Khumah i mut a, a nih loh leh sofa-a TV enin i mut hian thawk harsa i ti thut em? I rilru a hrual a, thawk a harsa ang maiin i hria em? Mahse, i ding chhuak a, i ṭhut chuan a reh ta a ni. Hetiang hi i tawng tawh em? Mi tam tak chuan hei hi thil pangngaiah an ngai a, mahse ngaihthah tur a ni lo. Hei hi damdawi lam hawi chuan Orthopnea kan tih chu a ni.
A awlsam zawngin, Orthopnea chu eng nge ni?
Orthopnea hi i mut laiin thawk harsa i ti a, a bik takin i kawr leh i rilru a level inang a nih chuan thawk harsa i ti hle. Entirnan, pillow nei lova khumah i mut chuan thawk hahdamna i nei a, mahse i ṭhut lai emaw, pillow pahnih pathum emaw chunga lu chawi sang chunga i mut lai emaw chuan harsatna chu a reh ṭhin. Hei hi orthopnea symptom ber a ni.
Hetah hian thil dang a awm. Mi thenkhat chu zanah thaw hahdam takin an tho thut thin. Hei hi Paroxysmal Nocturnal Dyspnea (PND) kan ti a. Orthopnea hi a danglam deuh. PND hi mut lai chauh a thleng thin. Mahse orthopnea hi i harh lai pawhin a thleng thei a, i muhil lai pawhin a awm thei. Entîr nân, TV en tûra i mut lai emaw, doctor-in khumah enfiah tûra a muttîr che emaw pawhin i hre mai thei.
A pawimawh ber chu Orthopnea hi natna a ni lo va, natna dang chhinchhiahna a ni . Chuvangin, hetiang rilru hahna hi i neih chuan a chhan bulpui zawn a pawimawh hle.
Orthopnea nen hian eng symptom dang nge lo awm?
Thâwk harsatna bakah hian natna dang engemaw zat i nei thei bawk. Mi thenkhat chu an chungah pillow tam tak dahin an mu a, thenkhat erawh chu chair-ah thuin an mu thung. Hei hi a chhan chu mut ai chuan ṭhut laia thawk lak a awlsam zawk vang a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chest tightness emaw a na emaw | I thawk chhuah laiin i rilru a inzawm khawm a, a rit ang tih hriat. |
| Thah emaw, khuh emaw | Thâwk chhuah lai emaw, khuh reng reng emaw, rilru aṭanga ‘cheese-cheese’ ri chhuak. |
| Palpitations a awm | I thinlung chu a na hle tih hriatna, thinlung na tak ang maia inhriatna. |
Engvangin nge hetiang hi a lo awm? Orthopnea hi engte nge ni?
A chhan ber chu taksaa damdawi lam thil engemaw vangin lungah tui a pung khawm a, a nih loh leh lung hi a zau tha thei lo va, boruak a la lut thei lo.
Hetiang hian han ngaihtuah teh. Kan inbengbel chuan kan kea thisen chu kan rilruah a luang let leh thin. Thinlung hrisel chuan he thisen tam zawk hi harsatna awm lovin taksaah a pump kir leh thei a ni. Mahse i thinlung a chak lo a nih chuan he thisen extra hi a pump thei lo. Tichuan chu thisen chu i lungah a lo pungkhawm a, pressure a siam a, thawk a harsa hle. I ding a, i thut chuan gravity chuan chu thisen chu i keah a hruai kir leh a, chu chuan i lung chhunga pressure a tihziaawm a, thawk pawh a ti awlsam bawk.
Orthopnea thlen thei damdawi lam thil pawimawh thenkhat chu a hnuaia mi ang hian tarlan a ni.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Congestive Heart Failure a awm thin | Hei hi orthopnea thlentu lian tak a ni. Thinlung a chak lo deuh deuh chuan lung vel chu tui a lo awm khawm a, chu chuan thawk a ti harsa hle. |
| Pulmonary Hypertension (PH) a awm thei lo. | Lung lama thisen phurtu thisen kalna kawng hrang hranga pressure sang. |
| COPD (Chronic Obstructive Pulmonary Disease) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Natna pawl pakhat, lung natna (chronic inflammation) thlentu, thawk harsatna thlentu. |
| Thau lutuk | Thau lutuk hian diaphragm a zau kim theih loh avangin thawk harsatna a thlen thei a ni. |
| Pulmonary Edema a awm thin | Lung chhunga fluid awmkhawm. |
| Pneumonia na tak a ni | Infection na tak, lung a tichhe thei. |
| Diaphragm Paralysis a ni | Hliam emaw, tumor emaw, natna dang emaw avanga diaphragm chak lo, thawk harsa. |
Engtin nge hei hi i hmuh theih, Doctor?
Hetiang harsatna i nei tih i doctor i hrilh chuan zawhna tlem a zawt hmasa ang che. A bik takin, zawhna "Pillow engzat nge i mut a ngai?" tih hi a pawimawh hle. Pillow i mamawh zat, pakhat emaw, pahnih emaw, pathum emaw pawh ni se, chu chuan i natna nasatzia chu a hriat theih phah a ni.
Tichuan, a chhan bulpui zawng turin test eng emaw zat an ti ang.
- Chest X-ray neih a ni
- Thinlung hnathawh dan enfiahna scan (Echocardiogram) .
- ECG test (Electrocardiogram) hmanga enfiah a ni.
- Pulmonary function test neih a ni
Hei hi eng enkawlna nge ni?
Orthopnea hi a lan chhuahna a ni lo va, a chhan bulpui ber a ni tih hre reng ang che . I doctor chuan i natna enkawl lai hian i thawk hah lutuk tihziaawm theih dan tur a rawn rawt bawk ang.
A tlangpuiin, lu chawi sang chunga mut te, a tul chuan oxygen pek te, leh taksa rihna tihtlem te hian symptoms te hi control theih a ni. A chhan a zirin enkawlna bik a awm bawk.
- Heart Failure: Lungphung tihdanglam, diuretics, leh damdawi ACE inhibitor leh beta-blockers te hi thinlung hnathawhna atana pui turin pek theih a ni. A châng chuan operation emaw, pacemaker emaw a ngai thei bawk.
- COPD: Thlawhna kawng tizau thei damdawi (Bronchodilators) leh lung chhunga inflammation tihziaawmna damdawi (Corticosteroids) hman a ni.
- Obesity: Ei leh in hrisel leh exercise hmanga taksa rihna tihtlem hi a pawimawh hle.
- Pneumonia: A tul chuan antibiotics leh oxygen pek thin a ni.
Orthopnea hi ven theih a ni em?
Orthopnea laka invenna tha ber chu a thlentu natna vei theihna tihziaawm hi a ni. Chu chu nun hrisel taka nun a kawk a ni.
- Lung natna hlauhawmna tipung thei dinhmun, zunthlum, cholesterol sang, leh thisen sang te chu uluk taka thunun .
- Exercise neih fo thin ang che. Ni khatah minute 30 tal exercise lak a tha a, kar khat chhunga ni tam zawkah chuan exercise lak a tha.
- Meizial zuk loh vek tur a ni. Meizial i zuk chuan i zuk loh nan i doctor hnenah tanpuina dil rawh.
- Zu in hi tihtlem emaw tihtawp vek emaw .
- I ei leh in ah thei, thlai leh eitur tha tak tak te dah tel bawk ang che.
- Kum khatah vawi khat tal medical checkup la, i hriselna dinhmun hre reng ang che.
Orthopnea neih hian heart attack i nei tihna a ni hauh lo. Mahse, heart attack chhinchhiahna lian tak a ni thei. Chuvangin, a natna hriat chian nan doctor pan ngei ngei tur a ni.
Take-Home Thuchah a ni
- Orthopnea hi i khup a, thawk harsa tak a ni a, mahse i thut chuan a tha zawk.
- Hei hi natna a ni lo va, damdawi lam dinhmun hnuaia awm, thinlung emaw, lung emaw a huam fo thin.
- Hei hi a lan dan tlangpui chu mutna tur pillow tam tak hman hi a ni.
- He symptom hi ngaihthah ngai suh. A chhan hriat tumin doctor rawn vat rawh.
- A bulpui ber dinhmun dik taka enkawl chuan i thawk harsatna i thunun thei a, nun tha tak i hmang thei bawk.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Muscle Ache / Myalgia hi eng nge ni?
Gym-a workout zawh hnu emaw, tlan leh kea kal tam tak hnuah emaw taksa ruh natna/na lo tih hi thil pangngai a ni. Mahse he natna ‘Muscle Ache (Myalgia)’ an tih hi symptom na tak a ni a, i taksa ruh (leh ruhro) zawng zawng chu rang takin a tikehsawm a, a tikehsawm vek a, khum atanga tho pawh tuar theih loh khawpin a siam a, hna rit tak tak thawk lovin.
💬 Muscle aches/pain, khum atanga thawh theih loh chhan lian ber berte chu engte nge ni?
Hei hi chhan lian tak tak engemaw zat a awm a, chungte chu: 1) ‘Viral infection na tak’ - Dengue, COVID-19, emaw common flu i vei hian i immune system chu indonaah a kal a, i taksa peng zawng zawngah i taksa ruh a na. 2) ‘Muscle Spasm/Cramps’ - I taksaah tui a tlakchham chuan i sam ang hmunte chu a lo nghet nghal zung zung thin. 3) Cholesterol tihhniamna damdawi ‘Statins/Rhabdomyolysis’ tih hian taksa ruh na leh natna a thlen thei bawk. 4) Fibromyalgia natna (Fibromyalgia) a awm thei.
💬 Muscle cramps i neih chuan damdawi in pan nghal tur a ni a, in lama awm mai mai a, Panadol ei mai tur a ni lo. ‘Thihna/emergency situations (Rhabdomyolysis)’ te chu engte nge ni?
A tam zawkah chuan hei hi ni 3-4 chhungin a reh ang a, viral fever/fatigue (chawlhna/tui in rawh). Mahse, a hlauhawm ber chu! Muscle natna rual hian 1) i zun chu coffee dum emaw thisen rawng (Dark tea-colored urine) a nih chuan i taksa ruh a hmin a, i kal a ro tan tihna a ni (Acute Kidney Injury)! 2) I kawr ruh a vawt a, khawsik (Meningitis) i neih chuan 3) Thâwk harsa i neih chuan damdawi inah dah vat a ngai!
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