Yu chɛst de fil tayt? Mek wi lan bɔt nyumomediastinum!

Yu dɔn ɛva gɛt pen wantɛm wantɛm na yu chɛst ɛn i nɔ izi fɔ yu fɔ blo? Ɔ yu dɔn si wantɛm wantɛm se yu nɛk ɔ yu fes swel? Sɔntɛm dɛn kɔl di sik we wi de tɔk bɔt tide nyumomediastinum. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin rili na nyumomediastinum?

Fɔ tɔk am simpul wan, nyumomediastinum na di briz we de gɛda na di say we de bitwin yu lɔng dɛn, usay yu at de. Insay mɛrɛsin, wi kin kɔl dis spɛs di midiastinum. I tan lɛk balyɔn we de ful-ɔp wit briz, ɛn i kin apin we briz lik insay dis ples we dɛn kɔl di midiastinum.

Bɔku tɛm, dis kin apin afta aksidɛnt, sik, ɔ ɔpreshɔn. Insεf, dis kכndyushכn, we dεn kכl nyumomediastinum, kin lεk se i nכ de du bad. Bɔt sɔntɛnde, di tin we kin mek pɔsin gɛt dis sik kin rili siriɔs. Na dat mek i impɔtant fɔ no bɔt am. Sɔm pipul dɛn kin kɔl am bak "mediastinal emphysema."

Yu tink se kayn tin dɛn de we kin apin to dis?

Yɛs, tu kayn dɛn de mɔ:

1. Spontaneous Pneumomediastinum (SPM): Insay dis, di briz kin gɛda we nɔ gɛt ɛni klia kɔz, injuri, ɔ sik. Sɔntɛnde, dɛn nɔ kin ivin no di tin we mek i apin.

2. Sɛkɔndari Nyumomediastinum: Dis kin kam bikɔs ɔf sɔntin lɛk aksidɛnt, sik, ɔ ɔpreshɔn.

Aw kɔmɔn tin na nyumomediastinum?

Dis na rili kɔmɔn sik. Akɔdin to masta sabi pipul dɛm, dis sik kin afɛkt lɛk wan pan ɛvri 25,000 pipul dɛm wae ol bitwin 5 ɛn 34. Dis na di ej grup wae kin gɛt SPM mɔr.

Dis na imejensi? A fɔ wɔri?

Na dis na sɔntin we wi nid fɔ ɔndastand gud gud wan.

• If yu gɛt spontaneous pneumomediastinum (SPM) , we min se i kin apin we nɔ gɛt klia kɔz, bɔku tɛm i nɔ kin bi imejensi.
• Bɔt if yu mɛdiastinum ful-ɔp wit briz bikɔs ɔf aksidɛnt ɔ sik (sɛkɔndari tayp), i nid fɔ trit am kwik.

Di tin we impɔtant pas ɔl: If yu gɛt pen na yu chɛst ɛn i nɔ kin izi fɔ yu fɔ blo, dat kin bi sayn fɔ se yu gɛt siriɔs sik we go mek yu layf de pan denja. So, if yu si dɛn kayn sik ya, go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm.

Wetin na di difrɛns bitwin nyumomediastinum ɛn nyumothorax?

Dɛn tu tin ya kin mek pɔsin kɔnfyus smɔl.

• Nyumotɔraks we de na di bɔdiDis min se wan pan yu lɔng dɛn dɔn fɔdɔm. dis kin apin we di briz fulכp bitwin di lכng εn di chεst wכl. Di prɛshɔn we da briz de prɛs de mek di lɔng fɔdɔm.
• nyumomediastinum na di akyumuleshכn fכ di briz na di spεs bitwin di lכng dεm (di mεdiεstinum).

Fɔ tɔk am simpul wan, insay nyumotɔraks, di briz de rawnd di lɔng, ɛn insay nyumomediastinum, di briz de bitwin di lɔng dɛn. Dɔn gɛt am?

Wetin na di sayn dɛm fɔ dis? Si if yu gɛt dɛn tin ya bak

Nɔto ɔlman kin gɛt dis sik, bɔt di sayn dɛm wae kin kam pan pɔrsin na:

• Shap pen na di midul pan di chɛst ɔ nia di brɔst bon. Dis pen kin spre to di an ɔr nɛk. Dis pen kin bɔku bak we yu de blo ɔ swɛla. Imajin am, lɛk se sɔmbɔdi de swɛt yu chɛst.
• Shot we yu de blo.
• Subcutaneous emphysema na wan kכndyushכn we di briz bכbul dεm de fil lεk se dεn de כnda di skin na di fes, nεk, כ chεst. i kin fil lεk se sכm sכm bכl dεm de כnda di skin, εn i kin mek "squeaky" sawnd we yu prεs am wit finga.
• Di nɛk ɔ fes kin swel.
• Voys kin chenj, fɔ ɛgzampul, di vɔys kin bi ay-pitch.

Sɔm pipul kin gɛt nyumomediastinum wae nɔr gɛt ɛni wan pan dɛn sik ya.

Wetin mek dis de apin? Wetin na di rizin dɛn?

di nyumomediastinum kin kכz fכ di damej pan wan כgan כ strכkchכ insay yu bכdi, we kin mek di briz lik insay di mεdiastinum. Sɔm ɛgzampul dɛn bɔt dis na:

• Yu briz paip (trachea) ɔ bronchi (bronchi) .
• Alveoli (smɔl smɔl ay sak dɛn na di lɔng) .
• di tכb we de kכmכt na di trot to di bεlε, dat na di εsophagus (`Esophagus`) .
• Intestinal dɛn

di briz de lik insay di midiastinum frכm wan ples lεk dis.

Spontaneous pneumomediastinum (SPM) kin bi bak bay ɛnitin we de mek di prɛshɔn insay yu chɛst go ɔp wantɛm wantɛm (pan ɔl we dis nɔ kin apin sote). Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn ɛni rizin atɔl.

Sɔm patikyula rizin dɛn kin bi:

• Siriɔs trauma na di chɛst , lɛk motoka aksidɛnt.
• Ɔpreshɔn.
• di sכm sכm εya sak dεm (alveoli) na di lכng dεm de bכs.
• wan perforeshכn כ tear na di aywe כ dijestiv trakt (Gastrointestinal tract כ GI tract).
• Baktri, fɛns, ɔ vayral infɛkshɔn.
• Tin dɛn we kin mek yu chɛst prɛshɔn go ɔp wantɛm wantɛm, lɛk fɔ kɔf, fɔ snis, ɔ fɔ vɔmit . Imajin, sɔm pipul dɛn kin ivin gɛt dis sik we dɛn de kɔf lawd wan.
• Straining wen yu de go na toilet.
• Fɔ push we yu de bɔn pikin.
• Fɔ blo drɔgs lɛk kɔkɛyn ɔ marijuana.
• Scuba diving we dɛn kin yuz fɔ dayvɔs.
• Mekanikal ventilashɔn.

Udat de pan big risk fɔ gɛt dis sik?

Yu kin gɛt bɔrku risk fɔ gɛt dis sik if yu:

• If yu na pɔsin we de smok.
• If yu gɛt sik dɛn na yu lɔng lɛk asma ɔ COPD (Chronic Obstructive Pulmonary Disease).
• If yu na pɔsin we de yuz drɔgs we yu kin inhal fɔ ɛnjɔy yusɛf.
• If dɛn jɔs dɔn du ɔpreshɔn pan yu bɛlɛ, nɛk, ɔ chɛst.
• If yu jɔs bɔn pikin.

Nyumomediastinum kin mek yu gɛt prɔblɛm?

Di prɔblɛm dɛn we kin kam wit dis sik nɔ kin bɔku, bɔt dɛn kin mek pɔsin in layf de pan denja ɛn i kin nid fɔ gɛt tritmɛnt kwik kwik wan. Dɛn kayn prɔblɛm dɛn ya na:

• di briz we de kכmכt kin mek prεshכn rawnd di lכng dεm εn mek wan lכng kכllaps (nyumothorax).
• di briz kin muv frכm di mεdiastinum go na di spεs bitwin di pεrikardium εn di at. Dɛn kɔl dis nyumopɛrikardium .
• If bɔku bɔku briz gɛda, i kin mek prɛshɔn pan tin dɛn we de insay di chɛst, lɛk di at ɛn di big blɔd vesel dɛn. If dis apin, dɛn nɔ kin wok fayn.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

Bɔku tɛm, dɔktɔ kin no if i gɛt nyumomediastinum wit ɛkstrem rayt na in chɛst ɔ CT skan (Computed Tomography scan), we kin tek pikchɔ dɛn we de insay di chɛst.

we di dכkta de lisin to yu hat εn yu lכng dεm wit stεtoskop, if i yεri "krכnch" sawnd na di ritm we yu at de bit, dat na sayn bak se briz de na di mεdiastinum (Hamman in sayn). Dɔn, dɛn kin ɔda fɔ du tɛst lɛk ɛkstrem rayt ɛn CT skan.

Wetin na di tritmɛnt dɛm fɔ dis?

Di gud nyus na dat, bɔrku pan di kes dɛm wae gɛt nyumomediastinum nɔr nid ɛni patikyula tritmɛnt. If i nɔ bad, yu bɔdi go klin di briz smɔl smɔl fɔ insɛf. Ɔksijɛn tritmɛnt kin ɛp fɔ mek di prɔses go kwik.

Bɔt if yu gɛt ɔda ɔndalayn wɛlbɔdi prɔblɛm (e.g., infɛkshɔn, damej pan wan insay ɔgan), yu dɔktɔ go trit da sik de.

Tritmɛnt if dɛn put am na ɔspitul:

Sɔntɛnde, yu dɔktɔ kin kip yu na ɔspitul fɔ mek dɛn wach yu ɔ fɔ mek dɛn trit yu fɔ 24 dez ɔ mɔ. Insay dis tɛm, yu kin gɛt tritmɛnt dɛn lɛk:

• Ɔksijɛn tɛrapi: We yu blo ɛkstra ɔksijɛn, dat kin ɛp di bɔdi fɔ tek di briz kwik kwik wan.
• Mɛrɛsin: Dɛn kin gi mɛrɛsin lɛk pen kil ɛn kɔf fɔ kɔntrol di sik dɛn te di bɔdi tek di ɛkstra briz.
• Nidul aspireshɔn: Dis na tin we nɔ kin apin so ɔltɛm . Na if di briz dɔn gɛda te i de put siriɔs prɛshɔn pan di strɔkchɔ dɛn we de insay di bɔdi, na in dɔktɔ go put nidul fɔ pul sɔm pan di briz, ɔ dɛn go put smɔl tiub (dreyn).

Yu tink se nyumomediastinum kin kil pɔsin?

Nyumomediastinum insɛf nɔ de kil pɔsin. Bɔt sɔntɛnde, i kin kam wit ɔda siriɔs wɛlbɔdi prɔblɛm dɛn we kin mek pɔsin in layf de pan denja. Yu dɔktɔ go fɛn wetin mek di briz de bɔku ɛn trit am if nid de.

We dɛn de fɔ mek dis nɔ apin?

Bikɔs dis na tin we nɔ kin apin so ɔltɛm ɛn di wan dɛn we de du risach nɔ stil ɔndastand ɔl di tin dɛn we kin mek i apin ɛn di tin dɛn we kin mek i gɛt dis sik, no patikyula we nɔ de fɔ mek i nɔ apin. Nɔ smok ɛn nɔ yuz inhalant kin ɛp fɔ ridyus yu risk.

Aw lɔng i go tek fɔ mek i wɛl?

• Pipul wae gɛt spontaneous pneumomediastinum (SPM) kin de na ɔspitul fɔ lɛk tri dez, bɔt sɔmtɛm dɛn kin gɛt fɔ de fɔ wan wik ɔr mɔr.
• Pipul wae gɛt nyumomediastinum bikɔs ɔf wan ɔndalayn kɔz (sɛkɔndari tayp) kin nid fɔ de na ɔspitul fɔ sɔm wiks, i kin dipen pan aw di ɔndalayn kɔndishɔn siriɔs.

Yu tink se dis kin mɛn kpatakpata?

• Spontaneous pneumomediastinum (SPM) kin ɔltɛm sɔlv fɔ insɛf we i nɔ gɛt ɛni tritmɛnt. If nɔto ɔndalayn wɛlbɔdi kɔndishɔn de, di risk fɔ mek i kam bak nɔ kin bɔku.
• Sɔmtɛm dɛn kin trit de ɔndalayn wɛl bɔdi prɔblɛm wae mek dis sik.

So, wetin go apin tumara bambay? (Autluk) .

Yu fiuja dipen pan wetin mek di briz gɛda na yu midiastinum.

• Pipul wae gɛt spontaneous pneumomediastinum (SPM) kin wɛl ɔltogɛda, ɛn nɔr kin bɔrku fɔ kam bak.
• If yu gɛt sɛkɔndari nyumomediastinum , yu wɛl bɔdi go dipen pan aw yu ɔndalayn kɔndishɔn siriɔs. Sɔmtɛm, di ɔndalayn kɔndishɔn dɛm wae kin mek yu gɛt nyumomediastinum kin kil yu.

Ustɛm yu fɔ go to dɔktɔ?

If yu chɛst nɔ de fil fayn, yu fes de swel, ɔ yu vɔys chenj wantɛm wantɛm, mɔ if yu jɔs dɔn ɔpreshɔn ɔ bɔn pikin, mek shɔ se yu go to dɔktɔ.

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

If yu gɛt dɛn sik ya , go to dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul imejensi rum we de nia yu:

• Chɛst de pen.
• I nɔ kin izi fɔ yu fɔ blo.
• Di fes ɔ nɛk kin swel bad bad wan.
• Layt ed/faint.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

We yu go to dɔktɔ, i go fayn fɔ mek yu aks dɛn kwɛstyɔn ya:

• Wetin de mek dis tin apin to mi?
• Aw siriɔs mi sik de?
• Aw fɔ trit di tin we de mek pɔsin gɛt dis sik?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Aw lɔng i go tek fɔ mek a wɛl?
• Wetin a go du fɔ mek dis nɔ apin igen?

Mɛsej we dɛn kin kɛr go na os

Spontaneous pneumomediastinum (SPM) nɔr kin siriɔs, bɔt yu kin nid fɔ de na ɔspitul fɔ sɔm dez. Bɔt sɛkɔndari nyumomediastinum, we kin apin afta sik ɔ aksidɛnt, nid fɔ trit di ɔndalayn kɔz kwik kwik wan. Yu dɔktɔ go tɛl yu mɔ bɔt yu patikyula sik. De tin wae impɔtant pas ɔl na fɔ de kwayɛt, pe atɛnshɔn to yu sayn dɛm, ɛn go to dɔktɔ if nid de.

` Nyumomediastinum, di briz na di chεst, di lכng, i at fכ brith, di chεst pen, midiastinum, nyumothorax