Operation neih a ngai tawh em? A nih loh leh damdawi lam thil lian tak i tih a ngai tawh em? Chutiang hunah chuan tlem a hlauthawng leh lungkham deuh hi thil pangngai a ni. Chuvangin, doctor-te’n an hman thin damdawi bik a awm a, chu chuan i rilru a ti hahdam a, tlem a muhil thei a, awlsam zawka i kal theih nan a pui bawk. Vawiin hian chutiang injection pakhat, Dexmedetomidine, damdawi inah chauh hman thin chungchang kan sawi dawn a ni.
A awlsam zawngin, Dexmedetomidine hi eng nge ni?
Dexmedetomidine (DEX-mede-tom-deen) hian i nervous system a ti reh a, i mutthilh tir thin. Damdawi hman hma leh tih laiin i rilru hahdam nan hman a ni tlangpui. Vein pakhata injection angin pek a ni. Damdawi dawr atanga lei a, in lama hruai theih a ni lo . Damdawi in emaw, clinic emaw-ah chauh pek a ni a, doctor enkawlna hnuaiah pek a ni. He damdawi hi a chang chuan Precedex brand name hnuaiah i hmu mai thei.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i pek hmain i doctor chuan i hriselna chanchin kimchang a hre duh ang. A hnuaia dinhmunte hi hrilh ngei ang che, a bik takin:
| I hriselna dinhmun | Engvangin nge notification hi a pawimawh? |
|---|---|
| Zunthlum (Diabetes Mellitus) natna a ni. | He damdawi hian thisen sugar level a nghawng thei a ni. |
| Lung natna | A chhan chu heart rate leh thisen sang a tihniam a rinawm vang a ni. |
| Thisen sang a sang | A chhan chu thisen sang inthlak danglam nghal mai thei a ni. |
| Liver natna | A chhan chu liver atanga damdawi lakchhuahna process hi a slow thei a ni. |
| Allergy nei te pawh a awm | Dexmedetomidine emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan. |
| Naupai emaw, nau neih emaw | Nausen chunga nghawng a neih theih dan ngaihtuah turin. |
| Nau hnute pek | Damdawi chu hnute hnute hmangin naute hnenah a kal thei em tih ngaihtuah. |
A pawimawh ber chu i rilru a thil awm apiang, eng ang pawhin te pawh ni se, doctor nen inbiakna neih hi a ni. Engmah thup suh.
Damdawi hman dan tur leh ngaihtuah bik tur
He damdawi hi vein (intravenous line) chhunga tube dah hmanga pek a ni. Damdawi in pakhata doctor emaw, nurse trained emaw ten an ti thin.
- Naupang tan: He damdawi hi naupangte hnena pek a nih chuan a bik taka enkawl a ngai a ni. Dose leh monitoring hi puitling tan chuan a danglam hle.
- Kum 65 chunglam: Kum upa zawkte chuan he damdawi hian nghawng a nei nasa zawk thei a, chuvangin a dose tlem zawk pek an ni tlangpui.
- Dose tihpun a nih chuan engtin nge ni ang? (Overdose): Hei hi damdawi inah pek a nih avangin missed dose chance a tlem hle. Amaherawhchu, damdawi i dawng tam lutuk nia i hriat chuan damdawi lam thawktute hriattir nghal tur a ni. A dang pawhin Colombo National Hospital-a National Poisons Information Center emaw, hospital-a Emergency Treatment Unit (ETU) emaw- ah emaw an hriattir thei bawk.
He damdawi nena inzawm thei damdawi dang (Interactions) .
Damdawi dang i ei hian Dexmedetomidine hnathawh dan a nghawng thei a ni. Chuvangin i damdawi ei tur zawng zawng (Doctor dangin an pek, damdawi dawr atanga an lei, hnam damdawi, vitamin, herbal products) zawng zawng chu i doctor hnenah hrilh rawh. He damdawi hian a bik takin a hnuaia mite nen hian a inzawm thei a ni:
| Harsatna thlen thei substance/drug chi hrang hrang | Entirnan |
|---|---|
| Zu | Zu chi hrang hrang. |
| Sedatives leh mutna damdawi te | Benzodiazepines te hi Alprazolam, Diazepam, Lorazepam, Propofol te hi a ni. |
| Depression damdawi thenkhat | Amitriptyline, Trazodone hmanga siam a ni. |
| Painkiller leh khuh damdawi | Tramadol, Morphine, etc. (Opioids) te hi a awm a. |
| Epilepsy damdawi thenkhat | Phenobarbital, Primidone tih a ni. |
| Allergy damdawi thenkhat (Antihistamines) . | Mutthilh tir thei chi hrang hrang. |
Damdawi ei laiin side effect awm thei
Damdawi dang ang bawkin Dexmedetomidine hian side effect a nei thei a ni. Damdawi ina i awm chhung hian medical team te chuan uluk takin an lo vil reng ang che. Mahse, lungawi lohna i neih chuan hrilh nghal hlau suh.
| Side effects awm thei chu doctor emaw nurse emaw hnenah hriattir nghal tur a ni | |
|---|---|
| Side effect a awm thei | Ziarang |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Thisen sang hniam | Luak chhuak, muthilh, mit hmuhna fiah lo. |
| Thinlung thawk zawi zawiin | Luak chhuak, muthilh, thawk harsa, hah lutuk. |
| Khawsik | Khawsik chhunzawm zel, thawk rang emaw thinlung na emaw, hahna. |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Restlessness a awm | Lungkham, thinrim. |
| Kawng a vawt | Ka chhunga hmui a lo vawt ang maia hriat. |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah pawh hrilh bawk ang che.
Damdawi ei zawha fimkhur tur thilte
He damdawi hian a nghawng avang hian i taksa balance, reaction speed, leh thutlukna siam theihna a nghawng thei a ni. Chuvangin,
- I doctor-in tih leh a him a tih hma loh chuan lirthei khalh emaw, machinery emaw hman loh tur a ni .
- Thut emaw, mut emaw atanga i tho chuan zawi zawiin tho rawh . I tho thut chuan i luak chhuak a, i tlu thei bawk.
- He damdawi hi ei hnuah ni engemaw zat chu zu in loh vek tur a ni . Zu hian side effect a tipung thei a ni.
Take-Home Thuchah a ni
- Dexmedetomidine hi damdawi inah chauh pek thin a ni a, damdawi inah chuan i rilru a hahdam a, i mutthilh tir a, chu chu damdawi in hmaa i mut theih nan a ni.
- He damdawi hi i ei hmain i hriselna dinhmun zawng zawng leh i ei tur damdawi dang zawng zawng chu doctor hnenah hrilh hmasa phawt ang che.
- He damdawi hi damdawi lam enkawlna khauh tak hnuaia pek a ni. I dinhmun chu enfiah reng a ni ang.
- Thâwk harsa, luak chhuak nasa tak, allergy symptoms te ang chi side effect na tak i neih chuan medical staff te hriattir nghal rawh.
- Hei hi in lama damdawi a nih loh avangin dahkhawmna tur ngaihtuah a ngai lo.
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