Ngaihtuah teh, damdawi in pakhata doctor-te chuan mi thinlung chu a reh tawh a, an thi tawh tih an nemnghet a ni. Chhungkua chuan lungngai takin an lungngai a. Mahse, rei vak lo hnuah beisei loh takin thi nia an ngaih chu a che a, a thawk a tan ta a ni. Movie ang mai a ni lawm ni? Nun tak tak a ni a, mahse damdawi lam thil thleng rare tak a ni . Vawiin hian he thil mak leh ngaihnawm tak, ‘Lazarus Effect’ chungchang kan sawi dawn a ni.
A awlsam zawngin, Lazarus Effect chu eng nge ni?
A awlsam zawngin sawi ila, ‘Lazarus effect’ tih hi, doctor-in mi a thi tih a puan hnuah, chu mi thisen kal (thisen kal) chu an taksaah a intan leh thut a, pawn lam tanpuina awm lovin, nunna chhinchhiahna an lantir hi a ni. Hei hi thih hnua an lo nung leh tawh angin a lang thei a, mahse chutiang chu a thleng tak tak lo.
Damdawi lamah chuan hei hi a hming dik tak chu ‘autoresuscitation’ tih a ni. ‘Mahni insiamthatna’ tihna a ni. Taksa chu a tinung leh tihna a ni. A tlangpuiin mi thinlung a tawp (cardiac arrest) hian an nunna chhanhim nan CPR (Cardiopulmonary Resuscitation) kan ti thin a ni lawm ni? Lazarus effect hi CPR tihtawp hnuah a thleng thin.
A pawimawh ber chu he thil thleng hi tawngtute hi an thi tak tak lo va, an lo nung leh lo. Thil thleng tak tak chu, damdawi hmanrua hmanruain an taksa peng pawimawh tak takte chu a thawk tawh lo tih lantir mah se, thisen kal lehna tak takah chuan a tlai deuh a ni. Hetianga tihkhawtlai hi a ni a, an lo nung leh tawh niin a lang.
‘Lazara’ tih hming hi Bible-a thawnthu pakhat atanga lo chhuak a ni a, chutah chuan Isuan mithi pakhat ‘Lazara’ tih chu a kaitho leh a ni. Mahse damdawi lam hawi chuan he hming hi a dik lo deuh. A chhan chu hei hi thilmak emaw, piantharna emaw a ni lo va, sawifiah theih (mahse hriatthiam kim loh) biological event a nih vang a ni.
Hemi atana hman hming dangte chu:
- Lazara thil thleng
- Lazarus natna a ni
- Cardiopulmonary resuscitation hlawhchham hnuah autoresuscitation neih a ni
Engtin nge hetiang hi a lo thlen? Thil thleng awm dan tur dik tak chu i zawng chhuak ang u.
Hei hi Lazarus effect tia koh a nih theih nan chuan thil thlengte chu a hnuaia mi ang hian a thleng tur a ni. Chu step te chu eng nge ni tih i en ang u. Hei hi table pakhata hriatthiam a awlsam zawk ang.
| Rahbi | Eng Nge Thleng Tawh |
|---|---|
| Step 1. A rilru a hah lutuk chuan a rilru a buai em em a | Mi pakhat chu heart attack emaw thil dang (cardiac arrest) vangin a thinlung a thawk tawh lo . |
| Step 2. A rilru a hah lutuk chuan a rilru a buai em em a | Doctor emaw, nurse emaw, mi dang emaw chuan CPR chu a ṭan nghal ang . |
| Step 3-na a ni | Hun engemaw chen CPR an tih hnu chuan chhanna a awm loh avangin CPR tih hian awmzia a nei lo tih an rel a, an titawp ta a ni. |
| Step 4-na a ni | Chumi atan chuan medical officer phalna nei chuan damlo chu clinically dead tiin a puang a ni . Chumi hnuah chuan damdawi lam enkawlna dang pek a ni tawh lo. |
| Step 5-na a ni | Minute tlemte, a chang chuan darkar tam tak hnuah chuan mi pakhatin mitthi taksaah nunna chhinchhiahna a hmu ang. (e.g. thawk, taksa chetna). Heng chhinchhiahnate hi second tlemte aia rei a daih tur a ni. |
| Step 6. A rilru a hah lutuk chuan a rilru a buai em em a | Doctor a lo kal ang a, a rawn enfiah ang che, thisen kal a tan leh tawh tih a nemnghet ang a, chutah chuan damdawi lam enkawlna a tan leh nghal ang. |
Thihna puan a nih hnua hetiang thil thleng tur hian eng chen nge a rei tih chiang taka sawi a harsa hle. Reported case-te sawi dan chuan CPR tihtawp atanga minute 10 chhungin nunna chhinchhiahna a lang tlangpui. Mahse, a chang chuan a rei zawk thei. A châng chuan, taksa chhûnga thisen a kal ṭan hnuah chauh pawn lam chhinchhiahna a lang lo thei bawk.
Hei hi engtiang chiahin nge a awm tak tak? A chhante chu eng nge ni thei ang?
Hei hi thil thleng fo a ni em tih i ngaihtuah mai thei. Ni miah lo. Kum 1982 atanga 2018 thleng khan medical literature-ah hetiang chi hi 65 chauh report a ni. Chung zinga mi 18 chu an dam kim tawh a ni.
Mahse zirchiangtute chuan report aiin hei hi a tam zawk niin an ngai. A châng chuan, damlo thi tih finfiah a nih hnuah pawh hriat lohvin a awm thei a, a chhan chu tumah an awm loh vang a ni. Hetiang hi tuin nge tawng tam zawk tih hriat a la ni lo. Mahse report zinga 68% chu kum 60 chunglam zingah a ni a, damdawi in chhungah leh pawnah a thleng thei a, mahse CPR tih a nih hnuah chauh a thleng thei.
Chuti a nih chuan, engvangin nge hetiang hi a lo awm?
Doctor-te chuan hei hi 100% definitive cause an la hmu lo a, mahse main leh accepted theory a awm thung.
‘Hyperinflation’ theory an ti a. Hetiang hian han ngaihtuah teh.
1. CPR kan tih hian rapid chest compression kan ti a, artificial respiration kan pe thin a ni lawm ni? Chu chuan lung chhungah boruak a pump lut rang hle.
2. Thli chu lung chhunga a luh thuai chuan thawk chhuah hun a awm lo. Hei hian lung chhung boruak a tikhawlo a, rilru chhunga pressure pawh nasa takin a pung a ni.
3. Hetiang pressure sang tak avang hian thisen chu thinlungah a luang chhuak tha thei lo va, taksaah pawh pump chhuah theih a ni lo. Tui pipe nghet taka vawn ang a ni.
4. CPR tihtawp a nih veleh he rilru chhunga pressure tam lutuk hi a bo nghal vek.
5. Tichuan thisen kal dan block chu thinlungah a luang leh tan ta a ni. Hetiang thisen chhuak rang tak hian thinlung chawlhsan tawh electrical activity chu a ti tan leh thei a, thinlung chu a thawk leh thei bawk.
Mahse hriat reng tur lungchhiatthlak tak chu hetiang hian thisen kal dan hi siam tha leh mahse mi tam tak chu an dam rei dawn lo a, a chhan chu chutih lai chuan thluak leh taksa peng dangte chu oxygen tlakchham vangin nasa takin a chhiat tawh mai thei a ni.
Hetiang thil hi a thleng lo thei ang em?
He thil thleng hian damlo chhungte rilru lama harsatna a thlen dan hi i ngaihtuah thei em? Mi thi tawh anga ngaih, harhtharna beiseina te tak te neia, chu beiseina chu a bo thut mai mai tur ngaihtuah chu tuar harsa tak a ni. Chuvangin, doctor-te chuan hetiang thil thleng theihna leh mi pakhat thi thuai tura puan theihna tur tihtlem an tum a ni .
Zirchiangtute chuan doctor-te tan kaihhruaina engemaw zat an siam a.
- Minute 20 tal CPR ti rawh: Hun tling tak, beidawng thuai lovin tum rawh.
- CPR tih hunah hyperinflation pumpelh: Entirnan, minute khatah chhanchhuahna thawk 12 aia tam pek loh.
- Defibrillation hnuah CPR hi titawp nghal suh: A chang chuan, defibrillation hnuah thinlung hi rei lo te chhungin a tawp vek thei. Hei hi ``asystole'' emaw "flat-lining" emaw an ti a. Chuvangin rei vak lo nghah a ngai a ni.
- CPR an chawlhsan hnuah, thihna puan hmain damlo chu minute 10 chhung enkawl chhunzawm zel a ni: Hemi chhung hian thisen kal dan chu uluk takin enfiah a ni a, a tan leh tawh em tih an enfiah thin.
Hemi atang hian eng nge i zir tur?
Lazarus effect, CPR, leh nunna chhanhimna ang chi thil kan sawi hian tanpui theih lohvin kan inhria thei a ni. Mahse a takah chuan heng thilte hi kan thunun lawk theih dan tur a awm. Chu chu nun tawp lama enkawlna chungchangah thutlukna siam lawk tihna a ni.
Ngaihtuah teh, natna khirh tak i nei a, i tawng thei lo a nih chuan, eng ang enkawlna nge i duh leh duh loh chu tuin nge rel ang?
- CPR tih i duh em?
- Life support machine nena inzawm i duh em?
Hengte hi kan ngaihtuah lawk a ngai a ni. I duhzawng chu chhungte leh i doctor nen sawiho a pawimawh hle . I tan damdawi lam thutlukna siam turin healthcare power of attorney hming i sawi thei ang.
Hengte hi thupui sawi harsa tak a ni a, mahse heng thilte hi thutlukna siam lawk a, i hmangaih tak takte leh doctor hnena hriattirna hian nangmah leh hun harsa tak kara thutlukna siamtu turte tan rilru lam hahdamna nasa tak a pe thei a ni.
Lazarus effect hi a tlem hle nachungin, nunna chhanhim tumna leh nunna puihna enkawlna hi damdawi lam khawvelah nitin thil thleng a ni. Chuvangin, he thuziak hi ngaihtuah chian lehzual tur leh i duhzawng sawi turin hriat nawn tirna tha tak a ni ang.
Take-Home Thuchah a ni
- ‘Lazarus effect’ hi damdawi lama thil thleng tak tak, mahse report tam lo tak a ni.
- Hei hi mitthi ata thawhlehna a ni lo va, CPR tihtawp a nih hnua thisen kal lehna tihkhawtlai a ni.
- Hei hi a chhan ber nia rinhlelh a ni a, CPR lai hian rilruah pressure a sang a, a tihtawp chuan thisen chu thinlungah a luang let leh thin a ni.
- Hetiang hian nunna chhinchhiahna an lantir leh a nih pawhin mi tam tak chu an dam rei lo.
- Doctor-te chuan a hun hmaa mi thi tih puan loh nan kaihhruaina bik an zawm a ni.
- He thuziak a\anga kan zir chhuah pawimawh ber chu kan chhungte leh doctor nen kan nun tawp hunah eng enkawlna nge mamawh tih sawi lawk a pawimawhzia hi a ni.
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