Ram pakhata zin thuai i tum em? A bîk takin, Africa, Southeast Asia, a nih loh leh Middle East ang chi khaw lum ram i tlawh a nih chuan, natna pakhat i hriat chian tûr chu malaria a ni . Mosquito-borne disease a ni a, uluk taka enkawl a nih loh chuan nunna atana hlauhawm thei a ni. Mahse, lungngai suh, he natna laka invenna tur thil kan tih theih a awm. Chung zinga pawimawh ber pakhat chu malaria dona damdawi emaw, kan tih angin, " malaria pills " emaw ei hi a ni.
He malaria hi eng nge ni? Heng pills te hi eng nge thleng?
A awlsam zawngin sawi ila, Malaria hi natna hrik a ni a, chu chu rulhut hmanga kan taksaa lut parasite avanga lo awm a ni. A lo awm chuan khawsik sang, khawsik, leh taksa na ang chi symptoms a thlen thei . Enkawl that loh chuan a pawi thei hle.
Malaria pill kan sawi tak hi natna a lo awm hmaa a lo awm loh nan damdawi i ei thin a ni. Damdawi lamah chuan hei hi ‘prophylactic medicine’ kan ti thin. Chumi awmzia chu natna i nei lo tihna a ni a, mahse natna laka inven nan damdawi i ei thin. Ruah sur kara a hnim hmaa umbrella chawi ang mai a ni.
Mahse thil pakhat hriat reng a pawimawh. Heng malaria pill te hian 100% invenna a pe lo. Chuvangin heng damdawi ei lai hian himna tur dang zawm a pawimawh hle . Insect repellent hnawih te, thawmhnaw sei tak, khuh tha tak ha te, mosquito net hnuaia mut te hi a pawimawh hle.
I zin hmaa i tih tur thilte
Ram pawna i zin hmain hengte hi i himna atan zawm a pawimawh hle.
- I kalna ram chu zirchiang rawh: World Health Organization (WHO) emaw US CDC emaw website-ah en la, i kalna ramah hian malaria hlauhawmna chu eng nge ni tih en rawh. He hlauhawmna hi sub-Saharan Africa, Southeast Asia ram thenkhat, Central leh South America hmun thenkhat, leh Middle East-ah te a sang ber a ni.
- I zinna kimchang hre rawh: Ram chhung hmun hrang hrangah i kal dawn tih leh eng nge i tih tih hriat a pawimawh. Malaria vei theihna hi hmun hrang hrangah a inang lo thei a, ram khat chhungah pawh a inang lo thei. He thu hian i doctor chu bial tina malaria parasite awm chi hrang hrang damdawi dik tak thlang turin a pui bawk ang.
- Doctor hmu rawh: Hei hi a pawimawh ber a ni. I zin hma kar 4 atanga kar 6 chhungin doctor rawn hmasa phawt ang che. Malaria damdawi thenkhat chu i zin hma kar 2-3 chhungin i ei tan a ngai a ni. Chuvangin kal hmaa thurawn lak a pawimawh hle.
He damdawi hian engtin nge hna a thawh?
He damdawi hi i chhuah hmain, i awm chhung leh Sri Lanka i lo haw hnu kar khat atanga kar li vel chhung i ei a ngai dawn a ni. Hei hi a chhan chu, rulhut in a seh che a i taksaa lut thin malaria parasites te hi i taksaah hian hun engemaw chen an inthup thei a ni.
Heng damdawi te hian an tih chu natna a zual hmain i liver emaw red blood cells-a awm tawh parasite te chu a tichhia a ni.
Heng pills te hi ei pawhin malaria i la vei thei tho. Mahse, damdawi i ei dik chuan natna vei theihna chu 90% velin i tihtlem thei a ni .
A pawimawh ber chu, hei hi Malaria vaccine a ni lo. Tunah hian Malaria hri danna hi a la awm lo. Hei hi natna vei theihna tiziaawmtu damdawi mai a ni.
Malaria damdawi te chu engte nge ni?
I doctor chuan i tlawhna hmun atana hman tur damdawi rawt chu a thlang ang. A hnuaia table-a chutiang damdawi thenkhat chu han thlir thuai ila.
| Ruihhlo Hming | Engtin nge lak ang | Point pawimawh / side effects te |
|---|---|---|
| Atovaquone-proguanil (Malarone) a ni a, a hmin hnuah a hmin leh a. | Khualzin hma ni 1-2 vel atanga tan la, zin hnu kar khat chhung nitin ei thin ang che. | Side effects a tlem hle. Mahse naupai leh kal damlo tan a tha lo. Tlem a man to deuh. |
| Chloroquine a ni | Khualzin hma kar 1-2 vel atanga tan la, zin hnu kar 4 chhung chu kar khatah vawi khat ei thin ang che. | Tunah chuan hman lar a ni lo. Malaria chi hlauhawm ber, P. falciparum parasite laka active lo. Malaria chi dang tamna hmunah chauh hman tur a ni. |
| A rilru a hah lutuk chuan a rilru a buai em em a. | Khualzin hma ni 1-2 chhung atanga tan la, zin atanga kar 4 chhung nitin ei thin ang che. | A man tlawm zawk. Hmeichhiaah chuan pum a ti na thei a, ni ênga vun a sensitive thei a, yeast infection a thlen thei bawk. Naupai leh naupang kum 8 hnuai lam tan a tha lo. |
| Mefloquine a ni | Khualzin hma kar 1-2 vel atanga tan la, zin hnu kar 4 chhung chu kar khatah vawi khat ei thin ang che. | Hmeichhe naupai tan pawh hman theih a ni. Mahse, seizure nei tawh, thinlung natna nasa tak nei, rilru lam natna nei tawh tan chuan a tha lo. Luak chhuak leh mut buai a awm thei. |
| Primaquine a ni | Khualzin hma ni 1-2 vel atanga tan la, kar khatah vawi khat zin atanga kar khat thlengin ei thin ang che. | Pum a ti na thei bawk. Hmeichhe naupai leh G6PD tlakchhamna nei tan a tha lo . |
| Tafenoquine (Arakoda) te chu a awm a. | Nitin zin hma ni 3 chhung, zin chhungin kar khatah vawi khat, zin atanga ni 7-naah vawi khat. | Kum 16 chunglam tan a tha. Pum a ti na thei bawk. Hmeichhe naupai, nau hnute pe lai, G6PD tlakchhamna nei, leh rilru lam natna nei tawhte tan a tha lo. |
Damdawi ei chung pawha malaria i vei chuan engtin nge i tih?
I zin chhung emaw, Sri Lanka i thlen hnu emawa malaria symptoms (khawsik sang, khawsik, taksa na) i neih chuan doctor pan nghal rawh. Emergency Treatment Unit (ETU)-ah i kal a ngai mai thei. Hun hi a pawimawh ber a ni. Natna a nasat hmaa enkawl tan a pawimawh hle.
I doctor chuan eng malaria chi nge i neih tih a rel ang a, a damdawi dik tak a pe ang. Hei hi a pawimawh a, a chhan chu malaria parasite thenkhat chu damdawi laka inven theih an nih vang a ni.
Damdawi pek i nih tur chu thil chi hrang hrang atanga teh a ni ang:
- Malaria i vei chi hrang hrang
- i kum zat
- I taksa hriselna dinhmun
- Malaria laka inven nan damdawi i ei em, i ei a nih chuan eng nge a sawi?
- Nu naupai i ni em?
- I damdawi lam dinhmun dang leh damdawi (medical history) te .
A tlangpuiin, natna laka invenna damdawi i ei ang chiah hian natna a tidam lovang. Chuvangin i doctor hnenah eng damdawi nge i ei tih chiang taka hrilh a pawimawh hle.
Take-Home Thuchah a ni
- Ram pawn, a bik takin malaria vei tamna ramah i zin dawnin, kar 4-6 hmain doctor rawn la, thurawn la rawh.
- Malaria damdawi hi 100% in a tha lo. Invenna dang, mosquito net leh repellent te hmang ngei ang che.
- I damdawi ei tur chu i doctor-in a tih ang chiah khan ei la, i zin chhung zawng pawhin ei bawk ang che. I zin chhung zawng, i zin hma, i zin chhung leh i zin zawhah i damdawi ei hi a pawimawh hle.
- I zin chhung emaw, i lo haw hnu thla engemaw zat emaw chhung chu khawsik, khawsik , leh taksa na ang chi symptoms i neih chuan malaria i vei tih ngaihtuah la , doctor pan nghal rawh
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