Koj puas muaj tej lub sij hawm koj xav tias koj txhais tes thiab ob txhais ceg tsis muaj zog lossis tsis muaj sia nyob nrog rau mob caj dab lossis mob nraub qaum? Koj puas muaj tej lub sij hawm koj xav tias koj tsis muaj zog thaum taug kev, lossis muaj teeb meem ua tej hauj lwm yooj yim xws li khawm lub tsho? Yog tias koj muaj cov tsos mob no, qhov ua rau muaj tej zaum yuav loj dua li koj xav. Hnub no peb tab tom tham txog ib yam mob hu ua ' myelopathy ' uas ua rau muaj cov tsos mob no.
Myelopathy yog dab tsi?
Hais yooj yim xwb, myelopathy yog ib yam mob uas tshwm sim thaum peb cov hlab ntsha caj qaum raug nias . Xav txog nws, cov hlab ntsha caj qaum yog ib txoj hlab ntsha tseem ceeb heev uas khiav ntawm peb lub hlwb mus rau hauv peb lub qaum. Nws zoo li lub 'cable' tseem ceeb ntawm peb lub cev. Cov lus los ntawm lub hlwb raug nqa mus rau tag nrho lub cev, suav nrog cov ceg, thiab lub cev qhov kev xav raug nqa rov qab mus rau lub hlwb los ntawm cov hlab ntsha caj qaum no. Txhawm rau tiv thaiv 'cable' muaj nqis no, muaj ib daim npog ua los ntawm cov pob txha, cov pob txha mos, thiab cov nqaij nyob ib puag ncig nws, hu ua spinal canal .
Thaum, vim li cas los xij, qhov chaw hauv tus txha caj qaum no nqaim thiab tus txha caj qaum pib nias, kev sib txuas lus ntawm cov lus raug cuam tshuam. Qhov ntawd yog qhov peb hu ua myelopathy.
Muaj ntau tus neeg tsis nkag siab ob yam mob myelopathy thiab myopathy . Tab sis ob yam no txawv kiag li. Myelopathy yog ib yam mob uas cuam tshuam rau cov hlab ntsha hauv cov hlab ntsha hauv tus txha caj qaum . Myopathy yog ib yam mob uas cuam tshuam rau cov leeg nqaij .
Myelopathy muab faib ua ntau hom tseem ceeb nyob ntawm seb qhov twg hauv tus txha caj qaum nws raug cuam tshuam.
| Hom mob myelopathy | Thaj chaw cuam tshuam |
|---|---|
| Kab mob Cervical Myelopathy | Cuam tshuam rau cov hlab ntsha hauv cheeb tsam caj dab. (Qhov no yog hom mob uas feem ntau tshwm sim.) |
| Mob Myelopathy hauv lub qhov ntswg | Ntawm theem thoracic, txhais tau tias cov hlab ntsha hauv nruab nrab thiab sab nraub qaum raug cuam tshuam. |
| Mob Myelopathy ntawm lub duav | Cuam tshuam rau sab qis ntawm tus txha nqaj qaum. Qhov no yog ib qho mob tsis tshua muaj vim tias cov hlab ntsha hauv tus txha nqaj qaum feem ntau tsis khiav qis li no. |
Dab tsi yog cov ua rau muaj mob myelopathy?
Muaj ntau yam ua rau cov hlab ntsha hauv lub cev raug nias. Ob qho ntawm cov laj thawj tseem ceeb yog cov mob hu ua mob pob qij txha thiab mob pob txha caj qaum . Cov no yog tshwm sim los ntawm kev hnav thiab rhuav ntawm peb cov hlab ntsha, lossis cov pob txha caj qaum, thaum peb laus zuj zus. Qhov kev hnav thiab rhuav no tuaj yeem hloov pauv cov duab ntawm cov pob txha thiab ua rau cov hlab ntsha hauv lub cev nqaim. Cov mob uas tshwm sim tshwj xeeb tshaj yog hauv caj dab hu ua Cervical Spondylotic Myelopathy .
Tsis tas li ntawd xwb, muaj lwm yam laj thawj:
- Pob txha ntswj: Ib daim pob txha me me tuaj yeem tawm ntawm ib lub pob txha caj qaum thiab nias rau ntawm cov hlab ntsha uas ceg tawm ntawm nws.
- Kev Raug Mob: Mob myelopathy tuaj yeem tshwm sim sai sai vim yog raug mob rau tus txha nqaj qaum, xws li ntog lossis raug mob tsheb. Peb hu qhov no ua mob myelopathy .
- Lwm yam mob: Cov kab mob neurodegenerative xws li mob rheumatoid arthritis , mob qog ntawm tus txha nqaj qaum, lossis mob Parkinson kuj tuaj yeem ua rau myelopathy maj mam loj hlob zuj zus. Qhov no hu ua mob myelopathy ntev .
Cov tsos mob ntawm tus kab mob myelopathy yog dab tsi?
Cov tsos mob ntawm tus kab mob myelopathy maj mam tshwm sim. Txawm hais tias lawv yuav tsis hnyav heev thaum xub thawj, lawv tuaj yeem nce ntxiv mus raws sijhawm. Cov tsos mob tseem ceeb uas koj yuav pom yog:
- Mob caj dab, nraub qaum, caj npab, lossis ceg.
- Xav tias loog, kub hnyiab, lossis tsis hnov dab tsi hauv ob txhais ceg.
- Tsis muaj zog thaum taug kev, zoo li koj co.
- Nyuaj siab tswj kev txav ntawm lub cev.
- Nyuaj ua tej haujlwm me me xws li sau ntawv, khawm lub tsho, lossis khi hlua khau.
- Kev xav tias tsis muaj zog thiab tsis muaj zog ntawm caj npab thiab ceg.
- Thaum tus kab mob zuj zus tuaj, koj yuav muaj kev tso zis thiab quav tsis tu ncua .
Yog koj muaj cov tsos mob no, tsis txhob tsis quav ntsej lawv . Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.
Koj yuav kuaj mob myelopathy li cas kom raug?
Thaum koj mus ntsib koj tus kws kho mob, thawj qhov uas nws yuav ua yog mloog koj cov tsos mob thiab kuaj koj lub cev. Tom qab ntawd, lawv yuav pom zoo kom kuaj ntau zaus kom paub tseeb tias koj muaj mob thiab tshem tawm lwm yam mob.
| Kev kuaj mob | Yuav tsum xav li cas los ntawm nws? |
|---|---|
| Kev kuaj mob X-ray | Tshawb xyuas seb puas muaj lwm yam teeb meem xws li pob txha tawg lossis pob txha tawg hauv tus txha nraub qaum. |
| Kev Siv Tshuab Xam MRI (Magnetic Resonance Imaging) | Qhov no yog qhov kev sim zoo tshaj plaws. Koj tuaj yeem pom txhua yam meej meej, suav nrog cov hlab ntsha hauv lub hlwb, cov hlab ntsha, thiab cov discs ntawm cov pob txha caj qaum. Koj tuaj yeem nrhiav tau qhov chaw uas cov hlab ntsha hauv lub hlwb nyob thiab nws raug nias npaum li cas. |
| Kev kuaj mob Myelography | Qhov kev kuaj no yog ua rau cov neeg uas tsis tuaj yeem siv lub tshuab MRI (piv txwv li, cov neeg uas muaj lub tshuab pacemakers). Ib qho kua tshwj xeeb (dye) raug txhaj rau hauv tus txha nqaj qaum thiab siv cov duab X-rays (fluoroscopy) los txheeb xyuas cov cheeb tsam uas muaj teeb meem hauv tus txha nqaj qaum. |
| Kev Ntsuas Hluav Taws Xob | Cov kev kuaj xws li electromyogram (EMG) xyuas seb cov hlab ntsha ua haujlwm li cas thiab cov leeg teb li cas rau lawv. |
Cov kev kho mob rau myelopathy yog dab tsi?
Kev kho mob nyob ntawm seb koj muaj hom mob myelopathy li cas, nws ua rau mob li cas, thiab qhov hnyav ntawm koj cov tsos mob.
Kev Kho Mob Tsis Yog Phais Mob
Thaum pib mob lossis yog tias cov tsos mob tsis hnyav dhau, koj tus kws kho mob yuav pom zoo kom kho mob uas tsis yog phais.
- Kev Kho Mob Lub Cev: Cov kev tawm dag zog no pab txhawb cov leeg ntawm nraub qaum thiab caj dab thiab txo qhov siab rau ntawm cov hlab ntsha caj dab.
- Kev siv caj dab: Qhov no pab txwv kev txav caj dab, txo qhov mob, thiab tiv thaiv kom tus mob tsis txhob hnyav zuj zus.
- Tshuaj: Cov tshuaj loog mob xws li NSAIDs (Cov tshuaj uas tsis yog steroidal anti-inflammatory) raug muab rau kom txo qhov mob thiab o. Qee zaum, yog tias qhov mob hnyav heev, cov tshuaj steroid raug txhaj ncaj qha rau thaj chaw mob.
Kev Kho Mob Phais
Yog tias cov tsos mob hnyav heev, tshwj xeeb tshaj yog tias tsis muaj peev xwm tswj tau lub zais zis lossis txoj hnyuv, lossis yog tias yuav tsum tau muab ib yam dab tsi zoo li qog lossis pob txha tawm, kev phais yog qhov kev daws teeb meem zoo tshaj plaws. Kev phais tuaj yeem txo qhov siab ntawm cov hlab ntsha hauv lub paj hlwb thiab muab kev pab mus tas li.
| Lub npe ntawm qhov phais | Qhov tshwm sim tsuas yog |
|---|---|
| Kev phais tshem cov leeg nqaij | Ib feem ntawm cov pob txha vertebral (lamina) uas ua rau cov hlab ntsha ntawm tus txha caj qaum raug nias raug tshem tawm, ua rau cov hlab ntsha ntawm tus txha caj qaum nyob ywj pheej. |
| Kev phais mob Laminoplasty | Tsis tshem tawm tag nrho cov pob txha, ib lub pob khawm raug ua rau ntawm ib sab, tsim kom muaj qhov chaw zoo li qhib lub qhov rooj. Qhov no tsuas yog ua rau cov pob txha caj dab xwb. |
| Kev Sib Txuas Ntawm Pob Txha | Ob lossis ntau dua cov pob txha caj qaum raug khi ua ke, ua kom cov pob txha caj qaum ruaj khov. Qhov no txo qhov mob tau zoo heev. |
Kev rov zoo tom qab kev kho mob
Qhov tseem ceeb tshaj plaws hauv kev mob myelopathy yog kom paub txog tus kab mob thaum ntxov thiab pib kho . Vim tias yog tias cov hlab ntsha ntawm tus txha caj qaum raug nias hnyav heev, kev puas tsuaj rau cov hlab ntsha tuaj yeem tshwm sim.Nws tuaj yeem tshwm sim. Yog li ntawd, muaj qhov ua tau tias txawm tias qhov kev txav ntawm cov ceg yuav ploj mus tas li. Yog li ntawd, yog tias koj muaj cov tsos mob uas tau hais hauv tsab xov xwm no, tsis txhob ntshai, thiab mus ntsib kws kho mob kom paub txog nws. Yog tias kho sai sai, koj lub neej zoo tuaj yeem tswj tau zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Myelopathy tsis yog teeb meem ntawm cov leeg nqaij, tab sis yog teeb meem ntawm cov hlab ntsha uas tshwm sim los ntawm kev nias ntawm cov hlab ntsha ntawm tus txha caj qaum.
- Tsis txhob tsis quav ntsej cov tsos mob xws li mob caj dab lossis mob nraub qaum nrog rau kev loog, qaug zog, nyuaj taug kev, lossis nyuaj ua cov haujlwm me me.
- Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, mus ntsib kws kho mob sai li sai tau kom tau txais lus qhia.
- Kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem tiv thaiv kev puas tsuaj rau cov hlab ntsha mus tas li.
- Nyob ntawm seb qhov ua rau mob thiab qhov hnyav npaum li cas, muaj cov kev kho mob zoo xws li kev tawm dag zog thiab tshuaj mus rau kev phais.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
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