Operation i tih laiin i hriatna i nei leh thei bawk em? (Anesthesia Awareness) I sawi dawn nia!

A châng chuan operation-a kan luh hmain hlauhna tlem kan nei ṭhin, chu chu operation tihna a ni, a dik em? Mi thenkhat tan chuan hlauhthawn ber pakhat chu, "Anesthesia hnuaia ka awm laiin ka rilru a lo let leh nghal a nih chuan engtin nge ni ang?" Hei hi a takah chuan thil thleng tlem tak ni mahse, nang leh kei tan chuan hei hi kan hriat chian a pawimawh hle. Hemi chungchang hi vawiinah hian chipchiar zawkin han sawi ila.

Anesthesia Awareness hi eng nge ni?

A awlsam zawngin, Anesthesia Awareness chu surgery neih laiin, chu chu general anesthesia hnuaiah, a hnu rei vak lo chhunga hriatna nei lehna a ni. Mahse hei hi ‘harh’ mai mai nen a inang lo. Tlem a danglam deuh a ni. Mi hrang hrang tan chuan a danglam thei hle. Hetiang hian han ngaihtuah teh:

• I chhehvela mi inbiak ri leh operation room chhunga hmanrua ri hriat theih ang maiin i hria mai thei.
• Mumang hmuh ang mai a ni thei a, mumang khawvela awm ang mai a ni thei.
• I harh thut a, i che thei lo va, i tawng thei lo bawk. Hei hi thil hlauhawm tak a ni thei.
• A chang chuan taksa hian pressure a nei a, a tlem hle bawk, ​​natna hriat theihna chance tlemte chauh a awm.

A pawimawh ber chu he `(Anesthesia Awareness)` dinhmun hi `(General Anesthesia)` hnuaia surgery tihnaah chauh a awm a ni. Hei hi anesthesia hmanraw dangah a thleng ngai lo, chu chu `(Local Anesthesia)` i kut leh ke a ti na a, `(IV Sedation)` chu zu ruih deuha inhriatna a siam emaw, `(Twilight Sleep)` emaw a ni. A chhan chu, `(General Anesthesia)` chu i taksaa thil thleng, thawk chhuah ang chi, automatic-a thil thleng pawh machine hmanga thunun a nih vang a ni. Thil dang dangah chuan hriatna level engemaw chen i nei a, nangmah chauhin i thawk thei a, a tul chuan medical team te nen pawh i inbia thei bawk.

Hei hi eng chen nge a theih ang?

Tunah chuan, "Wow, hetiang hi mi tam tak chungah a thleng em?" Ni lo, a ni lo tak zet. Dik tak chuan hetiang anesthesia awareness hi a tlem hle hle. Statistics dik tak pek a harsa khawp mai. A chhan chu mi ṭhenkhat chuan operation an neih hnu kar khat emaw kar hnih emaw hnuah thil thleng dik tak chu an hre thei lo mai thei. Mi dangte chuan he thil tawn hi an nei nghal mai thei a, mahse an doctor-te hnenah an hrilh lo mai thei.

Mahse zirchianna engemaw zat atanga a lan dan chuan hetiang thil tawn hi operation 1,000 zinga 1 emaw 2 emaw chauh (0.2% aia tlem) ah a thleng thin . Chuvangin idea chu i hmu ta a ni lawm ni? A tlem hle tak zet a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hetiang anesthesia awareness hi a awm theih chhan lian tak pathum a awm tih hmuhchhuah a ni a:

1. Damdawi pek tlem:Hei hi anesthesiologist-in anesthetic a pek tawk loh lai a ni. Hei hi emergency surgery neih laiin a thleng fo thin. Entîr nân, emergency heart surgery neih laiin, cesarean section , a nih loh leh accident na tak hnua rang taka tih surgery neih laiin. Chutiang hunah chuan anesthesia level uluk taka enfiah hun a tlem thei a, damlo nunna chhanhim a ngai a ni.

2. Anesthetic mamawh hrang hrang: Hei hi anesthesiologist-in damdawi standard amount a pe a, mahse chu mi chuan a mamawh dan a inang lo. Mi zawng zawng taksa hi a inang vek lo. Hei hi mi lungkhamna nasa tak ( operation hmaa hlau tak tak), substance use disorder nei, leh a hmaa anesthesia awareness nei tawhteah a thleng tam zawk.

3. Anesthesia machine malfunction: Hei hi Operating room-a anesthesia machine-te a chhiat chuan a thleng thei a, a nih loh leh medical staff-te’n surgery hmaa hmanrua an endik ṭhat loh chuan a thleng thei. Mahse, hei pawh hi thil thleng tlem tak a ni bawk , damdawi in te hian he hmanrua hi enkawl kawngah nasa takin an fimkhur thin avangin.

Tu nge hlauhawm ber?

Hetiang hlauhawmna hi mi zawng zawng tan chuan a tlangpuiin a tlem hle nachungin, mi thenkhat chuan anesthesia awareness an neih theihna chance a sang deuh mai thei. Hei hi thil hrang hrang avang a ni:

• Meizial zu thin i nih chuan .
• Chronic medical condition pakhat aia tam (multiple medical conditions) (e.g. zunthlum, thisen sang) i neih chuan.
• Thâwk lama harsatna i neih chuan (e.g. thawkna lam natna, Asthma, lung natna).
• I hmaa substance use disorder (SUD) i neih tawh chuan .

Tin, general anesthesia hman a him lohna hmuna special surgery thenkhatah pawh he hlauhawmna hi a dang aiin a sang deuh thei bawk. Entir nan:

• Cesarean section (C-sections): Nu leh naute himna tur atan anesthesia level uluk taka control a ni.
• Heart surgery: Hengte hi operation buaithlak tak tak a ni.
• Trauma emaw thisen hloh emaw enkawlna atana emergency surgery: Hei hi hetah hian damlo nunna chhanhim hi ngaih pawimawh a nih vang a ni.

Anesthesia awareness neih chhung hian natna i nei em?

Hei hi mi tam takin an hlauh em em chu a ni. Mahse thu lawmawm tak chu anesthesia awareness neih chhung hian natna hriat hi a tlem hle.Mahse, hei hi thil theih loh a ni lo tih hriat reng a pawimawh. Mi tam tak chuan an chhehvêla thawm hriat leh inbiakna hriat ang chi thilte chu an hre reng laiin, ṭhenkhat chuan intubation tube aṭanga rilru natna emaw, operation aṭanga incision na hmun emaw chu an hre reng mai thei.

Hei hian hun rei tak chhung nghawng a nei thei ang em?

Anesthesia awareness nei zawng zawng hian hun rei tak chhung nghawng a nei vek dawn lo. Mahse, a nasat lutuk chuan, chu chu thil tawn chu a hlauhawm hle a nih chuan mi thenkhat chuan heng rilru lam dinhmunte hi an nei thei tihna a ni:

• Hlauhthawnna
• Lungngaihna
• Mut lama harsatna nei, mumang chhia tam tak (Nightmare disorder) .
• Post-Traumatic Stress Disorder (PTSD) : Hei hi rilru lam natna a ni a, natna khirh tak a thlen hnua lo awm thin a ni.

Heng harsatna nei te hian tanpui theih lohna an nei reng thei a ni. Chuvângin, damdawi lam appointment pawh an pumpelh thei a ni. Hei hian hriselna lama harsatna dang an neih theihna a tipung a ni. Hetiang thil hi i tawng tawh a nih chuan psychologist emaw psychiatrist emaw hnen atanga tanpuina dil hian hahdamna nasa tak a pe thei che a, i nunphung pawh a tichangtlung thei bawk.

Hei hi doctor-te hian an hre thei ang em? Surgery neih lai hian?

Doctor-te chuan anesthetized i nih leh nih loh, emaw, sedated i nih leh nih loh an hriat theih laiin, i hriatna famkim, a nih loh leh hriatna nei lo tih chiang taka hriat theih a ni lo.

Anesthesiologists te chuan i vital signs – blood pressure , breathing rate , leh pupil size – te chu an enfiah chhunzawm zel ang a, i sedation level an hriat theih nan. Mahse consciousness tehna hi a buaithlak deuh. General anesthesia atana hman tur damdawi te hian i autonomic nervous system (i taksaa thil thleng zawng zawng control tu) a nghawng avangin i che thei dawn lo va, i tawng thei dawn lo bawk. Chuvangin, anesthesia level tehna angin consciousness teh hi a awlsam lo.

Mahse, technology hmasawn tak nen chuan operation neih laiin i thluaka electrical activity teh thei tur leh i hriatna level hriat theihna tur device bik a awm a ni.

Pakhatnaah chuan i doctor chuan i thluak electroencephalogram (EEG) a la thei ang. He test atan hian i lu vunah sensor te te dah a ni.Eng emaw zat chu attached a ni. Heng sensor te hian i thluak atang hian electrical signal an dawng thin. Heng (EEG) result te hi monitoring method dang nen inzawmkhawmin thutlukna siam a ni. Chung hmanraw thenkhat chu:

• Bispectral IndexTM monitoring (BIS): Research atanga a lan dan chuan hei hi i sedated tha zia tehna atana hmanraw rintlak ber pakhat a ni. I EEG readings a record a, zero leh 100 inkar number a pe che a , number a hniam poh leh anesthesia a thuk zawk . General anesthesia hman tum ber chu he number hi 40 leh 60 inkar a nih theih nan a ni.
• Auditory Evoked Potentials (AEP) monitor: He device hian i thluak stem leh cerebral cortex- a electrical activity awm chu a record a, a zirchiang bawk Doctor chuan i beng ah headphone a dah a , aw thenkhat a play bawk . Chumi hnuah chuan he device hian i thluak chhanna chu a zirchiang a, zero atanga za thleng number a pe che a ni. Hetah pawh hian a tlem poh leh anesthesia a thuk zawk thin.
• Narcotrend®: BIS ang bawkin Narcotrend hian i EEG result hmangin anesthesia thuk zawng a chhut a. I result chu letter paruk (A atanga F) leh number (zero atanga za) scale hmangin a rate thin. Results hi "awake" atanga "electrical silence" (thluak hnathawh tlem lutuk tihna) thlengin a awm thei.

Engtin nge doctor-te chuan operation hnuah he thil hi an hriat chhuah?

Anesthesia awareness experience i neih tawh leh neih loh hriat theihna kawng tha ber chu i doctor-in i surgery hnuah a chungchang zawhna a zawh che hi a ni. Chumi atana hman thin standard method chu Brice Interview hi a ni . Hetiang zawhna tawi tlemte a zawt a ni:

• "Surgery tan hmaa i hriatreng hnuhnung ber chu eng nge ni?"
• "Surgery zawh hnua i hriatreng hmasak ber chu eng nge ni?"
• "Surgery lai khan eng emaw i hre reng em?"
• "Surgery lai khan mumang i nei em?"

Heng zawhnate i chhanna atang hian doctor-te chuan ngaihtuahna an nei thei a ni.

Anesthesia awareness venna tur hian kan tih theih tur a awm em?

Ni e, he Anesthesia Awareness hi i ngaihtuah a nih chuan i anesthesia enkawltu hnenah he thu hi sawipui ngei ang che. Hetiang thil thleng thei tur tihtlem nan eng hmalakna nge i tih theih tih an hrilhfiah ang che. Tin, thil tih theih a awm bawk:

• Damdawi i ei zawng zawng (i doctor-in a pek leh damdawi dawr atanga i lei te pawh), supplementDoctor hnenah supplement eng pawh (vitamin, Ayurvedic damdawi ang chi) hrilh rawh.
• I medical history kimchang (natna hmasa, surgery, allergy, etc.) te chu doctor nen chipchiar takin sawiho rawh.
• Zawhna emaw rinhlelhna emaw i neih apiang zawt rawh. Zak suh.
• A pawimawh ber: Anesthesia awareness i neih tawh chuan i doctor hnenah hrilh ngei ang che.
• Risk factor hriat tawh ( e.g. meizuk) te chu a theih ang anga pumpelh tur a ni.

Anesthesia awareness hi i thil tihsual a ni lo tih hre reng ang che. A chang chuan a thleng fo thin a, mithiamte chuan hei hi a chhan an la zirchiang mek a ni.

Anesthesia awareness ka neih chuan engtin nge ni ang?

Chutiang thil tawn chu i tawng tawh ang tih han ngaihtuah teh. I hriat veleh i doctor (healthcare provider) emaw nurse emaw hnenah hrilh nghal rawh. I hriatrengna chipchiar zawng zawng (i hriat, i rilru put hmang) zawng zawng hrilh rawh. Chumi hnuah chuan doctor chuan i medical record-ah thil thleng chu a record thei ang a, nakin lawkah anesthesia i neih leh a ngai a nih chuan fimkhur bik la, awareness hlauhawmna tihziaawmna turin hma la rawh.

Anesthesia awareness nei tawhte hmalam hun eng nge ni?

Thil awmdan leh a nghawng nasat danah a innghat tak zet a ni. Entîr nân, mi pakhatin operation a neih laiin thawnthu ṭhenkhat a hriat reng chuan harsatna thlen thei side effect a nei lo mai thei. Mahse, hrehawmna nei emaw, a chhehvêl hre chiangtu emaw chuan rilru lama harsatna nasa zâwk, hun rei tak chhûng a nei thei a ni .

Mahse, damlo tam zawk, anesthesia awareness nei tawhte chuan nakin lawkah him takin anesthesia an dawng leh thei dawn a ni. A lo thleng leh theihna tur risk a tlem hle. Doctor ten an fimkhur zawk a, a chhan chu a hmaa thil tawn an hriat vang a ni.

Hetiang thil hi i tawng tawh a nih chuan i nitin nun a nghawng dan hi i doctor nen zalen takin sawipui rawh. Psychologist emaw psychiatrist emaw hnenah an refer thei che a, ani chuan test tul tak tak a ti thei a, thurawn leh enkawlna \ha tak a pe thei bawk.

Surgery neih laiin harh chhuah ngaihtuahna hi a hlauhawm em em a, chu chu movie eng emaw zat pawh siam a ni tawh. Anesthesia hriatna hi thil awm lo tak ni mah se, a hlauhna hi mi tam tak zingah chuan a awm fo a, kan rilruah a awm reng a ni. Hun rei tak chhunga rilru lama nghawng a neih dan hi ngaihthah tur a ni lo. Tin, chu hlauhna avang chuan i mamawh surgery neih loh pawh a tha lo. Anesthesiologist te chuan hetiang thil hi a thlen loh nan monitoring tools hmasawn tak tak an hmang thin.hmang. Tin, scientist-te chuan engvangin nge mi thenkhatah hetiang thil hi a thlen a, mi thenkhatah a thleng lo tih an zirchiang chhunzawm zel bawk. Hetiang thil hi i tawng tawh a nih chuan - emaw, i chungah a thleng thei ang tih i hlau a nih chuan - i anesthesiologist nen inbia ang che. I rilru chu an ti hahdam thei mai thei.

He thawnthu atang hian eng thil nge kan in lama kan hruai haw tur pawimawh ber?

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur thenkhat chu hetiang hi a ni:

• Anesthesia Awareness hi thil awm lo tak a ni. A tul lovah hlau suh.
• Surgery i neih hmain , i medical history kimchang, i damdawi ei te, leh i hlauhthawnna emaw, i ngaihtuahna emaw chu i anesthesiologist nen sawiho ngei ang che.
• Hetiang thil hi i lo tawng tawh a nih chuan min hrilh ngei ang. Thup suh.
• Anesthesia i pek lai hian doctor-te chuan i dinhmun enfiah nan hmanraw bik an hmang thin.
• Hetiang thil i tawn tawh a, rilru lam nghawng a neih chuan rilru lam thurawn lak hreh suh. A pui nasa hle ang che.
• He hlauhna avang hian i mamawh damdawi lam enkawlna emaw, surgery emaw i neih chu sawn suh. I medical team te hian i himna tur an ngaihtuah hle a ni.

Chuvangin, he thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Anesthesia, anesthesia awareness, surgery, surgery, dam lehna, operation, anesthesiologist