Yog tias koj mob nraub qaum heev, koj ob txhais ceg tsis muaj zog, thiab koj tsis tuaj yeem tswj tau koj tus kheej, koj yuav xav tias, 'Qhov no tsis yog mob nraub qaum ib txwm muaj xwb,' puas yog? Niaj hnub no peb tab tom tham txog ib qho mob hnyav uas yuav tsum tau kho tam sim ntawd, tab sis tsis muaj leej twg tham txog nws ntau, hu ua Cauda Equina Syndrome (CES). Txawm hais tias qhov no yog ib qho mob tsis tshua muaj, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog nws vim tias yog tias nws tshwm sim, nws tuaj yeem xav tau kev phais mob ceev, yog li nws yog ib qho tseem ceeb heev uas yuav tsum paub txog nws.
Hais yooj yim xwb, Cauda Equina Syndrome (CES) yog dab tsi?
Yuav kom nkag siab qhov no, cia peb xub saib peb tus txha nqaj qaum. Nyob rau hauv qab kawg ntawm peb tus txha nqaj qaum, muaj ib pawg ntawm cov hlab ntsha uas txuas mus rau hauv qab ntawm tus txha nqaj qaum. Nws zoo li tus tw nees, yog li nws hu ua 'Cauda Equina', uas yog lus Latin rau "tus tw nees." Cov hlab ntsha no xa thiab txais cov kev xav mus rau thiab los ntawm peb ob txhais ceg, taw, thiab cov kabmob hauv plab.
Cauda Equina Syndrome (CES) yog ib qho mob uas cov hlab ntsha, uas zoo li "tus tw nees," raug nias hnyav heev rau qee qhov laj thawj. Qhov kev nias no ua rau cov hlab ntsha puas tsuaj.
Qhov no suav tias yog qhov xwm txheej ceev ntawm kev phais mob vim tias, yog tias kev kho mob qeeb, cov hlab ntsha puas tsuaj tuaj yeem mus tas li, ua rau muaj kev tsis taus loj heev, mus ib txhis xws li tuag tes tuag taw thiab tsis tuav tau zis.
Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov ua rau muaj CES?
Tus mob no feem ntau tshwm sim rau cov neeg laus, tab sis nws kuj tuaj yeem tshwm sim rau cov menyuam yaus uas muaj qhov tsis zoo ntawm tus txha caj qaum lossis cov menyuam yaus uas tau raug mob hnyav rau lawv tus txha caj qaum. Cov laj thawj tseem ceeb yog:
- Lub disc tawg hnyav heev hauv qab nraub qaum: Qhov no yog qhov ua rau feem ntau tshwm sim.
- Mob pob txha caj qaum stenosis .
- Ib qho qog nqaij hlav lossis mob qog nqaij hlav uas tshwm sim hauv tus txha nqaj qaum.
- Muaj kev kis kab mob, o, los ntshav, lossis pob txha tawg hauv tus txha nqaj qaum.
- Ua ib qho teeb meem ntawm kev raug mob ntawm tus txha caj qaum los ntawm qhov xwm txheej loj, xws li kev sib tsoo tsheb, kev poob, lossis kev raug phom tua.
- Muaj tej yam mob uas muaj thaum yug los, xws li kev sib txuas tsis zoo ntawm cov hlab ntsha ( Arteriovenous Malformation ).
- Ib qho teeb meem tom qab phais mob nraub qaum.
- Ua ib qho teeb meem ntawm kev siv tshuaj loog rau tus txha caj qaum (qhov no tsis tshua muaj).
Ceev faj! Cov no yog cov cim ceeb toom ntawm CES
CES tej zaum yuav nyuaj rau kuaj mob. Cov tsos mob sib txawv ntawm ib tus neeg mus rau ib tus neeg thiab tuaj yeem tshwm sim ntau txoj hauv kev. Cov tsos mob tuaj yeem zoo ib yam li lwm yam mob, yog li lawv tuaj yeem nkag siab yooj yim. Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, mus ntsib kws kho mob tam sim ntawd. Yog tias ua tau, mus ncaj qha rau chav kho mob ceev (ETU) ntawm tsev kho mob.
| Cauda Equina Syndrome (CES) - Ceeb Toom "Cov tsos mob ntawm tus chij liab" | |
|---|---|
| Cov tsos mob | Piav qhia yooj yim xwb |
| Kev Siv Tshuaj loog rau Saddle | Qhov no yog qhov tshwj xeeb tshaj plaws. Zoo li thaum koj zaum saum nees, cov cheeb tsam uas lub rooj zaum nias rau nws (lub pob tw, nyob ib ncig ntawm lub noob qes, sab hauv ntawm ob txhais ceg) yuav loog thiab koj tsis hnov dab tsi li. |
| Mob nraub qaum thiab mob ceg heev | Mob hnyav dua li mob nraub qaum ib txwm, qee zaum kis mus rau ob txhais ceg (sciatica). |
| Teeb meem nrog kev tswj cov zis thiab txoj hnyuv | Muaj teeb meem tso zis/quav sai sai (khaws zis tsis tau) lossis tso zis tawm yam tsis xav tau (tsis tuav tau). Tsis xav tias yuav tsum tso zis kuj yog ib qho tsos mob zoo sib xws . |
| Tsis muaj zog hauv ob txhais ceg | Muaj zog tsis muaj zog tam sim ntawd hauv ib ceg lossis ob txhais ceg, tsis ruaj khov, lossis muaj teeb meem sawv ntawm lub rooj zaum. |
| Teeb meem kev ua haujlwm ntawm kev sib deev | Kev ua tsis taus kev sib deev tam sim ntawd lossis poob qhov kev xav. |
Qhov txawv ntawm CES tiav thiab CES tsis tiav
Cov kws kho mob faib qhov mob no ua ob hom, nyob ntawm seb nws cuam tshuam rau koj txoj kev tswj cov zis thiab txoj hnyuv npaum li cas.
- CES Tsis Tag: Hauv qhov no, koj xav tias yuav tsum tau tso zis, tab sis nws nyuaj me ntsis. Tej zaum koj yuav tsis tuaj yeem tso zis tag nrho. Tab sis koj tseem muaj qee qhov kev tswj hwm. Yog tias koj phais thaum ntxov ntawm lub sijhawm no, koj muaj lub sijhawm zoo dua los rov zoo tag nrho.
- CES Tag Nrho: Hauv qhov no, yuav tsis muaj peev xwm tso zis thiab quav tau tag nrho. Tsis muaj kev xav tias yuav tsum tso zis (nqa zis). Txawm tias phais tom qab mus txog theem no, nws yuav nyuaj rau kho qhov puas tsuaj rau cov hlab ntsha.
Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau thaum cov tsos mob pib tshwm sim, thoob plaws hauv lub neej.
Yuav kuaj mob li cas?
Thaum koj ntsib kws kho mob, nws yuav ua tej yam no.
1. Keeb kwm mob: Nug txog koj cov tsos mob, lawv pib li cas, thiab lwm yam teeb meem kev noj qab haus huv.
2. Kev kuaj lub cev: Koj ob txhais ceg yuav raug kuaj seb puas muaj zog, hnov li cas, thiab puas muaj zog reflexes.
3. Kev kuaj MRI: Qhov no yog txoj hauv kev zoo tshaj plaws los kuaj mob CES. Nws siv lub zog sib nqus los tsim cov duab peb-seem (3D) ntawm koj tus txha nqaj qaum thiab cov hlab ntsha. Qhov no tuaj yeem qhia meej qhov twg cov hlab ntsha raug nias.
4. Lwm yam kev kuaj: Yog tias tsis muaj MRI, Myelogram (kev kuaj X-ray lossis CT scan uas txhaj cov kua tshwj xeeb rau hauv tus txha caj qaum) lossis kev kuaj uas ntsuas kev ua haujlwm ntawm cov hlab ntsha xws li EMG/NCS kuj tuaj yeem ua tau.
Cov kev kho mob yog dab tsi?
Tib txoj kev kho mob CES uas ua tau zoo yog phais mob thaum muaj xwm txheej ceev kom tso cov hlab ntsha uas raug nias tawm. Kev phais mob no hu ua Lumbar Laminectomy .
Zoo tshaj plaws yog phais mob hauv 48 teev tom qab pib muaj cov tsos mob . Ua li ntawd yuav txo tau qhov kev pheej hmoo ntawm kev tsis taus mus tas li.
Ntxiv rau kev phais mob, lwm yam kev kho mob yuav tsim nyog, nyob ntawm seb qhov ua rau muaj li cas:
- Corticosteroids: Cov tshuaj steroid ntau ntau yog muab rau kom txo qhov o ntawm cov hlab ntsha.
- Tshuaj tua kab mob: Yog tias qhov ua rau yog kev kis kab mob, cov tshuaj tua kab mob raug muab.
- Kev siv tshuaj tua kab mob los yog tshuaj kho mob qog nqaij hlav: Yog tias qhov ua rau yog mob qog nqaij hlav, cov kev kho mob no yuav tsim nyog tom qab phais.
Nyob nrog CES thiab kev kho dua tshiab
Txawm tias tom qab phais lawm los, tej zaum yuav muaj qee qhov tsis xis nyob nyob ntawm seb cov hlab ntsha puas tsuaj. Qhov ntawd yog qhov xwm txheej ntawm CES. Yog tias qhov ntawd tshwm sim, qhov tseem ceeb tshaj plaws yog kawm ua neej nyob nrog cov kev hloov pauv. Muaj ntau tus kws tshaj lij thiab cov txheej txheem uas tuaj yeem pab koj.
- Kws Kho Mob Lub Cev: Pab rov tsim kho lub zog ntawm ob txhais ceg thiab kawm taug kev.
- Kws Kho Mob Ua Haujlwm: Qhia koj cov txheej txheem thiab cov khoom siv uas xav tau los ua cov haujlwm txhua hnub ntawm koj tus kheej.
- Tus Kws Pab Tswv Yim Txog Kev Tsis Pub Tso zis: Qhia txog cov kev daws teeb meem rau cov teeb meem tswj kev tso zis thiab kev quav (piv txwv li, siv catheter, cov ntaub qhwv tshwj xeeb).
- Tus Kws Pab Tswv Yim: Pab tswj kev ntxhov siab thiab kev tu siab uas tshwm sim thaum ntsib xwm txheej ceev lossis xwm txheej loj zoo li no.
Kev txhawb nqa ntawm koj tsev neeg kuj tseem ceeb heev rau txoj kev taug kev no. Tsis tas li ntawd, kev koom nrog ib pawg neeg txhawb nqa nrog lwm tus uas tab tom dhau los ntawm qhov xwm txheej no tuaj yeem yog qhov chaw zoo ntawm lub zog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cauda Equina Syndrome (CES) tsis yog ib qho teeb meem nraub qaum xwb, nws yog ib qho xwm txheej ceev hauv kev kho mob.
- Nco ntsoov saib xyuas cov tsos mob "cim liab" xws li kev siv tshuaj loog rau lub rooj zaum (tsis muaj zog hauv thaj chaw zaum), tsis tuaj yeem tswj tau cov zis/quav, thiab tsis muaj zog tam sim ntawd hauv ob txhais ceg.
- Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, tsis txhob nkim sijhawm thiab mus rau chav kho mob ceev (ETU) lossis mus ntsib koj tus kws kho mob tam sim ntawd .
- Kev ncua kev kho mob tuaj yeem ua rau muaj kev tsis taus mus tas li thiab mus ib txhis. Kev kho mob thaum ntxov tuaj yeem txo qhov kev pheej hmoo ntawd tau zoo 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