Koj puas tau muaj kev xav li no? Thaum koj khoov koj lub taub hau mus khaws ib yam dab tsi uas poob rau hauv pem teb, lossis thaum koj tsuas yog khoov koj lub caj dab mus tom ntej, koj hnov qhov mob ntse uas zoo li hluav taws xob khiav mus rau koj tus txha nraub qaum. Nws zoo li hluav taws xob poob siab. Txawm hais tias nws ploj mus hauv ob peb feeb, qhov kev xav no yog qhov txaus ntshai me ntsis. Qhov ntawd yog qhov peb yuav tham txog hnub no. Hauv kev kho mob, cov tsos mob no hu ua Lhermitte's Sign.
Lub Cim Lhermitte yog dab tsi tiag?
Hais yooj yim xwb, Lhermitte's Sign yog ib qho mob ntse zoo li hluav taws xob uas maj mam tua mus rau hauv koj tus txha nqaj qaum, qee zaum mus rau hauv koj txhais tes thiab ob txhais ceg, thaum koj khoov koj lub caj dab mus tom ntej. Qhov no tuaj yeem tshwm sim thaum koj hnoos lossis txham. Qhov mob tshwm sim sai sai thiab ploj mus hauv ob peb feeb xwb. Tab sis nws tuaj yeem tshwm sim ntau zaus hauv ib hnub.
Qee zaum koj tus kws kho mob yuav hu qhov no ua "qhov xwm txheej ntawm lub rooj zaum txiav plaub hau." Qhov laj thawj rau qhov no yog vim tias yav dhau los, qee tus neeg tau ntsib hom mob no thaum lawv lub taub hau tig mus tom ntej hauv cov rooj zaum txiav plaub hau thaum lawv ntxuav lawv cov plaub hau.
Tiam sis nco ntsoov, cov tsos mob no hu ua Lhermitte's Sign tsis yog qhov txaus ntshai lossis ua rau tuag taus. Txawm li cas los xij, nws yog ib qho cim tseem ceeb uas qhia rau peb txog qee yam tsis raug hauv peb lub cev.
Ua cas peb thiaj xav li no? Yog vim li cas?
Qhov laj thawj tseem ceeb rau qhov no yog tias muaj qee qhov kev puas tsuaj rau cov hlab ntsha hauv peb cov hlab ntsha caj qaum. Hauv kev kho mob, peb hu qhov kev puas tsuaj no ua "qhov mob" lossis "qhov caws pliav". Tus kws kho mob tuaj yeem nrhiav tau seb koj puas muaj qhov caws pliav zoo li no hauv koj lub caj dab nrog "MRI" scan.
Xav txog peb cov hlab ntsha zoo li cov xov hluav taws xob. Cov xov hlau no muaj ib daim ntaub thaiv (insulation) tiv thaiv. Daim ntaub thaiv no nyob ib puag ncig peb cov hlab ntsha hu ua myelin. Daim ntaub thaiv myelin no yog qhov uas tso cai rau cov lus los ntawm lub hlwb mus ncig sai thiab raug mus rau lwm qhov ntawm lub cev.
Yog tias muaj qee yam ua rau lub myelin sheath no puas lawm, qhov mob hu ua "demyelination," cov hlab ntsha yuav raug nthuav tawm. Lub sijhawm ntawd, thaum koj khoov ib cheeb tsam zoo li koj lub caj dab, cov hlab ntsha uas puas lawm yuav raug txhawb nqa thiab xa cov cim qhia qhov mob cuav mus rau lub hlwb. Qhov ntawd yog qhov ua rau peb xav tias peb raug hluav taws xob tua.
Cov mob dab tsi ua rau muaj tus kab mob Lhermitte?
Qhov ua rau muaj cov tsos mob no feem ntau yog mob multiple sclerosis (MS). Cov kev tshawb fawb pom tau tias kwv yees li ib ntawm peb tus neeg uas muaj MS yuav muaj tus kab mob Lhermitte tsawg kawg ib zaug hauv lawv lub neej.
Ntxiv rau qhov ntawd, muaj ntau lwm yam ua rau qhov no cuam tshuam. Lub rooj hauv qab no yuav piav qhia ntxiv txog qhov no.
| Mob/Ua rau | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob Multiple Sclerosis (MS) | Qhov no yog ib yam kab mob uas cuam tshuam rau lub paj hlwb. Hauv qhov no, lub cev lub cev tiv thaiv kab mob ua rau lub myelin sheath nyob ib puag ncig cov hlab ntsha puas tsuaj. Qhov no yog qhov ua rau feem ntau tshwm sim. |
| Tsis muaj Vitamin B12 txaus | Vitamin B12 yog qhov tseem ceeb rau lub paj hlwb noj qab haus huv. Thaum cov B12 hauv lub cev qis dhau, cov hlab ntsha tuaj yeem raug puas tsuaj. |
| Mob pob qij txha | Ib lub disc zoo li jelly uas nyob nruab nrab ntawm cov vertebrae (pob txha) ntawm tus txha nqaj qaum tawm los, nias rau ntawm tus txha nqaj qaum lossis cov hlab ntsha. Feem ntau peb hais tias "herniated disc." |
| Kab mob caj dab | Kev nias ntawm cov hlab ntsha vim yog kev hnav thiab rhuav ntawm cov pob txha caj dab thaum muaj hnub nyoog. |
| Kev nias ntawm cov hlab ntsha qaum | Kev ntxhov siab rau ntawm cov hlab ntsha caj qaum vim yog qog nqaij hlav, xwm txheej, lossis lwm yam. |
| Kab mob qaib ntxhw (Shingles) | Muaj tej lub sij hawm, tus kab mob uas ua rau mob qhua pias tuaj yeem rov ua hauj lwm dua thiab cuam tshuam rau cov hlab ntsha. |
| Kev Siv Hluav Taws Xob Los Yog Kev Siv Tshuaj Kho Mob Hlwb (Radiation/Chemotherapy) | Qhov no tuaj yeem tshwm sim ua ib qho kev phiv ntawm kev kho mob hluav taws xob rau mob qog noj ntshav, tshwj xeeb tshaj yog rau thaj tsam caj dab. |
Cov ua rau mob no yog dab tsi?
Qhov mob no tuaj yeem tshwm sim sai sai vim yog qee yam kev ua ub no thiab tej xwm txheej.
- Khoov lub caj dab mus tom ntej: Qhov no yog qhov ua rau tseem ceeb.
- Hnoos
- Kev yos hav zoov
- Yawning
Tsis tas li ntawd xwb, qhov yuav tshwm sim ntawm cov tsos mob no yog siab dua hauv cov xwm txheej hauv qab no:
- Thaum koj nkees (Tsi muaj zog)
- Thaum koj ntxhov siab
- Thaum ua si
- Thaum nyob hauv ib puag ncig kub
Tus kws kho mob kuaj mob li cas thiab muaj kev kho mob dab tsi?
Tsis muaj kev kuaj tshwj xeeb los kuaj xyuas tus tsos mob Lhermitte. Tus kws kho mob yuav paub nws sai li sai tau thaum koj hais txog nws. Lub hom phiaj tseem ceeb ntawm tus kws kho mob yog nrhiav qhov ua rau muaj cov tsos mob, uas yog, qhov mob hauv qab.
Rau qhov ntawd,
- Tus kws kho mob yuav nug koj kom zoo zoo txog koj cov tsos mob.
- Yuav muaj kev kuaj lub cev. Tej zaum yuav muaj kev kuaj xws li kev kuaj Spurling los xyuas seb puas muaj kev nias ntawm cov hlab ntsha uas ua rau mob caj dab.
- Tej zaum koj yuav raug xa mus kuaj mob xws li MRI scan . Qhov no tuaj yeem qhia meej meej seb puas muaj cov qhov txhab, lub disc herniated, lossis lwm yam kev puas tsuaj rau cov hlab ntsha qaum.
Thaum nws los txog rau kev kho mob, qhov mob no, uas tsuas kav ob peb feeb xwb, tej zaum yuav tsis xav tau kev kho mob tshwj xeeb. Qhov tseem ceeb tshaj plaws yog kho qhov ua rau mob.
Piv txwv li:
- Yog tias qhov ua rau yog MS, kev kho mob rau nws yuav txo qhov tshwm sim ntawm Lhermitte's Sign.
- Yog tias qhov ua rau yog vitamin B12 tsis txaus, kev noj vitamin B12 tuaj yeem kho tau qhov mob no tag nrho.
- Yog tias lub disc raug herniated, kev kho lub cev lossis tej zaum yuav tsum tau phais.
Ntxiv rau qhov ntawd, koj tus kws kho mob yuav pom zoo cov hauv qab no los pab tswj qhov mob no:
- Cov tshuaj rau mob hlab ntsha, piv txwv li '(Gabapentin)'.
- Yuav tsum hnav ib lub khoom siv khi caj dab kom txwv tsis pub caj dab txav mus los.
- Xa mus rau tus kws kho mob lub cev rau kev tawm dag zog so cov leeg thiab ncab cov leeg.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj hnov qhov mob zoo li hluav taws xob poob siab raws li tau piav qhia saum toj no, tshwj xeeb tshaj yog thaum koj khoov koj lub caj dab, tsis txhob tsis quav ntsej nws.
- Rau kojYog koj xav li no thawj zaug hauv koj lub neej, mus ntsib kws kho mob.
- Yog tias koj twb muaj mob zoo li MS lawm, thiab cov tsos mob no zoo li tshiab lossis hnyav zuj zus, qhia rau koj tus kws kho mob paub.
- Yog tias qhov mob no muaj lwm yam tsos mob nrog (piv txwv li, loog ntawm ob txhais ceg, nyuaj taug kev, pom kev tsis meej), nrhiav kev pab kho mob tam sim ntawd.
Txawm hais tias qhov no tsis yog qhov txaus ntshai rau lub neej, nws yog ib qho cim tseem ceeb los ntawm koj lub cev. Yog li ntawd, tsis txhob tsis quav ntsej nws thiab cia qhov ua rau mob hnyav zuj zus.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lhermitte's Sign yog ib qho mob luv luv zoo li hluav taws xob uas hnov ntawm tus txha nraub qaum thaum lub caj dab khoov mus tom ntej.
- Txawm hais tias cov tsos mob no tsis txaus ntshai, nws yog ib qho cim tseem ceeb ntawm kev puas tsuaj rau cov hlab ntsha hauv cov hlab ntsha qaum.
- Txawm hais tias qhov ua rau qhov no yog Multiple Sclerosis (MS), lwm yam ua rau xws li tsis txaus vitamin B12 thiab spinal disc herniation kuj tuaj yeem ua lub luag haujlwm.
- Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob tam sim ntawd kom paub qhov ua rau tiag tiag thiab tau txais kev kho mob kom zoo.
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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