Kan thawk chhuah hian engtin chiah nge boruak hi lung chhungah a lut tih i ngaihtuah ngai em? Mechanism mak tak a ni. Kan thawkna kawngah hian he zinkawng pawimawh takah hian thawktu ber pakhat chu bronchi hi a ni . Vawiin hian heng bronchi te leh kan hriselna atana an pawimawh zia kan sawi dawn a ni.
Heng bronchi te hi engte nge ni?
A awlsam zawngin, i bronchi hi tube lian pahnih a ni a, chu chuan i lungah boruak a phur a ni. I thawk chhuah hian i hnar emaw, i hmui emaw atanga boruak lut chu i rilruah a kal a, i trachea , chu chu i thlipui (windpipe) a ni. He thlipui hi Y letter ang maiin pahnih ah a inthen a, heng tube lian pahnih hi bronchi an ti a - pakhat chu veilam lung lamah a kal a, pakhat chu dinglam lung lamah a kal. Tichuan heng tube lian pahnih hi thing hnah ang maiin i lung chhungah tube tenau zawkah an inthen darh ta a ni. Hengte hi kan thawkna kawngah thil pawimawh tak a ni . Kawngpui angin ngaihtuah la, i lung chhunga boruak bawm te tak te (alveoli) thlenga boruak a thlen theih nan a pui ang che.
Bronchi te hi engtin nge an awm?
Hetah hian a pawimawh ber. Thlawhna kawng hnathawh ber chu lung chhunga boruak phurh luh leh lung atanga boruak phurh chhuah hi a ni. Lirthei kal leh haw theihna kawngpui ang mai a ni.
I thawk chhuak tih han ngaihtuah teh...
1. Thli chu ka emaw hnar emaw hmangin a lut a, bronchi hnuaiah a kal .
2. Tichuan, boruak hi he trachea inthenna avanga lo awm, dinglam leh veilam ah hian boruak a lut a.
3. Heng bronchi te hi tube te zawkah an inthen a, a tawpah chuan tube te ber ber bronchioles an tih hmangin boruak chu lung chhunga alveoli ah a kal lut thin. Chutah chuan i thisenah oxygen a lut a ni.
Tin, thisenah oxygen a tel chhoh zel chuan thisena carbon dioxide gas duh loh chu boruak bawm chhungah a lut leh ta a ni. I thawk chhuah hian he carbon dioxide gas hi trachea, bronchi leh bronchioles kaltlangin a kir leh a, i hmui emaw, i hnar emaw hmangin a chhuak leh thin.
Pawimawh: Thlawhna kawng chhungah hian thil pakhat mucus . He mucus hian boruak lut chu a ti hnim a, boruakah hian thil tha lo, hrik leh leivut te chu a man a ni. Chu bakah, thawkna kawng chhungah hian sam ang chi te te, cilia an tih te pawh a awm bawk. Chûngte chuan broom ang maiin hna an thawk a, hrik leh leivut tangte chu rilru hnung lam hawiin an nawr a ni. Chutah chuan kan khuh emaw kan thawk hah emaw an rawn chhuak leh thin. Defense system mak tak a ni lo maw?
Bronchi te hi khawiah nge an awm?
I trachea hi i rilru chhungah a awm a, i lung chhungah a awm a, chu chu i rib cage hian a venghim a ni. Sawi tawh ang khan hengte hi i trachea (Bronchi te hi lung hnuai lam tawp nen an inzawm a. Tube lian tak angin an intan a, zawi zawiin branch tenau zawkah an inthen a, a tawpah chuan bronchioles tenau ber ah an branch ta a ni .
Bronchi-a hmun hrang hrangte chu engte nge ni?
Thluak lam hi tube network pakhat a ni lo. Kawngpui lian leh kawngpui sir lama ṭhen ang maiin hmunpui pathum-ah ṭhen theih an ni.
- Primary/Main Bronchi: Hengte hi bronchi lian ber pahnih – dinglam leh veilam bronchi te an ni. Hengte hi trachea (bronchi ) nena inzawm tlat te an ni. Hengte hi bronchi zau ber a ni.
- Secondary/Lobular Bronchi: Hei hi main bronchi atanga branch off a, lung lobe hrang hranga lut tube te an ni. Lung dinglam hian lobe pathum a nei a, veilam lung hian lobe pahnih a nei tih i hria em? Heng secondary bronchi te hi chu lobe tin ah chuan an lut thin.
- Tertiary/Segmental Bronchi: Hengte hi tube te zawk, lung lobes chhunga segment tenau zawka branch thin an ni. Chung hnuah chuan bronchioles te zawk pawh a intan thin.
Kawngpui ang maiin han ngaihtuah teh. Kawngpui lian (Primary) atanga secondary road (Secondary) pan a, chutah chuan kawngpui tenau zawk (Tertiary) dang pan ang mai a ni.
Bronchi hi eng ang structure nge ni?
Thli kawng hi ruh smooth muscle leh a chhehvela tissue khauh tak, cartilage an tih atanga siam a ni. He cartilage hian thawkna kawngte chu chakna tha tak a pe a, boruak kal tlangin a tlakbuak loh nan a veng bawk. Thlawhna kawng lian ber berte hian cartilage ring an nei a. Mahse, secondary leh tertiary airway te hi a te zawk avangin cartilage patch chauh an nei a ni. Sawi tawh ang khan hengte hian a chhungah mucus membrane leh cilia an nei a.
He trachea, bronchi leh bronchioles system pumpui hi tracheobronchial tree , tih a ni a, chu chu "tracheobronchial tree" tihna a ni. A chhan chu thing inher ang mai a nih vang a ni. Trachea chu thing hnah ang a ni a, bronchi chu a hnah ang a ni.
Bronchi tibuaitu natnate chu engte nge ni?
Vanduaithlak takin kan thawkna kawng pawhin natna chi hrang hrang a nei thei a. Chûng zînga ṭhenkhat chu i hre tawh mai thei.
- Asthma: Hei hi thawkna kawng a na reng a, thawk harsa a ti thin.
- Bronchiectasis: Hetiang dinhmunah hian thawkna kawng a zau a, a chhe a, bawm a siam a, chu chuan mucus a khawlkhawm thin.
- Bronchitis: Thlawhna kawng a na. Hei hi hun rei lote (acute) emaw, hun rei tak (chronic) emaw pawh a ni thei.
- Bronchopulmonary Dysplasia: Hei hi thawk lama harsatna a ni a, nausen piang tharte zingah a awm thei a ni. Lung a lo thang tha lo a nih chuan a thleng thin.
- Chronic Obstructive Pulmonary Disease (COPD): Hei hi natna hrik chi khat a ni a, chu chuan lung a nghawng a, thawkna kawng a tikhawlo a, thawk harsa a ti hle.
- Cystic Fibrosis (CF): Hei hi genetic disease a ni a, thawkna kawngah mucus thick, sticky tak tak a awm thin.
Thâwk lama harsatna awmte chu engte nge ni?
I thawkna kawngah harsatna a awm chuan heng ang symptoms hi i nei thei ang:
- Khuh (khuh chhunzawm zel a ni thei) .
- Thâwk harsa (thâwk harsa ang chi) .
- A rilru a buai hle
- Thisen chhuah leh mucus
- Chest tightness, constriction tih hriatna
- Chauh fo thin
- Thluak lam natna (e.g. pneumonia, bronchitis) awm fo thin .
Bronchi hriselna enfiahna test te chu engte nge ni?
I natna lan chhuah dan azirin doctor chuan i thawkna kawng leh lung hriselna enfiah turin test hrang hrang a ti thei a ni.
- Spirometry: Hei hi lung function test hman tlanglawn ber a ni. I lung chhunga boruak i vawn theih zat leh i thawk chhuah chak dan a teh a ni.
- Bronchoscopy: Hetiang tih danah hian doctor chuan ka emaw hnar emaw hmangin tube te tak te, flexible tak (camera dahna) a dah lut a, chu chuan thawkna kawng chhung a en a.
- CT Scan: Hei hi test a ni a, computer bik leh X-ray hmanga lungphun chipchiar taka thlalak siam a ni.
- Endobronchial Ultrasound (EBUS): Hei hi bronchoscopy nen a inang a, mahse ultrasound technology hmangin thawkna kawngah inflammation emaw cancer emaw a awm tih hriatchhuah nan a pui a ni.
- Exhaled Nitric Oxide Test: Hei hian nitric oxide i thawh chhuah zat a teh a ni. Hei hian doctor-te hnenah i thawkna kawngah inflammation i neih chuan a hriattir thei a ni.
Bronchi tichhe thei natna enkawlna hman tlanglawn tak takte chu engte nge ni?
Enkawl dan tur chu i thawkna kawng tichhe thei dinhmunah a innghat. Damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:
- Inhaled Medications: Damdawi bronchodilator leh steroid te hian thawkna kawng a inflammation a tiziaawm a, a tizau a, thawk a ti awlsam bawk. Hengte hi inhaler emaw nebulizer emaw hmangin pek theih a ni.Liquid-ah dah la, steam turin i dah thei bawk.
- Oxygen Therapy: Oxygen i hmuh tlem chuan pawn lam atanga oxygen pek a ngai mai thei.
- Pulmonary Rehabilitation: Hei hi exercise leh zirtirna programme a ni a, chu chuan lung chakna leh lung natna enkawlna kawngah a pui a ni.
- Damdawi ei: Damdawi steroid emaw antibiotics emaw nitin ei tur emaw, natna hrik a lo awm emaw, natna a zual emaw chuan ei tur a ni.
- Positive Airway Pressure Therapy: I doctor chuan CPAP emaw BiPAP® machine emaw hmang turin a rawt mai thei. Hei hian i thawkna kawng a inhawng reng thei a ni.
Engtin nge ka bronchi hi ka hrisel theih ang?
I thawkna kawng chauh ni lo, i thawkna kawng zawng zawng hrisel taka awm theihna tura i tih theih ṭhenkhat chu hetiang hi a ni:
- Meizial zu leh vaping hi pumpelh rawh. Hei hi a pawimawh ber a ni.
- Secondhand smoke hi inhnim loh tur.
- I in chu fai takin vawng la, air filter pawh thlak fo bawk ang che.
- I thinlung leh lung chak zawk nan exercise lak fo thin ang che.
- A theih ang anga boruak bawlhhlawh laka invenna tihtlem.
- Leivut, allergen emaw chemical meikhu emaw i tawk fo a nih chuan face mask ang chi invenna hmanrua hmang ang che.
- Thluak lam natna laka inven nan kut sil fo tur a ni a, flu season-ah hmun tamna hmunah awm lo la, vaccine pek tur rawtna lak tur a ni.
Engtikah nge Doctor ka hmuh ang?
I khuh chhunzawm zel emaw, thawk harsatna i neih emaw chuan doctor pan ngei ngei tur a ni.
Tin, a hnuaia thawk hahna chhinchhiahna te hi i neih chuan 1990 ah i call nghal tur a ni a, damdawi in emergency department hnai ber ah i kal tur a ni:
- Ka hmui, vun emaw, nail emaw rawng blue, gray emaw pale emaw (Cyanosis) .
- Chest Retractions (i thawk chhuah laiin i rilru a pil lut ang maia hriat) .
- Chhan bik nei lovin thawk rang tak
- Hnar kawngkhar a hring (thâwk harsat vang) .
- Taksa lumna tihsan loha thawk hah
- A rilru a buai hle
Hriat reng tur: I thawkna kawng hian i lung chhunga boruak phurh chhuahna kawngah mawhphurhna lian tak a nei a. I taksa hian he boruak hi hmang hian a dam khawchhuahna atana a mamawh oxygen a dawng thin. Chutih rual chuan i thawkna kawngte chuan boruak a ti hnim a, natna hrik leh thil dang tichhe thei che lakah a venghim che a ni.
A tawp berah chuan hei hi hre reng ang che.
Chuvangin, tunah chuan kan taksaah hian bronchi te hi a pawimawh zia i hrethiam ta. An chhiat emaw, an inflamed emaw chuan Bronchitis leh COPD ang chi natna a lo awm thei a ni. Chuvangin i bronchi hrisel taka vawng reng tur chuan meizuk hi pumpelh vek tur a ni a, i lung tana tha lo tur thil engmah thawk chhuak suh. I thawk kha enkawl tha rawh! A chhan chu thawk hrisel hi nun hrisel neihna kawngkhar a nih vang a ni.
` Trachea, lung, thawk, thawkna kawng, asthma, bronchitis, lung hrisel











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