Pericardial Effusion: Hei hi ngaihtuah tur a ni em?

‘Thinlung vel tuiin a khat’ tih thawnthu i hre tawh em? I thianpa pakhatin hetiang hian a lo thleng tawh pawh a ni mai thei. A nih loh leh nang pawh tunlai hian i rilruah a rit deuh a, thawk harsa i ti hle mai thei bawk. Hei hi a takah chuan a hlauhawm deuh. Chuvangin vawiin hian medical science-a he natna `Pericardial Effusion` tih hi kan sawi dawn a ni. Eng nge ni a, engvangin nge a lo awm, a hlauhawm em, eng nge kan tih ang, i hriatthiam theih tur khawpa awlsam takin sawi ila.

A awlsam zawngin, Pericardial Effusion hi eng nge ni?

Hetiang hian i hrethiam ang u. Kan thinlung hi taksa peng pakhat chauh a ni lo. A chhehvel chu bawm te tak te, venhimna khuhna ang maiin a hual vel a ni. Hei hi ``Pericardium`` kan ti a. Thinlung hi he bawm chhungah hian a awm a ni. A tlangpuiin he bawm leh thinlung inkarah hian tui tlemte chauh a awm a, chu chuan thinlung chu a beng laia inhnek lovin awlsam taka a tlan theih nan a pui thin. Engine chhunga oil awm ang mai a ni.

Pericardial effusion chu eng emaw chhan vanga he sac chhungah hian a tlangpui aia tam tui a awm khawm hian a ni.

Plastic tui bottle chhunga balloon i inflate tum lai kha han mitthla teh. Bottle a khar chuan a theih ang anga balloon inflate theihna tur hmun i nei a ni. Mahse bottle-ah tui tlem i dah chuan balloon-a inflate tur room chu a tlahniam ta a ni. Tui tam zawk i fill chuan a tawpah chuan balloon chu a inflate thei tawh lo ang.

Kan thinlungah pawh chutiang bawk chu a thleng thin. Thinlung hi balloon ang mai a ni. A chhehvela bawm (`pericardium`) chu bottle a ni. He bawm hi tui (fluid) a khat chuan thinlungin zalen taka pump theihna tur leh thisen a khat theihna tur hmun a tlahniam thin.

• Fluid a lo pun zel angin: Thinlung chhehvela bawm hian a inzawm khawm leh a lian zel theih nan hun a nei a. Chuvangin tui tam tak a awm khawm hma chuan i hrehawm vak lo mai thei.
• Vawi khata tui a lo punkhawm vek chuan: Hei hi a hlauhawm hle. Hei hi accident ang chi thilah pawh a thleng thei. Tichuan sac chu a drain hun a nei tawh lo. Tui tlemte pawh hian thinlung a tikhauh thei a, a hnathawh pawh a hloh thei a ni.

Hei hi a hlauhawm theihna tur dinhmunte chu engte nge ni?

Ni e, he dinhmun hi a châng chuan nunna atana hlauhawm emergency a ni thei. `Cardiac Tamponade` kan ti a ni.

A awlsam zawngin sawi ila, `Cardiac Tamponade` chu thinlung chu tuiin a khat a, chu chuan a compress nasa lutuk a, chetna tur hmun a nei lo va, thisen a khat bawk. Chu bottle chu tuiin a khat vek tawh a, balloon chu a inflate lo tak zet tih han ngaihtuah teh.

Thinlung thisen a khat loh chuan taksa peng dangah thisen a pump thei lo. Thisenin thluak, kal leh thin a thlen loh chuan, chu taksa peng hrang hrangte chuan an hnathawh a hloh ta a ni. Hetiang dinhmun hi `Cardiogenic Shock` an ti a. Hei hi a hlauhawm hle mai. Enkawl nghal loh chuan minute tlemte chhungin emaw darkar tlemte chhungin thihna a thleng thei a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Fluid a khawlkhawm zat a tlem chuan symptoms i nei lo mai thei. Mahse, tui a tam chuan, emaw, `Cardiac Tamponade` ang chi emergency situation-ah emaw chuan symptoms a lang chhuak thin.

A hnuaia table-ah hian eng symptoms ber berte nge ni tih i lo en ang u.

Chu bâkah, thinlung vêla tui awm zat a tam lutuk chuan a bul hnaia taksa peng hrang hrang, lung, nerve, a nih loh leh chaw kawng chu a nawr thei bawk. Hetiang symptoms hi a awm thei bawk:

• Chaw ei harsa (Dysphagia) .
• Hiccups a ni
• Khuh emaw, ri bengchheng emaw

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Thinlung vel hi tui a khat chhan pakhat a awm lo, chhan tam tak a awm thei. A châng chuan a chhan hmuh tur a awm lo. Mahse a nghawngtu lian ber tlemte a awm.

• Infection: He natna hi virus leh bacteria infection hrang hrang avanga lo awm thei a ni. Tuberculosis hi a thlentu lian ber a ni a, a bik takin Sri Lanka ang ramah chuan a chhan lian ber a ni. HIV hrik kai pawh a awm thei bawk.
• Cancer: Thinlung ngeia cancer lo awm emaw, taksa hmun dang atanga thinlunga darh (metastasis) cancer emaw hian thinlung chhehvel lining a tichhia a, tuiin a khat thei a ni.
• Immune system natna: Taksa cell ngei beitu natna, lupus (SLE) leh rheumatoid arthritis te avanga inflammation awm hian tui a tipung thei a ni.
• Hormone lama harsatna: Hypothyroidism ang chi natna.
• Chest injuries: Hliam na tak tak, car accident avanga hliam na tak emaw, hliam tuar emaw.
• Lung natna: Heart attack, heart valve natna, aortic dissection ang chi natna.
• Damdawi lam thil dang: Lung zai hnuah emaw, cancer enkawlna atana radiation therapy hnuah emaw, damdawi thenkhat side effect angin emaw a awm thei bawk.
• Damdawi lam thil dang: Hetiang dinhmun hi natna hrang hrang, kal (kidney failure) leh liver cirrhosis avanga taksaa tui awm tam vang pawh a ni thei.

Engtin nge hei hi i hmuh theih, Doctor?

Symptoms i neih chuan i doctor chuan zawhna a zawt ang che a, diagnosis siam turin a enfiah ang che. A châng chuan chhan dang vanga chest X-ray tih laiin accident-in hmuh theih a ni.

Doctor chuan he natna hi finfiah nan leh a chhan zawng turin test eng emaw zat a ti ang.

• Electrocardiogram (ECG): Thinlung electric hnathawh dan a enfiah thin.
• Echocardiogram: Hei hi test pawimawh ber a ni. Nausen scan ang mai a ni. Thinlung chhehvela tui awm zat leh thinlung hnathawh that dan a nghawng em tih chiang takin a hmu thei.
• Chest X-ray: Tui a tam chuan thinlung thlalak chu a lian zawk ang.
• CT Scan emaw MRI Scan emaw hmangin:Chûngte chuan thinlung leh a chhehvêla thil awmte chu chipchiar zâwkin a târ lang thei a ni.
• Thisen test: Thisen test hian a chhan hriatchhuahna kawngah nasa takin a pui thei a ni. Entirnan, `Complete Blood Count (CBC), `Troponin` (thinlung natna enfiah nan), thyroid hormone level, leh immune system natna test te.

Hei hi eng enkawlna nge ni?

Enkawlna chu i dinhmun a nasat dan leh a chhan danah a innghat a ni.

Mahse, fluid level a san chak lutuk a, symptom i nei a, emergency condition cardiac tamponade ang chi a lo awm a nih chuan enkawl vat a ngai a ni.

Enkawl dan tlangpui pahnih a awm a, chungte chu:

1. Emergency-a tui paih chhuah

Hei hian thinlung chhehvela tui tam lutuk chu paih chhuah a huam a, chu chuan thinlung chu zalen takin a thawk thei a ni.

• Pericardiocentesis: Hetiang tih danah hian rilru vun chu a numb a, echocardiogram kaihhruaina hnuaiah thinlung chhehvel bawm chhungah needle te tak te dahin, syringe hmangin tui tam lutuk chu lakchhuah a ni . A châng chuan tui chu a chhuah chhunzawm theih nân tube te tak te chu ni engemaw zât a hmunah dah theih a ni.
• Surgery hmanga tui lakchhuah: A chang chuan operation tih a ngai thin. ``Video-assisted thoracic surgery (VATS) tih procedure-ah chuan, incision te tak te hmangin camera dahin, thinlung chhehvel sac-ah "window" te tak te siam a ni. Chumi hnuah chuan tui tam lutuk chu lung chhehvela khur lian takah a chhuak a, chutah chuan taksaah a lut ta a ni.

2. A chhan bulpui ber enkawl

Fluid lakchhuah hnuah, fluid a fill back up loh nan a chhan bulpui chu enkawl a ngai a ni.

• Infection a awm chuan antibiotics pek thin a ni.
• Swelling vang a nih chuan anti-inflammatory drugs pek thin a ni.
• Cancer vang a nih chuan , chemotherapy emaw radiation treatment emaw hman thin a ni.
• Kidney natna i neih chuan dialysis tih a ngai mai thei .

Enkawl hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Engtiang chiahin nge i dam thuai ang a, eng chen nge i dam leh theih ang tih hi thil engemaw zatah a innghat a ni:

• Fluid filling a nih chhan.
• A natna a nasat dan.
• Enkawlna i dawn dan kha.
• I hriselna zawng zawng.

`Cardiac Tamponade` ang chi emergency situation-ah chuan thinlung chhehvela tui awm chu lakchhuah a nih veleh hahdamna nasa tak i nei tan ang. I doctor chu i dam leh hun tur ngaihtuahna pe theitu tur che tha ber a ni tlangpui.

He natna hi chhan lian tak, cancer emaw accident emaw avanga lo awm a nih chuan a dam leh theihna chance chu a hniam deuh thei a ni. Mahse, a chhan hmuh theih loh emaw, natna awlsam tak ang chi thil avanga lo awm a nih chuan a dam kim theihna chance a sang zawk hle.

Engtikah nge ETU-a kal nghal i mamawh?

Hei hi i ngaihven ber tur part chu a ni . `Pericardial Effusion` i nei tih i hriat chuan, emaw, a hnuaia symptoms pakhat emaw a aia tam emaw i neih thut chuan damdawi in Emergency Department (`ETU`) ah kal nghal rawh. Hengte hi `Cardiac Tamponade` chhinchhiahna a ni thei.

Heng symptoms te hi fimkhur hle ang che. A hun taka enkawl hian i nunna a chhanhim thei a ni.