I rilruah natna nasa tak i nei em, i ruh atanga needle lak chhuah ang maiin emaw, chemte kah ang maiin i hria em? Rib tliak a ni thei a, a nih loh leh shingles ang natna atanga i dam hnua rei tak natna lo awm a ni thei bawk. Vawiin hian doctor-te’n hetiang natna tihdam theih loh natna atana an hman thin enkawlna bik kan sawi dawn a ni.
A awlsam zawngin Intercostal Nerve Block hi eng nge ni?
Intercostal Nerve Block hi injection bik a ni a, i ruh pakhat hnuaiah, a natna awmna hmunah i pe thin. Ngaihtuah teh, kan ruh tin hnuaiah hian nerve tlan chhuak a awm a. Chungte chu Intercostal Nerves kan ti a. Eng emaw chhan vanga he nerve emaw, a chhehvela tissue te hi a compress a, a hring emaw, a chhiat emaw chuan tuar theih loh khawpin natna a thlen thei a ni.
Chuvangin he injection hian a tih chu a natna thlentu nerve chu rei lo te chhung atan "numb" a ni. He injection hian damdawi chi hnih a pai ber a, chungte chu:
1. Steroid chi khat: Hei hian nerve vel a swelling leh inflammation a tiziaawm a.
2. Local Anesthetic: Hei hian a hmun chu a ti na nghal a, ha lak chhuah hmaa hmui tiharh ang mai a ni. Hei hian natna chu a tiziaawm thuai ang.
A châng chuan he injection hi natna thlentu chiang taka hriat nân pawh hman a ni a, chu chu natna hriat chian nân a ni.
He vaccine hi engte hmanna nge ni?
He enkawl dan hi rilru leh pum chunglam natna control nan hman a ni ber.
| Hman dan tur scenario | A sawifiahna awlsam tak |
|---|---|
| Natna enkawlna atan |
|
| Surgery nena inzawm a ni |
|
| Diagnosis atan chuan | A châng chuan he test hian i natna hi pawn lam aṭanga lo chhuak, i taksa ruh emaw vun emaw (somatic pain) emaw, chhungril lam, i lung emaw thinlung emaw (visceral pain) aṭanga lo chhuak emaw a nih leh nih loh hriat theih nân a ṭanpui thei bawk. |
He vaccine hi engtin nge ka inbuatsaih ang?
Hei hi a tlangpuiin inbuatsaihna a ngai lo. Amaherawhchu, doctor hrilh tur pawimawh tak tak a awm a.
- Thisen tithianghlimtu chungchang sawi rawh: Anticoagulants, Warfarin ang chi i ei a nih chuan i doctor hnenah i hrilh ngei ang. Hei hian injection na hmuna thisen chhuah theihna a tipung thei a ni. Doctor nen inbia hmasa lovin heng damdawi te hi ei kha bansan ngai suh.
- Sedation pek i nih chuan: A châng chuan i tih hmain sedative (damdawi) chu thisenah pek i ni thei bawk. Hetianga tih a nih chuan darkar 6-8 chhung chaw nghei tura tih i ni ang. Procedure zawhah in lama hruai tur che i mamawh bawk ang.
Mahse, i doctor chuan heng zawng zawng hi a hrilhfiah vek ang che. Zawhna i neih apiang zawh hlau suh.
Vaccine pek dan hi engtin nge a thawh?
Hei hi thil awlsam tak a ni a, minute tlemte chhung a la ngai tlangpui.
1. Position: Khumah i dah ang a, i sir lamah emaw, na lo emaw, i pum chungah emaw dah i ni ang.
2. Sedation (a tul chuan): I lungkham emaw, i hlauthawng emaw a nih chuan i kut vein pakhata cannula dah hmangin sedative pek theih a ni.
3. Thianghlimna: Vaccine pekna hmun hi uluk taka tihfai tur a ni.
4. Numbing: A dawtah chuan local anesthetic chu needle te tak te hmangin a hmunah an inject leh thin. Hetih lai hian rulhut te tak te in a seh ang maiin i inhria mai thei.
5. Hmun dik tak zawn chhuah:Tunah hi a pawimawh ber a ni. Doctor chuan scanner (ultrasound emaw fluoroscopy) ang chi hmanrua hmangin screen-a nerve awmna dik tak chu a hmu fo ang. Hei hian injection chu a mamawhna hmunah chiah pek theih a ni.
6. Main injection pek: Tichuan, steroid leh anesthetic awmna damdawi chu nerve bulah chiah inject a ni.
7. Chawlh hahdam: Vaccine pek zawh hnuah minute 15-30 vel enfiah i ni ang a, chutah chuan in lama thawn haw i ni ang.
Enkawlna hnua harsatna leh hlauhawmna awm thei
Hei hi damdawi hman dan dang ang bawkin enkawlna him tak ni mah se, a hlauhawmna tlemte chauh a awm thei.
Ni hnih atanga ni thum chhung chu injection na hmunah hian hliam emaw, blueness emaw a awm thei. Hei hi thil pangngai a ni.
Mahse, harsatna lian tham tak tak, a awm tlem hle.
| Tum chhin | Hrilhfiahna |
|---|---|
| Thisen chhuak | He needle hian thisen kalna kawng te tak te a tichhe thei a ni. |
| Kaichhawng | Vaccine dang ang bawkin natna hrik luh theihna chance a tlem hle. |
| Lung/Pneumothorax a tlakbuak | A tlem hle a, needle hian lung lining a rawn deng thei a, chu chuan khur te tak te a siam thei a ni. Tunah chuan scanner hman vangin he risk hi a hniam hle tawh a ni. |
| Nerve tihchhiat a ni | Hei pawh hi thil thleng tlem tak a ni. |
Natna tihziaawmna hi eng chen nge a awm?
Hei hi mi tin a inang lo.
- Mi thenkhat tan chuan injection an pek hnuah a na hi a reh thin. Mahse chu chu damdawiin numbing effect a neih vang a ni. Darkar tlemte chhungin a reh thei.
- Hun rei tak chhunga hahdamna tak tak chu steroid damdawi hian hna a thawh tan hnuah a intan a, chu chu ni hnih atanga ni thum hnuah tihna a ni.
- Mi thenkhat chuan thla engemaw zat chhung chu hahdamna an tawng thin . I tan enkawlna a hlawhtling a nih chuan i doctor thurawn angin a natna a lo let leh chuan he injection hi i la leh thei ang.
Engtikah nge Doctor ka hmuh ang?
Vaccine i pek hnua symptom thar i neih emaw, harsatna i rinhlelh emaw chuan i doctor hnenah hriattir nghal rawh . Bik takin:
- Injection na hmun chu a sen, a hring emaw, a tui chhuak (ozing pus) a nih chuan (infection chhinchhiahna).
- Khawsik i neih chuan.
- Ke emaw kut emaw ah natna thar emaw chak lohna emaw i neih chuan.
- Thâwk harsa i neih chuan.
Take-Home Thuchah a ni
- Intercostal Nerve Block hi injection hmanga enkawlna bik a ni a, rilru emaw, pum chunglam emaw natna chi hrang hrang tan a ni.
- Hei hi a tlangpuiin a him hle a, scanner hmanga tih a nih avangin harsatna a awm tlem hle.
- Enkawl hma hian i damdawi ei zawng zawng, a bik takin thisen tihthianghlimna damdawi i doctor hnenah hriattir hmasak a pawimawh.
- Natna tihziaawmna a awm theih nan hun a duh hun chhung hi mi hrang hrangah a inang lo thei.
- Enkawlna hnua natna lan chhuah dan danglam tak a lo lang a nih chuan damdawi lam thurawn la nghal rawh.
- He enkawlna chungchangah hian ngaihtuahna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
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