Koj puas feem ntau mob nraub qaum? Puas mob thaum koj sawv lossis taug kev ntev? Puas qee zaum nws zoo li qhov mob mus rau koj ob txhais ceg? Muaj ntau yam ua rau qhov no, tab sis tej zaum yuav muaj ib qho laj thawj tom qab nws uas koj tsis xav txog. Nws yog thaum ib qho ntawm cov pob txha hauv koj nraub qaum, ib lub vertebra, tau plam lossis plam me ntsis ntawm qhov chaw nws yuav tsum nyob. Hauv kev kho mob, peb hu qhov mob no Spondylolisthesis . Txawm hais tias lub npe yuav suab me ntsis txawv, qhov no yog ib qho tseem ceeb uas peb yuav tsum tham txog thiab nkag siab.
Hauv lwm lo lus, Spondylolisthesis yog dab tsi?
Xav txog koj tus txha nqaj qaum zoo li ib kab cib uas muab ib kab tso rau saum ib kab. Txhua lub cib no hu ua vertebra . Muaj li ntawm 33 tus vertebrae no hauv peb tus txha nqaj qaum. Txawm hais tias lawv txuas nrog ib leeg, lawv tuaj yeem txav me ntsis thaum peb taug kev, khoov, thiab txav peb lub cev.
Tam sim no, nyob rau hauv cov ntaub ntawv ntawm spondylolisthesis, ib qho ntawm cov cib hauv kab no, uas yog, ib lub vertebra, plam me ntsis ntxiv dua li nws yuav tsum yog, muab kev nyuaj rau lub vertebra hauv qab nws. Nws zoo li ib lub cib hauv ib kab ntawm cov cib tawm me ntsis. Thaum nws plam li no, cov hlab ntsha nyob ib puag ncig nws tuaj yeem raug nias. Ntawd yog thaum cov tsos mob zoo li mob nraub qaum thiab mob uas mus rau ob txhais ceg tshwm sim.
Txawm hais tias qhov mob no tuaj yeem tshwm sim nyob qhov twg hauv tus txha nqaj qaum, nws feem ntau pom nyob rau hauv qab ntawm peb tus txha nqaj qaum, uas yog, tus txha nqaj qaum lumbar . Nws kuj tseem tuaj yeem tshwm sim rau hauv caj dab (cervical spine) thiab sab saud ntawm tus txha nqaj qaum (thoracic spine).
Tej zaum koj yuav ntshai tsam koj cov pob txha caj qaum poob, tiam sis nws tsis tau txhais hais tias koj cov pob txha caj qaum tag nrho tsis sib dhos. Qhov no yog ib qho mob uas feem ntau kho tau thiab tswj tau.
Cov hom kab mob Spondylolisthesis tseem ceeb yog dab tsi?
Kab mob Spondylolisthesis muaj peev xwm muab faib ua ntau hom loj nyob ntawm seb nws tshwm sim li cas. Cia peb saib seb lawv yog dab tsi.
| Hom mob spondylolisthesis | Piav qhia yooj yim |
|---|---|
| Degenerative Spondylolisthesis (hom mob ntsig txog hnub nyoog) | Qhov no yog hom mob uas feem ntau mob. Thaum peb laus zuj zus, cov pob txha caj qaum uas zoo li lub ncoo yuav lwj zuj zus. Thaum cov pob txha caj qaum no nyias zuj zus, qhov chaw ntawm cov pob txha caj qaum yuav nce ntxiv, ua rau nws muaj feem yuav plam. |
| Congenital Spondylolisthesis (ua ib qho kev puas tsuaj yug los) | Qhov no tshwm sim thaum tus menyuam lub pob txha caj qaum tsis tsim zoo thaum nws tseem tab tom loj hlob hauv plab. Qhov no tuaj yeem ua rau cov pob txha caj qaum tsis sib dhos zoo ntawm lub hauv paus. Cov tsos mob yuav tshwm sim thaum ntxov, lossis lawv yuav tshwm sim tom qab hauv lub neej. |
| Isthmic Spondylolisthesis (vim yog pob txha tawg) | Qhov mob no tshwm sim thaum ib daim pob txha me me hu ua pars interarticularis, uas txuas ob lub pob txha caj qaum, tawg. Qhov kev tawg no ua rau lub pob txha caj qaum poob nws qhov ruaj khov thiab plam. Qhov mob no feem ntau tshwm sim ntawm cov neeg ncaws pob. |
| Kev Mob Pob Txha Spondylolisthesis (vim muaj xwm txheej) | Ib tug pob txha caj qaum yuav tawg tau vim muaj zog ntau dhau rau tus txha nqaj qaum, xws li muaj xwm txheej lossis poob. |
| Pathological Spondylolisthesis (vim yog lwm yam kab mob) | Tus mob no kuj tseem tuaj yeem tshwm sim los ntawm cov mob uas ua rau cov pob txha tsis muaj zog, xws li osteoporosis, lossis qog nqaij hlav uas tsim nyob rau hauv cov pob txha. |
| Kev Kho Mob Spondylolisthesis Tom Qab Kev Phais Mob (tom qab kev phais mob) | Qhov no yog ib qho mob tsis tshua muaj thiab kuj tuaj yeem tshwm sim ua ib qho kev phiv ntawm kev phais nraub qaum. |
Koj yuav paub li cas yog tias koj muaj tus mob no? Cov tsos mob yog dab tsi?
Nws yog qhov xav tsis thoob li cas qee tus neeg muaj spondylolisthesis tab sis tsis muaj tsos mob dab tsi.Ib. Yog tias qhov mob ntawm cov hlab ntsha hauv lub hlwb me heev (qib qis), nws yuav tsis ua rau muaj kev nyuaj siab ntau rau cov hlab ntsha, yog li koj yuav tsis hnov mob dab tsi.
Txawm li cas los xij, yog tias cov tsos mob tshwm sim, lawv yuav zoo li no:
- Mob nraub qaum qis: Qhov no yog qhov tsos mob tseem ceeb thiab feem ntau tshwm sim.
- Mob Sciatica: Qhov no yog qhov mob, loog, lossis kub hnyiab uas nthuav mus rau ceg. Nws yog tshwm sim los ntawm tus pob txha caj qaum uas plam nias rau ntawm cov hlab ntsha sciatic.
- Mob nraub qaum: Koj yuav hnov mob nraub qaum thaum koj sawv thaum sawv ntxov lossis tom qab koj zaum ib pliag.
- Nyuaj rau kev taug kev lossis sawv ntsug: Qhov mob zoo li mob ntxiv thaum sawv ntsug lossis taug kev ntau tshaj ob peb feeb.
- Kev tsis muaj zog, tsis muaj zog, lossis kev hnov mob tingling hauv qab taw .
Qhov mob nyob ntawm seb cov pob txha caj qaum puas txav mus rau qhov twg. Tej zaum qhov mob yuav kis mus rau lub pob tw lossis lub duav.
Vim li cas cov pob txha caj qaum thiaj li plam li no? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Cia peb los saib seb ua li cas cov pob txha caj qaum thiaj plam thiab leej twg muaj feem yuav plam.
Cov laj thawj tseem ceeb:
- Kev Laus: Qhov ua rau tseem ceeb yog kev hnav thiab tsim kua muag ntawm cov discs hauv tus txha nraub qaum nrog hnub nyoog.
- Muaj ib txhia neeg yug los nrog cov pob txha caj qaum nyias nyias: Qhov no ua rau lawv yuav tawg yooj yim dua.
- Kev raug mob ntawm kev ua si: Qhov kev pheej hmoo no yog qhov tshwj xeeb tshaj yog rau cov neeg uas ua si kis las uas muab kev nyuaj siab lossis kev ntxhov siab rau ntawm nraub qaum (piv txwv li gymnastics, weightlifting, bowling ceev hauv cricket).
- Kev loj hlob sai ntawm cov menyuam yaus: Cov mob no tuaj yeem tshwm sim vim yog kev loj hlob sai ntawm cov pob txha thaum lub sijhawm uas cov menyuam yaus thiab cov tub ntxhais hluas sai sai nce siab.
- Kev Raug Mob: Kev raug mob nraub qaum los ntawm tej yam xws li kev ntog thiab kev sib tsoo tsheb.
Leej twg muaj kev pheej hmoo siab dua?
- Rau cov neeg hnub nyoog tshaj 50 xyoo (tshwj xeeb tshaj yog hom degenerative).
- Rau cov poj niam.
- Rau cov neeg ncaws pob (tshwj xeeb tshaj yog cov neeg uas ua si kis las uas feem ntau khoov lawv nraub qaum thiab dhia).
- Rau cov neeg uas muaj keeb kwm tsev neeg ntawm tus mob no lossis cov kab mob ntsig txog pob txha.
Yuav ua li cas thiaj txiav txim tau qhov teeb meem no kom meej?
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob . Tus kws kho mob yuav nug koj cov lus nug thiab kuaj koj nraub qaum.
Koj yuav tsum qhia rau koj tus kws kho mob txog thaum twg qhov mob pib, yam koj ua uas ua rau qhov mob hnyav zuj zus, thiab seb koj puas tau muaj xwm txheej ua ntej cov tsos mob no tshwm sim.
Tom qab ntawd, tus kws kho mob yuav pom zoo kom kuaj ntau yam kom paub meej tias muaj tus kab mob:
- Duab X-ray nraub qaum: Qhov no tuaj yeem pab txiav txim siab seb tus vertebra puas tau plam thiab nws plam ntau npaum li cas.
- Kev kuaj mob CT (Computed Tomography scan):Qhov no tuaj yeem muab ib daim duab meej dua ntawm cov qauv ntawm cov pob txha.
- MRI (Magnetic Resonance Imaging): Qhov no tuaj yeem kuaj xyuas qhov puas tsuaj rau cov discs thiab cov hlab ntsha ntawm cov vertebrae.
Qib ntawm kev mob ntawm cov hlab ntsha hauv lub hlwb (Qib)
Tom qab thaij duab X-ray, tus kws kho mob yuav faib koj cov pob txha caj qaum ua qib raws li lawv tau khoov ntau npaum li cas.
- Qib qis (Qib I thiab Qib II): Qhov no txhais tau tias muaj me ntsis kev poob qis. Feem ntau cov neeg muaj qib no. Feem ntau qhov no tsis tas yuav phais.
- Qib Siab (Qib III thiab Qib IV): Qhov no txhais tau tias muaj kev plam ntau heev. Hauv cov rooj plaub no, kev phais mob yuav tsum tau ua, tshwj xeeb tshaj yog tias qhov mob hnyav heev.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ntau tus neeg uas muaj tus kab mob spondylolisthesis tuaj yeem tswj lawv cov tsos mob zoo nrog kev kho mob uas tsis yog phais.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| So | Kev nyob deb ntawm kev ua si nawv thiab kev ua ub ua no hnyav uas muab kev nyuaj siab rau nraub qaum ib pliag yuav txo qhov kev nyuaj siab rau ntawm tus txha nqaj qaum. |
| Cov Tshuaj Tua Kab Mob (Tshuaj) | Koj noj tau cov tshuaj NSAIDs (piv txwv li, Ibuprofen, Diclofenac) lossis Paracetamol raws li koj tus kws kho mob tau hais kom txo qhov mob thiab o. Tsis txhob noj cov tshuaj tua kab mob yam tsis tau sab laj nrog kws kho mob. |
| Cov tshuaj Corticosteroids | Cov no yog cov tshuaj tiv thaiv kev o uas muaj zog heev. Lawv yuav muab ua cov tshuaj ntsiav lossis ua cov tshuaj cortisone txhaj ncaj qha rau thaj chaw mob. |
| Kev kho lub cev | Qhov no yog ib qho kev kho mob tseem ceeb heev. Tus kws kho lub cev yuav qhia koj cov kev tawm dag zog los txhawb cov leeg nqaij nyob ib puag ncig koj nraub qaum thiab lub plab (cov leeg nqaij hauv plab). Thaum cov leeg nqaij no muaj zog, qhov kev nyem rau ntawm koj tus txha nraub qaum yuav txo qis, thiab koj tuaj yeem txav tau yooj yim dua yam tsis mob. |
| Hnav ib lub backbrace | Yog tias koj pob txha caj qaum tawg, koj tus kws kho mob yuav pom zoo kom hnav lub brace zoo li no kom koj tus txha caj qaum ruaj khov. |
Thaum twg yuav tsum tau phais?
Tsis yog txhua tus neeg uas muaj tus kab mob spondylolisthesis yuav tsum tau phais. Tshwj xeeb tshaj yog tias nws yog ib qho mob me me, thiab cov tsos mob tsis hnyav, koj yuav muaj peev xwm nyob tau yam tsis tas phais.
Txawm li cas los xij, hauv cov rooj plaub no, koj tus kws kho mob yuav qhia kom xav txog kev phais:
- Yog tias koj muaj cov kab mob spondylolisthesis qib siab .
- Yog tias qhov mob hnyav heev ua rau koj sawv tsis tau lossis taug kev tsis tau.
- Yog tias cov tsos mob tsis zoo dua txawm tias muaj lwm yam kev kho mob (tsis yog phais).
Feem ntau kev phais mob yuav muaj ib txoj kev kho mob hu ua kev sib txuas ntawm cov pob txha caj qaum . Qhov no yuav muaj kev sib txuas cov pob txha caj qaum uas poob thiab cov pob txha caj qaum hauv qab nws ua ke los ua ib pob txha. Qhov no ua rau thaj chaw ntawd muaj zog thiab ruaj khov dua. Tej zaum koj kuj yuav tsum tau phais mob hu ua kev tshem tawm cov leeg ntawm cov leeg kom txo qhov kev nyuaj siab rau cov hlab ntsha.
Koj yuav tsum paub dab tsi thaum koj nyob nrog tus mob no?
Thaum koj tau kuaj pom tias koj muaj mob spondylolisthesis, koj cov tsos mob yuav tsum zoo dua hauv ob peb lub lis piam lossis ob peb lub hlis nrog kev kho mob xws li so, noj tshuaj, thiab kev kho lub cev. Tab sis nco ntsoov, cov kev kho mob no tsuas yog txhais tau tias txo qhov mob thiab pab koj ua haujlwm li qub, tsis yog kom muab cov pob txha caj qaum uas plam rov qab rau hauv qhov chaw. Tsuas yog phais thiaj li muab cov pob txha caj qaum uas plam rov qab rau hauv qhov chaw.
Yog koj yog ib tug neeg ncaws pob, tej zaum koj yuav tau so ntawm kev ua si kom txog thaum koj txav tau zoo yam tsis mob. Nco ntsoov nrog koj tus kws kho mob tham ua ntej koj pib ua si dua.
Qhov tseem ceeb tshaj plaws yog kom tsis txhob ua tej yam uas yuav ua rau koj nraub qaum ntxhov siab thiab khoov koj tus txha nqaj qaum ntau dhau. Koj tus kws kho mob lossis tus kws kho lub cev yuav piav qhia rau koj seb yam twg tsim nyog thiab yam twg tsis tsim nyog rau koj.
Koj xav mus ntsib kws kho mob thaum twg?
Yog tias koj mob nraub qaum uas kav ntev tshaj ob peb hnub, lossis mob hnyav txaus kom cuam tshuam koj cov dej num txhua hnub, mus ntsib kws kho mob sai li sai tau. Qhov sai dua qhov mob raug kuaj pom, qhov yooj yim dua rau kev kho thiab kho.
Thaum twg yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU):
- Yog koj tau muaj xwm txheej , xws li ntog lossis raug xwm txheej tsheb.
- Yog tias koj tsis hnov mob hauv koj ob txhais ceg lossis muaj teeb meem tswj koj cov zis lossis quav , mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Cov no yog cov xwm txheej ceev heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Spondylolisthesis yog thaum ib tug pob txha caj qaum (pob txha) poob tawm ntawm qhov chaw. Qhov no tuaj yeem yog ib qho ua rau mob nraub qaum thiab mob uas nthuav mus rau ob txhais ceg (sciatica).
- Kev laus zuj zus, kev raug mob kis las, thiab qee yam mob uas muaj txij thaum yug los tuaj yeem ua rau qhov no.
- Tsis yog txhua tus neeg uas muaj tus mob no yuav muaj cov tsos mob, thiab tsis yog txhua tus neeg yuav tsum tau phais.
- Muaj ntau tus neeg tuaj yeem tswj cov tsos mob nrog kev kho mob yooj yim xws li so, tshuaj tua kab mob, thiab kev kho lub cev.
- Kev ua kom koj cov leeg nraub qaum thiab cov leeg plab muaj zog thiab ua kom koj lub neej noj qab nyob zoo tuaj yeem pab tiv thaiv thiab tswj tau qhov mob no.
- Yog tias koj qhov mob nraub qaum tseem mob ntev tshaj ob peb hnub, tsis txhob tsis quav ntsej thiab mus ntsib koj tus kws 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