Damdawi inah i kal tawh ngai em? A nih loh leh mi hmu turin i kal ngai em? Chutih lai chuan i kut ah saline bottle khat a inbun tih i hmu ngei ang, a dik em? Mi tam tak chuan hetianga taksaa saline bottle pek zawng zawng hian thil inang chiah chiah an nei vek niin kan ngai. Mahse a nihna takah chuan chutiang chu a ni lo. Damdawi lam harsatna hrang hrang leh dinhmun hrang hranga hman tur IV fluid chi hrang hrang a awm. Chuvangin vawiin hian kan rama IV fluid hman tlanglawn ber pahnih, Lactated Ringers leh Normal
saline te hi han sawi ila.
Engvangin nge kan taksa tan tui hi a pawimawh em em?
A hmasain, engvangin nge kan taksa hi tui (fluid) atana a pawimawh em em tih hi han en ila. Ngaihtuah teh,
kan taksa 60% hi tui atanga siam a ni. He tui hi kan taksa peng tinreng, kan thluak,
thinlung , lung, leh kal te pawh tiamin, hrisel taka hnathawhna atan a pawimawh hle. A awlsam zawngin sawi ila, tui hian kan taksa chhungah thil pawimawh tam tak a ti a, chung zingah chuan:
- Cell te chu an hna dik taka thawk turin a pui thin.
- Kan ruhte a ti lubricate thin .
- Taksa lum leh vawt a control.
- Nutrients hi taksa pum puiah a keng tel a.
- Bawlhhlawh hi zun leh ek hmangin a chhuak thin.
- Thluak leh ruhro (spinal cord) a chhiat loh nan a venghim.
Tunah chuan tui a pawimawh zia i hrethiam tawh em? Eng emaw chhan vangin, entirnan,
kan luak tam hian, accident na tak avanga thisen tam tak kan hloh hian, a nih loh leh kangmei kan tuar hian kan taksa atanga tui tam tak a chhuak thin. Hei hi
dehydration kan ti a ni . Chutiang a lo thlen chuan taksaa electrolyte awm zat a inthlau a, thisen a thim a, thinlungin a thawhrim a ngai a ni. Hei hi taksa hnathawhna tur siam that leh nan thisenah (IV) tui pek a nih hian a ni.
Lactated Ringers leh Normal Saline te hi eng nge ni?
Hengte hi damdawi inah IV fluid hman tam ber pahnih an ni. An pahnih hian
crystalloid solution kan ti a . Chumi awmzia chu heng fluid-a particle awmte hi a te hle tihna a ni. Chuvangin awlsam takin kan cell membrane kaltlangin taksaah an lut thei a ni. Tin, heng fluid pahnih hi
isotonic an ni bawk. Chumi awmzia chu heng tui awm zat hi kan thisen plasma concentration nen a inang hle tihna a ni. Chuvangin taksaa pek an nih chuan cell te an tichhe lo. Mahse an pahnih inkarah hian danglamna lian tak tak a awm. Chutiang inthlauhna avang chuan doctor-te chuan damlo tinte tâna tui chi khat chu an thlang chhuak a ni.
| Fluid chi hrang hrang | Thil telh | Specialty a ni |
|---|
| Saline pangngai (0.9% sodium chloride) hmanga siam a ni. | Sodium chloride (chi) leh tui chauh. | Basic IV fluid hman tlanglawn ber. |
| Lactated Ringers (LR) te chu a awm a. | Sodium chloride, sodium lactate, potassium chloride, calcium chloride leh tui te a awm bawk. | Balanced solution, kan thisena plasma nen a inang zawk. |
Kan hmuh angin Normal Saline hi tui chi (salt water) mai a ni. Mahse Lactated Ringers ah hian kan taksa mamawh salt (electrolyte) dang engemaw zat a awm a. Chuvangin Lactated Ringers solution hi kan thisen composition nen a inhnaih zawk a ni.
Engtin nge doctor-te hian hengte hi an thlan?
Okay, tunah chuan a pawimawh ber. Engtikah nge Normal Saline hi pek tur? Engtikah nge Lactated Ringers hi pek tur? He thutlukna hi a enkawltu doctor-in a siam vek a ni. A nghawngtu thil tam tak a awm a.
A pawimawh ber chu damlo pakhatin eng ang IV fluid nge an mamawh tih hi a rel ngai lo. Hei hi doctor-in damlo dinhmun, thisen test result leh damdawi lam thil dang a zirin thutlukna a siam tur a ni.
Hei hi a hnuaia table-ah hian i sawifiah belh leh ang u.
| IV fluid chi hrang hrang | Hman hun tha ber ber | Hman loh tur/fimkhur tur dinhmun |
|---|
| Saline pangngai tak a ni | - Dehydration condition tam zawk (vomiting/diarrhea) tan chuan.
- Thisen chhuak a nih chuan.
- A rilru a buai em em a .
- Thisenah sodium tlem a awm chuan.
- Hei chauh hi thisen pekna nena pek theih tui awmchhun a ni.
| - Lung natna nei damlote .
- Kal natna vei damlote.
- Mite chu fluid overload hlauhawm takah an awm.
- Thisenah chloride level sang zawk (Hyperchloremia) a awm thei.
|
| Lactated Ringers te pawh a awm | - Kangmei chhuak leh accident na tak (Trauma) a awm chuan.
- Thisen chhuak nghal a nih chuan.
- Surgery neih chhung leh operation zawhah.
- Taksain electrolytes a hloh chuan .
- Metabolic acidosis ang chi dinhmunah chuan.
| - Liver natna vei damlote.
- Kidney failure na tak a awm.
- Lactic acidosis (thisen chhunga lactic acid tihpun) a nih chuan.
- Thisen pH 7.5 aia sang a nih chuan.
|
IV fluids hian risk a nei em?
IV fluid hi a tlangpuiin doctor enkawlna hnuaia pek hi a him hle. Mahse, enkawlna dang ang bawkin, hlauhawmna a awm. Risk lian ber chu
tui chi dik lo pek te, pek tam lutuk emaw pek tlem lutuk emaw, pek tlem lutuk emaw hi a ni .
I mamawh aia tam liquid i hmuh chuan:
- Ke leh kut zungtang a hring chhuak.
- Thisen sang a sang.
- Thâwk harsa.
- Hliam dam rei lutuk.
Fluids i dawn tlem chuan (dehydration a awm chhunzawm zel chuan):
- Heart rate a sang chho zel.
- Thisen sang hniam.
- Kidney tha lo a awm.
- Shock leh organ failure te.
Hei vang hian damdawi inah IV fluid pek i nih hian nurse te chu an lo kal a, flow rate leh i dinhmun an enfiah fo thin.
Take-Home Thuchah a ni
- "Saline" kan ti a, mahse damdawi inah hian IV fluid chi hrang hrang hman a ni. Normal Saline leh Lactated Ringers te hi chi hnih a ni.
- Heng fluid tin hian composition hrang hrang an nei a, chuvangin taksaah hian hna an thawk dan a inang lo.
- I doctor chuan i damdawi lam dinhmun, kum, damdawi lam dinhmun dang leh thisen test result te ngaihtuah chungin IV fluid chi hrang hrang a pek tur che chu a thlang ang.
- IV fluid hi doctor thurawn hnuaia dik taka pek a nih chuan a him hle a, chuvangin a tul lovah hlau suh.
- Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i enkawltu doctor emaw nursing staff emaw hnenah zawt hreh ngai suh.
IV tui, saline, Normal Saline, Lactated Ringers, tui tlakchham, Tui tlakchham, IV tui Sinhala, saline chi hrang hrang
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