Back pain atana special injection chungchang i zir dawn teh ang? (Transforaminal Epidural Steroid Injection hmanga tihdam theih a ni)

Hun rei tak chhung hnungzang natna i tuar tawh em? A nih loh leh i ke hnuai lama kah na ang maia ‘sciatica’ tih natna i vei em? I doctor chuan i hnungzang a injection bik, ‘epidural’ emaw ‘steroid injection’ emaw a hrilh che a ni mai thei. Hetiang hming kan hriat hian mi tam takin hlauhna leh hlauhna tlem kan neih hi thil pangngai tak a ni. "Aw, hnungzang ah ka inject che a nih pawhin i ruhroah thil a thleng dawn em ni?", "Hei hian a na lutuk ang em?", "Hei hnu hian ka kal thei tawh lo ang em?" I rilruah zawhna tam tak i nei ngei ang. Chuvangin vawiin hian Transforaminal Epidural Steroid Injection , hnungzang natna enkawlna tha tak a ni a, mahse hlauh tur a awm lo. A atanga Z thlengin i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin, he Transforaminal Epidural Steroid Injection hi eng nge ni?

He hming sei tak hian hlauthawng suh. Thumal khatin i then darh ang u. Tichuan a awlsam zia chu i hrethiam mai ang.

• Transforaminal: Hei hi ‘foramen kaltlangin’ tihna a ni. Tunah chuan ‘He foramen hi eng nge ni?’ tiin i zawt mai thei. I ruhro chu vertebrae inzawmkhawm, brick inzawm khawm ang maia siam niin han ngaihtuah teh. Heng vertebrae inkarah hian a sir lehlamah chuan kan taksa peng dang (kut, ke)-a kal nerve-te tan khur ang chi ‘kawngkhar’ te tak te a awm a. Chu nerve chhuahna kawngkhar chu ``Foramen'' an ti a. Chuvangin ‘Transforaminal’ tih awmzia chu ‘chu kawngka atang chuan’ tihna a ni.

• Epidural: Kan ruhro hi thil pawimawh tak leh sensitive tak a ni. Chuvang chuan a chhehvelah hian a humhimna tur ‘protective sheath’ thuk tak a awm a ni. Hei hi `(Dura Mater)` kan ti a. ‘Epidural’ tih hian ‘he venhimna kawr pawn lam’ hmun a kawk a ni.

A pawimawh ber chu he injection hi i spinal cord-ah emaw, nerve-ah direct-in emaw inject ngai lo tur a ni. Chu ai chuan damdawi chu natna thlentu inflamed nerve chhehvel hmun him takah an inject zawk a ni. Chuvangin ṭul lova hlauh chhan tur a awm lo.

He enkawlna bik dang chu doctor chuan he injection hi X-ray machine hmangin a inject thin hi a ni. Hei hi ``(Fluoroscopy)`` kan ti a. Needle hi en laiin an dah lut a, ‘live video’ ang maiin an dah a ni. Chuvangin, damdawi chu problem nerve bulah chiah inject theih a ni a, millimeter khat pawh che lovin.

Eng ang harsatna nge he injection hi a tangkai?

He injection hi spinal cord-a nerve pakhat compression emaw swelling emaw avanga natna tihziaawmna atan hman a ni ber. Hei hi a hnuaia table atang hian ngaihdan tha tak i hmu thei ang.

Khawiah nge hnungzang ah hian he injection hi pek a nih?

Injection na hmun hi i natna awmna hmunah a innghat a ni. A chi thum a awm a.

• Lumbar shot: Hei hi a tam ber chi a ni. Back pain leh sciatica tan pek a ni a, hei hi hnungzang hnuai lam (lumbar region)-a nerve pinched vang a ni.
• Thoracic shot: He shot hi i hnungzang lai tak, chu chu i rilru level-a natna i neih chuan emaw, i rilru emaw, pum chhungah emaw natna a darh chuan pek thin a ni.
• Cervical vaccine: He vaccine chi hi kawng na, kekawr bul atanga kut chhunga natna radiate, emaw, kawr chhunga vertebrae inkar nerve pinched avanga kut natna te tan pek thin a ni.

Engtin nge procedure hi a thawh? Ka hlau tur em ni?

Hei hi mi tam takin an harsatna lian ber a ni. Hetiang kalphung hi step by step in han thlir ila.

1. Inbuatsaihna: I pum chungah khum bikah X-ray machine hmanga mu turin siam i ni ang.

2. A hmuna numbing: Injection hmain a hmun chu tihfai a, vun ti na turin ``Local Anesthesia`` injection tlemte pek a ni. Hetih lai hian, rulhut seh ang maia kang tlem i nei thei. Hei hi second tlemte chhungin a bo vek ang.

3. Sedation: I hlauthawng em em emaw, i lungkham em em emaw a nih chuan i dilna angin IV sedation pek i ni thei a, chu chuan i hahdam theih nan leh tlem a mutthilh theih nan a pui thei che a ni. Hei hian mut a tichhuak ang che, mahse i doctor nena inbiakna neih theih turin i la fimkhur tawk tho ang. Hei hi i doctor nen in sawiho hmasa thei ang.

4. Injection: Tichuan X-ray monitor a en laiin doctor chuan uluk takin needle te tak te chu nerve natna thlentu hmunah a thun ang. Hetih lai hian pinch tlem i nei thei a, mahse na lutuk lo.

5. Injection: Doctor chuan needle chu a hmun dik takah a awm tih a finfiah hnuah, natna tiziaawm thuai thei numbing medicine leh steroid, swelling tihziaawmna leh hun rei tak chhunga hahdamna pe thei chu a inject ang.

Hetiang thil tih zawng zawng hi hun rei lote chauh a ni tlangpui a, minute 30 vel a ni .

Injection i pek hnuah eng nge i tih thin?

Inenkawl zawhah chuan rei vak lo chawl turin an ti ang che a, chumi hnuah haw phalsak i ni ang. In lamah haw la, heng thilte hi enkawl rawh.

• I eitur pangngai, in tur leh damdawi dangte chu a hma ang bawkin i ei thei bawk.
• A pawimawh ber: Vaccine i lak hnu darkar 12 chhung chu lirthei khalh suh, i keah hian eng emaw chen a na emaw, a chak lo emaw a awm thei a ni.
• Chumi ni chuan thil rit phurh leh exercise hahthlak tak tak kha pumpelh rawh.
• A tuk atang hian i thil tih dan pangngai chu i thawk leh thei tawh ang.

He enkawlna hi eng chen nge a daih ang? Vawi engzat nge tih theih ang?

Hei hi mi tin a inang lo. Mi thenkhat chuan kar tlemte chhungin hahdamna an hmu a , thenkhat erawh chu thla tam tak chhung chu natna nei lovin an awm thung . He enkawlna hi i tan a hlawhtling a nih chuan i doctor thurawn angin a natna a lo lang leh a nih chuan vaccine hi i la leh thei ang.

A tlangpuiin kum khatah injection vawi 3 leh 6 inkar hi a him nia ngaih a ni. Mahse, injection vawi hnih emaw vawi thum emaw i pek hnua i natna a reh loh chuan injection dang i pek belh a rinawm loh tih hre reng ang che. Chutiang hunah chuan i doctor chuan enkawlna dang chungchangah thurawn a pe ang che.

Side effect a awm em? Ka lungngai tur em ni?

He enkawlna hmang hian harsatna lian tham tak a thlen theihna a tlem hle. Injection na hmuna thisen chhuah, infection, nerve tihchhiat hi a tlem hle.

Mahse, side effect tenau thenkhat a awm thei.

• Ke emaw ke emaw-ah hun eng emaw chen a hring emaw, chak lohna emaw a awm.
• Lung a na hle tih a hriat.
• Lu na.

Heng side effect tam zawk hi darkar tlemte chhungin a bo vek a, chuvangin ngaihtuah lutuk a ngai tawh lo.

Engtikah nge doctor ko nghal vat a ngaih?

A hnuaia symptom tarlan te hi i neih chuan doctor hnenah hriattir nghal rawh. Chutiang hunah chuan damdawi lam thurawn lak vat a pawimawh.