Miin thawk harsa an tih huna tube an thun dan hi i zir dawn teh ang? (Intubation hmanga tih a ni) .

Mi pakhat dinhmun a ṭhat loh laiin, emaw, operation lian tak neih hmain "tube-a dah" emaw, "tube-a dah" emaw tih thumal hi i hre tawh ngei ang Hei hian eng nge a awmzia tak tak? Tlem a hlauhawm deuhin a lang thei a, mahse nunna chhanhim thei thil pawimawh tak a ni fo. Kan sawi mai dawn nia, a tha em?

Intubation tih hi eng nge ni?

A awlsam zawngin, intubation chu doctor emaw, health care professional trained emaw chuan i hmui (a nih loh leh a chang chuan i hnar) hmangin i thlipui (thlipui kawngpui)-ah tube te tak te a dah luh hi a ni. Hei hi endotracheal intubation emaw tracheal intubation emaw an ti bawk . He tube hi dah a nih chuan thlipui (windpipe) chu a inhawng a, chu chuan thawk a ti awlsam hle. Chumi hnuah chuan he tube hi i tan thawk thei tur machine (a tam zawkah chuan ventilator ) nen a inzawm thei a ni. Chumi hnuah chuan machine hian oxygen leh boruak a pe a, chu chuan thawk turin a pui a ni.

Engvangin nge mi pakhat chu hetiang hian intubate a ngai ang?

Tube hi mi pakhatin a mah chauha thawk tha thei lo, emaw, an thawkna kawng a inkhar emaw, a chhiat emaw chauhvin a mamawh a ni. Ngaihtuah teh, oxygen hi kan taksa tan a pawimawh hle. Chuvangin kan hmuh that loh chuan harsatna tam tak a thleng thei a ni.

Hengte hi tube dahna hmun tlangpui chu a ni:

• Thli kawng khar: I thawkna kawngah thil pakhat, ei tur chi khat ang maia a tlakbuak a, i thawk thei lo a nih chuan han ngaihtuah teh. Chutiang chu a ni.
• Cardiac arrest: Thinlung hnathawh a chawlhsan nghal chuan , thluak leh taksa peng dangteah oxygen a thleng lo. He method hi chutih laia thawk chak nan hman a ni.
• Kawng, ril, pum chhunga hliam na tak: Heng hliamte hian thawkna kawng a nghawng thei a, thawk a ti harsa thei hle.
• Thil hriatna hloh emaw, hriatna level tlahniam emaw: Miin hriatna a hloh chuan a thawk a thunun thei lo mai thei. Chumi awmzia chu lei chu a tla leh thei a, a chok thei tihna a ni.
• Surgery lian tak neih laiin: Surgery lian thenkhatah chuan anesthesia hnuaiah i awm ang a, nangmah chauhin i thawk thei dawn lo. Chutih hunah chuan he tube hi surgery a zawh hma loh chuan thawk chhuahna atan hman a ni ang.
• Thâwk lama thawk ṭha lo emaw, thawk hah rei lo emaw (Apnea):Pneumonia emaw, Asthma natna zual emaw ang chi lung infection na tak a awm chuan lung hi a thawk tha thei lo. Chuti chung pawh chuan hetiang hian tanpuina a ngai a ni.
• Chaw, ril\am, emaw thisen thawkna kawnga lut thei thilte hlauhawmna aspiration : Mi pakhat chu a hriat loh chuan a luak dawnin lung chhungah thil a lut thei. Chu chu a hlauhawm hle mai. He tube hian chutiang chu a veng thei a ni.

Tube dah a, ventilator nena inzawm tir hi thil inang a ni em?

Heng pahnih hi an inzawm tlat a, mahse thil inang chiah chiah erawh a ni lo.

Intubation tih hian kan sawi tawh ang khan trachea chhunga tube (Endotracheal tube - ETT) dah luh dan a kawk a ni.

Tichuan, he tube hmang hian thawkna hmanrua nen i inzawm ta a ni. Hei hi a chang chuan doctor-in a hmin leh boruak a vawm luh bag a ni thei (movie-ah pawh i hmu tawh mai thei). A nih loh leh, `Ventilator` tih machine nen i inzawm a ni. He machine hian oxygen leh boruak chu lung chhungah controlled takin a thawn lut a ni.

Mahse, a chang chuan ventilator hian hmui leh hnar khuh tu mask hmangin thawk a pe thin. Tichuan tube a inthun lo. Chu chu thil danglam tak a ni.

Tute nge hetiang hian tube dah theih loh? (A tih loh tur) .

Hei hi a tam zawkah chuan him taka tih theih a nih laiin, hetianga tube dah hi a him lo tih doctor-te’n an rel hun a awm bawk. Entir nan:

• Thli kawng a chhiat nasat chuan.
• Trachea-ah hian tube dah theih lohna tur obstruction lian tak a awm chuan.

Ngaihtuah teh, kawr chhungah accident lian tak a awm a, trachea chu tihtawp a nih chuan, chuta tang chuan tube dah tum hian chhiatna nasa zawk a thlen thei a ni lawm ni?

Chutiang hunah chuan doctor-te chuan hmanraw dang an hmang thin. Chu chu, an kawr hnuai lam, thlipui chhungah direct-a khur te tak te an siam a, chuta tang chuan an thawk chhuak tihna a ni. Hei hi `tracheostomy` an ti a. He `tracheostomy` hi tube pakhat chu ni engemaw zat aia tam, a châng chuan kar tam tak pawh a hmuna dah a ngaih hunah pawh a ngai a ni. Hei hi a chhan chu kai emaw hnar emaw atanga rei tak chhung tube dah luh hian harsatna dang a thlen thei a ni.

He tube dah dan hi engtin nge a thawh?

Hei hi damdawi inah tih a ni tlangpui. Emergency-ah chuan ambulance service-in damdawi ina a hruai hmain hei hi tih theih a ni. Amaherawhchu hei hi doctor trained leh health staff ten an ti thin a ni.

Hetah hian thil thleng tlangpui chu a awm:

1. Inbuatsaihna: A hmasa berin i kut vein pakhatah needle te tak te (`IV needle` ang chi) thun a, chuta tang chuan damdawi mamawh chu pek a ni. Hei hi anesthesia pek dan a ni a, i mut theih nan leh natna engmah i hriat loh nan.

2. Oxygen supplement pek: 1.1.A dawtah chuan i taksaah oxygen tlemte pek belh turin i hmui leh hnar chungah oxygen mask dah a ni. Hei hi tube awmna hun rei lote chhunga oxygen tlakchham loh nan tih a ni.

3. Insertion of the device: Chumi hnuah oxygen mask chu lakchhuah a ni a, i lu chu tlemin hnunglam hawiin, i ka chhungah (a chang chuan i hnar hmangin) laryngoscope an tih hmanraw bik an dah lut a. Eng te tak te a nei a, darthlalang ang deuh a nei bawk. Hei hian doctor chuan thlipui (windpipe) chu a hmu tha zawk a, tube chu a dah lut thei bawk.

4. Trachea hmuh theiha siam: He hmanrua hi zawi zawiin ka chhung atanga hnunglam thlenga kal a ni a, ha khawih lohvin kan kawr chhunga epiglottis an tih (hei hi ei tur kan ei huna trachea khar thei khuhna te tak te ang a ni) chu a chawi chhuak a, chu chuan trachea hmui chu chiang takin a lang thei a ni.

5. Tube insertion: A dawtah chuan laryngoscope tip chu trachea ka atang chuan trachea chhungah an lut a, chuta tang chuan thawkna tube (endotracheal tube) chu an dah lut leh a.

6. Tube stabilizing: Tube an dah hnuah a chhehvel balloon ang chi te tak te chu a lian zawka siam turin an inflated thin. Hetiang hian tube chu che lovin trachea chhungah a awm reng a, i thawk zawng zawng chu lung chhungah a lut vek a, a chhuak lo.

7. Device lakchhuah leh attaching: Chumi hnuah laryngoscope chu lakchhuah a ni a, tube chu a che thei lo turin plaster emaw headband emaw hmangin ka sir lamah an khih a.

8. A dah dik leh dik loh enfiah: A tawp berah chuan tube chu trachea-ah a awm em tih leh hmun dangah a kal tawh em tih enfiah a ni. Hei hi chest X-ray hmangin tih theih a ni a, a nih loh leh bag pakhat chu tube-ah dahin boruak hmanga inflate-in, leh thawk ri a awm leh awm loh hriat nan stethoscope hmanga rilru lam ngaihthlak a ni thei bawk.

Heng zawng zawng hi minute tlemte chauh a la ngai dawn a, mahse uluk tak leh rang taka tih a ngai a ni.

Tube i dah laiin i tawng thei ang em, i ei thei ang em?

Hei hi mi tam tak tan chuan harsatna a ni.

• I tawng thei lo: Tube chu i vocal cords (i thusawi huna vibrate thin part) inkarah a kal avangin tube i dah laiin i tawng thei lo.
• Ei leh in theih loh: Tin, a hmuna tube i neih laiin i ei thei lo bawk. Chuvangin i ei leh in thei lo.

"Chuti a nih chuan engtin nge ei tur i pek ang?"

A tlangpuiin, he tube hi eng chen nge i hman dawn tih a zirin doctor-te chuan i mamawh ei tur chu saline (`IV fluids`) hmangin emaw, liquid angin emaw, i hmui emaw, hnar emaw hmanga i pum chhunga dah thin tube te tak te hran hmangin an pe ang che.

Engtin nge tube hi i lakchhuah theih ang? (Extubation hmanga tihchhuah) .

Doctor ten mahni chauha thawk tha thei tur leh he tube hi i mamawh tawh lo tih an rel chuan an la chhuak thin. Hei hi ``Extubation .'' tih a ni.Hei pawh hi tih dan awlsam tak a ni.

Hetiang hi a ni:

1. A hmasa berin tube hmuna vawn tlat plaster emaw tape emaw chu la chhuak rawh.

2. Tichuan, thawkna kawng chhunga mucus tul lo leh thil dangte chu fine tube (suction) hmangin an paih chhuak thin.

3. Tube chu trachea chhunga a tlak loh nan balloon te tak te chu a inflated a.

4. Tichuan, Doctor chuan thawk la la, khuh ring takin, i thawk kha vawng tlat turin a hrilh ang che. Chutih hunah chuan zawi zawiin tube chu an la chhuak ang.

Tube lakchhuah hnuah ni engemaw zat chu i rilru a na thei. Inbiak lai pawhin tlem chuan nuam lo deuhin i inhria thei bawk. Mahse chu chu ni rei lo te hnuah a bo mai ang.

Hei hi a hlauhawmna a awm em? (Intubation a awm theihna tur hlauhawm) .

Tube dah hi thil awmze nei tak, a tam zawkah chuan a him a, nunna chhanhim thei a ni. Mi tam zawk chu darkar tlemte emaw ni engemaw zat chhungin an dam leh thin. Mahse, harsatna engemaw zat a awm a, chu chu a awm tlem hle a ni:

• Aspiration: Tube dah emaw, a hmuna dah emaw a nih chuan a chang chuan luak leh thisen ang chi thil te chu lung chhungah a lut thei.
• Pipe hmun dik lovah kal:
• Endobronchial intubation: A chang chuan tube hi trachea atanga lung chhunga branch off (mainstem intubation an ti bawk) zinga pakhatah chauh a lut thei thin. Tichuan lung pakhat chauh a thawk a ni.
• Esophageal intubation: Tube chu food pipe, esophagus, windpipe ai chuan a lut a nih chuan thluak a tichhe thei a, hriat thuai loh chuan thihna pawh a thlen thei bawk. Mahse doctor-te chuan he thil hi an fimkhur hle a ni.
• Thli kawng nghet lo: A châng chuan tube dah tumna chu a hlawhtling lo thei a, damlo enkawl theih loh phah a ni.
• Infection: Tube nei te hian a chang chuan sinus infection ang chi thil an nei thei.
• Hliam: Tube dah a nih chuan ka, ha, lei, vocal cord emaw, thawkna kawngah emaw hliam tenau a awm thei. Hei hian thisen a chhuah a, a hring thei bawk.
• Anesthesia chungchanga harsatna: Mi tam zawk chu anesthesia hmanga dam tha hle mahse, thenkhat chuan an dam tlai emaw, emergency dang emaw an tawk thei.
• Tension pneumothorax: Thli chu rilru chhungril chhungah a tang a, chu chuan lung a tikehsawm thin.

Heng hlauhawmnate hi awm mah se, a bik takin nunna chhanhimna dinhmunah chuan tube dah luh a hlawkna nen khaikhin chuan a tlem hle .

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Tunah chuan Endotracheal intubation , emaw endotracheal intubation chungchang hi i hrethiam tawh ngei ka beisei. Hei hi damdawi lam thil pawimawh tak a ni a, mi pakhatin a mah chauha thawk thei lo a nih laia nunna chhanhimna atana tih thin a ni.

He tube hian thlipui chu a hawng reng a, oxygen chu lung chhungah a lut thei a ni.

Hei hi damdawi inah emaw, emergency-ah emaw, surgery lian tak neih hmain emaw tih a ni tlangpui. Tlem chuan hlauhawm deuh angin lang mahse, i dam leh theihna tura tih a ni. I doctor chuan i tan a tha ber a ti reng ang tih ring rawh. Zawhna leh ngaihtuahna i neih chuan i doctor emaw nurse emaw zawh hreh suh.

` intubation, trachea, tube dah, ventilator, thawk, zai, emergency treatment