Accident lian tak kan tawh hnuah emaw, thisen tam tak kan hloh hian kan taksaah eng nge thleng thin tih i ngaihtuah ngai em? A nih loh leh taksain tui a hloh chuan ril\am leh luak chhuak reng reng avanga tui a hloh chuan eng dinhmun khirh tak nge thleng thei ? Tunlaia kan sawi tur Hypovolemic Shock , hi chutiang hun laia lo awm thei, nunna atana hlauhawm tak leh nunna atana hlauhawm tak a ni. Hei hi dik taka hriatthiam a, a hun taka thil tih a pawimawh hle.
Hypovolemic Shock hi eng nge ni?
A awlsam zawngin, hei hi emergency condition a ni a, thisen tam tak emaw, tui dang emaw (e.g., luak chhuak emaw, ril\am emaw atanga tui) a chhuah thut a. Hei hian kan taksaa thisen kal zawng zawng, a nih loh leh thisen volume chu a tlahniam nghal a ni. Chuvangin a chang chuan ‘low-volume shock’ an ti thin.
Ngaihtuah teh, thisen hi kan taksa lumna control nan , thisen kan chhuah laiin thisen a tikhawlo a, cell tinah oxygen leh nutrients a phurh luh nan a pawimawh hle. Chuvangin thisen a tlem lutuk chuan kan taksa peng lian ber ber, kan thinlung, thluak, leh kal (kidney) te hian an mamawh oxygen leh nutrients an hmu lo. Chuvang chuan chu taksa pengte chu an thawk tha thei lo.
Hetiang dinhmun hi hliam lian tak, thisen kalna kawng chhe lutuk avanga thisen chhuah tam lutuk vang a ni fo thin. Chu dinhmun bik chu hemorrhagic shock kan ti a ni. Kang nasat vang te, luak chhuak reng te, leh riltam vang te pawh a ni thei bawk.
Hetiang natna lan chhuah dan hi engte nge ni?
Hemi chhinchhiahna hi mi hrang hrangah a inang lo thei. Thil tam takah a innghat a, chung zingah chuan i kum, a hmaa damdawi i neih tawh zawng zawng, thisen emaw, tui emaw hloh chhan, a lo thlen rang dan, leh engzat nge hloh tih te pawh a tel.
A lan chhuah dan tlangpui thenkhat han thlir ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Thisen chhuak nasa tak a chhuak | Hei hi inhliam ah chiang takin a lang. Mahse, chhungril thisen chhuak, ectopic pregnancy (nausen pum pawn lama nau pai) emaw, taksa peng chhiatna emaw-ah chuan a lang lo. |
| Rapid Heartbeat a ni | Taksa mamawh zat thisen pump turin thinlungin a thawhrim a ngaih avangin thinlung a thawk chak zawk a ni. |
| Thâwk hi a rang a, a tawi bawk. | Taksaah oxygen tlakchham vangin thawk a rang a, a thuk lo tan thin. |
| Taksa chak lohna, hahna | Taksa hian nunna nei lo niin a inhria a, a chhan chu cell-te hian an mamawh chakna leh oxygen an hmuh loh vang a ni. |
| Buaina, hriatna hloh | Hetiang dinhmun hi thluaka thisen kal zat a tlem chuan a lo awm thin. Thusawi pawh a slurred thei. |
| Zun chhuah a tlahniam emaw, a tawp emaw | Kidney-a thisen kal tlem vangin zun siam chhuah a tlahniam thin. Hei hi symptom hlauhawm tak a ni. |
| Thisen sang a hniam | Taksa chhunga thisen volume tlahniam vangin thisen sang a tlahniam. |
| Vun lum, Clammy tak a ni | Taksa hian taksa peng hrang hranga thisen kal a tihtlem bakah thisen chu thinlung leh thluak ang chi taksa peng pawimawh tak takah a hruai a, vun chu a vawt a, a thawmhnaw a tifai bawk. |
Eng thilin nge hei hi a thlen?
Hei hi a chhan lian ber pahnih ah then theih a ni a, thisen chhuah avanga lo awm leh thisen chhuak lova tui chhuah avanga lo awm te hi a ni.
Thisen chhuah chhan
- Ruh lian tak tak, hip ang chi
- Lu leh kawngah lacerations thuk tak a awm
- Car accident emaw tlu emaw avanga pum chhunga taksa peng hrang hrang, spleen, liver, leh kidney te chhiatna
- Thinlung chhunga khur emaw, thisen kalna kawng lian emaw (aortic aneurysm ang chi) .
- Digestive tract-a ulcer awm avanga thisen chhuak
- Ectopic naupai a nih chuan
- Naupai laiin placental abruption a awm thin
- Ovarian cyst a lo chhuak
- Nau neih lai emaw, nau neih hnu darkar 24 chhungin thisen chhuak nasa tak a chhuak
Thisen chhuah loh chhan
- Tui tlakchhamna nasa tak
- Diarrhea leh luak chhuak reng reng
- Kangmei nasa tak avanga taksa atanga tui hloh
- Pancreatitis ang chi natna avanga taksa hmun khatah tui awmkhawm
Hypovolemic Shock Stage Pali te hi a ni
He natna hi a nasat dan azirin stage pali hmuhchhuah a ni a, chu chu taksa atanga thisen emaw tui emaw hloh zat atanga teh a ni.
| Dawhsan | Thisen/tui hloh zat | Natna |
|---|---|---|
| Stage 1-na a ni | 15% thleng (milliliter 750 vel) a ni. | Thisen sang, heart rate, leh zun hi a pangngai a ni. Tlem chuan i hlauthawng deuh mai thei. |
| Stage 2-na a ni | 15% – 30% (750-1500 ml) inkar a ni. | Heart rate a sang chho zel. Lungkhamna neia inhria. Vun chu a vawt deuh thei. |
| Stage 3-na a ni | 30% – 40% (1500-2000 ml) a ni. | Thisen sang a tlahniam nasa hle. Zun a tlem hle. Kut leh ke a vawt. A buaithlak hle mai. |
| Stage 4-na a ni | 40% aia tam (2000 ml aia tam) . | Condition pawi tak a ni. Heart rate hi a chak hle. Thisen sang a hniam hle. Zun a tawp ta. I hriatna pawh i hloh mai thei. |
Engtin nge natna hi hriatchhuah leh enkawl a nih?
Hemi atana pawimawh ber chu damlo chu damdawi inah, a bik takin ETU (Emergency Treatment Unit) , a rang thei ang bera hruai hi a ni. Chuta kalna kawngah chuan thisen chhuak hmuh theih a awm chuan puan fai hmanga hmet chungin tihtawp tum tur a ni.
Damdawi inah chuan medical team te chuan i nunna chhanchhuah an tum hmasa ang.
- I temperature, pulse rate, thawk dan, leh thisen sang (vitals) te an check reng ang.
- X-ray, ultrasound scan, leh CT scan ang chi test te hmangin a chhan an hmu chhuak thin.
- Thisen leh zun test neih mek a ni.
- Thinlung hnathawh dan enfiah nan ECG (Electrocardiogram) an ti thin.
Enkawlna atan chuan thil tum lian pathum a awm a, chungte chu:
1. Taksa peng tinah oxygen tam thei ang ber pek.
2. Thisen chhuah tihtawp emaw control emaw.
3. Thisen leh tui hloh thlak danglam.
Chumi atan chuan vein chhunga dah cannula hmangin saline (IV fluids) pek i ni ang. I thisen volume chu 30% aia tam a tlahniam a nih chuan thisen pek i mamawh mai thei . Internal bleeding emaw gynecological problem emaw a awm chuan tihtawp nan operation i mamawh mai thei.
Hei hian eng harsatna nge a thlen theih?
He natna hi uluk taka enkawl loh leh a hun taka enkawl a nih loh chuan harsatna na tak tak a awm thei a ni.
- Hei hi hliam vang a nih chuan infection a awm thei.
- Kal, thinlung, leh thluak ang chi taksa peng hrang hranga taksa peng hrang hrang tichhe vek .
- A tâwpah chuan thihna pawh a thleng thei a ni.
I dam lehna chu enkawlna i dawn thuai danah te, thisen i hloh zat leh hriselna lama harsatna dang i neih leh neih lohah a innghat a ni. Chuvangin heng symptoms zinga pakhat tal i rinhlelh chuan doctor hmu nghal la, damlo chu damdawi inah hruai rawh.
Take-Home Thuchah a ni
- Hypovolemic shock hi taksa atanga thisen emaw tui emaw a hloh tam lutuk avanga emergency hlauhawm tak a ni.
- Thisen chhuahna nasa tak, luak/ luak chhuak reng, leh kang na tak te hi a chhan ber a ni thei.
- Lung natna, thawk harsa, buai, leh vun lum , tih ang chi symptoms i hmuh chuan damlo chu damdawi in ETU (Emergency Treatment Unit)-ah hruai nghal rawh.
- Enkawlna tihkhawtlai hian taksa peng hrang hrang, kal (kidney) te a tichhia a, thihna thlengin a thlen thei a ni. Chuvangin hun hi a pawimawh ber a ni.
- Nangmah emaw i hriat miin emaw he natna hi i rinhlelh chuan damdawi lam thurawn zawng nghal rawh. Heng symptoms te hi ngaihthah ngai suh.
Hypovolemic Shock Sinhala, thisen volume hniam, thisen sang hniam, accident, thisen chhuah tam lutuk, tui tlakchham, shock
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