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8/4/2019 Dau day toa

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AU DY THN KINH TAAU DY THN KINH TA

I. Nguyn nhn (r 90I. Nguyn nhn (r 90--95%)95%)1. Nguyn nhn ton thn1. Nguyn nhn ton thn: giang mai g III, lu, cm, thp: giang mai g III, lu, cm, thptim, thng hn, st rt . t gp.tim, thng hn, st rt . t gp.2. Nhm nguyn nhn ti ch2. Nhm nguyn nhn ti ch2.1. Thot v a m2.1. Thot v a m

2.2.Thoi ha ct sng tht lng cng2.2.Thoi ha ct sng tht lng cng2.3 Trt ct sng (spondylolisthesis)2.3 Trt ct sng (spondylolisthesis)2.4. Vim t sng (spondylitis)2.4. Vim t sng (spondylitis)2.5.Vim ct sng dnh khp (ankylosing spondylitis)2.5.Vim ct sng dnh khp (ankylosing spondylitis)

2.6.Chn thng2.6.Chn thng2.7.Cc khi u2.7.Cc khi u2.8. Nhim trng ct sng2.8. Nhim trng ct sng2.9. Cc nguyn nhn khc2.9. Cc nguyn nhn khc


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II.TRIU CHNGII.TRIU CHNG

1. au t nhin (L 5, S1)

2.au khi khm2.1.im au khi n (Valleix)

2.2.au do cng dy thn kinh

Du Lasgue: Du Bonnet

Du Chavany

S1 L5


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Du Nri

Du Naffriger Jonnes


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3. Cn lm sng3.1. Chp phim chun v phim ng vng tht lng Bnh l a m gi khi hp a m, phim thng th a

m hp v pha bn lnh cn phim nghing th th a m h

v pha sau.3.2. Chp ct lp hay cng hng t ct sng tht lng

3.3. Chp nhum r thn kinh3.4. in c 3.5. Cc xt nghim sinh ho - t bo


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III. Th lm sng1. Th teo c nhanh (th lit )

2. Th hi chng ui nga3. Th au dy ta 2 bnIV. Chn on phn bit1. au cc dy thn kinh ca chi di

1.1. Thn kinh i1.2. Thn kinh i da1.3. Thn kinh bt2. au khp

2.1. Khp cng chu2.2. Khp hng3. Vim c y chu


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V. iu tr

1.Ch ngh ngi2. Vt l tr liu3. iu tr bng thuc

- Gim au

- Gin c- Vitamine nhm B liu cao kt hp vi axitfolic.- iu tr nguyn nhn

4. iu tr ngoi khoa- Tiu nhn (nucleolyse) bng iniprol hochexatrione.- Phu thut h hay dng tia laser.

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