Heng harsatnate hi i lungah i nei em? Pulmonary Sarcoidosis chungchang hi han sawi ila

A chang chuan thawk harsa i ti em, a nih loh leh ni tam tak chhung khuh chhunzawm zel i nei em? Chhan awm lovin i chau tih i hre mai thei, chubakah rilru natna nen. Chûngte chu hahna pangngai aia tam a ni thei. Vawiin hian i hriat ngai loh, mahse hriat a pawimawh em em condition pakhat kan sawi dawn a ni. Chu chu pulmonary sarcoidosis a ni.

Pulmonary Sarcoidosis hi eng nge ni?

A awlsam zawngin, sarcoidosis hi kan taksa peng hrang hranga inflammation , a nih loh leh swelling thlentu natna a ni. Hemi kawngah hian thil thleng chu kan immune system cell te hi an inkhawm a, lump te te an siam thin a ni. Damdawi lam chuan heng lumps te hi granulomas kan ti thin . A dik tak chuan hengte hi buhfai chi khat ang maia te emaw, a lian deuh emaw pawh a ni thei.

Tunah chuan, Pulmonary Sarcoidosis hi he natna hian kan lung a bik taka a nghawng lai a ni . Mahse lungah chauh a ni lo. A chang chuan vun, mit, lymph node, thinlung, taksa peng dang eng pawh a nghawng thei. A tam zawkah chuan he pulmonary sarcoidosis condition hi a mah chauhin a tha chho thin. Mahse thil vanduaithlak tak tak thenkhatah chuan he inflammation kal zel hian lungah hliam awm reng thei a ni. Chuvang chuan he dinhmun hi kan zavaia kan hriat chian a pawimawh em em a ni.

Hei hi cancer a ni em?

Mi tam tak chuan "sarcoidosis" tih hming an hriat hian, a bik takin chutiang "lumps" lo awm thin an hriat chuan, "Aw, hei hi cancer a ni em tih ka hre lo," tiin an ngaihtuah mai thei. Ni lo, chiang taka sawi chuan sarcoidosis hi cancer a ni lo. Condition danglam tak a ni. Mahse, damdawi lam zirchianna thenkhatah chuan sarcoidosis vei te hian nakin lawkah cancer chi thenkhat an vei theihna chance a sang zawk thei tih hmuhchhuah a ni. Mahse heng natna pahnih hi a inang lo tih hi i hre reng tur a ni.

Pulmonary Sarcoidosis natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun hi mi zawng zawngin an nei vek lo tih hre reng la, mahse symptom engmah an lantir lo. Mi thenkhat chuan symptom nei lovin an nei thei. Mahse, heng thilte hi i tawng reng a nih chuan tlem chuan i ngaihtuah tur a ni:

• I rilru a na thei . I rilru lai takah tight ang maiin a awm thei a, i thawk lai pawhin a na thei bawk.
• Cough damdawi engzat pawhin i ei pawhin a reh lo thei , persistent dry cough i nei thei.
• I chau , i chau a, i dam lo tih hriatna tlangpui, a nih loh leh malaise . Khawsik nei ang mai a ni a, i taksa chu a rit hle niin a lang.
• Thâwk harsa (dyspnea) ., chu chu thawk harsa i ti tihna a ni a, thawk harsa i tih ang mai a ni. Rei vak lo i kal hnuah pawh i muhil thei.
• A châng chuan i thawk chhuah laiin i rilru aṭangin whistling ri i hre thei bawk .

Chûng thilte bâkah, pulmonary sarcoidosis vei tam tak chuan lungngaihna an vei bawk . Hetiang natna khirh tak hian nitin nun, hnathawh leh khawtlang nun a tihbuai hian a buaithlak thei tih hi thil mak a ni lo.

Hei hi eng nge a chhan?

Dik tak chuan doctor leh scientist te hian pulmonary sarcoidosis awm chhan dik tak hi an la hre lo. A buaithlak deuh. A châng chuan chhûngkuaah a kal a, chu chu genetic link a awm thei tihna a ni . A dangteah chuan, boruak thil, bacteria ṭhenkhat, virus, leivut, a nih loh leh hun rei tak chhunga chemical hman avanga lo awm nia ngaih a ni . Damdawi thenkhat side effect a ni thei bawk . He thil hi zirchiangtute chuan thil thleng dik tak hriat tumin an la zirchiang mek a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge dawng duh zawk?

Sri Lanka-ah hian hemi chungchangah hian statistics dik tak awm lo mah se, khawvel ram dang, entirnan United States of America ang ramte kan en chuan mi sangkhat leh a chanve atanga sanghnih velin he sarcoidosis natna hi an vei niin an sawi. A vaiin, mipa hring 100,000 zinga mi 11 velin he natna hi an vei laiin, African hnam zingah chuan he zat hi mi 100,000 zinga 34 velin a pung a ni. A tlangpuiin, mi pakhatin he natna hi a vei theihna chance chu zaa 2.4 vel a ni.

Sarcoidosis hian lung a nghawng hmasa fo thin.

Pulmonary Sarcoidosis hian mipa leh hmeichhia, kum leh chi hrang hrang thliar lovin tu pawh a nghawng thei a ni. Mahse, a hnuaia mite hi a hlauhawmna a sang zawk tih hmuhchhuah a ni.

• African emaw Northern Europe emaw (e.g. Denmark, Norway, Sweden ang ram) atanga lo piang mi.
• Pesticide, mold, leivut, emaw thil dang, inflammation thlen thei awmna hmuna hnathawkte.
• Damdawi thenkhat hun rei tak ei thinte. Entirnan, HIV hrik kai damdawi thenkhat, cancer dona damdawi, a nih loh leh immune system overactive tirtu damdawi te.
• I chhungkuaa mi pakhatin pulmonary sarcoidosis a lo vei tawh a nih chuan, chu chu genetic influence a awm thei tihna a ni.
• Hmeichhia pawh hi mipa aiin he natna hi an vei tam zawk.

Engtin nge hei hi i hriat chian?

I doctor chuan i natna lan chhuah dan emaw, test dang emaw avanga pulmonary sarcoidosis a rinhlelh chuan test engemaw zat a ti thei a, chungte chu:

• Chest X-ray: Hei hi test lian ber tih hmasak ber a ni. Lung leh lymph node hring (swellen lymph node)-a thil dik lo awm leh awm loh a enfiah thei a ni.
• CT scan: CT scan hian X-ray aiin a chiang zawk, cross-sectional image a siam thei a ni. Hei hian lung dinhmun chipchiar zawka hmuh theih nan a pui a ni.
• Pulmonary function testing: Hei hian i lung hnathawh that dan te, boruak i luh leh chhuah theih zat te, leh i thisena oxygen i lakluh theih dan te (e.g., gas diffusion test) te tehna atan machine chhungah i thlawh tir che a ni.
• Biopsy: Hei hi a natna hriat chian dan tha ber a ni. Hei hi lung atanga tissue te tak te emaw, lymph node hring emaw atanga lak chhuah a, microscope hmanga enfiah a, granulomas a awm leh awm loh enfiah a ni. He tissue sample hi bronchoscopy (tube te tak te, thawkna kawng chhunga camera dahna) tih hmanga lak theih a ni.
• Thisen test: Inflammation level, calcium level, kidney leh liver function, etc. te enfiah thin tur a ni a, a chang chuan angiotensin-converting enzyme (ACE) level hi enfiah thin a ni a, hei hi sarcoidosis-ah a sang thei a ni.
• A tul chuan specialized scan dang MRI emaw positron emission tomography (PET) scan emaw pawh tih theih a ni.

Pulmonary Sarcoidosis hi eng stage nge ni?

I test result, a bik takin i rilru X-ray-a i hmuh dan leh i symptoms te a zirin i doctor chuan natna hi stage a ruat thei a ni. Heng stage te hi asymptomatic atanga lung chhiatna nasa tak thlengin a awm a:

• Stage 0: Chest X-ray hi a pangngai vek tawh. Granulomas a awm tih hriat tur a awm lo. Symptoms a awm lo thei bawk.
• Stage I: Hril sir lehlamah hilar lymph node te chu a hring a, mahse lung tissue-ah chuan hmuh theihin chhiatna a awm lo. A tam zawkah chuan symptoms a awm lo thei.
• Stage II: Lymph nodes a lo hring a, lung tissue-ah granulomas a awm tih hriat a ni. Heng mite hian symptoms an nei thei a ni.
• Stage III: Granulomas hi lung tissue zawng zawngah a darh vek a, mahse lymph node-a hliam hi a tlahniam emaw, a awm lo emaw a ni thei.
• Stage IV: Hei hi a na ber stage a ni. Pulmonary sarcoidosis hian lung tissue a tichhia a.Permanent, reversible scarring, pulmonary fibrosis tia hriat chu a awm thin. Hei hian lung hnathawh a tichhe nasa hle.

Heng stage te hi natna nasat dan nen hian a inzawm tlat lo tih hre reng ang che. Mi thenkhat chuan stage I-ah pawh symptom na tak tak an nei thei.

Hei hi eng enkawlna nge ni?

Chanchin tha a awm! Pulmonary sarcoidosis vei zawng zawng hian enkawl an mamawh vek dawn lo. A tam zawkah chuan, a bik takin stage I-ah chuan, chu natna chu enkawl ngai lovin spontaneous remission-ah a kal thin . I doctor chuan rei vak lo a lo monitor mai ang che.

Mahse, i natna lan chhuah dan a nasat chuan, i lung hnathawh a nghawng a nih chuan, emaw, i mit emaw thinlung ang chi taksa peng pawimawh tak a nghawng a nih chuan enkawl a ngai a ni.

• Damdawi pek ber chu prednisone a ni . Hei hi corticosteroid chi khat a ni a . Taksa a inflammation leh immune system overactivity control nan hman a ni. Mahse, he damdawi hian hun rei tak hman a nih chuan side effects a thlen thei a, chu chu taksa rihna tihpun te, zunthlum vei theihna a tipung a, ruh a ti na thei a, chuvangin doctor chuan a dose tlem ber leh rei lo berah a pe ang.
• Prednisone tuar harsa, emaw, hun rei tak enkawl ngai emaw tan chuan doctor-te chuan damdawi dang, hetiang hi a rawt thei ang:
• Immune system titawp thei damdawi, methotrexate leh azathioprine te .
• Tumor necrosis factor (TNF) inhibitor, infliximab emaw adalimumab emaw ang chi te hi a ni. Hengte hi rheumatoid arthritis ang chi natna atan an hmang fo thin.
• A chang chuan antimalaria damdawi hydroxychloroquine ang chi hi vun leh ruh natna enkawlna atan an hmang thin.

A tlem hle a, natna khirh tak (stage IV)-ah chuan lung chhiatna nghet tak a awm a, thawk harsatna nasa tak a awm chuan a hnuaia mi hi a ngai thei a ni:

• Pulmonary rehabilitation: Exercise leh counselling programme bik neih a ni.
• Oxygen tihpunna tur .
• A tâwpah chuan lung transplant surgery an nei ta a ni .

Hei hi ven theih a ni em?

Vanduaithlak takin scientist-te chuan pulmonary sarcoidosis thlentu hi an la hre chiang lo hle a, chuvangin a ven dan tur finfiah a la awm lo. Mahse, thil ṭhenkhat chu boruak chhiatna, pesticide, leivut, leh hnim hring (mold) te nena inzawm a nih thu an sawi.Chutiang thil laka a theih ang anga inthiarfihlim a, boruak thianghlim awmna hmuna awm chuan i lung a hrisel theih nan a pui ang. Tin, meizuk hi pumpelh vek a pawimawh hle bawk.

Hei hi nunna atana hlauhawm a ni em? A thleng leh thei ang em?

Pulmonary sarcoidosis vei tam zawk, a bik takin a natna lanchhuahna a nasat loh chuan spontaneous remission ah an kal thin . Case dangte chu hun rei lote chhunga enkawl a nih chuan a reh vek a ni. Chutiang case chu nunna atana hlauhawm a ni lo.

Mahse, he natna hi rei tak a awm reng a, enkawlna a dawng tha lo a nih chuan lungah hian permanent scarring (fibrosis) a awm thei a ni. Chutiang a nih chuan lung hnathawh a ti tlem thei a, thawk harsatna a tipung thei a, a chang chuan mi dam rei zawng a ti tawi thei bawk.

Mi thenkhat chuan permanent remission an nei thei a, chu chu natna chu a bo vek tawh a, a lo let leh tawh lo tihna a ni.

Mahse, pulmonary sarcoidosis hi remission emaw, enkawl hlawhtling emaw hnuah pawh a lo lang leh thei a ni . Hei hi ‘flare-up’ an ti \hin. Chuvang chuan natna a lo tha chho zel a nih pawhin Doctor-in a sawi angin test neih chhunzawm zel a pawimawh.

Pulmonary Sarcoidosis natna avanga harsatna awm thei te chu engte nge ni?

Kan sawi tawh granulomas te kha a dam tha lo va, a awm reng chuan harsatna a thlen thei a, chu chu:

• Pulmonary fibrosis: Hei hi harsatna lian ber leh hlauhawm ber a ni. Lung tissue chu a hliam a, lung chu a nghet lo. Hei hian thawk a ti harsa a, lung a tichhe reng a ni.
• Bronchiectasis: Hei hi thawkna kawng chhunga boruak kalna (bronchi) te chu a zau zel a, a chhe vek a ni. Hei hian mucus a tipung thei a, lung infection a thlen fo bawk.
• Pulmonary hypertension: Hei hi lung lama thisen phurtu thisen kalna kawng (arteries)-a thisen sang a ni. Thinlung a nghawng thei bawk.
• Mit lama harsatna: Sarcoidosis hian mit a nghawng chuan uveitis ang chi condition a awm thei a, mit a fiah lo va, mit a tidel thei bawk.
• Lung natna: A tlem berah chuan thinlung a nghawng thei a, thinlung thawk mumal lo leh thinlung chak lohna ang chi dinhmun a thlen thei.
• Kidney-a nghawng a neih dan: Thisen a calcium level a san chuan kal lung a lo awm thei a, kal hnathawh a tichhe thei bawk.
• End-stage lung natna: Hei hi lung natna hnuhnung ber a ni. Hetah hian i lung hian i taksa atanga carbon dioxide a paih chhuak thei tawh lo va, i taksaah oxygen a pe thei tawh lo bawk.

Pulmonary Sarcoidosis vei angin engtin nge ka in enkawl ang?

Pulmonary Sarcoidosis i vei tih hmuhchhuah a nih chuan hlauthawng suh. Heng tips te hian i dinhmun hi i enkawl thei a, i dam leh thei a, nun hrisel tak i nei thei bawk:

• I lung tichhe thei thil lakah inthiarfihlim rawh. Leivut, chemical, paint fumes, pesticides, leh mold ang chi thil lakah inveng rawh. Meizial zuk suh. Midang meizukna hmunah (secondhand smoke) awm suh.
• Ei leh in tha tak, inthlau tak ei rawh. Thlai, thei, sangha thianghlim leh buh chi hrang hrang ei tam rawh. Processed foods, sugar leh thau tamna ei tur te tihtlem.
• Exercise neih fo thin ang che. I doctor hnenah eng exercise nge i tan a tha tih zawt la, ti rawh. Kea kal leh tui chawi ang chi thil hi a tha.
• I taksa rihna hrisel tak vawng reng rawh. Thau lutuk hian thawk lama harsatna i neih theihna a tipung thei a ni .
• I doctor nena test leh appointment ruahman zawng zawng chu a hun takah kal vek tur a ni. Thisen test te, lung function test te, X-ray te hi skip suh.
• Damdawi pek zawng zawng chu i doctor-in a hrilh ang chiah chiah, a pek hun leh a hun chhung zawngin ei vek rawh. Damdawi ei kha bansan suh la, nangmah chauhin a dose pawh thlak suh.
• I rilru hriselna kha uluk takin enkawl rawh. Hetiang natna neia nun hi a buaithlak thei hle. I doctor, chhungte leh i thiante hnenah i rilru put hmang sawipui rawh. A tul chuan psychiatric tanpuina zawng rawh.
• Symptom thar i neih emaw, i symptoms te chu a na zual deuh niin a lang a, a bik takin thawk dan inthlak danglam te, rilru na emaw, khuh na tak emaw i neih chuan doctor hnenah hrilh nghal rawh.

Engtikah nge damdawi lam thurawn ka lak ang?

I doctor chuan eng symptom nge i hriat bik tur tih leh a lo awm a nih chuan eng nge i tih tur tih a hrilh ang che. Heng symptoms te hi sarcoidosis awmna hmun azirin a danglam thei. Pulmonary sarcoidosis i neih chuan i thawk dan a danglam nghal a, i rilru na tak, thawk hah, thisen chhuak phlegm i neih chuan doctor pan nghal tur a ni. Tin, khawsik, taksa na, emaw, ni eng emaw zat chhung khuh chhunzawm zel i neih chuan doctor pan bawk ang che.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan vawiin a kan sawi tak pulmonary sarcoidosis hi a chhan hriat loh natna a ni a, chu chuan lung chhunga inflammation leh granulomas an tih lump te te a thlen thin. Mi tam zawk tan chuan a mah chauhin a reh a, a nih loh leh hun rei lote chhunga enkawl a nih chuan a dam tha leh thin. Chuvangin he thil hi a tul lovah hlauthawng leh lungkham suh.

A pawimawh ber chu khuh chhunzawm zel, thawk hah, rilru natna ang chi symptoms i neih chuan ngaihthah mai mai suh la , doctor pan la, checkup la. Hetiang natna chi hrang hrangah hian a hmaa hriatchhuah leh enkawl dan dik a pawimawh hle. Doctor thupek zawm te, i damdawi ei dik te, checkup neih fo te hian nasa takin a pui ang che. I doctor emaw chhungte emaw hnenah zawhna leh ngaihtuahna i neih apiang sawipui hlau suh. Positive takin awm la, hrisel takin awm rawh!

` Pulmonary Sarcoidosis, Sarcoidosis, Granulomas, Lung Natna, Thluak lama harsatna, Khuh, Inflammation, Pulmonary Fibrosis