I fa tê tê chu khawsik emaw, khawsik emaw a neih chuan an thawk chhuah laiin i rilru ruh inkar vun chu a lut tih i hre ngai em? A nih loh leh an rilru a na ang maiin a lang em? Nu leh pa tu pawhin hei hi an hmuh hian an hlauthawng deuh hi thil pangngai a ni. Hei hi damdawi lama Intercostal Retractions kan tih chu a ni. Hei hi thawk harsatna chhinchhiahna pawimawh tak a ni. Chuvangin vawiinah hian awlsam leh chiang takin he thu hi sawi ila.
A awlsam zawngin Intercostal Retractions tih hi eng nge ni?
Intercostal retractions chu i thawk chhuah laiin i ruh inkar ruh leh vun te chu chhung lam hawia an inhnukdawk thin a ni. ‘Intercostal’ tih hian ruh pahnih inkar hmun a kawk a. He chest retraction hian lungah inflammation emaw obstruction emaw a awm tihna a ni a, chu chuan thawk a ti harsa hle.
Hetiang hian han ngaihtuah teh. Kan thawk dan pangngaia kan thawh chuan kan rilru leh kan pum inkar ruh, diaphragm an tih chu a tla thla a. Hei hian rilru chhungah negative pressure a siam a, chu chuan lung chhungah boruak a lut ta a ni. Hei hi damdawi chu syringe-a luhtir ang mai a ni. Mahse, boruak kalna kawng, boruak kalna kawng chu mucus emaw thil dang emaw avanga tihkhawtlai emaw, tihzauh emaw a nih chuan eng nge thleng ang? Diaphragm chu hnuai lam pan mah se, boruak tling lo chu lung chhungah a lut thei lo.
Straw tawp khat kha khar a, a tawp dang i suck ang mai a ni. Engtiang pawhin i hrual pawhin engmah chu straw atang chuan a tla thla lo va, chu ai chuan straw sir lam chu a sink lut zawk a, chu chu rilru chhungah a thleng thin. Thli a luh loh avangin rilru ruh leh vun te chu a rawn inhnukdawk tan ta a ni.
Hei hi tlan leh inkhelh hnuah thil pangngai a ni thei a, mahse he symptom hi chawlh hahdam laiin a lo lang a, engmah thawhrimna awm lo a nih chuan thawk harsatna nasa tak a awm tih a ni.
Thâwk hahna chhinchhiahna dangte chu engte nge ni?
Intercostal retractions chu ruh inkar a hollows lo lang hi a ni. Ribs te chu an hruai lut ang mai a ni a, hei hi naute leh naupang te tan chuan a langsar hle a, a chhan chu an taksa thau a tlem vang a ni. Doctor-te chuan a chang chuan i naute hian thawk a harsat chuan i rilru a tight tih zawng turin an ti che a ni mai thei. He symptom bakah hian symptom dang engemaw zat a awm a, i naute hian thawk a harsat a nih chuan hmuh theih a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Hnar kawngkhar a rawn chhuak | Thâwk chhuah apiangin hnar kawngkhar chu a zau a, a tawi bawk. |
| Thâwk chak tak (`Tachypnea`) . | Minute khata thawk zat hi kum upat dan azirin a pung nasa hle. |
| Aw danglam tak tak | Thâwk chhuah laiin thawk hah emaw, thawm na tak (stridor) emaw chu rilru emaw, rilruah emaw a awm. |
| Thâwk a tawi | Thâwk harsa tih hriat emaw, lan emaw, thusawi lai pawhin. |
| Thâwk chhuah hun rei zawk | Thâwk chhuah aiin thawk chhuah hun rei zawk. |
Heng symptom pakhat emaw a aia tam emaw i hmuh chuan, a bik takin intercostal retractions-ah chuan medical emergency a ni. Naupang emaw, mi emaw chu hospital emergency department (ETU) hnai ber hnenah hruai nghal rawh.
Retraction chi hrang hrang a awm em?
Ni e, hengte hi rilru leh kawr vun chu khawiah nge a hruai lut tih a zirin chi hrang hrangah then theih a ni a, chu hmun a\ang chuan doctor chuan boruak kalna kawng a inkharkhipna hmun chu rough idea a nei thei a ni.
| Retraction chi hrang hrang | I pull in na hmun chu | Vawi tam tak a lantir |
|---|---|---|
| Intercostal a ni | Ribs inkar ah | Thlawhna kawng hnuai lam a tihkhawtlai. |
| Subcostal a ni | Rib cage hnuaiah, pum chhung hmun | Thlawhna kawng hnuai lam a tihkhawtlai. |
| Substernal a ni | A hnute ruh hnuaiah | Thlawhna kawng hnuai lam a tihkhawtlai. |
| Suprasternal (`Tracheal tug`) tih a ni. | Kawr lai takah, rilru ruh lai tak chungah | Upper airway tihkhawtlai a ni. |
| Supraclavicular tih a ni | Collarbone chungah chuan | Upper airway tihkhawtlai a ni. |
Hetiang dinhmun a thlen chhan berte chu engte nge ni?
Intercostal retractions hi thawkna kawng a zim emaw, a block emaw avanga lo awm a ni. Hei hian chhan hrang hrang a nei thei.
- Asthma emaw COPD ang chi natna zual zel: Hetiang dinhmunah hian thawkna kawng a zim a, thawk a harsa hle.
- Thluak lam natna: A bik takin `RSV` virus, `COVID-19` ang chi natnaah te, naupangte zingah a hluar hle.
- Thluak lam natna: `Bronchiolitis` (thluak kawng te tak te a na), `Croup` (rilru natna), leh `Pneumonia` (pneumonia) te ang chi natna.
- Obstruction: Thlalak chhunga thil awm (e.g., ei tur chi khat, infiamna), mucus thick emaw, tumor emaw avanga thawkna kawng khar.
- Severe Allergic Reaction (Anaphylaxis): Chaw, damdawi emaw, rulhut emaw allergy na tak chuan thawkna kawng a ti hring thei a, a tikhawlo thei bawk.
- A chhan dangte: Vocal cord paralysis, diabetic ketoacidosis, leh Reye’s syndrome ang chi natna hlauhawm tak tak te.
Hemi atan hian doctor-te hian eng enkawlna nge an pek?
Intercostal retraction nei mi chu damdawi inah hruai a nih chuan doctor-te thil tum hmasa ber chu thawk harsatna tihziaawmna leh taksa tana oxygen mamawh zat pek hi a ni. A chhan a zirin inenkawl dan chi hrang hrang hman a ni.
- Oxygen therapy: Oxygen hi hnar tube emaw face mask hmanga pek a ni.
- Nebulizer treatments: Damdawi vapour, thawkna kawng hawngtu bronchodilators emaw, inflammation tihziaawmna corticosteroids emaw te hip luh.
- Obstruction tihbo: Thlawhna kawng chhunga thil tang chu paih chhuah.
- Positive pressure ventilation: Mahni chauha thawk a harsat lutuk chuan machine hian pressure sang takin boruak emaw oxygen emaw a pe chhuak thin. Hei hi face mask `CPAP` emaw `BiPAP` emaw hmangin emaw, a nasat lutuk chuan artificial respirator (`mechanical ventilation`) nena inzawm emaw hmangin tih theih a ni.
He enkawlna chhung hian doctor chuan he natna chhan bulpui ber hriat tumin test eng emaw zat a nei thei a ni.
- Chest X-ray emaw CT scan emaw hmanga tih theih a ni.
- Viral infection hriat theihna turin nasal swab lak.
- Thisen test a ni.
Enkawl loh chuan eng hlauhawmna nge awm?
Intercostal retractions thlentu underlying condition chu enkawl loh chuan condition chu a zual thei hle. A nasat chuan thawk harsa, .
- Taksa tissue-a oxygen supply tlahniam (hypoxia).
- Thisenah carbon dioxide level a sang (hypercapnia).
- Nunna atana hlauhawm tak tak, thawkna lama harsatna (complete respiratory failure) te pawh a awm thei.
Take-Home Thuchah a ni
- Intercostal retractions chu thawk laiin vun chu ruh inkar a hruai luh a ni. Hei hi thawk harsatna chhinchhiahna pawimawh tak a ni .
- He mizia hi naupang tê tê leh naute zingah chiang takin a lang thei a ni.
- He symptom hi i ding mai mai laiin, engmah thawhrimna tel lovin i tawng a nih chuan emergency a ni. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- Hetiang dinhmun hi chhan hrang hrang vang a ni thei a, chu chu asthma, pneumonia, emaw thil dangin thawkna kawng a tikhawlo thei a ni.
- Enkawlna hian thawkna kawng a hawng a, taksain a mamawh oxygen a pe bawk. Hetiang dinhmun i hmuh hian hlauthawng lo tur leh damdawi lam thurawn dik tak lak vat a pawimawh hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Eng ang neurological condition nge tremors hi a nih?
Tremors hi i vawt/hlauh laia i nghing nen a inang lo! ‘Tremors’ hi nervous system disorder na tak a ni a, mi pakhat kut, ke, lu, emaw aw chu duh loh zawnga a nghing (involuntary, rhythmic muscle contractions), pendulum ang maia a nghing/ nghing chhunzawm zel a ni. Hei hian nun a ti harsa em em a, no pawh i chelh thei lo va, lehkha pawh i ziak thei lo.
💬 Thunun theih loha khur chhuah chhan berte chu engte nge ni?
Hei hi a chhan lian tak tak engemaw zat a awm: 1) ‘Parkinson’s Disease’ - Hemi chhinchhiahna hlauhawm ber chu damloin engmah ti lovin ‘ding rengin’ a kut pakhat a vawn (Resting tremor - kuta tangka chhiar ang chi) hi a ni. 2) ‘Essential Tremor’ - Heng mite hi cup/write (Action tremor) la tura an kal hunah chauh an nghing thin. 3) Thyroid gland chak lo tak (Hyperthyroidism). 4) Stress, caffeine in tam lutuk leh zu in loh.
💬 Engvangin nge tremors chungchangah doctor i hmuh ang? Damdawi ina dah nghal ngai ‘nunna atana hlauhawm/emergency situation’ te chu engte nge ni?
I khur a nih chuan neurologist i pan ngei ngei tur a ni (thluak chhiatna nasa tak a awm mai thei). Mahse, a hlauhawm ber chu! Mi tha tak chu, minute tlemte chhungin, 1) kut/ke pakhat a nghing thei a, chutih rual chuan, a tawng thei lo/hmai a tla thla thei (Stroke), 2) a mit a inher/hriat lohna leh a taksa pum a nghing/khuh (Seizures) a nei thei a, chuvangin damdawi in emergency department-ah chuan tihkhawtlai lovin i kal tur a ni, damlo chu coma-ah a tlu a, a thi thei a ni!
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