Nang pawhin thawk harsa i ti em? Tracheal Stenosis vang a ni em? I chhui chiang ang u!

A châng chuan stairs i chhoh emaw, tlem tal i kal emaw hian thawk harsa tak niin i hria em? A nih loh leh, i thawk lai, a bik takin i thawk chhuah leh i thawh chhuah hian i rilruah whistling thawm i hre em? I naute te chu thawk a la chhuak a, bawnghnute a in laiin a chau hmel hle mai thei? Heng thilte hi ngaihthah mai mai suh. A chhan chu an hnungah hian damdawi lam chhan a awm thei a ni. Chu chu chutiang dinhmun pakhat chu vawiinah hian kan sawi dawn a ni. Chu chu Tracheal Stenosis a ni .

A awlsam zawngin, Tracheal Stenosis chu eng nge ni?

He hming hian hlauthawng suh. Hei hi awlsam takin i hrethiam ang u. I thlipui, chu chu thlipui kan tih lai (Mizo tawngin `Trachea`) a ni a, chu chu kan hnar leh ka atanga boruak kan luh chu kan lungah a hruai lut thin. Tui dahna atanga tui phur pipe ang mai a ni. Tunah chuan han ngaihtuah teh, he pipe hi eng emaw chhan vanga a chhung lam atanga a zim emaw, a block emaw a nih chuan eng nge thleng ang? Tui luang chu a tlahniam a ni lawm ni? Chutiang chu a ni.

Tracheal Stenosis chu eng emaw vanga i thlipui a zim a nih chuan a ni. He narrowing hi infection vang emaw, hliam vang emaw, scar tissue lo thanglian vang emaw a ni thei. Hetianga thlipui (windpipe) a zim chuan lung chhunga boruak lut tur hmun a tlem phah thin. Hei hi thawk harsatna a awm lai a ni.

"Stenosis" tih hi damdawi lam tawngkam a ni a, taksa chhunga tube emaw passage emaw a tawi lutuk tihna a ni. Hei hi kawr chhung hmun hrang hrangah a thleng thei a ni.

• Laryngotracheal Stenosis: Hei hian thlipui (trachea) leh voice box (larynx) te chu a tawi vek a.
• Subglottic Stenosis: Hei hi vocal cord hnuai lam, mahse thlipui chunglam a tihtlem a ni.

Hetiang dinhmun hi a thlen theih dan tlangpui pahnih a awm.

Tracheal stenosis hi chi hnih ah then theih a ni.

1. Acquired Tracheal Stenosis: Hei hi a tam ber a ni. Kan dam chhunga natna, hliam emaw, thil dang emaw avanga lo awm a ni. Puitling leh naupangah pawh a awm thei.

2. Congenital Tracheal Stenosis (CTS): Hei hi nau piang laia awm thin a ni. A tlem hle. Naute 64,500 zinga pakhat velin a vei a ni. Mahse, nausen te tak te tan chuan a hlauhawm hle a, nunna atana hlauhawm tak a ni. A tam zawkah chuan he natna hi pian tirh emaw, a pian tirh atanga thla engemaw zat chhungin hmuhchhuah a ni.

Nausen piang thar tanHei hi emergency a ni. I naute chu thawk a harsat emaw, thawk harsatna chhinchhiahna a lantir emaw a nih chuan damdawi in emergency room (ETU)-ah rei vak lovah hruai thin ang che.

Mahse, chi hnih hian thawk harsatna a thlen a ni. I nunphungah nghawng lian tak a nei thei a ni. Chuvangin nangmah emaw i fa emaw hian he natna hi i nei tih rinhlelhna tlemte pawh i neih chuan doctor pan a pawimawh em em a ni.

Tracheal Stenosis natna lan chhuah dan chu engte nge ni?

Heng symptom tam tak hi puitling leh naupang tan pawh a awm fo thin. Heng symptoms te hi eng nge ni tih han thlir ila.

Naupangte tana mizia bik

A chunga kan sawi tak symptoms bakah hian naupangte hian symptom bik dang engemaw zat an nei thei bawk.

• Nausen piang thar: Nu hnute tui emaw, bottle emaw atanga chaw pek harsatna an nei thei. Chaw an pek hnuah pawh a danglam bik takin an chau niin an lang thei bawk.
• Naupang kum upa zawk: Chaw ei laiin a choke thei a, thawk pawh a harsa thei bawk.
• Naupang kum upa zawk: Hnar vel vun leh hmui rawng dum (`cyanosis`) a rawn inthlak danglam (`cyanosis`) a awm thei. Hei hi thisenin oxygen a hmuh tlem vang a ni.

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

A hmaa kan sawi tawh chi hnih hi thil chi hrang hrang avanga lo awm a ni.

Pianpui natna (CTS) awm chhan: 1.1.

Hei hi naute thlipui siamtu ruh (cartilage) a lo thang tha lo a, chu chuan naute thlipui (windpipe) chu a pian tirh aiin a tlangpui aia a zim phah a ni.

Nun chhunga natna lo awm chhan: 1.1.

Hei hi a chhan ber leh langsar ber chu hun rei tak chhung intubation a ni. Intubation tih hi eng nge ni? Thâwk harsa a awm chuan damlo thawk a ṭanpui theih nan ka emaw hnar emaw hmangin thlipui chhungah tube an dah a ni. Hei hi nunna chhanhim thei damdawi a ni. Mahse, a chang chuan he tube hi thlipui chhungah a awm avangin chuta tissue awmte chu a tichhe thei a, thlipuiah hliam leh a tawi thei hle. Hetiang tube hi naupang lung puitling lo piangte thawk nan hman a nih chuan he natna hi a hnuah a lo awm duh zawk a ni.

Intubation bakah hian thil dang engemaw zatin hei hi a nghawng thei a ni:

• Autoimmune diseases: Granulomatosis with Polyangiitis (GPA) ang chi natna, taksaa immune system-in a cell-te a beih dan.
• Inflammatory conditions: Chuap natna, Pulmonary Sarcoidosis ang chi.
• Infection: Bacterial emaw viral infection, thawkna kawng tichhe thei, TB ang chi.
• Tumors: Tumors hi cancer emaw cancer ni lo emaw, thlipui (windpipe) press thin a ni.
• Thil tha lo tak tak inhalnaah:Chemical emaw toxic gas emaw inhnim avanga thlipui (windpipe) chhiatna.
• Radiation Therapy: Radiation therapy hmanga kawr emaw, rilru emaw lam hawia a side effect angin.
• Tracheostomy surgery: Surgery zawhah hliam a awm a, chu chuan kawr chhungah khur a siam a, emergency-a thawk chhuahna tura pui turin thlipui chhungah tube dah a ni.

He natna hi Doctor hian engtin nge a hriat chian?

Doctor i pan chuan i natna lan chhuah dan chu ngun takin a ngaithla ang a, a tul chuan test thenkhat atan a refer ang che. He natna hi beng, hnar leh kawr (ENT) surgeon te hian an enkawl fo thin.

Test tih ber berte chu:

• Endoscopic Procedures: Hei hian thawkna kawng chhung lam chu camera dahna tube te tak te, flexible tak hmanga enfiah a ni.
• Bronchoscopy: Hei hi he natna hriat theihna atana hman ber a ni. Hetah hian thlipui (windpipe) chhungah hian tube pakhat an luhtir a, chu chuan a narrowing awmna hmun, a zau zawng leh a chhan dik tak chu an hmu thei a ni.
• Laryngoscopy: Hei hian vocal cord leh a chhehvel hmun a enfiah thin.
• Imaging tih dan tur: 1.1.
• CT scan (Computed Tomography scan): Kawr leh rilru CT scan hian he narrowing awmna hmun leh a nihna hi a hriat chian theih hle.
• MRI Scan (Magnetic Resonance Imaging): A châng chuan enkawlna ruahmanna siamna atana pui turin MRI scan pawh tih theih a ni.
• Pulmonary Function Test: Hei hian i lung hnathawh that dan leh i thawkna kawng a zim lutuk hian i thawk dan a nghawng dan tehna atan kawng hrang hranga thawk chhuah leh chhuah tir che a ni.

Tin, he natna thlen chhan hriat nan test dang pawh tih theih a ni bawk. Entirnan, thisen test hi infection emaw inflammation emaw rinhlelh a nih chuan tih theih a ni a, cancer a nih leh nih loh hriat nan lump danglam tak a awm chuan biopsy (tissue thenkhat lak chhuah) tih theih a ni bawk.

Hei hi eng enkawlna nge ni?

Hetiang dinhmun enkawlna ber chu surgery emaw, kawng dang emaw hmanga thlipui hrual (windpipe) tawi tawh chu tihzauh hi a ni. I doctor chuan i tana enkawlna tha ber tur chu thil tam tak a zirin a rel ang a, chu chu i dinhmun nasat dan leh a narrowing awmna hmun te pawh a ni.

Enkawlna kawng hrang hrang a awm a:

• Tracheal Dilation: Hetiang tih danah hian i doctor chuan i thlipuiah balloon emaw, thil bik (`dilator`) emaw a dah a, zawi zawiin a zau zawng chu a tizau a, a tizau bawk. Hei hian thawk a ti awlsam hle.
• Laser Bronchoscopy: Bronchoscope kaltlangin laser beam an kalpui a, chu chuan blockage thlentu scar tissue chu a hal vek a, chu chuan boruak kawng chu a hawng leh ta a ni.
• Trachea Airway Stent: Hei hian thawkna kawng khar chhungah plastic emaw thir emaw atanga siam mesh ang chi tube (stent) te tak te dah a ni. Stent hian thawkna kawng chu a inhawng a, a block loh nan a pui a ni. Mahse, hei hi damlo zawng zawng tan a theih loh a, blockage awmna hmunah a innghat a ni.
• Tracheal Resection and Reconstruction: Hetiang natna hi surgery tih dan tlangpui a ni. Thlipui (windpipe) a block tawh chu a titawp vek a, a hrisel la awmte chu inzawm leh a ni. Hei hian thawkna kawng tikhawtlai lo chu siamṭhat lehna kawngah a pui thei a ni.

Enkawlna hnuah eng nge i beisei theih ang?

Hetiang natna hi i neih chuan operation emaw, tih dan dang emaw i mamawh mai thei. Enkawlna tinrengah dam leh hun leh result a inang lo.

Entirnan, `Tracheal Resection and Reconstruction` tih surgery hi a pawi deuh hlek a ni. Mahse hun rei tak chhunga narrowing buaina chinfel theihna chance a nei sang zawk. Non-surgical method `Tracheal Dilation` ang chi hi a pawi lo zawk. Vawi khat tih tir a ngai mai thei a, a nih loh leh a hun hunah tih nawn leh a ngai mai thei bawk.

Engtin nge in lamah enkawl zawhah ka inenkawl ang?

Surgery emaw, tih dan dang emaw i tih hnuah, in lamah thupek bik thenkhat i zawm a ngai dawn a ni. Heng thupekte hi i enkawlna a zirin a danglam thei. I doctor chuan hengte hi a hrilhfiah ang che. Anni chuan hetiang thil hi fimkhur turin an hrilh tlangpui ang che:

• Chaw leh In: Darkar 24 hmasa berah chuan tui emaw, ei awlsam tak tak emaw ei tur khap turin an ti thei che a ni. Chaw rimtui tlem zawk, a rimtui lutuk lo ei hi a tha ber.
• Mut dan: Ni hmasa berah chuan i taksa chunglam a sang deuh theih nan pillow hmanga mu turin an ti mai thei.
• Pain control: A tul chuan over-the-counter pain reliever emaw doctor-in a pek damdawi emaw i ei thei bawk.
• Thiltih tur: Operation hnu kar hmasa berah chuan thil rit phurh leh thil hahthlak tak tak tih loh tur a ni.

Engtikah nge Doctor ka hmuh leh ang? ETU-ah hian engtik lai nge ka kal tur?

Enkawlna i neih zawh chuan i doctor chuan i hmasawnna enfiah turin follow-up appointment a pe ang che. A tir lamah chuan kar tlemte danah lo kal leh turin an ti mai thei che. I dam tha a nih chuan thla engemaw zat hnuah lo haw turin an ti mai thei che a ni. Condition a lo kir leh tawh loh tih i chian kim hma loh chuan enkawl i ni ang.

Thâwk harsa i tih apiangin doctor ko rawh . Hetiang hun laia enkawlna tihkhawtlai hi thil hlauhawm tak a ni thei. Chuvangin damdawi lam thurawn lak a pawimawh hle.

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

Thâwk harsatna i neih chuan, emaw, a hmaa kan sawi tawh ang kha a lan chhuah leh chuan, i Tracheal Stenosis chu a lo kir leh tawh tih chhinchhiahna a ni thei. Chutiang a nih chuan ETU-ah kal nghal rawh.

A bik takin, nausen piang thar emaw, naupang tê emaw i enkawl a nih chuan, naupangin thawk harsatna a lantir chuan minute khat pawh tikhawtlai lovin damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai nghal rawh.