Epidural tih hi i hlau em? Hemi chungchang hi awlsam takin han sawi ila!

Nau i pai dawn emaw, operation lian tak i neih dawn emaw chuan doctor-in epidural i mamawh dawn tih a hrilh che chuan a hlauhawm deuh thei. Mi tam tak chuan "epidural" tih thumal an hriat hian an hlauthawng a, chu chu hnungzang lama injection a ni. Mahse, epidural hi eng nge ni tak tak? Eng nge a tih? Hlauh tur thil a ni em? Hei hi chiang tak leh awlsam takin i hrethiam ang u.

A awlsam zawngin, epidural tih hi eng nge ni?

Epidural chu i ruhro chhunga nerve chhehvel hmun (epidural space)-a injection a ni . Spinal cord-ah direct-a inject a ni lo . A chhehvel hmun zau takah chauh inject a ni. Natna thunun nan hman a ni ber.

Hei hi hmanna hmun thenkhat chu hetiang hi a ni:

• Nau neih laiin natna nasa lutuk control .
• Operation hmain a hmun chu numb (anesthetize) rawh.
• Operation hnua natna tihziaawm.
• Herniated disc ang chi natna avanga hnungzang natna rei tak enkawlna atan.

Epidural chi hrang hrangte chu engte nge ni?

Doctor-te hman thin epidural chi hnih a awm a, chu chu i mamawh dan azirin a ni.

Engtin nge hei hian hna a thawh?

Epidural hnathawh dan hi i pek chi hrang hrang a zirin a inang lo.

Epidural anesthesia hian i spinal nerve atanga i thluak thlenga natna signal thawn chhuah chu hun engemaw chen a tikhawlo a ni . Chumi awmzia chu nerve te chu rei vak lo "turned off" a ni tihna a ni. A nghawng hun chhung hi damdawi pek zat a innghat a ni.

Epidural steroid injection (ESI) hian natna thlentu nerve inflamed vel damdawi inject a , swelling leh pressure a tihziaawm a ni .

Damdawi pek dan hrang hrang

Doctor te u, he damdawi hi in taksaah inject theih dan kawng hrang hrang a awm a.

• Single-injection: Hei hi vawi khat injection a ni. Hei hi steroid injection (ESI) pek dan a ni fo.
• Epidural with a catheter: Catheter hi tube te tak te, flexible tak a ni. He tube hi epidural space-ah dah a ni a, a tul angin damdawi pek theih a ni. Hetiang hmanrua hi nau neih lai leh darkar engemaw zat chhunga surgery neihnaah te hman a ni fo.
• Patient-Controlled Analgesia (PCA): Hei hi catheter hmanga natna damdawi pek dan a ni bawk. Mahse i kut a device te tak te button hmet la, natna damdawi chu nangmah ngeiin i la thei a ni. Hei hian doctor-in a ruat safe dose chauh a pe che a, chuvangin ngaihtuah tur a awm lo.
• Combined Spinal-Epidural (CSE): Hetiang hmanrua hi nau neih laiin hman a ni ber. Mi thenkhat chuan "walking epidural" an ti bawk. Mahse, i kal thei dawn lo tak zet a ni. Mahse, i keah hian sensation engemaw zat i nei dawn a, chuvang chuan khumah i inher kual thei a, position pawh i thlak thei bawk.

Epidural tih hmain inbuatsaih a ngai em?

Awle. Mahse i tih tur chu epidural i neih chi leh a chhan a zirin a danglam ang. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che. A tlangpuiin a hnuaia mite hi ti turin an ti thei che a ni:

• Fast (ei leh in atanga inthiarfihlim) hmain darkar tlemte chhung chu chaw nghei rawh.
• Damdawi i ei apiang, a bik takin thisen tihthianghlimna damdawi ei kha rei lo te chhung atan titawp rawh .
• Procedure zawhah mi pakhatin in lama hruai che turin ruahmanna siam hmasa phawt ang che.

Epidural pek a nih chuan eng nge thleng?

Hei pawh hi i pek chi hrang hrang a zirin a danglam thei bawk.

Injection vawi khat pek a nih chuan:

I pum chungah mu turin an ti ang che. Tichuan doctor chuan:

1. Injection te tak te hi injection na hmun vel vun numb nan pek thin a ni.

2. Fluoroscopy , live X-ray ang chi machine hmang hian needle chu a awmna tur dik takah a kal em tih enfiah a ni.

3. Epidural space-ah needle dahin damdawi chu inject a ni.

4. Needle chu la chhuakin plaster te tak te hmangin injection na hmunah an hnawih thin.

Catheter dah a nih chuan:

1. I kut vein pakhatah cannula (IV line) dahin saline a pe ang che.

2. I sir lamah mu turin an ti ang che, i khup chu i rilru thlenga hrual turin emaw, chair-ah thuin hmalam pan turin an ti ang che. Hetiang dinhmun hian i ruhro inkar hmun a tipung ang.

3. Injection na hmun chu a numb.

4. Epidural needle chu dahin catheter (thin tube) chu epidural space chhungah a lut a.

5. Tichuan uluk takin needle chu lakchhuah a ni a, a chhungah chuan catheter chauh dah a ni.

6. Chu catheter hmang chuan damdawi mamawh chu pek a ni.

7. Damdawi mamawhna a reh chuan (darkar engemaw zat emaw, ni engemaw zat emaw hnuah) catheter chu lakchhuah a ni.

Epidural hman hian eng hlawkna leh hlauhawmna nge a neih?

Epidural hi natna venna atana hmanraw him leh tangkai tak a ni. Nau neih lai hian anesthesia hmanraw dang aiin a flexible zawk. Side effects pawh a nei tlem hle bawk. Natna rei tak nei tan chuan natna hi a thunun a nih chuan operation ang chi thil pawh a pumpelh thei.

Risk awm thei: 1.1.

• Injection na hmun atanga thisen chhuak.
• Injection na hmuna natna hrik awm.
• Nerve pakhat chhiatna (a tlem hle).
• Damdawi avanga allergy a awm.
• Spinal cord vel a tui a luang chhuak (`Cerebrospinal fluid leak`). Hei hian a hnuah lu na a thlen thei a ni.

Epidural hian a hnuah hnungzang natna a thlen dawn em?

Hei hi mi tam tak tan chuan hlauhthawnna lian tak a ni. Epidural hian hun rei tak emaw, rei tak emaw hnungzang natna a thlen hi a tlem hle tih hre reng ang che .

Ni engemaw zat injection na hmunah hian hun eng emaw chen natna emaw, hliam emaw neih hi thil pangngai a ni. Hei hi ni hnih atanga ni thum chhungin a bo ang. Nu tam tak chuan nau an pai hnuah hnungzang natna an nei thin - epidural an neih emaw nei lo emaw pawh nise . Hei hi naupai laia hip ruh leh ligament danglam tawhte chu an dinhmun thara an insiamrem chhoh vang a ni.

Doctor hmuh hun tur

Epidural i tih 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 .

"Spinal tap" tih thumal i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse epidural hi natna tihdamna atana hmanraw him leh tangkai tak a ni a, khawvel hmun hrang hrangah hman a ni. Chuvangin he thil chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hlau suh.