Nangmah emaw, i hriat mi emaw chu doctor-in seizure atan emaw, operation hma emaw, mut theih lohna atan emaw damdawi a pe tawh em? Barbiturate a ni thei bawk. Hengte hi damdawi \angkai tak tak an nih rualin fimkhur ngai tak tak damdawi an ni bawk. Chuvangin, vawiin hian he thu hi han sawi ila.
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Barbiturates hi eng nge ni?
A awlsam zawngin, hengte hi damdawi chi khat, i rilru ti hahdamtu (sedative), emaw, mut tirtu (hypnotic) emaw an ni. Seizures ang chi condition te chu an titawp thei a, an veng thei bawk.
He damdawi hian kan thluak a nghawng dan hi a mak khawp mai. Kan thluaka chemical pakhat gamma-aminobutyric acid, a tawi zawngin GABA an tih chu a tipung a ni. He GABA hian thluak cell te hnathawh a ti hniam a. Chuvang chuan kan rilru a hahdam a, kan hahdam a, kan muhil bawk.
Eng dinhmunah nge doctor-te hian he damdawi hi an pek?
Tun hma chuan hengte hi operation laiin anesthesia atan an hmang tlangpui a, hei hi damlo mut thuk takah an dah theih vang a ni. Mahse, tûn laiah chuan chumi atâna ṭha zâwk leh side effect nei tlem zâwk damdawi thar zâwk siam chhuah a ni ta a ni.
Mahse, barbiturates hi damdawi lam harsatna thenkhat tan chuan damdawi pawimawh tak a la ni tho. Damdawi dang, paracetamol ang chi te nen pawh hman dun an ni \hin.
Barbiturates hmanna ber chu:
- Seizures ven nan: Mi thenkhat chu seizures kal zel control nan hengte hi pek an ni.
- Insomnia tan: Mut theih lohna enkawlna atan hun rei lote chhunga pek thin a ni.
- Anesthesia pek hmaa damlo tihmuang turin: Hengte hian operation hmaa damlo hlauhna tihziaawmna leh rang taka muthilh tir turin a pui a ni.
- Luruh chhunga pressure sang control nan (Intracranial Hypertension): Hengte hi thluak nena inzawm emergency thenkhatah hman thin a ni.
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Check Availability →Barbiturates hman tlanglawn ber berte chu engte nge ni?
Khawvel hmun hrang hrangah barbiturate chi hrang hrang a awm a. Amaherawhchu, a then chu kan ramah hman a ni lo. A hman tlanglawn ber berte chu hetiang hi a ni:
| Ruihhlo Hming | Eng atan nge hman a nih ber? (Hman dan ber) . |
|---|---|
| Phenobarbital a ni | Hei hi kan rama mi tam takin an lo hriat tawh hming a ni. Seizure ven nan leh a lo awm huna control nan pawh hman a ni. |
| Butalbital a ni | Amah chauhva pek a ni tlem hle. Aspirin, paracetamol, leh caffeine ang chi thil te nen hman dun a ni a, migraine leh lu na thenkhat enkawlna atan hman a ni. |
| Primidone a ni | Hei hi seizure venna atana damdawi pek dang a ni. |
| Methohexital a ni | Surgery emaw test tawi tak tak, entirnan electroconvulsive therapy-ah te anesthesia atan hman a ni. |
He damdawi hian eng hlawkna nge a neih?
Hengte hi damdawi hlui tak tak an nih avangin kum sawm tam tak chhunga zirchianna data a awm a ni. Tin, first-line damdawiin hna a thawh loh hunah second option atan pawh hman theih an ni bawk.
A thatna pawimawh tak pakhat chu an thiltih hun chhung a inang lo . Ṭhenkhat chuan hun rei lote chauh an thawk a, minute tlemte ang chi. Hei hi surgery tawi te tan chuan a tangkai hle. Mi dangte chu taksaah darkar tam tak emaw, ni tam tak emaw pawh an awm thei. Chu chu seizures venna atana pek chhunzawm zel chhan pakhat a ni.
| Bithliahna | Hun Hman Dan Tur |
|---|---|
| Ultra-short-a tih theih a ni | Minute 15 aia rei lo. (Entirnan: Methohexital) tih hi a ni. |
| Short-acting a ni | Darkar 3-4 vel a ni. (Ex: Pentobarbital) tih a ni. |
| Intermediate-a thiltih a ni | Darkar 4-6 vel a ni. (Ex: Butalbital) tih a ni. |
| Hun rei tak chhunga che thei | Darkar 12 thleng, mahse taksaah ni eng emaw zat a awm thei. (Ex: Phenobarbital) tih a ni. |
Barbiturates hian eng hlauhawmna leh harsatna nge a neih?
Tuna barbiturates hman a tlahniam chhan ber chu an hlauhawm vang a ni. Hei hi i hriat chian a ngai ngei ang.
- Tolerance leh Dependence/Addiction: Hun a kal zel a, taksain ruihhlo hi a lo thiam tawh thin . Tichuan a hmaa dose kha a tawk lo va, chutiang bawka effect neih theih nan dose sang zawk a ngai a ni. Hei hi Tolerance an ti a. Innghahna tih awmzia chu taksa chu damdawiah a innghat ta tihna a ni. Damdawi hi tihtawp a nih chuan withdrawal symptoms na tak a awm thei. Addiction tih awmzia chu he natna hi rilru lam natnaah a lo chang a, chu mi chuan damdawi chu a hman a chawlhsan thei lo, a nun tichhe thei pawh ni se.
- Thinlung leh thawk lama harsatna: Hengte hian lungphu leh thisen sang a tihhniam phah thei a ni. I ei tam lutuk emaw, dose dik lo emaw i ei chuan thawk i chawlhsan thei. Hei hi nunna atana hlauhawm emergency a ni.
- Damdawi dang nena inzawmna: Barbiturates hian liver hnathawh a nghawng a. Chuvangin, damdawi dang i ei \henkhat chu i taksa a\angin a bo nghal vat thei a, chu chuan a ti \ha lo thei hle.
- Nu naupai leh nau hnute pe mek tan hlauhawmna: Naupai i nih chuan heng damdawi te hi i ei loh tur a ni. Nu hnute tui hmangin i naute hnenah an kal thei bawk.
A pawimawh ber chu i damdawi ei tur chu i doctor-in a hrilh ang chiah chiah, leh i hrilh hun dik tak ei tur a ni. Dose hi thlak ngai suh la, i duh dan angin ei kha titawp ngai suh.
Engtikah nge ETU ah ka kal ang?
Nangmah emaw midang emawin barbiturates ei laiin a hnuaia symptoms pakhat emaw a aia tam emaw an lantir chuan overdose chhinchhiahna a ni thei.Hei hi nunna atana hlauhawm emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Thâwk harsa (dyspnea) .
- Buaina nasa tak emaw, ngaihtuah harsat emaw
- Fainting a ni
- Heart rate hniam lutuk (bradycardia) emaw, chak lo mahse chak lo
- Luak chhuak /vertigo na tak
- Nausea leh luak chhuak
- Hypothermia a awm thei
- Hmui dum emaw, kut zungtang emaw (cyanosis) .
- Hmun khata mit dah theih lohna emaw, mitmeng te tak te emaw, lian lo emaw a awm thei lo
Ruihhlo addiction leh withdrawal symptoms te
He damdawi hi rei tak i ei chuan i taksain a lo thiam tawh thin (dependence). I ei loh thut chuan withdrawal symptoms i nei thei. Chung zingah chuan:
- Restlessness leh agitation
- Tremor (kut ang chi taksa peng hrang hrang inthlauhna) .
- Rilru tibuai
- Convulsion na tak tak a awm
Heng symptoms te hi ngaihthah suh. A nasat chuan hei hian nunna a tichhe thei a ni.
Hemi chungchang hi doctor hnenah hrilh hreh suh.
I doctor hnenah heng symptoms te hi i nei tih hrilh chu hlau lo la, zak suh. I taksa hi heng damdawi te hi a innghahna a ni fo thin. Chu chu Doctor-te pawhin an hre chiang hle. I hrilh chuan i doctor chuan i natna lan chhuah dan a reh hma loh chuan zawi zawiin damdawi ei kha a tihtlem theih nan a pui thei che a ni.
He damdawi hi him taka vawn a pawimawhzia
Heng damdawi te hi hman dik loh a hlauhawm avangin cupboard-ah, in chhung sang takah dah a pawimawh hle. A bik takin naupang tê leh puitling tleirawlte thlen theih lohna hmunah. He fimkhurna hian accidental poisoning emaw, hmansualna dang emaw, a rah chhuah hlauhawm tak nei thei tur venna kawngah a pui thei a ni.
Take-Home Thuchah a ni
- Barbiturates hi damdawi chi chak tak a ni a, mut leh seizure ang chi natna enkawltu a ni a, mahse hlauhawmna nasa tak a keng tel thung.
- Heng damdawi te hi a dose leh doctor in a tih angin chauh ei fo thin ang che . Dose hi nangmah chauhin thlak ngai suh, titawp ngai suh.
- Doctor thurawn tel lovin zu emaw, mut tirtu damdawi dang emaw nen barbiturates ei ngai suh. A hlauhawm hle mai.
- Overdose symptoms a lan chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh .
- Damdawi avanga innghahna emaw, withdrawal symptoms emaw i neih chuan i doctor nen inbia ang che. Hrisel taka ei tawh loh nan an pui thei che a ni.
- Heng damdawi te hi naupangte hmuh theih lohna hmunah hmun khar leh him takah dah fo ang che .
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