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Traumatic injury tih hi eng nge ni?
A awlsam zawngin, hei hian taksa lama hliam na tak eng pawh a kawk a ni . He hliam hian thisen a chhuah tam thei a, lu hliam na tak a thlen thei bawk. Hetiang hliam hi United States ang ramah chuan a hluar hle. Sri Lanka ramah hian chanchinbuah te, TV-ah te accident kan hmu fo thin a ni lawm ni? Chutiang hliam chu in lamah te, hnathawhna hmunah te, kawngpuiah te, motor khalh lai te, kea kal lai pawhin a thleng thei a ni. Heng hliam tam zawk hi tlu leh lirthei chesual vang a ni . Mahse, mi pakhat vuak emaw, vuak emaw, kah emaw, thil rit tak hmanga vuak emaw avanga hliam na tak a awm thei bawk. Hengte hi medical emergency a ni . Nangmah emaw midang emaw hetiang hliam na tak tuar nia i hriat chuan 119 ah call nghal la, ambulance i call tur a ni . Chutiang hliam chuan nun a tidanglam thei a ni. I nunah leh nangmah enkawltute nunah nghawng lian tak a nei thei a ni. Dam nan hun a duh a ni. A chang chuan, a dam theih nan hun rei tak a ngai thin. Chuvangin, dawhtheih a pawimawh hle a ni , nangmah leh i chhehvela mite lakah pawh.Hetiang hliam chi hrang hrang hi engte nge ni?
Doctor-te chuan heng traumatic injuries te hi an lo awm dan leh taksa a nghawng dan a zirin an thliar hrang thin. A chi thum a awm a, chungte chu:1. Blunt force hmanga hliam tuar
Hei hi hliam chi hrang hrang zingah chuan a tam ber a ni . Thil pakhatin i taksa chu chak taka a rawn deng hian a thleng thin. Hmun sang tak atanga tlu, insualnaah mi pakhatin a vuak ang maiin han ngaihtuah teh. Hei hian ruh a tikehsawm thei a, chhungril lamah thisen a chhuak thei a, hliam thuk tak atanga thisen a chhuak thei a, a nih loh leh concussion na tak a thlen thei bawk.2. Speed tlahniam nghal vanga hliam (Deceleration traumatic injury) .
Hei hi speed sang taka i kal a, chutah rang taka i chawlhsan chuan a thleng thin. Entirnan, car tlan chak taka i khalh a, rang takin thil i tawk a nih chuan i lu chu hmalam panin steering wheel a tawk thei a ni. Hei hian i thluak chu i luruh chhungah a rawn bounce leh chhuak thei a, thluak a tichhia thei a ni .3. Hliam natna (traumatic injury) chhunga lut thei
Hei hi thil nalh tak takin vun a rawn luhchilh a, taksa chhunga a luh hian a ni. Entîr nân, silai kah hliam emaw, chemte kah emaw, thil râpthlâk tak i chunga tla emaw, bomb puak aṭanga shrapnel emaw chuan hetiang hliam hi a thlen thei a ni.Traumatic injury lian tak chu eng nge ni?
A tlangpuiin ‘major traumatic injury’ tih hi a ruala i taksa peng hrang hranga hliam tam tak, nunna atana hlauhawm tak tihna a ni. Hei hi doctor-te chuan standard method hmangin an hre thei a ni. A hmingah chuan Injury Severity Score (ISS) tih a ni.Engtin nge hliam nasat dan hi teh a nih? (Hliam nasat dan Score - ISS)
He ISS system hmang hian doctor-te chuan hliam tinreng chungchangah thutlukna inang an siam thei a, pakhat zel chu a danglam bik lo. Entirnan, traumatic injury i neih chuan he scoring system hmang hian damdawi inah dah tur che nge specialized trauma center-a sawn tur che tih hi a ni. Hemiah hian doctor-te chuan a hnuaia thilte hi an en thin:- Hliam awm zat : I taksa peng hrang hrangah hian hliam engzat nge i neih tih enfiah rawh:
- Lu leh kawr
- Hmai
- Hrawk
- Pum leh pelvis
- Kut leh ke
- Vun
- Hliam nasat dan: Hliam hi a tenau, a hniam, a na, a na hle, a na hle a, a tam ber emaw, enkawl theih loh emaw a ni thei. Inhliam a nasat poh leh score a sang zawk thin. Entirnan, hliam tenau chu pakhat anga score a ni. Score paruk a nih chuan hliam hi a nasat em avangin thihna laka invenna tur damdawi a awm lo tihna a ni.
Heng hliam chi hrang hrang avang hian eng natna chi nge lo awm thei?
Traumatic injuries hian natna chi hrang hrang a thlen thei a ni. Chung zinga ṭhenkhat chu:- Ruh tliak , ruh tliak
- Lung a tlakbuakPneumothorax a awm thei) .
- Compartment syndrome: Hei hi taksa peng thenkhat tissue chhunga pressure a san lutuk a, chuta thisen kal a tikhawlo a nih chuan a thleng thin.
- Deep cuts a awm
- Electric shock a ni
- Flail chest: Hetah hian rilru chhunga ruh engemaw zat chu a zawnin a chhe a, thawk lak laiin chu rilru hmun chu paradoxical movement vangin thawk harsatna a thlen thin.
- Lu hliam: Entirnan , epidural hematoma, luruh tliak, subarachnoid hemorrhage, subdural hematoma, emaw traumatic brain injury (TBI) te hi a ni.
- Thisen chhuak
- Myocardial contusion a awm thin
- Concussion na tak a awm
- Severe hypovolemia / Hypovolemic shock: Hei hi taksa atanga thisen emaw tui emaw a bo tam lutuk avanga shock condition a ni.
- Spinal cord hliam a awm
- Traumatic abdominal injuries: Entirnan, chhungril lama thisen chhuak hi taksa peng hrang hrang, duodenum, pancreas, emaw spleen emaw tihchhiat vang a ni thei .
- Traumatic amputation chu accident avanga ke leh ke, kut emaw, ke emaw, a hloh a ni.
- Aorta rupture (Aorta chhe)
Heng hliamte hi eng chhinchhiahna nge ni?
Hliam a thlen dan leh taksa a nghawng dan azirin symptoms a inang lo hle . Entirnan, car accident hnua deep cut a awm chuan thisen a luang chhuak tih i hmu mai thei. A châng chuan ruh tliak chu vun kaltlangin a lang thei (a compound fracture) . Flail chest an tih condition ah chuan thawk i lak hian i rilru a na a, thawk pawh a harsa hle. Lu hliam i neih chuan hriatna i hloh thei a, i luak chhuak thei a, i tawng thei lo thei bawk.Hetianga hliam hi engtin nge i enkawl?
Enkawlna bulpui hrang hrang a awm. A chang chuan ABCDE method an ti bawk . Step hrang hrangte chu:- A - Airway: A hmasa berin doctor-te chuan i thawkna kawng (respiratory tract) tikhawlotu a awm em tih emaw, thawk theih lohna chhan a awm em tih emaw an enfiah ang
- B - Thâwk lak dan: .A dawtah chuan i thawk tha em tih te, i lung a tlakbuak (pneumothorax) a neih leh neih loh te, i endotracheal tube chu a hmunah a awm em tih te an enfiah ang.
- C - Circulation: Hliam pawn lam atanga thisen chhuak a awm chuan enkawl nghal a ni. Tin, chhungril thisen chhuak leh shock chhinchhiahna an enfiah bawk.
- D - Disability (nervous system disorder): A dawtah chuan nervous system-ah harsatna a awm em tih emaw, ruhro (spinal cord) a chhiatna a awm em tih emaw an test leh thin.
- E - Exposure (Full Examination): A tawp berah chuan i thawmhnaw zawng zawng chu paih vek a ni a, i taksa kil tin chu uluk taka enfiah a ni a, hliam dang zawngin engmah a tlakchham loh nan enfiah a ni
Doctor-te chuan nunna atana hlauhawm ber hliamte chu an enkawl hmasa ber a ni. Vawi tam tak chu, chu chu trauma surgeon chuan nunna atana hlauhawm hliam emaw, dinhmun emaw enkawl nân emergency surgery a ti tihna a ni.I enkawlna tur chu i hliam bikteah a innghat ang. I trauma surgeon chuan a tul angin specialist dangte tanpuina a la thei bawk. Entir nan:
- Thisen kalna kawng a hliam a nih chuan vascular surgeon ( thisen kalna lama specialist surgeon) te koh an ni ang .
- Ruh a hliam a nih chuan orthopaedic surgeon (ruh natna lama specialist surgeon) te an rawn pan ang .
- Brain injury a awm chuan , neurosurgeon (nervous system lama specialist surgeon) te koh an ni ang .
- Physical therapy: Taksa hnathawh that leh.
- Occupational therapy: Nitin hna thawh tur chu nangmah chauhin tih dan tur practice la.
- Mental health support: Hetiang accident lian tak hnuah hian tuar harsa tak a ni. Rilru hriselna chungchangah tanpuina lak a pawimawh a, chu chu depression, anxiety, leh post-traumatic stress disorder (PTSD) te hi a ni.
Hetiang ang accident hi ven theih a ni lo em ni?
Traumatic injuries zawng zawng hi ven theih a ni lo tih chu a chiang. Mahse, kan risk tihziaawmna tur thil kan tih theih a awm. Entirnan, lirthei chetsualna hi heng hliam tuar tam ber a ni. Chuvangin, seatbelt vuah reng a, zu emaw ruihhlo emaw (leh a chang chuan damdawi ei pawh) hmanga lirthei khalh loh hian accident-a hliam i tuar theihna chu i tihtlem thei a ni. Kawngpuiah fimkhur leh inchhung hna thawh huna himna ngaihtuah ang chi thil tenau te hian danglamna nasa tak a thlen thei a ni.A tawp berah chuan i hriat reng tur thilte
Traumatic injury chu instant khatah a thleng thei. Mahse, a dam theih nân thla tam tak, kum tam tak pawh ni se, damdawi lam enkawlna leh ṭanpuina neih chhunzawm zel a ngai thei a ni. Damdawi lam enkawlna nghal mai bakah, emergency surgery, operation dang emaw, a hnuah enkawlna dang emaw a ngai thei bawk.Hetiang thil a thlen hian taksa hliamte chu dam mahse, rilru lama hliamte chu dam nan hun a duh a, dam chhung zawng a daih thei bawk. Chutiang hliam na tak i tawh chuan a rah chhuah tur i buaipui a nih chuan, a nih loh leh i rilru a buai em em a nih chuan, doctor emaw, rilru lam hriselna lama counselor emaw hnenah tanpuina zawng rawh . Nangmah chauh i ni lo va, tanpuina dil pawh zak ngai suh.
Hliam, chetsualna, emergency treatment, first aid, surgery, hriselna, himna
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