Ko taw poob

Ko taw poob yog thaum koj muaj teeb meem txav rau sab pem hauv ntej ntawm koj txhais taw. Qhov no yuav ua rau koj rub koj ko taw thaum koj taug kev. Ko taw poob, tseem hu ua poob taw, tuaj yeem tshwm sim los ntawm teeb meem nrog cov leeg, leeg leeg, lossis pob qij txha ntawm koj txhais taw lossis txhais ceg.

Ko taw poob qis tsis yog yam mob los ntawm nws tus kheej. Nws yog tsos mob ntawm lwm qhov kev tsis sib haum xeeb. Ko taw ntog ua tau los ntawm ntau yam mob.

Cov teeb meem tshwm sim feem ntau ntawm ko taw poob yog cov leeg ib leeg. Lub hauv paus leeg yog ib ceg ntawm lub sciatic hlab ntsha. Nws muab kev txav thiab kev hnov ​​rau sab ceg, ko taw, thiab ntiv taw.

Cov mob uas cuam tshuam rau cov leeg thiab cov leeg hauv lub cev tuaj yeem ua rau ko taw poob. Lawv suav nrog:

• Mob paj hlwb peripheral. Ntshav qab zib yog qhov ua rau lub hlwb hnoos qeev tshaj plaws
• Kev sib zog ua rau lub cev, yog ib pab pawg qhov mob uas ua rau cov leeg tsis muaj zog thiab poob ntawm cov leeg nqaij.
• Kab Mob Charcot-Marie-Tooth yog ib qho muaj keeb ntawm cov roj ntsha hauv lub cev
• Tus mob Polio yog tshwm sim los ntawm tus kab mob, thiab tuaj yeem ua rau cov leeg tsis muaj zog thiab tuag tes tuag taw

Lub hlwb thiab tus txha caj qaum yuav ua rau mob leeg tsis muaj zog thiab tuag tes tuag taw thiab suav nrog:

• Mob stroke
• Amyotrophic lateral sclerosis (ALS) Ua rau
• Ntau yam sclerosis

Ko taw poob yuav ua teeb meem taug kev. Vim tias koj tsis tuaj yeem tsa sab xub ntiag ntawm koj txhais taw, koj yuav tsum tau tsa koj txhais ceg siab dua ib txwm los ua taw ua ke kom tsis txhob rub koj tus ntiv taw lossis dawm taw. Ko taw yuav ua lub suab nrov nrov thaum nws nkag rau hauv av. Qhov no yog hu ua kev ruam ruam.

Nyob ntawm qhov ua kom ko taw poob, koj tuaj yeem hnov ​​loog lossis qoj ib ce nyob rau sab saum toj ntawm koj txhais taw lossis daim tawv sab. Ko taw poob yuav tshwm sim hauv ib lossis ob txhais ko taw, nyob ntawm seb vim li cas.

Koj tus kws kho mob yuav kuaj ib ce, uas yuav qhia tau tias:

• Poob ntawm cov leeg tswj hauv cov ceg qis thiab taw
• Atrophy ntawm txhais taw los yog txhais ceg cov leeg nqaij
• Nyuaj txhawb nqa tau ko taw thiab ntiv taw

Koj tus kws kho mob yuav yuam kom yuav ib lossis ob yam ntawm cov kev xeem nram qab no txhawm rau txheeb xyuas koj cov leeg thiab leeg thiab txiav txim qhov ua rau:

• Electromyography (EMG, kev sim ntawm hluav taws xob hauv cov leeg)
• Kev soj ntsuam kab mob hauv lub siab kom pom sai npaum li cas cov teeb liab hluav taws xob txav los ntawm qhov ntsuas hluav taws xob (peripheral nerve)
• Kev ntsuam xyuas cov duab xws li MRI, X-rays, CT scan
• Tsom ultrasound
• Kuaj ntshav

Kev kho mob ntawm ko taw poob yog nyob ntawm dab tsi ua rau nws. Muaj qee kis, kho qhov ua kom mob tseem yuav kho qhov mob taw. Yog hais tias qhov ua rau yog mob ntev los yog mob tas mus li, txhais ko taw poob mus tas li.

Qee tus neeg yuav tau txais txiaj ntsig los ntawm kev kho lub cev thiab kev ua haujlwm.

Cov kev kho mob tsim nyog suav nrog:

• Kev zawm hniav, kev faib tawm los yog khau ntxig mus rau sab nraud los pab txhawb ko taw thiab ua kom nws nyob hauv qhov chaw ib txwm.
• Kev tawm dag zog lub cev tuaj yeem pab rub thiab ua kom cov leeg muaj zog thiab pab koj taug kev zoo.
• Kev loj hlob hauv lub paj hlwb tuaj yeem pab rov qab txoj kev leeg thiab leeg ntawm ko taw.

Kev phais mob tuaj yeem xav kom txo cov ntshav siab ntawm txoj hlab ntshav lossis sim kho nws. Txog qhov mob ko taw ntev ntev, koj tus kws kho mob yuav qhia kom fusing lub pob taws lossis pob txha pob txha. Lossis koj yuav muaj leeg phais. Hauv qhov no, cov leeg ua hauj lwm thiab cov leeg txuas nrog hloov mus rau qhov sib txawv ntawm tus taw.

Koj yuav zoo npaum li cas yog nyob ntawm seb dab tsi yog ua kom ko taw poob. Ko taw poob feem ntau yuav ploj mus kom tag. Yog tias qhov ua rau hnyav dua, xws li mob stroke, koj yuav tsis rov qab los tag nrho.

Hu koj tus kws kho mob yog tias koj muaj teeb meem taug kev los yog tswj koj ko taw:

• Koj cov ntiv taw luag rau hauv av thaum taug kev.
• Koj muaj qhov slapping gait (cov qauv taug kev hauv txhua kauj ruam ua lub suab nrov nrov).
• Koj tsis tuaj yeem tuav tom hauv ntej tau ko taw.
• Koj tau hnov ​​qhov kev hnov ​​mob, nqia, lossis tawv nqaij hauv koj txhais taw lossis taw.
• Koj muaj pob taws los yog ko taw tsis muaj zog.

Kev mob Peroneal leeg - ko taw poob; Ko taw poob ntawm tes; Mob nqaij pob txha; Ncaws taw

• Ib qho peroneal hlab ntsha ua haujlwm

Del Toro DR, Seslija D, King JC. Mob caj pas (peroneal) neuropathy. Hauv: Frontera WR, Silve JK, Rizzo TD, eds. Qhov tseem ceeb ntawm Kev Siv Lub Cev thiab Kev Rov Kho Dua. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap75.

Katirji B. Kev mob tsis zoo ntawm cov hlab ntsha leeg. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 107.

Thompson PD, Nutt JG. Nkag los cuam tshuam. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 24.