I rilru pawh i nei em? Bronchoconstriction chungchang hi a awlsam zawngin sawi ila!

‘Bronchoconstriction’ tih thumal i hriat hian thil mak deuh emaw, natna khirh tak sawi ang mai emaw i ti mai thei, a dik em? A nihna takah chuan sawi harsa deuh a ni. Mahse, lungngai suh, kan lung chhunga thawkna kawngte nen a inzawm tlat a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih angin i sawi ang u. Thian nena inbiakna ang maiin.

‘Bronchoconstriction’ tih thumal hian eng nge a awmzia?

A awlsam zawngin ‘broncho’ tih hian kan lung chhunga thawkna kawng a kawk a ni. ‘Constriction’ tih awmzia chu constricted, tight, narrow nih tihna a ni. ‘Bronchoconstriction’ tih awmzia chu kan lung chhunga thawkna kawng a inkhar emaw, a zim emaw tihna a ni. Tui pipe chu a compress a, a block a, tui luang chhuah a harsat phah ta hi han mitthla teh, a dik em? Chu chu hetah hian a thleng thin. Hei hi thil lian tak angin a lang thei a, mahse asthma ang chi natna nen a inzawm fo thin.

Kan lung chhunga heng thawkna kawngte hi engte nge ni?

Kan lung hi thing hnah ang maia tube te te tam tak inzar pharhna hmun angin han ngaihtuah teh. Heng tube te hi airway kan tih te hi an ni . I hnar atanga i thaw luh chuan i thaw luh chu lungah a lut a, chuap chhunga boruak hman tawh (carbon dioxide) chu heng thawkna kawng kaltlangin a rawn chhuak leh thin. Chûngte chu, a awlsam zawnga sawi chuan, thawkna kawng ang mai an ni. He system hi awm lo se chuan thawk dan tur kan nei lo ang, a dik em? Heng thawkna kawngte hi lung chhung zawng zawngah a darh a, kawng lian tak tak atanga kawng te tak te, nalh tak tak thlengin a darh vek a ni.

Tichuan engtin nge heng thawkna kawngte hi an inkharkhip?

Tunah chuan en teh, heng boruak kawng chhehvelah hian taksa peng tha tak tak layer a awm a. Mahse hengte hi i taksa peng hrang hrang i tihchet emaw, rit phurh nan emaw i hman thin ruhro ang an ni lo va, chu chu kan hriat chian em em a ni. Chûngte chu taksa ruh chi khat bik, smooth muscles -a mi an ni a, chu chu hriat reng chungin kan thunun thei lo va, chu chu a takin hna a thawk a ni. Eng emaw chhan vangin, entirnan, asthma ang dinhmunah chuan, a hnuah chipchiar takin kan sawi ang, heng thawkna kawng chhehvela ruh smooth muscle te hi a inzawm nghal a , chu chu an tikhauh a, an tlem tihna a ni. Rubber band hrual a, a hnua tihchhiat ang mai a ni. Chutiang thil a lo thlen chuan eng nge thleng? Chu thawkna kawng chhunga hmun chu a tlahniam a, channel chu a tawi . Ngaihtuah teh, in tur hrui pakhat chu a sir lehlamah i hrual a, i chil chhak a nih chuan tui hip a harsa ang, a dik em? Hetah pawh hi chutiang chu a ni. Hei hi bronchoconstriction kan tih chu a ni .

"Hetiang taka thawkna kawng a zim hian boruak luh leh chhuah theihna tur hmun a tlem zawk. Chu chu thawk harsa kan ti a, kan rilru a inkharkhip ang maiin kan hria a ni."

Hetiang dinhmunah hian eng symptoms nge kan neih?

I thawkna kawng a block chuan symptom hrang hrang i nei thei. Mi zawng zawngin chutiang chuan an tawng vek dawn lo. Mahse a lan chhuah dan tlangpui thenkhat a awm. Heng zinga pakhat tal i tawng tawh em tih en rawh:

• Thâwk hah : Hei hi a lan chhuah dan ber leh langsar ber a ni. I rilruah boruak i lut tling thei lo emaw, i thawk a hah emaw, i rilru a khat emaw ang maiin a awm thei. Hei hi thawhrimna nen a na zual thei.
• Wheezing : Thâwk lak laiin, a bik takin thawk chhuah laiin rilruah whistling emaw blowing ri emaw a awm. Hei hi boruak kawngkhar zim tak kal tlanga a kal harsat hian a thleng thin. A châng chuan he thawm hi mi dangin an hre thei a.
• Chest tightness: Miin i rilru a chet ang maiin a lang thei a, a nih loh leh i rilru chhunga rit emaw pressure emaw ang maiin a awm thei bawk. Mi thenkhat chuan i rilruah belt an khauh ang maiin a lang niin an sawi.
• Khuh: A chang chuan khuh na tak, na tak i nei thei bawk. He khuh hi a na zual thei a, a bik takin zanah emaw, zing lamah emaw, khawsik a awm chuan a na zual thei.
• Chauhna : Thil pangngai i tih hnuah pawh i chau thuai mai thei. Hei hi taksa hian oxygen a hmuh tlem avangin a chau nghal vat thin vang a ni .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan, a bik takin a lo lang fo emaw, a na zual ang tih emaw a nih chuan doctor pan a, thurawn lak a pawimawh hle. Hei hian a chhan hriat chian a, a tul anga enkawlna a tan theih nan a pui ang.

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

Thli kawng a inkharkhip chhan hi a tam thei hle. Mahse a chhan ber leh a tam ber chu asthma an tih hi a ni .

Asthma hi a chhan ber a ni

"Asthma hi hun rei tak chhunga kan thawkna kawngte a sensitive lutuk a ni. Asthma vei chuan trigger thenkhat a tawn hian thawkna kawng a thawk nasa lutuk a ni . Hetiang chhanna kawngah hian thawkna kawng vel a thau te chu a tikhauh a, chu chuan thawkna kawng a ti tawi a – hei hi bronchoconstriction an tih natna a ni. Heng trigger te hi mi hrang hrangah a inang lo thei a ni. Entirna tlemte chu hetiang hi a ni:

• Allergens te chu leivut, pollen , pet dander, leh cockroaches te hi a ni.
• Meikhu (Cigarette meikhu , thingpui lumna meikhu, lirthei meikhu ).
• Thli lum tak.
• Exercise, a bik takin exercise avanga asthma nei tan .
• Damdawi thenkhat (e.g. aspirin , natna tidamtu thenkhat ).
• Hriak rimtui tak tak (rimtui, rimtui, tihthianghlimna thenkhat).
• Thluak lam natna, khawsik leh flu ang chi te.
• A châng chuan, rilru hahna nasa tak, nuih lutuk, tap lutuk ang chi pawhin nghawng a nei thei a ni."

Chhan dang a awm thei ang em?

"Ni e, asthma hi a chhan ber ni mahse, bronchoconstriction hi thil dangah pawh a awm thei."

• Allergy na tak, anaphylaxis ang chi: Chaw thenkhat (tuipui, buhfai), damdawi (penicillin ang chi), emaw, rulhut chi (wasps, hornets) emaw avanga allergy na tak chuan thawkna kawng a khar nghal thei a ni. Hei hi nunna atana hlauhawm emergency a ni.
• Thluak lam natna: Infection thenkhat, acute bronchitis te hian thawkna kawng hi rei lo te chhung a tikhawlo thei bawk.
• COPD (Chronic Obstructive Pulmonary Disease): Hei hi hun rei tak chhung natna a ni bawk a, chu chuan lung a tichhe thei a ni. Meizial zutute zingah a tam ber. COPD vei te pawhin bronchoconstriction an nei ve bawk.
• Chemical thenkhat inhnim: Hnathawh hmun emaw, kawng dang emawa chemical tha lo (e.g., paint fumes, dust) inhal pawh hi a chhan a ni thei bawk.

Asthma leh bronchoconstriction hi eng nge inzawmna?

Tunah chuan asthma leh bronchoconstriction inkarah hian inzawmna hnai tak, inthen theih loh a awm tih i hrethiam tawh mai thei. Dik tak chuan , asthma-a thil thleng ber chu he boruak kawng (bronchoconstriction) hi a ni . Asthma vei te thawkna kawng hi a na deuh a, a hyperresponsive fo thin. Chuvangin a chunga kan sawi tak trigger a lo thlen chuan a chhanna atan thawkna kawng chhehvel thau te chu a nghet (bronchoconstriction) a, chu chuan thawk harsa leh thawk hah ang chi symptoms a thlen thin. Hei hi asthma attack kan tih pawh a ni .

Hei hi enkawl dan tur a awm em? Engtin nge kan tih ang?

Thu lawmawm tak chu he thawkna kawng a zim, a bik takin asthma avanga bronchoconstriction hi a veng thei a ni.Enkawlna tha tak tak a awm. Chuvangin he thil hi ngaihtuah tur a awm lo. Doctor-te chuan inhaler hi a enkawlna atan an rawt tlangpui. Hengte hian damdawi hi thawkna kawngah direct-in an thlen a, chuvangin hna an thawk rang a, side effect an nei tlem zawk bawk. Inhaler chi hnih a awm a, chungte chu: 1. Reliever Inhalers: Hengte hi ‘quick-relief inhalers’ an ti bawk. Entirnan damdawi Salbutamol ang chi te . Hengte hi Asthma symptoms (thaw hah, thawk hah, khuh) a lo awm hunah rang taka tihziaawmna atan hman a ni. Heng damdawi te hian thawkna kawng zim tak vel a taksa ruh te chu a ti hahdam a , thawkna kawng a hawng leh thin. Hei hian thawk a ti awlsam hle. Hei hi blue inhaler angin i hmu tlangpui ang. 2. Preventer Inhalers: Hengte hi ‘controller inhalers’ an ti bawk. Hengte hi nitin hman thin a ni a, asthma symptom i neih loh lai pawhin doctor-in a tih angin i hmang thin. Heng damdawi te hian thawkna kawngah inflammation leh sensitivity tihziaawmna hmangin hna an thawk a ni. Hei hian hun rei tak chhung chu asthma attack leh bronchoconstriction a veng thei a ni. An rawng chi hrang hrang a awm a, a tam zawk chu brown, orange leh red te an ni.

A pawimawh ber chu he inhaler hi doctor-in a sawi ang chiah, a dose dik tak leh a hun takah hman a ni. Mi thenkhat chuan an natna lan chhuah dan a reh deuh chuan damdawi hi an hmang tawh lo va, "Tun ah chuan ka dam tawh" tiin an ngaihtuah thin. Chu chu a dik lo hle mai. A bik takin Preventer inhaler i hman tawh loh chuan natna hi a thunun theih loh phah thei a, a lan chhuah dan pawh a pung leh thei bawk.

"Tin, thawk harsatna nasa tak i neih a, i reliever inhaler i hmang thei lo a, hmui emaw kut zungtang emaw i nei a, i tawng harsa a nih chuan emergency a ni . Chutiang hunah chuan damdawi inah i kal thuai tur a ni. "Inhaler bakah hian mi thenkhat chu an asthma control nan damdawi dang (tablet ang chi) pek an ni thei bawk. Tin, i asthma thlentu te hriatchhuah a, a theih ang anga pumpelh hi enkawlnaah hian a tel a ni.

Hetiang dinhmun hi kan hlau tur em ni?

Bronchoconstriction, a bik takin asthma nena inzawm a nih chuan thil lungchhiatthlak tak leh a chang chuan hlauhawm tak a ni thei. Mahse, uluk taka enfiah leh enkawl a nih chuan a enkawl tha thei a, nun pangngai, active takin i hmang thei bawk. Mi tam tak chuan an ti ve tho. A pawimawh ber chu thawk hah, thawk hah, khuh reng reng ang chi symptom i neih chuan doctor pan la, chu chu ngaihsak lovin, "Rei lo te hnuah a reh mai ang," tih ngaihtuah ai chuan . Enkawlna i tan hma poh leh thunun a awlsam zawk ang.

In lamah eng fimkhurna nge kan tih theih ang? (A bik takin asthma vei tan)

Asthma (bronchoconstriction) natna tihziaawmna turin in lama kan tih theih engemaw zat a awm. Heng step te hi uluk taka i zawm chuan i asthma attack tamna chu nasa takin i tihtlem thei ang:

• I in chu thianghlim takin vawng la: Leivut leh hnim hring tihtlem . Bed sheet leh pillowcase te chu tui lum ah silfai fo thin ang che.
• ‍ (triggers) : , . , , (mask) , .
• Meizial zu hi pumpelh vek rawh: Meizial zu mi i nih chuan bansan rawh. I in chhunga mi dangin zu an in chuan in chhungah meizuk lo turin hrilh rawh (passive smoking).
• I damdawi pek (a bik takin i inhaler) chu i keng tel reng ang: I kalna apiangah i reliever inhaler chu keng reng ang che. Emergency-ah i hmang thei bawk.
• Khawsik leh flu i vei theihna tihziaawm rawh: Kut sil fo la, mipui tamna hmunah fimkhur la, khawsik nei mite lakah inthiarfihlim rawh.
• I doctor nen inbiak reng rawh: I doctor nen in asthma control chungchang te, i damdawi ei dan te sawipui la, a tul apiang tihdanglam rawh. Ni ruat saah clinic-ah kal rawh.

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

Okay, chuvangin tunah chuan kan sawi thin (Bronchoconstriction) emaw, thawkna kawng tihtlem dan emaw hi hriatthiamna tha zawk in neih ka beisei. Hei hi thupui buaithlak deuh mahse, i hriatthiam theih tur awlsam takin sawifiah ka tum a ni. A tawi zawngin, hriat reng tur thenkhat chu hetiang hi a ni:

• Bronchoconstriction hi kan lung chhunga thawkna kawngte a inkhar a, a zim a, thawk harsa a ti thin. Hei hi thawkna kawng vel a ruh (muscles) a tihkhauh vang a ni.
• Hei hi a chhan ber chu asthma a ni a, mahse natna dang, allergy, infection, leh COPD te pawhin a pui thei bawk.
• Thâwk harsa, thawk hah, rilru thawm, khuh chhunzawm zel te hi a lan chhuahna ber a ni. Hengte hi i hriat chuan i ngaihtuah ngei tur a ni.
• Hetiang dinhmun hi enkawlna tha tak tak a awm (a bik takin inhalers). Damdawi lam thurawn angin dik taka hman a pawimawh hle a, trigger laka inthiarfihlim a pawimawh hle.
• Heng symptoms te hi i neih chuan Doctor pan a, thurawn lak hlau suh. Tichuan enkawlna dik tak i hmu thuai thei ang a, hrisel leh hlim takin i awm thei ang.

"I hriselna hi i kutah a awm tih hre reng ang che. Chuvangin hetiang thil hi hriat reng a pawimawh hle. Zawhna i neih chuan, i hriatthiam loh thil a awm a nih chuan, i doctor zawt hreh ngai suh, hreh suh. I tanpui turin an awm reng a ni.

Bronchoconstriction, Asthma, Thâwk harsa, Thâwk hah, Lung natna