Koj puas tau muaj mob hnyav heev uas zoo li hluav taws xob poob qis thaum koj khoov mus khaws ib yam dab tsi hnyav? Los yog koj puas tau muaj mob hnyav hauv koj lub caj dab uas ua rau koj tig tsis tau koj lub taub hau lossis mob tingling thaum koj sawv ntxov? Peb coob tus tau muaj qhov kev paub no tsawg kawg ib zaug hauv peb lub neej. Feem ntau, peb hu nws ua "spinal cord sprain" lossis "slipped disc." Yog li hnub no peb yuav tham txog ib qho mob uas cuam tshuam rau txhua tus, hauv kev kho mob hu ua "Herniated Disk". Tsis txhob txhawj, qhov no tsis txaus ntshai li koj xav. Cia peb mus rau hauv qab ntawm nws, yooj yim thiab raug.
Hauv lwm lo lus, herniated disk yog dab tsi?
Xav txog koj tus txha nqaj qaum zoo li ib pawg pob txha me me (peb hu ua 'vertebrae') uas muab tso rau saum ib leeg. Yuav kom tiv thaiv cov pob txha no kom tsis txhob sib txhuam, zoo li cov 'shock absorbers' hauv lub tsheb, muaj cov ncoo puag ncig zoo li lub txaj pw ntawm cov pob txha. Cov no yog yam peb hu ua 'disks'. Cov discs no tso cai rau peb khoov mus tom ntej, rov qab, thiab ntswj tau yooj yim.
Lub disc no zoo li lub donut uas muaj jam rau ntawm nws. Nws muaj lub plhaub sab nraud tawv thiab sab hauv mos zoo li jelly. Raws li lub sijhawm dhau mus, thaum peb laus zuj zus, vim yog kev ua tsis zoo lossis muaj xwm txheej ceev, qhov tawv sab nraud ntawm lub disc no tuaj yeem qaug zog thiab muaj qhov tawg me me tuaj yeem tsim. Tom qab ntawd qhov zoo li jelly sab hauv tuaj yeem plam tawm ntawm qhov tawg ntawd. Yog vim li cas peb thiaj hu nws ua '(Herniated Disk)' lossis '(ruptured disk)'. Ntawm peb, qhov no hu ua 'slipped disk' lossis "slipped disc".
Qhov ntawm lub disc uas tawm los zoo li no nias rau ntawm cov hlab ntsha uas nyob ze thiab cov hlab ntsha uas tawm los. Thaum ntawd peb pib hnov cov tsos mob xws li mob, loog, thiab qee zaum tsis muaj zog hauv peb ob txhais ceg.
Txawm hais tias muaj coob tus neeg hais tias "slipped disk," qhov tseeb tiag yog lub disk tsis slipping rov qab los. Qhov tshwm sim yog tias cov khoom sab hauv nws slipped tawm.
Txawm hais tias tus mob no tuaj yeem tshwm sim nyob rau txhua qhov chaw ntawm tus txha nqaj qaum, feem ntau nws pom nyob rau hauv qab nraub qaum (lumbar spine) thiab caj dab (cervical spine). Nws tsis tshua muaj nyob rau hauv thoracic spine.
Kuv puas muaj ib lub disc herniated? Cov tsos mob yog dab tsi?
Cov tsos mob nyob ntawm seb qhov twg ntawm tus txha nqaj qaum uas lub disc o tuaj. Cia peb saib seb nws zoo li cas hauv ob qho chaw tseem ceeb.
| Qhov chaw ntawm lub disk | Cov tsos mob uas koj yuav ntsib |
|---|---|
| Qis nraub qaum (Herniated Lumbar Disk) |
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| Caj Dab (Herniated Cervical Disc) |
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Vim li cas qhov no thiaj tshwm sim? Ua rau thiab cov yam ntxwv ntawm kev pheej hmoo
Zoo li peb tau tham ua ntej lawm, qhov laj thawj tseem ceeb yog vim lub plhaub sab nraud ntawm lub disc tau qaug zog, ua rau cov khoom zoo li jelly sab hauv tawm los. Muaj ntau yam uas tuaj yeem cuam tshuam rau qhov no.
Cov laj thawj tseem ceeb:
- Kev Laus: Thaum peb laus zuj zus, cov dej hauv peb cov discs txo qis, ua rau lawv qhuav me ntsis thiab tsis yoog tau. Qhov no ua rau lawv muaj feem yuav tawg txawm tias yog qhov cuam tshuam me me xwb los xij.
- Kev Sib Tsoo: Kev raug ntaus hnyav rau tus txha nraub qaum, xws li ntog tam sim ntawd lossis raug xwm txheej tsheb, tuaj yeem ua rau lub disc puas tsuaj.
- Kev sawv ntsug tsis zoo: Ua haujlwm nrog koj lub nraub qaum khoov rau lub sijhawm ntev, tsa cov hnyav tsis raug, thiab lwm yam tuaj yeem maj mam ua rau lub zog ntawm cov discs nce ntxiv thiab ua rau puas tsuaj. Xav txog ib tus neeg ua haujlwm hauv chaw ua haujlwm ntau teev nrog lawv lub nraub qaum khoov. Cov neeg zoo li ntawd muaj kev pheej hmoo ntau dua.
- Nqa cov khoom hnyav: Nqa ib qho khoom hnyav ib zaug yam tsis muaj lub cev zoo yog qhov ua rau muaj teeb meem no rau ntau tus neeg. Piv txwv li, qhov no tuaj yeem tshwm sim yog tias koj khoov koj nraub qaum los nqa ib yam dab tsi zoo li lub thoob roj lossis lub thoob dej.
Tej Yam Uas Ua Rau Muaj Kev Pheej Hmoo:
- Hnub Nyoog: Tus mob no feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 30 thiab 50 xyoo.
- Txiv neej thiab poj niam: Cov txiv neej muaj feem yuav mob no li ob npaug ntau dua li cov poj niam.
- Haus luam yeeb:Kev haus luam yeeb ua rau cov ntshav tsis txaus mus rau cov discs, uas tuaj yeem ua rau lawv qaug zog thiab puas tsuaj sai sai.
- Qhov hnyav ntau dhau: Thaum lub cev hnyav nce ntxiv, qhov siab ntawm cov discs, tshwj xeeb tshaj yog nyob rau sab nraub qaum qis, nce ntxiv.
- Kev xeeb tub los ntawm noob caj noob ces: Yog tias ib tug neeg hauv koj tsev neeg muaj cov mob no, tej zaum koj yuav muaj feem ntau dua los mob.
- HAUJ LWM: Cov neeg uas ua haujlwm hnyav, tsa cov khoom hnyav, tsav tsheb tas li, lossis zaum tib qho chaw muaj kev pheej hmoo siab dua.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob zoo li no, thawj qhov uas nws yuav ua yog nug koj cov lus nug thiab kuaj koj lub cev.
- Kev kuaj lub cev: Tus kws kho mob yuav kuaj koj cov qhov mob, lub zog ntawm cov leeg, cov reflexes, thiab koj daim tawv nqaij zoo li cas.
- Kev Ntsuas Nce Ceg Ncaj: Hauv qhov kev xeem no, koj yuav tsum pw saum txaj thiab ceg ntawm sab mob yuav tsum tsa ncaj nraim yam tsis khoov lub hauv caug. Yog tias qhov mob mus rau hauv ceg thaum ua qhov no, nws yuav yog ib qho cim ntawm lub disc herniated.
Tom qab cov kev kuaj no, tus kws kho mob yuav pom zoo kom kuaj ntxiv ntau zaus kom paub meej tias qhov mob zoo li cas thiab ntsuas qhov kev puas tsuaj ntawm qhov mob.
- Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no yog txoj hauv kev zoo tshaj plaws los pom meej meej txog qhov xwm txheej ntawm lub disc thiab seb puas muaj kev nias ntawm cov hlab ntsha.
- X-ray: X-ray tsis tuaj yeem pom lub disc, tab sis nws tuaj yeem pab kuaj xyuas lwm yam teeb meem nrog cov pob txha, xws li lub disc herniated.
- CT scan (Computed Tomography): Qhov no kuj tseem tuaj yeem tsim cov duab ntxaws ntxaws ntawm tus txha nraub qaum thiab cov nqaij nyob ib puag ncig.
- Kev Kawm Txog EMG thiab Kev Ntsuas Kab Mob Hlwb: Cov kev ntsuam xyuas no pab ntsuas qhov kev puas tsuaj rau cov hlab ntsha thiab seb cov cim qhia mus los li cas.
Cov kev kho mob yog dab tsi? Puas muaj tej yam uas kuv ua tau hauv tsev?
Qhov no yog qhov tseem ceeb tshaj plaws. 9 ntawm 10 tus neeg uas muaj lub disc herniated rov zoo yam tsis tas phais, nrog kev kho mob yooj yim. Yog li ntawd, tsis muaj laj thawj yuav tsum ntshai.
Tej yam koj ua tau hauv tsev thaum ntxov:
- So kom txaus: Yog tias qhov mob hnyav heev , so ib lossis peb hnub. Tab sis tsis txhob pw hauv txaj ntev. Ua li ntawd tuaj yeem ua rau cov leeg nqaij nruj thiab ua rau qhov mob hnyav dua. Sim ua tej yam me me txhua hnub kom ntau li ntau tau.
- Cov Tshuaj Tua Kab Mob: Koj tuaj yeem nug koj tus kws kho mob kom muab cov tshuaj tua kab mob xws li ibuprofen lossis acetaminophen.
- Kev kib txias los yog kub:Siv dej khov rau ntawm cov leeg nqaij thaum ob hnub thawj zaug uas mob yuav pab txo qhov o thiab mob. Tom qab ob lossis peb hnub, siv lub raj mis dej kub lossis lub hnab dej kub rau ntawm cov leeg nqaij yuav so thiab txo qhov mob.
Kev kho mob:
Yog tias qhov mob tsis ploj mus tom qab ob peb lub lis piam ntawm kev kho mob hauv tsev, koj tus kws kho mob yuav pom zoo kom siv hom kev kho mob no.
- Tshuaj: Cov tshuaj tua kab mob lossis cov tshuaj ua kom cov leeg so yuav muab tau kom txo qhov mob thiab o.
- Kev Kho Mob Lub Cev: Qhov no yog kev kho mob tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog tshwj xeeb thiab kev ncab uas yuav ua rau koj cov leeg nraub qaum thiab cov leeg plab muaj zog thiab txo qhov siab rau koj cov hlab ntsha.
- Kev Txhaj Tshuaj Rau Pob Txha: Yog tias qhov mob hnyav heev, kev txhaj tshuaj uas muaj cov tshuaj steroid hu ua 'epidural' lossis 'nerve block' yuav muab ncaj qha rau hauv thaj chaw mob ntawm pob txha caj qaum. Qhov no tuaj yeem txo qhov mob thiab o sai sai.
Thaum twg yuav tsum tau phais?
Nco ntsoov tias, kev phais feem ntau yog qhov kev xaiv kawg. Cuaj ntawm 10 tus neeg yuav tsis tas yuav phais.
Txawm li cas los xij, yog tias qhov mob tsis ploj mus tom qab ntau lub hlis ntawm kev kho mob lwm yam, yog tias qhov mob ua rau nws ua tsis tau tej haujlwm txhua hnub, lossis yog tias qhov tsis muaj zog ntawm ob txhais ceg nce ntxiv, tus kws kho mob yuav xav txog kev phais.
Tsis tshua muaj, ib lub disc loj loj uas muaj herniated disc tuaj yeem nias cov hlab ntsha uas tswj kev tso zis thiab kev quav. Yog tias qhov no ua rau tsis muaj peev xwm tswj tau lub zais zis lossis txoj hnyuv, nws yog qhov xwm txheej ceev. Koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Qhov no yuav xav tau kev phais mob ceev.
Qhov kev phais mob uas feem ntau ua tam sim no yog kev phais me me hu ua "microdiskectomy." Hauv qhov no, yuav muaj kev phais me me thiab siv lub tshuab microscope thiab cov cuab yeej me me, tsuas yog tshem tawm cov disc uas tawm los xwb.
Yuav ua li cas thiaj tiv thaiv koj tus kheej ntawm qhov xwm txheej no? Kev tiv thaiv yog qhov zoo tshaj plaws!
Muaj ntau yam koj ua tau kom tsis txhob mob qhov mob no.
| Txoj kev tiv thaiv | Yuav ua li cas los yooj yim xwb. |
|---|---|
| Nqa cov hnyav kom raug | Tsis txhob khoov koj lub duav. Khoov koj lub hauv caug thiab ua kom koj nraub qaum ncaj, thiab txo koj tus kheej zoo li koj zaum hauv pem teb. Siv lub zog ntawm koj ob txhais ceg los tsa qhov hnyav. |
| Tswj kom muaj qhov hnyav noj qab nyob zoo | Qhov hnyav ntxiv, tshwj xeeb tshaj yog nyob rau hauv thaj tsam plab, muab ntau qhov kev nyuaj siab rau ntawm nraub qaum. Tswj koj qhov hnyav. |
| Tswj kev sawv cev zoo | Khaws koj nraub qaum kom ncaj thaum sawv, zaum, thiab taug kev. Siv lub rooj zaum uas txhawb koj nraub qaum thaum zaum. |
| Kev ncab tsis tu ncua | Yog koj zaum ua haujlwm ntev, sawv thiab taug kev tsawg kawg ib teev ib zaug, ncab koj lub cev. |
| Kev tawm dag zog | Ua cov kev tawm dag zog uas ua rau koj lub nraub qaum thiab cov leeg nqaij plab muaj zog. Qhov no muab kev txhawb nqa zoo rau koj tus txha nqaj qaum. |
| Tsis txhob haus luam yeeb | Yog koj haus luam yeeb, sim tso tseg. Nws tseem ceeb heev rau kev noj qab haus huv ntawm koj cov discs. |
Lub sijhawm twg tseem ceeb tshaj plaws los mus ntsib kws kho mob?
Txawm hais tias koj tuaj yeem pib nrog kev kho mob hauv tsev, tab sis yog tias muaj cov xwm txheej zoo li no, koj yuav tsum mus ntsib kws kho mob.
- Yog tias koj ua tsis tau koj tej dej num txhua hnub (piv txwv li, mus ua haujlwm) vim yog mob.
- Yog tias tsis muaj kev txhim kho hauv cov tsos mob tom qab 4 lossis 6 lub lis piam.
- Yog tias cov tsos mob zuj zus tuaj.
- Yog tias koj muaj kev loog loog, tingling, lossis tsis muaj zog hauv koj txhais tes, ceg, xib teg, lossis taw.
- Yog koj muaj teeb meem sawv ntsug lossis taug kev.
- Thaum twg yuav tsum mus rau tsev kho mob tam sim ntawd: Tsis muaj peev xwm tswj tau cov zis lossis quav. Qhov no yog xwm txheej ceev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Herniated Disc yog ib yam mob uas neeg feem ntau muaj. Tsis txhob ntshai nws yam tsis tsim nyog.
- Feem ntau cov neeg (9 ntawm 10) tuaj yeem rov zoo tag nrho yam tsis tas phais, nrog kev kho mob yooj yim thiab kev hloov pauv hauv lub neej.
- Tsis txhob pw hauv txaj ib hnub vim koj mob. Kev txav mus los yooj yim thiab kev tawm dag zog yuav pab kom koj zoo.
- Kev tiv thaiv yog kev kho mob zoo tshaj plaws. Kev sawv ntsug kom zoo, kev tsa hnyav kom raug, thiab kev ua neej noj qab haus huv tuaj yeem txo qhov kev pheej hmoo ntawm kev mob no.
- Yog tias koj cov tsos mob hnyav heev, tsis zoo dua hauv ob peb lub lis piam, lossis yog tias koj muaj teeb meem nrog kev tswj lub zais zis/plab hnyuv, mus ntsib kws kho mob tam sim ntawd yam tsis muaj kev yig.
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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