Kev puas tsuaj rau lub paj hlwb tuaj yeem tshwm sim vim yog kab mob autoimmune, kab mob hauv lub paj hlwb, mob qog noj ntshav, kis kab mob, lossis ntshav qab zib. Nws kuj tseem tuaj yeem tshwm sim los ntawm kev raug mob hnyav lossis mob hnyav, lossis kev noj zaub mov tsis zoo. Cov kev kho mob yuav txawv nyob ntawm seb yog tias cov hlab ntsha raug txhaws, raug mob ib nrab, lossis raug txiav tag nrho. Ntxiv nrog rau kev kho qhov puas tsuaj los ntawm cov hlab ntsha, koj yuav xav tau ua cov kauj ruam ntxiv los kho qhov mob ntsig txog, ib yam.
Cov kauj ruam
Txoj Kev 1 ntawm 4: Kho Me Nyuam Kev Puas Tsuaj
Kauj Ruam 1. Ua siab ntev
Yog tias cov hlab ntsha tau tsuas yog ib nrab nrawm lossis txiav, nws tuaj yeem kho nws tus kheej dhau sijhawm. Qhov no yog vim tias cov hlab ntshav cov ntaub ntawv dhau qhov kev puas tsuaj tuag thiab cov hlab ntsha yuav tsum rov tsim dua nruab nrab ntawm kev noj qab haus huv zoo.
Cov hlab ntsha pinched tuaj yeem tshwm sim los ntawm ntau qhov laj thawj xws li: lub cev tsis zoo, raug mob, mob caj dab, txha nraub qaum, thiab/lossis rog dhau
Kauj Ruam 2. Siv cov tshuaj tsis-steroidal anti-inflammatory (NSAID) lossis acetaminophen
Cov tshuaj no yuav tsum tau siv los kho qhov mob hnyav tsis tu ncua lossis tsis pub dhau ib mus rau ob lub lis piam, tshwj tsis yog kws kho mob pom zoo.
- NSAIDs kho qhov txhab thiab ua rau lub paj hlwb puas, acetaminophen tsuas yog kho qhov mob.
- Nco ntsoov tias cov tshuaj no yuav tsis cuam tshuam nrog lwm yam tshuaj. Piv txwv li, zam kev noj tshuaj aspirin thaum nyob hauv cov ntshav thinner.
- Kev siv NSAID mus sij hawm ntev tuaj yeem ua rau mob plab thiab mob plab. Paub txog koj siv cov tshuaj no.
Kauj Ruam 3. Sim kho lub cev
Yog tias lub paj hlwb tau pinched, ntau dua li raug txiav tawm, kev kho lub cev (PT) feem ntau siv los kho qhov puas tsuaj thiab nce lub zog thiab kev mus. Txheeb xyuas yog tias koj tus kws kho mob yuav sau ntawv kho lub cev.
- Qee lub tuam txhab pov hwm yuav tsis them rau PT. Nco ntsoov nrog koj lub tuam txhab pov hwm yog tias koj muaj lus nug txog kev them nqi.
- Tej zaum koj yuav tsum tau tos ob peb lub lis piam lossis hli tom qab raug mob hnyav kom pib kho qhov no. Cov hlab ntsha tuaj yeem xav tau sijhawm kho thiab rov tsim dua.
- Sim de-weighted kev cob qhia hauv pas dej ua ke rau teeb meem nrog kev txav ntawm thaj av. Tom qab koj txhim kho koj lub zog ua haujlwm sim qee lub zog thiab kev tawm tsam kev qhia.
Kauj Ruam 4. Sau npe rau kev kho mob siv tshuaj kho kab mob
Qee tus neeg mob pom tias kev siv tshuaj kho mob ua rau lub paj hlwb nyob ruaj khov thiab tso cai rau lawv ua haujlwm zoo ib txwm thaum lub paj hlwb kho lawv tus kheej.
- Biofeedback kuj tseem tuaj yeem pab tau. Nov yog txheej txheem koj tuaj yeem siv los tswj koj lub cev kev ua haujlwm. Koj tau txuas nrog cov ntsuas hluav taws xob uas muab cov ntaub ntawv uas yuav pab koj tsom mus thiab so.
- Hmoov tsis zoo, tsis yog kev siv tshuaj kho mob lossis biofeedback feem ntau tau them rau hauv Asmeskas cov phiaj xwm kev pov hwm kev noj qab haus huv.
Txoj Kev 2 ntawm 4: Kho Qhov Nruab Nrab Kev Puas Tsuaj
Kauj Ruam 1. Tshaj tawm electromyography (EMG) lossis kuaj cov hlab ntsha
Cov kev ntsuam xyuas no tuaj yeem pom qhov chaw ntawm cov hlab ntsha puas tsuaj thiab nws qhov hnyav li cas. Koj tus kws kho mob kuj tseem tuaj yeem sau ntawv ntsuas qhov sib nqus sib nqus (MRI).
Qee qhov kev xeem no, zoo li EMG tuaj yeem ua tiav ntawm koj cov kws kho mob. Txawm li cas los xij, kev tshuaj xyuas ntau ntxiv zoo li MRI tuaj yeem ua ntawm kws kho mob tshwj xeeb lossis tsev kho mob
Kauj Ruam 2. Xav txog kev txhaj tshuaj rau cov leeg leeg
Yog tias koj tus kws kho mob txiav txim siab tias koj lub paj hlwb tsis ua rau muaj kev puas tsuaj mus sij hawm ntev, koj tuaj yeem yog tus neeg sib tw rau loog lossis txhaj tshuaj steroid hu ua "paj hauv paus thaiv." Cov hlab ntsha hauv paus feem ntau yog ua los ntawm tus kws qhia tshuaj loog hauv kev kho mob. Steroids tuaj yeem pab koj lub cev kho sai dua los ntawm kev puas hlwb.
Kauj Ruam 3. Xav txog kev phais me me
Qee hom kev puas tsuaj ntawm cov hlab ntsha tshwm sim los ntawm kev txhaws lossis txhaws. Kev phais mob me me feem ntau txaus los kho qhov kev puas tsuaj no. Cov txheej txheem rau kev phais suav nrog cov tsos mob ntawm radiculopathy, pov thawj ntawm cov hauv paus hauv paus txhaws ntawm MRI, mob hlab ntsha tsis tu ncua ntev dua rau rau lub lis piam, thiab lub cev tsis muaj zog zuj zus.
- Kev phais me me tuaj yeem yog kev phais mob caj dab txhawm rau txhawm rau txhaws cov hlab ntsha pinched lossis xaws qhov puas ntawm cov hlab ntsha ua ke.
- Lwm qhov kev phais me me yog tso tawm cov hlab ntsha, uas tuaj yeem pab kho cov hlab ntshav pom hauv cov hlab ntsha puas tsuaj xws li carpal tunnel syndrome. Cov no tuaj yeem tsim chav ntxiv rau cov hlab ntsha los ntawm kev faib cov ntaub so ntswg, lossis txav cov hlab ntsha mus rau qhov chaw tshiab.
Kauj Ruam 4. Koom nrog txoj hlab ntshav “rov kawm ntawv” kho
Lub paj hlwb yuav tsum tau rov kawm dua nrog hom tshwj xeeb ntawm kev kho lub cev no. Kev kho dua kev kawm no feem ntau ua tiav hauv ob theem: "thaum ntxov" thiab "lig." Nws yog txheej txheem ntawm "kho" koj lub hauv siab kom nkag siab zoo li qub.
- Cov theem pib ntawm txoj kev kho no yog ua kom ntseeg tau tias koj lub paj hlwb tuaj yeem hnov qhov dav ntawm qhov kev xav, thaum lub sijhawm lig yog kho qhov kev xav kom tswj tau qhov kev xav.
- Hom kev kho no feem ntau ua tiav hauv kev kho mob lub cev sab nrauv. Qhov ntev ntawm cov kev sib tham yog nyob ntawm qhov hnyav ntawm qhov raug mob. Feem ntau, cov txheej txheem no siv qee lub sijhawm, vim nws yog qhov tseem ceeb "rov ua haujlwm" lub cev kom rov qab mus rau qhov ua haujlwm ib txwm muaj.
Txoj Kev 3 ntawm 4: Kho Kev Puas Tsuaj Loj
Kauj Ruam 1. Nrhiav kev kho mob
Mus rau chav kho mob xwm txheej tam sim yog tias koj tau raug mob hnyav thiab koj tab tom muaj kev loog lossis tingling ntawm koj qhov kawg. Yog tias koj tau txiav koj tus kheej ntawm qee yam ntse, sim ua kom cov ntshav qis thaum koj mus rau chav kho mob xwm txheej ceev.
- Kev puas tsuaj rau lub paj hlwb vim riam hauv chav ua noj lossis iav tawg yog qhov ncaj ncees.
- Mus ntsib chav kho mob ceev yog tias koj tau muaj kev sib cuag tsis ntev los no nrog cov hlau lead, arsenic, mercury lossis lwm yam tshuaj lom. Lawv yuav tsum tau yaug tawm ntawm koj lub cev ua ntej yuav kho tau.
Kauj Ruam 2. Xav txog kev phais kom rov txuas lossis cuam tshuam cov hlab ntsha
Yog tias cov hlab ntsha tau raug tshem tawm tag nrho, qhov no yuav tsim nyog txhawm rau pib kho. Yog tias kev phais tau ua tiav, cov hlab ntsha yuav loj hlob thiab kho ntawm tus nqi kwv yees li ib nti hauv ib hlis.
Cov paj hlwb feem ntau xav kom tshem tawm cov hlab ntsha ntawm lwm qhov ntawm lub cev. Qhov chaw uas nws tau noj yuav nyob twj ywm tom qab phais tas
Kauj Ruam 3. Rov kho koj lub cev
Koj lub cev feem ntau yuav hla plaub theem ntawm kev kho lub paj puas. Qhov kev kho no xav kom cov hlwb kho thiab "rov kho" lawv tus kheej kom xa cov cim rau lub hlwb kom raug.
- Qhov no yuav xav tau kev kho lub cev. Tus kws tshaj lij yuav pab koj qhia koj lub cev kom kho tau zoo los ntawm kev ua ntau yam ntawm kev tawm dag zog.
- Qhov no yuav xav tau sijhawm. Kev kho lub paj hlwb yuav tsis tshwm sim ib hmos. Nws yuav siv sijhawm ntau lub hlis, hli, lossis xyoo los kho. Hauv cov xwm txheej hnyav, lub paj hlwb ua haujlwm tsis tuaj yeem kho tau zoo. Koj tus kws kho mob yuav tsum muaj peev xwm qhia koj txog qhov yuav siv sij hawm ntev los kho los ntawm qhov raug mob tshwj xeeb.
Txoj Kev 4 ntawm 4: Qhia Koj Tus Kheej txog Kev Puas Hlwb
Kauj Ruam 1. Paub txog cov tsos mob thiab mob ntawm cov leeg puas
Muaj qee qhov cim thiab cov tsos mob ntawm cov hlab ntsha puas tsuaj. Yog tias koj tab tom ntsib ib qho ntawm no, thov hu rau koj tus kws kho mob.
- Mob los yog tingling ntawm caj npab, ob txhais ceg, ntiv tes, lossis ntiv taw
- Poob ntawm cov leeg tswj. Qhov no yuav ua rau tsis muaj zog. Yog tias koj pom koj tus kheej muaj teeb meem nrog kev ua haujlwm niaj hnub zoo li khawm lub tsho, lossis ntswj lub qhov rooj, cov no tuaj yeem yog cov cim ntawm kev puas hlwb.
- Nyuaj zom zaub mov. Qhov no tej zaum yuav nrog nrog tsam plab los yog tag nrho. Tej zaum koj yuav ntuav cov zaub mov zom zom, lossis muaj teeb meem siv chav dej.
- Peripheral neuropathy cuam tshuam rau lub hlwb lub peev xwm kom tau txais cov cim qhia mob los ntawm koj lub paj hlwb. Nws yog ib qho teeb meem tsis sib xws thiab cov tsos mob suav nrog mob lossis loog hauv qhov qis. Koj yuav hnov tingling lossis hlawv ntawm koj txhais caj npab lossis txhais ceg, uas tej zaum yuav yog lub cim pib ntawm kev puas hlwb.
Kauj Ruam 2. Hu koj tus kws muag tshuaj yog tias koj pib noj tshuaj tshiab tsis ntev los no
Qee cov tshuaj, tshwj xeeb tshaj yog cov siv los kho mob qog noj ntshav thiab HIV, tau paub txog kev tsim cov hlab ntsha puas tsuaj hauv qee tus neeg mob.
Kauj Ruam 3. Mus ntsib koj tus kws kho mob
Teem sijhawm nrog koj tus kws kho mob yog tias koj muaj kab mob uas tuaj yeem ua rau lub paj hlwb puas tsuaj. Qhov kab mob no suav nrog mob ntshav qab zib, mob qog noj ntshav, haus dej cawv, lossis kab mob autoimmune. Kev puas hlwb yuav tsum tau suav nrog hauv txoj kev npaj kho rau cov xwm txheej no.
Kauj Ruam 4. Hu rau tus kws tshaj lij
Hu rau koj tus kws kho mob kom teem sijhawm xwm txheej ceev yog tias mob nraub qaum lossis kab mob tau nce ntxiv suav nrog kev loog lossis tingling. Cov tsos mob no yog qhia txog lub paj pinched lossis puas. Hauv qee qhov xwm txheej phais mob hnyav raug pom zoo.
Kauj Ruam 5. Tham nrog koj tus kws kho mob txog tshuaj
Tham nrog koj tus kws kho mob txog kev siv tricyclic antidepressants lossis tshuaj tiv thaiv qaug dab peg los tswj kev mob paj hlwb. Cov tshuaj no tau siv rau cov neeg mob uas mob paj hlwb ntev txhawm rau txhawm rau cuam tshuam cov cim mob hauv lub hlwb. Nco ntsoov tham txog kev phiv los ntawm kev siv mus sij hawm ntev.
