Chaw ei zawhah pum na i nei tawh em? Bacillus cereus vang pawh a ni thei!

Chaw i ei hnu rei vak lovah i pum a na, i rilru a na emaw, i riltam emaw i nei tawh em? A châng chuan chaw chu a rimtui lutuk emaw, a hmin ṭha lo emaw niin kan ngai ṭhin. Mahse, heng thilte hnung lama awm thei hmêlma te tak te, hmuh theih loh chu bacteria pakhat Bacillus cereus . Vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

He ‘Bacillus cereus’ hi eng nge ni?

A awlsam zawngin ‘Bacillus cereus’ hi bacteria chi khat, te tak te, microscope hmanga hmuh theih chauh a ni. Environment-ah an awm tlangpui. Mahse, he bacteria hian toxin min siam chhuak thei a, chu chuan min ti na thei a ni. Chu chu harsatna min thlentu a ni.

Heng `Bacillus cereus` chi hnih hian min nghawng thei ber a ni:

1. I chaw ei dan (digestive system) tichhe thei chi (hei hi `intestinal` kan ti).

2. I taksa peng dang tichhe thei chi (hei hi `non-intestinal` an ti).

Food poisoning hi Bacillus cereus bacterium avanga lo awm a ni a, chu chuan chaw ei kawng a nghawng a ni. A tam zawkah chuan ni khat emaw ni hnih emaw chhungin a mah chauhin a tha leh thin. Mahse, immune system chak lo i neih chuan , a pawi deuh thei.

Food poisoning nena inzawm lo, non-intestinal Bacillus cereus avanga natna kai hi a chang chuan a na zawk thei. A bik takin a hnuaia dinhmunte hi i neih chuan i hlauhawm hle:

• Immune system chak lo tak neih.
• Surgery emaw accident dang avanga hliam tuar.

Bacillus cereus chi hrang hrang hian food poisoning a thlen thin?

Kan sawi tawh ang khan food poisoning hi Bacillus cereus vang a ni a, chu chuan chaw ei kawng a nghawng a ni. Hei hi chi hnih lian tak a ni.

1. Kal natna thlentu chi (`Enterotoxins` emaw `diarrheal syndrome`) .

Thil thleng chu bacteria emaw a spore emaw awmna chaw i ei hnuah chuan toxin chu i small intestine -ah a lo chhuak ta a ni . Hetiang natna chi hi Bacillus cereus avanga lo awm hi America leh Europe ram ang ramah a tam ber a ni.

Chaw bawlhhlawh ei atanga darkar 6 leh 15 inkarah natna lanchhuahna a lang tlangpui. He natna thlen thei eitur te chu:

• Sangha
• Dairy atanga siam thil chi hrang hrang
• Sa chi hrang hrang
• Sauces te pawh a awm
• Soup leh gravy te pawh a awm
• Thlaihnah

2. Emetic emaw, luak chhuak emaw

Thil thleng chu i ei hmain toxin chu chaw chhungah a awm tawh a ni. Chaw bawlhhlawh ei atanga darkar 1 leh darkar 6 inkarah i na tlangpui.

Chawhnu lam kan siam buhfai thenkhat zan thlenga kan dah chhuah emaw, party atanga kan buhfai kan rawn ken te chu fridge-a dah lovin kan hnutchhiah emaw chuan eng nge thleng ang tih han ngaihtuah teh. Chutah chuan he bacteria hi a rawn lut ta a ni.Buhfai chhum chu refrigerator-a dah that loh, room temperature-a rei lutuk dah a nih chuan he bacteria hi a thang lian thei a, toxin a siam thei bawk. Hetiang chi `Bacillus cereus` nen hian buhfai hi a inzawm tam ber a ni. Chu mai ni lovin, cheese te, chubakah starchy foods te pawh:

• Pasta a awm bawk
• Pastry chi hrang hrang
• Alu
• Sushi a ni

He poisoning hi thil hrang hrang atang pawhin a lo awm thei bawk:

Pawimawh: Mi thenkhat chuan ei tur tihlum leh hian heng bacteria te hi a that dawn niin an ngai. Dik tak chuan bacteria chu a thi thei a ni. Amaherawhchu, an toxin siam chhuah hi a lum chuan a tichhe lo. Chu chu buaina chu a ni!

Food poisoning nena inzawm lo `Bacillus cereus` infection te chu engte nge ni? (`Intestinal ni lo Bacillus cereus`) tih a ni.

Hetiang Bacillus cereus infection hian i digestive system pawn lama taksa peng dang a nghawng a ni. A hmuh tam ber chu:

• Mit ah chuan
• Thluak lam hawi
• Hliam ah chuan

He bacteria hi leivut, thing leh mau, lei leh tui ang chi hmunah te a awm thei a ni.

He `Bacillus cereus` hi tuin nge vei tam zawk?

Dik tak chuan tu pawhin kum leh chi eng pawh ni se, ei tur rimchhia emaw, Bacillus cereus nena inzawm natna dang emaw a nei thei a ni.

Mahse, non-intestinal Bacillus cereus infection vei theihna a sang chho zel a, chu chu:

• Nausen piang thar a nih chuan.
• Indwelling catheter i hman chhunzawm chuan.
• Immune system chak lo i neih chuan.
• Surgery emaw accident dang emaw avanga hliam dam lo i neih chuan.
• Intravenous (IV) drugs hmang thin i nih chuan.

Heng `Bacillus cereus` infection te hi engtiang chiahin nge an awm?

Bacillus cereus bacteria avanga food poisoning hi a tam hle a . United States-ah ringawt pawh hian kum tin hri kai hi 63,400 vel report a ni. Kan ramah hian case engzat nge awm tih han ngaihtuah teh, a bik takin pawn lama kan ei dan nen.

Mahse non-intestinal (digestive system nena inzawm lo) Bacillus cereus infection hi a tlem deuh.

Engtin nge he `Bacillus cereus` hian food poisoning a thlen?

A tam zawkah chuan room temperature-a dah chaw ei hian a thleng thin. Chaw chu a lum leh a nih pawhin a chang chuan food poisoning a thlen thei.

Bacteria `Bacillus cereus` hian spore a siam a, heng spore te hian toxin a chhuah tir thin. Heng spore te hi room temperature-ah an pung chak hle. Heng spore awmna chaw i ei hian toxins te hian luak chhuak emaw, luak chhuak emaw a thlen thin. Ngaihtuah teh, zing lama lentil soup siam bawm khat chu tlai lam thlenga dah chhuah a nih chuan, emaw, sangha hmin chu fridge-ah ni hnih chhung dah chhuah a nih chuan, he bacteria hian a hna a thawh theihna chance tha tak a nei a ni.

`Bacillus cereus` avanga food poisoning natna lanchhuahna chu engte nge ni?

Chutiang ril\amna thlentu chi (`Enterotoxins`) te chhinchhiahna chu:

• Pum na, pum na
• Pum a na hle
• Tui hmanga ril\am

`Emetic syndrome` natna lan chhuah dan chu:

• Nausea (riltam ang maia awm) .
• Luak chhuak

Engtin nge Bacillus cereus hian ei leh in atanga natna a thlen?

Heng natnate hi Bacillus cereus spores atanga lo chhuak a ni a, eng emaw ti takin mi taksaah lutin toxin a siam chhuak thin. Heng spore te hi taksaah hian:

• Damdawi ina hmanraw bawlhhlawh, entirnan, catheter atanga hman thin.
• Hliam hrik kai atanga lo chhuak.
• Leivut bawlhhlawh tak tak hip luh hmangin.
• Damdawi in atanga hri kai atanga lo chhuak.

B. cereus avanga intestinal natna lo awm thei te chu:

• Thisen chhunga bacteria lut (bacteremia) .
• Mit natna bacteria emaw fungal infection (endophthalmitis) - Hei hi a hlauhawm hle.
• Thluak a awm
• Cellulitis (vun natna) 1.1.
• Thinlung chhungril lam natna (endocarditis) .
• Meningitis - thluak khawsik an ti bawk.
• Ruh natna (Osteomyelitis) .
• Pneumonia natna (Pneumonia) a ni

Alimentary canal pawn lama Bacillus cereus natna lanchhuahna chu engte nge ni?

Natna chi hrang hrang a zirin a lan chhuah dan a inang lo. Endophthalmitis hi a na ber a ni. He mit natna nunna atana hlauhawm tak chhinchhiahnate chu:

• Mit na a na
• Hnathawh hahthlak tak a ni
• Khawsik
• Thisen var cell zat tihpun (leukocytosis) .
• Mit hmuhna hloh
• Mit a sen vek
• Ring ang maia mitmeng (corneal ulcer) a awm

Endophthalmitis vei thenkhat chuan mit an hloh thei bawk. Chuvangin i mit ah thil danglam bik i hmuh chuan Doctor pan nghal tur a ni.

Engtin nge doctor-te hian `Bacillus cereus` vanga food poisoning hi an hriat theih? (`Diagnosis`) tih a ni.

Doctor chuan i natna lan chhuah dan (luak, luak chhuak, pum na) leh i chaw ei hnuhnung ber a zirin food poisoning a ringhlel tlangpui ang. Tichuan physical exam an ti leh ang. B. cereus hi a chhan a ni tih finfiah nan i ei tur sample leh i bawlhhlawh emaw, i luak emaw sample lak a ngai dawn a ni. A bik takin, ei tur gram khatah B. cereus organism 100,000 aia tam a awm chuan food poisoning a awm tih finfiah a ni. Diarrhea a awm chuan thisen test pawh tih theih a ni a, a toxin chu a zawng chhuak thei bawk.

Engtin nge alimentary canal pawnah Bacillus cereus infection i hriat theih ang?

Hetiang infection i rinhlelh chuan thisenah hian bacteria a awm leh awm loh enfiah nan thisen sample test (`blood cultures`) tih a ni ang.Hei hi a tam ber a ni. Tin, taksa tui (entir nan, endophthalmitis a nih chuan vitreous fluid) sample lak a ni a, standard culture leh Gram stain hmangin bacteria awm leh awm loh test a ni bawk. Gram stain chu glass slide-a sample pakhat chu dye bik hmanga stain a, microscope hmanga en a ni.

`Bacillus cereus` avanga food poisoning awm thei damdawi te chu engte nge ni?

Bacillus cereus vanga food poisoning tam zawk hi darkar 24 chhungin anmahniin an reh vek ang. Doctor chuan a hnuaia mite hi ti turin a hrilh thei che a ni:

• Chawlh tha rawh.
• Tui tam tak in la, chu chuan dehydration a veng ang. Hei hi a pawimawh hle. Diarrhea emaw, luak chhuak emaw i neih chuan i taksain tui a hloh nasa hle a, chuvangin i thlak a ngai a ni. Jeevani ang in tur in pawh a tha.

I riltam emaw, i luak chhuak nasa emaw a nih chuan doctor chuan intravenous saline (`IV fluids`) pek che a rawt thei ang.

Alimentary canal pawn lama Bacillus cereus natna vei enkawlna tur engte nge ni?

Hei hi i dinhmun bik a zirin enkawl dan a inang lo. A tlangpuiin doctor chuan bacteria do turin antibiotics a pe tan ang che. Mahse, B. cereus hian antibiotics thenkhat lakah a do thei tih hmuhchhuah a ni. Chuvangin, doctor-in a sawi ang chiah chiah, a hun chhung dik tak ei tur a pawimawh hle.

Engtin nge `Bacillus cereus` avanga food poisoning hlauhawmna tihziaawm theih ang?

Chaw ei tur him taka vawn hi he hlauhawmna tihziaawmna awmchhun a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Chaw chhum chu ei nghal tur a nih loh chuan darkar ruk chhungin 5 degree Celsius (41 degree Fahrenheit) aia lum thlengin tihlum rawh . Entirnan, chawhnu lamah buhfai emaw curry emaw chhum chu tlai thlengin dah lo la, a lum veleh fridge-ah dah nghal rawh.
• Chaw vawt ngai chu refrigerator-ah 5 degree Celsius (41 degree Fahrenheit) hnuai lam temperature-ah dah la .
• Chaw lum taka dah ngai chu 60 degree Celsius (135 degree Fahrenheit) aia sangah dah tur a ni . In lama buffet-a chaw ei tur leh party-a chafing dish-a lum taka dah kan hmu fo bawk. Chutiang chu a ni.
• I chaw lum leh tur chu 74 degree Celsius (165 degree Fahrenheit) tal a lum tur a ni . Warm mai mai chu a tawk lo. A lum hle a ngai a ni.
• Bacteria awm thei tura i ngaih ei tur zawng zawng chu paih vek rawh. Ringhlel i neih chuan ei suh. Chu chu a tha ber a ni.

Ngaihtuah teh, zanah dawr atanga kan lei `fried rice` emaw `kottu` emaw kan ei a, a la awm chu pawnah kan dah a nih chuan a tuk zingah chuan `Bacillus cereus` a lo thang lian thei ang. Chuvang chuan ei tur dahkhawm kawngah fimkhur a pawimawh hle.

Engtin nge food chain pawn lama Bacillus cereus infection hlauhawmna tihziaawm theih ang?

He hlauhawmna hi i kut sil fo leh uluk taka sil hian i tihziaawm thei a ni . Tin, hetiang hian i ti thei bawk:

• I taksa hriselna tichak lo thei damdawi i neih chuan uluk takin enkawl rawh.
• Damdawi thisen kaltlanga hman loh tur.
• Hliam emaw, chetsualna emaw i neih chuan damdawi lam pan nghal rawh.

`Bacillus cereus` a lo awm chuan eng nge thleng ang?

I immune system a chak lo a nih loh chuan Bacillus cereus vanga food poisoning avanga harsatna awm hi a tlem hle . Hetiang B. cereus infection vei tam zawk hi chu an dam thuai thin.

Mahse, non-intestinal Bacillus cereus infection hian a chang chuan thihna emaw, harsatna dang emaw a thlen thei a ni. Entirnan:

• Tissue thihna (`Gangrene`) .
• Mit hmuhna hloh reng reng
• Septicemia natna (Septicemia) a awm
• Viral meningitis - Hei hi bacteria atanga tan ni mahse, harsatna dang a awm thei bawk.

`Bacillus cereus` i neih chuan dam lehna tur prognosis eng nge ni?

Bacillus cereus vanga food poisoning i neih chuan, dam leh theihna tur hmalam hun chu a tlangpuiin a tha hle . Mi tam zawk chuan damna famkim an nei thin.

Mahse, alimentary canal pawn lama Bacillus cereus infection i neih chuan dam leh theihna tur chu:

• Enkawlna i hmuh thuai danah a innghat.
• Hri kai nasat dan azirin.
• Medical condition dang underlying i neih dan azirin.

Condition dang, complication awm theihna sang zawk a awm em?

A tlangpuiin, i immune system a chak lo a nih chuan , Bacillus cereus infection atanga harsatna i nei tam zawk. Tin, i tih chuan:

• Nausen piang thar a nih chuan.
• Mi pakhat chu damdawi inah dah tawh a nih chuan.
• Alimentary canal pawna infection awm tan antibiotics pek hma loh chuan.
• Thisen siamtu tissue (hematologic malignancies) (e.g. leukemia, lymphoma, multiple myeloma) cancer i neih chuan.
• Liver natna i neih chuan.
• Neutropenia (thisen var chi khat level hniam) i neih chuan.
• Damdawi corticosteroid ang chi i ei a nih chuan.

Hetiang hunah hian prognosis hi a chhe deuh thei a ni.

Bacillus cereus ka neih lai hian engtin nge ka in enkawl ang?

Bacillus cereus vanga food poisoning i neih chuan:

• Tui tam tak in thin ang che.
• Chawlh tha rawh.

Alimentary canal pawnah Bacillus cereus infection i neih chuan:

• Nun hrisel takin nung rawh.
• Damdawi lam dinhmun hnuaia awmte tana damdawi pek dik tak chu ei rawh.

Engtikah nge Doctor ka hmuh ang?

I immune system chak lo a, food poisoning emaw Bacillus cereus infection emaw symptom i neih chuan 1990 call nghal la, damdawi in hnai ber pan rawh.

Bacillus cereus kai hi hnute natna tak tak a ni thei. Food poisoning hi thil nuam lo tak a ni a, natna a thlen thei hle. Vanneihthlak takin Bacillus cereus vanga food poisoning hi ni khat emaw vel chhungin a dam tlangpui a, mi tam zawk chu an dam chhuak vek thin. B. cereus hian chaw ei kawng pawnah natna a thlen thei bawk a, mahse hengte hi a tlem hle. Immune system chak lo emaw, hriselna lama harsatna dang emaw i neih chuan Bacillus cereus infection chi hnih hi a na zawk thei. Tui tam tak in leh chawlh hahdamna tam tak neih hian food poisoning atanga i dam thuai theih nan a pui thei che a ni. Antibiotics hian chaw ei kawng pawn lama natna hrik awmte chu a pui thei a ni. Enkawlna i hmuh hma chuan i dam theihna chance a sang zawk.

Take-Home Thuchah hnuhnung ber

• Bacillus cereus hi natna hrik (bacillus cereus) a ni a, ei leh in tur (food poisoning) leh natna dang a thlen thei a ni.
• Hei hi a bik takin chaw chhum, a bik takin buhfai, room temperature-a rei lutuk dah atanga lo awm thei a ni .
• Food poisoning chhinchhiahna ber chu luak chhuak leh/ emaw, luak chhuak a ni.
• Hei hi ni khat chhungin a reh tlangpui nachungin, taksa chak lohna nei tan chuan a hlauhawm deuh thei a ni .
• Chutiang laka invenna tha ber chu ei leh in himna dan zawm hi a ni . Chaw chu uluk takin chhum la, uluk takin dah la, a la awmte chu refrigerator-ah dah vat rawh.
• Mit, hliam emaw, thawkna kawngah emaw chhinchhiahna danglam tak i neih chuan chu pawh chu hre reng ang che.
• Ringhlel i neih chuan doctor pan ngei ngei tur a ni. Ngaihtuah buai suh, enkawl vat chuan damna tha tak a thlen fo thin.

I hriselna pawh kan tan a pawimawh!

` Bacillus cereus, ei tur rimchhia, bacteria, natna hrik, ril\am, luak chhuak, ei leh in himna, spores