Koj puas nkees nkees uas ua tsis tau koj tej hauj lwm txhua hnub kom zoo vim mob nraub qaum thiab tsis muaj kev zoo siab? Ua hauj lwm hauv tsev, ua teb, mus nrog phooj ywg, thiab ua si nrog koj cov menyuam tau dhau los ua qhov nyuaj heev vim qhov mob nraub qaum no. Qhov laj thawj tseem ceeb rau qhov mob nraub qaum tas li yog kev puas tsuaj rau cov pob qij txha hauv peb nraub qaum hu ua '(Lumbar Facet Joints)'. Qhov tseeb, kwv yees li 45% ntawm cov neeg mob uas mob nraub qaum muaj teeb meem cuam tshuam nrog cov pob qij txha no. Yog li ntawd, yog tias koj kuj muaj mob nraub qaum lossis nyuaj rau khoov thiab ntswj koj nraub qaum, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog kev kho mob no hu ua '(Lumbar Facet Joint Injection)'.
Cov pob qij txha ntawm lub duav no yog dab tsi?
Hais yooj yim xwb, 'Lumbar Facet Joints' yog cov pob qij txha me me hauv peb lub nraub qaum qis, tom qab cov pob txha caj qaum (qaum). Cov no kuj hu ua '(Zygapophysial joints)'.
Xav txog koj lub hauv caug. Ib yam li cov pob qij txha hauv caug cia peb khoov thiab ncab peb ceg, cov 'facet joints' no cia peb khoov mus tom ntej, tig mus rau sab, thiab ua kom peb tus txha nqaj qaum ncaj. Muaj cov kua roj nplua nyeem hauv cov pob qij txha no. Qhov no pab cov pob qij txha no txav mus los zoo yam tsis muaj kev sib txhuam.
Txawm li cas los xij, thaum cov pob qij txha no puas lawm, uas yog, thaum muaj mob pob qij txha xws li "Facet Arthropathy" tshwm sim, mob nraub qaum uas tsis tuaj yeem ua tau.
Yog li no, qhov kev txhaj tshuaj Lumbar Facet Joint no yog dab tsi?
Qhov no kuj hu ua Lumbar Facet Joint Block. Qhov no suav nrog kev txhaj tshuaj loog rau hauv lossis ze ntawm qhov pob qij txha caj qaum uas mob. Qee zaum kuj ntxiv cov tshuaj steroid rau qhov no kom txo qhov mob thiab o. Nyob ntawm koj tus mob thiab tus naj npawb ntawm cov pob qij txha uas raug cuam tshuam, koj yuav tsum tau txhaj ib lossis ntau dua.
Qhov no yog ib txoj kev kho mob ib txwm uas cov kws kho mob feem ntau siv rau kev kho mob mob nraub qaum. Nws zoo heev rau qhov mob uas tshwm sim los ntawm tus kab mob degenerative disc thiab qee yam ua rau mob nraub qaum qis (mechanical lower back pain).
Kev kho mob no yog ua los ntawm cov kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg mob uas tau kawm tshwj xeeb uas tau txais kev cob qhia tshwj xeeb hauv kev tswj qhov mob , kev kho mob pob txha caj qaum, lossis kev kho lub cev thiab kev kho kom rov zoo.
Puas muaj tej yam tshwm sim ntawm kev kho mob no?
Ib yam li kev kho mob, muaj qee qhov kev pheej hmoo thiab cov kev mob tshwm sim. Tab sis cov noNws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov no yog cov xwm txheej tsis tshua muaj. Koj tus kws kho mob yuav qhia koj txog qhov no kom meej.
| Cov teebmeem sab nraud | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev ua xua | Kev ua xua rau cov tshuaj siv. |
| Kev kis kab mob | Cov kab mob nkag mus rau hauv qhov chaw txhaj tshuaj. (Tsis tshua muaj) |
| Los ntshav | Nws tuaj yeem tshwm sim tshwj xeeb rau cov neeg noj tshuaj uas ua rau cov ntshav nyias . |
| Kev raug mob ntawm cov hlab ntsha | Nws tshwm sim tau tsawg heev. |
| Kev mob ntxiv ib ntus | Qhov mob yuav nce me ntsis rau ob peb hnub tom qab txhaj tshuaj. |
| Lwm yam (tsis tshua muaj) | Cov ntshav qab zib ntau, lub ntsej muag liab ib ntus, cov pob txha tsis loj hlob, thiab mob pob qij txha hnyav ntawm lub duav (avascular necrosis) tuaj yeem tshwm sim. |
Koj npaj li cas rau kev txhaj tshuaj?
Muaj ob peb kauj ruam uas koj yuav tsum ua raws li ua ntej, thaum lub sijhawm, thiab tom qab kev kho mob no.
Cov neeg uas yuav tsum tsis txhob txhaj tshuaj no
Kev kho mob no tsis haum rau qee tus neeg mob. Yog tias koj poob rau hauv ib qho ntawm cov pawg no, koj yuav tsum qhia rau koj tus kws kho mob .
- Cov neeg uas ua xua rau cov tshuaj siv (tshuaj mob taub hau, tshuaj steroids, tshuaj sib piv).
- Cov neeg uas muaj kab mob hauv lawv lub cev.
- Cov poj niam cev xeeb tub .
- Cov neeg uas muaj teeb meem ntshav siab.
- Cov neeg uas muaj mob qog nqaij hlav lossis muaj kab mob.
- Cov neeg uas muaj tus kab mob ntshav qab zib uas tsis tswj tau lossis lub plawv tsis ua haujlwm .
Tej yam yuav tsum ua ua ntej thiab thaum lub sij hawm kho mob
Koj tus kws kho mob yuav tshuaj xyuas koj cov keeb kwm mob tag nrho, piav qhia txog qhov zoo thiab qhov tsis zoo ntawm kev kho mob no, thiab teb koj cov lus nug. Yog tias koj noj cov tshuaj thinning ntshav , koj yuav raug qhia kom nug koj tus kws kho mob yog tias koj xav tau tsum tsis txhob noj lawv thiab yuav ua li cas.
Thaum hnub kho mob, nco ntsoov ua cov hauv qab no:
- Da dej zoo, siv xab npum, thiab ntxuav koj tus kheej.
- Tsis txhob muab tshuaj pleev lossis tshuaj pleev rau ntawm qhov chaw txhaj tshuaj.
- Hnav khaub ncaws xis nyob, me ntsis xoob, thiab muaj xim tsaus.
- Tuaj txog ntawm tsev kho mob lossis chaw kho mob li 30 feeb ua ntej koj txoj kev kho mob.
- Thov coj ib tug neeg tuaj coj koj mus tsev. Tsis zoo rau koj tsav tsheb tom qab kho mob tas.
- Nqa ib daim ntawv teev cov tshuaj uas koj noj thiab txhua yam kev ua xua uas koj muaj.
- Yog koj muaj koj cov ntaub ntawv X-ray lossis MRI tshiab kawg, coj lawv tuaj thiab.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Tag nrho cov txheej txheem yuav siv sijhawm li ntawm 10 txog 30 feeb. Feem ntau, koj yuav tsis raug muab tso pw tsaug zog tag nrho, yog li koj yuav tseem nco qab.
1. Ua ntej, koj yuav tau ib lub tsho hauv tsev kho mob rau koj hnav. Koj kuj yuav tsum tau kos npe rau daim ntawv tso cai.
2. Ib tug nais maum yuav coj koj mus rau chav kho mob thiab hais kom koj pw ntsej muag rau ntawm lub txaj. Yuav muaj ib lub ntsuas ntshav siab txuas rau ntawm koj txhais caj npab thiab yuav muaj ib lub ntsuas lub plawv dhia txuas rau ntawm koj tus ntiv tes.
3. Tus kws kho mob siv lub tshuab X-ray los nrhiav qhov pob qij txha uas tsim nyog los txhaj tshuaj.
4. Tom qab ntawd, daim tawv nqaij ntawm thaj chaw ntawd yuav raug ntxuav nrog cov tshuaj tua kab mob thiab txhaj me ntsis tshuaj loog. Tej zaum koj yuav hnov qhov kub hnyiab me ntsis thaum lub sijhawm no.
5. Tom qab ntawd, muab rab koob tseem ceeb tso rau hauv, txhaj tshuaj tiv thaiv qhov muag, txheeb xyuas qhov pob qij txha kom meej, thiab txhaj tshuaj steroid thiab tshuaj tua kab mob sib xyaw. Tej zaum koj yuav hnov me ntsis nias koj nraub qaum lub sijhawm no.
6. Thaum ua tiav txoj haujlwm, rab koob raug tshem tawm, thaj chaw raug ntxuav, thiab siv ib daim plaster me me.
7. Tom qab ntawd lawv yuav coj koj mus rau ib chav sib cais kom koj soj ntsuam li ntawm 15-45 feeb.
Tom qab kev kho mob
Yog koj muaj txoj kab IV, nws yuav raug tshem tawm. Tus kws tu mob yuav kuaj koj cov ntshav siab thiab muab cov lus qhia rau koj txog yam yuav tsum ua thiab yam tsis txhob ua thaum koj mus tsev. Lawv kuj tseem yuav qhia koj thaum twg yuav tsum tshem daim ntaub qhwv, daim ntawv teev mob kom sau koj qhov mob, thiab thaum twg yuav tsum mus ntsib koj tus kws kho mob dua.
Tseem ceeb heev: Yog tias koj muaj kev ua pa luv luv tam sim ntawd, tsaus muag, cov tsos mob ua xua (khaus, pob khaus), mob taub hau hnyav, mob ntxiv, lossis tsis tuaj yeem tso zis tom qab kho mob, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau lub tsev kho mob ze tshaj plaws Chav Kho Mob Thaum Muaj Xwm Ceev (ETU).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Txhaj Tshuaj Rau Pob Qij Txha Lumbar Facet yog ib qho kev kho mob zoo thiab siv dav rau kev mob ntev uas tshwm sim los ntawm kev herniation ntawm cov pob qij txha caj qaum.
- Txawm hais tias qhov no feem ntau yog kev kho mob muaj kev nyab xeeb, zoo li txhua txoj kev kho mob, muaj kev pheej hmoo me me thiab cov kev mob tshwm sim uas tuaj yeem tshwm sim.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia ua tib zoo ua ntej kho mob. Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj thiab txhua yam mob uas koj muaj.
- Yog koj muaj tej yam tsos mob txawv txawv tom qab kho tas, nrhiav kev pab kho mob tam sim ntawd. Tsis txhob ntshai thiab tsis quav ntsej.
- Tus kws kho mob uas kuaj koj yuav txiav txim siab seb qhov kev kho mob no puas yog rau koj. Yog li ntawd, yog tias koj mob nraub qaum, mus ntsib kws kho mob tshwj xeeb thiab tau txais cov lus qhia kom raug.
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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