Hyperinflated lungs chungchang hi i zir dawn nia.

A châng chuan thawk hah deuh, i rilru a tight emaw, i hah reng emaw i nei em ? Chungte chu chhan hrang hrang vang pawh a ni thei. Mahse, a chhan ber pakhat chu i lung a inflated lutuk vang a ni a, chu chu doctor-te chuan (Hyperinflated Lungs) tiin an ko thin. Hemi chungchang hi vawiin hian chipchiar leh awlsam zawkin i sawi dawn nia.

Hyperinflated lung tih hi eng nge ni?

A awlsam zawngin, hei hi i lung chhunga boruak chhuahna tur tube (airways) te te chu a inkharkhip hian a thleng thin. Tichuan, i thawk chhuah chuan chu boruak chu a chhuak vek thei lo. Chu boruak rual chuan i lung chhunga mucus pawh a inkhung khawm ve bawk. Balloon chhunga boruak thlak a, a inflate ang maiin han ngaihtuah teh, mahse a chhungah boruak tlem a inkhung a nih chuan a overinflated a ni lawm ni? Chu chu i lungah a thleng thin.

Chutianga boruak leh mucus chu lung chhungah a tang a nih chuan thawk a harsa a, lung chu a nih tur aia lian a lo ni ta a ni. Hun a kal zel a, hei hian lung a tichhe thei a, thinlung a nghawng thei a, taksain oxygen a hmuh tlem theih nan a veng thei bawk . Chuvangin, hei hi eng emaw chen enkawl ngai dinhmun a ni.

Doctor chuan a enfiah thei che a, X-ray ang chi test a ti thei a, he natna hi i nei em tih a hre thei bawk. Chumi enkawlnaah chuan inhaler, nebulizer , thawkna exercise bik, leh a châng chuan operation pawh a tel a ni.

Engvangin nge lung hi hetiang hian a lo hring chhuak? A chhante chu engte nge ni?

Hetianga lung a hring lutuk chhan ber chu COPD , a nih loh leh Chronic Obstructive Pulmonary Disease an tih vang a ni. Hei hi natna pakhat a ni lo va, lung kaihhnawih natna engemaw zat inzawmkhawm a ni. A lian ber pahnih chu:

1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Chronic Bronchitis: Hei hi i lung chhunga bronchi , a nih loh leh thawkna kawng, hun kal zelah a lo hring a, a lo hring chhuak thin a ni. Hei hian tube chhungah hmun a ti tlem a, thawk a ti harsa hle. Tin, mucus tam zawk a siam bawk.

2. Emphysema : Hei hi lung chhunga boruak bawm nalh tak tak te chu a chhiat a, a chhe reng thin a ni. Heng sac te hian oxygen kan lakluh theih nan leh carbon dioxide kan paih chhuak thei a ni. Hengte hi a chhiat chuan boruak a lut leh chhuak thei lo va, a chhungah a tang tlat thin.

COPD bakah hian lung natna dang, i thawk chhuah dan (exhale) tichhe thei te pawhin hetiang hian i lung a ti na thei bawk. Entirna tlemte chu hetiang hi a ni:

• Asthma : Asthma i neih hian thawk a harsa tih i hria. Hetiang dinhmun hi thawkna kawng a inkharkhip vang pawh a ni thei.
• Cystic Fibrosis: Hei hi genetic natna a ni. Hetiang dinhmunah hian lung chhunga mucus chu a thim hle a, thawk a harsa hle.
• Bronchiectasis: Hetiang dinhmunah hian thawkna kawng chu a zau reng a, chu chuan mucus a siam khawm a, natna hrik a thlen thin.
• Bronchiolitis: Hei hi naupang tê têah a awm tam ber a, lung chhunga thawkna kawng te tak te tak takte a inflammation a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Lung inflammation hi COPD vei zingah hmuh tur a tam ber. America ramah hian mi maktaduai 15-20 vel chu COPD vei niin an chhut. Mahse, he lung inflammation hi mi engzat nge awm tih erawh statistics dik tak a la awm lo. Amaherawhchu COPD vei zingah a awm fo.

Hei hi eng symptoms nge ni?

Lung hyperinflation symptoms hi general lung disease nei te nen a inang tlangpui. Chung zingah chuan:

• Thâwk lak tawi : Tlemte kea kal emaw, stairs-a chhuk emaw hnuah pawh thawk hah hi a awm ṭhin. A châng chuan, ding reng pawhin thawk a ti harsa thei a ni.
• Thâwk chhuah thuk lo:Thâwk thûk taka luh a, chhuah chhuah a harsa a, tlem tlemin i thawk chhuak mai mai a ni.
• Chau reng reng, chakna tlakchhamna: Engmah ti thei tur khawpa chakna nei lo ang maia inhria, chau tih hriat reng.
• Chest congestion: Chest hi a chhunga thil awm ang maiin a awm a, chu chu mucus-in a khat ang maiin a lang.

Heng symptoms te hi thawhrimna nasa tak nei lovin i tawng thei a ni. Hei hian nitin thil tih dan pangngai i tih lai pawhin thawk hah lutuk leh hah lutuk i nei thei tihna a ni. Inchhung hna tlêm tê pawh thawh emaw, dawra kal emaw chu a harsat dân tûr chu han ngaihtuah teh.

Hemi atan hian tute nge hlauhawm ber?

Thluak leh lung natna thenkhat nei te hian he natna hi an vei theihna a sang zawk a, heng natna te hian he natna hi a thlen tih hriat a nih avangin. Entirnan, COPD, asthma, emphysema ang chi natna nei te hi an hlauhawm zawk.

Hemi atana risk factor lian ber chu meizuk hi a ni. Meizial hian direct-in lung a tichhia a, chu chuan COPD ang chi natna a thlen thei a, chu chuan lung a ti na thei a ni.

Hei bakah hian genetic risk factor thenkhat a awm bawk. Entirnan Alpha-1 antitrypsin tlakchhamna hi a ni . Hei hi genetic condition a ni a, emphysema leh lung cancer a thlen thei bawk.

Hei hian eng harsatna nge a thlen theih?

Lung inflating lutuk avanga harsatna lian ber pakhat chu thinlung pressure hi a ni . Thinlung hi lung inkarah a awm tih hre reng ang che. Lung a inflated lutuk chuan thinlungah pressure a siam thei a ni. Hun a kal zel a, he pressure hian i thinlungin lung a thisen a pump danah a tidanglam thei a ni. Hei hian heart failure a tipung thei a , i thisena oxygen level a tihhniam thei bawk .

Tin, lung natna hi i nitin nun tibuaitu lian tak a ni thei bawk. Thâwk harsat hian hna bulpui ber pawh thawh a ti harsa thei a, i nunphung a ti tlahniam thei a ni.

Engtin nge hei hi i hriat chian?

Doctor chuan i medical history leh symptoms te a zawt ang a, a enfiah ang che. Stethoscope hmangin i lung leh thinlung chu a ngaithla ang a, thawk thuk deuh deuh turin a ti ang che. Taksa enfiahna i neih lai hian i thawk chhuah rualin i rilru a lo sang leh a tla tih i hmu mai thei.

Chumi hnuah chuan i doctor chuan i lung hnathawh dan enfiah turin test tam zawk a ti thei ang. Chûng zîngah chuan:

• Chest X-ray: Hei hian i lung, thinlung leh i rilru chhunga taksa peng dangte thlalak a la thei a ni. I lung a hring lutuk em tih ngaihtuahna a pe thei che a ni.
• CT scan (Computerized tomography (CT) scan): Hei hian X-ray aiin lung leh thinlung thlalak chiang zawk, chipchiar zawk a siam thei a ni.
• Pulmonary function tests (PFTs): Heng test te hian i lung hian air capacity engzat nge a neih tih leh i lung hian engtiang chiahin nge hna a thawh that tih a enfiah thin.

I general practitioner chuan thawkna lam natna lama tui doctor, pulmonologist -ah pawh a hruai thei bawk che a ni.

He lung natna hi natna khirh tak a ni em?

Ni e, hyperinflation hi natna khirh tak a ni thei . Lung a tichhia a, nunphung a tichhe mai bakah thinlungah pressure a siam thei a, heart failure ang chi dinhmun pawh a thlen thei bawk. Chuvangin hei hi hriat chian a pawimawh hle.

Hei hi eng enkawl dan nge ni ang?

Hyperinflation enkawlna chu i natna lan chhuah dan a nasat dan leh i hriselna zawng zawngah a innghat a ni. Enkawlna awm thei thenkhat chu:

• Bronchodilators te chu:Heng damdawi te hi i thawkna kawng chhehvela thau te ti hahdamtu leh tizautu damdawi te an ni a, i lung atanga boruak chhuak awlsam zawk nan an hmang thin. Inhaler angin emaw, liquid angin nebulizer-a i dah a, i inhale emaw angin an lo thleng tlangpui.
• Thâwk dan: I doctor chuan i thawkna kawng zau zawka ṭanpui tûrin thawk chhuahna exercise bik, pursed lip breathing ang chi a zirtir thei che a ni. Pulmonary rehabilitation hi programme bik a ni a, exercise training te pawh a tel a, hei hi lung natna COPD ang chi nei tan chuan a tangkai hle.
• Oxygen therapy: Mi thenkhat chu supplemental oxygen pek an ngai a, chu chu nasal cannula emaw face mask emaw hmangin a ni. Hei hian taksain a mamawh oxygen a hmuh theih nan a pui a ni.
• Thâwk lakna atana ṭanpuitu: Nebulizer leh CPAP machine ang chi hmanrua te hian lung atanga boruak chhuah awlsamna kawngah a pui thei a ni.
• Lung volume tihtlem surgery: Hei hi enkawlna dang zawng zawng a hlawhchham chuan a tawp ber atan tih a ni tlangpui. Chu chu lung hmun chhia te paih chhuah a ni a, chu chuan a hrisel la awmte chu a thawk tha thei a ni.

Lung inflation hi a pangngaiin a kir leh dawn em?

Vanduaithlak takin, lung chhiatna hi a awm reng fo thin . Chu chu a dam kim ngai lo tihna a ni. Mahse, enkawlna dik tak chuan natna lan chhuah dan a ti tlem thei a, damdawi ina awm fo ngai a ti tlem thei a, emergency room tlawh (ETU) pawh a ti tlem thei bawk . Enkawlna hian thawk a ti awlsam thei a, mahse i thawkna kawng leh i lung tissue te chu a pangngaiin a siam tha vek dawn lo.

Hetiang dinhmun nen hian hmalam hun tur eng nge ni?

Enkawlna dik tak a awm chuan emphysema na tak nei pawhin nun pangngaiin a nung thei a ni.I lung chu a dam kim thei lo nain, i doctor chuan a chhiat belh zel loh nan leh lung a chhiat belh zel loh nan enkawlna a rawt thei a ni.

Mahse enkawl loh chuan pulmonary edema hian thinlung a tichhe thei a, heart failure ang chi natna khirh tak tak a thlen thei a ni. Chuvang chuan inenkawl a tul hle a ni.

Engtin nge hei hi ven theih ang?

COPD laka inven dan tha ber chu a venna atana hmalak hi a ni. Meizial zuk hi COPD vei 90% chhan a ni. Chuvangin meizuk bansan leh secondhand smoke pumpelh hi COPD leh COPD laka invenna tha ber a ni. Thli bawlhhlawh laka invenna tlem ber pawh a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Thâwk harsa i tih chuan, a bîk takin lung natna COPD emaw, asthma emaw i neih chuan doctor pan nghal rawh . I fimkhur tur symptom thenkhat chu hetiang hi a ni:

• Thâwk harsa.
• Thâwk lak harsa (inhaling).
• Thawhrimna nasa tak nei lo pawha chau lutuk leh chakna tlakchhamna.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

I theihtawp chhuah chung pawha i thawk a ṭhat loh chuan damdawi in hnai ber emergency room-ah kal nghal rawh . Emphysema vei tam zawk chuan enkawlna dik tak hmangin thawk an hahdam thei hle. Amaherawhchu, i thaw a chhuak vek a nih chuan medical emergency a ni.

` ## Take-Home Thuchah hnuhnung ber
Thâwk harsa ti thei lung natna neia nun hian nitin nun a nghawng thei a, hna pangngai thawh a ti harsa thei bawk. Lung inflammation hi natna tlanglawn tak a ni a, lung natna COPD leh Asthma te pawh a nghawng thei a ni. I doctor emaw, pulmonologist emaw chuan thawk hah ang chi symptoms tihziaawmna tur damdawi zawng turin a pui thei che a ni.

> **Damdawi zawng zawng hi doctor-in a pek ang chiah chiah ei a pawimawh hle.** Lung natna thenkhat chu kan thunun thei lo nain, zuk leh hmuam bansan a, secondhand smoke pumpelh a, boruak bawlhhlawh laka invenna tlem zawka invenna atan hma i la thei a ni. I hriselna enkawl rawh.

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Lung congestion, thawk harsa, COPD, Asthma, lung natna, thawkna lam natna, meizuk