I hnar khar leh thawk harsa i nei bawk em? (Nasal Congestion) Hemi chungchang hi han sawi ila!

I hnar pawh a khuh reng em? A nih loh leh hnar chhuak leh thawk hah ang chi thilte nen thawk harsa deuhin i inhria em? A chang chuan hei hi ni rei lo te chhungin a bo thin a, mahse mi thenkhat tan chuan kar khat emaw kar hnih emaw chhung a daih thei. Chuvangin, he hnar khuh, a nih loh leh `(Nasal Congestion)` kan tih hi vawiinah hian kan sawi dawn a ni.

Engvangin nge he hnar hi a hrual? (Nasal Congestion hi eng nge ni?)

A awlsam zawngin, hnar khar hi i hnar chhunga tissue nalh tak takte irritation vang a ni. Hetiang hian han ngaihtuah teh: i hnar chu i taksa luhna kawngkhar ang a ni. He kawngka atanga boruak lut hian leivut chi hrang hrang, hrik leh allergens te a keng tel thei a ni.

Hetiang thil hi hnar chhunga a luh chuan hnar chhunga tissue te chu a inflamed a, a hring tan thin. Chutih rual chuan heng thil danglam tak takte hnawhchhuahna tura pui turin mucus a lo piang tan bawk. Chuvangin, he tissue hring leh mucus pungkhawm hian hnar kawng a tikhawlo a, kan thawk a ti harsa hle. A tam zawkah chuan he natna hi ni rei lo te chhungin a tha leh thin a, mahse a chang chuan kar khat aia rei a awm chuan natna kai chhinchhiahna a ni thei. A chhunzawm zel a, enkawl loh chuan a chang chuan `(Sinusitis)` (Sinusitis), `(Nasal Polyps)`, emaw `(Middle Ear Infections)` ang chi natna a thlen thei bawk.

I hnar a khuh hian i taksa chu engtin nge a awm?

Hnar khar hi thil awlsam taka ngaih tur a ni lo. I hnar a khuh a, a rit tih i hriat chuan:

• Hnar atanga thawk lak harsa a lo ni ta.
• Hei hi runny nose kan tih chu a ni a, runny nose kan tih pawh a ni.
• I hnar atanga thaw i lak theih loh avangin i hmui atang hian i thawk tan thin. Hei hi `(Kawng Thâwk)` kan ti a.
• Nausen hnar a khuh chuan hnute pek emaw, bottle-a pek emaw a harsa thei hle. An hnar atanga thaw an chhuah a ngai a, chuvangin an hnar a khuh chuan harsatna lian tak a ni thei.

A châng chuan, hnar khar hi i taksain virus emaw bacterial infection a do tih chhinchhiahna hmasa ber a ni thei. A tlem hle a, hnar chhunga tumor emaw polyp emaw awm hian hnar a tikhawlo thei bawk.

He hnar khar hian tute nge a nghawng ber?

Hei hi a takah chuan tu chungah pawh thleng thei thil a ni. Survey-a a lan dan chuan mipui 12% vel chuan engtik lai pawhin hnar an buai thin. Chumi awmzia chu a awm dan pangngai tak a ni tihna a ni.

Nasal congestion tih loh chu symptom dang a awm em?

Ni e, hnar khuh bakah hian natna dang engemaw zat a awm thei bawk. Entir nan:

• Hriak chhuak
• Khuh
• Lu na

Hnar natna thlentu berte chu engte nge ni?

A nihna takah chuan i hnar a hrual chhan tam tak a awm. A chhan chu kan hnar hi frontline sentinel a nih avangin kan taksaah thil dang lo lut laka min venghim a ni.Kan thawk boruaka leivut, thil te te, leh allergens te ang chi thil te chu hnar chhungah a lut thin. Hnar chhunga sam sei tak tak leh cilia (sam ang chi te tak te) te hian heng thil danglam tak takte hi an man a, hnar kawngkhar lam hawiin an hruai a ni. Kan hnar kan thawh emaw, kan puak emaw hian heng thil tha lo tak takte hi system atang hian hnawhchhuah a ni.

Mahse, a chang chuan heng hnar vun leh cilia te hian engkim an man thei lo. Chutiang a nih chuan hnar chhunga tissue te chu a lo hring chhuak a, mucus a siam tam zawk thin. Heng thil pahnih hi an inzawm khawm chuan hnar a tikhawlo thei a ni.

Eng chhan nge i hmuh fo thin?

Hnar khar hi `(Rhinitis) an tih natna nen a inzawm fo thin.` `(Rhinitis) hi chi hnih a awm a:

1. Allergic Rhinitis (Hay Fever an ti bawk) .

2. Allergy nei lo Rhinitis

1. Allergic Rhinitis a awm thei

Hei hi mi tam takin harsatna an neih a ni. `(Allergic Rhinitis)` chu kan taksain boruak a allergens thenkhat a tih dan a ni. Allergen lian ber berte chu:

• Pollen: Thlasik, thlasik leh thlasik laiin thing leh mau atanga pollen siam chhuah hian hnar chhungah a lut thei a, allergy a siam thei bawk. Hei hi kan ram hmun thenkhatah zing khawvar lai hian a na zual hle.
• Dust mites: I in chu eng ang pawhin fai mahse, heng dust mites te hi carpet, furniture leh mutna ah te an cheng thei a ni.
• Mold: Mold atanga spore chhuak hian allergy a thlen thei. Humidity sang tak awmna hmunah an awm thin.
• Pet dander: Mi thenkhat chuan ui leh vawk ang chi rannung atanga dander leh leivut hi allergy an nei thei.

2. Nonallergic Rhinitis natna a awm thei

Hei hi hnar tissue te a lo hring chhuak a, tui a khawlkhawm a, allergy vang ni lovin chhan dang avanga block a nih hian a ni. Hei hi a chhan chu:

• Environment factors: Stress, meikhu (cigarette meikhu, meikhu chi dang), paint ang chi thil atanga meikhu chhuak, leh ei tur rimtui tak tak te hian hnar a ti na thei vek a ni.
• Damdawi: Thisen sang damdawi thenkhat leh natna tidamtu damdawi te hian hnar a ti na thei bawk.
• Hormone inthlak danglamna: Hnar congestion hi hormone inthlak hun chhung, puitlin lai leh naupai lai te pawhin a awm thei bawk.
• Infection: Sinus infection (Sinusitis) emaw, khawsik ang chi thil emaw hian hnar a tikhawlo thei a ni.
• Enlarged Adenoids: Adenoids chu hnar hnung lama awm glands a ni. Germs trap-ah an pui thin. A chang chuan heng adenoids te hi an lo hring chhuak hian hnar a tikhawlo thei a, a bik takin naupang te te tan chuan hnar a tikhawlo thei a ni.

Engtin nge doctor-te hian he natna hi an hriat theih?

Doctor chuan he natna hi i natna lan chhuah dan ngaithlain i hnar, beng leh i rilru a enfiah ang. A châng chuan, a chhan dang enfiah nân test dang pawh an ti thei bawk.

• Throat culture: Hei hian ril chhunga bacteria chi hrang hrang a test thin. Hei hi a hnunglam atanga cotton swab sei tak hmanga swab lak atanga tih a ni.
• CT scan: CT scan hmangin hnar chhungah blockage a awm em tih hriat theih a ni.
• Nasal Endoscopy: Hnar chhungah camera bik (endoscope) dahin a chhung lam en theih a ni.

Hnar khar chu engtin nge i enkawl ang?

Doctor-te chuan hnar khauh chu a chhan a zirin an enkawl thin. Entirnan, ui allergy vangin hnar i hrual a nih chuan allergic rhinitis chi khat a ni. Chutiang a nih chuan ui lakah inthiarfihlim tur a ni a, a natna lan chhuah dan control nan damdawi ei tur a ni.

I hnar natna hi nonallergic rhinitis avanga lo awm a nih chuan a chhan i hre thei a, i symptoms control nan damdawi i ei thei bawk. I doctor-in a rawt theih tur enkawlna thenkhat chu hetiang hi a ni:

Non-Allergic Rhinitis enkawl dan:

• Saline spray emaw rinse: Saline spray emaw hnar tui pekna hmanrua hian hnar chhung a ti hnim a, mucus a tifai thei bawk.
• Antihistamines: Heng damdawi te hian taksain allergens laka a chhanletna a ti tlem a.
• Corticosteroid nasal spray: Hengte hian hnar tissue-a vun natna a tiziaawm.
• Ipratropium bromide spray: He spray hian mucus siamchhuah a ti tlem thei.

Allergic Rhinitis enkawl dan: 1.1.

Allergic rhinitis vei te pawhin antihistamine emaw corticosteroid emaw hmangin hnar tissue-a hliam tihziaawmna an nei thei bawk. Chubakah chuan:

• Decongestant nasal spray: Hengte hian hnar congestion a ti reh thuai thei. Mahse, heng spray te hi ni thum aia rei hman loh tur a ni. Chu aia rei an hman chuan hnar a ti na zual thei.
• Anticholinergic nasal spray: Hengte hian hnar mucus a tihziaawm thei.

I hnar a khuh loh nan i titawp thei lo em ni?

Hnar hrual chhan tam tak a awm avangin ven kim a harsa hle. Mahse, he harsatna hi a awm fo thin hi i tihtlem thei a ni.

• Kum khat chhunga hun engemaw chen (e.g., thlasik emaw, thlasik emaw) i hnar a inkhar ang tih i hriat chuan, i doctor nen seasonal allergy chungchang sawipui rawh . Eng thilin nge i allergy tichhuak tih te, i pumpelh dan tur te, leh i natna lan chhuah dan enkawl dan tur te hriatthiamna an pe thei che a ni.
• Viral infection, khawsik leh flu lakah inveng rawh. Kut sil fo la, damlo lakah inthiarfihlim rawh.

I hnar a hrual a nih chuan eng nge i beisei ang?

I dam chhungin a hun hunah hnar (nasal congestion) i tawk ngei i beisei thei. Doctor-te chuan he natna hi an tidam kim thei lo nain, a natna lan chhuah dan chu an enkawl thei a, a tihziaawmna tura mahni invenna tur ruahmanna an rawt thei bawk.

Engtin nge hnar khar chu rang taka tihdam theih ang?

In lama i enchhin theih tur thenkhat chu hetiang hi a ni:

• Tui leh tui tam tak in thin ang che. Fluids hian mucus a ti thin a, hnar congestion a ti tlem bawk.
• Saline nasal spray hmang la , i hnar silfai rawh. Hei hian mucus chu a tifai thei ang.
• Adhesive strip a awm a, chu chu i hnar chungah i stick thin. Chungte chuan i hnar kawngkhar a titawp thei a ni.
• In leh hnathawhna hmuna boruak lumna tihpun nan humidifier hmang ang che.
• I doctor hnenah over-the-counter damdawi chungchang zawt rawh. Damdawi dang i ei tawh a nih chuan i doctor hnenah hrilh ngei ang che. Damdawi side effect nei lo chu a rawt thei a ni.
• Nausen te tak te chuan hnar a khuh a, nau hnute pek harsatna a neih chuan nasal bulb syringe hmangin a hnim chu paih chhuak tur a ni.

Pawimawh: Hnar decongestant thenkhat (a bik takin `decongestant nasal spray`) hi hun rei tak hman atan a tha lo. Chuvangin doctor-in a tih ang chauhin hmang ang che.

Engtikah nge damdawi lam thurawn i lak ang?

Nasal congestion hi ni rei lo te chhungin a reh tlangpui. A awm loh chuan bacteria infection i nei thei a ni. Heng symptoms te hi i neih chuan doctor pan rawh:

• I hnar congestion ni 10 aia rei a nih chuan .
• I hnar atanga mucus lo chhuak chu green, yellow, emaw thisen nena inzawm emaw a nih chuan .
• Khawsik i neih chuan .
• Nausen piang tharin hnar a khuh a, bawnghnute/bottle a in thei lo a nih chuan.

Hnar khar hi harsatna awm fo a ni. A chhan tam tak a awm. Mi thenkhat chuan seasonal allergy vangin hnar an tikhawlo thin. Hnar khar hi meikhu emaw paint meikhu awmna hmuna i awm lai te, i stress lai te, naupai lai te, puitlin hun i thlen hunah te pawh a awm thei bawk. Ni engemaw zat chu a nuam lo thei a, mahse a tlangpuiin a mah chauhin a dam leh thin. Mahse, ni 10 aia rei i hnar a inkhar a nih chuan doctor pan ngei ngei tur a ni. Infection a awm leh awm loh a enfiah thei ang a, enkawlna a pe thei ang che, chutiang chuan i dam thuai ang a, i thawk pawh a hahdam thei ang.

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

Okay, chuvang chuan hnar congestion chungchang hi kan sawi nasa hle. A tawp berah chuan thil engemaw zat hriat reng tur chu hetiang hi a ni:

• Hnar a kharIt’s usually not serious , mahse a awm reng a nih chuan, emaw, khawsik leh pale sputum ang chi symptoms i neih chuan doctor advice dil rawh.
• If you have allergies , a thlentu thilte lakah inthiarfihlim tum ang che.
• In lama damdawi awlsam (saline, tui in tur, steaming) hian hahdamna a pe thei.
• A bik takin i naute hian hnar a khuh chuan fimkhur hle ang che, chu chuan hnute pek a harsat phah thei a ni.
• Damdawi dawr atanga lei nasal spray thenkhat chu doctor rawn hmasa lovin hman chhunzawm loh tur.

Hnar khar avanga harsatna i neih chuan lungngai suh. Damdawi lam thurawn leh enkawlna dik tak pek a nih chuan he natna hi uluk taka thunun theih a ni.

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