Ha enkawltu pan i ngaihtuah hian mi thenkhat chu an hlauthawng thin a ni lawm ni? Chu chair, chu thawm, chu instrument... Ngaihtuah pawh chuan hlauhna a siam thin. Hetiang hlauhna avang hian mi tam tak chuan an ha lam harsatna a zual zel hma chu an nghak thin. Mahse, hlauhna, lungkhamna leh natna awm lovin i ha enkawl dan awlsam tak a awm tih ka hrilh che chuan min ring ang em? Chu chu ‘Sedation Dentistry’ kan tih chu a ni. Vawiin hian he thu hi awlsam takin han sawi ila.
Sedation Dentistry hi eng nge ni tak tak?
A awlsam zawngin, hei hian ha enkawl laiin rilru hahdam leh thlamuang taka dah che a huam a ni. Hei hi sedation level moderate tak a ni a, chu chu i rilru a buai vek lo tihna a ni . I conscious a, mahse i relaxed hle a, i relaxed state a ni. Mi thenkhat chuan hei hi ‘twilight sleep’ an ti bawk a, a chhan chu nikhaw hre lo, natna hre lo, a hnua a enkawl dan hriat reng lohna dinhmun a siam vang a ni. A dik tak chuan mi tam zawk chuan mumang ang maiin an inhria.
He method hi tute tan nge a inhmeh ber?
Dik tak chuan, kum eng pawh ni se, naupang tê tê pawh ni se, he hmanrua hi an hlawkpui thei a ni. Chutiang harsatna i neih chuan i dentist nen he method hi i sawipui thei ang.
| Buaina / Hlauhna | Hrilhfiahna |
|---|---|
| Ha lam lungkhamna | Doctor pan tur ngaihtuahin hlauhna leh lungkham lutuk. |
| Gag reflex a ni | Instrument emaw doctor kut emaw i hmuiah i dah chuan i luak chhuak dawn ang maia inhriatna. |
| Hriselna hlauhna (Aichmophobia) . | Numbing injection hlauh lutuk. |
| Ha sensitivity lutuk | Thil pakhatin i ha a rawn deng hian natna khirh tak. |
| Trapped anga inhriatna (Claustrophobia) . | Doctor chair-a a awm laiin thawk hah leh thawk harsa tih hriat. |
| Numbing damdawi a thawk tha lo | I taksa hian local anesthesia pek thin chu a chhang tha lo hle. |
| Mi mamawh bik nei te | Naupang emaw puitling taksa, rilru emaw nungchang lama mamawh bik nei tan. |
Heng calming methods te hi engte nge ni?
I doctor chuan i mamawh, i hlauhthawn dan, i enkawl hun chhung leh i hriselna chanchin a zirin i duh ber tur a thlang ang. Thil tih dan tlangpui pathum a awm.
1. Nitrous Oxide (Nitrous Oxide) emaw ‘nuihzatthlak gas’ emaw.
Hei hi ‘laughing gas’ an ti bawk. I hnar chungah mask te tak te an pe che a, he gas hi thawk turin an siam che a ni. Minute 3-5 chhungin i rilru a hahdam hle ang a, i rilru a hahdam hle ang. Doctor chuan enkawlna chhung zawngin gas i pek zat chu a control thei a ni.
Hei hi a thatna lian ber chu enkawlna zawh hnua oxygen engemaw zat i thawh chuan he gas hi i taksa atangin a bo vek tawh mai. Chuvangin nangmah chauhin i in lamah i tlan thei ang.
2. Oral Conscious Sedation tih hi a ni
Hetiang hmang hian enkawlna hma darkar khat velin sedative pill pek i ni. A hman tam ber chu ``Diazepam`` class atanga damdawi, ``Triazolam`` ang chi hi a ni. Naupang tê tê tan chuan damdawi tui tak ``Midazolam`` ang chi chu pek theih a ni.
Heng pills i ei hian i muhil nasa hle ang a, i muhil pawh a ni thei. Mahse Doctor hian biak a duh che a nih chuan light tap hmangin a kaitho thei che a ni.
Pawimawh tak: Hetiang hmanrua hian hun eng emaw chen i hriatrengna leh i chetna a nghawng avangin eng chhan pawh nise enkawl zawhah nangmah chauhin i haw thei lo. I ṭhian emaw, chhungte emaw i zui tur a ni.
3. Thisen chhunga (IV) Sedation
Hei hi ha enkawlna hmuna sedation thuk ber a ni. Hei hian sedative chu IV ( saline ) hmangin i vein-ah direct-in pek a ni. Enkawlna i neih chhung hian doctor leh a team-te chuan i heart rate, thisen sang, leh oxygen level te chu an enfiah chhunzawm zel a ni .
Hetiang hman lai hian mi tam tak chu an muhil a, an harh chuan enkawlna chungchang engmah an hre reng lo. Hetiang hmanrua hi mi hlauthawng tak tak tan emaw, hun rei tak daih enkawlna atan emaw a tha ber.
Thil hriatna hloh vek (General Anesthesia) a thlen em?
Ni e, thil bik thenkhatah chuan chutiang pawh chu tih a ni. Mahse `Sedation` nen a danglam. `General Anesthesia` tih awmzia chu enkawl lai hian i rilru a buai vek tihna a ni. Hei hi naupang tê tê, puitling mamawh bik nei, emaw, tuar theih loh ha lam hlauhna nei te tan tih a ni tlangpui.
Hei hi ha enkawlna hmun pangngaia tih theih a ni lo. Damdawi in emaw, hmun bik awmna hmun emaw a ngai a ni. Tin, chutiang ti tur chuan anaesthesiologist a bik taka zirtir a ngai bawk.
Enkawl hma leh enkawl hnuah eng nge ka tih ang?
Enkawl hmain
I doctor nen inbia hmasa tur a ni a, i hriselna leh damdawi i ei zawng zawngte chu hrilh vek tur a ni. A tlangpuiin, enkawl hma darkar 6 chhung chu engmah ei leh in loh tur a ni. Thisen tithianghlimtu, Warfarin ang chi i ei a nih chuan i doctor hnenah i hrilh ngei ang.
Enkawl hnuah
‘Laughing gas’ chauh i hman loh chuan, a dang pahnih zinga pakhat i hman chuan i in lama hruai tur che i rintlak i neih a ngai a ni.
Pawimawh: Eng thil vang pawh nise, taxi emaw, ride-share service (e.g. Uber, PickMe)-ah emaw, mahni chauha haw suh. I hriat chian leh rintlak tak nen in lamah haw rawh. In lama haw a, chawlh hahdam tha a ngai.
Eng nge a thatna leh a side effect?
Damdawi lam thil dang ang bawkin, a hlawkna bakah hlauhawmna tenau te pawh a awm bawk.
| A thatna te | Side effects/Risks a awm thei |
|---|---|
| Hlauhna leh lungkhamna a ti bo. | Enkawl hnuah pawh mut theih loh. |
| Enkawlna chu awlsam taka tih theih a ni. | Kawng a vawt (Xerostomia). |
| Doctor chuan hna a thawk thuai thei. | Nausea leh luak chhuak. |
| Hlauhna avanga enkawlna pumpelhtute a pui thin. | Lu na leh IV dahna hmuna hliam. |
Hei hi naupai lai hian a tha em?
Heng hmanrua te hi naupai lai hian a tha lo tlangpui a, a chhan chu damdawi thenkhat hian naute thanlenna a nghawng thei a ni. Nitrous oxide hi a chang chuan second trimester-ah pek theih ni mahse, doctor tam zawk chuan nau neih hnuah he enkawlna hi hman an duh zawk.
Engtikah nge doctor ka hmuh leh ang?
Damdawi hi enkawl hnuah darkar 24 thleng a thawk thei a ni. Mahse, i rilru natna emaw, i luak chhuak reng emaw, khawsik degree Fahrenheit 101 (38.33 degree Celsius) aia sang i neih chuan, emaw, natna tidamtu damdawi hmanga natna reh lo i neih chuan , i ha enkawltu hnenah thurawn dil nghal rawh.
Take-Home Thuchah a ni
- Ha enkawltu pan i hlauh vangin enkawlna pumpelh suh. Sedation Dentistry hi hmanraw him tak a ni a, a pui thei che a ni.
- I ha enkawltu chuan i hlauhthawnna, hriselna dinhmun leh enkawlna i tih dan a zirin i tan sedation method tha ber a thlang ang.
- Oral sedation (pills) emaw IV sedation (intravenously) emaw i dawng tawh a nih chuan nangmah chauhin in lamah haw ngai suh. I rintlak tak nen kal rawh. Ni khat tal lirthei khalh loh tur.
- Inenkawl hma leh enkawl hnuah doctor thupek uluk takin zawm thin ang che. Harsatna emaw, natna lan chhuah dan danglam emaw i neih chuan doctor rawn nghal tur a ni.











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