Mit chhunga rulhut a awm em? A bo tawh a ni lawm ni? He Loiasis chungchang hi han sawi ila!

I mit chhungah rulhut te tak te inher kual vel hmuh i ngaihtuah ngai em? Aw, ngaihtuah ringawt chuan i khur nghal vek a ni lawm ni? Mahse, hei hi thil tak tak a ni. Hei hi Doctor ten `Loiasis` an tih chu a ni. Mi thenkhat chuan `African eyeworm` an ti bawk. Chuvangin vawiin hian he natna, he rulhut natna hi tlem han sawi belh ila. A chhan chu hetiang thil hi mi zawng zawng tan fimkhur a pawimawh em em a ni.

`Loiasis` tih hi eng nge ni? A awlsam zawngin...

A awlsam zawnga sawi chuan `Loiasis` hi hnim chi bik `Loa loa` an tih avanga natna hrik a ni. Hei hi parasitic worm natna a ni. A dik tak chuan `filariasis` an tih, rulhut natna pawlah a tel a ni. `Filariasis` hi `filarial worms`, chu chu hnim hring, thread ang chi chi khat a ni.

Chuti a nih chuan engtin nge he rulhut hi kan taksaah hian a luh theih? Hei hi `deerfly` (mi thenkhat chuan `mango fly` emaw `mangrove fly` emaw an ti bawk) an tih fly chi khatin min seh hian a thleng thin. Mahse heng rulhut te hi hmun tinah an awm lo. Africa chhim leh chhim lama ruahtui tamna ramngaw thenkhatah an awm tam ber a, an piang bawk. Chuvangin chutiang hmuna cheng emaw, chutiang hmuna zin emaw chu hlauhawmah an awm a ni.

Heng Loa loa rulhut te hi kan taksaah an luh veleh an nung tan a, an lo piang tan ta a ni. Kan taksaa heng hmunah te hian awm an duh tlangpui:

• I thisenah (`Thisen`) .
• Lung chhungah (`Lungs`) .
• Lymphatic system - Hei hi kan taksa invenna peng pakhat a ni a, hetah hian thisen cell thenkhat siam chhuah a ni.
• Vun hnuaia tissue (`Subcutaneous tissues`) ah te hian .

Hei hi tuin nge ti hmasawn thei ber ang?

Loiasis hi West leh Central Africa hmun thenkhatah chuan harsatna lian tak a ni. Mi maktaduai 29 chuang zetin he natna kai an hlauhawm hle nia chhut a ni. Chu chu mi tam tak a ni lawm ni?

I mit chhungah rulhut a lut a nih chuan a mit a del tak tak ang em? (Hei hi mi tam takin an hlauh em em a ni)

Dik tak chuan, i mit chhunga rulhut a che vel hmuh chu thil nuam lo tak leh hlauhawm tak a ni thei. Ngaihtuah thiam a har khawp mai. Mahse a pawimawh ber chu heng `Loa loa` rulhut (centimetre 2.5 atanga 7.5 vel a sei) te hian mit a tidel lo tlangpui. Tin, mit tihchhiatna lian tham an thlen lo tlangpui bawk.

Hetiang hi a ni: Worm hian mit a paltlang a, rei vak lo hnuah taksaah a lut leh thin. Doctor chuan mit chunglamah hmuh theih rulhut chu operation tenau tak hmangin a paih chhuak thei a ni. Mahse, hetiang rulhut hi paih chhuah hian natna hrik zawng zawng a tidam lo tih hre reng ang che. A hrana enkawl a ngai a ni.

Loiasis natna lan chhuah dan chu engte nge ni?

Mak tak maiin loiasis vei tam zawk hian symptom an nei lo. An taksaah rulhut an nei tih pawh an hre lo. Mahse, mi thenkhat chuan symptoms an nei thei a, chungte chu:

• Chau lutuk tih hriat (`Fatigue`).
• Taksa zawng zawngah a itching vek.
• Taksaah hian itchy, swollen emaw sore spots a lang a, a bik takin khup leh elbows ang chi joint vel ah a lang thin. Hei hi ``Calabar swellings'' an ti a, he hliam hi ni engemaw zat hnuah a reh thei a, mahse ni engemaw zat emaw kar engemaw zat hnuah a lo lang leh thei a ni.
• Muscle emaw joint emaw a na.
• Vun hnuaiah rulhut a inher kual tih i hmu thei. Vun thlipui ang mai a ni.
• Conjunctiva (mit var leh mitmeng chhung khuh tu membrane te tak te) ah hian rulhut a rawn inher chhuak tih hmuh tur a awm. Hei hi mi tam tak ti hlauthawngtu a ni.

Ngaihtuah teh, i hloh lai hian i mit hmaah thil a che tih i hre nghal mai. Darthlalang i en chuan i mit hmaah hian thread te tak te ang maia inher kual vel ang maiin i hria! Chu chu engtiang chiahin nge a hlauhawm ang?

Eng thilin nge Loiasis hi a thlen? Engtin nge a darh zel?

Kan sawi tawh ang khan Loiasis hi hri kai fly in i vun a seh hian a darh thin. Loa loa worm infection kengtu fly te hi deer fly leh mangrove fly te an ni. Heng rulhut te hi Africa ramah chauh hmuh tur an awm. Heng rulhut te hian hri kai mi an seh hian thisen an hip a, rulhut (microfilariae an tih, rulhut te tak te, microscopic worm te an ni) chu rulhut chhungah an inject a ni. Tichuan, rulhut hian midang a seh chuan rulhut chu chu mi taksaah chuan a lut ta a ni.

Heng rulhut te tak te, ``microfilariae'' tia koh te hi i taksaah an luh chuan thla engemaw zat chu rulhut puitlingah an lo thang lian thei a ni. An lo thang lian zel chuan i taksa tissue leh organs, i lung ang chiah te ah an kal thei a ni. I taksa chhunga rulhut puitlingte an awm chauhvin i vun hnuaiah emaw, i mit kaltlangin emaw an che tih i hmu thei ṭhin.

Mahse hriat tur pawimawh tak chu Africa rama zin rei vak lo atanga loiasis i vei theihna chance a tlem hle. He natna vei tam zawk hi thla engemaw zat chhungin hri kai rulhut hian vawi tam tak an seh a ngai a ni. Chumi awmzia chu fly pakhat chauh atanga natna hi i kai lo tihna a ni.

Loiasis hi mi pakhat atanga kai theih a ni em?

Hei hi mi tam tak tan chuan harsatna a ni. Ni lo, Loiasis hi mi pakhat atanga mi dangah direct-in a darh lo. Chumi awmzia chu natna vei mi khawih emaw, ei leh in emaw insem emaw, an hmanraw towel hman emaw hmangin natna i kai thei lo tihna a ni. A man tur chuan chu fly bik chuan a seh che a ngai a ni.

Engtin nge Loiasis hi dik taka i hriat theih ang? (Diagnosis) tih a ni.

Africa rama risk area pakhatah i kal tawh emaw, i awm tawh emaw a, loiasis symptom i neih chuan i doctor chuan thisen test a ti thei ang.He thisen test hian i thisenah Loa loa microfilariae a awm leh awm loh a enfiah thei a ni.

Tin, doctor chuan (`physical exam`) a enfiah ang che, `loiasis`, chu chu `Calabar swellings` ang chi thil i neih leh neih loh a en ang.

Loiasis natna enkawl dan tur chu engte nge ni?

Loiasis enkawlna atana hman tur antiparasitic damdawi a awm a. A hman ber chu Ivermectin leh Diethylcarbamazine (DEC) te an ni.

Damdawi pek huna ngaihtuah tur pawimawh tak takte

Mahse hetah hian thil pawimawh tak a awm. Heng damdawi (a bik takin DEC) hi an thisena Loa loa microfilariae level sang tak nei te hnena pek a nih chuan natna khirh tak, nunna atana hlauhawm tak an nei thei a ni. Chuvangin doctor-in Ivermectin emaw DEC emaw a pek hmain i thisena microfilariae awm zat tehna tur test an nei hmasa tur a ni.

Natna tihdam nâna damdawi an pêk ngei hian harsatna lian tak a thlen a nih chuan eng ang taka chhia nge a nih ang tih han ngaihtuah teh? Chuvang chuan heng test te hi a pawimawh em em a ni.

Thisen millilitre khatah microfilariae 8,000 aia tam i neih chuan Ivermectin leh DEC hi i tan a him lo. Chutiang a nih chuan i doctor chuan Albendazole tih damdawi emaw, thisen filter dan emaw hmang hmasa turin a rawt mai thei. Albendazole leh thisen filter hian i thisenah microfilariae a ti tlem ang. Chutiang a nih chauh chuan Ivermectin emaw DEC emaw hman chu i tan a him ang.

Loiasis hi Sri Lanka ang ramah chuan natna a awm lo hle a, chuvangin i doctor chuan a enkawl dawnin tropical medicine lama mithiamte a zawt thei ang. Infection na tak i neih chuan chutiang specialist tawnhriat ngah tak chu i hmu ngei ang.

Engtin nge Loiasis i vei loh ang? (Invenna) 1.1.

Vanduaithlak takin Loiasis laka invenna tur vaccine a la awm lo.

Mahse West emaw Central Africa emaw i tlawh dawn a nih chuan, a bik takin chutah chuan rei tak awm i tum a nih chuan, he natna kai theihna tur tihziaawmna tur thil engemaw zat a awm a:

• Kar khatah vawi khat diethylcarbamazine (DEC) milligram 300 ei. (Hei hi doctor thurawn ang chauha tih tur a ni.)
• DEET (N,N-Diethyl-meta-toluamide) awmna insect repellent hmanga siam. Hengte hi taksaa hnawih tur liquid products an ni.
• Pants sei leh kawr sei hak hian i vun chu rulhut a seh theihna a ti tlem ang.
• Insecticide `permethrin` an tih chu i thawmhnaw ah hnawih. Hei hian rulhut te chu rulhut ang maiin a hnawtchhuak thin.

`Loiasis` i vei chuan eng nge thleng ang? I lungkham tur em ni?

Dik tak chuan loiasis vei tam tak chuan an hre lo pawh a ni thei a, hriselna lama harsatna lian tham a thlen lo thei bawk. Chu chu mi zawng zawngin symptom na tak tak an nei vek dawn lo tihna a ni.

Mahse, symptoms i neih emaw, loiasis i vei nia i rinhlelh emaw chuan doctor nen inbia ngei ang che. A enkawlna tur damdawi a awm a, chu chuan natna hrik a tifai thei a, harsatna a thlen loh nan a pui thei bawk.

Doctor hmuh hun tha ber berte chu engte nge ni?

Hetiang ang case-ah hian doctor i pan ngei tur a ni:

• West Africa emaw Central Africa emaw-ah i kal tawh a, Loiasis symptoms (e.g., itching, Calabar swellings, emaw i mit chhung lam hawi thil engemaw) i neih chuan .
• West Africa emaw Central Africa emaw pan i tum a, natna laka inven nan DEC enkawlna i mamawh mai thei nia i ngaih chuan i zin hmain doctor pan hmasak phawt a tha ber a, DEC damdawi ei tur hian kar engemaw zat a la ngai thei a ni.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atang hian `Loiasis` emaw `African eyeworm.` emaw chungchangah hian ngaihdan tha tak i neih ka beisei

Loiasis hi parasitic worm infection a ni tih hre reng ang che. Symptom hrang hrang a thlen thei a, symptomatic pawh a awm thei bawk.

I mitmenga rulhut hmuh hi thil hlauhawm tak a ni. Mahse a tlangpuiin rulhut hian mit a paltlang ang a, darkar tlemte chhungin a bo vek ang. A nih loh leh doctor chuan operation tenau tak hmangin a la chhuak thei bawk.

A pawimawh ber chu Africa rama risk area-a i zin chuan loiasis venna atan hma i la thei a ni. Tin, natna i vei tak tak a nih chuan doctor chuan antiparasitic damdawi hmangin a enkawl thei bawk.

Chuvangin, he thil hi a tul lovah hlau suh, mahse, awlsam takin la pawh suh. A pawimawh ber chu inhriattir hi a ni. Zawhna emaw rinhlelhna emaw i neih chuan doctor biak pawh a tlai ngai lo.

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