Nu thar emaw, pa thar emaw nih hlimna chu sawifiah theih loh a ni lawm ni? Mahse, chutih rual chuan hlauhna tlem a awm bawk. A bik takin zan lamah chuan i naute mut lai i en a, chu rilru te tak te lo chho leh tlak i en chuan rin loh takin i rilru a hahdam hle. Mahse, rang takin i naute chu second tlemte chhung chu thawk a chawlhsan tih i hre ta a. Chutih lai tak chuan i thinlung hian beat a skip a ni lawm ni? "Aw ka Pathian, eng thil nge thleng chauh?" I ngaihtuah a. Tichuan naute chu a thawk a thawk chak deuh leh ta a, engmah thleng lo ang maiin a thawk leh ta a ni. He thil tawn hi nang pawhin i tawng ve tawh em? Tichuan hlau suh. Vawiin hian nu leh pa thar tam takin an hlauh thin, mahse thil pangngai tak a nih fo thin, thawk lakna hi kan sawi dawn a ni.
A awlsam zawngin, Periodic Breathing tih hi eng nge ni?
Periodic breathing hi nausen piang tharte thawk dan tlangpui a ni. A awlsam zawngin, i naute hian thawk chhuah apiang inkarah hun rei lote tak, second 5 atanga 10 vel ang chi thawk a chawlhsan hian a ni. Chumi hnuah chuan naute chu a mah chauhin a thawk tan leh ta a ni.
Mahse he thawk hi a tawp a, a tan leh hnuah chuan thawk chu a pangngai aia rang deuhin a awm thei. Damdawi lamah chuan hei hi `(Tachypnea)` kan ti a.
Hetiang hian han ngaihtuah teh. I naute chu rei vak lo a thawk ang a, chutah second engemaw zat chu a thawk a vawng tlat ang a, chutah chuan tlem a thawk chak lehzual ang. He cycle hi vawi thum emaw vawi li emaw a zawnin a thleng thei. Tichuan naute chu chutiang bawka thawk pangngaiin a thawk tan leh ang. Hei hi naute mut that lai hian a thleng tlangpui.
Hei hi thil mak a ni lo. Naute a lo puitlin chuan a taksa, a bik takin a thluak leh a lungte hian a thawk dan tur dik taka thunun an zir thin. Tichuan he periodic breathing cycle hi zawi zawiin a bo ta a ni.
Eng kum thleng nge hei hi a pangngai?
He periodic breathing an tih hi naute thla 6 vel a tlin hma chu thil pangngaiah kan ngai a ni. A bik takin nau piang atanga kar 2 leh kar 4 inkarah a tam hle.
Mahse i naute hian thla 6 a tlin hnuah pawh hetiang hian a thawk chhunzawm zel a nih chuan i doctor nen inbiakna neih a pawimawh hle.
Chuti a nih chuan hei hi a hlauhawm thei ang em?
A tam zawkah chuan, ni lo. Mahse a tlem hle, chu chu probability hniam tak nen chuan he dinhmun hi a na deuh thei a ni. A tlangpuiin he thawk lama harsatna hi rei lo te chauh a ni a, naute chu a thaw pangngaiin a thawk leh thin.
Mahse, he thawk chhuahna cycle hi a chhunzawm zel a, beisei aia rei a la ngai tih han ngaihtuah teh. Tichuan naute taksain oxygen a mamawh zat a hmu thei lo mai thei.
Taksain oxygen a mamawh zat a hmuh loh chuan thisenah oxygen level a tlahniam a. Hei hi `(Hypoxemia)` kan ti a.Hei hi dinhmun hlauhawm tak a ni a, damdawi lam pan vat a ngai a ni.
Periodic Breathing leh Apnea inthlauhna dik tak i hre ang u.
Nu leh pa i nih angin he natna hi "Apnea" tih natna hlauhawm tak a nih hi in hlau ber a ni. An pahnih inkarah hian danglamna chiang tak a awm. Chu danglamna chu i hriatthiam chuan i hlauhthawnna chu nasa takin a bo ang. Hriatthiam awlsam zawk nan hetiang hian han thlir ila.
| Mihring ziarang | Normal Periodic Breathing tih hi a ni | Apnea condition hlauhawm tak a awm thei |
|---|---|---|
| Thâwk lakna hun | Hun rei lote chhung. A tlangpuiin second 10 aia rei lo. | Thâwk hi second 20 emaw a aia rei emaw chhung a tawp . |
| Taksa rawng inthlak danglam | Naute hmui emaw vun rawng emaw a danglam dawn lo. Pink an ni reng ang. | Naute hmui, kut zungtang emaw, vun emaw chu blue/purple, gray, emaw pale emaw a lo ni ta a ni . |
| Naute nungchang | Naute chu a thlamuang a, a hahdam bawk. Thâwk a chawlhsan tawh chung pawhin a tibuai lo niin a lang. | Naute chu a nuam lo hlein a lang thei. Taksa chu a buai hmel hle mai thei. A nih loh leh, nunna nei lo angin a lang nghal mai thei bawk. |
| Thil dang pawh a awm | Symptom hlauhawm dang a lantir lo. Thâwk a chawlhsan a, chutah chuan a pangngaiin a kir leh ta a ni. | Thâwk chhuah loh rualin heart rate a tlahniam thei bawk . |
| Damdawi lam thurawn i mamawh em? | Hei hi a ngai lo tlangpui. Hei hi naupang thanlenna atana thil pangngai a ni. | Damdawi lam pan vat a ngai a ni. Hei hi damdawi lam dinhmun chhinchhiahna a ni thei. |
`Apnea` hi damdawi lam natna a ni a, doctor-in a hriat chian a ngai a ni. A chhan hrang hrang a nei thei. Infection, metabolic disorder, etc. avanga lo awm thei a ni a, a bik takin he natna hi naute piang hun hmaa piangteah a awm thei a ni. `(Apnea of prematurity)` kan ti a. A chhan chu naute thaw thununtu taksa peng hrang hrangte hi a la thang kim lo a ni.
Mahse naute hrisel takah chuan periodic breathing hi a awm fo thin. Nausen full-term leh premature-ah te pawh a awm thei. Chuvangin, apnea hi hlau suh la, a tul lovah periodic breathing chungchangah lungngai suh.
Red Flags ngaihven nghal ngai
Tunah chuan a tam zawkah chuan periodic breathing hi ngaihtuahawm a ni lo tih kan hre ta. Amaherawhchu, nu leh pa kan nih angin engtikah nge hma kan lak vat a ngaih tih hriat a pawimawh hle. I naute hian a hnuaia symptoms te hi a lan chhuah chuan a hnai ber damdawi in Emergency Department (ETU) ah hruai nghal mai tur a ni. A nih loh leh kum 1990 ambulance service call rawh.
- Thâwk hi second 10 aia rei a chawlh chuan: Kan sawi tawh ang khan thawk hi second 5-10 chhung a tawp tlangpui. A rei zawk eng pawh, a bik takin second 20 hnaih emaw, a aia rei emaw pawh hi a hlauhawm hle.
- Naute vun leh hmui rawng a inthlak chuan: Hei hi chhinchhiahna pawimawh ber a ni. Hei hi thisen a oxygen level a tlahniam chuan a thleng thin.
- Naute vun dum nei te chu an hmui, an lei, leh an kut zungtang te chu a sen emaw, a sen emaw a ni thei .
- He bluish discoloration hi naute vun hring deuhah chuan a lang lo mai thei. Chutiang hunah chuan, hmui, hmui, leh mit hnuaia rawng dum, sen hring, a nih loh leh a rawng hring (pale discoloration) chu uluk takin en rawh .
- I naute i kaitho thei lo a nih chuan: I naute chu thaw a chhuah loh laiin zawi zawiin i tap a, i biak a, mahse a chhang lo a, a nih loh leh nunna nei lo anga a lan thut chuan chu chu chhinchhiahna hlauhawm tak a ni.
Hetiang hunah hian hlauhthawn loh a harsa tih hre reng ang che. Mahse a pawimawh ber chu thil dik tih vat hi a ni. Tin, chu chu damdawi lam thurawn lak nghal a ni.
I gut kha ring rawh.
Nu leh pa thar i nih angin i naute chungchanga thil tenawm zawng zawng hi in ngaihtuah hle a ni. A pangngai hle mai. Hun engemaw chen hnuah chuan i naute nungchang pangngai, thawk dan pangngai chu i hrethiam tawh ang.
I naute thawk danah thil mak emaw, danglam emaw i hmuh palh a nih chuan, "Hei hi thil pangngai a ni ngei ang" tiin thu mai mai suh. Ringhlelna i neih chuan, a te pawh nise, i doctor ko nghal rawh. Doctor ko a, thurawn lak hi thil tha lo a ni ngai lo. I naute hriselna chungchangah zawhna bengchheng tak tak a awm lo.
Doctor-te chuan nau piang tharte hian thawk dan mumal lo deuh an neih an beisei. Mahse in lamah chuan i thil hmuh chu a pangngai em tih hriat a harsa thei hle. Chuvangin, ngaihtuahna i neih chuan tanpuina zawng hreh suh.
Take-Home Thuchah a ni
- Nausen piang tharin a mut laiin second 10 aia rei lo a thawk a chawlhsan a, chumi hnuah a thaw pangngaiin a thawk leh a nih chuan periodic breathing an ti a ni.
- Hei hi thil pangngai tak a ni a , naute thla 6 a tlin hma chuan beisei a ni . He natna hi naute nervous system a lo thanglian zel chuan a bo vek ang.
- Naute hmui emaw vun rawng emaw a danglam lo a, naute chu engmah hrehawmna a neih loh chuan lungngaihna tur a awm lo.
- Second 10 aia rei thawk a chawlhsan a, naute vun rawng chu a sen, a sen, emaw, a hring emaw a lo ni a , a nih loh leh naute chu a kaitho thei lo a nih chuan, emergency a ni. ETU (Emergency Treatment Unit) hnai ber pan nghal rawh.
- I naute thawk danah rinhlelhna tlemte pawh i neih chuan ngaihthah suh. Doctor call nghal rawh.
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