Nangmah emaw, i chhungte zinga tu emaw chuan operation i neih dawn a nih chuan, anesthetist chuan damdawi chi hrang hrang hmangin i muthilh tir ang a, natna a neih loh nan a siam ang che a, operation chu him takin a siam ang. Chung zinga pakhat chu damdawi bik, leh pawimawh tak, Succinylcholine tih hi a ni. I taksa ruhte chu hun eng emaw chen a tih hahdamna hmangin hna a thawk a ni. Chuvangin, he damdawi chungchang te, a hnathawh dan te, i hman hmaa i hriat tur te hi tawi te tein han sawi ila.
A awlsam zawngin, Succinylcholine chu eng nge ni?
Succinylcholine hi ruh tichaktu a ni a . Ngaihtuah teh, hei hi kan taksaa kan taksa peng hrang hrang, kan kawr leh kan pum chhunga kan taksa ruh thenkhat, kan taksa peng hrang hrang, kan kawr leh kan pum chhunga kan taksa peng hrang hrangte chu rei lo te chhunga kan hloh ang a ni. Mahse hei hi hun eng emaw chen atan a ni.
He damdawi hi thil awmdan pahnih ah hman a ni ber a:
1. Surgery neih lai: Surgery lai, a bikin pum surgery neih lai hian taksa ruh (muscles) te a tension a nih chuan surgeon tan operation tih a harsa thin. He damdawi hi pek a nih hian taksa ruhte chu a relax vek tawh avangin awlsam tak leh him takin surgery hi tih theih a ni. Tin, a chang chuan thawk chhuahna kawngah tanpui turin kawng (intubation) kaltlangin tube dah a ngai bawk. He damdawi hi chutih lai chuan hman a ni bawk.
2. Ventilator nena connect a nih chuan: Mi pakhatin a mah chauha thawk harsa a tih lai leh ventilator nena inzawm a nih chuan chu mi taksa chhunga thau (muscles) te chuan machine hnathawh a tibuai thei a ni. Chutiang hunah chuan he damdawi hi taksa ruhte tih hahdam nan leh ventilator tha taka a thawh theih nan pek thin a ni.
A pawimawh ber chu hei hi in lama i hman theih tur damdawi a ni lo. Damdawi in, intensive care unit emaw, operation room emaw-ah chauh hman a ni a, chu chu doctor leh nursing staff-te uluk taka enkawlna hnuaiah hman a ni.
He damdawi hi i pek hmain i doctor hnena i hrilh ngei tur thilte
Hei hi a pawimawh hle a ni. I himna atan chuan operation hmain i taksaa thil awm dan thenkhat chu anesthesiologist hnenah hriattir hmasak a pawimawh hle. A chhan chu chu thu hriat a\ang chuan he damdawi hi pek che leh pek loh tur, damdawi dang pek tur che tih thutlukna siam a ni ang.
A hnuaia condition te hi i neih chuan i doctor hnenah hrilh ngei ang che.
| I damdawi lam dinhmun emaw, i dinhmun emaw | Engvangin nge i hriattir ang? |
|---|---|
| Allergy nei te pawh a awm | Succinylcholine emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan. |
| Chhungkaw damdawi lam chanchin | I chhungte zingah tu emaw chuan anesthesia nena inzawm harsatna (e.g., Malignant Hyperthermia) an neih chuan. |
| Muscle nena inzawm natna | Myasthenia Gravis ang chi taksa chak lohna natna i neih chuan. |
| Mit lama harsatna nei | Mit pressure sang tak nei dinhmun, glaucoma ang chi. |
| Thisen chhunga mineral level awm zat | Thisenah potassium, calcium, magnesium level a sang emaw a hniam emaw a nih chuan. |
| Hliam a awm | Lu hliam na tak, kangmei nasa tak, emaw vun chhiatna nasa tak emaw. |
| Naupai lai | Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. |
He damdawi hi naupang te te tan pek theih a ni em?
Ni e, thil bik thenkhatah chuan he damdawi hi naupangte hnenah pek theih a ni a, nausen piang thar atanga tan a ni. Mahse fimkhurna bikte chu zawm a ni. He thutlukna hi i fa naupang enkawltu leh anesthesiologist ten an siam dun a ni.
Dose a san chuan engtin nge ni ang?
Hei hi damdawi inah pek a ni a, damdawi lam enkawlna hnuaiah pek a ni a, chuvangin i overdose theihna chance a tlem hle. Medical staff te chuan i rih zawng leh i dinhmun a zirin dose dik tak an chhut ang a, damdawi chu an pe ang. Chutiang a nih chuan a tul anga enkawlna pe turin an zirtir thin. Hemi chungchanga hriat tur i mamawh chuan Colombo National Hospital-a National Poisons Information Center-ah biak theih a ni a, a chipchiar zawkin i hre thei ang. Mahse, eng emergency-ah pawh a tha ber chu Emergency Treatment Unit (ETU) hnai ber pan hi a ni .
He damdawi nena inzawm thei damdawi dang
I damdawi ei zawng zawng (condition dang damdawi, vitamin, traditional medicine, supplement) te doctor hnenah hrilh vek a pawimawh hle. Damdawi thenkhat chu Succinylcholine nen an inzawm thei a, a nghawng a tidanglam thei a, dinhmun hlauhawm tak a siam thei bawk.
A hnuaia tarlan te hi chutiang damdawi thenkhat chu a ni:
- Antibiotics thenkhat: entirnan, amikacin, gentamicin, clindamycin.
- Anesthetic damdawi dang: Gas anesthetics enflurane, isoflurane, halothane te.
- Lung natna leh thisen sang damdawi.
- Naupai venna damdawi.
- Lithium: Rilru natna atana hman thin damdawi a ni.
- MAOIs: Depression damdawi chi khat pek thin a ni.
- Steroid chi hrang hrang: Entirnan, prednisone emaw cortisone emaw.
- Damdawi magnesium awmna.
- Quinine: Malaria damdawi atana hman thin a ni.
He list hi a kimchang lo hle. Chuvângin, i damdawi ei zawng zawng, leh zu i in emaw, zu i in emaw chungchângah i doctor hnênah rinawm takin sawi rawh .
Damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin Succinylcholine hian side effect a nei thei a ni. Uluk taka enkawl i ni dawn a, chuvangin harsatna a awm chuan medical team-in hma an la nghal ang.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| I doctor emaw nursing staff emaw hnena hrilh nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Thâwk harsa | Ventilator-a i awm loh chuan thawk harsa i tih. |
| Heart rate a inthlak danglam thin | A pangngai lo taka slow emaw fast emaw, heartbeat mumal lo. A rilru a na. |
| Potassium tamna chhinchhiahna | Muscle chak lohna nasa tak, rilru na. |
| Muscle chhiatna chhinchhiahna | Zun thim, zun harsa, hah lutuk, taksa ruh na. |
| Thisen sang tlahniam chhinchhiahna | Luak chhuak, mit sen, chak lohna nasa tak. |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Muscle na a na | Damdawi in a nghawng a reh hnuah ni khat emaw ni hnih emaw chhung taksa leh ruh natna a awm hi thil pangngai a ni. |
| Muscle chak lohna | Hun engemaw chen chu taksa ruh chak lohna. |
Take-Home Thuchah a ni
- Succinylcholine hi taksa ruh tichaktu chak tak a ni a, damdawi inah chauh hman a ni a, a bik takin surgical leh intensive care unit-ah te hman a ni.
- He damdawi hi i pek hma hian i doctor hnenah i medical history kimchang, allergy, chhungkaw medical history, leh i damdawi ei zawng zawngte i hrilh hmasak a pawimawh hle.
- Hei hi doctor trained ten an pek a nih avangin dahkhawm emaw, pek emaw ngaihtuah a ngai lo.
- Side effect awm thei mahse, damdawi inah uluk taka enkawl i nih avangin medical team ten an enkawl thei a ni.
- Thil ngaihtuah leh zawhna i neih chuan anesthesiologist emaw, i enkawltu doctor emaw zawh hreh ngai suh. I himna hi an ngaih pawimawh ber a ni bawk.
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