Mi tam tak chuan damdawi in intensive care unit (ICU)-a awm, machine hrang hrang nena inzawm, tube hmanga thawk, tube dang hmanga chaw ei lai kan hmu tawh a. Heng kan hmuh hian kan hlauthawng deuh a, kan lungkham deuh bawk. He dinhmun hi ‘life support’-a awm angin kan sawi tlangpui. He thu kan hriat hian dinhmun khirh tak, khirh tak mai kan ngaihtuah nghal a. Chu chu a dik a ni. Mahse, he ‘nunna chhawmdawlna’ hi eng nge ni tak tak? Eng thil nge thleng? Engvangin nge hman a nih? Vawiin hian he thupui sensitive deuh, mi tam takin zawhna an neih thin hi awlsam tak leh thinlung takin i sawi dawn nia.
A awlsam zawngin, nunna chhanhimna chu eng nge ni?
Kan taksa hi machine complex tak, a peng hrang hrang tam tak thawk ho angin ngaihtuah rawh. Kan lungin a thaw a, kan thinlung hian thisen a pump a, kan kal (kidney) hian a tifai thin. Mahse, heng taksa peng pakhat emaw, a aia tam emaw, natna khirh tak emaw, accident emaw avanga hnathawh ṭhat loh chuan eng nge thleng ang? Taksa system pumpui hi a chhe thei a ni.
Life support chu pawn lam thil, machine emaw, damdawi lam thil emaw hmanga taksa hnathawh tihtawp tawh chu a thawk chhunzawm zel tur a ni. A awlsam zawngin sawi ila, taksain a mah chauha a tih theih loh thil ti tura ‘anpui’ dan a ni. Hei hi car pakhat battery a thih laiin battery dang atanga ‘jump start’ pek ang a ni. Hei hian taksa chu a dam leh theih nan a pui a, a dam leh thei bawk.
A pawimawh ber chu life support hi natna tidam thei ‘damdawi’ a ni lo. Taksa hnathawh dan tur artificial taka enkawltu ‘support system’ a ni.
Hei hi hun eng emaw chen atan a ni fo. Entirnan, Pneumonia na tak avanga lung a thawk tha thei lo a nih chuan ventilator hmangin ni engemaw zat hman theih a ni. Hemi hun chhung hian lungte a dam leh theih nan antibiotics pek a ni ang a, lung hian a mah chauhin hna a thawk tan leh dawn a ni. Chumi hnuah chuan ventilator chu lakchhuah a ni ang.
Mahse a chang chuan taksa chu a mah chauhin a thawk thei tawh lo mai thei. Tichuan hun rei tak chhung chu life support-ah i innghat a ngai a ni. Hemi chungchanga thutlukna siam hi thil sensitive ber leh harsa ber a ni.
Engtik laiin nge life support hi tan leh tihtawp a nih?
Hei hi mi tam takin zawhna an neih a ni. Engtin nge chûng thu tlûkna siamte chu siam a nih? Tuin nge siam turin thuneihna nei?
Nunna puihna bul tan
Doctor-te chuan damlo taksa tana a tul tak zet tih an hriat phawt chuan life-support treatment an tan chauh a ni. Chu chu, chutih lai chuan chu puihna chu pek a nih loh chuan damlo nunna a chhiat theih chuan tihna a ni.
Mahse, heng ang case-ah hian life support hi tan a ni dawn lo:
- Damloin a duh lo a nih chuan:Mi ṭhenkhat chuan advance directive an nei thei a, chutah chuan an rilru a buai a nih chuan enkawlna ṭhenkhat an dawng dawn lo tih hriattir hmasak a ni. Hei hi kan ramah chuan a awm vak lo nachungin, damloin a hriat reng laiin hetiang thu hi a sawi a nih chuan doctor ten an zah hle.
- Damlo aiawha chhungkuain an duh loh chuan: Damlo chu thutlukna siam theih lohna dinhmun khirh takah a awm a nih chuan a chhungte hnai berte chuan chu thutlukna chu an siam thei a ni.
- Damdawi lama hlawkna a awm loh chuan: A châng chuan damlo chu thihpui thei khawpa natna a nih chuan, nunna ṭanpuina pêk hian thihna chu ni engemaw zât dang chauh a ti rei thei a ni. Damlo chu hrehawmna leh hrehawmna nasa zawk a thlen a, dam lehna tur beiseina a awm loh chuan doctor leh chhungte chuan damlo enkawl lo turin thutlukna an siam mai thei.
Life support tihtawp
Hei hi tu tan pawh thutlukna harsa leh sensitive ber a ni. Mi pakhat chu kar tam tak, thla tam tak pawh life support-ah a awm thei. Doctor-te chuan damlo dinhmun hi an enfiah reng a, dam leh theihna beiseina a awm leh awm loh chhungte hnenah an hrilhfiah fo bawk.
A chang chuan taksa hi a dam kim lo thei a, mahse nun awmze nei deuha a awm theihna tur level-a a kir leh theihna chance a awm chuan (entir nan, dialysis hmanga nun pangngaia nun chu) doctor-te chuan enkawl chhunzawm zel turin an rawt a ni.
Mahse, thluak a chhiat nasat tawhna leh hriatna neih leh theihna chance a awm loh (brain death)-ah chuan doctor-te chuan machine hmanga taksa nung chhunzawm zel chu awmzia a nei lo tih an rawt mai thei.
Hetiang hunah hian enkawlna tihtawp tura thutlukna siam hi mimal thil a ni. Dan leh nungchang lamah chuan damlo tana thatna belhchhah lo leh an hrehawm tawrhna ti rei thei enkawlna tihtawp chu thil dik lo a ni lo.
Hei hi hre reng ang che: Life support lakchhuah a nih chuan enkawlna tihtawp vang a ni lo. Damlo dinhmun hnuaia awm, tihdam theih loh chu thihna thlentu a ni. Support tihbo hian a pianphung anga thil thleng tur chu a phalsak mai a ni.
Nunna chhanhimna chi hrang hrangte chu engte nge ni?
‘Life support’ kan ngaihtuah hian thawk chhuahna tur machine kan ngaihtuah fo thin a, mahse chu aia zau zawk a ni. Pawn lam atanga taksa chhunga thil kalphung pakhat tanpui thei thil eng pawh hi nunna puihna a ni thei. A chi hrang hrang thenkhat han thlir ila.
| Support Method a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Mechanical Ventilation hmanga boruak siam theihna | Hei hi ventilator kan tih chu a ni. Lung hian hna a thawk tha lo a nih chuan he machine hian lung chhungah boruak a pump lut leh chhuak thin. Hei hian ka emaw hnar emaw hmanga thlipui (intubation) chhungah tube dah a ni. Surgery lian tak hnuah emaw, lung infection na tak a awm chuan hun eng emaw chen hman a ni. |
| ECMO (Extracorporeal Membrane-a Oxygenation) hmanga tihchhuah a ni. | Hei hi ventilator aiin hmanraw changkang zawk a ni. Damlo thisen taksa atanga lakchhuah te, machine hmanga oxygen dah te, carbon dioxide paih chhuah te, taksa chhunga pump let leh te a ni. Lung leh thinlung pahnih a hlawhchhamna na tak takah hman a ni. |
| Cardiopulmonary Resuscitation (CPR) hmanga tihdam theih a ni. | CPR chu mi pakhat thinlung leh thawk a chawlhsan huna a thawh tan leh tumna a ni. Chutah chuan chest compression, defibrillation leh damdawi ei te a tel a ni. Cardiac arrest nghal emaw, tuiah a pil emaw a nih chuan CPR pek vat chuan nunna a chhanhim thei a ni. |
| Artificial Nutrition leh Hydration hmanga ei leh in te | Damlo ei leh in thei lote chu tube hmanga chaw pek. He tube hi hnar kaltlangin pum chhungah (tube feeding) emaw, a chang chuan vein chhungah direct-in (TPN - Total Parenteral Nutrition) pek theih a ni. Hei hi taksa a dam hma loh chuan nunna vawng nung turin a pawimawh hle. |
| Kidney Dialysis tih a ni | Kidney a chhiat chuan taksa atanga toxins leh tui tam lutuk te chu a paih chhuak thei lo. Dialysis machine hian thisen a la chhuak a, a tifai a, taksaah a thawn kir leh thin. Kidney aiah a thawk a ni. Kal natna a tidam lo va, nunna vawng nung turin a pui a ni. |
BLS leh ALS hi eng nge ni?
Heng thu pahnih hi i hre tawh ngei ang. Life support nen pawh an inzawm tlat.
Nunna atana puihna bulpui (BLS) 1.1.
Hengte hi nunna chhanhimna hmanraw bulpui ber, tu pawhin emergency-a tih theih tura zirtir theih an ni. Entir nan:
- Miin heart attack a neih a, nikhaw hre lovin a tlu a, CPR tih.
- Mi pakhat chu a rilruah thil lo awm ta se tanpui.
Heng thilah hian tu pawhin training an la thei a ni. He hriatna hian nunna a chhanhim thei châng a awm.
Nunna lama tanpuina hmasawn (ALS) .
Hei hi BLS aiin step up a ni. Health professional trained sang tak tak, doctor leh nurse te chauhin an ti thin. CPR ang chi thil bakah hian .
- Thâwk lakna atana pui turin intubation hman a ni
- Lung hnathawh that lehna tur damdawi bik pek
- Heart rhythm enfiah hmanga enkawl
Hetiang thil buaithlak tak tak hi tih a ni. He naute leh naupang te enkawlna dan hi Pediatric Advanced Life Support (PALS) tih a ni.
Thutawp atan chuan nunna puihna hlauh a ngai lo. Medical science a lo thang chho zel a, mi tam tak nunna chhanhim thei thil a ni. Tin, a chang chuan thihna a ti rei thei chauh a ni. A pawimawh ber chu i doctor emaw, i hmangaih tak emaw dinhmun te, enkawlna pek tur te, leh an thatna leh that lohna te chu zalen taka sawipui hi a ni. Thutlukna zawng zawng hi hriatthiamna famkim leh chhungte remtihna nena siam tur a ni.
Take-Home Thuchah a ni
- Life support hi natna damdawi a ni lo va, taksaa thil kalphung dik lo (dysfunctional process) chu hun eng emaw chen atana puitu support system a ni.
- Hei hian taksa chu a dam theih nan hun a pe a, a chang chuan nunna chhanchhuahna kawngah a pui thei bawk.
- Mahse, dam leh beiseina awm lohna hmunah chuan a tul lovah thihna hun a ti rei thei a ni.
- Nunna puihna bul tan, chhunzawm zel, tihtawp chungchanga thutlukna siam hi mimal leh ngaihtuahna seng tak a ni.
- I emaw, i hmangaih tak emaw dinhmun chungchânga thu tlûkna i siam hmain, i doctor nên ngun takin sawi la, a ṭhatna, a ṭhat lohna, leh a duhthlannate chu hriatthiamna famkim nei rawh.
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