He khawvela i naute lo kal ni a lo hnaih meuh chuan, chutih laia i hrehawmna tur chu tlem a hlauhthawn leh hlauhna i neih chu thil pangngai tak a ni. "Engtin nge he natna hi ka tuar ang?" I natna thunun theih nan eng nge i tih theih ang tih pawh i ngaihtuah ve ngei ang. Chu natna control dan ber pakhat chu opioid an tih painkiller class hman hi a ni. Hemi chungchang hi vawiinah hian awlsam takin sawi ila.
A awlsam zawngin, heng Opioid te hi engte nge ni?
Opioids hi natna tidamtu chak tak chi khat a ni a, natna tihziaawmna atan hman a ni. Pill angin emaw, vein (IV)-a direct-a injection angin emaw pek an ni tlangpui.
Hengte hian kan taksaa hna an thawh dan hi a mak khawp mai. A awlsam zawngin, heng damdawi te hi kan nerve cell-ah an inzawm a, natna signal chu thluaka kal chu a titawp a ni. Pain pathway block ang mai a ni. Chu mai pawh ni lovin, kan thluaka chemical awm, hlim leh hahdam taka min siamtu endorphins tihchhuahna an tipung bawk . Chuvangin i rilru hahdam leh thlamuang takin i awm tan thin.
Opioid chi hrang hrang a awm bawk .
- Ṭhenkhat chu poppy thing chi aṭanga pianphung anga hmuh chhuah a ni. Entirnan, natna tidamtu morphine .
- A dangte chu laboratory-ah natural opiate atanga siam a ni.
- Tin, thil siam chhuah vek, chu chu laboratory-a chemical hmanga siam chhuah a ni bawk. Nau neih laia kan hman tlanglawn Pethidine leh Fentanyl te hi he category-ah hian an tel ve a ni.
Nau neih laiin opioid hman thatna leh that lohna
Nau neih laiin natna chungchangah eng nge i tih tur tih i ngaihtuah hian duhthlan tur engemaw zat i nei. Mi thenkhat chuan natna damdawi engmah hmang lova naute hrin hi an duh zawk. Mi dangte chuan damdawi lam thurawn hnuaiah natna thunun nan hmanraw hrang hrang an hmang bawk. Opioids hi chutiang hmanraw pakhat a ni. A bik takin nau neih tirh lamah , nau neih tan tirh lai hian an hmang thin. A thatna leh that lohna pakhat zel han thlir ila.
| Pros | Cons |
|---|---|
| A bul tan thuai:Bow chi hrang hrang a zirin minute tlemte chhungin natna reh i nei tan thei. | Mutthilh: I muhil thei a, i muhil thei bawk. Mahse nau neih hian hun rei tak a daih dawn nia i ngaih chuan hei hian chawlh hahdamna engemaw chen i neih theih nan a pui thei che a ni. |
| Hun rei tak daih: Natna tihziaawmna hi darkar engemaw zat a awm. | Nausea leh vomiting: Mi thenkhat chuan an pum a inher ang maiin an hria a, an luak chhuak thei bawk. |
| Hahdam taka inhriatna: Hengte hian i taksa ruhte chu a tichak lo va, mahse i hahdam theih nan a pui che a, chuvangin i naute hrin hna thawh hahthlak hmain chawlh hahdamna i nei thei a ni. | Luak chhuak: I luak chhuak thei a, i lu a na thei bawk. |
| Naute chunga nghawng a neih theih dan: Hei hi a pawimawh ber a ni. Heng damdawi te hi a hun dik lo emaw, a dose dik lo emawa pek a nih chuan naute hriselna a nghawng thei a ni. Naute thaw leh heart rate a ti hniam thei. |
Chuvangin heng natna tidamtu chi hrang hrangte hi damdawi inah an pe fo thin a, doctor leh nurse te enkawlna khauh tak hnuaiah an pe thin.
Nau neih laiin opioid ei hi a him tak tak em?
Hei hi nu tam tak tan chuan zawhna lian tak a ni. A chhanna chu, a ni, nau neih laiin natna atan opioid ei hi a him tlangpui a, dik taka pek leh damdawi lam enkawlna hnuaia pek a nih chuan. Mahse risk nei lo a ni tihna erawh a ni lo.
A pawimawh ber chu timing leh dosage a ni.
- Timing: Heng painkillers te hi active stage of labor tan hmain pek thin a ni. A awlsam zawngin, i cervix chu centimetre 6 vel a dilated hnuah leh i contractions te chu steady, regular pattern-a lo kal tan hnuah pek an ni lo. Chutianga an tih chhan chu chutiang dinhmunah chuan natna tihziaawmna tam tak an pe lo va, naute chunga nghawng a neih theih dan tur tihtlem nan a ni.
- A hman dan tur: DoctorDose pek zat chauh hmang rawh. Dose a san lutuk chuan nu leh naute zingah thawk leh heart rate a tlahniam thei a ni.
Hei hi i addicted thei ang em?
Khawvela ‘opioid hri leng’ chungchang i hriat chuan chutiang damdawi ei chu i hlau mai thei tih hi hriatthiam theih a ni. Mahse thudik tak chu, nau neih laiin vawi khat pek thin hetiang painkiller hi i addicted dawn lo. Mi chu taksa lamah ruihhlo a ngawlvei ta a, a chhan chu hun kal zelah an taksain a lo thiam tawh thin a ni. Hei hi nau neih laiin dose khat pawh pek a nih chuan a thleng dawn lo. Tun hmaa ruihhlo ngawlvei history i neih loh chuan hei hi hlau lutuk suh.
Natna atana duhthlan tur dangte chu engte nge ni?
Opioid bakah hian nau neih laiin natna enkawl dan dang lar tak leh tangkai tak tak a awm bawk. Chung zawng zawng chu i doctor nen in sawiho thei a, i tana tha ber tur i thlang thei bawk.
| Natna tihdam dan | A awlsam zawngin... |
|---|---|
| Epidural block a ni | Hei hi kan rama mi tam takin "spinal tap" an tih chu a ni. Anesthesiologist chuan i ruhro vel epidural space-ah tube te tak te (catheter) a dah a, chuta tang chuan natna tidamtu tui a pe che a ni. Minute 10-20 chhungin i hnungzang hnuai lam chu a bengchheng tawh ang. Hei hi a awm lai hian i kal thei dawn lo. |
| Spinal block a ni | Hei hi ruhroa injection a ni bawk a, epidural ang mai a ni. Mahse, damdawi chu ruhro (spinal fluid)-ah direct-in a inject a ni. Vawi khat chauh pek a ni. Darkar hnih vel chhungin a natna chu a reh thei. Cesarean section (C-section) leh nau neih buaithlak tak takah hman a ni tlangpui. |
| Local anesthetic hmanga tihdam theih a ni | Hei hi hmun tlemte chauh numb nan hman a ni. Entirnan, vagina zau zawka incision te tak te (episiotomy) siam a nih chuan he injection hi chu hmun chu numb turin an pe thin. |
| Nitrous oxide a ni | Hei hi "laughing gas" an ti bawk. He gas hi i seizure i neih dawn laiin mask hmangin i inhnim thin. Natna chu a ti bo vek lo a, mahse tuar a awlsam zawk hle. I hman lai hian i kal thei a, i che thei bawk. |
Chuvangin, i ngaihtuah mai thei, pain management atan hian duhthlan tur tam tak a awm. A tha ber chu nau neih hma, nau neih hmaa i tlawh lai hian i doctor nen heng duhthlan tur zawng zawng hi zalen taka sawiho hi a ni. Tichuan, i hriselna, i duhzawng , leh i naute dinhmun nena inmil ber birth plan i siam thei ang.
Take-Home Thuchah a ni
- Opioids hi natna tidamtu chak tak a ni a , nau neih hmaa natna tan pek thin a ni . Active labor lai hian pek an ni tlangpui lo.
- Hengte hian natna tihziaawmna rang tak ni mah se, mutthilh leh rilru hahna ang chi side effect a thlen thei a ni. A pawimawh ber chu an hman dik loh chuan naute tan a pawi thei hle a, chuvangin doctor enkawlna hnuaiah chauh pek tur a ni.
- Nau neih laiin damdawi lam thurawn anga Opioid dose ei chu i addicted lovang. A tul lovah hlau suh.
- Opioid bakah hian natna tihdamna kawng tha tak tak dang a awm a, chungte chu epidural leh spinal block te hi a ni.
- A tawp berah chuan i doctor nen inbia fo la, nang leh i naute tan pawha him ber leh tha ber tur pain management method thlang rawh.
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