I period laiin i rilruah boruak a khat em? (Catamenial Pneumothorax) A chanchin hi i zir chiang ang u!

Kan hmeichhe thenkhat tan chuan thlasik hun hi a harsa fo thin. Pum na leh hnungzang na ang chi hi thil pangngaiah ngai mah ila, a chang chuan he hun chhung hian rilru natna mak tak tak leh thawk harsa tak tak a awm thei a ni. Chutiang hunah chuan tunlaia kan sawi tak dinhmun bik hi tlem kan fimkhur a ngai a ni. Hei hi hlauhawm deuh mahse, awlsam takin i hrethiam ang u.

Hei hi eng nge ni (Catamenial Pneumothorax)?

A awlsam zawngin, `(Catamenial Pneumothorax)` chu i lung leh i rilru chhunga boruak awm, i period lai vel emaw, chutiang ni chhunga emaw boruak awmkhawmna a ni. ``Catamenial`` tih thumal hi ``thlasik nena inzawm tihna a ni.`` ``Pneumothorax`` tih awmzia chu rilru chhungril chhungah boruak a awm tihna a ni. Hetiang boruak pungkhawm hian lung vel pressure a siam thei a, a chang chuan lung thenkhat emaw, a pum emaw pawh a tlakbuak thei bawk. Balloon boruak engemaw zat hloh ang maiin han ngaihtuah teh. Mi tam zawk tan chuan hei hian lung dinglam a nghawng a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

I thianpa, ‘Samadhi’ ti ila han ti teh ang. Samadhi hian a period tan hma ni hnih emaw ni thum emaw chhung chu a dinglam lamah na takin a rilru a na a, thawk a harsa deuh niin a hria. Hei hi thil pangngaiah a ngai a, thawhrimna vang pawh a ni mai thei. Mahse doctor a hmuh hnuah chauh he natna `(Catamenial Pneumothorax)` tih hi a hre ta a ni. Chuvangin, heng symptoms te hi i nei ve bawk a nih chuan i ngaihtuah a pawimawh:

• Chest pain: Hei hi a symptom ber a ni. Sudden, sharp, stabbing, leh a chang chuan stinging pawh a ni thei. He natna hi thawk emaw, khuh emaw hian a zual thei.
• Thâwk a tawi: Thâwk lawk thei lo ang maiin, i thawk hah ang maiin a awm thei a, i rilru a khauh ang maiin a awm thei bawk.
• Khuh: Khuh na tak, vawt tak a awm thei.
• Thisen khuh (Hemoptysis): A chang chuan, phlegm nen hian thisen tlem a chhuak thei. Hei hi mi zawng zawngah a thleng lo.
• Thâwk chakna sang emaw, thinlung chakna sang emaw.
• Vun, hmui emaw kut zungtang emaw blue discoloration (Cyanosis): Hei hi chhinchhiahna pawi zawk a ni. Hei hi taksain oxygen a hmuh tlem lai hian a thleng thin. Hetiang thil hi i hriat chuan damdawi lam thurawn i la nghal tur a ni.

Heng symptoms te hi i period tan hma ni engemaw zat (ni khat emaw ni hnih emaw) emaw, a tan atanga ni engemaw zat (a tlangpuiin darkar 72) chhungin a lang tlangpui.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Dik tak chuan, i thlasik hun leh i lung boruakin a khat inzawmna chu thil mak deuhin a lang thei a, doctor-te pawhin a chhan dik tak hriat an harsat fo ṭhin. Mahse rinhlelh ber tlemte an awm.

A chhan ber chu ``Endometriosis`` an tih natna niin an ngai. Hei hi i nausen pum chhunga lining a lo thang lian lai a ni.Endometriosis hi nausen pum pawn lama, taksa peng danga awm, nausen pum chhunga lining ang chi tissue lo thang lian a ni. Entirnan, he tissue hi i lungah a lo thang lian a nih chuan, pleurae (lung hual veltu membrane te tak te) emaw, diaphragm (ril leh pum inthenna thahrui) emaw a lo thang lian a nih chuan, he tissue hi thlasik laiin thisen a chhuak thei emaw, a chhe thei bawk. Hei hian lung chhehvel pleural space-ah boruak a luang lut thei a ni. Chutah chuan pneumothorax a lo awm ta a ni. Hetiang dinhmun hi endometriosis vang a ni tih chiang taka i hriat chuan endometriotic pneumothorax an ti bawk.

Mahse, catamenial pneumothorax nei zawng zawng hian endometriosis an nei vek lo. I period chhunga hormone level inthlak danglam leh inflammation lo awm hian i lung a tichhe thei bawk. Thlasik laiin pneumothorax thlen thei thil dang thenkhat chu:

• Chemical `(Prostaglandins) an tih avanga thisen kal tlem a ni: Heng chemical te hi hormone ang maia thawk an ni. I period chhung hian a tam zawkin an siam chhuak thin. Hengte hian i lung chhunga air pocket / blebs te chu a tipuak thei a, chu chuan i lung chhehvel space ah boruak a ti luang lut thei niin an ngai.
• Reproductive system kal tlanga boruak: A châng chuan, i diaphragm-a pianpui chhiatna tenau tak tak hmangin, pum chhung aṭangin boruak a lut thei a ni.

Endometriosis hi lungah a darh chuan eng nge thleng ang?

I lung emaw a chhehvela endometriosis i neih chuan Thoracic Endometriosis Syndrome an tih natna a thlen thei a ni. Pneumothorax bakah hian heng thilte hi a thleng thei bawk:

• Thisenin lung chhehvel hmun a luah khat (Hemothorax) .
• Pulmonary nodules (lung chhunga hnah te te) .
• Catamenial hemoptysis (thlasik lai vela thisen khuh) .

A châng chuan endometriosis i vei tih hriat chhuah loh pawhin, period inkarah pneumothorax i neih chuan, chu chu lung emaw, diaphragm-a endometrial tissue lo lian vang a ni thei.

Hetiang dinhmun hi tute nge hlauhawm ber?

Catamenial pneumothorax hi hmeichhia kum 30 leh 40 inkar, ovulate (i.e., thlasik nei fo) te zingah a awm fo thin. A tlem berah chuan hmeichhia hormone birth control hmang emaw, naupai emaw-ah a awm thei. Nangmah emaw, i chhungte zinga tu emaw endometriosis i neih chuan he natna hi i vei theihna chance a sang deuh hlek a ni.

Hei hian harsatna a thlen thei em?

Thil engemaw takah chuan pneumothorax hian harsatna lian tak a thlen thei a, chu chu thawk lama harsatna emaw, thinlung lama harsatna emaw a ni thei . Hei hi a tlem hle nachungin, pneumothorax symptoms i neih chuan doctor pan a pawimawh hle.Heng symptoms te hi damdawi lam natna khirh tak dang nen a inang thei a, a bo mai mai lo.

Engtin nge hei hi i hriat chian?

Doctor-te chuan i natna lan chhuah dan uluk taka ngaihthlak a, i lung ngaihthlak a, imaging test hrang hrang hmangin ``Catamenial Pneumothorax'' an tih hi an hmuchhuak tlangpui. Heng test hrang hrangte hi:

• Chest X-ray: Hei hian lung hi a compress em tih leh boruak a khat em tih a enfiah thei.
• CT scan: Hei hian X-ray aiin thlalak chiang zawk, chipchiar zawk a siam thei a ni. Endometriosis a awm leh awm loh a enfiah thei bawk.
• Lung ultrasound: Hei hian pneumothorax hriat theihna atan a pui bawk.

Doctor-in a chhan a hmuh theih nân, a hnuaia mi hi i hrilh thei a nih chuan a ṭangkai hle ang:

• I period tan thuai dawn em ni?
• Tun hnaiah i period a tan tawh em tih.
• I period hma khan heng symptoms te hi i nei tawh em tih hi hriat tur pawimawh tak a ni.

A châng chuan operation (entir nan, laparoscopy emaw thoracoscopy emaw) emaw biopsy emaw tih loh chuan doctor chuan pneumothorax awm chhan dik tak chu endometriosis emaw thil dang emaw a nih leh nih loh a hre thei lo mai thei.

Hei hi eng enkawlna nge ni?

A tam zawkah chuan pneumothorax tenau tak chu a mah chauhin a reh mai ang. Mahse, i natna lan chhuah dan a nasat emaw, i lung a tlakbuak nasa emaw a nih chuan i rilru atanga boruak lak chhuah nan thoracentesis an tih procedure emaw, chest tube emaw i tih a ngai mai thei. Hei hian i lung chu a tizau leh thei a ni.

Hetiang dinhmun hi a lo awm leh tawh loh nan i doctor chuan a hnuaia mi hi a rawn rawt thei ang:

• Video-assisted thoracoscopy (VATS): Hei hian camera leh instruments te chu incision tenau tlemte hmanga dah luh a ni a, doctor chuan endometrial tissue a la chhuak thei a, diaphragm-a khur a siam tha thei a, air sacs (blebs) a khar thei bawk.
• Damdawi: I doctor chuan i hormone level control nan te, endometriosis thanna ti slow turin leh ovulation tihtawp nan damdawi a pe thei ang. Entirnan, i doctor chuan naupai venna pill, gonadotropin-releasing hormone agonists (GnRH agonists), emaw danazol emaw a pe thei ang.
• Pleurodesis: Operation lai hian i lung chu chemical hmangin emaw, i lung (pleura) lining-ah incision te tak te siamin emaw, i rilru bang (chest wall)-ah a inzawm a ni. Hei hian lung chu a tlakbuak loh nan a titawp a, a chhan chu boruak khawlkhawmna tur hmun a awm loh vang a ni.
• Hysterectomy with bilateral oophorectomy: Enkawlna dang zawng zawng a hlawhchham a, a natna lan chhuah dan a nasat em em chuan, a tawp ber atan, nausen pum leh ovary pahnih chu operation hmangin lakchhuah a ni a, ovulation leh menstruation chu a titawp vek a ni.

Pawimawh: Heng enkawlnate hi i damdawi lam dinhmun, kum, nau neih tum leh thil dang tam tak a zirin i doctor-in a rel thin. Chuvang chuan doctor thupek zawm a, zawhna emaw, harsatna emaw i neih chuan doctor nen sawiho a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

I period nena inzawm hetiang symptoms nuam lo (a bik takin i rilru natna, thawk hahna) i neih chuan "just your period" tiin hnawl mai suh la, doctor nen inbia ngei ang che.

I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Eng thil nge ka tan he dinhmun hi thlentu nia i hriat?
• Eng enkawlna kawng nge ka neih? A thatna leh that lohna chu engte nge ni?
• Chest tube ka dah a ngai a nih chuan eng chen nge ka dah luh a ngai dawn?
• Damdawi inah ka awm a ngai dawn em ni?
• In lamah engtin nge ka in enkawl ang? Ka tih loh tur thenkhat chu engte nge ni?
• Engtin nge heng damdawi min pekte hi ka hman ang? Side effect an nei thei em?

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Pneumothorax symptoms i neih chuan i rilru natna nasa tak, thawk harsa, emaw hmui sen emaw i neih chuan Emergency Room (ER)-ah kal nghal rawh. Hengte hi natna khirh tak dang chhinchhiahna a ni thei a, emergency treatment i mamawh thei bawk. Hun khawhral suh.

Hetiang dinhmun hi eng nge ka beisei theih ang?

Catamenial pneumothorax hi a tlangpuiin nunna atana hlauhawm a ni lo. Mahse, vawi khat i neih a, enkawl loha a awm chuan a lo thleng leh mai thei a, a tam zawk chu thla engemaw zat danah a thleng leh thin. Chuvang chuan diagnosis dik tak neih a pawimawh a, enkawlna dik tak neih a pawimawh hle. A enkawl nan hian enkawlna (surgery leh damdawi ang chi) inzawmkhawm i mamawh mai thei.

`(Catamenial Pneumothorax)` hi ven theih a ni em?

Catamenial pneumothorax hi a lo lang leh fo thin. Mahse, a chhan azirin, operation (a bik takin VATS), hormone tidanglam thei damdawi emaw, a pahnih inzawmkhawm emaw hian natna lo lang leh tur venna emaw, tihtlem emaw a pui thei a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

I period laiin harsatna engemaw zat i neih chu thil pangngai a nih laiin, lung lama harsatna i neih hi thil mak a ni lo. Vanneihthlak takin he natna, ``Catamenial Pneumothorax'' tia koh hi a tlangpuiin nunna atana hlauhawm a ni lo. Tin, a lo thleng leh tawh lohna tura pui thei tur enkawlna pawh a awm bawk.

A pawimawh ber chu, thlasik laiin rilru na leh thawk hah ang chi symptoms awm reng i neih chuan ngaihthah suh la, doctor hnenah hrilh rawh. Tichuan hei hi `(Catamenial Pneumothorax)` nge thil dang a ni tih a hre thei ang a, thurawn leh enkawlna \ha ber ber a pe thei ang che. A pawimawh ber chu i hriselna enkawl a, i harsatnate zalen taka sawi chhuah hi a ni tih hre reng ang che. Ngaihtuah buai suh, engkim chinfelna a awm!

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