Operation i neih ngai tawh a nih chuan a hmain "anesthesia" tih hi i hre tawh ngei ang. Mi tam tak chuan hei hi an hlau deuh a ni. "Ka harh ngai ang em?" leh "Anesthesia hnuaia ka kal chuan eng nge thleng ang?" Mahse a takah chuan a him hle a, doctor-te enkawlna kimchang hnuaia tih a ni. Chuvangin vawiinah hian general anesthesia , a nih loh leh a chungchanga hriat tur zawng zawng kan sawi dawn nia.
A awlsam zawngin, general anesthesia chu eng nge ni?
General anesthesia chu operation laiin mut thuk ang chi state-a dah a ni. Strict takin sawi ila, hei hi mut mai mai a ni lo va, a thuk zawk, controlled state of unconsciousness a ni. Hetih lai hian i taksa chuan natna a nei lo vang a, operation neih chhung hian thil dang i hre reng lo vang .
He hna hi anesthesiologist in a thawk a ni . Doctor a ni a, anesthesia , chu chu mut tir tihna a ni. Surgery tan atanga a tawp thlengin, i harh kim leh thlengin he anesthesiologist hian i bulah a thu a, i chetna apiang a enfiah thin. Chuvangin hlauhna tur a awm lo.
Tunah chuan general anesthesia leh anesthesia hman dan dangte hi eng nge a danglamna kan en ang.
| Anesthesia chi hrang hrang | Eng thil nge thleng? | Hman dan tur scenario hrang hrang |
|---|---|---|
| General Anesthesia hmanga tihdam a ni | Taksa pum pui hi mut thuk ang chiah dinhmunah dah a ni. Natna leh hriatna a awm lo. | Surgery lian tak tak (thinlung, thluak), darkar tam tak chhunga surgery neih thin. |
| Regional Anesthesia hmanga enkawl a ni | I taksa peng lian tak (e.g. kawr hnuai lam) chu a hring vek a. I conscious a, mahse i chawlh hahdam theih nan damdawi an pe che a ni. | Cesarean section (C-section), khup emaw hip emaw thlak a ni. |
| Local Anesthesia hmanga enkawl a ni | Hmun tlemte chauh a nghawng a ni. | Ha pakhat hrual la, hliam pakhat sew rawh. |
| Mut hahdam (Sedation) . | Relaxed, sleepy state-ah a dah che a ni. I muhil pawh a ni thei. | Colonoscopy test, biopsy test thenkhat. |
Engtin nge mumang hlohna kalphung hi a lo awm?
Hei hi zawi zawia thil thleng a ni.
1. Damdawi pek: Operating theatre-a i kal chuan i kut vein pakhatah cannula (IV line) dahin chuta tang chuan damdawi tui (liquid medication) pek a ni ang. A nih loh leh a chang chuan i hmai chungah mask dahin thawk chhuahna tur gas pek i ni ang. Minute tlemte chhungin mut thuk ang chiah dinhmunah i tlu ang.
2. Thâwk lak dan tur enfiah : I hriat loh vek hnuah anesthesiologist chuan i kâ aṭangin tube te tak te (endotracheal tube) chu i thlipuiah a dah ang a, chu chuan operation chhung zawnga oxygen dik tak i hmuh theih nan a pui ang. Hei hi tih a nih hmain i rilru chhunga ruhte tih hahdamna tur damdawi pek i nih dawn avangin dah luh a ni tih i hre lo vang .
3. Continuous monitoring: Surgery chhung zawng hian anesthesia team te hian i taksa chhunga thil awmte hi an teh reng ang:
- Thâwk chhuahna rate
- Taksa lum leh vawt
- Lungphun a thawk chhuak
- Thisen sang a ni
- Thisenah oxygen level a awm
- Taksa tui awm zat
Heng tehnate a\ang hian anesthesiologist chuan damdawi pek zat chu a siamrem ang a, a tul chuan tui emaw thisen emaw a pe belh ang che. Chuvangin i him hle a ni.
4. Recovery: Surgery a zawh veleh Doctor in anesthesia a pek tawh loh ang che. Tichuan recovery room-ah hruai i ni ang. Chutah chuan zawi zawiin i harh tan ang. Doctor leh nurse te chuan natna i neih loh nan leh harsatna dang i tawk lo tih an enfiah ang.
Hemi atan hian eng damdawi nge hman?
Mut tirtu atan hian damdawi chi hnih hman a ni a, chungte chu IV damdawi leh inhaled medication te an ni.
IV Damdawi hman dan
- Propofol: Damdawi hman tlanglawn tak a ni. Mutthilh lohnaah a dah nghal vat a, operation chhung zawngin chutiang dinhmunah chuan awm reng turin a pui bawk.
- Etomidate: Hriatrengna (amnesia) tanna atana hun rei lote chhunga damdawi pek thin.
- Ketamine: Surgery rei lo te atan a mah chauh emaw, damdawi dang nen emaw hman a ni.
Inhaled Damdawi te
- Sevoflurane: Gas hman tlanglawn tak a ni a, anesthesia siam leh vawn that nan hman thin a ni.
- Desflurane: Hei hi anesthesia enkawl nan pawh hman a ni.
- Nitrous Oxide: "Laughing gas" tia hriat bawk a ni a, a mah chauhin muthilh thuk tak a thlen thei lo va, chuvangin damdawi chak dang nen hman dun a ni.
Operation hmain engtin nge i inbuatsaih ang?
I doctor leh anesthesiologist te chuan operation hmain an sawipui ang che. Heng thilte hi an zawt ngei ang che. Hetih lai hian thudik sawi a, engmah thup loh hi i himna atan a pawimawh hle.
- Damdawi lam harsatna dang i neih (zunthlum, thisen sang, thinlung natna te).
- Damdawi i hman zawng zawng (vitamin leh hnam damdawi te pawh tel).
- Allergy i neih - damdawi, artui, soy, etc. ang chi thil te.
- Meizial i in emaw, zu i in emaw, ruihhlo dang i hman emaw pawh nise.
- Surgery hmasa berah khan anesthesia hmanga reaction a awm leh awm loh.
A bik takin doctor chuan operation hma darkar 8 vel chu engmah ei leh in lo turin a hrilh ang che. Hei hi ‘chang nghei’ an ti. A chhan chu chaw nghei hian i taksa ruh (muscles) te chu a relax thin. Tichuan i pum chhunga ei tur awm chu i kawr chhungah a rawn chho thei a, i lung chhungah a lut thei bawk. Hei hi dinhmun hlauhawm tak a ni. Chuvangin i doctor thupek ang chiah kha zawm rawh.
Tin, thisen chhuahna tipung thei damdawi thenkhat, aspirin ang chi, operation hma kar khat vel ei kha bansan turin an ti thei bawk. Hemi chungchang pawh hi i doctor nen sawiho rawh.
A side effect leh risk te chu engte nge ni?
Tunlai damdawi hman danah chuan general anesthesia hi thil him ber pakhat a ni. Mahse, damdawi lam thil tih dan dang ang bawkin a side effect tenau tak tak a awm a, a hlauhawmna pawh a tlem hle.
Hun eng emaw chen atana side effect awm fo thin
Chungte chu darkar tlemte emaw, ni khat emaw chhungin a bo tlangpui.
- Nausea leh luak chhuak
- Kawng a vawt
- Thlipui na emaw, ri bengchheng emaw (thlipui tleh vang) .
- Mutthilh theih lohna
- Tremor a ni
- Taksa natna
- Itching a ni
- Hriatrengna hloh thenkhat (a bik takin kum upa lam) .
Risk sang zawka awm thei te
Mi thenkhat chu anesthesia avanga harsatna an tawh theihna chance a sang deuh hlek a ni.
- Mi thau lutuk: Taksa rihna sang zawkte tan anesthesia leh thawk dan enkawl dan hi fimkhur zawka tih tur a ni.
- Tar: Damdawi lam thil dang a awm avangin i tar chhoh zel chuan a hlauhawmna a sang thei hle.
- Natna dang nei te: Thisen sang, zunthlum, thinlung natna, lung natna, leh kal natna te ang chi natna nei te.
- Obstructive Sleep Apnea nei te.
- Meizial zutute: Meizial zuk hian thawkna kawng a nghawng avangin a hlauhawmna a sang zawk.
- Zu in tam: Zu ruihhlo ngawlvei te hian anesthetic drugs an dawn dan a inang lo thei.
- Anesthetic drugs allergy nei te.
A tlem hle, mi sangkhat zinga pakhat vel, anesthetized hnuah pawh consciousness level engemaw chen (anesthesia awareness) i nei thei. Hei hi a tlem hle nachungin, i doctor nen pawh hemi chungchang hi i sawipui thei ang.
Take-Home Thuchah a ni
- General anesthesia hi a him hle a, specialist anesthesiologist enkawlna kimchang hnuaia tih a ni.
- Surgery i tih hmain i hriselna chungchang i hriat zawng zawng, i damdawi ei dan leh i tih dan (meizial/zu in) te i hriat zawng zawng doctor hnenah hrilh vek tur a ni.
- Damdawi lam thupek, operation hmaa chaw nghei ang chite chu a ziak angin zawm rawh. Mahni himna tur a ni.
- Anesthesia hnua rilru hahna leh rilru na ang chi thil hi hun eng emaw chen atan a ni tlangpui.
- Hemi chungchangah hian hlauhna emaw zawhna emaw i neih chuan operation hmain i doctor nen zalen takin inbiakna nei rawh. I zawhna zawng zawng an chhang vek ang.
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