Chronic pain solution: Rhizotomy chungchang hi han sawi ila

A châng chuan eng damdawi pawh ei emaw, physical therapy emaw hmang ila, a bo ngai lo. Thla tam tak, kum tam tak pawh ni thei, he hrehawmna awm reng nen hian nun chu engtiang chiahin nge a harsat? Vawiin hian natna khirh tak tak leh taksa ruh a nghet lo (spasticity) a, enkawlna dang hmanga control harsa tak takte tana hman tur special medical procedure kan sawi dawn a ni.

Chuti a nih chuan, he rhizotomy hi eng nge ni?

A awlsam zawngin sawi ila, rhizotomy hi damdawi lam thil a ni a, chu chuan nerve fiber bik, natna khirh tak tak emaw, taksa ruh tichak lo emaw siamtute hnathawh a tichhe a, a tichhe bawk .

Kan nervous system hi electrical wire system angin han ngaihtuah teh. Heng wire te hian thluak atang hian taksa peng dangah thuchah a phur a, chu hmun atang chuan thluak lamah a kir leh thin. Natna kan hriat hian natna hian a hriatna hmun atang hian thluak hnenah signal a thawn a, "Hetah hian a nana hmun a ni," a ti. Rhizotomy tih hian natna signal kengtu nerve dik tak chu zawn chhuah a, a tichhe a, chu signal chu thluaka a kal loh nan a titawp a ni. Electric wire chhia tihchhiat ang mai a ni. Hei hian natna chu a titawp a ni.

Doctor-te chuan heng nerve te tihchhiat nan hian kawng hrang hrang an hmang a:

Eng dinhmun nge rhizotomy hmanga enkawl?

Hriat tur pawimawh tak chu rhizotomy hi first-line treatment a ni lo tih hi a ni. Doctor-te chuan enkawlna awlsam tak, natna tidamtu, taksa lam enkawlna, leh nerve block te a hlawhchham chuan a tawp ber atan an ngai tlangpui.

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

Trigeminal Ganglion Rhizotomy hmanga tih a ni

Hei hian kan hmai sir lehlama trigeminal nerve cluster chu a target a ni. Hmai natna nasa tak, rei tak nei tan chuan hman a ni.

• Trigeminal Neuralgia: Hmai sir khatah na tak, electric shock ang maia na a ni.
• Enkawlna hmanga thunun theih loh lu na cluster.
• Atypical facial pain a chhan hmuh theih loh.
• Postherpetic neuralgia (chickenpox hnua hmai nerve natna awm).
• Cancer vanga hmai na.

Facet Rhizotomy tih a ni

Hei hian kan vertebrae inkar facet joint kal tlanga nerve roots te chu a target a ni. Hei hi hnungzang na leh kawng na tan tih a ni fo.

• Kawngpuiah tih a nih chuan cervical rhizotomy an ti a ni.
• A hnungzang hnuai lam a tih a nih chuan lumbar rhizotomy an ti a ni.
• Hei hi arthritis ang chi natna vanga ruh ruh (spine) ruhkawr (spine) a chhe lutuk avanga natna rei tak awm thin enkawlna tha tak a ni.

Selective Dorsal Rhizotomy (SDR) hmanga tih a ni.

Hei hi naupang thenkhat cerebral palsy vei te spasticity control nan a bik takin an ti thin a ni . Hei hian spinal cord hnuai lam sensory nerve fiber thenkhat chu thlan bik taka tihchhiat a huam a ni. Mahse, cerebral palsy nei naupang zawng zawng hi he surgery atan hian an tling vek lo. Hei hi doctor-te thutlukna siam a ni.

He enkawlna atan hian engtin nge i inbuatsaih?

Hei hi surgery a nih avangin i taksa chu a tan a tha em tih leh i hlawkpui tak tak em tih hriat nan test vawi tam tak i neih hmasak a ngai dawn a ni.

• Imaging test: MRI scan leh X-ray hmangin nerve natna leh a chhehvel uluk taka enfiah a ni.
• Nerve block: He nerve-ah hian buaina a awm em tih chiang taka hriat theih nan injection an pe a, chu chuan rei lo te chhung chu nerve chu a tichak lo. Hei hian natna a tihziaawm chuan rhizotomy hi a hlawhtling zawk a ni.
• Thisen leh zun test: Taksa hriselna zawng zawng enfiah thin.

General anesthesia hmanga surgery tih a nih chuan anesthesiologist hmuh a ngai dawn a ni. Tin, damdawi eng emaw i ei a nih chuan thisen tithianghlimtu te pawh i ei a nih chuan operation hma ni engemaw zat i ei tawh loh a ngai dawn a ni. Doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh. I medical team chuan engkim an hrilhfiah ang che.

Enkawl lai hian eng nge thleng?

Hetiang kalphung hi rhizotomy chi hrang hrang a zirin a inang lo a, mahse a tlangpuiin hengte hi step thenkhat chu a ni:

1. Anesthesia: A tam zawkah chuan muthilh kim vek i ni ang (general anesthesia). Thil tih awlsam thenkhatah chuan mut hahdam (sedation) emaw, local anesthetic (a hmun chauh numbing) emaw pek i ni thei bawk.

2. Imaging guidance: Surgery an tih lai hian X-ray ang chiah, fluoroscopy an tih technique hmangin needle emaw instrument emaw chu nerve dik tak bulah chiah a awm tih enfiah a ni. A châng chuan, nerve-te chiang zâwka hmuh theih nân vein-ah tui bik (contrast dye) an inject thei bawk.

3. Nerve testing: Nerve a tihchhiat hmain electrical signal te tak te a pe a, chu chu nerve dik tak a nih leh nih loh finfiah a ni. Hei hi EMG (Electromyography) ang chi test hmanga tih theih a ni.

4. Nerve tihchhiat: A tawp berah chuan a hmaa kan sawi tawh ang chi thum (cutting, chemicals, or radiofrequency heat) zinga pakhat chu natna thlentu nerve hnathawh tur tihtawp nan hman a ni.

Hei hi engtiang chiahin nge a hlawhtlin? Eng nge a hlauhawmna?

Rhizotomy nei tam tak chuan hun rei tak chhung natna tihziaawmna an nei thin . Mahse, mi zawng zawng hian result inang kan hmu vek lo. Mi thenkhat chuan natna tihziaawmna engmah an nei lo mai thei. Hei hian i dinhmun atan engtiang chiahin nge a hlawkpui dawn tih i doctor nen in sawi dun thei ang.

Rhizotomy tih chi hrang hrang a zirin risk leh complication a inang lo.

• A tlangpuiin, needle emaw surgical incision emaw awmna hmunah hian natna engemaw zat, hliam, leh thisen chhuah hi thil pangngai a ni. Hei hi ni rei lo te hnuah a bo tawh ang.
• A tlem hle a, chutiang hmunah chuan hri kai a awm thei.
• Side effect thenkhat chu beisei tur a ni. Entirnan, hmai natna avanga trigeminal rhizotomy i tih hnuah i hmai sir lamah chuan feeling i hloh thei. I doctor chuan operation hmain heng zawng zawng hi a sawipui ang che.

Doctor pan vat a ngaih hunah

Enkawlna zawhah, surgery hmun chu a hring emaw, a sen emaw, a hring (infection chhinchhiahna) a nih chuan, emaw, nerve lama harsatna thar i neih chuan, ke emaw, kut pakhat emaw a hring emaw, a hring emaw a nih chuan doctor ko nghal rawh.