TV-ah emaw, movie-ah emaw i hmu tawh ngei ang, mi pakhatin a hriatna a hloh nghal a, leiah a tlu a, doctor emaw nurse emaw an tlan pelh a, thir ang chi thil pahnih an rilruah an dah a, "Clear!" leh electric shock pe rawh. Chu chu defibrillator kan tih chu a ni. Mahse, shock pe thei machine mai a ni lo. Thihna hnaih tawh mi nunna chhanchhuahna tur a ni. Chuvangin, vawiin hian he device pawimawh tak hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
A awlsam zawngin sawi ila, defibrillator chu eng nge ni?
Kan thinlung hi motor te tak te, rhythm engemaw takah hnathawk angin han ngaihtuah teh. A hnathawhna tur electrical signal system a nei a. A châng chuan he electrical signal system-a chhiatna avang hian thinlung chu a rhythm dik takah a thawk tawh lo va, a thlawk chhuak ṭan ṭhin. Hei hi thinlung rhythm pangngai lo, a nih loh leh arrhythmia tiin kan sawi a ni.
Heng arrhythmias zingah hian hlauhawm ber leh nunna atana hlauhawm nghal pahnih a awm. Chu chu Ventricular Tachycardia (thinlung a thawk loh lai) leh Ventricular Fibrillation te an ni. A awlsam zawngin, a pahnih hian thinlung hnuai lam (ventricles) chu a pump tha lo va, a khur mai mai a ni. Hei hian taksa, a bik takin thluaka thisen pump chhuah chu a titawp vek thei a, minute tlemte chhungin thihna a thleng thei bawk.
Chutah chuan defibrillator chuan min chhanchhuak ta a ni. He device hian a tih chu thinlungah electrical shock controlled, chak tak a pe a, electrical activity mumal lo tak chu a titawp nghal a, thinlung chu a natural rhythm-a kir leh theihna hun a pe a ni. A dik tak chuan defibrillator hian thinlung a ‘restart’ thin.
Tute nge defibrillator mamawh? Defibrillator chi hrang hrangte chu engte nge ni?
A tlangpuiin damdawi inah hetiang emergency a awm chuan doctor-te chuan defibrillator an hmang nghal mai ang. Tin, tunah chuan vantlang hmun tam takah, airport leh shopping mall lianah te, tu pawhin an hman theih tur defibrillator chi khat a awm tawh bawk. A hming chu Automated External Defibrillator (AED) tih a ni.
Mahse, mi thenkhat chuan he arrhythmia hlauhawm tak hi an vei theihna chance a sang zawk hle. Entirnan, a hmaa heart attack nei tawh emaw, thinlung chak lo nei tawh emaw. Chutiang mite tan chuan engtik lai pawha an phurh theih tur personal defibrillator a awm a.
Heng chi hrang hrangte hi chiang takin han thlir ila.
| Defibrillator chi khat a ni | Thuziak leh hnathawh dan |
|---|---|
| Automated External Defibrillator (AED) hmanga siam chhuah a ni. | Hengte hi vantlang hmuna airport, stadium, shopping mall-a hmuh tur awmte chu an ni. He device hi medical training nei lo tu pawhin an hman theih tura duan a ni. Sticker pahnih hi damlo rilruah an dah hnuah machine chuan heart rhythm chu a zirchiang a, shock a pek leh pek loh tur a rel a ni. Shock a ngai a nih chuan a tih dan tur chu voice instruction a pe a ni. |
| Cardioverter Defibrillator (WCD) hman theih a ni. | Hei hi thawmhnaw hnuaia bun thin hmanrua a ni a, vest ang mai a ni. Vun khawih thin sensor te hian thinlung rhythm hi an enfiah reng thin. Arrhythmia hlauhawm tak hmuhchhuah a nih chuan device hian shock a pe nghal vek a ni. I doctor chuan hei hi thinlung natna hlauhawm tak, mahse permanent device dah nghah mekte tan chuan hun eng emaw chen atana hman tur atan a rawt mai thei. |
| Cardioverter Defibrillator (ICD) hmanga dah theih a ni. | Hei hi personal defibrillator chi khat hman tlanglawn ber a ni. He hmanraw te tak te hi operation tenau tak neih laiin rilru vun hnuaiah dah a ni. Chuta tang chuan wire pakhat chu thinlungah a inzawm a. Thinlung chhunga sentinel dah ang maiin he ICD hian thinlung rhythm 24/7 a enfiah thin. Rhythm hlauhawm tak a awm chuan thinlung chu a pangngaia a awm leh theih nan electrical shock tul tak a pe chhuak thin. Pacemaker nen inang mahse, ICD thiltihtheihna bik chu he nunna chhanhim thei shock hi a pe thei hi a ni. |
Defibrillator shock hi eng ang nge a nih?
ICD ang chi personal defibrillator atanga shock lo chhuak chu a châng chuan natna nei lo a ni thei . Mahse, thil dang dangah chuan mi pakhatin i rilru a vuak ang maiin a lang thei . Mahse, chutih lai tak chuan nunna chhanchhuah hi a pawimawh ber a ni.
Defibrillator hman dan tur chu engte nge ni?
I awmna hmunah mi pakhat chu nikhaw hre lovin a tlu thut mai ang tih han ngaihtuah teh. I tih hmasak ber tur chu 1990 Suwaseriya Ambulance Service biak hi a ni . Tichuan, training i neih chuan CPR (Cardiopulmonary Resuscitation) i tan tur a ni. Chutih lai chuan a bul hnaia AED a awm chuan i rawn keng tur a ni.
Defibrillator (a bik takin AED) hman dan tur chu hetiang hi a ni:
1. CPR chhunzawm: A theih chuan defibrillator a peih hma loh chuan CPR chhunzawm zel tur a ni. CPR hian thluak leh taksa peng dangte hnena oxygenated blood flow level engemaw zat awm reng a tum a ni.
2. Damlo chhehvel hmun siam: Shock i pek dawnin damlo emaw damlo awmna khum emaw chu tumahin an khawih loh nan fimkhur rawh . Chutiang a nih loh chuan electric pawh an kap thei bawk.
3. Chest-ah Pads emaw Paddle emaw dah: Defibrillator-ah hian sticker ang chi pad emaw metal paddle emaw pahnih a awm a. Chungte chu damlo rilruah hmun bik pahnih-ah dah a ngai a ni.
- Pakhat: ke dinglam hnuai lam.
- A dang chu: veilam hnute hnuai lam, oblique-a awm.
- AED nena rawn kal stickers-ah hian pads stick tur hmun tarlanna thlalak a awm a. Damdawi in a hman thin pads te hi a rilruah dah a ni a, vun a kang loh nan gel bik hnawih a ni.
4. Shock chu pe rawh:
- AED a nih chuan heart rhythm chu automatic in a analyse a, "Shock advised" a ti. Tichuan, a chunga button chu hmet turin a hrilh che a ni.
- Hospital-ah chuan doctor chuan monitor-a rhythm chu a check a, shock pek a tum a, paddle pahnih button chu a rualin a hmet a.
Shock pek a nih hnuah doctor emaw first aider emaw chuan minute hnih vel CPR a ti leh ang . Tichuan, pulse a tlahniam a, heart rhythm a normal leh tawh em tih an enfiah ang. A tul chuan shock dang leh CPR pek leh a ni ang. A châng chuan, thinlung rhythm tihreh nan damdawi epinephrine emaw amiodarone emaw pawh pek a ni bawk.
Eng nge a hlawkna leh a hlauhawmna?
Defibrillator hian a thatna lian ber leh awmchhun chu nunna a chhanhim thei tih hi a ni . A hmaa ka sawi tawh arrhythmia hlauhawm pahnih (VT leh VF) lo awm tan atanga minute 10 chhungin defibrillator hmanga shock pek theih a nih chuan nunna chhanhim theihna chance a sang hle.
Risk a awm bawk. Risk lian ber chu heart rhythm pangngai lo tan defibrillator hman hi a ni . Defibrillator hi Ventricular Tachycardia (pulse nei lo) emaw Ventricular Fibrillation emaw tan chauh hman tur a ni. Mi thinlung rhythm danglam tak hnenah shock pek a nih chuan chu mi chu Ventricular Fibrillation-ah a lut thei a, chu chuan an thinlung a titawp thei a ni.
Hei vang hian AED device te hian shock an pek hmain heart rhythm chu automatic in an analyze hmasa thin. Tin, damdawi inah chuan doctor trained chauhvin he thutlukna hi a siam thin.
Dam lehna leh hmalam hun nunna
Cardiac arrest leh defibrillation avanga dam lehna chu thla tam tak, kum tam tak pawh daih thei tur zinkawng thui tak a ni . Ni khat emaw ni hnih emaw chhunga a ṭhat lehzual thei thil a ni lo.
- Taksa lama harsatna: CPR neih lai hian rilru ruh (ribs) a chhe thei a. A natna chu a dam theih nan hun a duh a ni. Chauhna nasa tak a awm thei a, kea kal harsatna a awm thei a, seizure pawh a awm thei bawk.
- Occupational leh physical therapy: Mi tam tak chuan hnathawhna hmuna kir leh leh nitin hna thawh harsa an ti mai thei. Chuvangin, occupational therapy leh physical therapy ang chi enkawlna te hi a ngai a ni.
- Psychological impact: Chutiang thil tawn a hmachhawn hnua rilru lama harhtharna tur chuan hun a duh a ni.
ICD i neih chuan a thawk tha em tih hriat nan doctor pan fo a pawimawh. I ICD-a battery hi kum nga danah vel thlak a ngai tlangpui. I doctor-in damdawi a pekte dik tak leh a hun taka ei a pawimawh bawk.
Take-Home Thuchah a ni
- Defibrillator hi hmanraw hlu tak a ni a, nunna atana hlauhawm tak tak, heart rhythm dik lo (arrhythmias) thenkhat siamthatna hmangin nunna chhanhim thei a ni.
- A tih chu thinlungah electrical shock a pe a, electrical process tihbuai chu "restart" a, thinlung chu a natural rhythm-a kir leh theihna hun a pe a ni.
- Mipui hmuna AED hmanraw awmte chu aw hmanga thupek zawmin medical training nei lo tu pawhin an hmang thei a ni.
- Lung natna avanga hlauhawmna sang tak i neih chuan i doctor chuan wearable (WCD) emaw implantable cardioverter defibrillator (ICD) emaw a rawt thei ang.
- I hmaah mi pakhat chu nikhaw hre loin a tlu a nih chuan, i tih hmasak ber tur chu 1990 ambulance service biak nghal mai tur a ni.
- Cardiac arrest nghal leh defibrillation hmanga enkawl dam leh hi kawng thui tak a ni. Dawhtheihna te, damdawi lam thurawn zawm te, leh chhungkaw puihna te hi a pawimawh hle.
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