Attic hlui, lungpui, a nih loh leh vawk in ang chi hmun hlui, leivut awm chu i tifai tawh em? A nih loh leh building hlui tihchhiat hna thawk? Hetiang hun lai hian kan ngaihtuah ngai loh natnate hi kan taksaah kan thaw chhuah boruak kaltlangin a lut thei a. Chu chu tunlaia he thuziak-a kan sawi tak, mahse kan ramah hian sawi tam vak loh dinhmun hlauhawm tak chu a ni.
A awlsam zawngin, Histoplasmosis chu eng nge ni?
Histoplasmosis hi fungus avanga natna hrik awm a ni. A dik zawka sawi chuan a thlentu fungus hi `(Histoplasma capsulatum)` an ti a. He fungus hi leiah a awm tlangpui. Mahse lei zawng zawngah erawh a ni lo. He fungus hi leiah hian bat emaw sava bawlhhlawh tamna hmunah a thang tha ber .
Building hlui, bat lungpui, vawk vulh awmna hmun, a nih loh leh sava ang chi savate kalna kawngpui hnuaia leilung hi han ngaihtuah teh. Heng hmunah te hian lei an laih chhuah emaw, an hrual emaw, thil dangin an tihbuai emaw chuan, heng leia fungal spore te hi boruakah a chhuak thei a ni. Tichuan, chu boruak chu kan thawh chuan, chu fungal spore-te chu kan lungah lutin natna hrik a thlen thei a ni .
A pawimawh ber chu histoplasmosis hi mi pakhat atanga mi dang hnena kai theih natna a ni lo. Chumi awmzia chu hri kai mi biak emaw, eipui emaw, i bula awm emaw a\angin natna hi i kai lo vang tihna a ni. Chuvangin ngaihtuah buai a ngai lo.
He natna vei theihna hlauhawm ber chu tute nge ni?
Dik tak chuan he fungus vei tam zawk hian symptoms an nei lo. Immune system hrisel tak nei chuan he fungus hi a do thei a, harsatna awm lovin a control thei bawk. Mahse, mi thenkhat, a bik takin pawl thenkhat tan chuan he natna hian harsatna lian tak a thlen thei a ni.
Risk sang berte chu:
- Nausen naupang tak tak leh tarte: A chhan chu heng mi pahnih hian taksa hriselna (immune system) a chak lo hle a ni .
- Lung natna rei tak nei te : He natna hian lung natna vei asthma leh COPD te dinhmun a tichhe thei a ni .
- Tumruh taka an immunity tihhniam tawhte:Damdawi lam harsatna thenkhatah chuan taksa hriselna titawp thei damdawi hmanga enkawl a ngai a ni. Entirnan, taksa peng dang thlak tawh emaw, TNF blocker (e.g. infliximab (Remicade)) ei thin emaw te.
- Immune system tichak lo thei natna nei te: Cancer vei (a bik takin chemotherapy la mek), AIDS vei, leh damdawi steroid ang chi damdawi rei tak ei thinte chu an hlauhawm zawk.
Eng nge a lan chhuah dan? Engtin nge hei hi kan hriat chian?
Kan sawi tawh ang khan mi tam zawk hian symptom an nei lo. Mahse, symptoms a lo lang a nih chuan fungus a inhriat atanga ni 3 leh ni 17 inkar (a tlangpuiin ni 10 vel) ah a intan thei a ni. Natna awm dan azirin symptoms a inang lo. Hei hi chiang zawka hrethiam turin a hnuaia table hi han en ila.
| Nature awm dan | A lan chhuah dan ber | Point pawimawh tak tak |
|---|---|---|
| Thluak lam natna nasa tak (Acute Histoplasmosis) . | Khawsik, taksa na, lu na, rilru na, khuh vawt, hah. | Khawsik ang mai a ni. Mi hrisel takah chuan enkawl ngai loin a reh tlangpui. |
| Lung natna rei tak (Chronic Histoplasmosis) . | Hun rei tak khuh (a chang chuan phlegm nen), taksa rihna tlahniam, khawsik, rilru na, thawk harsa. | Hei hi TB ang deuh a ni. Thla tam tak, kum tam tak pawh a daih thei. Enkawl loh chuan a natna chu a na zual sauh sauh thin. |
| Progressive Disseminated Histoplasmosis a awm a, a chhuahna tur hmun leh a hmanna tur pawh a inang lo hle | Lung atanga taksa peng dang, lung, thluak, thin, ril, leh vun thlengin a darh thin. Khawsik sang, taksa rihna tlahniam, vun natna a awm thei. | Hei hi stage na ber leh hlauhawm ber a ni. Enkawl loh chuan thihna a thlen thei. Immune system chak lo tak tak nei te zingah a awm tam ber. |
Engtin nge doctor hian hei hi a hmuh theih?
Khawsik leh khuh ang chi symptom i neih a, tun hnaia hmun hlui leh leivut i tihfai tawh chuan doctor hnenah hrilh ngei ang che.
Doctor chuan a enfiah ang che, i lung a ngaithla ang a, natna an rinhlelh chuan test thenkhat a ti ang.
- Chest X-ray: Lung chhunga natna hrik awm leh awm loh enfiah nan.
- Thisen emaw zun emaw test: Fungus nena inzawm antibodies emaw antigens emaw enfiah thin ang che.
- Sputum emaw tissue sample test: Sputum sample emaw, a tul chuan lung atanga tissue te tak te lakchhuah emaw chu microscope hmangin an enfiah a, chu chu fungus a awm leh awm loh finfiah a ni.
Engtin nge enkawl a nih?
Enkawl dan chu i natna chi hrang hrang leh a nasat danah a innghat a ni.
- Mild Acute Histoplasmosis: Mi hrisel takah natna na lo tak a awm chuan enkawl bik a ngai lo fo thin. Khawsik ang maiin chawlh hahdam leh tui tam tak ei chuan kar tlemte chhungin a reh ang .
- Infection na tak, chronic, emaw, a darh zau zel: Heng case te hi enkawl a ngai ngei ang. I doctor chuan antifungal damdawi a pe ang che . He enkawlna hi kar tlemte atanga thla engemaw zat thleng a ni thei. Immune system chak lo i neih chuan i dam chhung zawng heng damdawi te hi a tlem berah i ei a ngai mai thei. I doctor-in damdawi a pek kha ei kha bansan ngai suh.
He natna laka inven nan enge kan tih theih ang?
Hetiang natna laka inven nan hian fungal spore hi inhnim loh a ngai a ni. Chûng thilte chuan a ṭanpui thei a ni.
- Bat emaw sava ek awmna hmun (building hlui, lungpui, vawk in) i tihfai a nih chuan mask tha tak vuah tur a ni. A theih chuan mask filtration capacity sang tak, N95 ang chi hman a tha ber.
- Leivut siam tlem nan lei emaw, bawlhhlawh emaw paih hmain tui tlem theh hmasa phawt ang che. A hnim chuan boruakah leivut chhuak a ti tlem a ni.
- Risk group (immune system chak lo nei)-a awm i nih chuan heng thilte hi a theih ang anga inthiarfihlim rawh.
- Hetiang hmuna hnathawh zawh hian sahbawn hmangin i kut te uluk takin silfai thin ang che.
Heng symptoms te hi i neih chuan, a bik takin immune system chak lo i neih chuan,Damdawi lam pan nghal rawh. Thâwk harsatna nasa tak emaw, khawsik sang tak emaw i neih chuan damdawi in hnai ber Emergency Department (ETU) pan hreh suh.
Take-Home Thuchah a ni
- Histoplasmosis hi lung natna a ni a, chu chu bat/sava ek awmna leia fungus awm vang a ni.
- Hei hi mi pakhat atanga mi dangah kai theih a ni lo va, chuvangin hri kai mi bula awm chu hlau suh.
- Mi hrisel tam tak chuan he fungus hi an kai a nih pawhin symptom engmah an nei lo.
- Immune system chak lo, naupang tê, tar leh lung natna khirh tak nei te chu an hlauhawm zawk.
- Hmun hlui, leivut tam tak i tihfai hnua khawsik, khuh, emaw rilru natna ang chi symptoms i neih chuan doctor pan nghal tur a ni.
- Natna khirh tak tan enkawlna tha tak tak a awm a, chuvangin damdawi lam thurawn dik tak zawm a pawimawh hle.
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