Minute hnuhnung berah CPR min ti suh - DNR (Do-Not-Resuscitate) order chungchang hi han sawi ila

I hmangaih tak, i nu, i pa, a nih loh leh i pi pawh a ni mai thei, chu natna hlauhawm tak a ni tih han ngaihtuah teh. An thinlung chu a reh thut emaw, an thawk a chawlhsan emaw a nih chuan doctor-te chuan chhanchhuah tumin theihtawp an chhuah ang. Mahse chutiang enkawlnate chuan natna a thlen tam zawk mai thei. Hei hi DNR concept hi a rawn lang ta a ni. Hei hi thupui sensitive tak ni mah se, kan zavaia kan hriat chian a pawimawh hle.

A awlsam zawngin DNR order chu eng nge ni?

DNR hi English tawng "Do-Not-Resuscitate" tih tawifelna a ni. Sinhala tawng chuan "resuscitate suh" tihna a ni. Hei hi medical order a ni. A dik zawka sawi chuan, medical staff-te hnena thupek pek a ni a, mi pakhat chu an thinlung thawk emaw, an thawk emaw a tawp chuan tihnun tum lo turin a ni.

Thil awmdan pangngaiah chuan mi thinlung a na a chawlhsan chuan Doctor ten an nunna chhanhim nan theihtawp an chhuah ang. Hei hian a huam thei ang:

• CPR (Cardiopulmonary Resuscitation): Movie-ah pawh chest compression leh artificial respiration an peknaah i hmu tawh ngei ang. Chu chu CPR chu a ni.
• Intubation leh Ventilator: Thâwk a harsat chuan kai emaw hnar emaw hmangin tube dahin machine (mechanical ventilation)-ah thlunzawm a ni a, chu chuan thawk a pe thei a ni.
• Defibrillator: Thinlung ding tawh chu thinlungah electric shock pein restart tumna a ni.

Mahse, mi pakhat chu a na hle tawh tih han ngaihtuah teh, cancer ang natna tihdam theih loh hnuhnung ber pawh a ni mai thei. Chutiang mi tan chuan chutianga enkawl chuan an hrehawm tawrhna a tipung mai thei. Chutah chuan DNR order chu a tangkai hle. Damlo chu an nun tawp tur chungchanga thutlukna siam theihna hun remchang a pe a ni.

Nunna chhanchhuah theih a nih chuan engvangin nge mi pakhatin DNR order a dil ang?

He zawhna hi nangmah pawh a lo thleng tawh mai thei. CPR hian nunna a chhanhim thei a nih chuan engvangin nge tu emaw chuan a duh lo ang? Hei hi chhan hrang hrang a awm a.

Natna thi thei lo nei mi chuan an damchhung ni hnuhnung berte chu zahawm tak leh hrehawmna tel lova nun a duh mai thei. CPR hi a awlsam angin a lang lo. Ribs a tikehsawm thei a, lung a tichhia thei bawk. Damlo nasa tak tan chuan hetiang thil hnua nung thei mah se, an nun chu a hrehawm lehzual thei a ni.

Tin, CPR hi 100% a hlawhtling ngai lo. Hlawhtlinna chance hi a hniam zawk hle a, a bik takin tar emaw, damdawi lam harsatna hrang hrang nei emaw tan chuan a hniam hle. Hemi chungchang hi doctor-in damlo leh chhungte nen zalen taka sawipui a pawimawh hle.

DNR order chi hrang hrang a awm em?

Ni e, heng order-ah pawh hian danglamna tlem a awm bawk. Damdawi in, ram leh damlo duh dan azirin a danglam thei. A chi hrang hrang thenkhat han thlir ila.

Chung chungchanga zawhna i neih apiang chu i doctor emaw, chhungte doctor emaw nen inbiakna hmangin i chinfel thei ang.

Engtin nge ka remtihna ka sawi ang?

Hei hi thil pawimawh tak a ni.

1. I doctor nen inbia ang che:Hemi chungchang hi i primary care physician emaw, i chhungkaw doctor emaw nen zalen takin sawi rawh. CPR hlawkna, that lohna leh hlauhawmna te chu a hrilhfiah ang che.

2. Informed Consent: Hei hi thawnthu mai a ni lo. Doctor-in engkim a hrilhfiah che hnuah hriatthiamna famkim nen he thutlukna hi i siam tur a ni. Chu chu `(Informed Consent)` an ti a.

3. Ngaihtuah nan hun hmang rawh: Hei hi hmanhmawh taka thutlukna siam tur a ni lo. Hemi chungchang ngaihtuah a, chhungte nena inbiakna hun i mamawh chuan i doctor hnenah hrilh rawh.

4. Documentation: Thutlukna i siam zawh chuan doctor chuan i medical record-ah order chu a record ang. A copy pawh i dawng thei bawk. Ram thenkhat phei chuan hemi atan hian ID bracelet bik an nei bawk.

A tlangpuiin damdawi ina admit an nih hian doctor-te chuan damlo emaw chhungte emaw chu he thu hi an zawt thin.

Keimah ngeiin thutlukna ka siam theih lohna dinhmunah ka ding a nih chuan eng nge thleng ang?

Mi pakhat chu accident hnua hriatna hloh tawh emaw, chhan dang avanga thutlukna siam thei dinhmuna ding lo emaw angin han ngaihtuah teh.

• DNR order i neih tawh chuan: DNR order i siam tawh a, i medical record-ah a awm a nih chuan i chhungte pawhin an thlak danglam thei lo. I duhzawng zahsakna kawng khat angin a awm a ni.
• DNR thupek a awm loh chuan: Power of Attorney i neih chuan chu mi chuan thutlukna a siam thei che a ni. Sri Lanka ramah chuan heng dinhmunah hian thutlukna siamtu chu chhungkaw hnai tak (e.g. nupui/pasal, fate) an ni tlangpui.

DNR order ka siam hnua ka ngaihdan ka thlak chuan engtin nge ni ang?

Engtik lai pawhin i ngaihdan thlak danglam theihna i nei. I ngaihdan i thlak chuan i doctor hnenah hriattir nghal la, chutiang chuan a danglamna chu i medical record-ah a record thei ang.

Tin, i chhungte leh nangmah enkawltu te pawh hriattir bawk ang che. DNR order copy i neih chuan tichhia rawh.

Surgery neih hunah DNR order chu eng nge thleng?

Hei hi mi tam takin an zawt thin a ni. DNR order i neih a, operation i neih dawn chuan i surgeon leh anesthesiologist te nen pawh sawipui ngei ang che.

A châng chuan, operation leh anesthesia-a thil tih dân pangngai (thâwk lak dan control ang chi) chu DNR order nen a inmil lo thei a ni. Chuvangin, doctor-te chuan DNR order chu operation hun chhung atan hun eng emaw chen suspend turin an ti mai thei che a ni. Hemi chungchanga zawhna i neih apiang zawt rawh.

Heng thilte hi a tul a nih hmain i doctor leh i hmangaih tak takte nen sawiho hmasak phawt a pawimawh. Chutiang chuan mi zawng zawngin i duhzawng an hre vek ang. Chutiang chuan, a tâwp thlengin i mamawh leh i ngaih pawimawh berte tlâka enkawlna i dawng thei ang.