I dehydrated em? Hypovolemia chungchang hi i zir chiang ang u!

I muhil dawn emaw, i luak chhuak dawn emaw angin i inhriat ngai em? A nih loh leh accident lian tak hnuah emaw, ni tam tak i luak chhuak emaw, i riltam emaw nasat hnuah emaw, "i tui zawng zawng i hloh vek" kan ti mai thei bawk. Hetiang hunah hian i taksaa tui awm zat, a bik takin i thisenah hian a tlahniam nasa hle thei a ni. Hei hi vawiin a kan sawi tur dinhmun, hypovolemia an tih chu a ni. Hei hi thil awlsam a ni lo va, i ngaihven loh chuan nunna atana hlauhawm a ni thei. Chuvangin, he thu hi chipchiar takin sawi ila.

Hypovolemia tih hi eng nge ni?

A awlsam zawngin sawi ila, hypovolemia chu i taksain i circulatory system a kal that theih nan fluid volume, a bik takin thisen a neih loh vang a ni. "Fluid" hian tui chauh ni lovin, i thisen peng pawimawh tak plasma leh lymphatic fluid te pawh a huam thei. Lymph hi thisen var hmanga khat tui bik a ni a, taksa atanga toxins leh bawlhhlawh paih chhuahna kawngah a pui a ni.

Ngaihtuah teh, kan taksa rih zawng 50% atanga 60% vel hi fluid a ni. Chuvangin he hypovolemia dinhmunah hian i taksaa tui awm zawng zawng atanga 15% aia tam a tlahniam a ni. Hei hi damdawi lam pan vat a ngai tak zet a ni. A chhan chu enkawl loh chuan kan taksa peng pawimawh tak takte a chhiat theihna chance a sang hle a, shock a awm thei a, thihna pawh a awm thei bawk.

Chuti a nih chuan hypovolemic shock chu eng nge ni? A hlauhawm em?

Ni e, Hypovolemic Shock hi Hypovolemia natna khirh ber leh hlauhawm ber a ni. Hei hi emergency medical treatment mamawhna a ni. Heta thil thleng hi chu thinlung hian tui tam lutuk emaw, thisen hloh emaw avanga taksa pum puiah thisen a pump thei lo. Tui tel lo motor ang maiin han ngaihtuah teh. He Hypovolemic Shock avang hian taksa peng hrang hrangte chu pakhat hnu pakhatin an fail tan thei a ni.

Hypovolemic shock hi mi pakhatin vawi khata an taksa tui 20% aia tam a hloh hian a thleng tlangpui. Hei hi hliam na tak (major cuts, burns), chhungril thisen chhuak, emaw ni tam tak chhunga luak chhuak nasa tak emaw, luak chhuak emaw avanga lo awm thei a ni.

Tute nge hypovolemia vei tam zawk? Thil awm dan tlangpui a ni em?

Dik tak chuan tu pawhin he natna hi hypovolemia an tih hi an nei thei a ni. Engtiang chiahin nge a hluar tih statistics dik tak awm lo mah se, natna rang tak nei te, accident na tak tuar te, intensive care unit-a damlo na tak takte zingah a tam zawk.

Hypovolemia hian engtin nge kan taksa a nghawng?

Kan taksa peng tin hian hna a thawk tha tur chuan tui dik tak a dawn a ngai a, chu chu thisen a ni. Huana pangpar ang mai a ni. Ruah a sur loh lai hian a pangpar chu tui tel lovin a vuai thin a ni lawm ni? Chutiang bawkin kan taksa pawh hian tui a tlakchham hian a "wither" thei bawk. Doctor chuan hypovolemia i nei tih a hriat chuan extra fluids a pe ang che. Ruahtui tlak laiin thlai bucket khata tui kan pek ang bawkin taksa hian tui hloh chu a tikhat leh a ni.

Hypovolemia natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi mi hrang hrangah a inang lo thei a, natna nasat dan azirin a nasat dan pawh a inang lo thei bawk. A lan chhuah dan tlangpui chu:

• Ding lai pawhin luak chhuak tih hriat.
• Vun leh hmui a vawt.
• Chau emaw nunna nei lo emaw anga inhriatna.
• Muscle a ti na hle.
• Zun loh, a nih loh leh zun kal zat a tlahniam a, a rawng a dum bawk.

Tunah chuan Hypovolemic Shock ang chi natna khirh tak, nunna atana hlauhawm tak symptoms kan en ang:

• Rilru tibuai.
• Thâwk harsa emaw, thawk rang emaw.
• Thaw hah lutuk.
• Thil hriatna hloh.
• Thisen sang hniam.
• Taksa lumna hniam.
• Vun rawng dum emaw, a chang chuan hmui leh vun-ah bluish tinge (cyanosis) a awm.

Heng symptoms te hi i neih chuan, a bik takin accident hnuah, luak chhuak/riltam na tak nen i neih chuan damdawi in emergency room-ah kal nghal ngei ang che.

Engvangin nge hypovolemia hi a lo awm? A chhante chu engte nge ni?

Hypovolemia awm chhan ber chu taksa atanga tui emaw thisen emaw hloh hi a ni. Hei hi a thlen theih dan kawng hrang hrang a awm a:

• Hliam: Taksa chunglam a hliam, kang leh hliam dangte.
• Natna: Luak chhuak reng leh ril\am (e.g., pum na tak, viral fever thenkhat) ang chi natna lan chhuah dan.
• Internal bleeding: Eng emaw chhan vanga taksa chhunga thisen chhuak. Hei hi pawn lam atanga hmuh theih a nih loh avangin a hlauhawm thei hle.
• Dehydration emaw Malnutrition: Taksa chhunga tui leh chi (electrolytes) a luh tlem avangin thisen volume a tlahniam thin.
• Thaw tam lutuk: Exercise nasa tak neih laiin, emaw, thawk hah lutuk (hyperhidrosis) thlentu dinhmun i neih chuan.

Engtin nge hypovolemia hi i hriat theih?

Doctor i hmuh hunah i medical history a zawt hmasa ang che. Tichuan, taksa enfiahna an nei ang a, i fluid leh sodium level enfiah turin test eng emaw zat an ti thei ang. Sodium level hniam pawh hi hypovolemia chhinchhiahna a ni. Heng test te hian hypovolemia i nei tih a nemnghet a nih chuan doctor chuan i fluid level hniam chhan dik tak chu hriat tumin a bei ang. Hei hi a chhan chu a chhan zawn chhuah hian enkawlna i tan thuai dawn vang a ni.

Hemi atan hian eng test nge tih a nih?

Doctor chuan he natna hi finfiah nan test engemaw zat a ti thei a:

• Vun leh mucous membrane examination: Taksa enfiahnaah doctor chuan i vun, i hmui chhung, i lei leh hnar a vawt em tih a enfiah ang. Dryness hi he natna chhinchhiahna a ni.
• Pulse rate, taksa lum leh vawt leh thisen sang: Hengte hi i ṭhut lai leh i ding laiin a danglamna a awm leh awm loh en turin a teh ang. Tin, position i thlak hunah luak chhuak ang chi symptoms te pawh an check bawk ang.
• Thisen emaw zun emaw test a, kal (kidney) hnathawh dan enfiah thin.
• Imaging test, ultrasound emaw echocardiogram emaw hmanga enfiah a ni.

Hypovolemia hi engtin nge enkawl a nih?

He natna atanga dam leh theihna tur kawng tha ber chu enkawl tan hmasak hi a ni. Enkawlna tum ber chu taksaa tui hloh tawh siam that leh hi a ni. Hei hi fluid resuscitation an ti a. Hei hian vein (IV - intravenous) hmanga tui pek a huam a ni. I taksain eng ang tui nge a mamawh tih a zirin tui pek i nih dan chu a inang lo thei:

• Thisen pek: Thisen petu thisen hi i taksa atanga thisen hloh thlak nan pek a ni.
• Crystalloid solutions: Hengte hi chi (saline), sugar (dextrose), emaw sodium, chloride, potassium, calcium, leh lactated Ringer’s solution te dahin solution siam a ni.
• Colloids: Hengte hian particle lian tak tak an nei a. Chungte chu thisen kalna kawng chhungah an awm reng a ni. Entirnan albumin leh hetastarch te hi a ni.

He tui hi a pek bakah hian i doctor chuan i hypovolemia awm chhan pawh a enkawl bawk ang. Hei hian a huam tel a ni:

• Infection emaw, natna emaw a awm chuan enkawl tur a ni.
• Hliam a awm chuan tihdam nan a ni.
• Taksain a tlakchhamna tur nutrient (sodium emaw electrolytes ang chi) pek.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Hypovolemia hi taksaa tui awm zat a lo awm leh hma loh chuan a awm reng a ni. Hei hian ni engemaw zat atanga kar tlemte chhung a daih thei. Enkawl tan a nih hnuah tui pek zauh zauh a ni. Vawi khatah tam tak pe suh. A tirah chuan IV fluid tam zawk i dawng thei a, chutah chuan i fluid level 100% a hnaih chuan a tlem zawk thei a, chutah chuan i fluid level a stabilise a, i symptoms a reh chuan enkawlna i titawp thei bawk.

Engtin nge hypovolemia hlauhawmna tihziaawm theih ang?

Hypovolemia hi kan thunun theih loh pawn lam thil avanga lo awm fo mahse, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm a:

• Infection, hliam emaw, natna emaw i neih chuan a rang thei ang bera enkawl tir rawh.
• A theih ang anga thawk hah lutuk thlentu thil tih loh tur. I tih chuan a inkar ah tui tam tak in thin ang che.
• Tui tam tak in fo la, hydrated takin awm reng ang che.
• I hliam leh kang (e.g. hnathawhna hmunah, inchhung hna i thawh laiin) laka inven nan Personal Protective Equipment (PPE) hmang rawh.

Hypovolemia i vei chuan eng nge thleng? Eng ang thlirna nge ni ang?

Hetiang natna vei zawng zawng tan chuan a rah chhuah chu a inang vek lo. Thisen emaw tui hloh chhan chu tihtawp a, uluk taka enkawl theih a nih leh nih lohah a innghat a ni. Mahse, he natna hi hriatchhuah a, enkawl hmaa enkawl a nih chuan a tlangpuiin a dam thei a ni. Enkawl loh emaw, enkawl tlai lutuk emaw a nih chuan nunna atana hlauhawm a ni thei a, taksa peng hrang hrang a tichhe vek thei a, thihna pawh a thlen thei bawk.

Taksa chhunga tui hloh tawhte siam\hat lehna tura enkawl tan a nih hnuah, taksaa tui awm zat chu a pangngaia a lo kir leh chuan a natna lan chhuah dan chu a tlahniam zauh zauh a, a bo vek a ni.

Engtin nge ka in enkawl ang? (Mahni invenna) .

Hypovolemia i vei tih i hriat hnu chuan i in enkawl dan tur thil engemaw zat a awm a:

• Chawlh tha rawh.
• Hna hahthlak tak tak lakah hian rei lo te chu inthiarfihlim rawh.
• Tui tam tak in fo la, tui tlakchham loh tur.
• Ei leh in inthlau tak, ei tur tha tak ei rawh.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngaih ?

Hypovolemia symptoms i neih chuan, a bik takin a hnuaia thil thleng pakhat hnua a lo awm chuan damdawi in emergency room-ah kal nghal rawh:

• Accident hnuah, kang, hliam emaw, hliam dang emaw ang chi.
• Natna tak tak, pum na tak ang chi, luak chhuak reng emaw, luak chhuak emaw a awm hnuah.
• Ni khat chhung chaw ei leh in theih loh hnua.
• Thiltih emaw thilthleng emaw, a tlangpui aia tam thawmhnaw thlentu hnuah.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Eng chen nge IV fluids (saline) ka dawn a ngai dawn?
• Eng thilin nge ka thisen a hloh chhan?
• Engtikah nge enkawl hnuah ka thiltih pangngai ka thawh leh theih ang?
• Engtin nge enkawlna hnuah tui tlakchhamna ka neih loh nan ka inven theih ang?

Hypovolemia leh Hypervolemia hi eng nge an danglamna?

Hypovolemia leh hypervolemia te hi i taksaa tui emaw thisen emaw awm zat sawina a ni. "Hypo" tih thumal hi "under" emaw "less" emaw tihna a ni. "hyper" tih awmzia chu "over" emaw "more" emaw tihna a ni. Chuvangin, hypovolemia i neih chuan i taksaah tui i nei tlem hle. Hypervolemia i neih chuan i taksaah tui a tam lutuk tihna a ni.

A tawp berah chuan thil hriat reng tur

Taksa atanga thisen emaw tui emaw hloh hi natna khirh tak a ni a, enkawl vat a ngai a ni. Tun hnaia accident i tawk emaw, natna i neih a, hypovolemia symptoms i neih chuan emergency room-ah kal nghal rawh.

Symptoms na lo tak tak i neih chuan doctor hmu la, i taksa tui hloh tawhte tihpun dan tur sawipui rawh. Fluid tam tak in leh chawlh tam hian he natna hi a enkawl thei a ni. Hetiang natna hi i vei tih hmuhchhuah a nih chuan hun engemaw chen chu i hnathawh dan pangngai a tibuai thei a, mahse hypovolemia enkawl a nih chuan i taksa tui chu a pangngaia a lo kir leh chuan i normal leh thei a ni.

` Hypovolemia, Hypovolemia, Dehydration, Thisen volume tlahniam, Hypovolemic shock, Hypovolemic Shock, Emergency hmanga enkawl