I vun boruak a khat ang maiin i hria em? Subcutaneous Emphysema chungchang hi i zir dawn teh ang!

A chang chuan operation emaw, hliam tenau emaw an neih hnuah, mi thenkhat vun chu i khawih hian bubble te tak te ang maiin a awm tih i hre ngai em? A nih loh leh i kut hmanga hmun thenkhat i press hian ‘kitty kitty’ ang maia thawm mak tak i hre thin em? Chu chu vawiinah kan sawi dawn a ni. Hei hi hriat tur thar deuh mahse hriat a hlawh hle.

He vun hnuaia boruak hi eng nge ni? (Subcutaneous Emphysema) tih hi a awm lo.

A awlsam zawngin, `(Subcutaneous Emphysema)` chu kan vun layer thuk ber, vun hnuaia `(subcutaneous)` layer-a boruak a tlakbuak hian a ni. Hei hi a takah chuan thil awm lo deuh a ni. Mahse a chhan hrang hrang a nei thei. Infection thenkhat, hliam emaw, surgery neih chhunga accident tenau emaw avanga lo awm thei a ni.

Tunah chuan i vun hnuaia boruak awm reng hi thil lian tak a ni em tih i ngaihtuah mai thei. Dik tak chuan surgery thenkhat, a bik takin laparoscopic surgery hnuah i vun hnuaiah boruak tlem a awm khawm hi thil pangngai tak a ni. Mahse a tam zawkah chuan chu boruak khawlkhawm chu taksain a hip lut a, a mah chauhin a bo vek a, chhinchhiahna lian tham a thlen lo. Mahse, a then phei chuan he natna ``Subcutaneous Emphysema`` tia koh hi hriselna lama harsatna awm dang chhinchhiahna a ni thei.

Hetiang puffiness hi hmai, kawr, emaw rilruah hmuh tur a tam ber a, mahse taksa khawi hmunah pawh a awm thei.

Hetiang dinhmun hi a tam vak lo. Mipui za zela tlemte, 2% vel a nghawng niin an sawi. Zirchianna pakhatah chuan a vei nia hriatte kum zat chu kum 53 vel a ni a, an zinga 70% vel chu mipa an ni.

Eng nge a lan chhuah dan? Engtin nge hei hi kan hriat chian?

Hetiang dinhmunah hian symptom lian pahnih hmuh tur a awm a, chungte chu:

• A natna hmuna vun a hring: A hring hring ang maia lang a awm thei. A chang chuan Doctor ten hei hi `(Edema)` an ti thin.
• Vun i hmet huna thawm mak tak mai: A hmaa ka sawi tawh ang khan i kut hmanga a hring hring i hmet chuan ‘crackling’ thawm i hre thin a, hnah hring hring emaw, bubble wrap hrual emaw ang mai a ni. Doctor-te chuan hei hi `(Crepitus)` an ti a. Hei hi he dinhmun danglam bik tak a ni.

Heng symptom lian pahnih bakah hian symptom dang engemaw zat a awm thei bawk:

• Thâwk harsa
• Chaw ei harsa (``Dysphagia'' an ti bawk) .
• Hrawk thip
• Kawng a na
• Bloating, gas khat ang maia awm

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

`Subcutaneous Emphysema` thlentu awm thei engemaw zat a awm. Eng nge an nih i en ang u:

• Barotrauma: Ngaihtuah teh, scuba diver pakhat chuan boruak pressure nasa tak a tawk nghal a , chu chu thlawhna a chhoh lai emaw, tui thuk taka a pil lai emaw pawh ni se. Chutiang pressure inthlak danglam nghal vang pawh a ni thei.
• Pneumothorax: A chang chuan lungah chhiatna a awm chuan boruak a chhuak a, rilru chhungah a awm khawm thin. Tichuan, chu boruak chuan lung chu pressure a siam a, lung chu a tlakbuak tan ta a ni. Chu chu Pneumothorax an tih natna chu a ni. Hei hi Subcutaneous Emphysema thlentu lian tak a ni bawk.
• Infection: He natna hi infection na tak avang pawh a ni thei a, a bik takin bacteria infection na tak tak thenkhat, necrotizing fasciitis te pawh a awm thei bawk.
• Hliam: Kan rilru, hmai emaw, kan lu chhunga sinus emaw hliam vang pawh a ni thei.
• Damdawi lam enkawlna emaw, zai emaw laia thil thleng: A châng chuan, accident tenau tak tak, damdawi hmanrua a ṭhat loh vang emaw, taksaa hmanrua dah a nih vang emaw (e.g., intubation - thawk harsa mi tan boruak kawng chhunga tube dah luh) vang emaw hian vun hnuaiah hetiang hian boruak a awm khawm thei a ni.

Hetiang dinhmun thlen thei damdawi lam harsatna bik dang pawh a awm a:

• CPR neih chhunga artificial respiration pekna atana hman bag-mask ventilation hman dik loh chuan.
• Chaw pekna tur feeding tube dah a nih chuan.
• Gastrointestinal perforations hi chaw ei kawng chhunga khur (hole) a ni.
• Mechanical ventilation machine-a hnathawh that loh vang a ni.

A tlem hle a, he natna (Subcutaneous Emphysema) hi a chhan hriat lohvin a awm thei.

Hei hian harsatna dang a thlen thei em?

Ni e, natna khirh tak tak thenkhatah chuan `(Subcutaneous Emphysema)` hian harsatna chi hrang hrang a thlen thei. Chung zinga ṭhenkhat chu:

• Lung tlu (Pneumothorax) (hei hi a chhan bakah harsatna a thlen thei bawk) .
• `Compartment syndrome` (hei hi compartment pakhata pressure a san a, thisen kal a tihkhawtlai chuan a thleng thin) .
• Pacemaker i neih chuan a hnathawh a tibuai thei.
• Thluak a thisen kalna a tlahniam.
• Thluak lam harsatna a awm.
• Tracheal compression (kan bronchial tube chhunga thil pakhat chu a compress a, a block tihna a ni).

Pawimawh: He natna (Subcutaneous Emphysema) hi natna hrik avanga lo awm a nih chuan harsatna lian tak tak, nunna atana hlauhawm tak pawh a thlen thei a ni. Entir nan:

* Thluak lama harsatna nei (ARDS) .

*Coma a ni

* Delirium a awm

* Kal (kidney) a tha lo

* Tissue thihna `(Necrosis)`

* Sepsis (infection na tak, taksa pum puia darh) .

Chuvang chuan rinhlelhna i neih chuan, a tê tê chauh pawh ni se, Doctor i hmuh ngei ngei tur a ni an ti.

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

Doctor chuan ``(Subcutaneous Emphysema)`` i neih leh neih loh hriat chian nan test eng emaw zat a tih a ngai ang. Chu test-te chu eng nge ni tih i lo en ang u:

• Bronchoscopy: Hei hian camera dahna tube te tak te chu trachea hnuai lamah pass a, lung leh thawkna kawngah harsatna a awm leh awm loh enfiah a ni.
• CT scan (Computed Tomography scan): Hei hi X-ray nen a inang a, mahse computer chuan X-ray tam tak hmangin kan taksa chhunga thil awmte, ruh leh tissue te thlalak chiang tak, chipchiar tak tak a siam thin.
• Ultrasound scan: Hei hian high-frequency sound wave hmangin taksa chhung lam thlalak a la thin.
• X-ray: Radiation hmangin kan ruh leh kan tissue ang chi thil te chu two-dimensional pictures hmangin kan la thin.

Test i mamawh chi chu i hliam na hmun leh i doctor-in i symptoms thlentu ni thei tura a ngaih danah a innghat ang.

Hei hi eng enkawlna nge ni?

`(Subcutaneous Emphysema)` enkawl dawnin a pawimawh ber chu a chhan bulpui zawn chhuah leh enkawl hi a ni. I doctor-in a chhan a enkawl tan chuan ni 10 atanga ni 14 chhungin i natna lan chhuah dan a tha leh tur a ni.

A tlangpuiin a na lo zawkah chuan doctor-te chuan oxygen concentrator an hmang thin. Heng hmanrua te hian oxygen thianghlim 95% vel kan thawk thei a ni. Chumi awmzia chu kan taksa hian oxygen a hmu tam zawk tihna a ni a, chu chuan vun hnuaia boruak tang chu rang zawka a lakluh leh theih nan a pui a ni.

A châng chuan, doctor chuan boruak dang a lo awm tawh chu paih chhuah nân hetiang thil hi a tih a ngai mai thei:

• A rilru a buai em em a, a rilru a hah em em bawk a.
• Kan kekawrte chunga clavicle ruh hnuaia incision te te pahnih siam.
• Taksa hmun dang atanga boruak paih chhuahna atana needle, catheter (tube te tak te, a chhunga khur awm), emaw, incision te te hman.

Mahse, a natna a nasat em avangin operation a ngai mai thei. A dang pawhin doctor-te chuan boruak tam lutuk a chhuah theih nan tube te te (drain) an dah thei bawk.

Ka rilru hahna tihziaawmna tur thil ka tih theih a awm em?

Subcutaneous emphysema hian natna lanchhuahna a thlen ngai lo. Mahse, harsatna emaw, natna emaw i neih chuan i doctor chuan a hnuaia mi hi a rawn rawt thei ang:

• Natna tihdamna damdawi
• Abdominal binder (hei hian swelling leh discomfort tihziaawmna kawngah a pui thei) .
• Concentrated oxygen (a hmaa kan sawi tawh ang khan thawk chhuahna atana pui turin) .

Hemi atang hian eng chen nge dam a ngaih?

Mi tam zawk chu enkawl an nih atanga ni 10 atanga ni 14 chhungin an dam leh thin. Zirchianna pakhatah chuan, natna khirh tak takah pawh dam rei hun chhung chu ni 16 vel a ni. Chuvangin,Enkawlna mumal i hmuh chuan i dam thuai thei a ni.

Hetiang dinhmun hi eng nge a thlir ang? (Hmuh dan tur) .

Enkawlna nen chuan a tlangpuiin hmalam hun a tha. Chumi awmzia chu dam leh theihna chance tha tak a awm tihna a ni. Mahse hetah hian hun hi a pawimawh ber a ni. Doctor i hmuh hma chuan i symptoms te chu i tihtlem thuai thei a, harsatna lian tham i neih theihna pawh i ti tlem thei bawk.

Hetiang dinhmun hi eng chen nge a daih ang?

Enkawlna a awm chuan ``Subcutaneous Emphysema'' vei tam zawk chu kar hnih vel chhungin an dam leh thin.

Hei hi ven dan tur a awm em?

A tam zawkah chuan `(Subcutaneous Emphysema)` hi kan thunun theih loh chhan vang a ni. Chu chu accident emaw, surgery emaw ang chi tihna a ni. Chuvangin a thlen loh nan engmah tih theih a awm lo tak zet a ni. I sualna a ni lo. Symptoms eng emaw i neih chuan a tha ber chu doctor biak nghal mai hi a ni. Chumi hnuah chuan doctor chuan enkawlna i mamawh leh mamawh loh a rel ang a, a mamawh a nih chuan eng ang nge tih a rel ang.

Engtikah nge Doctor ka hmuh ang?

A hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:

• Chhan awm lova vun a hring chhuak.
• Vun natna i press laiin ‘squeaking’ ri i hriat chuan.
• Bloating (bloating) a awm.
• Thâwk harsa emaw, thil ei emaw a harsat chuan.
• Kawng na emaw, kawr na emaw i neih chuan.

Hetiang hunah hian tihkhawtlai hi a tha lo. Enkawlna lak vat a pawimawh.

Doctor hnenah eng zawhna nge ka zawh ang?

``Subcutaneous Emphysema'' i vei tih hmuhchhuah a nih chuan i doctor hnenah zawhna hetiang hi zawt la:

• Eng thilin nge ka tan he dinhmun hi a thlen?
• Hei hian a mah chauhin a tidam dawn em ni?
• Enkawlna ka mamawh em? A nih chuan eng ang enkawlna nge ni ang?
• Damdawi inah ka awm a ngai dawn em ni?
• Engtikah nge hna emaw, sikul emaw ka kal leh theih ang?

Heng zawhnate hi zawh a, i dinhmun hriatthiamna chiang tak neih a pawimawh hle.

Hei hi ``Subcutaneous Emphysema'' hi emergency a ni em?

Subcutaneous emphysema hi emergency emaw nunna atana hlauhawm emaw a ni ngai lo. Amaherawhchu, eng dinhmun pawh ni se, enkawl vat vat a pawimawh. Hetiang natna vei tam zawk hian symptoms na lo tak tak chauh an nei. Mahse, mi thenkhat chuan harsatna lian tak tak an nei thei a ni. Thil ngaihtuahawm tak tak i neih chuan – entirnan, i vun chu a hring leh a hring chhuak angin a lang a, a nih loh leh chu ‘squeaky’ thawm i hriat chuan – doctor pan nghal tur a ni.

Hliam neih emaw, operation neih emaw chu a buaithlak tawh hle. Chumi chungah chuan harsatna a awm chuan i dinhmun pangngaiah i kir leh thei tawh lo ang tih i hre mai thei. Subcutaneous emphysema hi a awm ve lo. Mahse, a lo awm a nih chuan damdawi lam pan nghal a pawimawh. Enkawl loh chuan subcutaneous emphysema hian harsatna dang – leh a na zawk pawh a thlen thei bawk.

Take-Home Thuchah hnuhnung ber

Okay, chuti a nih chuan tunah chuan kan sawi thin kha i hrethiam tawh zawk a, ``(Subcutaneous Emphysema)''. A pawimawh ber chu heng symptoms te hi i hmuh chuan hlauthawng lo tur a ni a, tihkhawtlai lova Doctor pan mai tur a ni.

Hrereng:

* Vun hnuaia boruak awm hi a tlem hle nachungin, hriselna lama harsatna engemaw zat avanga lo awm thei a ni.

* A lan chhuah dan ber chu vun a hring leh khawih chuan ‘squeaky’ ri a awm.

* A chhan i hmuchhuak a, i enkawl chuan i dam thuai thei.

* Ringhlel i neih chuan damdawi lam thurawn la nghal rawh.

Nang leh i chhungte hriselna tha neih duhsakna ka hlan e!

` Subcutaneous Emphysema, vun boruak a khat, vun hnuaia boruak, a hring, crepitus, thawk harsa, lung lama harsatna