Pum natna tuar theih loh (Celiac Plexus Block) enkawlna tur i zir dawn em ni?

A châng chuan kan pum natna kan nei a, chu chu pill awlsam takin a reh lo. A bik takin pancreatic cancer emaw pancreatitis ang chi ah chuan a na hi tuar harsa tak a ni. Chuvangin vawiin hian hetiang natna khirh tak tak control nana hman thin enkawlna bik kan sawi dawn a ni.

Celiac Plexus Block hi eng nge ni?

A awlsam zawngin sawi ila, hei hi natna control nana injection pek a ni. Kan pum chhungah, a chung lamah chuan ‘celiac plexus’ an tih hmun a awm a, chutah chuan nerve tam tak a awm khawm a. Kan pum chhunga nerve message center ang mai a ni. Kan liver, stomach, pancreas, gallbladder, intestines ang chi organ atanga natna signal lo chhuak te hi he nerve cluster hmang hian thluak ah a kal thin.

Chuvangin, `Celiac Plexus Block` ah hian damdawi pakhat chu he nerve bundle ah hian inject a ni a, hun eng emaw chen emaw, a tawp emaw atan natna signal te chu thluaka kal chu a titawp a ni. Natna chungchanga phone call ‘cut’ ang mai a ni. Hei hi `nerve block` enkawlna a ni.

He nerve bundle hi eng organ nen nge a inzawm?

• A gallbladder a ni
• Intestines a awm
• Thin
• Pancreas a ni
• Pumpui

Heng taksa peng hrang hranga thil dik lo a awm a, heng nerve te hi a compress chuan natna nasa tak a awm thin.

He enkawlna hi eng nge a hman tangkai theih?

He enkawlna hi pum natna nasa tak, awm reng, natna tidamtu dang hmanga thunun harsa tak tan hman a ni fo thin.

Mi tam tak chu pancreatic cancer vei nia hriatte chu an na hle tawh a. Chumi atan chuan Doctor-te chuan natna tidamtu tha tak tak an pe thin. Mahse, heng damdawi te hian side effects a thlen thei a, chu chu hriatrengna hloh, constipation, leh nausea te hi a ni . A châng chuan heng damdawi ei hnu pawh hian a natna chu a reh vek lo. Chutiang hunah chuan `Celiac Plexus Block` hi a tangkai thei hle.

Hemi atan hian engtin nge i inbuatsaih ang?

He enkawlna hmaa i tih tur awmte chu i doctor-in a hrilh ang che. An sawi tlangpui ang:

• Damdawi thenkhat chawlhsan: Damdawi thenkhat, thisen tithianghlimtu ang chi te hian i enkawl hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei. Amaherawhchu, doctor thurawn tel lo chuan ei kha bansan ngai suh.
• Ei leh in pumpelh dan: Enkawl hma darkar engemaw zat ei leh in bansan turin an ti ang che. Anesthesia pek lai hian pum ruak neih a him ber.
• Meizial zuk loh tur: Meizial zu mi i nih chuan bansan a tha ber a, hei hian harsatna a thlen theihna a tipung thei a ni.
• Lirthei buatsaih: Hei hi outpatient procedure a ni. Chumi ni vek chuan in lamah i haw thei tihna a ni. Mahse, procedure zawhah chuan i khalh thei dawn lo a nih avangin in lama khalhtu tur mi i rawn hruai a ngai dawn a ni.

Enkawl lai hian eng nge thleng?

He enkawlna chhung hian a hnuaia step te hi zawm tur a ni:

1. Pakhatnaah chuan i rilru tihmuang turin damdawi (sedative) tlem te te chu i kut vein pakhatah an pe ang. Hei hian i rilru a hahdam ang a, mahse a muthilh kim lo vang.

2. Chumi hnuah chuan dawhkan chungah i pum chungah mu turin siam i ni ang. I hip hnuaiah pillow dah a ni ang. Chutianga mut nuam lo i nih chuan i hnungzang chunga mu turin siam i ni thei.

3. Injection na hmun chu antiseptic solution hmangin uluk takin silfai tur a ni.

4. A dawtah chuan local anesthetic injection te tak te an pe leh thin. Hetih lai hian prick te tak te i nei mai thei.

5. Tichuan, needle an thun a, special dye (contrast dye) an inject leh a. He dye hi X-ray, CT scan emaw endoscopic ultrasound emaw hmangin hmuh theih a ni. Hei hian doctor chuan damdawi injectna tur hmun dik tak a hmu thei a ni.

6. A hmun dik tak an hmuh veleh painkiller emaw steroid emaw nerve bundle-ah an inject thin.

7. A chang chuan rei tak natna tihtawp i duh chuan chemical pakhat alcohol emaw phenol emaw an inject a, chu chuan nerve thenkhat chu a titawp thin. Hei hi `neurolytic procedure` an ti a.

Procedure pumpui hi darkar khat vel a ni tlangpui. Mahse, injection ngei pawh hi minute tlemte chauh a ni. Inbuatsaih hmasak hun a awm a, enkawlna hnuah minute 30 vel enfiah a ni bawk.

Enkawl hnuah eng nge thleng? Tin, a hlawknate chu eng nge ni?

Enkawlna i neih atanga minute 30 chhungin hahdamna engemaw chen i nei tan thei. In lama thawn chhuah hmain minute 30 tal enkawl i ni ang. Darkar khat vel hnuah i haw thei tawh ang. Mahse, khawngaihin midang khalh tir che tih hre reng ang che.

Hei hian a hlawkna lian ber berte chu:

• Pum natna nasa tak awm reng control.
• Breakthrough pain tihziaawmna.
• Oral painkillers hman tlem.

Side effect a awm em?

He enkawlna atanga harsatna lian tak tak thleng hi a tlem hle . Mahse, side effect tenau thenkhat a awm thei. I doctor chuan heng zawng zawng hi enkawl hmain a hriattir ang che.

Eng chen nge a dam leh theih ang? Eng chen nge natna nei lovin ka awm theih ang?

Enkawl hnu darkar 24 atanga darkar 48 chhungin hnathawh pangngaiah i kir leh thei a ni. Mahse, darkar 24 hmasa berah chuan lirthei khalh suh, exercise la, thil rit phur suh. A pangngaiin i ei leh in thei.

Natna nei lo tura hun rei zawng hi mi tin a inang lo.

• Painkiller leh steroid inkawp hian thla thum atanga thla ruk chhung chu natna a tiziaawm thei a ni . Nakinah chuan injection dang a ngai mai thei.
• Mahse `neurolytic` method (zu ang chi thil inject) i hman chuan, natna tihziaawmna chu rei zawk a daih thei , a awm reng pawh a ni mai thei.

Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.

Enkawlna hnua a hnuaia symptoms te hi i neih chuan tihkhawtlai lohvin i doctor hnenah zawhfiah tur a ni.

• Thisen sang hniam chhinchhiahna , luak chhuak, muhil, tuihal lutuk te.
• Thâwk lak harsat .
• Infection chhinchhiahna, injection na hmuna sen, zun, khawsik te.
• Ke ruh, a hring, a nih loh leh ke ruh .

Natna hi nunna atana hlauhawm tak a ni. I natna avangin khum atangin i tho thei lo emaw, i hmangaih tak takte nen hun i hmang thei lo emaw pawh a ni thei. Painkiller i ei a nih pawhin a side effect vangin i dam lo mai thei. Chuvangin i natna hian i nitin nun a tibuai a nih chuan i doctor nen Celiac Plexus Block ang chi enkawlna thar chungchang sawipui rawh.