I thinlung chhunga thisen luang lut leh chhuak tur tikhawlotu thil a awm em? Hei hi (Obstructive Shock) a ni thei!

Kan taksa pumpuiah thisen a kal tha lo a, chu chu kan taksa peng hrang hrangte hian oxygen mamawh zat an dawng lo tihna a ni a, chu chu ‘shock’ kan ti tlangpui. Hei hi a thleng thut mai a ni. Vawiin hian ‘shock’ chi khat bik, mahse a tlem deuh deuh kan sawi dawn a ni. `(Obstructive Shock)' tih a ni. A awlsam zawngin hetianga thil thleng chu thil pakhatin kan thinlunga thisen kal chu a tikhawlo a, thinlung atanga thisen pump chhuak chu a tikhawlo a, chu chu `obstruction' a awm tihna a ni. He inkharkhip avang hian thinlung hian hna a thawk tha thei lo va, thisen sang a tlahniam thut thei a, taksain oxygen a tlachham thei bawk. This is a very urgent situation , chuvangin enkawl vat a pawimawh hle.

Chuti a nih chuan hei hi eng nge ni `(Obstructive Shock)`? Tlemin kan sawifiah leh ang em?

Ngaihtuah teh, kan thinlung hi tui pump ang mai a ni. He pump hian taksa pum puiah thisen a thawn chhuak a ni. Tunah chuan he pump chhunga tui lut chu pipe chhungah a block a nih chuan, a nih loh leh pump chhuahsan pipe chu a block a nih chuan eng nge thleng ang? Tui hi a luang tha lo a ni lawm ni? Chu chu `(Obstructive Shock)`-ah pawh a thleng thin.

Thil engemaw hian thinlung inzawmkhawmtu thisen kalna kawng lian tak tak (`great vessels` an tih) kal tlanga thisen kal chu a tikhawlo a ni. Hei hian thinlung hian thisen a hmu tlem thei lo va, chutiang bawkin a pump chhuak thei lo bawk. Chumi rah chhuah chu kan taksa peng pawimawh tak tak, thluak, kal, leh lungte hian oxygen an dawng tlem hle a ni. Hei hi nunna atana hlauhawm emergency a ni.

`(Cardiogenic Shock)` leh `(Obstructive Shock)` hi eng nge an danglamna?

Heng pahnih hi medical emergency a ni a, mahse chhan pahnih vang a ni.

Cardiogenic shock hi heart muscle a chhiat a, heart attack ang chi a awm a, heart hian taksaah thisen a pump tling thei lo a ni. Thinlung chu a chak lo ta hle mai.

Mahse `(Obstructive Shock)` ah chuan thinlung ruh hi a tha thei fo. Buaina chu thinlungah ni lovin, thinlung hnathawh tibuaitu thil dang a ni. Hêng thilte hi han ngaihtuah teh:

• I lung lam panna thisen kalna kawng lian tak (pulmonary artery)-ah thisen zam lian tak i neih chuan.
• Thinlung vel chu tuiin a khat bawm (pericardial tamponade) hmanga thinlung chu a hrual a nih chuan.
• Lung-ah hliam a awm a, rilru chhunga pressure nasa taka a san chuan, entirnan, ``Tension pneumothorax'' an tih dinhmunah.

Obstructive Shock chu hetiang ang pawn lam thil avanga thinlung hnathawh that theih loh hi a ni.

Hetiang dinhmun hi engtiang chiahin nge ``Obstructive Shock'' tia koh a nih? Engtin nge taksa a nghawng?

Obstructive Shock hi a takah chuan shock chi dang nena khaikhin chuan a awm lo hle . Shock vei zinga 1% emaw 2% emaw chauh a nghawng tlangpui. Thu lawmawm tak chu shock chi dang aiin a dam theihna a sang zawk a, mahse enkawl vat a nih chauhvin a dam thei zawk a ni.

Enkawl vat loh chuan Obstructive Shock hian taksa peng pawimawh tak takte oxygen leh nutrients a hloh a ni. Hei hian taksa peng hrang hrang a tichhe thei a, a chang chuan thihna pawh a thlen thei bawk. Chuvang chuan tihkhawtlai lova inenkawlna zawn a pawimawh.

`(Obstructive Shock)` natna lan chhuah dan chu engte nge ni?

Hei hi a lan chhuah dan hi ``Cardiogenic Shock'' nen hian a inang deuh thei a ni.Hengte hi i hriat chian em tih en rawh:

• Thâwk lakna rate chu a pangngai lo takin a pung a.
• Thisen sang a tlahniam lutuk (hypotension).
• Heart rate a sang hle (`Tachycardia`). I tlan chhuak chauh ang maiin.
• Mood inthlak danglamna, lungngaihna emaw, lungkhamna emaw a awm thei bawk.
• Zun siam chhuah zat chu nasa takin a tlahniam a, a nih loh leh a awm lo vek bawk.
• Vun chu a vawt a, a thawmhnaw a chhuak bawk.
• A chang chuan vun hnuaiah boruak a awm khawm thei (`Subcutaneous emphysema`). Chumi awmzia chu vun hnuaia bubble te te ang maiin a awm tihna a ni.
• I rilru emaw, pum emaw na i nei thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh hle.

`(Obstructive Shock)` awm chhante chu engte nge ni?

`(Obstructive Shock)` hi a chhan hrang hrang a awm. A bulpui berte chu eng nge ni tih i lo en ang u:

• `(Tension pneumothorax)` (lung chim): Hei hi lung chhunga boruak a luh a, a chhuak thei lo a, chu chu lung chhungah a tang tlat thin. Chumi hnuah chuan lung chu a tlakbuak a, chu chuan rilru chhungah pressure nasa tak a siam a, thinlung chu a ti na tan ta a ni.
• Vena cava compression syndrome: Kan taksa chhunga vein lian ber (vena cava) compression. Hei hi naupai tawp lam, naute rit lutuk hian he thisen kalna hi a compress lai hian a thleng fo thin.
• Pulmonary (lung) compression syndrome: A rilru a buai em em a, a rilru a hah em em bawk a.
• `(High-PEEP ventilation)`: Ventilator nena inzawm mi tan chuan lung chhunga pressure sang lutuk.
• Tumors: Tumor chi thenkhat, rilru chhunga lo awm hian thinlung emaw thisen kalna kawng lian tak tak emaw a tikhawlo thei bawk.
• Pulmonary artery-a thromboembolism: Hei hi a hlauhawm hle. Ke ang hmuna thisen zam lo awm chu a lo chhuak a, lung chhunga thisen kalna kawng khatah a tlakbuak chuan thinlung atanga lung chhunga thisen kal chu a titawp a ni.
• Pericardial tamponade: Thinlung chhehvela bawm te tak te (pericardium) chu tuiin a khat a, thinlung chu a ti compress a ni. Hei hian thinlung chu a inzawm khawm leh a zau tha thei lo.
• Aortic dissection: Aorta-a mittui tlakna , thisen kalna kawng lian ber, thinlung atanga chhuak.
• Aortic stenosis: Thinlung chhunga aortic valve tihtlem. Hei hian thinlung atanga thisen chhuak a ti harsa thin.
• Hypertrophic cardiomyopathy: Lung ruh a thim lutuk avangin thisen kal a tikhawlo.
• Constrictive pericarditis: Thinlung vel bawm chu a thim a, chu chuan thinlung chu zalen taka hnathawh a harsat phah a ni.

Pawimawh: Heng zawng zawng hi emergency a nih avangin symptom i neih chuan doctor pan nghal rawh.

`(Obstructive Shock)` hi engtin nge kan hriat theih ang?

I doctor chuan a enfiah hmasa ang che. Stethoscope hmangin i thinlung leh lungte chu an ngaithla ang. Obstructive shock hi a na zual thuai thei a, chuvangin diagnosis neih thuai a pawimawh.

Natna dik taka hriat theih nan a hnuaia test te hi tih theih a ni:

• Ultrasound: Hei hian thinlung, thisen kalna kawng lian tak tak, leh lung chhehvelah tui a awm leh awm loh te a en thei a ni.
• Echocardiogram (Echo): Hei hi thinlung ultrasound ang a ni. Thinlung hnathawh dan te, valve dinhmun te, thinlung chhehvela tui awm leh awm loh te chu chiang takin a hmu thei a ni.
• Computed tomography (CT) scan: Hei hian rilru chhungril chipchiar takin thlalak a la thei. Thisen zam, tumor, leh aortic dissection ang chi thilte hriatchhuahna kawngah a pui thei a ni.
• Electrocardiogram (ECG emaw EKG): Hei hian thinlung electrical activity a test thin. I thinlungah thil dik lo a awm leh awm loh hriat theih nân a ṭanpui thei a ni.

Engtin nge Obstructive Shock hi enkawl a nih?

A hmasa berin IV fluid (saline - IV crystalloid fluid ang chi) pek i ni ang a, i thisen sang leh oxygen level pawh enfiah reng a ni ang. Tichuan, a pawimawh ber chu Obstructive Shock awm chhan zawng chhuakin chu chhan chu enkawl hi a ni.

Enkawl dan hi a chhan a zirin a inang lo. Entirna tlemte han thlir ila:

• Thisen zam (embolism) a awm chuan operation emaw, cannula (catheter) dah emaw hmangin lakchhuah a ni.
• Aortic valve na tak a nih chuan thlak a ni ang.
• Heart muscle thickened (hypertrophic cardiomyopathy) a nih chuan operation emaw, zu hmanga tih dan bik (catheter-based alcohol ablation) hmangin a thickness tihziaawm theih a ni.
• Thisen zam tihthianghlim nan damdawi an pe che a ni.
• Thinlung chhehvelah tui a awm (pericardial tamponade) emaw, tension pneumothorax emaw a awm chuan chu tui emaw boruak emaw chu a chhuak ang (tube te tak te hmangin pawh a ni mai thei).
• Ventilator-a i awm chuan a settings i thlak thei bawk.
• ``Vena cava compression syndrome'' ang dinhmunah chuan taksa dinhmun a danglam thin.
• Lung chhunga pressure a san chuan needle emaw tube emaw hmangin pressure tihhniam a ni.

Eng damdawi nge hman thin?

A chhan enkawl lai hian i dinhmun tihngheh nan hetiang damdawi hi pek i ni thei:

• `IV` saline (`IV crystalloid fluids`) ang chi tui te.
• Thisen sang tihpunna damdawi: `(Norepinephrine (Levophed®))`, `(Vasopressin (Vasostrict®))`, `(Phenylephrine (Vazculep® emaw Biorphen®))`.
• Thisen tlem i neih chuan thisen emaw thisen atanga thil siam (Red blood cells leh plasma ang chi) pek i ni ang.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Obstructive Shock thlentu tam tak chu enkawl vat a ngai a ni , hei hi damchhuah theihna chance a san ber hun a nih avangin. Vanneihthlak takin heng enkawlnate hian hna a thawk rang hle. Amaherawhchu, a chhan enkawl hnuah pawh Obstructive Shock natna avanga taksa a dam leh theih nan hun a duh a ni. I tlan kual mai mai a, i hna i thawk thei lo.

`(Obstructive Shock)` hi eng nge a hmalam hun?

Enkawl loh chuan ``Obstructive Shock`` hi mi tam tak tan chuan thihna thlen thei natna a ni. Enkawlna hnua i dam lehna tur chu thil engemaw zatah a innghat a, chungte chu:

• `(Obstructive Shock)` hi eng nge a chhan?
• Eng chen nge enkawl a nih?
• Eng natna dang nge i neih?
• Engtiang chiahin nge enkawlna chu i tan a hlawhtling?

Mahse, kan sawi tawh ang khan ``Obstructive Shock`` atanga dam leh theihna chance chu ``Shock`` chi hrang hrang ``Septic Shock`` ang chi atanga dam leh theihna chance a sang zawk a ni. Chuvangin beiseina a awm.

Engtin nge ka in enkawl ang?

Doctor-in damdawi in a chhuahsan hnuah an thupek dik tak i zawm a ngai a ni.

• Hnathawh leh hmain in lamah rei vak lo chawlh hahdam a ngai dawn a ni.
• I doctor in damdawi a pek chu a hun takah i ei tur a ni . Damdawi engmah i duh duhin bansan suh.
• Follow-up appointment-ah kal fo rawh .

Engtikah nge doctor ka hmuh leh ang? Emergency-ah eng nge ka tih ang?

Tunah chuan i `(Obstructive Shock)` chhan chu i hre tawh ang. Chu harsatna nena inzawm symptoms te chu a lo lang leh a nih chuan fimkhur rawh . Chutiang symptoms i neih leh chuan, emaw, i chhungte zinga mi tu emaw chuan i chungah he inthlak danglamna hi a hriat chuan 1990 (Wind) Ambulance Service call nghal la, a nih loh leh damdawi in hnai ber emergency room-ah kal nghal rawh. Hun hi a pawimawh ber a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• I damdawi min pek kha eng chen nge ka ei a ngaih?
• Hetiang dinhmun ka neih leh theihna chance hi engzat nge ni?
• Hei hian ka nunphungah hun rei tak chhung nghawng a nei dawn em ni?
• Ka ei leh in leh exercise-ah eng inthlak danglamna nge ka siam ang?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Obstructive Shock hi natna awm lo mahse na tak a ni a, emergency treatment a ngai a ni. Chuvang chuan a natna lan chhuah dan fimkhur a, enkawl vat vat a pawimawh. Doctor-te’n Obstructive Shock thlentu an hmuh hnuah chuan enkawlna \ha tak an tan ang.

Obstructive Shock atang hian mi tam zawk chu an dam thei tih hre reng la, mahse hun a duh rei hle. Dawhthei takin awm la, i doctor thupek zawm la, i in enkawl tha ang. Nangmah chauh i ni lo va, doctor, nurse leh i hmangaih tak takte tanpui theitu che an awm bawk.

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