Dr. Tawnsangzel Tonson(Sangtea Tonson)
MBBS, RIMS Imphal
MO at Surgery Dept, Civil Hospital, Aizawl
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Hnar thi hi natna niloin natna dang vang zawk a lo awm thin a ni a. Hnar hi thisen zam tam takin a chawm a, chuvangin a thi hma em em a ni. Hnarthi lo chhuahna lai ber chu “LITTLE AREA” tih a ni a. Kan hnar dai dangtu hnuai lam leh hma lam, kut zungtang a han khawih phak mai a awm a ni.
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Hnar thi chhan tlangpuite han tarlang dawn ila:
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* Hnar kaw chhung dik lohna avangin-Hliam, pilh, hahchhiau vak vak
-Sinus na, TB
-Thilnung lut e.g vangvat, hlit etc
-Hnar chhung Cancer
-Boruak inthlak danglam thut
* Natna dang vangin
-Lunglam that lohna
-BP sang
-Thisen Cancer, Vitamin K tlakchham leh Vitamin C thlakchham avangin
-Thinlam tha lo
-Kal lam tha lo
-Nachhawkna e.g Aspirin ei uar avangin
-Hritlang, tangseh, sentut leh malaria
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ENKAWL DAN
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1. First Aid-
Kan sawi tak “LITTLE AREA” hi hnar thi tamna a nih tlangpui avangin kut zungtang a hnar chu minute nga(5) vel hmeh phui tur. Vur a deh pawh a tangkai hle. Vur hian thisen zam a ti sawng te a, thi a tih tawp tr thin.
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2. Anaterior Nasal Packing(Hnar chhung hnawh)
Hnar kaw chhungah ribbon gauge meter khat vela sei leh centimeter 2.5 vela sei Parrafin a chiah tur a ni a, fimkhur tak a hnar kaw chhunga hnawh luh tur a ni. Darkar 24 hnu vela lak chhuah leh tur. Hetianga hnarthi enkawl a nih chuan antibiotics pek tel ngei ngei tur a ni. Hei hian natna dang, e.g. Sinus na lo awm tur kha a veng thei a ni.
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3. Posterior Nasal Packing
Hnar chhung lam, hrawk lam atanga hnawh ve thung tur a ni. Hetiang a enkawl ngai a nih chuan hnar thi chu thisen sang vang anih thin avangin damdawiin a luh (admit) tur a ni.
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4. Enkawl dan dangte\
I) Arterial Ligation- thisen zam tawn pin/phui
II) Cauterization
III) Endoscopic cautery- endoscope hmanga hnar thina lai tih khal.
IV) SMR(Submucous Resection)- hnar zai dan chi khat.
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Inven theih awm te
a) Hnar kheuh zawngchhang loh tur. Nu leh Pa ten kan fate hnar khawih/hawlh chen lo tur a zirtir tur ani.
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b) Hnar a ben, hnek loh tur.
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c) Hmun ro leh khu lutuka awm loh tur. Nisa do vak vak loh tur.
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d) Hnar thi hi natna dang vang a nih thei avangin Doctor rawn vat tur(Regular tak a hnar thi nei thin I nih chuan Doctor rawn vat ang che).
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