Hnung lam natna atana Epidural Injection (Epidural Steroid Injection - ESI) chungchang hi i zir belh leh ang u.

A châng chuan electric shock ang maia i hnungzang tichhe thei khawpa natna nasa tak i nei ṭhin em? A nih loh leh i kawr aṭanga i kut hnuai lam thlenga natna lo chhuak chu i tuar reng em? Hetiang natna nen hian nun a har takzet. Physiotherapy leh damdawi ang chi thil a hlawhtlin loh chuan doctor-te’n an rawtna pakhat chu ‘Epidural Steroid Injection’ (ESI) hi a ni. Mi tam tak chuan hei hi an hlau deuh a. Chuvangin, vawiin hian awlsam tak leh chiang takin i sawi vek ang u.

A awlsam zawngin ‘Epidural Steroid Injection’ (ESI) tih hi eng nge ni?

Hei pawh hi injection chi khat a ni. Mahse tun ṭumah erawh chuan natna tidamtu pangngai i dawng lo. Chu ai chuan, swelling leh inflammation tihziaawmna damdawi bik, steroid (a `corticosteroid`) , i ruhro chhunga nerve awmna hmunah (the `epidural space`) inject i hmu zawk a ni.

Kan ruhro hi thluak atanga kan taksa peng dang thlenga thuchah thlentu kawngpui lian tak angin han ngaihtuah teh. He kawngpui chhehvela hmun him hi `epidural space` kan tih hi a ni.He kawngpui zawh nerve pakhat chu eng emaw chhan vanga a thinrim emaw, a inflamed emaw chuan natna nasa tak a awm thin. ESI hian a tih chu inflamed nerve-ah damdawi a inject a, chu chuan a hring (swelling) a tihziaawm a, hahdamna a pe che a ni.

Engtin nge he injection hian natna a tihziaawm?

Kan ruhro hi ruh te te (vertebrae) inzawmkhawm atanga siam a ni. Heng ruh pahnih inkarah hian jelly ang chi ‘disc’ a awm a. Hei hian ruhro chu a flexibility leh venhimna petu a ni.

A châng chuan, herniated disc (herniated disc emaw bulging disc) hian a bula nerve chu a pinch thei ṭhin. A nih loh leh, ruh chhunga hmun a tawi (spinal stenosis) vangin nerve pawh a pinch thei bawk. Hetianga nerve pinch a nih chuan a hring a, a inflamed a, natna a thlen thin.

ESI hian nerve inflamed, pinched vel ah steroid inject a ni. Hei hian swelling leh inflammation a tihziaawm bakah nerve-a pressure awm chu a tiziaawm bawk. Hei hian nerve chu a dam theih nan hun a pe a ni. Mi thenkhat chuan kar tlemte chhung chu natna tihziaawmna an nei a, thenkhat erawh chuan thla tam tak an nei thei bawk. A châng chuan, he injection hian natna thlentu dik tak hriat theihna kawngah pawh a pui thei bawk.

Eng condition atan nge ESI injection hi hman a tha?

Doctor chuan enkawlna dangin natna a thunun theih loh chuan ESI a rawt tlangpui. A hnuaia table hian hei hi a sawifiah belh leh a ni.

ESI Injection chi hrang hrang

ESI injection hi chi hrang hrang a awm a. Injection awmna hmun (neck, mid-back, lower back) leh needle insertion dan azirin an then a ni.

• Hmun hrang hranga category hrang hrang:
• Cervical ESI: Kawng atanga kut hnuai lam atanga natna lo chhuak tan.
• Thoracic ESI: Hnunglam leh hnungzang natna tan.
• Lumbar ESI: Hnunglam atanga ke hnuai lam atanga natna lo chhuak (hei hi a tam ber) tan.

• Needle dah dan angin chi hrang hrang:
• Interlaminar ESI: Vertebrae pahnih inkarah needle dah a, damdawi inject.
• Transforaminal ESI: Injection hi nerve chu spinal cord atanga a chhuahna hole (`foramen`) kaltlangin tih a ni a, chu chu pinched nerve bulah chiah a ni.
• Caudal ESI: Spinal cord hnuai ber tawp ber khur atanga needle dah.

I doctor chuan eng chi nge i tan a tha ber tih a rel ang.

Engtin nge injection hmain ka inbuatsaih ang?

I doctor chuan injection i pek hmain thupek bik engemaw zat a pe ang che. Anmahni zawm dik a pawimawh hle.

• I naupai emaw, naupai i rinhlelh emaw chuan , i doctor hnenah hrilh ngei ang che.
• I damdawi ei zawng zawng (a bik takin thisen tithianghlimtu ) doctor hnenah hrilh rawh . Ni engemaw zat ei tawh loh turin a ngen thei che a ni.
• Injection hma darkar engemaw zat chaw nghei turin an ti mai thei bawk.
• A châng chuan, a natna chhan dik tak hriat theih nân MRI emaw CT scan emaw tih a ni thei bawk.
• Injection i pek ni hian mi pakhat in lamah rawn hruai turin an ti ang che, a chang chuan i chawlh hahdam theih nan sedative pek a ni thei bawk.

Injection pek a nih hian eng nge thleng tak tak?

Hei hi damdawi inah emaw, damdawi inah emaw tih a ni tlangpui. A kalphung zawng zawng hi minute 15-30 vel a ni.

1. A hmasa berin khumah i pum chungah i inher ang a, i muhil ang.

2. Chumi hnuah doctor chuan injection na hmun chu uluk takin a tifai a, antiseptic a hnawih a.

3. A dawtah chuan needle te tak te hmangin a hmun chu a numb ang . Chutiang chuan needle lian zawkin damdawi a inject hunah chuan natna tam tak i nei lovang.

4. Tichuan, X-ray machine (`Fluoroscopy`) ang chi thil hmangin, needle chu a awmna dik takah (`epidural space`) a hruai lut a. Hemi hun chhung hian i ding reng a pawimawh hle.

5. Needle chu a awmna tur dik takah a awm tawh chuan a chang chuan contrast an tih liquid an inject a, damdawi darh dan chu screen-ah an enfiah thin.

6. A tawp berah chuan steroid damdawi chu vein-ah an inject ang. Hetih lai hian tingling emaw prickling sensation emaw tlem i nei thei. Hei hi thil pangngai a ni.

7. Injection zawhah a hmunah cotton chi khat dahin plaster hnawih a ni ang. Chumi hnuah chuan rei vak lo chawl turin an ti ang che a, harsatna a awm loh chuan an haw leh ang che.

Injection hnuah hian side effect leh risk a awm em?

Damdawi dang ang bawkin, side effect tenau tak tak a awm a, hlauhawmna lian tak pawh a awm lo hle.

Damdawi lam pan vat ngai symptoms te chu engte nge ni?

Injection hnua in i thlen hunah a hnuaia symptoms te hi i neih chuan doctor ko nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.

• Lu na tak, i ding emaw, i thut emaw a lo awm thin (hei hi i mut hian a reh thin).
• Khawsik emaw, kawr khauh emaw.
• Zun emaw, bawlhhlawh emaw control theih lohna.
• Ke ruh natna emaw chak lohna emaw hriatna .

Heng symptoms te hi ngaihthah suh.