Damlo dinhmun hi ‘Critical’ a ni em? 'Dik'? Heng thumal awmzia dik tak (Patient Condition Terms) .

Damdawi in Emergency Treatment Unit (ETU)-ah mi pakhat chu "Critical" condition-a dah a nih thu chanchinbuah kan hre vek tawh. A nih loh leh tunah chuan midang dinhmun chu "Fair" a ni tawh tih thu lawmawm tak kan hmu tawh bawk. Mahse, heng thute hian eng nge a awmzia tak tak? Heng thute hnuaia damdawi lam awmzia hi eng nge ni tih i ngaihtuah ngai em? Chu chu vawiina kan sawi tum chu a ni.

Engvangin nge doctor-te hian heng thute hi an hman?

Kan hriatthiam hmasak tur chu damdawi inin damlo dinhmun media hma emaw, pawn lam mi a tlangpuiin emaw a sawi hian heng thumalte hi tumruh taka hman a ni. Chu chu damlo dinhmun chungchangah ngaihdan tlangpui chauh an pe tihna a ni.

Chhungkaw member emaw, thian emaw damlo emaw, chetsualna tawk emaw, damdawi ina awm a nih chuan, doctor emaw, nurse emaw chuan heng thu hmang hian thil awmdan chu a hrilhfiah thei che a ni. Mahse, an hrilhfiahna thukzia chu damlo i hnaih dan leh thil awmdan hmanhmawh dan azirin a inang lo thei.

Damdawi lam dinhmun hrang hrang thliar hrangtu thumal pawimawh 5

A tlangpuiin American Hospital Association (AHA) ang pawlte’n standard term tlemte an hman thin a awm a. Sri Lanka-ah pawh damlote dinhmun hi chutiang bawk chuan kan thliar hrang fo thin. Tunah hian heng thumal pakhat zel awmzia hi han thlir ila.

‘Good’ leh ‘Fair’ tih hi eng nge a danglamna?

‘Tha’ tih awmzia chu damlo chhinchhiahna pawimawh tak tak, heart rate, thisen sang, leh taksa lumna te chu a normal level-ah a stable tihna a ni . Damlo chu a fimkhur a, harsatna lian tham a nei lo. Doctor chuan damna tha tak a beisei.

‘Fair’ (satisfactory) dinhmunah chuan vital signs te chu a stable thin. Mahse, damlo chu eng emaw chen chu a nuam lo emaw, a na emaw a awm thei. Amah emaw, a conscious emaw a ni. Hetih lai hian doctor chuan a rah chhuah ṭhat a beisei . A awlsam zawngin ‘Good’ tih awmzia chu tlem a dinhmun tha zawk tihna a ni.

‘Serious’ leh ‘Critical’ tih thumal hlauhawm pahnih.

‘Serious’ condition-ah chuan damlo vital signs chu a nghet lo thei. Chumi awmzia chu a tlangpui aia tam an kal mai thei tihna a ni. Damlo dinhmun hi a pawi hle mai. Hei hi doctor pawhin a hnua thil thleng tur dik tak a sawi lawk theih lohna dinhmun a ni .

'Critical' tih hi a pawi ber a ni. Hetah hian , vital signs chu a nghet lo vek a, a tlangpui aia nasain a sang hle . Damlo chuan hriatna a hloh thei. Doctor tan chuan hmalam hun atana beiseina tha neih a harsa a, a nih loh leh thil lo thleng tur chungchang sawi tur a chiang lo lutuk.

‘Critical Care’ tih hi eng nge ni?

‘Critical’ tih thumal hi damlo dinhmun leh an mamawh enkawlna chi hrang hrang sawina atan hman a ni. Nunna atana hlauhawm natna emaw, hliam emaw nei te chuan ‘critical care’ , intensive care awm thei ber a ni. Hetiang enkawlna hi damdawi inah pek a ni tlangpui.Intensive Care Unit (ICU)-ah te an awm a.

ICU-ah chuan life support pek a ni. Entirna thenkhat chu:

• Thâwk chhuah theihna tur machine. Hei hi ventilator kan ti a .
• Thinlung a thawk tawh loh chuan tihharh dan tur. Entirnan, CPR leh defibrillation .
• Tube feeding hmanga taksain a mamawh ei leh in leh tui a pek theih nan.

Mahse, damlo pakhat chu ‘life support’-a a awm vang mai mai chuan an nunna a hlauhawm tihna a ni ngai lo tih hre reng ang che. A châng chuan, damloin chutiang hna chu a mah chauha a thawh theih hma loh chuan hun eng emaw chen chhûnga ṭanpuitu atân an hmang ṭhîn.

Chuti a nih chuan ‘Stable’ hi status a ni em?

Hei hi mi tam tak an tangkhang thinna hmun a ni. Dik tak chuan AHA ang pawlte chuan damlo dinhmun sawina atan "stable" tih thumal chauh hman loh a tha ber an ti.

Tin, "critical but stable" tih ang chi thumal pahnih hman dun hi an pawm lo bawk. Ngaihtuah teh, ‘Critical’ hi a vital signs nghet lo tan chuan a ni. Chutiang mi chu engtin nge ‘Stable’ a nih theih ang? Chu chu a inhnialna a ni lawm ni?

Amaherawhchu, khawvel hmun hrang hranga damdawi in tam takah, kan ram ang bawkin, ‘stable’ tih tawngkam hi hman a ni. Hetah hian ‘stable’ tih hian damlo vital signs chu chutih lai chuan a danglam vak lo va, mahse level khatah a awm reng tihna a ni fo .

Mahse, hei hi damdawi lam hrilhfiahna inrem tak a awm loh avangin doctor pakhatin ‘Stable’ a tih chu doctor dangin ‘Unstable’ tiin a ngai thei a ni.