Vawi tam tak chu mi thenkhat, a bik takin naupang tête chu tlan kual leh inkhelh laiin, "Ka thawk thei lo," tiin an thawk chhuak nghal zung zung tih kan hmu fo. Nu leh pa thenkhat chuan hei hi an hmuh hian an hlauthawng deuh a, an buai deuh bawk. Dik tak chuan hei hi hlauh tur a ni lo a, mahse kan ngaihtuah tur leh damdawi lam thurawn kan dil tur dinhmun a ni ngei ang. Vawiin hian eng thil nge he thil hi a thlen tih te, eng nge tih theih a nih te, hei hi eng nge ni tak tak (Exercise-Induced Asthma) tih hi han sawi ila.
Hei hi eng nge ni (Exercise-Induced Asthma)?
A awlsam zawngin sawi ila, Exercise-Induced Asthma hi exercise i tih lai chauha asthma ang chi natna a ni a, chu chu tlan, zuang, inkhelh emaw, taksa tihchakna emaw i tih hian a ni. Entirnan, mi thenkhat chuan an nitin nunah thawk hah emaw, thawk harsa emaw an nei lo a, mahse heng symptoms te hi exercise an tih hian a lang chauh a ni. Tichuan mi thenkhat chuan asthma , chu chu hun dangah pawh asthma an nei tihna a ni. Chutiang mite tan chuan exercise hian an asthma a ti na zual thei a ni. Phên dangin sawi ila, exercise hi an asthma tizualtu trigger , a nih loh leh stimulant a ni thei.
He thu i hriat hian hlauthawng nghal suh, okay? A chhan chu he natna (Exercise-Induced Asthma) hi control theih tak thil a nih vang a ni . I tih tur chu damdawi lam thurawn dik tak la a, chu mi ang chuan thil tih mai a ni.
Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?
I fa chu nasa taka inkhelh a, chutah rang takin a tawp emaw, a khuh tan emaw han mitthla teh. A nih loh leh thawk kan lak lai hian rilru chhungril atang hian whistling emaw whistling ri te tak te a lo chhuak thin. A rilru a tikhauh tih pawh i sawi thei. Hengte hi (Exercise-Induced Asthma) chhinchhiahna lian ber berte an ni. Eng nge an nih i en ang u:
- Khuh: A bik takin exercise neih lai emaw, exercise zawh hnu emawa khuh hring (dry cough) a awm thin.
- Thâwk tawi: Thâwk harsa ang maia inhriatna, thawk hah ang maia inhriatna.
- Wheezing: Thâwk lak laiin rilru chhunga whistling ri, tawtawrawt te tak te ang maia awm.
- Chest tightness: Chest-a pressure emaw, rit emaw, constriction emaw awm.
- Exercise an tih laiin hah vat: Midang nena khaikhin chuan, an khelhpui naupang dangte aiin an chau leh chau rang zawk tihna a ni.
- Exercise thiamna tlahniam: A hma anga tlan leh zuang thei lo.
- I rilruah thil pakhat a inkhung ang maia inhriatna.
Heng symptoms te hi exercise tan atanga minute 5 atanga minute 10 vel atanga tan a ni tlangpui. A châng chuan, exercise i tih zawh hnu minute 10-15 hnuah heng symptoms te hi a lo lang hma thei bawk. Mahse, heng symptoms te hi darkar khat emaw darkar hnih emaw aia rei a daih lo tlangpui.
Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?
Tunah chuan, "Engvangin nge exercise kan tih lai chauh hian hetiang hi a lo awm?" A awlsam zawngin sawi ila, exercise kan tih hian kan taksa hian oxygen a mamawh tam zawk. Chutah chuan kan thawk rang tan a ni. A tam zawkah chuan kan hnar hmang lovin kan kaa kan thawk a. Tunah chuan en teh, kan hnar atanga kan thawk chhuah hian boruak lo lut chu a lum deuh a, a hnim deuh a, kan hnar chhungah a filter deuh bawk. Mahse chutiang chu kan ka atanga kan thaw chhuah chuan a thleng ngai lo.
Chuvangin, he boruak lum leh vawt tak hi kan lung chhunga thawkna kawng te (airways emaw bronchioles) -ah direct-a a kal chuan, chu boruak kawng bang chhunga cell-te chuan chemical thenkhat (chemical mediators) an chhuah chhuak thin. Heng chemicals te hian thawkna kawng chhehvel thau te chu a tikhauh a, chu chuan thawkna kawng chu a tikhauh emaw, a ti tawi emaw a ni . Chutah chuan thawkna kawng a zim a, thawk a harsa a, chutiang chhinchhiahna dangte chu a lo lang ta a ni.
Hei hi chhan dang vang pawh a ni thei:
- Khua lum leh vawt: Hetiang ni-a pawn lama exercise i tih hian he natna hi a zual thei hle.
- Thliah pollen emaw leivut chi hrang hrang, meikhu: Hengte hi allergy nei tan chuan harsatna a ni thei.
- Air pollution: Lirthei exhaust, factory atanga meikhu chhuak ang chi thil.
- Mi thenkhat chuan swimming pool-a chlorine rim hi an huat em em a.
- Thluak lam natna, khawsik emaw, flu emaw i neih laiin exercise lak.
- Chemical thenkhat nena inzawmna: Entirnan, ice hockey rink-a ice cleaning machine atanga nitrogen dioxide ang gas chhuak.
Engtin nge doctor hian hei hi a nemnghet?
Heng symptoms te hi i doctor i hrilh hian zawhna tam tak a zawt hmasa ang che. I natna lan chhuah dan te, eng chen nge i neih tawh, engtikah nge a lo awm tam ber tih te, i chhungte zingah tu emaw chuan asthma emaw allergy emaw an nei em tih te. Hei hi medical history lak an ti a . Tichuan doctor chuan a enfiah ang che, a bik takin i rilruah stethoscope dahin, i thawk chhuah laiin thawk hah thawm a ngaithla ang.
Tin, he (Exercise-Induced Asthma) natna hi finfiah nan test bik a awm bawk. Spirometry an ti a . Hei hian device tenau takah rang taka puak turin an ti che a ni. I lung atanga boruak i chhuah theih zat a teh thei a, eng chen nge i thawk chhuah chak tih a teh thei bawk.
Tichuan, i doctor chuan treadmill-ah emaw, stationary bike-ah minute 6-8 vel a tlan tir ang che a, chutah chuan spirometry machine-ah thawk turin a ti leh ang che. Hei hian i thawkna kawng a zim zia leh exercise zawh hnua i thawk chhuah theih zat a teh thei a ni. Hei hi exercise challenge test an ti bawk .
A chang chuan exercise ai chuan he test hi chemical methacholine ang chi hi inhal-in tih theih a ni. Hei hian thawkna kawngte sensitivity a teh bawk.
Hei hi enkawl dan tur a awm em? Engtin nge thunun theih ang?
Thu lawmawm tak chu he natna (Exercise-Induced Asthma) hi a enkawl theih hle a ni. Chumi awmzia chu i neih vang mai maia exercise emaw, inkhelh emaw i chawlhsan a ngai lo tihna a ni.Enkawlnaah hian damdawi leh nunphung tihdanglamna tenau te a tel ber a ni.
1. Damdawi tihdam thuai
Vawi tam tak chu i doctor chuan inhaler hmang turin a hrilh ang che . Hei hian damdawi a pai a, chu chuan i thawkna kawng a ti lian deuh a, a tizau thei bawk. Chungte chu short-acting beta-agonists (SABA) , entirnan, Salbutamol inhaler an ti a. A awlsam zawngin sawi ila, heng damdawi te hian i thawkna kawng a tizau a, thawk pawh a ti awlsam bawk.
He inhaler hi exercise hma minute 10-15 vel hman tur a ni tlangpui. Hei hian exercise neih laiin thawkna kawng a zim loh nan emaw, a tihtlem emaw theih nan a pui thei a ni. A nghawng chu darkar 4-6 vel a ni.
2. Hun rei tak chhunga control theih damdawi
Mi thenkhat tan, a bik takin asthma vei fo emaw, exercise avanga asthma nei emaw tan chuan i doctor chuan nitin hman tur inhaler chi hrang hrang a pe thei a ni. Chungte chu controller inhaler an ti a . Damdawi inhaled corticosteroids ang chi an nei a ni. Hei hian thawkna kawngah chronic inflammation tihziaawmna hmangin hna a thawk a ni. Hei hian thawkna kawngte chu exercise ang chi trigger-ah a sensitive lo hle.
Damdawi dang, leukotriene modifiers te pawh pill anga ei theih a awm bawk. Chûngte chu mi ṭhenkhat tân pawh a ṭangkai thei bawk.
3. Nunphung thlak danglam leh hmanraw dangte
Damdawi bakah hian hengte hi enkawl a pawimawh hle bawk:
- Warm-up: I workout tan hmain minute 10 atanga 15 vel warm up hmasak phawt a pawimawh hle. Zawi zawia kal leh exercise te te tih te, i ruhkawr tiche thei thil te ti thin ang che. Hei hian i thawkna system chu zawi zawiin exercise a thiam theih nan a pui ang.
- Cool-down: Tin, i workout zawh hnuah i chawlhsan nghal tur a ni lo va, minute 5-10 vel cool down zawk tur a ni.
- I hnar hmanga thawk chhuah tum: Exercise i tih hian a theih ang anga i hnar atanga thawk chhuah tum ang che. Chutiang chuan i lung chhunga boruak lut chu a lum a, a hnim bawk.
- Ni khaw vawt ah inveng rawh: Ni lum leh vawt ah pawn lama inkhelh i nih chuan scarf emaw, i hmui leh hnar khuh tu special mask (cold air face mask) hmang la. Hei hian boruak lum direct-a lut chu a tihtlem phah ang.
- Triggers pumpelh rawh: Pollen tamna ni-ah chuan pawn lama exercise i tih kha tihtlem a tha ber. A nih loh leh, zing hma emaw, tlai lamah emaw boruak bawlhhlawh a tlem laiin exercise lak tum ang che.
- Tui in tam: Exercise i tih hma, exercise i tih lai leh i tih zawhah tui tam tak in thin ang che. Hydration level tha tak neih a pawimawh.
Exercise vanga asthma vei te hian infiamna an khel thei lo em ni?
Hei hi nu leh pa tam takin, chutiang natna vei te pawhin an zawh ber chu a ni. "Kei emaw ka fa emaw hian (Exercise-Induced Asthma) kan nei a nih chuan an inkhel thei ang em?" A chhanna chu, "Absolutely! Harsatna a awm lo!"
Dik tak chuan he natna hi i neih vang mai maia exercise emaw, inkhelh emaw tihtawp hi thil tha a ni lo. A chhan chu exercise hi kan taksa leh rilru hriselna atan a pawimawh hle a ni. Ngaihtuah teh, Olympic-level-a gold medallist-te pawh hi an dinhmun (Exercise-Induced Asthma) hlawhtling taka thunun thei leh khawvel hneh thei an awm!
A pawimawh ber chu doctor biak a, he natna hi uluk taka enkawl dan zir hi a ni. Doctor thupek i zawm a, i damdawi (a bik takin i inhaler) i hman dik a, a chunga kan sawi tak fimkhurna (warm-up, cool-down, leh khawsik laka invenna) i zawm chuan mi tam zawk chuan harsatna nei lovin an duh duh sport an khel thei a ni.
Infiamna thenkhat chu he dinhmun atan hian a tha zawk niin an sawi. Entîr nân, tui chawi . A chhan chu swimming pool chhehvel boruak hi a lum leh vawt tlangpui vang a ni. Tin, hun rei lote chhunga chakna tam tak hmang, chawlh hun tam tak nei (e.g. volleyball, baseball, sprint) te hi mi thenkhat tan chuan hun rei tak tlan chhunzawm zel ngai infiamna (e.g. marathon tlan, football, basketball) aiin a tha zawk mai thei bawk. Mahse, hei hian infiamna dang a khelh theih loh tihna erawh a ni lo. Enkawlna mumal tak nen chuan engkim a awm thei.
Engtikah nge Doctor ka hmuh ang?
- Nangmah emaw i fa emaw hian a chunga kan sawi tak symptoms (khuh, thawk hah, rilru hah, thawk hah) i neih chuan exercise i tih lai emaw, exercise i tih zawh emaw a nih chuan i hnai ber doctor pan ngei ngei tur a ni. Ngaihthah suh.
- Exercise-Induced Asthma i vei tih doctor-in a lo hriat tawh a, chu chu damdawi i ei a, mahse i natna lan chhuah dan chu damdawi hian a thunun thei lo niin a lang a, chu chu exercise lak harsa i la nei tihna a ni a nih chuan i doctor hmu leh la, chu chu sawipui rawh. I damdawi ei tur zat pawh siam danglam a ngai mai thei a, a nih loh leh enkawlna dang pek a ngai mai thei bawk.
- Kar khatah ni hnih aia tam i reliever inhaler i hman a ngai a nih chuan i asthma hi a control tha lo tihna a ni. Chutiang a nih chuan doctor pan rawh.
Hei hi a pawimawh hle a ni:Thâwk harsa i tih thut a, i luak chhuak nasa lutuk a, i tawng thei lo va, i hmui leh i kut zungtang chu a sen ang maiin i lang a, i inhaler hian engmah a ti hahdam lo a nih chuan medical emergency a ni Chutiang a nih chuan damdawi in hnai ber pan nghal tur a ni.
Thil hriat reng tur te chu a tawi zawngin
Okay, chuvangin a tawpah chuan Exercise-Induced Asthma chungchanga thil pawimawh nia kan ngaih thenkhat kha han hriat nawn tir leh ang che:
- Exercise neih lai chauha thawk hah, khuh, leh thawk harsa tih hi Exercise-Induced Asthma tih a ni thei.
- Hei hi hlauh tur a ni lo , manageable situation a ni.
- Hetiang hi i neih vang mai maia exercise, inkhelh leh infiamna i chawlhsan a ngai lo. Dik tak chuan exercise hian he dinhmun hi a thunun thei a ni.
- Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni a, a dik taka hriat theihna tur leh a tul anga thurawn leh enkawlna dawng tur a ni.
- I doctor-in a pek damdawi (a bik takin inhalers) te chu dik takin, a hun takah leh a dik takin hmang thin ang che. Exercise i tih hmain warm up leh a hnuah cool down theihnghilh suh.
- Diagnosis dik tak, enkawl dan dik leh enkawl dan dik a nih chuan Exercise-Induced Asthma vei tu pawhin nun chak tak, hrisel tak leh hlim takin an hmang thei a ni.
Chuvangin, hetiang harsatna i neih chuan tihkhawtlai suh, Doctor pan rawh. Tichuan nang pawhin i infiamna duh ber chu engmah daltu awm lovin i khel thei ang a, hrisel takin i awm thei ang!
` exercise-induced asthma, exercise, asthma, thawk harsa, inhaler, infiamna, hriselna, Sinhala medical article











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