Chhungkaw zinga mi pakhatin a rilru a na thut a, a nih loh leh naupang te tak te infiam laiin a tlu a, a lu a hliam a nih chuan... "Aw ka Pathian, tunah engtin nge kan tih ang?", tiin kan ngaihtuah nghal mai ang, a dik em? A tam zawkah chuan damdawi in hnai ber emergency room, chu chu Emergency Treatment Unit (ETU) -ah kan tlan chhuak thin. Mahse ETU-a kal hun tur te, kan kal huna eng nge thleng dawn tih te, kan kal hmaa kan inbuatsaih tur te chiang taka kan hriatthiam a pawimawh hle. Chuvangin vawiin hian chu chu i sawi dawn nia.
He Emergency Treatment Unit (ETU) hi eng nge ni?
A awlsam zawngin sawi ila, Emergency Treatment Unit (ETU) hi damdawi in pakhata special department a ni a, emergency leh accident a awm chuan a rang thei ang bera enkawl a ni. Darkar 24 chhung hawn a ni a, kum khatah ni 365 chhung hawn a ni. Medical emergency chi hrang hrang, car accident, heart attack, stroke, tlu, leh fracture te pawh hmachhawn turin an inpeih reng a ni.
He unit-a doctor, nurse leh thawktu dangte hi emergency enkawl dan tur bik zirtir an ni. Hei hian emergency thil eng pawh, puitling emaw, naupang te emaw pawh nise, chhanchhuah theihna an nei tihna a ni.
A pawimawh ber chu ETU hian priority system angin hna a thawk a ni. Chu chu damlo na ber berte chu ngaih pawimawh hmasak an ni tihna a ni. Harsatna tenau tak i neih chuan i turn chu rei vak lo i nghah a ngai mai thei. Hei hi kan hriatthiam a pawimawh hle.
Sri Lanka sorkar hospital system thatna lian ber pakhat chu sum leh pai lama harsatna nei lovin tu pawh tan emergency treatment a pe thei a ni. Hei hi kan ram mipuite tan thlamuanna ropui tak a ni.
Eng dinhmunah nge ETU-ah kal a ngai?
ETU-ah hian mipui an tam fo a, chhungkaw doctor hmuh angin a nuam lo. Chuvangin nghah hi nunna atana hlauhawm thei thil pawi tak takah chauh ETU-ah kan kal tur a ni. Chutiang a nih loh chuan doctor pangngai i hmuh hma i nghah theih chuan chu chu a tha ber.
A hnuaia table-ah hian emergency treatment ngai dinhmun thenkhat tarlan a ni.
| Symptom / A thlen dan | Hrilhfiahna |
|---|---|
| Lirthei chesual leh hliam na tak tuar | Accident na tak chi hrang hrang i tawh hnuah damdawi in pan nghal tur a ni. |
| Hriat lohna | Miin hriatna a hloh chuan natna khirh tak a ni thei a, thluak a nghawng thei a ni. |
| A rilru a na | Natna, a bik takin rilru natna, thawk harsatna nena inzawm hi heart attack chhinchhiahna a ni thei. |
| Kut emaw ke emaw a rilru a buai emaw, hmai a tlakbuak emaw | Hengte hi stroke chhinchhiahna berte an ni. Second khat pawh tikhawtlai suh. |
| Thâwk harsa na tak | Thâwk lama harsatna i neih chuan natna khirh tak a ni. |
| Thisen chhuah tihtawp theih loh | Hliam pakhatah minute 10 chhung pressure i pek a, thisen chhuah a reh loh chuan. |
| Seizures / Fits a awm thei | Miin a vawi khatna atana seizure a neih emaw, seizure a chhunzawm zel emaw chuan. |
| Poisoning a awm | Thil rimchhia i ei chuan Colombo National Hospital-a National Poisons Information Center-ah call nghal la, damlo chu ETU-ah hruai la, thurawn dil rawh. |
| Lu hliam na tak tak a awm | Tlu emaw, i tlak hnua i luak chhuak, lu hah emaw, hriatna hloh emaw i neih chuan. |
| Allergy natna a awm thei | Thâwk harsa, taksa pum puia vun rawng, leh rulhut emaw ei tur ṭhenkhat emaw a seh hnua hmai hring. |
| Thisen chhuah emaw, thisen khuh emaw | Hei hi chhungril thisen chhuahna chhinchhiahna a ni thei. |
| Mahni emaw, midang emaw tihnat tumna | Hei hi mental health emergency a nih avangin damdawi lam pan vat a ngai a ni. |
ETU i luh hian eng nge thleng?
Ambulance-a i kal emaw, nikhaw hre lo emaw i nih chuan inenkawlna i dawng nghal ang. Thil dang dangah chuan ‘Triage’ tih process-ah i refer hmasa ang.
Triage chu eng nge ni?
Hetah hian nurse trained chuan i dinhmun nasat dan chu rang takin a zirchiang ang.
- I pulse rate chu
- Thisen sang a ni
- Khawsik
- Thâwk chhuahna rate
- Thisenah oxygen level a awm
- I conscious em?
He information hi tute nge enkawl hmasak tur tih rel nan hman a ni. Damlo nunna atana hlauhawm dinhmuna ding (e.g., pulse nei lo emaw thawk harsatna nasa tak nei lo) te chu enkawl nghal an ni.
Chumi hnuah chuan exam room pakhatah an hruai ang che. Chutah chuan emergency care lama tui doctor chuan a enfiah ang che a, a tul anga enkawlna a tan ang. I dinhmun azirin `X-ray` leh `ECG` (Electrocardiogram) ang chi test order theih a ni.
A tawp berah chuan doctor chuan i harsatna leh test result chu a hrilhfiah ang che a, damdawi in ward-a dah a ngai em tih emaw, in lama haw a, enkawl theih i nih leh nih loh emaw a rel ang. In lama thawn i nih chuan diagnosis card pek i ni ang a, chutah chuan zawm tur thupek a awm ang.
ETU-a i kal hmain hetiang hian inbuatsaih hmasa phawt ang che
ETU-a kal hi thil harsa tak a ni thei a, mahse inbuatsaihna tlem chuan a awlsam phah hle.
- I damdawi lam chanchin keng rawh: Allergy i neih apiang, natna rei tak (e.g. zunthlum, thisen sang, asthma), leh damdawi i ei dan te chipchiar takin rawn keng ngei ang che. Tin, i doctor pangngai phone number pawh i kutah dah la.
- Tuna i damdawi hman mek zawng zawng keng vek rawh: ETU doctor-in i dinhmun chiang taka a hriat theih nan i damdawi hman mek zawng zawng, prescription te pawh keng tel a pawimawh hle.
- Thu sawi la, zawhna zawt rawh: Kan hriat loh che avangin i natna lan chhuah dan te, a natna awmna hmun te, engtikah nge a intan tih te chiang takin sawi rawh. Engmah thup suh.
- Dawhthei turin inbuatsaih rawh: Kan sawi tawh ang khan ETU-ah hian rei vak lo i nghah a ngai mai thei, damlo na ber berte chu ngaih pawimawh hmasak an nih avangin. Chuvangin lehkhabu ang chi hi rawn keng ila a tha khawp mai.
- Inkhunghrang tura beisei: Ward-ah i awm a ngai mai thei a, chuvangin bag te tak teah thawmhnaw thlak leh ha silna ang chi thil dahkhawm chu a finthlak hle.
- Report copy dil rawh: Admit i la nih loh chuan in lama i haw hmain i test report leh diagnosis card copy dil rawh. Hengte hi chhungkaw doctor hnena entir a pawimawh hle.
ETU hi kan nunna chhanhim thei service hlu tak a ni. Mahse fing taka hman hi kan mawhphurhna a ni. Khawsik emaw, khawsik emaw avanga ETU-a tlan ai chuan, kan doctor pangngai hmuh tumna hmang hian, emergency treatment mamawh tak tak tan pawh hun remchang rang tak kan siam thei bawk.
Take-Home Thuchah a ni
- Emergency Treatment Unit (ETU) hi nunna atana hlauhawm emergency , rilru na, stroke, hriatna hloh, leh accident na tak tak thleng tur chauh a ni.
- ETU i kal hian i dinhmun a nasat loh chuan rei vak lo i nghah a ngai mai thei tih hrethiam la, damlo na ber berte chu ngaih pawimawh hmasak an nih avangin.
- I kal hunah chuan i damdawi lam chanchin, allergy i neih tawh zawng zawng chipchiar tak, leh tuna i damdawi ei zawng zawngte chu rawn keng ngei ang che .
- Enkawlna i dawn hnuah test report zawng zawng leh diagnosis card chu dil la, i doctor pangngai hnenah entir rawh .
- Symptoms eng emaw i rinhlelh chuan in lama risk lak ai chuan ETU-a kal a, test neih hi a him zawk fo .
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