Damdawi in hian natna a kai thei em? (Healthcare-Associated Infections) Hemi chungchang hi i hre chiang ang u!

Damdawi in emaw, clinic emaw-ah natna engemaw zat enkawl turin kan kal vek a. Mahse a chang chuan kan ngaihtuah pawh ngaihtuah lovin natna pakhat enkawl turin kan kal a, natna thar dang dang kan taksaah a lut thei bawk. Hei hi a takah chuan zawhna awmze nei tak leh mi tam tak tan chuan hlauhna tlem a ni. Chuvangin vawiinah hian heng hri kai, damdawi in a kai thin, doctor ten `(Healthcare-Associated Infections - HAIs)` emaw `(Nosocomial Infections)` an tih te hi kan sawi dawn a, hengte hi hengte hi a ni.

Heng ``Healthcare-Associated Infections'' te hi engte nge ni?

A awlsam zawngin, hei hi thil dang enkawlna tur damdawi in, clinic emaw, surgery emaw i pan a, chutah chuan i awm laiin natna thar i neih hian a ni. A châng chuan chûngte chu thil awlsam tak a ni thei a, mahse a châng chuan natna khirh tak, nunna atana hlauhawm tak a ni thei . Heng hri kai te hi damdawi inah chauh ni lovin, surgical center, dialysis clinic, leh long-term care facility ang chi hmunah te pawh a awm thei a ni.

Doctor-te chuan hetiang thil hi dik takin HAI an ti mai ang:

• Damdawi ina admit atanga darkar 48 hnua infection a lo awm chuan.
• Hospital emaw operation room atanga chhuah a nih atanga ni 3 chhunga infection a lo awm chuan in lama haw a nih chuan .
• Operation atanga ni 30 chhunga infection a awm chuan .

Tu pawhin heng natna chi hrang hrang hi kai thei mahse, taksa hriselna lama harsatna nei te chu an hlauhawm zawk a ni. Hei hi kan chhehvela hrik (pathogens) chi hrang hrang awm vang a ni ber. Chung zingah chuan:

• Bacteria te hi a ni
• Virus te hi a ni
• Fungi `(Funguses)` tih a ni

Heng HAI tam zawk hi chu ven theih a ni tih hre reng ang che. Amaherawhchu khawvel hmun hrang hrangah damlo leh healthcare worker maktaduai tam takin kum tin an kai thin. Chuvang chuan damdawi in thawktute leh damlo chhungte tan he thil hi chinfel a pawimawh hle a ni.

Hetianga damdawi inah hri kai theih chi hrang hrangte chu engte nge ni?

Hetiang damdawi-in a kaihhnawih natna chi hrang hrang a awm a. An chhan pawh a inang lo. A bulpui berte han thlir ila.

C. diff (Clostridioides difficile) natna hrik kai a ni

Hei hi damdawi ina hri kai tam ber zinga mi a ni. Pum na, luak chhuak, leh colon inflammation (colitis) a thlen thin. Mi thenkhat chuan an neih hnu kar hnih atanga kar riat chhungin an kai leh duh zawk.

Catheter hmanga zun kawng natna (CAUTI) .

Damdawi ina hri kai zawng zawng zinga 32% vel chu hetiang chi hi an ni. Mi thenkhat chuan an zun awlsam zawk nan tube an dah a, chu chu catheter an ti thin tih i hre reng mai thei. HeiHe zun kawng infection hi rei tak i vawn tlat chuan a lo awm tam zawk.

Central line-a thisen kalna kaihhnawih (CLABSI) .

Damdawi ina natna kai zinga 14% vel chu thisen atanga kai a ni. Hengte hi central line (central venous catheter) nei teah a thleng thin. Hei hian thinlung bula vein lian takah tube dah a, chuta tang chuan damdawi pek a, needle stick awm fo lovin thisen lak a huam a ni.

MRSA (methicillin laka invenna Staphylococcus aureus) natna vei a ni

Hei pawh hi HAI tlanglawn tak a ni. `(Staph infection)` a ni a, chu chu natna hrik Staphylococcus an tih atanga lo chhuak a ni tihna a ni. Mahse he pakhat specialty chu antibiotics chak tak tak penicillin, amoxicillin, leh methicillin te lakah a do thei a, chu chu chu damdawi hmang chuan tihdam a harsa tihna a ni.

Surgery hmuna natna kai (SSI) .

Hospital-a hri kai zawng zawng zinga 22% vel chu surgical-associated infection an ni. Heng natna hrik te hian incision hliam chauh ni lovin, taksa chhunga tissue leh organ te pawh a nghawng thei a, a chang chuan operation (incision) laia taksa chhunga dah luh, pacemaker emaw artificial joint ang chi device (implants) te pawh a nghawng thei bawk. Ngaihtuah teh, kan ṭhenawm khuaah chuan Sumane-a pa u chu appendicitis vangin operation a neih hnuah a lo haw a, a lo haw hnuah a hliam chu a lo hring chhuak a, damdawi inah a kal leh a ngai ta a ni. Chutiang chu a ni.

Ventilator-a kaihhnawih Pneumonia (VAP) .

Hei hi damdawi ina hri kai zinga 15% vel a ni bawk. Hetiang dinhmun hi mechanical ventilation dawng mekte zingah a awm thin . Hetiang pneumonia hi ventilator thawkna tube hmanga lung chhunga natna hrik a luh hian a awm a, chu chu miten anmahni chauhva thawk turin an hmang thin.

Hetiang natna hrik chi hian eng symptoms nge a thlen?

Damdawi in atanga natna kai a awm chuan a natna chi hrang hrang a zirin a lan chhuah dan a inang lo thei. Mahse, a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Khawsik .
• Chills chu khawsik leh khur chhuak ang maia hriatna a ni .
• Thâwk harsa , rilru hahna (dyspnea) tih hriatna.
• Khuh .
• Pum a na .
• I rilru a na hle tih hriatna (heart palpitations).
• Diarrhea (ril\am \ha lo).
• A tlangpui aia zun tam (polyuria).
• Zun laiin kang leh na (dysuria).
• Rilru dinhmun inthlak danglamna - buaina, thinrimna, hriatna hloh anga hriatna.

Engvangin nge damdawi inah hian heng natna chi hrang hrang hi a lo awm thin? A chhante chu engte nge ni?

Heng damdawi in a kaihhnawih natna hi natna hrik (pathogens) chi hrang hrang avanga lo awm thei a ni. Entirna tlanglawn tak tak thenkhat chu:

• Gram-negative bacteria: Hengte hian thisen rimchhia, pneumonia, leh meningitis ang chi thil a thlen thei a ni.
• Clostridium difficile (C. diff): Hei hi natna hrik a ni a, intestines a ti na thei a, riltam na tak a thlen thei a, awlsam takin midang a kai darh thei a ni.
• Methicillin-resistant Staphylococcus aureus (MRSA): Hei hi bacteria infection kan sawi tawh a ni a, antibiotics thenkhat chuan hna a thawk lo.
• Hepatitis: Hei hi virus infection awlsam taka kai theih pawl a ni a, liver a nghawng a ni.

Heng hri kai te hi engtin nge an darh zel tih hriat a pawimawh bawk. Miin a thawk chhuah emaw a khuh emaw chuan thawkna tuikhuah hmangin an darh thei a ni . Healthcare worker-te’n infection control dan mumal tak an neih loh chuan an darh thei bawk (entir nan, hmanrua sterilized tha lo a nih chuan) .

Tute nge he natna vei theihna sang zawk?

Natna i vei theihna tipungtu thilte chu risk factor an ti a. I enkawlnaah hian:

• Catheter i neih chuan.
• Ventilator hmanga thawk la tura tanpuina i dawng a nih chuan.
• Injection lak fo a ngai a nih chuan.
• Surgery i neih chuan.

He natna hrik avang hian eng harsatna nge thleng thei?

Heng infection atanga harsatna awm thei te hi infection chi leh a nasat danah a innghat a ni. HAI chi hrang hrang atanga harsatna awm thei te hi han thlir ila:

• Central Line-a thisen kaihhnawih (CLABSI):
• Thinlung chhungril lam natna (endocarditis) .
• Vein thrombosis leh inflammation (Thrombophlebitis) te hi a awm thei lo.
• Ruh natna (Osteomyelitis) .
• Abscess a awm
• Sepsis (infection na tak, taksa pum puia darh, thisen rimchhia an tih bawk) .

• Surgery hmuna natna hrik (SSI): 1.1.
• Hliam hi a dam theih nan hun a duh a ni.
• Operation dang neih leh a ngai.
• Taksain damdawi hmanrua implanted a pawm loh vang a ni.
• Taksa chhunga natna hrik awm.
• Sepsis natna (Sepsis) a awm.

• Catheter hmanga zun kawng natna (CAUTI):
• Zun kawng natna a awm.
• Sepsis natna (Sepsis) a awm.

• Ventilator nena inzawm pneumonia `(VAP)`: 1.1.
• Thluak lama harsatna nei.
• Lung chhunga bawlhhlawh awm (Empyema).
• Sepsis natna (Sepsis) a awm.

Engtin nge doctor-te hian heng natna hrik te hi an hriat chhuah?

A tam zawkah chuan doctor-te chuan mi pakhatin HAI a neih leh neih loh chu a hmaa kan sawi tawh ang khan symptoms a neih hian an hre thei a ni. A châng chuan, a chhinchhiahna hmasa ber chu vun sen, vun rawng, a nih loh leh surgery hliam aṭanga tui chhuak a ni . I natna hriat chian nân emaw, natna dang a awm loh nân emaw, i doctor chuan zun enfiah emaw, thisen test emaw a ti thei a ni .

Hei hi eng enkawlna nge ni?

HAI enkawl dan hi hri kai chi hrang hrangah a innghat a ni. Doctor-te chuan damdawi an hmang thei a, chungte chu:

• Antibiotics ( bacteria infection tan) 1.1.
• Antivirals ( virus kai tan) .
• Antifungals ( fungal infection tan) a ni.

Mahse, harsatna dang a awm. A châng chuan heng enkawlnate hi antibiotic resistance, antiviral resistance, leh antifungal resistance ang chi dinhmun avang hian a hlawk lo thei hle. He "resistance" hian natna hrik te chu hun kal zelah an inthlak (evolve) a, anmahni tihhlum tura siam damdawi te lakah an thawk tha tawh lo tihna a ni. Chu chu heng HAI te hi a chang chuan enkawl harsat em em chhan pakhat a ni.

Chuvangin, a theih reng reng lo nachungin, heng damdawi in kaihhnawih hri kai te enkawlna tha ber chu a lo thlen hmaa ven hi a ni.

Heng damdawi in a kaihhnawih hri kai te hi ven nan eng nge kan tih theih ang?

Damdawi ina natna kai zawng zawng hi ven theih a ni lo va, mahse nang leh i chhungte hian heng step te hi i zawm dun chuan natna kai theihna chu nasa takin i tihtlem thei a ni.

• I kut chu vawn fai rawh. Natna hrik darh zel tur tihtawp dan tur leh natna laka invenna tha ber pakhat chu kut sil fo hi a ni. Sahbawn leh tuiin second 20 tal kut sil thin ang che.
• I enkawltu doctor leh nurse te hnenah natna hrik control nan eng nge an tih tih zawt rawh. Thil ngaihtuah leh hlauhna i neih chuan sawi chhuah hlau suh.
• Catheter i neih chuan i doctor emaw nurse emaw hnenah a la mamawh em tih zawt fo ang che. A châng chuan a mamawh tawh loh hnuah pawh dah luh a ni thei.
• If you are taking antibiotics , i doctor-in a sawi ang chiah, a zat dik tak leh a rei zawng dik takah ei rawh. Doctor-in a tih hma loh chuan ei kha titawp suh, i rilru a hahdam a nih pawhin.
• Antibiotics i pek hmain , i doctor hnenah i infection atana test dik tak a nih leh nih loh enfiah turin hrilh rawh.
• Operation hma leh operation hnua hri kai laka invenna atana hma an lak dan zawt rawh.Tin, operation atana i inbuatsaih laiin natna kai theihna tihtlem nan eng nge i tih theih tih zawt bawk ang che.
• Vun natna chhinchhiahna hriat thiam zir rawh. Surgery hliam emaw, catheter siamna hmun velah hian a sen, tui a chhuak emaw, a na emaw a awm chuan natna kai chhinchhiahna a ni thei.
• I flu shot leh vaccine pek dan tur dangte chu a hun takah la rawh. Hei hian natna hrik thenkhat lakah a veng thei a ni.

Chutiang hri kai vei tawh tan chuan hmalam hun eng nge ni ang?

A tam zawkah chuan hetiang HAI hi a hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan miten an dam kim thei a ni. Mahse, chutiang mite chu damdawi inah rei zawk an awm a ngai mai thei a, dam lehna kawngah harsatna dang an tawk thei bawk.

A then phei chuan heng damdawi ina hri kai te hian hriselna lama harsatna lian tak a thlen thei a, thihna thlengin a thlen thei bawk. Entirnan, Centers for Disease Control and Prevention (CDC) chhinchhiah danin, kum tin American damdawi-inah chauh pawh heng damdawi ina hri kai vang hian mi 99,000 vel an thi a ni. Hei hi khawvel pum huap buaina a ni.

Engtikah nge Doctor ka hmuh ang?

Ringhlelhawm tak i neih chuan, emaw, i natna a zual zel nia i hriat chuan i doctor hnenah i hrilh ngei tur a ni. Hei hi damdawi ina i awm mek emaw, tun hnaia operation i neih tawh emaw chuan a pawimawh hle. Eng thil pawh ni se, thil dik lo nia i hriat chuan, i doctor rawn vat la, a tul anga enkawlna dawng rawh.

Kan damlo vek hian dam leh turin damdawi in leh clinic-ah te kan kal thin. Mahse, chutah chuan kan kal a, natna dang kan neih chuan lungkhamna, rinhlelhna, hlauhna tlemte pawh a thlen thei tak zet a ni.

Nosocomial infection hian harsatna lian tak a thlen thei a ni. Mahse, heng HAI tam tak hi ven theih a ni tih hre reng ang che. Damdawi in boruak hi hmun him a nih theih nan mawhphurhna kan nei vek a. Nangmah emaw midang emaw tan natna hrik ni thei tura i ngaih thil i hmuh chuan i healthcare team hnenah hrilh hlau suh.

A tawp berah chuan thil hriat reng tur

Chuvangin, tunah chuan damdawi ina natna kai hi eng nge a nih, engtin nge a lo awm tih leh a ven dan tur hriatthiamna tha tak in neih ka beisei. A pawimawh ber chu hei hi hriat chian a, mahni himna ngaihtuah hi a ni. Nangmah emaw, i hriat mi emaw damdawi inah dah a nih chuan heng thilte hi fimkhur hle ang che. Zawhna zawt la, i rinhlelhnate tifai rawh. Tichuan heng hri kai duh loh tak takte hi a theih ang angin kan pumpelh thei ang.

` Damdawi in atanga hri kai, Healthcare-a kaihhnawih Infection, Nosocomial Infection, Damdawi in atanga natna kai, Infection control, Germs, Hospital himna