Naupai laia natna hlauhawm tak, Amniotic Fluid Embolism chungchang zir rawh

Nau i pai dawn em ni? A nih loh leh in chhungkuaa mi tu emaw chuan nu nih tumin a inbuatsaih em? Naupai hi beiseina tam tak nena khat hun ropui tak a ni a, mahse vawiinah hian he hun chhunga lo awm thei, nunna atana hlauhawm tak, thil awm lo, mahse hlauhawm tak, nunna atana hlauhawm tak chungchang kan sawi dawn a ni. Hei hi amniotic fluid embolism an ti a . A hming hian hlau suh, hei hi a awm lo hle. Mahse fimkhur a pawimawh hle.

Amniotic fluid embolism (AFE) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, hei hi naute pum chhunga a awm laia a hual veltu amniotic fluid , emaw, naute cell, sam, etc. te chu nu thisenah a luh hian a ni. Ngaihtuah teh, nu leh naute thisen kalhmang inkarah hian natural barrier a awm tlangpui. Hetiang dinhmunah hian engtin emaw tak chuan chu daltu chu a chhe vek a, naute thisen chu nu thisen nen a inhmeh ta a ni.

Hei hian nu taksaah allergy na tak a thlen thin. Vawikhatmah, vaukhânna awm lovin , taksa system tam tak chu a thawk ṭha lo ṭan ta a ni. Hetiang dinhmun hi naute pian hma lawk, a pian lai, a pian hnu lawkah a awm thei a ni.

He natna hi engte nge a chhan leh a hlauhawmna?

Dik tak chuan Doctor-te hian eng nge a thlen tih chiang takin an la hre lo. A rawn on thut em avangin eng thil nge a chhan tih chiang taka sawi a harsa hle. Mahse, zirchianna thenkhatah chuan risk factor engemaw zat hmuhchhuah a ni a, chu chuan he natna hi a vei theihna a tipung a ni.

Eng nge a nih i en ang u.

Hei hi eng symptoms nge ni?

Hetiang dinhmun hlauhawm ber chu a natna lan chhuah dan chu a lo lang nghal a, ngaihtuah hun pawh nei lovin a lang. A lan chhuah dan ber chu:

• Thâwk harsa tak tak a lo awm nghal .
• Thisen sang (Hypotension) tlahniam nghal leh hlauhawm tak .
• Nausen pum atanga thisen chhuak tam lutuk leh thunun theih loh emaw, cesarean section hliam atanga chhuak emaw.
• Hlauhawm tak, hlauhna , emaw, lungkhamna nasa tak nei.
• Naute lungphu chu a danglamin a zawi emaw, a danglam emaw a ni.
• Chills leh tremors leh seizures teA lo awm dan.
• Lung natna emaw, hriatna hloh nghal (Cardiac Arrest).

Hetiang thisen chhuah tam lutuk chhan hi taksain thisen a tihkhawtlai theihna tura puitu system pumpui a chhe vek vang a ni. Hei hi damdawi lamah Disseminated Intravascular Coagulation (DIC) an ti a. Hemi a thil thleng chu thisen hian a clot theihna a hloh ta a ni. Chumi avang chuan thisen chhuah chu a nasat em avangin tihtawp theih a ni lo. Tin, thawk harsa, lung chhiatna leh thawk theih lohna a awm thei bawk a, chu chu Acute Respiratory Failure an ti a ni.

He natna hi engtin nge enkawl a nih?

Hei hi nunna emaw thihna emaw dinhmun a nih avangin second tlemte chhungin enkawl tan a ni. Hospital-a intensive care unit (ICU) emaw, operation room emaw-ah enkawl a ni. Hetah hian enkawlna pakhat chauh a ni lo va, damlo dinhmun azira enkawlna engemaw zat inzawmkhawm a ni.

• Nau neih nghal: Doctor-te chuan nu leh naute nunna ngaihtuah chungin naute chu a rang thei ang bera neih an rel a.
• Nunna chhanhimna (Resuscitation): Nu chu a rilru a buai a nih chuan Cardiopulmonary Resuscitation (CPR) tih laiin oxygen pek a ni .
• Mechanical Ventilation: Thâwk harsa i neih chuan thawk lakna atana pui turin ventilator an tih machine nen inzawm tir i ni.
• Thisen sang leh thinlung enfiahna: Taksa thisen kalna leh thisen kalna kawng lianah te special catheter dahin thisen sang leh thinlung hnathawh ang chi thil te uluk taka enfiah a ni a, second khat hnu second khatin a enfiah thin.
• Thisen pek: Thisen hloh tam lutuk avang hian thisen hloh aiah thisen leh thisen peng hrang hrang tam tak pek a ni a, thisen zam tur atana mamawh protein (clotting factors) pek a ni bawk.
• Damdawi bik: Damdawi chi hrang hrang pek a ni a, thisen sang siam thatna tur te, thinlung hnathawh thatna tur te, nausen pum (uterus) tikhawtlai a, thisen chhuah tihtawp nan.

Heng zawng zawng hi nu nunna chhanhim tum ber nen tih a ni. Hetiang dinhmunah hian nu tan damchhuahna rate chu tlem hle mah se, a hmaa enkawl hian damchhuah theihna a tipung thei a ni. Naute damchhuahna rate hi a sang zawk (70% vel) a ni.