Nangmah emaw, i hriat mi emaw chuan i ke ruhteah taksa ruh khauh, inzawm khawm (twitching muscles) i nei em? A châng chuan, he natna tihziaawmna tûr damdawi ei pawhin a ṭangkai lo. Chuvangin vawiin hian hetiang chi severe muscle spasm (spasticity) enkawlna hmasawn tak kan sawi dawn a ni. Baclofen Pump an ti a. He hming hi i tan chuan thil thar a ni mai thei, mahse hlawkna tam tak a nei a ni. Eng nge a nih i han thlir teh ang.
Baclofen Pump chu eng nge ni?
A awlsam zawngin, i taksaah surgery hmanga dah luh, hmanraw te tak te a ni. A then hnih atanga siam a ni a:
- Pump: Hei hi metal disc zungbun, flat tak a ni a, a tlangpuiin inch khat vel a thuk leh inches thum vel a sei a ni. Hei hi damdawi dahkhawmna hmun a ni a, a tul huna taksaa chhuahtirna hmun a ni.
- Catheter: Hei hi tube te tak te, flexible tak a ni a, damdawi chu pump atanga a mamawhna hmunah a phur a, chu chu i ruhro chhungah a awm a ni.
Surgery neih chhung hian doctor chuan he pump hi i pum vun hnuaiah a dah ang. Tichuan, catheter tawp khat chu pump nen a inzawm ang a, a tawp dang chu i spinal cord vel fluid nen a inzawm ang. Doctor-te chuan hei hi Intrathecal Baclofen Therapy (ITB) tiin an vuah a ni.
He pump hian battery, reservoir leh microprocessor a nei a. Doctor chuan computer te tak te leh i vunah dah bik device (wand) hmangin pump chu a program a. Chumi awmzia chu pump chu nitin damdawi dik tak, a hun takah leh a dik taka pe turin a hrilh che tihna a ni.
Chuti a nih chuan he damdawi hi eng nge Baclofen an tih?
Baclofen hi ruh tichaktu a ni a . Muscle stiffness (spasticity) ang chi natna enkawlna atana hmanraw pawimawh tak a ni. He damdawi hi ruhro (spinal cord) vel tuiah direct-a inject a nih chuan a hnuaia mi ang hian a ti thin:
- Muscle movement a ti awlsam.
- Duh loh zawnga twitch leh overactive reflexes awm fo thin te a control thin.
- Muscle tone tam lutuk a tihziaawm.
- Muscle spasm a tihziaawm.
Hetiang method hi oral pills aiin a hlawk zawk chhan ber a awm. Damdawi ka ei hian taksa pum puiah a darh a, ruhro (spinal cord) a thleng a ni. Chuvangin, mutthilh leh chak lohna ang chi side effect a tam zawk. Mahse pump hian damdawi chu a mamawhna hmunah direct-in a thlen avangin damdawi tlemte chauh hmangin result lian tak i hmu thei a ni Chuvangin a side effect pawh a tlem hle.
He pump hi eng condition atan nge hman a nih?
Hetiang hmanrua hi thluak emaw ruhro emaw natna chi hrang hrang avanga taksa ruh (muscle stiffness) na tak (severe spasticity) enkawlna atan hman a ni. Entirna thenkhat chu:
- Multiple Sclerosis natna a ni
- Spinal cord hliam na tak a awm
- Cerebral palsy natna a ni
- Thluak hliam na tak
- Thai
He baclofen pump hi tu tan nge a inhmeh ber?
Muscle stiffness nasa tak i neih a, damdawi ei hian a pui lo a nih chuan i doctor hian he pump hi a ngaihtuah mai thei. Mahse mi zawng zawng hian an implant nghal thei lo. A hmasa berin i tan a fit tha em tih test i ni ang.
He test-ah hian i ruhro (spinal tap)-ah injection tlemte i dah a, i ruhro vel tuiah baclofen tlemte chauh i inject a ni. Chumi hnuah chuan medical team chuan darkar engemaw zat an enkawl ang che. Damdawi dose hian i taksa ruh (muscle stiffness) a tihziaawm zia leh i rilru put hmang chu an hmu ang. He damdawi hian a nghawng hi hun rei lote chhung atan a ni a, mahse a thu hriatte hi doctor tan chuan pump dah leh dah loh tur chungchanga thutlukna siam nan a pawimawh hle.
Engtin nge surgery hi an tih thin?
Pump atana candidate tha tak i nih thu an rel hnu chuan operation neihna tur ni khat dah a ni. Hei hi neurosurgeon emaw, natna enkawlna lama tui doctor emaw chuan a ti tlangpui.
Operation ni chuan fully anesthetized i ni ang . Hei hian engmah i hre lo vang, i muhil dawn tihna a ni. Tichuan surgeon chuan hengte hi a zawm ang:
1. I pum vunah hian incision te tak te siam a ni a, chuta tang chuan pump chu vun hnuaiah dah a ni.
2. Tichuan i hnungzang hnuai lamah incision te tak te dang siam leh a ni a, chu catheter (tube) tawp chu i spinal cord-ah dah a ni.
3. A dawtah chuan catheter chu vun hnuaia pum chhunga pump nen an inzawm leh a.
4. Pump ah hian Baclofen damdawi mamawh chu a khat a.
5. Computer hmangin pump chu i duh angin damdawi chu i rawn pe chhuak thei tih i program a.
Surgery pumpui hi darkar hnih vel a ni tlangpui. Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. A châng chuan, pump hman thiam leh in lama i haw hmaa taksa chakna i neih leh theih nân rehabilitation treatment-ah pawh refer i ni thei bawk.
Pump hi engtin nge control leh enkawl ang?
Pump hi dah a nih hnuah pawh uluk taka enkawl a pawimawh hle.
- Refills: Pump chhunga damdawi awm chu hun kal zelah a tlakchham ang. A tlangpuiin thla khatah vawi khat atanga thla ruk danah vawi khat.Vawi tam tak chu i pump kha i refill a ngai thin. Hei hian i doctor chuan i vun hmun bik (refill port)-ah damdawi chu needle hmangin a inject a ngai a ni. Skipping this refill date can be dangerous , i damdawi i ei loh chuan withdrawal symptoms na tak a thlen thei a ni.
- Battery: Pump battery hi kum 6-7 vel a daih tlangpui . Battery a tlakchham dawn chuan pump hian alarm a pe ang. Tichuan, pump hlui chu la chhuakin a thar dah turin operation dang neih leh a ngai leh ta a ni. Mahse, catheter (tube) erawh a danglam lo. He surgery pahnihna hi a hmasa ber aiin a awlsam zawk hle.
- Buaina: Pump emaw catheter emaw-ah mechanical failure emaw blockage emaw a awm chuan surgery hmanga siamthat emaw thlak emaw a ngai dawn a ni.
Pump a thawk tha lo nia rinhlelhna i neih chuan doctor ko nghal rawh .
He enkawlna hlawkna, hlauhawmna leh harsatna awm thei te
Damdawi dang ang bawkin hlawkna a awm bakah hlauhawmna engemaw zat a awm bawk. A pahnih hi han thlir ila.
| Chhawr tangkai | Hrilhfiahna |
|---|---|
| Hlawhtlinna sang tak | Muscle spasm na tak control dan tha tak a ni. |
| Damdawi supply chhunzawm zel | Nitin damdawi hi a ruala pek a nih avangin taksa ruh (muscle stiffness) hi a control tha hle. |
| Side effects a tlem zawk | Damdawi ei aiin side effect (mutthilh, chak lohna) a tlem zawk hle. |
| Dose pawh a inthlak danglam thei | Nitin hun hrang hrangah damdawi dose hrang hrang i program thei a, i mamawh dan azirin. |
| A tul chuan lakchhuah theih a ni. | Eng emaw chhan vanga a tul chuan pump leh catheter chu surgery hmangin lakchhuah theih a ni. |
Harsatna awm thei
- Surgery nena inzawm: incision infection, thisen chhuah, hliam, cerebrospinal fluid leak.
- Pump nena inzawm: Pump a thawk tha lo, catheter a block emaw a chhuak emaw, pump chunga vun a chhiat.
- Damdawi nena inzawm: Withdrawal emaw Overdose emaw. Heng pahnih hi fimkhur tur thil pawi ber berte an ni.
Withdrawal leh overdose inthlauhna
Heng pahnih hi a hlauhawm thei a, chuvangin an pahnih symptoms hriat hi a pawimawh hle .
| Mihring ziarang | Baclofen lakchhuah a ni | Baclofen hman tam lutuk |
|---|---|---|
| Chhan | ||
| Engvangin nge hetiang hi a lo awm? | Pump damdawi a tlakchham vang te, catheter a block vang te, a chhe vang tein damdawi pek chhuah tihtawp thut . | Damdawi refilling emaw programming emaw tihsual avanga taksa chhunga damdawi tam lutuk lut . |
| A lan chhuah dan ber | ||
| Muscle te hi a ni | Tightening na tak , pulsating, rolling nasa tak a awm. | Extreme weakness , nunna nei lo, taksa peng hrang hrang che thei lo. |
| Vun | Vun a na hle a, engmah a tichhe lo. | A danglamna bik a awm lo. |
| Taksa lum leh vawt | Tlem chuan ka khawsik deuhin ka hria. | Taksa lumna tlahniam. |
| Thil dang pawh a awm | Thaw chhuak nasa, luak chhuak, luak chhuak. | Mutthilh nasat, thisen sang tlahniam, thawk harsa . |
| A chhe ber chu a ni | Seizures a awm thin. | Thil hriatna hloh, seizures. |
Warning: A chunga table-a tarlan symptoms zinga pakhat tal a lo lang a nih chuan medical emergency a ni . Dam lova damlo chu damdawi in hnai ber Emergency Department (ETU) -ah hruai nghal tur a ni.
Engtikah nge Doctor ka hmuh ang?
Baclofen pump i dah chuan doctor nen inbiak reng tur a ni.
Heng thil thlengah hian i doctor ko rawh:
Surgery hmuna natna hrik i hmuh chuan doctor hnenah hriattir nghal rawh.
- Khawsik.
- Pump emaw incision emaw vel vun sen leh hring.
- Cut atanga fluid emaw pus emaw chhuak.
- Chu hmunah chuan natna.
Heng thil thlengah hian ETU-ah kal nghal rawh:
- A chunga table-a tarlan angin withdrawal symptoms te.
- A chunga table-a kan sawi tak overdose symptoms te.
Heng pahnih hi nunna atana hlauhawm tak a nih avangin enkawl vat a pawimawh hle.
Take-Home Thuchah a ni
- Baclofen Pump hi damdawi ei hmanga control theih loh, taksa ruh na tak (severe spasticity) enkawlna hmasawn tak a ni.
- Hei hian damdawi chu ruhro (spinal cord)-ah direct-a a thlen avangin damdawi tlem zawk leh side effect tlem zawk hmangin result lian zawk a awm thei a ni.
- Pump hi a hun taka refill a pawimawh hle. Hei hi skip hian withdrawal symptom hlauhawm tak a thlen thei a ni.
- Withdrawal leh overdose symptoms hriat a pawimawh hle. Hengte hi medical emergency a ni.
- I pump chungchangah emaw, symptom i neih emaw chungchangah ngaihtuahna emaw zawhna emaw i neih chuan doctor rawn nghal rawh.
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