I thisen a kal tha em? Capillary Refill Time chungchang i zir dawn teh ang!

Vawiin hian damdawi lam thil tlemte, mahse pawimawh tak tak kan sawi dawn a ni. I hre tawh ngei ang, a nih loh leh damdawi inah i hmu tawh ngei ang, chutah chuan doctor emaw nurse emaw chuan mi kut zungtang an hmet a. Chu chuan eng nge a tih tih i ngaihtuah mai thei. Chu chu vawiinah kan sawi dawn a ni. Hei hi "Capillary Refill Time" an ti a. Ngaihtuah buai suh, a thil tih leh a pawimawh chhan kan sawifiah mai ang.

He capillary refill hun hi engzat nge ni?

A awlsam zawngin sawi ila, hei hi test awlsam tak a ni. I thisen chu i kut, ke, leh i taksa peng dangtea a kal ṭhat dan (peripheral perfusion) a en a ni . Capillaries hi i taksaa thisen kalna kawng te ber a ni. Thread te tak te ang mai an ni. Heng capillaries te hian arteries (thinlung atanga thisen phurtu vessels) leh veins (thinlung atanga thisen phur kir leh vessels) te chu a thlunzawm a ni. Chuvangin, heng capillary te hian taksa pum puiah oxygen leh nutrients te phurh chhuahna kawngah hna ropui tak an thawk a ni.

He `(Capillary Refill Time)` test hian shock hmuhchhuah a tum ber a ni. Shock hi thil hlauhawm tak a ni a, taksaa thisen kal dan a tlahniam nghal a, kan taksa peng pawimawh tak tak (thluak, thinlung leh kal) te hian an mamawh oxygen an dawng lo. Hei hi nunna atana hlauhawm natna emaw, accident lian tak emaw a awm hunah a thleng thei a ni.

Ngaihtuah teh, shock a lo awm chuan i hmalak vat a ngai a ni. Thisen test (`Lab tests`) emaw major scan (`Imaging studies`) emaw tih hun a awm lo mai thei. Chutih lai tak chuan he `(Capillary Refill Time)` test hi a tangkai hle. Rang takin tih theih a ni a , thisen kal danah danglamna a awm leh awm loh en theih a ni .

He `(Capillary Refill Test)` hi tuin nge mamawh?

He test hi mi pakhat hriselna a chhe thut a, a nih loh leh doctor-te'n "medically unstable" an tih ang chi hi tih thin a ni tlangpui. Hei hi a bik takin shock hlauhawm a awm chuan a pawimawh hle.

Mi pakhatin concussion a neih theihna tur dinhmun thenkhat chu hetiang hi a ni:

• Severe allergic reaction (`Anaphylaxis`): Chaw thenkhat, damdawi thenkhat emaw, rulhut chi hrang hrang emaw avanga allergy na tak, rang taka awm.
• Dehydration: Taksa chhunga tui awm zat a tlem lutuk chuan. Entirnan, luak tam lutuk emaw, luak chhuak emaw lai.
• Hemorrhage: Thisen tam tak a chhuah chuan, hliam lian tak emaw, chhungril thisen chhuahna dang emaw atanga lo chhuak a ni.
• Taksa lumna sang (Hyperthermia): Hei hi khawsik sang tak i neih emaw, ni chhuahna hmuna rei tak i awm lai emaw pawhin a thleng thei.
• Hypothermia: Khaw lum lutuk avanga a awm chuan.
• Kangmei nasa tak a awm.

Hetiang thil avanga mi pakhat dinhmun a chhe lutuk chuan doctor-te chuan he ``Capillary Refill Time'' hi an en a, thisen kal dan a tha em tih an zirchiang nghal vat thin.

Engtikah nge he test hi tih a nih?

Hei hi mi pakhat hriselna dinhmun nghet lo anga ngaih a nih chuan tih a ni. Chu chu,

• Rilru dinhmun danglam: Chu mi chu a buai thei a, mak tak maiin a awm thei a, a thusawi chu a sawisel thei bawk.
• Kut, ke, kutphah leh kephah a vawt: Hengte hi thisen kal a tlahniam chuan a vawt tan thin.
• Vital sign-a inthlak danglamna hlauhawm: Hei hian thisen sang, pulse rate, thawk chakna, leh taksa lumna ang chi thilte chu a hniam emaw a sang emaw thei tihna a ni.
• Thil hriatna hloh.

Hetiang symptoms hi hmuh a nih chuan ``Capillary Refill Time'' enfiah hian a hmaa hriatchhuah leh enkawl tanna kawngah a \angkai hle thei a ni He test hi damlote shock treatment an dawn dan enfiahna atan pawh hman a ni.

He `(Capillary Refill Time)` test hi engtin nge an tih?

Hei hi a awlsam hle. Hei hi in lamah i lo enchhin thei a (mahse hre reng ang che, hei chauh a\ang hian natna hi hriat chian suh. Ringhlel i neih chuan Doctor pan rawh).

Hei hi doctor-te tih dan a ni:

1. A tlangpuiin, i kut emaw, i ke emaw pakhat chu i thinlung chunglam deuhah i dah thin .

2. Tichuan, kut zungtang (nail chunglam vun) emaw ke ruh emaw chu second 5 atanga 10 vel hmet la . Chutianga i press chuan chu lai hmuna vun chu a rawn sen vek ang, a chhan chu chuta capillaries atang chuan thisen engemaw zat a chhuak dawn a ni.

3. A dawtah chuan pressure chu tihchhuah a ni a, vun chu an teh a, vun dum chu a rawng hmasa lama a lo kir leh theih nan eng chen nge a mamawh tih an en a ni . Hei hi ``Capillary Refill Time'' an ti a. Oxygen tamna thisenin capillary hrui hring a rawn fill leh chuan vun rawng chu a normal leh ta a ni.

Hei hi kut zungtang hmanga enfiah a ni tlangpui. Mahse, emergency-ah chuan, a bik takin mi taksa a vawt hle a nih chuan (entir nan, ``Hypothermia'' a awm chuan, emaw, khaw lum vangin damdawi in an thlen pawhin a la vawt a nih chuan), kut zungtang hmanga enfiah chu a dik vak lo mai thei. Chutiang hunah chuan doctor-te chuan hei hi rilru ruh lai tak (``Sternum`') bula vun hmangin an enfiah thei a ni.

`(Capillary Refill Time)` pangngai chu eng nge ni tur?

Mi hrisel takah chuan capillary-te thisen a khat leh theih nan second tlemte chauh a ngai a:

• Nausen piang thar: Second 2 vel a ni thei.
• Puitling: Second 3 vel.
• Puitling kum upa zawk: Second 3 aia rei lo pawh a ni mai thei.

Mahse, he hun hi normal range chhunga a awm vang mai mai chuan i mangang lo emaw, natna khirh dang i nei lo tihna a ni lo. Chutiang a nih chuan ``Capillary Refill Time`` hi a pangngai a, mahse buaina chu chutih lai chuan i circulatory system tawp lama thisen kal danah harsatna lian tham a awm lo. Tichuan doctor-te chuan a chhan dang zawng turin an enfiah chhunzawm zel ang che.

`(Capillary Refill Time)` hi a dik lo a nih chuan eng nge thleng ang?

Capillary refill hun hi normal range pawn lam a nih chuan (i.e., a rei lutuk) , taksa hmun hla tak takah thisen a thlen a, refilling a tlai tihna a ni. Hei hi mak tihna a ni thei.

Chutiang a nih chuan doctor-te chuan quick test dang hmangin a chhan dik tak an hre ang a, harsatna chu engtiang chiahin nge a nasat tih an hre thei ang. Entir nan:

• Pulse Oximetry: Hei hian i thisena oxygen awm zat a teh thin. I kut zungtang-a clip ang chi thil dahna machine chu i hmu tawh mai thei.
• Laser Doppler Flowmetry: Hei hi a buaithlak deuh a ni. Laser beam leh sound wave inzawmkhawm hmangin thisen kalna kawng leh thisen kalna chakna chu a teh a ni.
• Near-Infrared Spectroscopy: Hei hian êng rays hmangin tissue-a oxygen level a teh thin.

Shock hlauhawmna tehna atan hian Capillary Refill Time chauh hi test hman a ni lo. Hemi rual hian thil dang, pulse rate, thisen sang, hriatna level, leh zun chhuah dan te pawh enfiah a ni bawk. Heng zawng zawng hi doctor-te’n thutlukna an siam thuai theih nan an inzawm khawm a ni.

Tremor symptoms awm chhan hi circulatory system lama harsatna a nih chuan engtin nge ni ang?

Chutiang a nih chuan enkawlna chu ṭan nghal a ngai a ni . Enkawlna chi hrang hrang pek tur chu a natna lan chhuah chhan leh a nasat danah a innghat ang.

Enkawlna tlanglawn tak takte chu:

• Thisen pek: Thisen tlak tam a awm chuan.
• Intubation: Mahni chauha thawk tha thei lo i nih chuan.
• Intravenous fluids (`IV fluids`): Saline ang chi thil taksa chhunga pek.
• Damdawi: Entirnan, steroid emaw antibiotics emaw.
• Taksa lum chak: Khawsik a san lutuk chuan.
• Oxygen tihpunna tur a ni.

Kan Thusawi Atanga Take-Home Message

Okay, chuvangin tunah chuan he `(Capillary Refill Time)` kan sawi tawh hi in hriatthiam ka beisei. Hriat reng tur pawimawh tak chu hei hi a ni:

Capillary Refill Time hi capillary te refill hun chhung a ni.Shock hlauhawm tak takte taksa peng hla tak takah thisen a kal tha em tih enfiahna atana test awlsam, rang tak leh pawimawh tak.

• Hei hi doctor-te tan chuan thisen kal tlahniam nghal a awm em tih enfiah nan a \angkai hle a, natna lian tak emaw, accident na tak emaw hnuah pawh ni se.
• I kut zungtang emaw i ke ruh emawa capillary-te thisen a khat leh theih nan a hma aia rei (a tlangpuiin second 2-3 aia rei) a ngai a nih chuan, chu chu natna khirh tak chhinchhiahna a ni thei
• Hetiang thil i hmuh chuan, tihkhawtlai lovin damdawi lam thurawn la nghal mai a tha ber , a chhan chu emergency treatment hian nunna a chhanhim thei a ni.

Chuvangin, he thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Capillary Refill Hun, Shock, Peripheral Perfusion, Emergency Care, Hriselna enfiah te