Yu dɔn yɛri bɔt wan lɔng we dɔn fɔdɔm? (Nyumothorax/Collapsed Lung) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva yɛri se wan lɔng we de fɔdɔm wantɛm wantɛm? Sɔntɛnde, i kin tranga fɔ blo ɛn mek yu chɛst pen. Dis na wetin wi kin kɔl “pneumothorax” ɔ “collapsed lung ” pan mɛrɛsin. I nɔ rili rare lɛk aw yu go tink. So, e impɔtant fɔ no bɔt dis. Lɛ wi tɔk bɔt am ditayli ɛn simpul wan tide, nɔto so?

Wetin na nyumotɔraks? Simply put am...

Fɔ tɔk am simpul wan, nyumotɔraks na di briz we de gɛda na di say we de bitwin yu lɔng ɛn yu chɛst wɔl (dɛn kɔl am “pleural space”) . Tink bɔt yu lɔng lɛk balyɔn. di pleura spεs na di sכmכl spεs bitwin di balכn εn di bכks we de ol di balכn. Nɔmal wan, nɔr bɔrku ɛya de na dis spɛs. כltu, if dis pleura spεs sכm kayn we ful wit briz, di briz de push pan di lכng. I tan lɛk se yu de blo balyɔn ɛn mek i pul wata. Dis kin mek di lכng kכlכp כl pat pan am. Sɔm pipul dɛn kin kɔl dis bak “punctured lung.”

Di impɔtant tin na dat nyumotɔraks kin bi mɛdikal imejensi sɔntɛnde . If yu fil lɛk se yu lɔng de fɔdɔm, yu fɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu kwik kwik wan.

Yu tink se kayn nyumotɔraks de?

Yɛs, tu men kayn nyumotɔraks de: Spontaneous ɛn Traumatic . Lɛ wi si wetin na dɛn tin ya.

1. Nyumotɔraks we de apin bay insɛf

Dis kin apin we di lכng dεm kכlכp fכ dεn wan we nכ gεt εni injuri כ denja. Sɔbtayp dɛn de bak fɔ dis:

• Praymari spontan nyumothorax: Insay dis, nכ כndalayn sik כ kכndishכn de we de mek di lכng kכlaps. sכmtεm sכmtεm sכm sכm εya sak dεm (blebs ) na di lכng kin bכs εn di briz kin go insay di pleura spεs. Dis kin apin mɔ pan yɔŋ man dɛn we lɔng, we tan lɛk bɔdi.
• Sεkɔndari spontan nyumotɔraks: Dis kin apin bikɔs ɔf wan sik na di lכng . fכ egzampl, sכ m lכng sik kin mek di pat dεm na di lכng blכk, fכ mek sak dεm we lεk balכn (bullae) we kin bכs.

2. Traumatik Nyumotɔraks

As di nem sho, dis kin apin bikɔs ɔf injury ɔr mɛrɛsin.

• Injuri dɛn we pɔsin kin gɛtNyumotɔraks we gɛt fɔ du wit injuri: Dis sik kin apin bikɔs ɔf injuri na in chɛst, lɛk we i brok rib we i gɛt motoka aksidɛnt, pankchɔ lɔng, ɔ wund we dɛn chuk am.
• Iatrogenic pneumothorax: Sɔntɛnde, we dɛn de du mɛrɛsin, lɛk fɔ tek smɔl sampul pan di lɔng fɔ tɛst ( wan lɔng bayɔpsi ) ɔ fɔ put tiub insay big vein na di nɛk (wan sɛntral venɔs layn), di lɔng kin wund we yu nɔ bin no.

Ɔda patikyula kayn nyumotɔraks de:

• Tɛnshɔn nyumotɔraks: Dis na wan sik we rili denja ɛn we nid fɔ go to dɔktɔ wantɛm wantɛm . wetin de apin ya na dat di briz de go insay di pleura spεs, bכt nכ we de fכ kכmכt. I tan lɛk wan-way valv. Dɔn di prɛshɔn we de insay di chɛst kin go ɔp bad bad wan , i nɔ kin jɔs mek di lɔng dɛn fɔdɔm mɔ, bɔt i kin mek di at ɛn di big blɔd vesel dɛn prɛshɔ . Dis kin mek pɔsin in layf de pan denja.
• Catamenial pneumothorax: Dis na wan sik we nɔ kin apin so ɔltɛm. i kin apin pan uman dεm we gεt wan kכndyushכn we dεn kכl εndometriosis (we di εndometrial tisu de gro ausayd di uterus). dis tisu kin gro na di pleura spεs, bכdi bכn we di mεnstrual saykl de, εn kכmprεs di lכng.

Aw siriɔs lɛng we dɔn fɔdɔm kin bi?

Di kayn we aw dis kin tranga kin dipen pan di tin we mek i apin ɛn aw di lɔng dɔn fɔdɔm. Sɔm smɔl smɔl kes dɛn nɔ kin siriɔs ɛn dɛn kin sɔlv fɔ dɛnsɛf. Bɔt sɔm, mɔ di tɛnsiɔn nyumotɔraks , na siriɔs sik dɛn we nid fɔ gɛt mɛrɛsin kwik kwik wan. Dɔktɔ kin tɛl yu ustɛm yu lɔng dɔn fɔdɔm ɛn us tritmɛnt yu nid.

Wetin na di sayn dɛm fɔ nyumotɔraks?

We yu lɔng fɔdɔm, sɔm sayn dɛn lɛk:

• Pen na wan say na di chɛst , mɔ we yu de blo.
• Kɔf.
• Fɔ blo kwik kwik wan .
• Di at rit de go ɔp.
• Taya, taya.
• I nɔ kin izi fɔ yu fɔ blo (“dyspnea”).
• Blu di kɔlɔ we di skin, lip, ɔ finga nel de chenj ( “cyanosis” ) – Dis min se di bɔdi nɔ de gɛt inof ɔksijɛn.

If yu gɛt dɛn sik ya, go na di ɔspitul we de nia yu wantɛm wantɛm.Sɔntɛm dɛn go nid fɔ gɛt tritmɛnt kwik kwik wan .

Wetin na di tin dɛn we kin mek pɔsin gɛt nyumotɔraks?

Tri men tin dɛn de we kin mek i apin: sɔm sik dɛn we pɔsin kin gɛt, injury, ɛn sɔm tin dɛn we kin apin to pɔsin we i de liv in layf.

Di tin dɛn we kin apin to pɔsin we sik:

• Asma we gɛt asma
• Nyumonia
• COPD (Krɔnik ɔbstrɔktiv pulmonari sik) .
• Kɔlagen vaskul sik
• Sistik fibrosis we de mek pɔsin gɛt sik
• Emphysema we de mek pɔsin gɛt sik
• Idiopatik pulmonari fibrosis we pɔsin kin gɛt
• Kansa na di lɔng
• Limfangioleiomyomatosis we de mek pɔsin gɛt sik
• Tubakulosis sik we dɛn kɔl Tuberculosis
• Akyu respiratɔri distres sindrom (ARDS ) .

Injuri dɛn:

• Blunt fos trauma to di chɛst.
• Wan gɔn shot.
• Injury we pɔsin kin gɛt we i gɛt shap wɛpɔn, lɛk we pɔsin chuk am wit chukchuk.
• Mɛdikal tritmɛnt, fɔ ɛgzampul, fɔ blɔk di nɛv , fɔ tek di lɔng bɔdi, fɔ put di sɛntral venɔs layn , ɔ fɔ mek di briz kɔmɔt na di bɔdi wit mashin .

Di tin dɛn we kin mek pɔsin liv in layf:

• Yuz drɔgs, mɔ di drɔgs we yu de inhal.
• Fɔ smok.
• Big big chenj dɛn we kin apin we di plen de travul.
• Skuba ɔ dip-si daiv.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Yu kin gɛt nyumotɔraks if yu:

• If pɔsin na yu famili dɔn gɛt nyumotɔraks bifo (famili istri).
• We uman gɛt bɛlɛ.
• If yu gɛt lɔng, tint bɔdi, mɔ if yu na man.
• If yu gɛt kɔnektiv tisu sik dɛn lɛk Marfan sindrom .
• If yu gɛt ɛndometriɔsis .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin in lɔng dɔn fɔdɔm?

Pan ɔl we bɔku pan di kes dɛm we di lɔng we dɛn kin fɔdɔm kin sɔlv ɛn nɔ kin gɛt prɔblɛm, sɔm pipul dɛn kin gɛt siriɔs prɔblɛm dɛn. Dɛn tin ya na:

• Ri-ɛkspɛnshɔn pulmonari ɛdima .
• Lɔng damej ɔ infekshɔn we dɛn de trit am.
• Di we aw pɔsin de blo fayn .
• At we nɔ de wok fayn (At we nɔ de wok fayn).

Aw dɛn kin no if pɔsin gɛt nyumotɔraks?

Bɔku tɛm, dɔktɔ dɛn kin no dis bay we dɛn de lisin to yu lɔng ɛn yuz imej tɛst dɛn lɛk ɛkstrem rayt na yu chɛst , CT skan ( kɔmpyuta tomografi skan ), ɔ ɔltrasɔund na yu lɔng . Sɔntɛnde, dɛn kin du “arterial blood gas” tɛst bak fɔ chɛk di lɛvɛl we ɔksijɛn ɛn kabon dayɔgzayd de na yu blɔd.

Yu dɔktɔ go aks yu bɔt yu lɔng kɔndishɔn ɛn du yu bɔdi ɛgzam. Sɔm kayn, lɛk tɛnsiɔn nyumotɔraks, dɛn kin no bay di sayn dɛm nɔmɔ.

Aw dɛn kin trit nyumotɔraks?

Di tritmɛnt we yu go gɛt go dipen pan di tin we mek yu gɛt di nyumotɔraks, di sayz, ɛn aw i siriɔs. Dɛn tritmɛnt ya kin bi:

• Wach: If yu nyumothorax smɔl, yu dɔktɔ go wach yu, luk fɔ ɛni prɔblɛm wit yu at ɔ fɔ blo, ɛn i go aks yu fɔ kam bak fɔ fala yu.
• Ɔksijɛn tɛrapi.
• Thoracentesis: Dis min se yu fɔ put wan nidul fɔ sɔm tɛm bitwin di rib dɛn na di sayd we di nyumothorax de fɔ pul di briz we dɔn gɛda na di chɛst.
• Chɛst tyub drenaj: If yu gɛt big nyumotɔraks, yu dɔktɔ go put tiub ( chɛst tyub ) na yu chɛst fɔ ridyus di briz we de na di pleura spɛs. As di prɛshɔn na di briz de go dɔŋ, di lɔng kin blo bak ɛn wɛl. Dɛn kin lɛf dis tiub na in ples fɔ sɔm dez ɔ pas dat.
• Kεmikכl pleurodesis: Fכ mek di lכng nכ kכlכp bak, dכkta kin du wan tin we dεn kכ l pleurodesis . We dɛn de du dis, di dɔktɔ kin kɔt smɔl pat na di chɛst ɛn put wan tiub insay. Dɔn, we dɛn yuz wan kemikal (lɛk dɔksisayklin ɔ talk paoda) , dɛn kin kɔnɛkt di lɔng to di chɛst kaviti. Dis kin mek di ekstra ples nɔ de igen.

Sɔm pipul dɛn kin nid fɔ gɛt ɔpreshɔn fɔ mek dɛn ripɛnt di damej na dɛn lɔng ɛn fɔ wɛl. Dɛn kin nid fɔ du ɔpreshɔn pan dɛn kayn tin ya:

• If di briz kɔntinyu fɔ lik frɔm di chɛst tiub.
• If di lכng dεm nכ inflate ivin afta dεn dכn put di chεst tyub.
• If di lɔng dɛn kɔntrakt bɔku bɔku tɛm.
• If nyumothorax de na di tu lכng dεm.
• If di lɔng dɛn dɔn wund bad bad wan.

Yu tink se dɛn kin mek yu nɔ gɛt nyumotɔraks?

Yu kin du dɛn tin ya fɔ ridyus di risk fɔ mek yu lɔng fɔdɔm:

• Nɔ smok. Dis na di tin we impɔtant pas ɔl.
• Nɔ ɔ stɔp fɔ du tin dɛn we gɛt fɔ du wit big chenj dɛn na di prɛshɔn we di briz kin chenj (lɛk fɔ dayv dip si, fɔ travul wit plen). If yu de du dɛn tin ya, du wetin yu dɔktɔ tɛl yu fɔ du.
• If yu gɛt lɔng sik, go to yu dɔktɔ ɔltɛm fɔ mek dɛn de wach yu.

Bɔt if yu gɛt sɔm kayn mɛrɛsin ɔ yu famili gɛt nyumotɔraks, i nɔ go pɔsibul fɔ mek yu nɔ du dis.

Wetin fɔ ɛkspɛkt if yu gɛt nyumotɔraks?

If yu gɛt yu lɔng we dɔn fɔdɔm, yu kin nid fɔ de na ɔspitul fɔ sɔm dez ɔ mɔ fɔ mek dɛn gɛt tritmɛnt ɛn fɔ wach yu. Dɔn yu dɔktɔ kin wach yu sik ɛn gi yu ɔksijɛn if nid de.

Aw lɔng i kin tek fɔ mek di lɔng wan wɛl?

Bɔku tɛm, di lɔng dɛn kin wɛl insay sɔm dez to tu wiks. Yu bɔdi go tek di ɛkstra briz we dɔn gɛda rawnd di lɔng dɛn bak, ɛn dis go mek dɛn ebul fɔ blo bak.

Yu tink se lɔng pɔsin kin wɛl kpatakpata?

Bɔrku pipul dɛn kin wɛl frɔm dis sik ɛn nɔr gɛt ɛni big tritmɛnt. Bɔt chans de fɔ mek i kam bak. So, tɔk to yu dɔktɔ bɔt di chans fɔ mek yu gɛt dis sik bak ɛn wetin fɔ du if di sik kam bak.

Yu tink se nyumotɔraks kin mek pɔsin in layf de pan denja?

Sɔm kes dɛm wae gɛt nyumothorax kin mek pɔrsin in layf de pan denja. So, nɔ ɛva tek wan lɔng we dɔn fɔdɔm layt wan. Ɔltɛm, go to dɔktɔ.

Aw a kin kia fɔ misɛf?

Afta yu kam bak na os frɔm ɔspitul, i rili impɔtant fɔ tek kia ɔf yusɛf lɛk aw yu dɔktɔ tɛl yu. Dɛn kin tɛl yu fɔ rɛst, stɔp ɔ stɔp sɔm tin dɛn fɔ du. Fɔ ɛgzampul:

• Fɔ smok.
• Flay dɛn we de flay.
• Dip si we dɛn de dayv.

Afta yu go bak na os, mek shɔ se yu go to dɔktɔ ɛvri de we yu dɔn plan fɔ du.

Ustɛm a fɔ go to mi dɔktɔ?

Si yu dɔktɔ if yu sik kam bak ɔr de wɔs. If yu dɔn gɛt nyumothorax bifo, yu de pan denja fɔ gɛt ɔda wan.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU)?

If yu gɛt sayn dɛn we de sho se yu lɔng dɔn fɔdɔm (lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ yu fɔ blo), go na di imejensi rum wantɛm wantɛm. Yu kin nid tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin de mek mi lɔng dɛn de shrink?
• Ɛnitin de we a kin du fɔ mek wan lɔng nɔ shrink igen?
• Us tritmɛnt opshɔn dɛn a gɛt?
• If a fɔ mek dɛn put mi chɛst tiub, aw lɔng i go de insay?
• A go nid sɔpɔtmɛnt ɔksijɛn?
• A go gɛt fɔ de na di ɔspitul?
• Us kayn kia a go nid afta tritmɛnt?
• Us kayn kia a go nid afta a dɔn kɔmɔt na ɔspitul ɔ klinik?
• Wetin a nɔ fɔ du afta a dɔn trit mi?

Fɔ dɔn, mɛmba (Take-Home Message) .

Bɔku tɛm, dɛn kin mɛn nyumotɔraks wit smɔl tritmɛnt. Bɔt,Ɛni lɔng we fɔdɔm, dɛn fɔ trit am lɛk mɛdikal imejensi te yu no mɔ bɔt am. If yu gɛt sɔm sayn dɛn we de sho se yu lɔng fɔdɔm, lɛk we yu de fil pen na yu chɛst ɔ yu nɔ de blo fayn, go to dɔktɔ wantɛm wantɛm. Yu dɔktɔ kin disayd di bɛst tritmɛnt fɔ yu. Nɔ panik, bɔt nɔ delay sɛf. Di tin we impɔtant pas ɔl na fɔ du sɔntin kwik kwik wan.