Nangmah emaw, i hnaih ber tu emaw chuan operation i neih dawn a nih chuan, chutih hunah chuan damdawi pek tur chungchangah tlem tal hriat duhna, leh hlauthawng pawh a ni mai thei, chu thil pangngai tak a ni. Anesthesia pek laia damdawi pek zingah Rocuronium hi damdawi pawimawh tak a ni. A brand hming pakhat chu Zemuron a ni. Chuvangin vawiin hian Rocuronium hi eng nge a nih, eng nge a tih, leh a chungchanga kan hriat tur te hi han sawi mai ila.
Rocuronium chu eng nge ni? Eng nge a tih?
A awlsam zawngin sawi ila, Rocuronium hi i taksa chhunga ruhro (skeletal muscles) te chu hun engemaw chen ti hahdam thei damdawi a ni.
I zai lai hian doctor-te chuan i taksa chhunga taksa peng hrang hrangte chu awlsam taka an thlen theih a ngai niin han ngaihtuah teh. Chumi atan chuan i taksa ruhte chu a tense thei lo va, a relax hle a ngai a ni. Chu chu Rocuronium hian a puih a ni. Hun engemaw chen chu i taksa ruhte chu a tichak lo ang mai a ni. Hei hian surgeon tan chuan engmah tihbuai lohvin surgery tih a awlsam phah hle.
Tin, a chang chuan miin thawk harsatna a neih chuan thawk turin machine (ventilator) nena inzawm tir a ngai thin. Chutiang hunah chuan he damdawi hi thawkna ruhte tih hahdam nan leh machine hnathawh that nan hman a ni.
He damdawi hi ka pek hmain doctor hnenah eng nge ka hrilh ang?
Hei hi a pawimawh hle. Rocuronium pek i nih hmain i medical team te hian i hriselna dinhmun hi an hriat chian a pawimawh hle. Hei hi a chhan chu he damdawi hman hian dinhmun thenkhatah hian fimkhur bik a ngai a ni. Chuvangin, a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che .
| Hriselna dinhmun i report tur a ni | Engvangin nge a pawimawh? |
|---|---|
| Dehydration (taksa chhunga tui tlakchhamna) . | Taksa chhunga tui awm zat (fluid balance) hian damdawi hman tangkai dan a nghawng a ni. |
| Lung natna chi hrang hrang | He damdawi hian heart rate leh blood pressure a tichhe thei a ni. |
| Thisena calcium, magnesium, leh potassium level dik lo | Heng minerals level hi taksa ruh hnathawh leh damdawi in a nghawng dan nen a inzawm tlat a ni. |
| Kidney natna emaw, thin natna emaw | Heng taksa peng hrang hrangte hi taksa atanga damdawi lakchhuahna kawngah an inrawlh avangin an natna dinhmun hian damdawi thatna a tidanglam thei a ni. |
| Lung natna chi hrang hrang, Asthma | Thluak lam a nghawng theih avangin fimkhur bik a ngai a ni. |
| Myasthenia Gravis (natna, taksa ruh chak lohna thlentu) . | Heng damlote hi Rocuronium lakah hian hypersensitive an ni thei. |
| Rocuronium, bromide emaw damdawi emaw ei tur dang emaw allergy nei | Hei hi allergy na tak (anaphylaxis) ven nan a pawimawh hle. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | Doctor chuan naupang chunga nghawng a neih theih dan tur a ngaihtuah tur a ni. |
Engtin nge Rocuronium injection hi pek thin?
He damdawi hi in lama i hman theih tur a ni lo. Rocuronium hi damdawi in emaw clinic emaw ah chauh pek thin a ni . Health care professional trained chuan vein-a injection emaw, i taksaa infusion emaw angin a pe ang che.
Doctor-te chuan naupang tê tê, nau piang tharte tan pawh he damdawi hi a bik takin an pe thei a ni. Mahse fimkhur tak leh enkawlna bik hnuaiah tih a ni. Hemi chungchang hi i pediatrician nen in inbia thei ang.
He damdawi hi damdawi inah pek a nih avangin, damdawi lam enkawlna khauh tak hnuaiah pek a nih avangin, a dose hloh emaw, overdose ei emaw ngaihtuah a ngai lo. Medical team hian engkim uluk takin an enkawl ang.
Drug poisoning ang chi dinhmun chungchanga hriat tur i mamawh chuan Colombo National Hospital-a National Poisons Information Center ah i call thei ang. Emergency a awm chuan damdawi in Emergency Treatment Unit (ETU) chuan a tul angin hma a la ang.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
‘Drug Interaction’ chu damdawi pakhat i ei lai hian damdawi dang i ei lai thatna a nghawng a ni. Rocuronium nena inzawm thei damdawi chi hrang hrang a awm a. Damdawi i ei zawng zawng hi doctor hnenah hrilh vek a pawimawh hle.
- Antibiotics thenkhat: Entirnan, amikacin, gentamicin, tobramycin, vancomycin, tetracyclines, polymyxins te.
- Epilepsy (seizures) ang chi natna enkawlna atana hman thin damdawi thenkhat: entirnan, carbamazepine, phenytoin.
- Anesthesia atana hman tur damdawi dang: Anesthetic gas enflurane, isoflurane, halothane te.
- Lithium: Rilru natna atana hman thin damdawi a ni.
- Local anesthetics: lidocaine leh tetracaine te ang chi.
- Magnesium a ni
- Surgery atan muscle relaxant dang
- Procainamide leh Quinidine (thinlung natna damdawi) .
He list hi a kimchang lo hle. Chuvangin, i damdawi ei zawng zawng (prescribed emaw over-the-counter emaw), herbal products, vitamins, leh supplement i ei zawng zawng te, chutiang bawkin zu i in emaw, zu i in emaw, damdawi dang i hman emaw, i surgery hmain doctor hnenah hrilh hmasak a pawimawh hle.
Rocuronium ei hian side effect a neih theih dan
Damdawi dang ang bawkin Rocuronium hian side effect engemaw zat a nei thei. He damdawi hi pek i nih chhung hian medical team te chuan uluk takin an lo thlir reng ang che. Side effect a awm chuan hma an la nghal ang. Amaherawhchu, an hriat chian a pawimawh.
| Side Effect a awm thei | Hrilhfiahna |
|---|---|
| Side effects awm thei chu medical team-ah hriattir nghal tur a ni | |
| Allergy na tak tak a awm | Vun vun rawng, natna nasa tak, hmai, hmui emaw lei emaw a hring. |
| Thâwk harsa | Ventilator nena inzawm loh chuan thawk harsa. |
| Lung natna chak tak (Tachycardia) . | I thinlung chu a na hle ang tih hriatna. |
| Thisen sang hniam (Hypotension) . | Luak chhuak, lu hlim hmel, leh mit sen. |
| Muscle chhiatna chhinchhiahna | Zun dum, zun harsa, hah lutuk, leh pelvic pain. |
| Side effects a awm reng chuan doctor hnena hriattir tur | |
| Muscle na/chak lohna | Damdawi nghawng a reh hnuah pawh taksa ruh natna emaw chak lohna emaw a awm reng. |
| Injection na hmuna natna | Injection pekna hmuna natna, sen, emaw inflammation emaw. |
He list-ah hian side effect awm thei zawng zawng a tel lo. Heng bakah hian thil danglam bik i tawn chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Rocuronium hi damdawi a ni a, zai lai leh damdawi lam thil thenkhatah pawh taksa ruhte chu hun eng emaw chen a tih hahdam nan an hmang thin.
- Hei hi damdawi in hmunah chauh pek a ni a, chu chu damdawi lam thiam trained takin a pe thin.
- Damdawi lam harsatna dang i neih apiang (a bik takin thinlung, kal, thin natna, allergy) leh damdawi dang i ei tur zawng zawngte chu i doctor hnenah i operation hmain i hriattir a pawimawh hle.
- Allergy symptoms, thawk harsatna, thinlung na chak tak ang chi side effect na tak i neih chuan medical team te hriattir nghal rawh.
- He damdawi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
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