Chronic pain solution: Neurolysis, nerve tihchakna damdawi chungchang i zir dawn a ni

A châng chuan eng ang damdawi pawh ei emaw, physical therapy emaw hmang mah ila, a bo ngai lo, natna kan nei ṭhin. Thla tam tak, kum tam tak pawh ni thei min tihrehawm tuar theih loh natna nen hian nun a harsa hle a ni lawm ni? Chuti a nih chuan, chutiang hunah chuan, natna hriatna titawp thei enkawlna bik i hre tawh em? Vawiin hian chutiang enkawlna pakhat, Neurolysis chungchang kan sawi dawn a ni.

Neurolysis hi eng nge ni mai?

A awlsam zawngin sawi ila, Neurolysis hi natna tihdamna atana hman tur damdawi bik a ni. Chu chu natna thlentu nerve bulah chemical substance inject a, chu nerve chu tihchhiat emaw, inactivate emaw a ni. Hei hi zu `(ethanol)`, phenol `(phenol)`, emaw glycerol `(glycerol) hmanga tih a ni tlangpui.

Hetiang hian han ngaihtuah teh: kan taksa chhunga nerve te hi electric wire ang mai a ni. Thluak atanga thuchah chu taksa peng dang thlengin an keng tel thin. Heng thuchahte hian hrehawmna leh khawih min tiharhtu chu a ni. Neurolysis tih hian natna thuchah kengtu nerve thlan a, a tichak lo , chu thuchah chu thluaka a kal loh nan tihtawp a ni.

"Neurolysis" tih thumal hi doctor-te'n tumruh taka nerve an tihkhawtlai dan eng pawh sawina atan hman theih a ni. Chumi ang chuan chemical inject bakah hian hmanraw engemaw zat a awm bawk.

• Radiofrequency ablation ( RFA ): Hei hian radio wave hmangin lumna a siam a, nerve hmun tlemte a tichhia a ni.
• Cryoablation: Hei hian khawsik nasa tak (cryotherapy) hmanga nerve tihchhiat a huam a ni.
• Surgical neurolysis (neurectomy): Nerve thenkhat lakchhuah emaw, nerve chhehvela tissue duh loh te lakchhuah emaw, natna tihziaawmna tur surgery a ni.

Heng enkawlna tam tak ang bawkin Neurolysis result hi mi hrang hrangah a inang lo thei a ni. Chronic pain hi thil buaithlak tak a nih avangin he enkawlna hi i tan a tha em tih ngaihtuah turin i doctor nen thawhhona tha tak neih a pawimawh hle.

He enkawlna hi tute nge mamawh?

Natna nasa tak emaw, natna rei tak emaw, enkawlna pangngai, physical therapy emaw, analgesics emaw hmanga thunun theih loh i neih chuan i doctor chuan Neurolysis a rawt thei ang. A bik takin a hnuaia natna chi hrang hrangah hian hman a ni:

• Neuropathic natna a ni
• Cancer natna a ni
• Internal organ atanga lo chhuak natna (visceral pain) .

Tin, he enkawlna hi ke natna `Morton's neuroma` tih enkawlna atan pawh hman theih a ni a, a chang chuan taksa ruh nghet lutuk (spasticity) control nan pawh hman theih a ni bawk.

Neurolysis leh Nerve Block hi thil hrang hrang pahnih a ni em?

Heng hming pahnih hi inang deuhin ri mah se, enkawlna hrang hrang pahnih an ni. An pahnih thil tum chu natna tihziaawmna ni mah se, an hnathawh dan leh an nghawng hun chhung hi a inang lo. He danglamna hi chiang takin i hrethiam ang u.

Engtin nge enkawl hmain i inbuatsaih thin?

He enkawlna atana i inbuatsaih dan hi i enkawl chhan leh injection i pekna hmun a zirin a danglam thei. I doctor chuan thupek chiang tak a pe ang che. Entîr nân, damdawi ṭhenkhat ei chu rei lo têah bânsan tûrin an ti mai thei che a ni. Heng thupekte hi dik taka zawm a pawimawh hle .

A then phei chuan he enkawlna chhung hian i hahdam theih nan leh i muthilh theih nan sedative pek i ni thei bawk. Hetianga tih a nih chuan enkawl hma darkar 6-8 chhung chaw nghei (engmah ei leh in lo) turin an ti ang che. Enkawl zawh hnua in lama hruai tur che i rawn hruai a ngai bawk ang.

Neurolysis Treatment tih dan tur

Taksa chhunga nerve hrang hrangte target tu neurolysis chi hrang hrang a awm avangin, a kalphungah hian danglamna tlem a awm a, mahse a tlangpuiin hetiang hian a kal thin:

1. Positioning: Doctor-in vaccine a inject awlsam zawk nan examination table-ah hmun bik takah mu turin an ti ang che.

2. Sedation : A tul chuan i hahdam theih nan IV line hmangin damdawi pek i ni ang.

3. Thianghlimna: Injection na hmun hi disinfectant solution hmanga uluk taka silfai tur a ni.

4. Numbness: A dawtah chuan Neurolysis injection an pekna hmun chu numb turin local anesthetic injection te tak te an pe a. Hetih lai hian needle a tlak chuan stinging sensation tlem i nei thei.

5. A hmun dik tak hriat chian: Doctor chuan scanning technique ultrasound , fluoroscopy (X-ray), emaw CT emaw hmangin nerve awmna hmun dik tak a hmu thei. Hei hian injection awmna hmun dik tak hriat theih nan a pui thei a ni.

6. Vaccine pek dan: A dawtah chuan chemical chu nerve hnaih takah inject a ni.

7. Enfiahna: Inenkawl zawhah doctor-in hun engemaw chen a vil reng ang che, beisei loh taka nghawng tha lo a awm loh nan.

8. In lama haw: Engkim a tha a nih chuan haw phalsak i ni ang.

He enkawlna hian eng nge a thatna leh a that lohna?

Hlawkpuina

He enkawlna hlawkna ber chu natna atanga tihdamna hi a ni . Hun eng emaw chen atan emaw, a awm reng emaw pawh a ni thei. He relief hian nitin hna awlsam zawka thawk turin nasa takin a pui thei che a , i nunphung pawh a tichangtlung thei bawk .

Risk leh Complication awm thei te

Damdawi dang ang bawkin Neurolysis enkawlna hian hlauhawmna leh nghawng tha lo engemaw zat a nei a.He risk hi injection site leh nerve target a zirin a danglam thei. Chemical inject chu tui a nih avangin a bul hnaia tissue, nerve emaw thisen kalna kawngah emaw a darh theihna chance tlemte a awm.

Side effect awm thei thenkhat chu:

• Injection na hmuna natna hrik emaw thisen chhuah emaw.
• A bul hnaia chetna controltu motor nerve a chhiat chuan paralysis a awm thei.
• Neuritis: Enkawl tawh nerve chu a lo thang leh tan chuan hyperesthesia (khawih nasat lutuk) a awm thei.
• Zun emaw, bawlhhlawh emaw control harsat.
• Mipat hmeichhiatna lama harsatna nei.

Hlau suh. I doctor chuan Neurolysis chi hrang hrang i neih tur nena inzawm hlauhawm zawng zawng a hrilhfiah vek ang. Chuvangin chutih laia zawhna emaw, ngaihtuahna emaw i neih chuan zawt ngei ang che.

Enkawlnain nghawng a neih hi eng chen nge a awm?

Neurolysis atanga natna tihdam hun chhung hi mi hrang hrangah a inang lo hle. Ni engemaw zat, kar tlemte, thla engemaw zat, kum tam tak pawh a daih thei. A tlangpuiin phenol hmanga enkawlna hian kar 8-12 chhung chu hahdamna a pe thin. Zu in enkawlna hi a rei deuh a, kar 12-24 vel a ni.

I doctor chuan i dinhmun a zirin eng result nge i beisei theih ang tih leh enkawlna a hlawhtlin loh chuan eng nge i tih leh tur tih hriatna tha ber a pe ang che.