Wetin na di lɔng we dɔn kol (Pneumothorax)? Nɔ fred, lɛ wi fɛn di ditel dɛn

"O, dɔktɔ, a kin fil pen we a de chuk mi na wan say na mi chɛst we a de blo, ɛn i rili at fɔ blo." Sɔntɛm yu dɔn ɛkspiriɛns dis, ɔ sɔntɛm yu dɔn yɛri sɔmbɔdi tɔk am. Wan rizin fɔ dis chɛst pen we kin kam wantɛm wantɛm na we di lɔng we kin fɔdɔm, we wi kin kɔl ‘nyumothorax’ na mɛrɛsin. Nɔ fred we yu yɛri dis nem. Tide, wi go jɔs tɔk bɔt wetin i bi, wetin mek i kin apin, ɛn wetin fɔ du.

Fɔ tɔk am simpul wan, wetin i min we pɔsin in lɔng kɔntrakt?

Tink bɔt wi lɔng dɛn lɛk tu balyɔn. Dɛn lɔng dɛn ya de insay wi chɛst. wan rili tכn spεs de bitwin di lכng dεm εn di insay wכl na di chεst. Wi kin kɔl dis di pleura spɛs. nכmal wan, na כnli sכm sכm wata de insay dis spεs. Dis de ɛp di lכng dεm fכ εkspכnd izi wan we nכ de fכm we wi de blo.

Naw, wetin kin apin if di briz kin gɛda na dis pleura spɛs fɔ sɔm rizin? Dɔn di prɛshɔn we da briz de prɛs de mek di lɔng kin fɔdɔm, lɛk se dɛn de pul di briz na balɔ. Dis na wetin wi kin kɔl kɔlaps lɔng, ɔ nyumotɔraks. Sɔntɛnde dis kin bi smɔl tin, ɔ i kin fɔdɔm di lɔng kpatakpata.

Wetin na di difrɛn we dɛn we nyumotɔraks kin apin?

Nyumotɔraks kin sheb to sɔm men kayn dɛn bay aw i kin apin. We yu ɔndastand dis, dat go ɛp yu fɔ ɔndastand di sik fayn fayn wan.

Wetin na di sayn dɛm fɔ nyumotɔraks?

Dɛn sayn ya kin bigin wantɛm wantɛm. Dɛn kin apia we yu jɔs tinap ɔ slip.

• Wan shap pen we kin apin wantɛm wantɛm na wan say na di chɛst. Dis pen kin bɔku mɔ we yu de tek dip briz.
• I nɔ izi fɔ blo (Dyspnea). I kin tan lɛk se yu de swɛla ɛn yu fɔ wok tranga wan fɔ blo.
• Fɔ blo kwik kwik wan.
• At bit kwik kwik wan.
• Kɔf.
• Fɔ fil taya (Fatigue).
• If i tranga, di skin, di lip, ɔ di finga nel kin tɔn blu (cyanosis). Dis min se di bɔdi nɔ de gɛt bɛtɛ ɔksijɛn.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Bɔku tin dɛn de we kin mek pɔsin gɛt nyumotɔraks ɛn tin dɛn we kin mek pɔsin gɛt nyumotɔraks.

Di tin dɛn we kin mek i apin

• Lɔng sik: Pipul dɛm wae gɛt sik dɛm lɛk asma, COPD (Chronic Obstructive Pulmonary Disease), Cystic Fibrosis, lɔng kansa, ɛn TB kin gɛt bɔrku risk.
• Injury: As wi bin dɔn tɔk, injury to the chest.
• Mεdikal tritmεnt: I kin apin as sayd ifekt fכ sɔm mεdikal tritmεnt dεm.
• Di we aw pipul dɛn de liv:
• Smok: Pipul wae de smok kin gɛt dis sik.
• Yuz drɔgs: mɔ di drɔgs dɛn we pɔsin kin inhal.
• Aktiviti dɛm usay di prɛshɔn na di briz kin chenj wantɛm wantɛm: Tin dɛm lɛk skuba dayv, flay.

Factor dɛm wae de mek di risk bɔku

• Famili istri: If pɔsin na yu famili dɔn gɛt nyumothorax bifo, yu kin de pan denja bak.
• Di kayn bɔdi: Yɔŋ man dɛn, mɔ di wan dɛn we gɛt lɔng, tin bɔdi, kin gɛt Praymari Spɔntan Nyumotɔraks.
• Sɔm sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks: Fɔ ɛgzampul, wan sik we dɛn kɔl Marfan Syndrome.
• Endometriosis: Dis kכndyushכn kin כnli afekt uman dεm. Na sכm tεm, dis sik kin mek di lכng dεm kכlaps (catamenial pneumothorax).

Aw yu go fɛn dis, Dɔktɔ?

We yu go na ɔspitul, di dɔktɔ go aks yu fɔs bɔt yu sik dɛn ɛn afta dat i go chɛk yu.

• Fɔ chɛk wit stetɔskɔp: Di dɔktɔ go put stetɔskɔp na yu chɛst ɛn lisin to di sawnd dɛn we yu de mek we yu de blo. di sawnd dεm we yu de blo kin kwait bכku כ dεn nכ de yεri atכl na di sayd we di lכng kכmprεs.
• Chɛst X-ray: Dis na di bɛst ɛn izi we fɔ kɔnfɔm nyumotɔraks. di X-ray kin sho klia wan aw di lכng dεm de kכmprεs εn di כmכnt כf briz we dεn kכlכm.
• CT scan (Computed Tomography scan): Sɔntɛnde, dɛn kin du CT skan if di X-ray nɔ klia ɔ if dɛn nid fɔ no mɔ.
• Arterial Blood Gas (ABG) test: Dis kin no di lɛvɛl we ɔksijɛn ɛn kabon dayɔgzayd de na yu blɔd.

Aw dɛn kin trit am?

Di tritmɛnt de dipen pan di saiz fɔ yu nyumotɔraks, di tin we de mek yu gɛt am, ɛn aw yu gɛt di sik.

1. Wach: If di lɔng we dɔn fɔdɔm rili smɔl ɛn yu nɔ de gɛt ɛni big prɔblɛm, yu dɔktɔ kin kip yu na ɔspitul fɔ mek dɛn wach yu. Di bɔdi kin pul di briz we dɔn gɛda smɔl smɔl.

2. כksijεn Tεrapi: כksijεn tεrapi de ridyus di difεlεns fכ brith εn i de inkrεs di rεt we di briz we de na di pleura spεs de abzכp insay di bכdi.

3. Nidul Aspiration / Thoracentesis: If di nyumothorax rili big, di dɔktɔ kin mek di chɛst nɔ gɛt bɛtɛ trɛnk, put nidul bitwin tu rib dɛn, ɛn yuz sirinj fɔ pul di briz we dɔn gɛda.

4. Chest Tube Drainage: Dis na tritmɛnt we dɛn kin yuz bɔku tɛm. insay dis, di skin na di chεst de nכm, dεn de mek sכm sכm pat, εn dεn de put wan tכb insay di pleura spεs. Di ɔda ɛnd pan di tiub kin kɔnɛkt to wan sistɛm lɛk wata bɔtul. dis de mek di briz we de insay de kכmכt, bכt i de mek di briz nכ go bak insay, dεn de lεf di tכb na in ples fכ sכm tεm εn di lכng dεm de fulכp bak, dεn de pul di tכb.

5. Pleurodesis procedure: If pɔsin kɔntinyu fɔ gɛt nyumothorax, dɛn kin du dis tritmɛnt fɔ mek di lɔng nɔ fɔdɔm bak. dis involv fכ put spεshal kεmikכl (lεk talkum pauda) tru di chεst tכb, we de mek di layn fכ di lכng εn di insay wכl na di chεst stik togeda. Dɔn dis kin mek i nɔ ebul fɔ gɛda di briz bitwin dɛn bak.

6. Ɔpreshɔn: If ɔda tritmɛnt dɛn nɔ wok, i kin nid fɔ du ɔpreshɔn fɔ mek di briz lik na di lɔng ɔ fɔ pul di briz bɔbul dɛn (blebs/bullae).

Rikɔvayshɔn ɛn fɔ mek i nɔ gɛt di sik bak

Bɔku tɛm, i kin tek sɔm dez to tu wiks fɔ mek nyumotɔraks wɛl. If dɛn put yu chɛst tyub, yu go nid fɔ de na ɔspitul fɔ sɔm dez.

Tek kia ɔf dɛn tin ya afta yu dɔn go na os:

• If yu de smok, yu fɔ stɔp fɔ smok. Dis na di bɛst tin we yu go ebul fɔ du.
• Nɔ es ebi ebi tin ɛn du ɛksɛsayz tranga wan te yu dɔktɔ tɛl yu fɔ du dat.
• Nɔ tek tin dɛn lɛk fɔ travul wit plen ɛn fɔ dayv dip si fɔ sɔm wiks.
• Mek shɔ se yu go na di klinik di de dɛn we di dɔktɔ gi yu fɔ fala yu.

Pɔsin we dɔn gɛt nyumothorax wan tɛm gɛt chans fɔ gɛt am bak. So, if di sik kam bak, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.