He lungphu hual veltu ‘pleura’ hi eng nge ni? Kan hre chiang ang em?

Kan thaw chhuak vek a ni lawm ni? Mahse, kan lungte hian kan rilru chhungah engtiang chiahin nge nalh leh him taka hna a thawh tih hi kan ngaihtuah ngai em? Kan thawh apiangin kan lung chu balloon ang maiin a inflate a, a deflate bawk. Chutiang a nih chuan heng lungte hian venhimna khuhna bik an nei a, chu chuan an rilru chhungril bangte chu hnawih lovin awlsam tak leh awlsam takin an kal thei a ni. Chu chu damdawi lamah ‘pleura’ kan tih chu a ni. Vawiin hian he pleura hi eng nge a nih, eng nge a tih, eng hriselna lama harsatna nge a thlen theih tih hi han sawi ila.

A awlsam zawngin, pleura chu eng nge ni?

Polythene bag pakhat chu a chanveah i fold ang tih han ngaihtuah teh. Tunah chuan hetah hian thil thleng hi a chhungah ball dang dah ang mai a ni. Pleura pawh hi membrane te tak te, tui ang chi a ni bawk . Layer hnih a nei a.

1. Inner layer (Visceral Pleura): Hei hi kan lung, a panna thisen kalna kawng leh nerve te direct-a hualtu a ni. Glove i kut a innghat ang mai a ni. A pawimawh ber chu he layer hian natna hriat theihna nerve a nei lo .

2. Outer layer (Parietal Pleura): Hei hi rilru chhungril bang, chu chu ruhro leh a kaihhnawih thau inzawmkhawmna hmun a ni. Mahse, natna hriat theihna nerve tam tak a nei a ni . Chuvangin pleura-a harsatna a awm chuan rilru natna nasa tak kan nei a, a chhan chu he pawn lam layer hi a inflamed a ni.

Heng layer pahnih inkarah hian hmun ruak tlemte a awm a. Pleural space kan ti a . He hmun chhungah hian tui (pleural fluid) layer te tak te tak a awm a, chu chu lubricant ang maiin a thawk a ni. He tui avang hian lung kan thawk a, kan inflate hian heng layer pahnih hi inhnaih lovin a slide awlsam hle a ni. Hei hi glass pahnih inkarah tui tlem dah a, awlsam taka a slide ang mai a ni.

Pleura tichhe thei dinhmun tlanglawn tak takte chu engte nge ni?

Vanduaithlak takin he membrane nalh tak hi thil chi hrang hrangin a nghawng thei a, chu chuan thawk harsatna leh natna nasa tak a thlen thei a ni. Thil awm dan tlangpui thenkhat han thlir ila.

Pleural damage symptoms te chu engte nge ni?

Cricket i khelh laiin ball tlan chak takin i rilruah a rawn deng che emaw, bike atanga i tlu emaw angin han mitthla teh. Hei hian pleura a tichhe thei a ni. I tawn tur symptom lian tak tak engemaw zat a awm a:

• A rilru natna nasa tak: 1.1.Hei hi a symptom ber a ni. He natna hi thawk chhuah, khuh, emaw, thawk hah emaw hian a na zual hle . Mi tam tak chuan mi pakhatin chemte hmanga an rilruah a chil hlum ang maiin an sawi.
• Dyspnea: Thâwk harsa , thawk hah tih hriatna hi lung a inflate tha thei lo a nih chuan a awm thin.
• Thâwk rang leh tawi: Natna avanga thawk thûk tak i lak theih loh avangin i thawk chakna a sang a, thawk tawi i la duh hle.
• Khuh: Mi thenkhat chuan khuh hring (dry cough) an nei thei bawk.

Engtikah nge Doctor i hmuh nghal tur?

A hnuaia symptoms te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah tihkhawtlai lovin i kal tur a ni .

• A rilru na tak, tuar theih loh khawpa na tak.
• Thâwk lak a har hle mai.
• Blue lips emaw vun (chumi awmzia chu taksain oxygen a dawng tlem tihna a ni).
• Thaw tam lutuk leh muthilh lutuk.

Engtin nge doctor-te hian heng natnate hi an hriat chhuah?

Doctor i pan hunah i symptoms te a zawt ang che a, Stethoscope hmangin i rilru a ngaithla ang. Pleura-ah harsatna a awm chuan a chang chuan pleural rub i hre thei bawk. Chu bâkah, a dinhmun dik tak finfiah nân test eng emaw zat a ti thei bawk.

• Chest X-ray: Hei hian pleural space-a tui emaw boruak emaw a awm leh awm loh a enfiah thei a, lung a tlakchhiat leh awm loh a enfiah thei bawk.
• CT Scan leh Ultrasound Scan: Hengte hian X-ray aiin thlalak chiang zawk, chipchiar zawk a pe thei a ni. Buaina awmna hmun dik tak hriat theih nân an ṭanpui a ni.
• Thoracentesis: Hei hian needle te tak te hmanga pleural space atanga tui sample te tak te lakchhuah a, laboratory-a test turin thawn a ni. Hei hian natna hrik leh cancer cell awmna ang chi thilte hriatchhuahna kawngah a pui thei a ni.
• Thoracoscopy: Hei hian camera dahna tube te tak te chu rilru chhungah pass a, a chhung lam atanga pleura leh lungs te chu a en theih a ni. Hetiang tih dan hi a tul chuan tissue sample (biopsy) lak nan pawh hman a ni.

Hei hi eng enkawlna nge ni?

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

• Damdawi chi hrang hrang: 1.1.Infection a awm chuan a enkawl nan antibiotics emaw damdawi dang emaw pek a ni ang. Natna thunun nan painkiller pek a ni ang.
• Oxygen pek dan: Thâwk harsa a awm chuan oxygen pek a ni.
• Fluid emaw air emaw lakchhuah: Pleural space-ah fluid emaw air emaw tam tak a awm khawm chuan needle emaw tube te tak te (chest tube) emaw dahin paih chhuah a ni.
• Surgery: A then phei chuan surgery neih a ngai mai thei a, a bik takin boruak a khat nawn fo emaw, harsatna dang a awm emaw chuan.
• Cancer enkawlna: Cancer a nih chuan enkawlna bik, radiation therapy leh chemotherapy te hman a tha.

Kan pleura hrisel taka awm theih nan eng nge kan tih theih ang?

Natna tinreng lakah inveng thei lo mah ila, kan hlauhawmna tihziaawmna tur thil tam tak a awm.

• Meizial zuk loh vek: Meizial hi lung bakah pleura hmêlma lian tak a ni. Meizial hi pneumothorax ang chi natna thlentu lian tak a ni.
• Accident laka invenna: Lirthei chhunga i awm apiangin seat belt vuah thin ang che . Infiamna (a bik takin rugby leh football) khelh hunah invenna thawmhnaw leh hmanraw tul tak tak hmang thin ang che.
• Infection laka invenna: Sahbawn leh tuiin uluk takin kut sil thin ang che. Hei hian thawkna lama natna tam tak lakah a venghim thei che a ni.
• Asbestos lakah hla takah awm rawh: Building hlui tihchhiat lai leh factory thenkhatah pawh hmuh tur a awm. Chutiang thila inhnamhnawih loh tur.

I pleura chu thawkna system-a silent hero ang mai a ni. A hlutna chu a buaina a awm hunah chauh kan hre thei. Chuvang chuan amah pawh enkawl a pawimawh em em a ni.