Mob nraub qaum yog ib qho teeb meem uas ntau tus neeg hauv peb lub tebchaws muaj tam sim no, tsis hais hnub nyoog li cas los xij, puas yog? Feem ntau peb xav tias mob nraub qaum yog los ntawm lub disc plam lossis mob pob qij txha. Tab sis qee zaum, txawm tias koj noj tshuaj lossis kev kho lub cev ntau npaum li cas los xij, muaj mob nraub qaum uas tsis ploj mus. Qhov ua rau yuav tsis yog qhov peb xav. Niaj hnub no, peb tab tom tham txog ib hom mob nraub qaum tshwj xeeb uas tsis ntev los no tau txheeb xyuas los ntawm kev kho mob, uas yog " mob vertebral ".
Hais yooj yim xwb, qhov mob Vertebrogenic yog dab tsi?
Yuav kom nkag siab qhov no, cia peb xub xav txog peb tus txha nqaj qaum. Peb tus txha nqaj qaum yog ua los ntawm ib pawg pob txha me me (vertebrae) uas muab tso rau saum ib leeg, zoo li cov cib uas muab tso rau saum ib leeg. Nruab nrab ntawm cov "cib" no yog lub disc uas peb txhua tus paub.
Tiam sis qhov tseem ceeb tshaj plaws ntawm zaj dab neeg no yog txheej tiv thaiv tshwj xeeb uas nyob saum toj thiab hauv qab txhua tus pob txha caj qaum. Qhov no yog ib txheej nyias ua los ntawm cov pob txha mos thiab pob txha. Hauv cov lus kho mob, qhov no hu ua vertebral endplate . Yav dhau los, cov kws kho mob xav tias cov teeb meem disc yog qhov ua rau mob nraub qaum. Tab sis kev tshawb fawb tshiab tau pom tias thaum cov endplates no raug puas tsuaj, cov hlab ntsha uas khiav hla lawv tuaj yeem raug nias, ua rau mob hnyav thiab mob ntev.
Hais yooj yim xwb, " mob Vertebrogenic" yog mob nraub qaum uas tsis yog los ntawm lub disc, tab sis los ntawm kev puas tsuaj rau cov phaj kawg ntawm sab saud thiab hauv qab ntawm cov vertebrae.
Qhov no kuj tseem yuav muaj feem cuam tshuam nrog cov teeb meem ntawm lub disc. Cov kws tshawb nrhiav tau pom tias qhov twg lub disc tau hnav lawm, kev hloov pauv tshwm sim hauv cov hlab ntsha qaum sab saud thiab hauv qab nws. Kuj tseem muaj ntau cov hlab ntsha uas nqa qhov mob hauv cov cheeb tsam ntawd. Tab sis lawv tseem tab tom xam seb qhov ntawd tshwm sim li cas.
Cov laj thawj rau qhov xwm txheej no yog dab tsi?
Muaj ntau yam ua rau peb cov phaj kawg puas tsuaj. Qhov no tuaj yeem tshwm sim los ntawm kev hnav thiab tsim kua muag ntuj uas los nrog hnub nyoog, nrog rau qhov xwm txheej.
Qhov no tsis tshwm sim rau txhua tus, tab sis qee tus neeg muaj feem yuav mob no me ntsis.
- Muaj hnub nyoog tshaj 40 xyoo: Qhov kev pheej hmoo no nce ntxiv nrog rau lwm yam kev hloov pauv hauv lub cev thaum peb laus zuj zus.
- Qhov Siab: Cov neeg siab yuav muaj kev nyuaj siab ntau dua rau lawv tus txha nraub qaum.
- Kev Rog Phem: Thaum qhov hnyav ntawm lub cev nce ntxiv, qhov hnyav ntawm tus txha nraub qaum nce ntxiv, ua rau cov pob qij txha raug kev puas tsuaj ntau dua.
- Haus Luam Yeeb: Haus luam yeeb ua rau cov hlab ntsha nqaim, txo cov ntshav mus rau qee qhov ntawm tus txha nqaj qaum. Qhov no cuam tshuam txoj kev kho mob.
- Ua haujlwm hnyav: Cov neeg uas ua haujlwm uas muaj kev tsa khoom hnyav lossis siv zog rub lawv nraub qaum, xws li kev tsim kho, muaj kev pheej hmoo ntau dua.
- Keeb Kwm Tsev Neeg : Yog tias ib tug neeg hauv koj tsev neeg tau mob nraub qaum ntev, koj kuj tseem yuav mob vim muaj kev cuam tshuam los ntawm caj ces.
Yuav ua li cas thiaj paub cov tsos mob?
Qhov mob no txawv me ntsis ntawm lwm yam mob nraub qaum. Saib seb koj puas muaj cov tsos mob no thiab.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Lub sijhawm uas qhov mob nce ntxiv | Qhov mob yuav mob ntxiv thaum khoov koj lub cev mus tom ntej, zaum ntev, thiab thaum lub sijhawm ua ub ua no xws li kev tawm dag zog. |
| Qhov xwm txheej ntawm qhov mob | Nws yuav hnov zoo li mob tob, kub hnyiab, lossis mob kub hnyiab los ntawm sab hauv. |
| Qhov chaw uas hnov qhov mob | Feem ntau qhov mob yog nyob rau hauv qab, nruab nrab ntawm nraub qaum. |
| Qhov sib txawv tseem ceeb tshaj plaws | Qhov mob no feem ntau tsis tshua muaj qhov mob loog thiab loog hauv ob txhais ceg, zoo li pom nrog cov teeb meem ntawm cov pob qij txha caj qaum. Txawm li cas los xij, yog tias koj muaj ob qho teeb meem no, cov tsos mob no kuj yuav tshwm sim. |
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Yog tias koj mob nraub qaum tau ntau tshaj 6 lub hlis thiab nws tsis tau zoo dua nrog kev kho mob ib txwm muaj, koj tus kws kho mob yuav xav tias muaj mob no (mob Vertebrogenic). Cov kauj ruam hauv qab no yuav raug ua los ua qhov kev kuaj mob:
1. Nug koj txog koj keeb kwm yav dhau los: Puas muaj leej twg hauv koj tsev neeg muaj teeb meem nraub qaum zoo li no thiab qhov mob zoo li cas?
2. Kev kuaj lub cev: Koj yuav raug hais kom khoov koj lub cev mus rau pem hauv ntej thiab khoov rau ob sab, thiab xyuas seb thaum twg qhov mob nce ntxiv.
3. Tsis suav nrog lwm yam kab mob: Lwm yam kev kuaj mob raug ua los saib seb puas muaj lwm yam ua rau, xws li teeb meem ntawm lub disc lossis qog nqaij hlav.
4. Kev thaij duab MRI: Cov lus teb kawg thiab meej tshaj plaws los ntawm kev thaij duab MRI (Magnetic Resonance Imaging). Qhov no tuaj yeem thaij tau cov duab ntawm tus txha nqaj qaum kom meej heev.
Hauv MRI, koj tus kws kho mob tuaj yeem pom cov kev hloov pauv tshwj xeeb hauv cov phaj kawg uas ua rau mob. Cov no hu ua Modic changes . Lawv muaj ob hom tseem ceeb:
- Hom Modic 1: Muaj o thiab o hauv cov pob txha.
- Hom Modic 2: Hloov chaw ntawm cov pob txha liab noj qab haus huv, cov pob txha rog daj pom.
Yuav kho li cas?
Ua ntej, koj tus kws kho mob yuav pom zoo cov kev kho mob ib txwm muaj xws li tshuaj tua kab mob (NSAIDs), tshuaj so cov leeg, thiab kev kho lub cev.
Txawm li cas los xij, yog tias tsis muaj kev txhim kho tom qab li 6 lub hlis ntawm kev kho mob no, yuav tsum tau xav txog txoj kev kho mob tshwj xeeb. Nws hu ua Basivertebral Nerve Ablation .
Kev Tshem Tawm Basivertebral Nerve yog dab tsi?
Hais yooj yim xwb, cov hlab ntsha tseem ceeb uas nqa cov cim qhia mob mus rau peb ob txhais ceg yog "basivertebral nerve." Kev kho mob no cuam tshuam nrog kev ua puas rau cov hlab ntsha no ntawm qhov chaw uas nws nkag mus rau hauv cov pob txha caj qaum uas qhov mob los ntawm, tiv thaiv cov cim qhia mob kom tsis txhob mus rau lub hlwb.
Qhov no tsis yog kev phais loj. Koj yuav tau txais tshuaj loog, yog li koj yuav tsis hnov mob dab tsi. Tus kws phais yuav ua ib qho kev phais me me rau ntawm daim tawv nqaij qhov twg koj muaj mob nraub qaum thiab ntxig ib lub cuab yeej me me los ntawm nws mus rau hauv tus txha nqaj qaum. Tom qab ntawd, lawv yuav siv cua sov los ua puas rau cov hlab ntsha.
Feem ntau koj tuaj yeem mus tsev tib hnub ntawd. Lub sijhawm rov zoo luv dua li lwm yam kev phais mob nraub qaum. Kev tshawb fawb pom tias kev kho mob no tuaj yeem pab koj kom tsis mob tau 5 xyoos lossis ntau dua.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj qhov mob nraub qaum tau ntev tshaj ob peb lub lis piam, yog tias qhov mob hnyav zuj zus, lossis yog tias kev kho mob tsis pab, nco ntsoov mus ntsib kws kho mob .
Tshwj xeeb tshaj yog cov hauv qab noYog tias muaj cov cim qhia liab, nrhiav kev pab kho mob tam sim ntawd :
- Mob loog los yog tsis muaj zog hauv ob txhais ceg
- Nyuaj siab sawv ntsug lossis taug kev
- Cov zis lossis quav tawm tsis pub leej twg paub (qhov no yog qhov xwm txheej ceev heev, mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd)
- Kev poob phaus sai sai
- Ua npaws
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov mob Vertebrogenic yog ib hom mob nraub qaum tshwj xeeb uas tsis yog los ntawm teeb meem disc, tab sis los ntawm kev puas tsuaj rau cov phaj kawg ntawm tus txha nqaj qaum.
- Qhov mob no nce ntxiv thaum khoov mus tom ntej lossis zaum, thiab cov tsos mob xws li loog ceg feem ntau tsis tshua muaj.
- Tej zaum yuav tsum tau kuaj MRI kom paub tseeb tias muaj tus kab mob.
- Yog tias kev kho mob ib txwm tsis pab tau, cov kev kho mob niaj hnub no thiab ua tau zoo xws li "Basivertebral nerve ablation" tam sim no muaj.
- Tsis txhob tso tseg qhov mob nraub qaum. Yog tias nws tseem mob lossis muaj cov tsos mob hnyav, nco ntsoov 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