A châng chuan, a bîk takin zai hnua hliam kan neih te, zunthlum vanga kan kea hliam emaw, accident lian tham avânga hliam kan neihte hi a dam theih nân hun rei tak a ngai ṭhin a ni lawm ni? Hliam thenkhat chu tui a chhuak chhunzawm zel a, a hring chhuak a, tihfai hnuah pawh a dam lo ang tih a hriat. Chuvangin vawiin hian heng hliam dam harsa leh buaithlak tak takte hi a dam thuai theihna tur enkawlna kawng tha tak leh tunlai tak kan sawi dawn a ni.
He ‘Negative Pressure Wound Therapy’ hi eng nge ni?
A awlsam zawngin sawi ila, hei hi hliam chunga machine te tak te dah a, hliam atanga tui, zun leh bacteria duh loh ‘suck’ chhuah dan a ni. Vacuum cleaner te tak te hmanga bawlhhlawh paih chhuah ang mai a ni. Hei hi ‘vacuum-assisted therapy’ an ti \hin.
Hetiang method hian hetiang hian hna a thawk a ni:
- Hliam atanga tui tha lo chhuak reng reng lakchhuah hian , swelling (edema) a ti tlem a ni.
- Hliam chhungah hian boruak hnim leh thianghlim tak siam a ni a, chu chuan tissue thar hrisel tak takte chu a tipung chak hle.
- Hliam ah thisen a kal tha a, chu chu tissue thar siamna atana oxygen leh nutrients mamawh a hmu tihna a ni.
- Hliam chu an han hrual a, a sir lehlamah a inhnaih zual a, chu chuan hliam chu a ti tlem a, a khar nghal vat a ni.
He enkawlna hi khawvel hmun hrang hranga Doctor ten an hmang nasa hle a, rah chhuah pawh a hlawhtling hle.
Engtin nge he enkawlna hi tih a nih?
Hetianga tih dan hi a systematic hle. I doctor emaw, trained nursing staff emaw chuan hengte hi an zawm ang:
1. Hliam tihfai dan: A hmasa berin a hliam leh a chhehvel uluk taka tihfai tur a ni. Tissue thi emaw, hliam na hmun emaw a awm chuan operation room-ah hmanraw bik hmangin an la chhuak thin.
2. Foam dah: A dawtah chuan foam ang chi sponge bik, a lian zawnga cut chu hliam chungah emaw, a chhungah emaw dah a ni.
3. Airtight sealing: Foam hi boruak lut thei lo turin plastic ang chi film langtlang takin a khuh kim vek a, a seal tha hle.
4. Tube dah dan: Film chungah hian tube te tak te (suction tube) dah a ni.
5. Machine nena inzawm: A tawp berah chuan tube chu machine te tak te nen an inzawm a. He machine hi a on chuan hliam chhungah hian ‘negative pressure’, chu chu vacuum pressure a siam a ni. Tichuan, hliam chhunga tui leh hnim duh loh chu tube chhungah a tla thla a, machine nena inzawm canister-ah a khawl khawm ta a ni.
He machine hi battery hmanga siam emaw, electric hmanga siam emaw pawh a ni thei. Tin, doctor chuan pressure level mamawh chu a siamrem thei bawk. Battery a tlakchham emaw, pressure a tawp emaw chuan alarm a ri ang. A chang chuan saline emaw antibiotics emaw pawh he method hmang hian hliam chhungah hian inject theih a ni bawk.
Eng hliam chi hrang hrangah nge he enkawlna hi a tha?
Hei hi hliam tin atan hman a ni lo. Hengte hi doctor-in he enkawlna hi a rawt theihna tur dinhmun thenkhat chu a ni.
| Engtikah nge enkawlna hman tur | Entirnan |
|---|---|
| Hliam buaithlak emaw, dam lo emaw | Diabetic ke ulcer, khum mu chunga pressure ulcer awm. |
| Hliam na tak tak | Accident lian tham tak avanga vun leh sa a tihkeh tawhna hliam. |
| Operation hnua hliam tuar te | A bik takin surgery hmanga hliam, natna kai theihna tur, khar theih loh, emaw, hliam, a hliam a chhe tawh a, a inhawng leh tawh te. |
| Kangmei chhuak | Kangmei na tak thenkhat damna kawngah tanpui turin. |
Mahse, he enkawlna hi cancer hliam te, tissue thi tam tak awmna hliam te, leh chhungril taksa peng emaw, thisen kalna lian tak tak emaw chhuahna hliamte tan a tha lo tlangpui tih hre reng ang che Hemi chungchanga thutlukna hnuhnung ber chu i doctor-in a siam thin.
He enkawlna hian eng nge a thatna leh a that lohna awm thei?
Enkawlna dang ang bawkin a hlawkna leh hriat tur tlemte a awm bawk.
| Hlawkna bulpui ber | Thil hriat tur (Possible Side Effects) . |
|---|---|
| Hliam dam thuai. | Thisen chhuak (a tlem hle). |
| Swelling leh natna tihziaawmna. | Natna (dressing thlak lai). |
| Hliam natna vei theihna a ti tlem. | Hliam natna hrik (faina enkawl loh chuan). |
| Dressing thlak fo a ngai lo (a tlangpuiin ni 2-3 danah). | Foam hman chu hliam chungah a innghat a. |
| Damdawi ina hun hman tlem. | Thil hmante allergic reaction a awm. |
| Machine hi a te a nih avangin damlo tan chuan a kal kual a awlsam hle. | Machine a thawk tha lo (battery a tlahniam a, tube a tlakbuak). |
In lama he enkawlna hi i dawng a nih chuan engtikah nge doctor hnenah i hrilh nghal ang?
A châng chuan i doctor chuan he machine hmang hian a haw thei che a ni. Chutiang a nih chuan nang leh i chhungte hian heng thilte hi i fimkhur hle tur a ni. A hnuaia mite hi i hriat chian chuan i doctor emaw, i enkawl nana clinic emaw chu tihkhawtlai lohvin i call tur a ni.
- Hliam chu thisen a chhuah tan chuan.
- Khawsik i nei a.A lo awm a nih chuan emaw, hliam chu natna lan chhuahna a lan chuan, a sen, a hring, leh a na zual a ni.
- Hliam vel seal chu a chhuak ang tih i hriat chuan .
- Machine atanga sound lo chhuak chu a danglam tawh a nih chuan .
- Machine battery a hniam chuan alarm a ri ta a ni.
- Machine nena inzawm pipe chu a khar anga lang a nih chuan .
- Machine chu a thawk tawh lo nghal a nih chuan.
Tin, i doctor thupek dik takin zawm bawk ang che. I inbual laiin i dressing chu hnim tir suh la, sponge inbual zawk rawh. Painkiller leh antibiotics a pek ang chiah hian ei tur a ni.
Take-Home Thuchah a ni
- Negative Pressure Wound Therapy hi enkawlna tha tak a ni a, vacuum method hmangin hliam dam harsa leh buaithlak tak takte chu rang taka tihdam theih a ni.
- Hei hian hliam a ti na a, natna hrik a control a, tissue hrisel thar a lo thang lian thei bawk.
- He enkawlna hi damdawi inah tih theih a ni a, a chang chuan in lamah pawh doctor enkawlna hnuaiah tih theih a ni bawk.
- Enkawl laiin thil danglam tak i hmuh chuan (thisen chhuak, khawsik, machine inthlak danglamna) i doctor hriattir nghal a pawimawh .
- He damdawi hi i tan a tha em tih chu i doctor chauhin a rel thei a, chuvangin hemi chungchang hi i hriat belh duh chuan i doctor nen inbia ang che.
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