Nu naupai chunga emergency hlauhawm ber (Amniotic Fluid Embolism) .

Naupai hi nu nunah chuan hun duhawm leh beiseiawm tak a ni. Mahse, chutih rual chuan hlauhna leh rinhlelhna ang chi thilte pawh rilruah a lo lang ve bawk. A bik takin naute a pian dawn lai hian zawhna "Engkim a tha ang em?" i rilru hnung lamah a awm a ni. Vawiin hian naupai laia emergency awm thei, thil awm lo tak, mahse hlauhawm tak tak chungchang kan sawi dawn a ni. He thu i hriat hian hlau suh, a chhan chu hei hi thil mak tak a nih avangin mi sangkhat zinga pakhat chungah pawh a thleng ngai lo. Mahse hei hi hriat chian a pawimawh hle.

A awlsam zawngin, amniotic fluid embolism (AFE) hi eng nge ni?

A hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila. I hria em, i naute chu nausen pum chhunga a awm lai hian a chhehvelah liquidy fluid a awm a. Hei hi amniotic fluid kan ti a . Hei hian i naute tan venhimna cushion angin hna a thawk a ni. He tui hian tui chauh a pai lo va, i naute vun, sam sei tak tak leh thil dang atanga chhuak cell te pawh a pai tel bawk.

A tlangpuiin naute a pian hian he amniotic fluid thenkhat hi nu circulatory system, chu chu a thisenah a lut thei a ni. Hei hi thil pangngai tak a ni a, nu tam zawk tan harsatna a thlen lo.

Mahse, vanduaithlak takin he amniotic fluid hi thisenah a luh hian nu thenkhat taksaah allergic reaction, allergic response na tak tak a awm thin. Phên dangin sawi ila, taksa chuan hmêlma lian tak taksaah a lut niin a ngai a. Hetiang thil na tak avanga emergency lo awm hi amniotic fluid embolism (AFE) an ti a. A chang chuan hei hi naupai lai anaphylactic syndrome an ti bawk .

He chhanna hian thinlung leh lungte chu a titawp nghal thei a ni. Chumi awmzia chu taksa peng dang zawng zawngte chu oxygenated thisen an hloh tihna a ni. Hei hian natna khirh tak tak, cardiac arrest ang chi a thlen thei a ni. Chu mai pawh ni lovin, nausen pum atanga thisen chhuak emaw, caesarean section hliam emaw atanga thisen chhuak thunun theih loh a thlen thei bawk.

He AFE condition hi engtiang chiahin nge a awm? Thil ngaihtuahawm tak a ni em?

Ni lo, he thil hi i ngaihtuah lutuk a ngai lo. A chhan chu hei hi a tlem hle a ni . America ang ramah chuan he natna hi nau piang 40,000 zinga pakhat chauh a ni. Chumi awmzia chu Sri Lanka ramah hian kum tin naupang 300,000 vel an piang a nih chuan he natna hi a tam berah mi 7-8 chauh an awm tihna a ni. Chuvangin i naupai chungchang hi a tul lovah lungngai suh.

Buaina chu AFE natna lan chhuah dan hi naupai laia natna khirh tak dang, naupai lai, nausen hnute chhe, nausen hnute chhe, eclampsia te nen a inang hle a ni. Chuvângin, a chhan dik tak hriat chian a harsa thei hle.

Eng thilte nge he natna hi a lo awm theihna tipung?

A tlem em avangin, mi thenkhat chauhin hetiang reaction hi an neih chhan chiang taka hriat a la nih loh avangin, a risk factors te hi eng nge ni tih chiang taka sawi a harsa hle. Mahse, zirchianna chuan thil engemaw chuan a hlauhawmna chu tlem a tipung thei tih a tarlang. Mahse, heng thil nei zawng zawng hian AFE an nei vek dawn lo tih hriat reng a pawimawh.

AFE natna lan chhuahna chu engte nge ni?

Hemi chungchanga hlauhawm ber chu a natna lan chhuah dan chu a lo lang nghal vat a , a rang hle bawk . Nu pakhat chu naute pian dawn lai emaw, a pian hnu lawkah emaw, a nungchang pangngai lo takin a awm ṭan nghal thei a ni.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

AFE hi nu leh naute tan pawh harsatna lian tak tak a thlen thei a ni.

Nu chunga harsatna awm thei

• Lung leh lung chak lohna.
• Thil hriatna hloh.
• Seizures a awm thin.
• Thisen chhuah tam lutuk.
• Disseminated Intravascular Coagulation (DIC) hi taksa thisen zamna system a tibuai a, a sir khatah a tul lova thisen zam a lo awm a, a sir lehlamah thunun loha thisen a chhuak thin.
• Thai.
• Lung natna (Cardiac arrest) a awm.
• Thluak a chhiat phah.
• Vanduaithlak takin thihna pawh a thleng thei.

Naute tan harsatna awm thei

Naute chunga nghawng a neih dan chu nuah hian he natna hi engtikah nge a awm tih a zirin a danglam ang. Hei hi naute pian hmaa lo awm a nih chuan emergency surgery neih a ngai dawn a, naute lakchhuah nghal a ngai dawn a ni.

AFE a lo chhuah hnua naute piangte tana hlauhawm ber chu oxygen tlakchhamna a ni . Nu taksa a chhiat chuan naute hian oxygen supply a hloh ta a ni. Hetianga oxygen tlakchhamna hian naute nervous system emaw thluak emaw a tichhe thei a ni.

Doctor-te hian engtin nge hei hi an hriatchhuah a, an enkawl?

Hei hi emergency a nih avangin thisen test emaw scan emaw tih hun a awm lo va, natna hriat theihna tur a awm lo. Doctor-te chuan AFE hi a natna lan chhuah dan enin a chhan dang (e.g., thisen chhuah tam lutuk, heart attack) rang taka an paih chhuah avangin an ringhlel a ni.

Hetiang dinhmun hi stage hnih-ah a thleng niin an sawi tlangpui a:

1. Stage 1: Hei hi thawkna kawng leh thinlung hnathawh a chawlhsan thut a ni. Chumi awmzia chu i thawk thei lo va, i thinlung a tawp tihna a ni. He stage-ah hian thi tam ber an ni.

2. Stage 2: Hei hi thisen chhuahna stage a ni. A hmasa ber chu nunna chhanhimtu a nih chuan a dawt leh chu thunun theih loh thisen chhuahna a ni.

Enkawl dan tur

Hei hi emergency a nih avangin medical team te hian nu leh naute chhanchhuah nan an thawk rang hle a ngai a ni. Treatment team-ah hian mi tam tak an tel a, chu chu gynecologist, anesthesiologist, intensive care unit doctor, leh nursing staff te an ni.

Enkawlna lian ber berte chu:

• Nau piang nghal tur: Naute chu nausen pum chhungah a la awm a nih chuan a rang thei ang bera cesarean section tihsak a ni ang a, naute lakchhuah a ni ang.
• Oxygen pek: Thâwk a harsat avangin tube dahin artificial respirator (mechanical ventilation) nen an thlunzawm a ni.
• Cardiac support: Lung a tawp chuan chest compressions (CPR) pek thin a ni. Thisen sang control nan damdawi pek thin a ni.
• Thisen pek: Thisen chhuah tam lutuk avangin thisen, plasma leh platelet tam tak pek a ngai a ni.
• Hysterectomy: A chang chuan thisen chhuah chu tihtawp theih a nih loh chuan nu nunna chhanhim nan a hnuhnung ber atan hysterectomy tih theih a ni.

Heng zawng zawng hi intensive care unit (ICU) emaw, operation room emaw-ah a thleng vek a ni.

Hetiang dinhmun hi i dam khawchhuah chuan hun rei tak chhunga nghawng a nei em?

AFE vei damchhuahna rate hi vanduaithlak takin a hniam hle a, zirchianna thenkhatah chuan thihna rate hi 60% vel a ni thei tih an sawi.

Mahse, he dinhmun rapthlak tak atanga damchhuak nute hian hun rei tak chhunga nghawng engemaw zat an nei thei a, chu chu taksa tihchhiat nasat dan azirin a ni.

• Taksa lama nghawng: Thinlung chhiatna nghet tak, kal (kidney)-a nghawng, paralysis vanga harsatna awm.
• Nervous system-a nghawng: Thluak lama oxygen tlakchhamna hian hriatrengna leh thu hriatrengna ang chi thilte a nghawng thei a ni.
• Psychological effects: Hei hi a pawimawh hle. Hetiang thihna hnaih tawh thil tawn hnuah hian rilru lam harsatna, severe shock, anxiety, depression, leh post-traumatic stress disorder (PTSD) te hi a awm fo thin. Mi thenkhat phei chuan inthiamlohna an nei thei a, "Engvangin nge hetiang hi ka chungah a lo thlen?"

Hei hi ven dan tur a awm em?

Vanduaithlak takin a chhanna chu "ni lo" tih a ni. Doctor-te chuan engvangin nge mi thenkhat chauh hian hetiang khawpa na hi an neih tih an la hre lo a, chuvangin AFE hi ven theih a ni lo .

Chuti a nih chuan eng nge kan tih theih ang?

Kan tih theih ṭha ber chu eng emergency-ah pawh inbuatsaih hi a ni. Chu chu nau i pai hmaa i doctor nena inbiakna neih a, damdawi ina medical team-in emergency an hmachhawn dan tur zir tihna a ni.

I pian dan tur ruahmanna kha han ngaihtuah teh . I beisei theih tur pian mawi ber tur ruahmanna a ni. Mahse, emergency-ah chuan medical team chuan chu ruahmanna chu kal pelin, nang leh i naute chhanchhuahna atana a tul apiang an tih a ngai dawn tih hre reng ang che. Chutih lai chuan medical team rin a pawimawh hle .