Ngaihtuah teh, i hriat mi emaw, i kal pelh emaw chuan, rang takin a hriatna a hloh a, leiah a tla thla ta a ni. An thaw chhuak lo, an thinlung na pawh an hre lo... Vawiin hian hetiang emergency-a nunna chhanhim thei, nunna leh thihna indona hmanrua mak tak mai kan sawi dawn a ni. Mi tam takin movie-ah hmu tawh mah se, a hnathawh dan tak tak chu an hre tlem hle. Hei hi defibrillator a ni.
A awlsam zawngin sawi ila, defibrillator chu eng nge ni?
Defibrillator hi damdawi hmanrua a ni a, chu chu thinlungah controlled electric shock pein heartbeat rhythm hlauhawm tak, mumal lo tak siam that nan hman a ni. A dik zawk chuan thinlung electrical activity chu rei lo te chhung atan a titawp a, rhythm dik tak tan leh theihna hun a pe bawk.
Hei hi heart rhythm pangngai lo (arrhythmias) pahnih, heart chamber hnuai lam, ventricles-a awm a, nunna atana hlauhawm nghal thei a nih chuan a mamawh ber a ni.
1. Ventricular Tachycardia (VT) (Pulse awm lohnaah) - thinlung hi a thawk chak hle a, mahse a hlawhtling lo.
2. Ventricular Fibrillation (VF) - Lung ruh (heart muscle) chu mumal lo leh inremna awm lo, a khur ang maia a inzawm tlat chuan. Hetiang a nih chuan thinlung hian taksaah thisen a pump chhuak lo tak zet a ni.
Heng pahnih hian cardiac arrest nghal a thlen thei a, chutah chuan thinlung chu a thawk tawh lo vek a ni.
He device hi tuin nge mamawh?
Hei hi chi hnihin kan hmu thei. Pakhat chu damdawi in leh vantlang hmuna airport leh shopping mall-a emergency-a hman thinte hi a ni. A dang chu mimal hmanna atana nunna atana hlauhawm heart rhythm vei hlauhawmna sang tak nei damlote hnena pek hmanrua a ni.
Ngaihtuah teh, mi pakhatin a rilru a buai nghal a nih chuan, ambulance a lo thlen emaw, chu mi chu damdawi ina hruai emaw thlenga second khat liam apiang chu a hlu hle a ni. Chutih lai chuan , vantlang hmuna AED (Automated External Defibrillator) chuan nunna chhanhim theihna chance a nei tam zawk.
Personal defibrillator chi hrang hrang a awm a. Heng atanga electric shock lo chhuak hi a chang chuan hriat lohvin a awm thei a, a nih loh leh rilru na tak ang maiin a awm thei bawk.
| Thil hmanrua chi hrang hrang | Hrilhfiahna |
|---|---|
| Cardioverter Defibrillator (WCD) hman theih a ni. | Hei hi vest ang maia thawmhnaw hnuaia bun thin hmanrua a ni. Vun a sensor dah te hian heart rate hi an enfiah reng thin. Rhythm hlauhawm tak a hriat chuan automatic in electric shock a pe chhuak thin. |
| Cardioverter Defibrillator (ICD) hmanga dah theih a ni. | Hei hi hmanraw te tak te a ni a, surgery hmanga rilru vun hnuaiah dah a ni. Pacemaker ang mai a ni. Mahse he pakhat specialty chu a slow a nih chuan heart rate a control mai bakah nunna atana hlauhawm rapid rhythm a hmuchhuak a, electric shock a pe a, heart chu a normal ah a awm leh ta a ni. |
Engtin nge defibrillator hian hna a thawh?
Mi pakhat chu nikhaw hre lovin a tlu thut a nih chuan i tih hmasak ber tur chu 1990 call nghal a, ambulance service hriattir a ni. Tichuan, training i neih chuan CPR (Cardiopulmonary Resuscitation) i tan tur a ni. CPR hian thluak leh taksa peng dangte oxygen supply a awm reng theih nan defibrillator a awm hma loh chuan a pui thei a ni.
Defibrillator (a bik takin AED) i dawn hnuah, a hman dan tur chu hetiang hi a ni:
1. Device on: AED tam zawka button i hmet veleh a on a, a hnua i tih tur chu aw chiang takin a pe a ni.
2. Pads dah dan: Machine-a adhesive pad pahnih inbun chu damlo thawmhnaw atanga lakchhuah a, a rilru hlim takah bun tur a ni. Pakhat chu ke dinglam hnuaiah dah tur a ni a, pakhat chu veilam hnute hnuaiah dah tur a ni. Pad dahna tur hmunte chu pads ngeia diagram-ah tarlan a ni.
3. Rhythm analysis: Pad kan attach hnuah machine hian heart rhythm chu a analyse nghal vek ang. Hetih lai hian damlo khawih a tha lo. Machine hian "Heart rhythm thlirletna, damlo khawih suh" tih ang chi warning a pe ang.
4. Electric shock pek: Machine hian electric shock a mamawh tih a hriat chuan automatic in a charge a, shock pe turin signal a pe a ni. A tlangpuiin button lian tak hmet turin an hrilh che a ni.
Pawimawh tak: Shock button i hmet hmain "Everybody clear!" leh damlo emaw, an khum emaw chu tumahin an khawih loh nan 100% in enfiah thin ang che. Chutiang a nih loh chuan electric an tawk ve thei bawk.
He electrical shock hian heart muscle chu rei vak lo a titawp a, chu chuan heart-a natural pacemaker chuan control a la leh thei a, rhythm pangngai a tan thei ta a ni.
Shock hnuah eng nge thleng?
Shock i pek hnuah minute hnih chhung CPR i tan leh nghal tur a ni. Chumi hnuah chauh chuan pulse leh thawk dan i enfiah tur a ni. Heart rhythm a la siam that loh chuan medical team-te chuan shock tam zawk leh damdawi epinephrine emaw amiodarone emaw ang chi an pe thei a ni.
A then phei chuan damlo chu heart rate a normal leh hnuah pawh a hriat lohvin a awm thei. Chutiang hunah chuan thluak chhiatna thlen theihna tur tihziaawmna turin damdawi inah therapeutic hypothermia tih theih a ni.
Hlawkna, hlauhawmna leh dam lehna
| Pawl then | Eng nge hriat tur |
|---|---|
| A thatna te | Defibrillator hi heart rhythm dik tak (VF/VT) leh a hun takah (minute 10 chhunga) hman a nih chuan nunna chhanhim theihna a sang hle. |
| Risk a awm thei | Defibrillator hi heart rhythm pangngai lo chunga hman a nih chuan heart rhythm hlauhawm tak (ventricular fibrillation) a siam thei a, thinlung a titawp thei bawk. AED hi he hlauhawmna tihbo nan ruahman a ni. A chhan chu device ngei hian rhythm a zirchiang a, shock mamawh leh mamawh loh a rel a ni. |
| Lakletlehna | Sudden cardiac arrest leh defibrillation atanga dam leh hi zinkawng thui tak a ni a, thla tam tak emaw kum tam tak emaw a daih thei a ni. Harsatna a awm thei a, chu chu hahna, CPR neih laiin rib chhiatna thleng thei, leh kea kal harsatna te a ni. Physics therapy leh occupational therapy ang chi enkawlna a ngai mai thei. |
Doctor hmu rawh.
ICD device i neih chuan a thawk tha em tih hriat nan a hun taka doctor pan a pawimawh hle. A tlangpuiin kum 5-7 danah battery thlak tur hian operation a ngai thin. I doctor-in damdawi a pek apiang ei kha bansan ngai suh. Thil ngaihtuah tur i neih chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Defibrillator hi cardiac arrest nghal a awm chuan nunna chhanhimna hmanraw pawimawh tak a ni.
- Mipui awmna hmuna AED te hi aw hmanga thupek zawmin training nei lo pawhin awlsam takin a hmang thei a ni.
- Electric shock pek hunah damlo emaw, an khum emaw khawih loh tur. Hei hi himna atana thil pawimawh tak a ni.
- ICD device dah i nih chuan doctor nena inbiak reng a pawimawh a, checkup neih fo a pawimawh bawk.
- Mi pakhat a tlu nghal i hmuh chuan i tih hmasak ber tur chu 1990 call nghal a, emergency ambulance service koh a ni tur a ni.
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