Lub coccyx yog tsib lub cev tsis muaj zog uas ua tiav cov kab txha caj qaum. Ib qho ntawm cov txheej txheem no muaj cov txheej txheem, tus so yog sib npaug. Feem ntau, qhov no ntawm tus txha nqaj qaum yuav tsum tau coj mus rau pem hauv ntej, thaum nias, nws yooj yim springs, tsis ua mob rau ib tug neeg. Txawm li cas los xij, yog tias qhov tsis xis nyob ntawm lub pob tw los yog nws nyuaj rau tus neeg mob zaum, qhov no yuav qhia tau tias coccyx tau khoov. Ntawm cov tsos mob thawj zaug, koj yuav tsum sab laj nrog kws kho mob, vim tias kev kho mob tsis pib raws sijhawm ua rau muaj teeb meem loj.
ua rau ntawm pathology
Curvature los yog dabtsi yog khoov ntawm coccyx yog ib yam kab mob uas ua rau muaj ntau yam tsis zoo siab uas tiv thaiv lub neej tag nrho thiab txo qis kev ua haujlwm. Deformation tuaj yeem tshwm sim rau sab, anteriorly, tab sis nws cov ntawv sib xyaw kuj ua tau. Hauv daim duab, lub tailbone khoov tuaj yeem pom.
Cov laj thawj uas ua rau muaj kev hloov pauv suav nrog:
- Intrauterine ua txhaum ntawm kev tsim ntawm tus txha caj qaum, tshwj xeeb tshaj yog thaj chaw coccygeal.
- Mechanicalcuam tshuam, piv txwv li, pob txha ntawm coccyx, dislocation, subluxation, rupture ntawm ligaments ntawm cheeb tsam coccygeal. Cov kev raug mob no tau los ntawm kev koom nrog hauv tsheb sib tsoo lossis los ntawm kev poob ncaj qha rau ntawm pob tw.
- Pathology ntawm tus txha caj qaum. Qhov no suav nrog ntau yam pathological neoplasms, muaj hnub nyoog txog kev hloov pauv hauv cov pob txha. Cov no muaj xws li curvature ntawm tus txha nraub qaum, herniated discs thiab hloov chaw ntawm sab discs.
- Kev cev xeeb tub thiab yug menyuam. Nyob rau hauv tus txheej txheem ntawm kev coj tus me nyuam hauv plab, lub load ntawm lub plab mog nce siab, vim hais tias cov pob txha pelvic tuaj yeem tawg thiab coccyx yuav khoov. Lub fetus loj lossis tus menyuam sai kuj tuaj yeem ua rau qhov pib ntawm tus kab mob no.
Feem ntau, thaum sau tus neeg mob keeb kwm, tag nrho cov kev ua rau muaj kev cuam tshuam tau tshwm sim.
Symptoms
Khoov lub coccyx, tsis hais qhov ua rau nws tshwm sim, yog ib txwm nrog kev tsis xis nyob. Mob syndrome yog sib txawv siv. Thaum so (sawv, pw tsaug zog), qhov mob feem ntau tshwm sim los ntawm kev mob thiab tus cwj pwm tsis tu ncua. Nrog rau kev tawm dag zog lub cev (thaum khoov, taug kev ntev, zaum), qhov mob tshwm sim tau hais tawm thiab khaus.
Cov kev xav tsis zoo tuaj yeem tshwm sim tsis yog ncaj qha rau thaj tsam coccyx. Qhov mob feem ntau kis mus rau thaj tsam lumbar, puab tais. Tsis tas li ntawd, kev ua ntawm defecation ua rau mob, tus neeg mob tsim cem quav, thiab kev ua haujlwm ntawm cov kab mob genitourinary cuam tshuam. Lub sijhawm ntawm qhov mob syndromeyuav ntau xyoo. Tshwj xeeb tshaj yog rau lub sij hawm ntev, mob thab cov poj niam tom qab yug me nyuam nyuaj. Tam sim ntawd tom qab raug mob hauv cheeb tsam coccyx, reddening ntawm daim tawv nqaij, o, thiab hyperthermia tau pom.
Ntxiv rau, cov kws tshawb fawb tau ua pov thawj tias cov neeg uas raug kuaj mob tailbone dabtsi yog khoov yuav ua rau mob taub hau ntau zaus, lawv chim siab, tsis tsaug zog, thiab pom cov tsos mob ntawm kev nyuaj siab.
ntsuas ntsuas
Symptomatology ntawm coccyx khoov muaj ntau yam zoo sib xws nrog rau kev tshwm sim ntawm lwm yam kab mob ntawm lub plab mog. Rau kev kuaj mob sib txawv, koj yuav tsum hu rau lub tsev kho mob. Txawm tias qhov tseeb tias lub kaw lus tsis raug puas tsuaj, cov kab mob tau yooj yim dua los tshem tawm thaum ntxov ntawm lawv txoj kev loj hlob.
Yog tias koj hnov mob hauv thaj chaw pelvic, koj yuav tsum sab laj nrog kws kho mob orthopedic. Thaum thawj zaug, tus kws kho mob sau anamnesis thiab tshuaj xyuas tus neeg mob cov lus tsis txaus siab. Tom qab ntawd tus kws tshaj lij tau mus rau qhov kev ntsuam xyuas ncaj qha, uas suav nrog palpation, kuaj lub qhov quav, ntsuas qhov muag.
Kev kuaj mob hluav taws xob ntawm coccyx khoov suav nrog kev kuaj x-ray, uas nyob rau hauv xws li pathology yuav tsum tau ua nyob rau hauv ntau qhov projections, nyob rau hauv ib qho chaw sawv thiab zaum. Yog tias txoj kev kuaj mob no tsis tso cai kom pom tag nrho cov duab kho mob, tus neeg mob raug xa mus rau suav tomography.
Kev Tshawb Fawb
Txhawm rau kom paub meej qhov kev kuaj mob thiab tsis suav nrog lwm yam kab mob tshwm sim hauvcheeb tsam pelvic, cov kev kuaj hauv qab no raug muab:
- Ultrasound ntawm lub plab thiab plab;
- kuaj los ntawm gynecologist thiab urologist;
- kuaj ntshav biochemical;
- kuaj ntshav thiab zis.
Kev kuaj mob kom raug tsuas yog tom qab kuaj tau zoo thiab zoo ib yam, thiab cov tswv yim ntawm kev kho cov kab mob ntawm cov coccyx raug xaiv.
txoj kev kho
Vim cov tsos mob tseem ceeb ntawm tailbone dabtsi yog khoov yog mob, thawj yam uas cov neeg mob tau sau ntawv yog kev kho mob, uas yog tsom rau alleviate tus mob. Txhawm rau txo qhov mob, cov tshuaj hauv qab no yuav raug sau tseg:
- Analgesics ("Depiofen", "Analgin", "Dexalgin").
- Non-steroidal anti-inflammatory tshuaj, uas, ntxiv rau cov tshuaj tua kab mob, muaj cov tshuaj tiv thaiv kab mob, uas kuj tseem ceeb hauv kev kho mob coccygeal pathologies (Olfen, Diclofenac, Dynastat, Diclovit).
- Cov tshuaj loog hauv zos, uas tau sau rau qhov mob hnyav, nrog rau cov xwm txheej saum toj no ntawm cov tshuaj tsis muaj qhov xav tau.
Nyob rau lub sijhawm mob ntawm lub coccyx khoov, cov tshuaj tau muab rau kev kho mob los ntawm kev txhaj tshuaj, tom qab qhov mob ploj mus, cov neeg mob raug xa mus rau kev noj tshuaj. Nws yuav tsum tau muab sau tseg tias analgesics thiab NSAIDs adversely cuam tshuam lub mucous daim nyias nyias ntawm lub digestive system, yog li ntawd lawv yuav tsum tau ceev faj. Lawv yog,feem ntau contraindicated nyob rau hauv cov neeg mob peptic ulcer (nrog rau keeb kwm).
Yuav ua li cas kho anterior curvature ntawm coccyx, tus kws kho mob yuav tsum qhia. Ntxiv nrog rau cov tshuaj noj hauv qhov ncauj, daim ntawv thov tshuaj pleev yog sau rau thaj tsam coccygeal. Cov muaj pes tsawg leeg ntawm cov tshuaj pleev no muaj cov tshuaj loog hauv zos thiab cov tshuaj tiv thaiv kab mob. Cov tshuaj suppositories nrog rau qhov zoo sib xws kuj zoo heev.
Thaum khoov ntawm coccyx nrog cem quav, tshuaj laxatives raug sau tseg. Piv txwv li, "Picolax".
Kev siv phau ntawv kho mob ua lub luag haujlwm tseem ceeb hauv qhov curvature ntawm coccyx, tab sis cov txheej txheem zaws yuav tsum tsuas yog ua los ntawm tus kws kho mob tshwj xeeb.
Tom qab mob mob nyem
Yuav ua li cas kho tailbone khoov? Tom qab tso tseg qhov mob ntawm cov txheej txheem inflammatory, cov neeg mob tau txais kev kho mob thiab electrophoresis.
Thaum noj cov tshuaj ib txwm siv, nws raug nquahu kom siv cov paj rwb-gauze lub voj voog rau pw thiab zaum kom txo tau qhov hnyav ntawm lub coccyx.
Yog tias koj ua raws li txhua tus kws kho mob cov lus pom zoo, kev kho mob yuav kav ntev txog 2 lub hlis. Yog tias kev kho mob tsis pab, kev phais kho dua tshiab tau ua. Qhov taw qhia rau kev ua haujlwm kub ntxhov yog qhov curvature ntawm coccygeal ntsiab ntawm lub kaum sab xis ntawm 90 degrees lossis ntau dua.
Ib tus neeg tsim nyog rau kev kho mob ntawm curvature ntawm coccyx sab hauv, vim yog tus yam ntxwv ntawm lub cev. Cov kev ntsuas kho mob thiab cov txheej txheem raug xaiv nyob ntawm qhov tsis muaj lossis muaj qee yam kev kuaj mob ntawm coccygodynia. Yog tus neeg mob tau ntsibmob, tib lub tswv yim raug xaiv raws li nrog coccygodynia. Yog tias tsis muaj cov tsos mob tshwm sim, tsis muaj cov kauj ruam tshwj xeeb raug ua. Hauv qhov xwm txheej zoo li no, tus neeg mob tsuas yog pom.
Txoj kev cuam tshuam ntawm khoov lub coccyx
Nrog kev khoov me ntsis, kev cuam tshuam loj hauv lub cev, raws li txoj cai, tsis txhob tshwm sim, thiab qhov teeb meem no tau them rov qab rau hauv txoj kev ntuj tsim. Yog tias qhov khoov yog qhov tseem ceeb, tus neeg mob pib cuam tshuam los ntawm cem quav, cuam tshuam hauv cov txheej txheem tso zis thiab tso zis. Tsis tas li ntawd, muaj qhov txo qis hauv qhov innervation ntawm tag nrho cov kabmob uas nyob hauv lub plab mog.
Deformations ntawm hom no yog qhov txaus ntshai tshaj plaws rau cov poj niam cev xeeb tub. Raws li qhov tshwm sim ntawm qhov khoov, lub coccyx ua qhov cuam tshuam rau txoj hauv kev ib txwm muaj ntawm tus me nyuam hauv plab los ntawm qhov yug me nyuam. Raws li qhov tshwm sim, qhov tshwm sim ntawm kev raug mob rau tus menyuam hauv plab thiab niam nws tus kheej nce ntxiv, vim tias qhov xwm txheej xwm txheej ceev yuav tsum tau ua.
