E. coli infection chungchang hi i zir belh ang u. He thu hi chhiar hlau suh!

Ni tam tak chhung chu pum na, ril\am, leh â ang maia inhriat i nei tawh em? A chang chuan dawra kan ei thil pakhat chu a chhe hle niin kan ngai thin. Mahse, chutiang natna thlentu chu a chang chuan bacteria chi te tak te, kan mitin kan hmuh theih loh a ni thei. Chutiang bacteria pakhat chu E. coli a ni. A hming hi a hlauhawm deuhin a ri a ni lawm ni? Mahse, lungngai suh. Vawiin hian eng nge `E. coli` tih hi a ni a, engvangin nge a chang chuan a hlauhawm thei tih te, a laka kan inven dan tur te.

He E. coli hi eng nge ni?

A awlsam zawngin sawi ila, E. coli (Escherichia coli) hi bacteria chi khat a ni. A tlangpuiin mi hrisel leh ran intestines, a nih loh leh gastrointestinal (GI) tract- ah an cheng thin. Mak ti suh, i gut chhunga E. coli hian a tibuai lo tlangpui che. Dik tak chuan i chaw ei tur chu a digest thei che a ni.

Mahse, a then phei chuan E. coli bacteria chi thenkhat (chi tha lo ti ila) chauh hian kan taksaah an lut a nih chuan natna a thlen thei a ni. Heng chi tha lo te hi kan cell ah an inzawm thei a , toxin an siam thei a ni . Chutah chuan buaina chu a intan ta a ni.

Chuti a nih chuan E. coli infection chu eng nge ni?

E. coli infection chu a hmaa kan sawi tawh E. coli bacteria tha lo atanga natna i neih apiang a ni. Entirnan, i hriat lohva heng bacteria tha lo tak takte hi i ei chuan tui ang maia riltam, pum na, leh chaw ei lama natna dang (gastroenteritis) te i nei thei a ni. Hei vang hian a chang chuan diarrheagenic E. coli an ti bawk. Hei hi mi tam zawkin E. coli hri kai chungchang an sawi hian an sawi tum chu a ni.

Chu mai pawh ni lovin, i rilru chhunga awm tlangpui E. coli bacteria te pawhin an awmna tur hmun, i zun kawng ang chi, an kal chuan natna a thlen thei a ni.

E. coli bacteria tam zawk hian natna tenau te an thlen thin. Mahse bacteria thenkhat, a bik takin Shiga toxin an tih toxin siamtute hian natna khirh tak an thlen thei a, chu chuan kal a tichhe thei a ni.

E. coli hri kai chi hrang hrangte chu engte nge ni?

E. coli natna vei tam ber chu chaw ei kawng natna leh zun kawng infection (UTI) te an ni. Tin, heng hri kai te hi a awm thei bawk:

• Thisen kaltlanga natna hrik awm
• Prostate natna (Prostatitis) a awm thei.
• Pelvic inflammatory natna (PID) a awm thei lo.
• Gallbladder natna (`Cholecystitis`) a awm thei.
• Hliam natna
• Pneumonia (hei hi a tam lo deuh) .
• Meningitis (hei pawh hi a tlem hle) .

E. coli natna hi engtiang chiahin nge a tam?

United States ang ramah chuan kum tin Shiga toxin siamtu E. coli (STEC) hri kai hi mi 250,000 chuang an awm tih report a ni. Hetiang STEC chi hi E. coli vanga natna darh zau leh na tak thlentu ber a ni.

E. coli natna lan chhuah dan chu engte nge ni?

E. coli infection of the digestive system (gastroenteritis) hian natna lan chhuahna a thlen thei a, chungte chu:

• Diarrhea: A tam zawkah chuan tui a ni a, a chang chuan thisen a chhuak thei bawk.
• Pum na leh pum na: I pum a inher ang maiin a lang thei.
• Anorexia: Chaw ei duhna hloh.
• Fever: Khua lum tih hriat.

Tui riltam atanga tan a ni fo. Tin, i taksaa natna kai awmna hmun azirin symptoms a inang lo thei bawk.

Urinary tract-a E. coli natna lan chhuah dan chu engte nge ni?

E. coli bacteria hian i zun kawng hmun thenkhat a kai a nih chuan:

• Pum hnuai lam emaw, pelvic area emaw a na.
• Zun laiin kang emaw, na emaw.
• Zun chhuah fo a ngai tih hriat.
• Zun rimchhia chhuak chhuak.

E. coli natna lan chhuah dan hi engtiang chiahin nge a intan?

A natna lan chhuah dan hi bacteria ``STEC`` in a tihbawlhhlawh ei emaw tui in emaw ei atanga ni thum atanga ni nga chhungin a intan thin. A chi dang chuan darkar tlemte chhungin natna a thlen thei a ni. A châng chuan natna hrik taksaa a luh hnu ni sawm thleng a lan chhuah loh theih bawk.

E. coli natna hi eng thilin nge a thlen?

E. coli bacteria chi hrang hrang hian intestine-ah diarrheagenic infection a thlen thei a ni. A tam zawkah chuan a symptoms hi a inang vek a, watery diarrhea ang chi hi a ni. Mahse strain thenkhat chu a dang aiin a na zawk. Scientist-te chuan cell-a an inzawm dan leh toxin an tihchhuah dan a zirin an thliar hrang a ni.

E. coli chi hrang hrang, riltamna thlentu:

• Shiga toxin siamtu E. coli (STEC) .
• Enterotoxigenic E. coli (`E. coli/ETEC`) tih hi a awm lo.
• Enteropathogenic E. coli (`Enteropathogenic E. coli/EPEC`) te hi a awm thei lo.
• Enteroaggregative E. coli (`Enteroaggregative E. coli/EAEC`) a awm a, a chhuahna tur hmun leh a hmanna tur hmun hi a inthlau hle.
• Enteroinvasive E. coli (`Enteroinvasive E. coli/EIEC`) tih hi a awm a, a chhuahna tur hmun tur chu a hriat theih loh.
• Diffusely adherent E. coli (DAEC) hi a awm a, a chhuak leh ta a.

E. coli chi pawimawh dangte chu Uropathogenic E. coli (UPEC), urinary tract infection (UTIs) thlentu leh E. coli K1, nausen piang tharte meningitis thlen thei te an ni.

Shiga toxin siamtu E. coli (STEC) hi eng nge ni?

`STEC` hi `E chi khat bik a ni. coli` natna hrik. `Shiga toxin` tih toxin a chhuah a, chu chuan kan cell te a tichhe thin. Bacteria `Shigella` atanga toxin chhuak nen a inang hle. `STEC` hi `E na tak thlentu nia hriat a ni. coli` natna te. Hei hi chaw bawlhhlawh avanga lo awm a ni fo.

STEC hi enterohemorrhagic E. coli (EHEC) , an ti bawk a, a chhan chu intestine-ah thisen chhuak leh thisen chhuak (hemorrhagic colitis) a thlen thei a ni. STEC vei zinga 5% atanga 10% vel chuan Hemolytic Uremic Syndrome (HUS) tih natna an nei a, chu chuan thisen a ti na a, kal a tichhia a ni. E. coli O157:H7 subtype hi natna khirh ber thlentu ber a ni.

Eng ang E. coli nge Traveller’s Diarrhea hi a thlen?

Enterotoxigenic E. coli (`Enterotoxigenic E. coli/ETEC`) hi natna hrik ``Traveler's diarrhea`` thlentu chi a ni. Hei hi a lan chhuah dan hi a intan nghal vat thin – a chang chuan darkar tlemte chhungin a intan thin. ``ETEC`` type hi khaw lum ramteah a tam zawk. Sri Lanka-ah pawh hian kan zin laia kan fimkhur loh chuan hetiang hi a thleng thei a ni.

Engtin nge E. coli hi kan neih theih ang?

E. coli chi tam tak, riltamna thlentu chu fecal-oral transmission tih hmangin a darh a ni. A awlsam zawngin, hei hi bawlhhlawh te te, hmuh theih loh khawpa te tak te, kan ka atanga kan chaw ei kawngah a luh hian a thleng thin. STEC ang chi chi thenkhat chu sa tui lo leh pasteurized loh in tur hmangin a darh thei bawk.

A bik takin E. coli hi a hnuaia mi ang hian a kai theih a ni:

• Chaw bawlhhlawh ei hian: sa tui lo, thlai raw leh thei chi hrang hrang silfai loh ang chi thil. Tin, dawr atanga kan lei thin salad leh sambol ang chi thil te pawh kan fimkhur a ngai bawk.
• Pasteurized loh in tur: bawnghnute, thei tui (leh a atanga siam thil, cheese leh ice cream ang chi) in hmangin .
• Tui bawlhhlawh in (or ei): Ran leh mihring bawlhhlawh hian natural water source (dil, lui, lui), swimming pool, leh tui in tur tihfai loh a ti bawlhhlawh thei a ni.
• Ek emaw, bawlhhlawh awmna hmun emaw khawih hian: Diaper i thlak emaw, toilet hman zawha i silfai emaw, lo lama ran i khawih emaw, E. coli natna vei mi pakhatin a khawih thil emaw, a khawih emaw i khawih hian i kut chuan bawlhhlawh a nei thei a ni. Chumi hnuah chuan chu kut chu i hmuiah i dah chuan E. coli i vei thei a ni.
• Toilet hman hnua silfai \ha lo: Hei hian i ek chhunga E. coli chu i zun kawngah a luh tir thei a, zun kawng infection (UTI) a thlen thei bawk.

Nausen naupang te hian an pian tirh atangin E. coli natna an vei thei a.

E. coli hi natna hrik kai theih a ni em?

Ni e, E. coli hi mi pakhat atanga mi dangah a darh thei a ni . Direct contact hmanga darh ni lo mah se, E. coli natna vei enkawl a, a bik takin an bawlhhlawh i tawk a nih chuan a darh thei a ni. Tin, E. coli natna vei miin kut sil tha lova a khawih thil, lei chung emaw, ei tur emaw khawih a\angin a darh thei bawk.

Tute nge E. coli vei theihna chance sang zawk?

Natna thlentu E. coli bacteria nena inzawm apiang chu a kai thei a ni. Mahse, a hnuaia mite hi an hlauhawm ber a ni:

• Nausen piang thar leh naupang tê tê
• Kum 65 chunglamte
• Mite taksa chak lohna nei (entir nan, HIV emaw cancer emaw vei, emaw, immunosuppressive damdawi ei thinte) .
• Zunthlum vei (`Diabetes Mellitus`) .
• Mihring rilru natna, ulcerative colitis nei te

E. coli natna avanga harsatna awm thei te chu engte nge ni?

E. coli hian a chang chuan nunna atana hlauhawm harsatna a thlen thei a, chung zingah chuan:

• Hemolytic Uremic Syndrome (HUS) : Hei hian kal a tichhe nasa thei hle.
• Sepsis : Thisenah natna hrik a awm chuan taksain a tihbuai nasat em em a ni.
• Malnutrition emaw stunted growth : Naupang te te, persistent diarrhea nei te hian an taksa mamawh nutrients te chu an ei thei lo thei a, stunted growth an nei thei bawk.

Engtin nge E. coli infection i hriat theih ang?

I doctor chuan i symptoms a zirin E. coli infection a nei tih a hmuchhuak ang. Diarrhea emaw digestive symptom dang emaw i neih chuan i doctor chuan E. coli a awm leh awm loh enfiah turin stool sample a test ang. Symptom dang i neih chuan i zun, thisen, emaw cerebrospinal fluid (CSF) emaw a test thei a ni.

E. coli hmuhchhuah nan hian eng test nge hman thin?

E. coli test bikte chu:

• Stool test a ni
• Urinalysis emaw, zun culture emaw a ni thei
• Thisen culture
• Spinal tap/lumbar puncture hmanga tihchhiat a ni

E. coli hri kai hi engtin nge enkawl an nih?

E. coli infection, chaw ei lama symptoms thlentu te hian enkawl a ngai lo fo thin. Doctor-te chuan STEC natna vei tan antibiotics emaw antidiarrheal emaw an pe tlangpui lo a, a chhan chu chutiang damdawi chuan STEC vei mi pakhatin HUS a vei theihna a tipung thei a ni. Chu ai chuan doctor-te chuan i dinhmun an enfiah ang a, tui tlakchham loh nan tui, saline ang chi an pe ang che.

Pawimawh:STEC infection i neih chuan doctor thurawn tel lovin antidiarrheal damdawi (e.g., Loperamide) ei loh tur a ni.

Mahse, E. coli natna chi dang - zun kawng infection, meningitis emaw sepsis emaw i neih chuan emaw, i natna lan chhuah dan a nasat chuan i doctor chuan antibiotics hmangin a enkawl ang che.

E. coli natna vei tan eng antibiotics nge pek thin?

Doctor-te’n E. coli natna atana an hman thin antibiotics thenkhat chu:

• `Trimethoprim/sulfamethoxazole/TMP/SMX hman tur a ni` tih hi a ni
• `Ciprofloxacin` tih a ni
• `Rifaximin` tih a ni
• Nitrofurantoin (urinary tract infection tan a awm fo thin) .

E. coli hri kai hi ven theih a ni em?

E. coli natna laka invenna atana i tih theih pawimawh ber chu kut sil hi a ni . A bik takin heng hun chhung hian sahbawn leh tui lum hmanga kut sil uluk a pawimawh hle:

• Chaw siam hma leh siam zawhah te, sa leh sangha raw an khawih hnuah te.
• Bathroom-a an kal hnu, diaper an thlak hnuah, rannung an khawih hnuah.

Tin, ei tur siam dan him tak tak zawm hian E. coli kai theihna a tihtlem thei bawk:

• Unpasteurized milk emaw thei tui emaw in loh tur.
• Thlai leh thei raw zawng zawng chu ei hmain tui luang hnuaiah uluk takin silfai thin ang che.
• Sa chu refrigerator atanga counter-ah dah chhuakin thaw mai mai suh. Plastic bag ah thaw rawh.
• Sa i chhum hmain silfai suh. Sa sil hian a chhehvel, bungrua leh ei tur dangteah bacteria a darh thei a ni.
• Sa raw atan plastic, silicone emaw ceramic emaw cutting board hmang rawh. Thing cutting board hi tihfai vek a harsa a, bacteria a awm thei bawk.
• Chaw chi hrang hrang siam nan hmun hrang hrang hmang rawh. Cutting board ang chi surface-ah hian bacteria a darh thei a ni. Cutting board hran i neih loh chuan sa raw hmanga hnathawh zawh hnuah a chungah chaw chi dang (thlai raw ang chi) dah hmain a chunglam chu sahbawn leh tui lum hmangin uluk takin silfai hmasa phawt ang che.
• Sa zawng zawng chu ei hmain temperature him takah chhum rawh.
• Sa hmin tawh chu sa hmin tawh plate-ah dah suh.
• Chaw ei la awm chu fridge-ah dah nghal rawh.

E. coli a lo awm chuan eng nge thleng ang?

E. coli infection hian riltam na lo atanga nunna atana hlauhawm natna thlengin a thlen thei a ni. Mi tam zawk chu anmahni chauhin emaw, antibiotics hmangin emaw an dam tha thin. STEC infection hi enkawl a ni tlangpui lo a, mahse supportive care i mamawh mai thei, saline ang chi. STEC darh zel tur tihtawp nan damdawi inah dah leh isolated i ni thei bawk.

E. coli hi eng chen nge a awm tawh?

E. coli natna i neih chi hrang hrang a zirin i natna lan chhuah dan hi ni hnih atanga kar hnih thleng a awm thei. STEC hri kai hi ni nga atanga ni sarih vel a ni tlangpui.

E. coli natna hi a mah chauhin a dam thei ang em?

E. coli gastroenteritis tenau leh zun kawng infection thenkhat te chu anmahniin an dam thei a ni. Enkawlna engmah awm lovin kar khat vel chhungin i dam leh mai thei. Mahse, ni engemaw zat chhunga riltam na tak i neih a, pum na i neih a, i zun laiin na i nei a, i zun tlem lutuk a nih chuan doctor i pan ngei tur a ni.

E. coli vangin i thi thei ang em?

Ni e, E. coli hri kai hian thihna a thlen thei. Zirchianna atanga a lan dan chuan E. coli hri kai vanga thihna hi 17% vel a ni. Mahse, heng zirchianna result hi a inang lo hle (8% atanga 35% inkar). A tlangpuiin E. coli vanga zun kawng infection hi E. coli infection dang aiin a thihpui tlem zawk.

Sepsis hi E. coli natna vei zingah thihna thlentu lian ber a ni. Thihna hi kum 1 hnuai lam, kum 44 aia upa, thawkna lama natna nei, antibiotics dawng lo infection nei te zingah a tam zawk a ni.

Engtin nge ka in enkawl ang?

• Diarrhea tipung thei thil (caffeine, zu ang chi) ei leh in loh tur.
• Dehydration awm loh nan tui tam tak in thin ang che.
• Doctor-in STEC (a bik takin E. coli O157:H7) i vei tih a hriat chuan, antidiarrheal damdawi (bismuth subsalicylate - Pepto-Bismol®, Kaopectate®, emaw loperamide - Imodium® ang chi) ei suh. Heng damdawi te hian HUS vei theihna a tipung thei a ni.

Engtikah nge Doctor ka hmuh ang?

Ni thum aia rei diarrhea i neih emaw, zun kawng natna lanchhuahna i neih emaw, hriselna lama harsatna dang i neih emaw chuan doctor pan tur a ni.

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

Heng symptoms te hi i neih chuan emergency room hnai ber ah kal la, doctor thurawn la nghal rawh:

• Fluid engmah i dah hniam thei lo a nih chuan.
• Thisen nena riltam i neih chuan.
• I luak fo chuan.
• Khawsik hi 103 degree Fahrenheit (40 degree Celsius) aia sang a nih chuan.
• I zun tlem lutuk chuan.
• Buaina emaw, rilru lam danglamna dang emaw i neih chuan.
• I chak lo hle emaw, i muhil emaw a nih chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhnate zawh hi a \angkai thei ang:

• Eng damdawi nge ka ei a him?
• Eng chi E. coli nge ka neih?
• E. coli darh zel tur hi engtin nge kan ven theih ang?
• Nakin lawkah hetiang thil hi a thlen loh nan eng nge ka tih ang?

E. coli hi bacteria chi khat a ni a, kan taksaah harsatna awm lovin a nung thei a ni. Mahse strain thenkhat chuan min ti na thei a, a bik takin an luh lohna hmunah an lut a nih chuan. E. coli natna tam zawk hi chu anmahniin an dam leh ang. Mahse i natna lan chhuah dan hi ni engemaw zat aia rei emaw, a nasat emaw chuan doctor i pan ngei ngei tur a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawiho atang hian E. coli chungchang hi i hrethiam zawk ngei ka beisei. Heng thute hi hre reng ang che:

• E. coli hi mi zawng zawng tan a tha lo a, mahse strain thenkhat chu a hlauhawm hle.
• Kut sil hi chutiang laka invenna tha ber a ni. Chaw i buatsaih hma leh toilet i hman zawhah kut sil hmasa phawt ang che.
• Chaw i buatsaih dawnin faina lamah fimkhur hle ang che . Sa raw leh sangha chu uluk takin chhum la, thei leh thlai te chu uluk takin silfai bawk ang che.
• Ni engemaw zat chhung chu ril\am emaw, pum na emaw i neih chuan, ril\am chu thisenin a zui a nih chuan, emaw, khawsik i neih chuan doctor pan ngei ngei tur a ni.
• Doctor thurawn tel lova ril\am damdawi ei loh tur a ni a, a bik takin `STEC` infection a nih chuan ei loh tur a ni.

He thu hi i tan a tangkai ngei kan beisei. Hrisel takin awm rawh!

` E. coli, E. coli, natna hrik, ril\am, pum na, zun kawng natna, ei tur rimchhia, bacteria