Qes rov qab - mob ntev
Qes rov qab yog hais txog mob uas koj hnov ntawm koj sab nraub qaum. Koj tseem yuav rov qab txhav, txav qis ntawm sab nraub qaum, thiab nyuaj sawv ntsug ncaj.
Qaug siab nrawm uas yog mob ncua ntev yog hu ua mob qog qis.
Mob nrob qaum yog ib qho muaj. Yuav luag txhua tus neeg muaj mob rov qab rau qee lub sijhawm hauv lawv lub neej. Feem ntau, qhov tseeb ua rau mob yuav tsis pom.
Ib qho kev tshwm sim tuaj yeem tsis ua koj qhov mob. Tej zaum koj tau ua ntau yam haujlwm, xws li nqa tawm qhov tsis yog, tau ntev. Tom qab ntawd mam li nco dheev, ib qho yooj yim txav, xws li ncav tes rau qee yam lossis khoov ntawm koj lub duav, ua rau mob.
Coob tus neeg uas muaj mob duav yuav mob caj dab. Lossis lawv yuav tau hnav ntxiv thiab tsim kua muag ntawm tus txha nraub qaum, uas yuav yog vim:
- Hnyav siv los ntawm kev ua haujlwm lossis kev ua kis las
- Kev raug mob lossis pob txha lov
- Kev phais mob
Tej zaum koj yuav muaj lub herniated disk, uas yog ib feem ntawm cov pob txha caj qaum tau thawb rau cov hlab ntshav nyob ze. Feem ntau, cov disks muab chaw thiab lub hauv ncoo hauv koj tus txha nqaj qaum. Yog tias cov disks qhuav thiab ua thinner thiab ntau brittle, koj tuaj yeem plam qhov txav ntawm tus txha caj qaum thaum sijhawm.
Yog tias qhov chaw nyob nruab nrab ntawm tus txha caj qaum thiab tus txha nqaj qaum ua qhov nqaim qis, qhov no tuaj yeem ua rau pob txha caj qaum. Cov teeb meem no yog hu ua kab mob sib ntxiv los yog mob nraub qaum.
Lwm qhov ua rau kom mob nrob qaum yog:
- Kev hloov ntawm tus nqaj qaum, xws li scoliosis lossis kyphosis
- Cov teeb meem kev kho mob, xws li mob fibromyalgia lossis mob caj dab
- Piriformis syndrome, qhov mob tsis zoo uas cuam tshuam nrog cov leeg nqaij ntawm lub pob tw hu ua piriformis leeg
Yog koj pheej hmoo yuav mob nrob qaum yog koj:
- Muaj hnub nyoog tshaj 30
- Yog thawj
- Xeeb tub
- Tsis txhob qoj ib ce
- Mloog zoo los nyuaj siab
- Muaj txoj haujlwm nyob rau hauv uas koj yuav tsum ua hnyav nqa, khoov thiab sib ntswg, lossis uas cuam tshuam nrog lub cev kev co, xws li kev tsav tsheb lossis siv cov xuab zeb.
- Haus luam yeeb
Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:
- Npub mob siab
- Ntse mob
- Tingling lossis hlawv lom zem
- Kev tsis muaj zog ntawm koj txhais ceg lossis txhais taw
Kev mob qis qis yuav txawv ntawm ib tus neeg mus rau lwm tus. Qhov mob yuav mob mentsis, lossis nws hnyav heev uas koj txav tsis tau.
Raws li qhov ua rau koj mob nraub qaum, koj kuj yuav hnov mob hauv koj txhais ceg, lub duav, lossis hauv qab taw.
Thaum kuaj lub cev, tus kws saib xyuas kev noj qab haus huv yuav sim qhia txog qhov chaw nyob ntawm qhov mob thiab paub tseeb tias nws cuam tshuam rau koj qhov kev txav mus los.
Lwm yam kev kuaj mob uas koj tau yog nyob ntawm koj li kev mob thiab cov tsos mob.
Kev ntsuam xyuas yuav muaj xws li:
- Kev kuaj ntshav, xws li ua kom tiav cov ntshav suav thiab tus nqi erythrocyte sedimentation
- CT scan ntawm tus txha nraub qaum
- MRI scan ntawm lub nqaj qaum
- Myelogram (xoo hluav taws xob los sis CT scan ntawm tus txha nraub qaum tom qab zas xim tau txhaj rau hauv tus txha caj qaum)
- Kev xoo hluav taws xob
Koj qhov mob nraub qaum yuav tsis ploj mus, lossis nws yuav mob dua lub sijhawm. Kawm paub saib xyuas koj lub nraub qaum hauv tsev thiab yuav ua li cas tiv thaiv kom tsis txhob rov ua mob ntxiv. Qhov no tuaj yeem pab koj txuas ntxiv nrog koj cov kev ua ub ua no.
Koj tus kws khomob yuav qhia cov kev ntsuas los txo koj qhov mob, suav nrog:
- Tus nraub qaum los txhawb koj lub nraub qaum
- Cov pob khoom txias thiab kho cua sov
- Traction
- Kev tawm dag zog lub cev, koom nrog kev ncab thiab ntxiv dag zog
- Kev sab laj rau txoj kev kawm kom nkag siab thiab tswj koj qhov mob
Lwm cov kws saib xyuas kev noj qab haus huv kuj tseem tuaj yeem pab:
- Kws kho zaws
- Qee tus neeg uas ua acupuncture
- Qee tus neeg ua pob txha caj qaum (tus kws kho pob txha, kws kho pob txha pob txha, lossis tus kws kho lub cev)
Yog tias xav tau, koj tus kws kho mob yuav sau ntawv tshuaj los pab koj mob nrob qaum:
- Cov tshuaj aspirin, naproxen (Aleve), lossis ibuprofen (Advil), uas koj tuaj yeem yuav yam tsis tas yuav tshuaj
- Tsawg koob tshuaj ntawm cov tshuaj noj
- Narcotics lossis opioids thaum qhov mob hnyav
Yog tias koj qhov mob tsis zoo ntxiv nrog rau kev siv tshuaj, kev kho lub cev, thiab lwm yam kev kho mob, koj tus kws kho mob yuav pom zoo kom txhaj cov tshuaj rau epidural.
Kev phais pob txha nrawm tsuas yog txiav txim siab yog tias koj mob hlab ntsha lossis qhov ua rau mob nraub qaum tsis zoo tom qab siv ntev.
Hauv qee tus neeg mob, tus txha caj qaum kho mob tuaj yeem pab txo tus mob nraub qaum.
Lwm txoj kev kho mob uas tuaj yeem pom zoo yog tias koj qhov mob tsis txhim kho nrog kev siv tshuaj thiab kev kho lub cev suav nrog:
- Kev phais pob txha nraub qaum, tsuas yog tias koj muaj lub paj hlwb lossis qhov ua rau koj tus mob tsis zoo tom qab ntev ntev
- Kev ua haujlwm ntawm pob txha caj qaum, nyob rau hauv uas ib qho khoom me me xa hluav taws xob tam sim no rau tus txha nqaj qaum txhawm rau txhawm rau txhaws teeb meem mob
Qee cov neeg uas mob nrob qaum tsis xav tau:
- Txoj hauj lwm pauv
- Cov kev pab tswv yim
- Txoj hauj lwm rov qhia
- Kev Kho Mob Ua Haujlwm
Feem ntau cov teeb meem rov qab tau zoo dua ntawm lawv tus kheej. Ua raws li koj tus kws kho mob cov lus qhia txog kev kho thiab kev saib xyuas tus kheej.
Hu rau koj tus kws kho mob yog tias koj mob nraub qaum heev uas tsis ploj mus. Hu rau tam sim yog koj muaj loog, tsis muaj zog txav, tsis muaj zog, lossis hnyuv lossis zais zis hloov.
Nonspecific mob nraub qaum; Backache - mob ntev; Lumbar mob - mob ntev; Mob - rov qab - mob ntev; Mob nrob qaum - qes
- Kev phais pob qij txha - tawm paug
- Cov leeg txha caj qaum
- Backaches
Abd OHE, Amadera JED. Qes rov qab lim los yog nti. Hauv: Frontera WR, Nyiaj JK, Rizzo TD Jr, eds. Qhov tseem ceeb ntawm Cov Tshuaj Txhim Kho Lub Cev thiab Kev Kho Mob: Cov mob ntawm lub cev tsis meej, mob, thiab kho kom rov zooCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 48.
Maher C, Underwood M, Buchbinder R. Qhov tsis muaj qhov cim nraub qaum. Kev Looj MemCov. 2017; 389: 736-747. PMID: 27745712. www.ncbi.nlm.nih.gov/pubmed/27745712.
Malik K, Nelson A. Txheej txheem cej luam ntawm cov kev mob nraub qaum. Hauv: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Qhov tseem ceeb ntawm Cov Tshuaj Kho MobCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 24.