Thisen pek hnua thawk hah? Transfusion-Associated Circulatory Overload (TACO) chungchang hi han sawi ila!

Thisen i pe tawh em? A nih loh leh i hriat mi pakhatin a nei pawh a ni thei. A tam zawkah chuan thisen pek hi nunna chhanhimna thiltih a ni. Mahse a tlem hle a, thisen pek avanga harsatna tenau lo awm thei a awm. Chutiang harsatna lian tak, mahse hmuh tur awm lo tak pakhat, vawiin a kan sawi tur chu Transfusion-Associated Circulatory Overload, a tawi zawngin TACO tih hi a ni.

TACO chu eng nge ni?

A awlsam zawngin, thisen pek i dawn hian i taksa chuan tui tam tak a dawng nghal a, chu chu thisen nena lo kal tui tam tak a ni. A châng chuan kan taksa hian vawi khata lo lut extra fluid chu a tuar thei lo. Chutih lai chuan he TACO an tih hi a lo awm ta a ni. Hetianga thil thleng chu chu extra fluid chu lung leh taksa peng dangah a pung khawm thin a ni. A dik tak chuan kan thisen kalna kawnga pressure chu an tuar theih loh lutuk chuan chu thisen kalna atang chuan tui thenkhat chu lungah a luang chhuak thin. Doctor te chuan hei hi ``Pulmonary Edema'' tiin an sawi thin. Hei hian thaw a ti harsa a, taksa a ti na a, thisen sang a sang nghal thei bawk. Ngaihtuah teh, tui pipe-in ​​a chelh theih loh khawpa rang taka tui i thawn chuan eng nge thleng ang? Hetah pawh hian chutiang bawk chu a thleng thin.

TACO natna lan chhuahna chu engte nge ni?

Tunah chuan TACO i neih hian eng symptoms nge a awm theih tih kan en ang. Heng symptoms te hi thisen pek lai emaw, pek atanga darkar 12 chhungin emaw a lang thei a ni. If you experience anything like this , doctor emaw, damdawi ina nursing staff emaw hnenah i hrilh nghal tur a ni, okay?

• Thâwk harsa (Dyspnea): Hei hi a lan chhuahna ber a ni. Thâwk harsa ang maiin a awm thei. A awm reng thei a, i mut hunah chauh a na zual thei bawk. I rilru a hrual ang maiin a awm thei.
• Khuh: Khuh hring (persistent dry cough) a awm thei.
• Chest pain: Chest hi a constricting emaw press emaw angin a lang thei.
• Blue skin, lips, or fingernails (`Cyanosis`): Hei hi taksain oxygen a hmuh tlem chuan a thleng thin. Ka hmui, lei leh kut zungtang vel vun chu a sen thei.
• Ke, ke ruh, a nih loh leh kawr a hring: Chu tui tam zawk chu taksa hmun hrang hrangah a lo awm khawm chuan ke, ke ruh, leh a châng chuan kawr pawh a hring thei a ni.
• Rapid heartbeat (Tachycardia): Heart rate hi a sang nghal thei. Run atanga lo kal mai mai ang maiin a lang.
• Luak chhuak emaw, muthilh emaw: I luak chhuak emaw, i lu a hah lo emaw a ni thei.
• Lu na na tak: Lu na tak, na tak a ni.

Engvangin nge he taco (TACO) hi siam a nih? Eng nge a chhan?

Okay, tunah chuan he TACO an tih hi engvangin nge a lo awm tih hi han en ila. Ka sawi tawh ang khan a chhan ber chu kan circulatory system-ah tui tam tak a lut nghal a ni. Kan thinlung leh thisen kalna kawngte hian he pressure sang tak hi a tuar thei lo.

Ngaihtuah teh, bucket te tak teah vawi khatah tui tam tak i theh chuan a luang chhuak ang. Chutiang bawkin kan thisen kalna kawng chhunga pressure a san chuan chu thisen kalna kawng bang atang chuan tui a chhuak tan thin. He tui hi lungah a awm khawm fo thin. `(Pulmonary Edema)` kan ti a ni. Lung tuiin a khat ang mai a ni. Chuvangin thawk harsa a nih hi thil mak a ni lo, a dik em?

Chuvangin, thisen pek dawn hian thil tam takin hei hi a nghawng thei a, chu chu thisen pek zat te, pek chak dan te, thisen dawngtu hriselna dinhmun te hi a ni.

Tute nge TACO vei theihna chance sang zawk?

Mi zawng zawngin thisen an pek hunah TACO an nei vek dawn lo. Mahse mi thenkhat chuan an vei tam zawk a, a nih loh leh risk sang zawk an nei bawk. Tu nge a nih i en ang u.

• Kum 60 chunglam: Kan tar chhoh zel chuan kan taksa kalphung a thawk tha lo deuh a, chuvangin hetiang thil inthlak danglamna rapthlak tak hi hmachhawn a harsa thei hle.
• Lung natna nei tawhte: Entirnan, heart failure emaw, a hmaa heart attack nei tawh emaw te chu an thinlungin extra load a handle harsat avangin an hlauhawm zawk a ni.
• Kidney natna vei: Kal hian taksa atanga tui tam lutuk paih chhuahna hna a thawk a ni. Chuvangin kal (kidney) hian hna a thawk tha lo a nih chuan taksaah tui a awm khawm theihna chance a sang zawk a ni.
• COPD (Chronic Obstructive Pulmonary Disease) ang chi lung natna nei te: Heng mite hian lung lama harsatna an neih tlangpui avangin lungah tui tam zawk a awm khawm chuan an natna hi a zual nghal vat thei a ni.
• Tun hnaia thisen sang tisangtu damdawi (`Vasopressors`) emaw, taksa atanga tui paih chhuak thei damdawi (`Loop Diuretics` - e.g., frusemide) hmang tawhte: Heng damdawi hman hian taksa tui balance a nghawng thei bawk.
• Thisen sen pek hunah: Thisen siam chhuah eng pawhah hetiang hi a thleng thei a, mahse thisen sen pek hian he hlauhawmna hi a sang deuh tih hmuhchhuah a ni.
• Tun hmaa thisen pek vawi tam tak dawng tawhte: Thisen pek tam a nih chuan he hlauhawmna hi a pung thei bawk.

Heng risk factors te hi i neih chuan thisen i pek hmain i doctor hnenah i hrilh ngei tur a ni a, chutiang chuan a tul angin a fimkhur thei ang.

Engtin nge doctor-te hian TACO a awm leh awm loh an hriat theih?

A chunga kan sawi tak symptoms i neih chuan doctor-in a tih hmasak ber tur chu uluk taka a enfiah che hi a ni. I thisen sang, i thaw dan an enfiah ang a, i thinlung thawk dan an ngaithla ang a, a hring em tih an enfiah bawk ang. Tichuan, i rilru put hmang leh heng harsatnate hi eng chen nge i neih tawh tih an zawt ang che.

Chu bakah, hetiang test hi i ti thei bawk a, hei hian confirm lehzual a ti thei bawk:

• Chest X-ray: Hei hian lungah tui a awm em tih chiang takin a tarlang thei (pulmonary edema).
• CT Scan hmanga tihchhuah:A châng chuan hei hian X-ray aiin thlalak chiang zawk hmuh theihna a siam ṭhin.
• Echocardiogram: Hei hian heart function leh heart chamber lian leh te ang chi thil a en thei a ni. Hei hi thinlung lam harsatna avanga tui a pungkhawm em tih hriat nan a pawimawh hle.
• Thisen test: Thisen test thenkhatah chuan i thinlungah stress engzat nge a awm tih leh i kal (kidney) hnathawh dan tur hriat theih a ni.

TACO enkawl dan tur chu engte nge ni?

Okay, tunah chuan TACO -a doctor-te’n eng enkawlna nge an pek tih kan en ang u.

Enkawlna chu thisen pek lai hian he natna hi hmuhchhuah a nih chuan thisen pek tihtawp nghal a ni. Tichuan khumah chuan thovin, tlem a ding chungin thu turin an siam che a ni. Hei hian thawk a awlsam phah ang.

Enkawlna ber chu damdawi diuretics an tih pek hi a ni. Heng damdawi te hian taksa atanga tui tam lutuk chu zun hmanga paih chhuakin hna a thawk a ni. A awlsam zawngin taksaa tui awm zat an ti tlem a ni.

Thâwk a harsat chuan oxygen therapy a ngai mai thei. Thil na tak ṭhenkhatah chuan damlo chu mahni chauha thawk thei lo a nih chuan mechanical ventilation a ngai thei .

He enkawlna rual hian doctor-te chuan i heart rate, thisen sang, leh oxygen level ang chi thilte chu an enfiah chhunzawm zel ang.

TACO i hmuh chuan eng nge thleng ang? I hlau tur em ni?

TACO hi a chang chuan a nem thei a, a reh nghal vat thei bawk. Chumi awmzia chu thisen pek chu tihtawp a nih hnuah leh damdawi mamawh pek a nih chuan a dinhmun chu a pangngaiin a lo kir leh thuai dawn tihna a ni. A chang chuan, thisen pek atanga darkar engemaw zat hnuah hetiang hi a thleng thin.

Mahse, a \henah chuan nunna atana hlauhawm khawpin a na thei a ni. Chuvang chuan symptoms i neih veleh doctor hnenah hrilh vat a pawimawh. A natna a nasat chuan damdawi inah ni engemaw zat awm leh a ngai mai thei a, intensive care unit (ICU)-ah sawn i ni thei bawk.

Statistics atanga a lan dan chuan TACO vanga thihna hi 21% vel a ni thei. Hei hian TACO vei panga zinga pakhat vel chu an thi dawn tihna a ni. Hetiang dinhmun hi thisen pek zinga 1% vel ah a awm thin. Amaherawhchu, TACO hi thisen pek vanga thihna thlentu lian ber nia hriat a ni.

Chuvangin hei hi ngaihthah tur a ni lo. Mahse, hlauthawng suh. Hriat hmaa enkawl a nih chuan tihdam theih a ni fo.

Engtikah nge damdawi in pan vat a ngaih?

Thisen pek hnuah a hmaa kan sawi tawh TACO symptoms i neih chuan 911 call nghal emaw, damdawi in hnai ber emergency department-ah emaw kal hreh suh.

Damdawi inah i awm tawh a nih chuan i rilru hahna emaw, natna emaw i hriat veleh doctor leh nurse te hnenah hrilh nghal ang che. Tikhawtlai suh, a chhan chu enkawlna i tan hma poh leh a tha zawk.

TACO hi ven theih a ni em?

Ni e, doctor-te chuan eng emaw chen chu TACO lo awm tur venna atan hma an la thei a ni.

A hmaa kan sawi tawh ang risk factors i neih chuan doctor chuan thisen i pek dan rate chu a ti hniam thei a ni. Chu chu thisen chu taksaah a thawn zauh zauh dawn tihna a ni. Tichuan taksa chu vawi khatah phurrit lian tak hnuaiah dah a ni lo vang.

A chang chuan invenna atan thisen pek hmain diuretics pek theih a ni. Hei hian taksaa tui tam lutuk awmkhawmna a ti tlem ang.

Thisen pek hmasak atanga hetiang dinhmun (Circulatory Overload) i neih tawh chuan i doctor hnenah i risk tihziaawmna tura i tih theih dan tur a hmuh theih nan hrilh ngei ang che .

Thisen pek hi a tam zawkah chuan thil him, nunna chhanhim thei a ni tih hre reng ang che. Mahse heng side effects te hi hriat a pawimawh a, a bik takin risk factors i neih chuan. Thisen pek chungchangah harsatna emaw zawhna emaw i neih chuan doctor nen inbia ang che.

A tawp berah chuan hriat reng tur pawimawh ber (Take-Home Message) .

Okay, chuvangin tunah chuan vawiin a kan sawi tawh Transfusion-Associated Circulatory Overload, a nih loh leh TACO chungchang hi in hriatthiam ka beisei.

Hriat reng tur pawimawh tak chu thisen pek hnua natna lan chhuah dan danglam tak tak, thawk harsa, rilru na, a hring emaw i neih chuan ngaihthah suh la, damdawi lam thurawn la nghal rawh.

TACO hi natna khirh tak a ni thei a, mahse hriat hmasak leh enkawl hmasak a nih chuan a tam zawk chu tihdam theih a ni. Risk factors awm tawh, heart disease emaw kidney disease emaw i neih chuan thisen i pek hmain doctor hriattir hmasak a pawimawh hle.

Thisen pek hi nunna chhanhimna a ni. Chuvangin hlau suh. Mahse, heng hlauhawmna awm thei te hi mi zawng zawng tan hriat chian a tha. Zawhna i neih chuan Doctor zawt la.

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