Thaum koj khoov koj lub luj tshib thiab tuav nws ib pliag, koj txhais caj npab pib xav tias me ntsis loog, puas yog? Tab sis thaum koj ncaj koj txhais caj npab dua, qhov loog maj mam ploj mus. Tab sis xav txog, yuav ua li cas yog tias qhov loog tseem muaj? Qhov ntawd yog qhov tshwm sim hauv tus mob hu ua Myelopathy. Qhov no yog ib yam dab tsi uas yuav tsum txhawj txog. Cia peb tham txog nws yooj yim.
Myelopathy yog dab tsi? Cia peb nkag siab yooj yim.
Hais yooj yim xwb, Myelopathy yog thaum cov hlab ntsha hauv peb lub pob txha caj qaum raug nias rau qee qhov laj thawj. Xav txog peb lub hlab ntsha hauv lub pob txha caj qaum ua lub 'cable' tseem ceeb uas nqa cov lus los ntawm peb lub hlwb mus rau txhua qhov ntawm peb lub cev. Nws khiav hauv peb lub pob txha caj qaum kom muaj kev nyab xeeb.
Yog li ntawd, yuav ua li cas yog tias qhov tseem ceeb tshaj plaws 'cable' no, lub qaum qaum, raug nias qhov twg? Cov lus ntawd raug cuam tshuam. Thaum ntawd tej yam xws li mob, loog, xav tias loog hauv qee qhov ntawm lub cev, thiab tsis tuaj yeem txav mus los tau zoo pib tshwm sim. Txawm tias cov haujlwm txhua hnub xws li tuav tus cwj mem kom raug lossis khawm lub tsho kuj tuaj yeem nyuaj.
Puas muaj cov hom mob myelopathy tseem ceeb?
Yog, Myelopathy tuaj yeem faib ua peb hom tseem ceeb nyob ntawm seb qhov twg cov hlab ntsha hauv lub hlwb raug nias.
| Hom Myelopathy | Kev piav qhia |
|---|---|
| Kab mob Cervical Myelopathy | Qhov no yog hom mob uas feem ntau tshwm sim. Nws tshwm sim thaum cov hlab ntsha hauv lub caj dab raug nias rau hauv lub caj dab . Qhov mob no feem ntau yog tshwm sim los ntawm kev hloov pauv ntawm cov pob txha caj qaum thaum muaj hnub nyoog. |
| Mob Myelopathy hauv lub qhov ntswg | Ntawm no, qhov kev nias tshwm sim hauv nruab nrab ntawm nraub qaum, uas yog, nyob rau hauv lub thoracic txha nraub qaum tom qab lub hauv siab . |
| Mob Myelopathy ntawm lub duav | Hauv qhov no, qhov siab yog nyob rau sab nraub qaum qis (lumbar spine) . |
Yuav tsum saib qhov teeb meem no loj npaum li cas?
Qhov no tsis yog ib qho mob uas yuav tsum tsis quav ntsej xwb. Yog tias tsis kho, qhov mob no tuaj yeem hnyav zuj zus tuaj.
Yog tias cov hlab ntsha ntawm tus txha caj qaum tseem raug nias, nws tuaj yeem ua rau cov hlab ntsha puas tsuaj mus tas li . Yog tias qhov ntawd tshwm sim, cov tsos mob yuav tsis rov qab zoo li qub. Hauv qee kis mob hnyav, qhov mob no tuaj yeem ua rau muaj teeb meem loj xws li tuag tes tuag taw .
Yog li ntawd, yog tias koj xav tias koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob tam sim ntawd kom tau txais kev qhia. Thaum koj kuaj pom ntxov, koj yuav muaj feem ntau dua los kho tau zoo.
Cov tsos mob tseem ceeb ntawm tus kab mob myelopathy yog dab tsi?
Vim tias ntau qhov ntawm cov hlab ntsha hauv lub cev tswj hwm ntau qhov ntawm lub cev, cov tsos mob tuaj yeem sib txawv nyob ntawm qhov chaw uas qhov kev nias tshwm sim. Txawm li cas los xij, muaj ob peb yam tsos mob uas pom tau.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob | Mob caj dab los yog mob nraub qaum. |
| Kev tsis muaj zog, tsis muaj sia nyob | Mob loog, tingling, lossis tsis muaj zog hauv caj npab, tes, ceg, lossis taw. |
| Qhov nyuaj nrog cov haujlwm nyuaj | Nyuaj rau kev ua cov txuj ci me me xws li khawm lub tsho, sau ntawv nrog cwj mem, lossis siv lub wrench. |
| Teeb meem nrog kev taug kev thiab kev sib npaug | Kev xav tias tsis muaj zog, tsis khov kho thaum taug kev. |
| Teeb meem nrog kev tswj cov quav | Qee zaum mob hnyav heev, tej zaum yuav muaj teeb meem tswj kev zom zaub mov thiab kev tswj lub zais zis. |
Dab tsi yog cov ua rau muaj mob myelopathy?
Muaj ntau yam uas ua rau lub cev qaug zog ntawm lub cev.
- Herniated disk: Ib lub disk zoo li jelly ntawm ob lub vertebrae tuaj yeem bulge tawm thiab nias rau ntawm tus txha caj qaum.
- Spondylosis: Vim yog qhov kev puas tsuaj ntuj tsim thiab kev hloov pauv uas tshwm sim hauv tus txha nqaj qaum thaum peb laus.
- Spinal stenosis: Kev nqaim ntawm cov kwj deg ntawm tus txha caj qaum vim ntau yam.
- Kev raug mob hnyav: Kev raug mob rau tus txha nqaj qaum los ntawm qee yam xws li kev poob lossis kev sib tsoo tsheb.
- Kev kis kab mob thiab o: Cov mob kis tau rau tus txha nqaj qaum.
- Qog: Ib lub qog mob qog lossis lwm yam qog uas tsim nyob rau hauv lossis nyob ib puag ncig tus txha nqaj qaum.
- Cov kab mob neurodegenerative: Cov mob xws li tus kab mob Parkinson lossis ALS.
Leej twg muaj feem yuav muaj qhov teeb meem no tshaj?
Kab mob Myelopathy tuaj yeem tshwm sim rau txhua lub hnub nyoog. Txawm li cas los xij, hom uas tshwm sim vim yog kev hloov pauv ntawm lub hnub nyoog hauv tus txha nraub qaum feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 40 xyoo . Tsis tas li ntawd, kev tshawb fawb tau qhia tias cov txiv neej muaj feem yuav mob no ntau dua li cov poj niam.
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob, lawv pib li cas, thiab koj tau muaj lawv ntev npaum li cas. Tom qab ntawd nws mam li kuaj koj.
- Kev kuaj lub cev: Koj cov kev txav mus los ntawm lub cev thiab qhov mob raug kuaj xyuas.
- Kev kuaj mob hlwb: Qhov no yuav xyuas koj cov reflexes, cov leeg nqaij muaj zog, thiab kev xav.
Tom qab cov kev kuaj no, nws raug pom zoo kom ua qee qhov kev kuaj mob kom paub tseeb tias kuaj tau thiab txiav txim siab qhov ua rau muaj pob khaus.
- Kev kuaj duab: Kev kuaj uas thaij duab ntawm tus txha nqaj qaum. Piv txwv li, kev thaij duab X-ray, MRI scan, lossis CT scan . Cov no tuaj yeem pom tseeb txog qhov xwm txheej ntawm tus txha nqaj qaum, discs, thiab tus txha nqaj qaum.
- Myelogram:Yuav muab ib yam tshuaj tshwj xeeb (contrast dye) txhaj rau hauv tus txha nqaj qaum thiab thaij duab X-ray lossis CT scan. Qhov no yuav qhia tau meej txog thaj chaw uas cov hlab ntsha thiab cov hlab ntsha raug nias.
- Kev ntsuam xyuas kev ua haujlwm ntawm cov hlab ntsha: Kev ntsuam xyuas uas ntsuas qhov ceev ntawm cov lus xa mus ntawm lub hlwb thiab lub cev. Electromyography (EMG) yog ib qho kev ntsuam xyuas zoo li no.
Cov kev kho mob rau myelopathy yog dab tsi?
Kev kho mob nyob ntawm seb koj cov tsos mob hnyav npaum li cas, qhov chaw uas cov hlab ntsha hauv lub paj hlwb raug nias, thiab qhov ua rau muaj qhov teeb meem. Yam uas ua haujlwm rau ib tus neeg tej zaum yuav tsis ua haujlwm rau lwm tus. Muaj ob hom kev kho mob tseem ceeb: tsis tas phais thiab phais.
Kev kho mob uas tsis yog phais
Cov kev kho mob no tsuas yog tswj cov tsos mob xwb. Lawv tsis txo qhov kev nyuaj siab rau ntawm cov hlab ntsha qaum. Yog tias koj cov tsos mob tsis hnyav, lossis thaum koj tos phais, koj tus kws kho mob yuav pom zoo cov kev kho mob no.
- Hnav ib lub brace: Ib lub brace hnav ncig lub caj dab lossis nraub qaum tuaj yeem txwv kev txav mus los hauv thaj chaw ntawd thiab txo qhov mob.
- Kev Kho Mob Lub Cev: Cov kev tawm dag zog thiab kev kho mob tshwj xeeb raug pom zoo kom txhawb cov leeg nqaij kom muaj zog, ua kom yooj ywm dua, thiab txo qhov mob.
- Cov Tshuaj: Tej yam xws li tshuaj tua kab mob thiab tshuaj tiv thaiv kev o (corticosteroids) tuaj yeem pab tswj cov tsos mob.
Kev phais mob
Hauv cov kab mob myelopathy, txoj hauv kev zoo tshaj plaws los txo qhov siab ntawm cov hlab ntsha qaum thiab muab kev ywj pheej rau nws yog phais.
Yog tias cov tsos mob hnyav zuj zus, zuj zus tuaj txhua hnub, lossis yog tias kev kho mob uas tsis yog phais tsis pab, koj tus kws kho mob yuav pom zoo kom phais.
Qhov no ua tiav los ntawm kev siv ib hom kev phais hu ua kev phais tshem qhov mob ntawm tus txha caj qaum . Nyob ntawm seb qhov ua rau mob hnyav npaum li cas, tus kws phais siv ntau txoj kev sib txawv. Piv txwv li:
- Kev phais mob ACDF
- Kev tshem tawm ntawm ib lub disc (diskectomy)
- Kev hloov disk (kev ntxig ib lub disk cuav)
- Kev phais tshem cov leeg nqaij
- Kev phais mob Laminoplasty
- Kev sib txuas ntawm pob txha caj qaum
Ua ntej phais mob, koj tus kws phais yuav piav qhia meej txog qhov zoo, qhov tsis zoo, thiab kev pheej hmoo rau koj.
Puas muaj ib txoj kev los tiv thaiv kab mob myelopathy?
Nws tsis yog ib txwm ua tau los tiv thaiv qhov no, tshwj xeeb tshaj yog thaum nws los txog rau cov mob uas tshwm sim thaum peb laus zuj zus.
Txawm li cas los xij, kev saib xyuas peb tus txha nqaj qaum tuaj yeem txo qhov kev pheej hmoo ntawm qee yam ua rau.
- Thaum tsa ib yam khoom, tsa nws kom raug: Thaum tsa ib yam khoom, xyaum tsa nws nrog koj lub hauv caug khoov thiab koj nraub qaum ncaj, yam tsis khoov koj nraub qaum.
- Tswj kev sawv cev zoo:Khaws koj nraub qaum kom ncaj thaum zaum thiab sawv ntsug.
- Ua kom koj lub cev muaj zog: Ua kom koj lub cev muaj zog thiab ua kom koj cov leeg nqaij nraub qaum thiab lub plab muaj zog.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj muaj cov tsos mob hauv qab no, tsis txhob tsis quav ntsej lawv thiab mus ntsib kws kho mob tam sim ntawd.
| Nrhiav kev pab kho mob tam sim ntawd. | |
|---|---|
| Kev hloov pauv ntawm txoj kev koj taug kev, poob qhov sib npaug, lossis nyiam ntog | |
| Mob tshiab lossis mob hnyav zuj zus rau ntawm caj dab lossis nraub qaum | |
| Kev tsis muaj zog, loog, lossis tsis muaj zog hauv tes, ntiv tes, taw, lossis ntiv taw | |
Cov lus nug uas yuav tsum nug koj tus kws kho mob
Thaum koj pom tias koj muaj tus mob no, tej zaum koj yuav muaj ntau lo lus nug hauv koj lub siab. Nug koj tus kws kho mob txog tej yam no.
- Vim li cas kuv tus txha nqaj qaum thiaj raug nias?
- Koj pom zoo kom kuv kho qhov kev kho mob twg zoo tshaj plaws?
- Puas muaj tej yam tshwm sim ntawm cov kev kho mob no?
- Kuv puas yuav tsum tau phais?
- Tom qab phais tas, yuav siv sijhawm ntev npaum li cas thiaj rov zoo tag nrho?
- Tej yam twg uas kuv yuav tsum tsis txhob ua lossis zam?
Cov hlab ntsha caj qaum yog ib feem tseem ceeb heev ntawm peb lub cev. Txawm tias muaj kev nyuaj me ntsis rau nws los kuj tuaj yeem cuam tshuam rau kev ua haujlwm ntawm peb lub cev tag nrho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob thiab nrhiav kev kho mob sai sai yog tias tsim nyog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob myelopathy yog ib qho mob hnyav uas tshwm sim los ntawm kev nias ntawm cov hlab ntsha hauv lub paj hlwb. Qhov no yuav tsum tsis txhob raug tsis quav ntsej.
- Yog koj muaj cov tsos mob xws li loog ntawm koj ob txhais ceg, tsis muaj zog, lossis nyuaj rau kev taug kev nrog rau mob caj dab lossis mob nraub qaum, mus ntsib kws kho mob tam sim ntawd.
- Kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem tiv thaiv kev puas tsuaj rau cov hlab ntsha mus tas li.
- Muaj ntau txoj kev kho mob (phais thiab tsis phais), thiab koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj.
- Kev saib xyuas koj nraub qaum thaum tsa cov hnyav thiab thaum ua ub ua no txhua hnub tuaj yeem txo qee qhov kev pheej hmoo.
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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