Cia peb kawm txog kev nias ntawm cov hlab ntsha caj qaum (Cervical Myelopathy)

Puas muaj tej lub sij hawm koj sawv thaum sawv ntxov nrog koj lub caj dab txhav thiab mob uas ua rau koj tig koj lub taub hau tsis tau? Los yog koj puas xav tias koj txhais tes tingling lossis tsis muaj zog? Tej zaum tej yam no yuav kav ntev li ib lossis ob hnub thiab tom qab ntawd ploj mus. Tab sis yog tias cov tsos mob no tseem muaj, nws yuav yog ib qho cim ntawm tus mob hu ua Cervical Myelopathy. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.

Kab mob Cervical Myelopathy yog dab tsi?

Hais yooj yim xwb, Cervical Myelopathy yog thaum cov hlab ntsha hauv koj lub caj dab raug nias. Ib yam li cov yeeb nkab dej raug nias thiab cov dej tsis ntws, thaum peb cov hlab ntsha hauv peb lub caj dab raug nias, cov lus ntawm cov hlab ntsha uas hla dhau nws raug cuam tshuam. Qhov kev nias no tuaj yeem tshwm sim rau ntau yam. Nws tuaj yeem yog vim raug mob rau lub caj dab, qog nqaij hlav, lossis lub disc herniated.

Muaj ib hom mob no uas feem ntau tshwm sim, hu ua Cervical Spondylotic Myelopathy . Qhov no feem ntau tshwm sim thaum peb laus zuj zus. Ib yam li lwm yam ntawm peb lub cev, cov pob txha, cov discs, thiab cov ligaments hauv caj dab maj mam qaug zog thiab poob lawv qhov kev ywj pheej. Cov kev hloov pauv no yog qhov ua rau muaj tus mob no. Nws zoo li phab ntsa ntawm lub tsev qub uas qaug zog me ntsis.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, qhov no yog qhov hu ua Cervical Spondylotic Myelopathy. Yog tias koj saib cov ntaub ntawv ntawm qee lub tebchaws hauv ntiaj teb, muaj ntau txhiab tus neeg raug mob hauv tsev kho mob nrog cov tsos mob no txhua xyoo. Tus mob no tsis muaj nyob hauv Sri Lanka thiab. Qhov no yog qhov tshwm sim tshwj xeeb ntawm cov neeg uas muaj hnub nyoog tshaj 40-50 xyoo.

Cov tsos mob ntawm qhov no yog dab tsi?

Zoo, tam sim no cia peb saib seb koj yuav muaj cov tsos mob dab tsi nrog rau tus kab mob cervical myelopathy. Cov no yuav txawv me ntsis ntawm ib tus neeg mus rau ib tus neeg, tab sis muaj qee cov tsos mob uas pom ntau:

• Mob caj dab los yog mob nqaij tawv: Qhov no yog thawj qhov uas feem ntau cov neeg hnov. Nws tsis yog zoo li lawv nyuam qhuav mob caj dab xwb, tab sis yog mob tas li, qee zaum mob zuj zus.
• Tes thiab ntiv tes loog los yog tingling: Tej zaum yuav zoo li tingling, los yog zoo li cov ntsaum tab tom nkag mus. Qhov no tuaj yeem tshwm sim rau ib sab tes xwb los yog ob sab tes.
• Cov leeg ntawm tes thiab caj npab tsis muaj zog: Tej zaum koj yuav pom tias nws nyuaj rau ua tej yam uas yav dhau los yooj yim. Piv txwv li, koj yuav xav tias koj txhais tes tsis muaj zog thaum qhib lub raj mis dej lossis tsa ib yam khoom hnyav.
• Tsis muaj zog thaum taug kev, nyuaj taug kev: Tej zaum yuav zoo li koj tsis tau taug kev hauv av kom raug, lossis koj yuav xav tias koj plam thiab ntog. Rau qee tus, lawv tus qauv taug kev kuj tseem yuav hloov pauv.
• Qhov teeb meem nrog cov txuj ci kev txav mus los zoo:Qhov no txhais tau tias, piv txwv li, nws nyuaj rau ua tej haujlwm me me, xws li khawm lub tsho, sau ntawv nrog cwj mem, siv riam, lossis muab tus yuam sij tso rau hauv lub qhov rooj. Tej zaum nws yuav zoo li tej yam hauv koj txhais tes tsuas yog poob rau hauv pem teb xwb.

Vim li cas qhov no thiaj li cuam tshuam rau ob txhais ceg?

Tam sim no tej zaum koj yuav xav tias, 'Yog tias muaj teeb meem hauv caj dab, vim li cas nws thiaj cuam tshuam rau ob txhais ceg thiab?' Zoo li no. Peb lub paj hlwb zoo li txoj kev loj hauv lub paj hlwb uas khiav thoob plaws peb lub cev. Nws nyob ntawm txoj kev no uas cov lus los ntawm lub hlwb mus rau caj npab, ceg, thiab txhua qhov chaw hauv lub cev. Yog li, thaum txoj kev loj no raug txhaws hauv caj dab, nws kuj tuaj yeem cuam tshuam cov lus mus rau ob txhais ceg. Nws zoo li xov tooj tawg hauv ib qho chaw, thiab tag nrho cov kab tsis ua haujlwm.

Dab tsi ua rau qhov no?

Zoo, cia peb saib seb dab tsi ua rau lub caj dab qaum raug nias. Nov yog qee yam uas tuaj yeem cuam tshuam rau qhov no:

• Cov pob txha tawg: Thaum peb laus zuj zus, cov pob txha tawg me me (zoo li cov pob txha nraub qaum) tuaj yeem tshwm sim ntawm peb cov pob txha caj qaum. Cov no tuaj yeem nias cov hlab ntsha qaum.
• Kab Mob Pob Txha Hlav: Lub pob txha ntawm peb cov pob txha caj qaum yog ib lub ncoo zoo li jelly. Qee zaum nws tuaj yeem nthuav tawm thiab nias rau ntawm cov hlab ntsha caj qaum.
• Txoj hlab ntsha hauv caj dab nqaim txij thaum yug los (Txoj hlab ntsha hauv lub caj dab nqaim): Ib txhia neeg yuav yug los nrog txoj hlab ntsha no nqaim me ntsis. Yog li ntawd, txawm tias qhov kev hloov pauv me ntsis los kuj tuaj yeem ua rau muaj kev nias.
• Mob Pob Qij Txha Rheumatoid: Qhov no kuj yog ib qho mob o uas cuam tshuam rau cov pob qij txha. Nws kuj tseem tuaj yeem cuam tshuam rau cov pob qij txha hauv caj dab thiab nias lub hlwb qaum.
• Spondylolisthesis: Qhov no yog thaum ib lub pob txha caj qaum txav mus rau pem hauv ntej hla lwm lub. Qhov no kuj tseem tuaj yeem nias lub hlwb qaum.
• Kev puas tsuaj ntawm cov pob txha caj qaum: Qhov no yog qhov ua rau muaj tus kab mob Cervical Spondylotic Myelopathy uas tau hais ua ntej lawm. Kev hloov pauv ntawm cov pob txha caj qaum tshwm sim thaum muaj hnub nyoog.
• Spinal Stenosis: Kev nqaim ntawm cov hlab ntsha hauv tus txha caj qaum vim muaj ntau yam ua rau.
• Kev Raug Mob: Tus mob no kuj tseem tuaj yeem tshwm sim vim yog raug mob hnyav rau lub caj dab, xws li kev sib tsoo tsheb lossis kev poob.
• Mob qog: Ib qho mob qog uas tsim nyob rau ntawm lossis ze ntawm tus txha caj qaum tuaj yeem nias tus txha caj qaum.

Qhov mob Cervical Spondylotic Myelopathy, tshwj xeeb, yog tshwm sim los ntawm kev hloov pauv ntuj tsim ntawm peb lub caj dab thaum peb laus zuj zus. Ib yam li cov qhov rooj thiab cov qhov rai ntawm peb lub tsev poob qis zuj zus, qhov ua haujlwm thiab cov qauv ntawm peb cov pob txha caj dab kuj hloov pauv. Qhov no ua rau txoj kev nqaim rau cov hlab ntsha caj dab, muab kev nyuaj rau nws. Qhov no yog ib feem ntuj tsim ntawm kev laus zuj zus.

Leej twg yuav muaj feem ntau dua los tsim qhov no?

Tus mob no, hu ua Cervical Myelopathy, tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis qee qhov kev tshawb fawb tau qhia tias nws feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 30 xyoo, tshwj xeeb tshaj yog cov neeg Esxias.

Kab mob Cervical Spondylotic Myelopathy tuaj yeem cuam tshuam rau txhua tus neeg, tab sis nws feem ntau tshwm sim rau cov txiv neej thiab cov neeg hnub nyoog tshaj 40 xyoo. Lub hnub nyoog nruab nrab uas kuaj pom yog li ntawm 64 xyoo.

Yog tias tsis kho ces yuav ua li cas?

Yog tias tus mob no tsis kho kom zoo, cov tsos mob yuav maj mam zuj zus tuaj. Yog tias qhov no tshwm sim, cov teeb meem xws li:

• Mob heev.
• Kev Ua Haujlwm Plab Hnyuv thiab Zais Pa: Qhov no txhais tau tias nyuaj rau quav, tso zis, thiab tsis tswj tau.
• Kev puas tsuaj rau cov hlab ntsha: Qhov no tuaj yeem ua mus tas li.
• Kev nyuaj siab rau kev taug kev: Tsis muaj zog, ntog ntau zaus, thiab tsis muaj zog taug kev.
• Siv cov ntiv tes, tes, thiab caj npab tsawg: Tej zaum koj yuav ua tsis tau tej haujlwm nrog koj txhais tes.
• Kev Tuag Tes Tuag Taw: Thaum mob hnyav, tej qhov ntawm lub cev yuav tuag tes tuag taw.

Yog li ntawd, yog tias koj muaj cov tsos mob zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob tsis quav ntsej lawv thiab nrhiav kev kho mob tam sim ntawd.

Koj nrhiav tau qhov no li cas?

Zoo, tam sim no yog tias koj muaj cov tsos mob no, tus kws kho mob yuav kuaj mob cervical myelopathy li cas?

Ua ntej, tus kws kho mob yuav nug koj txog koj cov tsos mob thiab sau keeb kwm kev kho mob. Tom qab ntawd, lawv yuav kuaj lub cev thiab kuaj lub paj hlwb. Thaum lub sijhawm no, lawv yuav kuaj koj qhov sib npaug, kev xav, thiab kev txawj txav mus los. Yog tias ua tau, lawv kuj tseem yuav saib seb koj taug kev li cas kom pom tias koj cov tsos mob cuam tshuam li cas rau koj.

Ntxiv rau qhov ntawd, koj kuj tseem yuav muaj qee qhov kev kuaj duab tshwj xeeb los saib sab hauv ntawm koj tus txha nqaj qaum. Cov no suav nrog:

• X-ray: Qhov no siv tau los xyuas seb puas muaj kev hloov pauv hauv cov pob txha, xws li cov pob txha tawg.
• Kev Thaij Duab MRI: Qhov no cia koj pom meej meej txog cov nqaij mos xws li cov hlab ntsha caj qaum, cov discs, thiab cov hauv paus hlab ntsha. Koj tuaj yeem nrhiav tau qhov twg muaj kev nias thiab nws qhov dav.
• CT scan: Qhov no kuj tseem tuaj yeem muab cov duab ntxaws ntxaws ntawm cov qauv ntawm cov pob txha.
• Kev kuaj mob Myelogram:Hauv qhov no, ib yam khoom tshwj xeeb raug ntxig rau hauv tus txha nqaj qaum thiab ua qhov kev ntsuas X-ray lossis CT scan. Qhov no ua rau pom tseeb cov cheeb tsam nias ntawm tus txha nqaj qaum.

Puas kho tau tag nrho?

Ib lo lus nug uas ntau tus neeg nug yog, puas kho tau tag nrho? Yog hais qhov tseeb, tsis muaj kev kho tag nrho rau txhua yam ua rau mob cervical myelopathy. Txawm li cas los xij, kev phais mob tuaj yeem txo cov tsos mob, tiv thaiv kom tus mob tsis txhob hnyav zuj zus, thiab tiv thaiv cov teeb meem. Txawm li cas los xij, txawm tias tom qab kho mob lawm, vim muaj kev hloov pauv nrog hnub nyoog, lwm qhov ntawm tus txha nraub qaum tuaj yeem raug cuam tshuam yav tom ntej. Qhov no txhais tau tias txawm tias ib feem raug kho, muaj lub sijhawm uas lwm qhov yuav muaj teeb meem, tshwj xeeb tshaj yog thaum koj laus zuj zus.

Cov kev kho mob yog dab tsi?

Zoo, tam sim no cia peb saib seb muaj kev kho mob dab tsi rau qhov no. Muaj ob txoj kev kho mob tseem ceeb:

1. Kev Tswj Xyuas Tsis Yog Phais Mob

2. Kev Kho Mob Phais

Feem ntau tus kws kho mob yuav sim ua ntej txoj kev uas tsis yog phais kom tswj tau cov tsos mob. Txawm li cas los xij, qhov no yuav txawv nyob ntawm seb koj cov tsos mob hnyav npaum li cas thiab yog dab tsi ua rau lawv.

Kev Tswj Xyuas Tsis Yog Phais Mob

Rau cov neeg uas muaj mob myelopathy ntawm lub caj dab me me, cov kws kho mob yuav pom zoo cov hauv qab no:

• Hnav Lub Caj Dab Qhwv: Qhov no muab kev nplij siab rau lub caj dab thiab tseem tswj kev txav caj dab tsis tsim nyog.
• Kev Kho Mob Lub Cev: Qhov no tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog kom txhawb koj cov leeg caj dab, ua kom yooj ywm dua, thiab sawv ntsug kom raug.
• Kev Noj Tshuaj:
• Cov Tshuaj Tiv Thaiv Kev Mob Uas Tsis Yog Tshuaj Steroid (NSAIDs): Piv txwv li, ibuprofen thiab naproxen. Cov no txo ​​qhov mob thiab o.
• Cov tshuaj Corticosteroids: Cov no yog cov tshuaj uas muaj zog tiv thaiv kev o. Lawv yuav muab tau rau lub sijhawm luv luv.
• Cov Tshuaj Tua Kab Mob: Koj tuaj yeem muab cov tshuaj tua kab mob dav dav xws li paracetamol lossis cov muaj zog dua.

Tiam sis nco ntsoov, txawm hais tias cov kev kho mob uas tsis yog phais no yuav pab tau tam sim ntawd los ntawm cov tsos mob, lawv tsis pab tau mus sij hawm ntev lossis ua rau lub qhov nqaj qaum nqaim dua.

Kev Kho Mob Phais

Yog tias tus mob Cervical Myelopathy hnyav heev, nws txhais tau tias:

• Yog tias muaj mob hnyav heev,
• Yog tias cov leeg nqaij tsis muaj zog,
• Yog tias qhov loog ntawm ob txhais ceg tseem muaj,
• Yog tias koj muaj teeb meem nrog kev taug kev thiab kev sib npaug,
• Yog tias nws nyuaj rau ua haujlwm me me,

Koj tus kws kho mob yuav pom zoo kom phais kom txo qhov kev nyem ntawm cov hlab ntsha hauv lub paj hlwb.

Hom kev phais uas koj tus kws phais pom zoo yuav txawv nyob ntawm koj cov tsos mob, kev noj qab haus huv dav dav, thiab hnub nyoog. Qee qhov kev xaiv suav nrog:

• Diskectomy: Qhov no suav nrog kev tshem tawm ib feem lossis tag nrho ntawm lub disc uas ua rau herniation.
• Kev Hloov Disk: Ib lub disk cuav raug ntxig los hloov lub disk uas raug tshem tawm.
• Laminectomy: Ib feem ntawm cov pob txha caj qaum hu ua 'lamina' raug tshem tawm los tsim kom muaj chaw ntau dua rau cov hlab ntsha caj qaum.
• Laminoplasty: Yog tsis tshem tawm 'lamina', nws raug kho dua tshiab kom muaj chaw rau cov hlab ntsha caj qaum.
• Kev Sib Txuas Pob Txha: Qhov no yog ib txoj kev kho mob uas ua kom ib lossis ntau pob txha caj qaum ruaj khov los ntawm kev sib txuas lawv ua ke . Qhov no feem ntau ua ua ke nrog kev phais discectomy.

Ua ntej phais mob, tus kws phais yuav piav qhia txog cov kev pheej hmoo rau koj kom koj thiaj li txiav txim siab tau zoo.

Tom qab phais tas, koj yuav tsum tau so ib pliag. Koj yuav tsum tsis txhob tsa tej yam hnyav lossis ua tej yam hnyav kom txog thaum koj tus kws kho mob hais kom koj ua. Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog kev saib xyuas koj tus kheej thiab thaum twg yuav rov qab los kuaj mob.

Yuav muaj dab tsi tshwm sim yav tom ntej? (Outlook)

Koj qhov kev xav txog tus kab mob cervical myelopathy nyob ntawm seb ua rau muaj tus mob no li cas. Cov mob me me tuaj yeem kho tau nrog kev kho mob uas tsis tas phais, thiab kev phais feem ntau muaj txiaj ntsig zoo.

Txawm li cas los xij, yog tias tsis kho, mob cervical myelopathy tuaj yeem ua rau mob hnyav dua. Hauv cov xwm txheej hnyav, nws tuaj yeem ua rau cov hlab ntsha puas tsuaj mus tas li, tsis tuaj yeem kho tau. Qhov no tuaj yeem ua rau muaj teeb meem xws li mob hnyav thiab nyuaj rau txav mus los.

Yog li ntawd, yog tias koj muaj cov tsos mob ntawm tus kab mob cervical myelopathy, mus ntsib kws kho mob tam sim ntawd. Lawv yuav pab koj nrhiav cov kev kho mob zoo tshaj plaws rau koj.

Koj muaj peev xwm nyob nrog tus mob no tau ntev npaum li cas? Nws yuav mob sai npaum li cas?

Muaj ib txhia neeg nug tias koj yuav nyob tau ntev npaum li cas nrog tus mob no, thiab nws loj hlob sai npaum li cas. Cov mob me me tsis cuam tshuam rau koj lub neej, tab sis cov tsos mob tuaj yeem cuam tshuam rau koj lub neej zoo. Hauv cov mob hnyav, cov teeb meem xws li kev puas tsuaj rau cov hlab ntsha mus tas li lossis kev tuag tes tuag taw tuaj yeem tshwm sim. Yog li ntawd, txhua tus neeg qhov kev kwv yees yuav txawv nyob ntawm ntau yam, suav nrog lawv txoj kev noj qab haus huv thiab hnub nyoog. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los tham txog koj tus mob.

Qhov no hnyav zuj zus sai npaum li cas kuj txawv nyob ntawm qhov ua rau.Piv txwv li, tus mob no tuaj yeem tshwm sim sai sai tom qab muaj xwm txheej, lossis nws tuaj yeem tshwm sim maj mam thaum koj laus zuj zus. Koj tus kws kho mob yuav saib koj cov tsos mob thiab kev kuaj duab kom muab "kev kwv yees" rau koj txog seb nws yuav hnyav zuj zus sai npaum li cas thiab koj qhov kev pheej hmoo ntawm cov teeb meem yog dab tsi.

Qhov no puas tiv thaiv tau?

Nws tsis yog ib qho ua tau los tiv thaiv txhua yam ua rau mob cervical myelopathy. Nws yog ib qho nyuaj heev los tiv thaiv kev nias ntawm cov hlab ntsha hauv lub cev uas tshwm sim los ntawm kev hloov pauv ntuj tsim hauv lub cev thaum peb laus zuj zus, xws li mob cervical spondylotic myelopathy. Txawm li cas los xij, koj tuaj yeem txo koj qhov kev pheej hmoo ntawm kev raug mob los ntawm kev sib tsoo. Nws yog ib qho tseem ceeb kom ua raws li kev coj ua kom muaj kev nyab xeeb thiab zam kev ua ub no uas muaj kev pheej hmoo siab thiab txaus ntshai.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov tsos mob ntawm tus kab mob cervical myelopathy, xws li mob caj dab, loog, tsis muaj zog, thiab nyuaj rau taug kev, koj yuav tsum mus ntsib kws kho mob. Tom qab ntawd lawv yuav ua qhov kev kuaj xyuas seb puas muaj kev nias ntawm koj tus txha caj qaum.

Yog tias koj twb paub lawm tias koj muaj mob cervical myelopathy, yog tias koj cov tsos mob hnyav zuj zus, lossis yog tias koj muaj cov kev mob tshwm sim los ntawm kev kho mob, qhia rau koj tus kws kho mob.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug no:

• Qhov mob throb no tshwm sim qhov twg ntawm kuv lub caj dab?
• Koj pom zoo kom siv hom kev kho mob twg?
• Cov kev mob tshwm sim ntawm kev kho mob yog dab tsi?
• Kuv puas xav tau kev phais mob tiag?
• Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab phais?

Cov lus tseem ceeb tshaj plaws uas yuav coj mus tsev rau koj

Peb cov hlab ntsha caj qaum ua lub luag haujlwm tseem ceeb heev hauv lub cev. Tsis tau xav tias yuav muaj xwm txheej lossis vim muaj kev hloov pauv ntuj tsim thaum peb laus zuj zus, cov hlab ntsha caj qaum no tuaj yeem raug kev nyuaj siab. Ib yam li txoj kev lossis choj uas siv ntau zaus, nws yuav lwj tag raws sijhawm. Lawv kuj xav tau kev saib xyuas thiab kev saib xyuas kom ua haujlwm tau zoo. Tib yam no yog qhov tseeb rau peb lub cev. Kev saib xyuas no tseem ceeb heev, tshwj xeeb tshaj yog hauv qhov teeb meem no ntawm Cervical Myelopathy.

Ib tug kws kho mob tuaj yeem pab koj tswj koj cov tsos mob thiab txo qhov kev nyuaj siab rau koj cov hlab ntsha caj dab. Qhov no yuav xav tau kev phais. Kev xav txog kev phais caj dab tuaj yeem ua rau ntshai, tab sis koj pab neeg kho mob yuav ua txhua yam uas lawv ua tau los tiv thaiv koj thiab tiv thaiv cov teeb meem. Yog li, yog tias koj muaj cov tsos mob, tsis txhob tsis quav ntsej lawv thiab mus ntsib kws kho mob tam sim ntawd. Kev kho mob thaum ntxov tuaj yeem ua rau muaj txiaj ntsig zoo dua.

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