A châng chuan pum hnuai lam leh pelvis-a natna hi a na lutuk a, thumal hmanga sawi harsa tak a ni. Damdawi hmang pawha nitin hna thawh harsa khawpa natna nasa tak i tuar thin em? Vawiin hian he hun rei tak chhunga natna chi hrang hrang control nana hman dan tur bik kan sawi dawn a ni. Hei hi `Hypogastric Plexus Block` an ti a.
Hypogastric Plexus Block hi eng nge ni?
A awlsam zawngin sawi ila, hei hi natna control nana pek thin injection bik a ni. Kan hnungzang hnuai lamah hian nerve bundle a awm a, chu chu nerve tam tak, pum hnuai lam leh pelvic area nena inzawm natna signal kengtu nerve tam tak thluaka inzawmkhawmna hmun a ni. Hei hi `Hypogastric Plexus` an ti a.
Telephone pole lian tak, wire tam tak inzawm ang maiin han ngaihtuah teh. I pum hnuai lam, uterus, bladder emaw a chhehvela taksa peng hrang hrang atanga natna signal lo lut zawng zawng chu he nerve bundle hmang hian i thluak ah a kal vek a ni. Chuvangin, he enkawlnaah hian i tih tur chu, chu nerve bundle awmna hmun dik tak chu X-ray hmangin i zawng a, chutah chuan damdawi i inject a ni. He damdawi hian hun eng emaw chen emaw, hun rei tak emaw chhung chu natna signal phurtu nerve te chu a muthilh tir thin. Chumi awmzia chu pain signals te chu an kal tawh lo tihna a ni. Hei hi `block` kan tih chu a ni.
He damdawi hi eng natna chi hrang hrangah nge hman tam ber?
Doctor-te chuan he enkawlna hi oral painkiller hmanga control harsa tak, chronic pelvic pain nei tan an rawt tlangpui. A bik takin a hnuaia hmuna natna tan a tha hle:
- Bladder a ni
- Colon
- Uterus emaw ovaries emaw a ni
- Prostate emaw testicles emaw a ni thei
A hnuaia table-ah hian he enkawlna mamawh thei damdawi lam thil engemaw zat tarlan a ni.
| Damdawi lam dinhmun | Hrilhfiahna |
|---|---|
| Ngawt | Pum cancer avanga natna nasa tak. |
| Endometriosis natna a ni | Hmeichhiaah chuan pelvic pain na tak, rei tak a awm thin. |
| Interstitial Cystitis natna a ni | Bladder-a natna khirh tak a ni. |
| Operation emaw radiation therapy emaw hnua natna | Pum surgery emaw radiation therapy emaw hnua hun rei tak natna. |
| Chronic condition dangte pawh a awm | Irritable Bowel Syndrome (IBS) leh Pelvic Inflammatory Disease ang chi natna avanga natna. |
Engtin nge enkawl hmain ka inbuatsaih ang?
Hetiang enkawlna hi i neih chuan i doctor chuan thupek chiang tak tak a pe ang che. A bulpui berte chu:
- Enkawl hma darkar engemaw zat chhung chu ei leh in atanga inthiarfihlim vek turin an ti ang che.
- Damdawi i ei lai thenkhat (a bik takin thisen tithianghlimtu Aspirin leh Warfarin te) hi ni khat emaw ni hnih emaw hmain i chawlhsan a ngai mai thei. Mahse, hei hi doctor enkawlna hnuaiah chauh tih tur a ni. Doctor thurawn tel lo chuan damdawi engmah hi chawlhsan ngai suh, tan ngai suh.
- Inenkawl zawhah i lu a zang lutuk ang a, nangmah ngeiin i khalh thei tawh lo ang. Chuvangin, mi pakhatin in lam pan leh haw tur che tur ruahmanna siam a pawimawh hle.
Enkawlna hnathawh dan step khat hnu step khatin
He enkawlna hi minute 30 vel a ni tlangpui a, natna enkawlna lama tui doctor-in a ti thin.
A pawimawh ber chu he enkawl chhung hian i mut tir loh hi a ni. Sedative (sedation) intravenous chauh pek i ni. I harh tawh avangin doctor chuan a be thei che a, enkawlna chu a ti thei bawk.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Inbuatsaihna | X-ray table-ah i pum chungah mu turin an ti ang che. Tichuan i kut vein pakhatah cannula dahin, i rilru hahdamna tur damdawi pek a ni ang. |
| 2. Vun natna | A hnungzang hnuai lam, needle dahna tur hmun chu tihfai a ni a, chu hmunah chuan local anesthetic inject a ni. |
| 3. Needle dah luh | X-ray (fluoroscopy) machine hmangin doctor chuan i hnungzang hnuai lamah needle na tak tak pahnih a dah a, nerve plexus awmna dik takah a kaihruai a ni. |
| 4. Hmun hriat chian | Needle te chu hmun dik takah a awm tih chian nan dye tlem te te inject a, X-ray hmangin confirm a ni. |
| 5. Damdawi injection | A hmun an hriat chian hnuah chuan nerve bundle vel chu natna tidamtu (a tam zawkah chuan numbing medicine leh steroid) an inject a. Cancer ang chi ah chuan hun rei tak chhung damna atan zu emaw phenol emaw nerve tichhe thei solution inject theih a ni bawk. |
Enkawl hnuah eng nge thleng?
Enkawl zawhah darkar chanve vel enfiahna hnuaiah dah i ni ang a, darkar khat chhungin in lama haw phalsak i ni ang.
- Natna tihziaawmna: Mi tam zawk chuan injection an pek atanga minute 30 chhungin natna tihziaawmna nasa tak an nei thin. Pelvic area hi a lum deuh emaw, "danglam" emaw a nih hi thil pangngai a ni.
- Side effects: Injection na hmun hi a na deuh a, ni hnih atanga ni thum chhung a hliam thei bawk. Hei hi thil pangngai a ni.
- Chawlh hahdam: In lama haw hnu darkar 24 chhung chawlh hahdam a pawimawh. Hna rit tak tak leh exercise engmah thawk suh. A tuk zingah i thil tih pangngai chu i thawk leh thei ang.
Natna tihziaawmna hi eng chen nge a awm?
Hei hi damdawi chi hrang hrang i pek danah a innghat a ni. Numbing damdawi chauh pek i nih chuan a relief chu darkar engemaw zat emaw ni engemaw zat emaw a awm ang. Steroid pek i nih chuan a natna tihziaawmna chu kar tam tak atanga thla tam tak chhung a awm thei. Mi thenkhat chuan result tha ber an hmuh theih nan injection vawi tam tak an neih a ngai thin.
Engtikah nge doctor ka biak ang?
He enkawlna nena inzawm harsatna lian tham tak tak awm theihna hi a tlem hle. Mahse, a hnuaia symptoms te hi i neih chuan i doctor hnenah i biak nghal tur a ni .
- A natna a tlahniam ai chuan a nasat zawk chuan .
- Khawsik i neih chuan .
- Injection na hmun chu a na hle a, a hring emaw, a sen emaw a nih chuan .
- I keah chak lohna i neih chuan .
Natna rei tak nena nun hian i rilru leh taksa hriselnaah nghawng lian tak a nei thei a ni. Chuvangin a natna chu "tuar" a ngai tawh lo. Painkiller pangngai hmanga hahdamna i hmu lo a nih chuan heng ang enkawlna bikte hi i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Hypogastric Plexus Block hi specialized injection treatment a ni a, pum hnuai lam leh pelvic area-a natna nasa tak, damdawi dang hmanga control theih loh tan a ni.
- Hei hian thluaka natna signal phurtu nerve cluster pakhat chu hun eng emaw chen emaw hun rei tak emaw atan a titawp a, natna a control a ni.
- Hei hi specialist-in enkawlna a tih a ni a, risk a tlem hle a, hun rei lote chhunga tihfel theih a ni.
- Hei hi endometriosis, cancer natna, leh operation hnua natna te ang chi natna tam tak tan pawh solution hlawhtling tak a ni thei.
- Chronic pelvic pain i vei bawk a nih chuan i doctor nen inbia la, he enkawlna dan hi i tan a tha em tih en rawh.
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