Spondylosis yog ib lo lus uas hais txog kev mob caj dab lossis mob pob txha txha caj qaum. Nws yog ib qho teeb meem tsis zoo thiab sawv cev ntawm kev hnav thiab rhuav ntawm cov pob qij txha, ligaments, thiab discs ntawm tus nqaj qaum nyob rau ib tus neeg lub neej. Spondylosis tuaj yeem cuam tshuam rau caj dab (ncauj tsev menyuam spondylosis), qaum thiab nruab nrab sab nraub qaum (thoracic spondylosis), lossis qis qis (lumbar spondylosis). Cervical thiab lumbar spondylosis yog cov ntawv uas muaj ntau tshaj plaws. Spondylosis feem ntau tshwm sim, thiab kwv yees tias 80% ntawm cov tib neeg laus dua 40 xyoo muaj pov thawj ntawm spondylosis ntawm kev xoo hluav taws xob. Kawm paub kho tus mob spondylosis yog li koj tuaj yeem daws qee qhov koj qhov mob.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Siv Kev Kho Tsev Hauv Tsev los daws qhov mob ntawm Spondylosis
Kauj Ruam 1. Siv kev kho mob txias
Kev kho mob khaub thuas txo qhov o los ntawm kev txo qis hauv txoj kab uas hla ntawm cov hlab ntshav (vasoconstriction). Nws kuj tuaj yeem ua rau mob tob tob. Kev kho mob khaub thuas tuaj yeem siv tau siv cov khaub thuas txias, hnab dej khov, khaub ncaws txias, lossis hnab khov zaub lossis txiv hmab txiv ntoo.
- Tsis txhob siv cov dej khov lossis lwm txoj hauv kev kho cua sov rau thaj tsam ntau dua 15 txog 20 feeb ib zaug.
- Ib txwm tso daim phuam nruab nrab ntawm daim tawv nqaij thiab qhov chaw txias.
- Tsis txhob siv cov tshuaj pleev qhov mob tib lub sijhawm koj tab tom thov txias.
- Tsis txhob siv kev kho mob khaub thuas yog tias koj muaj kev ncig tsis zoo.
Kauj Ruam 2. Sim kho cua sov
Kev kho cua sov ua rau txoj kab uas hla ntawm cov hlab ntshav (vasodilation), uas ua rau kom muaj kev ncig ntau ntxiv. Nws kuj tseem txo cov leeg nqaij thiab hloov pauv qhov hnov mob. Kev kho cua sov tuaj yeem siv tau siv cov cua sov, cov ntaub qhwv cua sov, lossis cov fwj dej kub, lossis so cov ntaub ntxhua khaub ncaws hauv dej sov thiab siv rau thaj chaw cuam tshuam.
- Koj tseem tuaj yeem tsau hauv dej kub lossis da dej.
- Tsis txhob siv kev kho cua sov ntau dua 15 txog 20 feeb.
- Muab ib daim ntaub tso rau ntawm daim tawv nqaij thiab qhov cua sov.
- Tsis txhob siv tshuaj pleev qhov mob tib lub sijhawm koj tab tom thov cua sov.
- Kuaj qhov kub kom tsis txhob kub hnyiab. Tsis txhob kub dej lossis spas yog tias koj muaj ntshav siab lossis mob plawv.
Kauj Ruam 3. Coj nws yooj yim rau ob peb hnub
Ua kom yooj yim thiab tau so pw ob peb hnub tuaj yeem pab tau qee qhov mob hnyav vim yog mob spondylosis; txawm li cas los xij, kev so lub txaj yuav tsum raug txwv tsis pub ntau tshaj ib mus rau peb hnub, vim tias ntev dua tuaj yeem ua rau rov zoo.
Kev so lub sijhawm ntev kuj tseem ua rau tus neeg muaj kev pheej hmoo mob hlab ntshav sib sib zog nqus (DVT), lossis ntshav txhaws hauv qis qis. DVT tuaj yeem ua rau mob ntsws (PE), lossis ntshav khov hauv lub ntsws, uas tuaj yeem ua rau muaj kev phom sij rau lub neej
Kauj Ruam 4. Ua kom nquag plias
Kev tawm dag zog tas li, txawm tias hloov kho thaum lub sijhawm mob spondylosis, tuaj yeem pab ua kom rov zoo. Nws raug nquahu kom ua txuas ntxiv ib txwm lossis ze rau cov haujlwm ib txwm muaj. Kev qoj ib ce tsawg, xws li taug kev lossis ua luam dej, yog qhov kev xaiv zoo. Yoga yog ib daim ntawv zoo ntawm kev tawm dag zog ib yam nkaus. Nws tau sau tseg tias cov tib neeg uas taug kev txhua hnub tsis tshua muaj mob caj dab lossis mob nraub qaum.
- Ntxiv rau peb caug feeb ntawm kev tawm dag zog cardio peb zaug hauv ib lub lis piam, koj yuav tsum ua cov haujlwm tseem ceeb, xws li nqa lub plab. Qhov no pab ntxiv dag zog rau cov tub ntxhais los txhawb nqa tus nqaj qaum.
- Koj yuav tsum tham nrog koj tus kws kho mob lub cev ua ntej pib ua haujlwm tshiab. Koj thiab koj tus kws kho mob lub cev tuaj yeem tawm dag zog ib ce uas yuav raug rau koj qhov xwm txheej tshwj xeeb.
Kauj Ruam 5. Hnav caj dab lossis nraub qaum
Kev tiv thaiv ib ntus yuav pab daws qhov mob ntawm spondylosis. Nco ntsoov tsis txhob hnav nws ntev dua ib lub lim tiam. Kev zawm hniav tso cai rau cov leeg so. Kev tiv thaiv mus sij hawm ntev yog poob siab vim nws tuaj yeem ua rau cov leeg tsis muaj zog thiab ua rau mob ntau dua hauv caj dab lossis qis nraub qaum.
Koj tuaj yeem tau txais lub caj dab muag muag los ntawm lub tsev muag tshuaj lossis kws kho mob
Kauj Ruam 6. Siv lub tog hauv ncoo txhawb nqa
Pw nrog lub hauv ncoo ruaj hauv qab lub caj dab lossis nruab nrab ntawm ob txhais ceg tuaj yeem pab txo qhov mob ntawm spondylosis, tshwj xeeb tshaj yog tias koj qhov mob nyob nruab nrab mus rau nraub qaum. Cov tog hauv ncoo tshwj xeeb tau tsim rau lub ncauj tsev menyuam nqaj qaum lossis caj dab, uas muab kev txhawb nqa ntxiv uas yuav pab daws qhov mob. Lub tog hauv ncoo hloov qhov kev taw qhia ntawm koj lub nraub qaum, muab kev txhawb nqa ntxiv thiab ua kom nws nruj dua thaum koj so.
Muaj cov tog hauv ncoo tshwj xeeb tsim los rau txoj haujlwm no, tab sis yog tias koj tsis tuaj yeem nrhiav ib qho ntawm cov hauv ncoo no, tsuas yog siv lub hauv ncoo puv nkaus ntawm koj lub txaj
Kauj Ruam 7. Hloov koj txoj kev ua neej
Kev hloov kho kev ua neej nyob yuav muaj txiaj ntsig rau tus nqaj qaum ntawm txhua lub hnub nyoog. Xav txog kev ua haujlwm hnyav dua yog tias koj txoj haujlwm suav nrog kev ua ntau dhau los ntawm kev khoov lossis hnyav nqa. Yog tias koj rog lossis rog dhau, poob phaus tuaj yeem txo kev ntxhov siab ntawm tus nqaj qaum. Kev txiav luam yeeb tuaj yeem txhim kho kev noj qab haus huv ntawm cov pob txha, tshwj xeeb hauv cov nqaj qaum.
- Koj kuj yuav tsum xav txog koj lub cev. Yog tias koj slouch thaum zaum lossis sawv, siv dag zog ntau dua los kho koj lub cev thiab ua kom koj nraub qaum thiab caj dab ncaj.
- Muaj ntau txoj hauv kev uas koj tuaj yeem sim, txawm hais tias tsis yog txhua tus tau txhawb nqa los ntawm cov pov thawj zoo.
Txoj Kev 2 ntawm 3: Kho Tus Kab Mob Spondylosis
Kauj Ruam 1. Sim tshuaj tom khw muag tshuaj
Qhov mob thiab lwm yam tsos mob ntawm spondylosis, txawm tias mob hnyav lossis mob ntev, tuaj yeem kho nrog cov txheej txheem hauv tsev. Feem ntau, qhov mob tshwm sim los ntawm spondylosis nquag txhim kho tom qab ob peb hnub. Ib txoj hauv kev zoo los kho qhov mob yog siv cov tshuaj tom khw muag tshuaj.
- Piv txwv ntawm OTC cov tshuaj uas pab kho tus mob no suav nrog cov tshuaj tsis-steroidal anti-inflammatory drugs (NSAIDs), xws li tshuaj aspirin (Bayer, Ecotrin), ibuprofen (Motrin, Advil), thiab naproxen (Aleve). Acetaminophen (Tylenol) yog lwm yam tshuaj uas kuj tseem tuaj yeem pab ua tus mob.
- Acetaminophen yog qhov kev xaiv nyab xeeb rau cov tib neeg uas muaj keeb kwm mob hawb pob, ntshav siab, kab mob hauv siab, mob plawv, lossis mob plab.
Kauj Ruam 2. Siv tshuaj pleev qhov txhab
Cov tshuaj kho mob qhov muag tuaj yeem ua tiav lossis siv lwm txoj hauv kev los kho qhov ncauj. Lawv tuaj yeem siv tau ntau txoj hauv kev, xws li hauv qab zib, ua npuas ncauj, gel, yob-ons, tshuaj tsuag, thiab nplaum. Cov khoom xyaw uas pom ntau tshaj plaws hauv chav kawm tshuaj no yog:
- Cov neeg tawm tsam. Piv txwv ntawm cov neeg tawm tsam suav nrog camphor, menthol, thiab methyl salicylate (roj ntawm lub caij ntuj no ntsuab). Lawv ua haujlwm los ntawm kev tsim kom muaj cua txias lossis kub hnyiab uas cuam tshuam rau tus neeg lub siab kom deb ntawm qhov mob. Cov npe nrov suav nrog Bengay, IcyHot, thiab Tiger Balm.
- Capsaicin. Capsaicin tau txais los ntawm cov kua txob thiab tau pom tias muaj txiaj ntsig zoo rau kev siv tshuaj pleev qhov txhab. Nws ua rau hnov qhov kub hnyiab lossis hnov qhov mob ntawm daim tawv nqaij thiab yuav siv sijhawm ob peb hnub ua ntej nws ua rau txo qhov mob. Cov npe nrov suav nrog Capzasin thiab Zostrix.
- Salicylates. Salicylates muab tshuaj aspirin nws qhov ua tau zoo ntawm kev mob. Tej zaum lawv yuav nqus mus rau ntawm daim tawv nqaij kom daws qhov mob hauv zos. Lub npe nrov ntawm cov tshuaj pleev salicylate yog Aspercreme.
Kauj Ruam 3. Tau txais daim ntawv yuav tshuaj
Muaj ntau ntau yam tshuaj muaj zog-tshuaj kho mob uas koj tus kws kho mob yuav muab rau koj los kho qhov mob uas cuam tshuam nrog tus mob no thaum cov tshuaj tsis yog tshuaj yuav tsis txaus. Koj tus kws kho mob tuaj yeem sau ntawv sau tshuaj-lub zog NSAIDs uas yuav txo qis kev mob txuam nrog spondylosis.
Cov tshuaj NSAIDs nrov muaj xws li diclofenac (Voltaren), meloxicam (Mobic), nabumetone (Relafen), etodolac (Lodine), thiab oxaprozin (Daypro). Cov kev mob tshwm sim ntawm NSAIDs tuaj yeem suav nrog kiv taub hau, mob taub hau, xeev siab, raws plab, thiab roj ntau dhau. Kev ceev faj yuav tsum tau siv yog siv NSAIDs ntev dua li ib lub lim tiam, vim kev siv sijhawm ntev ua rau muaj kev pheej hmoo ntawm mob plab, mob raum, thiab mob plawv
Kauj Ruam 4. Sim txo cov leeg nqaij
Cov leeg so hauv lub cev tuaj yeem raug kho los kho cov leeg nqaij spasm nrog spondylosis. Nthuav cov leeg so muaj xws li carisoprodol (Soma), cyclobenzaprine (Flexeril), methocarbamol (Robaxin), thiab metaxalone (Skelaxin).
- Feem ntau cov kev mob tshwm sim ntawm cov leeg mob tuaj yeem suav nrog tsaug zog, kiv taub hau, lub qhov ncauj qhuav, thiab tso zis nyuaj.
- Kev siv cov leeg so kom txaus yuav tsum raug txwv rau lub sijhawm luv vim lawv muaj kev pheej hmoo siab rau kev vam khom lossis kev quav yeeb quav tshuaj.
Kauj Ruam 5. Tham nrog koj tus kws kho mob txog tshuaj siv tshuaj yeeb
Nyob ntawm koj qib kev mob, koj tus kws kho mob tuaj yeem xaiv sau tshuaj noj tshuaj. Feem ntau tau sau tshuaj noj tshuaj muaj xws li codeine, hydrocodone, thiab oxycodone.
- Cov kev mob tshwm sim ntawm cov tshuaj no tuaj yeem suav nrog tsaug zog, cem quav, lub qhov ncauj qhuav, thiab tso zis nyuaj.
- Cov tshuaj siv tshuaj tua kab mob yuav tsum tsis txhob sib xyaw nrog cawv lossis lwm yam tshuaj uas muaj acetaminophen (Tylenol), vim tias kev sib xyaw ua ke tuaj yeem ua rau muaj kev pheej hmoo siab ntawm lub siab puas.
- Kev siv cov tshuaj kho mob quav tshuaj yuav tsum raug txo kom tsawg dua ob lub lis piam, vim tias muaj kev pheej hmoo ntau ntxiv ntawm kev ua siab ntev, kev vam khom, thiab kev quav yeeb quav tshuaj.
Kauj Ruam 6. Nug txog tshuaj tiv thaiv qaug dab peg lossis tshuaj noj tiv thaiv kev nyuaj siab
Cov tshuaj xub xub siv los kho qaug dab peg, lossis qaug dab peg, tau pom tias muaj txiaj ntsig zoo hauv kev kho mob mob hnyav. Tsawg koob tshuaj antidepressants tau siv ntau xyoo los kho caj dab thiab mob nraub qaum. Spondylosis tuaj yeem ua rau cov neeg tsawg ntawm cov mob ua rau mob caj dab lossis mob nraub qaum.
- Cov tshuaj tiv thaiv qaug dab peg feem ntau tau siv los kho mob ntev yog gabapentin (Neurontin) thiab pregabalin (Lyrica). Nws tseem tsis paub meej tias cov tshuaj no tswj hwm qhov mob li cas. Kev tsaug zog thiab qhov hnyav nce yog qhov tshwm sim tshwm sim ntawm gabapentin. Cov kev mob tshwm sim ntawm pregabalin tuaj yeem suav nrog tsaug zog, kiv taub hau, lub qhov ncauj qhuav, thiab cem quav.
- Feem ntau tau sau tseg tricyclic antidepressants (TCAs) pab kho mob mob xws li amitriptyline (Elavil), imipramine (Tofranil), thiab nortriptyline (Pamelor). Duloxetine (Cymbalta) yog cov tshuaj antidepressant tshiab siv los kho qhov mob ntev. Ob lub TCAs thiab duloxetine ua haujlwm los ntawm kev nce qib ntawm lub paj hlwb xa mus rau norepinephrine thiab serotonin, uas yog cov cuab yeej los thaiv kev kis mob ntawm lub paj hlwb. Cov kev mob tshwm sim ntawm cov tshuaj tiv thaiv kev nyuaj siab no tuaj yeem suav nrog tsaug zog, nce phaus, lub qhov ncauj qhuav, cem quav, thiab nyuaj tso zis.
Kauj Ruam 7. Tau txhaj tshuaj epidural steroid
Kev txhaj tshuaj tiv thaiv kab mob epidural steroid (ESI) yog cov txheej txheem me me uas tuaj yeem siv los kho qhov mob los ntawm spondylosis. Kev txhaj tshuaj yog kev sib xyaw ua ke ntawm cov tshuaj steroid ntev (triamcinolone, betamethasone) thiab cov tshuaj loog (lidocaine, bupivacaine). Cov tshuaj tau txhaj rau hauv qhov chaw epidural ntawm tus nqaj qaum, uas yog thaj chaw nruab nrab ntawm kev tiv thaiv npog ntawm tus txha nqaj qaum (dura) thiab pob txha nraub qaum (vertebra). Lub sijhawm kho qhov mob los ntawm ESI sib txawv thiab tuaj yeem kav lub lis piam, hli, thiab qee zaum txawm tias xyoo.
- Nws tau pom zoo tsis pub ntau tshaj peb qhov ESIs tau ua nyob rau 12-lub hlis vim tias dhau qhov txwv no tuaj yeem ua rau txha nqaj qaum tsis muaj zog.
- Tej zaum yuav muaj teeb meem ntawm ESIs suav nrog kev kis mob, los ntshav, thiab ua rau lub paj hlwb puas.
- Hom kws kho mob tsim nyog los tswj hwm ESIs suav nrog kws kho mob, tshuaj loog, kws kho hluav taws xob, kws kho paj hlwb, thiab kws phais neeg.
Kauj Ruam 8. Txiav txim siab yog tias koj xav tau kev phais
Feem coob ntawm cov neeg mob txom nyem los ntawm spondylosis tsis xav tau phais txha nraub qaum. Kev kho tsis phais yog ua tiav tsawg kawg 75 feem pua ntawm cov neeg mob spondylosis, tab sis qee qhov, kev phais yuav dhau los ua qhov xav tau. Yog tias koj pib muaj kev puas hlwb tsis zoo, zoo li poob ntawm lub plab lossis zais zis, kev phais yuav suav tias yog koj li kev xaiv zoo tshaj. Tsis hnov lossis ua haujlwm hauv koj txhais caj npab, txhais ceg, taw, thiab ntiv tes tuaj yeem yog lwm qhov cim ntawm qhov tsis xws luag.
Hauv cov xwm txheej no, cov hlab ntsha tau raug pinched lossis koj tus txha caj qaum tau raug zawm. Kev puas tsuaj rau koj lub paj hlwb tuaj yeem ua rau tsis zoo yog tias cov xwm txheej no tsis raug kho
Kauj Ruam 9. Tham nrog koj tus kws kho mob txog kev phais txha nqaj qaum
Kev phais decompression txha nraub qaum yog lo lus dav siv los piav qhia cov txheej txheem phais sib txawv uas tuaj yeem txo qhov siab ntawm tus nqaj qaum. Koj yuav tsum tau ua haujlwm nrog koj tus kws kho mob txhawm rau txiav txim siab txheej txheem zoo tshaj plaws rau koj li xwm txheej.
- Thaum lub sij hawm laminectomy, pob txha pob txha ntawm tus txha nqaj qaum hu ua lamina raug tshem tawm, yog li ua kom qhov loj me ntawm tus txha nqaj qaum.
- Thaum lub laminoplasty, lamina tau nyob hauv qhov chaw tab sis txiav dawb raws ib sab ntawm koj tus txha caj qaum.
- Discectomy yog txheej txheem uas tshem tawm ib feem ntawm cov disc intervertebral uas yav dhau los tau tso siab rau ntawm cov hauv paus paj hlwb lossis ntawm tus txha nqaj qaum.
- Nrog ob qho tib si foraminotomy thiab foraminectomy, qhov qhib qhov twg cov hlab ntsha hauv paus tawm ntawm cov leeg txha caj qaum tau nthuav dav los ntawm kev tshem tawm cov nqaij.
- Koj tuaj yeem hla kev tshem tawm osteophyte, thaum lub sijhawm cov pob txha pob txha raug tshem tawm ntawm thaj chaw uas lawv ua rau lub paj hlwb pinched.
- Thaum lub sijhawm kuaj mob, tus kws phais yuav tshem tag nrho lub cev pob txha thiab nws cov discs.
Txoj Kev 3 ntawm 3: Kho Spondylosis Siv Lwm Txoj Hauv Kev
Kauj Ruam 1. Ua raws li kev kho lub cev
Kev kho lub cev (PT) yuav raug tshuaj los ntawm kws kho mob rau lub caj dab ntev thiab mob nraub qaum rau mob spondylosis. PT tuaj yeem sib xyaw ua ke kev kho mob, xws li dej khov thiab cua sov, ultrasound, thiab hluav taws xob txhawb nqa, nrog rau kev kho mob kom ncab thiab ntxiv dag zog rau caj dab, plab, thiab nraub qaum.
- Kev kho lub cev feem ntau tau sau tseg rau qhov mob hnyav uas tau ua rau ntau lub lis piam yam tsis tau teb rau lwm yam kev kho mob.
- Kev kho zaws kuj tseem tuaj yeem nkag rau hauv koj li kev kho lub cev. Tus kws kho mob tshaj lij yuav ua haujlwm ntawm cov leeg hauv koj nraub qaum kom so thiab so lawv tom qab koj tau ua haujlwm lawm.
- Lub hom phiaj ntawm PT yog txhawm rau tiv thaiv qhov mob rov tshwm sim.
Kauj Ruam 2. Sim siv tus txha nqaj qaum
Kev kho tus txha caj qaum ua los ntawm tus kws kho mob caj dab kuj tseem tuaj yeem pab txo qhov mob ntawm spondylosis, tshwj xeeb nrog thawj lub hlis ntawm qhov mob. Nws ua haujlwm los ntawm kev rov kho lub vertebrae, uas tau ua tsis raug vim qhov tsis muaj zog hauv tus txha nqaj qaum nqa los ntawm spondylosis. Zuag qhia tag nrho, nws yog txheej txheem kev nyab xeeb.
Feem ntau cov kev mob tshwm sim feem ntau yog me me thiab suav nrog qaug zog thiab mob nqaij ib ntus. Tsis tshua muaj teeb meem tsawg heev ntawm kev siv tus txha nraub qaum tuaj yeem suav nrog tsis muaj zog, poob siab ntawm ob txhais ceg lossis caj npab, thiab teeb meem hauv plab lossis zais zis
Kauj Ruam 3. Xav txog kev siv acupuncture
Acupuncture yog ib txoj kev kho mob rau caj dab ntev thiab mob nraub qaum. Acupuncture rau spondylosis cuam tshuam nrog kev txhaj tshuaj me ntsis, hais txog qhov loj ntawm tib neeg cov plaub hau, rau hauv caj dab lossis nraub qaum. Cov koob tuaj yeem muab twirled, txhawb nqa hluav taws xob, lossis ua kom sov kom ua tiav cov txiaj ntsig ntawm kev kho.
