Kev kub nyhiab hauv qab yog ib qho tsos mob ntawm qee yam kab mob, tsis yog ib txwm muaj feem cuam tshuam rau lub cev musculoskeletal. Cov tsos mob zoo li no tuaj yeem yog vim muaj kab mob ntawm lub plab hauv plab, lub paj hlwb thiab lub plab zom mov.
Etiology
Kev hnov mob hauv lub nraub qaum tuaj yeem tshwm sim los ntawm cov kab mob ntawm cov kabmob thiab cov kab ke ntawm tib neeg lub cev xws li:
- musculoskeletal system;
- pelvic organ;
- kab mob plawv;
- kab mob ntawm lub paj hlwb peripheral;
- GIT.
Ntawm lwm yam, cov tsos mob no tuaj yeem tshwm sim hauv cov poj niam thaum cev xeeb tub. Xws li kev kho mob tshwm sim nyob rau hauv cov ntaub ntawv no tsis tas yuav tsum tau saib raws li ib tug pathological txheej txheem, tab sis yuav tsum tau kev sab laj kev kho mob. Qhov ua rau kub hnyiab hauv qab yuav tsum tau txiav txim los ntawm kws kho mob.
Ntawm cov cim etiological ntawm kev kub hnyiab hauv cheeb tsam lumbar yog cov kab mob hauv qab no:
- Pathologies ntawm lub plab hnyuv siab raum, nyob rau hauv uas daim duab kho mobCov tsos mob no tshwm sim, suav nrog: fibroids, salpingitis, endometritis. Nws yuav tsum tau muab sau tseg tias nyob rau hauv cov txiv neej, nyob rau hauv ib feem ntawm cov kab mob ntawm lub plab hnyuv siab raum, ib tug zoo xws li cov tsos mob tshwm sim nws tus kheej nyob rau hauv tsawg zaus.
- Kab mob ntawm lub paj hlwb peripheral thiab musculoskeletal system, uas tej zaum yuav yog etiological yam. Cov no suav nrog: herniated disc yog qhov xav tias ua rau mob lumbar. Tsis tas li ntawd, qhov ua rau kub hnyiab hauv nraub qaum tuaj yeem yog cov kab mob metabolic thiab kis kab mob, raug mob thiab beriberi. Qhov laj thawj tiag tiag ntawm cov tsos mob zoo li no yog tsim los ntawm kws kho mob nkaus xwb nrog kev pab los ntawm kev ntsuas tsim nyog.
Symptomatics
Nrog qhov kub hnyiab hauv qab sab nraub qaum tshwm sim los ntawm pathologies ntawm lub cev musculoskeletal, cov duab hauv qab no tuaj yeem pom:
- muscle tsis muaj zog;
- khov kho hauv kev txav, tshwj xeeb yog khaus tom qab nyob ntev ntev los yog sawv ntxov;
- khov hauv kev txav, ua kom khaus ntau dua thaum tus kab mob loj tuaj;
- mob pob qij txha;
- xav txias ntawm cov ntiv tes ntawm sab sauv thiab sab qis;
- hauv zos kub nce;
- tshee ob txhais ceg thiab caj npab;
- liab thiab o ntawm daim tawv nqaij;
- muscle contracture;
- ntse mob uas tuaj yeem tho sab nraub qaum ntawm sab xis thiab sab laug, tawg mus rau ceg;
- txiv neej muaj zog teeb meem.
Nrog cov kab mob ntawm cov hlab plawv, lumbar hlawv yuav nrog cov hauv qab noCov tsos mob:
- mob hauv lub sternum, nrog rau qhov kub hnyiab hauv cheeb tsam tom qab nws;
- ntshav siab;
- fast pulse;
- kiv taub hau;
- mob taub hau;
- tawm hws ntau dhau;
- kev ua haujlwm tsis zoo;
- tsis muaj zog;
- xav hnyav hauv siab.
Thaum muaj qhov kub hnyiab ntawm sab nraub qaum thiab hauv plab plab vim muaj kab mob ntawm cov poj niam genitourinary system, cov tsos mob hauv qab no yuav tshwm sim:
- hlawv thiab khaus;
- nquag yaum rau cov kev xav tau me me, tsis tas yuav nqa kev pab;
- ncig tawg;
- xav hnyav thiab mob hauv pliaj;
- muaj ntshav tso zis;
- kev faib;
- pw tsis tsaug zog;
- edema;
- tawm pob ntawm qhov chaw mos;
- txo kev ua haujlwm, tsis muaj zog;
- kub nce lub sijhawm;
- hlawv nrog rau qee qhov mob nraub qaum;
- tsis xis nyob thaum muaj kev sib raug zoo;
- kev xav hnyav hauv txoj cai hypochondrium.
Nws yuav tsum tau muab sau tseg tias vim yog lub anatomical nta ntawm tus kab mob ntawm lub genitourinary system, cov poj niam tshwm ntau zaus. Qhov no tsis zoo rau txiv neej.
Thaum kub hnyiab hauv sab nraub qaum los ntawm cov kab mob ntawm lub paj hlwb peripheral, cov duab hauv qab no yuav tshwm sim:
- nrawm ntse thiab kub hnyiab tom qab;
- mob plawv uas tsis txo qis tom qab noj nitroglycerin;
- muscle tsis muaj zog;
- limited txav;
- ko taw loog;
- liab ntawm daim tawv nqaij ntawm qhov chaw mob;
- pob khaus ntawm daim tawv nqaij yog tias tus kab mob kis tau los (nrog herpes zoster);
- hauv zos kub nce;
- kev puas tsuaj ntawm kev noj qab nyob zoo.
Tsis tas li, qhov tshwm sim ntawm cov tsos mob no tuaj yeem pom hauv pathologies ntawm txoj hnyuv, uas yuav txawv ntawm cov yam ntxwv:
- hloov pauv hauv plab - cem quav ntev yuav ua raws li raws plab;
- xeev siab, nquag ntuav;
- mob plab, qhov xwm txheej thiab thaj chaw uas yog vim qhov tshwm sim;
- tseem muaj ntxhiab tsw phem, kub siab;
- tsis qab hauv qhov ncauj;
- poob qab los, uas tuaj yeem ua rau poob phaus.
Tsis tas li ntawd, qhov tshwm sim ntawm qhov mob thiab kub hnyiab hauv sab nraub qaum tsis suav nrog txhua yam kev tawm dag zog lub cev, kev raug mob. Kev kub nyhiab hauv qhov no yuav ua nrog o, mob hauv qhov chaw mob thiab nqaij tawv.
Tsim kom muaj qhov tshwm sim ntawm qhov tshwm sim ntawm cov poj niam lossis txiv neej tsuas yog los ntawm tus kws tshaj lij uas tsim nyog nrog kev pab los ntawm kws tshuaj ntsuam xyuas.
Thaum hlawv hauv thaj tsam lumbar, yuav tsum tau kuaj xyuas.
Diagnosis
Kev ntsuas ntsuas yuav raug txiav txim los ntawm daim duab kho mob tam sim no, nrog rau cov anamnesis sau thaum kuaj thawj zaug. Nyob rau hauv rooj plaub no, nws yuav tsum tau sab laj nrog ib tug xov tooj ntawm cov kws kho mob uas tsim nyog: orthopedist, traumatologist, neurologist, kws phais, cardiologist, gastroenterologist. Txhawm rau txiav txim siab qhov cuam tshuam los nag,Tej zaum nws yuav tsim nyog los ua txoj hauv kev kuaj ntsuas ntsuas:
- kev soj ntsuam dav dav ntawm cov zis thiab ntshav;
- txheej txheem endoscopy;
- kuaj ntshav biochemical;
- Ultrasound ntawm lub plab kab mob thiab cov kab mob genitourinary;
- MRI;
- CT;
- endoscopic tsom xam ntawm plab hnyuv;
- ECG;
- x-ray.
pab thawj zaug rau kub hnyiab thiab mob
Ua ntej ntawm tag nrho cov, nrog mob thiab kub hnyiab hauv sab nraub qaum, ib tus neeg yuav tsum tau ua txoj haujlwm xis nyob uas qhov kev xav tau qis qis me ntsis. Txoj kev yooj yim ntawm tus kws qhia ntawv pab tau zoo. Txog qhov kawg no, koj yuav tsum zaum ntawm lub rooj zaum, thawb lub cev mus rau pem hauv ntej thiab sim ua kom cov leeg nqaij so, txo koj lub taub hau. Cov kauj ruam no tsuas yog pab thawj zaug xwb. Thaum qhov mob tshwm sim, koj yuav tsum mus ntsib kws kho mob uas yuav sau tag nrho cov kev tshawb fawb, txiav txim seb qhov ua rau ntawm cov tsos mob li cas, thiab kuj tsim ib txoj kev kho mob.
Tsis tas li ntawd, thaum muaj qhov kub hnyiab ntawm sab nraub qaum, lub xeev siab yuav pab tau ntau heev. Tus neeg mob tsuas yog yuav tsum tau pw. Yog tias ib tug neeg xav tias qhov ua rau tsis xis nyob yog nyob rau hauv kab mob plawv, koj yuav tsum haus "Nitroglycerin". Tom qab ntawd nws yog ib qho tsim nyog mus ntsib kws kho mob, hu rau nws, vim tias muaj feem yuav mob plawv.
Cov kab mob paj hlwb, thaum thaj av lumbar raug hluav taws, xav tau kev saws me nyuam hauv plab. Cov kws tshaj lij pom zoo tias cov neeg mob pw hauv pem teb, ces rub lawv lub hauv caug mus rau lub puab tsaig. Txoj hauj lwm no relieves mob. Ntxiv rau, koj tuaj yeem ua tauzaws, uas tshem tawm qhov mob, tsis xis nyob, thiab tiv thaiv lawv txoj kev loj hlob ntxiv.
Qhov kub hnyiab ntawm sab nraub qaum sab laug lossis sab xis txhais li cas, ntau tus neeg txaus siab.
Vertebrogenic pathology
Feem ntau dorsalgia yog tshwm sim los ntawm inflammatory thiab traumatic degenerative-dystrophic los yog lwm yam kev hloov nyob rau hauv cov qauv ntawm tus txha caj qaum. Yog hais tias tus neeg mob muaj osteochondrosis (qhov feem ntau pathology ntawm axial skeleton), cov kev hloov nyob rau hauv cov pob qij txha, pob txha mos discs, peripheral paj hlwb, cov leeg thiab ligaments ntawm lub nraub qaum yog kuaj, uas ua rau mob thiab cuam tshuam rau lub cev kev ua si ntawm ib tug neeg. Cov tsos mob ntawm radiculopathy tshwm sim:
- tingling, loog, goosebumps, hlawv;
- txo cov tawv nqaij rhiab;
- hloov pauv ntawm qhov tshwm sim ntawm cov leeg reflexes;
- txo cov leeg lub zog.
Qee zaum, khaus khaus suav nrog cov qauv ntawm kev hnov mob, uas tuaj yeem ua rau mob me lossis yuav luag tsis tuaj yeem. Yog hais tias lub nraub qaum kub hnyiab vim muaj teeb meem nrog tus txha nraub qaum, thaum lub sij hawm palpation thiab kuaj, mob ntawm cov ntsiab lus paravertebral, cov leeg nro, thiab smoothness ntawm physiological curves yuav pom. Kev txav mus los tsis yooj yim, taug kev nyuaj nrog qhov mob ntawm sab nraub qaum.
Hlawv hauv tus txha caj qaum yog ib qho tsos mob ntawm osteochondrosis lossis lwm yam kab mob ntawm cov pob txha axial.
Kidney disease
Nws yog ib qho tsim nyog los xav txog qhov muaj peev xwm ntawm cov kab mob ntawm cov kab mob excretory: glomerulonephritis thiab pyelonephritis, urolithiasis. lub raumo los yog cov tsos mob ntawm calculi yog qhov ua rau muaj cov tsos mob ntawm cov tsos mob. Nws muaj cov tsos mob hauv qab no:
- mob lumbar;
- dysuric mob: khaus, kub hnyiab, cramps thaum tso zis;
- tus cwj pwm ntawm cov zis hloov: turbidity, nce lossis txo kom muaj nuj nqis, ntshav tint;
- nrog pyelonephritis, lub cev kub nce, glomerulonephritis manifests nws tus kheej nyob rau hauv daim ntawv ntawm arterial hypertension thiab edema, feem ntau urolithiasis yog yus muaj los ntawm cov tsos mob ntawm lub raum colic, nyob rau hauv uas lub pob zeb cuam tshuam nrog ib txwm urodynamics..
Ntau hom kab mob sib txawv thaum kawg ua rau lub raum tsis ua haujlwm, uas ua rau lub cev ua haujlwm cuam tshuam loj heev. Qhov no yog tshwm sim los ntawm daim tawv nqaij khaus, o, anemia, tsis xws luag nyob rau hauv lwm yam kab mob ntawm tus neeg mob lub cev.
Kab mob ntawm lub ntsws thiab lub ntsws
Kev kub hnyiab ntawm sab nraub qaum tuaj yeem tshwm sim hauv cov neeg uas muaj kab mob ntawm lub ntsws. Ua ntej tshaj plaws, peb tab tom tham txog croupous pleurisy thiab mob ntsws. Tib lub sijhawm, qhov mob hauv cheeb tsam sternum nrog rau lwm cov tsos mob ntawm kev hloov pauv:
- hnoos lossis qhuav;
- pom cov hnoos qeev: xeb, purulent;
- kub nce;
- ua tsis taus pa.
Ib qho cim tshwj xeeb ntawm pleurisy yog qhov tsis muaj zog ntawm qhov mob hauv lub supine txoj hauj lwm ntawm qhov cuam tshuam. Nrog percussion thiab auscultation, hawb pob yog txiav txim siab, ua tsis taus pa tsis muaj zog, lub suab tshaj qhov ua kom pom tseeb yog dulled.
Kab mob ntawm lub pleura thiab lub ntsws feem ntau tshwm sim los ntawm cov tsos mob mob hauvhauv siab hauv siab, txuas mus rau hauv qab sab.
Kab mob ntawm lub plab zom mov
Cia peb saib qee qhov ua rau kub hnyiab hauv qab.
Reflected pain syndrome yog ib qho cim qhia ntawm pathology ntawm ntau qhov chaw ntawm lub plab zom mov. Nws tuaj yeem tshwm sim nrog peptic ulcer, colitis, cholecystitis lossis pancreatitis. Yuav luag txhua tus kab mob yuav muaj cov tsos mob dyspeptic:
- quav quav;
- flatulence;
- ntua;
- poob qab los;
- nausea.
Lawv muaj kev sib koom siab nrog kev noj zaub mov thiab kev noj zaub mov tshwj xeeb. Calculous cholecystitis yog qhia los ntawm cov tsos mob ntawm impaired bile outflow: jaundice, pruritus, thiab lightening ntawm cov xim ntawm cov quav. Kev khaus yog pom ntawm ntau qhov chaw ntawm lub cev, suav nrog sab nraub qaum.
Dab tsi yog qhov ua rau kub hnyiab hauv qab ntawm cov poj niam?
teeb meem gynecological
Kab mob ntawm poj niam qhov chaw mos tsis tuaj yeem raug cais tawm. Feem ntau, inflammatory pathology (endometritis, adnexitis) tuaj yeem xav tias, txawm li cas los xij, qhov mob tuaj yeem tshwm sim nrog kev rho menyuam tawm, zes qe menyuam apoplexy thiab ectopic cev xeeb tub. Kev hnov mob hauv lub nraub qaum feem ntau tawm mus rau hauv plab plab, nrog rau cov tsos mob hauv qab no:
- tawm ntawm qhov kev ua me nyuam;
- menstrual irregularities;
- fever.
cov txheej txheem mob tuaj yeem ua rau kis tus kab mob mus rau thaj chaw peritoneal, nrog rau kev txhim khoperitonitis, feem ntau mob obstetric kab mob kuj yog nrog los ntawm sab hauv.
Thaum tus poj niam muaj qhov kub hnyiab ntawm sab nraub qaum ntawm sab xis lossis sab laug, kev kuaj mob yuav tsum tau qhia tias muaj tus kab mob hauv obstetric-gynecological.
Herpes zoster
Ib khaus thiab kub hnyiab hauv lub sternum yog cov tsos mob ntawm herpetic o ntawm lub paj hlwb intercostal. Tus mob no muaj feem xyuam rau kis kab mob, uas yog, nws yog tus cwj pwm los ntawm kev sib kis (kev sib kis). Tus kab mob no ntev ntev tuaj yeem nyob hauv lub xeev "hibernation" hauv cov hlab ntsha ganglia, nrog rau kev txo qis hauv lub cev rov ua haujlwm tag nrho (kev ntxhov siab, hypothermia) ua rau qhov pib ntawm tus kab mob.
Cov tawv nqaij tshwm sim thaum xub thawj, txawm li cas los xij, ntawm qee qhov taw tes, liab tshwm sim, thiab tawm tsam nws keeb kwm yav dhau los muaj cov npuas uas muaj cov kua ntshiab (vesicles). Lawv tawg thaum khawb thiab nthuav tawm ib qho erosive nto hauv qab, uas kho lub sijhawm thiab tsim cov pob zeb.
Tus kws kho mob, tom qab kev kuaj mob, tau sau cov txheej txheem kuaj mob ntxiv, cov npe ntawm lawv yuav raug txiav txim los ntawm tus kab mob. Tom qab tau txais cov txiaj ntsig ntawm txoj kev tshawb fawb, tus kws kho mob tshwj xeeb tsim ib qho kev kho mob rau tus kheej.
Yuav ua li cas kom tshem tau qhov kub hnyiab hauv plab thiab sab nraub qaum?
txoj kev kho
Kev kho mob hauv qhov no tuaj yeem ua tiav los ntawm ob qho tib si kev saib xyuas thiab kev kho mob radical, tsis muaj kev pabcuam dav dav rau txhua tus neeg mob.
Nyob rau hauv tshuajKev kho mob yuav suav nrog kev noj cov tshuaj no:
- tshuaj tua kab mob thaum tsim kom muaj kab mob kis kab mob;
- tshuaj tiv thaiv kab mob nonsteroidal;
- muscle relaxants;
- painkillers.
Tsis tas li ntawd, tus neeg mob yuav tsum tau muab lub txaj so, nrog rau immobilization ntawm qhov chaw mob.
Ntxiv rau kev kho tshuaj, cov txheej txheem kho lub cev tuaj yeem raug sau:
- reflexology;
- kub;
- magnetotherapy;
- UHF.
Txhawm rau txo qhov mob, lawv tuaj yeem sau ib chav kawm ntawm phau ntawv kho mob, kev kho mob qoj ib ce thiab kho zaws.
Yog tias qhov ua rau ntawm cov tsos mob zoo li no yog kab mob plab hnyuv, ces kev kho tshuaj tsim nyog nrog kev noj zaub mov yuav tsum raug sau tseg. Tsis tas li ntawd, kev cuam tshuam kev phais tsis suav nrog thaum lub hauv paus ua tsis tuaj yeem raug tshem tawm los ntawm kev saib xyuas kev noj qab haus huv.
