Lung tlu (Pneumothorax) tih hi eng nge ni? Hlau suh, a chipchiar zawng i zawng chhuak ang u

"Aw, doctor, ka thawk chhuah hian ka rilru sir khatah hliam na tak ka nei a, thawk pawh a harsa tak zet." Hetiang hi i tawng tawh a ni mai thei, a nih loh leh mi pakhatin a sawi i hre tawh mai thei. Hetianga rilru natna rapthlak tak a awm chhan pakhat chu lung chim a ni a, chu chu damdawi lamah chuan ‘pneumothorax’ kan ti a ni. He hming i hriat hian hlau suh. Vawiin hian eng nge a nih, engvangin nge a lo awm tih leh eng nge tih tur tih chauh kan sawi dawn a ni.

A awlsam zawngin, lung (lung) a inzawm chuan eng nge a awmzia?

Kan lung hi balloon pahnih angin han ngaihtuah teh. Heng lungte hi kan rilru chhungah a awm a. Lung leh rilru chhung lam bang inkarah hian hmun zau tak a awm a. Hei hi pleural space kan ti a. A tlangpuiin he hmun chhungah hian tui tlemte chauh a awm thin. Hei hian kan thawk lai hian lungte chu inhnialna awm lovin awlsam takin a tizau thei a ni.

Tunah chuan, eng emaw chhan vanga he pleural space-ah hian boruak a awm khawm a nih chuan eng nge thleng ang? Tichuan chu boruak pressure chuan lung chu a tikehsawm a, balloon chu a deflated ang maiin a tikehsawm ta a ni. Hei hi collapsed lung, a nih loh leh pneumothorax kan tih chu a ni. Hei hi a chang chuan tlemte a ni thei a, a nih loh leh lung chu a tikehsawm vek thei bawk.

Pneumothorax lo awm dan hrang hrangte chu engte nge ni?

Pneumothorax hi a lo awm dan a zirin chi hrang hrangah then theih a ni. Hei hi i hriatthiam chuan natna hi i hrethiam zawk ang.

Pneumothorax natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi a intan nghal thei a ni. I ding emaw, i mut emaw lai chauhvin an lo lang thei.

• A rilru lam sir khatah natna rang tak, na tak mai. He natna hi a bik takin thawk lak hian a zual thin.
• Thâwk harsa (Dyspnea). I thawk hah ang maiin a awm a, thawk tur chuan thawhrim a ngai a ni.
• Thâwk rang tak.
• Thinlung thawk chak tak.
• Khuh.
• Chau tih hriatna (Fatigue).
• A nasat chuan vun, hmui emaw, kut zungtang emaw chu a sen (cyanosis) a ni thei. Chumi awmzia chu taksain oxygen a dawng tlem tihna a ni.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Pneumothorax thlen theihna chhan leh hlauhawmna engemaw zat a awm.

A chhan awm thei te

• Lung natna: Natna chi hrang hrang, Asthma, COPD (Chronic Obstructive Pulmonary Disease), Cystic Fibrosis, lung cancer, leh TB vei te hi an hlauhawm zawk.
• Hliam: A hmaa kan sawi tawh ang khan rilru hliam.
• Damdawi lam enkawlna: Damdawi thenkhata side effect angin a awm thei.
• Nunphung: 1.1.
• Meizial zuk: Meizial zu thinte hian he natna hi an vei theihna a sang zawk.
• Ruihhlo hman: a bik takin inhalant drugs.
• Thli pressure inthlak nghal mai thin thiltih: Scuba diving, thlawhna khalh ang chi thil.

Risk tipungtu thilte

• Chhungkaw chanchin: I chhungkuaa mi tu emaw chuan pneumothorax a lo vei tawh a nih chuan nang pawh i hlauhawm thei bawk.
• Taksa chi hrang hrang: Tlangval, a bik takin taksa sang leh sei tak nei te hian Primary Spontaneous Pneumothorax an vei tam zawk.
• Genetic natna thenkhat: Entirnan, Marfan Syndrome an tih natna.
• Endometriosis: He natna hian hmeichhia chauh a nghawng a ni. A tlem hle a, he natna hian lung a tikehsawm (catamenial pneumothorax).

Engtin nge hei hi i hmuh theih, Doctor?

Damdawi in i kal hunah doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, chumi hnuah a enfiah leh ang che.

• Stethoscope hmanga enfiah: Doctor chuan i rilruah stethoscope a dah ang a, i thawk laia i thawm ri te chu a ngaithla ang. Thâwk ri chu a reh zawk thei a, lung a compress na sir lamah pawh hriat a ni lo thei bawk.
• Chest X-ray: Hei hi pneumothorax hriat chian dan tha ber leh awlsam ber a ni. X-ray hian lungte a compress dan leh boruak a khawlkhawm zat chiang takin a tarlang thei a ni.
• CT scan (Computed Tomography scan): A châng chuan, X-ray a chiang lo emaw, chipchiar zawka hriat a ngai emaw chuan CT scan pawh tih theih a ni.
• Arterial Blood Gas (ABG) test: Hei hian i thisena oxygen leh carbon dioxide awm zat a teh thin.

Engtin nge enkawl a nih?

Enkawlna chu i pneumothorax lian leh te, a chhan leh i natna lan chhuah nasat danah a innghat a ni.

1. Enkawl dan: Lung chim hi a tlem hle a, harsatna lian tham i tawk lo a nih chuan i doctor chuan enfiah turin damdawi inah a dah thei che a ni. Taksain boruak a khawlkhawm chu zawi zawiin a hnawtchhuak thei a ni.

2. Oxygen Therapy: Oxygen therapy hian thawk harsatna a tiziaawm a, pleural space-a boruak taksaah a luh chakna a tisang bawk.

3. Needle Aspiration / Thoracentesis: Pneumothorax hi a lian deuh a nih chuan doctor chuan a rilru a ti na thei a, ruh pahnih inkarah needle a dah thei a, syringe hmangin boruak a khawlkhawm chu a la chhuak thei bawk.

4. Chest Tube Drainage: Hei hi damdawi hman a ni fo thin. Hetah hian rilru vun chu a numb a, incision te tak te siam a ni a, pleural space-ah tube dah a ni. Tube tawp dang chu tui bottle ang chi system nen a inzawm a ni. Hei hian a chhunga boruak chu a chhuak thei a, mahse boruak chu a lut leh thei lo a, chu tube chu a hmunah hun engemaw chen dah a ni a, lung chu a pumin a zau leh a, chutah chuan tube chu lakchhuah a ni.

5. Pleurodesis procedure: Miin Pneumothorax a neih chhunzawm zel chuan he enkawlna hi a lung a tlak nawn loh nan tih a ni. Hei hian chest tube kaltlangin chemical bik (talcum powder ang chi) dah a huam a, chu chuan lung chhunga lining leh rilru chhung lam bang chu a inzawm khawm tir a ni. Chu chuan an inkarah boruak a inkhawm leh theihna chu a titawp ta a ni.

6. Surgery: Enkawlna dang a hlawhtlin loh chuan lung chhunga boruak leak siam that nan emaw, air bubbles (blebs/bullae) tihbo nan emaw surgery neih a ngai mai thei.

Dam lehna leh natna lo lang leh tur venna

Pneumothorax hi a dam theih nan ni engemaw zat atanga kar hnih vel a ngai tlangpui. Chest tube i dah chuan ni engemaw zat damdawi inah i awm a ngai dawn a ni.

In lama i haw hnuah heng thilte hi enkawl rawh:

• Meizial i zuk chuan bansan ngei ang. Hei hi i tih theih tha ber a ni.
• I doctor-in a tih hma loh chuan thil rit phurh leh exercise hahthlak tak tak kha pumpelh rawh.
• Air travel leh deep sea diving ang chi thilte chu kar tlemte chhung chu pumpelh vek tur a ni.
• Doctor-in follow-up date a pekah clinic-ah kal ngei ngei tur a ni.

Vawi khat chu pneumothorax vei tawh chuan a vei leh theihna chance a nei a. Chuvangin, symptoms a lo lang leh a nih chuan tihkhawtlai lohvin damdawi lam thurawn zawng nghal tur a ni.