Koj puas mob los ntawm ib qho hlab ntsha uas raug nias rau hauv ib qho chaw? Cia peb tham txog (Mononeuropathy)!

Koj puas muaj tej lub sij hawm koj hnov ​​​​​​mob loog lossis mob kub hnyiab rau ib feem ntawm koj txhais caj npab lossis ceg? Koj kuj tseem yuav hnov ​​​​​​me ntsis qaug zog rau thaj chaw ntawd. Yog tias koj muaj cov tsos mob no, koj yuav muaj ib qho mob uas tshwm sim los ntawm kev puas tsuaj rau ib txoj hlab ntsha. Hauv kev kho mob, peb hu qhov no tias "Mononeuropathy" . Hais yooj yim, qhov no yog kev puas tsuaj rau ib txoj hlab ntsha hauv koj lub cev.

Qhov '(Mononeuropathy)' no yog dab tsi? Muaj dab tsi tshwm sim tiag?

Koj paub, peb lub cev muaj cov xov me me uas nqa cov lus los ntawm lub hlwb mus rau lwm qhov ntawm lub cev, hu ua cov hlab ntsha. "Mononeuropathy" yog kev puas tsuaj rau ib qho ntawm cov hlab ntsha no. Nws yog ib pawg loj dua hu ua "peripheral neuropathy." Uas yog, ib qho mob uas cuam tshuam rau cov hlab ntsha sab nraum lub hlwb thiab cov hlab ntsha qaum.

Xav txog nws zoo li ib txoj hlua hluav taws xob hauv koj lub tsev. Nws muaj ib feem sab hauv hu ua "axon" uas nqa cov lus, thiab ib daim npog sab nraud hu ua "myelin sheath" uas tiv thaiv nws. Nws zoo li txoj hlua tooj liab hauv txoj hlua hluav taws xob thiab cov yas nyob ib puag ncig nws. Yog tias muaj kev nyem tas li rau ntawm cov hlab ntsha no, lossis yog tias muaj kev raug mob, lossis yog tias muaj kev o, lub myelin sheath no lossis lub axon tuaj yeem puas tsuaj. Tom qab ntawd cov lus los ntawm cov hlab ntsha tuaj yeem qeeb qeeb, lossis txawm tias nres tag nrho. Thaum ntawd cov tsos mob uas tau hais ua ntej, xws li loog thiab mob, tshwm sim.

Kab mob '(Mononeuropathy)' tshwm sim li cas? Cov hom kab mob twg feem ntau tshwm sim?

Qhov tseeb, txhua txoj hlab ntsha hauv peb lub cev tuaj yeem raug puas tsuaj li no. Txawm li cas los xij, cov hlab ntsha uas khiav ze rau ntawm daim tawv nqaij lossis ze rau pob txha yuav raug cuam tshuam ntau dua. Qee qhov ntawm cov no txawm tias muaj lub npe tshwj xeeb. Tej zaum koj yuav tau hnov ​​​​​​txog cov npe no:

• Kab Mob Carpal Tunnel Syndrome: Qhov no yog ib qho teeb meem uas ntau tus neeg ntsib. Yog tias koj ntaus ntawv hauv computer tas hnub lossis ua haujlwm tes (xws li xaws khaub ncaws lossis ua haujlwm ntoo), cov hlab ntsha nruab nrab uas khiav hla koj lub dab teg tuaj yeem raug nias, ua rau loog thiab mob hauv koj cov ntiv tes.
• Sciatica: Qhov no kuj yog ib qho mob uas tshwm sim ntau heev. Qhov mob hnyav no tshwm sim thaum ib txoj hlab ntsha loj (cov hlab ntsha sciatic) uas khiav ntawm peb nraub qaum mus rau peb lub pob tw thiab nqis mus rau peb ob txhais ceg raug nias. Qee zaum qhov no tuaj yeem tshwm sim los ntawm kev nqa ib yam dab tsi hnyav, zaum tsis raug, lossis lub disc herniated ntawm peb cov vertebrae.
• Kev cuam tshuam ntawm cov hlab ntsha Ulnar ntawm lub luj tshib:Rau cov neeg uas pheej muab lawv lub luj tshib tso rau ntawm lub rooj, lossis thaum muaj ib yam dab tsi nias rau ntawm lub luj tshib, cov hlab ntsha no tuaj yeem raug nias, ua rau tus ntiv tes me thiab ib nrab ntawm tus ntiv tes nplhaib loog thiab tsis muaj zog. Qhov no kuj hu ua '(Cubital Tunnel Syndrome)'.
• Radial Tunnel Syndrome: Ua los ntawm kev nias ntawm cov hlab ntsha hauv caj npab (radial nerve).
• Lwm cov hlab ntsha hauv lub dab teg (`(Guyon's Canal Syndrome)`): Qhov no kuj siv rau cov hlab ntsha ulnar, tab sis qhov kev nias tshwm sim hauv lub dab teg.
• Teeb Meem Ntawm Cov Ncej Peroneal: Cov hlab ntsha no tuaj yeem raug nias thaum koj khoov koj ob txhais ceg ntev ntev, lossis yog tias koj lub hauv caug raug mob. Qhov no ua rau koj nyuaj siab tsa koj ob txhais ceg.
• Cov Teeb Meem Axillary Nerve: Qhov no tuaj yeem tshwm sim vim yog raug mob rau lub xub pwg nyom.
• Teeb meem cuam tshuam nrog cov hlab ntsha cutaneous ntawm sab femoral: Kev nias ntawm cov hlab ntsha no ua rau loog thiab o ntawm sab nraub qaum ntawm tus ncej puab.

Ntxiv rau qhov no, kuj muaj ib hom "cranial mononeuropathies" (mononeuropathies cuam tshuam nrog cov hlab ntsha cranial) . Qhov no txhais tau tias ib qho ntawm 12 cov hlab ntsha uas los ntawm peb lub hlwb raug puas tsuaj. Ib qho piv txwv yog "Bell's Palsy" (Bell's Palsy) . Hauv qhov no, ib txoj hlab ntsha hauv lub ntsej muag ("facial nerve" - ​​lub hlab ntsha cranial thib xya) raug cuam tshuam, ua rau ib sab ntawm lub ntsej muag poob qis tam sim ntawd.

Qee zaum ntau tshaj ib txoj hlab ntsha, uas yog, ob lossis peb txoj hlab ntsha, tuaj yeem raug puas tsuaj tib lub sijhawm, ntawm ntau qhov ntawm lub cev. Qhov no hu ua 'multiple mononeuropathies'.

Xav txog seb, 40% ntawm cov neeg Asmeskas yuav muaj mob sciatica rau qee lub sijhawm hauv lawv lub neej! Bell's Palsy cuam tshuam txog li 1 ntawm 60 tus neeg. Carpal Tunnel Syndrome cuam tshuam txog li 3 ntawm 1,000 tus neeg hauv ib xyoos. Yog li cov no tsis yog qhov tsis tshua muaj.

Cov tsos mob ntawm tus kab mob 'Mononeuropathy' no yog dab tsi?

Cov tsos mob yuav txawv nyob ntawm cov hlab ntsha uas puas lawm, tab sis cov tsos mob feem ntau muaj xws li:

• Kev tsis muaj zog nyob rau thaj chaw cuam tshuam .
• Mob los yog kub hnyiab .
• Ib qho kev xav zoo li "ntses khiav ib ncig" lossis "pins and needles".
• Cov leeg nqaij hauv thaj chaw raug mob qaug zog . Yog tias qhov no txuas ntxiv mus, cov leeg nqaij yuav ntsws (cov leeg nqaij qaug zog).

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tam sim ntawd. Qhov no yog vim tias qhov mob tuaj yeem hnyav dua yog tias tsis kho. Yog tias yog li ntawd:

• Tej zaum yuav mob ntev mus.
• Qhov kev xav ntawm kev kov yuav ploj mus .
• Cov leeg nqaij tsis muaj zog lossis tuag tes tuag taw tas mus liIb qho xwm txheej zoo li no tuaj yeem tshwm sim.

Vim li cas qhov mob '(Mononeuropathy)' no thiaj tshwm sim? Dab tsi yog cov ua rau?

Tej zaum yuav muaj ntau yam ua rau qhov no. Feem ntau:

1. Kev raug mob

Qhov no feem ntau yog los ntawm kev raug mob ncaj qha rau ntawm cov hlab ntsha. Nws tuaj yeem yog los ntawm tej yam xws li:

• Kev ua ub ua no ntau zaus / kev raug mob ntawm lub cev ntau zaus: Xav txog ib tug neeg uas ntaus ntawv rau ntawm lub keyboard computer txhua hnub, lossis ib tug neeg uas xaws khaub ncaws, lossis ib tug neeg uas siv lawv txhais tes tib yam hauv lub hoobkas. Kev ua ub ua no ntau zaus zoo li no tuaj yeem ua rau cov hlab ntsha ntawd puas me ntsis.
• Overextension ntawm ib qho pob qij txha.
• Zaum ntev nrog lub zog tuav cov nqaij: Zoo li tuav riam phom hnyav kom ruaj khov ntev.
• Kev puas tsuaj rau cov hlab ntsha vim yog pob txha tawg.
• Kev raug mob (kev raug mob rau cov hlab ntsha, xws li qhov txiav nrog cov cuab yeej ntse lossis phais).
• Nws kuj tseem tuaj yeem tshwm sim los ntawm kev kho mob hluav taws xob rau mob qog noj ntshav.

2. Kev nias ntawm cov hlab ntsha

Cov hauv qab no tuaj yeem ua rau muaj mononeuropathy:

• Ib yam dab tsi zoo li ib lub qog nias rau ntawm ib txoj hlab ntsha.
• Kev o ntawm lub cev (edema) ntau dhau.
• Ib daim ntaub thaiv tsis haum: Yog tias daim ntaub thaiv nruj dhau rau ceg lossis caj npab tawg, nws tuaj yeem ntswj cov hlab ntsha.
• Siv cov pas nrig.
• Zaum tib qho chaw, khoov rau pem hauv ntej ntev heev: zoo li tig mus rau tib sab thiab tuav koj txhais tes hauv qab koj thaum ua haujlwm hauv lub vaj lossis pw tsaug zog.
• Thaum pw hauv txaj lossis nyob hauv tib qho chaw ntev heev.

3. Lwm Yam Mob

Qee yam kab mob kuj tuaj yeem ua rau muaj "Mononeuropathy." Txawm li cas los xij, cov kab mob no feem ntau cuam tshuam ntau dua ib lub paj hlwb.

• Kev haus dej cawv ntau dhau ('Kev siv dej cawv tsis zoo').
• Cov mob autoimmune thiab inflammatory: Piv txwv li, cov kab mob xws li Lupus thiab Rheumatoid Arthritis. Cov no yog cov kab mob uas tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm lub cev tiv thaiv kab mob.
• Qee yam kab mob: HIV (AIDS), Shingles (herpes zoster - ib yam mob uas tshwm sim tom qab mob qaib ntxhw).
• Kab mob ntshav qab zib: Cov neeg uas muaj kab mob ntshav qab zib muaj feem yuav raug mob hlab ntsha ntau dua. Qhov no yog ib qho ua rau mob ntau heev.
• Kev tsis txaus ntawm cov vitamins thiab cov as-ham.

Koj nrhiav tau qhov no li cas, Kws Kho Mob?

Feem ntau, tus kws kho mob yuav nug koj tias:

• Los ntawm kev mloog thiab kawm txog cov tsos mob,
• Los ntawm kev paub txog koj cov kab mob yav dhau los ('keeb kwm kev kho mob'),
• Los ntawm kev ua qhov kev kuaj mob lub cev thiab kev kuaj mob hlwb,

Tus mob no tuaj yeem kuaj pom tias yog "Mononeuropathy".

Txawm li cas los xij, vim tias muaj ntau yam ua rau qhov no, yog tias qhov ua rau tsis meej, lossis yog tias koj cov tsos mob hnyav, koj tus kws kho mob yuav xaj kom kuaj ntxiv. Cov kev kuaj no tuaj yeem pab lees paub qhov kev kuaj mob thiab nrhiav qhov ua rau muaj qhov teeb meem. Piv txwv li:

• EMG - Electromyography: Qhov no kuaj seb koj cov leeg thiab cov hlab ntsha uas txuas rau lawv ua haujlwm zoo npaum li cas.
• Kev tshawb nrhiav txog kev xa xov ntawm cov hlab ntsha: Qhov no ntsuas qhov ceev uas cov lus xa mus los ntawm cov hlab ntsha. Yog tias cov hlab ntsha puas lawm, qhov ceev no yuav txo qis.
• Kev kuaj ntshav: Tshawb xyuas lwm yam mob, xws li ntshav qab zib thiab kev tsis txaus vitamin.
• Kev kuaj duab: Kev kuaj xws li ultrasound, MRI scan, lossis CT scan tuaj yeem siv los nrhiav kev nias ntawm cov hlab ntsha lossis qog.

Cov kev kho mob rau "Mononeuropathy" yog dab tsi?

Kev kho mob nyob ntawm ntau yam, xws li:

• Cov hlab ntsha twg puas lawm?
• Vim li cas?
• Qhov teeb meem no phem npaum li cas?
• Koj cov tsos mob yog dab tsi?

Koj tus kws kho mob yuav pom zoo kom siv txoj kev kho mob zoo tshaj plaws rau koj tus mob. Nov yog qee txoj kev kho mob uas feem ntau siv:

• Kev kho mob dav dav: so, siv tshuaj tswj qhov mob.
• Hnav cov ntaub qhwv caj dab: Cov no yog siv los ua kom thaj chaw raug mob tsis txav mus los. Piv txwv li, muab ib daim ntaub qhwv caj dab tso rau ntawm lub dab teg rau cov neeg uas muaj Carpal Tunnel Syndrome.
• Kev txhaj tshuaj steroid: Cov tshuaj txhaj no raug txhaj rau hauv thaj chaw uas cov hlab ntsha raug nias kom txo qhov mob, o, thiab o.
• Kev Kho Mob Lub Cev: Qhov no pab kho cov hlab ntsha kom rov qab ua haujlwm tau zoo thiab ua kom cov leeg muaj zog los ntawm kev tawm dag zog tshwj xeeb thiab lwm yam kev kho mob.
• Kev kho mob ib qho mob uas twb muaj lawm: Yog tias qhov no yog vim muaj kab mob xws li ntshav qab zib, nws yog ib qho tseem ceeb heev uas yuav tsum tswj hwm tus kab mob ntawd.
• Kev Phais Mob: Yog tias lwm yam kev kho mob tsis pab, tej zaum yuav tsum tau phais mob kom tshem tau cov hlab ntsha uas raug nias.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj cov tsos mob uas tau hais los saum toj no xws li mob, loog, thiab cov leeg tsis muaj zog, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob. Thaum koj pib kho mob sai npaum li cas, qhov zoo dua uas yuav muaj txiaj ntsig zoo.

Yog tias koj twb tau kuaj pom tias muaj mononeuropathy lawm, qhia rau koj tus kws kho mob yog tias koj cov tsos mob hnyav zuj zus lossis yog tias muaj cov tsos mob tshiab tshwm sim.

Tej zaum yuav pab tau yog koj nug koj tus kws kho mob cov lus nug no:

• Kuv muaj hom "Mononeuropathy" twg?
• Vim li cas ho ua li no?
• Kuv muaj cov kev kho mob twg? Koj xav kom kuv ua dab tsi?
• Yuav siv sijhawm ntev npaum li cas rau qhov no kom kho tau?
• Kuv puas yuav zoo tag nrho, los yog tsuas yog ib feem xwb?
• Kuv yuav tsum ua li cas thiaj li tiv thaiv qhov no kom tsis txhob tshwm sim dua?

Cov feem pua ​​ntawm kev rov zoo hauv qhov xwm txheej no yog dab tsi?

Qhov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm tej yam xws li cov hlab ntsha uas raug puas tsuaj, qhov ua rau mob, thiab qhov hnyav ntawm cov hlab ntsha raug puas tsuaj.

Tus mob no yuav mob heev thiab cuam tshuam rau kev ua ub ua no txhua hnub. Ib txhia neeg yuav tsum tau raug kev txom nyem los ntawm cov tsos mob no ntev heev. Txawm li cas los xij, yog tias tus kws kho mob tuaj yeem nrhiav tau qhov ua rau thiab kev kho mob tau zoo, "Mononeuropathy" tuaj yeem yog ib qho mob ib ntus xwb.

Qhov txawv ntawm '(Mononeuropathy)' thiab '(Polyneuropathy)' yog dab tsi?

Polyneuropathy yog thaum muaj ntau lub paj hlwb hauv koj lub cev tsis ua haujlwm tib lub sijhawm. Ib qho piv txwv yog ib qho mob hu ua Guillain-Barré syndrome, uas tshwm sim sai sai.

Txawm li cas los xij, '(Mononeuropathy)' txhais tau tias tsuas yog puas tsuaj rau ib txoj hlab ntsha hauv koj lub cev xwb. Qee zaum, 'ntau txoj hlab ntsha mononeuropathy', uas cuam tshuam rau ntau txoj hlab ntsha ib zaug, tuaj yeem nyuaj me ntsis rau cov kws kho mob kom paub qhov txawv ntawm '(Polyneuropathy)'.

Tej zaum koj yuav tau hnov ​​txog `(Mononeuropathy)` los ntawm cov npe xws li `(Carpal Tunnel Syndrome)`, `(Bell's Palsy)` lossis `(Sciatica)`. Cov no yog tib yam - kev puas tsuaj rau ib txoj hlab ntsha. Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj cov tsos mob xws li mob, loog, lossis tingling, nrhiav kev kho mob tam sim ntawd. Ua li ntawd, koj tuaj yeem rov zoo sai.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Mononeuropathy tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws kuj tsis yog ib yam dab tsi uas yuav tsum tsis quav ntsej. Yog tias koj muaj kev tsis hnov ​​​​​​tsw, mob, lossis qaug zog hauv ib qho chaw ntawm koj lub cev, tsis txhob tsuas yog tsis quav ntsej nws. Mus ntsib kws kho mob tam sim ntawd. Nrog kev kuaj mob kom zoo thiab kev kho mob sai, koj tuaj yeem rov zoo sai thiab rov qab mus rau koj cov dej num txhua hnub.

Mononeuropathy , neuropathy, loog, mob hlab ntsha, nias hlab ntsha, carpal tunnel syndrome, sciatica