He parasite hi i pum natna thlentu a ni thei: Giardiasis chungchang zawng zawng

I pum a buai fo thin em, i pum a khat tih hriatna, a nih loh leh i pum na tak i nei fo em? A châng chuan kan ei leh in thil nia kan ngaih pawhin a takah chuan kan hmuh theih loh parasite te tak te a ni thei. Vawiin hian ‘gaiadiasis’ tih natna kan sawi dawn a, chu chuan pum a ti na a, Sri Lanka-ah pawh a awm fo thin.

A awlsam zawngin, Giardiasis chu eng nge ni?

Hei hi a takah chuan kan intestines-a infection a ni. Hei hi a chhan chu parasite te tak te `Giardia` , mit hmuh theih loh a ni. He parasite hi khawvel hmun hrang hrangah a awm a, a bik takin tui bawlhhlawh awmna hmunah (dil, lui, tuikhuah ang chi) a awm a ni. Mahse, kan ei chuan, chu chu hriat loha kan in chuan he parasite hi kan ril te tak teah a kal nghal a ni. Chutah chuan a pung chho tan a, kan ei ang bawka ei leh in pawh a ei ve bawk.

Hei vang hian rimchhia, puak chhuak, gas, pum na, rilru hah, leh rilru hahna ang chi te kan tawng thin. Heng symptoms te hi mi thenkhat tan chuan a na lo thei a, thenkhat tan chuan na tak a ni thei bawk. Mak tak mai chu mi thenkhatin he natna hi chhinchhiahna nei lovin an nei thei a ni. Kar tlemte chhungin a mah chauhin a thianghlim tlangpui a, mahse taksa hriselna chak lo nei tan chuan tihbo a harsa deuh thei. Mahse lungngai suh, a tul chuan doctor ten an enkawl thei ang.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi khawvel hmun hrang hrangah a awm fo thin. Dik tak chuan America ang ramah hian kum tin mi maktaduai khat chuang a tuar a ni. Ram changkang zawka mihring 10% velin a nghawng niin an sawi. Mahse, keini ang ram changkang zawkah chuan he dinhmun hi a na zual hle. Mipui hmun thuma ṭhena hmun khat vel a nghawng nia chhut a ni.

Hei hi a chhan ber chu vantlang inthiarna a awm loh vang a ni a, a bikin tui bawlhhlawh leh vantlang tui pekna hmun fai \ha lo a ni. Naupangte hian puitling aiin he natna hi an kai tam zawk a, a bik takin naupang kum 4 hnuai lam te hi an vei tam zawk a, kan ramah pawh hian naupang te te awmna Daycare centre ang chi hmunah te pawh a darh nasa zawk a ni.

Hei hi eng symptoms nge ni?

Sawi tawh ang khan mak tih ber chu he natna vei zinga a chanve vel hian symptom an nei lo. Mahse a titu tan chuan hengte hi thil thleng thei a ni. Hei hi chiang taka hrethiam turin he table hi han en ila.

Mi tam zawk chuan hun rei lote chhungin heng symptoms hi an nei thin. Mahse, ṭhenkhat tân chuan an awm reng emaw, an lo lang leh thei emaw a ni. A rilru a buai reng a , a rilru a hah lutuk hian dehydration leh weight loss a thlen thei a ni . A châng chuan, lactose intolerance pawh a thlen thei bawk.

Engtin nge hei hi kan taksaah a luh? Engtin nge a kai darh?

He `Giardia` parasite hi egg ang maia venhimna shell-ah a awm tih han ngaihtuah teh. Hei hi `cyst` stage kan ti a. He `cyst` hi boruakah, a bik takin tuiah te, leiah te, hmun bawlhhlawhah te hian rei tak a dam thei a ni. He `cyst` hi hriat loha kan ei hian natna hi a lo intan thin.

Heng `cyst` te hi rannung leh mihring ek ah a awm a. Mit hmuh theih loh khawpa bawlhhlawh te te te nen boruakah an chhuak thin. Hengte hi kan taksaah hian kan kut sil \ha lova toilet kan kal hunah emaw, tui bawlhhlawh kan in hunah emaw a lut thei a ni.

He natna kai theih dan tlangpui thenkhat chu hetiang hi a ni:

• Tui bawlhhlawh, filter loh in emaw, chutiang tui awmna hmun (spring, waterfalls, lake)-a inbual emaw hmangin.
• Ram pawna zin chhuah hunah, a bik takin faina tha lo ramteah.
• Naute te tak te, a bik takin diaper ha naute (daycare center ang hmunah) te nena inpawh hunah.
• Chaw bawlhhlawh emaw tui emaw in hian.
• Hri kai miin a khawih tawhna hmun (kawngkhar, dawhkan ang chi) i khawih a, chutah kut sil lovin chaw i ei chuan.
• Hri kai nen invenna tel lova inpawlna (a bik takin anal) neih.

Symptoms a lan theih nan eng chen nge a duh? Eng chen nge an awm?

He parasite hi a kai atanga kar khat atanga kar hnih chhungin a lan chhuah tan tlangpui. Hei hi parasite hian zung a kai a, kan immune system hian a hriatchhuah leh a do tan lai a ni. A natna lan chhuah dan hi kar hnih atanga kar ruk chhung a ni tlangpui . Mahse, mi thenkhatah chuan an daih rei thei hle.

Enkawl loh chuan eng harsatna nge thleng thei?

Hei hi a tam zawkah chuan natna khirh tak ni lo mah se, rei tak a awm reng chuan emaw, taksa hriselna chak lo nei miah emaw a awm chuan harsatna thenkhat a awm thei a ni.

• Dehydration: Hei hi hun rei lote chhunga hlauhawm ber a ni. Diarrhea leh luak chhuak i neih chhunzawm chuan i taksa atanga tui tam tak i hloh thin. Tui rate inang i in thei lo a nih chuan i dehydrated ang. Hei hi naupang tê tê leh tarte tân a hlauhawm zual hle.
• Gastrointestinal disease: Infection hi a chhunzawm zel chuan kan small intestine bang a tichhe thei a ni. Hei hian irritable bowel syndrome ang chi natna khirh tak a thlen thei a, ei tur atanga nutrients lakluh theihna a ti tlem thei bawk. Hei hian naupangte thanlenna chu direct-in a nghawng thei a ni.
• Autoimmune disease: A châng chuan, he natna hrik awm reng hian kan taksa immune system chu a tichak lutuk a ni. Indona a zawh hnu pawha silai kah chhunzawm zel ang maiin. Hei hian autoimmune natna a thlen thei a, chu chuan natna a reh hnuah pawh taksa a tichhe thei a ni. Entîr nân, reactive arthritis, chronic fatigue syndrome, emaw, ei tûr allergy thar emaw a lo awm thei a ni.

Engtin nge hei hi hriatchhuah leh enkawl a nih?

Heng symptoms te hi i neih chuan i doctor chuan i stool sample test hmangin a hmuchhuak ang. Hei hi Giardia parasite cyst awm leh awm loh enfiahna atan a ni. Mahse, a chang chuan test hian vawi khatah a hmuchhuak vek thei lo mai thei. Hei hian ni engemaw zat test a ngai mai thei. Mahse, a tam zawkah chuan doctor-te chuan i natna lan chhuah dan a zirin enkawlna an tan ang.

Enkawl dan tur

Hemi atan hian mi zawng zawng hian damdawi an mamawh vek lo. Mahse symptom i neih chuan i doctor chuan anti-parasitic damdawi a pe ang che, chu chuan infection chu a tifai thuai ang. Mi tam zawk chuan damdawi an ei atanga kar khat chhungin an dam leh thin. Damdawi hman tlanglawn ber berte chu:

• `Metronidazole (Flagyl®) hman tur a ni`
• `Tinidazole (Tindamax®) hman tur a ni`
• `Nitazoxanide (Alinia®) hmanga siam a ni`
• `Paromomycin (Humatin®) hmanga siam a ni`

Heng damdawi te hi i doctor-in a pek a ni. Doctor thurawn tel lo chuan hmang ngai suh.A châng chuan, in chhûnga mi dangte pawh hri kai loh nân damdawi ei tûra tih an ni thei bawk. Nu naupai tan chuan he damdawi hian naute tan a chhiat phah theih avangin doctor chuan enkawl hun sawn a rel thei a ni.

Damdawi tel lovin a dam thei em?

Ni e, a tam zawkah chuan he natna hi a mah chauhin a thianghlim ang. I natna lan chhuah dan a na lutuk lo a nih chuan i doctor chuan damdawi engmah ei lo turin a hrilh thei che a ni. Hei hi a chhan chu engkim atana antibiotics i hman hian bacteria te hian an hmang thiam thei a, damdawi pawh a thawk thei lo (antibiotic resistance). Mahse, i symptoms hi kar 6 aia rei a awm chuan doctor pan ngei ngei tur a ni a, enkawl tur a ni.

Hemi laka inven nan eng nge kan tih ang?

I hmuh theih loh thil laka him taka awm chu thil harsa tak a ni a, mahse he parasite hi kan taksaa a luh loh nan hma tlemte kan la thei a ni.

• Mimal faina: Sahbawn leh tui hmangin i kut uluk takin silfai fo ang che. A bik takin toilet i hman zawh hnuah, ei hmain, ran i khawih hnuah, leh leia hnathawh zawhah kut sil ngei ngei tur a ni.
• Inchhung fai dan: Inbualna leh inthiarna te tifai fo thin ang che. In chhunga mi tu emaw hian he natna hi a vei a nih chuan an hman thin khum, towel, etc. te uluk takin silfai la, an khawih lai te chu disinfectant hmangin silfai thin ang che.
• Ei leh in himna: Thlai leh thei chi hrang hrangte chu ei hmain tui thianghlim hmangin uluk takin silfai thin ang che. Ram pawna zin i nih chuan salad raw ei leh tui bottle loh in loh tur.
• Tui him hman dan: Natural water source (lake, ponds, waterfalls)-a inbual hian fimkhur hle ang che. Filtration system mumal nei lo swimming pool pawh hi a hlauhawm thei hle. Tui chu ei lo turin fimkhur rawh. Tuiah chlorine dah hian Giardia parasite hi a that ngai lo tih hre reng ang che.

Engtikah nge Doctor kan hmuh ang?

A hnuaia thil thlengah hian doctor hmu ngei ang che:

• I symptoms a lo tha lo a, enkawlna mamawh nia i hriat chuan.
• Nangmah emaw i enkawltu tu emaw (a bik takin naupang emaw tar emaw) in tui tlakchhamna (kawng leh hmui a vawt, mit pil, zun chhuah tlem, mut tam lutuk) a lan chuan.
• Doctor-in damdawi a pek hian tuar theih loh side effect a thlen chuan.
• Damdawi ei kim hnu pawha a natna lanchhuahna a reh loh chuan.

Heng natna chi hrang hrang laka invenna tha ber chu fai taka awm hi a ni. Mahse, Giardia hi hmun tina hmuh tur parasite a nih avangin a chang chuan pumpelh a harsa thei hle. A tam zawkah chuan a pawi lo va, a mah chauhin a rel ang. Amaherawhchu, symptoms i neih chuan inenkawlna zawng hreh suh.