Back pain tan Transforaminal Epidural Steroid Injection hman dan zawng zawng

I hnungzang natna pawh i nei fo em? A nih loh leh ‘Sciatica’ ang chi natna i nei em, chu chu hnungzang atanga ke thlenga natna, current ang chi, emaw, tingling sensation nena lo thleng emaw a ni em? A chang chuan kawr atanga kutphah thlenga natna a ni thei bawk. Chutiang natna avang chuan i lungawi lo hle tur a ni a, nitin hna tha taka thawk thei lo i ni tur a ni. Chuvangin, vawiin hian hetiang natna hi thunun theihna tur enkawlna kawng hmasawn tak leh hlawhtling tak kan sawi dawn a ni.

He Transforaminal Epidural Steroid Injection hi eng nge ni?

He hming hi a buaithlak deuhin lang mahse, a awmzia chu a awlsam hle. Thumal hi han then darh ila.

• Transforaminal: Hei hi "foramen kaltlangin" tihna a ni. Ngaihtuah teh, thluak atanga lo chhuak nerve zungpui ber, ruhro (spinal cord) hi kan ruhro (spinal cord) kaltlangin a kal a. He ruhro atanga taksa peng hrang hranga kal nerve te chhuak tur hian vertebrae inkarah hian khur te te a awm a. Chu khur chu `foramina` an ti a. Chuvangin he injection hi chu khur atang chuan pek a ni.
• Epidural: Kan ruhro hi `dura mater` an tih, venhimna membrane thuk takin a hual vel a. Chu membrane pawn lama hmun awm chu `Epidural` tih hming a ni.

A pawimawh ber chu hei hi spinal cord emaw nerve emaw-a direct-a injection a ni lo. Damdawi hi an chhehvel hmun him takah an inject thin. He damdawi hian a tih chu a natna thlentu nerve chhehvela swelling leh inflammation tihziaawmna a ni.

Eng dinhmunah nge he enkawlna hi a tha?

I doctor hian he damdawi hi a rawt theih chhan hrang hrang a awm a. A tam zawkah chuan ruhro chhunga nerve pinched emaw injured emaw avanga natna control nan hman a ni.

He enkawlna hian ruhro hmun hrang hrang a enkawl em?

Awle. Natna awmna hmun azirin he injection hi ruhro hmun hrang hrangah pek theih a ni.

• Lumbar injection: Hei hi hnungzang hnuai lam ah pek thin a ni. Hei hi mi tam takin an ke hnuai lam natna leh sciatica natna avanga an tih thin a ni.
• Thoracic injection: Hei hi hnungzang lai takah nerve pakhat avanga natna, entirnan, rilru emaw, pum emaw thlenga radiate thin natna tan tih a ni.
• Cervical Injection: Hei hi kawr chhungah tih thin a ni. He enkawlna hi kawr atanga kekawr bul atanga kut thlenga natna lo chhuak tan chuan a hlawk hle.

Engtin nge he enkawlna hi tih a nih? A na em em?

Hei hi hlauh tur a awm lo. He process hi hetiang hian a thleng thin.

1. Inbuatsaihna: X-ray machine hmanga khum bikah dah i ni ang a, i pum chungah a inher ang.

2. Numbness: Injection i pek hmain Doctor chuan i vunah anesthetic tlem te te in a inject ang a, chu chu a hmun chu a ti na thei ang. Hetih lai hian kangmei chhuak tlem i nei mai thei a, mahse second tlemte chhungin a bo mai ang.

3. A rilru a hah lutuk chuan a rilru a buai em em a.Sedation: I duh chuan i kut chhunga vein hmangin sedative pek i ni thei a, chu chuan lungkhamna tihziaawmna tur leh thlamuanna tihpunna tur a ni. Hei hian mut a tichhe ang che, mahse i la harh reng ang. Doctor nen pawh in inbia thei bawk.

4. X-ray kaihhruaina: He enkawlna chungchanga thil danglam tak chu X-ray kaihhruaina hnuaia tih a ni (Fluoroscopy) . Chumi awmzia chu doctor chuan i ruh chhung lam chu live video angin a hmu thei tihna a ni. Chuvangin hei hi needle dahna hmun dik tak enin tih a ni.

5. Injection pek: X-ray a en lai hian doctor chuan uluk takin needle te tak te, sei tak chu natna thlentu nerve hmunah a dah lut a. Tichuan, steroid leh anesthetic chawhpawlh chu an inject leh a.

Procedure zawng zawng hi minute 30 vel a ni . Numbing avang hian natna tam tak i nei lovang a, mahse needle i dah chuan nawrna tlem i nei thei.

Injection i pek hnuah eng nge i fimkhur tur?

Enkawl zawhah i ei leh in, i damdawi te chu a pangngai angin i ei thei bawk. Mahse heng thilte hi fimkhur rawh.

• Enkawl hnu darkar 12 chhung chu lirthei khalh loh tur.
• Ni khat chhung chu exercise hahthlak tak tak emaw, heavy lifting emaw ti suh.
• A tuk atang hian i thiltih pangngaiah i kir leh thei tawh ang.

Steroid hi a thawh theih nan darkar 24-48 vel a ngai thei. A nghawng kimchang hriat theih nan kar hnih vel a la ngai thei. Kar hnih hnua natna a reh loh chuan doctor hmu leh la, chu chu sawipui rawh.

He enkawlna hian eng chen nge nghawng a neih?

Hei hi mi tin a inang lo. Mi thenkhat chuan kar tlemte atanga thla engemaw zat chhung chu natna reh an nei thin . He enkawlna hi i tan a hlawhtling a nih chuan i natna control nan heng injection te hi a tul angin i la thei ang. Kum khatah injection 3-6 inkar ei hi a him nia ngaih a ni tlangpui. Amaherawhchu, i doctor chu thutlukna siam thiam ber a ni.

Side effect leh fimkhur tur thil

He enkawlna atanga harsatna lian tham a thlen theihna hi a tlem hle. X-ray kaihhruaina hnuaia tih a nih avangin a him hle. Mahse, side effect tenau tak tak, a awm tlem thei hle.

• Ke emaw kut emaw a tingling emaw chak lohna emaw a awm.
• Luak chhuak thei.
• Lu na.

Hengte hi darkar tlemte chhungin an bo vek tlangpui.

Sciatica leh herniated discs ang chi natna avanga natna rei tak neia nun chu a harsa thei hle. He enkawlna hi Transforaminal Epidural Steroid Injection tia koh hian i natna thlentu nerve enkawlna hmangin i nunphung nasa takin a tichangtlung thei a ni.