Coccygodynia yog ib yam kab mob uas mob tsis tu ncua lossis paroxysmal tshwm sim hauv cheeb tsam coccyx. Feem ntau, qhov mob no tshwm sim hauv cov poj niam, vim yog cov qauv ntawm cov pob txha pelvic, qhov tshwj xeeb txav ntawm coccyx, nrog rau kev ua haujlwm ntawm menyuam yaus. Kev kho mob ntawm coccygodynia feem ntau yuav tsum tau muaj rau cov neeg muaj hnub nyoog 40 txog 60 xyoo, tab sis cov ntaub ntawv tau sau tseg rau cov tub ntxhais hluas. Cia wb mus saib seb qhov ua rau ntawm tus kab mob, cov tsos mob thiab kev kho mob, nrog rau kev siv tshuaj thiab tshuaj pej xeem.
Ua rau kab mob
Coccigodynia tuaj yeem txhim kho rau ntau yam laj thawj, muaj cov uas tau pom ntau zaus. Ua ntej tshaj plaws, tus kab mob no cuam tshuam nrog cov teeb meem hauv coccyx thiab paj hlwb plexuses hauv sacrum, nrog rau kev raug mob. Mob mob tom qab raug mob (lub caij nplooj zeeg, tshuab mus rau coccyx) tuaj yeem tshwm sim los ntawm kev txav chaw, txav mus los, thiab kev puas tsuaj rau cov nqaij mos (scar formation, nqaij myositis). Qhov no yog li cas coccygodynia pib tsim. Cov tsos mob thiab kev kho mob ntawm cov poj niam feem ntau cuam tshuam nrog cov kab mobcov leeg thiab cov hlab ntsha ntawm perineum, kua muag tom qab yug me nyuam, prolapse ntawm perineum. Ib tug yam ntxwv feature ntawm tus kab mob yog ib tug ntev lub sij hawm ntawm kev raug mob thiab qhov pib ntawm mob syndromes. Vim li no, tib neeg tsis tuaj yeem txuas tus kab mob ua rau ib leeg.
Coccygodynia, ntxiv rau kev raug mob, tuaj yeem tshwm sim thaum caws pliav hauv qhov quav, qhov no yuav tshwm sim los ntawm kev phais, cem quav lossis raws plab. Kuj tseem muaj kev sib txuas nrog cov kab mob hauv nruab nrog cev uas nyob ze ntawm lub coccyx (pelvic pob txha, qhov quav).
Mob syndrome tshwm sim vim spasm nyob rau hauv cov nqaij ntshiv ntawm lub perineum, thiab nws kuj yog txuam nrog contraction ntawm ligaments nyob rau hauv lub pelvis. Los ntawm nws cov keeb kwm, lub zos hypertonicity tsis yog ib yam dab tsi txawv txawv, nws yog tsim los ntawm txoj kev loj hlob ntawm cov ntsiab lus ntawm cov nqaij ntshiv ntawm lub cev pob txha. Yog hais tias xws li hypertonicity raug rho tawm, nws raug cais raws li tus kab mob ywj pheej.
Symptoms
Coccygodynia tas li nrog qhov mob npub ntawm lub pob tw thiab coccyx. Nrog rau lub cev ua si hauv thaj chaw pelvic, qhov mob tuaj yeem nce ntxiv. Nws tuaj yeem cuam tshuam tus neeg mob rau lub sijhawm ntev, thaum lub coccyx curving, cov hlab ntsha cov hauv paus hniav yog compressed, thiab cov nqaij thiab cov nqaij atrophy tshwm sim. Muaj cov tshuaj thaum muaj mob tom qab raug mob cuam tshuam rau cov neeg mob ntau dua 15 xyoo.
Lub qhov quav, pob tw, thaj tsam lumbar, sab ceg ceg yog thaj chaw ntawm qhov mob hauv coccygodynia. Cov tsos mob thiab kev kho mob ntawm tus kab mob yog pom tseeb, tactics ntawm kev ntsuas yog xaiv los ntawm neurosurgeon. Feem ntau nyob rau hauvcov neeg mob pom:
- kev nyuaj siab;
- pw tsis tsaug zog, insomnia;
- mob kis mus rau thaj chaw nyob ze;
- tawm hws ntau dhau;
- tawv nqaij;
- xov xwm;
- txo qis hauv kev ua haujlwm;
- kev nyuaj siab;
- hloov gait;
- tsis xis nyob thiab hnyav hauv coccyx;
- mob ntawm palpation ntawm coccyx;
- txo qis kev tawm dag zog lub cev.
Mob tshwm sim thaum cov qauv neural ntawm tus txha nraub qaum puas lawm. Nws muaj peev xwm ua rau muaj teeb meem ntawm lub paj hlwb ntawm cov leeg qis, uas ua rau ua kom tiav tuag tes tuag taw, muab impetus rau kev loj hlob ntawm lwm yam kab mob. Coccygodynia tuaj yeem txhim kho tau ntev thiab pom nws tus kheej qee lub sijhawm tom qab raug mob.
Diagnosis
txhawm rau tsim kev kuaj mob ntawm coccygodynia, yuav tsum muaj kev kuaj xyuas thiab ntsuas ntsuas. Yuav pib, tus kws kho mob yuav tsum:
- Mloog cov neeg mob tsis txaus siab, qhia meej tias cov tsos mob tshwm sim ntau npaum li cas.
- Kawm keeb kwm kho mob, anamnesis. Qhov no yuav ua rau kev xav txog qhov ua rau coccygodynia. Cov tsos mob thiab kev kho mob ntawm cov poj niam yuav cuam tshuam nrog kev ua haujlwm.
- Ua kev kuaj lub cev ntawm tus neeg mob. Nyob ntawm poj niam txiv neej, hnub nyoog - kev sab laj ntawm gynecologist, urologist.
Kev Tshawb Fawb Kev Tshawb Fawb suav nrog:
- kuaj ntshav (general thiab biochemistry);
- urinalysis;
- coprogram.
Instrumental researchlees paub qhov kev kuaj mob:
- X-ray ntawm qaum;
- CT thiab MRI;
- Ultrasound ntawm lub plab hnyuv siab raum thiab plab kab noj hniav.
Kuv yuav hu rau tus kws kho mob twg?
Kev kuaj mob ntawm tus kab mob no feem ntau yog ua los ntawm tus kws kho mob neurosurgeon, uas xa nws mus kuaj. Yog tias pom qhov mob tshwm sim hauv coccyx (coccygodynia), tus kws kho mob no kuj tau sau ntawv kho mob.
Yog tias koj xav tias muaj mob, kev kuaj thawj zaug tuaj yeem ua los ntawm gynecologists, proctologists, traumatologists (nws tag nrho yog nyob ntawm kev tsim nyog). Thaum kuaj pom tus kab mob coccygodynia (cov tsos mob thiab kev kho mob paub rau cov kws kho mob), tus neeg mob tau txais kev kho mob. Yog tias tus kab mob nrog osteochondrosis, tus neeg mob tuaj yeem raug xa mus rau ib tus kws kho mob vertebrologist, tus kws kho mob nqaim no cuam tshuam nrog kev cuam tshuam ntawm cov hlab ntsha (cov kab mob ntawm pawg neuralgic). Qhov laj thawj tseem ceeb ua rau muaj kev ntsuam xyuas los ntawm ib lossis lwm tus kws kho mob, ntxiv rau cov uas tau teev tseg, nws tuaj yeem yog: urologist, kws phais mob, obstetrician-gynecologist, kws kho menyuam yaus, andrologist, neurologist.
Coccygodynia: kho tom tsev
Muaj ntau cov lus qhia uas tuaj yeem pab koj tiv nrog cov tsos mob ntawm coccygodynia hauv tsev. Physiotherapy ce yog suav tias yog qhov zoo tshaj plaws. Ib qho kev kho mob tag nrho ntawm kev tawm dag zog tshwj xeeb tau tsim. Yog tias cov tsos mob ntawm coccygodynia thab koj, kev kho mob hauv tsev yuav tsum siv cov rooj zaum tshwj xeeb. Lawv tso cai rau koj tshem tawm cov load los ntawm coccyx thiab lub duav pob qij txha. Tus kab mob no tsis zoo zuj zus tuaj lawm.
Yog muaj kev ntxhov siabmob, koj tuaj yeem siv tshuaj ntawm pawg diclofenac. Cov tshuaj yog ib feem ntawm ntau cov tshuaj pleev uas txo qhov mob ntawm pob qij txha thiab qaum.
Nws yuav tsum nco ntsoov tias nws yuav tsis muaj peev xwm tshem tau coccygodynia hauv tsev tag nrho, vim peb tab tom tham txog cov txheej txheem degenerative hauv coccyx nws tus kheej. Cov tshuaj kho mob rau cov neeg mob tsuas yog siv nrog kev kho mob raws li kws kho mob sau tseg.
kev kho mob
Tshuaj kho mob coccygodynia suav nrog kev siv cov tshuaj uas tuaj yeem tshem tawm qhov tshwm sim ntawm qhov mob. Rau qhov no, kev txhaj tshuaj tau raug sau tseg uas txwv tsis pub kev loj hlob ntawm qhov mob hauv cov ntaub so ntswg, nrog rau kev sib kis ntawm qhov mob impulse los ntawm cov paj hlwb. Cov tshuaj siv yog:
- Movalis.
- Lidocaine.
- Novocaine.
Ntxiv ntxiv rau kev txais tos:
- Diprospan.
- Y"Hydrocortisone".
Ntawm koj tus kheej, yam tsis muaj kws kho mob cov tshuaj, koj yuav tsum tsis txhob siv tshuaj los kho coccygodynia. Qhov no tsuas tuaj yeem ua rau tus kab mob hnyav zuj zus, ua rau muaj teeb meem.
Kev kho mob xws li Lyrica thiab Tebantine kuj qee zaum siv rau hauv kev kho mob thiab tsuas yog yuav tau nrog daim ntawv tshuaj. Lawv sai sai muaj cov nyhuv analgesic, nres exacerbation thiab o ntawm cov nqaij mos.
Yuav ua li cas txo qhov mob?
Thaum xav txog tus kab mob xws li coccygodynia (cov tsos mob thiab kev kho mob), tus neeg mob cov lus teb kuj yuav tsum tau xav txog. Dab tsihais cov uas raug mob? Yuav ua li cas koj thiaj li txo tau qhov mob, uas tej zaum yuav yooj yim unbearable? Ntau tus hais lus zoo txog kev kho cov hlab ntsha xaus nrog kev pab ntawm novocaine blockades. Cov txheej txheem yog raws li nram no: nyob rau hauv lub cheeb tsam ntawm o, qhov twg cov neuronal endings nyob, ib tug npaj txhij-ua tov yog nkag mus rau hauv lub articular hnab nws tus kheej. Cov nyhuv yog ceev heev, zoo, tab sis nqa tsuas yog ib ntus nyem. Txoj kev siv tau rau txhua theem ntawm tus kab mob, ntawm ntau theem ntawm kev kho mob thaum exacerbation.
kev kho neeg zoo
Yog tias coccygodynia raug tsim, kev kho mob nrog pej xeem tshuaj yuav pab txo qhov mob. Nws yog tsim nyog sau cia tias cov txheej txheem no muaj kev cuam tshuam rau thawj theem ntawm tus kab mob, thaum mob tshwm sim tsis tu ncua. Feem ntau, cov zaub mov no yuav tsum tau ua ke nrog cov kev kho mob.
Tshuaj kho mob muaj:
- Lotions raws li roj ntawm fir, lavender, grated qos yaj ywm nyoos.
- Iodine Grid.
- Painting suppositories (raws li lidocaine lossis novocaine).
- Hauv cov lus qhia pej xeem, feem ntau muaj ib daim ntawv qhia siv geraniums: koj tuaj yeem da dej los ntawm kev ntxiv cov decoction ntawm cov nroj tsuag rau ntawd. Compresses nrog geraniums ntawm thaj chaw cuam tshuam kuj pab txo qis exacerbation.
- Ntau qhov kev tawm tswv yim zoo tau pom ntawm kev siv cov tswm ciab hiav txwv buckthorn. Tab sis nws tsim nyog hais tias txoj kev no pab txhawb coccygodynia thaum nws tshwm sim los ntawm qhov quav fissures, hemorrhoids, paraproctitis, thiab kab mob.crotch.
- Tshem cov tsos mob uas siv cov qos yaj ywm sprouts: noj ib khob ntawm qos yaj ywm sprouts, 500 ml ntawm dej cawv. Sprouts yuav tsum tsis txhob ntau tshaj ob centimeters. Yaug lawv thiab qhuav kom huv si. Muab tso rau hauv ib lub hub thiab ncuav cawv. Tsis pub dhau kaum hnub, lub tincture yuav tsum nyob rau hauv qhov chaw tsaus. Siv los txhuam rau hauv qhov chaw mob. Haus dej yog txwv tsis pub! Nws muaj tshuaj lom. Txhua txoj hauv kev yuav tsum tau koom tes nrog koj tus kws kho mob.
Tips
Hauv kev kho mob ntawm coccygodynia, rosehip decoction yog siv los txo qhov mob. Ib liter ntawm boiling dej yog poured rau hauv 100 g ntawm txiv hmab txiv ntoo. Boiling tsis tas yuav tsum tau. Tawm rau ib nrab teev. Lim lub broth thiab khaws cia hauv qhov tsaus ntuj ntawm chav tsev kub. Noj 100 ml peb zaug ib hnub.
Txhawm rau kho cov kab mob hauv thaj chaw coccyx, hnav khaub ncaws nrog aloe. Cov nroj tsuag muaj reparative zog. Ib nplooj ntawm aloe raug txiav tawm ntawm lub hauv qab ntawm lub cev, qhov twg nws yog ntau fleshy, spines raug txiav tawm. Faib daim ntawv nyob rau hauv nruab nrab rau hauv ob feem. Spread on gauze los yog bandage. Sab ntub yuav tsum nyob rau hauv kev sib cuag nrog daim tawv nqaij. Kho lub compress.
Immunity plays lub luag haujlwm loj hauv kev rov qab los ntawm lub cev. Txhawm rau ntxiv dag zog rau nws, nws raug nquahu kom haus cov txiv hmab txiv ntoo txhua hnub uas muaj cov vitamins C, A, E.
Txhawm rau tiv thaiv kev txhim kho pob txha, koj yuav tsum muaj cov ntses ntau hauv koj cov zaub mov, uas muaj phosphorus nplua nuj, thiab tseem noj cov khoom noj siv mis uas muaj calcium.
Kev Kawm Txuj Ci
Nyob rau hauv kev kho mob ntawm coccygodynia, kev tawm dag zog yog sau tseg, tab sis nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuasqee lub hauv paus ntsiab lus:
- Thaum tus kab mob hnyav zuj zus, nws txwv tsis pub ua kev tawm dag zog uas yog tsom rau kev txav mus los ntawm coccyx.
- Koj tuaj yeem cob qhia cov leeg paravertebral nkaus xwb hauv hom zoo li qub.
- Nyob rau hauv kev kho tus kab mob, nws yog ib qho tsim nyog yuav tsum tau siv cov kev tawm dag zog kom siab tshaj plaws kom tshem tawm lub cev muaj zog stereotypes.
- Yuav tsum tsis txhob mob thaum ua lub cev txav.
Cov kev tawm dag zog no uas cuam tshuam rau kev ua haujlwm ntawm lub duav pob qij txha yog siv ncaj qha.
Birch. Pib txoj hauj lwm - pw ntawm lub lev. Lub cushion mos, xis nyob tuaj yeem muab tso rau hauv qab sab nraub qaum. Nqa koj ob txhais ceg nce thaum txhawb koj nraub qaum nrog koj txhais tes. Cov ntiv taw yuav tsum tsom mus rau lub qab nthab. Yog tias nws nyuaj rau ua qhov kev tawm dag zog thaum xub thawj, koj tuaj yeem tso rau ntawm phab ntsa.
Kev tawm dag zog nrog pob. Squeezing lub pob gymnastic. Pib txoj hauj lwm - ntawm lub plab, ob txhais ceg sib nrug. Muab ib lub pob ntawm koj tus ncej puab. Koj yuav tsum nyem nws rau 15 vib nas this, ces so. Qhov kev tawm dag zog no zoo cob qhia cov leeg nqaij atrophied ntawm nraub qaum thiab coccyx.
Nkoj. Pib txoj hauj lwm - pw ntawm koj lub plab. Tsa koj ob txhais ceg, caj npab, thaum tsis khoov lawv, tuav rau 15 vib nas this, so kom txaus. Nce lub sij hawm kom ntau li ntau tau. Qhov kev tawm dag zog no ntxiv dag zog rau koj cov leeg nraub qaum thiab abs.
Physiotherapy
Physiotherapy hauv kev kho mob coccygodynia (mob hauv coccyx) suav nrog kev siv ultrasound thiab electromagnetic tsis. Lawv lub hwj chim ua rau nws muaj peev xwm tshem tawmcov ntaub so ntswg tsis zoo yam tsis muaj kev phais. Cov nyhuv yog pom nyob rau hauv cov theem pib ntawm tus kab mob. Kev mus ntsib chav physiotherapy tsis yog qhov yuav tsum tau ua, nws yog ib qho ntxiv rau kev kho mob. Cov txheej txheem no ua rau nws muaj peev xwm tiv thaiv kev loj hlob ntawm tus kab mob exacerbations.
Kev Tiv Thaiv
Kev kho ntawm coccygodynia tsis yooj yim. Txhawm rau tiv thaiv tus kab mob los ntawm kev hloov mus rau hauv cov ntaub ntawv hnyav dua, nws yuav tsum ua raws li tus kws kho mob cov lus pom zoo thiab ntsuas kev tiv thaiv:
- ua neej noj qab nyob zoo;
- mus rau hauv kev ua kis las - ntxiv dag zog rau cov leeg nqaij corset ntawm sab nraub qaum, pob tw, nraub qaum;
- Nyob zoo, noj cov vitamins, minerals;
- do pelvic exam txhua xyoo.
Nws yog ib qho tseem ceeb heev kom tshem tau cov kab mob ntev uas tsis ncaj los yog ncaj qha ua rau coccygodynia: paraproctitis, hemorrhoids, osteochondrosis, pinched paj fibers, ca taw, hallux valgus.
