In chhungkuaah nu emaw pa upa tawh, khup natna tuar i nei em? A nih loh leh nangmah ngei pawhin he natna hi i tuar ve mai thei em? A hretute chuan khup na tak neiin stairs lawn a harsatzia te, hla vak lo kal pawh a harsatzia an hria a, biak in kal pawh a harsat phah hle. Damdawi chi hrang hrang ei leh hriak chi hrang hrang hnawih pawhin a chang chuan he natna hi a reh lo. Chutiang hunah chuan doctor-te’n an rawt anga enkawlna bik kan sawi dawn a ni.
A awlsam zawngin Genicular Nerve Block chu eng nge ni?
A awlsam khawp mai. Genicular nerve block tih hian i khup natna thlentu nerve engemaw zat bulah natna tidamtu damdawi inject a ni. Light switch off ang bawkin he injection hian i khup atanga i thluak thlenga natna phurtu "nerve wire" te chu hun eng emaw chen a titawp thin. Hei hian natna a\angin hun eng emaw chen a hahdamna a pe che a ni. A châng chuan he hahdamna hi rei tak a daih thei bawk.
Tunah chuan he khup vel nerve te hi han en ila. Kan khup ruh hi a hnathawh that theih nan main nerve engemaw zat atanga lo chhuak branch hrang hrangah then a ni. Chu nerve lian ber berte chu:
- Femoral nerve a ni
- Peroneal nerve hman tlanglawn tak
- Saphenous nerve a ni
- Tibial nerve a ni
- Obturator nerve a ni
Khup vel a heng nerve atanga branch te te lo chhuak te hi "Genicular Nerves" an ti a. "Genicular" tih thumal awmzia tak chu "khup nena inzawm" tihna a ni. Heng nerve te hi khup chhunga hriatna, a bik takin natna, thluaka thawn chhuaktu an ni. Doctor te hian he injection an pek hian heng Genicular nerve palite hi an target ber a ni.
1. Superolateral genicular nerve (SLGN) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.
2. Superomedial genicular nerve (SMGN) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.
3. Inferomedial genicular nerve (IMGN) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.
4. Inferolateral genicular nerve (ILGN) te hi a tha ber pawl a ni.
Mahse hetah hian thil tlemte a awm. Doctor ten heng pali zinga pathum chauh an inject thin. A hnuhnung ber , Inferolateral genicular nerve (ILGN) chu an inject lo. A chhan chu chu nerve chu Common peroneal nerve hnaih takah a awm a, chu chu kan ke kalna atana pawimawh tak a ni. Inject dik lo a nih chuan ke chawi sang thei lo, chu chu (Foot Drop) ang chi thil a thlen thei a, chuvangin himna atan chu nerve chu an pumpelh thin.
He enkawlna hi tute tan nge a inhmeh ber?
Genicular nerve block hman chhan lian tak pahnih a awm a.
1. Hun rei tak chhung khup natna tihziaawm
Khup natna i neih rei tawh chuan (Chronic knee pain) kan tih ang chi a ni. Hei hi khup hliam vang emaw, a tam zawkah chuan (Knee Osteoarthritis) , khup ruh chhe lutuk vang pawh a ni thei. Physics therapy i lo enchhin tawh a, painkillers (NSAIDs) i ei tawh a, i khup ah steroid injection i nei tawh a, mahse i natna chu a reh lo a nih chuan i doctor chuan he Genicular nerve block hi a rawn rawt thei ang.
I nu khup chu a chhe vek tawh ang tih han ngaihtuah teh, zanah mut mumal thei lo, na takin a au chhuak thin. Damdawi ei hian hun rei lote chhung chauh a pui a ni. He injection hian chutiang mi tan chuan hahdamna nasa tak a pe thei a ni.
2. Khup operation hnua natna enkawl
Mi thenkhat chuan Total Knee Arthroplasty , khup ruh zawng zawng thlak danglamna tur surgery an neih a ngai thin. Chutiang operation lian tak hnua natna nasa tak lo awm thin chu control nan chuan anesthesiologist emaw surgeon emaw chuan operation hmain he injection hi a pe thin. Hei hi general anesthesia bakah hian pek a ni.
Vaccine i lak hmain eng nge i tih tur?
Hei hi a tlangpuiin inbuatsaihna a ngai lo. Mahse, a then phei chuan i doctor chuan sedation (a mild sedative) engemaw zat pek che a tum mai thei. Chutianga i tih chuan darkar 6 atanga darkar 8 vel chaw nghei tura tih i ni ang. Tin, mi pakhatin in lama hruai turin an ti bawk ang che , chu ni chuan i khalh thei dawn lo a ni.
Mahse, i doctor chuan heng zawng zawng hi chiang takin a hrilhfiah ang che. Chu thupekte chu dik takin zawm rawh. Zawhna i neih chuan zawh hreh ngai suh.
Vaccine pek chhung hian eng nge thleng? Step khat hnu step khatin han thlir ila.
He enkawlna hi outpatient basis-a tih a ni tlangpui. Hei hian damdawi inah i awm a ngai lo tihna a ni a, procedure tih zawh hunah i haw thei bawk. Minute 5 atanga 10 vel a ni.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Inbuatsaihna | I kut phar chungin khum bik ah dah i ni ang. Khup na hnuaiah pillow te tak te dah a ni ang a, i khup chu a ben deuh ang. A tul chuan i kut ah saline solution inject in sedative i pe thei bawk. |
| 2. Vun tifai | Khup vel vun chu uluk takin antiseptic hmangin a tifai thin. |
| 3. Vun natna | Main injection hma hian injection te tak te (local anesthetic) hmangin a hmun chu a numb tir thin. Hetih lai hian hnim hring, rulhut seh ang maiin i hre thei. |
| 4. Hmun dik zawn | Doctor chuan hmanraw bik hmangin nerve awmna dik tak chu a zawng chhuak thin. Hei hi ultrasound scan emaw, X-ray chi khat fluoroscopy an tih emaw hmangin tih theih a ni. Hei hi TV screen hmanga i khup chhung lam en ang mai a ni. Hei hian injection chu hmun dik takah pek theih a ni. |
| 5. Vaccine pekna ber | A hmun dik tak a hmuh hnuah doctor chuan nerve bulah natna tidamtu damdawi a inject a. |
| 6. Monitoring neih a ni | Injection i pek zawhah minute 15-30 vel enkawl i ni ang a, damdawi chu a thawk tha em tih leh side effect dang i nei lo em tih enfiah a ni ang. Chumi hnuah chuan haw phalsak i ni ang. |
He vaccine hian eng hlawkna nge a neih?
Genicular nerve block hmang hian hlawkna engemaw zat i hmu thei.
- Natna tihziaawmna: Natna chu hun eng emaw chen emaw, a bo vek emaw a ni thei a, chu chuan nitin hnathawh chu awlsam zawkin i thawk thei a ni .
- Swelling tihtlem: Nerve-a swelling hi a tlahniam a, a dam theih nan a pui a ni.
- Post-Surgery Pain solution: Khup surgery hnua natna tan solution tha tak a ni.
- Surgery nei thei lo tan chuan a danglamna: Hriselna lama harsatna dang avanga khup surgery nei thei lo tan chuan natna tihdamna atana duhthlan tur tha tak a ni.
A pawimawh ber chu mi zawng zawngin result inang kan hmu vek lo. Mi thenkhat chuan darkar tlemte chhungin hahdamna an tawng thin. Midang tan chuan steroid hian hna a thawh tak tak theih nan kar hnih vel a ngai thei bawk. Mi thenkhatin hahdamna engmah an hmuh loh theihna chance tlemte a awm.
He injection hnua i natna hi nasa taka a tlahniam a nih chuan i doctor chuan Genicular Nerve Ablation (GNA) chu a dawt leh tur atan a rawt thei ang.GNA tih enkawlna tur rawtna siam theih a ni. Radiofrequency hmangin heng nerve te hi rei tak a deactivate thin. GNA enkawlna hian thla 18 vel chhung chu natna a tiziaawm thei tlangpui.
Hei hian risk emaw complication emaw a nei em?
Injection na hmunah hian hliam emaw, na emaw a awm thei a, mahse hei hi ni hnih chhungin a reh tlangpui.
Major complications are rare , mahse vaccination dang ang bawkin, hriat tur hlauhawm thenkhat a awm.
- Injection na hmuna natna hrik awm .
- Injection na hmun atanga thisen chhuak .
- Thisen kalna kawngah damdawi injection palh a nih chuan .
- Khup ruh chhunga damdawi inject palh .
- Foot drop (ke chawi thei lo) hi a hmaa kan sawi tawh ang khan common peroneal nerve a chhiat chuan a thleng thin.
Heng thil thleng theihna chance hi a tlem hle a, a chhan chu doctor-te chuan scan ang chi technology an hmang a, he enkawlna hi uluk takin an ti thin.
Vaccine ka lak hnuah ka kal thei ang em?
Ni e, i ti thei. Enkawlna a zawh hnuah room atang chuan i chhuak thei bawk. Mahse chumi ni chuan rei vak lo chawlh hahdam a tha ber. Tichuan i thiltih pangngaiah i kir leh thei tawh ang.
He natna tihdamna hian eng chen nge a daih ang?
Hei hi mi hrang hrangah a inang lo hle. Natna tihziaawmna hi ni engemaw zat, kar tlemte, thla engemaw zat, a nih loh leh kum tam tak chhung pawh a awm thei. Mahse, relief hi thla 3 vel a ni tlangpui .
Engtikah nge doctor ka biak ang?
Genicular nerve block hnua symptom thar emaw complication thar emaw i neih chuan doctor ko nghal rawh . A bik takin a hnuaia mite hi hre reng ang che:
- Injection na hmun chu a sen, a hring, a lum (infection chhinchhiahna) a nih chuan.
- Injection na hmun atanga thisen chhuak chhunzawm zel a nih chuan.
- I ke a kang, a hring emaw, chak lohna nasa tak emaw i neih chuan.
He enkawlna hi i khup natna chinfelna tha tak a ni thei. Mahse, a rah chhuah chu mi tinah a inang lo. He injection chungchangah hian ngaihtuahna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh. I zawhna zawng zawng chu a chhang thei vek ang.
Take-Home Thuchah a ni
- Genicular Nerve Block hi injection hmanga enkawlna a ni a, khup natna rei tak, khup chhehvel nerve bulah a awm a, hei hian khup natna a tidam thei a ni.
- Hei hi enkawlna dang (damdawi, taksa lam enkawlna) hmanga natna tihziaawm lohte tan leh khup zai hnua natna lo awm tan pawh a tha hle.
- Hei hi enkawlna awlsam tak a ni a, minute 10 chhunga tihfel theih a ni a, damdawi ina awm ngai lovin i haw thei bawk.
- Mi hrang hrangah result a inang lo thei a, a vaiin thla 3 vel chhung chu natna tihziaawmna beisei theih a ni.
- Harsatna awm theihna hi a tlem hle a, mahse vaccine i dawn hnua natna lan chhuah dan danglam tak i neih chuan doctor hnenah hriattir nghal tur a ni.
- Ringhlelna i neih chuan enkawl hmain doctor nen sawiho la, i ngaihtuahna zawng zawng chu chinfel vek rawh.
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