I fa te hian asthma a nei em? Naupan laia Asthma chungchang zawng zawng i zir vek ang u!

I fa te chu a khuh fo em? Inkhelh laiin a thawk chhuak em? A nih loh leh zanah a harh a, thawk harsatna a nei tih a sawi em? Hengte hi naupangte zingah asthma chhinchhiahna a ni thei. Ngaihtuah buai suh , vawiin hian he thu hi kan sawi dawn a ni. Hei hi dik taka i hriatthiam a, doctor thupek i zawm chuan i fa pawh hrisel takin a awm thei bawk.

Naupang Asthma hi eng nge ni?

A awlsam zawngin, asthma hi lung natna rei tak a ni . I thawkna kawng, i lung chhunga boruak luh leh chhuahtu tube te a nghawng a ni. Asthma vei tan chuan heng thawkna kawngte hi a hring a, a zim a, chu chuan i lungin boruak a neih tlem phah a ni.

Tui pipe i hrual hian tui luang harsa tak niin han ngaihtuah teh. Hei hian thawk a ti harsa a, thawk hah, khuh, leh i rilru a tight tih pawh i nei thei bawk. Thil engemaw (`Triggers` kan ti) hian heng symptoms te hi a tipung nghal thei a, a nih loh leh asthma attack a awm thei bawk. He beihna hi zawi zawiin emaw, rang takin emaw a lo thleng thei a, a châng chuan nunna atana hlauhawm tak a ni thei bawk .

Asthma hi kum eng pawha intan thei mah se, naupan lai atanga tan a ni fo thin a, chutih lai chuan naupang taksa hriselna a la thang chak hle. Naupang asthma vei tam zawk chuan kum 5 an tlin veleh an symptom hmasa ber an lantir thin a, Asthma hian i fa chu sikul kal lo turin a tikhawlo thei a, damdawi inah pawh dah a ngai thei bawk. Chuvangin, i fate dinhmun control nana pui turin asthma enkawlna tur ruahmanna mumal tak neih a pawimawh hle.

Naupang tê têah hian engtiang chiahin nge Asthma hi a hluar?

Dik tak chuan Asthma hi naupan laia natna khirh tak tak zinga pakhat a ni. United States-ah ringawt pawh hian naupang maktaduai 7.5 vel a nghawng a ni. He natna hi naupang zingah a hluar chho zel a. Naupangte sikul kal thei lo leh nu leh pate hnathawhna hmuna kal theih loh chhan lian tak a ni bawk.

Engvangin nge tunlai hian naupang tam zawkin asthma an vei?

Zirchiangtute chuan naupangte hian Asthma an vei tam chhan hi eng emaw zat a awm niin an ngai. Chung zinga ṭhenkhat chu:

• Allergens , leivut, boruak bawlhhlawh, leh cigarette meikhu te nena inhmu fo thin .
• Naupang natna thenkhat, taksa hriselna tichaktu laka inhriatthiam lohna .
• Nu hnute pek tlem . Hei hian naute hian a immune system tana nutrient pawimawh tak tak a dawn theihna a ti tlem a ni.

Naupang tê têah chuan Asthma natna lan chhuah dân engte nge ni?

Naupang zawng zawng hian asthma symptoms inang an nei vek lo. Tin, naupang pakhatah hian symptoms a inang lo thei bawk. Naupan laia asthma natna lan chhuah theih thenkhat chu:

• Khuh fo thin . He khuh hi naupang infiam lai emaw, a nuih lai emaw a awm thei. Zan lama mut lai emaw, zing thawh lai emawa khuh hi a chang chuan asthma chhinchhiahna awmchhun a ni thei.
• Inkhelh laiin a hma aia rang zawka chau .
• Thâwk rang tak, thawk hah ang maia inhriatna (Dyspnea) .
• Naupang chuan a rilru chu a inzawm khawm a, a rilru chu "a na" tih a sawi.
• Wheezing hi thawk chhuah leh chhuah huna hriat theih whistling sound a ni .
• Retractions chu ribs leh neck area inkar chest chu a rawn inhnukdawk ang tih a ni . Chumi awmzia chu naute hian thawk lak tumin nasa takin a bei tihna a ni.
• Nunna nei lo leh chau tih hriatna .
• Thinrimna .
• Nau hnute pek leh ei harsa (hei hian naute naupang tak takte a nghawng thei a ni).

I fain heng symptoms pakhat emaw a aia tam emaw a neih fo chuan doctor pan a, thurawn lak a pawimawh hle.

Engtin nge i asthma chu a zual zel tih leh emergency a nih leh nih loh i hriat theih ang?

Naupangin Asthma attack (Asthma Exacerbation) a neih chuan a natna lan chhuah dan chu a na hle thei a ni. He attack hi zawi zawiin emaw, rang takin emaw a lo thleng thei a ni. A chang chuan nunna atana hlauhawm tak a ni thei (Status Asthmaticus). I fain a hnuaia asthma attack na tak chhinchhiahna a neih chuan doctor tanpuina i dil nghal tur a ni :

• A khuh ri nasa hle .
• Thâwk harsa emaw thawk hah lutuk chu a na zual nghal vat .
• Thâwk lak a harsa hle .
• Ding reng chung pawhin thawk chakna a sang .
• Naupang hmai, hmui, leh/ emaw kut zungtang chu a dum emaw, a sen emaw a lo ni ta a ni .
• Thusawi harsa , sentence pakhat tihfel theih lohna, emaw, thusawi thiam lohna emaw.

Naupangte zingah eng thilin nge asthma hi a thlen?

Researcher te hian Asthma hi eng nge a thlen tih chiang takin an hre lo. Mahse naupan lai atang hian a intan fo thin a, chutih lai chuan naupang taksa hriselna (immune system) a la thang chak hle. Naupang lung a lo than chhoh dan leh taksain natna a do that dan tur hi thil engemaw zat a awm a. Chung zingah chuan:

• Genetics : Chhungkuaa mi tu emaw, a bik takin nu leh pain Asthma a vei chuan.
• Allergens: Naupangin allergy a neih thil, leivut, pet dander, leh cigarette meikhu te hi a ni.
• Naupan laia virus infection: Thluak lam tichhe thei natna, common cold ang chi .

Asthma hi natna hrik kai theih a ni em?

Ni lo, asthma hi natna hrik kai theih a ni lo. Hrik, chu chu bacteria emaw, virus emaw avanga lo awm a ni lo. Chuvangin mi pakhat atanga mi dangah a kai thei lo.

Naupan laia asthma vei theihna tur risk factors te chu engte nge ni?

Naupangte zingah hian asthma vei theihna tur risk factor engemaw zat a awm a:

• Allergy nei te tan .
• Chhungkaw history-a asthma leh/ emaw allergy nei .
• Naupan laia thawkna lama natna hrik kai fo thin .
• Pian tirh atanga taksa rihna hniam tak neia piang .
• Nau piang hma leh pian hnua cigarette meikhu inhriat tawnna .
• Mipa naupang nih (statistically chuan mipa naupangte hi naupan laiah an nghawng nasa zawk).
• Hnam thenkhata mi (hei hi Sri Lanka tan chuan a inzawm bik lo mai thei).
• Khawpui boruak bawlhhlawh tamna hmuna awm .

Asthma hi uluk taka enkawl a nih loh chuan eng harsatna nge thleng thei?

Asthma hi uluk taka control a nih loh chuan harsatna leh harsatna chi hrang hrang a awm thei a ni. Chung zinga ṭhenkhat chu:

• Asthma attack na tak nei .
• Sikul emaw thil dang emaw kal loh a ngai .
• Damdawi ina awm fo leh/ emaw emergency room tlawh fo.
• Lung a tihchhiat reng theih loh .

Naupang tê tête zingah Asthma hi engtin nge kan hriat theih ang?

Dik tak chuan naupang tê tê, a bikin naupang kum 6 hnuai lam zingah Asthma hi hriat a harsa deuh. Hei hi a chhan chu a natna lan chhuah dan chu natna dang nen a inang thei a ni. Tin, naupang thenkhat chuan Asthma symptoms an lantir ngai lo va, chuvangin thawkna lam natna dang anga ngaih sual theih a ni bawk. Chu bakah, pulmonary function test hmanga asthma hriat theihna tur chu naupang tê têteah a dik lo thei bawk.

I fa naupang enkawltu doctor chuan i fate damdawi lam chanchin, a natna lan chhuah dan leh a taksa enfiahna a enfiah hnuah a natna hi a hre thei ang. Doctor chuan i fain thawk harsatna a nei tawh em tih a zawt ang che. I chhungte zingah tu emaw chuan asthma, allergy, emaw, lung natna dang emaw a neih leh neih loh a zawt bawk ang. I fate natna lan chhuah dan chipchiar takin sawi chiang la, engtikah nge a lo awm tih leh eng chen nge a lo awm tih pawh sawi tel bawk ang che.

I doctor chuan i fa chu specialist hnenah a refer thei bawk a, chu chu pediatric pulmonologist emaw, pediatric allergist emaw a ni thei bawk.

Asthma awm leh awm loh enfiah nan eng test nge tih thin?

A theih chuan i doctor chuan asthma hriat theihna turin test eng emaw zat a ti thei ang. Chung zingah chuan:

• Lung function test: Heng test te hian i fate lungin boruak a chelh theih zat leh a thaw chhuah chak dan te a teh thin. Chu result chuan doctor chu i fate asthma nasat zia a hriat theih nan a pui thei a ni.
• Allergy vun test leh thisen test: Hengte hian naupang immune system tichaktu allergen engte nge tih hriat theihna a siam a ni.
• Chest X-ray: I doctor chuan hetiang imaging test hmang hian asthma ni lovin damdawi lam thil dang eng emaw a ni tih finfiah theih a ni.

Lung function test hi naupang te tak te tan chuan a harsa tlangpui. Chuvangin, doctor chuan naupang chu a chhân lêt dân hriat nân Asthma damdawi engemaw zât pêk a rawt thei a ni.

Naupang tê tête Asthma hi engtin nge kan enkawl ang?

Naupang asthma enkawl dawnin i fa doctor nen thawk ho la , "Asthma Action Plan" siam rawh.Ruahmanna siam a pawimawh hle. He ruahmanna hian i fate natna lan chhuah dan tur leh asthma attack laka inven dan tur a sawifiah a ni. Tin, a hnuaia mite hi a huam tel bawk:

• I fate asthma damdawi hman hun leh hman dan tur .
• I fate asthma a na zual a nih chuan eng nge tih tur .
• Naupangin engtikah nge emergency treatment a mamawh ?

He ruahmanna hi i hriatthiam ngei ngei tur a ni a, zawhna i neih apiang chu i doctor hnenah zawt rawh. He Asthma action plan hi i fate asthma enkawlna hlawhtlinna atan a pawimawh hle. I fate nitin asthma management plan i hriat nawn tir theih nan leh i fain asthma symptoms a neih hunah i kutah dah turin i kutah dah la. Tin, he ruahmanna copy hi i fa sikul hnathawkte leh enkawltu dangte hnenah pe bawk ang che.

I asthma action plan zawm bakah hian i asthma tizual thei thil (asthma triggers) te chu a theih ang anga tihtlem la (a theih chuan pumpelh vek rawh). I doctor chuan heng triggers te hi pumpelh theihna tur strategy hrang hrang hmangin a pui thei che a ni.

Naupan laia asthma natna damdawi

Naupang Asthma vei damdawi pek dan hi puitling leh naupang te hnena pek thin nen a inang a, mahse a hman dan leh pek dan erawh a inang lo thei. Inhaled damdawi pek dawnin naupang kum leh theihna a zirin delivery device dang hman theih a ni.

I fa dinhmun nasat dan azirin a tul hunah chauh damdawi ei a ngai mai thei a, a nih loh leh nitin damdawi ei a ngai mai thei bawk. Damdawi thenkhat hian asthma attack a veng emaw, a tihziaawm emaw a pui thin. Damdawi dangte chuan i fate thawkna kawng a hring (swelling) control emaw ven emaw hna an thawk a ni.

Damdawi awlsam tak tak

Heng damdawi te hian asthma symptoms venna emaw tihziaawmna emaw a pui thin. I fain asthma na lo tak a neih chuan, emaw, an asthma chu taksa tihchakna chauhvin a lo chhuak a nih chuan, heng damdawi tihdamna rang tak takte hi a tawk mai thei. Hetiang damdawi chi hi inhaler nen a rawn thleng a, chu chu i fain engtik lai pawha a neih reng tur a ni.

Damdawi, chhawmdawlna nghal thei:

• Short-acting beta2-agonists (SABAs): Entirnan, albuterol. Hengte hian i fate thawkna kawng a hawng nghal vat a, asthma attack laiin boruak a luang chhuak thei bawk. Taksa tihchakna avanga attack lo awm tur venna kawngah pawh an pui bawk. Hmanlai chuan "reliever" emaw "inhaler" emaw tia koh an nih laiin, tunah chuan doctor-te chuan "quick-relief" tih thumal hi hman an duh zawk. Hei hi a chhan chu heng damdawi te hi asthma attack chauh ni lovin, asthma symptom eng pawh atan hman theih a ni a, hman tur a ni bawk.
• Hun rei lote chhunga thawk thei anticholinergics: Entirnan, Ipratropium bromide. Hei hi bronchodilator a ni bawk a, rang takin thawkna kawng a hawng thei bawk. Anticholinergics hi SABA angin a thawk tha lo mai thei. Mahse, naupang thenkhatin SABA atanga side effect an neih avangin anticholinergics hi duhthlan tur tha tak a ni.
• `Systemic corticosteroids hmanga siam chhuah te hi a ni.Corticosteroids hian i fate thawkna kawng a hring chhuak, asthma symptoms thlentu chu a tiziaawm thei a ni. Heng damdawi te hi i fa hnenah ei emaw, injection angin emaw pek theih a ni. Tin, i fa chu asthma attack hnuah a dam leh thuai thei bawk.

Hun rei tak chhunga control theih damdawi

I doctor chuan i fate tan nitin damdawi a pe thei bawk a, chu chuan asthma attack venna leh symptoms control nan a pui thei bawk. Heng damdawi te hian i fate thawkna kawng a zim loh nan leh a hring (swelling) a tihziaawm theih nan a pui thin.

Hun rei tak chhunga control theih damdawi:

• Corticosteroids: Hengte hi anti-inflammatory damdawi a ni a, a natna a tiziaawm a ni. Oral-a pek theih ni mah se, doctor-te chuan inhalation hmanga pek an duh zawk. Heng damdawi te hi liquid (nebulizer-a hman) angin pek theih a ni a, metered dose inhaler (MDI) hmangin emaw, dry powder inhaler (DPI) hmangin emaw pek theih a ni. MDI i hman hian i fain valved holding chamber a hmang tur a ni a, chu chu spacer a ni.
• Leukotriene modifiers: Heng damdawi te hian i fate thawkna kawng a hring (swelling) a tiziaawm a, a inhawng reng bawk. I doctor chuan hengte hi amah chauhin emaw, corticosteroids nen emaw a pe thei ang. Leukotriene modifiers hian i fa taksaah chemical pakhat leukotriene an tih hian a nghawng tihziaawmna hmangin hna a thawk a ni.
• Long-acting beta2-agonists (LABAs): LABAs hian i fate thawkna kawng vel muscle te chu a ti hahdam a, a zim loh nan a veng bawk. I doctor chuan hengte hi corticosteroid hmangin a pe fo ang. I fa nitin natna lan chhuah dan chu inhaled steroid regular dose hmanga control a nih loh chuan LABA hman hi a tha thei ang. LABA hi inhaled steroid (hei hi combination therapy an ti) nen hman fo tur a ni.

Enkawlna hian side effect a nei em?

Mi tam zawk chuan Asthma damdawi hi an tuar tha hle. Doctor-te chuan damdawite hlawkna chu a hlauhawmna aiin a tam zawk daih niin an sawi. Mahse, damdawi zawng zawng ang bawkin side effect thenkhat a awm theihna chance a awm. Asthma damdawi hian side effect a thlen thei a, chungte chu:

• Vun natna emaw, vun hring emaw.
• Oral thrush a ni.
• Heart rate a sang chho zel.
• Restlessness, tihbuai.
• Rihna a sang chho zel.
• Lu na.

I fain side effect na tak a neih chuan i doctor nen inbiain a dose i thlak thei a, damdawi i thlak thei bawk.

Ka fa hian Asthma a vei a nih chuan eng nge ka beisei ang?

Asthma hi natna tihdam theih vek a ni lo. Mahse, naupang tam zawk chuan an asthma hi enkawlna leh invenna kawng dik tak hmangin an enkawl tha thei a ni . Asthma enkawl loh hian hun rei tak chhung harsatna a thlen thei a, chu chu lung tihchhiat reng theih a ni.

Engtin nge i fa asthma hi a control tha em tih i hriat theih ang?

I fate asthma chu a control tha hle tih i hre thei ang, damdawi i ei laiin:

• Active, nun pangngai tak i hman chuan .
• Bothersome symptoms a tlem hle a nih chuan.
• Symptoms avanga sikul kal loh i nih chuan .
• Nitin hnathawh tur chu harsatna awm lovin i thawk thei a nih chuan .
• Naupang enkawltu, emergency room, damdawi inah emergency visit a awm loh chuan .
• Damdawi hian side effects a nei tlem zawk a nih chuan, a nih loh leh engmah a neih loh chuan .

Naupan laia asthma hi i lo upat deuh deuh chuan a reh em?

Mi pakhat thawkna kawng chu a sensitive tawh chuan chu sensitivity chu dam chhungin a awm reng a ni. Naupang asthma vei zinga a chanve vel tan chuan tleirawl an tlin meuh chuan an natna lan chhuah dan chu nasa takin a tlahniam thin. Chuvangin, an naupan laia an asthma chu an lo thang lian tawh niin a lang mai thei.

Mahse, naupan laia asthma chu a lo let leh thei a ni. Naupang an asthma atanga chhuak tawh anga lang zinga a chanve vel chuan kum 30 emaw 40 emaw vel an nih chuan asthma symptoms an nei leh ang. Vanduaithlak takin tute nge an naupan laiin an natna lanchhuahna chu a bo ang a, nakin lawkah tute nge lo kir leh ang tih sawi theih a ni lo.

Naupan laia Asthma natna hi ven theih a ni em?

Naupan laia Asthma natna hi a chhan dik tak hriat a nih loh avangin ven theih a ni lo. Tin, i fate taksa hriselna a la thang zel avangin asthma hi a lo awm thei bawk.

Engtin nge ka fate hian Asthma a vei theihna tur chu ka tihziaawm theih ang?

Naupan laia asthma hi ven theih ni lo mah se, i fain a vei theihna tur tihtlem nan thil engemaw zat i tih theih a awm a:

• I in chu mold leh moisture awm lo turin dah la .
• A theih ang anga boruak bawlhhlawh pumpelh tur a ni.
• I fa chu a taksa rihna hrisel tak nei turin tanpui rawh .

Engtikah nge ka fa hian doctor a hmuh ang?

I fain heng risk factors zinga pakhat tal nen hian asthma symptoms a neih chuan doctor i pan tur a ni:

• Kum kalta chhunga Asthma vangin damdawi inah i awm tawh a nih chuan.
• Tun hmaa nunna atana hlauhawm asthma attack i neih tawh chuan .
• Tun hnaia asthma enkawlna atan oral corticosteroids i ei a ngai a nih chuan.
• Thla khat aia rei `SABA` damdawi canister pakhat aia tam i hman chuan .
• Rilru lam harsatna emaw ruihhlo hmansualna emaw i neih chuan .
• Food allergy i neih chuan .

I fain asthma attack a neih chuan engtin nge i tih ang?

I fain asthma attack symptoms a lantir a nih chuan:

1. I fate asthma action plan chu damdawi atan pe rawh .

2. Minute 15 vel nghak rawh . A natna lan chhuah dan a bo chuan naupang chu a thiltih laiah a kir leh thei tur a ni.

3. Symptoms a awm reng chuan asthma action plan zawm tur a ni a, enkawl belh tur a ni .

4. I fa dinhmun a ṭhat loh chuan, emaw, i tih tur i hriat chian loh chuan i fa doctor ko rawh .

Engtikah nge ka fa hi Emergency Treatment Unit (ETU) ah ka hruai ang ?

I fain heng asthma attack chhinchhiahnate hi a lantir chuan 911 i call tur a ni a, i fa chu emergency room hnai ber ah i hruai tur a ni:

• Whistling sound na tak a awm chuan (Wheezing) .
• I khuh na tak i neih chuan .
• Kal leh/ emaw thusawi harsa i neih chuan .
• Vun, hmui leh/ emaw nail te chu a sen a nih chuan .

A tawp berah chuan eng nge hriat reng tur

Chuvangin, i fate asthma hriat reng hi a enkawlna kawngah hmasawnna lian tak a ni. I doctor nen thawhhona tha tak neiin triggers te hriatchhuah leh pumpelh te, damdawi hman dik te, leh a pek dan dik te zir te hi a pawimawh hle. Inenkawlna mumal tak i neih chuan i fa chu Asthma symptoms nei lovin nun pangngai, hrisel takin a nung thei tih theihnghilh suh ang che. Nang leh i fate hi he zinkawng chhunzawm zel tur hian chakna min pe turin duhsakna kan hlan vek a ni!