Nws nyuaj nrhiav ib tus neeg uas tsis tau mob nraub qaum ib zaug hauv lawv lub neej, puas yog? Qee zaum, qhov mob me me, kev ncab ntawm kev nqa ib yam dab tsi hnyav, lossis txawm tias qhov mob nraub qaum tam sim ntawd, tsis paub meej tuaj yeem ua rau ntxhov siab heev. Feem ntau, nws ploj mus hauv ob peb hnub, tab sis qee qhov mob nraub qaum tuaj yeem yog ib qho cim ntawm lwm yam uas xav tau peb saib xyuas. Yog li hnub no, cia peb tham txog qhov ua rau mob nraub qaum, yuav kuaj mob li cas, thiab muaj kev kho mob dab tsi.
Ua ntej, cia peb saib seb peb tus txha nqaj qaum ua li cas.
Xav txog peb tus txha nqaj qaum zoo li ib txoj hlua ntawm cov hlaws dai. Nws muaj 33 lub pob txha me me hu ua vertebrae . Cov pob txha no tau muab tso rau saum ib leeg los tsim peb tus txha nqaj qaum. Nruab nrab ntawm cov pob txha no yog ib qho chaw zoo li jelly, me ntsis khov kho hu ua intervertebral disc . Qhov no ua haujlwm zoo li lub tshuab nqus dej hauv lub tsheb, nqus cov kev nyuaj siab thaum peb khiav, dhia, lossis tsa cov khoom hnyav, tiv thaiv peb tus txha nqaj qaum ntawm kev puas tsuaj.
Cov hlab ntsha caj qaum, yog ib txoj hlab ntsha tseem ceeb heev uas tswj peb lub cev tag nrho, khiav hla tag nrho cov hlab ntsha caj qaum no.
Peb lub pob txha nqaj qaum muaj peev xwm muab faib ua cov ntu tseem ceeb:
- Cov pob txha caj qaum: 7 lub pob txha hauv caj dab.
- Cov pob txha caj qaum thoracic: 12 lub pob txha ntawm lub caj dab thiab nraub qaum qis.
- Cov Pob Txha Nraub Qaum: 5 lub pob txha muaj zog tshaj plaws hauv qab nraub qaum. Qhov no yog qhov uas feem ntau mob nraub qaum los ntawm.
- Sacrum thiab Coccyx: Cov pob txha sib xyaw ua ke nyob rau hauv qab ntawm tus txha nraub qaum.
Vim li cas peb thiaj mob nraub qaum?
Muaj ntau yam ua rau mob nraub qaum, tsis yog ib lossis ob yam xwb. Qee zaum qhov ua rau mob yooj yim heev.
- Kev Sib Tsoo : Ib yam dab tsi zoo li kev poob, kev sib tsoo tsheb.
- Cov leeg nqaij ntshiv: Qhov no tuaj yeem tshwm sim thaum koj tsa qhov hnyav tsis raug thiab tig tam sim ntawd.
- Kev raug mob thaum ua si kis las: Kev raug mob uas tshwm sim thaum ua si kis las.
- Kev zaum tsis zoo : Zaum tib qho chaw ntev ntev, tshwj xeeb tshaj yog nyob rau hauv txoj kev uas ua rau mob nraub qaum.
Sib nrug ntawm cov ua rau yooj yim no, muaj ntau lwm yam ua rau, xws li herniated discs thiab mob pob qij txha.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob vim mob nraub qaum, nws yuav xub nug koj txog qhov mob, nws pib li cas, thiab kuaj koj kom zoo. Tom qab ntawd, yog tias tsim nyog, nws yuav xaj kom kuaj xyuas zoo li no kom paub qhov ua rau mob.
| Kev Ntsuas | Koj pom dab tsi hauv qhov no? |
|---|---|
| X-ray | Koj tuaj yeem tshawb xyuas tej yam xws li qhov chaw ntawm cov pob txha hauv tus txha nraub qaum, cov pob txha spurs, cov qog nqaij hlav, thiab cov pob txha tawg. |
| Kev Ntsuas CT | Cov mob xws li herniated disc lossis spinal stenosis tuaj yeem pom tseeb. |
| Kev Ntsuas MRI | Nws tuaj yeem muab tau daim duab meej heev ntawm cov discs, cov hauv paus paj hlwb, thiab cov hlab ntsha caj qaum. Nws feem ntau yog siv ua ntej phais. |
Ob qho mob tshwj xeeb uas tshwm sim hauv tus txha nqaj qaum
Txawm hais tias muaj ntau yam mob tshwj xeeb uas ua rau mob nraub qaum, peb yuav tham txog ob qho tshwj xeeb hnub no. Tej zaum koj twb tau hnov txog cov no.
1. Mob pob qij txha
Qhov tshwm sim hauv qhov no yooj yim heev. Ib lub pob txha caj qaum hauv peb tus txha nqaj qaum (vertebral RA ) plam mus tom ntej lossis rov qab hla qhov hauv qab nws. Nws zoo li ib lub cib hauv ib kab txav mus los. Qhov no feem ntau tshwm sim ntawm qhov hauv qab ntawm tus txha nqaj qaum.
Ua rau: Muaj ntau yam ua rau qhov no. Tej zaum yuav yog qhov tsis muaj zog txij thaum yug los, pob txha tawg los ntawm kev sib tsoo, pob txha tawg los ntawm kev ua si nawv, lossis kev kis kab mob.
Cov tsos mob:
- Mob nraub qaum qis
- Kev nruj thiab nruj ntawm nraub qaum thiab cov leeg nqaij ib puag ncig
- Mob hauv thaj tsam pob tw
- Qhov mob uas mus rau ntawm ob txhais ceg (qhov no yog los ntawm pob txha plam nias rau ntawm cov hauv paus hlab ntsha)
- Cov leeg tsis muaj zog lossis tingling hauv ob txhais ceg
Kev Kho Mob:Feem ntau, qhov mob no tuaj yeem tswj tau los ntawm kev kho lub cev , uas ua rau cov leeg nqaij nyob ib puag ncig tus txha nqaj qaum muaj zog. Koj tus kws kho mob yuav sau ntawv kom muab tshuaj tua kab mob (NSAIDs) xws li paracetamol lossis ibuprofen lossis naproxen rau qhov mob. Qee zaum yuav muab tshuaj txhaj epidural steroid. Cov tshuaj tshwj xeeb xws li gabapentin thiab pregabalin kuj tseem yuav muab rau qhov mob hlab ntsha.
Tsuas yog tias cov kev kho mob no tsis pab tau thiab qhov mob hnyav txaus kom cuam tshuam rau kev ua ub ua no txhua hnub xwb ces yuav tsum xav txog kev phais decompressive laminectomy (kev phais kom txo qhov siab ntawm cov hlab ntsha).
2. Kev Nyuaj Siab ntawm Cov Ntsws Cervical (Cervical Radiculopathy)
Qhov no yog teeb meem ntawm caj dab ntau dua li teeb meem nraub qaum. Qhov tshwm sim ntawm no yog tias cov hauv paus paj hlwb uas tawm ntawm ib qho ntawm cov pob txha caj dab hauv peb lub caj dab raug nias rau qee qhov laj thawj.
Ua rau: Rau cov tub ntxhais hluas, qhov no feem ntau tuaj yeem tshwm sim los ntawm lub disc tawg, nrog rau cov khoom tawm los nias rau ntawm cov hlab ntsha. Thaum cov neeg laus zuj zus, nws kuj tuaj yeem tshwm sim los ntawm mob pob qij txha lossis lwm yam kab mob.
Cov tsos mob:
- Cov tsos mob tseem ceeb yog qhov mob uas nthuav mus rau caj dab, hauv siab, xub pwg nyom, thiab caj npab .
- Xav tias cov ntiv tes loog los yog loog.
- Kev tsis muaj zog ntawm cov leeg nqaij hauv tes.
- Ua tsis tau tej hauj lwm me me uas siv tes ua (tsis muaj kev sib koom tes).
Kev Kho Mob: Qhov no kuj suav nrog cov tshuaj tua kab mob, kev kho lub cev, thiab cov tshuaj steroid (haus lossis txhaj tshuaj). Kev kho lub cev suav nrog kev rub lub caj dab maj mam thiab kev tawm dag zog los pab txo qhov mob.
Nov thiab, yog tias cov hlab ntsha raug nias hnyav heev thiab muaj qhov tsis muaj zog ntawm sab caj npab, tej zaum yuav tsum tau phais kom txo qhov kev nyem. Qhov kev txiav txim siab no yuav yog los ntawm koj tus kws kho mob thiab kws phais.
Thaum twg koj yuav tsum mus ntsib kws kho mob yog tias koj mob nraub qaum?
Mob nraub qaum yooj yim yuav tsum ploj mus li ob peb hnub. Tab sis yog tias koj muaj ib qho ntawm cov "cim liab" hauv qab no, mus ntsib kws kho mob tam sim ntawd. Tej zaum koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) .
- Mob hnyav tom qab muaj xwm txheej lossis ntog.
- Yog tias qhov tingling thiab qhov tsis muaj zog ntawm ob txhais ceg nce ntxiv.
- Yog tias koj muaj teeb meem tswj koj txoj hnyuv lossis zis.
- Yog tias koj poob phaus yam tsis muaj laj thawj, lossis yog tias koj kub taub hau.
- Yog tias qhov mob hnyav zuj zus thaum hmo ntuj lossis tsis ploj mus txawm tias tom qab so lawm los xij.
- Yog tias ib tug neeg uas muaj keeb kwm mob qog noj ntshav mob nraub qaum tshiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txawm hais tias mob nraub qaum yog ib qho mob uas tshwm sim ntau heev los, koj yuav tsum tsis txhob tsis quav ntsej nws.
- Feem ntau yuav tiv thaiv tau qhov mob nraub qaum los ntawm kev tsis txhob sawv ntsug tsis zoo thiab siv cov txheej txheem kom raug thaum tsa cov hnyav.
- Spondylolisthesis thiab Cervical Radiculopathy yog ob yam mob uas xav tau kev saib xyuas tshwj xeeb thiab tuaj yeem cuam tshuam rau cov hlab ntsha.
- Yog koj muaj cov tsos mob hnyav xws li loog hauv koj ob txhais ceg, tsis muaj zog, lossis nyuaj tswj koj cov zis, nws yog qhov xwm txheej ceev. Mus ntsib koj tus kws kho mob tam sim ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav qhov ua rau koj mob thiab nrhiav kev kho mob zoo tshaj plaws rau nws. Yog li ntawd, tsis txhob kho raws li kev kwv yees xwb, tab sis ua raws li cov lus qhia ntawm kws kho mob.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus