Kan ei emaw, kan in emaw thil pakhat "kawng dik lo zawh" leh kan rilruah a tlakbuak thin hi kan tawng vek tawh. Chutiang a nih chuan kan khuh chhuah a ngai a, kan mittui tla chungin. A tam zawkah chuan a chhuah dawnin harsatna a awm lo. Mahse, han ngaihtuah teh, kan kawr chhunga thil lo tang, ei tur chi khat emaw, tui tlemte emaw, chi khat emaw pawh ni se, kan pum thlengin a kal vek lo va, boruak kawng kaltlangin kan lung thlengin a kal vek a nih chuan eng nge thleng ang? Chutiang chuan lung chhunga lut tur lo thil chu lung chhungah a lut a, bacteria infection a siam a, chu chu `(Aspiration Pneumonia)` kan tih mai chu a ni.
A awlsam zawngin, Aspiration Pneumonia chu eng nge ni?
Aspiration pneumonia hi kan lung natna hrik kai a ni. Kan thawk boruak ni lo thil dang - ei tur, in tur, hmui, pum acid, luak chhuak, a nih loh leh thil danglam tak tak pawh - kan thawkna kawngah a luh hian a thleng thin.
Kan rilruah hian kawng hnih a awm ang tih han ngaihtuah teh. Pakhat chu "esophagus" a ni a, chu chuan ei leh in tur chu pum chhungah a hruai lut thin. A dang chu "windpipe" a ni a, chu chuan kan thawk chhuah boruak chu lung chhungah a hruai lut a ni. A tlangpuiin thil kan ei hian he thlipui hi flap te tak te hmangin a khar thin. Chuvangin ei leh in chu pum chhungah a kal nghal a ni. Mahse a chang chuan he kalphung hi a thawk tha lo a nih chuan "kawng dik lo" thil a thleng thin.
Thil hlauhawm tak chu, mi thenkhat chuan hetiang hian an lung chhungah thil a lut tih pawh an hre lo. Hei hi ``silent aspiration'' kan ti a, chu chu khuh leh rilru hahna awm lovin a thleng tihna a ni. Tichuan, pneumonia symptoms a lan hma ni tam tak, kar tam tak pawh a ni mai thei.
Hetiang natna lan chhuah dan hi engte nge ni?
Aspiration pneumonia hian symptoms a nei nghal lo mai thei a, mahse ni engemaw zat chhungin heng symptoms te hi i tawng thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik | Taksaah natna hrik a awm tih chhinchhiahna hmasa ber. Tin, taksa ruh natna te pawh a awm thei bawk. |
| Thâwk harsa (Dyspnea) . | Thâwk lak hi a hahthlak a, a thawk hah hle. Thâwk lak hian rilru aṭanga "whooshing" ri a lo chhuak thei bawk. |
| Khuh | Mucus rawn chhuak thei khuh. A châng chuan he mucus hi thisen emaw hnim emaw nen a inzawm thei bawk . Mucus chu green, yellow, brown emaw a ni thei. |
| A rilru a na | Thâwk i lak emaw, i khuh emaw hian i rilruah natna nasa tak i nei thei. |
| Thâwk rimchhia | Thâwk rimchhia hi lung chhunga bacteria lo thang lian vang a ni thei. |
| Chauh lutuk | I taksain natna a do lai hian i chau hle thei a, i muhil thei bawk. |
Engvangin nge hetiang hi a lo awm? Tute nge risk sang zawk?
A awlsam zawngin sawi ila, he natna hi lung chhunga awm lo eng thil pawh avanga lo awm thei a ni. A chhan chu chu thilte nen chuan bacteria chu lung chhungah a lut thei a ni. Mi thenkhat chu a bik takin hetiang hi an tawk nasa hle.
| Risk category a ni | Engvangin nge an hlauhawm zawk? |
|---|---|
| Mi ei harsa (Dysphagia) . | Thlarau lam natna, stroke, thluak hliam, Parkinson natna vei te hian ei leh in an ei chak lo a, chu chuan awlsam takin ei leh in tur chu thawkna kawngah a lut thei a ni. |
| Kum upa lam (kum 65 chunglam) . | Kan tar chhoh zel chuan ei leh in leh khuh nana taksa peng hrang hrangte chu a chak lo hle. Immune system pawh a chak lo va, natna hrik kan kai awlsam phah hle. |
| Anesthesia emaw, ha zai emaw nei tawhte | Anesthesia hnuaia i awm hian i rilru chhunga protective reflexes te chu a thawk thei lo va, chu chuan i lung chhungah saliva emaw stomach acid emaw a lut thei a ni. |
| Zu emaw ruihhlo emaw hmangtute | Chungte chuan hriatna a ti tlem a, ei leh in leh khuh reflexes a tichhe bawk. |
| Naupang tê tê (kum 5 hnuai lam) . | Hetiang hlauhawmna hi naupang infiamna te te an hmuiah dahin chaw ei laiin inkhelh thinte tan chuan a sang hle. |
| Mite chu immunity hniam tak tak nei te | Natna nei emaw, taksa chakna tichhe thei damdawi ei thinte tan chuan lung chhunga bacteria tlemte lut pawhin natna khirh tak a thlen thei a ni. |
Engtin nge hei hi i hmuh theih, Doctor?
Pneumonia symptoms i neih chuan i doctor chuan i symptoms te, medical condition dang i neih te, a bik takin ei harsat dan te a zawt hmasa ang che. Tichuan i rilruah stethoscope hmangin i rilru chu an ngaithla ang a, i lung chhunga thawm danglam tak tak a awm leh awm loh an enfiah ang. Heng test te hi a natna hriat chian nan tih theih a ni.
- Chest X-ray: Hei hian lung chhunga natna hrik awmna hmun chiang takin a tarlang thei.
- CT Scan: X-ray aiin thlalak chiang zawk, chipchiar zawk a siam thei.
- Thisen test: Hengte hian taksaah natna hrik a awm leh awm loh a finfiah thei.
- Sputum test: I lung atanga phlegm sample lak theih a ni a, a chhungah hian eng bacteria chi nge awm tih hriat theih a ni.
- Bronchoscopy: Hetah hian camera dahna tube te tak te chu trachea kaltlangin lung chhungah an lut a, a chhung lam an enfiah thin.
- Swallowing studies: Speech pathologist-in i ei laiin eng nge thleng dik tak tih enfiah a, i ei danah harsatna a awm leh awm loh enfiahna test a ni.
Engtin nge enkawl a nih? Eng chen nge a dam leh theih ang?
Hei hi bacteria infection a nih avangin a enkawlna ber chu antibiotics a ni . I doctor-in antibiotics a pek chu a hun chhung zawnga ei a pawimawh hle .
Natna nasat dan azirin damdawi inah inenkawl a ngai mai thei.
- Thâwk harsa a awm chuan , oxygen therapy a ngai mai thei.
- A natna a nasat em em chuan thawk lakna atana pui turin ventilator (mechanical ventilation) machine-ah i connect thei bawk.
Chu bakah, aspiration awm chhan bulpui ber pawh enkawl a pawimawh hle.
- Speech therapy hmanga ei harsatna te.
- Tube feeding chu ei thei lote hnena tube hmanga chaw pek hi a ni .
- A then phei chuan ACE inhibitor ang chi damdawi an hmang bawk.
Antibiotics i ei tan atanga kar khat vel hnuah i rilru a hahdam tan ang. Mahse, natna hrik avanga hahna chu a bo a, i dam kim theih nan thla khat vel a la ngai thei.
Emergency-ah eng nge i tih thin?
Hei hi i rilruah i vawng reng tur a ni. Engkim hi i hlauthawng a ngai lo, mahse engtikah nge doctor hmuh tur leh engtikah nge emergency room pan tur tih hriat a pawimawh.
Doctor hmuh hun tur
Chaw emaw, in tur emaw i kawr chhungah a inkhung ang maia i inhriat fo chuan, emaw, ei harsa i tih chuan ngaihthah suh. Hemi chungchang hi i chhungkaw doctor nen inbia ang che. A tul chuan specialist hnenah a refer thei che a ni.
Damdawi ina kal nghal vat a ngaih huna thil awm dan
I rilru natna nasa tak, khawsik sang, leh thawk harsatna chiang tak ang chi symptoms i neih chuan emergency a ni. Pneumonia hi natna a ni a, a nasat thuai thei hle. Chuvangin damdawi in pakhat emergency room (ETU)-ah tlai lovin kal rawh.
Hetiang dinhmun hi ven theih a ni em?
Ni e, aspiration pneumonia vei theihna tihtlem nan thil engemaw zat kan tih theih a awm. Hengte hi hriat a pawimawh hle a, a bik takin risk group-a tel i nih chuan.
- Natna hnuaia awmte control:Chaw ei harsa emaw, gastroesophageal reflux disease (GERD) ang chi condition i neih chuan doctor nen inbia la, enkawlna dik tak dawng rawh.
- Ei leh in dinhmun: Ei leh in laiin dinglam hawiin thu rawh . Chaw ei zawhah minute 30 tal mut suh.
- Zawi zawiin leh uluk takin ei rawh: I chaw chu uluk takin che la, hmui te te hmangin zawi zawiin ei rawh. Chaw ei laiin thusawi leh nuihzatthlak chu tih tlem rawh.
- Zu khap: Zu in tam lutuk loh tur.
- Meizial zuk loh tur: Meizial leh zuk leh hmuam hian lung venhimna a tichhe thin.
- Oral health: Ha silfai tha la, ha enkawltu hnenah i hmui enfiah fo thin ang che. I ka chhunga bacteria tlem poh leh i lung chhunga lut a, natna hrik a thlen theihna a tlem zawk.
Hriat belh tlem: `Pneumonia` leh `Pneumonitis` inthlauhna
A chang chuan heng term pahnih hi a buaithlak thin. `Aspiration Pneumonia` chu lung chhunga thil lo lut tawh avanga bacteria infection a ni. `Aspiration Pneumonitis` chu pum chhunga acid ang chi thil a luh avanga lung tissue inflammation mai a ni a, natna kai lo. An pahnih hian an natna lan chhuah dan inang mahse, an enkawl dan erawh a inang lo thei.
Take-Home Thuchah a ni
- Ei leh in hi "kawng dik lo zawh" hi thil awmze nei mahse, a chang chuan `Aspiration Pneumonia` ang chi lung infection na tak a thlen thei bawk.
- Khawsik, khuh leh mucus, thawk harsa, leh rilru natna te hi a lan chhuahna ber a ni.
- Chaw ei harsatna reng reng i neih chuan i doctor nen pawh sawipui ngei ang che. Ngaihthah suh.
- Hriselna na tak tak, rilru na tak, khawsik sang, leh thawk harsatna te i neih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
- Dinglam taka thut te, chaw ei zawi te, hmui faina vawn te, leh a hnuaia dinhmun awmte enkawlna tha tak neih te hian he natna hi a veng thei a ni.











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