Allergy chungchangah zawhna i nei em? Lo kal rawh, allergist chungchang i sawi dawn nia!

Chaw thenkhat i ei hian mak deuhin i inhria bawk em? A nih loh leh leivut tlem i thawh chuan thawk harsa i ti em? A chang chuan heng thilte hi thil pangngai angin a lang a, mahse mi thenkhat tan chuan harsatna lian tak a ni thei. Chutih lai chuan allergist tanpuina kan mamawh a ni . Vawiin hian he ‘allergist’ hi tu nge a nih leh eng nge a tih tih hi han sawi ila.

Allergist chu tu nge ni?

A awlsam zawngin, allergist chu kan taksa hriselna tichhe thei natna hrang hranga tui doctor a ni . Hetiang hian han ngaihtuah teh: kan taksaah hian sipai rual tlemte kan nei a, chu chu immune system an ti a. Hei hian natna laka min vengtu chu a ni. Mahse, a chang chuan he system hian a overreact tan thin. Chutah chuan harsatna a lo chhuak thin.

Heng doctor-te hian an enkawl ber immune system disorder engemaw zat a awm a:

• Allergy leh allergic disorder: Hengte hi kan ei leh in, kan thawk, kan khawih thila kan taksa hriselna (immune system) a tihbuai lutuk hian a thleng thin. Entirnan, mi thenkhat chuan shrimp an ei hnuah rash an nei a, thenkhat erawh chuan ui an khawih hnuah an thawk chhuak tan thung.
• Asthma: Hei hi kan lung chhunga thawkna kawng a lo hring chhuak thin a ni. Asthma vei te hian thil engemaw, leivut, meikhu emaw, khawsik emaw avang hian thawk harsatna an nei nghal mai thei.
• Primary immunodeficiency disorders: Hengte hi a buaithlak deuh a ni. Hengte hi genetic diseases an ni. Hei hian kan taksa hriselna (immune system) a thawk tha lo a ni. Heng natna chi hrang hrang hi chi 200 chuang a awm a.

Pediatric Allergist chu tu nge ni?

Tunah chuan heng harsatnate hian naupang tê tête pawh a nghawng thei em tih i ngaihtuah mai thei. Ni e, naute, naupang, leh puitling naupangte pawhin allergy, asthma, leh immune system lama harsatna an nei thei bawk. Chu chu pediatric allergist-in a hmuhchhuah a, a enkawl lai a ni. Puitling tan chuan allergist ang mai a ni a, mahse naupangte chu a bik takin a ngaihtuah a ni.

Allergist leh immunologist te hi eng nge an danglamna?

Hei pawh hi mi tam takin an zawh thin a ni. ‘Allergist’ tih thumal hi allergy leh asthma ang chi thil enkawltu doctor sawina atan kan hmang tlangpui a, a chang chuan immune system natna te pawh a enkawl bawk. Tichuan, ‘immunologist’ chu mi pakhat a ni. Mahse, a chang chuan ‘immunologist’ chuan immune system natna enkawlna lam a ngaihtuah zawk thei a, a nih loh leh immune system chungchanga medical research neihnaah a rilru a pe zawk thei bawk. Vawi tam tak chu heng pahnih hi field khata thawk an ni a, chu chu ‘Allergist/Immunologist’ qualification nei mi an ni.

Heng allergist te hian eng nge an tih?

Allergist chuan i immune system lama harsatna awmte chu a hmuchhuak a, a enkawl bawk. A tih theihte chu hetiang hi a ni:

• Allergy testing: Hei hian ei tur, pollen (hnim, thing leh mau atanga lo chhuak), pet dander , leh mold ang chi thil allergy i neih leh neih loh a enfiah ang.
• Asthma hi lung hnathawh test hmanga hriat theih a ni.
• Damdawi emaw, hmanrua emaw chu allergy leh asthma natna laka invenna, enkawl, tihziaawmna atana pek a ni. Entirnan, mi thenkhat chuan inhaler an hman a ngai mai thei.
• Allergy emaw asthma emaw thlentu tur awm lo turin i nunphung i tihdanglam tur te kan fuih ang che.
• Immunotherapy, allergy shot ang chi hi allergy tihziaawmna atan pek thin a ni. Hei hian taksa chu zawi zawiin allergen laka inhriat tir a huam a ni.
• Immunodeficiency disorder a awm tih hmuhchhuah a ni.
• Immune system disorder neia i nun hian natna hrik laka inven dan tur kan rawt a ni .
• Intravenous immunoglobulin (IVIG) hi immune natna thenkhat enkawlna atan pek thin a ni.
• Damdawi pawimawh tak i allergy i neih chuan chu damdawi chu him taka i ei theih nan ``Drug desensitization'' tih process an ti thin.

Allergist-te hian eng natna chi hrang hrang nge an enkawl?

Heng doctor-te hian damdawi lama harsatna an enkawl tam ber ṭhenkhat chu hengte hi an ni:

• Allergic conjunctivitis (mit allergy) vang a ni.
• Allergic rhinitis/hay fever, ‘hay fever’ tia hriat bawk.
• Anaphylaxis, allergy na tak a awm nghal
• Angioedema, vun hnuaia hring hring
• Asthma natna a ni
• Ruihhlo allergy nei te
• Eczema hi vun natna a ni.
• Eosinophilic disorders (thisen var chi khat ‘eosinophil’ an tih a punna) .
• Chaw ei tur allergy nei
• Vun natna, ‘hives/urticaria’ tia hriat bawk.
• Insect sting allergy a awm thei
• Latex allergy nei te tan
• Sinus infection awm fo thin

Engvangin nge allergist kan hmuh a ngaih?

Hetiang doctor hi a hnuaia thilte avang hian i pan duh mai thei bawk:

• Allergy emaw asthma emaw a awm leh awm loh enfiah thin ang che.
• Allergy emaw asthma emaw nei tan enkawlna dawng rawh.
• Immune system natna i neih chuan enkawl rawh.

Engtikah nge allergist kan hmuh ang?

Heng symptoms te hi i neih chuan allergist pan ngei ngei tur a ni. A nih loh leh chutiang specialist hmuh a ngai em tih chu i chhungkaw doctor (Primary Care Physician) hnenah zawt rawh.

"Heng symptoms te hi tlem kan ngaihtuah tur em ni?"

• Allergic reaction na tak i neih chuan – hives, hmai emaw lei emaw a hring, thawk harsat ang chi te.
• Allergy i nei a, mahse eng thilin nge a thlen tih erawh i hre chiang lo. Entirnan, ei tur thenkhat i ei lai chauh emaw, leivut i tawk emaw chauhvin a thleng em tih zawng rawh.
• Damdawi leh nunphung thlak danglam pawhin i allergy emaw, asthma emaw control harsa i tih chuan.
• Allergy emaw, asthma emaw hian i nun pangngaia i kal theih lohna tur, hnathawhna hmuna kal tur emaw, i duhzawng thil tih theihna tur emaw a dal che a nih chuan.
• I thawk hah fo emaw, i khuh fo emaw, thawk i hah fo a nih chuan – a bik takin exercise zawhah emaw, zan lamah emaw.
• I damlo reng a nih chuan, emaw, khawsik ang chi natna tlanglawn tak pakhatin a dam leh theih nan hun rei tak a mamawh a nih chuan, hei hian i taksa hriselna a chak lo tihna a ni thei.

Engtin nge allergy hi an test thin?

Allergist chuan eng ang allergy nge i neih tih hriat nan test hrang hrang a hmang thei a. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Skin prick/scratch tests: Hei hi allergen nia rinhlelh tlemte ei a, i vun hmanga scratch a ni. Tichuan, reaction an zawng a, chu chu a sen leh a hring ang chi hi a ni. Hei hi test awlsam tak, rang tak a ni.
• Thisen test dan: 1.1.Hetah hian i thisen sample lak a ni a, lab-ah test a ni a, thil engemaw takah allergy i neih leh neih loh enfiah a ni.
• Food challenge tests: Hei hi fimkhur deuh deuh a ngai a ni. Hetah hian doctor chuan allergy nei nia i hriat ei tur chu zawi zawiin a rawn luhtir ang a, chutih rualin allergy i neih leh neih loh ngun takin a en bawk ang. Hei hi damdawi lam enkawlna hnuaia tih tur a ni.

Heng allergy test bakah hian doctor i tlawh hunah a hnuaia mite hi a thleng thei bawk:

• Lung function testing (spirometry, pulmonary function testing): Hei hian i lung hnathawh that dan a test thin. He test hian asthma natna hriatchhuah leh enkawl nan a pui thin.
• Damdawi hmanrua hman dan a zirtir che: I doctor chuan allergy na tak nei tan epinephrine injector (a then chuan ‘Epipen’ an tih) ang chi hmanrua, asthma tan inhaler, leh nebulizer te hman dan dik a zirtir thei che a ni.

Engtin nge allergist nih theih ang?

Hei hi i hriat duh pawh a ni thei bawk. Sri Lanka rama allergist ni tur chuan medical school atanga medical degree (MBBS) lak hmasak a ngai a ni. Chumi hnuah chuan general practitioner angin internship leh post-internship i zo a ngai a ni. Chumi hnuah chuan Internal Medicine emaw Pediatrics emaw lama specialist training (MD) i neih a ngai a ni. Chu training zawhah chuan Allergy leh Immunology lama special training dang (post-MD training/fellowship) i la thei a, a kaihhnawih exam te i pass thei a, allergist i ni thei bawk. Chu chu hei hi inpekna leh hun ropui tak nena tih ngai a ni tihna a ni.

A tawp berah chuan hriat reng tur tlemte

Allergy, asthma, leh immune system natna te hi kan nitin nun tichhe thei, a chang chuan natna khirh tak tak a thlen thei a ni. Mahse, hlauthawng suh . Allergist chuan i allergy emaw, asthma emaw thlentu chu a hriat theih nan a pui thei che a, i natna lan chhuah dan control turin enkawlna a pe thei che a, chutiang thil thlentu laka invenna tur nunphung thlak danglam dan tur a hrilh thei bawk che a ni.

"A awlsam zawngin, heng doctor te hian i dinhmun hriatthiam nan an pui che a, hlawhtling taka nunpui turin an pui che a, i nun tibuai lo turin an pui che a ni."

Chuvangin, he harsatna hi i nei nia i inhriat chuan hun khawhral suh la, Doctor pan rawh. Tichuan nun hrisel, hahdam takin i nung thei tawh ang.

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