Mi tam tak chuan ICU, a nih loh leh Intensive Care Unit tih thumal kan hriat hian tlem kan hlauthawng a, kan lungkham deuh bawk. He hlauhna hi damdawi in pakhata he special ward chhunga thil thleng dik tak kan hriat loh vang a ni mai thei. Chuvangin, vawiin hian ICU chu eng nge a nih tih te, chutah chuan eng enkawlna nge awm tih te, damlo emaw tlawhtu emaw angin eng ang experience nge i hmachhawn dawn tih te chu awlsam tak leh chiang takin kan sawi dawn a ni.
A awlsam zawngin, intensive care unit (ICU) tih hi eng nge ni?
Intensive care unit, a nih loh leh ICU (Intensive Care Unit) hi damdawi in pakhata ward bik tak a ni. Natna khirh tak tak, nunna atana hlauhawm tak tak nei te a enkawl thin. Chu chu ward pangngaia pek theih loh “intensive care” an dawng tihna a ni a, ngaihven zawk leh hmanraw bik an dawng tihna a ni. A chang chuan CCU (Critical Care Unit) emaw ITU (Intensive Therapy Unit) emaw tia koh i hre thin. Hming pathumte hian thil pakhat a kawk vek a ni.
Mi pakhat chu accident na tak tuar tawh, operation lian tak nei tawh, a nih loh leh hriselna lama harsatna nasa tak tawk thut mai chu chutiang ward-ah chuan admit a ni thei ang tih han ngaihtuah teh. A tum ber chu damlo nunna chhanhim a , taksa hnathawh pawimawh tak takte a lo awm leh hma loh chuan uluk taka enfiah a ni.
ICU-ah hian eng ang damlo nge admit an nih?
A tlangpuiin, organ failure awm thei emaw, tuna awm mek ( heart , lung , or kidney ) nei damlote chu ICU-ah dah an tam zawk. Mahse chu chauh chu thutlukna siamnaah chuan a ni lo. Doctor-te chuan thil dang engemaw zat an ngaihtuah bawk.
| Ngaihtuah ngai | A sawifiahna awlsam tak |
|---|---|
| Diagnosis tih a ni | Damlo damdawi lam dinhmun chu eng nge ni? |
| Natna nasat dan | Natna hi a va nasat em. |
| Dam leh theihna beiseina | Damlo hian enkawl hnuah eng ang dam lehna leh nunphung tha nge a neih ang? |
| Enkawlna chhanna | Tun thlenga enkawlna pek tawhah hian damlo hian engtin nge a chhan? |
| Point dang pawh | Damlo kum, coexisting condition dang awmna, leh damlo mimal duhzawng te pawh ngaihtuah tel a ni bawk. |
Emergency-ah chuan ward pakhata damlo pakhat chu na takin a damlo a nih chuan doctor leh nursing staff te chuan ICU atangin tanpuina an zawng thin. A chhan thenkhat chu hetiang hi a ni.
- Thâwk harsa emaw, thawkna kawng khar emaw.
- Lung natna (Cardiac arrest) a awm.
- Thluak lama harsatna (respiratory arrest) a awm.
- Thunun theih loh, seizures chhunzawm zel .
- Heart rate (pulse) hi minute khatah beat 40 aia tlem emaw minute khatah beat 140 aia tam emaw a ni.
Hetiang dinhmun khirh takah hian damlo chu an mamawh specialized care dawng turin ICU-ah sawn a ni.
ICU-a enkawlna hi eng ang nge ni?
ICU a thil thleng ber chu enkawl reng hi a ni . Chu chu damlo dinhmun chu second khat hnu second khata enfiah a ni tihna a ni. A tlangpuiin nurse pakhatin damlo pakhat emaw pahnih emaw chauh a enkawl thin. Hei hian damlo chu ngaihsakna sang ber a dawng thei a ni.
Thil hman tlanglawn tak tak te
ICU-a i kal chuan machine, tube, leh wire tam tak i hmu a. Hengte hi i hmuh hian hlau suh. Damlo tanpui turin an awm vek a ni.
| Hmanrua | Eng atan nge hman a nih? |
|---|---|
| Monitor te a awm bawk | Heart rate, blood pressure, respiratory rate, leh thisen oxygen level ang chi thilte chu screen-ah a lang chhunzawm zel a. |
| Ventilator te pawh a awm | Mahni chauhva thawk harsa damlote tanpui thei machine. |
| IV line te a awm | Saline hi vein kaltlangin taksaah ei leh in leh damdawi tul tak tak thlen nan hman a ni. |
| Feeding tubes hmanga chaw pekna tur | Ka ei thei lo tan chuan an hnar atanga tube thun hmangin liquid food pe thin ang che. |
| Catheter hmanga siam a ni | Damlo zun control thei lote zun chu tube hmangin bag-ah dah khawm rawh. |
Hei bakah hian damloin a natna tihziaawmna turin painkiller pek a ni a, lungkhamna thunun nan leh rilru hahdam taka awm theih nan sedatives pek a ni bawk.
ICU-a admit tawh pakhat i tlawh dawn a ni...
ICU-a hmangaih tak tlawh chu rilru hahna leh rilru hahthlak tak a ni thei. Mahse, chutiang atana i inbuatsaih theih dan kawng engemaw zat a awm.
- Tlawh hun leh dan hre rawh: ICU-ah hian tlawhtute tan hun bituk chhung leh mi tlemte tan hawn a ni. Hei hi hri kai venna tur leh damlote chawlh hahdamna hun pekna tur a ni. Chuvang chuan damdawi inah dan hi zawh ngei ngei tur a ni. Vawi khata kal vek ai chuan chhungte leh ṭhiante nena inbiakna neih leh tlawh hun ruahman chu a ṭha ber.
- Faina lamah fimkhur hle ang che: ICU-a i luh hma leh i chhuah hnuah pawh sahbawn hmanga kut sil emaw, sanitizer hmang emaw tih ngei ngei tur a ni. Damlote chu dinhmun hlauhawm takah an ding a, chuvangin i chhungah natna hrik engmah lut suh.
- I damloh chuan kal suh: Natna tenau, khawsik, khuh, khawsik ang chi pawh i neih chuan khawngaihin ICU-ah kal suh. Damlo nunna atana hlauhawm tak a ni thei.
- I thil hmuh tur atan inbuatsaih rawh:I hmangaih tak chu wire leh tube rual khata inzawm i hmu mai thei. A châng chuan, damdawi ei hian an muhil thei a, a ti buai thei bawk. Chûng thilte hmuh chu i tân a lungchhiatthlâk hle thei a ni. Mahse, nghet takin awm rawh. I rilru hahdamna pawh hi damlo tan chakna ropui tak a ni.
ICU atanga i chhuah hnuah eng nge thleng?
Damlo pakhat dinhmun chu intensive care mamawhna a pelh tawh chuan regular ward-ah sawn an ni. Hei hian damlo dinhmun a zirin ni engemaw zat, a chang chuan kar emaw thla tam tak emaw a daih thei bawk.
ICU-a enkawl leh dam hnuah pawh mi thenkhat chuan side effect engemaw zat an nei thei. Chungte chu thil pangngai tak a ni a, hun kal zelah a tam zawk chu a reh mai ang.
- Chaklohna
- Stiffness a awm
- Chau
- Chaw chakna
- Mu thei lo
- Depression leh Lungkhamna
- Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
- Thil hriat reng leh ngaihtuah harsa
Nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan zak suh. A pangngai a ni. Damdawi in chhuahsan hnua clinic i kal hunah i doctor nen sawiho rawh. Tichuan, a tul anga thurawn leh enkawlna i dawng thei ang.
ICU hi hlauh tur a ni lo. High-tech leh thawktu inpe tak tak, mi pakhat nunna chhanhim tura theihtawp chhuah thinte awmna hmun a ni. A pawimawh ber chu i thlawpna famkim pek hi a ni.
Take-Home Thuchah a ni
- ICU chu damlo na tak tak te chu hnai taka enkawl, hmanraw bik hmanga enkawl, an nunna chhanhim tumna hmun a ni.
- ICU-a i kal laia i hmuh thin machine leh hmanrua te kha hlau suh. Damlo tanpui turin an awm vek a ni.
- Damlo i tlawh a nih chuan damdawi in dan zawm tur a ni. A bik takin faina lamah fimkhur hle ang che. I damloh chuan tlawh loh tur.
- ICU-a awm atanga dam leh lai hian taksa leh rilru lama harsatna engemaw zat tawk hi thil pangngai a ni. Hemi chungchang hi i doctor nen sawiho la, i mamawh tanpuina dawng rawh.
- ICU-a doctor leh nurse te hian hna hautak tak an thawk a ni. Anmahni zah leh thlawp hi damlo thatna atan a pawimawh hle.
Intensive Care Unit, ICU, CCU, Hospital, Hriselna, Sri Lanka, Damdawi lam thurawn, Emergency Treatment, Damlo Enkawlna
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