Chua dau day than kinh toa

Thứ sáu, 08 Tháng bảy 2005, 08:28 GMT+7


Chua dau day than kinh toa
Bam huyet giup cai thien chung dau than kinh toa.

Can benh nay hay gap o lua tuoi 30-60, nhat la nhung nguoi lao dong chan tay nang nhoc. Cac nghe nghiep co tu the lam viec go bo nhu cong nhan boc vac, nghe si xiec, ba-le, cu ta... lam tang nguy co xuat hien va tai chung dau than kinh toa.

Day than kinh toa la mot day than kinh dai nhat co the, trai dai tu phan duoi that lung den tan ngon chan. Day than kinh toa chi phoi cac dong tac cua chan, gop phan lam nen cac dong tac di lai, dung ngoi cua hai chan.

Dau day than kinh toa bieu hien dac trung bang cam giac dau lan doc xuong phia dui theo re than kinh lung 5 (L5) va re than kinh song 1 (S1). Neu re than kinh L5 bi ton thuong thi co hien tuong dau doc tu lung eo phia ngoai xuong ngoai dong mach cang chan toi tan ngon chan ut. Neu re than kinh S1 bi ton thuong thi dau doc ra phia sau mong, thang xuong sau dui, sau bap cang chan toi phia ngoai ban chan. Neu bi benh than kinh toa tren (than kinh hong) thi dau thuong toi phia tren dau goi; neu bi than kinh toa duoi thi dau toi mat ca ngoai ban chan.

Trong truong hop dau nhe, nguoi benh van di lai, lam viec binh thuong. Neu di lai nhieu, dung nhieu, ngoi nhieu trong mot ngay, dau co the tai phat. Neu dau nhieu thi khi chan giam manh xuong dat, ho manh, hat hoi, di dai tien ran cung dau. Dau nang anh huong nhieu den kha nang lao dong.

Dau day than kinh toa co the gap o moi lua tuoi, nhieu nhat la lua tuoi 30-60, nam mac nhieu hon nu. Mang vac va lao dong nang o tu the sai, go bo, rung xoc, chan thuong, cac dong tac thay doi tu the dot ngot... la yeu to thuong xuyen nhat lam khoi phat benh. Ngoai ra, yeu to tam ly cung dong vai tro nhat dinh thuc day xuat hien va tai phat benh than kinh toa.

Cac nguyen nhan gay dau than kinh toa gom: ton thuong o cot song that lung gay chen ep re than kinh, thoat vi dia dem vung cot song that lung, cac ton thuong thuc the khac o vung that lung (di dang bam sinh, chan thuong, thoai hoa cot song that lung, u, viem cot song dinh khop, viem dot song do nhiem khuan).

Phan lon truong hop chi dau than kinh toa mot ben. Nguoi benh co tu the ngay lung hay veo ve mot ben de chong dau. Tuy theo ton thuong, ho co the khong nhac duoc got hay mui chan, dan dan xuat hien teo co dui, mong, cang chan ben ton thuong. Khi benh nang, chan te bi mat cam giac, co the dai dam, ia dun.

Viec dieu tri dau than kinh toa phai ket hop cac bien phap noi khoa, dong y, ngoai khoa, tam ly, vat ly tri lieu va phuc hoi chuc nang. Trong thoi gian dang dau cap, hoac dot cap cua dau than kinh toa man, nguoi benh can nghi ngoi tuyet doi tren giuong va bat dong, tranh moi di chuyen hoac thay doi tu the lam cang day than kinh. Nguoi benh can nam tren giuong phang va cung, nam ngua, hong va goi hoi gap, neu dau nhieu co the nam co chan.

Can dung cac thuoc chong viem khong steroid va thuoc chong hu khop. Neu co dau da day - ta trang thi phai dung kem cac thuoc bang niem mac da day hay tuc che bai tiet dich vi. Tat ca deu phai theo dung chi dinh cua bac si. Ve vat ly tri lieu, co the chuom nong, chieu tia hong ngoai laser, song ngan, tu truong, dien cham, tam bun, dap bun, tam nhiet, tam suoi khoang, keo gian cot song bang dung cu cho truong hop loi hoac thoat vi dia dem. Nen ket hop xoa bop, cham cuu, an huyet, thuy cham.

Phau thuat duoc chi dinh khi: dieu tri noi khoa khong do sau 6 thang; hoac co bien chung liet, teo co, roi loan co tron; benh nhan dau du doi, dau tai phat nhieu lan, anh huong nghiem trong den sinh hoat va lao dong.

De phong benh dau than kinh toa, can tap the duc vua suc thuong xuyen de nang cao the luc, ap dung cac bai tap tang cuong su deo dai, khoe manh cua cac khoi co lung canh cot song, co bung va tang su mem mai cua cot song. Tranh moi chan thuong cho cot song, tranh nga don mong xuong dat. Dieu tri kip thoi cac benh thoai hoa cot song. Nguoi bi dau that lung tranh tuyet doi cac dong tac the thao hoac van dong qua muc nhu golf, bong chuyen, tennis, vac balo nang. Khong nen nam dem qua day va mem, giuong lo xo.

Cac dong tac sinh hoat, lao dong hang ngay phai thich nghi voi tinh trang dau cot song that lung. Bao dam tu the dung khi dung, ngoi, mang vac... hay nhac vat nang. Can dung tren tu the thang, khong ru vai, gu lung. De tranh khom lung, khi doc va viet lau, nen ngoi gan ban viet, ghe khong qua cao hoac ban viet khong qua thap. Neu phai ngoi lau, nen thuong xuyen dung len va lam cac dong tac the duc giua gio.

Trong lao dong chan tay, can chu y tranh khieng vac vat nang, nhat la be vat nang o tu the cui lom khom. De tranh tai trong qua muc len cot song, benh nhan co the deo dai lung khi mang vac vat nang; hay de cho trong luong cua vat chia deu ca hai ben co the, khong bao gio mang vat nang o mot ben nguoi hay trong thoi gian dai. Khi muon nhac mot vat nang len, nen co dui gap goi doi chan gap lai vua phai nhung van giu lung thang. Khong nen giu thang hai chan va cui cong nguoi xuong khi nhac.

BS. Dinh Thi Thanh, Suc Khoe & Doi Song



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