A rilruah tube dah dan (Thoracostomy) dan awlsam takin i zir ang u.

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.

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 (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.

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.

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.

Hetiang thil i hmuh chuan damdawi in doctor emaw nurse emaw hnenah hriattir nghal rawh. Chumi chungchang zawh chu hlau ngai suh.