Natna awm reng tur solution? Spinal Cord Stimulator chungchang hi i zir dawn teh ang

Damdawi leh enkawlna zawng zawng karah pawh natna khirh tak, awm reng, reh lo i tuar em? Hetiang natna nen hian nun a harsat zia kan hria a, a bik takin hnungzang, ke leh kut ah te. Chuvangin vawiin hian he natna khirh tak hi thunun thei tur damdawi hmanraw bik kan sawi dawn a ni.

A awlsam zawngin, he spinal cord stimulator hi eng nge ni?

Spinal cord stimulator hi damdawi hmanraw te tak te a ni a, i doctor chuan i taksa chhungah surgery hmangin a dah thei a ni. Natna khirh tak, hun rei tak chhunga natna thunun nan hman a ni. Tin, natna tidamtu chak tak, opioid ang chi, a chang chuan addictive thei tur ai chuan hmanraw tha tak atan hman a ni bawk.

Engtin nge he hmanrua hian natna a tihziaawm?

Hei hi engtin nge a thawh tih hrethiam tur chuan natna leh kan nervous system chungchangah hian ngaihtuahna tlem i neih a ngai a ni.

Natna chu eng nge ni?

Natna hi a tlangpuiin venhimna a ni. I hliam emaw thil thleng tur emaw min hriattir thin. Natna hi natna tam tak chhinchhiahna lian tak a ni bawk.

Mahse, natna hian venhimna min pe reng reng lo. Damdawi lam thil ṭhenkhat chuan tuar theih loh khawpa natna a thlen thei a, a nih loh leh natna reh ngai lo reng reng a ni thei bawk. Hei hi natna khirh tak kan ti a ni . Hetiang natna nena nun hian mut a ti harsa thei a, thil tangkai tak tak pawh a ti harsa thei bawk. Hun kal zelah hei hian i rilru hriselnaah nghawng lian tak a nei thei bawk.

Nervous system hnathawh dan

I nervous system chu i taksa pum puia kal telephone wire network angin ngaihtuah rawh. I thluak leh i taksa dang inkara information phur chhuak leh chhuaktu a ni. Natna chu he telephone line kaltlangin i thluak lama "call" lo thleng ang mai a ni.

Hetiang method, neuromodulation an tih hian electrical current tha tak tak hmangin i spinal cord-a nerve fiber thenkhat a tichak a ni. Phên dangin sawi ila, pain "call" dawngtu phone line khatah "call" dang siam lehin line chu busy tir ang mai a ni Hei hian natna signal chu thluak thleng turin a block a ni. Hei hi natna hriatna a tihziaawm dan a ni.

He enkawlna hi tute nge mamawh ber?

He enkawlna hi enkawlna dang, pill, injection, leh physical therapy te a hlawhtlin loh hunah hman a ni tlangpui. Heng dinhmunte hi puitling zingah hian a tam zawk nachungin, naupang tê tête pawhin he enkawlna hi an mamawh ve thei a ni.

A hnuaia table-ah hian he device hmanga enkawl natna lian ber ber thenkhat tarlan a ni.

Hei bakah hian he method hi natna dang, rilru natna (angina), ruh natna, leh herpes zoster (shingles) hnua nerve natna te tan pawh a tangkai thei em tih zirchianna kalpui mek a ni.

Surgery neih hmain eng nge thleng?

Hei hi first-line treatment a ni lo. Chumi awmzia chu enkawlna dang zawng zawng a hlawhchham hunah ngaihtuah a ni tihna a ni. Surgery neih hma hian thil engemaw zat i tih a ngai dawn a, chu chu thisen test leh scan te a ni a, chu chu a tan i tling em tih hriat nan a ni.

Tin, specialist engemawzat i hmuh a ngai bawk ang.

• Neurologist: I natna thlentu dinhmun dik tak chu hmuchhuak rawh.
• Pain Management lama mithiam:Enkawlna dangte pawhin hna an thawk lo tih enfiah rawh.
• Neurosurgeon: He device hi implant tura surgery titu a ni.
• Psychiatrist/Psychologist: Natna rei tak hian i rilru hriselnaah nghawng lian tak a nei thei a, chuvangin i rilru hriselna pawh ngaihven a pawimawh hle.
• Anesthesiologist: Surgery hi anesthesia hmanga tih a nih avangin sawi rawh.

Engkim a felfai tawh chuan operation atana inbuatsaihna tur thupek i dawng ang. Hei hian i damdawi ei tur chungchang doctor hnena hrilh leh operation hmaa chaw nghei ang chi thilte a huam a ni.

Surgery neih chhung hian eng nge thleng?

Hetiang kalphung hi a tlangpuiin stage hnih-ah a thleng thin. A hmasa ber chu "trial" process a ni. Chu chu a hlawhtling a nih chuan a pahnihna chu taksa chhungah device (pulse generator/battery) chu a nghet taka dah a nih chuan a ni.

1. Trial kalpui dan tur

Hetiang procedure-ah hian mut hahdam taka dah turin anesthesia an pe che a ni. Tichuan, X-ray (fluoroscopy) ang chi technique hmangin vun kaltlangin i ruhro hmun dik takah (epidural space) needle an dah lut a. Electrode tawp dang chu vun atanga lakchhuah a ni a, pawn lama battery hun eng emaw chen atan a inzawm khawm a ni.

He trial hi ni engemaw zat atanga kar khat emaw kar hnih emaw chhung a ni. Hetih hun chhung hian i natna chu 50% aia tam a tlahniam a nih chuan trial chu hlawhtlingah ngaih a ni. Chutiang a nih chuan a dawt leh tur chu permanent device implant turin operation a ni.

2. Thil hmanrua nghet tak dah (Implantation Surgery) .

Hetiang tih hi general anesthesia hmanga tih a ni. Hetah hian experiment-na hmun khatah permanent electrode dah a ni. Tichuan, vun hnuaiah hmun tlemte siamin battery (pulse generator) dah a ni. He battery hi awlsam taka i control theihna hmunah dah a ni tlangpui a, entirnan, pum sir emaw, hnute emaw-ah emaw dah a ni.

Battery thenkhat chu remote hmangin on/off theih a ni. Ṭhenkhat chu charge theih a ni. I doctor chuan heng zawng zawng hi a hrilhfiah ang che.

He enkawlna hian eng nge a thatna leh a that lohna?

Damdawi hmanraw dang ang bawkin he hmanrua hian a thatna leh a that lohna a nei vek a ni.

Engtikah nge doctor i hmuh vat ang?

Surgery zawhah follow-up appointment pek i ni ang. Chu appointment-ah chuan tel ve ngei ang che. Mahse, a hnuaia vaukhânna chhinchhiahnate hi i hmuh chuan damdawi in emaw Emergency Department (ETU) emaw-ah i kal nghal tur a ni .

• Lu na reng reng, ding emaw, ṭhut emaw a awm a, mut laiin a bo: Hei hi cerebrospinal fluid (CSF) leak chhinchhiahna a ni thei.
• Surgery neihna hmuna natna kai chhinchhiahna: a sen, a hring, a na, a nih loh leh hliam atanga tui rimchhia chhuak.
• Taksa hnuai lam a rilru hahna, hriatna hloh emaw, taksa ruh chak lohna emaw a lo awm nghal: Hei hi electrode hmun atanga vertical movement avanga spinal cord chhiatna chhinchhiahna a ni thei.
• Sepsis natna lan chhuah dan: Khawsik sang, khawsik, thawk harsa, leh buai. Hei hi nunna atana hlauhawm emergency a ni.

A tlangpuiin, permanent device chu a dam kim theih nan leh a hnathawh dan pangngaia a kir leh theih nan kar 4-6 vel a ngai thin. Hemi hun chhung hian thil rit phur leh ben hah lutuk lo turin i doctor chuan a fuih ang che.