Kan taksa peng pakhat a chhiat hian eng nge a awmzia? (Organ Failure) Hemi chungchang hi han sawi ila!

Miin "organ failure" an neih thu min hrilh hian kan thinlung a na nghal vek a ni lawm ni? Thumal hlauhawm tak a ni. Mahse a awmzia, engvangin nge a thlen tih leh eng nge tih theih tih hi kan hriat chian a pawimawh hle. Chuvangin vawiinah hian awlsam takin, i hriatthiam theih dan tur angin sawi ila.

Organ failure hi eng nge ni tak tak?

A awlsam zawngin, organ failure chu i taksa peng pawimawh tak pakhat emaw, a aia tam emaw hnathawh that loh vang a ni. Hei hi hun kal zelah zawi zawiin a thleng thei ( chronic failure kan tih), a nih loh leh a thleng nghal thei ( acute failure kan tih).

Ngaihtuah teh, kan taksaah hian kan dam khawchhuahna atana pawimawh tak tak taksa peng thenkhat kan nei a. Hengte hi vital organ kan tih te hi an ni . Chutiang taksa peng pakhat chu a chhiat tan chuan, chu taksa peng pakhatin a tih tur hna thawk turin pawn lam tanpuina kan mamawh a ni. A châng chuan chutiang ṭanpuina chuan chu taksa peng chu a lo ṭha leh thei a ni. Mahse a chang chuan a ni lo. Organ failure hian a tawp ber a thlen chuan nunna atana hlauhawm pawh a ni thei.

Eng taksa peng pawimawh tak nge tihchhiat theih?

Kan taksa peng lian, pawimawh tak tak engemaw zat chu hetiang hian an thawk tha lo thei a ni.

Thin

I liver hi taksa peng mak tak a ni. Hna za tam tak a thawk a ni. Chumi zinga pawimawh ber chu thisen atanga toxins filter hi a ni. Liver failure hi hun kal zelah rang takin emaw, zawi zawiin emaw a thleng thei.

Kidney a ni

Kidney hi i thisen atanga bawlhhlawh awmte zun angin a paih chhuak thin a ni. Tin, taksa tui leh electrolyte te chu a inthlau hle bawk. Kidney failure hi rang takin emaw, hun rei tak chhung emaw a awm thei. Kan ramah hian zunthlum leh hypertension ang chi condition te hian kal (kidney) a tichhe nasa zawk a ni.

Thinlung

Thinlung hi kan taksa pum puiah oxygen tamna thisen pump chhuaktu a ni. Thinlung a chak lo tan chuan taksa pumpui a nghawng a ni. Heart failure -ah chuan thinlung hnathawh chu a tlahniam nghal thei (acute heart failure), a nih loh leh hun kal zelah a chhe zauh zauh thei (congestive heart failure).

Chuap

Kan thawkna kawngah hian lung hi a pawimawh ber a ni. Taksa tissue tinah oxygen pe chhuaktu an ni. Thluak lama harsatna hi a lo thleng nghal thei a, rei tak a ni thei bawk.

Intestine te tak te

Small intestine hian kan taksa mamawh nutrient tam zawk chu kan ei leh in atang hian a la lut thin. Small intestine a chhiat chuan taksain nutrients a hmu tlem thei a, malnutrition ang chi condition a lo awm thei bawk.

Thluak

Kan taksa peng dang zawng zawngte chu an hna thawk tura hrilhtu chu thluak hi a ni. Thluak natna degenerative thenkhat chuan thluak chu zawi zawiin a tichak lo thei a ni. Acute brain failure hi thluak thihna an tih a ni . Thluak emaw, thluak zung emaw a thih chuan taksa peng dangte pawh zawi zawiin an chak lo.

A châng chuan taksa peng pakhat chauh ni lovin, taksa peng engemaw zat chu vawi khatah a hlawhchham thei a ni. Doctor te chuan hei hi multiple organ failure , total organ failure emaw multiple organ dysfunction syndrome emaw an ti bawk .

Sensory loss hi eng nge ni tak tak?

"Organ failure" kan tih hian organ hian hna a thawk tawh lo vek tawh niin kan ngai. Mahse chu chu a tawpna chu a ni. A awmzia tak chu organ chu a hna zawng zawng a thawh theih lohna hmunah a awm tihna a ni. Chu chu, a thawk tha lo , a hna thenkhat chauh a thawk tihna a ni. Hnathawh a tlem chhoh zel chuan pawn lam atanga tanpuina kan mamawh zual sauh a. Acute failure-ah chuan he tanpuina hi a ngai nghal mai thei a, rei lo te chhung atan pawh a ni thei bawk. Chronic failure-ah chuan hun rei tak chhunga ruahmanna siam a ngai a ni.

Organ pakhat a chhiat chuan eng nge thleng?

Chronic organ failure hi a tlangpuiin stage engemaw zat kaltlangin a kal zel thin. Doctor-te chuan heng stage te hi organ tin tan hian a inang lo deuhin an sawifiah thin. Stage pali emaw panga emaw a awm tlangpui. Chung zinga a hnuhnung ber pakhat emaw pahnih emaw chu "end-stage" anga ngaih a ni. Tunah chuan chu taksa peng chu nasa takin a chhe tawh a, a hnathawh pawh nasa takin a tlahniam tawh bawk. I dam khawchhuah theih nan artificial life support emaw, organ transplant emaw i mamawh ang .

Acute organ failure hi heng final stage atang hian a intan emaw, a kal chak hle emaw a ni. Enkawl vat a ngai a ni. Mahse, acute multi-organ failure hi stage engemaw zatah a awm thei. Kan taksa peng pawimawh tak takte hian an in\anpui tawn avangin, a châng chuan taksa peng pakhat a chhiat chuan chain reaction a siam thei a, chu chuan taksa peng dangte pawh a chhiat phah thei a ni.

Sensory loss kan neih hian engtin nge kan awm?

Organ tam takah hian a lan chhuah dan tlangpui engemaw zat a awm a:

• Chak lo, luak chhuak emaw, chau emaw tih hriat.
• Mutthilh emaw, hriatna hloh emaw.
• Thil ngaihtuah harsa, buaina.
• Chaw chu a thlum lo.
• Nausea leh luak chhuak.
• Thâwk rang tak, thuk lo tak.
• Thinlung thawk chak emaw, mumal lo emaw.
• Khawsik, khawsik, khawsik.
• Ke ruh emaw, pum emaw a hring chhuak.
• Chest emaw abdominal na emaw a awm reng.

Heng bakah hian specific sensory dysfunctions nena inzawm symptom dang pawh a awm bawk. Entir nan:

• I vun leh mit a sen ( jaundice – hei hi liver a fail hian a thleng thin).
• I hmui leh i kut zungtang hnuaiah rawng dum ( cyanosis – hei hi thawkna lama harsatna emaw, thinlung lama harsatna emaw a awm thei).

Engvangin nge he organ hi a thawk tha lo? A chhan engte nge ni?

Organ failure chhan lian tak tak engemaw zat a awm.

Natna khirh tak tak

Natna khirh tak takte hian hun kal zelah i taksa peng hrang hrangte a tichhe zauh zauh thei a ni. Natna thenkhat chu pian tirh lamah a awm a, thenkhat erawh chu nakin lawkah a lo awm thung. Natna khirh tak a lo awm tawh chuan a dam kim lo tlangpui. Mahse a chhiatna tih tlem dan tur a awm. He chhiatna hi a pung zel thei a, kum tam tak chhungin taksa peng pakhat hnathawh a nghawng thei a, enkawl a ngai bawk.

• Chronic liver disease: Entirnan, natna chi hrang hrang, fatty liver disease leh hepatitis C te hian chronic liver failure a thlen thei.
• Chronic kidney disease: Glomerulonephritis leh polycystic kidney disease ang chi natna hian kal natna rei tak a thlen thei a ni. Hypertension leh diabetes mellitus te pawh hi a chhan lian ber a ni.
• Chronic heart disease: Coronary artery disease leh congenital heart disease ang chi thilte hian zawi zawiin heart failure a thlen thei a ni.
• Chronic intestinal diseases: Chronic inflammatory bowel conditions, Crohn’s disease , leh intestinal pseudo-obstruction te hian chronic intestinal dysfunction a thlen thei.
• Chronic Respiratory diseases: Asthma leh chronic obstructive pulmonary disease (COPD) hian thawkna lama harsatna rei tak a thlen thei a ni.
• Hun rei tak chhunga thluak natna (degenerative brain diseases): Alzheimer natna leh Parkinson natna te hian hun rei tak chhung thluak hnathawh that lohna ( dementia) a thlen thin.

Hliam na tak a ni

I taksa peng pakhatah hliam na tak i neih chuan acute organ failure a thlen thei a ni. A châng chuan taksa peng chu a dam leh a nih pawhin, a hliam chuan a tichhe reng a nih chuan, taksa peng (organ failure) rei tak a thlen thei a ni. Chumi awmzia chu organ chu a hma angin a thawk tha thei tawh lo tihna a ni. Accident na tak tak, taksa pum pui tichhe thei chuan shock , chu chuan i taksa peng zawng zawnga thisen kal zawng zawng a titawp thei a ni. Hei hian rang takin, multiple-organ failure a thlen thei a ni.

• I small intestine hmun tam tak chu operation hmanga lakchhuah a nih chuan, natna avanga lak chhuah a nih fo chuan (hei hi short bowel syndrome an ti a) , chu chu permanent small bowel dysfunction thlentu lian tak a ni.
• Traumatic brain injury hian chronic brain failure a thlen tih finfiahna chiang tak a awm lo. Mahse, thluak thihna (acute brain failure) a thlen thei .

Toxic hliam a awm

Toxins hian acute leh chronic organ damage a thlen thei a ni. I taksa peng pawimawh tak tak eng pawh emaw, a zawng zawng emaw a nghawng thei a ni. Environment-a thil awm atanga lo chhuak emaw, i taksaa toxin siamtu bacteria infection atanga lo chhuak emaw, i ei leh in atanga lo chhuak emaw a ni thei. Kan liver leh kidney te hian nitin i thisen atanga toxin tlemte an filter thin. An hnathawh that loh chuan heng toxins te hi i taksaah a pungkhawm thei a, taksa peng dang a tichhe thei bawk.

• Hun rei tak ruihhlo emaw zu emaw hman hian liver failure ( toxic hepatitis ), heart failure ( zu induced cardiomyopathy) , emaw thluak failure (zu in avanga thluak chhiatna ) emaw a thlen thei a ni. Hengte hian hun rei tak chhunga ril leh kal natna a thlen nasa hle bawk. Ruihhlo hman tam lutuk emaw, zu ruih vanga ruihhlo avanga lung, thin emaw, kal (kidney failure) hi a lo awm nghal thei a ni.
• Environment toxins hian thawkna lama harsatna nasa tak, kal emaw thin emaw, thluak natna (degenerative brain diseases) a thlen thei a ni.
• Bacterial infection hian byproduct angin toxin a siam chhuak thin. Chûngte chuan taksa peng pakhat emaw, thisena an pung khâwm chuan taksa peng zawng zawng emaw a nghawng thei a ni. Thisenah natna hrik a awm chuan sepsis leh shock a thlen thei a ni .

Thisen/oxygen supply hloh

Kan taksa peng hrang hrangte hian thisen kaltlangin oxygen an dawng a. Eng emaw chhan vanga taksa peng pakhata thisen kalna chu tihtawp a nih chuan a hnathawh theihna tura a mamawh oxygen a dawng lo ( hypoxia ). Thisen supply a tihtawp nasat dan azirin hei hian taksa peng hrang hrang (organ failure) nghal emaw, a awm reng emaw a thlen thei a ni.Ischemia chu taksa peng pakhata thisen supply tlahniam a ni. Acute emaw gradual emaw pawh a ni thei. Shock chu taksa pum puia thisen kal chak lohna thut a ni.

• Eng organ pawha ischemia hian inflammation a thlen thei a, chu chuan tissue thihna a thlen thei a ni. Hei hi rang takin emaw, zawi zawiin emaw a thleng thei. Thluak hmun khatah ischemic stroke a awm chuan thluak a tichhia nghal thei a, a then phei chuan thluak a thi thei bawk. Ischemic cardiomyopathy hi heart failure natna thlentu lian ber a ni.
• Cardiac event lian tak, heart attack , cardiac arrest , emaw stroke ang chi hian thisen leh taksa peng dangte oxygen a titawp thei a ni. Hei hian heart failure emaw thluak chhiatna emaw a thlen thei a, chubakah multiple organ failure a thlen thei bawk. Thinlung emaw thluak zung emaw a thih chuan taksa peng dangte pawhin an zui ve mai ang.
• Shock chu taksa pum puia thisen kal chak loh thut a ni. A chhan tam tak a nei thei a, thisenah natna hrik ( septic shock ), thinlung chhiatna ( cardiogenic shock ), thinlung blockage ( obstructive shock) , leh allergic reaction (anaphylactic shock) te a ni. Hei hian multi-organ failure nghal thei a ni.

Engtin nge doctor-te hian hei hi chiang taka an chhui chhuah?

Doctor-te chuan taksa peng hrang hranga hnathawh that loh hriat nan test bik an hmang thin. Entir nan:

• Liver function test leh kidney function test te hian i thisen leh zun chhunga chemical awmte chu an teh a, i taksa peng hrang hrangte hnathawh dan tur hriat theih a ni. Chumi hnuah chuan renal scan emaw, scan emaw hmangin i liver ( elastography ) i khauh em tih i en thei ang.
• Thisen test-naah malnutrition a awm leh awm loh enfiah a, chumi hnuah small intestine enteroscopy hmangin small bowel dysfunction chu malabsorption emaw pseudo-obstruction vang emaw a awm tih hriat theih a ni.
• Echocardiogram hian i thinlungin thisen a pump zat ( ejection fraction) a teh thei a, a hnathawh that dan a en thei bawk.
• Neurocognitive testing leh thluak scan te hian thluak chhiatna a hriat theih nan a pui thei a ni.
• Pulmonary function test hian i thawkna system a thawk tha em tih a zirchiang thei a ni. A pulse oximetry (pulse bawnghnute) a ni.I thisena oxygen level chu arterial blood gas test hmangin i teh thei ang .
• Organ hrang hrangte imaging test , ultrasound emaw CT scan emaw .

Hei hi eng enkawlna nge ni?

Acute organ failure a awm chuan doctor-te chuan i dinhmun tihngheh nan supportive care an pe ang. Hei hian a huam thei ang:

• Thisen chhunga tui (IV fluids) te.
• Antibiotics damdawi a ni.
• Thisen pek a ni.
• Veng chhunga ei leh in (IV nutrition).
• Oxygen therapy emaw, mechanical ventilation emaw hmanga tihdam theih a ni.
• Thisen kal chakna tur vasopressor damdawi.
• Dialysis tih a ni.

A then phei chuan organ transplant hian organ failure rang tak chu a tidam thei a ni.

Chronic organ failure tan chuan doctor-te chuan a hnuaia mi ang hian an rawt a ni:

• Chronic liver failure a awm chuan ei leh in leh nunphung chungchanga thurawn te hian a kal zel dan tur enkawl emaw, a tihdanglam emaw theih nan a pui thei che a ni. A tawp a thlen chuan liver transplant i mamawh mai thei .
• Dialysis hi kal chak lo (chronic kidney failure) a na zual zel enkawlna atan hman a ni. A tawp ber a thlen chuan kidney transplant i mamawh ang .
• In cases of chronic respiratory failure , oxygen tam zawk hmuh theihna tura puitu tur respiratory support chi hrang hrang a awm . A tawp berah chuan lung transplant emaw, permanent mechanical ventilation emaw i mamawh mai thei.
• Chronic heart failure leh a bulpui ber, thisen sang leh coronary artery disease te damdawi . A hnu lamah chuan, thinlung hnathawhna tura puitu hmanrua chi hrang hrang dah luh a awm a, a tawpah chuan , thinlung surgery options heart transplant ang chi te a awm bawk .
• Chronic intestinal failure tan chuan parenteral nutrition pek a ni . I dam chhung zawng parenteral nutrition i ei thei a, mahse hun rei tak enkawl chuan harsatna a thlen thei a ni. Intestinal transplant pawh i nei thei bawk .
• Dementia symptoms zawi zawia zual zel damdawi . Tunah hian a kal zelna tihkhawtlai emaw, tihdanglam emaw theihna tur enkawlna a la awm lo. Thluak thihna hi damdawi a awm lo .

Organ failure hnuah pawh dam leh theih a ni em?

A châng chuan acute organ failure hnuah organs te chu an lo dam leh thin. Hei hi taksa peng tam tak vawi khatah a fail tawh pawhin a thleng thei a ni. Chutiang a nih chuan, hun eng emaw chen atan chauh life support i mamawh mai thei. Chronic organ failure hmasa berah chuan a chhan bulpui chu uluk taka enkawl theih a nih chuan a let leh thei a ni. Mahse, a hnu lamah chuan tihdanglam theih loh chhiatna a thleng tlangpui. Entirnan, taksa peng hrang hranga hliam ( fibrosis ) emaw, tissue thihna emaw.

End-stage renal disease i nei tih hmuhchhuah ni tawh mah la, beiseina chu bansan suh . I dinhmun tihdanglam tumna atan kum tam tak i nei ngei ang. I kal chak lohna leh i natna lan chhuah dan tihziaawmna tur enkawlna tam tak a awm a. Mi thenkhat chuan end-stage renal disease hnuhnung ber an thleng ngai lo. Chutiang stage i thlen chuan organ transplant dil theih a ni tlangpui.

Sudden organ failure hi beisei loh natna emaw accident emaw avanga lo awm a ni fo thin. Inven a har a, a lo thlen chuan emergency a ni. Intensive care unit (ICU)-a doctor-te chuan i taksa system dang zawng zawngte thlawp turin theihtawp an chhuah a, chutih rualin i taksa peng emaw, taksa peng emaw, a hlawhchham mekte chu siam\hat tumin an bei a ni.

Kan hriat reng tur pawimawh ber berte

Organ failure hi natna khirh tak ni mahse, hriatthiamna dik tak neih a pawimawh. A natna lan chhuah dan ngaihven te, damdawi lam thurawn dik tak zawn te, leh damdawi pek dan tur ei te hian natna thunun kawngah kawng thui tak a zawh thei a ni. Tin, nun hrisel taka nun leh natna khirh tak tak eng pawh uluk taka enkawl hian taksa peng hrang hrang (organ failure) a ti tlem thei bawk. Hemi chungchangah hian nangmah emaw, i hnaih ber tu emaw pawhin rinhlelhna i neih chuan doctor biak hreh suh.

` Organ failure, thin, kal, thinlung, lung, thluak, symptoms, enkawl dan