I thawk chhuah lai hian thawm ri i hre bawk em? (Wheezing) Hei hi i fimkhur ang u

I thawh lai, a bik takin i thaw chhuah lai hian i rilru chhung atang chuan sava au thawm ang maia thawm hniam tak, ‘soo... soo...’ tih i hre em? A chang chuan hei hi mucus atanga lo chhuak ‘whooping’ sound a ni thei bawk. Damdawi lamah chuan hei hi wheezing kan ti a ni. Hei hi a chang chuan khawsik ang chi thil awlsam tak vang a ni thei a, chuvangin ngaihtuahawm a ni lo. Mahse, a châng chuan damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei bawk. Chuvangin vawiinah hian he thu hi sawi ila, chu chu a chhan te, in lama i tih theih dan te, engtikah nge Doctor i hmuh tur tih te hi a ni.

Eng tak nge wheezing tih hi?

A awlsam zawngin, wheezing chu eng emaw chhan vanga i lung chhunga boruak phurtu boruak kalna kawng a zim a, a hniam taka whistling ri a ni. Balloon inflated tak, inhawng tlemte nena puak chhuak ri ang mai a ni.

He thawm hi i thaw chhuah (exhale) hian a lang chiang ber a, mahse i thawk chhuah (inhale) hian a hriat theih bawk. Wheezing sound thenkhat chu a hniam em em a, doctor-in stethoscope hmang chauhvin a hre thei. Mahse thenkhat chu kan hriat theih a ni. He aw awmzia pawh hi thawkna kawng chhunga khawiah nge thawkna kawng a zim tih a zirin a danglam thei bawk. Thlawhna kawng a zim a nih chuan thawm ri deuh deuh a siam thei a ni. Lung chhunga thawkna kawng te te chu a zim chuan a ri chuan clarinet ang chi music quality a nei thei a ni.

Hetiang dinhmun hi tuin nge hmu tam ber ang?

Wheezing hi kum eng pawh ni se, tu chungah pawh thleng thei thil a ni. Nausen atanga puitling tar thlengin mi zawng zawngin an tawng thei a ni.

• Nausen leh naupang: Nausen thawkna kawng hi a pianphungah chuan a te hle a. Chuvangin khawsik tlem emaw, mucus tlemte emaw pawh hian awlsam takin thawkna kawng a ti tawi thei a, thawk hahna a thlen thei a ni. He natna hian naute kum khat hnuai lam 25% atanga 30% vel a nghawng a ni. Naupang kum 2 hnuai lam ah pawh a tam zawk a, Viral infection a tam zawk avangin.
• Puitling: Puitling kum upa zawk, a bik takin meizuk , lung chhiatna (emphysema), leh thinlung chak lohna ang chi natna nei te chuan thawk hahna an nei tam zawk.
• Asthma leh allergy nei te: Thah leh allergy chi hrang hrang nei tan chuan thawk hah hi a awm fo thin.

Thâwk chhuah laiin he thawm hi engte nge a awm chhan ber?

Wheezing awm chhan pakhat chauh a awm lo va, a chhan tam tak a awm thei. Ṭhenkhat chu a awm fo a, ṭhenkhat erawh chu damdawi lam harsatna na tak an ni thei thung. Heng chhante hi eng nge ni tih han thlir ila.

In lama i tih theih thilte chu wheezing control nan

I thawk hah chhan chu a pawi lo a nih chuan thil awlsam ṭhenkhat hmangin hahdamna i hmu thei mai thei. Mahse, heng thilte hi a natna lanchhuahna tihziaawmna tur chauh a ni tih hre reng ang che. I thawk hah fo emaw, a na lutuk emaw a nih chuan doctor i pan ngei ngei tur a ni.

• Steam inhalation: Tui lum bawm atanga steam inhalation emaw vaporizer hman emaw hian thawkna kawng a ti hnim a, mucus a tizau a, thawk a ti awlsam bawk.
• Tui lum in: Ginger tea emaw cilantro ang chi in tur lum in hian thawkna kawng a ti hahdam thei.
• Meizial in pumpelh: Meizial i zuk chuan i tih theih ṭha ber chu bansan hi a ni. Tin, mi dang zu in (secondhand smoke) bula awm loh tur a ni.
• Air Purifier hman dan: Leivut ang chi thil i allergy i neih chuan HEPA filter nei air purifier hman hian i in chhunga boruak atanga thil tha lo awmte chu a paih chhuak thei a ni.
• Allergens pumpelh dan: I allergy tichhuaktu (e.g. perfume thenkhat, leivut) i hriat chuan chutiang thil chu a theih ang anga inthiarfihlim rawh.

Engtin nge damdawi in enkawl i mamawh?

Wheezing hi a chhan bulpui zawng chhuakin chu chhan chu enkawl a ni. Doctor i pan chuan a enfiah ang che a, a chhan zawn chhuah a tum ang.

• Asthma vang a nih chuan: Inhalers , bronchodilators ang chi te hi thawkna kawng hawn nan leh hliam tihziaawmna turin pek theih a ni. A chang chuan oral tablet (montelukast ang chi) pawh pek theih a ni.
• Bacteria infection (bronchitis, pneumonia) vang a nih chuan: Antibiotics pek tur a ni. Inhaler pawh hun eng emaw chen pek theih a ni bawk.

Engtikah nge doctor i hmuh vat ang?

A hnuaia symptoms te hi wheezing nen i neih chuan natna khirh tak chhinchhiahna a ni thei. Chuvangin Doctor hmu la, Emergency Department (ETU) ah kal nghal rawh.

• Thâwk harsa na tak emaw, thawk chak lutuk emaw.
• Vun, hmui emaw, kut zungtang emaw blue discoloration.Chumi awmzia chu taksain oxygen a mamawh zat a hmu lo tihna a ni. Hei hi thil awmdan hmanhmawhthlak tak a ni.
• Chest tightness emaw natna emaw .
• Thil buai emaw, hriatna tihdanglam emaw anga inhriatna.
• Ka hmui emaw lei emaw a hring (hei hi allergy na tak chhinchhiahna a ni thei).

Emergency Treatment Unit (ETU)-a kal hun tur .

• Thâwk la thei lo anga i inhriat a, thawk lak tumin i thawk chhuak a nih chuan .
• I thawk chhuak nghal mai a, rannungin rulhut ang maia a seh hnua thawk harsatna i neih ang maia i hriat chuan , damdawi thar i ei hnuah emaw, ei tur engemaw i ei hnuah emaw, hei hi allergic reaction na tak, anaphylaxis an tih a ni thei.
• A chunga kan sawi tak symptoms i hmuh chuan, blue skin discoloration .

Hetih lai hian nangmah chauh i awm a nih chuan 1990 ah call nghal la, i dinhmun hrilh rawh. In lama mi an awm chuan damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal nghal tur a ni.

Engtin nge Doctor hian a chhan a zawn chhuah?

Doctor i hmuh hunah zawhna tlem a zawt ang che.

• Engtikah nge wheezing chu a lo intan?
• A zual zel em ni?
• Nilengin i awm nge i lo kal leh chhuak thin?
• Exercise i tih hian hun kal zelah a pung em, i bawkkhup ang bawkin?

Tichuan, a rilru chu stethoscope hmangin an ngaithla a. A tul chuan a chhan dik tak hriat nan a hnuaia test te hi tih theih a ni:

• Pulse Oximetry: Kut zungtang-a hmanraw te tak te hmanga thisen a oxygen level tehna.
• Chest X-ray neih a ni.
• Pulmonary function test neih a ni.
• Thisen test a ni.