Khawsik atanga i dam hnuah khuh i la nei em? Zanah i mut dawna khuh na zual deuhin i harh \hin em? Hei hi i harsatna mai a ni lo, mi tam tak tan chuan harsatna a ni. Khuh thenkhat chu ni reilote chhungin a reh a, thenkhat erawh chu kar tam tak emaw, thla tam tak emaw a daih thung. Chuvangin vawiinah hian he khuh hi engvangin nge a awm reng tih te, a chhan te, eng nge kan tih theih tih te hi han sawi ila.
Chronic Cough tih hi eng nge ni?
A awlsam zawngin, kar 8 aia rei khuh i neih chuan , damdawi lam hawi chuan “Chronic Cough” kan ti a ni. Chumi awmzia chu i khuh chhan hi khawsik pangngai ang thil awlsam a ni lo tihna a ni. Chuvangin ngaihthah a, “A pawi lo,” tih hi thil tha a ni lo.
Hei hi hre reng ang che, khuh chhunzawm zel hi thil tibuaitu mai a ni lo va, damdawi lam thil a ni a, doctor ngaihven a ngai a ni. Chuvangin, a chhan hriat chian a, enkawlna dawng tur chuan doctor pan ngei ngei a tha ber.
Eng thilin nge he khuh hi a thlen theih?
He khuh rei tak hi a chhan hrang hrang a awm thei . Ṭhenkhat chu thil awlsam tak, enkawl theih a ni a, a then erawh chu tlem chuan a pawi zawk thei. I enkawlna tur chu a chhan bulpuiah a innghat ang.
Hnar hnu lama tui tla
Hei hi khuh chhunzawm zel chhan ber a ni. A awlsam zawngin, kan hnar lining chu allergy , virus, leh leivut vangin a inflamed a, mucus a siam tam zawk bawk. He mucus hi kan hnar atang hian a luang chhuak a, kan rilruah a luang thla a. Hei hi zan lama kan mut hian a tam hle. He mucus hi khuh tirtu a ni. Chumi atan chuan i doctor chuan decongestant, antihistamine , emaw , hnar spray emaw a pe thei ang.
Asthma natna a ni
Asthma i vei chuan i thawkna kawng vel muscle te chu a nghet a, i thawkna kawng bang te chu a lo hring a, thick mucus a lo chhuak thin. Asthma vanga khuh chu i taksain heng thawkna kawng zim tak takah hian boruak a luh tir tumna a ni. Asthma hi khaw lum leh khaw vawt inthlak danglam te, allergy te, infection te, meizuk te, damdawi thenkhat te, exercise te, leh stress te pawhin a tizual thei a ni. Chumi atan chuan i doctor chuan inhaler a pe tlangpui ang a, a bik takin inhaled glucocorticoid a pe ang a, chu chuan i thawkna kawng a hring chhuak a ti tlem a ni. I thawk hah a nih chuan i thawkna kawng hawn thei bronchodilator inhaler pawh an pe thei bawk.
Infection awm thei te
Khawsik, flu, COVID-19 infection, pneumonia atanga i dam hnuah pawh khuh hi a awm reng thei. Pertussis hi khuh chhunzawm zelna thlentu a ni bawk. Naupangte hnena pek thin vaccine ni mahse puitling tan pawh booster shot lak a tha hle. I doctor chuan thisen test hmangin i immunity a test thei ang. A tam zawkah chuan heng natna hrik te hi dam nan hun an mamawh chauh a ni. Kan lungte a dam leh theih nan hun a duh a ni. Mahse a chang chuan, i doctor chuan antibiotics a pe thei bawk.
Gastritis leh acid reflux (GERD) te a awm thei.
Mi tam tak chuan hei hi gastritis tiin an hria. A dik zawka sawi chuan `(Gastroesophageal Reflux Disease – GERD)` a ni. Heta thil thleng hi kan chaw kawng hnuai lama muscular ring (oesophagus) chu a chak lo va, chaw kawng chhunga acid chu a rawn chho leh a, chu chu chaw kawng chhungah a rawn lut leh a ni. He acid vapor hian kan lungah a kal a, a ti na a, khuh a thlen thin. Chumi chhinchhiahna ber chu rilru natna leh natna hi ni mah se, mi thenkhat chuan a lan chhuahna atan khuh chauh an nei thei .
Hei hian nunphung tihdanglamna engemaw zat a mamawh a ni. Chaw thau tak tak, chocolate, cola drinks, acidic drinks, leh zu te ei i bansan a ngai a ni. Doctor pawhin i taksa rihna tihtlem a, zu in bansan turin a hrilh bawk che a ni. Tin, pum chhunga acid siam chhuah tlem thei damdawi (`(Proton Pump Inhibitor)`) pek theih i ni bawk. Mahse, heng enkawlnate hian result a lan theih nan kar engemaw zat a la ngai thei.
Thisen sang damdawi
Thisen sang damdawi thenkhat, a bik takin angiotensin-converting enzyme (ACE) inhibitor an tih damdawi class-a awmte hian mi 20% vel chu side effect angin dry cough a thlen thei a ni. Hei hi harsatna lian tham a ni lo va, i doctor nen in inbia a , i damdawi tlem tal i thlak hnuah he khuh hi a reh mai ang.
Meizial zuk
Meizial hi i lung (leh i taksa pum) tan a tha lo tih sawi loh theih a ni lo. I lung hian meikhu chhunga chemical awmte paih chhuah tumin mucus tam zawk a siam chhuak thin. Hei hi “smoker’s cough” an ti a. Chronic Obstructive Pulmonary Disease (COPD) ang chi natna khirh tak chhinchhiahna hmasa ber a ni thei bawk.
COPD natna a ni
COPD hi natna chi khat a ni a, chu chuan lungin thawk luh leh chhuah a harsat phah a ni. Taksa hian mucus a siam tam lutuk a, chu chu taksain a tihfai theih nan a khuh reng a ni. Thâwk harsa tih hi a lan chhuahna dang a ni. COPD vei tam zawk hi meizuk emaw, zu in tawh emaw an ni. Mahse, meizial zu loteah pawh a lo thang lian thei a ni. Hei hi enkawlna hrang hrang a awm a, chu chu inhaler leh steroid tablet te hi a ni.
Lung Cancer a ni
Hemi chungchangah hian lungngai suh. Hei hi a thlen theihna chance a tlem hle. Mahse hei hi khuh chhunzawm zel tur chuan medical checkup i neih ngei ngei tur chhan pakhat a ni. Meizial zu lo mi i nih a, chhungkaw history-a cancer vei i neih loh chuan ngaihtuahawm tur a awm lo.
Engtin nge Doctor hian a chhan a zawn chhuah?
Doctor hmu tura i kal chuan i medical history a zawt ang a, physical exam a ti ang. Zawhna a zawt thei a, chungte chu:
- Engtik lai khan nge khuh a tan?
- Hun bik emaw, ei tur emaw, thil engemaw tak i khuh tizualtu a awm em?
- Mucus a chhuak em? Mucus hi eng rawng nge ni? Thisen a awm em?
- I hnaih ber tu emaw hian heng symptoms hi an nei em?
- Meizial i zuk em ? A nih loh leh tun hmain zu i in tawh em?
- I rilru natna emaw, gastritis emaw i nei em?
- Allergy i nei em?
- Tun hnaia damdawi thar i hman tan tawh a awm em?
Heng zawhnate chhanna azirin doctor chuan enkawlna thenkhat hmangin a tan hmasa thei a ni. Hengte hian khuh tihziaawmna kawngah a pui a nih chuan test dang neih belh a ngai tawh lo. Mahse, khuh a awm reng a, a chhan hriat chian loh chuan test tam zawk neih a ngai mai thei.
| Fiahna | Engtin nge i tih? |
|---|---|
| Throat Swab a ni | Kawngkhar natna a awm leh awm loh enfiah thin ang che. |
| Thisen Test a ni | I taksa hian natna hrik a do em tih zawng rawh. |
| Chest X-ray emaw CT scan emaw hmanga enfiah a ni | I lung dinhmun enfiah rawh. Hei hi meizuk mi i nih chuan a pawimawh zual hle. |
| Lung Function Test neih dan tur | Spirometry ang chi test hmangin i lungin thawk a luh leh chhuah theih dan tehna hman a ni. |
| Acid Reflux Test neih a ni | Chaw ei kawng chhunga acid level teh emaw endoscopy hmanga chaw kawng chhung enfiah emaw . |
Engtikah nge doctor i hmuh ngei ang?
If your cough has been going on more than 8 weeks , doctor pan ngei ngei tur a ni. A chang chuan allergy avanga khuh pawh thla tam tak a daih thei a, mahse ngaihthah suh.
Tin, i khuh ruala heng symptoms te hi i neih chuan doctor rawn la nghal rawh:
- Thâwk harsa
- Khawsik
- Thisen khuh (Hei hi emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.)
Take-Home Thuchah a ni
- Kar 8 aia rei khuh eng pawh (Chronic Cough) ngaihtuah tur a ni. A pangngai angin ngaihthah suh.
- Hei hi rilru natna, asthma , emaw, gastritis ang chi thil awlsam tak avânga lo awm a ni thei a, a châng chuan natna khirh zâwk chhinchhiahna a ni thei bawk.
- Damdawi dawr atanga damdawi i ei hnua i khuh a reh loh chuan damdawi hman kha bansan la, Doctor pan rawh.
- Thâwk harsa, khawsik, khuh ruala thisen khuh ang chi symptom i neih chuan, tihkhawtlai lohvin damdawi lam thurawn la nghal rawh.
- I natna lan chhuah dan chiang taka doctor hnena hrilh chuan a chhan chu a hmu thuai ang.
Khuh awm reng, khuh rei tak, khuh chhan, khuh damdawi, GERD, Asthma, COPD, meizuk khuh, lung natna, khuh
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