Chronic pain hi i chau tawh em? Rhizotomy tih enkawlna chungchang hi i zir dawn teh ang.

A châng chuan kan nunah hian eng damdawi pawh ei emaw, physical therapy emaw kan tih pawhin a bo ngai lo ang maia hrehawmna a awm ṭhin. Kum tam tak chhunga min tibuai tawh hnungzang na emaw, kawr na emaw, hmai sir khata electric shock ang maia tuar theih loh natna emaw pawh a ni thei. Chutiang dinhmun nena nun a harsat zia chu a tawng tawhte chauhvin an hria. Chuvangin, thil dang zawng zawng a hlawhchham hunah chuan vawiin hian doctor-te rawtna anga enkawlna bik kan sawi dawn a ni. Rhizotomy an ti a.

A awlsam zawngin, Rhizotomy chu eng nge ni?

Hei hi hrethiam tur chuan kan taksa nervous system hi han ngaihtuah hmasa ila. Kan taksa pum puia kal nerve te hi electric cable te tak te ang mai a ni. Heng cable te hi kan thluak leh kan taksa peng dang inkara thuchah thawntu an ni. I thil hriat zawng zawng, khawih, natna, leh lumna te hi heng nerve hmang hian thluaka thawn a ni a, heng nerve hmang hian thluak hian i kut leh ke chet tir turin a hrilh che a ni.

Mahse, a chang chuan he nervous system a hnathawh that loh vang hian nerve thenkhat chuan thluak hnenah "natna" tih thuchah an thawn chhunzawm zel thin. Dik tak chuan he thuchah hi chutah chuan buaina lian tham a awm loh lai pawhin a kal zel a ni. Rhizotomy tih enkawlnaah chuan tih tur chu chutiang nerve fiber harsatna nei, thu dik lo thawn chhuaktu te chu hriatchhuah a, tihchhiat leh thuchah kal zel tur tihtawp a ni. Electrical wire buaithlak tak disconnect ang mai a ni. Hetianga natna signal te thluaka a kal tawh loh chuan i natna hriat chu a bo emaw, nasa takin a tlahniam emaw a ni.

Engtin nge heng nerve te hi i tihchhiat?

Doctor-te chuan hetiang ti tur hian kawng hrang hrang an hmang a:

• Surgical excision: A chang chuan, heng nerve te hi surgery hmangin an tan a, an la chhuak thin. Hei hi open surgery emaw endoscopically emaw pawhin tih theih a ni a, chu chu incision te tak te hmanga camera dah luh a ni.
• Chemical hmangin: Glycerin ang chi chemical hmangin nerve sawi tur chu i tichhe thei bawk.
• Radiofrequency ablation: High-intensity radio wave te chu focus a ni a, a chhuak lumna chu nerve tichhe turin hman a ni . Hetiang tih dan hi Radiofrequency Ablation (RFA) an ti fo thin.

Rhizotomy, Ablation, Neurotomy... Heng thute hian awmzia a inang em?

Ni e, heng thute hi a buaithlak deuh thei , mahse an awmzia chu a awlsam hle.

• Rhizotomy hmanga thil tih dan: 1.1.Hei hi he enkawl dan hming tlangpui a ni. Chu chu, harsatna nei nerve fiber tichhe thei process eng pawh chu he hming hian an vuah thei tihna a ni.
• Nerve Ablation: Hei hi Rhizotomy atana hman tur thumal dang a ni. Ablation tih awmzia chu paih emaw tihchhiat emaw tihna a ni.
• Radiofrequency Ablation (RFA): Hei hi rhizotomy tihna atana hmanraw bik a ni. Radio wave atanga lumna hmanga nerve tihchhiat a huam a ni.
• Neurotomy: Hei hi damdawi lama hmanraw dang, nerve tihchhiat emaw, tihchhiat emaw tihna a ni.

Chumi awmzia chu heng thumal zawng zawng hian thil tum bulpui inang an nei tihna a ni. Chuvangin i doctor-in heng thute hi a inthlak danglam a nih chuan lungngai suh.

Rhizotomy enkawlna hian eng dinhmun nge a puih?

Hei hi thil pawimawh tak a ni. Rhizotomy hi natna zawng zawng enkawlna hmasa ber a ni lo. Doctor-te chuan physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), emaw nerve blocks ang chi thil an lo enchhin hmasa ber ṭhin. He enkawlna hi heng zawng zawng hi a hlawhchham chuan chauh ngaihtuah a ni .

Rhizotomy treatment chi hrang hrang a awm a, taksa chhunga nerve hrang hrang target vek a ni.

He enkawlna hma hian engtin nge ka inbuatsaih ang?

Hetiang enkawlna hi neih i tum a nih chuan i doctor leh medical team te chuan a inbuatsaih dan tur chiang takin an hrilh ang che. Zawhna i neih apiang zawh hlau suh.

A tlangpuiin, he enkawlna hian a puih tak tak che em tih finfiah nan test vawi tam tak i neih a ngai ang.

• Imaging test: MRI scan emaw X-ray emaw ang chi thil.
• Nerve Block: Eng nerve nge harsatna thlentu tih chiang taka hriat theih nan, a natna a tlahniam em tih en turin temporary injection an pe thin.
• Thisen leh zun test: I hriselna dinhmun zawng zawng hre rawh.

He enkawlna hi general anesthesia hmanga tih a ni fo. Hei hian i muhil vek tihna a ni. Chuvangin, i tan a him em tih enfiah turin anesthesiologist i hmu a ngai dawn a ni.

Tin, damdawi thenkhat, thisen tithianghlimtu/anticoagulant te i ei a nih chuan i enkawl hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei bawk. Mahse, doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh.

Enkawlna neih chhung hian eng nge thleng tak tak?

He thu i hriat hian hlauhna tlem a awm hi thil pangngai a ni a, mahse he procedure hi ruahmanna fel tak leh him tak a ni. Enkawl dan, i dinhmun leh i target nerve a zirin danglamna tlem a awm thei.

Hengte hi a tlangpuiin a tih dan tur chu a ni:

1. Anesthesia emaw Sedation emaw hmanga enkawl

A tam zawkah chuan i muthilh kim vek dawn a, chuvang chuan natna engmah i nei lovang. A then phei chuan muthilh tir i ni thei (sedation) emaw, a hmun chauh a numbed (local anesthetic) emaw a ni thei bawk.

2. Nerve dik tak zawn chhuah (Imaging Guidance) .

Doctor hian X-ray technique bik fluoroscopy an tih hmangin a harsatna nerve chu a hmuchhuak ang. Hei hian needle dahna tur hmun dik tak a hriat theih nan a pui ang che. A châng chuan, nerve hmuh theihna tûrin vein-ah tui bik (contrast dye) an inject thei bawk.

3. Nerve test dan

Nerve tihchhiat hmain targeted nerve chu a dik tih finfiah a ngai a ni . Chutianga tih theih nan chuan electrical stimulation te tak te chu needle hmangin an pe a. A chang chuan hemi atan hian EMG (Electromyography) an tih test pawh an hmang thin.

4. Nerve tihchhiat

Nerve dik tak chu a dik tih finfiah a nih hnuah, a hmaa kan sawi tawh zinga pakhat (radio wave, chemical emaw, surgical cutting emaw) hmangin nerve hnathawh tihtawp nan hman a ni.

He enkawlna hi engtiang chiahin nge a hlawhtlin?

Rhizotomy nei tam zawk chuan hun rei tak chhung natna tihziaawmna emaw, taksa ruh (muscle stiffness) lama hmasawnna nasa tak emaw an nei thin. Mi thenkhat chuan kum tam tak chhung natna tihziaawmna an tawng thin.

Mahse, mi zawng zawng hian result inang kan hmu vek lo. Mi tlemte chauh tan chuan natna hi a tlahniam vak lo. Tin, hun kal zelah nerve te hi eng emaw chen chu a lo tha leh thei a, natna chu a lo lang leh thei bawk. Chutiang a nih chuan he enkawlna hi i neih leh a ngai mai thei. I doctor chuan i dinhmun a zirin he enkawlna hlawhtlinna hi chipchiar zawkin a hrilhfiah ang che.

Side effect emaw risk emaw a awm em?

Damdawi lam thil dang ang bawkin Rhizotomy hian hlauhawmna leh side effect engemaw zat a nei thei a ni. Mahse, heng zinga a tam zawk hi chu tenau te an ni a, harsatna lian tham tak tak erawh a awm lo. Heng risk te hi procedure chi hrang hrang leh nerve target a nih dan azirin a inang lo.

Enkawlna i neih zawh chuan eng symptom nge i fimkhur tur tih leh engtikah nge i doctor hmu tura i kir leh tur tih chiang takin i dawng ang.