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Cia peb kawm txog koj lub nraub qaum qis (Lumbar Spine) Qhov no yog dab tsi tiag?

Cia peb kawm txog koj lub nraub qaum qis (Lumbar Spine) Qhov no yog dab tsi tiag?

Koj puas muaj tej lub sij hawm mob nraub qaum qis? Thaum koj zaum hauv ib qho chaw ntev, lossis thaum koj tsa ib yam khoom hnyav, nraub qaum qis yog qhov uas koj ntxhov siab tshaj plaws. Yog li, hnub no peb yuav tham txog nraub qaum qis, uas yog ib feem tseem ceeb ntawm peb lub cev, lossis raws li cov kws kho mob hu ua , tus txha nqaj qaum lumbar . Cia peb nkag siab yooj yim tias nws yog dab tsi, nws muab kev pabcuam dab tsi rau peb lub cev, nws tuaj yeem ua rau muaj teeb meem dab tsi, thiab cov kev daws teeb meem rau lawv yog dab tsi.

Tus txha nqaj qaum Lumbar yog dab tsi?

Hais yooj yim xwb, tus txha nqaj qaum lumbar yog ua los ntawm tsib pob txha (tseem hu ua vertebrae) nyob rau hauv qab ntawm koj nraub qaum. Cov kws kho mob hu tsib pob txha no ua L1, L2, L3, L4, thiab L5. (L txhais tau tias lumbar.) Cov vertebrae lumbar no loj dua thiab tuab dua li lwm cov vertebrae hauv koj tus txha nqaj qaum tag nrho, zoo li lub pob zeb plaub fab.

Xav txog, tus txha nqaj qaum lumbar nyob hauv qab 12 vertebrae hauv koj lub hauv siab (cov no hu ua thoracic vertebrae) thiab saum cov pob txha zoo li peb ceg hu ua sacrum, uas qis dua.

Vim tias cov pob txha caj qaum no loj, lawv muab kev ruaj khov zoo rau peb tus txha nqaj qaum. Tsis tas li ntawd, ntau cov leeg thiab cov leeg txuas rau qhov no. Qhov tseem ceeb tshaj plaws, tus txha nqaj qaum no dais qhov hnyav tshaj plaws ntawm koj lub cev. Tsis yog li ntawd xwb, nws tseem pab koj tswj koj qhov sib npaug. Cov leeg thiab cov leeg txuas rau tus txha nqaj qaum no pab koj taug kev, khiav, zaum, tsa khoom, khoov thiab ntswj koj lub cev rau txhua qhov kev taw qhia.

Koj tus txha nqaj qaum lumbar muaj qhov nkhaus me ntsis rau sab hauv. Nws hu ua qhov nkhaus lordotic .

Yuav ua li cas rau lub lumbar nqaj qaum?

Cia peb los saib qee yam uas tshwm sim hauv peb lub nraub qaum qis:

  • Nws txhawb nqa koj lub cev sab saud thiab faib koj qhov hnyav: Nws yog tus txha nqaj qaum lumbar uas txhawb nqa qhov hnyav ntawm koj lub taub hau, nrog rau xya tus pob txha caj dab hauv koj lub caj dab (hu ua tus txha nqaj qaum cervical) thiab kaum ob tus pob txha caj dab hauv koj lub hauv siab (tus txha nqaj qaum thoracic). Nws kuj txuas nrog koj lub plab mog, uas ris lub nra hnyav tshaj plaws hauv koj lub cev thiab ris lub siab thaum koj tsa lossis nqa ib yam dab tsi. Nws yog qhov uas hloov qhov hnyav ntawm koj lub cev sab saud mus rau koj ob txhais ceg.
  • Pab koj txav koj lub cev: Cov leeg nqaij hauv koj lub nraub qaum qis thiab qhov yooj ywm ntawm koj lub duav tso cai rau koj khoov koj lub cev rau txhua qhov kev taw qhia (mus tom ntej, rov qab), khoov rau sab, tig tag nrho, thiab ntswj. Ob lub duav kawg (L4, L5) tshwj xeeb tshaj yog pab nrog cov kev txav no tshaj plaws.
  • Tiv Thaiv Koj Tus Qog Ntsws thiab Cauda Equina: Tus qog ntsws, uas khiav hla koj tus txha nqaj qaum, zoo li lub xov paj hlwb tseem ceeb los ntawm koj lub hlwb. Nws pib ntawm lub hauv paus ntawm koj lub pob txha taub hau thiab xaus rau ntawm thawj lub lumbar vertebra (L1). Tom qab ntawd, muaj ib pawg ntawm cov hlab ntsha uas khiav los ntawm qhov kawg ntawm tus qog ntsws. Nws zoo li tus tw nees vim tiasNws hu ua cauda equina (txhais tau tias tus tw nees). Cov pob txha caj qaum no, cauda equina, yog tiv thaiv los ntawm ib daim ntaub uas ua los ntawm cov pob txha caj qaum no.
  • Tswj cov kev txav ntawm ceg: Cov hlab ntsha uas tawm ntawm koj lub qaum qis thiab cauda equina tswj cov kev xav (kev xav) thiab kev txav ntawm koj ob txhais ceg.

Cov leeg nqaij thiab lwm cov nqaij mos mos twg nyob rau hauv lub lumbar spine?

Cov leeg ntawm lub lumbar spine

Koj cov leeg nqaij nraub qaum qis, nrog rau koj cov leeg nqaij plab, txav koj lub cev thiab nraub qaum qis. Cov leeg nqaij thiab cov leeg no muab lub zog thiab kev ruaj khov rau koj nraub qaum qis, pab koj khoov mus tom ntej, rov qab, thiab tig. Nov yog qee cov leeg nqaij tseem ceeb uas txuas nrog lub duav:

  • Latissimus Dorsi: Qhov no yog ib qho leeg nqaij loj, tiaj tus, thiab peb ceg. Nws khiav raws koj lub nraub qaum nruab nrab thiab qis. Nws pab koj tsa cov hnyav nrog koj txhais tes, tsa koj lub hauv siab thaum koj ua pa, thiab khoov koj nraub qaum mus rau sab.
  • Iliopsoas: Qhov no yog ib pawg ntawm peb cov leeg nqaij. Nws txav koj lub pob qij txha. Cov leeg nqaij no pab kom koj lub pob qij txha thiab nraub qaum qis ruaj khov thaum koj taug kev, khiav, thiab sawv ntawm lub rooj zaum.
  • Paraspinals: Peb pawg leeg nqaij no nyob ntawm koj tus txha nqaj qaum. Lawv pab koj sawv ntsug, khoov rau sab, thiab tig. Lawv kuj tseem ceeb rau kev tswj koj tus cwj pwm.

Cov discs hauv cov pob txha caj qaum

Cov discs intervertebral yog cov feem ntawm tus txha nqaj qaum uas ua haujlwm zoo li "cov ncoo nqus kev co" ntawm ob lub pob txha caj qaum. Muaj tsib lub discs no nyob nruab nrab ntawm koj cov pob txha caj qaum lumbar. Ntxiv rau kev nqus kev co, cov discs no kuj pab txhawb nqa qhov hnyav uas taug kev mus rau hauv koj tus txha nqaj qaum thiab tso cai rau kev txav mus los ntawm cov pob txha caj qaum.

Tseem Ceeb: Lub disc no hauv koj lub nraub qaum qis yog qhov uas yuav lwj lossis herniate. Qhov no yog thaum koj pib hnov ​​​​​​mob hauv koj lub nraub qaum qis, lossis nqis koj ob txhais ceg, qee zaum mus rau hauv koj txhais taw.

Cov leeg ntawm lub lumbar spine

Cov leeg yog cov nqaij uas txuas ib pob txha mus rau lwm pob txha. Cov leeg hauv lub lumbar spine pab kom lub pob txha ruaj khov, ua rau txav tau yooj yim, thiab pab nqus cov kev cuam tshuam thaum muaj xwm txheej. Qee cov leeg tseem ceeb yog:

  • Anterior Longitudinal Ligament: Qhov no khiav mus rau pem hauv ntej ntawm cov pob txha caj qaum. Nws ua kom cov pob qij txha caj qaum ruaj khov thiab txwv tsis pub khoov rov qab (ntev).
  • Posterior Longitudinal Ligament: Qhov no khiav raws nraub qaum ntawm cov pob txha caj qaum. Nws txwv tsis pub khoov rau pem hauv ntej.
  • Supraspinous ligament/Interspinous ligament:Qhov kev khi no kuj pab txwv tsis pub khoov rau pem hauv ntej.
  • Ligamentum Flavum: Cov no npog sab hauv ntawm tus txha caj qaum thiab tiv thaiv tus txha caj qaum los ntawm tom qab.
  • Cov leeg txuas ntawm cov pob txha caj qaum: Cov no txuas cov pob txha caj qaum uas hla mus rau sab nraud. Lawv pab tiv thaiv kev khoov ntawm koj lub cev.
  • Iliolumbar ligament: Qhov no khiav ntawm L5 vertebra mus rau lub pob txha pelvic. Nws pab kom lub lumbosacral spine ruaj khov.

Cov Qog Ntsws thiab Cov Nerves

Raws li peb tau tham txog lawm, cov hlab ntsha qaum yog ib pob ntawm cov hlab ntsha uas txuas ntawm lub hlwb mus rau L1 vertebra. Qhov no yog qhov uas nqa cov lus los ntawm lub hlwb mus rau cov leeg. Cov hauv paus hlab ntsha uas mus tom qab L1 hu ua cauda equina .

Muaj tsib khub hlab ntsha tawm ntawm koj lub duav (L1 txog L5, ib khub rau txhua sab). Cov hlab ntsha no mus rau hauv koj lub duav thiab koom nrog lwm cov hlab ntsha los tsim ib lub network ntawm cov hlab ntsha uas tswj qhov mob, kev xav, thiab kev txav mus los hauv koj ob txhais ceg.

  • L1 hlab ntsha: Muab kev xav rau koj thaj tsam ntawm koj lub duav thiab qhov chaw mos, thiab pab txav koj cov leeg ntawm lub duav.
  • L2, L3, L4 cov hlab ntsha: Muab kev hnov ​​​​​​rau pem hauv ntej ntawm koj lub duav thiab sab hauv ntawm koj ceg qis. Lawv kuj tswj cov leeg nqaij ntawm lub duav thiab lub hauv caug.
  • L5 hlab ntsha: Muab kev hnov ​​​​​​rau sab nraub qaum ntawm koj ceg qis, sab saum toj ntawm koj txhais taw, thiab thaj chaw ntawm koj tus ntiv taw loj thiab tus ntiv taw thib ob. Nws kuj tswj kev txav ntawm koj lub duav, lub hauv caug, taw, thiab cov ntiv taw.
  • Nerve Sciatic: Qhov no yog tsim los ntawm L4, L5, thiab lwm yam hlab ntsha sacral. Nws pib hauv koj lub pob tw, khiav mus rau koj ceg, thiab xaus rau hauv koj txhais taw. Qhov mob sciatica tshwm sim thaum cov hlab ntsha no raug puas tsuaj lossis raug nias.

Cov hlab ntsha

Cov vertebrae, cov leeg, thiab cov ligaments hauv thaj tsam lumbar tau txais cov ntshav thiab cov as-ham los ntawm cov ceg ntoo los ntawm lub plab aorta, lub hlab ntsha tseem ceeb hauv koj lub plab.

Cov kab mob thiab kev mob nkeeg twg cuam tshuam rau tus txha nqaj qaum?

Tu siab kawg li, qhov qis ntawm peb tus txha nqaj qaum no tuaj yeem raug ntau yam teeb meem. Cov teeb meem no tuaj yeem txwv tsis pub koj txav mus los hauv koj lub nraub qaum lossis lub duav, thiab tuaj yeem ua rau mob, qaug zog, thiab loog hauv koj nraub qaum, lub duav, lub duav, lossis ob txhais ceg.

Qee cov kab mob thiab tej yam mob uas cuam tshuam rau tus txha nqaj qaum yog:

  • Mob nraub qaum qis: Qhov no yog ib qho teeb meem uas ntau tus neeg ntsib. Nws tuaj yeem tshwm sim los ntawm ntau yam kev raug mob thiab mob. Cov kab mob degenerative (piv txwv li Osteoarthritis , Ankylosing Spondylitis ), Spinal Stenosis , Herniated DiskMob nraub qaum tuaj yeem yog los ntawm tej yam xws li cov hlab ntsha raug ntswj, cov pob qij txha tawg, cov pob txha caj qaum tawg, cov qog nqaij hlav, cov cysts, cov pob txha spurs, thiab spondylolisthesis (kev plam ntawm tus vertebra).
  • Mob Qog Ncab Qaum: Qhov no yog qhov nqaim ntawm qhov chaw nyob ib puag ncig koj cov hlab ntsha caj qaum. Qhov no txo ​​qhov chaw rau cov hlab ntsha uas tawm ntawm cov hlab ntsha caj qaum. Qhov no tuaj yeem ua rau cov hlab ntsha raug nias, mob, loog, tsis muaj zog hauv ob txhais ceg, qhov chaw mos, lub duav, pob tw, thiab nraub qaum qis. Cov tsos mob no yuav hnyav zuj zus thaum taug kev lossis sawv ntsug, thiab yuav txo tau los ntawm kev pw, zaum, lossis khoov rau pem hauv ntej me ntsis.
  • Spondylolisthesis: Qhov no yog thaum lub lumbar vertebra txav mus rau pem hauv ntej piv rau lub vertebra hauv qab nws. Qhov no tuaj yeem nias lub hlab ntsha thiab ua rau mob nraub qaum lossis ceg.
  • Pob Txha Pob Txha: Ib tug neeg uas muaj mob xws li pob txha tawg tuaj yeem raug mob pob txha los ntawm kev sib tsoo me me. Cov pob txha tawg hnyav kuj tuaj yeem tshwm sim los ntawm tej yam xws li kev sib tsoo tsheb thiab kev poob ntawm qhov siab.
  • Sciatica: Kuj hu ua lumbar radiculopathy , qhov no yog mob hlab ntsha los ntawm kev puas tsuaj lossis khaus rau cov hlab ntsha sciatic. Nws tuaj yeem tshwm sim los ntawm tej yam xws li herniated disc, spondylolisthesis, lossis osteoarthritis.
  • Kab Mob Pob Txha Herniated Disc: Qhov no tshwm sim thaum lub pob txha ntawm cov pob txha caj qaum tawm, tawg, lossis xau nws cov khoom hauv. Nws tuaj yeem ua rau mob nraub qaum, loog hauv ob txhais ceg, thiab cov leeg tsis muaj zog.
  • Lumbar Lordosis (tseem hu ua "Swayback"): Qhov no yog qhov nkhaus ntau dhau ntawm sab nraub qaum. Qhov no muab kev nyuaj siab tsis tsim nyog rau cov pob txha caj qaum. Qhov no tuaj yeem tshwm sim los ntawm cov kab mob, kev sawv cev tsis zoo, thiab kev khoov ntau dhau ntawm tus txha nraub qaum.
  • Cov leeg nqaij ntswj: Muaj cov leeg nqaij loj uas txhawb nqa thaj tsam lub duav. Cov leeg nqaij no tuaj yeem nruj lossis ntswj. Qhov no kuj yog ib qho ua rau mob nraub qaum.
  • Kab Mob Degenerative Disc: Qhov mob no tshwm sim thaum cov discs hauv lub lumbar spine hnav. Qhov chaw ntawm cov vertebrae txo qis, uas tuaj yeem ua rau cov hlab ntsha raug nias thiab mob nraub qaum.
  • Kab mob Scoliosis rau cov neeg laus: Kab mob Scoliosis yog qhov nkhaus ntawm tus txha nqaj qaum rau sab. Qhov mob no tuaj yeem tshwm sim rau ntawm tus txha nqaj qaum thaum peb laus zuj zus lossis thaum tus txha nqaj qaum puas lawm.
  • Kab Mob Cauda Equina: Tus mob no yog tshwm sim los ntawm kev nias ntawm cov hlab ntsha hu ua cauda equina. Qhov no yog ib qho xwm txheej ceev hauv kev kho mob . Cov tsos mob suav nrog mob, qaug zog, thiab tsis tuaj yeem tswj tau txoj hnyuv thiab zais zis.

Yuav kuaj mob li cas txog cov kab mob thiab tej yam mob ntawm tus txha nqaj qaum?

Ua ntej, koj tus kws kho mob yuav nug koj txog koj keeb kwm kev mob nkeeg, cov tshuaj uas koj noj, thiab cov tsos mob. Tom qab ntawd, lawv yuav kuaj lub cev thiab xaj cov kev kuaj thiab kev luam theej duab yog tias tsim nyog.

Koj tuaj yeem ua cov kev ntsuam xyuas zoo li no:

  • CT Scan (Computed Tomography - CT Scan): Qhov no siv cov duab X-rays thiab lub khoos phis tawj los thaij cov duab "txiav" nyias nyias ntawm thaj chaw uas raug kuaj. Nws tuaj yeem saib cov khoom xws li cov duab thiab qhov loj ntawm tus txha caj qaum, thiab cov xwm txheej ntawm cov pob txha (pob txha spurs, pob txha fusion, pob txha puas tsuaj vim muaj kev kis kab mob lossis qog).
  • Kev Siv Duab Xam Xaj Sib Nqus (MRI): Qhov no siv lub hlau nplaum loj, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los thaij cov duab kom ntxaws. Nws tuaj yeem pab kuaj mob cov teeb meem nrog cov hlab ntsha hauv lub hlwb thiab cov hlab ntsha uas tawm ntawm lub hlwb, xws li cov discs herniated, kev kis kab mob, thiab cov qog nqaij hlav. Kev siv MRI muab cov duab meej dua ntawm cov hlab ntsha dua li kev siv CT scan.
  • Cov duab X-rays: Siv me ntsis hluav taws xob los thaij duab cov pob txha thiab cov nqaij mos. Lawv tuaj yeem nrhiav cov khoom xws li pob txha tawg, teeb meem disc, pob txha caj qaum stenosis, thiab mob pob qij txha.
  • Kev Ntsuas Hluav Taws Xob (EMG) thiab Kev Tshawb Fawb Txog Kev Siv Hluav Taws Xob ntawm Cov Ncej: Kev kuaj EMG kuaj xyuas kev noj qab haus huv thiab kev ua haujlwm ntawm cov hlab ntsha thiab cov leeg. Kev tshawb fawb txog kev siv hluav taws xob ntsuas seb lub zog hluav taws xob mus raws cov hlab ntsha sai npaum li cas. Cov kev kuaj no tuaj yeem pab txheeb xyuas cov hlab ntsha puas tsuaj thiab qhov twg cov hlab ntsha raug nias.
  • Myelogram: Qhov kev kuaj no saib xyuas kev sib txuas ntawm cov pob txha caj qaum thiab cov discs, cov hlab ntsha hauv tus txha caj qaum, thiab cov hauv paus hlab ntsha. Nws tuaj yeem kuaj xyuas seb puas muaj qog nqaij hlav, pob txha spur, lossis herniated disc uas nias rau ntawm cov hlab ntsha hauv tus txha caj qaum lossis cov hlab ntsha, ua rau mob, loog, lossis qaug zog.

Yuav kho cov teeb meem kev noj qab haus huv ntawm tus txha nqaj qaum li cas?

Muaj ob qho kev kho mob uas tsis yog phais thiab kev kho mob phais rau ntau yam mob uas cuam tshuam rau tus txha nqaj qaum. Txoj kev kho mob uas koj xaiv yuav nyob ntawm qhov ua rau muaj teeb meem thiab nws qhov hnyav.

Cov kev kho mob uas tsis yog phais yog dab tsi?

Yog tias koj qhov mob nraub qaum tsis yog los ntawm kev sib tsoo lossis mob qog, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob uas tsis mob hnyav ua ntej. Qee qhov kev kho mob uas tsis yog phais mob feem ntau suav nrog:

  • So.
  • Dej khov los yog kub compress.
  • Tsis txhob ua haujlwm uas ua rau nkees lossis ua rau mob ntxiv.
  • Kev Kho Mob Lub Cev.
  • Cov tshuaj: cov tshuaj ua kom cov leeg so, cov tshuaj tua kab mob (piv txwv li paracetamol), thiab cov tshuaj tiv thaiv kev o (piv txwv li ibuprofen, naproxen).
  • Kev Txhaj Tshuaj Steroid: Muaj peb hom kev txhaj tshuaj steroid uas tuaj yeem xav txog rau qhov mob lumbar. Lumbar Epidural Block yog kev txhaj tshuaj steroids rau hauv qhov chaw epidural, uas yog qhov chaw sab nraum cov hlab ntsha qaum.Kev thaiv cov pob qij txha lumbar yog kev txhaj tshuaj steroid rau hauv cov pob qij txha facet uas nyob nruab nrab ntawm cov pob txha caj qaum. Kev txhaj tshuaj interlaminar lossis transforaminal yog kev txhaj tshuaj steroid rau hauv qhov chaw nruab nrab ntawm cov hlab ntsha qaum thiab cov pob txha caj qaum.
  • Kev Kho Mob Ceg Thaiv thiab Kev Siv Radiofrequency Ablation: Kev kho mob no yog xav txog rau qee qhov mob lumbar ntev. Ua ntej, tshuaj loog hauv zos raug txhaj rau hauv cov hlab ntsha uas txuas rau qhov sib koom ua ke ntawm tus txha nqaj qaum. Yog tias qhov mob txo qis, kauj ruam tom ntej yog sim tshem tawm qhov mob mus tas li. Qhov no yog ua los ntawm kev ua puas rau cov hlab ntsha nrog cov txheej txheem hu ua radiofrequency ablation . Qhov mob tau raug txo qis rau ntau lub hlis. Txawm li cas los xij, yog tias cov hlab ntsha loj hlob rov qab, qhov mob tuaj yeem rov qab los.

Kuv yuav paub li cas yog tias kuv xav tau kev phais mob ntawm lub duav?

Tej zaum koj yuav xav tau kev phais mob ntawm tus txha nqaj qaum yog tias:

  • Yog tias lwm yam kev kho mob tsis pab.
  • Yog tias koj cov tsos mob ntawm koj nraub qaum qis, lub duav thiab/lossis ceg hnyav zuj zus tuaj (feem ntau yog phais rau qhov mob ceg es tsis yog mob nraub qaum).
  • Yog koj noj qab nyob zoo txaus los phais mob.

Yog tias koj raug mob rau thaj tsam lumbar los ntawm kev sib tsoo (xws li kev sib tsoo tsheb), mob qog noj ntshav, epidural abscess (kev kis kab mob ntawm cov hlab ntsha qaum thiab cov ntaub npog ntawm cov hlab ntsha qaum), osteomyelitis (kev kis kab mob ntawm cov pob txha), cauda equina syndrome, lossis conus medullaris syndrome (ib hom kab mob ntawm cov hlab ntsha qaum), phais yog thawj kab kev kho mob.

Muaj kev phais dab tsi rau cov mob ntawm lub lumbar?

Nov yog qee cov txheej txheem phais mob uas feem ntau ua:

Kev Phais Mob Ncab Qaum

Qhov no yog ib lo lus dav dav. Nws yog hais txog ntau yam kev phais mob uas ua los pab txo cov tsos mob los ntawm kev txo qhov siab lossis kev nias rau ntawm tus txha caj qaum lossis cov hauv paus paj hlwb. Cov txheej txheem phais mob feem ntau suav nrog:

  • Lumbar Diskectomy: Hauv txoj kev kho mob no, tus kws phais tshem tawm ib feem ntawm lub disc kom txo qhov siab ntawm cov hauv paus paj hlwb nyob ze.
  • Kev phais Lumbar Laminotomy lossis Laminectomy: Hauv txoj kev phais no, tus kws phais yuav tshem tawm ib feem me me ntawm cov pob txha caj qaum (lamina) ntawm tus kwj deg. Hauv kev phais laminotomy, tsuas yog ib daim me me ntawm cov lamina raug tshem tawm. Hauv kev phais laminectomy, tag nrho cov lamina raug tshem tawm, nrog rau cov pob txha spurs, cov disc fragments, thiab cov leeg nqaij tuab, yog tias tsim nyog. Thaum cov lamina raug tshem tawm, tus kwj deg caj qaum yuav dav dua thiab qhov siab yuav raug txo qis.
  • Kev phais lub duav los yog kev phais lub duav:Ob qho kev phais no yog ua los ua kom qhov qhib (foramen) loj dua uas cov hauv paus hlab ntsha tawm ntawm tus txha caj qaum, los ntawm kev tshem tawm qee cov pob txha hauv thaj chaw ntawd. Hauv kev phais foraminectomy, yuav tshem tawm ntau cov pob txha.
  • Kev phais mob Lumbar Corpectomy: Hauv qhov kev phais no, tus kws phais yuav tshem tawm qhov tseem ceeb ntawm cov pob txha caj qaum (vertebral body) thiab cov disc kom txo qhov kev nyuaj siab rau cov hlab ntsha caj qaum. Qee zaum, cov pob txha caj qaum yuav raug sib koom ua ke ( spinal fusion ) kom ruaj khov rau cov pob txha caj qaum lumbar.

Kev Phais Hloov Plab Hlab

Hauv qhov no, ib daim disc lumbar uas muaj mob raug tshem tawm thiab ib daim disc cuav raug ntxig rau hauv. Qhov no feem ntau ua rau kev hloov daim disc lumbar. Txawm li cas los xij, nyob rau xyoo tas los no, qhov kev phais no tau dhau los ua tsawg dua, vim muaj teeb meem uas tshwm sim tom qab phais.

Kev Sib Txuas Lus Ntawm Lub Plab Hau

Qhov no yog ib qho kev phais uas muab ib lossis ntau lub pob txha caj qaum sib txuas ua ke tas mus li, tshem tawm kev txav mus los ntawm cov pob txha caj qaum.

Kev Siv Hluav Taws Xob Txhawb Rau Kev Raug Mob Ntawm Qaum Qaum

Hauv txoj kev no, cov hluav taws xob me me raug siv los ua kom cov leeg nqaij thiab cov hlab ntsha ntawm lub cev qis uas tswj hwm los ntawm cov hlab ntsha ntawm lub duav, sim rov qab ua haujlwm.

Kuv puas tuaj yeem phais mob lumbar spine uas tsis tshua muaj kev cuam tshuam?

Tham nrog koj tus kws phais txog qhov no. Feem ntau, kev phais pob txha caj qaum uas tsis tas phais ntau dhau tau hloov kev phais qhib ib txwm muaj. Dua li ua ib qho kev phais loj rau ntawm daim tawv nqaij, kev phais uas tsis tas phais ntau dhau yog ua los ntawm ib lossis ntau qhov kev phais me me. Vim tias cov kev phais me me, muaj kev puas tsuaj tsawg dua rau cov leeg thiab cov nqaij mos dua li qhov kev phais loj.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Koj tus txha nqaj qaum yog qhov qis ntawm koj nraub qaum. Nws muaj tsib lub pob txha caj qaum (L1-L5). Nws kuj muaj cov intervertebral discs, cov hlab ntsha, thiab cov hlab ntsha, cov leeg, cov leeg, thiab cov leeg nqaij. Nws yog tus txha nqaj qaum uas txhawb nqa koj lub cev qhov hnyav thiab tso cai rau feem ntau ntawm koj lub cev txav mus los.

Qhov tseem ceeb tshaj plaws yog, yog tias koj mob nraub qaum tas li, loog hauv koj ob txhais ceg, lossis tsis muaj zog, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob thiab nrhiav kev pab tswv yim.

Muaj ob qho kev kho mob uas tsis yog phais thiab kev kho mob phais rau ntau yam mob. Yog li ntawd, tsis muaj dab tsi yuav txhawj txog. Koj tuaj yeem pab kom koj tus txha nqaj qaum noj qab haus huv los ntawm kev tswj hwm tus cwj pwm kom zoo, tsa cov hnyav kom raug, thiab tawm dag zog.


Mob nraub qaum, mob pob qij txha lumbar, mob pob txha caj qaum, mob disc, mob sciatica, mob pob txha caj qaum, mob hlab ntsha

Frequently Asked Questions (FAQ)

Cov kev kho mob uas tsis yog phais yog dab tsi?

Yog tias koj qhov mob nraub qaum tsis yog los ntawm kev sib tsoo lossis mob qog, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob uas tsis mob hnyav ua ntej. Qee qhov kev kho mob uas tsis yog phais mob feem ntau suav nrog:

Kuv yuav paub li cas yog tias kuv xav tau kev phais mob ntawm lub duav?

Tej zaum koj yuav xav tau kev phais mob ntawm tus txha nqaj qaum yog tias:

Muaj kev phais dab tsi rau cov mob ntawm lub lumbar?

Nov yog qee cov txheej txheem phais mob uas feem ntau ua:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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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

Thov xam: 4 + 9 =
Cia peb kawm txog koj lub nraub qaum qis (Lumbar Spine) Qhov no yog dab tsi tiag?

Cia peb kawm txog koj lub nraub qaum qis (Lumbar Spine) Qhov no yog dab tsi tiag?

Koj puas muaj tej lub sij hawm mob nraub qaum qis? Thaum koj zaum hauv ib qho chaw ntev, lossis thaum koj tsa ib yam khoom hnyav, nraub qaum qis yog qhov uas koj ntxhov siab tshaj plaws. Yog li, hnub no peb yuav tham txog nraub qaum qis, uas yog ib feem tseem ceeb ntawm peb lub cev, lossis raws li cov kws kho mob hu ua , tus txha nqaj qaum lumbar . Cia peb nkag siab yooj yim tias nws yog dab tsi, nws muab kev pabcuam dab tsi rau peb lub cev, nws tuaj yeem ua rau muaj teeb meem dab tsi, thiab cov kev daws teeb meem rau lawv yog dab tsi.

Tus txha nqaj qaum Lumbar yog dab tsi?

Hais yooj yim xwb, tus txha nqaj qaum lumbar yog ua los ntawm tsib pob txha (tseem hu ua vertebrae) nyob rau hauv qab ntawm koj nraub qaum. Cov kws kho mob hu tsib pob txha no ua L1, L2, L3, L4, thiab L5. (L txhais tau tias lumbar.) Cov vertebrae lumbar no loj dua thiab tuab dua li lwm cov vertebrae hauv koj tus txha nqaj qaum tag nrho, zoo li lub pob zeb plaub fab.

Xav txog, tus txha nqaj qaum lumbar nyob hauv qab 12 vertebrae hauv koj lub hauv siab (cov no hu ua thoracic vertebrae) thiab saum cov pob txha zoo li peb ceg hu ua sacrum, uas qis dua.

Vim tias cov pob txha caj qaum no loj, lawv muab kev ruaj khov zoo rau peb tus txha nqaj qaum. Tsis tas li ntawd, ntau cov leeg thiab cov leeg txuas rau qhov no. Qhov tseem ceeb tshaj plaws, tus txha nqaj qaum no dais qhov hnyav tshaj plaws ntawm koj lub cev. Tsis yog li ntawd xwb, nws tseem pab koj tswj koj qhov sib npaug. Cov leeg thiab cov leeg txuas rau tus txha nqaj qaum no pab koj taug kev, khiav, zaum, tsa khoom, khoov thiab ntswj koj lub cev rau txhua qhov kev taw qhia.

Koj tus txha nqaj qaum lumbar muaj qhov nkhaus me ntsis rau sab hauv. Nws hu ua qhov nkhaus lordotic .

Yuav ua li cas rau lub lumbar nqaj qaum?

Cia peb los saib qee yam uas tshwm sim hauv peb lub nraub qaum qis:

  • Nws txhawb nqa koj lub cev sab saud thiab faib koj qhov hnyav: Nws yog tus txha nqaj qaum lumbar uas txhawb nqa qhov hnyav ntawm koj lub taub hau, nrog rau xya tus pob txha caj dab hauv koj lub caj dab (hu ua tus txha nqaj qaum cervical) thiab kaum ob tus pob txha caj dab hauv koj lub hauv siab (tus txha nqaj qaum thoracic). Nws kuj txuas nrog koj lub plab mog, uas ris lub nra hnyav tshaj plaws hauv koj lub cev thiab ris lub siab thaum koj tsa lossis nqa ib yam dab tsi. Nws yog qhov uas hloov qhov hnyav ntawm koj lub cev sab saud mus rau koj ob txhais ceg.
  • Pab koj txav koj lub cev: Cov leeg nqaij hauv koj lub nraub qaum qis thiab qhov yooj ywm ntawm koj lub duav tso cai rau koj khoov koj lub cev rau txhua qhov kev taw qhia (mus tom ntej, rov qab), khoov rau sab, tig tag nrho, thiab ntswj. Ob lub duav kawg (L4, L5) tshwj xeeb tshaj yog pab nrog cov kev txav no tshaj plaws.
  • Tiv Thaiv Koj Tus Qog Ntsws thiab Cauda Equina: Tus qog ntsws, uas khiav hla koj tus txha nqaj qaum, zoo li lub xov paj hlwb tseem ceeb los ntawm koj lub hlwb. Nws pib ntawm lub hauv paus ntawm koj lub pob txha taub hau thiab xaus rau ntawm thawj lub lumbar vertebra (L1). Tom qab ntawd, muaj ib pawg ntawm cov hlab ntsha uas khiav los ntawm qhov kawg ntawm tus qog ntsws. Nws zoo li tus tw nees vim tiasNws hu ua cauda equina (txhais tau tias tus tw nees). Cov pob txha caj qaum no, cauda equina, yog tiv thaiv los ntawm ib daim ntaub uas ua los ntawm cov pob txha caj qaum no.
  • Tswj cov kev txav ntawm ceg: Cov hlab ntsha uas tawm ntawm koj lub qaum qis thiab cauda equina tswj cov kev xav (kev xav) thiab kev txav ntawm koj ob txhais ceg.

Cov leeg nqaij thiab lwm cov nqaij mos mos twg nyob rau hauv lub lumbar spine?

Cov leeg ntawm lub lumbar spine

Koj cov leeg nqaij nraub qaum qis, nrog rau koj cov leeg nqaij plab, txav koj lub cev thiab nraub qaum qis. Cov leeg nqaij thiab cov leeg no muab lub zog thiab kev ruaj khov rau koj nraub qaum qis, pab koj khoov mus tom ntej, rov qab, thiab tig. Nov yog qee cov leeg nqaij tseem ceeb uas txuas nrog lub duav:

  • Latissimus Dorsi: Qhov no yog ib qho leeg nqaij loj, tiaj tus, thiab peb ceg. Nws khiav raws koj lub nraub qaum nruab nrab thiab qis. Nws pab koj tsa cov hnyav nrog koj txhais tes, tsa koj lub hauv siab thaum koj ua pa, thiab khoov koj nraub qaum mus rau sab.
  • Iliopsoas: Qhov no yog ib pawg ntawm peb cov leeg nqaij. Nws txav koj lub pob qij txha. Cov leeg nqaij no pab kom koj lub pob qij txha thiab nraub qaum qis ruaj khov thaum koj taug kev, khiav, thiab sawv ntawm lub rooj zaum.
  • Paraspinals: Peb pawg leeg nqaij no nyob ntawm koj tus txha nqaj qaum. Lawv pab koj sawv ntsug, khoov rau sab, thiab tig. Lawv kuj tseem ceeb rau kev tswj koj tus cwj pwm.

Cov discs hauv cov pob txha caj qaum

Cov discs intervertebral yog cov feem ntawm tus txha nqaj qaum uas ua haujlwm zoo li "cov ncoo nqus kev co" ntawm ob lub pob txha caj qaum. Muaj tsib lub discs no nyob nruab nrab ntawm koj cov pob txha caj qaum lumbar. Ntxiv rau kev nqus kev co, cov discs no kuj pab txhawb nqa qhov hnyav uas taug kev mus rau hauv koj tus txha nqaj qaum thiab tso cai rau kev txav mus los ntawm cov pob txha caj qaum.

Tseem Ceeb: Lub disc no hauv koj lub nraub qaum qis yog qhov uas yuav lwj lossis herniate. Qhov no yog thaum koj pib hnov ​​​​​​mob hauv koj lub nraub qaum qis, lossis nqis koj ob txhais ceg, qee zaum mus rau hauv koj txhais taw.

Cov leeg ntawm lub lumbar spine

Cov leeg yog cov nqaij uas txuas ib pob txha mus rau lwm pob txha. Cov leeg hauv lub lumbar spine pab kom lub pob txha ruaj khov, ua rau txav tau yooj yim, thiab pab nqus cov kev cuam tshuam thaum muaj xwm txheej. Qee cov leeg tseem ceeb yog:

  • Anterior Longitudinal Ligament: Qhov no khiav mus rau pem hauv ntej ntawm cov pob txha caj qaum. Nws ua kom cov pob qij txha caj qaum ruaj khov thiab txwv tsis pub khoov rov qab (ntev).
  • Posterior Longitudinal Ligament: Qhov no khiav raws nraub qaum ntawm cov pob txha caj qaum. Nws txwv tsis pub khoov rau pem hauv ntej.
  • Supraspinous ligament/Interspinous ligament:Qhov kev khi no kuj pab txwv tsis pub khoov rau pem hauv ntej.
  • Ligamentum Flavum: Cov no npog sab hauv ntawm tus txha caj qaum thiab tiv thaiv tus txha caj qaum los ntawm tom qab.
  • Cov leeg txuas ntawm cov pob txha caj qaum: Cov no txuas cov pob txha caj qaum uas hla mus rau sab nraud. Lawv pab tiv thaiv kev khoov ntawm koj lub cev.
  • Iliolumbar ligament: Qhov no khiav ntawm L5 vertebra mus rau lub pob txha pelvic. Nws pab kom lub lumbosacral spine ruaj khov.

Cov Qog Ntsws thiab Cov Nerves

Raws li peb tau tham txog lawm, cov hlab ntsha qaum yog ib pob ntawm cov hlab ntsha uas txuas ntawm lub hlwb mus rau L1 vertebra. Qhov no yog qhov uas nqa cov lus los ntawm lub hlwb mus rau cov leeg. Cov hauv paus hlab ntsha uas mus tom qab L1 hu ua cauda equina .

Muaj tsib khub hlab ntsha tawm ntawm koj lub duav (L1 txog L5, ib khub rau txhua sab). Cov hlab ntsha no mus rau hauv koj lub duav thiab koom nrog lwm cov hlab ntsha los tsim ib lub network ntawm cov hlab ntsha uas tswj qhov mob, kev xav, thiab kev txav mus los hauv koj ob txhais ceg.

  • L1 hlab ntsha: Muab kev xav rau koj thaj tsam ntawm koj lub duav thiab qhov chaw mos, thiab pab txav koj cov leeg ntawm lub duav.
  • L2, L3, L4 cov hlab ntsha: Muab kev hnov ​​​​​​rau pem hauv ntej ntawm koj lub duav thiab sab hauv ntawm koj ceg qis. Lawv kuj tswj cov leeg nqaij ntawm lub duav thiab lub hauv caug.
  • L5 hlab ntsha: Muab kev hnov ​​​​​​rau sab nraub qaum ntawm koj ceg qis, sab saum toj ntawm koj txhais taw, thiab thaj chaw ntawm koj tus ntiv taw loj thiab tus ntiv taw thib ob. Nws kuj tswj kev txav ntawm koj lub duav, lub hauv caug, taw, thiab cov ntiv taw.
  • Nerve Sciatic: Qhov no yog tsim los ntawm L4, L5, thiab lwm yam hlab ntsha sacral. Nws pib hauv koj lub pob tw, khiav mus rau koj ceg, thiab xaus rau hauv koj txhais taw. Qhov mob sciatica tshwm sim thaum cov hlab ntsha no raug puas tsuaj lossis raug nias.

Cov hlab ntsha

Cov vertebrae, cov leeg, thiab cov ligaments hauv thaj tsam lumbar tau txais cov ntshav thiab cov as-ham los ntawm cov ceg ntoo los ntawm lub plab aorta, lub hlab ntsha tseem ceeb hauv koj lub plab.

Cov kab mob thiab kev mob nkeeg twg cuam tshuam rau tus txha nqaj qaum?

Tu siab kawg li, qhov qis ntawm peb tus txha nqaj qaum no tuaj yeem raug ntau yam teeb meem. Cov teeb meem no tuaj yeem txwv tsis pub koj txav mus los hauv koj lub nraub qaum lossis lub duav, thiab tuaj yeem ua rau mob, qaug zog, thiab loog hauv koj nraub qaum, lub duav, lub duav, lossis ob txhais ceg.

Qee cov kab mob thiab tej yam mob uas cuam tshuam rau tus txha nqaj qaum yog:

  • Mob nraub qaum qis: Qhov no yog ib qho teeb meem uas ntau tus neeg ntsib. Nws tuaj yeem tshwm sim los ntawm ntau yam kev raug mob thiab mob. Cov kab mob degenerative (piv txwv li Osteoarthritis , Ankylosing Spondylitis ), Spinal Stenosis , Herniated DiskMob nraub qaum tuaj yeem yog los ntawm tej yam xws li cov hlab ntsha raug ntswj, cov pob qij txha tawg, cov pob txha caj qaum tawg, cov qog nqaij hlav, cov cysts, cov pob txha spurs, thiab spondylolisthesis (kev plam ntawm tus vertebra).
  • Mob Qog Ncab Qaum: Qhov no yog qhov nqaim ntawm qhov chaw nyob ib puag ncig koj cov hlab ntsha caj qaum. Qhov no txo ​​qhov chaw rau cov hlab ntsha uas tawm ntawm cov hlab ntsha caj qaum. Qhov no tuaj yeem ua rau cov hlab ntsha raug nias, mob, loog, tsis muaj zog hauv ob txhais ceg, qhov chaw mos, lub duav, pob tw, thiab nraub qaum qis. Cov tsos mob no yuav hnyav zuj zus thaum taug kev lossis sawv ntsug, thiab yuav txo tau los ntawm kev pw, zaum, lossis khoov rau pem hauv ntej me ntsis.
  • Spondylolisthesis: Qhov no yog thaum lub lumbar vertebra txav mus rau pem hauv ntej piv rau lub vertebra hauv qab nws. Qhov no tuaj yeem nias lub hlab ntsha thiab ua rau mob nraub qaum lossis ceg.
  • Pob Txha Pob Txha: Ib tug neeg uas muaj mob xws li pob txha tawg tuaj yeem raug mob pob txha los ntawm kev sib tsoo me me. Cov pob txha tawg hnyav kuj tuaj yeem tshwm sim los ntawm tej yam xws li kev sib tsoo tsheb thiab kev poob ntawm qhov siab.
  • Sciatica: Kuj hu ua lumbar radiculopathy , qhov no yog mob hlab ntsha los ntawm kev puas tsuaj lossis khaus rau cov hlab ntsha sciatic. Nws tuaj yeem tshwm sim los ntawm tej yam xws li herniated disc, spondylolisthesis, lossis osteoarthritis.
  • Kab Mob Pob Txha Herniated Disc: Qhov no tshwm sim thaum lub pob txha ntawm cov pob txha caj qaum tawm, tawg, lossis xau nws cov khoom hauv. Nws tuaj yeem ua rau mob nraub qaum, loog hauv ob txhais ceg, thiab cov leeg tsis muaj zog.
  • Lumbar Lordosis (tseem hu ua "Swayback"): Qhov no yog qhov nkhaus ntau dhau ntawm sab nraub qaum. Qhov no muab kev nyuaj siab tsis tsim nyog rau cov pob txha caj qaum. Qhov no tuaj yeem tshwm sim los ntawm cov kab mob, kev sawv cev tsis zoo, thiab kev khoov ntau dhau ntawm tus txha nraub qaum.
  • Cov leeg nqaij ntswj: Muaj cov leeg nqaij loj uas txhawb nqa thaj tsam lub duav. Cov leeg nqaij no tuaj yeem nruj lossis ntswj. Qhov no kuj yog ib qho ua rau mob nraub qaum.
  • Kab Mob Degenerative Disc: Qhov mob no tshwm sim thaum cov discs hauv lub lumbar spine hnav. Qhov chaw ntawm cov vertebrae txo qis, uas tuaj yeem ua rau cov hlab ntsha raug nias thiab mob nraub qaum.
  • Kab mob Scoliosis rau cov neeg laus: Kab mob Scoliosis yog qhov nkhaus ntawm tus txha nqaj qaum rau sab. Qhov mob no tuaj yeem tshwm sim rau ntawm tus txha nqaj qaum thaum peb laus zuj zus lossis thaum tus txha nqaj qaum puas lawm.
  • Kab Mob Cauda Equina: Tus mob no yog tshwm sim los ntawm kev nias ntawm cov hlab ntsha hu ua cauda equina. Qhov no yog ib qho xwm txheej ceev hauv kev kho mob . Cov tsos mob suav nrog mob, qaug zog, thiab tsis tuaj yeem tswj tau txoj hnyuv thiab zais zis.

Yuav kuaj mob li cas txog cov kab mob thiab tej yam mob ntawm tus txha nqaj qaum?

Ua ntej, koj tus kws kho mob yuav nug koj txog koj keeb kwm kev mob nkeeg, cov tshuaj uas koj noj, thiab cov tsos mob. Tom qab ntawd, lawv yuav kuaj lub cev thiab xaj cov kev kuaj thiab kev luam theej duab yog tias tsim nyog.

Koj tuaj yeem ua cov kev ntsuam xyuas zoo li no:

  • CT Scan (Computed Tomography - CT Scan): Qhov no siv cov duab X-rays thiab lub khoos phis tawj los thaij cov duab "txiav" nyias nyias ntawm thaj chaw uas raug kuaj. Nws tuaj yeem saib cov khoom xws li cov duab thiab qhov loj ntawm tus txha caj qaum, thiab cov xwm txheej ntawm cov pob txha (pob txha spurs, pob txha fusion, pob txha puas tsuaj vim muaj kev kis kab mob lossis qog).
  • Kev Siv Duab Xam Xaj Sib Nqus (MRI): Qhov no siv lub hlau nplaum loj, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los thaij cov duab kom ntxaws. Nws tuaj yeem pab kuaj mob cov teeb meem nrog cov hlab ntsha hauv lub hlwb thiab cov hlab ntsha uas tawm ntawm lub hlwb, xws li cov discs herniated, kev kis kab mob, thiab cov qog nqaij hlav. Kev siv MRI muab cov duab meej dua ntawm cov hlab ntsha dua li kev siv CT scan.
  • Cov duab X-rays: Siv me ntsis hluav taws xob los thaij duab cov pob txha thiab cov nqaij mos. Lawv tuaj yeem nrhiav cov khoom xws li pob txha tawg, teeb meem disc, pob txha caj qaum stenosis, thiab mob pob qij txha.
  • Kev Ntsuas Hluav Taws Xob (EMG) thiab Kev Tshawb Fawb Txog Kev Siv Hluav Taws Xob ntawm Cov Ncej: Kev kuaj EMG kuaj xyuas kev noj qab haus huv thiab kev ua haujlwm ntawm cov hlab ntsha thiab cov leeg. Kev tshawb fawb txog kev siv hluav taws xob ntsuas seb lub zog hluav taws xob mus raws cov hlab ntsha sai npaum li cas. Cov kev kuaj no tuaj yeem pab txheeb xyuas cov hlab ntsha puas tsuaj thiab qhov twg cov hlab ntsha raug nias.
  • Myelogram: Qhov kev kuaj no saib xyuas kev sib txuas ntawm cov pob txha caj qaum thiab cov discs, cov hlab ntsha hauv tus txha caj qaum, thiab cov hauv paus hlab ntsha. Nws tuaj yeem kuaj xyuas seb puas muaj qog nqaij hlav, pob txha spur, lossis herniated disc uas nias rau ntawm cov hlab ntsha hauv tus txha caj qaum lossis cov hlab ntsha, ua rau mob, loog, lossis qaug zog.

Yuav kho cov teeb meem kev noj qab haus huv ntawm tus txha nqaj qaum li cas?

Muaj ob qho kev kho mob uas tsis yog phais thiab kev kho mob phais rau ntau yam mob uas cuam tshuam rau tus txha nqaj qaum. Txoj kev kho mob uas koj xaiv yuav nyob ntawm qhov ua rau muaj teeb meem thiab nws qhov hnyav.

Cov kev kho mob uas tsis yog phais yog dab tsi?

Yog tias koj qhov mob nraub qaum tsis yog los ntawm kev sib tsoo lossis mob qog, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob uas tsis mob hnyav ua ntej. Qee qhov kev kho mob uas tsis yog phais mob feem ntau suav nrog:

  • So.
  • Dej khov los yog kub compress.
  • Tsis txhob ua haujlwm uas ua rau nkees lossis ua rau mob ntxiv.
  • Kev Kho Mob Lub Cev.
  • Cov tshuaj: cov tshuaj ua kom cov leeg so, cov tshuaj tua kab mob (piv txwv li paracetamol), thiab cov tshuaj tiv thaiv kev o (piv txwv li ibuprofen, naproxen).
  • Kev Txhaj Tshuaj Steroid: Muaj peb hom kev txhaj tshuaj steroid uas tuaj yeem xav txog rau qhov mob lumbar. Lumbar Epidural Block yog kev txhaj tshuaj steroids rau hauv qhov chaw epidural, uas yog qhov chaw sab nraum cov hlab ntsha qaum.Kev thaiv cov pob qij txha lumbar yog kev txhaj tshuaj steroid rau hauv cov pob qij txha facet uas nyob nruab nrab ntawm cov pob txha caj qaum. Kev txhaj tshuaj interlaminar lossis transforaminal yog kev txhaj tshuaj steroid rau hauv qhov chaw nruab nrab ntawm cov hlab ntsha qaum thiab cov pob txha caj qaum.
  • Kev Kho Mob Ceg Thaiv thiab Kev Siv Radiofrequency Ablation: Kev kho mob no yog xav txog rau qee qhov mob lumbar ntev. Ua ntej, tshuaj loog hauv zos raug txhaj rau hauv cov hlab ntsha uas txuas rau qhov sib koom ua ke ntawm tus txha nqaj qaum. Yog tias qhov mob txo qis, kauj ruam tom ntej yog sim tshem tawm qhov mob mus tas li. Qhov no yog ua los ntawm kev ua puas rau cov hlab ntsha nrog cov txheej txheem hu ua radiofrequency ablation . Qhov mob tau raug txo qis rau ntau lub hlis. Txawm li cas los xij, yog tias cov hlab ntsha loj hlob rov qab, qhov mob tuaj yeem rov qab los.

Kuv yuav paub li cas yog tias kuv xav tau kev phais mob ntawm lub duav?

Tej zaum koj yuav xav tau kev phais mob ntawm tus txha nqaj qaum yog tias:

  • Yog tias lwm yam kev kho mob tsis pab.
  • Yog tias koj cov tsos mob ntawm koj nraub qaum qis, lub duav thiab/lossis ceg hnyav zuj zus tuaj (feem ntau yog phais rau qhov mob ceg es tsis yog mob nraub qaum).
  • Yog koj noj qab nyob zoo txaus los phais mob.

Yog tias koj raug mob rau thaj tsam lumbar los ntawm kev sib tsoo (xws li kev sib tsoo tsheb), mob qog noj ntshav, epidural abscess (kev kis kab mob ntawm cov hlab ntsha qaum thiab cov ntaub npog ntawm cov hlab ntsha qaum), osteomyelitis (kev kis kab mob ntawm cov pob txha), cauda equina syndrome, lossis conus medullaris syndrome (ib hom kab mob ntawm cov hlab ntsha qaum), phais yog thawj kab kev kho mob.

Muaj kev phais dab tsi rau cov mob ntawm lub lumbar?

Nov yog qee cov txheej txheem phais mob uas feem ntau ua:

Kev Phais Mob Ncab Qaum

Qhov no yog ib lo lus dav dav. Nws yog hais txog ntau yam kev phais mob uas ua los pab txo cov tsos mob los ntawm kev txo qhov siab lossis kev nias rau ntawm tus txha caj qaum lossis cov hauv paus paj hlwb. Cov txheej txheem phais mob feem ntau suav nrog:

  • Lumbar Diskectomy: Hauv txoj kev kho mob no, tus kws phais tshem tawm ib feem ntawm lub disc kom txo qhov siab ntawm cov hauv paus paj hlwb nyob ze.
  • Kev phais Lumbar Laminotomy lossis Laminectomy: Hauv txoj kev phais no, tus kws phais yuav tshem tawm ib feem me me ntawm cov pob txha caj qaum (lamina) ntawm tus kwj deg. Hauv kev phais laminotomy, tsuas yog ib daim me me ntawm cov lamina raug tshem tawm. Hauv kev phais laminectomy, tag nrho cov lamina raug tshem tawm, nrog rau cov pob txha spurs, cov disc fragments, thiab cov leeg nqaij tuab, yog tias tsim nyog. Thaum cov lamina raug tshem tawm, tus kwj deg caj qaum yuav dav dua thiab qhov siab yuav raug txo qis.
  • Kev phais lub duav los yog kev phais lub duav:Ob qho kev phais no yog ua los ua kom qhov qhib (foramen) loj dua uas cov hauv paus hlab ntsha tawm ntawm tus txha caj qaum, los ntawm kev tshem tawm qee cov pob txha hauv thaj chaw ntawd. Hauv kev phais foraminectomy, yuav tshem tawm ntau cov pob txha.
  • Kev phais mob Lumbar Corpectomy: Hauv qhov kev phais no, tus kws phais yuav tshem tawm qhov tseem ceeb ntawm cov pob txha caj qaum (vertebral body) thiab cov disc kom txo qhov kev nyuaj siab rau cov hlab ntsha caj qaum. Qee zaum, cov pob txha caj qaum yuav raug sib koom ua ke ( spinal fusion ) kom ruaj khov rau cov pob txha caj qaum lumbar.

Kev Phais Hloov Plab Hlab

Hauv qhov no, ib daim disc lumbar uas muaj mob raug tshem tawm thiab ib daim disc cuav raug ntxig rau hauv. Qhov no feem ntau ua rau kev hloov daim disc lumbar. Txawm li cas los xij, nyob rau xyoo tas los no, qhov kev phais no tau dhau los ua tsawg dua, vim muaj teeb meem uas tshwm sim tom qab phais.

Kev Sib Txuas Lus Ntawm Lub Plab Hau

Qhov no yog ib qho kev phais uas muab ib lossis ntau lub pob txha caj qaum sib txuas ua ke tas mus li, tshem tawm kev txav mus los ntawm cov pob txha caj qaum.

Kev Siv Hluav Taws Xob Txhawb Rau Kev Raug Mob Ntawm Qaum Qaum

Hauv txoj kev no, cov hluav taws xob me me raug siv los ua kom cov leeg nqaij thiab cov hlab ntsha ntawm lub cev qis uas tswj hwm los ntawm cov hlab ntsha ntawm lub duav, sim rov qab ua haujlwm.

Kuv puas tuaj yeem phais mob lumbar spine uas tsis tshua muaj kev cuam tshuam?

Tham nrog koj tus kws phais txog qhov no. Feem ntau, kev phais pob txha caj qaum uas tsis tas phais ntau dhau tau hloov kev phais qhib ib txwm muaj. Dua li ua ib qho kev phais loj rau ntawm daim tawv nqaij, kev phais uas tsis tas phais ntau dhau yog ua los ntawm ib lossis ntau qhov kev phais me me. Vim tias cov kev phais me me, muaj kev puas tsuaj tsawg dua rau cov leeg thiab cov nqaij mos dua li qhov kev phais loj.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Koj tus txha nqaj qaum yog qhov qis ntawm koj nraub qaum. Nws muaj tsib lub pob txha caj qaum (L1-L5). Nws kuj muaj cov intervertebral discs, cov hlab ntsha, thiab cov hlab ntsha, cov leeg, cov leeg, thiab cov leeg nqaij. Nws yog tus txha nqaj qaum uas txhawb nqa koj lub cev qhov hnyav thiab tso cai rau feem ntau ntawm koj lub cev txav mus los.

Qhov tseem ceeb tshaj plaws yog, yog tias koj mob nraub qaum tas li, loog hauv koj ob txhais ceg, lossis tsis muaj zog, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob thiab nrhiav kev pab tswv yim.

Muaj ob qho kev kho mob uas tsis yog phais thiab kev kho mob phais rau ntau yam mob. Yog li ntawd, tsis muaj dab tsi yuav txhawj txog. Koj tuaj yeem pab kom koj tus txha nqaj qaum noj qab haus huv los ntawm kev tswj hwm tus cwj pwm kom zoo, tsa cov hnyav kom raug, thiab tawm dag zog.


Mob nraub qaum, mob pob qij txha lumbar, mob pob txha caj qaum, mob disc, mob sciatica, mob pob txha caj qaum, mob hlab ntsha

Frequently Asked Questions (FAQ)

Cov kev kho mob uas tsis yog phais yog dab tsi?

Yog tias koj qhov mob nraub qaum tsis yog los ntawm kev sib tsoo lossis mob qog, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob uas tsis mob hnyav ua ntej. Qee qhov kev kho mob uas tsis yog phais mob feem ntau suav nrog:

Kuv yuav paub li cas yog tias kuv xav tau kev phais mob ntawm lub duav?

Tej zaum koj yuav xav tau kev phais mob ntawm tus txha nqaj qaum yog tias:

Muaj kev phais dab tsi rau cov mob ntawm lub lumbar?

Nov yog qee cov txheej txheem phais mob uas feem ntau ua:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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