Koj puas mob nraub qaum ntau zaus? Tej zaum koj kuj hnov qhov mob tingling ntawm koj ob txhais ceg. Tab sis xav txog, nrog rau qhov mob nraub qaum no, koj cia li muaj teeb meem tso zis lossis quav, lossis koj tsis tuaj yeem tswj lawv? Qhov no tsis yog ib yam dab tsi uas koj tuaj yeem tsis quav ntsej. Qhov no tuaj yeem yog ib qho mob hnyav heev, xwm txheej ceev uas yuav tsum tau phais mob ceev. Qhov no yog qhov peb tab tom tham txog hnub no.
Cauda Equina Syndrome yog dab tsi?
Hais yooj yim xwb, qhov no yog ib qho mob tsis tshua muaj tab sis mob hnyav heev. Hauv qab ntawm peb tus txha nqaj qaum, lossis tus txha nqaj qaum, muaj ib pawg ntawm cov hauv paus hlab ntsha. Cov hlab ntsha no zoo li tus tw nees, yog li nws hu ua "Cauda Equina" hauv lus Latin. Cov hlab ntsha no xa thiab txais cov lus mus rau thiab los ntawm cov kabmob hauv peb ob txhais ceg, taw, thiab cov kabmob hauv lub plab mog.
Cauda Equina Syndrome (CES) tshwm sim thaum cov hlab ntsha no raug nias rau qee qhov laj thawj. Qhov no suav tias yog kev phais mob ceev . Yog tias kev kho mob qeeb, qhov kev puas tsuaj rau cov hlab ntsha yuav tsis rov qab zoo li qub. Qhov no txhais tau tias ob txhais ceg yuav ua rau tuag tes tuag taw mus tas li , thiab muaj peev xwm ua rau tsis tuaj yeem tswj tau lub zais zis thiab txoj hnyuv mus tas li.
Tus mob no yuav tshwm sim sai sai (mob hnyav heev) lossis loj hlob mus ntev (mob ntev). Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob sai li sai tau thaum cov tsos mob tshwm sim.
Dab tsi yog cov ua rau muaj Cauda Equina Syndrome?
Txawm hais tias tus mob no feem ntau tshwm sim rau cov neeg laus, nws kuj tuaj yeem tshwm sim rau cov menyuam yaus uas muaj teeb meem yug los lossis cov neeg uas raug mob hnyav rau lawv tus txha nqaj qaum. Cov laj thawj tseem ceeb yog:
- Ib lub disc herniated nyob rau hauv qab nraub qaum, nias rau ntawm ib txoj hlab ntsha, yog qhov ua rau feem ntau.
- Mob pob txha caj qaum stenosis .
- Ib qho qog nqaij hlav lossis mob qog nqaij hlav hauv tus txha nqaj qaum.
- Kev kis kab mob, o, los ntshav, lossis pob txha tawg hauv tus txha nqaj qaum.
- Kev raug mob ntawm lub pob txha caj qaum los ntawm kev sib tsoo loj heev (piv txwv li, kev sib tsoo tsheb, kev poob ntawm qhov siab, kev raug phom tua).
- Cov teeb meem yug los, piv txwv li, arteriovenous malformation (AVM).
- Ib qho teeb meem tom qab phais mob nraub qaum.
- Ib qho teeb meem ntawm kev siv tshuaj loog rau tus txha caj qaum.
Cov tsos mob ntawm tus chij liab ntawm tus mob no
Cov tsos mob no yuav nyuaj rau pom, vim lawv zoo ib yam li lwm yam kab mob. Tab sis yog tias koj muaj ib lossis ntau yam ntawm "Cov tsos mob liab" hauv qab no, mus rau chav kho mob ceev (ETU) lossis mus ntsib kws kho mob tam sim ntawd.
Tsis txhob xav tias qhov no yog mob nraub qaum xwb. Lub sijhawm yog qhov tseem ceeb ntawm no.
| Cov tsos mob | Kev piav qhia thiab kev piav qhia |
|---|---|
| Kev Siv Tshuaj loog rau Saddle | Qhov no yog qhov tsos mob tseem ceeb thiab txaus ntshai tshaj plaws . Xav txog tias thaum koj caij nees, cov qhov ntawm koj lub cev uas raug nias rau ntawm lub rooj zaum. Qhov ntawd txhais tau tias koj lub pob tw, sab hauv ob txhais ceg, thiab thaj chaw nyob ib puag ncig koj lub qhov chaw mos yuav hnov tsawg dua lossis loog tag nrho. Nws zoo li cov chaw ntawd tau raug tshuaj loog. |
| Teeb meem nrog kev tswj cov zis thiab txoj hnyuv | Tej zaum koj yuav xav tias yuav tsum tau tso zis lossis quav tam sim ntawd thiab tsis tuaj yeem tso zis (incontinence). Los yog koj yuav xav tias koj tsis tuaj yeem tso zis lossis quav txawm tias koj sim tso zis lossis quav (retention). Koj kuj tseem yuav tsis xav tso zis lawm. |
| Mob nraub qaum thiab mob ceg hnyav heev | Sciatica yog ib hom mob uas zoo li raug hluav taws xob poob rau ntawm ceg, hnyav dua li mob nraub qaum ib txwm. Qhov mob no tuaj yeem mob rau ob txhais ceg. |
| Tsis muaj zog los yog loog ntawm ob txhais ceg | Tej zaum koj yuav xav tias koj ob txhais ceg lossis ib sab ntawm lawv yuav loog. Tej zaum koj yuav muaj teeb meem sawv ntawm lub rooj zaum, lossis koj yuav ntog thaum taug kev. Tej zaum koj kuj yuav hnov qhov kub hnyiab hauv koj ob txhais ceg thiab ko taw, lossis qhov mob tingling (paresthesia) uas zoo li cov ntsaum taug kev. |
| Teeb meem kev ua haujlwm ntawm kev sib deev | Kev tsis muaj peev xwm sib deev tam sim ntawd lossis poob kev xav sib deev. |
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus rau tsev kho mob, tus kws kho mob yuav mloog koj cov tsos mob kom zoo zoo. Tom qab ntawd nws yuav kuaj koj lub cev, tshwj xeeb tshaj yog lub zog, reflexes, thiab kev xav ntawm koj ob txhais ceg.
Tab sis kom paub tseeb tias tus kab mob no yog dab tsi, yuav tsum tau kuaj MRI . MRI tuaj yeem tau txais cov duab peb-seem (3D) ntawm tus txha nqaj qaum thiab cov hlab ntsha. Qhov no tuaj yeem qhia qhov chaw tseeb ntawm qhov kev nias ntawm cov hlab ntsha. Yog tias tsis muaj MRI, kuj tseem yuav tsum tau kuaj X-ray lossis CT scan hu ua myelogram .
Yuav kho li cas? Koj puas xav tau maj?
Yog tias kuaj pom tias muaj tus mob no, kev kho mob yog phais tam sim ntawd kom tso cov hlab ntsha uas raug nias tawm. Kev phais no hu ua lumbar laminectomy .
Nco ntsoov, kev phais mob hauv 48 teev tom qab pib muaj cov tsos mob muab lub sijhawm zoo tshaj plaws los tiv thaiv kev puas tsuaj mus tas li thiab rov zoo.
Ntxiv rau kev phais mob, lwm yam kev kho mob yuav raug muab nyob ntawm seb qhov ua rau muaj li cas:
- Cov tshuaj steroid (corticosteroids) ntau dhau los txo qhov o.
- Tshuaj tua kab mob yog tias qhov ua rau yog kev kis kab mob.
- Yog tias qhov ua rau yog mob qog nqaij hlav, kev kho mob hluav taws xob lossis tshuaj kho mob qog nqaij hlav yuav muab tau tom qab phais.
Txawm tias tom qab phais lawm los, nyob ntawm seb cov hlab ntsha puas tsuaj npaum li cas los xij, nws yuav tsis zoo tag nrho. Txawm li cas los xij, nws yuav siv sijhawm ntau xyoo rau tej yam xws li kev tswj lub zais zis thiab txoj hnyuv kom rov qab zoo li qub.
Nyob nrog CES - Koj yuav tsum paub dab tsi?
Yog tias muaj kev puas tsuaj mus tas li tom qab phais, koj yuav tsum kawm kom paub ua neej nyob nrog cov kev hloov pauv. Kev txhawb nqa lub cev thiab kev xav tseem ceeb heev rau koj thaum lub sijhawm no.
Qhia rau koj tsev neeg txog qhov no thiab nrhiav kev pab los ntawm lawv. Koj kuj tuaj yeem tau kev pab los ntawm ntau tus kws tshaj lij, xws li:
- Kws Kho Mob Lub Cev
- Kws Kho Mob Ua Haujlwm
- Kws Kho Mob Kev Sib Deev
- Tus Kws Pab Tswv Yim lossis Tus Kws Kho Mob Hlwb
Yog tias koj muaj teeb meem tswj koj cov zis lossis quav, cov no tuaj yeem pab tau:
- Siv lub catheter tso zis peb mus rau plaub zaug hauv ib hnub.
- Haus dej ntau thiab nyob kom huv si kom tiv thaiv tau kab mob hauv txoj zis.
- Yog tias tsim nyog, siv cov tshuaj glycerin suppositories lossis enemas los pab tso quav.
- Hnav cov ntaub thaiv kev nyab xeeb.
Tham nrog koj tus kws kho mob txog txhua yam no. Nws yuav muab cov lus qhia rau koj uas koj xav tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cauda Equina Syndrome (CES) tsis yog tsuas yog mob nraub qaum xwb, nws yog ib qho xwm txheej ceev hauv kev kho mob .
- Yog tias koj muaj cov tsos mob xws li loog ntawm lub pob tw thiab qhov chaw mos (saddle anesthesia), tsis tuaj yeem tswj tau cov zis/quav, lossis tsis muaj zog ntawm ob txhais ceg, mus rau tsev kho mob tam sim ntawd .
- Kev kho mob tseem ceeb yog phais mob thaum muaj xwm txheej ceev hauv 48 teev. Yog ncua sijhawm ntev npaum li cas, ces yuav muaj feem ntau dua rau kev puas tsuaj mus tas li.
- Txawm tias tom qab phais lawm los, nws tseem yuav siv sijhawm kom rov zoo. Kev qhia txog kev kho mob thiab kev txhawb nqa los ntawm tsev neeg yog qhov tseem ceeb heev.
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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