Nu leh pate’n an fate nungchang an hriat tur chu

Chumi tlai khaw vawt takah chuan ka room-a tea lum ka in lai chuan kan clinic kawngkhar chu a rawn ri nghal a. Kawngkhar ka hawn chuan ka thian tha ber zinga mi Shalini chu a buai hle a. A fapa te tak te Dinuka chu a lo kuah a.

Dinuka chu thawk a la chhuak hauh lo ang mai hian a rilru chu harsatna nasa tak nen a chho leh chho a. Doctor ka nih angin clinic-ah hetiang damlo tam tak ka lo hmu tawh a, mahse hetiang dinhmun khirh takah ka thianpa fa ngei ka hmuh hian ka hlauthawng hle. Ka la lut nghal a.

"Doctor Priya, Dinuka hi khawsik laiin a khuh tlangpui. Mahse zanin chu a na zual sauh sauh a. Thâwk lak a harsat hle. Ka hlauthawng, doctor," Shalini chuan mittui tla zawih zawih chungin a ti a.

Dinuka an endik chuan naupangte zingah natna tlanglawn tak , naupan laia Asthma a vei tih hmuhchhuah a ni. Chuvangin vawiinah hian naupan laia Asthma hi eng nge a nih, a symptoms, leh nu leh pate’n an fain Asthma attack a neih chuan eng nge an tih nghal tur tih te han sawi ila.

Asthma hi eng nge ni?

Asthma hi hun rei tak chhung thawkna lam natna a ni a, chu chu kan lung chhunga thawkna kawng te te infection, swelling, leh sensitivity avanga lo awm a ni.

Heng thawkna kawngte hi a hring a, a zim a, mucus a khat chuan lung chhunga boruak lut leh chhuak chu a block thin. Chu chu Dinuka chunga thil thleng chu a ni. "Shalini, flexible tube hmanga thawk ang mai a ni. A laiah tube chu miin a hmet chuan i thawk thei dawn lo a ni lawm ni? Dinuka taksa pawh hian chutiang thil chu a tawk ve bawk a ni," Shalini hnenah chuan ka hrilhfiah mai mai a.

Naupangte hian Asthma an vei hi thil pangngai a ni em?

Awle. Naupangte zingah Asthma hi natna khirh tak a ni ber a. A vaiin naupang pali emaw panga emaw zinga pakhat chuan naupan laiin Asthma symptoms a nei ang.

Naupang kum 2 leh 8 inkar ah a tam hle a, naupang thenkhat chuan an lo puitlin chuan an asthma hi an outgrowling a, thenkhat erawh chuan puitlin thlengin an nei chhunzawm zel thei thung. Amaherawhchu, damdawi lam inenkawlna leh inenkawlna mumal tak a neih chuan naupang chu a hma ang bawkin a khel thei a, nun chak tak a hmang thei a ni.

Naupan laia Asthma natna lan chhuah dan

Naupangin asthma a vei leh vei loh hriat theihna tur chhinchhiahna lian ber berte chu hetiang hi a ni:

• Persistent Coughing: A bik takin zanah emaw, zingkar hma emaw, naupang inkhelh avanga a chau lai emawa khuh hring (dry cough) a awm thin.
• Wheezing: Naupangin thaw a chhuah hian a rilru atanga "whoosh" emaw "whoosh" emaw ri fiah lo tak, flute ang chi.
• Thâwk tawi: Thâwk rang leh thawk harsa.
• Chest Tightness: Naupang chuan a rilru a na emaw, a tight emaw angin a sawi thei (naupang naupang zawkte pawhin hei hi pum na angin an sawi thei bawk).
• Chauhna: Exercise leh inkhelh duh loh leh chau vat thin.

Asthma attack thlentu a ni

Naupang asthma vei thawkna kawng ti na thei trigger engemaw zat a awm a:

• Khawsik leh flu: Viral infection hian thawkna kawng a ti na zual thin.
• Allergens: In chhunga leivut hnim, ui/ui dander, pollen, leh mold te.
• Khua a inthlak danglam: Khua lum, vur, emaw, boruak lum leh vawt tlahniam nghal emaw.
• Air pollution: cigarette meikhu, red powder/dust, mosquito coil meikhu, leh rimtui chak tak tak te.

🚨 Damdawi ina dah vat ngai Red Flags

Naupangin Asthma attack a neih a, a hnuaia symptoms te hi a lo lang a nih chuan 1990 ah call nghal tur a ni a, tihkhawtlai lohvin damdawi inah hruai tur a ni:

• Thâwk harsa: Naupangin thawk a lak hian a ruh inkar leh a kawr bul lam vun chu chhung lam hawiin a inher chhuak thin (Chest Retractions).
• Thusawi harsa: Naupangin thawk hah vangin vawi khatah thu eng emaw zat a sawi thei lo mai thei.
• Vun sen: Naute hmui, lei emaw, kut zungtang emaw vel chu a sen emaw, a sen emaw a lo ni (oxygen level hniam tihna a ni).
• Mutthilh: Naupang chu a chau a, a chak lo a, mut a harsat bawk.
• Blue inhaler (Reliever) hmang mahse hahdamna a awm lo.

Asthma attack a awm chuan tanpuina hmasa ber (Asthma Action Plan) .

Naupangin thawk a harsat a nih chuan, Shalini-i Dinuka-in a fapa a tih ang khan, heng first aid step te hi zawm nghal rawh:

1. Naute chu ding chungin thuttir rawh: Naute chu mut tir suh. Naute ding chunga thut hian thawk a ti awlsam hle.
2. Thlamuang rawh: I hlauthawng chuan naute chu a hlauthawng zual ang a, thawkna kawng a zim lehzual ang. Muangchangin naute chu thlamuang rawh.
3. Inhaler blue (Reliever - Ventolin) chu spacer device hmangin pe rawh:

• Inhaler chu uluk takin vawt la, spacer-ah chuan dah rawh.
• Mask chu naupang hmaiah nghet takin dah la, vawi khat puff rawh .
• Naupang chu spacer hmangin thawk pangngai 4 la rawh se.
• Chutiang chuan minute 4 chhungin puff 4 (a hranin pakhat theuh) pe rawh .

4. Minute 4 nghah: Naupang thawk dan pangngaia a lo kir leh loh chuan a chunga kan sawi ang hian puff 4 dang pe leh ang che.
5. Damdawi inah hruai: A dinhmun a ṭhat loh chuan 1990 call nghal la, damdawi inah hruai rawh. Damdawi in panna kawngah hian inhaler hi minute 4 danah puff 4 pe thin ang che.

Hun rei tak chhung damdawi hmanga enkawl leh control

Doctor-te chuan asthma control nan inhaler chi hnih hman an rawt ber a:

• Reliever inhalers (a tlangpuiin blue): Asthma attack laiin thawk a harsat hunah chauh hman thin (e.g. Ventolin/Salbutamol).
• Preventers (a tlangpuiin brown, red emaw orange emaw): Hengte hi doctor-in a tih angin nitin hman tur a ni a, asthma control nan. Zawi zawiin thawkna kawng a swelling leh mucus te chu an ti tlem a.

Asthma-friendly home (Home Care) siam ila .

• Meizial zu khap tlat: In chhungah emaw, naupang inkhuarna hmunah emaw tumah meizuk phal suh.
• Leivut control: In chhungah curtain leh carpet thuk tak tak hman tlem tur. I fa mutna chu kar khatah vawi khat tui lum 60 degree Celsius vel ah silfai la, vawt rawh.
• Ran vulh: Naupang mutna pindan chhunga ui leh vawk lut tur ven.

Tih tur & Tih loh tur

Scientific lam atanga lak chhuah (References) .

• 📚 Asthma - NHS
• 📚 Naupangte zingah Asthma vei hmuhchhuah leh enkawl dan - PMC