Emergency-a nunna chhanhim turin CPR (Cardiopulmonary Resuscitation) chungchang hi kan zir chiang tur em ni?

Mi pakhatin a hriatna a hloh thut a, thawk a chawlhsan tih i hmu ngai em? Chutiang hunah chuan kan hlauthawng fo thin a ni lawm ni? Engtin nge tih tur kan ngaihtuah thei lo. Chutiang emergency chu i inah te, kawngpuiah te, a nih loh leh i hnathawhna hmunah te pawh a thleng thei mai thei. Chutiang hunah chuan, "Aw, engmah ka ti thei lo" tia inchhir ai chuan, thil tih theih a ni tih hriat hi engtiang chiahin nge a hlu zawk ? Chutianga pui thei, nunna chhanhim thei tak tak hmanraw pawimawh tak pakhat chu `(CPR)` tih a ni. He thuziakah hian `(CPR)` chu eng nge a nih, a tih dan tur dik tak, mi nunna chhanhimna atana a puih theih dan tur kan sawi dawn a ni.

CPR chu eng nge ni? A awlsam zawngin i zir ang u!

`(CPR)` awmzia chu cardiopulmonary resuscitation a ni . Chu chu scientific deuhin a ri a, lehkhabu ang maiin a ri a ni lawm ni? Chuvang chuan keini ang mi pangngai chauh ni lo, Doctor pawhin a tawi zawngin `(CPR)` an ti a ni. Saptawngah chuan a pum puiin `(Cardiopulmonary Resuscitation)` tih a ni.

Tunah chuan heng thumal awmzia hi han thlir ila.

• Cardio tih awmzia chu thinlung nena inzawm tihna a ni .
• Pulmonary tih awmzia chu lung nena inzawm tihna a ni .
• Resuscitation tih awmzia chu nunna siam leh , emaw, a pangngaia awm leh emaw, nunna siam leh emaw tihna a ni.

A awlsam zawngin sawi ila, CPR hi mi pakhat thawk a chawlhsan a, a thinlung a thawk tawh lo (cardiac arrest ang chi) a dam khawchhuah theihna tura puih dan a ni. Damdawi lam tanpuina a lo thlen hmaa an dam khawchhuahna tura tanpui dan a ni. A dik tak chuan thawk leh thinlung hnathawh dan artificial taka vawn that chungchang a ni. Nunna chhanhimna kalphung ang mai a ni .

CPR neih chhung hian eng nge thleng tak tak? (CAB step hrang hrang) .

Okay, tunah chuan `(CPR)` titu, chu chu chhanchhuaktu , tih tur chu i en ang u. Hemi kawngah hian step lian pathum a awm a. Hei hi English tawngin CAB kan ti a . Heng lehkhathawn pathumte hian thil tih tur awm dan tur a kawk a ni.

• C hi Chest compressions tihna a ni .
• A hi Airway (airway check leh hawn) tihna a ni.
• B tih hi Breathing (Rescue breathing) tihna a ni.

He sequence, a nih loh leh CAB hi a pawimawh hle. Tun hma chuan `(ABC)` tih hi i hre tawh mai thei. Mahse tunah chuan damdawi lam inkaihhruaina thar ber angin `(CAB)` kan hmang ta a ni. A chhan chu, thinlung a reh chuan a rang thei ang bera thisen kal tan a pawimawh hle a, chu chu taksaah thisen pump chhuah a pawimawh hle. Thisen hian thluak leh taksa peng pawimawh dangte a thlen loh chuan rang takin a chhe thei a ni. Heng step tinte hi chipchiar zawkin han sawi ila.

C: Chest compression tih hi eng nge ni?

Mi pakhat thinlung chu a thawk tawh lo ang tih han ngaihtuah teh. Chuti a nih chuan eng nge thleng? Taksa dang, a bik takin kan thluak hian thisen a dawng lo . Thisen atang hian kan taksa cell, a bikin thluak cell te hian nunna atana an mamawh oxygen an hmu thin. Chuvangin oxygen an tlakchham chuan thluak cell te chu zawi zawiin an thi tan a, an boral ta a ni. Hei hi minute tlemte chhungin a thleng thei.

Chu dinhmun hlauhawm tak chu tihtawp nan Chest Compressions an ti thin. CPR titu chuan hriat lohna chu hmun nghet takah a dah a, chu chu leiah a ni a, an rilru chu kawng bik leh vawi engemaw zat a hmet a. A dik zawka sawi chuan, compressions te hi rilru lai takah, sternum chung lamah tih tur a ni . CPR training-ah hian compression awmna tur dik tak, kut awmna tur dik tak, rate dik tak, leh depth dik tak zirtir a ni.

Chutiang chuan chest compression i pek hian thinlung tihtawp atang hian thisen engemaw zat a luang chhuak thei a ni. Chumi awmzia chu thluak leh taksa peng pawimawh dangte chuan oxygen engemaw zat an hmu tihna a ni a, damdawi lam ṭanpuina a lo thlen hma loh chuan an chhiatna awm reng chu i tihtlem thei a ni. Puitling tan chuan minute khatah compression 100-120 vel compression i pe tlangpui tur a ni . Tin, i rilru chu a hnuai lam inches 2 (5 cm) vel a awm thlengin i compress tur a ni . Hei hi naupang tê tê tan chuan a danglam a ni. Chuvang chuan training hi a pawimawh a ni.

Hriat tur: Chest compression i tih hian compression apiangin full chest recoil neih tir thin ang che. Tin, interruption tlemte nen pawh tih chhunzawm zel bawk ang che.

A: Thlawhna kawng enfiah dan

Chest compression vawi 30 vel a tih hnuah (puitling tan chuan compression 30 hnuah thawkna kawng chu enfiah a ni tlangpui) CPR titu chuan a dawtah chuan hriat loh mi thawkna kawng chu a block emaw, a inhawng em tih enfiah leh tur a ni.

A châng chuan kan hriatna kan hloh chuan taksa ruhte chu a relax a, chu chuan lei chu a tla leh a, thawkna kawng a tikhawlo ṭhîn. A nih loh leh, ril, thisen, emaw, mucus emaw ang chi thil chu ka chhungah a innghat thei bawk. Chutiang a lo thleng a nih chuan eng ang pawhin thawk tum mah ila, lung chhungah a lut lovang.

Chuvangin, chhanchhuaktu chuan uluk takin a kut pakhat chu a hmaiah a dah a, a lu chu a hnunglam a hawitir a, a kut dang kut zungtang pahnih hmangin, a hmui chu tlem a han chawi sang a, thawkna kawng hawnsak a (head-tilt/chin-lift maneuver) Mahse, kawng hliam nia rinhlelhna a awm chuan (entir nan, sang atanga tlak) chuan lu chu hetiang hian hnunglam hawiin a tilt lo va, technique danglam tak ``jaw thrust'' tih hman a ni a, chu chu training-ah pawh zirtir a ni.

Thli kawng i hawn hnuah, hmui chhungah thil hmuh tur a awm em tih enfiah rawh . A awm chuan awlsam taka lakchhuah theih a nih chauhvin paih chhuak tur a ni. Tichuan,Chu mi chu a thawk a ni em tih en turin i en a, i ngaithla a, i hre bawk . Chu chu, chest rise and fall (en), thawk ri (ngaithla), leh hmui chunga thawk (feel) ang chi thil i zawng tihna a ni. Hei hian second 10 aia rei a daih tur a ni lo .

B: Engtin nge chhanchhuahna thawk i pek?

Tunah chuan thawkna kawng chu enfiah a nih tawh avangin, chu mi chu a mah chauhin a la thawk lo a nih chuan (a nih loh leh a thawk mumal lo hle emaw, a thawk dan pangngai lo emaw a nih chuan), chhanchhuahna thawk pek a ngai a ni . A chhan chu mi zawng zawng hian nung turin oxygen kan mamawh vek a ni. Hei hi thawk hah lo mi pakhat lung chhunga oxygen luh theihna tura tih a ni.

A tlangpuiin, thawkna kawng chu hawn (head-tilt/chin-lift), chu mi hnar chu kut zungtang pahnih hmangin pinched shut a ni , chhanchhuaktu chuan an hmui chu midang hmui chungah a dah (seal siam) a, thawk pakhat a pe a ni. Hei hi hmui atanga hmui thlenga tihnun (mouth-to-mouth resuscitation) an ti a. Chhanchhuahna thawk pahnih pek a ni. Thâwk khat chu second khat vel an pe a, a rilru chu a tho chhuak ta a ni. A rilru a lo sang chuan thaw chu lung chhungah a lut tihna a ni. Tichuan, a hmui chu la chhuakin, a rilru chu tihhniam (thâwk lak chhuah) a ni a, thawk hnihna chu pek a ni. Heng thawk pahnih hi second tlemte aia rei pek a tha lo.

A châng chuan, hmui aṭanga hmui thlenga tihharh a harsat a nih chuan, emaw, barrier device a awm loh chuan, a tlem berah chuan continuous chest compressions (hands-only CPR) tih hi a pawimawh a, a bik takin training nei lo tan chuan.

Tichuan chest compression vawi 30 dang ti leh la, chumi hnuah thawk vawi hnih la leh rawh. He 30:2 cycle (cycle of 30 compressions and 2 breaths) hi damdawi lam tanpuina a lo thlen hma emaw, chu mi chu a hriatna a neih leh hma emaw, i tih theih loh khawpa i chau lutuk hma emaw chuan chhunzawm zel tur a ni.

Engtikah nge CPR hi hman tur?

Heng CPR step te hi chest compressions , airway clearance, leh artificial respiration te hi a ni a, mi pakhatin thawk a chhuah loh lai leh a thinlung a na lo (thinlung a tawp tawh, nunna nei lo tihna a ni) lai hian tih tur a ni.

Mi pakhat chu a tlu nghal a, a rilru a buai a, i kohna chu a chhang lo va, a che lo va, a thawk pawh a thawk lo ang tih han ngaihtuah teh. Chu chu `(CPR)` ngaihtuah a ngai hun a ni. Mahse hre reng ang che, `(CPR)` hi damdawi lam enkawlna a ni lo va, damdawi lam tanpuina (a bik takin `(Defibrillator)`) a lo thlen hma loh chuan emergency- a nunna chhanhimna (first aid / basic life support) tih mai a ni. Chu chu `(CPR)` ringawt hian mi a tidam kim thei lo va, hun hlu tak a lei thei a ni.

Emergency-ah eng nge i tih hmasak ber ang?

Emergency a lo thlen chuan, emaw, i awmna hmuna mi pakhat a damlo thut emaw, a tlu emaw a nih chuan, a pawimawh ber chu a theih ang anga muang taka awm hi a ni.Sawi a awlsam viau nain tih a harsa tih ka hria, mahse i hlauthawng a nih chuan i ngaihtuah chiang thei lo ang a, thutlukna pawh i siam thei lovang.

Chuvangin, i tih hmasak ber tur chu nangmah ngeiin i himna leh i chhehvela mite himna tur (Scene safety) . Entirnan, kawngpui laiah mi a tlu a nih chuan lirthei rawn hnaih leh lo awm leh awm loh i enfiah tur a ni. Kangmei a awm chuan chhuahsan mai tur a ni.

Tichuan, damlo chuan a chhang let em tih enfiah rawh. Zawi zawiin an kekawr ipteah vawn la, ring takin thil zawt la, "I dam tha em?" "Min hre thei em?" "Ka hming chu X a ni a, ka pui thei angem?"

Pawimawh: Mi pakhat chu a rilru a buai a, a tlu a, a kawr emaw, a hnungzang emaw a hliam a ni thei tih i ngaihtuah chuan (entir nan, sang tak atanga a tlak chuan, car accident-a a awm a nih chuan), a lu leh a kawr chu a theih ang anga muang taka dah tur a ni a, a theih ang anga chelh lovin. Chutiang dinhmunah chuan CPR tih hunah pawh fimkhur hle tur a ni.

Chu mi chuan a chhang lo a nih chuan, chu chu a tawng lo tihna a ni a, a mit a meng lo va, a che lo tihna a nih chuan:

1. Ṭanpuina dil rawh . A chhehvela mi an awm chuan an ngaihvenna zawng rawh.

2. Emergency medical services te biak tur. Sri Lanka-ah chuan 1990 (Suvasariya) ambulance service chu call nghal rawh. I tawng thei lo a nih chuan i bula mi pakhat hnenah call la turin hrilh rawh. Emergency services biak hi i tih hmasak ber tur a ni. Professional medical puihna a ngai nghal a ni. A theih chuan phone chu speaker-ah dah la, an thupek i ngaihthlak laiin CPR chu start rawh.

3. Tichuan, thawk a awm leh awm loh enfiah leh ang che. Thâwk lak loh emaw, thawk dan pangngai lo (gasping) a awm a nih chuan, leh CPR lama training i nih chuan, chest compressions ṭan nghal rawh.

Chutah chuan CPR lama certified/trained an awm chuan CPR an tan thei ang.

Tuin nge CPR zir tur? Hei hi i tan pawh a pawimawh dawn em ni?

Mi zawng zawng tan CPR zir hi a pawimawh tak zet a ni. A chhan chu tu nge, khawiah nge, engtikah nge emergency a thlen dawn tih kan hre ngai lo. Mahse mi thenkhat tan chuan CPR hriat hi an hnathawhna hmuna thil tul tak a ni.

Entir nan:

• Doctor, nurse, dentist tam tak, leh healthcare field-a mi zawng zawng ang bawkin.
• Paramedics leh Emergency Medicine Technician (EMT) te .
• Lifeguards , a bik takin swimming pool leh beach-a thawkte.
• Kindergarten zirtirtu (Childcare workers) , sikul hrang hranga zirtirtu, a bik takin sports coach te.
• Gym-a trainer , sports association-a official-te.
• Kangṭhelhtu, police officer te an ni.

Heng mite hian `(CPR)` hi an hre chiang tur a ni. Tin, nu leh pa te pawhMi tam tak chuan an fate himna tur ngaihtuahin CPR an zir thin. Naupang tê pakhatin an kâah infiamna thil dahin a chil a chhak a, a nih loh leh tui bucket-ah emaw, luiah emaw a tlu a nih chuan han ngaihtuah teh... Pathianin a phal lo, chutiang thil chu tu chungah pawh thleng se. Mahse, an tih loh chuan engtin nge ni ang tih chu kan ngaihtuah thei lo. Hetiang hunah hian nu leh pate hian CPR hi hre ta se engtiang chiahin nge a hlut ang? Nu leh pa tar enkawltute tan pawh CPR hriat a pawimawh hle.

Mahse, heng professional reasons te hi dah bo ila, CPR zir hi nangmah ang tu tan pawh thil ropui tak a ni . Engtikah nge, khawiah nge, tute nge medical emergency a lo thlen dawn tih kan hre ngai lo. Chutiang dinhmunah chuan i tanpui thei tih hriat hi thil ropui tak a ni. CPR hriat hian i hmangaih tak, ṭhian, ṭhenawm, a nih loh leh kawngpuiah mi hriat loh pawh nunna a chhanhim thei a ni. Chawimawina ropui tak leh hriatna ropui tak a ni.

Chuti a nih chuan engtin nge CPR hi i zir theih ang?

`(CPR)` zir hi chutiang chuan a harsa lo. Hun a la ngai lo bawk. Sri Lanka ramah hian hmun engemaw zatah `(CPR)` training course neih a ni. Chungte chu ni khat workshop anga kalpui a ni tlangpui.

• International hriat hlawh pawl , St. John Ambulance Sri Lanka leh Sri Lanka Red Cross Society te chuan hetiang course hi an nei fo thin.
• Sawrkar leh private hospital lian thenkhatah pawh first aid leh CPR training program ang chiah hi an nei thei bawk.
• University thenkhat pawhin hengte hi an medical faculty kaltlangin community awareness programme angin an kalpui mek bawk .
• Sakhaw hmun thenkhat, khawtlang hmunpui (YMCA ang chi) , emaw, i sikul emaw hnathawhna hmun emaw kaltlangin heng course chi hrang hrangte hi i hmu thei bawk.
• Tunah chuan online-ah hian hriatna bulpui i hmuh theihna hmun a awm tawh a, mahse kut hmanga practice neih chu thil tul tak a ni. A chhan chu mannequin-a chest compression leh thawk dan dik taka tih dan tur i practice a ngai a ni.

A tlangpuiin middle school/secondary school kum (kum 13-14) aia upa i nih chuan CPR course zir leh certified i nih theih nan i inpeih tawh a ni. CPR zir i duh chuan i nu emaw i pa emaw i zirtirtu pakhat emaw nen inbia ang che. I tâna hmun remchang zawng tûrin an ṭanpui thei che a ni.

CPR hriat hian nunna a chhanhim thei tak zet a ni. Nunna chhanhimtu tak a ni!

Chuti a nih chuan, heng zawng zawng atang hian take-home message chu eng nge ni?

Okay, tunah chuan CPR chungchang hi kan sawi tam tawh a ni lawm ni? Hriatthiamna leh ngaihvenna tha tak i nei niin ka hria. He thu hi i chhiar zawh chuan CPR zir hi a hlut zia pawh i ngaihtuah ang.

Hriat reng tur chu: CPR hi hmanraw hlu tak a ni a, emergency-a thawk chawlhsan tawh leh thinlung na tak takte chu a pui a, damdawi lam tanpuina a lo thlen hma loh chuan a nung reng a, thluak leh taksa peng dangte chhiatna a ti tlem thei hle.

• Hlauthawng suh: Emergency-ah chuan i rilru hahdam hmasa phawt ang che. Tichuan a chhehvel hi a him leh him loh enfiah thin ang che.
• Ṭanpuina dil rawh: Mahni chauh i nih chuan 1990 call nghal la emaw, ṭanpuina dil rawh. Mi pakhat hnenah ambulance ko turin hrilh rawh.
• CAB hre reng ang che: C - Chest Compressions, A - Thlipui hawn, B - Thâwk. Hei hi an tih dan tur chu a ni.
• Training neih a pawimawh: CPR dik taka tih tur chuan institution hmingthang tak atanga training course lak a pawimawh hle. Hei hian tih dan dik tak, technique dik tak leh inrintawkna dik tak a pe ang che.
• Tu pawhin an zir thei: Kum eng pawh ni se, eng hna pawh ni se, CPR zir hi engtik lai pawhin, khawi hmunah pawh i tan a tangkai thei a ni. Nunna a chhanhim a nih chuan chu aia hlu chu a awm lo.
• Engmah tih loh ai chuan thil tih hi a tha zawk: Mi thenkhat chuan, ‘Ka tihsual palh chuan engtin nge ni ang?’ tiin an hlau thin. CPR mamawhtu hnenah pek hi a tha zawk hle tih hre reng ang che, i hriat angin (training i nih loh pawhin, emergency call center thupek angin a tlem berah). Mahse, training i neih tawh chuan a inhmeh berin a hlawk ber ang.

Chuvangin, CPR zir hi han ngaihtuah teh. Nangmah chauh ni lovin, i chhungte, i thiante, leh khawtlang tan pawh rawngbawlna ropui tak a ni. Danglamna a thlen thei tak zet a, nunna a chhanhim thei bawk!

` CPR, Cardiopulmonary Resuscitation, Cardiopulmonary Resuscitation, First Aid, Nunna chhanhimtu, Chest Compressions, Artificial Respiration tih te