A châng chuan, i kawr, i kekawrte, emaw, i hnungzang ruhteah hian knot te tak te i nei a, i hrual chuan tuar theih loh khawpin natna a thlen ṭhin a ni lawm ni? I taksa chhunga lump te tak te ang mai a ni. Hei hi ‘trigger point’ kan tih chu a ni. He natna avang hian nitin hna i thawk tha thei lo mai thei. Chuvangin vawiinah hian mi tam takin an hriat loh damdawi pakhat, he natna hi i tihbo theih tur chungchang kan sawi dawn a ni.
Heng ‘Trigger Point’ te hi eng tak nge ni?
A awlsam zawngin sawi ila, trigger point chu kan taksa peng hrang hranga ‘knot’ na tak a ni. Chu hmun chu i khawih chuan knot te tak te ang maiin a lang thei. Hengte hi a lo thlen theih chhan hrang hrang a awm a. Hliam rang tak (acute trauma) avanga lo awm thei a ni a, a nih loh leh che nawn fo avanga micro-trauma (stress) repetitive vang a ni thei bawk.
Heng avang hian muscle fiber te chu a inzawm khawm a, a nghet a, hmun khatah a inzawm khawm a, chu chu hrui ball ang mai a ni. Heng ‘stuck knots’ te hi trigger point an ti a.
Trigger point injection hi a natna hmunah damdawi inject nan needle te tak te hmanga inject a ni. Hei hi local anesthetic hmanga tih a ni tlangpui. A châng chuan, steroid emaw botulinum toxin emaw pawh a tel thei bawk. A châng chuan, he enkawlna hi damdawi engmah hmang lovin, needle ( dry needling an tih) hmang chauhvin tih a ni.
He injection hi eng natna atan nge hman a nih?
He injection hi ‘Myofascial Pain’ tih natna enkawlna atan hman a ni ber. Hetah hian ‘Myo’ tih awmzia chu muscle tihna a ni a, ‘fascial’ tih hian fascia tihna a ni. Sa chi khat chu sausage ang maiin han ngaihtuah teh, a chhehvela a hrual dum hring hring chu fascia an ti a. Chuvangin, myofascial pain chu he muscle-a natna awm, leh a chhehvel membrane-a natna a ni.
He natna thlentu ber chu kan sawi tawh trigger point pakhat emaw a aia tam emaw a awm vang a ni. Heng knot te hi eng muscle ah pawh siam theih ni mahse, hmun tlemteah chuan a tam berna hmun a awm.
| Muscle lo awm fo thin te hian trigger point an nei thin | A natna hriatna hmun tlangpui |
|---|---|
| Trapezius chuan a ti a | Kawr hnunglam leh kekawrte sir lehlamah |
| Masseter a ni | Jaw (beng bulah) ruh (muscle) . |
| Levator scapulae a awm a | A kawr sir lehlamah |
| Quadratus lumborum tih a ni | A hnunglam thuk takah chuan |
| Gluteus medius a ni | Buttocks/hips area ah a awm |
Mak tak maiin, a chang chuan heng trigger point atanga natna lo chhuak hi knot awmna hmunah direct-in hriat a ni lo va, a hla deuh deuh a ni. Entirnan, i kekawr iptea trapezius muscle-a knot awm chuan tension headache ang chi natna a thlen thei che a ni .
He enkawlna hi tute nge mamawh?
I doctor chuan he injection hi a rawt nghal mai lo tlangpui. Painkiller, heat, massage, leh physical therapy ang chi thil te karah pawh i natna a reh lo a nih chuan he enkawlna hi a dawt leh tur atan i ngaihtuah mai thei.
Ngaihtuah teh, mi thenkhat chu an na lutuk a, physical therapy exercise pawh an ti tha thei lo. Chutiang hunah chuan a natna tihziaawm nan he injection hi i pe hmasa thei a, chutah chuan physical therapy i tan thei bawk. Tichuan result chu a hlawhtling hle a ni.
Tin, he injection hi i pek hmain doctor chuan i natna chhan dang a awm leh awm loh a enfiah ang. Entir nan:
- Muscle a ti na hle
- Degenerative arthritis emaw herniated disk emaw a awm thei
- Radiculopathy (nerve pinched avanga natna) .
Injection pek a nih chuan eng nge thleng?
A kalphung chu a awlsam hle. A tlangpuiin step tlemte a huam a:
1. Pakhatnaah chuan exam bed-ah nuam taka thu emaw, mut emaw tir i ni ang a, lump awmna hmun lam hawiin.
2. Tichuan doctor chuan knot na tak, a nih loh leh trigger point chu a khawih ang a, a hmun dik tak chu a zawng ang.
3. A hmun an hriat chian hnuah a vun chu zu hmanga silfai a, nodule chhungah hian needle te tak te te dah a ni.
4. Hetah hian doctor chuan zungbung chhungah vawi tam tak a hma leh hnung a sawn ang a, a la chhuak kim lo. Hei hi ‘needling’ an ti a. Hetih lai hian i taksa ruh (muscle twitch) i hre mai thei. Hei hi thil pangngai a ni a, needle chu hmun dik takah a awm tih chhinchhiahna tha tak a ni.
5. Muscle a inher tawh loh emaw, doctor-in muscle a relax tawk tawh nia a hriat chuan local anesthetic chu a hmunah inject a ni ang.
6. Chu chu a ni. A kalphung zawng zawng hi minute tlemte chauh a ni. Chumi hnuah chuan i haw thei tawh ang.
Hei hian a ti na em?
Dik tak chuan a na deuh thei. A chhan chu trigger point te hi khawih pawhin a sensitive hle. Doctor-in a kut hmanga a hmun a hriat pawhin natna i nei thei. Injection pek a nih chuan kang emaw, stinging sensation emaw tlem i nei ang. Mahse, zungbun tip hian a hmun a rawn deng chuan a natna chu a zual deuh thei a ni. Mahse hlau suh, a na chuan needle chu a hmun dik takah a kal dik tihna a ni.
Enkawl hnuah eng nge thleng?
Injection i pek zawh chuan in lamah i haw thei a, a natna ruh chu a hma ang bawkin i hmang thei bawk. Mahse, ni hnih atanga ni thum chhung chu thil hahthlak tak tak tih loh a tha ber.
Injection na hmunah hian hliam emaw, natna emaw tlem a awm chuan ice pack i hnawih thei bawk. Natna atan paracetamol ang chi ei hmain doctor rawn hmasa phawt a tha ber.
He thlamuanna hi eng chen nge a nih?
Mi tam zawk tan chuan darkar 24 atanga 72 chhungin a natna chu a reh tan ang. He relief hi thla khat emaw a aia rei emaw chhung a awm thei tlangpui . Chumi hnuah pawh natna chu a la awm reng a nih chuan i doctor chuan hun rei tak chhunga a reh theih nan injection tlemte lak belh leh turin a rawt mai thei.
A pawimawh ber: Injection pekna hmun chu a sen a, a na emaw, a khawsik emaw a awm chuan natna kai chhinchhiahna a ni thei. Chutiang a nih chuan , doctor pan nghal rawh.
Take-Home Thuchah a ni
- Trigger Point Injection hi taksa ruh (trigger points) na tak takte tan chuan a him a, a hlawk bawk.
- Hei hi natna tidamtu, massage, physical therapy ang chi thil hmanga natna a reh loh chuan tih a ni tlangpui.
- Enkawl laiin natna engemaw zat hriat theih ni mah se, thla khat emaw a aia rei emaw chhung chu a reh thei.
- He enkawlna hi i tan a tha em tih chu i doctor chauhvin a hre thei ang. Chuvangin, natna nasa tak i neih chuan, i taksaah knot nghet tak i nei a nih chuan doctor thurawn la ngei ang che.
- Injection hnua injection na hmuna khawsik emaw, lumna emaw ang chi symptoms i neih chuan doctor hnenah hriattir nghal tur a ni.

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