Operation, chu chu surgery i nei tawh em? A nih loh leh nakin lawkah neih i tum em? Chutiang a nih chuan, i hlauh ber pakhat chu, ‘Operation neih laiin ka harh chuan engtin nge ni ang?’ tih hi a ni mai thei. He hlauhthawnna hi movie thenkhatah hetiang thil hi a lantir thin avangin a zual sauh sauh a ni. Chuvangin vawiinah hian hei hi a thleng thei tak tak em tih te, damdawi lama a awmzia te, a chungchang kan hriat tur te kan sawi dawn nia.
Anesthesia Awareness hi eng nge ni tak tak?
A awlsam zawngin, hei hi general anesthesia hmanga operation neih laiin mi pakhatin a hriatna level engemaw chen a neih leh hun a ni. Mahse, a tlangpuiin "harh" kan tih nen chuan a danglam deuh hlek a ni. Full conscious nih ai chuan hun rei lote chhunga hriatna neih ang deuh a ni. He thil tawn hi mi tin a inang lo thei.
Mi tu emaw chuan operation neih laiin hetiang dinhmun hi a tawk a nih chuan a hnuaia mi hi a tawng thei a ni:
- I chhehvela thil thleng, doctor-te thusawi hriat.
- Mumang a awm ang mai a ni.
- Vawikhatmah hriatna i neih leh a, i che thei lo tih leh i tawng thei lo tih i hriatchhuah.
- Taksa chungah pressure engemaw zat hriatna, leh a tlem berah chuan natna hriatna .
Pawimawh tak chu, he dinhmun hi general anesthesia hnuaia operation neih lai chauhvin a awm thin . Anesthesia chi dang, kut leh ke tiharh, IV sedation, emaw "twilight sleep" te hi chutiang chu a ni lo. Chutiang hmanrua chuan i taksa automatic functions (thâwk lak ang chi) a thunun loh avangin, nangmah chauhin i la thawk thei a, i mamawh chuan i doctor nen inbia thei bawk.
Hei hi engtiang chiahin nge a hluar? Kan hlauh tur a ni tak tak em?
Hei hi a takah chuan thil thleng tlem tak a ni. Chuvangin a tul lovah ngaihtuah buai a ngai lo. Mahse hetiang thil hi mi engzat nge thleng tih erawh sawi chian a harsa khawp mai. A chhan chu mi thenkhatin operation an neih hnu kar khat emaw kar hnih emaw hnuah chauh a thleng tih an hre reng lo. Mi dangte chuan an hre reng a, mahse an doctor-te hnenah an hrilh lo.
Research atanga a lan dan chuan he natna hi surgery 1,000 zinga 1 emaw 2 emaw chauh a awm thin. Chu chu case 0.2% aia tlem a ni . Chuvangin hei hi a tlem zia chu i hmu thei ang.
Okay, chuti a nih chuan engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
He ``Anesthesia Awareness'' dinhmun hi chhan lian pathum vang a ni thei. Eng nge an nih chiang takin i en ang u.
| Chhan | A awlsam zawngin sawifiah a ni |
|---|---|
| Anesthetic damdawi tling lo | Hei hi anesthesiologist-in damlo damdawi a pek tlem lai a ni. Hei hi emergency surgery neih laiin a thleng fo thin. Entîr nân, thinlung zai emaw, cesarean section (C-section) emaw, accident na tak hnua zai emaw. |
| Damlo taksa mamawh danglam zel | Damlo thenkhat chuan anesthetic damdawi an ei thin ang kha an tuar thei lo mai thei. Hetiang hlauhawmna hi a bik takin rilru lam natna khirh tak nei te, ruihhlo emaw zu ruihhlo ngawlvei te, leh tun hmaa hetiang thil tawn tawh te tan hian a sang hle. |
| Anesthesia machine-a tihsual awm | A thleng fo lo nain, a chang chuan anesthesia machine-a harsatna a awm emaw, operation hmaa uluk taka enfiah a nih loh emaw chuan hetiang hi a thleng thei bawk. |
Hetiang dinhmun hi tute nge hlauhawm ber?
Mi thenkhat chuan midang aiin he natna (Anesthesia Awareness) hi an nei tam zawk.
- Meizial zu thinte tan chuan
- A ruala damdawi lam harsatna hrang hrang nei te tan
- Thâwk lama harsatna nei (thâwk lam natna ang chi) tan .
- Ruihhlo emaw zu ruih hmang tawhte tan (Substance Use Disorder - SUD)
Tin, he hlauhawmna hi surgery thenkhatah chuan anaesthetic damdawi regular dose pek a him lohna hmunah pawh a sang deuh thei bawk.
- Cesarean section (C-section) tih a ni.
- Lung zai a ni
- Accident emaw thisen chhuah tam lutuk avanga emergency surgery neih a ni
Hetih lai hian hrehawmna i nei em? Hun rei tak chhunga nghawng a nei em?
Hei hi mi tam tak tan chuan harsatna lian ber a ni. Natna hriat hi a tlem hle., mahse thil theih loh a ni lo. Mi tam zawk chuan thawm hriat an hriat reng laiin, mi thenkhat chuan intubation tube avanga surgical incision site-ah rilru na emaw, natna emaw an nei tih an sawi.
Hetiang thil tawn zawng zawng hian hun rei tak chhung nghawng a nei vek dawn lo. Mahse, thil tawn chu a nasat chuan mi thenkhat chuan rilru lam harsatna an tawk thei a, chungte chu:
- Hlauhthawnna
- Lungngaihna
- Nightmare disorder a ni
- Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
Hetiang rilru lama harsatna a lo chhuah hian Doctor hmuh emaw, damdawi in pan emaw an hlau mai thei. Tichuan, an natna dangte chu enkawl loh theihna a awm. Chuvangin, chutiang bawka thil tawn i neih chuan rilru lam doctor emaw counselor emaw nena inhmuhkhawm a, chu chu i nunah chakna nasa tak a ni ang.
Doctor-te hian operation an neih chhung hian hei hi an hmu thei lo em ni?
Hei hi zawhna buaithlak deuh a ni. Anesthesiologist te chuan anesthesia hnuaia i awm leh awm loh an hre chiang thei. Chu chu i vital signs - i thisen sang, thawk dan, leh i mitmeng lian leh te te te enfiahin an ti thin.
Mahse, i hriat chian leh hriat loh tehna chu a harsa deuh. Anesthetics hian i taksa a ti na a, i tawng thei lo a, a tlangpuiin i conscious em tih zawh theih a ni lo.
Mahse tunah chuan he thila pui thei tur tunlai technique a awm ta. Heng hmanrua te hian operation laiin i thluak electrical activity a teh thei a ni. Hei hmang hian consciousness i neih zat kan estimate thei a ni.
- Electroencephalogram (EEG): Hei hian i lu-ah sensor te te dahin i thluak electrical pattern te enfiah a huam a ni.
- Bispectral IndexTM (BIS) Monitor: Hei hi hmanraw rintlak ber a ni. EEG data a la a, 0 leh 100 inkar value a siam a, a value a hniam poh leh anesthesia a thuk zawk. Doctor te chuan he value hi 40 leh 60 inkar ah dah an tum tlangpui .
- Auditory Evoked Potentials (AEP) monitor: Hei hian i beng chhungah headphone dahin aw thenkhat play a huam a ni. Chumi hnuah chuan anesthesia thuk zawng chu i thluak chuan chutiang aw a chhan dan tehna hmangin a hriat theih a ni.
- Narcotrend®: Hei hi ``EEG'' data hmanga anesthesia thuk zawng tehna hmanrua a ni bawk a, ``BIS'' monitor nen a inang.
Hetiang thil a thlen theihna tur tihtlem nan hian kan tih theih tur a awm em?
Ni e, he hlauhawmna hi tihziaawmna turin i pui thei ang. Operation hmain heng thilte hi i anesthesiologist nen sawiho hmasa phawt ang che.
- I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh: Damdawi lei theih loh, vitamin, hnam damdawi, leh supplement.
- I damdawi lam chanchin kimchang min hrilh rawh: Natna i neih apiang, allergy i neih leh ruihhlo emaw zu i hman dan te chipchiar takin min hrilh ang che. Engmah thup suh.
- I zawhnate zawt rawh: Hemi chungchanga hlauhthawnna emaw rinhlelhna emaw i neih apiang (Anesthesia Awareness) chu anesthesiologist nen sawiho rawh.
- Hetiang thil hi i lo tawng tawh a nih chuan hetiang hian sawi ngei ang che: Hei hi a pawimawh ber a ni. Tichuan medical team te chuan a bik takin an ngaihven thei ang.
A pawimawh ber chu, he ``Anesthesia Awareness'' hi i lam atanga thil dik lo awm vang a ni lo. Thil thleng tlem tak a ni.
Hetiang thil hi ka chungah a thleng tawh nia ka hriat chuan engtin nge ka tih ang?
Operation lai emaw, operation hnu emawa thil engemaw i hriat reng nia i ngaih chuan i doctor emaw nurse emaw hnenah hrilh nghal rawh . I hriatreng zawng zawng hrilh rawh. Chumi hnuah chuan i medical record-ah an record thei ang. Hei hi nakin lawkah surgery dang i neih leh chuan i himna atan a pawimawh hle ang.
Hetiang thil tawn chungchang sawi hi zahthlak a ni lo. I hriselna atan a pawimawh hle.
Take-Home Thuchah a ni
- Anesthesia neih laiin hriatna, a nih loh leh ``Anesthesia Awareness'' hi a tlem hle . Chuvangin tul lovah hlau suh.
- Hei hi harhtharna famkim a ni lo va, hriatna hun tawite inzawmkhawm a ni zawk.
- Operation hmaa he thil chungchangah hian hlauhna emaw rinhlelhna emaw i neih chuan anesthesiologist nen zalen takin sawipui rawh .
- I damdawi lam chanchin kimchang, damdawi i ei zawng zawng leh a hmaa i thil tawn tawh zawng zawngte chu i doctor hnenah hrilh ngei ang che.
- Hetiang thil hi i chungah a thleng nia i hriat chuan i doctor hnenah hriattir nghal rawh. A tul chuan rilru lam tanpuina zawng hreh suh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh