Thluak (Hypoxic and Anoxic Brain Injury) a oxygen tlakchham vanga chhiatna a thlen dan i zir chiang ang u.

Kan dam khawchhuah theih nan thawk lak a pawimawh zia kan hre vek. Kan thluak pawh chutiang bawk chu a ni. Thluak cell te hian oxygen supply reng reng an mamawh a ni . Ngaihtuah teh, thluaka oxygen supply chu minute 4 emaw a aia rei emaw a tihtawp chuan thluak cell te chu an thi tan thin. Hei hian thluak chhiatna nasa tak, a chang chuan tihdanglam theih loh a thlen thei a ni. Vawiin hian he thil hlauhawm tak hi kan sawi a, mahse he dinhmun hi kan hriat chian a ngai vek a ni.

Hypoxic leh anoxic thluak chhiatna chu eng nge ni?

Heng hming pahnih hi a buaithlak deuhin a lang thei a, mahse a takah chuan an awlsam khawp mai. I han en teh ang.

Thluak hian kan taksaa oxygen awm zawng zawng hmun ngaa ṭhena hmun khat a hmang a. Oxygen tel lo chuan thluak hian hna a thawk tha thei lo va, nerve kaltlangin thuchah a thawn a, taksa chhunga thil awm zawng zawng chu a thawk tha reng a ni.

• Hypoxic Brain Injury: Hei hi thluaka oxygen thlen zat a tlem phawt chuan a ni. A tawp vek lo a, mahse a mamawh aia tlem zawk a ni.
• Anoxic Brain Injury: Hei hi a pawi zawk. Hetah hian thluak hian oxygen a hloh vek a ni.

A châng chuan doctor-te chuan heng thumalte hi an hmang dun ṭhin. Mahse, an pahnih hian thluak chhiatna nasa tak thlen thei dinhmun an ni. Mi pakhat chu oxygen tel lova rei tak a awm chuan coma emaw, thluak thi emaw pawh a ni thei.

Eng thilin nge thluak hian oxygen a tlakchham chhan?

Thluaka oxygen supply chu chhan hrang hrang avangin tihtawp emaw tihtlem emaw theih a ni , a then chu kan hre lo pawh a ni thei.

Hetiang natna lan chhuah dan hi engte nge ni?

Thluaka oxygen tlakchhamna second 15 chhungin hriatna hloh hi a thleng tlangpui. Chu bakah, heng symptoms te hi a lo lang nghal thei bawk.

• Thusawi thiam lo emaw, thumal inzawmkhawm thiam lohna emaw
• Buaina, hriatrengna hloh
• Hmaiah a tla thla
• hmui leh vun chu blue/gray a lo ni ta
• Thâwk hi a thuk lo hle emaw, a rang hle emaw
• Mitmeng (dilated pupils) a awm
• Hming chhan loh
• Seizures a awm thin

Doctor-te hian engtin nge hei hi an hmuh?

A tlangpuiin, damlo pakhat ETU- a hruai a, eng thil nge thleng tih an zawh hian (entir nan, tuiah a pil, chaw ei kham) chuan doctor-te chuan ngaihdan tha tak an nei thin. Mahse an hliam nasat dan dik tak hriat tumin test tlemte an kalpui thin.

• CT scan emaw MRI scan emaw: Hengte hian thluak tissue chhiatna, hliam ang chi te a zawng thei a ni.
• EEG (Electroencephalogram): Hei hian thluaka electric hnathawh dan a teh a. Hei hian thluak hi engtiang chiahin nge a active tih hriat nan a pui a ni.
• Angiography: He test hi thluaka thisen petu thisen kalna kawng hrang hrangah blockage a awm em tih enfiah a ni.
• Evoked potentials test: Hei hian thluak hian mit hmuh, hriat leh khawih ang chi hriatnate a chhang let leh chhan loh a test thin.

Engtin nge enkawl a nih?

Hei hi medical emergency a ni. Damdawi ina hruai i nih veleh doctor-te chuan a rang thei ang bera thluak chu oxygen tling pek an tum ang. Tin, i thisen sang leh heart rate control nan damdawi an pe bawk ang che.

Damlo dinhmun nasat dan azirin enkawl dan a inang lo. Vawi tam tak chu damlo chu intensive care unit (ICU)-ah dah a ni a, thawk lakna tur ventilator- ah connect a ni.

A nasat deuh thenkhatah chuan Therapeutic Hypothermia an tih damdawi bik an hmang thin.

He taksa tihlumna damdawi hi eng nge ni?

Hei hi enkawlna bik deuh a ni. Heta tih tur chu blanket bik hmanga taksa lumna control leh tihhniam nan darkar 24 vel 32-34 degree Celsius thlenga tihhniam a ni. Tichuan taksa chu zawi zawiin a lumna pangngaiah an hruai kir leh thin. Zirchianna atanga a lan dan chuan hei hian thluak a ti na a, a tichhe thei a ni. Tin, thluak cell-te mamawh oxygen leh energy a tihtlem avangin thluak venhimna atan a pui bawk.

Dam leh hnua hun rei tak chhunga nghawng awm thei

Miin thluak hliam na tak a neih hnua a hriatna a neih leh hnuah pawh hun rei tak chhung nghawng a nei thei a ni. Chûngte chu taksa lam, rilru lam emaw, nungchang lam emaw pawh a ni thei.

• Taksa lama nghawng: Lu na, kea kal laiin balance hloh, mit hmuhna lama harsatna, seizures , thusawi leh ei harsa, taksa hriatna hloh, mut dan inthlak danglam.
• Rilru leh nungchang lama nghawng: hriatrengna hloh, lungngaihna, ngaihtuahna seng harsa, buaina, ngaihtuahna fim tak neih theih lohna, mize inthlak danglam (i nihna ang kha ni lo ang maia inhriatna), leh thinrimna te.

Engtin nge dam leh theih?

Mi pakhat a dam that dan chu thil engemaw zatah a innghat a ni:

• Thluak hi eng chen nge oxygen nei lovin a awm?
• Engtiang chiahin nge thluak chhiatna hi a nasat?
• Accident a thlen lai khan kum engzat nge i nih? (Kum 50 hnuai lamte chu an dam leh duh zawk)
• Eng chen nge coma-a i awm?

Hliam tenau te hi hun rei tak chhunga nghawng nei lovin a dam vek thei fo. Mahse, hliam na tak takte chu a dam theih nan thla tam tak emaw, kum tam tak emaw pawh a ngai thei. A châng chuan, dam lehna famkim a awm lo thei bawk.

Hetiang accident hi engtin nge kan ven theih ang?

Mi pakhatin a hriatna a hloh a, a thinlung a thawk tawh lo a nih chuan CPR (Cardiopulmonary Resuscitation) , chu chu thinlung massage leh hmui atanga hmui atanga thawk lak a ni a, damdawi lam tanpuina a thlen hma loh chuan thluaka thisen leh oxygen supply engemaw zat a awm reng theih nan a pui thei a ni. Hei hian thluak chhiatna nasa tak thlen theihna chu nasa takin a tihtlem thei a ni. CPR tih dan zir hian nunna a chhanhim thei a ni.

Chu bakah, heng himna dante hi zawm tur a ni:

• Tui kaihhnawih chetsualna thleng lo turin pumpelh rawh. Naupangte bathtub-a an awm lai pawhin fimkhur rawh.
• I in chhungah meikhu detector leh carbon monoxide detector dah la.
• Miin rulhut a ei a nih chuan damdawi inah hruai nghal mai tur a ni. A tul chuan Colombo National Hospital-a National Poison Information Center-ah thurawn dil theih a ni.