Kan nunah engtik lai pawhin, accident emaw, operation emaw, damdawi lam thil eng emaw avângin, keimahni emaw, kan hmangaih tak emaw chuan thisen kan pe a ngai mai thei. Hei hi damdawi lam kalphung pawimawh tak a ni a, nunna chhanhim thei a ni. Mahse, a tam zawkah chuan him mah se, a tlem hle a, he thisen pek a nih avang hian harsatna a awm thei . Vawiin hian kan sawi dawn a, chu chu a pawi deuh hlek a, mahse kan hriat vek a ngai a ni. Chu chu TACO, a nih loh leh damdawi lam tawngkam chuan `Transfusion-Associated Circulatory Overload` a ni.
TACO hi eng nge ni tak tak?
A awlsam zawngin sawi ila, TACO chu thisen i pek hnua i taksa circulatory system-a tui awm zat a pun thut a, i tuar thei lo a ni. Tui bawm tuiin a khat nghal ang maiin han ngaihtuah teh.
Thisen kan pek hian kan thisen kalna kawngah tui engemaw zat a awm a. A tlangpuiin kan thinlung leh kal hian he extra fluid hi a enkawl tha thei a, taksa chu a balance thei bawk. Mahse a chang chuan, a bik takin vawi khatah thisen tam lutuk i pek chuan, emaw, i thinlung emaw, i kal emaw a chak lo a nih chuan, he extra fluid hi a handle thei lo. Tichuan, thisen kalna kawnga pressure a sang a, tui chu lung ang chi taksa peng hrang hrangah a luang lut tan ta a ni . Hei hian thawk a ti harsa a, taksa a ti na a, thisen sang pawh ngaihtuah phak loh khawpin a sang chho bawk. This is a very serious condition , chuvangin symptoms a lo lang a nih chuan doctor pan nghal a pawimawh hle.
Hetiang natna lan chhuah dan hi engte nge ni?
Thisen pek chhung emaw darkar 12 chhungin emaw TACO symptoms hi engtik lai pawhin a lang thei. Chuvang chuan he hun chhunga thisen pe tawhtu hi kan fimkhur hle tur a ni. A lan chhuah dan tlangpui chu a hnuaia table-ah hian tarlan a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Thâwk harsa (Dyspnea) . | Hei hi a symptom ber leh langsar ber a ni. Lung chu tuiin a khat a, thawk a harsa hle. Hei hi a bik takin mut lai hian a pawi thei hle. |
| Khuh | A châng chuan khuh hi pink, frothy mucus nen a awm thei bawk. |
| A rilru a na | Thinlung a thawhrim zawk avangin i rilru a na emaw, a na emaw i nei thei. |
| Vun, hmui, emaw nail (Cyanosis) rawng dum (Cyanosis) . | Hei hi taksain oxygen a hmuh tlem chuan a thleng thei a ni. Hei hi symptom pawi tak a ni. |
| Ke, ke ruh emaw, kawr emaw a hring chhuak | He swelling hi taksaa tui awm reng avanga lo awm a ni. Kawngkhar chhunga veins te pawh a bulging angin a lang thei bawk. |
| Lung natna chak tak (Tachycardia) . | Thinlung hi a thawk chak zawk a, a chhan chu thinlung hian taksa pum puia thisen pump turin a thawhrim a ngai a ni. |
| Luak chhuak emaw, hriatna hloh emaw | Hetiang dinhmun hi thluaka oxygen thlen tlem vang a ni thei. |
| Lu na na tak | Thisen sang avanga lo awm thei symptom dang. |
A pawimawh ber chu, heng symptoms zinga pakhat tal i hriat chuan ngaihthah suh. Damdawi inah i awm a nih chuan nurse emaw doctor emaw hnenah hriattir nghal tur a ni. In lama awm i nih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.
Tu nge hlauhawm zawk?
TACO hian tu pawh nghawng thei mahse, mi thenkhat chu an hlauhawm zawk. Heng zinga pakhat tal hi nangmah emaw i hriat mi emaw tan a hman theih chuan thisen i pek hmain i doctor nen inbiakna neih hmasak a pawimawh.
| Risk factor a ni | Hrilhfiahna tawi te |
|---|---|
| Kum 60 chunglam a ni | Kan tar chhoh zel chuan thinlung leh kal hnathawh hi a pianphungah a tlahniam deuh thei a ni. |
| Lung natna nei tawhna nei | Myocardial infarction emaw heart failure ang chi natna nei te chu an hlauhawm zawk. |
| Kidney natna nei | Taksa chhunga tui awm zat control tu ber, kal (kidney) te hi a chak lo a nih chuan tui tam lutuk lakchhuah a harsa thin. |
| Thluak lam natna, COPD ang chi te | Lung chak lohna chi khat, Chronic Obstructive Pulmonary Disease (COPD) ang chi nei tawh tan chuan lung chhunga tui luang khat chu tuar harsa tak a ni thei. |
| Damdawi thenkhat hman dan | Tun hnaia thisen sang tisang thei damdawi (Vasopressors) emaw, taksa atanga tui paih chhuak thei damdawi (Loop Diuretics) emaw i hman tawh chuan. |
| Tun hmain vawi tam tak thisen a lo pe tawh bawk | Thisen pek fo thinte tan pawh a hlauhawmna a sang deuh thei bawk. |
Engtin nge doctor hian hei hi a hriat chian a, a enkawl?
TACO symptoms i neih chuan i doctor-in a tih hmasak ber tur chu uluk takin a enfiah ang che a, i symptoms te a zawt ang. I thawk dan an ngaithla ang a, i thisen sang an teh ang.
Tichuan, diagnosis confirm nan test atan refer i ni thei a, chungte chu:
- Chest X- ray: Hei hian lung chhunga tui awm leh awm loh a enfiah thei.
- Thisen test : Enzyme level thenkhat chu thinlungah chhiatna a awm leh awm loh enfiah thin a ni.
- Echocardiogram: Hei hian thinlung hnathawh dan leh pumping dan chiang takin a tarlang thei a ni.
Enkawlna atan chuan i thisen supply chu tihtawp nghal a ni. Chumi hnuah chuan sedated i ni a, khumah dahin i thawk chhuah theih nan an dah a ni. A enkawlna ber chu diuretics a ni a, chu chu taksa atanga tui tam lutuk paih chhuaktu damdawi a ni. Hengte hian zun chhuah a tipung a , taksaa tui awm zat control nan a pui bawk .
Thâwk a harsat chuan oxygen therapy a ngai mai thei. A nasat em em chuan damlo chu artificial breathing machine (Mechanical Ventilation) nena inzawm a ngai mai thei.
Hei hi ven dan tur a awm em?
Ni e, hei hi eng emaw chen chu ven theih a ni. A chunga kan sawi tak risk group zinga mi i nih chuan doctor chuan thisen pek che a tum hunah a bik takin a fimkhur ang.
- Thisen pekna rate tihhniam: Tui tam tak taksaah vawi khata a luh loh nan thisen pek zat hi nasa takin a tlahniam a ni.
- Enkawl hmaa Diuretics pek: Thisen pek hmain taksa atanga tui tam lutuk paih chhuah nan damdawi pek theih a ni.
- Thisen pek: Vawi khata thisen zawng zawng pek ai chuan, a tlem berah, ni khatah dose hnih-a ṭhenin i pe thei a ni.
I doctor hnenah i medical history kimchang (a bik takin thinlung leh kal lama harsatna) engmah thup lova hrilh chu i mawhphurhna a ni. Thisen pek hmasak lai khan harsatna i nei tawh a nih chuan chu pawh chu sawi tel ngei ang che.
Thisen pek hi nunna chhanhimna a ni. TACO hi a awm lo hle. Mahse hriat chian chuan natna lan chhuah dan hriatchhuahna leh a lo awm chuan enkawlna zawng thuai turin a pui thei che a ni.
Take-Home Thuchah a ni
- TACO hi thisen pek avanga harsatna lian tak, mahse a awm lo hle.
- Thâwk harsa, khuh, khuh, leh rilru na hi vaukhânna chhinchhiahna ber a ni.
- Hetiang hlauhawmna hi kum upa lam, thinlung, kal emaw, lung natna nei tan chuan a sang zawk a ni.
- Thisen pek lai emaw, i pek atanga darkar 12 chhunga heng symptoms te hi i neih chuan medical staff te hriattir nghal emaw, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah emaw kal rawh.
- Thisen pek hmain i doctor hnenah i medical history kimchang leh thisen pek hmasak laia harsatna i tawh zawng zawngte hrilh hmasa phawt ang che.











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