Ei leh in pawh a rukin i ei ve em? Silent Aspiration chungchang hi han sawi ila!

Kan ei emaw, kan in emaw hian kan chok tlem hi thil pangngai a ni. Mahse, a châng chuan ei leh in ang chi thilte hian kan thawkna kawngah kan khuh emaw, kan lungawi lohna emaw pawh kan hre lo thei tih i hria em? Chu chu "silent aspiration" kan tih chu a ni. Hei hi fimkhur tur a ni a, a bik takin naupang tê tê nei nu leh pate tan chuan fimkhur tur a ni.

Silent Aspiration chu eng nge ni?

A awlsam zawngin sawi ila, ``Silent Aspiration`` chu tum loh taka i thlipui (trachea)-a ei tur, in tur, hmui emaw, pum acid emaw i inhnim luh hi a ni. A tlangpuiin kan ei hian kan hmui leh kan kawr chhunga nerve leh muscle te hian an thawk dun a, ei tur chu thlipui chhungah ni lovin, pum chhungah an nawr lut nghal a ni. Kan rilru chung lamah hian flap te tak te a awm a, chu chu ``Epiglottis`` an ti a. Kan ei hian he flap hi a khar a, thlipui chu a khuh a ni. Chuvangin heng nerve, muscle leh ``Epiglottis`` te hian hna an thawk tha a nih chuan ei tur chu pum chhungah a lut a, boruak chu lung chhungah a lut bawk.

Mahse ``Silent Aspiration'' nei chuan a khuh lo va, heng thilte hi thlipui tleh chhungah a lut tih a hre lo. Chuvang chuan "silent" tih thumal hi a belhchhah a ni. Chutiang chuan ei leh in, leh hmui chauh ni lovin, mi thenkhat tan chuan stomach acid (acid gastritis ang chi condition-a rilru chhunga lo lut - ``Acid Reflux'') chu a rukin thlipui chhungah a lut thei a ni.

Hei hian taksaah eng nge a tih?

A chang chuan thil te tak te, thawkna kawngah a tlakbuak thin hi harsatna lian tak a ni lo mai thei. A tam zawkah chuan kan taksain a khuh chhuak thin.

Mahse ``Silent Aspiration'' i neih chuan a thleng tih emaw, eng chen nge a thleng fo tih emaw i hre lo mai thei. Hetiang hian i thawkna kawngah tui i lut zel a nih chuan ``Aspiration Pneumonia'' tih natna i nei thei a, chu chu i lung chhunga natna hrik a ni. Enkawl that loh chuan ``Aspiration Pneumonia'' hi a hlauhawm hle thei a ni.

Silent aspiration hian eng symptoms nge a neih?

``Silent Aspiration'' nei te hian symptom an nei lo thei. Mahse, symptoms a awm chuan i – emaw i fate – kum a zirin a danglam thei. Naute naupang ``Silent Aspiration'' nei te hian natna lan chhuah dan te chu:

• I thawk dan a sang emaw, nau i hnute i pek laiin i thawk i la thei emaw a ni.
• Chhan awm lovin khawsik tlem i nei fo a, a nih loh leh thawkna kawngah natna i nei fo a, a bik takin lungah natna i nei fo bawk.
• Bawnghnute in hi an duh lo va, bottle emaw, hnute hnute emaw a\angin an hmai an hawitir a.
• Bawnghnute in zawh chuan aw ah hian "wet" ri a awm a, a chhungah hian mucus awm ang maiin a awm a, a nih loh leh tap laiin chutiang thawm a awm bawk.

Naupang kum upa zawk leh puitlingte chuan ``Silent Aspiration'' an neih chuan a hnuaia symptoms te hi an nei thei a ni:

• Chaw ei laiin thawk chakna a sang hle.
• Ka kawchhung ah thil eng emaw a inkhung ang maiin ka hria.
• Naupang tê tê chuan an ei thei lo tih an sawi a, an duh lo.
• Ka hnar chu ka ei zawh hnuah a khuh a, mahse rei vak lo hnuah a bo vek.
• Chhan awm lovin rattling sound a awm a, thawk chhuah laiin thawm a awm bawk.
• Chaw ei zawh chuan kawchhungah mucus awm ang maiin aw a inthlak thin.
• Thluak lam natna, bronchitis ang chi hi a awm fo thin.

Eng thilin nge hei hi a thlen?

``Silent Aspiration'' a awm theihna chhan tam tak a awm. A châng chuan chhan hriat lohvin a thleng thei a, a thleng mai thei bawk. Mahse a tam zawkah chuan damdawi lam natna nei, ei leh in tur tibuaituah hmuh tur a awm. Entir nan:

• Cleft hmui emaw, cleft palate emaw.
• Chaw ei harsa (Dysphagia) emaw vocal cord paralysis emaw.
• Gastroesophageal Reflux natna (GERD) a awm a, a rilru a hah hle. Hetiang natna vei te hian an hriat lohvin stomach acid chu thlipui chhungah a luang lut thei a ni.
• ``Laryngomalacia.`` tih hming pu condition Hei hian naute larynx (voice box) a nghawng a, ei harsatna a thlen thei a, ``GERD.`` vei theihna a tipung thei bawk
• Thluak leh nervous system nena inzawm harsatna. Entirnan, Cerebral Palsy, Multiple Sclerosis (MS), seizures, emaw, a hmaa thluak hliam emaw, stroke emaw ang chi natna te.
• Damdawi lam thil dang avanga rilru hnuai lama tube dah. Entirnan, nasogastric tube emaw tracheostomy tube emaw.

Tute nge hetiang hi vei theihna hlauhawm zawk?

He natna ``Silent Aspiration'' an tih hian naute te atanga tar thlengin a nghawng thei a ni. Mahse, tu nge hlauhawm ber tih hi han en ila:

• Nausen naupang: Nausen hian an kawr a na tih emaw, ei harsa an tih thu emaw an hrilh thei lo. Chuvangin ``Silent Aspiration'' an nei em tih hriat a harsa khawp mai. Tin, liquid foods an ei fo avangin solid foods aiin liquids hi airway-ah a lut awlsam zawk bawk.
• Natna rei tak nei emaw, chak lohna nei emaw: Natna tam tak, multiple sclerosis (MS) emaw epilepsy emaw te hian i ei theihna a nghawng thei a ni. Heng hriselna lama harsatna siamtute hian silent aspiration a tipung a ni.
• Tarte: Kum upa lamah hian dementia leh stroke ang chi natna hi a awm fo thin. Chûngte chuan i ei dân a tidanglam thei a, i rilruah thil a awm tih i hriat loh phah thei bawk.

Engtin nge hei hi i hriat chian?

Silent aspiration i hmuhchhuah hunah i doctor-in a tih hmasak ber tur chu i hnar, i hmui leh i lungte enfiah a, i medical history sawiho hi a ni. I naute hian heng symptoms te hi a neih chuan i doctor pawhin test ang chiah hian a tan mai thei.

A tul chuan doctor chuan i rilru chhung lam en tur leh i ei dan enfiah turin test thenkhat a ti thei ang. Nang emaw i naute emaw hian hetiang test hi neih a ngai mai thei:

• Chest X-ray hmanga lak chhuah:Hei hi test hrehawm lo tak a ni. I lung leh i rilru thlalak a la thin. I lung chhunga pneumonia awm leh awm loh a enfiah thei a, i rilru leh thawkna kawng chhunga thil awmte a en thei bawk.
• Fiber-optic Endoscopic Evaluation of Swallowing (FEES): He test-ah hian doctor chuan i hnar atanga camera dahin tube te tak te a dah lut a. Hei hian i ei laiin i rilru chhungril a hmu thei. A châng chuan, i ei tûr chu chiang taka hmuh theih nân tui bik in tûr i pe thei bawk.
• Laryngoscopy: Hetiang tih danah hian doctor chuan i rilru chu camera hmanga thuam tube te tak te hmangin a en thin.
• Upper GI series: He X-ray hma hian liquid (barium) in tur i pe ang a, chu chu X-ray-ah a lang chhuak thin. Hei hian GERD ang chi natna thlen thei digestive system-a harsatna zawng turin a pui thei a ni .

Hei hi engtin nge enkawl a nih?

``Silent Aspiration'' enkawl hian a hmasa ber chu a chhan bulpui (underlying condition) enkawl hi a ni. Entir nan:

• GERD i neih chuan i doctor chuan i rilru chhunga acid luang chhuak lo turin damdawi a pe thei che a ni.
• I naute hian hnute a pek laiin aspiration na lo tak a neih chuan i doctor chuan i naute chu chaw pek laiin dinglam hawia vawn turin a rawt thei ang. Hetiang dinhmun dinglam hian i naute chu hnute hnute emaw formula emaw awlsam zawka ei turin a pui thei a ni.
• Naute hnute tui emaw, formula emaw ei fo thinte chuan ei leh in tur siam danglam (modified diet) a mamawh thei a, chu chu chaw thicked (thickened feeds) nen a ni. An natna a nasat chuan hnar emaw, pum emaw kaltlangin temporary feeding tube an dah a ngai mai thei. A tlangpuiin nausen a ei that theih hunah doctor ten tube hi an la chhuak thin.
• Mihring hmui emaw, hmui emaw cleft nei chuan vawi khat surgery hmanga siamthat a nih chuan a ei pangngaiin a ei thei a ni.

A chhan bulpui ber a enkawl hnuah i doctor chuan i ei theihna a ṭhat leh ṭhat loh enfiah turin test dang a ti leh thei ang.

Silent Aspiration hi a veng thei ang em?

``Silent Aspiration'' tih loh dan tur chiang tak a awm lo. Mahse i doctor pan fo leh check reng reng hian nangmah leh i naute chu i hrisel thei a ni. I hriselna emaw, i naute hriselna chungchangah rinhlelhna i neih chuan i doctor nen inbia ang che. I doctor chu hriselna lama harsatna laka invenna tur leh a tul huna enkawlna pe turin a awm reng a ni.

A pawimawh ber chu, rinhlelhna i neih chuan, a tlem ber pawh nise, Doctor nena inbiakna neih hi a ni.

(Silent Aspiration) ka neih chuan eng nge thleng ang?

Nauteah chuan ``Silent Aspiration'' hi an lo puitlin chuan a mah chauhin a bo thei. Mahse, i naute emaw, i naute emaw natna lan chhuah dan hi damdawi lam dinhmun bik avanga lo awm a nih chuan, a chhan hmasa ber chu eng nge ni tih hriat hi a ni.

A chhan hi uluk taka enkawl a nih chuan ``Silent Aspiration'' hi tihdam theih a ni fo a, nun hrisel tak i hmang thei bawk. I dinhmun enfiah turin i doctor hnenah i hmuh fo a ngai em tih zawt rawh.

Engtikah nge Doctor ka hmuh ang?

I naute hian choking symptoms a neih chuan, emaw, i naute hian ``Silent Aspiration'' a nei thei nia i ngaih chuan i naute doctor pan nghal rawh. Tin, i naute rih zawng enfiah la, doctor-in a rawt angin hriselna endik turin kal rawh. Hei hian i naute hian a mamawh ei tur a hmuh theih nan a pui thei bawk.

GERD symptoms i neih emaw, ei harsat emaw i neih chuan doctor pan turin appointment siam rawh. Test dik tak i neih a, i hriselna dinhmun i enkawl chuan silent aspiration leh harsatna dangte i veng thei a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

I naute hian a hnuaia mite hi a neih chuan emergency medical attention zawng nghal rawh:

• Vun a rawn sen chuan.
• Thâwk harsa i neih chuan.
• Naute thla 3 aia upa lo a nih chuan 100.4 degree F (38 degree C) aia sang, emaw, naute thla 3 leh kum 3 inkar a nih chuan 102.2 degree F (39 degree C) aia sang a ni.
• Mut atanga thawh har a nih chuan.

Heng symptoms te hi i neih chuan emergency treatment zawng nghal rawh:

• Normal taka i ei theih loh chuan.
• Thâwk harsa emaw, thawk hah emaw i tih chuan.
• I rilru natna i neih chuan.
• Chaw emaw thil emaw i rilruah emaw, thlipui tleh emaw-ah a tang tih i hriat chuan.

Silent aspiration hi thil hlauhawm tak a ni thei a, a bik takin i naute a nghawng chuan. Mahse thu lawmawm tak chu a chhan bulpui enkawlna hmangin silent aspiration hi control emaw tihdam emaw theih a ni. I naute nerve leh muscle te a lo thang lian a, hnathawh dun a zir chuan a chang chuan a mah chauhin a tha chho thin. Eng pawh ni se, i doctor chu i mamawh test leh enkawlna i neih theih nan a pui turin a awm reng a ni. I ngaihtuahnate chu a hnenah sawipui rawh. Tichuan, nang leh i naute chu hrisel taka nunpui turin ruahmanna i siam thei ang.

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

Okay, chuti a nih chuan tunah chuan kan sawi thin, ``Silent Aspiration'' tih hi i hrethiam zawk tawh ang. A pawimawh ber chu nangmah emaw, i naute emaw hian heng symptoms te hi i nei nia i rinhlelh chuan a rang thei ang bera doctor pan hi a ni. A châng chuan thil pawi tak a ni lo thei a, mahse chutiang nia ngaih ai chuan doctor-a enfiah chu a finthlâk zâwk.

• Naute hnute i pek dawnin an thawk dan leh a aw hi ngaihven la.
• Khawsik emaw, thawkna lama natna i neih fo chuan chu pawh chu fimkhur rawh.
• Puitling i nih chuan ei harsat leh ei zawh hnua a inthlak danglam thin te fimkhur hle ang che.
• A chhan chu eng pawh ni se, enkawlna a awm. Chuvangin hlauthawng suh.

I hriselna leh i chhungte hriselna hi a pawimawh a, chuvangin hetiang thil hi fimkhur a pawimawh hle.

` Silent Aspiration, Chaw ei harsa, Aspiration Pneumonia, Naupang hriselna, Thluak lama harsatna, Chaw ei duhna