Thâwk harsa leh thawk hah (Subglottic Stenosis): Hemi chungchang hi han sawi ila!

I fate hian a chang chuan an thawk chhuah hian whistling ri a siam thin em? A nih loh leh, chhan hriat lohvin thawk harsa i ti fo va, i rilru a buai ang maiin i inhria em? Mi tam takin hei hi thil pangngai anga an ngaih laiin, a châng chuan ngaihtuah tûr thil chhinchhiahna a ni thei bawk. Vawiin hian chutiang dinhmun hmuh tur awm lo mahse pawimawh tak pakhat chu kan sawi dawn a ni. Subglottic Stenosis an ti a. A hming hi a hlauhawm deuhin a lang thei a, mahse a awlsam zawngin i dah ang u.

Subglottic Stenosis tih hi eng nge ni?

A awlsam zawngin, Subglottic Stenosis hi kan thlipui (trachea) chunglam, bronchi . Hei hi kan vocal cord hnuai chiahah a awm a. A hming ang bawkin "Subglottic" tih awmzia chu vocal cord hnuai lam tihna a ni. "Stenosis" tih awmzia chu narrowing tihna a ni.

Hei hi hriatthiam dan tha ber chu drinking straw entirnan a ni. In tur straw atanga tui i in lai kha han mitthla teh. Straw chu a inhawng zau chuan awlsam takin tui i in thei ang. Mahse, straw chu tlem tal i khauh a, i ti tawi zawk a nih chuan eng nge thleng ang? Tui chhuak zat a tlahniam. I khauh lehzual chuan tui chhuak chu nasa takin a tlahniam a, a chang chuan tui tlemte lo chhuak chu thawm ri nen a chhuak tan thin. Chu chu he dinhmunah pawh hian a thleng thin. Thli kawng a zim chuan lung chhunga boruak lut chu a tlahniam a. Hei hian thawk harsatna a thlen thei a, whistling sound a siam thei bawk.

Hetiang dinhmun hi a awm fo em?

No. Hei hi a takah chuan thil awm lo tak a ni . Mi sangli (400,000) zinga pakhat velin a nghawng a ni. Chuvangin mi tam takin an hre lo mai thei. Mahse nangmah emaw, i fa emaw hian heng symptoms te hi i nei a nih chuan fimkhur a pawimawh hle.

Eng nge a lan chhuah dan?

Heng natna lan chhuah dan hi thawkna kawng a zim dan azirin a na lo thei a, a na lo thei a, a na thei bawk. Heng symptoms te hi naupang te leh puitling te zingah engtiang chiahin nge a danglam tih i lo en ang u.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Subglottic stenosis hi chhan hrang hrang a awm thei. A châng chuan, a chhan engmah hmuh theih a ni lo.

• Congenital Subglottic Stenosis: Nausen thenkhat chu an piang a, thawkna kawng a zim a. Hei hian pian hnu lawkah symptoms a lantir fo thin.

• Acquired Subglottic Stenosis: Hei hi a natna tlangpui a ni . Nau pian hnuah eng emaw chhan vangin thawkna kawng a zim tihna a ni. Hei hi a chhan chu:
• Hun rei tak ventilator-a awm: Mi damlo nasa tak chu intubate-in ventilator-ah an thlunzawm theih nan an thlunzawm thin. Kar hnih aia rei ventilator-a an awm a ngai a nih chuan tube hian thawkna kawng lining nalh tak chu a tichhia thei a, an dam chhoh zel chuan scar tissue a siam a, thawkna kawng a ti tawi thei bawk.
• Thlawhna kawng hliam: Kawr emaw, rilru emaw a hliam na tak chuan thawkna kawng a tichhe thei a ni.
• Damdawi lam thil thenkhat: Autoimmune disorder awm lo tak tak emaw, vasculitis ang chi natna emaw hian thawkna kawng a ti na thei a, a tizau thei bawk.

• Idiopathic Subglottic Stenosis: A chang chuan, a bik takin puitlingah chuan he natna hi a chhan chiang tak hmuh tur a awm lo. A bik takin hmeichhia kum 30 leh 60 inkar ah a tam hle .

Engtin nge doctor hian he natna hi a hriat theih ang?

Heng symptoms te hi i doctor hnenah i hrilh chuan taksa enfiahna a nei ang. I medical history leh symptoms te a zawt ang che. Subglottic stenosis nia rinhlelh a nih chuan beng, hnar leh rilru lam specialist (ENT specialist emaw otolaryngologist) hnenah a refer mai thei che a ni . Specialist chuan a natna hriat chian nan test eng emaw zat a ti thei a ni.

Enkawlnate chu engte nge ni?

Hei hi thil awm lo tak a nih avangin enkawlna pakhat chauh a awm lo. Enkawlna chu damlo kum, a natna nasat dan leh a chhan ang chi thil hrang hrangah a innghat a ni.

Mild condition tan chuan

A natna chu a na lutuk lo va, chu chu thawkna kawng chu a zim deuh chauh tihna a nih chuan, i doctor chuan a enkawl nghal lo mai thei che a, mahse continuous monitoring -ah a dah thei che a ni Hei hian i dinhmun a chhe zual em tih hriat nan hunbi neia check che tihna a ni.

Enkawlna hmasawn zawk

• Steroid Injection pek dan: 1.1.Hei hi first-line treatment atan hman theih a ni. Hetah hian local anesthesia hmangin kawng leh thawkna kawng chu an numbed a, kawr kaltlangin steroid injection hmangin thawkna kawng zim takah an lut a ni. Hei hian swelling leh scar tissue tihziaawmna kawngah a pui thei a ni. Hetiang injection series hi kar 4-6 danah pek thin a ni.

• Surgery: A natna a nasat emaw, enkawlna dang a hlawhtlin loh chuan surgery neih a ngai mai thei. Surgery chi hrang hrang a awm a.
• Endoscopic Dilation: Hetah hian endoscope hmangin a hmun zau takah balloon te tak te dahin, a hmun zau zawka tihzauh nan inflated a ni. Mahse, hei hi a tam zawkah chuan solution nghet tak a ni lo. Hun kal zelah a narrowing chu a lo kir leh thei a, chuvangin tih leh a ngai mai thei.
• Cricotracheal Resection: Hei hi surgery buaithlak zawk a ni. Chutah chuan vocal cord hnuai lam a tawi zawng chu a chhuak vek a, a chhuak vek a, a bak hrisel pahnih chu a inzawm leh ta a ni. Hei hian tihdamna nghet tak a thlen thei fo.
• Endoscopic Laryngotracheoplasty: He surgery-ah hian damlo taksa peng dang (e.g., a rib) atanga lak chhuah cartilage piece te chu a hmun zau takah dahin boruak kawng zau zawk siam a ni. Hei hi Laryngotracheal Reconstruction an ti bawk.

Enkawl hnuah eng nge thleng?

A tam zawkah chuan enkawl vat leh uluk taka enkawl a nih chuan he natna hi a thunun tha thei a, a then phei chuan tihdam theih a ni bawk. Mahse, hriat reng tur pawimawh ber chu a châng chuan he dinhmun hi a lo lang leh thei tih hi a ni . Hetiang a nih chuan natna lan chhuah dan a zual hmaa enkawl nawn leh a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw i fa emaw chu Subglottic Stenosis vei enkawl i nih a, thawk harsa leh thawk hah (stridor) ang chi symptoms a lo awm leh tih i hriat chuan tihkhawtlai suh la, doctor pan nghal rawh. A hmaa hriatchhuah hian a natna a zual hmain a control thei a ni. Tin, heng symptoms te hi i hriat hmasak ber chuan a pangngai anga ngaihthah ai chuan doctor thurawn lak a pawimawh hle bawk.