Tin, persistent dry cough leh wheezing i nei bawk em? NSIP (Nonspecific Interstitial Pneumonia) chungchang hi han sawi ila!

Ni tam tak, kar tam tak pawh ni thei, persistent dry cough i nei em? Thâwk lak harsa i ti em? A tam zawkah chuan heng thilte hi "khawsik mai mai" tiin kan hnawl thin. Mahse a chang chuan heng symptoms hnuaiah hian lung natna kan hriat tam loh, mahse kan ngaihtuah tur tak tak a awm thei. Vawiin hian chutiang natna pakhat, NSIP, emaw Nonspecific Interstitial Pneumonia emaw kan sawi dawn a ni.

A awlsam zawngin, NSIP (Nonspecific Interstitial Pneumonia) tih hi eng nge ni?

A hming hi a buaithlak deuhin lang mahse, a awlsam zawngin i dah ang u. NSIP hi lung natna (inflammation) a ni bawk. Mahse, kan hriat fo thin pneumonia tlangpui nen chuan a danglam deuh hlek.

I lung chu grape ang maia boruak bawm (alveoli) te tak te maktaduai tam tak atanga siam taksa peng pakhat angin ngaihtuah rawh. Kan thawh hian oxygen chu lung chhungah a lut a, heng alveoli kaltlangin thisenah a lut a ni. NSIP-ah chuan inflammation hi alveoli-ah ngei ni lovin, an inkar leh thisen kalna hmun vel tissue-ah a awm zawk a ni . Hei hi damdawi lama ``interstitial lung disease'' kan tih chu a ni.

Hetiang dinhmun hi connective tissue disease (CTD) vei te zingah hmuh tur a awm fo. Damdawi lam thil dang nen pawh a inzawm thei bawk. Pneumonia pangngai, ni rei lote chhunga reh thin ang lo takin, rei tak a daih thei a, a chang chuan lungah hliam awm reng thei a ni.

NSIP hi chi hnih lian tak a awm a.

Doctor-te chuan NSIP hi chi hnihah an ṭhen a, chu chu lung chhiatna chi hrang hrang a zirin a ni. Heng chi hnih hi i hriat a pawimawh a, a chhan chu enkawlna leh prognosis chu chi hrang hrangah a innghat a ni.

Hei hi pneumonia pangngai nen a danglam em?

Ni e, a dik ngei ang. He inthlauhna hi hriatthiam a pawimawh hle.

• Pneumonia: Hei hi lung chhunga air sacs (grape ang chi sacs) inflammation a ni . Pus emaw fluid emaw in an khat thei. Hei hi bacteria emaw viral infection vang a ni fo thin.
• Interstitial pneumonia (NSIP ang chi): Hetah hian air sacs inkar space-ah inflammation a awm thin. Chumi awmzia chu lungphun leh framework a chhiat phah tihna a ni. Vawi tam tak chu NSIP thlen chhan bik hi hmuh theih a ni lo.

Thil dang pakhat chu, `Usual Interstitial Pneumonia (UIP)` tih hi a hming dang `Idiopathic Pulmonary Fibrosis (IPF) tihna a ni. Mahse, NSIP, a bik takin Cellular NSIP hi enkawlna hmanga tihdam theih a ni fo. Chuvangin, an pahnih hi tibuai suh.

NSIP natna lanchhuahna chu engte nge ni?

NSIP symptoms hi a tir lamah chuan a langsar vak lo thei a, hun kal zelah a zual zel thei bawk. Heng symptoms te hi i hriat chian a pawimawh.

• Dry cough: Hei hi a lan chhuah dan ber leh langsar ber a ni. Mucus awm lo, khuh chhunzawm zel, thinrimthlak tak.
• Thâwk hah: A tirah chuan exercise emaw, kea kal chak emaw lai pawhin a awm thei. Mahse, natna a zual zel chuan ding reng chung pawhin thawk a harsa thei hle.
• Labored breathing: Thâwk lak nan theihtawp chhuah a ngai ang tih hriatna.
• Chauhna: Hna thawk lo pawha chau leh hah taka inhriatna.
• Clubbed fingers: Hei hi thil awm lo tak a ni a, mahse mi thenkhat chuan kut zungtang zungbun leh nail vel a hring chhuak thei.

Eng thilin nge NSIP hi a thlen? Risk factors te chu engte nge ni?

Dik tak chuan mithiamte chuan NSIP hi eng nge a thlen tih chiang takin an la hre lo. Mahse he natna vei te hi i en chuan damdawi lam harsatna dang an nei tih an hmuchhuak thin. Chumi awmzia chu heng dinhmunte hian NSIP a thlen tih hi a dik lo nain, an inkarah hian inzawmna nghet tak a awm tihna a ni.

A hnuaia thilte hian NSIP vei theihna a tipung a ni.

He natna hi engtin nge doctor hian a hriat theih ang?

Doctor i pan hunah i symptoms te ngun takin a ngaithla hmasa ang. Damdawi dang i neih leh i damdawi ei turte pawh doctor hnenah i hrilh tur a ni. Tichuan, a natna hriat chian nan test eng emaw zat a ti ang.

• Pulmonary function tests: Hei hian machine-a thawk tir che a ni a, chu chuan i lungin boruak a luh theih zat leh i thawk chhuah rang dan tur a teh a ni.
• Chest X-ray: Hei hian lung chhunga thil danglam a awm leh awm loh hriatthiamna bulpui neih nan a pui a ni.
• CT scan (Computed Tomography scan): Hei hian X-ray aiin thlalak chiang zawk, three-dimensional image a siam thei a ni. Lung chhiatna zau zawng leh a nihna (cellular emaw fibrotic emaw) dik taka hriat theih nan CT scan hi a pawimawh hle.
• Bronchoscopy: Tube te tak te, eng tak, camera nei chu ka emaw hnar emaw kaltlangin lung chhungah an lut a, chu chuan thawkna kawng chhung lam chu an enfiah thin. A tul chuan cell sample lak theih a ni a, test theih a ni.
• Biopsy: Hei hi 100% a natna finfiah nan test tha ber a ni. Hei hian lung atanga tissue te tak te tak te chu surgery hmangin lakchhuah a ni a, microscope hmangin an enfiah thin.

NSIP enkawl dan tur chu engte nge ni?

Doctor-te hian NSIP an enkawl hian thil tum lian tak pahnih an nei a. Pakhat chu lung chhunga inflammation tihziaawmna a ni. A dang chu NSIP thlentu damdawi lam dinhmun (arthritis ang chi) awm thei zawng zawng control a ni.

A nasat chuan damdawi dang pawh hman a ni a, chu chu lung chakna leh taksa mamawh ang zat oxygen pekna atan hman a ni.

• Damdawi hman tur: 1.1.
• Prednisolone ang chi corticosteroids: Hengte hi steroid-type damdawi an ni a, inflammation a tiziaawm nghal vat thin.
• Immunosuppressive drugs: Damdawi `Azathioprine`, `Cyclophosphamide`, leh `Mycophenolate` te hian taksa immune system hnathawh control-in a thawk a, mahni lung a tihchhiat loh nan a titawp bawk.
• Anti-fibrotic damdawi: ‘Pirfenidon` leh `Nintedanib` ang chi damdawi hi Fibrotic NSIP vei te tan hman a ni. Hengte hian lung chhunga hliam awm zat a ti hniam a ni.
• Rituximab: Hei hi ``biologic`` damdawi a ni a, connective tissue natna atana hman thin a ni.
• Therapies dang: 1.1.
• Pulmonary rehabilitation: Hei hi exercise leh counselling program bik a ni a, thawk harsatna enkawl leh taksa tichaktu a ni.
• Oxygen therapy: Oxygen hi tube kaltlangin thisen oxygen level hniam nei te hnenah pek thin a ni.
• Lung transplant: Hei hi natna khirh tak nei, enkawlna dang zawng zawng hlawhchham tawhte tan ngaihtuah hnuhnung ber a ni.

He natna nen hian nun hi eng ang nge ni ang?

He zawhna chhanna hi eng chi NSIP nge i neih tih ah a innghat nghal vek a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

NSIP i vei tih hmuhchhuah i nih chuan i rilruah zawhna tam tak awm hi thil pangngai tak a ni. Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh.

• Hetiang dinhmun hi ka neih theih chhan chiang tak a awm em?
• Eng chi nge ka neih, Cellular nge Fibrotic?
• Eng enkawlna kawng nge ka tan a tha ber?
• Heng enkawlnate hian side effect a nei em?
• He natna hi hun kal zelah a zual zel theihna tur engzat nge a awm?
• Lung chhiatna dang ka ti slow thei ang em?
• Ka nitin nunah leh ei leh in lamah eng thil nge ka fimkhur bik ang?
• Engtikah nge doctor ka hmuh leh ang?

Hetiang zawhna zawh leh i dinhmun hriatthiamna chiang tak neih hian i enkawlna chu nasa takin a thlawp ang che.