A chang chuan i taksa ruhte chu a nghet nghal a, i taksa chu a vawt a, i che thei lo ang maiin i inhria em? Mi thenkhat tan chuan hei hi hun eng emaw chen atan thil pangngai a ni a, thenkhat tan erawh chuan damdawi lam harsatna na tak avanga lo awm a ni. Damdawi lamah chuan hei hi Spasticity kan ti a ni. Hetiang dinhmun hi control turin doctor-te chuan damdawi ei tur an pe hmasa thin. Mahse, chu damdawi hmanga control theih loh khawpa natna a lo nasat chuan doctor-te’n an rawt enkawlna bik chu Baclofen Pump an ti a ni. Okay, chuvangin vawiin hian thumal awlsam takin engkim hi sawi ila.
A awlsam zawngin, he Baclofen Pump hi eng nge ni?
Metal disc round te tak te ang maiin han ngaihtuah teh. Hei hi pump a ni. Hei hi operation tenau i tih laiin i pum vun hnuaiah dah thin device a ni. He pump nena inzawm tube te tak te, flexible tak (hei hi catheter kan ti a) chu i hnungzang chhunga i spinal cord (spinal canal) vel tui chhungah dah a ni.
A awlsam zawngin, he pump hian damdawi dahna tur reservoir a nei a, battery leh computer controller a nei bawk. Doctor chuan computer device bik a hmang a, chu chu i vunah dahin he pump hi thupek a pe thin. Chu chu ni khata hun hrang hrangah damdawi i mamawh zat chu chu tube kaltlangin a hun takah chuan ruhro (spinal cord) vel tuiah chhuah turin programme a ni tihna a ni. Hetiang tih dan hi Intrathecal Baclofen Therapy (ITB) kan ti bawk.
Chuti a nih chuan he damdawi hi eng nge Baclofen an tih?
Baclofen hi ruh tichaktu a ni a . Spinal cord-a direct-a pek a nih chuan, .
- Muscle tight danglam tak (muscle stiffness) a ti reh.
- Muscle spasm duh loh zawng a tihziaawm.
- Muscle movement leh function a tichak.
He enkawlna hi eng ang damlo tan nge a tha?
Baclofen Pump hi mi zawng zawng tan a ni lo. Doctor-te chuan damdawi ei hmanga thunun theih loh spasticity na tak nei tan an rawt tlangpui. Hetiang dinhmun thlen theitu thenkhat chu:
- Multiple Sclerosis natna a ni
- Spinal Cord Hliam a awm
- Cerebral Palsy natna a ni
- Thluak hliam natna (TBI) .
- Thai
He enkawlna hi i tan a tha em tih i rel hmain i doctor chuan test bik a nei ang. Hetah hian damdawi Baclofen tlemte chu i ruhro vel tuiah inject a ni a, darkar engemaw zat chhung chu i taksa chu pump hian a thawk tha em tih enfiah a ni. Results hian pump chu i tan engtiang chiahin nge a thawh hlawk tih a hril ang.
Engtin nge surgery hi tih a nih a, a hnuah eng nge thleng?
Hei hi neurosurgeon emaw pain management specialist emaw surgery tih a ni.
- Surgery hma: General anesthesia hnuaiah dah i ni ang a, chuvangin natna engmah i nei lovang.
- Surgery neih chhung hian: Doctor chuan i pum chhungah incision te tak te a siam ang a, chuta tang chuan pump chu a dah lut ang. Tichuan, i hnungzang hnuai lam ah incision te tak te an siam leh ang a, pump atang hian tube (catheter) chu i spinal cord vel space ah an dah lut ang. A tawp berah chuan pump chu damdawiin a khat ang a, i duh angin damdawi chu chhuah tir turin programme a ni ang. He surgery hi darkar hnih vel a ni tlangpui.
- Operation hnuah: Damdawi inah ni engemaw zat i awm a ngai ang. Tichuan, in lama i haw hmain i hmanraw thar i hman thiam theih nan leh i hnathawh dan pangngaia i thawh theih nan inpatient rehabilitation-ah refer i ni thei bawk.
Pump hi engtin nge kan enkawl ang?
Vawi khat chauh pump chhuakin i dah mai thei lo. Car-a oil dah ang bawkin he pump hi a hun takah refill a ngai a ni. A tlangpuiin hei hi thla 1-6 danah tih a ngai thin. Chutiang tur chuan doctor chuan i vun hnuaiah needle a dah a, pump-a hmun bik (refill port)-ah damdawi chu a inject a ni.
A pawimawh ber: I doctor refill appointment kha eng chhan pawh nise skip suh. Chutianga i tih chuan pump-ah damdawi a tlakchham ang a, withdrawal symptoms na tak i nei thei bawk.
He enkawlna hian eng nge a thatna leh a that lohna?
Enkawlna hmanraw dang ang bawkin hei hian a thatna leh a that lohna a nei vek a ni. Eng nge an nih i han thlir teh ang.
| Hlawkpuina | Risk/Complication awm thei te |
|---|---|
| Muscle spasticity control hlawhtling tak a ni. | Surgery neihna hmuna natna hrik leh thisen chhuak. |
| Damdawi ei aiin side effect a tlem zawk. | Spinal fluid a leak thin. |
| Taksa pawhin chutiang bawk chuan damdawi chu a dawng chhunzawm zel a ni. | Pump emaw catheter emaw mechanical a chhiat chuan. |
| Ni khat chhunga hun hrang hranga damdawi hman dan tur, a tul angin thlak danglam theih. | Damdawi ei kha tihtawp nghal a nih chuan withdrawal symptoms a awm thin. |
| A tul chuan surgery hmanga lakchhuah theih a ni. | Overdose hi damdawi dose tihpun a nih chuan a thleng thin. |
Emergency dinhmun i hriat ngei ngei tur!
He thuziak hi a pawimawh ber a ni. Nang leh i chhungte tan chuan rang taka withdrawal emaw overdose emaw symptoms hriat hi a pawimawh hle . Hengte hi dinhmun khirh tak tak, nunna atana hlauhawm thei tak tak an ni.
| Emergency dinhmunah chuan | Natna |
|---|---|
| Baclofen lakchhuah a ni (Pump damdawi a tlakchham emaw, a thawk tha lo emaw a nih chuan) |
|
| Baclofen hman tam lutuk (Damdawi refilling emaw program thlak emaw hnuah a thleng nghal thei) |
|
A chunga kan sawi tak symptoms te hi a lo lang a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin kal rawh! | |
Thil tenawm dang...
- Surgery atanga dam leh theih nan eng chen nge hun a duh? A tlangpuiin kar 6-8 vel a ni. Chumi chhung chuan thil hahthlak tak tak i pumpelh tur a ni.
- Pump battery: A tlangpuiin kum 6-7 chhung a daih. Battery a tlakchham dawn chuan pump chuan signal a pe chhuak ang a, chu chuan a hriattir ang che. Tichuan pump thlak nan surgery tenau dang neih leh a ngai dawn a ni.
- Infection chhinchhiahna: Surgery hmun chu a sen, a hring, a na, tui a luang chhuak a, a nih loh leh khawsik i neih chuan i doctor hnenah hriattir nghal rawh .
I enkawltu doctor chauhvin he enkawlna hi i tan a tha em tih chungchangah thutlukna tha ber a siam thei ang. Chuvangin, he thil chungchanga zawhna, ngaihtuahna leh ngaihtuahna i neih apiang chu i doctor hnenah inhawng tak leh rinawm takin sawi rawh.
Take-Home Thuchah a ni
- Baclofen Pump hi damdawi ei hmanga control theih loh spasticity na tak tan enkawlna bik a ni.
- Hei hi surgically implanted device a ni a, hun bituk chhunga vawi khat damdawi hi refill a pawimawh hle.
- Damdawi refill date hi skip ngai suh. Withdrawal symptoms na tak a thlen thei bawk.
- Nangmah leh i chhungte tan pawh withdrawal leh overdose symptoms te hi hre reng ang che. Heng symptoms te hi i hmuh chuan emergency room (ETU) ah kal nghal rawh.
- He enkawlna hi i tan a tha em tih leh a kaihhnawih zawng zawngah i doctor nen sawiho rawh.
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