Koj puas muaj tej lub sij hawm koj mob nraub qaum thiab muaj qhov mob tingling uas khiav mus rau hauv koj ob txhais ceg? Qhov mob no puas nce ntxiv thaum koj taug kev luv luv lossis sawv ntsug, thiab txo qis thaum koj zaum lossis khoov mus tom ntej? Qhov no yog ib qho teeb meem uas ntau tus neeg ntsib. Niaj hnub no peb tab tom tham txog ib qho mob hu ua ' spinal stenosis ' uas tuaj yeem ua rau qhov no, tshwj xeeb tshaj yog thaum peb laus zuj zus.
Hauv lwm lo lus, Spinal Stenosis yog dab tsi?
Xav txog koj tus txha nqaj qaum zoo li ib lub yeeb nkab dej. Cov hlab ntsha hauv lub hlwb, lub hauv paus hlab ntsha tseem ceeb uas los ntawm peb lub hlwb, thiab cov hlab ntsha uas ceg tawm ntawm nws, mus ncig los ntawm lub yeeb nkab no. Raws li lub sijhawm dhau mus, vim muaj ntau yam laj thawj, qhov chaw hauv lub yeeb nkab no maj mam txo qis thiab pib nqaim. Tom qab ntawd cov hlab ntsha hauv lub cev no pib raug nias. Qhov ntawd yog qhov peb hu ua Spinal Stenosis .
Qhov kev nias no tuaj yeem tshwm sim txhua qhov chaw hauv tus txha nraub qaum. Cov tsos mob nyob ntawm seb qhov twg raug nias. Nws tsis tshwm sim sai sai, tab sis feem ntau yuav tshwm sim maj mam dhau ntau xyoo.
Muaj ob hom mob stenosis ntawm tus txha caj qaum:
Tus mob no muaj ob hom loj nyob ntawm seb nws tshwm sim qhov twg:
1. Cervical spinal stenosis: Qhov no yog thaum txoj hlab ntsha hauv koj lub caj dab nqaim.
2. Mob pob qij txha caj qaum: Qhov no yog hom mob uas feem ntau tshwm sim. Nws tshwm sim thaum cov hlab ntsha hauv koj lub nraub qaum qis, lub pob qij txha caj qaum, raug nias.
Muaj ib txhia neeg uas muaj ob hom mob no tib lub sijhawm. Kuj muaj peev xwm tshwm sim rau nruab nrab nraub qaum, txawm hais tias nws tsis tshua muaj.
Qhov laj thawj tseem ceeb uas ua rau ntau tus neeg mob pob qij txha caj qaum yog osteoarthritis , ib qho mob uas tshwm sim thaum muaj hnub nyoog.
Koj puas muaj cov tsos mob no thiab?
Tsis yog txhua tus neeg yuav muaj cov tsos mob. Tej zaum yuav muaj ib txhia neeg muaj mob thaum lawv thaij duab tab sis lawv tsis mob lossis tsis xis nyob. Txawm li cas los xij, yog tias muaj cov tsos mob, feem ntau lawv yuav pom tau raws li cov hauv qab no:
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob nraub qaum lossis caj dab thiab mob nqaij tawv | Qhov mob yuav nce ntxiv thaum sawv ntsug thiab taug kev, thiab txo qis thaum khoov mus tom ntej thiab zaum. |
| Mob loog, tingling, lossis tsis muaj zog hauv ob txhais ceg lossis caj npab | Kev nias ntawm cov hlab ntsha ua rau muaj kev cuam tshuam ntawm kev hnov ntawm caj npab thiab ceg. |
| Mob Sciatica | Mob ntse heev, zoo li raug hluav taws xob poob, pib ntawm qhov chaw mos thiab khiav mus rau ceg. |
| Kev nyuaj siab taug kev thiab poob qhov sib npaug | Yog koj ob txhais ceg tsis muaj zog ces koj yuav ua rau koj ob txhais ceg zoo li rub rau hauv av thaum koj taug kev (koj txhais taw poob). Yog koj taug kev luv luv ces koj yuav mob nraub qaum ntxiv, ua rau koj yuav tsum nres. |
| Nyuaj tswj cov zis lossis quav | Qhov no tuaj yeem tshwm sim rau cov mob hnyav. Qhov mob no yog tshwm sim los ntawm kev nias hnyav ntawm cov hlab ntsha uas txuas lub zais zis thiab cov hnyuv. |
| Cauda equina syndrome | Kev kho mob thaum muaj xwm txheej ceev uas tshwm sim los ntawm kev nias ntawm cov hlab ntsha ntawm lub hauv paus ntawm tus txha nqaj qaum. Cov tsos mob suav nrog loog hauv thiab ib puag ncig thaj chaw ntawm lub cev, thiab tsis tuaj yeem tswj tau lub zais zis thiab quav kiag li. Yog tias koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob thaum muaj xwm txheej ceev (ETU) ntawm tsev kho mob tam sim ntawd. |
Dab tsi yog cov ua rau mob Spinal Stenosis?
Zoo li peb tau tham ua ntej lawm, qhov ua rau mob pob qij txha yog mob pob qij txha, uas los nrog hnub nyoog.Qhov mob. Thaum cov pob txha mos mos uas nyob nruab nrab ntawm peb cov pob txha nraub qaum lwj, cov pob txha yuav sib txhuam. Tom qab ntawd, thaum lub cev sim kho, cov pob txha tshiab loj hlob tuaj. Cov pob txha tshiab no ua rau txoj kev mus rau cov hlab ntsha nqaim.
Tsis tas li ntawd xwb, muaj ntau lwm yam laj thawj .
| Vim li cas | Kev piav qhia |
|---|---|
| Cov discs herniated | Ib lub disc zoo li jelly nyob nruab nrab ntawm cov vertebrae tuaj yeem tawg, ua rau cov khoom sab hauv xau tawm thiab nias rau ntawm cov hlab ntsha lossis cov hlab ntsha. |
| Kev raug mob ntawm pob txha caj qaum | Tus txha nqaj qaum tawg los yog raug mob thaum muaj xwm txheej tuaj yeem ua rau cov hlab ntsha raug nias. |
| Cov qog nqaij hlav | Cov hlab ntsha tuaj yeem raug nias vim yog cov qog nqaij hlav lossis lwm cov qog nqaij hlav hauv tus txha nqaj qaum. |
| Cov leeg nqaij tuab | Cov leeg uas txuas peb tus txha nqaj qaum ua ke tuaj yeem tuab zuj zus, khoov mus rau hauv, thiab thaiv cov hlab ntsha. |
Cov yam ua rau muaj kev pheej hmoo
Qhov ua rau muaj tus mob no yog hnub nyoog tshaj 50 xyoo . Cov poj niam thiab cov neeg uas tau phais mob nraub qaum ua ntej muaj feem yuav mob ntau dua. Tsis tas li ntawd, cov neeg uas yug los muaj tus mob zoo li scoliosis lossis cov neeg uas raug mob nraub qaum hnyav thaum tseem hluas kuj tseem yuav mob no ua ntej.
Yuav kuaj mob li cas?
Yog koj muaj cov tsos mob zoo li no, thawj qhov uas yuav tsum ua yog mus ntsib kws kho mob uas tsim nyog.
1. Tham nrog kws kho mob: Kws kho mobUa ntej, koj yuav raug nug txog koj cov tsos mob, lawv pib li cas, thiab thaum twg lawv hnyav zuj zus.
2. Kev kuaj lub cev: Tom ntej no, koj yuav raug kuaj, nrhiav seb puas muaj qhov mob nraub qaum, loog ntawm koj ob txhais ceg, thiab cov leeg nqaij muaj zog.
3. Kev kuaj duab: Tej zaum yuav kom muaj kev ntsuas duab los xyuas kom meej tias tus mob puas muaj mob thiab txiav txim siab seb tus mob hnyav npaum li cas.
- Kev luam theej duab MRI : Qhov no tso cai rau koj pom qhov xwm txheej ntawm tus txha nraub qaum, discs, ligaments, thiab cov hlab ntsha hauv daim duab peb-seem kom meej heev.
- Kev thaij duab CT: Qhov no siv tau los saib seb tus txha nqaj qaum zoo li cas. Qee zaum CT myelogram, uas siv cov xim tshwj xeeb, tuaj yeem qhia qhov chaw tseeb ntawm kev nias ntawm cov hlab ntsha.
Cov kev kho mob yog dab tsi?
Txawm hais tias tsis muaj kev kho rau tus mob no los xij, muaj ntau txoj kev kho mob uas tuaj yeem pab tswj cov tsos mob, txo qhov mob, thiab pab koj ua neej zoo dua. Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov mob zoo tshaj plaws rau koj.
- Tshuaj: Muaj ntau yam tshuaj uas siv los txo qhov mob thiab o. Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj tua kab mob, tshuaj mob hlab ntsha, thiab tshuaj ua kom cov leeg nqaij so. Qee zaum, kev txhaj tshuaj corticosteroid rau hauv qhov chaw mob yuav pab tau kom zoo ib ntus.
- Kev Kho Mob Lub Cev: Qhov no yog ib qho kev xaiv kho mob tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog uas tsim nyog rau koj. Cov kev tawm dag zog no tuaj yeem ua rau koj cov leeg nraub qaum thiab plab muaj zog, txo qhov siab rau koj tus txha nqaj qaum, thiab qhia koj yuav ua li cas ua cov haujlwm txhua hnub nrog qhov mob tsawg dua.
- Kev Phais Mob: Yog tias lwm yam kev kho mob tsis ua haujlwm, qhov mob tsis tuaj yeem ua tau, ob txhais ceg tsis muaj zog taug kev, lossis tus neeg mob tsis tuaj yeem tswj tau lub zais zis/plab hnyuv, tus kws kho mob yuav pom zoo kom phais. Qhov no suav nrog kev nce qhov chaw uas cov hlab ntsha raug nias. Muaj ntau hom kev phais sib txawv, xws li "Laminectomy" thiab "Laminoplasty". Vim tias qhov no yog kev txiav txim siab loj, nws yog ib qho tseem ceeb uas yuav tsum tham txog qhov zoo thiab qhov tsis zoo nrog koj tus kws kho mob.
Kev hloov pauv uas yuav tsum tau ua hauv tsev thiab hauv txoj kev ua neej
Ntxiv rau kev kho mob, kev hloov me me hauv koj txoj kev ua neej tuaj yeem pab tau zoo heev.
- Kev tawm dag zog kom raug: Nug koj tus kws kho mob lossis tus kws kho lub cev seb kev tawm dag zog twg yog qhov zoo rau koj thiab ua txhua hnub. Tej yam xws li kev taug kev thiab kev ua luam dej yog qhov zoo heev.
- Ua kom koj lub cev zoo: Sawv ntsug ncaj thaum sawv thiab zaum. Thaum nqa khoom, khoov koj lub hauv caug, tsis yog khoov koj nraub qaum.
- Kev tswj qhov hnyav: Thaum lub cev hnyav nce ntxiv, qhov kev nyuaj siab rau ntawm tus txha nraub qaum yuav nce ntxiv. Yog li ntawd, kev tswj qhov hnyav kom noj qab nyob zoo yog qhov tseem ceeb heev.
- Cov khoom siv pab: Qee zaum, koj tus kws kho mob yuav pom zoo kom siv cov khoom siv tshwj xeeb lossis cov khoom siv taug kev kom txo qhov mob thiab ua kom yooj yim dua rau kev taug kev.
- Tej yam uas yuav tsum tsis txhob ua: Tsis txhob tsa khoom hnyav, ua si nawv uas muaj kev kub siab xws li khiav thiab dhia, thiab nyob tib qho chaw ntev heev (piv txwv li, nyob pem hauv ntej ntawm lub computer).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob pob txha caj qaum stenosis yog ib qho mob uas tshwm sim los ntawm kev nias ntawm cov hlab ntsha vim yog kev nqaim ntawm cov hlab ntsha hauv tus txha caj qaum.
- Mob nraub qaum lossis mob caj dab, loog thiab tsis muaj zog ntawm caj npab thiab ceg, tshwj xeeb tshaj yog thaum taug kev, yog cov tsos mob tseem ceeb.
- Qhov laj thawj tseem ceeb rau qhov no yog mob pob qij txha, uas tshwm sim nrog hnub nyoog.
- Yog tias koj tsis tuaj yeem tswj tau lub zais zis lossis quav thiab tsis xis nyob hauv thaj chaw mos, qhov no yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Cov tsos mob yuav tswj tau zoo nrog kev siv tshuaj, kev kho lub cev, thiab kev hloov pauv hauv lub neej. Kev phais tsuas yog xav tau rau cov mob hnyav xwb. Tham nrog koj tus kws kho mob txog txhua txoj kev kho mob.
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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