I hnar khar a nih avangin operation i nei a, tunah chuan i thawk tha thei tawh ang tih i ngaihtuah ang tih han ngaihtuah teh. Mahse operation hnuah pawh block a la ni reng a, thawk a harsa hle. Doctorin a enfiah che chuan i hnar chhungah blockage a awm lo tih a sawi a, a kalna tur pawh a inhawng tha hle tih a sawi bawk. He hriatna mak tak, inhnialna hi tunlaia kan sawi tum chu a ni, Empty Nose Syndrome (ENS). A hming ang ngeiin he natna ‘hnar ruak’ an tih hi a tlem hle a, mi tam tak tan pawh lungkhamna nasa tak thlentu thil a ni bawk.
He natna hi Empty Nose Syndrome an tih hi eng nge ni?
A awlsam zawngin sawi ila, Empty Nose Syndrome (ENS) hi i hnar atanga thawk tur hmun tam tak awm mahse i hnar a inkhar a, thawk thei lo ang maia i awm hi a ni. Hei hi hnar surgery hnuah a thleng thei tlangpui.
Kan hnar chhungah hian thil te tak te, shelf ang chi pathum a awm a, chu chu ‘Turbinates’ an ti a. An hnathawh ber chu kan thaw thlum tihfai, hnim leh tihlum a, lung lama thawn chhuah hi a ni. A chang chuan allergy leh infection ang chi thil avang hian heng turbinate te hi an lo hring chhuak thei a, hnar a ti na thei bawk. Chutiang a nih chuan doctor-te chuan heng turbinate te hi tihtlem nan operation an ti thin (Turbinate reduction surgery). A châng chuan, heng turbinate ṭhenkhat (Partial turbinectomy) emaw, a pum pui (Complete turbinectomy) emaw lak chhuah a ngai ṭhin.
Heng surgery tam zawk hi chu a hlawhtling hle. Mahse, very rarely , turbinate tissue tam lutuk lakchhuah emaw, surgery neih chhunga tihchhiat emaw a nih chuan ENS a awm thei. Hei hian i hnar kawngte chu a la inhawng reng chung pawhin i thawk hah ang maiin a awm thei a ni. Puzzle ang mai a ni.
Eng thilin nge ENS hi a thlen?
ENS awm chhan dik tak hi zirchian a la ni a, mahse hnar surgery-a turbinate tissue lakchhuah tam lutuk vang nia ngaih a ni.
Ngaihtuah teh, kan hnar hi boruak luhtirtu tube mai a ni lo. System complex tak a ni.
- Nerve chhiatna: Heng turbinate chung lamah hian nerve te tak te te a awm a, chu chuan boruak pressure leh temperature ang chi thil a hre thei a ni. Kan thawh hian heng nerve te hian thluak hnenah "tunah hian thawk lut" tih signal an thawn thin. Operation laiin heng nerve te hi lakchhuah emaw, tihchhiat emaw a nih chuan thluak hian chu signal chu a dawng lo. Thluak chuan "Ka thawk thei lo, ka hnar a block" tiin a hrilhfiah a ni.
- Thli kal dan a inthlak: Operation hnua hnar chhunga hmun a lian lutuk chuan thawkna kawng chu a kal nghal mai thin. Turbinates a hit a, a swirl a, a hnim lo. Hei hian thluak hi a thawk tha lo ang maiin a ti thei a ni.
- Bacterial imbalance: Hnar chhunga mucous membrane awm hian bacteria hrisel tak tak a humhim thei a ni. He layer hi surgery hmanga a chhiat chuan bacteria hrisel te a tlahniam thei a, bacteria hlauhawm tak tak te pawh an lo thang lian thei bawk. Hei hian infection leh ENS symptoms te a tipung thei a ni.
Empty Nose Syndrome (ENS) natna lan chhuah dan chu engte nge ni?
ENS symptoms hi operation hnu kar tam tak, thla tam tak, kum tam tak hnuah pawh a lang thei a ni. Heng symptoms te hi mi hrang hrangah a inang lo thei.
| Symptom chi hrang hrang | Hrilhfiahna |
|---|---|
| Thâwk lakna nena inzawm natna lan chhuah dan | Thâwk harsa, hnar chhunga thil awm reng, thawk chhuah laiin hnar a vawt, thawk hah emaw, tuiah emaw a awm. |
| Hnar leh kawr nena inzawm symptoms | Hnar leh kawr a vawt lutuk, hnar thisen chhuak, mucus siam tlem, hnar chhunga crusting, leh postnasal drip. |
| Taksa mizia dangte | Lu na fo, luak chhuak, rim hriatna famkim emaw tlahniam (anosmia), tui hriatna tlahniam (ageusia), hah lutuk, mut theih lohna. |
ENS leh rilru hriselna inzawmna
Hei hi thil pawimawh tak a ni. Thâwk harsatna nei reng ang maia inhriatna leh rin loh chuan mi rilru hriselnaah nghawng lian tak a nei thei a ni . ENS vei zingah hian:
- Hlauhthawnna
- Lungngaihna
- Thil ngaihtuah theih lohna
- Thinrim fo thin
Conditions hetiang hi a awm fo. Zirna thenkhatah chuan ENS vei zinga 70% thlengin depression an vei tih hmuhchhuah a ni.
Pawimawh: Nangmah emaw, i hriat miin emaw, mahni intihchhiat tumna a neih chuan, i doctor pan vat la, a nih loh leh i damdawi in hnai ber Emergency Department (ETU)-ah kal rawh. Hemi chungchang sawi a, tanpuina zawn hi a pawimawh hle.
ENS hi natna tak tak a ni em? Engtin nge doctor hian a hriat chian?
Ni e, ENS hi damdawi lam natna tak tak, mahse a tlangpui vak lo a ni. Hei vang hian a chang chuan scan-ah hian hnar chhungah blockage a awm lo tih hriat a harsa thei.
Doctor chuan ENS hriatchhuah nan i symptoms leh surgical history te a hmang ber ang. Chubakah chuan,
- Endoscope, camera nei tube te tak te hmangin hnar chhung lam chu enfiah theih a ni.
- A chhan dang (e.g. nasal polyps, cancer) hriat loh nan CT emaw MRI scan emaw pawh tih theih a ni.
- "Cotton Test": Hei hi test awlsam tak, mahse a pawimawh hle. Doctor chuan i hnar chhungah, turbinate awmna hmunah, saline solution-a hnim cotton ball a dah a. Minute 20-30 vel hnuah chuan i symptoms, thawk hah leh vawt ang chi te chu a tha em tih an enfiah ang. Chutiang symptoms chu rei lo te atan pawh a lo tha a nih chuan ENS i vei tih hriattirna nghet tak a ni.
ENS enkawlna tur hi engte nge ni?
ENS hi damdawi a awm lo a, mahse symptoms enkawl dan leh nunphung tihchangtlun dan tam tak a awm .
- Hnar tihfai: Saline spray emaw gel emaw hman te, nilengin tui tam tak in te, mutna pindan chhunga humidifier hman te hian hnar vawt a tihziaawm thei a ni.
- CPAP machine: Mi thenkhat chuan mut laiin ``CPAP'' machine hman hian humidity leh airflow vawng reng turin a pui tih an hmuchhuak.
- Damdawi: I doctor chuan i hnar chhunga thisen kalna kawng tizau thei leh mucous membrane hring hring tihziaawmna tur damdawi a pe thei ang.
- Surgery: A natna lan chhuah dan a nasat chuan turbinate lakchhuah te chu implant hmanga thlak turin operation tih theih a ni. Hei hian Gore-Tex ang chi synthetic material emaw mihring tissue atanga siam acellular dermis emaw platelet-rich plasma (PRP) emaw hman a huam thei. Hei hian hnar chhunga hmun a tihtlem a, thawkna kawng a ti tawi a, thluaka thawkna sensation siam leh tumna hmangin hna a thawk a ni.
Take-Home Thuchah a ni
- Empty Nose Syndrome (ENS) hi damdawi lama harsatna awm lo mahse a tak tak a ni a, hnar surgery hnua lo awm thei a ni a, hnar kha a khar lai pawhin a khar niin a lang.
- Hei hi a chhan ber chu operation laiin hnar atanga turbinate tissue tam lutuk lakchhuah vang nia ngaih a ni.
- Taksa lam natna, thawk harsa, hnar vawt, leh rimtui tlakchhamna te a awm thei a, chubakah rilru lam nghawng, lungngaihna leh lungkhamna te pawh a awm thei bawk.
- Hnar surgery i neih tawh a, heng symptoms te hi i nei a nih chuan i beng, hnar leh kawr (ENT) surgeon nen inbiakna neih a pawimawh hle.
- Dam kim theih ni lo mah se, a natna lan chhuah dan thunun thei tur leh nun tha tak nei tur hian enkawlna hrang hrang a awm a.
- Hnar surgery i neih chuan ENS vei theihna tur leh tissue tam thei ang ber humhalh thei tura surgery tih a pawimawhzia te doctor nen sawiho rawh.











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