I thawk harsatna i neih laiin doctor-in, "I lung vel ah tui i nei" a tih i hre tawh ngei ang. He thu i hriat hian hlauhna tlem a neih hi thil pangngai a ni. Mahse lungngai suh, he natna hi enkawl a, a chhan zawng chhuah nan hian damdawi lam kalphung awlsam tak, him tak a awm a ni. Chu chu thoracentesis kan tih chu a ni. Vawiin hian a awlsam em em, hriatthiam awlsam takin kan sawi dawn a ni.
Thoracentesis tih hi eng nge ni?
A awlsam zawngin, thoracentesis chu syringe ang chi hmanrua hmanga i lung chhehvel atanga tui (tui) tam lutuk lakchhuahna a ni.
Kan lung hi kan rilru chhungah a awm ang tih han ngaihtuah teh. Heng lung leh rilru bang inkarah hian hmun tlemte chauh a awm a. He hmun hi pleural space kan ti a. He hmunah hian membrane te tak te pahnih a awm a. Kan thaw chhuah hian kan lung a zau a, a inzawm khawm thin. Hetiang thil hi a awlsam em em a, inhnaih lo taka a kal theih nan chuan chu membrane pahnih inkarah chuan tui tlemte chauh a awm a ngai a ni. Kawngkhar hinge-a oil tlem dah hian hawn leh khar a awlsam ang bawkin, he tui tam lutuk hian kan lungte chu awlsam takin a thawk thei a ni.
Mahse natna thenkhat avang hian he hmunah hian a tul aia tam tui a awm tan thin. Damdawi lam hawi chuan hei hi pleural effusion kan ti a ni. He tui hi a khat chuan lungte chu zalen taka inzarpharh theihna tur hmun a awm lo va, chu chuan thawk harsa leh rilruah a rit tih hriatna ang chi symptoms a thlen thin.
Chuvangin, thoracentesis treatment-a tih thin chu he tui tam lutuk hi paih chhuah hi a ni.
Thoracentesis leh Paracentesis inthlauhna
Heng pahnih hi taksa atanga tui tam lutuk paih chhuak thei enkawlna a ni. Mahse, thoracentesis hian rilru atanga tui a paih chhuak a, chu chu lung chhehvel a ni. Paracentesis hian pum (belly)-a tui awm tawh chu a paih chhuak thin.
Thoracentesis hi surgery lian tak a ni em?
Ni miah lo. Thoracentesis hi surgery lian tak a ni lo. ‘Minimally invasive’ tih a ni a, chu chu taksa tichhe tlem ber enkawlna a ni tihna a ni. Incision lian tham leh hliam lian tham a awm lo. Chuvang chuan dam leh hun hi a rei lo hle a, a hlauhawmna pawh a tlem hle.
Engvangin nge he inenkawlna hi kan mamawh?
Thoracentesis tih chhan lian tak pahnih a awm.
1. Diagnostic: Lung vel a tui awm chhan hriat nan. Chu tui sample chu lakchhuah a ni a, lab-ah thawn a ni a, infection, cancer cell emaw, natna chhinchhiahna dang emaw enfiah a ni.
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A hnuaia table hi han en ila, pleural effusion thlentu ber berte chu engte nge ni.
| Pleural effusion (lungs vel a tui awmkhawm) awm thei te . | |
|---|---|
| Congestive heart failure a awm thin | Hei hi a chhan tlangpui a ni. |
| Ngawt | Hei hi lung cancer vang emaw, cancer dang vang emaw a ni thei. |
| Pneumonia leh lung natna te | Bacteria, viral, fungal infection avanga lo awm thei a ni. |
| Tuberculosis (TB) natna a ni. | Sri Lanka ramah pawh a awm fo chhan pakhat. |
| Lung chhunga thisen zam (Pulmonary embolism) . | Thisen kalna kawng khata thisen zam (blood clot). |
| Kidney emaw liver emaw natna | Taksa tui balance inthlak danglam vang a ni. |
| Autoimmune natna, lupus/SLE ang chi te | Taksa immune system in a cell te a bei thin. |
Engtin nge he enkawlna hian hna a thawh? Hlauh tur thil a ni em?
Hetiang enkawlna hi hlauh a ngai lo tak zet a ni. Step khat hnu step khatin eng nge thleng tih i lo en ang u.
Enkawl hmaa inbuatsaihna
He enkawlna hma hian i doctor chuan thupek engemaw zat a pe ang che. Tin, doctor hnena hriattir tur tlemte pawh a awm bawk.
- NangmahThisen tithianghlimtu damdawi emaw, aspirin ang chi damdawi emaw i ei a nih chuan sawi tel ngei ngei tur a ni.
- Thisen zam natna i neih chuan , min hriattir dawn nia.
- Damdawi dang, vitamin, supplement i ei lai te min hrilh teh.
- Damdawi eng emaw (a bik takin numbing damdawi), latex, emaw tape -a allergy i neih chuan min hrilh rawh.
- I naupai emaw, naupai theih emaw pawh nise min hrilh tur a ni.
Enkawl lai hian eng nge thleng?
He enkawlna hi damdawi inah tih a ni tlangpui. Procedure zawng zawng hi minute 15 vel a ni .
1. Position: Chair-ah thu turin an ti ang che a, i hmaa dawhkan pakhatah innghat la, i kut chu i hip-ah dah turin an ti ang che. Hetiang dinhmun hian i hnungzang a pholang a ni. Thut harsa i neih chuan i sir lama innghatin i ti thei bawk.
2. Inbuatsaihna: I hnungzang a tui i paih duhna hmun chu antiseptic solution hmangin uluk takin silfai ang a, puanin i khuh ang.
3. Numbing: A dawtah chuan needle te tak te hmangin a hmunah numbing damdawi inject a ni. Hetih lai hian rulhut te tak te hian a seh che ang maiin a lang a, mahse chutah chuan chu hmun chu a hring vek thung.
4. Tui lakchhuah: Tunah chuan doctor chuan i ruh inkar hmunah, vun hnuai chiah, tui awmna hmunah hian needle dang a dah leh ang. A châng chuan ultrasound scan hmangin a hmun kaihruaituah a ṭanpui ṭhin. Extra fluid chu needle-a inbun tube hmangin a chhuak ang.
5. End: Tui mamawh zat an lakchhuah hnuah a zung chu la chhuakin a hmunah hian bandage te tak te an hnawih thin.
A pawimawh ber chu he enkawlna chhung zawng hian i hriatna famkim i neih hi a ni. Natna engmah i hre lovang. Fluid lakchhuah hian pressure tlem emaw, nuam lo emaw i nei thei a, mahse a na lo.
Enkawl hnuah
Enkawl zawhah i lung dinhmun enfiah nan X-ray emaw scan dang emaw i nei leh thei bawk. I pulse leh thisen sang chu darkar tlemte chhung enfiah a ni ang a, chutah chuan in lama thawn i ni ang.
Enkawl hnu darkar khat vel tlem khuh hi thil pangngai a ni. Hei hi a chhan chu tui a thianghlim hnuah lung a zau leh ta a ni.
Risk leh recovery hun chhung
Thoracentesis hi a him hle a ni . Complication awm theihna chance a tlem hle. A hlauhawm thei thenkhat chu hetiang hi a ni:
- Thisen chhuah: Thisen kalna kawng te tak te a tlak chuan thisen chhuak tlem a awm thei. Hei hi a mah chauhin a tawp tlangpui.
- Kaichhawng:Vun-a cut eng pawh ang bawkin, natna hrik lut a, natna kai theihna chance a tlem hle.
- Pneumothorax: A tlem hle a, needle hian lung a tikehsawm thei a, khur te tak te a siam thei a, chu chuan boruak a luang lut thei a ni. Hei hian lung a tikehsawm thei a ni.
- Pulmonary edema: Tui tam tak lakchhuah thuai a nih chuan lung hi tuiin a khat thei a ni.
Dam nan hun rei tak a ngai lo. Doctor chuan ni hnih vel hna hahthlak tak tak thawk lo turin a hrilh ang che . Bandage hi darkar 24 vel chhungin lakchhuah theih a ni.
Enkawl hnua heng symptoms te hi i neih chuan Doctor pan nghal tur a ni.
Enkawlna atanga i haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
- Khawsik
- Needle dahna hmuna sen, hring, emaw thisen chhuak/tui dang
- Thâwk lak laia rilru natna emaw, na emaw
- Thisen khuh (Hemoptysis) .
- Thâwk harsa na tak
Thâwk harsatna nasa tak i neih thut chuan damdawi in hnai ber Emergency Department (ETU) pan a pawimawh hle.
Take-Home Thuchah a ni
- Thoracentesis hi damdawi hmanraw him leh awlsam tak a ni a, chu chuan lung chhehvela tui tam lutuk awmkhawm chu a paih chhuak thin.
- Hei hi tui a pun chhan zawn nan (diagnosis) emaw, thawk harsatna tihziaawm nan emaw (relief) tih a ni.
- Hei hi surgery lian tak a ni lo. Minute 15 vel a ni a, numbing damdawi nen, i harh chhuak ta a ni.
- A hlauhawmna a tlem hle a, mahse enkawl hnua vaukhânna chhinchhiahna awm thei te hriat a pawimawh hle.
- Fluid retention hi medical condition hnuaia awm vang a ni thei. Hemi chungchang hi i doctor nen sawiho rawh.
- Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.











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