Asthma i nei em? A châng chuan, i inhaler hman emaw, i doctor-in damdawi a pek emaw ei pawhin a ṭangkai lo niin a lang. Asthma attack fo leh i thunun theih loh vek ang maia i inhriat avangin nitin hna i thawk tha thei lo tih i inhria em? Asthma na tak nena nun hi thil awlsam a ni lo. Mahse lungngai suh, medical science hmasawnna avang hian heng natnate hi a pui thei tur enkawlna thar a awm ta a ni. Vawiin hian chutiang enkawlna bik pakhat chungchang kan sawi dawn a ni.
Bronchial Thermoplasty tih hi eng nge ni?
A awlsam zawngin, hei hi enkawlna bik a ni a, chu chuan asthma na tak chu a titawp thei a ni. Hei hi thawkna lam natna lama tui tak doctor, `Pulmonologist` tia koh a ni tlangpui.
Ngaihtuah teh, kan lung hian tube (bronchi) te tak te tak tak a nei a, chuta tang chuan kan thawk thei a ni. Asthma vei mi pakhatah chuan heng tube chhehvela ruh hring (smooth muscles) te hi a tul lo takin a lianin a nghet a, boruak kalna tur a tikhawlo thin. Hei hi asthma attack lai hian a na zual sauh sauh thin.
Tunah chuan he `Bronchial Thermoplasty` enkawlna hian heat controlled tak tak (`radiofrequency energy`) hmangin chutiang muscle lian lo tak takte chu a ti thim vek a ni. Tlem a tam lutuk tihtlem ang mai a ni. Hei hian thawkna kawng a zalen a, thawk a ti awlsam a, asthma attack a ti tlem bawk.
He enkawlna hi tute tan nge a inhmeh?
Hei hi Asthma vei zawng zawng tan enkawlna a ni lo. A bik takin , asthma na tak nei, enkawlna pangngai, inhaler, tablet, emaw, tunlai damdawi `biologics` ang chi hmanga control tha lo tan a tha hle.I doctor chuan he damdawi hi i tan a tha em tih a rel hmain heng thilte hi a ngaihtuah hmasa ang.
| Ngaihtuah ngai | Hrilhfiahna |
|---|---|
| Symptoms thunun harsa tak tak te | Nitin hnathawhna tibuaitu khawpa nunphung tichhe thei symptom na tak tak neih. |
| Asthma attack fo thin | Damdawi ei chung pawha thawk harsatna leh asthma attack fo thin. |
| Exacerbation na tak tak a awm | Asthma hi a zual zel a, enkawl turin damdawi inah dah a ngai a ni. |
Engtin nge enkawl turin i inbuatsaih thin?
I doctor-in he enkawlna hi pek che a tum a nih chuan, a hmain inbuatsaihna tur thupek an pe ang che. Hei hian a tlangpuiin hetiang hi a huam thei:
- Enkawl hma darkar 8 tal ei leh in lo turin an ti ang che.
- Enkawl hma ni hnih emaw ni thum emaw chhungin steroid pill ei turin an ti thei che a ni. Hei hian enkawlna hnua lo awm thei swelling tihziaawmna turin a pui ang.
- Enkawlna i zawh hnuah i khalh thei dawn lo a nih avangin, mi pakhatin in lama hruai tur che chu i ruahman lawk a ngai ang .
Enkawl lai hian eng nge thleng?
Hetiang kalphung hi engtin nge a thawh tih hi han thlir ila.
1. Sedation: A hmasa berin i kut vein pakhatah anesthetic inject a, chu chuan muthilh tir che a, chutiang chuan natna leh hrehawmna i nei lo.
2. Tube dah dan: A dawtah chuan doctor chuan tube te tak te, flexible tak, camera dahna, bronchoscope an tih chu i hmui kaltlangin i lung chhungah a dah lut a.
3. Heat delivery: He tube hmang hian controlled tak takin heat chu taksa peng lian zawk awmna hmunah a thleng thin.
4. Tube lakchhuah: A hmun ruat te chu tihfai a nih hnuah tube chu lakchhuah a ni.
Hetiang zawng zawng hi minute 45 atanga darkar khat inkar a ni tlangpui .
Enkawlna hi vawi engzat nge tih tur?
Hei hi vawi khata tih tur a ni lo. Lung hmun hrang hrang enkawl nan hian session thum a ngai a ni. Session tin hian lung hmun khat enkawl a ni a, session dang neih hma kar thum tal chawlh hun a awm bawk.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin, a hlawkna leh a hlauhawmna a awm vek. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che.
A pawimawh ber: Hei hi Asthma damdawi a ni lo. Symptoms control nan leh nun awlsam zawk nan a pui chauh a ni. I doctor-in a pek damdawi chu enkawl hnuah pawh i ei chhunzawm zel a ngai dawn a ni.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Asthma symptoms nasat dan leh a lan tam dan tihtlem. | Enkawl hnuah a natna lan chhuah dan chu rei lo te chhungin a na zual a, damdawi inah dah a ngai ta a ni. |
| Asthma attack hlauhawmna a tlahniam. | Hri kai theihna chance tlemte. |
| Nunphung tihchangtlun. | Lung thenkhat a tlakbuak (`Atelectasis`). |
| Thlawhna kawng zau zawk (Bronchiectasis). |
Side effect a awm em?
Ni e, mi thenkhat chuan enkawl an nih hnu ni engemaw zat chhung chu rei lo te chhungin an natna lan chhuah dan a pung thei a ni.
- Khuh
- Thâwk harsa
- Chhuak na emaw, nuam lo emaw
Heng symptoms te hi kar khat chhungin a reh tlangpui . Mahse, i doctor nen inbiakna neih a pawimawh a, eng nge i beisei tur tih leh engtikah nge i doctor i biak tur emaw, ETU (Emergency Treatment Unit) ah i kal tur tih te chiang takin i hriat theih nan.
Damdawi lam thurawn lak nghal tur
Enkawl zawhah a hnuaia chhinchhiahnate hi a awm chuan damdawi in ETU (Emergency Treatment Unit)-ah kal nghal tur a ni .
- Thâwk harsatna nasa tak i neih chuan.
- Chhung natna nasa tak a awm chuan.
- Khawsik i neih chuan .
- Thisen i khuh chuan .
Asthma hi nunna atana hlauhawm tak a ni. I damdawi zawng zawng i ei tawh chung pawha i natna lan chhuah dan control i harsat a nih chuan heng duhthlan tur dangte hi i doctor nen sawiho rawh. He enkawlna hi mi zawng zawng tan a tha lo mai thei a, mahse i doctor hi i tan a tha em tih thutlukna siamtu tha ber a ni.
Take-Home Thuchah a ni
- Bronchial Thermoplasty hi Asthma na tak , damdawi pangngai hmanga control harsa tak tan enkawlna bik a ni.
- Hei hian lumna hmangin lung chhunga thlipui (windpipe) vel ruhte chu a ti hahdam a, thawk a awlsam phah a ni.
- Hei hi Asthma tidam vek thei tur damdawi a ni lo . Damdawi inenkawl hnuah pawh doctor-in damdawi a pek chu i ei chhunzawm zel tur a ni.
- Enkawlna hi session thum a ni tlangpui.
- Enkawlna dang ang bawkin a hlauhawmna leh a side effect bakah a hlawkna a awm a, chuvangin hei hi i tan a tha em tih ngaihtuah turin i pulmonologist nen inbiakna neih a tha ber.
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