Koj puas muaj tej lub sij hawm koj hnov mob me ntsis los yog tingling ntawm sab hauv koj lub duav? Koj puas muaj teeb meem me ntsis thaum koj taug kev, tshwj xeeb tshaj yog thaum koj khoov koj ceg? Muaj ntau tus neeg xav tias qhov no tsuas yog ib qho mob nqaij ntshiv xwb, tab sis tej zaum qhov ua rau yog ib txoj hlab ntsha tshwj xeeb hauv peb lub cev. Niaj hnub no peb tab tom tham txog ib txoj hlab ntsha uas tsis tshua paub, tab sis tseem ceeb heev uas tseem ceeb heev rau kev txav mus los thiab kev hnov ntawm peb ob txhais ceg. Ntawd yog Obturator Nerve.
Lub paj hlwb Obturator yog dab tsi?
Hais yooj yim xwb, lub paj hlwb Obturator yog lub paj hlwb tseem ceeb uas muab kev xav (kev xav) thiab kev txav mus los (kev txav mus los) rau sab hauv ntawm koj lub duav. Nws yog ib feem ntawm peb lub cev Peripheral Nervous System (PNS). Lub cev no yog qhov pab nqa cov lus los ntawm peb lub hlwb mus rau lwm qhov ntawm lub cev.
Cov hlab ntsha no pib los ntawm ib pawg ntawm cov hlab ntsha hauv peb lub nraub qaum qis. Hauv kev kho mob, peb hu qhov no "lumbar plexus" (lumbar plexus). Pawg ntawm cov hlab ntsha no muab kev xav thiab kev txav mus rau sab saud thiab qis ntawm peb ob txhais ceg, nrog rau peb txhais taw. Yog li Obturator Nerve no kuj pib los ntawm pawg ntawm cov hlab ntsha thiab mus ntev heev los ntawm peb lub puab tsaig mus rau sab hauv ntawm lub duav.
Cov haujlwm tseem ceeb ntawm cov hlab ntsha no yog dab tsi?
Cov hlab ntsha no ua ob txoj haujlwm tseem ceeb rau sab hauv ntawm peb lub duav. Lawv yog cov tswj kev txav mus los (kev ua haujlwm ntawm lub cev) thiab muab kev hnov (kev ua haujlwm ntawm kev hnov). Cia peb saib seb cov no yog dab tsi.
| Hom haujlwm | Cov txheej txheem uas tshwm sim |
|---|---|
| Kev tswj cov kev txav mus los (Kev Ua Haujlwm ntawm Lub Cev Muaj Zog) |
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| Kev Ua Haujlwm ntawm Kev Xav |
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Cov hlab ntsha no mus ncig li cas hauv peb lub cev?
Txoj kev ntawm Obturator Nerve nyuaj me ntsis, tab sis cia peb ua kom yooj yim.
1. Pib: Qhov no pib nrog "lumbar plexus", uas yog tsim los ntawm cov hauv paus paj hlwb los ntawm cov vertebrae (L2, L3, L4) hauv peb lub nraub qaum qis.
2. Txoj Kev: Cov hlab ntsha no ces hla mus los ntawm cov leeg nqaij psoas hauv peb lub nraub qaum qis. Tom qab ntawd, hauv peb lub duav, nws hla mus tom qab ib txoj hlab ntsha loj hu ua iliac artery.
3. Nkag mus rau hauv peb lub duav: Thaum kawg, lub qhov dej obturator nkag mus rau sab saud ntawm peb lub duav los ntawm qhov qhib me me hauv lub duav.
Tom qab ncav cuag lub duav, cov hlab ntsha no faib ua peb ceg tseem ceeb. Cov no yog ceg pem hauv ntej, ceg tawv nqaij, thiab ceg tom qab. Txhua ceg no nqa cov lus mus rau ntau yam leeg nqaij thiab daim tawv nqaij ntawm sab hauv ntawm lub duav.
Yuav ua li cas thiaj ua rau Obturator Nerve puas tsuaj tau?
Yog tias cov hlab ntsha no raug puas tsuaj (kev raug mob ntawm cov hlab ntsha obturator), koj yuav hnov mob, loog, lossis tingling hauv koj lub puab tais lossis lub duav. Koj kuj tseem yuav hnov qhov tsis muaj zog thaum koj khoov koj ceg mus rau hauv. Muaj ntau yam ua rau qhov no.
| Ua rau muaj kev puas tsuaj | Piav qhia yooj yim |
|---|---|
| Cov teeb meem ntawm cov hlab ntsha (Obturator neuropathy) | Nws tuaj yeem tshwm sim los ntawm kev hnav thiab tsim kua muag ib txwm muaj dhau sijhawm lossis los ntawm cov hlab ntsha raug ntswj thaum muaj xwm txheej. |
| Obturator hernia | Cov nqaij ntawm lub plab tawm los ntawm qhov qhib uas cov hlab ntsha hla mus (obturator canal), ua rau cov hlab ntsha nias. |
| Kev ntes cov hlab ntsha | Kev nias rau ntawm cov hlab ntsha vim yog o ntawm cov nqaij nyob ib puag ncig. Qhov no tuaj yeem tshwm sim thaum cev xeeb tub lossis hauv cov mob xws li endometriosis. |
| Kev raug mob ntawm lub duav | Thaum ib tug me nyuam yug los, lossis muaj xwm txheej tsheb sib tsoo, kev los ntshav sab hauv tuaj yeem ua rau cov hlab ntsha raug nias. |
| Cov qog nqaij hlav los yog mob qog noj ntshav | Cov qog nqaij hlav uas tshwm sim hauv cov kabmob xws li lub zais zis thiab lub qhov ncauj tsev menyuam tuaj yeem tso siab rau cov hlab ntsha. |
| Kev raug mob kis las | Nws tuaj yeem tshwm sim hauv kev ua si uas muaj kev ncaws pob ntau, xws li ncaws pob, lossis hauv kev ua si uas yuav tsum tau zaum ntev, xws li caij tsheb kauj vab lossis caij nees. |
Qhov tseem ceeb tshaj plaws yog peb lub duav yog qhov chaw uas muaj ntau lub cev tseem ceeb, cov hlab ntsha, thiab cov hlab ntsha nyob hauv ib qho chaw me me. Yog li ntawd, muaj kev pheej hmoo me ntsis ntawm kev puas tsuaj rau cov hlab ntsha no thaum lub sijhawm phais lossis yug menyuam. Tab sis cov kws kho mob ceev faj heev txog qhov no.
Cov tsos mob dab tsi uas yuav tsum ua rau koj mus ntsib kws kho mob?
Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob kom tau txais kev qhia yam tsis txhob tsis quav ntsej lawv.
- Mob tas li hauv thaj chaw puab tais.
- Tsis xis nyob lossis mob uas khiav mus rau sab hauv ntawm tus ncej puab.
- Muaj kev xav tingling hauv thaj chaw qhov chaw mos, zoo li cov ntsaum khiav ib ncig .
- Mob ceg.
- Cov leeg nqaij ntawm sab hauv ntawm tus ncej puab tsis muaj zog .
- Claudication yog mob nqaij uas tshwm sim thaum lub sijhawm ua si thiab ploj mus thaum koj so.
- Kev tsis muaj zog ntawm sab hauv ntawm tus ncej puab.
- Qhov mob nce ntxiv thaum txav ceg ntawm ib sab mus rau ib sab.
Yuav kho qhov no li cas? Obturator Nerve Block yog dab tsi?
Thaum koj mus ntsib kws kho mob, nws yuav kuaj koj thiab, yog tias tsim nyog, xa koj mus kuaj xws li scans, kom paub qhov ua rau muaj qhov teeb meem. Kev kho mob yuav nyob ntawm seb qhov ua rau muaj kev puas tsuaj li cas.
Qee zaum, cov kws kho mob siv kev kho mob hu ua Obturator Nerve Block. Hais yooj yim xwb, nws zoo li cov tshuaj uas ua rau koj tsis hnov lus zoo ua ntej rho hniav. Ntawm no, tus kws kho mob txhaj tshuaj uas ua rau Obturator Nerve tsis hnov lus zoo ib ntus. Qhov no ua tiav rau ob peb qho laj thawj tseem ceeb:
- Txo qhov mob ua ntej phais lub duav lossis lub hauv caug.
- Tsum tsis txhob co ceg thaum lub sijhawm phais mob xws li mob qog noj ntshav hauv lub zais zis.
- Txo qhov mob ntawm lub puab tsaig lossis lub duav uas tsis teb rau lwm yam kev kho mob.
- Kho cov mob xws li spasticity, uas yog cov leeg nqaij nruj dhau ntawm sab hauv ntawm lub duav.
Feem ntau, peb tsis xav txog Obturator Nerve kom txog thaum muaj qee yam tsis raug nrog nws thiab peb hnov mob lossis tsis xis nyob. Qhov ntawd yog qhov ib txwm muaj. Tab sis nco ntsoov, cov kev tsis xis nyob no yog qhov tshwm sim. Qhov zoo tshaj plaws ua yog nrhiav qhov ua rau tseeb thiab tau txais kev kho mob zoo. Tom qab ntawd koj tuaj yeem noj qab haus huv dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub paj hlwb Obturator yog ib lub paj hlwb tseem ceeb rau kev txav mus los thiab kev hnov nyob rau sab hauv ntawm koj lub duav.
- Tsis txhob tsis quav ntsej qhov mob tas li, mob nqaij tawv, lossis qaug zog ntawm sab hauv ntawm tus ncej puab lossis qhov chaw mos.
- Cov tsos mob no tej zaum yuav yog los ntawm kev sib tsoo, cov hlab ntsha raug ntswj, lossis lwm yam mob.
- Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib koj tus kws kho mob tam sim ntawd kom kuaj mob thiab kho tau zoo. Kev kho mob thaum ntxov yuav pab tau koj rov zoo sai dua.
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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