Doctor emaw nurse emaw i hmu tawh em, accident hnuah emaw, damlo na tak damdawi ina an rawn hruai hian, chu mi kut emaw, ke emaw-ah kut zungtang emaw, ke ruh emaw chu rei vak lo chelh la, i thlah leh tawh ngai em? Kut zungtang rawng a inthlak leh hun an nghak thin. "Hei hian eng nge a tih?" Chu test awlsam tak chu Capillary Replenishment Time (CRT) an ti a. Test awlsam tak angin a lang thei a, mahse doctor-te hnena mi nunna chhanhim thei tur thu hlu tak tak tam tak pe thei test pawimawh tak a ni.
A awlsam zawngin, Capillary Refill Time (CRT) hi eng nge ni?
Hei hi kan hriatthiam hma hian tlem han hrethiam ila. Kan taksa pum puia thisen phurtu thisen kalna kawng kan nei a. Chûng thisen kalna kawng te ber ber, rulhut hrui ang mai chu capillaries . Hengte hi kan taksa cell tinah, a peng tenau zawng zawngah oxygen leh nutrients phurtu an ni. Kawngpui lian atanga branch chhuak, in tin panna kawngpui te te ang mai a ni.
Tunah chuan i kut zungtang chu rei vak lo i hmet ang tih han mitthla teh. Tichuan chu hmun chu a rawn sen ta vek mai a ni lawm ni? A chhan i hria em? I press chuan chu capillary te tak te atang chuan thisen thenkhat chu rei lo te chhung atan a chhuak thin. I kut i lak chhuah meuh chuan chu capillary te chu thisenin a khat leh a, second tlemte chhungin an rawng hlui pink ah an kir leh ta a ni.
Chu chu Capillary Refill Time (CRT) hi a ni. Vun patch pinch leh palpate tawh chu thisenin a khat leh a, a rawng pangngaia a lo kir leh theih nan hun a duh hun a ni. He hun hi tehna hmang hian doctor chuan taksa hmun hla tak tak, kut leh keah thisen a luang tha em tih emaw, peripheral perfusion a tha em tih emaw a zir chiang thei a ni.
Engvângin nge he fiahna hi a pawimawh êm êm? ‘Shock’ an tih dinhmun hlauhawm tak hi i zir dawn teh ang!
Emergency-a CRT test hi a pawimawh em em chhan ber a awm. Chu chu, nunna atana hlauhawm thei dinhmun , shock hriatchhuahna kawngah a pui tihna a ni.
He shock hi eng nge ni ?
A awlsam zawngin sawi ila, hei hi kan taksa peng hrang hrang (thluak, thinlung, leh kal) te hian oxygen tamna thisen an dawn tlem lohna dinhmun a ni. In chhunga power a thim a, light, fan leh refrigerator te chu an thawk tawh lo vek ang bawkin, kan taksa peng hrang hranga thisen supply a tlahniam thut chuan an thawk tha thei lo. Hei hi a hlauhawm hle a, enkawl vat loh chuan nunna atana hlauhawm tak a ni thei bawk.
State of shock hi chhan tam tak a awm thei. Emergency-ah chuan lab test emaw scan emaw tih hun a awm lo mai thei. Chutah chuan CRT ang chi test rang tak chu doctor-te tanpuina atan a lo thleng ta a ni.
| Thil awmdan, mak tihna thlen thei | |
|---|---|
| Chhan | A sawifiahna awlsam tak |
| Thisen chhuak nasa tak (Hemorrhage) . | Taksa atanga thisen tam tak chhuak, accident lian tak atanga chhuak ang maiin. |
| Tui tlakchhamna nasa tak | Taksa chhunga tui leh chi tlak hniam hlauhawm tak chu riltam, luak chhuak, emaw thawk hah lutuk vang a ni. |
| Allergy na tak (Anaphylaxis) a awm thei. | Chaw, damdawi emaw, rulhut emaw avanga allergy na tak tak. |
| Kangmei nasa tak a awm | Vun kang vangin taksa atanga tui tam tak a chhuak thin. |
| Taksa lumna sang (Hyperthermia) . | Ni zung tam lutuk ang chi thil avanga taksa lumna sang hlauhawm tak. |
| Hypothermia (taksa lum hniam) . | Khaw lum lutuk avanga taksa lumna hi hlauhawm takin a tlahniam thin. |
Engtin nge CRT test hi an tih thin?
Hei hi tih dan awlsam tak leh hrehawm lo tak a ni. A tlangpuiin doctor emaw nurse emaw chuan hengte hi a zawm ang:
1. Kut emaw ke emaw chawi sang: A hmasain damlo kut emaw ke pakhat emaw chu thinlung chunglam deuhah dah la.
2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Finger pressing: Tichuan, kut zungtang emaw ke ruh chunglam chu second 5-10 vel nghet takin hmet la. Chumi hnuah chuan a hmun chu a rawn sen vek ang.
3. Hun tehna: A dawtah chuan kut zungtang hmet tawh chu a chhuak nghal a, a pale area chu thisenin a khat leh a, a chhehvel vun rawng ang chiaha a rawn let leh hun chhung chu second tlemte chhungin a teh a ni. Chumi atan chuan darthlalang hman a ni tlangpui.
A pawimawh ber chu he test awlsam tak atanga second engzat nge kan hmuh hian damlo circulatory system dinhmun chungchang hi a sawi nasa hle a ni.
Hei hi i kut zungtang hmangin i en fo em?
A tam zawkah chuan, a ni. Mahse hei hi kut zungtang hmanga hmuh theih lohna special case thenkhat a awm. Mi pakhat chu taksa lum tak, a taksa peng leh a kut leh ke thlengin a lum lutuk avangin a sen vek a, damdawi inah hruai a ni ang tih han ngaihtuah teh. Chutiang mi taksa lumna a hniam hle (Hypothermia) avangin ke ruh chhunga thisen kal dan chu a pianphungah a tlahniam thei a ni. Chutiang hunah chuan CRT chu kut zungtang hmanga en chuan ngaihdan dik lo a awm thei.
Chutiang hunah chuan doctor-te chuan he test hi an ti thin a, chu chu sternum vel vun, rilru lai takah chuan an tikhauh a, a chhan chu chu taksa lairil ber chuan ke ruh aiin thisen a pe tha zawk a ni.
Results hian eng nge a sawi? Thil awmdan pangngai leh pangngai lo
He test result hi second tlemte chhungin a rawn let leh thin. Mi hrisel pangngai tan chuan kum a zirin result a inang lo deuh thei.
- Nau piang thar: Second 2 aia rei lo.
- Puitling (naupang leh tleirawl): Second 2-3 vel.
- Puitling kum upa zawk: Second 3 aia rei lo a la ngai thei.
Ka CRT value chu normal range chhungah a awm a nih chuan engtin nge ni ang?
Mi pakhat chu na takin a damlo a, mahse an CRT chu a pangngai a, second 2 vel tihna a ni ang tih han ngaihtuah teh. Natna an nei lo tihna em ni? Ni lo, tunah hian damlo thisen kalna kawngah harsatna lian tham a awm lo tih doctor chuan a hrethiam tihna a ni a, chuvangin natna thlentu chu hmun dangah a awm thei a ni. Tichuan chhan dang an zawng tan ta a ni.
CRT value a dik lo a nih chuan engtin nge ni ang? (Hun a rei lutuk a nih chuan)
Hei hi i ngaihven a ngai a ni. Mi pakhat CRT chu a tlangpui aia sang (e.g. 4, 5, or more seconds) a nih chuan doctor tan chuan red flag a ni . Taksa peng hrang hranga thisen kal chu nasa takin a tichhe tihna a ni a, chu chu shock a awm emaw, a lo thleng emaw tihna a ni.
Hetiang hunah hian doctor-te chuan rang takin test dang an kalpui ang a, a chhan finfiah lehzual tur leh natna nasat dan tehna tur an nei ang.
- Pulse Oximetry: Kut zungtang-ah clip ang chi hmanrua dahin thisena oxygen level tehna hmanrua a ni.
- Thisen sang leh pulse rate teh fo thin ang che.
- Damlo hriatna level enfiah.
- Zun chhuah dan tehna: Hei hi kal (kidney)-ah thisen a kal tha em tih hriat a pawimawh.
Chung zawng zawng a\anga thu hriatte chu doctor-te chuan damlo dinhmun kimchang takin an siam thei a ni.
Engtin nge enkawl a nih?
CRT value a dik lo a, shock a awm tih finfiah a nih chuan damlo chu enkawl nghal a ngai a ni . He enkawlna hi a shock chhan leh damlo dinhmun nasat danah a innghat a ni. Hengte hi emergency treatment unit (ETU)-a enkawl dan tlangpui thenkhat an ni.
- IV Fluids (Saline): Thisen sang siam that tumna atan tui leh chi (salt) hi thisen kaltlangin (cannula hmangin) pek thin a ni.
- Supplemental Oxygen: Oxygen hi nasal cannula emaw face mask hmanga pek a ni a, thisenah oxygen level hniam tihpun nan.
- Thisen pek: Thisen tam tak a bo tawh a, accident ang chiah hian pawn lam atanga thisen pek a ni.
- Breathing tube (Intubation): Damlo chuan mahni chauha thawk harsatna a neih chuan thawkna tube dahin ventilator nen an inzawm tir thin .
- Damdawi: A chhan a zirin natna hrik a nih chuan antibiotics ang chi damdawi pek a ni a, allergy a nih chuan steroid pek a ni bawk.
Heng enkawlna zawng zawngte hian a tum ber chu taksa peng hrang hranga thisen supply a rang thei ang bera siam leh a, chhiatna dang tihchhiat belh zel tur venna leh nunna chhanhim hi a ni.
Take-Home Thuchah a ni
- Capillary Refill Time (CRT) hi medical test awlsam tak a ni a, second tlemte chhunga tih theih a ni a, natna nei lo mahse information hlu tak tak a pe thei a ni.
- Hei hian taksa peng hrang hrang, taksa peng hrang hranga thisen kal dan a tha em tih a enfiah ber a ni.
- CRT value pangngai aia sang (hun rei tak) chu shock ang chi dinhmun hlauhawm tak chhinchhiahna a ni thei. Hei hi Doctor te tana vaukhânna pawimawh tak a ni.
- He test hi puzzle lian zawka thil te tak te pakhat chauh a ni. Damlo chungchanga thutlukna kimchang siam turin doctor chuan thil dang tam tak (thisen sang, pulse, symptoms) a ngaihtuah a.
- He test titu doctor i hmuh leh hunah chuan, chu tih dan awlsam tak chu a pawimawhzia i hre tawh ang.
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