Intensive Care Unit (ICU)-a i hriat mi pakhat chu ventilator-a dah a nih thu i hriat hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. He hlauhthawnna hi he machine chungchang hi hriat tam loh vangin a zual sauh sauh a ni. A nihna takah chuan nunna leh thihna indonaah pui thei tur hmanraw hlu tak a ni. Chuvangin vawiinah hian ventilator, a nih loh leh medical science-a an tih ang chi hi eng nge a nih leh eng nge a tih tih hi tawng awlsam leh hriatthiam awlsam tak hmangin i sawi dawn nia.
A awlsam zawngin, ventilator chu eng nge ni?
Ventilator chu mi pakhatin mahni chauha thawk harsa an tih hunah thawk turin a puitu machine a ni. I ke ruh tliak laia kekawrte hman ang maiin ngaihtuah rawh. Crutch hian i rit zawng nen i kal theih nan a pui ang bawkin, ventilator hian i lung tan thawkna hnathawh chu a luah vek a, a pum pui emaw, eng emaw chen emaw pawh a la thei a ni.
A pawimawh ber chu ventilator hi a damdawi a ni lo. Life support system a ni a . Chu chu, enkawlna leh damdawi dang hmanga taksa a lo dam leh hma loh chuan thawk dan tur a vawng reng thei tihna a ni.
Heng thilte hi ventilator hmanga thleng a ni ber:
- I lungte mamawh oxygen a pe a ni.
- Lung chhunga carbon dioxide gas tha lo awmkhawm chu a paih chhuak thei a ni.
- Lung chhunga air sac te tak te, alveoli tia koh te hian a tlakbuak loh nan a inhawng reng theih nan pressure mamawh a pe a ni.
Doctor ten damlo mamawh dan azirin he machine setting hi an thlak danglam thei a ni.
Intubation leh Ventilation hi thil hrang hrang pahnih a ni em?
Awle. Hei hi mi tam tak buaina hmun a ni. Heng pahnih hi thleng dun mahse, hengte hi thil kalphung hrang hrang pahnih a ni.
- Intubation: Doctor-in damlo hmui hmanga damlo thlipui (trachea) chhunga tube a thun dan.
- Mechanical Ventilation: Hei hian hetianga tube dah chu thawkna atana puitu ventilator nena inzawm tir tihna a ni.
A then phei chuan ventilator hi hmai chunga in fit tha tak face mask-ah connect theih a ni a, hetiang hian tube dah lovin.
Eng ventilator method nge awm?
Ventilator te hian positive pressure hmangin lung chhungah boruak an nawr lut thin. Hei hi kawng lian pahnihin tih theih a ni. He thu hi hriatthiam awlsam zawk nan hetiang hian table siam ila.
| Ventilation chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Invasive Mechanical Ventilation (tube dah luh) hmanga tihchak a ni. | Chutah chuan thawkna kawngah tube dah a ni. He tube hi hmui hmangin (intubation) emaw, kawr chhunga surgery tenau (tracheostomy) hmangin emaw dahin ventilator nen an inzawm a ni. |
| Non-invasive Ventilation hmanga siam a ni | Hei hian hmai chungah mask nghet tak hman a huam a ni. He mask hi ventilator nena inzawm a ni a, chu chuan lung chhungah boruak a nawr lut a ni. In lama hman thin CPAP emaw BiPAP® ang chi device te hi he category-ah hian an tel a ni. |
Tute nge ventilator puihna mamawh?
Mi pakhatin a mah chauha thawk a thawh theih loh hunah engtik lai pawhin ventilator puihna hi a ngai thei a, a bik takin hetiang thil thlengah hian:
- Surgery neih lai hian: General anesthesia hian kan thawk chakna a ti tlem a. Chuvangin, ventilator hian surgery chhung zawngin thawk mumal tak a neih theih nan a pui thin.
- Lung infection na tak emaw dinhmun: Pneumonia, COVID-19, acute respiratory distress syndrome (ARDS), leh chronic obstructive pulmonary disease (COPD) ang chi natnaah te.
- Accident emaw medical emergency: Thlawhna kawng tihkhawtlai emaw thawkna lama harsatna thlen thei accident a awm chuan. Entirnan, allergy na tak (anaphylaxis) a awm.
- Thluak chhiatna: Thluak chhiatna, stroke emaw coma emaw ang chi hian thluak atanga lung lama thuchah chu a kal tha thei lo.
- Thisen gas level inthlauhna: Thisen a carbon dioxide sang (hypercapnia) emaw oxygen tlahniam (hypoxemia) ang chi dinhmunah.
- Chaw emaw, hmui emaw chu lung chhunga a luh loh nan: Mi hriat lohna ka chhunga thil (saliva, ei tur) aspiration leh natna thlentu venna.
Ventilator nena inzawm i nih chuan eng nge thleng?
Ventilator nena inzawm mi pakhat chu uluk taka enkawl a ngaih avangin intensive care unit (ICU)-ah dah an ni tlangpui.Chutah chuan, doctor, nurse, leh thawkna lama enkawltu, a bîk taka zirtîr team chuan damlo chu an enkawl a ni.
Damlo enkawl zui zel
I hmangaih tak hian an taksaah machine dang engemaw zat a bun tih i hmu ang. Thisen sang, heart rate, thawk chak leh thisen oxygen level ang chi thil an teh fo thin. Chest X-ray leh thisen test te pawh an ti thin.
Suctioning tih a ni
Thlawhna kawngah hian mucus a lo awm thei a. Chuvangin, nursing staff te hian thin tube (catheter) an dah lut fo thin a, chu chuan mucus chu an paih chhuak thin. Hetih lai hian damlo chu a khuh mai thei. Hei hi i en a nuam lo deuh mai thei a, mahse hei hi thawkna kawng thianghlim taka awm theih nan a pawimawh hle.
Damdawi, ei leh in leh faina lam
Damdawi thenkhat chu thawkna kawng (breathing tube) hmangin lung chhungah aerosolized a ni. Ei leh in theih loh an nih avangin liquid nutrition chu hnar atanga pum chhunga kal luh tube hmangin an pe thin. Tui mamawh chu saline hmangin thisenah pek a ni.
Damlo chu a harh tawh em?
Doctor-te chuan damlo chu a nuam thei ang bera, a thlamuang thei ang ber leh a fimkhur thei ang bera awmtir an tum thin. Amaherawhchu, damlo dinhmun a zirin damlo chu chawlh hahdamna pek a, taksa a dam theihna tura phalsak emaw, muthilh thuk taka dah (deep sedation) emaw a ngai mai thei. A châng chuan damlo chu anmahni tihchhiat loh nân, entîr nân, tube lak chhuah tumna tihtawp nân, insum a ngai mai thei . Hei hi damlo himna atan tih a ni.
Eng nge a hlawkna leh a hlauhawmna?
Damdawi dang ang bawkin ventilator hman hian hlawkna leh hlauhawmna a nei vek a ni.
| A thatna te | Risk a awm thei |
|---|---|
| Thâwk lak tur chuan thawhrim a ngai lo. I taksain natna a kai theih zawng zawng tihdam leh dona kawngah rilru pe rawh. | Bacteria hi trachea kaltlangin lungah a kal thei a, natna (e.g. pneumonia) a thlen thei bawk. |
| Taksa hian oxygen a mamawh zawng zawng a dawng kim vek a. Carbon dioxide a paih chhuak a. | Machine atanga pressure lo chhuak hian a chang chuan lung a tichhe thei a ni. |
| Lung chhunga air sacs te chu a tlakbuak loh nan a veng. | Lung chhunga hmun chak lo chuan lung a tikehsawm (pneumothorax). |
| Thli kawng hawn reng turin a pui. | Lung hnathawh leh thisen sang a nghawng thei a ni. |
Thil pawi tak tak thenkhatah chuan damlo chu a mah chauhin thawk a la thei tawh lo mai thei. Tin, damlo dam theihna chance nei lo ventilator-a dah hian a tul lovah thihna hun a ti rei thei bawk. Chutiang dinhmun sensitive takah chuan doctor nen zalen taka inbiakna neih a pawimawh a, damlo tan thutlukna tha ber siam a pawimawh.
Engtin nge ventilator atang hian i inhnukdawk ang?
Damlo dinhmun a ṭhat chhoh a, doctor-te chuan anmahni chauhin thawk an la thei tih an hriat chian hnuah, ventilator aṭanga ``na hnute hnek'' chu an ṭan ta a ni. A hmasain, machine atanga support chu zawi zawiin an tihtlem a, damlo chu a mah chauhin a thawk thei em tih an en thin. Engkim a OK chuan endotracheal tube (ET tube) chu lakchhuah a ni.
Tube lakchhuah hnuah ni engemaw zat chhung chu i rilru a na thei a, i bengchheng thei bawk. Hei hi thil pangngai a ni.
Take-Home Thuchah a ni
- Mechanical ventilation hi natna tihdamna a ni lo va, taksain a dam leh hma loh zawnga thaw a thawh theih nan life support method a ni.
- Hei hi ngaihtuahawm tur a ni lo. Intensive care unit-a trained medical team te chuan damlo hi uluk takin an enkawl mek a ni.
- Enkawlna zawng zawng ang bawkin hlauhawmna a awm a, mahse medical team chuan chutiang hlauhawmna chu tihtlem tumin hma an la reng a ni.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. Thil awmdan chu an hrilhfiah ang che.
- A tawp berah chuan, tu pawhin an hrisel lai pawha natna khirh tak an neih chuan enkawl dan tur chungchangah chhungte nen an duhdan sawipui a pawimawh hle.
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