Chagas Natna hi eng nge ni? A awlsam zawngin sawi ila.

Natna kan hriat ngai loh, khawvel ram thenkhatah chuan a hluar hle. Vawiin hian natna mak deuh deuh, a bik takin North, Central leh South America ram hrang hranga darh zel chungchang kan sawi dawn a ni. Hei hi Chagas Disease an ti a. Mi thenkhat chuan "American Trypanosomiasis" an ti bawk. A hming hi a hlauhawm viau mai thei a, mahse hei hi hriat a pawimawh hle a, a bik takin chutiang ram i tlawh dawn chuan a pawimawh hle.

A awlsam zawngin Chagas natna hi eng nge ni?

Chagas natna hi parasite te tak te `(Trypanosoma cruzi)` tih atanga lo chhuak a ni. He parasite hi insect bik takin a phur a ni. He rulhut hi "Triatomine bug" an ti a. Mahse heihi chu "Kissing Bug" tia hriat lar zawk a ni.

Tunah chuan engvangin nge he rulhut hi "kissing bug" tia koh a nih tih i ngaihtuah mai thei. A chhan chu he rulhut hi mi mut laiin zanah a lo kal tlangpui a, an hmai a seh a, a bik takin hmui emaw mit vel emaw a seh thin vang a ni. A hming hi a chhan chu anmahni fawhna pe ang maia a seh vang a ni.

Mahse natna hi rulhut seh vang mai mai a ni lo. Hei hi a ni:

1. "Kissing bug" hian i taksa atanga thisen a hip luh rualin i seh na hmun bulah a bawlhhlawh chhuak thin.

2. A hmaa ka sawi tawh parasite `(Trypanosoma cruzi)` hi he rulhut ek chhungah hian a awm a.

3. I sehna hmun kha i hrual palh emaw, i khawih emaw a nih chuan, parasite ek chu i taksaah hliam, i mit, hnar emaw, i hmui hmangin a lut thei a ni.

He natna hlauhawm ber chu mi tam takin an kai tan tirh lamah hian symptom engmah an lantir lo hi a ni. Chuvangin he natna hi an nei tih pawh an hre lo. He natna hi enkawl loh chuan a rei thei hle a, kum tam tak chhung, kum sawm tam tak chhung pawhin thinlung leh ei leh in lama chhiatna nasa tak a thlen thei a ni.

Chagas natna lan chhuah dan chu engte nge ni?

Chagas natna hian phase lian pahnih a nei a, chungte chu acute phase leh chronic phase te an ni.

A lan chhuah hmasak ber (acute stage) .

Heng symptoms te hi hri kai atanga kar hmasa emaw, thla hnih emaw chhungin a lang thei a ni. But many people have no symptoms at all , a nih loh leh an symptoms neih chu a na lo hle a, flu pangngai ang mai a ni.

• Khawsik
• Taksa natna
• Chau lutuk
• Lu na
• Diarrhea leh luak chhuak
• Insect-in a seh chena hmun chu a sen a, a hring a, a chang chuan natna (chagoma)-ah a lo chang bawk.
• Mitmeng a hring nasa hle. Hei hi damdawi lam hawi chuan "Romaña chhinchhiahna" an ti a. Hei hi symptom bik tak a ni.

Hun kal zelah natna lan chhuah dan (chronic stage) .

Initial stage enkawl a nih loh chuan infection chu taksaah a awm reng a ni. Mahse kum tam tak chhung chu natna lanchhuahna nei lovin a awm thei. Hri kai zinga 30% - 40% vel chuan a tawpah harsatna lian tham an nei ang. Hengte hi a lan chhuah dan hlauhawm ber berte chu an ni:

He natna hi "kisin bug" chauh hian a tidarh em?

He natna hi "kissing bug" vang a ni ber. Mahse, kawng dang engemaw zatin a darh thei bawk.

• Nu atanga nausen thleng: Nu naupaiin he natna hi a neih chuan a naute hnenah nausen (placenta) kaltlangin emaw, nau neih laiin emaw, nau hnute pek hmangin emaw a kai thei a ni.
• Chaw hrik kai hmanga: Chaw emaw thei tui (a bik takin pasteurized loh) parasite-in a tihbawlhhlawh in a.
• Blood transfusion or organ transplant: Hri kai atanga thisen emaw taksa peng emaw dawng. Mahse, tunah chuan ram tam takah chuan he hlauhawmna hi a tlahniam hle a, a chhan chu tunah chuan thisen petute chu Chagas natna an neih leh neih loh endik an ni tawh a ni.

Tute nge he natna vei theihna sang zawk?

He natna hi Sri Lanka-ah chuan a awm lo hle a, mahse a hnuaia natna nei te tan chuan a hlauhawmna a sang zawk a ni.

• South America, Central America, Mexico thingtlang hmunah i awm emaw, i awm tawh emaw a nih chuan, a bik takin in, leilung bang, thingphel inchung, leh window-a screen awm loah chuan "kissing bug" chu chutiang hmunah chuan a awm tam zawk a ni.
• Nuin Chagas natna a vei a, naute a pian chuan.
• Thisen test dan a awm hmaa thisen lak a nih chuan (ram tam zawkah chuan 1990-2007 inkar).

Chagas natna avanga harsatna lian tham lo thleng thei

He natna hi hun rei tak chhunga harsatna a thlen theih avangin kan ngaihtuah zual a ngai a ni.

Chronic phase-a harsatna awm thei ber berte chu:

• Heartbeat irregularities (Arrhythmia): Thinlung thawk mumal lo.
• Cardiac arrest: Lung hnathawh tihtawp nghal.
• Dilated cardiomyopathy: Lung ruh a chak lo a, thinlung a lian a, thisen a pump tha thei lo.
• Heart failure: Thinlung hian taksaah thisen a pump tling thei lo.
• Esophagus lian: Chaw ei harsa.
• Colon lian zawk: Constipation na tak a awm thin.

Engtin nge he natna hi i vei tih i hriat theih ang?

Chagas natna i neih leh neih loh hriat chian dan ber chu thisen test neih hi a ni . Hei hian thisenah antibodies a awm leh awm loh a enfiah a, chu chu taksain T. cruzi parasite laka a invenna a ni.

I thinlung emaw, i chaw ei dan emaw nena inzawm symptom i neih chuan i doctor chuan test dang neih belh turin a ti thei ang.

• Echocardiogram: Thinlung hnathawh dan leh a insiam dan enfiahna scan.
• Electrocardiogram (EKG/ECG): Thinlung electric hnathawh dan tehna a ni.
• X-ray emaw CT scan: Hnung emaw pum emaw thlalak lak.
• Upper endoscopy: Camera hmanga tube hmanga chaw kawng enfiah.
• Colonoscopy: Intestine lian tak enfiahna.

Enkawlna a awm em?

Ni e, vanneihthlak takin hei hi enkawl dan tur a awm. Parasite thattu damdawi chi hnih hman a ni ber. Anni chu `benznidazole` leh `nifurtimox` te an ni.

Mi thenkhat chuan he damdawi hi an ei hian side effect an nei thei a ni. Entîr nân, ei duh lohna, luak chhuak, luak chhuak, lu na , leh taksa ruh na. Hetiang thil hi a lo thleng a nih chuan damdawi ei kha bansan suh la, doctor nen inbia nghal rawh. Ani chuan solution a pe ang che.

Engtikah nge doctor i hmuh ang?

Chagas natna vei tamna hmunah i awm tawh emaw, i zin tawh emaw a nih chuan a hnuaia thil awm danah hian doctor pan a, thurawn dil a pawimawh hle.

• Lung natna emaw, chaw ei leh in lama harsatna i neih chuan.
• He natna hi i vei nia i rinhlelh a, test neih i duh chuan (a bik takin naupai hma emaw, naupai lai emaw).

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?

A hnuaia chhinchhiahna na tak tak te hi a lo awm a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal tur a ni.

• Lu na na tak a ni
• Kawngkhar a nghet lo
• A rilru a na hle
• Luak chhuak nasa tak emaw, luak chhuak emaw
• Confusion emaw dementia emaw a awm thei

He natna hi ven theih a ni em?

Ni e, invenna tur kawng a awm a, a bik takin hmun hlauhawmna hmuna awm emaw, i zin emaw chuan.

• In chhung leh a chhehvela insecticides theh.
• In chhunga "kissing bugs" lut thei lo turin kawngkhar leh kawngkhar khur te chu seal tha taka seal.
• Mut laiin net, mosquito net ang chi hman.
• Unpasteurized thei tui in leh parasite in a tihbawlhhlawh thei ei tur ei loh tur.

Risk area-a i zin tawh a, naupai i beisei a nih chuan Chagas natna test chungchangah i doctor nen inbia ang che.