Bi 3

bong gn
(Nu thng)

Mc tiu
1. Hiu v trnh by c quan nim nguyn nhn, triu chng chn on nu
thng, trng thng khoa ca ngoi khoa y hc c truyn.
2. Bit v vn dng c phng php iu tr nu thng bng y hc c truyn.

1. Quan nim v nguyn nhn

Nu l xoay vn, thng l bnh, v xoay vn c khp lm tn thng kinh
lc cn c, kh c tc tr gy au yu nng, huyt tr gy sng nng . Theo y
hc hin i l hin tng bong gn, gin dy chng hoc co tht c dy chng
gy ra gi tt l bong gn, c th sinh ra cp tnh hoc mn tnh.
Nguyn nhn: do ng tc tri t th, t ngt qu mnh hoc ng tc g
b ko di gy nn. V d: quay lng t ngt hoc mnh, hoc xch nng, quay
c mnh, nm gi u cao, i guc cao gt hoc tro chn do bng Theo y
hc c truyn do xoay vn qu mc, kh c tc tr gy au yu nng, huyt tr
gy sng nng .
2. Triu chng, chn on
Nu thng hay gp tht lng, c chn, c gy, c tay hoc khuu tay.
Ti ch: sau cc nguyn nhn r rng c th xut hin ngay cc triu
chng: c th sau vi ting ng h hoc vi ngy.
Triu chng au ti ni tn thng: au tng dn nh hng ti vn ng,
tu theo c tn thng phn mm hay khng m dn dn sng nng , cng c
khi au n thun (khng rch dy chng hoc bao khp), khng c du hiu
gy xng sai khp. Nu khng iu tr ngay s gy sng n, khng tm (nu
khng tn thng mch mu); nng hn c th gy cng khp, long xng.
Theo y hc c truyn: do tc ng gin tip ca cc ng tc hoc ngoi
lc gy nn kh tr ti ch nn au; sau huyt gy sng nng , thp tr
gy n.

24