Koj nraub qaum puas mob thiab? Puas yog nws yog herniated disc? (Herniated Disk) - Cia peb nrhiav seb qhov no zoo li cas!

Qee zaum peb tsis xav txog nws li. Xav txog seb koj puas sim sawv ntawm lub rooj zaum pem hauv ntej ntawm lub TV thiab hnov ​​​​​​qhov mob ntse, mob uas pib ntawm nraub qaum thiab mus rau ceg ... Muaj ntau tus neeg ntshai lub sijhawm no, xav tias, "Auj, ib qho ntawm kuv cov discs puas plam?" Qhov tseeb, nws muaj peev xwm ua tau. Niaj hnub no, cia peb tham txog qhov mob no hu ua ' Herniated Disc ' lossis 'Slipped Disc' uas cuam tshuam rau ntau tus neeg.

Nws txhais li cas tiag tiag kom dhia ib lub disc?

Yuav kom nkag siab qhov no, cia peb kawm me ntsis txog cov qauv ntawm peb tus txha nqaj qaum. Peb tus txha nqaj qaum muaj 33 lub pob txha me me uas sib sau ua ke saum toj ntawm ib leeg. Peb hu cov pob txha caj qaum no. Nruab nrab ntawm txhua lub pob txha caj qaum no muaj ib lub ncoo mos mos zoo li jelly. Qhov ntawd yog qhov peb hu ua intervertebral disc, lossis 'disk.'

Lub luag haujlwm tseem ceeb ntawm lub disc no yog ua haujlwm ua 'lub zog nqus dej' los ntawm kev nqus cov kev poob siab uas los rau ntawm tus txha nraub qaum thaum peb khoov rov qab thiab tawm mus, tsa cov hnyav, thiab taug kev.

Lub disc no muaj ob txheej.

1. Lub plawv sab hauv (Nucl EUS Pulposus): Qhov no yog qhov mos mos, zoo li jelly sab hauv.

2. Sab Nraud (Annulus Fibrosus): Qhov no yog lub nplhaib sab nraud uas muaj zog me ntsis, ua los ntawm cov fibrous uas nyob ib puag ncig qhov zoo li jelly.

Piv txwv li, vim muaj qee yam ua rau, thaum tsa ib yam khoom hnyav tam sim ntawd, khoov tsis raug, lossis vim muaj kev hloov pauv raws li hnub nyoog, daim ntaub npog sab nraud no yuav rhuav lossis tawg, thiab cov khoom zoo li jelly sab hauv yuav thawb tawm. Qhov ntawd yog qhov peb hu ua 'herniated disc.' Cov khoom zoo li jelly no yuav nias rau ntawm cov hlab ntsha uas nyob ze lossis cov hlab ntsha uas tawm los ntawm nws. Thaum ntawd mob, loog, thiab lwm yam tsos mob pib tshwm sim.

Puas yog Herniated Disk thiab Bulging Disk zoo ib yam?

Muaj ntau tus neeg tsis nkag siab ob yam mob no. Txawm hais tias cov tsos mob zoo sib xws, muaj qhov sib txawv ntawm ob yam no. Hais yooj yim xwb, lub disc bulging yog thaum lub plhaub sab nraud ntawm lub disc tsis rhuav, tab sis hloov pauv raws li hnub nyoog thiab bulging tawm sab nraud zoo li lub log tsheb tawg. Hauv lub disc herniated , lub plhaub sab nraud rhuav thiab cov kua nplaum sab hauv tawm.

Cia peb saib qhov sib txawv no hauv ib lub rooj.

Cov tsos mob tseem ceeb ntawm qhov no yog dab tsi?

Qee zaum cov pob txha caj qaum uas tawg yuav tsis ua rau muaj tsos mob dab tsi. Txawm li cas los xij, ntau tus neeg muaj cov tsos mob. Cov tsos mob no nyob ntawm seb cov pob txha caj qaum uas tawg nyob qhov twg (nyob tom qab lossis caj dab) thiab nws nias rau ntawm cov hlab ntsha hnyav npaum li cas.

Cov tsos mob feem ntau yog:

• Kev tsis muaj zog lossis tingling: Kev hnov ​​​​​​mob tingling hauv caj npab lossis ceg qhov twg cov hlab ntsha raug nias thiab raws nws txoj kev.
• Mob ntse thiab kub hnyiab: Tej zaum koj yuav mob hnyav, zoo li raug hluav taws xob poob siab.
• Cov leeg tsis muaj zog : Cov leeg tsis muaj zog yuav tshwm sim rau thaj chaw mob. Piv txwv li, nyuaj rau tsa ceg.
• Cov tsos mob tsuas yog nyob rau ib sab ntawm lub cev xwb: Feem ntau, qhov mob thiab loog no tsuas yog nyob rau sab xis lossis sab laug xwb.

Yog tias lub disc tau plam hauv qab nraub qaum (Lumbar Spine):

Qhov mob yuav pib ntawm nraub qaum thiab mus txog rau ntawm lub pob tw, ncej puab, thiab pob tw mus txog rau ko taw . Qhov no kuj hu ua 'sciatica'.

Yog tias lub disc hauv caj dab (cervical spine) tau plam:

Qhov mob tuaj yeem pib hauv caj dab thiab mus rau ntawm xub pwg mus rau caj npab thiab ntiv tes .

Thaum koj xav tau mus ntsib kws kho mob sai sai!

Txawm hais tias qhov mob no feem ntau tuaj yeem tswj tau hauv tsev, muaj qee kis uas xav tau kev kho mob tam sim ntawd. Peb suav tias cov no yog cov cim qhia ceeb toom.

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no tom qab raug mob, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.

• Tsis muaj zog heev hauv caj npab lossis ceg .
• Muaj kub taub hau los yog muaj kab mob .
• Tsis muaj kev xav hauv qhov quav lossis thaj chaw ntawm lub cev.
• Kev ua haujlwm ntawm lub zais zis lossis txoj hnyuv tsis zoo. Qhov no yog ib qho mob hnyav heev.

Cov tsos mob zoo li no qhia tau tias cov hlab ntsha hauv lub paj hlwb raug puas tsuaj loj heev. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob yam tsis tas nkim sijhawm .

Tus kws kho mob nrhiav tau qhov no li cas tiag?

Yog koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob. Thawj qhov uas nws yuav ua yog kuaj koj lub cev kom zoo.

• Kuv nug koj txog qhov mob.
• Lawv yuav nias rau ntawm qhov chaw mob ntawm koj nraub qaum lossis caj dab.
• Koj yuav raug yuam kom pw saum txaj thiab kom koj ob txhais ceg lossis caj npab txav mus rau ntau qhov sib txawv.
• Kuaj cov reflexes ntawm lub hauv caug thiab pob luj taws.
• Nws sim lub zog ntawm cov leeg nqaij hauv koj ob txhais ceg thiab caj npab.
• Qee zaum lawv hais tias taug kev ntawm koj ob txhais taw thiab ntawm koj lub pob taws.

Feem ntau, tus mob no tsuas yog kuaj tau los ntawm kev kuaj lub cev no xwb. Txawm li cas los xij, koj tus kws kho mob yuav hais kom kuaj qee yam kom paub tseeb tias muaj lwm yam ua rau mob (piv txwv li, pob txha tawg lossis qog) lossis kom paub meej tias yog cov hlab ntsha twg raug nias.

Kev ntsuam xyuas ntxiv

• X-ray: Ib qho X-ray ib txwm yuav tsis qhia txog lub disc herniated, tab sis nws tuaj yeem kuaj xyuas lwm yam teeb meem hauv tus txha nqaj qaum, xws li pob txha tawg.
• CT scan: Qhov no tuaj yeem muab cov duab meej dua ntawm tus txha nqaj qaum thiab cov qauv ib puag ncig dua li X-ray.
• Kev kuaj MRI:Txoj kev kuaj mob zoo tshaj plaws thiab raug tshaj plaws rau kev kuaj mob lub disc herniated yog MRI. Nws tuaj yeem pom tseeb qhov chaw ntawm lub disc, nws cov qauv sab hauv, thiab cov hlab ntsha twg raug nias.
• Kev ntsuam xyuas EMG thiab NCS: Cov kev ntsuam xyuas no yog siv los saib seb puas muaj kev puas tsuaj rau cov hlab ntsha thiab lawv nruj npaum li cas. Hauv "Electromyogram (EMG)"``, ib lub cuab yeej me me zoo li koob raug ntxig rau hauv cov leeg thiab nws cov haujlwm hluav taws xob raug ntsuas. Hauv "Nerve Conduction Studies (NCS)```, ib lub teeb liab hluav taws xob me me raug xa mus rau cov hlab ntsha thiab qhov ceev uas nws mus ncig raug ntsuas. Qhov no tuaj yeem qhia koj meej tias puas muaj kev puas tsuaj rau cov hlab ntsha.

Qhov no puas yuav kho tau? Kuv yuav kho tau sai li cas?

Yog lawm, qhov xov xwm zoo yog tias rau feem ntau ntawm cov neeg, qhov mob herniated disk yuav zoo li qub hauv ob peb lub lis piam lossis ib hlis lossis ob hlis. Lub cev muaj peev xwm kho nws tus kheej.

Cov no yuav pab koj rov zoo sai sai:

1. So: Tsis txhob ua tej yam uas ua rau mob ntxiv (xws li nqa khoom hnyav, ua kom mob nraub qaum) kiag li. Txawm li cas los xij, tsis txhob pw hauv txaj txhua hnub. Tej yam yooj yim xws li taug kev luv luv kuj zoo.

2. Tshuaj: Noj cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o uas koj tus kws kho mob tau sau ntawv kom ua raws li qhia.

3. Cov ntaub qhwv txias thiab kub: Koj tuaj yeem siv cov pob dej khov los txo qhov mob thiab o rau ob hnub thawj zaug. Tom qab ntawd, nws yog ib lub tswv yim zoo los siv lub raj mis dej kub los so cov leeg.

4. Kev Kho Mob Lub Cev: Nws yog ib qho tseem ceeb heev uas yuav tsum ua cov kev tawm dag zog kom cov leeg nraub qaum thiab lub plab muaj zog raws li kev qhia ntawm tus kws kho mob lub cev, raws li koj tus kws kho mob qhia. Qhov no kuj tseem tuaj yeem tiv thaiv qhov mob no kom tsis txhob rov tshwm sim yav tom ntej. Nco ntsoov, koj tsuas yog yuav tsum tawm dag zog yog tias qhov mob txo qis. Yog tias qhov mob nce ntxiv, tsum tam sim ntawd.

Yog tias qhov mob tseem mob ntxiv, koj tus kws kho mob yuav muab tshuaj steroid rau koj lossis xa koj mus rau lwm txoj kev kho mob. Kev phais tsuas yog xav txog rau cov mob hnyav tshaj plaws thiab yog tias tsis muaj lwm yam kev kho mob tau pab.