Lung tlu tih i hre tawh em? (Pneumothorax/Collapsed Lung) Hemi chungchang hi han sawi ila!

Lung a tlak thut thu i hre ngai em? A châng chuan thawk a harsat a, rilru a na thei bawk. Hei hi damdawi lam hawia “pneumothorax” emaw “collapsed lung ” emaw kan tih chu a ni. A nihna takah chuan i ngaihtuah angin a tlem lo. Chuvangin, hei hi hriat chian a pawimawh hle. Vawiin hian chipchiar tak leh awlsam takin sawi ila, kan sawi dawn em ni?

Pneumothorax tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, pneumothorax chu i lung leh i rilru bang inkar ( “pleural space” an tih) inkar hmuna boruak awmkhawmna a ni. I lung chu balloon angin ngaihtuah rawh. Pleural space chu balloon leh balloon dahna box inkar hmun te tak te a ni. A tlangpuiin he space-ah hian boruak a tam lo hle. Mahse, he pleural space hi engtin emaw takin boruakin a khat a nih chuan boruak hian lung a nawr a ni. Balloon inflate a, a deflate tir ang mai a ni. Hei hian lung chu a tikehsawm vek emaw, a then emaw a tikehsawm thei a ni. Mi thenkhat chuan hei hi “punctured lung” an ti bawk.

A pawimawh ber chu pneumothorax hi a chang chuan medical emergency a ni thei . I lung a tlakbuak nia i hriat chuan i hnai ber damdawi in emergency department-ah a rang thei ang bera kal tur a ni.

Pneumothorax chi hrang hrang a awm em?

Ni e, pneumothorax hi chi hnih a awm a, chungte chu Spontaneous leh Traumatic . Hengte hi eng nge ni tih i lo en ang u.

1. Amah ngeiin Pneumothorax a lo awm thin

Hei hi lungte chu hliam leh hlauhawm engmah awm lovin a takin a tlakbuak hian a thleng thin. Hei hi subtype hrang hrang a awm bawk:

• Primary spontaneous pneumothorax: Hetah hian lungphun tichhe thei natna leh dinhmun hnuaia awm a awm lo. A châng chuan lung chhunga boruak bawm (blebs ) te tak te, pangngai lo tak takte chu a puak thei a, boruak chu pleural space-ah a lut thei bawk. Hei hi mipa sang, cher, tleirawlah a thleng tam zawk.
• Secondary spontaneous pneumothorax: Hei hi lung natna avanga lo awm a ni. Entirnan, lung natna thenkhat chuan lung hmun thenkhat chu a tikhawlo thei a, balloon ang chi bawm (bullae) a siam a, a puak thei bawk.

2. Pneumothorax natna hlauhawm tak

A hming ang bawkin hliam emaw, damdawi lam enkawlna emaw avanga thleng a ni.

• Hliam a awmHliam kaihhnawih pneumothorax: Hetiang dinhmun hi rilru natna avanga lo awm thei a ni a, chu chu car accident-a ruh tliak, lung hliam emaw, hliam tuar emaw a ni thei.
• Iatrogenic pneumothorax: A châng chuan, damdawi lam thil tih lai, test tûra lung sample tlemte lak ( lung biopsy ) emaw, kawr chhunga vein lian tak (a central venous line)-a tube dah emaw ang chiah hian, lung chu tum loh takin a hliam thei a ni.

Pneumothorax chi hrang hrang dang pawh a awm a:

• Tension pneumothorax: Hei hi natna hlauhawm tak a ni a, damdawi lam pan vat a ngai a ni . Heta thil thleng chu boruak chu pleural space-ah a lut a, mahse chhuahna tur a awm lo. One-way valve ang mai a ni. Tichuan, rilru chhunga pressure chu nasa takin a pung a, chu chuan lung a tikehsawm lehzual mai bakah, thinlung leh thisen kalna kawng lian tak takah pressure a siam bawk. Hei hian nunna a tichhe thei a ni.
• Catamenial pneumothorax: Hei hi a awm lo hle. Hmeichhia endometriosis (uterus pawn lama endometrial tissue lo thang lian) an tih natna neiah a awm thei. He tissue hi pleural space-ah a thang lian thei a, thlasik laiin thisen a chhuak thei a, lung a compress thei bawk.

Lung tlu chu engtiang chiahin nge a pawi?

Hei hi a nasat dan chu a chhan leh lung a tlakchhiat danah a innghat a ni. Case tenau thenkhat chu a pawi lo va, anmahniin an reh thei bawk. Mahse ṭhenkhat, a bîk takin tension pneumothorax , chu natna khirh tak tak, emergency medical treatment mamawh a ni. Doctor chuan i lung a tlakchhiat zia leh eng enkawlna nge mamawh tih chiang takin a hrilh thei che a ni.

Pneumothorax natna lan chhuah dan chu engte nge ni?

Lung a tlakchhiat chuan a lan chhuah dan te chu:

• A rilru a na , a bik takin thawk laiin.
• Khuh.
• Thâwk rang tak .
• Heart rate a sang chho zel.
• Chauhna, hahna.
• Thâwk harsa (“dyspnea”).
• Vun, hmui, kut zungtang blue discoloration ( “cyanosis” ) – Hei hian taksain oxygen a dawng tlem tihna a ni.

Heng symptoms te hi i neih chuan damdawi in hnai ber pan nghal tur a ni.Hmanhmawh taka enkawl a ngai mai thei.

Pneumothorax hi engte nge ni?

A chhan lian ber pathum a awm a, chungte chu: damdawi lam dinhmun ṭhenkhat, hliam, leh nunphung ṭhenkhat.

Damdawi lam dinhmun: 1.1.

• Asthma natna a ni
• Pneumonia natna (Pneumonia) a ni
• COPD (Chronic obstructive pulmonary disease) tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a.
• Collagen vascular natna a ni
• Cystic fibrosis natna (cystic fibrosis) a awm thin
• Emphysema a awm thin
• Idiopathic pulmonary fibrosis a awm thin a ni
• Lung cancer a ni
• Lymphangioleiomyomatosis a awm thei a ni
• Tuberculosis natna a ni
• Thluak lama harsatna nei (ARDS ) .

Hliam tuar: 1.1.

• Blunt force trauma chu a rilruah a awm.
• A silai a ri ta.
• Hriamhrei hriam tak avanga hliam, hliam tuar ang chi.
• Damdawi lam enkawlna, entîr nân, nerve block, lung biopsy, central venous line dah , a nih loh leh mechanical ventilation .

Nunphung hrang hrang: 1.1.

• Ruihhlo hman, a bik takin inhalant drugs.
• Meizial zuk.
• Vanlawng zin chhunga boruak pressure inthlak danglamna lian tak tak.
• Scuba emaw deep-sea diving emaw a ni thei.

Hetiang dinhmun hi tute nge hlauhawm ber?

Pneumothorax i vei theihna a sang zawk thei a, chu chu:

• I chhungkuaa mi tu emaw chuan pneumothorax a lo vei tawh a nih chuan (family history).
• Naupai lai hian.
• Taksa sang leh cher tak i neih chuan, a bik takin mipa i nih chuan.
• Connective tissue natna Marfan syndrome ang chi i neih chuan .
• Endometriosis i neih chuan .

Lung tlakchhiat avanga harsatna awm thei te chu engte nge ni?

Lung tlakchhiatna tam zawk hi harsatna awm lovin reh mahse, mi thenkhat chuan harsatna lian tak tak an nei thei a ni. Chung zingah chuan:

• A rilru a buai em em a, a rilru a hah em em bawk a . .
• Enkawl laiin lung a chhiat emaw, natna hrik a awm emaw.
• Thluak lama harsatna nei .
• Lung lam chak lohna (Lung lam chak lohna).

Engtin nge pneumothorax hi hriat theih?

Doctor-te chuan hei hi i lung ngaihthlak a, i lung X-ray , CT scan ( computed tomography scan ), emaw lung ultrasound ang chi imaging test hmangin an hre chiang tlangpui. A châng chuan i thisena oxygen leh carbon dioxide awm zat enfiah nân “arterial blood gas” test an ti thei bawk.

I doctor chuan i lung dinhmun a zawt ang a, taksa enfiahna a nei ang. A chi thenkhat, tension pneumothorax te hi a symptoms chauh atanga hriat theih a ni.

Pneumothorax hi engtin nge enkawl a nih?

Enkawlna i dawn tur chu pneumothorax natna chhan, a lian leh a nasat danah a innghat ang. Heng enkawlnate hi a hnuaia mi ang hian a ni thei:

• Enfiahna: I pneumothorax a te a nih chuan i doctor chuan a en ang che a, thinlung emaw thawk lama harsatna i neih chuan a zawng ang che a, follow-up visit nei tura lo kal leh turin a ti ang che.
• Oxygen hmanga enkawlna a ni.
• Thoracentesis: Hei hian pneumothorax sir lama ruh inkar ah hian hun eng emaw chen atan needle dahin, rilru chhunga boruak awm tawh chu paih chhuah a ni.
• Chest tube drainage: Pneumothorax lian tak i neih chuan i doctor chuan i rilruah tube ( chest tube ) a dah ang a, chu chu pleural space-a boruak awm zat tihtlem nan a ni. Air pressure a tlahniam chuan lung chu a inflate leh thei a, a dam leh thei bawk. He tube hi ni engemaw zat emaw a aia rei emaw a hmunah dah theih a ni.
• Chemical pleurodesis: Lung a tlak leh loh nan doctor chuan pleurodesis tih chu a ti thei a ni. Hetiang tih danah hian doctor chuan a rilruah incision te tak te a siam a, tube a dah a ni. Tichuan, chemical ( doxycycline emaw talcum powder ang chi) hmangin lung chu rilru chhungah an inzawm khawm a. Hei hian extra space chu a ti bo ta a ni.

Mi thenkhat chuan an lung chhiatna siam that leh dam nan operation an mamawh mai thei. A hnuaia thil awmteah hian operation neih a ngai thei a ni:

• Chest tube atanga boruak a chhuah chhunzawm zel chuan.
• Chest tube dah hnuah pawh lung a inflate loh chuan.
• Lung a inzawm nawn fo chuan.
• Lung pahnih ah pneumothorax a awm chuan.
• Lung a hliam na tak a nih chuan.

Pneumothorax hi ven theih a ni em?

Lung tlakchhiatna tihziaawmna turin heng thilte hi i ti thei ang:

• Meizial zu suh. Hei hi a pawimawh ber a ni.
• Thli pressure tihdanglamna lian tak (deep-sea diving, air travel ang chi) thil tih hi pumpelh emaw tihtlem emaw tur a ni. Hengte hi i tih chuan i doctor thurawn zawm tur a ni.
• Lung natna i neih chuan doctor pan fo la, monitoring i nei ang.

Mahse, damdawi lam dinhmun thenkhat emaw, chhungkaw history-a pneumothorax vei emaw i neih chuan hei hi ven theih a ni lo mai thei.

Pneumothorax i neih chuan eng nge beisei tur?

Lung a tlakchhiat chuan damdawi inah ni engemaw zat emaw, a aia rei emaw awm a ngai mai thei a, enkawl leh enfiah a ngai mai thei. Chumi hnuah chuan i doctor chuan i dinhmun a enfiah thei ang a, a tul chuan oxygen a pe thei ang che.

Lung a dam theih nan eng chen nge a mamawh?

A tam zawkah chuan lung hi ni engemaw zat atanga kar hnih chhungin a dam thei a ni. I taksa chuan lung chhehvel boruak tam zawk lo awm tawh chu a la lut leh ang a, chutah chuan lung chu a inflate leh thei ang.

Lung a dam kim thei em?

Mi tam zawk chu he natna atang hian enkawlna lian tham awm lovin an dam leh thin. Mahse, a lo awm leh theihna chance a awm. Chuvangin, i doctor nen a lo lang leh theihna tur leh symptoms a lo lang leh a nih chuan eng nge tih tur tih te sawipui rawh.

Pneumothorax hian nunna a tichhe thei em?

Pneumothorax vei thenkhat chu nunna atana hlauhawm tak a ni thei. Chuvangin lung tlu tawh chu awlsam takin la ngai suh. Damdawi lam pan fo ang che.

Engtin nge ka in enkawl ang?

Damdawi in atanga i haw hnuah doctor-in a sawi ang ngeiin i in enkawl a pawimawh hle. Thil engemaw chawlh hahdam, tihtlem emaw tihtawp emaw an ti thei che a ni. Entir nan:

• Meizial zuk.
• Flights te pawh a awm.
• Tuipui thuk takah diving.

In lama i haw hnuah ni ruat apiangah doctor pan ngei ngei tur a ni.

Engtikah nge ka doctor ka hmuh ang?

I symptoms a lo lang leh emaw, a zual emaw chuan doctor rawn rawh. Pneumothorax i lo vei tawh a nih chuan a dang vei leh theihna i nei a ni.

Engtikah nge Emergency Department (ETU) ah ka kal ang?

Lung tlakchhamna symptoms i neih chuan (ril na, thawk harsa tih ang chi) emergency room-ah kal nghal rawh. Enkawlna hmanhmawhthlak i mamawh mai thei.

Doctor hnenah eng zawhna nge ka zawh ang?

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

• Eng thilin nge ka lung a tihtlem chhan?
• Lung pakhat a lo tlem leh tawh loh nan ka tih theih tur a awm em?
• Eng enkawlna kawng nge ka neih?
• Chest tube ka dah a ngai a nih chuan eng chen nge a awm ang?
• Supplemental oxygen ka mamawh dawn em ni?
• Damdawi inah ka awm a ngai dawn em ni?
• Enkawl zawhah eng ang enkawlna nge ka mamawh ang?
• Damdawi in emaw clinic emaw ka chhuahsan hnuah eng ang enkawlna nge ka mamawh ang?
• Enkawl zawhah eng nge ka tih loh tur?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

A tam zawkah chuan pneumothorax hi enkawlna tlemte chauhvin tihdam theih a ni. Engpawhnise,Lung tlakchhiatna eng pawh hi i hriat belh hma chuan medical emergency anga ngaih tur a ni. Lung tlakchhamna symptoms i neih chuan, i rilru natna emaw, thawk harsatna emaw i neih chuan doctor pan nghal rawh. I doctor chuan i tana enkawlna tha ber tur a ruat thei ang. Hlauthawng suh, mahse tihkhawtlai suh. A pawimawh ber chu hmalak vat hi a ni.