I rilruah natna nasa tak i nei a, chu chuan hmui tlemte pawh ei harsa i ti tawh ngai em? Chutih rual chuan thawk harsa deuhin i inhria em? Hetiang dinhmun hi, a bik takin naupang tê têa lo awm a nih chuan nu leh pa angin min ti hlau hle a ni. Vawiin hian Epiglottitis an tih natna pakhat kan sawi dawn a, chu chuan heng symptoms te hi a thlen a, medical emergency anga ngaih a ni.
A awlsam zawngin, epiglottitis chu eng nge ni?
Awle, hetiang hian han sawi ila. Kan lei bul, kan rilru chhungah hian cartilage flap tlem a awm a, chu chu epiglottis an ti a. A hna ber chu kan ei leh in huna kan thlipui chhunga thil lut lo tura ven hi a ni. Kawngkhar ang mai a ni a, kan ei laiin thlipui kan khar thin.
Epiglottitis chu eng emaw chhan vanga bacteria infection a nih fo va, epiglottis chu a hring a, a sen a, a kai a ni.
Ngaihtuah teh, he kan thawkna kawng khartu kawngkhar te tak te hi a lo hring chhuak a nih chuan eng nge thleng ang? Thli kawng chu a inkhar tan ta. Hei hi he natna hlauhawm ber a ni. Thli kawng chu a inkhar vek a nih chuan nunna atana hlauhawm pawh a ni thei.
Tun hma chuan he natna hi naupang tê tê zingah a hluar hle a. A chhan chu Bacterium Haemophilus influenzae type b (Hib) a ni. Amaherawhchu, tunah chuan kan rama naupangte vaccination series-ah Hib vaccine telh a ni tawh a, naupang zingah he natna hi a tlem hle. Chuvangin tunah chuan he dinhmun hi puitling zingah hian eng emaw chen chu hmuh tur a awm ta a ni. Amaherawhchu, naupangte thawkna kawng a te lutuk avangin hetiang hi an kai a nih chuan a hlauhawm zawk.
Epiglottitis natna thlentu berte chu engte nge ni?
Ka sawi tawh ang khan hei hi a chhan ber chu bacteria infection a ni . Chung zingah chuan a hnuaia mite hi a tam ber a ni:
- Haemophilus influenzae natna hrik a ni
- Streptococcus pneumoniae a awm a, a natna hi a tha hle
- Streptococcus group A, B leh C te an ni
- Staphylococcus aureus tih hi a awm a
Heng bacteria infection bakah hian he natna hi a chang chuan fungal infection vang pawh a ni thei. Tin, taksa chak lohna nei mi pakhatah virus infection (e.g. chickenpox) a awm hnuah bacteria infection a lo awm thei a, epiglottitis a thlen thei bawk.
Infection bakah hian a chhan dang a awm bawk. Chung zingah chuan:
- Throat injuries: Chaw lum tak tak emaw tui emaw in avanga rilru hal, chemical inhnim emaw ei emaw, meizuk (a bik takin crack cocaine), emaw pawn lam atanga rilru natna avanga rilru hahna.
- Natna dang: Hei hi cancer enkawlna thenkhat side effect angin a awm thei bawk.
He natna hi kai theih a ni em?
Awle. Epiglottitis thlentu bacteria emaw virus emaw hi hri kai chuan a khuh emaw, a khuh emaw chuan boruak hmangin a darh thei a ni. Chuvang chuan hriselna kawng tha, kut sil fo te, damlo laka inthiarfihlim te hi zawm a pawimawh hle.
Hmelhriatna! Hengte hi epiglottitis symptoms te chu an ni!
He natna hlauhawm ber chu a natna lan chhuah dan hi a na hle thuai thei a, darkar tlemte chhungin a na thei hle. A rilru natna awlsam tak anga intan a, nunna atana hlauhawm a nih theih nan hun rei tak a ngai lo.
Doctor-te chuan he natna lanchhuahna lian ber pali an hmuchhuak a. Hriatreng awlsam zawk nan hengte hi "4 D's" an ti thin. Eng nge an nih i han thlir teh ang.
| "D" tih hawrawp. | Symptom leh a awmzia |
|---|---|
| Dysphagia (Dysphagia) a awm thei | Chaw ei harsa: Kawng natna nasa tak avangin hmui tlemte pawh ei theih loh. |
| Dysphonia natna (Dysphonia) a awm | Aw a inthlak: ri bengchheng, bengchheng, emaw, rilru chhunga thil awm ang maia ri bengchheng tak emaw. |
| Drooling a awm | Drooling: A ei theih lohna avanga duh loh zawnga hmui atanga hmui chhuak. Hei hi naupang tê tê zingah a tam ber. |
| Manganna | Thâwk harsa: thawk laiin whistling sound (stridor), thawk hahthlak, rilru hahdam lo. |
Hêng chhinchhiahna lian pali bâkah hian khawsik nasa tak leh rilru hah lutuk emaw, lungkhamna nasa tak emaw a awm thei bawk .
Damlo, a bik takin naupang chuan hmalam pan a tum ang a, thawk a awlsam zawk nan an kawr chu chunglam hawiin a herh kual ang. Hei hi "tripod position" kan ti a. Mut hian thawk a ti harsa zual thei.
Engtikah nge damdawi in pan nghal tur?
Hei hi hriat reng tur a ni. Nangmah emaw i fa emaw hian a chunga kan sawi tak "4 D's" te hi i neih chuan in lama dah theih natna a ni lo. Hei hi medical emergency a ni. Second khat pawh tikhawtlai lo la, damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
A bik takin vun a rawn sen (cyanosis) a nih chuan taksain oxygen a dawng tlem tihna a ni. Chu chu chhinchhiahna hlauhawm tak a ni!
Pawimawh: I fate kawr enfiah tum suh la, in lamah an hmuiah engmah dah tum suh. Chutianga tih chuan a hring a tipung thei a, thawkna kawng a tikhawlo nghal thei bawk. I fa chu muangchangin, thutthlengin, thawk hahdam takin awmtir la, damdawi inah hruai nghal rawh.
He natna hi Doctor ten engtin nge an hriat chian?
He natna hi hriatchhuah hi a hlauhawm deuh. A chhan chu epiglottis enfiah hian thawkna kawng chu a hring avangin a block nghal thei a ni. Chuvangin, doctor-te chuan he examination hi uluk takin an ti thin a, emergency a awm chuan hmanraw tul zawng zawng (breathing tube ang chi) chu an bulah an dah vek thin.
- Laryngoscopy: Camera te tak te nei tube chu hnar kaltlangin leh kawchhung hnuai lamah an kalpui a, epiglottis dinhmun an enfiah thin.
- X-ray: Kawng X-ray hmangin epiglottis a hring tih hriat theih a ni.
- Thisen test: Thisen test-in a kai chhan hriat chian a ni.
He natna hi natna dang nen a inthlau thei ang em?
Awle. A châng chuan he natna hi strep throat emaw croup emaw tih ang chi natna nen pawh a inthlau thei.
| Epiglottitis natna (Epiglottitis) a ni | Croup a ni |
|---|---|
| A na zual nghal vat (darkar tlemte chhungin). | Ni engemaw zat chhungin symptoms hi a lo lang zauh zauh thin. |
| Kawng na na tak, ei harsa, leh ruh chhuah te hi a lan chhuah dan ber a ni. | Ui bark ang chi characteristic barking cough a awm a. Chaw ei harsatna a tlem zawk. |
| Khawsik sang tak a awm tlangpui. | Vawi tam tak chu low-grade fever a awm thin. |
Engtin nge enkawl a nih?
Epiglottitis i vei tih hmuhchhuah a nih chuan damdawi inah dah nghal i ni ang. Enkawlna tum ber chu i thawkna kawng hawn reng hi a ni.
1. Oxygen pek: Thâwk harsa a awm chuan mask hmangin oxygen pek a ni.
2. Thâwk ṭanpuina: Hruak hian thawkna kawng a tikhawlo a nih chuan doctor-te chuan hnar emaw, hmui emaw hmangin thlipui chhungah tube an thun (intubation) ni engemaw zat chhung chu a hring a tlahniam thlengin an dah thei a ni. A tlem hle a, rilru natna a nasat chuan a kawr pawn lamah incision te tak te siamin thawkna kawng (cricothyroidotomy) dah theih a ni.
3. Antibiotics: Antibiotics hi vein (IV) hmangin a rang thei ang bera tan a ni.
4. IV fluids: Saline ang chi fluid hi vein kaltlangin pek a ni a, a pangngaia i ei theih thlengin.
5. Corticosteroids: Heng damdawi te hi swelling tihziaawm nan an hmang thin.
Hei hian eng harsatna nge a thlen theih?
Harsatna lian ber leh hlauhawm ber chu thawkna kawng khar vek leh thihna hi a ni.
Tin, natna thlentu bacteria te hi taksa peng dangah a darh thei a, .
- Pneumonia natna (Pneumonia) a ni
- Meningitis (thluak khuh tu membrane-a natna hrik awm) .
- Vun natna a awm
- Sepsis (thisen avanga rimchhia) .
Thil awmdan na tak tak a thleng thei.
A veng thei lo em ni? Hib vaccine pawimawhzia
Thu lawmawm tak chu he natna thlentu ber Hib bacteria laka invenna vaccine tha tak a awm tih hi a ni. Hei hi kan rama naupangte tana ram pum huapa vaccine pekna programme-ah telh a ni. Chuvangin i fa chu a hun taka vaccine zawng zawng pek vek chuan he natna hlauhawm tak lakah hian i venghim thei ang.
He vaccine hi kum 5 chunglam tan a tha lo tlangpui a, mahse, doctor chuan he vaccine hi immune system chak lo (e.g., HIV vei, cancer vei) tan a rawt thei a ni.
Take-Home Thuchah a ni
- Epiglottitis hi epiglottis, rilru chhunga flap awm, natna hrik leh hliam a ni. Hei hi medical emergency anga ngaih a ni a, a chhan chu thawkna kawng a tikhawlo thei a ni.
- A lan chhuah dan ber chu rilru natna nasa tak, ei harsa, ri bengchheng, luak chhuak, leh thawk harsa (the 4 D’s) te hi a ni.
- Heng symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal tur a ni. In lama inenkawl tum suh.
- Hib vaccination hian naupangte chu he natna lakah hian nasa takin a humhim thei a ni. I fa vaccination card chu dik takin vawng reng ang che.
- Hriatchhuah leh enkawl vat a nih chuan mi tam zawk chu an dam chhuak vek a ni. Tikhawtlai hian nunna a tichhe thei a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh