[fix] Hnh 4 khong cch gia 2 in cc ti A nh hn tng khong cch [fix] v nh vy s tp trung rt

nhiu ng sc in i thng trc tip m khng qua m.

in cc c t ni da bng phng, khi b mt khng u, in trng c khung hng tp trung

phn li nht to tc dng mi nhn (A hnh 5).Do lm gim tc dng ny nn t in cc ra xa
s sai bit khong cch gim thiu.

Hnh 5 : Khong cch cho in cc

C nhiu phng php t in cc.

(i) t i in:

Cch ny thng c dng nht, c bit l iu tr cc cu trc nm su. Nu cn, cch

t ny c th ci bin, khng nht thit phi i din nhau qua m iu tr, min l c hai
phi song song vi mt da.

(ii) t ng din:

Hai in cc c th t cng mt bn vng iu tr, vi iu kin l c mt khong cch

thch hp gia chng. Khong ny phi ln hn tng khong in cc da, nu khng in
trng s i thng trc tip gia 2 bn cc m khng qua m.

Hnh 6 : Sp xp in cc khi t ng din

Trong cch b tr in cc ny, m nng c si nng nhiu hn, nhng phng thc ny li p
ng c mt s yu cu iu tr. Khi cn iu tr nhng cu trc nng qu rng c th t cc i
din, v d ct sng; khi cm gic da vng cn iu tr mt nn khng th t in cc trn vng tr
liu v khi khng cn thit phi si nng m su th y l phng thc b tr thch hp nht.

(iii) iu tr theo ng an:

Cc in cc c t i din nhau trong na thi gian iu tr. Sau sp xp hai in
cc th no phng cc ng sc in ln ny thng gc vi ln trc.

Hnh 7 : iu tr theo ng an

Phng thc ny c dng iu tr cho cu trc nm su, c bit nu n nm nhng vng c

nhiu mch mu, v d nh h chu, khp hng. Hng s in mi ca mu cao v mt ct vng iu tr
ln hn in cc, lm in trng lan rng trong cc m su, v th n tip nhn nhit t hn m nng.
Khi in trng i qua vng iu tr theo 2 hng cc m su c si nng 2 ln so vi da.

(iv) n Cc:
in cc hot ng t trn vng iu tr. in trng ta rng di in cc ny. V th mt in
trng s gim dn khi n cc m su. Phng thc ny to nhit nng v c p dng iu tr
cho cc m rt nng.

Hnh 8 : Phng thc n cc

PHNG PHP DY CP.

Trong phng php ny iu tr bng dy cp, c th dng tc dng ca in trng, t trng li

hoc ng thi c hai.

s dng hon ton c in trng, hai u cun dy c t cng xa cng tt, trong gii hn
cho php, cc ng sc in i qua ton b vng tr liu(hnh 9). thu c hiu qu ti a t
dng in xoy, dy c cun theo cng mt chiu t u n cui, nu khng th cc t trng i
nhau s xy ra v nng lng b tiu hao.

Hnh 9: Ton b dy cp cun quanh chi di.

iu tr cc chi, dy cp thng c cun quanh chng. Nu vng iu tr rng nh khi iu tr ton

b mt chi hay hai chi, tt c dy cp c dng v c in trng ln t trng u c s dng. Khi
iu tr mt vng nh hn, ton b dy cp khng cn s dng n, v hoc hai u dy hoc trung tm
cun dy c dng, ty thuc vo su cn si nng v tr khng ca m. Nu vng c tr khng
cao, trng tnh in gia hai cun dy c hiu qu cao. V d khi iu tr khp gi hai vng cun c
to ra t hai u dy v t trn hoc di gi. Khi iu tr hai khp v d hai vai, vi vng cun c
thc hin t mt u dy quanh mt khp v mt u dy cung lm tng t cho khp kia.

Dy cp c th dng phi hp vi mt bn cc t in v phng php ny tin li iu tr khp

hng b bin dng gp. Dy cp cun quanh i, mt u gn vo my v u kia bc bng mt cht
cch in. Mt bn cc t in t ngang mc xng cng pha trn khp b bin dng v hng in
trng i qua vng khp hng.

Hnh 14

Phng thc dy cp tin li iu tr vng rng cng nh vng khng u, hay khi cn si nng m
m di da. S bt tin ca phng php ny l khng th dng khong cch khng kh, v th da tr
nn nng hn v gii hn tc dng n cc m trn.

3. K THUT P DNG.

3.1. Th my.
My phi c th trc khi dng. KHi s dng phng php t in, hai bn cc c t i din
nhau vi mt khong h gia. K thut vin t tay gia hai in cc, bt v iu chnh my, ri gia
tng cng cho n khi c cm gic m d chu. Khi s dng dng in cm ng, dy cp c cun
thnh mt vng v th bng mt ng neon. n s sang ln khi c dng in trong dy, hoc c th
cun dy quanh cnh tay k thut vin v th nh trn. Sau khi th, tr cc nt tr v v tr s 0.

3.2 Chun b bnh nhn.

Ging gh hay bn khng c cha vt kim loi v n lm tp trung in trng vo mt im. Qun
o c ci b v vng tr liu phi kh. Nu vng tr liu m t, hi m trn b mt da hp th nhit
nhanh lm da nng ln, do cng dng in c s dng b gii hn. Qun o c th b t do
m hi v do lm ngn cn s lu thng ca khng kh. Nu qun o khng c ci b rt kh quan
st da bnh nhn trc v sau khi iu tr. Khong cch v v tr in cc khng th on chnh xc.
Ngoi ra qun o lm bnh nhn kh nhn bit chnh xc cm gic nhit v vt kim loi c th qun
trong . C kim loi ln kh m c hng s in mi cao, lm cho in trng tp trung c