Nang pawhin thawk harsa i ti em? He Dyspnea an tih hi thu awlsam takin sawi ila!

Thâwk a tlachham emaw, i rilru a hrual emaw, thawk harsa i tih ang maiin i inhriat ngai em? Hei hi damdawi lam hawi chuan thawk hahna, a nih loh leh thawk hahna (dyspnea) kan tih chu a ni. Mi thenkhat chuan "thâwk tawi" emaw, "thâwk tawi" emaw an ti bawk. Exercise nasa tak neih lai te, stairs chhoh lai te, khawsik i neih lai te pawhin thawk hah lutuk hi thil pangngai a ni. Mahse, he natna hi a lo awm fo emaw, chawlh lai pawhin a lo awm emaw a nih chuan hriselna lama harsatna i neihna chhinchhiahna a ni thei.

Dyspnea tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, Dyspnea tih hi doctor-te’n thawk harsa tihna atana an hman thin a ni. Natna a ni lo va, symptom a ni zawk. Khawsik ang maiin. Khawsik hi natna a ni lo va, natna hrik emaw, natna dang emaw chhinchhiahna a ni. Chutiang chu he Dyspnea an tih hi a awm a ni.

Hei hi kawng hrang hrangin i hre mai thei:

• Thâwk harsa tih hriat (air hunger).
• A rilruah a tight leh constriction a awm tih hriat.
• Thâwk lak nan a hma aia nasa zawka thawh a ngai.
• Thâwk la thei lo.

Thâwk hahna nena inzawm thumal pahnih dang

I doctor hian heng thute hi a hmang mai thei a, chuvangin he thu hi tlem tal i zir ve bawk ang u.

• Paroxysmal Nocturnal Dyspnea (PND): Hei hi a danglam deuh hlek a ni. Hetiang dinhmunah hian i mut hnu darkar khat emaw darkar hnih emaw hnuah thawk harsa takin i harh nghal a.
• Sighing Dyspnea: Hei hi thawk hah lutuk tihziaawmna tura thawk thuk (sighs) i lak nawn fo hian a ni.

Thâwk harsatna lo awm chhan lian ber pahnih

He Dyspnea natna hi a lo chhuah chak dan leh a hun chhung a zirin chi hnih ah then theih a ni. Heng pahnih chhan pawh hi a danglam thei bawk. Hriatthiam awlsam zawk nan hetiang hian han thlir ila.

Engvangin nge thawk harsa kan tih? A chhante chu engte nge ni?

I thinlung leh i lung chu ṭhian ṭha ber pahnih thawk dun angin ngaihtuah rawh. Lung hian thisenah oxygen a belhchhah a, taksa pum puia thisen oxygen pe chhuaktu heart pump a, chubakah chuan carbon dioxide chu taksaah a phur kir leh a, a thawk chhuak bawk.

Chuvangin, thinlung emaw, lung emaw hnathawh danah harsatna a awm chuan thisenah oxygen tlakchhamna emaw, carbon dioxide pung emaw a awm thei. Tichuan thluak chuan, "Thlarau a tawk lo, thawk hah zawk rawh" tih signal a dawng a. Chutah chuan thawk harsa kan ti thin.

A chhan ber chu lung leh lung natna a ni. A hranin han en ila.

Lung leh thawkna kawng nena inzawm chhan

• Asthma natna a ni
• Allergy nei te pawh a awm
• COPD (meizial zu thin zingah a awm fo) .
• Thluak lam natna (e.g., bronchitis, COVID-19, pneumonia) .
• Pleural effusion emaw inflammation emaw (pleurisy) emaw a awm thei.
• Lung chhunga tui awmkhawm (Pulmonary Edema) emaw, hliam (Fibrosis) emaw .
• Lung cancer a ni
• Pulmonary Hypertension tih a ni
• Tuberculosis natna a ni
• Lung / Pneumothorax a tlakbuak
• Pulmonary Embolism natna a awm
• Choking a awm

Thinlung leh thisen kaihhnawih chhan

• Anemia - Hei hian thisenah thisen sen (red blood cells) a tlahniam tihna a ni.
• Lung lam chak lohna
• Lung lam natna (Cardiomyopathy) a awm
• Lung chak lo (Arrhythmia) .
• Thinlung natna (e.g. Endocarditis, Pericarditis) .

Chhan dang

• Lungkhamna: Hei hi a awm fo thin.
• Thau lutuk: Body mass index (BMI) 30 aia tam.
• Exercise neih loh: Exercise i tih loh chuan i taksa ruhte a chak lo a, hna tenau i tih lai pawhin thawk harsa i tawk thin.
• Damdawi thenkhat: Hei hi cholesterol tihhniamna damdawi thenkhat (statins) leh thisen sang damdawi thenkhat (beta-blockers) vang pawh a ni thei.
• Rib ang chi thil tihchhiat.
• Sleep Apnea: Mut laiin thawk a tawp thin.

Engtin nge doctor chuan he thil awm chhan hi a zawn chhuah theih ang?

Thâwk harsa i complain chuan doctor-in a enfiah hmasa ang che. Stethoscope hmangin i lung a ngaithla ang a, i thisen sang a teh ang a, i kut zungtang (pulse oximeter)-a clip te tak te hmangin i thisena oxygen awm zat a teh ang.

Chu bâkah, a chhan dik tak hriat nân hetiang ang test hi tih theih a ni bawk:

• Chest X-ray emaw CT scan emaw: Lung lama harsatna awm leh awm loh enfiah nan.
• Thisen test: Anemia emaw natna dang emaw a awm leh awm loh enfiah thin.
• Lung Function Tests: I thawk chhuah leh chhuah that dan teh rawh.
• Cardiopulmonary Exercise Testing: Treadmill-a i kal lai leh exercise i tih laiin i thinlung leh lung hnathawh dan tehna test a ni.

Damdawi lam thurawn lak nghal tur

Thâwk harsa hi a châng chuan damdawi lam dinhmun khirh tak chhinchhiahna a ni thei. A hnuaia chhinchhiahna pakhat emaw a aia tam emaw i neih chuan tihkhawtlai lovin damdawi in hnai ber emergency department (ETU) pan la.

Engtin nge he dinhmun hi enkawl leh ven theih ang?

Enkawlna chu i thawk hah chhanah a innghat a ni. I doctor chuan a chhan a ruat ang a, a enkawlna dik tak a pe ang. A tlangpuiin heng thilte hian i rilru a hahdam thei hle.

• Exercise: Exercise mumal hian i thinlung leh lung a tichak a, chuvangin an thawhrim a ngai lo.
• Thâwk lak dan: I doctor chuan thawk dan tur dik tak leh i rilru tih hahdamna tur technique a zirtir thei che a ni.
• Damdawi: Asthma leh COPD ang chi natna tan chuan inhalers (bronchodilators) pek theih a ni.
• Oxygen Therapy: I thisena oxygen level a hniam hle a nih chuan i doctor chuan pawn lam oxygen a pe thei ang.
• Meizial zuk loh tur: Hei hi tih tur a ni ngei ang.
• Rihna hrisel tak vawn reng.
• Lung ti na thei thil, leivut leh meikhu te chu thawk loh tur a ni.

Thâwk tawi hi ngaihthah tur a ni lo. Hetiang harsatna hi i tawk fo a nih chuan i chhungkaw doctor biak pawh hlau suh. A châng chuan, inthlâk danglamna tlemte pawh hian i nunphungah danglamna nasa tak a thlen thei a ni.