Yu tink se di say we de na di chɛst ful-ɔp wit blɔd? Lɛ wi lan bɔt ɛmotɔraks!

Yu dɔn ɛva gɛt bad bad blo na yu chɛst, ɔ aksidɛnt, ɛn wantɛm wantɛm i nɔ izi fɔ yu fɔ blo, yu chɛst de pen, ɛn yu fil se yu de fred? If na so, di tin we kin mek i apin kin bi we blɔd de gɛda na di chɛst. Tide wi go tɔk bɔt dis kayn siriɔs, bɔt we pɔsin kin trit. Dɛn kɔl dis ɛmotɔraks insay mɛdikal sayɛns.

Fɔ tɔk am simpul wan, wetin na ɛmotɔraks?

Tink bɔt am, yu lɔng dɛn de insay yu chɛst, nɔto so? εmothorax na di bכdi we de kכmכt na di pleura spεs, di spεs bitwin yu lכng dεm εn di insay wכl na yu chεst kεviti. Dis na siriɔs kɔndishɔn. If dɛn nɔ trit dis blɔd, i go kɔntinyu fɔ gɛda ɛn put bɔku prɛshɔn na di ɔdasay na yu lɔng. Dis go mek yu lכng dεm nכ inflate fayn fayn wan, we min se dεn nכ go ebul fכ wok fayn fayn wan.

If yu gɛt sayn dɛn fɔ ɛmotɔraks, mɔ if yu gɛt prɔblɛm fɔ blo afta yu dɔn wund yu chɛst, yu fɔ rili go to dɔktɔ wantɛm wantɛm.

Aw dis kin apin? Wetin na di impɔtant tin bɔt di pleura spɛs?

fכ כndastand aw εmothorax de apin, lε wi fכs luk wetin di pleura spεs de du. I rili simpul. di pleura spεs de εp fכ rεgεl di prεshכn insay εn rawnd di lכng dεm we wi de brith. i nכmal fכ gεt wan rili tכn layεr fכ wata we dεn kכl pleura fכluid. dis pleura fluid de εp di tisu we de kכba yu lכng dεm (dεn kכl am pleura) εn di insay chεst wכl fכ muv fayn fayn wan we yu de brith. I tan lɛk smɔl ɔyl we de mek di pat dɛn na di mashin de muv fayn fayn wan.

So, bikɔs ɔf injuri na di chɛst, aksidɛnt, ɔpreshɔn, ɔ ɔda mɛrɛsin, blɔd kin go insay di pleura spɛs ɛn miks wit di pleura fluid. Na da tɛm de ɛmotɔraks kin apin.

Aw dis sik kin kɔmɔn?

Ɛmotɔraks nɔ kin rili bɔku lɛk aw yu kin tink. Ɛspɛshali we yu kɔmpia am to injury na in chɛst. Fɔ ɛgzampul, masta sabi bukman dɛn se na Amɛrika nɔmɔ, na lɛk 300,000 pipul dɛn kin gɛt ɛmotɔraks ɛvri ia. So, wi kin si plenti dis kain kes fo wi kontri tu.

Wetin na di sayn dɛm we de sho se pɔsin gɛt Ɛmotɔraks?

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, yu fɔ wɔri:

• I nɔ kin izi fɔ yu fɔ blo (dɔktɔ dɛn kin kɔl dis ``Dyspnea'') .
• Fɔ brith kwik kwik wan (lɛk fɔ pant - `(Hyperventilation)`)
• Di at we de blo
• Chest pen (dis kin bi wan wan, shap pen) .
• Lɔw blɔd prɛshɔn (Hypotension) .
• Fɔ fil se yu nɔ gɛt rɛst
• Fɔ wɔri, we min se yu de fil fɔ fred we yu nɔ nid
• Fiva (sɔntɛnde) .

If i siriɔs, ɛmotɔraks kin ivin mek pɔsin day. So, e fayn fɔ no bɔt dɛn kayn sik ya.

Wetin na di men tin dɛn we kin mek pɔsin gɛt ɛmotɔraks?

De men tin wae kin mek dis sik na big big aksidɛnt, injury, ɛn ɔpreshɔn na in chɛst. Fɔ ɛgzampul, if dɛn nak di chɛst pan motoka aksidɛnt, if i fɔdɔm frɔm ayt, ɔ if sɔntin we shap stɔp na di chɛst, dis kin apin. Apat frɔm dat, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Blɔd klɔt disɔda (sik we di blɔd nɔ kin klɔt izi wan) .
• Kansa na di lɔng
• Pleural mesothelioma (na wan kayn kansa we kin apin na di pleura) .
• Pulmonary infarction (we dɛn kɔt di blɔd we de go na wan pat pan di lɔng) .
• Inklud ɔpreshɔn pan di tɔraks , ɔpreshɔn fɔ di at.
• Sɔntɛnde, di blɔd vesel kin pwɛl we dɛn put wan sɛntral venɔs kateta insay wan big vein.
• Di sik dɛm we de na di jɛnɛtiks we kin afɛkt di kɔnektiv tisu dɛm, lɛk Ehlers-Danlos syndrome .
• Tubakulosis (dis kin bi bak wan kɔz sɔmtɛm) .

Udat de pan denja fɔ gɛt dis?

Ɛnibɔdi kin gɛt ɛmotɔraks, mɔ if trauma de na in chɛst. Bɔt sɔm pipul dɛn kin gɛt smɔl prɔblɛm:

• Pipul dɛm wae dɔn du ɔpreshɔn pan dɛn chɛst: Dis risk kin de afta ɛni ɔpreshɔn wae gɛt fɔ du wit dɛn lɔng ɔr chɛst, fɔ ɛgzampul, opin at ɔpreshɔn ɔr lɔng transplant.
• Pipul dɛn we kin ple spɔt ɔ tin dɛn we kin mek dɛn gɛt injury na dɛn chɛst bɔku tɛm: Pipul dɛn we kin ple spɔt lɛk futbɔl, ɔki, wetliftin, bɔksin, martial arts lɛk karate, ɛn rɛslɛshɔn kin gɛt bɔku blo dɛn na dɛn chɛst. So, dɛnsɛf de pan ay risk.

Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?

Ɛmotɔraks kin mek ɔda prɔblɛm dɛn bak na di bɔdi. Dɛn tin ya na:

• I nɔ kin izi fɔ yu fɔ blo ɔ we yu nɔ kin ebul fɔ blo yusɛf (dɛn kɔl dis `(Respiratory failure)`)
• Hypovolemic shock : Dis na shok kכndyushכn we de kכz fכ bכku bכku bכdi we de kכmכt na di bכdi.
• Empyema : Dis na wan kכlekshכn fכ di pus na di pleura spεs. Dis kin apin if infekshɔn apin usay di blɔd dɔn gɛda.
• Ska we de na di pleura tisu ɔ di lכng tisu.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Na dɔktɔ nɔmɔ go ebul fɔ no kɔrɛkt wan se i gɛt ɛmotɔraks. Fɔs, i go chɛk yu.I go du wan ɛgzam pan in bɔdi. Dɔn i go lisin to yu lɔng dɛn wit stetɔskɔp (auscultation). Dɔn i go ebul fɔ no ɛni abnɔmal sawnd we de kɔmɔt na di lɔng we di sik afɛkt. I go ɔda bak fɔ mek dɛn du sɔm ɔda tɛst dɛn fɔ mek dɛn no se i gɛt di sik.

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

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

• di chεst εks -ray: dis kin chεk fכ blכd we de kכmכt na di pleura spεs.
• CT scan : Dis kin mek yu si di insay pat pan di chɛst klia wan. I kin chɛk bak fɔ ɛni blɔd we dɔn rɔtin ɔ ɔda tin we dɔn pwɛl.
• Thoracentesis : Dis na rili tɛst ɛn bak na tritmɛnt. dεn de yuz tכn nidul fכ tek sεmpl fכ wata frכm di pleura spεs. Dɛn kin yuz dis fɔ chɛk if na blɔd ɔ ɔda tin.

Okay, naw mek wi si wetin na di tritmɛnt dɛm fɔ dis.

Dɛn kin trit ɛmotɔraks bay we dɛn de pul blɔd na di pleura spɛs.

Fɔs, if i nɔ izi fɔ yu fɔ blo, dɛn go gi yu ɔksijɛn tɛrapi. If di sik bad, yu kin nid fɔ gi yu mashin fɔ mek yu blo.

Dɔn, i go dipen pan aw di ɛmotɔraks bad, dɔktɔ dɛn go du wan pan dɛn tin ya:

• Thoracentesis: dεn kin put wan tin nidul bitwin di rib dεm fכ pul sכm bכdi na di pleura spεs. Dɛn kin du dis if di blɔd smɔl.
• di chεst tyub we dεn de put (Toracostomy): dεn de put big tiub (chεst tyub) tru di rib dεm insay di pleura spεs fכ drεn eni bכdi we dεn gεt. Dis tiub kin nid fɔ lɛf na in ples fɔ sɔm dez.
• Thoracotomy: Sɔntɛnde, if blɔd kɔntinyu pan ɔl we dɛn put tiub fɔ pul di blɔd, ɔ if dɛn nid fɔ no wetin mek di blɔd kɔmɔt ɛn trit am, dɔktɔ we de du ɔpreshɔn go kɔt di chɛst, i go ebul fɔ go na di lɔng we di blɔd afɛkt, ɛn du di tritmɛnt we i nid.

If yu dɔn lɔs bɔku blɔd, yu go nid bak fɔ tek blɔd.

Yu tink se ɛvri ɛmotɔraks nid fɔ gɛt chɛst tyub?

Nɔ, nɔto ɔl di ɛmotɔraks tritmɛnt dɛn nid fɔ gɛt chɛst tyub. if sכm bכdi de (`Minor hemothorax`), i kin pכsibul fכ pul sכm pan di bכdi tru wan sכmכl nidul (`Thoracentesis`).

Ɛni prɔblɛm de wit dɛn tritmɛnt ya?

Yɛs, jɔs lɛk ɛni ɔda tritmɛnt, sɔm prɔblɛm dɛn de we kin apin we pɔsin gɛt ɛmotɔraks. Dɛn tin ya na:

• Prɔblɛm dɛn we gɛt fɔ du wit anestezi (if dɛn du ɔpreshɔn).
• Pen.
• Blɔd we de kɔmɔt.
• Infεkshכn, lεk nyumonia.
• Ɛdima we de na di pulmonari.

Bɔt nɔ wɔri, dɔktɔ dɛn de du dɛn bɛst fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Di tɛm we yu go wɛl kin dipen pan wetin mek yu gɛt ɛmotɔraks ɛn us tritmɛnt yu bin gɛt. If dɛn put yu chɛst tyub ɔ dɛn du ɔpreshɔn pan yu, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt we yu de wɛl ɛn ustɛm yu kin go bak to nɔmal tin dɛn, wok, ɔ skul.

Wetin fɔ ɛkspɛkt if yu gɛt ɛmotɔraks?

Ɛmotɔraks 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. We yu de na ɔspitul, dɔktɔ dɛn kin wach yu ɛn gi yu ɔksijɛn if nid de.

Bɔt, mɛmba se if dɛn no di sik kɔrɛkt wan ɛn trit dɛn kwik kwik wan, bɔku pipul dɛn kin wɛl ful wan ɛn dɛn nɔ kin gɛt ɛni prɔblɛm fɔ lɔng tɛm.

Aw dɛn go ebul fɔ ridyus dis prɔblɛm?

Wi nɔ go ebul fɔ stɔp sɔm tin dɛn we kin mek pɔsin gɛt ɛmotɔraks. Bɔt wi kin du dɛn tin ya fɔ ridyus di risk fɔ gɛt ɛmotɔraks bikɔs ɔf trauma ɔ injuri na in chɛst:

• Wear tin fɔ protɛkt yusɛf we yu de ple spɔt ɔ tin dɛn we go mek yu gɛt injury na yu chɛst.
• Ɔltɛm wɛr yu sit bɛlt we yu de rayd insay di motoka.
• We yu de pik sɔntin frɔm ɔp, nɔ klaym pan chia ɔ tebul, yuz fayn tin, ɔ aks pɔsin fɔ ɛp am.
• If i nɔ izi fɔ yu fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz ken, waka, ɔ stik.

Aw a fɔ kia fɔ misɛf we a de wɛl?

Wae yu de wɛl frɔm ɛmotɔraks, i bɛtɛ fɔ de fa frɔm tin dɛm wae kin pwɛl ɔ put prɛshɔn pan yu lɔng dɛm. Fɔ ɛgzampul:

• Nɔ smok.
• Nɔ du ɛksashɔn dɛn we tranga lɛk fɔ es ebi ebi ɛn fɔ bɛn ebi ebi.
• Stay away frɔm kɔntakt spɔt fɔ sɔm tɛm.
• Nɔ du tin dɛn lɛk skuba dayv ɔ dayv insay dip si.
• Travul na plen (i bεst fɔ go to dɔktɔ bɔt dis bak).

Ustɛm a fɔ go to mi dɔktɔ bak?

Mek shɔ se yu go na ɔl di fɔlɔp apɔntinmɛnt dɛn we yu dɔktɔ ɔda. Dis go mek i ebul fɔ si if yu de wɛl lɛk aw dɛn bin de tink ɛn fɔ du ɔda tɛst (e.g. X-ray) if nid de.

Ustɛm a fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If i nɔ izi fɔ yu fɔ blo wantɛm wantɛm ɔ yu gɛt pen na yu chɛst we yu nɔ go ebul fɔ bia, go na imejensi rum kwik kwik wan. Nɔ west tɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:

• Aw yu go no if a gɛt ɛmotɔraks?
• Aw siriɔs mi ɛmotɔraks de?
• Ɛnitin de we a go du fɔ mek dis nɔ apin igen?
• Us tritmɛnt yu kin advays?
• Aw lɔng i go tek fɔ mek a wɛl?
• A go nid ɔda ɔksijɛn?
• A go gɛt fɔ de na di ɔspitul?

Yu tink se Ɛmotɔraks kin mek pɔsin in layf pan denja?

I dipen pan aw yu ɛmotɔraks siriɔs ɛn aw lɔng i kin tek fɔ stɔp di blɔd. Smɔl smɔl ɛmotɔraks kes dɛm kin wɛl witout ɛni risk ɔ kɔmplikeshɔn. Bɔt di sik dɛn we gɛt siriɔs ɛmotɔraks kin kil pɔsin if dɛn nɔ trit am kwik.

Wetin na di difrɛns bitwin Ɛmotɔraks ɛn Nyumotɔraks?

Nɔ kɔnfyus di tu.

• Ɛmotɔraks na di blɔd we de gɛda na di pleura spɛs.
• Nyumothorax na wan kכndyushכn we di briz de go insay di pleura spεs εn put prεshכn pan di lכng, we de mek i kכlכp kכmplit כ pat. dis dεn kin kכmכn fכ kכl dis bak "kכlaps lכng".

Yu tink se ɛmotɔraks na lɔng we dɔn fɔdɔm?

Nɔ, ɛmotɔraks ɛn lɔng fɔdɔm na tu difrɛn tin dɛn. Wan ɔda nem fɔ di lɔng we pɔsin kin fɔdɔm na nyumotɔraks. Bɔt, ɛmotɔraks kin mek bak prɛshɔn pan di lɔng ɛn mek i fɔdɔm.

Wetin na di difrɛns bitwin Ɛmothorax ɛn Pleural Effusion?

• di pleura efyush כn na di akyumyuleshכn fכ εksyכs fכ fכm na di pleura spεs. nכmal wan, big man gεt 5-10 mililita (lεk 1-2 ti spɔnj) pan dis wata na wan say na di pleura spεs. if dis amount inkri, dεn kכl am pleural effusion.
• Ɛmotɔraks na di blɔd we de gɛda na di pleura spɛs.

Fɔ tɔk am simpul wan, ɛmotɔraks na wan kayn pleura effusion, bɔt i gɛt fɔ du wit blɔd.

If yu gɛt sɔm sayn dɛn we gɛt fɔ du wit pen na yu chɛst ɔ yu nɔ kin ebul fɔ blo, go to dɔktɔ wantɛm wantɛm.Dɔktɔ kin no if yu gɛt ɛmotɔraks, fɛn di tin we mek yu gɛt am, ɛn gi yu di tritmɛnt we go wok fayn pas ɔl.

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

Wel, wi don tok plenti boht Hemothorax tide. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:

• εmothorax na di bכdi we de kכmכt na di kכva we de rawnd di lכng dεm.
• Di men tin dɛn we kin mek dis apin na aksidɛnt, wund, ɛn ɔpreshɔn na in chɛst.
• Sɔm kayn sik lɛk wae yu nɔr kin ebul fɔ blo fayn, yu chɛst kin pen, ɛn yu at kin bit kwik kwik wan .
• Dis kin bi siriɔs sik, so if yu gɛt sɔm sayn dɛn, yu fɔ go to dɔktɔ wantɛm wantɛm.
• Di tritmɛnt na fɔ transfyushɔn blɔd, ɔksijɛn, ɛn sɔntɛm ɔpreshɔn .
• If dɛn trit yu kwik kwik wan, yu kin wɛl ɔltogɛda.
• Dis risk kin ridyus if yu protɛkt yusɛf frɔm aksidɛnt.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ ɔ nɔs. Stay wit wɛlbɔdi!

` Ɛmotɔraks, blɔd we de ful-ɔp di chɛst, pleura spɛs, i nɔ izi fɔ blo, di chɛst de pen, di chɛst tyub, sik we de mek pɔsin nɔ ebul fɔ blo