A rilruah hliam na tak a nei em? Flail chest chu eng nge a nih a, nunna atana hlauhawm a nih theih dan tur kan sawi dawn nia!

I ruhro engemaw zat chu hmun khatah ni lovin, hmun hnih emaw, hmun thum emaw-ah a tliak a nih chuan eng ang dinhmun rapthlak tak nge ni ang tih i ngaihtuah thei em? Chu chu vawiin a kan sawi tur medical condition pawi tak, hrehawm tak leh emergency tak tak (Flail Chest) chu a ni. Hei hi a takah chuan nunna atana hlauhawm tak a ni. Chuvang chuan hei hi i hriat chian a pawimawh hle a ni.

Flail Chest hi eng nge ni tak tak? A rilruah eng nge thleng?

A awlsam zawngin, flail chest chu i rilru chhunga rib inhnaih tak tak pathum emaw a aia tam emaw a tliak emaw, a tlem berah rib pakhat tal hmun hnih a tliak emaw a ni. Chutiang a nih chuan, rilru bang ruh tliakna hmun chu "loose" a lo ni ta a, chu chu a nghetna a hloh tihna a ni tih han ngaihtuah teh. Building atanga bang thenkhat tla ang mai a ni. Hei hian rang takin thawk harsa tak a siam a ni.

Hemi chungchanga thil mak ber chu hetianga rib a tihchhiat hian chu rilru hmun chu i rilru hrisel dang zawng zawng nen a kalh zawngin i thawk chuan a che a ni. Chu chu, i thawk chhuah (inhale) hian a chhe tawh, a lo chhuak chu a lut a, mahse i thawk chhuah (exhale) chuan chu hmun chu a chhuak chhuak thin. A lehlamah hna a thawk ang mai a ni! Doctor-te chuan he thil danglam tak hi ``paradoxical movement'' tiin an sawi. Hei hian lungte hian boruak a hip lut leh chhuak tha thei lo va, thawk dan zawng zawng a tibuai a ni.

Hetiang dinhmun (Flail Chest) hian tute nge a nghawng nasa ber?

He dinhmun hlauhawm tak Flail Chest an tih hi a takah chuan trauma lian tak avanga lo awm a ni . Tu nge hlauhawm ber tih i en ang u:

• Motor accident na tak tuar te tan . Dik tak chuan hei hi (Flail Chest) awm chhan ber a ni.
• Hmun sang atanga tla hi a hlauhawm hle a, a bik takin kum upa lam tan chuan a hlauhawm hle. Osteoporosis , i tar deuh deuha i ruh tichak lo thei natna i neih chuan, tlu tlemte pawhin i ruhte a tikehsawm thei a ni.
• Naupang thenkhat pawh an hlauhawm hle. Entirnan, naupang ruh chak lohna thlentu natna nei, Osteogenesis Imperfecta (genetic natna, ruh tikehsawm awlsam tak) emaw, naupangte pawhin naupan laia metabolic natna thenkhat nei te pawhin he natna hi an nei thei bawk.
• Zirna thenkhatah chuan mipa te hian he natna (Flail Chest) hi an nei tlem zawk tih hmuhchhuah a ni.

Flail Chest natna lan chhuah dan chu engte nge ni?

Tunah chuan flail chest condition nei hian eng symptoms nge a lantir tih kan en ang. Hengte hi hriat chian a pawimawh hle:

• A rilru a na hle a, thawk slow, shallow tak tak a thlen thin. A rilru a na em avangin thaw thûk a harsa hle.
• Taksa tissue-a oxygen tling tawk loh vang. Hei hi damdawi lam chuan ``hypoxia'' an ti a ni. Hei hi dinhmun hlauhawm tak a ni.
• A hmui dum emaw, kut zungtang emaw (cyanosis) a awm. Hei hi taksain oxygen a hmuh tlem lai hian a thleng thin. Hei hi emergency chhinchhiahna a ni.

Engtin nge doctor te hian Flail Chest hi an enfiah thin?

He natna khirh tak Flail Chest an tih hi doctor-in dik taka a hriat theih dan tur i lo en ang u.

Doctor te chuan hei hi an rinhlelh ber chu i thawk dan an enfiah vang a ni . A hmaa ka sawi tawh ``paradoxical movement'' , i thawk chhuah laiin i rilru a chhe lai chu a sir lehlamah a kal tih hi doctor-in pawn lam atanga a hmuh theih thil a ni. I thawk chhuah chuan chu a chhe lai chu hmalam panin a rawn chhuak a, i thawk chhuah chuan chu hmun chu chhung lam a pan ta a ni.

Hetiang thawk dan pangngai lo hi Flail Chest hriat theihna atana thil pawimawh ber a ni.

Hei bakah hian hetiang test hi tih theih a ni bawk:

• Chest X-ray: Hei hian ruhte hi khawiah nge a tliak tih leh engtin nge a tliak tih chiang takin a hriat theih. Mahse, ruh inkar cartilage-ah chhiatna a lantir thei lo. Tin, i lung chhunga hliam awmte chu X-ray hmangin a lang thei bawk.
• A châng chuan doctor-in i rilru chu zawi zawiin a khawih chuan a ruh a tliak a, chu lai hmunah chuan a nghet lo tih a hre thei bawk.

Flail Chest hi engtin nge enkawl a nih?

Flail Chest hi nunna atana hlauhawm tak a ni a, emergency treatment a ngai a ni. Damdawi in a admission hnuah a hnuaia enkawl dan hi a tlangpuiin:

Basic treatment leh natna control

• I tih hmasak ber tur chu i thawk chhuah theih nan oxygen pek che hi a ni. I heart rate, thisen sang, leh oxygen level te pawh enfiah a ni ang.
• A dawtah chuan natna control hi a pawimawh hle. A chhan chu natna nasa tak avanga thawk tha thei lo anih chuan dinhmun a chhe zual thei a ni. Natna tihziaawmna turin hetiang thil hi i ti thei ang:
• Damdawi thisen kal tlanga (IV) pek thin.
• Spinal area-a injection bik pek thin (epidural anesthesia).
• Rib inkar nerve block tu painkilling injection (`intercostal pain blocks`).
• A châng chuan heng zînga pakhat aia tam hi a rualin hman a ni.

Lung thianghlim taka vawn dan: (Pulmonary Hygiene) .

Hei hi a pawimawh hle. (Flail Chest) natna avanga harsatna awm thei ber pakhat chu pneumonia lo awm hi a ni . Chutiang a nih loh nan chuan lung chhunga mucus ang chi secretion awmkhawm chu tihtawp a ngai a ni. Chumi atana thil tihte chu `(Pulmonary hygiene)` an ti a(Thlarau kawng thianghlim taka vawn dan) an ti a. Tin, `(pulmonary toilet)` emaw `(chest physiotherapy)` emaw an ti bawk. A hnuaia mite hi a huam tel a ni:

• Suctioning: Thlawhna kawngah tube te tak te dahin, mucus awmkhawm chu an suck chhuak thin.
• Thâwk lakna tichangtlung tûra hmanraw bik hman (`Incentive spirometry`): Hei hian damlo chu thawk thûk taka thawk tûrin a zirtîr a, chu chu a lung a tipung ṭha thei bawk.
• Bronchodilator therapy: Hengte hi inhaled medication angin pek theih a ni. Thlawhna kawng (bronchi) an tizau a, thawk a ti awlsam bawk.
• Fluid monitoring: Lung hi a thawk tha tur chuan taksaa tui awm zat, a bik takin thisenah hian a level dik takah a awm tur a ni.
• Damlo dinhmun dik: Hei hian thawk a ti awlsam a, natna a tiziaawm thei bawk.

Thâwk lakna lama ṭanpuina leh operation tih a ni

• Damlo thenkhat chu an thawk chhuah theih nan ``CPAP - Continuous Positive Airway Pressure'' tih machine pek an ni thei bawk. A nih loh leh oxygen supplement pek an ni thei bawk.
• I thawk chhuah theih nan machine bik (`mechanical ventilator`) i connect a ngai mai thei , ni engemaw zat emaw kar engemaw zat emaw, i hliam a dam hma loh chuan.
• Thil na tak ṭhenkhatah chuan pneumonia ang chi harsatna awm lo tûr te, damdawi ina awm tihtlem nân te, leh thihna pawh pumpelh nân te operation neih a ngai thei a ni. Hetiang tih dan hi surgical rib fixation an ti a . Hei hian titanium ang chi thir hmanga siam, plate leh screw ang chi te chu a rilruah dahin, a ruh chhe tawhte chu a nghet thei ang bera dah a ngai a ni.

Engtin nge dam leh hun chu?

He natna khirh tak Flail Chest an tih atang hian a dam kim theih nan thla engemaw zat a ngai thei. Hei hi accident na tak avanga lo awm a nih avangin heng ruh tliak te hi chu accident atanga hliam dangte nen chuan an dam leh a ngai a ni.

Damdawi inah i awm a ngai mai thei a, Intensive Care Unit (ICU)-ah ni engemaw zat emaw, a aia rei emaw i awm a ngai mai thei. A hmaa ka sawi tawh ang khan surgical rib fixation i neih chuan zirchianna thenkhatah chuan damdawi ina i awm rei zawng leh ICU-a i awm rei zawng hi a tlahniam thei tih hmuhchhuah a ni.

Damdawi in atanga i haw hnuah pawh hun engemaw chen chu thawk harsatna engemaw zat i nei thei. Chuvangin , i doctor leh physiotherapist te zirtir che thawkna exercise te kha i ti chhunzawm zel tur a ni a, dik takin i ti tur a ni.

Entir nan:

• Pursed lips (pursed lip breathing) hmanga thawk chhuah zawi zawi.
• Pum atanga thawk thuk (`diaphragmatic (belly) breathing`).
• Tin, lung chhunga mucus awm zat tihtlem nan controlled coughing techniques i practice a ngai bawk.

Flail chest hlauhawmna hi tihziaawm theih a ni em?

Ni e, eng emaw chen chu. Flail Chest hi trauma na tak avanga lo awm a nih avangin hetiang hliam hi tihtlem chuan he natna hi a tihziaawm thei a ni.

• Hrisel takin lirthei khalh fo ang che. A tul lovah lirthei khalh chak suh la, i seat belt vuah reng bawk ang che.
• Kum upa tawh emaw , tlu hlauhawm emaw i nih chuan in lamah pawh fimkhur hle ang che. I floor-te chu thil hnim leh daltu awm lo turin dah rawh. Lighting tling tak a awm ngei ngei tur a ni. Kea kalna hmanrua, kea kalna emaw, tiang emaw i mamawh chuan hreh lovin hmang rawh.

Flail chest leh pneumothorax hi thil inang an ni em?

No. Flail Chest leh Pneumothorax (lung tlu) hi thil chi hrang hrang pahnih a ni.

Pneumothorax chu lung chhunga luh ai chuan rilru bang leh lung inkar pleural space-a boruak a awm khawm hi a ni. Mahse, flail chest-a harsatna lian tak chu pneumothorax a ni a, chu chu lung chhunga ruh chhe lai a lo awm chuan a thleng thei a ni.

Flail Chest hi engtiang chiahin nge a serious?

Hei hi i hriat reng tur a ni: Flail Chest hi medical emergency pawi tak, nunna atana hlauhawm tak a ni. In lama enkawl ngai lo tur a ni. Damdawi in a enkawl vat tur a ni.

Hei hi accident na tak avanga lo awm a nih avangin Flail Chest tih natna i neih chuan a dam leh theih nan hun rei tak a ngai dawn a ni. Damdawi inah rei tak i awm a ngai dawn a ni. Ni eng emaw zat chu ventilator-ah pawh i awm thei. I dam leh tan hnuah pawh i doctor-in a tih angin thawkna exercise leh physical therapy i tih chhunzawm zel a ngai dawn a ni.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

Okay, chuti a nih chuan, kan sawi tawh (Flail Chest) atang hian point pawimawh thenkhat i hrethiam tawhin ka hria. Thutawp atan chuan ka sawi tur chu hetiang hi a ni:

• Flail Chest hi ngaihthah tur a ni lo. Emergency pawi tak, nunna atana hlauhawm tak a ni.
• Hei hi a chhan ber chu chetsualna lian tham, a bik takin lirthei chetsualna leh hmun sang atanga tla te a ni.
• Hei hi a langsar ber leh danglamna ber chu thawk chhuah laiin rilru thenkhat chu a sir lehlamah a kal (`paradoxical movement`) hi a ni. Hemi rual hian natna nasa tak leh thawk harsatna a awm bawk.
• Hetiang symptoms i neih chuan, emaw, accident na tak i tawk tawh a nih chuan, damdawi lam pan vat a pawimawh hle.Hun khawhral suh.
• A dam kim theih nan hun a duh a, damdawi in i chhuahsan hnuah pawh doctor thurawn zawm chhunzawm zel a ngai a, thawk lakna exercise i tih chhunzawm zel a ngai bawk.
• A theih ang anga accident laka inven tum la , chutiang dinhmun lo awm theihna tur chu tihtlem tum ang che .

Nangmah emaw, i hriat miin emaw heng symptoms te hi i nei a nih chuan, emaw, accident na tak i tawk tawh nia i inhriat chuan, i tih theih tha ber chu damdawi in hnai ber pan nghal a, doctor thurawn lak hi a ni. Nunna pawh a chhanhim thei!

` Flail Chest, Rib Fracture, Chest Wall Instability, Paralytic Breathing, Accident, Chhung Hliam, Thluak lama harsatna