I hnar kha two-lane road angin ngaihtuah rawh. Heng lane pahnih—i hnar kawngkhar—te inthenna kulh hi ‘septum’ an ti a. Cartilage leh ruh atanga siam bang te tak te, nghet tak a ni . He wall hi hnar pakhat chu tlem a inkharkhip pawhin hahdam taka thawk theihna a ni.
A châng chuan, he kulh chhungah hian khur a lo awm thei bawk. Damdawi lam hawi chuan hei hi Nasal Septal Perforation kan ti a. Chutiang perforation i neih chuan hnar thisen chhuak fo i nei thei a, i thawk laiin whistling sound i hmu thei bawk. I doctor chuan he natna hi ‘endoscope’ hmangin a hmuchhuak tlangpui ang a, chu chu tube te tak te, flexible tak, a tawpah camera awmin i hnar chhung lam en turin a awm ang. Hole hmuh a nih chuan enkawlna i mamawh reng reng lo mai thei, mahse a natna lan chhuah danin a tibuai che a nih chuan operation hi a hlawkthlak hle thei a ni.
Engin Nge Nasal Septal Perforation A Tih?
I septum-ah hian khur a awm theih chhan hrang hrang a awm. A chhan tlangpui thenkhat han thlir ila:
| Chhan | Hrilhfiahna |
|---|---|
| Digital Trauma hmanga thil tih a ni | I hnar chhunga picking emaw scratch emaw fo hian septum a tichhia thei. |
| Substance Hman Dan | Cocaine ang chi snorting substance hian septum-a thisen kal chu a tikhawtlai thei a, tissue chu a ti chhe thei a ni. |
| Hnar Surgery neih a ni | A tlem berah chuan septoplasty ang chi procedure hnuaiah hian complication angin hole a lo awm thei a ni. |
| Hnar hmanga Spray hman thin | Damdawi lam enkawlna tel lovin hun rei tak chhung decongestant emaw corticosteroid nasal spray emaw hman tam lutuk. |
| Thil Dangte | Hnar piercing, hnar a hliam, chemical tha lo tak tak nena inzawmna, emaw, a hnuaia malignancies awm te. |
Tin, `(Tuberculosis)`, `( Sarcoidosis )`, `(Syphilis)`, leh `(Wegener’s granulomatosis)` ang chi natna tlemte hian septal holes a thlen thei bawk. Breast cancer atana hman damdawi thenkhat , `( Bevacizumab )` te pawh chemotherapy nena hman dun chuan a hlauhawmna a tipung thei bawk.
Non-Surgical Treatment duhthlan tur awm thei
I septum-ah khur i hmuh chuan i doctor nen inbia ang che. Symptoms buaithlak tak tak i neih loh chuan enkawlna engmah i mamawh lo mai thei.
Mahse, perforation a awm chuan i hnar chhung chu a vawt thei a, a ti na thei a, chu chuan hnar thisen a chhuah fo thei a ni. Chu khur kil vel chu crusting i hmu thei bawk a, chu chu lakchhuah a nih chuan thisen a chhuak thei bawk.
Hei hi enkawl dan awlsam ber leh tangkai ber chu i hnar kawng hnim hring ( nasal passages ) hnim taka dah hi a ni . Over-the-counter saline nasal spray hman hi tui vawn thatna tha tak a ni.
Thil dang tih theih chu i doctor-in ‘nasal button’—a zung kha khuh tura siam, plastic device nem, flexible, medical-grade a siam chu a dah lut a ni. Research atanga a lan dan chuan heng button te hian thisen chhuah, crusting, leh whistling sound ang chi symptoms te chu nasa takin a tihziaawm thei a ni.
Surgery neih a ngai em?
Chu khur chuan lungngaihna nasa tak a thlen a nih chuan—thisen chhuak reng, thawk harsa, a nih loh leh whistle tibuaitu ang chi—chuan, operation hmanga siam ṭhat a ngai mai thei.
Procedure neih chhung hian i surgeon chuan i hnar emaw taksa hmun dangah tissue chi khat a la thei a, chu chu a khur chungah a graft thei a, a khuh theih nan ‘flap’ a siam thei bawk. He surgery hi general anesthesia hmangin i mutthilh vek laiin tih thin a ni.
Septum siamthat nan hian surgical technique hrang hrang a awm a. Thil tih dan thenkhatah chuan stage hnih a awm a. Entirnan, `(Inferior turbinate flap)` tih danah chuan operation hmasa ber atan damdawi ina awm a ngai a. Outpatient setting-ah local anesthesia hmangin follow-up procedure tih theih a ni a, chuvangin chu ni vek chuan in lamah i haw thei bawk.
Surgery Hnuaia Beisei Tur
I operation hnuah i hnar chu darkar 48 vel gauze-in a khat mai thei. Ṭhenkhat chu thisen chhuah tlem leh hrehawmna hi dam lai hian a pangngai a ni. I doctor chuan thupek list a pe ang che, mahse hei hi hriat reng a pawimawh:
- Decongestant hnar spray emaw tablet emaw hman loh tur.
- Caffeine emaw stimulant emaw ei loh tur.
- Meizial zu kha bansan la, secondhand smoke lakah hla takah awm rawh.
A pawimawh ber chu i doctor-in operation hnua a thupek kha khauh taka zawm hi a ni. Chutianga tih loh chuan siamthatna chu a tichhe thei a, a bik takin khur lian zawkah chuan. Chutiang a nih chuan lungngai suh—a tam zâwk chu tih dân dang hmangin siam ṭhat leh theih a ni.
Take-Home Thuchah a ni
- Septal perforation hi asymptomatic a nih chuan enkawl a ngai ngai lo.
- Whistling reng reng, thisen chhuak tam tak, crusting i neih chuan ENT specialist hnenah appointment siam rawh.
- Surgery ni lo treatment saline spray leh nasal button te hi symptoms enkawlna atan a tangkai hle.
- I natna lan chhuah dan a nasat chuan surgical repair hian damna nghet tak a pe thei a ni.
- I surgeon-in operation hnua a thupekte chu uluk takin zawm la, damna tha ber i hmu thei ang.
Hnar perforation, Hnar Septal Perforation, Hnar thisen chhuak, Septal surgery, Septum, Hnar whistling, ENT
