I khuh nasat hian thisen tlemte chu mucus nen a inhmeh lo tih i hre ngai em? Chutiang thil i hmuh chuan tlem a hlauhthawn leh mangang deuh chu thil pangngai tak a ni. "Aw, thil pawi tak ka nei em?" Mahse a nihna takah chuan a tam zawkah chuan hei hi hlauh tur a ni lo. Mahse, hei hi eng nge a nih, engvangin nge a thlen tih leh engtikah nge kan ngaihtuah tur tih chiang taka hriat hi i rilru thlamuanna leh hriselna atan a pawimawh hle a ni .
Hemoptysis (thisen khuh) chu eng nge ni tak tak?
A awlsam zawngin, hei hi i thawkna kawng hnuai lam atanga thisen chhuak a ni a, chu chu i lung emaw, i rilru emaw atanga thisen chhuak tihna a ni . He thisen khuh avanga chhuak hi a tlangpuiin frothy leh bubbly a ni thei. Hei hi a chhan chu mucus leh saliva nena inhmeh taka a chhuah vang a ni. A châng chuan pink, light red, emaw rust-colored emaw a lang ṭhin. A tam zawkah chuan a tlem hle .
Mahse, hei hi thisen chhuak nen a danglam. Chu chu han en teh ang.
Thisen khuh leh thisen chhuak hi thil inang an ni em?
Ni e, hei hi mi tam tak buaina hmun a ni. Heng dinhmun pahnih hi a danglam vek a ni.
- Thisen khuh (Hemoptysis): Hei hi i thawkna kawng (lungs, throat) atanga lo chhuak a ni. A tlangpuiin foamy tlemte a ni a, mucus leh saliva nen a inhmeh hle.
- Hematemesis: Hei hi i chaw ei dan chunglam (ril, small intestine) atanga lo chhuak a ni. A tlangpuiin thisen tam tak vawi khata chhuak a ni. Hei hi chhungril lama thisen chhuak chhinchhiahna a ni fo.
Thisen i chhuah chuan emergency anga ngaih tur a ni a, doctor pan nghal tur a ni . Tikhawtlai loh a tha ber.
Hei hi dinhmun pawi tak a ni thei ang em?
He zawhna chhanna chu "ni e, a theih" leh "ni lo, a theih" tih te hi a ni. I thisen chhuah chhan leh thisen chhuah zat ah a innghat vek.
Thu lawmawm tak chu a chhan tam zawk hi a pawi lo va , awlsam taka enkawl leh tihdam theih a ni. Entirnan, khuh na tak chuan kawchhungah hliam tenau a siam thei a, thisen tlem a chhuak thei bawk. Mahse, a chang chuan hei hi natna khirh tak emaw, natna khirh tak, lung cancer ang chi emaw chhinchhiahna a ni thei. Tin, vawi khatah thisen tam tak khuh chu nunna atana hlauhawm tak a ni thei bawk.
A chhan chu eng pawh ni se, i doctor chauhvin i natna nasat dan dik tak a hrilh thei che tih hre reng ang che. Chuvangin, rinhlelh ai chuan damdawi lam thurawn zawng hi a finthlak hle ang.
Thisen khuh hi engte nge ni?
A chhan tam tak a awm thei. Common leh rare tiin i ṭhen ang u. He table hian hriatthiamna tha zawk a pe ang che.
| Chhan | A sawifiahna tawi |
|---|---|
| A chhan tlangpui hmuh tur a awm fo | |
| Bronchitis a ni | Thluak lam natna (infection) a ni. Mucus khuh hi a awm fo thin. |
| Pneumonia natna (Pneumonia) a ni | Lung chhunga natna khirh tak a awm. |
| Tuberculosis natna a ni | Bacteria infection a ni a, chu chuan lung a tichhe thei. |
| A chhan awm thei dangte | |
| Bronchiectasis natna (bronchiectasis) a awm | Lung chhunga thawkna kawng zau zel. |
| Pulmonary Embolism natna a awm | Hei hi natna khirh tak a ni a, emergency medical treatment a ngai a ni. |
| COPD (Chronic Obstructive Pulmonary Disease) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Hun rei tak chhung lung natna, a bik takin meizial zu thinte zingah a tam hle. |
| Lung Cancer a ni | Kum 40 chunglam meizuk zingah hian a hlauhawmna a sang hle. |
| Congestive Heart Failure a awm thin | Lung hnathawh that loh vangin lungah fluid a awm khawm thin. |
| Thisen tithianghlimtu hman | Heng damdawi ei thinte hian thisen an chhuah tam zawk. |
| Thlawhna kawngah thil dang a tang | Naupang tê tê zîngah a hluar hle. |
Engtin nge doctor hian he thil awm chhan hi a zawn chhuah?
Doctor hmu tura i kal chuan zawhna tlem a zawt hmasa ang che.
- Thisen engzat nge hloh?
- Hetiang dinhmun hi eng chen nge a awm tawh?
- Ni khatah vawi engzat nge thisen i chhuah thin?
- Thisen engzat nge mucus nen hian a inhmeh?
- Meizial i in em? Symptom dang a awm em?
Heng zawhnate i chhânna a\ang hian i doctor chuan a chhan chu a rough idea a nei thei a ni. Tichuan, a chhan finfiah nan test thenkhat an ti thei a, chu chu:
- Chest X-ray: Lung chhunga tumor, tui emaw thil dang emaw a awm leh awm loh enfiah nan.
- Chest CT scan: X-ray-a thil hmuh pakhat chu ngun zawka en a ni.
- Bronchoscopy: Camera dahna tube te tak te chu thawkna kawng kaltlangin thisen chhuahna bul hriat theihna test a ni.
- Complete blood count (CBC): Taksa atanga thisen engzat nge hloh tawh tih leh natna hrik kai chhinchhiahna a awm leh awm loh a enfiah thin.
- Sputum culture: Sputum sample la la, natna hrik kai thei, bacteria leh virus te enfiah rawh.
- Coagulation Test: Thisen zam chungchangah harsatna a awm leh awm loh a enfiah thin.
Hei hi eng enkawlna nge ni?
Enkawlna chu thisen chhuah zat leh a chhan a innghat a ni.
Thisen chhuak a nasat chuan:
Vawi khata thisen tam tak i hloh a nih chuan intensive care unit (ICU)-ah dah i ni ang a, a hmasa ber tur chu thisen chhuahna control a ni ang. Hei hian bronchoscopy a keng tel dawn a ni.Pakhat chu thisen zam paih chhuahna atan emaw, thisen kalna kawng tikhawlotu Bronchial Artery Embolization tih enkawlna emaw tih theih a ni.
A chhan ang zela enkawl dan:
Thisen chhuah chu control a nih hnuah emaw, thisen chhuah tlem a nih chuan doctor chuan a chhan a zirin enkawlna a pe ang.
- Antibiotics: A chhan chu bacteria infection, pneumonia emaw tuberculosis emaw a nih chuan.
- Steroids: A chhan chu inflammation a nih chuan.
- Surgery leh cancer enkawl dan: A chhan chu lung chhunga cancer natna awm a nih chuan.
Doctor ka pan nghal tur em ni?
Hei hi a pawimawh ber a ni. Engtikah nge hei hi emergency anga kan ngaih ang?
Teaspoon tlemte aia tam thisen chhuak i nih chuan, emaw, kar khat aia tam i thisen chhuak tawh a nih chuan doctor pan ngei ngei tur a ni.
A hnuaia symptoms neia thisen chhuak i nih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
| Ngaihven! Heng symptoms te hi i neih chuan ETU ah kal nghal rawh. | |
|---|---|
| Khawsik | Thâwk harsa |
| A rilru a na | Sudden emaw rang emawa taksa rihna tlahniam |
| Zan a thawk hah | Luak chhuak emaw, muhil emaw |
| Zun emaw ek emaw-ah thisen a awm | |
Take-Home Thuchah a ni
- I khuh laia thisen tlem te hi a tlangpuiin a pawi lo hle a, mahse ngaihthah suh.
- Thisen chhuak a tam lutuk a nih chuan, emaw, kar khat aia rei a nih chuan, emaw, natna dang, rilru na, thawk harsa, khawsik ang chi i neih chuan doctor lam pan nghal tur a ni.
- A pawimawh ber chu a chhan dik tak zawn chhuah a, a enkawlna dik tak neih hi a ni. Chuvangin Doctor hmuh hi hlau suh.
- Hemoptysis leh hematemesis hi natna pahnih a ni. Thisen chhuah ruala thisen khuh hi emergency pawi zawk a ni thei.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Nisoldipine (Nisoldipine / Sular) tablet hi eng natna atan nge an pek?
Hei hi Calcium Channel Blocker (CCB) a ni a, thisen sang control nana siam a ni. Khawvela thisen sang pill chak ber pawl a ni! Hei hi a specialty chu (CCB) pill dang (Vascular Selectivity) aiin heart rhythm-ah nghawng a nei tlem zawk hle. Chuvang chuan thinlung a tichhe lo va, thisen kalna kawng ti hahdam turin direct-in hna a thawk zawk a ni.
💬 He thisen sang pill (Nisoldipine) ei hian engtin nge kan thisen sang a tihhniam?
Thisen kalna kawng a inzawm/contract leh pressure a san theih nan chuan ‘Calcium’ particle te hi thisen kalna thauah a lut ngei ang! He damdawi hi thisenah a luh meuh chuan chu thisen kalna kawng chhunga calcium gate (L-type calcium channels) awm zawng zawng chu 100% in a block/close a, a lock vek bawk! Calcium a luh loh avangin thisen kalna chu a inzawm lo va, a lo chhuak nasa hle (Vasodilation). Tichuan thisen chu awlsam takin a luang a, pressure a tlahniam ta a ni.
💬 He damdawi (Nisoldipine) ei hian eng side effects ti thinrim tak nge a neih? Engvangin nge chaw/thau (high-fat meal) nen ei loh tur an tih?
Buaina lian ber chu he pill i ei lai hian ‘high-fat meal’ i ei ngai lo tur a ni! Chutianga i tih chuan damdawi taksaa a luh dan chu a pangngai lo takin a pung/a tlahniam thei (Altered absorption) a, a tawpah chuan pressure a tlahniam thei a, i thi thei bawk. Side effect dang tibuaitu ber chu hei hian ‘swelling of the ankles/legs (Peripheral Edema)’ leh heartbeat/redness of the face (Reflex tachycardia/Flushing) rang tak a thlen ngei ang.
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