Nangmah emaw, i hnaih ber tu emaw chu zai a ni dawn tih han ngaihtuah teh. A nih loh leh damdawi lam thil engemaw vangin intensive care unit (ICU)-ah i awm thei bawk. Chutiang hunah chuan doctor-te chuan "muscle relaxant" damdawi an pe tih i hre tawh mai thei. Atracurium hi damdawi bik a ni a, chutiang hunah chuan hman a ni. Hei hi damdawi dawr atanga lei theih damdawi a ni lo. Hei hi damdawi inah chauh pek thin injection a ni a, specialist doctor-te enkawlna hnuaiah pek thin a ni. Chuvangin, he damdawi hi chipchiar deuhin, awlsam takin han sawi ila.
He Atracurium hi eng damdawi nge a nih?
A awlsam zawngin sawi ila, Atracurium hi kan taksa ruhro (skeletal muscles) te chu hun eng emaw chen ti hahdam emaw, a tichak lo emaw thei damdawi a ni. Rilru lama kan thunun theih ruh, kan kut, ke, kan kawr, leh kan pum chhunga awmte chu rei lo te chhunga muthilh ang maiin han ngaihtuah teh.
Tunah chuan, "Engvangin nge chutiang chuan i taksa ruhte chu i tih hahdam?" Chutiang a nih chhan lian tak pahnih a awm a, chungte chu:
1. Surgery lai: Surgery lian tham a tih dawnin zalen tak leh daltu awm lovin hna a thawh a ngai a ni. Taksa ruh (muscle) te a inthlau a nih chuan hetiang hi tih a harsa hle. Atracurium pek a nih chuan taksa ruhte chu a relax vek a ni. Tin, anesthesia pek lai hian trachea (intubation) kaltlangin tube dah a ngai bawk. Chutih lai chuan kawr leh kawr ruhte chu a hahdam a pawimawh hle.
2. Ventilator-a a awm laiin: A nasat deuh deuhah chuan damlo chuan a mah chauhin thawk a harsat phah thei. Ventilator, thawkna machine-ah dah an ni thei bawk. Hemi hun chhung hian damlo rilru ruhte a tikhauh thei a, chu chuan machine hnathawh a tibuai thei a ni. Atracurium pek a nih chuan chu ruhte chu a hahdam a, chu chuan ventilator chuan damlo tan thawkna hna a thawk thei ta a ni.
A pawimawh ber chu he damdawi hian hriat lohna a siam lo che a ni. Chuvangin Atracurium hi pek a nih apiangin muthilh tirtu damdawi (sedative) emaw anesthetic (anesthetic) emaw nen pek thin a ni.
He damdawi hi i pek hmaa i doctor hnena hrilh tur thilte
Atracurium hi damdawi a ni a, fimkhur taka hman a ngai a ni. Chuvangin, i operation hmaa anesthetist-in zawhna a zawh hunah engmah thup lovin a hnuaia thute hi i sawi hi a pawimawh hle.
| Situation i report tur a ni | A sawifiahna awlsam tak |
|---|---|
| Atracurium emaw damdawi dang emaw allergy nei | He damdawi hi allergy i neih tawh chuan i doctor hnenah hrilh ngei ang che, emaw, damdawi dang, ei tur dang emaw, dye dang emaw allergy i neih chuan i doctor hnenah hrilh ngei ang che. |
| Myasthenia Gravis emaw neuromuscular natna dang emaw a awm thei | Hengte hi taksa ruh chak lo tu natnate an ni. Chutiang damloteah chuan Atracurium hian nasa takin nghawng a nei thei a ni. |
| Asthma emaw, lung natna dang emaw a awm thei | He damdawi hi thawk harsatna nei damlote pek dawnin a bik takin fimkhur a ngai a ni. |
| Lung Natna | Lung natna i neih chuan doctor hnenah hrilh la. |
| Taksa chi (salt level) inthlak danglamna (Electrolyte Imbalance) . | Thisenah hian salt, calcium, magnesium, leh potassium te a tlem emaw, a tam emaw chuan damdawi hman thatna a tichhe thei a ni. |
| Kangmei lian tak tak emaw tui tlakchhamna emaw | Damdawi hnathawh dan hi kang nasa tak nei emaw, tui tlakchhamna nei emaw tan chuan a danglam thei. |
| Naupai emaw, nau hnute pek emaw | Naupai, nau pai tum emaw, nau hnute i pek emaw a nih chuan doctor hriattir a pawimawh hle. |
Atracurium nena inzawm thei damdawi dang
Damdawi i ei tawh thenkhat hian Atracurium hnathawh dan a nghawng thei a ni. Chumi awmzia chu Atracurium hian a nghawng a tipung emaw, a tlahniam lutuk emaw a ni thei tihna a ni. Chuvangin, i damdawi ei zawng zawng, vitamin, herbal products, leh supplement te pawh tiamin, i doctor hnenah hrilh rawh .
A nghawng thei thil pawimawh thenkhat chu hetiang hi a ni:
- Antibiotics thenkhat (e.g. amikacin, gentamicin) .
- General anesthetics thenkhat (e.g. isoflurane, halothane) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
- Lithium a ni
- Magnesium a ni
- Lung natna damdawi Quinidine leh Procainamide te
- Surgery neih chhunga taksa ruh tih hahdamna atana hman damdawi dang
Damdawi leh Overdose
He damdawi hi vein-ah injection angin emaw, saline infusion hmangin emaw pek thin a ni. Hei hi damdawi inah tih a ni a, medical team enkawlna hnuaiah tih a ni. Chuvangin dose pakhat hloh emaw, overdose emaw i neih loh tur thu i ngaihtuah a ngai lo. Engkim hi thunun theih takin a thleng vek a ni. Overdose rinhlelhna a awm chuan medical team chuan a tul angin hma an la thin. Chutiang poisoning dinhmun chungchangah hian hriat tur a awm a nih chuan Colombo National Hospital-a National Poisons Information Center hi kalna tur hmun a ni. Emergency a nih chuan damlo chu Emergency Treatment Unit (ETU) ah an refer thin.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Atracurium hian side effect engemaw zat a nei thei a ni. Mahse, he damdawi hi an pek che hian doctor leh nurse-te’n an hual vel che tih hre reng ang che. Chuvangin harsatna eng emaw a lo awm chuan an buaipui nghal mai ang.
| Atracurium hian a nghawng tha lo a nei thei | |
|---|---|
| Side effect na tak tak, medical team-a hriattir nghal tur | |
| Allergic Reaction awm thei te | Vun vun rawng, natna nasa tak, hmai, hmui emaw lei emaw a hring. |
| Thâwk lakah harsatna a awm | Thâwk a tawi, thawk dan inthlak danglamna pangngai lo. |
| Thisen sang tlahniam chhinchhiahna | Luak chhuak nasa tak, lu hring hring, mit sen hring. |
| Muscle Injury natna lan chhuah dan | Zun dum (cola rawng), taksa ruh natna nasa tak, zun harsa. |
| Thildang | Hmai sen, mit hring emaw allergy nei emaw, seizures. |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Muscle na/chak lohna | Damdawi nghawng a reh hnuah pawh taksa ruh natna emaw chak lohna emaw hriat. |
| Injection na hmuna natna | Injection na hmuna sen, na, emaw, a hring emaw. |
Take-Home Thuchah a ni
- Atracurium hi damdawi bik a ni a, operation leh intensive care treatment-a taksa ruhte chu hun eng emaw chen a tih hahdamna atana hman a ni.
- Hei hi damdawi inah chauh pek a ni a, specialist doctor-te enkawlna nghet tak hnuaiah pek a ni. In lama hman a ngai lo.
- I damdawi lam dinhmun zawng zawng (a bik takin allergy, asthma, heart disease, Myasthenia Gravis) leh damdawi dang i ei zawng zawngte chu doctor hnenah hrilh vek a pawimawh hle.
- He damdawi hi pek i nih chhung hian medical team ten an lo enkawl reng dawn che avangin hlauh a ngai lo.
- Symptom danglam emaw side effect emaw a awm chuan medical team chuan hma an la nghal ang. Chumi chungchang chu i doctor nen zalen takin sawipui rawh.
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