So mogya ne mframa ahyɛ wo moma so ma na ama wo ho atɔ wo? Eyi betumi ayɛ (Hemopneumothorax)!

So woasusuw sɛnea obi koko mu opira betumi ayɛ kɛse no ho pɛn, sɛ́ efi akwanhyia, asehwe, anaa biribi a ɛte saa mu? Ɛtɔ da bi a, ebetumi ayɛ den paa sɛ wobɛhome wɔ biribi a ɛte saa akyi. Ɛno ne nea yɛbɛka ho asɛm nnɛ pɛpɛɛpɛ, na ɛyɛ tebea a emu yɛ den a ɛsɛ sɛ yɛkɔ ayaresabea ntɛm ara. Yɛfrɛ eyi `(Hemopneumothorax)`. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛware kakra de, nanso momma yɛmma ɛnyɛ mmerɛw.

Dɛn ne eyi `(Hemopneumothorax)`?

Sɛ yɛbɛka no tiawa a, `(Hemopneumothorax)` ne bere a mogya (`(hemothorax)`) ne mframa (`(pneumothorax)` anaa ahurututu a ɛhwe ase) ahyɛ baabi a atwa w’ahurututu ho ahyia a yɛfrɛ no `(pleural space)` no ma bere koro mu. Fa no sɛ w’ahurututu te sɛ balloon abien. Saa balloons yi wɔ wo koko mu. Ɔkwan ketewaa bi da ahurututu ne koko fasu ntam, na wɔfrɛ no `(pleural space)`. Mpɛn pii no, eyi nyɛ asɛm kɛse, nanso sɛ mogya ne mframa hyɛ saa kwan yi mu ma a, ahurututu no ntumi nhuru yiye, na ɛno kyerɛ sɛ entumi nhome. Ɛte sɛ nea wokura balloon na ɛrenhuru.

Saa tebea yi taa ba bere a obi apira ne koko mpofirim a emu yɛ den, te sɛ kar akwanhyia, obi a ofi soro a ɔhwee ase, obi a ɔde sekan abɔ no, anaa otuo a wɔapirapira no akyi . Sɛ wowɔ hemopneumothorax ho sɛnkyerɛnne a, ɛho hia sɛ wokɔ ayaresabea ntɛm ara.

So ``(Hemopneumothorax)`` yɛ tebea a emu yɛ den?

Yiw, koraa! `(Hemopneumothorax)` yɛ tebea a emu yɛ den yiye na ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara. Efisɛ, sɛ wɔansa a, mogya ne mframa a ɛboaboa ano twa ahurututu no ho hyia no betumi de nhyɛso kɛse aba ahurututu no so, na ɛmma entumi nhuruhuruw koraa. Nneɛma a enye koraa a ebetumi asi ne:

• Ahome a wontumi nhome.
• Koma a entumi nyɛ adwuma yiye.
• Nea ɛyɛ awerɛhow no, owu mpo betumi aba.

Enti, sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ ayaresabea a worenkyɛ.

So `(Hemopneumothorax)` ahorow bi wɔ hɔ?

`(Hemopneumothorax)` ahodoɔ titire mmienu na ɛwɔ hɔ:

1. Traumatic hemopneumothorax: Eyi ne nea abu so sen biara. Ɛba esiane opira a emu yɛ den a ɛba koko so nti. Nanso, ɛntaa nsi koraa sɛ ebetumi afi tebea afoforo te sɛ ahurututu mu kokoram anaa ntini mu yare nso mu aba.

2. Hemopneumothorax a ɛba ara kwa: Eyi ba a ɛnyɛ nea ɛda adi sɛ ɛde ba. Eyi ho yɛ na koraa.

Saa tebea yi abu so dɛn?

Hemopneumothorax yɛ tebea a ɛntaa nsi ankasa.Nnipa mpempem pii wɔ hɔ a wonya `(Pneumothorax)` nkutoo afe biara. Sɛnea abenfo kyerɛ no, `(hemothorax)` (mogya a ɛhyɛ ahurututu no ho ma) ba nnipa bɛyɛ mpem ahasa mu afe biara. Nanso, nnipa a wɔwɔ `(pneumothorax)` no mu bɛyɛ 5% pɛ na wɔn nso nya `(hemothorax)`, kyerɛ sɛ, `(Hemopneumothorax).` Enti, ɛno kyerɛ sɛ eyi ho yɛ na kakra.

Dɛn ne `(Hemopneumothorax)` ho sɛnkyerɛnne?

Sɛ wowɔ `(Hemopneumothorax)` a, wobɛtumi anya saa nsɛnkyerɛnneɛ yi mu baako anaa nea ɛboro saa:

• Koko mu yaw: Eyi ne sɛnkyerɛnne titiriw. Ebetumi ayɛ ɛyaw a ano yɛ den mpofirim.
• Ɔhome a ɛyɛ den: Ɛte nka sɛ ɛyɛ den yiye, titiriw bere a worebɔ mmɔden sɛ wobɛhome denneennen no.
• Ahome a wɔhome ntɛmntɛm (hyperventilation): Ebia wobɛte nka sɛ worehome ntɛmntɛm yiye.
• Ɔhome a ɛyɛ tiaa (dyspnea): Nkate a ɛkyerɛ sɛ ontumi nhome.
• Ɔbrɛ: Ebia wobɛte nka sɛ woabrɛ araa ma wuntumi nyɛ hwee.
• Koma a ɛbɔ ntɛmntɛm (tachycardia): Ebia koma no bɔ kɛse.
• Dadwen ne ahomegye: Ɛtaa ba sɛ ehu ne ahomegye ka saa ɔhaw ahorow yi ho.

Fa no sɛ, sɛ wohwee ase mpofirim anaa wunya akwanhyia, na afei wo koko yɛ wo yaw na ɛyɛ den ma wo sɛ wobɛhome a, mmu w’ani ngu so.

Dɛn ne nneɛma a ɛde `(Hemopneumothorax)` ba?

Sɛnea yɛadi kan aka ho asɛm no, nea ɛtaa de hemopneumothorax a ɛyɛ hu ba ne ɔhwe a wɔbɔ wɔ koko so anaa biribi a ɛpia kɔ koko so. Nhwɛsoɔ:

• Agumadi mu opira: Titiriw bere a woredi agumadi a ɛkanyan kɛse no. Susuw bɔɔlbɔ, hockey, lacrosse, adesoa a wɔma so, akuturukubɔ, akuturukubɔ, ne karate ho hwɛ.
• Kar akwanhyia ahorow.
• Ahwease (titiriw fi beae a ɛkorɔn).
• Akuru a wɔde tow: Ebetumi afi sekan, tuo a wɔtow, anaa ɛtɔ mmere bi a bere a wɔreyɛ aduruyɛ te sɛ nipadua mu nhwehwɛmu (eyi ntaa nsi koraa).

Ebia ntease afoforo wɔ hɔ, nanso ɛnyɛ nea ɛtaa ba kakra:

• Ahurututu mu kokoram (`(Ahurututu mu kokoram)`).
• Ntini mu yare (`(Ntini mu yare)`).
• Thoracic oprehyɛn, a koma mu oprehyɛn ka ho.
• Mogya a ɛma mogya tu.
• Pleural mesothelioma (Eyi yɛ kokoram bi a ɛba wɔ ahurututu mu).

Ɛntaa mma koraa sɛ ``Spontaneous hemopneumothorax'' betumi aba a ɛnyɛ nea ɛda adi pefee sɛ ɛde ba.

Dɛn ne nsɛnnennen a ebetumi aba wɔ `(Hemopneumothorax)` mu?

Sɛ wɔansa saa tebea yi ntɛm a, nsɛnnennen afoforo betumi aba. Eyinom bi ne:

• Ɔhome a ɛyɛ den anaasɛ w’ankasa wuntumi nhome (ɔhome a entumi nyɛ adwuma yiye).
• Koma a ɛyɛ den.
• Ahurututu mu nyarewa:Sɛ nhwɛso no, `(empyema)` (akisikuru a ɛhyɛ pleura no ma) anaa `(ahurututu mu yare)`.
• Akuru a ɛwɔ ahurututu mu ntini anaa ahurututu mu ntini mu.

Afei nso, hokwan wɔ hɔ sɛ `(Hemopneumothorax)` bɛsan aba bio.

Ɔkwan bɛn so na wobetumi ahu `(Hemopneumothorax)`?

Sɛ wokɔ ayaresabea a, oduruyɛfo bi bedi kan ahwɛ wo. Ɔde afiri a wɔde tie asɛm (`(auscultation)`) betie w'ahurututu. Afei, ɔbɛhyɛ sɛ wɔnyɛ mfoniniyɛ mu nhwehwɛmu titiriw bi na ama wɔahu tebea no na wɔahu baabi pɔtee a mogya ne mframa no aboaboa ano.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom:

• Chest X-ray: Eyi boa ma wohu opira anaa tebea biara a ɛfa ahurututu ho.
• CT scan (anaa Computed Tomography scan): Eyi betumi atwa w’ahurututu ho mfonini a ɛwɔ afã abiɛsa (3D). Ebetumi ada nsɛm pii adi sen X-ray.
• Ultrasound: Eyi boa ma wohu mogya ne mframa dodow a aboaboa ano atwa ahurututu no ho ahyia ne baabi a ɛwɔ.

Ɔkwan bɛn so na wɔsa `(Hemopneumothorax)` yare?

Ade titiriw a ɛwɔ hemopneumothorax ayaresa mu ne sɛ wobeyi mogya ne mframa afi ahurututu no mu.

Nea edi kan no, ebia wo duruyɛfo bɛma wo oxygen (`(Oxygen therapy)`) na aboa wo ma woahome. Sɛ wo tebea no mu yɛ den a, wobetumi de wo ahyɛ `(mfiri a wɔde ma mframa)`. Eyi kyerɛ sɛ, sɛ w’ankasa wuntumi nhome a, afiri bi bɛhome ama wo.

Oduruyɛfo no betumi agyina sɛnea hemopneumothorax no mu yɛ den so:

• Fa ade a ɛyɛ fɛ yiye (`needle aspiration`) twetwe mogya ne mframa bi.
• Anaasɛ, wɔde afiri a ɛsõ kakra (``koko mu nsuo'' anaa ``thoracostomy'') fa wo mpampam mu kɔ ahurututu no mu, na wɔyi mogya ne mframa fa mu. Sɛ woyi mogya ne mframa no wie a, woyi ade anaa afiri no fi mu.

Nanso, sɛ mogya ne mframa kɔ so hyɛ ahurututu no mu ma a, oduruyɛfo a ɔyɛ oprehyɛn bɛtwa wo moma so ketewaa bi (wɔbɛtwa thoracotomy) na wasa ntini a asɛe no. Sɛ mogya pii asa wo a, ebia ɛho behia sɛ wɔma wo mogya nso.

Sɛ wɔsa yare wie a, oduruyɛfo no bɛkyerɛw nnuru a ekum ɔyare mmoawa a wɔde besiw ɔyare mmoawa ano ne nnuru a wɔde kum ɛyaw a ɛbɛma ɛyaw no so atew kosi sɛ ɛbɛsa.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane ahorow bi wɔ hemopneumothorax a wɔsa mu:

• Yeaw.
• Mogya a ɛretu.
• Ahurututu mu yare bi.
• Pulmonary edema (nsu a ɛboaboa ano wɔ ahurututu mu).

Oduruyɛfo no bɛka eyinom ho nsɛm pii akyerɛ wo.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa me yare awie no?

WeiEgyina nea ɛde hemopneumothorax no bae ne ayaresa ko a wɔde maa wo no so.

Ɛda adi sɛ wobɛtra ayaresabea hɔ nna kakraa bi bere a wɔde wo koko mu afiri ahyɛ mu anaa bere a wɔayɛ wo oprehyɛn awie no. Hemopneumothorax anaa koko mu apirakuru afoforo betumi agye adapɛn anaa asram pii mpo ansa na ayɛ yiye. Wo duruyɛfo bɛma woahu bere tenten a ebegye ansa na wo ho atɔ wo, a egyina wo tebea no so.

Sɛ wonya `(Hemopneumothorax)` a, dɛn na wobɛhwɛ kwan?

Hemopneumothorax yɛ tebea a emu yɛ den a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara. Ebia ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi anaa nea ɛboro saa na ama woahu sɛ wo ho atɔ wo yiye anaa. Nanso, sɛ wohu tebea no yiye na wɔsa no ntɛm a, hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no ye yiye.

Nanso, hokwan ketewaa bi wɔ hɔ sɛ `(Hemopneumothorax)` bɛsan aba bio. Enti, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkɔ so adi nkitaho daa na w’ani ahwɛ w’ahurututu so.

Bere bɛn na metumi asan akɔ adwuma ne sukuu?

Sɛ wowɔ hemopneumothorax a, egyina nea ɛde ba ne sɛnea wo ho tɔ wo ntɛmntɛm so a, ebia worentumi nkɔ sukuu, adwuma, anaa dwumadi afoforo bere tiaa bi. Wo duruyɛfo bɛkyerɛ wo bere a wubetumi asan akɔ dwumadi ahorow a na woyɛ daa no so.

So wobetumi asiw `(Hemopneumothorax)` ano?

Ɛyɛ den sɛ wobesiw hemopneumothorax ano esiane nneɛma bi nti. Nanso, afotu yi a wubedi akyi no betumi aboa ma asiane a ɛwɔ hɔ no so atew:

• Hyɛ nneɛma a ɛbɔ wo ho ban bere a woredi agumadi a ɛkanyan kɛse no.
• Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no.
• Yi nneɛma a ebetumi ama woahwe ase na woahwe ase fi wo fie na ma ɛnyɛ fɛ.
• Nantew pintinn na fa poma, nantew, anaa poma di dwuma na amma woanhwe ase.
• Fa nnwinnade a ɛfata (te sɛ antweri, akongua, anaa adwinnade a wɔde gye nneɛma) di dwuma bere a worekɔ soro no. Mforo nkongua anaa apon so da.
• Sɛ wonom sigaret a, gyae.
• Tew dwumadi ahorow a ɛfa nsakrae kɛse a ɛba mframa nhyɛso mu (te sɛ wimhyɛn a wɔde tu, po a emu dɔ mu a wɔde wɔn ho hyɛ mu) so anaasɛ gyae.

Mɛyɛ dɛn ahwɛ me ho (wɔ tebea yi akyi)?

Ɛho hia sɛ wokwati sɛ wobɛyɛ biribiara a ebetumi asɛe ahurututu no anaasɛ ɛde nhyɛso aba:

• Sigaretnom.
• Apɔw-mu-teɛteɛ a emu yɛ den, a emu duru a wɔma so ka ho.
• Di agumadi ho nkitaho.
• Po a emu dɔ mu a wɔde wɔn ho hyɛ mu.
• Wimhyɛn akwantu (titiriw wɔ mfiase, wɔ nnuruyɛfo afotu ase).

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wɔsa wo yare wie a, kɔ wo duruyɛfoɔ nkyɛn kɔhwɛ wo akyi. Ebia wobɛyɛ nhwehwɛmu foforo nso de ahwɛ sɛ wo ho retɔ wo yiye anaa.

Bere bɛn na ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ETU) ?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ `(Hemopneumothorax),` titiriw no ɛyɛ den sɛ wobɛhome anaasɛ wo koko mu yaw kɛse a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara sɛnea wubetumi.Eyi nyɛ biribi a ɛsɛ sɛ yɛka akyi.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Nsɛmmisa bi a wubetumi abisa wo duruyɛfo afa tebea yi ho ni:

• "Oduruyɛfo, mɛyɛ dɛn ahu sɛ mewɔ `(Hemopneumothorax)`?"
• "Ɛyɛɛ dɛn na minyaa eyi?"
• "Eyi yɛ aniberesɛm dɛn?"
• "Dɛn na ɛsɛ sɛ meyɛ na amma biribi a ɛte sɛɛ ansi bio?"
• "Ayaresa bɛn na oduruyɛfo no kamfo kyerɛ me?"
• "Bere tenten ahe na ebegye me ansa na me ho atɔ me?"
• "So mehia oxygen foforo?"
• "So ɛho behia sɛ metra ayaresabea hɔ?"
• "Bere tenten ahe kosi sɛ mɛsan akɔ oduruyɛfo no nkyɛn?"

Sɛ wubisa nsɛm yi a, wubetumi anya tebea no ho ntease pa.

Nsonsonoe bɛn na ɛwɔ `(Pneumothorax)` ne `(Hemopneumothorax)` ntam?

Sɛ yɛbɛka no tiawa a:

• Pneumothorax yɛ bere a mframa ahyɛ wo pleural space ma .
• `(Hemopneumothorax)` yɛ `(pneumothorax)` (mframa) ne `(hemothorax)` (mogya) a wɔaka abom . Ɛne sɛ, mframa ne mogya nyinaa wɔ ahurututu no mu.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti mewɔ anidaso sɛ seesei woanya adwene pa wɔ tebea a yɛkaa ho asɛm a wɔfrɛ no `(Hemopneumothorax)` no ho.

Eyi yɛ tebea a emu yɛ den yiye a ehia sɛ wɔkɔ ayaresabea ntɛm ara. Mpɛn pii no, opira a emu yɛ den a ɛba ne koko so na ɛde ba. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ den ne wo koko mu yaw a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Nanso mma ɛnhaw wo, sɛ wohu yare no yiye na wɔsa wo yare ntɛm a, wubetumi ho atɔ wo. Nea ɛho hia sen biara ne sɛ wobɛyɛ ade ntɛm ara, na ɛnyɛ sɛ wubebu w’ani agu sɛnkyerɛnne ahorow no so. Yɛrepɛ sɛ wo ne w’adɔfo nya akwahosan pa!

` Hemopneumothorax, Pneumothorax, Hemothorax, Koko mu yaw, Ɔhome a ɛyɛ den, Ahurututu, Akwanhyia