Movie-ah pawh i hmu tawh ngei ang, mi pakhatin accident-a emaw, thil dang vang emawa pill a ei tam lutuk chuan damdawi inah an hruai a, tube an dah a, an pum chhunga thil awmte chu an paih chhuak thin. Hei hi ‘stomach lavage’ emaw ‘stomach pumping’ emaw kan tih tlangpui chu a ni. Tlem chuan hlauhawm deuh angin lang mahse, damdawi lam thil pawimawh tak, nunna chhanhim thei tur a ni. Mahse, hei hi tih reng reng a ni em? Engtin nge tih a nih? A na em? Vawiin hian he thu hi, chiang takin, hlauhna awm lovin i sawi ang u.
A awlsam zawngin, gastric lavage chu eng nge ni?
Gastric lavage chu i pum chhunga thil awm (i pum chhunga thil awm) suction chhuahna a ni. Hei hi damdawi lam chuan gastric lavage an ti a . ‘Lavage’ tih awmzia chu ‘silfai’ tihna a ni. Chuvangin, he thil kal zelah hian thil pahnih a thleng tak tak a ni. Doctor emaw, trained medical staff member emaw chuan i pum chhungah tube a dah a, tui emaw saline emaw hmangin a silfai a, chutah chuan i pum chhunga thil awmte chu tui hmangin a suck chhuak a ni. He tube hi i hnar (nasogastric tube) emaw, i hmui (orogastric tube) kaltlangin i pum chhungah a lut tlangpui.
Engvangin nge pum sil hi a tul?
Mi tam zawkin an hriat angin hei hi emergency-ah tih a ni. To be precise, mi pakhatin poison a in a, emaw, pills ang chi thil a overdose a nih chuan , he method hi taksaah a luh hmain poison chu a pum atanga rang taka lakchhuah a, nunna chhanhim nan hman a ni.
Mahse, gastric lavage hi poison i ei tawh chauha tih tur a ni lo tih i hria em? Thil pawi lo zawkah pawh a tangkai hle thei bawk.
Entir nan:
- Mi thenkhat chuan ei leh in, tui, boruak avanga an pum chhungah pressure leh hrehawmna nasa tak an nei thin. Chutih lai chuan chu pressure tihziaawm nan he method hi hman a ni.
- Pum ulcer ang chi thil avanga thisen chhuak (hemorrhage) tam tak a awm chuan hei hian thisen tam lutuk chu a tifai ang a, a paih chhuak bawk ang.
- Surgery lian tham an tih lai hian anesthesia an pek lai hian pum chhunga thil awmte chu rilru chhungah a rawn chho leh a, thlipui (aspiration)-ah a tlakbuak theihna chance a sang hle. Chu chu eng ang nge a hlauhawm dâwn tih han ngaihtuah teh. Chutiang thil ven nan chuan he method hi operation chhung zawnga pum chhunga tui awmkhawmte paih chhuah nan pawh hman a ni.
| Gastric lavage mamawhna hmun | Hrilhfiahna |
|---|---|
| Toxic ei a ni | Damdawi leh chemical te chu taksa atanga thil tha lo (toxic substances) te chu a hip luh hmaa paih chhuah nan. |
| Pumpui a thawk tha lo | Pum hring chhuah hun sawn (e.g., gastroparesis)-a ei tur a khat tawh chu paih chhuah nan. |
| Bowel obstruction a awm | Intestinal obstruction avanga pum chhunga tui leh boruak awmkhawm chu paih chhuakin pressure tihziaawmna tur. |
| Luak chhuak chhunzawm zel | Damdawi dang hmanga thunun theih loh, luak chhuak leh rilru hahna awm reng a awm chuan. |
| Upper GI thisen chhuak | Pum atanga thisen lakchhuah nan thisen chhuahna hmun dik tak hriatchhuah a, endoscopy ang chi test tih hmain pum chu tifai hmasa phawt ang che. |
| Surgery leh damdawi lam thil dangte | Surgery lian tham tak tak neih laiin, artificial respiration (assisted ventilation) pek hunah, endoscopy hmaa pum tihfai tur. |
Tunlai hian emergency-ah hian gastric lavage hi a awm fo lo em ni?
Ni e, chu thawnthu chu a dik a ni. Tun hma ang lo takin, tunah chuan rulhut ei tawh zawng zawngte chu an pum a sen vek a ngai tawh lo. Tun hnai kum sawmhnih chhung khan khawvela toxicological society lian ber berte pawhin hetiang hi tih dan pangngaia tih loh tur thu an rawt a ni.
A chhan chu a then phei chuan gastric lavage aiin hmanraw dang him zawk leh hlawk zawk a awm vang a ni. Entîr nân, tih dân pakhat chu activated charcoal pek hi a ni . Hei hi black powder a ni. Pum chhunga a luh chuan a pum chhunga toxin awmte chu a chung lamah a hip lut thin. Tichuan, toxins te nen chuan stool ah a chhuak leh thin. Thil tih dan dang chuHriselna lama tui pek (WBO) . Hei hian chaw ei kawng zawng zawng chu tui bik tam tak hmanga silfai chhuah a ni. Chuvangin, doctor chuan thil tam tak, damlo dinhmun, toxin ei chi, leh eng chen nge a awm tawh tih te a\angin enkawlna \ha ber tur a rel \hin.
Okay, chuvangin he enkawlna hian engtin tak nge hna a thawh tih hi han en ila.
Hetiang kalphung zawng zawng hi step lian pathum-ah then theih a ni.
1. Inbuatsaihna
2. Intubation hmanga tih a ni
3. Gastric Suctioning/Lavage tih hi a awm lo
Inbuatsaihna
Hei hi i tan hmain, damdawi lam thawktute chuan i chhinchhiahna pawimawh tak tak, thisen sang, thinlung chakna, leh thawk chakna te chu uluk takin an enfiah hmasa ang . I hriatna i neih chuan enkawl dan tur an hrilhfiah ang che a, i hriatpuina (informed consent) an la ang. I gag reflex chu an check ang. A châng chuan, he tih lai hian i thawkna kawng hawn reng tûrin thawkna kawng (breathing tube) dah theih a ni.
Intubation hmanga tih a ni
Pum silna atana hman tur tube hi a hmaa kan sawi tawh ang khan hnar (nasogastric tube) emaw, hmui (orogastric tube) emaw hmangin dah theih a ni. Pum chhunga thil awmte chu rang taka tihthianghlim nan chuan tube zau deuh deuh hman a ni tlangpui a, chu chu ka atanga thun luh a ni.
Hei hi tih dan tur chu hetiang hi a ni:
- A hmasain, dinglam deuhah dah i ni ang a, a nih loh leh i hnungzang chungah i lu chu hniam deuhin vei lamah i hawi ang.
- Tichuan, topical anesthetic spray hmangin kawr chhungah hnawih a ni. Hei hian rilru hahna leh rilru natna te a tiziaawm a ni.
- Kawngkhar i hman a nih chuan i hmui chhungah hian bite block te tak te a awm a, chu chu i hmui chu i ei palh loh nan a ni.
- A dawtah chuan doctor chuan i pum thleng tur chuan tube sei zawng a teh ang a, a mark ang.
- Tube tip-ah lubricant an hnawih a, uluk takin an rilruah an pass a.
- I hriatna i neih chuan tube ei turin tanpuina i dil thei a, straw hmanga tui in tur i dil thei bawk.
- Tube chu marked size-a dah a nih hnuah, a kal kual loh nan plaster hmangin vunah an nghet tlat a ni.
A pawimawh ber chu Tube i thun laiin khuh emaw thawk harsatna emaw i neih chuan tube dah kha bansan nghal la, rei vak lo la chhuak la, rei vak lo nghah la, tum leh rawh. Tube chu pum chhungah a lut tak tak em tih emaw, thlipui chhungah a lut sual em tih emaw chu X-ray emaw, tube atanga tui sample tlemte lak a, a pH test emaw hmangin a finfiah theih a ni.
Pum silfai leh tui paih chhuah
Tube chu pum chhungah a nghet tawh chuan rinsing process chu a intan ta a ni. Hei hi tui pangngai emaw, saline solution emaw hmangin tih theih a ni. Saline hi a bik takin naupang tê tê leh luak chhuak vanga tui tlakchham tawhte tan chuan taksa chi leh electrolyte balance vawng reng turin hman a ni. A châng chuan, he solution-ah hian rulhut ei chi hrang hrang nena inmil antidote an dah tel thei bawk.
- A hmasa berin tui tlemte (puitling tan 300 mL vel, naupang tan 10 mL vel) chu tube kaltlangin pum chhungah an thawn lut a.
- Minute khat emaw minute hnih emaw vel an dah hnuah tui chu tube (suction) hmangin an chhuah leh thin.
- Hetiang hi vawi tam tak tih leh a ni a, chu chu a lo kir leh tur tui a thianghlim hma loh chuan a ni a, chu chu pum chhunga thil awm zawng zawng deuhthaw chu paih vek a ni tawh tihna a ni.
- A tul chuan activated charcoal chu final liquid-ah dah a ni. Hei hian chaw chhunga toxic particle awm zawng zawng chu a man ang a, chu chuan intestines a paltlang thei ang a, stool nen a paih chhuak thei ang.
Hetianga i tih hian a na em? Engtin nge a awm?
Hei hi mi tam takin harsatna an neih a ni. Dik tak chuan pumping hian a ti na lo. Mahse, i rilruah tube awm chu a nuam lo thei hle. I rilru a na thei a, a bik takin tube i dah leh lakchhuah hian i rilru a na thei. Mahse, doctor-te chuan he harsatna hi tihziaawmna turin numbing spray emaw, tube-a lubricating emaw hmangin an pui thei a, chu chu enkawl theih tak a ni.
He enkawlna hian eng hlauhawmna leh harsatna nge a neih?
Doctor trained-in he procedure hi dik taka a tih chuan harsatna a thlen theihna a tlem hle. Mahse, damdawi lam kalphung zawng zawng ang bawkin, hlauhawmna tlemte chauh a awm.
- Tube dah luh hian chaw kawng emaw, pum emaw a hliam tenau tak a awm.
- Enkawl laiin i luak chuan a chhunga thil awmte chu i thawkna kawngah (aspiration) a lut thei a ni . Hei hi a hlauhawm thei hle.
- Tube hi airway chhungah a lut palh a. (Chuvang chuan a hmun dik tak chu a nemnghet a ni)
- Tube chu rilru chhunga a awm chuan nerve (vagus nerve) a tichak a, chu chuan cardiac arrhythmias a thlen thin .
Hetiang thil thleng theihna chance hi a tlem hle. Amaherawhchu, damdawi lam thawktute chu an fimkhur reng a, a tul anga hma an la thin.
Poison ei a nih chuan pum hi silfai a ngai em? Engtin nge thutlukna i siam?
Hei hi zawhna pawimawh tak a ni. Gastric lavage hi poisoning process tir lama tih a nih chauhvin a hlawk ber. Hun a kal zel a, chu rulhut chu zawi zawiin taksa chhungah a lut tan ang. Chutih hunah chuan gastric lavage hian a hlawkpui vak dawn lo. Chuvangin, doctor chuan he enkawlna hi a tih leh tih loh tur a rel hunah thil engemaw zat a ngaihtuah ang.
| Gastric lavage neihna hun remchang | Gastric lavage hi a dik lo emaw, a hlauhawm lo emaw a nih chuan |
|---|---|
| Poison a nih atanga darkar khat lek chhungin damdawi in thleng. | Thil caustic emaw corrosive tak tak (e.g. acid, bleach) i ei tawh chuan. (Tube hi dah a nih chuan a chhe lehzual thei). |
| Poison ei chi hi a hlauhawm hle a, nunna atana hlauhawm tak a ni . | Gasoline emaw kerosene emaw hydrocarbon i in tawh chuan (hengte hian awlsam takin thawkna kawngah a lut thei a, a tichhia thei). |
| Enkawlna dang (e.g. Activated Charcoal) hi a tawk lo emaw, pek theih loh emaw a ni. | Damlo chu enkawlna lakah nasa takin a do thei a , a nih loh leh a tibuaitu a ni. |
| Toxin ei chi hi pum chhunga thil hring chhuah tikhawtlai thei a ni. | Damlo hian seizures a nei a . |
| Enkawlna titu medical team te hian enkawlna tur specialist training an dawng tawh a ni. | Damlo chu a rilru a buai emaw, a muhil emaw a, thawkna kawng pawh venhim a ni lo. |
Engtin nge emergency i hriat theih? Doctor pan nghal tur tih chhinchhiahnate chu engte nge ni?
Nangmah emaw, i enkawltu tu emaw chuan damdawi a ei tam lutuk a, rulhut a ei a, zu rimchhia a vei a nih chuan damdawi lam thurawn zawng nghal rawh. Symptoms a lan hma chu nghak suh. Ringhlel i neih chuan damdawi in hnai ber pan nghal rawh.Emergency Treatment Unit (ETU)-ah hruai rawh.
Poisoning natna lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:
- Luak chhuak thei
- Nausea leh luak chhuak
- Lung na tak tak
- Thâwk harsa
- Kawng chhung emaw, a chhehvel emaw a kang
- Thâwk chungah chemical rim a nam
- Seizures a awm thin
- Restlessness emaw, buaina emaw
- Thil hriatna hloh
- Mutthilh nasat emaw, hriatna hloh emaw
Pawimawh: Poisoning i rinhlelh chuan in lamah enkawl emaw, riltam tir emaw tum ngai suh. Thurawn i mamawh chuan Sri Lanka-a Colombo National Hospital-a National Poisons Information Center-ah i call thei ang. Amaherawhchu, damlo dinhmun a pawi hle a nih chuan, tihkhawtlai lova damdawi in panpui a pawimawh hle.
Take-Home Thuchah a ni
- Stomach pumping hi damdawi pawimawh tak a ni a, emergency thenkhatah chuan nunna a chhanhim thei a, mahse tunlai hian poisoning zawng zawng enkawlna hmasa ber a ni lo mai thei.
- Hetianga enkawl lai hian i rilruah tube awm chu nuam lo mahse, a na lutuk lo. Doctor-te chuan a natna tihziaawmna turin hma an la thin.
- Nangmah emaw, i hriat miin emaw, a rah chhuah, damdawi, chemical emaw i ei palh a nih chuan, in lama enkawl tum ngai suh. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- Damlo enfiahtu doctor chuan mi pakhatin gastric lavage a mamawh leh mamawh loh chu a rel thin. Thil tam tak ngaihtuah a ni a, chu chu damlo dinhmun, thil ei leh in leh hun liam tawh te hi a ni.
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