I khup natna atan injection a awm em? He Genicular Nerve Block chungchang hi han sawi ila!

Khup na avangin stairs chhoh te, kea kal tlem te, nitin hna thawh te pawh i harsat em? Painkiller i ei tawh a, physical therapy-ah i kal tawh a, thil chi hrang hrang i ti tawh a, mahse i khup natna chu a reh lo. Chutiang a nih chuan vawiin hian i doctor-in a rawn rawt theih tur enkawlna bik kan sawi dawn a ni. Hei hi ‘Genicular Nerve Block’ an ti a.

A awlsam zawngin Genicular Nerve Block chu eng nge ni?

A awlsam khawp mai tak zet. Genicular nerve block tih hian i khup chhehvela nerve bik pakhatah natna tidamtu (painkiller) inject a, chu chuan i thluaka natna a thlen a ni. He injection hian khup natna atanga rei lo te chhung a tidam thei a ni. A châng chuan he hahdamna hi rei tak a daih thei bawk. Local anesthetic leh steroid te inzawmkhawma siam a ni tlangpui.

Kan khup ruh hi nerve tam takin a pui a. Chung zingah chuan nerve branch lian tak tak engemaw zat chu khup vel ah a darh a. Heng nerve branch te te hi ‘Genicular Nerves’ kan tih te hi an ni. A bik takin, hengte hi he enkawlnaah hian doctor-te’n an target nerve te chu an ni:

• A rilru a buai em em a, a rilru a hah em em bawk a. Superolateral genicular nerve (SLGN) .
• A rilru a buai em em a, a rilru a hah em em bawk a. Superomedial genicular nerve (SMGN) .
• Inferomedial genicular nerve (IMGN) atanga chhuak a ni.

He enkawlna chhung hian hetiang nerve dang (the Inferolateral genicular nerve - ILGN) awm mahse, inject a ni lo. Hei hi a chhan chu kan ke chetna atana pawimawh nerve lian dang (Peroneal Nerve) hnaih takah a awm avangin a tihchhiat theih lohna tura tih a ni.

He vaccine hi engtikah nge pek a nih?

Genicular Nerve Block hman chhan lian tak pahnih a awm.

1. Chronic Knee Pain: Hun rei tak chhung khup na i nei tawh a nih chuan, a bik takin Knee Osteoarthritis ang chi natna avang leh, standard treatment (painkiller leh physical therapy ang chi) hmanga natna kha control a nih loh chuan i doctor chuan he injection hi a rawt thei ang.

2. Knee surgery hnua natna atan: Anesthesiologist te chuan he injection hi khup surgery lian tak hma leh hnua natna na tak, total knee arthroplasty ang chi control nan an hmang thin. Hei hi general anesthesia bakah hian pek a ni.

Enkawl hmain eng nge i tih tur?

Hei hi a tlangpuiin inbuatsaihna a ngai lo. Mahse, a then phei chuan i doctor chuan i chawlh hahdam theih nan sedative pek che a tum mai thei a, chu chu i muhil deuh dawn tihna a ni. Chutiang a nih chuan enkawlna hma darkar 6-8 chhung chu engmah ei leh in lo turin hriattir i ni ang. Enkawl zawh hnua in lama lirthei khalhtu tur i neih a pawimawh bawk.

Mahse, i doctor chuan hemi chungchangah hian thupek chiang tak a pe ang che. Chu thupekte chu dik takin zawm rawh. Zawhna i neih apiang zawh hlau suh.

Vaccine i lak hian eng nge thleng?

Hei hi thil tenawm tak a ni tlangpui a, damdawi inah ni lovin, outpatient setting-ah tih a ni. Hei hian injection hnu rei vak lovah in lamah i haw thei tihna a ni. Enkawlna hun chhunga thil thlengte chu hetiang hi a ni:

• Khum bik chungah mu turin siam i ni ang a, khup na hnuaiah pillow te tak te dahin i khup chu tlem a ben ang.
• I chawlh hahdam theih nan IV line hmangin damdawi pek i ni thei bawk.
• Tichuan doctor chuan i khup vun chu antiseptic solution hmangin uluk takin a tifai ang.
• A dawtah chuan local anesthetic injection tlemte pek a ni a, chu chuan injection pekna tur hmun chu a ti na lo hle. Hetih lai hian needle a luh rualin stinging sensation tlem i nei thei.
• Tichuan, ultrasound emaw fluoroscopy emaw ang chi scanning machine bik hmangin doctor chuan damdawi inject tur nerve awmna hmun dik tak chu a hmu ang.
• A tawpah chuan chu nerve hnaih thei ang bera damdawi chu inject a ni.

A kalphung zawng zawng hi minute 5 atanga 10 vel chauh a ni. Chumi hnuah chuan rei vak lo chawl la, i haw thei tawh ang.

Hei hian eng hlawkna leh hlauhawmna nge a neih?

Hlawkpuina

He enkawlna atang hian hlawkna engemaw zat a awm thei a:

• Temporary or long-term relief from pain , nitin hna thawh a awlsam phah.
• Natna thlentu nerve swelling chu a tlahniam a, an dam theih nan a pui a ni.
• Operation hnua natna atanga chhanchhuahna tha tak hmuh.
• Hriselna lama harsatna dang avanga khup surgery nei thei lote tan natna tihreh nan duhthlanna tha tak a ni.

Risk a awm thei

Damdawi lam thil dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse harsatna lian tak tak erawh a awm tlem hle.

• Injection na hmunah hian a hring emaw, a hring emaw a awm thei. Hei hi ni khat emaw ni hnih emaw chhungin a reh tlangpui.
• A tlem berah chuan thil thleng thei chu:
• Injection na hmuna natna hrik awm.
• Site atanga thisen chhuak.
• Thisen kalna kawng khata damdawi injection paltlang.
• Damdawi chu khup ruh chhungah a inject palh a.
• A tlem berah chuan damdawi chu a bul hnaia nerve dang (the Common Peroneal Nerve)-ah a kal palh a nih chuan, ‘foot drop’ , ke chu ke ruh atanga chawi chhuah theih lohna dinhmun a awm thei a ni.

Vaccine hian eng chen nge a nghawng?

Hei hi mi tam takin harsatna an neih a ni. Dik tak chuan, chu a\anga hahdamna chu mi tinah a inang lo thei hle. Mi thenkhat chuan ni engemaw zat chhung chu hahdamna an tawng thei a, thenkhat erawh chuan kar tam tak, thla tam tak, a nih loh leh kum khat chhung pawh hahdamna an tawng thei thung. A vaiin thla 3 vel chhung chu hahdamna i beisei thei. Mahse, mi ṭhenkhat chuan hahdamna engmah an tawng lo mai thei.

Engtikah nge Doctor ka hmuh ang?

Vaccine i dawn hnuah, natna lan chhuahna thar i neih chuan, entirnan, injection na hmuna natna hrik kai chhinchhiahna, a hring, a sen, emaw, a hring emaw, a nih loh leh, a danglam bik taka kang, i rilru a hah, emaw, chak lohna emaw i neih chuan , i doctor hnenah hriattir nghal rawh.

He enkawlna chungchangah hian ngaihtuahna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh. I zawhna zawng zawng a chhang vek ang.