A châng chuan khawsik, taksa na, emaw, chhan awm lovin i thawkrim em? Heng thilte hi ni engemaw zat hnuah a bo a, a lo kir leh em? Hei hi virus fever pangngaiah i ngai mai thei. Mahse rannung a\angin keimahniah pawh kai theih a ni a, taksaa inthup natna a ni thei bawk. Vawiin hian chutiang natna chungchang kan sawi a ni. Chu chu Brucellosis a ni. Hei hi hming mak deuh ni mah se, a chanchin hriat a pawimawh hle.
Brucellosis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, brucellosis hi natna hrik pakhat `Brucella` an tih atanga lo chhuak a ni. Hei hi a specialty chu rannung atanga kan hnena kai theih a ni . Chuvangin zoonotic disease kan ti bawk. He natna hi Malta fever leh Mediterranean fever an ti bawk.
He natnaah hian khawsik, ruh na, leh thawk hah ang chi symptoms te hi a lo thleng thei a, a lo kir leh thei a, thla tam tak, kum tam tak chhung pawh a awm thei bawk.
Tute nge he natna vei theihna sang zawk?
He natna hi khawvel ram tam takah hmuh tur a awm a. A hnuaia mi i nih chuan he natna hi i vei theihna chance a sang deuh hlek a ni.
- Veterinarian emaw, rannung nena thawk ho emaw.
- Dairy farm emaw ranch emaw-a hnathawk i nih chuan.
- Sa thatna dawrah emaw, talhna hmunah emaw, sa raw handle-ah emaw i thawk a nih chuan.
- Miin ran a man a nih chuan.
- `Brucella` bacteria test na lab-a hnathawk i nih chuan.
- Sa tui lo i ei emaw, pasteurized loh bawnghnute leh bawnghnute atanga siam (e.g. cheese, yogurt) i ei chuan.
He natna hi Sri Lanka-ah hmuh tur awm lo mah se, khawvel pumah kum tin mi 500,000 vel an awm thin. Chuvang chuan risk group-a awmte tan chuan kan hriat chian a pawimawh hle.
He natna lan chhuah dan engte nge ni?
Brucella natna lanchhuahna hi kar hnih atanga kar li emaw a aia rei emaw a ni. Thla tam tak chhung heng natna lan chhuah dan hi a lo awm a, a lo kal zel a nih chuan a lungchhiatthlak ang tih han ngaihtuah teh. Chuvangin, heng symptoms te hi fimkhur rawh.
| Symptom a ni | Thu belhchian dawl zawk |
|---|---|
| Khawsik | Nitin khawsik hi a pung thei a, a tlahniam thei bawk. |
| Thawmhnaw hak | A châng chuan thawmhnaw hian rimtui a nei thei bawk. |
| Joint natna | Natna, a bik takin hip, khup emaw, hnungzang hnuai lam emaw. |
| Rihna tihtlem | Chhan awm lovin taksa rihna tihtlem. |
| Lu na | Lu na fo thin. |
| Thil dang pawh a awm | Pum na, chaw ei chak lohna, lungngaihna, lymph node hring leh na, chak lohna hriatna. |
Engtin nge he brucellosis hi kan chungah a darh?
He natna thlentu hi Brucella bacteria chi hrang hrang a awm a. He bacteria hi rannung taksaah a awm ber a ni. Entir nan:
- Bawng
- Kel te
- Vawk te
- Sakhi
- Beram
- Ui te
- Sabengtungte
Heng rannung atanga natna kan kai theih dan tur kawng hrang hrang a awm a.
| Inkaichhawn dan | A awlsam zawngin... |
|---|---|
| Pasteurized loh hnute ei | Ran hri kai atanga bawnghnute raw in emaw, chu bawnghnute atanga siam cheese, ice cream, etc. ei emaw hmangin. Pasteurization chu hnute tui lum a, natna hrik tihlumna a ni. Bawnghnute pasteurized tawh chu in tur a him. |
| Ran natna vei taksa peng emaw tui emaw nena inzawmna | I vunah hliam emaw, hliam emaw hmangin i taksaah bacteria a lut thei a, i mit, hnar emaw, i hmui emaw hmangin a lut thei bawk. |
| Bacteria inhalna (inhalation) a ni | Ran hri kai sa emaw thisen emaw atanga boruaka bacteria chi hrang hrang thawk chhuah hmangin. Lo leh ran talhna hmuna thawkte chu an hlauhawmna a sang zawk. |
| Sa ei tur undercooked te | Ran hri kai sa sa tui lo tak ei hian. |
Pawimawh tak chu he natna hi mi pakhat atanga mi dang kai hi a tlem hle . Mahse, nu naupai atanga a fa hnena kai, nau hnute pek emaw, mipat hmeichhiatna hmang emaw a kai hi a tlem hle. Mahse, hei hi mipat hmeichhiatna hmanga kai theih natna (STI) anga ngaih a ni lo.
He natna hi engtin nge doctor hian a hriat theih ang?
Doctor i pan chuan i natna lan chhuah dan te, rannung nena in thawh dun nge, bawnghnute raw i in tawh em tih te a zawt ang. Brucellosis natna lan chhuah dan hi natna dang nen a inang avangin a natna hriat chian nan test eng emaw zat neih a ngai a ni.
- Thisen test: I thisen sample lak a ni a, Brucella bacteria laka antibody a awm leh awm loh enfiah a ni. Thisen sample hi lab-ah culture-in bacteria a awm leh awm loh enfiah theih a ni bawk. Mahse, bacteria hi a lo thang zawi em em a, a result hmuh theih nan kar tam tak a ngai thei a ni.
- Taksa tui dang test: Spinal fluid leh joint fluid ang chi thil test hian bacteria hi a zawng thei bawk.
- Tissue biopsy: Tissue te tak te chu ruhro ang chi hmun atanga lak chhuah a ni a, enfiah a ni.
- Imaging test: I natna lan chhuah dan azirin X-ray, CT scan, leh MRI te hmangin ruh, thin leh thinlung ang chi taksa peng hrang hrang a chhiat leh chhiat loh enfiah theih a ni.
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu brucellosis hi antibiotics hmangin a tidam vek thei tih hi a ni . Mahse a danglamna tlem a awm.
Antibiotics chi hnih tal i mamawh ang a, kar 6-8 tal i mamawh ang.Hun rei tak chhung pek a ni a, like. He bacteria hi taksa cell chhungah a inthup tlat avangin a boral vek theih nan hun rei tak enkawl a ngai a ni.
I doctor-in antibiotics a pek theihte chu:
- ` A rilru a buai em em a, a rilru a hah em em bawk a . `
- `Rifampin` tih a ni
- `Streptomycin` emaw, `Gentamicin` emaw a ni thei
- `Trimethoprim/sulfamethoxazole (TMP/SMX) hman tur a ni`
- `Ciprofloxacin` tih a ni
Pawimawh tak: Doctor-in a pek hun chhung zawnga damdawi ei a pawimawh a, ni khat pawh tlai lo. Damdawi ei kha a chanve vel i chawlhsan chuan, i rilru a hahdam deuh a nih pawhin, natna a lo let leh theihna chance a sang hle.
I doctor hnenah damdawi dang i ei theih dan tur, khawsik leh ruh natna ang chi te kha zawt la.
Enkawl hnuah eng nge thleng? Harsatna a awm em?
Mi tam zawk chu enkawl hnuah an dam chhuak vek a, mahse thenkhat chuan ruh natna (arthritis) ang chi symptom te chu rei tak an nei thei.
Natna hi uluk taka enkawl a nih loh chuan hun kal zelah harsatna lian tham tak tak a awm thei a ni.
- Arthritis natna awm reng.
- Thin (Hepatomegaly) emaw, ril (Splenomegaly) emaw a lo hring chhuak thin.
- Thinlung chhungril lam natna (endocarditis) a awm.
- Thluak emaw thluak khuhna (Encephalitis emaw Meningitis emaw) natna hrik awm.
- Ruhro (Spondylitis) emaw ruh dang (Osteomyelitis) emaw natna hrik a awm.
- Mipa testicles leh a kaihhnawih duct te a hring (Epididymo-orchitis).
- Nu naupai nau pai.
Heng harsatnate hi hlauhawm tak ni mah se, natna hi a hmaa hmuhchhuah a nih a, a \ha taka enkawl a nih chuan ven theih a ni . He natna avanga thihna hi a tlem hle.
He natna laka inven nan enge kan tih ang?
A tha ber chu brucellosis laka inven hi a ni. I tanpui theih tur thil awlsam tlemte a awm.
- Unpasteurized (raw) milk in ngai suh. Tin, bawnghnute raw atanga siam ei tur, cheese leh yogurt te ei loh tur a ni.
- Ran (loneitu, ran enkawltu, sa thattu) nena hna i thawh chuan, invenna hmanrua , kutkawr leh goggles ang chi ha fo ang che .
- Sa te chu uluk takin chhum la, ei rawh.
- Sa raw i khawih hnuah sahbawn hmangin i kut uluk takin silfai fo ang che. Tin, cutting board leh chemte pawh tifai bawk.
Engtikah nge Doctor ka hmuh ang? ETU-a kal hun tur chu engte nge ni?
A chunga kan sawi tak symptoms te hi i neih chuan, a bik takin rannung nena inpawh tak i nih chuan i doctor hmu ngei ang .
Tin, a hnuaia symptom na tak tak te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal tur a ni.
- Khawsik sang 39.4 Celsius (103 Fahrenheit) aia sang.
- Pum natna nasa tak a ni.
- Buaina emaw, hriatna danglam emaw.
Chutiang dinhmunah chuan in lama awm ai chuan damdawi lam thurawn lak vat a, harsatna lian tham tak takte chu pumpelh theih a ni.
Take-Home Thuchah a ni
- Brucellosis hi bacteria infection a ni a, rannung atanga mihringah a kai thin.
- A lan chhuah dan ber chu khawsik fo, ruh na, leh thawk hah te hi a ni .
- He natna hi bawnghnute raw in atanga kai theih a ni a, sa tui lo ei a, hri kai ran khawih atanga kai theih a ni.
- Enkawlna atan hian hun rei tak chhung antibiotics (kar 6-8) a ngai a, doctor-in a pek hun chhung zawnga damdawi ei a pawimawh hle.
- He natna hi himna dan (pasteurized milk in, sa uluk taka siam, leh ran vulh huna invenna hmanrua bun) zawm hian pumpelh vek theih a ni.
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