A chang chuan i rilruah thil a inkhung ang maiin i hria em, a nih loh leh i aw a ri a, kar khat emaw kar hnih emaw hnuah pawh a reh lo ang maiin i inhria em? Chutiang hunah chuan i doctor chuan i kawchhung chhung chu ngun zawka en turin a ti thei che a ni. Chu chu laryngoscopy kan tih chu a ni. A hming hi thil lian tak, buaithlak tak angin ri mah se, a takah chuan a awlsam hle a, rang taka tih theih a ni. Chuvangin i hlauhthawnna leh zawhna zawng zawng tihbo nan chipchiar tlemtein sawi ila.
Laryngoscopy hi eng nge ni tak tak?
A awlsam zawngin, hei hi i larynx , i thusawi huna i aw siamtu "voice box" enfiahna a ni. Doctor hian hmanraw bik laryngoscope an tih chu a hmang a . Tube te tak te ang mai a ni. Light te tak te a nei a, lens a nei bawk a, a chang chuan a tawp lamah video camera te tak te a awm bawk. He camera hian doctor chuan i rilru chhunga thil awm chu monitor-ah chiang takin a hmu thei a ni.
Chuti a nih chuan khawiah nge he larynx hi a awm?
Kan kawchhung chhungah hian kawng pahnih a awm ang tih han ngaihtuah teh. Pakhat chu ei leh in kan ei huna kan pum panna kawng a ni a, chu chu chaw kawng (esophagus) a ni. A dang chu kan thawk chhuah huna lung lam panna kawng a ni a, chu chu trachea . Larynx hi trachea bul tanna chungah a awm a.
Thusawi leh zai tura min puitu vocal cord te pawh hi he larynx chhungah hian a awm bawk. Tin, hei chungah hian flap te tak te epiglottis an tih chu a awm bawk. Chaw emaw tui emaw kan ei hian he flap hian a khar a, thawkna kawng a tikhawlo thin. Chuvang chuan ei leh in tur chu lung lam pan lovin pum chhungah a kal nghal a ni. A châng chuan chaw ei laiin kan inbiak hian "pipe dik lo takah a tla thla a ni," kan ti ṭhin a, a chhan chu chutih lai chuan he flap hi a khar ṭhat hmain chaw chi khat chu thlipui chhungah a lut a ni. I hrethiam em? Chuvangin chu chu laryngoscopy neih chhunga enfiah thin thil pawimawh tak takte chu a ni.
Chuti a nih chuan, engtikah nge he test hi a tul?
Doctor-in he test hi a order theih chhan hrang hrang a awm. Hlohna nei zawng zawng tan chauh tih a ni lo.
- Hoarseness (Dysphonia): I aw inthlak danglamna i neih chuan kar tlemte chhunga a ṭhat loh chuan.
- A persistent sore throat: Damdawi ei hnuah pawh a reh lova, i rilru natna i neih chuan.
- Chaw ei harsa: Chaw ei emaw, in tur emaw i ei laiin i rilru a buai ang maia i inhriat chuan.
- I khuh reng emaw, thisen i khuh emaw a nih chuan.
- I rilruah thil a inkhung ang tih i hriat chuan.
- Thâwk harsa i neih chuan.
- A châng chuan he test hi rinhlelhna a awm chuan natna khirh tak, laryngeal cancer ang chi finfiah nân an ti bawk.
A pawimawh ber chu heng symptoms nei zawng zawng hian cancer ang chi thil pawi tak an nei vek lo. A tam zawkah chuan hengte hi laryngitis ang chi natna awlsam tak tak a ni thei. Chuvangin, hlauthawng lo la, i doctor thusawi ngaithla la, test neih a tha ber.
He test hi tuin nge ti?
He test hi Otolaryngologists (lu leh kawng surgeon) ten an ti thin . ENT surgeon kan ti tlangpui. Hemi kawngah hian hrechiang ber an ni a, he hmanrua hmang tura zirtir an ni. Chuvangin kut tha ber berah i awm tih i chiang thei a ni.
Awle, tunah chuan he fiahna hi engtin nge kan hmachhawn dawn tih i lo en ang u.
He test hi tih dan tlangpui pahnih a awm a. I dinhmun a zirin i doctor chuan eng method nge i tana tha ber tih a rel ang. Heng method pahnih inthlauhna hi chiang takin i hrethiam ang u.
| Hrilhfiahna | Clinic-a hman dan (Flexible Laryngoscopy) hmanga tih a ni. | Direct Laryngoscopy hmanga enfiah a ni |
|---|---|---|
| Inbuatsaihna hna thawh | A tlangpuiin, inbuatsaihna bik a ngai lo . A hma ang bawkin i lo kal thei a, test i nei thei bawk. | Hei hi surgery ang a nih avangin inbuatsaih a ngai . Doctor chuan hengte hi a hrilh ang che: - Test (Fasting) hma zanah ei leh in loh tur. - Damdawi thenkhat (e.g. thisen tithianghlimtu) ei hi rei lo te chhung titawp rawh. - Meizial i zuk chuan kar khat vel hmain chawlhsan tur a ni. - Test zawhah in lama hruai tur che rawn hruai rawh. |
| Test neih chhung hian | Chair-ah an thut tir ang che, a hmasa berin i hnar-ah numbing spray an spray ang .A sting ang. Tlem a thlum deuh mai thei. Tichuan, hnar pakhat atang chuan tube flexible, te tak te (scope) chu zawi zawiin dahin i rilru hnuai lam a thlir ang. Tlemte chuan khuh i nei thei a, mahse rei vak lo hnuah a reh mai ang. Doctor chuan "ah..." ri siam turin a ti ang che, pakhat, pahnih, pathum sawi rawh. Hei hi i vocal cords hnathawh dan en nan a ni. Hei zawng zawng hi minute tlemte a la ngai dawn a ni . | General anesthesia pek i ni ang a, chuvang chuan i muhil vek tawh ang. Chuvangin engmah i hre lovang . Doctor chuan i hmuiah rigid scope a dah lut ang a, i larynx chu a enfiah ang. A tul chuan hetih lai hian biopsy lak a ni ang. |
| Test zawhah | Test a zawh veleh i haw nghal thei bawk. I hnar leh i beng chu a hring ang. A natna a reh hma loh chuan ei leh in loh tur a ni (minute 20 vel). Chumi hnuah chuan pangngai takin i nung chhunzawm thei tawh ang. | Anesthesia atanga i harh hnuah recovery room (recovery unit)-ah rei vak lo dah i ni ang. I rilru a na deuh thei a, i aw pawh a ri thei bawk. Doctor chuan i aw chu ni khat emaw ni hnih emaw chhung chawlh tir turin a hrilh ang che. Chumi tlaiah chuan i haw thei tawh ang. |
Hei hian risk a nei em?
Clinic-a Flexible Laryngoscopy test tih hian risk lian tham a nei lo . Test him tak a ni.
Operation room-a anesthesia hmanga tih hi a tlangpuiin a him hle. Mahse, surgery dang ang bawkin, harsatna awm lo tak tak, a awm thei a ni.
- Anesthesia hmanga thil tih dan (reaction).
- Device hi ka chhunga dah luh hian ha a tichhe tlem thei hle.
- Lei hring emaw, a thlum hun engemaw chen a inthlak emaw.
- Aw ri bengchheng (hei hi ni engemaw zat chhungin a tha tlangpui).
- Kawngkhar atanga thisen chhuak (hei hi a thleng tlem hle).
Heng thil chungchangah hian ngaihtuahna i neih chuan test hmain i doctor nen inhawng takin sawipui thin ang che. Engkim a hrilhfiah ang che.
A chang chuan biopsy pawh lak a ni tih hi a dik em?
Ni e, chu chu a dik a ni. Doctor chuan exam laiin i rilruah thil rinhlelh awm tak, lump te tak te a hmuh chuan tissue te tak te te chu la in lab-ah an thawn thei a, chu chu eng nge a nih chiang takin an hre thei a ni. Chu chu biopsy tih hi a ni.Pakhat lak tih a ni. Hei hi forceps ang chi hmanraw te tak te hmanga tih a ni a, chu chu laryngoscope hmanga kalpui a ni. Operating room-a examination neih laiin biopsy lak a ni tlangpui. Chuvang chuan engmah hrehawm i nei lo.
Hei hi endoscopy nen a inang em?
Hei hi mi tam takin an zawh thin a ni. Laryngoscopy leh endoscopy pahnihah hian camera dahna tube dahin taksa chhung lam en a ni.
Mahse a danglamna chu i hmel lan danah a ni.
- Laryngoscopy hi a bik takin larynx (voice box) enfiahna a ni .
- Endoscopy hi thumal zau zawk a ni. Endoscopy hi pum lam enfiahna test (Gastroscopy) sawina atan kan hmang tlangpui. Tin, colonoscopy hi test, intestine lian (colon) enfiahna sawina atan hman a ni bawk. Hengte hi endoscopy chi hrang hrang a ni.
A awlsam zawngin sawi ila, laryngoscopy zawng zawng hi endoscopy chi khat a ni a, mahse endoscopy zawng zawng hi laryngoscopy a ni vek lo.
Results hmuh theih nan eng chen nge hun a duh? Engtikah nge doctor ka biak ang?
Clinic-a test i tihsak chuan doctor-in result a tih zawh veleh a hrilh nghal ang che. Chu chu result chu i hre nghal thei tihna a ni .
Mahse, operation room-a biopsy tih a nih chuan tissue sample endik a nih theih nan leh report a dawn theih nan ni engemaw zat a la ngai thei a ni. Report a lo thlen veleh doctor chuan a rawn call ang che a, a chipchiar zawkin a hrilhfiah ang che.
A tlangpuiin heng test hnuah hian harsatna lian tham a awm lo. Amaherawhchu, a hnuaia symptoms te hi i neih chuan doctor nen inbia nghal tur a ni.
* Ni engemaw zat aia rei ril na tak.
* Khawsik chu 38.3 degree Celsius (100.4 Fahrenheit) aia sang a ni. (Khawsik hi infection chhinchhiahna a ni thei.)
* Beisei aia tam thisen i khuh chuan.
Heng thilte hi a thleng tlem hle a, mahse fimkhur a pawimawh hle.
Take-Home Thuchah a ni
- Laryngoscopy hi i aw box (larynx) enfiahna atana test hman tlanglawn tak, him tak a ni. A hming hi hlau suh.
- Hei hi thil ri bengchheng leh rilru natna awm reng ang chi thil awm chhan zawn nan an ti ber a ni.
- Clinic-a tih dan hi a awlsam hle a, minute tlemte chauh a awh a, a na lo bawk.
- Operation room-a anesthesia hmanga tih a nih chhung hian engmah i hre lo ang. A him hle bawk.
- Hemi chungchangah hian zawhna, ngaihtuahna, rinhlelhna i neih chuan doctor zawt hreh ngai suh. I taksa leh test tih mek chungchang kimchang taka hriattir i nih hi i dikna a ni.
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