Nangmah emaw, i hmangaih tak emaw hnenah operation i mamawh tih an hrilh tawh em ? "General anesthesia" tih thumal i hriat hian tlem a hlauthawng emaw, lungkhamna emaw i neih hi thil pangngai tak a ni. "Going under" tih ngaihtuahna hian hlauhawm tak a nih laiin, a takah chuan damdawi lam kalphung hmasawn tak leh him tak a ni. Nirogi Lanka-ah hian ' General Anesthesia ' chungchanga i zawhna zawng zawng chu kan tichiang duh a, chutiang chuan inpeih leh hahdam takin i awm thei ang.
A awlsam zawngin sawi ila, General Anesthesia Hi Eng Nge Ni?
General anesthesia hi damdawi lam controlled state a ni a, surgery lian tak neih hmain muthilh ang maia thuk takah a dah che a ni. Hetiang dinhmunah hian natna i nei lo tak zet a, operation neih chhunga thil thleng engmah i hre reng lo vang . Mut thuk leh hahdam takah drift a, procedure zawh veleh harh ang maiin a lang.
Hei hi specialist trained sang tak Anesthesiologist an tih chuan a pe thin. I surgery a tan tirh atanga a tawp thlengin he doctor hi i bulah a awm reng a, hnathawh pawimawh zawng zawng—i thawk dan leh i thinlung thawk dan ang chi—chu a enfiah a, chu chu him taka i mut theih nan leh i tih zawh hunah hahdam taka i harh theih nan a ni.
Hriat tur pawimawh tak chu hei hi mut dan pangngai mai a ni lo. Medically induced, uluk taka enkawl state a ni a, i himna chu 100% a dah pawimawh ber a ni.
Anesthesia chi hrang hrang hriatthiamna
I mamawh dan azirin anesthesia chi hrang hrang a awm. A danglamna hriat a pawimawh:
| Anesthesia chi hrang hrang | Eng Nge A Ni | Entirna tlanglawn tak tak |
|---|---|---|
| General Anesthesia hmanga tihdam a ni | Taksa pum pui chu muthilh thuk takah a dah. Engmah i hre lo va, thil thleng kha hriatrengna pawh i nei lo. | Lung zai, thluak surgery, pum surgery lian tak tak te. |
| Regional Anesthesia hmanga enkawl a ni | Taksa hmun zau tak (eg, kawr atanga hnuai lam) a ti na. I harh reng mai thei. | C-section, hip emaw khup emaw thlak danglam. |
| Local Anesthesia hmanga enkawl a ni | Numbs chu hmun tenau tak, bik tak chauh a ni. | Ha hnathawh, hliam te tak te stitching. |
| Sedation tih hi a ni | I rilru hahdam leh mutthilh tir a, mahse i rilru a buai kim lo. | Colonoscopy, biopsy thenkhat tih te. |
Process chhung hian eng nge thleng?
Operation room i thleng tawh ang tih han ngaihtuah teh. Hetah hian thil thleng chu a awm:
1. Damdawi: Anesthesiologist chuan i vein-ah IV line a dah lut ang a, damdawi a rawn pe ang. A châng chuan, mask hmanga gas thawk tûra tih i ni thei bawk. Minute tlemte chhungin i muhil nghal vat ang .
2. Breathing Support: I mut veleh doctor chuan i taksa ruh ti hahdam nan damdawi a pe ang che a, i thlipui (windpipe) chhungah tube te tak te a dah ang. Hei hian surgery chhung zawng hian oxygen tling tak i dawng thei a ni. I mut thuk em avangin engmah i hre lovang.
3. Constant Monitoring: Surgery neih chhung zawng hian team chuan i:
- Thâwk chhuah
- Taksa lum leh vawt
- Lungphun a thawk chhuak
- Thisen sang a ni
- Oxygen level a sang hle
- Fluid level a awm bawk
Heng chhiar dan atang hian i damdawi chu an siamrem ang a, engkim a nghet theih nan tui an pe ang.
4. Harhchhuah: Surgery an tih zawh veleh anesthesiologist chuan damdawi chu a titawp a. Chumi hnuah Recovery Room-ah sawn i ni ang a, chutah chuan zawi zawiin i harh tan ang. Doctor leh nurse ten i rilru hahdam leh natna nei lo i nih leh nih loh an enfiah ang che.
Eng Damdawi nge Hman?
General anesthesia atan hian IV leh inhaled drugs inzawmkhawm hi hman a ni tlangpui.
IV Damdawi pawimawh tak tak:
- Propofol: Mut thuk taka mut tir leh vawn reng nana damdawi hman tlanglawn ber.
- Ketamine: A chang chuan operation tawi te atan emaw, natna tidamtu atan emaw hman thin a ni.
- Etomidate: Damdawi, hun rei lote chhunga hman theih, anesthesia process tanna atana hman ber a ni.
Damdawi inhaled: 1.1.
- Sevoflurane: Anesthesia tan leh enkawlna atana hman tlanglawn gas.
- Isoflurane: Tunah chuan a rimtui em avangin hman a ni tawh lo.
- Desflurane: Anesthesia enkawl nan hman a ni.
- Nitrous oxide: "Laughing gas" an ti fo thin. Amah chauhin a chak tawk lo va, damdawi dang nen a inhmeh tlangpui.
Engtin Nge I Inbuatsaih Ang?
I surgery hmain i surgeon leh anesthesiologist te pahnih hian an inbia ang che. An hriat a ngai dawn a ni:
- Hriselna dang i nei em? (eg, zunthlum, thisen sang, thinlung lam harsatna)
- Eng damdawi nge i ei thin? (Prescription, vitamin, leh herbal supplement zawng zawng te pawh telh vek tur a ni)
- Allergy i nei em? (Drugs, latex, ei leh in, etc.)
- Zu i in em, zu i in em, intihhlimna atana ruihhlo i hmang em?
- Tun hmain anesthesia hmang hian i rilru a na em em em?
Heng zawhnate hi chhannaah hian rinawm takin lo awm rawh . I himna atan a pawimawh hle.
I doctor chuan ei leh in leh tui ei loh turin a hrilh bawk ang cheoperation hma darkar 8 vel chhung. Hei hi a chhan chu anesthesia hian i taksa ruhte a ti hahdam a, chu chuan i pum chhunga thil awmte chu i lungah a luhtir thei a ni—chu chu harsatna hlauhawm tak a ni. I operation hma kar khat vel khan Aspirin ang thisen tithianghlimtu ei kha bansan turin an ti thei bawk.
Side Effect a awm em?
Harh hnua groggy deuh emaw, chau deuh emaw tih hi thil pangngai a ni. Heng hun eng emaw chen atana side effects te hi i tawng thei bawk:
- Nausea leh luak chhuak
- Kawng a vawt
- Thlarau na emaw, hoarseness (thâwk chhuahna kawng aṭanga) .
- Mutthilh theih lohna
- A khur nghal zat
- Muscle a na hle
- Itching a ni
- Hun eng emaw chen atana buaina emaw hriatrengna lama harsatna (damlo tar zawkah a tam zawk) – hei hi kar khat chhungin a thianghlim tlangpui.
Eng Risk Nge Ni?
Mi hrisel tak tan chuan general anesthesia hi a him hle a ni . Mahse, risk level hi group thenkhat tan chuan a sang zawk thei a:
- Mimal thau lutuk nei te
- Kum upa lam damlote
- Hriselna lama harsatna nei (eg, thisen sang, zunthlum, thinlung/lung/kal natna) nei te
- Obstructive Sleep Apnea nei te tan chuan
- Meizial zu thinte
- Thisen tihthianghlimna damdawi ei thinte
Zu in fo thinte chu a bik takin an fimkhur tur a ni. Nitin zu in hian anesthesia dose leh i dam leh hun tur a nghawng thei a ni. Hemi chungchang hi i doctor nen zalen takin sawipui rawh. Thil thleng tlemteah chuan "anesthesia awareness" (surgery neih laiin a then hriatna) a awm thei a, mahse tunlai monitoring hmanrua avang hian hei hi a danglam bik hle.
Take-Home Thuchah a ni
- General anesthesia hi tunlai, damdawi hman dan him tak a ni. A tul lova hlauhna thlen tir suh.
- I himna tur atan anesthesiologist chuan a hun chhung zawngin a lo enkawl reng ang che.
- I hriselna, damdawi leh tih dan (zu in/zu) chungchangah i medical team hnenah rinawm takin sawi fo ang che. Hei hi i venhimna atan a ni.
- I doctor-in operation hmaa a thupekte kha khauh takin zawm la, a bik takin chaw nghei chungchangah.
- Side effect tam zawk hi chu hun eng emaw chen atan a ni. Thil ngaihtuah chhunzawm zel i neih chuan i medical team biak emaw, symptom na tak i neih chuan emergency medical services zawng emaw rawh.
Anesthesia, General Anesthesia, Surgery, Operation, Anesthesiologist te a ni
