Kawngpuiah emaw, supermarket-ah emaw thil i lei lai emaw, mi pakhatin a hriatna a hloh thut a, leiah a tlu ta ang tih han ngaihtuah teh. I tlan pelh chuan chu mi chu thawk a la lo tih i hmu a, an rilru a na lo bawk. Hei hi movie-ah pawh kan hmu vek tawh a ni lawm ni? Tichuan doctor te chu an lo kal a, an rilruah machine an dah a, shock an pe a, chutah chuan an lo nung leh ta a ni. Chu nunna chhanhim thei damdawi kan sawi tur chu defibrillation a ni. Hei hi enkawlna mai a ni lo va, nunna leh thihna inthlauhna thutlukna siamtu a ni thei.
A awlsam zawngin defibrillation hi eng nge ni?
A awlsam zawngin sawi ila, defibrillation chu controlled tak, precise electrical current thinlunga thlen hi a ni. Tunah chuan, " Wow , hei hi a shock em?" Ni e, a ni. Mahse hei hi thinlung tichhe tura tih a ni lova, thinlung chhandamna tur a ni.
I computer chu a lo innghat nghal a, engmah a ti thei lo tih han mitthla teh. Chuti a nih chuan engtin nge kan tih ang? Kan restart leh a ni lawm ni? Chutiang chu a ni. Thinlung chu a thawk tha lo nghal a, thisen a pump tha thei lo a nih chuan he electric shock hi pek a ni a, chu chu second khat chhung atan thinlung thawk tha lo chu tihtawp a ni a, chutah chuan a rhythm pangngaia hnathawh tan leh theihna hun remchang a pe leh thin. Thinlung "reset" ang mai a ni.
He enkawlna hi a bik takin heart rhythm thihna thlen thei pahnih, heart chamber hnuai lam, ventricles te inrawlh tan a ngai hle.
1. Ventricular Tachycardia - Pulseless: Hei hi thinlung hnuai lam chamber-te a na lutuk tan a, minute khatah 100 aia tam a thawk tan a ni. Heti taka thinlung hi a nat lai hian thisen mumal taka khat tur leh taksaa pump chhuah hun a nei lo. Hun engemaw chen hnuah chuan pulse chu hriat theih lohvin a awm ta a ni.
2. Ventricular Fibrillation: Hei hi Sudden Cardiac Arrest thlentu ber a ni. Heta thil thleng hi chu a beng dik ai chuan thinlung ruh chu thunun theih lohvin a nghing tan ta a ni. Jelly ang maiin a khur a, thisen pawh pump chhuah a ni lo. Thluak leh taksa peng dangte hian thisen an dawn loh avangin minute tlemte chhungin chu mi chu a thi thei a ni.
Hetiang dinhmun nunna atana hlauhawm takah hian mi nunna chhanhim dan tha ber chu a rang thei ang bera defibrillation pek hi a ni. Second tin hi a chhiar tel vek.
He enkawlna hi tute nge mamawh?
Hetiang enkawlna hi mi chi hnih tan a ngai tlangpui. Pakhat chu, a hmaa kan sawi tawh ang khan, rang taka heart attack tuar a, damdawi inah hruai luh emaw, vantlang hmuna hruai chhuah emaw a ni.
Pawl dang chu he heart rhythm thihna thlen thei chi hi vei theihna chance sang tak nei te an ni. Tun hmaa heart attack nei tawh, heart function chak lo, genetic heart condition nei te chu an hlauhawm thei hle. Chutiang mite tan chuan personal defibrillator a awm a, chu chu engtik lai pawha an bula dah theih a ni.
| Device chi hrang hrang | A hnathawh dan |
|---|---|
| Cardioverter Defibrillator hman theih a ni | Hei hi i thawmhnaw hnuaia i bun thin hmanrua a ni a, vest ang mai a ni. A chunga sensor te hian i vun an khawih a, i heart rhythm an enfiah reng bawk. Rhythm hlauhawm tak a awm chuan automatic in a hrechhuak a, a tul angin electric shock a pe chhuak thin. |
| Cardioverter Defibrillator (ICD) hmanga dah theih a ni. | Hei hi hmanraw te tak te a ni a, operation tenau tak hnuah pawh rilru vun hnuaiah dah a ni. Chuta tang chuan wire te chu thinlungah a inzawm a ni. Pacemaker ang mai a ni a, mahse a hmasawn zawk. A slow chuan heart rate a control thei a, rhythm hlauhawm tak a siam chuan nunna chhanhim thei electric shock a hmuchhuak thei a, a pe thei bawk. |
ICD atanga electric shock hi a chang chuan natna nei lovin a awm thei a, a chang chuan na tak ang maiin a awm thei bawk a, mi pakhatin i rilru a vuak ang maiin a awm thei bawk. Mahse chutih lai tak chuan i nunna a chhanhim thei a ni.
Defibrillation enkawl hma leh enkawl lai hian eng nge thleng?
Mi pakhat chu rang takin an hruai a, damdawi in Emergency Treatment Unit (ETU)-ah an rawn hruai ta tih han ngaihtuah teh. Doctor leh nursing staff te chuan hma an la nghal a.
Enkawl hmain
Defibrillator a siam fel hma chuan medical team chuan CPR (Cardiopulmonary Resuscitation) , chu chu chest compression leh artificial respiration tihna a ni.Thisen pek hmanga thluak leh taksa peng dangtea thisen kalna engemaw zat vawng reng tura beih.
Machine a inpeih tawh chuan electric shock a rawn thlen hmain a enkawltu chuan ring takin, "Clear!" Chu chu "Mi zawng zawng chiang!" Chutih lai tak chuan tumahin damlo emaw, damlo awmna khum emaw chu khawih tur a ni lo. An khawih chuan chu mi taksaah chuan electric a kal tlang thei a, accident a thlen thei a ni.
Enkawl lai hian
Damdawi inah chuan doctor chuan heng step te hi a zawm thin.
| Rahbi | Hrilhfiahna |
|---|---|
| 1. Paddle emaw Pads emaw attaching | Electric shock thlen theihna tura sticker ang maia dah theih tur metal device (paddle) emaw pad pahnih emaw chu damlo rilruah hmun bik pahnih ah dah a ni. Pakhat chu ke dinglam hnuaiah dah a ni a, pakhat chu ke veilam hnute hnuaiah dah a ni. Vun kang tur ven nan hengte hi electrically conductive gel an hnawih thin. |
| 2. Electric shock pek chhuah | Machine chu chakna mamawh angin a charge a, doctor chuan a rualin pedal pahnih button te chu a hmet a. Machine-a button pakhat pad an tih chu a hmet a. Hetih lai hian electric current chu rilru chhungah a kal a, thinlungah a kal a ni. |
| 3. Thinlung tihnun (Cardiac resuscitation) a ni | He electric shock hian thinlung thiltih buai tak, khur nasa tak chu second khat chhung atan a titawp a ni. Chu chuan thinlunga natural pacemaker chu control leh theihna hun a pe a, rhythm pangngaia beat tan theihna hun a pe bawk. |
Vantlang hmuna AED hman thin
AED (Automated External Defibrillator) hi vantlang hmun, airport, dawr lian, leh stadium-ah te i hmu tawh mai thei.Bang ah chuan box pakhat a innghat a. Hei hi automatic defibrillator a ni a, tu pawhin an hman theih tura siam a ni. Mi a tlu a nih chuan he machine hi rawn keng la, damlo rilruah pad pahnih hi i buntir mai tur a ni. Chumi hnuah chuan machine chuan heart rhythm chu a zirchiang a, "shock" pek leh pek loh tur a rel ta a ni. A tul chuan automatic in a charge a, voice instruction a pe a, "Press the button now." Chumi awmzia chu damdawi lam hriatna nei lo pawhin nunna chhanhim turin a pui thei tihna a ni.
Enkawl hnuah eng nge thleng?
Electric shock pek hnuah chuan engkim a tawp tawh lo. A dawtah chuan medical team chuan minute hnih chhung CPR an ti leh nghal a . Tichuan pulse a awm leh awm loh an enfiah a, heart rhythm chu a normal leh tawh em tih an enfiah bawk.
Heart rhythm a la pangngai lo a nih chuan shock pakhat emaw a aia tam emaw pek theih a ni a, damdawi adrenaline (epinephrine) emaw amiodarone emaw pek theih a ni bawk.
Lung chu a na tan tawh a, damlo chu a la hriat loh chuan thluak chhiatna tihziaawm nan therapeutic hypothermia hman theih a ni. Damlo chu a stable tawh chuan cardiac catheterization ang chi test hmangin a natna chhan hriat theih a ni.
Eng chen nge tihdam a ngaih?
Cardiac arrest nghal leh defibrillation enkawlna atanga dam leh hi zinkawng thui tak a ni a, thla tam tak a daih thei a, a chang chuan kum tam tak a daih thei bawk. Taksa leh rilru lamah pawh harsatna lian tak a ni.
- Taksa lama harsatna: Mi tam tak chuan hah an ti thin. CPR lai hian rilru chhunga ruhro te chu a chhe thei a, chu chuan natna a thlen thei a ni. Mi thenkhat chuan kea kal harsatna emaw, seizure emaw an nei thei bawk.
- Rehabilitation: Hnathawh tur emaw, nitin hnathawh dan pangngaia tih emaw chu a harsa thei hle. Chuvangin, occupational therapy, physical therapy, speech therapy te ang chi enkawlna a ngai mai thei.
He zinkawng atan hian hun leh dawhtheihna a pawimawh hle. Chhungkaw tanpuina pawh a pawimawh hle.
Engtikah nge Doctor i hmuh a ngaih?
Khawi emaw laiah mi pakhat tla thut i hmuh chuan 1990 call nghal la, ambulance ko rawh. Chu chu i tih theih pawimawh ber a ni.
Heart attack atanga damchhuak tawh chuan heart attack dang a neih leh theihna chance a sang zawk a ni. Chuvangin, doctor chuan a chhan bulpui chu a enkawl ang a, nakin lawka venhimna atan ICD device dah a rawt fo bawk.
ICD i neih chuan:
- Doctor-in damdawi a pekte chu a tih angin ei tur a ni.
- ICD hian hna a thawk tha em tih en turin clinic-ah kal ngei ngei tur a ni.
- ICD battery hi kum 5-7 danah thlak a ngai tlangpui. Hemi chungchang hi i doctor pawhin a hriattir ang che.
Hei hi zinkawng thui tak ni mah se, damdawi lam enkawlna leh insiamthatna mumal tak neih chuan nun pangngaiah i kir leh thei a ni.
Take-Home Thuchah a ni
- Defibrillation hi nunna chhanhim thei electrical shock treatment a ni a, chu chu normal rhythm chu nunna atana hlauhawm heart rhythm-a siam leh turin pek a ni.
- Cardiac arrest-ah hian hun hi a pawimawh ber a ni. Defibrillator a awm hma loh chuan CPR tih hian nunna chhanhim theihna a tipung a ni.
- Mipui hmuna AED hi tu pawhin an hman theih tura duan a ni. Thupek pekte chu zawm rawh.
- Mi pakhat chu a rilru a buai nghal vat a, a damchhuak chuan nakin lawka a venhimna atan ICD device a dah fo thin. Hei hian damdawi lam enkawlna reng reng a mamawh a ni.
- I hmaa mi a tlu a nih chuan emergency medical services ko nghal rawh. I thiltih rang tak hian mi pakhat nunna a chhanhim thei a ni.
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