He bacteria hian i lungah harsatna a thlen em? (MAC Lung Disease) chungchang chiang takin i zir ang u!

A chang chuan chhan awm lovin i chau thin em, a nih loh leh hun rei tak chhung khuh i nei thin em? Kan nitin nunah hetiang thil tenau te hi ngaihsak vak lo mah ila, a hnung lamah hian tlema kan ngaihtuah tur chhan a awm thei. Awle, vawiinah hian kan lungphu tichhe thei bacteria pawl bik atanga natna lo awm chungchang kan sawi dawn a ni. Hei hi MAC Lung Disease an ti a .

MAC lung natna chu eng nge ni?

A awlsam zawngin sawi ila, MAC lung natna hi kan lung natna hi bacteria pawl pakhat Mycobacterium avium complex (MAC) tih atanga lo chhuak a ni. He bacteria hi a takah chuan kan chhehvelah a awm reng a, leivut, leilung leh tuiah te a awm reng a ni. Heng bacteria te hi kan thawk emaw, kan ei emaw hian taksaah lut mahse, mi tam zawk chu an na lo. Mahse, mi thenkhat tan chuan, a bik takin an lungah chak lohna engemaw zat nei tawh emaw, taksa hriselna lama chak lohna nei tawh emaw tan chuan he MAC bacteria hi thawkna kawngah a luh chuan natna khirh tak a lo awm thei a ni. He infection hian thawk harsatna a thlen thin. Hriat tlai a nih chuan enkawl harsa deuh pawh a ni thei bawk. A pawimawh ber chu he MAC lung natna hi mi pakhat atanga mi dang kai theih natna a ni lo.

MAC bacteria hi eng ang nge a nih?

MAC bacteria hi bacteria chhungkaw lian tak Nontuberculous mycobacteria (NTM) tih zinga mi an ni. NTM chi hrang hrang 200 vel a awm a. United States ang ramah chuan lung chhunga NTM infection 80% vel chu MAC bacteria hian a thlen a ni.

Ngaihtuah teh, he NTM infection hi kan hriat vek Tuberculosis (TB) ang a ni lo. Tuberculosis hi mi pakhat atanga mi dangah a darh a, a nasat thuai thei a ni. A thlentu bacteria pawh a danglam a, `(Mycobacterium tuberculosis)` an ti.

MAC group chhungah hian mycobacteria chi hrang hrang a awm a, mahse natna enkawl dan leh enkawl dan erawh a tam zawk chu a inang vek a ni.

MAC lung natna hi engtiang chiahin nge a hluar?

United States-ah ringawt pawh NTM hri kai mi 86,000 chuang an awm. MAC lung natna hi a tam ber a, NTM infection zinga 80% vel a ni. Kum sawmhnih kalta chhung khan NTM lung vei zat hi a pung chho zel a , mithiamte chuan he trend hi a la awm zel dawn niin an sawi.

MAC infection chi hrang hrang eng nge awm?

MAC infection hi chi hrang hrangah then theih a ni a:

• Pulmonary MAC infection: Hengte hi kan lung leh thawkna system direct-a nghawngtu an ni.
• Disseminated MAC infections: Hengte hi thisen kaltlanga taksa pum puia darh chhuak a ni . AIDS ang chi natna avanga immune system chak lo nasa tak nei te zingah an lang tam ber a ni .
• MAC nena inzawm lymphadenitis: 1.1.Hei hian naupang hrisel tak takte a nghawng ber a ni. Kawng ang hmuna lymph node te chu a lo hring chhuak thin.

MAC lung natna hi chi hnih a awm a...

MAC lung natna chi hnih kan hmuh hi chi hnih a awm a, chungte chu:

1. Nodular bronchiectasis: Hei hi lung chhunga thawkna kawng te tak te leh air sacs-ah natna a lo awm a, chu chu chest X-ray-ah nodules te tak te angin a lang a ni. Heng nodules te hi a lian thei hle. He hun rei tak chhunga natna hrik kai hian bronchiectasis tih natna a thlen thin. Chumi awmzia chu thawkna kawngte chu tihdanglam theih lohvin a zau ta a, rubber tube a upa tawh leh a inzawm khawm ang maiin a zau ta a ni. Hei hian hri kai enkawl a ti harsa a, hri kai thar neih theihna a tipung bawk. Hetiang chi hi hmeichhe kum upa lam, cher, zu in lote zingah a tam ber. Enkawl loh chuan bronchitis leh pneumonia ang chi natna a thlen thei a ni.

2. Fibrocavitary disease: Hei hi MAC lung natna na ber a ni. Enkawl vat a ngai a ni. Infection hian lung tissue-ah holes (cavities) a siam a nih chuan infection hi a thuk hle a, enkawl a harsa thei hle. Hetiang dinhmun hi meizuk emaw, emphysema ang chi natna nei emaw zingah a tam ber.

Engtin nge MAC lung natna hi a lo awm?

Lei leh tuiah hian MAC bacteria hi pianphungah a awm dan kan sawi tawh a. Lei kan laih a, leivut kan hrual hian he bacteria hi boruakah a chhuak thei a, kan thawk kan taksaah a lut thei a ni. Mite chu thlai chinna hmuna thawk leh leia inhnaih fo thinte chu midang aiin MAC bacteria an kai tam zawk thei a ni. Tin, he bacteria hi tuiah a awm a, in lama kan hman tuiah pawh a awm thei bawk. Chlorination, disinfectant, leh a chang chuan tui lum pawh hian he bacteria hi a that lo. Hei hi a hlauhawm deuhin a lang thei a, mahse mi tam zawk chu he bacteria hian a tichhe lo. Nitin deuhthaw NTM bacteria kan tawk vek a, mahse mi tam zawk chuan natna hrik an nei lo.

Mahse, risk factor engemaw zat nei mi tlemteah chuan bacteria hi lungah a kal thei a, zawi zawiin a thang lian thei a, a chang chuan kum tam tak chhung pawh a thang lian thei bawk. He MAC lung infection hian low-level inflammation a thlen a, thawkna kawngah pawh inthlak danglam theih loh a awm a, chu chu natna hmuhchhuah leh enkawl a nih hma loh chuan a ni.

Tute nge MAC lung natna vei theihna sang zawk?

MAC lung natna hi kum eng pawhah leh mipa leh hmeichhiaah pawh a vei thei a, mahse kum 65 chunglam leh hmeichhia menopause paltlang tawhte chu an hlauhawm zawk.

Tin, MAC lung natna i vei theihna a sang zawk a, chu chu:

• Meizial zu mi i nih chuan.
• I immune system a chak loh chuan.
• Hetiang lung natna i neih chuan:
• (Bronchiectasis) tih a ni.(leh bronchiectasis thlentu dinhmun) .
• (Pulmonary natna khirh tak - COPD ) .
• (Cystic fibrosis natna a awm) .
• (Emphysema) a ni.
• Tun hmaa TB (TB) i vei tawh a nih chuan.

MAC lung natna lan chhuah dan engte nge ni?

MAC lung natna lan chhuah dan hi a inang lo hle a , a chiang lo a nih avangin diagnosis tihkhawtlai theih a ni. Mi thenkhat chuan symptoms na lo tak tak emaw, hriat theih loh emaw pawh an nei thei. A chang chuan symptoms hi thawkna system nen a inzawm lo thei bawk. Symptoms a awm tak tak a nih chuan:

• Chronic cough (phlegm nei emaw nei lo emaw). Nilanthi ang mi hi han mitthla teh, thla tam tak chhung chu khuh a nei tawh a, a phlegm chu a lo chhuak zauh zauh a, mahse a rilruah chuan khawsik pangngai mai mai niin a ngai.
• Thisen khuh (Hemoptysis) .
• Chau .
• Low-grade fever (a tlangpuiin 37.5 leh 37.9 degree Celsius inkar - 99.6 F atanga 100.3 F).
• Zanah thawk hah.
• Thâwk hahna .
• Sawifiah loha taksa rihna tlahniam leh ei duh lohna.
• A rilru a na.
• Hlauhthawnna.

MAC lung natna hi engtin nge an hriat theih?

I doctor chuan a enfiah hmasa ang che a, i symptoms te a zawt ang che.

MAC lung natna hriat theihna atana test hmante chu:

• Chest X-ray leh a bik takin CT scan te. Hengte hian infection avanga lung chhunga inthlak danglamna awmte chu a hmuchhuak thei a ni.
• Sputum culture hrang hrangte. Hei hian i lung atanga phlegm sample lak a, MAC bacteria a tipung em tih enfiah a ngai a ni. Nitin MAC bacteria kan tawk vek avangin, he test hi ni engemaw zat chhungin vawi tam tak tih theih a ni a, chu chuan bacteria chu i lung atanga lo chhuak tak tak a nih leh nih loh enfiah a ni.
• Bronchoscopy hmanga enfiah a ni. Hei hi colonoscopy ang a ni a, mahse lungah (instrument danglam, te zawk hmangin) tih a ni. Sputum test hmanga diagnosis siam theih loh hunah tih a ni.

MAC lung natna enkawl dan tur engte nge ni?

MAC lung natna hi enkawl a harsa deuh avangin infectious disease specialist emaw pulmonary specialist emaw i pan a ngai dawn a ni. Heng doctor pahnihte hian natna hrik hmuhchhuah leh enkawl danah hriatna bik an nei a ni.

MAC lung natna enkawl dan hi a natna lan chhuah dan a zirin a inang lo. Chung zingah chuan:

• Fimkhur taka nghah:Symptoms tlem ber nei leh test-naah an lungah danglamna lian tham nei lote chuan a tir lamah antibiotics hmanga enkawl an ngai lo mai thei. Amaherawhchu, doctor pan fo a ngai dawn a, thawk leh khuh test an neih a ngai dawn a ni.
• Airway clearance: Hei hi damdawi pawl pakhat a ni a, chu chuan lungin boruak natna atanga mucus (leh a chhunga bacteria) te chu a tifai thei a ni. Bronchiectasis atan hman a ni fo. Nebulizer hmanga thawk enkawlna hrang hrang pek te a huam a, chubakah lung hnuai lam atanga mucus tihfai puitu hmanrua thenkhat hman te pawh a huam tel bawk.
• Damdawi: I thawkna kawng tihfai a tawk lo a nih chuan i doctor chuan antibiotics a pe thei ang . Enkawl tan tura thutlukna siam chu thil engemaw zat leh i specialist nena inbiaknaah a innghat ang. A châng chuan bacteria te hi antibiotics lakah an inveng thei a , chu chu damdawi hmanga tihlum theih loh tihna a ni. Hetiang hlauhawmna tihziaawmna tur leh bacteria tihhlum vek tur hian thla 12 atanga thla 18 chhungin antibiotics chi hrang hrang pathum i ei a ngai mai thei. Thla ruk chhunga antibiotics dang ei lote tan chuan tun hnai khan US Food and Drug Administration (FDA) chuan inhaled antibiotic hman a phalsak a ni.
• Surgery: A tlem hle a, antibiotics hian a puih loh chuan lung natna hmun chu lakchhuah nan operation neih a ngai mai thei. Surgery zawhah chuan bacteria la awm zawng zawng tihhlum nan hun rei lote chhung antibiotics i ei a ngai dawn a ni.

MAC lung natna hi engtin nge kan khawsak? (Enkawltu)

Heng thilte hian MAC lung natna lan chhuahna a tiziaawm thei a ni:

• I thawkna kawng atanga mucus tihfai dan tur zawng rawh. Chung zingah chuan kar khatah minute 150 tal moderate-intensity exercise neih (a bik takin pulmonary rehab -a i tlin chuan), thawkna lam doctor hnen atanga rilru leh thawk dan zir te, khuh controlled, postural drainage (lung atanga mucus tihfai nana puitu postures), leh chest percussion hmanga mucus tihziaawm te a tel.
• Get help to quit smoking , leh second-hand smoke leh i lung tana hlauhawm thil dangte chu pumpelh rawh.
• Vaccine laksak rawh. Thluak lam natna dang, flu, pneumonia, leh COVID-19 te lakah inveng rawh.
• Ei leh in tha tak hmangin taksa rihna hrisel tak vawng reng rawh. Center tam takah chuan dietitian an nei a, MAC ang chi infection dam zawi zawia lo awm avanga ei leh in lama harsatna awmte chu an pui thei a ni.

MAC lung natna avanga harsatna awm thei te chu engte nge ni?

Hun rei tak chhung antibiotics hmanAntibiotic resistance hlauhawmna a sang thei hle. Tin, damdawi ei avanga side effect, luak chhuak, luak chhuak, leh pum na te pawh a awm thei bawk. Antibiotic tin hian side effect bik an neih avangin doctor nen inbiakna neih a pawimawh hle.

Kum upa lamte chuan antibiotics rei tak an ei chuan Clostridium difficile (C. diff) an tih bacterial infection an nei thei a ni. Hei hi a chhan chu antibiotics hian gut chhunga bacteria tha tak tak, ei leh in lama puitu te chu a that vang a ni. C. diff infection hian chaw ei kawng a nghawng a, na tak, chronic diarrhea a thlen thin. Hei hian nunna a tichhe thei a ni.

MAC lung natna na tak chuan i hlim thin thilte chu a ti thei lo thei a ni. Chuvângin, lungngaihna emaw, lungkhamna emaw i nei thei a ni.

Engtin nge MAC lung natna vei theihna hi ka tihziaawm theih ang?

Heng step te hian MAC bacteria i tawrh theihna a ti tlem thei a ni:

• I doctor chuan i MAC bacteria lo chhuahna chu hot tub emaw sauna emaw a ni thei tih a ngaihtuah chuan, tui lum, hnim hring leh tui kal nawn fo thinna hmun chu pumpelh rawh.
• Bathroom leh kitchen-a ventilation system te chu on la, steam chu paih chhuak rawh.
• I in chhunga tui lum heater chu 54.4 degree Celsius (130 Fahrenheit) tal dah la.
• Huana hnathawh emaw huan siam emaw hian dust mask vuah thin ang che.
• Potting soil hmanga hnathawh hmain tui tlem theh la, leivut tihtlem nan.
• Aggressive airway clearance regimen zawm tur a ni.

MAC lung natna hi a dam kim thei ang em?

Sputum test-ah thla 12 chhung hri kai lo tih hmuhchhuah a nih chuan doctor-te chuan MAC lung natna chu tihdamah an ngai a ni. Mahse, hri kai hi a lo awm leh thei a ni. Hei hi bacteria nena inhriat thar vang emaw, lung chhunga bacteria awm reng vang emaw a ni thei a, a bik takin a tir atanga MAC thlentu (lung chak lohna ang chi) i la neih chuan a ni thei.

I doctor chuan infection a lo awm leh leh tawh loh a enfiah ang che. MAC lung natna avanga i lung a chhiatna chu a let leh thei lo. Enkawlna hnuah pawh thawk harsatna i la nei thei. Chuvangin, enkawl tan hma hian tum chiang tak leh beisei tur chiang tak neih a pawimawh.

I doctor zawh tur thilte...

I doctor hnenah hetiang thil hi i zawt mai thei:

• Engtin nge MAC lung natna ka neih?
• MAC lung natna chi hrang hrang ka neih?
• Enkawlna ka mamawh em?
• Eng enkawlna kawng nge ka neih?
• Surgery hi ka tan a tha em? Surgery neih hian eng hlauhawmna nge a neih?
• In lama ka thawk hahdamna tur thil ka tih theih a awm em?
• Engtin nge nakin lawkah MAC lung infection ka pumpelh theih ang?

Hei hi mi pakhat atanga kai theih a ni em?

Midang hnen atanga MAC hi i man thei lo nain, a chang chuan he natna hian chhungkaw khata mi engemawzat a nghawng thin. Mithiamte chuan mi thenkhat chuan genetic mutation an nei a, chu chuan MAC infection an vei awlsam zawk niin an ngai.

MAC lung natna hian thihna a thlen thei em?

Mi thenkhatah chuan MAC lung natna hian thawk tha lo leh thihna thlengin a thlen thei a ni. Mahse hei hi hun rei tak chhung a thleng tlangpui. Immune system chak lo leh cavitary type MAC lung disease nei mi 4 zinga 1 vel chu an hmuhchhuah atanga kum nga chhungin an thi thin.

A hmaa hriatchhuah leh enkawl hian hun rei tak chhunga hlauhawmna nasa takin a tihziaawm thei a ni.

Mi tam zawk hi MAC bacteria vangin an na lo. Chutiang titu tan chuan MAC lung natna hian thawk lama harsatna lian tak, a chang chuan nunna atana hlauhawm tak a thlen thei a ni. Thisen i khuh a nih chuan, emaw, i khuh reng a, i chau hle a nih chuan doctor i pan ngei ngei tur a ni. Immune system chak lo leh lung natna dang nei te chu MAC lung natna vei an tam hle. MAC lung natna hi antibiotics hmanga enkawl theih a ni a, mahse kum khat aia rei damdawi ei a ngai mai thei.

A tawp berah chuan thil hriat reng tur...

MAC lung natna hi tlem kan ngaihtuah tur a ni. Amaherawhchu, lungkham tur a awm lo. A pawimawh ber chu natna lanchhuahna i neih chuan a rang thei ang bera Doctor pan a, diagnosis dik tak neih a, enkawlna dik tak neih hi a ni. Chutiang a nih chuan he natna nen hian nun pangngai kan hmang thei ang. Hemi chungchangah hian zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` MAC lung natna, Mycobacterium avium complex, NTM infection, lung natna, khuh rei tak, thawkna lam natna, bacteria infection