Mi thi nia sawi chu a lo nung leh thei ang em? He thil mak tak Lazarus Effect an tih hi han sawi ila!

Doctor-te’n thia an puan hnua mi pakhat chu a dam leh tawh anga lang lehna dinhmun i hre tawh em? Tlem chuan rin loh deuhin a ri a ni lawm ni? Mahse, hei hi damdawi lam khawvelah chuan thil awm lo mahse report a ni. Lazarus Effect tih a ni. Vawiin hian chipchiar deuhin han sawi ila, a chhan chu hriat a pawimawh thei a ni.

Chuti a nih chuan, Lazarus Effect chu eng tak nge ni?

A awlsam zawngin sawi ila, Lazarus Effect chu doctor-in official-a mi pakhat thi tih a puan hnua an thisen luang chhuak nghal a lo intan leh a, nunna chhinchhiahna an lantir tan hi a ni. Doctor-te chuan hei hi ‘autoresuscitation’ an ti a ni. Chu chu CPR a tawp hnuah thinlung chu a na leh a, pawn lam tanpuina awm lovin thisen kal dan a lo tha leh ta tihna a ni. Mahse, hei hi mithi chu a lo nung leh tak tak tih thawnthute nen chuan a inang lo. Bible-ah hian mi pakhat Lazara an tih chu thihna ata kaihthawh a nih thu hi a awm a. Mahse he damdawi lam thil thleng hi a danglam hle. Heta thil thleng chu doctor-te’n mi pakhat taksa peng pawimawh tak takte chu hna a thawk tawh lo tih an hriat chian hnuah thia an puan hnuah, a chang chuan thinlung thawk leh thisen kal lehna tur tihkhawtlai deuh a awm thin. Hetianga tihkhawtlai hian chu mi chu thi anga lang a, a lo nung leh ta a ni. Hei hi ‘Lazarus phenomenon’, ‘Lazarus syndrome’, etc. an ti a, damdawi lamah chuan ‘autoresuscitation after failed cardiopulmonary resuscitation’ an ti bawk. Mahse, a awlsam (Autoresuscitation) a ni tih i hre reng ang u.

Hetiang thil a thlen theih nan hian eng ang thil nge thleng tur?

Doctor-te chuan he dinhmun (autoresuscitation) hi hetiang hian thil thleng hrang hrang a awm hian an hre thei a ni:

• Pakhatnaah chuan, mi chuan emergency a tawk a, chu chu cardiac arrest .
• Tichuan doctor emaw, mi dang trained emaw chuan cardiopulmonary resuscitation (CPR) a tan ta a ni.
• Hun engemaw chen chu CPR titu chuan heng enkawlnate hian beisei angin result a pe lo tih a hrechhuak a, chu mi chu a thi tawh tih a hrechhuak a ni.
• Tichuan, thihna finfiah tûra phalna nei medical professional chuan chu mi chu clinically dead tiin official-in a puang ta a ni .
• Chuta tang chuan damdawi lam inrawlhna, chu chu enkawlna dang tih a ni tawh lo.
• Minute tlemte, a nih loh leh darkar tlemte hnuah pawh mi pakhatin nunna chhinchhiahna (entir nan, taksa chetna, thawk hah) a hmu ang. Heng chhinchhiahnate hi second tlemte aia rei a daih tur a ni.
• A tawpah chuan doctor chuan chu mi thisen kal chu a tan leh tawh tih a nemnghet a, active medical treatment chu a chhunzawm leh ta a ni.

Thih hnua thisen kal lehna tur hian eng chen nge a rei tih chiang taka sawi a har hle. Report-te sawi dan chuan CPR tihtawp atanga minute 10 chhungin nunna chhinchhiahna a lang fo thin. Mahse, a chang chuan a rei zawk thei. Hun engemaw chen chu thisen kal dan a intan leh tih tumahin an hre lo mai thei.

Lazarus Effect hi engtiang chiahin nge a hluar?

Medical record atanga a lan dan chuan hei hi a takah chuan thil thleng tlemte chauh a ni . Kum 1982 atanga 2018 thleng khan khawvel pumah hetiang case 65 hi medical literature-ah documented a ni tawh a ni. Heng zinga mi 18 chauh dam kim tawh an ni. Mahse, zirchiangtute chuan he thil thleng hi report tak tak aiin a tam zawk mai thei niin an ngai. Mahse, engtiang chiahin nge a hluar tih hriat a la ni lo a, tute nge hetiang hi tawk tam zawk tih erawh hriat a la ni lo. Tun thlenga case awm tawhte thlir chuan hetiang tawk tawh tam zawk (68%) hi kum 60 chunglam an ni a, hei hi (autoresuscitation) hi damdawi in chhung leh pawnah a thleng tawh a ni. Mahse, mi pakhat CPR pek a nih hnuah a thleng fo thin.

Engvangin nge he Lazarus Phenomenon hi a lo awm? Eng nge a chhan?

Dik tak chuan doctor-te hian he thil hi eng nge a thlen tih chiang takin an la hre lo. Mahse, a sawifiahna atana theory lian ber pakhat chu hetiang hi a ni. Ngaihtuah teh, CPR i tih hian lung chhungah boruak i force rang lutuk. Hei hian a chang chuan lung a khat lutuk thei. Hei hi ‘hyperinflation’ an ti a. A awlsam zawngin, lung hi a khat lutuk a, boruak pawh a infuh kim theih nan hun a awm lo. Hei hian rilru chhunga pressure a tipung nghal a ni.

Chutianga rilru chhunga pressure a san chuan thinlunga thisen kal leh thinlung atanga thisen pump chhuak chu a tlem hle. Tichuan, CPR tihtawp a nih chuan pressure sang chu a tlahniam nghal a ni. Tichuan, thisen tang chu thinlungah a luang leh ṭan thei a ni . Hei hi thisen kal dan tur a ni. Mahse, a tam zawkah chuan hei hi rei lo te chauh a ni.

A pawimawh ber chu thisen kal dan hi rei lo te chhung chu siam that leh mahse, mi tam zawk chu an dam rei lo. Chuvang chuan doctor-te chuan hetiang taka thisen kal tan tlai emaw, a hun hmaa thih thu puan emaw hi pumpelh an tum thin. A chhan chu, chutiang a lo thlen chuan enkawltute leh chhungkua chuan beiseina nasa tak an nei thut mai a, chutah chuan a bo thuai huna lungngaihna leh mangangzia chu ngaihtuah theih a ni lo.

Chuvangin he Lazarus Phenomenon hi ven theih dan tur a awm em?

He thil thleng hi pumpelh vek ai chuan hetah hian a pawimawh ber chu mi pakhat chu a thi tawh tih hi a hun hma leh dik lo taka thutlukna siam loh hi a ni. Hemi avang hian zirchiangtute chuan doctor-te’n thihna an puan hmaa an zawm tur kaihhruaina thenkhat an rawn rawt a ni. Anni chu:

• CPR hi minute 20 tal chhunzawm zel tur a ni .
• CPR tih hian hyperinflation ven nan fimkhur hle tur a ni a, chu chu lung a khat lutuk vang a ni. Entirnan, CPR kaihhruaina thenkhatah chuan minute khatah thawk 12 aia tam lo pek tur a ni an ti.
• Electroconvulsive therapy, chu chu defibrillation (a chang chuan hun engemaw chen chhung atan thinlung thawk a titawp thei - hei hi asystole emaw "flat-lining" emaw an ti) hnuah CPR hi tihtawp nghal mai suh.
• Thihna puan hmaa CPR enkawlna tihtawp hnu minute 10 tal damlo chu uluk taka enkawl chhunzawm zel.

Kan nun tâwp lama thu tlûkna siam tûrte pawh kan ngaihtuah tûr em ni?

Hetiang nun emaw thihna emaw dinhmun i ngaihtuah hian, tlem chuan tanpui theih loh leh hlauhna i nei mai thei. Chu chu thil pangngai a ni. Mahse i dam chhung tawp lamah eng damdawi lam enkawlna nge i duh leh duh loh chungchangah thutlukna i siam lawk thei a, chu thutlukna siamah chuan active takin i tel thei bawk. Entirnan, CPR emaw, nunna atana puitu dang emaw i duh leh duh loh chu i rel thei ang. Chutiang chuan i doctor, chhungte leh i hmangaihte hnenah i duhzawng chu i hriattir lawk thei ang. I tih theih loh chuan i tan damdawi lam thutlukna siam thei tur mi pakhat chu dan angin i sawi thei bawk (a healthcare power of attorney).

Hengte hi thutlukna awlsam tak a ni ngai lo va, a theih ang anga ruahmanna siam lawk hian nakin lawkah nang leh i chhungte rilru thlamuanna nasa tak a pe thei a ni.

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

He Lazarus Effect hi thil awm lo tak a ni a, mahse damdawi khawvelah nitin thil thleng a ni a, doctor te pawhin mi zawng zawngin mi nunna chhanhim an tum a ni. Chuvangin, he thil mak tak chungchanga vawiin a kan sawi tawh hi nunna puihna leh nun tawp lama enkawlna chungchangah hian in hriat nawn tirna tha tak a ni ang tih ka ring. I doctor nen inbia la, i duhthlan tur chu eng nge ni tih te, i duhzawng ziaka i ziah dan tur te chu zawng chhuak ngei ang che. Nang leh i chhungte tan a pawimawh hle ang.

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`Lazarus phenomenon, Lazarus Effect, Autoresuscitation, CPR, thihna, kaihthawh, damdawi, thinlung leh lung tihharh, emergency care