Rib inkar natna nasa tak avanga special injection (Intercostal Nerve Block) pek thin chungchang hi i zir dawn em ni?

A châng chuan i rilru sir emaw, i rib cage emaw-ah natna nasa tak i nei thei bawk. He natna hi chemtein a chil che ang maiin a awm thei a, thawk a harsat phah a ni. A châng chuan hetiang natna hi ruh tliak hnuah emaw, rilru zai hnuah emaw a awm ṭhin. Vawiin hian he natna chi hrang hrang enkawlna bik kan sawi dawn a, chu chu natna awmna hmunah direct-a injection pek a ni.

Intercostal Nerve Block hi eng nge ni?

A awlsam zawngin, hei hi i ruh pakhat hnuaia awm nerve bula injection pek a ni. Kan rilruah hian rib tin hnuaiah hian nerve pakhat a tlan tih i hria em? Chungte chu ‘Intercostal Nerves’ kan ti a. Eng emaw chhan vanga he nerve emaw, a chhehvela tissue te hi a compress a, a chhe emaw, a hring emaw a nih chuan natna nasa tak a thlen thei a ni.

Chuvangin he injection hian a tih chu a natna thlentu nerve chu rei lo te chhung atan ‘block’ a ni. He injection hian damdawi chi hnih a pai ber a, chungte chu:

• Local Anesthetic: Hei hian injection pek zawh veleh a hmun chu a ti na nghal a, rang takin natna a tiziaawm.
• Steroid: Hei hian nerve vel a hring leh inflammation a tiziaawm a. A hman theih nan ni hnih atanga ni thum vel a ngai a, mahse hun rei tak chhung chu chhanchhuahna a pe a ni.

Eng dinhmunah nge he vaccine hi hman a nih?

Hetianga enkawlna hi thil pawimawh engemaw zat atan hman a ni. A châng chuan natna tihziaawmna atan a ṭangkai a, a châng chuan natna thlentu zawn chhuahnaah a ṭangkai bawk.

He vaccine dawng tur hian engtin nge ka inbuatsaih ang?

Hei hi a tlangpuiin inbuatsaihna a ngai lo. Amaherawhchu, hriat tur tlemte a awm.

A pawimawh ber chu anticoagulants, warfarin ang chi i ei a nih chuan i doctor hnenah i hrilh ngei ang . A chhan chu heng damdawi te hian injection na hmuna thisen chhuah theihna a tipung thei a ni. Mahse, i doctor-in a tih loh chuan ei kha titawp ngai suh tih hre reng ang che.

A châng chuan mutthilh theih nân sedation an pe ang che. Chutianga tih a nih chuan tih hma darkar 6-8 chhung chu engmah ei leh in lo turin an ti ang che. In lama khalhtu tur i rawn hruai a ngai bawk ang, i khalh thei dawn lo a ni.

He Intercostal Nerve Block hi engtin nge an tih thin?

He enkawl dan hi a awlsam hle. Hetiang hian a kal tlangpui:

• Pakhatnaah chuan khumah, i sir lamah emaw, a na lo emaw, i pum chungah emaw mu turin siam i ni ang.
• I rilru hahdam nan i kut ah IV line hmangin mild sedative pek i ni thei bawk.
• Tichuan, injection na hmun chu antiseptic solution hmangin uluk takin an tifai leh thin.
• A dawtah chuan local anaesthetic injection tlemte pek a ni a, chu chuan nerve block tihna hmun chu a ti na lo hle. Hetih lai hian needle a luh rualin stinging sensation tlem i nei thei.
• Nerve awmna dik tak hriat nân doctor chuan ultrasound emaw fluoroscopy emaw ang chi imaging guidance a hmang thei a ni. Hei hian doctor chuan needle dahna tur hmun dik tak a hmu thei a ni.
• A hmun dik tak hmuh a nih chuan natna tidamtu damdawi chu nerve hnaih thei ang bera inject a ni.
• Injection i pek zawh chuan damdawi a hman theih hma chu rei lo te chawlh tir i ni ang.

Injection i pek hnuah minute 15-30 vel enfiahin side effect a awm em tih i en ang. Engkim a tha a nih chuan i haw thei ang.

He enkawlna hi engtiang chiahin nge a hlawhtlin? Tin, eng chen nge a natna chu a reh theih nan?

Mi tam tak tân chuan hei hian hun eng emaw chen atân natna tihziaawmna ṭha tak a pe a, mahse chu tihdamna chu eng chen nge a awm tih chu mi hrang hrangah a inang lo.

Injection hnua anesthetic pek nghal hian a natna a tiziaawm ang. Mahse, darkar engemaw zat hnuah chuan anesthetic chu a chhe vek ang a, a natna chu a lo let leh mai thei. Lungngai suh, hei hi thil pangngai a ni. Ni hnih atanga ni thum chhunga steroid hian hna a thawh tan hnuah hun rei tak chhung hahdamna a awm ang.

Mi thenkhat chu thla engemaw zat chhung chu natna nei lovin an awm thei . Enkawlna a hlawhtlin chuan a natna control nan a tul angin a hun hunah shot i la leh thei mai thei. Mahse, mi thenkhat chuan shot atang hian effect an nei lo mai thei. Chutiang a nih chuan i doctor chuan enkawlna dang a hrilh ang che.

Hei hian eng hlauhawmna leh harsatna nge a neih?

Hei hi a tlangpuiin enkawlna him tak a ni. Injection pekna hmunah hian hliam leh natna engemaw zat a awm thei a, mahse hei hi ni hnih atanga ni thum chhungin a reh mai ang.

Mahse, harsatna lian tham tak tak, a tlem hle a, mahse hriat tlak tak tak a awm.

• Thisen chhuak
• Kaichhawng
• Collapsed lung: Hei hi thil awm lo tak a ni. A zung (needle) hian lung a tawk a nih chuan a thleng thei.
• Nerve tihchhiat a ni

Heng risk te hi a tlem hle a, a bik takin doctor tawnhriat ngah takin ultrasound ang chi technology hmanga a tih chuan a tlem hle.

Engtik hunah nge doctor ka hmuh ang?

He vaccine i pek hnu hian symptom thar emaw complication thar emaw i neih chuan i doctor ko nghal rawh . A bik takin heng symptoms te hi hre reng ang che:

• Infection chhinchhiahna: khawsik, sen, hring, natna nasa tak, emaw injection na hmuna hnim hring.
• Nerve nena inzawm harsatna: Symptom thar, taksa peng hrang hranga natna leh chak lohna te.
• Thâwk harsa: Hei hi lung lama harsatna chhinchhiahna a ni thei.

Hetiang thil i hriat chuan tihkhawtlai suh la, damdawi lam thurawn la nghal rawh.