Hetiang thil hi i chungah i thleng tawh em? Khawsik i tuar a, i dam leh a, mahse i khuh chu a tawp lo chauh. Kar tam tak chhung chu i khuh tawh a. A châng chuan, inkhâwm pawimawh tak karah emaw, zan reh takah emaw i harh a, i khuh ṭan ṭhin. Hei hi a tithinur tak zet a, a nuam lo tak zet bawk. Kan taksaah hian khuh hi invenna ni mah se, hetianga chhunzawm zel hi thil pangngai a ni lo. Vawiin hian he khuh chhunzawm zel, emaw, damdawi lama kan sawi thin ‘Chronic Cough’ chungchang hi kan sawi dawn a ni.
He khuh rei tak hi eng nge ni?
A awlsam zawngin sawi ila, chronic cough chu puitlingah kar 8 aia rei leh naupang kar 4 aia rei khuh a ni . Khuh hi a takah chuan thil tha tak a ni. Kan thawkna kawng chhunga leivut leh hrik lutte a tifai thei a ni. Mi zawng zawng hi a chang chuan kan khuh vek. Mahse hetiang hun rei tak chhunga khuh hi hriselna lama harsatna awm dang chhinchhiahna a ni fo thin. Hei hi miten doctor an pan chhan ber a ni.
Chuvangin hei hi ngaihthah mai mai a tha lo. Khuh fo hi taksa tan a hahthlak hle. Tin, mipui hmaa kal a harsat phah bawk a, mi pakhat chuan, "He khuh hi engtikah nge a lo let leh ang?" Chuvang chuan a chhan zawn chhuah a, uluk taka enkawl a pawimawh hle.
Khuh nena inzawm natna langsar dangte
I khuh rei tak chhan a zirin, khuh nen hian symptom dang pawh a awm thei bawk. A hnuaia table hi en la, heng zinga pakhat tal i neih leh neih loh en rawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik | Taksa lumna a sang. |
| Lungchhung natna | Pum acid lo lut avanga inflammation awm thin. |
| A rilru a na | Khuh lai emaw, thil tih dan pangngaia tih lai emaw a na. |
| Aw ri bengchheng tak | Aw inthlak danglamna, hoarseness. |
| Thâwk harsa | Thâwk harsa emaw, thawk harsa emaw tih. |
| Hnar luang emaw, hnar khar emaw | Hnar natna, khawsik ang mai. |
| Thlalak tihfai fo thin | Thlalak chhunga thil awm ang maia hriat a nih avangin throat clearing fo thin. |
Hetianga khuh reng reng hi engte nge a chhan ber?
Chronic cough thlen thei "culprits" lian tlemte an awm. 90% velah chuan a chhan chu heng pathum zinga pakhat emaw a aia tam emaw a ni thei.
| A chhan ber | A sawifiahna awlsam tak |
|---|---|
| Asthma natna a ni | Chronic cough thlentu tam ber. A châng chuan boruak lum/ vawt, leivut, meikhu, etc.-a inhriat hian khuh a ti na zual thei. |
| Hnar hnu lama tui tla | Hei hi ‘Upper Airway Cough Syndrome’ (UACS) an ti bawk. A awlsam zawngin, hei hi hnar atanga ril thlenga mucus awmkhawmna a ni . Allergy hian hnar chhungah mucus tam lutuk a siam a, chu chu kawchhung hnuai lamah a kal a, thawkna kawng leh lung a ti na a, khuh a thlen thin. |
| GERD (Gastroesophageal Reflux Natna) 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Hei hi stomach acid chu esophagus-ah a luang leh a ni. Heng acids te hian kawr chhunga tissue nalh tak tak te chu a hal a, chu chuan khuh a thlen thei a ni. |
| Lung natna dang | Lung natna dang, Bronchitis, COPD, leh Pneumonia te pawhin hun rei tak chhung khuh a thlen thei bawk. |
Chhan dang
A chunga kan sawi chhan berte bakah hian thil dang engemaw zatin khuh rei tak a thlen thei bawk.
- Thisen sang damdawi thenkhat: Mi thenkhatin damdawi thenkhat, a bik takin ACE inhibitor an tih te ei hian khuh hnim (dry cough) an nei thei. Mahse, i doctor thurawn tel lo chuan heng damdawi te hi i ei khap ngai suh tih hre reng ang che.
- Allergy: Leivut, pollen, etc. te allergy nei.
- Heart Failure: Lung hnathawh chak loh vangin khuh a awm thei bawk.
- Meizial zuk: Meizial zutute hian "smoker's cough" an tih chu khuh rei tak an nei hi thil mak a ni lo.
- Thluak lam natna: Whooping cough ang chi infection hian a dam hnuah kar tam tak chhung khuh a awm thei a.
A châng chuan test zawng zawng pawh ni se, khuh chhan hmuh tur a awm lo. Chutiang hunah chuan doctor-te chuan he natna hi "Chronic Refractory Cough" tiin an sawi thin.
Hei hi engtin nge enkawl a nih?
A pawimawh ber chu khuh chhanah enkawl dan a innghat a ni. Chumi awmzia chu khuh titawptu damdawi ei ai chuan khuh thlentu underlying condition enkawl a pawimawh zawk tihna a ni.
I doctor chuan i tana tha tur treatment plan a pe ang che. Hei hian damdawi leh nunphung tihdanglamna inzawmkhawm a huam a ni.
Damdawi chi hrang hrang
- GERD tan: Damdawi `(antacids)`, `(H2 blockers)`, emaw `(PPIs)` hmangin stomach acid control rawh.
- Bacteria infection tan: `(Antibiotics)`.
- Allergy leh rhinitis tan: Antihistamine leh hnar spray te.
- Mucus hnawhchhuahna tur: Damdawi ``Expectorants`` ang chi te hian mucus chu a tithianghlim a, awlsam zawka a chhuah theih nan a pui thin.
- Swelling tihziaawmna tur: Asthma ang chi dinhmunah chuan steroid emaw inhaled bronchodilators emaw hmangin thawkna kawng a swelling tihtlem tur a ni.
A pawimawh hle mai:Naupang kum 6 hnuai lam chu naupang enkawltu doctor rawtna tel lo chuan khuh/khawsik damdawi over-the-counter pek loh tur a ni.
Nunphung a inthlak danglam thin
Chûngte chu thil awlsam tak angin lang mah se, khuh thununna kawngah ṭanpuitu ṭha tak a ni.
- Mut tam rawh .
- Ei leh in inthlau tak ei rawh .
- Tui tam tak in thin ang che.
- GERD i vei nia i hriat chuan khum lu chu sang deuhin mu rawh .
- I khuh thlentu (e.g., meikhu, rim na tak, ei tur thenkhat) chungchang i doctor nen sawiho la, chu chu pumpelh dan tur ruahmanna siam rawh.
Enkawl loh chuan eng nge thleng ang?
Chronic cough hian mut theih lohna a thlen thei. A hahna leh stress hian i nitin a nghawng thei a ni. I khuh reng avanga mualphona avang hian khawtlang nunah pawh i inhnukdawk thei bawk.
A nasat deuh thenkhatah chuan khuh hian:
- Mit thisen chhuak
- Rib ruh tliak a awm
- Luak chhuak leh lu na
- Hernia a ni
- Bladder control hloh (khuh laiin zun tlemte leak) .
- Chhung leh pum ruh na
Engtikah nge doctor i hmuh ang?
Dan awlsam ber chu, ni 10 aia rei i khuh a, a chhan dik tak i hriat loh chuan i doctor i pan ngei tur a ni.
Chu bâkah, a hnuaia vaukhânna chhinchhiahnate zînga i neih chuan , damdawi lam thurâwn dil nghâl rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
| Damdawi lam pan vat ngai vaukhânna chhinchhiahna | |
|---|---|
| Thisen a khuh chhuak | Thisen emaw, dum dum emaw, mucus nena inzawm thisen. |
| Zanah thawk hah lutuk | Khum puan pawh a hnim nasa lutuk. |
| Aw ri bengchheng tak, a tha lo | Aw ri bengchheng tak chu kar engemaw zat chhung chu a tlahniam lo. |
| Thâwk harsa | Thâwk a tawi emaw, thawk rang emaw. |
| Chaw ei harsat | Chaw emaw in tur emaw ei laiin natna emaw, rilru hahna emaw hriat. |
| Sawifiah loha taksa rihna tlahniam | I tum lova taksa rihna tihtlem. |
| A rilru a buai hle | Thâwk chhuah laiin rilru aṭanga whistling ri. |
Chronic cough hi i tawrh tur thil a ni lo. Enkawlna hrang hrang tanpui thei tur a awm. Diagnosis dik tak neih hi he zinkawng zawh hmasak ber a ni. Chuvangin tihkhawtlai suh la, i doctor hmu rawh.
Take-Home Thuchah a ni
- Puitlingah kar 8 aia rei emaw, naupang kar 4 emaw aia rei khuh chu ‘Chronic Cough’ an ti a. Hei hi ngaihthah ngai suh.
- Hei hi a thlen tam ber chu asthma, postnasal drip, leh gastroesophageal reflux disease (GERD) te hi a ni.
- Enkawlna chu khuh chhanah a innghat a, chuvangin diagnosis dik tak neih a pawimawh hle.
- Thisen khuh, thawk harsa, emaw, taksa rihna tlahniam ang chi vaukhânna chhinchhiahna i neih chuan doctor rawn la nghal rawh.
- I doctor nen inbia la, i tana enkawlna tur ruahmanna leh thurawn tha ber ber dawng rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Timolol (Timolol Systemic / Blocadren) tablet hi eng natna atan nge hman?
Glaucoma/eye pressure atana eye drop hmanga hriat lar ni mah se, he ‘pill’ hi khawvela damdawi chi hrang hrang (Non-selective Beta-blocker) chak ber a ni! Doctor-te chuan ‘High Blood Pressure’, migraine na tak venna atan an hmang a, ‘Heart Attack’ atanga damchhuah hnua a vawi hnihna atana thihna hlauhawmna 100% a tihziaawm nan an hmang bawk.
💬 He pill rapthlak tak (Timolol) i ei hnu hian engtin nge heart attack/migraine dang i neih loh nan i tihtawp theih ang?
‘Adrenaline (Epinephrine) tih thuchah avang hian i thinlung leh i lu chhunga thisen kalna kawngte rhythm a danglam thin. He pill hi taksaa a luh veleh thinlung (Beta-1) leh thisen kalna/lung (Beta-2) chhunga gate zawng zawng chu 100% in block/closed vek a ni a, forcibly lock (Non-selective) a ni. Thuchah thlen theihna tur kawng a awm loh avangin thinlung chu a slow mai a, thluaka thisen kalna kawngte chu a tul lovah a zau tawh lo va, chu chuan migraine/heart attack hlauhawmna a ti bo ta a ni.
💬 Engvangin nge he damdawi (Timolol) hi rang taka ei loh tur an tih? Black Box Warnings te hi engte nge ni?
He pill hi thla tam tak i ei a, i theihnghilh emaw, ‘stop it suddenly’ emaw a nih chuan, chutiang adrenaline receptor block zawng zawng chu thunun theih lohvin a inhawng nghal vek ang! Tichuan, minute engemaw zat chhungin heart attack na tak i nei ang a, i thinlung chu a tawp ang (Myocardial Infarction / Sudden Death) chu chu thihna thlen thei khawpa thihna thlentu a ni! Tin, hei hian lung pawh a block avangin, ‘Asthma’ vei te hnenah hei hi i pek chuan an thawk chhuak thei a, an thi thei bawk (in in khap a ni!).
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