Chest cavity hi thisenin a khat em? Hemothorax chungchang hi i zir dawn teh ang!

I rilruah vuakna nasa tak i tawk tawh em, a nih loh leh accident i tawk tawh em, rang takin thawk harsa i ti tawh em, i rilru a na a, hlauhna i nei tawh em? Chutiang a nih chuan a chhan chu rilru chhunga thisen awmkhawm vang a ni thei. Vawiin hian hetiang dinhmun na tak, mahse enkawl theih tak chungchang kan sawi dawn a ni. Hei hi medical science-ah chuan hemothorax an ti a.

A awlsam zawngin, hemothorax chu eng nge ni?

Ngaihtuah teh, i lung chu i rilru chhungah a awm a ni lawm ni? Hemothorax chu pleural space, i lung leh i rilru chhungril bang inkar space-a thisen awmkhawmna a ni. Hei hi dinhmun pawi tak a ni. Enkawl loh chuan he thisen hi a pung zel ang a, i lung pawn lamah pressure nasa tak a siam ang. Hei hian i lung chu a inflating tha lo ang a, chu chu a thawk tha thei dawn lo tihna a ni.

Hemothorax symptoms i neih chuan, a bik takin i rilru a hliam hnua thawk harsatna i neih chuan doctor pan nghal tur a ni.

Engtin nge hetiang hi a lo thlen? Pleural space hi eng nge a pawimawh?

Hemothorax lo awm dan hrethiam tur chuan pleural space hian eng nge a tih tih hi han en hmasa ila. A awlsam khawp mai. Pleural space hian kan thawk chhuah hian lung chhung leh a chhehvela pressure awm chu a tidanglam thei a ni. A tlangpuiin tui layer te tak te tak, pleural fluid an tih chu a awm thin. He pleural fluid hian i thawk laiin i lung khuh tu tissue (pleura an tih) leh inner chest wall te chu a thawk tha thei ang bera kal turin a pui thin. Machine parts te a kal awlsam zawkna tur oil tlemte ang mai a ni.

Chuvangin, rilru hliam emaw, accident emaw, operation emaw, damdawi lam thil dang emaw avang hian thisen chu pleural space-ah a lut thei a, pleural fluid nen a inhmeh thei a ni. Chutah chuan hemothorax a lo awm ta a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hemothorax hi a takah chuan i ngaihtuah angin a tlem lo. A bik takin rilru hliam nena khaikhin chuan. Entîr nân, mithiamte chuan United States-ah ringawt pawh hian kum tin hemothorax vei mi 300,000 vêl an awm tih an sawi. Chuvangin, kan ramah pawh hetiang case tam tak kan hmu thei a ni.

Hemothorax natna lan chhuah dan chu engte nge ni?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan i ngaihtuah tur a ni:

• Thâwk harsa (doctor-te chuan hei hi ``Dyspnea'' an ti) .
• Thâwk rang tak (thaw chhuak ang chi - `(Hyperventilation)`) .
• Lung na tak tak
• Chest pain (hei hi natna rang tak, na tak tak a ni thei) .
• Thisen sang hniam (Hypotension) .
• Hahdam lo anga inhriatna
• Lungkhamna, chu chu a tul lova hlauhna nei tihna a ni
• Khawsik (a chang chuan) .

A nasat chuan hemothorax hian thihna a thlen thei hial a ni. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

Hemothorax thlentu berte chu engte nge ni?

Hetiang dinhmun thlentu ber chu accident na tak, hliam, leh rilru surgery te a ni. Entirnan, car accident-a rilru a tlak chuan, sang tak atanga a tlak chuan, emaw, a rilruah thil nalh tak a tang a nih chuan, hetiang dinhmun hi a awm thei a ni. Chu bakah, a chhan dang engemaw zat a awm bawk:

• Blood clotting disorders (thisen a hrual awlsam loh natna) .
• Lung cancer a ni
• Pleural mesothelioma (cancer chi khat, pleura-a awm) .
• Pulmonary infarction (lung thenkhat thisen supply tihtawp a nih chuan) .
• Thoracic surgery , thinlung surgery te pawh a tel.
• A châng chuan thisen kalna kawng chu thisen kalna kawng lian takah central venous catheter dah a nih chuan a chhiat phah ṭhin.
• Genetic natna, connective tissue tichhe thei, Ehlers-Danlos syndrome ang chi te .
• Tuberculosis (hei hi a chhan pawh a awm thei bawk) .

Hetiang hi tu nge vei thei ber?

Tu pawhin hemothorax an vei thei a, a bik takin rilruah trauma a awm chuan. Mahse, mi thenkhat chu risk sang deuhah an awm a:

• Mihring rilru surgery nei tawhte: He hlauhawmna hi lung emaw, rilru emaw nena inzawm operation eng pawh hnuah a awm a, entirnan, open heart surgery emaw lung transplant emaw hnuah a awm thei.
• Infiamna emaw, rilru ti na fo thinte: Football, hockey, weightlifting, boxing, karate ang chi martial arts, leh wrestling ang chi infiamna khel thinte chuan an rilruah vuakna an tawk nasa zawk. Chuvangin an risk sang zawk bawk.

Hei hian eng harsatna dang nge a thlen theih?

Hemothorax hian taksaah harsatna dang a thlen thei bawk. Chung zingah chuan:

• Thâwk harsatna nasa tak emaw, mahni chauha thawk theih lohna (hei hi `(Respiratory failure)` an ti) .
• Hypovolemic shock : Hei hi taksa atanga thisen tam tak hloh avanga shock condition a ni.
• Empyema : Hei hi pleural space-a pus awmkhawm a ni. Hei hi thisen a khawlkhawmna hmuna infection a awm chuan a thleng thei a ni.
• Pleural tissue emaw lung tissue emaw a hliam.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

Doctor chauh hian hemothorax hi dik takin a hmu thei a ni. A hmasa berin a enfiah ang che.Taksa enfiahna a nei ang. Chumi hnuah chuan i lung chu stethoscope (auscultation) hmangin a ngaithla ang. Chumi hnuah chuan a natna lung atanga thawm danglam lo chhuak chu a hre thei ang. He natna hi a hriat chian nan test dang eng emaw zat a ti bawk ang.

Diagnostic test te hi engte nge ni?

Doctor chuan hetiang test hi a ti thei ang:

• Chest X -ray: Hei hian pleural space-a thisen a awm leh awm loh a enfiah thei a ni.
• CT scan : Hei hian rilru chhung lam chu chiang zawkin, chipchiar zawkin a hmu thei a ni. Thisen zam emaw, chhiatna dang emaw a awm leh awm loh a enfiah thei bawk.
• Thoracentesis : Hei hi a takah chuan test ang bawkin enkawlna a ni. Pleural space atanga tui sample lak nan needle te tak te hman a ni. Hei hi thisen a nih leh nih loh enfiahna atan hman theih a ni.

Okay, tunah chuan hei hi eng treatment nge awm tih kan en ang.

Hemothorax hi pleural space atanga thisen lakchhuah hmanga enkawl a ni.

Pakhatnaah chuan thawk harsa i tih chuan oxygen therapy pek i ni ang. A natna a nasat chuan mechanical ventilation pek a ngai mai thei.

A dawtah chuan hemothorax nasat dan azirin doctor-te chuan heng zinga pakhat hi an ti ang:

• Thoracentesis: Pleural space atanga thisen engemaw zat lakchhuah nan ruh inkar ah needle te tak te dah a ni. Hei hi thisen a tlem chuan tih a ni.
• Chest tube dah (Thoracostomy): Tube lian tak (chest tube) chu ribs kaltlangin pleural space-ah dahin thisen awm zawng zawng chu a chhuak thei a ni. He tube hi ni engemaw zat a hmunah dah a ngai mai thei.
• Thoracotomy: A châng chuan thisen chhuahna tur tube dah chung pawhin thisen a chhuak chhunzawm zel a nih chuan, emaw, thisen chhuahna chhan hriatchhuah leh enkawl a ngai a nih chuan, surgeon chuan a rilruah incision a siam ang a, lung natna chu a lut ang a, a ṭul angin enkawlna a ti ang.

Thisen tam tak i hloh a nih chuan thisen pek a ngai mai thei bawk.

Hemothorax apiang hian chest tube a mamawh em?

No. Hemothorax enkawlna zawng zawngah hian chest tube hman a ngai lo. Thisen tlem (`Minor hemothorax`) a awm chuan thisen thenkhat chu needle te tak te (`Thoracentesis`) hmangin lakchhuah theih a ni mai thei.

Heng enkawlnate hian hlauhawmna a nei em?

Ni e, damdawi lam enkawlna dang ang bawkin, hemothorax enkawlnaah hian hlauhawmna engemaw zat a awm. Chung zingah chuan:

• Anesthesia nena inzawm harsatna (operation neih a nih chuan).
• Na.
• Thisen chhuak.
• Infection, pneumonia ang chi te.
• Pulmonary edema a awm thin.

Mahse lungngai suh, doctor-te chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah mek a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I dam leh hun chhung chu i hemothorax thlentu leh eng enkawlna nge i dawn tih ah a innghat a ni. Chest tube i dah emaw, operation i neih emaw chuan ni engemaw zat damdawi inah i awm a ngai dawn a ni. I doctor chuan i dam chhungin eng nge i beisei tur tih leh engtikah nge i thiltih pangngai, hnathawhna hmun, sikul i kal leh theih ang tih a hrilh ang che.

Hemothorax i neih chuan eng nge beisei tur?

Hemothorax hi natna khirh tak a ni a, damdawi lam pan vat a ngai a ni. Damdawi inah ni engemaw zat emaw, a aia rei emaw i awm a ngai mai thei. Damdawi ina i awm lai hian doctor ten an lo enfiah thei che a, a tul chuan oxygen an pe thei bawk.

Mahse, hre reng ang che, dik taka hmuhchhuah a nih a, enkawl vat a nih chuan mi tam zawk chuan hun rei tak chhunga harsatna awm lovin an dam kim vek a ni.

Engtin nge he hlauhawmna hi tihziaawm theih ang?

Hemothorax thlentu thenkhat chu kan veng thei lo. Mahse, chest trauma emaw injury emaw avanga hemothorax vei theihna tur tihtlem nan a hnuaia mi hi kan ti thei ang:

• Infiamna emaw, rilru hliam thlen thei thil emaw i khelh hunah invenna hmanrua vuah tur a ni.
• Car chhunga i chuan dawnin seat belt vuah fo ang che.
• Chunglam atanga thil i lak dawnin ṭhutphah emaw, dawhkan emaw-ah chuan lawn suh la, hmanraw remchang hmang suh la, mi tu emaw hnenah ṭanpuina dîl suh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan tiang, kea kalna emaw, kekawrte emaw hmang ang che.

Recovery lai hian engtin nge ka in enkawl ang?

Hemothorax atanga i dam leh lai hian i lung tichhe thei emaw, pressure pe thei emaw thil atanga inthiarfihlim a tha ber. Entir nan:

• Meizial zuk loh tur.
• Exercise hahthlak tak tak, heavy lifting leh heavy bending te hi pumpelh rawh.
• Contact sports atanga rei lo te chhung chu inthiarfihlim rawh.
• Scuba diving emaw deep-sea diving emaw ang chi thil tih loh tur.
• Thlawhnaa zin (hei lam pawh hi doctor rawn hmasak a tha ber).

Engtikah nge ka doctor ka hmuh leh ang?

I doctor-in a tih tur follow-up appointment zawng zawngah kal vek tur a ni. Hei hian beisei angin i dam leh em tih a hmu thei ang a, a tul chuan test dang (e.g. X-ray) a ti leh thei bawk ang.

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

Thâwk harsa i tih thut emaw, tuar theih loh khawpa i rilru natna i neih chuan emergency room-ah a rang thei ang bera kal rawh. Hun khawhral suh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• Engtin nge hemothorax ka vei tih i hriat theih ang?
• Ka hemothorax hi engtiang chiahin nge a nasat?
• Hetiang thil hi a thlen leh tawh loh nan ka tih theih a awm em?
• Eng enkawlna nge i rawt?
• Eng chen nge ka dam leh theih nan a la ngai ang?
• Oxygen dang ka mamawh dawn em ni?
• Damdawi inah ka awm a ngai dawn em ni?

Hemothorax hian nunna a tichhe thei em?

I hemothorax nasat dan leh thisen chhuah tihtawp nan eng chen nge a rei tih ah a innghat. Hemothorax case tenau te chu hlauhawm leh harsatna awm lovin a dam thei. Mahse, hemothorax natna khirh tak chu enkawl vat loh chuan thihna thlen thei a ni.

Hemothorax leh Pneumothorax hi eng nge an danglamna?

An pahnih hi tibuai suh.

• Hemothorax chu pleural space-a thisen awmkhawmna a ni.
• Pneumothorax hi boruak chu pleural space-ah a lut a, lung chu pressure a siam a, chu chuan lung chu a tikehsawm vek emaw, a then emaw a tichhia a ni. Hei hi "collapsed lung" tia sawi a ni bawk.

Hemothorax hi lung tlu tawh a ni em?

No. Hemothorax leh lung collapse hi natna hrang hrang pahnih a ni. Lung collapse hming dang chu pneumothorax a ni. Mahse, hemothorax hian lungah pressure a siam thei a, a tikehsawm thei bawk.

Hemothorax leh Pleural Effusion hi eng nge an danglamna?

• Pleural effusion chu pleural space-a tui tam lutuk awmkhawmna a ni. A tlangpuiin puitling chuan he tui hi pleural space sir khatah milliliter 5-10 (teaspoon 1-2 vel) a nei thin. Hetiang zat a pun chuan pleural effusion an ti a.
• Hemothorax chu pleural space-a thisen awmkhawmna a ni.

A awlsam zawngin sawi ila, hemothorax hi pleural effusion chi khat a ni a, mahse thisen a tel a ni.

I rilru natna emaw, thawk harsa emaw nena inzawm symptom i neih chuan doctor rawn la nghal rawh.Doctor chuan hemothorax a nei tih a hmuchhuak thei a, a chhan a hmu thei a, enkawlna tha ber a pe thei bawk che.

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

Awle, vawiin hian Hemothorax chungchang kan sawi nasa hle. Thutawp atan chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Hemothorax chu lung chhehvela thisen awmkhawmna a ni.
• Hei hi a chhan ber chu accident, hliam, leh rilru surgery te a ni.
• Thâwk harsa, rilru na, leh thinlung na rang ang chi symptoms a awm thei.
• Hei hi natna khirh tak a ni thei a, chuvangin symptoms i neih chuan doctor pan nghal tur a ni.
• Enkawlnaah chuan thisen pek te, oxygen pek te, leh operation te pawh a tel a ni .
• Enkawl vat a nih chuan i dam kim thei a ni.
• He hlauhawmna hi accident laka invenna hmanga tihziaawm theih a ni.

Hemi chungchanga zawhna dang i neih chuan i doctor emaw nurse emaw zawh hreh suh. Hrisel takin awm rawh!

` Hemothorax, rilru chhung thisen a khat, pleural space, thawk harsa, rilru na, chest tube, thawkna lam natna