I nervous system chu hlauhawma a awm chuan engtin nge ni ang? ‘Neurogenic Shock’ hlauhawm tak hi i zir dawn teh ang!

"Shock" tih thumal hi kan hre vek tawh a ni lawm ni? A châng chuan kan hlauthawng emaw, kan lungawi loh emaw chuan thil dang angin kan ngai ṭhin. Mahse damdawi lamah chuan "shock" tih hian natna khirh zawk a kawk a ni. Vawiin hian "shock" chi khat, mahse a danglam deuh deuh kan sawi dawn a ni. Hei hi ‘neurogenic shock’ an ti a. A awlsam zawngin, kan nervous system, a bik takin spinal cord -a hliam na tak a awm chuan a thleng thin .

‘Neurogenic Shock’ hi eng nge ni tak tak?

I nervous system hi ram pakhata telephone system angin ngaihtuah rawh. Heng nerve te hian thluak atanga taksa peng tinah thuchah an keng tel thin. Tunah chuan he nervous system-a hliam, a bik takin spinal cord-a hliam, spinal fracture emaw contusion emaw a awm chuan heng thuchah kengtu system hi a buai ta a ni.

Neurogenic shock hi accident hnua i heart rate, thisen sang leh taksa lumna thunun theih loha awm thin a ni. Shock chi dang ang bawkin hei hi natna khirh tak a ni a, a chang chuan thihna a thlen thei bawk. A chhan chu taksa pumpuiah thisen kal a tibuai vang a ni. Thisen a kal mumal loh chuan kan cell ten an mamawh oxygen leh nutrients an hmu lo. Tichuan cell te hian an hna an thawk thei tawh lo.

Chuvangin, a rang thei ang bera shock natna enkawlna zawn a pawimawh hle.

‘Neurogenic Shock’ leh ‘Spinal Shock’ hi eng nge an danglamna?

An pahnih hian spinal cord hliam nen inzawm mahse, danglamna tlem a awm. Spinal shock-ah chuan i ruhro (spinal cord) a hliam hnuah i taksa ruh (muscles) te chu a paralyze a, i reflexes te chu a bo vek a ni. Neurogenic shock-ah chuan a nghawng ber chu i heart rate leh blood pressure-ah a ni.

‘Neurogenic Shock’ leh ‘Hypovolemic Shock’ hi eng nge an danglamna?

Hypovolemic shock hi taksa atanga tui tam lutuk, a bik takin thisen hloh avanga lo awm a ni. An pahnih inthlauhna ber chu heart rate a ni.

• Neurogenic shock vei chuan heart rate a slow (bradyarrhythmia) a nei a.
• Hypovolemic shock vei chuan heart rate a sang (tachycardia) a nei a.

He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?

Neurogenic shock hi ruhro hliam tuar leh nervous system tichhe tawhte zingah a awm thin.

Research atanga a lan dan chuan spinal cord hliam tuar zinga 19% leh 31% inkar chuan an tawng dawn a niHei hi ‘Neurogenic Shock’ an ti a. America ang ramah pawh kum tin mi 8,000 atanga 10,000 inkar velin ruhro (spinal cord) hliam an tuar thin. Hei hi a chhan ber chu car accident leh hmun sang atanga tla te a ni. Hetiang accident hi kan ramah pawh a awm fo a ni lawm ni?

Engtin nge ‘Neurogenic Shock’ hian ka taksa a nghawng?

A awlsam zawngin, ruhroah hliam a awm chuan kan nerve te hian thisen kalna kawngah signal an thawn thei lo va, "Okay, now constrict a little" an ti thin. He thuchah hi a dawn dik loh chuan thisen kalna kawng a lian lutuk a, chu chu `vasodilation` an ti a ni. Tui pipe lian deuh deuh ang mai a ni. Thil thleng chu thisen sang chu `hypotension` a tlahniam nghal a ni . Thisen sang a tlak hniam chuan taksa pumpuiah thisen kal pawh a tlahniam bawk. Chumi awmzia chu kan taksa peng pawimawh tak takte hian an mamawh oxygen an hmu lo tihna a ni.

Hei hi eng symptoms nge ni?

Neurogenic shock natna lan chhuah dan chu:

• Thisen sang hniam (Hypotension): Hei hi a lan chhuah dan ber a ni.
• Slow heart rate (Bradyarrhythmia): Minute khata beat zat hi a tlahniam tlangpui.
• Vun chu a sen a, a lum a, chutah a vawt a, a thawmhnaw a chhuak a, a hring bawk.
• hmui leh kut zungtangte chu a sen (blue): Hei hi thisenah oxygen tlakchham vang a ni.
• Thil hriatna hloh vek emaw, hriatna tlahniam emaw: Hei hi thluaka thisen kal tlem vang a ni thei.

Miin heng symptoms pakhat emaw a aia tam emaw a neih chuan, a bik takin ruhro (spinal cord) hliam a tuar a nih chuan ngaihven vat tur a ni.

‘Neurogenic Shock’ awm chhante chu engte nge ni?

Hetiang dinhmun hi a chhan lian tak tak engemaw zat a awm a:

• Spinal cord injury: Hei hi a chhan tam ber a ni. Car accident, hmun sang atanga tlu emaw, infiamna lama accident emaw ang chi thil avanga lo awm thei a ni.
• Autonomic nervous system tichhe thei toxins te.
• Guillain-Barré syndrome: Hei hi natna awm lo tak a ni a, nervous system a nghawng a ni.
• Spinal anesthesia: He anesthesia hi surgery thenkhatah pek thin a ni. Complication angin a thleng tlem hle.
• Transverse myelitis: Hei hi ruhro (spinal cord) chhunga nerve te infection a ni bawk.

Engtin nge doctor-te hian hei hi an hriat chian?

Neurogenic shock i nei em tih hriat nan doctor chuan a hnuaia mi ang hian a ti ang:

1. Taksa endikna neih a ni: I dinhmun leh hliam awm dan enfiah a ni.

2. Vital signs te endik thin: thisen sang, heart rate, thawkna rate, leh temperature te an teh thin.

3. Thisen test tih a ni: 1.1.Taksa chhungril dinhmun leh taksa peng hrang hrangte hnathawh dan zir rawh.

4. Scan order a ni: Ruhro chhiatna dik taka tehna atan.

Eng ang scan nge tih thin?

Hengte hi scan chi hnih lian ber berte chu an ni:

• CT Scan (Computed Tomography - CT scan): Hei hian ruh chhiatna chu chiang takin a hmu thei.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Hei hian ruhro (spinal tissue) nêm tak, chu chu ruhro leh nerve-te chhiatna a en thei ber a ni.

Neurogenic Shock hi engtin nge enkawl a nih?

Hei hi medical emergency a nih avangin enkawl tan nghal tur a ni.

A hmasa berin doctor-te chuan i kawngah neck brace an dah ang. Hei hi spinal cord a nasat loh nan a ni a, a chhan chu i kawr i sawn chuan hliam chu a ti na zual thei a ni.

A dawtah chuan a pawimawh ber chu thisen sang (hypotension) control hi a ni. Hei hi IV (intravenous) hmanga saline ang chi tui pek hmanga tih a ni.

Tichuan, heart rate slow (bradyarrhythmia) control nan damdawi an pe thin.

He ‘Neurogenic Shock’ hi i enkawl lai hian chetsualna avanga hliam dang i tuar theih apiang pawh enkawl i ni ang.

Eng ang damdawi nge hman thin?

Doctor-te chuan neurogenic shock enkawlna atan damdawi chi hrang hrang an hmang thei a:

• Phenylephrine a ni
• Norepinephrine `(Norepinephrine)` tih a ni
• Epinephrine a ni
• Atropine a ni
• Glycopyrrolate `(Glycopyrrolate)` tih a ni
• Isoproterenol `(Isoproterenol)` tih a ni
• Theophylline a ni
• Aminophylline a ni

Heng damdawi te hi Doctor enkawlna khauh tak hnuaiah pek a ni a, damlo dinhmun, thisen sang, leh heart rate te ang chi thil tam tak ngaihtuah a ni.

Enkawlna hian harsatna emaw, side effect emaw a nei em?

Damdawi eng pawh hian side effect a nei thei. Mahse doctor-te chuan damdawi pakhat chu damlo tana a hlawknain a hlauhawmna aiin a tam zawk a nih chauhvin an thlang thin. Tin, IV hmanga tui pek zat hi a chang chuan a tam lutuk a nih chuan taksa a hring chhuak theihna chance tlemte a awm bawk.

Engtin nge he risk hi ka tihziaawm theih ang?

Neurogenic shock thlentu ber chu spinal cord injury a nih avangin hetiang hliam hi ven a pawimawh hle. Ṭanpui tûrin thil engemaw zât i tih theih a awm a:

• Zu leh ruihhlo rui chunga lirthei khalh suh. Ngaihtuahna leh ngaihven takin lirthei khalh rawh.
• Car-a i chuan dawnin seat belt vuah fo ang che. Three-wheeler leh motorcycle-ah him takin tlan rawh.
• Hmun hriat lohah emaw tui thuk takah emaw diving-ah kal suh. Hei hian kawng hliam na tak a thlen thei a ni.
• Thingkung lawn leh hmun sang taka hnathawh hunah himna chungchangah fimkhur rawh.

Neurogenic shock ka neih chuan eng nge ka beisei theih ang?

Spinal cord hliamin neurogenic shock a thlen chuan thisen sang (hypotension) hniam hi kar nga thleng a awm thei a ni.

Tin, he natna nen hian harsatna dang a awm thei bawk. Entir nan:

• Ke ruh chhunga thisen zam (Deep Vein Thrombosis - DVT) .
• Stress ulcer a awm thin
• Aspiration pneumonia hi ei leh in emaw thil dang emaw thawkna kawng chhunga lut vang a ni .

Neurogenic shock hi eng chen nge a awm theih?

A tlangpuiin, neurogenic shock symptoms hi kar li atanga kar nga vel a awm thei . Mahse, hei hi mi hrang hrangah leh accident awm dan azirin a danglam thei a ni.

Hna/sikul lamah ka kir leh thei dawn em ni?

I thiltih pangngai, hnathawhna hmun, sikul lama i kir leh theih leh theih loh chu i ruhro hliam nasat dan leh hliam dang i tawrh tawh danah a innghat a ni. A châng chuan i nunah inthlâk danglamna lian tak tak i siam a ngai mai thei a, a bîk takin kal harsa i neih chuan.

Neurogenic shock hi eng nge a nih?

Enkawl loh chuan shock tam zawk hi chu thihna thlen thei a ni. Mahse, enkawl vat leh dik tak chuan i nunna a chhanhim thei a ni. I hmalam hun hriselna chu thil engemaw zatah a innghat a, chung zingah chuan:

• i kum zat.
• Accident nasat dan.
• Organ dang tihchhiat.
• Natna dang i neih (damdawi lama harsatna dang).
• Eng chen nge enkawl a nih?
• Harsatna dang, thusawi thiam lohna leh balance hloh te.
• I taksain enkawlna a dawn dan.

Lungchhiatthlak takin, ruhro (spinal cord) hliam tuar tawh chu a thih hmain a let hnih atanga a let nga velin a tam zawk a ni. Thihna hlauhawmna hi spinal cord hliam hnu kum khatnaah a sang ber a ni.

Engtin nge ka in enkawl ang?

Spinal cord hliam i neih chuan a hmaa kan sawi tawh ang khan hriselna lama harsatna dang, Deep Vein Thrombosis (DVT) te i nei tam zawk a ni. Tin, neurogenic shock, thisen kal tlem a, taksa peng pakhat emaw a aia tam emaw a chhiat theihna dinhmun a ni bawk.

Mi tin dinhmun hi a inang lo vek a, mahse neurogenic shock tawk tawh tan chuan nakin lawka harsatna lo thleng tur ven nan physical therapy leh medical advice te uluk taka zawm a pawimawh.

Engtikah nge ka doctor ka hmuh ang?

I dinhmun a danglamna i hmuh chuan, vital signs emaw, natna emaw a inthlak danglam chuan doctor hnenah i hriattir nghal tur a ni.

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

Heng symptoms te hi i neih chuan emergency treatment i zawng nghal tur a ni:

• A rilru a na
• Luak chhuak thei
• Luhai

Hengte hi natna khirh tak dang chhinchhiahna a ni thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka dinhmun bik chu eng nge ni ang?
• ‘Neurogenic Shock’ vangin ka taksa peng hrang hrang a chhe tawh em?
• Ka dinhmun thlirin eng thil nge ka tih tur pawimawh ber?

Thupui tawi leh Take-Home Message

Okay, chuvangin vawiina kan sawi 'Neurogenic Shock' hi ruhro hliam na tak avanga lo awm thei dinhmun hlauhawm tak a ni. Hetah hian nervous system tihchhiatna hian taksain heart rate leh blood pressure ang chi thil a thunun thei lo.

A pawimawh ber chu a him thei ang bera awm a, i ruhro hliam lo tura beih hi a ni. Motor khalh lai te, hmun sang taka hnathawh lai te, tui chhunga zuang lai te hian fimkhur hle ang che.

Accident a awm chuan damdawi lam pan vat chuan i nunna a chhanhim thei a ni. Chumi hnuah chuan doctor thupek anga physical therapy chhunzawm chuan a hrisel thei ang bera awm turin a pui ang che. I medical team chuan he harsatna hi hneh turin an pui ang che.

` Neurogenic Shock, Spinal Cord Injury, Thisen sang, Nervous System, Emergency, Hypotension, Bradyarrhythmia te a awm thei