Operation i neih ngai tawh em? A nih loh leh i hriat mi pakhat chu intensive care unit (ICU)-ah ventilator hmangin a awm tawh em? Chutiang hunah chuan damlo taksa ruh (muscles) te chu a ti hahdam vek a, a ding reng a pawimawh hle. Hei hian doctor-te chu operation neih laiin awlsam takin hna a thawk thei a, damlo taksa chu ventilator-a an awm laiin machine nena insu lo turin a pui bawk. Chuvangin, vawiinah hian hetiang special case-a hman thin damdawi kan sawi dawn a ni. A hming chu Cisatracurium an ti a .
A awlsam zawngin Cisatracurium chu eng nge ni?
Cisatracurium hi ruh tichaktu a ni a . Kan taksa chhunga taksa ruh (muscles) te, kan hriat chian taka kan thunun (entir nan, kan ke ruh, kan kawr chhunga thau) te chu hun engemaw chen a ti hahdam emaw, a titawp emaw thei damdawi a ni. Damlo hnenah direct-a vein-a injection angin emaw, saline ang chi continuous infusion angin emaw pek thin a ni.
Hei hi a hmanna ber pahnih chu:
- Surgery lai: Surgery lian tham a tih laiin damlo taksa ruh a tension a nih chuan surgeon tan an hna tha taka thawh a harsa thei hle. He damdawi hian taksa pum a ti hahdam a, operation pawh a him zawkin a ti awlsam zawk a ni.
- Thâwk lakna khawl/ventilator nena connect a nih chuan: A nasat deuh deuhah chuan damlo chu a mah chauhin a thawk thei lo. Chutih lai chuan thawkna chu ventilator hmanga pek a ni. Mahse, a chang chuan damlo taksa hian he machine hnathawh hi a do thei a ni. He damdawi hian a titawp thei a, machine hian lungah boruak awlsam zawk a pe thei bawk.
A pawimawh ber chu he damdawi hi damlo chu anesthetics pek a, a rilru a buai vek hnua pek a ni. Hei hian taksa ruhte chauh a tichak lo avangin hriatna hloh a thlen lo. Chuvang chuan damlo chu engmah hrehawmna a neih loh nan nikhaw hre lo tura siam a pawimawh hle.
He damdawi hi i pek hmaa i doctor hnena i hrilh tur thilte
Cisatracurium pek i nih hmain anesthetist chuan nang leh i chhungte hnenah i hriselna chungchang a zawt ang che. Engmah thup lovin i damdawi lam dinhmun zawng zawng hrilh vek a pawimawh hle . A bik takin a hnuaia mite hi hrilh a pawimawh hle:
| Situation i report tur a ni | Simply engvangin nge? |
|---|---|
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy nei | Tun hmaa cisplatin emaw anesthetic dang emaw allergy i neih tawh chuan nunna atana hlauhawm tak a ni thei. |
| Kidney emaw Liver emaw natna | He damdawi hi kal leh thin (kidney) leh thin (liver) te hian taksa atangin a paih chhuak thin. Heng taksa peng hrang hrangte hi a chak lo a nih chuan damdawiin a nghawng chu a rei thei hle. |
| Thluak lam natna, asthma ang chi te | He damdawi hian a chang chuan thawkna kawng a nghawng thei a, chuvangin hei hi hriat lawk a pawimawh hle. |
| Neuromuscular natna, myasthenia gravis te hi a awm thei | Hetiang natna vei te hian he damdawi hian nghawng nasa zawk an nei thei a, chuvangin doctor-te chuan an damdawi pek danah an fimkhur hle tur a ni. |
| Thisen chhunga calcium, potassium, magnesium level inthlauhna emaw, inthlauhna emaw | Taksa chi leh tui level inthlak danglamna hian he damdawi hnathawh dan hi direct-in a nghawng a ni. |
| Burns (Kang lian tak tak) . | Heng damdawi chi hrang hrang taksain a chhan dan hi kangmei nasa tak nei damlote tan a inang lo thei. |
| Naupai emaw, nau hnute pek emaw | Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan doctor hrilh a pawimawh hle. |
He damdawi hman dan leh thil pawimawh dangte
Hei hi damdawi in lama hruai theih a ni lo. Cisatracurium hi damdawi in emaw clinic emaw-ah chauh doctor emaw nurse emaw trained ten an pe thin. Chuvangin, dose pakhat hloh theihna a awm lo.
He damdawi hi naupang te te leh nausen thlengin special case thenkhatah pek thin a ni. Mahse naupang enkawltu khauh tak hnuaiah tih a ni a, fimkhur takin tih a ni bawk.
Damdawi hman zat tihpun a nih chuan engtin nge ni ang? (A tam lutuk) .
Hei hi damdawi inah pek a nih avangin overdose chance a tlem hle. Mahse, hetiang thil hi a thleng a nih chuan emergency a ni. Chutiang a nih chuan damdawi in Emergency Treatment Unit (ETU) -a doctor-te'n a tul anga enkawlna an pe ang. Hemi chungchangah hian rinhlelhna i neih chuan Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni.
He damdawi nena inzawm thei damdawi dang
I damdawi ei zawng zawng, prescription leh over-the-counter damdawi, herbal products, vitamins, leh herbal products te pawh i doctor hnenah hrilh rawh. Damdawi thenkhat chuan Cisplatin nen an inzawm a, a nghawng a tipung emaw, a ti tlem emaw thei bawk. Entir nan:
- Antibiotics thenkhat - e.g. amikacin, gentamicin, tetracycline te pawh a awm bawk
- Hriselna atana hman tur damdawi (carbamazepine, phenytoin) .
- Lithium a ni
- Anesthesia atana hman damdawi dang (`isoflurane`, `halothane`) .
- Numbing damdawi (lidocaine) .
- Magnesium a ni
Side effects beisei tur chu engte nge ni?
Damdawi dang ang bawkin cisplatin hian side effect a nei thei a ni. He damdawi i ei lai hian Doctor leh nurse ten uluk takin an lo thlir reng ang che. Harsatna i neih chuan hriattir nghal rawh.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| Side effect na tak tak, i doctor emaw nurse emaw hnena hriattir nghal tur: | |
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Thâwk lak harsat | Thâwk harsa. |
| Thisen sang tlahniam chhinchhiahna | Dizziness , lu hring, mit sen hring tih hriatna. |
| Muscle chhiatna chhinchhiahna | Zun thim, zun harsa, hah lutuk, taksa ruh na. |
| Thildang | Hmai sen, mit a na emaw, a kang emaw, seizures. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur: | |
| Muscle na emaw chak lohna emaw | Anesthesia leh damdawi a hmanral hnuah chuan taksa ruh na emaw, chak lohna emaw engemaw zat i nei thei. |
Take-Home Thuchah a ni
- Cisatracurium hi injection bik a ni a, operation leh intensive care treatment-ah pawh taksa ruhte tih hahdam nan pek thin a ni.
- Hei hi damdawi inah chauh pek a ni a, doctor-te enkawlna hnuaiah pek a ni. Hei hi damdawi in lama hruai tur a ni lo.
- I damdawi lam dinhmun, allergy, leh damdawi i ei zawng zawng te chu i doctor hnenah operation hmaa hrilh hmasak a pawimawh hle.
- He damdawi i ei lai hian enkawl reng i ni ang a, chuvangin side effect a awm chuan enkawl nghal i ni ang.
- He damdawi chungchanga zawhna dang i neih chuan doctor zawt hreh suh.
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