I fa te hian an hmui atang hian thaw a chhuah fo thin em? Adenoids hring (Adenoiditis) a ni thei!

I fa tê tê hian hnar a luang chhuak fo va, a hnar a khuh a, a kâ aṭangin a thawk chhuak fo tih i hre tawh em? A châng chuan zan a mut chuan putar ang maiin a bengchheng ṭhin a ni lawm ni? Nu thenkhat chuan, "Aw, doctor, ka fa hian hnar a luang chhuak fo thin a, a hnar a khuh fo thin," an ti bawk. Heng thilte hi khawsik pangngai mai maiah kan ngai a, mahse a châng chuan hei hi adenoids an tih glands, adenoiditis an tih, a hring chhuak vang pawh a ni thei. Hemi chungchang hi chipchiar zawkin kan sawi dawn em ni?

Adenoids hi eng nge ni tak tak?

A awlsam zawngin, heng adenoids te hi kan fate hnar hnung lamah, kan rilru chunglam, a dik zawk chuan hnar hnung lamah awm, lymphoid tissue ang chi gland te tak te pahnih an ni. Kan taksa chhunga hrik lutte mantu sentinel angin ngaihtuah rawh. Chu chu kan fate taksa hriselna atana pawimawh tak an ni tihna a ni . Heng adenoids te hi kan thawk leh ei laia kan taksa chhunga lo lut duh loh hrik, bacteria leh virus te man turin an awm a, an do a, natna laka veng turin an awm a ni.

Chuti a nih chuan, adenoiditis chu eng nge ni? Engvangin nge a lo awm?

Tunah chuan adenoids hi eng nge a nih leh a pawimawh zia i hrethiam ta. Chuvangin, heng hrik dotu glands te hi a chang chuan hrik an kai thei a, a nih loh leh an inflamed thei bawk. Chu chu damdawi lam chuan adenoiditis kan tih chu a ni. A dik tak chuan hei hi adenoids swelling a ni.

Chutiang thil a lo thlen chuan eng nge thleng? Heng glands te hi an lo hring a, an lian zawk thin. Tichuan hnar hmanga thawk chhuah theihna tur boruak chu a inkhar tan ta a ni. Naupang tan chuan an hnar hmanga thawk a harsa a, an hmui hmangin an thawk tan ta a ni . A châng chuan, i hnar khar chungin i inbiaknaah pawh danglamna i hre thei.

Adenoids hring (swellen adenoids) awm chhan ber

Heng adenoids te hi an lo hring chhuak chhan hrang hrang a awm thei. A tam zawkah chuan hetiang hian a intan thin:

1. Viral leh bacteria infection: Pakhatnaah chuan naupangin virus infection, khawsik ang chi, thawkna kawng chunglam tichak lo thei a nei thei. Tichuan, chu hmun chak lo chu bacteria infection chuan a luah thei ta a ni. Chutiang infection vawi hnih a zawna a lo awm chuan adenoids te chu a lo hring chhuak tam zawk thin.

• Khawsik leh flu thlentu virus.
• Natna thlentu bacteria te chu bronchitis , beng natna, pneumonia , leh rilru natna ( strep throat ang chi) te hi a ni.

2. Allergy: Naupang thenkhat chuan leivut, pollen, leh ei tur thenkhatah allergy an nei thei. Heng allergy te hian adenoids te pawh a ti hring thei bawk.

3. Acid atanga lo chhuak (reflux): 1.1.A châng chuan, stomach acid chu rilruah a luang leh a, chuta tissue chu a hliam a, adenoids te pawh a lo hring thei bawk. Hei hi LPR (Laryngopharyngeal Reflux) an tih natna a ni.

Tute nge adenoiditis vei tam ber?

He natna adenoiditis an tih hi naupang kum 3 leh 7 inkar ah a tam ber a, nu leh pate chuan hetiang kum naupangte hian khawsik leh khawsik an vei tam zawk tih an hria. Hei hi sikul kal leh naupang dangte nena inkhelh an tan dawn vang a ni. Tin, adenoids te hi he kum ah hian an lian ber a ni. Chuvangin, chutiang hunah chuan hliam tenau tak pawh hian hnar kawngkhar a tikhawlo nasa thei a ni.

Hei hi puitlingah chuan a tlem hle. Hei hi a chhan chu kum 7 an tlin hnuah adenoid te hi an lo tlem a, an lo te deuh deuh thin a, a tam zawkah chuan puitling an nih meuh chuan an bo vek thin. Mahse, tissue la awm zat a zirin puitlingah pawh adenoids te hi a chunga kan sawi tak avang hian a lo hring thei bawk. A tlem berah chuan cancer ang chi a lo thang dan pangngai lo hian puitlingah pawh adenoids a ti hring thei bawk. Hei hi puitlingah a tam zawk.

Pawimawh: Naupang tê têah chuan adenoids a lian hi thil pangngai a nih laiin, puitling pakhatin a lo lian a nih chuan ngaihtuah a pawimawh hle.

Naupangin he natna hi a vei chuan eng symptoms nge a lantir ang?

I fate hian adenoiditis a vei a nih chuan heng symptoms zinga pakhat emaw a aia tam emaw i hmu thei ang:

• Khawsik a lo awm thin.
• Kawng hmanga thawk (a bik takin zanah, mut laiin).
• Ka hnar a khuh a, ka hnar pawh a luang chhuak fo bawk.
• A châng chuan thawkna kawng chu a block vek thei (nasal obstruction) .
• Mucus lo chhuak ang maia hriatna, rilru natna (Postnasal drip) .
• Zanah chuan bengchheng tak tak . A chang chuan i thawk hah ang maiin a awm thei.
• Hrawk thip .
• Nausen hnute pekte hian an hnar a inkhar avangin chaw pek harsatna an nei thei.
• Beng natna hi a awm fo thei.
• I thusawi lai hian i hnar (hnar voice) hmanga i thusawi ang maiin i ri thei.

Adenoids problem hi a awm reng chuan eng complication nge awm thei?

Hei hi fimkhur tur thil a ni. Adenoids te hi a lo hring chhuak a, thawkna kawng a inkhar reng a nih chuan harsatna pakhat hian harsatna tam tak a thlen thei a ni.

Ngaihtuah teh, hnar atanga thawk a harsat chuan naupang chuan ka atanga thawk a la chhunzawm zel a. When breathing through the mouth for such a long time , ha chhungah cavities siam leh misaligned bite chance a sang hle. A chhan chu hmui a inhawng chuan ka chhunga hmui chu a lo vawt a, chu chu ha tan a tha lo. Chu mai ni lovin, hmai ruh thanna a nghawng bawk.Hei hian hmai pianzia a nghawng thei a, a pianzia pawh tlem a thlak danglam thei bawk.

Thâwk harsat hian zan mut a harsat phah thei. A châng chuan thawk chu rei vak lo a chawlhsan a, chutah chuan a intan leh ṭhin. Hei hi ‘Obstructive Sleep Apnea’ kan ti a ni. Tichuan naupang chuan nitin ngaihven a harsat a, sikul hnathawhnaah a rilru a pe harsa a, hei hian zirlai thiamna pawh a nghawng thei bawk. Naupang pawhin a chau reng reng thei bawk.

Thil dang pakhat chu heng adenoid hring hring hian naupang beng lai tak leh hnar hnunglam inzawmkhawmtu Eustachian tubes te chu a block thei a ni. Heng tube te hian beng chhunga pressure equalize turin an thawk a ni. Heng tube te hi a inkharkhip chuan beng a ti na fo thei a, beng a ti na thei bawk , a châng chuan hriatna a tichhe thei bawk .

Engtin nge doctor hian adenoiditis hi dik taka a hriat theih ang?

I fa te chu doctor hnena i hruai hunah chuan a natna lan chhuah dan an zawt hmasa ang che. Zawhna tam tak an zawt ang che, chu chu eng chen nge natna lan chhuah dan te, zan lama an rilru put hmang te, ei leh in dan te hi a ni. Tichuan, adenoiditis i vei em tih leh a chhan hriat tumin test tlemte an nei thei ang:

• Taksa enfiah: A châng chuan doctor chuan a rilruah darthlalang te tak te (dentist-te hman ang chi) a dah a, adenoids a hring em tih a enfiah ṭhin. Mahse, hei hi dik taka hmuh a harsa thei hle a, a bik takin naupang tê têteah chuan hmuh a harsa thei hle.
• Endoscopy: Hei hi adenoids hmuh dan tha ber a ni fo thin. Hei hian uluk taka i hnar kaltlangin camera leh light ( nasal endoscopy tia koh bawk) awmna tube te tak te, flexible tak chu uluk taka dah a, adenoids te ngun taka en a huam a ni. Hei hian engtiang chiahin nge an hring tih te, an lian zia te, leh hnar kawngte chu engtiang chiahin nge an block tih te chiang takin i hmu thei a ni. Hei hi a nuam lo deuh thei a, mahse a hrehawm vak lo.
• Pus/fluid sample testing: Throat swab ( throat culture tia koh) lak theih a ni a, a chhungah hian bacteria a awm em tih hriat theih a ni a, a bik takin strep throat thlentu bacteria te hi a awm em tih hriat theih a ni.
• Allergy test: Doctor chuan a hring chhan chu allergy a nih a rin chuan chutiang nena inzawm test pawh a ti thei bawk.

A châng chuan X-ray hmangin adenoids lian leh te hriat theih a ni bawk.

Hei hi eng enkawlna nge ni? Hlauh tur thil a ni em?

Adenoiditis enkawl dan hi a chhan a innghat a ni.

A tam zawkah chuan virus avanga adenoids a lo hring chhuah hian naupang immune system chuan a do a, ni engemaw zat emaw kar khat emaw chhungin a dam leh thin. Enkawlna bik a ngai lo. I tih tur chu khawsik leh taksa na damdawi engemaw zat ei a, chawlh hahdam tam a, tui tam tak in a ni.

Mahse, chhan dang vang a nih chuan chu chhan chu enkawl a nih chuan a hring chu a tlahniam ang. Entir nan:

• Doctor chuan bacteria infection a nih thu a nemnghet chuan antibiotics a pe ang . Amoxicillin leh Penicillin te hi antibiotics lar ber ber an ni a, an damdawi ei tlangpui a ni. Heng damdawi te hi a pek ang chiah chiah, ni engzat chiah nge ei tur a ni. A chanve vela hruai chu bansan mai a tha lo.
• Allergy vang a nih chuan i doctor chuan antihistamine emaw, hnar steroid spray emaw, Flonase® ang chi emaw a pe thei ang.
• Saline nasal wash hmanga hnar tui pek hian allergens emaw germs emaw a paih chhuak a, hnar congestion a tihziaawm bawk.
• Acid reflux i neih chuan i doctor chuan damdawi, proton pump inhibitor (PPIs) emaw H2 blockers emaw a pe thei che a ni.

Damdawi hian hna a thawk lo a nih chuan engtin nge ni ang? Surgery (Adenoidectomy) neih a ngai em?

A châng chuan damdawi ei chung pawhin adenoids-te chu a lo hring chhuak thei a ni. A nih loh leh, adenoiditis i neih fo chuan, chu chuan beng a tichhe fo a, emaw, zan lama thawk harsatna (Obstructive Sleep Apnea) i nei a nih chuan, i doctor chuan operation , adenoidectomy an tih chu a rawt thei ang. Hei hian adenoids hring (swellen adenoids) te chu surgery hmanga lakchhuah a ngai a ni. He operation hi beng, hnar leh rilru lam specialist (Otolaryngologist - ENT doctor) ten an ti thin a ni.

Tunah chuan, ‘Aw, immune system thenkhat lak chhuah hian ka fa chu a natna a tizual ang em?’ tiin i ngaihtuah mai thei. Lungngai suh . Chutiang chu a thleng dawn lo. Dik tak chuan adenoids hi immune system peng tlemte chauh a ni. An paih chhuah chuan i fa chu a damloh theihna a tipung lovang. Immune system dang (tonsil leh lymph node ang chi) hian hna a thawk tha zawk ang a, i fa chu natna hrik lakah a venghim ang. Dik tak chuan, adenoids hring, damlo fo thinte chu paih chhuah hian i fa chu a natna a ti tlem tak tak thei a ni.

Adenoids operation hnuah eng nge thleng? Tlemte chu a tha em?

Adenoiditis hi a chhan enkawl a nih chuan a dam thuai ang. Virus a nih chuan kar khat vel hnuah a dam leh ang. Naupang chu antibiotics a ei tan atanga ni engemaw zat chhungin a dam tan ang. Amaherawhchu, Doctor-in damdawi a pek zawng zawng chu dik tak leh a hun taka pek vek tur a ni. Tlemte i rilru a hahdam vang mai maiin a chanve vel chu tawp suh.

Adenoids lakchhuahna tur operation (Adenoidectomy) i neih chuan ni khatah tih a ni tlangpui a, in lamah i haw thei (day surgery). Operation hnu ni engemaw zat chhung chu i kawr a na deuh thei a, chaw ei laiin i rilru a hah deuh thei bawk. Hemi atan hian doctor chuan painkiller a pe ang che. Kar khat tal in lamah chawlh hahdam a ngai tlangpui. Chumi hnuah chuan naupang chu sikul kal a, a pangngaiin a inkhel thei ta a ni. Naupang tam tak chuan he operation hnu hian hahdamna nasa tak an nei a, hnar atanga thawk leh mut ang chi thil te pawh a tha zawk hle.

In lamah engtin nge i naute i enkawl ang? Engtikah nge doctor i hmuh ang?

Adenoiditis vei naupang i enkawl hian hmangaihna leh ngaihsak tak i nih a ngai a ni . An rilru hahdam nan tui tam tak (tui, soup, thei tui ang chi) pe la, chawlh hahdam tam rawh. An rilru natna an neih chuan in lama damdawi engemaw zat i enchhin theih a, chu chu khawizu tlem pek leh tui chi (i fain a tuar theih chuan) hmanga gargling te hi a ni.

A pawimawh ber chu i fate rilru put hmang hi check in reng tur a ni. ‘Engtin nge i awm, fapa/fanu?’ tiin zawt fo thin ang che. Chu chuan an rilru a hahdam phah ang. Doctor hnenah i hrilh tur dik tak i hrilh thei bawk.

Hetiang a nih chuan doctor i pan ngei tur a ni:

• Antibiotics ei tan ni hnih hnuah symptoms a that loh emaw, khawsik a reh loh emaw chuan.
• Naupangin natna lan chhuahna thar a neih chuan, emaw, natna lan chhuah tawhte a na zual (e.g., thawk chakna sang, hmui a sen) a nih chuan.
• Khawsik tihziaawmna damdawi pek ni mahse khawsik a awm reng chuan.
• Naupangin thawk harsatna nasa tak a neih chuan.
• Ei leh in an duh loh chuan, a nih loh leh an luak chuan.

Chuvangin, thil pawimawh ber berte hi i hre reng ang u, kan ti ang em?

Naupang tam tak chu an damloh hian adenoids (swellen adenoids) an nei thin. Mahse khawsik leh flu tam zawk hi chu hun kal zelah a dam chho zel. A chhan thenkhat – bacteria infection, stomach acid harsatna, allergy – damdawi hmanga enkawl theih a ni. Mahse i fain operation a mamawh a nih chuan tih dan pangngai leh hlawhtling tak a ni tih hre reng ang che. Naupang chu adenoids tel lo chuan a hrisel thei a ni.

Nu leh pa tam tak chuan an fate symptoms an hmuh hian medical term ‘adenoiditis’ tih hi an ngaihtuah ngai lo. Chu ai chuan adenoids hring chu khawsik emaw, flu emaw angin a lang thei zawk. Hun a kal zel a, beng natna lo lang leh thin ang maiin an lang thei. Mahse medical term hriat ai chuan doctor pan hun tur hriat hi a pawimawh zawk. Naupang tam zawk chu hun kal zelah an dam chho zel a. Mahse, natna lan chhuah dan chu kar khat aia rei a nih chuan, a nih loh leh a nasat chuan doctor ko tur a ni. I fa chu a dam thuai theih nan an pui thei a ni. I fate chu dam thuai turin duhsakna hlanin!

` Adenoids, adenoiditis, naupang hriselna, ril na, hnar khuh, hmui thawk, adenoidectomy