Aw, i thawk hah ang maiin i hria em? (Asphyxiation) chu eng nge a nih chiang takin i zawng chhuak ang u!

A châng chuan thawk harsa tak a ni thut mai, a dik em? A nih loh leh, mi pakhat chu thawk hah lutuk i hmu tawh em? Hei hi thil hlauhawm tak leh hlauhawm tak a ni tak zet a ni. Vawiin hian chu suffocation, a nih loh leh medical term `(Asphyxiation)` chungchang kan sawi dawn a ni. Hei hi dik taka kan hriatthiam chuan nunna pawh kan chhanhim thei a ni.

`(Asphyxiation)` tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin `(Asphyxiation)` tih hian i taksain oxygen a hmu tlem tihna a ni. Hei hian thawk danah nghawng lian tak a nei a ni. A châng chuan hriat lohnaah pawh a hruai thei. A chhe ber ah chuan thihna pawh a thleng thei. Thenkhatin `(asphyxia)` an ti a, thenkhatin `(suffocation)` an ti bawk. An awmzia a inang vek.

`(Asphyxiation)` chi hrang hrangte chu engte nge ni?

Asphyxiation hi chi hrang hrang a awm. A bulpui berte han thlir ila.

`(Mechanical asphyxia)` - Mechanical hmanga thawk chhuak thei

Hei hi taksa thil emaw, taksa dinhmun emaw avanga thaw hah theih loh lai a ni. Miin a chil a chhak che ang maiin ngaihtuah la, naupang te tak tein an rilruah infiamna a tlakbuak ang maiin han ngaihtuah teh, etc. A chang chuan kan dinhmun kan dah dik loh hian, entirnan, naute te tak te chu a inher a, a inher thei lo va, an hnar leh hmui chu pillow-ah a innghat a, chu pawh chu he category-ah hian a tel ve bawk.

Traumatic asphyxia - accident avanga thawk hah

Hei hi ``mechanical asphyxia''-ah pawh a tel ve a ni. Heta thil thleng chu i rilru, chu chu rib cage, taksa ruh, tissue leh vun in a hual vel ``thoracic cavity'' chu pawn lam atanga chakna lian tak (``trauma'') lo chhuak vangin a thawk chhuak ta a ni. Accident lian takah i rilru chu a hrual nasa hle ang tih han ngaihtuah teh. Tichuan, thinlung atanga thisen chu hnunglam hawiin vein kaltlangin kawr leh thluak thlengin an nawr a.

Perinatal asphyxia a awm thin

Hei hi kan naute te nena inzawm thil a ni. Hetiang dinhmun hi naute hian a pian hma lawk, a pian lai, a pian hnu lawka oxygen mamawh zat a hmuh loh chuan a thleng thin. Hei hi fimkhur hle tur a ni.

`(Compressive asphyxia)` - compression avanga thawk hah

Hei hi ``mechanical asphyxia'' chi khat a ni bawk. Hei hi pawn lam chakna lian takin i rilru emaw i pum emaw a compress hian a thleng thin. Entirnan, mipui tamna hmuna i hrual a nih chuan (concert ngaihtuah rawh), emaw, mi pakhat i rilruah a thu emaw, i rilruah a khup emaw a nih chuan.

Hetiang dinhmun hi engtiang chiahin nge ``Asphyxiation'' an tih?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Entirnan, United States-ah chauh pawh kum 2016 khan mi 19,000 vel zet chu thawk hah vangin an thi a ni.

Tin, kum 2018 atanga 2019 thleng khan naupang kum khat hnuai lam accidental thihna thlentu ber chu suffocation a ni. Chuvangin, nu leh pa fa te te nei te hian he thil hi kan fimkhur hle tur a ni.

Engtin nge Asphyxia hian ka taksa a nghawng?

He natna (Asphyxia) hian i taksa hi kawng hrang hrangin a nghawng thei a ni.

Ram dang thil blockage a awm

Thil pakhatin i thawkna kawng a tikhawlo niin han ngaihtuah teh. Tichuan i taksa chuan carbon dioxide a siam khawm ta a ni. Hei hi hypercapnia kan ti bawk. Chutih rual chuan taksa peng hrang hrangah oxygen a lut lo (hypoxia).

Tichuan taksa chuan thawk a tum leh ta a. Hmuh chu a hlauhawm deuh thei. Mit a lian chho zel, vun rawng a inthlak danglam, kut chuan i kawr a man a, zawi zawiin a khuh ang chi thil i hmu mai thei.

I thisen sang leh heart rate a sang nghal vek. I thisen pH a tlahniam. I taksa hian hormone catecholamines an tih chu a tichhuak thin. Heng catecholamines te hi taksa ‘fight-or-flight response’-a pawimawh tak hormone an ni.

A tawpah chuan i thisen sang a tlahniam a, i heart rate a tlahniam bawk.

Hetih lai hian blockage hi lakchhuah a nih loh chuan, emaw, mi pakhatin a enkawl vat loh chuan minute li atanga minute nga chhungin thinlung chu a tawp thei (cardiac arrest) thei a ni. Hei hi a hlauhawm hle mai.

Tuiah a pil ta

Tui pil 10% vel ah chuan tui chu i rilru a luh hmasak ber chuan i vocal cords te chu a thawk tawh lo nghal vek thin. Hei hi ``laryngospasm'' an ti a, chutah chuan i lungah tui awm lo mahse ``asphyxiation'' vangin i thi ta a ni.

A dang 90% ah chuan i vocal cords (the `glottis`) inkar gap-a muscle te chu a relax a, chu chuan i lung chu tuiin a khat thin.

I taksa hian tui thianghlim a hip nghal vat thin. Tui thianghlim hian i thisena `plasma` chu a ti diluted a, `red blood cells` te chu a ti chhe (`hemolysis`).

Salt water hian i circulatory system atanga tui chu i lungah a hruai lut a, chu chuan i thisen chhunga plasma awm zat a tihtlem phah a ni.

Thâwk harsa tih lantîrnate chu engte nge ni?

He ``Asphyxiation`` condition-ah hian symptom engemaw zat a lang a:

• Thâwk harsa (dyspnea). Mi thenkhat chuan thaw halh ang maiin an inhria.
• Thâwk rang emaw, thawk thuk emaw (hyperventilation).
• Thil hriatna hloh.
• Khuh.
• Hoarseness emaw aw inthlak danglam emaw.
• Thusawi thiam lohna.
• Hmai emaw hmui emaw rawng inthlak danglam (red, purple, blue emaw gray emaw a ni thei).
• Chaw ei harsa emaw, ei theih loh emaw.
• Hriatrengna hloh.
• Duh loh vanga zun emaw, inhriat loha bawlhhlawh paih emaw.
• Luak chhuak thei.
• Lu na.

`(Asphyxia)` awm chhante chu engte nge ni?

Hetianga thawk hah lutuk hi chhan tam tak a awm thei. Chung zinga tlemte han thlir ila:

• Anaphylaxis: Hei hi allergy na tak a ni. Chaw ei avanga lo awm a ni fo. Tin, symptom na tak tak a thlen thei bawk a, chu chu luak chhuak, taksa peng leh hmai (a bik takin hmui) a hring chhuak thei a ni.
• Asthma natna: 1.1.Hei hi lung natna `chronic` a ni. Thli bawlhhlawh, exercise, pet dander, leh zuk leh hmuam meikhu ang chi thilte hian a tizual thei a ni.
• `(Positional asphyxiation)` - Positional asphyxiation: Hei hi i taksa dinhmun avanga i thawk a tihkhawtlai lai a ni. Hei hi nau piang thar emaw, naupang tê tê emaw, taksa tichhe thei khawpa chak lote chungah a thleng fo ṭhin. Entirnan, naute chu hmai hnuai lam hawia a mut a, an hnar leh hmui chu mattress-ah a innghat a, an inher thei lo a nih chuan hetiang hi a thleng thei.
• Chemical asphyxiation: Hei hi i thawk chhuah chemical pakhatin i lung atanga oxygen a paih chhuah a, oxygen a tihpun hian a thleng thin. Chumi hnuah chuan oxygen hian i taksa peng dang a thleng thei lo. Chemical carbon monoxide, cyanide, hydrogen sulfide, leh inchhung faina atana hman tur chemical thenkhat te hian hetiang hi a thlen thei a ni.
• Opioids overdose: Opioids hi chemicals a ni a, nerve cells te nen thawk hovin natna tihziaawmna an siam a ni. I ei tam lutuk chuan i thawk a tlahniam thei a, a tawpah chuan a tawp thei bawk.
• Tuiah: Hei hi tui, a tlangpuiin tuia inhnim pil avanga suffocation a ni .
• Foreign object blockage / obstruction: Thil dang pakhatin thawkna kawng a block. Hei hi chaw ei that loh chuan a thleng thei a, zu in tam lutuk hnua hnim hring (alcohol poisoning) a awm chuan a thleng thei bawk.
• Strangulation: Kut, hrui, hrui emaw thil dang emaw kawr chhunga khuh hmanga thawkna kawng khap.

Engtin nge `(Asphyxiation)` hi kan hriat theih ang?

He choking hi ``medical emergency`` a ni a, enkawl vat a ngai a ni . Naupang tê emaw, puitling emaw, thawk harsatna nei nghal i bulah i awm a nih chuan, ``a rilru a buai em tih zawt rawh.`` An chhang thei lo a nih chuan heng chhinchhiahnate hi zawng rawh:

• Kawng vawn (hei hi i tang tih sawina atana hman thin universal sign a ni).
• Zawi zawiin leh chak lo takin khuh.
• Thâwk chhuah laiin whistling ri siam (`wheezing`).
• Thusawi thiam lohna.
• Thil hriatna hloh.

Nausen thawk harsatna a neih chuan an nungchang a inthlak danglam leh awm loh enfiah thin ang che. Entirnan, thawk harsa, tap chak lo, khuh zawi lutuk.

Thâwk thei lo hnenah in tur pek hi a pawi em?

Ni lo, a tha lo tak zet a ni. Thâwk harsa mi pakhat hnenah in tur i pek chuan thawkna kawng a tikhawlo zual thei a ni.

`(Asphyxia)` tih hriat nan eng test nge hman thin?

I thawkna kawngah thil a tang a nih chuan i doctor chuan X-ray emaw bronchoscopy emaw hmangin a blockage chu a zawng chhuak thei a, a paih chhuak thei bawk.

Engtin nge `(Asphyxia)` hi enkawl a nih?

Enkawlna chu thawk hahna chhanah a innghat a ni. Enkawlna kawng hrang hrangte chu:

• Cardiopulmonary resuscitation (CPR): Chest compression pek hian thinlung a thawk leh tan hma loh chuan taksa peng pawimawh tak takah thisen a kal zel theih nan a pui a ni. Hei hi first aid pawimawh tak a ni.
• Heimlich maneuver: Abdominal thrust hian boruak atanga thil awmte chu a paih chhuak thei a. Hei hi thil pakhat, ei tur ang chi, thawkna kawngah a tang a nih chuan a tangkai hle.
• Damdawi: Thâwk hahna chhan a zirin damdawi ṭhenkhat chu hman theih a ni. Entirnan, asthma tan inhaler, allergy tan epinephrine (EpiPen®), emaw opioid overdose tan naloxone (Narcan®) te.
• Mouth-to-mouth resuscitation: Hei hian thawk a tichak hle. Tui pil tawh emaw, opioid tam lutuk ei hnua thawk harsa emaw tan pawh tih theih a ni.
• Oxygen therapy: Oxygen hi thawkna tube, oxygen mask, hnar tube emaw ventilator emaw hmangin taksaah a thlen a ni.

Engtin nge `(Asphyxiation)` laka inven theih ang?

Hetiang chi suffocation hi venna tha ber chu fimkhur hi a ni . I awmna hmuna mi pakhatin thawk harsa a tih chuan 1990 (Sri Lanka emergency ambulance service) call nghal rawh.

• Chaw i ei dawnin i chaw chu zawi zawiin chew la, i ei zawh hnuah chauh sawi rawh. I fate chaw an ei lai hian ngun takin en reng ang che. Kawngkhar te te hmanga chaw ei turin fuih la, an ei tur an ei zawh hma chu tawng lo turin hrilh bawk ang che.
• Food allergy i neih chuan EpiPen keng reng tur a ni. I ei zawng zawngah ingredients label kha check thin ang che.
• Tuiah i inbual dawnin mi dang pakhat tal nen kal rawh. Tui chawi thiam loh chuan Life jacket ha la.
• Asthma attack i neih theihna tur i nih chuan inhaler hi i bulah dah fo ang che.
• I in chhungah carbon monoxide detector dah rawh. Thing emaw gas emaw ang chi fuel hmanga hmanrua (e.g., stove, water heater, furnace) te chu kum khatah vawi khat technician trained takin enfiah tir rawh.

`(Asphyxia)` a lo awm chuan eng nge thleng ang?

Thâwk hahna chhan hi enkawl vat a nih chuan dam lehna a tam zawk fo.

Mahse, asphyxiation hi enkawl vat a nih loh chuan hun rei tak emaw, chatuan emaw a nghawng thei a, chu chu stroke, thluak hliam, thihna ang chi te hi a ni. Chuvangin, rang taka hmalak a pawimawh hle.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang thil hi i tawng tawh a nih chuan, emaw, a chungchang hriat belh i duh chuan, i doctor hnenah heng thilte hi i zawt thei ang:

• Miin thaw a chhuah loh chuan engtin nge ka tih ang?
• Thâwk chhuah theih loh avângin hun rei tak emaw, a awm reng emaw tûrin hrisêlna nghawng ka nei ang em?
• Food allergy ka nei em? Allergist ka hmuh tur em ni?
• Nakin lawkah he `(asphyxia)` dinhmun laka inven nan eng nge ka tih ang?

A tawp berah chuan hriat reng tur thil! (In lama hruai tur thuchah)

Asphyxiation hi thil hlauhawm tak a ni a, taksa atanga oxygen tihtawp a ni. Nangmah emaw, i bula awm tu emaw chuan thawk hahdamna chhinchhiahna a lantir a nih chuan a hlauhawm thei hle. Amaherawhchu, a theih ang anga thlamuang taka awm a pawimawh. Thâwk harsa tih chhinchhiahnate chu fimkhur rawh, a bik takin i kut chuan i kawr a chelh a nih chuan. 911 ah call nghal la, an thupek zawm rawh. I thawk hahna chhan i enkawl hma chuan hun rei tak emaw, a awm reng emaw hriselna lama harsatna i pumpelh theihna chance a sang zawk. I hriatna leh hmalakna rang tak hian nunna chhanhimna kawngah a pui thei ang!

` Asphyxiation, oxygen, thawk, first aid, emergency, thawk hah, choking, tuiah pil, carbon monoxide, CPR, Heimlich maneuver