Thâwk harsa angin i inhria ngai em? I rilruah tight feeling i nei a, zanah i khuh fo thin em? Hengte hi Asthma symptoms a ni thei . Nirogi Lanka-ah hian asthma hi eng nge a nih, engvangin nge a lo awm tih leh engtin nge tha taka i enkawl theih ang tih hriatthiamna kan pe duh che a ni.
Asthma hi eng nge ni?
A awlsam zawngin sawi ila, asthma hi i thawkna kawng tichhe thei natna a ni. ‘Bronchial asthma’ tia sawi fo a ni a, natna rei tak a ni . Hei hian rei tak a daih tihna a ni a, damdawi lam enkawlna kalpui zel a ngai tihna a ni a, chatuan atana bo tirtu ‘damdawi’ nghal a awm loh avangin. Asthma hi a awm fo a, naupang leh puitling pawh a vei. I enkawl that loh chuan nunna atana hlauhawm emergency a ni thei a, chuvang chuan i awareness leh proactive management hi a pawimawh em em a ni.
Asthma Attack tih hi eng nge ni?
I thawk dan pangngaia i thawh chuan i thawkna kawng chhehvela ruhte chu a hahdam reng a, boruak chu awlsam takin a lut leh chhuak thei a ni. Mahse, asthma attack lai hian thil pawimawh pathum a thleng a:
- Bronchospasm: I thawkna kawng a khuh tu ruh te chu a tikhauh a, hmun a ti tawi a, boruak a kal harsa bawk.
- Inflammation : I thawkna kawng lining a lo hring a, chu chuan i lung chhunga boruak thleng thei chu a ti tlem lehzual a ni.
- Mucus Production: I taksa hian mucus tam lutuk a siam a, chu chuan i thawkna kawng a tikhawlo a, boruak kal dan a tikhawlo bawk.
I thawkna kawng a zim deuh deuh chuan i thawk chhuah hunah whistling ri i hre mai thei. Hei hi Wheezing tia hriat a ni. Asthma attack—‘exacerbation’ emaw ‘flare-up’ emaw tia sawi bawk—chu tunah hian i asthma chu control theih loh a nihzia tilangtu a ni.
Asthma chi hrang hrang a awm em?
Ni e, Asthma hi a natna lan chhuah chhan leh a nasat dan a zirin an thliar hrang thin. Doctor-te chuan hetiang hian an categorize tlangpui:
- Intermittent Asthma : A natna lan chhuah dan a lo awm a, a kal zel bawk. Flare-up inkar ah hian perfectly fine takin i inhria mai thei.
- Persistent Asthma: Symptoms i nei fo thin. A nasat dan chu a nasat loh atanga a hniam lam emaw, a nasat loh emaw a ni thei a, chu chu i doctor chuan i natna lan chhuah dan leh i nitin nun a tihbuai dan a\angin a tichiang a ni.
Asthma thlentu hi a inang lo thei hle a:
- Allergic Asthma: Mold, pollen , emaw pet dander ang chi thil allergy avanga lo awm a ni.
- Non-allergic Asthma: Pawn lam thil, exercise, stress , natna, emaw khaw lum inthlak danglamna avanga lo awm a ni.
Asthma hi a nun stage emaw, a chhehvel emaw a zirin a then theih bawk:
- Puitling atanga tan Asthma: Kum 18 hnu lama Asthma lo awm.
- Naupang Asthma: 'childhood asthma ,’ this often starts before age 5. Naupang ṭhenkhat chuan an lo ṭhang lian lo hle a, mahse, i naupang enkawltu doctor nêna thawhhona ṭha tak neih a pawimawh hle a, inhaler chu i kutah i dah a, attack laiin eng nge i tih ang tih chiang takin i hriat a pawimawh hle.
A chi dang bikte chu:
- Exercise-induced Asthma: Taksa tihchak laiin a flare a, exercise-induced bronchospasm tia hriat bawk.
- Occupational Asthma: I hnathawhna hmuna thil tithinur thei, factory emaw agriculture setting-a i inhriat avanga lo awm a ni.
- Asthma-COPD Overlap Syndrome (ACOS): Hei hi asthma leh Chronic Obstructive Pulmonary Disease (COPD) pahnih i neih hian a thleng a, chung pahnih hian i thawk a tikhawtlai a ni.
Tuin nge Asthma vei thei?
Asthma hian kum eng pawhah tu pawh a vei thei. Mahse, allergy nei tawhte leh zuk leh hmuam meikhu vei te chu an hlauhawm zawk. Hei hian ‘secondhand smoke’ (midang atanga meikhu hip) leh ‘thirdhand smoke’ (thawmhnaw leh furniture-a la awm) te a huam a ni. Naupang meikhu laka venhim hi a pawimawh hle. Hmeichhia pawh hi statistically chuan asthma vei an tam zawk a, hnam hrang hrangah pawh a vei dan pawh a inang lo thei.
Eng thilin nge Asthma hi a thlen?
Researcher-te chuan mi ṭhenkhatin asthma an vei a, ṭhenkhatin an vei loh chhan dik tak hriatthiam tumin hma an la mek laiin, risk factor engemaw zat hmuhchhuah a ni a:
- Allergy: Allergy i vei chuan asthma vei theihna a sang hle.
- Environment factors: Mi thenkhat chuan thawkna kawng ti na thei thil an ei hnuah asthma an nei thin. Chung zingah chuan allergens, toxins, meikhu chi hrang hrang, leh a hmaa kan sawi tawh ‘second-hand’ emaw ‘third-hand’ meikhu te pawh a tel. Chûngte chu naute leh naupang tê tê, an taksa chakna (immune system) la ṭhang chho zelte tan chuan a hlauhawm hle.
- Genetics: I chhungkuaa tu pawhin asthma emaw allergic condition nei an nih chuan nang pawhin asthma vei theihna i nei sang zawk a ni. A tawi zawngin, chhungkuaah a kal thei a ni.
- Thluak lam natna: Thluak lam natna thenkhat, Respiratory Syncytial Virus (RSV) te hian naupang tê tête lungphu lo piang chhuak chu a tichhe thei a, chu chuan nakin lawkah asthma a thlen thei a ni.
Asthma attack thlentu tlangpui chu engte nge ni?
I thawkna kawng ti na thei emaw, tithinur thei emaw thil i tawn chuan asthma attack a awm thei. Doctor-te chuan hengte hi ‘triggers’ tiin an sawi thin. I asthma tizualtu bik i hriat chian hnuah, attack awm thei tur pumpelh a awlsam tawh hle.
Ṭhenkhat tan chuan trigger an hmuh veleh attack a thleng nghal thei a ni. Mi dangte tân chuan a lan chhuah dân chu dârkâr emaw, ni tam tak emaw hnuah pawh a inṭan thei a ni.
Trigger hi mi hrang hrangah a inang lo thei a, mahse a tlangpui thenkhat chu hetiang hi a ni:
- Thli bawlhhlawh: Pawn lam thil tam tak chuan asthma hi a ti na zual thei a, chung zingah chuan factory meikhu, lirthei chhuak, leh ram kang atanga meikhu chhuak te pawh a tel.
- Dust mites: Hengte hi kan in chhunga cheng microscopic creatures an ni. Dust mites allergy i neih chuan asthma attack a thlen thei a ni. A bik takin mattress hlui, pillow leh carpet-ah te an tam hle.
- Exercise: Mimal thenkhat tan chuan taksa tihchakna hian attack a thlen thei a.
- Mold: Mold hi hmun hnim takah a thang lian thin. Asthma i neih chuan mold hian harsatna lian tak a thlen thei a ni. Attack a thlen theih nan mold allergy i neih a ngai hauh lo.
- Pests: Cockroaches leh rodents ang chi pest te hian asthma attack a thlen thei bawk.
- Ran vulh: I ran vulh te hi asthma attack thlentu a ni thei. ‘Pet dander’ (rannungin vun te tak te a paih) i allergy a nih chuan, i thawk chhuah hian i thawkna kawng a ti na thei a ni.
- Zuk leh hmuam meikhu: I zuk emaw, i in chhung mi tu emaw a zuk chuan Asthma i vei theihna a sang hle. Car ang chi hmun zau takah emaw, in chhungah emaw meizuk ngai suh. Thil tih dan tha ber chu meizuk bânsan hi a ni a; i doctor chuan chutiang tih theih dan tur kaihhruaina a pe thei ang.
- Chemical emaw rimtui chak tak: Hriak rimtui thenkhat, tihfai nan te, leh rimtui tak tak te hian mi thenkhat tan chuan asthma symptoms a ti na zual thei a ni.
- Hnathawh tur thenkhat: I hnathawhna hmunah thil chi hrang hrang i tawk thei. Thianghlimna hmanrua, chhangphut leivut, thingpui leivut emaw, chemical dang emaw chu entirnan kan hmang thei ang. Asthma i neih chuan heng zawng zawng hi trigger angin an thawk thei vek a ni.
Asthma natna lanchhuahna chu engte nge ni?
Asthma vei te hian a lan chhuah dan chiang tak tak an nei tlangpui a, chung zinga tam tak chu thawkna lam natna ang chi a ni:
- Chest tightness, na emaw pressure emaw hriatna.
- Khuh (a bik takin zan lamah).
- Thâwk a tawi.
- Wheezing (thâwk chhuah laiin whistling ri).
Asthma i neih hian attack apiangin symptom pakhat zel i hmu lo mai thei. Chronic asthma vei mimalte hian hun hrang hrangah symptom hrang hrang an nei thei a, attack kal zelah symptoms ngei pawh a danglam thei bawk.
Doctor-te hian engtin nge asthma hi an hriat theih?
I doctor chuan i medical history a enfiah ang a, i nu leh pa leh unaute chanchin pawh a enfiah ang. I natna lan chhuah dan chiang tak takte pawh an zawt ang a, chubakah allergy awm tawh zawng zawng, eczema (allergy avanga vun natna, vun natna) emaw, lung nena inzawm thil dang emaw an zawt bawk ang.
I doctor chuan spirometry test neih a rawt mai thei. Hei hian i lung chhunga boruak i kal chak theih dan a teh a ni. Asthma hriatchhuah nan leh enkawlna nena i hmasawnna enfiah nan hman a ni. Chu bâkah, rilru X-ray emaw, thisen test emaw, vun allergy test emaw pawh an rawt thei bawk.
Asthma enkawlna tur engte nge ni?
I asthma tha taka enkawl dan tur kawng hrang hrang a awm. I doctor chuan i natna lan chhuah dan control nan damdawi a pe ang a, chung zingah chuan:
- Bronchodilators: Heng damdawi te hian i thawkna kawng vel muscle te chu a ti hahdam a, boruak chu awlsam zawkin a luang lut thei a ni. Tin, thawkna kawng atanga mucus tihfai a awlsam phah bawk. Hengte hi symptoms a lo awm hunah relief rang tak pekna atan hman a ni a, intermittent leh chronic asthma tan pawh hman a ni.
- Anti-inflammatory medicines: Hengte hian i thawkna kawng a swelling leh mucus siam a ti tlem a, i lung chhunga boruak luh leh chhuah a awlsam phah a ni. I doctor chuan hengte hi nitin enkawlna damdawi atan a pe thei a, chu chu natna lanchhuahna rei tak control emaw ven nan emaw a ni.
- Asthma tan biologic therapies: Hengte hi standard inhaler treatment hman ni mahse asthma na tak, symptoms awm reng tan chuan hman a ni.
Asthma damdawi ei dan tur kawng hrang hrang a awm. Damdawi hi inhale turin metered-dose inhaler, nebulizer emaw, device chi dang emaw i mamawh mai thei. A châng chuan i doctor chuan damdawi ei tûr pawh a pe thei bawk.
Asthma Control chu eng nge ni? Nirogi Lanka ziah a ni
Asthma enkawlna tum ber chu symptom management a ni. I asthma hi control tha tak a ni kan tih hian a awmzia chu:
- In lamah nitin hna i thawk thei a, chawlh hahdam lovin hna i thawk thei bawk.
- Asthma symptoms i nei tlem hle a, i nei lo.
- I chhanchhuahna inhaler hi i rinchhan a ngai lo.
- Asthma symptoms-in a tiharh lohvin i muhil tha thei a ni.
Heng thil tumte tihhlawhtlin hian i asthma chu tha taka enkawl a ni tihna a ni a, chu chuan nun pangngai, active takin i hmang thei a ni.
Engtin nge asthma symptoms te hi i enfiah thin?
I natna lan chhuah dan record vawn hi i dinhmun enkawlna atana thil pawimawh tak a ni. I doctor chuan Peak Flow (PF) Meter hmang turin a ti thei che a ni. He device hian i lung atanga thaw i chhuah theih dan tur a teh a ni. He data hian i doctor chu i damdawi ei tur chu a tul angin a siamrem theih nan a pui a, i natna lan chhuah dan a zual tan a nih chuan a hriattir bawk che a ni.
Asthma vei tan chuan eng nge a hmalam hun?
Asthma natna hmuhchhuah a nih pawhin nun hlawk tak i la nei thei a, infiamna leh thil dang dangah pawh i tel thei bawk. Hlau suh. I doctor chuan i symptoms te enkawl turin a thawkpui ang che a, i triggers bikte chu a hriatchhuah tir ang a, asthma attack venna emaw, tha taka enkawl dan tur ruahmanna siamin a thawk ang.
Engtin nge asthma attack i ven theih ang?
Diagnose a nih hnuah i trigger bikte hriatchhuah hi a pawimawh ber a ni. Heng triggers te hi pumpelh hi attack venna tha ber a ni. Asthma vei ngei pawh kan veng thei lo nain, a thlentu episode te chu kan veng thei ngei ang.
Asthma Action Plan tih hi eng nge ni?
I doctor chuan Asthma Action Plan chu i duh angin a siam ang che. He ruahmanna hian i damdawi hman dan tur leh hman hun tur te, natna lan chhuahna bikte chhan dan tur te, leh emergency care i zawn hun tur te chipchiar takin a tarlang a ni. I ruahmanna thenkhat a chiang lo a nih chuan i doctor hnenah hrilhfiah turin hrilh rawh.
Asthma attack na tak a awm chuan eng nge tih tur?
Asthma attack na tak i neih chuan damdawi lam pan vat a ngai a ni . A nasat chuan damlote chuan an oxygen level hlauhawm taka tlahniam thlengin thawk an harsat phah thei a ni.
A hmasa ber atan chuan i rescue inhaler hmang la . Heng inhaler-ah hian damdawi chak tak tak a awm a, chu chuan i thawkna kawng a hawng nghal vat thin. Hei hi nitin i maintenance inhaler nen a danglam hle. Attack a nasat chuan i ruahmanna angin hei hi i hman tam a ngai mai thei.
I rescue inhaler hian a puih loh chuan, emaw, i neih loh chuan, heng symptoms te hi i hriat chuan hospital emergency department hnai ber pan nghal rawh :
- Lungkhamna nasa tak emaw, hlauhna emaw.
- I kut zungtang emaw hmui emaw ah bluish tint (or vun rawng dum zawk tan chuan grey/white).
- Chest na emaw pressure nasa tak emaw a awm thei.
- Thunun theih loh khawpa khuh emaw, thawk hah na tak emaw.
- Thumal kimchang taka thusawi harsa.
- Hmai dum, thawmhnaw hring.
- Thâwk rang, hahthlak tak.
Engtin nge Asthma i vei tih i hriat theih ang?
Asthma emaw, natna dang emaw i neih leh neih loh finfiah tur chuan doctor i pan a ngai a ni. Thluak lam natna dangte hian thawk hah leh thawk hah ang chi asthma symptoms te chu an entawn thei bawk. Khawngaihin mahni inhriatthiamna (self-diagnosis) pumpelh la, professional medical evaluation-ah innghat rawh.
Asthma hi tihdam theih a ni em?
Ni lo, tunah hian asthma damdawi a la awm lo. Mahse, a manageable hle thung. A then phei chuan naupangte chu puitlin an nih veleh asthma hi an outgrow thei bawk.
Engvangin nge ka asthma hi zanah a zual?
Zan lama Asthma na zual chu Nocturnal Asthma tia sawi a ni fo thin . Damdawi lama a chhan dik tak chu chiang taka hriat a nih loh laiin, a chhan hrang hrang a awm.
- I Mut Dan: I hnungzang chunga mut tlat hian i rilruah mucus a siam thei a, acid reflux a tichhuak thei a, chu chuan asthma a ti na zual thei bawk. Chu bâkah, mut tlat chuan i rilru leh i lungah pressure a siam a, thawk harsa a ti thei bawk. Chumi kalh zawng chuan, i pum emaw, i sir emawa mut hian i lungah pressure a siam thei bawk.
- Bedroom leh Zan lama Triggers: I mutna, pillow, leh pillowcase-ah hian dust mites, mold, emaw pet dander emaw a awm thei. Tlai lamah pawnah i awm tawh a nih chuan, tum loh takin a chhungah pollen i rawn keng lut mai thei.
- Damdawi Side Effects: Asthma damdawi thenkhat, steroid thenkhat leh montelukast te hian a chang chuan i mut dan a tibuai thei a ni.
- Air Temperature: Thli lum tak tak thawk hian i thawkna kawng a ti tawi thei a, boruak lum erawh chuan mimal tam tak tan chuan asthma trigger pawimawh tak a ni thung.
- Natural Lung Function Changes: Zan lamah lung function hi a pianphungah a tlahniam deuh a, chu chu taksa lam thil pangngai a ni.
- Nitin Asthma Control \ha lo: Nitin i asthma hi uluk taka enkawl a nih loh chuan zan lamah pawh a natna lan chhuah dan chu a awm reng emaw, a na zual emaw a rinawm. Chhun leh zan pawhin i asthma hi i control tha theih nan i doctor nen thawhhona tha tak neih a pawimawh hle. Zan lama natna lan chhuah dan enkawl hi a pawimawh hle a; asthma attack na tak—nunna atana hlauhawm thei—chu zanah a thleng fo thin.
COVID-19 leh Asthma chungchang eng nge ka hriat tur?
Asthma natna hrik (moderate to severe asthma) i neih emaw, i natna lan chhuah dan (symptoms) i control that loh chuan COVID-19 i kai chuan damdawi ina dah ngai i hlauhawm zawk a ni. Chuvangin, indoor public space-ah hmai tuamna vuah la, in vaccine pek dan tur hriat reng tur a ni a, mimal damlo lakah pawh inhlat taka awm turin kan ngen a che u.
Asthma vei tam tak chuan nun hlim tak, thawkrim tak an nei a— ṭhenkhat phei chu professional infiammi ṭha tak tak an lo ni ta hial a ni. I doctor chuan i dinhmun enkawl dan tur tha ber zawng turin a pui thei che a ni. Khawngaihin i healthcare provider nen i symptoms te hi a taka control theih dan tur chungchangah inbiakna zau tak nei rawh.
Take-Home Thuchah a ni
Vawiin hian asthma chungchangah hian thil tam tak kan cover tawh a ni. Enkawlna dik tak a awm chuan asthma hian nun pangngai, nung tak nun a titawp tur a ni lo tih hre reng ang che.
- I trigger bikte chu hriatchhuah la , a theih ang anga pumpelh rawh.
- I damdawi pekte chu a sawi ang chiah khan hmang rawh. I rescue inhaler kha i bulah dah reng ang che.
- Asthma Action Plan kha zawm rawh. Emergency-a i chhungte leh i tih tur chu in hriatthiam ngei ngei tur a ni.
- Zanah i natna lan chhuah dan a zual chuan doctor nen sawiho nghal rawh.
- Meikhu lakah hlat rawh. I in chhung boruak chu meizuk lohna hmun a nih ngei ngei tur a ni.
- Ringhlelna i neih chuan professional medical tanpuina zawng nghal rawh. Thâwk harsatna nasa tak i neih chuan 911 emaw i awmna hmuna emergency service emaw call nghal rawh.
Asthma natna nena nun hi thil harsa tak a ni thei a, mahse nangmah chauh i ni lo. Professional kaihhruaina leh i hriselna atana i inpekna nen Nirogi Lanka chuan nun nuam leh hrisel tak neih theihna tura pui turin a awm a ni.
