I hnar a vawt reng em? A rimchhia leh crust a nei em? (Atrophic Rhinitis) a ni thei!

I hnar pawh a vawt reng angin i hria em? A chang chuan i hnar rimchhia ang maiin i hria em, a nih loh leh i hnar chhungah thil hring (crusty) a lo awm ang maiin i hria em? Tichuan hei hi i tan thil pawimawh tak a ni mai thei. Hetiang dinhmun hi `(Atrophic Rhinitis)` kan ti a. A awlsam zawngin leh hriatthiam awlsam takin i sawi ang u.

`(Atrophic Rhinitis)` tih hi eng nge ni?

A awlsam zawngin, `(Atrophic Rhinitis)` tih hi i hnar chhunga tissue awmte chu a vawt a, a tlahniam a ni. Tui tel lova thlai a vawt ang maiin han ngaihtuah teh. Hun a kal zel a, he tissue hi a thim zual a, a châng chuan a khauh thei bawk . Chuvang chuan i hnar kawngkhar kal tlanga thawkna kawng chu a zau ta hle a ni. Mahse buaina chu, i hnar chhungah tui a awm loh avangin i hnar chhungah hian crust a lo awm a, chu chu rimchhia tak a ni . Hei hi condition tibuaitu tak a ni.

"Atrophic" leh "Rhinitis" tih hian eng nge a awmzia?

He dinhmun hi hrethiam zawk tur chuan heng thumal pahnih hi tlem han chhui chiang ila.

• Atrophic emaw atrophy emaw hi damdawi lama hman tur a ni a, tissue tihtlem, thinning, hloh tihna a ni. Atrophic rhinitis-ah chuan i hnar chhunga lining te tak te, te tak te (vun ang chi) mucosa an tih chu a hring a, chutah chuan a khauh ta a ni . He mucosa hian i hnar chhunga ruh te tak te, turbinates an tih te chu a khuh a, chu chuan kan thawk boruak chu a ti lum a, a ti hnim a, a filter bawk. A châng chuan heng turbinate te hi a tlem thei a, a hring thei bawk.
• Rhinitis chu hnar kawng a hring (edema an ti bawk) leh a hring (inflammation) a ni. He inflammation hian i thawkna system a nghawng thei a, thawk harsatna a thlen thei bawk.

Chuvangin, tunah chuan `(Atrophic Rhinitis)` hi hnar chhunga tissue te chu a lo hring chhuak a, a lo hring chhuak a, a lo hring chhuak thin tih hi i tan a chiang ta.

`(Atrophic Rhinitis)` hi engtiang chiahin nge a awm?

Atrophic Rhinitis hi rhinitis chi khat a ni a , allergy vang a ni lo . Chumi entir nan common cold pawh hi a ni bawk. Engtik lai pawhin United States-ah hian mi maktaduai 30 velin non-allergic rhinitis chi khat emaw an vei nia chhut a ni. Sri Lanka pawh hi chutiang dinhmunah chuan a tel ve lo.

Nonallergic rhinitis leh allergic rhinitis inthlauhna

Heng pahnih inkarah hian danglamna tlem a awm a.

• Allergic rhinitis ( hay fever tia hriat bawk) hi thil engemaw (allergens) avanga kan taksa immune system (immune response) tichhuaktu a ni. Entirnan, pollen, mold, leh rannung dander te hi a ni. A lan chhuah dan chu hnar chhuak, thawk hah, leh mit na .A lan chhuah dan chu hnar luang chhuak, thawk hah, ril na, leh postnasal drip te a ni thei.
• Non-allergic rhinitis -ah chuan thawk hah leh hnar luang chhuak hi thil rimtui, meikhu, damdawi thenkhat, leh hormone inthlauhna te vang a ni tlangpui. Postnasal drip hian khuh chhunzawm zel a thlen thei bawk. Atrophic rhinitis hi he category-ah hian a tel ve a ni.

`(Atrophic Rhinitis)` hi eng chi nge ni?

`(Atrophic Rhinitis)` hi chi hnih a awm a:

1. Primary Atrophic Rhinitis : Hei hi North America ang ramah chuan a awm lo hle. Mahse, khaw lum leh vawt ram India, Africa, leh Saudi Arabia-ah te chuan puitling 1% velin hetiang hi an vei thei a ni. Mak tak maiin he chi hi bawng leh vawk ang chi rannungah pawh a lo awm thei a ni.

2. Secondary Atrophic Rhinitis : Hei hian sinus surgery nei tawhte a tuar tam ber. Hei hi turbinate tihtlem surgery hnuah a thleng thei hle. He surgery hian turbinate thenkhat emaw, a zawng zawng emaw lakchhuah a ngai a ni. Hei hian mucosa a ti tlem a ni.

Tin, `(Rhinitis Medicamentosa)` tih natna hi hre reng ang che: Mi thenkhat chuan `(nasal decongestants)` (entir nan `(spray)` `(oxymetazoline)` leh `(phenylephrine)`) te hi rei tak an hmang thin. A tlangpuiin hetiang `(spray)` hi ni thum aia tam a zawna hman a tha lo. I hman chhunzawm chuan `(Rhinitis Medicamentosa)` tih natna i nei thei a, chu chuan `(Atrophic Rhinitis)` pawh a thlen thei. Chuvangin hnar `(spray)` hi Doctor-in a hrilh ang chauha hman a \ha ber.

Primary `(Atrophic Rhinitis)` awm chhante chu engte nge ni?

Primary atrophic rhinitis hi a chhan awm thei engemaw zat a awm a:

• Allergy nei te pawh a awm.
• Bacteria natna hrik kai.
• Hormone estrogen inthlauhna (Imbalance) a awm lo.
• Chhungkaw zinga mi tu emaw chuan `(Atrophic Rhinitis)` (thil thlahtu) a neih chuan.
• Iron, vitamin A, vitamin D ang chi nutrients tlakchhamna.
• Hnar kawng hrang hranga pianpui (`(congenital)`) structural changes a awm chuan.

Secondary `(Atrophic Rhinitis)` awm chhante chu engte nge ni?

Hnar surgery bakah hian secondary ``Atrophic Rhinitis`` vei theihna tur risk factor dang engemaw zat a awm a:

• Autoimmune diseases (kan taksa invenna (defence system) ngeiin keimahni taksa a beih nana natna).
• Natna te chu `(Granulomatosis with polyangiitis (GPA))` (hmanlai chuan `(Wegener's)` tia hriat a ni).
• Infection dang, sinus infection te pawh a tel.
• Cancer tan radiation therapy hmanga enkawl a ni.
• Natna pakhat ``Sarcoidosis`` tih hming pu.
• Mipat hmeichhiatna hmanga kai theih natna, syphilis ang chi te.
• Accident emaw hnar hliam emaw a awm.
• Sawi tawh ang khan hun rei tak chhung nasal decongestant spray hman a ni.

`(Atrophic Rhinitis)` natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber, leh midangte hriat awlsam tak chu hnar chhunga rimchhia tak tak nei, hnar chhunga hnar (crust) lo awm hi a ni . I kut emaw thil dang emaw hmanga crust lak chhuah i tum chuan hnar thisen (`(epistaxis)`) i nei thei. Kawng atang pawhin rimchhia (`(halitosis)`) i nei thei bawk.

Thil mak tak chu, he rimchhia hi i hre lo mai thei! Mahse i chhehvela mite chuan an hre chiang ngei ang. Hei hian mipui hmaah nuam lo takin a siam thei che a ni.

Symptom dang hmuh theihte chu:

• Hnar thisen chhuak fo (epistaxis).
• Hnar atanga pus ang chi tui lo chhuak.
• Hnar hring leh hring (hei hi i hriat hmasak ber a ni).
• Sinus natna (sinusitis) a awm thei.

Ngaihtuah teh, Nilanthi tih hming pu mi pakhat a awm a, hun engemaw chen chu a hnar-ah hian hetiang chiah hian a lo awm tawh a, chu pawh chu a rimchhia hle bawk. A ngaihsak lo fo tawh a ni. A hnuah a thiante chuan, "Nilanthi, a chang chuan i bula ka awm hian ka rim mak deuh thin," an ti a. Chutih lai tak chuan Nilanthi chuan he thil hi enfiah a tum ta a ni. Chuvângin, a châng chuan kan hriat loh pawhin mi dangte tân kan lungawi lo thei a ni.

`(Atrophic Rhinitis)` hi engtin nge kan hriat theih ang?

Heng symptoms te hi i neih chuan beng, hnar leh kawr lam specialist (otolaryngologist, emaw ENT doctor) i pan tur a ni. A enfiah ang che a, i natna lan chhuah dan a zirin i dinhmun chu a hmuchhuak hmasa ang.

Chu bakah, hetiang test hi i ti thei bawk:

• Allergy test hmanga allergy i neih leh neih loh hriat chian.
• Hnar kawng (CT scan) te chu chipchiar takin thlalak la rawh.
• Nasal endoscopy an tih test-ah chuan hnar chhungah camera dahin flexible tube (endoscope) dahin hnar chhunga polyp (growths) emaw, harsatna dang emaw a awm tih enfiah a ni.
• ``Nasal inspiratory flow test'' hian i thawk chhuah laiin hnar atanga boruak lut zat a teh thin.

Engtin nge `(Atrophic Rhinitis)` hi enkawl a nih?

Dik tak chuan tun dinhmunah hian `(Atrophic Rhinitis)` hi damdawi a la awm lo . Mahse, chu crust rimchhia tihziaawmna tur leh a natna lan chhuah dan control turin enkawlna a awm. Lungngai suh, heng enkawlna hmang hian hahdamna i hmu thei a ni.

Enkawlna tlangpui

• Hnar chhungah (infection a awm chuan) antibiotic ointment hnawih thin ang che.
• Hnar a hnim reng theih nan moisturizing nasal ointment pek thin a ni.
• Estrogen awmna pills emaw hnar hmanga spray emaw.
• Vitamin a awm lo.
• In lama boruak lumna tipung turin humidifier hmang ang che.

Surgery hmanga enkawl a ni

Hei hi a tlem hle a, mahse mi thenkhat chuan he natna enkawl nan hian operation an mamawh a ni. Surgery option hrang hrang a awm. I doctor chuan eng option nge i tan a tha ber tih a hrilhfiah ang che.

Surgery hian hetiang hi a ti thei a:

• Hnar kawngkhar pakhat leh hnar kawngkhar khar (a chang chuan prosthetic device hmanga siam).
• Hnar kawngkhar (nasal passages) tihtlem.
• Hnar chhunga injection pek thin.

In lamah eng damdawi nge tih theih ang?

`(Atrophic Rhinitis)` symptoms tihziaawm nan heng thilte hi in lamah i ti thei ang:

• I hnar kawng hnim vawng reng rawh : I doctor-in a rawt angin hnar spray emaw drop emaw hmang rawh. Saline water hmanga hnar silfai hi a tha hle.
• Thliah tui dah belh : In lama boruak lumna awm reng turin humidifier hmang la, a bik takin mutna pindan chhungah.
• Hnar irrigation : Hnar kawngte chu tui chi (salt water solution) hmanga silfai (tui lum takah chi tlem te dah a siam) hian hnar a tifai a, hnar a tifai bawk. Hei atan hian neti pot ang chi thil i hmang thei bawk.

`(Atrophic Rhinitis)` avanga harsatna awm thei te chu engte nge ni?

A tlem hle a, mahse atrophic rhinitis hian i rim hriatna a hloh vek thei (anosmia) . Empty nose syndrome tih natna pawh i nei thei bawk . Hei hi dinhmun mak tak a ni. Hei hi i hnar kawngte chu a inhawng a, a zau a, mahse i hnar chhungah thil a inkhung ang maiin i la awm reng a ni. Chuvangin, i lungin oxygen a dawng tlem hle chung pawhin thawk harsa i ti thei tho.

`(Atrophic Rhinitis)` hi ven theih a ni em?

Vanduaithlak takin tun dinhmunah `(Atrophic Rhinitis)` lo awm tur ven dan tur a awm lo.

`(Atrophic Rhinitis)` vei tan chuan eng nge a hmalam hun?

Atrophic Rhinitis hi hun rei tak (chronic) natna a ni . Chumi awmzia chu hun rei lote chhungin a bo vek lo tihna a ni. Mahse, lungngai suh. I hnar kawng hnim hring siam te, i natna lan chhuah te tih tlem te, nun pangngaia nun te ang chi thil i ti thei bawk. A pawimawh ber chu doctor thupek zawm hi a ni.

Engtikah nge doctor i hmuh ang?

Hetiang symptoms i neih chuan doctor pan a tha ber a, thurawn la rawh:

• Thâwk harsa i neih chuan.
• I rim hriatna a tlahniam niin a lang a nih chuan.
• I khuh chhunzawm zel a nih chuan.
• Hnar a vawt chhunzawm zel a, a hnim hring a nih chuan.
• I hnar kawng inhawng mahse thil pakhat a block (`(nasal obstruction)`) tih hriatna i neih chuan.
• Hnar thisen chhuak fo i neih chuan.

Heng thilte hi khawsik natna nen pawh thleng thei mahse, a awm reng chuan doctor pan ngei ngei tur a ni.

I doctor zawh tur thil

Doctor hmu tura i kal dawnin heng zawhnate hi zawh theihnghilh suh ang che:

• Engvangin nge `(Atrophic Rhinitis)` ka neih?
• Eng damdawi nge min pui thei ang?
• In lamah eng nge ka tih theih ang, symptoms tihziaawm nan?
• Surgery ka mamawh dawn em?
• Complication awmte chu ka hriat chian tur em ni?

He thawnthu atang hian kan hriat reng tur thilte

Hnar vawt leh hnim hring neih hi a tithinur thei tak zet a ni. A bik takin turbinectomy ang chi sinus surgery hnuah atrophic rhinitis i vei theihna a hlauhawm hle. Mahse, he non-allergic rhinitis chi khat hmuh tur awm lo tak hi thil dang vang pawh a ni thei a, chu chu hmai hliam emaw bacteria infection emaw a ni.

A pawimawh ber chu heng symptoms te hi i neih chuan Doctor hmu a, thurawn lak hlau suh. Tichuan i tana enkawlna tur dik tak i sawi thei ang. Damdawi leh in lama damdawi hmangin hahdamna i hmu mai thei. Surgery i pan a ngai dawn tih hi a tlem hle. Chuvangin, hei hi hriat chian a pawimawh hle.

` Atrophic rhinitis, hnar vawt, hnar hring, rimchhia, hnar thisen, ENT, thawkna lam natna