Operation i neih ngai tawh em ? A nih loh leh anesthesia hnuaiah test chi khat i neih ngai em ? Vawiin hian damdawi bik kan sawi dawn a, chu chuan doctor ten i taksa ruhte a ti hahdam a, operation emaw test emaw chu him tak leh awlsam takin an ti thei a ni. He damdawi hming hi Atracurium a ni.
A awlsam zawngin Atracurium chu eng nge ni?
Atracurium hi damdawi lam thil, surgery ang chi, i taksa ruhte tih hahdamna atana pek thin a ni. Injection angin pek a ni tlangpui.
Doctor pakhatin i pum chu operation tenau tak a tihsak angin han mitthla teh. I pum ruhte a tension chuan operation tih chu a harsa dawn lo em ni? Chutiang hunah chuan he damdawi hi pek a nih chuan thluak atanga nerve signals te chu hun eng emaw chen atan a block a, chu chuan taksa ruh te chu "contract" turin a hrilh thin. Light on switch off ang mai a ni. Tichuan taksa ruhte chu a relax vek ta a ni. Chumi awmzia chu i taksa chu a jerk lo va, a che lo tak tak lo tihna a ni. Tichuan medical team te chuan an hna chu engmah daltu awm lovin, him takin an thawk thei ta a ni.
A pawimawh ber chu, hei hi in lama i hman theih damdawi a ni lo. Hei hi damdawi in emaw, clinic emaw-ah chauh pek thin a ni a, trained medical team-in an pek thin a ni .
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Eng surgery emaw anesthesia emaw i neih hmain i doctor chuan i hriselna chungchangah zawhna tam tak a zawt ang che. Thudik taka i chhan vek a pawimawh hle. A bik takin Atracurium ang damdawi pek i nih hmain a hnuaia tarlan ang chi natna hi i neih chuan i doctor hnenah i hrilh ngei ang.
| I neih theih dinhmun chu | Engvangin nge hriattir a pawimawh? |
|---|---|
| Taksa a tui tlakchham chuan (Dehydration) . | Taksa a tui a tlem chuan damdawi hnathawh dan a danglam thei a ni. Chuvangin, he information hi damdawi hman dan tur siamrem nan a pawimawh hle. |
| Lung natna i neih chuan | He damdawi hian a chang chuan thisen sangah nghawng tlem a nei thei. Lung natna nei te hian a bik takin an fimkhur tur a ni. |
| Lung emaw thawkna lam natna (asthma, COPD ang chi) . | Atracurium hian thawkna kawng a nghawng bawk avangin thawk harsatna awm tawh zawng zawng chu doctor-te hriat a pawimawh hle. |
| Neuromuscular natna, myasthenia gravis te hi a awm thei | Hengte hi taksa ruh chak lo tu natnate an ni. Chuvangin muscle relaxant i pek dawnin i fimkhur hle a ngai a ni. |
| Atracurium emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan. | Tun hmaa allergy i neih tawh chuan mi hnena hrilh chu nunna chhanhim thei a ni. |
| Naupai emaw, nau pai tum emaw i nih chuan | He information hi damdawi hian nausen piang lai chungah nghawng a nei dawn em tih hriat nan a pawimawh hle. |
| Naute chu hnute pek a nih chuan | Hei hi doctor chuan a hriat a ngai a, chu chu damdawi engemaw zat chu nu hnute hmanga naute hnenah a kal thei em tih ngaihtuah a ngai a ni. |
He damdawi hi engtin nge pek leh enkawl a nih?
He damdawi hi i vein-ah (intravenously) inject a ni. Damdawi inah mi trained, doctor emaw anesthesiologist emaw hmanga tih a ni. Chuvangin i ngaihtuah buai a ngai lo.
- Naupang tê tê tê tân: A châng chuan he damdawi hi nausen thla khat mi lekte hnênah pêk a ni. Mahse fimkhur tak leh enkawlna bik hnuaiah tih a ni.
- Overdosage: Hei hi damdawi inah pek a nih avangin a dosage chu medical team-in an rel a, an control thin . Chuvangin, overdose chungchangah i lungkham a ngai lo. Damdawi pakhatin engti kawng mahin a rimchhia nia i rinhlelh chuan damdawi in Emergency Treatment Unit (ETU) hnenah hriattir nghal tur a ni. Sri Lanka ramah chuan Colombo National Hospital-a National Poison Information Center-ah hetiang poisoning chungchangah hian thu chiang tak hriat duh chuan i call thei a ni. Amaherawhchu, damdawi inah i awm a nih chuan medical team-in thil zawng zawng an buaipui vek ang.
Atracurium nena inzawm thei damdawi dang
Condition dang atana damdawi i ei a nih chuan doctor hnena hrilh a pawimawh hle. A chhan chu damdawi thenkhat hian Atracurium hnathawh dan a thlak danglam thei a ni. Chumi awmzia chu a nghawng chu an tihtlem thei emaw, an tipung thei emaw tihna a ni.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Antibiotics thenkhat | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin te pawh a awm bawk |
| Migraine damdawi thenkhat | carbamazepine, phenytoin tih a ni |
| Lithium a ni | Rilru natna atan hman a ni. |
| Local anesthetics hmanga tihdam theih a ni | Lidocaine a ni |
| Magnesium tihpunna tur a ni | Taksa tana magnesium pek chhuah. |
| Procainamide leh Quinidine te hman a ni | Heart rhythm disorders tan hman a ni. |
He list hi a kimchang lo hle a, chuvangin i operation hmain i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplements ) te chu i doctor hnenah hrilh ngei ang che. Tin, zu i in emaw, zu i in emaw chuan doctor hnenah hrilh bawk ang che.
Damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin Atracurium hian side effect a nei thei . Mahse, damdawi inah hian medical team enkawlna kimchang hnuaiah i awm tih hre reng ang che. Chuvangin harsatna a awm chuan an enkawl vat ang.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, i medical team-a hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Thinlung thawk chak emaw, mumal lo emaw | Heart rate sang nghal emaw, rhythm inthlak danglam emaw. |
| Taksa lum lutuk, thawk hah lutuk, taksa ruh a nghet lo | Hengte hi natna hlauhawm tak, mahse natna khirh tak, Malignant Hyperthermia tih chhinchhiahna a ni thei. |
| Thisen sang hniam | Luak chhuak, lu hah, emaw, mit hmuh lohna (blurred vision) tih hriat. |
| Seizures a awm thin | Taksa chu a khur tan ta. |
| Side effects a tlangpuiin a na lo, mahse a awm reng chuan report tur a ni | |
| Flushing a ni | A sen, a bik takin hmai leh kawr velah a sen. |
| Muscle chak lohna | Damdawi nghawng a reh hnuah pawh nunna nei lo deuha inhriatna. |
| Injection na hmuna natna emaw, sen emaw | Cannula dahna hmunah natna emaw, sen deuh emaw a awm. |
He list-ah hian side effect awm thei zawng zawng a tel lo. Thil danglam tak i tawn chuan i medical team hnenah hrilh nghal rawh.
Take-Home Thuchah a ni
- Atracurium hi injection bik a ni a, damdawi inah chuan damdawi lam thil tih, operation ang chi, taksa ruh tih hahdam nan chauh pek thin a ni.
- He damdawi hi i pek hma hian i hriselna chanchin kimchang, allergy i neih zawng zawng leh damdawi dang i ei zawng zawngte i doctor hnenah i hrilh hmasak phawt a pawimawh hle.
- He damdawi ei lai leh ei zawh hian medical team-in uluk takin an enkawl ang che, chuvangin lungkham a ngai lo.
- Side effect na tak, allergy, thawk harsatna, heart rate inthlak danglam te a awm chuan medical team te hriattir nghal a pawimawh.
- He damdawi hi in lama hruai emaw, dahkhawm emaw tur a ni lo. Chuvangin ngaihtuah buai suh. Zawhna i neih chuan doctor zawt rawh.
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