Koj puas paub txog qhov kev puas tsuaj no rau lub caj dab qaum? (Central Cord Syndrome - CCS) Cia peb tham txog qhov no!

Koj puas tau muaj ib zaug xav tias koj yuav tsaug zog tsis taus? Tej zaum nws tshwm sim tom qab koj ntog me ntsis los yog raug mob hnyav rau ntawm caj dab. Hnub no peb yuav tham txog ib qho mob uas ua rau muaj cov tsos mob zoo sib xws, tshwj xeeb tshaj yog thaum nws yog los ntawm kev puas tsuaj rau nruab nrab ntawm cov hlab ntsha hauv peb lub caj dab . Cov kws kho mob hu qhov no ua Central Cord Syndrome , lossis CCS . Tsis txhob txhawj, cia peb piav qhia yooj yim.

Central Cord Syndrome yog dab tsi tiag?

Hais yooj yim xwb, 'CCS' yog kev puas tsuaj rau 'qaum qaum caj dab' hauv koj lub caj dab, cov hlab ntsha tseem ceeb uas khiav hla koj tus txha caj dab, nyob hauv nruab nrab . Xav txog nws, cov qaum caj dab nqa cov lus los ntawm lub hlwb mus rau peb lub cev tag nrho. Yog li thaum qhov nruab nrab no raug puas tsuaj, cov kev ntws ntawm cov lus ntawd raug cuam tshuam.

Hauv qhov no, cov hlab ntsha uas mus rau tes raug cuam tshuam ntau tshaj plaws. Yog li ntawd, qhov tsis muaj zog thiab loog tuaj yeem tshwm sim hauv tes. Qee zaum, qhov cuam tshuam no kuj tuaj yeem cuam tshuam rau ob txhais ceg ntau dua lossis tsawg dua. Tab sis feem ntau ntawm lub sijhawm, tes yog cov uas hnov ​​​​​​nws tshaj plaws.

Qhov no kuj hu ua kev raug mob ntawm tus txha caj qaum tsis tiav . Qhov no txhais tau tias tsis yog txhua tus neeg uas muaj tus mob no yuav tuag tes tuag taw tag nrho. Qhov no txhais tau tias tsis yog txhua ceg yuav tuag tes tuag taw. Tej zaum yuav tseem muaj qee qib kev ua haujlwm.

Leej twg yuav raug cuam tshuam los ntawm qhov xwm txheej no tshaj?

Qhov mob no hu ua 'CCS' feem ntau yog tshwm sim los ntawm kev sib tsoo sai sai rau lub caj dab . Xav txog, yog tias cov pob txha me me '(vertebrae)' hauv koj lub caj dab raug puas tsuaj , nws tuaj yeem muab kev nyuaj siab ntau dhau rau ntawm cov hlab ntsha qaum thiab ua rau 'CCS'.

Qhov kev pheej hmoo no yog qhov siab tshwj xeeb rau cov neeg hnub nyoog tshaj 50 xyoo uas muaj mob pob qij txha hauv caj dab . Qhov no yog vim lawv tej zaum yuav muaj qhov nqaim ntawm cov hlab ntsha hauv caj dab (spinal stenosis). Cov neeg zoo li no yuav raug mob caj dab txawm tias yog poob me me los xij.

Xav txog ib tug txiv neej laus hauv peb lub zos, tej zaum nws mob caj dab me ntsis (mob pob qij txha) ntev lawm. Yog tias muaj ib hnub nws plam thiab ntog thaum taug kev hauv lub vaj, thiab nws caj dab raug ntaus me ntsis, ces qhov mob hu ua "Central Cord Syndrome" no yuav tshwm sim.

Ntxiv rau, tsis tshua muaj, CCS tuaj yeem tshwm sim los ntawm cov qog nqaij hlav hauv nruab nrab ntawm cov hlab ntsha qaum, cov hlab ntsha tsis zoo, lossis cov qhov dej hauv cov hlab ntsha qaum (syringomyelia) .

Mob Acute Central Cord Syndrome yog dab tsi?

CCS mob hnyav yog qhov mob CCS uas pib sai sai . Qhov no feem ntau yog los ntawm kev raug mob hyperextension uas koj lub caj dab khoov rov qab tam sim ntawd.Ib yam li thaum koj nres lub tsheb tam sim ntawd thiab koj lub caj dab raug thawb rov qab, qhov xwm txheej "whiplash" tuaj yeem ua rau puas tsuaj rau nruab nrab ntawm cov hlab ntsha caj dab.

• Kev sib tsoo tsheb
• Ntog (poob los ntawm qhov siab, plam)

Qhov mob 'Acute CCS' no tuaj yeem tshwm sim los ntawm kev sib tsoo xws li. Raws li tau hais ua ntej, tsis tshua muaj, txawm tias tsis muaj kev sib tsoo, nws kuj tuaj yeem tshwm sim los ntawm qog, teeb meem ntawm cov hlab ntsha, lossis qhov hauv nruab nrab ntawm tus txha caj qaum.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, qhov 'CCS' no yog ib hom kev raug mob ntawm cov pob txha caj qaum uas tsis tiav uas feem ntau pom muaj nyob rau hauv cov tebchaws zoo li Tebchaws Meskas. Muaj ntau tus neeg mob tshiab uas raug mob ntawm cov pob txha caj qaum txhua xyoo. Hauv Sri Lanka kuj muaj cov neeg raug mob hauv tsev kho mob vim yog qhov xwm txheej no.

Yuav ua li cas rau koj yog tias koj muaj mob Central Cord Syndrome (CCS)?

Hauv qhov mob 'CCS', cov lus xa ntawm koj lub hlwb thiab cov qhov ntawm koj lub cev hauv qab qhov chaw raug mob raug thaiv . Hais yooj yim xwb, cov lus xa los ntawm koj lub hlwb xws li "co koj txhais caj npab" thiab "tsa koj ceg" tsis mus txog qhov chaw zoo.

Qhov no cuam tshuam tshwj xeeb rau ib feem ntawm lub paj hlwb uas tswj koj txoj kev txav mus los, "cortical spinal tract." Lub paj hlwb uas khiav mus rau hauv peb lub paj hlwb qaum yog ib qho kev teeb tsa zoo heev. Cov hlab ntsha rau caj npab nyob rau sab hauv ntawm lub paj hlwb qaum, thiab cov hlab ntsha rau ob txhais ceg nyob rau sab nraud. Yog li, thaum nruab nrab ntawm lub paj hlwb qaum raug puas tsuaj, cov hlab ntsha rau ob txhais caj npab yuav raug puas tsuaj ntau dua li cov hlab ntsha rau ob txhais ceg.

Yog li ntawd,

• Tsis muaj zog, tsis muaj zog hauv tes
• Kev tsis muaj zog
• Tej zaum koj yuav muaj teeb meem taug kev.

Qhov no ua rau muaj teeb meem dab tsi?

Tej zaum yuav muaj lwm yam teeb meem nrog CCS, xws li:

• Teeb meem ntawm lub zais zis : Tsis muaj peev xwm tswj tau kev tso zis lossis tsis muaj peev xwm tso zis.
• Teeb meem ntawm txoj hnyuv : Tsis muaj peev xwm tswj tau txoj hnyuv.
• Cov ntshav txhaws hauv lawv cov leeg : tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg.
• Teeb meem ua pa : Yog tias sab saud ntawm lub caj dab puas lawm.
• Ntshav siab qis .
• Kev tsis muaj zog thiab kev ntxhov siab : Qhov no yog ib qho tseem ceeb ntawm kev ntxhov siab.
• Cov leeg nqaij ntswj: Cov ceg tawv thiab nyuaj rau khoov lossis ncaj.
• Ntshav siab tam sim ntawd (autonomic dysreflexia) : Qhov no yog ib qho mob txaus ntshai thiab xav tau kev kho mob tam sim ntawd.

Dab tsi ua rau qhov no?

Qhov ua rau CCS feem ntau yog qhov ntev ntawm lub caj dab ntawm ib tus neeg uas muaj qhov mob cervical spinal canal stenosis.Ib qho xwm txheej uas tshwm sim vim li no. Piv txwv li, thaum ib tug neeg laus ntog ntsej muag thiab lawv lub caj dab khoov rov qab, qhov no tuaj yeem tshwm sim rau lub sijhawm zoo li no.

Cov tsos mob yog dab tsi?

Hauv CCS, cov hlab ntsha ntawm lub hlwb thiab cov hlab ntsha qaum raug thaiv, ua rau muaj ntau yam tsos mob. Qhov tseem ceeb tshaj plaws ntawm tus mob no yog tsis muaj cov hlab ntsha mus rau tes thiab caj npab .

Feem ntau cov tsos mob tshwm sim rau ntawm tes thiab caj npab vim yog cov hlab ntsha raug thaiv, tab sis qee zaum kuj tuaj yeem cuam tshuam rau ob txhais ceg thiab. Tej zaum koj yuav muaj tej yam xws li:

• Mob mob : hauv caj npab, qee zaum hauv ob txhais ceg.
• Kev Kub Hnyiab : Muaj ib txhia neeg xav kub hnyiab.
• Tingling : Nws zoo li hluav taws xob poob siab ib pliag, qhov ntawd yog qhov nws xav zoo li.
• Tsis muaj peev xwm txav tes me me (kev txawj txav tes me me) : Piv txwv li, nws yuav nyuaj rau khawm lub tsho, tuav cwj mem, lossis tuav khob.
• Koj txhais tes los yog caj npab tsis muaj zog .
• Tuag tes tuag taw los yog tsis muaj zog .
• Cov leeg nqaij spasticity .
• Nyuaj siab taug kev .

Cov tsos mob no nyob ntawm koj tus mob lossis qhov hnyav ntawm qhov raug mob. Ib txhia neeg yuav tsis hnov ​​​​​​qhov mob hauv qab qhov chaw raug mob thiab muaj kev tso zis tsis tu ncua. Lwm tus yuav tsis tuaj yeem taug kev lossis muaj teeb meem kev taug kev.

Cov kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav kuaj koj lub cev ua ntej. Nws kuj tseem yuav nug txog koj keeb kwm kev kho mob thiab tej xwm txheej uas koj tau muaj.

Tom qab ntawd, cov kws kho mob ua ntau qhov kev kuaj tshwj xeeb los xyuas kom meej tias qhov kev kuaj mob CCS yog dab tsi. Cov no yog:

• CT scan : Qhov no siv tau los saib seb puas muaj kev puas tsuaj rau cov pob txha hauv caj dab thiab seb cov kwj deg ntawm tus txha caj qaum puas nqaim.
• Electromyogram (EMG) : Qhov no ntsuas qhov kev xa cov hlab ntsha thiab cov leeg nqaij ua haujlwm.
• Kev Ntsuas MRI : Qhov no yog txoj hauv kev zoo tshaj plaws los pom tseeb qhov kev puas tsuaj rau cov hlab ntsha caj qaum, xws li cov qog, cov cysts, thiab cov qhov.
• X-ray : Qhov no kuj siv tau los saib qhov chaw ntawm cov pob txha caj dab thiab pob txha tawg.

Ntxiv rau qhov ntawd, cov kws kho mob kuj tseem yuav ua cov kev kuaj uas hais kom koj khoov thiab ncab koj lub caj dab kom pom tias koj tuaj yeem txav nws mus deb npaum li cas.

Cov kev kho mob yog dab tsi?

Kev kho mob rau CCS nyob ntawm seb qhov ua rau muaj qhov xwm txheej thiab qhov xwm txheej ntawm kev puas tsuaj. Muaj ob qho tib si kev kho mob uas tsis yog phais thiab kev kho mob phais.

Kev kho mob tsis phais

Txoj kev kho mob thawj zaug uas yuav sim yog:

• Kev Tiv Thaiv Kom Tsis Txhob Txav Mus Los : Qhov no yuav suav nrog kev muab ib lub dab tshos tawv ncig koj lub caj dab. Koj kuj tseem yuav tau txais cov ntaub qhwv kom pab koj txhais caj npab nyob rau hauv qhov chaw raug .
• Cov Tshuaj : Cov tshuaj xws li cov tshuaj steroids yuav muab tau los txo qhov mob thiab o.
• Kev Kho Mob Ua Haujlwm : Qhov no tseem ceeb heev. Hauv qhov no, cov kws tshwj xeeb yuav pab koj ua koj cov dej num txhua hnub nrog rau qhov mob no. Piv txwv li, yog tias koj muaj teeb meem hnav lub tsho vim yog cov hlab ntsha raug nias, lawv yuav qhia koj cov hau kev yooj yim los ua nws, lossis lawv yuav qhia koj txog cov khoom siv hloov pauv uas koj siv tau. Lawv yuav pab koj rov qab mus rau qhov qub.
• Kev Kho Mob Lub Cev : Qhov no suav nrog kev tawm dag zog kom ua rau koj ob txhais ceg muaj zog thiab yoog tau yooj yim. Koj kuj tseem yuav tau txais cov khoom siv los pab koj taug kev yog tias koj muaj teeb meem.

Nco ntsoov, qhov kev kho mob no pib sai npaum li cas, qhov muaj feem yuav rov zoo dua.

Kuv puas yuav tsum tau phais?

Muaj tej lub sij hawm, tej zaum yuav tsum tau phais. Cov no suav nrog:

• Yog tias koj muaj "qaum qaum uas raug nias" , uas yog, yog tias muaj kev nyem rau ntawm qaum qaum, tso nws tawm.
• Yog tias koj tus txha caj qaum txav tsis zoo lossis tsis muaj peev xwm ris tau qhov hnyav (tsis ruaj khov).
• Yog tias muaj qog, cov hlab ntsha tsis zoo, lossis qhov (cavitation) hauv tus txha caj qaum.

Pawg kws kho mob yuav txiav txim siab seb koj puas xav tau phais lossis tsis xav tau.

Yuav siv sijhawm ntev npaum li cas los kho kom rov zoo? (Kev Rov Zoo)

Cov neeg uas tau txais kev kho mob sai sai tom qab muaj xwm txheej feem ntau yuav rov qab tau qee yam kev ua haujlwm ntawm cov hlab ntsha. Txawm li cas los xij, kev rov zoo yuav qeeb dua rau cov neeg hnub nyoog tshaj 65 xyoo , thiab tej zaum yuav tsis tiav. Nws txawv ntawm ib tus neeg mus rau ib tus neeg.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo no? (Kev tiv thaiv)

Tsis muaj ib txoj kev tseeb uas yuav tiv thaiv tau CCS sai sai, uas tshwm sim sai sai tom qab raug mob taub hau. Txawm li cas los xij, muaj tej yam uas koj ua tau los tiv thaiv koj tus txha nqaj qaum kom tsis txhob raug mob:

Yuav kom txo tau qhov kev pheej hmoo ntawm Acute Central Cord Syndrome (Acute CCS):

• Yuav kom txo tau qhov kev pheej hmoo ntawm kev ntog , nrhiav cov chaw nplua thiab txaus ntshai hauv koj lub tsev thiab tiv thaiv koj tus kheej ntawm cov chaw ntawd.
• Ceev faj txog kev nyab xeeb thaum ua haujlwm ntawm ntaiv thiab nyob rau hauv qhov chaw siab.
• Hnav cov khoom siv tiv thaiv (piv txwv li lub kaus mom hlau) thaum lub sijhawm ua kis las thiab kev ua ub ua no.

Tiv Thaiv Kab Mob Cervical Spinal Stenosis:

Txawm hais tias qhov no tuaj yeem tshwm sim thaum muaj hnub nyoog, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas peb tus txha nqaj qaum kom zoo:

• Ua si nawv tsis tu ncua .
• Ceev faj txog koj zaum thiab pw . Tsis txhob nyob tsis raws li koj lub cev.
• Yuav kom tiv thaiv koj nraub qaum thaum tsa cov hnyav, tsa lawv kom raug.
• Tswj kom koj lub cev noj qab nyob zoo .

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj raug mob hnyav lossis tau raug xwm txheej, nrhiav kev pab kho mob tam sim ntawd . Tshwj xeeb tshaj yog,

• Yog tias nws nyuaj rau txav koj txhais tes lossis ceg,
• Yog koj xav tias koj tsis muaj zog los yog tsis muaj zog,

Mus rau tsev kho mob tam sim ntawd, vim tias kev kho mob sai yog qhov tseem ceeb heev rau cov xwm txheej zoo li no.

Yog tias kuv muaj mob Central Cord Syndrome (CCS) kuv yuav tsum tau tos li cas? (Kev kwv yees ua ntej)

Feem ntau cov neeg uas muaj CCS rov qab tau qee qib ntawm cov hlab ntsha ua haujlwm. Yog tias CCS tau cuam tshuam rau koj ob txhais ceg thiab cov zis, koj yuav pom kev zoo dua hauv cov cheeb tsam ntawd ua ntej. Txawm li cas los xij, nws yuav siv sijhawm ntev me ntsis rau cov hlab ntsha kom rov qab mus rau qhov qub hauv koj txhais tes .

Tsis muaj tshuaj kho tau CCS, thiab cov txiaj ntsig sib txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg rov qab tau lawv cov caj npab, tes, thiab ceg ua haujlwm tau zoo, tab sis lwm tus yuav muaj teeb meem ua tes taw me me mus tas lawv lub neej.

Lub sijhawm rov zoo tsis zoo ib yam rau txhua tus. Nws nyob ntawm koj lub hnub nyoog thiab qhov hnyav ntawm qhov raug mob lossis mob . Feem ntau, cov neeg hnub nyoog tshaj 50 xyoo siv sijhawm ntev dua los rov zoo dua li cov neeg hluas.

Kuv yuav saib xyuas kuv tus kheej li cas? (Kev saib xyuas tus kheej)

Yog koj muaj CCS, nrog koj tus kws kho mob tham kom paub ntau ntxiv txog yam uas yuav tshwm sim thiab yuav ua li cas thiaj daws tau. Raws li tau hais ua ntej lawm , kev kho mob ua haujlwm thiab kev kho lub cev tuaj yeem pab koj kom muaj zog thiab tsim cov tswv yim los daws cov dej num nyuaj txhua hnub.

Qhov tseem ceeb tshaj plaws yog kom koj lub cev muaj zog, ua raws li cov lus qhia ntawm kws kho mob, thiab koom nrog cov kev pab cuam kho kom rov zoo.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Kab mob plawv hauv koj lub caj dab (CCS) yog ib yam mob uas tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha hauv koj lub caj dab (qaum caj dab). Qhov no cuam tshuam rau cov xov ntawm cov hlab ntsha uas mus rau koj ob txhais ceg, tshwj xeeb tshaj yog koj txhais tes. Cov kws kho mob tuaj yeem siv kev kho mob uas tsis tas phais thiab phais kom pab rov qab muaj kev xav thiab ua haujlwm hauv koj txhais tes, tes, thiab ceg. Kev kuaj mob thaum ntxov thiab kev kho mob ua rau koj muaj feem rov zoo. Yog li ntawd, yog tias koj hnov ​​​​​​mob loog lossis tsis muaj zog hauv koj ob txhais ceg tom qab raug mob caj dab, nrhiav kev kho mob tam sim ntawd.

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