Thâwk harsa tak, damdawi in intensive care unit (ICU)-a dah luh i hmu tawh em? A châng chuan doctor-te chuan chutiang mite thawk tûra ṭanpui nân kawng hrang hrang an hmang ṭhîn. Hetiang emergency-a hman thin he gas mixture bik hi Heliox an ti a. He hming hi i tan chuan thil thar a ni mai thei. Chuvangin vawiin hian awlsam takin sawi ila.
Heliox chu eng nge ni?
A awlsam zawngin sawi ila, Heliox hi gas pahnih helium leh oxygen inzawmkhawma siam, gas mixture bik a ni. Damlo thawk harsatna nei te tan pek thin a ni a, a bik takin emergency ah pek thin a ni.
Tunah chuan, "Oxygen kan thawk tlangpui a ni lawm ni? Engvangin nge he thilah hian helium kan dah?" Zawhna tha tak a ni. A chhan chu eng nge ni tih i lo en ang u.
Kan thawk tlangpui boruak hi 21% oxygen leh 78% nitrogen vel a ni. A bak zawng chu gas dang atanga siam a ni. Damdawi inah phei chuan mi tuemaw oxygen pek an nih hian oxygen leh nitrogen inpawlhona an pe fo thin. Mahse, helium hi nitrogen aiin gas a rit zawk hle. Helium khata khat balloon chu i thlah chuan a sang chho tih han ngaihtuah teh, a dik em? Helium hi a êng hle.
Chuvangin, mi pakhat thawkna kawng a hring a, a inzawm khawm chuan, he helium gas rit tak nen hian oxygen a inhmeh chuan, chu gas inzawmkhawm chu awlsam takin leh lung chhunga inkharkhip tlem zawkin a kal thei a ni. Hei hian thawk lakna atana thawhrimna nasa takin a tihtlem a ni.
A dik tak chuan helium gas hian oxygen chu lung chhungah a lut awlsam phah a ni. Nitrogen ang bawkin helium hi inert gas a ni a, kan taksa nen a inrem lo. Chumi awmzia chu taksain a mixture-a oxygen awm chauh a la lut a, helium chu a chhuah chhuah boruak nen a thawk chhuak tihna a ni.
Engtikah nge Heliox hi hman a nih?
Heliox hi damdawi zawng zawng a ni lo. Mahse, damlo dinhmun nghet zawka siamin, enkawlna dangin hna a thawh hma leh an dinhmun a ṭhat hma loh chuan thawk awlsam zawk turin a pui thei a ni. A hnuaia tarlan te hi doctor ten he damdawi hi an hman theih dan tur thenkhat an ni.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Acute Respiratory Distress Syndrome (ARDS) natna vei te hi a ni. | Emergency condition, lung a chhiat em em, tuiin a khat a, mahni chauha thawk thei lo. |
| Thli kawng a tikhawlo | Thli kawng chu tumor emaw, thil dang (e.g. ei tur chi khat) emaw, chhan dang emaw avanga tihkhawtlai a nih chuan. |
| Asthmatic natna khirh tak (Status Asthmaticus) . | Asthma attack na tak, enkawlna pangngai pawhin a thunun theih loh, nunna atana hlauhawm pawh a ni thei. |
| Chronic obstructive pulmonary disease (COPD) natna hrik pai thei lo (COPD) . | Chronic obstructive pulmonary disease avanga thawk harsatna a pun nghal chuan. |
| Decompression Natna a awm | Deep-sea diver-te’n tuifinriat thuk taka an rawn pil chuan an thisenah nitrogen bubble a lo awm a, hei hi an taksa pressure inthlak danglam vang a ni. Hei hi “the bends” tia hriat a ni bawk. |
| Postextubation hmanga tihchhuah hnua Stridor | Thâwk lakna kawnga pui turin intubated a nih hnuah, leh lakchhuah a nih hnuah, a rilru a na a, thawk laiin a ri na tak, ‘groo-groo’ a ti chhuak thin. |
Engtin nge he enkawlna hi pek a nih?
He Heliox gas hi damdawi ina damlo pakhat chauh pek a ni a, damdawi lam enkawlna hnuaiah pek a ni. Doctor chuan damlo dinhmun a zirin a hmanraw tha ber tur a ruat thin.
A hnuaia hmanrua te hi hman ber a ni:
- Via a Ventilator: Damlo chu a mah chauha thawk thei lo a nih chuan damlo chu a hriat loh lai leh machine hmanga thawk a nih laiin he mixture hi pek theih a ni.
- Face mask hmangin: Damlo chu a hriatna a awm chuan he gas hi tightly fitting, leak-proof mask hmangin pek theih a ni.
- Nasal cannula hmangin: A then phei chuan hei hi hnar kawng tinah tube te tak te dah hmangin pek a ni bawk.
Doctor emaw respiratory therapist emaw chuan damloin oxygen a mamawh zat a zirin helium leh oxygen ratio a tidanglam ang. Mixture hman tlanglawn tak takte chu:
- 70% helium / 30% oxygen a ni
- 60% helium / 40% oxygen a ni
Heliox enkawlna hian eng nge a thatna leh a that lohna?
Enkawlna dang ang bawkin he damdawi hian thatna leh that lohna a nei a.
A thatna te
Hei hi a thatna lian ber pahnih chu:
1. Thâwk lakna atana thawhrimna a tihziaawm: Taksa hian thahnemngaihna nasa tak nei lovin a thawk awlsam zawk. Hei hian damloin natna do turin a chakna a humhim a ni.
2. Lung chhunga boruak lut tur daltu a tihtlem: Thlipui a inkhar chuan boruak pangngai lut tur daltu lian tak a awm thin. Mahse, Heliox lightness avang chuan chu obstruction chu a tlahniam a, boruak pawh a luang awlsam hle.
A that lohna te
Hei hi a chhiatna emaw, harsatna lian ber emaw chu he enkawlna pe tur hian hmanraw bik leh thawktu training tha tak tak a mamawh a ni.
Heliox pek a nih hian oxygen machine tehna leh setting te hi a danglam thei a ni. Hei hi a chhan chu helium density hi nitrogen density nen a danglam vang a ni. Chuvangin doctor leh nursing staff te hian heng inthlak danglamna te hi an hriat chian a ngai a, machine te pawh dik taka siamrem a ngai a ni. Mahse hei hi i hriat chian chuan heliox hi enkawlna him tak a ni.
Take-Home Thuchah a ni
- Heliox hi helium leh oxygen inkawp a ni. Thâwk harsaah emergency-ah hman a ni.
- Hemi chhunga helium gas hi a rit em em avangin, thawkna kawng hring leh inzawmkhawm hmangin awlsam takin lungah oxygen a phur lut thei a ni.
- Hei hian natna hi direct-in a tidam lo. Mahse, damlo chu thawk a awlsam zawk a, damdawi leh enkawlna dangin hna a thawh hma loh chuan a dinhmun a ti nghet bawk.
- He enkawlna hi damdawi inah chauh pek a ni a, doctor enkawlna khauh tak hnuaiah pek a ni. I doctor-in a tul a tih phawt chuan pek a ni ang.
- Hei hian hmanraw bik leh training a mamawh a, chuvangin damdawi in zawng zawng hian he hmun hi an nei vek lo mai thei.
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