Operation hnua i harh chuan i rilruah tlem a tight emaw, a nuam lo emaw i ti tawh mai thei. A nih loh leh intensive care unit (ICU)-ah i hnaih ber mi pakhat, a hmuiah tube vuah i hmu tawh mai thei bawk. Vawiin hian an thawk chhuahna tur tube lakchhuah chungchang kan sawi dawn a ni. Hei hi damdawi lam tawng chuan extubation an ti a. Hei hi thumal hlauhawm tak angin ri mah se, a takah chuan i dam lehna kawngah chhinchhiahna tha tak a ni.
A hmasain, Intubation leh Extubation hi eng nge ni?
Hei hi a awlsam hle.
- Intubation: Natna emaw, accident emaw, operation lian tham emaw avanga mahni chauha thawk thei lo angin han ngaihtuah teh. Chutih hunah chuan doctor-te chuan i hmui hmangin i thlipui (windpipe) chhungah flexible tube an dah ang. He tube hi Endotracheal Tube (ETT) an ti a. He tube hi ventilator nen a inzawm a, i lungah oxygen a pe a ni. Intubation hi he tube hi dah luh dan a ni.
- Extubation: I hriselna a lo that tawh a, doctor-te’n nangmah chauha thawk tha leh thei tura an rin tlat chuan, engmah tanpuina awm lovin, uluk takin a hmaa i dah tawh tube (ETT) chu uluk takin an la chhuak ang. Hei hi extubation kan tih chu a ni .
Engvangin nge mi pakhat chu hetiang hian intubate a ngai?
Mi pakhatin a mah chauha thawk a lak theih loh chhan hrang hrang a awm thei. Hengte hi extubation hmaa intubation neih a ngaih theih chhan ber thenkhatte chu an ni.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Inzai | General anesthesia, surgery lian tham neih laia pek thin hian hun eng emaw chen chu kan thawk dan a titawp thin. Chuvangin, he tube hi surgery kan neih chhunga thawk kan lak theih nan kan dah a ni. |
| Thluak lama harsatna nei | Pneumonia ang chi natna khirh tak tak leh lung chhiatna te hian taksain a mamawh oxygen a hmuh theih loh nan a veng thei a ni. |
| Thli kawng a tikhawlo | Hei hi rilru chhunga thil awm emaw, allergy na tak avanga thawkna kawng a hring emaw a nih chuan thawkna kawng hawn reng nan a tul a ni. |
| Lungchhiatthlak | Lu , kawr, leh rilru hliam na tak chuan thawkna kawng a tichhe thei a ni. |
| Thil hriatna hloh | Miin hriatna a hloh chuan a thawkna kawng a thunun thei lo mai thei. Tin, luak chhuak ang chi thilte chu lung chhunga lut (aspiration) pawh a awm thei bawk. |
Engtin nge extubation hi an tih thin? Eng nge a kalphung?
Hei hi tube lakchhuah a, dah leh mai mai a ni lo va, medical team te hian ruahmanna leh uluk takin an ti thin.
Engtin nge doctor-te chuan tube lakchhuah hun tur chu an rel?
Chumi atan chuan test bik an nei thin. A hmingah chuan Spontaneous Breathing Test (SBT) tih a ni. A awlsam zawngin, hei hian ventilator atanga tanpuina tlemte chauh hmanga mahni chauha thawk theih leh theih loh a test a ni. Car khalh i zir lai hian ‘test drive’ tlem tal i lak ang mai a ni. He test hi i pass chuan i lung a chak tawh a, hna a thawk leh thei tihna a ni.
Tin, i khuh theihna an enfiah ang a, i rilru a tifai bawk ang (gag reflex). Hei hi ei leh in ang chi thil te chu i lung atanga i chhuah loh nan a pawimawh hle.
Tube lakchhuah dan tur step
SBT i pass hnuah doctor emaw, trained nursing staff emaw chuan hengte hi an zawm ang:
1. Khum buatsaih dan: Khumah dinglam hawia hruai i ni ang.
2. Thianghlimna: Suction device bik hmangin i hmui, i kawr leh i tube chhunga mucus leh bawlhhlawh awm zawng zawng chu paih vek a ni.
3. Tape lakchhuah: Tube hmai a vawn tlat plaster emaw tape emaw chu lakchhuah a ni.
4. Thâwk dan tur hrilhfiahna pek: Doctor chuan "thâwk la la, khuh rawh" a ti che. I khuh rual hian tube chu rang tak leh awlsam takin an la chhuak thin.
Hetiang zawng zawng hi second tlemte chhung a ni. I hre lo pawh a ni thei.
Extubation hnuah eng nge thleng? Eng nge beisei tur?
Tube lakchhuah hnua i hriat hmasak ber tur chu hahdamna nasa tak a ni! Mahse, ni engemaw zat chhung chu i rilruah natna engemaw zat leh ri bengchheng tak tak i nei thei bawk. Hei hi thil pangngai tak a ni. Hun rei tak au thawm avanga rilru na ang mai a ni.
Tube an lakchhuah hnuah medical team te chuan an lo enkawl chhunzawm zel ang che.
- I thisen oxygen level hi enfiah fo thin a ni.
- I heart rate leh thawk dan kha ngaihven rawh.
- A châng chuan a tir lamah ṭanpuina tlemte angin hnar cannula emaw oxygen mask emaw hmangin oxygen tlem tal pek theih a ni.
Tube i lakchhuah hian i conscious em?
Hei hi tube-a i dah chhanah a innghat.
- Surgery atan: A tam zawkah chuan, tube chu operation zawh veleh, anesthesia atanga i harh kim hmain an la chhuak thin. I harh chuan tube chu a bo tawh.
- Intensive Care Unit (ICU)-ah: Natna emaw, accident emaw avanga enkawl i nih chuan i hriat loh laiin tube chu lakchhuah a ni ang. Mahse lungngai suh, medical team ten engkim an hrilhfiah ang che a, thlamuang takin an awm tir ang che.
Extubation hi risk leh complication a awm em?
Damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm a. Mahse hengte hi a thleng fo lo. Chu chu Doctor-te chuan an hre chiang hle a, chuvangin hetiang dinhmun hmachhawn turin an inpeih reng a ni.
A harsatna ber chu extubation failure a ni . Chumi awmzia chu tube lakchhuah hnuah thawk tha thei tawh lo leh intubate leh a ngai tihna a ni.
- Hei hi mi za zela tlemte, 10%-14% vel, ruahmanna siam anga an tube lakchhuah tawhte chungah chauh a thleng thin.
- He hlauhawmna hi kum 65 chunglam tan a sang deuh a, thinlung natna emaw, lung natna rei tak nei tan pawh a sang zawk bawk.
Harsatna tenau dangte:
- Aw inthlak danglam leh ril na: Hei hi mi tam takin an tawn fo thin a ni a, ni rei lote chhungin anmahniin a lo tha chho zel ang.
- Stridor: A chang chuan, kawr a hring avangin thawk lak laiin whistling thawm tlem a ri thei. Hei hi Doctor ten enkawl dan an hre chiang hle.
- Khuh na tak: Tube lakchhuah atanga khuh hian a chang chuan kawr ruh a tikhauh thei (laryngospasm).
A pawimawh ber chu heng zawng zawng hi a thleng tlem hle a ni. I doctor chu heng zawng zawng atan hian a inpeih reng a ni. Chuvangin he thil hi a tul lovah lungngai suh.
Take-Home Thuchah a ni
- Extubation hi i dam lehna kawngah step tha tak leh tha tak a ni. I taksa chu a chak tawk a, a mah chauhin a thawk leh thei tihna a ni.
- Hei hi doctor leh trained staff ten an ti a, i himna za zela 100-a i enfiah hnuah an ti thin.
- Tube lakchhuah hnu ni engemaw zat chhung chu rilru natna tlem leh aw inthlak danglam hi thil pangngai a ni . Ngaihtuah buai suh.
- Extubation hnuah chuan zalen takin inbiakna, ei leh in leh in tur i nei leh ang.
- Hetiang kalphung chungchangah hian hlauhna, rinhlelhna, zawhna i neih chuan i doctor hnenah zalen takin sawi rawh . Engkim an hrilhfiah ang che.
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