Thâwk chhuah huna thisen sang tlahniam hi natna khirh tak chhinchhiahna a ni em? (Pulsus Paradoxus) tih a ni.

Doctor pakhatin, i thisen sang a enfiah laiin, "Thawk thuk rawh... tunah chuan thawk chhuak rawh..." tih ang chi a sawi i hre tawh em? A chang chuan thusawi mai mai niin kan ngai thin. Mahse a nihna takah chuan a chang chuan doctor chuan i thawk dan nen i thisen sangah danglamna chiang tak a awm em tih a enfiah thin. Hei hi a chhan pawimawh tak a ni. Vawiin hian chutiang damdawi lam chhinchhiahna bik pakhat kan sawi dawn a, chu chu ‘Pulsus Paradoxus’ a ni. He hming hi i hriat chuan a buaithlak deuhin a lang thei a, mahse awlsam takin han sawifiah ila.

Pulsus Paradoxus hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Pulsus Paradoxus chu i thisen sang, a bik takin top number (systolic pressure) chu i thawk chhuah laiin beisei aia nasain a tlahniam a ni.

Tunah chuan, "Chuti a nih chuan eng thil nge mak tak chu?" Heta paradox chu a tlangpuiin mi hrisel takin a thawk a, an thisen sang chu a sang tlem emaw, a danglam vak lo emaw chauh tur a ni. Mahse hetiang dinhmunah hian a kalh zawng tak a thleng a ni. Chu chu beisei loh takin pressure a tlahniam tihna a ni. Hei hi natna a ni lo va, i taksa chhungah thil dik lo a awm tih min hriattirtu chhinchhiahna pawimawh tak a ni a, a bik takin thinlungah emaw, lungah emaw thil dik lo a awm tih min hriattir a ni.

Ngaihtuah teh, kan thinlung hi kan taksa pum puia thisen pump chhuaktu a ni. Kan thawh hian kan rilruah pressure a inthlak danglam thin. Heng inthlak danglamna te hian thinlung thisen a khat that danah nghawng tlemte a nei a ni. Mahse, damdawi lam thil avanga thinlung hi a inzai tha thei lo a nih chuan, emaw, thinlung chhehvelah pressure nasa tak a awm a nih chuan, kan thawk chhuah hian thinlunga thisen lut zat chu a tlahniam hle a ni Chumi avang chuan thinlungin taksaa thisen a pump chhuah zat pawh a tlahniam a, chuvang chuan thisen sang tlahniam thut kan hmu a ni.

Doctor hian engtin nge hei hi a teh ang?

Hei hi in lama digital pressure meter hmanga teh theih thil a ni lo. A chhan chu hei hi uluk taka teh ngai thil a nih vang a ni. Chumi atan chuan doctor chuan kut hmanga pump chhuah pressure cuff leh stethoscope (manual blood pressure cuff) a hmang tlangpui.

A tih dan tur chu hetiang hi a ni:

1. A hmasain doctor chuan i kut ah pressure cuff a dah ang a, i pulse i hriat theih tawh loh thlengin a inflate ang.

2. Tichuan, cuff chu rang takin (second khatah mercury millimeter 2 vel rate-in) deflating laiin, stethoscope hmangin pulse sound hriatna hmun hmasa ber chu an zawng chhuak a. Hetih lai hian thawk chhuah (exhaling) hian thawm chu a ri a ni. Chu value chu record a ni.

3. A dawtah chuan cuff chu tlem i inflate deuh deuh chuan i thawk chhuah leh chhuah laiin pulse i la hriat theihna tur hmun i hmu ang . Chu value chu i record bawk ang.

4. A tawp berah chuan heng recorded upper pressure value pahnih inthlauhna hi chhut a ni.

Pulsus Paradoxus thlentu berte chu engte nge ni?

Pulsus Paradoxus tih chhinchhiahna i hmuh chuan thil pakhatin thinlung hnathawh that lohna a tikhawlo tihna a ni. Hei hi chhan hrang hrang a awm thei.

A chhan ber leh a tam ber chu thinlung chhehvela tui awmkhawm vang a ni a, chu chuan cardiac tamponade a thlen thin. Hei hi tlem han sawifiah leh ila. Kan thinlung hi ‘pericardium’ an tih, bawm ang maia khuhna te tak te chhungah a awm a. Hei hian thinlung venhimna leh tihlumtu tur tui tlemte chauh a pai tlangpui. Mahse, damdawi lam thil engemaw avanga he bawm chhungah hian tui (tui ang chi) tam lutuk a awm khawm chuan Pericardial Effusion an ti a ni. He tui hi a pun chuan pericardial sac chu a inzawm khawm a, a tawpah chuan cardiac tamponade a thlen thin . Hei hi natna khirh tak a ni a, emergency medical treatment a ngai a ni. Hei hi Pulsus Paradoxus thlentu ber a ni.

Hei bakah hian a hnuaia table-ah hian Pulsus Paradoxus thlentu dang engemaw zat a awm bawk.

Hei hi engtin nge enkawl a nih?

Heta kan hriatthiam tur pawimawh ber chu Pulsus Paradoxus an tih symptom hi direct treatment a awm lo tih hi a ni. A chhan chu natna a nih loh vang a ni. Car engine-a harsatna a awm chuan dashboard-a warning light a eng ang mai a ni. Kan tih tur chu light off leh on a ni lo va, engine chhunga harsatna awm chu siamthat a ni.

Enkawl dan tur chu a chhan a zirin a hril a ni.

• A chhan chu Cardiac Tamponade a nih chuan emergency treatment-ah chuan thinlung chhehvela tui tam zawk chu syringe leh needle hmangin lakchhuah a ni (pericardiocentesis). Surgery pawh a ngai mai thei.
• A chhan chu asthma na tak a nih chuan , asthma control nan damdawi leh nebulizer treatment pek thin a ni.
• A chhan chu pneumothorax (lung chim) a nih chuan boruak tam lutuk chu paih chhuah nan rilru chhungah tube dah a ni.
• Constrictive Pericarditis ang chi ah chuan pericardium thickened chu surgery hmanga lakchhuah a ngai mai thei.

Chutiang chuan doctor chuan a chhan dik tak chu a hre hmasa ang a, a duh ang enkawlna tha ber a pe ang che. Chuvangin, i doctor-in hetiang symptom hi a hrilh che a nih chuan hlau lo tur leh a chhan zawng chhuak tura test leh enkawlna kalpui mekte nen a taka thawhhona tha tak neih a pawimawh hle.