Movie-ah emaw, TV show-ah emaw, mi pakhat khumah mu, nikhaw hre lo, che thei lo pawh i hmu tawh mai thei. He dinhmun hi " coma " kan ti a. Mi tam tak chuan hei hi mut thuk ang chi thil niin an ngai. Mahse a nihna takah chuan coma hi damdawi lam natna danglam tak leh na tak a ni. Hemiah hian mi chu dam mah se, kaihthawh dan tur a awm lo. Chuvangin, i rilrua zawhna tam tak chhanna tur chuan vawiin hian he coma chungchang hi han sawi ila.
A awlsam zawngin, coma chu eng nge ni?
Coma-a awm chu TV on, mahse channel nei lo ang maiin han ngaihtuah teh. TV a on a, light a eng a, mahse screen ah engmah a awm lo. Chutiang bawkin coma-a awm chuan an thinlung thawk, thawk leh taksa chhunga thil kalphungte chu a kal zel a, mahse an thluak hian pawn lam khawvel nen inzawmna a nei lo.
A awlsam zawngin, coma chu hun rei tak chhunga hriat lohna a ni . Mut thuk tak nen chuan a danglam hle. Mi chu muthilh thûk takah chuan thawm ri emaw, taksaa fawp emaw hmangin kan kaitho thei a ni. Amaherawhchu, coma-a awm chu natna pek pawhin a tiharh thei lo . Hetiang dinhmun hi thluak chhiatna nasa tak avanga lo awm a ni.
Eng thilin nge mi pakhat chu coma-a a luh tir?
Coma awm chhan ber chu thluak chhiatna a ni. He chhiatna hi chi hrang hrang a awm thei. Thil chhiatna thenkhat chu hun eng emaw chen atan a ni a , enkawl theih a ni . Mahse chhiatna ṭhenkhat chu a awm reng a, thihna pawh a thlen thei. Coma 50% aia tam hi lu hliam leh thluaka thisen kal dan lama harsatna awm vang a ni.
A chhan ber chu eng nge ni tih i lo en ang u.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Lu hliam (Trauma) 1.1. | Accident-a lu-a i tlak chuan i thluak chu a hring emaw thisen a chhuak thei emaw a ni. He swelling hian thluak ah pressure a siam thei a, thluak chhunga consciousness control tu part (the Reticular Activating System - RAS) chu a tichhia thei bawk. |
| Anoxic Thluak Hliam | Oxygen hi thluak tan a pawimawh hle. Thluak hi minute engemaw zat oxygen a tlakchham chuan, heart attack vang emaw, tuiah a pil vang emaw, strangulation vang emaw pawh ni se, thluak cell te chu an thi tan thin. |
| Thai | Coma hi thluak hmun lian zawka thisen kal a tawp emaw, thisen chhuah avanga thluak a hring emaw a awm thei. |
| Thisen Sugar a ni | Thunun loha thisen thlum sang (hyperglycemia) emaw, thisen thlum hniam (hypoglycemia) emaw hian zunthlum vei te chu coma a thlen thei a ni. Hei hi thisen sugar level control a nih veleh a reh tlangpui. |
| Infection awm thei te | Thluak emaw, central nervous system emaw tichhe thei natna hrik, meningitis emaw encephalitis emaw te hian thluak a ti na a, coma a thlen thei a ni. |
| Toxins te pawh a awm | Liver emaw kidney natna hian taksa atanga paih chhuah tur toxins (e.g. ammonia, urea) chu taksaah a pungkhawm a, thluak a tichhe thei a ni. Ruihhlo emaw, zu emaw hman tam lutuk hi a chhan a ni thei bawk. |
| Epilepsy/ Seizures natna a awm | Seizures chhunzawm zel, tihtawp loh (Status Epilepticus) i neih chuan, thluak hian seizures inkarah hian a dam leh theih hun a nei lo . Hei hian coma a thlen thei bawk. |
Engtin nge coma hi i hriat theih ang?
Doctor-te chauhvin mi pakhat chu nikhaw hre lo emaw, coma-a awm emaw a nih leh nih loh an hre thei. A chhan zawn chhuah a pawimawh hle bawk.
Doctor ten heng thilte hi an enfiah thin:
- Chhanna level: 1.1.An hming an koh lai te, taksa an vuak lai te, natna tlem an neih (e.g., kut zungtang hmet) te hian an chhang let em tih kan hmu thin.
- Mit chhanna: I mit i hawn a, êng i chhuah chuan mitmeng chu a te deuh em tih i hmu thin.
- Thâwk dan: Thâwk hi a mumal lo, a rang, a slow em tih enfiah rawh.
- Taksa dinhmun: Ke ruhte chu a pianphung ang lo takin a ben emaw, a nghet lo emaw tih enfiah thin ang che.
Heng test bakah hian thil thleng hmaa thil thlengte chhungte zawhfiah a pawimawh hle. Tin, thisen test te, zun test te, CT scan emaw MRI scan ang chi te thluak dinhmun endikna te pawh an ti thin.
Doctor-te chuan he natna hi tehna bik an hmang a. A hming chu Glasgow Coma Scale (GCS) tih a ni. Mit meng, chetna, leh thusawi ang chi thila score pein hriat lohna level a tichiang a ni . Score a hniam poh leh condition a serious zawk.
Engtin nge coma hi i enkawl ang?
Coma hi medical emergency a ni. Mi hriatna hloh emaw, hriatna hloh emaw i hmuh chuan 911 call nghal la, ambulance la rawh. Damdawi inah, a bik takin Emergency Treatment Unit (ETU)-ah a rang thei ang bera hruai hian thluak chhiatna a ti tlem thei hle.
Damdawi inah chuan coma awm chhan a zirin enkawl dan tur a ni.
- A chhan enkawl dan: Infection a nih chuan antibiotics pek thin a ni. Thluak a lo hring a nih chuan a hring tihziaawmna turin damdawi pek thin a ni. Thluaka thisen chhuak emaw, tumor emaw a awm chuan zai a ngai mai thei. Zunthlum vang a nih chuan thisen sugar level control a ni.
- Life Support: Coma-a awm damlote hi intensive care unit (ICU)-ah enkawl an ni tlangpui . Mahni chauha thawk harsatna an neih chuan ventilator -ah an connect thin .
- Supportive Care: Damlo chu coma-a a awm lai hian harsatna dang a thlen loh nan a pawimawh hle.
- Nutrition: A ei leh in theih loh avangin feeding tube hmangin liquid food pek a ni.
- Vun enkawl: A awmna hmuna awm reng atang hian khum natna a lo awm thei. Chutiang a nih loh nan darkar tlemte danah damlo chu turn over thin ang che.
- Taksa leh ruhkawr: 1.1.Incheina tlakchhamna hian taksa ruh a ti nghet thei a, ruh a ti nghet thei bawk. Hei hi tihtawp tumin physiotherapist te an rawn lut a, i taksa peng hrang hrangte i tihchet theih nan an pui che a ni.
Coma atang hian i hriatna i nei leh thei ang em?
Hei hi mi tam takin zawhna an neih a ni. Coma atanga dam lehna chu a chhan, coma a awm rei zawng leh damlo hriselna zawng zawngah a innghat a ni.
I mit i meng nghal a, "Khawiah nge ka awm?" movie-a a lan ang bawkin. Recovery hi a slow hle a, step by step a kalpui a ni.
A tlangpuiin damlo chuan a hriatna a lo neih leh tan chuan thawm emaw, natna emaw an dawng tan hmasa ber thin. Tichuan, an mit an meng zauh zauh a. Mi tam tak hriatna hmasa berah chuan an buai thei a, an buai thei bawk . Tun hma aiin an awm dan a danglam thei bawk. Hei hi damna kalpui danah a tel vek a ni. A dam kim theih nan thla tam tak emaw, kum tam tak emaw a ngai thei. Mi thenkhat chuan permanent disability an nei thei bawk. An dinhmun pangngaia an awm leh theih nan physical therapy leh occupational therapy ang chi rehabilitation service an mamawh mai thei.
Take-Home Thuchah a ni
- Coma hi mut thuk tak a ni lo va, thluak chhiatna nasa tak avanga damdawi lama harsatna lian tak a ni.
- Mi pakhat chu a rilru a buai a, a kaitho thei lo tih hmuhchhuah a nih chuan emergency anga ngaih tur a ni a, 1990 chu ko nghal tur a ni a, Emergency Treatment Unit (ETU)-ah hruai tur a ni .
- Coma awm chhan bulpui enkawl leh supportive care pek hi a pawimawh hle.
- Coma atanga dam leh hi thil slow process a ni , chhungte leh medical team te puihna a pawimawh hle.
- I hmangaih tak dinhmun chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh . Online-a i thil hriat emaw, mi dangte hnen aṭanga i hriatte chauh ring suh.
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