Lymphatic Filariasis / Elephantiasis chungchang hi i zir belh ang u.

"Elephant foot" emaw "barawa" emaw an tih natna hi i hre tawh em? Mi thenkhat kut leh ke chu danglam takin a hring a, an vun a thim a, a chang chuan a piang lo tih i hmu ngei ang, a dik em? Hei hi a takah chuan natna hrik kai, rulhut atanga kai, kan lymphatic system tichhe thei a ni. Hlauh tur a awm lo, he thu hi chipchiar tak leh awlsam takin sawi ila.

He sakeibaknei hian eng nge a rap? A awlsam zawngin...

Elephantiasis, a nih loh leh damdawi lam sawi chuan Lymphatic Filariasis hi kan lymphatic system-a lut a, a hnathawh tibuaitu parasitic worm te tak te (filarial worms) avanga lo awm a ni. Heng rulhut te hi an te hle a, sam ang mai an ni a, microscope hmang chauhvin an hmu thei.

Kan taksa hian bawlhhlawh paih chhuaktu leh immunity tichaktu system bik a nei tih han ngaihtuah teh, chu chu lymphatic system a ni. He system hian lymph an tih tui a awm a, chu chu lymphatic capillaries kaltlangin a luang chhuak a ni. Ka sawi tak worm te hian heng lymphatic capillaries te hi an block hian fluid chu a luang tha lo va, hmun khatah a tang tlat thin. Chutah chuan vun hring leh vun thick ang chi symptoms a lo lang thin. A chang chuan he natna hi a nasat chuan sakeibaknei ke ang maiin a hring chhuak thin a, chuvang chuan "sakeibaknei ke" an ti thin.

Khawvelah hian he natna hi engtiang chiahin nge a darh?

Tunah hian khawvel mihring 1.5% vel, a nih loh leh mi maktaduai 120 velin he natna hi an vei a ni. A bik takin ram lum leh vawt takah a awm fo thin . Asia, Africa, leh South America ang ramte hian damlo an nei tam ber a ni. Kan Sri Lanka pawh hi tropical ram a nih avangin hei hi ngaihtuah a pawimawh hle.

Mahse thil pakhat hre reng ang che, chutiang ram chhunga zin rei vak lo i kal vang mai maia he natna hi i vei theihna chance a tlem hle. He natna vei tur hian thla tam tak, kum tam tak pawh ni thei, natna hluarna hmunah i awm a ngai a, rulhut seh chhunzawm zel tur i ni.

Barawa natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan Bara natna vei zawng zawng hian symptom na tak tak an nei vek lovang. Mi hmun thuma ṭhena hmun hnih vel chuan natna lan chhuahna lian tham an nei lo mai thei. Mahse, he natna hian immune system a tichak lo fo thin.

Mi thenkhat chuan hetiang symptom hi an nei thei a:

• Inflammation: Hei hi immune system a overactive lutuk avanga lo awm thin a ni.
• Lymphedema: Lymphatic system-a tui awmkhawm avanga lo hring chhuak.
• Hydrocele: Mipa testicles a hring chhuak thin.
• Edema: Taksa tissue hrang hranga tui awmkhawm avanga lo hring chhuak.

Heng swelling ang chi symptoms te hian taksa peng hrang hrangte hi a nghawng thei a ni:

• Kut a ni
• Ke te
• Hnute
• Testicles (Testicles) te pawh a awm
• Mipa gender
• Vagina (vulva) chhehvel hmun .
• Hmai (a tlem hle) .

Engvangin nge he rit hi a lo pung zel? Eng nge a chhan?

A awlsam zawngin, filariasis hi parasitic infection filariasis an tih avanga lo awm a ni. Roundworm chi khat avanga lo awm a ni. Worm te hi an te em em a , mit ngei pawhin hmuh theih loh an ni . Microscope hmanga en chuan heng rulhut te hi thread ang maiin an lang.

Filarial worm hi chi hrang hrang a awm a:

• Wuchereria bancrofti: He rulhut chi hian hri kai 10 zinga 9 a thlen thin.
• Brugia malaya: Hei hi hri kai la awm tam zawk chhan a ni.
• Brugia timori: He chi hian natna hrik a thlen thei bawk.

He natna hi engtin nge a kai theih?

Hei hi a pawimawh ber a ni. Malaria hi thosi atanga kai a ni. Ngaihtuah teh, Malaria vei chu rulhut hian a seh a. Tichuan, chu mi thisena filarial worm (microfilariae) te chu rulhut taksaah a lut ta a ni. Tichuan, chu hri kai rulhut chuan mi hrisel dang a seh chuan, chu rulhut chu mi dang thisenah a lut ta a ni.

A tlangpuiin rulhut vawi khat seh hian natna a thlen lo. Natna vei tur chuan thla engemaw zat, a chang chuan kum tam tak chhung chu hri kai rulhut seh i tawk chhunzawm zel a ngai a ni.

Heng rulhut te hi i thisenah an luh veleh i lymphatic system-ah an kal nghal a ni. Chutah chuan an lo thang lian a, pinworm an lo ni ta a ni. Heng pinworm te hi i taksa chhungah kum 7 thleng an awm thei a ni. Tichuan an pung a, i thisenah pinworm (microfilariae) maktaduai tam tak an chhuah leh ta a ni.

Pawimawh: Heng microfilariae te hi zan lamah thisenah an inher tlangpui. Chuvang chuan zan lamah thisen test neih a ngai a ni.

Barawa natna hian eng harsatna nge a thlen?

Hun kal zelah i lymphatic system a chhiat chuan i taksain natna a do theihna a tlahniam a ni. Hetianga immunity tlahniam hian hetiang dinhmun hi a thlen thei a ni:

• Bacteria natna kai fo thin . A châng chuan vun chu a chhe emaw, a hliam emaw a, chu chuan natna hrik a luh theih phah ṭhin.
• Vun a thim a, tui a awm reng a, chu chuan taksa peng hrang hrang a ti na a, a na a, a lian bawk .
• Tropical pulmonary eosinophilia syndrome: Hei hi thisen var chi khat, eosinophils tamna a ni. Hei hian khuh a thlen thei a, thawk harsatna a thlen thei bawk.

Engtin nge diagnosis hi siam a nih?

Bara natna i vei em tih chiang taka hriat theih nan doctor chuan i thisen sample a test a ngai dawn a ni. Hei hi a hnuaia mite hmang hian tih theih a ni:

• Microscopic blood test: I thisen sample chu microscope hmanga enfiah a ni. Hei hian thisenah filarial worm a zawng ang. Ka sawi tawh ang khan heng rulhut te hi thisenah zan lamah an thawk thin. Chuvangin zan lamah thisen pek a ngai mai thei.
• Antibody test: 1.1.I thisen sample chu antibodies a awm leh awm loh test a ni. Antibodies chu i taksain natna hrik a kai chhanna atana a siam thil a ni. He test hi nitin tih theih a ni.

Barawa natna enkawl dan tur engte nge ni?

Treatment plan i dawn tur chu eng symptom nge i neih leh a nasat danah a innghat ang. Bara natna hi hetiang hian enkawl a ni tlangpui:

• Antiparasitic damdawi: Damdawi ivermectin (Stromectol®), diethylcarbamazine (Hetrazan®), emaw albendazole (Albenza®) te pek i ni thei bawk. Heng damdawi te hian i thisena tapeworm awmte chu a that emaw, an pung zel tur chu a titawp emaw a ni. Heng damdawi ei hian midangte hnena natna kai darh loh nan a veng thei bawk. Mahse, rulhut chu i taksaah a la awm thei a, chuvang chuan kum khatah vawi khat kar engemaw zat chhung chu heng damdawi te hi i ei a ngai dawn a ni .
• Surgery: I thisen atanga rulhut thi te lakchhuah nan operation neih a ngai mai thei. Filariasis hian hydrocele (testicles a hring) a thlen a nih chuan, a tui awmkhawm chu paih chhuah nan operation neih a ngai bawk.
• Elephantiasis enkawl dan: I doctor chuan a hring control theihna tur kawng hrang hrang a rawt thei a, chu chu kut emaw ke emaw hring hring tihsan emaw, compression garment hman emaw a ni thei.

Enkawlna hian side effect a nei em?

Malaria damdawi i ei a nih chuan doctor enkawlna hnuaia awm a pawimawh hle , heng anti-parasitic damdawi te hian side effect na tak tak a thlen thei a ni. Entir nan:

• Luak chhuak thei
• Khawsik
• Lu na
• Muscle emaw joint emaw a na
• Luhai

Chuvangin damdawi lam thurawn dik tak zawm a pawimawh hle.

He natna hi a dam kim thei ang em?

Dik tak chuan tunah hian tapeworm hi damdawi chiang tak a la awm lo. Damdawi hian rulhut tam zawk a that thei a, midang hnena natna kai theihna tur a titawp thei bawk. Enkawlna hian i natna lan chhuah dan a tihziaawm thei bawk.

Natna i vei chuan eng nge thleng ang? Khawtlang nunah nghawng a neih dan chu eng nge ni?

Rheumatoid arthritis vei te hian khawtlang nunah nghawng tha lo tak tak an tawk fo thin . A bik takin, an taksa peng hrang hranga natna lan chhuahna na tak, hmuh theih, an taksa pengte a hring lutuk ang chi an neih chuan khawtlang nunah inhlat tak leh mualpho takin an inhria thei a ni. Chu bakah, chronic swelling emaw pain emaw hian mi pakhatin nitin hna a thawh theihna leh hna a chelh theihna a nghawng thei bawk.

Mahse hre reng ang che, Bara natna hi tihdamna famkim awm lo mah se, i thunun thei a, a natna lan chhuah dan a ti tlem thei a, nun pangngaiin i nung thei bawk. I tih tur chu damdawi lam thurawn dik tak zawm a, i hriselna enkawl hi a ni.

He natna hi engtin nge kan ven theih ang?

Barawa natna laka inven nan eng nge tih theih ang?Mosquito seh laka invenna tha ber chu pumpelh hi a ni. Hei hi tropical area-ah chuan a pawimawh hle. Mosquito seh hlauhawmna hmuna i awm a nih chuan, emaw, hmun pakhata i zin a nih chuan, rulhut seh loh nan hengte hi zawm rawh:

• Mosquito net hnuaiah mu rawh.
• Insect repellent hi vun langsar takah hnawih la, a bik takin zan lamah hnawih thin ang che.
• Pants sei tak leh thawmhnaw kawr sei ha la.
• I huan leh a chhehvel chu fai takin vawng reng ang che. Mosquito pianna hmun (tyre, coconut shell, tin can, etc.) te chu paih vek tur a ni.

World Health Organization (WHO) chuan malaria natna vei tamna hmunah chuan khawtlang pum pui chu preventive chemotherapy pek vek turin a rawt a ni . Hetiang hmanruaah hian hri kai hlauhawma awmte chu kum khatah vawi khat damdawi dose ruat sa pek an ni. Heng damdawi te hian rulhut puitlingte chungah nghawng lian tham nei lo mah se, rulhut naupangte chu an pung zel theih nan a veng a ni. Tin, parasites te chu rulhut hnena kai theih lohna turin an veng bawk.

Engtikah nge doctor i hmuh ang?

I vun – a bik takin i kut, i ke, i hnute, i scrotum, emaw i vaginal area-ah sawifiah theih loh khawpa hring emaw, a thim emaw i neih chuan doctor hnenah hriattir ngei ang che. Chumi hnuah chuan doctor chuan a diagnosis tih chian nan emaw, a rule out emaw turin test tul tak tak a ti thei ang.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei bawk ang:

• Hetiang dinhmun ka dinhmun hi ka rihna vang a ni thei ang em?
• Engtin nge taksa rihna tihpunna nena inzawm symptoms te hi ka enkawl ang?
• Eng treatment nge ka tan i recommend?
• Enkawlna hian eng side effect nge a neih?
• Enkawlna hnuah natna kai leh theihna chance engzat nge awm?
• Engtin nge Barawa natna lakah ka inven theih ang?

Lymphedema natna lan chhuah dan hi engtin nge kan enkawl ang?

Damdawi hian filarial worms te chu a that a nih pawhin lymphedema tih hming pu swelling condition i la nei thei tho. Heng swelling symptoms te hi enkawl nan heng thilte hi i ti thei ang:

• Hliam awm apiang chu disinfect la, uluk takin khuh rawh.
• Kut emaw ke emaw hring hring chu chawi sang rawh.
• I activity level tihsan (hei hian lymph flow a tichak).
• Nitin i taksa a hringna hmunte chu silfai la, vawt rawh.
• Kekawr in fit tha tak bun hmangin tlu leh hliam hlauhawmna tihziaawm rawh.

Take-Home Thuchah hnuhnung ber

Malaria hi subtropical leh tropical climate-a filarial worm awm tamna hmuna natna a ni. A tlangpuiin mi pakhatin he natna hi a vei theih nan chuan hri kai rulhut hian a seh nawn fo a ngai thin. Chuvangin, he natna hi hlauhawmna hmuna chengte hian an kai tam ber a ni.Hun rei lote chhunga zin mite chu an tangkhang hi a tlem hle.

Amaherawhchu, symptoms i neih chuan Doctor hnena hrilh a pawimawh hle. Thisen test awlsam tak hmangin parasitic infection i nei em tih a chiang thei. Hlauthawng suh, a pawimawh ber chu hriattirna leh a tul anga hmalak hi a ni.

` Barawa, Elephantiasis, Lymphatic Filariasis, Elephantiasis, Mosquito Natna, Lymphatic System, Filariasis te a ni