Tin, persistent dry cough leh thawk harsa i nei bawk em? Interstitial Lung Disease (ILD) a ni thei!

Tlemte i chau lai te, stairs i chhoh lai te pawh hian thawk harsa i ti em? A châng chuan chhan hriat lohvin phlegm tel lovin khuh nghet, vawt tak i nei ṭhin em? Heng symptoms te hi hahna pangngai emaw allergy tenau emaw chauh a ni tih kan theihnghilh fo thin. Mahse, kan lung chhunga inthlak danglamna lian tham tak a awm tih chhinchhiahna hmasa ber an ni thei. Vawiin hian chutiang dinhmun pakhat, Interstitial Lung Disease emaw, a tawi zawngin ILD emaw kan sawi dawn a ni.

A awlsam zawngin sawi ila, Interstitial Lung Disease (ILD) hi eng nge ni?

Kan lung hi boruak bubble te tak te maktaduai tam takin a khat sponge pahnih angin han ngaihtuah teh. Heng boruak bawm te te hi alveoli an ti a . Kan thaw chhuah hian kan oxygen kan lakluh hi heng air sacs hmang hian kan thisenah a lut a ni. Tin, thisena carbon dioxide duh loh pawh heng air sacs hmang hian a chhuak leh bawk.

Tunah chuan heng air sacs inkarah hian, brick wall-a brick inkar mortar ang maiin, tissue nalh tak tak network a awm ta a ni. Hei hi interstitium kan tih chu a ni . ILD-ah chuan he network of delicate tissues hi a chhe a, a nih loh leh a chhe zawk a, zawi zawiin a thim a, a khauh a, scarring (fibrosis) a awm thin.

Chutianga lung tissue a thick chuan air sac atanga thisen lama oxygen kal chu a block ta a ni. Chuvang chuan kan taksain oxygen a mamawh ang zat a hmu lo. Hei hi thawk hah leh hah ang chi symptoms awm chhan ber a ni.

ILD hi natna pakhat chauh a ni lo. He hming hnuaiah hian condition 200 chuang classified a awm a ni. An vaia thil langsar tak chu lung chhunga interstitial tissue tihchhiatna hi a ni.

ILD vei mi pakhatin a symptoms a neihte chu engte nge ni?

ILD symptoms hi a tir lamah chuan a na vak lo mai thei. Mahse, hun kal zelah, thla emaw, kum tam tak emaw chhung chu heng natna lan chhuah dan hi a pung zauh zauh a. Hengte hi mi tam zawkin an tawn thin symptoms te chu a ni.

Heng symptoms te hi i neih chuan ILD i nei tih ngaihtuah hauh suh. Mahse, anmahni pawh ngaihthah suh. I doctor pan a pawimawh a , a bik takin thawk harsa leh thla tam tak chhunga khuh hring i neih chuan .

Engvangin nge hetiang natna hi a lo awm? A chhante chu engte nge ni?

ILD thlentu hi chi hnih ah then theih a ni a, a chhan hriat leh a chhan hriat loh/idiopathic .

1. A chhan hriat chhuah

Hei hian chiang takin, "Hei hi he natna thlentu a ni" kan ti thei tihna a ni.

• Autoimmune emaw Connective Tissue Diseases: A chang chuan kan taksa ngeia immune system hian kan taksa tissue hrisel tak takte chu a rawn bei tan thin. Rheumatoid Arthritis (RA) , Lupus , leh Scleroderma ang chi natna nei te chu ILD vei an tam zawk.
• Hnathawh leh boruak lama kan inhriatthiamna: Kan thaw chhuah leivut thenkhat hian hun rei tak chhung chu lung a tichhe thei a ni.
• Silica dust: Lungphun, lung laihchhuahna hmun, leh ceramic factory-a thawkte tan.
• Asbestos fiber hrang hrang: 1.1.Building hlui tichhia, lawng chawlhna lama thawk, lirthei thenkhata brake pad hmanga hnathawkte tan.
• Grain dust, hay, bird droppings: Hypersensitivity Pneumonitis an tih, ran vulh emaw, ran vulh emaw te zingah a awm thei.
• Moulds leh Fungi: Hmun hnim, boruak tha lo hmuna hnathawkte tan.
• Damdawi leh enkawl dan thenkhat:
• Damdawi amiodarone ang chi, thinlung natna thenkhat enkawlna atana hman thin.
• Cancer dona damdawi thenkhat (Chemotherapy damdawi) .
• Hnute emaw lung cancer emaw tan radiation therapy hmanga enkawl a ni.
• Infection thenkhat: Tuberculosis leh pneumonia ang chi natna khirh tak tak hnuah pawh lungah hliam a awm thei .

2. A chhan hriat loh (Idiopathic) .

Thil tam takah chuan ILD awm chhan chiang tak hmuh tur a awm lo. Damlo hian natna dang emaw, thil tha lo tak nena inhmuhna emaw a nei lo va, mahse a lung tissue chu a hliam a ni. Heng case te hi idiopathic kan ti a, chu chu "a chhan hriat loh" tihna a ni.

Chung zinga a tam ber leh a na ber chu Idiopathic Pulmonary Fibrosis (IPF) a ni.

Tute nge ILD vei theihna sang zawk?

Tu pawhin ILD vei thei mahse, mi thenkhat chuan an vei duh zawk.

He natna hi Doctor hian engtin nge a hriat chian?

A chunga i sawi tak symptoms nei doctor i hmuh chuan he natna hi dik taka hriat theih nan test eng emaw zat a ti ang.

1. I symptoms te zawh che: A hmasain i symptoms te, an tan ni te, engtikah nge a na zual tih te, etc. an zawt ang che.

2. Taksa endikna: Doctor chuan i rilruah stethoscope dahin i thawk laia i thawm ri te chu a ngaithla ang. ILD vei tam tak chuan an lungah "crackles" an hre thin a, Velcro undone ang chi hi a ni .

3. Pulmonary Function Tests (PFT): He test-ah hian machine nena inzawm tube hmanga thawk luh leh chhuah tir i ni. He test hian i lungin boruak a vawn theih zat leh i thawk chhuah chak dan a teh a ni. ILD ah chuan lung capacity a tlahniam thin.

4. Imaging Test hrang hrang: 1.1.

• Chest X-ray: Chest X-ray hian lungah hliam a awm leh awm loh chu a rough idea a pe thei.
• High-Resolution CT (HRCT) Scan: Hei hi ILD hriat theihna atana test pawimawh ber a ni. CT scan pangngai aiin thlalak chiang zawk, chipchiar zawk a siam thei a ni. Lung chhunga hliam awm dan leh a darh dan ("honeycombing" ang chi pattern) a lantir tha zawk thei.

5. Thisen Test: Thisen sample te hi damdawi lam thil dang, autoimmune diseases te hriatchhuah nan an test thin.

6. Bronchoscopy: A then phei chuan tube te tak te, camera inbun a, hnar emaw, hmui emaw kaltlangin lung chhungah an lut a, chuta tang chuan a chhung lam enfiahin tissue sample (biopsy) lak a ni.

7. A rilru a hah lutuk.Surgical Biopsy: A chunga test te hi a dik lo a nih chuan surgical procedure tenau tak hmangin lung atanga tissue te tak te chu enfiah turin lakchhuah a ni.

ILD enkawlna tur engte nge ni?

Vanduaithlak takin tunah hian ILD hi damdawi a la awm lo a, chu chu lung chhunga hliam awm thin hi damdawi a awm lo tihna a ni. Mahse, natna kal zel dan tur control thei, symptoms tihziaawmna tur leh i nunphung tichangtlung thei tur enkawlna tam tak a awm. Enkawlna chu ILD i neih chi hrang hrang, natna nasat dan leh i hriselna zawng zawngah a innghat a ni.

Enkawl dan tlangpui thenkhat chu hetiang hi a ni:

• Damdawi hman tur: 1.1.
• Corticosteroids: Prednisolone ang damdawi hian lung chhunga inflammation a tihziaawm.
• Anti-fibrotic drugs: Pirfenidone leh Nintedanib ang damdawi te hian lung scarring rate a ti hniam thei a. Hengte hi a bik takin IPF vei damlote tan pek thin a ni.
• Immunosuppressants: Autoimmune natna avanga ILD vei te chu immune system hnathawh ti tlem thei damdawi pek an ni.
• Oxygen Therapy: Thisen oxygen level hniam nei tan chuan supplemental oxygen hi hnar tube emaw face mask hmangin pek thin a ni. Hei hian thawk hahna leh hahna tihziaawmna kawngah a pui thei a ni.
• Pulmonary Rehabilitation: Hei hi lung tan ‘physiotherapy’ ang a ni. A bik taka training team chuan thawk lak dan tur exercise te, taksa exercise te, ei leh in lama thurawn te an pe ang che. Hei hian i chakna a tipung ang a, i symptoms te nen nunpui turin a pui bawk ang che.
• Lung Transplant: Natna a na em em a, damdawi dangin a thunun theih loh tan chuan a hnuhnung ber chu lung hrisel tak thlak hi a ni.

ILD natna vei lai hian eng nge ka tih theih ang?

ILD diagnosis i hmuh hian lungngaihna leh hlauhna i neih hi thil pangngai a ni. Amaherawhchu, i khawsak danah inthlak danglamna tenau te i siam a, i doctor thurawn zawm chuan he natna nen hian nun tha tak i hmang thei a ni.

• Meizial zu hi pumpelh vek rawh: Meizial zu mi i nih chuan i tih theih ṭha ber chu vawiinah hian bânsan hi a ni.
• Chaw hrisel ei: Ei leh in inthlau tak ei hian taksa chakna a vawng reng thei a ni.
• Exercise neih fo thin ang che:I doctor zawt la, i duh ang exercise light tak ti rawh. Kea kal ang chi thil pawh hi a tawk lo.
• Chawlh hahdam rawh: Taksain a mamawh chawlh hahdamna pek hi a pawimawh hle.
• Infection laka invenna: Mipui tamna hmuna kal dawnin face mask vuah la, kut sil fo la, pneumonia leh influenza vaccine lak dan tur doctor nen inbia ang che.
• I hna chu ngaihtuah rawh: I hnaah chuan i lung tana ṭha lo thilte thawk chhuah a tel a nih chuan, kawng him zâwk hman emaw, hna thlak emaw chu i ngaihtuah mai thei.