Hetiang rilru natna hi i nei em? (Mediastinitis) A chanchin hi i zir chiang ang u.

I rilru chhungril, i thinlung awmna hmunah hian natna mak tak mai, rit tak tak, leh hrehawmna mak tak tak i nei tawh em? Thil pawi tak a ni lo i ti mai thei. Mahse, a chang chuan heng symptoms te hi hriselna lama harsatna lian zawk chhinchhiahna a ni thei. Chuvangin vawiinah hian `(Mediastinitis)` tih hming pu, rilru chhunga lo awm thei, mahse mi tam takin an hriat loh chungchang kan sawi dawn a ni. He hming hi a buaithlak deuh a, mahse a awlsam zawngin i hrethiam ang u.

Hei hi eng nge ni `(Mediastinitis)`?

A awlsam zawngin `(Mediastinitis)` hi kan rilru lai takah `(mediastinum)` an tih hmuna inflammation emaw infection emaw a awm a ni. Tunah chuan `(mediastinum)` tih hi eng nge ni tih i ngaihtuah mai thei. Ngaihtuah teh, kan rilru hi kawngkhar lian tak a ni a, chu chu `(thoracic cavity)` kan ti a ni. He `(thoracic cavity)` sir lehlamah hian kan lung awmna `(pleural cavities)` a awm a. Chhung lai tak, lung pahnih inkar hmun pawimawh tak chu `(mediastinum).` an ti a

He `(mediastinum)` hmun hi taksa peng leh thil pawimawh tam tak, kan thinlung , ei tur pipe (`(esophagus)`) , leh thinlung nena inzawm thisen kalna kawng lian ber berte awmna hmun a ni. Chuvangin hetiang hmun pawimawh takah hian inflammation emaw infection emaw a awm chuan eng ang taka na nge a nih theih tih i hrethiam thei ang. Chuvangin `(Mediastinitis)` natna hi nunna atana hlauhawm a ni thei.

He natna (Mediastinitis) hi acute (a lo awm nghal) emaw, chronic (hun kal zelah zawi zawiin a lo awm) emaw pawh a ni thei.

`(Mediastinitis)` i vei chuan taksaah eng nge thleng?

Mediastinitis hi nunna atana hlauhawm tak a ni. He inflammation hian kan taksa peng pawimawh tak tak leh rilru chhunga thisen kalna kawngte hnathawh dan pangngai a tibuai thei a ni. Hei hian harsatna lian tak a thlen thei a ni. Chuvangin, a rang thei ang bera inenkawlna lak hian dam lehna chance a tipung a, i nunna a chhanhim thei bawk.

Mediastinitis vanga harsatna awm thei thenkhat chu:

• Thlawhna kawng a block avangin thawk harsatna a awm.
• Constrictive pericarditis (thinlung chhehvela membrane a khauh).
• Pneumonia lo awm leh thin .
• Dinglam atanga thinlung natna .
• Thisen rimchhia, chu chu `(Sepsis)` tihna a ni.
• Thisen chhuak nasa tak .
• Superior vena cava syndrome (chutih laia thisen phurtu vein lian tak, superior vena cava-a pressure awm).

Ngaihtuah teh, hetiang dinhmun hi a lo thleng a nih chuan kan taksa kalphung zawng zawng a nghawng vek a ni. Chuvang chuan hei hi ngaihthah a tha lo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Doctor-te sawi dan chuan ``Mediastinitis`` hi natna awm lo tak a ni . Mahse, mi zinga a awm dan (`prevalence`) leh tute nge a nghawng tam ber tih hi natna chi hrang hrang (`acute` emaw `chronic`) a zirin a inang lo.

Acute mediastinitis hi rilru surgery avanga harsatna awm anga ngaih a ni tlangpui a, a bik takin median sternotomy an tih hi a ni. Median sternotomy hi surgical procedure a ni a, surgeon chuan i thinlung emaw thisen kalna kawng emaw a luh theih nan i hnute ruh (sternum) chu pahnih ah a tan a. Hetiang operation nei zinga 0.25% leh 5% inkar hian acute mediastinitis an nei thin. He rate hi damdawi in hrang hrangah leh bial hrang hrangah a inang lo thei a ni.

Chronic mediastinitis hi a tlem zawk daih. Fungus chi khat Histoplasma capsulatum an tih tamna hmunah (endemic) hmuhchhuah a ni tlangpui. Mahse, he fungus kai zawng zawng hian he natna hi an vei vek lo. Zirchiangtute chuan a kaihhnawih zinga 1% aia tlem chuan fungal infection (histoplasmosis) an vei niin an chhut. Chumi zingah chuan mi tlemte chauhvin chronic mediastinitis an vei a ni. Zirna hrang hrangah chuan United States-ah hian fibrosing mediastinitis (chronic mediastinitis chi khat) vei za tam tak an la awm tih a tarlang.

`Acute Mediastinitis` leh `Chronic Mediastinitis` hi eng nge an danglamna?

`(Mediastinitis)` hi chi hnih a awm a. Pakhat chu `Acute Mediastinitis` a ni. A dang chu `Chronic Mediastinitis` a ni. Heng pahnih inkarah hian danglamna lian tak a awm.

Acute mediastinitis hi a lo awm nghal a, a natna lan chhuah dan na tak a ni . Entirnan, chaw kawng chhungah perforation a awm chuan darkar tlemte chhungin acute mediastinitis a lo awm thei a ni. Kawngkhar emaw, hmuiah emaw natna a awm chuan a thleng thei bawk. Chest surgery avanga harsatna awm angin thla hmasa chhungin a thleng tlangpui. A tlem berah chuan a hnuah a thleng thei a, kum khatna chhung pawhin a thleng thei. Acute mediastinitis hi damdawi lam emergency a ni. I nunna chhanhim nan enkawl tan nghal a ngai a ni.

Chronic mediastinitis pawh hi natna khirh tak a ni a, mahse thla tam tak chhung, a chang chuan kum tam tak chhungin zawi zawiin a lo awm thin . Hei hian i mediastinum-ah scar tissue a tipung thei a ni. Hetiang dinhmun hi fibrosing mediastinitis emaw mediastinal fibrosis emaw an ti a . Chronic mediastinitis thlentu ber chu fungal infection a ni tlangpui.

Chronic mediastinitis vei chuan hun rei tak chhung chu symptoms a nei lo thei a, a nih loh leh symptom engmah a nei lo thei bawk. Thâwk harsa ang chi symptom an neih chuan a bul ṭanna a na lo thei a, hun kal zelah a na zual thei bawk. Symptoms hi i rilruah scar tissue a lo awm khawm a, i thlipui (trachea) emaw, i thinlunga thisen phurtu vein lian tak superior vena cava emaw a press vang a ni. Enkawlna hian natna lan chhuah dan tihtlem leh nunphung tihchangtlun a tum ber a ni.

`(Mediastinitis)` natna lan chhuah dan chu engte nge ni?

Symptom pawh hi `acute` emaw `chronic` emaw a nih dan azirin a danglam thei bawk.

`Acute Mediastinitis` natna lan chhuah dan:

• Vawikhatmah, rilru na tak.
• Chills a awm.
• Median sternotomy i neih chuan hliam atang hian pus ang chi tui a chhuak thei.
• Khawsik.
• Thâwk a tawi.

`Chronic Mediastinitis` natna lan chhuah dan:

Chronic mediastinitis hian symptom a nei lo thei. Mahse, fibrosing mediastinitis vei te chuan hetiang chi hi an nei thei a ni:

• A rilru a na.
• Khuh, thisen khuh pawh a ni thei.
• Thâwk harsa.
• ``Superior vena cava syndrome'' nena inzawm symptom dang (e.g., hmai, kawr, kut a hring).

`(Mediastinitis)` hi engte nge ni?

Hetiang dinhmun a awm chhan pawh hi a chi hrang hrangah a inang lo.

`Acute Mediastinitis` awm chhan: 1.1.

Acute mediastinitis hi i rilru chhunga tissue te chu a lo inven nghal a nih chuan a lo awm thin. Heng hri kai te hi a lo awm thei a ni:

• Median sternotomy-a harsatna awm thei: Hetiang chi operation hnua natna tam zawk hi Staphylococcus aureus an tih bacteria atanga lo chhuak a ni. I rilru tissue emaw, surgery hliam emaw chu operation lai emaw, a hnu rei vak lovah emaw a kai thei a ni. Entirnan, hliam a dam tha lo a nih chuan emaw, a hliam atanga natna hrik a luh chuan.
• Esophageal perforation: Hei hi chhan hrang hrang avangin a thleng thei. Entirnan, endoscopic procedure -a harsatna (camera hmanga esophagus chhunga enfiah) emaw, riltam lutuk, tharum thawhna ( Boerhaave syndrome) emaw a awm chuan chaw kawng chu a tikehsawm thei a ni.
• Lu emaw kawng emaw atanga natna kai darh: Doctor-te chuan hei hi ``descending necrotizing mediastinitis'' an ti a, hei hian a awmzia chu a rilru chunglam atanga infection intan chu rilru chhungah a darh thla a, chuta tissue te chu a tichhia tihna a ni. I ka chhunga natna (ha hring ang chi) leh kawr natna te chu hetiang hian a darh thei a ni.

Chronic Mediastinitis awm chhan: 1.1.

Chronic mediastinitis hi infection vang a ni bawk. Mahse, chutiang a nih chuan i tissue-a inflammation hi bacteria i tawn hnu lawkah a awm lo va, zawi zawiin a awm thin. Chronic mediastinitis hi hetiang hian a lo awm thei a:

• A fungal infection (hei hi a chhan tam ber a ni).
• Tuberculosis natna a ni.
• Radiation hmanga enkawlna a ni.
• Silicosis (lung natna, silica chi hrang hrang inhnim avanga lo awm).
• Sarcoidosis (taksa peng hrang hranga inflammatory cells cluster te tak te lo awm thin).

A châng chuan, chronic mediastinitis awm chhan chiang tak hmuh tur a awm lo. Hei hi idiopathic an ti a .

Chronic mediastinitis thlentu fungal infection tam ber chu Histoplasma capsulatum a ni. United States-ah chuan he fungus hi Ohio River Valley leh Mississippi River Valley-ah te a tam ber a ni. Khawvel hmun dangah chuan Africa, Asia, Australia, Central America, leh South America hmun thenkhatah te a awm a.

He fungus hi leiah a cheng a. Thliah a lut a, i thaw lut a nih loh chuan a pawi lo a, a tawrh zawng zawng chu an damlo vek lovang. Dik tak chuan he fungus vei tam zawk hi chu an damlo ngai lovang a, a nih loh leh natna lanchhuahna nei lo infection na lo tak chauh an nei ang. Mahse, i immune system hian he fungus hi i tawrh hnuah (kum tam tak hnuah) a overreact theihna chance a tlem hle. Hei hian i ``mediastinum'' chhunga tissue te chu a ti na thei a, chu chuan harsatna a thlen thei a ni.

`(Mediastinitis)` vei theihna tur risk factors te chu engte nge ni?

Tunah chuan tute nge he thil hi nei thei zawk tih hi han en ila. `(median sternotomy)` tih ngai surgery i neih chuan open-heart surgery ang chi i nei a nih chuan complication i ngaihtuah hle mai thei. I doctor nen i risk chungchang sawipui rawh. A tlangpuiin, a hnuaia natna hrang hrang i neih chuan `(median sternotomy)` hnuah `acute mediastinitis` i vei tam zawk a ni:

• I taksa hriselna tichak lo thei damdawi i neih chuan .
• Chronic obstructive lung natna (COPD) .
• Zunthlum.
• Kidney tha lo a awm.
• Thau lutuk.
• Peripheral artery disease (PAD) (kut leh kea thisen kalna kawng a thim).

Meizial leh zuk leh hmuam hman hian operation hnua harsatna awm theihna a tipung bawk .

Surgery ngei nena inzawm thil thenkhat pawh hian mediastinitis vei theihna a tipung bawk. Chung zingah chuan:

• Surgery hi a rei lutuk emaw, damlo chu cardiopulmonary bypass-ah rei lutuk emaw a ni.
• Reoperation (i rilru surgery i neih tawh chuan).

Nang hi `(Histoplasma capsulatum)` i niFungus awmna hmuna i awm chuan chronic mediastinitis vei theihna a sang zawk.

Engtin nge `(Mediastinitis)` hi hriat chhuah a nih?

Doctor-te chuan mediastinitis hi taksa enfiahna leh test dang hmangin an hmuchhuak tlangpui.

I taksa enfiahnaah doctor chuan hetiang hian a zawt ang che:

• I symptoms te chu.
• I medical history (natna hmasa, damdawi, etc.).
• Tun hnaia surgery emaw medical procedure emaw i neih tawh zawng zawng chungchang .
• I zin tawhna hmun (a bik takin `(Histoplasma capsulatum)` awmna hmun chungchang).

I doctor chuan i natna hriat chian nan test dang neih belh turin a ti thei bawk.

`(Mediastinitis)` tih hriat nan eng test nge hman thin?

Computed tomography (CT) scan with contrast hi mediastinitis hriat theihna atana gold standard a ni. Chu bâkah, i doctor chuan chest X-ray emaw, needle biopsy emaw a ti thei bawk .

Mediastinitis hi engtin nge enkawl a nih?

Awle, hei hi enkawl dan tur a awm em? Ni e, a awm. Mahse natna chi hrang hrang (`acute` emaw `chronic` emaw) leh a chhan a zirin a danglam thin.

Median sternotomy hnua acute mediastinitis natna hi a hnuaia enkawlnate hi a ngai thei a ni:

• Antibiotics , a tlangpuiin thisenah (IV) saline solution hmanga pek thin.
• Tissue thi lakchhuah leh tui awmkhawm chu paih chhuah nan operation tih a ni.

Acute mediastinitis hi esophageal tear avanga lo awm a nih chuan a hnuaia enkawlna te hi a ngai thei a ni:

• Antibiotics damdawi a ni.
• Surgery hmanga khur siam that te, tissue thi te lakchhuah te, leh/ emaw, tui awm zawng zawng paih chhuah te.

Acute mediastinitis i neih chuan i medical team chuan intensive care unit (ICU) ah an dah ang che . Chutah chuan medical team chuan i natna lan chhuah dan leh i dam leh dan chu uluk takin an enfiah ang.

Chronic mediastinitis enkawlnaah hian a natna lan chhuah dan tihziaawmna tur operation pawh a tel thei. I doctor chuan i thawkna kawng hawng thei emaw, i rilru chhunga thisen kalna kawng titha thei tur emaw a rawt thei ang. Researcher-te chuan chronic mediastinitis vei te tan enkawlna tur an la zawng mek a ni.

I enkawl dan tur leh i beisei theih turte chu i doctor nen sawiho rawh.

Mediastinitis hi ven theih a ni em?

Hetiang thil hi a thlen hmaa a lo thlen loh nan a tha ber. Mediastinitis hi damdawi lam thila harsatna awm fo a ni. I rilru surgery emaw endoscopic procedure emaw i neih chuan i doctor nen harsatna i neih theihna tur tihtlem dan tur sawipui rawh. I medical team-in i hri kai theihna tihtlem nan eng step nge an tih ang tih zawt rawh. Tin, operation hnua in lama i hliam enkawl dan tur pawh zawt ngei ang che.

Infection venna leh a lo awm veleh enkawl hian acute mediastinitis hlauhawmna a tihziaawm thei a ni. I ka leh i kawr chhunga natna hrik awmte chu i rilruah a darh thei a, harsatna lian tak a thlen thei bawk. Heng natna chi hrang hrang laka invenna atana i tih theih thenkhat chu hetiang hi a ni:

• Ha natna laka inven nan ha leh hmui (`(oral hygiene)`) uluk taka enkawl la .
• Thla ruk danah ha enkawltu hmu la, i ha tihfai rawh , a nih loh leh i ha enkawltu thupek zawm rawh.
• Kum khatah vawi khat doctor hmu la, i hriselna zawng zawng enfiah rawh .
• Infection symptoms i neih chuan doctor pan nghal rawh , leh infection tih ang chiaha enkawl turin damdawi eng pawh ei rawh.

Mediastinitis hian thihna a thlen thei em?

Hei hi thil pawi tak a ni. Ni e, he dinhmun hi nunna atana hlauhawm tak a ni thei a, chu chu thihna thlen thei tihna a ni. A hmaa hriatchhuah leh enkawl hi nunna chhanhimna tha ber a ni. Mediastinitis vanga thihna rate chungchanga zirchiangtute hriat dan hi han thlir ila:

• Median sternotomy hnua acute mediastinitis vei te thihna rate hi 1% leh 14% inkar a ni . Hei hi a hma aiin a tha zawk (12% atanga 50%). Hei hi surgical management lama hmasawnna a awm vang a ni. Engvangin nge heng range te hi a zau em em tih i ngaihtuah mai thei. Hei hi a chhan chu research study hrang hrangin population group hrang hrang hmangin thihna rate an zirchiang a ni. Chuvângin, i rah chhuah chu thil tam takah a innghat ang a, chu chu i operation na hmun te, i kum te, leh i hrisêlna pum pui te hi a ni.
• Esophageal tear avanga acute mediastinitis vei te thihna rate hi a inang lo hle. Enkawlna i hmuh thuai danah a innghat. Mittui tla atanga darkar 24 chhunga enkawl 10% aia tlem lo an thi. Chu chu darkar 24 hnua enkawl zingah 30% atanga 40%-ah a pung a ni. Kum upa zawk pawh hian a rah chhuah chhe zawk a thlen theihna a tipung bawk.
• Mite chuan ``Descending necrotizing mediastinitis'' an vei chuan ``Sepsis'' (thisen rimchhia) leh taksa peng hrang hrang a tichhe nghal vat thei a ni. Chuvangin, thihna rate hi 11% leh 40% inkar a ni .

Heng statistics te hi hlauhawm deuh angin lang mahse beiseina awm chhan a awm.`(Mediastinitis)` awm chhan leh a lan chhuah dan hriat chian hian a tul chuan damdawi lam tanpuina i zawn hun tur i hre thei ang. Tin, damdawi lam lama hmasawnna a awm chhoh zel avangin surgery pawh a him chho zel a, harsatna awmte pawh enkawl a ni bawk.

Engtikah nge Doctor i hmuh ang?

`Acute mediastinitis` hi natna lo awm nghal mai a ni. Hetiang symptoms (e.g., rang tak, rilru na tak, khawsik, thawk harsa) i neih chuan 911 emaw i awmna hmuna emergency number emaw call nghal la, a nih loh leh damdawi in hnai ber pan rawh. Enkawlna i hmuh hma poh leh i dam lehna tur a tha zawk.

Tin, a hnuaia thil thlengah hian doctor i biak tur a ni:

• Open-heart surgery emaw, mediastinitis vei theihna tipung thei damdawi dang emaw i tih dawn a nih chuan engtin nge i hlauhawmna tihziaawm theih ang tih zawt rawh.
• Chronic mediastinitis symptoms i neih emaw, i risk i ngaihtuah emaw a nih chuan .

A tawp berah chuan take-home message

Tunah chuan `(Mediastinitis)` hi natna khirh tak, a chang chuan nunna atana hlauhawm tak a ni tih i hrethiam tawh mai thei. Mahse, hlauthawng suh. A pawimawh ber chu hei hi hriat chian a ni.

Hrereng:

* Chest surgery zawhah, a bikin heart surgery hnuah hliam chu enkawl tur a ni. I doctor thupek ang chiah kha zawm rawh.

* Kawng leh kawr natna hi ngaihthah suh. An darh thei a, dinhmun khirh tak tak an thlen thei bawk.

* I rilru natna nasa tak, khawsik, thawk harsa tak tak i neih chuan , doctor pan nghal rawh.

* `(Histoplasma capsulatum)` ang chi fungi awmna hmuna i awm chuan chu pawh chu hre reng ang che.

* Natna hi hriatchhuah leh enkawl thuai a nih chuan a dam theihna chance a sang zawk. Damdawi lam thiamna a lo thang chho zel a, tunah chuan chutiang dinhmun chu hlawhtling taka hmachhawn theih a ni ta.

I hmangaih tak pakhatin mediastinitis a vei chuan lungkhamna leh tanpui theih lohvin i inhria thei. He natna chungchang i hriat hian thunun theihna rilru i nei thei a ni. He hriatna hian i hmangaih tak medical team te nen thil thleng chungchang sawipui turin a pui ang che. An dam leh hunah engtin nge i puih theih ang tih zawt rawh.

` mediastinitis, rilru na, rilru natna, thinlung surgery harsatna, chaw kawng perforation, fungal infection, mediastinum