I fate hian thawk harsatna a nei em? Reactive Airway Disease (RAD) chungchang hi han sawi ila!

I in chhungah hian tu emaw, nangmah ngei pawh ni se, nangmah ngei pawh ni se, thawk harsa tak, i rilru a buai ang maia inhria, leh thawk hahna thlentu fo thin, khuh chhunzawm zel tu emaw an awm em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? A chang chuan doctor chuan heng symptoms te hi an hmuh hian, "Hei hi `Reactive Airway Disease` emaw `RAD` emaw a ni thei" a ti mai thei. Chuvangin, "Aw, he natna thar hi eng nge ni?" Ngaihtuah buai suh, vawiinah hian `RAD` tih hi eng nge a nih, engtin nge a lo awm dan, a natna lan chhuah dan te, a enkawl dan tur te, awlsam takin i hriatthiam theih nan kan sawi dawn a ni.

Reactive Airway Disease (RAD) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, `Reactive Airway Disease (RAD)` hi natna a ni tih finfiah tawh a ni lo va, a hming bik pawh pek a ni lo. Hun eng emaw chen atana hming a ni zawk. Doctor-te chuan he thumal hi nangmah emaw, i fa emaw hian asthma ang chi thawk lama harsatna i neih hian an hmang a, mahse a chhan dik tak erawh hriat theih a ni lo.

Ngaihtuah teh, kan lung hian tube ang chi thil te tak te a nei a, chu chuan boruak a luh leh chhuah tir thin (heng tube hi bronchial tube kan ti a), chu tube te chu a lo hring leh a zim chuan thawk a harsa thin. Hei hi RAD-a thil thleng chu a ni.

Hriat tur pawimawh tak chu `Reactive Airway Disease (RAD)` leh `Reactive Airways Dysfunction Syndrome (RADS)` te hi natna hrang hrang pahnih a ni. Hmingte hi eng emaw chen inang mah se, heng dinhmun pahnih hi inthlau tur a ni lo. `RADS` hi a tlangpuiin gas tha lo (toxic gas) kan tawrh thut, sang tak hnua lo awm thin a ni.

Chuvangin, doctor-in `RAD` a tih hian, "Ni e, i thawkna kawngah thil dik lo a awm a, chu chu eng nge a nih chiah tih hriat tumin test tam zawk kan tih a ngai a ni," tihna a ni. A chang chuan Doctor ten `RAD` leh `Asthma` tih thumal hi a inthlak danglamin an hmang tih i hre thin a, mahse awmzia inang an nei lo. `RAD` tih hi definitive diagnosis siam a nih hma chuan hun eng emaw chen atana hming hman mai a ni.

RAD natna lan chhuah dan chu engte nge ni? Engtin nge i ngaih?

RAD vei chuan a natna lan chhuahna a nei thei a, chungte chu:

• Persistent cough: He khuh hi phlegm nen pawh a awm thei bawk.
• Thâwk harsa emaw, thawk harsa emaw (dyspnea): Thâwk lawk thei lo anga inhriatna leh thawk hahdam a ngai tih hriatna.
• Wheezing: Thâwk chhuah laiin rilru atanga "whooshing" emaw "whooshing" emaw ri chhuak.
• Chest tightness: I rilruah mi pakhatin a nawr ang maia rit tihna a ni.

Heng symptoms te hian i rilru a ti na hle thei a ni. A lan chhuah dan ber chu rilru tight leh thawk harsatna a ni.

RAD atana trigger awmte chu engte nge ni?

He thawk harsatna, doctor-te’n hun eng emaw chen `RAD` tia an sawi thin hi a lo awm theih chhan hrang hrang a awm a. Chung zinga ṭhenkhat chu:

• Allergy nei te chu:Leivut, pollen, ei tur thenkhat, leh ran vun ang chi thila allergy neih. Ngaihtuah teh, naupang tê ṭhenkhat chuan leivut rim an hriat emaw, ui bula an kal emaw hian an hrual nghal vek a ni lawm ni? Chutiang chu a ni.
• Bacterial emaw viral infection: Flu, khawsik, pneumonia ang chi natna hian thawkna kawng a ti na thei a.
• Chemical meikhu, rimtui, a nih loh leh meikhu: Thil rimtui chak tak thenkhat, insecticide meikhu, leh tui thianghlim atanga chhuak vapor te ang chi te.
• Meikhu: Meikhu chi hrang hrang, cigarette meikhu, thingpui lumna meikhu, leh lirthei meikhu.
• Exercise: Mi thenkhat chuan exercise an neih laiin thawk hah an nei thei.
• Khua a inthlak danglam: Thli lum tak tak, khaw lum lutuk, boruak lum takah awm, khaw lum inthlak danglam nghal.

Hengte hi RAD symptoms tipungtu ber an ni.

RAD hian eng chen nge a daih? A dam vek dawn em ni?

Hei hi chiang taka sawi a har khawp mai. A chhan chu `RAD` tih hming hi hun eng emaw chen atana hman a nih vang a ni a, a dam leh hun tur chu a hnuaia natna awm danah a innghat a ni. Doctor-in i natna lan chhuah chhan dik tak a hmuchhuak a, damdawi dik tak a pek hnuah, i dam theih nan eng chen nge a rei dawn tih an hrilh ang che.

He RAD natna hian tute nge a nghawng ber?

Dik tak chuan doctor chuan thawk harsa tu pawh a ko thei a, mahse a chhan erawh a chiang lo. Mahse, he thumal hi nausen leh naupang tê tê, lung function test nei thei lote tan hman a ni fo. Hei hi a chhan chu naupang hian heng test te ti tur hian hriatthiamna leh puihna level engemaw zat a mamawh a ni. Nausen tê tê tân hetianga tih a harsat avângin, Doctor-te chuan a natna lan chhuah dân a zirin hun engemaw chen `RAD` tiin an sawi ṭhin.

Engtin nge RAD hi hmuhchhuah a nih?

Nangmah emaw, i fain thawk harsatna i neih emaw, khuh reng reng i neih chuan doctor pan ngei ngei tur a ni. Doctor chuan i symptoms leh i medical history te, i chhungte zingah tu emaw chuan asthma history an nei em tih te a zawt ang che.

Tichuan, Doctor in a enfiah ang che. A bik takin, stethoscope (auscultation) hmangin i lung a ngaithla ang. Hei hian doctor chuan lung chhungah eng thawm nge hriat theih tih leh boruak kal pelh hian harsatna a awm leh awm loh a hriat theih phah ang. He initial examination zawhah hian doctor chuan test eng emaw zat dang tih belh leh turin a rawt ang a, chu chuan a natna hmuhchhuah chu a nemnghet ang.

Hei hi eng test nge ni?

Thâwk hahna chhan dik tak hriat nân doctor chuan test engemaw zât a ti thei a, chungte chu:

• Spirometry: Hei hi lung function test hman tlanglawn ber a ni. Thli i thawh chhuah leh chhuah rang dan a teh a ni. I thawkna kawngah blockage a awm leh awm loh hriat theih nan a pui thei a ni.
• Imaging test hrang hrang:Hengte hi painless test a ni. I lung, thinlung leh ruh chhung lam en turin an pui thin.
• Chest X-ray: Lung infection leh harsatna dang awm leh awm loh enfiah nan.
• Echocardiogram (echo): Thinlung hnathawh dan a enfiah thin. Thâwk hahna ṭhenkhat chu thinlung natna vang pawh a ni thei.
• CT scan (Computed Tomography scan): Lung leh rilru lam thlalak chiang zawk, chipchiar zawk hmu rawh.
• Thisen test: Thisen tlem te chu needle te tak te atanga lak chhuah a ni a, taksa chhungah natna hrik, allergy, inflammation chhinchhiahna a awm em tih enfiah a ni.
• Skin prick test: He test hi thil pakhata allergy i neih leh neih loh hriat nan tih a ni. Allergen chi hrang hrang tlemte chu vun hmun tlemteah hnawih a, vun chu a reaction awm leh awm loh enfiah a ni.
• ECG (ECG or EKG - Electrocardiogram): Hei hian i thinlung electrical activity a test thin. Hei hian i thawk hah lutuk chhan chu thinlung natna a nih loh nan a pui thei a ni.
• Pulse oximetry: Hei hi clip ang chi hmanrua te tak te, i kut zungtang chungah i dah thin a ni. I thisena oxygen awm zat a teh thin.
• Exercise testing: Hei hian exercise i tih hian i thisen oxygen level a tlahniam em tih a enfiah thin.

Heng test zawng zawng hi i symptoms awm chhan dik tak hriat nan tih a ni.

RAD hi engtin nge enkawl a nih?

`RAD` hi temporary label a nih avangin a hnuaia diagnosis atanga enkawl a ni. Chumi awmzia chu i doctor chuan i thawk harsatna hi asthma emaw, natna hrik emaw, natna dang emaw avanga lo awm a nih leh nih loh a hriat hmasak a ngai dawn tihna a ni.

Mahse, emergency-ah chuan thawk harsa tak a nih chuan doctor-te chuan heng ang enkawlna hi an hmang thei tihna a ni:

• Bronchodilators: Hengte hi inhaler kan tih chu a ni. Heng damdawi te hian thawkna kawng zim te chu a tizau a, thawk a awlsam phah a ni. Asthma leh COPD (Chronic Obstructive Pulmonary Disease) ang chi natna atan an hmang tlangpui.
• Oxygen therapy: Hei hian thawk a harsat hunah taksa tan oxygen mamawh zat a pe thei a ni.
• Epinephrine injection: Hei hi allergic reaction na tak (anaphylaxis) emaw, asthma attack na tak emaw a awm chuan pek thin a ni.
• Corticosteroids: Heng damdawi te hian lung chhunga inflammation a tiziaawm a. Asthma, COPD, leh allergy na tak enkawlna atan an hmang thin.

Albuterol hian RAD a pui em?

Albuterol hi bronchodilator chi khat a ni bawk. Thlawhna kawng tizau thei damdawi a ni. Asthma, COPD, leh exercise-induced bronchospasm enkawlna atan hman a ni. Amaherawhchu RAD awm chhan chu thil dang a nih chuan hei ringawt hian a tidam dawn lo. A chhan dik tak zawn chhuah a, enkawl a pawimawh.

RAD hi ven theih a ni em?

RAD symptoms i neih theihna tur tihtlem nan heng thilte hi i ti thei ang:

• I tana hlauhawm nia hriat allergen leh trigger te lakah hlat rawh. Entirnan, leivut allergy i neih chuan leivut tlemna hmunah awm la, i in chu uluk taka tifai rawh.
• Thlawhna kawng hring (doctor-in a pek chuan) a veng thei tur damdawi tha takin hmang thin ang che.
• Meizial i zu a nih chuan bansan vek la, midangte zukna hmuna hun hman loh tur.
• Chemical hmanga hnathawh a nih chuan mask emaw, thawkna laka invenna hmanraw dang emaw vuah tur a ni.

RAD i neih chuan eng nge i beisei ang? Nakinah eng nge thleng dawn?

Doctorin `RAD` i nei tih a hrilh che chuan thawk harsa i ti tihna a ni a, mahse a chhan dik tak erawh hriat a la ni lo . Lungngai suh. Doctor chuan a enfiah ang che, a tul anga test a run ang a, a chhan zawng chhuah a tum ang. Chumi hnuah chauh chuan enkawlna dik tak chu tan theih a ni ang.

A châng chuan, i chhûngkaw doctor chuan lung specialist (pulmonologist) hnenah a refer thei che a ni .

I dam lehna leh natna enkawl dan tur chu diagnosis dik takah a innghat a ni. Condition thenkhat chu tihdam vek theih a ni. Midang (COPD ang chi) chu chronic leh progressive an ni thei bawk.

Engtikah nge doctor i hmuh ang? Engtikah nge Emergency Department (ETU) ah i kal ang ?

`RAD` symptoms i neih chuan (khuh, thawk hah, rilru tightness), emaw, enkawl ni mahse i symptoms a lo tha lo a nih chuan doctor pan ngei ngei tur a ni.

Mahse, chutiang dinhmunah chuan Emergency Treatment Unit (ETU) hnai ber pan nghal la, a nih loh leh 1990 ah call rawh:

• Thâwk harsa i tih chuan (i en pawhin thawk a harsa hle tih i hmu thei).
• Thâwk lama harsatna (e.g. inhaler) damdawi hman chung pawha hahdamna a awm loh chuan.
• Thisena oxygen level a hniam hmel a nih chuan ( hmui leh kut zungtang blue a nih ang chi).
• Allergy na tak (anaphylaxis) chhinchhiahna i neih chuan hei hian a awmzia:
• Thâwk harsa na tak.
• Thisen sang tlahniam nghal.
• hmui a hring chhuak.
• Chak lohna thut.
• Thil hriatna hloh (syncope) emaw, muhil emaw.
• Buaina (i thil tih leh i awmna hmun hrethiam lo).

Hetiang hunah hian tihkhawtlai suh. Damdawi lam thurawn zawng nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei a, chutiang chuan i dinhmun hi i hrethiam zawk thei ang.

• Ka `Reactive Airway Disease` dinhmun hi eng nge ni?
• Hetiang dinhmun hi damdawi kimchang tak a awm em?
• Ka thawk a awlsam zawk nan eng nge ka tih theih ang?
• Eng damdawi nge i rawt?
• Engtin chiah nge he damdawi hi hman tur? (e.g., inhaler a nih chuan engtin nge hman dik ang).
• Pulmonologist ka hmuh a ngai em?

RAD, asthma leh COPD te hi eng nge an danglamna?

Heng hmingte hi a buaithlak deuh. Kan inhriat nawn tir leh ang u:

• Reactive Airway Disease (RAD): Hei hi hun eng emaw chen atana hming a ni. A awmzia chu thawkna kawngah thil dik lo a awm tihna a ni a, mahse a chhan dik tak erawh hriat a la ni lo.
• Asthma: Hei hi natna bik a ni. Hun rei tak chhunga awm thei a ni. Thlawhna kawng a ti na a, a tizau bawk. A châng chuan, mucus tam lutuk a awm thei bawk.
• COPD (Chronic Obstructive Pulmonary Disease): Hei hi natna chi hrang hrang hming a ni bawk. Hun rei tak chhunga natna engemaw zat, lung tichhe thei, thawk harsa, hun kal zelah a zual zauh zauh (e.g. chronic bronchitis, emphysema) te a huam a ni.

Chuvangin, doctor chuan a tir lamah chuan `COPD` symptoms chu `RAD` a ti thei a, diagnosis dik tak a awm hma loh chuan.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Tunah chuan `Reactive Airway Disease (RAD)` hi diagnosis bik a ni lo tih i hrethiam mai thei. Amaherawhchu, he thumal hi doctor-in a hman hi a pawi lo. I thawk harsatna chhan hi hriat a la ni lo tihna mai a ni a, test tul tak takte him taka tih a nih hma chuan diagnosis chiang tak pek theih a ni lo

Nangmah emaw, i fa emaw hian heng symptoms te hi i neih chuan hlauthawng suh la, doctor pan rawh. I mamawh kaihhruaina a pe ang che. I chhungkaw doctor-in a natna a hriat theih loh chuan lung specialist (Pulmonologist) hnenah referral dil rawh.

A pawimawh ber chu diagnosis dik tak neih a, enkawlna dik tak tan hi a ni. Tichuan i dam thuai thei ang.

` Reactive Airway Disease, RAD, thawk harsa, thawkna lam natna, Asthma, lung, naupang hriselna, khuh, thawk hah