I thluak surgery hmaa Wada test tih thin kha i zir dawn nia.

Doctor-in thluak operation hmain WADA test neih a ngai tih a hrilh tawh che a ni mai thei. Chu chu hlauhawm deuhin a ri mai thei, a dik em? Mahse hei hi a takah chuan i himna atana test pawimawh tak a ni. Chuvangin vawiin hian he WADA test chungchang hi i hriatthiam theih tur awlsam takin i sawi dawn nia.

He Wada Test hi eng nge ni?

A awlsam zawngin Vodka test hi i doctor-in a tih tur special test a ni a, a bik takin epilepsy emaw thluaka tumor emaw operation hmaa a tih thin a ni. Zawhna lian tak pahnih chhanna atan a pui a ni:

1. Thluak lam eng lam nge i tawng thiamna thunun? (Chu chu veilam emaw, dinglam emaw tihna a ni.)

2. I hriatrengna atan thluak sir tin hi engtiang chiahin nge a pawimawh?

He thu hi i thluak surgery titu doctor, neurosurgeon tan chuan a pawimawh hle a, a chhan chu operation hnua i thusawi emaw, i hriatrengna emaw hian eng ang nghawng nge a neih theih tih an ngaihtuah hmasak theih avangin.

He test hi kum 1949 khan Dr. Juhn Wada-a’n a tih hmasak ber a ni. Chuvang chuan Wada test an ti a ni. A châng chuan hming dang pawh hman a ni a, i doctor pawhin:

• Intracarotid ah amobarbital test a ni
• Sodium amytal test a ni
• Amytal zir a ni

Epilepsy surgery hma hian doctor-te chuan test chi dang an hmang thei a, entirnan:

• Functional magnetic resonance imaging scan (fMRI) hmanga tihchhuah a ni.
• Transcranial magnetic stimulation (`Lung chhunga magnetic stimulation`) tih a ni.
• Neuropsychiatric test neih a ni

Thluak lam eng lam nge tawng thunun?

Mi tam zawk tan, chu chu keini kut dinglam hmang tam zawk tan chuan tawng leh tawng thiamna hi thluak veilam hian a thunun a ni. Mahse, hei hi mi zawng zawng tan a ni lo. Hei hi a chang chuan a danglam thei a, a bik takin veilam hmang tan chuan. Chuvang chuan Voda test tih a, chiang taka hriat a pawimawh.

Engtin nge memory hi control a nih?

Thluak sir lehlamah hian hriatrengna a thunun thei a ni. A tlangpuiin, tawng lama thluak veilam thunun zawkte hian an veilam chu verbal memory atan an pawimawh zawk a, an dinglam chu visual memory atan an pawimawh zawk a, chu chu thlalak ang chi thil hriatrengna a ni. Vodka test hian i doctor chu thluak lam eng lam nge hriatrengna lama tha zawk tih a hriat theih nan a pui thei a ni.

He test hi tuin nge ti thei ang?

Voda test hi puitling bakah naupang pawh tih theih a ni. Amaherawhchu, naupang a nih chuan he test-a tel thei tur khawpa upa, tawng thiam leh thil hrethiam thei a ni tur a ni. Ngaihtuah teh, nausen te tak te hian he test-a thu tarlan hi a hrethiam lo. Chuvangin hetiang hi naupang kum upa deuh leh hriatthiamna kum nei tawhte chungah tih a ni tlangpui.

Voda test hi tuin nge ti thin? (Mithiam team) te an ni.

Hei hi mi pakhatin a tih tur a ni lo. Voda test hi specialist doctor team-in an ti a ni. Anni chu:

• Epileptologist: Hei hi neurologist a ni a, epilepsy lama tui tak a ni.
• Interventional Neuroradiologist: Hei hi doctor a ni a, catheter hmanga test a thiam hle. VODA test neih laiin i thluak anesthesia pe turin i carotid artery-ah catheter a dah ang.
• Neuropsychologist: Thluak dinhmunin i nungchang leh ngaihtuahna a nghawng dan lama tui tak.

Voda test atan engtin nge i inbuatsaih?

I doctor chuan test hma kar hnih vel khan damdawi thenkhat ei kha bansan turin a hrilh thei che a ni. Entirnan, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), leh thisen tithianghlimtu damdawi te. Mahse, i doctor-in a hrilh che chhung chu damdawi dang a pek che chu i ei chhunzawm zel tur a ni. Damdawi eng emaw zat allergy i neih chuan doctor hrilh lawk a pawimawh hle.

Voda test hma hian eng nge thleng?

Test hma hian hospital gown ha turin an ti ang che. Tichuan, i armpit area atang hian sam thenkhat a la chhuak ang a, hetah hian thisen kalna kawng a awm dawn avangin. Examination room-ah chuan electroencephalogram (EEG) neih theihna turin i lu vunah electrode dah a ni ang. He EEG hian test neih chhunga i thluak hnathawh dan a teh thin.

Tichuan, doctor chuan i groin area-a vun chu a numb ang. Chu hmun chu a hlim loh chuan i ke thisen kalna kawng khatah needle an dah ang. A dawtah chuan chu thisen kalna kawngah chuan catheter an tih tube sei tak, te tak te an dah ang. Catheter hi i kawr chhunga thisen kalna lian tak, carotid artery an tih thlengin thread-in a inzawm ang. Chutiang a nih lai chuan i hmuiah metallic taste i nei thei a, warm sensation i nei thei bawk. Tlemte hrual ang maiin a lang thei a, mahse a na tur a ni lo.

Voda test hmain angiogram i nei ang. Angiogram hian i thluaka thisen kal dan a enfiah a, Voda test tih hi a him em tih a enfiah thin.

Voda test hi engtin nge dik taka kan tih ang?

Tunah chuan a pawimawh ber a lo thleng ta. I interventional neuroradiologist chuan i veilam emaw dinglam emaw carotid artery-ah catheter hmangin anesthetic damdawi a inject ang a, i thluak sir khat chauh chu rei lo te chhung atan a ti na ang. Damdawi chu i dinglam carotid artery-ah lut ta se, i thluak dinglam chu i taksa veilam nen a inbiak theih loh ang tih han ngaihtuah teh.

Hemi hun chhung hian arsi i hmu thei a, i mit hnung lamah pressure i nei thei a, i hmai a lum hle tih i hre thei bawk. Tin, i taksa sir lehlamah sedated a nih tawhna lam chu rei lo te chhung chu a numb ang. Hei hian i ke leh ke i che thei dawn lo tihna a ni. Doctor-te chuan EEG recording-te chu an en ang a, chu chu i thluak lam chu a muhil tawh em tih finfiah turin an ti ang.

Thluak sir khat chu a muhil tih finfiah a nih chuan epileptologist emaw neuropsychologist emaw chuan i thusawi thiamna a test ang. Thumal leh thlalak awmna card thenkhat an entir bawk ang che. I thil hmuh chu hriat reng tum turin an hrilh ang che. Hetih lai hian chak lo takin i inhria a, tawng pawh i harsat phah thei bawk. Hei hi thil pangngai a ni. I muhil pawh a ni thei.

Test laiin ka tawng thei lo a nih chuan engtin nge ni ang?

A châng chuan, test laiin i tawng thei lo mai thei. Tin, a then phei chuan he test hlawkna hi a tlahniam thei bawk:

• Naupang kum 10 hnuai lam an nih chuan.
• Test neih laiin seizure a awm chuan.
• Intelligence quotient (IQ) 70 aia tlem nei te.

Mahse, lungngai suh, hlauhna emaw, lungkhamna emaw i neih chuan doctor leh nurse te chu tanpui turin an awm reng a ni.

Anesthetic-in a nghawng chu minute tlemte chhungin a bo vek a, chutah chuan i thluak lam hawi tawh chu a harh leh ta a ni. Chutih hunah chuan Doctor chuan i hriatrengna chu a zawt ang che. I hriat reng loh chuan card te chu pakhat hnu pakhatin an rawn entir leh ang che a, i hmu tawh em tih an zawt ang che. Card-a thil awm kha i hriat reng loh chuan a pawi lo, chu chu thil pangngai a ni.

Rei vak lo hnuah doctor-te chuan i thluak lehlam chu chutiang bawk chuan an muthilh tir a. Catheter chu tlem an la let leh a, a sir lehlamah carotid artery-ah an thread lut a. Angiogram dang an ti leh bawk. Card set danglam tak an rawn entir leh a. I harh kim chuan card-a thil awm chu an zawt leh che a.

Voda test i lak lai khan i harh tawh em?

Ni e, he exam chhung zawng hian i harh chhuak vek ang. Doctor ten an biak che chuan hei hi an ti ang.

He test hian eng chen nge a daih?

Voda test hun chhung hi damdawi in hrang hrangah a inang lo deuh thei a, mahse a tlangpuiin darkar thum atanga darkar li vel a ni. Vawi tam tak chu thluak sir lehlamah test khatah test an nei fo thin. Side khat chu tihfel a ni a, a sir lehlamah i tih hmain i dam kim vek hma chu rei vak lo i nghak a.

Test zawhah eng nge thleng?

Test zawhah recovery unit-ah chawlh hahdam a ngai dawn a ni. Doctor leh nurse te chu a hun hunah i ke chu catheter dahna hmuna pulse awm leh awm loh enfiah turin an rawn lut ang. I groin-a hliam tuamtu bandage pawh an enfiah ang a, i khawih theihna chu a lo kir leh kim tawh em tih an enfiah bawk ang. Heng zawng zawng hi i kea thisen kal dan pangngai a nih theih nan tih a ni.

Chumi tlai vek chuan haw phalsak i ni tlangpui ang. Doctor-te chuan in haw hnu darkar 24 atanga darkar 48 chhung chu thil hahthlak tak tak pumpelh turin an hrilh ang che.

Voda test hi a invasive em? Risk emaw side effect emaw a awm em?

VODA test hi a tlangpuiin a him a, risk a tlem bawk . Side effects i neih chuan catheter dahna hmunah (numbing damdawi a chhe vek angin) natna engemaw zat a awm mai thei. Mahse, harsatna lo awm thei hi a tlem hle a ni:

• Kaih.
• Thluak hnathawh that lohna (Encephalopathy).
• Stroke ang chi natna a ni.

Hei hi invasive procedure a nih avangin thisen chhuah leh natna kai theihna a tlem hle . He risk hi a sang deuh thei a, mahse a la tlem hle thei a, a hnuaia thil thlengah hian:

• Kum 65 chunglam i nih chuan.
• Atherosclerosis (thisen kalna kawng khauh) i neih chuan.
• Cholesterol level sang tak i neih chuan.

Voda test result hian eng nge a sawi?

Voda test hian i team te chu i thluak lam eng lam nge tawng lam mawhphurtu tih leh eng lam nge hriatrengna lama mawhphurtu tih chiang takin a hriat theih nan a pui thei a ni. He data hi test hmasa nen an khaikhin a, chu chuan i thluaka khawiah nge epilepsy a thlen tih an hmuchhuak a ni. Heng zawng zawng nen hian i surgeon chuan thluak surgery hian i tawng leh hriatrengna a ti hlauhawm thei em tih chu a rel thei a ni.

Epilepsy hi a hlauhawm thei a, thluak surgery pawh a hlauhawm zawk thei bawk. Mahse, vanneihthlak takin i doctor-te chuan i tawng leh hriatrengna lama harsatna i neih loh nan hmanraw leh hriatna an nei a ni. Vodka test hi chutiang hmanraw pawimawh tak pakhat an hman a ni. He test chungchanga zawhna i neih chuan doctor nen inbiakna neih hreh suh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan Wada Test chungchang hi i hrethiam tawh hle. A tawi zawngin:

• Hei hi thluak surgery hmaa test pawimawh tak a ni a , chu chuan i tawng leh hriatrengna thiamna chungchang hriat theihna tur a ni .
• Hei hian doctor-te chu operation avanga side effect awm thei tur tih tlem dan tur ruahmanna siam turin a phalsak a ni.
• Test laiin i harh ang a , chuvangin hlauh tur a awm lo.
• Although it is generally a safe test , damdawi hman dan dang ang bawkin, hlauhawmna tenau tak tak a awm a, chu chu i doctor chuan a hrilhfiah ang che.
• Zawhna, hlauhna, rinhlelhna i neih chuan , i doctor nen sawiho la, chinfel rawh.

Heng zawng zawng hi nangmah hriselna leh himna tur a ni tih hre reng ang che.

` Voda test, thluak surgery, epilepsy, language center, hriatrengna, thluak lam, damdawi lam test te