I lung chu tuiin a khat ang maiin i hria em? Pleural effusion chungchang hi han sawi ila!

I rilruah a rit deuh, i thawk chhuah laiin thil mak tak mai i nei ngai em? A nih loh leh mi pakhatin, "Lung hi tuiin a khat" a tih i hre ngai em? Chu chu vawiinah kan sawi dawn a ni. Hei hi damdawi lam chuan pleural effusion tia hriat a ni.

A awlsam zawngin, pleural effusion chu eng nge ni?

Okay, tunah chuan hei hi eng nge a nih thu awlsam takin i en ang u. I lung chu i rilru chhungah a awm a. Heng lungte chhehvelah te, leh i rilru chhungril lamah te hian membrane te tak te pahnih a awm a. Heng membrane te hi pleura kan ti a . A sir lehlamah an inkhuh ang mai a ni.

A tlangpuiin heng pleural membrane pahnih inkarah hian tui tlemte chauh a awm thin. Machine hmun hnih lubricate tu oil angin han ngaihtuah teh. He tui hi i thawk laiin i lungte chu awlsam taka a che thei a, a zau thei a, a inzawm khawm thei bawk.

Mahse, he pleural effusion an tih dinhmunah hian pleural membrane pahnih inkara tui awm zat chu a tlangpui aia tam a ni . Hei hian i taksain he tui hi a siam tam lutuk tihna a ni a, a nih loh leh a siam chhuah chu taksaah a insiam leh tha tawk lo tihna a ni. Chutah chuan "lung hi tuiin a khat" kan ti thin.

Pleural effusion chi hrang hrang a awm em?

Ni e, doctor-te chuan pleural effusion hi chi hnih ah an then a, chu chu lung chhehvela tui awmkhawm awm dan azirin a ni.

1. Transudative emaw protein-poor, watery fluid: Hetiang tui hi taksaa tui pressure a san chuan a awm tlangpui. Entirnan, cirrhosis (liver natna) emaw, heart failure emaw nei chuan hetiang tui hi a nei thei a ni. Hei hi thisen kalna kawng atanga tui a chhuah chhuah hun a ni.

2. Exudative emaw protein-rich fluid: Hetiang tui chi hrang hrang awm chhan ber chu cancer (entir nan, lung cancer, hnute cancer) emaw, natna chi khat emaw a ni . Hei hian thisen kalna kawng te ber ber kaltlangin tui tam lutuk a luang chhuak emaw, chu tui chu lymphatic system-in a paih chhuak tha lo emaw a ni.

Hetiang chi atang hian enkawl dan tur an ruat thin. Chuvangin doctor tan chuan he tui awm dan hi a hriat a pawimawh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan, pleural effusion hi i ngaihtuah aiin a tam zawk a ni . Entirnan, United States-ah ringawt pawh hian kum tin mi maktaduai 1.5 velin he natna hi an vei niin an sawi. Hetiang dinhmun hi kan ramah pawh hmuh tur a awm.

Pleural effusion natna lan chhuah dan chu engte nge ni?

Pleural effusion thlentu underlying condition a zirin symptom dang i nei thei bawk. Mahse, pleural effusion chungchangah hian symptom engemaw zat a awm.

• Chhung na: He natna hi a zual thei a, a bik takin thawk lak emaw, khuh emaw hian a zual thei. Chhungril atanga thil pakhatin a chil che ang maiin a lang thei.
• Thâwk harsa (Dyspnea): Thâwk harsa leh thaw hahthlak a ni thei. Hei hi thawhrimna nen a pawi zawk thei.
• Orthopnea: Hei hi a lan chhuahna chiang tak a ni. Thut emaw, ding emaw (entir nan, mut emaw) tih loh hmun dangah thawk harsatna i nei tihna a ni. Mi thenkhat chu an mut laiin an thawk hah tih an hriat avangin anmahni innghahna tur pillow pahnih pathum kengin an mu thin.

Mahse, mi thenkhat chuan pleural effusion an nei thei a , symptoms engmah an nei lo . Chu chu chhan dang avanga chest X-ray an neih hunah chauh an hrechhuak thin.

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Pleural effusion hi a chhan tam tak a awm a . A châng chuan chhan pakhat aia tam a inrawlh thei bawk. Kan sawi tawh ang khan doctor-te chuan a chhan hriat tumin a tui khawlkhawm chu transudative ( watery) nge exudative (protein-rich) tih hriat tumin an bei thin. A châng chuan, pulmonary embolism (PE) an tih hi chi hnih a awm thei bawk.

Transudative fluid a pun chhan berte chu:

• Heart Failure: Hei hi a chhan tam ber a ni. Thinlung a thawh that loh chuan taksa tui inrelbawlna (fluid regulation) a tibuai thin.
• Cirrhosis: Natna khirh tak, thin (liver)-a awm thin.
• Nephrotic Syndrome: Hei hi kal lama harsatna a ni. Hetiang dinhmun hi kal (kidney)-in protein a paih chhuah tam lutuk hian a awm thei a ni.

Exudative fluid a lo awm chhan ber chu:

• Pneumonia: Chuap natna a ni.
• Cancer: A bik takin lung cancer , hnute cancer , emaw lymphoma .
• Kidney Natna a awm
• Inflammatory Disease: Taksaah hian inflammatory condition hrang hrang a awm thin.
• Post open-heart surgery neih a ni

A chhan tam lo zawk pawh a awm:

• Tuberculosis natna a ni
• Autoimmune Disease: Chumi awmzia chu taksain a taksain a taksa peng hrang hrangte a bei tihna a ni.
• Chhung hliam avanga thisen chhuak.
• Chylothorax: Hei hi lymphatic system atanga tui ‘chyle’ an tih chu chest cavity-a a inkhawm hian a thleng thin. Hliam vang a ni fo.
• Chest leh abdominal infection hmuh tur awm lo.
• Asbestos laka invenna.
• Chaw ei kawng (Esophageal Rupture) a awm
• Pancreatitis natna a ni
• Meig’s Syndrome: Ovary-a benign tumor lo awm avanga lo awm a ni.
• Ovarian Hyperstimulation Syndrome a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo
• Damdawi thenkhat
• Pum chhunga surgery neih te.
• Radiation hmanga enkawlna a ni

A châng chuan, chu tuiah ngei pawh hian malignant cells a awm thei a, a nih loh leh chemotherapy avanga side effect angin a pung khawm thei bawk.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Pleural effusion lo awm chhan hi risk factor engemaw zat a awm a.

• A thlentu damdawi lam harsatna neih: Entirnan, thinlung natna, thin natna, kal natna, cancer i neih chuan pleural effusion i neih theihna a sang zawk.
• Zuk leh hmuam hman dan: Meizial zu mite hian lung lama harsatna an nei tam zawk.
• Asbestos nena inzawmna: Hei hi in sakna hmanraw hman tlanglawn tak a ni. Hun rei tak a tawrh chuan lung a tichhe thei a ni.

Hei hian eng harsatna nge a thlen theih?

Pleural effusion hi enkawl tha a nih loh chuan harsatna engemaw zat a awm thei.

• Infection chu abscess-ah a chang: Tui awmkhawm chu natna hrik a kai thei a, chu chuan abscess-ah a chantir thei a ni.
• Lung vel a hliam: Tui awmna hmunah hliam tissue a lo awm thei a, chu chuan lung hnathawh a tibuai thei a ni.
• I lung a chhiat.

Engtin nge he dinhmun hi i hmuh tak tak?

Doctor i hmuh chuan i medical history a zawt hmasa ang che . Eng natna dang nge i neih a, engtikah nge heng symptoms te hi a lo intan? Tichuan physical exam an ti ang . I thawk laiin i lung an ngaithla ang (stethoscope hmangin). Chumi hnuah chauh chuan test tul an order ang.

Hemi atan hian eng test nge tih a nih?

Doctor-te chuan heng test te hi pleural effusion awm dan hriat leh hriatthiam nan an hmang thin:

• Chest X-ray: Hei hian tui a khawlkhawm em tih leh engzat nge a awm tih hriat theih a ni.
• Chest CT scan (Computed Tomography - CT scan): X-ray aiin thlalak chiang zawk, chipchiar zawk a siam thei. Tin, tui hnuaia lung dinhmun leh thil dang tumor ang chi a enfiah thei bawk.
• Chest ultrasound hmanga tihchhuah a ni:Hei hian tui awmna hmun leh a zat hriat theihna tur a pui bawk a, chubakah tui paih chhuahna tur needle tha tak dahna tur hmun dik tak pawh a hriat theih bawk.
• Thoracentesis emaw Biopsy: Hei hian i ruh pahnih inkar i rilru chhungah needle te tak te tak te dahin, a tui lo khawlkhawm sample lak a ngai a ni. A chang chuan pleural membrane (biopsy) te te pawh lak theih a ni.
• Pleural Fluid Analysis: Fluid sample chu lab-ah test turin an thawn thin. Hei hian protein awm zat, cell chi hrang hrang, natna hrik awm leh awm loh, cancer cell awm leh awm loh a hril thei a ni. Hei hian fluid chu transudative nge exudative tih chiang takin a hrilh thei che a ni.

Heng test awlsam tak takte hian a chhan an hmu lo a nih chuan thoracoscopy tih hi i tih a ngai mai thei. Hei hi video-assisted thoracic surgery (VATS) an ti bawk. Hei hi general anesthesia hnuaia i awm laiin tih a ni. Hei hian i rilruah camera te tak te leh instrument te dah tel a, chu chuan pleura leh a chhehvel i hmu thei ang. Hetiang tih dan nen hian enkawlna hi a rualin tih a ni fo thin.

Hei hi engtin nge enkawl a nih?

Pleural effusion enkawlnaah hian thil tum lian tak pahnih a awm a: Pakhat chu tui tam lutuk paih chhuah hi a ni . A dang chu fluid a lo awm leh tawh loh nan tihtawp a ni . Doctor-te chuan a chhan bulpui leh tui avanga thawk harsatna i neih dan azirin enkawlna an thlang thin.

Damdawi chi hrang hrang

• Congestive heart failure ang chi condition vangin fluid retention i neih chuan doctor-te chuan diuretics ("water pills" tia hriat bawk a ni a, a chhan chu taksain zun hmanga tui tam lutuk a tihbo theih avangin) leh heart failure damdawi dangte an pe ang.
• Infection vang a nih chuan antibiotics i ei a ngai ang .
• Chu natna chu cancer (malignant effusion) avanga lo awm a nih chuan, chemotherapy , radiation therapy , emaw, damdawi tui tak chu rilru chhunga infusion emaw i dawng thei a ni.

Enkawl dan (Procedures) 1.1.

• Thâwk lama harsatna i neih chuan i doctor chuan therapeutic thoracentesis a ti thei ang (hei hi fluid sample lak nen a inang a, mahse a theih ang anga fluid lak chhuah a ni). A nih loh leh chest tube an dah thei bawk . Hei hian i rilruah tube te tak te dah luh a, bottle chhunga tui chhuah tir a huam a ni.
• A châng chuan, a bîk takin cancer vanga tui a lo pun chuan, chu tui chu a chhuah hnuah pawh a lo pung leh thei a ni. Chutiang thunun harsa takah chuan doctor chuan chest tube hmangin tui chu a chhuah tir thei a ni.Damdawi chi khat sclerosing agent an tih chu pleural cavity-ah an inject a. He damdawi hian tumruh takin pleural membrane pahnih inkarah scar (fibrosis) a siam thin. Hei hi pleural sclerosis emaw pleurodesis emaw an ti bawk . He scar hi a lo awm chuan pleural membrane pahnih chu a inzawm khawm a, chu chuan tui chu a khawlkhawm leh thei lo. Hetiang method hian 50% vel chauh a thawk tha a, chu chuan fluid a lo awm leh tawh loh nan a titawp thei a ni.

Inzai

I dinhmun control nan drainage emaw pleural sclerosis emaw a tawk lo a nih chuan operation i mamawh mai thei. I surgeon chuan uluk takin a enfiah ang che a, surgery thatna leh that lohna te a sawipui ang che.

Surgery hi chi hnih a awm a, chungte chu:

1. Video-Assisted Thoracoscopic Surgery (VATS): Hei hian a rilruah incision te tak te tak tak (inch chanve vel) pakhat atanga pathum vel siam a, chuta tang chuan camera leh surgical instruments te dahin surgery tih a ni. Hetiang method hi pleural effusion control harsa emaw cancer avanga lo awm leh thin te tan hman a ni. Surgery an tih lai hian pleural cavity-ah talc emaw antibiotic emaw ang chi thil dahin, chu chuan tui chu a khawlkhawm leh tawh loh nan tihtawp tumin an bei thin.

2. Thoracotomy (traditional, "open" chest surgery): Hetiang tih danah hian surgeon chuan a rilruah inch 6-8 vel a incision a siam thin. Hei hi infection i neih chuan hman tlanglawn ber a ni. Thoracotomy hian fibrous tissue zawng zawng a paih vek a, pleural cavity-a infection awm chu uluk taka tihfai nan a pui bawk. Operation hnu ni hnih atanga kar hnih chhung chu tui chhuahna tur chest tube dah a ngai mai thei.

Enkawlna avanga side effect awm thei a awm em?

Ni e, damdawi lam enkawlna dang ang bawkin, pleural effusion enkawlna hian side effect engemaw zat a thlen thei a ni.

• Pulmonary Edema: Hei hi a thleng thei a, a bik takin tui tam tak vawi khatah lakchhuah a nih chuan a thleng thei.
• Thisen a chhuak
• Heart Rhythms pangngai lo tak tak
• Pneumothorax: Hei hi lung chhunga boruak a khat avanga lung a tlakchhiatna a ni. A châng chuan tui lak chhuahna atana hman tur needle chu a tlak chuan hetiang hi a thleng thei bawk.

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

Hei hi enkawlna an tih dan azirin a danglam thei.

• Thoracentesis i neih chuan ni hnih vel chu tlem i fimkhur a ngai ang.
• VATS surgery i neih chuan a hnuah ni engemaw zat damdawi inah i awm a ngai mai thei.
• Thoracotomy (open surgery) i neih chuan kar khat vel damdawi inah i awm a ngai dawn a ni.

He hlauhawmna tihziaawmna turin eng nge kan tih theih ang?

Pleural effusion thlentu thil tam tak hi ven a harsa hle. Mahse, i risk chu eng emaw chen chu i tihtlem thei a ni:

• Zuk leh hmuam thil atanga hla takah awm rawh.
• Asbestos nena inhnim hnawih loh tur.
• I doctor-in thurawn a pek che chuan chi (low-salt diet) hmang rawh.
• I diuretics (tui pills) i pek chu a hun takah ei thin ang che.
• I doctor-in a tih che chuan i tui in tur kha tihtlem la.

Hetiang dinhmun hi eng nge kan beisei ang?

Enkawlna i dawn hnuah X-ray i lak leh a ngai dawn a ni . Doctor chuan enkawl a hlawhtlin leh hlawhtlin loh hriat a duh ang. Tin, pleural effusion thlentu dinhmun enkawlna i dawng chhunzawm zel a ngai bawk ang.

I natna nasat dan chu heng thilteah hian a innghat a ni:

• Pleural effusion awm chhan ber chu eng nge ni?
• I thawk dan a nghawng em?
• Enkawlna a dawng tha em tih chungchang a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Outlook, a nih loh leh prognosis , chu i pleural effusion chhan leh damdawi lam harsatna dang i neih dan azirin a inang lo hle. Mi thenkhat tan chuan pleural effusion treatment hi a hlawhtling hle. Mahse, pleural effusion chu a lo let leh thei .

Cancer vanga pleural effusion awm theihna tur thlirna a tha vak lo. Tin, pleural effusion i enkawl that loh chuan a tha lo bawk.

Engtin nge i in enkawl ang?

Pleural effusion thlentu dinhmun ṭhenkhat chu hun rei tak enkawl a ngai a ni . I natna enkawlna atana hun rei tak chhunga enkawlna tha ber chungchang chu i doctor nen sawiho rawh. Tichuan, i enkawlna ruahmanna chu dik takin zawm rawh . I damdawi ei turte chu a hun takah ei la, i doctor-in a rawt nunphung tihdanglamna chu vawng reng rawh.

Engtikah nge Doctor hmuh a tha ber ang?

I natna khirh tak enkawl turin i doctor-in a tih tur follow-up appointment zawng zawngah kal rawh . Thâwk harsa i tih chuan damdawi lam pan nghal rawh . Tikhawtlai suh.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• Engvangin nge he pleural effusion hi ka neih?
• Eng chen nge ka rawn hmuh che (follow-up appointment)?
• Pleural effusion ka neih leh theihna chance engzat nge awm?
• Ka pleural effusion hian hun rei tak chhunga nghawng a neihte chu engte nge ni?

Chuvangin, pleural effusion i nei a, symptoms i nei lo mai thei. A pawimawh ber chu a chhan zawn hi a ni.. Doctor-in a chhan a hriat veleh a enkawl dan tur a ngaihtuah ang. Doctor zawhna dik taka chhanna chuan a chhan ṭhenkhat chu a paih chhuak thei a ni. Thâwk lak harsat laia hlauhna inhriat hi thil pangngai a ni a, chuvangin i hriatthiam duh apiang zawhna zawh hreh suh.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

Pleural effusion chu pleura, lung hual veltu membrane inkara tui awmkhawmna a ni. Mi thenkhat chuan hei hi "lung chhunga tui" an ti bawk.

• Hei hi chhan hrang hrang a awm thei. Lung natna, pneumonia, cancer ang chi te hi a pawimawh ber a ni.
• A lan chhuah dan chu rilru natna leh thawk harsatna te a ni thei . Mi thenkhat chuan symptom engmah an nei lo mai thei.
• Doctor chuan X-ray hmangin, CT scan hmangin, a nih loh leh fluid sample test (thoracentesis) hmangin a hre thei a ni.
• Enkawlna hi a chhan bulpui leh a tui lak chhuah a ni . Damdawi, tui lakchhuah dan, a chang chuan operation pawh a ngai thei.
• A pawimawh ber chu thawk harsa i tih emaw, i rilruah lump i hriat chuan a rang thei ang bera doctor pan hi a ni. Hriat hmasak hian enkawlna a ti awlsam a, harsatna awm theihna a ti tlem bawk.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!

` Pleural effusion, lung, rilru chhunga tui, thawk harsa, rilru na, lung natna, damdawi hmanga enkawl