I hnaih ber tu emaw, naupang tê tê, asthma vei emaw, tar emaw pawh ni se, thawk thei loin a awm thut mai a, a seizure a nei a, a thawk a hah hle tih han ngaihtuah teh. Chutiang hunah chuan engtiang chiahin nge kan hlauh ang? Chuvangin, vawiinah hian hetiang emergency-a damdawi ina doctor-te’n an hman theih tur enkawlna bik kan sawi dawn a ni. Hei hi Heliox an ti a. Hei hi nunna chhanhimtu a nih theih hun a awm.
A awlsam zawngin, Heliox chu eng nge ni?
Heliox hi gas pahnih, helium leh oxygen inzawmkhawm a ni. Healthcare worker, chu chu doctor-te’n thawk harsatna nasa tak nei damlote enkawlna atan an hmang a, a bik takin emergency situation-ah an hmang thin. A hna ber chu taksain thawk tura a thawhrimna tihtlem hi a ni.
Tunah chuan en teh, kan thaw chhuah tlangpui chu oxygen 21% vel a ni a, nitrogen 78% vel a ni. Damdawi inah pawh oxygen hi oxygen thianghlim angin emaw, nitrogen nena chawhpawlh emaw a ni. Mahse hetah hian helium gas hian theihna bik a nei a. Helium hi nitrogen aiin gas a rit zawk hle.
Hei hi hrethiam tur chuan entirnan tlem han la ila. I thawkna kawng (airway) chu khawsik, asthma emaw, thil dang emaw vangin a zim ang tih han ngaihtuah teh. Tui pipe khar ang mai a ni. Tunah chuan, he pipe khar atang hian tui thuk tak, khawizu ang maia nawr tum ta la, engtiang chiahin nge a harsa ang? Pressure nasa tak i apply a ngai a ni. Nitrogen gas hi a rit deuh a. Mahse, chu pipe kaltlangin tui ang chi tui rit tak chu nawr chhuah i tum a nih chuan? A luang awlsam hle. Helium gas hi tui ang maia rit a ni. Chuvangin helium hian thawkna kawng khar leh zim tak kaltlangin oxygen awlsam takin lung chhungah a phur lut thei a ni.
Helium hi nitrogen ang bawkin ``inert gas`` a ni. Chu chu taksa chhunga thil dang nen a inrem lo tihna a ni. Taksa hian he mixture atanga oxygen chauh a la a, helium chu a thawk chhuak leh thin. Chumi awmzia chu helium hi "vehicle" mai a ni tihna a ni a, chu chuan oxygen chu lungah a phur a ni.
Engtikah nge Heliox hi hman a nih?
A pawimawh ber chu Heliox hi natna damdawi a ni lo. Chu ai chuan, enkawlna dang (e.g., asthma damdawi) a hlawhtlin hma leh damlo dinhmun a ṭhat hma loh chuan damlo chu a dinhmun a ṭhat theih nâna pêk ṭanpuina a ni. Mi pakhat tuiah a pil laiin buoy pek ang mai a ni. An nunna chhanhim nan a pui a, chhanchhuah hna thawktute lo thlen hun nghah laiin. A hnuaia table-ah hian Heliox hmanna hmunpui thenkhat tarlan a ni.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Asthma natna nasa tak (Status Asthmaticus) . | Asthma natna khirh tak, enkawlna pangngaiin a thunun loh leh nunna atana hlauhawm thei khawpa boruak kawng a zim lutuk chuan. |
| Thli kawng a tikhawlo | Tumor emaw thil dang (e.g. ei tur chi khat) avanga thawkna kawng a khar chuan. |
| COPD (chronic obstructive pulmonary disease) a zual zel | COPD vei te hian infection ang chi thil avanga thawk harsatna nasa tak an neih hian. |
| ARDS (Acute Respiratory Distress Syndrome) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Infection na tak emaw accident emaw avanga lung a chhiat a, thawk theih lohna khawpa tuiin a khat thin. |
| Extubation hnu lama stridor | Thâwk chhuahna kawng (breathing tube) lakchhuah a nih chuan, operation hnuah ang chi, thawk chhuah laiin rilru hahna avanga thawk ri a awm chuan. |
| Decompression natna ("The Bends") tih hi a ni. | Tuipui thuk lama tui pilte chu tui chunga rang lutuka an awm chuan an thisena nitrogen gas awmkhawm chu bubble-ah a chang ta a ni. |
Engtin nge he enkawlna hi pek a nih?
Heliox therapy pek dan kawng hrang hrang a awm. Damlo dinhmun a zirin doctor chuan thutlukna a siam ang.
- Via a Ventilator: Hetiang hmanrua hi damlo chu a rilru a buai a, mahni chauha thawk thei lo a nih chuan machine hmanga thawk a nih chuan hman thin a ni.
- Face Mask hmangin:Damlo hnar leh hmui chunga fit theih mask bik hmanga pek a ni.
- Nasal cannula hmangin: Hnar hnuaia dah tube te tak te hmanga pek a ni.
Doctor emaw respiratory therapist emaw chuan damlo mamawh dan azirin helium leh oxygen percentage a thlak danglam ang. Mixture hman tlanglawn tak chu 70% helium/30% oxygen emaw 60% helium/40% oxygen emaw a ni.
Hei hi eng nge a thatna leh a that lohna?
A thatna te
Hei hian a thatna lian ber chu, ka sawi tawh ang khan, taksain thawk lakna atana a thawhrimna a tihtlem avangin a ni. Thâwk harsa kan tih hian kan rilru leh kan pum ruhte hian hna an thawk nasa hle. Chu chuan chu thawhrimna chu a tihtlem a, taksa chu chawlh hahdamna a pe bawk. Tin, boruak kawng zau tak atanga oxygen kal theihna tur daltu pawh a ti tlem bawk.
A that lohna te
A chhiatna emaw harsatna lian ber chu he enkawlna hian hmanraw bik leh trained staff a mamawh a, hei hi a ni. Oxygen pekna atana hman tlangpui machine-te tehna leh setting chu heliox pek hian a danglam thei a ni. Chuvangin doctor leh staff te hian heng inthlak danglamna te hi an hriat chian a ngai hle.
Mahse damlo i nih angin he thil hi hlauh chhan tur i nei lo. Doctor-te chuan hei hi an hre chiang hle a, an enkawlna hnuaia he enkawlna hi pek a nih chhung chuan damlo tan a hlauhawmna a tlem hle.
He enkawlna hi damlo chu mahni chauha thawk tha thei emaw, oxygen therapy pangngaia sawn theih a nih hma emaw chuan pek thin a ni. Engtiang chiahin nge dam lehna a awm tih chu a hnuaia dinhmun (e.g., asthma) control rang danah a innghat a ni.
Take-Home Thuchah a ni
- Heliox hi helium leh oxygen gas inzawmkhawm a ni. Damdawi inah thawk harsatna na tak tan hman a ni .
- Hei hian thawkna kawng tawi tak tak hmanga oxygen awlsam zawka lung chhunga phurh luh theihna tura puitu hmangin hna a thawk a, helium gas hi nitrogen aiin a rit zawk avangin.
- Hei hi natna damdawi a ni lo va, hun eng emaw chen atana puitu enkawlna a ni a, emergency-a damlo tan hahdamna pe thei, asthma na tak emaw, thawkna kawng khar emaw a ni.
- Hei hi doctor enkawlna hnuaiah, hmanraw bik hmanga trained staff ten pek a ni.
- Nangmah emaw, i hriat miin emaw thawk harsatna nasa tak i tawk a nih chuan, a rang lama tih tur tha ber chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai a, chutah chuan doctor-te chuan a tul anga enkawlna an pe ang.
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