ECMO (Extracorporeal Membrane Oxygenation) hi eng nge ni? He nunna chhanhim thei technology hi a awlsam zawngin i zir dawn teh ang!

Mi pakhat chu a dinhmun a chhe hle a, a thinlung leh a lung a thawk tha lo niin han ngaihtuah teh. Damdawi pangngai emaw, kan hriat vek ventilator emaw pawhin a chhanchhuah theih lohna hmun an thleng ta. Hetiang hun lai hian doctor-te chuan he ECMO an tih technology hi a tawp ber atan an ngai thin. Mi tam takin hre lo mah se, hei hi nunna chhanhim thei hmanrua mak tak a ni tak zet a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

A awlsam zawngin ECMO chu eng nge ni?

A awlsam zawngin ECMO hi taksa pawn lama thinlung leh lung siam (artificial heart) ang maia hnathawk thei machine a ni. I thinlung leh lungte a chak lo lutuk a, a hna dik taka thawk thei lo chuan he machine hian hun eng emaw chen a la ta a ni.

ECMO tih hming awmzia kan then darh chuan hetiang hi a ni.

• Extracorporeal - Hei hi "taksa pawn lam" tihna a ni.
• Membrane Oxygenation - Hei hian "membrane bik hmanga oxygen pek" tihna a ni.

Tunah hian i hrethiam em? Heta thil thleng chu taksa atanga thisen lakchhuah chu machine chhungah oxygen pek a ni a, chu chu special membrane hmangin taksaah pump leh a ni. He machine hian kan lungin a tih ang chiah hian a ti thei a ni. Tin, a chang chuan thinlungin pumping hna a thawk bawk.

Chutianga thinlung leh lungte chu "break" an pek hian an chhiatna chu an siam tha thei a ni. Chutih lai chuan ECMO machine hian taksaah oxygen supply chhunzawm zel a pe a ni.

ECMO chi hrang hrang a awm em?

Ni e, ECMO hi chi hnih lian tak a awm. Doctor ten damlo dinhmun a zirin eng chi nge hman tur tih an rel thin.

Eng dinhmunah nge ECMO hi hman a nih?

ECMO hi common cold emaw flu emaw atana i hman tur a ni lo. Damlo na tak takte tan chuan enkawlna dang a hlawhtlin loh laiin nunna chhanhimna hmanrua a ni.

• Acute Respiratory Distress Syndrome (ARDS): Pneumonia na tak, kang, tuiah emaw, tuiah emaw, taksain oxygen a hmuh theih loh avangin lung a chhiat nasat chuan. ECMO hian COVID-19 hripui leng lai hian he natna vei mi tam tak a pui tawh a ni.
• Pulmonary Embolism: Taksa chhunga thisen zam (a tlangpuiin keah) lo awm chu a chhuak a, lung chhunga thisen kalna kawng lian takah a awm ta a ni. Hei hi thil hlauhawm tak leh thihna thlen thei tak a ni.
• Heart Injuries: Heart muscle hi heart attack na tak, accident, emaw tlu emaw avanga a chhiat a, thisen a pump tha thei lo a nih chuan.
• Nausen piang thar tan: ECMO hi nausen naupang tak tak, an pian tirh atanga lung emaw lung lam harsatna na tak nei te nunna chhanhim nan hman a ni a, a bik takin nausen piang hmaa piangte nunna chhanhim nan hman a ni.
• Organ transplant leh surgery: ECMO hi damlo thinlung emaw lung emaw transplant nghaktu tanpui nan emaw, operation lian tak hnua taksa harh lehna atan emaw hman a ni.

ECMO enkawlna hian engtin nge hna a thawh?

Hetiang kalphung hi intensive care unit (ICU)-ah doctor leh nurse specially trained team enkawlna hnuaiah kalpui a ni.

1. Cannulation: Pakhatnaah chuan damlo chu anesthetized vek a ni. Chumi awmzia chu engmah hrehawm an tuar lovang tihna a ni. Tichuan, surgeon chuan damlo kawr, a rilru, a nih loh leh a ke ruh chhunga thisen kalna lian tak emaw, thisen kalna kawng lian takah tube lian tak tak (tube emaw cannula emaw) a dah lut a.

2. Machine nena inzawm: Tube pakhat hian taksa atanga thisen oxygen tlakchham chu ECMO machine chhungah a hruai lut a.

3. Oxygen dah belh: 1.1.He thisen hi machine chhunga artificial lung (oxygenator) kal tlanga a kal chuan a chhunga carbon dioxide awm chu paih chhuakin oxygen a dah tel a ni.

4. Taksa chhunga pump let leh: Thisen thianghlim, oxygen awmna chu tube dang hmangin taksaah pump let leh a ni.

Hetiang a nih chhung zawng hian damlo chu a hriatna a nei emaw, a rilru a hahdam emaw pawh a ni thei. ECMO team hian damlo leh machine hi darkar 24 chhung uluk takin an vil reng a ni.

Engtin nge ECMO atang hian i inhnukdawk thin?

I thinlung leh lung a lo tha tawh a, nangmah chauhin i thawk thei leh tawh a nih chuan i doctor-te chuan zawi zawiin machine atang hian an hnute an hnek tan ang che. Hei hi "weaning" an ti a. Machine atanga support lo chhuak chu a tlahniam zauh zauh a, chu chuan i taksa chu a mah chauhin a thawk thei ta a ni. Engkim a kal tha a nih chuan ni engemaw zat hnuah tube te chu lakchhuah a ni ang a, stitches te chu a hmunah dah leh a ni ang.

ECMO hian eng hlawkna leh hlauhawmna lian tak nge a neih?

Damdawi buaithlak tak tak ang bawkin ECMO hian hlawkna nasa tak a nei a, hlauhawmna nasa tak a nei bawk. Nunna leh thihna thutlukna a ni.

Engtin nge damlo chhungkua i tanpui theih ang?

Chhungkaw tan chuan hetiang machine hmanga kan hmangaih tak connect hmuh hi thil harsa tak a ni. Mahse, i tih theih thil a awm. Mahse eng thil pawh i tih hmain doctor emaw nursing staff emaw hnen atangin phalna la hmasa phawt ang che.

• Damlo chu biak rawh: Hriat lohna nei lo pawh ni se, an ngaithla thei che a ni. I aw chuan an tan thlamuanthlak tak a ni ang.
• Lehkhabu chhiar emaw, music ngaithla emaw: Hla thlamuang tak emaw, lehkhabu i chhiar ri emaw chuan thlamuanna a pe thei a ni.
• Chhungkaw thlalak keng la, vawng rawh: I chhungte thlalak chu an hmuh theihna hmunah dah la.
• Vun titui (moisturize the skin): Vun a vawt loh nan doctor hnenah lotion tha tak hnawih turin i ngen thei ang.

ECMO hi a hnuhnung ber a ni tak tak em?

Ni e, ECMO hi a tawp ber a ni fo . Doctor-te chuan he thutlukna hi enkawlna dang awm thei zawng zawng a hlawhchham hnuah an siam thin.

Tin, ECMO hi reversible condition nei damlo tan chauh hman a ni bawk. Entirnan, pneumonia na tak chu tihdam theih a ni. ECMO hi lung a dam hma loh chuan tanpui nan pek thin a ni. Mahse, ECMO hi natna tihdam theih loh, terminal cancer ang chi tan chuan hman a ni lo.

Hei hi damdawi a ni lo. Taksa peng dang tichhe lova damlo a dam theih nan hun lei nan hman a ni. Chuvangin, damlo pakhat chu ECMO-a a awm laiin a thi thei a, a dinhmun hnuaia awm chu a thunun theih loh chuan.