Nang pawh i thawk a tlachham em? I khuh reng reng em? Hei hi Tracheobronchomalacia (TBM) a ni thei.

A châng chuan stairs-a i kal lai emaw, tlem a chak zâwk emaw pawha i kal hian thawk i harsa ṭhin em? A nih loh leh i fate chu i hnute i pek laiin thawk harsatna tlem a nei niin i hria em? I rilru chhungril atanga khuh chhunzawm zel emaw, thawm mak tak tak lo chhuak emaw ang chi thil te pawh i ngaihtuah em? Heng thilte hi a chhan tam tak awm mahse, Asthma ang chi hi, vawiinah hian kan zingah tumahin kan hriat tam loh, mahse a pawimawh hle thei dinhmun kan sawi dawn a ni. Chu chu Tracheobronchomalacia, a tawi zawngin TBM a ni.

A awlsam zawngin sawi ila, Tracheobronchomalacia (TBM) hi eng nge ni?

Hei hi thumal sei leh mak tak angin lang mah se, a awmzia chu a awlsam hle. Tracheobronchomalacia (TBM) hi kan thawkna kawng peng lian pahnih, trachea leh bronchi bang te chu a chak lo va, kan thawk chhuah hian heng tubes te hi a inzawm khawm a, a khar thin a, a bik takin kan thawk chhuah emaw kan khuh emaw hian a khar thin.

Kan thlipui hi plastic pipe tui phur ang mai a ni ang tih han ngaihtuah teh. He pipe bangte hi a nghet a nih chuan tui a luang chhuak hian harsatna a awm lo. Mahse, pipe bangte hi a thianghlim em em a, a chak lo hle a nih chuan tui chu a luang chak chuan pipe chhungah a tang thei a ni lawm ni? Chu chu TBM-ah chuan a thleng thin. Thlipui leh thlipui (trachea) bang chhunga cartilage an tih hmun chak tak takte a chak loh chuan heng tube te hi boruak a kal leh a kal chak chuan a tang a, a inkharkhip thin. Chutah chuan thawk harsa a lo awm a, khuh a lo awm a, rilru atang chuan thawm a lo chhuak ta a ni.

He natna hi pianpui (Congenital TBM) , a ni thei a, chu chu naute chu he chak lohna nei hian a piang tihna a ni. Midang tan chuan acquired (Acquired TBM) a ni thei a, chu chu dam chhungin natna dang emaw, enkawlna emaw, pawn lam thil dang emaw avanga lo awm thei tihna a ni .

TBM natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi pian tirh atanga a awm leh awm loh a zirin a danglam deuh thei a ni. An pahnih symptoms hi a hranin han en ila.

Engvangin nge he TBM dinhmun hi a lo awm?

A hmaa kan sawi tawh ang khan a chhan hi chi hnih ah then theih a ni.

1. Primary/Pianpui TBM

Naute hi hetiang natna neia piang a nih theihna chhan hrang hrang a awm a:

• Idiopathic TBM: Naute thenkhat chu chhan hriat lohvin trachea-a cartilage chak lo neiin an piang thei.
• Vascular Rings: Hei hi naute thinlung atanga thisen kalna bulpui (aorta) a lo piang dik lo a, nausen pum chhunga a lo thang lian zel angin trachea a khuh hian a thleng thin. He thisen kalna kawng hian trachea chu a press a, chu chuan a tichak lo hle.
• Genetic natna thenkhat: Rare, inherited conditions Hunter syndrome, Hurler syndrome, leh Ehlers-Danlos syndrome te hian taksa ruh (cartilage) a tichak lo thei a ni. Hei hian thawkna kawng a nghawng thei bawk.
• Nau piang hma: Naute kar 37 hmaa piangte chu an thawkna kawng a lo thang kim loh avangin TBM vei theihna a sang zawk thei.

2. Dam chhunga TBM lo awm (Secondary/Acquired TBM) .

Hetiang dinhmun hi puitlingah a awm theih chhan tam tak a awm.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Nangmah emaw, i fa emaw hian heng symptoms te hi i nei a nih chuan a tha ber chu Doctor pan hi a ni. Doctor chuan uluk takin a enfiah ang che a, nang leh i fa chu i symptoms chungchang a zawt ang che. Zawhna tam tak an zawt ang che, chu chu khawsik i nei fo em tih leh thawkna lam natna dang i nei em tih te hi a ni.

Chumi hnuah chuan he natna hi finfiah nan test eng emaw zat tih theih a ni.

• Pulmonary Function Tests: Hei hian i lungin boruak a luh leh chhuah theih dan a test thin.
• Bronchoscopy: Hei hi TBM finfiah nan test pawimawh ber leh dik ber a ni. Chutah chuan ka emaw hnar emaw hmangin camera hmanga thuam tube te tak te dahin thlipui chhung lam leh bronchi te chu an enfiah thin. Doctor chuan thaw lut tur leh khuh turin a ti a, thlipui a block nasat zia chu a hmu thei a ni.
• CT scan (Computed Tomography Scan): Hei hian rilru chhungril thlalak chipchiar tak a la thei. Hei hian TBM hi thil dang avanga lo awm a nih leh nih loh emaw, thawkna kawng pianzia a inthlak em tih hriat theih nan a pui thei a ni.

Hei hi eng enkawlna nge ni?

TBM hian nangmah emaw i fa emaw a nghawng nasat dan azirin enkawlna kawng hrang hrang a inang lo. Mi zawng zawng hian operation an mamawh vek dawn lo.

1. Damdawi leh puihna hmanrua

• Infection enkawl dan: I naute hian thawkna lam natna a neih fo chuan antibiotics ang chi damdawi i pe thei ang .
• Nau hnute pek dan: I naute chu nau hnute pek laiin thawk harsatna a neih chuan i doctor emaw nurse emaw chuan thawk awlsam zawk nan position thlak dan tur a zirtir ang che.
• Pulmonary Rehabilitation: Hei hian symptoms enkawl dan tur thawk dan zirtirna a huam a ni.
• CPAP emaw BiPAP® machine: Hengte hi sleep apnea nei tan pawh hman a ni. Hmai chunga in fit mask hmangin pressure engemaw zatah boruak an pe chhuak a, hei hian thawkna kawng chu a inhawng reng a, a tikhawlo lo.
• External Percussion Vests: TBM i neih hian mucus khuh a harsa thei. Hei hi puan ang maia i hak hmanrua a ni. Machine nena inzawm chuan a vibrate rang hle a, i rilru chhunga mucus awm chu a tizau a, khuh a awlsam phah hle.
• Nebulizer: Damdawi tui tak chu mist tha takah a chantir a, mask hmanga inhnim theih a ni. Hei hian damdawi chu lungah direct-in a thlen thei a ni.

2. Surgery tih a ni

Thil na tak ṭhenkhatah chuan zai a ngai mai thei.

• Bronchoscopy leh stent dah: Diagnostic bronchoscopy pawh hi enkawlna atan hman theih a ni. Hetiang tihnaah hian plastic emaw metal tube (stent) te tak te chu thawkna kawngah dahin a blockage chu a inhawng reng thin. Chungte chu hun eng emaw chen atan a ni tlangpui.
• Tracheobronchoplasty tih a ni a: 1.1.Hetianga tihnaah hian mesh ang chi chu surgery hmangin trachea pawnah dahin a hmunah an sewn thin. He mesh hian trachea chu chakna dang a pe a, a tlakchhiat theihna a ti tlem a ni.
• Tracheopexy: He surgery hi thlipui hnunglam bang chak lo tak chu ruhro chhunga ligament chak tak takah sewing a ni. Hei hian i thawk laiin a hmun chu chhung lam hawia a tlakbuak loh nan a veng a ni.

Chûngte chu operation lian tak tak a nih avângin, thisen chhuah tam lutuk, thisen zam, leh hliam natna te ang chi hlauhawmna a awm a ni . Surgery neih a tha a nih chuan i doctor chuan heng zawng zawng hi uluk takin a hrilhfiah ang che.

TBM condition nen engtin nge kan nun theih ang?

Naupangin TBM a vei chuan:

Naupang a lo puitlin chuan thawkna kawnga ruh (cartilage) chu a chak zual zel a. Chuvangin, a natna lan chhuah dan chu a tlahniam zauh zauh thei a ni. Mahse, a tam zawkah chuan naupan lai zawng zawngah damdawi lam enkawlna leh enkawlna engemaw zat a ngai a ni. Naute chu thawkna lama natna hrik awm fo laka venhim a pawimawh hle.

Puitlingin TBM a neih chuan:

Puitlingah chuan TBM hi a tlangpuiin natna rei tak a ni a , hun kal zelah a na zual thei . Symptoms hi taksa rihna tihtlem leh damdawi lam thil dang hmanga enkawl theih a ni. Surgery hi a hlawk thei hle. Amaherawhchu, TBM vei tam tak hian natna dang, Asthma leh COPD te pawh an nei ve tho a, chuvangin an dam chhung zawng thawkna lama mithiamte enkawl an ngai a ni.

Hetiang dinhmun hi ven theih a ni em?

Congenital TBM laka inven dan tur a awm lo. Mahse, puitlingah TBM vei theihna tihziaawmna tur thil engemaw zat i tih theih a awm.

• Meizial zu leh zu in thinte bula awm loh tur.
• Asthma, COPD, GERD ang chi natna i neih chuan a enkawlna tur dik tak la la, natna chu uluk takin control rawh.
• I taksa rihna hrisel tak vawng reng rawh.
• I hnaah hian gas tha lo (toxic gas) a tel a nih chuan, himna dan tur dik tak zawm rawh.

I khuh reng emaw, thawk harsatna emaw i neih chuan khawsik nia ngaih mai suh, doctor hmu la, check out ngei ngei tur a ni. Natna hi a hriat hma poh leh enkawlna atanga result tha hmuh theihna chance a sang zawk.