Doctor i pan chuan i rilru leh i hnungzangah stethoscope an dah a, "Thawk thuk tak la la... thawk chhuak zauh zauh rawh..." an ti a, engvangin nge chutianga an tih tih hi i ngaihtuah ngai em? A awlsam zawngin sawi ila, doctor chuan i lung chhungril atanga thawm lo chhuak chu a ngaithla a ni. Heng aw te hi i lung tawng ang mai a ni. Heng aw te hian i thawkna kawng hriselna chungchang tam tak a hrilh thei che a ni.
Heng lung ri te hi engte nge ni?
Lung sounds, emaw respiratory sounds tih hi i thawk luh leh chhuah laia i thawkna kawng (i lung chhunga boruak phurtu tube te tak te) chhunga i hriat thin kha a ni.
Lung hrisel nei chuan thawkna kawng thianghlim a nei a. Chumi awmzia chu an chhungah hian mucus tam lutuk, swelling, leh obstruction engmah a awm lo tihna a ni. Tichuan boruak chu mumal tak leh nem takin a kal a, chuvang chuan thawm nêm tak a siam a ni. Hengte hi lung ri pangngai (vesicular lung sound) kan ti a.
Mahse, heng thawkna kawngte hi mucus-in a khat a, a hring emaw, damdawi lam thil avanga thil engemaw a tihkhawtlai emaw chuan eng nge thleng ang? Tichuan thawkna kawng chu a block ta a ni. Chutah chuan thawm mak chi hrang hrang i hre tan ta a ni. ‘Whoosh’, ‘whoosh’, ‘whoosh’ ang pawh a ni thei. Heng lung aw pangngai/adventitious te hi kan ti a ni.
A pawimawh ber chu doctor chuan hetiang thawm danglam tak a hriat vang mai mai hian natna i nei tih a sawi chhuak lo vang. Diagnosis-a puitu clue pawimawh tak chauh a ni. Hei bakah hian i natna lan chhuah dan dangte, i hriselna chanchin te, leh a tul chuan test dang te ngaihtuah hian diagnosis dik ber chu i hmu thei a ni.
Lung ri dik lo chi hrang hrangte chu engte nge ni?
Heng thawm danglam tak takte hi doctor-in a hriat chi hrang hrang a awm a. Anmahni hian thawnthu hrang hrang an sawi vek a. A chi hrang hrang hi han thlir ila.
| Aw chi hrang hrang | Engtin nge chu chu a ri? / A sawifiahna awlsam tak |
|---|---|
| Rhonchi chuan a rawn ti a | Hei hi thuk tak, bengchheng ang maia ‘groaning’ ri a ni. A dik tak chuan he aw hi boruak kawng lian tak takte chu mucus-a a khat laiin boruak a kal tlang hian a lo chhuak thin. He aw hi khuh a hawn chuan rei lo te chhung a bo thei a ni. |
| A rilru a buai hle | Hei hi mi tam takin an hriat chian em em thawm a ni. Ri sang tak, whistling ri a ni. I thaw chhuah hian a ri fo thin. He aw hi thawkna kawng a zim deuh chuan a lo chhuak thin. He aw hi asthma vei tan chuan a hriat chian em em a ni . |
| Stridor chuan a rawn ti a | Hei pawh hi ri sang tak, whistling ri a ni bawk. Mahse, thawk chhuah laiin a ri tam ber . He thawm hi kawr emaw, thawkna kawng chunglam emaw a inkharkhip (e.g., a hring, a chhunga thil awm) a awm chuan hriat a ni. He aw hi naupang te te croup vei te zingah hriat a ni tlangpui. |
| Crackles / Rales tih a ni | Hei hi ri chhunzawm zel a ni lo. A thawm inthlahdah, ‘kiri kiri’, ‘chiti chiti’ ri a ni. I kut hmanga hnah hring thenkhat i chil a, emaw, straw atanga tui i bubble atanga thawm ri ang mai a ni. Hei hi lung chhunga thawkna kawng te ber berte chu mucus emaw tui emaw a khat hian hriat a ni. |
| Pleural Rub tih a ni | Hei hi rough, grinding sound a ni. Sandpaper phek pahnih inzawm khawm ang mai a ni. He aw hi kan lung hual veltu membrane pahnih, pleura an tih te chu an lo hring chhuak a, an inhnim tawn hian a lo chhuak thin. Kan thawk chhuah leh kan chhuah lai pawhin hriat theih a ni. |
Engvangin nge heng aw danglam tak takte hi rilru atanga lo chhuak?
Heng aw danglam tak takte hi thil pawimawh pali a awm a, chungte chu:
1. Mucus filling respiratory tract: Hei hi a chhan tam ber a ni.
2. Thlawhna kawng a hring: Infection emaw allergy emaw avanga thawkna kawng a lo hring chuan thawkna kawng a zim thin.
3. Obstruction: Thlawhna kawng chhunga tumor emaw thil dang emaw a awm.
4. Pleural effusion: Lung vel a membrane a hring chhuak.
Hengte hi heng natna thlentu natna thenkhatte hi an ni:
- Thluak lam natna, entirnan naupang tê tête zingah bronchitis emaw croup emaw a awm.
- Pneumonia natna (Pneumonia) a ni.
- Asthma natna a ni.
- Chronic obstructive pulmonary disease (COPD) hi thawkna lama natna khirh tak a ni.
- Cystic fibrosis natna (cystic fibrosis) a awm thin.
- Allergy nei te pawh a awm.
- Anaphylaxis hi allergy na tak a ni.
- Pulmonary edema a awm thin.
- Lung lam chak lohna.
- Pulmonary embolism (PE) hi lung chhunga thisen zam a ni.
Engtin nge enkawl a nih?
Enkawlna chu he aw danglam tak lo awm chhan bulpuiah hian a innghat vek a ni. Doctor chuan a chhan dik tak chu a hmuchhuak hmasa ang a, chutah chuan enkawlna a pe ang.
- Asthma ang chi dinhmun atan: Inhalers, thawkna kawng hawngtu leh hliam tihziaawmna, entirnan corticosteroids.
- Bacteria infection (e.g. pneumonia) tan chuan: Antibiotics.
- Allergy na tak tan: Epinephrine ang chi damdawi.
- Obstruction a awm chuan: Chu chu lakchhuah nan operation i neih a ngai mai thei.
Engtikah nge Doctor ka hmuh ang?
Hei hi a pawimawh ber a ni. I thawk dan chungchangah ngaihtuahna emaw, ngaihtuahna emaw i neih chuan, a bik takin i rilru atanga thawm lo chhuak chungchangah chuan ngaihthah suh. I chhungkaw doctor hmu nghal rawh. A enfiah thei che a, i tih tur a hrilh thei che a ni.
A bik takin hre reng ang che! He aw danglam tak nen hian thawk harsa, rilru natna, emaw hmui dum ang chi symptoms i neih chuan emergency a ni . Chutiang a nih chuan damdawi in hnai ber Emergency Department (ETU) -ah tihkhawtlai ngai lovin kal mai tur a ni.
Take-Home Thuchah a ni
- Lung hrisel chuan aw nem leh nem tak a siam chhuak thin. ‘Whooping’, ‘whooping’, leh ‘whooping’ tih ang chi aw pangngai lo chuan thawkna kawngah harsatna a awm tih a tilang a ni.
- Heng aw te hi a chhan chu khawsik, asthma, pneumonia atanga thil pawi zawk thlengin a ni thei.
- Doctor chuan heng aw te hi stethoscope hmangin a ngaithla a, chu chuan natna dik tak hriat theihna tur clues pawimawh tak tak a hmu a ni.
- Thâwk lak laiin thawm danglam tak tak i hriat chuan, a bikin thawk harsatnain a zui a nih chuan ngaihthah suh.
- Thâwk harsat ruala thawm danglam tak i hriat chuan emergency a ni! Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
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