Compression kev txhuam ntawm nraub qaum

Compression kev sib txhuam ntawm sab nraub qaum yog tawg vertebrae. Vertebrae yog cov pob txha nqaj qaum.

Txha caj dab yog qhov feem ntau ua rau ntawm qhov kev ua pob txha lov. Txha caj qaum yog ib yam kab mob uas ua rau cov pob txha tsis khov. Feem ntau, pob txha plam calcium thiab lwm yam minerals nrog nrog lub hnub nyoog. Lwm qhov ua rau:

• Kev poob plig rau sab nraub qaum
• Cov hlav uas tau pib mob hauv pob txha lossis kis mus rau pob txha los ntawm lwm qhov
• Mob qog nqaij uas pib txha nraub qaum, xws li mob myeloma ntau

Muaj ntau tus pob txha caj qaum yuav ua rau mob kyphosis. Qhov no yog qhov hump-zoo li curvature ntawm nqaj qaum.

Compression pob txha lov tuaj yeem tshwm sim sai. Qhov no tuaj yeem ua rau mob nraub qaum heev.

• Qhov mob feem ntau hnov ​​tau hauv nruab nrab lossis qaum qaum. Nws tseem tuaj yeem hnov ​​tau rau ntawm ob sab lossis pem hauv ntej ntawm sab qaum.
• Qhov mob tsis meej thiab "riam zoo li." Mob yuav ua tsis taus tseg, thiab siv sijhawm ntau lub hlis mus rau ntau hli kom ploj mus.

Compression fractures vim osteoporosis yuav ua rau tsis muaj cov tsos mob thaum xub thawj. Feem ntau, lawv nrhiav tau thaum xoo ntawm tus txha nraub qaum yog ua rau lwm qhov laj thawj. Sij hawm dhau sijhawm, cov tsos mob hauv qab no yuav tshwm sim:

• Mob nraub qaum uas pib maj mam, thiab mob heev nrog kev taug kev, tab sis tsis hnov ​​thaum so
• Poob qhov siab, ntau npaum li 6 ntiv (15 centimeters) dhau sijhawm
• Stooped-dhau hwj tau lub cev, los yog kyphosis, tseem hu ua dowager's hump

Kev mob siab rau txha caj qaum los ntawm hunched dhau lub cev tau, muaj qee zaum, ua rau:

• Looj
• Ntxim
• Neeg tsis muaj zog
• Kev taug kev nyuaj
• Plam ntawm kev tswj ntawm lub plab lossis lub zais zis

Koj tus kws kho mob yuav kuaj mob lub cev. Qhov no yuav qhia:

• Lub humpback, los yog kyphosis
• Kev sib sib zog tshaj qhov cuam tshuam los ntawm tus pob txha pob txha los yog pob txha

Tus xoo hluav taws xob xoo nraub qaum yuav pom tsawg kawg 1 txhav lub nraub qaum uas luv dua li lwm tus pob txha nraub qaum.

Lwm yam kev ntsuam xyuas uas yuav ua tau:

• Kev ntsuam xyuas pob txha ceev kom ntsuam xyuas rau txha
• Kev thaij duab CT lossis MRI, yog tias muaj kev txhawj xeeb tias qhov pob txha loj yog los ntawm qog ntshav lossis mob hnyav (xws li lub caij nplooj zeeg lossis tsheb sib tsoo)

Feem ntau cov pob txha nyem no yog pom nyob hauv cov neeg laus dua qub. Cov pob txha lov no feem ntau tsis ua rau raug mob hlwb txha caj qaum. Tus mob feem ntau yog kho nrog tshuaj noj thiab pab ntxiv calcium kom tiv thaiv pob txha lov ntxiv.

Yuav kho qhov mob nrog:

• Tshuaj kho mob
• Txaj chaw so

Lwm yam kev kho mob suav nrog:

• Kev zawm hniav rov qab, tab sis cov no yuav ntxiv pob txha tsis muaj zog thiab muaj kev pheej hmoo rau ntau pob txha lov
• Kev tawm dag zog lub cev txhawm rau txhim kho qhov txav thiab lub zog ntawm nqaj qaum
• Ib yam tshuaj hu ua calcitonin los pab ua kom mob pob txha

Kev phais mob tuaj yeem ua yog tias koj muaj mob hnyav thiab xiam oob qhab rau ntau dua 2 hlis uas tsis zoo dua nrog lwm cov kev kho mob. Kev phais mob tuaj yeem suav nrog:

• Zais pa kyphoplasty
• Vertebroplasty
• Cov pob txha caj qaum

Lwm yam kev phais mob ntxiv yuav ua kom tshem tawm cov pob txha yog tias qhov mob puas vim yog lub qog.

Tom qab phais koj yuav xav tau:

• Kev zawm hniav rau 6 txog 10 asthiv yog tias nws pob txha tawg vim raug mob.
• Muaj kev phais ntau ntxiv los koom nrog cov pob txha txha caj qaum ua ke los yog daws lub siab ntawm txoj hlab ntshav.

Cov pob txha nyem feem ntau vim yog raug mob zoo nyob rau hauv 8 txog 10 lub lis piam nrog so, hnav ntawm ib qhov saws tes, thiab cov tshuaj tua mob. Txawm li cas los xij, kev rov qab tuaj yeem siv sijhawm ntev dua yog tias kev phais mob tiav.

Kev poob siab vim yog osteoporosis feem ntau ua rau tsis tshua mob nrog rau kev so thiab mob tshuaj mob. Qee qhov pob txha lov, tab sis, tuaj yeem ua rau mob ntev thiab mob tsis taus.

Cov tshuaj kho mob txha caj qaum tuaj yeem pab tiv thaiv kev txhawm rau yav tom ntej. Txawm li cas los xij, cov tshuaj tsis tuaj yeem thim rov qab kev puas tsuaj uas twb tau ua dhau los.

Txog kev nias pob txha lov ua rau mob qog, qhov tshwm sim yog nyob ntawm hom qog ua haujlwm koom nrog. Cov mob uas ua rau cov nqaj qaum muaj xws li:

• Tus mob cancer mis
• Mob ntsws cancer
• Lymphoma
• Prostate mob cancer
• Ntau myeloma
• Hemangioma

Teeb meem yuav suav nrog:

• Ua tsis tiav ntawm cov pob txha fuse tom qab kev phais
• Humpback
• Tus txha nqaj qaum lossis cov hlab ntaws nias

Hu rau koj tus kws khomob yog:

• Koj muaj mob nraub qaum thiab koj xav tias koj yuav muaj qhov ua xua khov khov.
• Koj cov tsos mob mob heev dua, lossis koj muaj teeb meem tswj koj lub zais zis thiab txoj hnyuv.

Ua cov kauj ruam los tiv thaiv thiab kho cov txha txha caj qaum yog qhov kev ua tau zoo tshaj plaws los tiv thaiv kev nrawm lossis tsis txaus. Kev tawm dag zog kom tawm dag zog tsis tu ncua (xws li taug kev) tuaj yeem pab koj kom tsis txhob poob pob txha.

Koj yuav tsum tau soj ntsuam koj cov pob txha ceev mus tsis tu ncua, tshwj xeeb tshaj yog rau cov poj niam uas yog hnub lawm. Koj yuav tsum tau mus kuaj mob ntau dua yog tias koj muaj keeb kwm mob pob txha lossis nyem lov.

Vertebral compression pob txha tawg; Txha caj ces - pob txha lov

• Ntsaws kev tawg

Cosman F, de Beur SJ, LeBoff MS, li al. Tus kws kho mob cov lus qhia rau kev tiv thaiv thiab kho kab mob hauv. Osteoporos IntCov. Xyoo 2014; 25 (10): 2359-2381. PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

Savage JW, Anderson PA. Cov pob txha txha txha txhim kho. Hauv: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Kev Mob Plab Hlaub: Kev Tshawb Fawb, Kev Tswj Xyuas, thiab Rov Rov TshawbCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 35.

Waldman SD. Thoracic pob txha caj qaum pob txha lov. Hauv: Waldman SD, ed. Atlas ntawm Hom Mob SyndromesCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 73.

Williams KD. Kev ua pob txha lov, nti tawm, thiab pob txha tawg-txav ntawm qhov qaum qaum. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed.Philadelphia, PA: Elsevier; 2017: chaaj 41.