Thinlung chu a tawp thut a nih chuan engtin nge ni ang? ‘Flat line’ (Asystole) chungchang hi han sawi teh ang.

TV-ah i hmu tawh ngei ang, mi pakhatin a hriatna a hloh nghal a, a tlu a, doctor-te chu an rawn tlan lut nghal a, a rilruah machine an dah a, ‘Clear!’ an ti a. leh electric shock pe rawh. Mahse a chang chuan monitor-a i hmuh zawng zawng chu line dinglam sei tak a ni. Chu chu ‘flat-line’ emaw asystole emaw kan tih chu a ni. Hei hi medical emergency pawi tak, nunna atana hlauhawm tak a ni. Chuvangin, kan zavaia tan hian hei hi kan hriat chian a pawimawh hle.

Asystole hi eng nge ni tak tak?

A awlsam zawngin sawi ila, asystole chu i thinlung electrical system a khar vek a, i thinlung a thawk tawh lo tihna a ni. Hei hi cardiac arrest chi khat a ni. Hetih lai hian thinlung hian taksaah thisen a pump chhuak chu a titawp vek a ni. Hei hian hriatna a hloh nghal thei a, thawk a titawp thei a, thawk a ti na thei bawk. Damdawi inenkawl nghal, CPR ang chi tel lo chuan minute tlemte chhungin thihna a thleng thei a ni.

Engvangin nge hei hi ‘flat-line’ an tih?

He dinhmun hi pawn lam atang chuan kan hre thei lo. ECG (Electrocardiogram) test hmang chauhin dik taka hriat theih a ni. Damdawi inah chuan thinlung hnathawh dan enfiah turin sensor engemaw zat chu rilruah dah a ni tih i hmu tawh mai thei. Heng sensor te hian thinlunga electrical activity fiah lo tak chu an hmuchhuak a, screen-ah wavy pattern angin an lantir thin.

He wave pattern hi thinlung chhunga electrical activity a awm hian a lo awm thin. Asystole-ah chuan thinlungah electrical activity a awm lo va, chuvangin wave ai chuan screen-ah hian line dinglam, flat tak chauh a lang thin. Chuvang chuan ‘flat line’ an ti a ni.

Engtin nge kan thinlung hian hna a thawh? Asystole lai hian eng nge thleng?

Kan thinlung a na apiang hian step lian pahnih ah a thleng thin.

1. Systole: Thinlung chhunga electric impulse te tak te lo awm hian thinlung ruh chu nasa takin a tikhawlo thin. He contraction hi thinlung atanga thisen taksa pum puia pump chhuaktu a ni.

2. Diastole: Vawi khat beat hnuah heart muscle a relax leh thin. Hei hi heart chamber-ah thisen a khat leh a, pump dang atan a inpeih tawh a ni.

Asystole-ah chuan systole thlentu electric current chu a bo vek a ni. Tui motor hian current a hloh chuan hna a thawk tawh lo ang bawkin, electrical process a hloh chuan thinlung hian pumping a titawp vek a ni. Hei hi ‘clinical death’ kan tih chu a ni.

Asystole hi engte nge ni?

Thinlung hian a hnathawh a chawlhsan thut theih chhan hrang hrang a awm a. A chhan lian ber thenkhat chu:

• Taksa atanga thisen chhuak tam lutuk.
• Taksaah oxygen level hlauhawm tak a tlahniam (Hypoxia).
• Taksa chhunga chi leh electrolyte inthlauhna .
• Lung natna nasa tak a ni.
• Pulmonary embolism a awm thin.
• Lungphung dik lo (Arrhythmias), a bik takin Ventricular Fibrillation (VF) leh Ventricular Tachycardia (VT) ang chi natna te.
• Thinlung emaw thinlung emawa accident na tak.
• Electric shock a ni.
• Damdawi thenkhat, toxin emaw, ruihhlo cocaine ang chi emaw ei.

Hei hi engtin nge enkawl theih ang? Nunna a chhanhim thei ang em?

Asystole hi medical emergency a ni a, second tin a chhiar tel bawk. Damdawi in pawn lama mi pakhat chunga hetiang thil a thlen chuan a pawimawh ber leh i tih theih awmchhun chu CPR (Cardiopulmonary Resuscitation) tan nghal a, damdawi lam tanpuina a lo thlen hma loh chuan chhunzawm zel hi a ni. CPR dik tak, chhunzawm zel hian nunna chhanhim theihna chance tha ber a nei a ni.

Damdawi in chhunga awm a nih chuan medical team te hian a hnuaia enkawlna te hi an pe thin.

Shock (defibrillation) hian thinlung a tiharh thei lo em ni?

Hei hi mi tam takin movie an en hnua an ngaihtuah sual thin a ni. Asystole hi 'shockable' rhythm a ni lo. Chu chu, flat line nei mi pakhat electric shock (defibrillation) pek chuan nghawng a nei lo tihna a ni. Dik tak chuan, chutianga tih chuan thinlung tihharh chu a ti harsa zual thei a ni.

Shock hi rhythm pangngai lo tan chauh pek a ni a, chu chu Ventricular Fibrillation (VF) a ni a, chutah chuan thinlung electrical activity a buai a, thinlung chu a khur mai mai a ni. Mahse, CPR tha tak nen chuan a chang chuan asystole state-a thinlung chu shockable rhythm-ah a chantir thei a ni. Chuvangin hetah hian CPR hi enkawlna number one a ni.

Engtikah nge ṭanpuina i zawn nghâl ang?

I bula mi pakhatin a hnuaia symptoms te hi a neih nghal chuan cardiac arrest a ni thei.

• Vawikhatmah hriatna hloh leh tlu.
• Thâwk lak loh emaw, thawk chhuah tumin thawk chhuak lo emaw.
• Kawr emaw kutphah emawa pulse hloh.

Chutiang dinhmunah chuan emergency ambulance service ko nghal rawh (entir nan, 1919). Tichuan, CPR chu a rang thei ang bera tan tir rawh. CPR tih dan i thiam lo a nih pawhin hlauthawng suh. Ambulance service officer chuan phone hmanga CPR tih dan a zirtir thei che a ni. I thawhrimna hian nunna chhanhim theihna chance sang tak a nei a ni. Damlo chu damdawi in pakhat Emergency Treatment Unit (ETU) -ah hruai nghal tur a ni.

Hei hi thil tha lo avanga thleng nia i rinhlelh chuan Colombo National Hospital-a National Poison Information Center-ah phone nghal la, thurawn i la thei ang.