Epidural tih hi i hlau em? Thumal awlsam takin i sawi vek ang u!

I doctor hian epidural chungchang a hrilh tawh che em? Nau neihna atan emaw, operation atan emaw, hnungzang natna atan emaw pawh a ni mai thei. I ruhro hnaih taka injection lak chungchangah hian tlem a hlauthawng leh hreh deuh hi thil pangngai a ni. Mahse, eng nge ni tak tak? A him em? Eng nge a tih? Lungngai suh, awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

A awlsam zawngin, epidural tih hi eng nge ni?

Epidural chu i ruhro chhunga nerve chhehvel hmun khar takah natna tidamtu damdawi injection a ni. He hmun hi ‘epidural space’ kan ti a. Chutiang chuan a hming chu a lo piang ta a ni.

Kan ruhro hi tube angin ngaihtuah la, a chhungah hian wire tam tak a kal a. He tube chhungah hian spinal cord a awm a. He tube pawn lam, chu chu ruhro chhunga hmun ruak awm chu epidural space an ti a. He hmunah hian natna tidamtu damdawi an inject hian chu nerve kal tlanga thluaka kal thin natna signal te chu rei lo te chhung atan an titawp thin.

Doctor-te chuan epidural hi dinhmun hrang hrangah an hmang thin. Entir nan:

• Nau neih laiin natna control .
• Operation hmain anesthesia tih tir rawh .
• Operation hnua natna tihziaawm .
• Herniated disc ang chi natna avanga hnungzang natna hi enkawl rawh.
• Natna rei tak enkawl .

Epidural hi chi hnih a awm a, chungte chu:

Epidural kan pek chhan a zirin chi hnih a awm a. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.

Engtin nge hei hian hna a thawh? Epidural pek dan tur

Epidural hnathawh dan hi a chi hrang hrangah a inang lo.

• Epidural anesthesia hian natna hriatna nerve atanga thluaka signal lo lut chu hun eng emaw chen a block thin. Switch off ang mai a ni. Chu nerve te chu rei vak lo a off tir thin.
• Epidural steroid injection-ah hian natna thlentu inflamed nerve vel damdawi inject a ni. Hei hian nerve-a a hring leh pressure a tihziaawm a, natna chu a tiziaawm a ni.

Doctor ten he damdawi hi inject nan hian kawng hrang hrang an hmang thin.

Injection vawi khat hmanga epidural hman thin

Hei hian anesthetic emaw steroid emaw vawi khat injection a huam a ni. Hei hi hnungzang natna atana steroid injection pek dan a ni fo thin.

Epidurals chu catheter hmanga tih a ni

Hei hian epidural space chhungah tube (catheter) te tak te, flexible tak dah a huam a ni. He tube hian damdawi dose engemaw zat a hun takah leh a zat dik takah a pe thei a ni. Hetiang hmanrua hi nu naupai leh hun rei tak operation neih laia natna control nan an hmang fo thin.

Epidural leh PCA a awm

Surgery thenkhat hnuah i epidural space-ah catheter dah a ni a, chutah chuan pump te tak te an connect bawk. Hemi chungchangah hian button pakhat i hmet a, i doctor-in a pek damdawi him tak chu i inject thei a, i mamawh hun apiangah. Hei hi patient-controlled analgesia (PCA) an ti a.

A rilru a buai em em a, a rilru a hah em em bawk a. Combined spinal-epidural (CSE) .

Hei hian catheter hmanga anesthetic leh steroid inzawmkhawm pek a huam a ni. Hetiang hmanrua hi nau neih laia natna control nan an hmang fo thin. ‘Walking epidural’ an ti bawk a, mahse a takah chuan mi tam tak chu an kal thei lo. Mahse, an keah sensation engemaw zat an neih avangin an la che thei tho.

Epidural hma hian engtin nge i inbuatsaih thin?

Epidural i tih chhan a zirin i inbuatsaihna tur chu a inang lo thei. Chuvangin doctor thupek dik taka zawm a pawimawh. A tlangpuiin, hetiang thil hi tih tir i ni thei:

• Enkawl hma darkar engemaw zat ei leh in loh tur.
• Damdawi thenkhat (a bik takin thisen tithianghlimtu) leh vitamin ei hi rei lo te chhung atan bansan rawh.
• Enkawlna zawhah mi pakhatin in lama hruai che turin ruahmanna siam hmasa phawt ang che.

Epidural pek a nih chuan eng nge thleng?

Epidural pek i nih chuan i sir lam hawiin i muhil ang a, a nih loh leh hmalam pan a, thu turin an ti ang che. Tichuan doctor chuan hengte hi a zawm ang:

1. A hmasa berin i kut chhunga vein pakhatah cannula dah la, saline drip ang maiin.

2. Tichuan, epidural dahna hmun chu numb turin injection te tak te an pe a .

3. A dawtah chuan epidural needle chu i hnungzang a epidural space-ah i dah lut leh ang. (Back natna atana steroid injection atan chuan a chang chuan camera bik (fluoroscopy) hman a ni a, X-ray ang bawkin, needle kalna tur dik tak hriat theih a ni.)

4. Catheter dah a nih chuan needle hmangin tube te tak te (catheter) dahin uluk takin needle chu lakchhuah a ni. Tube chu taksa chhungah a awm reng a ni.

5. Tichuan chu tube kaltlangin damdawi chu an pe tan ta a.

6. Damdawi i mamawh tawh loh hunah (darkar tlemte emaw ni engemaw zat hnuah pawh a ni thei) catheter chu lakchhuah a ni ang.

Epidural hian a hnuah hnungzang a ti na em?

Hei hi mi tam takin an zawh thin leh mi tam takin an hlauh em em a ni.

Ni engemaw zat chhung chu injection na hmunah hian natna emaw, hliam emaw tlem a awm hi thil pangngai a ni. Hei hi ni hnih atanga ni thum chhungin a bo vek ang.

Nu tam tak chuan nau an pai hnuah hnungzang na an nei thin. A chhan chu naupai laia ruh leh ruh (ligament) inzawmkhawm tawhte chu an dinhmun pangngaiah an insiamrem leh tan tawh a ni. Hei hi epidural i neih leh neih loh pawhin a thleng thei. Chuvangin epidural hi i mawhpuh thei lo.

Risk leh side effect a awm em?

Epidural hi a tlangpuiin a him hle a, mahse damdawi hman dan dang ang bawkin hlauhawmna tlemte chauh a awm. Mahse, hengte hi a tlem hle.

• Injection na hmun atanga thisen chhuak.
• Injection na hmuna natna hrik awm.
• Spinal fluid leak (hei hi a thleng tlem hle).
• Nerve tihchhiat a ni.
• Damdawi avanga side effect emaw allergy emaw a awm thei.

Heng risk te hi a tlem hle. I doctor chuan heng zawng zawng hi a ngaihtuah ang a, a him ber angin a enkawl ang che.

Engtikah nge doctor nen in inbia ang?

Epidural i pek hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal la, a nih loh leh hospital emergency department (ETU) hnai ber pan rawh.

I ruhro hnaih taka injection i lak dawn tih an hrilh hian hlauhna i neih hi thil pangngai a ni. Mahse epidural hi natna control nan a him hle a, a hlawk hle bawk. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. Engkim a hrilhfiah ang che.