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

A chang chuan khuh reng reng, dry cough, mucus siam lo i nei thin em? Tlemte i chau lai hian thawk harsa i ti em, a nih loh leh stairs i chhoh lai hian? Mi tam tak chuan hei hi thil pangngaiah an ngai a, leivut vang pawh a ni mai thei, mahse a chang chuan lung natna chhinchhiahna a ni thei a, ngaihven engemaw zat a ngai bawk. Vawiin hian chutiang dinhmun pakhat, NSIP chungchang kan sawi dawn a ni.

NSIP (Nonspecific Interstitial Pneumonia) hi eng nge ni?

A awlsam zawngin, NSIP chu i lung chhunga boruak bawm (alveoli) te tak te leh a chhehvela thisen kalna kawng inkara tissue inflammation a ni. I lung chu grape chi khat, grape te tak te (alveoli) tam tak awmna angin ngaihtuah rawh. Kan hriat tlangpui pneumonia hi heng grape chhungah hian a awm thin. Mahse NSIP-ah chuan heng grape leh an chhehvel tissue inkar space-ah hian inflammation hi a awm thin.

Hei hi lung natna pawl pakhat ``interstitial lung disease'' an tih zinga mi a ni. NSIP hi connective tissue disease (CTD) vei te zingah hmuh tur a awm fo. Tin, hun rei tak chhunga awm thei a ni a, regular pneumonia angin ni engemaw zat chhungin a dam lo thei bawk. A then phei chuan lungah hliam awm reng tur pawh a awm thei.

NSIP hi chi hnih lian tak a awm a.

Doctor-te chuan NSIP hi chi hnih lian takah an ṭhen a. An pahnih inthlauhna hi hriatthiam a pawimawh a, natna enkawl dan leh nakin lawka a kal zel dan pawh a inang lo thei a ni.

NSIP natna lanchhuahna chu engte nge ni?

NSIP symptoms hi a tir lamah chuan hriat theih a ni lo mai thei. Mahse, zawi zawiin hun kal zelah, thla emaw kum tam tak emaw chhungin an pung thei a ni. A lan chhuah dan ber chu:

• A persistent dry cough: Hei hian mucus a siam lo. Thlalak tifai thei khuh ang maiin a ri mai.
• Thâwk lak tawi (dyspnea): Thâwk harsa, a bik takin thil hahthlâk tak tak, kea kal emaw, stairs-a chhoh emaw a tih hunah. Natna a zual zel chuan, ding reng chung pawhin thawk harsa a awm thei.
• Labored breathing: Thâwk lak nan theihtawp chhuah a ngai ang tih hriatna.
• Taksa hahna nasa tak: Hna thawk lo pawha chau lutuk anga inhria.
• Clubbed fingers: Hei hi a tam vak lo. Mahse, mi thenkhatah chuan kut zungtang te chu khuang ang maiin a hring thei a, nail te pawh a zungbun thei bawk. Hei hian taksain oxygen a dawng tlem hle tih a tilang a ni.

NSIP awm chhante chu engte nge ni? Tute nge risk sang zawk?

Dik tak chuan doctor-te hian NSIP awm chhan dik tak hi an la hre lo. Amaherawhchu, he natna vei te hi an en chuan damdawi lam harsatna dang an nei duh hle. Chuvangin heng condition te leh NSIP te hi inzawmna a awm niin an ngai.

NSIP nena inzawm thil pawimawh tak takte chu:

• Connective tissue disorders: Hei hi autoimmune diseases a ni a, taksa immune system in a tissue te a bei thin. Entir nan:
• Rheumatoid arthritis - natna a ni a, ruh ruh a ti na a, a na bawk
• Lupus a ni
• Scleroderma a ni
• Viral infection: Viral infection thenkhat, HIV leh hepatitis te pawh hi NSIP nen hian a inzawm thei bawk.
• Damdawi thenkhat avanga thil thleng: Hetiang dinhmun hi cancer enkawlna chemotherapy, radiation therapy leh thinlung natna damdawi thenkhat avanga lo awm thei a ni bawk.

A tlangpuiin NSIP natna a niHmeichhia kum 40 leh 50 inkar zingah a tam ber.

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

A chunga kan sawi tak symptoms te hi i neih chuan i doctor-in a tih hmasak ber tur chu i medical history a zawt ang che. Damdawi dang emaw, damdawi i ei tur emaw i neih zawng zawng chu i doctor hnenah hrilh vek a pawimawh.

Chumi hnuah chuan test eng emaw zat tih a ni ang a, a natna hmuhchhuah a nih leh nih loh finfiah a ni ang.

• Pulmonary function tests: Hei hi machine nena inzawm tube hmanga thawk chhuah leh chhuah a ni. Hei hian boruak i luh theih zat leh i thawk chhuah chak dan tehna hmangin i lung a thawk tha em tih hriat theihna a siam a ni.
• Chest X-ray leh CT scan: X-ray hian ngaihdan tlangpui a pe thei a, mahse CT scan (Computed Tomography scan) hian lung chhunga inthlak danglamna leh hliam na tak tak chiang takin a hmu thei a ni. NSIP hriat chian nan CT scan hi a pawimawh hle.
• Bronchoscopy: Hetah hian camera chu tube te tak te, flexible tak tawp lamah an dah a, i hnar emaw i hmui emaw kaltlangin i lung chhungah an lut thin.
• Biopsy: Hei hi natna 100% a finfiah theih dan tha ber a ni. Surgery hmangin lung atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin an enfiah thin. Chumi hnuah chuan cellular nge fibrotic tih chiang takin a hriat theih a ni.

NSIP enkawl dan tur chu engte nge ni?

NSIP enkawlna tum ber chu lung chhunga inflammation tihtlem te, natna zual zel tur control te, leh i nunphung tha vawng reng tura puih te hi a ni.

Enkawl dan hi damlo hrang hrangah leh natna chi hrang hrang a zirin a inang lo.

NSIP hmang hian nun chu eng ang nge ni ang? (Prognosis) tih a ni.

Hei hi mi tam takin zawhna an neih a ni. Chumi chhanna chu eng NSIP chi nge i neih tih ah a innghat.

• Cellular NSIP tan: Heng mite tan hian hmalam hun a tha hle . Enkawlna dik tak a awm chuan natna hmuhchhuah atanga kum 5 hnuah damchhuah theihna chance chu 100% vel a ni. A tam zawkah chuan tihdam kim theih a ni.
• Fibrotic NSIP tan: Hetah hian lung chhiatna hi tihdanglam theih a ni lo. Chuvangin condition hi a serious deuh deuh a ni. Amaherawhchu, a hmaa kan sawi tawh enkawlnate hian natna kal zel dan a thunun thei a, a tikhawtlai thei bawk. Damdawi lam report-ah chuan mite chu an natna hmuhchhuah a nih atanga kum 6 leh kum 14 inkar vel an dam thei tlangpui.

Chuvangin natna hi a tir atanga hriatchhuah a, enkawl dan tur dik tak tan hi dam rei nan a pawimawh hle.

Engtin nge i tih ang?

I doctor-in NSIP i nei tih a hrilh che chuan hlauthawng suh. Thil tlemte tih theih a awm.

• I doctor thupek leh enkawl dan tur dik takin zawm rawh. I damdawi chu a hun takah leh a dose dik takah ei thin ang che.
• Damdawi lam natna dang, arthritis ang chi i neih chuan chu natna chu uluk takin control rawh.
• I natna lan chhuah danah inthlak danglamna i hmuh chuan, hah lutuk ang chi chu doctor hnenah hriattir nghal rawh.
• Meizial i zuk chuan chawlhsan nghal rawh. Meizial in hian i lung a tichhe zual hle.

Kar tam tak chhunga khuh hnim emaw thawk harsa emaw i neih chuan doctor pan la, check out la, thil pangngai anga ngaih ai chuan. NSIP hi enkawl loh chuan a na zual zel thei.