He diaphragm ropui tak hi eng nge ni? He kan taksa peng pawimawh tak hi i zir chiang ang u!

Thâwk hi kan tih reng reng a ni a, mahse kan ngaihtuah vak lo. Hetiang kalphung hi kan pian ni atanga kan thih ni thlengin a thleng thin. Mahse, he thawkna kalphung hnuaia mi huaisen tak tak, a nih loh leh master engineer chu tu nge ni tih i ngaihtuah ngai em? Chu chu vawiinah kan sawi dawn a ni. Chu chu diaphragm , a nih loh leh English-a kan tih ang chi hi a ni. Hei hi muscle mai ni lo, kan taksaa mi pawimawh leh mak tak a ni.

A awlsam zawngin, he diaphragm ropui tak hi eng nge ni?

I rilru leh i pum inkar a taksa ruh hring, chak tak, umbrella ang maia insiam chu han ngaihtuah teh. Chu chu diaphragm a ni. Kan lung leh thinlung hnuaiah a awm.

He muscle hi a innghat mai mai lo. A inzawm a ni:

• I rilru (sternum) lairil ruh .
• I rib cage hnuai lam thlengin
• I hnungzang a tliak chuan i ruhro a tliak ang.

A hnathawh ber pakhat chu i rilru chhung (i lung leh thinlung awmna) leh i pum chhung (i pum, i rilru leh thin ang chi i taksa peng hrang hrang awmna) inkarah bang angin hna a thawk a ni.

Diaphragm ropui tak hian eng hna nge a thawh? Thâwk chhuah mai mai a ni em?

Ni lo, thawk hi a thil tih ber leh kan hriat vek mai a ni. Chumi piah lamah thil pawimawh dang tam tak a awm a. Pakhat hnu pakhatin han thlir ila.

1. Thâwk lak dan thiam

Hei hi Great Wall hnathawh ber a ni. Hei hi mak tak maiin a thleng thin.

• I thawk chhuah hian: I diaphragm chu a tight a, elevator ang maiin i pum lam pan chuan a tla thla a. Hei hian i rilru chhunga hmun a tipung a ni. Hei hian i lungin a inflate theihna tur hmun a tipung a, chu chuan i lung chhungah boruak a lut thei a ni.
• I thawk chhuah hian: Diaphragm chu a inzawm tawh lo va, a relax ta a ni. Chumi hnuah chuan a chho a, a rilru lam pan chuan a kal a, umbrella ang maiin a siam ta a ni. Hetih lai hian lung chhunga boruak chu a nawr chhuak ta a ni.

2. Thâwk tih loh thil pawimawh dang

Diaphragm hi thawk chhuah danah chauh a innghat lo. Hna pawimawh tak tak dang engemaw zat a thawk bawk.

• Intra-abdominal pressure tihpun: Diaphragm a inzawm chuan pum chhungah pressure a siam thin. He nawrna hian thil tam tak ti turin min pui thin. Entirnan, he pressure hi zun leh ek chhuah ang chi thil atan a pawimawh hle.
• Acid reflux venna atan:Mi tam takin harsatna an neih chu gastritis, pum chhunga natna (inflammation) a ni. Hei hi a chhan pakhat chu stomach acid hi rilruah a rawn lut a ni. Kan chaw kalna tube (Esophagus) chu diaphragm hmangin pum chhungah a kal a. Diaphragm hian he food tube vel hi clamp angin hna a thawk a, stomach acid lo chhuak tur a veng a ni.
• Nerve leh vessel pawimawh tak takte tan hmun siam: Kan taksa chhunga nerve pawimawh ber ber, thisen kalna kawng leh thil dang engemaw zat chu septum kaltlangin an kal a.

Diaphragm ropui tak tibuaitu natnate chu engte nge ni?

Kan taksa peng dangin natna a neih theih ang bawkin, diaphragm pawh hi harsatna hrang hrang, natna leh accident hrang hrangin a tichhe thei a ni. A pawimawh zualte han thlir ila.

• Hernia natna: 1.1.
• Hiatal Hernia: Hei hi a tam ber a ni. Hei hi i pum chunglam chu diaphragm chhunga khur atanga a rawn nawr chhoh lai a ni a, i rilru chhungah a lut a ni. Balloon te tak te lo chhuak ang maiin han ngaihtuah teh. Hetiang dinhmun hi i tar leh i thau chhoh zel hian a lo awm fo thin.
• Diaphragmatic Hernia: Hei hi pum chhunga taksa peng dang (intestine ang chi) chuan diaphragm chhunga khur atanga rilru chhunga a nawr luh hian a ni. Hengte hi a chang chuan pian tirh lamah a awm thei a, accident lian tak hnuah pawh a thleng thei bawk.
• Phrenic Nerve Damage: Kan sawi tawh ang khan he nerve hian diaphragm a control a. He nerve hi a chhiat chuan diaphragm hi a thawk tha thei dawn lo. He nerve hi cancer, surgery (a bik takin heart bypass surgery), accident leh infection thenkhatin a tichhe thei a ni.
• Muscle Spasms: Diaphragm pawh hi muscle a nih avangin a chang chuan a spasm thei bawk. Hei hi exercise kan tih nasat lutuk emaw, kan tlan chak lutuk emaw avanga lo awm thin a ni a, kan pum sir atanga natna lo chhuak, "side stitch" an tih chu rei vak lo chawlh hahdam hian a reh tlangpui.
• Chak lo emaw Paralysis emaw: Neurological disease thenkhat, Multiple Sclerosis (MS) leh Amyotrophic Lateral Sclerosis (ALS) te hian diaphragm a tichak lo emaw, a paralyzed vek emaw thei a ni. Diabetic neuropathy, spinal cord injury, leh lung natna COPD ang chi te pawhin diaphragm a tichak lo thei bawk.

Diaphragm ropui tak (great diaphragm)-a harsatna awm thei chhinchhiahnate chu engte nge ni?

Great diaphragm-a harsatna a awm chuan symptom hrang hrang i nei thei. Chûngte chu rei lo tê chhûng chu a lo kal a, a awm reng thei a, a awm reng thei bawk.

• Pum na, rilru na, leh kawr chhunga a thlum (Acid reflux, heartburn) te.
• Khuh tam leh chaw ei harsa.
• Vun rawng a danglam (a chang chuan vun a rawn sen thei).
• Lung na lutuk, rilru na emaw, tightness emaw.
• Thâwk lak harsa tih hriat, a bik takin mut lai.
• Lu na.
• Hiccups lo kal leh chhuak fo emaw, bo lovin a awm reng emaw.
• A rilru, hnungzang, sir, kekawrte, emaw pum (a bik takin rib cage hnuaiah) natna emaw, pressure emaw a awm. He natna hi chaw ei hnuah a na zual thei.
• Ribs hnuaia pum na ang maia hriat.

Heng dinhmunte hi engtiang chiahin nge a awm?

Phrenic problem awm chhan ber chu phrenic nerve tihchhiat a ni a, chu chu operation emaw accident emaw a ni thei. Damlo 20% vel chuan heart bypass surgery an neih hnuah he nerve hi chhiatna engemaw zat an nei thei a ni.

Kan sawi tawh `(Hiatal Hernia)` tih natna pawh hi a tam hle. A bik takin kum 50 chunglam leh thau lutuk te zingah a hluar hle. Survey-a a lan dan chuan kum 50 chunglam zinga 55% vel, chu chu mi pahnih zinga pakhat velin `(Hiatal Hernia)` engemaw zat an nei thei a ni.

Engtin nge Great Barrier Reef hi kan hrisel theih ang?

Diaphragm pawh hi muscle a ni. Chuvangin, kan taksa ruh dangte ang bawkin exercise hmangin kan tichak thei a ni. Chumi atan chuan thawk lakna exercise bik a awm. Chungte chu `(Diaphragmatic breathing exercises)` an ti a. Chungte chuan diaphragm chu a thawk tha zawk theih nan a pui thin. Heng exercise te hian rilru hahna a tiziaawm thei bawk.

Tin, i diaphragm hrisel taka awm theih nan hengte hi zawm bawk ang che:

• Vawi khata chaw lian tak ei loh tur. Ni khatah chaw te te eng emaw zat ei thin ang che. Chaw thau, spicy leh sour, pum ti na thei ei tur lakah inthiarfihlim rawh.
• Taksa rihna hrisel tak vawng reng rawh. A rit lutuk hian diaphragm-ah a tul lovah pressure a siam thin.
• Exercise i tih hmain warm up tha rawh. Hei hian i diaphragm leh taksa peng dangte chu workout atana inbuatsaihna hun a pe a ni.
• Exercise i tih hian vawi khatah i thawkrim lutuk suh. Zawi zawiin i exercise nasatzia tipung rawh.
• Damdawi lam harsatna (e.g., zunthlum, lung natna) i neih chuan i diaphragm-a harsatna i neih theihna a tipung a nih chuan medical checkup neih fo thin ang che.

Engtikah nge Doctor ka hmuh ang?

A hmaa kan sawi tawh ang khan symptoms i neih chuan doctor pan a, enfiah a tha ber. Symptom thenkhat chu natna dang chhinchhiahna a ni thei a, chuvangin diagnosis dik tak neih a pawimawh.

Ka hriat nawn tir leh che u a, .I rilru na, i rilru pressure, thawk harsa i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.

A hnuaia dinhmunte hi i neih chuan i diaphragm-a harsatna i neih theihna a sang thei a ni:

• Autoimmune natna, e.g. Lupus a ni
• Lung natna chi hrang hrang COPD leh lung cancer te
• Lung natna avanga operation ngai
• Lyme natna a ni
• Neuromuscular lama harsatna, e.g. MS
• Thau lutuk
• Viral infection HIV ang chi te