I rilruah accident i nei tawh em? Pulmonary contusion chungchang i zir dawn em ni?

I rilruah vuakna nasa tak i tawk nghal a nih chuan thil lian tham a thleng lo ang tih i hre lo mai thei. Amaherawhchu, a chhung lam a\angin lung hi a chhe thei a ni. Vawiin hian hetiang huna lo awm thei natna khirh tak, chu chu pulmonary contusion chungchang kan sawi dawn a ni. Hei hi a pawi deuh a, chuvangin hei hi i fimkhur hle ang u. Hlauh tur a awm lo, he thu hriat hian nang leh i hmangaih te tan a pui dawn a ni.

A awlsam zawngin, pulmonary contusion tih hi eng nge ni?

Cricket i khelh laiin ball chak takin i kutah a rawn deng che emaw, i tlan laiin hmun dangah emaw a rawn deng che a nih chuan, a châng chuan chu hmun chu a sen a, a hring a, a hliam a ni tih han ngaihtuah teh. Chutiang bawk chu lungah pawh a thleng thin. Pulmonary contusion chu rilru natna nasa tak avanga lung tihchhiat a ni a, a dik zawk chuan lung chhunga hliam lo awm a ni.

Hetiang hian a thleng thin. I rilruah na taka vuak i nih chuan lung chhunga thisen kalna kawng te tak te te chu a chhe vek a ni. Tichuan, chu thisen kalna kawng chhia atang chuan thisen leh taksa tui dangte chu lung tissue-ah a luang lut tan ta a ni. Hliam atanga thisen chhuak ang mai a ni a, mahse tun ṭumah chuan lung chhung lam a ni. Hetianga thisen leh tui tam lutuk hian lung hnathawh a ti harsa a, chu chu oxygen lak luh leh carbon dioxide paih chhuah tihna a ni.

Hei hi natna khirh tak a ni a, nunna atana hlauhawm harsatna a thlen thei a ni. Chuvangin doctor-te chuan hetiang dinhmuna ding mi pakhat chu damdawi in intensive care unit (ICU)-ah an dah a, uluk takin an enfiah thin.

Hei hi eng symptoms nge ni?

Lung contusion symptoms hi a lang nghal thei a, a nih loh leh hliam atanga darkar engemaw zat emaw, ni engemaw zat emaw hnuah pawh a lang thei bawk. A chang chuan a symptoms hi a tir lamah a na lo hle. Chuvang chuan i rilruah hliam i neih hunah hei hi hriat a pawimawh hle.

A lan chhuah dan tlangpui chu:

• Thâwk harsa emaw, thawk hah lutuk emaw: Thâwk harsa i tih ang maiin i inhria thei a, thawk la tûra thawhrim a ngai ang maiin i inhria thei bawk.
• Khuh: Khuh hring (dry cough) atanga tan a, chutah chuan khuh (phlegm) neiah a lo thang lian thei bawk.
• Wheezing: Thâwk chhuah laiin whistling sound: A rilru chhungril atanga lo chhuak, rumbling sound hniam tak ang mai a ni .
• Tachycardia: Thinlung hi a pangngai aiin a thawk chak zawk.
• Thisen khuh: Hei hi chhinchhiahna pawi zawk a ni. I mucus hmanga thisen tlemte pawh i khuh chuan ngaihthah suh.
• Chhung na: A bik takin thawk lak laiin rilru na hi a zual thei hle.
• A rilruah hliam hmuh theih: Accident thlenna hmun chu a sen a ni thei a, hliam pawh a lang thei bawk.

Heng symptoms te hi khuh tlem leh thawk harsa a\angin a in\an thei a, zawi zawiin a na zual thei bawk. Chuvang chuan rilru tana hlauhawm a awm a nih chuan heng symptoms te hi ngun taka ngaihven a pawimawh hle.

Engtin nge he dinhmun hi a lo chhuah?

Lung contusion awm chhan ber chu a rilruah vuakna nasa tak emaw accident emaw a ni. Hei hi kawng hnih in a thleng thei a:

1. Blunt force trauma: Chumi awmzia chu thil hrual lo hmanga rilru vuak tihna a ni. Entir nan:

• Lirthei chetsualna: Hei hi a chhan ber a ni. Car, van, a nih loh leh three-wheeler-a chuang laiin accident a awm chuan, a rilru chuan steering wheel, dashboard, a nih loh leh taksa hmaa seat a tawk thei a ni. Seat belt i bun a nih pawhin accident a na lutuk chuan i rilru a tichhe thei a ni.
• Hmun sâng tak aṭanga tlu: Thingkung, ladder, a nih loh leh building ang chi hmun sâng tak aṭanga i tlu a nih chuan, i rilru chuan lei emaw, thil dang emaw a rawn deng thei a ni.
• Sports accident: Rugby leh football ang chi infiamnaah chuan intlansiak emaw, tlu emaw avanga rilru hliam hi a awm thei.
• Being hit hard: Insual lai emaw, mi dangin emaw a rilruah nasa taka vuak.
• Explosions: Explosion avanga blast wave siam hian lung a tichhe thei a ni.

2. Pentrating injury to the chest: Chumi awmzia chu thil nalh tak tak vun chhungah a lut a, rilru chhung thuk takah a lut tihna a ni. Entir nan:

• Stab wounds chu ralthuam hriam tak, chemte ang chi hliam a ni.
• Silai kah a ni.

Hetiang accident-ah hian lung vel thisen kalna kawngte a chhiat avangin lung tissue-ah thisen leh tui a awm khawm thin.

Tu nge hlauhawm ber?

Dik tak chuan, tu pawh rilruah hliam tuar tawh chuan pulmonary embolism a nei thei a ni. Mahse, naupang tê tête chu he natna avang hian harsatna lian tak tak an neih theihna a sang zawk a ni.

Ngaihtuah teh, naupang tê tête rilru ruhte hi a chak vak lo va, an rilru pawh a insiamrem hle bawk. Chuvangin, vuakna tlemte i tawk a nih pawhin a nghawng chu lungah a kal nghal thei a ni. Tui khata balloon i vuak ang bawkin, shock chu a lut vek a, puitlingte rilru (chest cage) chu a chak deuh avangin lung hi eng emaw chen chu a humhim a ni. Mahse naupangte chuan chutiang chu an nei lo. Chuvangin naupang rilru a hliam a nih chuan a bik takin fimkhur a ngai hle.

Hei hian eng harsatna nge a thlen theih?

Lung contusion hi thil awlsam a ni lo. Harsatna lian tak tak, nunna atana hlauhawm tak pawh a thlen thei a ni. Chuvang chuan inenkawlna zawng vat a pawimawh.

Harsatna lo awm thei ber chu:

• Pneumonia: Lung a hliam chuan a hmunah thisen leh tui a awm khawm a, chu chuan natna hrik te tan boruak tha tak a siam a ni. Hei hian lungah natna hrik a thlen thei a, chu chu pneumonia an ti a ni.
• Acute Respiratory Distress Syndrome (ARDS): Hei hi natna khirh tak a ni. Lung a chhiat nasat chuan thawk a harsa nghal hle. Lung hian thisenah oxygen a hip lut tha thei lo. Hei hian enkawl vat a ngai a ni.
• Hypoxia: A awlsam zawngin taksa peng hrang hranga oxygen a thlen loh vang a ni. Hetiang dinhmun hi lung a chhiat chuan a lo awm thei a, chu chuan oxygen inthleng mumal thei lo.
• Hypercapnia leh Respiratory Acidosis: Hengte hi thisen a carbon dioxide a tam lutuk avanga lo awm thin a ni. Hei hi lungin carbon dioxide tha taka a chhuah theih loh hunah a thleng thin.

Hetiang harsatna lo thleng tur hian lung natna (lung contusion) a awm chuan enkawl vat a pawimawh hle a, damdawi lam thurawn zawm a pawimawh hle.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Damdawi inah i rilruah hliam i neih chuan doctor-te chuan engtin nge i hliam tih leh eng symptom nge i neih tih an zawt hmasa ang che. Tichuan, lung contusion i neih leh neih loh hriat nan i lung thlalak (`images`) an la ang. Chumi atana hmanraw hman berte chu:

• Chest X-ray: Hei hian lungah hliam emaw, tui a awm leh awm loh hriat theih nan a pui thei a ni.
• Thoracic ultrasound: Hei hi lung dinhmun enfiahna atana hmanraw dang a ni.
• CT scan (`CT scan` - `Computed Tomography scan`): Hei hian X-ray aiin thlalak chiang zawk, chipchiar zawk a la thei. Hei hian lungah chhiatna engzat nge a thlen tawh tih chiang takin a hriat theih a, a hliam hi engzat nge a lian tih te, etc.

Heng test atanga thu hriatte atang hian doctor-te chuan lung natna i neih leh neih loh leh a nasat dan an rel thin.

Enkawlnate chu engte nge ni?

Dik tak chuan contusion hi enkawlna bik a awm lo. Ke ruh hliam chu a mah chauhva a dam nghah ang mai a ni. Mahse, hei hi lung tihchhiatna a nih avangin doctor-te chuan a dam hma loh chuan uluk taka enkawl turin an enkawl ang che a, harsatna awm thei tur ven nan leh i rilru hahdam zawk nan an pui ang che. Hei hi ``supportive care`` kan ti a ni.

Hemi atana doctor-te’n an hman dan thenkhat chu hetiang hi a ni:

• Oxygen therapy: Thâwk harsa emaw, thisen oxygen level hniam emaw i neih chuan oxygen pek i ni ang.
• Painkiller pek: Damdawi hi rilru natna tihziaawmna turin pek a ni. Natna a reh hunah chuan thawk thûk leh khuh a awlsam phah ang.
• Pulmonary thianghlimna: 1.1.Hei hi a pawimawh hle. Lung a hliam hian a chhungah mucus a lo awm khawm duh hle. He mucus hi a chhuah loh chuan natna hrik, pneumonia ang chi a thlen thei a ni. Chuvangin, doctor leh nurse te chuan thawk thûk la, khuh ring taka khuh turin an fuih ang che. I tanpui turin device tlemte an pe thei che a, a nih loh leh nurse pakhatin i hnungzang chu a rawn fawp ang che a, chu chuan mucus chu a tihzauh theih nan a pui ang che.
• Fluid drainage: Lung vel ah tui tam tak a awm khawm a, thawk a harsat chuan tui chhuahna tur tube te tak te dah a ngai mai thei.
• A chhiatna siamthatna tur operation: Lung emaw, rilru hmun dang emaw a chhiatna nasa tak a awm chuan siamthat nan operation neih a ngai mai thei.
• Mechanical ventilation: I dinhmun a nasat em avangin mahni chauha thawk thei lo a nih chuan thawk tur chuan machine nena inzawm a ngai mai thei. Hei hi intensive care unit-ah tih a ni tlangpui.

Heng zawng zawng hi i taksa tanpui nan tih a ni a, chutih lai chuan i lung chu a dam zauh zauh a ni.

Eng chen nge tihdam a ngaih?

Lung contusion hi a dam theih nan kar khat vel a ngai tlangpui. Mahse, contusion nasat dan azirin damdawi inah rei zawk i awm a ngai mai thei. Mi thenkhat chuan an lung emaw, an rilru emaw a chhiat siamthat nan operation an mamawh mai thei.

Lung contusion nei zinga 20% vel chuan pneumonia an vei ang. Chuvangin lung faina tha tak neih a pawimawh hle a, chu chu khuh chhuah mucus leh thawk thuk tihna a ni. Doctor-te chuan heng thilte hi i tih chuan harsatna i neih theihna a ti tlem thei niin an sawi.

Hun rei tak chhunga nghawng a neihte chu engte nge ni?

Lung contusion a dam hnuah pawh mi thenkhat chuan kum tam tak chhung chu lung hnathawh a tlahniam deuh thei. Hei hian thawk harsatna engemaw zat a thlen thei a, a bik takin exercise kan tih hian. Tin, a chang chuan lungah hliam (`(Fibrosis)`) a lo awm thei bawk. He scarring hian lungte flexibility a ti tlem thei a, thawk pawh a ti tlem thei bawk.

Thihna rate hi engtin nge a awm?

Lung contusion hi eng chen nge thihna thlen thei tih chiang taka sawi a harsa hle. Hei hi a chhan chu he natna nen hian hliam dang a awm thei a ni. Mahse, zirchianna atanga a lan dan chuan 14% leh 40% inkar a ni thei . Hei hian he dinhmun hi a nasat zia a tilang chiang hle. Chuvangin damdawi lam pan vat a pawimawh em em a ni.

A veng thei ang em?

Lung contusion venna awmchhun chu rilru chhunga trauma awm loh hi a ni. Kan zavaia tanpui theih tur thil a awm:

• Lirthei a chuang dawnin seat belt vuah fo ang che. Car-ah chauh ni lovin, a theih phawt chuan three-wheeler hma lama kan tlan lai pawhin seat belt vuah hi a tha hle. Tin, naupang te te lirtheia phurh dawnin naupang car seat an tana remchang tak hmang thin ang che.
• Motor khalh dawnin him tak leh fimkhur takin khalh thin ang che.A tha ber chu accident lo thleng tur ven hi a ni.
• Hnathawh emaw, hmun sang taka infiamna emaw i khelh hunah invenna hmanrua vuah tur a ni. Entirnan, in sakna lama thawkte chuan an rilru khuh thei tur invenna puan an ha tur a ni.
• In lama himna chungchang pawh ngaihtuah teh. Thil rit phurh leh phurh dawnin fimkhur hle ang che.

Hetiang thil awlsam tak pawh hian accident lian tak a veng thei a ni.

Engtikah nge damdawi lam thurawn hmanhmawh taka i lak ang? (Engtikah nge ER ah i kal ang?)

I rilruah hliam i neih chuan emergency room (ER) pan nghal mai tur a ni. Hetih lai hian natna engmah hre lo mah la, chhungril lama chhiatna a awm thei. Chuvangin, doctor hnena check out neih a tha ber.

A bik takin, heng symptoms te hi i neih chuan 1990 Suwaseriya Ambulance Service ah call nghal la, a rang thei ang bera damdawi inah kal rawh:

• A rilru a na hle.
• Thâwk harsa.
• I vun, i hmui emaw, i nail emaw a rawn sen chuan (chu chu i taksain oxygen a hmu tlem tihna a ni).
• Luak chhuak (i ​​luak chhuak tih i hriat chuan).

Heng symptoms te hi i neih chuan ngaihthah suh. Enkawlna i zawn hma chuan harsatna lian tham i pumpelh theihna tur leh i dam thuai theihna chance a sang zawk thin.

Doctor hnenah eng zawhna nge i zawh tur?

Nangmah emaw, i hriat emaw hian hetiang natna hi i nei a nih chuan, i doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Eng enkawlna kawng nge ka neih?
• Ka haw hnuah engtin nge ka in enkawl ang? (e.g., eng hna nge ka thawh theih a, eng nge ka tih loh tur?)
• In ka haw hnuah eng symptom nge ka fimkhur tur? (Eng atan nge doctor ka hmuh ang?)
• Engtikah nge doctor hmu turin ka lo haw leh ang? (Follow-up appointment neih tur a ni)

Heng zawhnate bakah hian i rinhlelhna emaw, hlauhna emaw i neih chuan i doctor hnenah sawi hreh suh.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Pulmonary contusion hi damdawi lama natna khirh tak, nunna atana hlauhawm tak a ni. I rilruah vuakna i neih emaw, car accident-a i inhnamhnawih emaw chuan pawn lamah hliam lian tak i hmu lo mai thei a, mahse i hmuh theih loh chhungril lama chhiatna i nei thei.

Chuvangin, i rilruah harsatna i neih chuan, chutih lai chuan i dam tha hle a nih pawhin, doctor pan a, check out neih a finthlak hle.

A bik takin, i rilru natna emaw, thawk harsa emaw ang chi symptom na tak tak i neih tan chuan ngaihthah suh la, doctor lam pan nghal rawh. Chutiang chuan doctor-te chuan harsatna chu rang takin an hmuchhuak thei a, i mamawh enkawlna chu an tan thei a, harsatna lian tham awm lovin an dam thei che a ni. Anni hian uluk takin an enkawl ang che a, i dam leh hma loh chuan i dinhmun nghet taka siam turin an pui ang che. I hriselna hi i tan a hlu a, chuvangin enkawl rawh!

` Pulmonary Contusion, lung natna, rilru hliam, thawk harsa, khuh, rilru na, lirthei chesual