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VIM KHP DNG THP.

VIM KHP DNG THP. Jul 17, 2011 9:36 AMPublicPageviews 158 2 Bi ny c th dng chung cho cc trng hp vim au khp, tr trng hp c nguyn nhn thoi ha khp, bnh Gt. Triu chng lm sng: au khp l triu chng chnh, sng hoc khng sng hoc hoc nng hoc lnh l cc triu chng ph (l triu chng c th c c th khng). Th trng khng ni ln iu g, c ngha ngi m hay mp u c th mc bnh ny. Theo ng y l do phong hn thp t ng khp, ut lu ha ha, kh tr huyt . Theo Ty y l bnh t min nhng cha tm c nguyn nhn gy bnh c th. Theo ti, bn cht ca bnh ny l do m dng mt cn bng hay suy yu, kh huyt km. Trn lm sng c 2 dng m v dng chng. T y chia ra cc chi tit khc. Dng chng: khp au, sng, , nng. Chn on cn hi cc hin tng sau: huyt p dng chng hoc qun bnh. Nim mc mt lp ti hoc ti (khng ti), i khi hai lp nhng lp ngoi lun . BN s nng. Bn chn m hay nng. C 3 trng hp: Thun ty do nhit thp: bn chn m, khng st. iu tr: day Tiu Vim mt, tr thp bn chn v mt,phn chiu khp au. Day khai thng quanh khp. Nu BN c cm gic nng ngi c th day B Ging trc. Tuy nhin khng nn lm dng b Ging trong trng hp ny, khi BN thy khng nng ngi na l ngng v dng lu s hi nguyn kh ca BN. C nhim trng: bn chn nng, ngi st. Day b Ging, Tiu Vim, phn chiu khp, day khai thng quanh khp. Cng c th dng b Phn Chiu H Bch Huyt, phn chiu khp, day khai thng quanh khp. m h huyt km, c thp nhit: bn chn m, ngi khng st. Day B m Huyt bn chn v mt, lc thp, phn chiu khp, day khai thng quanh khp.Kt qu chm. m chng: khp au. Chn on cn hi cc hin tng: huyt p m chng hoc qun bnh,nim mc mt hng, nht ti trng, i khi hai lp nhng lp trong lun nht hay trng lp ngoi ch hng ti hay hng ti. BN s lnh. Bn chn mt ti lnh. i khi khp cng sng,m, hng (khc vi nng ; im ny khi gp nhiu th phn bit khng kh. m chng m c m hng khp l do b tc vi mch gy ra ch khng phi l nhit t). i khi c trng hp nim mc mt ton b (y l do hn thp qu nhiu p nhit xng ln trn che lp hin trng thc t ca huyt). C 3 trng hp: Thun ty do hn thp: bn chn lnh, ngi s lnh, nim mc mt c th ti ton b. iu tr: nh th h c du B Trung,co du Tr Thp bn chn. Nng th h B Thng, h tr thp bn chn. H khai thng quanh khp c du hay khng du cng c. Ch : Khng lm mt nu mt khng lnh. Nu mt mt lnh th day c du B Thng, co u Trc Thp. Cn khm li ln iu tr k tip chn on li v thay i phc khi thy nim mc mt thay i. Dng h: bn chn lnh, ngi s lnh, nim mc mt nht u hay hng u. iu tr: h c du B Thng bn chn, day du mt B Thng, h khai thng quanh khp, c du hay khng du cng c. Dng h km m h ln kh huyt km: bn chn mt ti lnh, ngi s lnh ln nng, nim mc mt nht ti trng. Trng hp ny kh, hiu qu chm hn cc trng hp nu trn. Ty bn chn mt hay lnh. Bn chn mt th ch day du b B m Thng, Lc thp bn chn; mt th day B m Thng ri Lc Thp, phn chiu. Day du khai thng quanh khp (khng h). Bn chn lnh th h (khng c du) B m Thng bn chn. mt th nu mt bnh thng, ch day B m Thng, lc thp,phn chiu. Nu mt mt lnh th c th day nh trn m c du. Day du khai thng quanh khp. Nu trn ch l 6 trng hp in hnh ca bnh au vim khp. Trn thc t c th c s pha trn nhng ch l pha trn ca thp vo m thi. Nh Dng h km thp hn, m h km thp nhit, m Dng lng h km thp hn ln thp nhitvv.. Nht l khi c thp, yu t ny s che lp cc hin trng thc t ca huyt khin ta kh chn on hn. V vy lun khm li trc khi iu tr l vic phi lm c th bm st thc t lm sng. Nu theo ng phng hng ny c lc bn s thy hm trc nim mc mt rc m li hm sau trng bt, lc ny mi tht s biu l huyt ca BN rt km. V th, d cha gii ng y, cha bit bt mch bn vn c th chn v tr c mt s bnh kh m t sai lm. C nhng trng hp BN vim khp do nhim trng, ung khng sinh theo toa BS, ht st, gim sng au nhng khng khi hn. l v CHNH KH SUY (m Dng suy hay mt cn

bng,Kh Huyt km). Nu khng iu b m dng kh huyt cho BN th kh lng khi bnh, nu c khi th li ti pht trong mt ngy khng xa. Nh trnh by trong ti liu ca ti. Mt bnh c th i khi ch l ti ch, nhng hu ht u do tng trng suy yu m ra (chnh kh suy). Nu ch cha ti ch m khng iu chnh tng th (phc hi chnh kh) th tuy bnh c gim hay khi nhng s ti pht sm. Tt c nhng iu ny ti trnh by trong phn Nguyn tc chn on v Nguyn tc iu tr. Cc bn cn c k v nghin cu k hai phn ny hiu v p dng c phn Cc bnh thng gp trong GIO N CHN TR BNH BNG DC-KLP KT HP NG TY Y ca ti. LU : day c ngha l day khng c du, day du l day c chm du vo que d hay huyt hay vng tc ng. H c ngha ch h, h du l h m c chm du vo ni h. Cc bn khng nn t thm tht theo thi quen. Hy t b cc thi quen,lc no cng ln ri day ri h.vv . S vit v ti k thut s dng dng c v tc dng, tc hi ca chng khi dng sai. Vi li tm huyt, xin qu DIN CHN VIN lu

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