I lung hian thawk harsatna a nei em? He ARDS (Acute Respiratory Distress Syndrome) hlauhawm tak hi i zir dawn teh ang!

I rilru a buai em em a, i rilru a buai em em a, i thawk harsa hle tawh ngai em? A nih loh leh i hriat mi pakhat chu a damlo nasa hle a, thawk a tha thei lo va, damdawi in intensive care unit (ICU)-ah a dah a ni tih i hre reng em? A chhan chu ARDS (Acute Respiratory Distress Syndrome) tih natna a ni mai thei. Hei hi a pawi deuh a, mahse dik taka hriattir i nih chuan thil tam tak hriatthiam a awlsam zawk. Hemi chungchang hi chipchiar takin sawi ila, kan sawi dawn em ni?

ARDS chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin ARDS hi natna khirh tak a ni a, kan lung a nghawng a ni. Hetiang hian han ngaihtuah teh: Kan lung hian boruak bawm te tak te (alveoli an tih) a nei a. Grep hrui chunga grape te tak te ang mai an ni. Kan thawk chhuah hian heng air sacs te hian boruak atanga oxygen an la lut a, thisenah an chhuah tir thin. Mahse ARDS a lo awm chuan heng air sacs te hi fluid in a khat thin. Tui ang mai a ni. Tichuan lungah boruak a khat tha thei lo va, thisen chhunga oxygen lut zat chu nasa takin a tlahniam ta a ni. Hei hi hypoxia kan ti a. Doctor-te chuan ARDS hi a na lo, a na lo, a nasat loh angin an thliar hrang tlangpui . Thisena oxygen level leh chutiang level thlenga oxygen pek tur zat tehkhin a ni. ARDS hian kan thluak, thinlung, kal leh intestines ang chi taksa peng pawimawh dangte pawhin an mamawh oxygen an hmu lo thei bawk. Chuvangin ARDS hi natna hlauhawm tak a ni a, nunna atana hlauhawm pawh a ni thei. ARDS hi mi pakhatin natna dang, natna dang emaw, accident emaw avanga damdawi ina enkawl a nih hian a lo awm fo thin. Amaherawhchu, in lama heng symptoms te hi i neih chuan damdawi lam pan vat a pawimawh.

ARDS hi stage thum a awm em?

Doctor-te chuan ARDS hi stage thum-ah an ṭhen ṭhin a, chungte chu Exudative, Proliferative, leh Fibrotic te an ni. Hei hian a bik takin lung chhunga a hring leh tui awm zat a kawk a, chutah chuan lung a dam tan dan a kawk bawk. Mi zawng zawng hi Stage 3-ah an kal vek lo va, he stage-ah hian lungah hliam (`(Lung fibrosis)`) leh mechanical ventilation kalpui zel a ngai a ni.

ARDS hi engtiang chiahin nge a hluar?

Hei hi dinhmun pawi tak a ni. United States-ah ringawt pawh kum khatah mi 200,000 vel a nghawng a ni. Khawvel pumah kum khatah mi maktaduai 3 velin a tuar a ni. Intensive care unit (ICU)-a admission zawng zawng zinga 10% vel chu ARDS hian a enkawl a ni. Damdawi ina mechanical ventilation atana admission zawng zawng zinga 25% vel chu a mawhphurtu a ni bawk.

ARDS natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

ARDS natna lan chhuah dan hi a chhan, a natna nasat dan, leh lung emaw thinlung natna i neih tawh zawng zawng a zirin a danglam thei a ni. A lan chhuah dan ber chu:

• Thâwk harsa tak tak : .Thâwk la thei lo ang maiin, thawk hah ang maiin a lang.
• Rapid and labored breathing : Thawhrimna nasa tak nena thawk, thawk chhuah tum ang maia thawk.
• Heart rate a sang chho zel.
• Nail leh hmui rawng blue discoloration: Hei hi thisen a oxygen level hniam vang a ni.

Ngaihtuah teh, Mr. Nalin-a hian ni hnih chhung zet chu khawsik sang tak leh khuh a nei a. Vawilehkhatah thaw a harsat a, a rilru a hah hle. A nupui chuan a nail chu a rawn sen vek tih a hmuchhuak a. Damdawi in an pan nghal chuan doctor-te chuan ARDS a ni thei tih an sawi.

ARDS hi triggering event atanga darkar khat atanga ni engemaw zat chhungin a lo awm thei a, a na zual nghal vat thei bawk.

ARDS hi engte nge ni?

ARDS hi a chhan awm thei tam tak a awm. A bulpui berte han thlir ila:

• Sepsis : ARDS thlentu ber chu sepsis an tih hi a ni. Hetiang dinhmun hi i lungah natna khirh tak ( pneumonia ang chi) emaw, taksa peng danga natna hrik emaw i taksa pum puiah a darh a, chu chuan i taksaah natna nasa tak a thlen a nih chuan a lo awm thei a ni.
• Aspiration pneumonia: Pum chhunga thil awm (chaw, tui) chu lung chhungah a lut a nih chuan lung a tichhe nasa hle a, ARDS a thlen thei bawk. Hei hi kan ei emaw, kan in emaw thil pakhat chu thawkna kawngah a luh chuan a thleng thin. Hei hi hriatna nei lo emaw, kum upa tawh emaw chungah a thleng thei hle.
• Thisen pek: Hun rei lote chhunga thisen unit 15 aia tam pek i nih chuan ARDS vei theihna a awm.
• Covid-19 `( COVID-19 )`: Covid-19 hripui hian ARDS na tak a thlen thei.
• Pancreatitis : Pancreas natna nasa tak a awm.
• Accident lian emaw, kangmei emaw: Accident leh tlu hian direct-in lung a tichhe thei a, a nih loh leh taksa peng dang a tichhe thei a, lungah nasa takin a hring thei bawk.
• Inhalational injury: Chemical meikhu emaw meikhu emaw tam tak thawk chhuah.
• Ruihhlo hman tam lutuk : Ruihhlo, cocaine emaw opioid emaw ei tam lutuk.
• Tuiah emaw, tuiah pil hnaih emaw: Tuiah i pil hian i lung chhungah tui a lut a, a tichhia a ni.

Tute nge ARDS vei theihna sang zawk?

ARDS hi accident emaw, natna emaw avanga damdawi ina awm tawhte zingah a lo awm fo thin. Mahse, damdawi ina i awm vang mai maiin i nei dawn tihna erawh a ni hauh lo. I risk tipungtu thil engemaw zat a awm a:

• Kum 65 chunglam a nih vang a ni.
• Zuk leh hmuam hman (cigarette zuk).
• Ruihhlo hman dan.
• Lung natna awm tawh nei.

ARDS avanga harsatna awm thei te chu engte nge ni?

ARDS hian harsatna hrang hrang a thlen thei a, damdawi ina i awm lai leh in haw hnuah pawh harsatna a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Thisen zam emaw, deep vein thrombosis (DVT) emaw a awm thei.
• Pneumothorax: Hei hi ventilator-in lung chhia leh khauh tak chunga pressure a pek vang a ni thei.
• Delirium: Thil hriatna tibuaitu.
• Organ tam tak a chhiat .
• Muscle chak lohna.
• Lung scarring emaw fibrosis emaw a awm thei.
• Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
• Rilru lam harsatna hrang hrang lungkhamna leh lungngaihna te .

Engtin nge ARDS hi i hriat theih ang? (Diagnosis) tih a ni.

Doctor-te chuan taksa enfiahna leh test eng emaw zat result aṭangin ARDS hi an hmuchhuak ṭhin. ARDS natna lan chhuah dan hi lung emaw thinlung lam natna rei tak nen a inang avangin doctor chuan a chhan dang pawh a paih chhuak tur a ni. Doctor chuan test hrang hrang a order thei a, chu chu:

• Chest X-ray: Lung chhunga tui awm zat hriat nan.
• Thisen test: Thisen a oxygen level a teh a, ARDS nasat dan a hriat theih.
• Echocardiogram (ultrasound test of the heart): Thinlung hnathawh dan en rawh.
• Electrocardiogram (EKG): Thinlung electric hnathawh dan tehna a ni.
• Fingertip sensor `(Pulse oximetry)`: Oxygen level enfiah chhunzawm zel.
• CT scan (Computed Tomography - CT scan): Lung chungchang chipchiar zawka hriat theih.
• Thluak atanga thil chhuak sample lak: Infection awm chhan zawng rawh.

ARDS enkawl dan tur chu engte nge ni?

ARDS enkawlna tum ber chu thisena oxygen level tihpun leh organ failure ven hi a ni. ARDS vei te hian thisena oxygen level tihsan nan mechanical ventilator leh/ emaw oxygen therapy an mamawh thei a ni. Tin, chhiatna avanga boruak kawngkhar hawnsak turin tanpuina an mamawh thei bawk. I doctor chuan ARDS natna tihziaawmna turin hma a la thei a, chu chu:

• Natna tihtlem leh rilru hahdam taka awm theih nan mutna damdawi (sedation) pek.
• I hnunglam hawia i hawitir ai chuan, i rilru hahdamna hmunah dah la. Hei hian oxygen flow a ti tha hle.
• Thâwk test neih a, tube leh ventilator lakchhuah hun tur dik tak hriat chian.
• Thisen zam lo turin thisen tithianghlimtu pek.
• Taksa atanga tui tam lutuk paih chhuah nan diuretics pek.
• Lung chhunga tui awm zat tihtlem nan damdawi pek.
• Antibiotics hi hri kai venna atan emaw, hri kai awm tawhte enkawl nan emaw pek thin a ni.
• Muscle chak lohna ven nan active movement leh physical therapy pek.
• Lung chakna leh lung capacity tihpun nan pulmonary rehabilitation programme-a refer.

ARDS atanga dam leh theih nan eng chen nge hun a duh? Recovery rate chu engzat nge ni?

Chu chu a natna nasat dan leh mi lung a dam leh theih nan eng chen nge a duh tih a innghat a ni. Zirna tam zawk chuan ARDS hnua lung hnathawh dan pangngai a lo kir leh theih nan thla ruk atanga kum khat vel a ngai tlangpui . Mahse, mi thenkhat chu an dam kim ngai lo. ARDS damchhuah zat hi 55% atanga 70% vel a ni a , enkawl vat a nih chuan. Enkawlna tihkhawtlai emaw, taksa peng dang a hlawhchham tan emaw chuan damchhuahna rate a tlahniam thin. I prognosis chu i damdawi lam dinhmun bulpui, i damdawi lam chanchin, leh i thawk lama i harsatna nasat dan te a\angin a innghat a ni. I doctor chuan hei hi a sawipui ang che.

ARDS hi ven theih a ni em?

ARDS laka inven dan tur bik a awm lo. Mahse, thawk hahna chhinchhiahna i neih chuan, emaw, lung chhiatna emaw, natna dang emaw i neih chuan, damdawi lam pan nghal vat chuan natna a zual zel loh nan a pui thei a ni. Meizial zuk loh leh zu in tlem hian ARDS na tak vei theihna a ti tlem thei a ni.

ARDS hnuah nun hi eng ang nge ni? Eng thil nge kan hriat chian ang?

ARDS hi nunna atana hlauhawm leh hlauhawm tak a ni thei. Mahse enkawlna tha zawk leh ventilatory support (a bik takin damlote chu oxygen pek chhuah that zawk nan an pum chungah an hawitir) avangin tunah chuan mi tam zawk an damchhuak tawh a, ARDS complication pawh a tlahniam ta hle. Kum 65 hnuai lam leh accident emaw thisen pek hnua ARDS vei te hian a tlangpuiin prognosis an nei tha zawk. ARDS atanga dam lehna hian hun rei tak a daih thei. Ventilator atanga lak chhuah tam tak chu zalen takin an thaw thei a. Ṭhenkhat chu an dam chhuak vek a, ṭhenkhat erawh chuan lung lama harsatna rei tak an nei thei thung. Lung specialist (pulmonologist) enkawl an ngai a ni.

"Ka nu hian ARDS a vei a, thla tam tak chhung damdawi inah a awm a. In a lo haw hnuah pawh a chau hle. Hna tenau ber pawh a thawk thei lo. Mahse doctor-te thupek zawm leh physical therapy a tih hnuah zawi zawiin a dam chho zel a. Hetih lai hian a chhungte puihna leh hmangaihna hi a hlu hle a ni.

ARDS hnua nun hi a harsa thei hle. Dawhthei takin awm la, i dam leh hunah chhungte leh ṭhiante hnen aṭangin ṭanpuina zawng rawh. I lung a lo dam leh hma loh chuan nitin hnathawhnaah tanpuina i mamawh thei bawk. I chakna neih leh theihna tura pui thei tur support group emaw, thil dang emaw chungchang chu i doctor nen sawiho rawh.

COVID-19 leh ARDS hi eng nge inzawmna?

Hengte hi a inang lo. COVID-19 vei tu emaw chuan ARDS a vei thei a, chu chu virus hian lung a thlen chuan a vei thei a ni. Zirchiangtute chuan COVID-19 leh ARDS vei ve ve mi pakhat damchhuah zat chu 50% atanga 60% vel a ni an ti. Mahse hei hi thil tam takah a innghat bawk a, chu chu hriselna chanchin leh damdawi lam thil dangte a ni. Intensive care unit (ICU)-a hun hman hi thil lungchhiatthlak leh harsa tak a ni thei. ARDS atanga dam lehte chu an nun pangngaiah an kir leh thuai thei lo mai thei a, chuvangin tanpuina i mamawh tak zet a ni. ARDS atanga i dam leh hunah professional tanpuina leh thurawn lak a pawimawh hle. I medical team-te chu i awmna hmuna post-intensive care recovery program leh online support group-te chungchang zawt rawh.

Pawimawh ber: Hriatreng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atanga i hriat reng tur tlemte chu hetiang hi a ni:

• ARDS hi natna khirh tak a ni a, lung a tichhe thei a ni. Lung chhunga boruak bawmte chu tuiin a khat a, chu chuan thisen thleng thei oxygen a tihtlem phah a ni.
• Thâwk harsa na tak, thawk rang, emaw, nail/lips blue ang chi symptoms i neih chuan doctor rawn la nghal rawh.
• ARDS hian chhan tam tak a nei thei. Sepsis, pneumonia, COVID-19, leh accident na tak tak te hi a tlem hle.
• Enkawlnaah hian oxygen, ventilator support, leh harsatna awmte enkawl dan a tel ber a ni .
• A dam leh theih nan hun a duh a , mi thenkhat chuan hun rei tak chhung lung lama harsatna an nei thei bawk.
• Nunna chhanhim nan leh harsatna tihziaawmna atan enkawl vat leh damdawi lam enkawlna tha neih a pawimawh hle.
• ARDS atanga dam leh tur tan chuan chhungkua leh khawtlang atanga tanpuina hi a pawimawh hle.

Hetiang dinhmun hi hriat reng a pawimawh tih hre reng ang che. Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan hlauthawng leh hlauthawng suh, doctor pan nghal rawh. Chutiang chuan a rang thei ang bera enkawlna tul chu i tan thei ang.