I taksa tan pawh boruak a tha lo em? Environmental Allergies chungchang hi i zir dawn teh ang!

I thawk hah fo em? Hnar khar, kawr hrual, mit sen, tui tak i nei em? A chang chuan hnar pawh a luang chhuak thin em? Heng thilte hi a thleng fo a nih chuan vawiin a kan sawi tur environmental allergy pakhat i nei mai thei. Lungngai suh, hei hi mi tam takin an neih a ni. Hei hi eng tak nge a nih, engvangin nge a lo awm tih, engtin nge kan hriat theih ang, engtin nge kan pumpelh theih ang tih hi han thlir ila.

Heng environment allergy te hi engte nge ni?

A awlsam zawngin, environmental allergy chu i immune system-in i chhehvela thil awmte a tihbuai lutuk hi a ni. A tlangpuiin heng thil – ‘allergens’ kan tih te hi a pawi tak tak lo. Mahse thil pakhat allergy i neih chuan i taksa chuan allergy angin a chhang let thin.

Ngaihtuah teh, i inah security guard i nei a. In chu rukru lakah a veng tlangpui. Mahse, ‘allergy’ i neih chuan he security guard hian a chang chuan i in lama i chhungte lo kal chu a hmu a, rukru niin a ngai a, a buai thin.

He allergy hi tuin nge nei thei ang?

Tu pawhin heng environment allergy te hi an nei thei . Mahse, i nu leh pa hian heng allergy te hi an neih chuan nang pawhin i vei theihna a sang zawk. Chumi awmzia chu thlah kal zelah an kal zel thei tihna a ni.

Hengte hi a tam hle. America ang ramah hian mi maktaduai 24 velin he natna hi an nei niin an sawi. Sri Lanka ramah pawh hetiang allergy nei hi an tlem hle.

He allergy hian engtin nge taksa a nghawng?

Allergen i tawn hmasak ber hian i taksa immune system chuan antibody chi khat Immunoglobulin E (IgE) tih chu a siam chhuak thin. Heng IgE antibodies te hi kan mucus membrane, vun, GI tract leh thawkna kawngah mast cells te nen an inzawm a. Heng mast cell te hian histamine ang chi chemical an dahkhawm thin .

Tunah chuan chu allergen chu taksaa a luh leh hunah chuan chu `IgE` nena inzawm mast cells te chu an thawk chhuak a, a chhunga histamine leh chemical dangte chu an chhuah chhuak ta a ni.

Histamine hi chutiang symptom rang tak tak, thawk hah, hnar luang, leh mit na tak tak te chu a pe che a ni. Heng symptoms te hi minute tlemte chhungin a lo lang thei a ni. Chemical dang pawh hian inflammation kal zel a siam thei bawk.

A châng chuan IgE nena inzawm lo reaction a awm thei bawk. Chu chu, taksa hian chemical chi hrang hrang (e.g., paint fumes, perfumes) volatile organic compounds (VOCs) te chu a reacted thei tihna a ni. Hengte hi IgE reaction nen a inang a, mahse IgE antibodies a tel lo. Hei hi entirnan leivut leh meikhu te hi a ni.

Environment allergy natna lanchhuahna chu engte nge ni?

Environmental allergy hian symptoms a thlen thei a, chungte chu:

• Hnar hrual, a rit tih hriat
• Hnar hnu lama tui tla
• Khuh
• Mit vel a thim (allergic shiners) .
• Chau
• Lu na
• Hives (hives) a awm
• Hnar a na leh a luang chhuak
• Mit sen, hrual, leh tui ( epiphora ) .
• Hriak chhuak
• Thâwk harsa, thawk hah

A châng chuan, heng allergy-te hian asthma attack pawh a thlen thei . Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

Eng thilin nge heng environment allergy te hi a thlen?

Kan chhehvela thil tam tak hian heng allergy te hi a thlen thei a ni. A bulpui berte chu:

• Pollen: Chûngte chu thing, thlai leh hnim hring aṭanga leivut ang chi thil te tak te an ni. Thliin a phur a, thlai pollinate nan an hmang thin. Pollen level hi zing lamah a sang ber a ni. Tin, ni lum leh thli tleh lai chuan pollen level a sang zawk bawk.
• Moulds: Hengte hi fungi te tak te an ni. An spore te chu boruakah an inphah chhuak thin. Mold hi hmun hnim, boruak luh lohna hmunah (e.g., bathroom, kitchen sink, basement)-ah a thang lian thin. Pawn lamah pawh hnah bawlhhlawh, thlai, leh buh ang chi hmunah te pawh an thang thei bawk. Mold spore hi ni lum leh vawt takah a thang tam zawk.
• Pet dander leh saliva: Hei hi i ran vun emaw ui emaw vun leh vun atanga thil te te (`dander`) lo chhuak te hi a ni . An hmui chhunga protein thenkhat chu allergenic an ni thei bawk.
• Dust mites: Hengte hi thil nung tenau tak tak, rulhut nena inzawm, mitin hmuh theih loh khawpa te an ni. Mattress, pillow, khum, carpet, sofa, leh curtain ang chi hmunah te an cheng a ni. Keini leh kan ran vulhte kan paih chhuah vun cell thi te an ei thin. An seh lo, mahse an ek, zun, leh taksa peng thi te hian i thaw lut chuan allergy a thlen thei a ni.
• Cockroaches: Heng rulhut te ek, hmui, artui leh taksa peng hrang hranga protein awm hian mi thenkhatah allergy a thlen thei bawk.

Heng bakah hian non-IgE-related reaction thlentu thilte chu:

• Meikhu: Meikhu eng pawh, cigarette meikhu, lirthei meikhu, thingpui lumna meikhu, leh rimtui meikhu te hi mi thenkhat tan chuan a nuam lo hle.
• Leivut: In chhunga leivut pangngaiah hian thil tam tak a awm a, chung zingah chuan vun cell thi, sam, pollen, puan chi hrang hrang, leivut hnim, rulhut chi hrang hrang, leh leilung te pawh a tel.

Environment allergy hi kai theih a ni em?

No. He allergy hi kai theih a ni lo. Mi dang hnenah allergy i neih chu i pe thei lo.

Engtin nge he allergy hi i hriat theih ang?

Heng symptoms te hi i neih fo chuan allergist pan tur a ni.A tha ber chu inhmuhkhawm hi a ni. Zawhna a zawt ang che:

• I chhungte zingah hian hetiang allergy nei an awm em?
• Allergy i nei tih hmuhchhuah i ni tawh em?
• I symptoms te chu engte nge ni?
• Heng symptoms te hi damdawi (e.g., damdawi dawr atanga pills) i ei thin em?
• Engtikah nge heng symptoms te hi a lo awm tam ber?
• In lamah rannung an awm em?
• Carpet ang chi thil hi engzat nge i vacuum thin? I mutna i sil thin em?

Chumi hnuah chuan Doctor chuan test engemaw zat a ti mai thei.

Eng ang test nge tih thin?

• Skin prick test: Hei hi i kut emaw, i hnungzang emaw vunah allergen nia rinhlelh tlem te dahin, needle te tak te hmangin i chil a ni. Thisen chhuak a awm lo vang, tickling sensation tlemte chauh a awm ang. Minute 15 vel hnuah thil pakhatah allergy i neih chuan a hmun chu a sen ang a, wheal te tak te a lo lang ang a, chu chu rulhut seh ang mai a ni. Hei hian eng nge i allergy tih a hrilh ang che. Hei hi darkar khat aia rei lovah tih theih a ni.
• Thisen (IgE) test: Hei hian i thisen tlemte lak a, lab-ah allergen chi hrang hrang dah belh a, i IgE level enfiah a ni. Results hi a rawn let leh theih nan kar khat vel a ngai thei. A châng chuan false-positive result hmuh theihna chance tlemte a awm ṭhin. Chumi awmzia chu i allergy tak tak loh thil pakhatah allergy i nei thei tihna a ni.

Engtin nge heng allergy te hi i tihbo theih ang? A nih loh leh anmahni thunun thei em?

Dik tak chuan heng environment allergy te hi a dam kim thei lo. Mahse, a natna lan chhuah dan chu thunun theih leh tihziaawm theih a ni. For this , antihistamines hi hman a ni ber.

Antihistamines hian side effect a nei em?

Antihistamine hi chi hnih a awm a, chungte chu:

1. Antihistamine thlah khatna: Entirna: `Diphenhydramine (Benadryl®)`, `Clemastine (Dayhist®)`, `Hydroxyzine (Atarax®)`.

• Hengte hian mutthilh , hmui vawt, luak chhuak, lu na, khuh, luak chhuak, leh luak chhuak a thlen thei.

2. Antihistamine thlah hnihna: Entirna: `Fexofenadine (Allegra®)`, `Cetirizine (Zyrtec®)`, `Loratadine (Claritin®)`.

• Hengte hian side effect a nei tlem zawk a, a bik takin mut a tlem zawk. Mahse, mi thenkhat chuan vun natna, vun hring, hives, leh hmai hring (angioedema) te an nei thei.

Zirna thenkhatah chuan `Cetirizine` leh `Hydroxyzine` ang damdawi ei thinte hian lungkhamna leh lungngaihna nasa tak an nei thei tih an sawi. Mahse, hemi chungchangah hian zirchianna tam zawk neih a ngai a ni.

Damdawi hman zawhah hian eng chen nge a rilru a hahdam theih?

Antihistamine hian a ei atanga minute 30 chhungin hna a thawk tan tlangpui a, darkar tlemte chhungin a thawk tha ber.

A chang chuan, i doctor chuan nitin antihistamine ei turin a ti thei che a, symptoms a lan hun nghak ngai lovin.

Environment allergy i neih chuan engtin nge i tih ang?

Chûngte chu tihdam vek theih ni lo mah se, allergen aṭanga hla thei ang bera awm a, doctor-in damdawi a pêk angin damdawi ei hian a lan chhuah dân chu a thunun ṭha thei a ni

Engtin nge heng allergy te lakah hian i inven theih ang ?

Hnar spray, Fluticasone nasal spray (Flonase®) te hi allergy symptoms moderate atanga na tak (hnar congestion, runny nose, sinus pressure) venna atan a tangkai hle nia ngaih a ni. Hnar chhunga inflammation an tihziaawm. Heng spray te hi nitin i hmang thei ang. Mahse, mi thenkhat chuan hnar a na a, a luang chhuak thei bawk. Kum 65 chunglamte chuan an hman hmain doctor an biak hmasak phawt a ngai a, hun rei tak hman chuan mitah pressure (glaucoma) a tisang thei a ni.

Allergy na lo tak i neih chuan nitin second-generation antihistamine ei hi a tha ber mai thei.

Chu bakah, allergy symptoms tihziaawmna atan heng thilte hi i ti thei bawk:

In lamah chuan:

• Window kha khar la, a theih chuan air conditioner (AC) hmang bawk ang che. Tukverh a inhawng chuan in chhungah pollen a lut ang. Fan hi window bulah dah suh, hei hian a chhungah leivut leh pollen a rawn thlen thei a ni.
• I in chhunga boruak awm chu filter rawh. Vent chungah cheesecloth ang chi thil dahin pollen i filter thei. HEPA filter i neih chuan , chu pawh chu hman a tha. Filter chu thlak fo thin ang che.
• I in chhunga humidity tihtlem rawh. Humidity 50% hnuai lama dah chuan mold growth leh dust mite infestation a ti tlem ang.
• Mold lo awm theihna hmunte chu pumpelh rawh. Basement, garage, leh hnah tamna hmun ang chi hmun. A theih chuan heng hmunte hi tihfai fo thin ang che.
• Ran vulh te chu inbual la, tifai fo bawk ang che. Bedroom-ah, khum-ah emaw, sofa-ah emaw hruai lut suh.
• Dust mites lakah inveng rawh. Pillow leh mattress-ah microfiber cover dah rawh. Kar khatah vawi khat tui lum (54 degree Celsius vel)-ah khum silfai thin ang che. Feather-filled pillow leh furniture puan tam tak awmna chu pumpelh rawh. Savun leh vinyl ang chi furniture te hi a tha a, a chhan chu dust mite te tan a luh harsat vang a ni.
• Carpet leh rug te chu vacuum fo thin ang che. Kar khatah vawi hnih tal. Thianghlim dawnin mask vuah tur a ni. A theih chuan carpet chu tiles, thing, a nih loh leh linoleum hmangin thlak rawh. Carpet i neih chuan vacuum hmangin silfai fo ang che.
• In chhungah zu in loh tur. Pawnah cigarette leh rimtui hnah ang chi thil hmang thin ang che.

Pawn lam:

• Motor khalh dawnin window kha khar reng tur a ni. AC on la , boruak chu a recirculate reng ang .
• Pawn chhuah hmain pollen count enfiah hmasa phawt ang che.A theih chuan ni lum, vawt, thli tleh laiin in chhungah awm rawh. Pollen count a tam ber lai, zing dar 5:00 a.m leh 10:00 a.m. inkarah pollen i exposure tihtlem rawh.
• Mask vuah tur a ni. Huan i sawh dawnin, hnah i rake dawnin, buh leh bawlhhlawh ang chi thil hmanga hnathawh hunah mask vuah thin ang che.
• Pawn atanga i lo haw hunah shower la rawh. I sam sil la, i thawmhnaw thlak bawk ang che. Hei hian i taksa leh thawmhnaw atanga pollen awm chu a paih chhuak ang.
• Thawmhnaw i vawt dawnin dryer hmang thin ang che. Pawnah thawmhnaw khai suh. Hei hian thawmhnaw chhungah pollen leh mold a trap thei a ni.

Engtikah nge Doctor ka hmuh ang?

Allergy symptom i neih fo chuan, a bik takin nitin nun a nghawng chuan doctor pan ngei ngei tur a ni.

Doctor hnenah eng zawhna nge i zawh tur?

• Engtin chiah nge environmental allergy ka neih leh neih loh i hriat?
• Eng ang thil nge ka allergy?
• Eng ang allergy damdawi nge i rawt?
• Chu damdawi te hian eng side effect nge a neih?
• Nitin damdawi hi ka ei a ngai em, a nih loh leh symptoms a awm hunah chauh ka ei a ngai em?
• Ka la chhuak thei ang em?
• Ka huanah emaw, ka in chhungah emaw thlai tha lo tak tak a awm em?
• Engtin nge allergy symptoms, emaw, khawsik emaw flu emaw ang chi symptoms ka neih leh neih loh ka hriat theih ang?

Environment allergy leh food allergy hi eng nge an danglamna?

Environment allergy chu i immune system-in i chhehvela thil awmte a tih dan a ni.

Food allergy hi ei tur thenkhata protein awm avanga immune system reaction a ni. Food allergy tlangpui chu bawnghnute, artui, leh buhfai te hi a ni.

Environmental allergy hi i immune system-in i chhehvela thil engemaw a tihsual palh hian a lo awm thin. Hetianga chhanna hian hnar khuh, mit tui, hnar luang, leh hahna ang chi symptoms a thlen thei a ni. Heng symptoms te hi i neih chuan Doctor pan rawh. Eng thil nge i allergy tih hriat tumin test a kalpui thei bawk. Allergy symptoms laka invenna tur damdawi an pe thei bawk.

Thupui tawi (Take-Home Message) 1.1.

Okay, chuvangin tunah chuan vawiin a kan sawi tawh environmental allergy te kha i hrethiam zawk tawh ang. Hei hi mi tam zawkin an neih a nih avangin zah tur leh hlauh tur a awm lo tih hre reng ang che.

• A pawimawh ber chu eng nge i allergy tih chiang taka hriat chian hi a ni. Chumi atan chuan damdawi lam thurawn zawng rawh.
• Allergen lakah a theih ang anga inthiarfihlim tum ang che. I in chu vawng fai la, i chhuah dawnin fimkhur rawh.
• Doctor-in damdawi a pek ang chiah kha hmang ang che.
• Symptoms te hi ngaihthah suh. I nun an nghawng a nih chuan enkawlna zawng nghal rawh.

Heng step te hi i zawm chuan nun nuam tak i hmang thei a, environment allergy nei pawhin. Zawhna dang i neih chuan Doctor biak pawh hlau suh.

` Environmental allergy, allergy, thawk hah, hnar hrual, vun na, pollen, dust mites, antihistamines