Puas muaj tej lub sij hawm koj xav tias koj txhais taw kub hnyiab, mob, lossis tingling thaum koj mus pw tsaug zog thaum hmo ntuj, lossis thaum nruab hnub? Rau qee tus, qhov mob no tsuas yog qhov mob me me xwb, tab sis rau lwm tus, nws tuaj yeem ua rau koj tsis tuaj yeem ua tau. Qhov no tsis yog tsuas yog qaug zog xwb. Tej zaum yuav muaj cov laj thawj kho mob loj heev tom qab qhov no. Hnub no, cia peb tham txog qhov mob ko taw kub hnyiab no, lossis raws li cov kws kho mob hu ua, 'Hlawv Ko Taw'.
Vim li cas kuv txhais taw thiaj kub hnyiab li no? Cov laj thawj tseem ceeb yog dab tsi?
Feem ntau, qhov ua rau muaj hom mob o ntawm ko taw no yog kev puas tsuaj rau peb cov hlab ntsha. Peb hu qhov no ua neuropathy . Hais yooj yim xwb, thaum peb cov hlab ntsha raug puas tsuaj, lawv tsis ua haujlwm zoo. Yog li txawm tias tsis muaj kev raug mob, lawv pib xa cov cim mob tsis raug mus rau lub hlwb. Nws zoo li ib txoj xov hlau tawg xa cov cim tsis raug. Qhov kev puas tsuaj no feem ntau pib hauv ob txhais ceg, yog vim li cas tej yam xws li o thiab loog hauv ko taw thiaj li hnov ua ntej.
Yog li, muaj ntau yam laj thawj vim li cas cov hlab ntsha no thiaj li raug puas tsuaj.
1. Kab mob ntshav qab zib (Diabetic Neuropathy)
Qhov no yog qhov ua rau mob ko taw feem ntau thiab ua rau mob ko taw. Yog tias ib tug neeg uas muaj ntshav qab zib tsis tswj tau cov ntshav qab zib ntau ntev, cov piam thaj ntxiv no maj mam ua rau cov hlab ntsha hauv peb lub cev puas tsuaj. Kwv yees li 50% ntawm cov neeg uas muaj ntshav qab zib tuaj yeem muaj hom hlab ntsha puas tsuaj no (Peripheral Neuropathy).
2. Haus dej cawv ntau dhau (Alcoholic Neuropathy)
Tus mob no kuj tseem tuaj yeem tshwm sim rau cov neeg uas haus cawv ntau dhau rau lub sijhawm ntev. Cawv yog ib qho tshuaj lom rau lub paj hlwb. Tsis tas li ntawd, ntau tus neeg uas quav cawv tsis tau txais kev noj zaub mov zoo, uas kuj tuaj yeem ua rau cov paj hlwb puas tsuaj.
3. Kab mob ntawm cov hlab ntsha sab nraud (PAD)
Qhov no tshwm sim thaum cov hlab ntsha uas nqa ntshav mus rau ob txhais ceg thiab taw nqaim. Qhov no txo qhov kev ntws ntawm cov ntshav uas muaj oxygen ntau. Qhov no ua rau cov hlab ntsha tsis muaj cov as-ham uas lawv xav tau thiab ua rau puas tsuaj. Thaum qhov mob no hnyav zuj zus, nws tuaj yeem ua rau kub hnyiab ntawm qab taw, tshwj xeeb tshaj yog thaum hmo ntuj thaum koj pw tsaug zog .
4. Taw ntawm tus neeg ncaws pob
Qhov no yog kab mob fungal. Qhov chaw sov thiab noo noo hauv khau thiab thom khwm uas hws yog qhov zoo tshaj plaws rau cov kab mob fungal loj hlob. Yog tias, ntxiv rau qhov o, muaj khaus thiab tawv nqaij ntawm cov ntiv taw , nws yuav yog tus kab mob athlete's foot.
5. Tsis muaj cov tshuaj hormones txaus (Hypothyroidism)
Thaum peb lub qog thyroid tsis ua haujlwm zoo thiab cov tshuaj hormones tsawg zuj zus (Hypothyroidism), yog tias tsis kho kom zoo, nws tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau mob ko taw.
6. Kev Tsis Txaus Noj Haus
Tshwj xeeb tshaj yog qhov tsis muaj vitamin B12Qhov no tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab o ntawm ko taw. Qhov mob no feem ntau tshwm sim thaum tib neeg laus zuj zus thiab ntawm cov neeg uas noj zaub xwb.
Puas muaj lwm yam kab mob thiab tshuaj uas ua rau muaj qhov teeb meem no?
Yog, muaj tseeb tiag. Muaj ntau lwm yam kab mob thiab tshuaj uas ua rau ko taw o.
| Ua li cas thiaj yog qhov ua rau? | Kev piav qhia thiab piv txwv |
|---|---|
| Lwm yam mob nkeeg | Cov mob xws li kab mob raum, qee yam kab mob caj ces, kev ua xua, thiab dermatitis. |
| Qee cov tshuaj |
|
| Cev xeeb tub | Kev hloov pauv ntawm cov tshuaj hormones thaum cev xeeb tub kuj tseem tuaj yeem ua rau kub ib ntus lossis kub hnyiab hauv ko taw. |
Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob yog tias koj noj tshuaj thiab muaj cov tsos mob no. Tsis txhob tsum lossis hloov koj cov tshuaj yam tsis tau koj tus kws kho mob qhia.
Tus kws kho mob nrhiav tau qhov no li cas tiag?
Feem ntau, yog tias koj muaj kab mob xws li ntshav qab zib, tus kws kho mob tuaj yeem kwv yees qhov ua rau koj mob ko taw. Cov neeg zoo li no tsis tas yuav kuaj mob ntau.
Txawm li cas los xij, yog tias nws nyuaj rau nrhiav qhov ua rau, lossis yog tias qhov mob pib sai sai thiab hnyav zuj zus sai, koj tus kws kho mob yuav qhia qee qhov kev kuaj mob, xws li:
- Kev kuaj EMG (Electromyography):Qhov no ntsuas qhov kev ua haujlwm hluav taws xob ntawm koj cov leeg.
- Kev Kawm Txog Kev Coj Mus Los Ntawm Cov Nerve Conduction Study (NCS): Qhov no kuaj qhov ceev uas cov cim qhia mus raws cov hlab ntsha. Nws tuaj yeem pab txiav txim seb cov hlab ntsha puas puas lawm.
- Kev kuaj ntshav thiab zis: Cov kev kuaj no pab xyuas cov yam xws li cov ntshav qab zib, cov vitamin B12, thiab cov thyroid hormone.
- Kev Siv Tshuaj Ntsuam Xyuas Nerve Biopsy: Qhov no yog ib qho txheej txheem tsis tshua muaj uas cuam tshuam nrog kev coj ib daim ntaub me me los ntawm ib lub paj hlwb thiab kuaj xyuas nws hauv qab lub tshuab microscope.
Zoo, tam sim no cia peb saib seb kev kho mob rau qhov no yog dab tsi.
Kev kho mob nyob ntawm seb qhov ua rau koj mob ko taw yog dab tsi.
Qhov tseem ceeb tshaj plaws yog kho tus kab mob uas yog qhov pib. Tsuas yog thaum ntawd xwb thiaj li yuav tiv thaiv tau qhov kev puas tsuaj ntxiv rau cov hlab ntsha.
- Yog koj muaj ntshav qab zib: Qhov tseem ceeb tshaj plaws yog kom koj cov ntshav qab zib nyob rau hauv qhov ntau thiab tsawg uas tsim nyog. Qhov no yuav xav tau kev noj zaub mov, tshuaj, thiab tej zaum yuav xav tau kev txhaj tshuaj insulin.
- Yog tias yog los ntawm cawv: Kev tsum tsis txhob haus cawv kiag li tuaj yeem tiv thaiv kev puas tsuaj rau cov hlab ntsha thiab cia cov hlab ntsha uas puas lawm kho tau qee yam.
- Yog tias nws yog vim tsis txaus vitamin B12: Koj tuaj yeem noj cov tshuaj vitamin B12 lossis cov tshuaj txhaj raws li koj tus kws kho mob cov lus qhia. Koj tuaj yeem ntxiv cov khoom noj uas muaj B12 ntau xws li nqaij liab, mis nyuj, qe, thiab ntses rau hauv koj cov zaub mov noj.
- Yog tias nws yog vim mob ringworm: Qhov mob no tuaj yeem kho tau tag nrho los ntawm kev siv cov tshuaj pleev antifungal.
Tsis tas li ntawd xwb, koj tus kws kho mob yuav sau ntawv kom noj tshuaj kom tswj tau qhov o thiab mob uas tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha. Piv txwv li, cov tshuaj xws li Gabapentin, Pregabalin, thiab Amitriptyline . Cov no tsuas yog yuav tsum tau noj nyob rau hauv kev saib xyuas ntawm kws kho mob xwb.
Tej yam pab tau uas koj ua tau hauv tsev
Ntxiv rau cov kev kho mob uas koj tus kws kho mob muab rau koj, muaj qee yam yooj yim uas koj tuaj yeem ua tau hauv tsev kom tau txais kev pab los ntawm qhov o no.
- Txias koj ob txhais taw: Muab koj ob txhais taw tso rau hauv ib lub tais dej txias (tsis yog dej txias) li 15 feeb. Qhov no yuav pab tau ib ntus xwb. Tsis txhob siv dej khov.
- Hnav cov thom khwm thiab khau xis: Hnav cov thom khwm ua los ntawm paj rwb uas nqus tau cov hws. Xaiv cov khau xis uas ua pa tau thiab tsis nruj.
- Cov tshuaj pleev rau sab nraud: Yog tias koj tus kws kho mob pom zoo, koj tuaj yeem siv qee hom tshuaj pleev uas muaj cov tshuaj tua kab mob (piv txwv li, Lidocaine lossis Capsaicin).
- Pw hauv chav txias:Ua kom chav pw txias me ntsis kuj tuaj yeem pab tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kub hnyiab taw tsis yog ib yam uas yuav tsum tau saib yooj yim. Tej zaum yuav muaj ib qho ua rau kub hnyiab.
- Qhov no feem ntau yog los ntawm kev puas tsuaj rau cov hlab ntsha (Neuropathy), qhov ua rau tseem ceeb yog ntshav qab zib uas tsis tswj tau.
- Yog koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob kom paub qhov ua rau muaj qhov teeb meem no.
- Qhov kev daws teeb meem zoo tshaj plaws yog kho tus kab mob kom zoo.
- Tsis txhob pib lossis tsum tshuaj yam tsis tau kev qhia los ntawm kws kho mob.
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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