Pum hnuai lam leh mimal hmuna natna chinfel dan tur? (Pudendal Nerve Block) chungchang i zir chiang ang u.

I pum hnuai lam emaw, i mipat hmeichhiatna hmun emaw-ah hian a châng chuan sawifiah theih loh khawpa natna nasa tak i nei ṭhin em? He natna hian thut emaw, hna pangngai thawh emaw a ti harsa mai thei. Vawiin hian hetiang thila doctor ten an hman thin special treatment method kan sawi dawn a ni. Pudendal Nerve Block an ti a.

A awlsam zawngin Pudendal Nerve Block chu eng nge ni?

Hei hi a takah chuan injection a ni. A dik tak chuan, pudendal nerve bula i pelvic region-ah natna tidamtu damdawi inject a ngai a ni. Hei hian hun eng emaw chen emaw, a chang chuan hun rei tak emaw chhung atan natna tihziaawmna a pe thei a ni.

Ngaihtuah teh, he pudendal nerve hi nerve lian tak a ni a, i pelvis hnunglam atanga i taksa peng hrang hrang, i hnute, i vagina, leh penis ang chi hmuna ruh leh vun thlengin sensation a phur a ni. He nerve hi engti kawng pawhin a compress emaw, a pinch emaw chuan chronic pelvic pain a thlen thei a ni . Damdawi lamah chuan hei hi pudendal neuralgia kan ti a ni. He nerve block hi chutiang natna enkawlna atan hman a ni ber.

He vaccine hi engte hmanna nge ni?

He enkawl dan hi thil pawimawh pathum atan hman a ni. Eng nge an nih i en ang u.

Hemi atan hian engtin nge i inbuatsaih ang?

Hei hi a tlangpuiin inbuatsaihna a ngai lo.

Mahse, a chang chuan i doctor chuan he injection i pek lai hian mut tir (sedation) che a tum mai thei. Chutiang a nih chuan darkar 6-8 vel ei leh in loh tur i ni ang . Enkawl zawh hnua in lama lirthei khalhtu tur i neih a pawimawh bawk.

Mahse, i doctor chuan hei hi a hrilhfiah lawk ang che. Chu thupekte chu dik takin zawm rawh. Zawhna i neih apiang zawh hlau suh.

Engtin nge vaccine lak theih ang? Eng hmanrua nge ni?

Doctor chuan he vaccine hi pekna tur kawng pawimawh pathum a hmang a, chu chu i taksa chi leh enkawl chhan a zirin a ni.

Vagina kaltlangin (Transvaginal approach) .

Hetiang method hi obstetrics leh gynecology-ah te hman a ni ber.

• Khum bik chungah mu turin siam i ni ang a, i ke chu phar chhuakin a chungah dah i ni ang.
• I kut chhunga vein pakhatah injection te tak te (sedative) pek theih a ni a, chu chuan i rilru a hahdam thei a ni.
• Tichuan, doctor chuan a kut chu vagina chhungah a thun a, nerve awmna hmun chu a hre chiang ta a ni.
• Tichuan, hmanraw bik hmangin a zung chu uluk takin nerve chhungah an thun a, damdawi chu an inject a ni. A châng chuan scanning technology ultrasound emaw fluoroscopy emaw hmanga tih a ni ṭhin .

Mipat hmeichhiatna leh hnute inkar hmun kaltlangin (Transperineal approach) .

Hetiang method hi mipa anal surgery leh pudendal pain atan hman a ni.

• Chutiang a nih chuan hmai lam hawia mu turin siam i ni bawk ang.
• Damdawi inject tur vun hmun chu antiseptic solution hmangin an silfai thin.
• Tichuan, doctor chuan kut zungtang pakhat chu rectum emaw vagina emaw chhungah a dah lut a, chu nerve awmna dik tak chu a zawng chhuak thin.
• Tichuan, injection needle chu pawn lam atangin vun kaltlangin an thun a, damdawi chu an inject leh thin.

Perirectal hmanga tih a ni

Hetiang method hi anal surgery leh pudendal pain atan pawh hman a ni tlangpui.

• Chutah chuan i sir lamah an hawitir che a, mu turin an siam che a ni.
• Thil dang ang bawkin, nerve awmna dik tak chu kut zungtang dah emaw, nerve stimulator emaw hmanga hriat theih a ni .
• Tichuan, vaccine chu hnute bula vun kaltlangin pek a ni.

He enkawlna hian eng hlawkna nge a neih?

• Hun eng emaw chen emaw, a tawp emawa natna tihziaawmna: Hei hi nitin hnathawh awlsam zawka i thawh theihna tura tihdamna ropui tak a ni thei.
• Swelling a ti tlem: Nerve chhunga swelling a ti tlem a, a dam theih nan a pui thin.
• Diagnosis dik: Hei hian pudendal nerve hi i natna thlentu tak tak a nih leh nih loh hriat theih nan a pui thei che a ni.
• Hriselna: He regional anesthesia method hi general anesthesia aiin a him zawk hle.

Mi thenkhat chuan minute tlemte chhungin natna reh an nei thin. Steroid injection pek i nih chuan a nghawng hriat nan ni engemaw zat a la ngai thei. Amaherawhchu, hei hian mi zawng zawng tan hrehawmna a ti reh lo tih kan hre reng tur a ni.

Hei hi engtiang chiahin nge a hlawhtlin? Risk a awm em?

He enkawlna hlawhtlinna hi mi hrang hrangah a inang lo a, chu chu natna thlentu damdawi lam dinhmun leh thil dangte a zirin a ni. A vaiin hlawhtlinna rate 50% aia tam i beisei thei.

Risk chungchang sawi ila, harsatna lian tham tak tak hi a tlem hle.

Engtik hunah nge Doctor hmuh leh i duh?

Enkawlna hnua symptom thar i neih chuan:

• Injection na hmun chu nasa taka a hring, a sen, a nih loh leh tui chhuak (infection chhinchhiahna) a nih chuan.
• Kang natna, rilru hahna, a nih loh leh chak lohna awm reng a awm chuan .
• Khawsik danglam tak i neih chuan.

Hetiang thil hi a lo thleng a nih chuan doctor ko nghal rawh.