Leprosy emaw Hansen’s Disease emaw chungchang hi i zir belh ang u.

‘Leprosy’ i tih hian i cringe deuh mai thei, a dik em? Tun hma chuan he natna hi miten hnawhchhuah an ni a, an kai chuan an hlau thin. Mahse a nihna takah chuan tunah chuan phâr hi natna tihdam theih vek , awlsam taka kai theih loh a ni ta. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.

A awlsam zawngin, phar hi bacteria infection a ni. I nerve, vun, mit, taksa ruh, leh thawkna kawng a nghawng thei ber a ni . A châng chuan enkawl loh chuan vun rawng a tidanglam thei a, a ti na thei a, a tichhe thei bawk.

Khawvelah hian phar natna hi a la awm em?

Ni e, khawvelah hian phar natna hi a la awm reng a ni. Kum tin hri kai thar nuai hnih vel an awm thin. Mahse, ram thenkhatah, entirnan, America ang ramah chuan a tlem hle. Amaherawhchu, keini ang Asia ramah te, Africa leh South America ramah te hian he natna hi hmuh tur a la awm reng a ni. Sri Lanka ramah hian phar natna vei an awm fo avangin, i vunah danglamna danglam tak i hmuh chuan damdawi lam thurawn lak hi a finthlak hle.

Hansen natna lan chhuah dan chu engte nge ni?

Phar natna lan chhuah dan chu a lo lang zauh zauh a. A châng chuan natna lan chhuahna chu kum tam tak, kum sâwm tam tak hnuah pawh, chu bacteria taksaa a luh hnuah a lang thei . A lan chhuah dan tlangpui chu:

• Skin tags: Hengte hi vun pangngai nen a danglam a. An rawng a danglam (pale), a sen, a thim, a hring, a nih loh leh a hring . Heng tags te kil te pawh hi a sangin a lang thei bawk.
• Red or purple bumps: Vun hi hmun thenkhatah lumps emaw bumps angin a lang thei.
• Kekawr bul ah natna nei lo: Hliam na lo a awm thei a, a bik takin kephah hnuaiah hliam a awm thei. Hei hi a hlauhawm hle a, a chhan chu hliam i nei tih pawh i hre lo mai thei a, chu chu a hring thei a, a lian thei bawk.
• Nerve hring: Nerve thenkhat chu a hring thei a, khawih chuan a hring thei bawk.
• Chak lo emaw paralysis emaw: Muscle chak lohna, leh a then phei chuan ke leh ke hnathawh hloh (paralysis) a awm thei bawk.
• Eyebrow emaw eyelid hair loss: Hei hi mi thenkhatin an tawn thin symptom a ni bawk.
• Mit lama harsatna: Mit a tlahniam thei a, mit lama harsatna dang a awm thei bawk.

Engtin nge phar hi a kai theih?

Phâr hi Mycobacterium leprae an tih bacterium atanga lo chhuak a ni. Doctor ten mi pakhat atanga mi dang a darh dan hi 100% in an la chiang lo. Mahse natna vei chuan a khuh emaw a thawk hah emaw a boruaka lut droplet hmanga darh a nih a rinawm ber .

Ni e, phar hi natna hrik kai theih a ni. Mahse i ngaihtuah aiin a darh chak lo hle. Phar natna vei tur chuan thla tam tak chhung chu hri kai nen in inzawm tlat a ngai a ni . Tin, mi tam zawk taksa hriselna (immune system) hian bacteria hi a do a, a thunun reng bawk.A pawimawh ber chu phar natna enkawlna i dawn tan tawh chuan midang hnenah natna hi i thehdarh thei tawh dawn lo.

Lungngai suh! Phâr hi awlsam taka kai theih a ni lo. Vawikhat enkawl a nih chuan a kai chu a tawp vek a ni.

Tute nge phar natna vei theihna sang zawk?

Phar natna hluarna hmuna chengte chu an hlauhawm ber a ni. Hei hian Asia, Africa, leh South America ram thenkhat a huam a ni. Sri Lanka-ah pawh phâr vei an awm fo bawk a, chuvangin i vunah danglamna i hmuh chuan damdawi lam thurawn lak a finthlak hle.

Phar natna avanga harsatna awm thei te chu engte nge ni?

Phar natna hi uluk taka enkawl a nih loh chuan harsatna chi hrang hrang a awm thei a ni. Chûng zînga ṭhenkhat chu a awm reng thei a ni:

• Paralysis awm reng tur.
• Kut leh ke a chhiatna awm reng: Hei hian hman a ti harsa thei hle.
• Hmêl danglam reng reng: Hmai leh vun inthlak danglamna a awm thei.
• Kut zungtang tawi: Kut leh ke ruhte chu a tawi thei a, a tichhe thei bawk.
• Hliam dam lo: Hliam, a bik takin hliam na hmuna awmte chu dam lohvin a awm reng thei.
• Mitdelna.
• Natna rei tak a awm.

Hei vang hian doctor pan a, symptom i hriat veleh enkawl tan a pawimawh hle kan ti a ni .

Engtin nge doctor-te hian phar natna hi an hriat theih?

Phâr symptoms i neih chuan doctor-in a enfiah ang che. Anni chuan a bik takin:

• Taksa endikna: I vun chu uluk taka enfiah a ni ang a, i vun chu i rilru a na leh a hring em tih enfiah a ni ang.
• Vun emaw nerve emaw te tak te lak (Biopsy): Diagnosis tih chian nan vun te tak te (skin biopsy) lak a, microscope hmanga enfiah theih a ni. A châng chuan nerve piece khat pawh lak theih a ni.
• Test dang: Thisen test leh nerve conduction test te pawh tih theih a ni.

I symptoms a zirin i doctor chuan eng leprosy chi nge i neih tih a hrilh ang che. A chi hrang hrang a awm a, chungte chu:

• Tuberculoid leprosy / Paucibacillary leprosy: Hetiang chi ah hian a natna lan chhuah dan a na zawk tlangpui. Vunah hian a hring emaw, a sen emaw tlem a awm a, taksa ruh chak lohna tlem a awm a, a hring tlem a awm bawk. Hetiang chi ah hian bacteria a tlem hle.
• Lepromatous leprosy / Multibacillary leprosy: Hetiang chi hian symptoms a nei tam zawk. Taksa zawng zawngah hliam leh hnim hring a lo lang thei. Nerve, vun leh chhungril peng hrang hrangte a chhe thei hle. Hei hi bacteria tam lutuk vang a ni.
• Borderline leprosy / Dimorphous leprosy: Hei hian a chunga kan sawi tak chi hnih atanga feature hrang hrang inzawmkhawm a nei thei.

Engtin nge phar hi enkawl a nih?

Hei hi a pawimawh ber a ni: phar hi a dam kim thei!Doctor-te chuan antibiotics inkawp, Multidrug Therapy (MDT) an tih chu an hmang a, chu chuan natna hrik hi a that thei a ni.

Antibiotics pek chhuah berte chu:

• `Dapsone` tih a ni
• `Rifampin` tih a ni
• `Clofazimine` tih a ni

He damdawi hi thla 6 atanga thla 12 (kum khat vel) chhung i ei chhunzawm zel a ngai ang . I natna lan chhuah dan a tha zawk a nih pawhin i doctor-in a hrilh che hun pum pui atan damdawi hi i ei tur a ni. Inenkawlna i dawn lai hian midang laka inthiarfihlim a ngai lo.

A châng chuan doctor-te chuan vun hring hringte chu paih chhuah nân leh nerve tihchhiatna tûra ṭanpui tûrin operation neih an rawt thei bawk.

Engtikah nge Doctor ka hmuh ang?

Vun natna, rilru hahna, taksa ruh chak lohna i hmuh chuan doctor pan nghal rawh. I doctor chuan phar emaw, damdawi lam natna dang emaw a ni tih a hre thei ang. Hriat hmasak hian enkawlna a ti awlsam a, harsatna a tiziaawm bawk.

Ngaihtuah teh, Nilanthi tih hming pu mi pakhat a awm. A kut ah chuan rawng danglam tak, a hring deuh deuh chu a hmu a. A ngaihsak lo. Ni engemaw zat hnuah chuan a hmun vel vun chu a lo thim tan ta a. A hlauthawng hle a, doctor hmu turin a kal a, chutah chuan phar natna bul tanna a ni tih a hre ta chauh a ni. Vanneihthlak takin a natna chu a hmain hmuhchhuah a ni a, enkawlna hnuaiah a dam nghal vat a ni.

Phâr hi a veng thei ang em?

Sawi tawh ang khan phar hi awlsam taka kai theih a ni lo. Mahse, phar natna vei (entir nan, in khata awm) nen in inhnaih tawn a nih chuan, i doctor chuan kum khatah vawi khat test tir turin a rawt thei che a ni. Hetiang hian infection i neih chuan symptoms a lan hmain hriatchhuah leh enkawl theih a ni.

Phar natna ka neih chuan eng nge thleng ang?

Phar i vei tih hmuhchhuah a nih chuan enkawl tan nghal rawh. Enkawlna i tan hma poh leh natna na tak emaw, a awm reng emaw i neih theihna a tlem zawk. I doctor chuan enkawl hnuah kum engemaw zat a lo enkawl ang che.

Antibiotics hian natna a tidam thei a ni. Mahse, phar natnain nerve a tihchhiat leh chak lohna a thlen tawh chu a awm reng thei a ni. A châng chuan, he chhiatna hi enkawl a nih hnu kum tam takah pawh a zual thei a ni. Chuvang chuan a hmaa hriatchhuah leh enkawl a pawimawh.

Phar dam chhung hi engzat nge ni ang?

Damdawi taka enkawl a nih chuan phar natna vei chuan mi hrisel dam chhung ang bawka dam a beisei thei a ni. Mahse , rei tak enkawl loh chuan phar natna hian harsatna lian tak a thlen thei a, thihna pawh a thlen thei bawk.

Leper colony hi a la awm em?

Ni e, phar colony thenkhat chu a la awm reng a ni. Tun hma chuan phâr vei te chu inhriatthiam lohna leh natna hlauh vangin mi dangte lakah inthiarfihlim tur niin an ngai a. Mahse tunah chuan chu chu a dik lo tih kan hre ta.Tunah chuan damlo tam tak chu outpatient basis-a enkawl an ni tawh a, chu chu in lama enkawl tihna a ni. Mahse mi ṭhenkhat chu chutiang khawtlângah chuan an la awm reng a, chu chu hnawhchhuah an nih vâng emaw, kum tam tak chhûng an chenna hmun a nih vâng emaw pawh a ni thei.

Sri Lanka ramah chuan Hendala leh Manthivu ang hmunah te hian phar damdawi in a awm thin a. Mahse tunah chuan enkawl dan a lo tha chho tawh avangin chutiang isolation chu a ngai tawh lo.

Phâr hi mipat hmeichhiatna hmanga kai theih natna (STD) a ni em?

No. Phar hi mipat hmeichhiatna hmanga kai theih natna (STI) a ni lo. A bul berah chuan thawkna lam a kai nia ngaih a ni.

Armadillos hian phar natna a kai thei em?

Ni e, armadillo thenkhat chuan an ti thei. United States leh Mexico khawthlang lama armadillo chi thenkhat chuan an taksaah phar natna hrik hi an phur a, mihringah an kai thei a ni. Mahse hei hi a tlem hle.

Tun hma chuan miten phar tih thumal hi an hlau a, a vei te chu an hawisan thin. A chhan chu chutih laia natna chungchang hriatthiamna mumal a awm loh vang a ni. Mahse vawiinah chuan phâr thlentu, tihdam theih a nihzia leh a kai awlsam lohzia kan hre ta.

Lungchhiatthlak takin mi thenkhat chuan he natna chungchangah hian ngaihdan dik lo an la nei reng a ni. Khawvel hmun hrang hranga health professional-te chuan he stigma hi tihbo a, phar chungchanga mipui ngaihdan tihdanglam tumin hma an la reng a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur?

• Phar hi bacteria infection a ni a, natna pawi tak, thuruk tak a ni lo.
• Hei hi ``Multidrug Therapy (MDT)'' tih damdawi hmanga tihdam vek theih a ni.
• Phar hi mi pakhat atanga mi dangah awlsam taka kai theih a ni lo. Hun rei tak chhung inzawmna hnai tak neih a ngai a ni.
• Vawikhat enkawlna i dawn tan chuan midang i kai thei tawh lovang.
• Vun rawng danglam, rilru hahna, emaw, taksa ruh chak lohna emaw ang chi symptom i neih chuan doctor pan nghal rawh. Hriat hmasak hian harsatna a ti tlem thei.
• Phar natna vei te hi hnawhchhuah leh hlauh chhan tur a awm lo. Kan hmangaihna, ngilneihna leh kan thlawpna an mamawh a ni.

` Phar, Hansen natna, vun natna, nerve chhia, enkawl dan, kai, symptoms, bacteria, infection, numbness, MDT