Legionnaires natna hi i hre tawh em? A hming hi a mak deuh mai thei, a dik em? Mahse a takah chuan kan lung tichhe thei natna hrik a ni a, a chang chuan a hlauhawm khawp mai. Bacteria vang a ni. Vawiin hian Legionnaires’ Disease chungchang hi awlsam tak, hriatthiam awlsam takin kan sawi dawn a ni.
Legionnaires te natna hi eng nge ni?
A awlsam zawngin sawi ila, Legionnaires natna hi kan lungah natna khirh tak a ni a, chu chu bacteria chi khat `(Legionella)` an tih vang a ni. Pneumonia nen a inang hle. Kan lung chauh ni lovin, a chang chuan kan thluak leh kan chaw kawng pawh a nghawng thei a ni.
He bacteria ang chiah hian khawsik na lo tak dang a awm bawk a, chu chu Pontiac fever an ti a ni. Legionnaires natna angin a na lo va, khawsik pangngai ang chi, khawsik leh taksa na ang chi natna a thlen thin. Mahse, Legionnaires natna hian nunna a tichhe thei a, chuvangin hei hi hriat chian a pawimawh hle.
Pneumonia leh Legionnaires natna hi eng nge an danglamna?
Tunah chuan, "Chuti a nih chuan pneumonia leh Legionnaires natna hi thil danglam pahnih a ni em?" Ni e, an ni. Pneumonia hi lung infection tih hming tlanglawn tak a ni. Legionnaires natna hi pneumonia chi khat ang chiah a ni a, mahse a bik takin `(Legionella)` an tih bacteria chu lung chhunga a luh chuan a thleng thin.
He natna vei leh damdawi ina awm tam zawkte hian khawsik leh khuh ang chi symptom an nei a. Mahse, thenkhat chuan symptom dang, diarrhea leh confusion (loss of consciousness) te pawh an nei thei bawk.
Tute nge Legionnaires natna vei tam zawk?
Dik tak chuan `(Legionella)` hrik kai zawng zawng hian he natna hi an nei vek lovang. Mahse, mi thenkhat chuan an vei theihna chance a sang zawk. Hêng thudikte hi i tân a inmil em tih en rawh:
- Kum 50 aia upa i nih chuan.
- Meizial zu mi i nih chuan, a nih loh leh tun hmaa zu in tawh i nih chuan.
- I taksa immune system a chak loh chuan. Damdawi lam thil \henkhat (entir nan, HIV hrik kai, zunthlum, cancer, kal emaw thin natna) leh damdawi \henkhatte pawhin i immunity a tihniam thei bawk.
- Hun rei tak chhunga thawk lama harsatna i neih chuan, COPD (Chronic Obstructive Pulmonary Disease) emaw Emphysema emaw ang chi te.
- Hun rei tak enkawlna hmun, nursing home ang chi-a i awm chuan.
- Tun hnaia damdawi inah i awm tawh a nih chuan.
- Tun hnaia anesthesia hmanga operation i neih tawh chuan.
- Tun hnaia organ transplant i neih tawh chuan.
Heng mite hi midang aiin Legionnaires natna vei an tam zawk.
Legionnaires natna hi engtiang chiahin nge a hluar?
America ang ramah chuan he natna avang hian kum tin mi 18,000 vel damdawi inah dah an ni. June thla atanga October thla thleng hmuh tur a tam ber. Sri Lanka-ah pawh hetiang dinhmun hi report theih a ni a, chuvangin fimkhur a tha hle.
Legionnaires natna lan chhuah dan chu engte nge ni?
Legionella natna lanchhuahna hi bacteria nena an inhriat atanga ni hnih atanga ni sawm leh pali chhungin a lang tan thin. Pneumonia ang chi symptoms hi a lang hmasa ber a ni. Tin, nervous system (thluak) leh gastrointestinal system (intestines) nena inzawm symptoms pawh a awm thei bawk.
A lan chhuah dan tlangpui thenkhat han thlir ila:
- Khawsik (a tam zawkah chuan 40 degree Celsius (1040 F/400 C) aia sang) .
- Khuh (a tam zawkah chuan khuh hring) .
- Thâwk harsa (Dyspnea) .
- Kawthalo
- Muscle na a na
- Lu na
- Nausea (natna hriatna) .
- Buaina (buai, ngaihtuahna buai) .
- Thisen khuh (Hemoptysis) .
- Pum natna
Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan nghal tur a ni.
Eng thilin nge Legionnaires natna hi a thlen?
Kan sawi tawh ang khan he natna thlentu ber chu bacteria `(Legionella)` a ni. `(Legionella)` bacteria chi 60 vel awm mah se, Legionnaires natna thlentu tam ber chu `(Legionella pneumophila) a ni. He natna hi he bacteria hi kan lung chhunga a luh a, infection a siam hian a lo awm thin.
He `(Legionella)` bacteria hi a pianphungah lui, lui leh leia awm a ni. Mahse, building lian tak takah tui system leh air conditioning system ang chi hmun hmangin mipuiah a darh fo thin. Entirnan, hotel, damdawi in leh office lianah te heng system te hi uluk taka enkawl a nih loh chuan he bacteria hi a lo thang lian thei a, tui tla angin boruakah a chhuak thei a ni. Chu tui tlate chu kan thawk chhuah chuan kan lungah a kal nghal thei a ni. A nih loh leh, kan ka chhunga tui bawlhhlawh chu accident-in "ka rilruah a kal" thei a, kan lung chhungah a lut thei bawk (hei hi `(aspiration)` an ti a ni).
Engtin nge Legionnaires natna hi kan chungah a darh?
He natna hi Legionella bacteria in a tihbawlhhlawh tui te te (aerosolized water emaw mist) thawk chhuah atanga kai a ni ber. A nih loh leh, tui bawlhhlawh chu lung chhunga direct-a inhnim (aspiration) hmangin.
Legionnaires natna hri leng hi hotel, damdawi in, nursing home, leh cruise ship-ah te a awm tih hriat a ni. Mahse, hengte hi thil thleng hrang hrang (isolated incidents) anga report a ni fo.
He natna kai theihna hmun engemaw zat a awm a:
- Hot tub leh jacuzzi te pawh a awm bawk
- Shower head (bathroom-a inbualna) .
- Tui tap a ni
- Humidifiers te pawh a awm
- Tui cheimawi tak tak, tuikhuah ang chi te
- Building lianah heating leh cooling system hman a ni
- Surgery neih laiin intubation pek a ni
- Leilung (a bik takin sakna hmuna leivut thawk chhuak) .
Pawimawh: Legionnaires natna hi mi pakhat atanga mi dangah a darh lo. Chu chu natna hrik kai theih a ni lo tihna a ni. Environment atanga bacteria i hmuh chauhvin i hmu thin.
Engtin nge Legionnaires natna hi hriat chhuah a nih?
Legionnaires natna lanchhuahna i neih chuan doctor i hmuh hunah i natna lan chhuah dan te, i hriselna chanchin te, leh tun hnaia i zinna chanchin te an zawt hmasa ang che. Tichuan physical exam an ti leh ang.
Natna finfiah nan a hnuaia test te hi tih theih a ni:
- Urine test emaw sputum test emaw: Hengte hi test tam ber a ni. I zun sample emaw, i khuh atanga chhuak sputum sample emaw ah Legionella bacteria an zawng thin.
- Thisen test: I thisen sample lak hmangin i taksain Legionella bacteria laka a siam bacteria thenkhat emaw a awm leh awm loh enfiah theih a ni. Hei hian i taksa peng dangte hnathawh that dan pawh a enfiah thei bawk.
- Chest X-ray emaw CT scan: Heng thlalak te hian i lungah natna hrik, pneumonia ang chi a awm leh awm loh enfiah nan a pui thei a ni.
- Bronchoscopy: A châng chuan, doctor chuan tube te tak te, camera hmanga siam chu lung chhungah a dah a ngai mai thei. Hei hian doctor chuan lung chhung lam chu direct-in a enfiah thei a, test turin sample a la thei bawk.
- Thoracentesis: Lung vel ah tui a awm chuan chu tui sample lak a, Legionella bacteria awm leh awm loh test theih a ni.
Heng test te hi Legionnaires natna i vei leh neih loh dik taka hriat theihna awmchhun a ni.
Legionnaires natna hi engtin nge enkawl a nih?
Legionnaires natna hi antibiotics hmanga enkawl a ni . Heng antibiotics te hi natna nasat dan azirin vein (IV)-a injection angin emaw, pill angin emaw pek theih a ni.
Thâwk harsa i neih chuan oxygen pek a ngai mai thei. Hetiang dinhmun enkawlna atan hian damdawi ina awm a ngai fo thin.
Enkawlna atana hman thin antibiotics chi hrang hrang thenkhat chu:
- Azithromycin hmanga siam a ni
- Levofloxacin, Moxifloxacin emaw Ciprofloxacin emaw hman theih a ni
- Tetracycline, doxycycline , emaw minocycline emaw a ni
- Rifampin (antibiotics dang nena pek dun) .
Thil na tak tak thenkhatah chuan mahni chauha thawk thei lo i nih chuan machine (mechanical ventilation) puihnain thawk tanpuina pek i ngai mai thei.
Legionnaires natna laka inven nan eng nge kan tih theih ang?
He hlauhawmna tihtlem nan hian keini, leh building manager-te pawhin kan tih theih tur thil a awm.
- Building lian enkawltute: I building-a plumbing, air conditioning, leh cooling tower-te uluk taka enkawl leh disinfect a pawimawh hle. Hei hian Legionella bacteria thanna control nan a pui thei a ni.
- In lama kan tih theih thilte:
- Shower head, faucet, hot tub, leh humidifier te ang chi thil te chu tifai fo thin ang che.
- I car chhungah hian windshield wiper fluid aiah tui pangngai hmang suh, chu tui tank chhungah pawh he bacteria hi a lo thang lian thei a ni.
Legionnaires natna i vei chuan eng nge i beisei theih ang?
Legionnaires natna hian a ti na hle thei che a, damdawi in enkawl a ngai fo bawk. Mahse thu lawmawm tak chu antibiotics hmanga enkawl theih a ni.
Damdawi in atanga i haw hnuah pawh hri kai a bo vek hma loh chuan damdawi i ei a ngai dawn a ni. Mi thenkhat chuan an dam leh hnu thla engemaw zat chhung chu heng symptoms te hi an nei thei a ni:
- Chau lutuk tih hriat (Fatigue) .
- Balance emaw coordination emaw lama harsatna awm
- Kal harsat
- Thusawi hrual (slurred) a ni
- Muscle na a na
Hetiang symptoms hi a awm reng chuan doctor nen inbiakna neih a pawimawh.
Legionnaires natna avanga harsatna awm thei
A chang chuan Legionnaires natna hian harsatna lian tak a thlen thei bawk. Chungte chuan kan taksa peng leh taksa peng hrang hrangte a nghawng thei a ni.
- Respiratory failure: Chuap hian thisenah oxygen a pe tam thei lo a nih chuan respiratory failure an ti a. Chutiang a nih chuan thawkna chu machine (mechanical ventilation) puihnain pek a ni.
- Acute kidney injury (AKI): Kal hnathawh a chawlhsan chuan thisen atanga bawlhhlawh a filter thei lo. Hei hi damdawi emaw, thisen tihthianghlimna khawl (dialysis) hmanga enkawl a ni.
- Encephalopathy: Nervous system nena inzawm symptoms (confusion, balance problem, thusawi harsa) a zual thei.
- Empyema: Lung chhehvel hmun zau takah chuan zun (pus) a khat. Hei hian chest tube hmanga zun chhuah a ngai mai thei.
- I thinlung natna: I thinlunga bacteria infection hian inflammation a thlen thei. Hengte hi a chang chuan damdawi hmanga enkawl theih a ni.
- Rhabdomyolysis: Taksa ruh chhia leh a chhe vanga natna. Hei hi taksa atanga toxins paih chhuah hmanga enkawl a ni.
Heng harsatnate hi mi zawng zawngah a awm lova, mahse natna a nasat chuan heng thilte hi a thleng thei a, chuvangin enkawl vat vat a pawimawh hle.
Legionnaires natna hi i damchhuak thei ang em?
Legionnaires natna hi natna khirh tak ni mahse, mi tam zawk chu an dam leh thin. Enkawlna dik tak a awm chuan Legionella vanga lung natna avanga thihna hi 5% leh 10% inkar a ni. Mahse, enkawl loh chuan thihna hlauhawmna chu 30% atanga 80% thleng a ni thei. Chuvangin, natna lan chhuah veleh damdawi lam thurawn lak chu nunna chhanhimna a ni thei.
Engtikah nge Doctor ka hmuh ang?
Legionnaires natna lanchhuahna (khawsik, khuh, thawk harsa, ril\am, leh buaina kan sawi tawh ang chi) i neih chuan doctor pan nghal rawh.
Tin, i hnathawhna hmun emaw, i awmna hmunah emaw Legionnaires natna hri leng i hriat chuan i doctor hnenah eng fimkhurna nge i tih tur tih zawt rawh.
Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?
Khawsik sang, thawk harsatna nasa tak, thisen khuh, emaw, nervous system nena inzawm symptoms (balance problems, slurred speech, confusion) i neih chuan emergency room hnai ber pan nghal rawh.
Doctor hnenah eng zawhna nge ka zawh ang?
Legionnaires natna i vei nia hriat i nih chuan i doctor hnenah hetiang zawhna hi i zawt mai thei:
- Eng chen nge ka dam leh theih nan a la ngai ang?
- Engtin chiah nge he damdawi hi ka hman ang?
- Eng symptom thar emaw, kal zel emaw nge ka ngaihtuah tur?
A tawp berah chuan hriat reng tur (Take-Home Message) .
Chuvangin, vawiin a kan sawi tawh Legionnaires’ Disease hi kan ngaihtuah a ngai tak zet a, a chang chuan nunna atana hlauhawm tak a ni thei bawk. Mahse, a pawimawh ber chu enkawl theih leh tihdam theih natna a nih vang a ni .
Hrereng:
* He natna lanchhuahna i neih chuan hun khawhral suh la, damdawi lam thurawn la nghal rawh.
* A bik takin risk group (kum 50 aia tam, meizuk, emaw, taksa hriselna chak lo nei emaw) zinga mi i nih chuan fimkhur hle ang che.
* He natna darh zel tur venna atan hian kan chhehvela tui system, a bik takin building lian leh hotel-a tui awmte uluk taka enkawl hi a pawimawh hle.
* In lamah faucet leh shower head ang chi thil te fai taka vawn tur.
He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Legionnaires natna hi coronavirus ang natna hrik kai theih a ni em?
Aih! Hei hi mi pakhat atanga mi dangah khuh emaw, thawk hah emaw hmanga inkai darh natna a ni lo. Hei hi Pneumonia (lung infection) na tak, Legionella an tih bacteria atanga lo chhuak a ni. Tui bacteria in a tihbawlhhlawh hmang chauhvin a darh thin.
💬 Mihring atanga kai a nih loh chuan engtin nge taksaah a luh theih ang?
He bacteria hi hotel leh building lianah te, hot tub-ah te, showerhead hnuaiah te AC machine lian (Cooling tower) ah te hmuh tur a tam ber. Chu tui atanga tui tla te te (Mist / Aerosols) kan thaw chhuah hian he natna hi a lo awm thin.
💬 He natna lan chhuah dan engte nge ni? Khawsik pangngai a ni em?
Flu tlangpui a ni lo va, khawsik sang, taksa na tak, leh lu na atanga tan a ni. Ni engemaw zat hnuah khuh, mucus sen (thisen) a lo lang leh thin. Thil danglam bik chu lung lama harsatna bakah hian ril\am leh buaina a awm \hin. Hengte hi a awm chuan damdawi inah dah nghal tur a ni a, antibiotics ei tur a ni.
Legionnaires ' Natna, Pneumonia, Legionella, Lung Infection, Bacteria, Thâwk harsa, Antibiotics
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