Intensive care unit (ICU)-a mi pakhatin thawk harsa a tih leh ventilator-a an inbun thu i hre tawh em? Nangmah ngei pawhin pakhat chungah a thleng a ni mai thei. Hei hi a chhan ber chu kan sawi tur hriselna dinhmun khirh tak ARDS tih hi a ni fo thin. A hming hi a hlauhawm deuhin a lang thei a, mahse lungngai suh. I hriatthiam theih turin awlsam takin kan sawifiah ang.
ARDS hi eng nge ni tak tak?
A awlsam zawngin ARDS hian i lung a tichhe nasa hle. I lung chu sponge chi hnih angin ngaihtuah rawh. A tlangpuiin kan thawk chhuah hian heng sponge te hi boruakin an khat thin. Mahse ARDS-ah chuan heng lung chhunga boruak bawm te tak te (alveoli an tih) te hi tuiin a khat tan thin.
Tunah chuan han ngaihtuah teh, sponge-in tui a hip hian boruak tam zawk a luh theihna tur hmun a awm lo. Chutiang bawk chu lungah pawh a thleng thin. Thli aiah tui a khat chuan lung chu boruak a khat tha thei lo. Chuvang chuan thisen hian oxygen mamawh zat a hmu lo. Damdawi lamah chuan he natna hi `(hypoxia)` kan ti thin. Hei hi a hlauhawm hle mai.
A chhan chu kan taksa peng dang zawng zawng, thluak, thinlung leh kal (kidney) ang chite hnathawh theihna turin oxygen hi a pawimawh hle a ni. Oxygen a tlakchham chuan chu taksa pengte chu pakhat hnu pakhatin an thawk tha lo tan thin.
Doctor-te chuan ARDS hi level thum - mild, moderate, leh severe-ah an then tlangpui. Hei hi i thisena oxygen level leh pawn lama oxygen i pek tur zat tehkhin a, chu level chu a level dik takah hruai kir leh a ni.
ARDS hi a tlangpuiin mi pakhatin natna dang, natna dang emaw, accident na tak emaw avanga damdawi ina dah a nih hian a awm thin. Amaherawhchu, damdawi ina awm loh pawhin heng symptoms te hi i neih chuan damdawi lam pan vat a pawimawh.
Hetiang natna lan chhuahna berte chu engte nge ni?
ARDS natna lan chhuah dan hi a chhan, a natna nasat dan, leh thinlung emaw, lung emaw natna i neih tawh zawng zawng a zirin a danglam thei. Mahse, a lan chhuah dan tlangpui thenkhat a awm.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Thâwk harsa na tak | Thâwk lak a harsa hlein a hria a, thawk hah ang maiin a awm. |
| Thâwk rang leh hahthlak tak | Thâwk chhuah zat a pung. Thâwk khat lâk tûr chuan thawhrimna nasa tak a ngai a ni. |
| Lung na tak tak | Ka thinlung chu a na hle niin ka hria. |
| Blue hmui leh kut zungtang | Thisena oxygen level hlauhawm taka a tlahniam chuan hmui leh kut zungtang te chu a sen tan thin. Hei hi emergency a ni. |
ARDS hi a thlentu thil thleng atanga darkar emaw ni emaw chhungin a lo awm tlangpui a, a natna hi a na nghal vat thei bawk.
ARDS hi engte nge ni?
ARDS hi amah chauha lo awm a ni lo. Damdawi lam thil dang emaw, accident emaw avanga thleng a ni. A hnuaiah hian a chhan bulpui thenkhat han thlir ila.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Sepsis natna (Sepsis) a awm | Hei hi ARDS thlentu ber a ni. A awlsam zawngin, taksaa natna khirh tak (e.g. pneumonia ) chu thunun theih loh a ni a, taksa pum puiah a darh vek a ni. |
| Chaw/tui (liquids) chu lung chhunga aspiration (aspiration) a ni | Chaw emaw in tur emaw, pum chhunga thil awmte chu trachea kaltlangin lung chhungah a kal palh a nih chuan lung natna nasa tak a thlen thei a, ARDS a thlen thei bawk. |
| Thisen tam tak pek | Hun rei lote chhunga thisen unit 15 aia tam taksaah pek a nih chuan ARDS vei theihna a awm. |
| COVID-19 hri kai a ni | COVID-19 natna khirh tak nei damlote chuan ARDS an vei thei a ni. |
| Pancreatitis natna a ni | Pancreas inflammation nasa tak emaw infection vang emaw a ni. |
| Accident na tak emaw, kangmei emaw a awm thei | Accident lian tak emaw, kangmei emaw avanga lung emaw taksa peng dang emaw chhiatna. |
| Meikhu tha lo tak tak hip luh | Chemical meikhu tha lo tak tak emaw, meikhu tam lutuk emaw inhnim avanga lung chhiatna. |
| Ruihhlo hman tam lutuk | Cocaine leh heroin ang chi ruihhlo hman tam lutuk. |
| Tuiah a pil bo | Tui a pil hian lung chhunga tui lut hian chhiatna nasa tak a thlen thei a ni. |
Tute nge risk sang zawka awm?
Natna emaw, chetsualna emaw avanga damdawi ina awm tawhte chu ARDS vei theihna chance sang ber an ni. Mahse, damdawi ina awm zawng zawng hian an nei vek lo. A hlauhawmna tipungtu thil dang engemaw zat a awm bawk:
- Kum 65 chunglam a nih vang a ni.
- Zuk leh hmuam hman (meizial zuk).
- Ruihhlo emaw zu ruih hmang emaw.
- Lung natna awm tawh nei.
ARDS avanga harsatna dang lo awm thei te
ARDS hian lung chauh a nghawng lo. Damdawi ina i awm lai leh in haw hnuah pawh harsatna hrang hrang a thlen thei.
- Thisen zam: Thisen zam hi thisen zam hi thisen zam chhungah a lo awm thei a, a bik takin keah hian a lo awm thei a ni. Hei hi ``deep vein thrombosis - DVT`` kan ti a.
- Lung collapse: Lung chhia chu ventilator-in pressure a pek avangin a puak (pneumothorax) thei.
- Delirium: Delirium tih hi a ni.
- Multiple organ failure: Thluak, thinlung leh kal ang chi taksa peng hrang hrangte a ruala tihchhiat.
- Muscle chak lohna: Ni tam tak khumah a awm avangin taksa ruh a chak lo.
- Lung a hliam (Scarring of the lungs): Lung a dam chhoh zel chuan Scar tissue a lo awm thei (lung fibrosis).
- Psychological problems: Chutiang thil rapthlak tak tawn hnuah chuan post-traumatic stress disorder (PTSD), lungkhamna, leh lungngaihna ang chi dinhmun a awm thei a.
Doctor-te hian engtin nge hei hi an hriat?
ARDS natna lan chhuah dan hi thinlung emaw lung natna dang nen a inang em avangin doctor-te chuan ARDS a nih leh nih loh finfiah nan test eng emaw zat an nei thin.
- Chest X-ray: Lung chhunga tui awm zat hriat nan.
- Thisen test: Thisen a oxygen level teh a, ARDS nasat dan hriat chian.
- Echocardiogram: Thinlung hnathawh dan enfiah nan ultrasound scan a ni.
- ECG (Electrocardiogram): Thinlung electric hnathawh dan en rawh.
- Pulse Oximetry: Kut zungtang-a dahna hmanrua te tak te hmanga oxygen level enfiah chhunzawm zel.
- CT scan: Lung chungchang chipchiar zawkin la rawh.
- Thluak atanga chhuak (respiratory secretions) enfiah: Infection awm chhan zawng rawh.
Engtin nge enkawl a nih?
ARDS enkawlna tum ber chu thisena oxygen level tihsan leh taksa peng dangte a chhiat loh nan a ni. Chutiang ti tur chuan damlote chuan mechanical ventilator leh oxygen therapy an mamawh ngei ang .
Heng enkawlna zawng zawng hi intensive care unit (ICU)-ah neih a ni a, specialist doctor leh nursing staff-te enkawlna hnuaiah a awm reng a ni.
Hei bakah hian doctor-te chuan harsatna awm thei lo turin thil dang engemaw zat an ti bawk.
- Sedatives hi natna leh hahdam lohna control nan pek thin a ni.
- Damlo chu dinglam hawi aiin prone position-ah an chantir thin. Hei hian oxygen chu lungah awlsam zawkin a luang lut thei a ni.
- Thisen zam tur venna atan thisen tihthianghlimna (blood thinners) pek thin a ni.
- Diuretics hi taksa leh lung atanga tui tam lutuk paih chhuah nan pek thin a ni.
- Infection a awm chuan enkawl emaw ven emawAntibiotics pek thin a ni.
- Physical therapy hi taksa ruh chak lohna ven nan hman a ni.
Eng chen nge dam leh a hmalam hun?
Hun rei zawng chu natna nasat dan leh lung dam chak danah a innghat a ni. A tlangpuiin ARDS hnua mi pakhatin a lung hnathawh dan pangngai a neih leh theih nan thla ruk atanga kum khat vel a ngai thei. Mahse, mi thenkhat chu an dam kim lo.
Tunah chuan ARDS vei damchhuah zat chu nasa takin a pung tawh a ni. A hmaa enkawl a nih chuan 55% leh 70% inkar an dam thei. Mahse, enkawlna tihkhawtlai emaw, taksa peng dang a hlawhchham tan emaw chuan he rate hi a tlahniam thin.
Recovery hi kawng thui tak a ni. Mi tam zawk chuan ventilator atanga lakchhuah an nih hnuah mahni chauhin thawk an la thei a ni. Ṭhenkhat chu an dam chhuak vek. Mi dangte chuan hun rei tak chhung lung lama harsatna an nei thei bawk. Pulmonologist-in a enkawl chhunzawm zel a ngai dawn a ni.
Intensive care unit-a hun hman hi damlo leh chhungte tan pawh hun harsa tak a ni tih hre reng ang che. I dam lehna kawngah hian i chhungte leh i thiante puihna hi i tan a pawimawh hle ang.
Take-Home Thuchah a ni
- ARDS hi natna khirh tak, nunna atana hlauhawm tak a ni a, chu chu lung chhunga air sacs-a tuiin a luah khat vang a ni.
- Hei hi amah chauha lo awm natna a ni lo; chu chu damdawi lam thil dang, sepsis, pneumonia, a nih loh leh accident na tak tak aṭanga lo chhuak a ni tlangpui.
- A lan chhuah dan ber chu thawk hah lutuk, thawk rang, thisena oxygen tlakchhamna te hi a ni.
- Intensive Care Unit (ICU)-ah ventilator leh oxygen hmanga enkawl a ni.
- Dam lehna hian thla tam tak emaw, kum khat emaw pawh a daih thei a, zinkawng thui tak leh dawhthei tak a ni.
- Nangmah emaw, i hriat miin emaw thawk harsatna nasa tak i tawk a nih chuan damdawi in Emergency Treatment Unit (ETU) pan vat a pawimawh hle.
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