Mi damlo emaw, luak chhuak emaw, ril\am emaw, operation lian tak an neih hnuah emaw, "Saline ka pek che a ngai," "Glucose ka pek che a ngai," an tih hi kan hre vek tawh. Mi thenkhat phei chuan chakna a pe che an ti. Chuti a nih chuan heng tui, vein hmanga taksa hnena pek, emaw, damdawi lam hawia IV tui an tih te hi eng nge ni tak tak? Engvangin nge pek an nih? A him em? Vawiin hian heng zawng zawng hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.
Engvangin nge IV Fluids (salines) kan mamawh?
A awlsam zawngin, kan taksaa tui awm zat hlauhawm taka a tlahniam hunah, chu chu tui kan tlakchham hunah IV fluids kan mamawh a ni . Car engine ang maiin han ngaihtuah teh. Engine a kal tha tur chuan tui leh oil a mamawh ang bawkin, kan taksa chhunga cell leh organ tinte hnathawh that nan tui hi a pawimawh hle. Dik tak chuan kan taksa 60% hi tui atanga siam a ni. Chuvangin he tui zat hi a tlahniam chuan taksa pum hnathawh a tichhe thei a ni.
A tlangpuiin he tui mamawh hi ka atanga tui in in i phuhruk thei a ni. Mahse, a châng chuan taksa chu a chak lo lutuk a, kâa tui kan la thei lo va, a nih loh leh taksa aṭanga tui chhuak chu kâa tui lak aiin a tam zawk daih a ni. Chutiang hunah chuan he tui hi thisenah direct-in vein hmangin a luh a ngai a ni.
Heng dinhmunte hi engte nge ni?
- Natna: I luak tam emaw, i luak chhuak emaw a nih chuan i taksa atangin tui tam tak a bo thin. Hetiang hunah hian i kâ hmanga tui i in pawhin i taksaah a awm reng lo va, a rawn chhuak leh thei bawk.
- Exercise leh lum lutuk: Ni chhuahna hmuna inkhelh emaw, thawhrimna emaw hnua i thawmhnaw tam lutuk hian i taksain tui leh chi a hloh thin. Chumi chhung chuan tui i in tam loh chuan tui tlakchhamna i nei thei a ni.
- Hliam lian emaw, kang emaw: Accident na tak, hliam emaw, vun kang emaw chuan taksa atanga tui tam tak a bo thuai thei a ni.
- Surgery: Surgery lian tak hma leh operation hnuah IV fluid hi taksa tui level vawng reng turin pek thin a ni a, a chhan chu anesthesia hnuaiah i awm a, ei leh in i ei thei lo mai thei.
Taksain tui a hloh (dehydration) hian eng harsatna nge lo awm?
Dehydration tih hian i tuihal tihna mai a ni lo. Kan taksaah thil tam tak a nghawng thei a ni.
- Mineral imbalance: Kan taksa nerve leh muscle te hnathawh dan tur dik taka a thawh theih nan minerals electrolytes an tih, sodium leh potassium te hi a pawimawh hle. Chungte chu tui tlakchham laiin a inthlau lo (unbalanced) thin.
- Rilru hnathawh: Tui hi thluak hnathawhna atan pawh a pawimawh hle. Tui a tlem chuan , ngaihtuahna seng a harsa a , ngaihtuahna a tlahniam bawk.
- Energy hloh: rilru hah, chau tih hriatChau tih hi dehydration symptom pawimawh tak a ni.
- Digestive system: Tui hi chaw ei kawngah a pawimawh hle a, chubakah bawlhhlawh leh zun chhuahna atan pawh a pawimawh hle.
- Lu na: Tui tlakchhamna hian lu na fo leh a nasat theihna a thlen thei.
- Internal organs-a nghawng a neih: Organ lian tak tak, a bik takin kal, thinlung leh thluak hnathawh hi nasa takin a nghawng thei a ni.
- Vun hriselna: Vun a vawt a, a hrual bawk.
Dehydration nasa tak hi medical emergency a nih avangin a hnuaia symptoms te hi fimkhur a pawimawh tih hre reng ang che.
| Severe Dehydration natna lan chhuah dan | |
|---|---|
| Symptom a ni | A sawifiahna awlsam tak |
| Luak chhuak thei | Luak chhuak tih hriatna, mitmeng chu a sen vek. |
| Mit, hmui leh lei a vawt | Mit hring, tap laiin mittui a chhuak lo khawpa vawt, hmui leh lei pawh a hring ang maia vawt. |
| Vun vawt leh rawng danglam | Vun a vawt a, a hrual a, a chang chuan vunah hian hmul a lo lang bawk. |
| Chau | Engmah tih theih loh khawpa tanpui theih loh anga inhriatna. |
| Thâwk rang tak | Thâwk lak dan pangngai aia sang zawk. |
| Kut leh ke lum vawt | Kut leh ke khawih hian khawsik tih hriat. |
| Zun a tlahniam | Ni khatah vawi li aia tlem zun leh zun chhuak chu a rawng dum dum a ni a, rimtui tak a nei bawk. |
IV fluid chi hrang hrang a awm em?
Ni e, "saline" ti mah se, a takah chuan IV fluid chi hrang hrang a awm. I doctor chuan eng type nge i mamawh tih chu i dinhmun a zirin a rel ang. A chi hnih a awm a.
1. Crystalloid solutions: Hengte hi IV fluid chi hrang hrang hman tlanglawn ber a ni. Tuiah hian thil chi hrang hrang te tak te tak tak, tuiah a inthiar chhuak a ni. Heng particle te hi awlsam takin thisen kaltlangin taksa tissue leh cell ah te an lut thei a ni.
- Normal Saline: Hei hi "salt water" kan tih mai mai chu a ni. Sodium chloride (salt) tuiah a hmin a siam a ni.
- D5W (Tuiah Dextrose): Hei hi "glucose" emaw "sugar water" emaw an tih chu a ni. Sugar chi khat dextrose tuiah a hmin a siam a ni.
- Lactated Ringer’s: He solution hian sodium, chloride, potassium, calcium, leh lactate te a pai a. Taksa atanga tui tam tak hloh chu rang taka thlak nan hman a ni.
2. Colloids: Hengte hian particle lian tak tak an nei a. Heng particle te hi awlsam takin cell wall ah an kal thei lo. Chuvang chuan thisen kalna chhungah rei tak an awm reng a ni. Entirnan albumin leh hetastarch te hi a ni .
IV saline pek dan tur chu engte nge ni?
IV fluid i pek a ngaih hunah chuan doctor emaw nurse emaw chuan heng step te hi a zawm ang. Chu chu i hriatna chuan a ṭul lova hlauhna i pumpelh ang.
1. Pakhatnaah chuan doctor chuan thil tam tak, i rih zawng, i kum, leh i damdawi lam dinhmun te chu a ngaihtuah ang a, IV fluid i mamawh chi hrang hrang, pek tur zat leh pek thuai tur a ni.
2. A dawtah chuan nurse chuan i kut ah vein tha tak a thlang ang (a tlangpuiin i elbow chhungah emaw, i kut chunglam ah emaw).
3. A hmun thlan chu disinfectant solution hmangin uluk takin silfai tur a ni.
4. Tichuan, elastic band ang maia tourniquet chu a kut chunglam vel ah dahin tlem a tikhauh a. Hei hian veins te chu a ti lang chiang hle ang.
5. Tichuan, sterilized needle chu uluk takin vein chhungah an dah lut thin. Hetih lai hian stinging sensation tlem i nei mai thei. Plastic tube (cannula) te tak te, needle-a inbun chu vein chhungah dahin needle chu lakchhuah a ni.
6. Tourniquet chu la chhuakin cannula chu vein chhungah a lut kim tawh tih finfiah rawh.
7. Cannula chu i kut ah plaster bandage hmangin secure la, a che thei lo ang.
8. Tichuan tube sei tak chu cannula-ah an thlunzawm a, a tawp lehlamah chuan IV fluid bag-ah an thlunzawm leh a.
9. IV fluid bag hi stand sang takah dah a ni a, a chang chuan pumping machine hmangin i taksaah tui chu set rate-in a luang lut thei a ni.
10. Nurse te chu a thawk tha em tih leh harsatna i neih leh neih loh enfiah turin an lo kal fo thin.
Hei hian a hlawkna leh a hlauhawmna awm lo tak takte chu engte nge ni?
IV fluid pek hi thil awlsam leh him tak a ni a, khawvel hmun hrang hrangah hman a ni. Dam vat turin a pui thei che a, a chang chuan nunna pawh a chhanhim thei bawk.
Mahse, damdawi lam enkawlna dang ang bawkin, harsatna awm thei, a tlem hle . Hengte hi hriat chian a tha a, mahse a tul lovah hlau suh.
| Complication awm thei | Chu chu eng nge a awmzia? (A awlsam zawngin) |
|---|---|
| Air embolism a awm thin | IV line hmanga vein chhunga boruak lut tam lutuk. This is very, very rare , mahse a thleng a nih chuan a pawi thei hle. |
| Vein a tlakbuak | Needle dah a nih chuan emaw, cannula chu a hmuna rei tak a awm chuan emaw vein chu a inzawm khawm thei a ni. Chutiang a nih chuan medical staff te chuan vein dang an hmang ang. |
| Fluid a tam lutuk | Tui i in tam lutuk chuan lu na, thisen sang leh thawk harsa i nei thei. Hei hi i fluid level i siamrem hnuah a reh nghal vat ang. |
| Hematoma (Hematoma) a awm | Thisen kalna kawng atanga a chhehvel tissue-a thisen chhuak. Hei hi hliam na tak ang mai a ni a, kar tlemte chhungin a mah chauhin a dam leh thin. |
| Kaichhawng | Piercing site hi uluk taka tihfai loh chuan infection a awm thei a ni. Hengte hi antibiotics hmanga enkawl theih a ni. |
| Infiltration a ni | Cannula hi vein atang hian a chhuak thei a, a chhehvel tissue ah tui a leak thei bawk. Hei hian inflammation leh bruising a thlen thei a, mahse awlsam takin a reh thei. |
| Phlebitis natna (Phlebitis) a ni | IV hian vein a ti na a. Hei hi a awm fo thin a, mahse awlsam takin IV lakchhuah a, warm compress hmanga enkawl theih a ni. |
Saline infusion chhung hian doctor emaw nurse emaw hnenah eng nge ka hrilh tur?
Saline solution ei laiin harsatna i neih chuan report nghal tur a ni. Hei hian harsatna lian zawk a nih loh nan a veng thei a ni.
- Saline bag chhunga fluid flow rate chu a slow lutuk emaw a rang lutuk emaw a nih chuan .
- Cannula dahna hmun chu a na a, a hring, a sen, a nih loh leh a kang tih hriat a nih chuan .
- Cannula chu a lo chhuak tih a hriat chuan .
- Lu na emaw thawk harsa emaw i neih thut chuan .
Hetiang thil i hriat chuan chutah chuan nurse emaw doctor emaw biak pawh hlau suh. I himna atan a pawimawh hle.
Take-Home Thuchah a ni
- IV fluids, emaw "saline" emaw "glucose" kan tih ang chi hi chu taksa tui leh minerals a tlakchham (dehydration) huna taksa tui leh minerals te tihpun nan vein hmanga pek chhuah chi bik a ni.
- Luak chhuak, luak chhuak, thawk hah lutuk, accident leh surgery-ah te hman a ni tlangpui.
- Hei hi damdawi hman dan pangngai leh him tak a ni a, mahse harsatna a awm tlem hle.
- IV fluid i dawn laiin cannula awmna hmunah natna, hliam emaw taksa lama harsatna dang i neih chuan doctor emaw nurse emaw hnenah hriattir nghal rawh.
- I doctor chuan i dinhmun atana tha ber IV fluid chi leh a zat a ruat ang a, chuvangin i doctor thupek zawm fo ang che.











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