Nang pawhin thawk harsatna i nei em? I lung chhunga thil danglam tak a ni em? Bullous Emphysema chungchang hi han sawi ila!

A chang chuan thawk hah deuh, i rilru a tight deuh thin em? A nih loh leh zingkar a khuh na zual i nei em, a nih loh leh i chau em? Chûngte chu khawsik chhinchhiahna mai a ni lo mai thei. Bullous Emphysema tih hming pu lung natna chhinchhiahna an ni thei a, chu chu i ngaihtuah tur a ni. Chuvangin, vawiin hian he thu hi chipchiar deuhin han sawi ila, i thianpa nen in inbia ang maiin, okay?

Bullous Emphysema hi eng nge ni?

A awlsam zawngin sawi ila, Bullous Emphysema hi lung natna chi khat, emphysema an tih a ni. Emphysema hi i lung chhunga boruak bawm te tak te, alveoli , an tihte bang a chhiat chuan a lo awm thin. Heng alveoli te hi kan thawk chhuah huna oxygen lakluh leh carbon dioxide chhuah chhuahna hna pawimawh ber an ni tih hre reng ang che.

Tunah chuan bullous emphysema-ah chuan thil thleng chu chu alveoli-te bang chu a chhe a, an lo hring chhuak a, boruak bawm lian tak tak, balloon ang maia siam a ni. Hengte hi bullae kan ti thin . Heng bullae te hi centimetre khat aia lian an ni thei.

He cyst hi a lo awm chuan lung hnathawh thatna a tibuai a ni. Alveoli tan chuan oxygen leh carbon dioxide inthleng a harsa ta hle. Hetiang dinhmun hi lung pakhat emaw, lung pahnih emaw-ah a awm thei. Amaherawhchu, he cyst hi lung pakhatah lo awm ta se, lung dangin a puak theihna a tibuai thei a, chu chu thawk tihna a ni. A châng chuan he cyst hi a lian hle a nih chuan lung chu a tlakbuak thei a, Vanishing Lung Syndrome tih natna a thlen thei bawk . Hei hian lung a tichhe vek thei a, mahse enkawlna dik tak chuan he natna hi a thunun thei a, i dam rei zawng a tipung thei bawk.

He natna hi tuin nge vei tam zawk?

Dik tak chuan, tu pawhin kum, hnam, leh mipa leh hmeichhia eng pawh ni se, bullous emphysema an nei thei a ni. Mahse, a tam zawk chu chronic obstructive pulmonary disease (COPD) , meizuk avanga lung natna a ni. Tin, genetic condition thenkhat i neih chuan i risk a sang zawk bawk. Entir nan:

• Alpha-1 antitrypsin tlakchhamna a ni
• Ehlers-Danlos natna a ni
• Marfan syndrome a ni

Hei bakah hian Human Immunodeficiency Virus (HIV) vei te pawhin bullous emphysema an vei theihna a sang hle bawk.

Hei hi engtiang chiahin nge a hluar? Engvangin nge hetiang hi a lo awm?

Khawvel pumah mipui 5% aia tam leh puitling kum 30 chunglam 12% aia tam chuan bullous emphysema an vei nia sawi a ni. United States ang ramah pawh thihna thlentu pathumna a ni bawk. Chuvangin, hei hi thil awlsam tak a ni lo.

Tunah chuan hetiang thil hi engvanga lo awm nge tih i lo en ang u.

Bullous emphysema thlentu ber chu meizuk a ni . Cigarette meikhu avanga inflammation rei tak awm hian i alveoli bang a tichhia a ni. Hei hian air sacs a ti lian a, oxygen leh carbon dioxide kalna tur a tikhawlo a ni.

Meizial zuk bakah hian a chhan dang a awm a:

• Crack cocaine emaw marijuana emaw zuk.
• Intravenous drug hman a ni.
• A chunga kan sawi tak genetic condition te hian alveolar walls te pawh a tichak lo thei a, a ti chhe thei bawk a, bullous emphysema a thlen thei bawk.

Hei hi eng symptoms nge ni?

Bullous emphysema chhinchhiahna ber leh langsar ber chu thawk hah lutuk hi a ni . Chumi awmzia chu thawk harsa i ti tihna a ni a, i chau deuh lai chauh ni lovin, stairs i chhoh lai chauh ni lovin, a chang chuan i ding reng lai pawhin.

A lan chhuah dan tlangpui dang a awm bawk:

• Chest na emaw tightness emaw hriatna.
• Khuh (hei hi zing lamah a na zawk fo).
• Chau leh chau lutuk anga inhriatna (Fatigue).
• Chaw chu a thlum lo.
• Luhai.
• Thâwk lak harsatna.

Mahse, mi thenkhat chuan bullous emphysema nei mahse symptom an nei lo. Bullae te hi a lian hle a nih chuan giant bullae kan ti a, chutah chuan symptoms chu a na zual thei a ni.

Doctor i hmuh chuan i enfiah laiin hetiang chhinchhiahna hi a zawng ang:

• Barrel ang maia siam chest.
• Kut zungtang clubbed tak tak te.
• Pulmonary hypertension avanga i thinlung thawk ri nasa taka hriat.
• A hring (Edema) a awm.
• A rilru a buai hle.

Engtin nge hei hi i hriat chian tak?

I doctor chuan i natna lan chhuah dan te, i hriselna chanchin te, leh i chhungte zingah hetiang natna hi an nei tawh em tih te a zawt hmasa ang che. Tichuan physical exam an ti leh ang.

Bullous emphysema nia rinhlelh a nih chuan i doctor chuan pulmonary function testing (PFT) a ti ang. Heng test te hian i lungin boruak a kal that dan leh bullae te hian boruak kal dan a tikhawlo em tih an enfiah thin.

Heng test-te zingah hian spirometryTest i nei thei bawk. Hei hian tube hmanga machine (spirometer)-a thawk chhuah a huam a ni. Hei hian i thawk chhuah leh chhuah laiin i lung chhunga boruak a luh leh chhuah zat a teh a ni.

Chu bâkah, i doctor chuan alveoli lian emaw, chhia emaw enfiah nân imaging test neih a rawt thei bawk. Chûng zîngah chuan:

• Chest X-ray: Hei hian bullae a awm leh awm loh leh lung chhunga an awmna hmun a hriat theih nan a pui thei a ni.
• CT scan: Hei hian cyst awmna hmun dik tak, a zat leh a lian zawng hriat theihna a siam thei a ni.

Test dang pawh rawt theih a ni a, entirnan:

• Thisen test: Lung chhunga carbon dioxide a awm em tih enfiah a, thisen chu acidic (hei hi respiratory acidosis an ti a ), emaw oxygen level tlahniam emaw a nih leh nih loh enfiah thin ang che.
• Thisen chhiar kimchang (CBC): Hemoglobin level hniam leh hniam a enfiah thin.
• Electrocardiogram (EKG): Lung natna avanga thinlung natna awm leh awm loh enfiah nan, right ventricular hypertrophy emaw right atrial enlargement emaw .

I doctor pawhin thisen test hmangin Alpha-1 antitrypsin tlakchhamna i neih leh neih loh a enfiah thei bawk.

Hei hi damdawi famkim a awm em?

Vanduaithlak takin bullous emphysema hi damdawi a awm lo. Chumi awmzia chu vawi khat a lo thanglian tawh chuan tihdanglam theih a ni lo tihna a ni. Mahse, lungngai suh! Natna lan chhuah dan nena nunpui thei tur leh natna zual zel tur venna tur enkawlna a awm.

Chuti a nih chuan eng enkawlna nge ni?

I natna lan chhuah dan thunun theih nân, i doctor chuan bronchodilators tih damdawi a pe thei a ni. Hengte hi inhaler hmanga inhnim thin a ni tlangpui . Bronchodilators hian i thawkna kawng chhunga thau te chu a ti hahdam a, i lung chhunga boruak a kal awlsam phah a, thawk hahna a ti tlem bawk.

Ngaihtuah teh, heng damdawi te hian kawngpui zau deuh deuh tihzauh ang maiin hna a thawk a, lirthei tlan pawh a awlsam phah a ni.

Symptoms na tak emaw, lung infection emaw i neih chuan hun rei lote chhung atan antibiotics emaw corticosteroid emaw pek i ni thei bawk.

I oxygen level a hniam chuan i doctor chuan supplemental oxygen therapy , chu chu i hnar chhunga tube dah emaw, i hmaiah mask dah emaw hmangin i taksaah oxygen extra pek a ni tih a rawt thei ang.

A châng chuan, a bîk takin chutianga i sawi lai chuanBullae lian tak tak a awm chuan, thawk harsatna nasa tak a awm chuan, emaw, he natna avanga harsatna dang a awm chuan entirnan:

• Lung tlu (Pneumothorax) .
• Thisen khuh (Hemoptysis) .
• Lung natna a awm

Hetiang thil hi a lo thleng a nih chuan operation i mamawh mai thei.

Bullous emphysema enkawlna chi hrang hrang:

• Bullectomy: Hetiang tih danah hian surgeon chuan i lung atanga bulla (air sac) chu a la chhuak thin. Hei hi open surgery (Thoracotomy) emaw, minimally invasive procedure (Video-assisted thoracic surgery - VATS) emaw angin tih theih a ni.
• Bronchoscopic lung volume reduction (BLVR): Hetianga minimally invasive procedure-ah hian surgeon chuan i lung chhungah valve a dah a, tumruh takin lung hmun thenkhat a ti tlem a ni.
• Lung volume reduction surgery (LVRS): Hetah hian surgeon chuan lung tissue chhia chu a paih chhuak a, chutiang chuan tissue la awmte chu a thawk tha zawk thei a ni.

Chûng enkawlna zînga pakhat mah a hlawhtling lo a nih chuan, a remchan chuan i doctor chuan lung transplant tûrin a refer thei che a ni .

Engtin nge he hlauhawmna hi tihziaawm theih ang?

Bullous emphysema vei theihna tihziaawmna atana i tih theih ṭha ber chu zu in loh hi a ni a, a nih loh leh meizuk i nih chuan bânsan hi a ni. I doctor nen meizuk bânsan theihna tur kawng hrang hrang sawipui rawh. A awlsam lo tih kan hria a, mahse i lung hriselna atan chuan a hlu hle.

Hetiang dinhmun nen hian eng nge i beisei tur?

Bullous emphysema hi dam chhunga hriselna lama harsatna awm thei a ni. Hei hian i lung chu vawi khat a chhiat tawh chuan a dam kim ngai lo tihna a ni. Mahse, enkawlna i tan hma poh leh i natna a zual zel tur chu i titawp thei zawk a ni. Chuvang chuan natna lanchhuahna i neih chuan a rang thei ang bera damdawi lam pan a pawimawh.

Engtin nge ka in enkawl ang?

I symptoms te chu i enkawl thei a, i nung tha thei bawk. I tana enkawlna dik tak hmuh hian i nunphung nasa takin a tichangtlung thei a ni.

Tin, hrisel taka awm a pawimawh a, hriselna lama harsatna lian tham tak tak laka inven a pawimawh bawk. Chuvangin, i doctor nen vaccine i mamawh theih chi hrang hrang, flu vaccine, COVID vaccine, leh Pneumococcus vaccine te chu sawipui rawh.

Engtik hunah nge doctor ka hmuh ang?

Bullous emphysema chhinchhiahna i hmuh chuan, emaw, symptom thar i neih chuan doctor pan ngei ngei tur a ni.

A hnuaia symptoms te hi i neih chuan doctor pan vat a pawimawh:

• I hmui emaw i kut zungtang emaw (cyanosis) rawng blue emaw gray emaw a awm.
• Rilru fimkhur taka awm harsa.
• Thâwk harsa zual zel.
• Lungphun chak tak (Tachycardia).

Thâwk lak loh hi thil hlauhawm tak a ni thei. Bullous emphysema i neih chuan thawk lak harsa reng ang maiin i inhria mai thei. Meizial zuk hi a chhan ber a ni tih hre reng ang che. Tin, genetic condition thenkhat chuan i risk a tipung thei bawk. Meizial zuk bânsan hi bullous emphysema a zual zel loh nan i tih theih ṭha ber a ni. I doctor chuan thawk hahdamna tur leh nitin nun enkawl awlsam zawka siam thei tur enkawlna a rawn rawt thei che a ni.

Thil pawimawh ber (Take-Home Message) hre reng ang che .

Okay, chuvangin vawiinah hian i hriat reng theih nan thil pawimawh tak tak kan sawi tawh thenkhat chu hetiang hi a ni:

• Bullous emphysema hi lung chhunga air sacs te a chhiat a, air sacs (bullae) lian tak tak a lo awm thin hi a ni.
• Meizial hi a chhan ber a ni a, chuvangin meizuk loh hi a pawimawh hle.
• Thâwk harsa, khuh reng, rilru natna ang chi symptom i neih chuan doctor thurawn la ngei ang che.
• Hei hi tihdamna famkim awm lo mah se, natna lan chhuah dan thunun tur leh natna a zual zel loh nan enkawlna tha tak tak a awm a ni.
• A hmaa natna hmuhchhuah leh enkawl hian i nunphung a tichangtlung thei a ni.

Chuvangin, nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan hlauthawng suh la, doctor hnenah thurawn dil rawh. Hrisel takin awm rawh!

` Bullous emphysema, lung natna, thawk lama harsatna, meizuk, COPD, bullae, alveoli