I khuh chhunzawm zel mai mai em? He asthma mak tak (Cough-Variant Asthma) chungchang hi han sawi ila!

A chang chuan kan khuh mai mai thin a ni lawm ni? Mahse he khuh hi a la awm reng a nih chuan, a nih loh leh thla tam tak chhung a reh lo a nih chuan tlem kan ngaihtuah a ngai a ni. A bik takin, natna lanchhuahna dang nei lo, rilru na tak, khuh mai mai a nih chuan, kan ngaih angin khuh pangngai a ni lo mai thei. Hei hi vawiin a kan sawi tur thawmhnaw chi khat bik chu a ni.

Cough-variant asthma chu eng nge ni?

A awlsam zawngin sawi ila, hei hi asthma chhungkaw member a ni. Mahse a danglam deuh. Asthma chi dang ang lo takin, thawk hah, thawk hah , leh thawk harsa a awm lo. Khuh chauh a awm . A tam zawkah chuan hei hi khuh hring (dry cough) a ni. Mahse mi thenkhat chuan khuh leh mucus an nei thei. A pawimawh ber chu Asthma damdawi, a bik takin inhaler i hman hian he khuh hi a tlahniam a ni. Asthma pangngai ang lo takin hetah hian khuh hi a lan chhuahna ber a ni a, a chang chuan a lan chhuahna awmchhun a ni.

Cough-variant asthma hi a hlauhawm em?

Mi tam takin an hlauh ber pakhat chu hei hi a hlauhawm em tih hi a ni. Dik tak chuan he natna (Cough-Variant Asthma) hi inhalers ang chi damdawi hmangin a control tha thei tlangpui . Chumi awmzia chu ngaihtuahawm tur a awm lo tihna a ni. Mahse, a chang chuan hei hi a na deuh thei a, a hnuah chuan asthma symptom dang, wheezing ang chi te pawh a rawn tel ve thei bawk. Chuti chung pawh chuan thunun theih a ni bawk. Mahse, a chang chuan Asthma attack na tak a awm theih avangin hemi chungchangah hian fimkhur a pawimawh hle. Chuvangin damdawi lam thurawn zawm a pawimawh hle.

Cough-variant asthma natna lan chhuahna chu engte nge ni?

Kan sawi tawh ang khan, asthma chi dangte hian symptom tam tak an neih laiin, thawk harsa leh thawk hah , hei hi (Cough-Variant Asthma) chhinchhiahna awmchhun chu khuh hi a ni. Hei hi khuh hring, rah chhuah nei lo a ni fo thin. Amaherawhchu, mi thenkhat chuan khuh te, mucus tlem te te an nei thei. A pawimawh ber chu Asthma symptom dang a awm lo. He khuh hi a chang chuan zan lamah a na zual thei a, exercise lak lai emaw, boruak lum tak karah emaw a na zual thei bawk.

Engvangin nge hetiang hian cough-variant asthma kan neih?

Awle, tunah chuan hetiang thil hi engvangin nge a lo awm tih hi han en ila. Asthma thlentu ber chu kan thawkna kawng, lung chhunga boruak phurtu tube te te, a zim leh a hring (inflammation) hi a ni . Asthma pangngaiah chuan he narrowing hian thawk a ti harsa hle. Mahse, he (Cough-Variant Asthma) -ah hian thil thleng chu a narrowing leh swelling hian khuh a thlen thin. Ngaihtuah teh, kan thawkna kawng chhunga nerve tawp te hi he hliam hian a tichak a, khuh a thlen thin. He khuh hi a kal zel lo. A lo kal a, a kal zel (episode emaw attack emaw) . A chang chuan he khuh hi darkar tam tak emaw, ni tam tak emaw pawh a daih thei. Kan lung hi thil engemaw vangin a thinrim hleHe khuh hi pakhat a lo awm chuan a pung chauh a ni.

Cough-variant asthma awm chhante chu engte nge ni?

Asthma thlen thei thil eng pawh hian cough-variant asthma a thlen thei bawk . Chu chu thil pakhata allergy i neih chuan, emaw, i lung tana tha lo tur thil i inhnim chuan i khuh a tizual thei tihna a ni.

Mahse, asthma vei, he khuh chauh nei tan chuan , khuh tipung fo thin trigger lian engemaw zat a awm :

• Thli lum: Khaw lum takah i luh thut hian, entirnan, air-conditioned (AC) room atanga i chhuah chuan.
• Khua a inthlak danglam: Ruah sur chhunzawm zel, emaw, khaw lum lutuk, boruak lum leh vawt inthlak danglam nghal.
• Exercise: Taksa exercise kan tih hian, tlan emaw, zuang emaw, a bik takin boruak lum leh vawt takah.
• Leivut leh meikhu: Leivut awmna hmun, lirthei exhaust, cigarette meikhu, leh thingpui lumna meikhu ang chi thil.
• Perfume emaw chemical thenkhat (e.g. cleaning products, paints) inhal pawhin a nghawng thei bawk.
• Respiratory tract infection: Khawsik emaw, flu emaw i neih chuan he khuh hi a pung thei bawk.

Hetiang dinhmun hi tute nge hlauhawm ber?

Mi thenkhatin Asthma an vei a, thenkhatin an vei loh chhan hi kan hre chiang lo. Mahse, mi thenkhat chu asthma chi hrang hrang vei theihna chance a sang deuh hlek a , hei hi (Cough-Variant Asthma) pawh a tel. Tute nge an nih i en ang u?

• I nu leh pa emaw, i chhûngte hnai tak emaw chuan asthma , a vei a nih chuan , genetic influence a awm thei a ni.
• Meizial zu mi i nih chuan (meizial zu mi bula awm - passive smoking - hian nghawng a nei thei bawk).
• I Body Mass Index (BMI) 30 aia sang a nih chuan i thau tihna a ni.
• Naupan lai atanga boruak bawlhhlawh tamna hmunah i awm a nih chuan .
• Leivut, chemical emaw, vapor emaw (e.g., factory-a thawk, inthiarna hnathawk) nena inzawmna nei fo hna thawk i nih chuan .
• Mi thenkhat chuan allergy (e.g. dust mites, pollen) an nei thin.

Engtin nge doctor-te hian he natna (Cough-Variant Asthma) hi dik taka an hriat theih? (Diagnosis) tih a ni.

Cough-variant asthma i vei em tih chiang taka hriat theih nan doctor pan a ngai a ni. I doctor chuan i natna lan chhuah dan leh i hriselna chanchin, i chhungte zingah tu emaw chuan asthma an vei em tih te a zawt ang che . I lung hnathawh that dan enfiah nan pulmonary function test thenkhat pawh an ti thei bawk.

A châng chuan, i doctor chuan i asthma damdawi chu ni engemaw zât enchhin tûrin a hrilh ang che, i khuh tihziaawmna tûr a ṭanpui em tih a en ang.(Khuh-Variant Asthma) a ni. Hei hi therapeutic trial an ti a.

Eng ang test nge i beisei theih ang? (Tests te) 1.1.

I doctor-in i dinhmun a hriatthiam theih nan test engemaw zat a awm a:

• Pulmonary Function Tests: Hengte hian i lung a thawh that dan te, i thawk chhuah leh chhuah dawna boruak a luh leh chhuah theih zat a enfiah thin. Hemi atan hian Spirometry hi test hman tlanglawn ber a ni. Tube te tak te chhungah boruak i vawrh lut a. Hei hian i thawkna kawngah blockage a awm leh awm loh a hriat theih.
• Zawhna: I doctor chuan form tawi tak fill up tur a pe thei che a ni. I khuh nasat zia te, i khuh ti na zual te, i khuh na zual te, i khuh hian i nitin hnathawh a tibuai nasat zia te zawhna a zawt ang che. Hei hian i doctor chuan i dinhmun kimchang takin a hmu thei ang.
• Chest X-ray: Hei hian khuh chhan dang, lung infection, pneumonia, tuberculosis te enfiah nan lung thlalak a la a.
• Bronchoprovocation test: He test-ah hian thawk tur damdawi tlemte (methacholine ang chi) pek i ni a, he damdawi hian i thawkna kawng a ti zim deuh thei a ni. Hei hian i thawkna kawngte chu engtiang chiahin nge sensitive (reactive) tih a teh a ni. Asthma vei te hian asthma nei lo te aiin thawkna kawng an sensitive zawk.
• Treatment trials: Kan sawi tawh ang khan i doctor chuan inhaled corticosteroids emaw Leukotriene Receptor Antagonists ang chi pill emaw chu kar hnih atanga kar li chhung a pe thei che a, i natna lan chhuah dan a tha em tih a en thei ang.

Cough-variant asthma hi engtin nge enkawl a nih? (Tihdamna)

Cough-Variant Asthma hi Asthma chi dang ang bawka enkawl a ni. Damdawi hman chi hrang hrang a awm a, chungte chu:

• Short-acting bronchodilators: Hengte hi chhanchhuahna inhaler a ni a, emergency-a hman thin a ni . Thlawhna kawng an hawng nghal vat a, khuh thut a awm chuan hahdamna an pe bawk. Entirnan , short-acting beta-agonists (SABAs) (e.g. Salbutamol) leh short-acting muscarinic antagonists (SAMAs) te hi a ni.
• Inhaled Corticosteroids (ICS): Hengte hi enkawlna atana hman tur inhalers an ni.Nitin tablet angin pek thin a ni. Heng damdawi te hian thawkna kawng a inflammation leh mucus te a tiziaawm a. Hei hian khuh a control thei a ni. Hengte hi nitin hun bituk chhung, doctor-in a pek zat angin ei tur a ni.
• Leukotriene Receptor Antagonists: Entirnan, pill pakhat Montelukast . Hei hi nitin ei thin pill a ni. Hei hian asthma symptoms a veng thei bawk a, a bik takin exercise-induced asthma a veng thei bawk.
• Long-acting bronchodilators (LABA): Hengte hi maintenance inhalers angin an lo thleng bawk a, mahse ICS (e.g. Salmeterol/Fluticasone, Formoterol/Budesonide) nen pek dun a ni. Chungte pawh nitin hman a ngai a ni.

Pawimawh tak: ICS tel lova asthma enkawl nan heng long-acting bronchodilators (LABAs) chauh hi hman a tha lo . An hman ringawt hian asthma complication na tak (thihna thleng pawh) a tipung thei a ni. Chuvang chuan doctor thupek dik taka zawm a pawimawh hle.

Enkawlna ka tan hnu eng chen nge ka hahdam ang?

ICS inhaler ang chi maintenance damdawi i hman tan chuan i khuh a reh theih nan leh i rilru a hahdam theih nan kar engemaw zat a la ngai thei Chuvangin hlauthawng suh. I damdawi hman dik a pawimawh. Mahse, chhanchhuahna inhaler te hian hna an thawk rang zawk. Minute 15-20 chhungin thlamuanna an pe tlangpui .

Hetiang (Cough-Variant Asthma) hi ka neih chuan eng nge ka beisei ang?

Cough-variant asthma i neih chuan triggers te pumpelh leh i doctor-in maintenance medication a pek hmangin i symptoms i control thei ang .

Mahse, Cough-Variant Asthma vei zaa 40 (40%) vel chuan a hnuah asthma symptom dang (wheezing, chest tightness, leh shortness of breath ang chi) an nei thei a ni . Chuvangin doctor nena inbiak reng a pawimawh hle a, check-up neih reng a pawimawh hle.

Hetiang dinhmun (Cough-Variant Asthma) hi ven theih a ni em?

Mi thenkhatin Asthma an vei a, thenkhatin an vei loh chhan dik tak kan hriat loh avangin, a taka ven theih dan tur a awm lo .

Mahse, a hlauhawmna tihtlem nan thil engemaw zat i tih theih a awm a:

• Meizial zu suh. Tin, zu in thinte bula awm loh tur a ni.
• Leivut emaw chemical emaw hmanga hnathawh fo a ngai a nih chuan mask emaw, invenna hmanraw dang \ha tak emaw vuah tur a ni.
• I taksa rihna hrisel tak vawng reng rawh . Thau lutuk hian asthma vei theihna a tipung a ni.
• House dust mites ang chi allergens te chu control tum ang che .

Engtin nge ka in enkawl ang? (Mahni Inenkawlna) .

Hetiang natna nena nunpui hian i natna lan chhuah dan enkawl dan tur leh khuh natna nasa tak i neih theihna tur tihziaawmna tur thil i tih theih tur a awm :

• I trigger hriat tawhte chu hmuchhuak la, a theih ang anga hlat rawh.
• I doctor nen thawk ho la, asthma action plan siam rawh. I natna lan chhuah dan stage hrang hrang enkawl dan tur leh doctor pan hun tur kaihhruaina a tel tur a ni. Hei hi i hnenah vawng reng rawh.
• I doctor hmu fo la, i dinhmun hriattir thin ang che. I natna lan chhuah dan thar i neih emaw, i damdawi ei mek chu a hma angin a thawk tha lo ang tih emaw a nih chuan doctor hnenah hrilh rawh.
• I inhaler hman dan tur dik tak zir rawh. A tul chuan spacer hmang ang che.

Engtikah nge Doctor ka hmuh ang?

• Kar 8 aia rei khuh i nei a, a chhan i hmu thei lo a nih chuan , doctor pan ngei ngei tur a ni.
• Cough-variant asthma i vei tih hmuhchhuah tawh chuan, thawk hahna leh thawk hahna ang chi, asthma symptom thar i neih tan chuan i doctor hnenah hrilh rawh.
• I maintenance inhaler i hman hnuah pawh i khuh hi a control loh chuan emaw, i rescue inhaler hman tam a ngai a nih chuan , i doctor hmu rawh.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

A châng chuan he dinhmun hi a na thei hle. Chutiang hunah chuan damdawi in emergency room-ah i kal nghal tur a ni. Chutiang natna khirh tak takte chhinchhiahna chu:

• Thâwk harsa na tak, tawng thei lo khawpa nasa.
• Lung chakna sang (Tachycardia).
• Vun, hmui, kut zungtang (cyanosis) rawng dum. Hei hian oxygen tlakchhamna a tilang a ni.
• Buaina emaw rilru dinhmun danglam emaw.
• Rescue inhaler hman hnua hahdamna a awm loh chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi i zawh chuan a \angkai hle ang:

• Inhaler hman dik dan tur step by step in min entir thei ang em? (Hei hi a pawimawh hle mai!)
• Eng symptom thar nge ka fimkhur tur? A nih loh leh tuna ka natna lan chhuah dan hi a zual zel a nih chuan eng nge ka en ang?
• Engtin chiah nge ka damdawi hi ka ei ang? Hun, dosage, etc. ang chi thil te.
• Ka khuh attack nghal a nih chuan engtin nge ka tih ang?
• Asthma action plan siam turin min pui thei ang em?
• Ka lung hnathawh tehna atan peak flow meter hman hi a tha em?

Cough-Variant Asthma hi chaw kawng chhunga acid reflux vangin a awm em?

Mi thenkhat chuan he khuh hi acid reflux , gastritis ang chi natna avanga lo awm niin an ngai. Dik tak chuan acid reflux hian khuh nghet tak a thlen thei bawk. Mahse, acid reflux hian khuh-variant asthma a thlen tih erawh finfiah a la ni lo . Mahse, mi thenkhat chuan natna pahnih hi an nei dun thei a ni. Chutiang hunah chuan acid reflux enkawl hian khuh hi tlem a tiziaawm thei a ni. Mahse, khuh-variant asthma enkawlna ber chu Asthma damdawi a ni.

A tawp berah chuan thil hriat reng tur

Khuh chhunzawm zel hi a buaithlak tak zet a ni. A chhan zawn chu a harsa thei hle. Mahse hetiang dinhmunah hian (Cough-Variant Asthma) , i natna lan chhuah dan chu asthma damdawi hmangin a tha thei hle. I khuh tizualtu thil laka inthiarfihlim a, i doctor nen thawk hovin i tana damdawi dik tak zawng chhuakin, a hman dan tur dik tak hmangin i khuh chu i thunun thei a ni. Nangmah chauh i ni lo tih hre reng la, damdawi lam thurawn dil pawh a tlai ngai lo. He thu hian i nunphung tihchangtlun a puih ngei kan beisei.

` Khuh, Asthma, Khuh-Variant Asthma, Thluak lam natna, Inhalers, Enkawl dan, Symptoms