A châng chuan eng thil pawh ti ila, damdawi ei mah ila, a reh ngai lo na kan nei ṭhin. A hnungzang na, khup na, lu sir khata natna nasa tak a ni mai thei. Hetiang natna reng reng tuarte chauh hian nunpui a harsat zia an hria. Chuvangin, vawiinah hian doctor ten he natna chi hrang hrang control nana an hman thin enkawlna bik kan sawi dawn a ni. Chu chu ‘Nerve Block’ an ti a.
A awlsam zawngin, nerve block tih hi eng nge ni?
Kan taksa chhunga nerve awmte hi cable angin ngaihtuah rawh. Heng nerve te hian thluak atang hian taksa peng dangah thuchah an phur a, chu hmun atang chuan thluak lamah pawh thuchah an phur kir leh thin. Kan hriat, kan che, kan thawk, leh kan thawmhnaw zawng zawng hi heng thuchahte hian a thunun vek a ni. Chutiang thuchah pakhat chu hrehawmna hi a ni.
Nerve block chu a natna hriatna hmun nerve emaw nerve bundle-a inject a ni. Hei hian hun engemaw chen chu natna thuchah chu thluaka kal chu a titawp a ni . Mid-way-a phone call tihtawp ang mai a ni.
A chang chuan, he injection-ah hian natna tidamtu leh anti-inflammatory an dah tel bawk. Hei hian nerve-a swelling a tihziaawm bakah nerve chhia chu dam theihna hun a pe bawk. Chumi atanga hahdamna chu rei lo te chhung atan a ni. Mi thenkhat chuan injection vawi khat chauh hmangin hahdamna an hmu a, thenkhat erawh chuan vawi tam tak an neih a ngai thung. Mahse, mi thenkhat chuan he thil atang hian hahdamna an hmu lo mai thei. Chutiang a nih chuan enkawlna dang a ngai mai thei.
Nerve block chhan hi engte nge ni?
Nerve block hman hi thil tum lian tak pathum a awm a.
1. Natna enkawlna atan (Therapeutic Nerve Blocks): Hei hi a hman chhan ber a ni. Natna nasa tak emaw, rei tak emaw pawh ni thei laka rei lo te chhunga tihdamna atan hman a ni. Entirnan, hnungzang natna nasa tak emaw, khup natna emaw atan hman theih a ni.
2. Diagnostic Nerve Blocks: Natna i nei tih han ngaihtuah teh, mahse i doctor chuan i natna lo chhuahna hmun chu a finfiah thei lo. Chumi hnuah chuan nerve rinhlelh chu target-in nerve block a ti ang. Injection i pek hnua i natna a reh chuan chu nerve-ah chuan buaina chu a awm tih a nemnghet a ni. Natna a reh loh chuan harsatna chu hmun dangah a awm tih a tilang thei. Hei hi nakin lawka enkawl dan tur ruahmanna siamnaah a \angkai hle thei a ni.
3. Anesthesia (Anesthetic Nerve Blocks) atan: Anesthesiologist te chuan operation hnua natna control nan he method hi an hmang thin. Surgery lian tham takah chuan general anesthesia bakah hian hei hi pek thin a ni. Surgery tenau thenkhat, kut carpal tunnel surgery ang chi tan chuan general anesthesia ai chuan nerve block hman a ni thei.
Eng ang nerve block nge awm?
Kan taksa hian nerve za tam tak a neih avangin nerve block chi hrang hrang a awm a. Hengte hi hman tlanglawn deuh deuh thenkhat an ni.
| Nerve block chi hrang hrang | Hman dan leh sawifiahna |
|---|---|
| Epidural (Epidural Nerve Block) tih hi a awm lo. | Mi tam takin an hriat tawh type a ni. Nau neih laia natna tihziaawmna atan hman a ni. He injection hi hnungzang a pek hian ke leh pum ang chi hmun a ti na a, natna a ti reh bawk. |
| Lumbar Sympathetic Block a ni | I hnungzang leh ke natna (e.g. sciatica, CRPS) tan hahdamna a pe. Spine sir lehlamah nerve te chu a target thin. |
| Genicular Nerve tihkhawtlai a ni | Khup vel nerve te chu a target thin. Hun rei tak chhung khup natna leh khup operation hnua natna te tan hahdamna a pe. |
| Occipital Nerve tihkhawtlai a ni | Lu hnung lama nerve te a target a, occipital neuralgia leh migraine na tak tak thenkhat enkawlna atan hman a ni. |
| Trigeminal Nerve tihkhawtlai a ni | Hmai sir lehlamah nerve te a target thin. Hmai natna nasa tak (trigeminal neuralgia) enkawlna atan hman a ni. |
| Celiac Plexus Block a ni | A pum chunglam pancreas hnung lama nerve bundle awm chu a target a ni. Pancreatic cancer emaw, hun rei tak chhunga pancreas inflammation (chronic pancreatitis) avanga natna a tiziaawm. |
Engtin nge he enkawlna hian hna a thawh?
Hei hi hrethiam tur chuan kan taksain natna a hriat dan tlem kan hriat a ngai a ni.
Kan nerve tawp lamah hian special receptor a awm a. Hengte hi sensor te tak te ang mai an ni. Taksa khawi hmunah pawh hliam emaw, chhiatna emaw a awm chuan heng sensor te hian thluak lamah electrical signal chak takin an thawn a, "Hetah hian harsatna a awm!"
He signal hi direct pain a ni lo. Code ang deuh a ni. Thluak hian he signal hi a dawng a, chu code chu a hrilhfiah a, chu chuan "natna" tih hriatna min siam a ni.
Nerve block-a painkillers te hian electrical signal thawn emaw dawn emaw a titawp thin. Chu chu harsatna awmna hmun atanga thluak thlenga thuchah an block tihna a ni. Tichuan thluak hian natna chungchang thuchah a dawng lo a, chuvang chuan natna kan hre lo.
A pawimawh ber chu nerve block atang hian mi zawng zawng hian result inang kan hmu vek lo. Mi tin a inang lo.
Nerve block hmain engtin nge i inbuatsaih thin?
Hei hi a tlangpuiin inbuatsaihna a ngai lo. Mahse, a chang chuan i doctor chuan light sedative (sedation) pek che a tum mai thei. Hetiang a nih chuan enkawl hma darkar 6-8 chhung chaw nghei turin an ti ang che. Enkawl zawh hnua in lama hruai tur che i mamawh bawk ang.
Mahse, i doctor chuan i mamawh zawng zawng a pe vek ang che. Chu thupekte chu dik takin zawm rawh. Zawhna i neih chuan zawh hreh suh.
Enkawl lai hian eng nge thleng?
Hei hi outpatient setting-ah tih a ni tlangpui a, chutiang chuan damdawi ina awm ngai lovin i haw thei ang. Nerve block chi hrang hrang awm mahse, hengte hi a tam ber pawl an ni.
- Pakhatnaah chuan doctor-in injection a pek awlsam zawk nan exam table-ah hmun bik takah dah i ni ang.
- I chawlh hahdam theih nan i kut vein (IV line)-a dah cannula hmangin mild sedative pek i ni thei bawk.
- Tichuan, injection na hmun chu disinfectant solution hmangin an tifai leh thin.
- Nerve block pek hma hian injection te tak te (local anesthetic) hmangin a hmun chu a numb tir thin . Chutih lai chuan pricking sensation tlem i nei mai thei.
- Doctor chuan ultrasound emaw X-ray emaw ang chi technology hmangin injection pekna tur hmun dik tak a zawng thei a ni.
- Tichuan, damdawi chu a sawi tur nerve hnaih thei ang bera inject a ni.
- Enkawl zawhah damdawi hman a nih hma chu minute 15-30 vel chawlh tir i ni ang.
Nerve block hian eng hlawkna leh hlauhawmna nge a neih?
Hlawkpuina
- It provides temporary or permanent relief from pain , nitin hna thawh a awlsam phah a ni.
- The swelling in the nerve is reduced , chu chuan nerve chu a dam theihna hun a pe a ni.
- Natna thlentu dik taka hriat theih nan a pui a ni.
Risk a awm thei
Nerve block avanga harsatna thleng hi a tlem hle. Tin, chi tin hian risk hrang hrang an nei vek bawk. Mahse, hetiang hi a hlauhawm tlangpui thenkhat chu a ni.
- Injection na hmuna natna hrik awm .
- Injection na hmun atanga thisen chhuak .
- Thisen kalna kawngah damdawi injection palh a nih chuan .
- Damdawi hi beisei loh takin nerve dang emaw, ruhro (spinal cord)-ah a darh a ni .
Chuvangin, enkawlna i neih hmain i doctor nen uluk takin nerve block i neih tur chi hrang hrang te, a thatna leh a hlauhawmna te sawipui hmasa phawt ang che.
Engtikah nge doctor nen inbiakna neih a ngaih?
Enkawlna i neih zawh chuan natna lan chhuah dan thar i neih chuan natna hrik (redness, swelling, fever), inflammation, injection site-a tingling danglam tak emaw chak lohna emaw i neih chuan i doctor ko nghal rawh Emergency a awm chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Nerve block hi natna chi hrang hrang enkawlna tha tak a ni. Mahse, result chu mi tinah a inang lo thei hle. He injection chungchangah hian ngaihtuahna emaw zawhna emaw i neih chuan doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- Nerve block hi natna thlentu nerve bulah damdawi inject a, thluaka natna signal thlen theih lohna tura hun eng emaw chen a block a ni.
- Natna tihziaawmna atan te, natna hriatchhuah nan te, zai nana anesthetic atan te hman a ni.
- A chi hrang hrang a awm a, chu chu epidurals, hnungzang natna atana injection, khup natna atana injection, etc. te hi a ni.
- Chumi atanga hahdamna chu ni engemaw zat atanga thla engemaw zat emaw a aia rei emaw a ni thei a, mahse mi tin hian a rah chhuah a inang lo.
- Damdawi zawng zawng ang bawkin, hlauhawmna tenau engemaw zat a awm. Hengte hi enkawl hmain doctor nen sawiho rawh.
- Enkawlna hnua natna lan chhuah dan danglam tak i neih chuan doctor hnenah hriattir nghal rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh