Natna rei tak tuar theih loh chinfel dan: Spinal Cord Stimulator chungchang zir rawh

A chang chuan damdawi emaw physiotherapy emaw hmang pawha reh ngai lo natna kan nei thin. Nitin, thla tin, thla tin, he natna chi hrang hranga inhnukdawk thin hi engtiang chiahin nge nun a harsat? Chutiang natna khirh tak, hun rei tak chhunga hrehawm tuar tu i nih pawhin he thuziak hi i tan a pawimawh hle ang. Vawiin hian chutiang natna thunun nan taksa chhunga surgery hmanga dah luh hmanraw bik kan sawi dawn a ni. Hei hi opioid ang chi natna tidamtu chak tak takte aia hmanraw tha tak a ni thei a, mi thenkhat tan chuan addictive a ni thei.

A awlsam zawngin, Spinal Cord Stimulator tih hi eng nge ni?

Okay, hei hi engtin nge a thawh tih hi i hrethiam hmasa ang u. Kan nervous system leh natna hi tlem tal hriatthiam a ngai a ni.

Natna chu eng nge ni?

Natna hi kan taksaa venhimna a ni tlangpui. I hliam emaw, i kang emaw, i hliam dawn emaw a nih chuan thluak hnenah, "Hetah hian thil dik lo a awm a, fimkhur rawh," tih hi a ni. Natna hi natna tam tak chhinchhiahna pawimawh tak a ni bawk.

Mahse, natna hian venhimna min pe reng reng lo. Damdawi lam harsatna thenkhat avanga natna hi tuar theih loh a ni. Tin, natna thenkhat chu a bo ngai lo va, a chhunzawm zel bawk. Hei hi natna khirh tak kan ti a ni . Hetiang natna nena i khawsak hian i mut tha thei lo va, hna engmah i thawk thei lo bawk. Hetianga rei tak i nun hian a buaithlak hle thei a ni.

Chronic pain hian kan thluak leh nervous system-ah inthlak danglamna a thlen thin. Chuvang chuan natna tlemte pawh a na zual thei (hyperalgesia). A chang chuan, thil na lo tur thilte hian natna (allodynia) a thlen thei. Chumi awmzia chu kan pain signaling system-ah thil dik lo a awm tihna a ni.

Engtin nge nervous system hian hna a thawh?

I nervous system chu telephone line network angin ngaihtuah rawh. Heng line hmang hian thluak leh taksa dangte inkarah hian information hi a kal leh zel a ni. Pain signal te hi heng line-a ‘call’ ang mai a ni.

Spinal Cord Stimulation hi electrical current tha tak hmanga spinal cord chhunga nerve fiber thenkhat tihchak dan a ni a . A awlsam zawngin, natna ‘call’ chu thluaka a kal hmain he device hian line-ah ‘call’ dang a siam leh thin. Tichuan, line chu a buai ta hle a, chu chuan natna signal chu thluak a thleng thei lo. Hei hi natna hriatna chu a thunun dan a ni.

He enkawlna hi tute nge mamawh? Eng condition atan nge?

Hei hi mi zawng zawng tan enkawlna a ni lo. Natna nasa tak, rei tak, enkawlna dang (damdawi, injection, leh physical therapy ang chi) hmanga hlawhtling taka enkawl loh tan chuan duhthlan tur anga ngaih a ni. He surgery hi puitlingah tih tam ber ni mah se, naupang tê tête dinhmun ṭhenkhatah pawh hman theih a ni.

A hnuaia tarlan te hi he enkawlna hian a hlawkpui theihna tur dinhmun thenkhat a ni.

He surgery hma hian eng nge thleng? Engtin nge ka inbuatsaih ang?

Hei hi first-line treatment a nih loh avangin operation hmain test hrang hrang (lab leh scan ang chi) tih a ni ang a, chu chuan i hrisel em tih leh he surgery hi tih loh chhan a awm em tih enfiah a ni ang.

Tin, specialist engemawzat i hmuh a ngai bawk ang.

• Neurologist: I natna thlentu dinhmun dik taka hre theitu an ni fo thin.
• Pain management specialist: He doctor hian operation a hman hmain enkawlna dang a hlawhtling em tih a rel ang a, chu enkawlna chu tih theih loh chhan a awm leh awm loh a enfiah ang.
• Neurosurgeon: He device hi dah luh nan hian surgery an ti thin.
• Psychiatrist emaw psychologist emaw: Natna rei tak hian i rilru hriselnaah nghawng lian tak a nei thei a ni. Lungkhamna emaw, lungngaihna emaw ang chi dinhmun hnuaia awmte enfiah leh enkawl a pawimawh a, rilru lam hriselna lama harsatna thenkhat chuan he enkawlna hi a ti hlawhtling lo thei a ni.
• Anesthesiologist: He surgery hi general anesthesia hmanga tih a ni. Chuvangin anesthesiologist chuan a enfiah ang che a, i hriselna chanchin a sawipui ang che a, a tul angin thupek a pe ang che.

Heng zawng zawng hnuah hian operation atana i tling tih hriat a nih chuan, chu mi atana inbuatsaih dan tur thupek i dawng ang.

• Damdawi i ei: Damdawi i ei zawng zawng, vitamin leh supplement te pawh i doctor hnenah i hrilh tur a ni. Damdawi thenkhat ( thisen tithianghlimtu ang chi) chu operation hmain tihtawp emaw thlak emaw a ngai mai thei. Doctor thurawn tel lo chuan damdawi engmah ei khap suh.
• Faina: Operation hmaa inbual dan tur leh eng sahbawn nge hman tur tih te.
• Chaw nghei: Operation hmain darkar 8 vel chaw solid ei loh tur leh darkar 2 vel liquid ei loh tur a ni ang.

Surgery neih chhung hian eng nge thleng?

Hetiang kalphung hi a tlangpuiin stage hnih-ah a thleng thin. A hmasa ber chu "trial" a ni. Chu chu a hlawhtlin chuan second stage-ah device chu a nghetin install a ni.

He device hian part lian pahnih a nei a. Pakhat chu electrical wire (leads) te hi a ni. Chungte chu spinal cord bula epidural space an tih hmunah dah a ni. Heng wire te hi electrical pulse generator nen an inzawm a ni. Hei hi battery ang maia hnathawk leh electric current siamtu part a ni.

A hmasa ber: "Trial kalphung".

Hei hian rei lo te chhung wire dahin, device chu i tan a tha em tih leh natna a tihziaawm em tih enfiah a ngai a ni. Hei hi sedation hnuaiah tih a ni tlangpui a, chutiang chuan i muhil deuh a ni. Doctor chuan X-ray technique bik fluoroscopy (X-ray video ang chi) a hmang a, vunah hian incision te tak te a siam a, temporary wire chu needle hmangin ruhro hmun remchang takah a dah lut a ni.

Tichuan, wire-a lang chhuak chu vunah an inzawm a, taksa pawn lama temporary pulse generator-ah an inzawm khawm a ni. Tunah chuan, an on a, i natna a tiziaawm em tih an enfiah thin.

Trial hi a hlawhtling a nih chuan a dawt leh tur chu operation hmanga device chu a nghet taka dah a ni ang.

Stage pahnihna: Device chu a nghet taka dah (Implantation surgery) .

He surgery hi general anesthesia hmanga tih a ni. Hetah hian surgeon chuan trial-a an tih ang bawkin, permanent electrical leads chu spinal cord-a hmun dik takah a dah a.

Tichuan, wire tawp dang chu vun hnuaiah lak a ni a, pulse generator, a nih loh leh battery-ah an thlunzawm a, chu chu awlsam taka i control theih tur hmunah dah a ni tlangpui. Entirnan, ‘pocket’ te tak te hi pum hnuai lam emaw, hnute sir lam emawa vun hnuaiah siamin a chhungah an sewn thin.

Heng battery te hi chi hrang hrang a awm a. Ṭhenkhat chu remote hmanga on/off a ngai. Ṭhenkhat chu recharge theih a ni. Vun chung lamah recharge an ni a, battery awmna hmunah charger bik dahin an recharge a ni.

A tawpah chuan incision te chu stitches emaw staples emaw hmangin an khar thin.

Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Trial zawhah chuan a ni vek emaw, a tuk zingah emaw i haw thei bawk. Permanent device dah a nih hnuah chuan damdawi inah ni khat emaw ni hnih emaw i awm a ngai tlangpui ang.

Operation hnuah, a bik takin permanent device dah a nih hnuah, taksa tihchakna chu kar 4 atanga kar 6 vel tihtlem turin an ti ang che . Device dahna hmun chu a dam tha a, i taksain a insiamrem hma loh chuan bending, lifting, emaw exercise hahthlak tak tak tih loh tur a ni.

Kar hnih vel hnuah clinic-ah lo kir leh turin an ti ang che, stitches/stapler pins te chu lakchhuah tir i ni ang.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi enkawlna dang ang bawkin a hlawkna leh hlauhawmna a awm bawk. Thutlukna siam hmain a pahnih chungchang hi hriat chian a pawimawh hle.

Engtikah nge doctor i hmuh a ngaih?

Surgery zawhah ni ruat saah clinic-ah i kal a ngai dawn a ni. Tin, harsatna a awm chuan doctor thurawn i la nghal tur a ni.

He enkawlna hi engtiang chiahin nge a hlawhtlin? Nun pangngaiin ka nung thei ang em?

A tlangpuiin, he enkawlna dawngtu zinga a chanve vel chuan 50% aia tam natna tihziaawmna an nei thin . Mahse, he hlawhtlinna hi thil tam takah a innghat a, chu chu damlo dinhmun leh hmanraw hman chi hrang hrangah a innghat a ni. I dinhmun a zirin hlawhtlinna i chan theihna tur hrilhtu tur che chu i doctor tha ber a ni.

He device i install zawh hian i nunphungah inthlak danglamna engemaw zat i siam a ngai mai thei. A bik takin, bending emaw twisting emaw engmah pumpelh la, hei hian device a tichhe thei a ni.

Mahse, mi tam tak chuan he hmanrua hmang hian nun pangngai an hmang thiam ta a ni. I natna tihziaawmna leh i nunphung tihchangtlun hi a tum ber a ni tih hre reng ang che.