Leptospirosis chungchang hi i zir belh ang u - A laka him theih dan tur!

Vawiin hian kan ramah ruahtui tlak laia sawi fo thin natna hlauhawm deuh, eng emaw chen kan sawi dawn a ni. ‘Bee fever’ tih hi i hre tawh em ? Chu chu a ni. Mahse damdawi lam hawi chuan Leptospirosis an ti a. Chuvangin vawiinah hian hei hi eng nge a nih, engtin nge a lo awm tih, a natna lan chhuah dan te , a laka inven dan tur te i sawi dawn nia.

Leptospirosis hi eng nge ni? A awlsam zawngin...

Leptospirosis hi natna hrik chi khat Leptospira an tih atanga lo chhuak a ni. He bacteria hi i taksaah hian i vun a hrual emaw, a hliam emaw, i mit, hnar emaw, i hmui emaw ang chi hmun zau tak tak hmangin a lut thei a ni. I in chhunga rukruin a rawn luhchilh ang maiin ngaihtuah rawh.

Hei hi zoonotic natna a ni a . Chumi awmzia chu natna vei ran zun ( urine kan ti thin ) emaw, hri kai ran reproductive system atanga tui emaw direct-a i inzawm chuan emaw, he bacteria-in a tihbawlhhlawh tui, lei emaw, ei tur emaw i ei chuan natna hi i vei thei tihna a ni.

Hetiang hi tu nge vei thei ber?

Dik tak chuan khawvela tu pawhin leptospirosis an vei thei. Mahse, ram lum leh vawt takah a tam zawk a, a bik takin kum khat chhunga ruahtui tlak tamna hmunah a tam zawk . Kan ram Sri Lanka hi chutiang zinga mi a ni. Chuvangin, chutiang hmuna awm i nih chuan, emaw, i zin chuan a hlauhawmna a sang zawk.

Hetiang hian han ngaihtuah teh:

• Loneitute lova hnathawk , mi hnim hna thawk.
• Drain system tifai tute , municipal hnathawkte.
• Lo-a rannung (ramsa, bawng, kêl, vawk, leh ui ang chi) nena thawk hotute .
• Tuilian ang chi thilsiam chhiatna laia tui bawlhhlawha tui pil thinte tan , leh chhawmdawl hna thawktute tan.
• A châng chuan, he hlauhawmna hi lui, canal, lui, emaw, luiah emaw hlim taka inbual lai pawhin a awm thei , a bîk takin tui bawlhhlawh nia ngaihna hmunah te, emaw, tuipuiah infiamna (white water rafting ang chi) tih lai pawhin a awm thei a ni. He hlauhawmna hi ruahtui tlak lai leh tuilian hnuah pawh a nasa zawk a ni.

America ramah pawh he natna hi Hawaii leh Florida ang state-a tuilian hnuah a darh nasa hle. Chuvangin hei hi ngaihthah tur a ni lo.

He natna hi engtiang chiahin nge a hluar? Mite zingah engtin nge a awm?

Khawvel pumah kum tin mi maktaduai khat chuang zetin leptospirosis an vei nia chhut a ni . Chung zinga sangruk vel chu an thi a ni . Hei hian thihna thlen thei natna a ni tihna a ni. Chuvang chuan hei hi kan hriat chian a pawimawh a ni.

Leptospirosis natna hi eng stage nge ni?

Leptospirosis hi stage lian pahnih a awm a.

1. Leptospiremic phase emaw acute phase emaw:Hei hi a hmasa ber a ni. He stage hi `Leptospira` bacteria taksa chhunga a luh atanga ni hnih atanga ni sawm leh pali atanga tan theih a ni. Ni thum atanga ni sawm vel a daih tlangpui. Hetih lai hian bacteria chu i thisenah a kal kual a, i chhungril taksa peng hrang hrangah a kal a ni . Hetih laia thisen test hian hri kai chhinchhiahna a lang thei. Mi thenkhat chuan he hun chhung hian khawsik ang chi symptoms na lo tak tak an nei thei a, thenkhat erawh chuan symptoms an nei lo thei bawk.

2. Immune phase (late phase): Hetiang dinhmunah hian bacteria hi thisen atanga i taksa peng hrang hrangah a darh tawh a ni. He bacteria hi kal (kidney) ah a pung khawm a, a bik takin kal ah a pung khawm thin . (Kidney hi kan taksaa filter ang mai a ni a, chu chuan thisen a tifai thin). Chuvangin, he hun lai hian zun test i tih chuan bacteria chhinchhiahna i hmu thei ang. I thisenah `Leptospira` bacteria laka antibody i hmu thei bawk.

He immune response lai hian mi thenkhat chuan Weil’s syndrome tih hming pu natna khirh tak an nei thin. Hei hian harsatna lian tak tak a thlen thei a, chu chu chhungril lama thisen chhuak, kal chhiatna, mit leh vun sen (jaundice) te a ni.

Leptospirosis natna lan chhuahna chu engte nge ni?

Mi thenkhat chuan khawsik ang chi symptoms na lo tak tak an nei a, thenkhat erawh chuan symptoms an nei lo. A nasat chuan a lan chhuah dan chu chhungril thisen chhuak leh taksa peng hrang hrang tihchhiat a ni.

Acute leptospirosis natna avanga natna lan chhuah nghal mai thin:

• Khawsik sang tak nei
• Mit sen (conjunctival injection) .
• Lu na
• Chills ( khaw vawt tih hriat ) .
• Muscle a na hle
• Pum natna
• Nausea leh luak chhuak
• Kawthalo
• Vun leh mit sen (Jaundice) - Hei hi i ngaihven deuh tur chhinchhiahna a ni.
• A vun rawng, a vun rawng

Leptospirosis na tak ``Weil's syndrome'' (a lan chhuah tirh atanga ni 3-10 hnuah a lang thei):

• Thisen khuh (hemoptysis) .
• A rilru a na
• Thâwk lak harsatna
• Vun leh mit dum dum (dark yellowing) a awm
• Black , tarry stool - Hei hi chhungril thisen chhuahna chhinchhiahna a ni thei.
• Zun chhunga thisen (hematuria) .
• Zun chhuah a tlahniam
• Vunah a hring hring, vun rawng (petechiae) ang chi .

Heng natna khirh tak tak te hi i neih chuan damdawi inah i kal nghal tur a ni .

Leptospirosis natna thlentu leh a darh dan

Kan sawi tawh ang khan leptospirosis hi bacteria pakhat `Leptospira` an tih atanga lo chhuak a ni. He bacteria hi i taksaah i hmui, hnar, mit emaw, i vun a break emaw hmangin a lut thin. Chumi hnuah i thisen kaltlangin i taksa peng hrang hrangah a kal a, a bik takin i kal (kidney)-ah a kal a ni. Kidney hi kan thisen "thianghlimna" awmna hmun a ni.

Kidney hian bawlhhlawh leh toxins te chu zun hmangin a paih chhuak thin. Chuvangin, kal chhunga heng bacteria te pawh hi zun hmangin taksa atangin an chhuak thin. Chutiang chuan leptospirosis hi mi dang emaw, rannung dang emaw atanga kai theih a ni.

A tam zawkah chuan mihringin he natna hi `Leptospira` bacteria nei rannung zun hmangin kan kai thin. Rat hi a kengtu ber an ni a, chuvang chuan `rat fever' an ti a ni. Mahse, rat chauh ni lovin, rannung reng reng, ui, bawng, sakawr, vawk te hian he natna hi an vei thei a, an hnen atangin kan dawng thei bawk. Ran thenkhat chuan natna an vei hian symptom an nei lo mai thei.

Chuvangin, tui (paddy field tui, bawlhhlawh tui, tuilian tui) emaw, heng rannungte zun a bawlhhlawh lei emaw i tawk a nih chuan i damlo thei a ni. A awlsam zawngin:

• Ran natna vei zun emaw taksa tui dang emaw nena direct-a inhnaih .
• I mit, hnar, a nih loh leh i hmuiah tui emaw lei emaw bawlhhlawh luhtir emaw, vun chhe tawh khawih emaw hmangin .

Ruahsur nasa emaw, tuilian emaw hnuah pawh mi tam takin vawi khatah he natna hi an vei thei a ni. Tuilêt tui a luang zêl chuan he bacteria hi luiah te, luiah te, leh dilah te a pung khawm a.

A pawimawh ber chu leptospirosis hi mi pakhat atanga mi dang hnena kai a tlem hle. Chumi awmzia chu damlo nena inbiak emaw, kut inbeng emawa kai theih a ni lo tihna a ni.

He natna hi engtin nge an hriat chhuah? (Diagnosis) tih a ni.

Leptospirosis symptom i neih chuan doctor chuan a enfiah ang che a, i symptoms te, khawiah nge i kal tawh (a bik takin tui bawlhhlawh i tawk tawh a nih chuan), leh i thil tih dan te a zawt ang che. Tichuan, a hnuaia test te hi tih theih a ni ang:

• Thisen leh zun test: I kut atanga thisen tlemte lak chhuah emaw, zun sample lak emaw, Leptospira bacteria chhinchhiahna te enfiah nan test a ni.
• Imaging test: I natna lan chhuahna na tak i neih chuan i doctor chuan chest X-ray emaw CT scan emaw a ti thei ang . Hengte hian i chhungril taksa peng hrang hrang a chhiat leh chhiat loh a enfiah thei a ni.

Engtin nge leptospirosis hi enkawl a nih?

Doctor te chuan leptospirosis hi antibiotics hmangin an enkawl thin . Symptoms awlsam leh na lo tak tak i neih chuan enkawlna tel lova i dam leh dam loh en turin an hrilh mai thei che a, mahse i symptoms chu i en reng tur a ni.

Leptospirosis na tak (Weil’s syndrome ang chi) i neih chuan damdawi ina awm a ngai ngei ang.Chumi hnuah antibiotics chu saline solution (IV) hmangin thisenah direct-in pek a ni. I taksa peng eng ber nge a nghawng dan azirin damdawi dang emaw, enkawlna dang emaw i mamawh thei bawk.

Damdawi leh enkawlna atana hman dan: 1.1.

• Antibiotics: Hei atan hian antibiotics doxycycline, amoxicillin , ampicillin, penicillin-G, leh ceftriaxone te hman a ni. Doctor chuan i dinhmun a chhe zia leh i hriselna chanchin a zirin eng damdawi nge pek tur che tih a rel ang.
• Mechanical ventilation: I lungah natna a darh tawh a, thawk harsa i tih chuan thawk tur machine pek a ngai mai thei. Hemi chhung hian muthilh tir i ni ang.
• Plasmapheresis: Plasma exchange tia sawi bawk, ​​he enkawlna hian leptospirosis avanga taksa peng tihchhiat hlauhawma awmte chu a pui thei a ni. Hei hian i thisen chu vein nena inzawm tube hmanga lak chhuah a, machine hmanga plasma chu i thisen atanga thliar hran a, plasma aiah thlak a, chu thisen chu i taksaah inject leh a huam a ni.

Engtin nge symptoms te hi kan enkawl ang?

Symptoms na lo tak tak i neih chuan i doctor chuan a tihziaawm theih nan i tih tur a hrilh ang che. Khawsik leh taksa na tan chuan over-the-counter pain reliever ibuprofen (e.g., Advil®, Motrin®) emaw acetaminophen (e.g., Tylenol®, Panadol®) emaw i ei thei bawk. Mahse doctor thurawn tel lovin damdawi engmah ei chhunzawm zel suh .

Engtin nge leptospirosis lakah i inven theih ang? (Invenna) 1.1.

Tunah hian United States-ah hemi atana vaccine hi a la awm lo a, kan ramah pawh chutiang bawk chu a ni. Chuvangin, leptospirosis laka invenna kawng tha ber chu ran zun bawlhhlawh thei tui chhunga inbual emaw, inbual emaw loh hi a ni . A bik takin tuilian atanga hla takah awm rawh.

I risk tihtlem theih dan dang thenkhat chu hetiang hi a ni:

• Prophylaxis ei: Risk tamna hmuna zin emaw, hna hlauhawm tak (e.g., tuilian chhawmdawlna hna) i tih chuan, natna lo awm tur venna atana damdawi (e.g., doxycycline) i ei theih leh theih loh doctor zawt rawh.
• Leptospirosis vei thei rannungte lakah hlat rawh. Rat awmna khawiah mah kal suh.
• Rannung nena hnathawh emaw, rannung inrawlhna hmuna awm emaw i nih chuan, invenna thawmhnaw leh kekawrte (e.g., field-a i kal dawnin boot) ha la .
• Tui emaw leia bawlhhlawh awm theiah kut i dah a ngai a nih chuan invenna pheikhawk leh thawmhnaw ha la.
• Tuilian hnuah lui, lui leh luipuiah te inbual leh tui infiamna khelh kha bansan rawh.
• Tui thianghlim chauh in tur a ni. Tuipui, lui leh lui a\angin direct-in tui in suh. A tlem berah chuan boil tha la, in rawh.
• Ran thi i khawih a ngai a nih chuan kutkawr vuah tur a ni. Kut hlim takin khawih suh la, a hnuah sahbawn hmangin i kut chu uluk takin silfai ang che.
• I vunah hliam leh hliam inhawng te chu tui tlak lohna dressing hmangin khuh rawh.

Leptospirosis i vei chuan eng nge thleng? (Prognosis) tih a ni.

Leptospirosis vei tam zawk hi chu a na lo hle a, a châng chuan enkawl lohvin a reh ṭhîn . Mahse, doctor chuan i symptoms chu a enfiah ang.

I symptoms a na zual a, emaw symptom thar i neih chuan doctor hnenah hrilh nghal rawh. Weil’s syndrome symptom i neih chuan i damdawi in hnai ber emergency room-ah kal rawh.

Leptospirosis hi eng chen nge a awm?

Mild leptospirosis hi ni engemaw zat atanga kar tlemte thleng a awm thei. Leptospirosis na tak i neih chuan kar hnih vel damdawi inah i awm a ngai dawn a ni. Nausen natna khirh tak takte chu a dam kim theih nan thla engemaw zat a ngai thei a ni.

Engtikah nge hna/sikul ka kal leh theih ang?

Leptospirosis hi mi pakhat atanga mi dangah kai a tlem hle a, chuvangin i dam tawh a, i rilru a hahdam tawh chuan hna emaw sikul emaw i kal leh thei tawh ang.

Mite hi leptospirosis natna hi an damchhuak em?

Ni e, a dik tak zet. Leptospirosis vei tam zawk hi chuan symptoms an nei lo va, a symptoms na lo tak tak an nei a, anmahni chauhin an reh thin.

Leptospirosis vei zinga 1% vel chauhvin `Weil's syndrome` tia hriat natna khirh tak hi an nei a ni. Mahse , hriat hmasak a, enkawl tha a nih chuan a dam kim theihna chance tha tak a awm.

Engtin nge ka in enkawl ang?

Leptospirosis i vei tih hmuhchhuah a nih chuan i natna lan chhuah dan chu ngun takin en reng ang che. An na zual emaw, symptom thar i neih chuan doctor hnenah hrilh rawh. Tui tam tak in la, chawlh hahdam rawh.

Engtikah nge Doctor ka hmuh ang?

Tui emaw lei emaw bawlhhlawh thei tur i tawk a, chutah chuan leptospirosis symptoms i neih chuan doctor pan rawh.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Heng symptoms te hi i neih chuan damdawi in hnai ber pan nghal rawh:

• I khuh leh thisen chhuak a nih chuan
• I rilru natna i neih chuan
• Thâwk harsa i neih chuan
• Mit leh vun a sen a nih chuan
• Black, tarry stools i neih chuan
• Zun ah thisen a awm chuan
• Zun siam chhuah zat a tlahniam a nih chuan
• I vunah hmun sen (rash ang chi) i neih chuan .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah heng zawhnate hi i zawt thei ang:

• Engtin nge he natna hi ka kai theih?
• Engtikah nge doctor ka hmuh leh ang?
• Eng symptom nge ka fimkhur tur a ni a, a lo awm a nih chuan ka biak tur che?
• Eng symptoms nge emergency room-ah ka kal ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Leptospirosis, a nih loh leh ‘rat fever’ kan tih ang chi hi natna hrik a ni a, a tlangpuiin natna lanchhuahna na lo tak tak a awm a, mahse a chang chuan a na thei hle. I hna emaw, i hobby emaw avanga exposure hlauhawmna i nei em tih hriat a pawimawh.

Mahse chutiang a nih chuan i lawng khalh leh lovah i lawng khalh kha i bansan tur a ni lo. A hlauhawmna hriat a, fimkhur dan leh a natna lan chhuah dan hriat chian hmang hian hrisel leh him takin i awm thei a ni. A bik takin ruah sur lai leh tuilian lai hian fimkhur hle ang che. I chhehvel fai taka vawn hi heng natna laka invenna tha tak a ni bawk.

` Rat fever, Leptospirosis, Leptospirosis, Bacterial infection, Ran natna, Kal natna, Invenna