I kawr natna chu i kekawrte emaw, i kutphah emaw atanga i kut zungtang thlengin a radiate em? I kut chu a chang chuan a rilru a buai emaw, a chak lo emaw a ni em? Hetiang symptoms hi mi tam tak tan chuan a awm fo thin. Vawiin hian hei hi solution pakhat ni thei tur special injection chungchang kan sawi dawn a ni.
A awlsam zawngin, cervical epidural steroid injection tih hi eng nge ni?
Hming sei tak hian hlau suh. A awlsam zawngin sawi ila, hei hi damdawi (steroid) injection a ni a, chu chuan i kawr chhunga hmun te tak te, i ruhro vel, i ruhro vel a ‘epidural space’ an tih hmuna hliam a ti tlem a ni.
Hei hian a tum ber chu i kawr chhunga nerve root pakhat a compress leh a hring chhuak avanga natna rei tak awm chu control a ni. He natna hi damdawi lam chuan ‘Cervical Radiculopathy’ tia hriat a ni. Hei hi i kawr atanga i kut hnuai lam pan thin natna chu a ni.
Tlem han sawifiah teh ang. A hminga ‘cervical’ tih thumal hi Latin tawng atanga lo chhuak a ni a, a awmzia chu ‘neck’ tihna a ni. Chuvangin he vaccine hi hmeichhe serh chhungah ni lovin, kawr chhungah an inject a ni. Thumal pahnih inanna hian tlem a ti buai thei a ni.
Okay, engtin nge he injection hian natna a tihziaawm?
Hei hi hrethiam tur chuan kan kawr insiam dan hi han thlir hmasa ila.
I cervical spine hi ruh te tak te 7 atanga siam a ni a , chu chu vertebrae an ti a . Heng ruhte inkarah hian shock absorber ang maiin jelly ang chi disc a awm a, chu chu intervertebral discs an ti a ni. Chungte chu an inzawm khawm chuan i thluak atanga supercomputer cable tla thla ang maia ruhro (spinal cord) chu a venghim a ni.
Chuvangin, hetah hian i kut, ke leh i taksa zawng zawnga kal nerve te chu he ruhro atang hian an lo chhuak thin a ni. A châng chuan, herniated disk vang emaw, kum upat deuh deuha thil thleng danglamna avang emaw chuan he nerve root hi a compress thei a ni. Nerve pakhat chu compress a nih chuan a hring a, a na tan thin.
Chutah chuan he injection hi a pawimawh ta hle mai. Doctor chuan he steroid hi nerve hring leh thinrim takah direct in a inject a.
- Steroid hian eng nge a tih? Chu nerve swelling chu direct-in a ti tlem a ni.
- A hring a tlahniam chuan eng nge thleng? Nerve chunga pressure a tlahniam a.
- Pressure a tlahniam chuan eng nge thleng? I natna leh i rilru hahna chu a tlahniam zauh zauh thin.
A awlsam zawngin sawi ila, hei hi harsatna bulpui ber thlen te, damdawi hnawih te, a hring tihziaawmna te, leh nerve dam theihna hun pek te a ni. Mahse, hei hi hun rei lote chhunga chinfelna chauh a ni fo thin tih hre reng ang che.Mi thenkhat chuan he thil atang hian natna tihziaawmna an nei lo mai thei.
He vaccine hi eng ang kawng harsatna atan nge hman a nih?
He vaccine hi a hmaa ka sawi tawh ‘Cervical Radiculopathy’ tih natna atan hman a ni ber. Chu chu, kawr chhunga nerve pinched avanga symptoms awmte tan a ni. Chu symptoms te chu:
- Natna chu a kawr, kekawrte leh kut atanga rawn chhuak
- Kut leh kut zungtang a natna
- Kut ruh chak lohna (thil man harsat ang chi) .
- A tingling sensation, electric shock ang maia awm
A hnuaia tarlan te hi damdawi lama harsatna lian tham tak tak, heng natna lanchhuahna thlen thei te hi a ni.
| Natna dinhmun | A awlsam zawngin sawifiah a ni |
|---|---|
| Cervical Herniated Disk a awm bawk | Herniated disc chu herniated disc a rupture a, a chhunga jelly ang chi thil chu a leak chhuak a, a bula nerve chu a press a ni. Hei hi kawng na chhan ber a ni. |
| Cervical Degenerative Disk natna a ni | Kan tar chhoh zel chuan vertebrae inkar disc te chu a chhe vek a, chu chuan nerve roots a ti hring thei a ni. |
| Cervical Osteoarthritis/Spondylosis natna a awm thei | Kan tar chhoh zel chuan kan kawng ruh, disc, leh ruhkawr (joint)-ah te inthlak danglamna a awm thin. Hei hian ruh chhunga hmun a tihtlem bakah nerve a ti compress thei bawk. |
| Cervical Spinal Stenosis a awm thin | Kawr chhunga spinal canal kal chu chhan hrang hrang avangin a tawi thin. Space a tlem chuan nerve compress theihna tur hmun a tam zawk. |
He vaccine hi i lak hmain eng nge i tih tur?
I doctor-in he vaccine hi pek che a tum hnuah chuan thupek bik engemaw zat a pe ang che a, chu chu i zawm ngei ngei tur a ni.
- Naupai emaw, naupai tum emaw i nih chuan doctor hnenah i hrilh tur a ni a, he procedure hi X-ray hman a ngai thei a ni.
- I damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh rawh. A bik takin thisen tithianghlimtu chungchang hi doctor hnenah hrilh a pawimawh hle . I doctor chuan ni engemaw zat ei khap turin a ti mai thei che.
- Vaccine i lak hmain darkar engemaw zat chaw nghei turin an ti mai thei bawk.
- Vawi tam tak chu harsatna awmna hmun dik tak hriat theih nan MRI emaw CT scan emaw tih tir an ni.
- Injection i pek ni hian in lama hruai tur mi rawn hruai turin an ti ang che, mutna damdawi light tak pek i nih theih avangin.
Vaccine pek a nih hian eng nge thleng? A na em?
Hetiang hian minute 15 leh 30 inkar a awh tlangpui . Hemi hun chhung hian a theih ang anga i awm reng a pawimawh hle.
A kalphung hnathawh dan:
1. Inbuatsaihna: Hospital gown-ah thlakin i pum chungah dawhkan chungah i mu ang.
2. Thianghlimna: Vaccine injectna kawr hmun chu antiseptic solution hmangin uluk takin silfai thin a ni. Hei hian hri kai theihna a ti tlem a ni.
3. Numbing: A dawtah chuan doctor chuan numbing damdawi chu a injection hmunah hian needle te tak te hmangin a inject ang. Hei hian needle lian zawk i dah hunah natna tam tak i neih loh nan a pui ang che.
4. Needle dah: Tichuan, X-ray machine bik fluoroscopy , hmangin doctor chuan injection needle chu a hmun dik takah, nerve hnaih takah a kaihruai a.
5. Injection: Vawikhat chu needle chu a hmun dik takah a awm tawh chuan doctor chuan uluk takin steroid chu a inject ang. A châng chuan, numbing damdawi chu steroid nen hian an inhmeh thei bawk.
6. A tawp: Injection a zawh hnuah plaster te tak te chu needle dahna hmunah hnawih a ni ang a, minute 30 vel enkawl i ni ang a, chutah chuan in lama thawn luh i ni ang.
Engtin nge a natna chu?
Numbing damdawi chu rulhut te tak te in a chil ang maiin i hria ang. Injection bulpui i pek hian pressure , stinging sensation, burning sensation , emaw rei lo te chhung natna i nei thei. Mahse, i hriat apiang chu injection i pek zawh veleh a bo vek ang.
Tuar theih loh khawpa natna i neih chuan i doctor hnenah i hrilh nghal tur a ni.
Vaccine lak a, in lama i haw hnuah eng nge thleng?
In i haw hnuah chuan needle dahna hmunah chuan a na deuh mai thei. Hei hi thil pangngai a ni. Darkar tlemte hnuah a bo mai ang. Numbing damdawi pek i nih chuan i kawr, i kephah emaw, i kut emaw-ah rei lo te chhung chu a rit deuh emaw, a tingling emaw a awm thei. Chu pawh chu rei vak lo hnuah a bo mai ang.
Doctor chuan ni khat chhung chawlh la , i thawhrim lutuk loh tur thu a hrilh ang che .
A pawimawh ber chu injection hnu ni hnih emaw ni thum emaw chhung chu i natna hi a sang deuh thei a ni . Hemi chungchangah hian lungngai suh. Hei hi thil pangngai a ni. Steroid damdawi hian ni hnih atanga ni sarih chhungin hna a thawk tan thin . Chumi hnuah chuan a natna chu a reh tan ang.
He vaccine hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna a nei vek a ni.
| A thatna te | Risk & Complication awm thei te |
|---|---|
| Natna a\angin hun eng emaw chen a hahdamna a pe \hin. | Thisen sang hniam, luak chhuak. |
| A natna a tlem avangin physiotherapy exercise tih a awlsam phah hle. | Spinal fluid leakage avanga lu na na tak. |
| Nitin hna thawh tur chu awlsam takin a thawk thei a ni. | Needle awmna hmunah natna hrik (a tlem hle). |
| Surgery ang chi enkawlna lian tham a ngai lo mai thei. | Damdawi ei avanga allergy nei. |
| Thisen chhuahna emaw, thisen kalna kawnga needle a luh palh avanga thisen chhuak emaw, nerve chhiatna emaw (a tlem hle). | |
| Injection tam tak hian ruh ruh emaw, ruh ruh emaw a tichak lo thei a ni. |
Heng risk tam zawk hi chu a tlem hle . He enkawlna hi doctor tawnhriat ngah leh thiam takin a tihsak chuan he hlauhawmna hi a tiziaawm lehzual thei a ni.
He vaccine atanga hlawkna hi eng chen nge a daih?
Hei hi mi tin a inang lo. Mi thenkhat chuan ni engemaw zat atanga thla engemaw zat chhung chu natna reh an nei thin . Zirna thenkhatah chuan natna tihziaawmna hi thla 12-24 chhung vel a awm thei tih hmuhchhuah a ni. Mahse, hei hian chhawmdawlna nghet tak a thlen tam lo .
Doctor tam zawk chuan kum khatah heng injection pahnih emaw pathum emaw aia tam an pe lo, a chhan chu steroid inject tam lutuk hi a tha lo.
Engtikah nge doctor pan vat a ngaih?
Vaccine i lak hnua i haw hnua a hnuaia symptoms te hi i neih chuan a rang thei ang bera doctor ko rawh. A nih loh leh i damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
- Lu na na tak: A bik takin ding emaw, ṭhut emaw a lu na a zual a, mut laiin a tlahniam a nih chuan.
- Fever: Hei hi infection chhinchhiahna a ni thei.
- I kut ah persistent numbness emaw chak lohna emaw i neih chuan.
A tawpah chuan he shot hi kawr natna enkawlna pakhat chauh a ni. Hun eng emaw chen atana hahdamna a pekte hman te, physical therapy exercise te nen hian kawr chhunga taksa peng hrang hrangte tihchakna hi hun rei tak chhunga hahdamna neih theihna kawng tha ber a ni. Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
Take-Home Thuchah a ni
- ‘Cervical Epidural Steroid Injection’ hi nerve pakhata hliam tihziaawmna atana injection bik pek a ni a, hei hi kawr atanga kut thlenga chhuak natna leh rilru hahna enkawlna atan hman a ni.
- Hei hian hun eng emaw chen atan hahdamna a pe fo va, chu chu taksa enkawlna ang chi enkawlna dang panna atan hman theih a ni.
- Damdawi i ei zawng zawng leh i naupai a nih chuan i doctor hriattir hmasak a pawimawh hle.
- Injection hnu ni engemaw zat chhung chu a natna hi a sang deuh thei a, mahse hei hi thil pangngai a ni.
- Vaccine pek hnua lu na, khawsik, emaw, hun rei tak chhung i kut a chak lohna i neih chuan doctor thurawn zawng nghal rawh.
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