Kev mob hlab ntsha tawg, lossis mob ntshav qab zib, tuaj yeem tshwm sim vim muaj ntau yam kev mob sib txawv. Koj yuav raug kev txom nyem los ntawm mob hlab ntsha ntev vim yog mob ntshav qab zib lossis teeb meem nrog koj tus txha nqaj qaum, lossis koj tsuas yog muaj lub pinched lossis ua rau cov hlab ntsha tawg los ntawm kev siv ntau dhau lossis raug mob tsis ntev los no. Txawm hais tias mob hlab ntsha ntev yuav tsis tuaj yeem kho tau zoo, muaj ntau txoj hauv kev los pab nws thiab tseem muaj txoj hauv kev los kho qhov mob ntawm lub paj hlwb kom tag. Txhawm rau kho koj cov leeg mob, kho qhov laj thawj lossis kho mob, saib xyuas lub paj hlwb pinched, thiab xaiv cov tshuaj tsim nyog lossis kho rau koj hom mob.
Cov kauj ruam
Txoj Kev 1 ntawm 4: Kho Pinched Nerve
Kauj Ruam 1. So thaj chaw kom txog thaum nws tsis mob
Txoj kev kho zoo tshaj plaws los kho lub paj pinched yog so. Zam kev ua ub no uas ua rau mob hnyav ntxiv, thiab tsum tsis txhob ua yam haujlwm twg uas ua rau raug mob.
- Sciatic nerve mob yog hom mob pinched feem ntau. Qhov mob tuaj yeem pib ntawm koj lub pob tw lossis nraub qaum ntawm koj tus ncej puab thiab ua kom ntev ntawm koj txhais ceg.
- Yog tias koj so rau 1-3 hnub thiab tsis pom kev txhim kho, xav txog kev tshuaj xyuas los ntawm kws kho mob.
Kauj Ruam 2. Siv tus zaws los yog lub phiab
Tej zaum koj yuav tsum tau siv lub cuab yeej pab txhawm rau ua kom thaj tsam ntawm koj lub paj pinched. Qhov no tuaj yeem pab kom ntseeg tau tias koj so thaj chaw thiab tso cai rau cov hlab ntsha kom zoo. Tham nrog koj tus kws kho mob txog qhov no, lossis thov xa mus rau tus kws tshaj lij. Orthopedists tshwj xeeb hauv cov pob txha, cov leeg, thiab mob paj hlwb los ntawm cov leeg nqaij muaj teeb meem.
Carpal tunnel syndrome yog mob hlab ntsha hauv lub dab teg los ntawm kev siv ntau dhau. Lub dab teg tuaj yeem pab kho qhov mob ntawm cov hlab ntsha no
Kauj Ruam 3. Tham nrog tus kws kho mob lub cev
Pinched, ncab, thiab ua rau lub paj hlwb tuaj yeem kho nrog so thiab sijhawm - tab sis nws tseem ceeb heev los tiv thaiv ua rau muaj teeb meem tib yam yav tom ntej. Nug koj tus kws kho mob kom xa mus rau tus kws kho mob lub cev. Lawv tuaj yeem qhia koj qoj ib ce kom ntxiv dag zog lossis nthuav cov leeg ib ncig ntawm cov leeg raug mob. Ua koj cov qoj ib ce raws li qhia. Ua raws li lawv cov lus qhia yuav hloov pauv qhov haujlwm uas ua rau lub paj hlwb puas.
Kauj Ruam 4. Ua cov kev tawm dag zog kom yooj yim rau kev mob sciatic
Ntxiv rau qhov kev tawm dag zog koj tus kws kho mob lub cev qhia, koj tseem tuaj yeem ntxiv dag zog rau koj lub cev txhawm rau txo qhov siab ntawm koj lub paj hlwb. Nug koj tus kws kho mob lossis kws kho mob txog kev nyab xeeb kom ua tiav cov hauv qab no:
- Ntxiv dag zog rau koj cov tub ntxhais
- Txhim kho lub zog ntawm koj cov leeg nraub qaum
- Ua kom koj cov leeg nqaij yooj yooj yim
- Ua kom koj lub duav hloov tau yooj yim
Kauj Ruam 5. Thov tshuaj nplaum capsaicin
Capsaicin muaj nyob hauv cov kua txob kub. Siv hauv qab zib, nws muab kev sov siab. Tau txais cov tshuaj capsaicin los ntawm koj lub khw muag tshuaj lossis chaw muag tshuaj. Rub nws hla thaj chaw uas koj muaj mob paj hlwb tsis tu ncua.
Tej zaum koj yuav hnov qee qhov kub hnyiab thaum koj siv cov tshuaj nplaum. Qhov no feem ntau tau zoo dua lub sijhawm, tab sis tsis txhob siv cov khoom lag luam yog tias koj muaj kev kub nyhiab hnyav, khaus, lossis ua pob
Kauj Ruam 6. Muab ib daim npog lidocaine
Lidocaine suav thaj tsam ntawm koj cov tawv nqaij nws kov. Tau txais cov tshuaj lidocaine los ntawm koj lub tsev muag tshuaj thiab siv nws raws li qhia koj thaj tsam ntawm cov hlab ntsha mob los pab daws qhov teeb meem.
Tej zaum nws yuav ua rau qaug zog lossis kiv taub hau
Kauj Ruam 7. Hloov koj tus cwj pwm thaum koj cev xeeb tub
Sciatic mob feem ntau tshwm sim thaum cev xeeb tub. Yog tias koj tau mob hlab ntsha tawg nraub qaum koj ob txhais ceg, nws tuaj yeem tshwm sim los ntawm kev mob siab rau koj cov hlab ntsha sciatic los ntawm tus menyuam loj hlob. Sim hloov kho koj txoj kev ua neej thiab txav mus los kom daws tau qhov mob; nws yuav tsum daws thaum koj yug tus menyuam.
- Pw ntawm koj sab ib sab uas mob. Piv txwv li, yog tias koj lub paj hlwb mob ntawm koj txhais ceg laug, pw ntawm koj sab xis.
- Tsis txhob nqa hnyav.
- Sim tsis txhob sawv ntsug ntev ntev.
- Yog tias koj muaj mob thaum sawv, tsa ib txhais taw thiab so nws ntawm qee yam.
- Sim ua luam dej tas li.
- Muab cov pob txias los yog cov cua sov tso rau ntawm qhov chaw mob.
Txoj Kev 2 ntawm 4: Teeb Meem Nrog Herniated Disk thiab Lwm Yam Teeb Meem
Kauj Ruam 1. Pib nrog poob phaus los kho tus txha nraub qaum
Ib qho herniated disk hauv koj lub nraub qaum lossis txha nraub qaum tuaj yeem nyem koj tus txha caj qaum, ua rau mob hlab ntsha tawg thoob plaws hauv koj lub cev. Qhov mob nyob qhov twg yog nyob ntawm qhov chaw koj txha caj qaum raug nyem. Yog tias koj muaj herniated disk lossis txha nraub qaum, sim mus cuag thiab tswj kom lub cev hnyav. Qee zaum, tsuas yog poob qee qhov hnyav ntxiv los ntawm kev noj zaub mov zoo uas muaj roj thiab qab zib tuaj yeem txhim kho koj qhov mob.
Kauj Ruam 2. Sim ua kom hluav taws xob tuaj
Tham nrog koj tus kws kho mob lossis kws kho mob lub cev txog kev txhawb hluav taws xob rau koj cov leeg mob. Qhov no tuaj yeem pab tau tshwj xeeb tshaj yog rau teeb meem paj hlwb vim muaj teeb meem txha nraub qaum lossis ntshav qab zib. Siv lub tshuab TENS (hloov hluav taws xob cov hlab ntsha mus rau lub cev) 30 feeb ib hnub rau ib hlis kom pom tias koj cov leeg mob puas zoo tuaj.
Kauj Ruam 3. Kho lub disk phais phais
Hauv cov xwm txheej hnyav, koj yuav xav tau kev phais kom kho koj cov leeg mob. Tus kws phais neeg txha nraub qaum tuaj yeem tuaj yeem kho koj lub pob txha raug mob, txo kev ntxhov siab ntawm koj tus txha nraub qaum thiab txhim kho koj cov leeg mob. Tham nrog koj tus kws kho mob txog koj cov kev xaiv-koj yuav xav tau xoo hluav taws xob thiab tej zaum CT lossis MRI kom paub tias kev phais yog qhov zoo rau koj.
Kev phais kuj tseem tuaj yeem pab ua rau mob hnyav carpal tunnel lossis pinched paj hlwb uas tsis daws tom qab lub hlis ntawm kev kho mob
Txoj Kev 3 ntawm 4: Kho Kev Kho Mob Ua Rau Neuropathy
Kauj Ruam 1. Tswj koj cov ntshav qab zib
Ntshav qab zib yog qhov ua rau mob hlab ntsha tawg, tshwj xeeb tshaj yog hauv koj txhais tes thiab taw. Yog tias koj muaj ntshav qab zib ntau, ua haujlwm ze nrog koj tus kws kho mob lossis kws saib xyuas ntshav qab zib kom tswj tau nws. Koj tuaj yeem tuaj yeem tiv thaiv lossis txo qis kev mob hlab ntsha tawg los ntawm kev tswj hwm koj cov ntshav qab zib.
Nug koj tus kws kho mob kom kuaj koj cov ntshav qab zib yog tias muaj ntshav qab zib nyob hauv koj tsev neeg. Ua kom noj zaub mov thiab hloov pauv kev ua neej yog txoj hauv kev nyab xeeb thiab yooj yim tshaj plaws los tiv thaiv kev mob paj hlwb los ntawm ntshav qab zib
Kauj Ruam 2. Kho koj tus mob shingles
Shingles yog tus mob uas koj tuaj yeem tau txais yog tias koj twb muaj tus mob qhua pias - tus kab mob nyob hauv koj lub paj hlwb thiab tuaj yeem rov ua haujlwm tom qab hauv lub neej, ua rau mob hlab ntsha tawg. Yog tias koj muaj kab mob shingles, mus ntsib koj tus kws kho mob. Lawv tuaj yeem sau ntawv tshuaj los pab daws koj cov tsos mob. Shingles yuav daws dhau lub sijhawm, thiab feem ntau koj cov leeg mob yuav ploj mus.
- Koj tus kws kho mob yuav muab tshuaj antiviral rau koj kom kho lub sijhawm kom sai. Lawv kuj tseem yuav muab tshuaj rau koj kom ua rau koj qhov mob tuaj yeem tswj tau.
- Cov kab mob shingles zoo li pob ntawm cov hlwv uas tshwm sim hauv kab ncaj, ua rau mob, khaus lossis hlawv. Feem ntau nws tshwm sim tsuas yog ib sab ntawm koj lub cev, thiab feem ntau yog nyob ntawm koj tus tav - tab sis nws tuaj yeem tshwm sim nyob txhua qhov chaw ntawm koj lub cev lossis ntsej muag.
- Yog tias koj muaj hnub nyoog tshaj 60 xyoo, txhaj tshuaj tiv thaiv kab mob varicella zoster (Zostavax). Qhov no tuaj yeem pab tiv thaiv kab mob qhua pias.
Kauj Ruam 3. Siv tshuaj los kho koj tus mob npaws
Herpes yog tus kab mob uas nyob hauv koj lub qab haus huv, yog li flare-ups tuaj yeem ua rau mob paj hlwb. Tham nrog koj tus kws kho mob txog kev noj tshuaj acyclovir lossis lwm yam tshuaj tua kab mob los tiv thaiv thiab kho tus mob herpes.
Kauj Ruam 4. Sim cov amino acids txhawm rau txhim kho kev mob paj hlwb los ntawm kev siv tshuaj kho mob
Qee cov tshuaj siv tshuaj kho mob qog noj ntshav tuaj yeem ua rau koj lub paj hlwb puas thiab ua rau mob paj hlwb. Nug koj tus kws kho mob txog kev siv cov amino acids xws li acetyl-l-carnitine txhawm rau txhim kho hom kev mob paj hlwb no.
Xeev siab thiab ntuav yog cov kev mob tshwm sim
Kauj Ruam 5. Kho HIV neuropathy nrog tshuaj
Ntau tus neeg mob HIV txom nyem los ntawm mob hlab ntsha tawg ntev. Qhov mob no feem ntau tshwm sim thaum pib ua rau hnov mob lossis loog ntawm tes thiab/lossis ko taw. Tham nrog koj tus kws kho mob txog kev noj tshuaj tiv thaiv kev nyuaj siab, tshuaj loog, lossis tshuaj tiv thaiv qaug dab peg txhawm rau txo cov leeg mob los ntawm HIV.
Txoj Kev 4 ntawm 4: Noj Tshuaj los Txhim Kho Lub Siab
Kauj Ruam 1. Nug koj tus kws kho mob txog kev noj tshuaj tiv thaiv qaug dab peg
Tshuaj tiv thaiv qaug dab peg (anticonvulsants) feem ntau yog thawj qhov kev kho mob xaiv rau qee hom kev mob paj hlwb. Nug koj tus kws kho mob txog koj cov kev xaiv. Gabapentin (Gralise, Neurontin) thiab pregabalin (Lyrica) ua rau muaj kev phiv ntau dua li cov tshuaj qub, tab sis tseem tuaj yeem ua rau kiv taub hau thiab tsaug zog.
Anticonvulsants feem ntau siv los kho mob neuropathy tshwm sim los ntawm ntshav qab zib, mob khaub thuas, thiab raug mob rau koj tus txha nraub qaum
Kauj Ruam 2. Sib tham siv carbamazepine rau qhov mob ntawm lub ntsej muag
Carbamazepine (Carbatrol, Tegretol) yog cov tshuaj tiv thaiv qaug dab peg feem ntau tau sau tseg los kho qee hom kev mob paj hlwb. Nrog koj tus kws kho mob tham seb cov tshuaj no nyab xeeb thiab tsim nyog rau koj noj. Nws tuaj yeem ua rau muaj kev phiv xws li mob taub hau, xeev siab, thiab lub siab puas.
Carbamazepine muaj txiaj ntsig tshwj xeeb hauv cov teeb meem paj hlwb hu ua trigeminal neuralgia. Qhov no ua rau mob hlab ntsha tawg nyob ib sab ntawm koj lub ntsej muag
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev noj tshuaj antidepressant
Qee cov tshuaj antidepressant tuaj yeem txhim kho kev mob paj hlwb, yog li tham txog koj cov kev xaiv nrog koj tus kws kho mob. Amitriptyline, nortriptyline, thiab doxepin tuaj yeem txhim kho qhov mob. Lawv tuaj yeem ua rau muaj kev phiv xws li lub qhov ncauj qhuav, qhov muag tsis pom, cem quav, thiab nyuaj rau tso zis.
Txog kev mob paj hlwb ntawm koj txhais tes thiab taw los ntawm ntshav qab zib, Cymbalta lossis Effexor XR tuaj yeem pab tau
Kauj Ruam 4. Sim tshuaj kho mob
Rau mob hlab ntsha me me, cov tshuaj yuav tom khw yuav pab tau. Sim ua cov tshuaj tsis-steroidal anti-inflammatory (NSAID) zoo ibuprofen (Advil) lossis naproxen, lossis acetaminophen (Tylenol). Tham nrog koj tus kws kho mob lossis kws muag tshuaj ua ntej yog tias koj muaj ib qho mob uas cuam tshuam rau koj lub raum, mob siab, lossis lub plab. Rau qhov mob hnyav uas tsis tau daws los ntawm cov tshuaj OTC, nug koj tus kws kho mob kom xa mus rau tus kws kho mob tshwj xeeb. Tej zaum lawv yuav sau tshuaj rau koj zoo dua, xws li Tramadol lossis Hydrocodone.
Cov tshuaj kho mob opioid tsuas yog siv rau lub sijhawm luv luv. Lawv tuaj yeem dhau los ua neeg quav yeeb quav tshuaj
Kauj Ruam 5. Tau txhaj tshuaj corticosteroid
Nyob ntawm qhov chaw thiab ua rau koj mob hlab ntsha tawg, txhaj nrog corticosteroid tuaj yeem pab tau. Qhov no txo qhov mob thiab tuaj yeem mob qhov mob. Nug koj tus kws kho mob txog qhov no yog tias koj muaj lub paj pinched. Nws tsis muaj txiaj ntsig zoo rau kev mob paj hlwb tshwm sim los ntawm kev mob xws li mob ntshav qab zib.
Koj kuj tseem tuaj yeem noj cov tshuaj steroid, tab sis qhov no ua rau muaj kev phiv ntau dua
Kauj Ruam 6. Sim tshuaj maj kho mob yog tias nws raug cai hauv koj lub xeev
Cov kev tshawb fawb tau ua pov thawj tias nyob rau ntau qhov xwm txheej, mob neuropathy tuaj yeem kho tau los ntawm kev kho mob maj maj. Yog tias nws raug cai hauv lub xeev koj nyob thiab lwm txoj kev kho mob tsis ua haujlwm rau koj, txiav txim siab nug koj tus kws kho mob txog kev noj tshuaj maj kho mob kom yooj yim rau koj lub paj hlwb mob.