I rilru a na hle tih i hria em? Pneumomediastinum chungchang hi i zir dawn teh ang!

I rilru lai takah na thut leh thawk harsa i nei tawh em? A nih loh leh i kawr emaw, i hmai emaw-ah hliam i nei nghal em? Tuna kan sawi tak dinhmun hi pneumomediastinum an ti mai thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Pneumomediastinum hi eng nge ni tak tak?

A awlsam zawngin sawi ila, pneumomediastinum chu i lung inkar, i thinlung awmna hmuna boruak awmkhawmna a ni. Damdawi lamah chuan he hmun hi mediastinum kan ti a. Balloon boruak a khat ang mai a ni a, he hmun mediastinum an tih chhunga boruak a luang lut hian a thleng thin.

A tam zawkah chuan hei hi accident emaw, natna emaw, operation emaw hnuah a thleng thin. A takah chuan he natna, pneumomediastinum tia koh hi a hlauhawm lo niin a lang thei. Mahse, a chhan bulpui ber chu a châng chuan a pawi hle thei a ni. Chuvang chuan fimkhur a pawimawh hle. Mi thenkhat chuan "mediastinal emphysema" an ti bawk.

Hei hi chi hrang hrang a awm em?

Ni e, chi hnih a awm ber a:

1. Spontaneous Pneumomediastinum (SPM): Hemiah hian boruak a pung khawm a, chhan chiang tak, hliam emaw, natna emaw a awm lo. A châng chuan, a chhan pawh hmuh theih a ni lo.

2. Secondary Pneumomediastinum: Hei hi accident, natna, surgery ang chi thil vang a ni.

Pneumomediastinum hi engtiang chiahin nge a awm?

Hei hi a takah chuan thil awm dan tlangpui a ni lo. Mithiamte sawi danin, spontaneous pneumomediastinum (SPM) hian kum 5 leh 34 inkar mi 25,000 zinga pakhat vel a vei a, hei hi SPM vei tamna ber kum a ni.

Hei hi emergency a ni em? Ka lungngai tur em ni?

Hetah hian thil hriat chian ngai tak kan rawn tarlang e.

• Spontaneous pneumomediastinum (SPM) , a chhan chiang tak awm lo tihna a nih chuan emergency a ni lo tlangpui.
• Mahse, i mediastinum chu accident emaw natna (secondary type) avanga boruak a khat a nih chuan enkawl vat a ngai a ni.

A pawimawh ber: I rilru na leh thawk harsa i neih chuan natna khirh tak, nunna atana hlauhawm tak i nihna chhinchhiahna a ni thei. Chuvangin, chutiang symptom i neih chuan damdawi in hnai ber emergency department pan nghal mai tur a ni.

Pneumomediastinum leh pneumothorax hi eng nge an danglamna?

Heng pahnih hi a buaithlak deuh thei.

• Pneumothorax tih hi a niChumi awmzia chu i lung pakhat a tlakbuak tihna a ni. Hei hi lung leh rilru bang inkara boruak a khat hian a thleng thin. Chu boruak pressure chuan lung chu a tikehsawm a ni.
• Pneumomediastinum chu lung inkar (the mediastinum) inkar hmuna boruak awmkhawmna a ni.

A awlsam zawngin, pneumothorax-ah chuan boruak chu lung vel a awm a, pneumomediastinum-ah chuan lung inkarah boruak a awm bawk. Hrethiam e?

Hei hi eng symptoms nge ni? Hengte pawh hi i nei em tih en rawh

Mi zawng zawng hian symptom an nei vek lo mai thei a, mahse a lan chhuah dan tlangpui chu:

• Hnung lai takah emaw, hnute ruh bulah emaw natna nasa tak. He natna hi kut emaw, kawr emaw thlengin a darh thei a ni. He natna hi thawk emaw, ei emaw hian a pung thei bawk. Miin i rilru a rawn hnim ang maiin han mitthla teh.
• Thâwk a tawi.
• Subcutaneous emphysema hi boruak bubble te hi hmai, kawr leh rilru vun hnuaia awm ang maia hriatna a ni. Vun hnuaiah ball te te awm ang maiin a lang thei a, kut zungtang hmanga hmet chuan "squeaky" ri a chhuak thei bawk.
• Kawng emaw hmai emaw a hring chhuak.
• Aw a inthlak a, entirnan, aw chu a sang hle.

Mi thenkhat chuan heng symptoms engmah nei lovin pneumomediastinum an nei thei bawk.

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

Pneumomediastinum hi i taksa chhunga organ emaw structure emaw tihchhiat vang a ni tlangpui a, chu chuan mediastinum chhungah boruak a luang lut thin. Hei hi entirnan:

• I thlipui (trachea) emaw, bronchi (bronchi) emaw .
• Alveoli (lung chhunga boruak bawm te tak te) .
• Kawngkhar atanga pum thlenga kal tube, chu chu chaw kawng (`Esophagus`) tihna a ni.
• Intestines a awm

Hetiang hmun atang hian mediastinum ah boruak a luang lut thin.

Spontaneous pneumomediastinum (SPM) hi i rilru chhunga pressure tipung nghal thei thil eng pawh vang a ni thei bawk (hei hi a tlem deuh nachungin). A châng chuan, doctor-te hian a chhan an hmu thei lo tak zet a ni.

A chhan bik thenkhat chu:

• Serious trauma to the chest , chu chu car accident ang chi a ni.
• Inzai.
• Lung chhunga air sac te te (alveoli) te chu a puak darh thin.
• Thlipui emaw chaw ei kawng (Gastrointestinal tract emaw GI tract)-a perforation emaw tear emaw a awm.
• Bacteria, fungal emaw virus emaw atanga kai theih a ni.
• Thil, rilru natna tipung nghal mai, khuh, thawk hah, a nih loh leh luak chhuak . Ngaihtuah teh, mi thenkhat phei chuan an khuh nasa hian he natna hi an tawng thei a ni.
• Toilet kal dawna straining.
• Nau neih laiin nawr luih.
• Ruihhlo cocaine emaw marijuana emaw inhnim luh.
• Scuba diving a ni.
• Mechanical hmanga boruak luh theihna.

He natna hi tute nge vei theihna chance sang zawk?

Hetiang natna hi i vei theihna chance a sang zawk thei a, chu chu:

• Meizial zu mi i nih chuan.
• Lung natna, Asthma emaw COPD (Chronic Obstructive Pulmonary Disease) emaw i neih chuan.
• Inhaled recreational drugs hmangtu i nih chuan.
• Tun hnaia i pum, i kawng emaw, i rilru emaw operation i neih tawh chuan.
• Tun hnaia nau i pai a nih chuan.

Pneumomediastinum hian harsatna a thlen thei em?

Hetiang dinhmun atanga harsatna lo thleng hi a tlem hle a, mahse nunna atana hlauhawm tak a ni thei a, enkawl vat a ngai bawk. Chutiang harsatnate chu:

• Thli khawlkhawm hian lung vel pressure a siam thei a, lung pakhat a tikehsawm (pneumothorax).
• Mediastinum atang hian boruak hi pericardium leh heart inkar space ah a kal thei a. Hei hi pneumopericardium an ti a .
• Thli tam lutuk a awm khawm chuan rilru chhunga thil awm, thinlung leh thisen kalna kawng lian tak takte chu pressure a siam thei a ni. Chutiang a nih chuan an thawk tha lo mai thei.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Doctor chuan pneumomediastinum hi chest X-ray emaw CT scan (Computed Tomography scan) hmangin a hmuchhuak tlangpui a, chu chuan rilru chhungril thlalak a la thin.

Doctor chuan i thinlung leh lungte chu stethoscope hmanga a ngaihthlak hian i thinlung thawk ri rhythm-a "crunching" sound a hriat chuan chu pawh chu mediastinum (Hamman-a chhinchhiahna)-ah boruak a awm tih chhinchhiahna a ni bawk. Tichuan, X-ray leh CT scan ang chi test te order a ni.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu pneumomediastinum vei tam zawk hian enkawlna bik an mamawh lo tih hi a ni. A nasat loh chuan i taksa chuan a mah chauhin boruak a tifai zauh zauh ang. Oxygen therapy hian a ti chak thei hle.

Mahse, hriselna lama harsatna dang (e.g., infection, internal organ chhia) i neih chuan i doctor chuan chu natna chu a enkawl ang.

Damdawi ina dah a nih chuan enkawl dan:

A châng chuan i doctor chuan ni 24 emaw a aia rei emaw chhung chu damdawi inah enfiah emaw, enkawl emaw turin a dah thei che a ni. Hemi chhung hian enkawlna hrang hrang i dawng thei a, chungte chu:

• Oxygen therapy: Oxygen tam zawk thawh hian taksain boruak a hip rang zawk thin.
• Damdawi: Taksain boruak tam zawk a lakluh hma loh chuan natna lan chhuah dan control nan natna tidamtu leh khuh titawptu damdawi te pek thin a ni.
• Needle aspiration: Hei hi thil tih dan tur awm lo tak a ni. Thli chu taksa chhunga thil awmte chungah pressure nasa tak a siam theihna tur khawpa a khawlkhawm a nih chauhvin, doctor chuan boruak thenkhat lakchhuah nan needle a dah ang a, a nih loh leh tube te tak te (drain) an dah ang.

Pneumomediastinum hian thihna a thlen thei em?

Pneumomediastinum ngei pawh hi thihna thlen thei a ni lo. Mahse, a châng chuan hriselna lama harsatna dang, nunna atana hlauhawm tak tak avânga lo awm thei a ni. I doctor chuan boruak a pun chhan chu a zawng chhuak ang a, a tul chuan a enkawl ang.

Hetiang thil thleng tur ven dan tur a awm em?

Hei hi thil awm lo tak a nih avangin leh zirchiangtute chuan a chhan leh a hlauhawmna zawng zawng an la hre chiang lo a, a ven dan tur chiang tak a awm lo. Meizial zuk loh leh inhalant hman loh hian i hlauhawmna a tihziaawm thei a ni.

Eng chen nge a dam theih ang?

• Spontaneous pneumomediastinum (SPM) vei te hi damdawi inah ni thum vel an awm tlangpui a, mahse a chang chuan kar khat emaw a aia rei emaw an awm a ngai thin.
• Mite chu a chhan bulpui (secondary type) avanga pneumomediastinum vei te chuan an natna bulpui nasat dan azirin kar engemaw zat chhung damdawi inah an awm a ngai thei a ni.

Hei hi a dam kim thei ang em?

• Spontaneous pneumomediastinum (SPM) hi a tlangpuiin enkawlna engmah awm lovin a mah chauhin a reh thei. Hriselna lama harsatna awm lo a nih loh chuan a lo lang leh theihna a tlem hle.
• Hei hi a thlentu hriselna dinhmun (underlying health conditions) te hi a chang chuan enkawl theih a ni.

Chuti a nih chuan, hmalam hun chu eng nge ni? (Hmuh dan tur) .

I hmalam hun chu i mediastinum-a boruak awmkhawm chhanah a innghat a ni.

• Spontaneous pneumomediastinum (SPM) vei te chu an dam vek a, a lo lang leh hi a tlem hle.
• Secondary pneumomediastinum i neih chuan i dam lehna tur chu i dinhmun hnuaia awm nasat danah a innghat ang. A châng chuan, pneumomediastinum thlentu dinhmun hnuaia awmte hian thihna a thlen thei bawk.

Engtikah nge damdawi lam thurawn i lak ang?

I rilru a na a, i hmai a na emaw, i aw a inthlak thut a nih chuan, a bik takin tun hnaia operation i neih emaw, nau i pai emaw a nih chuan doctor pan ngei ngei tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

If you have these symptoms , doctor thurawn zawng nghal la, a nih loh leh damdawi in emergency room hnai ber pan rawh:

• A rilru a na.
• Thâwk harsa.
• Hmai emaw, kawr emaw a na hle.
• Lung hlim/fainting.

I doctor zawh tur zawhna pawimawh

Doctor i hmuh hunah heng zawhnate hi i zawh chuan a \angkai hle ang:

• Eng thilin nge ka tan he dinhmun hi a thlen?
• Ka dinhmun hi engtiang chiahin nge a nasat?
• A chhan chu engtin nge kan enkawl ang?
• Eng enkawlna kawng nge ka neih?
• Eng chen nge ka dam leh theih nan a la ngai ang?
• Hetiang thil hi a thlen leh tawh loh nan eng nge ka tih theih ang?

Take-Home Thuchah a ni

Spontaneous pneumomediastinum (SPM) hi a pawi lo tlangpui a, mahse damdawi inah ni engemaw zat awm a ngai mai thei. Mahse, natna emaw, accident emaw hnua lo awm secondary pneumomediastinum hian a chhan bulpui chu enkawl vat a ngai a ni. I doctor chuan i dinhmun bik chu a hrilh belh ang che. A pawimawh ber chu thlamuang taka awm a, i natna lan chhuah dante ngaihven a, a tul chuan damdawi lam thurawn lak hi a ni.

` Pneumomediastinum, rilru chhunga boruak, lung, thawk harsa, rilru na, mediastinum, pneumothorax