Post 5: Thaw Hah

Thuhmahruai: A hmasa berin thaw hah zawng zawng hi asthma  a ni vek lo tih hre phawt ila. Thaw hahna chhan chi hrang hrang  pawimawh zualte chu:

·         Chuap dik lohna: Asthma, Pneumonia, COPD,  Chuapa tui tling (effusion), adt.

·         Lung dik lohna: Lung ‘valve’ tha lo, Heart failure, adt.

·         Chhan dang: nak ruh tliak ,  thisen nei tlem,  exercise,  rilru chiai, thaw hah der,  adt.

Tun tum atan chuan Asthma bik  chungchang  i lo sawi  teh ang:

ASTHMA:  Khawvela mi za zela  5 -8 in Asthma hi an vei.  Asthma lan chhuah dan ber chu thaw hah, khuh leh thaw ri tep tep a ni ber.   Asthma hian thawkna dawt a tivungin a tisawng te a, khak(chil) a siam tam a, chu chuan khuh leh thaw hah a siam thin a ni.

Asthma hi eng tia lo awm nge?   Asthma hi a awmtirtu tak hriat a ni lo va, amaherawhchu heng thilte hian asthma an thlentir niin an sawi:

·         Pian pui (genetic):  Asthma veite hi pianpui taksaa huat (allergy) ngah bik hi an ni fo mai. Chuvangin, asthma hi chhungkhat laina zingah vei an awm duh bik fo.

·         Kan boruak tawn(environment): Boruaka bawlhhlawh leh huat theih (allergen) leng vel tawn fuh emaw, naupan laia kan taksa invenna (immunity) a insiam puitlin hmaa  virus engin emaw a lo tihbuai vang  emaw pawh ni theiin an sawi bawk.

Asthma tizual/tichhuaktu:   Asthma  tichhuak/tizualtu zinga a lar zualte:

·         Boruak vawt / khaw vawt

·         Exercise/hnathawh hah

·         Thil  huat bik tawn palh (in chhung bawlhhlawh,  pangpar, ran hmul,  mei khu, adt.)

·         Rilru phawklek thut

·         Damdawi thenkhat (aspirin ang chi te)

Asthma enkawl dan: Asthma hi enkawl dam hmiah theih a ni lo.  Inenkawlnain a tum ber chu a veitu nunphung tikhaihlak lo thei ang bera asthma kha  ‘control’ hi a ni ber.   Inenkawlna chungchangah a veituin theihtawpa tan laa mawhphurhna a lak ve a ngai a, a chhungte pawhin theihtawpa an tanpui a mamawh bawk. Naupang asthma phei chu chhungkaw member bakah nau awmtu thlengin a enkawl dan an hriat ve a tul thin.  A theih chuan ‘Asthma Action Plan’   siamin inenkawl dan tur fel taka ruahman a tha hle bawk. (Asthma action plan hi Internet atang pawhin download tur tam tak a awm.)

·         Hriat tur pawimawh:  Asthma tizual/tichhuak thintu hriat chhuah chuan chu thil chu pumpelh hram tum thin tur a ni.  Hnathawh leh chet vel erawh hrisel nan a pawimawh avangin thulh loh tur a ni.  Hnathawhna hmuna thaw haha hmun danga thaw hah si lo chuan a hnathawhna sawn emaw bansan emaw a tul mai thei. 

·         Damdawia inenkawlna:  A tawi zawngin sawi  thuak thuak ila: Asthma damdawi hman lar ho hi chu  chi hnihin angin a sawi theih awm e :

o   Thawkna dawt ti zau thei:

§  β2-agonist: Heng damdawite hi a bur siamsa hmanga hip luh (inhaler) emaw khawl hmanga hip luh (nebulizer) emawin an hmang ber, a muma ei tur chi leh injection pawhin a awm bawk. Mizoten kan hriat lar pawl tak chu Salbutamol (Asthalin) hi a ni awm e.

§  Theophylline:  Aminophylline injection hi  hman  lar ber chu a ni. Thawh hah nasaa dam dawi dangin a chhawk mai loh hunah chauh an pe tlang pui.

§  Anticholinergics: Ipratropium

o   Thawkna dawt vung tireh thei:

§  Steroids (Glucocorticoids):  Heng ho pawh hi hip luh chi (inhaler) a lar ber a,  a mum leh injection pawhin an hmang tho bawk. Hip luh zawnga taksa tana a tha lo lama thawk thei (side effects) tih tlem nan a hranpaa hipna bik “spacer”  hman tel a tha hle. Heng damdawi zinga hman larte chu Beclomethasone te, Prednisolone te leh Hydrocortisone te hi an ni awm e.

§  Sodium cromoglycate:  asthma nasa lo leh invenna angin, a hip chiin an hmang ber.

·         “Step” te tea  Asthma enkawl dan hetiang hian  lo entir leh ila: (Khawvel hmun hrang hrangah step a in ang vek lo)

o   Step 1: Thaw hah kar khat chhungin vawi 2 vawi 3 vel chauh:  Asthalin Inhaler hipin a ziaawm leh mai  thin. Ni tin hip ziah ngai emaw, zan lama thaw hah a chhuah emaw chuan Step 2-ah kai rawh.

o   Step 2:  Nitin thaw hah a chhuah chuan Steroid hip chi (e.g.Beclomethasone), ni tin vawi 2 atanga   vawi 4 emaw vel hman a tul thin. A la chhawk lo chuan Step 3-ah chho rawh.

o   Step 3:  Beclomethasone  hip kha   ni tin vawi 4 atanga vawi 10 thleng pawhin  san leh rawh. A la chhawk that loh chuan Step 4-ah kai rawh.

o   Step 4:  Beta2-agonist thawk rei chi, (e.g. Salmeterol) hmang tel rawh.

o   Step 5:  Thawhah a la chhawk loh chuan Prednisolone mum ei tel emaw, steroid dang injection hial a ngai mai thei a,damdawi ina in admit a ngai thin.

Note:   

·         Mahnia inenkawl thei tan pawh Step 2 chung lamah khi chuan damdawi in pan a tha. Eng hunah pawh mahnia inenkawl thei lo emaw, thaw hahin zual lam a pan zel emaw chuan damdawi in pan nghal mai a him ber.

·         Exercise lak dawn emaw, hna thawh dawn emaw hian a hma darkar chanve velah Asthalin inhaler ang chi han hip zauh la, chu chuan I thaw hah tur thui tak a a veng thei.