh: gy c ct gia v thng tn c th lan rng ra cu trc pha sau,..

CHN THNG CT SNG NGC V THT LNG

iu tr ban u: C nh bnh nhn: np c cng, nm trn mt phng cng, chn ti ct 2 bn c. Gi huyt p n nh Thng kh v th oxy t thng tiu

CHN THNG CT SNG NGC V THT LNG

iu tr phu thut: Tht lp li s cn bng v tnh bn vng ct sng,gim au mc thp nht. t s phc hi thn kinh l tng nht Bt ng hoc hn cng

CHM SC BNH NHN CHN THNG CT SNG

Xoay tr. Theo di tnh trng phi. Theo di tnh trng nc tiu v ng thng (nu c t thng tiu).