Nws yuav ua rau koj tsis xis nyob me ntsis thaum koj txhais caj npab lossis ceg loog, lossis thaum koj xav tias muaj ntsaum khiav ncig. Qee zaum qhov no tsuas yog tshwm sim thiab ploj mus. Tab sis yog tias qhov kev loog no tseem muaj, nws tuaj yeem yog ib qho cim ntawm teeb meem nrog ib qho ntawm cov hlab ntsha hauv peb lub cev. Hauv cov xwm txheej zoo li no, ib qho kev kuaj yooj yim uas tus kws kho mob siv hu ua 'Tinel's Sign', uas peb tab tom tham txog hnub no.
Lub Cim Tinel yog dab tsi?
Hais yooj yim xwb, Tinel tus tsos mob yog thaum koj tus kws kho mob maj mam kov daim tawv nqaij qhov twg cov hlab ntsha khiav, koj yuav hnov qhov tingling lossis trickling raws cov hlab ntsha ntawd. Yog tias koj hnov qhov me me tingling, zoo li hluav taws xob me me, nws txhais tau tias cov hlab ntsha raug nias lossis tej zaum yuav raug puas tsuaj.
Nws kuj hu ua lub cim Hoffmann-Tinel, raws li cov kws kho mob uas tau piav qhia thawj zaug txog qhov kev xeem no, Paul Hoffmann thiab Jules Tinel. Tab sis thaum peb tham txog nws feem ntau, peb tsuas yog hu nws ua 'lub cim Tinel'.
Tus kws kho mob ua qhov kev kuaj no nyob rau hauv qhov xwm txheej twg?
Yog koj tus kws kho mob xav tias ib qho hlab ntsha hauv koj lub cev raug nias lossis puas lawm, lawv yuav ua qhov kev kuaj yooj yim no. Muaj ob peb qhov xwm txheej uas qhov no tseem ceeb heev.
| Mob nkeeg | Hais yooj yim xwb, ua li cas lawm? |
|---|---|
| Kab mob Carpal Tunnel Syndrome | Thaum cov hlab ntsha median, ib qho hlab ntsha loj uas khiav mus rau peb txhais tes thiab cov ntiv tes, raug nias ntawm lub dab teg, nws feem ntau ua rau tus ntiv tes xoo, tus ntiv tes xoo, thiab tus ntiv tes nruab nrab loog. |
| Cubital Tunnel Syndrome | Thaum peb lub luj tshib tsoo ib yam dab tsi, ib qho hluav taws xob ntws mus rau hauv peb txhais caj npab, nias cov hlab ntsha ulnar. Qhov no tuaj yeem ua rau tus ntiv tes me thiab tus ntiv tes ntiv nplhaib loog. |
| Tarsal Tunnel Syndrome | Ib txoj hlab ntsha uas khiav mus rau hauv peb lub hauv caug (posterior tibial nerve) raug nias thaum nws hla mus rau sab hauv ntawm pob luj taws. Qhov no tuaj yeem ua rau loog, kub hnyiab, lossis mob hauv qab ko taw. |
Muaj lwm yam tsos mob dab tsi tshwm sim thaum cov hlab ntsha raug nias?
Ntxiv rau qhov cim Tinel, yog tias cov hlab ntsha raug nias, koj kuj tseem yuav muaj cov tsos mob xws li:
- Kev Kub Hnyiab: Kev kub hnyiab, zoo li koj tuav ib lub thee.
- Kev tsis hnov tsw: Kev xav tias tsis muaj kev xav hauv ib cheeb tsam, lossis kev xav zoo li cov ntsaum khiav ib puag ncig.
- Mob: Qhov mob yuav hnov ntse, mob choking, lossis mob.
- Qhov Tsis Muaj Zog: Hauv tes, tej zaum yuav zoo li koj poob ib khob lossis tuav ib tug cwj mem. Hauv ceg, tej zaum yuav zoo li koj tab tom dawm thaum koj taug kev.
Kev kuaj Tinel ua li cas?
Qhov no yog ib qho kev xeem yooj yim heev uas siv sijhawm tsawg dua ib feeb xwb. Koj tsis tas yuav npaj dab tsi rau qhov no.
Kauj Ruam 1: Tus kws kho mob yuav nug koj kom paub meej ntxiv.
Ua ntej, tus kws kho mob yuav mloog koj zoo zoo thiab kawm txog koj qhov tsis xis nyob. Piv txwv li, koj yuav nug cov lus nug xws li, "Thaum twg koj hnov mob loog tshaj plaws?", "Koj ua dab tsi uas ua rau nws hnyav dua?", "Koj puas hnov tias koj txhais tes tsis muaj zog?"
Kauj Ruam 2: Yuav ua li cas thiaj ua qhov kev xeem
Tom qab ntawd, tus kws kho mob yuav maj mam kov daim tawv nqaij nrog nws cov ntiv tes qhov twg nws xav tias cov hlab ntsha raug nias. Qee zaum, nws yuav siv lub cuab yeej me me zoo li rauj (reflex hammer) rau qhov no. Piv txwv li, yog tias koj xav tias muaj mob carpal tunnel syndrome, nws yuav kov koj lub dab teg.
Kauj Ruam 3: Hais qhov koj xav li cas.
Thaum tus kws kho mob kov koj, koj yuav tsum qhia rau nws seb koj puas hnov qhov mob tingling, hluav taws xob poob siab, lossis qhov mob tingling ntawm cov hlab ntsha ntawd. Cov lus teb uas koj muab yog qhov tshwm sim ntawm qhov kev kuaj no.
Cov txiaj ntsig ntawm kev xeem hais li cas?
- Kev Kuaj Pom Zoo: Yog tias koj hnov tias loog thaum tus kws kho mob kov koj, nws yog qhov tshwm sim zoo. Nws txhais tau tias cov hlab ntsha tej zaum yuav raug nias lossis puas lawm.
- Kev Ntsuas Tsis Zoo: Yog tias koj tsis hnov mob loog, nws yog qhov tshwm sim tsis zoo.
Tab sis nco ntsoov qhov no, tsuas yog vim qhov kev xeem no tawm los 'tsis zoo' tsis tau txhais hais tias koj tsis muaj kev ntxhov siab 100%.Qee zaum, txawm tias muaj kev nias ntawm cov hlab ntsha los xij, qhov cim no yuav tsis tshwm sim. Yog li ntawd, qhov no tsuas yog los pab tus kws kho mob kom nkag siab txog koj tus mob.
Raws li cov txiaj ntsig ntawm qhov kev kuaj no thiab koj cov tsos mob, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv yog tias tsim nyog. Piv txwv li:
- Electromyography (EMG): Ib qho kev kuaj uas ntsuas kev ua haujlwm hluav taws xob ntawm cov hlab ntsha thiab cov leeg.
- Kev luam theej MRI: Tau txais daim duab meej ntawm cov nqaij mos xws li cov hlab ntsha thiab cov leeg.
- X-ray: Txhawm rau saib seb puas muaj teeb meem nrog cov pob txha ua rau cov hlab ntsha raug nias.
Puas muaj kev pheej hmoo nrog qhov kev kuaj no?
Tsis yog li ntawd. Qhov no yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev. Zoo li tus kws kho mob muab lub stethoscope tso rau ntawm koj lub hauv siab, thiab nws yog ib qho kev kuaj mob yooj yim uas tsis muaj kev pheej hmoo lossis mob. Yog li ntawd, tsis tas yuav ntshai qhov no.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj mob tingling, loog, mob, lossis tsis muaj zog ntawm ib sab caj npab, ceg, lossis lwm qhov ntawm koj lub cev, tsis txhob xav tias, "Qhov no tsuas yog ib qho tsos mob xwb." Nws yuav yog cov hlab ntsha raug nias. Kev kho mob thaum ntxov tuaj yeem pab tiv thaiv kev puas tsuaj rau cov hlab ntsha mus sij hawm ntev. Yog li, nco ntsoov mus ntsib koj tus kws kho mob kom tau txais lus qhia.
Tsis txhob sim kuaj mob koj tus kheej los ntawm kev kuaj mob no. Mus ntsib kws kho mob tas li kom paub tseeb tias koj muaj mob thiab kho tau zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tinel's Sign yog ib qho kev kuaj yooj yim heev, tsis mob los xyuas seb puas muaj kev nias ntawm cov hlab ntsha.
- Yog tias tus kws kho mob hnov mob loog thaum nws kov rau ntawm cov hlab ntsha, nws qhia tias muaj teeb meem nrog cov hlab ntsha.
- Feem ntau nws yog siv los kuaj mob cov teeb meem ntawm cov hlab ntsha uas cuam tshuam nrog lub qhov carpal, qhov cubital, thiab qhov tarsal.
- Txawm tias qhov kev kuaj tsis qhia tias koj muaj qhov loog los xij, nws tsis tau txhais hais tias koj tsis muaj teeb meem ntawm cov hlab ntsha 100%. Qhov ntawd yog nyob ntawm koj tus kws kho mob txiav txim siab.
- Yog tias koj muaj cov tsos mob xws li tsis muaj zog tas li, kub hnyiab, mob, lossis tsis muaj zog, tsis txhob tsis quav ntsej thiab mus ntsib 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