I hnungzang leh i ke hnuai lam electric tlan ang maia natna i nei fo thin em? A nih loh leh i kawr atanga i kut thlenga natna i tuar rei tawh em? Hetiang natna nen hian nitin hna i thawk tha thei lo a ni ngei ang, a dik em? Vawiin hian hetiang natna thunun nan hian doctor ten an hman thin injection method bik kan sawi dawn a ni. Hei hi Epidural Steroid Injection, a tawi zawngin ESI an ti a.
A awlsam zawngin, Epidural Steroid Injection (ESI) hi eng nge ni?
Hei hi a ngaih angin thil lian tak a ni lo. Epidural steroid injection (ESI) chu damdawi steroid emaw corticosteroid emaw an tih chu i ruhro chhunga nerve chhehvel hmuna injection a ni. He damdawi hian nerve zung, inflamed leh inflamed te swelling tihziaawmna hmangin hna a thawk a, chu chuan natna chu a ti reh thei a ni.
A pawimawh ber chu, hei hi nau neih laia natna tihziaawmna tura pek "epidural" a ni lo. Chu chu taksa peng pakhat tichaktu damdawi a ni. He ESI hi damdawi a ni a, a hring (swelling) a tiziaawm a ni. An pahnih hian an danglam vek.
I ruhro chu highway angin ngaihtuah rawh. I thluak atanga thuchah lo lutte chu i taksa pum puia a kalna kawng a ni. He highway hi nerves branch off a ni. A châng chuan, vertebrae pahnih inkar disc chu a bulge chhuak thei a, a nih loh leh chhan dang vangin kawngpui sir lama awm nerve chu a compress emaw, a pinch emaw thei bawk. Chutah chuan tuar theih loh natna a lo awm thin.
ESI injection hian a tih chu nerve pinched, swollen takah kal nghal a, damdawi engemaw zat inject hi a ni. Hei hian nerve swelling a tiziaawm a, pressure a ti tlem a, a natna a tiziaawm bawk. Hemi atanga natna tihdamna hi mi thenkhat tan ni engemaw zat a daih thei a, thenkhat tan chuan thla tam tak chhung a daih thei bawk. Tin, a chang chuan he injection hian eng nerve nge natna thlentu dik tak tih hriat nan a pui bawk.
Eng condition atan nge ESI vaccine pek thin?
I doctor chuan he injection hi a rawt nghal mai lo tlangpui. Hetiang injection hi enkawlna dang, physical therapy leh painkillers te hian i natna a puih loh chuan ngaihtuah tur a ni.
He vaccine hi a tangkai theihna tur thil awm dan tlangpui thenkhat chu hetiang hi a ni:
- Herniated Disk: Kan hriat vek angin hei hi "herniated disk" an tih condition a ni. Hei hi ruhro vertebrae inkar disk a bulge chhuak a, nerve pakhat a press na hmun a ni.
- Spinal Stenosis: Spinal chhunga ruhro (spinal cord) kalna tur kawng (pasageway) a tawi avangin nerve compression a awm thin.
- Vertebral Bone Spurs te chu: 1.1.Ruh lian (spines ang chi) ruh pawn lama nerve tibuaitu.
- Failed Back Surgery Syndrome: Back surgery hnua natna nei chhunzawm zelte tan.
- Scoliosis: Spine curvature avanga nerve compress a nih chuan.
- Spondylolysis: Kum upat ruala ruhro a chhe lutuk avanga natna.
- Accident dang avanga spinal nerve tihchhiat a nih chuan.
ESI vaccine chi hrang hrang a awm em?
Ni e, heng vaccine te hi pekna hmun leh needle dah dan azirin chi hrang hrangah then theih a ni. Hei hi i hriat a pawimawh.
Injection na hmun atanga thlirin spinal injection chi hrang hrang
| Vaccine chi hrang hrang | Hrilhfiahna |
|---|---|
| Cervical ESI a ni | Hei hi kawr chhungah pek a ni. He injection hi i kawr atanga i kut hnuai lam (entir nan, i kawr chhunga herniated disc avanga lo chhuak) natna atan hman a ni. |
| Thoracic ESI tih hi a ni | Hei hi mid-back area ah chest level ah pek thin a ni . He lai hmuna natna atan pek thin a ni a, a bik takin he hmunah hian herniated disc a awm chuan pek thin a ni. |
| Lumbar ESI a ni | Hei hi a tam ber chi a ni. He injection hi hnungzang hnuai lam ah pek thin a ni . Hnunglam atanga ke hnuai lam atanga hnute kaltlanga natna lo chhuak thin tan pek thin a ni. |
Injection needle chi hrang hrang chu a dahna kawng a zirin
Hei hi technical deuh a ni a, mahse awlsam takin i hrethiam ang u.
- Interlaminar ESI: Hetah hian needle chu laminae pahnih, vertebrae pahnih hnung lama ruh structure awmte inkarah dah a ni.
- Transforaminal ESI: Needle chu ruh atanga nerve chhuahna khur (foramina) kaltlangin dah a ni a, damdawi chu nerve na takah direct inject a ni.
- Caudal ESI chu: 1.1.Hetah hian ruhro bul, hnute chung lam deuha hawnna te tak te (sacral hiatus) hmangin needle an dah a, a bul hnaia nerve-ah damdawi an inject a ni.
He vaccine hi engtin nge ka inbuatsaih ang?
Awle, tunah chuan doctor in he injection hi pek che a tum ta ang u. Chumi hmaa inbuatsaih ngai tlemte a awm. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.
- Naupai emaw, naupai tum emaw i nih chuan i doctor hnenah hrilh ngei ngei tur a ni.
- I damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh rawh . A bik takin blood thinners i ei a nih chuan , injection hma ni engemaw zat chhunga i ei tawh loh a ngai em tih zawt rawh.
- Injection hma darkar engemaw zat chaw nghei turin an ti mai thei bawk.
- Vawi tam tak chu a natna chhan dik tak hriat theih nan MRI emaw CT scan emaw tih a ni.
- Vaccine pek ni hian in lama lirthei khalhtu tur rawn hruai turin an ti ang che, vaccine pek zawhah chuan i tan chuan lirthei khalh a harsa thei a ni.
Vaccine pek chhung hian eng nge thleng?
Hetiang tih dan hi damdawi in emaw outpatient department emaw-ah tih a ni tlangpui. Procedure zawng zawng hi minute 15-30 vel a ni.
1. Pakhatnaah chuan thawmhnaw thlak tur pek i ni ang a, dawhkan chunga i pum chunga mu turin an ti ang che.
2. Tichuan, injection na hmun chu uluk taka silfai leh disinfected a ni.
3. A dawtah chuan needle lian tak dahna natna tihziaawm nan needle te tak te hmangin a hmunah numbing medicine inject a ni ang. A châng chuan, i hlauhthawnna tihziaawm nân numbing damdawi tê tê pêk a ni thei bawk.
4. A hmun chu a hring vek tawh chuan doctor chuan X-ray machine (fluoroscopy) ang chi thil hmangin needle chu a dah dik em tih a enfiah ang. Hemi hun chhung hian i taksa i chet loh a pawimawh hle .
5. Needle chu epidural space dik tak a thlen chuan a chang chuan dye (contrast material) tlem te te inject a, a darh dan tur en a ni. Hei hian damdawi chu nerve dik takah a kal theih nan a pui ang.
6. A tawp berah chuan steroid damdawi chu zawi zawiin kan inject a.
7. Injection zawhah a hmun chu tlem a tikhauh ang a, a tifai ang a, plaster a hnawih ang. Chumi hnuah minute 30 atanga darkar khat chhung chawlh tir i ni ang a, side effect a awm loh tih i finfiah hnuah in lamah haw phalsak i ni ang.
Injection i dawn hian i rilru a na deuh a, i rilru a na emaw, i kang deuh emaw a ni thei. Mahse, tuar theih loh khawpa natna i neih chuan i doctor hnenah hrilh nghal rawh.
Injection hnuah eng nge thleng? Side effect a awm em?
Vaccine i lak hnua i haw hnuah ni khat chhung chawlh hahdam a tha ber. Vaccine pekna hmunah hian natna emaw, hliam emaw tlem a awm thei. Hei hi thil pangngai a ni.
Mak ti suh, mi thenkhat chuan injection hnu ni hnih emaw ni thum emaw chhungin natna tlem an nei tam zawk mai thei . Hei hi thil pangngai a ni. Damdawi a thawh tan chuan (a tlangpuiin ni 2-7 chhungin) natna chu a reh tan ang.
Damdawi zawng zawng ang bawkin, a hlauhawmna leh a nghawng tha lo pawh a awm thei. Mahse, hengte hi a tlangpuiin a tenau deuh a, harsatna lian tham tak tak erawh a awm tlem hle.
| Side effects/complication awm thei te | Eng nge hriat tur |
|---|---|
| Side effect tenau te |
|
| Harsatna lian tham tak tak a awm lo |
Doctor hmuh ngai emergency engte nge ni?
Vaccine i lak hnu leh in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- Lu na tak, i ṭhut emaw, i ding emaw a lo awm a, i mut laiin a reh thei.
- Khawsik.
- Zun emaw, bawlhhlawh emaw control theih lohna.
- Ke ruh natna emaw, chak lohna emaw hriatna.
Hengte hi hriat a pawimawh hle a, natna hlauhawm tak tak, natna hlauhawm tak tak chhinchhiahna a nih theih avangin.
Take-Home Thuchah a ni
- Epidural steroid injection (ESI) chu hnungzang emaw, kawng emawa nerve compression avanga natna tihziaawmna atana injection pek a ni. Natna thlentu tidam thei damdawi a ni lo.
- Hei hian natna tihziaawmna a pek hi hun rei lote chhung atan a ni fo a, mahse chutih chhung chuan physical therapy ang chi thil tih theihna hun i nei ang a, nitin hnathawhnaah i kir leh thei ang.
- Hei hi doctor tawnhriat ngah takin a tih chuan a him hle. Mahse, damdawi lam enkawlna zawng zawng ang bawkin hlauhawmna tenau tak tak a awm.
- Vaccine i pek hmain i damdawi lam dinhmun leh damdawi zawng zawng doctor hnenah hrilh hmasa phawt ang che.
- Vaccine pek hnua emergency symptoms a awm chuan doctor thurawn lak nghal tur a ni.











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