Lub impingement, los yog siab ntawm cov hlab ntsha ntawm tus txha caj qaum, tuaj yeem yog vim muaj ntau yam ua rau thiab tuaj yeem nyob rau hauv peb qhov chaw ntawm canine vertebral kem: caj dab, nraub qaum thiab lumbar cheeb tsam. Nws feem ntau tshwm sim hauv cov dev laus, nrog osteoarthritis lossis hnav ntawm cov pob qij txha intervertebral, txawm hais tias cov dev uas tau raug xwm txheej, tshuab, overexertion los yog lub cev tsis zoo kuj tuaj yeem txhim kho nws.
Kev kuaj mob yog nyob ntawm kev kuaj mob paj hlwb thiab kev kuaj pom thiab kev kho mob txawv nyob ntawm qhov mob hnyav. Cia li nyeem tsab xov xwm no rau ntawm peb lub xaib kom paub ntau ntxiv txog impingement in dogs, hom, tsos mob thiab kev kho mob.
Dab ntxwg nyoog yog dab tsi?
By impingement peb txhais tau tias lub siab ntawm cov hlab ntsha los ntawm cov qauv uas nyob ib sab ntawm nws, xws li pob txha, pob txha, leeg lossis cov leeg. Lub siab no ua rau muaj kev cuam tshuam kev kho mob rau peb tus dev.
vertebral kem dev yog tsim los ntawm 30 vertebrae, yog cov pob txha uas ua rau tus txha caj qaum, tsis suav nrog tus Tsov tus tw., uas Nws nyob ntawm haiv neeg thiab tus kheej. Kem no ua haujlwm raws li lub cev ntawm lub cev thiab ua raws li cov leeg thiab pob txha; thiab nws yog hloov tau vim hais tias cov vertebrae tau sib cais los ntawm ib leeg los ntawm cov qauv hu ua intervertebral discs.
Cov kab txha caj qaum nyob hauv nws lub qaum qaum, uas yog ib feem ntawm cov hlab ntsha uas ua haujlwm raws li axis thiab kev sib txuas nrog central paj hlwb (lub hlwb). Cov paj hlwb tshwm sim los ntawm nws nyob rau hauv ntau qhov chaw kom innervate cov leeg ntawm extremities. Kuj tseem muaj ob qhov tseem ceeb thiab tseem ceeb rau cov paj hlwb: lub brachial plexus thiab lumbosacral plexus.
Type of impingement in dogs
Thaum peb hais tias aub muaj impingement, peb xa mus rau impingement ntawm lub qaum, uas muaj peb hom:
- Cervical impingement: Kuj hu ua cervical radiculopathy, nws tshwm sim nyob rau thaj tsam ntawm lub ncauj tsev menyuam vertebrae hauv caj dab.
- Dorsal impingement: tshwm sim hauv dorsal vertebrae ntawm sab nraub qaum ntawm caj dab thiab sab nraub qaum. Nws feem ntau yog qhov mob tsawg kawg nkaus thiab raug mob.
- Lumbar Impingement: Nws yog ib qho chaw zoo heev vim nws yog qhov chaw sib hloov thiab lub zog txhua hnub. Nws tshwm sim hauv lub lumbar vertebrae, tom kawg ntawm peb tus dev rov qab.
Kom nkag siab zoo dua ntau hom kev cuam tshuam hauv cov dev, peb xav kom koj nyeem lwm tsab xov xwm ntawm Dog Anatomy - Sab Nraud thiab Sab Hauv.
Symptoms of impingement in dogs
Cov clamping hauv dev yuav ua rau cov cim qhia tau los ntawm lub siab uas tau ua rau cov hlab ntsha lossis cov hlab ntsha hauv nqe lus nug, hloov nws txoj haujlwm kom raug. Feem ntau, kev cuam tshuam rau cov dev tuaj yeem ua rau muaj cov hauv qab no cov tsos mob:
- Nkauj kho siab.
- Nkauj ntseeg vaj tswv.
Tsis tas li ntawd, qhov cuam tshuam yog qhov tshwm sim los ntawm kev nthuav tawm qhov mob kuj nyob rau hauv qhov chaw uas cov hlab ntsha innervates (pob caj npab nyob rau hauv cov ntaub ntawv ntawm lub ncauj tsev menyuam los yog ceg nyob rau hauv lub lumbar impingement), thiab nyob rau hauv lub cheeb tsam ntawm lub paj hlwb. kev puas tsuaj nws tus kheej qhov twg cov hlab ntsha hauv paus mob tshwm sim (radicular mob).
Sij hawm dhau mus, impingement tuaj yeem ua rau Herniated Disc Qhov no yog vim qhov txhaws ntawm lub vertebra nyob rau hauv tib txoj hauj lwm vim lub siab, ua rau kev puas tsuaj rau lub intervertebral disc uas nias rau ntawm cov hlab ntsha. Qhov siab thiab qhov zoo li qub tau tswj xyuas lub sijhawm ua rau lub intervertebral disc tawg vertebral rings, ua ntej ua rau protrusion thiab tom qab ntawd hernia. Thaum muaj kev puas tsuaj loj heev, nws tuaj yeem txiav tawm cov hlab ntsha thiab ua rau tuag tes tuag taw.
Ua rau dev vwm
Lub hauv paus chiv keeb ntawm tus txha caj qaum hauv cov dev tuaj yeem taug qab los ntawm cov laj thawj hauv qab no:
- Hnub nyoog: kev hnav ntawm cov pob qij txha intervertebral hauv cov dev laus tuaj yeem ua rau lawv yooj yim dua thiab ua rau cov hlab ntsha siab
- Osteoarthritis: kab mob degenerative vim yog hnav thiab tsim kua muag ntawm pob txha pob txha pob txha ntawm ib leeg. Nyob rau hauv cov ntaub ntawv ntawm vertebral osteoarthritis, nws muaj peev xwm predispose rau impingement
- Traumatisms: tshuab rau tus txha nraub qaum tuaj yeem ua rau muaj kev cuam tshuam, nrog rau lwm yam teeb meem intervertebral disc thiab lwm yam ntaub so ntswg puas.
Rau tag nrho cov laj thawj no, peb pom zoo kom kuaj xyuas cov kws kho tsiaj tsis tu ncua.
Diagnosis of impingement in dogs
Kom kuaj tau tus kab mob no, thawj qhov uas yuav tsum tau ua yog ua ntawm qhov txhab thiab nws qhov tshwm sim nyob rau theem ntawm tus txha caj qaum reflexes, lub zog thiab kev txav mus los. Qhov kev kuaj pom tseeb ntawm kev cuam tshuam hauv cov dev tau ua tiav nrog , xws li:
- Plain x-ray.
- CT scan.
- Magnetic resonance.
Ob qhov kev xeem dhau los yog qhov zoo tshaj plaws los txiav txim qhov chaw ntawm qhov raug mob, nrog rau nws qhov kev koom tes thiab nws qhov hnyav. Lawv kuj yog qhov tseem ceeb thaum npaj kev kho mob phais nyob rau hauv cov teeb meem nyuaj tshaj plaws, xws li herniated discs.
Tsis txhob hnov qab tias qee cov kab mob xws li hypothyroidism thiab ntshav qab zib mellitus tuaj yeem cuam tshuam rau cov hlab ntsha peripheral thiab tsis meej pem qhov kev kuaj mob hauv qee kis, yog liyuav tsum tau ua txhua yamntshav tsom xam
Thaum lub degree ntawm impingement yog me me, kev kho mob yuav conservative siv kho mobnrog anti-inflammatory, so thiab kub hauv lub cheeb tsam. Ntawm qhov tod tes, thaum muaj cov tsos mob ntawm lub paj hlwb tab sis qhov kev raug mob tsis loj heev, nws kuj feem ntau teb tau zoo nrog anti-inflammatory therapy , tab sis nws yuav tsim nyog. ua tib zoo saib xyuas cov evolution thiab muaj teeb meem tshwm sim.
Txawm li cas los xij, thaum lub paj hlwb tsis txhim kho thiab, ntawm qhov tsis sib xws, hnyav zuj zus, koj yuav tsum Plan phais, tsis tos ntau dhau vim yog tos ntev heev, qhov raug mob tuaj yeem hloov tsis tau.
Kev phais nrhiav kom tso cov leeg txha caj qaum thiab cov paj hlwb los ntawm lub siab uas nws raug kev txom nyem los ntawm kev phais, hu ua laminectomy, tshem tawm ib feem ntawm qhov cuam tshuam vertebra lossis vertebrae thiab tso cai rau kev hla ntawm qaum. thiab nws decompression. Rau nws, physiotherapy yog ib qho zoo ntxiv rau kev rov zoo thiab sai dua.
