I hnungzang natna avanga nitin hna tha taka thawk thei lo leh hlim thei lo te pawh i chau em? He hnungzang natna avang hian inchhung hna thawh te, huan enkawl te, thiante nena chhuah te, fate nena inkhelh te chu ngaihtuah phak loh khawpin a harsa tawh a ni. Chutianga hnungzang natna awm reng chhan ber chu kan hnungzang ruh `(Lumbar Facet Joints)` an tih te a chhiat vang a ni. Dik tak chuan, hnungzang natna vei zinga 45% vel chuan heng ruhkawr nena inzawm harsatna an nei a ni. Chuvangin i hnungzang natna emaw, i hnungzang ben leh twisting harsatna i neih chuan he treatment `(Lumbar Facet Joint Injection)` tih hi hriat a pawimawh hle.
Heng Lumbar Facet Joints te hi engte nge ni?
A awlsam zawngin `Lumbar Facet Joints` tih hi kan hnungzang hnuai lam, vertebrae (spine) hnung lama ruh te te a ni. Chungte chu `(Zygapophysial joints)` an ti bawk.
I khup kha han ngaihtuah teh. Khup ruh (knee joint) hian kan ke kan ben thei a, kan tizau thei ang bawkin, heng `facet joint` te hian hmalam pan turin min ti a, a sir lamah kan inher a, kan ruh chu kan dinglam reng thei bawk. Heng joint chhungah hian lubricating fluid a awm a. Hei hian heng joint te hi inhnim hrual lovin a kal tluang thei a ni.
Mahse, heng ruhte hi a chhe vek a, chu chu ``Facet Arthropathy'' ang chi arthritis natna a awm chuan tuar theih loh khawpin hnungzang na a awm thei a ni.
Chuti a nih chuan he Lumbar Facet Joint Injection hi eng nge ni?
Hei hi Lumbar Facet Joint Block an ti bawk. Hei hian local anesthetic agent chu ruh natna nei chhungah emaw, a bulah emaw inject a ni. A châng chuan hemiah hian steroid pawh an dah tel bawk a, chu chuan natna leh hliam tihziaawmna a siam a ni. I dinhmun leh ruh natna a nghawng zat a zirin injection pakhat emaw a aia tam emaw i pek a ngai mai thei.
Hei hi hnungzang natna enkawltu doctor-te hman tlanglawn tak, standard treatment method a ni. A bik takin degenerative disc natna avanga natna leh mechanical cause thenkhat lower back pain (mechanical lower back pain) tan a tangkai hle.
He enkawlna hi doctor emaw, specially trained nursing staff emaw, pain management , spinal treatment, emaw physical therapy leh rehabilitation lama specialist training nei tawhte tih a ni.
He enkawlna hian side effect a nei em?
Damdawi dang ang bawkin, a hlauhawmna leh a nghawng \ha lo engemaw zat a awm bawk. Mahse hengte hiHengte hi thil thleng tlem tak a ni tih hriat reng a pawimawh. Hemi chungchang hi i doctor chuan chipchiar takin a hriattir ang che.
| Side effect a awm thei | A sawifiahna awlsam tak |
|---|---|
| Allergy a awm thei | Damdawi hman danah allergy a awm. |
| Kaichhawng | Injection na hmuna hrik lut. (A tlem hle) |
| Thisen chhuak | A bik takin thisen tihthianghlimna damdawi ei thinteah a awm thei. |
| Nerve hliam a awm | A thleng tlem hle thei. |
| Hun engemaw chen chu natna a pung | Injection hnu ni engemaw zat chhung chu a natna hi a sang deuh thei a ni. |
| Midang (a tlem hle) . | Thisen sugar level sang, hmai hun eng emaw chen a sen, ruh density tlahniam, leh hip arthritis na tak (avascular necrosis) a awm thei. |
Engtin nge injection atan i inbuatsaih thin?
He enkawlna hma, enkawl lai leh enkawl zawh hnu hian i zawm tur step engemaw zat a awm.
Mite he injection hi ei loh tur
He enkawlna hi damlo thenkhat tan chuan a tha lo hle. Heng zinga pakhata i tlak chuan i doctor hnenah i hrilh ngei tur a ni .
- Damdawi hman (lu na damdawi, steroid, contrast agents) allergy nei te.
- Mihring taksaa natna hrik nei te.
- Hmeichhe naupai te .
- Thisen chhuahna lama harsatna nei te.
- Spinal cord cancer emaw infection nei te.
- Diabetes thunun theih loh emaw congestive heart failure nei te .
Enkawl hma leh enkawl lai thil tih tur
I doctor chuan i medical history kimchang chu a enfiah ang a, he enkawlna ṭhatna leh ṭhat lohnate a hrilhfiah ang a, i zawhnate chu a chhang ang. Thisen tihthianghlimna damdawi i ei a nih chuan i general practitioner hnenah i ei tawh loh a ngai em tih leh engtin nge i ei tih zawt turin a fuih mai thei.
Enkawl ni-ah chuan a hnuaia mite hi tih ngei ngei tur a ni:
- Inbual tha la, sahbawn hnawih la, inthiarfihlim rawh.
- Injection na hmunah hian lotion emaw damdawi cream emaw hnawih suh.
- Thawmhnaw nuam, tlem a hring, dum hring ha tur.
- I enkawl hma minute 30 vel khan damdawi in emaw clinic emaw thleng rawh.
- Khawngaihin in lama hruai turin mi rawn hruai rawh. Enkawl hnua lirthei khalh hi a tha lo.
- Damdawi i ei zawng zawng leh allergy i neih zawng zawng list keng la.
- X-ray emaw MRI report thar ber ber i neih chuan keng ve bawk ang che.
Enkawl lai hian eng nge thleng?
A kalphung zawng zawng hi minute 10 leh 30 inkar a ni. A tam zawkah chuan muthilh kim i ni dawn lo va, chuvang chuan i conscious ang.
1. A hmasain hospital gown hak tur pek i ni ang. Consent form pawh i sign a ngai bawk ang.
2. Nurse pakhatin treatment room-ah a hruai ang che a, khumah hmai hnuai lama mu turin a ti ang che. I kut ah hian blood pressure monitor i bun ang a, i kut zungtang ah heart rate monitor i bun ang.
3. Doctor chuan X-ray device hmangin damdawi inject tur ruh dik tak a zawng chhuak thin.
4. Chumi hmuna vun chu antiseptic solution hmangin silfai a, numbing medicine tlem te te inject a ni. Hetih lai hian kangmei chhuak tlem i nei mai thei.
5. A dawtah chuan main needle an dah a, contrast agent an inject a, a ruh chu chiang taka hriat a ni a, steroid leh painkiller mixture an inject bawk. Hetih lai hian i hnungzang ah pressure tlem i nei thei.
6. Hna thawh zawh veleh needle chu la chhuakin, a hmun chu an tifai a, plaster te tak te an hnawih thin.
7. Chumi hnuah chuan room hranah minute 15-45 vel enfiah turin an hruai ang che.
Enkawl hnuah
IV line i neih chuan lakchhuah a ni ang. Nurse pakhatin i thisen sang a enfiah ang a, in lama i haw huna i tih tur leh tih loh tur chungchang a hrilh ang che. Bandage lakchhuah hun tur te, i natna record na tur pain log te, doctor hmuh leh hun tur te pawh an hrilh ang che.
Pawimawh tak: Thâwk harsa nghal, muhil, allergic symptoms (itching, hives), lu na nasa tak, natna nasa zawk, emaw enkawlna hnua insum theih lohna i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Take-Home Thuchah a ni
- Lumbar Facet Joint Injection hi spinal disc herniation avanga natna rei tak awm thei enkawlna tha tak leh hman lar tak a ni.
- Hei hi a tlangpuiin enkawlna him tak ni mah se, damdawi hman dan zawng zawng ang bawkin, hlauhawmna tenau leh nghawng tha lo a awm thei a ni.
- Inenkawl hmain doctor thupek uluk taka zawm a pawimawh hle. I damdawi ei zawng zawng leh i damdawi lam dinhmun eng pawh i doctor hnenah hrilh rawh.
- Enkawlna hnua natna lan chhuah dan danglam tak i neih chuan damdawi lam thurawn la nghal rawh. Hlauthawng suh la, ngaihthah suh.
- I enkawltu doctor chuan he enkawlna hi i tan a tha em tih a rel ang. Chuvangin, hnungzang natna i neih chuan mithiamte hmu la, thurawn mumal tak la rawh.
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