I naute thawk chhuah hian a rilru leh a kawr chu a rawn inhnukdawk niin a lang em? Chu chu (Retractions)'' an ti a. Hemi chungchang hi han sawi ila!

A châng chuan naupang tê tê, a nih loh leh puitling pawh ni se, a thawk chhuah hian, a rilru hmun ṭhenkhat, a kawr chu chutiang chuan chhungril lamah a kal tih i hre tawh mai thei. Thâwk harsa tak tak ang mai a ni. Chu chu damdawi lama ``(Retractions)'' kan tih chu a ni. Vawiin hian hei hi eng nge a nih tak tak tih te, engvangin nge a lo awm tih te, kan hlauh tur nge tih te kan sawi dawn a ni.

``(Retractions)`` tih hi eng nge ni tak tak?

A awlsam zawngin ``(Retractions)`` chu mi pakhatin a thawk (chu chu a thawk chhuah tihna a ni) a, a kawr, a ruh inkar leh a ruh hnuai lam hmuna vun chu a chhung lam hawia a pil emaw, a chhung lam hawia a chhuah emaw a ni. Hei hian min hrilh ber chu chu mi chuan thawk a harsat tih hi a ni. Thil rit tak chawi ang mai a ni a, an lung chhunga boruak luh tumin an bei nasa hle. A chang chuan naute thaw a chhuah hian an rilru vun chu chhung lam hawiin a inhnukdawk thin tih chu i hmu tawh ngei ang.

Engtin nge kan thawk tlangpui?

Heng ``(Retractions)`` te hi eng nge an nih hrethiam zawk tur chuan kan thawk dan pangngai kan en a ngai a ni. Chu chu straw hmanga in tur hrual chhuah ang mai a ni ang tih han ngaihtuah teh.

Kan rilru leh kan pum inkarah hian taksa peng lian tak, sei tak, diaphragm , a awm a. Chu bakah, kan ruh inkar ah hian taksa peng te te zawk a awm bawk.

Kan thawk chhuah hian he diaphragm ropui tak hi a tla thla a, ruh inkar thau te hian ruh chu a sang chho leh chhuak tlem a. Tichuan, rilru chhunga hmun (chest cavity) chu a lian ta hle a ni. Hei hian lung chhunga pressure a tihziaawm a, pawn lam boruak chu lung chhungah a hruai lut mai a ni. Vacuum siam a, boruak hip luh ang mai a ni a, hei hi thil tam tak tih ngai lovin a thleng tlangpui.

Chuti a nih chuan engvangin nge `(Retractions)` hi a lo awm?

Tûnah chuan eng emaw chhan vangin mi tu emaw chuan thawk a harsat tih han ngaihtuah teh. Lung lam panna boruak (bronchi) te chu a inkhar a, a nih loh leh lung chhungah natna chi khat a awm a ni mai thei.

Hetianga thawk a harsat chuan thawk dan pangngaia puitu ruh (diaphragm leh ruh inkar thau) te hian lung chhunga boruak hip lut tur khawpin an tawk lo.

Chuti a nih chuan eng nge thleng? Kan taksa hian chutiang atan chuan extra muscle tissue chu hman a tum thin. A bik takin kawr chhunga ruh (muscle tissue) te, ruh inkar ruh te te thenkhat te, leh kekawr bul vel a ruh te hi a belhchhah a ni.

Heng extra muscle fibers te hi rang tak leh chak taka an inzawm khawm chuan an vun leh soft tissue inzawm te chu chhung lam hawiin an inher chhuak thin. He pulling inward appearance hi ``(Retractions)`` kan tih hi a ni.

Chumi awmzia chu, `(Retractions)` hmuh chu chu mi taksa chuan 'extra support force' hmangin lung chhunga boruak a pump lut ang mai a ni!

Khawiah nge `(Retractions)` ka hmuh theih ang?

Heng indentation te hi hmun hrang hrangah hmuh theih a ni. Chu hmunte a\ang chuan thawk harsatna awm dan tur ngaihtuahna engemaw zat kan nei thei \hin.

• Subcostal Retractions te chu: 1.1.Vun chu pum leh rilru inzawmna hmunah, rib cage hnuai lamah a bulge lut a. Hei hi nausen naupangte zingah a tam ber.
• Intercostal Retractions: Rib pahnih inkar vun chu chhung lam hawiin a inher a, rib te chu a chhuak chhuak ang maiin a inher chhuak thin.
• Supraclavicular Retractions: Hengte hi kawr sir lehlamah, khur (clavicle) chunglam, khur ang chi hmun te tak te an ni .
• Suprasternal emaw Substernal Retractions: Vun hian rilru lai tak (sternum)-a ruh flat chunglam emaw hnuai lam emaw chhung lam hawiin a inher a , chu chu kawr bul tanna hmun ang maiin a ni.

Chung zinga pakhat emaw, a aia tam emaw chu a rualin hmuh theih a ni. Chungte chu hmuh tam poh leh thawk harsa a ti zual thin.

`(Retractions)` awm chhante chu engte nge ni?

``(Retractions)`` hi natna a ni lo, a chhinchhiahna a ni. Thâwk harsatna thlentu dinhmun eng pawhah hmuh theih a ni. Naupang tê tête zinga a chhan langsar ṭhenkhat chu:

• Bronchiolitis: Natna a ni a, lung chhunga thawkna kawng te tak te, a bik takin nausen kum 2 hnuai lam te chu a ti na a ni. Viral infection avanga lo awm a ni fo.
• Asthma: Thlawhna kawng a hring leh a inzawm khawm a, thawk harsa a ti thin.
• Pneumonia: Chuap natna hrik avanga natna hrik awm.
• Croup: Natna a ni a, chu chuan larynx leh upper airways a ti na a, barking cough a thlen thin.
• Foreign body aspiration: Naupang tê têin an hnar emaw, an hmuiah emaw infiamna chi khat emaw, ei tur chi khat emaw ang chi thil a lo awm chuan hei hi emergency a ni!
• A chhan dang: Lung lam natna thenkhatah pawh retraction hmuh tur a awm a, chu chu allergy na tak (anaphylaxis) te hi a ni.

Puitlingah chuan he natna hi COPD (Chronic Obstructive Pulmonary Disease), pneumonia na tak, leh thinlung chak lohna te pawh a awm thei bawk.

`(Retractions)` hmang hian eng nge kan zawn belh ang? Engtikah nge Doctor kan hmuh ang?

`(Retractions)` i hmuh chuan ngaihthah mai mai a tha lo. A chhan chu harsatna chi khat a awm tihna a ni.

Heng features te hi `Retractions` hmangin en rawh:

• Thâwk lak chak lutuk em? `(Rapid breathing / Tachypnea)` Naupang tê tête thawk dan pangngai chu an kum azirin a inang lo. Mahse, an thaw chhuak chiang lutuk a nih chuan fimkhur rawh.
• I hnar a flare em? `(Nasal flaring)` I thawk chhuah laiin i hnar a lian a nih chuan.
• I thawk chhuah hian grunting sound i siam em? I thawk chhuah dawnin "Agh... agh..." tih ri i siam chuan.
• Wheezing i nei em? I thawk chhuah lai hian i rilru atang hian hissing sound a lo chhuak em?
• Khuh i nei em?
• I hmui, i lei leh i nail te chu a sen vek em? (Cyanosis) tih a ni.Hei hi chhinchhiahna hlauhawm tak a ni. Taksain oxygen a dawng tlem tihna a ni. Hei hi emergency a ni! Damdawi inah kal nghal rawh.
• Naute hian hnute a pe/ei tawk lo em ni? A muhil em ni? A nih loh leh a rilru a hahdam lo hle em ni?
• Khawsik i nei em?

A pawimawh ber: I fain ``(Retractions)'' a neih chuan, a bik takin naute te tak te a nih chuan doctor hnenah hruai ngei ang che. A chhan dik tak zawng chhuakin a tul anga enkawl tan theitu an ni.

Damdawi lam thurawn zawng nghal tur a ni a, a bik takin a hnuaia mi ang hian:

• Naupang thla 3 aia naupang a nih chuan.
• I hmui chu `(Retractions)` hmanga blue a nih a, thawk harsa i tih ang maia i awm chuan.
• Naupang chu a thaw hah hle a, a tawng thei lo.
• Thâwk lakna rate a sang hle a nih chuan.
• Naupang chu a chak lo hle a, a muhil hle niin a lang a nih chuan.

In lamah eng nge kan tih theih ang?

``(Retractions)`` hi underlying condition symptom a nih avangin in lama i tih theih tur a tlem hle. A pawimawh ber chu Damdawi lam thurawn lak hi a ni.

Mahse, doctor i hmuh hma loh chuan hengte hi i ti thei ang:

• Muangchangin awm rawh: I hlauthawng a nih chuan i naute chu a hlau zual thei a, chu chuan thawk a ti harsa thei hle.
• Naupang chu thlamuang rawh: hmangaihna nen sawipui la, chelh rawh.
• Naupang chu dinhmun nuam takah awm rawh se: Thut laiin thawk a awlsam zawk mai thei.
• I fain asthma a vei a nih chuan: I doctor-in a pek reliever inhaler chu a thupek angin hmang ang che.
• Khawsik a awm chuan: Damdawi lam thurawn angin Paracetamol ang chi hi i pe thei ang.
• Room chhunga meikhu leh leivut tihtlem.

Doctor rawn hmasa lovin damdawi engmah pe ngai suh.

Doctor-te hian engtin nge he natna hi an hriatchhuah a, an enkawl?

I fa Doctor hnena i hruai dawnin a tih hmasak ber tur chu naupang chu uluk taka enfiah a ni.

• Thâwk chhuah dan te, ``(Retractions)'' awmna hmun te, thawk dan rate te kan en a.
• Doctor chuan stethoscope hmangin rilru chu a ngaithla a, lung chhunga thawm (crackles, ri danglam dang) a awm leh awm loh a enfiah thin.
• I taksa oxygen saturation level chu pulse oximeter an tih hmanraw te tak te hmangin i check thei a, chu chu i kut zungtang emaw beng emaw-ah dah a ni.
• A tul chuan chest X-ray la turin an ti mai thei bawk. Hei hian pneumonia ang chi natna hriatchhuahna kawngah a pui thei a ni.
• A chang chuan thisen test leh hnar test ang chi thil te pawh tih theih a ni.

Enkawlna chu retractions awm chhan ah a innghat.

• Bacteria infection a nih chuan (e.g. pneumonia): Antibiotics pek theih a ni.
• Viral infection (e.g., bronchiolitis) a nih chuan: A tlangpuiin enkawlna bik a awm lo. Taksa chu a natna lan chhuah dan (e.g., oxygen, saline) enkawl laiin a mah chauhin a dam phalsak a ni.
• Asthma a awm chuan: Nebulization emaw inhaler emaw pek theih a ni a, chu chu vapor inhale theih a ni.
• Thâwk a harsat em em a, oxygen level a hniam chuan: Damdawi inah dah a ngai mai thei a, oxygen pek a ngai mai thei.

A pawimawh ber chu a rang thei ang bera diagnosis dik tak neih a, a tul anga enkawl tan hi a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

Okay, chuvang chuan tunah hian `(Retractions)` chungchang kan sawi nasa hle. A tawp berah chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• ``(Retractions)`` tih hian thawk laiin rilru leh kawr chhunga vun chhunglam hawia inhnukdawk tihna a ni. Chumi awmzia chu chu mi chuan thawk a harsat a, theihtawp a chhuah nasa hle tihna a ni.
• Hei hi natna a ni lo va, thawk harsatna tilangtu symptom a ni.
• Naupang tê tê zingah `(Bronchiolitis)`, `(Asthma)`, leh `(Pneumonia)` ang chi natna avang hian hmuh tur a awm tlangpui.`
• Thâwk lak chakna sang, hnar hring, thawk hah, leh hmui dum tih ang chi chhinchhiahnate chu ``(Retractions)'' nen ngun takin en rawh.
• I fain `(Retractions)` a neih chuan, a bik takin naute te tak te an nih chuan doctor i pan ngei ngei tur a ni. Hlauthawng lova, tihkhawtlai lova damdawi lam thurawn lak hi a tha ber.
• Doctor thupek dik takin zawm rawh.

I fate thawk danah inthlak danglamna i hmuh chuan ngaihthah suh. Damdawi lam pan vat chuan harsatna tam tak a chinfel theih. Hriselna tha tak in neih vek tur a ni!

` Thâwk harsa, retractions, chest indrawing, naupang natna, thawk lama harsatna, bronchiolitis, pneumonia, asthma