Coma hi eng nge ni tak tak? A awlsam zawngin sawi ila!

"Coma" tih thumal i hriat hian eng nge i ngaihtuah thin? A chang chuan fiamthuin, "Coma-a awm ang maiin a muhil a ni," emaw, mi pakhatin a ngaihtuahna a hloh chuan kan ti thin. Mahse ka thianpa, coma hi fiamthu a ni lo. Damdawi lam natna khirh tak a ni a, mut nen pawh inzawmna a nei lo. Chuvangin, vawiinah hian chipchiar deuhin han sawi ila, kan sawi dawn em ni?

Coma-a awm mi pakhat chungah eng nge thleng?

Mi pakhat chu coma-a a awm chuan a hriat loh vek a ni . Chumi awmzia chu tumah, eng thawm pawh, an chhehvela thil thleng engmah an chhang thei lo tihna a ni. Mahse a pawimawh ber chu an dam tih hi a ni . Mahse, an thluak hi a thawk tha hle a, a nih loh leh an fimkhur theihna level chu a hniam ber a ni.

I ṭhianpa chu a muhil nghal vat ang tih han ngaihtuah teh. A kaitho turin i ti nghing thei a, i biak thei bawk a ni lawm ni? Mahse coma-a awm chu i ti nghing thei lo. Mut mai mai a ni lo.

Coma awm chhante chu engte nge ni?

Tunah chuan coma awm chhan hi han en ila. Heng zawng zawng hian hei hi a nghawng thei a ni.

• Lu hliam na tak avanga thluak chhiatna: I lu hian accident-ah thil a tawk a nih chuan i thluak a tichhe nasa thei tih han ngaihtuah teh.
• Seizures: Mi thenkhat chuan seizures ang chi condition avang hian coma an nei thei bawk.
• Thluak tibuaitu natna hrik: Thluak chhunga hrik chi hrang hrang lut avanga natna hrik awmte pawh hi a awm thei a ni. Entirnan, meningitis, encephalitis ang chi thil te.
• Hun rei tak chhung thluaka oxygen tlakchhamna: Kan thluak hian oxygen a mamawh reng a. Eng emaw chhan vanga, asphyxiation emaw heart attack emaw avanga thluak hian oxygen a dawng tawh lo a nih chuan a chhe thei a, coma-ah a lut thei a ni.
• Damdawi emaw damdawi dang emaw hman tam lutuk: Damdawi thenkhat ei tam lutuk emaw, damdawi hman tam lutuk emaw hian coma a thlen thei bawk.
• Stroke-like condition: Stroke hi thluaka thisen kalna kawngah harsatna a awm a. Hei hian thluak a tichhe thei a, coma a thlen thei bawk.
• Taksa chhunga chemical inthlauhna: A chang chuan natna dang vangin, entirnan, zunthlum hi thunun theih loh a nih chuan, emaw, kal (kidney) a chhiat chuan taksaa chemical awm zat balance a bo a, chu chuan coma a nghawng thei bawk.

A awlsam zawngin, heng chhan eng pawh avang hian kan thluak cell te hnathawh a tibuai thin.. A bik takin thluak chhunga kan hriatna nei rengtu leh kan hriatna thununtu pengte a chhiat chuan, chu pengte chuan hna a thawk tawh lo a nih chuan chu mi chu hriat lohna dinhmunah a tla ang a, chu chu coma-ah a tla ang. I hrethiam em?

Engtin nge coma-a awm mi i enkawl?

Coma-a awm chu damdawi ina intensive care unit (ICU) -ah enkawl a ni tlangpui . Chutah chuan doctor te, nurse te, leh damdawi ina thawktu dangte chuan damlo chu a bik takin an ngaihven hle a ni.

Damlo taksa chu a hrisel thei ang bera a awm theih nan an enkawl thin. Hei hi plastic tube te tak te, vein chhunga dah (IV - Intravenous line) , emaw, ei leh in tur direct-a chaw leh tui thawn chhuaktu feeding tube hmangin emaw, an mamawh tui, nutrient leh damdawi pekna hmanga tih a ni.

Coma vei ṭhenkhat chuan anmahni chauhin thawk an harsat a, chuvângin thawkna khawl, ventilator an tih chu an hmang a ngai a ni. Hei hian thlipui (windpipe) chhunga tube dah hmangin lung chhungah boruak a pump lut a ni.

Thil pawimawh dang pakhat chu, che lovin khumah rei tak awm hian taksa hmun hrang hrangah hliam, bedsores kan tih chu a siam thei a ni. Hospital staff te pawhin heng bedsores te hi a lo awm loh nan nasa takin an bei thin. Damlo tihdanglam reng ang chi thil an ti thin.

Dik tak chuan, kan hmangaih tak coma-a awm hmuh chu chhûngkaw tân thil lungchhiatthlâk tak, thinlung ti na tak, leh lungchhiatthlâk tak pawh a ni thei. An hlauthawng hle a, tanpui theih lohvin an inhria mai thei. Chu chu thil awmdan pangngai tak a ni.

Mahse damlo enkawl tura pui turin chhungte’n an tih theih thil a awm. Damlo hmu tura damdawi ina kal te, damlo biak te, lehkhabu chhiar te, leh an hla duh ber ngaihthlak tir te pawh a pawimawh hle. Eng nge i hriat? Damlo chuan a chhang thei lo a nih pawhin, doctor-te chuan heng thilte hi an hre thei niin an sawi . Chuvangin chutiang thil tih chu bansan suh.

Coma hnuah eng nge thleng?

A tam zawkah chuan coma hi kar tlemte aia rei a daih lo . Mahse, a chang chuan mi pakhat chu kum tam tak coma-ah a awm thei. Chutiang a lo thlen chuan mahni chauha thawk tih loh chu thil dang tih a harsa hle. Hei hi persistent vegetative state kan ti a, chu chu coma nen a danglam deuh a, mahse chu chu ni dangah kan sawi leh ang.

Mahse, mi tam tak chu coma aṭangin an dam leh ṭhin . Ṭhenkhat phei chuan an damloh hmaa an nun pangngaiah an kir leh thei hial a ni.

TV-ah kan hmu tawh a, coma-a awm mi pakhat chu a harh nghal a, a hawi kual a, a ngaihtuahna leh thusawi pangngai a tan ta a ni. Mahse nun tak takah chuan chutiang chu a thleng tlem hle. Mi pakhat chu coma atanga a harh chuan a buai hle fo thin.Dinhmun pakhatah chuan. A chhehvela thil thlengte chu a chhang let nasa hle. Zawi zawiin a dam chhoh theih nan hun a la ngai dawn a ni.

Mi pakhatin coma atanga a dam kim leh dam loh chu coma awm chhan leh thluak a chhiat nasat danah a innghat a ni .

• Mi thenkhat chu coma hmaa an awm dan ang khan an lo ni ta a – coma hmaa thil thlengte an hre reng a, a hmaa an thil tih zawng zawng chu an ti thei vek a ni.
• Mahse, mi dangte tân chuan, pheikhawk hrui bun te, spoon emaw, fork emaw hmanga chaw ei, a nih loh leh kea kal zir leh ang chi thiamna bulpui te pawh hian special therapy , physiotherapy, occupational therapy, a nih loh leh speech therapy ang chi te chu a mamawh a ni. Thusawi leh thil hriatrengna kawngah harsatna an nei thei bawk.

Mahse a pawimawh ber chu hun kal zelah, therapist-te puihnain , coma atanga dam leh mi tam tak chuan hmasawnna nasa tak an nei thei a ni. Coma hmaa an awm dan 100% ni lo mah se, thil tam tak an ti thei a, chhungte leh thiante nen nun nuam an ti hle. Chuvangin beiseina bansan hi thil tha tak a ni ngai lo .

He thawnthu atang hian kan in lama kan hruai tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan, vawiin a coma chungchanga kan sawi tawh atang hian hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• Coma hi mut mai mai a ni lo. Damdawi lam natna khirh tak a ni a, thluak a nghawng a, hriatna hloh phah a ni.
• Coma hian chhan tam tak a nei thei a – lu hliam, natna hrik, oxygen tlakchhamna, leh natna thenkhat ang chi te.
• Coma-a awm chuan Intensive Care Unit (ICU)-ah damdawi lam enkawlna leh enkawlna bik a dawng a ni.
• Coma atanga dam leh dan hi mi hrang hrangah a inang lo . Hun a mamawh a ni. Mi thenkhat chu an dam vek a, thenkhat erawh chuan therapy kalpui zel an mamawh thung.
• A pawimawh ber chu, he hun khirh tak karah hian chhungkaw member-te \anpuina, hmangaihna leh huaisenna hi a hlu hle a ni. Chutah chuan awm mai mai leh anmahni biak mai chuan damlo chu a dam leh thei a ni.

Chuvangin, coma chungchanga i zawhnate chhanna engemaw zat i neih ka beisei. Hetiang hi tumah chungah a thleng ngai lo tih i beisei ang u!

` Coma, Hriat lohna, Thluak, ICU, Dam leh, Thluak chhiatna, Therapy, Ventilator