Thâwk lak harsa i ti em? Respiratory Failure chungchang hi han sawi ila

A chang chuan thawk harsa i ti em? A nih loh leh thawk thei lo ang maiin i inhria em? Heng thilte hi ngaihthah mai mai chu thil tha a ni lo. A chhan chu, hei hi Respiratory Failure tih hming pu natna khirh tak chhinchhiahna a ni thei a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni. Hei hi medical emergency a ni thei a, chuvangin hei hi hriat a pawimawh hle.

Engtin nge kan thawk ang? Hei hian hna a thawk tha lo a nih chuan eng nge thleng ang?

Ngaihtuah teh, oxygen hi kan taksa tan chuan gasoline ang maiin car-ah a ni a, a nih loh leh kan nun kalpui nana kan mamawh fuel ang mai a ni. Kan thaw chhuah hian he gas hlu tak oxygen an tih hi kan lungah a lut a. A dik tak chuan, he oxygen hi lung chhunga boruak bawm te tak te, alveoli tia koh-ah a lut a ni. Bus stop atanga bus tlan chho ang mai a ni.

Chuta tang chuan thisen chuan he oxygen hi taksa peng zawng zawngah, kan thluak, thinlung, ruh leh taksa peng dangte thlengin a "car" thin. He oxygen hian chutiang hmun dik takah chuan a thleng lo a nih chuan kan taksa cell te chu a thawk thei dawn lo, fuel tel lo car ang maiin.

Tunah chuan oxygen chu chu hmuna "delivered" a nih hnuah chuan thisen cell te chuan an lo kir leh rualin taksa tana hmantlak loh gas leh bawlhhlawh tak carbon dioxide an khawl khawm ta a ni. Hei hi dawr-a thil lei tur hruai a, box hrui hring rawn thawn let ang mai a ni. He carbon dioxide hi taksaah a pungkhawm a nih chuan chu pawh chu harsatna a ni. A chhan chu chutih hunah chuan thisen hian oxygen thar a phurh theihna tur hmun a awm lo. Chuvangin, he carbon dioxide hi lungah a lo kir leh a, kan thawk chhuah hian taksa atangin a chhuak ta a ni. Chu chu oxygen thar engemaw zat lak leh theihna tur hmun kan neih hunah a ni.

He thil kalphung zawng zawngah hian eng emaw zat a kal sual a nih chuan kan taksa tissue te hian oxygen an hmu tlem hle. Chu chu Respiratory Failure kan tih chu a ni.

Thluak lama harsatna chi hrang hrang a awm em?

Ni e, he natna hi chi hrang hrang a awm a, chu chu a lo awm dan leh a nghawng ber a zirin a ni. A châng chuan a lo thleng nghal thei (acute) , a châng chuan hun kal zelah zawi zawiin a lo awm thei bawk (chronic) . A chi lian ber pahnih chu:

1. Hypoxemic Thluak chak lohna - Type 1

A awlsam zawngin sawi ila, hei hi i thisena oxygen tlakchhamna (`hypoxemia`) a ni. Hei hi thawk la mahse i thisenin oxygen a hmuh tlem chuan a thleng thin. Lung natna leh lung natna hi a thlentu ber a ni. Mi thenkhat chuan hypoxic respiratory failure an ti bawk.

2. Hypercapnic thawkna lama harsatna - Type 2

Hei hi i thisena carbon dioxide (CO2) a pun chuan a ni.. Kan taksain carbon dioxide, bawlhhlawh CO2 an tih chu uluk taka a paih chhuah theih loh chuan thisenah a pung khawm a. Tichuan, a hmaa kan sawi tawh ang khan thisenah hian oxygen awmna tur hmun a awm lo. Hetiang dinhmun hi thinlung, lung, ruh, leh nervous system (brain leh spinal cord) natna avanga lo awm thei a ni. Damdawi thenkhat pawhin hetiang hi a thlen thei bawk.

A chi dang pawh a awm:

• Perioperative Respiratory Failure (Type 3): Hei hi operation laiin a thleng thei. Surgery laia anesthesia hman hian a chang chuan thawk a ti harsa thei hle. Tin, lung chhunga air sacs te chu a chim (atelectasis) thei bawk a, chu chuan oxygen thisen a thlen loh nan a veng thei bawk.
• Shock avanga thawk tha lo (Type 4): Shock hi natna khirh tak a ni a, thisen sang a tlahniam nghal a, pulmonary edema ang chi harsatna a awm bawk. Hei hian thawk lama harsatna a thlen thei bawk. Shock hi sepsis ( natna khirh tak, taksa pum puia darh), heart attack nghal , leh thisen chhuah tam lutuk ang chi thil vang a ni thei.

Hetiang natna lan chhuah dan hi engte nge ni?

Thluak chak lohna chhinchhiahna hi a chhan a zirin a inang lo thei. Mahse, a lan chhuah dan tlangpui thenkhat chu:

• Thâwk harsa emaw, thawk hah (dyspnea) emaw.
• Thâwk chak tak (tachypnea).
• Chau lutuk (chau) tih hriat .
• I thinlung a thawk chak emaw, i thinlung thawk mumal lo emaw ang maia inhriatna .
• Mucus emaw thisen emaw khuh (hemoptysis).
• Thaw hah lutuk.
• Restlessness, tihbuai.
• Vun dum (pale skin) a ni.
• Vun, hmui, kut zungtang blue discoloration (cyanosis) - Hei hi oxygen tlakchhamna chhinchhiahna pawi tak a ni.
• Lu na .
• Mit hmuh a fiah lo.
• Lungngaihna, buaina, ngaihtuahna fim tak neih theih lohna.
• Nungchang inthlak danglamna, a hma ang anga awm lo.

Pawimawh: Heng symptoms te hi i neih chuan doctor advice i dil nghal tur a ni , hei hi emergency a nih theih avangin.

Thâwk lama harsatna awm chhante chu engte nge ni?

A awlsam zawngin kan taksain oxygen a lakluh theihna leh carbon dioxide a paih chhuah theihna chu eng emaw chhan vanga tihbuai a nih chuan he dinhmun hi a lo awm thin. Hei hi nghawng thei thilte chu:

• Thli kal tha tawk lo emaw, lung chhunga thisen kal tlem emaw.
• Lung chhunga thil tihkhawtlai, hliam emaw, tui awm zat emaw .
• Thâwk ṭhat leh thûk taka thawk thei lo.Hei hi lung natna avanga lo awm a ni thei a, thawk la tura puitu nerve emaw muscle-ah harsatna i neih vang te, i rilru a hliam vang te pawh a ni thei.
• Thinlung kal tlanga thisen kal dan dik lo.

Tute nge risk sang zawk? (Risk Factor hrang hrang) 1.1.

Mi thenkhat chu thawk lama harsatna nei thei an ni. Anni chu:

• Lung natna nei te: Entirnan, natna hrang hrang, acute respiratory distress syndrome (ARDS) , chronic obstructive pulmonary disease (COPD) , pneumonia , asthma , cystic fibrosis , pulmonary edema (lung chhunga tui awm) , pulmonary embolism (lung tube-a thisen zam) , leh pulmonary fibrosis (lung chhunga hliam awm) te .
• Mite chu thinlung emaw, thisen kalna kawng emaw natna nei: heart attack , congenital heart disease , heart failure , leh shock te ang chi te.
• Thâwk chhuahna kawnga ṭanpuitu nerve leh muscle tichhe thei natna nei mite: muscular dystrophy , amyotrophic lateral sclerosis (ALS) , severe scoliosis (curvature of the spine) , leh Guillain-Barré syndrome ang chi dinhmunte.
• A rilru, ruhro, thluak (stroke pawh tel) a hliam.
• Meizial zu emaw, lung tibuaitu dang: chemical meikhu, leivut, boruak bawlhhlawh (kan kawngpuiah lirthei rit tak tak chhuah, factory meikhu, leh sakna hmun atanga leivut) te, leh asbestos te.
• Surgery anesthesia ngai te.
• Ruihhlo hman emaw, zu in tam lutuk emaw.
• Kum: Nausen piang thar (a bik takin nausen piang tlem te) leh puitling kum 65 chunglam te chu an hlauhawm zawk.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor chuan i thisenah oxygen leh carbon dioxide awm zat a enfiah ang a , thawkna lama harsatna a awm leh awm loh a enfiah ang . Tin, i thisen sang an enfiah bawk ang a, clip-on device te tak te (`pulse oximeter` emaw `pulse ox` an tih) hmangin i thisena oxygen level an enfiah ang. Tin, i thinlung leh i lungte an ngaithla ang a, an enfiah ang che. Hetiang dinhmun hi rinhlelh a nih chuan test dang eng emaw zat an ti thei bawk.

Chu test-te chu engte nge ni?

• Pulse oximetry hmanga thil tih dan: 1.1.Hei hian i thisena oxygen awm zat tehna tur i kut zungtang chungah sensor dah a huam a ni. Hei hi Doctor hmu tura i kal hunah tih a ni tlangpui.
• Arterial Blood Gas (ABG) test: Thisen sample te tak te chu needle hmangin kutphah, kut chunglam, emaw groin atanga lak a ni a, oxygen leh carbon dioxide level te chu teh a ni. Hei hian thu dik tak a pe thei a ni.
• Pulmonary Function Tests (PFT): He test-ah hian machine nena inzawm mouthpiece hmanga thawk chhuah leh chhuah tir an ni. Hei hian i lung a hnathawh that dan a enfiah thei a ni.
• Imaging test: X-ray leh CT scan hmangin taksa chhung lam thlalak a la a. Chûngte chuan thawkna lama harsatna chu direct-a an hriat theih loh laiin, a thlentu hriat theih nân an ṭanpui thei a ni.
• Electrocardiogram (EKG): Hei hian thinlung hnathawh that dan tehna a ni. Doctor chuan lung natna avanga harsatna awm nia a hriat chuan EKG a order ang.

Hei hi engtin nge enkawl a nih?

Thluak lama harsatna enkawlna chu a nasat dan leh a chhan a zirin a ni . Enkawlna tum ber chu a chhan bulpui enkawl te, oxygen tam zawk pek te, emaw, mahni chauha thawk leh thei tur khawpa thawkna machine (`mechanical ventilation`) hman te hi a ni.

Acute respiratory failure hi emergency a nih avangin enkawl vat a ngai a ni. Mahse, thawkna lama harsatna na lo, hun rei tak (chronic) a awm chuan a chhan chu a hnuaia awm dan control-in in lamah enkawl theih a ni.

Enkawlna bikte chu engte nge ni?

• Mechanical ventilation: Hei hian thawkna machine leh i thawkna kawngah tube dahin a thlunzawm a, chu chuan i lung chhungah boruak a hip lut a, a chhuah tir a ni.
• Extracorporeal Membrane Oxygenation (ECMO): Hei hi a enkawl dan a buaithlak deuh a. Bypass machine hmanga taksa atanga thisen lakchhuah a, oxygen dah belh a, carbon dioxide paih chhuah a, taksa chhunga lut leh tur a ni.
• Oxygen therapy: Machine hian thawkna mask emaw, hnar chhunga dah tube te tak te (cannula) hmangin oxygen extra a pe chhuak thin. Hei hi damdawi inah emaw, in lamah emaw tih theih a ni.
• Fluids: Fluids hi thisen kaltlangin (IV - vein pakhatah direct-in) pek thin a ni. Hei hian taksaa thisen kal dan a titha a, tissue-a oxygen tam zawk a phurh theih nan a pui bawk.
• Damdawi lam dinhmun bulpui enkawl dan: Thâwk lama harsatna awm chhan a zirin doctor chuan damdawi dang emaw, enkawlna dang emaw a rawt thei a ni.

Hei hi ven dan tur a awm em?

Thluak chak lohna hi a veng thei reng reng lo. Mahse, i thinlung, lung, a nih loh leh nervous system natna hnuaia awm thei zawng zawng enkawl hian thawkna lama harsatna rei tak i neih theihna chu i tihtlem thei a ni. Hetiang natna hi i neih theihna tur risk factor i neih chuan i doctor nen i risk tihziaawm dan tur sawipui rawh.

Thâwk lama harsatna hi tihdam theih a ni em?

Hei hi dinhmun pawi tak a ni. Mi tam zawk chu an dam leh thin. Natna thlentu, a nasat dan leh a enkawl rang danah a innghat a ni.

Acute respiratory failure thlentu tam tak chu enkawl theih ni mahse, enkawl vat loh chuan thihna thlen thei a ni. Acute respiratory failure vanga damdawi ina dah zinga hmun thuma ṭhena hmun khat vel chu an thi a ni. Chronic respiratory failure hi natna pakhat, hun kal zelah a zual zel vang a ni tlangpui.

Engtikah nge Doctor ka hmuh ang?

Thâwk lama harsatna nei thei khawpa natna khirh tak i neih chuan i doctor nen inbia ang che. Amah hian thawk lama harsatna chhinchhiahna eng nge fimkhur tur tih leh i dinhmun enkawl dan tur a hrilh thei che a ni.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

Thâwk lama harsatna i neih chuan emergency room hnai ber pan nghal la, a nih loh leh 911 call la, hei hi enkawl vat loh chuan thihna thlen thei a ni.

Ka doctor hnenah eng nge ka zawh ang?

I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Eng enkawlna kawng nge ka neih?
• Hei hi eng nge a chhan?
• Engtin nge ka damdawi te hi ka hman ang?
• Engtin nge he hmanrua (e.g., oxygen machine) hi ka hman ang? Engtin nge tih min hmuhtir thei ang em?
• Engtikah nge dam ka beisei theih ang?
• Engtikah nge ka rawn hmu leh ang che?

Take-Home Thuchah a ni

Thluak chak lohna hi natna pawi tak a ni a, a chang chuan thihna thlen thei a ni. Acute respiratory failure i neih nia i hriat chuan 911 ah call nghal la, emergency medical attention dil rawh. Chronic respiratory failure i neih chuan, emaw, i vei theihna tipung thei tur condition i neih chuan i doctor nen enkawl dan tur dik tak sawipui rawh. I enkawl dan tur leh i dinhmun a zirin eng nge i beisei tur tih a hrilhfiah thei a ni. I thawk kha enkawl tha la, i nunna a nih avangin!

` Thâwk lama harsatna, thawk harsa, oxygen, carbon dioxide, lung, emergency care, ARDS, COPD