Hun rei tak chhung chu hnungzang, kawr, khup natna i tuar tawh em? Damdawi i ei tawh a, physiotherapy i ti tawh pawh a ni mai thei, mahse a la pui lo. Hetiang natna khirh tak nen hian nun a harsat zia kan hria. Chuvangin, vawiin hian operation paltlang ngai lovin natna tihziaawmna tur special treatment kan sawi dawn a ni.
Radiofrequency Ablation (RFA) hi eng nge ni?
A hming hi a buaithlak deuhin a lang thei a, mahse hetah hian thil thleng hi a awlsam hle. A awlsam zawngin, RFA hian radio wave hmangin i natna thlentu nerve hmun tlemte tak chu controlled takin a ti lum a ni. He lumna hian chu nerve hmun chu a titawp ta a ni. Chumi hnuah chuan nerve hian thluak lamah natna signal a thawn thei lo.
Thuchah buaithlak tak block ang maiin ngaihtuah rawh. Pain message chu thluak a thlen tawh loh chuan i natna hriat chu a tlahniam emaw, a bo vek emaw a ni.
Engvangin nge he RFA treatment hi tih a nih?
He enkawlna hian thil tum lian tak tak engemaw zat a nei a. Doctor chuan he enkawlna hi a hnuaia thil tumte nen hian a rawn rawt thei che a ni:
- I natna tihbo emaw, nasa taka tihtlem emaw chu a pawi lo.
- Natna a tlem avangin nitin hna awlsam zawka thawk tura tanpui che.
- Nitin natna tidamtu damdawi i ei zat tihtlem.
- Surgery lian tak neih tura luh chu tihkhawtlai emaw, hun engemaw chen sawn emaw pawh a pawi lo.
RFA hmang hian eng dinhmun nge enkawl theih ang?
RFA enkawlna hi hun rei tak (chronic) natna tan chuan a hlawk hle. Hei hi a hnuaia table atang hian ngaihdan tha tak i hmu thei ang.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Spinal arthritis (Spondylosis) natna a awm thei lo. | Kum upat ruala ruh ruh (spinal joints) a chhe leh chhe lutuk avanga hun rei tak chhung hnungzang natna. |
| Sacroiliac Joint Natna a awm | A hnungzang hnuai lam leh hnute na. |
| Kawng, hnungzang, leh khup na | Damdawi dangin a chhan loh ruh natna. |
| Trigeminal Neuralgia a awm thin | Hmai na tak, electric shock ang maia na. |
| Thil awmdan dang | Cancer natna leh peripheral nerve natna ang chi natna atan pawh hman a ni. |
Engtin nge he enkawlna hian hna a thawh?
Hei hi hrethiam tur chuan kan ruhro natna lo awm dan hi han thlir hmasa ila.
I ruhro chu ruh te tak te (vertebrae) inzawmkhawm atanga siam a ni a, a chungah a inzawm khawm a ni. Heng ruh inkarah hian ruh te te facet joint an tih te a awm a . Hengte hian kan ben leh turn theih nan min pui thin. Heng ruhkawr tinte hi nerve tenau te nen an inzawm tlat a ni. Heng nerve te hian thluak ah harsatna emaw, ruh natna emaw a awm chuan a na tih thuchah a thawn thin a ni.
RFA enkawlna hian chu thuchah kengtu nerve dik tak chu a zawng chhuak a, rei lo te chhung chu a ti ngawih ngawih a ni. Tichuan, hrehawmna awm mah se, thuchah chu thluaka a kal loh avangin i hre lo.
He enkawlna atan hian i tling em?
He enkawlna hi mi zawng zawng tan a ni lo. Hemi atan hian i tling em tih i doctor chuan a rel ang.
I fit tha hle mai thei...
- Nerve block injection atanga hahdamna i hmuh chuan: Hei hi a pawimawh ber a ni. RFA hmain i doctor chuan i natna thlentu nia an hriat nerve bulah numbing medicine a inject ang. Hei hi diagnostic block an ti a. Damdawi hian darkar tlemte chhung i natna a tihziaawm chuan i natna thlentu chu nerve a ni tih a nemnghet a ni. Chutiang mite tan chuan RFA enkawlna hlawhtlinna chance a sang hle .
- Enkawlna dang (damdawi, taksa lam enkawlna) a hlawhtlin loh chuan.
Hei hi i tan a dik lo mai thei...
- Naupai i nih chuan.
- Infection i neih chuan.
- Thisen chhuahna lama harsatna i neih chuan.
Enkawl lai hian eng nge thleng?
Hei hi hlauh tur a awm lo. Hei hi surgery lian tak, hriat loha awm ngai a ni lo. I hriatna i nei a, mahse engmah hrehawm i nei lo.
1. A hmasa berin X-ray table bik ah i pum chungah mu turin i siam ang.
2. Tichuan doctor chuan vun hmun chu needle dahna tur hmun chu a numb a.
3. Fluoroscopy hi live X-ray machine bik a ni a, light chi khat hmangin a hmun chu a hmu thei a ni. Natna thlentu nerve hmunah hian needle te tak te tak te dah a ni. X-ray-ah hian needle awmna hmun dik tak a lang.
4. Needle chu a hmun dik takah a awm tih chian nan doctor chuan a chhungah electrode te tak te (microelectrode) a dah lut ang a, zawhna a zawt ang che. Tlemte tingling emaw tickling sensation emaw i nei thei. ‘Ni e, ka hre thei,’ i tih hian Doctor chuan hmun dik takah a awm tih a hria.
5. Tichuan, chu lai hmunah chuan numbing damdawi tlem tal pek belh a ni.
6. A tawp berah chuan radiofrequency current hmangin nerve chu a lum a, a deactivate a. Hei hian hun rei lote, minute khat emaw minute hnih emaw vel a la a ni.
Hetiang zawng zawng hi minute 15 atanga darkar hnih vel thleng a ni thei , chu chu enkawlna hmun leh nerve awm zat a zirin a ni.
Enkawl hnuah eng nge i tih thin?
Enkawl hnu rei vak lovah in lamah i haw thei bawk.
- Tu emaw chuan in lama hruai che a ngai a ni. Chumi ni chuan i khalh thei lo.
- In lamah haw la , darkar 24 vel chu straining lovin chawlh la.
- Ni khat emaw ni hnih emaw chhungin thil tih pangngai i tan thei.
- Needle dahna hmunah ni engemaw zat chu natna leh hliam engemaw zat i nei thei. Hei hi thil pangngai a ni. Chumi hmunah chuan minute 20 vel ice pack i hnawih thei a, chutah chuan la chhuakin dah leh rawh.
- Doctor chuan follow-up appointment a pe ang che. Chumi atan chuan kal ngei ang che.
Risk leh side effect a awm em?
RFA enkawlna atanga harsatna lian tham a thlen theihna hi a tlem hle .
Mahse, damdawi lam enkawlna dang ang bawkin, a thleng thei hi a tlem hle .
- Enkawl hnu ni engemaw zat chhung chu a natna a zual thei. Ice pack hnawih leh doctor-in damdawi a pekte ei hian a pui thei a ni.
- Needle dahna hmun vun chu rei lo te chhung atan a hring thei bawk.
- A tlem hle a, nerve chhiatna nghet tak, natna hrik kai emaw, thisen chhuah emaw a awm thei. Mahse hengte hi a tlem hle .
Hei hi engtiang chiahin nge a hlawkpui? Eng chen nge chhawmdawlna chu a awm ang?
Hei hi mi zawng zawng tana harsatna lian ber a ni.
Mi tam tak chuan he enkawlna hmang hian natna tihziaawmna nasa tak an hmu thin. Mi thenkhat chuan enkawl hnuah hahdamna an nei nghal. Mi dangte chuan ni 10 emaw, kar thum emaw hnuah hahdamna an nei tan thei bawk.
Relief hi thla 6 atanga thla 12 chhung a ni tlangpui . Mi vannei thenkhat chu kum engemawzat chhung chu natna nei lovin an awm thei.
Nerve chu a lo thang leh ang em?
Awle. Deactivated nerve hi thla 6-12 vel hnuah a lo thang leh tan thei a ni. Chutiang a nih chuan a natna chu a lo let leh thei a ni. Mahse, lungngai suh, a tul chuan he RFA enkawlna hi i nei leh thei ang.
Engtikah nge doctor nen inbiakna neih a ngaih?
A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh:
- Needle dahna hmunah natna nasa tak, sen, emaw, hring emaw a awm chuan.
- Kut emaw ke emaw a natna emaw chak lohna emaw a pun chuan .
Take-Home Thuchah a ni
- Radiofrequency Ablation (RFA) hi non-surgical , minimally invasive treatment a ni a, hnungzang, kawr leh ruh natna rei tak enkawlna a ni.
- Hei hian radio wave hmanga thluaka natna signal phurtu nerve chu tihlum a, hun eng emaw chen chu tihtawp a huam a ni.
- Hei hi mi zawng zawng tan a inhmeh lo. I doctor chuan i tan a tha em tih a rel ang. Diagnostic nerve block hmanga result hlawhtling tak nei tawhte chuan hei hi hahdamna tha tak niin an ngai mai thei.
- Chhawmdawlna chu thla engemaw zat atanga kum khat emaw a aia rei emaw chhung a ni thei. A tul chuan enkawl nawn leh theih a ni.
- Hemi chungchanga zawhna dang i neih chuan i doctor hnenah thu belhchian dawl zawk zawhfiah hreh suh.
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