Thinlung chu a tawp thut a nih chuan engtin nge ni ang? (Cardiac Arrest) - Hemi chungchang hi han sawi ila

I ṭhiante nêna in inbiak lai emaw, kawtthlêra i kal lai emaw chuan mi pakhat chu nikhaw hre lovin a tlu thut mai ang tih han ngaihtuah teh. I kal pelh a, i en chuan an thawk lo, an pulse a na lo... an vawt ang maiin a lang. Hetiang thil hi i hmu a nih chuan engtin nge i ngaih ang? Hei hi a takah chuan sudden cardiac arrest kan tih chu a ni . Hei hi natna khirh tak, nunna atana hlauhawm tak a ni. Mahse, dik taka hriattir kan nih chuan mi tu emaw nunna chhanhim turin kan pui thei a ni. Chuvangin vawiinah hian thumal awlsam takin engkim kan sawi dawn nia.

A awlsam zawngin, cardiac arrest tih hi eng nge ni?

Cardiac Arrest tih hi kan thinlung a thawk tawp thut a ni. A nih loh leh, thinlung hi a thawk chak em em a, a mumal lo hle bawk a, thisen a pump tha thei lo. Hei hi a thleng thut thei hle a, hriattirna engmah a awm lo va, chuvang chuan ‘Sudden Cardiac Arrest’ an ti bawk. Ngaihtuah teh, kan taksa engine hi thinlung a ni. He engine hian taksa pum puiah oxygen tamna thisen a pump chhuak a. He oxygen hi taksa peng zawng zawng, thluak, lung leh kal (kidney) te hnathawh nan a pawimawh hle. Cardiac arrest-ah chuan he engine hi a off nghal vek a. Chuti a nih chuan eng nge thleng? Taksa khawiah mah thisen a luang lo. Minute tlemte chhunga thluak oxygen a tlakchham chuan thluak chu a chhe tan a, a tawpah chuan thihna a thleng thei a ni. Mahse, heart attack avanga thinlung chhiatna chuan a chang chuan cardiac arrest a thlen thei a ni. Chumi awmzia chu heart attack hi cardiac arrest thlentu lian tak a ni thei tihna a ni.

Hetiang dinhmun hi a hma leh a awm lai hian eng symptoms nge a neih?

A tam zawkah chuan cardiac arrest hi warning sign awm lovin a awm thin. Mahse, mi ṭhenkhat chuan an thinlung a chawlh hma lawk hian chhinchhiahna ṭhenkhat an nei thei a ni. Tin, mi pakhatin cardiac arrest a neih hunah a lan chhuah tur symptom bik thenkhat a awm bawk.

Engvangin nge hetiang hi a lo awm? Cardiac arrest awm chhante chu engte nge ni?

Kan sawi tawh ang khan hei hi thinlung electrical system-a lo awm thin harsatna lian tak a ni. Kan thinlung hian a pianphungah electrical signal siamtu system a nei a. Heng signal te hian thinlung chu rhythm mawi tak a ti na a ni. He signaling system hi tihbuai a nih chuan thinlung rhythm a mumal lo thin. Hengte hi arrhythmias kan ti a ni . Cardiac arrest awm chhan ber chu arrhythmia hlauhawm tak Ventricular Fibrillation (V-fib) tih a ni. Heta thil thleng chu thinlung hnuai lam (ventricles) te hian electrical signal chak tak tak, buaithlak tak tak an pe chhuak thin a ni. Chuvang chuan thinlung chu a na ai chuan jelly chi khat ang maiin a khur tan ta a ni. He thinlung khur hian thisen a pump thei lo. Chumi rah chhuah chu cardiac arrest a ni. Chutiang arrhythmias hlauhawm tak lo awm chhan bulpui ber engemaw zat a awm a:

• Heart attack: Heart attack hnua thinlung a chhiat chuan electrical system a tibuai thei a ni.
• Coronary Artery Disease ( CAD ): Thinlung hnena thisen petu thisen kalna kawng (arteries) a tawi emaw, a block emaw a ni.
• Cardiomyopathy: Thil hrang hrang avanga thinlung ruh thick emaw chak lo emaw .
• Heart failure: Thinlung hian taksaah thisen a pump tling thei lo.
• Congenital Heart Conditions: Pian tirh atanga lo awm thin thinlung insiam dan lama harsatna awm .
• Genetic diseases Long QT Syndrome (LQTS) leh Brugada Syndrome te: Heng natna hi rochun atanga lo chhuak, thinlung electrical activity tichhe thei an ni.
• Taksa thawhrimna nasa tak emaw, accident na tak emaw: Hengte hian thisen tam tak a hloh emaw, taksaa oxygen level tlahniam emaw a thlen thei a ni.
• Ruihhlo hman: Cocaine ang chi ruihhlo hman.
• Damdawi thenkhat: Damdawi thenkhat natna dang atana ei te pawhin he natna hi a nghawng thei a ni.
• Kidney disease: Taksa chhunga salt (salt) potassium leh magnesium level-a inthlak danglamna lian tak a awm.

Miin cardiac arrest a neih chuan engtin nge kan tih ang? Engtin nge nunna kan chhanhim theih ang?

Hei hi a pawimawh ber a ni. Cardiac arrest hi medical emergency a ni. Second tin hi a chhiar tel vek. Chu enkawlna tihkhawtlai minute khatah chuan mi pakhat damchhuah theihna chance chu 10% velin a tlahniam a ni. Brain damage tan nan minute 5 vel chauh a ngai a ni. 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.1990 (Suvaseriya) call nghal rawh: Tih hmasak ber tur chu ambulance service biak a ni. I awmna hmun dik tak hrilh la, damlo chu a hriat loh thu leh thawk a la lo tih chiang takin sawi rawh. 2. CPR tan: Ambulance lo thlen hun nghak suh. I theih chuan CPR (Cardiopulmonary Resuscitation) tih tan la. A awlsam zawngin CPR chu thinlung ni lovin kan kut hmanga rilru kan hmet a, thluak leh taksa peng dangte thisen kan pump lut hi a ni. CPR tih dan i hriat loh chuan a tlem berah i rilru lai takah compression rang leh thuk tak pe la (Hands-only CPR). Minute khatah vawi 100-120 vel rate-in i ti tur a ni. 3. AED zawng rawh: AED (Automated External Defibrillator) hi kut hmanga thil siam a ni a, chu chuan thinlungah electric shock a pe thei a, electric activity pangngai a siam leh thei bawk. Hengte hi vantlang hmun, airport leh shopping mall lianah te a awm a. AED i hmuh chuan a chunga thupekte chu zawm rawh. A rilruah pad hnawih a ngai mai a ni. Chumi hnuah chuan machine chuan heart rhythm a check ang a, shock pek leh pek loh tur a rel ang. CPR leh AED hi mi pakhat chhanchhuahna tha ber a ni. Ambulance team an lo thlen veleh damlo hi damdawiin Emergency Treatment Unit (ETU)-ah enkawl belh turin an hruai ang.

Cardiac arrest atanga i damchhuah hnuah eng ang thil nge i hmachhawn ang?

Cardiac arrest atanga nunna chhanchhuah hi thil ropui tak thleng thei awmchhun a ni. Mahse, dam lehna kawng thui tak bul tanna chauh a ni. Harsatna lian ber chu thluaka oxygen a tlakchham hun chhung a zirin chhiatna thleng thei hi a ni.

• Thluak chhiatna: Minute tlemte pawh oxygen tel lova kal hian thluak cell te chu a tichhe vek thei a ni. Hei hian hriatrengna, ngaihtuahna, leh chetna thunun ang chi thilte a nghawng thei a ni. Mi thenkhat chuan tawng harsa (dysarthria) leh ei harsa (dysphagia) an nei thei.
• Taksa chak lohna: Taksa chak lo, kal harsa leh hah lutuk te hi a awm fo thin.
• Rilru hriselna lama harsatna: Chutiang thil rapthlak tak kan hmachhawn hnuah chuan rilru lam thil, lungkhamna, lungngaihna, leh post-traumatic stress disorder (PTSD) te a lo awm thei a ni.

Hetiang dinhmun atanga dam leh tur hian rehabilitation treatment, physical therapy, occupational therapy, leh speech therapy te hi a pawimawh hle. Tin, chhungkaw tanpuina hi a pawimawh hle bawk.

He dinhmun hlauhawm tak laka inven dan tur a awm em?

Ni e, cardiac arrest venna tur thil kan tih theih a awm. A tih tur ber chu a thlentu risk factors te control hi a ni.

Damdawi lam hmalakna te

I doctor chuan cardiac arrest i neih theihna chance sang tak i nei tih a hriat chuan test leh treatment thenkhat chu i tan a rawt thei ang.

• Test hrang hrang:Test hrang hrang `ECG`, `Echocardiogram`, leh `Cardiac Catheterization` te hian thinlung lama harsatna eng pawh a hriat theih.
• Tihdamna:
• ICD (Implantable Cardioverter Defibrillator): Hei hi hmanraw te tak te, thinlung bula vun hnuaia dah a ni. Thinlung-ah arrhythmia hlauhawm tak a awm chuan he hmanrua hian electrical shock a pe chhuak a, chu chuan thinlung a tichak lehzual a ni.
• Damdawi: Heart rhythm control tu ``Beta-blockers'' ang chi damdawi.
• Surgery: Thisen kalna kawng khar hawn theihna tur surgery, ``Angioplasty'' emaw ``Coronary Artery Bypass Surgery - CABG'' emaw ang chi.

Nunphung a inthlak danglam thin

Heng thilte hi kan zavaia tan a pawimawh a, hlauhawma awmte tan chauh ni lovin.

Eng nge tih tur	Hrilhfiahna
Thinlung hrisel ei tur	Chi, sugar leh oil tlemna ei tur ei la, thlai, thei, legumes leh whole grains tamna ei rawh.
Exercise neih fo thin	Ni khatah minute 30 tal, kar khat chhunga ni tam zawkah chuan exercise, kea kal, tlan, emaw, cycle khalh ang chite chu inhmang rawh.
Meizial zuk loh	Meizial zuk hi thinlung tan a tha lo hle. Meizial i zu a nih chuan vawiin hian bânsan turin hma la rawh.
Natna rei tak enkawl dan	Thisen sang, zunthlum, cholesterol sang ang chi natna i neih chuan doctor thupek angin control tha la.

I doctor nena sawiho tur thil

Nangmah emaw, i chhungte zinga tu emaw hian thinlung natna i neih tawh a nih chuan, emaw, he thil chungchangah hian ngaihtuahna i neih chuan, i doctor nen inbiakna neih hi hlau suh. Hetiang zawhna hi i zawt thei ang:

• Cardiac arrest neih hlauhawmna ka nei em?
• Ka chhungte pawh hi hlauhawmah an awm em? Genetic testing kan tih a ngai em?
• Ka nunphungah eng inthlak danglamna nge ka neih?
• ICD ang device hi ka mamawh dawn em ni?
• CPR leh AED hman dan ka zir theihna tur hmun a awm em?

Take-Home Thuchah a ni

• Cardiac arrest chu thinlung electrical system-a harsatna awm vanga thinlung thawk a chawlhsan chuan a ni. Heart attack nen a danglam a, emergency nghal, nunna atana hlauhawm tak a ni.
• Miin cardiac arrest a neih chuan rang takin a rilru a buai a, thawk a la thei lo va, pulse pawh a nei lo.
• Nunna chhanhim tur chuan hma i la nghal tur a ni. A hmasa berin 1990 call la, pahnihnaah chuan ambulance a lo thlen hma loh chuan CPR tan rawh. Pathumnaah chuan AED a awm chuan hmang ang che.
• CPR tih dan zir hi a pawimawh hle. I hmangaih tak emaw, mi dang emaw nunna a chhanhim thei a ni.
• Lung hrisel nunphung hman a, damdawi lam dinhmun awmsa te uluk taka enkawl a nih chuan cardiac arrest hlauhawmna chu tihziaawm theih a ni.

Sudden Cardiac arrest, Cardiac Arrest, Lung natna, CPR, AED, Lung natna, First aid, Lung hriselna