Intensive care unit (ICU)-a mi pakhatin "machine-ah an inzawm tlat" tih i hre tawh ngei ang. A tam zawkah chuan hei hian ventilator a kawk a, mahse machine bik a awm a, chu chu thil buaithlak zawk, a na zawkah pawh hman thin a ni. Chu chu ECMO an tih chu a ni. Okay, vawiinah hian he thu hi han sawi ila, eng tak nge a nih, engtin nge a hnathawh tih leh tute nge a tan tling.
ECMO chu eng nge ni? Engtin nge a thawh?
A awlsam zawngin sawi ila, ECMO (Extracorporeal Membrane Oxygenation) hi taksa pawn lama artificial life support system a ni a, mi thinlung leh lungte chu an pahnih hian an thawk tha lo a nih chuan chawlh hahdam leh dam leh turin a pui thin.
Ngaihtuah teh, kan lung hian thisenah oxygen a dah belh a, duh loh carbon dioxide a paih chhuak thin. Kan thinlung hian he oxygenated thisen hi taksa pum puiah a pump chhuak thin. Tunah chuan heng pahnih hi a thawk tha lo a nih chuan kan nunna hi a hlauhawm hle a ni.
Hei hi ECMO machine hian a tih chu a ni:
1. Tube (cannula) chu i kawr, i rilru emaw, i kawr chhungah emaw thisen kalna kawng lian takah dahin, chuta tang chuan i taksa atangin thisen chu zawi zawiin a chhuak thin.
2. He thisen hi pump kaltlangin khawl bik ah thawn a ni. He machine hi artificial lung ang mai a ni. Thisenah oxygen a dah belh a, carbon dioxide a paih chhuak bawk.
3. Tichuan thisen thianghlim, oxygen awmna chu tube dang hmangin i taksaah pump let leh a ni.
Chutiang chuan ECMO machine hian hun eng emaw chen atan thinlung leh lung hnathawh chu a la ta a ni. Chumi awmzia chu thinlung leh lung damlo leh chau te chu phurrit awm lova chawlh hahdam leh damna hun pek an ni tihna a ni. Hei hi ke tliak chunga plaster dah a, chawlh hahdamna pek ang a ni.
ECMO hi ventilator pangngai aiin a buaithlak zawk hle. Ventilator hian lung chhungah boruak a pump lut mai a, mahse ECMO hian thisenah oxygen direct-in a dah thei thung.
Engtikah nge ECMO hmanga enkawl hi a tul?
ECMO hi a tawp ber a ni a, damlo na tak tak, nunna atana hlauhawm tak tak tan chauh hman a ni. Hetiang dinhmunah hian doctor-te chuan ECMO hi an ngaihtuah tlangpui.
| Damdawi lam dinhmun | Hrilhfiahna |
|---|---|
| Acute thawk lama harsatna nei (ARDS) . |
|
| Lung natna | |
| Nausen piang thar | |
| Surgery leh organ transplantation tih a ni |
ECMO hmanga enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
ECMO hi nunna chhanhimna hmanraw mak tak ni mah se, hlauhawm leh harsatna engemaw zat a nei bawk. A pahnih hi hriat chian a pawimawh.
ECMO thatna ber berte
- Organs tan chawlhna: Thinlung leh lung natna nei te tan chawlhna leh damna atana an mamawh hun a pe thin.
- Life support: Organ transplant ang chi thil tih theih a nih hma loh chuan damlo chu a nung reng theih nan a pui.
- Nau piang thar tanpuina: Naute pianpui thinlung emaw lung lama harsatna nei te chu dam leh theihna hun pek an ni.
ECMO avanga hlauhawmna leh harsatna awm thei te
ECMO hmanga enkawl damlote chu intensive care unit-a specialist doctor leh nursing staff-te enkawlna hnuaiah an awm reng a, a chhan chu a hlauhawm theih vang a ni.
- Thisen chhuah: Thisen kalna kawng lian tak takah tube dah luh a nih avangin thisen a chhuak thei. Tin, thisen zam venna atana damdawi pek a nih avangin thisen chhuah theihna a sang hle bawk.
- Thisen zam (Clotting): .ECMO machine tubing chhungah thisen zam a lo awm thei a ni. He clot hi thluaka a kal chuan natna khirh tak, stroke ang chi a thlen thei a ni.
- Infection: Tube hi vunah puncture hmanga dah a nih avangin natna hrik taksaah lutin natna khirh tak tak a thlen thei a ni.
- Machine malfunction: ECMO machine hi thil buaithlak tak a ni. Technical malfunction a awm chuan damlo tan nunna atana hlauhawm tak a ni thei.
- Stroke: Thluak lama thisen kal dan a inthlak emaw, thisen zam emaw avanga stroke vei theihna a awm.
ECMO nen hian eng chen nge i inzawm tawh?
Mi pakhatin ECMO machine a connect hun chhung hi damlo hrang hrangah a inang lo. ECMO mamawhna chhan damdawi lam dinhmunah a innghat a ni. Mi thenkhat chu ni engemaw zat ECMO-a awm a ngai mai thei a, thenkhat erawh chuan kar tam tak ECMO-a awm a ngai mai thei.
Doctor ten damlo thinlung leh lung hnathawh dan an enfiah fo thin. Organ te hian damna chhinchhiahna an lantir chuan zawi zawiin ECMO machine atang chuan damlo chu an hnute an chhuah tir tan thin. Hetiang hian ni hnih atanga ni nga chhung a awh tlangpui.
A pawimawh ber chu ECMO hi dam leh tura beiseina nei lo tan chuan enkawlna a ni lo. Dam leh theihna nei, mahse hun leh puihna mamawhtu tan a ni.
ECMO hman theih lohna dinhmun a awm em?
Awle. ECMO hmanga enkawl hi mi zawng zawng tan a tha lo. Thil engemaw takah chuan ECMO hlawkna aiin a hlauhawmna a tam zawk thei. Chutiang hunah chuan ECMO hi hman a ni tlangpui lo.
- Lung lam emaw, lung lam natna, tihdam theih loh emaw, thlak theih loh emaw nei tan.
- Thluak emaw, taksa peng lian dang, thin ang chi emaw tihchhiat leh tihdanglam theih loh a awm chuan.
- Taksa zawng zawnga darh tawh metastatic cancer i neih chuan.
- Taksa chhungah thunun theih loh thisen chhuak a awm chuan, a bik takin lu chhunga thisen chhuak a awm chuan.
Hetiang thutlukna hi specialist doctor team-in damlo dinhmun uluk taka an zirchian hnuah an siam thin a ni. Hmangaihtuin he natna hi a neih chuan a enkawltu doctor emaw, doctor emaw hnenah chipchiar zawka hriat duhna zawh a tha ber.
Take-Home Thuchah a ni
- ECMO hi nunna chhanhimtu system a ni a, taksa pawn lama thinlung leh lung siam (artificial heart and lung) angin hna a thawk a ni.
- Hei hi damlo na tak tak, an thinlung leh lung hun eng emaw chen a chak lo tan chauh hman a ni.
- ECMO machine hian taksa peng natna nei te chu chawlh hahdamna a pe a, dam theihna hun leh remchang a pe a ni.
- Hei hi enkawlna \angkai tak ni mah se, thisen chhuah, thisen zam, leh natna hrik kai ang chi hlauhawm tak tak a keng tel bawk.
- ECMO enkawlna chungchanga thutlukna eng pawh chu specialist doctor-te siam a ni. Thil ngaihtuah tur i neih chuan i doctor nen zalen takin inbia ang che.
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