Emergency thisen zam (Fibrinolytic / Thrombolytic Therapy) tithianghlimtu nunna chhanhim thei damdawi chungchang chiang takin i zir ang u!

I hnaih ber tu emaw chuan rang takin a rilru a na a, thawk harsa takin a thawk chhuak ta niin han ngaihtuah teh. A nih loh leh, rang takin a hmui a hring a, a kut a beng a, a tawng thei lo bawk. Hetiang hun lai hian second tin hi engtiang chiahin nge hlu an nih? Vawiin hian damdawi bik, thiltithei tak, heng ang chi emergency nunna atana hlauhawm thei thisen zam hlauhawm tak takte tihthianghlim hmanga nunna chhanhim thei tur kan sawi dawn a ni.

A awlsam zawngin, he enkawlna hi eng nge ni?

Hei hi fibrinolytic emaw thrombolytic therapy emaw an ti a. Hmingte hi a buaithlak deuh a, mahse a kalphung erawh a awlsam hle. Kan in chhunga tui luang chhuak (drain) khar tihfai nan kan hman thin tui ang mai a ni.

Kan taksa chhunga thisen kalna kawng chhungah thisen zam hlauhawm tak a lo awm chuan chuta thisen kal chu a titawp a ni. Chumi avang chuan, chu thisen kalna kawng atanga thisen pek chhuah, thluak leh thinlung ang chi taksa peng pawimawh tak takte chu oxygen dawng lovin an thi tan ta a ni. Hei hi heart attack leh stroke tam tak thlentu a ni.

Chuvangin he enkawlna hian a tih chu damdawi chak tak tak taksaah a inject a, chu chuan chu thisen zam hlauhawm tak chu a tithianghlim a, a paih chhuak ta a ni. Hei hian vein chu a hawng leh a, thisen kal dan a siam tha leh ta a ni. Chu chu nunna a chhanhim thei tihna a ni.

Eng dinhmunah nge he enkawlna hi a tul?

Hei hi enkawl dan pangngai a ni lo. Emergency leh nunna atana hlauhawm a awm hunah pek thin a ni. Doctor-te chuan he enkawlna kawng hi a bik takin a hnuaia mite hi an ngaihtuah thin:

Engtin nge he damdawi hi taksaah pek a nih?

Hei hi pek theih dan kawng hnih a awm.

1. IV line hmanga: Hei hi hmanraw hman tlanglawn ber a ni. Damdawi hi i kut chhunga vein pakhata dah cannula (IV line) hmangin i thisenah direct-in pek a ni.

2. Catheter kaltlangin: A chang chuan, a bik takin damdawi chu thisen zamna hmuna direct-a thlen a ngaih hunah, doctor-te chuan thisen kalna kawng hmangin tube te tak te (catheter) an thun a, damdawi chu thisen zawrhna hmunah direct-in an inject thin.

Hun hi engtiang chiahin nge a pawimawh? - Second tin hi rangkachak a ni!

He enkawlnaah hian hun hi a pawimawh ber a ni. Thisen zam chu second khatah a tlakbuak apiangin thluak cell emaw heart muscle cell emaw a thi vek thin. Chuvangin, a rang thei ang bera enkawl tan a pawimawh hle .

Chuvangin heart attack emaw stroke emaw symptoms i hmuh chuan in lamah enkawl tum suh, nghak suh. Damlo chu damdawi in Emergency Treatment Unit (ETU) -ah a rang thei ang bera hruai thin ang che.

Hetiang enkawlna hi pek theih loh a awm em?

Awle. Hei hi damdawi chak tak a nih avangin mi zawng zawng hnena pek theih a ni lo. A chhan chu thisen zam a tithianghlim a, taksaa thisen chhuah theihna a tipung bawk. Chuvangin mi thenkhat hnena he enkawlna hi pek hi a hlauhawm thei hle.

Medical team chuan he enkawlna atan hian i tling em tih chu test rang tlemte hnuah an rel ang. He enkawlna hi a tlangpuiin a hnuaia natna nei te tan pek a ni lo:

• Kum 75 chunglam i nih chuan.
• Thluak thisen chhuak tawh i nih chuan.
• Tunah hian thisen tihthianghlimna damdawi i hmang a nih chuan.
• Thla 3 kalta chhunga stroke i neih chuan.
• Taksa khawi hmun atang pawha active taka thisen chhuak i nih emaw, tun hnaia surgery/hliam lian tak i neih emaw a nih chuan.
• Brain tumor i nei tih i hriat chuan.
• Naupai a nih chuan.
• Thisen sang, thunun theih loh i neih chuan.
• Zunthlum avanga mit natna (diabetic eye diseases) i neih chuan.
• Platelet count a tlem hle a nih chuan.

He list hi a kimchang lo hle. I dinhmun bik a zirin thutlukna hnuhnung ber chu i enkawltu doctor-in a siam ang.

Enkawlna chu step khat hnu step khata tih dan tur

Enkawl hmain

Hei hi emergency a nih avangin Intensive Care Unit (ICU) -ah direct-in admit i ni ang a, chutah chuan medical leh nursing team-te chuan i heart rate, thisen sang, leh oxygen level thlengin ngun takin an enfiah ang.

Enkawl lai hian

Sawi tawh angin damdawi hi IV line emaw catheter emaw hmangin taksaah pek a ni ang. Enkawl chhung hian CT scan emaw MRI scan ang chi test hmangin thisen zam chu a lo hmin em tih enfiah a ni ang.

A then phei chuan he damdawi bakah hian emaw, a aiah emaw chuan mechanical thrombectomy pawh tih theih a ni. Hei hian catheter hmanga clot awmna hmun thleng a, a te tea then a, zun kaltlangin lakchhuah a huam a ni .

Enkawl hnuah

Enkawl zawhah doctor-te chuan thisen zam chu a la awm em tih an enfiah thin. Enkawlna tam zawk a ngai mai thei. Entîr nân, stenting , balloon angioplasty , emaw, open surgery emaw chu thisen kalna kawng hawn rei zâwk tûrin a ngai mai thei.

Tin, doctor-te chuan nakin lawka thisen zam dang a lo awm loh nan thisen tithianghlimtu damdawi (anticoagulants) , Warfarin emaw Heparin emaw ei chhunzawm zel turin an fuih bawk ang che.

Hei hian eng nge a hlauhawmna leh a nghawng tha lo?

He enkawlna avanga hlauhawm ber leh awm tam ber chu thisen chhuah hi a ni . Hei hi thil pangngai a ni.

• Cannula awmna hmun atang hian thisen a chhuak thei.
• Tun hnaia hliam tuar chu thisen a chhuak leh thei.
• Hnar thisen a chhuak thei.
• Zun chhungah thisen a awm thei.
• Thluah hian thisen a awm thei.
• Hmeichhia hian vaginal bleeding nasa lutuk an nei thei.
• Risk awm lo ber, mahse hlauhawm ber chu thluak thisen chhuah hi a ni .

Heng hlauhawmnate hi awm mah se, mi tam tak tan chuan he enkawlna hlawkna, nunna chhanhimna hian heng hlauhawmnate hi a tluk pha hle a ni. Chuvangin doctor-te chuan he thutlukna hi an siam hmain engkim an rit vek thin.

Engtikah nge doctor ka hmuh leh ang?

Inenkawl zawha i haw hnuah harsatna a awm chuan doctor hnenah hriattir nghal tur a ni.

• Thisen chhuak tam lutuk a awm chuan .
• Natna tuar theih loh i tawn chuan .
• Khawsik i neih chuan .

Hetiang thil a lo thlen chuan doctor ko nghal rawh. A chhan chu a ruat ang a, a tul anga enkawlna a pe ang.