"Pneumonia" tih hi kan hre vek tawh a ni lawm ni? Thenkhatin kan nei ve mai thei. Pneumonia hi natna pakhat angin kan ngai tlangpui. Mahse a takah chuan pneumonia thlen thei natna hrik chi hrang hrang a tam hle. Vawiin hian pneumonia chi khat, a bik deuh deuh, leh hlauhawm thei tak, pneumonia chi khat kan sawi dawn a ni. Hei hi "Legionnaires' Disease" an ti a. He hming hi i hre lo mai thei, mahse a chanchin hriat a pawimawh.
A awlsam zawngin, Legionnaires’ Disease hi eng nge ni?
Legionnaires’ Disease hi i lung natna a ni a, a dik tak chuan pneumonia chi khat a ni. Bacteria chi khat Legionella tih atanga lo chhuak a ni . He natna hrik awmna tui tla te te i thawk chhuah hian natna hi i vei thin.
He natna hian i lung a nghawng ber a ni. Mahse a chang chuan i thluak leh chaw ei (intestines) a nghawng thei bawk. He Legionella bacteria avanga natna tenau dang a awm a, chu chu Pontiac fever an ti a ni. Hetiang ang hian a na lo va, khawsik pangngai ang maiin a rawn lang a, chutah chuan a bo ta vek a ni. Mahse Legionnaires’ Disease hian nunna a tichhe thei a, chuvangin kan fimkhur a ngai a ni.
Tunah chuan, "Pneumonia pangngai leh Legionnaires' Disease hi eng nge an danglamna?" A danglamna chu natna thlentu hrik-ah a awm a ni. Legionnaires’ Disease hi Legionella an tih bacteria chu lung chhunga a luh chuan a lo awm thin. Damdawi ina awm tam zawk chuan khawsik leh khuh nei mahse, he natnaah hian symptom dang, riltam leh buaina te pawh a awm fo bawk.
He natna vei theihna hlauhawm ber chu tute nge ni?
Dik tak chuan Legionella bacteria hi boruakah awm mahse, a thawk chhuak zawng zawng hian he natna hi an nei vek dawn lo. Kan taksain immune system a chak chuan he bacteria hi a do let ang a, min venghim ang. Mahse mi thenkhat chuan midang aiin he natna hi an vei theihna an hlauhawm zawk. Tute nge an nih i en ang u.
| Risk category a ni | A sawifiahna awlsam tak |
|---|---|
| Kum 50 chunglam mite | Kan tar chhoh zel chuan kan taksain kan taksa hriselna (natural immunity) a tlahniam a, chu chuan natna hrik kan vei awlsam phah a ni. |
| Meizial zu emaw, tun hmaa zu in tawh emaw | Meizial zuin lung a tihchhiat avangin natna hrik do thei lo a ni. |
| Immune system chak lo nei te | HIV, zunthlum, cancer, kal emaw thin natna emaw, damdawi thenkhat (e.g., cancer dona damdawi, steroid) te hian taksain natna a do theihna a ti tlem thei a ni. |
| Thluak lam natna khirh tak nei te | He natna hian lung natna COPD (Chronic Obstructive Pulmonary Disease) emaw emphysema emaw nei te chu nasa takin a nghawng thei a ni. |
| Damdawi ina awm tawh emaw, nursing home-a awm tawh emaw | Hei hi a chhan chu he bacteria hi building lian tak tak tui system-ah hian a lo thang lian thei a ni. |
| Tun hnaia operation nei tawhte | Taksa hi rei lo te chhungin a chak lo thei a, a bik takin anesthesia hmanga operation tih a nih chuan. |
| Organ transplant dawngtu te | Organ transplant hnuah taksain taksa peng thar a hnawl loh nan immunosuppressive drugs pek a ni. Chuvang chuan hri kai theihna a sang hle a ni. |
He natna lan chhuah dan engte nge ni?
Legionella natna lanchhuahna hi bacteria kai atanga ni hnih atanga ni 14 inkarah a lang tan thin. Chûngte chu pneumonia natna nêna inang mah se, thil danglam bik ṭhenkhat a awm.
- Khawsik sang tak: 1.1.Khawsik hi a tlangpuiin 40 degree Celsius (104 Fahrenheit) aia sang a ni thei.
- Khuh: Khuh hring (dry cough) angin a intan thei. A chang chuan, phlegm (hemoptysis) nen hian thisen tlem a chhuak thei bawk.
- Thâwk harsa: Thawhrimna tlemte (dyspnea) pawhin thawk harsa i ti thei.
- Muscle pain: Taksaah natna nasa tak a awm thei.
- Lu na: Lu na na tak a awm thei.
Hei bakah hian he natna vei bikna chi dang engemaw zat a awm bawk.
- Diarrhea: Pneumonia nen hian diarrhea hi Legionnaires’ Disease chhinchhiahna lian tak a ni.
- Luak leh luak chhuak: Luak chhuak hian pum natna a zui thei bawk.
- Buaina: Thluak kaihhnawih symptoms, buaina, buaina, leh i awmna hmun leh engtik lai nge tih hriat reng theih lohna te hi a thleng thei.
Hei hi khawsik pangngai aiin symptom danglam tak leh na zawk a ni tih i hmu thei.
He natna hi engtin nge a kai theih? A pawimawh ber chu!
Hei hi mi zawng zawng hriat tur pawimawh ber a ni. Legionnaires’ Disease hi mi pakhat atanga mi danga kai theih natna a ni lo. Chumi awmzia chu a vei bula awm a\angin, an khuh emaw, an thawk hah emaw a\angin i man thei lo tihna a ni. Environment kaltlangin a darh zel a ni.
Legionella bacteria hi a pianphungah lui, tuikhuah, lui leh leia awm a ni. Mahse, chutiang hmuna an awm lai chuan min tichhe vak lo. Buaina hi he bacteria hi mihring siam tui system-a a luh a, chuta boruak lum takah chuan rang taka a lo thang lian tan atang hian a intan a ni.
Hotel lian tak, office, damdawi inah air conditioning system (AC) dah hi han ngaihtuah teh. Heng system lian tak takte hian tui hmangin an tihlum thin. Chu tuikhuah chhunga temperature chu he bacteria pianna hmun a ni. Chu tui atanga tui (aerosolized water) lo awm te chu air conditioning system hmangin building chhung zawngah a darh thei a ni. Mite chuan chu boruak chu an thawk chhuah chuan bacteria chu an lungah a kal nghal a ni.
Tin, a chang chuan tui kan in emaw, kan hmui kan silfai emaw hian tui engemaw zat kan "aspirate" palh a nih chuan, chu chu thawkna kawngah a lut a nih chuan, chu tuiah chuan bacteria a awm chuan natna a thlen thei bawk.
He bacteria hi a tam ber chu:
- Hot tubs: He bacteria hi tui lum ah a thang tha hle.
- Shower head leh faucet: A bik takin shower hun rei tak chhunga hman loh hman hunah.
- Building lian tak takah air conditioning (AC) leh tui system: hotel, damdawi in, office complex-ah te.
- Tui cheimawina: Shopping mall-a tui chi hrang hrang hmuh theih.
- Humidifiers: Thlipui lumna belhchhahtu hmanrua.
- Panga:Tin, a lo awm thei bawk a, a tlem hle a, huan siam laiin leivut atanga leivut kan hih chhuah vang a ni.
Engtin nge natna hi kan hriat theih ang?
A chunga kan sawi tak symptoms i neih chuan i doctor chuan a enfiah hmasa ang che. Tun hnaia i zin tawhna chanchin (e.g., hotel-ah i awm em?), hnathawh tawhna chanchin, leh damdawi lam harsatna dang i neih tawh zawng zawngte pawh a zawt bawk ang.
Natna finfiah nan hian test eng emaw zat neih a ni.
- Urine leh sputum test: Hei hi test tam ber a ni. I zun sample pakhat chu Legionella antigens a awm leh awm loh test theih a ni. I khuh sample pawh lak theih a ni a, bacteria chu culture theih a ni bawk.
- Thisen test: Thisen test hian thisen chhunga bacteria laka antibody a zawng thin. Thisen test hian taksa peng (kidney, liver) te hnathawh dan a hriat theih nan a pui bawk.
- Chest X-ray emaw CT scan: Heng test te hian lung chhunga pneumonia awm dan leh eng chen nge a darh tih hriat nan a pui thin.
- Bronchoscopy: A nasat deuh deuhah chuan camera te tak te dahna tube te tak te chu hnar emaw, hmui emaw kaltlangin lung chhungah an lut a, chutah chuan cell sample lak a ni a, an enfiah thin.
- Thoracentesis: Lung velah tui a awm chuan (pleural effusion) chu beng chhungah needle te tak te dahin, a tui tlem te chu lakchhuah niin bacteria test a ni.
Engtin nge enkawl a nih?
Thu lawmawm tak chu Legionnaires’ Disease hi antibiotics hmanga tihdam theih vek a ni , mahse a rang thei ang bera enkawl tan a pawimawh.
Damlote hi damdawi inah dahin enkawl an ni tlangpui.
- Antibiotics: A tirah chuan IV antibiotics angin pek thin a ni. Vawikhat i rilru a hahdam chuan oral antibiotics hmangin i inthlak ta a ni. Antibiotics hman tam ber chu Azithromycin, Levofloxacin, leh Doxycycline te an ni.
- Oxygen pek: Thâwk harsa i tih chuan supplemental oxygen hi hnar tube emaw mask hmangin pek a ni.
- Mechanical Ventilation: Natna a nasat em em a, lungte chu a mah chauhin a thawk thei lo a nih chuan damlo chu Intensive Care Unit (ICU)-ah dahin, thawkna tur machine-ah connect a ni.
Dam hnuah eng nge thleng?
Damdawi in atanga i haw hnuah pawh i doctor-in antibiotics a pek zawng zawng chu a hun chhung zawnga ei a pawimawh hle. Hei hian hri kai chu a thianghlim vek theih nan a pui ang.
Tin, chutiang natna khirh tak atanga taksa a dam leh theih nan hun rei tak a ngai bawk. Thla engemaw zat chhung chu a hnuaia mite hi i tawng thei a ni:
- Chau
- Taksa a na
- Kal laiin balance lama harsatna a awm
- Thusawi harsa deuh
Heng symptoms te hi a la awm reng a nih chuan i doctor nen sawiho rawh.
He natna avanga harsatna awm thei te
A hun taka enkawl loh emaw, natna a nasat lutuk chuan nunna atana hlauhawm harsatna engemaw zat a awm thei a ni.
- Respiratory failure: Lung hian thisen a mamawh ang zat oxygen a pe thei lo. Chutiang a nih chuan mechanical ventilation a ngai ta a ni.
- Acute kidney injury (AKI): Kal hian thisen atanga bawlhhlawh a filter thei lo. Hei hian damdawi emaw dialysis emaw a mamawh a ni.
- Encephalopathy: Confusion leh balance problem ang chi symptoms te hi a na zual thei.
- Septic Shock: He natna hi thisenah a darh vek a, thisen sang chu hlauhawm takin a tlahniam a, taksa peng hrang hrang a tichhe bawk.
- Rhabdomyolysis: Muscle te a chhia a, an protein te thisenah a pungkhawm thei a, kal (kidney) a tichhe thei bawk.
Heng thilte hi hriat a hlauhawm thei hle. Mahse hre reng ang che, natna hi a hmaa hriatchhuah a nih a, uluk taka enkawl a nih chuan mi tam zawk chuan an dam kim vek ang. Enkawl loh chuan thihna hlauhawmna hi 30% - 80% vel a ni thei. Mahse enkawl dan dik a nih chuan he hlauhawmna hi 5% - 10% thlengin a tlahniam thei a ni.
Engtikah nge doctor i hmuh ang? Engtikah nge ETU-ah hian i kal ang?
Legionnaires’ Disease symptoms i neih chuan, a bik takin khawsik sang, khuh, leh luak chhuak i neih chuan doctor pan nghal rawh.
Tin, tun hnaia hotel emaw hostel emaw-ah i awm a, chutah chuan Legionnaires’ Disease a darh tih thuthang a awm a nih chuan, symptoms nei lo mah la, doctor hnenah thurawn dil chu a finthlak hle ang.
Heng a hnuaia symptom na tak tak te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah tihkhawtlai lohvin kal thin ang che.
- Khua a sang hle
- Thâwk harsa lutuk
- Thisen a khuh chhuak
- Buaina, rilru buai emaw, tawng harsa emaw
- A rilru a na hle
Take-Home Thuchah a ni
- Legionnaires’ Disease hi Pneumonia na tak a ni a, bacteria Legionella vang a ni. Bacteria awmna droplet-a thawk chhuah atanga kai darh a ni.
- Hei hi mi pakhat atanga mi dangah kai theih a ni lo.
- Kum 50 chunglam, zu in thin te, leh taksa hriselna chak lo (zunthlum vei leh cancer vei te ang chi) te hi an hlauhawm zawk.
- Khawsik sang, khuh, thawk harsa, ril\am, leh buaina te hi a lan chhuah dan tlangpui a ni.
- Hei hi antibiotics hmanga tihdam kim theih natna a nih avangin a rang thei ang bera damdawi lam pan a pawimawh hle.
- Thâwk harsatna nasa tak, khawsik sang, emaw, rilru buai emaw ang chi natna lan chhuahna na tak i neih chuan damdawi-in Emergency Treatment Unit (ETU)-ah kal nghal rawh.
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