Mob nraub qaum yog ib qho mob uas ua rau koj ntxhov siab heev, puas yog? Qee zaum qhov mob no mus rau ntawm ob txhais ceg. Yog tias koj kuj raug kev txom nyem los ntawm qhov teeb meem no, koj tus kws kho mob yuav tau qhia koj txog 'Caudal Epidural Steroid Injection'. Tej zaum koj yuav ntshai me ntsis thaum koj hnov lub npe ntawd, "Auj, kuv tsis xav tias nws yog qhov zoo los txhaj tshuaj rau hauv koj nraub qaum." Tab sis tsis txhob txhawj, hnub no peb yuav tham txog qhov no yooj yim, hauv txhua qhov ntsiab lus.
Caudal Epidural Steroid Injection yog dab tsi?
Hais yooj yim xwb, qhov no yog ib qho tshuaj txhaj tshwj xeeb uas muab rau hauv qab kawg ntawm koj tus txha nqaj qaum, nyob rau saum pob txha caj qaum (coccyx). Lo lus "caudal" txhais tau tias "sab caj qaum."
Xav txog seb, cov hlab ntsha tseem ceeb uas tswj ntau yam hauv peb lub cev khiav hla peb tus txha caj qaum. Muaj ib qho chaw me me nyob ib puag ncig cov hlab ntsha no. Hauv kev kho mob, peb hu qhov no ua qhov chaw epidural . Yog tias muaj qee qhov laj thawj uas cov hlab ntsha no o lossis raug nias, qhov mob hnyav tuaj yeem tshwm sim.
Nov yog thaum peb siv cov tshuaj txhaj no. Qhov kev txhaj no ua yog txhaj cov tshuaj tiv thaiv kev o rau hauv qhov chaw epidural, qhov chaw uas cov hlab ntsha o thiab raug nias. Rau qhov no, peb siv ib hom tshuaj hu ua steroid lossis corticosteroid.
Tsis txhob ntshai txhaj tshuaj rau sab nraub qaum. Qhov no yog kev kho mob uas muaj kev nyab xeeb, tsis mob heev rau feem ntau. Qhov tseem ceeb tshaj plaws yog kom tus kws kho mob uas muaj kev paub zoo txog qhov no ua.
Thaum twg xav tau tshuaj tiv thaiv kab mob no?
Feem ntau siv rau qhov mob uas tshwm sim los ntawm cov hlab ntsha hauv nraub qaum, uas yog ib yam mob hu ua sciatica . Qhov mob no kis mus rau sab nraub qaum mus rau ob txhais ceg. Muaj ntau yam mob uas ua rau qhov no.
- Herniated Discs: Cov khoom siv zoo li jelly ntawm cov vertebrae tawm los thiab nias rau ntawm cov hlab ntsha.
- Kab Mob Degenerative Disc / Lumbar Spondylosis: Cov discs ntawm cov vertebrae puas zuj zus raws li hnub nyoog.
- Lumbar Spinal Stenosis: Kev nias ntawm cov hlab ntsha vim yog qhov nqaim ntawm cov hlab ntsha hauv tus txha caj qaum uas cov hlab ntsha mus los.
- Spondylolisthesis: Ib lub pob txha caj qaum txav mus rau pem hauv ntej dua lwm lub.
- Kab Mob Sib Koom Tes Ntawm Sab Nraud: Cov teeb meem uas tshwm sim hauv cov pob qij txha me me uas txuas cov pob txha nqaj qaum.
- Kev Phais Mob Nraub Qaum Tsis Tau Ua tiav: Mob tas li tom qab phais mob nraub qaum.
Muaj ntau txoj kev kho mob rau txhua yam mob no. Koj tus kws kho mob yuav txiav txim siab seb qhov tshuaj tiv thaiv kab mob no puas tsim nyog rau koj tus mob.Koj yuav tsum nrog kuv tham thiab txiav txim siab.
Ua ntej koj yuav txhaj tshuaj tiv thaiv kab mob, koj yuav tsum ua li cas?
Ua ntej koj teem sijhawm ib hnub los txhaj tshuaj tiv thaiv kab mob no, koj tus kws kho mob yuav nrog koj tham kom paub tseeb tias nws muaj kev nyab xeeb rau koj.
- Muab keeb kwm kho mob tiav: Nco ntsoov qhia rau peb txog lwm yam mob uas koj muaj (xws li ntshav qab zib, ntshav siab, glaucoma).
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj: Nco ntsoov qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, suav nrog cov vitamins, cov tshuaj ntxiv, thiab txawm tias cov tshuaj ib txwm muaj. Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob yog tias koj noj cov tshuaj ua kom cov ntshav nyias. Tej zaum koj yuav raug hais kom tsum tsis txhob noj lawv ob peb hnub ua ntej txhaj tshuaj tiv thaiv kab mob.
- Yog tias koj cev xeeb tub lossis xav tias koj cev xeeb tub, qhia rau koj tus kws kho mob: Cov duab X-ray siv thaum lub sijhawm kho mob no tuaj yeem ua rau muaj kev phom sij rau cov poj niam cev xeeb tub. Yog li, qhia rau koj tus kws kho mob txog qhov ntawd thiab.
- Tsis txhob tsav tsheb: Lwm yam tseem ceeb yog kom muaj ib tug neeg tsav koj mus tsev hnub uas koj txhaj tshuaj tiv thaiv kab mob, vim koj yuav tsum tsis txhob tsav tsheb li 24 teev tom qab txhaj tshuaj tiv thaiv kab mob.
Muaj dab tsi tshwm sim thaum lub sijhawm txhaj tshuaj?
Feem ntau cov txheej txheem no siv sijhawm li 15-30 feeb. Cia peb saib ib kauj ruam zuj zus seb yuav ua li cas.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| Kev Npaj | Lawv yuav hloov koj mus hnav ib lub tsho hauv tsev kho mob thiab muab koj lub ntsej muag tso rau ntawm lub rooj thaij duab X-ray. Tej zaum koj yuav muaj ib lub hauv ncoo nyob hauv qab koj lub plab kom xis nyob. |
| Kev ntxuav | Sab nraub qaum qis uas txhaj tshuaj tiv thaiv kab mob raug ntxuav kom huv si nrog cov tshuaj tua kab mob. |
| Tshuaj loog | Ua ntej txhaj tshuaj loj, yuav muab tshuaj me me (tshuaj loog hauv zos) rau ntawm daim tawv nqaij kom loog. Yog li koj yuav tsis hnov mob ntau. |
| Kev lees paub txoj kev | Tus kws kho mob siv lub tshuab X-ray tshwj xeeb (fluoroscopy) los saib seb lub koob txhaj tshuaj nyob qhov twg. Qee zaum yuav muab cov kua tshwj xeeb hu ua contrast dye txhaj rau kom pom tseeb dua. |
| Kev txhaj tshuaj tiv thaiv tseem ceeb | Thaum paub tseeb tias qhov chaw yog lawm, yuav muab tshuaj steroid txhaj rau hauv qhov chaw epidural. Tej zaum koj yuav hnov me ntsis nias rau lub sijhawm no. Qhov tseem ceeb tshaj plaws yog nyob twj ywm thaum lub sijhawm no. |
| Kev Ua Tiav | Thaum txhaj tshuaj tiav lawm, muab rab koob tshem tawm thiab muab ib daim plaster me me rau ntawm qhov chaw ntawd. |
Tom qab txhaj tshuaj tiv thaiv kab mob tas lawm?
Vim qhov no yog kev kho mob sab nraud, koj tuaj yeem mus tsev tib hnub ntawd. Txawm li cas los xij, thaum txhaj tshuaj tiav lawm, koj yuav raug saib xyuas li 15-20 feeb ua ntej xa mus tsev.
Mus tsev thiab so kom txaus 24 teev. Tsis txhob ua tej yam hnyav, tsa hnyav, lossis tsav tsheb. Tej zaum yuav muaj qhov mob lossis mob ntawm qhov chaw txhaj tshuaj rau ob peb hnub. Cov neeg feem coob pib zoo dua hauv ob mus rau peb hnub. Txawm li cas los xij, rau qee tus neeg, qhov no tuaj yeem siv sijhawm txog ib lub lim tiam.
Puas muaj tej yam tshwm sim thiab tej yam txaus ntshai?
Ib yam li kev kho mob twg los xij, muaj tej yam kev mob tshwm sim thiab kev pheej hmoo, tab sis cov teeb meem loj tsis tshua muaj.
| Xwm txheej | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim uas feem ntau xav tias yuav muaj | |
| Kev mob ntxiv ib ntus | Qhov mob yuav mob zuj zus me ntsis rau ib lossis ob hnub kom txog thaum cov tshuaj steroid pib ua haujlwm. |
| Mob/mob nqaij ntawm qhov chaw txhaj tshuaj | Qhov no yuav ploj mus li ob peb hnub. |
| Rau cov neeg mob ntshav qab zib | Cov tshuaj steroids tuaj yeem ua rau cov ntshav qab zib nce siab ib ntus (hyperglycemia) rau ob peb teev lossis ob peb hnub. |
| Cov Teeb Meem Tsis Tshua Muaj | |
| Kev kis kab mob | Cov kab mob nkag mus rau hauv qhov chaw txhaj tshuaj. |
| Los ntshav | Los ntshav los yog ntshav txhaws (hematoma) nyob ib ncig ntawm tus txha nqaj qaum. |
| Kev puas tsuaj rau cov hlab ntsha | Qhov no tshwm sim tsawg heev. |
| Mob taub hau hnyav (Mob taub hau txha caj qaum) | Nws tuaj yeem tshwm sim los ntawm kev xau me me ntawm cov kua dej hauv tus txha caj qaum. Qhov no tshwm sim tsawg dua 1% ntawm cov neeg mob. |
Yog koj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd!
Yog koj muaj cov tsos mob no tom qab koj mus tsev lawm, hu rau koj tus kws kho mob tam sim ntawd, lossis mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU). Qhov no tseem ceeb heev.
- Yog tias koj mob taub hau hnyav uas zuj zus tuaj thaum koj sawv ntsug lossis zaum thiab nws zoo dua thaum koj pw (qhov no yuav yog ib qho tsos mob ntawm mob taub hau ntawm tus txha caj qaum).
- Kub taub hau (qhov no yuav yog ib qho cim qhia txog kev kis kab mob).
- Yog koj xav tias koj ob txhais ceg tsis muaj zog lossis tsis muaj zog (qhov no yuav yog ib qho cim qhia tias cov hlab ntsha puas lawm).
- Tsis muaj peev xwm tswj tau kev tso zis lossis kev quav (qhov no yog qhov xwm txheej ceev heev).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Caudal Epidural Steroid Injection yog ib txoj kev kho mob zoo thiab muaj kev nyab xeeb rau mob nraub qaum thiab mob ceg.
- Qhov no feem ntau tsuas yog pab tswj qhov mob xwb, tsis yog kho tus kab mob kom zoo tag nrho. Tab sis qhov kev txo qhov mob yuav pab koj ua koj tej dej num ib txwm.
- Ua ntej kho mob, nco ntsoov qhia rau koj tus kws kho mob txog tag nrho koj cov kab mob thiab txhua yam tshuaj uas koj noj.
- Ceev faj txog cov tsos mob txaus ntshai uas yuav tshwm sim tom qab kho mob (kub taub hau, mob taub hau hnyav, loog ntawm ob txhais ceg, tsis tuaj yeem tswj tau qhov quav thiab zais zis). Yog tias muaj ib qho ntawm cov no tshwm sim, nrhiav kev pab kho mob tam sim ntawd.
- Yog koj muaj lus nug txog kev kho mob no, tsis txhob yig nug koj tus kws kho mob.
Frequently Asked Questions (FAQ)
Tom qab txhaj tshuaj tiv thaiv kab mob tas lawm?
Vim qhov no yog kev kho mob sab nraud, koj tuaj yeem mus tsev tib hnub ntawd. Txawm li cas los xij, thaum txhaj tshuaj tiav lawm, koj yuav raug saib xyuas li 15-20 feeb ua ntej xa mus tsev.
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