Damdawi inah mi pakhat ‘saline’ pek a nih lai i hmu tawh mai thei, i hre tawh mai thei. Arm chhungah cannula dah a ni a, stand sang tak atanga bag innghat atang chuan taksaah tui pump lut a ni. Mi tam tak chuan hei hi an hlau deuh a, mi thenkhat chuan hei hi natna khirh tak tan chauh pek thin niin an ngai bawk. Heng IV fluid te hi eng nge ni tak tak, a nih loh leh kan hriat vek saline te hi? Eng dinhmunah nge pek a nih? Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
Engvangin nge IV Fluids kan mamawh?
A awlsam zawngin, IV (intravenous) fluids hi tui bik, vein hmanga taksa hnena pek chhuah a ni. An pek chhan ber chu dehydration venna emaw enkawl emaw a ni a , chu chu taksa tui leh chi pawimawh tak takte hlauhawm taka a tlahniam hun a ni.
Kan taksa hi 60% tui atanga siam a ni. Chuvângin, hetiang tui zat hi a tlahniam a nih chuan eng nge thleng ang tih han ngaihtuah teh. Taksa chhunga cell leh organ tin tan tui hi a pawimawh hle. Mi pakhatin tui a mamawh zat a vawng reng thei lo a nih chuan IV fluids hi a pawimawh ta hle a ni.
| IV Fluids mamawhna hmunpui ber | |
|---|---|
| Natna khirh tak a nih avangin | If you have severe vomiting and diarrhea , taksa atangin tui tam tak a bo nghal vat thin. Chutiang hunah chuan kâa ei thilte chu taksain a hip lut lo. |
| Exercise leh lum lutuk | Tui i in tam loh emaw, exercise i tih tam loh emaw, ni êng nasa tak i hmuh loh emaw chuan, thawmhnaw hmangin taksa aṭangin tui tam tak a bo a ni. |
| Hliam na tak emaw, kangmei emaw | Chutiang hunah chuan taksain tui tam tak a hloh thei a ni. |
| Inzai | A bik takin anesthesia hmanga surgery (put to sleep)-ah chuan damloin ei leh in a ei theih loh vang leh surgery neih chhunga tui a mamawh avangin IV fluid pek thin a ni. |
Dehydration avanga nghawng leh a lan chhuah dan
Taksa tui a tlakchham chuan thil tam tak a nghawng thei a ni.
- Taksa chhunga electrolyte balance hloh.
- Rilru lama thawhrimna tlahniam leh hriatrengna lama harsatna.
- Thahrui hloh, chau tih hriat reng reng.
- Chaw ei mumal lo leh chaw ei dan mumal lo.
- Lu natna awm tam lehzual.
- Organ lian tak tak, kal, thinlung , leh thluak tihchhiatna .
- Taksa tihchakna lama chak lohna.
- Vun hriselna a chhiat.
Tunah chuan hengte hi tui tlakchhamna nasa tak chhinchhiahna langsar ber a ni. Heng zinga pakhat emaw a aia tam emaw i neih chuan damdawi lam thurawn lak nghal a pawimawh hle.
| Symptom a ni | I rilru put hmang/i hmel lan dan |
|---|---|
| Luak chhuak thei | Ding emaw, tho emaw a luak chhuak tih hriat. |
| Mit a vawt | Tap lai pawhin mittui a chhuak lo khawpa mit a vawt tih hriat. |
| Ka hmui leh lei a vawt | Saliva tlakchham, hmui chhe, leh lei hring. |
| Vun a vawt | Vun a vawt a, a hrual a, a chang chuan vunah hian hmul a lo lang bawk. |
| Chau | Hna engmah thawk lo pawhin chau lutuk tih hriat. |
| 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 dum dum a ni. |
IV Fluid chi hrang hrangte chu engte nge ni?
I doctor chuan eng ang IV fluid nge i mamawh tih a rel ang. I dinhmun a zirin a danglam ang. A chi hnih a awm a.
Crystalloid Solution hmanga siam chhuah a ni
Hengte hi hman tam ber an ni. Heng tui chhunga thil te te te hi awlsam takin kan thisen kaltlangin kan cell-ah an lut a.
- Normal Saline : Hei hi ‘saline’ tia kan hriat vek a ni. A awlsam zawngin tui leh chi ( sodium chloride) a pai a ni.
- D5W: Hei hian sugar chi khat dextrose leh tui a pai a.
- Lactated Ringer’s: Hei hian sodium, chloride, potassium, calcium, leh lactate te a pai a. Tui tam tak taksaa pek vat a ngaih hunah hman a ni.
Colloid Solution hmanga siam a ni
Hengte hi particle lian tak tak an ni. Cell-ah awlsam takin an lut lo va, thisenah an awm fo bawk. Albumin leh hetastarch te hi a entir a ni.
IV dah a nih hian eng nge thleng?
Hetiang kalphung hi doctor emaw, nurse trained emaw chuan a ti thin. Zawi zawiin a kal zel a ni.
1. A hmasain i rih zawng, kum leh i damdawi lam dinhmun a zirin IV fluid i mamawh chi leh a zat kan ruat thin.
2. A dawtah chuan cannula dahna tur hmun (a tam zawkah chuan elbow chhung emaw, kut chunglam emaw) chu antiseptic solution hmangin uluk takin silfai a ni.
3. A kut chunglam chu elastic band (tourniquet) hmangin an khih a, chu chuan vein chu a pholang a ni.
4. Vein remchang thlangin sterilized cannula (plastic tube te tak te, needle nei) dah a ni. At this point , i rilru a hah deuh ang, mahse hun rei lote chhung atan chauh a ni ang.
5. Cannula chu vein chhungah dah a nih chuan elastic band chu lakchhuah a ni.
6. Cannula chu a che thei lo turin plaster hmangin arm-ah an khih a.
7. Tichuan, IV fluid bag nena inzawm tube sei tak chu cannula nen an inzawm leh a.
8. IV fluid bag chu stand sang tak (IV stand)-ah an dah a, chu tui chu pumping machine emaw, gravity emaw hmangin taksaah rate ruat sain an force lut a ni.
9. Medical staff te hian he kalphung hi an enfiah reng thin.
IV a awm laiin flow rate a sang lutuk/hniam lutuk nia i hriat chuan, cannula a na lutuk a, cannula a lo chhuak ang tih i hriat chuan, lu na i neih chuan, thawk harsa i tih chuan doctor emaw nurse emaw hnenah hrilh nghal rawh.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
IV rehydration, emaw, vein-a tui pek hi thil awmze nei tak, awlsam tak leh him tak a ni. Chhawmdawlna rang tak a pe bawk. Damlo na tak tuemaw nunna chhanhimna kawngah pawh a pui thei a ni.
Mahse, harsatna engemaw zat a awm a, chu chu a awm tlem hle. Hengte hi ngaihtuah buai a ngai lova, fimkhur a tha.
| Complication awm thei | Chu chu eng nge a awmzia? |
|---|---|
| Air Embolism natna (Air Embolism) a awm | IV line hmanga vein chhunga boruak lut. Hei hi a tlem hle a, mahse a pawi thei hle. |
| Vein a tlakbuak | Cannula dah emaw, a hmuna rei tak dah emaw a nih chuan vein chu a inzawm khawm thei a ni. Chutiang a nih chuan medical staff te chuan vein danglam tak an hmang ang. |
| Fluid Overload a ni | Tui in tam lutuk hian lu na a thlen thei a, thisen sang a thlen thei a, thawk harsa a ti thei bawk. Hei hi fluid level siamrem hian pumpelh theih a ni. |
| Thisen zam (Hematoma) . | Vein atanga thisen chhuak chu a chhehvel tissue-ah a luang chhuak. Hliam ang maiin a lang a, kar tlemte chhungin a dam leh thin. |
| Kaichhawng | Cannula dahna hmun hi uluk taka tihfai loh chuan infection a awm thei. Antibiotics hian a tidam thei a ni. |
| Tui a chhuak (Infiltration) 1.1. | Cannula inher vangin vein atang hian fluid a leak chhuak thei a, tissue ah a leak thei bawk. Natna tenau leh hliam tenau te pawh a awm thei a, mahse awlsam takin a reh thei. |
| Phlebitis (thil ruh natna) . | IV hian vein a ti na a. Hei hi a awm fo a, cannula lakchhuah a, lumna dah a, kut chawi sang hmanga enkawl theih a ni. |
Take-Home Thuchah a ni
- IV fluids, a nih loh leh ‘saline’ tih hi taksaa tui leh chi (salt) tlakchham (dehydration) avanga enkawlna a ni ber.
- Dehydration hi thil awlsam tak a ni lo. Dehydration symptom na tak tak i neih chuan doctor thurawn la nghal rawh.
- IV fluid pek hi damdawi inah tih thin a ni a, a him hle. A tul lovah hlau suh.
- IV fluid i mamawh chi leh a zat chu i doctor-in i damdawi lam dinhmun a enfiah hnuah a ruat ang.
- IV a awm laiin harsatna i neih chuan doctor emaw nurse emaw hnenah hriattir nghal rawh.
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