Pum hnuai lam emaw pelvic area-ah natna chi hrang hrang a awm a, damdawi ei pawhin a reh awlsam lo. A châng chuan he natna hi tuar theih loh a ni. Nang pawhin he harsatna hi i tuar a nih chuan vawiinah hian a enkawl dan bik kan sawi dawn a ni. Hei hi ‘Hypogastric Plexus Block’ an ti a.
A awlsam zawngin Hypogastric Plexus Block chu eng nge ni?
Hei hi a takah chuan painkiller injection bik a ni. I pum hnuai lam atanga i thluak thlenga natna thuchah thawn chhuaktu nerve system i nei ang maiin han ngaihtuah teh. He enkawlnaah hian i tih tur chu i ruh hnuai lama he nerve bundle (hei hi Hypogastric Plexus an ti) ah hian damdawi inject a ni.
He injection hi pek a nih chuan, chu nerve atanga thluak thlenga natna information chu hun eng emaw chen emaw, a tawp emaw atan a block a ni . Pain switch off ang mai a ni. Hei hian i pum hnuai lam leh i pelvic area-a natna chu nasa takin a tihziaawm a ni. A châng chuan injection vawi khat chauh hian hahdamna a pe a, a châng chuan a ṭûl angin injection eng emaw zat pek theih a ni bawk.
He enkawlna chi hrang hrangte hi engte nge ni?
I natna lo chhuahna hmun azirin i doctor chuan injection pekna tur hmun a rel ang. A chi hnih a awm a.
| Enkawlna chi hrang hrang | Hmun leh hrilhfiahna |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a | Hetah hian injection chu i hnungzang hnuai lam nerve root chunglam ah pek a ni. |
| Hypogastric Plexus Block hnuai lam a ni | Vaccine hi i tailbone bula spinal cord hnuai lam ah pek thin a ni. |
He vaccine hian eng ang natna nge a tihdam?
He treatment hi i pum hnuai lam leh pelvic area-a natna awm reng control nan hman a ni ber. Hei hian i taksa peng hrang hranga natna te pawh a huam tel a ni:
- Bladder a ni
- Colon
- Intestines hnuai lam
- Prostate emaw testicles emaw a ni thei
- Uterus emaw ovaries emaw a ni
He enkawlna hi hun rei tak chhunga natna, oral painkiller hmanga control harsa tak tan chuan a tha tlangpui. A hnuaia damdawi lam thila natna lo awmte tan hian solution tha tak a ni thei:
| Damdawi lam dinhmun, natna thlen thei |
|---|
| Ngawt |
| Endometriosis natna a ni |
| Surgery emaw radiation therapy emaw ang chi thil avanga chhiatna |
| Interstitial Cystitis - thisen zam natna a ni |
| Irritable Bowel Syndrome (IBS) a awm a, a rilru a buai em em a, a rilru a hah em em bawk. |
| Pelvic Complex Regional Pain Syndrome a awm a, a chhuahna tur hmun tur chu a hriat theih loh |
| Pelvic Inflammatory Disease (PID) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a. |
Engtin nge enkawl hmain ka inbuatsaih ang?
I doctor chuan he enkawlna hma hian i zawm tur thupek thenkhat a pe ang che. A bulpui berte chu:
- Enkawl hma darkar tlemte chhung chu ei leh in kim loh tur a ni .
- Damdawi i ei tawh thenkhat (a bik takin thisen tithianghlimtu) te chu i doctor thurawn angin rei lo te atan tihtawp a ngai mai thei. Doctor rawn hmasa lovin damdawi engmah ei tan emaw, chawlhsan ngai suh.
- Enkawlna i zawh hnuah i lirthei i khalh thei dawn lo a nih avangin, chutah chuan mi hruai leh in lama hruai leh tur che tur ruahmanna siam a pawimawh hle.
- He enkawlna hi Interventional Pain Management Physicians te tih a nih avangin zawhna i neih apiang i zawt thei ang.
Enkawlna hnathawh dan step by step in i zir ang u.
Hei hi outpatient treatment a ni a, damdawi ina awm reng a ngai lo tihna a ni. Hei hi a kalphung zawng zawng hi a kal tlangpui thin.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Thlamuang taka awm | I kut chhunga vein pakhata dah cannula hmangin sedative pek che a ni. I muhil lo ang, mahse i hahdam ang. |
| 2. Posture dik tak siam | I hawi let ang a, i pum chungah khum bik, X-ray machine hmanga thuam chungah mu turin siam i ni ang. |
| 3. A hmuna numbness | Injection pekna tur hnungzang hnuai lam chu uluk takin silfai a ni a, vun ti na turin injection te tak te (local anesthetic) pek a ni. |
| 4. X-ray hmanga kaihhruaina | X-ray screen enin doctor chuan uluk takin nerve root dik takah needle pahnih a thun a. |
| 5. Hmun hriat chian | Needle te chu hmun dik takah an awm tih finfiah nan dye bik (contrast dye) an inject a, X-ray hmangin an enfiah thin. |
| 6. Damdawi inject | A hmun an hriat chian hnuah natna damdawi (numbing medicine leh/ emaw steroid) an inject thin. |
| 7. (A tul chuan chauh) . | Cancer ang chi natna avanga natna nasa tak tan chuan zu emaw phenol emaw ang chi thil inject theih a ni a, chu chuan nerve a tichhia vek a, hun rei tak chhung chu a tichhe thei bawk. |
Procedure pumpui hi minute 30 vel a ni tlangpui . Chumi hnuah minute 30 vel enfiahna hnuaiah i awm ang a, darkar khat vel chhungin i haw thei tawh ang.
Enkawlna hnuah eng nge beisei tur?
Enkawl zawhah i pelvic area chu a lum deuh emaw, "a danglam" emaw a ni thei. Hei hi thil pangngai a ni. Mi tam zawk chuan injection an pek atanga minute 30 chhungin an natna a tlahniam tan thin.
Ni hnih emaw ni thum emaw chhung chu injection hmunah hian hliam engemaw zat emaw, natna tlem emaw a awm thei. Hei hi thil pangngai a ni. Mahse, tuar theih loh khawpa natna i neih chuan doctor hnenah hriattir nghal rawh.
Eng nge a hlawkna leh a hlauhawmna?
A hlawkna ber chu i pum hnuai lam emaw, i pelvis emaw a natna a tiziaawm a ni. Tin, oral painkiller hman tam lutuk tihtlem nan a pui bawk.
He enkawlna atanga harsatna awm thei hi a tlem hle tih hre reng ang che. Mahse, damdawi lam enkawlna dang ang bawkin, hlauhawmna tenau a awm thei.
Harsatna awm thei te chu:
- Damdawi hmante avanga allergic reaction a awm.
- Thisen chhuak.
- Infection (khawsik, hliam na tak emaw, injection na hmuna natna nasa tak emaw).
- A chhehvel taksa peng emaw thisen kalna kawng emaw chhiatna.
- Nerve root pawn lama nerve dangte tihchhiat.
Dam leh natna tihziaawmna hun
Inenkawl zawhah in lamah haw la, hahdam takin i chawl tur a ni. Darkar 24 chhung chu thil hahthlak tak tak tih loh tur. A tuk zingah i thil tih pangngai chu i thawk leh thei ang. I doctor-in a tih angin damdawi i ei tawh loh zawng zawng kha hmang leh rawh.
Pain relief hun chhung hi damdawi hman danah a innghat a ni.
- Anesthetic chauh hman a nih chuan, a hahdamna chu darkar engemaw zat emaw, ni engemaw zat emaw a awm ang .
- Steroid damdawi hman a nih chuan chawlh hahdamna chu kar engemaw zat atanga thla engemaw zat thleng a ni thei .
I dinhmun a zirin a tha ber tur chuan injection engemaw zat i mamawh mai thei. I doctor chuan hei hi a hrilhfiah ang che.
Engtikah nge doctor nen in inbia ang?
A hnuaia symptoms te hi a awm chuan doctor ko nghal rawh:
- A natna chu a tlahniam ai chuan a pung emaw, a tlahniam lo emaw a nih chuan .
- Khawsik, injection na hmuna hliam na tak, emaw, tuar theih loh natna ang chi side effect i neih chuan .
- I keah chak lohna i neih chuan .
Natna nei reng reng hian i rilru leh taksa hriselnaah nghawng lian tak a nei thei a ni. Chuvangin a natna chu "tuar" a ngai tawh lo. Treatment pangngai atanga hahdamna i hmuh loh chuan heng specialized treatment chi hrang hrangte hi i doctor nen sawiho la, i tana tha tur solution thlang rawh.
Take-Home Thuchah a ni
- Hypogastric Plexus Block hi injection hmanga enkawlna bik a ni a, pum hnuai lam leh pelvic area-a natna nasa tak enkawlna atana hman thin a ni a, enkawlna dang hmanga control harsa tak a ni.
- Hei hi enkawlna him tak a ni a, minute 30 chhunga tihfel theih a ni a, damdawi ina awm ngai lovin tih theih a ni.
- Enkawl hmaa doctor thupek (ei leh in pumpelh, inkalpawhna tur ruahmanna) zawm a pawimawh hle.
- Natna tihziaawmna hun chhung hi mimal leh damdawi hman dan azirin a inang lo thei.
- Enkawlna hnua natna a zual emaw, natna danglam tak tak, khawsik emaw, hliam emaw i neih chuan doctor hnenah hriattir nghal tur a ni.
- Natna awm reng chu ngawi rengin tuar suh. I doctor nen natna tihdam theih dan awmsa chungchang sawipui rawh.
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