A rilruah ball a tlak chuan thinlung chu a titawp nghal thei em? Commotio Cordis chungchang hi i zir chiang ang u!

Cricket emaw, infiamna dang emaw a khelh laiin mi pakhat chu ball chak takin a rilruah a vuak tih i hre ngai em? Hei hi a hlauhawm takzet a ni lawm ni? A tam zawkah chuan hliam tenau tak mai mai niin kan ngai. Mahse, a tlem berah chuan nunna atana hlauhawm tak, natna khirh tak a ni thei . Vawiin hian thinlung natna hmuh tur awm lo tak, rang tak leh chiang tak tak kan sawi dawn a ni. Hei hi damdawi lam hawi chuan `Commotio Cordis` an ti a. Hei hi Latin tawngin ``thinlung tibuai'' tihna a ni.

`Commotio Cordis` tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, `Commotio Cordis` chu thil te tak te, khauh tak (a tam zawkah chuan baseball emaw hockey puck emaw) atanga thinlunga vuakna chuan thinlung rhythm pangngai a thlak danglam nghal a, thinlung thawk dan pangngai lo (`ventricular fibrillation`) a thlen a, thinlung chu rang takin a titawp (`cardiac arrest`) a ni. Ngaihtuah teh, kan thinlung hi taksa peng hrang hrang inzawmkhawm leh mumal tak a ni. Electrical signal system bik angin a beat thin. He `Commotio Cordis`-ah hian chu pawn lam vuaknain a nghawng avang chuan hun pawimawh takah chuan thinlung electrical activity chu a tibuai a ni. Hei hi machine hnathawk tha takin hmun dik lo atanga vuakna a dawng nghal a, a hnathawh a tibuai ang mai a ni.

Hetiang dinhmun hi engtiang chiahin nge `Commotio Cordis` tia koh a nih?

Dik tak chuan hei hi thil awm lo tak a ni. Hlauthawng suh. Khawvel hmun hrang hrang i thlir pawhin kum khatah `Commotio Cordis` vei hi mi 30 aia tlem lo an awm thin. Chuvangin hei hi mi zawng zawng tuar thei natna a ni lo. Amaherawhchu, a tlem hle nachungin, a tihchhiat theih dan hi a na hle a, chuvangin hei hi hriat chian a pawimawh hle.

Mi pakhat chu `Commotio Cordis` tih dinhmun atang hian a dam thei ang em?

Ni e, a ti thei ngei ang! Mahse damdawi lam pan nghal a ngai a ni . Hetiang hian mi pakhat chu a rilruah a knock a, a tlu a nih chuan `CPR` (Cardiopulmonary Resuscitation) tih nghal a, `AED` (Automated External Defibrillator) hmanga thinlung `defibrillate` a pawimawh hle.

Vanneihthlak takin hun kal zelah he natna hi miten an hriat chian chhoh zel avangin CPR leh AED machine hman tam avangin damchhuah theihna chance a sang hle a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

`Commotio Cordis` natna lan chhuah dan ber chu:

• I rilruah i vuak veleh chhuah leh tlak. Hei hi a pawimawh ber a ni.
• Lungphun dik lo (`Ventricular Fibrillation`) a awm. Chumi awmzia chu thinlung hnuai lam (lower chambers) te chu thisen uluk taka pump chhuah ai chuan an nghing mai mai tihna a ni.
• Lung a titawp nghal (Cardiac Arrest).
• Thil hriatna hloh.

Heng symptoms te hi a lo lang nghal vek a ni. A tir lamah chuan chhinchhiahna a awm lo mai thei.

Eng thilin nge `Commotio Cordis` hi a thlen?

Hetiang dinhmun hi a lo awm theih nan hian thil engemaw zat a inzawm khawm a ngai a ni. A chhan ber chu rilru veilam, thinlung awmna hmun dik takah, a tlangpuiin thil te tak te, chak lo tak, baseball, lacrosse ball emaw hockey puck emaw atanga vuak a ni a, 90 degree angle-a darkar khata mel 40-50 vel a chak a ni. Cricket khelh laiin savun ball tlan chak tak, emaw, infiamna hmanrua dang, taksa a tawlh chuan a na thei ang ber emaw kha han ngaihtuah teh. Mahse hei hi vuak apiangin a thleng ngai lo. A pawimawh ber chu he vuakna hi a lo thlen hun hi a ni. Kan thinlung `cardiac cycle`-ah hian hun bituk, hun rei lo tak a awm a, chu chu thinlung hnuai lam (`ventricles`) te chu an inzawm khawm a, thisen an pump a, chutah an chawlh leh thin. Chu chu he vuakna hi a thlen hun tak tak a ni. Tichuan, chu vuaknain a nghawng avang chuan thinlung ruh, tih hahdam tur chu a tichak nghal thei a, chu chuan a hmaa kan sawi tawh `ventricular fibrillation` dinhmun a thlen thei a ni.

Punch hian `Commotio Cordis` a thlen thei em?

Ni e, theoretically chuan a theih. Mahse chumi atan chuan a hmaa kan sawi tawh condition zawng zawng hi zawm vek a ngai a ni. Chu chu, vuakna chu rilru veilam lamah, 90 degree angle-ah, darkar khata mel 40 emaw a aia chak emaw, thinlunga chutiang hun takah chuan a awm tur a ni tihna a ni. Fight pangngaia blow delivered hmanga hetiang thil thleng theihna chance hi a tlem hle.

Tute nge `Commotio Cordis` vei theihna sang zawk?

Hetiang dinhmun hi tu chungah pawh thleng thei mahse, mi thenkhat chu an hlauhawm zawk a ni:

• Infiamna khel thinte tan: A bik takin ball khauh tak tak emaw, hmanrua emaw hmanga infiamna, baseball, lacrosse, softball, hockey ang chi te tan. Kan ramah chuan cricket-ah pawh he thil hi fimkhur a tha.
• Thalai kum 20 hnuai lam tan: He natna hian kum 15 vel a nghawng tlangpui a, hei hi thalai rilru ruh system a la puitling kim loh vang a ni thei a, chu chuan vuakna shock chu thinlungah a kai theihna a tipung zawk a ni.
• Mipa tan: Hei hi hmeichhia aiin mipa zingah a tam zawk. Hei hi mipa naupangte hian contact sports an tih tam zawk vang pawh a ni thei.

`Commotio Cordis` hian eng harsatna nge a thlen?

Hemi chungchanga harsatna lian ber leh hlauhawm ber chu heart attack avanga thihna thut hi a ni.National Cardiovascular Registry chhinchhiah danin kum 1996 atang khan he natna vang hian mi 220 chuang an thi tawh a, chuvangin hei hi thil awlsam tak a ni lo.

`Commotio Cordis` hi engtin nge kan hriat theih ang?

Mi pakhat, a bik takin tleirawl pakhat chu infiamna a khelh laiin a rilru veilam a vuak a, a tlu nghal a nih chuan doctor chuan `Commotio Cordis` a ringhlel mai thei. Mahse, hei hi `diagnosis of exclusion` a ni . Chumi awmzia chu doctor-te chuan a chhan tlangpui dang, heart attack ang chi a awm leh awm loh an en hmasa tihna a ni. Chutiang chhan a awm loh chuan `Commotio Cordis` hi a chhan a ni mai thei niin an ngai. `CPR` leh `defibrillation` pek nghal hnuah damdawi inah a hnuaia test te hi tih theih a ni:

• Electrocardiogram (EKG): Thinlung electric hnathawh dan a enfiah thin.
• Thisen test : Lung a chhiat leh harsatna dang a awm leh awm loh enfiah nan.
• Echocardiogram: Thinlung insiam dan leh hnathawh dan enfiahna scan .
• Heart MRI emaw CT scan emaw : Thinlung thlalak chiang zawk hmuh theih.
• Heart catheterization: Heart thisen kalna kawng (blood vessels) a block ang chi thil te enfiahna atana test a ni.

Engtin nge `Commotio Cordis` hi enkawl a nih?

`Commotio Cordis` tawk mek tan chuan damdawi lam pan vat a pawimawh hle. Chutiang thil thleng i hmuh chuan 119/1990 ah call nghal la, nangmah ngeiin `CPR` tan rawh. A theih chuan rang takin `AED` machine zawng la, hmang rawh. Emergency treatment pek a nih hnuah damlo chu damdawi inah dah a ni a, heart condition dang hriat loh a awm leh awm loh enfiah turin complete examination neih a ni. Damdawi inah chuan thinlung hnathawh dan an enfiah thin.

Enkawlna bikte

`Commotio Cordis` vei puitling pakhat chu a rilru a buai a, thupek a zawm thei lo a nih chuan doctor-te chuan `therapeutic hypothermia` tih damdawi an hmang thei a ni. Hei hian damlo chu tihreh a, thawkna tube dah a, taksa lumna 32-34 degree Celsius (89.6-93.2 Fahrenheit) thleng darkar 12-24 vel tihhniam a huam a ni . Hei hi special cooling machine, ice pack, frozen `IV` fluid, leh cooling blanket hmanga tih a ni. Hei hian thluak hian oxygen a hmanna rate a tihziaawm a, a hring (swelling) a veng bawk. Tichuan, darkar engemaw zat chhung chu taksa chu zawi zawiin a lum leh thin.

Enkawlna hrang hrangte side effects

`Therapeutic hypothermia` ang chi enkawlna hian a chang chuan side effect a nei thei. Entir nan:

• `Pneumonia` tih a ni
• Sepsis (thisen avanga rimchhia) .
• Lungphun pangngai lo
• Coagulopathy (thisen a hrual theihna tlahniam) .

Engtin nge `Commotio Cordis` hlauhawmna tihziaawm theih ang?

Hei hi ven kim theih a nih loh laiin, a hlauhawmna tihziaawmna tur thil i tih theih a awm a:

• Invenna hmanrua bun: Chest protector bun hian venhimna engemaw chen a pe thei. Amaherawhchu, hengte hi an hak lai pawhin ‘Commotio Cordis’ tih hi a awm tawh a ni.
• Infiamna hmanrua him: ``Softer baseballs'' ang chi thil hman, a bik takin player naupangte tana siam.
• Awareness leh inbuatsaihna (hei hi a pawimawh ber!):
• Coach, zirtirtu, leh sports staff te hi `Commotio Cordis` hriat dan leh `CPR` tih dan tur zirtir an nih a pawimawh hle.
• Infiamna hmun hrang hrangah awlsam taka kal theih, AED machine hnathawk tha tak tak a awm theih nan kan enkawl a ngai a ni.
• Emergency Action Plan (EAP) ruahman fel leh tih dan mumal tak neih hi enkawlna rang tak neih nan a pawimawh hle.

Ngaihtuah teh, i fa inkhelhna hmun, emaw, i inkhelhna hmun emaw, a hman dan hre chiangtu emaw awm se, eng ang thlamuanna nge ni ang.

`Commotio Cordis` i tawn chuan eng nge beisei tur?

Doctor ten an enfiah che a, i thinlungah harsatna dang a awm lo tih an finfiah chuan `Commotio Cordis` atanga i dam hnuah enkawlna dang i mamawh tawh lovang. Mahse, a hmaa i hriat loh, pianpui emaw, genetic emaw heart condition i nei tih an hmuhchhuah chuan chutiang tur chuan enkawlna i dawng a ngai dawn a ni.

Ka khelh tan leh thei ang em?

I thinlung hi a kimchang taka enfiah a nih hnuah, EKG, Echocardiogram, thinlung MRI emaw CT scan te, leh stress test te tih a nih hnuah, infiamna lama i kir leh thei tawh mai thei. Mahse, i doctor-in i thinlungah harsatna a hmuh chuan, emaw, Commotio Cordis a lo lang leh theihna tur hlauhawmna tlem emaw, lian tham emaw a awm chuan, i rilru tichhe thei khawpa infiamna, impact awm thei chu pumpelh turin a fuih thei che a ni.

`Commotio Cordis` dinhmun hi hmalam hun tur eng nge ni?

`Commotio Cordis` hi infiammi naupangte zingah cardiac thih thut chhan lian ber pahnihna a ni. A hmasa ber chu `hypertrophic cardiomyopathy` (hypertrophic cardiomyopathy) a ni. Enkawl vat a nih chuan damchhuah zat chu 59% vel a ni. Chu chu mi pahnih zinga pakhat aia tam chhandam theih an ni tihna a ni. Amaherawhchu, `CPR` dawng vat lo te, a nih loh leh pianpui thinlung natna nei te chuan damchhuahna chance an nei tlem zawk.

Engtin nge ka in enkawl ang?

I cardiologist chuan i thinlungah thil dik lo a awm lo a tih chuan follow-up care i mamawh lo mai thei. Mahse, i hriat loh thinlung natna an hmuh chuan enkawl tir ngei ngei tur a ni. Lung lam harsatna nei lo mah la, kum khatah vawi khat tal checkup neih a tha.

Engtikah nge emergency room (ER) ah ka kal ang?

Lung natna hmuhchhuah i neih chuan emergency treatment i mamawh leh mai thei. Heng symptoms te hi i neih chuan i bula mi hnenah 119/1990 ah call nghal turin hrilh rawh:

• A rilru a na
• I thinlung a thawk chak ang maia inhriatna (`heart palpitations`) .
• Thâwk a tawi
• Lung hring (lightheadedness) a awm
• Passing out a ni

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• Lung lam natna enkawl ngai ka nei em?
• Competitive sports ka khel leh thei ang em?
• Ka rilru a chhiat belh zel loh nan eng nge ka tih ang?

A rilruah vuak a nih hi thil lungchhiatthlak tak a ni. Amaherawhchu, `Commotio Cordis` hnua damchhuah theihna chance hi tun hma aiin a sang zawk hle. Damdawi lam pan vat chuan mi tam zawk chu an dam leh thei a ni. I doctor-in thinlung natna a neih thu a hriat chuan an thupek dik takin zawm rawh. `CPR` training leh `AED` machine awm hian `Commotio Cordis` hlauhawma infiamnaa telte tan rilru thlamuanna nasa tak a thlen thei a ni.

Take-Home Thuchah a ni

Okay, chuvangin vawiin a kan sawi `Commotio Cordis` hi in hriatthiam ka beisei. Hei hi thil thleng tlem tak a ni tih hre reng ang che, mahse a lo thleng a nih chuan a hlauhawm hle thei.

A pawimawh ber chu, mi pakhat chu infiamna a khelh laiin a rilruah vuaknain a tlakbuak thut a nih chuan ngaihthah suh. Emergency medical assistance (CPR, AED hman, damdawi ina dah) pe nghal rawh.

Coach, nu leh pa leh player kan nih angin hei hi hriat reng te, a tul chuan CPR training neih te, infiamna hmuna AED awm leh awm loh enfiah te hian nunna chhanhimna kawngah a pui thei a ni. Hrisel takin i khel ang u, hrisel takin i awm ang u!

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` commotio cordis, lung natna, rilru natna, infiamna lama hliam, lungphu chawl thut, ventricular fibrillation, CPR, AED, lungphu chawl, rilru hahna (cardiopulmonary resuscitation) te