Operation i neih a ngai ang tih han ngaihtuah teh. Doctor-te chuan anesthetize-in an ti che a, chu chu hriatna nei lo tak tak tihna a ni. Mahse, i taksa ruhte chu a inher emaw, a inher emaw chuan eng nge thleng ang? Chu chu operation-na daltu lian tak a ni thei a ni lawm ni? Vawiin hian hetiang chetna rang tak titawptu leh doctor-te’n him tak leh awlsam taka an hna an thawh theihna tura puitu injection bik kan sawi dawn a ni. Chu chu pancuronium a ni.
A awlsam zawngin Pancuronium chu eng nge ni?
Pancuronium hi taksa ruh tichaktu a ni . A hnathawh ber chu i taksa ruhte chu a ti hahdam vek a, operation emaw damdawi dang emaw tih laiin a che thei lo.
I thluak chu company hotu ang maiin han ngaihtuah teh. I taksa ruhte hi i hnathawkte an ni. Boss (thluak) hian hnathawkte (muscle) hnenah nerve signal a thawn a, "contract" leh "move" turin a thawn thin. He pancuronium hian a tih chu chu signal-te kalna kawng chu rei lo te chhung atan a block a ni. Tichuan, ruhte hian thluak atanga thupek an dawn loh avangin an hahdam vek tawh a, chetna pawh an nei tawh lo. Hei hian doctor-te chu engmah tihbuai lohvin surgery an ti thei a ni.
Hei hi anesthesia nen hman dun a ni tlangpui. Tin, a chang chuan damlo thawk harsatna nei te chu machine (ventilator) nena inzawm tir a, thawk lakna tur atan hman a ni bawk.
He damdawi hi i pek hmaa i doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. He damdawi hi i doctor-in a pek hmain i hriselna chanchin kimchang a hriat hmasak a pawimawh hle. Hei hi a chhan chu damdawi lam thil thenkhatah hian he damdawi hman hian fimkhur bik a ngai a ni.
A hnuaia table hi en rawh. Heng natnate hi i neih chuan doctor hnenah hrilh ngei ang che.
| Situation i report tur a ni | Engvangin nge chu chu? (A awlsam zawngin) |
|---|---|
| Dehydration - taksaa tui tlakchhamna | Taksa tui balance a inthlak chuan damdawi hnathawh dan pawh a danglam thei bawk. |
| Lung natna | He damdawi hian heart rate leh blood pressure-ah nghawng engemaw zat a nei thei. |
| Kal natna | I kal (kidney) te hian hna a thawk tha lo a nih chuan he damdawi hian i taksa atanga a chhuah theih nan hun a duh rei zawk ang. Chuvangin damdawiin a nghawng chu a rei zawk thei a ni. |
| Liver natna | Liver hi taksaah damdawi tam zawk a inthen darh na hmun a ni. Liver-ah harsatna a awm chuan damdawi in a nghawng dan a danglam thei. |
| Lung emaw thawkna lam natna - e.g. Asthma, COPD natna te a ni | He damdawi hian thawkna thau a ti hahdam bawk avangin thawkna lama natna nei tawhte chu a bik takin fimkhur a ngai a ni. |
| Myasthenia gravis - taksa ruh chak lohna thlentu natna a ni | Hetiang natna vei te hi muscle relaxants hi an hypersensitive thei a, chuvangin dose tlem tak an mamawh mai thei. |
| Allergy nei te pawh a awm | Pancuronium emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan min hrilh ngei ang. |
| Naupai emaw, nau pai tum emaw i nih chuan | Damdawi hian nu naupai leh naute chunga nghawng a neih dan tur chu doctor-in a ngaihtuah tur a ni. |
| Nu hnute pe lai i nih chuan | Damdawi hi hnute hnute hmangin naute hnenah a kal em tih ngaihtuah a pawimawh. |
He damdawi hi engtin nge i hman?
Hei hi in lama i hman theih damdawi a ni lo. Damdawi in emaw, clinic-ah emaw doctor emaw trained medical staff emaw chauhin an pe thin.
- Hei hi thisen kal tlanga injection angin pek a ni .
- Naupang tê tê, nau piang tharte chungah pawh a bik takin hman theih a ni. Mahse fimkhur tak leh damdawi lam enkawlna bik hnuaia tih tur a ni.
Ka overdose a nih chuan engtin nge ni ang?
Hei hi damdawi inah pek a nih avangin overdose i neih theihna chance a tlem hle. Medical team te hian an fimkhur hle a ni. Mahse hetiang thil hi a lo thleng emaw, rinhlelhna a awm chuan a tul anga enkawlna an pe nghal mai ang. Damdawi in pawnah hetiang damdawi hi i ei tawh nia i ngaih chuan ETU -ah i kal nghal tur a ni a, chu chu Emergency Treatment Unit tihna a ni. Colombo National Hospital-a National Poisons Information Center-ah pawh phone la, thurawn i la thei bawk.
He damdawi nena inzawm thei damdawi dang
Condition dang atana damdawi i ei a nih chuan doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat hian pancuronium hnathawh dan a nghawng thei a ni.
- Antibiotics thenkhat: Entirnan, amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin.
- Seizure damdawi: carbamazepine leh phenytoin te ang chi.
- Lithium: Rilru natna atana hman thin damdawi a ni.
- Local anesthetics: lidocaine ang chi te.
- Magnesium tihpunna tur a ni
- Procainamide, Quinidine: Lung natna damdawi.
He list hi a kimchang lo hle. Chuvângin, i damdawi ei zawng zawngte chu i doctor hnênah hrilh la, chutah chuan damdawi i ei zawng zawng, damdawi lei theih loh, hnam damdawi, vitamin, leh zu i in emaw, zu i in emaw te pawh a tel a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin, side effect awm thei engemaw zat a awm. Mahse, he damdawi hi i ei lai hian medical team enkawlna hnuaia awm i nih avangin harsatna eng pawh chu rang taka enkawl turin an inpeih reng a ni.
| Side effects leh a nihna | |
|---|---|
| Side effect na tak tak, medical team-a hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Lungphun a rawn ri ta | Heartbeat chak lutuk emaw, mumal lo emaw. |
| Thisen sang a sang | Thisen sang nasa taka tihsan. |
| Taksa lum leh vawt | Khawsik sang, thawk hah lutuk, thawk rang, taksa ruh khauh. |
| Side effects a tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hriattir tur a ni) . | |
| Muscle chak lohna | Damdawi nghawng a reh hnuah pawh taksa chak lohna thenkhat chu a awm reng a ni. |
| Injection na hmuna natna | Injection na hmuna natna, sen, emaw, nuam lo deuh emaw. |
He list-a tarlan loh symptom dang danglam tak i neih chuan medical team-te hnenah pawh hriattir tur a ni.
Take-Home Thuchah a ni
- Pancuronium hi damdawi a ni a, operation ang chi thila taksa ruhte tih hahdam vek nan hman a ni.
- Hei hi damdawi inah vein-ah injection angin pek a ni a, damdawi lam enkawlna hnuaiah pek a ni. In lamah i hruai thei dawn lo.
- I damdawi lam dinhmun zawng zawng (a bik takin thinlung, kal, leh thin natna) leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh hle.
- He damdawi hi i pek lai hian i heart rate leh blood pressure te chu medical team ten an enfiah reng a, chuvang chuan i him a ni.
- Side effect na tak, allergic reaction emaw, heartbeat chak tak emaw a awm chuan medical team chuan enkawl nghal turin an inpeih reng a ni.
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