I lung khuh tu pleura chungchang i zir dawn teh ang.

"Pleura" tih thumal hi i hre tawh em? He thu hi i doctor hnen atangin emaw, damdawi inah emaw, hriselna chungchang i sawi lai pawhin i hre tawh mai thei. Kan taksa peng pawimawh tak a ni a, a bik takin thawkna kawng hi a pawimawh hle. Mahse mi tam takin an hre vak lo. Chuvangin, vawiin hian he pleura hi eng nge a nih, kan taksa tana eng rawngbawlna nge a pek, eng natna nge a thlen theih, leh a hriselna a vawn that dan tur chu awlsam takin i hriatthiam theih tur angin kan sawi dawn a ni.

Pleura hi eng nge ni tak tak?

A awlsam zawngin, i pleura chu lehkhabu khuhna ang maia i lung khuh tu, tuiin a khat membrane te tak te a ni. I lung a khuh a, a venghim bawk. I rilru chhungril (thorax) pawh a line bawk. I thawkna kawngah thil pawimawh tak a ni .

Chuti a nih chuan, he pleural membrane hian eng service nge min pek?

He pleura hnathawh ber leh pawimawh ber chu i lung venhim hi a ni. Tin, kan thawk chhuah hian lung a inflate a, a deflate bawk a ni lawm ni? Chutiang a nih chuan he pleura hi a ni a, chu chuan lungte chu rilru bangah a hrual lo. He pleura hi awm lo se eng nge thleng ang tih han ngaihtuah teh. Lung hian rilru bang a hnawih chhunzawm chuan a hliam thei a, a na thei bawk. Chuvangin, he pleura hian cushion angin hna a thawk a, lung chu engmah tibuaitu awm lovin a kal tluang thei a ni. Chuvang chuan hrehawmna awm lovin awlsam takin kan thawk thei a ni.

He pleura hi taksaah khawiah nge a awm?

I pleura awmna hmun thenkhat han thlir ila:

• A hmasa berah chuan i rilru bang (thoracic wall) i nei a, a chhung lam chu he pleura hian a khuh vek tawh mai.
• A dawtah chuan he pleura hi i thinlung vel ah a inzar pharh a ni. Tichuan, i rilru chhungril lam chu a awm a, chu chu mediastinum an ti a, he pleura hian a sir lam bang siamna kawngah pawh a pui bawk.
• A tawp berah chuan, a pawimawh ber chu i lung pahnih chunglam chu he pleura hian a khuh vek a , kutkawr pahnih ang maiin a khuh vek a ni.

Pleura-ah hian eng part nge awm?

Pleura hi membrane pakhat a ni lo. Layer lian pahnih a nei a. Heng layer pahnih inkarah hian hmun ruak te tak te, pocket ang maia awm a ni. Hei hi pleural space kan ti a . He pleural space hi a khar mai mai lo. A chhungah hian tui layer te tak te tak a awm a , chu chu pleural fluid an ti a . He fluid hi a pawimawh hle. A chhan chu, i thawk chhuah hian he pleural fluid hi a ni a, pleura layer pahnih chu a chungah a inslid thei a ni. Hei hi machine-a oil dah ang a ni.

Tunah chuan chu pleura layer pahnih chu eng nge ni tih kan en ang:

• Visceral pleura: Hei hi pleura chhungril ber a ni. I lung, a panna thisen kalna kawng, bronchi leh nerve te chu direct-in a khuh a ni. Hemi chungchanga thil danglam tak chu visceral pleura-ah hian sensory nerve a awm lo. Chumi awmzia chu he layer-a thil thleng hian natna i nei lo tihna a ni.
• Parietal pleura: Hei hi pleura layer dang, pawn lam a ni. I rilru bang, i rilru ruh leh i rilru chunglam diaphragm-ah te a inzawm a ni. A hmaa kan sawi tawh ang khan visceral pleura ang lo takin parietal pleura hi natna lakah a sensitive hle a ni. Chumi awmzia chu he layer hi a chhiat emaw, a hring emaw a nih chuan natna nasa tak i nei thei tihna a ni.

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

Vanduaithlak takin he pleura hi natna leh harsatna hrang hrangin a nghawng thei bawk. Chung zinga ṭhenkhat han thlir ila:

• Pleurisy: Hei hi i hre tawh ngei ang. A awlsam zawngin, i pleura inflammation a ni . Kan taksa hmun dangah hliam kan neih ang bawkin hetiang hian pleura hi a lo hring thei a ni. Tichuan, kan thawk emaw, kan khuh emaw hian kan rilruah natna nasa tak kan nei thei a.
• Pleural effusion: Hei hi a hmaa kan sawi tawh pleural space-ah hian pleural fluid a tam lutuk a, chu chu a awm tur aia tam a khawlkhawm tihna a ni. Chutiang a nih chuan lungte hian inflate tha tur hmun a nei lo a, chu chuan thawk harsatna a thlen thei a ni.
• Hemothorax: "Hemo" tih awmzia chu thisen tihna a ni. Hei hi pleural space-a thisen a inkhawm hun a ni. Hei hi a tlangpuiin a rilruah hliam na tak a neih hnuah a thleng thin. Entîr nân, motor accident emaw, hmun sâng aṭanga tlu emaw, hliam tuar emaw. He thisen hi a khawlkhawm chuan lungah pressure nasa tak a siam a, chu chuan thawk a ti harsa hle.
• Pneumothorax: "Pneumo" tih awmzia chu boruak tihna a ni. Hei hi boruak chu pleural space-ah a lut a, lung a pressure a siam hian a ni. Hei hi accident hnuah pawh a thleng thei bawk. Mahse, a chang chuan chhan awm lovin a thleng thei a, a bik takin meizuk mi i nih chuan. Vanlawng hmanga zin fo emaw, boruak pressure inthlak danglamna lian tak, scuba diving ang chi te tan pawh hlauhawm tak a ni.
• Hemopneumothorax: Hei hi a hmaa kan sawi tawh angin hemothorax leh pneumothorax te inzawmkhawm a ni. Hei hian thisen leh boruak pahnih hi a rualin pleural space ah an lut tihna a ni . Hei pawh hi accident lian tham engemaw zat hnuah a thleng tlangpui bawk.
• A rilru a buai em em a.Hei hi dinhmun pawi tak a ni. Cancer chi khat a ni a, pleura cell atanga intan a ni. Asbestos ang chi thila inhriat tawnna nen a inzawm fo thin.

Pleura a chhiat chuan eng nge thleng ang?

Pleura-ah chhiatna a awm chuan kawng hrang hrangin i hre thei. A tlangpuiin, i rilruah natna nasa tak, hliam na tak i nei thei . He natna hi thaw pangngaia i thawk emaw, thawk i lak emaw, i khuh emaw, i nuih emaw hian a na zual thei. I thawk tha thei lo ang maiin i inhria thei bawk a, thawk harsa i ti thei bawk (dyspnea an tih condition) .

Hetiang chhiatna chi hrang hrang thlentu ber chu i rilruah trauma a ni. Entîr nân, tlu emaw, infiamna khelh laia insu emaw, car accident emaw, a rilruah puncture hliam emaw, chil hliam emaw, silai kah emaw ang chi emaw a ni thei.

Hei hi a pawimawh hle: Pleural effusion na tak, chu chu i rilru natna nasa tak leh thawk harsa tak tak symptoms i neih chuan 1990 (ambulance) emaw, i awmna hmuna emergency number emaw call nghal tur a ni a, tihkhawtlai lohvin damdawi inah i kal tur a ni.

Pleura hriselna dinhmun dik taka hriat theih nan eng test nge tih thin?

Doctor chuan pleural problem i nei nia a hriat chuan test eng emaw zat an ti thei a, chu chu a hriat theih nan:

• Imaging test: Hengte hi test hmasa ber a ni fo thin. Chûng zîngah chuan rilru X-ray, CT scan, a nih loh leh ultrasound te pawh a tel thei a ni. Chungte chuan lung, pleura leh pleural space-a tui emaw boruak emaw ang chi thil an zawng thei a ni.
• Thoracentesis: Hei hi surgery tenau tak a ni. Hetiang tih danah hian doctor chuan i ruh pahnih inkar pleural space-ah needle te tak te tak a dah a, pleural fluid sample a la thin. Chumi hnuah sample chu lab-ah thawn a ni a, infection leh cancer cells a awm leh awm loh endik a ni.
• Thoracoscopy: Hei hi specialized test dang a ni. He test-ah hian doctor chuan tube te tak te, flexible tak, a tawp khatah light te tak te leh camera awmna chu a rilruah incision te tak te hmangin a dah a, chu chuan pleural space leh lung surface chu a en nghal vek a ni. A tul chuan hetih lai hian tissue sample (biopsy) lak theih a ni.

Engtin nge pleural effusion hi i enkawl?

Pleurisy enkawlna chu eng dinhmun nge i neih leh a nasat danah a innghat tak zet a ni. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. Enkawlna hman tlanglawn tak takte chu:

• Pleura hi infection in a nghawng a nih chuan , antibiotics emaw damdawi dang emaw pek theih a ni.Thilpek pek. Tin, natna lanchhuahna tihziaawmna tur damdawi pek a ni bawk a, thawk harsa leh thawk harsa tih te pawh a awm bawk.
• Thâwk harsa a awm chuan , oxygen therapy pek a ni.
• Pleural space-ah tui emaw boruak tam tak a awm khawm chuan tube (chest tube drainage) hmangin lakchhuah theih a ni.
• Thil na tak ṭhenkhatah chuan, a bîk takin thisen chhuah, boruak awm fo, a nih loh leh cancer , operation neih a ngai mai thei.
• Thâwk chak lo tak takte chu mechanical ventilation , thawkna ṭanpuitu machine nen an inzawm thei a ni.
• Pleural mesothelioma ang chi natna enkawl tur chuan cancer enkawlna bik, radiation therapy, chemotherapy, immunotherapy te hi a ngai a ni.

Engtin nge ka pleura hi a hrisel leh fit theih ang?

Thufing pakhat a awm a, "Natna chu a hnua tuar ai chuan ven hi a tha zawk" tih a ni. Chuvangin, i pleura tihchhiatna tur tihtlem nan thil awlsam tak tak i tih theih thenkhat chu hetiang hi a ni:

• Zuk leh hmuam thil hman kha bansan vek rawh. Chu chu meizuk leh vaping hi pumpelh ngei ngei tur tihna a ni. Meizial zuk hian lung leh pleura tan a pawi hle.
• Lirthei chhunga i awm apiangin i seatbelt chu uluk takin vuah fo la, hla vak lo pawh nise. Hei hian car accident-a rilru hliam hlauhawmna a tihziaawm thei dawn a ni.
• Rugby emaw boxing ang chi contact sports i khelh chuan venhimna padding dik tak ha la.
• Air pressure tihdanglamna lian tham tak tak awmna thiltih, thlawhna khalh fo leh scuba diving te chu a theih ang angin tihtlem rawh. Chutiang a nih loh chuan, chutiang hnathawhna atana himna kalphung chu zawm rawh.
• Bacterial leh viral infection hian pleural problem a thlen thei bawk. Chuvangin sahbawn leh tuiin uluk takin kut sil fo thin tur a ni a, a bik takin chaw ei hma leh toilet hman zawhah.
• Asbestos nena inhnim hnawih loh tur . Building hlui leh inchung thenkhatah hmuh tur a awm. Pleural mesothelioma, cancer thlentu lian tak a ni.

Tunah chuan pleura chungchangah hian ngaihdan tha tak i neih ka beisei. I pleura hi i thawkna system silent worker a ni. I lung chu i rilru bangah a inhnim lo va, thawk a awlsamin a nuam zawk bawk. I pleura tichhe thei condition i neih chuan i hre ngei ang – thawk harsa i ti thei a, i thawk laiin i rilru a na thei bawk. High-impact sport i khelh chuan, emaw, pleura hliam hlauhawma i inhriat chuan, i pleura hrisel taka vawn dan tur leh hliam laka inven dan tur chungchangah i doctor nen inbiakna neihpui ngei ang che.

Chuti a nih chuan, he thawnthu atang hian eng nge kan zir chhuah theih pawimawh ber?

A awlsam zawngin i pleura hi i lung vengtu leh ṭhian ṭha ber ang mai a ni. I lungte chu awlsam leh hrehawm lo taka hnathawh theihna tura pui turin hmun pawimawh tak a chang a ni. Chuvangin, he pleura hlu tak hi hrisel taka vawn reng hi i mawhphurhna a ni.

I pleura tana i tih theih tha ber chu meizuk loh vek te, hlauhawm laka invenna atana fimkhur te, thawk harsatna emaw, rilru natna danglam tak emaw i neih chuan tihkhawtlai lohvin damdawi lam thurawn lak te hi a ni.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Pleura, lung, thawkna kawng, pleural fluid, pneumothorax, pleurisy, rilru na