Thisen pek hnua lungah he emergency thleng hi i hria em? (TRALI) tih a ni.

Thisen pek i nei tawh em? A nih loh leh i hriat mi pakhatin a nei tawh em? A tlangpuiin thisen pek hi nunna chhanhimtu thil a ni. Mahse a tlem hle, chu chu a tlem hle a ni, mi thenkhat chuan he thisen pek avang hian emergency health problem an nei thei a ni. Hei hi vawiin a kan sawi tur condition zinga mi a ni a, TRALI tih hi a ni. He hming hi i tan chuan thil thar a ni mai thei, mahse a chanchin hriat a pawimawh hle.

(TRALI) chu eng nge ni? A awlsam zawngin i hrethiam ang u

A awlsam zawngin, (TRALI) – Transfusion-Related Acute Lung Injury tihna a ni – chu emergency condition a ni a, i lung a nghawng a, thisen i pek hunah emaw, i dawn atanga darkar 6 chhungin emaw a nghawng thei a ni. Kan lung hian boruak bawm te tak te, grape ang chi ball te tak te ang mai a nei a. Damdawi lamah chuan hengte hi (alveoli) tiin kan ko thin. Awle, he (TRALI) dinhmunah hian thil thleng chu chutiang (alveoli) chhungah chuan tui chi khat a khat lut thin.

Ngaihtuah teh, sponge-in tui a hip ang maiin, heng boruak bawmte hi tuiin a khat a nih chuan eng nge thleng? Thâwk harsa a lo ni ta a ni lawm ni? Lung hian hna a thawk tha tawh lo. Chu mai ni lovin, i thisen sang pawh hlauhawm takin a tlahniam thei bawk. Hei hi a pawi hle a, medical emergency a ni . Chuvangin hetiang thil hi a lo thleng a nih chuan damdawi lam thurawn lak nghal a pawimawh hle.

(TRALI) natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Chuti a nih chuan, he (TRALI) dinhmun hi engtin nge a awm? Eng nge a lan chhuah dan? Hengte pawh hi i fimkhur ang u.

• Thâwk harsa emaw, thawk harsa (dyspnea) emaw i nei thei . Stairs i chhoh hnua thawk i la chhuak ang maiin a lang thei a, i rilru a buai ang maiin a lang thei bawk.
• Khuh chu a intan nghal mai thei .
• A châng chuan i vun, i hmui, leh i kut zungtangte chu a sen (cyanosis) . Hei hi i taksa chhunga thisen hian oxygen a hmuh tlem vang a ni. Hei hi a hlauhawm deuh hlek a ni.
• I khawsik , khawsik pawh i nei thei bawk.
• I lu a buai emaw a lightheaded emaw pawh a ni thei .
• Mi thenkhat chu an muhil thei bawk . Hei hi an thisen sang a tlahniam lutuk vang a ni.

Heng symptoms te hi thisen pek chhung emaw, a zawh hnu darkar 6 chhungin emaw a intan thei a ni. Chuvangin he hun chhung hian fimkhur hle a pawimawh. Nangmah emaw, i hriat mi emaw thisen petu an nih chuan heng symptoms te hi hriat chian a pawimawh hle.

Engvangin nge hetiang (TRALI) hi a lo awm? Eng nge a chhan?

Awle, tunah chuan he (TRALI) thil hi engvangin nge a lo awm tih hi han en ila. Hei hi scientific deuh a ni a, mahse i hriatthiam theih nan awlsam takin ka sawifiah ang.

Kan taksa hian immune system a nei a. Natna laka min vengtu a ni. He system hian ‘sipai’ ang chi special parts antibodies an tih te a nei a.An hna ber chu taksa pawn lam atanga lo chhuak hrik leh virus ang chi thil tha lote hriatchhuah leh doa min venhim hi a ni.

Tunah chuan thisen i dawn hian thisen petu thisen a antibody thenkhat chu i taksa chhunga cell dum, a bik takin i lung chhunga cell te nen an inzawm thei a ni. Hei hi a lo thleng palh a ni. Tichuan i immune system chuan, "Aw, i taksaah thil tha lo a lut a, hmelma a lut ta!" Chuvangin, chu system chu a thawk nghal a, inflammation a siam ta a ni . He inflammation hian i lung chhunga thisen kalna kawng te tak te, a hmaa ka sawi tawh alveoli te chu a tichhe a, lung chhungah tui a luang lut thin. Kan defence system ngei pawhin kan hriat lohvin min tichhe vek ang mai a ni. Tlem a buaithlak deuh a, mahse ngaihtuahna chu i hmu ta a ni lawm ni?

Tute nge natna vei theihna sang zawk (TRALI)?

Hetiang dinhmun (TRALI) hi thisen pekna dawngtu apiangah awm thei mah se, mi thenkhat chuan an vei tam zawk. Tute nge an nih hi han thlir ila:

• Mite chu artificial respirator (mechanical ventilation) nena inzawm a ni. Chu chu damlo, mahni chauha thawk harsa an tih avanga damdawi in chhunga khawl atanga thawk tanpuina dawng thinte tihna a ni.
• Zu ruihhlo ngawlvei (alcohol use disorder) nasa tak nei te. A chhan chu zu in tam lutuk hian taksaa system hrang hrang a tichak lo a ni.
• Zuk leh hmuam hmang fo thinte. Chu chu cigarette leh bidis ang chi thil tihna a ni. Meizial zuk hian lung a tichhe thei tih kan hria.
• Liver emaw kidney emaw natna nei tawhte. Heng taksa peng hrang hrangte hian hna an thawh that loh chuan taksa inthlauhna a tibuai a ni.
• Damlo damlo tawh tak takte. Entirnan, natna khirh tak nei te, operation hnua an awm ang chi te.
• He hlauhawmna hi vawi khata thisen tam tak dawngtu emaw, thisen thil chi hrang hrang (e.g., plasma, platelets) dawngtu emawah pawh a sang thei bawk .

Heng thilte hian he pawla tel i nih chuan TRALI i nei ngei ang tihna a ni lo va, mahse a hlauhawmna chu tlem a sang zawk tihna a ni.

Doctor-te hian engtin nge TRALI hi an hriat chhuah? (Diagnosis) tih a ni.

Engtin nge doctor hian TRALI hi a hriat theih ang? Hei hi a harsa deuh thei a, a lan chhuah dan hi lung lama harsatna dang nen a inang thei a ni.

A hmasain, i natna lan chhuahna thlentu thil dang, entîr nân, allergy na tak (anaphylaxis) , thinlung ṭha lo vanga pulmonary edema, a nih loh leh infection na tak Chutiang ti tur chuan:

• I medical history leh tun hnaia thisen pek dan te uluk takin kan zawt ang.
• Taksa enfiahna (physical examination) neih a ni.
• Thisen test eng emaw zat tih a ni. Hengte hian oxygen level leh infection status ang chi thil te an check thin.
• Imaging test hi a rilruah an ti thin . Hei hi a tlangpuiin chest X-ray . TRALI chungchangah chuan hei hian lung pahnih a luah khattu tui chu chiang takin a lantir thei a ni. A chang chuan CT scan pawh tih theih a ni. Hriat belh zel rawh.
• I thinlung hnathawh that dan hriat nan heart scan echocardiogram an tih pawh i nei thei bawk. Hei hian thinlung hnathawh avanga lung lama harsatna awmte chu a paih chhuak thei a ni.

Heng zawng zawng an tih zawh hnu hian doctor-te chuan (TRALI) a ni tih thutlukna an siam ta a ni.

(TRALI) enkawlna tur engte nge ni?

Vanduaithlak takin he natna (TRALI) hi ‘damdawi’ bik a awm lo a, chu chu a tidam kim thei damdawi a la awm lo tihna a ni. Mahse, hlau suh. Doctor-te chuan a dinhmun a ṭhat hma loh chuan a nghet thei che a, a enkawl ṭha thei bawk che a ni. Hei hi supportive care an ti a . Treatment an pe thei che a, chungte chu:

• Oxygen therapy: Oxygen hi mask emaw hnar cannula hmanga pek a ni a, chu chuan thawk lakna kawngah a pui a, taksa tan oxygen mamawh zat a pe bawk.
• Vasopressors: Heng damdawi hi thisen sang hniam tak chu a pangngaia a awm leh theihna tura pek thin a ni. Chungte chu thisenah pek thin a ni.
• Diuretics emaw IV fluids: I dinhmun azirin i lung leh taksaa tui tam lutuk tihtlem nan diuretics ( zun hmanga tui hloh tir thei damdawi) pek theih a ni. A nih loh leh, a tul chuan thisen sang vawng reng turin IV fluid pek theih a ni bawk. Hei hi doctor-in a ruat a ni.
• Mechanical ventilation: Thâwk a harsat em em a, mahni chauha thawk tha thei lo i nih chuan nunna chhanhimna atan mechanical ventilation pek i ngai mai thei. Chutah chuan thlipui (windpipe) chhungah tube dahin, thawk dan tur chu machine hmangin a control a ni.

Hetianga enkawlna hmang hian damlo tam tak dinhmun a tha chho zauh zauh thin.

I hmasawn chuan eng nge beisei tur (TRALI)?

TRALI i hmuh chuan eng nge thleng ang? Hei hi hriat a pawimawh bawk.

A tam zawkah chuan TRALI hi ni hnih atanga ni li chhungin a tha chho thin . Mi thenkhat tan chuan a rei deuh thei a, chu chu an natna nasat dan leh i hriselna zawng zawng a zirin a ni. Chutih chhung chuan doctor leh nurse-te chuan damdawi inah an dah ang che a, intensive care unit (ICU)-ah an dah fo ang che, i dinhmun (thâwk, oxygen level, thisen sang) chu an enfiah reng ang che a, ṭanpuitu enkawlna an pe bawk ang che. Hei hian i symptoms control nan leh complication dang lo awm tur ven nan theihtawp an chhuah dawn tihna a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Hei hi i hriat reng tur a ni. Thisen i pek hnuah:

• Thâwk harsa nghal
• Chest na emaw tightness emaw a awm
• Khuh na tak
• Khawsik
• Luak chhuak, mit hmuhna fiah lo
• Vun leh hmui rawng dum (bluish discoloration) a awm

Heng symptoms zinga pakhat emaw, symptom danglam dang emaw i neih chuan Emergency Department (ETU) hnai ber pan nghal la, damdawi inah i awm a nih chuan medical team hnenah hriattir nghal rawh. Hun khawhral suh. Hei hi a pawimawh hle a, a chhan chu a hmaa endik leh enkawl hian nunna a chhanhim thei a ni.

TRALI hi ven theih a ni em?

"Hei hi a dang thei lo em ni?" i ngaihtuah mai thei. Dik tak chuan tun dinhmunah chuan TRALI hi pumpelh vek theih dan tur a awm lo. Amaherawhchu, thisen petute leh damdawi-in te chuan thisen pek chhuah, a bik takin antibody chi hrang hrang nei te chu thisen pekna lama harsatna awm thei tur venna atan theihtawp chhuahin, thisen pekte chu an screen a ni. Entirnan, hmeichhe naupai tawhte plasma hman dan an ngaihven zawk a, a chhan chu an thisenah heng antibody te hi an awm tam zawk a ni.

Dik tak chuan thil tha tak chu kan tan a chhe thei ang tih ngaihtuah hi a hlauhawm khawp mai, a dik em? Amaherawhchu, thisen pek hi damdawi lama hman tlanglawn tak a ni a, khawvel hmun hrang hrangah mi tam tak nunna a chhanhim a ni. (TRALI) ang chi transfusion reaction hi a tlem hle. Mahse, an lo thleng a nih chuan nunna atana hlauhawm tak an ni thei. Chuvangin thisen pek hnua thil danglam bik i hriat chuan hreh lova Doctor pan rawh. A pawimawh ber chu a rang thei ang bera enkawl hi a ni.

He thawnthu atang hian eng thil nge kan hriat reng tur?

Okay, chuvangin, a tawi zawngin, TRALI chungchanga kan sawi tawhte hriat reng tur pawimawh tak takte chu hengte hi a ni:

• (TRALI) hi natna khirh tak, thisen pek hnua rang taka (a tlangpuiin darkar 6 chhung) a lo awm a, chu chuan thawk harsa a ti a, lungah tui a pung zel a, thisen sang a ti hniam bawk.
• Thâwk harsa, khuh, vun sen, khawsik, leh luak chhuak ang chi natna lan chhuahna a awm thei. Hengte hi fimkhur rawh.
• Hei hi donor thisena antibodies awmin a dawngtu taksa hriselna (immune system) a tihsual a, lung a tihchhiat hian a thleng fo thin.
• Mi thenkhat (e.g., ventilator hmang te, liver/kidney natna nei te, leh zu in nasa te) te hian hetiang hi an vei theihna chance a sang zawk hle.
• Hei hi medical emergency a ni. Symptoms a lo awm chuan doctor thurawn lak nghal a pawimawh hle.
• TRALI enkawlna bik awm lo mah se, mi tam zawk chu damdawi inah supportive care pek a nih chuan ni engemaw zat chhungin an dam leh thin.
• TRALI hi natna hlauhawm tak ni mahse , a hriat chian a pawimawh a, a natna lan chhuah dan hriat a pawimawh.

I taksa chu i hre chiang ber. Thisen pek hnua thil mak, danglam, emaw, nuam lo emaw i hriat chuan ‘thil tenawm’ tiin hnawl suh. Ngaihtuah suh. Doctor hnenah hrilh nghal rawh. I nunna a chhanhim thei! Hrisel takin awm rawh!

` Thisen pek, lung, thawk harsa, TRALI, thisen pek, antibody, emergency care