Ke ruh bo chu a la na em? Phantom Limb Pain tih hi eng nge ni? Kan sawi dawn nia!

I taksa peng awm lo, kut emaw, ke emaw sawi ila, chu chu lak chhuah tura operation i neih hnuah natna i nei thei em tih i ngaihtuah ngai em? Tlem chuan mak deuhin a ri a ni lawm ni? Mahse hei hi a takah chuan mi thenkhatin an tawn thin thil a ni. Hei hi doctor-te’n (Phantom Limb Pain) an tih chu a ni. A awlsam zawngin, "limb bo natna" tih hi a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hei hi mi tam takin an hriat chian loh tak tak a ni a, mahse hriat hlawh tak a ni.

Phantom Limb Pain hi eng nge ni tak tak?

A awlsam zawngin, phantom limb pain chu i taksa peng pakhat, kut, ke, kut zungtang, surgery hmanga lak chhuah tawha i natna tak tak chu a ni. I ngaihtuah mai thei, "Aw, chu part chu a awm tawh lo, chuti a nih chuan engtin nge a na theih ang?" Chu chu a dik a, mahse i natna chu hrehawmna tak tak a ni . Mi thenkhat tan chuan he natna hi fiah lo tak, natna tlemte ang maiin a lang thei. Mi dangte tan chuan tuar theih loh a ni thei. Tin, he natna hi second tlemte, darkar tlemte, ni engemaw zat, a aia rei pawh a awm thei bawk. A tha ber chu, he natna hi enkawlna a awm a, chuvangin doctor chuan he natna hi a enkawl thei che a ni.

Hetiang natna leh hriatna chi hrang hrang a awm em?

Ni e, ke ruh lak chhuah hnuah chuan hriatna chi hrang hrang i nei thei a ni. Heng zawng zawng hi natnain a zui vek lo. Doctor-te chuan heng sensation te hi "phantom" an ti. Chu chu "bo" tihna a ni. A bik takin chi hrang hrang kan thliar hrang thei a:

• Phantom Pain: Hei hi kan sawi tum ber chu a ni. Kut emaw ke emaw lakchhuah tawhah natna hriat tihna a ni.
• Phantom Sensations: Hei hi kut emaw ke emaw tan tawh chu taksa chhunga awm ang maia a awm lai a ni . Mahse, hrehawm a awm lo. Chu ai chuan khawih, pressure, itching, heat, cold, tickling, vibration ang chi thil i hre mai thei. Entîr nân, mi pakhatin a ke a tan tawh chuan a ke chu a la awm reng nia ngaihin a ke pahniha kal a tum mai thei.
• (Phantom Pain Syndrome) - Kawng leh ke bo a natna leh hriatna nei dinhmun: Hetah hian natna nen hian hriatna dang, a hmaa kan sawi tawh ang chi touch , pressure, leh itching te chu a rualin hriat theih a ni.
• Residual Limb Pain emaw Stump Pain emaw: Hei hi a danglam deuh. Hei hi kut emaw ke emaw lak chhuah hnua taksa peng dang (stump)-a natna awm thin a ni. Hei hian damdawi lam thil a nei tlangpui. Entirnan, hliama natna hrik emaw, nerve tihchhiat emaw a ni thei.

Phantom Limb Pain hi engtiang chiahin nge a awm?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Research atanga a lan dan chuan ke ruh hloh zinga a chanve aia tam chuan hetiang hi an tawng thin (Phantom Limb Pain).

He hrehawmna hi engtin nge a awm?

Phantom Limb Pain hi kawng hrang hrangin kan tawng thei a. Mi hrang hrangah a inang lo vek avangin eng nge a nih chiang taka sawi a harsa hle. Mahse a lan chhuah dan report tam berte chu:

• A na hle
• Kang (Burning) ang maiin .
• Itching a ni
• Numbness a awm
• Mi pakhatin a pinch (Pinching) ang maiin .
• Tingling a ni
• Sharp stabbing natna (stabbing) 1.1.
• Temperature inthlak danglamna (a lum emaw, khaw lum emaw ang chi) .
• Throbbing zet mai
• Twisting a ni

I kut/ke bo chungchangah hian a hnuaia thilte hi i ngaihtuah thei a, i hre thei bawk ang:

• Taksaah chuan a la innghat tlat niin a lang.
• Thil mak tak, awkward takah a awm niin a lang.
• A kal leh zel niin a lang.
• Zawi zawiin a tlem chho zel niin a lang a, a te deuh deuh bawk.

Ngaihtuah teh, i ke pakhat chu i la chhuak a, mahse i ke ruhte chu a hrual ang maiin i la hria a, a nih loh leh mi pakhatin a hrual ang maiin i la hria. Hei hi chutiang chu a ni.

Engtikah nge phantom limb pain hi a lo awm tan?

Mi tam tak chuan an kut leh ke an lakchhuah hnu thla ruk chhungin phantom pain an nei tan niin an sawi. Chumi hnuah chuan natna nasatna leh a nasat dan chu a tlahniam zauh zauh tlangpui. Mahse, zirchianna atanga a lan dan chuan mi thenkhat chuan operation an neih hnu kum hnih thlengin phantom pain level engemaw zat an la nei thei tho.

He natna tipungtu trigger te chu engte nge ni?

A châng chuan, phantom natna hi a inṭan nghal thei a, a nih loh leh a natna chu a na zual thei bawk a, hei hi:

• Chauhna
• Rimtawng
• Hlauhthawnna
• Lungngaihna
• Infection - a bik takin stump-ah
• Thisen kal dan chungchang
• A la awm (stump)-ah pressure emaw swelling emaw a awm .

Engvangin nge hetiang (Phantom Pain) hi a lo awm?

Doctor-te chuan a chhan dik tak chu an la hre chiang lo a, mahse mi tam tak chuan kan nervous system-a inbiakpawhna dik lo a nih an ring.A chhan chu thil dang a nih vang a ni. Hei hi a ni a, kan taksa chhunga peripheral nerve te hian kan spinal cord leh thluak ah signal an thawn thin. Heng signal te hi kan taksa che leh hriatna atana puitu an ni. Tunah chuan, taksa peng ang chi pakhat chu lakchhuah a nih hnuah pawh, chu nerve lakchhuahna hmuna nerve awmte chu bo tawh mah se, chu nerve inzawmna chu kan taksaah hian eng emaw chen chu a la awm reng a ni . Limb pakhat lakchhuah hi taksa tan chuan shock lian tak a ni. Kan thluak hian he inthlak danglamnaah hian insiamrem a tum thin. A châng chuan chutiang thil mak emaw, a danglamna emaw chhanna atan chuan nerve te chu "a thinrim" thei a ni. Tichuan an thawn dan pangngai aia tam signal an thawn thei a, a nih loh leh signal chu an tibuai thei bawk. Kan thluak hian heng signal te hi a hrilhfiah dik lo a ni . Hei vang hian sensitivity a sang a, natna anga hriat a ni.

Residual limb pain awm chhante chu engte nge ni?

Kan sawi tawh ang khan taksa peng la awm, lakchhuah loh, a zung (stump) hian natna a thlen thei a ni. He part hi taksaah a awm tak tak avangin natna thlen thei tur harsatna engemaw zat a awm a:

• Bruising a awm
• Ruh natna (Osteomyelitis) emaw ruh than dan pangngai lo (bone spurs) emaw .
• Neuroma, nerve tumor ang chi natna
• Nerve chhiatna avanga natna (Neuropathic pain) .
• Thisen kal tha lo
• Prosthetic device in fit tha lo tak bun
• Pressure hliam /khum natna nei
• Vun emaw hliam emaw natna

A chang chuan phantom limb pain leh phantom limb pain te hi a rualin i nei thei bawk.

(Phantom Limb Sensation) A nih loh leh engvangin nge kut leh ke bo hriatna hi a lo awm?

Phantom Limb Sensation chu taksa peng pakhatah natna awm lovin khawih leh chetna hriatna a ni. Hei hi i thluak hian limb pakhat lakchhuah hnuah sensory signals rewire a tum vang a ni. Kan taksa hian kan dam chhungin kan taksa peng hrang hrangah signal a thawn chhuak thin. Tunah chuan chu part chu a bo tawh a, he inthlak danglamna nena inmil tur chuan thluak hian signal thawnna tur hmun a zir leh a ngai ta a ni. Thil thar zir tur hian hun a mamawh ang bawkin, kan taksa hian he inthlak danglamna hi a insiamrem theih nan hun a mamawh a ni. Chuvang chuan Phantom Sensations kan tawng thin.

Phantom Limb Pain vei theihna chance sang zawk tu nge awm?

Dik tak chuan, ke ruh tliak tawh apiangin phantom pain an nei thei a ni. Mahse, taksa peng chunglam (kut, kut zungtang) tan tawhte zingah a tam zawk . Mahse, taksa peng eng pawh tan a nih chuan a thleng thei a ni. Prosthetic device i hman fo chuan a lakchhuah hunah natna i nei tam zawk thei.

He natna avang hian eng harsatna nge thleng thei?

Natna nena khawsak hi thil awlsam a ni lo. Phantom Limb Pain hian i rilru hriselnaah nghawng lian tak a nei thei a ni . A châng chuan lungkhamna emaw, lungngaihna emaw pawh a thlen thei a ni . I natna avang hian:

• I mut tha thei lo mai thei.
• Nitin hna i thawk tha thei lo mai thei.
• I thil tih nuam tihah i tel thei lo mai thei.

Chuvang chuan he natna hi thunun theih nan Doctor hnen atanga tanpuina dil a pawimawh hle.

Engtin nge doctor te hian phantom limb pain hi an hriat theih?

Doctor chuan a enfiah ang che a, a tul chuan test engemaw zat a nei ang a, hei hi Phantom Limb Pain a ni em tih a hriat theih nan.

• A hmasain, i rilru put hmang leh i rilru put hmang hriat tumin zawhna an zawt che a .
• Tichuan, ke ruh lakchhuahna vun chu hliam emaw, natna hrik kai chhinchhiahna emaw a awm leh awm loh enfiah thin a ni .
• Thisen test emaw imaging test emaw pawh tih theih a ni a, natna thlentu dang a awm leh awm loh hriat theih a ni bawk.

Amputation hian rilru leh rilru lamah nghawng lian tak a neih theih avângin, i doctor chuan rilru lam endikna neih a rawt thei bawk . Phantom Pain hi stress, lungkhamna, leh lungngaihna te hian a tizual thei bawk. Chuvang chuan a natna chhan dik tak hriat chian a, enkawl a pawimawh.

Phantom pain enkawlna tur engte nge ni?

Phantom limb pain hi enkawlna hrang hrang a awm a. I doctor chuan i dinhmun nena inmil ber a thlang ang. Enkawlna lian ber berte chu:

• Damdawi chi hrang hrang
• Darthlalang hmanga enkawlna
• TENS therapy (Transcutaneous electrical nerve stimulation) - vun hmanga electrical nerve tihchak.
• Spinal cord tihchakna a ni
• Neurostimulation hmanga enkawl a ni
• Stump revision surgery - thil bik thenkhatah chuan.

Chu bâkah, heng ang chi complementary therapies hian hahdamna a pe thei bawk:

• Acupuncture hmanga tih a ni
• Biofeedback hmanga enkawlna a ni
• Cognitive behavioral therapy (CBT) hmanga tihdam theih a ni.
• Massage hmanga tihdam theih a ni
• Meditation emaw mindfulness exercise emaw tih theih a ni

Enkawlna pakhat chauh hmangin i khawsa thei mai thei a, a nih loh leh enkawlna engemaw zat in tih dun a ngai mai thei bawk.

Mirror Therapy hi eng nge ni?

Hei hi hmanraw awlsam tak, mahse a hlawkthlak hle. Heta thil thleng chu i thluak chu darthlalang hmangin i "trick" a ni.Chutiang thil chu. Chu chu thluak hian kut/ke tan a la awm tih a ring tlat tihna a ni. Hetianga enkawlnaah hian kut/ke tanna hmun sir lamah darthlalang a awm a. Tichuan, darthlalang i en chuan i kut/ke dang hrisel tak chu i hmu ta a ni. Mirror image hian a kut/ke bo chu a la awm ang maiin a lang. Tichuan, doctor emaw physiotherapist emaw chuan kut/ke hrisel tak hmangin movement thenkhat ti turin a hrilh che a, chu chu darthlalangah i en a ngai a ni. Hei hian thluak chu i taksa peng hrisel pahnih i nei tih a ngaihtuah tir thin . He exercise hi ni khatah minute 20 vel i tih a ngai a ni. Hun a kal zel a, thluak hian he thu hi a process thin. Thluak hian kut/ke bo chu a la awm niin a ngaih avangin nervous system inkara signal thawn chhuah chu a buai lo. Tichuan a na chu a reh ta a ni.

Phantom Limb Pain damdawi te chu engte nge ni?

Damdawi pek chi hrang hrangte chu i mamawh dan azirin a inang lo thei. Damdawi chi hrang hrang hman tlanglawn ber berte chu:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) - e.g. Ibuprofen, Diclofenac tih a ni.
• Prescription hmanga natna tidamtu
• Antidepressant - Hengte hi a chang chuan natna atan pek thin a ni.
• Antiseizure damdawi - e.g. `Gabapentin`, `Pregabalin` tih te hi a ni. Hengte hi nerve natna atan pawh pek thin a ni.
• Beta-blockers te hi - e.g. Propranolol a ni.
• Calcium channel blocker - e.g. Nifedipine a ni.
• Botulinum toxin B injection - a then phei chuan.
• Local anesthetic infusions - entirnan, Lidocaine emaw Bupivacaine emaw awmna te.

Damdawi zawng zawng ang bawkin side effect a awm thei bawk. Chuvangin, i doctor chuan an chanchin i enkawl tan hunah a hriattir ang che.

Phantom limb natna ven dan tur a awm em?

Dik tak chuan, kut tan hnua phantom limb natna hi pumpelh vek theihna tur kawng finfiah a awm lo . Mahse, zirchianna thenkhatah chuan spinal anesthesia leh general anesthesia pahnih hman hian phantom limb pain a ti tlem thei niin an sawi.

Phantom Limb Pain i neih chuan eng nge i beisei theih ang?

I ke i tan hnua phantom limb pain i neih hmasak ber hian i lungkham hle thei a, i buai hle thei bawk . I ngaihtuah mai thei, "Engvangin nge hmun awm lohna hmunah hian hetiang natna hi ka hriat?" Hetiang natna chi hi taksa tan chuan thil thar a ni thei a, mahse ke ruh tliak tawhte tan chuan a awm fo thin .. He natna hian i nitin hnathawh leh mut a tibuai thei a ni. A tha ber chu, doctor te hian he natna hi enkawl turin an pui thei che a ni. I mamawh ang zela enkawl theih tur enkawlna tam tak a awm a. Tin, ke ruh lak chhuah hian i rilru hriselna a nghawng thei bawk. Chuvangin, phantom natna thlentu stress, lungkhamna leh lungngaihna te enkawl turin mental health counselor nena inbiakna pawh hi i enkawlna ruahmannaah a tel thei bawk.

Heng (Phantom Pains) te hi eng chen nge a awm theih?

Phantom limb natna hi eng chen nge a awm dawn tih chiang taka sawi a harsa hle. Hun eng emaw chen atan emaw, rei tak chhung emaw pawh a ni thei . A natna hi second tlemte, minute engemaw zat, ni tam tak pawh a awm thei. Mi tin a inang lo. Mi tam zawk tan chuan ke ruh lak chhuah atanga thla ruk hmasa berah a na ber a, chutah chuan taksain a inthlak danglamna a insiamrem chuan a reh zauh zauh thin. Mahse, he natna hian i nunah nghawng a neih tihziaawmna tur enkawlna a awm.

Doctor hmuh hun tha ber berte chu engte nge ni?

Heng thilte hi i neih chuan doctor pan ngei ang:

• Natna hian mut emaw nitin hnathawh emaw a tibuai a nih chuan .
• Residual limb-ah natna kai chhinchhiahna a awm chuan (e.g. khawsik, vun rawng danglam, vun hring, zun).

A tawp berah chuan: Phantom Limb Pain hi mi tam takin an taksa peng pakhat an hloh hnua an tawn thin a ni. Ke ruh bo a natna hriat hian lungkhamna, mualphona, leh "Ka â em?" Mahse i hrehawmna chu a tak tak a ni . Chuvangin ngaihthah suh. I doctor chuan a pui thei che a ni. He natna hi hun kal zelah a reh tlangpui.

A tawp berah chuan thil hriat reng tur

Chuvangin, Phantom Limb Pain hi a buaithlak deuh a, mahse hriatthiam theih a ni. Nangmah emaw, i hriat emaw hian hetiang dinhmun hi i nei a nih chuan hengte hi hre reng ang che:

• Hei hi hrehawm tak a ni: i ngaihtuah mai mai a ni lo.
• Nangmah chauh i ni lo: mi tam tak chuan he thil tawn hi an nei a ni.
• Enkawlna a awm: natna thunun tur leh nun awlsam zawka siam turin tanpuina i hmu thei.
• Doctor nen inbia: Zak leh hlau suh. I dinhmun chungchang chu tlang takin sawi rawh.
• Rilru hriselna pawh a pawimawh: chu mi atan pawh a tul chuan tanpuina dawng rawh.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

---

` Phantom limb na, ke leh ke hloh, na, nerve na, mit enkawl, operation hnua natna, rilru hriselna