Yu chɛst de ful-ɔp wit blɔd ɛn briz ɛn mek yu swɛla? Dis kin bi (Hemopneumothorax)!

Yu dɔn ɛva tink bɔt aw siriɔs injury na in chɛst kin bi, ilɛksɛf na aksidɛnt, fɔdɔm, ɔ sɔntin lɛk dat? Sɔntɛnde, i kin rili at fɔ blo afta sɔntin lɛk dat. Na dat wi go tɔk bɔt tide, ɛn na siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm. Wi kin kɔl dis `(Hemopneumothorax)`. Pan ɔl we i go tan lɛk se di nem lɔng smɔl, lɛ wi kip am simpul.

Wetin na dis `(Hemopneumothorax)`?

Fɔ tɔk am simpul wan, `(Hemopneumothorax)` na we di spes we de rawnd yu lכng dεm, we wi kכl `(pleural space)`, fulכp wit bכdi (`(hemothorax)`) εn εya (`(pneumothorax)` כ lכng kכllaps) di sem tεm. Tink bɔt am lɛk se yu lɔng dɛn tan lɛk tu balyɔn. Dɛn balyɔn ya de insay yu chɛst. sכm sכm gap de bitwin di lכng dεm εn di chεst wכl, we dεn kכl di `(pleural space)`. Nɔmal wan, dis nɔto big tin, bɔt we dis gap ful-ɔp wit blɔd ɛn briz, di lɔng dɛn nɔ kin ebul fɔ blo fayn fayn wan, we min se dɛn nɔ kin ebul fɔ blo. I tan lɛk se yu ol balyɔn ɛn i nɔ go ful-ɔp.

Bɔku tɛm dis kin apin afta pɔsin dɔn wund in chɛst wantɛm wantɛm, lɛk we i gɛt motoka aksidɛnt, we i fɔdɔm frɔm ayt, we pɔsin chuk am wit sɔd, ɔ we i wund wit gɔn. If yu gɛt sayn dɛn fɔ ɛmopnyumotɔraks, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

``(Hemopneumothorax)`` na siriɔs sik?

Yɛs, fɔ tru! `(Hemopneumothorax)` na wan sik we rili siriɔs ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm. Bikɔs, if dɛn nɔ trit am, di blɔd ɛn briz we kin gɛda rawnd di lɔng dɛn kin put bɔku prɛshɔn pan di lɔng dɛn, ɛn dis kin mek dɛn nɔ ebul fɔ blo atɔl. Di tin dɛn we kin apin we bad pas ɔl na:

• Nɔ ebul fɔ blo.
• At we nɔ de wok fayn.
• Bɔt i sɔri fɔ no se ivin day kin apin.

So, if yu gɛt sayn dɛn lɛk dis, di bɛst tin fɔ du na fɔ go na ɔspitul ɛn nɔ de te.

Yu tink se kayn `(Hemopneumothorax)` de?

Tu men kayn `(Hemopneumothorax)` de:

1. Traumatik ɛmopnyumotɔraks: Dis na di kayn we we dɛn kin gɛt mɔ. Na bikɔs i gɛt bad bad injury na di chɛst. Bɔt nɔto ɔltɛm, i kin kam bak wit ɔda tin dɛn lɛk lɔng kansa ɔr rεumatoid at.

2. Spontaneous hemopneumothorax: Dis kin apin witout eni rizin we de sho. Dis nɔ kin apin so ɔltɛm.

Aw dis sik kin kɔmɔn?

Ɛmopnyumotɔraks na wan sik we nɔ kin apin so ɔltɛm.Tawzin pipul dεm de wae de divεlכp `(Pneumothorax)` nכmכ evri ia. akɔdin to masta sabi pipul dɛm, `(hemothorax)` (blɔd we de ful-ɔp rawnd di lכng) de divεlכp insay lεk tri כndrεd tawzin pipul dεm evri ia. כltu, na כnli lεk 5% pan di pipul dεm we gεt `(pneumothorax)` de divεlכp bak `(hemothorax)`, dat na, `(Hemopneumothorax).` So, dat min se dis nכ kin apin sכmtεm.

Wetin na di sayn dɛm fɔ `(Hemopneumothorax)`?

If yu gɛt `(Hemopneumothorax)`, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• Chɛst pen: Dis na di men sayn. I kin bi wan pen we pɔsin kin fil wantɛm wantɛm.
• I nɔ kin izi fɔ yu fɔ blo: I kin rili at fɔ blo, mɔ we yu de tray fɔ blo dip dip wan.
• Fɔ blo kwik kwik wan (hyperventilation): Yu kin fil lɛk se yu de blo kwik kwik wan.
• Short breath (dyspnea): Na filin wae yu nɔr ebul fɔ blo.
• Taya, taya: Yu kin fil so taya dat yu nɔ go ebul fɔ du natin.
• Hat bit kwik kwik wan (tachycardia): Di hat rit kin go ɔp.
• Wae yu de wɔri ɛn nɔr de rεst: Na kɔmɔn tin fɔ mek dɛn nɔr kin fil fayn kin kam wit frayd ɛn nɔr kin rεst.

Imajin, if yu fɔdɔm wantɛm wantɛm ɔ yu gɛt aksidɛnt, dɔn yu chɛst de at ɛn i nɔ izi fɔ yu fɔ blo, nɔ ignore am.

Wetin na di tin dɛm we kin mek pɔsin gɛt `(Hemopneumothorax)`?

As wi bin dɔn tɔk bifo tɛm, di tin we kin mek pɔsin gɛt traumatik ɛmopnyumotɔraks na we pɔsin blo di chɛst ɔ sɔntin we kin push di chɛst. Fɔ ɛgzampul:

• Spɔt injuri: Ɛspɛshali we yu de ple spɔt we gɛt ay impak. Tink bɔt futbɔl, ɔki, lakrɔs, wetliftin, bɔksin, rɛslɛshɔn, ɛn karate.
• Aksidɛnt dɛn we kin apin na motoka.
• Fɔdɔm (especially frɔm wan ayt).
• Pɔnkchɔ wund: I kin bi bikɔs ɔf naif, gɔn shot, ɔ sɔm tɛm dɛn we dɛn de du mɛrɛsin lɛk bayɔpsi (dis nɔ kin apin so ɔltɛm).

Ɔda rizin dɛn kin de, bɔt dɛn nɔ kin bɔku smɔl:

• Lung kansa (`(Lung kansa)`).
• Rimatɔyd atraytis (`(Ryumatɔyd atraytis)`).
• Ɔpreshɔn we dɛn kin du na di tɔraks, ɛn dɛn kin du ɔpreshɔn pan di at.
• Wan sik we de mek blɔd klɔt.
• Pleural mesothelioma (Dis na wan kayn kansa we de apin na di pleura).

Na smɔl tɛm nɔmɔ, ``Spontaneous hemopneumothorax'' kin apin we nɔ gɛt ɛni klia kɔz.

Wetin na di poshubul komplikashכn dεm fכ `(Hemopneumothorax)`?

If dɛn nɔ trit dis sik kwik kwik wan, ɔda prɔblɛm dɛn kin apin. Dɛn tin ya na:

• I nɔ izi fɔ blo ɔ we yu nɔ ebul fɔ blo yusɛf (we yu nɔ ebul fɔ blo fayn).
• Di at we de mek di at nɔ de wok.
• Infεkshכn dεm na di lכng:fכ egzampl, `(empyema)` (pus we de fulכp di pleura) כ `(nyumonia)`.
• Ska we de na di pleura tisu ɔ di lכng tisu.

כlso, chans de fכ mek di `(Hemopneumothorax)` kam bak.

Aw fɔ no di sik we dɛn kɔl `(Hemopneumothorax)`?

We yu go na ɔspitul, dɔktɔ go chɛk yu fɔs. I go lisin to yu lכng dεm wit stεtoskop (`(auscultation)`). Dɔn, i go ɔda sɔm spɛshal tɛst dɛn fɔ mek dɛn no di sik ɛn si klia wan usay di blɔd ɛn di briz dɔn gɛda.

Us kayn tɛst dɛn kin du?

Di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya:

• Chɛst X-ray: Dis kin ɛp fɔ no ɛni injury ɔ kɔndishɔn we gɛt fɔ du wit di lɔng dɛn.
• CT skan (ɔ Computed Tomography scan): Dis kin tek tri dimɛnshɔnal (3D) pikchɔ fɔ yu lɔng dɛn. I kin sho bɔku tin dɛn pas ɛkstrem rayt.
• Ultrasound: Dis kin ɛp fɔ no ɔmɔs blɔd ɛn briz dɔn gɛda rawnd di lɔng ɛn usay i de.

Aw dɛn kin trit `(Hemopneumothorax)`?

di men tin fכ trit εmopneumothorax na fכ pul di bכdi εn di briz frכm di pleura spεs.

Fɔs, yu dɔktɔ kin gi yu ɔksijɛn (`(Oxygen therapy)`) fɔ ɛp yu fɔ blo. If yu kɔndishɔn siriɔs, dɛn kin put yu pan `(mɛkanikal ventileshɔn)`. Dis min se if yu nɔ ebul fɔ blo yusɛf, mashin go blo fɔ yu.

Di dɔktɔ kin dipen pan aw di ɛmopnyumotɔraks siriɔs, i kin:

• Yuz wan rili fayn nidul (`nidul aspireshɔn`) fɔ pul sɔm blɔd ɛn briz.
• כ, dεn kin put wan tכb we big sכmtεm (wan ``chεst tכb'' כ ``thoracostomy'') tru yu rib dεm insay di pleura spεs, εn dεn kin pul bכdi εn briz tru am. We dɛn dɔn pul di blɔd ɛn di briz, dɛn kin pul di nidul ɔ di tiub.

Bɔt if di ples we de na di pleura kɔntinyu fɔ ful-ɔp wit blɔd ɛn briz, dɔktɔ we de du ɔpreshɔn go mek smɔl say na yu chɛst (toracotomy) ɛn trit di tisu we dɔn pwɛl. If yu dɔn lɔs bɔku blɔd, yu go nid bak fɔ tek blɔd.

Afta di tritmɛnt, di dɔktɔ go gi am antibayɔtik fɔ mek i nɔ gɛt di sik ɛn i go gi am mɛrɛsin fɔ mek i nɔ fil pen te i wɛl.

Ɛni bad tin de we di tritmɛnt kin du?

Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin we pɔsin de trit ɛmopnyumotɔraks:

• Pen.
• Blɔd we de kɔmɔt.
• Wan infεkshכn we de na di lכng.
• Pulmonary edema (we di wata we de kכmכt na di lכng dεm).

Di dɔktɔ go tɛl yu mɔ bɔt dɛn tin ya.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

DisI dipen pan wetin mek yu gɛt di ɛmopnyumotɔraks ɛn di kayn tritmɛnt we yu bin gɛt.

I go mɔs bi se yu go de na ɔspitul fɔ sɔm dez afta dɛn dɔn put yu chɛst tyub ɔ afta dɛn dɔn du yu ɔpreshɔn. Ɛmopnyumotɔraks ɔ ɔda injury na in chɛst kin tek sɔm wik ɔ ivin mɔnt fɔ mek i wɛl. Yu dɔktɔ go gi yu wan aidia bɔt aw lɔng i go tek fɔ mek yu wɛl, i go dipen pan yu kɔndishɔn.

Wetin fɔ ɛkspɛkt if yu gɛt `(Hemopneumothorax)`?

Ɛmopnyumotɔraks na siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm. Yu kin nid fɔ de na ɔspitul fɔ sɔm dez ɔr fɔ lɔng tɛm fɔ si if yu wɛl fayn fayn wan. Bɔt if dɛn no di sik kɔrɛkt wan ɛn trit am kwik, di chans fɔ mek i wɛl kin rili fayn.

כltu, sכm chans de fכ mek `(Hemopneumothorax)` kam bak. So, i bɛtɛ fɔ mek yu kɔntinyu fɔ tɔk to dɔktɔ ɔltɛm ɛn de wach yu lɔng dɛn.

Ustɛm a go ebul fɔ go bak na wokples ɛn skul?

If yu gɛt ɛmopnyumotɔraks, i go dipen pan di tin we mek yu gɛt am ɛn aw yu wɛl kwik, yu nɔ go ebul fɔ go skul, wok, ɔ ɔda tin dɛn fɔ sɔm tɛm. Yu dɔktɔ go tɛl yu ustɛm yu go ebul fɔ du tin dɛn we yu nɔ bin de du.

Yu tink se dɛn kin mek dɛn nɔ gɛt `(Hemopneumothorax)`?

I at fɔ mek di ɛmopnyumotɔraks nɔ apin fɔ sɔm rizin dɛn. Bɔt if yu fala dɛn advays ya, dat go ɛp fɔ mek yu nɔ gɛt bɔku prɔblɛm:

• Wear tin fɔ protɛkt yusɛf we yu de ple spɔt dɛn we gɛt ay impak.
• Ɔltɛm wɛr sit bɛlt we yu de rayd motoka.
• Rimov tin dɛn we go mek yu slip ɛn fɔdɔm na yu os ɛn kip dɛn klin.
• Waka stedi ɛn yuz ken, waka, ɔ stik fɔ mek yu nɔ fɔdɔm.
• Yuz di rayt ikwipmɛnt (lɛk lada, stɔl, ɔ grab tul) we yu de rich oba yu ed. Nɔ ɛva klaym pan chia ɔ tebul.
• If yu de smok, stɔp am.
• Minim ɔ stɔp di aktiviti dɛn we involv big chenj na di prɛshɔn na di briz (lɛk fɔ flay, dip si dayv).

Aw a go tek kia ɔf misɛf (afta dis sityueshɔn)?

I impɔtant fɔ avɔyd fɔ du ɛnitin we go pwɛl ɔ put prɛshɔn pan di lɔng dɛn:

• Fɔ smok.
• Fɔ ɛksesaiz tranga wan, ivin fɔ es yu wet.
• Kɔntakt spɔt.
• Dip si we dɛn de dayv.
• Travul na plen (especially in di early stej, anda medikal advais).

Ustɛm yu fɔ go to dɔktɔ?

Afta dɛn dɔn trit yu, go to yu dɔktɔ fɔ mek dɛn go fala yu. Yu kin gɛt ɔda tɛst bak fɔ si if yu de wɛl fayn fayn wan.

Ustɛm yu fɔ go na di imejensi rum (ETU) ?

If yu gɛt sayn dɛm fɔ `(Hemopneumothorax),` mɔ fɔ mek yu nɔ ebul fɔ blo ɔ yu gɛt siriɔs pen na yu chɛst, go na di imejensi rum we de nia yu kwik kwik wan.Dis nɔto sɔntin we pɔsin fɔ let fɔ.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Na sɔm kwɛstyɔn dɛn wae yu kin aks yu dɔktɔ bɔt dis sik:

• "Dɔkta, aw a go no fɔ shɔ se a gɛt `(Hemopneumothorax)`?"
• "Aw a get dis?"
• "Aw siriɔs dis bi?"
• "Wetin a fɔ du fɔ mek sɔntin lɛk dis nɔ apin igen?"
• "Us tritmɛnt di dɔktɔ rikɔmɛnd fɔ mi?"
• "Aw lɔŋ i go tek mi fɔ wɛl?"
• "A go nid ɔda ɔksijɛn?"
• "A go nid fɔ de na ɔspitul?"
• "Aw lɔŋ te a si di dɔktɔ bak?"

We yu aks dɛn kwɛstyɔn ya, yu go ɔndastand di tin we de apin.

Wetin na di difrεns bitwin `(Nyumothorax)` εn `(Hemopneumothorax)`?

Fɔ tɔk am simpul wan:

• Nyumotɔraks na we yu pleura spɛs ful-ɔp wit briz .
• `(Emopneumothorax)` na di kכmbaynshכn fכ `(nyumothorax)` (air) εn `(hemothorax)` (blכd). dat min se, di briz εn bכdi de na di pleura spεs.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so a op se yu naw gɛt bɛtɛ aidia bɔt di kɔndishɔn we wi bin tɔk bɔt we dɛn kɔl `(Hemopneumothorax)`.

Dis na rili siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm. Bɔku tɛm, i kin kam bikɔs i wund bad bad wan na in chɛst. If yu gɛt sɔm kayn sik lɛk fɔ blo ɛn yu chɛst de pen, yu fɔ rili go na ɔspitul wantɛm wantɛm.

Bɔt nɔr wɔri, if yu no di sik kɔrɛkt wan ɛn trit yu kwik, yu kin wɛl. De tin wae impɔtant pas ɔl na fɔ du tin kwik kwik wan, nɔr fɔ ignore de symptoms. Wi de wish yu ɛn di wan dɛn we yu lɛk fɔ gɛt gud wɛlbɔdi!

` Ɛmopnyumotɔraks, Nyumotɔraks, Ɛmotɔraks, Chɛst pen, I nɔ izi fɔ blo, Lɔng, Aksidɛnt