Epiglottitis - Hemi chungchanga hriat tur i neih chu!

I fate chu mawi takin a khel a, rang takin thawk harsatna a nei a, a kâ aṭangin hmui a chhuak ṭan a, a thusawi chuan a aw a danglam ṭhin tih han mitthla teh. A nih loh leh puitling chuan ni hnih emaw ni thum emaw chhung chu a rilru na tak a nei nghal a, thawk a la thei lo. Hei hi thil tenawm tak a ni ngai lo. He dinhmun hlauhawm tak, emergency-a awm hi Epiglottitis an tih natna avanga lo awm thei a ni. Hei hian nunna a tichhe thei a, chuvangin hei hi i fimkhur ang u.

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

A awlsam zawngin kan rilruah hian cartilage flap te tak te a awm a, chu chu lei hnung lamah chiah a ni. Hei hi damdawi lam chuan epiglottis kan tih chu a ni . A hnathawh ber chu ei leh in tur kan thlipui (trachea) leh kan chaw kawng (esophagus) chhunga lut nghal lo tura ven hi a ni. Kawngpuiah track switch tu lever angin a thawk a ni.

Chuvangin, Epiglottitis chu natna hrik emaw, thil dang emaw avanga epiglottis chu a hring nghal a, a sen a, a lo hring chhuak nghal a ni.

Tunah chuan han ngaihtuah teh, he airway chunga flap hi a lo hring chhuak a nih chuan eng nge thleng ang? Thli kawng, trachea , chu a inkhar vek a. Tichuan i thaw thei lo. Naupang tê tête thawkna kawng chu engti kawng pawhin a zim hle a, chuvangin he hliam hi an tan chuan a hlauhawm hle. Chuvang chuan medical emergency anga ngaih a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Epiglottitis hi natna tlanglawn tak a ni lova, mahse kum eng pawhah a awm thei.

Tun hma, chu chu kum 1985 hma lam khan he natna hi naupang kum 3 leh 5 inkar ah a awm tam ber a, a chhan ber chu bacterium Haemophilus influenzae type b (Hib) a ni. Mahse tunah chuan Hib vaccine hi kan ramah naupang naupan lai atanga an pek thin national vaccination program-ah telh a ni ta. Naupang thla 2, 4, leh 6-a pentavalent vaccine pek thin kha i hre reng mai thei. Chu chuan he Hib infection lakah hian venhimna a pe bawk. Chuvang chuan tunah hian naupang zingah he natna hi hmuh tur a awm lo hle a ni.

Mahse mak tak maiin tunah chuan he natna hi puitling zingah hmuh tur a awm ta hle a ni. Hib bacteria vang ni lovin, bacteria chi dang, Streptococcus pneumoniae leh Staphylococcus te vang a ni.

Epiglottitis natna lan chhuahna chu engte nge ni? Engtin nge kan tihbo theih ang?

Heng symptoms te hi a lo lang nghal fo thin a, darkar tlemte chhungin a na nghal vat thei bawk. A bik takin naupang tê tête chuan an thawkna kawng a zim em avangin vaukhânna tel lovin heng natna lan chhuahna hi an nei thei a ni. Puitlingte chuan ni khat emaw ni hnih emaw chhung awh tur symptoms an nei thei a, chu chu kawr natna ang chi hi a ni a, chutah chuan a na hle.

He natna hi doctor ten an hman thin symptoms lian 4 a awm a. Chungte chu "4 D's" tia hriat an ni bawk.

Heng thil pawimawh tak takte bakah hian thil dang engemaw zat hmuh tur a awm bawk:

• Ngaihtuah phak loh khawpa na na tak .
• Khawsik chu 38 degree Celsius (100.4 Fahrenheit) aia sang a ni .
• Thâwk chhuah hian thawm hniam tak, sâng tak, ‘whoosh’ ang maia hriat a ni.
• A bik takin naupang tê tête chuan an hmui an hawng a, hma lam an hawi a, an khup chungah kut an nghat a, chu chuan thawk an ṭanpui ṭhin. Hei hi ‘tripod position’ kan ti a. Hei hi mizia pawimawh tak a ni.
• Naupang chu a rilru a hahdam lo hle a , a buai hle bawk .

Heng symptoms te hi a chang chuan natna dang, croup ang chi nen a inang thei bawk. Mahse, croup-ah hian khuh a tel tlangpui a, croup hi hetiang hian a na ngai lo. Chuvang chuan an pahnih hi dik taka thliar hran leh enkawl turin doctor pan vat a pawimawh.

Eng thilin nge epiglottitis hi a thlen?

Hei hi a chhan ber chu bacteria infection a ni a, mahse a chhan dang pawh a awm thei bawk.

• Bacterial infection: A hmaa kan sawi tawh ang khan hei hi naupang Hib bacteria vang a ni thei a, puitlingah pawh bacteria chi dang a awm thei bawk.
• Viral infection: A chang chuan chickenpox (varicella-zoster virus) leh herpes (herpes simplex virus) ang chi viral infection kan neih hian kan immunity a chak lo a, chuta tang chuan bacteria infection chu awlsam takin a lut thei a ni.
• Fungal infection: Mite taksa chak lo tak tak (e.g., HIV vei, cancer enkawl mek) te pawhin he natna hi Candida ang chi fungal infection vangin an vei tam zawk bawk.
• Throat damage: Hetiang dinhmun hi rilru na taka vuak vang te, thil hrual (nga ruh ang chi) avanga chok vang te, tui lum tak tak, tea no khat ang chi in nghal vang te a ni thei.
• Meizial zuk: Meizial zuk, vaping, ruihhlo meikhu crack cocaine ang chi inhnim fo pawh hi a chhan a ni thei bawk.
• Chemicals: Hetiang dinhmun hi chemical tha lo (e.g., acid) in hnuah a awm thei a, chu chuan rilru a hal thei a ni.

He natna hi kai theih a ni em?

Epiglottitis hi mi pakhat atanga mi dangah direct-in a darh lo. Mahse, a thlentu bacteria emaw virus emaw chu a darh thei a ni. He natna hrik hi mi pakhatin a khuh emaw, a khuh emaw avanga boruaka lut tur droplet hmanga darh a ni. Mahse, epiglottitis i neih hian hrik i nei hauh lo. I epiglottis-a hrik lut a, natna hrik a thlen chauhvin a thleng thin.

Damdawi inah engtin nge diagnosis leh treatment an tih thin?

Hei hi emergency a nih avangin ETU-a hruai i nih hunah doctor-te’n an tih hmasak ber tur chu i natna chu eng nge ni tih hriat ai chuan i thawk dan tur tihngheh hi a ni. A chhan chu i nunna chhanhim hi i ngaih pawimawh hmasak ber a ni. I thawk a nghet tawh chuan a hnuaia test te hi tih theih a ni a, chu chuan i natna hriat theihna turin a pui thei ang:

• Throat examination: Specialist doctor chuan camera (laryngoscopy) hmanga tube te tak te hmangin rilru chhung lam a enfiah a, epiglottis a hring leh hring loh direct-in a enfiah thin.
• X-ray test neih dan: 1.1.Kawng X-ray-ah chuan epiglottis hring chu kut zungtang chhinchhiahna ang mai a ni .
• Blood and throat swab test: Thisen test hi taksaa natna hrik awm leh awm loh enfiah nan hman a ni. Laboratory-ah throat swab thawn a ni bawk a, he natna thlentu bacteria emaw virus emaw dik tak hriatchhuah a ni bawk.

Enkawl lai hian step lian pathum zawm a ni.

Eng chen nge dam nan a mamawh a, engtin nge ka inven theih ang?

A tlangpuiin a dam kim theih nan kar khat vel a ngai thin. Damdawi inah ni thum atanga ni nga vel i awm a ngai dawn a ni. Thâwk lakna atana pui turin tube dah pawh ni se, ni hnih atanga ni thum hnuah a hring a tlahniam hnuah lakchhuah a ni ang a, nangmah chauhin i thawk thei tawh ang.

A pawimawh ber chu i doctor-in antibiotics a pek zawng zawng (a tlangpuiin ni 7) i zawh vek tur a ni. A natna a reh tawh vang mai maia a chanvea hruai chhuah tawh loh chu thil tha a ni lo. Chutianga tih chuan natna chu a lo let leh thei a ni.

Hetiang dinhmun atanga inven theih vek theih ni lo mah se, i hlauhawmna tihtlem nan a hnuaia mi hi i ti thei ang:

• Vaccination: I fain Hib vaccine telin component panga awmna vaccine chu a hun takah a dawng ngei ngei tur a ni. Naupang venhimna tha ber a ni.
• Faina \ha: Sahbawn leh tuiin uluk takin kut sil \hin tur a ni. A tul lovah i mit, hnar leh hmui khawih loh tur.
• Infection lakah inveng rawh: Mi khuh leh thawk hah te lakah a hla thei ang bera awm rawh.
• I kawr tichhe thei thilte pumpelh dan: I kawr tichhe thei thil, thil lum tak tak in leh meizuk te hi pumpelh rawh.