Engtin nge thawk kan chawlhsan nghal a nih chuan, emaw, operation lian tak kan nei a nih chuan engtin nge kan thawh theih ang tih i ngaihtuah ngai em? Chu chu doctor-te chuan ``Intubation'' tih procedure an hmang a ni.Hei hi thumal hlauhawm deuh ni mahse, a takah chuan mi tam tak nunna chhanhimna kawngah a pui a ni. Eng nge a nih, engtin nge tih a nih a, engvangin nge awlsam taka tih a nih tih i lo en ang u.
`(Intubation)` tih awmzia chu eng nge ni?
A awlsam zawngin, `(Intubation)` (intubation) tih hi doctor-in i thlipui (`(trachea)`)-ah i hmui atanga emaw, a chang chuan i hnar emaw hmanga i thlipui (`(trachea)`) chhunga tube te tak te a dah hian a ni. He tube hian i thlipui chu a hawng reng a, chuvangin boruak chu awlsam takin a lut thei a ni. Chumi hnuah he tube hi machine nen a inzawm thei a ni. He machine hian oxygen emaw boruak emaw pressure hnuaiah i lung chhungah a thawn lut thin. Hei hi `(Mechanical Ventilation)` kan ti a.
He ``(Intubation)`` hian hming dang a nei a:
- Thli kawng intubation a awm
- Endotracheal intubation (ETT) hmanga tihdam theih a ni.
- Tracheal intubation hmanga tih a ni
Heng zawng zawng hi thil pakhat hming a ni vek.
Engvangin nge hetiang `(Intubation)` hi tih a ngai?
I thawkna kawng khar, inkharkhip emaw, hliam emaw avanga thawk tha thei lo i nih chuan doctor chuan intubate a ngai mai thei. Ngaihtuah teh, rang takin, accident na tak i tawk a, i rilru leh i kawr a hliam a, thawk harsa tak a ni. A nih loh leh, i hriatna i hloh chuan i thawk i thunun thei lo ang. Hei hi hei hi a tul hun a ni.
`(Intubation)` tih chhan dang engemaw zat a awm bawk:
- I thawkna kawng chu i pum, i rilru emaw, i kawng emaw a hliam avanga a nghawng a nih chuan.
- Thil hriatna hloh (fainting ang chi) emaw, hriatna level tlahniam emaw. Hei hian i thawk dan i thunun thei lo thei a ni.
- Nangmah chauha thawk theih lohna hmuna operation lian tak neih a ngai a nih chuan. A tlangpuiin anesthesia kan pek hian keimahni chauha thawk kan har thin.
- Thluak lama harsatna nei. Chumi awmzia chu i lungin hna a thawk tha tawh lo tihna a ni.
- Chaw, luak chhuak, leh thisen ang chi thil hi thawk chhuah leh lung chhunga lut (Aspiration) .
- Thil pakhat chu thawkna kawngah a tang a, boruak a luang chhuak lo a nih chuan ``Airway obstruction`` an ti a ni.
- Cardiac arrest hi thinlung hnathawh a chawlhsan thut hian a awm thin.
- Thâwk lak hun engemaw chen a tawp chuan (Apnea).
Heng zawng zawng avang hian intubation hi a ngai thei bawk.
Hei hi engtiang chiahin nge a hluar?
Dik tak chuan ``(Intubation)`` hi thil awmze nei tak, nunna chhanhim thei tak a ni. United States-ah ringawt pawh hian kum tin heng thiltih zinga maktaduai 15 vel chu operation room-ah tih a ni. Chu bakah, an zinga sang za tam tak chu emergency situation-ah tih a ni bawk. Chuvângin, hei hi eng chen nge tih a nih tih chu i ngaihtuah thei ang. Sri Lanka-ah pawh tih fo a ni.
Endotracheal Intubation tih a nih hian eng nge thleng tak tak?
A tam zawkah chuan he `(Intubation)` hi damdawi in chhungah tih a ni. Mahse, a chang chuan emergency medical services (`(EMS)` personnel) te chuan damdawi in pawnah an ti thin.
Hei hi tih dan tlangpui chu hetiang hi a ni:
1. A hmasa berin i kut vein pakhatah cannula te tak te (IV needle) dahin chuta tang chuan anesthetic pek a ni a, chu chuan mutthilh leh natna nei lo turin a siam a ni.
2. Tichuan i hnar leh ka chungah oxygen mask dah a ni ang a, chu chuan i taksaah oxygen extra a pe ang.
3. I lu chu hnunglam hawi deuhin a awm ang a, ``laryngoscope'' an tih device chu i hmuiah (a tul chuan i hnar hmangin) dah a ni ang. ``Laryngoscope'' hian kutkawr, light, leh blade blunt tak a nei a. Hei hian doctor chu ``tracheal tube'' dahna dik tak a hmuh theih nan a pui a ni.
4. A dawtah chuan ``(laryngoscope)`` chu ka chhung atanga hnunglam thlengin lak a ni a, ha a tlak loh nan fimkhur a ni.
5. I hmui hnung lama innghat tissue flap (the epiglottis) chu i voice box (the larynx) humhim turin a sang chho a.
6. `(Laryngoscope)` tip chu i `(Larynx)` kaltlangin i `(Trachea)` (windpipe) ah a lut a.
7. Tichuan, balloon ang chi hmanrua te tak te chu endotracheal tube vel chu an inflated a. Hei hian tube chu trachea-ah a kal lo tih a tichiang a, chu tube kaltlanga boruak pek zawng zawng chu lung chhungah a lut nghal vek a ni.
8. Tunah chuan `(Laryngoscope)` chu la chhuak rawh.
9. Thâwkna tube chu hma leh hnung a kal loh nan, ka hmui lehlamah plaster dah emaw, lu vel chu band dah emaw a ni.
10. A tawp berah chuan X-ray hmangin tube chu a awmna tur dik takah a awm em tih enfiah a ni a, a nih loh leh bag hmangin tube chhungah boruak pump lut a, lung atanga thawm lo chhuak chu ngaihthlak a ni.
Hei hian eng chen nge a daih ang?
Emergency-ah chuan doctor chuan he ``(Intubation)'' hi minute khat aia rei lovah a ti thei a ni. Hei hi chutiang rang taka tih theih thil a ni.
Tube a awm lai hian ka tawng thei ang em, ka ei thei ang em, ka in thei ang em?
Ni lo , i tawng thei lo. A chhan chu he thawkna tube hi i vocal cords kaltlangin a kal a ni. Chuvangin thu sawi tum pawhin thawm a chhuak lo.
Tin, tube a awm lai hian i ei thei lo bawk. Chuvangin i ei leh in thei lo. Hetianga i awm rei tur a zirin doctor-te chuan enteral nutrition (intravenous nutrition) emaw saline (IV fluids) emaw an pe ang che. A châng chuan i ka emaw, i hnar emaw hmangin i pum emaw, i ril te tak teah nutrition pe turin thin tube hran i dah thei bawk.
Engtin nge tube hi i lakchhuah theih ang? (``(Extubation)`` tih hi eng nge ni?)
Doctor-te’n tube lakchhuah chu a him nia an hriat chuan an la chhuak ang. Hei hi ``Extubation`` an ti a. Hetiang hian a tih dan chu a ni:
- Tube hmuna vawn tlat plaster emaw tape emaw chu a la chhuak a.
- Suction device hian i thawkna kawng atanga mucus leh bawlhhlawh dangte a paih chhuak thin.
- Thlipui chhunga balloon inflated chu a deflated a ni.
- Tichuan thawk la la, tube an lak chhuah rualin khuh emaw, thawk chhuah emaw turin an hrilh che a ni.
`(Extubation)` hnu ni engemaw zat chhung chu i ril (`(Pharynx)`) chu a na deuh thei. Thu sawi harsa deuh pawh a ni thei bawk. Hei hi thil pangngai a ni a, lungngai suh.
Intubation hian eng hlawkna nge a neih?
Intubation hi hman tlanglawn tak, a tlangpuiin a him a, i nunna chhanhim thei a ni.
Hei hian a hlawkna lian ber chu thawk harsatna nei mi nunna a chhanhim thei a ni. Chuvangin, risk tenau dangte nena khaikhin chuan hei hi thil hlu tak a ni.
Intubation tih a nih chuan damchhuah theihna chance engzat nge awm?
Hei hi mi hrang hrangah a inang lo tak zet a ni. Thil tam takah a innghat a, chu chu intubation i tih chhan, i kum, i hriselna tlangpui, etc. Mahse zirchianna pakhatah chuan emergency room-a intubation nei mi sawm zinga pasarih vel chu an damchhuak tih hmuhchhuah a ni Chuvângin, chu chuan nunna chhanhimna a nihzia a târ lang a ni.
Intubation hman hian eng hlauhawmna nge a neih?
Intubation hi a tlangpuiin a him viau nachungin, hlauhawmna engemaw zat a awm. Mahse, nunna chhanchhuah hi heng hlauhawmnate aiin a hlu zawk tih hre reng ang che.
- Aspiration : Intubation lai hian luak chhuak, thisen emaw, tui dang emaw chu lung chhungah a lut thei.
- Endobronchial intubation: Thlipui (trachea) chhunga thlipui (trachea) chhunga thlipui atanga lung chhunga branch chhuak, thlipui (bronchi) lian pahnih zinga pakhata dah luh tube.
- Esophageal intubation: Thlipui (trachea) ni lovin thawkna kawng (esophagus)-ah a lut a nih chuan doctor-in a enkawl vat loh chuan thluak a tichhe thei a, thihna pawh a thlen thei a ni.
- Thlawhna kawng nghet lo: Intubation tih that theih loh chuan doctor ten an enkawl thei lo mai thei.
- Infection: Bacterial infection, sinus infection ang chi hi intubation hnuah a lo awm thei a.
- Hliam: Intubation hmang hian ka, ha, lei, vocal cord emaw, thawkna kawngah emaw hliam a awm thei. Heng hliamte hian thisen a chhuah a, a hring thei bawk.
- Anesthesia atanga chhuah huna harsatna: Mi tam zawk chu anesthesia hmang hian an dam tha hle. Mahse, ṭhenkhat chuan harh harsa an ti thei a, a nih loh leh harsatna dang, khawsik, taksa ruh hring (malignant hyperthermia), emaw, hun eng emaw chen emaw, a awm reng emaw nerve chhiatna emaw an tawk thei bawk.
- Tension pneumothorax (pulmonary collapse): Chhung chhunga boruak tang chuan lung a tikehsawm thei.
Heng thilte hi thleng thei mah se, doctor-te chuan heng zawng zawng hi an ngaihtuah hle a ni.
Tu nge intubate loh?
A châng chuan doctor-te chuan intubation tih hi a him lo tih an rel ṭhin. Hei hi thawkna kawngah hliam na tak a awm a nih chuan a thleng thei a, emaw, tube him taka dah theih lohna tur kawngkhar a awm chuan a thleng thei bawk.
Chutiang hunah chuan doctor-te chuan i kawr hnuai lam chu i thawkna kawng hawnsak tûrin operation tihsak an rel thei a ni. Hei hi `` tracheostomy.`` tih a ni.
Eng chen nge tihdam a ngaih?
Mi tam zawk chu intubation hnu darkar engemaw zat emaw, ni engemaw zat emaw chhungin an dam leh thin. Mahse, intubation hnu kar tlemteah pawh khuh, ei leh in, tawng harsa i neih chuan doctor pan tur a ni. Beng, hnar leh rilru lam specialist (otolaryngologist) hnenah an refer thei che a ni.
Intubation hnuah engtikah nge doctor i hmuh ang?
Intubation hnua heng symptoms te hi i neih chuan doctor pan nghal rawh:
- A rilru a na
- Thâwk harsa, thawk harsa ang mai
- Thusawi harsa emaw, ei theih loh emaw
- Thlarau na na tak
- Hmai a hring chhuak
Heng zinga pakhat tal i neih chuan doctor hnenah hrilh ngei ang che.
Intubation hi engtiang chiahin nge a pawi?
Hei hi `(Intubation)` neih a ngaih chhanah a innghat. A châng chuan doctor-te chuan operation ruahman saah `(Intubation)` an hmang ṭhin. Thil lian tak a ni lo. Mahse emergency-ah, mahni chauha thawk thei lo, nunna chhanhimna atana `(Intubation)` tih a nih chuan thil pawi tak a ni tak zet a ni.
``Intubation'' leh ``ventilation'' hi thil hrang hrang pahnih a ni em?
``(Intubation)`` leh ``(Mechanical Ventilation)`` te hi an inzawm tlat a ni. Mahse, an inang chiah lo.
- Intubation chu thawkna kawngkhar chhunga thawkna tube dah luh a ni.
- Chumi hnuah doctor chuan tube chu thawkna atana hmanraw pakhatah a thlunzawm a. He hmanrua hi kut chhuak bag, boruak pump thei a ni thei a, ventilator pawh a ni thei bawk.
- Ventilator chu i thawkna kawng leh lung chhunga oxygen pump luttu machine a ni. A châng chuan ventilator hian tube hmang lovin i hmai chungah mask hmangin boruak a pe chhuak ṭhin.
I hrethiam em? A tam zawkah chuan ventilator hi ``Intubation'' hnuah connect a ni.
`(Nasotracheal intubation)` tih hi eng nge ni?
Hei hi doctor ten i hnar atanga thawkna tube an dahna hmun a ni. Hei hi i lu, i hmui, i kawr zai i nih chuan hman a ni fo. I kawr emaw thlipui emaw hliam na zawk a awm loh nan a pui bawk.
A tawp berah chuan thil hriat reng tur
Doctor-in i rilruah tube a dah tih ngaihtuahna chu a hlauhawm thei hle. Mahse intubation hi damdawi lam thil a ni a, operating room leh emergency room-ah te tih a ni fo a, chu chuan thawk i la thei lo a nih chuan i nunna chhanhimna kawngah a pui thei a ni. Mi tam tak chuan a hnuah rilru na emaw, thusawi harsatna engemaw tak emaw an nei a. Mahse chu side effects chu kar khat chhungin a bo tlangpui. Chuvangin, i doctor-te chu ring rawh. I tana tha ber tih an tum reng a ni.
` Intubation, thawk, emergency care, thawkna lama tanpui, ventilator, surgery, tracheostomy











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