Asthma flare-up i nei em? He asthma attack (Asthma Flare-Up) chungchang hi han sawi ila!

Asthma vei i ni em? A nih loh leh, i chhûngkaw zînga mi tu emaw, i fa, i ṭhian emaw pawh ni se, Asthma natna a vei em? Chutiang mite kan en chuan ni engemaw zat chu an thaw hahdam hle a, harsatna awm lovin an thaw chhuak thin tih kan hmu a. Mahse, thawk harsa an tih thut a, an rilru a hrual ang maia an inhriat a, nasa taka an khuh hun a awm bawk. Chu chu asthma a na zual, emaw , asthma attack , emaw, asthma flare-up a lo thleng tih kan sawi lai a ni. Hei hi thil buaithlak tak a ni thei. Chuvangin, vawiin hian he thu hi chipchiar deuhin kan sawi dawn em ni?

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

Asthma exacerbation chungchang kan sawi hmain Asthma hi eng nge a nih tih tawi te tein han thlir leh ila. A awlsam zawngin, asthma hi kan thawkna kawng , lung lama boruak phurtu tube-te chu a sensitive tihna a ni . Hetiang sensitivity hian heng thawkna kawngte hi a ti inflamed thei a , chu chu a hring chhuak a, a tawi tihna a ni a, chhan hrang hrang vang a ni.

Tui pipe ang maiin han ngaihtuah teh. A tlangpuiin pipe hi a inhawng zau a, chuvang chuan tui chu awlsam takin a luang lut thin. Mahse, asthma vei pakhatah chuan thawkna kawng, thawkna kawng (tube) an tih chu thil engemaw takah a chhang let a, a lo hring a, a zim ta a ni. Tichuan, pipe a inkhar ang bawkin tui luang chhuak a harsa a, thawk luh leh chhuah a harsa hle.

A pawimawh ber chu Asthma hi natna khirh tak a ni. Chumi awmzia chu ni khat emaw ni hnih emaw chhunga dam leh tur thil a ni lo tihna a ni. Amaherawhchu, uluk taka enkawl a, damdawi hman dik a nih chuan Asthma nei pawhin nun pangngaia nun theih a ni.

Chuti a nih chuan he asthma flare-up hi eng nge ni?

Tunah chuan asthma flare-up, a nih loh leh asthma attack tih hi eng nge a nih kan en ang u. Asthma vei chuan nitin harsatna tenau nei mahse nitin hna a thawk thei a ni. Mahse, asthma flare-up chu thawk hah lutuk, na tak tak a ni.

Hetih lai hian a lan chhuah dan tlangpui chu:

• Khuh na tak: A chang chuan khuh hi a na lutuk thei a, tihtawp theih loh a ni.
• Wheezing: Thâwk chhuah laiin rilru atanga thawm hniam tak, whistling ri chhuak. Hei hi thawk chhuah laiin a hriat tam ber.
• Thâwk hahna nasa tak: I thawk hah ang maiin a awm thei a, i rilru a na hle bawk. Mi thenkhat chuan thawk harsa an ti a, tawng pawh an harsat phah thin.

Hetiang dinhmun hi darkar engemaw zat, a nih loh leh ni engemaw zat pawh a daih thei a, chuvangin hei hi ngaihtuah tel ngei tur thil a ni.

Engvangin nge asthma hi a lo pung nghal? A chhan ber (Triggers) chu eng nge ni tih i lo en ang u.

Mi tin hian an asthma trigger hrang hrang an nei thei. Chungte chu trigger an ti a.Asthma i neih chuan heng triggers te hi i asthma ti na zualtu te hi hriat chian a pawimawh hle.

Trigger tlangpui thenkhat chu hetiang hi a ni:

• Allergy nei te chu:
• Dust mites: Thil nung te tak te, in chhunga awm, khum, pillow leh mattress-a awm.
• Pollen: Thlasik laia thing pangpar atanga lo chhuak pollen.
• Ran vun, sam, leh vun hring (Pet dander): Ui leh vawk ang chi rannung atanga lo chhuak.
• Mold chi hrang hrang: Hmun lumna sang tak, bathroom leh kitchen-a lo thang lian.

Heng thilte hi taksaa a luh chuan Asthma vei thawkna kawngte chu a chhang let a, a hring a, a inkharkhip ta a ni. Ngaihtuah teh, mi thenkhat chuan leivut tlem an khawih pawhin an thawk hah a, an inhnim hrual ang maiin an inhria a, asthma vei te pawhin heng thil avang hian thawk an harsat thin.

• Khawsik leh thawkna lama natna dang:
• Khawsik emaw, flu emaw pawh hian asthma a ti na zual thei. Hei hi a chhan chu heng virus infection te hian thawkna kawngah inflammation a tipung a ni. Chuvangin asthma vei te hian an khawsik hian an fimkhur zual a ngai a ni.

• Cigarette meikhu leh meikhu dangte:
• Meizial zu (secondhand smoke) leh zu in (active smoking) bula awm hian asthma a ti na zual thei. Cigarette meikhua chemical awmte hian thawkna kawng a tichhe nasa hle.
• Tin, thingpui lumna meikhu, lirthei atanga chhuak, factory meikhu, rimtui chak tak, leh pesticides ang chi thil te pawh hian asthma a tipung thei bawk.

• Insawizawi:
• Mi thenkhat chuan exercise an tih hian asthma symptoms a tipung thei a, a bik takin hmun lum leh vawt takah chuan. Hei hi exercise-induced asthma an ti a.
• Mahse hei hian Asthma vei te chu exercise lak loh tur tihna erawh a ni lo. Damdawi lam thurawn angin exercise lak hi a tha a, exercise hmain inhaler hman pawh a tha mai thei.

• Thli lum: 1.1.
• Thli lum tak karah, entirnan pindan lum atanga pawn lama kan chhuah lai emaw, tui lum in tur emaw a nih chuan mi thenkhat thawkna kawng a inkhar thei a, asthma a zual thei bawk.

• A chhan dangte chu:
• Stress leh emotion chak tak: Mi thenkhatte chu an thinrim lutuk, an hlauthawng lutuk, an lungngaih lutuk hian a na zual thei.
• Damdawi thenkhat: Natna tidamtu thenkhat (e.g., NSAIDs aspirin leh ibuprofen ang chi), leh thinlung damdawi thenkhat beta-blockers te hian asthma a ti na zual thei. Asthma i neih chuan damdawi thar i ei tan hunah doctor hnenah hrilh ngei ang che.
• Air pollution: Khawpui chhunga lirthei exhaust leh factory meikhu ang chi thil.
• Ei leh in atanga thil awm thenkhat (Food additives):Sulphite ang chi thil hian mi thenkhat a nghawng thei a, mahse hei hi a tlem deuh.

Asthma a lo chhuah hian kan thawkna kawngah eng nge thleng?

Asthma a lo chhuah chuan kan thawkna kawngah hian danglamna lian tak pathum a thleng a:

1. Thlawhna kawng chhungril lam inflammation leh swelling: A hmaa kan sawi tawh triggers avang hian thawkna kawng chhunga tissue nalh tak tak te chu a hring tan thin. Kan hliam lai ang bawkin kan taksa a lo hring chhuak thin.

2. Muscle tightening / Bronchoconstriction: Thlawhna kawng vel a ruh te te te chu a tikhauh a, chu chuan thawkna kawng inflamed te chu a ti tawi zual sauh thin.

3. Mucus siam tam: Thlawhna kawng chhunga glands te hian a tlangpui aia tam mucus an siam tan thin. He mucus hi a thim a, thawkna kawng a zim zawk chu a tikhawtlai zual a, boruak kal tlang a ti harsa zual hle.

Tui pipe pakhat chu a chhung lam atanga a lo hring chhuak a, pawn lam atanga mi pakhatin a rawn hrual a, chu mi chungah chuan bawlhhlawh pawh a chhungah a tang tih han mitthla teh. Chu chu asthma a lo chhuah chuan lung chhungah a thleng thin. Chuvângin, thawk chhuah a harsat dân tûr chu i ngaihtuah thei a ni.

Asthma natna zual zel chhinchhiahna chu dik takin kan hre thei ang em?

Asthma zual zel chhinchhiahna hi mi hrang hrangah a inang lo thei a, mi tin tan pawh a inang lo thei bawk. Mahse, a hnuaia mite hi a lan chhuah dan tlangpui thenkhat chu an ni:

• Thâwk hahna: Hei hi a lan chhuahna ber a ni. Thâwk a tlachham a, thawk thûk tak i la thei lo ang maiin a lang.
• Chest tightness or pain: Chu chu belt a inkhauh ang maiin a awm thei a, a nih loh leh chest chhungah thil rit tak a awm ang maiin a lang thei bawk.
• Khuh chhunzawm zel: He khuh hi zanah emaw, zing hma takah emaw, exercise lak laiin emaw a na zual thei. A châng chuan khuh hring (dry cough) a ni thei a, a nih loh leh khuh hnim hring (mucus) nei a ni thei bawk.
• Wheezing: Thâwk chhuah laiin, a bik takin thawk chhuah laiin, rilru aṭanga whistling ri, "soo... soo..." tih ang chi. A chang chuan he thawm hi nangmah chauh ni lovin, i chhehvela mite pawhin an hre thei bawk.
• Thâwk rang tak.
• Thusawi harsa: Thâwk harsa, thumal inzawmkhawma thusawi harsa. Thumal hnih thum i sawi a ngai a, thawk la la.
• Chau lutuk emaw, chak lo emaw tih hriat.
• Mut harsa: Khuh leh thawk harsat vang a ni.
• I reliever inhaler hman fo: I blue inhaler (Salbutamol ang chi) hi a hma aia tam hman a ngai tih i hriat chuan asthma a zual zel tihna a ni.

Emergency medical attention mamawhna symptom na tak tak te:

Heng symptoms te hi a awm chuan, .Damdawi in pan emaw, ambulance ko nghal emaw a ngai a ni. Chûngte chu nunna atana hlauhawm a ni thei.

• Blue/purple lips emaw fingernails (Cyanosis): Hei hian taksain oxygen a dawng tlem tihna a ni.
• Thâwk hahna nasa tak, thawk hah.
• Quick-relief inhaler hman hnuah pawh relief emaw temporary relief emaw a awm lo.
• Thusawi thei lo leh kal thei lo khawpa thawk harsa.
• Luak chhuak emaw, buai emaw.
• Naupang tê têah chuan thawk rang tak, hnar kawng lian tak, pum chhunga thawk, ei leh in duh loh, leh rilru hah.

I asthma a lo chhuak a nih chuan engtin nge i tih ang? Enkawlna rang tak neih a pawimawh hle!

Asthma exacerbation symptoms a lo lan veleh hmalak chuan natna a zual zel loh nan a veng thei a ni.

1. Muangchangin awm rawh: Lungkhamna hian thawk a ti harsa thei hle.

2. I "Reliever Inhaler / Rescue Inhaler" hmang rawh: Hei hi a tlangpuiin blue inhaler (e.g. `(Salbutamol)`, `(Ventolin)`) a ni. I doctor-in a tih angin a dose pek chu ei thin ang che. He inhaler hian i thawkna kawng chhunga thau te chu rang takin a ti hahdam a , thawk a ti awlsam a ni.

3. Sit up straight: Hma lam deuha thut hian lung chhungah boruak a lut awlsam zawk.

4. I "Asthma Action Plan" zawm rawh: I doctor-in Asthma action plan a pek che chuan zawm rawh. He ruahmanna hian eng damdawi nge i ei tur tih te, engzat nge i ei tur tih te, i asthma a lo chhuah chuan engtikah nge doctor i hmuh tur tih te chiang takin a tarlang a ni.

5. I natna lan chhuah dan a la awm reng emaw, a na zual emaw chuan: I quick-relief inhaler i hman atanga minute 5-10 chhunga hahdamna engmah i hriat loh chuan, emaw, i natna a zual deuh a nih chuan, doctor thurawn la emaw, damdawi in pan nghal tur a ni. A chunga kan sawi tak symptom na tak tak i neih chuan second khat pawh tihkhawtlai suh.

Asthma natna zual zel tur ven nan eng nge kan tih theih ang?

Asthma exacerbation hi thil nuam lo tak a nih avangin a theih ang anga pumpelh tum a tha ber.

• I asthma thlentu te hriatchhuah la, pumpelh rawh: I asthma thlentu chu eng nge ni tih hriat tum ang che. Diary ziah hi a tha khawp mai. Tichuan, chutiang trigger te chu a theih ang angin pumpelh rawh.
• I doctor-in "Controller/Preventer damdawi" a pek ang chiah chiah ei la, nitin: Hengte hi asthma hun rei tak chhunga control thei damdawi te an ni. Thlawhna kawngah inflammation an tihziaawm bakah asthma flare-ups an veng bawk. Heng damdawi te hi a pek angin ei a pawimawh a, symptom i neih loh niah pawh ei a pawimawh. Anmahni tihtawp chuan i asthma chu a lo chhuak leh thei a ni.
• I inhaler hman dan dik zir rawh: Damdawi hian i thawkna kawng a thlen dik theih nan dik taka hman a ngai a ni. I doctor emaw pharmacist emaw hnenah hman dan tur zawt rawh.
• I doctor chu hunbi neiin hmu rawh: I doctor nen i asthma chungchang sawi la, i damdawi ei tur i thlak a ngai em tih chu rel rawh.
• Kum tin flu vaccine la rawh: Khawsik leh flu ang chi thil hian asthma a ti na thei a, chuvangin he vaccine hi lak hian venhimna engemaw chen a pe a ni.
• Meizial zu hi pumpelh vek tur a ni a, mi zukna hmuna inkhung loh tur a ni.
• Nunphung hrisel zawm rawh: tui tam tak in la, ei leh in inthlau tak ei la, mut tam rawh.

A tawp berah chuan hriat reng tur tlemte (Take-Home Message) .

Asthma flare-up hi hlauh tur a ni a, mahse hriatthiamna dik tak kan neih chuan kan tuar chhuak thei a, kan veng thei bawk.

Hrereng:

* I asthma thlentu chu eng nge ni tih chiang takin hre rawh.

* I doctor-in a pek preventer inhalers te hi nitin hmang thin la, hlawhchham lovin.

* Reliever inhaler hi i bulah dah fo la, a hman dan tur dik tak hre reng ang che.

* Asthma Action Plan i neih chuan hrethiam la, chumi ang chuan hna thawk rawh.

* Asthma exacerbation symptom na tak tak i neih chuan doctor thurawn la nghal rawh. Tikhawtlai suh!

Asthma natna vei hi thil harsa tak a ni thei a, mahse, uluk taka enkawl chuan nang pawh nun hrisel, thawkrim takin i nung thei a ni. Nangmah chauh i ni lo va, doctor leh healthcare professional-te pawh an awm reng a ni.

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