2024 Tus sau: Kevin Dyson | [email protected]. Kawg hloov kho: 2023-12-16 23:34
Muaj ntau yam ua rau mob nraub qaum nrog rau kev sib tsoo, mob, thiab raug mob. Ob hom kev raug mob nraub qaum yog spondylolisthesis thiab ncauj tsev menyuam radiculopathy. Ob leeg muaj lawv tus kheej cov tsos mob, ua rau, thiab kev kho mob.
Tus txha nraub qaum, lossis pob txha caj qaum, yog ua los ntawm ib kem ntawm 33 pob txha thiab cov ntaub so ntswg nthuav tawm ntawm pob txha taub hau mus rau lub plab mog. Cov pob txha, los yog vertebrae, kaw thiab tiv thaiv ib lub tog raj kheej ntawm cov paj hlwb hu ua tus txha caj qaum. Nyob nruab nrab ntawm txhua tus ntawm cov vertebrae yog ib qho intervertebral disk, los yog band pob txha mos ua ib qho kev poob siab ntawm cov vertebrae. Hom vertebrae yog:
- Cervical vertebrae: xya vertebrae ua rau sab qaum ntawm qaum
- Thoracic vertebrae: 12 pob txha ntawm caj dab thiab sab nraub qaum
- Lumbar vertebrae: tsib lub vertebrae loj tshaj plaws thiab muaj zog tshaj plaws nyob rau sab nraub qaum ntawm lub hauv siab thiab lub duav
- The sacrum thiab coccyx yog cov pob txha ntawm lub hauv paus ntawm tus txha nraub qaum. Lub sacrum yog tsim los ntawm tsib vertebrae fused ua ke, thaum lub coccyx (tailbone) yog tsim los ntawm plaub fused vertebrae.
Dab tsi ua rau Mob Rov Qab?
Qhov ua rau mob nraub qaum tuaj yeem nyuaj. Qee qhov ua rau mob nraub qaum suav nrog kev sib tsoo, mob leeg, thiab kev raug mob kis las.
Mob Rov Qab Mob Li Cas?
Ntxiv rau qhov ua tiav keeb kwm thiab kuaj lub cev rau koj qhov mob nraub qaum, koj tus kws kho mob tuaj yeem hais qhia ib qho ntawm cov kev tshawb fawb hauv qab no:
- X-rays, uas tuaj yeem siv los muab cov ncauj lus nthuav dav ntawm cov pob txha pob txha hauv tus txha nraub qaum thiab xyuas qhov tsis ruaj khov (xws li spondylolisthesis, saib hauv qab), qog, thiab fractures
- CT scans, uas tuaj yeem txheeb xyuas cov xwm txheej tshwj xeeb, xws li herniated disc lossis spinal stenosis
- MRI scans, uas tuaj yeem muab cov ntsiab lus hais txog lub nraub qaum discs thiab cov paj hlwb. MRI scans feem ntau yog siv rau kev npaj ua ntej kev phais
Ib tug xov tooj ntawm lwm cov duab thiab cov kev tshawb fawb hluav taws xob kuj tseem siv tau los txheeb xyuas cov teeb meem rov qab, thiab qee qhov kev txhaj tshuaj yog siv rau kev kuaj mob thiab kho qhov mob.
Type of Back Injury
Ob hom kev raug mob nraub qaum suav nrog:
- Spondylolisthesis: Qhov no yog kev swb ntawm vertebra uas tshwm sim, feem ntau, ntawm lub hauv paus ntawm tus txha nraub qaum. Spondylolysis, uas yog qhov tsis xws luag lossis pob txha ntawm ib lossis ob qho tib si tis-puab qhov chaw ntawm lub vertebra, ua rau lub vertebral slipping rov qab, rau pem hauv ntej, los yog tshaj ib pob txha hauv qab no.
- Cervical Radiculopathy: Cervical radiculopathy yog kev puas tsuaj lossis cuam tshuam ntawm cov hlab ntsha ua haujlwm uas tshwm sim yog tias ib qho ntawm cov hlab ntsha nyob ze ntawm lub ncauj tsev menyuam vertebrae yog compressed. Kev puas tsuaj rau cov hauv paus hniav hauv lub ncauj tsev menyuam tuaj yeem ua rau mob, tsis muaj zog, thiab tsis hnov tsw ntawm caj dab, caj npab, lossis lub xub pwg nyom, nyob ntawm seb cov hauv paus hniav puas nyob.
Causes of Spondylolisthesis
Muaj ntau yam ua rau Spondylolisthesis. Lub vertebra tej zaum yuav muaj teeb meem txij li lub sij hawm ib tug neeg yug los, los yog ib tug vertebra tej zaum yuav tawg los ntawm kev raug mob los yog kev nyuaj siab puas. Tsis tas li ntawd, vertebrae tuaj yeem tawg los ntawm kev kis kab mob lossis kab mob.
Symptoms of Spondylolisthesis
Cov tsos mob ntawm Spondylolisthesis tuaj yeem suav nrog:
- mob nraub qaum
- Cov leeg nruj thiab tawv
- pab pob tw
- Mob radiating down ob txhais ceg (vim siab ntawm cov paj hlwb)
- Cov leeg tsis muaj zog
Spondylolisthesis Treatments
Spondylolisthesis yog kho nrog kev ntxiv dag zog ntawm kev txhawb nqa plab thiab nraub qaum los ntawm kev kho lub cev. Acetaminophen lossis nonsteroidal tshuaj tiv thaiv kab mob, xws li ketoprofen (Frotek), ibuprofen (Motrin, Advil), thiab naproxen (Aleve, Naprosyn) yuav pab tau qhov mob. Kev txhaj tshuaj Epidural steroid kuj tseem siv tau. Rau cov neeg mob uas tseem mob hnyav thiab xiam oob qhab txawm tias cov kev kho mob no, muaj cov kev xaiv xws li decompressive laminectomy, ib txoj hauv kev uas tus txha caj qaum tau nthuav dav (kom muab ntau chav rau cov hlab ntsha thiab cov leeg txha caj qaum yog ua kom stabilize tus txha caj qaum)., nrog los yog tsis muaj kev phais fusion (arthrodesis) ntawm lub vertebra, los yog siv ib tug implanted ntaus ntawv kom stabilize lub vertebrae nyob rau hauv qis rov qab thaum tso cai ntau zog mus.
Ua rau Cervical Radiculopathy
Nyob rau hauv ncauj tsev menyuam radiculopathy, kev puas tsuaj tuaj yeem tshwm sim los ntawm cov khoom siv los ntawm cov kab mob ruptured, degenerative hloov ntawm cov pob txha, mob caj dab, los yog lwm yam kev raug mob uas ua rau lub siab ntawm lub paj hlwb. Hauv cov neeg laus, cov kev hloov pauv tsis zoo hauv cov discs tuaj yeem ua rau lub siab ntawm cov paj hlwb. Hauv cov neeg hluas, lub ncauj tsev menyuam radiculopathy feem ntau yog tshwm sim los ntawm ib qho ruptured disc. Cov khoom siv disc no ces compresses cov hlab ntsha hauv paus, ua rau mob.
Symptoms of Cervical Radiculopathy
Cov tsos mob tseem ceeb ntawm lub ncauj tsev menyuam radiculopathy yog qhov mob uas kis mus rau hauv caj npab, caj dab, hauv siab, thiab / lossis lub xub pwg. Ib tus neeg uas muaj radiculopathy tuaj yeem ua rau cov leeg tsis muaj zog thiab / lossis loog lossis tingling ntawm ntiv tes lossis tes. Lwm cov tsos mob muaj xws li tsis muaj kev sib koom tes, tshwj xeeb tshaj yog nyob rau hauv tes.
Cervical Radiculopathy Kev Kho Mob
Cervical radiculopathy tuaj yeem kho nrog kev sib xyaw ntawm cov tshuaj kho mob xws li acetaminophen (Tylenol), lossis tshuaj kho mob uas tsis yog tshuaj xws li ibuprofen (Advil, Motrin), ketoprofen (Frotek), naproxen (Aleve, Naprosyn), thiab lub cev. kev kho mob. Cov tshuaj steroids yuav raug muab tshuaj los ntawm qhov ncauj lossis txhaj tshuaj epidurally (rau hauv qhov chaw epidural uas nyob ib puag ncig tus txha caj qaum).
Kev kho lub cev yuav suav nrog kev sib tw ntawm ncauj tsev menyuam thiab kev txav mus los, kev tawm dag zog, thiab lwm yam kev kho kom txo tau qhov mob.
Yog tias muaj kev cuam tshuam loj ntawm cov paj hlwb rau qhov ua rau lub cev tsis muaj zog, kev phais yuav tsim nyog los txo qhov siab.
Pom zoo:
Mob nraub qaum: Kev kho mob hauv tsev - Kev tawm dag zog, tshuaj OTC, thiab ntau dua
Mob nraub qaum yog ib qho teeb meem uas koj ntsib thaum koj muaj hnub nyoog. Kwv yees li 80% ntawm cov neeg laus muaj nws nyob rau qee lub sijhawm. Thiab ntau dua 25% ntawm cov neeg laus hais tias lawv tau muaj nyob rau hauv 3 lub hlis dhau los.
Lwm Txoj Kev Kho Mob rau Kev Tswj Kev Mob: Kev Kho Mob Lub Siab, Kev Txhaum Cai, thiab Ntau Ntxiv
Lo lus "lwm txoj kev kho mob" feem ntau yog siv los piav qhia txog kev kho mob lossis kev cuam tshuam uas siv los ntawm cov tshuaj ib txwm siv. Thaum lwm txoj kev kho mob tau siv ua ke nrog cov tshuaj ib txwm siv, nws hu ua cov tshuaj ntxiv.
Hluav taws xob qaum qaum paj hlwb stimulation rau mob nraub qaum
Thaum lwm qhov kev kho mob ua tsis tiav, kev txhawb nqa tus txha caj qaum yuav yog ib qho kev xaiv Spinal cord stimulation is a process that delivers low-level electronic signals to the spinal cord los yog cov hlab ntsha tshwj xeeb los thaiv qhov mob ntawm lub paj hlwb.
Mob nraub qaum thiab koj qaum
Feem ntau, mob nraub qaum yog tshwm sim los ntawm cov leeg nraub qaum. Tab sis qee zaum, teeb meem nrog koj tus txha nraub qaum tuaj yeem ua rau mob hauv koj sab nraub qaum. Piv txwv ntawm no suav nrog: bulging lossis ruptured disks. Koj tus txha nraub qaum muaj rubbery disks uas cushion cov pob txha hauv koj qaum (koj vertebrae).
Dab tsi ua rau tus kab mob Trapezius? Dab tsi ua rau mob hauv koj lub nraub qaum thiab yuav kho li cas
Cov leeg Trapezius yog cov leeg loj, ua ke, cov leeg nqaij daim duab peb sab hauv qab ntawm koj lub caj dab thiab sab nraub qaum. Lawv nthuav koj nraub qaum, tab sis lawv feem ntau koom nrog kev txav ntawm lub xub pwg nyom. Vim li no, lawv raug suav hais tias yog cov leeg ntawm caj npab es tsis yog nraub qaum.