Koj puas tau muaj ib zaug uas koj xav tias koj txhais caj npab lossis ceg tshee hnyo, lossis tsuas yog xav tias koj tshee hnyo xwb? Tej zaum nws yuav ploj mus tom qab ib pliag. Tab sis yog tias qhov kev xav no tseem muaj, nrog rau qhov mob lossis qaug zog, nws tsis yog lub tswv yim zoo uas yuav tsis quav ntsej nws. Hnub no peb yuav tham txog ib qho mob hu ua 'nerve entrapment' uas tuaj yeem ua rau muaj cov tsos mob zoo li no.
Kev Nyuaj Siab Rau Cov Nerve Yog Dab Tsi?
Hais yooj yim xwb, qhov no yog lub npe muab rau cov leeg ntshav hauv peb lub cev uas raug txwv, thaiv, lossis nias qhov twg.
Xav txog tias peb lub hlwb thiab cov hlab ntsha caj qaum (Central Nervous System) zoo li lub chaw ua haujlwm loj. Los ntawm lub chaw ua haujlwm loj no, muaj ib lub kaw lus ntawm 'xov tooj' uas nqa ntau yam lus mus rau qhov chaw deb xws li peb txhais tes, ceg, thiab ntiv tes. Cov xov hlau no yog qhov peb hu ua Peripheral Nervous System.
Tam sim no xav txog, yuav ua li cas yog tias cov xov tooj no raug ntswj lossis khoov qhov twg? Cov lus tsis mus txog zoo, puas yog? Qhov ntawd yog qhov tshwm sim thaum cov hlab ntsha raug ntswj. Vim tias cov lus tsis mus txog qhov chaw uas cov hlab ntsha ntawd tswj hwm, cov tsos mob xws li tingling, mob, thiab loog tshwm sim. Yog tias qhov mob no txuas ntxiv mus, cov hlab ntsha kuj tuaj yeem raug puas tsuaj. Peb hu nws tias 'Neuropathy'.
Cov hom kab mob venous congestion tseem ceeb yog dab tsi?
Cov hlab ntsha no txhaws tau rau ntau qhov chaw ntawm lub cev. Cov mob no muaj ntau lub npe sib txawv nyob ntawm seb lawv tshwm sim qhov twg. Cia peb saib cov hom mob tseem ceeb uas pom.
| Qhov chaw daig | Lub npe kho mob thiab kev piav qhia yooj yim |
|---|---|
| Cov ceg sab saud | |
| Dab teg | Kab Mob Carpal Tunnel Syndrome: Ib qho mob uas pom ntau heev. Nws yog tshwm sim los ntawm kev nias ntawm cov hlab ntsha nruab nrab uas khiav hla lub dab teg. |
| Lub luj tshib | Cubital Tunnel Syndrome: Kev raug nias ntawm cov hlab ntsha ulnar uas khiav hla lub luj tshib. Qhov no tuaj yeem ua rau tingling ntawm tus ntiv tes me thiab tus ntiv tes nplhaib. |
| Lub xub pwg nyom | Kev Raug Mob Rau Cov Nerve Suprascapular: Kev puas tsuaj rau cov hlab ntsha suprascapular nyob tom qab ntawm lub xub pwg nyom. |
| Caj dab thiab lub hauv siab sab saud | Thoracic Outlet Syndrome: Cov leeg ntshav hauv qab caj dab thiab sab saud hauv siab tawv. |
| Cov ceg qis | |
| Los ntawm sab nraub qaum mus rau ceg | Mob Sciatica: Qhov no yog ib yam uas ntau tus neeg tau hnov txog. Nws yog qhov mob los ntawm kev nias ntawm cov hlab ntsha sciatic, uas khiav ntawm nraub qaum mus rau ceg. |
| Thaj tsam ntawm lub duav | Meralgia Paresthetica: Ib qho mob uas ua rau mob tingling thiab kub hnyiab rau sab nraud ntawm tus ncej puab. |
| Lub pob taws thiab lub hauv paus | Tarsal Tunnel Syndrome: Mob thiab tingling hauv qab taw vim yog kev nias ntawm cov leeg ntshav tibial hauv thaj chaw pob luj taws. |
Vim li cas cov hlab ntsha thiaj txhaws li no? Dab tsi yog cov ua rau?
Tsis muaj ib qho ua rau cov leeg ntshav txhaws. Muaj ntau yam ua rau. Feem ntau, cov leeg ntshav hla peb cov pob qij txha zoo li cov qhov me me ('tunnels' lossis 'canals'). Yog tias cov nqaij nyob ib puag ncig lub qhov no o lossis puas tsuaj, cov leeg ntshav uas khiav hla nws yuav txhaws.
Nov yog qee qhov laj thawj tseem ceeb:
- Xwm txheej thiab kev raug mob: Vim yog tej yam xws li pob txha tawg thiab pob qij txha tawg.
- Kev txav mus los tas li: Qhov kev pheej hmoo no siab dua rau cov neeg uas ua tib yam kev txav mus los tas li, xws li ib tus neeg uas ntaus ntawv tas li ntawm lub khoos phis tawj, ib tus neeg ua haujlwm hauv lub Hoobkas khaub ncaws, lossis ib tus neeg ua haujlwm ntoo.
- Mob Pob Qij Txha: Qhov o ntawm cov pob qij txha tuaj yeem ua rau txoj kev nqaim rau cov hlab ntsha.
- Kab mob ntshav qab zib: Kab mob ntshav qab zib kuj tseem tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Teeb meem nraub qaum:Ib qho mob uas lub disc nyob nruab nrab ntawm cov vertebrae ntawm tus txha nqaj qaum tawm los thiab nias rau ntawm ib txoj hlab ntsha.
- Kev rog dhau thiab cev xeeb tub: Qee cov leeg ntshav tuaj yeem nruj vim yog qhov hnyav nce thiab kev hloov pauv hauv lub cev thaum cev xeeb tub.
- Cov teeb meem thyroid: Cov mob xws li 'Hypothyroidism' (cov tshuaj hormones thyroid qis).
- Cov qog nqaij hlav lossis cov cysts: Cov kev loj hlob no ze ntawm cov leeg ntshav tuaj yeem ua rau cov leeg ntshav nqaim.
Cov tsos mob zoo li cas?
Cov tsos mob ntawm cov leeg ntshav varicose feem ntau tshwm sim maj mam. Lawv tsis tshwm sim sai sai. Cov tsos mob yuav tuaj thiab ploj mus thaum ntxov. Tsis tas li ntawd, cov tsos mob no yuav nce ntxiv thaum cov leeg ntshav raug nias.
Txawm hais tias cov tsos mob sib txawv nyob ntawm seb cov leeg ntshav twg raug thaiv, ntawm no yog qee cov tsos mob uas feem ntau tshwm sim:
- Mob, tingling, lossis tingling: Qhov no feem ntau hnov nyob rau hauv thiab ib puag ncig ntawm qhov pob qij txha uas cov leeg ntshav raug ntswj (piv txwv li, dab teg, lub luj tshib, pob luj taws).
- Kev tsis muaj zog ntawm ob txhais ceg: Nyuaj rau tuav tej yam, tsis muaj peev xwm tsa ib txhais caj npab lossis ceg, thiab lwm yam. Nws tuaj yeem zoo li "txhais caj npab tsis muaj zog."
- Nyuaj ua tej haujlwm txhua hnub: Yog tias koj tuav tsis tau lub khob kom zoo thiab poob, lossis yog tias koj muaj teeb meem khawm koj lub tsho, nws yuav yog ib qho cim qhia tias tes tsis muaj zog.
- Kev Poob Nqaij: Thaum tus mob hnyav heev thiab kav ntev, cov leeg nqaij uas cov hlab ntsha ntawd muab tuaj yeem ntsws thiab nyias.
Yog li ntawd, tsis txhob xav tias qhov mob tingling lossis mob ntawm koj ob txhais ceg yuav ploj mus. Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob sai li sai tau kom nrhiav tau qhov ua rau.
Tus kws kho mob kuaj qhov no li cas? (Kev kuaj mob)
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob kom meej. Tom qab ntawd, nws yuav kuaj koj ('Kev Kuaj Lub Cev'). Ntawm no, koj yuav raug hais kom ua tej yam me me. Piv txwv li, koj yuav raug hais kom kov ib yam dab tsi, tsa ib sab caj npab lossis ceg, lossis tuav ib qho chaw.
Yog tias muaj teeb meem ntawm cov hlab ntsha tom qab qhov kev kuaj no, cov kev kuaj hauv qab no yuav raug txiav txim kom paub meej ntxiv:
- Kev Kawm Txog Kev Siv Hluav Taws Xob Hauv Lub Nerve Conduction thiab Electromyography (EMG): Qhov kev xeem no ntsuas seb cov teeb liab hluav taws xob mus los ntawm koj cov hlab ntsha sai npaum li cas thiab zoo npaum li cas thiab lawv mus txog koj cov leeg zoo npaum li cas. Nws zoo li 'kuaj xyuas' ib txoj hlua.
- Cov kev ntsuas xws li MRI, ultrasound, lossis X-ray: Cov hom kev ntsuas no tuaj yeem pom tseeb qhov twg cov hlab ntsha raug thaiv thiab qhov ua rau (piv txwv li, teeb meem pob txha lossis qog nqaij hlav).
Kev kho mob yog dab tsi? Puas kho tau yam tsis tas phais?
Feem ntau, tsis tas yuav phais mob. Qhov mob no tuaj yeem tswj tau lossis kho tau nrog kev kho mob uas tsis yog phais. Tus kws kho mob yuav sim cov kev kho mob no ua ntej.
- Tshuaj: Cov tshuaj NSAIDs muab tau los txo qhov mob thiab o. Qee zaum, yog tias qhov o hnyav heev, koj tuaj yeem txhaj tshuaj steroid ncaj qha rau hauv qhov chaw uas cov leeg ntshav raug thaiv.
- Kev Kho Mob Lub Cev: Qhov no tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog tshwj xeeb los txhawb koj cov leeg thiab ua kom koj lub cev yooj ywm dua. Lawv kuj tseem yuav qhia koj yuav ua li cas ua cov haujlwm txhua hnub yam tsis muaj kev nyuaj rau koj cov leeg.
- Hnav cov hlau nplaum lossis cov hlau nplaum: Cov no pab ua kom cov pob qij txha uas raug mob (piv txwv li, dab teg) tsis txav tau thiab nyob rau hauv qhov chaw raug. Hnav cov no, tshwj xeeb tshaj yog thaum hmo ntuj, tuaj yeem txo cov tsos mob tau zoo heev.
Thaum twg yuav tsum tau phais?
Yog tias cov kev kho mob saum toj no tsis pab, lossis yog tias cov leeg ntshav raug thaiv hnyav, koj tus kws kho mob yuav pom zoo kom phais. Kev phais yuav tsum tshem tawm qhov siab ntawm cov leeg ntshav. Yuav ua li no,
- Ua kom lub qhov uas cov leeg ntshav hla mus dav dua.
- Tshem tawm ib yam dab tsi zoo li ib qho qog uas ua rau muaj kev nyuaj siab.
- Qee zaum cov hlab ntsha yuav tsum tau kho lossis hloov txoj kev.
Yuav ua li cas thiaj tiv thaiv tau qhov teeb meem no hauv tsev?
Yog tias koj muaj feem yuav mob ntshav txhaws, tshwj xeeb yog vim koj txoj haujlwm, kev ua raws li cov kauj ruam yooj yim no tuaj yeem ua qhov sib txawv loj.
- Ua tib zoo xav txog koj txoj kev ua haujlwm: Yog tias koj ua haujlwm nrog lub khoos phis tawj, kho koj lub keyboard thiab lub rooj zaum kom koj lub dab teg thiab lub luj tshib nyob rau hauv qhov chaw raug.
- Tsis txhob khoov koj lub luj tshib ntev dhau: Tsis txhob khoov koj lub luj tshib ntev dhau ntawm lub rooj lossis lub rooj zaum.
- So kom txaus: Tsis txhob nyob twj ywm li qub, sawv tsees thiab taug kev ncig tsawg kawg ib teev ib zaug, thiab ncab koj ob txhais ceg me ntsis.
- Siv cov khoom siv kom raug: Siv lub dab teg so nrog koj lub keyboard thiab lub mouse pad.
- Hnav ib lub brace/splint: Yog tias koj tus kws kho mob pom zoo, hnav ib lub brace thaum ua haujlwm lossis thaum hmo ntuj.
Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?
Yog koj muaj cov tsos mob hauv qab no, tsis txhob yig mus ntsib kws kho mob tam sim ntawd.
| Koj xav li cas (cov tsos mob) | Vim li cas koj thiaj yuav tsum mus ntsib kws kho mob? |
|---|---|
| Ua tsis tau tej hauj lwm yooj yim txhua hnub (khawm lub tsho, sau ntawv, tuav ib yam dab tsi). | Qhov no yuav yog ib qho cim qhia tias cov leeg nqaij tsis muaj zog lossis cov hlab ntsha puas tsuaj. |
| Mob pob qij txha tas li. | Nws yog ib qho tseem ceeb kom txiav txim siab kom meej seb qhov mob puas yog lwm yam mob, xws li mob pob qij txha, lossis cov leeg ntshav txhaws. |
| Mob tingling tas li, mob tearing, lossis tsis muaj zog hauv ib txhais caj npab lossis ceg. | Cov no yog cov cim qhia meej tshaj plaws tias cov hlab ntsha raug kev nyuaj siab. Kev kho mob sai sai tuaj yeem tiv thaiv kev puas tsuaj mus tas li. |
| Nyuaj rau kev taug kev lossis poob qhov sib npaug. | Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd, vim qhov no yuav yog ib qho cim qhia txog teeb meem loj ntawm cov hlab ntsha hauv ob txhais ceg lossis nraub qaum. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov mob thiab khaus ntawm ob txhais ceg tsis yog ib txwm muaj. Nws tuaj yeem yog ib qho cim qhia tias cov hlab ntsha raug nias.
- Yog tsis quav ntsej cov tsos mob ces yuav ua rau cov hlab ntsha puas tsuaj mus tas li thiab cov leeg nqaij tsis muaj zog.
- Yog kuaj pom thaum ntxov thiab kho kom zoo, feem ntau yuav kho tau yam tsis tas phais.
- Yog tias koj txoj haujlwm lossis koj txoj kev ua neej ua rau koj muaj kev pheej hmoo, koj tuaj yeem tiv thaiv qhov mob no los ntawm kev tswj koj tus kheej kom zoo thiab tawm dag zog.
- Yog tias cov tsos mob tseem muaj lossis hnyav zuj zus, nco ntsoov mus ntsib koj tus kws kho mob kom tau lus qhia.
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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