Thâwk lak harsa i ti nghal em? I rilru a tikhauh em? He (Bronchospasm) chungchang hi i zir chiang ang u!

Nang pawhin a chang chuan thawk harsa i ti nghal em? I rilru a hrual ang maiin i thawk a, i thawk chhuah laiin thawm ri i hre thin em? Hetiang thil tawn tawh chuan a nuam lo leh hlauhawm zia a hrethiam ang. Hei hi nangmah tan chauh a ni lo va, mi tam tak chungah pawh a thleng thei. Vawiin hian natna pakhat `(Bronchospasm)` tih kan sawi dawn a, hei hi hetianga thawk hahna thlentu ber a ni thei. Ngaihtuah buai suh, he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.

Hei hi eng nge ni `(Bronchospasm)`?

A awlsam zawngin, kan thawkna kawng chhunga tube ang chi thil te tak te, kan lung chhunga boruak phurtu – damdawi lama bronchi tia hriat – te chu a nghet nghal a, an chhehvela taksa ruh nalh tak takte chu a ti tawi ta a ni. Tui pipe a tawp pahniha hrual a, tui a zim tir ang maiin han ngaihtuah teh.

Heng bronchi te hi i thlipui atanga i lung thlenga boruak phurtu tube te an ni. Chuvangin heng tube te hi an block chuan i lung chhunga oxygen lut chu a tlahniam thin. Chuvang chuan thawk harsatna i nei a, i rilru a inzawm khawm ang maiin a lang.

`(Bronchospasm)` i neih hian engtin nge i awm?

Dik tak chuan `(Bronchospasm)` neih hi thil hlauhawm deuh a ni thei. A chhan chu i duh angin thawk thei lo ang maiin i inhriat thut vang a ni. Hetiang thil hi a la nei ngai lo tan chuan a vawi khatnaah chuan a hlauhawm hle thei.

Ngaihtuah teh, i hloh lai hian thawk harsa i ti nghal a, mi pakhatin i rilru a rawn hnim ang mai hian. Thâwk a harsa lehzual a, i rilru aṭangin thawm a lo chhuak pawh a ni mai thei. Chutih lai chuan tlem a hlauthawng leh hlauhna inhriat hi thil pangngai a ni.

Heng symptoms te hi i tawn thut chuan:

• I rilru a na tih i hriat chuan
• Thâwk harsa tak nia i hriat chuan
• Thâwk chhuah laiin wheezing sound i siam chuan
• I khuh chhunzawm zel a nih chuan

Heng natna khirh tak tak, a bik takin rilru na leh thawk harsa i neih chuan damdawi in hnai ber emergency room-ah i kal nghal ngei tur a ni. Hei hi a hun taka enkawl i hmuh chuan control theih a ni.

Tute nge `(Bronchospasm)` vei tam zawk?

Bronchospasm hi a takah chuan tu chungah pawh a thleng thei. Amaherawhchu, mi thenkhat chuan an nei tam zawk.

• Allergy chi hrang hrang nei tan
• Asthma vei tan chuan
• Lung natna dang (e.g. `(COPD)` - Chronic Obstructive Pulmonary Disease) nei tan chuan .

Heng mite bakah hian naupang tê leh puitling kum 65 chunglam pawhin bronchospasm an nei tam zawk bawk.

Hei hi a tam em em a, lung natna tam tak, asthma, emphysema, leh COPD-ah te hian bronchospasm hi chhinchhiahna anga ngaih a ni. Lung infection hrang hrang nen pawh a awm thei bawk.

`(Bronchospasm)`, `(Laryngospasm)` leh `(Asthma)` te hi eng nge an danglamna?

Heng hming pathumte hi a buaithlak deuhin a lang thei. An pathum hian i thawk danah nghawng nei mah se, an danglam vek a ni.

• `(Laryngospasm)` leh `(Bronchospasm)` te nen an inhmachhawn dawn a ni.

Bronchospasm hian i lung chhunga bronchi (airways) te a nghawng a. Laryngospasm hian i vocal cords (i thusawi huna i rilru chhunga vibrate thin) a nghawng a ni. Laryngospasm chu i thawk chhuah laiin i vocal cords a khar nghal a, i lung chhunga boruak lut tur a tikhawlo a ni. Hei hi thil hlauhawm tak, rang tak a ni thei a, mahse minute khat emaw minute hnih emaw chhungin a mah chauhin a bo tlangpui. Bronchospasm angin a awm lo.

• `(Bronchospasm)` leh `(Asthma)` te nen an inhmachhawn dawn a ni.

Hei hi hriatthiam a pawimawh. Bronchospasm hi natna chi hrang hrang, Asthma ang chi natna lanchhuahna a ni. Chu chu, Asthma vei chuan bronchospasm a nei thei tihna a ni. Mahse, bronchospasm nei zawng zawng hian Asthma an nei vek lo. Heng natna pahnih hi thawkna kawng eng emaw zat a hring, a hring emaw, a na emaw avanga lo awm a ni.

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

`(Bronchospasm)` symptoms hi a hlauhawm deuh a, a chang chuan a lo lang nghal thei bawk. Mi tam tak chuan thawk tur angin thawk thei lo ang maiin an inhria. A lan chhuah dan tlangpui dangte chu:

• A rilru a na hle
• Thâwk a tawi
• Wheezing ( thawk chhuah laiin rilru atanga whistling ri lo chhuak ) .
• Khuh - Khuh vawt emaw, khuh (phlegm) nei emaw a ni thei.
• Chauhna - Hei hi oxygen tlakchham vang pawh a ni thei.
• Luak chhuak thei

Heng symptoms pakhat emaw a aia tam emaw i neih chuan enkawl a pawimawh.

Eng thilin nge he `(Bronchospasm)` hi a thlen?

Bronchospasm hi engtik lai pawhin thawkna kawng a ti na emaw, a hring emaw a awm thei. Kan sawi tawh ang khan Asthma hi bronchospasm thlentu ber a ni. Mahse, a chhan dang engemaw zat a awm a:

• Lung emaw, thawkna kawng emawa natna hrik: Hengte hi bacteria, viral, fungal infection a ni thei. Entirnan, pneumonia emaw bronchitis ang chi natna te.
• Chronic Obstructive Pulmonary Disease (COPD): Hei hi hun rei tak chhung lung natna a ni bawk.
• Allergens: Thil chi hrang hrang, leivut, pollen, pet dander, leh ei tur thenkhat.
• Exercise tih hi: 1.1.Mi thenkhat chuan exercise an tih lai pawhin he `(Bronchospasm)` hi an nei thei. `(exercise-induced bronchospasm)` kan ti a. Ngaihtuah teh, tlan leh chak taka i khelh zawh hnuah thawk harsa i ti a, khuh tur ang maiin i inhria. Chu chu a ni thei.
• Chemical meikhu emaw, thil dang tibuaitu: Thil rimtui thenkhat, tihfai nana meikhu, leh insecticide meikhu te.
• Khua a vawt: Thli lum thawk thut hian mi thenkhat a nghawng thei bawk.
• Meizial zuk emaw, vaping emaw: Hengte hian thawkna kawng a tihchhiat avangin bronchospasm hlauhawmna a tipung a ni.
• General anesthesia: Mi thenkhat chuan operation hnuah he natna hi an nei thei.

Mahse thil pakhat hriat reng tur chu a chunga kan sawi tak damdawi lam dinhmun i neih vang mai mai hian `(Bronchospasm)` i nei dawn tih i chiang thei lo. Mahse risk a awm.

Pawimawh: A tlem hle a, bronchospasm enkawlna atana hman thin bronchodilator thenkhat hian natna a ti na zual thei. Hei hi paradoxical bronchospasm an ti a. Hei hi i chungah a lo thleng a, chu chu i inhaler i hman zawh hnua thawk harsa i tih tihna a nih chuan damdawi hman kha i bansan nghal tur a ni a, i doctor hnenah i hrilh tur a ni.

Engtin nge `(Bronchospasm)` i vei tih i hriat theih ang?

I doctor chuan bronchospasm i neih leh neih loh chu chiang takin a hre thei ang. A enfiah ang che, i natna lan chhuah dan a zawt ang che a, i chhungkaw chanchin a zawt ang che. A chang chuan, lung specialist (pulmonologist) hnenah refer i ni thei bawk.

Hemi atan hian eng ang test nge tih thin?

I doctor chuan i lung a thawk tha em tih hriat nan test hrang hrang neih a rawt thei ang. Chung zinga ṭhenkhat chu:

• Pulse oximetry: Hei hian i thisena oxygen awm zat tehna atan i kut zungtang emaw beng kawngkhar emaw-ah clip ang chi thil te tak te dah a ni. Hei hi test awlsam tak leh hrehawm lo tak a ni.
• Spirometry: He test-ah hian tube te tak te hmanga thawk chhuah leh chhuah tir an ni. Device (a spirometer) hian boruak i thawk chhuah leh chhuah chak dan leh i thawh chhuah zat a teh a ni.
• Lung volume assessment: Hei hian i doctor-in i lungin boruak a vawn theih zat a hriat theih phah a ni.
• Lung diffusion capacity test: He test hian tube chhungah thawk turin a ti bawk. I lung leh i thisen inkara oxygen inthleng that dan a teh a ni.
• Arterial blood gas test-naah hian:Hei hian i thisena oxygen leh carbon dioxide awm zat a teh a, chubakah i thisen pH a teh bawk.
• Eucapnic voluntary hyperventilation: He test hi exercise laiin bronchospasm i nei em tih hriat nan tih theih a ni. He test-ah hian oxygen leh carbon dioxide inzawmkhawm thawk turin siam i ni. Hei hian exercise laiin i thawk dan a simulate a ni. I lung a nghawng tha lo a nih chuan exercise avanga bronchospasm i nei thei.

Heng thawk test bakah hian i doctor chuan imaging test, chest X-ray emaw CT scan emaw hmangin i lungah natna hrik emaw, harsatna dang emaw a awm leh awm loh enfiah a rawt thei bawk.

Bronchospasm hi engtin nge enkawl a nih?

Bronchospasm enkawlna ber chu damdawi chi khat bronchodilators an tih a ni. Heng damdawi te hian thawkna kawng (bronchi) te chu a zau a, thawk a awlsam phah a ni. Bronchodilator hi chi hrang hrang a awm a, chu chu inhaler, nebulizer solution, leh tablet te hi a ni.

A natna a nasat chuan doctor chuan thawkna kawng a hring chhuak tihziaawmna turin damdawi chi khat steroid an tih chu a pe thei a ni.

Hun rei lote chhunga thawk thei bronchodilators

Hengte hi "rescue inhalers" atan an hmang thin. `(Bronchospasm)` symptoms a awm chuan relief rang tak pe turin an pui thin. Heng damdawi te hian minute tlemte chhungin i thawkna kawng a tizau a, thawk a ti awlsam hle. A nghawng hi darkar 6 thleng a awm thei. Short-acting `(Bronchodilators)` hman tam ber chu `(Albuterol)` leh `(Levalbuterol)` te an ni.

Hun rei tak chhunga thawk thei bronchodilators

Heng damdawi te hi nakin lawka bronchospasm awm theihna tur tihtlem nan hman a ni. "Rescue inhalers" atan an tha lo (Formoterol tih loh chu), chhanchhuahna an pe nghal loh avangin. Hnathawh tan nan hun rei tak an hmang a, mahse darkar 12 vel an daih. Hun rei tak chhunga thawk thei bronchodilator hman tlanglawn ber chu Salmeterol, Formoterol, leh Vilanterol te an ni.

Long-acting bronchodilator chi dang chu anticholinergic an ti a. Hengte hi short-acting (e.g., ipratropium) leh long-acting (e.g., tiotropium, umeclidinium, aclidinium) inhaler angin a awm bawk.

Steroids te pawh a awm

Steroid hian i thawkna kawng a inflammation (swelling) a tihziaawm avangin hna a thawk a ni. Heng damdawi te hi inhaler angin an pe fo thin. Mahse, i bronchospasm a nasat chuan pill angin emaw, IV line hmangin thisenah emaw pek theih a ni.

`(Bronchospasm)` i neih lai hian in lamah eng nge i tih theih ang?

Dik tak chuan, bronchospasm a lo tan tawh chuan a titawp thei tur home remedy bik a awm lo. I natna lan chhuah dan tihziaawm nan short-acting bronchodilator (e.g. inhaler) i hman a ngai ngei ang.

Doctor-in a hmain `(Bronchospasm)` i nei tih a lo hriat tawh chuan `(Bronchodilator)` i nei tawh tur a ni. Amaherawhchu, hei hi i thil tawn hmasak ber a nih chuan, `(Bronchodilator)` i neih loh chuan damdawi in hnai ber pan nghal a, inenkawlna zawng a tha ber.

Mithiam thenkhat chuan thawk lakna exercise hian bronchospasm hlauhawmna a ti tlem thei niin an sawi. Mahse, hei hi zirchian a la nih avangin finfiahna tam zawk a ngai a ni. Mahse, heng exercise te hian bronchospasm chu vawi khat a tan tawh chuan a titawp dawn lo. Bronchospasm i neih fo chuan i doctor nen in enkawl dan tur sawipui rawh.

Bronchospasm hi ven theih a ni em?

Bronchospasm hi ven kim theih a ni lo. Mahse, i risk tihziaawmna tur thil engemaw zat i tih theih a awm. Entir nan:

• Tui tam tak in thin ang che. I rilru chhunga mucus awm chu a ti thim ang a, thawk pawh a ti awlsam ang.
• Meizial zu leh vaping hi pumpelh vek rawh.
• Exercise i tih hmain warm up hmasa phawt ang che.
• Allergy i neih chuan pollen ang chi thil i exposure kha tihtlem la.
• Khaw lum laiah exercise tihtlem.
• Vaccine hi a hun takah la la, a bik takin kum 65 aia upa i nih chuan. (e.g. pneumonia vaccine, influenza vaccine) .

`(Bronchospasm)` vei chuan eng nge a beisei ang?

Doctor chuan bronchospasm i nei tih a hriat chuan emergency-a hman tur short-acting bronchodilator (rescue inhaler) a pe mai thei. Nakin lawka bronchospasm awm theihna tur tihtlem nan long-acting bronchodilator an pe thei bawk.

Bronchospasm hi ni 7 atanga ni 14 vel a awm tlangpui. Hemi chhung hian i doctor chuan i symptoms control nan damdawi a pe ang che.

Bronchospasm hi nunna atana hlauhawm thei a ni em?

Enkawl that loh chuan bronchospasm na tak chu nunna atana hlauhawm tak a ni thei. Mahse, enkawl vat a nih chuan minute tlemte chhungin a natna lanchhuahna chu a reh tlangpui. Bronchospasm symptom i neih chuan i bronchodilator hmang nghal rawh. Bronchodilator i neih loh chuan 911 call la, damdawi in hnai ber pan rawh.

Engtikah nge doctor i hmuh ang?

`(Bronchospasm)` symptoms awm reng i neih chuan, emaw, nitin hnathawhna a tibuai a nih chuan doctor pan tur a ni.

A bik takin, a hnuaia thilte hi a lo awm a nih chuan 911 (or i awmna hmuna emergency number) ah call nghal la, a nih loh leh damdawi in emergency room hnai ber pan rawh:

• Thâwk harsa tak a nih chuan.
• Thisen leh mucus i khuh chuan.
• Thâwk chhuah laiin i rilru a na a nih chuan.
• I luak chhuak emaw, i muhil emaw a nih chuan.

## Thil pawimawh hriat reng tur (Take-Home Message)

Bronchospasm hi enkawl theih a ni. Mahse, tawn chu a hlauhawm hle thei.

Nangmah chauh i ni lo tih hre reng ang che. Hetiang dinhmun hi kan enkawl thei che a ni.

• Thluak lam natna, asthma emaw COPD emaw i neih chuan bronchospasm vei theihna a sang zawk che a nih chuan i doctor nen sawiho rawh.
• I doctor-in damdawi a pek (a bik takin inhalers) chu a tih angin leh a hun remchangah hmang thin ang che.
• Emergency a nih chuan "rescue inhaler" keng reng ang che. I doctor hnenah a hman dan dik zawt rawh.
• Bronchospasm thlen thei trigger te hriatchhuah la, a theih ang anga inthiarfihlim tum ang che.
• Thâwk harsa, i rilru a na, a nih loh leh thawk hah thawm i neih chuan ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.

I thawkna hriselna enkawl rawh. Thil ngaihtuah tur i neih chuan doctor zawt hreh suh.

` bronchospasm, thawk harsa, rilru tight, asthma, thawkna lam natna, bronchodilator, inhaler