Thinlung chhehvela tui (Pericardiocentesis) enkawl dan tur awlsam takin i zir ang u.

Miin, "Thinlung vel ah tui a awm" a tih i hre ngai em? Nang emaw i hriat emaw hian he natna hi i nei tawh a, doctor pawhin a enkawlna tur a sawi tawh pawh a ni mai thei. He thu i hriat hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Mahse, lungngai suh. Vawiin hian he natna hi enkawlna bik kan sawi dawn a, chu chuan a chang chuan nunna a chhanhim thei a ni. `Pericardiocentesis` tih a ni. Hemi chungchang hi a awlsam zawngin, mi zawng zawngin an hriatthiam theih tur angin sawi ila.

A awlsam zawngin, Pericardiocentesis chu eng nge ni?

Kan thinlung hi bawm te tak te chhungah a awm ang tih han ngaihtuah teh. He sac hi damdawi lam chuan pericardium an ti a. A hna chu thinlung humhalh a, taksa chhunga a hmun dik takah dah a ni. A tlangpuiin he sac leh thinlung inkarah hian tui tlemte chauh a awm a, chu chuan thinlung a nat laia a inhnaih (friction) a tihziaawm theih nan a pui thin.

Mahse, natna thenkhat avang hian pericardium chhungah hian a tul lovin tui (tui) a lo awm tan thin . Hetiang dinhmun hi `Pericardial effusion` kan ti a. He tui hi a lo punkhawm chuan chu tui chuan thinlung chu pressure nasa tak a siam a ni. Hetiang pressure avang hian thinlung hi a thawk tha thei lo va, a contract tha thei lo va, a zau thei lo bawk. Hei hi emergency hlauhawm tak leh nunna atana hlauhawm tak a ni. Hei hi `Cardiac tamponade` an ti a.

Chuvangin, pericardiocentesis hi, a awlsam zawngin, he thinlung chhehvela tui duh loh zat lo awm tawh hi taksa atanga needle hmanga lak chhuah dan a ni. Hei hian thinlunga pressure a tihziaawm nghal a, thinlung chu zalen takin a thawk leh thei ta a ni.

He enkawlna hi tute nge mamawh?

He enkawlna hi thinlung chhehvela tui nei tan a ngai a, chu chu pericardial effusion an ti a ni. A châng chuan emergency treatment angin tih a ni a, a bik takin nunna atana hlauhawm tak, cardiac tamponade ang chiah chuan tih a ni. Hun dangah chuan emergency ni lo mah se, he tui hi engvangin nge a awm khawm tih hriat nan hman a ni bawk. Fluid lakchhuah chu a chhan hriat tumin test turin thawn theih a ni.

Thinlung chhehvelah tui a awm khawm chhan hi chhan hrang hrang a awm thei. A bulpui berte han thlir ila.

He enkawlna hma hian eng nge thleng thin?

I doctor-in Pericardial effusion emaw Cardiac tamponade emaw a neih thu a hriat chuan a nasat dan a zirin he enkawlna hi tih leh tih loh tur an rel ang.

Emergency a nih loh chuan i doctor chuan appointment a siamsak ang che. A tlangpuiin, i appointment hma darkar 8 vel chaw nghei turin an ti ang che. Mahse, a hma darkar 2 thleng tui, tui ang chi chu in phalsak i ni ang.

Enkawlna an tan hmain medical team chuan a hnuaia mite hi an ti ang:

• Saline infusion: I kut chhunga vein pakhatah tube te tak te (intravenous - IV line) dah a ni. Hei hi damdawi emaw tui emaw i taksaah direct-a pekna atan hman theih a ni a, a tul chuan.
• Vun buatsaih dan: 1.1.Needle dahna tur hmun chu an sam a, antiseptic solution hmangin uluk takin an tifai thin. Hei hian hri kai venna kawngah a pui thei a ni.
• Vital signs monitoring: I taksaah sensor te dah a ni a, chu chuan i thisen sang, thawk, heart rate, leh thisen oxygen level te a teh a ni . Tin, i thinlung electrical activity enfiah turin ``ECG (Electrocardiogram)'' machine nen pawh connect i ni bawk ang.
• Supplemental oxygen pek: A tul chuan hnar chhunga dah tube te tak te hmangin emaw, hmui mask hmangin emaw oxygen pek theih a ni.

Enkawl lai hian eng nge thleng?

Hei hi doctor, nurse leh technical personnel dangte team-in an ti a ni.

Imaging kaihhruaina

Doctor chuan needle a dah hmain scan, ultrasound (echocardiogram) ang chi hmangin thinlung chhehvela tui zawngna hmun him ber leh awlsam ber a zawng thin. He scan hian doctor kaihhruaina hnuaiah needle hi dah theih a ni a, chu chuan thinlung emaw taksa peng dang emaw tihchhiat theihna a ti tlem a ni. A chang chuan X-ray chi khat fluoroscopy an tih pawh an hmang bawk.

Needle chu a dah lut a

I muthilh tir lovang. Chu ai chuan local anesthetic chu needle dahna hmunah inject a ni ang a, chu chuan a hmun chu a ti na lo ang. Chuvangin natna engmah i nei lovang, mahse tingling sensation tlem i nei thei.

Hmun engemaw zatah hian needle hi dah theih a ni.

• A tam ber: A rilru (sternum) lai takah ruh lian tak hnuaiah.
• Thil dang: Hma lam emaw, oblique emaw, rilru ruh inkar.

Doctor chuan scan a en lai chuan uluk takin thinlung chhehvel tui tamna hmunah chuan needle chu a thun a, thinlung chu a pumpelh a ni. Tichuan, syringe hmangin tui chu zawi zawiin an la chhuak leh thin.

Fluid awm zat a zirin he process hi minute 10 atanga 20 vel a ni thei. Tui a tam chuan tube te tak te (catheter) chu needle aiah dahin ni khat emaw ni hnih emaw chhung chu a hmunah dah theih a ni a, chu chuan tui zawng zawng chu zawi zawiin a chhuah vek thei a ni.

Hna thawh zawh chuan needle emaw tube emaw chu la chhuakin plaster emaw bandage te tak te chu a hmunah an hnawih thin.

Enkawl hnuah eng nge thleng?

Enkawl zawhah doctor chuan a hnuaia mite hi a ti thei ang:

• Fluid lakchhuah sample chu laboratory-ah thawn a ni a, chu chu engvangin nge fluid a awm khawm tih hriat a ni.
• Ultrasound (echocardiogram) scan dang an nei leh a, chu chu tui zawng zawng lakchhuah vek a nih leh nih loh enfiah a ni.
• Damdawi inah ni khat emaw ni hnih emaw i awm a ngai dawn a ni. Hemi chhung hian medical staff te chuan i dinhmun an enfiah reng ang.

Mi tam tak chuan tui an lak chhuah veleh hahdamna nasa tak an nei tan thin. Thâwk harsa leh rilru na ang chi symptoms te chu a reh nghal vat thin.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna a nei vek a ni.

A thatna ber

• Nunna chhanhimna: Cardiac tamponade ang chi emergency situation-ah chuan hei hian thinlunga pressure a tihziaawm nghal avangin nunna a chhanhim thei a ni.
• Diagnosis-a tanpui: Tui enfiah a, a bulpui zawn chhuah, leh enkawlna dik chungchanga kaihhruaina pek.
• Surgery aiin a awlsam zawk: Hei hi major surgery aiin a rang zawk, a buaithlak lo zawk.

Risk awm thei (Complications) 1.1.

Scan hmanga tih a nih avangin a hlauhawmna a tlem hle. Mahse, needle hi thinlung leh lung ang chi taksa peng pawimawh tak takte hnaih takah a kal avangin za zela tlemteah chuan harsatna a awm thei a ni.

• Lung chhiatna: Thinlung a tlak chuan thisen a chhuak thei a, heartbeat mumal lo (arrhythmia), heart attack a thlen thei bawk. Hengte hi a pawi hle a, emergency surgery a ngai thei bawk.
• Lung chhiatna: Lung chu a puncture chuan a chim thei a ni.
• Peng dang tihchhiatna: Diaphragm, thin, pum, emaw thisen kalna kawng lian tak takte a chhiat phah thei.
• Infection: Nadele dahna hmunah hian natna hrik a lut thei. He natna hi taksa pumpuiah a darh chuan nunna atana hlauhawm tak `sepsis` an tih chu a thlen thei a ni.

Eng chen nge ka dam leh theih a, engtikah nge doctor ka hmuh leh ang?

Ni khat emaw ni hnih emaw chhungin i haw thei tlangpui ang. A dam kim theih nan hun rei zawng chu i dinhmun nasat dan te, tui a lo pun chhan leh enkawlna dang i dawn danah a innghat a ni. Nitin hna i thawh leh theih hun tur chu i doctor chuan a hrilh ang che.

In lama haw hnua symptom i neih chuan damdawi in emaw emergency room (ETU)-ah i kal nghal tur a ni.

Mi thenkhat tan chuan he fluid buildup chi hi a lo awm leh thei a ni. Chutiang a nih chuan i doctor chuan surgeon hnenah solution awm reng tur, pericardial window ang chi, a refer thei che a ni.