A chang chuan lu na hi tuar theih loh khawpin a awm thin a ni lawm ni? An natna vei te chauh hian an natna lo thleng thin chu an hre chiang hle a, a bik takin kawr hnunglam atanga natna intan a, lu chhung zawnga a darh a, i mit a rawn lang chhuak dawn ang maiin a awm thin. Hemi atang hian hahdamna a awm lo niin i hria bawk em, eng ang damdawi nge i ei emaw, eng thil pawh ti la? Hetiang harsatna i vei bawk a nih chuan i doctor hian ‘Occipital Nerve Block’ tih damdawi chungchang a hrilh che a ni mai thei. A hming hi hlauhawm deuhin a lang thei a, mahse a takah chuan chutiang khawpa lian chu a ni lo. Chuvangin vawiinah hian awlsam leh chiang takin he thu hi sawi ila.
A awlsam zawngin, he Occipital Nerve Block hi eng nge ni?
Occipital Nerve Block chu i lu hnung lama occipital nerve bulah injection pek a ni. Ha lakchhuah hmaa i hmuiah numbing damdawi pek ang mai a ni. Injection hian rei lo te chhung chu nerve leh a chhehvel tissue te chu a ti numb thin. A tlangpuiin anesthetic hmanga tih thin a ni . A chang chuan nerve-a inflammation tihziaawmna turin steroid an dah tel bawk.
Hei hi surgery lian tak a ni lo. Hun engemaw chen chu natna chu a thunun mai a, nerve chu dam theihna hun a pe bawk.
Heng occipital nerve te hi khawiah nge an awm?
Heng occipital nerve te hi i kawr chunglam spinal vertebrae (C2 leh C3) atanga lo chhuak a ni. I lu hnung lama vun leh luruh te chu sensation an pe ber a ni. Kan lu sir lehlamah hian heng nerve hi chi thum a awm a.
| Nerve chi hrang hrang | Sensation pe theitu hmun |
|---|---|
| A rilru a buai em em a, a rilru a hah em em bawk a. Greater Occipital Nerve (GON) . | Nerve pathum zinga lian ber a ni a, lu hnunglam atanga lu chunglam thlengin, beng leh beng chunglam vun thlengin hriatna a pe a ni. |
| Lesser Occipital Nerve (LON) atanga chhuak a ni. | Luruh hnunglam leh beng kawng pawn lam vun te chu sensation a pe a ni. |
| Third Occipital Nerve (TON) a ni a, a chhuak leh ta a. | Lu hnunglam hnuai lam lai takah vun chu sensation a pe a ni. He nerve hi whiplash-ah a chhe thei a, car accident-ah pawh a chhe thei bawk. |
Ngaihtuah teh, heng nerve-te hi thil dik lo a awm chuan, a natna chu kawr hnung lamah chauh ni lovin, a natna chu a hriat theih a ni. A châng chuan mit leh hmai ang chi hmun a\angin a natna hi a lo chhuak thei bawk. Doctor-te chuan hei hi ‘referred pain’ an ti. Chumi awmzia chu buaina chu hmun khatah a awm a, mahse a na chu hmun dangah a awm tihna a ni.
He enkawlna hi eng dinhmunah nge hman a nih?
Doctor-te chuan he Occipital Nerve Block hi lu natna nasa tak, enkawlna dang hmanga thunun harsa tak tan chuan an rawt tlangpui.
- Occipital Neuralgia: Hei hi a chhan ber a ni. Occipital nerve compression emaw tihchhiat emaw avanga natna nasa tak, electric ang chi a ni.
- Migraine lu na
- Cluster lu na
- Cervicogenic headache: Lu na hi kawr chhunga vertebrae-a harsatna awm vang a ni.
- Postdural puncture avanga lu na
- Kawng natna: A bik takin kawr chunglam, hnunglam lamah natna hriat a ni.
- Accident avanga kawng hliam (Whiplash) .
A châng chuan, i doctor chuan he nerve block hi diagnostic atan a hmang thei a, i natna chhan dik tak chu a zawng thei bawk . Ngaihtuah teh, he injection hnua i natna hi a reh chuan harsatna chu occipital nerve-ah a awm tih a nemnghet a ni. Tichuan hun rei tak chhunga enkawlna dik tak ruahman chu a awlsam zawk.
Hemi atan hian engtin nge i inbuatsaih ang?
Hei hi a tlangpuiin inbuatsaihna a ngai lo. Outpatient department-a tih dan awlsam tak a ni.
Mahse, a chang chuan i doctor chuan i rilru hahdamna tur leh i mutthilh theih nan sedative pek che a tum mai thei. An tih chuan darkar 6 atanga darkar 8 chhung engmah ei leh in lo turin an hrilh ang che. Tin, chu ni chuan i khalh thei dawn lo a nih avangin in lama khalhtu tur i rawn hruai a ngai dawn bawk a ni. I doctor chuan heng zawng zawng hi a hrilhfiah lawk ang che. Chuvangin zawhna i neih apiang zawh hlau suh.
Enkawl lai hian eng nge thleng?
Hetiang hi a rang hle a, minute 5 aia rei a daih lo.
1. Pakhatnaah chuan thutthlengah thuin, i lu chu tlem tal tihhniam turin an ti ang che. A nih loh leh, i kawr chu tlem a ben theih nan i rilru hnuaiah pillow dahin khumah i pum chungah mu turin an ti ang che.
2. Sedated i nih chuan i kut vein pakhatah cannula dahin chuta tang chuan damdawi engemaw zat pek a ni.
3. Chumi hnuah chuan doctor chuan i kawr hnunglam chu a hre ang a, nerve awmna dik tak chu a zawng ang. A châng chuan scan (ultrasound emaw fluoroscopy emaw) hmangin a hmun dik tak chu zawn chhuah theih a ni.
4. Injection na hmun chu disinfectant solution hmangin uluk takin silfai tur a ni.
5. Tichuan, damdawi chu identified nerve bulah needle nalh tak tak hmangin an inject leh thin.
6. Injection hnu minute engemaw zat chawlh tir i ni ang.
Chu chu a thleng vek a ni. Hlauh tur a awm lo.
Injection hnuah eng nge thleng?
Sedative pek i nih chuan minute 15-30 vel nurse-in a enkawl ang che. Hei hi thil danglam tak a thleng em tih en nan a ni ang. Chumi hnuah chuan i haw thei tawh ang. Sedative pek i nih loh chuan minute 10 vel hnuah i chhuak thei ang.
Side effect leh a rah chhuah
He enkawlna hi a him hle nachungin, damdawi lam thil dang ang bawkin, harsatna tenau te pawh a awm thei.
- Side effects awm fo: Ni hnih atanga ni thum chhung chu injection na hmunah hian natna tlem, sen, emaw, a hring emaw a awm thei. Hei hi thil pangngai a ni. Mi thenkhat chuan luak chhuak tlem emaw, luak chhuak emaw an nei thei bawk.
- Steroids: Steroid damdawi i hman chuan injection na hmun vel vun a hring (atrophy) emaw, sam a tla rei lo (alopecia) emaw i nei thei. Hengte hi a tlem hle.
- Rare risks: Thisen chhuah, infection, nerve chhiatna, leh transient dysphagia te hi a tlem hle.
He natna tihdamna hian eng chen nge a daih?
Hetah hian a pawimawh ber. Mi hrang hrangah result a inang lo hle . Mi thenkhat chuan injection an pek atanga minute 20-30 chhungin natna nasa takin an reh a, thla tam tak chhung a reh thei bawk. Mi dangte chuan dârkâr emaw, ni engemaw zât emaw chauh hahdamna an tawng a ni. A châng chuan, hahdamna engmah tawk lo mi an awm bawk.
Occipital Neuralgia leh Cervicogenic headache ang chi natna tan chuan, a tawp thlenga hahdamna i hmuh theih nan injection hrang hrang i pek a ngai mai thei. Hei hi i dinhmun a zirin i doctor-in a ruat vek ang.
Engtikah nge doctor i biak ang?
Inenkawl zawha i haw hunah hengte hi fimkhur hle ang che.
- Injection na hmun chu nasa taka a hring, a sen, oozing pus , emaw, khawsik a neih emaw chuan (hengte hi natna kai chhinchhiahna a ni thei).
- A natna a tlahniam ai chuan a nasat zawk chuan .
- I taksa peng hrang hrangah kang natna thar, rilru hahna emaw chak lohna emaw i neih chuan.
Hetiang symptom thar i neih chuan doctor ko nghal rawh. Hlauthawng suh, mahse hriat chian a pawimawh.
Take-Home Thuchah a ni
- Occipital Nerve Block chu lu natna nasa tak leh kawng na enkawlna atana hman thin nerve bula injection a ni a, surgery lian tak a ni lo.
- Hei hian natna a tiziaawm mai bakah a natna chhan dik tak hriatchhuahna kawngah a pui bawk.
- Results hi mi hrang hrangah a inang lo. Mi thenkhat chuan thla tam tak chhung hahdamna an tawng thei a, thenkhat erawh chuan hmasawnna tam tak an hmu lo mai thei.
- Hei hi a tlangpuiin enkawlna him tak a ni a, mahse a side effect tenau tak tak a awm thei a, chu chu injection na hmuna natna tlem leh swelling te hi a ni.
- He enkawlna chungchangah hian hlauhna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh. Engkim a hrilhfiah ang che.
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