Puas muaj tej lub sij hawm koj lub cev mob heev yam tsis muaj laj thawj, xws li kub hnyiab, raug hluav taws xob tsoo, lossis raug mob hnyav? Tej zaum txawm tias cov khaub ncaws uas koj hnav kuj txhuam rau koj lub cev thiab ua rau mob heev uas koj tsis tuaj yeem ris tau? Tej yam no tsis yog tej yam uas koj tsis paub ua. Tej no yog ib qho mob tshwj xeeb hu ua 'Neuropathic Pain' hauv kev kho mob, uas yog los ntawm qee qhov teeb meem hauv peb lub paj hlwb. Qhov no tsis zoo li mob taub hau lossis mob nraub qaum ib txwm muaj, nws txawv. Yog li hnub no, cia peb tham txog qhov no yooj yim, zoo li peb tab tom tham nrog ib tug phooj ywg, hauv txoj kev uas koj nkag siab tau.
Hauv lus yooj yim, qhov mob neuropathic yog dab tsi?
Zoo, kom nkag siab qhov no, peb yuav tsum paub me ntsis txog lub paj hlwb hauv peb lub cev ua ntej. Xav txog peb lub paj hlwb zoo li lub network ntawm cov xov tooj uas khiav thoob plaws lub tebchaws. Ob lub hauv paus tseem ceeb ntawm lub network no yog peb lub hlwb thiab tus txha caj qaum . Peb hu qhov no ua lub paj hlwb hauv nruab nrab. Los ntawm cov chaw tseem ceeb no, muaj ntau cov xov hlau me me uas nqa cov lus mus rau txhua lub ces kaum ntawm lub cev, suav nrog caj npab, ceg, ntiv tes, thiab cov kabmob sab hauv. Cov no yog qhov peb hu ua cov paj hlwb peripheral.
Tam sim no xav txog seb yuav ua li cas yog tias qee cov xov hlau hauv lub network xov tooj no puas tsuaj lossis ua haujlwm tsis zoo? Cov lus tsis mus zoo, puas yog? Tej zaum cov lus tsis raug xa mus. Qhov ntawd yog qhov tshwm sim nrog kev mob neuropathic. Thaum peb cov hlab ntsha raug puas tsuaj, cov hlab ntsha puas tsuaj ntawd pib xa cov cim tsis raug mus rau peb lub hlwb, cov lus tsis raug uas hais tias "mob." Txawm tias thaum tsis muaj qhov laj thawj tiag tiag rau qhov mob tshwm sim, koj tuaj yeem hnov mob vim yog cov cim tsis raug no.
Lwm lub npe rau qhov no yog neuropathy . Nws yog kev hloov pauv lossis kev cuam tshuam rau kev ua haujlwm ntawm ib lossis ntau lub paj hlwb. Qhov mob no tuaj yeem tshwm sim rau txog li 30% ntawm cov neeg uas muaj ntshav qab zib. Tsis tas li ntawd, ntau yam kab mob, piv txwv li, shingles tom qab mob qaib ntxhw, HIV / AIDS, thiab kev haus dej cawv tsis zoo, kuj tuaj yeem ua rau mob neuropathic no.
Koj xav li cas txog qhov mob no? Cov tsos mob yog dab tsi?
Qhov mob neuropathic tsis yog ib hom mob xwb. Nws tuaj yeem hnov ntau txoj kev sib txawv. Rau qee tus neeg, nws hnyav zuj zus mus txog thaum nws tsis tuaj yeem ua tau, thaum rau lwm tus, nws tuaj thiab mus. Yuav kom yooj yim to taub, cia peb saib cov tsos mob no hauv daim ntawv teev.
| Qhov xwm txheej ntawm cov tsos mob (Lo Lus Kho Mob) | Hauv lus yooj yim, qhov no yog qhov nws xav zoo li |
|---|---|
| Mob uas tshwm sim los ntawm tus kheej | Qhov mob uas tshwm sim sai sai thiab tsis muaj laj thawj pom tseeb. Nws tuaj yeem hnov zoo li kub hnyiab , xav tias raug chob , lossis raug hluav taws xob poob . Nws kuj tseem tuaj yeem nrog los ntawm kev tingling lossis "pins and needles" . |
| Allodynia | Txawm tias ib yam dab tsi uas feem ntau tsis ua rau mob kuj ua rau mob hnyav heev. Xav txog nws zoo li daim ntaub pua chaw pw txhuam rau koj lub cev, cov khaub ncaws koj hnav kov koj daim tawv nqaij , lossis txawm tias ib tug neeg maj mam kov koj. |
| Hyperalgesia | Ib yam dab tsi uas feem ntau ua rau mob, xws li ib qho me me ntawm cov pos, mob ntau dua li qhov xav tau, thiab hnov zoo li nws yog qhov mob loj heev. |
| Hypoalgesia | Qhov no yog sab tod ntawm lub npib. Tsis hnov mob tsawg dua los ntawm qee yam uas yuav tsum mob. Piv txwv li, tsis hnov mob ntawm koob txhaj tshuaj. |
| Kev kho mob dysesthesia | Tej yam tsis paub piav qhia, txawv txawv, tsis xis nyob, lossis mob. Tej zaum koj yuav hnov ib yam dab tsi ntws hauv qab koj daim tawv nqaij , zoo li dej raug nqus tawm . |
| Tsis tsaug zog | Qhov mob tas li no ua rau nyuaj pw tsaug zog thaum hmo ntuj. Kev tsis tsaug zog kuj tseem tuaj yeem ua rau muaj kev ntxhov siab thiab kev ntxhov siab nrog rau qhov mob. |
Vim li cas ho mob li no? Cov ua rau mob yog dab tsi?
Tsis muaj ib qho ua rau mob neuropathic no. Muaj ntau yam ua rau. Cia peb saib cov yam tseem ceeb uas ua rau mob no.
- Kab mob ntshav qab zib: Raws li peb tau hais ua ntej lawm, qhov tseem ceeb thiab feem ntau ua rau mob neuropathic yog kab mob ntshav qab zib. Cov ntshav qab zib siab ntev tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Kev haus dej cawv tsis zoo: Kev haus dej cawv ntau dhau rau lub sijhawm ntev kuj tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau mob no.
- Kab mob ua pob khaus: Qhov no yog los ntawm tib tus kab mob uas ua rau mob qaib ntxhw. Tom qab mob qaib ntxhw zoo lawm, tus kab mob no tuaj yeem nyob twj ywm hauv peb cov hlab ntsha thiab rov ua haujlwm dua ntau xyoo tom qab los ua rau mob hnyav no.
- HIV/AIDS: Tus kab mob HIV nws tus kheej tuaj yeem ua rau cov hlab ntsha puas tsuaj, thiab qee cov tshuaj noj rau nws kuj tuaj yeem ua rau qhov no.
- Cov kab mob ntawm lub paj hlwb: Qhov mob no kuj tuaj yeem tshwm sim los ntawm cov kab mob uas cuam tshuam rau lub hlwb thiab tus txha caj qaum, xws li mob stroke, Parkinson's kab mob, thiab ntau yam sclerosis (MS).
- Mob hnyav hauv cheeb tsam uas muaj ntau yam sib txawv: Mob hnyav, mob ntev rau ntawm caj npab lossis ceg tom qab muaj xwm txheej.
- Cov mob ntawm cov hlab ntsha ntawm lub ntsej muag: Piv txwv li, trigeminal neuralgia.
Ntxiv rau cov no, muaj lwm yam laj thawj:
- Kev kho mob qog noj ntshav: Qee cov tshuaj tiv thaiv qog noj ntshav, xws li cisplatin, paclitaxel, thiab vincristine, thiab kev kho mob hluav taws xob tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Kev Txiav Tes: Tom qab phais tshem ib ceg lossis ib ceg tawm, qhov mob ntawm thaj chaw uas tshem ceg tawm hu ua mob ceg cuav .
- Kev nias ntawm cov hlab ntsha hauv tus txha caj qaum: Qhov mob tuaj yeem tshwm sim los ntawm kev nias ntawm cov hlab ntsha vim yog cov mob xws li cov hlab ntsha hauv tus txha caj qaum prolapse.
- Kev phais mob lossis kev raug mob: Kev puas tsuaj rau cov hlab ntsha thaum lub sijhawm phais mob lossis kev raug mob.
- Cov qog nqaij hlav: Qhov mob no kuj tuaj yeem tshwm sim los ntawm qog nqaij hlav lossis qog nqaij hlav ib txwm nias rau ntawm cov hlab ntsha.
Tus kws kho mob kuaj mob li cas?
Thaum koj tham txog cov tsos mob zoo li no, thawj qhov koj tus kws kho mob yuav ua yog nug koj kom piav qhia kom meej.
- Nug txog koj keeb kwm kev kho mob.
- Yuav kuaj xyuas koj kom meej (kuaj xyuas lub cev).
- Nyob ntawm seb qhov mob uas koj piav qhia yog dab tsi (xws li kub hnyiab, raug mob, lossis loog), tus kws kho mob tuaj yeem paub seb qhov no puas yog mob neuropathic.
Tom qab ntawd, tus kws kho mob yuav sim nrhiav qhov ua rau mob. Qhov no txhais tau tias nws tuaj yeem kuaj xyuas seb puas yog vim ntshav qab zib, lwm yam kab mob, lossis tshuaj.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob neuropathic mob nyuaj me ntsis vim nws tsis zoo li mob ib txwm muaj. Kev kho mob nyob ntawm qhov ua rau koj mob thiab qhov xwm txheej ntawm koj cov tsos mob. Lub hom phiaj tseem ceeb ntawm kev kho mob yog:
- Kev kho mob qhov mob tseem ceeb: Piv txwv li, phais tshem tawm ib qho qog uas nias rau ntawm ib txoj hlab ntsha. Yog tias muaj ntshav qab zib, tswj cov ntshav qab zib.
- Kev txo qhov mob: Txo qhov mob thiab muab kev pab rau koj.
- Pab kom ua tej yam niaj hnub tau ntxiv: Pab kom rov ua tej yam uas tau raug cuam tshuam vim mob.
- Txhim kho qhov zoo ntawm lub neej: Npaj koj tus kheej kom nyob zoo nrog qhov mob.
Feem ntau, nws nyuaj rau tswj qhov mob no nrog ib txoj kev kho mob xwb, yog li ntawd feem ntau siv ntau txoj kev kho mob ua ke.
| Txoj kev kho mob | Ua li cas rau nws? |
|---|---|
| Cov tshuaj mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj (OTC pain relievers) | Cov tshuaj xws li acetaminophen thiab ibuprofen tsis yog ib txwm zoo rau qhov mob neuropathic. |
| Cov tshuaj tiv thaiv kev qaug dab peg | Cov tshuaj no ntseeg tau tias yuav txo qhov mob los ntawm kev cuam tshuam cov cim qhia mob uas mus los ntawm cov hlab ntsha. Lawv zoo heev rau qhov mob neuropathic. |
| Cov tshuaj tiv thaiv kev nyuaj siab | Kev ntxhov siab thiab kev nyuaj siab tuaj yeem ua rau mob hnyav dua. Cov tshuaj no txo qhov mob thiab txhawb kev noj qab haus huv ntawm lub hlwb. |
| Kev kho mob sab nraud | Cov tshuaj pleev, tshuaj pleev, lossis cov ntaub nplaum uas muaj lidocaine lossis capsaicin tuaj yeem siv ncaj qha rau thaj chaw mob. |
| Cov hlab ntsha thaiv | Kev txhaj tshuaj ze ntawm cov hlab ntsha lossis cov hauv paus hlab ntsha uas ua rau mob tuaj yeem txo qhov mob ib ntus. |
| Kev kho lub cev | Kev tawm dag zog thiab kev zaws tuaj yeem pab txo qhov mob, mob nqaij, thiab tsis xis nyob. Qhov no kuj ua rau lub cev tsim cov tshuaj tua kab mob ntuj tsim. |
| Kev phais mob | Muaj tej lub sij hawm, qhov mob yuav txo tau los ntawm kev kho, tso tawm, lossis tshem tawm cov hlab ntsha uas puas lawm. |
| Kev sab laj txog kev puas siab puas ntsws | Kev sab laj tuaj yeem pab tau zoo heev rau kev daws qhov kev ntxhov siab uas los nrog kev nyob nrog mob ntev. |
Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob yuav tsum txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj . Tsis txhob mus nrhiav tshuaj raws li cov lus xaiv xwb.
Yog tias cov kev kho mob no tswj tsis tau koj qhov mob, koj tus kws kho mob kuj yuav piav qhia rau koj txog cov kev kho mob siab dua, xws li kev txhawb nqa cov hlab ntsha caj qaum.
Puas tiv thaiv tau qhov mob no?
Txawm hais tias qhov no tsis tuaj yeem tiv thaiv tau tas li, muaj ntau yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo.
- Tsum haus luam yeeb. Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj, uas tuaj yeem txo cov ntshav mus rau cov hlab ntsha.
- Tsim kom muaj kev tawm dag zog uas haum rau koj. Kev tawm dag zog txhua hnub ua rau cov ntshav ncig zoo dua.
- Noj zaub mov kom zoo. Noj cov khoom noj uas muaj txiv hmab txiv ntoo tshiab, zaub, taum pauv, cov nplej tag nrho, thiab cov protein uas tsis muaj roj ntau.
- Txwv kev haus cawv.
- Yog koj muaj ntshav qab zib, xyuas koj cov ntshav qab zib tsis tu ncua thiab saib xyuas lawv kom zoo. Saib xyuas koj ob txhais taw tshwj xeeb.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj muaj ib qho ntawm cov tsos mob hauv qab no, nco ntsoov mus ntsib kws kho mob.
- Yog tias qee qhov ntawm koj lub cev tsis muaj zog
- Yog tias koj ib txwm xav tias koj raug rab koob chob
- Yog koj xav tias koj cov leeg nqaij tsis muaj zog lawm
- Yog tias koj cov leeg nqaij ntswj tsis tuaj yeem tswj tau (twitching)
- Yog tias tej yam hauv koj txhais tes pheej poob rau hauv pem teb
Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU)?
Yog tias koj mob hnyav, tsis muaj zog, lossis tsis muaj zog uas zuj zus tuaj sai sai, nws yuav yog ib qho cim qhia tias cov hlab ntsha raug mob hnyav. Yog li ntawd, koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm koj lub tsev kho mob ze tshaj plaws. Cov tsos mob no kuj tseem ceeb heev:
- Lub plawv dhia ceev lossis tsis xwm yeem.
- Kev hloov pauv hauv kev coj cwj pwm mus tso zis, xws li nyuaj rau tso zis .
- Kiv taub hau lossis tsis nco qab.
Xaus lus, qhov mob neuropathic yog ib qho mob uas yuav ua rau tuag taus uas ua rau nws nyuaj rau ua tej yam txhua hnub. Tab sis tsis txhob xav tias koj tsis tuaj yeem nyob nrog nws. Nrog kev kho mob zoo thiab kev tswj qhov mob, koj tuaj yeem tswj qhov mob thiab ua lub neej zoo. Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob sai li sai tau thiab tsis txhob tsuas yog zam qhov mob xwb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov mob neuropathic yog qhov mob uas tsis yog los ntawm kev raug mob rau thaj chaw uas hnov qhov mob, tab sis los ntawm kev puas tsuaj lossis kev ua haujlwm tsis zoo hauv lub paj hlwb.
- Qhov mob no muaj ntau yam xws li kub hnyiab, raug chob, lossis tingling. Qee zaum, txawm tias qhov kev xav tias cov khaub ncaws txhuam rau lub cev kuj tuaj yeem mob heev.
- Kab mob ntshav qab zib yog qhov ua rau muaj qhov no, tab sis kab mob shingles, xwm txheej, thiab ntau yam kab mob kuj tuaj yeem ua rau muaj qhov mob no.
- Tsis muaj ib txoj kev kho mob uas zoo li khawv koob rau qhov no. Yuav kom ua tau zoo, koj yuav tsum siv tshuaj, kev kho lub cev, thiab tej zaum kev sab laj txog kev puas siab puas ntsws ua ke.
- Yog koj mob hlab ntsha tas li los yog mob hnyav heev, tsis txhob tso tseg. Nco ntsoov nrog koj tus kws kho mob tham txog qhov no.
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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