I hmangaih tak pakhat—naupang tê tê, asthma vei emaw, chhûngkaw member tar emaw pawh a ni thei—chutih laia thawk harsa tak, boruak zawnga thawk chhuak, a nih loh leh thawkna lama harsatna nasa tak tuar chu han mitthla teh. Chutih lai chuan hlauhna chu a hneh hle. Vawiin hian, heng dinhmun khirh tak takte tana doctor-te’n damdawi in hmuna an hman ṭhin, specialized, nunna chhanhim thei intervention pakhat chungchang kan sawi duh a ni: Heliox .
A awlsam zawngin: Heliox chu eng nge ni?
Heliox hi helium leh oxygen inkawp a ni. Thâwk harsatna nasa tak awmna emergency-ah chuan, damdawi lam thiamte chuan he mixture hi an hmang a, chu chuan i taksain thawk chhuahna atana a taksa thawhrimna a tihziaawm theih nân a ṭanpui a ni.
Thil awmdan pangngaiah chuan i thawk boruak hian oxygen 21% vel leh nitrogen 78% vel a pai a ni. Damdawi inah pawh supplemental oxygen hi a chauh emaw, nitrogen nena chawhpawlh emaw a ni tlangpui. Mahse, helium hian thil danglam bik a nei a: nitrogen aiin a rit zawk (less dense) tih a chiang hle.
Hetiang hian han ngaihtuah teh: i thawkna kawng (i lung thlenga boruak thlenna kawng) chu inflammation, asthma, a nih loh leh thil tihbuai avânga a inkharkhip a nih chuan, chu chu tui thuk tak, khawizu ang chi chu tube tawi tak, khar tak hmanga nawr tum ang mai a ni—chu chu pressure nasa tak a mamawh a ni. Nitrogen hian chu liquid thick zawk ang maiin hna a thawk a. Helium hi a rit zawk a, a thianghlim zawk bawk a—tui ang maiin—a luang chhuak a, chu chu a do theihna a tlem zawk hle. Hei hian i thawkna kawng a khauh lai pawhin oxygen pawimawh tak chu i lungah awlsam zawkin a thleng thei a ni.
Helium hi inert gas a ni a, i taksa nen a inrem lo tihna a ni. I taksa chuan chu thil inzawm aṭanga oxygen chu a la lut mai a, helium chu a thawk chhuak mai a, chu chu a bul berah chuan oxygen mamawhna hmuna oxygen phur turin “vehicle” angin a thawk a ni.
Engtikah nge Heliox hi hman a nih?
Heliox hi natna hnuaia awm damdawi a ni lo tih hriat a pawimawh hle. Chu ai chuan, nunna chhanhimna damdawi dang (asthma inhalers emaw nebulizers ang chi) te’n an thawh chhuah laiin i stabilize theihna tura ruahman, supportive therapy a ni. Tui chhunga harsatna tawk mi pakhat tân nunna chhanhimtu angin ngaihtuah rawh—damdawi lam ṭanpuina dangin i dinhmun a tihngheh hma loh chuan tuiah a awmtîr che a ni. A hnuaia tarlan te hi i doctor-in Heliox hman a ngaihtuah theih dan tlangpui tarlanna table a ni.
| Damdawi lam dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| A dinhmun chu Asthmaticus a ni | Nunna atana hlauhawm asthma attack, standard treatment-a chhan loh, thawkna kawng a zim nasa hle. |
| Thli kawng a tikhawlo | I thawkna kawng chu mass (tumor) emaw thil dang (eg, food particle) emaw avanga tihkhawtlai a nih chuan. |
| COPD a zual zel | COPD vei te thawk harsatna zual zel, natna kai avanga lo awm fo thin. |
| ARDS (Acute Respiratory Distress Syndrome) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Infection emaw trauma avanga lung hliam na tak a awm a, chutah chuan lung chu tuiin a khat a, thawk harsa tak a ni. |
| Extubation hnua Stridor hmanga tihchhuah a ni | Operation hnua thawkna kawng (breathing tube) lakchhuah a nih hnua rilru natna (throat swelling) avanga thawk hah emaw, thawk ri sang tak emaw. |
| Decompression natna (“The Bends”) tih hi a ni. | Deep-sea diver-te chu tui chungah an lo kir leh thuai hnua thisena nitrogen-in bubble a siam chuan. |
Engtin nge he enkawlna hi pek a nih?
I doctor chuan i hriselna mamawh bik a zirin Heliox therapy pek dan tha ber chu a ruat ang:
- Via Ventilator: Mahni chauha thawk thei lo i nih chuan hei hi i thawk chhuah theih nan sedated i nih laiin hman thin a ni.
- Via Face Mask: I hnar leh hmui chungah a in fit tha hle a, specialized mask hmanga pek a ni.
- Via Nasal Cannula: I hnar hnuai lama dah tube te tak te hmanga pek chhuah a ni.
Doctor emaw thawkna lama thawktu emaw chuan i mamawh dan azirin helium leh oxygen ratio chu a siamrem thin. Mixture hman tlanglawn tak chu 70% helium/30% oxygen emaw 60% helium/40% oxygen emaw a ni.
A hlawkna leh harsatnate chu engte nge ni?
Hlawkpuina
A hlawkna ber chu ka sawi tawh ang khan thawk chhuahna atana taksa thawhrimna tihtlem hi a ni. Thâwk a harsat chuan i rilru leh i pum ruhte hian overtime hna an thawk a ni. Heliox hian he phurrit hi a tiziaawm a, i taksa chu a mamawh chawlh hahdamna a pe a, chutih rualin kawngpui tawi tak tak kaltlangin boruak kal theihna a tihtlem bawk.
Harsatna awm thei te
Harsatna ber chu he therapy hian hmanraw bik leh damdawi lam thiam thiam tak tak a mamawh a ni. Standard oxygen delivery settings hian Heliox hman hian recalibration a mamawh fo thin a, chuvangin Nirogi Lanka-a kan team te hi a bik takin heng adjustment te hi i tan him taka enkawl turin training pek kan ni.
Khawngaihin hre reng ang che: damlo i nih angin hlauh tur i nei lo. Kan damdawi lam mithiamte hian he therapy hi an hre chiang hle a, an enkawlna hnuaia i awm chhung chuan a hlauhawmna a tlem hle.
Nangmah chauha thawk hahdam taka i thawh theih hma emaw, standard oxygen therapy-a i inthlak leh theih hma loh chuan he therapy hi i hmang reng ang. I dam leh hun chhung chu i dinhmun hnuaia awm (asthma ang chi) chu engtiang chiahin nge control theih a nih tih a innghat a ni.
Take-Home Thuchah a ni
- Heliox hi helium leh oxygen inzawmkhawm a ni a, damdawi inah thawkna lama harsatna nasa tak enkawlna atana hman thin a ni.
- A hnathawh chhan chu helium hi nitrogen aiin a rit zawk a, oxygen chu i lungah awlsam zawkin thawkna kawng tawi tak hmangin a thleng thei a ni.
- Emergency-a chhawmdawlna pe tura hun eng emaw chen atana puitu enkawlna a ni a, natna hnuaia awm ngei damdawi a ni lo.
- Doctor enkawlna hnuaia hmanraw bik hmanga trained staff ten an pe fo thin.
- Nangmah emaw, i hriat miin emaw thawk harsatna nasa tak i neih chuan, a tha ber chu emergency services biak emaw, emergency department hnai ber pan nghal emaw hi a ni. Kan medical team te hian i mamawh enkawlna hmanhmawhthlak tak tak pe turin an inpeih reng a ni.
Heliox, thawk harsatna, thawkna lam natna, Asthma, COPD, emergency care, ETU, oxygen therapy, thawk hah
