Ngaihtuah teh, i hmaa mi pakhatin a hriatna a hloh nghal a, leiah a tla thla ta a ni. I tlan kual vel a, an kawngah pulse a awm leh awm loh i check a, mahse pulse a awm lo. An thaw pawh an la chhuak lo. Hei hi cardiac arrest niin i ngai. Mahse mak tak maiin damdawi ina an hruai chuan Doctor ten ECG an la a, chu chuan thinlungah electrical activity a lantir a ni. Electric a awm a, mahse thinlung a na lo. He dinhmun mak tak, hlauhawm tak hi damdawi lama kan sawi thin "Pulseless Electrical Activity" hi a ni. A tawi zawngin PEA kan ti a. Hei hi emergency tak a ni. Chuvangin, awlsam takin han sawi ila.
A awlsam zawngin PEA chu eng nge ni?
PEA hi cardiac arrest chi khat a ni. Heta thil thleng chu, thinlungah electric activity awm mahse, chu electrical signal ang chuan heart muscle hian a contract a, thisen a pump chhuak lo. Electric awm mahse filament a kang tawh avangin light bulb a on loh ang mai a ni .
He electrical activity hi ECG (electrocardiogram) hmanga teh theih a ni. Mahse, i pulse i en chuan pulse i hre lo ang a, a chhan chu thinlungin a beng lo va, taksa chhungah thisen a pump chhuak lo.
A pawimawh ber chu PEA hi "nonshockable" heart rhythm pattern a ni. Chumi awmzia chu movie-a kan hmuh angin defibrillator atanga shock a awm chuan a lo awm leh thei lo tihna a ni. Chuvangin, enkawl dan mumal tak a hmuh vat loh chuan minute reilote chhungin thihna a thleng thei a ni.
PEA hi chi hnih a awm a
Hei hi Doctor-te chuan chi hnihah an ṭhen a.
1. Pseudo-PEA: Hemiah hian heart muscle chu a chak lo hle a , hei hi thinlung electrical activity vang a ni. Thisen tlem a pump a nih pawhin lungphu pangngai angin a chak lo. Chuvang chuan taksaah pulse (pulse) hriat theih nan thisen a kal tawk lo.
2. PEA dik tak: Hemiah hian thinlungah electrical activity awm mahse, thinlung ruh hian a chhang lo tak zet a ni . Chu chu thisen pump chhuah a ni lo tihna a ni. Pulse engmah hriat a ni lo.
PEA leh Asystole (Flat-lining) te hi eng nge an danglamna?
Movie-ah pawh i hmu tawh ngei ang, mi a thih chuan monitor-ah "beep..." ri nen line dinglam a rawn lang thin. Chu chu `(asystole)` emaw "flat-lining" emaw kan tih chu a ni.
- PEA: Thinlung ah electric a awm a, mahse thinlung hian hna a thawk lo. (TV electric nei , mahse a chhe tawh ang bawkin).
- Asystole: Thinlung hian electric a nei lo va, thinlung a na lo. A reh vek tawh. (TV unplugged ang maiin).
An pahnih hian cardiac arrest case ni mahse, ECG hmel a zirin an danglamna chu hriat theih a ni.
PEA thlentu berte chu engte nge ni?
PEA thlen thei thil tam tak a awm a. Hengte hi hriat reng awlsam zawk nan doctor-te chuan shorthand system "H's and T's" tih an hmang thin. Eng nge an nih i han thlir teh ang.
| A chhan Category a ni | Hrilhfiahna awlsam tak |
|---|---|
| Thisen zat tlahniam (Hypovolemia) . | Accident lian tak avanga thisen chhuak tam lutuk emaw, tui tlakchhamna nasa tak emaw avanga taksaa thisen awm zat tlahniam. |
| Oxygen level tlahniam (Hypoxia) . | Thâwk harsa leh tuiah a pil vanga taksaa oxygen tlakchhamna. |
| Taksa acid/salt balance (Hydrogen ion - Acidosis) inthlak danglamna . | Kidney failure ang chi thil avanga taksaa acidity tihpun. Potassium ang chi electrolyte level inthlak danglamna nasa tak. |
| Hypothermia (taksa lum hniam) . | Taksa lumna a tlahniam nasa hle. |
| Toxins ei tam lutuk | Damdawi thenkhat, damdawi emaw, thil tha lo dang emaw ei tam lutuk. |
| Thinlung chhehvela tui awmkhawm (Tamponade - cardiac) . | Thinlung vel chu thisen emaw, tui dang emaw a khat a, chu chuan thinlungah pressure a siam a ni. Hei hian thinlung chu zalen takin a thawk thei lo. |
| Tension pneumothorax a awm a | Lung pakhat a puak a, rilru chhungril chu boruakin a khat a, thinlung leh thisen kalna kawngte a tikhawlo a ni. |
| Thisen zam (Thrombosis) . | Heart attack (`myocardial infarction`) emaw, lung chhunga thisen zam (`pulmonary embolism`) ang chi natna. |
| Taksa hliam (Trauma) . | Thinlung chhiatna nasa tak avanga rilru natna. |
Hei hi engtin nge enkawl a nih?
Miin PEA a neih chuan damdawi in pawnah hriat a harsa thei a, ECG tel lo chuan hriat theih a nih loh avangin. Vanneihthlak takin cardiac arrest eng pawha tih hmasak ber leh pawimawh ber chu thil pakhat a ni: CPR (Cardiopulmonary Resuscitation).
1. CPR tan nghal rawh: Mi pakhat chu a rilru a buai a, a pulse leh thawk a nei lo a nih chuan ambulance ko nghal la, an lo thlen hma loh chuan chest compression chhunzawm zel tur a ni. Hei hi nunna chhanhimna hun tha ber a ni. CPR tih dan i hriat loh chuan emergency services te chuan tih dan tur an hrilh thei che a ni.
2. Damdawi inah enkawl dan: Damdawi in Emergency Treatment Unit (ETU)-a dah an nih hnuah doctor-te chuan CPR an ti chhunzawm ang a, enkawlna dang an tan ang.
- Epinephrine: Hei hi adrenaline an ti bawk. He damdawi hi thinlung chu a rhythm pangngaia siam leh tumna atana pek a ni.
- A chhan enkawl dan: PEA (a chunga table-a a chhan pakhat) lo awm chhan hi rang taka hriatchhuah a, enkawl a pawimawh hle. Entirnan, thisen tlakchham a awm chuan thisen pe la, oxygen a tlem chuan oxygen pe la, thinlung vel thisen a awm chuan syringe hmangin la chhuak rawh.
PEA hi "nonshockable" rhythm a ni tih hre reng ang che. Chumi awmzia chu defibrillator atanga shock lo chhuak chuan a pui dawn lo tihna a ni. Mahse, CPR tha tak nen chuan a chang chuan heart rhythm chu shockable rhythm (e.g., `ventricular fibrillation`) ah a inthlak thei. Chutih lai chuan defibrillator atanga shock chuan thinlung chu a thawk tan leh theihna hun a pe a ni. Hei vang hian CPR hi a pawimawh em em a ni.
Emergency-ah eng nge kan tih ang?
Cardiac arrest hi medical emergency a nih fo avangin hmalak vat a pawimawh hle.
I hmaa mi tu emaw chuan:
- I hriatna i hloh thut a, i tlu a nih chuan, .
- I kawr emaw i kutphahah emaw pulse i hriat theih loh chuan, .
- Thâwk a chawlhsan emaw, a danglam deuha a harsat emaw chuan, .
Ambulance call nghal rawh. Tichuan, CPR chu a rang thei ang bera tan tir rawh. Second tin hi a chhiar tel vek.
PEA hi natna khirh tak ni mah se, tunlai damdawi lam hmasawnna avang hian kan hriatthiamna chu nasa takin a pung a ni. Mahse, chu zawng zawng aiin minute hmasa ber chu a pawimawh zawk. Chuvangin, mi pakhatin hetiang thil hi a tawk tih i hmuh chuan hlau suh, CPR hi tan nghal la, damdawi lam tanpuina dawng thuai la, chu chuan nunna chhanhim theihna a tipung thei ngei ang.
Take-Home Thuchah a ni
- PEA hi medical emergency na tak a ni a, thinlung hian electrical activity nei mahse pulse a nei lo.
- Mi pakhat chu nikhaw hre lovin a tlu thut a nih chuan an pulse leh thawk dan enfiah nghal tur a ni.
- Pulse leh thawk a awm loh chuan ambulance ko nghal la, CPR (chest compressions) tan nghal rawh.
- PEA tan shock treatment (defibrillation) hi hlawhtling lo mahse, CPR chhunzawm zel chuan thinlung chu shockable rhythm-ah a chantir thei a ni.
- Damdawi ina enkawlna tum ber chu CPR tih laiin PEA awm chhan bulpui ber zawn chhuah leh enkawl hi a ni.
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