Lu na tan a kawngah injection a awm em? Occipital Nerve Block chungchang hi a awlsam zawngin i zir dawn nia!

A chang chuan i lu a puak dawn ang maia lu na i nei thin em? A bik takin lu na, i lu hnung lam atanga intan a, a chang chuan i mit thlenga darh thin... Panadol ei emaw, balm eng pawh hnawih emaw hian a puih loh chang a awm thin, a dik em? Vawiin hian hetiang lu na na tak, a nih loh leh lu na tan enkawlna bik kan sawi dawn a ni. Hei hi Occipital Nerve Block an ti a . A hming hi mak deuh mahse, mi tam tak chuan he thil atang hian hahdamna nasa tak an hmu a ni.

He Occipital Nerve Block hi eng nge ni?

A awlsam zawngin, Occipital Nerve Block chu i lu hnung lama awm, i kawr bula awm occipital nerve- a natna tidamtu injection a ni. A châng chuan, he natna tidamtu hi steroid nen an pe bawk a, chu chuan a hring tihziaawmna a siam a ni. He injection hian a tum ber chu chu nerve chhehvela natna leh hliam te chu rei lo te atan tihziaawm a, hahdamna a pe che a ni.

I lu hnung lam atanga i beng chung lam thlenga kal nerve system i nei ang tih han ngaihtuah teh. Heng nerve te hi i lu hnunglam vunah sensation phurtu te an ni. Heng nerve te hi eng thil vang pawha pressure hnuaia dah a nih chuan, a nih loh leh an inflamed a nih chuan tuar theih loh lu na kan nei thei a ni. Chutah chuan he injection hian chu nerve te chu hun eng emaw chen a ‘muthilh’ a, a natna chu a tiziaawm ta a ni.

Heng Occipital nerve kan sawi hi engte nge ni?

Kan lu sir lehlamah hian nerve chi thum a awm a. Kan kawr chunglam (C2 leh C3) a vertebrae atanga lo chhuak an ni.

He enkawlna hi eng dinhmunah nge hman a nih?

Doctor-te chuan he damdawi hi lu natna nasa tak, enkawlna dang (pill ang chi) hmanga thunun harsa tak tan an hmang tlangpui.

• Occipital Neuralgia: Hei hian a hmaa kan sawi tawh occipital nerve chhiat, compression emaw swelling avanga natna nasa tak, electric ang chi natna a kawk a ni.
• Migraine lu na: He damdawi hi a chang chuan migraine tan hman a ni a, mi tam takin an tuar thin.
• Cervicogenic Headache: Hei hi a danglam deuh hlek a ni. Hetiang a nih chuan lu na hi lu-a harsatna awm vang ni lovin, kawr lama harsatna (e.g., cervical vertebrae-a harsatna) vang a ni.
• Cluster Headache: Hei pawh hi lu na tak, tuar theih loh chi a ni bawk.
• Postdural puncture headache: Hei hi lumbar puncture hnua lu natna lo awm tan pawh hman a ni.

Heng lu na bakah hian he enkawlna hian kawr chunglam leh hnunglam natna te, leh whiplash avanga natna, car accident atanga natna te pawh a tidam thei bawk.

Diagnosis atan pawh hman a ni

A châng chuan, i doctor chuan he injection hi hmangin i lu na hi occipital nerve vang tak tak nge thil dang vang a nih tih a hre thei ang. Injection hnua i natna a tlahniam chuan heng nerve-te hi a ni tih a nemnghet a ni. Hei hian i doctor tan i tana tha ber tur treatment plan siam a awlsam phah ang.

Hemi atan hian engtin nge i inbuatsaih ang?

Hei hi a tlangpuiin inbuatsaihna a ngai lo. A pangngai angin i carry on mai thei.

Mahse, hetih lai hian doctor-in ‘muthilh’ deuha i hriat theih nan sedation pek che a tum a nih chuan tlem tal inbuatsaih a ngai dawn a ni.

• Engmah ei leh in lovin darkar 6 atanga darkar 8 chhung chaw nghei tura tih i ni ang.
• Tin, chu ni chuan lirthei khalh ai chuan midang nen lo kal turin an ti bawk ang che , a chhan chu i rui deuh mai thei a ni.

Mahse, i doctor chuan heng zawng zawng hi a hrilhfiah lawk ang che. Chuvangin hlau suh. Zawhna i neih chuan zawh hreh suh.

Enkawl lai hian eng nge thleng?

Hei hi a tlangpuiin damdawi inah ni lovin, outpatient department-a tih thin a ni. Hei hian injection i la thei a, rei lo teah in lamah i haw thei tihna a ni.

Hengte hi a tlangpuiin step hrang hrang a awm thin:

1. Position: A hmasa berin chair-ah thu turin an ti ang che, i lu chu hniam la, i kut chuan i lu chu thlawp rawh. A nih loh leh treatment table-ah i pum chungah mu turin an ti ang che.

2. Sedation: A tul chuan i kut ah IV line hmangin mild sedative pek i ni ang a, chu chuan i rilru a hahdam ang.

3. Hmun hriat chian: Chumi hnuah chuan doctor chuan i kawr hnunglam chu a hre ang a, injection pekna tur nerve dik tak chu a zawng ang. A châng chuan, X-ray (`fluoroscopy`) emaw, `ultrasound` scan ang chi emaw hmangin hmun dik tak an hmu thei bawk.

4. Faina: Injection na hmun hi antiseptic solution hmanga uluk taka tihfai thin a ni.

5. Injection pek: Tichuan, needle te tak te hmangin damdawi chu a hmaa kan hriat tawh nerve hnaih thei ang berah inject a ni.

6. Chawlh hahdam: Injection i pek zawh hnuah damdawi a hman theih hma chu rei lo te chawlh tir i ni ang.

Injection hnuah eng nge i beisei theih ang?

Sedation pek i nih chuan injection hnu minute 15 atanga 30 vel chhung enkawl i ni ang. Nurse pakhat chu side effects awm leh awm loh enfiah turin a rawn lut ang a, engkim a tha a nih chuan in lama haw phalsak i ni ang.

Sedation pek i nih loh chuan minute 10 vel chawlh hahdam theih a ni a, in lamah i haw thei bawk.

He enkawlna hian eng hlawkna nge a neih?

• Natna tihziaawmna: Natna hi a reh thei a, hun eng emaw chen emaw hun rei tak emaw a ni a, nitin hnathawh awlsam zawkin i thawk thei a ni.
• Swelling a tiziaawm: Nerve-a swelling a tiziaawm a, a dam theih nan a pui bawk.
• Diagnosis dik: Natna awm chhan dik tak hriat theihna turin a pui.

Mahse, he enkawlna hian mi zawng zawng tan a thawk vek lo tih hre reng ang che . Mi thenkhat chuan natna tihziaawmna nasa tak an nei ang a, thenkhat erawh chuan an nei lo mai thei. Chutiang a nih chuan i doctor chuan enkawlna dang a sawipui ang che.

Side effect emaw risk emaw a awm em?

Occipital Nerve Block hi a tlangpuiin a him hle. Complication a awm tlem hle. Mahse, damdawi lam thil tih dan dang ang bawkin, side effect leh risk tenau tak tak a awm bawk.

He chhawmdawlna hi eng chen nge a awm ang?

Hei hi mi hrang hrangah a inang lo hle a, chuvangin a rah chhuah dik tak chu sawi lawk a harsa hle. Hlawhtling a nih chuan injection atanga minute 20-30 chhungin natna tihziaawmna a tan ang. He relief hi darkar tlemte atanga thla engemaw zat thleng a ni thei .

Occipital Neuralgia leh Cervicogenic Headache ang chi natna atanga hun rei tak chhunga relief hmuh theih nan he injection hi vawi tam tak i pek a ngai mai thei.

Engtik hunah nge Doctor nen inbiakna neih i duh?

Injection i pek hnua symptom thar emaw complication thar emaw i neih chuan doctor ko nghal rawh . Bik takin,

• Injection na hmun chu a sen a, a hring nasa hle a, a lum a, a tui chhuak a nih chuan, emaw, khawsik i neih chuan (hengte hi natna kai chhinchhiahna a ni thei).
• Inflammation thar, rilru hahna, chak lohna, a nih loh leh natna thar i neih chuan .

Hetiang enkawlna chi hi ngaihtuah hian hlauhna leh hlauthawng tlem a awm hi thil pangngai a ni. Chuvangin, he thil chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. Engkim a hrilhfiah ang che.