Loa hnathawkte pawhin he natna hi i vei thei ang em? (Farmer's Lung) chungchang hi i zir chiang ang u!

Loneitu i ni em? A nih loh leh, lo lama thawk, buh, barley, leh thlai hring ang chi thilte nena inzawm reng mi i ni em? Heng thilte hnathawh lai hian a chang chuan thawk hah, khuh, chak lo, khawsik i nei thut thin em? Chutiang a nih chuan hei hi i tan thil pawimawh tak a ni mai thei. Vawiin hian "Farmer's Lung" tih dinhmun kan sawi dawn a ni.

"Loneitu Lung" chu eng nge ni?

A awlsam zawngin sawi ila, hei hi kan lungphu tichhe thei allergy chi khat a ni. A dik tak chuan kan lung chhunga boruak bawm te tak te, alveoli-ah inflammation a siam a, chutah chuan kan thawk laiin oxygen a inthlak thin. Hei hi damdawi lam chuan Hypersensitivity Pneumonitis an ti a .

Chutianga a awm chhan ber chu , hnim hring, thlai hring, buhfai emaw, lo neihna thil dang emaw aṭanga leivut thawk chhuah hi a ni. Hei hi leivut emaw pet dander emaw atanga kan hmuh tlangpui `allergic rhinitis` nen hian a danglam deuh hlek a ni. Chutiang allergy aiin a na zawk thei bawk. A chhan chu, heng mold particle te hi kan thawk chhunzawm zel chuan kan lung hi a tichhe vek theihna chance a sang hle.

"Farmer's Lung" chi hrang hrang lian ber ber a awm em?

Ni e, he dinhmun hi chi thum ah then theih a ni. Anni chu:

• `Acute Farmer’s Lung`: Mouldy hay pile hmanga hna i thawh tawh angin han ngaihtuah teh. Hnathawh atanga darkar tlemte chhungin khawsik, khuh, thawk hah ang chi symptoms i nei nghal a. Mahse, heng symptoms te hi darkar engemaw zat emaw, ni engemaw zat emaw chhungin a reh thei a, a bik takin mold environment atanga i hlat hnuah.
• Subacute Farmer’s Lung: Hei hi hun rei tak, low-level mold-a a awm hnuah a thleng tlangpui. Symptoms hi zawi zawiin a lo lang thei a, rei tak a daih thei bawk. "Aw, hei hi khawsik na tak mai a ni," tiin i ngaihtuah mai thei. Symptoms hi a awm reng thei a, a lo kal leh zel thei bawk.
• Chronic Farmer’s Lung: Hei hi hun kal zelah a lo awm thei a, a chang chuan acute exposure tam tak hnuah emaw, mold level sang tak a awm hnuah emaw a lo awm thei bawk. Symptoms hi a lo lang zauh zauh a, a lo lang zauh zauh bawk. He chronic inflammation hian a tawpah chuan lung-ah hian reversible scarring a thlen thei a ni. Hei hi dinhmun hlauhawm ber a ni.

Hei hi eng symptoms nge ni?

A natna chi hrang hrang a zirin symptoms hi a inang lo deuh thei.

`Acute` natna lan chhuah dan:

Chûngte chu hnim hring (mold) a awm hnu darkar tlemte chhûngin a lang tlangpui:

• Thâwk harsa (dyspnea) .
• Khuh(a tam zawkah chuan khuh hring (dry cough) .
• A rilruah a tight leh tightness tih hriat
• Chills (a khur leh khawsik) .
• Chau
• Khawsik
• Taksa a na, taksa ruh a na

`Subacute` leh `Chronic` natna lan chhuah dan:

Heng symptoms te hi acute condition nen a inang thei a, mahse a lo thang zawi zawi a , hun kal zelah a na zual zel bawk.

• `Subacute` stage-ah chuan khawsik reng reng i nei ang maiin i hria mai thei .
• `Chronic` condition-ah chuan hetiang hian i tawng thei ang:
• A hma aiin thawk ka hah a, ka muhil rang zawk (a bik takin hna tenau ber pawh ka tih hian).
• Khuh leh hahna hi a tlahniam zauh zauh a, a tlahniam lo.
• Weight loss hi tum loh takin a thleng thin.
• Finger emaw toe clubbing (kut zungtang emaw ke ruh emaw hrual) .

Engvangin nge he "Farmer's Lung" hi a lo thanglian?

Hei hi a chhan ber chu thil chi hrang hrang, buhfai, thlai hring, leh buhfai ang chi chungah a lo thang thin vang a ni. Heng mold-te hi pawn lam thilin a tihbuai chuan (entir nan, buh bale a tihchhiat emaw, buhfai bag khat emaw a hrual emaw) chuan mold chuan mit chauha hmuh theih loh khawpa te tak te (`particles`) chu boruakah a chhuah tir thin.

Heng particle te hi kan thawk chhuah hian kan taksa immune system hian a overreact a , chu chuan lungah inflammation a siam thin. Hei hi allergic reaction nen a inang hle.

Ngaihtuah teh, kan taksa hian heng mold particle te hi "hmêlma" angin a hre chiang hle. Heng mold te kan react hmasak ber hian kan taksa hian nakin lawka hriat theih turin chemical bik a siam thin. Mahse "farmer's lung" leh `hypersensitivity pneumonitis` condition dangtea thil thleng chu he allergen kan tawrh chhunzawm zel chuan kan taksa hi a `sensitized` zual a, chu chuan a hnuaia reaction chu a ti na zual sauh sauh a ni. Hun a kal zel a, he thil nasa tak hian kan lung chhunga boruak bawm (alveoli) leh chuta kalna kawng te tak te te chu a tichhia a ni. He chhiatna hian a natna lan chhuah dan a tipung zauh zauh a ni.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Moldy hay emaw grain emaw hmanga hna i thawh chuan, emaw, chutiang hmuna i awm fo chuan he natna hi i vei theihna a sang zawk a ni. Hei hi thlasik tawp lam leh thlasik tir lamah a ni ber a, chutih lai chuan buh leh buhfai chu a hnim a, mold a lo awm tam zawk thin. Chuvangin heng hun lai hian a hlauhawmna a sang lehzual a ni.

Heng mite hi "farmer's lung" vei theihna chance a sang zawk a ni:

• Dairy farm-a thawkte
• Buhfai process leh load tute
• Mite chuan buh emaw, thlai hring emaw (a bik takin, buhfai bale, hnim hring thei tur an tihchhiat hunah) .
• Stables-a hun tam tak hmang thinte
• Zoo-a hnathawkte
• Buh leh buh ang chi thil khawih nan automated equipment hmang lote (i.e., he hna tam zawk hi kut hmanga thawk thinte)
• Kum 50 leh 70 inkar (he kum group-ah hian a tam ber) .

Hei hian eng harsatna nge a thlen theih?

"Loneitu lung" thlentu mold-te nena inzawmna nei chhunzawm zel chuan harsatna lian tak a thlen thei a ni. Chung zinga pawimawh ber chu:

• Scarring of the lungs (pulmonary fibrosis): Hei hian lungte chu a flexibility a hloh a, hna a thawk tha lo hle. Thâwk lak a harsa zual sauh sauh a.
• Lung leh lung inkara thisen sang (pulmonary hypertension): Lung a chhiat chuan lungin thisen a pump chhuah theih nan nasa zawkin a thawk a ngai thin. Hei hian thinlung a nghawng thei bawk.

Engtin nge hei hi i diagnose?

Doctor chuan thil engemaw zat a ngaihtuah hnuah "Farmer's Lung" tih a hmuchhuak a.

• I symptoms (i hriat dan, eng chen nge i neih tawh, etc.) .
• I hriselna chanchin (natna hmasa, damdawi i ei tawhte) .
• Taksa enfiahna (doctor-in a enfiah che) .
• Test bik hrang hrang:
• Thisen test: Thisen test bik, `Hypersensitivity pneumonitis panel` ang chi te hian i taksain `Farmer's lung` leh `hypersensitivity pneumonitis` natna dang thlentu proteins te chu a reacted em tih a enfiah thei a ni.
• Lungs Imaging: Chest X-ray emaw CT scan emaw hmangin lung chhunga chhiatna, inflammation, emaw scarring emaw enfiah thin a ni.
• Pulmonary function tests: Hei hian i lung hnathawh that dan leh boruak i thawh leh chhuah theih zat tehna tur machine bik atanga thawk chhuah leh chhuah tir che a ni.
• Bronchoscopy: A then phei chuan anesthesia hnuaiah hian camera te tak te nei tube chu hnar emaw hmui atang emaw chuan lung chhungah an lut a, chu chuan lung chhung lam a en a, test nan tissue sample te te (biopsies) lak a ni.
• Tin , diagnosis atan pawh i hnathawhna emaw i chenna emaw hmunah hian mold exposure theihna a awm em tih hriat a pawimawh hle bawk

Hei hi eng enkawl dan nge ni ang?

"Loneitu lung" hlawhtling taka enkawl tur chuan a thlentu mold te hi pumpelh vek a pawimawh hle. Hei hi a pawimawh ber a ni. Chu bakah, i doctor chuan enkawlna hrang hrang a pe thei bawk a, chungte chu:

• Damdawi hman tur: 1.1.
• Corticosteroid emaw immunosuppressive damdawi emaw: 1.1.Hengte hian lung chhunga inflammation tihziaawmna atan a pui thin. Entirnan, damdawi chi hrang hrang `prednisone`, `mycophenolate`, leh `azathioprine` te pek theih a ni.
• Anti-fibrotic drugs: Pirfenidone leh nintedanib ang chi damdawi hian lung chhunga hliam awm zat a ti hniam thei a.
• Pulmonary rehabilitation: Thâwk lakna exercise bik, taksa exercise leh counselling te hian thawk a ti awlsam a, nunphung a tisang bawk.
• Oxygen therapy: I thisen oxygen level a hniam chuan nasal cannula emaw face mask emaw hmangin oxygen extra pek i ni thei.
• Lung transplant: Lung a chhiat nasat a, a hliam a awm chuan a hnuhnung ber atan lung transplant a ngai mai thei.

Thil pawimawh ber: He damdawi leh enkawlna dang hmang pawh hian mold i tawk chhunzawm zel chuan natna hi a lo lang leh thei a ni. Tin, lung chhiatna awm reng theihna chance a sang hle bawk. Chronic "farmer's lung" ah chuan a chang chuan lung chhiatna chu a zual zel thei a, chu chu mold i pumpelh vek hnuah pawh a zual zel thei.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

`Acute` (severe) `Farmer`s Lung` i neih chuan natna thlentu mold i pumpelh hnu lawkah (darkar emaw ni engemaw zat emaw chhungin i rilru a hahdam tan mai thei). Mahse, i lung chhunga inflammation chu a dam kim theih nan thla engemaw zat a ngai thei. `Acute` leh `Chronic` condition pahnih ah hian chhiatna thenkhat chu a awm reng thei .

"Farmer's Lung" nei chuan eng nge a beisei theih ang?

Hei hi "farmer's lung" i neih rei dan leh a nasat danah a innghat a ni.

• `Acute` condition hi ni engemaw zat chhungin a tha tlangpui a, mahse mold i tawrh leh loh chuan chauh a ni.
• ``subacute`` (semi-acute) condition hi thla engemaw zat chhung a awm thei. Hei hian damdawi hmanga enkawl a ngai tlangpui.
• Chronic "farmer's lung" hi tihdam kim a harsa tlangpui. Mahse, damdawi hian natna lan chhuah dan a thunun thei a, nun a ti awlsam deuh bawk.

"Farmer's Lung" atang hian i dam kim thei ang em?

"Farmer's lung" acute leh subacute form te hi enkawl theih a ni , mahse mold laka inven loh a pawimawh. Inflammation tihziaawm nan damdawi pawh a ngai thei bawk.

Mahse, chronic "farmer's lung" hian lung a tichhia tlangpui (a bik takin scarring - fibrosis).A tihdanglam theih loh a ni. Mahse, mold enkawl leh pumpelh hian chhiatna dang a tikhawtlai thei a ni.

Hei hian dam rei zawngah nghawng a nei em?

`Chronic` Farmer`s Lung hmuhchhuah hnua dam rei zawng chu lung a chhiat leh chhiat leh chhiat nasat danah a innghat a ni. `Hypersensitivity pneumonitis` natna dang nena khaikhin chuan dam rei zawng zat chu hetiang hi a ni:

• Lung chhunga hliam (fibrosis) nei lo chu natna a vei tih hmuhchhuah a nih hnuah kum 15 aia rei a dam thei a ni.
• Mi chu lung chhunga hliam (fibrosis) nei, mahse chhiatna nasa tak dang (e.g., lung chhunga honeycombing) nei lo chu a natna hmuhchhuah a nih hnuah kum 8 vel a dam thei a ni.
• Lung chhiatna nasa tak (fibrosis leh honeycombing pahnih) nei chu a hmuhchhuah hnuah kum 3 vel a dam thei a ni.

Mahse, lung transplant hian heng hun chhung hi a ti rei thei a ni. Heng chhiarpui te hi hlau suh, rough estimate mai a ni. I dinhmun dik tak hriat tumin doctor nena inbiakna neih a tha ber.

Hei hi engtin nge kan ven theih ang?

"Farmer's lung" laka invenna tha ber leh awmchhun chu a thlentu mold-te nena inhriat loh hi a ni. Mold tipung thei thil hmanga hna i thawh chuan i hlauhawmna tihtlem nan a hnuaia mi hi i ti thei ang:

• Wet hay, grain, leh farm produce dangte chu hman emaw, dahkhawm emaw hmain uluk taka vawt tir tur a ni.
• Thil awmte chu boruak luh theihna hmunah dah la, chu chuan mold a siam loh nan .
• A theih phawt chuan, buh leh buh ang chi, hnim hring awm thei thilte chu kut hmanga khawih ai chuan automated machine hmang zawk ang che.
• Mold tipung thei thil, buh leh buh chi hmanga hnathawh hian Personal Protective Equipment (PPE) bun a pawimawh hle. Mask tha tak bun a pawimawh hle a , chu chuan thil te te a filter thei a ni .
• Leivut tamna hmun i tihfai dawnin puan hnim hmangin leivut hnim hrual lovin silfai tur a ni. Hei hian boruaka mold particle chhuak zat a tihtlem phah ang.
• Mold-prone materials hmanga building-te chu boruak tha tak a luh theih nan enfiah thin ang che.

Engtin nge ka in enkawl ang (Self-care)?

Doctor-in Farmer’s Lung a vei tih a hriat chuan i doctor nen thawk hovin i lung tihchhiat belh zel tur tih tlem dan tur ruahmanna siam rawh.

• Doctor-in damdawi a pek zawng zawng chu dik tak leh a hun takah ei vek tur a ni.
• I lung hnathawh thatna tur in lama i tih theih thilI doctor hnenah taksa exercise bik emaw, thawk lak dan emaw zawt rawh.

Engtikah nge Doctor ka hmuh ang?

• Khuh leh thawk harsa ang chi symptoms awm reng i neih chuan emaw, hun kal zelah a na zual ang tih a hriat chuan doctor pan ngei ngei tur a ni.
• Farmer’s Lung i nei tawh a nih chuan, i natna lan chhuah dan thar i neih chuan, emaw, i natna a zual chuan doctor pan nghal rawh .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i tlawh hunah heng zawhnate hi zawh a \angkai thei ang:

• Engtin nge "farmer's lung" thlentu mold-a ka inhriat loh theih ang?
• Ka lung a chhia em? Engtiang chiahin nge a chhiat?
• He chhiatna hi tihdanglam theih a ni em?
• Engtin nge heng damdawi te hi ka hman ang? Side effect a awm em?
• Eng chen nge ka dam leh theih ka beisei ang?
• Engtikah nge doctor rawn hmuh leh tur?

A tawp berah chuan thil hriat reng tur

"Farmer's lung" hi natna a ni a, moldy hay leh grain ang chi thil i tawn reng chuan i lung a tichhe thei a ni. Mahse, a man hma chuan chhiatna nasa tak, awm reng tur chu i pumpelh thei a ni.

Chuvangin, lung symptoms awm reng i neih chuan – emaw "hei hi khawsik na tak mai a ni" i tih chuan – doctor thurawn lak nghal a pawimawh hle.

Farmer’s Lung i vei tih hmuhchhuah a nih chuan i doctor nen dik takin i natna nasat dan sawipui rawh. I doctor chuan i thawk awlsam zawk nan leh i nunphung tihchangtlun nan i beisei tur leh i tih theih turte ruahmanna siam turin a pui thei che a ni.

` Loneitu Lung, Loneitu Lung, lung natna, allergy, mold, lo neih, thawk lama harsatna nei