I hnungzang, i kawr leh i khup natna hi i tuar rei tawh em? Damdawi ei leh physiotherapy i neih lai pawhin, hahdamna i la nei lo em ni? Doctor pakhat pawhin major surgery chungchang a hrilh che pawh a ni mai thei. Mahse hetiang procedure lian tak kalpui hma hian a natna control dan dang a awm. Chuvangin tunlai hian non-surgical, mahse a hlawk em em enkawlna tur kan sawi a ni.
Radiofrequency Ablation (RFA) hi eng nge ni?
A hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a concept hi a awlsam khawp mai. A awlsam zawngin, RFA hian radio wave hmangin i natna thlentu nerve hmun tlemte tak tak chu a ti lum a, rei lo te chhung atan a hnathawh a titawp a ni. Phên dangin sawi ila, thluaka natna thlentu "signal cable" chu rei lo te chhunga tihtawp ang mai a ni. Hei hian i thluaka natna signal a kal loh chuan i natna chu a bo emaw, nasa takin a tlahniam emaw a ni. Hei hi Radiofrequency Neurotomy an ti bawk.
Engvangin nge he RFA treatment hi tih a nih?
Doctor-te hian he enkawlna hi an rawt chhan lian tak tak engemaw zat an nei a. Chuta tang chuan damloin eng hlawkna nge a hmuh tih i lo en ang u.
| Tum ber chu | A hlawkna |
|---|---|
| Natna tihbo emaw tihziaawm emaw | A pawimawh ber chu hun rei tak chhunga natna atanga chhanchhuahna hmuh hi a ni. |
| Taksa hnathawh tihpun | Natna a reh hunah chuan ben, stretching, kea kal leh nitin thil tih harsa i nei tawh lo vang. |
| Painkiller hman tlem | Nitin natna tidamtu damdawi ei avanga a side effects te chu i paih chhuak thei a ni. |
| Surgery tih loh emaw, tihkhawtlai emaw | Hetiang hmanraw awlsam tak hian operation lian tak, buaithlak tak tak neih ngai lovin natna thunun theihna hun remchang a pe a ni. |
RFA hmang hian eng dinhmun nge enkawl theih ang?
He enkawlna hi hun rei tak (chronic) natna tan hman a ni ber. Entir nan:
- Spondylosis: Hun rei tak chhung hnungzang natna, ruhro ruhkawrte a chhe leh a chhe lutuk.
- Sacroiliac (SI) joint pain: Hnunglam hnuai ber, hip ruh nena inzawm, ruh natna.
- Kawng, hnungzang leh khup na: Joint na, enkawlna dang a chhan loh.
- Cancer natna: Cancer thenkhat avanga natna nasa tak control nan.
- Hmai natna (Trigeminal Neuralgia): Hmai na tak, electric ang maia na.
- Peripheral Nerve Pain: Taksa hmun hrang hrang, ke leh ke ruh te a nerve avanga natna.
- Heart rhythm problems: Natna bakah hian heart rhythm siamtu cell thenkhat enkawlna atan pawh hman a ni.
- Tumors: He technology hi tumor te tak te thenkhata cell awmte tihchhiat nan pawh hman a ni.
Engtin nge he enkawlna hian hna a thawh?
I hnungzang natna thlentu chu i ruhro chhunga ruh te tak te nena inzawm nerve a ni tih han ngaihtuah teh.
Doctor-in a tih chu, X-ray machine bik, fluoroscopy tih kaihhruaina hnuaiah, a natna thlentu nerve chhungah ngei hian needle nalh tak mai a dah lut nghal a ni. Needle chu a hmun dik takah a awm chuan electrode te tak te a dah lut a, radio wave a tichhuak thin.
Heng radio wave atanga lumna hian nerve hmun tlemte chu ‘a kang’ tir thin. Hei hi ‘lesion’ siam an ti. Mahse lungngai suh, hei hi uluk tak leh chiang takin tih a ni. Hei hian nerve hian thluaka natna signal a thawn chu a titawp a ni. Mak tak mai chu, a chhehvela nerve hrisel te a tichhe lo.
A awlsam zawngin, RFA hian natna "root"-ah a kal a, natna thuchah kengtu nerve chu rei lo te chhung atan a titawp ta a ni.
He enkawlna atan hian tute nge tling?
He enkawlna hi mi zawng zawng tan a ni lo. I doctor chuan he enkawlna atana i fit tha em tih hriat nan thil engemaw zat a en ang.
I tling thei ang:
- I natna tihziaawmna tur nerve block injection i lo neih tawh chuan: Hei hi a pawimawh ber a ni. RFA hmain i doctor chuan ‘test’ angin i natna thlentu nerve bulah numbing medicine a inject ang. Hei hi an ti aDiagnostic block an ti a ni. Injection hnu darkar engemaw zat chhung i natna a reh chuan doctor chuan nerve chu a ‘target’ tihna a ni. Chutiang mite tan chuan RFA enkawlna a hlawhtlin theihna chance a sang zawk hle.
- Enkawlna dang (damdawi, taksa enkawlna) hian a puih loh chuan: Natna damdawi ei leh physiotherapy i tih rei tawh a, a rah chhuah i neih loh chuan RFA hi duhthlan tur tha tak a ni thei.
I tling lo thei a ni:
- Naupai i nih chuan .
- Infection i neih chuan .
- Thisen zam harsatna emaw, thisen chhuah harsatna emaw i neih chuan.
Enkawl lai hian eng nge thleng?
Hetiang tih dan hi minute 15 atanga darkar 2 inkar a ni tlangpui a, hei hi enkawl na hmun leh nerve awm zat a zirin a ni.
1. A hmasa berin i pum chungah X-ray khum bik ah i mu ang. Enkawl chhung zawnga i dinhmun enfiah turin monitor te connect a ni ang.
2. I conscious, a chhan chu doctor in a biak che vang a ni. A ṭul chuan a hahdam theih nan damdawi tlem a pe thei che a ni.
3. Local anesthetic hmangin needle dahna tur hmun chu a numb thin.
4. Tichuan, fluoroscopy X-ray kaihhruaina hnuaiah, needle chu uluk takin a natna thlentu nerve-ah a hruai a.
5. Needle chu hmun dik takah a awm tih chian nan doctor chuan a kal tlangin electric signal te tak te a thawn ang a, "Eng emaw i hre em, tingling emaw prickling sensation emaw ang chi?" I hriat chuan needle chu hmun dik takah a awm tihna a ni.
6. Tichuan, damdawi dang inject a, nerve numb a ni a, radio wave current hmangin nerve a kaihhnawih hmun chu a lum a, natna signal a thawn loh nan a titawp a ni.
7. A tul chuan a rualin nerve pakhat aia tam enkawl theih a ni.
Enkawl zawhah eng nge ka tih ang?
Enkawl zawh darkar tlemte hnuah in lamah i haw thei ang.
- I zuitu tur i mamawh tak zet a ni. Nangmah chauhin i khalh thei lo tih a chiang.
- In lamah haw la, darkar 24 vel chawlh hahdam rawh. Hna rit tak tak thawk suh.
- Ni khat emaw ni hnih emaw chhungin i thiltih pangngai chu i thawk leh thei ang.
- Ni engemaw zat chu injection na hmunah hian natna leh hliam tlem a awm thei. Doctor chuan minute 20 vel a chungah ice pack dah a, ni khatah vawi eng emaw zat lakchhuah a rawt a ni.
He enkawlna hi engtiang chiahin nge a hlawhtlin?
Mi tam tak chuan RFA enkawl hnuah natna reh nasa tak an nei thin. Mi thenkhat chuan enkawl hnuah hahdamna an nei nghal. Midang tan chuan ni 10 emaw kar 3 emaw chhungin a natna hi a tlahniam zauh zauh thin.
He natna tihziaawmna hi thla 6 atanga thla 12 chhung a ni tlangpui , a chang chuan a rei zawk, kum engemaw zat pawh a ni.
Mahse, kan taksaa nerve te hi a lo thang leh thei tih hre reng ang che. Chutiang nerve chu a lo thang leh a nih chuan a natna chu a lo let leh thei a ni. Chutiang a nih chuan he RFA enkawlna hi tih nawn leh theih a ni.
Engtikah nge Doctor ka hmuh ang?
Enkawlna hnua a hnuaia symptoms te hi a lo lang a nih chuan doctor ko nghal rawh:
- Needle dahna hmunah natna nasa tak, sen, emaw, hring emaw i neih chuan.
- Kut emaw ke emaw a chak lohna emaw a rilru a buai emaw a pun chuan .
Take-Home Thuchah a ni
- Radiofrequency Ablation (RFA) hi natna rei tak enkawlna atana hmanraw tangkai tak, surgery tel lo, invasive tlem ber a ni.
- Chumi atanga natna tihziaawmna chu thla 6-12 emaw a aia rei emaw pawh a daih thei. Nerve a lo thang leh chuan enkawlna hi tih leh theih a ni.
- I doctor chuan test hnuah he enkawlna hi i tan a tha em tih a hre ang. Mi zawng zawng tan a inhmeh lo.
- Hei hi enkawlna him tak ni mah se, damdawi lam thil dang ang bawkin, hlauhawmna tenau tak tak a awm. Hengte hi i doctor nen sawiho rawh.
- Enkawlna hnua natna lan chhuah dan danglam (na na tak, hliam, chak lohna) i neih chuan damdawi lam thurawn la nghal rawh.











💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment