Operation i neih ngai tawh em? A nih loh leh thawkna machine/ventilator nena inzawm mi i hmu tawh em? Hetiang hunah hian taksa ruhte tih hahdam vek tura injection bik kan sawi a ni. Mivacurium an ti a. Hemi chungchang hi hriat a pawimawh hle.
Mivacurium chu eng nge ni?
A awlsam zawngin, Mivacurium hi ruh tichaktu a ni . Kan taksa ruhte nena inzawm muscle te chu rei lo te chhung atan a ti hahdam a, a nih loh leh a ti paralyze bawk.
Tunah chuan, "Engvangin nge chutiang chu i tih ang ?" Chutiang a nih chhan pahnih a awm a:
1. Surgery neih laiin: Surgery lian tham a tih dawnin surgeon chuan a hna chu engmah daltu awm lovin a thawh a ngai a ni. Kan taksa ruh (muscle) te a tension a nih chuan tih a harsa hle. He damdawi hi pek a nih chuan taksa ruhte chu a hahdam vek a, chuvangin doctor-te chuan awlsam takin an hna an thawk thei a ni.
2. Thlawhna khawl/ventilator-a kan thlunzawm hian: Damlo na tak tak thenkhatin mahni chauha thawk harsa an tih hian thawkna khawl (breathing machine)-ah kan thlunzawm thin. Mahse a chang chuan damlo taksa chuan machine nen hian "a insual" tan thin. Chu chu machine-in thawk a luh chuan damlo rilru ruhte chu a nghet a, thawk chhuah tumin a bei tihna a ni. He damdawi hi pek a nih chuan chu ruhte chu a hahdam a, chu chuan machine chuan a hna chu awlsam zawkin a thawk thei ta a ni.
A pawimawh ber chu hei hi damdawi inah chauh pek a ni a, anaesthetist ang chi specialist enkawlna hnuaiah pek a ni.
He damdawi hi i pek hmaa i doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. I operation hmaa anesthesiologist-in zawhna a zawh che chuan, heng thilte hi i neih chuan i hrilh ngei tur a ni . A chhan chu chu information chuan damdawi pek tur che leh damdawi hman tur chi chu a hril dawn a ni.
| Situation i report tur a ni | Hrilhfiahna |
|---|---|
| Allergy nei te pawh a awm | Mivacurium emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan doctor hnenah hrilh ngei ang che. |
| Lung Natna | Lung lam natna eng pawh hriat a pawimawh. |
| Kidney emaw Liver emaw natna | Kidney emaw liver function tha lo i neih chuan he damdawi hian i taksa atanga a chhuah hun chhung hi a danglam thei a ni. |
| Thâwk lakah harsatna a awm | I lung natna, Asthma ang chi i neih chuan min hrilh teh. |
| Neurological natna, Myasthenia Gravis ang chi te | Hetiang nervous system natna vei tan hian he damdawi hian nghawng a neih dan a inang lo thei hle. |
| Tui tlakchhamna emaw Electrolyte Imbalance emaw | Taksaah tui a tlakchham emaw, salt level a inthlak emaw, calcium, potassium, leh magnesium te a awm chuan. |
| Kangmei lian tak tak | Taksa hmun zau tak a kang a nih chuan chu chuan he damdawi hman tangkai dan pawh a nghawng thei bawk. |
| Naupai emaw, nau hnute pek emaw | Naupai, nau pai tum emaw, nau hnute i pe emaw a nih chuan he thil hi doctor hriattir a pawimawh hle. |
He damdawi hi engtin nge i hman?
He damdawi hi vein pakhata injection angin pek thin a ni.``Injection'' emaw ``infusion'' emaw a ni a, chu chu saline ang maia infusion chhunzawm zel a ni. Hei hi doctor emaw, anesthesiologist emaw, nurse trained emaw chauhvin an ti thin. Chuvangin in lama hman a ngai lo.
He damdawi hi naupang tê tê, a bik takin kum 2 chunglam tan special case ṭhenkhatah hman a ni. Mahse fimkhur takin tih a ni a, mithiamte thurawn chauhvin tih a ni.
Damdawi dose tihpun a nih chuan eng nge tih tur?
Hei hi damdawi inah pek a nih avangin overdose chance a tlem hle. A chhan chu medical team ten an lo en reng che a ni. Mahse chutiang thil a lo thleng a nih chuan, chu chu damdawiin a nghawng a san lutuk chuan damdawi inah chuan a enkawl theihna tur facility zawng zawng a nei vek a ni. Emergency a awm chuan doctor-te hian National Hospital-a National Poisons Information Center emaw, damdawi ina Emergency Treatment Unit (ETU)-ah emaw an hriattir ang a, a tul anga thurawn an la ang.
Eng damdawi dang nge he damdawi nen hian inzawm thei?
Ni e, damdawi thenkhat hian Mivacurium nghawng hi a thlak danglam thei a ni. Chu chu a chakna an tipung thei a, an ti tlem thei tihna a ni. Chuvangin i doctor hnenah i damdawi ei zawng zawng (vitamin leh traditional medicines te pawh tel) chu operation hmain i hrilh hmasa tur a ni.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Antibiotics thenkhat | Damdawi chi hrang hrang Amikacin, Gentamicin, Tobramycin, Tetracyclines, Clindamycin te hi a ni. |
| General Anesthetics hmanga tihdam theih a ni | Operation laiin rilru hahna thlentu atana hman thin gas, Enflurane, Isoflurane leh Halothane te hi a ni. |
| Seizure tan damdawi | Carbamazepine, Phenytoin tih te hi a awm a. |
| Damdawi dang | Lithium, Magnesium, Quinidine, Procainamide, Steroids (Prednisone ang chi), MAOI te a awm bawk. |
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng doctor hnenah hrilh vek a him ber.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Mivacurium hian side effect a nei thei a ni. Mahse damdawi inah doctor enkawlna hnuaia i awm avangin hetiang thil hi a lo thleng a nih chuan enkawl vat turin an inpeih reng a ni.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| I doctor emaw nurse emaw hnena hrilh nghal tur thil | |
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Thisen sang a hniam | Dizziness , lu hring, mit sen hring tih hriatna. |
| Hmai a rawn sen chhuak | Hmai sen nghal zung zung. |
| Muscle chhiatna chhinchhiahna | Zun dum, zun harsa, hah lutuk, taksa ruh na. |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Muscle na/chak lohna | Damdawi nghawng a reh hnu pawha i taksa ruh natna emaw chak lohna emaw i la neih chuan. |
| Injection na hmuna natna | Injection na hmun vel a sen, natna, emaw, a hring emaw. |
Take-Home Thuchah a ni
- Mivacurium hi damdawi specialist a ni a, operation neih lai leh thawkna machine nena inzawm a nih chuan taksa ruhte tih hahdamna atana hman thin a ni.
- Hei hi damdawi in lama hruai theih a ni lo. Damdawi inah chauh hman a ni a, damdawi lam enkawlna hnuaiah hman a ni.
- Damdawi lam harsatna i neih apiang, damdawi i ei lai leh allergy i neih apiang chu i doctor hnenah i operation hmain i hrilh hmasa phawt a pawimawh hle.
- Side effect a awm thei a, mahse damdawi ina i awm avangin i ngaihtuah buai a ngai lo. Medical team hian engkim an buaipui vek a ni.
- He damdawi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
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