Nangmah emaw i hriat mi emaw ICU-ah admit i ni tawh em? Hemi chungchang hi han sawi ila! (Intensive Care Unit - ICU) ah hian a awm a.

Damdawi ina awm hi tumahin kan duh lo. Mahse a chang chuan kan nunna chhanhim nan, emaw, dinhmun khirh tak atanga dam leh turin damdawi lam tanpuina kan mamawh thin. Chutiang hunah chuan "ICU" tih hi i hre tawh mai thei. Mi tam tak chuan ICU tih thumal an hriat hian an hlauthawng deuh a, an hlauthawng deuh bawk. Chuvangin vawiinah hian ICU chu eng nge a nih, chutah chuan eng nge thleng thin, engvangin nge a pawimawh tih hi han sawi ila.

ICU chu eng nge ni? Engvangin nge a danglam bik em em?

A awlsam zawngin sawi ila, Intensive Care Unit (ICU) hi damdawi in pakhata unit bik tak a ni. A dik tak chuan nunna atana hlauhawm emaw, natna khirh tak tak emaw, accident na tak tawk tawh emaw enkawlna hmun a ni. Ni e, ICU-a awm hian thil awmdan chu a pawi deuh tihna a ni . A chhan chu hetiang hmuna damlote hian darkar 24 chhungin specialist doctor leh nurse te hnen atangin ngaihven bik, enkawl leh enkawl an mamawh a ni.

A châng chuan hming dang hmanga koh a ni a, i hre tawh mai thei:

• `Critical Care Unit` tih a ni
• `Intensive Therapy Unit` tih a ni
• `Intensive Treatment Unit` tih a ni

Engtiang pawhin sawi mah la, ngaihtuahna chu a inang vek. Chu chu, enkawlna bik, intensive care pena hmun tihna a ni .

ICU-a enkawl ka mamawh leh mamawh loh engtin nge doctor-te hian an rel ang?

Tunah chuan, "Engtin nge mi pakhat ICU- a dah i tum ?" Doctor-te chuan chu thutlukna an siam hian thil tam tak an en a. Hetiang thil hi han ngaihtuah teh:

• I diagnosis : Hei hian eng medical condition nge i neih tihna a ni.
• Tun thlenga enkawlna i dawn tawhte hi engtin nge i chhân lêt? : A chang chuan regular ward-a enkawlna pek hi a tawk lo thei.
• Damdawi lam harsatna dang i neih (`Comorbidities`) : Entirnan, natna dang zunthlum emaw thisen sang emaw i neih chuan damdawi lam dinhmun bulpui ber chu a buaithlak zual thei.
• Natna emaw, chetsualna emaw nasat dan : Thil awmdan a nasat zia kan en bawk.

Tin, doctor-te pawhin i mimal duhzawngte an ngaihtuah bawk ang. Mi thenkhat chuan ICU-ah hian enkawlna thenkhat chu an nunphungah nghawng tha lo a nei dawn nia an ngaih emaw, an dam leh theihna chance a tlem hle emaw a nih chuan an dawng duh lo mai thei.

ICU-a admission chhan berte chu engte nge ni?

Damdawi lam harsatna leh hliam chi hrang hrang ICU-a enkawl ngai a awm a. A chhan tlangpui thenkhat han thlir ila:

• Surgery lian tak hnua dam leh hun : Surgery lian tham thenkhat hnuah damlo chu ICU-ah direct-in sawn a ni a, uluk taka enkawl a ni.
• Ruptured brain aneurysm: Hei hi emergency pawi tak a ni.
• Sepsis : Hei hi natna khirh tak a ni a, taksa pum puiah a darh a.
• Bacteria emaw viral infection na tak : A chang chuan heng infection te hi nunna atana hlauhawm tak a ni thei.
• Stroke : Thluak a thisen kal dan a block avanga lo awm thin .
• Taksa peng lian tak pakhat a chak loh thut : Entirnan, thinlung, kal, thin, emaw lung (`(Respiratory failure)`) te hian hna an thawk tawh lo thut.
• Operation hnua harsatna awm thei .
• Accident na tak : Silai kah hliam, car accident na tak tak ang chi thil.
• Lu hliam na tak (Traumatic brain injury) .
• Shock : Hei hi taksain thisen kal tha tawk a hloh a, taksa peng hrang hrangah oxygen leh nutrients a tlakchhamna a ni.
• Cancer nena inzawm natna khirh tak tak leh enkawlna thenkhat .

Hetiang dinhmunah hian ICU-a specialist service pekte hi damlo nunna chhanhim tur leh dam thuai theihna turin a pawimawh hle.

ICU-ah hian eng ang enkawlna nge pek thin? He enkawlna hi tuin nge pe?

Intensive care unit ah chuan damlote chu darkar tin enkawl leh enkawl an ni . Hemi atan hian damdawi hmanraw bik (specialized medical equipment) tam tak hman a ni.

ICU hian ``multidisciplinary care`` a pe thin. Chu chu, doctor, nurse leh health care worker dangte, kawng hrang hranga thiamna nei team chuan damlo pakhat enkawl turin an thawk ho tihna a ni. Hetiang team hi han mitthla teh:

• Critical care physician / intensivist : Hengte hi ICU-a doctor lian ber berte an ni.
• Trauma surgeon : Hliam na tak tuar tawhte enkawltu surgeon.
• Nursing officer leh medical assistant (`Advanced Practice Providers emaw APPs`) a bik taka zirtir .
• Nurses : Nursing staff te hi damlo enkawl nan hun hmang tam ber an ni.
• Respiratory therapist : Thâwk lama harsatna nei damlote ṭanpuitu.
• Occupational therapist : Damlote an hnathawhna hmuna an kir leh theihna tura puitu.
• Doctors in training (`Residents`) : Medical degree zo tawh leh specialized training dang nei mekte.
• Doctor specialist training nei mek (`Fellows`) te chu .: Chu chu doctor-te, an basic training zo tawh leh specialist training thuk zawk dawng mekte tihna a ni.
• Clinical pharmacists : Damlote hnena damdawi pek chungchanga specialist hriatna nei te.
• Physical therapist : Taksa chetna, taksa ruh, etc. siam that lehna tura puitute.
• Nutritionists : Damloin a mamawh ei tur dik tak a dawn theih nan enkawltute.
• Social worker : Damlo leh chhungte tana rilru lam leh thil dang puihna pe thinte.
• Case manager : Damlo enkawlna inrualremtute.

Team pakhatin damlo pakhat tan engzat nge hna a thawh tih hi han en teh! Mi zawng zawng tum ber chu a rang thei ang bera damlo tihdam hi a ni.

ICU-ah hian eng hmanrua nge hmuh tam ber?

ICU-ah i kal chuan machine leh monitor chi hrang hrang i hmu ang. Hengte hi damlo dinhmun enfiah rengna atan leh a tul anga enkawlna pekna atan hman a ni. Device hman ber thenkhat han thlir ila:

• Anesthesia machine : Hengte hi operation emaw, natna nei emaw tih laiin natna tidamtu damdawi pekna atan hman a ni.
• Central leh peripheral IV : Hengte hi taksaah damdawi, saline ang chi te pek nan an hmang thin. Natna leh lungkhamna damdawi pek nan an hmang bawk.
• Defibrillators : Lung chu a thawk a tawp nghal (Cardiac arrest) chuan he machine hmang hian electric shock pein a restart leh thin.
• Imaging equipment : Taksa chhung lam hmuh theih nan X-ray leh ultrasound ang chi thil a ngai a.
• Life support machine : Hengte hi taksa peng hrang hrang hnathawk tha lote thlawp nan emaw, chu taksa peng hrang hrangte hnathawh hun engemaw chen atan emaw hman a ni.
• Mechanical ventilation : He machine hian damlo mahnia thawk thei lote chu thawk turin a pui thin.
• ECMO (Extracorporeal membrane oxygenation) : Thinlung leh lungte puitu machine bik a ni.
• Continuous renal replacement therapy : Hei hi kal (kidney) hnathawh that loh huna hna thawh dan a ni a, dialysis nen a inang.
• Peripheral IVs : Hengte hi plastic tube te tak te, saline, enteral nutrition (a chang chuan hnar hmanga tube hmanga pek), damdawi, leh thisen pekna atana hman thin a ni.
• Urinary catheters : Hengte hi zun atanga zun chhuah nan an hmang thin.
• Vital signs monitors : Hengte hian taksa lum leh vawt, thisen sang, heart rate, leh thawkna rate ang chi thil te chu an teh reng a, an entir reng bawk.

He hmanrua hi i hmuh hian hlau suh. Heng zawng zawng hi damlo enkawlna tha ber pekna tur a ni.

ICU-a damdawi hman tam berte chu engte nge ni?

ICU-ah chuan damlo dinhmun a zirin damdawi chi hrang hrang hman a ni. Entirna thenkhat chu hetiang hi a ni:

• Lung lam natna (`Antiarrhythmics`) damdawi .
• Antibiotics : Hri kai enkawl.
• Antipsychotic damdawi: Rilru lama harsatna thenkhat tan.
• Epilepsy emaw seizures ang chi natna tan antiseizure damdawi .
• Beta-blockers : Circulatory system condition thenkhat tan.
• Antihypertensives te pawh a awm bawk .
• Calcium channel blockers : Heart rhythm disorder, thisen sang, leh heartbeat chak tak (tachycardia) ang chi natna tan.
• Diuretics : Lung chak lohna leh edema ang chi natna atana zun tamna thlentu damdawi.
• Painkillers : Natna hniam lam atanga na tak thleng control.
• Neurostimulants : Thluak hliam leh stroke te tan a pui thin.
• Sedatives : Natna, lungawi lohna a tihziaawm a, damlo chu a rilru a hahdam tir bawk.
• Vasopressors : Thisen sang (hypotension) i neih chuan.

Heng damdawi zawng zawng hi doctor-te enkawlna khauh hnuaia pek vek a ni a, damlo dinhmun ang zela siam a ni.

ICU-a admit i nih chuan eng nge i beisei ang?

Intensive care unit hi hmun buaithlak tak a ni . A chhan chu, chutah chuan damlo zawng zawng chu engtik lai pawhin i ngaihven a ngai a ni. Damdawi lam thawktute chuan damlo chu a hlim theih nan theihtawp an chhuah thin. Mahse, mi thenkhat tan chuan chuta buaina te, machine thawm te, leh rim thenkhat te chu tuar harsa deuh a ni thei a, an rilru a buai deuh thei bawk.

Ward dang ang lo takin ICU-ah khum tlemte chauh a awm a. Nurse hian damlo pakhat emaw pahnih emaw chauh a enkawl tlangpui. Tin, damlo tlawh thei tur pawh khapna a awm bawk . Tlawh theih zat hi a tlem a, mobile phone hman phal a ni lo mai thei a, ei leh in, pangpar, etc. keng lo tura tih an ni thei bawk.Tin, tlawhtuin khawsik emaw, natna dang emaw a neih chuan in lama awm reng a tha ber. Heng zawng zawng hi damlote himna tura tih a ni.

Miin natna hrik kai theih a neih chuan ICU-a isolation area hranah dah theih a ni a, chu chu midangte hnena natna a darh loh nan a ni. Chutiang a nih chuan medical staff te pawhin personal protective equipment (PPE) dang an hman a ngai dawn a ni. Hei hian a huam thei ang:

• Safety glasses a awm bawk
• Face shield a awm bawk
• Kutkawr
• Gown bik a awm bawk
• Lu khuhna tur
• Hmai hmai tuamna (`Masks`) .
• Thlawhna hmanrua
• Kekawr khuhna tur

Damlo chu a rilru a buai emaw, a rilru a hahdam a, an duhzawng a sawi chhuak thei lo a nih chuan, damlo enkawl dan tur chungchangah hian chhungkuain thutlukna siam a ngai a ni. Emergency-ah pawh doctor-te chuan damlo tan thutlukna an siam a ngai mai thei bawk.

Engtikah nge ICU ka chhuahsan theih ang?

Hei hi damlo dinhmun nasat danah a innghat tak zet a ni . ICU-a awm tam zawk chu an dam leh a, damdawi in an chhuahsan thin. Mahse, ICU enkawl ngai dinhmunte hi a buaithlak hle a, a chang chuan beisei loh takin a danglam thei bawk. ICU-ah hian darkar tlemte chauh i awm a ngai mai thei a, kar tam tak emaw, thla tam tak emaw pawh i awm a ngai mai thei bawk. I doctor chuan hei hi rough idea a pe ang che.

ICU chi hrang hrang a awm em? ICU tin hian specialty an nei em?

Ni e, damdawi in thenkhatah chuan ICU chi hrang hrang specialized an nei a. Chu chu, damlo pawl thenkhat emaw, damdawi lam dinhmun thenkhat emawa specialise intensive care unit tihna a ni. Entirna thenkhat chu:

• Cardiac intensive care unit (CICU) : Lung natna nei te a enkawl thin.
• Cardiothoracic intensive care unit (CTICU): Lung leh lung natna nei tan .
• Neonatal intensive care unit (NICU): Nau piang thar tan , a bik takin naute piang hma leh damlo tan.
• Medical intensive care unit (MICU) : Damdawi lama harsatna khirh tak tak, natna khirh tak tak, leh thawk lama harsatna nei tan.
• Naupang enkawlna hmun (PICU) : Naupang enkawl.
• Surgical and Trauma Intensive Care Unit (STICU) : Surgery hnua damlo leh accident na tak tuar te tan.

Hetiang specialised ICU neih hian damlo tinte mamawh specialized service tha zawk kan pe thei dawn a ni.

ICU tih awmzia chu life support-a awm reng tihna em ni?

Hei hi a ni reng reng lo. Mahse, ICU-a mi tam tak chuan an taksa peng hrang hrangte a thawh theih nan damdawi lam thil an mamawh a ni. Entirnan, mechanical ventilation, dialysis, leh defibrillator te ang chi thil te. Chûngte chu taksain a mah chauha a tih theih tawh loh thilte a tih theih nâna hman a ni.

ICU hi nun tawp lama enkawlna mai mai a ni em?

A châng chuan chutiang chu a ni thei a, mahse a ni reng reng lo. ICU hi natna khirh tak tak emaw, hliam tuar emaw te tan specialised medical care pekna tura duan a ni. Mahse, a châng chuan damlo chu ICU-a enkawl pawhin damdawi lam dinhmun aṭanga a dam theih lohna a awm .Chutih hunah chuan nangmah, i medical team leh/ emaw i hmangaih takte’n ICU enkawl a ngai tawh lo tih in rel a nih chuan damdawi inah regular ward-ah sawn i ni thei ang. A nih loh leh, a theih chuan in lamah thawn haw i ni thei a, a nih loh leh i dam chhûnga natna tihziaawmna leh thlamuanna pe thei hospice facility-ah hruai i ni thei bawk.

A pawimawh ber chu ICU-a thawktute hian i rilru leh i chhungte rilru put hmang an hrethiam a ni. He hun harsa karah hian a tha ber tur leh thlamuan che an tum reng a ni.

A tawp berah chuan hriat reng tur pawimawh ber berte

Okay, chuvang chuan tunah chuan ICU chungchang kan sawi nasa hle. Thil pawimawh tak tak hriat reng tur thenkhat chu hetiang hi a ni:

• Intensive care unit (ICU) hi natna khirh tak tak enkawlna hmun bik a ni.
• ICU-a admit a nih chuan damlo leh chhungte tan hlauhna, lungkhamna leh lungkhamna te chu thil pangngai a ni tihna a ni. Chu chu thil awmdan pangngai tak a ni.
• ICU-a thawktu zawng zawng, doctor leh nurse te pawhin damlo tanpui tur, enkawlna tha ber pe tur leh he hun harsa tak kara thlamuanna pe turin an awm vek a ni.

Nangmah emaw, i hriat miin emaw ICU-a enkawl a ngai a nih chuan hlau suh. Doctor-te thusawi ngun takin ngaithla la, zawhna i neih apiang zawt rawh. An pui ang che.

` Intensive Care Unit, ICU, Damdawi In, Emergency Care, Life Support, Specialist Doctor, Damdawi hmanrua