Mi pakhatin accident hnuah emaw, thawk harsatna a neih avangin emaw chest tube a dah tih i hre ngai em? Movie-ah pawh i hmu tawh mai thei. Hei hi damdawi lam thumal chu Thoracostomy tih a ni. A hlauhawm deuhin a lang thei a, mahse nunna chhanhimna kawng pawimawh tak a ni. Okay, chuvangin vawiin hian thumal awlsam takin kan sawi vek ang.
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Thoracostomy tih hi eng nge ni?
A awlsam zawngin, thoracostomy tih hi doctor-in i rilru sir lam, i ruh pahnih inkarah hliam tenau a siam a, chuta tang chuan plastic tube a dah a ni. He tube hi ‘chest tube’ kan ti tlangpui.
Tunah chuan en teh, kan lungphu hualtu leh kan rilru bang chhung lam line-a awm, membrane te tak te pahnih a awm. Heng membrane pahnih inkar hmun hi pleural space an ti a. Due to certain medical conditions or accidents , boruak, tui ang chi), thisen, emaw, hnim hring emaw chu he hmunah hian a pung khawm thei a ni. Chutiang a lo thlen chuan lung hi a inflate thei lo va, a deflate tha thei lo bawk a, chu chuan thawk harsatna leh natna nasa tak a thlen thei a ni.
Thoracostomy tih tum ber chu tube hmanga rilru chhunga boruak emaw tui emaw duh loh zawng zawng paih chhuah a ni a, chu chuan lung chu zalen takin a thawk leh thei ta a ni.
Emergency-ah, a bik takin Tension Pneumothorax ang dinhmun hlauhawm takah, thawk la thei mahse thawk chhuah theih lohah chuan doctor-te chuan rang takin needle an dah a, he chest tube hi an dah hmain boruak engemaw zat an chhuah tir thin. Hei hi Needle Thoracostomy an ti a. Hei hi Emergency Department (ETU)-a nunna chhanhimna atana tih a ni.
Eng condition atan nge thoracostomy hi tih a nih?
Doctor ten he enkawlna hi chhan hrang hrang avangin an ti thin. A chhan berte han thlir ila.
| Dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Pneumothorax (lung natna) 1.1. | Thliin lung chhehvel hmun a luah khat. |
| Pleural Effusion (lung chhehvela tui awmkhawm) . | Lung chhehvelah tui ang chi) a awm khawm. |
| Empyema a ni | Lung chhehvel hmun zau takah chuan zun (pus) a awm khawm. |
| Hemothorax natna (Hemothorax) a ni | Chest cavity chhunga thisen awmkhawm (a tam zawkah chuan accident hnuah). |
| Chylothorax a ni | Lymphatic system atanga lo chhuak milky fluid (lymph) chu rilruah a pung khawm thin. |
| Lung Infection awm thei te | Pneumonia ang chi natna khirh tak tak avanga lung chhehvela tui awmkhawm. |
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Check Availability →He enkawlna atan hian inbuatsaih hmasak a ngai em?
A tam zawkah chuan hei hi accident emaw emergency emaw a nih chuan tih a nih avangin inbuatsaih lawk hun a awm lo. Chutiang hunah chuan Emergency Treatment Unit (ETU)-a doctor-te chuan thutlukna an siam thuai a, hetiang hian an ti thin.
Mahse, a chang chuan, rilru chhunga tui awm reng ang chi natna rei tak avang hian he tube hi ruahmanna siamin dah theih a ni. Chutiang hunah chuan i doctor chuan thupek engemaw zat a pe ang che.
- Damdawi thenkhat (a bik takin thisen tithianghlimtu) hi enkawl hma ni engemaw zatah tihtawp a ngai mai thei.
- Enkawl hma darkar engemaw zat ei leh in loh turin an ti ang che.
- Damdawi dang, vitamin emaw, supplement emaw i ei lai chu i doctor hnenah hrilh rawh.
- Damdawi eng pawh allergy i neih chuan sawi tel ngei ngei tur a ni.
- Tin , naupai emaw i naupai theih emaw chuan doctor hnenah hriattir bawk ang che .
Thoracostomy tih a nih hian eng nge thleng tak tak?
Hetiang tih hian minute 30 vel a awh tlangpui. Hetiang procedure chhung hian i harh chhuak thin. Ngaihtuah buai suh, doctor-te chuan natna engmah i hriat loh nan theihtawp an chhuah ang.
1. A hmasa berin chest X-ray tih a ni a, chu chu tube dah dik leh dik loh enfiah a ni.
2. Tichuan khumah mu turin an ti ang che, i lu chu tlem han chawi sang la, i lu chungah tube dahna tur sir lamah kut chu dah rawh.
3. Tube dahna tur chest-a vun chu uluk takin silfai a, antiseptic solution hmanga silfai a ni.
4. A dawtah chuan a pawimawh ber. Vun hmunah hian numbing damdawi (Lidocaine ang chi) an inject a. Hei hian a hnua i thil tih avanga hrehawmna tam tak i neih loh nan a pui ang che.
5. Vun a hrual hnuah ruh pahnih inkarah incision te tak te tak tak siam a ni.
6. Chu incision hmang chuan plastic tube (chest tube) chu uluk takin lung vel hmun zau takah dah a ni.
7. Tube pawn lam tawp chu special bottle emaw bag (drainage container) nen an inzawm a, chu chuan rilru atanga tui emaw boruak emaw lo chhuak chu a khawlkhawm thin.
8. A tawp berah chuan antiseptic ointment chu tube vun chhunga a luhna hmunah hnawih a, dressing fai tak hmanga khuh a ni.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Enkawlna dang ang bawkin a hlawkna leh hlauhawmna pawh a tlem hle.
A thatna ber
- Hei hi thil awlsam tak a ni a, incision lian tak (minimally invasive) a ngai lo .
- Emergency-a nunna chhanchhuah hi a pawimawh hle.
- Hei hian anesthesia kimchang (hriatthiamna hloh) a ngai lo.
- Hei hian mi pakhat chu an rilru chhunga tui awm chhunzawm zel avanga thawk harsa tan chuan hahdamna nasa tak a pe a ni.
Harsatna tenau lo awm thei
Doctor-te chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah mek a ni.
- Tube chu a hmun dik lo emaw, a lo chhuak emaw a ni.
- Hliam natna.
- Vun hnuaia boruak awm (Subcutaneous emphysema).
- Thisen chhuak.
- A tlem hle a, nerve emaw a chhehvel tissue emaw a tichhia.
- Lung hi a inflated leh hnuah (Re-expansion pulmonary edema) chu lung vel ah tui a lo awm khawm thin.
Enkawl hnuah eng nge thleng?
Tube an dah hnuah X-ray dang lak leh a ni ang a, a hmunah a awm leh awm loh enfiah a ni ang. Chumi hnuah chuan doctor leh nursing staff te chuan ward chhunga i awm chhunga tube leh hliam enkawl dan tur an hrilh ang che.
- Hliam chu fai leh vawt taka dah tur a ni .
- Tube chu a ben loh nan emaw a tlak loh nan emaw ven tur a ni .
- A pawimawh ber: Drainage container chu i rilru level hnuaiah dah fo ang che . Chutiang a nih loh chuan, a chhunga thil awmte chu i rilruah a luang lut leh thei a ni.
- Painkiller leh damdawi dang doctor-in a pekte chu a hun takah ei tur a ni.
Chest tube hi eng chen nge dah tur?
Hei hi tube an dah chhan ah a innghat. A rilru chhunga tui emaw boruak emaw zawng zawng a chhuah vek chuan ni engemaw zat chhungin tube chu lakchhuah a ni tlangpui. Mahse, cancer ang chi natna khirh tak avanga tui a lo pung zel chuan tube chu kar tam tak chhung dah luh a ngai mai thei. I doctor hnenah thu belhchian dawl zawk zawt rawh.
Engtikah nge doctor pan vat a ngaih?
Chest tube i dah chuan a hnuaia symptoms te hi fimkhur hle ang che. Heng zinga pakhat tal i neih chuan i doctor emaw nurse emaw hnenah hrilh nghal rawh.
Damdawi lam thurawn zawng nghal rawh:
* Infection chhinchhiahna i neih chuan , a hring, a sen, beisei loh taka natna a pung, emaw, hliamna hmuna khawsik emaw i neih chuan.
* Tube chu a inher emaw a inzawm tlat emaw a nih chuan .
* Thâwk harsa i neih chuan .
* Tube chu a lo chhuak tawh ang maia a awm chuan .
Hetiang thil i hmuh chuan damdawi in doctor emaw nurse emaw hnenah hriattir nghal rawh. Chumi chungchang zawh chu hlau ngai suh.
Take-Home Thuchah a ni
- Thoracostomy hi nunna chhanhim thei, thil awlsam tak a ni a, tube hmangin rilru atanga boruak emaw tui emaw duh loh zawng chu a paih chhuak thin.
- He enkawlna hi lung a tlakchhiat, tui, thisen emaw, lungphun a khat emaw a nih chuan hman thin a ni.
- Hei hi i harh laiin tih a ni tlangpui a, numbing damdawi hmanga tih a ni a, chuvang chuan natna i nei tam lo.
- Tube dah hnuah doctor-in a enkawl dan tur (a bik takin tube leh bottle chungchang) a tih angin zawm tur a ni.
- Harsatna eng emaw a lo awm a, chu chu khawsik, hliam na tak, thawk harsa tih ang chi te hi a awm a nih chuan damdawi lam pan nghal tur a ni.
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