Ha enkawltu hnena kal tur emaw, zai tenau tih a ngai emaw tih hian tlem a hlauthawng leh lungkham deuh hi thil pangngai a ni lawm ni? Doctor-te’n i hlauhthawnna tihziaawmna leh i rilru hahdamna atana an hman dan pakhat chu ‘
laughing gas ’ tih hi a ni. Chuvangin vawiin hian he thu hi chipchiar tak leh awlsam takin sawi ila.
Laughing gas chu eng nge ni tak tak?
A awlsam zawngin, damdawi lam tawng chuan
nitrous oxide an ti a. Gas rawng nei lo, kang thei lo, rimtui deuh a ni. Damdawi leh
ha enkawlnaah te hman a ni a, i rilru tih hahdam nan (sedate), lungkhamna tihziaawmna tur leh i rilru hahdamna tur a ni. Kum 1800 chho atang khan anesthetic atan an hmang tan tawh a ni. Tunah chuan oxygen nena inzawm hian pek a ni tlangpui. Khawvela anesthetic gas hman lar ber pawl a ni.
Ngaihtuah teh, hei hi damdawi lamah chauh hman a ni lo va, chaw siamna atana hman tur whipped cream can-ah te leh car intlansiaknaa engine speed tihsan nan te pawh hman a ni.
‘Laughter Gas’ tih hming pu mah se, he thil hi an inhnim hian mi zawng zawng an nui vek dawn lo. Mahse mi thenkhat chuan nuihzat hmel leh hlimna an nei thei.
Hemi hman hian eng thatna nge a neih?
Doctor-te’n enkawlna tenau atan hetiang hi an la hman chhan hrang hrang a awm.
- Hlauhna leh lungkhamna a tiziaawm: Hei hian damlo chu a ti thlamuang a, enkawlna kawnga thawhpui turin a fuih bawk.
- A pek a awlsam hle: needle engmah a ngai lo. I hnar (a nih loh leh hnar leh hmui pahnih pawh ni thei) chungah mask te tak te i dah a, chuta tang chuan i thawk chhuak mai mai a ni.
- Hnathawh tan thuai: Gas i inhnim tan atanga minute 3-5 chhungin a nghawng chu i hre tan ang.
- A effect chu a bo nghal vat a: gas i pek tawh loh hnu minute 5-10 chhungin i normal leh vek ang.
- Damlo tan a him: He gas delivery device hian safety feature 12 chuang a nei a, chu chuan harsatna a awm lo tih a tichiang a ni.
Hei hi i ei hian i taksaah eng nge thleng?
He gas hi i ei hian i muhil kim lo. Chumi awmzia chu i chhehvela thil thlengte chu i hre thei a, doctor-in zawhna a zawhte chu i chhang thei tihna a ni. Hei hian a tih chu a ti thlamuang che a, i natna threshold a tisang bawk. Chumi awmzia chu
Natna tihbo vek ai chuan tuar thiam zawkin a siam ang che. Mahse, enkawlna hrehawm tak tak tan chuan anesthetic chak zawk a ngai mai thei. Nitrous oxide hi depressant a ni. Inject a nih chuan a hnuaia mite hi i tawng thei ang:- Hlimna
- A nui suk a
- Lu na
- Euphoria na lo tak a ni
- A light vek.
Enkawl hma hian doctor in i hman duh leh duh loh a zawt ang che. Tichuan, i hnar chungah plastic mask dahin thawk turin an ti ang che. Naupang naupang zawk tan chuan hood te tak te hman theih a ni a, chu chuan hmui a inhawng laiin hnar chauh a khuh thei. A châng chuan naupangte mask hman thiam theih nân rimtui dah belh theih a ni bawk. I kut leh ke chu a rit deuh niin i hria mai thei. I kut leh keah pawh a rilru a na deuh thei bawk. Enkawlna a zawh hunah mask hi lakchhuah a ni ang a, minute engemaw zat chhungin i normal leh tawh ang. Naupang naupang zawk tan chuan gas tihtawp hnuah hun rei lote chhung oxygen 100% pek theih a ni a, chu chu an dam leh thuai theih nan a ni. Eng side effect nge a neih a, tute nge hman loh tur?
Nitrous oxide hi doctor enkawlna hnuaia pek a nih chuan a him hle. Mahse, mi tlemte chauhvin side effect engemaw zat an nei thei. Side effect langsar ber chu lu na leh luak chhuak a ni. Naupang tê tête chu a châng chuan an luak emaw, an lungkham deuh emaw pawh a ni thei. Thu lawmawm tak chu heng side effects te hi damlo za zela tlemte chauh, 5% vel ah chauh a awm a ni. Damdawi lam enkawlna atana ei hian hun rei tak chhung nghawng a nei em tih hriat a ni lo. Mahse, he gas mamawhna damdawi i neih fo a ngai a nih chuan i doctor chuan vitamin B12 supplement ei turin a hrilh thei che a ni. Hei hi a chhan chu nitrous oxide hian kan taksain vitamin pawimawh B12 leh B9 (folate) a lakluh theihna tura puitu enzyme a inactivate thei a ni. Hei hian thisen tlakchhamna ang chi dinhmun a thlen thei a ni . Laughing gas (Nitrous Oxide) hman loh tur dinhmun te .
| Nihna | Chhan |
|---|
| Naupai thla 3 hmasa ber | Vitamin B12 leh B9 te hi naupang thanlenna atana pawimawh tak a nih avangin taksain a lakluhna tibuaitu hian naupang tan a tichhe thei a ni. |
| Lung natna na tak | Thisenah homocysteine level a tisang thei a, hei hian thinlung natna a tizual thei a ni. |
| Pneumothorax, middle ear surgery, retinal surgery, etc. | Chutiang taksa hmun inkharkhip takah chuan boruak pressure chu hlauhawm takin a sang thei a ni. |
| Rilru natna khirh tak (e.g. schizophrenia ) hi chutiang natna nei tawh tan chuan a tha lo hle a, he gas hian hallucination a thlen thei a ni. |
| Naupang kum 3 hnuai lam (hman fo) . | Vawi khat hman hi a him tih hmuhchhuah ni mah se, anesthesia pek fo hian naupang thluak hmasawnna a nghawng thei tih vaukhânna a awm. Hemi chungchang hi i doctor nen sawiho rawh. |
Hlimna atana hman dik loh hlauhawmzia
Hei hi a hlauhawm hle a , a dik lo hle bawk . Mi thenkhat chuan he gas hi ruihhlo atan an hmang thin. Chungte chu ‘whippits’ an ti a, a tlangpuiin balloon emaw bag emaw-ah an thun a, an inhal thin. Hei hi a hlauhawm em em chhan hrang hrang a awm. Doctor-te chuan 30% nitrous oxide leh 70% oxygen inpawlhona an pe a. Mahse, damdawi anga ei thin ‘whippets’ ah hian 100% nitrous oxide a awm a ni . Direct-a kan inhnim chuan lung chhunga oxygen awm zat chu nasa takin a tlahniam a, nunna atana hlauhawm tak, hypoxia an tih chu a lo awm thei a ni. Hun rei tak chhunga hman dik loh avanga nghawng tha lo awm thei
He gas hian a nghawng a nih chuan taksa chuan a balance a hloh . Chuvang chuan tlu leh inhliam theihna chance a sang hle a, motor chetsualna pawh a sang hle. Chuvangin, hetiang thil hi hlimhlawp atan hmang ngai suh .
Take-Home Thuchah a ni
- Nitrous oxide hi gas him tak a ni a, doctor enkawlna hnuaiah i rilru tih hahdam nan hman a ni.
- Hei hian nghawng a neih chu rei lo te chhung atan a ni. Once you stop giving the gas , minute tlemte chhungin i normal leh tawh ang.
- Infiamna atana hman hi a hlauhawm hle . Nerve tichhe thei, oxygen tlakchhamna, thihna thlengin a thlen thei.
- He gas hi eng enkawlna atan pawh pek i nih hmain i doctor hnenah damdawi lam harsatna dang i neih (a bik takin thinlung natna, rilru lam natna) leh naupai i nih chuan hrilh hmasa phawt ang che.
- Hemi chungchanga zawhna i neih chuan i Doctor nen inbiak pawh hlau suh.
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