I ṭhian pakhat nen party-ah i awm tih han mitthla teh. Mi zawng zawngin hun nuam tak an hmang a, rang takin i thiante zinga pakhat chu a tho thei lo va, leiah a tla thla a, a rilru a buai hle. Mi tam tak chuan, "A ruih lutuk a, a taksaah a awm reng thei lo," tiin an ngaihtuah mai thei. Mahse, hei hi thil pangngai a ni em? Nge kan ngaihtuah ngai loh thil a ni em? Vawiin hian he dinhmun hlauhawm tak, mi tam takin an ngaihven vak loh, mahse thihna thlen thei, chu chu zu rimchhia tihna a ni .
Zu rimchhia hi eng nge ni tak tak?
A awlsam zawngin, zu rimchhia chu mi pakhatin a thisenah zu a tam lutuk a, a tuar theih loh thut mai a ni. Chutiang a nih chuan zu hian kan nun chhunga thil pawimawh ber berte thununtu kan thluak peng hrang hrangte chu a tichak lo tan ta a ni. Kan taksa hi factory lian tak angin han ngaihtuah teh. Thluak hi a control room ber a ni. Thil pawimawh ber ber, thawk , heart rate , leh taksa lumna te hi he control room atang hian control a ni. Zu rimchhia a awm chuan he control room-a power hi tihtawp nghal mai ang mai a ni. Hei hi nunna atana hlauhawm leh thihna thlen thei dinhmun a ni a, emergency medical treatment a ngai a ni .
Hetiang dinhmun hi hun rei lote chhunga zu (beer, wine, zu ang chi) in tam lutuk vang a ni tlangpui. Amaherawhchu, thil dang zu pai, hmui silna, cologne, leh khuh syrup thenkhat te hi paltlang emaw, ei emaw avanga lo awm thei a ni bawk.
Zu ruih vanga natna lanchhuahna chu engte nge ni?
Miin zu rimchhia a neih chuan a hnuaia chhinchhiahna pakhat emaw a aia tam emaw a lantir thei a ni. If you see these , awlsam takin la ngai suh.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Disorientation leh chhanna slowness | Thu sawi hrethiam lo, zawhna chhanna hun rei tak hmang, i awmna hmun hre lo. |
| Taksa thunun theih lohna | Ka kal ding thei lo, hmun khatah ka awm thei lo, ka tlu reng bawk. |
| Hriatreng harsa | In biak pawhin a kaitho thei lova, a muhil reng a, a chang chuan hriatna a hloh vek bawk. |
| Luak chhuak | Nonstop takin i luak chhuak thei. A hlauhawm ber chu hriat loh laia i luak chuan i thlipuiah a lut leh thei a, thawk hahna a thlen thei a ni. |
| Thâwk lak dan mumal lo | Thâwk chakna chu a hniam hle (minute khatah thawk 8 aia tlem) emaw thawk dan a mumal lo emaw a ni. |
| Heart rate a tlahniam | Pulse rate hi a tlangpui aia hniam zawk pawh a ni thei . |
| Vun lum, hnim hring leh sen (cyanosis) . | Taksa chu khawih pawhin a vawt hle. A vun chu a clammy hle. A bik takin hmui leh kut zungtang vel ah hian bluish tinge a awm thei. Hei hian thisenah oxygen tlakchhamna a tilang a ni. |
| Hypothermia (taksa lum hniam) . | Taksa lumna chu hlauhawm takah a tlahniam thei a ni. |
| Seizures a awm thin | Mi thenkhat chuan convulsion, drooling, leh convulsion thlengin an nei thei. |
| Incontinence (zun emaw, ek emaw control theih lohna) . | Hetiang thil hi thluak hian thununna a hloh avangin a thleng thei a ni. |
Heng symptoms zinga pakhat tal nei mi i hmuh chuan "a dam tlem chauh" hma chu nghak suh. Second tin hi nunna emaw thihna emaw indona a ni thei. Damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh.
Miin zu rimchhia a neih ka rinhlelh chuan engtin nge ka tih ang?
Damdawi lam tanpuina a lo thlen hma loh chuan i tih theih leh tih tur tlemte a awm. Heng thilte hian mi nunna chhanhim theihna chance a nei sang hle.
1. Ṭanpuina zawng nghal rawh: Insum lo takin ambulance ko rawh. A nih loh leh, a theih chuan a rang thei ang bera damdawi in hnai ber Emergency Department (ETU) pan rawh.
2. Mi harh reng tum ang che: A theih chuan harh reng tum ang che. Anmahni nen inbia ang che. Mahse harh tir tum suh .
3. Tui tlem pe (a hriat a nih chauhvin): Mi chu a hriatna leh tui a ei theih chauhvin tui tlem pe rawh. Hriat lohna hmuiah engmah dah ngai suh. Chutianga tih chuan thilte chu thlipuiah a tlakbuak thei a ni.
4. Choking ven (hei hi a pawimawh hle!): Mi hriat loh chu an sir lamah hawitir la, muttir tir rawh. An mut lai ang bawkin. Hetiang hian an luak pawh nise , an luak chhuak chu an lung chhungah lut lovin a chhuak ang. Hei hi damdawi lam hawi chuan ‘recovery position’ an ti a. He thil awlsam tak hian nunna a chhanhim thei a ni.
5. Taksa lum tir: Zu ruih vanga taksa lumna hi hlauhawm takin a tlahniam thei. Chuvangin, puan emaw, puan emaw-ah nghet takin khuh la, chu mi chu lum tir rawh.
6. I thil tih chu sawifiah rawh: A hriat loh avangin tanpui i tum pawhin a hlauthawng a, a chetsual thei bawk. Chuvangin, muangchangin, "Ka puih che ka tum a ni" emaw, "Tunlai hian damdawi inah kan kal dawn" tih ang chi te hi sawifiah rawh.
Medical team an lo thlen veleh i hriat chipchiar tak tak (i in zat, i in zat, leh i natna lan chhuah tirh lai ang chi te) hrilh chuan enkawlna kawngah nasa takin a pui ang.
Engvangin nge zu rimchhia hi a lo awm? Taksa chhungah eng thil nge thleng?
Zu kan in hian kan pum leh small intestine a\angin thisenah a lut \hin. Chumi hnuah chuan thisen nen taksa pum puiah a fang kual a ni. Kan taksa hian zu hi rimchhia angin a en a. He rulhut paih chhuaktu taksa peng ber chu kan liver hi a ni .
Kan thin hi tui filter angin han ngaihtuah teh. Tui chu speed pangngaia a luh chuan filter hian a tifai tha hle. Mahse, pipe lian tak atanga chak taka tui hnim tam tak i leih thut chuan eng nge thleng ang? Filter a khar a, a tifai thei lo. Chutiang bawkin hun rei lote chhunga zu kan in tam lutuk hian kan thin (liver) hian chutiang zat chu a tifai thei lo. Tichuan zu tam lutuk chu thisenah a pungkhawm a, thluak lamah a kal a, chutah chuan thluak hnathawh a tichhe tan a ni. Hei hi ‘depressant’ effect an ti a. He effect hi a san chhoh zel chuan zu ruih vanga natna lanchhuahna hlauhawm tak tak a lo lang chhuak thin.
Taksa chunga nghawng a neih dan hi thisena zu awm zat (BAC) a zirin a inang lo.
| Thisenah zu awm zat (BAC) 1.1. | Taksain engtin nge a awm |
|---|---|
| 0.0% a ni. | Fimkhur takin awm rawh. |
| 0.02% a ni. | Mood swings, lightheadedness, leh thutlukna siam thiamna tlem a tlahniam. |
| 0.08% a ni. | Muscle control tlahniam, hlauhawm hriat harsa, ngaihtuahna fim tak nei thei lo (Sri Lanka dan ang chuan a limit aia tam lirthei khalh a ni). |
| 0.15% a ni. | Mood swing nasa tak, luak chhuak leh luak chhuak, balance hloh. |
| 0.15% - 0.30% inkar a ni. | Buaina nasa tak, luak chhuak, mutthilh. |
| 0.30% - 0.40% inkar a ni. | Risk level na tak a ni. Zu ruih, hriatna hloh vek. |
| 0.40% aia sang a ni. | Fatal level a ni. Coma hlauhawmna sang tak, thawkna lama harsatna avanga thihna. |
Eng thil nge zu ruih vanga invenna tipung?
Tu pawhin zu rimchhia hi an vei thei a, mahse thil engemaw chuan a hlauhawmna a tipung a ni.
- Zu in nasa lutuk: A hlauhawmna ber chu hun rei lote chhunga zu tam tak in hi a ni. Entirnan, darkar hnih vel chhunga mipa tan zu unit 5 aia tam emaw, hmeichhia tan zu unit 4 aia tam emaw in tur.
- Damdawi dang nena zu in: Mutna damdawi, tranquilizer, leh natna tidamtu (opioid) thenkhat nen zu in hi a hlauhawm hle. Heng damdawi te hian zu ang chiah hian thluak hnathawh a tichhe a, chuvangin i ei dun chuan a nghawng chu a let hnih emaw, a let thum emaw a ni.
- Pum ruak chunga zu in: Pum chhunga ei tur a awm loh chuan zu hi taksaah a lut rang zawk hle. Pum chhunga ei tur a awm chuan thisenah zu a luh theihna rate a tlahniam thin. Chuvangin pum ruak chunga zu in hian a hlauhawmna a tipung a ni.
- Kum: Thalaite, a bik takin tleirawlte hian zu an in nasa zawk a, zu ruih vanga invenna an nei nasa zawk a ni.
- Gender: Statistics atanga a lan dan chuan zu ruih vanga thi zinga za zela tam zawk chu mipa an ni.
Engtin nge he natna hi damdawi inah hmuhchhuah leh enkawl a nih?
Damdawi ina hruai an nih hian doctor-te chuan he natna hi an hriat chian ber chu a natna lan chhuah dan leh thil thleng chungchanga hriatna a\angin an ni. Hei bakah hian taksa chhung lam dinhmun enfiah nan test eng emaw zat an nei bawk.
- Thisena zu awm zat (BAC) test a ni.
- Taksa chi (salt) leh sugar level enfiah nan thisen test neih thin a ni.
- Liver hnathawh dan test a ni.
- Thinlung hnathawh dan enfiah nan EKG test neih a ni.
Damlo dinhmun a zirin enkawlna angin thil chi hrang hrang tih a ni.
- Intravenous saline (IV fluids): Saline hi tui tlakchhamna tihtawp nan leh thisen sugar level a hniam chuan siam that leh nan pek thin a ni.
- Oxygen pek chhuah: 1.1.Thâwk harsa a awm chuan hnar chhunga dah tube hmangin oxygen pek a ni. Thâwk a harsat hle a nih chuan thlipui (intubation) chhungah tube dah a, machine hmanga thawk lak a ngai mai thei.
- Stomach pumping: Pum hi tube dahin taksa chhunga toxin lut lote paih chhuakin a tifai thin.
- Thisen filtration: Kal a chhia a, thisen atanga toxin a paih chhuak thei lo a nih chuan thisen chu dialysis machine nena thlunzawmin a tithianghlim thin.
Hei hi in lamah enkawl tum ngai suh. "In lama damdawi" coffee pek emaw, tui lum a inbual emaw hian engmah a ti tha dawn lo. Thil awmdan chu an tichhe zual thei hial a ni. Tih tur awm chhun leh dik tak chu chu mi chu damdawi inah hruai nghal mai hi a ni.
Zu ruih vanga harsatna dang eng nge lo awm theih?
Enkawl vat loh chuan zu rimchhia hian harsatna lian tak, hun rei tak chhung a thlen thei a ni.
- Thil thleng theihnghilh (Blackouts emaw amnesia emaw).
- Thisen sugar level tlahniam hlauhawm tak (hypoglycemia), chu chuan seizures a thlen thei.
- Liver chhiatna leh liver failure.
- Thinlung thawk mumal lo.
- Dehydration hi luak chhuak nasa tak leh a rah chhuah seizures vang a ni.
- Thluak a tichhe vek.
- Coma emaw thihna emaw.
Engtin nge he dinhmun hlauhawm tak hi i pumpelh theih?
He dinhmun hlauhawm tak pumpelh dan tha ber chu mawhphurhna nei tak leh a huam chin chhunga zu in hi a ni.
- Zu i in a nih chuan i huam chin hre rawh: Darkar khatah zu unit khat aia tam in suh. Zawi zawiin in rawh.
- Zu in inelna pumpelh rawh: Hetiang thil thleng chi hrang hrangte hian hun rei lote chhunga zu in tam lutuk thlemna a thlen thei a ni.
- Tui in tur: Zu in laiin tui tam tak in tur a ni. Hei hian dehydration a veng thei a ni.
- Zu leh damdawi chawhpawlh suh: Damdawi eng pawh i ei a nih chuan zu in hmain doctor zawt hmasa phawt ang che.
- Pum ruak ah in loh tur: Zu in hmain chaw tha tak ei hmasa phawt ang che.
- I in tur chu fimkhur rawh: Mixed drinks (cocktail) i hriat loh leh a chhunga thil awm hriat chian loh chu pumpelh rawh.
Zu in hi harsatna a lo ni ta a nih chuan...
Nangmah emaw, i hriat miin emaw zu in chungchangah harsatna nei anga i hriat chuan tanpuina dil hreh suh. Chak lohna chhinchhiahna a ni lo. Hemi chungchangah hian i chhungkaw doctor rintlak tak nen in inbia thei ang. Kaihhruaina dik tak a pe thei che a, a tul chuan specialist hnenah a refer thei bawk che a ni.
Take-Home Thuchah a ni
- Zu rimchhia hi nunna atana hlauhawm medical emergency a ni a, "in tlem tal in tam lutuk" tih loh chu a hla hle.
- Hriselna lama harsatna, thawk hah lutuk, hriatna hloh, vun lum leh sen hring ang chi te chu fimkhur rawh.
- Heng symptoms zinga pakhat tal i hmuh chuan nghak mai mai lovin "reilote hnuah a pawi lo ang" tih beisei mai suh, chu mi chu damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal rawh.
- Damdawi lam ṭanpuina a lo thlen hma chuan damlo chu an hnungzang chunga hawitir chuan thihna chu a rilru a buai lo thei a ni.
- Eng vang pawhin in lamah enkawl tum suh.
- Avoidance hi a tha ber. Zu i in a nih chuan i huam chin hre reng la, mawhphurhna nei takin che rawh.
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