Ib qho teeb meem loj tshaj plaws uas ntau tus neeg muaj niaj hnub no yog mob nraub qaum. Tej zaum koj yuav xav tias qhov no tsis yog ib yam dab tsi uas koj yuav tsum txhawj txog, tab sis qhov tseeb muaj qee hom mob nraub qaum uas tshwj xeeb me ntsis, uas yog, txawv ntawm lwm yam mob nraub qaum. Yog li, hnub no peb yuav tham txog ib hom mob nraub qaum tshwj xeeb. Kev paub qhov no kom zoo yuav pab tau koj heev.
Qhov mob Vertebrogenic Low Back Pain no yog dab tsi?
Hais yooj yim xwb, Kab mob Vertebrogenic Low Back Pain yog tshwm sim los ntawm kev puas tsuaj rau cov vertebral endplates hauv koj tus txha nqaj qaum. Tam sim no koj yuav xav paub tias cov vertebral endplates no yog dab tsi.
Xav txog seb, koj tus txha nqaj qaum yog ua los ntawm cov pob txha me me uas muab sib dhos ua ke saum ib leeg, uas peb hu ua vertebrae. Thaum muaj lwm tus vertebrae nyob saum ib leeg, muaj ib yam dab tsi zoo li lub txaj pw nyob nruab nrab, uas peb hu ua intervertebral disc , lossis tsuas yog lub disc. Lub disc no yog qhov uas tso cai rau tus txha nqaj qaum khoov rov qab thiab tawm, thiab nws kuj nqus cov kev co uas los rau nraub qaum thaum peb dhia thiab khiav. Nruab nrab ntawm tus vertebrae ntawd thiab lub disc, muaj ob daim nyias nyias uas zoo li lub npog tiv thaiv, hu ua vertebral endplates . Yog li, yog tias cov no raug puas tsuaj rau txhua txoj kev, qhov ntawd yog qhov mob nraub qaum tshwj xeeb no pib.
Vim li cas qhov no thiaj txawv ntawm lwm yam mob nraub qaum?
Yog, qhov no txawv me ntsis. Feem ntau thaum peb xav txog mob nraub qaum, peb xav txog qee yam uas tau tshwm sim vim yog raug mob lossis ib yam dab tsi zoo li mob pob qij txha. Tab sis qhov ua rau mob nraub qaum (Vertebrogenic) no yog kev puas tsuaj rau cov vertebral endplates uas peb tau tham txog ua ntej.
Yav tas los, cov kws kho mob feem ntau xav tias qhov ua rau mob nraub qaum tas li yog kab mob degenerative disc lossis mob pob qij txha. Tab sis tom qab ntawd, cov kws tshawb fawb tau tshawb pom tias muaj cov hlab ntsha hauv peb cov pob txha caj qaum uas hnov mob, thiab thaum lawv khaus, qhov mob tuaj yeem tshwm sim. Nrog rau qhov kev tshawb pom ntawd, nws tau pom tseeb tias yuav muaj lwm yam ua rau mob nraub qaum. Qhov ntawd txhais tau tias tsis yog txhua qhov mob nraub qaum yog tshwm sim los ntawm kab mob degenerative disc lossis mob pob qij txha.
Tus mob no feem ntau tshwm sim li cas?
Qhov tseeb, nws nyuaj rau hais tias muaj pes tsawg tus neeg muaj qhov mob nraub qaum (vertebrogenic). Lawv hais tias ntau dua 30 lab tus tib neeg hauv lub tebchaws zoo li Asmeskas muaj qee yam mob nraub qaum tas li. Txawm li cas los xij, nws tsis paub meej tias muaj pes tsawg tus ntawm lawv muaj qhov mob no (vertebrogenic). Qhov no yog vim cov kws kho mob tsuas tuaj yeem nrhiav tau qhov ua rau mob nraub qaum li ntawm 20% ntawm. Lwm 80% raug cais ua qhov mob nraub qaum tsis tshwj xeeb .
Cov tsos mob ntawm qhov no yog dab tsi?
Cov neeg uas muaj qhov mob nraub qaum (vertebrogenic) no feem ntau piav qhia txog qhov mob kub hnyiab, mob nias rau hauv nruab nrab ntawm lawv nraub qaum. Nws zoo li mob tob, mob tua. Rau qee tus neeg, qhov mob no yog hu ua qhov mob . Ntawd yog, qhov mob hnov nyob rau hauv ib cheeb tsam txawv ntawm qhov chaw nws pib.
Feem ntau qhov mob no nce ntxiv:
- Thaum koj zaum hauv ib qho chaw ntev heev.
- Thaum koj lub cev ua ub ua no .
- Thaum koj khoov rau pem hauv ntej .
Cov tsos mob no zoo ib yam li cov kab mob degenerative disc uas txawm tias tus kws kho mob qee zaum tuaj yeem yuam kev ib qho rau lwm qhov. Ntxiv mus, qee tus neeg tuaj yeem muaj ob qho tib si tib lub sijhawm .
Cov yam ntxwv ntxiv uas tuaj nrog cov teeb meem disk
Yog tias cov pob txha caj qaum hauv koj lub nraub qaum qis raug puas tsuaj thiab koj muaj lub disc degenerated, koj yuav muaj cov tsos mob ntxiv. Hauv cov xwm txheej zoo li no:
- Tej zaum koj yuav hnov mob tingling hauv koj ob txhais ceg.
- Muaj qee qhov chaw tsis muaj dab tsi .
- Tsis muaj zog hauv cov ceg.
Cov tsos mob no tshwm sim vim tias lub disc tuaj yeem herniate thiab cuam tshuam rau cov hlab ntsha ze. Qhov no tsis yog txhua zaus tshwm sim, tab sis nws tuaj yeem tshwm sim.
Dab tsi ua rau qhov no?
Raws li peb tau hais ua ntej lawm, qhov ua rau mob nraub qaum (vertebrogenic) no yog kev puas tsuaj rau cov vertebral endplates. Yog li, muaj ntau yam ua rau puas tsuaj rau cov endplates no:
- Kev hnav thiab tsim kua muag txhua hnub: Nws zoo li kev hnav thiab tsim kua muag uas koj tau txais los ntawm kev siv lub tshuab.
- Kev Rog Phem: Thaum lub cev hnyav nce ntxiv, tus txha nraub qaum kuj yuav tsum dais qhov hnyav ntawd.
- Qhov siab nce ntxiv: Cov neeg siab dua kuj tuaj yeem ntsib kev nyuaj siab ntxiv rau ntawm lawv nraub qaum.
- Cov hauj lwm uas siv zog ntau: Cov neeg uas tsa cov khoom hnyav, sawv ntsug ntev ntev, thiab ua haujlwm tib qho chaw muaj kev pheej hmoo ntau dua.
- Yog tias ib tug neeg hauv tsev neeg muaj keeb kwm mob taub hau tas li (Keeb kwm tsev neeg): Kuj tseem yuav muaj kev cuam tshuam los ntawm caj ces.
- Haus Luam Yeeb: Kev haus luam yeeb tuaj yeem cuam tshuam rau cov hlab ntsha hauv lub cev thiab txo cov ntshav uas mus txog cov chaw no.
- Kev raug mob los yog poob: Kev cuam tshuam loj heev tam sim ntawd kuj tuaj yeem ua rau cov chaw no puas tsuaj.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob uas mob nraub qaum, thawj qhov uas nws yuav ua yog kuaj koj lub cev tag nrho.Ib. Lawv yuav kov koj nraub qaum, hais kom koj khoov thiab tig mus rau ntau qhov kev taw qhia kom pom tias qhov twg mob tshaj plaws. Lawv kuj tseem yuav nug koj txog koj cov tsos mob thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj teeb meem nraub qaum zoo li no.
Tom qab ntawd, yog tias koj tus kws kho mob xav tias muaj qee yam tsis raug nrog koj nraub qaum, nws yuav xaj kom kuaj duab . Thawj qhov uas feem ntau ua rau mob nraub qaum yog X-ray ntawm koj nraub qaum . Nyob ntawm cov ntaub ntawv tau txais, tus kws kho mob yuav xav tau cov ntaub ntawv ntxiv. Yog tias yog, nws yuav xaj kom kuaj CT (Computed Tomography scan) lossis MRI (Magnetic Resonance Imaging scan) . MRI scans feem ntau tuaj yeem qhia cov cim ntawm pob txha o thiab kev hloov pauv lossis kev puas tsuaj rau cov vertebral endplates.
Cov kev kho mob yog dab tsi?
Qhov xov xwm zoo yog tias muaj ntau txoj kev kho mob rau qhov mob nraub qaum (vertebrogenic). Tus kws kho mob tuaj yeem pab koj xaiv txoj kev kho mob uas zoo tshaj plaws rau koj.
- Cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs): Cov no yog cov tshuaj uas peb feem ntau noj rau qhov mob thiab o. Piv txwv li suav nrog aspirin, ibuprofen, thiab naproxen. Cov no yuav tsum siv raws li koj tus kws kho mob qhia.
- Kev Kho Mob Lub Cev: Qhov no kuj yog kev kho mob tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog tshwj xeeb thiab kev ncab uas yuav ua rau koj nraub qaum muaj zog thiab txo qhov mob. Yog tias koj ua cov no kom raug, koj yuav tau txais kev pab zoo heev.
- Cov tshuaj ua kom cov leeg nqaij so: Qee zaum, yog tias cov leeg nqaij nyob ib puag ncig koj tus txha nqaj qaum nruj, cov tshuaj no tuaj yeem muab rau lawv kom so. Txawm li cas los xij, vim tias lawv tuaj yeem ua rau koj tsaug zog thiab tuaj yeem ua rau quav tshuaj yog tias siv tas li, cov kws kho mob feem ntau tsuas yog sau ntawv rau lawv rau lub sijhawm luv luv xwb.
- Kev kho mob Intracept® (kev rho cov hlab ntsha basivertebral): Xav tias koj tau sim lwm yam kev kho mob (xws li kev zaws, kev kho lub cev) li rau lub hlis thiab koj qhov mob nraub qaum tsis zoo dua. Hauv qhov xwm txheej zoo li no, tus kws kho mob yuav qhia koj kom siv txoj kev kho mob tshwj xeeb hu ua Intracept®. Qhov no suav nrog kev siv cov cuab yeej zoo heev los siv cua sov rau cov hlab ntsha tseem ceeb uas ua rau mob (basivertebral hlab ntsha) hauv cov pob txha caj qaum. Qhov no tiv thaiv cov cim mob ntawm cov hlab ntsha ntawd kom tsis txhob mus rau lub hlwb, txo qhov mob.
Tseem Ceeb: Tag nrho cov kev kho mob no tsuas yog yuav tsum tau ua nyob rau hauv kev qhia thiab kev saib xyuas ntawm tus kws kho mob. Tsis txhob noj tshuaj lossis ua si ib leeg.
Yuav siv sijhawm ntev npaum li cas los rov zoo los ntawm qhov mob no? (Outlook)
Muaj ntau txoj kev kho mob rau cov neeg uas muaj Vertebrogenic Back Pain dua li yav dhau los. Qhov ntawd yog ib qho zoo. Txawm li cas los xij, nws yuav siv sijhawm ntev kom tau txais kev kuaj mob zoo . Tsis tas li ntawd, koj yuav tsum sim ntau txoj kev kho mob kom txog thaum koj pom qhov yog. Tej zaum koj yuav tsis pom txoj kev kho mob zoo tam sim ntawd.
Raws li kev suav lej, kev kho mob zoo tshaj plaws rau qhov mob nraub qaum (vertebrogenic) no yog cov txheej txheem uas peb tau tham ua ntej (basivertebral nerve ablation) . Txawm li cas los xij, yog tias koj xav tau kev kho mob no los ntawm kev pov hwm, koj yuav tsum ua pov thawj ua ntej tias lwm yam kev kho mob (xws li tshuaj tua kab mob, kev kho lub cev) tsis ua haujlwm. Koj tus kws kho mob tuaj yeem pab koj nrog qhov no, thiab tseem tuaj yeem qhia koj txoj hauv kev los txo qhov mob thaum kho mob.
Yuav ua li cas thiaj tiv thaiv tau qhov no? (Kev tiv thaiv)
Vim tias qhov mob nraub qaum (vertebrogenic) no feem ntau yog ib feem ntawm peb lub cev txoj kev puas tsuaj, nws nyuaj rau tiv thaiv nws tag nrho . Txawm li cas los xij, muaj ob peb yam uas peb tuaj yeem ua tau los txo peb qhov kev pheej hmoo:
- Tswj koj qhov hnyav kom zoo rau koj qhov siab: Thaum koj qhov hnyav ntawm koj lub cev nce ntxiv, qhov kev nyuaj siab rau koj nraub qaum yuav nce ntxiv.
- Kev tawm dag zog tsis tu ncua: Nws yog ib qho tseem ceeb heev uas yuav tsum ua cov kev tawm dag zog kom lub cev muaj zog, tshwj xeeb tshaj yog cov nyob ib puag ncig nraub qaum thiab plab.
- Ncab koj lub cev tsis tu ncua: Yog tias koj muaj ib txoj haujlwm uas yuav tsum tau koj zaum hauv ib qho chaw ntev, nws yog ib lub tswv yim zoo kom sawv thiab ncab koj lub cev me ntsis, txav mus los, tsawg kawg ib teev ib zaug.
- Tsis txhob haus luam yeeb: Kev haus luam yeeb tuaj yeem cuam tshuam rau lub cev txoj kev kho mob.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Qhov mob nraub qaum ib txwm yuav tsum ploj mus li ob peb hnub lossis ib lub lim tiam. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob no , koj yuav tsum mus ntsib kws kho mob sai sai :
- Mob nraub qaum uas tseem tsis tau ploj mus tom qab ob lossis peb lub lis piam.
- Mob nraub qaum uas tsis ploj mus txawm tias noj tshuaj lossis so lawm los xij.
- Yog koj xav tias koj qhov mob nraub qaum maj mam zuj zus tuaj .
- Yog tias koj muaj cov tsos mob xws li tingling , loog , lossis tsis muaj zog hauv koj txhais tes lossis taw.
- Sawv ntsug, yog tias koj xav tias kev taug kev nyuaj .
- Yog tias koj muaj lwm cov tsos mob xws li kub taub hau thiab poob phaus nrog rau mob nraub qaum.
Thaum kawg, qhov tseem ceeb tshaj plaws (Cov Lus Qhia Coj Mus Tsev)
Mob nraub qaum muaj peev xwm cuam tshuam loj heev rau peb lub neej txhua hnub. Nws tuaj yeem ua rau peb ntxhov siab heev tsis yog thaum mus ua haujlwm, ua haujlwm hauv tsev, lossis ua si nawv xwb, tab sis kuj thaum peb tsuas zaum ib ncig xwb. Tshwj xeeb tshaj yog thaum peb muaj mob tsis tu ncua zoo li no uas tsis ploj mus nrog kev kho mob tsis tu ncua, nws tuaj yeem ua rau peb ntxhov siab heev thiab qee zaum txawm tias tsis muaj kev cia siab.
Nco ntsoov: Yog tias koj kuj muaj qhov mob kub hnyiab, mob nias rau hauv nruab nrab ntawm koj nraub qaum, nws yuav yog Vertebrogenic Low Back Pain. Yog li, tsis txhob ntshai lossis txhawj txog nws, tab sis nco ntsoov tham nrog kws kho mob kom paub meej tias koj cov tsos mob yog dab tsi thiab kev kho mob zoo tshaj plaws yog dab tsi. Yog tias koj pib kho mob sai li sai tau, koj yuav muaj peev xwm tshem tawm qhov mob no thiab txaus siab rau koj txoj haujlwm dua!
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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