Thâwk lama harsatna nei tan bronchodilators chungchanga hriat tur awmte

A châng chuan thawk harsa i ti thut em? I rilru a khauh a, a thawk a hah em? Hei hi thil awmze nei tak leh nuam lo tak a ni a, a bik takin hun rei tak chhunga thawkna lama natna vei, asthma emaw COPD (Chronic Obstructive Pulmonary Disease) emaw nei tan chuan a ni. Chuvangin, he thuziak-ah hian hetiang hun laia min puitu leh thawk awlsamna siamtu inhaler chungchang hi awlsam takin kan sawi dawn a ni. Hengte hi damdawi lam hming chu ‘Bronchodilators’ a ni.

A awlsam zawngin, he Bronchodilator hi eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse a hnathawh dan erawh a awlsam hle. Hetiang hian i hrethiam ang u.

I lungah boruak phur thei tube te tak te network i nei ang tih han ngaihtuah teh. Chungte chu bronchi an ti a. A tlangpuiin heng tube hmang hian boruak hi awlsam takin a kal thin. Mahse asthma ang chi dinhmunah chuan heng tube chhehvela taksa ruh nalh tak takte hi a nghet a, tube chhunga hawnna awmte chu a ti tawi a ni. Miin tui pipe a hrual ang mai a ni. Chuti a nih chuan eng nge thleng? Thli kalna tur hmun a awm lo. Chumi rah chhuah chu thawk harsa, thawk hah, leh rilru na tak a ni.

Bronchodilators hian taksa ruh tight te chu a ti hahdam a, thawkna kawng tawi te chu a tizau bawk. Hei hian boruak a kal tlang thei a, thawk a ti awlsam bawk. Chu chu a hming awmzia chiah chu a ni. ‘Broncho’ tih hian thawkna kawng a kawk a, ‘dilator’ tih hian thil zau tak a kawk bawk.

Heng damdawi te hian hlawkna dang a nei bawk. Thli kawng a zau chuan a chhunga mucus awm ang chi thil chhuak chu a awlsam phah thin. Tichuan, mucus chu khuh chhuah a awlsam zawk.

Heng damdawi te hi inhaler leh nebulizer solution angin kan dawng ber a ni. Nebulizer chu damdawi chu mist tha takah a chantir a, thawk a awlsam phah a ni.

Bronchodilator chi hnih a awm a, chungte chu:

Heng damdawi te hi an thawh chak dan leh an hnathawh hun chhung a zirin chi hnih ah then theih a ni. An pahnih inthlauhna hriatthiam hi i enkawlna atan a pawimawh hle.

Bronchodilator chi hrang hrangte chu engte nge ni?

Heng damdawi te hi an hnathawh dan a zirin chi lian 3 ah then belh leh a ni.

1. Beta 2-agonists te hi a awm thei

Heng chi hrang hrangte hi hman tlanglawn ber an ni. Short-acting leh long-acting form-ah te pawh an awm a.

• Short-acting beta 2-agonists (SABAs): Hengte hi a hmaa kan sawi tawh "Rescue Inhalers" te hi an ni. Hengte hian asthma symptoms a lo lan hunah relief rang tak pe turin a pui thin. Minute 15-20 chhungin hna an thawk a, darkar 4-6 vel chhung chu hahdamna an pe thin. Exercise hmaa hman a nih chuan exercise-induced asthma an veng thei bawk.
• Entirnan: Albuterol (Ventolin®), Levalbuterol (Xopenex®) te hi a tha ber pawl a ni.

• Long-acting beta-2 agonists (LABAs): Hengte hi natna hi rei tak control nan an hmang a, a tlangpuiin ni khatah vawi hnih an hmang thin. Asthma enkawlnaah hian LABAs hi a mah chauh hman a ni ngai lo tih hriat reng a pawimawh. Corticosteroid inhaler nen an pe fo thin. Steroid hian thawkna kawng a inflammation tihziaawmna hmangin hna a thawk a ni.
• Entirnan: Salmeterol (Serevent®), Formoterol (Foradil®) te hi a tha ber pawl a ni.
• Steroid nena damdawi inkawp: Fluticasone leh Salmeterol (Advair®), Budesonide leh Formoterol (Symbicort®) te hi a ni.

2. Anticholinergics hmanga siam a ni

Heng damdawi te hian kan nervous system atanga signal thenkhat a block a, chu chuan thawkna kawng a tikhawtlai a ni. Thlawhna kawng zau zawkah pawh an pui bawk. Hengte hi damdawi a ni lo. Mahse asthma control nan an pui thei a, a bik takin symptom na tak nei te tan chuan an pui thei a ni.

• Entirnan: Ipratropium bromide (Atrovent®), Tiotropium bromide (Spiriva Respimat®) te hi a tha ber pawl a ni.

3. Theophylline tih hi a ni

Hei hi damdawi a ni a, pill angin a lo thleng a ni. Tun hma chuan Asthma na tak control nan an hmang nasa hle. Mahse tunah chuan hman a ni tawh lo. Hei hi a chhan chu he damdawi i hman hian i taksaa damdawi level dik leh dik loh enfiah nan thisen test neih fo a ngai a ni. Side effect tlem a nei leh bawk.

He damdawi hian side effect a nei em?

Damdawi dang ang bawkin heng bronchodilators te hian side effect engemaw zat an nei thei a ni. Mahse a tam zawkah chuan hengte hi thil pawi tak a ni lo. Damdawi chi hrang hrang a zirin side effect a inang lo.

Bladder condition, benign prostatic hyperplasia (BPE) i neih chuan anticholinergic damdawi i ei dawnin doctor hriattir a pawimawh.

Bronchodilator hi steroid chi khat a ni em?

Ni lo, hei hi mi tam tak buaina hmun a ni.Bronchodilator hi steroid a ni lo. An pahnih hian hna hrang hrang an nei vek a ni.

• Bronchodilator: Thlawhna kawngkhar (constricted airways) a tizau a, thawk a awlsam nghal zung zung.
• Inhaled Steroid (Steroid Inhaler): Thlawhna kawng a hring leh inflammation a tiziaawm. Hei hian hun rei tak chhung chu natna hi a thunun thei a ni .

Doctor-te chuan asthma ang chi natna control nan chi hnih hi hman dun turin an rawt fo thin.

Engtin nge inhaler hi hman dik ang?

I damdawi ei atanga hlawkna tam ber i hmuh theih nan i inhaler hman dan dik hriat a pawimawh. Mi tam takin hetiang hian an ti dik lo a, chu chu damdawi chu an lung chhungah a lut tha lo tihna a ni. A tih dan dik tak chu hetiang hi a ni:

1. Shake tha: Inhaler cap kha khar nghet la, vawi 10-15 vel vawt tha rawh.

2. Cap chu la chhuak rawh: Cap chu la chhuakin a sir lamah dah rawh.

3. Thâwk chhuah: Thâwk la la, a tam thei ang ber thawk chhuak rawh. I lung chu empty rawh.

4. Insert into mouth: Inhaler mouthpiece chu i hmui chhungah dah la, i hmui hmangin khar nghet takin khar rawh.

5. Inhale leh breathe in: Inhaler chunglam vawi khat i hmet lai hian i hmui hmangin thawk thûk takin la rawh. (Honking thawm i hriat chuan i thawk rang lutuk tihna a ni. Thâwk la la.)

6. Thâwk kha vawng tlat rawh: Thâwk lak zawhah second 10 vel thawk kha vawng tlat ang che. I rilruah 10 thleng chhiar rawh. Hei hian damdawi chu lung bul ber thleng turin hun a pe ang.

7. Thâwk chhuah: Thâwk chhuak rawh, khawngaihin.

8. Minute khat nghak rawh: I doctor-in damdawi chu vawi khat aia tam ei turin a hrilh che a nih chuan, a hnuhma i ei hmain minute khat vel nghah hmasa phawt ang che. Tichuan step 3 atang hian tan leh rawh.

9. Cap kha khar: I hman zawh chuan cap kha khar leh ngei ngei tur a ni.

10. I hmui silfai: Corticosteroid inhaler i hman chuan hei hi tih ngei ngei tur a ni. Damdawi i hman zawh chuan i hmui chu tui emaw, hmui silna emaw hmangin uluk takin silfai la, paih mai rawh. Hei hian ka chhunga fungal infection awm lo turin a pui thei a ni.

A tul aia tam inhaler hman a tha em?

Eng thil pawh tam lutuk hi a tha lo niin an sawi. He inhaler pawh hi chutiang bawk chu a ni. I hman tam lutuk chuan, a bik takin hun rei lote chhunga hman tur "Rescue Inhaler" i hman chuan, i taksain hun engemaw chen hnuah damdawi chu a chhang tha lo mai thei. I thawkna kawng chu meikhu leh leivut ang chi thilte lakah a sensitive zawk thei bawk. Chuvangin damdawi hi a zat leh doctor-in a tih angin chauh hmang fo ang che .

Engtikah nge doctor i hmuh ang?

Tun hmaa thawkna lam natna i nei tih hriatchhuah loh, thawk harsa, khuh reng, leh thawk hah ang chi symptom i neih chuan doctor pan nghal a , test mumal tak neih a pawimawh hle.

Bronchodilator i hman tawh chuan a hnuaia thil thlengah hian doctor hmu ngei ang che:

• I rescue inhaler (SABA/Rescue Inhaler) hi kar khatah vawi hnih aia tam i hman a ngai a nih chuan hei hi i natna chu uluk taka control theih a nih lohzia tilangtu lian tak a ni.
• Tuna damdawi i hman mek hi i symptoms control nan a tawk lo nia i hriat chuan.
• Damdawi side effects hian i rilru a ti na a nih chuan.

I doctor nen inbia a, i tana tha ber tur enkawlna ruahmanna i siam chuan nun nuam tak i hmang thei ang.