Qee zaum, nyob rau hauv qhov chaw xws li koj lub caj dab, xub pwg nyom, lossis nraub qaum, koj hnov ib lub pob me me hauv koj cov leeg, thiab thaum koj zawm nws, nws ua rau mob tsis tuaj yeem tsis taus, puas yog? Nws zoo li ib lub pob me me hauv koj lub cev nruj. Qhov no yog qhov peb hu ua 'qhov ua rau mob'. Tej zaum koj yuav ua tsis tau koj cov haujlwm txhua hnub kom raug vim qhov mob no. Yog li hnub no peb tab tom tham txog kev kho mob uas ntau tus neeg tsis paub txog uas tuaj yeem pab koj tshem tawm qhov mob no.
Cov 'Trigger Points' no yog dab tsi tiag?
Hais yooj yim xwb, qhov chaw mob yog ib qho 'pob caus' mob hauv peb cov leeg. Yog tias koj kov qhov chaw ntawd, nws yuav zoo li ib lub pob caus me me. Muaj ntau yam ua rau qhov no tshwm sim. Nws tuaj yeem yog los ntawm kev raug mob tam sim ntawd (kev raug mob hnyav), lossis nws tuaj yeem yog los ntawm kev rov ua dua micro-trauma (kev ntxhov siab) uas tshwm sim los ntawm kev txav mus los ntau zaus.
Vim li no, cov leeg nqaij thiaj li lo ua ke, nruj, thiab lo rau hauv ib qho chaw, zoo li ib lub pob hlua. Cov 'stuck knots' no hu ua trigger points.
Kev txhaj tshuaj rau qhov mob uas ua rau mob hnyav yog ib txoj kev kho mob uas siv ib rab koob nyias nyias los txhaj tshuaj rau hauv qhov chaw mob. Feem ntau siv tshuaj loog hauv zos. Qee zaum, yuav ntxiv cov tshuaj steroid lossis botulinum toxin . Qee zaum, kev kho mob no ua tiav yam tsis muaj tshuaj, tsuas yog siv ib rab koob xwb (hu ua dry needling ).
Cov tshuaj txhaj no siv rau qhov mob dab tsi?
Cov tshuaj txhaj no feem ntau yog siv los kho ib qho mob hu ua 'Myofascial Pain' . Ntawm no 'Myo' txhais tau tias cov leeg nqaij, thiab 'fascial' txhais tau tias fascia. Xav txog ib daim nqaij zoo li cov hnyuv ntxwm, thiab lub plhaub dawb nyias nyias nyob ib puag ncig nws hu ua fascia. Yog li, myofascial mob yog qhov mob uas tshwm sim hauv cov leeg nqaij no, thiab daim nyias nyias uas nyob ib puag ncig nws.
Qhov ua rau mob no yog vim muaj ib lossis ntau qhov chaw uas peb tau tham txog. Txawm hais tias cov pob caus no tuaj yeem tsim tau rau hauv txhua cov leeg nqaij, tab sis muaj ob peb qhov chaw uas lawv feem ntau tshwm sim.
| Cov leeg nqaij uas feem ntau tsim cov ntsiab lus trigger | Thaj chaw uas feem ntau hnov qhov mob |
|---|---|
| Trapezius | Tom qab ntawm caj dab thiab sab ntawm xub pwg nyom |
| Masseter | Cov leeg ntawm lub puab tsaig (nyob ze ntawm pob ntseg) |
| Cov leeg ntawm lub xub pwg nyom Levator | Ntawm ob sab ntawm lub caj dab |
| Quadratus lumborum | Tob tob hauv qab |
| Gluteus nruab nrab | Thaj tsam ntawm lub pob tw / lub duav |
Qhov xav tsis thoob yog, qee zaum qhov mob los ntawm cov ntsiab lus no tsis hnov ncaj qha ntawm qhov chaw ntawm lub pob caus, tab sis me ntsis deb dua. Piv txwv li, lub pob caus hauv cov leeg nqaij trapezius hauv lub xub pwg nyom tuaj yeem ua rau koj hnov mob hauv daim ntawv ntawm kev mob taub hau .
Leej twg xav tau kev kho mob no?
Feem ntau koj tus kws kho mob yuav tsis pom zoo kom txhaj tshuaj no tam sim ntawd. Yog tias koj qhov mob tseem tsis tau ploj mus txawm tias muaj tej yam xws li tshuaj tua kab mob, cua sov, zaws, thiab kev kho lub cev, tej zaum koj yuav xav xav txog kev kho mob no ua kauj ruam tom ntej.
Xav txog seb, muaj ib txhia neeg mob heev ua rau lawv tsis tuaj yeem ua cov kev tawm dag zog kho lub cev kom zoo. Hauv cov xwm txheej zoo li no, koj tuaj yeem txhaj tshuaj no ua ntej kom txo qhov mob, thiab tom qab ntawd pib kho lub cev. Tom qab ntawd cov txiaj ntsig zoo heev.
Tsis tas li ntawd xwb, ua ntej koj txhaj tshuaj no, tus kws kho mob yuav xyuas seb puas muaj lwm yam ua rau koj mob. Piv txwv li:
- Kev mob nqaij ntshiv
- Mob caj dab degenerative los yog herniated disc
- Radiculopathy (mob los ntawm kev raug nias ntawm cov hlab ntsha)
Thaum txhaj tshuaj lawm, yuav muaj li cas?
Cov txheej txheem yooj yim heev. Feem ntau nws yuav siv ob peb kauj ruam xwb:
1. Ua ntej, koj yuav raug kom zaum lossis pw kom xis nyob rau ntawm lub txaj kuaj mob, tig mus rau thaj chaw uas muaj pob.
2. Ces tus kws kho mob yuav kov qhov mob pob qij txha, lossis qhov chaw mob, thiab nrhiav qhov chaw tseeb.
3. Tom qab txheeb xyuas qhov chaw, daim tawv nqaij raug ntxuav nrog cawv thiab muab ib rab koob nyias nyias ntxig rau hauv lub qog.
4. Ntawm no, tus kws kho mob yuav txav lub koob mus los hauv lub pob ntau zaus, yam tsis tshem nws tawm tag. Qhov no hu ua 'needling'. Tej zaum koj yuav hnov koj cov leeg nqaij co thaum lub sijhawm no. Qhov no yog ib txwm thiab yog ib qho cim zoo tias lub koob nyob rau hauv qhov chaw zoo.
5. Thaum cov leeg nqaij tsis co lossis tus kws kho mob xav tias cov leeg nqaij tau so txaus lawm, yuav muab tshuaj loog rau hauv thaj chaw ntawd.
6. Yog li ntawd xwb. Tag nrho cov txheej txheem tsuas yog siv ob peb feeb xwb. Tom qab ntawd, koj tuaj yeem mus tsev.
Qhov no puas mob?
Yog hais qhov tseeb, nws yuav mob me ntsis. Vim tias cov qhov mob uas ua rau mob yog qhov rhiab heev rau kev kov. Koj yuav hnov mob txawm tias thaum tus kws kho mob kov thaj chaw nrog nws txhais tes. Thaum txhaj tshuaj, koj yuav hnov qhov kub hnyiab lossis khaus me ntsis. Tab sis thaum lub hau ntawm rab koob ntaus thaj chaw, qhov mob yuav nce me ntsis. Tab sis tsis txhob ntshai, qhov mob txhais tau tias rab koob tau mus rau qhov chaw raug.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab txhaj tshuaj tas, koj tuaj yeem mus tsev thiab siv cov leeg nqaij uas raug mob li qub. Txawm li cas los xij, nws yog qhov zoo tshaj plaws kom tsis txhob ua ub ua no hnyav rau ob mus rau peb hnub thawj zaug.
Yog tias muaj qhov mob me ntsis ntawm qhov chaw txhaj tshuaj, koj tuaj yeem muab dej khov rau. Nws yog qhov zoo tshaj plaws los sab laj nrog koj tus kws kho mob ua ntej noj tshuaj xws li paracetamol rau qhov mob.
Qhov kev pab no yuav ntev npaum li cas?
Rau cov neeg feem coob, qhov mob yuav pib ploj mus hauv 24 txog 72 teev. Qhov kev pab no feem ntau yuav kav ntev li ib hlis lossis ntau dua . Yog tias qhov mob tseem nyob ntawd tom qab ntawd, koj tus kws kho mob yuav pom zoo kom koj txhaj tshuaj ntxiv ob peb zaug kom pab tau ntev.
Qhov tseem ceeb tshaj plaws: Yog tias qhov chaw txhaj tshuaj liab, mob, lossis kub taub hau tom qab txhaj tshuaj, nws yuav yog ib qho cim qhia txog kev kis kab mob. Yog tias qhov no tshwm sim , mus ntsib koj tus kws kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev txhaj tshuaj Trigger Point yog ib txoj kev kho mob uas muaj kev nyab xeeb thiab zoo rau cov leeg nqaij mob (trigger points).
- Qhov no feem ntau ua thaum qhov mob tsis ploj mus nrog cov khoom xws li tshuaj tua kab mob, zaws, lossis kev kho lub cev.
- Txawm hais tias yuav muaj qee qhov mob thaum lub sijhawm kho mob los xij, qhov kev pab yuav kav ntev li ib hlis lossis ntau dua.
- Tsuas yog koj tus kws kho mob thiaj li txiav txim siab tau seb qhov kev kho mob no puas yog rau koj. Yog li ntawd, yog tias koj muaj mob hnyav, xws li lub pob qij txha nruj hauv koj lub cev, nco ntsoov nrhiav kev pab kho mob.
- Yog tias koj muaj cov tsos mob xws li kub taub hau lossis sov so ntawm qhov chaw txhaj tshuaj tom qab txhaj tshuaj, qhia rau koj tus kws kho mob tam sim ntawd.
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