Tin, khuh leh thawk hah reng reng i nei bawk em? He 'Chronic Bronchitis' chungchang hi han sawi ila!

Tunlai hian i khuh leh phlegm a chhuak reng bawk em? Thâwk a harsa deuh tih i hria em? Hetiang hi kar khat emaw kar hnih emaw chhung chu a la awm lo mai thei, mahse thla tam tak, kum tam tak pawh a ni tawh. Chu chu vawiin a kan sawi tur dinhmun chu a ni a, ‘chronic bronchitis’ an tih chu a ni. Eng nge a nih, engvangin nge a lo thanglian a, engtin nge kan pumpelh theih ang tih i lo en ang u.

Chronic Bronchitis tih hi eng nge ni?

A awlsam zawngin, chronic bronchitis chu i lung chhunga thawkna kawng, trachea , bronchi, leh air sac tenau zawk bronchioles tia koh , hun rei tak chhunga inflammation a ni. Hei hian kum khat chhunga thla thum tal emaw, kum hnih emaw a aia tam emaw, thla khat chhunga ni tam zawk chu khuh leh thawk harsatna a thlen thin.

Dik tak chuan ‘chronic bronchitis’ kan ti a, tunah chuan doctor-te chuan he natna hi natna chi hrang hrang ‘ COPD - Chronic Obstructive Pulmonary Disease ’ tia koh zinga mi niin an sawi a ni. Chu chu, hun rei tak chhung natna, lung chhunga thawkna kawng tikhawlotu a ni tihna a ni. ‘Chronic bronchitis’ tia sawi mai ni mah se, `(COPD)' natnaah hian a tel fo thin. Mi tlemte chauhvin thawkna kawng khar lovin chronic bronchitis an nei a, chronic bronchitis chauh an nei.

Acute Bronchitis leh Chronic Bronchitis hi eng nge an danglamna?

‘Bronchitis’ tih hi i lo hre tawh ngei ang. A chi hnih a awm a.

• Acute Bronchitis natna: 1.1.Hei hi rang tak, hun rei lote chhunga bronchitis a ni. Virus avanga lo awm a ni ber a, chu chu khawsik emaw, flu emaw ang chi a ni. Ni engemaw zat atanga kar tlemte chhungin a reh tlangpui.
• Chronic Bronchitis: Hei hi tunlaia hun rei tak chhunga kan sawi tur chu a ni. Kum hnih emaw a aia tam emaw chhung bronchitis symptom i neih fo chuan chronic bronchitis a ni. Hei hi a chhan ber chu zu in hi a ni . Tin, lung tana tha lo thil dang (e.g. leivut, chemical meikhu) avanga lo awm thei a ni bawk.

Chronic bronchitis leh emphysema hi eng nge an danglamna?

Chronic bronchitis leh emphysema te hi COPD an tih natna pawl khata tel ve ve an ni. An pahnih hian an natna lan chhuah dan chu inang hle mah se, lung natna hmunte chu a inang lo hle.

• Chronic bronchitis -ah chuan i lung (bronchi) chhunga boruak luh leh chhuahna tube te chu a hring a, mucus a khat thin.
• Emphysema hi thawkna kawng tawp lama boruak bawm te tak te (alveoli) te a chhiat a, a lo te te a ni.

Vawi tam tak chu COPD vei chuan heng natna pahnih hi a lan chhuahna a nei thei a, chu chu thawkna kawng leh lung lam a tichhe deuh tihna a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Chronic bronchitis, a nih loh leh COPD hian hetiang hian a nghawng fo thin:

• Meizial zu leh zu in tawhte tan chuan hei hi a hlauhawm ber a ni .
• Meizial zutu bula awmte tan (Passive smoking).
• Boruak bawlhhlawh, leivut leh chemical meikhu laka inhnamhnawih rengte tan. Factory thenkhata hnathawk, kawngpui tifai, thingpui lumna (a bik takin kitchen-a meikhu chhuak tha lo)-a chaw siam thinte hi han ngaihtuah teh.
• He risk hi thawkna lam natna dang nei tan pawh a sang zawk a , asthma ang chi te tan pawh a sang zawk a ni .

Chronic bronchitis a lo awm chuan eng nge thleng?

Chronic bronchitis hi i lung a chhiat avangin khuh reng reng leh thawk harsatna a thlen thin a ni. Hei hi thil thleng chu a ni:

Thil hlauhawm tak (e.g. cigarette meikhu , leivut) i thawkna kawngah a luh chuan kan taksa immune system chuan a thawk a, chu hmunte chu a ti hring chhuak thin. Tin, mucus siamtu cell goblet cells an tih te pawh an pung a, chu chuan mucus tam tak a siam khawm thin.

Bronchitis hi a tlangpuiin hun rei lote chhung atan a ni. Mahse, heng thawkna kawngte hi a thinrim reng a nih chuan (entir nan, cigarette zuk reng reng hian) chhiatna a thleng thin. Hetiang chhiatna hian mucus siamtu cell (goblet cells) te chu a ti lian lutuk a ni. Chu bakah, kan thawkna kawngah hian sam ang chi (cilia) tha tak tak a awm a, chu chuan mucus a chhuah tir thin. A chang chuan heng (cilia) te hian hna an thawk tha lo. Chuvang chuan thawkna kawngte chu a lo hring a, mucus-in a khat a, chu chuan khuh fo leh thawk harsatna a thlen thin.

Hetiang dinhmun i neih hian i lungah virus leh bacteria infection hrang hrang i nei tam zawk a, chu chuan i symptoms a ti na zual thei a ni.

Eng nge a lan chhuah dan?

Chronic bronchitis (COPD) chhinchhiahna ber chu kum hnih tal awm reng, phlegmy cough a ni .

A lan chhuah dan dangte chu:

• Wheezing hi thawk lak laiin rilru atanga lo chhuak whistling sound a ni.
• Thâwk harsa, thawk harsa (Dyspnea). Hei hi i chau deuh lai emaw, stairs i chhoh lai emaw pawhin a pawi zawk thei.
• Lungphun chak tak (Tachycardia).
• Chau leh chau lutuk anga inhriatna (Fatigue).

A chhan engte nge ni?

Meizial zuk hi chronic bronchitis (COPD) thlentu ber a ni. Chu chu cigarette leh bidis ang chi thil hman tihna a ni.

Chubakah chuan:

• Boruak boruak bawlhhlawh (lirthei chhuahna, factory meikhu).
• Lung natna dang, Asthma ang chi te.
• A châng chuan, genetic factors pawhin hmun a chang thei bawk.
• A tlem berah chuan a chhan hmuh tur a awm lo thei.

Chronic bronchitis hi a kai theih em?

No. Chronic bronchitis / `(COPD)` hi natna hrik kai theih a ni lo. Chu chu mi pakhat atanga mi dangah a darh thei lo tihna a ni.

Mahse, chronic bronchitis i neih chuan natna hrik kai theih, khawsik emaw flu emaw i man hian i bronchitis symptoms (exacerbation) a ti na thei a , chuvangin fimkhur a pawimawh.

Engtin nge hei hi i hriat chian?

I doctor chuan chronic bronchitis / (COPD) i neih leh neih loh chiang takin a hrilh ang che. I lung a thawh that dan a enfiah ang.

Daktawr:

• I medical history (natna hmasa te, i chhungkuaa tu emaw pawhin hetiang natna hi an nei tawh em tih te, i zu in em tih te, etc.) te an zawt ang.
• I symptoms te ka zawt a.
• Stethoscope hian i thinlung leh i lung a ngaithla a.
• Pulmonary function test neih tir a ni.
• Chest X-ray emaw imaging test dang emaw nei turin an ti thei che a ni.

Pulmonary function test neih a ni

Heng test te hian i doctor hnenah i lung a thawk tha em tih hriat theihna a pe thei a ni. Chutiang test pakhat chu Spirometry hi a ni. He test-ah hian boruak chu tube te tak teah i vawrh lut thin. I lungin boruak a lakluh theih zat, a thawk chhuah chak dan leh i lungin boruak a vawn that dan te a teh a ni.

Chest X-ray emaw CT scan emaw hmanga enfiah a ni

Heng `(Imaging)` test te hian i doctor-in i lungah chhiatna emaw harsatna emaw a awm leh awm loh a hriat theih nan a pui thei a ni. I thinlung leh i lungte thlalak an la thin. I symptoms thlentu natna dang an awm leh awm loh an enfiah bawk.

Thisen test a ni

I doctor pawhin i hriselna tlangpui enfiah turin thisen test a ti thei bawk. A châng chuan, thisen test bik , arterial blood gas test an tih pawh an ti thei bawk. Hei hian i kut chhunga vein (artery) atanga thisen tlemte lak a, a oxygen leh carbon dioxide level enfiah a huam a ni.

ECG emaw EKG emaw hmangin

I doctor hian ECG (ECG/EKG) test pawh a ti thei a, i thinlung hian engtiang chiahin nge hna a thawh tih a hriat theih a, chu chu lung natna thenkhatin thinlung a nghawng thei bawk.

Enkawlnate chu engte nge ni?

Chronic bronchitis (COPD) enkawlna atana ngaih pawimawh ber chu a natna lan chhuah dan control hi a ni. I natna lan chhuah dan nasat dan azirin i doctor chuan enkawlna hrang hrang a rawn rawt thei ang.

Anni chu:

• Meizial zuk bân: Meizial zu mi i nih chuan i tih theih ṭha ber chu bânsan hi a ni. I thawk a ti awlsam ang a, i dinhmun a na zual theihna pawh a ti tlem thei bawk.
• Bronchodilators: Heng damdawi te hi i thawkna kawng hawngtu leh thawk awlsamna tur damdawi a ni. Inhaler hmanga lak an ni fo.
• Steroids: I doctor chuan i lung chhunga natna (swelling) tihziaawmna turin corticosteroids a pe thei che a ni. Hengte hi inhaler angin emaw, pill angin emaw pek theih a ni.
• Pulmonary rehabilitation: Hei hi program bik a ni a, thawk dan tur leh i natna nena nunpui theih dan tur a zirtir che a ni. I nunphung a tichangtlung thei a ni.
• Oxygen therapy: I chronic bronchitis a nasat chuan oxygen i hmu tlem hle mai thei. I doctor chuan supplemental oxygen pek che a tum mai thei. Hei hi i hmaiah mask emaw, i hnar chhunga tube dah emaw hmangin pek theih a ni.
• Antibiotics: Chronic bronchitis i neih hian natna i kai fo thei a, chuvangin i doctor chuan natna i nei nia a hriat chuan antibiotics a pe thei che a ni.

Chronic bronchitis hi eng chen nge a awm?

Doctor-te chuan kum khat chhunga thla thum tal symptom i neih chuan bronchitis hi “chronic” (long-term) an ti a. I symptoms te hi a chang chuan a tha lehzual thei a, a na zual thei bawk. Mahse, acute bronchitis (short-term bronchitis) ang lo takin, chronic bronchitis hi a bo vek lo . Hun kal zelah a na zual thei.

Engtin nge he thil lakah hian i inven theih ang?

Chronic bronchitis (COPD) vei theihna tur tihtlem nan thil tha ber berte chu:

• Meizial zu suh. I tih chuan titawp ngei ang. Tin, midangte zukna hmuna inkhuar loh tur a ni.
• Chemical, boruak bawlhhlawh, leh lung tana chhiatna thlen thei thil dang (e.g., leivut awmna hmun, lirthei rit tak tak chhuahna hmun, chemical meikhu) lakah hlat rawh.
• Asthma ang chi thawkna lama harsatna i neih chuan control la. I doctor thupek zawm rawh.

Chronic bronchitis hi eng nge a nih? Tihdam theih a ni em?

Chronic bronchitis (COPD) hi mi thenkhat tan chuan a na lo thei a, mahse thenkhat tan chuan a na hle thei. I lung a chhia tihna a ni a, chu chhiatna chu hun kal zelah a zual thei hle.

He chhiatna hi tihdanglam theih a ni lo va, chu chu tihdam vek theih a ni lo.

Mahse, lungngai suh! I doctor hian i natna lan chhuah dan tur a enkawl thei che a, natna zual zel tur a tikhawtlai thei a, flare-ups pawh a ti tlem thei bawk. I doctor chuan i dinhmun bik a zirin i tih tur a hrilh ang che.

Engtin nge ka in enkawl ang?

I tih theih tha ber chu i doctor nen thawk hovin i dinhmun nena inmil tur treatment plan siam hi a ni. I doctor-in enkawlna leh damdawi a pek angin i zawm chung pawhin hmasawnna i hmu lo a nih chuan i doctor nen sawiho rawh.

Thluak lam natna laka inthiarfihlim hian i natna lan chhuahna (exacerbations) a zual zel theihna chance i ti tlem thei a ni.

• Vaccine pek ngai a niGet (e.g. flu shot, pneumonia shot).
• I kut chu uluk takin silfai fo ang che .
• Avoid crowded places , a bik takin khawsik leh flu hri leng lai hian.

Heng thilte hian i natna nasatzia a tiziaawm thei a, natna khirh tak i neih theihna tur a ti tlem thei bawk.

Engtikah nge Doctor i hmuh ang?

Chronic bronchitis i nei nia i hriat chuan doctor pan nghal rawh. A rang thei ang bera enkawlna ruahmanna siam hian natna zual zel chu thunun theiin i nunphung a tichangtlung thei a ni.

A hnuaia symptoms te hi i neih chuan doctor pan tur a ni:

• Kar thum aia rei khuh emaw, a lo awm fo emaw i neih chuan.
• Thâwk harsa i neih reng chuan emaw, i rilru aṭanga thawm ri chhuak i hriat chuan.
• Khawsik sang (39.4 degree Celsius aia sang / 103 degree Fahrenheit) emaw, ni nga aia rei khawsik i neih chuan.
• Thisen i khuh chuan.

Doctor hnenah eng zawhna nge i zawh tur?

I enkawlna tur ruahmanna te, damdawi hman dan tur te, inhaler ang chi damdawi hman dan tur te hriatthiamna tha tak i nei tur a ni.

Doctor hnena zawhna dang i zawh theih ṭhenkhat chu:

• Hun kal zelah ka dinhmun hi a chhe zual ang em?
• Enkawlna nen hian eng chen nge ka dinhmun hi a ṭhat ka beisei theih ang?
• Ka symptoms te hi eng chen nge a reh ang?
• Eng symptom thar emaw, a zual zel emaw nge ka en tur?
• Ka enkawlna ruahmanna a hlawhtling lo nia ka hriat chuan engtin nge ka tih ang?

Chronic bronchitis / (COPD) ang chi hun rei tak chhunga natna i neih thu i hriat chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse, i dinhmun bik takah chuan statistics hian i chunga thil thleng tur chu a sawi lawk thei lo tih hre reng ang che. I doctor nen rinawm taka inbiakna hmang hian i dinhmun i enkawl lai hian eng nge i beisei ang tih ngaihtuahna i nei thei a ni. Chronic bronchitis hian i nunah nghawng a neih tlem theihna tura pui thei tur enkawlna leh zirtirna a awm.

Thupui tawi (Take-Home Message) 1.1.

Okay, chuvangin tunah chuan vawiin a kan sawi tawh chronic bronchitis hi in hriatthiam ka beisei.

A pawimawh ber chu meizuk bânsan vek hi a ni tih hre reng ang che. Tin, i lung tana pawi thei thil lakah a theih ang anga inveng la.

I khuh reng emaw, thawk hah emaw ang chi symptoms i neih chuan ngaihthah suh la, doctor lam pan nghal rawh . A hmaa natna hriatchhuah leh enkawl hian nun tha zawk i neih theih nan kawng thui tak a zawh thei a ni. Ngaihtuah buai suh, doctor te tanpui turin an lo kal a ni.