I rilru a buai thut a, i luak chhuak a, thawk harsa i ti ngai em? A nih loh leh hliam na tak tuar leh thisen chhuak nasa tak tuar i hmu tawh em? Chutiang dinhmunah chuan thil hlauhawm tak pakhat chu hypovolemic shock a ni a, hei hi vawiinah hian kan sawi dawn a ni. Hei hi emergency medical treatment mamawh a nih avangin fimkhur a pawimawh hle.
Hypovolemic shock tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!
A awlsam zawngin, hypovolemic shock chu i taksaa thisen emaw, tui emaw a tlahniam nghal a, i thinlungin i taksa pum puiah thisen a pump tha thei lo. Car fuel tlakchham ang maiin han ngaihtuah teh. Thisen hi kan taksa tan fuel ang a ni.
Hetiang dinhmun hi kan taksaa thisen zawng zawng 20% aia tam, a nih loh leh hmun ngaa ṭhena hmun khat a bo chuan a lo awm tlangpui. Hei hi hliam lian tak avanga thisen chhuah tam lutuk atang chauh ni lovin a thleng thei a ni. A châng chuan, rilṭâm na tak, luak chhuak reng emaw, thawk hah lutuk emaw pawhin he natna hi a thlen thei a, taksa aṭanga tui tam tak a bo phah a ni.
Hei hi medical emergency a nih avangin symptom i hmuh chuan 1190 emaw 1990 emaw ah call nghal a, damdawi lam pan a pawimawh hle.
Hetih lai hian thisen sangah eng thil nge thleng?
Hypovolemic shock a awm chuan i thisen sang hnuai lam number, diastolic pressure an tih chu a tir lamah chuan a sang deuh thei a ni. Mahse thisen emaw tui emaw i taksa atanga a chhuah chhunzawm zel chuan a sang ber, systolic pressure an tih chu a tlahniam zauh zauh tan ang.
Hetiang hi tuin nge nei tam zawk?
Hetiang dinhmun hi tu chungah pawh a thleng thei a, a bik takin accident lian tak tawk tawh leh thisen tam tak hloh mek tan pawh a thleng thei. Tin, a hmaa kan sawi tawh ang khan mi tu emaw, luak chhuak nasa emaw, luak chhuak emaw, thawkrim lutuk emaw pawh hian tui a tlakchham thei bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
A pum puiin, shock chi hrang hrang hi mi 1,000 zinga 1 aia tlem lovah a thleng thin. Mahse, hypovolemic shock hi shock chi hnihna a ni. Ram changkang thenkhatah chuan ril\am vangin naupang tê têah a tam ber.
Hypovolemic shock lai hian taksaah eng nge thleng?
Hypovolemic Shock hi kan taksa peng pawimawh ber ber (entir nan, thluak, thinlung, kal) ten thisen leh oxygen mamawh zat an dawn loh chuan a lo awm thin. Hei hi thing tui tel lova thi ang a ni. Kan taksa pengte pawh thisen tel lo chuan hna a thawk thei lo.
Hetih lai hian kan taksa hian fing takin hna a thawk a. Taksaah thisen a tlem avangin, dam khawchhuahna atana taksa peng pawimawh ber pahnih, thluak leh thinlung hnena thisen pek chu a dah pawimawh ber a ni. Chuvang chuan taksa peng hrang hranga thisen kal zat a tlahniam a, ke ruhte chu a vawt ta hle a ni.
A vaiin kilogram 70 vel zeta rit chuan an taksaah thisen litre 5 vel a awm a. Chu chu an taksa rih zawng 7% vel a ni. Hypovolemic shock-ah chuan hetiang zat hi a tam zawk chu a bo vek a ni.
Shock stage palite chu engte nge ni?
Hetiang dinhmunah hian scenario lian pali a awm a, chu chu a nasat dan azirin a ni.
- Stage 1: Hei hi i thisen volume 15% vel (750 millilitres (750 mL) vel – chu chu tui bottle lian tak ang vel a ni) i hloh hun a ni. Hetih lai hian i thisen sang leh heart rate chu a normal mai thei.
- Stage 2: Hei hi thisen volume 15% atanga 30% (750 mL atanga 1,500 mL – tui bottle lian pahnih vel) a tihhniam hun a ni. Heart rate a sang tan a, thawk pawh a sang chho zel bawk.
- Stage 3: Taksa thisen volume 30% leh 40% inkar (1,500 mL atanga 2,000 mL – tui bottle lian pathum vel!) a bo thin. Thisen sang nasa takin a tlahniam a, heart rate leh thawk chakna a sang hle. Urine output pawh nasa takin a tlahniam bawk.
- Stage 4: Hei hi stage na ber a ni. Taksa thisen volume (>2,000 mL) 40% aia tam a bo tawh a ni. Thisen sang a hniam hle a, heart rate a sang a, zun chhuah pawh a awm lo tluk a ni.
Eng symptom nge kan hriat reng tur?
Taksa atanga thisen emaw, tui emaw a bo tam poh leh a natna lan chhuah dan a na zual thin. Hypovolemic shock natna lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:
- Thâwk chakna sang: A pangngai aia thawk chak zawk ang maia inhriatna.
- Buaina emaw, rilru hahdam lo emaw anga inhria: Thil ngaihtuah a harsa a, i rilru a buai thei bawk.
- Thawmhnaw tam lutuk: Vawikhatmah taksa a vawt a, thawk a chhuak tan ta a ni.
- Thil hriatna hloh (fainting): Taksa tihchakna engmah nei lovin i hriatna hloh nghal mai thei.
- Vun lum: Ke ruhte hi khawih chuan a vawt hle.
- Chak lo anga inhriatna: Taksa chu a chak lo em em a, engmah a ti thei lo.
- Taksa lum leh thisen sang a tlahniam.
- Heart rate sang (pulse rate sang).
Heng symptoms zinga pakhat emaw a aia tam emaw hi thisen chhuak nasa tak nena hmuh a nih chuan hypovolemic shock a ni thei.
Hei hi a chhan berte chu engte nge ni?
A chhan ber chu taksa atanga thisen emaw tui emaw tam tak a bo vang a ni. He thisen chhuahna hi chhungril lamah (kan hmuh theih loh angin) emaw, hliam hmuh theih a\angin emaw a thleng thei a ni. Chubakah chuan,
- Kangmei chhuak
- Pancreatitis natna a ni
- A chhan hrang hrang, thawk hah lutuk, luak chhuak, emaw, riltam lutuk te pawh hi a chhantu a ni thei bawk.
Thisen chhuah theihna kawng awm thei te chu engte nge ni?
Hypovolemic shock thlen thei thisen chhuahna thil thleng lian ber berte chu:
- Accident na tak avanga hliam tuar: Kawngpuia chesual, sang tak atanga tlak, etc. ang chi thil te.
- Surgery neih lai emaw, operation neih zawh hnu emaw (an operation): Surgery thenkhatah chuan thisen chhuah tlem a awm thei.
- Ectopic pregnancy: Hei hi natna hlauhawm tak a ni a, taksa chhungah thisen a chhuah theih avangin.
- Aneurysm rupture: Hei hian thisen kalna kawng a chak lo va, balloon ang maiin a hring a, a puak nghal tihna a ni.
- Digestive tract lama harsatna: Entirnan, pum na vanga thisen chhuak.
Engtin nge doctor hian hei hi a hriat chhuah?
Damdawi ina hruai i nih hunah chuan doctor emaw nurse emaw in a enfiah hmasak ber tur chu a ni. Tichuan, an natna hriat chian nan test tlemte an nei thei bawk.
- Thisen test: I thisen zat a hniam zia leh i kal ang chi taksa peng hrang hrangte a nghawng em tih enfiah thin ang che.
- Electrocardiogram (ECG): Thinlung hnathawh dan en rawh.
- Echocardiogram: Thinlung scan a ni.
- Right heart (Swan-Ganz) catheterization: Thinlung chhunga pressure awm zat tehna atana test bik a ni.
- CT scan (Computed tomography - CT) emaw radiological test dang: Taksa chhunga thisen chhuahna hmun hriat nan.
- Endoscopy: Camera hmanga tube hmanga chaw ei kawng enfiah.
Engtin nge enkawl ang? Thil tih nghal tur!
Ambulance emaw, kawng dang emaw hmanga damdawi ina hruai i nih hnuah doctor-te tih hmasak ber chu IV line-ah dahin tui (saline ang chi) an pe che a ni. Tichuan a tul chuan thisen an pe che a ni. Tin, i thisen sang a normal leh theihna tur damdawi an pe bawk.
A pawimawh ber chu shock thlentu buaina enkawl hi a ni. Entirnan, thisen chhuah tihtawp te, emaw, accident-a hliam i tuar a nih chuan operation neih te. Chumi hnuah chuan Intensive Care Unit (ICU)-ah enfiah turin dah i ni ang.
Damdawi chi hrang hrang pek thin?
Hypovolemic shock damdawi pek ber thenkhat chu:
- A rilru a buai em em a, a rilru a hah em em bawk a.
- Norepinephrine (Norepinephrine - Levophed®) hmanga tihdam theih a ni.
- Dopamine a ni
- A rilru a buai em em a, a rilru a hah em em bawk a.
Heng damdawi te hian heart rate leh thisen sang a siam that theih nan a pui thin.
Enkawlna hian side effect a nei em?
Heng damdawi te hian a chang chuan side effect tenau te a nei thei bawk.
- Thisen sang leh heart rate a sang
- Thâwk harsa
- Lu na (lu na) .
- Heartbeat mumal lo a awm
He hlauhawmna tihziaawmna turin eng nge kan tih theih ang?
Accident na tak thleng tur chu sawi lawk leh ven a harsa hle. Mahse, thil dang atanga hypovolemic shock kan neih theihna tur tihziaawmna tur thil kan tih theih a awm a:
- Diuretics i ei a nih chuan i doctor-in a tih ang chiah khan ei rawh. Tin, tui tlakchham loh nan tui tam tak in tur a ni.
- Diarrhea i neih emaw, i luak chhuak emaw a nih chuan tui emaw Jeevani ang chi tui emaw in tam la, i taksa atanga tui hloh chu a lo awm leh ang.
- I thawmhnaw a tam chuan tui i hloh tur thlak nan tui tam tak in thin ang che.
A pawimawh ber: Thisen chhuak tam tak i hmuh chuan, emaw, cut tihtawp theih loh i neih chuan 1190 emaw 1990 emaw call nghal la, a nih loh leh i hnai ber damdawi in emergency department-ah kal rawh. Ṭanpuina dawn thuai chuan thisen tam tak a bo hmain dinhmun chu a thunun thei a ni.
Hypovolemic shock i neih chuan eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
He natna hi i dam khawchhuah leh dam leh loh chu thil engemaw zatah a innghat a ni. Thisen emaw tui emaw engzat nge hloh tih te, a lo thlen rang dan te, damdawi lam harsatna dang i neih te, leh eng thilin nge shock i neih chhan te pawh hian hmun a chang thei bawk.
Shock enkawlna i tan hma chuan a nghawng chu a let leh thei a ni. I la naupang a, shock hi a na lutuk lo a nih chuan damchhuah theihna chance tha tak i nei a ni. Mahse, a chang chuan taksa peng hrang hrang a chhiat chuan heart attack a thlen thei a ni. Organ pakhat aia tam a chhiat chuan he natna hi thihna thlen thei a ni. Enkawlna hmang pawhin hypovolemic shock hian a chang chuan thihna a thlen thei.
Engtin nge ka dam leh hma loh chuan ka in enkawl ang?
Damdawi in atanga i haw hnuah doctor thupek dik takin i zawm tur a ni. I taksa hian trauma tam tak a tawk tawh a, chuvangin hnathawhna hmuna i kal hmain in lamah chawlh hahdam la, i dam leh tur a ni. I doctor-in damdawi a pek ang chiah kha ei la, hliam eng pawh chu uluk takin enkawl rawh.
Engtikah nge doctor ka hmuh leh a ngaih?
Doctor chuan i dinhmun en turin follow-up appointment nei turin lo kir leh turin a ti ang che. Heng appointment te hi lo thlir ve suh, a chhan chu chutih hunah chuan doctor chuan harsatna thar lo awm thei chu rang takin a hre thei a ni.
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?
Mi pakhatin hypovolemic shock symptoms a lantir i hmuh chuan 1190 emaw 1990 emaw ah call nghal rawh. Chu mi chuan tanpuina a hmuh hma chuan a tha zawk. Ṭanpuina a lo thlen hma chuan chu mi chu a ke chu taksa dang zawng zawng aiin feet khat vel chawi sangin mu rawh. Taksa chu sawn suh, ke chawi sang tur chauh lo chu. Thisen chhuak a awm chuan tihtawp tum la, taksa lum taka awm tir rawh.
Tun hmaa hypovolemic shock i neih tawh chuan, i hliamte thisen a chhuak leh a nih chuan, emaw, a luang chhuak ang tih a hriat chuan emergency room-ah kal leh rawh.
Doctor hnena zawh tur pawimawhte chu engte nge ni?
Doctor i hmuh hunah heng zawhnate hi zawh loh theihnghilh suh:
- He hypovolemic shock hian hun rei tak chhung nghawng a nei dawn em ni?
- Eng chen nge ka dam kim theih nan?
- I damdawi min pek kha eng chen nge ka ei a ngaih?
A tawp berah chuan take-home message
Hypovolemic shock hi damdawi lam emergency a ni. Mahse, enkawl vat vat chuan i nunna a chhanhim thei a ni. Doctor-te chuan i dinhmun hi an tidanglam thei a, mahse i dam theih nan hun a duh dawn a ni. A bik takin shock hi accident na tak avanga lo awm a nih chuan a dam leh theih nan hun rei zawk a ngai thei. Chuvangin, i doctor thupek dik takin zawm la, nangmah leh i hliamte chu uluk takin enkawl rawh. Fimkhur reng ang che!
` hypovolemic shock, thisen tlakchham, tui tlakchham, shock, emergency treatment, thisen sang, symptoms
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