A rilru a na reng em? (Chronic Pharyngitis) Hemi chungchang hi han sawi ila!

I kawr na i neih hian a ti thinrim hle a ni lawm ni? Chaw tlem emaw, hmui tlem emaw ei tum pawha i natna chu! A tlangpuiin he kawr na hi ni rei lo te chhungin a reh thin. Mahse, a châng chuan he kawr na, chu chu hliam, a sen, leh hnim hring ang maia hriatna hi ni engemaw zat hnuah a awm reng a, a reh a, a lo lang leh ta a ni. Chu chu damdawi lama `(Chronic Pharyngitis)` emaw 'hun rei tak chhunga rilru natna' emaw kan tih chu a ni. Hei hi a tithinur thei khawp mai, chuvangin he thu hi chipchiar deuhin han sawi ila.

Chuti a nih chuan he rilru natna (persistent sore throat) hi eng nge ni? (Pharyngitis natna khirh tak) .

A awlsam zawngin sawi ila, `Chronic Pharyngitis` hi kawr na, a dam lo, a nih loh leh a dam leh a, a lo let leh nghal vat a ni. Hetiang dinhmun hi i rilru a sen a, a hring (keini doctor-te chuan `inflammation` kan ti) a lo awm thin. I doctor chuan ``persistent sore throat`` a ti thei bawk.

Chu i rilru natna, i rilru natna, i rilru natna chu i hre reng mai thei. I ei chuan a na zual thin. A tam zawkah chuan rilru natna awlsam tak (`pharyngitis`) chu ni 10 vel chhungin a bo vek ang. Mahse, he natna, ``Chronic Pharyngitis`` tia koh hi a rei zawk thei hle – a chang chuan kar tam tak chhung a awm thei bawk.

I rilru natna hi rei tak a awm chhan tam tak a awm thei. I chhehvela thil awm, meikhu emaw, chemical na tak emaw ang chi pawh a ni thei. A nih loh leh, hrisêlna dang, a na zâwk pawh a ni thei, chhinchhiahna a ni thei bawk. Chuvangin, i rilru natna a dam lo a nih chuan doctor nen inbiakna neihpui ngei tur a ni.

Hetianga rilru natna awm reng hi eng nge a lan chhuah?

`(Chronic Pharyngitis)` ah chuan a hnuaia symptoms te hi hmuh tur a awm thei:

• Chaw ei harsa ang maia inhriatna: Chaw emaw in tur emaw chu i rilruah a tla lo ang maiin.
• I rilruah thil a inkhung ang maia hriat: I rilruah thil, ball ang maia awm ang maiin a awm mai thei.
• Hoarseness: Aw chu a danglam a, a ri chhuak ta. A châng chuan, aw chu a chak lo êm a, ṭawng theih loh emaw, a bo vek emaw pawh a ni.
• Kawngkhar natna, hrual emaw, gritty emaw hriatna: kawchhungah hian sand chi hrang hrang awm ang maiin.
• Kawr chhunga lymph node hring (swollen lymph nodes): Hei hi a hring (swollen lymph nodes) an ti. Hengte hi kan taksa invenna (defence system) a tel ve a ni. Infection a awm chuan an hring thei.
• Kawngkhar chhunga tickling sensation, ant kal tlang ang maia: Kawngkhar chu a tickling reng a, khuh a lo thleng ang maiin.
• Aw chak lo, thusawi laia chau tih hriat: Hun rei lote i sawi hnuah pawh aw chu a chak lo a, i chau hle.

Engvangin nge he rilru natna hi a awm reng? A chhante chu engte nge ni?

Kawngkhar na reng reng hi chhan hrang hrang a awm thei. Eng nge an nih hi han thlir ila:

• Allergy: Mi thenkhat chuan thil tam takah allergy an nei thin. Pollen, mold, dust mites, a nih loh leh pet dander pawh ngaihtuah teh. Hei hi ``Hay fever'' kan ti bawk.Heng allergy te hian rilru natna leh inflammation awm reng a thlen thei.
• Chronic tonsillitis: Kan kawr sir lehlamah tonsils pahnih kan nei a. Chûngte chu a kai reng a, a hring reng a nih chuan chu chu he rilru natna awm reng chhan lian tak a ni thei.
• Thil tha lo (toxic substances) nena inzawmna: Meikhu (a bik takin cigarette meikhu, lirthei atanga chhuak), emaw factory atanga chemical na tak tak lak fo hian rilru a tichhe thei a, harsatna kal zel a thlen thei bawk.
• GERD (chronic acid reflux): Mi thenkhat chuan an pum chhungah acid an nei a, chu chu chaw kawng (food pipe)-ah leh an rilruah a lut a. Hei hi GERD kan ti a. He acid hian ril a thleng thei bawk a, ril tissue nalh tak tak te chu a tichhia a, hliam a siam thei bawk. Ngaihtuah teh, hei hi chaw ei zawha an rilruah kang natna nei emaw, an rilruah a thlum lo emaw pawh a ni thei.
• LPR (Laryngopharyngeal reflux): Hei hi GERD nen a inang a. Mahse, stomach acid hi rilru chhungah a back up a, a then chu larynx (voice box) ah a lut bawk. Hei hian ril leh larynx tissue nalh tak tak a tichhia a, natna leh ri bengchheng chhunzawm zel a siam thin.

A tlem hle a, ril cancer ang chi natna khirh tak hian heng symptoms te hi a thlen thei a ni. Mahse hei hi a tlem hle a, chuvangin lungngai suh. Chutiang a nih chuan, kawr na bakah hian thawk harsa, kawr chhungah hnah danglam tak tak, hnar emaw ka atanga thisen chhuak, leh taksa rihna tlahniam te pawh i nei thei bawk. Chuvang chuan kawr na hi a dam lo a nih chuan a chhan hriat tumin Doctor pan a pawimawh kan ti fo thin.

He rilru natna awm reng hi a kai thei em?

Hei hi i kawr na chhanah a innghat a ni.

• Imagine, if you have this because of some germ , a ni, mi dangah pawh kai theih a ni. Heng natna hrik te hi kan thil hman, towel, toothbrush, thawmhnaw, ei tur bungrua leh cutlery te hmangin midang hnenah kan kai thei a ni. A chhan chu hrik thenkhat chu heng leilung chungah hian hun engemaw chen an awm thei a ni.
• If your sore throat is caused by a virus , i damloh chhung zawng, chu chu symptoms i neih chhung chuan midang hnenah i la thehdarh thei tho tihna a ni.
• But if it’s caused by bacteria , doctor-in antibiotics a pek, dik tak leh a hun taka ei chuan, rang takin natna chu a titawp thei a ni.

Enkawl loh chuan eng harsatna nge thleng thei?

He kawr na hi infection avanga lo awm niin han ngaihtuah teh. Chutih laia inenkawlna mumal kan hmuh loh chuan kan taksa peng dangah a darh thei a ni. Chutiang a nih chuan heng ang harsatna hi a thleng thei a ni:

• He natna hi i sinus cavities-ah a darh thei a, sinusitis a thlen thei a, chu chuan lu na leh hnar natna ang chi symptoms a thlen thei bawk.
• A châng chuan, a bîk takin, a rilruah Streptococcus an tih bacteria a awm chuan, rheumatic fever tih natna a thlen thei a ni. Hei hian thinlung, ruh leh thluak thlengin a nghawng thei a ni.
• A tlem hle nachungin, bacteria infection thenkhat chuan natna hlauhawm tak toxic shock syndrome an tih chu a thlen thei a, chutah chuan thisenah toxins a awm khawm thin.

Chuvang chuan rilru natna hi a awm reng chuan awlsam taka lak a tha lo. A rang thei ang bera Doctor hmuh a pawimawh hle.

Engtin nge doctor chuan hei hi eng nge a nih chiah tih a hriat theih?

Doctor i pan dawnin a tih hmasak ber chu taksa enfiahna uluk tak a pe che a ni.

• I rilru chhungah torch an rawn eng ang a, a sen, a hring emaw, a hring emaw an zawng ang.
• An kawng an hre a, lymph node a hring em tih an enfiah thin.
• Tichuan i symptoms te an zawt ang che. Eng chen nge i neih tawh, eng harsatna dang nge i neih tawh, i natna hmasa te, leh damdawi i ei dan te.

Chu bakah, i rilru natna chhan dik tak hriat nan a hnuaia test te hi tih theih a ni bawk:

• Rapid antigen detection test: Hei hi strep throat (Streptococcus bacteria atanga lo chhuak throat infection) i neih leh neih loh rang taka enfiah nan tih a ni tlangpui. Hei hi i rilru atanga sample te tak te lak hmanga tih a ni.
• Throat culture: Hei hian i rilru atanga mucus sample lak a, lab-a tihpun a, virus, bacteria emaw, fungus emaw avanga lo awm a nih leh nih loh enfiah a ni.

Heng test atanga information kan hmuhte atang hian doctor chuan eng damdawi nge a pek tur tha ber tih a rel thin.

Hei hi eng enkawlna nge ni?

`(Chronic Pharyngitis)` enkawl dan hi a chhan bulpuiah a innghat a ni. Doctor-in a chhan a hmuh veleh chu a chhan damdawi dik tak chu an rawn pe ang. Enkawlna hman tlanglawn tak takte chu:

• Corticosteroids: Hengte hi spray angin emaw, pill angin emaw pek theih a ni. Anni hian ril a hring leh inflammation tihziaawmna hmangin hna an thawk a ni.
• Infection dona atana damdawi: 1.1.
• A chhan chu bacteria infection a nih chuan , antibiotics pek thin a ni.
• Viral infection a nih chuan a tam zawkah chuan damdawi bik a ngai lo, taksain a mah chauhin a do thei a ni. Mahse, virus na tak thenkhat tan chuan antiviral drugs (`(Antivirals)`) pek theih a ni.
• Fungal infection a nih chuan , antifungal damdawi (`(Antifungals)`) pek tur a ni.
• Painkillers: Doctor chuan acetaminophen (Tylenol®) emaw ibuprofen (Motrin®) emaw ang chi damdawi a pe thei a, chu chu ril na, taksa na, leh khawsik ang chi thil tihziaawmna atan a ni.
• Tonsillectomy: A chang chuan tonsillitis hi kum khatah vawi eng emaw zat tonsillitis (chronic tonsillitis) lo awm nawn leh vang a ni. Chutiang mite tan chuan doctor-te chuan tonsils chu surgery hmanga lakchhuah an rawt mai thei.

A pawimawh ber chu Doctor-in a chhan zawng chhuah tir hi a ni. A chhan a hriat veleh dam thuai theihna tur kawng tha ber a hrilh ang che. Nangmah ngeiin damdawi la turin kal mai mai suh.

Hetianga rilru natna awm reng hi kan veng thei lo em ni?

A pum puia ven theih ni lo mah se, `(Chronic Pharyngitis) vei theihna tihziaawmna tur thil kan tih theih a awm a:

• Damlote lakah inthiarfihlim rawh: Damlo, a bik takin khawsik, khawsik, khuh nei te nen inhnaih taka inhnaih loh tur a ni a, an hman tawh thil khawih loh tur.
• Mi dangte hnenah ei tur, in tur glass emaw, dish emaw insem suh: Hei hian awlsam takin natna hrik a kai darh thei a ni.
• Meizial i zuk chuan bansan a tha: Meizial hi i kawr tan chauh ni lovin, i lung leh i taksa pumpui tan pawh a tha lo. Midang meikhu (passive smoking) nena inhmuhna pawh a tha lo.
• Sahbawn hmangin i kut sil fo la, uluk takin: I kut chu second 20 tal sahbawn hmangin uluk takin silfai la, i kut zungtang inkar leh i nail hnuaiah tihfai ngei ngei tur a ni. Ni khata thil engzat nge kan khawih tih hi han ngaihtuah teh. Hriselna chu hmun tinah a awm thei.
• Sahbawn leh tui a awm loh chuan a tlem berah zu hmanga siam hand sanitizer (`(antibacterial hand sanitizer)`) hmang ang che.
• Allergy i neih chuan control rawh: Leivut leh pollen ang chi thil lakah hlat rawh. Doctor rawn la, a tul chuan allergy damdawi ei thin ang che.
• GERD emaw LPR emaw i neih chuan enkawl rawh: Heng natnate hi ei leh in thlak danglam te, nunphung thlak danglam te, leh a tul chuan damdawi hmanga enkawl theih a ni.

Hetiang dinhmun atang hian dam leh theih a ni em? Eng ang thlirna nge ni ang?

Uluk taka enkawl a nih chuan he natna hi a lo tha chho fo thin. Chu chu tihdam theih a ni tihna a ni. Mahse, enkawl loh chuan he ril na hi a awm reng thei a ni. A chhan bulpui ber enkawl a nih loh chuan a rilru natna chu kar tam tak chhung a awm thei a, a reh thei a, a lo let leh thei bawk.

Sawi tawh ang khan hei hi cancer ang chi natna khirh tak chhinchhiahna a nih hi a tlem hle. Amaherawhchu, i kawr a na reng a nih chuan, i doctor hnena hrilh chu a finthlak hle ang. Chumi hnuah chuan test tul tak tak an run thei a, a chhan an zawng thei a, a remchan dan angin an enkawl thei bawk.

In lama kawr na tan eng nge i tih theih ang?

In lama awm reng chu a nuam lo, a dik em? Hemi hun chhung hian mahni in enkawl a pawimawh a, i ngaih pawimawh hmasak phawt a pawimawh. A tha ber chu Doctor hmuh a, thurawn lak hi a ni. Chutih lai chuan, i natna lan chhuah dan tihziaawmna turin heng in lama damdawi te hi i lo enchhin thei ang:

• Salt water lum hmanga gargle: Tui glass khatah chi teaspoon khat vel hmin la, ni khatah vawi tam tak tui nen gargle rawh. Hei hian ril a hring leh natna a tihziaawm theih nan a pui ang.
• Fluid tam tak in rawh: tui lum, soup (chicken soup ang chi), leh herbal tea (ginger emaw coriander ang chi) te hi a tha. Hei hian i rilru a vawt loh nan a pui ang a, mucus pawh a tizau bawk ang.
• Khawizu ang chi thil thenkhat, ril tan tha tak tak hmang thin ang che: Tui lum a khawizu teaspoon khat in emaw, lemon nena khawizu ei te hian rilru hahdamna a thlen thei a ni. (Naute kum khat hnuai lam hnenah khawizu pe suh).
• Chawlhna tam tak nei rawh: Taksa a dam theih nan chawlh hahdam a pawimawh. Tin, thusawi hian i rilru a ti na thei a, chuvangin thusawi tlem zawk bawk ang che.
• Steam inhalation: Tui lum bawm khat atanga steam inhalation hian i rilru a ti hnim thei a, congestion a ti tlem thei bawk. I lu chu towel hmangin khuh la, steam chu inhale rawh.
• I in chhunga boruak a vawt chuan humidifier hman hian i rilru a vawt tihziaawm thei a ni.

Engtikah nge doctor i hmuh ngei ang?

Heng warning signs (`red flags`) te hi i neih chuan hun khawhral suh la, doctor pan ngei ang:

• Ni reilote chhunga kawr natna a reh loh chuan, a nih loh leh a zual zel a nih chuan.
• Saliva emaw mucus emaw ah thisen a awm chuan.
• Thâwk lak harsa i tih chuan , emaw, i thawk laiin thawm i siam a nih chuan.
• Khawsik hi 103 Fahrenheit (39.4 Celsius) aia sang a nih chuan, a nih loh leh ni eng emaw zat a khawsik a tlahniam lo a nih chuan.
• Taksa na, ruh natna, etc. i neih chuan.
• Dehydration chhinchhiahna i neih chuan, hmui a vawt, taksa na lutuk, lu na, leh zun chhuah tlem te hi a ni.
• Skin rash a awm chuan.
• Chutiang taka ei harsa a nih chuan, hmui pawh i ei thei lo a nih chuan.
• Kawngkhar sir khatah natna nasa tak neia hliam a awm chuan .

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal hian i dinhmun hriatthiamna tha zawk neih theih nan hetiang zawhna thenkhat hi zawh a tha ang:

• "Doctor, engvangin nge hun rei tak chhung chu ka rilru a na tawh i tih? Eng thil nge hetiang thil hi a thlen theih?"
• "Ka chhehvel, ka ei leh in atanga ka paih chhuah tur thil emaw, chemical emaw, kawr tichhe thei tur a awm em?"
• "Eng enkawlna kawng nge ka neih? Heng damdawi te hi engtin nge a awm ang?"
• "Symptom thar ka neih chuan engtin nge ka tih ang, a nih loh leh tuna ka symptoms hi a zual zel a nih chuan?"
• "Hetiang dinhmun nen hian exercise lak leh ka thil tih dan pangngai tih hi ka tan a him em?"
• "He thil hi a thlen leh tawh loh nan thil bik ka tih theih a awm em?"

Chuti a nih chuan, heng zawng zawng atang hian eng nge kan hriat reng ngai?

Thlalak na hi a tithinur tak zet a, a tithinrim bawk. Kan hriat loha kan tih fo thin, ei ang chi thil awlsam tak pawh hi rilru natna chungchangah chuan a na thei hle. Virus avanga rilru na hi a chang chuan a awm fo thin a, ni rei lo te chhungin a reh tlangpui.

Amaherawhchu, i kawr na chu a dam lo a nih chuan, a nih loh leh a dam a, a lo let leh thuai a nih chuan ngaihthah suh. A chhan hriat theih nan leh a tul anga enkawlna dawng turin doctor nen inbia ngei ang che.

Ṭanpuina i zawn hma poh leh i dam thuai thei a, i duhzawng thilte chu nuam i ti leh thei bawk. Hrisel takin awm rawh!

` Kawng na, chronic pharyngitis, kawr natna, kawr na, tonsils, natna hrik, enkawl dan