A châng chuan i naute tê kut leh ke chu a sen deuh deuh tih i hre tawh mai thei. A nih loh leh hmui chu blue angin a lang. Nu emaw pa emaw hian hei hi an hmuh hian tlem a hlauhthawn leh lungkhamna an neih hi thil pangngai tak a ni. "Ka fa a damlo em?" I ngaihtuah mai thei. Mahse hei hi hlauh tur a ni reng reng lo. Vawiin hian he vun rawng dum hi han sawi ila, chu chu damdawi lama kan sawi thin cyanosis .
Cyanosis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, cyanosis chu kan thisena oxygen awm zat a tlahniam a, vun, hmui leh nail ang chi hmunte chu blue emaw purple emaw rawng a neih vang a ni.
Thisen chi hnih kan nei ang tih han ngaihtuah teh. Pakhat chu thisen "red" a ni a, chu chu oxygen a khat . He thisen hian kan thinlung a\angin kan taksa peng tinrengah a kal a, kan taksa peng hrang hrangte chu nunna atana an mamawh chakna, chu chu oxygen a pe a ni. Chu oxygen chu taksa peng hrang hrangte chuan an hman hnuah chuan chu thisen chu thisen "blue"-ah a chang a, chu chuan oxygen a nei tlem zawk . Tichuan he thisen dum hi thinlungah a kir leh a, lungah a kal a, oxygen a la leh a, a sen leh ta a ni. He cycle hi a chhunzawm zel a ni.
Chuvangin, eng emaw chhan vanga he cycle hi tihbuai a nih a, taksaah thisen blue, oxygen tlachham zawk a kal kual a nih chuan, chu rawng dum chu kan vun hmun te tak te kaltlangin a lang ang. A pawimawh ber chu cyanosis hi natna a ni lo va, natna hnuaia awm dang chhinchhiahna a ni.
Eng thilin nge naupang vun a rawn sen tir thin?
Naupang vun rawng (blue skin) awm chhan ber chu lung emaw, thinlung lam harsatna emaw a ni. Mahse, a chhan tlangpui dang pawh a awm thei bawk. Hengte hi pakhat hnu pakhatin han thlir ila.
1. Lung kaihhnawih harsatna
Lung hi kan thaw hmanga thisenah oxygen kan dahna hmun a ni. Chuvangin lungah harsatna a awm chuan he process hi a tibuai thin.
- Airway obstruction: Croup ang condition-ah ang bawkin airways chu a lo hring a, a block a, chu chuan lung chhunga oxygen lut a tihtlem phah a ni. A châng chuan naupang pawhin infiamna ang chi thil a ei a, a block thei bawk.
- Lung infection: Pneumonia leh bronchiolitis ang chi natna hian lung hnathawh a tichhe a, thisen a oxygen awm zat a ti tlem bawk.
- Asthma: Hetiang dinhmun hi Asthma a nasat hunah pawh a awm thei bawk.
- Toxic gas inhaling: Carbon monoxide emaw meikhu nasa tak ang chi toxic gas inhaling hian taksain oxygen a dawn zat pawh a tikhawtlai bawk.
2. Lung lam harsatna (congenital heart disease) .
Naupang thenkhat chuan pianpui thinlung lama harsatna an nei thei bawk. Hei hi cyanotic heart disease an ti a. Hei hi thinlung insiam dan a chhiat vang a ni a, thisen blue, oxygen tlakchhamna chu lungah oxygen la turin a kal ai chuan taksaah direct-in a pump lut a, a nih loh leh oxygenated red blood nen chawhpawlh a, taksaah a pump lut a ni.
Chutiang dinhmun entîrna ṭhenkhat chu hetiang hi a ni:
- Fallot-a tetralogy a ni
- Ebstein-a anomaly a ni
- Heart valve tihtlem emaw awm lohna emaw
- Truncus thisen kalna kawng (Truncus arteriosus) a ni
Chûngte chu damdawi lam thumal a nih avângin i tân chuan thil buaithlâk tak angin a lang thei. Mahse i hriatthiam tur chu thinlunga piansualna hian thisen oxygen level a tihhniam bakah vun a rawn sen tir thei tih hi a ni.
3. A chhan tlangpui dang
Heng thil pawi tak tak bakah hian a chang chuan nitin thil ten vun hi a rawn sen tir thei bawk.
| Chhan | Hrilhfiahna |
|---|---|
| Pian chhuahna chhinchhiahna | Blue/gray birthmark thenkhat chu cyanosis anga ngaih theih a ni. |
| Blue foods te pawh a awm | Blue ice cream emaw lollipops emaw ei hian i lei leh hmui a ti blue thei a ni. Hei hi rei vak lo hnuah a bo tawh ang. |
| Damdawi thenkhat | Damdawi thenkhat, amiodarone ang chi te hian vun hi grey-blue color a siam thei a. |
| Thawmhnaw ah hian dye a awm | Blue dress thara dye hi a chang chuan thawmhnaw ah a hmin thei a, vun a ti bawlhhlawh thei bawk. |
Blue zawng zawng hi a hlauhawm em? 'Acrocyanosis' chungchang hi i zir chiang ang u.
Hei hi nu leh pa tam zawkin kan hriat a ngai pawimawh ber a ni.I fa kutphah, kephah leh hmui vel chu a sen chauh a nih chuan natna khirh tak a ni lo mai thei. Hei hi acrocyanosis an ti a .
Hei hi nausen piang tharte dam chhung darkar tlemte chhungin a awm fo thin. Hei hi a chhan chu chutih lai chuan naute taksain thisen kalna chu taksa peng pawimawh ber ber, thluak leh lungah a dah pawimawh ber a, kut leh kea thisen kal chu tlem a tlem phah a ni.
Tin, naupang tê tê, a châng chuan puitlingte pawhin khaw lum lutuk an tawh chuan kut leh ke dum an nei thei bawk. Hei hi rei vak lo hnuah leh taksa a lum hunah a mah chauhin a bo ang.
Mahse, hre reng ang che! I fa hmai, lei emaw, taksa peng lairil, hmai, lei emaw, taksa peng emaw chu blue/purple a nih reng chuan natna khirh tak a ni thei. Acrocyanosis a ni lo.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor hnena i fa i hruai hunah uluk takin a enfiah hmasa ang a, zawhna a zawt hmasa ang che. Naupang vun dum nei tan chuan cyanosis hriat a harsa thei hle. Chutiang hunah chuan Doctor chuan naupang hmui, lei, hmui leh nail hnuaiah uluk takin a enfiah ang.
Chumi hnua test pawimawh ber chu oxygen saturation tehna a ni .
- Hei hian clip ang chi hmanrua te tak te (Pulse Oximeter) naupang kut zungtang emaw ke ruh emaw-ah minute engemaw zat dah a huam a ni.
- Hei hian a ti na lo.
- He hmanrua hian naupang thisena oxygen awm zat chu a pangngai nge a tlem tih dik takin a hre thei a ni.
Thisena oxygen level hniam tih finfiah a nih chuan a chhan hriat chian nan test dang neih belh a ngai mai thei.
- A rilru X-ray a ni
- Echocardiogram (thinlung hnathawh dan enfiahna atana echo test) .
- Pulmonary function test neih a ni
- Specialized test hrang hrang, cardiac catheterization te pawh a awm bawk
Engtin nge enkawl a nih?
Enkawl dan tur chu vun rawng sen tirtu dinhmun (underlying condition)-ah a innghat vek a ni.
- Acrocyanosis tan: Hei hi natna tlanglawn tak a ni a, enkawlna engmah a ngai lo. Naute chu tlem a lum deuh deuh chuan a mah chauhin a bo ang.
- Thil dang atan: A chhan bulpui ber chu thinlung natna emaw, lung natna emaw a nih chuan chu chu enkawl chu a pawimawh ber a ni. Naupang thenkhat chu oxygen pek a ngai mai thei a, thawkna khawl nena inzawm tir a ngai mai thei a, damdawi pek a ngai mai thei a, a nih loh leh operation pawh neih a ngai thei bawk. A hnuaia natna awm chu enkawl a nih chuan vun rawng dum chu a bo ang a, a pangngaiin a awm leh ang.
A tawp berah chuan a pawimawh ber chu i fate hmai, lei emaw, a rilru/pum emaw chu blue/purple a nih reng chuan, thawk harsatna nei anga lang, emaw, a nuam lo hle a nih chuan, natna khirh tak a ni thei. Chutiang a nih chuan second khat pawh tihkhawtlai suh, i fa chu damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh.
Take-Home Thuchah a ni
- Cyanosis hi natna a ni lo. Thisenah oxygen tlakchhamna chhinchhiahna a ni.
- Acrocyanosis, nausen piang thar leh naupangte kut leh ke chauh khawsik an tawrh chuan a sen a lo awm a, a tlangpuiin natna hlauhawm tak a ni lo.
- Naupang hmai, lei, emaw, a rilru/a pum a rawn sen a, thawk harsa a tih hi emergency a ni. Damdawi in Emergency Department (ETU) ah kal nghal rawh.
- Enkawlna chu cyanosis thlentu dinhmun (underlying condition)-ah a innghat a ni. He natna hi enkawl a nih chuan vun rawng chu a pangngaiin a awm leh ta a ni.
- I fa vun rawng chungchangah rinhlelhna emaw, lungkhamna emaw i neih chuan i chhungkaw doctor (doctor) hnenah thurawn dil ngei ngei tur a ni.
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