Ðe ʋu yɔ akɔta ƒe doa me fũa? Na míasrɔ̃ nu tso ʋumenugbagbeviɣidɔ ŋu!

Ðe ƒoƒo sesẽ aɖe dze wò akɔta, alo afɔku aɖe, eye kasia gbɔgbɔ sesẽ na wò, akɔta se veve, eye vɔvɔ̃ na wò kpɔa? Ne nenemae la, ke nusi gbɔ wòtso ate ŋu anye ʋu si ƒo ƒu ɖe akɔta. Egbea míele nu ƒom tso nɔnɔme sesẽ sia tɔgbe, gake woate ŋu adae ŋu. Woyɔa esia be hemothorax le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me.

Kpuie ko la, nukae nye ʋumenugbagbeviɣidɔ?

Bu eŋu kpɔ, wò lãkusiwo le wò akɔta ƒe do me, alo? Hemothorax nye ʋu ƒe ƒoƒo ɖe ʋuka me, si nye teƒe si le wò lãkusi kple wò akɔta ƒe gli ememetɔ dome. Esia nye nɔnɔme sesẽ aɖe. Ne womewɔ atike nɛ o la, ʋu sia ayi edzi anɔ ƒoƒom eye wòade nyaƒoɖeamenu geɖe wò lãkusi ƒe gota gome. Esia ana wò lãkusiwo nagafu nyuie o, si fia be womate ŋu awɔ dɔ nyuie o.

Ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò, vevietɔ ne gbɔgbɔ sesẽ na wò le abi si nèxɔ le akɔta megbe la, ele be nàkpɔ ɖɔkta enumake godoo.

Aleke esia dzɔnae? Nukae nye ʋuka si me ʋu sina tona ƒe vevienyenye?

Be míase alesi ʋumenugbagbeviɣidɔ dzɔna gɔme la, mina míalé ŋku ɖe nusi ʋuka si me ʋu sina tona wɔna ŋu gbã. Ele bɔbɔe ŋutɔ. Aɖuɖɔtoea kpena ɖe ame ŋu be wòaɖɔ nyaƒoɖeamenu si le lãkusia me kple eƒe golɔgoewo ɖo ne míele gbɔgbɔm. Zi geɖe la , tsi si le sue ŋutɔ si woyɔna be pleural fluid nɔa eme. Aɖuɖɔtoe me tsi sia kpena ɖe lãkusi si tsyɔ wò lãkusi (si woyɔna be lãkusi) kple akɔta ƒe gli ememetɔ ŋu be woaʋã nyuie ne èle gbɔgbɔm. Ele abe ami sue aɖe si nana mɔ̃a ƒe akpa aɖewo ʋãna nyuie wu ene.

Eyata le abi si woxɔ le akɔta, afɔku, amekoko, alo atikewɔwɔ ƒe nɔnɔme bubu aɖe ta la, ʋu ate ŋu age ɖe akɔta ƒe teƒea eye wòatsaka kple akɔta me tsi. Ɣemaɣie ʋumenugbagbeviɣidɔ dzɔna.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, ʋumenugbagbeviɣidɔ mebɔ abe alesi nàsusui ene o. Vevietɔ ne wotsɔe sɔ kple abi siwo woxɔ le akɔta. Le kpɔɖeŋu me, eŋutinunyalawo gblɔ be le United States ɖeɖe dzaa la, wokpɔa ʋumenugbagbeviɣidɔ si ade 300,000 kloe ƒe sia ƒe. Eyata, míate ŋu akpɔ nya mawo tɔgbe geɖe le míaƒe dukɔa hã me.

Nukae nye Hemothorax ƒe dzesiwo?

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele be nàtsi dzi ɖe:

• Yagbɔgbɔ sesẽ (ɖɔktawo yɔa esia be ``Dyspnea'') .
• Gbɔgbɔ kabakaba (abe gbɔgbɔtsixetsixe - `(Hyperventilation)`) .
• Dzi ƒe tsotso
• Akɔtave (esia ate ŋu anye vevesese kpata, si nu sẽ) .
• Ʋusɔgbɔdɔ (Hypotension) .
• Sese le eɖokui me be yemeɖe dzi ɖi o
• Dzimaɖitsitsi, si fia be nàse vɔvɔ̃ si mehiã o
• Asrã (ɣeaɖewoɣi) .

Le nɔnɔme sesẽwo me la, ʋumenugbagbeviɣidɔ ate ŋu ana ame naku gɔ̃ hã. Eyata ele vevie ŋutɔ be nànya dzesi siawo.

Nukawo koŋue hea ʋumenugbagbeviɣidɔ vɛ?

Nusiwo koŋ gbɔ nɔnɔme sia tsonae nye afɔku sesẽwo, abixɔxɔ, kple amekoko le akɔta. Le kpɔɖeŋu me, ne ʋufɔku aɖe ƒo akɔta, ne edze anyi tso kɔkɔƒe, alo ne nu ɖaɖɛ aɖe tsi akɔta la, nɔnɔme sia ate ŋu ado mo ɖa. Tsɔ kpe ɖe eŋu la, nu bubu geɖewo hã li siwo gbɔ wòtsona:

• Ʋu ƒe sisi ƒe dɔléle (dɔléle siwo me ʋu metsina bɔbɔe o) .
• Aklã me dɔdzẽ
• Pleural mesothelioma (kansa ƒomevi aɖe si dzɔna le ʋuka me) .
• Aklã ƒe ʋuʋu (ne wotso ʋu si yia aklã ƒe akpa aɖe me) .
• Wo dometɔ aɖewoe nye akɔtadɔ , dzi ƒe dɔwɔwɔ.
• Ɣeaɖewoɣi la, ʋuka aɖe gblẽna ne wotsɔ ʋuka si le titina de ʋuka gã aɖe me.
• Domenyiŋusẽfianudɔ siwo gblẽa nu le kadodoŋusẽ ŋu, abe Ehlers-Danlos ƒe dɔléle ene .
• Yɔmekpe (esia hã ate ŋu anye nusi gbɔ wòtsona ɣeaɖewoɣi) .

Amekae le afɔku me wu be wòaxɔ nusia?

Amesiame ate ŋu axɔ ʋumenugbagbeviɣidɔ, vevietɔ ne nuveviwɔame aɖe le akɔta. Gake ame aɖewo le afɔku si lolo wu me vie:

• Ame siwo wowɔ dɔ na le akɔta: Afɔku sia nɔa amekoko ɖesiaɖe si me woɖea lãkusi alo akɔta le, le kpɔɖeŋu me, dzitodzito si le ʋuʋu ɖi alo aɖuɖɔtoe dodo vɔ megbe.
• Ame siwo ƒoa kamedefefe alo nuwɔna siwo nana woxɔa abi le akɔta enuenu: Ame siwo ƒoa kamedefefewo abe bɔl, hockey, kpekpeme kɔkɔ, kɔdada, aʋawɔɖaŋu abe karat, kple kɔdada ene la ate ŋu aƒo akɔta wu. Eyata woawo hã le afɔku gã aɖe me.

Kuxi bubu kawoe esia ate ŋu ahe vɛ?

Ʋumenugbagbeviɣidɔ ate ŋu ahe kuxi bubuwo hã vɛ le ŋutilãa me. Esiawo dometɔ aɖewoe nye:

• Yagbɔgbɔ sesẽ vevie alo gbɔgbɔtsixetsixe le ɖokuiwò si o (woyɔa esia be `(Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie)`)
• Hypovolemic shock : Esia nye dzidziƒoame ƒe nɔnɔme si tsoa ʋu gbogbo aɖe si bu le ŋutilãa me gbɔ.
• Empyema : Esia nye ʋuʋudedi ƒe ƒuƒoƒo le lãkusi ƒe teƒe. Esia ate ŋu adzɔ ne dɔlékui aɖe dzɔ le afisi ʋua ƒo ƒu ɖo.
• Abi si le lãkusi alo lãkusi ƒe lãkusi ŋu.

Aleke ɖɔktawo dea dzesi esiae? (Dɔléle ƒe dzesi) .

Ðɔkta koe ate ŋu anya ʋumenugbagbeviɣidɔ nyuie. Gbã la, ado wò kpɔ.Awɔ ŋutilãmedɔdada. Emegbe atsɔ nuƒomɔ̃ (auscultation) aɖo to wò lãkusiwo. Emegbe ate ŋu ade dzesi gbeɖiɖi ɖesiaɖe si mesɔ o si atso lãkusi si ŋu dɔlélea le me. Aɖe gbe hã be woawɔ dodokpɔ bubu geɖe atsɔ aɖo kpe dɔlélea dzi.

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

Ðɔktaa ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene:

• Akɔta ƒe X -ray: Esia ate ŋu akpɔe ɖa be ʋu le ƒoƒom ɖe akɔta ƒe teƒea hã.
• CT scan : Esia ate ŋu ana woakpɔ akɔta ƒe akpa si le eme nyuie wu, wòade to wu. Ate ŋu alé ŋku ɖe ʋu ƒe sisi alo nu bubu siwo gblẽ hã ŋu.
• Thoracentesis : Le nyateƒe me la, esia nye dodokpɔ kpakple atikewɔwɔ. Wozãa aŋe tsɛ aɖe tsɔ xɔa tsi ƒe kpɔɖeŋu tso lãkusi ƒe teƒea. Woate ŋu azã esia atsɔ akpɔe ɖa be ʋu alo nu bubu aɖee.

Enyo, azɔ mina míakpɔ nusiwo nye atike siwo woatsɔ awɔ esiae ɖa.

Wodaa ʋumenugbagbeviɣidɔ to ʋu ɖeɖe le ʋuka me.

Gbã la, ne gbɔgbɔ le sesẽm na wò la, woana oxygen-dɔdamɔnu wò. Ne nɔnɔmea nu sẽ la, ahiã be woana mɔ̃ si dzi woato agbɔ ya wò.

Eyome, le alesi ʋumenugbagbeviɣidɔa nu sẽe nu la, ɖɔktawo awɔ nu siawo dometɔ ɖeka:

• Thoracentesis: Wotsɔa aŋe tsɛ aɖe dea akɔtaƒuawo dome be woaɖe ʋu aɖe le akɔta ƒe teƒea. Wowɔa esia ne ʋua ƒe agbɔsɔsɔme le sue.
• Akɔta ƒe mɔ̃ dede (Thoracostomy): Wodea mɔ̃ gã aɖe (akɔta me mɔ̃) to akɔtaƒuawo me yia akɔta ƒe teƒea be woaɖe ʋu ɖesiaɖe si ƒo ƒu la ɖa. Ðewohĩ ahiã be woagblẽ mɔ̃ sia ɖe teƒea ŋkeke geɖe.
• Akɔta ɖeɖe: Ɣeaɖewoɣi la, ne ʋua yi edzi le dodom togbɔ be wotsɔ mɔ̃ aɖe de ʋua me be wòaɖe ʋua hã, alo ne ehiã be woade dzesi nusi gbɔ ʋua tso ahadae la, amekola aɖe atso akɔta, age ɖe lãkusi si ŋu dɔlélea le la me, eye wòawɔ atike si hiã.

Ne ʋu geɖe bu na wò la, ahiã hã be woado ʋu na wò.

Ðe ʋumenugbagbeviɣidɔ ɖesiaɖe hiã be woatsɔ akɔtamɔ̃a?

Ao, menye ʋumenugbagbeviɣidɔ ƒe atikewɔwɔwo katãe hiã be woatsɔ akɔtamɔ̃ awɔ dɔe o. Ne ʋu sue aɖe le eme (`Minor hemothorax`), ateŋu adzɔ be woaɖe ʋua ƒe ɖe to aŋe sue aɖe dzi (`Thoracentesis`).

Ðe afɔku aɖewo le atikewɔwɔ siawo mea?

Ẽ, abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku aɖewo le ʋumenugbagbeviɣidɔdada me. Esiawo dometɔ aɖewoe nye:

• Kuxi siwo ku ɖe atike si naa alɔ̃dɔdɔ ame ŋu (ne wole dɔ wɔm nɛ).
• Vevesese.
• Ʋu si le dodom.
• Dɔlékuiwo, abe aklãdɔ ene.
• Aklã me ʋuʋu.

Gake mègatsi dzi o, ɖɔktawo le woƒe ŋutete katã wɔm be yewoaɖe afɔku siawo dzi akpɔtɔ.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Ɣeyiɣi si nàhaya la nɔ te ɖe nusi na wò ʋumenugbagbeviɣidɔ kple atike si nèxɔ dzi. Ne wotsɔ akɔtamɔ̃ de wò alo wowɔ dɔ na wò la, ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo. Wò ɖɔkta agblɔ nusi nàkpɔ mɔ na le wò hayahayaɣi kple ɣeyiɣi si nàte ŋu atrɔ ayi dɔwɔna siwo nèwɔna ɖaa, dɔwɔɖui, alo suku gbɔ na wò.

Nukae nàkpɔ mɔ na ne ʋumenugbagbeviɣidɔ le ŋuwò?

Ʋumenugbagbeviɣidɔ nye dɔléle sesẽ aɖe si hiã be woakpɔ egbɔ enumake. Ðewohĩ ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo alo esi wu nenema. Ne èle kɔdzi la, ɖɔktawo ate ŋu alé ŋku ɖe ŋuwò eye woana oxygen wò ne ehiã.

Gake ɖo ŋku edzi be ne wokpɔ dɔlélea dze sii nyuie eye wodae kaba la, ame akpa gãtɔ hayana bliboe kuxi aɖeke manɔmee ɣeyiɣi didi o.

Aleke woate ŋu aɖe afɔku sia dzi akpɔtɔ?

Míate ŋu axe mɔ ɖe nu aɖewo siwo hea ʋumenugbagbeviɣidɔ vɛ nu o. Gake míate ŋu awɔ nu siwo gbɔna be míaɖe afɔku si le ʋumenugbagbeviɣidɔ xɔxɔ me le akɔta ƒe abi alo abixɔxɔ ta dzi akpɔtɔ:

• Do ametakpɔnu ne èle kamedefefe alo nuwɔna siwo ate ŋu ana nàxɔ abi le akɔta.
• Do wò zikpuimeka ɣesiaɣi ne èle ʋua me.
• Ne èle nane fɔm tso dziƒo la, mègalia zikpuiwo alo kplɔ̃wo, zã mɔ̃ si sɔ, alo bia kpekpeɖeŋu tso ame aɖe gbɔ o.
• Ne azɔlizɔzɔ sesẽ na wò alo afɔku gã aɖe le eme be nàdze anyi la, zã atikplɔ, afɔzɔla, alo atizɔti.

Aleke wòle be malé be na ɖokuinye le hayahayaɣi?

Esi nèle hayahayam tso ʋumenugbagbeviɣidɔ me la, anyo wu be nànɔ adzɔge tso nusiwo ate ŋu agblẽ nu le wò lãkusi ŋu alo aƒoe ɖe enu ŋu. Le kpɔɖeŋu me:

• Ƒo asa na atamanono.
• Ƒo asa na kamedede sesẽwo abe nu kpekpewo kɔklɔ kple nu kpekpewo bɔbɔ ene.
• Te ɖa le kamedefefe siwo me wodoa ka kple amewo le ŋu hena ɣeyiɣi aɖe.
• Ƒo asa na nuwo abe tsi me nɔnɔ alo ƒu goglo me tsi me nɔnɔ ene.
• Mɔzɔzɔ le yameʋuwo me (anyo wu be nàbia ɖɔkta tso esia hã ŋu).

Ɣekaɣie wòle be magakpɔ nye ɖɔkta ake?

Kpɔ egbɔ be yeyi ɣeyiɣi siwo katã wò ɖɔkta bia be yeakplɔe ɖo. Esia ana wòakpɔe ɖa be èle hayahayam abe alesi wokpɔ mɔe ene eye wòawɔ dodokpɔ bubuwo (e.g. X-ray) ne ehiã.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne gbɔgbɔ sesẽ na wò kasia alo nèse veve le akɔta si dzi màte ŋu ado dzi atsɔ o la, yi xɔ si me wowɔa dɔ kpata le kaba ale si nàte ŋui. Mègagblẽ ɣeyiɣi o.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia ɖɔktaa nyawo abe:

• Aleke nàwɔ anya ne ʋumenugbagbeviɣidɔ le ŋunye?
• Aleke gbegbee nye ʋumenugbagbeviɣidɔa nu sẽe?
• Ðe nane li mate ŋu awɔ be esia nagadzɔ akea?
• Atikewɔwɔ kae nèkafu?
• Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ?
• Ðe mahiã oxygen bubua?
• Ðe wòahiã be manɔ kɔdzia?

Ðe Ʋumenugbagbeviɣidɔ Dea Agbe Afɔku Mea?

Enɔ te ɖe alesi wò ʋumenugbagbeviɣidɔa nu sẽe kple ɣeyiɣi didi si wòxɔna hafi ʋua natɔ te dzi. Ʋumenugbagbeviɣidɔ suesuesuewo ate ŋu ada afɔku alo kuxi aɖeke manɔmee. Gake ʋumenugbagbeviɣidɔ sesẽwo ate ŋu awu ame ne womeda wo kaba o.

Vovototo kae le Hemothorax kple Pneumothorax dome?

Mègatɔtɔ ame eveawo o.

• Hemothorax nye ʋu ƒe ƒoƒo ƒu ɖe ʋuka me.
• Pneumothorax nye nɔnɔme si me ya gena ɖe lãkusia me eye wòdea nyaƒoɖeamenu ɖe ​​lãkusia dzi, si wɔnɛ be wòmu keŋkeŋ alo eƒe akpa aɖe. Wogayɔa esia zi geɖe be "aɖuɖɔtoe si mu".

Ðe ʋumenugbagbeviɣidɔ nye lãkusi si mu?

Ao, ʋumenugbagbeviɣidɔ kple lãkusi ƒe gbagbã nye nɔnɔme vovovo eve. Ŋkɔ bubu si wotsɔ na lãkusi ƒe gbagbãe nye pneumothorax. Gake ʋuka si me ʋu sina tona hã ate ŋu ana ame nate ɖe lãkusia dzi eye wòana wòamu.

Vovototo kae le Hemothorax kple Pleural Effusion dome?

• Pleural effusion nye tsi si sɔ gbɔ ƒe ƒuƒoƒo ɖe pleural space me. Zi geɖe la, tsi sia ƒe mililita 5-10 (anɔ abe teaspoon 1-2 ene) nɔa ame tsitsi aɖe ŋu le ʋuka ƒe akpa ɖeka. Ne agbɔsɔsɔ sia dzi ɖe edzi la, woyɔnɛ be pleural effusion.
• Hemothorax nye ʋu ƒe ƒoƒo ƒu ɖe ʋuka me.

Kpuie ko la, ʋumenugbagbeviɣidɔ nye ʋu si dona le ʋuka me ƒomevi aɖe, gake elɔ ʋu ɖe eme.

Ne dzesi siwo do ƒome kple akɔtave alo gbɔgbɔ sesẽ le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.Ðɔkta ate ŋu anya ʋumenugbagbeviɣidɔ, adi nusi gbɔ wòtso, eye wòana atike nyuitɔ kekeake wò.

## Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, míeƒo nu geɖe tso Hemothorax ŋu egbea. Le nyataƒoƒo me la, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui lae nye esi:

• Hemothorax nye ʋu ƒe ƒoƒo ɖe do si ƒo xlã lãkusiwo me.
• Nusiwo koŋ gbɔ esia tsonae nye afɔkuwo, abixɔxɔ, kple amekoko le akɔta.
• Dzesiwo abe gbɔgbɔ sesẽ, akɔtave, kple dzi ƒe tsotso kabakaba ene ate ŋu ado mo ɖa.
• Esia ate ŋu anye nɔnɔme sesẽ aɖe, eyata ne dzesiwo le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake.
• Dɔdamɔnua dometɔ aɖewoe nye ʋudodo, ɔksidzin, kple ɖewohĩ amekoko .
• Ne wowɔ atike na wò kaba la, àte ŋu ahaya keŋkeŋ.
• Woate ŋu aɖe afɔku sia dzi akpɔtɔ ne èkpɔ ɖokuiwò ta tso afɔkuwo me.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeabia wò ɖɔkta alo dɔnɔdzikpɔla o. Nɔ lãmesẽ me!

` Hemothorax, ʋu si yɔ akɔta, pleural space, gbɔgbɔ sesẽ, akɔtave, akɔta ƒe ʋuka, gbɔgbɔtsixe ƒe dɔléle