I taksa peng engemaw zat chu vawi khatah a fail em? He natna Multiple Organ Dysfunction Syndrome (MODS) tih hi han sawi ila!

Mi pakhat chu a damlo nasa hle a, damdawi ina intensive care unit (ICU)-a a awm chuan, "Doctor-te chuan an taksa peng thenkhat chu a thawk tha lo niin an sawi a ni," an ti tih i hre tawh ngei ang. A nih loh leh, "Machine hmanga nung reng an ni." Dik tak chuan, chutih lai chuan chu mi chuan natna khirh tak a nei thei a ni. Damdawi lamah chuan hei hi Multiple Organ Dysfunction Syndrome emaw, English-ah chuan ``Multiple Organ Dysfunction Syndrome - MODS'' kan ti a ni.

MODS hi eng nge ni tak tak?

A awlsam zawngin, MODS hi damdawi lam natna khirh tak (acute) tak a ni . Hemi a thil thleng chu kan taksaa organ system pahnih emaw a aia tam emaw thawk ho hian vawi khatah hna an thawk tha lo. Ngaihtuah teh, kan taksa hian system tam tak a nei a, chu chu respiratory system, digestive system, urinary system te hi a ni. Hengte hian kan hrisel reng theih nan an thawk ho thin. MODS a lo awm hian heng organ system te hian anmahniin hna an thawk thei lo. Tichuan, chu taksa peng hrang hrangte hnathawh tur chuan nunna puihna hmanrua (`life support`) a ngai ta a ni.

MODS hian taksa peng eng pawh a nghawng thei a, mahse a tam ber chu:

• Chuap
• Thinlung
• Thluak
• Kidney a ni
• Thin
• Thisen (thisen) .

MODS hian chhan tam tak a nei thei. A chhan ber chu natna khirh tak (sepsis) a ni . MODS enkawl hian doctor-te chuan he natna thlentu dinhmun (underlying condition) chu control an tum hmasa thin. Organ system dangte tihchhiat loh nan hma an la bawk.

MODS hi damdawi lam natna hlauhawm tak a ni . Enkawl vat loh chuan thihna thlen thei a ni. MODS vei tam tak chu intensive care unit (ICU)-ah dah an ni a, enkawl reng reng leh nunna atana puihna an mamawh a ni.

He dinhmun hi hming dang engemaw zatin an ko a, chung zingah chuan:

• Organ tam tak a tlakchhiat
• Organ system hrang hrang a chhiat

MODS hian eng organ system nge a nghawng theih?

MODS hian a hnuaia organ system pahnih emaw a aia tam emaw a nghawng thei a ni:

1. Thluak lam (lungs) .

Kan lungin taksain oxygen a mamawh zat a pe thei lo a, chu chu taksa peng hrang hrangin oxygen a dawng tlem (hypoxia) emaw, taksain carbon dioxide (CO2) (CO2) a dawng tlem (hypercapnia) emaw tihna a nih chuan thawkna lama harsatna (respiratory failure) kan ti thin. MODS-ah chuan thawk harsa i ti a, thawk lakna tur mechanical ventilation pawh i mamawh thei bawk. MODS-a lung chhiatna nasa ber chu Acute Respiratory Distress Syndrome (ARDS) a ni.Hetiang ARDS dinhmunah hian lung a khauh a, thisenah oxygen level pangngai awm reng chu a harsa hle.

2. Lung leh thisen kalna (thinlung) .

Kan cardiovascular system hi taksa pum puia thisen pump chhuaktu a ni. Heart failure leh circulatory shock hi heart muscle a chak lo emaw, a nghet lo emaw a, taksa pum puiah thisen a pump tling thei lo tihna a ni. MODS hmanga inflammation tam lutuk hian thisen kalna kawng a tizau thei a, tissue leh organ-a thisen kal zat a ti tlem thei a ni. Hei hian MODS-ah thisen sang (low blood pressure emaw shock) a thlen thei a ni. Heng thisen kalna atang hian tui a leak thei bawk a, chu chuan a hring (edema) a thlen thei bawk.

3. Thisen kalphung (thisen) .

MODS hian thisen chhunga protein thenkhatah imbalance a siam thei a ni. Hei hian thisen chhuah leh thisen zam (clotting problem) a thlen thei a ni. I vunah hliam emaw, i pum chhunga thisen chhuak emaw pawh i hmu thei bawk. I thisen kalphung tichhe thei harsatna lian ber chu Disseminated Intravascular Coagulation (DIC) . Hetiang dinhmunah hian i vunah catheter emaw tube emaw atang hian thisen a chhuak tan thei a ni.

4. Nervous system (thluak) .

Kan thluak hi taksa chhunga system zawng zawng thunun theitu pawimawh tak a ni. Thluak thenkhat emaw, a pum emaw a hnathawh a chawlhsan chuan thluak emaw, central nervous system hmun dang emaw (spinal cord leh a kaihhnawih nerve te pawh tel) a chhiat chuan `neurological failure` kan ti thin. MODS-ah chuan inflammation, thisen kalphung lama harsatna avanga thisen zam, leh thisen sang hniam te hian thluaka thisen kal zat a ti tlem thei a ni. Hei hian thluak a tichhe thei a, buaina (`delirium`) a thlen thei bawk.

5. Kal kalphung (kidney) .

Kidney failure chu kal hian a hna thenkhat emaw, a zawng zawng emaw, thisen atanga bawlhhlawh filter te pawh a thawh theih loh vang a ni. Kidney system hian kan thisen a filter a, zun a siam a, taksa atanga tui tul lo tak tak a paih chhuak bawk. MODS-ah chuan he kalphung hi a tichhe thei a ni.

6. Hepatic system (liver) .

Liver failure chu liver hian a hna tam tak thenkhat emaw, a zawng zawng emaw a thawh theih loh vang a ni a, chu chu thisen atanga toxins paih chhuah te, red blood cells hlui te filter te, bile (ei tur digest puitu yellow/green acid) siam te hi a ni. Inflammation leh liver-a thisen kal tlem chuan liver a tichak lo thei a ni. Hei hian vun leh/ emaw mit a ti sen (jaundice) a thlen thei. Liver failure hian taksa peng dang a tichhe thei bawk.

MODS hi engtiang chiahin nge a awm?

MODS hi natna khirh tak, natna khirh tak takah hmuh tur awm fo a ni. Zirna hrang hrangah intensive care unit-a damlo 28% leh 88% inkar chuan MODS an vei thei tih a tarlang. Surgical intensive care unit (ICU)-a thihna thlentu lian ber a ni bawk.

MODS natna lan chhuah hmasak berte chu engte nge ni?

MODS hian taksa peng eng pawh a nghawng thei avangin, a natna lan chhuah dan chu a tuar taksa peng hrang hrangah a innghat a ni. Heng symptoms te hi MODS thlentu natna hmasa berah chuan a na lo thei hle a, a na hle thei bawk . Natna khirh tak atanga MODS a kal zel chuan:

• Nausea leh luak chhuak
• Chaw chakna
• Chak lo lutuk emaw, chau lutuk emaw anga inhria
• Khawsik
• Cooling down a ni
• Buaina emaw, ngaihtuahna seng harsa emaw
• Thâwk rang tak, thuk lo tak
• Thinlung thawk chak emaw, mumal lo emaw
• Hun rei tak chhung rilru leh/ emaw pum na
• Pumpui a hring chhuak
• A taksa peng hrang hrangte a hring chhuak
• Vun emaw mit emaw a sen (jaundice) .
• Vun, hmui, lei, hmui, kut zungtang, mit rawng blue emaw gray/white emaw a inthlak (cyanosis) .
• Thil hriatna hloh

Eng thilin nge MODS hi a thlen?

MODS hi natna lian tham, hliam emaw, hri kai emaw avanga lo awm thei a ni. Doctor leh zirchiangtute chuan MODS awm chhan dik tak an la hre lo. Mahse, tuna zirchianna hrang hrangah chuan inflammation leh thisen supply tlahniam hi MODS thlentu a ni fo tih a tarlang. MODS hi damdawi lam dinhmun pakhat chauh avanga lo awm a ni lo. Taksa taksa peng hrang hrang tam tak emaw, a zawng zawng emaw nghawng thei thil thleng hrang hrang atanga lo piang chhuak a ni. Thisen supply leh oxygen tlakchham chuan chhiatna a thlen thei.

Ngaihtuah teh, natna khirh takah chuan MODS thlen thei thil engemaw zat a awm thei.

1. Primary event: Hei hi a chhan hmasa ber a ni. Entirnan, infection na tak (sepsis), accident lian tak (car accident ang chi), emaw heart attack na tak a awm.

2. Thil thleng pahnihna: Hei hi i immune system a overreact a, taksa pum puiah inflammation nasa tak a thlen hian a ni.

3. Third event: Infection thar i neih chuan, emaw, original condition enkawl nan operation i neih a ngai a nih chuan, chu chu thil thleng pathumna a ni thei.

MODS thlentu tlangpui thenkhat chu:

• Sepsis emaw septic shock: Hei hi bacteria emaw viral infection na tak avanga inflammation na tak a ni thei.
• Traumatic injury: Car accident, kangmei nasa tak, hliam tuar emaw, kahhlum emaw ang chi thil.
• Pancreatitis: Pancreas natna (inflammation) a awm. Hei hi gallstone, zu in tam lutuk, damdawi thenkhat leh thil dang vang a ni thei.
• Massive heart attack: Thinlung thisen petu thisen kalna kawngkhar a block avanga lo awm a ni.
• Liver failure: Hei hi Hepatitis B, Hepatitis C, fatty liver disease, zu in tam lutuk, leh cirrhosis vang a ni thei.
• Toxic hliam leh poisoning: 1.1.Toxins nena inzawmna avanga lo awm. Entirnan, ruihhlo emaw zu emaw hman acute emaw chronic emaw, chemical tha lo tak tak, pesticide leh insulation material hlui (asbestos), leh bacteria infection te.

Heng dinhmunte hian i immune system leh thisen system-ah inthlak danglamna lian tak a thlen a, chu chuan taksa peng dangte pawh a nghawng bawk.

MODS-ah hian eng organ nge fail hmasa ber?

MODS vei zawng zawng deuhthaw hian lung harsatna an tawk hmasa ber a , mahse doctor leh zirchiangtute chuan MODS hmaa lung failure a awm tlangpui chhan hi chiang takin an la hre lo.

MODS hian tute nge a nghawng ber?

Tu pawhin MODS hi an vei thei a, mahse i natna hnuaia awm, natna khirh tak emaw, immunodeficiency emaw i neih chuan MODS i vei theihna a sang zawk.

MODS hi engtin nge kan hriat theih ang?

Doctor-te chuan i taksa pum puia organ failure hriat nan test hrang hrang an hmang thin. Chûng zîngah chuan:

• Thisen test a ni
• Arterial thisen gas test a ni
• Liver hnathawh dan test a ni
• Kidney function test a ni
• Thisen leh tissue culture te
• Echocardiogram (thinlung ultrasound) hmanga tih a ni.
• Imaging test, ultrasound emaw CT scan emaw te pawh a awm thei

MODS hi engtin nge enkawl a nih?

MODS enkawlna hi a chhan bulpui leh a nghawng organ system-ah a innghat a ni. Enkawlna kawng thenkhat chu:

• Thisen tlakchhamna chu intravenous (IV) fluids pek hmangin enkawl rawh .
• Thisen kalna kawng leh tissue kaltlanga thisen kal tam zawkna tur vasopressor damdawi pek (tissue perfusion).
• Infection leh/ emaw sepsis enkawlna atan antibiotics pek thin ang che.
• Hliam emaw, operation emaw avanga thisen hloh thlak nan thisen pek .
• Taksa tana oxygen tam zawk pek theihna turin oxygen therapy .
• Mahni chauha thawk i la thei lo a nih chuan i thawk theih nan mechanical ventilation i mamawh mai thei.
• I taksa atanga bawlhhlawh leh tui tam lutuk paih chhuahna tura puitu tur dialysis .
• Extracorporeal membrane oxygenation (ECMO) hmangin thisenah oxygen dah belh leh carbon dioxide paih chhuah a ni.
• Liver thlawptu tur molecular absorbent recirculating system (MARS) a ni.
• Hliam na tak tuar damlo tan surgery neih a ni.
• Organ transplant surgery hi taksa peng natna nei emaw, thawk tha lo emaw chu donor atanga taksa peng hrisel tak hmanga thlak a ni.
• Gastrointestinal (GI) bleeding emaw gastrointestinal condition i neih chuan ei theih lohna i nei a nih chuan, emaw taksa lamah ei theih loh i neih chuan IV (intravenous) emaw enteral nutrition (parenteral nutrition) hmanga nutrients i dawn a ngai mai thei.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I dam lehna tur chu a chhan bulpui leh a enkawl danah a innghat ang. Doctor chuan enkawlna hnuah engtikah nge hmasawnna hmuh i beisei theih ang tih ngaihtuahna tha zawk a pe thei che a ni.

MODS hmalam hun chu eng nge ni?

MODS hmalam hun chu a chhan bulpuiah a innghat a ni. A châng chuan i hriatna ṭhenkhat emaw, a zawng zawng emaw chu a pangngaiin a lo kir leh thei a, mahse i dam leh hma loh chuan hun engemaw chen chhûnga nunna ṭanpuina i mamawh mai thei.

MODS leh a chhan bulpui hriat hmasak leh enkawl hi he natna hi hlawhtling taka enkawl nan a pawimawh hle.

MODS prognosis hi intensive care unit (ICU) hrang hrangah a inang lo. Doctor-te chuan he natna hi surgical intensive care unit-a dah damlote thihna thlen fotuah an ngai a ni.

Natna hi a nasat phah chuan permanent organ damage a awm thei a ni. Hun rei tak chhung nunna atana puihna emaw, taksa peng dang thlak emaw i mamawh mai thei. Thihna a thlen thei bawk.

MODS nghawng thei thil (predisposing factors) hriatchhuah nan zirchianna tam zawk neih a ngai a, hei hian damlote hmalam hun tha zawk a thlen thei a ni.

MODS atanga damchhuah zat hi engzat nge ni?

Doctor leh zirchiangtute chuan MODS vei damchhuah zat hi 50% leh 60% inkar a ni tih an chhut .

MODS hi ven theih a ni em?

MODS thlentu thil thenkhat chu ven theih a ni lo. Tin, tunah hian MODS laka invenna tur damdawi bik a awm lo. Researcher-te chuan MODS hi a tir lamah enkawl dan tur an zawng nasa hle a, hei hian natna a zual zel tur venna atan a pui a ni. Tunah hian hemi kawngah hian zirchianna eng emaw zat neih mek a ni.

I taksa peng hrang hrangte venhimna kawngah hian hetiang thil hi i ti thei ang:

• Lirthei-a i chuan laiin seat belt vuah la, high-impact sports i khelh hunah protective gear vuah la, i taksa pengte chu shock laka humhim rawh.
• Doctor-te rawtna angin natna khirh tak tak laka inven nan vaccine lak thin ang che.
• Damdawi pek loh, nonsteroidal anti-inflammatory drugs (NSAIDs) ang chi, kal tichhe thei, ei tlem emaw, ei loh emaw.
• Damdawi emaw, pum chhunga natna thlen thei thil dang emaw, NSAIDs, meizuk, leh zu in te chu tihtlem emaw, chawlhsan emaw .
• Thisen sang (hypertension) enkawlna dawng rawh .

Natna khirh tak neia damdawi inah i awm a nih chuan i doctor-te chuan MODS a na zual loh nan hetiang thil hi an ti thei ang:

• Mechanical ventilation avanga i lung a chhiatna tihtlem.
• Thisen pek hi a tul tak tak hma loh chuan tihtlem rawh.
• Thisen zam a awm loh nan a tul chuan thisen tithianghlimtu hman thin.

Engtikah nge Doctor ka hmuh ang?

Natna khirh tak i neih a, MODS symptom i neih a, chu chuan natna khirh tak leh taksa peng hrang hrang a tichhe thei a nih chuan doctor pan hi a tha reng a ni. Eng chhinchhiahna emaw, chhinchhiahna emaw chiang tak nge i ngaihven tur tih leh eng dinhmun pawh enkawl dan tur an hrilh thei che a ni.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

MODS symptoms i neih chuan emergency room hnai ber ah kal la, 911 ah call la, hei hi enkawl vat loh chuan thihna thlen thei a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor zawh tur zawhna thenkhat chu hetiang hi a ni:

• Eng thilin nge MODS hi a thlen?
• Eng enkawlna kawng nge ka neih?
• Eng damdawi nge i rawt?
• Ka enkawlna tumte chu engte nge ni?
• Engzat nge enkawlna ka mamawh?

Thupui tawi leh thuchah hnuhnung ber

Okay, chuvangin tunah chuan multiple organ dysfunction syndrome (MODS) hi i taksa chhunga organ system pahnih emaw a aia tam emaw tichhe thei natna khirh tak a ni tih i hre ta. MODS hian taksa peng hrang hrang a nghawng thei a, mahse a nghawng tam ber chu lung, thinlung, kal, thin, thluak leh thisen a ni. Hei hi a chhan awm thei tam tak a awm. A tam ber chu trauma na tak, natna khirh tak, leh hri kai darh zau tak te hi a ni. Enkawlnaah hian a hnuaia dinhmun enkawl hi a ngaih pawimawh ber a, chutih rualin taksa peng dangte tihchhiat belh zel tur venna a ni.

I emaw, i hmangaih tak emaw taksa peng hrang hrangin hna a thawk lo tih i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse Emergency Treatment Unit (ETU) leh Intensive Care Unit (ICU)-a doctor leh thawktute chu i taksa peng zawng zawng pui turin an zirtir a, chhiatna dang a awm loh nan leh i taksa a dam theih nan an pui bawk. Chuvangin beiseina bansan suh. Enkawlna rang tak leh damdawi lam thurawn dik tak i pek chuan he dinhmun atang hian chhuah i tum thei a ni.

` Multiple organ failure, MODS, organ failure, sepsis, intensive care, organ failure, life support