Lumbar Epidural Steroid Injection for Back Pain: Hemi chungchang zawng zawng hi a awlsam zawngin

I hnungzang atanga i ke hnuai lam atanga rawn chhuak natna leh rilru hahna nasa tak i nei fo thin em? I doctor chuan "i hnungzang ah steroid injection i mamawh" tih a hrilh che a ni mai thei. He thu i hriat hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Chuvangin, vawiin hian lumbar epidural steroid injection chu eng nge a nih, eng nge a tih, leh hlauh tur nge tih te, thumal awlsam takin, i hriatthiam theih tur tawng hmangin kan sawi dawn a ni.

A awlsam zawngin, Lumbar Epidural Steroid Injection tih hi eng nge ni?

Hei hian i hnungzang hnuai lam a awm, i ruhro (spinal nerves) vel epidural space -ah damdawi, steroid emaw corticosteroid emaw ang chi inject a huam a ni.

Hei hian a tum ber chu ruhro chhunga nerve zungte compression emaw inflammation emaw avanga natna khirh tak tak control a ni. He natna hi damdawi lam chuan lumbar radiculopathy an ti a . Sciatica tih hi i hre tawh mai thei . He natna hi hnungzang atanga hnute thlengin, ke hnuai lam thlengin, ke ruh thlengin, ke thlengin a kal thei a ni.

He vaccine hian engtin nge kan taksa chhungah hna a thawh?

Hei hi hrethiam tur chuan kan ruhro chungchang tlem han zir hmasa ila.

I ruhro chu ruh te tak te inzawm khawm angin ngaihtuah rawh. Hengte hi vertebrae kan ti a . I ruhro hnuai lamah hian heng vertebrae panga hi a awm a. Heng ruh pahnih inkarah hian cushion, jelly ang chi hmun a awm a. Hengte hi intervertebral disc kan ti a . Heng disc te hian kan ruhro chu kan ben thei a, kan tizau thei a, kan tikehsawm thei bawk.

Kan taksa "main cable" ang maia thawk spinal cord hi he ruhro hi a kal tlang a ni. Chumi hmang chuan taksa pum puiah nerve te chu a darh ta a ni. Chuvangin, spinal cord chhehvela venhimna hmun chu epidural space kan tih hi a ni.

Tunah chuan han ngaihtuah teh, chutiang disc kan sawi tawh zinga pakhat chu a bulge out deuh a nih chuan, emaw, chhan dang avanga ruhro chhunga hmun awm chu a tlahniam a nih chuan, chuta kal tlanga nerve pakhat chu a compress ta a ni. Tui pipe-a ke pen ang maiin. Tichuan chu nerve chu a lo hring chhuak a, natna a thlen ta a ni. Chu chu ke hnuai lam natna chu a ni.

He injection hi epidural space-ah steroid inject a ni a, chu chu nerve hring leh compressed bulah chiah a ni. He damdawi hian direct in inflammation a tiziaawm a ni . Swelling a tlahniam chuan nerve pressure pawh a tlahniam bawk. Tichuan i hrehawmna chu nasa takin a tlahniam ta a ni.

He vaccine hi eng condition atan nge hman a nih?

Doctor-te chuan he vaccine hi hnungzang na chhan hrang hrang enkawlna atan an rawt a ni. A hnuaia table atang hian heng condition te hi i hrethiam mai ang.

Vaccine ka lak hmain engtin nge ka inbuatsaih ang?

He vaccine i lak hma hian thil thenkhat chiang taka doctor nen sawiho a pawimawh hle.

• Naupai emaw, naupai tum emaw i nih chuan doctor hnenah hrilh ngei ang che, he procedure hi X-ray (fluoroscopy) chi khat hman a nih avangin.
• I damdawi ei zawng zawng (thisen tithianghlimtu, zunthlum damdawi, thisen sang damdawi, vitamin, Ayurvedic damdawi) te chu doctor hnenah hrilh rawh. Damdawi thenkhat chu ni engemaw zat ei tawh loh turin a ti mai thei che a ni.
• Injection hma darkar engemaw zat chaw nghei turin an ti mai thei bawk.
• I hnungzang MRI emaw CT scan emaw tihsak i ni thei bawk. Hei hian damdawi inject tur hmun dik tak chu a hmu thei ang.
• Hriat lohna tur damdawi an pek che chuan in lama hruai tur che rawn hruai turin an ti ang che.

Doctor hnena zawh tur zawhna tha thenkhat

• He enkawlna hi eng chen nge a daih?
• Hei hian min pui lo a nih chuan ka duhthlan turte chu engte nge ni?
• Hei hian eng hlauhawmna nge a neih?
• Vaccine ka lak hunah eng nge ka hriat ang?

Vaccine pek chhung hian eng nge thleng tak tak?

Hetiang tih dan hi damdawi in emaw clinic emaw-ah tih a ni tlangpui. Minute 15 leh 30 inkar vel a ni. Hetih hun chhung hian i che lo tak tak a pawimawh hle.

Hengte hi a tlangpuiin step hrang hrang a awm thin:

1. Gown bik ha in thlakin i pum chungah dawhkan chungah i mu ang. I pum hnuaiah pillow a awm ang. I chawlh hahdam theih nan painkiller tlemte pek i ni thei bawk.

2. Injection na hmun chu uluk taka tihfai leh disinfected a ni.

3. A dawtah chuan doctor chuan X-ray ang chi machine fluoroscopy an tih hmangin screen-ah needle dahna hmun dik tak chu a hmu a.

4. Tichuan, needle te tak te hmangin a hmun chu a numb thin . Chuvangin needle lian zawk i dah chuan natna tam tak i nei lovang.

5. Tunah chuan main needle chu hmun dik takah a awm tawh a, chu chu epidural space-ah a awm tawh a, dye (contrast material) tlem te te inject a ni. Tichuan X-ray-ah chuan needle chu thisen kalna kawng emaw hmun dangah emaw a awm lo va, damdawi kalna tur hmun dik takah a awm tih a lang.

6. A tawp berah chuan Doctor chuan uluk takin steroid damdawi chu a inject a.

7. Hna thawh zawh veleh needle chu la chhuakin, a hmun chu tlem tein an hmet a, an tifai a, plaster an hnawih a.

8. Chumi hnuah chuan rei lo te (minute tlemte atanga darkar khat vel) chawlh tir i ni ang a, damdawi allergy i neih leh neih loh enfiah hnuah in lamah an thawn leh ang.

Hei hian a ti na em? Side effect a awm em?

Mi tam takin zawhna an neih chu hei hian a ti na dawn em tih hi a ni. Numbing damdawi an inject chuan needle te tak te in a hliam ang maiin a lang. Main needle i dah chuan natna aiin pressure , stinging, emaw burning sensation ang deuhin i inhria thei. Hei hi eng ang pawhin awm se, hun eng emaw chen atan a ni. Mahse, natna khirh tak, tuar theih loh i neih chuan i doctor hnenah i hrilh nghal tur a ni.

Damdawi enkawlna dang ang bawkin, a side effect tenau te pawh a awm thei.

• Hun engemaw chen a natna a pung: Damdawi a thawh tan hma ni hnih emaw ni thum emaw chhung chu a na deuh deuhin a lang thei.
• Injection na hmuna hliam emaw, na emaw: Ni engemaw zat chhung chu injection na hmunah hian hliam emaw, na emaw a awm thei.
• Zunthlum vei tan: Steroid hian rei lo te chhungin thisen sugar level a tisang thei a. Chuvang chuan zunthlum vei te hian hemi chungchangah hian fimkhur a tul hle.
• Glaucoma vei tan: Mit pressure chu rei lo te chhungin a sang thei.

Hlauh tur hlauhawm tak tak a awm em?

Hengte hi thil thleng tlem tak a ni a, a thleng fo lo tihna a ni. Mahse, heng hlauhawmnate hi a tlem theih nan he enkawlna hi doctor thiam, tawnhriat ngah tak hmanga tihsak a pawimawh hle.

• Infection: Hriselna chu a zung dahna hmunah a lut thei a.
• Thisen chhuahna: Thisen kalna kawng a tlak a, a chhiat chuan thisen chu epidural space-ah a khawlkhawm thei a ni.
• Nerve chhiatna: A tlem hle a, needle hian nerve a rawn deng thei a, a tichhia thei bawk.
• Lu na nasa tak: Needle hian spinal cord vel membrane te tak te a tawk a nih chuan cerebrospinal fluid thenkhat a leak chhuak thei a, chu chuan lu na nasa tak a thlen thei a, a bik takin ding chungin a na hle.

Hetiang hlauhawmna avang hian doctor te chuan kum khatah vawi hnih emaw vawi thum emaw aia tam vaccine pek an rawt lo tlangpui .

Eng symptoms nge doctor pan nghal tura fuih tur che?

Vaccine i lak hnua a hnuaia symptoms te hi i neih chuan i doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

• Lu na na tak, i ding emaw, i thut emaw a lo awm a, i mut chuan a reh thei.
• Khawsik .
• Zun emaw bawlhhlawh emaw control theih lohna emaw harsatna emaw .
• Ke ruh natna emaw chak lohna emaw hriatna .