I fate thawk dan hi a mak em? Bronchomalacia tih hming pu condition a ni thei!

I naupang tê hian a thawh laiin thawm mak tak mai a siam em? A nih loh leh thawk harsa ang maiin i inhriat ngai em? A châng chuan, heng thilte hnung lamah hian ngaihvenna engemaw chen mamawh dinhmun a awm thei bawk. Chutiang dinhmun pakhat chu vawiin a kan sawi tur chu Bronchomalacia a ni. A hming hi thil lian tak angin a lang thei a, mahse a awlsam zawngin i sawi ang u.

Hei hi eng nge ni (Bronchomalacia)? A awlsam zawngin sawi ila...

Ngaihtuah teh, kan lung chhungah hian kan thawk chhuah leh chhuahtirtu main tube system kan nei a. Heng tube te hi bronchi kan ti a . Thing hnah ang maiin an inzar pharh a. Tunah chuan heng bronchi te hi tube mai an ni tawh lo. An chhehvelah chuan cartilage ring, a chak deuh deuh a awm a, chu chu ‘C’ letter ang chi a ni . Chungte chu cage ang an ni a, chu chuan bronchi a venghim a, a inhawng reng thei bawk. Kan thawh lai te, kan lung a inflate leh deflate hian heng bronchi te hi inhawng leh khar tha a ngai a ni.

Bronchomalacia chu chu cartilage parts te chu a chak tawk lo a, an chak lo a nih chuan a ni. Chuti a nih chuan eng nge thleng? A chhan chu heng cartilage te chakna hi a tawk lo a, a bik takin kan thawk chhuah (exhalation) hian thawkna kawng a inhawng tha lo va, a zim ta hle a ni. Tui pipe i tihkhauh ang bawkin tui luang a harsa a, thawk pawh a harsa bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge a nei tam zawk?

Bronchomalacia hi nausen piang tharte zingah a tam ber a ni. A bik takin nausen piang hma leh nausen piangsual thenkhat, Down syndrome ang chi te tan a tam hle. Mahse, naupang kum upa zawk leh puitlingah pawh a awm thei a, a tlem hle nachungin.

Bronchomalacia hian naute chungah eng nghawng nge a neih theih?

Thlawhna kawnga ruh (cartilage) a chak loh chuan a zim a, a inhawng tha lo a, chu chuan thawkna kawng a tikhawlo thei a ni. Hei hian naute thaw a ti harsa a, taksain a mamawh oxygen a hmuh theih loh phah bawk. A châng chuan he natna hi a nasat chuan nunna atana hlauhawm tak a ni thei. Chuvangin hei hi hriat chian a pawimawh hle.

Tracheobronchomalacia (TBM) hi eng nge ni?

Vawi tam tak chu (Bronchomalacia) vei, chu chu trachea-a cartilage chak lo tihna a ni a, chutiang natna dang pawh an nei thei bawk. Chu chu (Tracheomalacia) a ni. (Trachea) hi kan thlipui lian ber a ni a, chu chu lung chhunga boruak phurtu tube lian ber a ni. (Tracheomalacia) chu chu thlipui lian ber bang chak lohna a ni. Heng natna pahnih, (Bronchomalacia) leh (Tracheomalacia) te hi an awm dun chuan (Tracheobronchomalacia - TBM) kan ti thin.

Bronchomalacia ang bawkin tracheomalacia hian thawk lama harsatna a thlen thei a, nausen piang tharte zingah a tam zawk. Tracheomalacia hi a chang chuan esophageal atresia nen pawh a inzawm thei a, hei hi nau piangsualna hmuh tur awm lo tak a ni a, chu chu ka rilru atanga chaw kawng thlenga ei tur pipe a tawi thin a ni.

(Bronchomalacia) hi eng nge a chhan?

Nausen piang thar zingah hian bronchomalacia hi primary bronchomalacia an ti a . A chhan ber chu:

• (Congenital heart disease): Hei hian nau piang laia awm thin thinlung natna a kawk a ni.
• Nau piang hma chuan lung chhunga ruh (cartilage) chu a lo thang tha lo thei a ni: Naute a pian hma chuan heng lung ruh (cartilage parts) te hi a la thang kim lo thei a ni.
• (Williams-Campbell syndrome): Hei hi pianpui, genetic condition a ni bawk. Thlawhna kawng chhunga cartilage awmte chu a tichak lo hle.

Bronchomalacia pian hnua, nakin lawka lo awm thin chu secondary bronchomalacia an ti a. A chhan chu:

• Chest injuries or accidents: A rilru a na hle a nih chuan, accident-ah ang chi.
• Chronic bronchitis: Hun rei tak chhunga bronchi inflammation, chu chu bronchial tubes te chu a hring chhuak a, khuh reng reng a awm thin.
• Emphysema: Hei hi lung chhunga air sac te tak te (alveoli) te a chhiat a, an elasticity a hloh hian a ni.
• Hun rei tak (ventilator) enkawlna: Artificial respiratory support machine-a rei tak i inzawm chuan.
• (Tuberculosis - TB): Tuberculosis natna a ni.
• Cancer emaw non-cancerous tumors in the lungs: Heng tumor te hian thawkna kawng a tikhawlo thei a ni.

He natna (Bronchomalacia) hi eng nge a lan chhuah dan?

Nangmah emaw i naute emaw hian he natna (Bronchomalacia) hi i neih chuan heng natna thenkhat hi i nei thei ang:

• A barking cough without phlegm: Ui bark ang maia ri leh phlegm tlemte siam chhuak thei khuh.
• Cyanosis: Vun rawng sen hring, a bik takin hmui, lei leh kut zungtang te a rawng a danglam thin. Hei hian taksain oxygen a dawng tlem hle tih a tilang a ni.
• Chau tih hriat reng (Fatigue): Hna tlemte thawh hnu pawha chau vat.
• Hri kai fo: Khawsik, flu, leh lung infection (pneumonia ang chi) te hi a awm fo thei.
• Dyspnea: Thâwk lakah harsatna emaw, thawk hah emaw hriatna.
• Stridor: Thâwk chhuah lai, a bik takin thawk chhuah laia rilru aṭanga chhuak, ri na tak, vibrating tak a ni. Mi thenkhat chuan hei hi "whooping sound" an ti bawk.
• Wheezing: Thâwk chhuah laiin rilru atanga ri chhuak, ri bengchheng tak.

Bronchomalacia hi a kai theih em?

Aih,Bronchomalacia hi natna hrik kai theih a ni lo. Midang hnen atangin i man thei lo va , mi dang hnen atangin i man thei hek lo. Khawsik emaw, influenza (flu) ang chi natna hrik kai theih a ni lo.

Engtin nge Bronchomalacia hi hmuhchhuah a nih?

Nang emaw i naute emaw doctor i hmuh hunah chuan taksa enfiah hmasain i lung a ngaithla ang. I thawk chhuah laia i thawm leh i rilru chhunga chhinchhiahna dangte chu a ngaithla ang. Tichuan, a tul chuan test dang engemaw zat a rawt ang.

Diagnostic test te hi engte nge ni?

Imaging test hrang hrang a awm a, chu chu lung chhung lam en theih a ni. Nang emaw i naute emaw hian hetiang test hi neih a ngai mai thei:

• Bronchoscopy: Hei hian ka emaw hnar emaw hmangin tube te tak te, flexible tak (bronchoscope) dahin a tawp berah camera te tak te hmangin thawkna kawng chhungah direct-in a en a ni. Hei hian cartilage chu chiang takin a hmu thei a ni.
• (CT scan - Computed Tomography scan): Hei hian chipchiar takin three-dimensional image a siam thei a, chu chu lung leh rilru cross-section te hi a ni.
• (MRI - Magnetic Resonance Imaging): Hei hi test dang a ni a, taksa chhungril lam chipchiar taka thlalak a la thin.
• (X-ray): Chest X-ray hmangin lung dinhmun tlangpui hriat theih a ni.

Bronchomalacia hi engtin nge enkawl a nih?

Nausen piang thar (Bronchomalacia) dinhmun hi a na lutuk lo a nih chuan enkawlna bik a ngai lo mai thei. Doctor chuan naute chu clinic-ah check-up turin lo kal fo turin a hrilh ang . A tam zawkah chuan naute thla 6 vel a tlin meuh chuan he natna hi a mah chauhin a lo tha chho zel a, chu chu lung a lo thang lian a, cartilage a chak zawk avangin.

Mahse, i naute chu bronchomalacia avanga oxygen level a hniam chuan doctor-te chuan CPAP (Continuous Positive Airway Pressure) tih hmanrua hman a rawt thei ang. Hei hian i naute hnar leh hmui chungah mask dah a, machine nena inzawm tir a huam a ni. He machine hian mask-ah hian boruak pressure nem tak, chhunzawm zel a pe chhuak thin. He boruak pressure hian boruak kawng hawn leh tihbuai loh nan a pui thin. I naute hian kar engemaw zat chhung, a nih loh leh an lung a lo thanlen kim hma loh chuan he hmanrua hi a hman a ngai mai thei.

Bronchomalacia natna hi a na hle a, chu chu thawk lama harsatna a thlen tihna a nih chuan, naute chu thawkna kawng hawn leh thawk chhuah theihna tura pui turin ventilator -ah connect a ngai mai thei.

Puitlingah chuan Bronchomalacia enkawl dan chu a chhan bulpui (underlying condition)-ah a innghat a ni. Emphysema emaw chronic bronchitis emaw i neih chuan i natna lan chhuah dan control nan damdawi i ei a ngai mai thei a, checkup pawh neih fo a ngai thei bawk.CPAP machine, a bik takin mut laiin hman thin hi puitling tan pawh a tangkai thei hle. A nasat chuan ventilator support a ngai mai thei.

Bronchomalacia hi ven theih a ni em?

Nausen piang thar zingah hian bronchomalacia an tih natna hi ven dan chiang tak a awm lo. Naupai laia i thiltih engmah avanga lo awm a ni lo. Amaherawhchu naupai i nih chuan nau neih hmaa nau neih chhinchhiahna hriat chian a pawimawh. Heng chhinchhiahnate hi i neih chuan damdawi lam thurawn la nghal rawh. Hei hian i naute chu a hun hmaa a pian loh nan a pui thei a ni.

Puitlingah chuan Bronchomalacia hi lung natna avanga lo awm a ni fo thin a, chuvangin i lung enkawl that chuan he natna hi i vei theihna a ti tlem thei a ni. Puitlingte chuan an lung a hrisel theih nan a hnuaia mite hi an ti thei ang:

• Meizial zu leh vaping hi pumpelh rawh. Meizial zu leh vaping hian chronic bronchitis, emphysema, leh lung cancer te a tipung a ni. Meizial i zuk chuan i zuk bânsan theih nâna ṭanpuina dîl turin doctor biak rawh.
• I in chhungah radon gas a awm leh awm loh enfiah rawh. Radon hi kan hmuh theih loh leh kan rim pawha kan hriat loh gas a ni a, mahse lung cancer a thlen thei a ni.
• Mimal invenna hmanrua (PPE) vuah tur a ni. Chemical, meikhu, meikhu, leivut hmanga hna i thawh chuan thawkna hmanrua i bun tur a ni a, chu chu hmai tuamna bik a ni.

Bronchomalacia hi tihdam vek theih a ni em?

Bronchomalacia vei naute tam zawk chuan an lung chhunga cartilage chu a lo thanglian kim a, a chak tawh chuan an dam kim vek a, an hrisel bawk. He natna hi lung chhunga thil tihkhawtlai, tumor ang chi avanga lo awm a nih chuan , a tihbuai chu tihbo a nih veleh bronchomalacia hi a reh tlangpui.

Mahse, chronic bronchitis emaw emphysema emaw i neih chuan enkawl leh enkawl chhunzawm zel a ngai dawn a, a dam kim lo mai thei bawk. Mahse, i doctor chuan i natna lan chhuah dan tur a enkawl thei che a, hrisel taka awm turin a pui thei che a ni.

Engtikah nge doctor i hmuh ang?

I hriselna endik fo thin turin doctor hmu fo thin ang che. Tin, i hriselna lama inthlak danglamna awm apiang chu i doctor nen sawiho bawk ang che. A bik takin, nangmah emaw, i naute emaw hian a hnuaia symptoms te hi i neih chuan emergency care zawng nghal rawh:

• Blue hmui emaw vun emaw.
• Chest retractions te pawh a awm.
• Thil hriatna hloh emaw, harh theih lohna emaw dinhmun.
• Thâwk harsa na tak emaw, thawk harsa emaw.
• A rilru a buai em em a, a rilru a buai em em bawk a.

Bronchomalacia hi thawk lama harsatna a ni a, nau piang thar, a bik takin preemies leh naute lung a lo thang kim lo te a nghawng tlangpui. Hlawhtling taka enkawl a nih chuan naute tam zawk chu an dam leh a, an thang tha hle. Puitlingah chuan doctor-te chuan a chhan bulpui (underlying condition) chu an enkawl thin. Emphysema emaw chronic bronchitis ang chi natna tan damdawi an pe thin. Nangmah emaw, i chhungte zingah emaw thawk harsatna an neih chuan doctor nena inbiakna neihpui a, thurawn leh enkawl dan mumal tak lak a pawimawh tih hre reng ang che.

Take-Home Message: Hriat reng tur pawimawh ber berte

Okay, chuvangin, a tawi zawngin, Bronchomalacia chungchanga kan sawi tawhte hriatreng tur thilte chu hetiang hi a ni:

• Bronchomalacia hi thawkna kawnga ruh (cartilage) chak lohna a ni a, chu chuan thawk a ti harsa thei hle.
• Hei hi nausen piang tharah a tam ber a, a bik takin nausen piang hmaa piangte zingah a tam ber.
• Nauteah chuan he natna hi an lung a lo thanglian zel angin a mah chauhin a reh fo thin. CPAP ang chi enkawl a ngai mai thei.
• Puitlingah chuan hei hi lung natna dang, chronic bronchitis emaw emphysema emaw avanga lo awm thei a ni. Chutiang a nih chuan , a hnuaia natna awm chu enkawl a ni.
• Thâwk harsa, thawm mak tak tak, vun sen hring ang chi symptom i neih chuan doctor pan nghal rawh.
• Hei hi natna hrik kai theih a ni lo.

He thu atang hian in zir chhuah ngei ka beisei. Hrisel takin awm rawh!

` Bronchial asthma, bronchomalacia, nausen thawkna lam natna, thawk harsa, cartilage defect, CPAP therapy, lung natna