Nangmah emaw i hriat mi emaw chu operation neih a ngai tawh em ? Chutiang huna mi tam takin an hlauh ber pakhat chu “anesthesia hnuaia dah” chungchang hi a ni. “Being put out of consciousness” tih thumal i hriat hian tlem a hlauthawng hi thil pangngai a ni. Mahse a takah chuan damdawi lam kalphung hmasawn tak, him tak a ni. Chuvangin vawiin hian he complete anesthesia, emaw ‘ General Anesthesia ’ chungchanga zawhna i neih zawng zawng hi han sawifiah ila.
A awlsam zawngin, general anesthesia chu eng nge ni?
General anesthesia chu major surgery hmaa mut thuk ang chi state-a dah a ni. Hetiang dinhmunah hian i taksa hian natna a nei lo va, operation neih chhung hian thil dang i hre reng lo vang . Mut thuk tak atanga i harh thar ang mai a ni.
Hei hi anesthesiologist-in a ti thin. He doctor hi operation tan atanga a zawh thlengin i bulah a thu a, i taksa chetna zawng zawng ( thawk , thinlung thawk , etc.) a enfiah a, him takin a muthilh tir che a, operation zawh hunah a kaitho leh thin che a ni.
A pawimawh ber chu, hei hi eng mut mai pawh a ni lo. Hei hi medically controlled, deep state of unconsciousness a ni a, i himna chu 100% in a tichiang a ni.
Anesthesia chi hrang hrang inthlauhna hi han hrethiam ila.
General anesthesia bakah hian anesthesia hman dan dang a awm bawk. Hengte hi a danglamna hriat a pawimawh hle.
| Anesthesia chi hrang hrang | A awlsam zawngin, . | Entirnan |
|---|---|---|
| General Anesthesia hmanga tihdam a ni | Taksa pum pui muthilh thuk takah dah. Engmah hre lo leh hriat reng loh. | Heart surgery, thluak surgery, pum surgery lian tak tak te. |
| Regional Anesthesia hmanga enkawl a ni | Taksa hmun zau tak (e.g. kawr hnuai lam) chunga rilru hahna. Damlo chu a hriatna a nei thei. | Cesarean section (C-section), hip emaw khup emaw thlakna tur surgery neih a ni. |
| Local Anesthesia hmanga enkawl a ni | Hmun tlemte chauh ah numbness. | Damdawi, ha lakchhuahna atana kawchhunga inthun, hliam tuar hmaa inthun thin damdawi. |
| Sedation tih hi a ni | Damlo chu light, mutthilhna hmunah dah. Thil hriatna hloh vek a ni lo. | Colonoscopy test, biopsy test thenkhat. |
Surgery neih laiin engtin nge anesthesia hian hna a thawh?
Operation theatre-ah i awm tih han mitthla teh. Eng nge thleng leh ang?
1. Damdawi pek dan: A hmasa berin anesthesiologist chuan cannula (IV line) a dah ang a, chu chu i kut chhunga vein pakhata saline dahna tube a ni a, chuta tang chuan anesthetic damdawi chu a pe ang che. A chang chuan mask hmanga thawk tur gas pek i ni bawk ang. Hei hian minute tlemte chhungin a muthilh tir ang che .
2. Thâwkna kawng (Breathing tube) dah luh: I mutthilh zawh hnuah doctor chuan i kawr chhunga thau (muscles) te tih hahdamna tur damdawi a pe ang che a, i ka kaltlangin i thlipui (windpipe) chhungah tube a thun ang. Hei hi surgery chhung zawnga oxygen i mamawh zat i dawng chhunzawm zel theih nan a ni. I mut avangin dah luh pawh i hre lovang.
3. En reng reng: Surgery chhung zawng hian anesthesia team te chuan i taksa chu a hnuaia mite hi ngun takin an enkawl ang:
- Thâwk chhuah
- Taksa lum leh vawt
- Lungphun na tak
- Thisen sang a ni
- Thisenah oxygen level a awm
- Taksa tui level
Heng tehnate a\ang hian damdawi pek zat chu an siamrem ang a, extra saline an pe ang che, a tul chuan thisen pawh an pe ang che.
4. Harh thar lehna:Surgery a zawh chuan doctor chuan anesthesia a pe tawh lo ang che. Tichuan recovery room-ah hruai i ni ang. Chutah chuan zawi zawiin i harh tan ang. Doctor leh nurse ten uluk takin natna emaw, harsatna dang emaw i neih leh neih loh an enfiah ang che.
Hemi atan hian eng damdawi nge hman?
General anesthesia atan hian intravenous (IV) leh inhaled damdawi te hi hman a ni. A tlangpuiin chi hnih hi hman dun a ni.
Damdawi lian ber ber, thisen kal tlanga pek thin (IV Drugs):
- Propofol: Hei hi damdawi hman tam ber a ni. Mut thuk takah a dah che a, surgery chhung zawngin chutiang dinhmunah chuan a awm reng theih nan a pui bawk.
- Ketamine: Surgery tawi te tan pawh a mah chauhin hman theih a ni. Pain reliever angin a thawk bawk.
- Etomidate: Hei hi damdawi hman rei lo tak a ni. Anesthesia induce nan hman a ni ber.
Damdawi inhaled: 1.1.
- Sevoflurane: Anesthetic gas hman tlanglawn tak a ni. Anesthesia tih tan leh enkawl nan hman a ni.
- Isoflurane: Tunah chuan hman a tlem tawh hle a, a chhan chu rimtui tak a neih vang a ni.
- Desflurane: Anesthesia enkawl nan hman a ni.
- Nitrous oxide: “Nui gas” an ti bawk. A chak vak loh avangin amah chauhin hman a ni lo. Damdawi chak tak dang nen pek dun a ni.
Anesthesia hmain engtin nge i inbuatsaih thin?
I surgery hmain i surgery titu doctor leh anesthesiologist te pawhin an biak ang che. Anesthesiologist chuan heng zawhnate hi a zawt ngei ang che:
- Damdawi lam harsatna dang eng nge i neih? (zunthlum, thisen sang, lung natna ang chi) .
- Eng damdawi chi nge i hman? (damdawi damdawi, vitamin, Ayurvedic damdawi te pawh telin engkim)
- Allergy i nei em? (damdawi, artui, soy, etc.) .
- Meizial i in em? Zu i in em? Damdawi dang i hmang em?
- A hmaa surgery i neih lai khan anesthesia i hman khan adverse reaction i nei tawh em?
Heng zawhnate hi dik takin chhang ngei ang che. I himna atan a pawimawh hle.
Tin, i doctor chuan operation hma darkar 8 vel ei leh tui tih loh thil dang ei leh in loh turin a fuih ang che . Hei hi a chhan chu anesthesia pek laiin taksa ruhte a relax a, chu chuan i pum chhunga ei tur chu i lung chhungah a kal lut thei a ni. Hei hi dinhmun hlauhawm tak a ni. Tin, thisen chhuahna tipungtu damdawi thenkhat, aspirin ang chi, operation hma kar khat vel chu ei tawh lo turin an ti thei bawk che a ni.
Anesthesia hnuah side effect a awm em?
Anesthesia atanga harh hnua mut hah deuh hi thil pangngai a ni. Chumi piah lamah chuan heng ang side effect tenau te pawh i nei thei a, mahse hengte hi hun engemaw chen hnuah a bo mai ang.
- Nausea leh luak chhuak
- Kawng a vawt
- Thlipui na emaw, ri bengchheng emaw (thlipui tleh vang) .
- Mutthilh theih lohna
- Taksa a nghing
- Muscle na a na
- Itching a ni
- Hun eng emaw chen atana hriatrengna lama harsatna emaw, buaina (a bik takin kum upa lam) – He natna (delirium) hi kar khat chhungin a reh vek tlangpui.
Anesthesia hman hian eng hlauhawmna nge a neih?
Mi hrisel tan chuan general anesthesia hi a him hle . Mahse, mi thenkhat chu harsatna an neih theihna chance a sang deuh hlek a ni. Tute nge an nih i en ang u.
- Mi thau lutuk nei te
- Kum upa lamte
- Natna khirh tak tak nei, thisen sang, zunthlum, thinlung natna, lung natna, kal natna te
- Obstructive Sleep Apnea nei te
- Mi zu in thinte
- Mite thisen tithianghlimtu aspirin ang chi ei thin
- Anesthetic drugs allergy nei te
Zu in thinte chu a bik takin fimkhur tur a ni. Nitin zu in hian anesthesia dose a tidanglam thei a, operation hnua dam hun a ti rei thei a, natna kai theihna a tisang thei bawk. Chuvangin he thu hi i doctor hnenah rinawm takin sawi rawh.
Very rarely , mi sangkhat zinga pakhat vel, mi pakhat chu anesthesia (Anesthesia Awareness) hnuaia a awm laiin a hriatna a nei thei. Tunlai monitoring equipment vang hian tunah chuan hetiang thil thleng theihna chance a tlahniam tawh hle.
Take-Home Thuchah a ni
- Tunlai hian general anesthesia hi damdawi lama hmanraw changkang tak leh him tak a ni. A tul lovah hlau suh.
- Anesthesiologist chu i bulah a thu ang a, operation chhung zawngin a enkawl ang che.
- Surgery i tih hmain doctor hnenah i hriselna dinhmun, damdawi i ei dan leh i tih dan (meizial/zu in) chungchang thudik hrilh hmasa phawt ang che. Mahni himna tur a ni.
- I doctor thupek dik takin zawm la, a bik takin operation hmaa chaw nghei chungchangah.
- Anesthesia hnua side effect tam zawk hi chu hun eng emaw chen atan a ni. Thil hrehawmna a awm reng chuan doctor thurawn la nghal rawh.
Anesthesia, General Anesthesia, Surgery, Operation, Surgery, Anesthesiologist, Anesthesiologist tih te a ni











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