Lu na na tak leh khawsik sang tak i neih thut chuan engtin nge i ngaih ang? A nih loh leh i naute te tak te chu non-stop a tap, bawnghnute in lo, khawsik neia nunna nei lo tak anga lang i hmuh chuan? Hetiang hun lai hian kan rilruah hlauhna lian ber pakhat chu "brain fever" tih hi a ni. Vawiin hian Bacterial Meningitis chungchang kan sawi dawn a, natna khirh tak, mi zawng zawngin kan hlauh, mahse uluk taka hriattir i nih chuan nunna chhanhim thei a ni.
A awlsam zawngin, meningitis chu eng nge ni?
Kan thluak leh ruhro hi thil hlu tak angin ngaihtuah rawh. Heng thil hlu tak takte humhim nan hian nature chuan membrane layer te tak te pathum atanga siam khuhna a siam a. Damdawi lamah chuan hei hi meninges khuh kan ti a. Chuvangin, hrik, a bik takin bacteria, he khuhnaah hian a lut a, chutah chuan natna a thlen a, a lo hring tan chuan Bacterial Meningitis kan ti a ni.
Hei hi dinhmun hlauhawm tak a ni. A chhan chu he swelling hian thluaka thisen kal a tikhawlo thei a, thluak a tichhe thei a, paralysis a thlen thei a, stroke a thlen thei a, a chang chuan darkar tlemte chhungin thihna a thlen thei bawk. Chuvangin hei hi medical emergency anga ngaih a ni.
Viral leh bacterial meningitis hi eng nge an danglamna?
"Meningitis" kan tih hian chi hnih kan sawi ber a ni. Chungte chu virus leh bacterial meningitis te an ni. An pahnih hian thluak khuhna inflammation awm mahse, an pahnih inkarah hian danglamna lian tak a awm.
Viral meningitis hi a tam ber a ni. Mahse, a tlangpuiin bacteria chi khat angin a na lo. A tam zawkah chuan enkawlna bik nei lovin a reh mai thin. Mahse, bacterial meningitis hi natna khirh tak a ni a, damdawi ina dah a ngai a, enkawl vat a ngai a ni.
Hriat tur pawimawh ber - a symptoms te chu engte nge ni?
He natna hlauhawm ber chu a natna lanchhuahna a lo lang thuai thei a, a chang chuan natna hrik taksaa a luh atanga darkar 24 chhungin a lang thei a ni. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.
Naupang kum upa zawk leh puitlingah natna lan chhuah dan
- Khawsik sang tak a lo chhuak nghal.
- Lu na tuar theih loh.
- Stiff neck: Hei hi symptom bik tak a ni. The neck becomes stiff , chu chuan i hmui chu i rilruah i nghat thei lo.
- Eng en harsa: Eng laka sensitivity (Photophobia). Mit chu eng a hmuh chuan a rawn sen chhuak ang maiin a hria.
- Luak chhuak leh luak chhuak.
- Buaina: Buaina neia inhriatna, thusawi chu thumal inzawmkhawm ang maia ri a ni.
- Mutthilh leh thinrimna.
- In some severe cases , seizures leh stroke a awm thei.
Nausen leh naupang tê têa natna lan chhuah dan
Naute naupangte chuan "Ka lu na" an ti thei lo. Chuvangin an symptoms hi a danglam deuh hlek a ni. Nu leh pa i nih angin he thil hi i fimkhur hle a ngai a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik leh luak chhuak | Taksa lumna a sang thei a, naupang chuan an ei leh in apiang a luak chhuak thei bawk. Tin, bawnghnute an in duh lo mai thei bawk. |
| Mutthilh lohna danglam tak | Naute kaihthawh a har khawp mai. A hma angin a khel lo a, a lethargic hle. |
| Tap fo leh thinrimna | Chhan awm lovin an tap reng a, thlamuan harsa an ni a, khawih pawh an duh lo mai thei. |
| A hmaiah "pit" bulging a awm | Naute lu chunglama hmun nem tak, "fontanelle" tia koh chu hmalam hawiin a rawn inher chhuak niin a lang. Hei hi chhinchhiahna pawimawh tak a ni. |
| Seizures a awm thin | Taksa khuh leh fit ang chi dinhmun a awm thei. |
Nangmah emaw, i fa emaw hian heng symptoms pakhat emaw, a aia tam emaw i neih chuan tihkhawtlai lovin damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.Hei hi in lama vawn reng theih natna a ni lo.
He natna hi engtin nge a lo awm? Eng bacteria nge a chhan?
He natna thlentu hi bacteria chi 50 vel awm mah se, hmuh tam ber chi tlemte a awm.
- Group B *Streptococcus* a ni a, a hring vek a ni.
- *Streptococcus pneumoniae* (pneumococcal) a ni a, a natna hi a tha hle.
- *Neisseria meningitidis* (meningococcal) tih hi a awm a, a natna hi a tha lo hle.
- *Haemophilus influenzae natna awm thei* a ni.
- *Listeria monocytogenes a awm a ni* tih hi a ni.
- *Escherichia coli* (E. coli) (E. coli) te hi a lo awm tawh a ni.
Thil mak tak chu heng bacteria tam tak hi kan chhehvel, kan hnar leh kawr te pawh tiamin, chhiatna thlen lovin an cheng thei a ni. A neitu chu a damlo lo mai thei a, mahse chu bacteria chu midang hnenah an kai thei a ni.
He bacteria hi hri kai mi nena inbiak hnai tak atanga kai darh a ni tlangpui. He natna hi awlsam takin midangte hnenah a kai thei a , chu chu thawkna atanga chhuak a ni a, chu chu hri kai chuan a khuh, a thawk a, a fawh hian a chhuak thin .
Tu nge hlauhawm zawk?
Naupang thla khat atanga kum hnih inkar te hi he natna vei an hlauhawm ber a ni. Chu bakah, puitling risk factor thenkhat nei pawhin he natna hi an nei thei bawk.
- Ruihhlo emaw zu emaw ruihhlo ngaite
- Beng emaw hnar emaw natna (chronic infections) nei fo thinte .
- Lu hliam na tak nei te
- Pneumonia (*Pneumococcal pneumonia*) vei te chuan an rilru a buai em em a.
- Mite taksa chak lohna nei (e.g. HIV, cancer vei) te .
- Mite chu an spleen surgery hmanga lakchhuah tawhte
- Sickle cell natna vei te
- Thluak emaw, ruhro emaw surgery nei tawhte
Heng mite chauh ni lovin, hnai taka mi tam tak chenna hmun, university dormitory leh sipai camp-ah te pawh he natna hi a darh zau zawk a ni.
Engtin nge natna hi hriatchhuah leh enkawl a nih?
A chunga kan sawi tak symptoms neia Damdawi in i kal hunah doctor chuan i symptoms te a zawt hmasa ang che a, taksa enfiahna a nei ang. Tichuan, test eng emaw zat an kalpui ang a, an natna hmuhchhuah chu an finfiah ang.
- Lumbar Puncture: Hei hi test pawimawh ber a ni. Hei hian i hnungzang hnuai lam ah needle te tak te dah a, i spinal cord vel a tui sample te tak te (cerebrospinal fluid - CSF) lak a huam a ni. Hei hi a nuam lo deuh a, mahse diagnosis atan chuan a pawimawh hle. He fluid hi bacteria a awm em tih leh eng chi nge a nih tih test theih a ni.
- Thisen leh zun test: Hengte hian hri kai chungchang hriatna a pe thei bawk.
A pawimawh ber chu Doctor ten heng test result hi an nghakhlel loh hi a ni. An natna lan chhuah dan atanga meningitis rinhlelh a nih veleh enkawl an tan nghal thin.
Enkawlnaah hian IV antibiotics te pawh a tel. Corticosteroids pawh hi meninges-a hliam tihziaawmna atan pek thin a ni. Test result a\angin natna hrik thlentu bacteria tana antibiotic \ha ber thlan a ni a, enkawl chhunzawm zel a ni.
He natna laka inven dan tur a awm em?
Ni e, thu lawmawm tak chu he natna hlauhawm tak thlentu bacteria chi hrang hrang laka invenna tur vaccine kan nei a ni.
- Meningococcal vaccine: *N lakah inveng rawh. meningitidis* natna hrik a ni.
- Pneumococcal vaccine: *S lakah a venghim. pneumoniae* natna hrik a ni.
- *Haemophilus influenzae* type b (Hib) vaccine: *H lakah inveng rawh. influenzae* natna hrik a ni.
Heng vaccine te hi kan ram pum huapa vaccination program-ah pawh telh a ni. I fain heng vaccine te hi a hun takah a dawng em tih hriat tumin i chhungkaw doctor emaw, tualchhung family health officer emaw hnenah zawt rawh.
Vaccine pek bakah thil tih theih te
- Nu naupai tan: Naupai atanga kar 36 emaw kar 37 vel ah Group B Streptococcus test neih a pawimawh. Infection i neih chuan i doctor chuan nau neih laiin i naute a kai loh nan antibiotics a pe ang che.
- Meizial zuk loh tur.
- Mut tha la, nunphung hrisel tak vawng reng rawh.
- Damlote lakah inthiarfihlim rawh.
- I kut chu sahbawn hmangin uluk takin silfai fo ang che.
- Khuh emaw, thawk hah emaw hian i hmui leh hnar chu tissue emaw, i elbow emaw hmangin khuh thin ang che.
Take-Home Thuchah a ni
- Bacterial meningitis hi damdawi lam emergency a ni. He natna hi a lan chhuah tirh atanga darkar engemaw zat chhungin a na thei hle.
- Khawsik sang tak lo awm nghal, lu na na tak, leh kawr khauh leh hmui chu a rilru thlenga khawih theih lohna te hi puitlingah chuan vaukhânna chhinchhiahna lian pathum a ni.
- Nausen naupangte zingah hian natna lan chhuah dan a inang lo. Mut danglam tak tak, tap chhunzawm zel, leh lu chung lama hnah nêm tak awm chu fimkhur rawh .
- Heng symptoms te hi i neih chuan in lama awm lo la, damdawi in Emergency Treatment Unit (ETU) ah kal nghal mai tur a ni.
- A hmaa hmuhchhuah a nih a, antibiotics pek tan a nih chuan a dam kim theihna chance a sang hle.
- He natna laka invenna tur vaccine tha tak tak a awm a. Nangmah leh i fate vaccine hi a hun takah la rawh.
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