Asthma hian a chang chuan thawk harsa nghal mai thei. Mahse, in lama i hman theih tur hmanrua te tak te, a na zual hmaa vaukhânna pe thei che a awm tih i hria em? Chu chu Peak Flow Meter kan tih chu a ni. I lung hriselna en reng thei ṭhian tlemte ang mai a ni. Chuvangin vawiinah hian i sawi vek ang u.
A awlsam zawngin, he Peak Flow Meter hi eng nge ni?
Peak Flow Meter hi hmanraw te tak te, i kut a i vawn theih tur a ni. I thawk chhuah chak leh rang thei ang bera i thawk chhuah hian i lung atanga boruak chhuah tir theih zat a teh a ni. He tehna hi ‘Peak Flow’ kan ti a.
Ngaihtuah teh, i lung chhunga bronchi (air passages) (damdawi lam hawi chuan ``bronchi'' kan ti) te chu asthma vangin a tawi deuh tan a nih chuan i tan chuan puak nasat a harsa dawn a ni lawm ni? Tichuan boruak chhuak chakna pawh a tlahniam ang. Chu chu he meter hian a danglamna chu a ni. He meter hlutna hi asthma symptoms (wheezing, chest tightness ang chi) i hriat hma pawhin a tlahniam thei . Chu chu hei hi a thatna lian ber a ni.
Hengte hi chi hnih a awm a, manual leh digital te an ni. Manual te hian a hlutna lantir nan marker te tak te an nei a. Digital te hian screen ah direct in value a rawn tarlang thin.
Engtin chiah nge hei hi i hman?
A hman a awlsam khawp mai. Mahse, i tih dik a ngai a ni. Heng step te hi zawm rawh.
1. Ding emaw, thut ding emaw: Ding chungin hetiang hi tih a awlsam deuh. Thâwk la la. Engtiang pawhin ti mah la, nitin chutiang bawk chuan ti rawh.
2. Meter buatsaih: Meter chunga marker chu zero-ah hruai rawh. Chu chu a bul atanga hruai luh a ngai tihna a ni.
3. Thâwk la la: I theih ang tawkin thawk la. Thâwk thûk takin thawk la, i rilru chauh ni lovin, i pum pawh thawk la. Rei vak lo chu i thawk kha vawng tlat rawh.
4. Ka chhungah dah: Meter hmui chu i ka chhungah dah la, i hmui hmangin nghet takin seal rawh. Thli reng reng a chhuak thei lo.
5. Thâwk khauh: Tunah chuan i lung chhunga boruak zawng zawng chu vawi khatah puak chhuak la, i theih ang tawkin nasa tak leh rang takin thawk chhuak rawh . Candle tihmit ang ni lovin, a harsa zawk hle.
6. Value chu record rawh: Tunah chuan pointer a dinna hmun chu en rawh. Chu hlutna chu lehkhabuah ziak rawh.
A pawimawh ber chu, hetiang hi vawi khat tih hi a tawk lo. Hei hi vawi thum i tih a ngai a ni. Chu vawi thum atanga i value sang ber chu chu ni atana i Peak Flow value a ni ang.
He number hi i asthma diary, calendar emaw phone-ah emaw ziak rawh. Tin, a hnuaia mite hi ziak tel a tha bawk ang:
- Chutih laia i natna lan chhuah dan (e.g., hahna, rilru na, khuh).
- I chhanchhuahna inhaler (blue inhaler ang chi) emaw, chutih laia emergency damdawi dang emaw i ei emaw pawh nise.
Engtin nge ka ‘Personal Best’ score hi ka hmuh theih ang?
‘Personal Best’ hi he meter hmanga kar hnih chhunga i reading sang ber a ni a, chutih lai chuan i asthma hi i control tha a, symptom engmah nei lovin i hrisel a ni. Hei hi i baseline reading a ni. Chhiar tur dang zawng zawng hi he ‘Personal Best’ chhiarna nen hian kan khaikhin a.
Hei hi hmu tur chuan hetiang hian ti rawh:
- I Peak Flow chu ni khatah vawi hnih (zing leh tlaiah a rualin) kar hnih chhung teh thin ang che.
- I inhaler i hman hmain hetiang hian ti hmasa phawt ang che (mahse i doctor-in a hrilh loh che chuan).
- Kar hnih tawp lama i score sang ber chu i ‘Personal Best’ a ni.
He value hi i hmuh zawh chuan doctor-in a tih angin nitin meter hi hmang thin ang che. Chutiang chuan i thawk danah inthlak danglamna tenau te pawh i hmu nghal thei ang.
‘Traffic Light’ tih dan: Engtin nge ka thil hlute hi ka hriatthiam theih ang?
I Peak Flow value hriatthiam awlsam zawk nan doctor-te chuan ‘traffic light’ system an hmang thin. Zone pathum a nei a, chungte chu green, yellow leh red te an ni.
Heng zone te hi i ‘Personal Best’ value ah a innghat a ni. I Personal Best chu 400 L/min (meter unit) ni ta ila. Tichuan i zone te chu hetiang hi a ni ang:
| Zone a ni | % of Personal Best a ni | Awmzia |
|---|---|---|
| Green Zone ah a awm a | 80% - 100% vel a ni. | Ropui! I asthma hi a control tha hle. Damdawi hi doctor-in a sawi angin hmang ang che. (Entirnan: 320-400 L/min) a ni. |
| Yellow Zone ah a awm | 50% - 80% inkar a ni. | Fimkhur rawh! I thawkna kawng a zim ta hle mai. I asthma chu thunun theih lohvin a awm thei. I doctor ‘Asthma Action Plan’-a a tarlan angin i rescue inhaler hmang rawh. (e.g. 200-320 L/min) a ni ang. |
| Red Zone ah a awm | 50% aia tlem lo | Damdawi lam pan vat a ngai! Hei hi dinhmun pawi tak a ni. I chhanchhuahna inhaler hmang nghal la, i doctor ko la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh. (e.g. 200 L/min aia tlem) . |
Peak Flow value pangngai a awm em?
"One size fits all" standard hi a awm tak tak lo. I standard chu i kum, i san zawng, leh mipa emaw hmeichhia emaw i nih danah a innghat a ni . Mipa, mi sang zawk leh naupang zawkte hian hlutna sang zawk an nei duh hle. Chuvangin i ‘Personal Best’ zawng a, chuta innghat range siam a pawimawh. I doctor chuan hei hi chipchiar zawkin a hrilhfiah ang che.
Hei hi hman hian risk a awm em?
Peak Flow Meter hi a him em em a ni. Mahse a chang chuan thil tenawm tak tak a thleng thei. Thil ngaihtuah tur a awm lo, mahse fimkhur a tha.
- Thâwk lak thûk hian luak chhuak (presyncope) a thlen thei.
- Khuh a lo thleng mai thei.
- Thâwk i la thûk loh emaw, chak taka i thawk chhuah loh emaw chuan a chhiar dan a dik lo mai thei.
Pawimawh: Peak Flow Meter brand inang hmang fo ang che, brand hrang hrangah tehna a inang lo deuh thei a ni.
Engtikah nge Doctor ka hmuh ang?
- I hlutna chu Yellow Zone -ah a awm a nih chuan i ‘Action Plan’ angin i damdawi ei nghal la, i doctor nen inbia ang che.
- I chhiarna chu Red Zone -ah a awm a nih chuan emergency a ni. Chhanchhuahna damdawi hmang nghal la, doctor ko rawh. Symptoms a that loh chuan Emergency Department (ETU) hnai ber pan nghal tur a ni.
Peak flow meter hi asthma vei tan chuan hmanraw tangkai tak a ni. I taksa hriatthiamna tha zawk i neih theih nan leh harsatna lian tak a nih hmain hma i la thei a ni.
Take-Home Thuchah a ni
- Peak Flow Meter hi hmanraw awlsam tak a ni a, i lung atanga boruak chhuah chak dan tehna a ni. Hei hian asthma natna lan chhuah hmain a hriat theih nan a pui thei a ni.
- Mahni ‘Personal Best’ zawn chhuah hi a pawimawh hle. Measure dang zawng zawng hi a relative vek a ni.
- ‘Traffic light’ system (green, yellow, red zone) te chu hrethiam rawh. Yellow emaw red zone emaw i luh chuan i doctor nen sawiho la, ‘Asthma Action Plan’ siam rawh.
- I value chu red zone-ah a awm a nih chuan emergency a ni. Damdawi ei nghal la, doctor hmu la, ETU-ah kal rawh.
- Meter khat chu a ruala, kawng inang leh nitin hman chuan result dik tak a awm thei ang.
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