Naupang leh puitling tam tak, asthma vei te chu nitin damdawi pek an ni tih i hre mai thei. I ngaihtuah fo mai thei, "Engvangin nge ni tin damdawi ka ei a ngai a, ka dam ṭha famkim ni-ah pawh?" Dik tak chuan, chutianga tih chhan pawimawh tak a awm a ni. Hêng hun rei tak chhûnga control theih damdawi— Controler Medicines emaw Maintenance Medicines tia sawi fote hi—i thawkna kawng thianghlim, inhawng, leh hrisel taka awm tûra siam a ni a, chu chuan ni tin thawk a awlsam phah hle a ni.
Asthma hi eng nge ni?
A awlsam zawngin sawi ila, asthma hi i thawkna kawng tichhe thei natna a ni—i lung chhunga boruak phur luttu kawngte. Asthma i neih chuan i thawkna kawngte chu a hypersensitive a, thil tenawm tak tak pawh awlsam takin a chhang let thei a ni. Chutiang a nih chuan i thawkna kawng chhungril chu a lo hring thei a, a chhehvel thau te pawh a nghet thei bawk. Tube pakhat chu a chhung lam a inflamed a, pawn lam atanga hrual a nih lai han mitthla teh; a pianphungah chuan boruak luang chhuak turin a harsa zual sauh sauh a ni. Chuvangin, thawk hah, rilru na, khuh ang chi symptoms i nei thei a ni. Mi tinin asthma hi a danglam vek a, a nasat loh, a chang chuan a flare-up atanga harsatna tam zawk thleng thei a ni.
Hun rei tak chhunga thununna (Long-Term Control Medicines) te hi engte nge ni?
Asthma i neih chuan i doctor chuan damdawi chi hnih a pe ngei ang. A hmasa ber chu Reliever Medicine a ni a, chu chu symptoms a lo chhuah hunah, i thawk hah emaw, thawk hah emaw i tih ang chi, relief rang tak i neih theih nan i hmang thin. Hei hi kangmei chhuak nghal tihmit nan kangmei titawptu hman ang maiin han ngaihtuah teh.
Mahse, Long-Term Control Medicines hian hna a thawk dan a danglam hle. Hengte hi siamthat nghal tur a ni lo; chu ai chuan i in lungphum angin an che zawk a ni. Foundation nghet tak chuan in chhung a nghet tlat ang bawkin, heng damdawi te hian hun kal zelah i thawkna kawng a inflammation leh sensitivity te chu a tihziaawm a, i asthma chu uluk takin a enkawl thei a ni. Chuvangin "controller" emaw "maintenance" damdawi emaw an ti fo thin.
Engtin nge heng damdawi te hian hna an thawh? An slow nge fast-acting?
Hei hi a pawimawh ber a ni. Hun rei tak chhunga controller damdawi te hian hna a thawk zawi hle. Quick-relief inhaler ang lo takin i hman hnuah danglamna i hre nghal lovang. Hêng damdawite hian an hnathawhna famkim an neih theih nân hun—a châng chuan ni engemaw zât emaw, kar tam tak emaw pawh an mamawh a ni. I huana thlai chi phun ang maiin ngaihtuah la; a lo thang lian a, a par a, rah a chhuah theih nan hun a mamawh a ni. Nitin tui i pek leh i enkawl reng chuan a thang lian thei chauh a ni. Chutiang chiah chuan heng damdawi te hian hna an thawk a ni.
An hna ber chu i thawkna kawng a chronic inflammation tihziaawm a, an inhawng reng theih nan an inkharkhip leh tawh loh nan tanpui hi a ni.
Chuvangin, ka dam tha famkim lai pawhin nitin heng damdawi te hi ka ei a ngai em?
Ni e, a dik tak zet! Hei hi mi tam tak kal sualna hmun a ni. “Tunah hian Asthma symptoms ka nei lo,” emaw, “Ka khuh lo a, chuti a nih chuan engvangin nge ka damdawi hi ka ei ang?” Mahse, i rilru a hahdam em em chhan chu i controller damdawi i hman reng vang a ni mai thei.
Diabetes Mellitus vei, insulin hmangtu hi han ngaihtuah teh. Hrisel taka an inhriat lai pawhin an natna a zual zel loh nan an doctor-in a tih angin damdawi an ei chhunzawm zel a ngai a ni. Asthma pawh hi a danglam bik lo.
Heng damdawite hi nitin i ei hian, i doctor-in a tih ang chiah chiah hian i taksa hian dam theihna hun remchang a nei a ni. Hei hian i thawkna kawng a inflamed leh constricted loh nan a pui a, hun rei tak chhung chu awlsam takin thawk i la thei a ni. Damdawi i ei kha i chawlhsan chuan ni engemaw zat hnuah chu natna lan chhuahna chu a lo lang leh mai thei.
Long-Term Control Medicines chi hrang hrangte chu engte nge ni?
Hemi zingah hian damdawi chi hrang hrang a awm a. I doctor chuan heng zinga pakhat hi a rawn pe che a ni mai thei:
- Inhaled Corticosteroids (ICS) hmanga tihchhuah te:Hengte hi controller damdawi hman tlanglawn ber leh pawimawh ber berte an ni. “steroid” tih thumal hian hlauthawng suh; hengte hi tablet anga i ei thin steroid nen chuan a danglam hle. Inhaler hmanga i lung chhungah direct-a an thlen avangin i taksa dang zawng zawnga systemic impact chu a tlem hle. I thawkna kawngah inflammation tihziaawmna hmangin hna an thawk a, hliam chu a dam theih nan ointment hnawih ang bawkin.
- Long-Acting Beta-Agonists (LABA): Hengte hian i thawkna kawng chhehvela thau te chu a ti hahdam a, a inhawng reng theih nan a pui thin. Anmahni chauha hman an tlem hle a; a tam zawkah chuan inhaler khatah Inhaled Corticosteroids nen an inzawm khawm thin. An hman dun chuan asthma control tha tak an pe a ni.
- Damdawi dang: Damdawi ei tur pawh a awm a, chu chu Leukotriene Modifiers te hi a ni. A châng chuan, i doctor chuan i enkawlna dangte bâkah hengte hi a rawt thei bawk.
Heng damdawi tam zawk hi inhaler , i thawk chhuah ruala i lung chhunga damdawi chu direct-a thlen theihna tura siam a ni. Naupang tê ṭhenkhat tan chuan heng damdawi te hi nebulizer hmangin pek theih a ni bawk.
Heng damdawi te hi nitin i hman dik loh chuan eng nge thleng ang?
Hei hi i ngaihven tur point a ni. I doctor-in ni khatah vawi hnih i inhaler hmang turin a hrilh che a, mahse “vawiinah hian i hlim hle” avângin vawi khat chauh hman i tum a nih chuan, a nih loh leh ni engemaw zât i dose i skip a nih chuan, thil thleng thei chu hetiang hi a ni:
- Asthma symptoms te hi a lo kir leh thei: Khuh, thawk hah, leh rilru natna te chu zawi zawiin a lo pung tan ang.
- Zan lama natna lan chhuah dan: I khuh emaw, thawk harsa emaw vangin zan lamah i harh tan thei.
- Asthma attack na tak neih theihna a sang: Hei hi a hlauhawm ber a ni. I damdawi i ei loh chuan i thawkna kawngte hian an venhimna a hloh a ni. Hei hian a awmzia chu trigger tenau tak tak, leivut, meikhu, emaw common cold emaw pawh hian asthma attack na tak a thlen thei a, emergency room tlawh a ngai thei tihna a ni.
- Hun rei tak chhunga lung chhiatna: Asthma flare-up fo hian hun kal zelah i lung a tichhe thei a ni.
Chuvangin, i controller damdawi ei tur dose leh timing chungchanga doctor thupek zawm hi a pawimawh hle .
Side effects chungchangah i buai tur em ni?
Mi tam tak chuan “steroid” tih thumal an hriat veleh lungkhamna an nei a. Steroid chi thenkhat hi rei tak ei chuan side effect a nei thei tih chu a dik a ni. Mahse, Inhaled Corticosteroids-a asthma dose hi a hniam hle. Chubakah, lungah direct-a an thlen avangin i taksa dang zawng zawngin an lakluh zat chu a tlem hle.
Chutiang a nih lai chuan, side effect tenau thenkhat a awm thei a, chungte chu:
- Kawng emaw, kawr emaw natna na lo (eg, Oral Thrush).
- Aw ri bengchheng tak.
Hengte hi ven a awlsam hle a ni:
1. I inhaler i hman zawhah i hmui chu tuiin uluk takin silfai fo ang che.
2. I inhaler chu spacer device hmangin hmang rawh.(Hemi chungchang hi doctor zawt la).
Side effect dang a awm tlem hle laiin, i doctor chuan heng damdawi te hi a pe a, a chhan chu a hlawkna chuan a hlauhawmna tenau aiin a tam zawk daih a ni. Engtikah emaw chuan i rilru a hah a nih chuan Nirogi Lanka-a i doctor nen sawiho hreh suh.
Doctor nena inbiakna neih a pawimawhzia
Nang leh i doctor chuan i asthma enkawl dan tur tha ber tur chu hetiang hian ngaihtuahin in thawk dun a ni:
- I symptom bikte chu.
- I nunphung.
- Engtiang chiahin nge awlsam takin damdawi chu i hman theih ang.
I doctor chuan heng zawng zawng hi a ngaihtuah a, i tan controller damdawi leh a dose tha ber tur a ruat thin. Chuvangin, zawhna emaw, ngaihtuahna emaw i neih apiang (eg, inhaler hman dan tur, side effects chungchangah ngaihtuahna) i neih chuan i doctor nen sawiho rawh. Hei hian rilru thlamuanna a pe ang che a, i asthma chu tha taka enkawl turin a pui bawk ang che.
Key Takeaways: I Hriatreng Turte
Kan sawihona khaikhawm nan, Nirogi Lanka hmanga i asthma tha taka enkawl theihna tura i ngaihtuah tur pawimawh ber berte chu hetiang hi a ni:
- Long-Term Control Medicines (Controller Inhalers) hi nitin ei tur atana siam a ni a, i dam tha famkim a, symptom i neih loh lai pawhin ei tur a ni.
- Heng damdawi te hian i thawkna kawng a inflammation tihziaawmna atan zawi zawiin hna a thawk a, hei hi asthma attack a lo tan hmaa venna atana pawimawh tak a ni.
- I Reliever Medicines te hi symptoms rang tak i neih hunah chauh hmang ang che. I controller damdawi hi thawkna hriselna atana nitin i lungphum a ni tih hre reng ang che.
- Nitin damdawi i pek chhuah loh chuan asthma a tizual thei a, attack na tak, nunna atana hlauhawm tak a thlen thei bawk.
- Side effect awm thei tur ngaihtuah lutuk suh. I inhaler dik taka i hman a, i hman apiangin i hmui i silfai chuan awlsam takin side effect tam zawk i veng thei ang.
- I mimal Asthma Action Plan chu enfiah leh update reng turin i doctor nen inbiakpawhna nei reng ang che.
Enkawlna dik tak a awm chuan, asthma hian nun chak tak, pangngai tak, leh nun hlawhtling tak neih chu a titawp a ngai lo tih hre reng ang che. Hun rei tak chhunga i control damdawi hman fo hi control-na atana i hmanraw tha ber a ni.
` Asthma, Hun rei tak chhunga control damdawi, Controller damdawi, Enkawlna damdawi, Inhaled Corticosteroids, Asthma enkawl dan
