Chest tube (Thoracostomy) neih i hlau em? A chanchin awlsam takin i zir ang u!

Mi pakhat chu a rilruah tube a inkhung tih i hmu tawh em? TV-ah te, movie-ah te, damdawi in tak takah pawh a ni thei. Hmuh tur hlauhawm leh nuam lo tak a ni thei. "Engvangin nge hetiang hian an tih? Hei hian a ti na hle ngei ang, a dik em?" I ngaihtuah mai thei. Mahse i rilruah tube dah hi damdawi lam thil pawimawh tak a ni tih i hria em, mi nunna chhanhimna atana tih fo thin a ni. Vawiin hian he procedure hi damdawi lama thoracostomy an tih hi i hriatthiam theih tur angin kan sawi dawn a ni.

A awlsam zawngin Thoracostomy chu eng nge ni?

Thoracostomy hi surgeon-in i rilru sir lamah incision te tak te a siam a, i rilru chhungah tube a dah a ni. He tube hi chest tube an ti tlangpui. Chutianga tih chhan ber chu i lung chhehvel hmun (damdawi lamah chuan pleural space kan tih)-a boruak, tui, thisen, emaw, hnim hring tam lutuk lo awm tawh zawng zawng chu paih chhuah a ni.

Kan lung hi balloon pahnih angin han ngaihtuah teh. Heng balloon pahnih hi chest cavity chhungah a awm a. Lung leh rilru chhungril bang inkarah hian hmun tlemte chauh a awm a. A tlangpuiin he hmunah hian engmah a awm lo. Mahse natna thenkhat vang emaw, accident a awm chuan he hmun hi boruak leh tui ang chi thilin a khat thin. Tichuan lung chu a compress a, a inflate tha thei lo. Thâwk harsa a lo ni ta a, rilru na a awm bawk. Chu chu doctor-te chuan he thil khawlkhawm hi paih chhuah nan chest tube an dah a ni.

Emergency thenkhatah, a bik takin tension pneumothorax-ah chuan chest tube dah hmain boruak tang chu tihziaawmna tur leh pressure tihhniam nan needle thoracostomy an ti thin. Hei hi emergency setting-ah, Emergency Department (ETU)-ah te pawh damlo nunna chhanhim nan tih a ni.

He enkawlna hi eng dinhmunah nge hman a nih?

Thoracostomy tih theih chhan tam tak a awm thei. Lung chhehvela thil duh loh awmkhawmna hmunah hman a ni ber. Heng dinhmun thenkhat hi han thlir ila.

Hemi atan hian engtin nge i inbuatsaih ang?

Hei hi zawhna pawimawh tak a ni. Mahse a chhanna chu a buaithlak deuh. A chhan chu a tam zawkah chuan he Thoracostomy tih hi emergency-a tih a nih vang a ni. Mi pakhat chu kawngpuiah car accident a tawk a, damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal a ni ang tih han ngaihtuah teh. A lung a chhia a, a inflated a nih chuan doctor-te chuan a nunna chhanhim nan chest tube an dah thuai a ngai a ni. Chutiang dinhmunah chuan inbuatsaihna hun a awm lo.

Mahse a chang chuan, damdawi lam dinhmun awm tawh (entir nan, lung chhehvela tui awm reng nei) avang hian hei hi ruahman lawk theih a ni. Chutiang hunah chuan i doctor chuan inbuatsaih dan tur a hrilh ang che. Heng thupekte hian:

• Enkawl hma ni engemaw zat atang khanDamdawi thenkhat (a bik takin thisen tithianghlimtu) ei kha bansan turin an ti mai thei che.
• I damdawi ei hun tur thlak danglam turin an ti mai thei che.
• Enkawl hma darkar engemaw zat ei leh in loh turin an ti ang che.
• Thawmhnaw nuam leh hlim lo tak tak ha turin an ti che mai thei.

Enkawlna neih chhung hian eng nge thleng tak tak?

Awle, tunah chuan hei hi engtin nge kan tih ang tih i lo en ang u. He thu hi chhiar hlau suh. Hei hi hrehawm lo leh him thei ang bera tih a ni.

A hmasa berin doctor chuan chest X-ray emaw scan dang emaw hmangin tube dahna tur hmun dik tak chu a zawng ang. Tichuan enkawlna chu a tan ang.

1. Positioning: Khumah mu turin an ti ang che, i lu chu tlem han chawi sangin, tube dahna tur sir lama kut chu i lu chungah dah a ni ang. Hei hian i ruh inkar hmun chu a hawng ang a, tube chu a luh awlsam phah ang.

2. Thianghlimna: A dawtah chuan tube atana thlan chhuah rilru hmun chu antiseptic solution hmangin uluk takin silfai a ni. Hei hi taksaa natna hrik a luh loh nan tih a ni.

3. Numbness: Tunah hi a pawimawh ber a ni. Natna engmah i neih loh nan, chu hmunah chuan local anesthetic , Lidocaine ang chi chu an inject a ni. Injection i pek hian stinging sensation tlem i nei thei a, mahse minute tlemte chhungin a hmun zawng zawng chu a hring vek ang. Chuvangin chu mi hnuah chuan engmah i hre lovang.

4. Incision siam dan: Tunah chuan i rilru a hah tawh a, doctor chuan i ruh pahnih inkarah incision te tak te tak a siam ang. Hei hi incision lian tak a ni lo va, tube dahna tur chauh a ni.

5. Tube insertion: A dawtah chuan chest tube chu uluk takin incision kaltlangin lung vel space-ah dah a ni. He tube tawp dang hi tui bottle (drainage container) ang chi thil nen a inzawm a ni. He tube hmang hian rilru chhunga boruak leh tui chu a luang lut ang a, chu bottle chhungah chuan a inzawm khawm ang.

6. Invenna: A tawp berah chuan sterile dressing dahin insertion site vel ah dahin khuh a ni. A châng chuan, vunah hian tube chu a kal kual loh nan vunah a nghet theih nan stitch te tak te dah theih a ni.

Hetiang zawng zawng hi minute 30 vel a ni tlangpui .

Enkawl hnuah eng nge thleng?

Tube i dah hnuah chest X-ray dang i nei leh ang a, chu chu a hmunah a awm em tih leh i lung a inflated tha em tih enfiah a ni ang. Tichuan doctor leh nurse te chuan tube enkawl dan tur an pe ang che.

• Incision na hmun chu fai leh vawt taka dah tur a ni .
• Tube leh a nena inzawm bottle (drainage container) enkawl dan tur a pe a ni. A pawimawh ber chu tube chu khawi hmunah pawh ben emaw stuck emaw phal loh tur a ni . Tin, bottle chu chest level hnuaiah dah reng tur a ni . Chutiang chuan rilru chhunga thil awmte chu gravity a zirin awlsam takin bottle chhungah a luang lut ang.
• Damdawi pek tur chu a hun takah i ei a ngai a ni .

He enkawlna hian eng hlawkna nge a neih?

Hei hi tlem chuan hlauhawm deuh angin lang mahse, thatna tam tak a nei a ni.

• Hei hi surgery lian tak a ni lo (Minimally invasive): Incision lian tak ni lovin, incision te tak te hmanga tih a nih avangin taksa a chhiatna a tlem a, a damna pawh a rang zawk.
• Emergency-ah nunna a chhanhim thei: Hei hian accident emaw, lung chim emaw a awm chuan rang takin nunna a chhanhim thei a ni. Hun rei tak chhunga dinhmun atanga chhanchhuahna a pe thei bawk.
• Damlo chu mut tir vek a ngai lo: Hei hi anesthesia hnuaia tih a nih fo avangin major anesthesia a awm theihna tur a awm lo.
• Thâwk hahdamna rang: Miin a lung chhunga tui a khat avangin thawk harsa a tih chuan hetiang a tih zawh veleh hahdamna nasa tak a nei nghal ang.

Side effect emaw risk emaw a awm em?

Damdawi lam enkawlna dang ang bawkin, hlauhawmna tlemte tak tak a awm a, mahse doctor-te chuan heng hlauhawmnate hi tihtlem tumin theihtawp an chhuah a ni.

• Tube chu hmun dik lovah dah emaw, a awmna hmun atanga kal emaw a ni.
• Incision na hmuna natna hrik awm.
• Subcutaneous emphysema (vun hnuaia boruak awmkhawm).
• Re-expansion pulmonary edema (lung deflated chu a lo zau leh nghal hnua a chhehvela tui a khat).
• Thisen chhuak.
• Nerve emaw a chhehvel tissue emaw tihchhiat tenau.

Heng thil thleng theihna chance hi a tlem hle. Mahse hetiang thil hi fimkhur a tha. Zawhna i neih chuan doctor zawt la.

Tube hi eng chen nge dah tur? Eng chen nge tihdam a ngaih?

Chest tube a awm rei zawng chu a dah chhan a zirin a ni.

• Accident hnua thisen emaw boruak tlemte emaw lakchhuah a nih chuan tube chu a chhuah vek hnuah ni engemaw zat chhungin lakchhuah theih a ni.
• Mahse, hun rei tak chhunga natna avanga tui chu a khat chhunzawm zel a nih chuan, kar engemaw zat chhung chu tube chu a hmunah i dah a ngai mai thei . I doctor chuan hei hi a hrilhfiah ang che.

Tube lakchhuah hnuah chuan incision chu a dam kim theih nan kar thum atanga kar li vel a ngai thei. Chumi chhung chuan i doctor chuan hliam enkawl dan tur leh hnathawh hahthlak tak tak i pumpelh tur leh tih loh tur a hrilh ang che.

Hetiang thil i hmuh chuan doctor hnenah hrilh nghal rawh.

Chest tube i neih chuan a hnuaia symptoms te hi fimkhur hle ang che. Heng zinga pakhat tal i neih chuan doctor hnenah hrilh nghal rawh .

Thoracostomy, Thoracentesis leh Thoracotomy te hi eng nge an danglamna?

Heng thumal pathumte hi a ri inang hle a, mahse enkawlna hrang hrang pathum an ni. Mi tam tak chu an inkarah an buai thin. A danglamna chu eng nge ni tih i lo en ang u.

A awlsam zawngin, thoracotomy hi operation lian tak a ni. Chu operation hnuah chuan thoracostomy (chest tube) dahin, chest-a tui awmkhawm chu paih chhuah theih a ni.