Wi ɔl de blo ɔltɛm, nɔto so? Bɔt wi kin ɛva tink bɔt aw wi lɔng dɛn kin wok fayn ɛn sef wan insay wi chɛst? Ɛnitɛm we wi de blo, wi lɔng dɛn kin blo ɛn pul wata lɛk balɔ. we dis apin, dεn lכng dεm ya gεt spεshal protεktiv kכva we de εp dεm fכ muv rili sכft εn izi wan we dεn nכ de rכb pan di insay wכl dεm na di chεst. Na dat wi kin kɔl ‘pleura’ na mɛrɛsin. Tide, lɛ wi tɔk bɔt wetin na dis pleura, wetin i de du, ɛn us wɛlbɔdi prɔblɛm i kin kam wit.
Fɔ tɔk am simpul wan, wetin na pleura?
Imajin se yu de fold wan polythene bag insay af. Naw, wetin de hapun hia na laik se yu put oda bol insaid am. di pleura na wan mεmbran bak we rili tכn we lεk fכ fכm wata . I gɛt tu layers.
1. insay layt (Visceral Pleura): Dis na di pat we de rawnd wi lכng dεm, di bכdi we de go to dεm, εn di nεv dεm. I tan lɛk glɔv we de tay pan yu an. Di tin we impɔtant pas ɔl na dat, dis layt nɔ gɛt ɛni nerv we de mek pɔsin fil pen .
2. di כta layεr (Parietal Pleura): dis na di pat we de atak di insay wכl na di chεst, dat na di rib dεm εn di mכsul dεm we de aכsכsiayt dεm. Bɔt i gɛt bɔku bɔku nerv dɛn we de mek pɔsin fil pen . na dat mek we prכblεm de wit di pleura, wi kin fil bad bad chεst pen, biכs dis כta layt de inflamed.
Smɔl ɛmti ples de bitwin dɛn tu layers ya. Wi kin kɔl am di pleura spɛs . insay dis spεs na wan rili tכn layεr fכ wata (pleural fluid) we de wok lεk lכbrik. na bikɔs ɔf dis wata we wi de blo ɛn inflate di lכng dεm, dεn tu layεr dεm ya de slayv rili sכmtεm we dεn nכ de nak dεn wan. Dis tan lɛk we yu put smɔl wata bitwin tu glas dɛn ɛn dɛn kin slayv izi wan.
Fɔ tɔk am simpul wan, di men wok we di pleura de du na fɔ ɛp di lכng dεm fכ εkspכnd εn kכntrikt fri wan we nכ de ambɔg כ frikshכn we wi de brith.
Wetin na di kɔmɔn tin dɛm wae kin afɛkt di pleura?
כnכfכs, dis dilik mεmbran kin afekt difrεn kכndyushכn dεm, we kin mek i at fכ brith εn i kin mek i fil bad bad wan. Lɛ wi luk sɔm pan di tin dɛn we kin apin to pɔsin.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Pleurisy we pɔsin kin gɛt | Dis na we di pleura kin inflam. Dat min se i de swel. Na wan vayral ɔ baktri infɛkshɔn kin kam wit am. dis na we di smol sכft layn we de slip na di pleura de stכp fכ wok, εn di tu layεr dεm de bigin fכ rכb pan dεn wan dεm. Dis kin mek yu gɛt shap pen we yu de chuk we yu de blo ɔ kɔf. |
| Pleural Effusion we de mek pɔsin gɛt wata | di wata we de na di pleura spεs we wi bin tכk bכt na wata we pasmak. Dis wata we nɔmal fɔ rich sɔm ti spɔnj, kin gɛda to sɔm lita. Bɔku rizin dɛn kin de fɔ dis. Dɛn kin si am wit tin dɛm lɛk at sik, nyumonia, ɛn kansa. We di wata gɛda, i de put prɛshɔn pan di lɔng dɛn ɛn mek i nɔ izi fɔ blo. |
| Ɛmotɔraks we de na di bɔdi | dis na we di pleura spεs fulכp wit bכdi. Dis kin apin bikɔs ɔf injuri ɔ aksidɛnt na di chɛst (e.g., motoka aksidɛnt, wund we dɛn chuk am). Di blɔd kin bɔku ɛn put prɛshɔn pan di lɔng dɛn, ɛn dis kin mek i nɔ izi fɔ blo. |
| Nyumotɔraks we de na di bɔdi | dis na di we aw di briz de go insay di pleura spεs. Dis kin apin bikɔs ɔf wan ol na di lɔng ɔ di chɛst wɔl. I kin apin bak as a rizulta fɔ aksidɛnt, ɔr sɔmtɛm fɔ nɔr rizin at ɔl (especially pan yɔŋ, lɔng, tin pipul dɛm wae de smok). We di briz gɛda, di lɔng kin fɔdɔm. |
| Pleural Mesothelioma we gɛt di sik | Dis na sɔm kayn siriɔs sik. Na kansa kכndyushכn we de apin na di pleura. Di men tin we kin mek dis apin na we pɔsin kin gɛt wan kemikal we dɛn kɔl asbest fɔ lɔng tɛm. |
Wetin na di sayn dɛm we de sho se di pleura dɔn pwɛl?
Imajin se wan bɔl we de muv fast fast nak yu na yu chɛst we yu de ple kriket, ɔ yu fɔdɔm frɔm baysikul. Dis kin pwɛl di pleura. Bɔrku men sayn dɛm de wae yu go gɛt:
- Shap pen na yu chɛst:Dis na di men sayn we de sho se yu gɛt dis sik. Dis pen kin tranga mɔ we yu de blo dip, we yu de kɔf, ɔ we yu de sniz . Bɔku pipul dɛn kin tɔk bɔt am se i kin fil lɛk se sɔmbɔdi de chuk dɛn na dɛn chɛst wit nɛf.
- Dispnea: Wae yu nɔr kin ebul fɔ blo fayn, wae yu kin fil lɛk yu swɛla, kin apin wae di lɔng dɛn nɔr kin ebul fɔ blo fayn fayn wan.
- Brith fast ɛn shɔt: Bikɔs yu nɔ kin ebul fɔ tek dip briz bikɔs ɔf di pen, yu brith rit kin go ɔp ɛn yu kin tek shɔt briz.
- Kɔf: Sɔm pipul dɛn kin gɛt dray kɔf bak.
Di tin we impɔtant pas ɔl na dat, if yu gɛt siriɔs pen na yu chɛst ɛn i nɔ izi fɔ yu fɔ blo lɛk dis afta yu dɔn wund yu chɛst, nɔ ignore am. I kin bi sayn fɔ se pɔsin gɛt siriɔs sik.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te .
- Wan shap pen na in chɛst we pɔsin nɔ go ebul fɔ bia.
- I rili at fɔ blo.
- Blu lip ɔ skin (dis min se di bɔdi nɔ de gɛt inof ɔksijɛn).
- We yu de swet pasmak ɛn yu de fɔdɔm.
Aw dɔktɔ dɛn kin no bɔt dɛn sik ya?
We yu go to dɔktɔ, i go aks yu bɔt yu sik dɛn ɛn lisin to yu chɛst wit stetɔskɔp. If prɔblɛm de wit di pleura, sɔntɛnde yu kin yɛri di pleura rɔb. Apat frɔm dat, i kin du bɔku tɛst dɛn fɔ no di rayt sik.
- di chεst εks-ray: Dis kin chεk fכ fכs wata כ di briz we de kכmכt na di pleura spεs, כ fכ di lכng kolכpshכn.
- CT Scan ɛn Ultrasound Scan: Dɛn tin ya de gi klia, mɔ ditayli pikchɔ pas ɛkstrem rayt. Dɛn kin ɛp fɔ no di rayt say we di prɔblɛm de.
- Thoracentesis: dis involv fכ yuz wan rili fayn nidul fכ pul sכm sכm sεmpl fכ wata frכm di pleura spεs εn sεnd am to labכtכri fכ tεst. Dis kin ɛp fɔ no tin dɛm lɛk infɛkshɔn ɛn di prɛzɛns fɔ kansa sɛl dɛm.
- Thoracoscopy: Dis na fɔ pas wan smɔl tiub we gɛt kamɛra insay di chɛst fɔ si di pleura ɛn di lɔng dɛn frɔm insay. dis prosidur dεn kin yus bak fכ tek tisu sεmpl (bayopsi) if nid de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan yu sik ɛn aw i siriɔs.
- Di kayn mɛrɛsin dɛn we dɛn kin yuz:If infekshɔn de, dɛn go gi am antibayɔtik ɔ ɔda mɛrɛsin fɔ trit am. Dɛn go gi dɛn mɛrɛsin fɔ mɛn di pen fɔ kɔntrol di pen.
- Fɔ gi ɔksijɛn: If i nɔ izi fɔ blo, dɛn kin gi ɔksijɛn.
- Fɔ pul wata ɔ briz: If bɔku wata ɔ briz dɔn gɛda na di pleura spɛs, dɛn kin put nidul ɔ smɔl tiub (chɛst tyub) fɔ pul am.
- Ɔpreshɔn: Sɔntɛnde, i kin nid fɔ du ɔpreshɔn, mɔ if di briz de ful-ɔp bɔku tɛm ɔ ɔda prɔblɛm dɛn de.
- Kansa tritmɛnt: If di sik na kansa, dɛn kin advays fɔ tek sɔm patikyula tritmɛnt dɛn lɛk redyushɔn tɛrapi ɛn kemotɛrapi.
Wetin wi kin du fɔ mek wi pleura gɛt wɛlbɔdi?
Pan ɔl we wi nɔ go ebul fɔ protɛkt wisɛf frɔm ɛni sik, bɔku tin dɛn de we wi kin du fɔ mek wi nɔ gɛt bɔku prɔblɛm.
- Nɔ smok ɔltogɛda: Smok na big ɛnimi fɔ di lɔng dɛn ɛn bak di pleura. Smok na big tin we kin mek pɔsin gɛt sik lɛk nyumotɔraks.
- Protɛkt yusɛf frɔm aksidɛnt: Wear sit bɛlt ɛnitɛm we yu de insay motoka. Yuz di klos ɛn tin dɛn we yu nid fɔ protɛkt yusɛf we yu de ple spɔt (espɛshali rɔgbi ɛn futbɔl).
- Nɔ gɛt infɛkshɔn: Was yu an fayn fayn wan wit sop ɛn wata ɔltɛm. Dis kin ɛp fɔ protɛkt yu frɔm bɔku infɛkshɔn dɛn we de na di say we yu de blo.
- Stay away from asbestos: Yu kin si am na ol bildin dɛn we dɛn de pwɛl ɛn na sɔm faktri dɛn. Nɔ de nia dɛn kayn tin dɛn de.
Yu pleura tan lɛk di silent hiro na di respiratory system. Wi kin jɔs no di valyu we i gɛt we prɔblɛm de wit am. Na dat mek i rili impɔtant fɔ tek kia ɔf am bak.
Mɛsej we dɛn kin kɛr go na os
- di pleura na tu layεr protεktiv mεmbran we de rawnd di lכng dεm.
- Shap chɛst pen ɛn prɔblɛm fɔ blo we yu de blo ɔ kɔf kin bi di men sayn dɛm fɔ pleura prɔblɛm.
- Di pleura kin pwɛl bikɔs ɔf injury na di chɛst, infεkshɔn, ɛn sɔm mεdikal kכndyushכn dεm.
- If yu gɛt ɛni wan pan dɛn sik ya, mɔ afta yu gɛt aksidɛnt, nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm .
- Fɔ avɔyd fɔ smok ɛn fɔ protɛkt yusɛf frɔm aksidɛnt kin go fa fɔ mek di pleura gɛt wɛlbɔdi.
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