Lung chhehvela tui awmkhawm (Thoracentesis) enkawl dan tur awlsam takin i zir dawn nia.

Thâwk harsa i nei a, i rilruah tightness i nei em? A châng chuan hei hi i lung chhehvela tui awm ṭul lo taka a awm vang a ni thei. Damdawi lam hawi chuan he natna hi `(pleural effusion)` kan ti a. Chuvangin vawiin hian hei hi enkawlna awlsam tak, mahse pawimawh tak tak kan sawi dawn a ni.

Thoracentesis tih hi eng nge ni?

A awlsam zawngin sawi ila, hetiang hian ngaihtuah teh. Kawngkhar khar (door latch) a thawk tha tur leh a tlakbuak loh nan oil tlem kan dah thin a ni lawm ni? Chutiang bawkin kan thawk chhuah hian kan lung leh rilru bang inkar ah hian tui tlemte a awm a, chu chu ``pleural space`` an ti a, chuvang chuan kan lung chu kan rilru bang ah a innghat lo va, awlsam takin a zau thei a, a inzawm khawm thei bawk.

Mahse, natna thenkhat avangin he tui hi a tam lutuk thei a ni. Tichuan lungte hian inflate tha tur hmun a nei lo va, thawk a harsa ta hle a ni. Chutih lai chuan needle ang chi hmanrua hmangin, hnunglam atanga rilru chhungah dahin, he tui tam lutuk hi paih chhuakin `(Thoracentesis)` an ti a.

Hei hi surgery lian tak a ni em?

Ni lo, a ni lo tak zet. Hei hi surgery lian tak a ni lo. Hei hi ``minimally invasive`` procedure a ni a, chu chu incision lian tham siam a ni lo tihna a ni. A vunah hian khur te tak te chauh siam a ni. Chuvangin dam leh hun a rei lo va, a hlauhawmna pawh a tlem hle.

Eng chhan vangin nge thoracentesis hi tih a nih?

He enkawlna hi chhan lian tak pahnih avanga tih a ni a, pakhat chu natna hriatchhuahna atan a ni a, pakhat zawk chu natna lanchhuahna atanga hahdamna pekna atan a ni.

Eng thilin nge hetiang hian lung vel tui a khat?

Thoracentesis hi pleural effusion an tih natna enkawlna atan hman a ni. Mahse, he natna hi a thlen theitu underlying condition engemaw zat a awm. Chung zinga ṭhenkhat chu:

• Congestive heart failure a awm thin
• Ngawt
• Pneumonia emaw lung natna dang (bacterial, viral) .
• Autoimmune natna chi hrang hrang lupus (Lupus/SLE) te hi a ni.
• Lung chhunga thisen zam (pulmonary embolism) .
• Thisen sang natna thenkhat (pulmonary hypertension) .
• Pancreas natna (pancreatitis) .
• Kidney emaw liver emaw natna
• Tuberculosis (TB) natna a ni.

Chung zinga a tam ber chu thinlung natna avanga lung chhehvela tui awmkhawm hi a ni.

Engtin nge he thil atân hian i inbuatsaih lâwk theih?

Awle, tunah chuan doctor in he enkawlna hi nei turin a ti che ang u. Chuti a nih chuan eng nge i tih ang? Doctor chuan thupek chiang tak tak a pe ang che. Tin, heng thilte hi doctor hnenah pawh i hriattir tur a ni.

• I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh: Hei hi thisen tithianghlimtu i ei a nih chuan a pawimawh hle .
• Thisen chhuah harsatna i neih chuan min hrilh rawh: I thisen zam awlsam lo tura harsatna i neih chuan min hriattir a pawimawh hle.
• Naupai i nih emaw, i rinhlelh emaw chuan min hrilh rawh.
• Damdawi, plaster, latex emaw allergy i neih chuan min hrilh rawh.
• Inenkawl zawha in lama hruai tur che rawn hruai turin an ti thei bawk.

Thoracentesis neih chhung hian eng nge thleng?

Hei hi damdawi inah tih a ni tlangpui a, a tih zawng zawng hi minute 15 vel a ni. Hemi hun chhung hian i harh chhuak thin.

Enkawl hmain

I thisen sang leh oxygen level a enfiah ang. X-ray, ultrasound emaw CT scan hmangin tui awmna hmun dik tak leh a zat dik tak hriat theih a ni ang. Chumi hnuah chuan dawhkan chungah i kut dahin hmalam pan turin an ti ang che. Hei hi dinhmun awlsam ber a ni. Hetianga i tih theih loh chuan i sir lama mu turin an ti ang che.

Enkawl lai hian

1. A hmasa berin i hnungzang a needle dahna tur hmun chu antiseptic solution hmangin uluk takin silfai ang che.

2. Tichuan numbing damdawi chu a hmunah an inject leh thin. Ant te tak te hian a seh che ang maiin a lang a, mahse chutah chuan a hmun chu a hring vek a, natna i nei lo.

3. A hmun chu a hlim tawh chuan doctor chuan incision te tak te a siam ang a, a ruh inkar ah needle a dah ang a, a tui tam lutuk chu syringe emaw tube emaw ah bottle chhungah a paih chhuak ang. Ultrasound scan hmangin needle hi dah theih a ni.

4. Tui lakchhuah hian pressure tlem emaw, nuam lo emaw i nei thei a, mahse a na tur a ni lo. I rilru a na emaw, thawk harsatna emaw i neih chuan doctor hnenah hrilh nghal rawh.

5. Tui mamawh zat an lak hnuah needle chu la chhuakin band-aid te tak te an hnawih a.

Enkawl hnuah

Enkawl zawhah i lung a hrisel em tih enfiah nan X-ray dang i nei leh thei bawk. I dinhmun a tha a nih chuan hun rei lote chhungin i haw thei. I enkawl hnu darkar khat vel chu khuh i nei thei. Hei hi thil pangngai a ni a, lungngai suh. Hei hi i lungte chu a zau lehzual chho zel vang a ni.

Hei hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin hei hian hlawkna a nei a, hlauhawmna pawh a tlem hle.

Eng chen nge a dam theih a, engtikah nge doctor i hmuh ang?

Dam nan hun rei tak a ngai lo. I doctor chuan ni hnih vel chu hnathawh hahthlak tak tak lo turin a hrilh ang che. Darkar 24 hnuah bandage hi i la chhuak thei ang.

Amaherawhchu, a hnuaia symptoms te hi i hmuh chuan tihkhawtlai suh la, doctor rawn nghal rawh. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.

• Khawsik.
• Needle dahna hmunah a sen, a hring emaw, thisen a chhuak emaw.
• Thâwk lak laia rilru natna emaw, na emaw.
• Thisen khuh (hemoptysis) a awm.
• Thâwk harsa nghal.