Koj puas hnov mob nraub qaum, mob ntawm ob txhais ceg, lossis loog thaum koj sawv lossis taug kev ib pliag? Qee zaum qhov ua rau qhov no yuav tsis yooj yim li koj xav. Niaj hnub no peb tab tom tham txog ib qho mob hu ua ' spinal stenosis ', uas yog ib qho mob uas ntau tus neeg pom, tab sis tsis paub meej. Thaum koj hnov qhov no, nws yuav zoo li yog ib qho kab mob loj, tab sis tsis txhob ntshai. Cia peb tham txog qhov no yooj yim thiab meej.
Spinal Stenosis yog dab tsi?
Xav txog peb tus txha nqaj qaum zoo li ib lub raj. Cov hlab ntsha hauv lub hlwb, uas yog cov hlab ntsha tseem ceeb uas nqa cov lus los ntawm peb lub hlwb mus rau lwm qhov ntawm peb lub cev, khiav hla lub raj no. Lub raj no, lub qhov ncauj ntawm tus txha nqaj qaum, pib nqaim zuj zus vim muaj ntau yam laj thawj. Hauv kev kho mob, qhov nqaim ntawm lub qhov ncauj ntawm tus txha nqaj qaum no hu ua spinal stenosis .
Thaum qhov chaw sab hauv raug txo qis li no, cov hlab ntsha tseem ceeb tshaj plaws (cov hlab ntsha ntawm tus txha caj qaum) thiab lwm cov hlab ntsha uas tawm ntawm nws pib raug nias thiab nias. Thaum ntawd cov tsos mob xws li mob nraub qaum, loog hauv ob txhais ceg, thiab xav tias tsis muaj zog hauv ob txhais ceg tshwm sim.
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 hauv tus txha nqaj qaum.
- Cervical stenosis : Qhov no yog qhov nqaim ntawm cov kwj deg hauv peb lub caj dab.
- Mob Qog Ntsws: Qhov no yog qhov nqaim ntawm cov hlab ntsha hauv qab peb feem ntawm tus txha caj qaum. Qhov no yog hom mob uas feem ntau tshwm sim.
Feem ntau, qhov ua rau muaj tus mob no yog osteoarthritis, uas yog ib qho kab mob sib koom ua ke uas tshwm sim thaum muaj hnub nyoog. Thaum cov pob txha mos mos ntawm peb cov pob txha caj qaum lwj, cov pob txha caj qaum sib txhuam. Ua li ntawd, lub cev tsim cov pob txha tshiab. Cov pob txha ntxiv no tuaj yeem ua rau qhov chaw nqaim dua.
Cov tsos mob ntawm qhov no yog dab tsi?
Tsis yog txhua tus neeg muaj cov tsos mob. Tab sis yog tias lawv muaj, feem ntau lawv tuaj yeem yog cov yam xws li mob nraub qaum , mob nqaij, thiab loog. Cia peb saib seb lwm yam tsos mob tshwj xeeb twg tuaj yeem tshwm sim nrog qhov no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Sciatica | Mob hnyav heev uas pib ntawm nraub qaum qis lossis lub pob tw thiab mus rau hauv ceg zoo li raug hluav taws xob poob. |
| Kev nyuaj siab taug kev (Foot Drop) | Mob thiab qaug zog ntawm ob txhais ceg, uas ua rau koj xav tias koj txhais taw tsoo hauv av thaum koj taug kev. Qhov mob yuav hnyav zuj zus thaum koj sawv lossis taug kev. |
| Kev Poob ntawm Kev Tswj Xyuas Lub Zais/Plab Nyuv | (Cauda Equina Syndrome) - Qhov no yog ib qho mob hnyav heev. Qhov mob no tshwm sim vim muaj kev nias hnyav ntawm cov hlab ntsha uas txuas lub zais zis thiab cov hnyuv. Qhov no yog ib qho xwm txheej ceev hauv kev kho mob. Koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. |
| Kev nias ntawm cov hauv paus paj hlwb (Radiculopathy) | Mob, loog, lossis tsis muaj zog hauv caj npab thiab ceg vim yog kev nias ntawm cov hlab ntsha uas tawm hauv tus txha nqaj qaum. |
| Kev nias ntawm cov hlab ntsha hauv lub hlwb (Myelopathy) | Kev tsis muaj zog thiab tsis muaj zog hauv caj npab thiab ceg vim yog kev nias ntawm cov hlab ntsha qaum. |
Dab tsi yog cov ua rau mob pob txha caj qaum stenosis?
Zoo li peb tau tham ua ntej lawm, mob pob qij txha yog qhov ua rau mob tseem ceeb. Dua li ntawm qhov ntawd, tej zaum yuav muaj ntau yam ua rau mob pob qij txha thiab.
| Ua rau | Muaj Dab Tsi Tshwm Sim |
|---|---|
| Cov Disc Herniated | Ib lub disc ntawm cov vertebrae tawg, ua rau cov khoom zoo li jelly sab hauv tawm los thiab nias rau ntawm cov hlab ntsha. |
| Kev raug mob | Pob txha caj qaum tawg los yog mob vim muaj xwm txheej. |
| Cov qog nqaij hlav | Mob qog nqaij hlav lossis lwm hom qog nqaij hlav loj hlob hauv tus txha nqaj qaum. |
| Cov leeg nqaij tuab | Cov leeg uas txuas peb cov pob txha ua ke tuab zuj zus thiab tawm mus rau hauv qhov. |
Cov yam ua rau muaj kev pheej hmoo yog dab tsi?
- Muaj hnub nyoog tshaj 50 xyoo yog qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo.
- Cov poj niam muaj feem yuav mob no ntau dua.
- Yog tias koj tau ua phais mob nraub qaum ua ntej lawm.
- Rau qee tus neeg, tus mob no yuav tshwm sim thaum tseem hluas, ntawm hnub nyoog 30-50 xyoo, vim muaj qee yam kev tsis zoo ntawm tus txha caj qaum (piv txwv li, scoliosis ).
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav nug koj txog koj tus mob ua ntej. Tom qab ntawd nws yuav kuaj koj lub cev. Nws yuav nias rau ntawm qhov chaw ntawm koj nraub qaum uas ua rau mob, thiab nws yuav kuaj koj txoj kev taug kev thiab txoj kev koj sawv.
Yuav kom paub tseeb tias qhov mob no yog qhov tseeb, yuav tsum tau ua cov kev kuaj duab.
- Kev Ntsuas MRI : Qhov no tuaj yeem thaij duab peb-seem (3D) ntawm tus txha nqaj qaum kom meej heev. Nws tuaj yeem pom meej meej txog tej yam xws li cov hlab ntsha raug nias, kev puas tsuaj ntawm lub disc, thiab cov qog nqaij hlav.
- CT Scan: Qhov no kuj yog ib txoj kev siv X-ray uas tsim cov duab peb-seem. Qee zaum ib qho xim zas raug txhaj rau hauv lub cev. Qhov no tuaj yeem pab nrhiav cov teeb meem tsis yog hauv cov pob txha xwb tab sis kuj yog cov nqaij mos.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov thawj thiab qhov tseem ceeb tshaj plaws uas yuav tsum hais yog tias tseem tsis tau muaj kev kho rau tus mob spinal stenosis.Txawm li cas los xij, muaj ntau txoj kev kho mob uas tuaj yeem pab tswj cov tsos mob, txo qhov mob, thiab pab koj ua neej nyob li qub. Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov mob zoo tshaj plaws rau koj.
- Tshuaj Tua Kab Mob: Yog tias koj mob dav dav, koj tuaj yeem siv cov tshuaj luv luv xws li paracetamol thiab ibuprofen. Yog tias koj mob ntev, koj tus kws kho mob yuav pom zoo kom siv cov tshuaj antidepressants thiab lwm yam tshuaj rau mob hlab ntsha.
- Kev Txhaj Tshuaj Corticosteroid: Ib qho tshuaj steroid raug txhaj ncaj qha rau hauv thaj chaw mob thiab o. Qhov no muab kev pab sai sai ntawm qhov mob, tab sis nws tsis yog ib txwm ua tau vim muaj cov kev mob tshwm sim.
- Kev Kho Mob Lub Cev: Qhov no yog ib qho kev kho mob tseem ceeb heev. Tus kws kho mob lub cev yuav tsim ntau yam 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 thiab txo qhov siab rau koj tus txha nqaj qaum.
- Kev Phais Mob: Kev phais mob yog xav txog rau cov mob hnyav, xws li thaum tsis muaj lwm yam kev kho mob pab tau, thaum muaj teeb meem taug kev, lossis thaum tsis tswj tau cov zis. Muaj ntau hom kev phais mob (piv txwv li, Laminectomy) uas tsim qhov chaw uas cov hlab ntsha raug nias. Kev phais mob yog qhov kawg. Koj yuav tsum tham nrog koj tus kws kho mob ua ntej txiav txim siab.
Tej yam koj ua tau hauv tsev thiab tej yam koj yuav tsum tsis txhob ua
Nrog rau kev kho mob uas koj tus kws kho mob muab, koj tuaj yeem tau txais kev pab zoo los ntawm kev hloov me me hauv koj txoj kev ua neej.
- Kev Ua Si: Nrog koj tus kws kho mob pom zoo, koom nrog kev ua si maj mam xws li taug kev thiab ua luam dej.
- Cov ntaub qhwv kub thiab txias: Cov ntaub qhwv kub ua rau cov leeg so. Cov dej khov pab txo qhov o. Saib seb txoj kev twg pab tau koj.
- Sawv ntsug zoo: Sawv ntsug ncaj thaum sawv thiab zaum. Yog tias koj tsa ib yam khoom hnyav, khoov koj lub hauv caug, tsis yog khoov koj nraub qaum.
- Txo qhov hnyav: Kev rog dhau ua rau koj lub nraub qaum muaj kev nyuaj siab ntxiv. Kev txo qhov hnyav me ntsis tuaj yeem txo qhov mob tau zoo heev.
- Tsis txhob haus luam yeeb: Kev haus luam yeeb muaj teeb meem heev rau kev noj qab haus huv ntawm tus txha caj qaum.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob pob txha caj qaum yog qhov uas qhov chaw hauv pob txha caj qaum nqaim zuj zus. Qhov no ua rau cov hlab ntsha raug nias, mob, thiab loog.
- Kev laus thiab mob pob qij txha yog cov ua rau mob tseem ceeb, tab sis nws kuj tuaj yeem tshwm sim rau cov neeg hluas.
- Mob nraub qaum, mob uas nthuav mus rau ob txhais ceg (sciatica), thiab nyuaj taug kev yog cov tsos mob uas pom ntau.
- Yog tias koj cia li tsis tswj tau koj cov zis lossis quav, ces qhov no yog ib qho xwm txheej ceev hauv tsev kho mob . Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Txawm hais tias tus mob no tsis tuaj yeem kho tau tag nrho los xij, cov tsos mob tuaj yeem tswj tau zoo nrog kev siv tshuaj, kev kho lub cev, thiab kev hloov pauv hauv lub neej. Ib txwm ua raws li koj tus kws kho mob cov lus qhia.
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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