Cardiac arrest nghal a awm palh hlauh chuan AED (Automated External Defibrillator) machine hi kan zir belh tur em ni?

Mi pakhat chhan hriat lohvin leiah a tlu nghal tih i hmu ngai em? An rilru a vawn tlat pawh a ni mai thei. Chutih lai tak chuan, ‘Aw ka Pathian, hei hi thinlung natna a ni em?’ tiin kan ngaihtuah mai thei. Mahse a chang chuan heart attack aiin thil pawi zawk a ni thei a, chu chu heart attack a chawlhsan thut lai a ni. Mahse lungngai suh, a chhan chu vawiin hian hetiang huna nunna chhanhim thei tur machine te tak te, mahse chak tak tak chungchang kan sawi dawn a ni. AED an ti a.

AED (Automated External Defibrillator) tih hi eng nge ni?

A awlsam zawngin AED hi English tawng ‘Automated External Defibrillator’ tih tawifelna a ni. Sinhala tawng chuan ‘automatic external cardiac defibrillator’ tihna a ni. Mahse kan inbiak hian AED tih hi a awlsam zawk a ni lawm ni? Hei hi damdawi hmanraw te tak te, portable tak a ni tak zet a ni . Mi pakhatin a thinlung a na nghal a (Sudden Cardiac Arrest) , chu chu thinlungin hna a thawh tawh loh chuan tanpui nan hman a ni.

Tunah chuan, ‘Eng nge thinlung chu a tawp tih i sawi tum? Engtin nge chutiang chu a nih?’ a ti a. Kan thinlung hi power plant te tak te ang a ni. A chhunga cell bikte chuan electric signal te te an thawn chhuak thin. Heng electrical signal te hian thinlung hi rhythm ang maia ti na, chu chu a beng tihna a ni. He beat hian taksa pum puiah thisen a luang chhuak a ni. Mahse, a chang chuan thinlung electrical activity-ah hian harsatna emaw, glitch emaw a awm thin. Tichuan heartbeat chu a erratic a, rang takin a tawp thei ta a ni. Chu chu `(Sudden Cardiac Arrest)` kan tih chu a ni. Hei hi heart attack nen chuan a danglam deuh hlek a ni . Heart attack-ah hian thil thleng ber chu thinlunga thisen petu thisen kalna kawng a inkhar a, mahse a tir lamah chuan thinlung hi a tawp lo. Amaherawhchu, `(Sudden Cardiac Arrest)` chu thinlung electrical system-a harsatna awm vanga thinlung thawk a chawlhsan vek hi a ni. I hrethiam em?

AED hian eng nge a tih tak tak?

Okay, chuvangin tunah chuan AED hi cardiac arrest nei enkawl nan hman a ni tih kan hre ta. Mahse, engtin nge he machine hian a tih theih? Ngaihtuah teh, mi pakhat chu a tlu nghal a, a hriatna a hloh a, thawk a la thei lo tluk a ni. Tichuan AED kan la a, chu mi rilruah chuan pad pahnih chu kan bun a. He machine hi a fing hle a ni. Chuvangin ' automated' tih a ni. Pads i attach hnuah AED chuan chu mi thinlung electrical activity chu a check nghal vek a ni .

Chu mi chu a enfiah hnuah AED chuan electric shock , electric current tlemte pek leh pek loh tur a rel a. Cardiac arrest nei zawng zawng hian shock an mamawh vek lo. Heart rhythm thenkhat chu shock hmanga siamthat theih a ni a, thenkhat erawh chu siam that theih loh. AED hian dik takin a hre chiang hle. Shock a ngai a nih chuan machine chuan a hrilh ang che, a tlangpuiin light a eng a, voice prompt a pe ang.Chutah chuan, "Shock pe turin inpeih rawh, damlo hnen atangin kal bo rawh," a ti. Tichuan button pakhat i hmet a, shock chu i deliver ta a ni. He electric shock hian a tih chu thinlunga electrical activity mumal lo chu ‘reset’ a, rhythm pangngaia awm leh tum hi a ni . Computer a buai tawh chu restart ang mai a ni. Hemi hnu hian thinlung chu tha takin a thawk tan leh thei a ni. He machine te tak te hian hna a thawh dan hi a mak lo em ni?

Khawiah nge he AED machine hi a awm? Kan hmang thei ang em?

Tûnah chuan, ‘Chutiang machine hlu tak chu khawi hmunah pawh a awm em? Kan mamawh chuan kan hmu thei ang em?’ a ti a. Ni e, thu lawmawm tak chu tunlai khawvel ram tam tak ang bawkin Sri Lanka pawh hian vantlang hmun thenkhatah heng AED machine te hi a nei ve tho a ni . Entir nan:

• Airport lianah te
• Rel station lianah te
• Sports stadium/facility hrang hrangah te
• Sikul lian thenkhatah chuan
• Shopping mall lian tak takah te
• Office complex lian thenkhatah chuan
• Hengte hi hotel thenkhatah pawh hmuh tur a awm .

Hengte hi a tlangpuiin bawm dum (green box)-ah dahin, chiang taka hmuh theihna hmunah dahin, hawrawp lian takin ‘AED’ tih a ni.

A pawimawh ber chu heng AED te hi medical training nei lo layperson pawhin emergency-a hman awlsam tura siam a ni. Chumi awmzia chu anmahni hmang tur chuan doctor i nih a ngai lo tihna a ni. Machine i on chuan step-by-step instructions a pe ang che , voice prompts leh a chang chuan on-screen diagrams, ‘do this now’ leh ‘do that next’ tih ang chi te nen. Chuvangin hlauh tur a awm lo. Cardiac arrest nei mi pakhatin tanpuina a hmuh hma chuan an nunna chhanhim theihna chance a sang zawk. Chuvang chuan vantlang hmunah an dah a, chuvang chuan damdawi lam tanpuina lo thleng nghak lovin i che nghal vat thei a ni.

Hei hi han mitthla teh. I thiante nen cricket in khel a ni. Vawilehkhatah i team member pakhat chu engmah sawi lovin leiah a tla thla a. Amah i en chuan a rilru a buai a, a thaw thei lo. Sports club office-ah hian AED a awm tih i hria. Chuvângin, rang takin i hmu thei a, chu ṭhian chu i ṭanpui thei bawk. Chutih laia thutlukna i siam chuan nunna a chhanhim thei a ni.

He AED chungchangah hian eng nge kan hriat belh ngai? Training a ngai em?

AED hman tur chuan damdawi lam hriatna tam tak i mamawh lo va, machine ngei pawhin thupek pe mahse, a hman dan tur training neih a la phu hle. A chhan chu emergency-a kan hlauhthawn hi thil pangngai a nih vang a ni. Training kan la hmasa a nih chuan inrintawkna leh hlauhna awm lovin kan hmang thei ang.

Tunah chuan Sri Lanka ramah hetiang training programme hi a awm tawh a ni. Chungte chu damdawi in thenkhat, ambulance service emaw, sorkar ni lo pawl thenkhat emaw buatsaih a ni. Kum 12-13 chunglam, chu chu sikul kal naupang, university zirlai, hnathawk, tu pawhin he training hi an dawng thei a ni. Ngaihtuah teh, hetiang thil hi i sikulah emaw, i hnathawhna hmunah emaw mi pakhat chungah thleng ta se, ṭanpui theih chu eng angin nge a ropui ang?

Thil dang pakhat chu a tam zawkah chuan heng AED training class-te hian CPR (Cardiopulmonary Resuscitation) , an zirtir bawk a, chu chu thawk chawlhsan tawhte nunna chhanchhuahna atana puitu dan a ni a, artificial-a a rilru (chest compressions) hmanga press (chest compressions) leh hmui leh hmui resuscitation pek a ni. A chhan chu, CPR hian thluak leh taksa peng pawimawh dangte oxygen supply chu eng emaw chen chu a vawng reng thei a, chu chu AED nei `(Sudden Cardiac Arrest)` vei tawhte chu shock pek a nih hma emaw, shock mamawh loh lai pawhin a ni. Chuvangin AED leh CPR hi nunna chhanhimna kawng pahnih, a kal dun a ni.

Hriat reng tur chu, emergency-ah, nangmah atanga thawhrimna tlemte, nangmah atanga training tlemte nen, midang nunna i chhanhim thei a ni. Chuvangin hei hi ngaihven rawh. A theih chuan AED leh CPR training la rawh. Chu hriatna chuan nangmah chauh ni lovin, i hmangaih takte pawh, engtikah emaw, khawi emaw laiah a pui thei a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur? (In lama hruai tur thuchah)

Okay, vawiin hian AED chungchang hi kan sawi nasa hle a ni lawm ni? Heng thu pawimawh tak takte hi han sawi nawn leh ila:

• AED (Automated External Defibrillator) hi damdawi hmanrua (portable medical device) a ni a, mi pakhatin a rilru a buai nghal a, a nunna a chhanhim thei a ni.
• Hei hian thinlung electrical activity test a, a tul chuan electric shock hmanga thinlung hnathawh dan pangngaia thawk leh tumna a huam a ni.
• AED machine hi vantlang hmun tam takah a awm a, damdawi lam training nei lo mi pangngai tan pawh hman awlsam tura duan a ni. Machine ngei pawh hian instruction a pe che a ni.
• AED hman danah training neih a pawimawh hle. He training hian CPR a zirtir bawk. Nunna chhanhimna kawngah hian an pahnih hian an pawimawh hle.
• AED hman hi hlau ngai suh. I thiltih rang tak hian mi pakhat nunna a chhanhim thei a ni.

Chuvangin, tunah chuan AEDs chungchangah hian hriatthiamna tha tak in neih ka beisei. He hriatna hi midangte hnenah hrilh rawh. A chhan chu, engtikah nge hetiang thil hi tu chungah nge a thlen dawn tih hi tumahin kan hre lo. A tha ber chu inbuatsaih hi a ni!

` AED, Automated External Defibrillator, Sudden Cardiac Arrest, Electric Shock, CPR, First Aid, Nunna chhanhimna hmanrua, Emergency Treatment