Intensive Care Unit (ICU)-a i hmangaih tak pakhat chu ‘ventilator’-a dah a nih thu i hriat hian i rilru a buai a, i lungkham a, i hlau bawk. He hlauhthawnna tam zawk hi hriat loh atanga lo chhuak a ni fo thin. Dik tak chuan he machine hi nunna chhanchhuahna atana hmanraw hlu tak a ni. Nirogi Lanka-ah hian ‘ventilator’—a nih loh leh damdawi lam thiamte’n ‘Mechanical Ventilation’ an tih—chu eng nge a nih leh a hnathawh dan, thumal awlsam leh chiang tak hmanga sawifiah theih dan tur hriatthiam kan duh a ni.
A awlsam zawngin, ventilator chu eng nge ni?
Ventilator chu nangmah chauha thawk tha thei lo a nih chuan thawkna tur a support thei machine a ni. Ke tliak tan chuan kekawrte hman ang maiin han ngaihtuah teh; kekawrte chuan i rit zawng chu i che theih nâna a thlawp ang bawkin, ventilator chuan i lung tâna thawk tûr hna ṭhenkhat emaw, a zawng zawng emaw chu a la vek a ni.
A pawimawh ber chu ventilator hi natna damdawi a ni lo. Nunna chhanhimna chi khat a ni . I thawkna chakna tichak turin hna a thawk a, enkawlna leh damdawi dangte chuan i taksa a dam leh theih nan a pui bawk.
A bul berah chuan ventilator hian a hnuaia hnate hi a thawk thin:
- I taksa mamawh oxygen chu i lung chhungah a thawn lut thin.
- I system atanga carbon dioxide tam lutuk, bawlhhlawh gas paih chhuah nan a pui thin.
- I lung (alveoli) chhunga boruak bawm te tak te te chu a inhawng a, a thawk tha reng theih nan pressure tul tak a pe thin.
I doctor-te chuan i damdawi mamawh bik a zirin machine settings chu an siamrem thei a ni.
Intubation leh Ventilation hi a inang em?
Ni lo, hei hi thil buaithlak tak a ni. An lo awm dun fo laiin, thil kalphung hrang hrang pahnih an ni.
- Intubation: Hei hi doctor-in i hmui atanga i thlipui (trachea) chhunga tube a kalpui dan a ni.
- Mechanical Ventilation: Hei hian chu tube chu ventilator machine nena inzawm tir a, i thawk chhuah pui turin a kawk a ni.
Thil engemaw takah chuan tight-fitting face mask hmangin boruak luh theih a ni bawk a, invasive tube hman ngai lovin.
Ventilation chi hrang hrangte chu engte nge ni?
Ventilator hian positive pressure hmangin i lung chhungah boruak a nawr lut a, i thawk a pui thin. Hei hi kawng bulpui pahnih hmangin tihhlawhtlin theih a ni. I hriatthiam awlsam nan a hnuaiah hian kan tarlang a ni.
| Ventilation chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Invasive Mechanical Ventilation hmanga boruak luh theihna | Hetiang tih dan hi i thawkna kawngah tube dah a ni. He tube hi i hmui kaltlangin (intubation) emaw, kawr chhunga surgical incision te tak te (tracheostomy) hmangin kal tlangin ventilator nen a inzawm a ni. |
| Non-invasive Ventilation hmanga siam a ni | Hetiang hmang hian i hmaiah mask tha takin dahin, ventilator nen an inzawm a, chu chuan i lung chhungah boruak a luh tir thin. In lama hman fo CPAP emaw BiPAP® ang chi device te hi he category-ah hian an tel a ni. |
Ventilator atanga tanpuina mamawh tu nge mamawh?
Nangmah chauha thawk tha thei lo apiangin ventilator hman a ngai mai thei. Thil thleng tlangpui chu:
- Surgery neih laiin: General anesthesia damdawi hian i thawk a titawp thei a ni. Ventilator hian i procedure chhung zawngin thawkna mumal leh him taka i neih theih nan a pui thin.
- Lung Infection emaw Natna na tak: Pneumonia, COVID-19, Acute Respiratory Distress Syndrome (ARDS), emaw, COPD ang chi lung natna khirh tak tak te.
- Emergency Situations: I thawkna kawng a dal emaw, trauma emaw, medical emergency, severe anaphylaxis emaw avanga thawk a tihchhiat emaw a nih chuan.
- Brain Injury: Stroke emaw coma emaw ang chi dinhmun hian i lungte thawk tura hrilhtu thluak signal a tichhe thei a ni.
- Gas Imbalance: I thisenah carbon dioxide (hypercapnia) emaw oxygen hniam (hypoxemia) emaw hlauhawm tak i neih chuan.
- Preventing Aspiration: I thawkna kawng venhimna tur khawpa sedated i nih chuan i lung chhunga ei tur, chil emaw tui emaw a luh loh nan.
Ventilator i hman lai hian eng nge thleng?
En reng reng, ngun taka enkawl i mamawh avangin, a tlangpuiin Intensive Care Unit (ICU) -ah doctor, nurse, leh thawkna lama thawktu specialized team-in an enkawl ang che.
Monitoring neih a ni
Machine engemaw zat i inzawm tih i hmu mai thei. Chûngte chuan i thisen sang, i thinlung chakna, thawk chhuah leh oxygen saturation te chu an enfiah reng a ni. Tin, routine chest X-ray leh thisen test pawh i dawng bawk ang.
Suctioning tih a ni
I thawkna kawng thianghlim taka awm theih nan i nursing team chuan thin tube (catheter) hmangin mucus tam lutuk chu an paih chhuak fo ang. Hei hian khuh a thlen thei che a ni. Hei hi hmangaih tak takte tan chuan nuam lo angin a lang thei a, mahse i thawkna kawng thianghlim taka vawn leh natna hrik laka invenna atan a pawimawh hle.
Damdawi, Ei leh In, leh Faina
Damdawi thenkhat chu thawkna kawng (aerosolized) hmangin i lungah direct-in a thleng thei bawk. I ei theih loh avangin nasogastric tube (hnar atanga pum chhunga kal tube) hmangin liquid nutrition i dawng ang. Tui mamawh chu thisen kaltlangin pek a ni.
I harh tawh em?
Kan tum ber chu a theih ang anga nuam, thlamuang leh fimkhur taka awm tir che hi a ni. Mahse, i dinhmun a zirin i taksain a tihdam theih nan chawlh hahdamna a mamawh theih nan deeply sedated state-ah kan dah a ngai mai thei. A châng chuan, accident-a hliam —i thawkna kawng lâk chhuah ang chi— pumpelh nân —i kut chu zawi zawiin kan thunun a ngai mai thei. Hei hi i himna tur chauha tih a ni.
Eng nge a hlawkna leh a hlauhawmna?
Medical intervention dang ang bawkin ventilator hman hian hlawkna leh inherent risk a keng tel vek a ni.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Thâwk chhuahna taksa thawhrimna a ti bo a, i taksain natna hrik dona leh damna kawngah chakna a pe thei a ni. | Bacteria hi thawkna kawng (breathing tube) kaltlangin lung chhungah a kal thei a, ventilator-associated pneumonia ang chi natna a thlen thei a ni. |
| I taksain oxygen tling a dawng tih a tichiang a, carbon dioxide tam lutuk a paih chhuak bawk. | Lung inflate nana pressure mamawh hian, a then phei chuan pressure avanga lung hliam a thlen thei bawk. |
| I lung chhunga air sac te tak te (alveoli) te chu a inhawng a, a thawk tha reng thin. | Lung chhehvel hmun zau takah boruak a luang lut thei a, chu chuan a tikehsawm thei (Pneumothorax). |
| Engtik lai pawhin thawkna kawng him, inhawng tak a vawng reng thin. | Thinlung hnathawhnaah harsatna a siam thei a, i thisen sang pawh a nghawng thei bawk. |
Damdawi lam natna khirh tak tak ṭhenkhatah chuan damlo chuan mahni chauha thawk theihna a hloh thei a ni. Chu bâkah, dam leh tûr beiseina nei lo damlo chu ventilator-a dah chuan a ṭûl lo takin thih hun chu a ti rei thei a ni. Chutiang dinhmun khirh takah chuan i hmangaih tak tan thutlukna tha ber siam turin i doctor nen inbiakna zau tak neih a pawimawh hle.
Engtin nge damlo chu ventilator atanga lakchhuah a nih?
I hmangaih tak dinhmun a ṭhat chhoh a, doctor-te'n anmahni chauha thawk thei tura an inpeih tawh thu an nemnghet chuan "na hnute hnek" chu a intan ta a ni. Damlo hian mahni thawk a chhunzawm thei em tih test nan machine support chu kan tihtlem zauh zauh thin. Engkim a kal tha a nih chuan endotracheal (ET) tube chu him takin lakchhuah a ni.
Khawngaihin hre reng ang che, tube lakchhuah a nih hnu ni engemaw zat chhung chu damloin a rilru a na emaw, a aw ri emaw a neih hi thil pangngai tak a ni.
Nirogi Lanka atanga Takeaway pawimawh tak tak te
- Mechanical ventilation hi natna damdawi a ni lo va; taksa a dam laiin thawk chhuahnaah a puitu nunna chhanhimtu system a ni.
- Hlauhawm a ngai lo. I hmangaih tak chu Intensive Care Unit (ICU)-a mithiam bik team-in uluk takin an enkawl mek a ni.
- Damdawi lam thil tih dan dang ang bawkin hlauhawmna a awm a, mahse kan medical team hian step tinah tih tlem tumin kan inpe a ni.
- Zawhna leh ngaihtuahna i neih chuan i doctor nen zalen takin inbia ang che. Anni hi a chipchiar zawng zawng hrilhfiah turin an awm a ni.
- A tawp berah chuan mi tinte chu hriselna tha tak nei chungin damdawi lam enkawlna chungchanga mahni mimal duhdan sawipui turin kan fuih a, chutiang chuan damdawi lam dinhmun pawi tak a lo awm chuan i duhzawng hriat a ni ang.
Ventilator, mechanical ventilation, life support, ICU, intensive care unit, thawk, intubation, tracheostomy, ARDS, pneumonia, thawk lama harsatna, emergency care
