Koj puas muaj qhov khaus thiab kub hnyiab rau tom qab koj txhais caj npab, tshwj xeeb tshaj yog ntawm koj txhais caj npab, uas koj nrhiav tsis tau qhov laj thawj? Koj puas muaj qee zaum hnov qhov mob tingling, zoo li lub qhov khaus, lossis lub suab co? Txawm koj khawb npaum li cas los xij, nws yuav tsis ploj mus? Yog li ntawd, tsab xov xwm no yuav tseem ceeb heev rau koj. Hnub no peb yuav tham txog ib qho mob uas ntau tus neeg tsis paub txog, tab sis tuaj yeem ua rau qee tus neeg ntxhov siab heev. Ntawd yog 'Brachioradial Pruritus'.
Hauv lwm lo lus, Brachioradial Pruritus yog dab tsi?
Lub npe no tej zaum yuav zoo li nyuaj me ntsis, tab sis cia peb ua kom yooj yim xwb. `Brachioradial` yog hais txog cov leeg nqaij uas khiav ntawm koj lub luj tshib mus rau hauv qab thiab pab koj khoov koj txhais caj npab (cov leeg nqaij `brachioradialis`). `Pruritus` yog lo lus kho mob rau "khaus."
Yog li ntawd, 'Brachioradial Pruritus' yog ib lo lus rau qhov khaus, kub hnyiab, lossis tingling ntawm sab nraub qaum ntawm koj txhais caj npab (forearm). Qhov tseem ceeb yog tias qhov no tsis yog pob khaus ntawm daim tawv nqaij, thiab nws tsis yog kis tau. Nws yog teeb meem ntawm cov hlab ntsha. Qhov mob no feem ntau cuam tshuam rau ob txhais caj npab, tab sis qee zaum nws tuaj yeem tshwm sim rau ib sab caj npab xwb.
Dab tsi ua rau qhov khaus khaus no?
Cov kws kho mob ntseeg tias qhov no yog vim muaj ob qho laj thawj tseem ceeb ua ke.
1. Kab mob caj dab hauv lub caj dab
2. Kev raug tshav ntuj (Ultraviolet - UV Radiation)
Cia peb saib txhua yam no nyias muaj nyias.
1. Kev sib txuas ntawm cov hlab ntsha hauv caj dab thiab qhov khaus no
Muaj yim khub ntawm cov hlab ntsha, hu ua C1 txog C8, uas tawm ntawm koj lub caj dab (qhov ntawm koj lub caj dab hu ua koj lub pob txha caj qaum). Cov hlab ntsha no nqa qhov kev xav mus rau koj lub caj dab, xub pwg nyom, caj npab, thiab ntiv tes. Yog tias ib qho ntawm cov hlab ntsha no ntawm C5 thiab C8 raug nias lossis puas tsuaj, nws tuaj yeem ua rau muaj ntau yam kev xav tsis zoo (paresthesia) hauv koj txhais tes. Cov no suav nrog tingling, loog, kub hnyiab, thiab mob.
Ib yam li thaum cov yeeb nkab dej txhaws, cov dej hloov nws txoj kev ntws, thaum cov hlab ntsha raug nias, cov cim uas nws xa tawm raug cuam tshuam thiab cov ntaub ntawv tsis raug xa mus rau peb lub hlwb. Yog vim li cas peb thiaj xav tias peb khawb peb txhais tes yam tsis muaj laj thawj.
Muaj ntau yam ua rau cov hlab ntsha hauv caj dab raug ntswj:
- Herniated disk: Ib daim nqaij zoo li jelly nyob nruab nrab ntawm cov vertebrae ntawm tus txha nqaj qaum uas bulge tawm thiab nias rau ntawm ib lub paj hlwb.
- Mob pob qij txha caj dab (Osteoarthritis): Thaum muaj hnub nyoog, cov pob txha yuav lwj thiab cov qhov uas cov hlab ntsha hla dhau los yuav nqaim.
- Kab mob degenerative disk
- Kev nqaim ntawm txoj hlab ntsha (foraminal stenosis)
Ntau zaus, cov neeg uas muaj 'Brachioradial Pruritus' tsis hnov mob dab tsi hauv lawv lub caj dab. Yog li ntawd, lawv tsis paub tias lawv muaj teeb meem hlab ntsha hauv lawv lub caj dab. Txawm li cas los xij, thaum cov neeg uas muaj tus mob no dhau los ntawm kev kuaj xws li 'MRI' scans ntawm lawv lub caj dab, ntau tus tau pom tias muaj teeb meem hauv lawv tus txha nqaj qaum.
2. Lub hnub ci (UV rays) cuam tshuam li cas rau qhov no?
Txawm hais tias qhov ua rau muaj qhov teeb meem no tseem tsis tau meej, cov kws tshawb fawb ntseeg tias cov teeb UV, lossis lub hnub ci, yog ib qho tseem ceeb uas ua rau cov tsos mob no hnyav zuj zus. Muaj ntau yam ua rau qhov no:
- Muaj coob tus neeg hais tias khaus ntau zuj zus thaum raug tshav ntuj .
- Kab mob no feem ntau tshwm sim thaum lub caij ntuj sov.
- Muaj coob tus neeg tau pom tias cov tsos mob tau txo qis thaum lub caij ntuj no thiab thaum lawv tiv thaiv lawv tus kheej ntawm lub hnub (hnav khaub ncaws tes ntev, siv tshuaj pleev thaiv hnub).
Hais yooj yim xwb, cov hlab ntsha hauv caj dab tau dhau los ua me ntsis rhiab heev vim muaj teeb meem hlab ntsha. Thaum lub hnub ci 'UV' ntawm lub hnub ntaus rau ntawm daim tawv nqaij, cov hlab ntsha rhiab heev ntawd yuav raug txhawb ntxiv, ua rau khaus no.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob tseem ceeb thiab pom tseeb tshaj plaws ntawm tus kab mob no yog khaus rau ntawm sab nraub qaum tes (hauv pliaj). Txawm li cas los xij, kuj tseem yuav pom ntau lwm yam tsos mob.
| Nta / Cov Nyhuv | Kev piav qhia |
|---|---|
| Cov tsos mob tseem ceeb | Khaus khaus heev rau sab nraub qaum ntawm caj npab. |
| Lwm qhov chaw uas yuav raug cuam tshuam | Sab caj npab sab saud, xub pwg nyom, thiab caj dab. |
| Lwm yam kev xav | Ntxiv nrog rau khaus, koj tuaj yeem hnov mob, khaus, thiab tingling. |
| Kev hloov pauv ntawm daim tawv nqaij | Tus kab mob no tsis ua rau tawv nqaij khaus, tab sis kev khawb ntau zaus tuaj yeem ua rau tawv nqaij puas, mob, thiab tawv nqaij hloov xim (cov pob dub lossis dawb). |
Tseem Ceeb: Kwv yees li ntawm 75% ntawm cov neeg mob, cov tsos mob no tshwm sim rau ob txhais tes. Txawm li cas los xij, nws muaj peev xwm hais tias lawv yuav tshwm sim rau ib txhais tes xwb.
Leej twg yuav muaj tus mob no ntau tshaj? (Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo)
- Txiv Neej thiab Poj Niam: Cov poj niam muaj feem yuav mob tus kab mob no peb npaug ntau dua li cov txiv neej. Qhov no tej zaum yog vim cov poj niam muaj feem yuav muaj teeb meem nrog lub caj dab thiab cov hlab ntsha vim lawv lub cev zoo li cas.
- Hnub nyoog: Feem ntau nws raug kuaj pom thaum muaj hnub nyoog nruab nrab, ntawm hnub nyoog 50-60, tab sis tuaj yeem tshwm sim thaum twg los tau.
- Xim tawv nqaij: Tus mob no feem ntau tshwm sim rau cov neeg uas muaj tawv nqaij dawb (dawb) .
- Txoj Kev Ua Neej: Cov neeg uas siv sijhawm ntau nyob sab nraum zoov, xws li caij tsheb kauj vab, taug kev, lossis siv sijhawm ntawm ntug hiav txwv, muaj feem ntau dua los ntawm kev mob no.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib koj tus kws kho mob, nws yuav nug koj txog koj cov tsos mob, koj keeb kwm kev kho mob, thiab koj txoj kev ua neej. Tom qab ntawd, lawv yuav kuaj koj txhais tes kom pom tias puas muaj lwm yam mob ntawm daim tawv nqaij (xws li pob khaus) uas ua rau khaus.
Ib qho kev kuaj mob yooj yim thiab zoo uas feem ntau siv los kuaj mob no yog kev kuaj mob siv dej khov.
Tus kws kho mob yuav muab ib lub hnab dej khov rau ntawm qhov chaw khaus ntawm koj txhais caj npab. Yog tias koj tsis khaus kiag li tam sim ntawd, thiab tom qab ntawd khaus rov qab los dua tom qab koj tshem lub hnab dej khov tawm, tej zaum nws yog 'Brachioradial Pruritus'.
Tsis tshua muaj, koj tus kws kho mob yuav pom zoo kom ua MRI scan lossis X-ray los kuaj koj tus txha nqaj qaum thiab cov hlab ntsha hauv koj lub caj dab.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ntau txoj kev kho mob rau 'Brachioradial Pruritus'. Feem ntau, ib lossis ntau txoj kev kho mob no siv tau ua ke los tswj cov tsos mob.
| Txoj kev kho mob | Kev piav qhia thiab piv txwv |
|---|---|
| Tiv thaiv cov teeb meem UV | Qhov no yog qhov tseem ceeb tshaj plaws. Txwv koj lub sijhawm nyob hauv lub hnub, siv cov tshuaj pleev thaiv hnub zoo (SPF 30 lossis siab dua) , thiab hnav khaub ncaws tes ntev tuaj yeem txo cov tsos mob tau zoo heev. |
| Cov Tshuaj Noj | Qee cov tshuaj rau mob hlab ntsha thiab teeb meem kuj zoo heev. Piv txwv li: Cov tshuaj xws li 'Amitriptyline', 'Gabapentin' . Cov no yuav tsum tau sau los ntawm koj tus kws kho mob. |
| Cov Tshuaj Siv Rau Sab Nraud | Cov tshuaj pleev thiab tshuaj pleev uas siv rau thaj chaw khaus yuav pab tau kom zoo ib ntus. Piv txwv li cov tshuaj pleev 'Capsaicin', cov tshuaj pleev 'Corticosteroid', thiab cov tshuaj pleev 'Antihistamine'. |
| Siv cov pob dej khov | Thaum khaus thiab o tuaj heev, kev siv lub pob dej khov tuaj yeem pab tau tam sim ntawd. |
Tsis tshua muaj, yog tias qhov teeb meem nrog lub caj dab qaum loj heev, yuav pom zoo kom phais.
Vim muaj tus mob no, yuav muaj teeb meem dab tsi tshwm sim?
Kab mob no tsis ua rau koj muaj kev phom sij rau koj txoj sia. Txawm li cas los xij, kev khawb daim tawv nqaij tas li vim khaus heev tuaj yeem ua rau muaj ntau yam teeb meem.
- Cov tawv nqaij abrasions thiab qhov txhab.
- Tawv nqaij tuab thiab zoo li tawv nqaij ('Lichenification').
- Cov pob tawv tawv ('Prurigo nodules').
- Kev hloov xim ntawm daim tawv nqaij (cov pob tsaus - 'Hyperpigmentation' lossis cov pob dawb - 'Hypopigmentation').
- Cov mob xws li eczema.
Yog li ntawd, nws tseem ceeb heev rau kev tswj kev khaus.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj muaj qhov khaus khaus ntawm koj txhais tes uas tsis paub tias yog vim li cas thiab cuam tshuam rau koj tej dej num niaj hnub, mus ntsib koj tus kws kho mob. Tsis txhob kho koj tus kheej.
Thiab, yog tias koj cov tsos mob tsis zoo dua tom qab pib kho mob, qhia rau koj tus kws kho mob paub. Nws yuav pom zoo rau lwm txoj kev kho mob uas haum rau koj dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- 'Brachioradial Pruritus' tsis yog pob khaus ntawm daim tawv nqaij, nws yog teeb meem ntawm lub paj hlwb.
- Qhov no feem ntau yog tshwm sim los ntawm teeb meem ntawm cov hlab ntsha hauv caj dab thiab kev raug tshav ntuj.
- Kev tiv thaiv hnub (tshwj xeeb yog tshuaj pleev thaiv hnub thiab khaub ncaws tes ntev) yog txoj hauv kev zoo tshaj plaws los tswj cov tsos mob no.
- Yog tias koj txhais tes khaus tas li, tsis paub meej, nco ntsoov nrhiav kev pab kho mob.
- Cov tsos mob no tuaj yeem tswj tau zoo nrog kev kho mob kom zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus