Nws nyuaj nrhiav ib tus neeg uas tsis tau mob nraub qaum hauv peb lub neej txhua hnub, puas yog? Qee zaum qhov mob no tuaj yeem los ntawm kev tsa ib yam dab tsi me me, zaum tsis raug, lossis txawm tias los ntawm qhov xwm txheej me me. Tab sis tsis yog txhua qhov mob nraub qaum zoo ib yam, thiab qhov ua rau nws txawv. Yog li hnub no, cia peb tham txog qhov mob nraub qaum no yog dab tsi, nws ua rau, cov tsos mob, thiab kev kho mob kom meej thiab yooj yim.
Ua ntej, cia peb saib seb peb tus txha nqaj qaum ua li cas.
Hais yooj yim xwb, peb tus txha nqaj qaum yog cov pob txha me me uas khiav ntawm peb lub taub hau mus rau peb lub duav, teeb tsa ua kab. Peb hu cov pob txha me me no ua 'vertebrae' . Peb tus txha nqaj qaum muaj 33 lub pob txha caj qaum no. Qhov tseem ceeb tshaj plaws txog qhov no yog tias cov hlab ntsha caj qaum, uas tswj peb lub cev tag nrho, khiav hla cov pob txha caj qaum no thiab raug tiv thaiv.
Xav txog seb, thaum cov pob txha caj qaum no muab sib tshooj ua ke, yuav tsum muaj ib yam dab tsi los tiv thaiv lawv kom tsis txhob sib txhuam, puas yog? Yog vim li ntawd thiaj muaj ib daim pob txha mos hu ua intervertebral disk nyob nruab nrab ntawm ob lub pob txha caj qaum. Nws ua haujlwm zoo li lub tshuab nqus dej hauv lub tsheb, nqus qhov siab ntawm peb nraub qaum thaum peb khiav thiab dhia.
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 caj qaum hauv caj dab.
- Thoracic vertebrae: 12 vertebrae nyob nruab nrab ntawm lub caj dab thiab nraub qaum qis.
- Lumbar Vertebrae : 5 lub pob txha caj qaum muaj zog thiab loj tshaj plaws nyob rau sab nraub qaum qis.
- Sacrum thiab Coccyx: Cov pob txha nyob rau qhov kawg qis tshaj plaws ntawm tus txha nraub qaum.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob vim mob nraub qaum, nws yuav xub nug koj cov lus nug (keeb kwm kev kho mob) thiab kuaj koj kom paub txog qhov mob. Tom qab ntawd, yog tias tsim nyog, nws yuav xaj qee qhov kev kuaj mob zoo li no kom nrhiav tau qhov ua rau mob.
- Kev kuaj mob X-ray: Qhov no feem ntau xyuas cov qauv ntawm cov pob txha ntawm tus txha nqaj qaum, lawv qhov tsis ruaj khov (xws li kev plam), qog, lossis pob txha tawg .
- CT scan: Qhov no tuaj yeem txheeb xyuas cov mob tshwj xeeb xws li herniated disc lossis spinal stenosis.
- Kev kuaj MRI:Qhov no yog qhov kev kuaj mob zoo tshaj plaws los saib cov discs thiab cov hauv paus hlab ntsha kom meej. Feem ntau nws yog siv los npaj ua ntej phais.
Cia peb txheeb xyuas ob hom mob nraub qaum.
Txawm hais tias muaj ntau yam ua rau mob nraub qaum, hnub no peb tab tom tham txog ob yam mob uas tshwj xeeb me ntsis thiab xav tau kev kho mob .
1. Spondylolisthesis (kev plam ntawm cov pob txha caj qaum)
Lub npe no suab me ntsis txaus ntshai, puas yog? Tab sis nws yooj yim to taub. Qhov tshwm sim yog tias ib lub pob txha caj qaum ('vertebra') plam mus tom ntej lossis rov qab hla lub pob txha caj qaum hauv qab nws. Xav txog nws zoo li ib lub cib hauv ib kab ntawm cov cib swb mus tom ntej me ntsis. Qhov mob no feem ntau tshwm sim hauv qab nraub qaum (lumbar spine).
Qhov no tuaj yeem yog vim muaj qhov tsis muaj zog ntawm cov pob txha caj qaum uas yug los, qhov tawg ntawm qhov raug mob lossis thaum ua si kis las, lossis tej zaum qhov tsis muaj zog ntawm cov pob txha caj qaum vim muaj kev kis kab mob.
Cov tsos mob ntawm tus mob no yog dab tsi?
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob nraub qaum qis | Qhov mob yuav nce ntxiv, tshwj xeeb tshaj yog thaum taug kev lossis sawv ntsug ntev. |
| Cov leeg nqaij nruj thiab nruj | Xav tias cov leeg nraub qaum thiab cov leeg nqaij hamstring nruj. |
| Mob hauv thaj tsam pob tw | Qhov mob yuav kis mus rau lub pob tw. |
| Qhov mob kis mus rau ob txhais ceg | Vim tias cov pob txha caj qaum uas plam lawm nias cov hauv paus hlab ntsha, qhov mob tuaj yeem mus rau hauv ob txhais ceg. |
| Cov leeg tsis muaj zog | Tej zaum koj yuav hnov tias koj ob txhais ceg tsis muaj zog. |
Kev kho mob ntawm spondylolisthesis
Ib qho kev kho mob zoo tshaj plaws rau qhov no yog kev kho lub cev . Nws ua rau cov leeg nqaij uas txhawb nqa nraub qaum thiab plab muaj zog. Koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) xws li acetaminophen lossis ibuprofen rau qhov mob. Yog tias qhov mob hnyav heev, yuav muab tshuaj txhaj epidural steroid txhaj rau.
Ntxiv mus, koj tus kws kho mob kuj tseem yuav xav txog cov tshuaj tshwj xeeb rau qhov mob neuropathic thiab cov tshuaj so cov leeg. Txawm li cas los xij, yog tias koj muaj mob xws li ntshav qab zib, koj yuav tsum ceev faj thaum noj cov tshuaj steroids, vim tias lawv tuaj yeem ua rau koj cov ntshav qab zib nce siab ib ntus. Yog li ntawd, tham txog txhua yam nrog koj tus kws kho mob. Yog tias cov kev kho mob no tsis pab, kev phais kom muab qhov chaw ntau dua rau cov hlab ntsha (decompressive laminectomy) lossis kev sib koom ua ke ntawm tus txha caj qaum (spinal fusion) yuav raug xav txog.
2. Cervical Radiculopathy (cov hlab ntsha hauv caj dab raug nias)
Qhov no yog ib qho mob uas tshwm sim thaum cov hauv paus hlab ntsha uas tawm ntawm cov pob txha caj dab hauv caj dab raug nias . Ib yam li ib tug neeg taug kev saum cov yeeb nkab dej thiab cov dej ntws qeeb qeeb, thaum cov hlab ntsha raug nias, cov teeb liab uas hla nws raug cuam tshuam.
Qhov ua rau muaj tus mob no rau cov tub ntxhais hluas yog lub disc tawg hauv caj dab, ua rau cov hlab ntsha raug nias los ntawm cov khoom uas tawm los ntawm nws. Rau cov neeg laus, cov hlab ntsha tuaj yeem raug nias vim yog kev hloov pauv degenerative lossis mob pob qij txha uas tshwm sim nrog kev laus.
Cov tsos mob ntawm Cervical Radiculopathy
- Cov tsos mob tseem ceeb yog qhov mob uas kis mus rau caj dab, hauv siab, xub pwg nyom, thiab caj npab .
- Tej zaum koj yuav hnov mob loog lossis tingling hauv koj txhais tes lossis ntiv tes.
- Tej zaum koj yuav hnov cov leeg nqaij tsis muaj zog hauv koj txhais tes.
- Qee tus neeg yuav muaj kev poob ntawm qhov sib npaug thiab kev sib koom tes , tshwj xeeb tshaj yog nyob rau hauv tes.
Kev Kho Mob Rau Cervical Radiculopathy
Cov tshuaj tua kab mob thiab kev kho lub cev yog cov kev kho mob tseem ceeb rau qhov no. Kev kho lub cev suav nrog kev rub lub caj dab maj mam, kev tawm dag zog, thiab lwm txoj hauv kev los pab txo qhov mob. Koj tus kws kho mob kuj tseem yuav pom zoo kom txhaj tshuaj steroid lossis epidural.
Qhov tseem ceeb tshaj plaws, yog tias qhov kev nias ntawm cov hlab ntsha ua rau lub cev tsis muaj zog hauv tes, tej zaum yuav tsum tau phais kom txo qhov kev nyem.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob nraub qaum yeej tsis yog ib yam uas yuav tsum tau saib yooj yim. Muaj ntau yam ua rau mob, yog li nws yog ib qho tseem ceeb uas yuav tsum nrhiav qhov ua rau mob.
- Yog tias qhov mob hnyav heev, mus rau hauv ob txhais ceg, lossis nrog rau qhov mob loog lossis tsis muaj zog hauv ob txhais ceg, koj yuav tsum mus ntsib kws kho mob dua li sim kho koj tus kheej.
- Cov kev kuaj mob xws li
X-raythiabMRIuas koj tus kws kho mob tau sau tseg yog qhov tseem ceeb heev rau kev kuaj mob. Tsis txhob hla dhau lawv. - Kev kho lub cev yog ib txoj kev kho mob zoo heev thiab muaj kev nyab xeeb rau qhov mob nraub qaum. Kev ua kom cov leeg nqaij nyob ib puag ncig tus txha nqaj qaum muaj zog los ntawm kev tawm dag zog kom zoo tuaj yeem pab ua kom zoo mus ntev.
- Yog tias koj muaj lwm yam mob, xws li ntshav qab zib lossis ntshav siab, qhia rau koj tus kws kho mob ua ntej siv tshuaj rau mob nraub qaum.
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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