Nang pawhin pum chhe tak i nei em? He cholera chungchang hi i zir chiang ang u!

A châng chuan rilṭâm i neih thut dân i hre reng em? A châng chuan ni khat emaw ni hnih emaw chauh a awm a, chutah chuan a mah chauhin a ṭha chho leh ṭhin. Mahse, han mitthla teh, tui awm reng reng i neih chuan i chak lo a, i luak tan ta a ni... Chumi hnuah chuan tlem i fimkhur a ngai a ni. A chhan chu, Cholera an tih natna chhinchhiahna a ni thei a, chu chu a hlauhawm deuh thei a ni. Hlau suh, vawiinah hian he cholera chungchang hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni. Hemi chungchang hi hriat a pawimawh hle a, a chhan chu chutih hunah chuan kan inveng thei a, a tul chuan enkawlna kan dawng vat thei bawk.

Cholera chu eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, cholera hi kan intestines-a awm bacteria infection a ni. Hei hian riltam lutuk, tui ang chi a thlen thin. A dik tak chuan taksaa tui awm zawng zawng chu a bo vek a ni. Hetiang dinhmun hi dehydration kan ti a . Chu mai ni lovin, kan taksa hian electrolytes , taksa hnathawhna atana puitu mineral pawimawh tak takte pawh a hloh bawk.

Pawimawh: Cholera natna hi a enkawl that loh chuan thihna thlen thei a ni. Diarrhea i neih chuan tui leh tui tam tak in tan la. Diarrhea a nasat chuan, i luak tam a nih chuan, emaw, tui tlakchhamna chhinchhiahna i neih chuan damdawi in pan nghal tur a ni .

Cholera hi tui thianghlim leh inthiarna mumal awm lohna hmunah a tam ber. Seafood raw ei atanga kai theih a ni bawk a, chu chu shellfish te hi a ni. A châng chuan, khawvêl chhiatna, ruah nasa tak, lirnghing, leh thlipui tleh hnua hri lengah cholera hi a darh thei a ni.

Eng bial-ah nge cholera hi a tam ber?

Tunhma zawng zawngah chuan khawvel hmun hrang hrangah te hian cholera hri leng hi a lo awm tawh a ni. Amaherawhchu, tun hnaiah hri leng thar ber berte chu:

• Asia ram thenkhat atanga lo kal a ni
• Africa rama Sahara thlaler chhim lama awm ram (Sub-Saharan Africa) .
• Caribbean thliarkar atanga lo kal a ni

Khawvel pumah kum tin mi maktaduai khat atanga maktaduai li velin cholera an vei nia chhut a ni a, kum tin mi 20,000 atanga 100,000 chuang velin cholera an vei nia chhut a ni. Chuvangin hei hi natna ngaihthah tur a ni lo.

Cholera natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Cholera natna lan chhuahna ber chu bawlhhlawh tui a ni . Hei hi a tlangpuiin grayish, slightly cloudy, mucus ang chi diarrhea a ni. Buhfai kan sil hmaa tui lo chhuak kha han ngaihtuah teh... chu chu a ni. A châng chuan stool-ah hian mucus te te te a lo inphah chhuak tih i hmu thei bawk. Doctor-te chuan hei hi ‘rice water stool’ an ti bawk. He ril\am hi a na nghal thei a, nunna atana hlauhawm khawpa tui tlakchhamna a thlen thei bawk.

A lan chhuah dan dangte chu:

• Luak chhuak
• Tuihalna nasa tak
• Chau
• Muscle cramps emaw chak lohna emaw
• Luak chhuak thei
• Zun chhuah a tlem hle emaw, a tawp emaw
• Heart rate chak tak

Mahse, cholera vei tam tak chuan symptom an nei lo mai thei tih pawh i hriat a ngai. An natna chu midangte hnenah an kai darh thei a, an damlo tih pawh hre lo.

Eng thilin nge cholera a thlen? Engtin nge kan hmuh theih ang?

Cholera hi bacteria chi khat Vibrio cholerae (or V. cholerae) tih atanga lo awm a ni. He bacteria hi tui lum, chi (brackish) deuhah a awm a. Chuvangin, he V. cholerae bacteria hian tui kan in emaw, ei tur kan ei emaw hian he bacteria hi kan small intestine wall-ah a innghat a, chutah chuan toxin a siam chhuak thin. Heng toxins te avang hian diarrhea kan nei thin.

Chuvangin, cholera kan vei theih dan tlangpui chu:

• Oyster ang chi tuifinriat thil raw ei hmangin.
• V. cholerae bacteria awmna poop/feces-a bawlhhlawh tui in hmangin.
• V. cholerae bacteria awmna tui hmanga siam chaw ei hmangin.

Cholera hi mi pakhat atanga mi dangah kai theih a ni em?

Cholera hi mi pakhat atanga mi dangah direct-in a darh lo va, khawsik ang maiin a darh lo. Chu chu mi biak emaw, hnaih taka awm emaw avanga thehdarh a ni lo tihna a ni. Mahse, indirect takin a darh thei a ni . Engtin nge tih i hria em ? Tui thianghlim awm lohna hmun leh inthiarna hmun tlemteah chuan cholera vei ek (poop) chu a bawlhhlawh a, boruakah a lut a nih chuan tui (entir nan, tuikhuah tui, lui tui) a ti bawlhhlawh thei a ni. Chu tui chu i in emaw, chu tui nen chuan chaw i siam emaw, i kut i sil emaw chuan, chu natna chu midangte hnenah a darh thei a ni. Chuvang chuan faina hi a pawimawh em em a ni.

Tute nge cholera vei theihna sang zawk?

Cholera hri leng hi tui thianghlim, inthiarna mumal, tui in tur leh chaw siamna tui tihthianghlim dan tur awm lohna hmunah a awm tam zawk. He hlauhawmna hi thilsiam chhiatna (lirnghing emaw tuilian emaw ang chi)-in a nghawngna hmunah pawh a sang zawk a ni.

V. cholerae bacteria vei tu pawhin cholera vei thei mahse, mi thenkhat chu an hlauhawm zawk. Tin, cholera vei theihna i nei sang zawk thei bawk a, chu chu:

• Hmeichhia i nih chuan.
• I thisen type chu ‘O’ a nih chuan.
• I pum acid a tlem chuan, chu chu hypochlorhydria tih natna i neih chuan (entir nan, gastritis tan antacids emaw proton pump inhibitor emaw i ei fo chuan).
• I pum thenkhat emaw, a pum emaw lak chhuah tura operation i neih tawh chuan (gastrectomy).
• H. pylori natna i neih chuan .

Cholera natna avanga harsatna awm thei te chu engte nge ni? Chûngte chu a hlauhawm em?

Cholera hi thil pahnih vang ber a ni : dehydration leh taksaa electrolytes hloh . Heng natna avanga harsatna awmte hi a thihpui rang hle thei a ni. Chutiang harsatnate chu:

• Hypovolemic shock: Hei hi taksaa thisen leh tui awm zat tlem avanga shock condition a ni.
• Heart rhythm chungchang a ni.
• Organ failure, a bik takin kal (kidney) te.

Hei vang hian cholera rinhlelh a nih chuan inenkawlna zawng vat a pawimawh hle kan ti.

Engtin nge cholera hi dik taka hriat theih?

Doctor-te chuan cholera hi ek sample lak a, V. cholerae bacteria awm leh awm loh enfiahin an hmuchhuak thin . A châng chuan i doctor pawhin i chi (salt level) leh tui tlakchhamna (dehydration) enfiah nan thisen test a nei thei bawk.

Cholera enkawl dan tur engte nge ni?

Cholera enkawlna atana thil pawimawh ber chu dehydration ven hi a ni . Hei hi tui tam tak in a, a tul chuan intravenous fluids (IV fluids) pek a ni thei bawk. Chu bâkah, doctor-te chuan i dam thuai theih nân doxycycline, erythromycin, azithromycin ang chi antibiotics an pe ṭhin.

Naupang tê thla 6 leh kum 5 inkar hnena zinc supplement pek pawh hi enkawlnaah hian a tel a ni.

Pawimawh: Cholera tan antidiarrheal damdawi hman a tha lo. Symptoms a ti na zual thei. Hei hi a chhan chu diarrhea hi a takah chuan taksain natna hrik a paih chhuah theihna tur a nih vang a ni.

Cholera lakah engtin nge i inven theih ang? Inven dan tur engte nge ni?

Cholera laka inven dan tha ber berte chu:

• Tui sanitized chauh in tur a ni. Tui chu uluk takin chhum rawh. A nih loh leh chlorine hmangin enkawl la, a tithianghlim ang.
• Tui thianghlim leh sahbawn hmangin i kut silfai tur a ni a, a bik takin chaw ei hma te, chaw buatsaih hma te, toilet i hman zawhah te.
• I awmna hmuna tui thianghlimna i hriat chian loh chuan tui bottle-ah chauh in tur leh chaw siam nan hmang thin ang che.

Cholera vei theihna hmuna i awm a nih chuan, emaw, hmun khata i kal a nih chuan, oral vaccine pawh a awm a ni. Chûngte chuan natna kai theihna a tihziaawm theih laiin, a hlauhawmna chu a ti bo vek lo tih hre reng ang che.

A lian zawkah chuan cholera laka inven dan tha ber chu mi zawng zawng tui in tur thianghlim leh inthiarna tha pek hi a ni. Hei hian khawvel huapa humanitarian leh public health programme siam a ngai a ni.

Cholera i vei chuan engtin nge i tih ang? Engtikah nge damdawi in pan nghal tur?

Cholera i vei a nih chuan – emaw, natna eng pawh, ril\am emaw, luak chhuak emaw – i vei a nih chuan a pawimawh ber chu i tui tlakchham hmain tui tam tak in hi a ni .

• Eng nge in tur tha?Tui, chi porridge, soup, leh oral rehydration solutions (ORS), kan Jeevani, emaw Pedialyte® emaw Ceralyte® emaw, damdawi dawr atanga i lei theih te hi hydrated reng tur chuan duhthlan tur tha ber a ni.
• Eng nge in loh tur? Sweetened beverages, sports drinks, thei tui, leh soda te hian sugar a tam avangin diarrhea a ti na zual thei a ni. Tin, anti-diarrheal damdawi ei loh tur a ni.

Engtikah nge damdawi in (ETU) pan nghal tur?

Diarrhea hian rang takin tui a tichhe thei che a ni. I luak chhuak emaw, i luak chhuak nasa emaw a nih chuan damdawi inah kal nghal la , emergency medical attention la nghal rawh. Diarrhea emaw, luak chhuak emaw leh heng symptoms te i neih chuan 911 (1990 Suwaseriya in Sri Lanka) ah call nghal la, damdawi inah kal nghal rawh:

• Muscle a ti na hle
• Tuihalna nasa tak
• Zun chhuahna a tlem hle emaw, a hloh vek emaw
• Luak chhuak thei
• Chaklohna
• Heart rate chak tak
• Buaina emaw rilru dinhmun danglam emaw

Cholera hi enkawl lohvin a dam dawn em ni?

Ni e, cholera hi antibiotics tel lovin a dam thei a ni. Mahse, a symptoms te hi uluk taka enkawl a pawimawh hle . Hei hian tui in tam te, electrolyte thlak te, natna khirh tak laka invenna te a kawk a ni.

Enkawlna nen – chu chu tui tlakchhamna venna atana tui hman dan dik tak hmanga enkawl a nih chuan – cholera vanga thihna hi 1% aia tlem a ni. Mahse, enkawl loh chuan he rate hi 50% aia tam a ni . Chu chuan inenkawlna pawimawhzia a tilang a ni lawm ni?

Doctor hnenah eng zawhna nge i zawh tur?

Cholera i vei nia i rinhlelh chuan doctor i hmuh hunah heng zawhnate hi zawh a \angkai thei ang:

• Hydrated taka awm theihna tur kawng tha ber chu eng nge ni?
• Tui tlakchhamna ka neih chuan eng nge ka tih ang?
• Cholera hi midangte hnena a darh loh nan eng nge ka tih ang?

Cholera awmna hmunah ka kal chuan engtin nge ka inven theih ang ?

United States-ah hian pawl pakhat CDC (Centers for Disease Control and Prevention) tih a awm a. An website (Travel Health Notices)-ah khualzinte chuan cholera ang natna hluarna hmunte chanchin an hmu thei a ni.

Cholera vei tamna hmunah i awm a nih chuan, emaw, hmun khata zin i tum a nih chuan, i tui in tur chungchangah fimkhur hle ang che. I kut sil tha la, chaw i buatsaih dawnin fimkhur hle ang che. Chûng thilte chuan a ṭanpui thei che a ni:

• Tui bottle-a dah a ni
• Chlorine tablets - tui tihthianghlim
• In chhunga bleach - tui tihthianghlim nan (a zat dik tak hmang rawh) .
• Iodine tablets - tui tithianghlim
• Chaw ei tur prepackaged te

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvângin, cholera emaw, thil dang emaw aṭanga lo chhuak emaw, rilṭâm na tak i neih chuan doctor pan nghâl rawh . Dehydration a awm loh nan fluid leh electrolyte te i thlak a ngai a ni. He harsatna, dehydration an tih hian hriselna lama harsatna lian tak a thlen thei a, thihna thlengin a thlen thei a ni.

Cholera chungchang hi kan hre fo lo nain khawvel hmun hrang hrangah hriselna atana hlauhawm lian tak a la ni reng a ni. Public health department-te chuan cholera hri leng leh thihna tihziaawmna turin hma an la mek a, a bik takin a tuarna hmuna cholera hri lengte tihziaawmna turin hma an la mek a ni.

Cholera vei tamna hmunah i zin a nih chuan vaccine lak hian nangmah leh midangte venhimna kawngah a pui thei a ni. Diarrhea i neih veleh tui, salted porridge, leh jeevani tam tak in thin ang che. Hydrated i nih theih leh theih loh i hriat chian loh chuan doctor thurawn la hmasa phawt ang che . Faina hi cholera laka invenna tha ber a ni tih hre reng ang che!

` Cholera, luak chhuak, luak chhuak, tui tlakchham, bacteria infection, Vibrio cholerae, tui thianghlim, faina, natna hrik kai theihna