Koj puas mob nraub qaum ntau zaus? Los yog koj puas hnov qhov mob tingling uas mus rau hauv koj txhais caj npab nrog rau mob hauv koj lub caj dab? Feem ntau, peb tsis nco qab txog tej yam zoo li no, xav tias "qhov no yog qhov tshwm sim thaum koj laus zuj zus" lossis "nws yog vim ua haujlwm thiab qaug zog." Tab sis qee zaum yuav muaj ib qho laj thawj kho mob tom qab qhov mob no uas peb yuav tsum tau them sai sai rau. Niaj hnub no peb tab tom tham txog qhov mob zoo li no, uas yog Neural foraminal stenosis (Foraminal Stenosis luv luv). Txawm hais tias lub npe nyuaj me ntsis, cia peb nkag siab qhov teeb meem yooj yim.
Hais yooj yim xwb, Foraminal Stenosis yog dab tsi?
Xav txog koj tus txha nqaj qaum. Nws zoo li ib pawg pob txha me me (hu ua vertebrae) uas muab sib dhos ua ke saum ib leeg. Cov hlab ntsha hauv lub cev, uas tswj koj lub cev tag nrho, raug tiv thaiv sab hauv lub cev. Nws yog cov hlab ntsha hauv lub cev uas txuas mus rau koj txhais tes, ceg, thiab txhua qhov ntawm koj lub cev.
Tam sim no qhov tseem ceeb yog, muaj cov qhov me me, zoo li cov qhov me me, ntawm cov pob txha caj qaum rau cov hlab ntsha no tawm los. Cov qhov no yog qhov peb hu ua neural foramina. Yuav ua li cas yog tias cov qhov no nqaim lossis raug thaiv rau qee qhov laj thawj? Tom qab ntawd cov hlab ntsha uas tawm hauv qhov ntawd pib raug nias. Nws zoo li ib tug neeg taug kev ntawm cov yeeb nkab dej thiab cov dej tsis ntws. Qhov mob ntawm cov hlab ntsha no yog qhov peb hu ua Foraminal Stenosis .
Qhov mob no tshwm sim tau qhov twg hauv tus txha nqaj qaum?
Kab mob Foraminal Stenosis tuaj yeem tshwm sim txhua qhov chaw hauv tus txha nqaj qaum. Cov tsos mob sib txawv nyob ntawm qhov chaw uas nws tshwm sim. Muaj peb hom tseem ceeb.
1. Cervical Foraminal Stenosis
Qhov no yog qhov mob uas tshwm sim ntawm cov pob txha caj qaum hauv peb lub caj dab. Vim tias peb lub caj dab yog ib feem ntawm lub cev uas txav mus los ntau thiab ris lub taub hau hnyav, muaj feem ntau uas yuav muaj pob txha stenosis hauv thaj chaw no. Qhov mob no tuaj yeem cuam tshuam rau cov neeg uas siv sijhawm ntau saib lub computer lossis pw tsis raug.
2. Mob Thoracic Foraminal Stenosis (nruab nrab nraub qaum)
Qhov no tsis tshua muaj ntau. Qhov mob no tuaj yeem tshwm sim rau hauv peb thaj tsam sab nraub qaum, uas yog, nyob rau hauv lub thoracic spine tom qab lub hauv siab. Qhov no tuaj yeem cuam tshuam rau lub xub pwg nyom thiab hauv siab.
3. Mob Qog Ntsws (Qab Nraub Qaum)
Qhov no kuj yog ib hom mob uas neeg feem ntau ntsib. Peb lub nraub qaum qis yog ib feem ntawm peb lub cev uas ris lub nra hnyav tshaj plaws thiab khoov thiab ncab tshaj plaws. Yog li ntawd, cov hlab ntsha hauv thaj chaw no yuav raug nias ntau dua. Qhov no yog qhov laj thawj tseem ceeb tom qab " mob nraub qaum " uas ntau tus neeg muaj.
Dab tsi yog cov ua rau Foraminal Stenosis?
Feem ntau, qhov mob no yog tshwm sim los ntawm kev hloov pauv ntawm cov pob txha caj qaum uas tshwm sim thaum muaj hnub nyoog. Qhov no txhais tau tias nws tsis yog ib yam dab tsi uas tshwm sim ib hmos, tab sis ib yam dab tsi uas maj mam tshwm sim. Dua li ntawm qhov ntawd, tej zaum yuav muaj lwm yam laj thawj.
| Vim li cas | Piav qhia yooj yim xwb |
|---|---|
| Mob pob qij txha | Thaum peb laus zuj zus, cov pob qij txha yuav lwj thiab cov pob txha tshiab yuav tsim. Cov pob txha no yuav daig rau hauv txoj hlab ntsha thiab ntswj nws. |
| Cov discs herniated | Cov 'cushions' (disks) zoo li jelly ntawm cov vertebrae tuaj yeem bulge tawm thiab nias rau ntawm cov hlab ntsha. |
| Cov leeg nqaij tuab | Cov leeg uas tuav tus txha nqaj qaum ua ke yuav tuab zuj zus raws sijhawm, nkag mus rau ntawm txoj hlab ntsha thiab nias nws. |
| Kev Raug Mob Ntawm Pob Txha | Yog tias muaj kev tawg ntawm cov hlab ntsha qaum lossis dislocation tshwm sim hauv qhov xwm txheej, cov hauv paus hlab ntsha tuaj yeem raug nias. |
| Lwm yam mob nkeeg | Qhov no kuj tseem tuaj yeem tshwm sim los ntawm cov mob xws li cov pob txha loj hlob tsis zoo xws li Paget's kab mob lossis qog nqaij hlav (cov no tsis tshua muaj). |
Tej zaum koj yuav muaj cov tsos mob dab tsi?
Tsis yog txhua tus neeg muaj cov tsos mob. Tej zaum yuav muaj ib txhia neeg pom nws los ntawm kev thaij duab. Yog tias cov tsos mob tshwm sim, feem ntau lawv tuaj thiab ploj mus, thiab lawv tuaj yeem tsis hnyav heev. Cov tsos mob nyob ntawm seb cov hlab ntsha raug nias qhov twg.
| Thaj chaw cuam tshuam | Cov tsos mob feem ntau |
|---|---|
| Caj dab (Cervical) |
|
| Qis nraub qaum (Lumbar) |
|
| Cov tsos mob hnyav uas yuav tsum tau kev saib xyuas tam sim ntawd! | |
Yog tias koj muaj ib qho ntawm cov tsos mob saum toj no, suav nrog kev tsis tuaj yeem tswj tau lub zais zis lossis quav , kev ua haujlwm tsis zoo ntawm kev sib deev, lossis loog hauv koj ob txhais ceg, nws yog qhov xwm txheej ceev . Mus rau chav kho mob ceev hauv tsev kho mob (ETU) ze tshaj plaws tam sim ntawd. | |
Tus kws kho mob kuaj mob li cas?
Yog koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob . Tus kws kho mob yuav nug txog koj keeb kwm kev kho mob ua ntej thiab kuaj koj kom zoo zoo. Lawv yuav kuaj xyuas koj qhov kev txav mus los, qhov mob, thiab kev ua haujlwm ntawm cov hlab ntsha (reflexes).
Tom qab ntawd, yuav muaj ntau yam kev kuaj mob kom paub meej tias tus kab mob yog dab tsi thiab txiav txim siab seb nws mob hnyav npaum li cas:
- X-ray: Nrhiav tau qhov tawg, pob txha tawg, lossis lwm yam tsis zoo hauv tus txha nraub qaum.
- Kev Ntsuas MRI: Qhov no yog txoj hauv kev tseeb tshaj plaws los saib cov nqaij mos xws li cov hlab ntsha, cov discs ntawm cov pob txha caj qaum, thiab cov leeg. Nws tuaj yeem qhia meej tias cov hlab ntsha puas raug nias.
- CT Scan: Qhov no kuj tseem tuaj yeem tsim cov duab ntxaws ntxaws ntawm tus txha nqaj qaum thiab cov qauv ib puag ncig.
- Myelogram: Qhov no yog ib qho kev kuaj tshwj xeeb. Ib qho xim tshwj xeeb raug txhaj rau hauv cov hlab ntsha qaum thiab ua CT lossis MRI scan. Qhov no tso cai rau kev ntws ntawm cov kua dej qaum thiab qhov chaw ntawm cov hlab ntsha nias kom pom tseeb.
Muaj cov kev kho mob twg?
Kev kho mob nyob ntawm seb koj cov tsos mob hnyav npaum li cas thiab seb cov hlab ntsha puas tsuaj npaum li cas. Feem ntau, koj tus kws kho mob yuav sim cov kev kho mob uas tsis yog phais ua ntej.
Kev kho mob uas tsis yog phais
- Cov Tshuaj: Koj tus kws kho mob yuav sau ntawv rau cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o (NSAIDs), cov tshuaj ua kom cov leeg so, thiab tej zaum yuav txhaj tshuaj steroid.
- Kev Kho Mob Lub Cev: Qhov no tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog tshwj xeeb uas yuav ua rau koj cov leeg nraub qaum thiab lub plab muaj zog, ua rau muaj kev ywj pheej, thiab txo qhov mob.
- Kev Kho Kom Zoo Li Qub: Yog tias koj muaj lub cev tsis zoo thaum sawv, zaum, lossis ua haujlwm, nws yuav ua rau koj lub nraub qaum thiab caj dab ntxhov siab. Nws yog ib qho tseem ceeb heev uas yuav tsum kawm txog lub cev kom raug.
- Hnav Braces: Qee zaum, koj tus kws kho mob yuav pom zoo kom hnav lub nraub qaum lossis caj dab.
Kev phais mob
Yog tias cov kev kho mob saum toj no tsis pab, yog tias qhov mob tsis tuaj yeem ua tau, thiab nws cuam tshuam rau koj lub neej txhua hnub, koj tus kws kho mob yuav pom zoo kom phais. Qhov kev phais no hu ua foraminotomy .
Qhov kev phais no suav nrog kev tshem tawm cov pob txha spurs, cov disc fragments, lossis lwm yam nqaij uas nias rau ntawm cov hlab ntsha, cia cov hlab ntsha txav mus los tau yooj yim. Qhov no feem ntau yog ua los ntawm tus kws phais hlwb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob Foraminal Stenosis yog ib yam mob uas feem ntau tshwm sim thaum muaj hnub nyoog. Yog li ntawd, tsis txhob tsis quav ntsej txog mob nraub qaum thiab mob caj dab.
- Qhov mob, loog, lossis qaug zog uas kis mus rau ntawm ob txhais ceg yuav yog cov tsos mob tseem ceeb ntawm tus kab mob no.
- Yog koj muaj cov tsos mob no, nco ntsoov mus ntsib kws kho mob thiab kuaj mob kom raug.
- Muaj ntau tus neeg uas kho tau lawv tus mob zoo los ntawm kev siv tshuaj kho mob uas tsis yog phais (xws li kev kho lub cev, kev tawm dag zog, thiab kev siv tshuaj).
- Yog tias koj muaj cov tsos mob hnyav, xws li tsis tuaj yeem tswj tau lub zais zis lossis txoj hnyuv, mus rau chav kho mob ceev (ETU) tam sim ntawd.
- Kev tswj hwm qhov hnyav kom noj qab nyob zoo thiab kev tswj hwm tus cwj pwm kom zoo yuav pab tau ntau yam hauv kev tiv thaiv thiab tswj hwm qhov mob no.
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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