Thâwk lama harsatna i nei em? A nih loh leh i chhungkuaa mi pakhatin inhaler a hman i hmu tawh em? Vawiin hian heng damdawi, thawk awlsamna tur damdawi, chu chu bronchodilators te kan sawi dawn a ni. Mi tam takin hengte hi an hlau hle a, mahse i hriatthiam a, i hman dik chuan hengte hi nunah tanpuitu lian tak a ni thei.
A awlsam zawngin, bronchodilator tih hi eng nge ni?
I lung chhunga boruak phurtu boruak kalna kawngte chu tube angin han ngaihtuah teh. Heng tube chhehvela taksa ruh nalh tak takte hi an inkhauh chuan tube chhunga hmun chu a te deuh a, boruak kal tlang a harsa zual sauh sauh a ni. Hei hi asthma leh COPD (Chronic Obstructive Pulmonary Disease) ang chi dinhmunah pawh a thleng thin. Chutah chuan i rilru a hah a, i rilru a buai ang maiin i inhria.
Chuvangin, he damdawi bronchodilator tia koh hian a tih chu chu ruh tight tak takte chu a ti relax nghal a, constricted airways (bronchi) te chu a tizau nghal vek a ni. Tichuan lungin boruak a luh leh chhuah a awlsam phah a, i thawk pawh awlsam zawkin i thawk thei bawk.
Heng damdawi te hian hlawkna dang a nei bawk. Thli kawng a zau chuan a chhunga mucus lo awm pawh chu zalen takin a che tan ta a ni. Tichuan awlsam zawkin mucus chu i khuh thei ang.
Heng damdawi te hi inhaler angin an lo awm tlangpui a, liquid angin nebulizer an tih machine hmanga pek a ni.
Bronchodilator chi hnih a awm a, chungte chu:
Chungte chu hnathawh hun chhung a zirin chi hnih lian takah then theih a ni. I doctor chuan heng zinga pakhat hmang turin a hrilh ang che, a nih loh leh a pahnih hmang pawh a ni mai thei.
| Damdawi Form | Hrilhfiahna |
|---|---|
| Hun rei lote chhunga thawk thei bronchodilators | Heng damdawi te hi asthma symptoms rang tak, wheezing ang chi control nana pek thin a ni. "Rescue inhalers" an ti bawk. Darkar 3-6 vel an daih thin. |
| Hun rei tak chhunga thawk thei bronchodilators | Hengte hi emergency-ah hman a ni lo. Nitin hun pangngaiah hman a ni a, darkar 12 vel thawkna kawng hawn tir a, asthma attack lo awm leh tur venna a ni. Chungte chu "preventers" category-ah an tla a ni. |
Bronchodilator chi hrang hrangte chu engte nge ni?
Bronchodilator chi thum a awm a, chungte chu beta 2-agonists, anticholinergics, leh theophylline te an ni.
1. Beta 2-agonists te hi a awm thei
Hengte hi short-acting (SABA) leh long-acting (LABA) type-ah te an awm a.
- Short-acting beta 2-agonists (SABA): Hengte hi "chhanchhuahna" damdawi an ni a, asthma attack nghal vat vanga hman thin damdawi an ni. Minute 15-20 chhungin hna an thawk a, darkar 4-6 vel chhung chu hahdamna an pe thin. Exercise vanga Asthma veng turin exercise hmaa hman theih a ni bawk. Entirnan: `Albuterol (Ventolin®)`, `Levalbuterol (Xopenex®)` tih te hi a ni.
- Long-acting beta-2 agonists (LABA): Hengte hi ni khatah vawi hnih vel ei thin a ni a, natna hi a thunun theih nan a pui thin. A tlangpuiin corticosteroid, damdawi chi khat, thawkna kawnga hliam tihziaawmna damdawi nen pek dun an ni. Entirnan: `Salmeterol (Serevent®)`, `Formoterol (Foradil®)` tih te hi a ni. Inhaler pahnih inzawmkhawmna pawh a awm a, chu chu `Advair®` leh `Symbicort®` te hi a ni.
2. Anticholinergics hmanga siam a ni
Chungte chuan kan nervous system atanga chemical siam acetylcholine hnathawh chu a tikhawlo a ni. He acetylcholine hian thawkna kawng chhehvela taksa peng hrang hrangte chu a tikhauh turin signal a pe a ni. Heng damdawi te hi asthma thunun harsa tak chu hun rei tak chhunga thunun nan hman a ni a, tihdam nghal nan hman a ni lo. Entirnan: `Ipratropium bromide (Atrovent®)`, `Tiotropium bromide (Spiriva Respimat®)` tih te hi a ni.
3. Theophylline tih hi a ni
Pill (`Uniphyl®`) angin a awm a. Asthma attack na tak tak control thei mahse, hman lar a ni tawh lo. He damdawi i ei hian i thisenah damdawi i neih zat tur dik tak i neih leh neih loh enfiah nan thisen test neih fo a ngai dawn a ni.
Hei hian eng side effect nge a neih?
Side effects hi hman chi hrang hrang a zirin a danglam thei. Amaherawhchu, mi zawng zawngah an awm lo va, an lo awm a nih chuan ni engemaw zat hnuah an bo tlangpui.
| Damdawi chi hrang hrang | Side Effect awm thei te |
|---|---|
| Beta 2-agonists te hi a awm a | A nghing, rilru hah, heart rate sang, pum na, mut theih lohna. |
| Anticholinergics hmanga siam a ni | Kawng, mit leh hnar vawt, ka chhunga thlum mak tak tak, rilru hahna, leh damdawi chu mit chhunga a luh chuan hun eng emaw chen atana hmuh fiah lo. (Mi thenkhat chuan zun harsatna an nei thei). |
| Theophylline a ni | Nausea, pum na, luak chhuak, lu na, thinlung thawk mumal lo, taksa ruh na. |
Bronchodilator hi steroid chi khat a ni em?
No. Hengte hi damdawi chi hrang hrang pahnih a ni.
A awlsam zawngin sawi ila, bronchodilator hian i thawkna kawng chhunga thau te chu a ti hahdam thin. Steroids hian i thawkna kawng a inflammation a ti tlem. Heng thil pahnih hi asthma ang chi natnaah te a awm avangin i doctor chuan heng damdawi pahnih hi hman dun turin a rawt mai thei.
Engtin nge inhaler hi hman dik ang?
Damdawi hlawkna kimchang hmu tur chuan inhaler hi dik taka hman a pawimawh hle. Heng step te hi zawm rawh.
1. Inhaler cap kha khar nghet la, vawi 10-15 vel vawt tha rawh.
2. A khuhna chu hawng rawh.
3. Thâwk la la, thawk chhuak vek rawh.
4. I hmui chu mouthpiece vel ah dah la, nghet takin chelh rawh.
5. Inhaler chu vawi khat press down rawh. Chutih rual chuan i hmui hmangin thawk la la.
6. I thaw chhuah laiin whistling thawm i hriat chuan i thawk chak lutuk tihna a ni. Thâwk thûk deuh deuh la.
7. Second 10 vel thawk chu vawn tlat ang che. Hei hi damdawi hian i lung kawng kil tin a thlen hun a ni.
8. I doctor-in puff a rawt zat atan heng step te hi ti leh rawh. Puff khatah minute khat vel dah la.
9. A zawh chuan a khuhna chu khar leh rawh.
10. Pawimawh: 1.1.Steroid (corticosteroid) awmna inhaler i hman chuan i kâ chu i hman zawhah tuiin uluk takin silfai ang che. Hei hian side effects nasa takin a ti tlem thei a ni.
Engtikah nge ka doctor ka hmuh ang?
Thâwk harsa, khuh, thawk hah ang chi symptom thar i neih chuan doctor pan ngei ngei tur a ni. I dinhmun dik tak hriat theih nan pulmonary function testing a nei thei bawk.
Tin, thil pawimawh dang a awm bawk.
Kar khatah vawi hnih aia tam i rescue inhaler (SABA) i hman a ngai a nih chuan , i asthma hi a control tha lo tihna a ni.
Hetiang hi a lo thleng a nih chuan ngaihthah suh. I dinhmun rei tak control theihna tura i ei tur damdawi ei tur emaw, a chi emaw i thlak a ngai em tih sawipui turin i doctor hmu nghal rawh. I doctor damdawi hman dan tur dik takin zawm fo ang che.
Take-Home Thuchah a ni
- Bronchodilator hi damdawi chi khat a ni a, chu chuan thawkna kawng vel a ruhte a ti hahdam a, thawk a ti awlsam hle.
- A chi hnih a awm a, chhawmdawlna nghal (chhanchhuahna) leh hun rei tak chhunga invenna (preventer) te an ni.
- I inhaler hi doctor-in a sawi ang chiah, a hun takah leh a dose dik tak nena hman a pawimawh hle.
- Kar khatah vawi hnih aia tam i "rescue inhaler" i hman a ngai a nih chuan i natna chu thunun theih loh a nihzia tilangtu a ni. Doctor hmu nghal rawh.
- Bronchodilators hi steroid a ni lova, mahse heng damdawi chi hnih hi hman dun a ni fo.
- I damdawi ei leh i dinhmun chungchanga zawhna i neih chuan i doctor nen inbia fo ang che.
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