Intensive care unit ( ICU ) ah i kal tawh em? A nih loh leh movie-ah pawh i hmu tawh mai thei, damlo damlo tak takte chu an thawk chhuah theih nan machine-ah an inbun a ni. Mi tam tak chuan he machine hi an hmuh hian an hlau hle a, mahse a takah chuan damdawi hmanraw pawimawh tak a ni a, mi tam tak nunna chhanhim thei a ni. Ventilator kan ti a. Chuvangin, vawiin hian he ventilator hmanga thil thleng tak tak leh a mamawh chhan kan sawi dawn a ni.
Ventilator chu eng nge ni, a awlsam zawngin?
A awlsam zawngin sawi ila, ventilator chu mahni chauha thawk harsa i neih hunah i tan thawk thei tur machine a ni. Mechanical ventilator an ti bawk .
Kan lung hi balloon te tak te pahnih angin han ngaihtuah teh. Kan thawk luh hian heng balloon te hi oxygen -in an inflate a, kan thawk chhuah chuan taksain a mamawh loh carbon dioxide -in an inzawm khawm a ni. Damdawi lam dinhmun khirh tak tak thenkhatah te, accident-ah te, a nih loh leh operation lian tham tak nei tura anesthesia kan pek lai hian kan taksa hian a mah chauhin he thawk dan hi a ti tha thei tawh lo. Chutah chuan ventilator pakhatin min chhanchhuak a.
Hei hian thil pahnih a ti ber a:
1. Oxygen tamna boruak hi i lung chhungah a pump lut thin.
2. Taksa tana tha lo carbon dioxide gas chu lung atanga hnawhchhuah nan a pui thin.
Mi tam tak chuan ventilator leh intubation an ti buai hle. Mahse hengte hi thil chi hrang hrang pahnih a ni. Intubation hi doctor-in i thawkna kawngah tube a dah luh dan a ni. Ventilator chu chu tube nena inzawm, thawk chhuahna atana puitu machine a ni.
Ventilator chi hrang hrang a awm em?
Ni e, damlo dinhmun a zirin ventilator hman dan chi hrang hrang leh hman dan chi hrang hrang a awm. I doctor chuan eng method nge i tan a tha ber tih a rel ang.
| Ventilator system/chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Noninvasive Ventilation hmanga siam a ni | Hei hian taksa chhungah tube dah a huam lo. Chu ai chuan face mask lu vel chu strap hmanga bun a ni a, chutah chuan ventilator an connect bawk. Sleep apnea enkawlna atana hman thin CPAP leh BiPAP machine te hi hei hi entirnan tha tak a ni. |
| Invasive Ventilation hmanga siam a ni | Chutah chuan thawkna kawngah tube dah a ni. Tube hi hmui hmangin (intubation) emaw, kawr chhunga surgical incision te tak te hmangin (tracheostomy) dahin ventilator nen an inzawm a ni. |
| Manual Resuscitator Bag hmanga siam a ni | Hei hi ‘Ambu bag’ an ti bawk. Damlo thaw pe turin kut hmanga pump theih a ni. Ventilator a awm loh emaw, machine a chhiat emaw chuan emergency-ah hman a ni. |
Eng dinhmunah nge ventilator hi mamawh?
Mi pakhatin ventilator a mamawh chhan hrang hrang a awm a, hun rei lote chhung emaw, hun rei tak emaw pawh nise.
- Surgery atan : Operation lian tak neih lai hian general anesthesia pek hian kan thawk a tichak lo thei a ni. Chuvangin ventilator hian anesthesia atanga kan harh thlengin a pui thin.
- Respiratory Failure: Hei hi mahni chauha thawk thei lo dinhmun hming vuah a ni. Hei hi a thleng thut thei a, a nih loh leh natna khirh tak avangin zawi zawiin a lo awm thei bawk.
- COVID-19 ang hri kai: I hriatreng angin, COVID-19 hripui leng lai hian damlote chu hripuiin an lung a tichhe nasa hle , tuiin a khat a, mahni chauha thawk thei lote chuan ventilator support an mamawh a ni.
- Damdawi lam harsatna dangte:
- Thluak chhiatna emaw stroke emaw
- Pneumonia na tak a awm
- Lung natna rei tak tak COPD ( Chronic Obstructive Pulmonary Disease ) ang chi te hi a ni.
- ARDS (Acute Respiratory Distress Syndrome) - chu chu lung chhunga tui a khatna natna a ni
- Allergy natna nasa tak (Anaphylaxis) .
- Nerve leh taksa ruh tichhe thei natna (e.g. Guillain-Barré syndrome) .
- Coma state ah a awm
Ventilator nena inzawm i nih chuan eng nge thleng?
Dik tak chuan a nuam vak lo. I hmuiah tube a awm chuan i hrehawm lo mai thei. Mahse, hrehawm i nei lovang. Hei hi a chhan chu doctor-te chuan i rilru hahdam leh i hlim theih nan sedatives an pe dawn che a ni. A châng chuan, i harh chung pawhin i hre kim lo mai thei. A natna a nasat chuan doctor-te chuan i taksa chu a dam thuai theih nan muthilh tir vek che an rel mai thei.
Medical staff te chuan i dinhmun hi an lo enfiah reng ang. I thisen sang, heart rate , leh oxygen level ang chi thilte chu an teh reng ang. Respiratory therapist pawhin suction tube hmangin i lung atanga mucus a paih chhuak ang.
I hmuiah tube i neih chuan i tawng thei lo ang a, i ei thei lo ang a, i in thei lo bawk ang. IV (saline) emaw, i pum chhunga dah tube dang emaw hmangin ei tur pawimawh tak tak pek i ni ang.
I hriat mi pakhat chu ventilator-a awm a nih chuan...
He hun hi damlo leh chhungte tan pawh hun harsa tak a ni. I hmangaih tak chu hetiang dinhmunah hian a ding a nih chuan, ṭanpui tûra i tih theih ṭhenkhat chu hetiang hi a ni:
- Positive takin awm rawh: I chakna hi a tan chuan chakna ropui tak a ni.
- Thusawi fo rawh: A ngaithla thei che. I aw chuan a thlamuan ang.
- Kut inthlak rawh: I khawih chu a hre mai ang.
- Inbiakpawhna kawngah ṭanpui rawh: A harh chuan chhinchhiahna, ziak leh kawhhmuh hmanga inbiak theih nân ṭanpui rawh.
- In atanga thil hriat lar tak tak rawn keng la: a hman thin, pillowcase emaw, kawrfual emaw ang chi, a rilru hahdamna tur.
Ventilator hman hian eng harsatna nge a thlen theih?
Ventilator hi nunna chhanhimtu ni mah se, harsatna engemaw zat a thlen thei bawk. Doctor leh nursing staff te hian heng hlauhawmnate hi an hre reng a, a ven nan a tul angin hma an la thin.
| Complication awm thei | Eng thil nge thleng thei? |
|---|---|
| Infection awm thei te | He natna hrik hi thawkna kawng (breathing tube) kaltlangin lung chhungah a lut thei a, pneumonia a thlen thei bawk. Hei hi ventilator-associated pneumonia (VAP) an ti a. |
| Lung Tihchhiatna | Ventilator-in oxygen a pek chhuah pressure emaw, a zat emaw a san chuan lung chak lo tak takte chu a tichhe thei a ni. Hei hian lung a tlakbuak (pneumothorax) emaw, lung chhunga tui a pungkhawm (pulmonary edema) emaw a thlen thei. |
| Risk dang pawh a awm thei | Hun rei tak chhung hmun khata awm hian khum natna leh thisen zam a thlen thei . Tin, hriatna i neih leh hnuah pawh i buai deuh (delirium) a, hriatrengna tha lo i nei thei bawk. Tube lakchhuah hnuah pawh i aw a inthlak danglam thei bawk. |
Engtin nge ventilator atang hian i inhnukdawk ang?
Hei hi vawi khata thil thleng vek a ni lo. Doctor-te chuan nangmah chauhin thawk i tha thei tih an hriat chian hnuah, zawi zawiin ventilator atanga support chu an tihtlem ang a, a tawpah chuan tube chu an la chhuak ang. Hetiang kalphung hi ‘weaning’ kan ti a ni.
Tube lakchhuah hnuah a tir lamah chuan rilru na leh aw ri bengchheng tak tak hriat hi thil pangngai a ni. Mi thenkhat chu tlemin an buai deuh a, taksa lamah pawh chak lo deuhin an inhria thei bawk. Heng zawng zawng hi hun kal zelah a lo tha chho zauh zauh ang.
Mi hrang hrangah dam leh hun a inang lo tih hre reng ang che. A tlangpuiin ventilator-a nitin hman a nih chuan a dam kim theih nan kar khat tal a ngai niin an sawi. Chuvangin dawhtheih a pawimawh hle.
Take-Home Thuchah a ni
- Ventilator hi hlauh tur a ni lo va, damdawi atana hmanraw pawimawh tak a ni a, nunna chhanhimtu a ni.
- Damloin a mah chauha thawk a thawh theih loh hunah lung tanpui nan hman a ni.
- I hmuiah tube i neih laiin i tawng thei lo va, i ei thei lo a nih pawhin, a tlangpuiin natna i nei lo.
- Harsatna engemaw zat awm thei mahse, i doctor leh medical team te chuan an fimkhur reng a ni.
- Ventilator atanga lakchhuah a nih hnuah a dam kim theih nan hun engemaw chen a ngai thin. Hei hi thil pangngai a ni a, chuvangin dawhthei la, i enkawlna chu chhunzawm zel rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh