Movie emaw TV-ah emaw mi pakhat chu thawk chhuahna tur machine tam takah an inzawm tih i hmu tawh ngei ang. Hei hi ‘nunna chhawmdawlna’ kan ti fo thin. Mahse hei hi eng nge ni tak tak? Hei hi hlauh tur thil a ni em? Life support tih hian a takah chuan thihna a kawk lo. Vawiin hian he thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.
Life Support chu eng nge ni tak tak?
A awlsam zawngin, life support chu taksa peng (lung, kal, thinlung ang chi) hnathawk tha lo, machine emaw damdawi dang emaw hmanga pawn lam atanga puihna pek a ni a, chu taksa peng chu a mah chauhin a thawk leh thei ta a ni. Hei hi mi pakhatin a kal theih loh laia hun rei lote chhunga wheelchair hman nen a inang a ni. Taksa chu a dam theih nan hun leh puihna a pe a ni.
Mahse, a châng chuan chu machine-te ṭanpuina tel lo chuan taksa chu a mah chauhin a thawk leh thei tawh lo. Hetiang hunah hian nunna chhanhimna chungchangah thutlukna harsa tak tak siam a ngai thin. Hetah hian enkawlna hlawkna leh a phurrit kan thlir a ngai a ni.
Engtikah nge life support hi a intan? A tawp thei ang em?
A tlangpuiin doctor-te chuan i taksain a mamawh tih an hriat veleh life support an tan nghal thin. Hei hi engtik lai pawhin a thleng thei a, accident emaw, natna rang tak emaw-ah pawh a thleng thei.
Mahse, heng ang case-ah hian life support hi tan a ni lo:
- Nangmah ngeiin ni lo i tih chuan: Damlo chu a fimkhur a nih chuan chutiang enkawlna chu an mamawh lo tih an sawi thei a ni.
- Advance directives: Mi thenkhat chuan an hrisel lai pawhin, natna hlauhawm tak an neih chuan nunna chhanhim thei tur enkawlna an mamawh lo tih ziakna dan anga document (advance directives) an nei a.
- Chhungkuain thutlukna an siam chuan: Damloin thutlukna a siam theih loh hunah chuan chhungkaw hnai ber berte chuan damlo aiawhin thutlukna an siam thei a ni.
Life support tihtawp
Hei hi he thupuiah hian a sensitive ber a ni. Mi chu life support-ah rei tak a awm thei. Mahse, engtik lai pawhin doctor-te chuan damlo dam leh theihna emaw, heng enkawlna hmang hian nun tha tak a hman theihna tur emaw a awm tawh lo tih an hriat chuan nangmah emaw, i chhungte emaw an hriattir ang che.
Hetah hian nang leh i chhungte hriatthiam tur pawimawh tak chu mi pakhat chu enkawlna tihtawp a nih vang ni lovin, a dinhmun tihdam theih loh vangin a thi tih hi a ni. Life support tihtawp chu a pianphung anga thil thleng tur phalsak mai a ni.
Hei hi mimal thutlukna a ni. Damdawi lam enkawlna hlawk tawh lo chu tihtawp chu dan leh nungchang lamah pawh a dik famkim 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 tam a ni. A chi hrang hrang hi han thlir ila.
| Support Method a ni | A awlsam zawngin, hei hi a thleng thin... |
|---|---|
| Mechanical Ventilation hmanga boruak siam theihna | Thâwk thei lo tan chuan ventilator an tih machine chuan lung chhungah boruak a pump lut a. Chumi atan chuan kai emaw hnar emaw hmangin thlipui chhungah tube an dah a (intubation). |
| ECMO (Extracorporeal Membrane-a Oxygenation) hmanga tihchhuah a ni. | Hei hi ventilator aiin hmanraw changkang zawk a ni. Taksa atangin thisen a la a, machine hmangin chu thisenah oxygen a dah a, carbon dioxide a paih chhuak a, taksaah a thawn let leh thin. Artificial lung ang mai a ni. |
| Cardiopulmonary resuscitation (CPR) hmanga tihdam theih a ni. | Thinlung leh thawk a tawp tawh mi pakhat chu a rilru tihbuai, defibrillation leh damdawi pek hmanga thinlung tihchak leh tum. |
| Artificial Nutrition leh Hydration hmanga ei leh in te | Ka ei leh in thei lo mi pakhat tan hnar hmanga pum chhunga dah (tube feeding) emaw, vein chhunga direct (TPN) emaw hmanga ei leh in leh tui pek. |
| Kidney Dialysis tih a ni | Mi pakhat thisen chu a kal (kidney) hnathawk lote thisen chu machine hmanga kalpui a ni a, chu chuan bawlhhlawh leh tui tam zawk a paih chhuak a, a tithianghlim a ni. Hei hi artificial kidney ang a ni. |
Hengte hi tlem tal sawi belh leh ila
- Ventilator: Hei hi hun rei lote chhunga harsatna nei, pneumonia na tak, emaw, hun rei tak chhunga harsatna nei, ruhro hliam nei te tan emaw hman theih a ni. Mahse, natna hlauhawm tak hnuhnung ber thleng mek tan chuan ventilator hian thihna a ti rei dawn chauh a ni. Natna hnuaia awm chu a tidam dawn lo.
- Dialysis: Hei hi kal chak lohna damdawi a ni lo. Kidney hnathawh chu machine hmangin a thlak mai a ni. Dialysis tihtawp a nih chuan kal (kidney) a fail leh ang. Tu mah kal (kidney) thawk tha lo chuan an nung thei lo. Mi thenkhat tan chuan dialysis enkawlnain nunphung a pek hi a phu hle. Mahse mi thenkhat, a bik takin natna dang tihdam theih loh nei te tan chuan dialysis hi a hlawkpui aiin a buaithlak zawk thei.
BLS leh ALS hi eng nge ni?
Hei hi life support chungchanga hriat tur pawimawh tak a ni bawk.
Nunna atana puihna bulpui (BLS) 1.1.
Hei hian emergency-a tu pawhin an pek theih nunna chhanhimna hmanraw bulpui a kawk a ni. Entîr nân, kawngpuiah mi pakhatin heart attack a neih a, an hruai a nih chuan, a hmuna lo thleng first aider emaw, medical staff emaw chuan CPR . Heng technique te hi tu pawhin an zir thei a ni.
Nunna lama tanpuina hmasawn (ALS) .
Hei hi BLS aia sang zawk, advanced medical procedure a ni. Doctor leh trained medical staff te chauhin an ti thin. He ALS enkawlna hi damdawi in pakhata Emergency Treatment Unit (ETU) emaw Intensive Care Unit (ICU) emaw-ah tih a ni. Damdawi, machine leh hmanraw changkang tak tak a hmang a ni. Naupang tê tête enkawlna chi hi Pediatric Advanced Life Support (PALS) tih a ni.
Life support hi emergency emaw, hun rei tak natna i neih lai emawa nangmah emaw, i hmangaih tak emaw tanpui thei thil a ni. Taksa damna hun a pe thei a ni. Mahse, a châng chuan, thihna chu a ti rei mai ṭhin.
A pawimawh ber chu he thu hi inhawng tak leh dik taka doctor leh chhungte nena sawi dun hi a ni. Life support bul tan, hnawl leh tihtawp zawng zawng hi mimal thutlukna pawimawh tak tak, thutlukna pawimawh tak a ni.
Take-Home Thuchah a ni
- Nunna chhawmdawlna hi taksa peng pakhat tan hun eng emaw chen tanpuitu a ni a, thihna entirna a ni lo.
- Hei hi taksain a dam theihna tura a mamawh hun leh puihna pekna tur a ni.
- Natna thi thei lo hnuhnung ber ah chuan nunna puihna hian thihna hun a ti rei thei chauh a ni.
- Life support tan emaw tihtawp emaw chu mimal thutlukna a ni hle. Hemi chungchang hi i doctor leh chhungte nen sawiho a pawimawh.
- A pawimawh ber: Mi pakhat chu enkawl a chawlhsan avangin a thi lo. Thihna chhan chu a hnuaia awm, tihdam theih loh dinhmun hi a ni.
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