I hnungzang na, i ke na, i ke hnuai lam na i nei fo em? A chang chuan he natna hi a na lutuk a, nitin hna pawh i thawk tha thei lo. Chutiang dinhmunah chuan i doctor chuan injection bik chungchang a hrilh che a ni mai thei. Chu injection, ‘Lumbar Epidural Steroid Injection’ chu vawiinah kan sawi dawn a ni. Ngaihtuah buai suh, hei hi awlsam takin i hrethiam ang u.
Lumbar Epidural Steroid Injection hi eng nge ni?
A awlsam zawngin sawi ila, hei hi injection bik a ni a, i hnungzang hnuai lam (lumbar region)-ah pek thin a ni. He injection hian damdawi a pai ber a, chu chuan inflammation leh swelling a tiziaawm a ni. Damdawi lam hawi chuan hei hi steroid emaw corticosteroid emaw kan ti a.
Ngaihtuah teh, kan ruhro hi taksa pum puia kal nervous system bulpui kalna hmun a ni. Heng spinal nerve chhehvel hmun te tak te hi ‘epidural space’ an ti a. Chutah chuan doctor chuan he steroid hi a inject thin.
Hei hian a tum ber chu spinal nerve roots compression emaw injury emaw avanga inflammation leh chronic pain lo awm thin te control a ni. He natna hi `(Lumbar Radiculopathy)` kan ti a. Mi tam tak chuan hei hi `Sciatica` tih hmingin an hre thin.
Engtin nge he injection hian natna a tihziaawm?
Hei hi hrethiam tur chuan kan ruhro chungchang tlem han zir hmasa ila.
Kan ruhro hi ruh te te (vertebrae) inzawmkhawm atanga siam a ni a, a chungah a inzawm khawm a ni. Heng ruhte inkarah hian car chhunga ‘shock absorbers’ ang maiin cushion a awm a. Hengte hi ‘vertebral discs’ emaw ‘disks’ emaw kan ti thin. Heng disc te hi kan ruhro (spines) te kan ben, extend leh twist tir theitu an ni.
A châng chuan, disc chhûnga jelly ang chi chu a bulge chhuak thei a, a bula nerve chu a press thei bawk. A nih loh leh, kum upat deuh deuh chuan ruh chhunga hmun chu a te deuh thei a, nerve pawh a compress thei bawk. Hei hi nerve a lo hring leh a inflamed a, chu natna nasa tak chu a thlen chuan a ni.
Tunah chuan, en teh, doctor chuan chu steroid shot chu nerve hring leh inflamed takah chuan direct in a inject a. Tichuan, chu damdawi chakna chuan nerve-a swelling leh inflammation chu a tiziaawm ta a ni. Tichuan, nerve-a pressure pawh a tlahniam ta a ni. Hei hian i natna atanga hahdamna a pe che a ni.
A pawimawh ber chu he injection atanga natna reh hi hun eng emaw chen atan a ni fo thin. Mi thenkhat chuan thla thum emaw a aia rei emaw chhung chu hahdamna an nei thei a, thenkhat tan erawh chuan hun rei lote chhungin natna chu a lo let leh thei a ni.
He vaccine hi tute tan nge a inhmeh?
Doctor-te chuan he injection hi sciatica tan an rawt tlangpui a, chu chu ruhroa nerve compression avanga natna a ni. Chu chu:
- Hnunglam atanga hnute kaltlangin leh ke hnuai lam atanga chhuak natna
- Ke ruh a tingling emaw, a hring emaw
- Ke ruh chak lohna
Heng symptoms te hi a chhan lian tak tak engemaw zat a awm. A hnuaia table hi en rawh.
| Damdawi lam dinhmun | A awlsam zawngin sawifiah a ni |
|---|---|
| Lumbar Herniated Disk a awm bawk | Vertebrae inkar disc pakhat chu a bulge chhuak a, nerve pakhat a press a. Hei hi ‘herniated disc’ an ti a. |
| Lumbar Spinal Stenosis a awm thin | Spinal column chhunga canal (nerve kalna kawng) a tawi a, chu chuan nerve compression a thlen thei a ni. |
| Lumbar Osteoarthritis natna a ni | Kum upat deuh deuh chuan ruh ruh leh ruh te chu a chhe vek a, nerve kalna kawngkhar te chu a ti tawi a, nerve compression a thlen thin. |
| Disk natna (Degenerative Disk Natna) a ni | Kum upat deuh deuh chuan vertebrae inkar disc te chu a chhe vek a, chu chuan nerve te a ti inflammation thin. |
Vaccine pek dan hi engtin nge a thawh?
Mi tam tak chuan hei hi an hlau deuh a, a chhan chu hnungzang lama injection lak tumna hi a hlauhawm deuh thei a ni. Mahse hei hi uluk takin leh specialist trained (physiatrist, anesthesiologist, radiologist ang chi) ten an ti thin. Chuvangin hlauh tur a awm lo.
Vaccine pek hmaa inbuatsaihna
- I damdawi ei zawng zawng (a bik takin thisen tithianghlimtu ) doctor hnenah i hrilh tur a ni.
- Naupai i nih emaw, naupai i rinhlelh emaw chuan min hriattir tur a ni , he procedure neih chhung hian X-ray hman a nih dawn avangin.
- Injection hma darkar engemaw zat chaw nghei turin an ti mai thei bawk.
- Sedative pek i nih chuan in lama hruai tur mi rawn hruai turin an ti ang che.
Vaccine pek lai hian
Hetiang hian minute 15-30 vel a awh tlangpui.
1. I pum chungah khum bikah i mu ang.
2. Vaccine pekna hmun hi uluk taka tihfai a, hri kang hrisel lohna (disinfected) a ni.
3. A dawtah chuan doctor chuan X-ray machine bik fluoroscopy an tih hmangin needle dahna tur hmun dik tak chu a en a. Hei hi live X-ray video ang mai a ni.
4. Tichuan, a zung lian zawk i thun dawna i na lutuk loh nan a hmun chu a numb turin injection te tak te an pe thin.
5. Vawikhat needle chu hmun dik takah, chu chu epidural space-ah a awm tawh chuan doctor chuan contrast dye tlem a inject ang. Hei hian needle chu hmun dik takah a awm tih a nemnghet ang a, thisen kalna kawngah emaw hmun dangah emaw a awm lo tih a nemnghet ang.
6. A tawp berah chuan Doctor chuan uluk takin steroid damdawi chu a inject a.
7. Procedure an tih zawh chuan injection na hmunah plaster te tak te an hnawih ang a, rei vak lo chawlh tir i ni ang. Damdawi hi allergy i neih loh nan fimkhur rawh.
Side effect emaw risk emaw a awm em?
Damdawi dang ang bawkin, hlauhawmna leh nghawng \ha lo engemaw zat a awm a, mahse hengte hi a tlem hle.
| Side effect tenau te | Damdawi lam thurawn lak nghal tur |
|---|---|
|
Heng symptoms te hi i neih chuan doctor ko nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh. |
Heng steroid te hi injection chhunzawm zel leh injek fo hian ruh ruh a tichak lo thei a, chuvangin doctor-te chuan kum khatah injection vawi hnih emaw vawi thum emaw aia tam pek an rawt lo tlangpui.
Take-Home Thuchah a ni
- Lumbar Epidural Steroid Injection hi spinal nerve compression avanga inflammation leh natna tihziaawmna atana injection bik pek a ni.
- Hei hi sciatica ang chi natna tan hun eng emaw chen atana natna tihziaawmna kawng tha tak a ni.
- He injection hian natna chu a ‘tidam’ kim lo. Mahse, a rilru hahdamna chuan physiotherapy exercise i tan tir ang a, nitin i hnathawhna kawngah a pui ang che.
- Hei hi a tlangpuiin a him ber a, trained specialist-in a tih thin a ni.
- Vaccine pek hma leh pek hnuah doctor thupek uluk takin zawm rawh. Thil ngaihtuah leh hlauhna i neih chuan zalen takin sawipui rawh.
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