He kawr chhunga injection bik hian natna a tiziaawm thei ang em? Stellate Ganglion Block chungchang i zir chiang ang u.

I kawr, lu, i kut leh i rilru chunglam natna awm reng, damdawi ei avanga reh lo i nei em? A chang chuan hetiang natna thlentu hi kan nervous system-ah harsatna tenau tak a ni thei bawk. Vawiin hian hetiang thila doctor-te hman dan bik, a danglam deuh deuh kan sawi dawn a ni. Hei hi ‘Stellate Ganglion Block’ an ti a. A hming hi a buaithlak deuhin a lang thei a, mahse hei hian eng nge a tih tih hi i hrethiam mai ang u.

Stellate Ganglion Block (SGB) hi eng nge ni?

A awlsam zawngin Stellate Ganglion Block (SGB) hi anesthetic injection a ni. Mahse hei hi injection pangngai eng pawh a ni lo. Kan kawr chhunga nerve pawl bik, a bik takin kan voice box sir lehlamah inject a ni. He nerve pawl hi ‘Stellate Ganglion’ an ti a.

He vaccine pekna tur hian thil tum lian tak pahnih a awm a, chungte chu:

1. Lu, kawr, kut chunglam, leh rilru chunglam natna nasa tak, rei tak awm thei thenkhat tihziaawm nan.

2. Kut thlenga thisen kalna, chu chu thisen kal thatna a ni.

Okay, chuti a nih chuan he stellate ganglion hi eng nge ni?

Ganglion chu nerve cell inzawmkhawm, rel station-a junction ang maia inzawmkhawm a ni a, chu chu nerve message thawn leh thawn chhuahna hmunpui a ni.

Chutiang nerve cluster pakhat chu stellate ganglion hi a ni. Kan kawr hmalam, kawr ruh hnuai lam chiah, ruh hmasa ber bulah a awm a. Kan kawr lehlamah hetiang ganglion hi kan nei a. ‘Stellate’ tih thumal hi ‘arsi ang mai’ tihna a ni. Chumi awmzia chu he nerve cluster pianzia hi arsi pianzia nen a inang thei tihna a ni.

He nerve pawl hi ‘Sympathetic Nervous System’-ah an tel a, hei hi kan Autonomic Nervous System-a tel a ni. A awlsam zawngin, hei hi kan taksa ‘fight or flight’ system a ni a, chu chu emergency-a, kan hlauhthawn emaw, kan lungkham lai emawa indo emaw, tlanbo emaw tura min buatsaihtu system a ni. Kan taksain kan ngaihtuah lova a thunun thil tam takah a inrawlh a, chu chu heart rate, thisen sang, leh thawk hah te hi a ni. Chuvangin lu, kawng, kut leh rilru chunglam panna sympathetic nerve message tam zawk hi he stellate ganglion kaltlangin a thawn chhuak thin.

Mi zawng zawng hian he Stellate Ganglion hi kan nei vek em?

Hei pawh hi a mak deuh. Dik tak chuan he stellate ganglion hi mi zawng zawng taksaah a awm lo. He ganglion hi a lo awm theih nan kan kawr chhunga nerve cluster pahnih, `inferior cervical ganglion` leh `first thoracic ganglion` te hi an inzawm khawm a ngai a ni.

Mahse, khawvela mi 80% chauh an awmHeng nerve bundle pahnih hi hetiang hian an inzawm khawm a, stellate ganglion an siam ta a ni. A dang 20% ​​ah chuan hengte hi a inrem dan a inang lo va, a inthen a ni.

Engvangin nge Stellate Ganglion Block hi an tih thin? Eng natnate tan nge?

Doctor ten he enkawlna hi chhan lian tak pahnih vangin an hmang thin.

1. Diagnosis atan: Natna engemaw zat chu a hmaa kan sawi tawh ang khan sympathetic nervous system hnathawh vang a ni em tih zawng rawh. Hei hi `sympathetically mediated pain (SMP)` an ti a.

2. Enkawlna atan: Natna chi hrang hrang, nerve disorder, leh thisen kalna lama harsatna awmte control.

A hnuaia table-ah hian he enkawlna hi hman tam berna dinhmun thenkhat tarlan a ni.

Tin, he enkawlna hi `Scleroderma`, `Orofacial pain`, `Atypical chest pain`, leh `Ménière’s disease` ang chi natna atan pawh hman a ni.

Hei hi rilru lam hriselna chungchangah pawh hman a ni em?

Ni e, hei hi tuna mi tam takin an sawi chhuah thupui a ni. Kum 1990 chho atang khan zirchianna hi kalpui tan a ni a, a bik takin rilru lam natna Post-Traumatic Stress Disorder (PTSD) tih enkawlna atana SGB hman dan chungchang hi a ni.

Mahse heng zirchianna result hi a inang lo hle. Mi thenkhat chuan PTSD symptoms nasa takin an tlahniam tih an hmu a, thenkhat erawh chuan danglamna an hmu lo thung. Chuvangin U.S. Food and Drug Administration ang agency te chuan PTSD enkawlna atan SGB hi official takin an pawm lo. Amaherawhchu, enkawlna dang (counseling, damdawi)-in hna a thawh loh chuan doctor-in damlo hnenah he thu hi sawipuiin, ‘off-label’ treatment angin a pe thei a ni.

Tun hnaiah SGB hian rilru lam natna dang, lungngaihna leh lungkhamna te a nghawng dan zirchianna neih tan a ni.

He Stellate Ganglion Block hi engtin nge an tih?

Doctor pakhatin he damdawi hi a rawn pe che ang tih han ngaihtuah teh. Tichuan, clinic emaw damdawi inah emaw hetiang thil hi a thleng ta a ni:

1. Inbuatsaihna: A hmasa berin khumah hmai lam hawia mu turin an ti ang che. I thlamuanna leh i hahdam theih nan intravenous (IV) line hmangin mild sedative (a sedative) pek i ni thei bawk.

2. Faina: Doctor chuan i kawr chhunga injection pekna tur hmun chu antiseptic solution hmangin uluk takin a tifai ang.

3. Injection hmasa ber (numb): .A dawtah chuan local anesthetic tlemte chu needle nalh tak hmangin a hmunah an inject leh a. Hei hian injection lo awm tur natna chu i hre lo ang.

4. Main injection: Chumi hnuah main anesthetic chu an inject leh thin. Mahse hei hi rinhlelhna mai a ni lo. Doctor chuan `Ultrasound` scan emaw X-ray chi khat `Fluoroscopy` tih emaw hmangin, screen-ah needle kalna kawng a en a, chutah chauh chuan needle chu nerve cluster stellate ganglion an tih bulah chiah a awm chuan injection hi a thleng thin. Hei hian hmun dik lovah inject theihna chance a ti tlem a ni.

Hetiang zawng zawng hi minute 30 aia rei lo a ni tlangpui .

Injection hnuah eng nge thleng?

Injection i pek zawh chuan recovery room-ah rei vak lo dah i ni ang. A tlangpuiin minute 40 atanga 60 vel chhung chu nurse emaw doctor emaw chuan i dinhmun (thisen sang, heart rate) a enfiah ang. Engkim a chiang tawh chuan in lama zawm tur thupek pek i ni ang a, chumi hnuah in lama haw phalsak i ni ang.

He enkawlna hi engtiang chiahin nge a hlawhtlin? Eng chen nge a daih?

He zawhna hi chhanna pakhat chauh a awm lo a, a chhan chu mi tin a inang lo hle a ni.

• Mi thenkhat tan chuan injection an pek hnuah a natna chu a reh nghal a, mahse darkar engemaw zat hnuah anaesthetic a reh avangin a natna chu a lo let leh thei a ni.
• Mi dangte chuan ni tam tak emaw, kar tam tak emaw chhung chu natna tihziaawmna an nei ṭhin. Hetih lai hian an natna damdawi chu an taper off thei a, physiotherapy exercise ang chi thilah pawh an tel thei bawk.

A tlangpuiin, injection vawi khat chauh hian hahdamna famkim a pe tam lo. Hun rei tak chhunga damna tur chuan injection hrang hrang a ngai a, chu chu vawi tam tak tih a ngai tihna a ni. A châng chuan session hnih chauhvin result i hmu thei a, ṭhenkhat erawh chuan vawi sawm aia tam tih a ngai mai thei bawk. Mahse thu lawmawm tak chu session tin hian natna tihdam hun chhung hi a pung thei a ni .

Hei hian side effect emaw risk emaw a nei em?

Damdawi dang ang bawkin side effect tenau tak tak a awm a, harsatna lian tak tak pawh a awm tlem hle.

A chunga kan sawi tak symptoms te hi darkar tlemte chhungin a reh vek tlangpui a, mahse harsatna lian tak tak, a awm tlem hle bawk .

• Hri kai theihna dinhmun
• Thisen kalna kawng (e.g. carotid artery) chhunga needle puncture avanga thisen chhuak .
• Nerve dang (vagus nerve, laryngeal nerve lo lang leh) tihchhiatna .
• Lung chhiatna (Pneumothorax) .
• Thyroid gland, esophagus emaw trachea emaw tihchhiat

Heng thil thleng theihna chance hi a tlem hle a, a bik takin doctor tawnhriat ngah takin ultrasound ang chi technology hmanga he enkawlna hi a tih hian a tlem hle.

Eng dinhmunah nge doctor ka biak ang?

Injection i pek hnua in i haw hnuah, symptom thar i neih emaw, complication i rinhlelh emaw chuan , i doctor ko nghal rawh. Bik takin:

• Injection na hmun chu a hring, a sen, a khawsik (infection chhinchhiahna) a nih chuan.
• Darkar engemaw zat hnuah pawh ei harsatna a awm chhunzawm zel chuan.
• Thâwk harsa i neih chuan.

He enkawlnaah hian hlauthawng leh rinhlelhna nei suh. I doctor nen inhawng takin sawi rawh. A pawimawh ber chu i ngaihtuahna zawng zawng ngaihthlak a, thutlukna dik siam hi a ni.