Koj puas muaj tej lub sij hawm koj hnov mob loog thiab mob hnyav hauv koj lub caj dab, xub pwg nyom, lossis caj npab? Los yog koj puas tsis muaj kev xav ntawm qee qhov ntawm koj lub cev? Yog tias koj muaj ntau tshaj ib qho ntawm cov tsos mob no, nws yuav yog vim muaj ib qho mob tsis tshua muaj hu ua syringomyelia, uas peb yuav tham txog. Tsis txhob txhawj, qhov no tsis yog ib yam dab tsi uas tshwm sim rau ntau tus neeg. Tab sis nws yog ib qho tseem ceeb kom ua qhov no yooj yim txij thaum pib.
Qhov syringomyelia no yog dab tsi tiag?
Hais yooj yim xwb, qhov no yog lub npe uas muab rau kev tsim ntawm lub hnab uas muaj kua dej, lossis cyst, hauv peb tus txha caj qaum. Cov kws kho mob hu lub hnab uas muaj kua dej no ua 'syrinx'. Qhov no yog vim li cas qee tus neeg kuj hu qhov mob no Hydromyelia, Syringohydromyelia.
Feem ntau, tej zaum koj yuav tsis pom nws li. Tab sis qee zaum, yog tias lub cyst no loj hlob zuj zus, nws tuaj yeem pib nias thiab ua rau cov hlab ntsha hauv koj tus txha nqaj qaum puas tsuaj. Yog li ntawd, kev kho mob yog qhov yuav tsum tau ua.
Tus mob no feem ntau tshwm sim rau cov neeg laus hnub nyoog ntawm 20 thiab 40 xyoo. Nws kuj tshwm sim ntau dua rau cov txiv neej dua li cov poj niam.
Cov tsos mob yuav yog dab tsi?
Cov tsos mob ntawm qhov no nyob ntawm seb lub cyst nyob qhov twg hauv tus txha nqaj qaum thiab nws loj npaum li cas. Raws li lub sijhawm dhau mus, thaum lub cyst loj hlob tuaj, nws tuaj yeem ua rau cov hlab ntsha hauv tus txha nqaj qaum puas tsuaj. Thaum ntawd cov teeb meem pib.
Feem ntau, cov tsos mob tshwm sim qeeb heev, dhau ntau xyoo. Txawm li cas los xij, qee zaum cov tsos mob tuaj yeem tshwm sim tam sim ntawd tom qab muaj xwm txheej, xws li ntog.
Lub rooj hauv qab no teev qee cov tsos mob tseem ceeb uas tuaj yeem pom.
| Pawg tsos mob | Tej yam yuav tau saib |
|---|---|
| Qhov mob thiab kev xav | Mob, loog, kub hnyiab, lossis xav tias raug mob rau ntawm caj dab, xub pwg, caj npab, thiab tes. Tsis hnov sov/txias li dej kub lossis dej khov rau ntawm tes, ntiv tes, thiab hauv siab sab saud. |
| Cov leeg tsis muaj zog | Cov leeg nqaij tsis muaj zog (tshwj xeeb tshaj yog nyob rau hauv caj npab thiab xub pwg), nyuaj rau taug kev vim yog cov leeg nqaij tawv, thiab poob ntawm cov reflexes. |
| Kev hloov pauv ntawm lub cev | Kab mob ntawm tus txha nqaj qaum, ib yam mob uas peb hu ua scoliosis . Kev hloov pauv lossis teeb meem hauv kev tswj hwm chav dej lossis zis. |
| Lwm yam nta | Mob taub hau, tawm hws ntau dhau, ntshav siab hloov pauv tsis zoo, teeb meem kev sib deev, thiab kev txav mus los tsis sib haum. |
Qee zaum, yog tias lub cyst no ua rau cov hlab ntsha uas tswj cov leeg ntawm peb lub ntsej muag thiab qhov muag puas tsuaj, ib qho mob hu ua Horner syndrome tuaj yeem tshwm sim. Hauv qhov no, koj yuav pom tej yam xws li qhov muag poob qis ntawm sab uas raug mob ntawm lub ntsej muag, lub qhov muag me me, thiab txo qis hws ntawm sab ntawd.
Vim li cas ho muaj tej yam zoo li no tshwm sim?
Xav txog tias peb lub hlwb thiab tus txha caj qaum muaj ib yam kua tshwj xeeb hu ua cerebrospinal fluid nyob ib puag ncig. Thaum cov kua no ntws li qub, tsis muaj teeb meem dab tsi. Tab sis yog tias muaj qee yam ua rau txoj kev ntawm cov kua no raug thaiv, cov kua ntawd tuaj yeem sib sau ua ke hauv tus txha caj qaum thiab tsim cov cyst uas peb tau hais. Muaj ob pawg tseem ceeb ntawm qhov ua rau qhov no.
Cov Ua Rau Muaj Mob Txij Thaum Yug Los
Qhov no yog qhov ua rau feem ntau. Thaum qee tus menyuam yug los, qhov qis ntawm lawv lub hlwb (cerebellum) yuav raug thawb mus rau ntawm tus txha nraub qaum. Cov kws kho mob hu qhov no ua Chiari I malformation . Qhov no thaiv cov dej ntws thiab ua rau muaj cyst. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj Chiari I malformation no yuav muaj syringomyelia . Cov tsos mob feem ntau tshwm sim ntawm hnub nyoog 25 thiab 40.
Cov laj thawj tau txais
Qee zaum qhov mob no kuj tseem tuaj yeem tshwm sim los ntawm kev puas tsuaj rau tus txha nqaj qaum, txhais tau tias qee yam uas tshwm sim tom qab yug los.
- Kev raug mob ntawm cov leeg qaum
- Cov kab mob xws li mob meningitis
- Mob qog ntawm pob txha caj qaum
- Kev o ntawm cov ntaub so ntswg uas npog tus txha nqaj qaum
- Txuas nrogMob caj dab (uas qhov kawg ntawm cov hlab ntsha hauv qab tau ncab tsis zoo).
Tsis tshua muaj, nws tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb. Cov kws kho mob hu ua idiopathic syringomyelia .
Koj nrhiav tau qhov no li cas tiag?
Txoj kev zoo tshaj plaws thiab meej tshaj plaws los kuaj mob no yog kev kuaj MRI (Magnetic Resonance Imaging) . Qhov no yuav kuaj koj lub hlwb thiab tag nrho koj tus txha nqaj qaum. Qhov no tuaj yeem qhia meej meej seb lub cyst puas nyob ntawd, nws loj npaum li cas, thiab yog vim li cas (piv txwv li, Chiari malformation).
Qee zaum, qhov mob no raug pom tsis tau thaum lub sijhawm MRI rau lwm qhov laj thawj. Qee zaum, koj tus kws kho mob kuj tseem yuav pom zoo kom ua CT (Computed Tomography) scan .
Yuav kho li cas?
Kev kho mob uas koj yuav tau txais yuav nyob ntawm seb koj puas muaj cov tsos mob thiab lawv hnyav npaum li cas. Tsis yog txhua tus neeg tau txais kev kho mob zoo ib yam.
Yog tias tsis muaj lossis tsis muaj cov tsos mob me me: kev soj ntsuam
Yog tias koj tsis muaj tsos mob lossis tsuas yog muaj tsos mob me me xwb, tej zaum koj yuav tsis tas yuav kho mob loj. Tab sis koj tus kws kho mob yuav kuaj xyuas koj tsis tu ncua . Lawv yuav ua MRI scans tsis tu ncua kom kuaj xyuas seb puas muaj cov tsos mob tshiab lossis saib seb lub cyst puas loj zuj zus. Lawv kuj tseem yuav qhia koj kom tsis txhob ua tej yam hnyav, xws li tsa cov khoom hnyav. Lawv yuav sau tshuaj loog mob thiab xa koj mus rau kev kho lub cev.
Yog tias cov tsos mob hnyav heev: Phais mob
Yog tias koj cov tsos mob hnyav txaus kom cuam tshuam koj lub neej txhua hnub, tej zaum koj yuav tsum tau phais. Lub hom phiaj tseem ceeb ntawm kev phais yog los kho cov kua dej uas raug thaiv.
Hom kev phais uas koj yuav ua yuav nyob ntawm seb yam dab tsi ua rau koj tus mob. Piv txwv li, yog tias qhov ua rau yog Chiari I malformation, koj tus kws kho mob yuav ua ib qho txheej txheem hu ua posterior fossa decompression . Qhov no suav nrog kev tshem tawm ib daim pob txha me me ntawm sab nraub qaum ntawm lub taub hau thiab sab saum toj ntawm tus txha nraub qaum kom muaj chaw ntau dua rau lub hlwb thiab cov hlab ntsha. Qhov no txo qhov siab thiab tso cai rau cov kua dej ntws li qub.
Nws yog ib qho tseem ceeb heev uas yuav tsum tham txog cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev phais nrog koj tus kws kho mob ua ntej txiav txim siab.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Zoo siab uas paub txog qhov no thiab. Qee zaum, txawm tias tom qab phais lawm los, qhov teeb meem tseem tsis tau daws tag. Cov kua dej tuaj yeem rov qab los sib sau ua ke dua. Tsis tas li ntawd, qhov kev puas tsuaj rau cov hlab ntsha qee zaum tuaj yeem mus tas li.
Yog li ntawd, txawm tias tom qab phais lawm los xij, koj tus mobNws yog ib qho tseem ceeb heev uas yuav tsum tau sib cuag nrog koj tus kws kho mob tsis tu ncua. Koj yuav tsum tau kuaj MRI tsis tu ncua kom paub seb lub cyst puas rov qab tshwm sim dua. Qhov no yog ib qho mob uas xav tau kev tswj hwm mus sij hawm ntev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Syringomyelia yog ib qho mob tsis tshua muaj uas muaj cov kua dej puv hauv cov hlab ntsha hauv tus txha caj qaum.
- Mob caj dab, caj npab, loog, thiab tshwj xeeb tshaj yog tsis hnov mob kub/txias yog cov tsos mob tseem ceeb.
- Qhov ua rau qhov no yog vim muaj kev thaiv cov kua dej hauv lub hlwb thiab tus txha caj qaum. Qhov teeb meem feem ntau thaum yug los yog Chiari I malformation.
- Kev kuaj MRI yog qhov tseem ceeb rau kev kuaj mob.
- Cov kev kho mob suav nrog kev soj ntsuam yog tias tsis muaj tsos mob, thiab phais yog tias cov tsos mob hnyav. Tham nrog koj tus kws kho mob txog txhua yam tsos mob uas koj muaj.
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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