A châng chuan damdawi ei emaw, eng emaw tih hnu pawha reh ngai lo natna kan nei ṭhin. Natna i tuar rei tawh em, a bik takin i lu, i kawr, i rilru chunglam, a nih loh leh i kutphah te hi i tuar rei tawh em? Hei hi a chhan chu i nervous system-a harsatna engemaw zat a ni mai thei. Vawiin hian hetiang thila Doctor ten an hman thin special treatment method kan sawi dawn a ni. Hei hi Stellate Ganglion Block, a tawi zawngin SGB an ti a.
A awlsam zawngin Stellate Ganglion Block (SGB) hi eng nge ni?
A awlsam zawngin sawi ila, hei hi painkiller injection a ni. Mahse hei hi injection pangngai ang a ni lo. He injection hi kan kawr chhunga awm nerve bundle bik, a bik takin kan voice box sir lehlamah kan inject a ni. He nerve bundle hi ‘Stellate Ganglion’ an ti a.
Kan nervous system hi thuchah kengtu telephone wire network angin han ngaihtuah teh. A châng chuan, he network hmun ṭhenkhatah hian duh loh thu (pain signal) thawn theih a ni. Chutiang hunah chuan he SGB vaccine hian a tih chu chu nerve bundle (ganglion) chu rei lo te chhung atan a "put" a ni. Switch off ang mai a ni. Tichuan, chu nerve atanga thluak lam pana natna duh loh signal chu a tawp ta a ni. Hei hian lu, kawr, kut leh beng chunglam natna a tiziaawm thei a ni. Tin, he enkawlna hian kut ah thisen kalna a tipung bawk.
Chuti a nih chuan, he stellate ganglion hi eng nge ni?
Hei hi nerve pawl pakhat, rib hmasa pahnih bulah, collarbone hnuai chiah, kan kawr hmalam a awm a ni. Kan kawr sir lehlamah heng zinga pakhat hi kan nei a. ‘Stellate’ tih thumal hi ‘arsi ang mai’ tihna a ni. Chuvangin he nerve bundle hi arsi lem ang chi a nih avangin an vuah a ni.
Sympathetic nervous system hi autonomic nervous system-a kan taksa hnathawh kan ngaihtuah loh (e.g., heart rate, blood pressure, sweating) control tu a ni. Chuvangin, lu, kawr, kut leh ke chung lam panna sympathetic nerve signal tam zawk hi he stellate ganglion atanga lo chhuak a ni.
Thudik ngaihnawm tak: Khawvel mihring 80% chauhvin he stellate ganglion hi a lo piang kim tak tak a ni. A dangteah chuan inferior cervical ganglion leh a kawr chhunga thoracic ganglion hmasa ber chu a inzawm lo. Mahse chu chuan danglamna a nei vak lo.
SGB enkawlna hi eng condition atan nge hman?
Doctor-te chuan he enkawlna hi a chhan ber hriat theih loh, hun rei tak chhunga natna, nervous system atanga lo chhuak (sympathetically mediated pain) hriatchhuah leh enkawl nan an hmang ber a ni. Tin, he enkawlna hi natna dang leh natna chi hrang hrang tan pawh hman theih a ni.
| Damdawi lam dinhmun | Hrilhfiahna |
|---|---|
| Complex Regional Pain Syndrome (CRPS) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a. | Hliam hnua kut emaw ke emaw natna nasa tak, rei tak leh hliam na tak. |
| Phantom Limb Natna | Surgery hmanga lak chhuah kut emaw ke emaw natna hriat. |
| Postherpetic Neuralgia a awm thin | Chickenpox (herpes zoster) hnua nerve natna. |
| Raynaud-a natna (Syndrome) a ni | Khawsik emaw, stress emaw avanga kut zungtang-a thisen supply tlahniam. |
| Thaw chhuak lutuk (Hyperhidrosis) . | Ke kutphah leh kephah ang chi hmuna thawk hah lutuk. |
| Thil awmdan dang | Cluster lu na, hmai na, thinlung natna nena inzawm lo rilru natna, leh thinlung rhythm lama harsatna thenkhat (cardiac arrhythmias) tan pawh hman a ni. |
Rilru lama harsatna nei tan SGB hman
Tun hnaiah hian SGB enkawlna hian rilru lam hriselna lama harsatna awm thei, Post-Traumatic Stress Disorder (PTSD) te a nghawng dan zirchianna an nei a. Mi thenkhatin PTSD symptoms a tlahniam tih an lantir laiin, thenkhat erawh chuan an nei lo. Chuvangin, hei hi research stage-ah a la awm a, a tlangpuiin doctor enkawlna dang a hlawhchham hunah chauh "off-label"-a hman a ni.
Engtin nge he enkawlna hi tih a nih?
Okay, tunah chuan he injection hi pek a nih hian eng nge thleng tih kan en ang. Thil ngaihtuah tur a awm lo, hei hi minute 30 aia rei lo a ni tlangpui.
1. Inbuatsaihna: Pakhatnaah chuan i kut vein pakhatah damdawi tlemte (IV sedation) pek i ni thei a, chu chuan i hahdam theih nan. Tichuan, dawhkan bik pakhatah i hnungzang chunga mu turin siam i ni ang.
2. Faina: Doctor chuan injection pekna tur kawng chu uluk takin a tifai ang a, a tifai ang.
3. Numbness: A dawtah chuan needle na tak tak hmangin i kawr natna hmunah local anesthetic inject a ni. Hei hian natna atang chuan a numb ang che.
4. Main injection: Tichuan, technology hmasawn tak tak, ultrasound emaw fluoroscopic imaging hmanga nerve root dik tak hriat theih nan doctor chuan needle pahnihna a thun a, natna damdawi ber chu a inject leh a. He technique hian damdawi chu hmun dik lovah inject theihna a ti tlem hle.
Enkawl zawhah darkar khat vel chu damdawi lam thawktute’n an enkawl ang che. Engkim a tha tih finfiah a nih hnuah chuan i haw thei tawh ang. Mahse, in lama hruai tur che i neih a ngai a, chu ni chuan i khalh thei dawn lo a ni.
Engtin nge a rah chhuah? Hei hi eng chen nge a daih?
Hei hi mi zawng zawng tan harsatna a ni. Results hi mi hrang hrangah a inang lo. Mi thenkhat tan chuan injection an pek hnuah a natna chu a reh nghal a, mahse numbing damdawi a reh hnu darkar tlemte chhungin natna chu a lo let leh thei a ni. Midang tan chuan kar tam tak emaw, thla tam tak emaw chhung chu natna nei lovin a awm thei bawk.
A pawimawh ber chu result tha ber hmuh nan injection hrang hrang i mamawh tlangpui. A châng chuan injection vawi hnih chauh hmangin result i hmu thei a, mi ṭhenkhat chuan sawm aia tam an mamawh thei bawk. Thu lawmawm tak chu injection pakhat hnu pakhat i pek hian natna awm lohna hun hi a pung tlangpui.
Side effect leh risk a awm em?
Damdawi dang ang bawkin SGB hian side effect tenau a nei a, harsatna lian tham a nei tlem hle bawk.
| Disorder chi hrang hrang | Thil awm thei te |
|---|---|
| A tlangpuiin, hun eng emaw chen atana side effects (darkar tlemte hnuah a bo) . | |
| Injection pekna hmun chu | A hliam emaw, natna tenau emaw. |
| Mit leh hnar | Mitmeng tla, mit sen, mit tui, leh hnar khar. |
| Thlarau leh aw | Aw ri bengchheng tak tak, rilruah thil inkhung ang maia hriat, ei harsa. |
| Kut | Kut lum emaw, rilru hahna emaw hriatna. |
| Complication na tak tak, a awm tlem hle | |
| Risk lian ber berte | Infection, thisen kalna kawng chhia atanga thisen chhuak, nerve chhia, lung chhiatna (pneumothorax), Horner’s syndrome (hun eng emaw chen atana awm thin). |
The likelihood of these serious complications is very low , a chhan chu doctor te hian he enkawlna hi uluk takin ultrasound ang chi technology hmangin an ti thin a ni.
Engtikah nge doctor i hmuh ang?
Enkawlna i neih zawh chuan, entirnan , injection na hmuna natna kai chhinchhiahna (a hring, sen, natna nasa tak, khawsik) emaw, ei harsatna a awm reng chuan i doctor ko nghal rawh.
SGB hi damdawi hlu tak a ni a, hun rei tak chhung natna atanga chhanchhuahna a pe thei a ni. Mahse, mi zawng zawng tan a thawk chhuak lo. He enkawlna chungchangah hian ngaihtuahna emaw rinhlelhna emaw i neih chuan engmah tihkhawtlai suh la, i doctor nen zalen takin inbiakna nei rawh. I zawhna zawng zawng a chhang vek ang.
Take-Home Thuchah a ni
- Stellate Ganglion Block (SGB) hi kawr chhunga nerve bundle bik pakhatah natna tidam thei injection a ni.
- Hei hian natna rei tak atanga chhanchhuahna a pe a, a bik takin lu, kawr, kut leh rilru chunglam a ni.
- Hei hi enkawlna rang tak (minute 30 aia rei lo) tih theih a ni a, ultrasound ang chi technology hman a nih avangin a him hle.
- Side effect tenau te chu darkar tlemte chhungin a bo thei a, mahse harsatna lian tham erawh a awm tlem hle.
- A tha ber tur chuan injection hrang hrang a ngai mai thei.
- He enkawlna hi i tan a tha em tih leh a thatna leh that lohna te chu i doctor nen sawiho fo ang che.
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