Surgery tenau te, needle hrual emaw, thisen lak emaw pawh a ngai tawh em? A natna avanga hlauthawng deuha inhriat hi thil pangngai a ni. Hetiang hunah hian i doctor chuan natna tihziaawmna tura pui turin patch hnawih turin a ti thei che a ni. Plaster ang maia lang mahse a takah chuan damdawi a ni. Vawiin hian hetiang hun atana hman thin special patch kan sawi dawn a, vun a ti na a, damdawi pahnih Lidocaine leh Tetracaine tih te a awm bawk.
He Lidocaine hi eng nge ni; Tetracaine Patch hi a awm em?
A awlsam zawngin, damdawi pahnih inzawmkhawm a ni a, hun rei lote chhung atan i vun leh a chhehvel tissue te chu a tichak lo va, rei lo te chhung chu natna hriatna chu a tikhawlo thei a ni. Heng damdawi pahnih hi Lidocaine leh Tetracaine te an ni . Damdawi chi khat, local anesthetics an tih zingah an tel a ni. Chumi awmzia chu taksa hmun tlemte chauh an numb thei tihna a ni.
I kut vunah damdawi tlemte i inject a ngai ang tih han ngaihtuah teh. Chutih lai chuan he patch hi chu hmunah chuan a innghat a nih chuan chu hmun chu a numb ta vek a ni. Tichuan, needle an dah chuan natna i hre lo hle. Hei hi thil danglam bik dang chu patch chi thenkhatah chuan heat tlemte siam chhuak thei system an nei a. He khaw lum avang hian damdawi chu vunah a lut nghal vat a, vunah a bengchheng zual sauh bawk.
He patch hi i hman hmaa i doctor hnena i hrilh tur thilte
Hei hi thil awlsam tak angin lang mah se, hei pawh hi damdawi a nih avangin i hriselna dinhmun hi doctor hriattir a pawimawh hle. A bik takin a hnuaia dinhmunte hi i neih chuan doctor hnenah hrilh ngei ang che.
| Hriselna dinhmun emaw harsatna emaw | Engvângin nge chu chu a pawimawh? |
|---|---|
| Liver natna | Taksa atanga damdawi lakchhuahna kawngah thin (liver) hi a pawimawh em avangin, he damdawi hian thin natna vei te a nghawng dan hi a danglam thei hle. |
| Pseudocholinesterase tlakchhamna a awm | Hei hi genetic condition hmuh tur awm lo tak a ni. Hetiang natna vei te hian an taksaa heng anesthetics chi hrang hrangte hi tihchhiat an harsat a, hei hian side effects a thlen theihna a tipung a ni. |
| Vun natna emaw harsatna emaw a awm | Patch hnawih tur hmunah hliam, hliam emaw, eczema emaw a awm chuan taksain damdawi a lakluh zat a danglam thei. |
| Allergy nei te pawh a awm | Lidocaine, Tetracaine, anesthetics dang, PABA, parabens, emaw damdawi emaw ei tur dang emaw allergy i neih chuan i puang chhuak tur a ni. |
| Naupai emaw, naupai tum emaw | Naupai laia damdawi eng pawh i hman hunah i fimkhur tur a ni a, chuvangin hemi chungchang hi i doctor nen inbia ang che. |
| Naute hnute pek | Damdawi chu hnute hnute hmangin naute hnenah a kal thei em tih finfiah turin doctor rawn la. |
Engtin chiah nge he patch hi ka hman ang?
Hei hi hman dan hi a awlsam hle a, mahse a thupek dik tak zawm a pawimawh hle.
1. Dawhthei rawh: Patch chu a package atang hian i hnawih theih hma loh chuan la chhuak suh.
2. A hmun dik takah hnawih: Doctor-in a sawi vun hmunah chauh hnawih rawh. Hmun hliam, hliam, sen, emaw eczema nei hmunah hnawih suh .
3. Fimkhur takin hnawih: Packet atang hian patch chu la chhuakin, a sir lam kil sticky tak takah chauh vawn la, vunah hnawih rawh.
4. Hun hman danah fimkhur rawh: Doctor-in a sawi aia rei i vunah patch hi dah suh. A tlangpuiin minute 20-30 aia rei dah loh tur a ni.
5. Tui lakah fimkhur rawh: Patch i hnawih hnuah tui hi theh suh. Shower leh sil suh.
6. Hrisel taka la chhuakin paih rawh: A hun a lo thlen chuan a sir khata vawn chungin uluk takin la chhuak ang che. Tichuan, patch hman tawh chu a sticky side chu chhung lam hawiin fold la, a rawn luhna package-ah dah la, bawlhhlawh bawmah paih la, naupang leh ran vulhte hmuh theih lohna hmunah paih rawh Hei hi a pawimawh hle.
7. Kut sil: Patch i hnawih hma leh i paih zawh hnuah sahbawn hmangin uluk takin kut sil thin ang che.
I hman sual emaw, a tam lutuk emaw i hman chuan engtin nge ni ang? Rei lutuk i vawn chuan emaw, pakhat aia tam i hman chuan a hlauhawm thei tih hre reng ang che. Hetiang thil hi a thleng tih rinhlelhna tlemte pawh i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Hei hi naupang tan i hmang em?
Ni e, thil bik thenkhatah, entirnan, injection na tak pek hmain, doctor chuan naupang kum 3 chunglam tan hetiang hi a rawt thei a ni. Mahse uluk taka tih a ni. Chuvangin, naupang chunga hei hi i hman chuan naupang enkawltu thupek i zawm ngei tur a ni .
Hman huna ngaihtuah tur bik point
- Numbness hnuah fimkhur rawh: Patch lakchhuah hnuah darkar engemaw zat chu a hmun chu a hring thei. Natna i hriat loh mai theih avângin, a hmun chu hrual suh, hnawih nasat suh, thil lum leh vawt takah dah suh. I tum loh takin i inhliam mai thei.
- I mit venhim: He damdawi hi engti kawng mahin i mit nena inzawm tir suh. I mit a tichhe thei hle. I mitah i lut palh a nih chuan tui emaw saline solution emaw hmangin uluk takin silfai nghal la, i hriatna i neih leh hma loh chuan khar reng rawh.
- Patch chu cut suh: Patch chu cut suh la, a chunga khuhna pawh la chhuak suh. Chutianga tih chuan patch chu a lum lutuk thei a, vun a kang thei bawk.
- MRI scan hmain: Magnetic Resonance Imaging (MRI) scan i neih dawn chuan he patch hi i bun leh chuan MRI technician hnenah hrilh rawh. MRI hmaa lakchhuah a ngai a ni.
Damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat chu common tak an ni.
| Side effect chi hrang hrang | Ziarang |
|---|---|
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Skin rash, itching, hmai, hmui, lei hring. |
| Skin reaction na tak tak a awm | Patch dahna hmunah chuan blistering leh natna nasa tak a awm. |
| Nervous system-a nghawng a neih dan | Buaina, rilru hah lutuk, buai lutuk, luak chhuak, mutthilh, lu na, seizures, khur. |
| Symptom na tak dang a awm bawk | Thâwk harsa, mit a danglam, khawsik, khawsik, thinlung thawk mumal lo, luak chhuak, luak chhuak. |
| A tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hrilh rawh) . | |
| Vun inthlak danglamna tenau te | Vun a sen emaw, a sen emaw, a hring deuh emaw, patch an hnawih na hmunah a hring emaw. |
He damdawi nena inzawm thei damdawi dang a awm em?
Ni e, a dik tak zet. He patch-a damdawi hi i ei tur damdawi dang nen a inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng, vitamin, supplement, leh zu i in leh in loh te pawh doctor hnenah hrilh a pawimawh hle A hnuaia damdawi te hi i ei a nih chuan doctor hnenah hrilh ngei ang che:
- Acetaminophen (Paracetamol) hmanga siam a ni.
- Antibiotics thenkhat (dapsone, nitrofurantoin ang chi) .
- Anticonvulsant damdawi (phenobarbital, phenytoin ang chi) .
- Lung damdawi (nitroglycerin ang chi) .
- Local anesthetics dangte pawh a awm bawk
He list hi a kim lo a, chuvangin i himna atan i doctor nen engkim sawipui rawh.
Take-Home Thuchah a ni
- He patch hi doctor-in a tih angin chauh hman tur a ni. I duh angin hmang suh.
- Hun ruat aia tam (e.g. minute 30) .I vunah rei tak dah suh.
- Damdawi dang i ei zawng zawng chu i doctor hnenah hrilh rawh.
- After removing the patch , vun natna hmun chu hliam lo turin fimkhur rawh.
- Patch hman tawh chu him takin paih la, naupang leh ran vulhte hmuh theih lohna hmunah paih rawh . Naupangin patch thar emaw, hman tawh emaw a ei chuan thihna a thlen thei.
- Side effect na tak emaw, overdose emaw i rinhlelh chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Lidocaine chu eng nge ni; Tetracaine / Synera tih hi a awm em? Eng atan nge patch hi?
Hei hi vun natna a ni lo! Hei hi local anesthetic patch chak tak a ni. Vun a ti na vek a, hun eng emaw chen atan vun a ti na thei bawk. Vun hmanga enkawl, IV, injection, emaw dermatological procedure ang chi, damloin a natna 100% tihbo nan hman a ni fo.
💬 Engtin nge he patch hian needle prick natna hi a tihbo vek theih ang?
Ice cube chu hmun lum takah dah ang mai a ni! Kan vun chhunga nerve te hian thluak a ‘nat’ tih thuchah an thawn theih nan an ‘Sodium Channels’ an hawng a, electric (Action potentials) an thawn a ngai a ni. He patch hi vunah kan hnawih chuan chu damdawi pahnih (Lidocaine/Tetracaine) te chu vun chhungah an kal tlang a, nerve chhunga sodium channel zawng zawng chu ‘completely block/close’ vek a ni. Thuchah kal tlang theihna tur kawng a awm loh avangin thluak hian natna a nei lo.
💬 Engvangin nge he numbing patch (Lidocaine Patch) hi hliam lian takah dah reng tur/hnah loh tur i tih?
Chu chu he thil (Systemic Toxicity) hlauhawm ber (leh thihna thlen thei) ber chu a ni! Hei hi vun ‘hliam/peeled’ ah hian hnawih ngai suh! Chutianga i tih chuan vun kaltlanga thisenah direct-a damdawi lut zat a pung ang a, damlo (a bik takin naupang tê tê) chuan seizures/fits (Seizures) na tak a nei thei a, cardiac arrest/suffocation leh thihna a nei thei bawk. Tin, hei hi a tam berah ‘minute 20-30’ chhung chauh dah theih a ni bawk!
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