Koj puas yog ib tug tub hluas uas nyiam ua si kis las thiab khiav thiab dhia tau zoo? Tab sis tom qab pib khiav, koj puas muaj mob txawv txawv, hnyav, lossis loog ntawm ceg qis (qhov chaw nyuj) tom qab khiav ib ntus? Nws ploj mus tom qab so ib ntus, tab sis qhov mob qub rov qab los thaum koj pib khiav dua? Qhov no yuav tsis yog tsuas yog kev mob nqaij xwb. Niaj hnub no peb tab tom tham txog ib qho mob tsis tshua muaj uas ntau tus neeg tsis paub txog, tab sis nws tuaj yeem cuam tshuam rau cov tub ntxhais hluas uas ua kis las.
Hais yooj yim xwb, Popliteal Artery Entrapment Syndrome (PAES) yog dab tsi?
Tej zaum nws yuav zoo li nyuaj me ntsis, tab sis cov txheej txheem no yooj yim heev. PAES yog ib qho mob tsis tshua muaj uas cuam tshuam rau cov hlab ntsha hauv peb ob txhais ceg. Nws tshwm sim thaum cov hlab ntsha tseem ceeb uas khiav tom qab peb lub hauv caug, cov hlab ntsha popliteal, raug thaiv los ntawm cov leeg nqaij ze (cov leeg nqaij gastrocnemius).
Ib yam li thaum ib tug neeg taug kev saum cov kav dej, cov dej ntws qeeb qeeb. Thaum peb khiav lossis dhia, cov leeg no ua rau peb cov hlab ntsha nruj. Tom qab ntawd, cov ntshav ntws mus rau ceg qis txo qis ib ntus. Vim yog qhov kev txo qis ntawm cov ntshav ntws, cov leeg tsis tau txais cov pa oxygen uas lawv xav tau, thiab cov khoom xws li lactic acid sib sau ua ke, uas ua rau muaj cov tsos mob xws li mob, hnyav, qaug zog, thiab loog hauv ceg.
Qhov zoo tshaj plaws yog tias cov tsos mob no yuav ploj mus li ntawm peb mus rau tsib feeb tom qab tso tseg kev tawm dag zog. Txawm li cas los xij, yog tias tsis kho, qhov mob yuav hnyav zuj zus tuaj. Qhov mob yuav loj zuj zus tom qab khiav ib ntus xwb, thiab nws yuav siv sijhawm ntev heev kom ploj mus.
Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?
PAES feem ntau tshwm sim rau cov tub ntxhais hluas uas muaj hnub nyoog ntawm 15 thiab 25 xyoo. Cov neeg uas ua si kis las uas muaj kev khiav muaj feem yuav mob ntau dua. Piv txwv li:
- Kev Ua Si (Kev Sib Tw Khiav thiab Ua Si)
- Kev Khiav Hla Tebchaws
- Ncaws pob
- Lacrosse
- Kev ua si hockey hauv thaj teb
Tus mob no tsis tshua muaj. Kwv yees li ntawm 1% ntawm cov pej xeem yuav muaj tus mob no. Yog li ntawd, feem ntau thaum peb ntsib hom mob no, peb xav tias nws tsuas yog ib qho mob nqaij ntshiv xwb.
Puas muaj lwm yam mob uas zoo li PAES?
Yog. Muaj ib qho mob uas muaj cov tsos mob zoo sib xws li qhov no, tab sis nws tshwm sim ntau dua li PAES. Nws hu ua Chronic Exertional Compartment Syndrome (CECS) . Qhov no kuj yog qhov mob uas tshwm sim los ntawm kev nce siab tsis zoo hauv cov leeg nqaij ceg thaum lub sijhawm ua si. Qee zaum ib tus neeg tuaj yeem muaj ob qho tib si PAES thiab CECS tib lub sijhawm.
Tus kws kho mob tuaj yeem paub qhov txawv ntawm ob qho no los ntawm kev ua qhov kev kuaj. Hauv PAES, lawv saib seb cov ntshav siab hauv ceg puas txo qis nrog kev tawm dag zog. Hauv CECS, lawv ntsuas qhov siab hauv cov leeg nqaij ceg ua ntej thiab tom qab kev tawm dag zog.
Cov tsos mob ntawm PAES yog dab tsi?
Tej zaum koj yuav muaj cov tsos mob no hauv koj lub qhov ncauj thiab/lossis ob txhais ceg thaum koj tawm dag zog. Feem ntau cov tsos mob no yuav ploj mus li ob peb feeb tom qab koj tsis tawm dag zog lawm.
| Cov tsos mob | Nws xav li cas |
|---|---|
| Mob thiab mob nkeeg | Tej zaum yuav zoo li mob heev los ntawm sab hauv. |
| Kev nkees nkees | Kuv ob txhais ceg nkees heev thiab tsis muaj sia nyob. |
| Qhov hnyav | Kuv ob txhais ceg hnyav dhau lawm tsa tsis taus. |
| Cov leeg dov | Ua cia li, kuv ob txhais ceg xav tias nruj thiab khi. |
| Kev tsis muaj zog | Tej zaum yuav muaj tingling hauv ob txhais ceg thiab taw. |
| Kev o | Muaj ib txhia neeg xav tias lawv txhais ceg kub hnyiab zoo li lawv txhais ceg kub hnyiab los ntawm sab hauv. |
Cov ua rau muaj PAES yog dab tsi?
Muaj ob qho laj thawj tseem ceeb ua rau cov hlab ntsha no raug thaiv.
1. Kev nias ntawm lub cev
Qhov no yog hom mob hnyav tshaj plaws. Nws yog los ntawm thaum yug los .Ib txoj hlab ntsha raug thaiv vim yog kev hloov pauv ntawm txoj kev uas cov leeg lossis cov leeg nyob tom qab koj lub hauv caug. Qhov no feem ntau tshwm sim rau cov txiv neej. Nws tsuas yog tshwm sim rau ib ceg xwb. Thaum cov hlab ntsha raug thaiv li no ntev, nws tuaj yeem puas tsuaj.
- Ib qho mob qog tuaj yeem tsim tau sab hauv cov hlab ntsha.
- Ib qho ntshav txhaws tuaj yeem tsim thiab daig.
- Dhau sij hawm mus, cov hlab ntsha yuav raug thaiv tag nrho (occluded).
2. Kev ua haujlwm lossis kev sib zog ntawm lub cev
Hauv qhov no, txhua yam los ntawm koj cov leeg mus rau koj cov hlab ntsha yog nyob rau hauv qhov chaw ib txwm txij li thaum yug los. Tab sis vim yog txoj kev uas koj cov leeg ua haujlwm, tshwj xeeb tshaj yog thaum koj nias koj txhais taw ('plantar flexion'), cov leeg nias rau ntawm cov hlab ntsha. Hom no feem ntau tshwm sim rau cov poj niam, thiab tuaj yeem tshwm sim rau ob txhais ceg tib lub sijhawm. Hauv hom no, feem ntau tsis muaj kev puas tsuaj mus tas li rau cov hlab ntsha.
Yuav ua li cas thiaj paub qhov mob no kom meej?
Yog koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob tshwj xeeb txog cov hlab ntsha . Nws yuav kuaj koj.
- Ua ntej, lawv xyuas seb koj lub plawv puas poob qis thaum koj so.
- Tom qab ntawd, lawv xyuas seb puas muaj kev hloov pauv ntawm lub plawv dhia thaum koj txhais taw raug nias rau saum thiab nqis tawm tsam qee qhov kev tawm tsam.
Ib tug neeg uas muaj PAES yuav hnov lawv lub plawv dhia zoo thaum so, tab sis lawv lub plawv dhia yuav txo qis lossis ploj mus thaum lawv tawm dag zog lossis muab siab rau lawv txhais taw.
Yuav ua li cas thiaj kuaj tau tus kab mob?
Tom qab kuaj lub cev tas, koj tus kws kho mob yuav pom zoo kom kuaj ntau zaus kom paub tseeb tias koj muaj mob. Cov no yuav pab kom koj pom tseeb tias koj cov ntshav ntws los ntawm koj ob txhais ceg.
| Kev Ntsuas | Qhov tshwm sim tsuas yog |
|---|---|
| Cov ntsuas ntawm pob luj taws thiab lub hauv caug nrog kev tawm dag zog | Yuav ntsuas koj cov ntshav siab hauv koj txhais tes thiab ob txhais ceg ua ntej thiab tom qab ua si nawv. Yog tias koj muaj PAES, koj cov ntshav siab hauv koj ob txhais ceg yuav qis dua li koj cov ntshav siab hauv koj txhais tes tom qab ua si nawv. |
| Kev siv tshuab ultrasound ob chav | Qhov no yog kev ntsuas uas siv cov suab nthwv dej. Nws tuaj yeem pom seb cov hlab ntsha puas raug thaiv thiab yuav muaj dab tsi tshwm sim rau cov ntshav ntws thaum koj txhais ceg raug tuav cia thiab tuav li qub. |
| Kev siv computer tomographic angiography (CTA) | Kev thaij duab CT yog ua los ntawm kev txhaj tshuaj tshwj xeeb ('xim') rau hauv lub cev. Qhov no kuj tseem tso cai rau koj pom qhov chaw tseeb ntawm cov hlab ntsha txhaws ua duab 3D. |
| Kev kuaj mob magnetic resonance angiography (MRA) | Kev thaij duab MRI siv lub zog sib nqus. Qhov no kuj tuaj yeem pom meej meej txog cov hlab ntsha thiab cov leeg. |
Cov kev kho mob rau qhov no yog dab tsi?
Txoj kev kho mob zoo tshaj plaws thiab ua tau zoo tshaj plaws rau PAES yog phais .
Tsis txhob txhawj, qhov no yog ib qho kev phais uas feem ntau siv sijhawm li ib teev thiab ua tiav nrog kev siv tshuaj loog dav dav. Tus kws phais yuav tshem ib daim me me ntawm cov leeg nqaij uas thaiv cov hlab ntsha. Qhov no tso cai rau cov hlab ntsha ua haujlwm tau yooj yim, thiab cov ntshav ntws mus rau ceg rov qab mus rau qhov qub.
Yog tias cov hlab ntsha raug puas tsuaj thiab raug thaiv vim yog hom kev thaiv hauv lub cev, tus kws phais yuav tsum tshem tawm qhov kev thaiv lossis ua phais bypass siv ib daim hlab ntsha tshiab los ntawm nws.
Puas muaj lwm yam kev kho mob uas tsis tas phais?
Muaj ib txoj kev kho mob uas tsis tas phais rau cov neeg uas muaj mob sciatica. Qhov no yog kev txhaj tshuaj Botulinum toxin A (Botox®). Hauv qhov no, nrog kev pab los ntawm kev luam theej duab, cov tshuaj no raug txhaj rau hauv cov leeg uas ua rau cov hlab ntsha nqaim. Qhov no ua rau cov leeg tsis muaj zog ib ntus thiab ua rau nws nqaim. Txawm li cas los xij, qhov tshwm sim kav ntev li 3-6 lub hlis. Qee zaum, yog tias cov leeg raug nqaim mus tas li, cov tsos mob yuav tsis rov qab los. Txawm li cas los xij, qhov kev vam meej ntawm kev kho mob no tsawg dua li kev phais.
Vim tias kev phais mob muab cov txiaj ntsig zoo hauv ntau dua 90% ntawm cov neeg mob, nws yog qhov uas cov kws kho mob feem ntau pom zoo.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?
Nws yuav siv sijhawm li plaub txog rau lub hlis kom rov zoo tag nrho tom qab phais thiab pib ua si kis las dua.
- Tom qab phais tas, feem ntau koj yuav tsum tau nyob hauv tsev kho mob ib hmos.
- Thaum ob lub lis piam thawj zaug, kev kho mob physiotherapy yuav tsum suav nrog kev ncab ceg thiab kev tawm dag zog ua kom yooj ywm.
- Tom qab ob lub lis piam, koj tuaj yeem pib ua cov kev tawm dag zog uas txhim kho lub zog ntawm ceg.
Nws yog ib qho tseem ceeb heev rau kev rov zoo sai uas koj ua raws li cov lus qhia uas koj tus kws kho mob thiab tus kws kho lub cev tau muab.
Kuv yuav tsum nug kuv tus kws kho mob li cas?
Thaum koj mus ntsib koj tus kws kho mob, tsis txhob hnov qab nug cov lus nug no.
- Kuv puas muaj PAES uas zoo li lub cev lossis ua haujlwm tau?
- Koj puas pom zoo kom phais mob rau kuv tus mob? Vim li cas?
- Kuv puas yuav rov qab ua si tau kuv qhov kev ua si ib yam li qub tom qab phais lawm?
Yog tias koj yog ib tug neeg ncaws pob hluas, tsis txhob tsis quav ntsej qhov mob ceg xwb. Muaj ntau yam ua rau. Kev kuaj mob kom raug sai sai yuav pab tau koj kho tau sai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog tias koj yog ib tug neeg ncaws pob hluas thiab muaj mob ceg tas li, hnyav, lossis loog thaum ua si, tsis txhob tsis quav ntsej nws.
- Kab mob Popliteal Artery Entrapment Syndrome (PAES) yog ib qho mob tsis tshua muaj, tab sis kho tau.
- Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tshwj xeeb txog cov hlab ntsha kom paub tseeb tias koj muaj mob dab tsi.
- Feem ntau, kev phais mob tuaj yeem kho tau qhov mob no tag nrho, ua rau cov neeg ncaws pob rov qab mus ua si tau zoo.
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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