I nu emaw, i pa emaw, i hnaih ber emaw Alzheimer natna a vei a nih chuan, hriselna lama harsatna dang nei tura operation an mamawh tih i hriat chuan i rilru a buai a, i buai hle. "Hei hi an tuar thei dawn em ni?", "Anesthesia hian an hriatrengna a tichhe dawn em ni?", "Operation hnua an rilru hahdam lo ta se engtin nge ni ang?" Hetiang zawhna tam tak hi i rilruah i nei ngei ang. Hemi chungchang hi muangchangin, pakhat hnu pakhatin sawi ila.
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Surgery hma hian eng nge kan hriat tur?
Surgery chungchanga thutlukna i siam hmain thil tlemte kan chiang hle a ngai a ni. Hei hi emergency surgery a nih loh chuan thutlukna siam turin hun tam tak i nei a ni. Hetih lai hian mahni chauhin thutlukna siam suh. I chhungkaw dangte nen inbia la, a bik takin doctor tlemte nen pawh inbia ang che.
A awlsam zawngin, he surgery hi engvangin nge an tih tih te, a hlawkna te, a hlauhawmna te, leh operation i neih loh chuan eng nge thleng thei tih te hriatthiamna chiang tak i neih a ngai a ni.
I hmangaih tak chuan eng emaw chen chu thil a la hrethiam thei a nih chuan, he thu tlûkna siamah hian telh ve rawh. An tan pawh chakna ropui tak a ni ang.
Zawhna i doctor zawh ngei ngei tur
Surgery enkawltu doctor nen in inhmuh hunah heng zawhnate hi zawh theihnghilh suh. List anga ziah chhuah chu a \angkai hle ang.
| Zawhna zawh tur | Engvângin nge hei hi a pawimawh? |
|---|---|
| He surgery chungchang hi min hrilh belh thei ang em? | I thil tih tur hriatthiamna chiang tak neih theih nan. |
| Eng ang anesthesia nge pek thin? | Alzheimer vei te hi anesthesia chi hrang hrang avanga delirium vei theihna a sang hle. |
| Dementia vei chuan he anesthesia leh surgery hi harsatna bik a nei thei ang em? | Risk awm thei tur hriat lawk tur. |
| Eng chen nge surgery neih a ngaih? | I hun hman dan tur leh rilru lama inbuatsaih turin. |
| A harh hunah hrehawm a tuar dawn em ni? Engtin nge ka tih ang? | Damlo thlamuanna atan natna enkawl dan hriat a pawimawh hle. |
| Engtikah nge ka haw theih ang? In lama min thawn hmain rehabilitation center (rehab) ah min thawn dawn em ni? | In i thlen chuan thil tul (equipment, puitu tur) buatsaih la. |
Pre-operative appointment neih chhung hian i hmangaih tak medical history kimchang, allergy, leh damdawi (vitamin leh herbal remedies te pawh tel) an ei zawng zawngte chu doctor hnenah hrilh la, damdawi thenkhat chuan anesthesia a tibuai thei a ni.
Anesthesia chungchang hi i zir dawn teh ang.
Anesthesia hi chi hrang hrang 3 a awm a. Hengte hi thumal awlsam tak hmanga hriatthiam a pawimawh hle.
| Anesthesia chi hrang hrang | A awlsam zawngin... |
|---|---|
| General Anesthesia hmanga tihdam a ni | Damlo chu muthilh tir vek a ni. Taksa hriatna leh hriatna a awm lo. |
| Regional Anesthesia hmanga enkawl a ni | Surgery tihna hmun chauh chu a numbed (e.g., hnungzang-a injection). Damlo chu an muthilh kim lo a nih pawhin an rilru hahdam theih nan damdawi an pe thin. |
| Local Anesthesia hmanga enkawl a ni | Surgery na hmun tlemte chauh chu a numbed (e.g., ha lakchhuah huna gum chhunga injection). |
A pawimawh ber chu regional leh local anesthesia hmanga thluak a nghawng tlem avangin side effect a tlem zawk. Mahse, heng hmanrua hmang hian surgery zawng zawng hi tih theih a ni lo. Hemi chungchang hi i doctor nen sawiho la, a tha ber thlang rawh.
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I hmangaih tak chu zai zawha ward-a hruai a nih hunah i awm a pawimawh hle.
- A harh hunah: A harh veleh muangchangin i sawipui tur a ni. "Damdawi inah i awm a, operation a tawp tawh a, i bulah ka awm nghal a, ngaihtuahawm tur a awm lo, i dam thuai ang," tih ang chi thu sawi rawh.
- Nursing staff te nena inzawmna: Ward chhunga nurse te nen inlaichinna tha tak siam. I hmangaihte nungchang pangngai leh an rilru tihmuang dan (e.g., hla hlui sak, kut insuih) te hrilh la. Hei hi i awm loh hunah an tanpuina nasa tak a ni ang.
- Hrilhfiahna chu hre reng ang che: An rilru emaw taksa emaw dinhmunah danglamna danglam tak i hmuh chuan (e.g., a tlangpui aia mut tam, thinrim), thawktute hriattir nghal rawh.
Fimkhur tur thil: Delirium leh restlessness
Operation hnuah chuan mi, a bîk takin tar leh Alzheimer natna vei te chuan hun engemaw chen chu an buai thei a, a nih loh leh delirium . Hei hi anesthesia leh surgery avanga stress vang a ni.
Hetih lai hian operation a neih thu a theihnghilh mai thei. A lungawi lo thei a, a au thei a, khum aṭanga tho chhuah a tum thei bawk. Hetih lai hian a pawimawh ber chu i rilru hahdam taka awm hi a ni.
Hetiang hunah hian eng nge i tih thin?
- Mahni inhriat nawn tir leh la: "Vawiin chu...", "A hun a ni...", "Damdawi inah i awm...", "I operation kha...", tiin muangchangin inhriat nawn tir leh rawh.
- Distract: A duhzawng hla ngaithla la, chhungkaw thlalak album en rawh se, a nih loh leh doctor hnenah a chaw duh ber pe turin ngen rawh.
- Natna ngaihven rawh: Natna avanga a rilru hahdam loh vang pawh a ni thei. Alzheimer vei te hian an na tih sawi chhuah harsa an ti thin. Chuvangin natna chhinchhiahna (face grimacing, moaning) te chu hre reng la, nurse hnenah hrilh rawh.
- A rang thei ang bera kal rawh:Doctor-in phalna a pek veleh khum atanga tho chhuakin tlem a kal kual vel a tha. Hei hian harsatna tam tak pressure ulcer, constipation, leh delirium te a veng thei a ni.
In i thlen hnuah engtin nge i in enkawl ang?
Damdawi in chhuahsan hmain in lama enkawl dan tur hrilhfiahna chiang tak dil hmasa phawt ang che.
- Damdawi chungchang zir rawh: Damdawi thar eng nge i pek leh a side effects te chu chiang takin zawng rawh.
- Fimkhur tur chhinchhiahna: In lama harsatna beisei tur leh eng hlauhawm chhinchhiahna nge doctor pan nghal tur tih te zir rawh (e.g., khawsik sang, surgery neihna hmun atanga zun, natna nasa tak).
- Emergency number: Harsatna i neih chuan engtik lai pawha i biak theih tur phone number dil rawh.
- Follow-up appointment: Doctor nen follow-up appointment siam theihnghilh suh.
He zinkawng hi a harsa hle. Mahse hriatna dik, dawhtheihna leh hmangaihna dik tak nen chuan he harsatna hi i hneh thei a ni. Nangmah chauh i ni lo tih hre reng ang che.
Take-Home Thuchah a ni
- Alzheimer natna vei tan surgery chungchanga thutlukna siam hi chhungkua leh doctor-te team anga thawhhona siam a ni.
- Operation hmain zawhna tam thei ang ber zawt la, thil dik zawng zawng chu chiang takin hrethiam rawh.
- I doctor nen anesthesia chi hrang hrang leh Alzheimer’s vei (a bik takin delirium) te tana hlauhawmna bik te sawipui rawh.
- Operation hnua buai leh lungkhamna hi thil pangngai a ni tih hrethiam la, muangchangin hmachhawn turin inbuatsaih rawh.
- I hmangaih tak nena inhnaih taka awm a, operation neih chhung zawng leh operation hnuah pawh thlamuan a pawimawh hle.
- Hospital-a medical leh nursing staff-te nen pawh zalen takin inbiak fo thin ang che.
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