Kan thih hian taksaah eng nge thleng tak tak? (The Dying Process) Hemi chungchang hi han sawi ila!

Kan thih hnu hian kan taksaah eng thil nge thleng thin tih i ngaihtuah ngai em? Ngaihtuah harsa deuh a ni thei a, hlauhawm pawh a ni mai thei. Mahse, kan zavaia tana thil inang, nunah chuan pumpelh theih loh thil a ni. Chuvangin, "thi" tih hi eng nge a nih tak tak tih te, chutih laia taksa a inthlak dan te, a mizia te chu tlem han sawi ila, okay? Heng thilte hriat hian he kalphung hi tlem tal hriatthiamna nei zawkin min thlir thei a ni.

A awlsam zawngin, thihna hi kan taksaa nunna atana thil tulte a tawp hun lai a ni. I thawk hnuhnung ber i la a. I thinlung chu a reh tawh lo. I thluak hian hna a thawk tawh lo. Tin, taksa peng pawimawh dang, kal leh thin (liver) te pawhin hna an thawk tawh lo bawk. Taksa chhunga heng taksa peng hrang hranga innghat system zawng zawng hi zawi zawiin a thawk thei lo vek a ni. Tichuan, taksa hian min "nung" tirtu thil kal zelte chu a ti thei tawh lo.

Thihna hi thilthleng pakhat chauh a ni lo va, thil kal zel a ni. "Thihna" hi thil thleng hrang hrang anga kan ngaih chuan nunna atanga thihnaah taksa a inthlak danglam zel hian eng nge thleng tih hriatthiam a awlsam zawk. Kan thawk hmasa ber atanga a hnuhnung ber thlengin kan awmna chu taksa ngeiin a tih tan leh a chhunzawm zel danah a innghat a ni. Chuvangin, thih hi kan taksain kan tana a tih tur pawimawh hnuhnung ber zinga mi a ni.

Thih tur hian eng chen nge a mamawh?

Engtikah nge hetiang thil hi a thlen dawn tih chiang taka sawi a har khawp mai. Mi tin a inang lo. I taksa thih hun rei zawng chu thil tam takah a innghat a, chung zingah chuan i hriselna te, i enkawl dan te, leh i thih chhan te pawh a tel a ni. Entîr nân, enkawl loh a nih chuan, lungphu chawl nghal mai chuan minute engemaw zât chhûngin thihna a thlen thei a ni. Mahse, natna khirh tak i neih chuan i taksa a thih theih nan kar tam tak, thla tam tak pawh a la ngai thei.

Khawvel puma thihna thlentu lian ber tam tak, thinlung natna, lung natna rei tak, leh cancer te hian tunah hian enkawlna an nei tawh a ni. Heng enkawlnate hian thihna a tikhawtlai mai bakah thihna a ti rei bawk. Hetiang kalphung hi zawi zawiin a thleng thin avangin thihna a hnaih tawh tih chhinchhiahna tlanglawn tak takte pawh kan hriat a awlsam zawk bawk.

Thih hmain taksaah eng thil nge thleng?

Hun rei tak natna avanga thihna emaw, thilsiam avanga thihna a lo thlen hian taksa thil pawimawh tak takte chu a tawp vek hmain a tlahniam zauh zauh a, inthlak danglamna hrang hrang a awm thin. Eng nge an nih i han thlir teh ang.

Mut tam lutuk leh exercise tlem lutuk

Miin thih a hnaih tawh chuan a rilru leh taksa chawlh hahdam nan a muhil lo. Dik tak chuan an taksain engmah tih theihna chakna a neih tawh loh vang a ni. Thinlung hian taksa pum puia oxygen tamna thisen a pump theihna chu a tlahniam zauh zauh a. Oxygen a awm loh chuan i taksaa cell te hian i harh reng tur leh thawkrim thei tur khawpa chakna an nei lo. Chuvangin, chawlh hahdam hi thihna kawngah a pawimawh hle.

Ei duhna leh tuihalna a tlahniam

Taksa thi tur chuan taksa hrisel angin ei leh in a mamawh lo. I thih hma ni, kar, a nih loh leh thla tam takah pawh i ei duhna chu nasa takin a tlahniam thei a ni. I chaw ei tur (digestive system) hian i ei tur chu a ei harsa thei hle. A tâwpah chuan i ei duhna chu i hloh vek thei a ni.

Kan pian ni a\angin kan nu leh pate leh enkawltute hnen atangin chaw pek hi hmangaihna lantir dan leh dam khawchhuahna atana thil tul tak a ni tih kan zir chhuak a. Chuvângin, i hmangaihte chuan ei tûrin an nawr luihtîr che a ni mai thei. Mahse, doctor chuan artificial feeding device, entirnan, ``Feeding Tube`` hman a ngai em tih emaw, i digestive system a chak lo lutuk a, ei tur a ei theih loh chuan emaw a kaihruai thei che a ni.

Bowel leh bladder control theih lohna

Digestive system a slow deuh deuh chuan stool pass a harsa thei hle. Constipation hi thihpui mek zingah hian a lan chhuah dan tlangpui a ni. Incontinence pawh hi harsatna a ni thei a, chutiang bawkin pelvic area-a zun control tu muscle te pawh a awm thei bawk.

Constipation tihziaawmna tur stool softeners a awm bawk. Medical devices Foley Catheters leh incontinence pads te hian khum fai reng turin a pui thei a ni.

Muscle leh vun chak lohna

Mite hian thihna an hnaih deuh deuh hian an taksa rihna an tlahniam a, an taksa ruh (muscle mass) an tlahniam hi thil awmze nei tak a ni. Khumah emaw, inbiakna emaw pawh ni se, taksa ruhte chu tuar theih loh khawpa tibuaitu a ni thei. Vun cell tharte hian cell thi tawhte chu an thlak tur angin an thlak thuai loh avangin vun a thim zawk thin. Vun te tak te hi awlsam takin hliam, hliam leh khum natna te hian a tichhe thei a ni.

I medical team leh i hmangaih tak takte chuan i vun chu natna hrik a awm leh awm loh an enfiah thei a, i vun chu khumah a nghet lutuk loh nan i dinhmun an thlak thei bawk. I vun ah moisturizer i hnawih fo thei bawk a, hei hian a vawt loh nan leh vun natna a ti tlem thei ang.

Khawtlang inhlat leh mahni chauha awm

Thih mai tur mi tan chuan hmân laia nuam an tih ṭhin thilte ngaihvenna hloh chu thil pangngai tak a ni. Mi dangte nena inpawh ai chuan mahni chauha awm an duh zawk mai thei. Hetianga mi dangte nena inpawh tawnna tihtlem hian ṭhiante leh chhungte hmangaihna an hloh tihna a ni lo. Taksa a inthlak ang zelin an mamawh pawh a inthlak danglam zel a ni.

Vital signs mumal lo emaw, tlahniam emaw

I vital signs chu i temperature, pulse, respiratory rate (breathing rate), leh thisen sang te hi a ni. Heng hlutnate hian i taksa peng pawimawh tak tak, i lung, thinlung, leh thluak te hriselna a teh a ni. I thih dawn chuan i taksa lumna a tlahniam a, i vun chu khawih pawhin a vawt a, a clammy thei bawk.Value dangte chu a dik lo thei a, a danglam thei bawk. A chhan chu, thihna i hnaih lai pawhin, heng taksa peng pawimawh tak takte hian nung reng turin an la bei reng che a ni. Darkar hnuhnung ber i hnaih deuh deuh chuan i thawk chakna chu a tlahniam zauh zauh a.

Restlessness leh agitation

Rei tak mut hnua chakna nei nghal anga inhriatna, emaw, rilru hahdam lo taka inhriatna hi thihna a hnaih tawh tih chhinchhiahna a ni thei. I tih theih loh tak tak chu i ti thei ang tih i inhriat mai thei. Khum atanga tho chhuak i tum thei a, damdawi hmanrua ``(IV - Intravenous Drip)`` ang chi i la chhuak thei a, tanpui tumtute chungah thinrim i nei thei bawk.

A chhehvel boruak thlirna danglam zel

I thluak hian sensory information (i thil hmuh, i hriat, i rim, etc.) te chu a hma aia danglamin a hre tan thei a ni. Entîr nân, tûn hmaa thil pangngai anga i ngaih ri chu hlauhawm emaw, hlauhawm emaw angin a lang thei. Mi pakhat chu mi dangah i ngai sual mai thei. I chhehvela mi dangte hmuh theih loh leh hriat theih loh thilte chu i hmu thei a, i hre thei bawk. Heng inthlak danglamna te hi nitin aiin zan lamah a langsar zawk mai thei.

Zirchianna thenkhatah chuan thihna a hnaih chuan thluak hian chemical tam tak neurotransmitters an tih chu a tichhuak nghal a ni. Hei hian sensations sang tak leh awareness sang zawk emaw hyperreality emaw dinhmun a thlen thei a ni. Entîr nân, thi mekte chuan êng êng tak tak an hmuh thu an sawi fo ṭhîn. An hmangaih tak boral tawh nêna inhmuh leh tûra zinkawng pawh an hmu mai thei.

Hriat lohna hun chhung

Thihna a hnaih deuh deuh chuan hriat lohna dinhmunah i tlu mai thei a, chu chu ``coma'' emaw, mumang ang maia awm emaw ang chi a ni. Nakinah i harh mai thei a, mahse hriatrengna nei lo i nih hriatrengna i nei lo mai thei. A tawp i hnaih deuh deuh chuan he hriat lohna, chawlh hahdamna dinhmunah hian rei tak i awm reng ang.

Zirchianna chuan i taksa chu hriat lohna dinhmunah a awm lai pawhin i hmangaihte thlamuanthlak taka khawih chu i la hre thei a, an thusawi chu i hre thei tho tih a tarlang. Kan thih huna a tawpah bo vek tur hriatna pahnih chu khawih leh hriat hi a ni.

Thâwk lak dan inthlak danglam

I thawk dan hian thihna i hnaih zia a hrilh thei che a ni. Thâwk pangngai, nghet taka thawh hi nunna leh hrisêlna ṭha tak a nih laiin, thawk mumal lo chu hrisêlna ṭha lo emaw, thihna emaw a ni fo ṭhîn. Thihna a hnaih deuh deuh chuan thawk lova hun hman chu a rei thei hle. Kawngkhar hnung lamah hmui a lo awm khawm chuan (a chhan chu ril ruhte chu a ei theih loh vang a ni) thawk chhuah laiin rasping sound a ri thei. He aw hi "thihna rattle" an ti fo thin.

A tawpah chuan i thawk hnuhnung ber i la ta a.

Thih lai hian taksaah eng thil nge thleng?

Thih lai hian i taksa thil pawimawh tak takte chu a tawp vek a ni.I thinlung a thawk tawh lo va, i thawk a chawlhsan a, i thluak hnathawh chu a bo vek a ni. Zirna thenkhatah chuan mi thi tih puan a nih hnu minute engemaw zat chhung chu thluak hnathawh engemaw zat a awm thei tih hmuhchhuah ni mahse, chu thluak hnathawh chu hriatna emaw hriatna emaw a ni lo. Miin an thi tawh tih a hria tihna a ni lo.

Hengte hi thihna chhinchhiahnate chu a ni:

• Pulse a awm lo.
• Thâwk a awm lo.
• Reflexes te hian test an nih chuan an chhang lo.
• Mit mitmeng (pupils) hi êng êng takah chuan a tlahniam lo.

Thih hnuah taksaah eng nge thleng?

I thih hnuah i taksa chu a dinhmun thara a insiamrem rualin inthlak danglamna hrang hrang a tawk thin. Heng inthlak danglamna te hi a thleng thuai a, ni rei lo te chhungin a thleng thin.

• Muscles relax: Thih hnu lawkah muscles te chu a relax a, chu chuan bowels leh bladder-ah pressure a tichhuak thin. Chuvang chuan mi tam takin an thih hunah ek leh zun an pass thin. Vun pawh a tlahniam thei a, a hnuaia ruh awm chu a lang chhuak thei bawk.
• Taksa lumna a tlahniam: Taksa lumna chu darkar khatah 1.5 degree Fahrenheit (0.83 degree Celsius) velin a tlahniam zauh zauh a. A tawpah chuan taksa lumna chu a chhehvel boruak lum nen a inang ta a ni.
• Thisen chu hnuai lam hawiin: Gravity hian thisen chu hnuai lam hawiin, lei lam hawiin a tipung a. Thisen awmna hmunah chuan vun chu purple-red angin a lang thei.
• Rigor Mortis: Hmai leh kawng ruh te hi a nghet hmasa ber. Chumi hnuah chuan a khauhna chu taksa ruh thlengin a darh a, zawi zawiin kut leh keah a darh a, chutah chuan kut zungtang thlengin a darh leh a ni.
• Taksa chu a lo thlah leh ta: A thih hnu ni engemaw zat hnuah taksa peng hrang hrangte chu a chhe tan a, chu chuan a peng nghet tak takte chu a tizau leh ta a ni.

Thih hi a hrehawm em?

Chiang taka sawi a har khawp mai, a chhan chu thil tam takah a innghat tlat a ni. Natna hi nunna peng pakhat a ni a, thihna peng pakhat a ni thei bawk. Nunnaah hian natna chi hrang hrang (natna awm dan a\anga a nasatzia thlengin) kan tawn ang hian thihnaah pawh natna chi hrang hrang kan tawng thei bawk. Thihna chhan leh natna damdawi a awm leh awm lohah a innghat fo. Entîr nân, i thih thut chuan hrehawmna engmah i nei lo mai thei.

Vawi tam tak chu, ruang thi mekte chuan nung reng turin an bei thin. He survival instinct, kan taksaa insiam hi painkiller tel lo chuan a hrehawm thei hle. Entîr nân, taksain nunna atana hlauhawm khawpa thisen a hloh chuan a thisen supply tlemte chu taksa peng pawimawh tak takte hnênah a kaltîr nghâl mai ang. He chhanna hian chu taksa pengte chu a nung reng a, mahse taksa peng (kut leh ke ang chi) thisen dawng lote chu a na thei a ni. Hetiang emergency-ah hian medical professional-te chu i nunna chhanhim tum bakah i natna tihziaawmna tura zirtir an ni.

Hospice-a enkawlna pe thin medical professional-teI thih dawna i mamawh thlamuanna leh enkawlna tur pe theitu an ni. I taksaa natna thlen thei dam khawchhuahna chhannate an hmuchhuak a, chu chu ṭanpui turin damdawi thlamuanthlak tak tak an pe bawk.

Take-Home Thuchah a ni

Thih hi kan paltlang vek thin natural process a ni. Mahse, hriat loh avanga thihna hlauh hi thil pangngai a ni. Nangmah emaw, i hmangaih tak emaw thih chuan engtin nge a ngaih ang tih i ngaihtuah mai thei. A na dawn em tih leh, thawk hmasa ber atanga thawk hnuhnung ber thlenga eng chen nge a daih dawn tih zawhna i nei mai thei. Heng zawhnate hi direct-a chhan harsa tak a ni.

Mahse thih chu eng ang nge a nih tih hriatthiamna chiang tak neih hian a hun a thlen hunah nangmah ngeiin i thihna emaw, i hmangaih tak thihna emaw chu i tuar thei a ni. Tin, beisei tûr chungchâng ngaihtuahna neih chuan i hmangaih thihpui tûr thlamuanna i pêk hunah thiamna leh hriatthiamna nei zâwk tûrin a ṭanpui thei bawk che a ni.

He thu hi i tan a tangkai ngei ka beisei. Hengte hi sawipui leh fimkhur a pawimawh hle tih hre reng ang che.

` Thihna, thihna, taksa, hriselna, vital signs, thihna chhinchhiahna, thih hnua nunna