Ambulance -ah emaw, damdawi in emergency room (ETU)-ah emaw, thawk harsatna nei, hmaiah mask vuah, oxygen pekna tur bag te tak te an buntir i hmu tawh em ? Chu chu Non-Rebreather Mask tia sawi fo chu a ni. Hei hi damdawi hmanraw pawimawh tak, emergency-a nunna chhanhimna atana hman a ni. Chuvangin, vawiin hian he thu hi awlsam tak leh chiang takin sawi ila.
A awlsam zawngin, Non-Rebreather Mask (NRM) tih hi eng nge ni?
Non-Rebreather Mask, a nih loh leh Doctor-te’n NRM an tih hi face mask bik a ni a, rang taka mi pakhatin oxygen concentration sang tak a pek theihna tur a ni a, a tlangpuiin emergency-ah a ni.
Face mask ang maiin han ngaihtuah teh. I hmui leh hnar chungah a fit theih tura siam a ni. I hmaiah elastic band hmangin i lu vel a kal kual a ni. Mask-ah hian bag te tak te, langtlang tak, oxygen-a khat a awm a. Hei hi ‘reservoir bag’ an ti a. He bag hi oxygen tank-ah tube hmangin an inzawm khawm leh a ni. Hei hi damdawi inah hman a ni tlangpui a, a bik takin Emergency Treatment Unit (ETU)-ah emaw, damlo damdawi ina hruaitu ambulance-ah emaw hman a ni.
He mask-a thil langsar ber chu one-way valve a ni a, chu chuan boruak chu kawng khatah chauh a kal thei a ni . Chumi awmzia chu i thawk chhuah hian oxygen bag atanga oxygen thianghlim chauh i taksaah a lut a, i thawk chhuah boruak ( carbon dioxide ) chu bag chhungah a lut leh lo va, mask chhunga valve dang hmangin a chhuak zawk tihna a ni. Chumi awmzia chu i thawk chhuah boruak kha i thawk let leh lo tihna a ni. Tin, pawn lam boruak atanga boruak lo chhuak chu mask chhungah a lut lo bawk. Chuvangin i lung hian oxygen percentage sang tak a dawng a, chu chu engmah nen a inhmeh lo.
He mask hi engtikah nge hman a nih?
Non-Rebreather Mask hi mi pakhat thisen oxygen level hlauhawm taka a tlahniam a, mahse anmahni chauhin an la thawk thei tho a nih chuan hman thin a ni . Hei hi ventilator ang maia i tana thawk thei tur hmanrua a ni lo va, i thawk laknaah oxygen extra pe theitu a ni zawk.
Chutiang emergency entirnan thenkhat chu hetiang hi a ni:
- Meikhu hip: In kangmei chhuak vanga tang mi pakhat chhanchhuah i han mitthla teh. Chu mi chuan meikhu a hip nasa hle a, chu chuan an lung a tichhe thei a, a thisena oxygen level pawh nasa takin a tlahniam thei a ni. Chutiang dinhmunah chuan he mask hi rang taka oxygen pekna atan hman a ni.
- Carbon monoxide avanga rimchhia a awm(Carbon monoxide poisoning): A chang chuan lirthei chu boruak luh lohna hmunah, generator a kal lai ang chiah a start a nih chuan, carbon monoxide gas thaw hian poisoning na tak a thlen thei a ni. Hei hi dinhmun hlauhawm tak a ni. Hetiang hunah hian oxygen concentration sang tak pe turin he mask hi a pawimawh hle.
- Trauma to the lungs: Mi pakhatin car accident lian tak ang chi thil avanga a rilru leh a lungah hliam na tak a tuar chuan thawk a harsa thei hle. Hei hi chutiang hunah chuan hman a ni bawk.
- Cluster headaches : Hei hi a special case deuh a ni. Hei hi lu na na tak, tuar theih loh a ni. Zirna thenkhatah chuan hetiang lu na lai hian oxygen concentration sang tak pek hian hahdamna a pe tih hmuhchhuah a ni.
- Thluak lam natna khirh tak, rei tak a zual zel: COPD ( Chronic Obstructive Pulmonary Disease ) emaw Cystic Fibrosis ang chi natna khirh tak nei chuan an dinhmun a tichhe nghal a, thawk harsatna a neih chuan damdawi inah dah a ni a, he mask hmang hian oxygen pek a ni.
Pawimawh: Nangmah emaw, i hriat emaw chuan carbon monoxide emaw, gas tha lo dang emaw a inhnim nia i rinhlelh chuan damdawi in i kal hmain Colombo National Hospital-a National Poisons Information Center-ah thurawn dil nghal vat a pawimawh hle.
Non-Rebreather Mask leh oxygen mask chi dang hi eng nge an danglamna?
Damdawi inah oxygen mask chi dang i hmu tawh mai thei. A chi lian ber pahnih chu Non-Rebreather Mask leh Partial Rebreather Mask te an ni. An pahnih inthlauhna ber chu boruak i thawk nawn leh zat hi a ni.
He thu hi sawifiah belh turin he table hi han en ila.
| Nihphung | Non-Rebreather Mask (NRM) hmanga thawk chhuak thei lo. | A then chu Rebreather Mask a ni |
|---|---|---|
| Valve te pawh a awm | One-way valve a awm a, chu chu kawng khatah chauh a thawk a ni. | Two-way valve a awm bawk. |
| Thli thawh chhuah | Oxygen tank atang hian oxygen thianghlim chauh a lo chhuak thin. Pawn lam boruak a lut lo. | Oxygen tank chhunga oxygen awm chu exhaled air tlem leh pawn lam boruak tlem nen a inhmeh hle. |
| Oxygen dawng zat za zela (FIO2) 1.1. | A sang hle (60% - 90% vel). | A sang a, mahse NRM aiin a hniam zawk (40% - 60% vel). |
| Choking hlauhawm tak a ni | Oxygen tank a tlakchham chuan a hlauhawmna a sang hle. | Pawn lam boruak a luh theih avangin a hlauhawmna a tlem hle. |
FIO2 chu eng nge ni?
He thumal FIO2 (Fraction of Inspired Oxygen) hi i tan chuan thil thar a ni mai thei. A awlsam zawngin, "kan thawh chhuah boruak a oxygen awm zat" tihna a ni. Kan thaw chhuah pangngaiah hian oxygen 21% vel a awm a. Non-Rebreather Mask hian he zat hi 90% thlengin a tipung thei a ni. Chu chuan he device hi a chak zia a tilang chiang hle.
Hei hi eng nge a thatna leh a that lohna hlauhawm ber?
Hlawkpuina
He mask hian a thatna lian ber leh awmchhun chu damlo hnenah oxygen concentration sang tak tak rang takin a pe thei a ni. He theihna hi thisena oxygen level hlauhawm taka tlahniam tawh mi nunna chhanhimna atan a pawimawh hle fo thin.
A that lohna & A hlauhawmna
Non-rebreather mask a hlauhawm ber leh pawi ber chu suffocation a ni .
Ngaihtuah teh, he mask hmang hian oxygen tank chhunga oxygen awm chu i thawk chhuak thei chauh a ni. Pawn lam atangin boruak a lut lo. Chuvangin, eng emaw chhan vanga oxygen tank a tlakchham chuan damlo chu thawk tur boruak dang a awm loh avangin a thawk a hah thei a, a thi hial thei a ni.
Hemi avang tak hian damlo Non-Rebreather Mask vuah chu doctor emaw nursing staff emaw ten uluk takin an enkawl a ngai a, oxygen tank level chu an enfiah reng ang.
He mask hi in lamah hman theih a ni lo em ni?
Ni lo tak zet a ni. Non-Rebreather Mask hi in lama hman tur a ni lo. A chunga kan sawi tak hlauhawmna nasa tak avang hian damdawi inah te, emergency room-ah te, leh medical staff te enkawlna hnuaiah chauh hman a ni.
Nangmah emaw, i chhungte zinga tu emaw chuan thawk lama harsatna rei tak a neih avangin in lama oxygen therapy i mamawh a nih chuan hmanraw him dang hman theih a awm. Entirnan, nasal cannula (hnar chhunga tube te tak te pahnih dahna hmanrua). Oxygen tlem zawk pe mah se, hun rei tak hman atan in lama hman a him. Hemi chungchang hi i doctor nen in sawi dun thei a, i tana tha ber tur enkawl dan tur i thlang thei bawk.
Engtikah nge damdawi lam thurawn i lak nghal ang?
Nangmah emaw, i hriat miin emaw thawk harsatna leh a hnuaia symptom pakhat emaw a aia tam emaw a neih chuan tihkhawtlai lohvin damdawi in hnai ber Emergency Department (ETU) pan la.
- hmui chu a dum emaw, a sen emaw a lo lang.
- Thâwk chak lutuk emaw, thawk harsa emaw.
- Thâwk chhuah laiin hnar a chhuak (nasal flaring).
- Thâwk chhuah laiin ‘whistling’, wheezing, emaw thawm danglam tak tak hriat.
Hengte hi taksain oxygen a dawng tlem tih hriattirna a ni thei a, chuvangin ngaihthah suh.
Take-Home Thuchah a ni
- Non-Rebreather Mask (NRM) hi damdawi hmanraw bik a ni a, emergency-ah oxygen concentration sang tak a pe thei a ni.
- One-way valve a neih avangin oxygen thianghlim chauh i thawk chhuak thin.
- Hei hi a hlauhawm ber chu oxygen tank a tlakchham chuan a thawk chhuak thei a ni. Chuvangin damdawi lam enkawlna (medical supervision) a pawimawh hle.
- Non-Rebreather Mask hi eng vangin in lamah hman theih a ni lo. Damdawi inah chauh tihkhawtlai a ni.
- Hun rei tak chhunga thawk hah i neih chuan i doctor nen enkawl dan tur dik tak sawipui rawh.
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