Operation i neih ngai tawh em? A nih loh leh anesthesia hnuaiah test chi khat i neih ngai em? Chutiang hunah chuan doctor-te chuan damdawi bik rocuronium an tih hmangin i taksa ruhte chu a ti hahdam vek a, a tih dan tur chu him leh awlsam takin a siam a ni. Hemi chungchang hi awlsam takin han sawi ila.
Rocuronium chu eng nge ni?
A awlsam zawngin, rocuronium hi taksa ruh tichaktu a ni . Surgery ang chi thil pakhat hmaa anesthesia pek laiin pek thin a ni tlangpui. I nerve atanga i muscle thlenga signal lo lut chu rei lo te chhung atan a block thin.
Ngaihtuah teh, doctor-in operation nalh tak a tih laiin i taksa ruh pakhat chu a lo inher nghal mai a nih chuan eng nge thleng ang? Chu chu a hlauhawm hle thei a ni. He damdawi hnathawh ber chu chutiang chetna rang tak chu tihtawp a, surgical team te chu engmah daltu awm lovin an hna an thawh theih nan tanpui hi a ni.
A pawimawh ber chu, he damdawi hian muthilh tir lo che. Chu chu anesthetics hmangin a ti thin. Muscle te a ti relax mai mai a ni.
He damdawi hi i pek hmaa i doctor hnena i hrilh tur thilte
Rocuronium pek i nih hmain anesthesiologist chuan i damdawi lam dinhmun a zawt ang che. Engmah thup lovin i damdawi lam dinhmun zawng zawng hrilh vek a pawimawh hle .
| Situation i report tur a ni | Engvângin nge chu chu a pawimawh? |
|---|---|
| Tui tlakchhamna (dehydration). | Taksa a tui tlakchham chuan damdawi hnathawh dan a danglam thei. |
| Lung natna | Lung hnathawh a tichhe thei. |
| Kidney emaw Liver natna emaw | Heng taksa peng hrang hrangte hian taksa atanga damdawi lakchhuahna hna an thawk a ni. An hnathawh a tlahniam chuan damdawiin a nghawng chu a rei thei hle. |
| Thluak lam natna (asthma, COPD ang chi) . | He thu hi a pawimawh hle a, a chhan chu he damdawi hian thawkna kawng a nghawng a ni. |
| Myasthenia Gravis natna a ni | Hei hi taksa chakna tichhe thei natna a nih avangin rocuronium hian nasa takin nghawng a nei thei a ni. |
| Allergy dang a awm bawk | Rocuronium emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan min hrilh ngei ang che. |
| Naupai emaw, nau hnute pek emaw | Naupai emaw, nau pai tum emaw, nau hnute pek i nih chuan min hriattir a pawimawh hle. |
Engtin nge he damdawi hi ka pek theih ang che?
Hei hi in lama ei theih damdawi a ni lo. Rocuronium hi damdawi in emaw clinic emaw-a medical team-in vein-a injection angin an pe chauh a ni. A tlangpuiin anesthetist emaw, nurse trained emaw hnen atanga pek che a ni.
He damdawi hi naupang tê tê, nausen thlengin, thil bik ṭhenkhatah chuan pek a ni. Mahse fimkhur tak leh ngaihven bik neia tih a ni.
Damdawi hman zat tihpun a nih chuan engtin nge ni ang?
Hei hi damdawi inah pek a nih avangin, doctor-te enkawlna hnuaiah, overdose chance a tlem hle. Mahse, hetiang thil hi a thleng nia rinhlelhna a awm chuan medical team-in a tul angin hma an la ang. A tlangpuiin hriatna atan chuan damdawi eng pawh hman tam lutuk a nih chuan tih hmasak ber tur chu damdawi in Emergency Treatment Unit (ETU)-ah kal emaw, Colombo National Hospital-a National Poisons Information Center biak emaw a ni.
Rocuronium nena inzawm thei damdawi dang
Damdawi dang i ei hian he damdawi hnathawh dan hi a nghawng thei a ni. Chuvangin, i damdawi ei zawng zawngte chu i doctor hnenah i hrilh vek tur a ni a, chutah chuan prescription damdawi te, over-the-counter damdawi te, vitamin te, leh herbal remedies thlengin i hrilh tur a ni.
| Damdawi chi hrang hrang | Entirnan |
|---|---|
| Antibiotics thenkhat | amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin te pawh a awm bawk |
| Seizures damdawi thenkhat | carbamazepine, phenytoin tih a ni |
| Lithium a ni | - . |
| Damdawi thenkhat chu a hmuna numb nana hman thin (local anesthetics) . | lidocaine a ni |
| Magnesium tihpunna tur a ni | - . |
| Procainamide, Quinidine hmanga siam a ni | - . |
He list hi a kim lo. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw a nih chuan doctor hrilh a pawimawh bawk.
Damdawi ei laiin i dinhmun enfiah dan
He damdawi hi pek i nih chhung leh pek hnuah i dinhmun chu medical team-in uluk takin an enfiah ang . I heart rate, thisen sang, oxygen level leh thawk dan te chu machine hmangin a enfiah reng ang. Chuvangin boruak him takah i awm a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin rocuronium hian side effect engemaw zat a nei thei a, mahse hengte hi a tlem tlangpui.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| 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, thawk harsa. |
| Khawsik sang leh symptom dang a awm | Khawsik sang, thawk hah lutuk, thawk rang emaw, thawk thuk lo emaw, thinlung thawk chak emaw, mumal lo emaw, taksa ruh khauh emaw, khur emaw. |
| Injection na hmuna harsatna awm | Injection na hmun bulah vunah natna, hring, sen, vun hring emaw, hliam emaw a awm. |
| A tlangpuiin hlauhawm a ni lo (mahse a awm reng chuan doctor hnenah hrilh rawh) . | |
| Muscle chak lohna | Damdawi nghawng a reh hnuah pawh taksa ruh chak lohna tlem a awm thei. |
| Injection pekna hmuna natna | Injection na hmuna natna tlem, sen, emaw, nuam lo 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
- Rocuronium hi injection bik a ni a, damdawi inah chuan operation ang chi thil awm danah taksa ruh tih hahdam nan chauh pek thin a ni.
- He damdawi hi i pek hma hian i damdawi lam dinhmun zawng zawng leh i ei tur damdawi dang zawng zawng chungchang thudik zawng zawng doctor hnenah i hrilh hmasak phawt a pawimawh hle.
- I himna tur ngaihtuah a ngai lo a ni, a chhan chu damdawi i pek lai hian medical team-in uluk takin an lo enkawl ang che.
- Side effect na tak tak a awm tlem hle a, a lo awm chuan medical team te pawhin enkawl nghal turin an inpeih reng a ni.
- He damdawi chungchanga zawhna dang i neih chuan doctor zawt hreh suh.
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