Koj puas tau mob nraub qaum ntev lawm? Los yog koj puas raug mob los ntawm ib yam mob hu ua 'sciatica', uas zoo li mob hnyav rau ntawm koj ceg? Tej zaum koj tus kws kho mob tau qhia koj txog kev txhaj tshuaj tshwj xeeb rau hauv koj nraub qaum, 'epidural' lossis 'steroid injection'. Nws yog ib txwm muaj rau peb ntau tus ntshai thiab ntxhov siab thaum peb hnov lub npe zoo li no. "Auj, txawm tias kuv txhaj tshuaj rau koj nraub qaum, puas yuav muaj dab tsi tshwm sim rau koj tus txha caj qaum?", "Qhov no puas yuav mob heev?", "Kuv puas yuav tsis taug kev tom qab qhov no?" Tej zaum koj muaj ntau lo lus nug hauv koj lub siab. Yog li hnub no peb tab tom tham txog Transforaminal Epidural Steroid Injection , uas yog kev kho mob zoo heev rau mob nraub qaum, tab sis tsis muaj laj thawj yuav ntshai nws. Peb yuav tham txog txhua yam los ntawm A txog Z hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.
Hais yooj yim xwb, qhov Transforaminal Epidural Steroid Injection no yog dab tsi?
Tsis txhob ntshai lub npe ntev no. Cia peb piav qhia txhua lo lus. Ces koj mam li nkag siab tias nws yooj yim npaum li cas.
- Transforaminal: Qhov no txhais tau tias 'los ntawm lub qhov rooj'. Tam sim no koj yuav nug tias 'Lub qhov rooj no yog dab tsi?' Xav txog tias koj tus txha nqaj qaum yog ua los ntawm ib pawg ntawm cov pob txha caj qaum, zoo li cov cib uas muab tso rau saum ib leeg. Nruab nrab ntawm cov pob txha caj qaum no, ntawm ob sab, muaj cov 'qhov rooj' me me zoo li qhov rau cov hlab ntsha uas mus rau lwm qhov ntawm peb lub cev (caj npab, ceg). Lub qhov rooj uas cov hlab ntsha ntawd tawm los hu ua "Foramen". Yog li 'Transforaminal' txhais tau tias 'los ntawm lub qhov rooj ntawd' .
- Epidural: Peb cov hlab ntsha caj qaum yog ib yam tseem ceeb thiab rhiab heev. Yog vim li ntawd thiaj muaj ib lub 'txheej tiv thaiv' tuab nyob ib puag ncig nws los tiv thaiv nws. Peb hu qhov no tias '(Dura Mater)'. 'Epidural' txhais tau tias qhov chaw 'sab nraum lub txheej tiv thaiv no' .
Yog li, muab tag nrho cov no ua ke, Transforaminal Epidural Steroid Injection yog kev txhaj tshuaj steroid los ntawm lub foramen qhov twg cov hlab ntsha tawm ntawm tus txha caj qaum thiab mus rau hauv qhov chaw sab nraum lub hnab tiv thaiv uas nyob ib puag ncig tus txha caj qaum (qhov chaw epidural).
Qhov tseem ceeb tshaj plaws yog tias cov tshuaj txhaj no yeej tsis tau txhaj rau hauv koj tus txha caj qaum lossis ncaj qha rau hauv cov hlab ntsha. Hloov chaw, cov tshuaj raug txhaj rau hauv ib qho chaw nyab xeeb nyob ib puag ncig cov hlab ntsha o uas ua rau mob. Yog li ntawd, tsis muaj laj thawj yuav tsum ntshai tsis tsim nyog.
Lwm yam tshwj xeeb ntawm kev kho mob no yog tus kws kho mob txhaj tshuaj no nrog kev pab los ntawm lub tshuab X-ray. Peb hu qhov no "(Fluoroscopy)"`. Lub koob txhaj tshuaj raug ntxig thaum saib nws, zoo li 'video nyob'. Yog li ntawd, cov tshuaj tuaj yeem txhaj rau ntawm cov hlab ntsha uas muaj teeb meem, yam tsis txav txawm tias ib millimeter.
Cov tshuaj txhaj no siv tau rau cov teeb meem dab tsi?
Cov tshuaj txhaj no feem ntau yog siv los txo qhov mob los ntawm kev nias lossis o ntawm cov hlab ntsha hauv tus txha caj qaum. Koj tuaj yeem tau txais lub tswv yim zoo txog qhov no los ntawm lub rooj hauv qab no.
| Mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob Nraub Qaum Qis | Mob nraub qaum los ntawm kev nias cov hlab ntsha, uas tau muaj ntev lawm. |
| Sciatica | Mob kub hnyiab, loog uas zoo li hluav taws xob khiav ntawm nraub qaum mus rau hauv lub pob tw mus rau ceg. |
| Kab mob Herniated Disc | Ib lub disc ntawm ob lub vertebrae tawm los thiab nias rau ntawm ib txoj hlab ntsha. Peb hu qhov no ua 'spinal nerve compression'. |
| Kev Mob Pob Txha | Kev nias ntawm cov hlab ntsha vim yog qhov nqaim ntawm cov hlab ntsha qaum nrog hnub nyoog. |
| Kev mob ntawm lub qhov ntswg | Qhov 'foramen' uas peb tau tham txog ua ntej, qhov chaw uas cov hlab ntsha tawm, nqaim thiab nias cov hlab ntsha. |
| Lwm yam xwm txheej | Mob hlab ntsha los ntawm cov mob xws li scoliosis thiab pob txha spurs. |
Cov tshuaj txhaj no muab rau qhov twg tom qab?
Qhov chaw txhaj tshuaj nyob ntawm seb koj qhov mob nyob qhov twg. Muaj peb hom tseem ceeb.
- Koob txhaj tshuaj rau mob nraub qaum: Qhov no yog hom tshuaj uas siv ntau tshaj plaws. Nws yog siv rau mob nraub qaum thiab mob sciatica, uas yog los ntawm cov hlab ntsha hauv qab nraub qaum (thaj tsam lumbar).
- Koob tshuaj txhaj rau hauv lub hauv siab: Koob tshuaj txhaj no yog muab rau koj yog tias koj mob hauv nruab nrab ntawm koj nraub qaum, uas yog, ntawm theem hauv siab, lossis yog tias qhov mob kis mus rau hauv siab lossis plab.
- Tshuaj tiv thaiv kab mob caj dab: Hom tshuaj tiv thaiv kab mob no yog muab rau cov mob xws li mob caj dab, mob kis mus rau ntawm xub pwg mus rau hauv caj npab, lossis loog tes uas tshwm sim los ntawm cov hlab ntsha ntawm cov pob txha caj dab.
Cov txheej txheem ua haujlwm li cas? Kuv puas yuav tsum ntshai?
Qhov no yog qhov teeb meem loj tshaj plaws uas ntau tus neeg muaj. Cia peb saib cov txheej txheem no ib kauj ruam zuj zus.
1. Kev Npaj: Koj yuav raug yuam kom pw rau ntawm koj lub plab rau ntawm ib lub txaj tshwj xeeb nrog lub tshuab X-ray.
2. Ua kom qhov chaw mob loog: Ua ntej txhaj tshuaj, yuav tsum ntxuav qhov chaw ntawd thiab muab tshuaj "Local Anesthesia" me me rau kom ua rau daim tawv nqaij loog. Lub sijhawm no, koj yuav hnov qhov kub hnyiab me ntsis, zoo li raug ntsaum tom. Qhov no yuav ploj mus hauv ob peb feeb xwb.
3. Tshuaj loog: Yog tias koj ntxhov siab lossis ntxhov siab heev, raws li koj qhov kev thov, koj yuav raug muab tshuaj loog IV kom pab koj so thiab xav tias qaug zog me ntsis. Qhov no yuav ua rau koj tsaug zog, tab sis koj tseem yuav ceev faj txaus los tham nrog koj tus kws kho mob. Koj tuaj yeem tham qhov no nrog koj tus kws kho mob ua ntej.
4. Kev Txhaj Tshuaj: Tom qab ntawd, thaum saib lub tshuab X-ray, tus kws kho mob yuav ua tib zoo ntxig ib rab koob nyias nyias rau hauv qhov chaw uas cov hlab ntsha ua rau mob. Tej zaum koj yuav hnov me ntsis ntswj me ntsis ntawm lub sijhawm no, tab sis tsis mob heev.
5. Kev Txhaj Tshuaj: Tom qab paub tseeb tias rab koob nyob rau qhov chaw raug, tus kws kho mob yuav txhaj tshuaj sib xyaw ua ke ntawm cov tshuaj loog uas txo qhov mob sai sai thiab cov tshuaj steroid uas txo qhov o thiab muab kev pab mus sij hawm ntev.
Tag nrho cov txheej txheem no feem ntau tsuas yog siv sijhawm luv luv xwb, li 30 feeb .
Koj ua dab tsi tom qab txhaj tshuaj lawm?
Tom qab kho mob tas, lawv yuav hais kom koj so ib pliag, thiab tom qab ntawd lawv mam li tso cai rau koj mus tsev. Mus tsev thiab ua tej yam no.
- Koj tuaj yeem noj koj cov khoom noj, dej haus thiab lwm yam tshuaj ib yam li yav dhau los.
- Qhov tseem ceeb tshaj plaws: Tsis txhob tsav tsheb li 12 teev tom qab tau txhaj tshuaj tiv thaiv kab mob, vim tias koj yuav muaj qee qhov loog lossis qaug zog hauv koj ob txhais ceg.
- Tsis txhob nqa khoom hnyav thiab ua si nawv hnyav hnub ntawd.
- Koj tuaj yeem rov pib ua koj cov dej num ib txwm txij hnub tom qab.
Tseem Ceeb: Nws yuav siv sijhawm ob peb hnub mus rau ob lub lis piam rau cov tshuaj steroid kom ua haujlwm tag nrho thiab rau koj kom koj xav tias koj zoo tshaj plaws. Yog li ntawd, tsis txhob ntshai yog tias koj qhov mob tsis ploj mus tam sim ntawd. Yog tias koj qhov mob tsis ploj mus tom qab ob lub lis piam, mus ntsib koj tus kws kho mob dua.
Kev kho mob no yuav kav ntev npaum li cas? Ua tau pes tsawg zaus?
Qhov no txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg tau txais kev pab hauv ob peb lub lis piam , thaum lwm tus tsis mob rau ntau lub hlis . Yog tias txoj kev kho mob no ua tiav rau koj, koj tuaj yeem tau txais tshuaj tiv thaiv kab mob dua yog tias qhov mob rov qab los, raws li koj tus kws kho mob qhia.
Feem ntau, nws suav tias muaj kev nyab xeeb kom txhaj tshuaj ntawm 3 txog 6 zaug hauv ib xyoos. Txawm li cas los xij, nco ntsoov tias yog tias koj qhov mob tsis zoo tom qab txhaj tshuaj ob lossis peb zaug, nws yuav tsis zoo li yuav txhaj tshuaj ntxiv. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav qhia koj txog lwm txoj kev kho mob.
Puas muaj tej yam tshwm sim tsis zoo? Kuv puas yuav tsum txhawj?
Txoj kev pheej hmoo ntawm kev mob hnyav nrog kev kho mob no yog tsawg heev. Kev los ntshav, kev kis kab mob, lossis kev puas tsuaj rau cov hlab ntsha ntawm qhov chaw txhaj tshuaj yog qhov tsawg heev.
Txawm li cas los xij, qee qhov kev mob tshwm sim me me yuav tshwm sim.
- Ib ntus tsis muaj zog lossis tsis muaj zog ntawm ob txhais ceg lossis taw.
- Hnov kiv taub hau.
- Mob taub hau.
Feem ntau ntawm cov kev mob tshwm sim no ploj mus tag hauv ob peb teev, yog li tsis tas yuav txhawj ntau dhau txog lawv.
Thaum twg koj mam li xav tau hu rau kws kho mob tam sim ntawd?
Yog koj muaj ib qho ntawm cov tsos mob hauv qab no, qhia rau koj tus kws kho mob tam sim ntawd. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau.
| Qhov tshwj xeeb uas yuav tsum tau them sai sai rau | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim tseem muaj | Yog tias muaj tej yam xws li loog thiab tsis muaj zog tau tshwm sim ntau tshaj ib hnub. |
| Qhov mob tshiab | Yog koj muaj mob tshiab uas tsis tau muaj ua ntej txhaj tshuaj. |
| Mob ntxiv | Yog tias koj qhov mob qub zuj zus tom qab txhaj tshuaj. |
| Cov cim qhia txog kev kis kab mob | Cov tsos mob xws li kub taub hau, o, liab, lossis sov so ntawm qhov chaw txhaj tshuaj. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Txhaj Tshuaj Steroid Transforaminal Epidural yog ib qho kev kho mob zoo heev thiab muaj kev nyab xeeb rau qhov mob ntawm cov hlab ntsha uas kis mus rau nraub qaum, caj dab, thiab ceg.
- Cov tshuaj tiv thaiv kab mob no tsis raug txhaj ncaj qha rau hauv cov hlab ntsha lossis cov hlab ntsha, tab sis rau hauv qhov chaw nyab xeeb nyob ib puag ncig nws.
- Vim tias nws ua tiav raws li kev taw qhia ntawm X-ray, lub peev xwm xa cov tshuaj mus rau lub hom phiaj yog qhov zoo dua.
- Qhov kev pheej hmoo ntawm cov teeb meem loj yog tsawg heev. Cov teeb meem me me feem ntau yuav ploj mus hauv ob peb teev.
- Qhov kev kho mob no yuav pab txo qhov mob tau ntau lub hlis.
- Xav tias dawb tham nrog koj tus kws kho mob txog seb qhov kev kho mob no puas yog rau koj lossis tsis yog, thiab txog txhua yam lus nug uas koj muaj txog nws.
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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