kabarmakyay: ႏွာေခါင္းေသြးယိုခဲ့လွ်င္ဘာလုပ္ရမလဲ

7/08/2013

ႏွာေခါင္းေသြးယိုခဲ့လွ်င္ဘာလုပ္ရမလဲ

နာေခါင္းက ေသြးယိုတာကို Epistaxis (Nosebleed) လို႔ေခၚတယ္။ နာေခါင္းက ေသြးယိုတာက ႏွာေခါင္းေရွ႕ယိုတာနဲ႔၊ ေနာက္ကယိုတာ အမ်ိဳးအစား ၂ ခုရွိတယ္။ ေရွ႕ျဖစ္တာက အမ်ားဆံုးပါ။ ႏွာေခါင္း ေနာက္ကေန ယိုတာက ၾကာတတ္ျပီး ကုရခက္တယ္။ သိပ္ဆိုးရင္ မ်က္စိကေနယိုတာလဲ ျဖစ္တတ္တယ္။ ယိုတဲ့ေသြးက အထဲ၀င္သြားျပီး

၊ အစာအိမ္ထဲေရာက္၊ မ်ားရင္ အန္ထြက္တာမ်ိဳးလည္း ျဖစ္တတ္တယ္။ေယာက္်ားေတြက ပိုျဖစ္တယ္။ အသက္ၾကီးရင္ ပိုျဖစ္တတ္တယ္။ ႏွာေခါင္းက ေသြးယိုတာဟာ ေသြးေၾကာမွ်င္ေလးေတြ ေပါက္လို႔ပါ။ အေၾကာင္းရင္း ႏွစ္ရပ္ရွိတယ္။ ခႏၶာကုိယ္စနစ္ေၾကာင့္နဲ႔ ႏွာေခါင္းမွာ ျပႆနာ ရွိတာတို႔ ျဖစ္တယ္။ တခါတေလလဲ ဘာ့လို႔မွန္း မသိဘဲလည္း ယိုေသးတယ္။ Nasal packing ႏွာခါင္းကို ခဏခဏ ကိုင္တတ္သူမ်ား အျဖစ္ မ်ားတယ္။ ႏွာေခါင္းကို ထိခိုက္မိတာက အမ်ားဆံုးျဖစ္ေစတယ္။ အသက္ရွဴလမ္း ေရာဂါပိုး၀င္ရာကေနလဲ ျဖစ္ႏိုင္ေသးတယ္။ ရွားရွားပါးပါး ေမြးရာပါ ေရာဂါတခုေၾကာင့္လဲ ျဖစ္တယ္။ ႏွာေခါင္းထဲ တခုခု၀င္တာနဲ႔ ေရာဂါအၾကိတ္ တခုခု ျဖစ္တာေတြကလည္း အေၾကာင္းခံေတြ ျဖစ္တယ္။

ရွဴရတဲ့ေလဟာ ေဆာင္းတြင္း ကာလေတြမွာလို Low relative humidity ေရေငြ႔ဓါတ္ နည္းလြန္းေနရင္လဲ၊ ယိုတတ္တယ္။ သိပ္ေအးျပီး သိပ္ေျခာက္ေသြ႔တဲ့အခါ အျဖစ္မ်ားတယ္။ ႏွာခါင္းကေန ရွဴရတဲ့ေဆးနဲ႔ ေဆးသြင္း ပစၥည္း ကရိယာေတြ ေၾကာင့္နဲ႔ ႏွာခါင္းခြဲစိတ္တာလည္း ထည့္မေျပာရင္ ျပည့္စံုမွာ မဟုတ္ဘူး။

ႏွာေခါင္းကမဟုတ္တဲ့ အေၾကာင္းခံေတြကေတာ့ (အလာဂ်ီ)၊ အေအးမိေရာဂါ၊ ေသြးတိုး၊ ေသြးအားနည္းေရာဂါ၊ တြယ္ဆက္-တစ္ရွဴး ေရာဂါ၊ Blood dyscrasias ေခၚ ေသြးေရာဂါ၊ ႏွလံုးအလုပ္မလုပ္ေတာ့တဲ့ ေရာဂါ၊ တိုက္ဖြိဳက္၊ ႏူမိုးနီးယား၊ ငွက္ဖ်ား၊ ေသြးလြန္တုပ္ေကြး၊ ၀က္သက္၊ ႏွာေခါင္း ဆံုဆို႔နာ၊ အေအးမိေရာဂါ၊ ဆိုင္းနပ္စ္၊ ေသြးကင္ဆာ၊ ဗီတာမင္ စီ နဲ႔ ေက နည္းေရာဂါ၊ ေနာက္ျပီး Aspirin, Ibuprofen, Ginseng စတဲ့ေဆးေတြ၊ Anticoagulant ေသြးမခဲေဆး၊ အရက္ေသာက္သံုးတာ၊ ကိုယ္၀န္ေဆာင္ခ်ိန္၊ သိပ္ပူတဲ့ အစား စားတာေတြ ပါ၀င္တယ္။ (ကိုကိန္း) လို မူးယစ္ေဆး ေၾကာင့္လဲ ယိုတတ္တယ္။

ေသြးဆိုတာ ေသြးေၾကာထဲက ထြက္ရရင္ ခဲတတ္တဲ့ သေဘာ ရွိလို႔ သူထြက္လာတဲ့ ေသြးေၾကာမွာ အပိတ္လိုျဖစ္ျပီး ေနာက္ထပ္ ေသြးထြက္မွာကို တားႏိုင္တယ္။ ဒါ့ေၾကာင့္ ေသြးခဲဘို႔ အားေပးတဲ့အေနနဲ႔ေရာ ေသြးေၾကာကို ဖိအားနဲ႔ ပိတ္တဲ့ သေဘာလည္းျဖစ္ေအာင္ ေသြးထြက္တဲ့ ေနရာကို ဖိႏွိပ္ ေပးထားတာက အေကာင္းဆံုး ေရွးဦးသူနာျပဳနည္းျဖစ္တယ္။

ႏွာေခါင္းဆိုရင္ေတာ့ အေျပာ့ပိုင္းကို လက္မနဲ႔ လက္ညွိဳး သံုးဖိေပးရမွာပါ။ ဒီလိုလုပ္ရင္ အက်ိဳးမ်ားေစလို႔ ႏွာေခါင္းရဲ႕ ေရွ႕ပိုင္း တရိဂံပံုေနရာကို Kiesselbach's area, Little's area လို႔ေခၚတယ္။ ဖိတယ္ဆိုတာက တင္းတင္း ဖိရမွာ၊ ၅ မိနစ္ေလာက္ ၾကာသင့္တယ္။ ေခါင္းကို နဲနဲ ေရွ႕ငံု႔ထားရင္ အသက္ရွဴလမ္းထဲ ေသြး-ေသြးခဲ မ၀င္ေအာင္ကာကြယ္ရာ ေရာက္ေစတယ္။ Trotter နည္းေခၚတယ္။ ထိုင္ေနေစပါ၊ ပါးစပ္နဲ႔အသက္ရွဴေစပါ။ ေသြးယိုတာ ျမိဳမခ်ေစနဲ႔။ ႏွာေခါင္းထဲက ေသြးခဲကို အတင္းရွင္းထုတ္ဘို႔ မၾကိဳးစားရ။

ႏွာေခါင္းနား၊ ဂုတ္ပိုး၊ နဖူးတ၀ိႈက္ကို ေရခဲ တင္ေပးသင့္တယ္။ ေရခဲကိုလဲ ပါးစပ္ထဲငံုတာမ်ိဳး လူေတြ လုပ္ေနၾကျဖစ္ေပမဲ့ သုေတသန ကိန္းဂဏန္းနဲ႔ ဘယ့္ေလာက္ အက်ိဳးမ်ားတယ္ ဆိုတာေတာ့ မေျပာႏိုင္ဘူး။

ေသြးေၾကာေတြကို ၾကံဳ႕ေစတဲ့ေဆး Oxymetazoline, Phenylephrine ေတြကိုလည္းသံုး ႏိုင္ပါတယ္။ ဒီေဆးမ်ိဳးေတြက အေအးမိ ႏွာေစးအတြက္ေပးတဲ့ ရွဴေဆးေတြထဲမွာ ပါတယ္။ ေသြးခဲေစတဲ့ ေဆးေတြကေတာ့ Coalgan (France), Stop Hemo (Sweden, Italy, Switzerland) and NasalCEASE (US and Australia) ေတြျဖစ္တယ္။ ဒီနည္းေတြနဲ႔ မရရင္ ဆရာ၀န္ဆီ ေရာက္ရေတာ့မယ္။

နား-ႏွာေခါင္း-လည္ေခ်ာင္း ဆရာ၀န္ကေန မီးရိႈ႕ျပီး ေသြးေၾကာပိတ္တာ လုပ္ခ်င္လုပ္မယ္။ ႏွာေခါင္းထဲ ပတၲီးရွည္ ထည့္ေပးခ်င္ ေပးမယ္။ Gauze ပိတ္က်ဲစကို Vaseline or liquid paraffin ဆီတခုခုထဲစိမ္၊ Betadine Solution (10% povidone-iodine) ပိုးသန္႔ေဆးရည္ နည္းနည္းေရာျပီး ႏွာေခါင္းထဲကို တင္းၾကပ္ေနေအာင္ ထိုးသြင္းထားရင္ အေတာ္ မ်ားမ်ား ေကာင္းသြားပါတယ္။ ႏွာေခါင္းေရာဂါ ခြဲစိတ္ျပီးသူမ်ားကိုလည္း ဒီနည္းနဲ႔ ေသြးမထြက္ေအာင္ လုပ္တယ္။ ၂၄ နာရီ ေနရင္ ျပန္ထုတ္ၾကည့္၊ လုိအပ္ရင္ တခါ ထပ္ထည့္တယ္။ Silver nitrate ေဆးထည့္ေပးခ်င္ေပးမယ္။ နာမယ္ထင္ရင္ ထံုေဆးသံုးျပီး လုပ္ပါတယ္။ ထံုေဆးထဲကို Injection Adrenaline ပါထည့္တယ္။ သိပ္ဆိုးရင္ ေမ့ေဆးနဲ႔ ကရိယာထည့္ စစ္ေဆးျပီး ေသြးေၾကာကို ပိတ္ေပးတယ္။

ႏွာေခါင္းဖံုးအလႊာ Nasal mucosa ေျခာက္ေနလို႔ ခဏခဏျဖစ္တတ္သူမ်ား Saline spraying ဆားရည္ျဖန္းတာ တေန႔ ၃ ခါ လုပ္ရတယ္။ ႏွာခါင္းကိုလည္း Vaseline လိုမ်ိဳးနဲ႔ ေခ်ာေမြ႔ေစအာင္လုပ္ရတယ္။ အိမ္မွာလဲ ေရေငြ႔ဓါတ္ေပးတဲ့ Humidifier တပ္ဆင္ထားရမယ္။ မၾကာမၾကာ ျပန္ျဖစ္သူမ်ားကို ပဋိဇီ၀လိမ္းေဆးေပးတာ အကိ်ဳးရွိေစတာ ေတြ႔ရတယ္။ ႏွာေခါင္ေသြးယိုတာ မ်ားသူ၊ ခဏခဏ ျဖစ္သူေတြမွာ ေသြးအားနည္းေရာဂါ ၀င္လာတတ္တယ္။

သူမ်ားႏိုင္ငံေတြမွာ Juice of flower of pomegranate သလဲသီးပန္းကို အရည္လုပ္ျပီး၊ ခပ္ျပင္းျပင္း ရွဴေစတယ္။ Juice of fresh green grass ျမက္ပင္သန္႔သန္႔ကို အရည္လုပ္ျပီး၊ ႏွာခါင္းတဖက္စီထဲကို ၅-၁၀ စက္ ထည့္ခိုင္းတယ္။

ဆားရည္ကို ႏွာေခါင္းထဲ ျဖန္းျဖန္းေပးသင့္တယ္။ ေကာင္းတာကေတာ့ Normal saline ေခၚတဲ့ ေသြးေၾကာထဲ သြင္းေပးရတဲ့ ပုလင္းထဲက ဆားရည္ျဖစ္တယ္။ ၀ယ္ရတာ ခက္ရင္ ေရသန္႔သန္႔ထဲမွာ အိမ္သံုးဆား ၀႕၉% ရေအာင္ ေဖ်ာ္ျပီး၊ သံုးႏိုင္ပါတယ္။ ဗီတာမင္ စီ ေဆးရွာမရရင္ သံုပရာသီး၊ ေရွာက္သီး၊ ဆီးျဖဴသီး စားပါေလ။

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Maung Thar Kyaw

The Statement, dated October 30^th, and with the Place mentioned as: Sane Lai Kan Thar, the name of the State Guest House: ‘from 13:00 to 13:55 Daw Aung San Su Kyi [ASSK] came to see Union Minister U Aung Kyi, as she was invited by the Government of the Republic of Myanmar’ was issued.

At the Meeting the discussion dwelled on the situation where ‘the State is providing necessary assistances [meaning Constitution Amendments, for example, I guess]; and, in order to have economic development views on the importance of freedom of trade, and free circulation of currencies were also discussed’. And also, ‘the progress of the State’s undertakings to obtain perpetual peace initiatives with ethnic armed groups and the people that should be included in the amnesty were discussed’. Meetings in the future shall convene is agreed.

Details of the entire Meeting were not disclosed, as usual. This is the fourth time such Meeting had taken place.

After the Third Meeting between the two factions the Statement mentioned that the President was considering Amnesty, to join hands in controlling the flow of the Irrawaddy River, to bring in into legal folds of the people who are undergoing armed rebellion; and peace and rule of law were discussed.

After meeting with Aung Kyi twice ASSK met the President Thein Sein in August in Naypyidor. Soon afterward, over 200 so-called political prisoners were released under Amnesty Order. So-called political prisoner because the Governing clique consistently mentioned there is no political prisoners in Myanmar though there are plenty. There is some truth in the government’s claim that there is no political prisoner because no one was arrested under political issues but rather on criminal charges - for example: currency law, or disturbing public tranquility, etc.

ASSK met with Aung Kyi nine times under the previous military government but there was no substantive result whatsoever came out.

The Government came into existence on January 31, 2011 under the caption of the Government of the Republic of Myanmar with its President elected by the Union Parliament, a former military officer General Thein Sein. Many opinionated this General is a Dove – a soft liner, and his Deputy President Thiha Thura Tin Aung Myint Oo [Shit Loane], another ex-General is a Hawk – a hard liner; all baloney; they all are one liner, i.e. for the prosperity and welfare of the Armed Forces, meaning the top and upper echelon of the Army, under the guise of democracy.

New Guise needs, of course, new format and that new format is what the new government is formatting or formatted by the military junta before the State Power was transferred and implementing it as planned. Whether former SG Than Shwe is pulling the string from behind or is he still involved in day to day affairs are all irrelevant, though his State managed private office near Oatparta Thati Pagoda in Naypyidor is hooked with Online TV honing in onto the proceedings of the Union Parliament. He knows or he is privy to know who is behaving or misbehaving in the Union Parliament but whether he is watching the TV is something yet to be known or playing his favorite games.

The Executive, Judiciary, and Legislature were formed and on March 30^th the State Power was transferred; the military junta SPDC was dissolved. The Ministry of Interior had given warnings to NLD Chairman Aung Shwe and Secretary ASSK in the last week of June to stop all its political activities as NLD is no political party according to the Party Registration Law of the Union Election Commission. The Ministry warning emphatically mentioned that NLD’s actions were intentionally motivated against the Law.

On top of that Union Election Commission had warned with a letter dated April 5^th to all 37 Registered Political Parties not to communicate with illegal political entities. Presumably, political circles as well as diplomatic community considered the warning was directed towards NDL.

Though the new government’s changing color is visible it is still noticeably unruly. The disregards of public opinions as well as international barrages remain as the hallmark of the Thein Sein’s Administration.

Disregarding its own Ministry’s Order Thein Sein allowed Minister Aung Kyi to parley with ASSK and even invited her to Naypyidor and received her exclusively where all political leaders from the Registered Political Parties are treated shabbily at the same occasion.

The Constitution was amended proposed by the Union Election Commission regarding the Membership where criminals cannot be party members or a political entity cannot register if its members are serving criminals. That phrase has now been erased for the sake of NLD. That amendment had made eased NLD to avoid the issue of abandoning its own jailed members when and if they apply for Party Registration.

The antagonistic political ogres of Burma are, on the visual body politics, in cordial relationship. One is, up to recent past, enjoyed full support of China and now trying its best to veer off to get into the western orbit. The other ogre has, from the very beginning to present, receives consistent and absolute no-matter-what support from the western camp. It has four Radio stations providing overwhelming support in high volume of propaganda just for one person, viz. Radio Free Asia and Voice of America [two US outfits], BBC [British outfit], and Democratic Voice of Burma [EU outfit] beaming into Burma where people are socket in with one line to support, day in and day out, every day. This ogre is the western group’s horse of Burma and Thein Sein Administration wants to ride along with that horse to the winning post. Is consistent propping up necessitate a leader to become an icon? Yes, it is, at least in Burma, it has been proven!

Within a couple of days NLD will decide whether to register and the outcome is quite predictable: ‘if ASSK is promised to contest in the upcoming By-election then NLD will allow to Register by ASSK regardless of party or public opinion’. Does it mean: ‘if she is not allowed to contest in the upcoming By-election’ then NLD will not be permitted to register by ASSK? Quite likely so, as all the past behaviors indicated that: ‘person is superior to policy’, and the ‘party is dispensable’.

So far, there is no knowledge that the outcome of the Aung Kyi-Su Kyi Meeting had agreed whether ASSK will be allowed to contest in the election. If that is the case the amendment of the constitution will be a major issue. At the end of the day, one faction will sure to swallow the other like python. No on

e knows, which one will come out as the python and which one is Mai Dwe Lay.

Maung Thar Kyaw

Taiwan, November 3, 2011.

Here she is, Thinzar Win, on the right.

Could you still think you are looking at Burmese girls who are posting for this photo in Rangoon? If you think the junta is to be blamed for all decadent aspects, then, your thinking may be inconclusive.

Shwedarling.com, a website for dating and mating prevails in today’s Burma. In 1988 no one could dream that Burma would be at this stage today but it has advanced so fast and so vast.

Infested with nouveau riche in the ngathalau’ economy decadences are abound; instead of tea break at usual hour at or around 4:00 PM now the nouveau riche have new past time at 3:30 PM or so – “Time to squeeze Pau’ Si” at Karaoke bars that are mushrooming through out Burma!

Junta’s policies may have pushed urbanites to that corner but it is just a plain excuse. Getting along by going along is a sin, by all means.

Here is another exhibit to think of!

Moe Hay Ko, another Model, good at Catwalk as well as other walks – bed walk [?] smooching somewhere in the quiet corner!

Salamani Kantchalar!

Burma was under absolute monarchy from 1044 AD until 1885 AD and was under different dynasties. The Monarchs yearned to possess White Elephant; i.e. to claim as the Owner of the White Elephant or Sin Phyu Shin, or, if they have more than one White Elephant, then, Sin Phyu Myarr Shin!

One White Elephant-crazy king even commanded to retrieve a dead elephant floated down the river that had resemblances of White Elephant and kept in his palace and claimed he was the Sin Phuy Shin.

White Elephant is considered to represent the power and glory of the Owner and the White Elephant would appear, according to the myth, only if the Ruler of the country has strong Power and Glory.

Burma has dictators since 1962: viz. Ne Win, Saw Maung, Than Shwe; and, all of them seem to believe that they were the royalty somehow or other. The last dynasty, Koane Baung, ended with His Majesty King Thibaw. The prophecy had it that there would be 13 Koane Baung kings to reign Burma. Thibaw was the 11th and two more kings are yet to reign. Ne Win presumed he was the 12th Koane Baung King! Saw Maung seemed to have believed that he was the reincarnation of King Kyan Sit Tharr of the Pagan Dynasty, and, Than Shwe believes he was the reincarnation of King Thar Lun.

During Thar Lun Than Shwe’s reign, a White Elephant was sited in the jungle of Rakhine State. With pomp and pageantry the White Elephant was brought to Rangoon, the then Nay Pyi Daw and kept in the highly decorated pavilion that befits only to the royalty with special elephant guards, etc., so on and so forth. All the necessary arrangements were carried out by MI and its Chief Lt. Gen. Khin Nyunt who believes he was the reincarnation of Bayint Naung of Taungngoo Dynasty, though he never got to the top most spot of the junta’s ivory tower. The propaganda mill was fanning at high speed that the current rulers of Burma have highly auspicious power and glory so much so that the White Elephant was presented by the Nats [Resplendent being worthy of veneration].

Within a few months after the White Elephant had settled in at the newly built pavilion a Bangladeshi, or, to be more exact, a Chittagonian, or better known in Burma as Khortaw Kalar showed up at the Bangladeshi Embassy in Rangoon, claiming that the elephant at the Pavilion was his elephant that was herded away by the Burmese while grazing in the jungle and requested the Bangladeshi Ambassador to reclaim the elephant from the Burmese junta on his behalf. To cut the story short the Ambassador along with the Officials from the Ministry of Foreign Affairs and MI officers went to the Pavilion with the Khortaw Kalar and demanded to prove his claim.

There, Khortaw Kalar stepped out and bellowed: Salamani Kantchalar!

At the very instant the ‘Command’ was heard the White Elephant lifted up his trunk and trumpeted a very loud noise. The ‘Command’ was given for the second time and the White Elephant responded in the same manner again. Then, Khortaw Kalar commanded in more Khortaw words: the White Elephant was under complete spell of commands – sitting, kneeling, etc. Now, the claim was proven to be true and the negotiation was but started. MI ended up paying US $ 100,000.00 from the State coffer as demanded by the Khortaw Kalar for the White Elephant that was supposed to have been presented by the Nats due to the power and glory of the rulers of Burma.

Khortaw did not stop then and there. He added there are four more such elephants in his possession and they were up for sale if the price is right. MI arranged a delegation to accompany the Khortaw to his native village in the no-man’s land between Bangladesh and Burma to inspect the so called White Elephants. There, the delegation found two more White Elephants out of the four and agreed to pay US$ 200,000 a piece.

Burmese delegation could not just take the two elephants away they bought; they need the Khortaw to release the two in the Rakhine jungle for them to herd them back to Burma later as though it was naturally sited. Thus, the usurper royalties of Burma got three White Elephants at a price of US $ 500,000.

Some one got excited regarding the Salamani Kantchalar and traced back how it came into existence! In the anal of Burma there was a time when a Shan Prince by the name of Sao Han Pha, better known as Tho Han Bwa reigned Burma. He was a tyrant by all means; conceited and insolent, and very much anti-Buddhist religion. During his rein many Monks were tortured, killed and extradited to far away places and forced them from learning Buddhist scripture. Tho Han Bwa was the Daman daye [impediment endangering the teachings of Buddha] of his time. Under Tho Han Bwa, some aspects of Buddhist incantations had changed; for example: Buddhan Tharanan Gitsarmi, Dhaman Tharanan Gitsarmi but Sanghan Tharanan was turned into Gunsarmi, and Buddhan Puzaymi, Dhaman Puzaymi, and Sangan had turned into Pu-Jail-mi, just like recent events under Daman daye Thar Lun Than Shwe.

Many Burmese fled to far away places, including Burma-Bangladesh border to fight back Tho Han Bwa and/or other tyrants. There, they deployed Khortaws to attend their elephants. Khortaws were taught to learn ‘Commands’ in Burmese but it was very difficult for the Khortaws to learn the necessary commands for the elephants. By virtue of wits a Burmese gave a ‘battle command or a battle cry’ for the elephants: “Sarr Lho. Ma Nyee Kanazoe Thee”, in rhyme with the actual command. That, Khortaw could learn with not much difficulty. As the time woes on the command Sarr Lho. Ma Nyee Kanazoe Thee had resonance into Salamani Kantchalar!

Ne Win who presumed to be the 12th Koane Baung, Saw Maung who presumed to be the reincarnation of King Kyan Sit Tharr of the Pagan Dynasty, and the cagey sly fox Khin Nyunt who believes he was the reincarnation of Bayint Naung of Taungngoo Dynasty had all but ended badly. Now we have to see how Than Shwe who believes he was the reincarnation of King Thar Lun ended? Is it to believe that those who sit on such chairs excrete such excreta?

As a matter of fact, the real Owner of the White Elephants or the Sin Phyu Myarr Shin actually was the Khortaw Kalar of Bangladesh!

By the way,
All the Usurpers,
Ne Win, Saw Maung, Than Shwe are mere “Suu Yauts”!