Chawhnu lam boruak lum leh vawt tak a ni a, khawpui chhunga khawtlang clinic chu a nung hle a. Chhungkaw tinte chu makeshift tent hnuaiah an pungkhawm a, doctor-te hmuh an nghak a. An zingah hian Anil, kum 45 mi, migrant worker, hmel dum leh taksa chak lo, khur chhuak chungin a rawn lut a.
“Dr. Priya,” a thut lai chuan a ti sap a, “Ni engemaw zat kalta atang khan ka rilru a na hle a, lu na leh taksa ruh na atang khan a intan a, mahse tunah chuan ka thawmhnaw ka titawp thei tawh lo , ka kang tawh ang maiin ka hria.”
A dum hring dup, a thawk rang tak , leh a hmaiah chuan thawmhnaw hring hring a rawn inher chhuak chu ka hmu nghal a. “I enfiah ang che, Anil,” ka ti a, tropical illness kan hmachhawn mai thei tih ka hre chiang hle .
Malaria hi eng nge ni?
Hmanhmawh taka enfiah leh history lak hnuah Anil-a natna lan chhuah dan chuan Malaria lam a kawk a, chu chu Plasmodium parasite vanga tropical infection a ni . Ka hrilhfiah a, “Malaria hi Anopheles rulhut hri kai hmeichhia te seh atanga kai a ni a, heng parasite te hi thisenah an luh hmain thin lamah an kal a, an pung zel a, chutah chuan thisen sen (red blood cells) an kai a, i natna lan chhuah dan ang hi an thlen a ni,” tiin ka hrilhfiah a.
A ngaihtuah hmel hle. “Mahse, ka chhehvel tihfai kawngah hian ka fimkhur em em a ni,” a ti.
Ka ti thlamuang a. “I fimkhur hi a dik a, mahse, rulhut te hi tui tlakchhamna tuikhuah tenau berah pawh an thang lian thei a, kan beisei loh lai pawhin an seh thei a, a bik takin hetiang hmun lum takah hian.”.
World Hrisel Organization (WHO) chuan kum 2020 chhung khan khawvel pumah malaria vei mi maktaduai 241 an awm niin a chhut a, a tam zawk chu sub-Saharan Africa leh Asia ram thenkhatah an awm a ni.
Malaria natna lan chhuah dante chu engte nge ni?
Anil chu a symptoms chipchiar taka sawi turin ka ngen a. Heti hian a tarlang a:
- Lu na na tak a ni
- Muscle na a awm
- Khawsik leh khawsik leh thawk hah
- Chauhna nasa tak leh rilru hahna
“Chu chu malaria symptoms classic tak a ni,” ka ti a. “Malaria hi a tlangpuiin rulhut a seh hnu kar khat emaw a aia rei emaw hnuah flu ang chi chhinchhiahna atanga tan a ni a, khawsik hi cycle hrang hrangin a lo thleng fo thin.”
A lu a bu nghat a, “Ka natna khirh ber ang maiin ka hria, ka thawmhnaw hak leh khur chu tuar theih loh a ni,” a ti bawk.
Malaria symptoms hi parasite hian thisen sen (red blood cells) a tihchhiat vang a ni a, thisen tlakchhamna (anemia) leh immune response te, khawsik leh khawsik te a thlen thin.
Engtin nge Malaria hi hriatchhuah a nih?
Anil chu thisen test turin ka order a, a natna hmuhchhuah a nih leh nih loh finfiah turin ka ti a. “Rapid diagnostic test emaw, microscope hmanga thisen smear emaw hmangin parasite awm leh awm loh a hriat theih a ni,” tiin ka hrilhfiah a.
“Test a na dawn em ni?” hlauthawng zet hian a zawt a.
“Thisen lak chhuahna tur prick te tak te chauh a ni,” ka ti a. “Results hian eng ang malaria parasite nge i natna thlentu tih hriat theihna turin min pui dawn a ni.”
Mihringah malaria thlentu Plasmodium parasite chi li a awm a, chungte chu P. vivax , P. ovale , P. malariae , leh P. falciparum te an ni. Chung zingah chuan P. falciparum hi harsatna na tak a thlen theih avangin a hlauhawm ber a ni.
Malaria hi engtiang chiahin nge a nasat?
P. falciparum , ka sawi chuan Anil-a mit chu a meng chhuak ta hlawm a. “Nunna tichhe thei a ni em?”
“Enkawl loh chuan a ni thei,” tiin dik takin ka chhang a. “A nasat chuan malaria hian harsatna a thlen thei a, chu chu cerebral malaria, kidney failure, leh thisen tlakchhamna nasa tak a ni.Mahse, rang taka enkawl a nih chuan heng outcome te hi kan veng thei a ni.”
Centers for Disease Control and Prevention (CDC) chhinchhiah danin khawvel puma malaria vanga thi zawng zawng deuhthaw hi P. falciparum hian a mawhphurtu a ni. Amaherawhchu, antimalaria damdawi hmanga enkawl hmasak chuan nunna a chhanhim thei a ni.
Malaria hi engtin nge enkawl a nih?
Test result kan nghah lai chuan Anil-a enkawl dan tur chu ka sawipui a. “Diagnosis hian malaria a nemnghet a nih chuan antimalaria damdawi kan ei tan nghal ang che,” ka ti a.
- Malaria Damdawi : “Damdawi hman tlanglawn takah chuan artemisinin-based combination therapies (ACTs) te pawh a tel a, hei hian P. falciparum lakah a thawk tha hle a ni.”
- Hospital Care : “A nasat lutuk chuan thisenah damdawi leh supportive care a ngai mai thei.”
Anil chuan, “Damdawi inah ka awm a ngai dawn em ni?”
“A ni hauh lo,” ka ti thlamuang a. “I symptoms a na lo a, oral medication i dawng tha a nih chuan in lamah i dam leh thei a ni.Mahse, complication i neih leh neih loh chu uluk takin kan vil reng ang che.”
WHO chuan P. falciparum malaria buaithlak lo tan chuan ACTs hi first-line treatment atan a rawt a ni. P. vivax leh P. ovale tan chuan primaquine an tih damdawi hmangin parasite dormant liver stages te chu target turin an hmang thin.
Malaria hi Engtin Nge A Loh Theih Ang?
A chhuah hma chuan Anil chuan, “Engtin nge hetiang thil hi a thlen leh tawh loh nan ka finfiah theih ang?”
Invenna pawimawhzia ka sawi uar hle a:
- Mosquito Nets : “Insecticide hmanga enkawl khum net hnuaiah mu fo thin ang che, a bik takin zan lama peak biting hour lai hian.”
- Repellent : “Vun langsar takah DEET awmna repellent hmang rawh.”
- Thawmhnaw : “Mosquito seh hlauhawmna tihziaawmna turin kutkawr sei leh pants ha la.”
- Environmental Control : “I in chhehvela tui ding reng chu paih la, rulhut pianna hmunte tihbo rawh.”
CDC chuan insecticide hmanga enkawl bed net hian malaria kai theihna chu 50% thlengin a tihtlem theih thu a tarlang a, hei hian malaria vei tamna hmuna invenna hmanraw tangkai ber pawl a ni.
Anil a dam leh ta
Thisen test-naah Anil hian P. vivax malaria a vei tih a chiang a, hei hi P. falciparum aiin na lo zawk mah se, enkawl vat a la ngai tho. Damdawi a ei tan hnu chuan kar khat hnuah clinic-ah a kir leh a, a hmel a tha zawk hle. “Ka lawm e, Dr. Priya,” lawmthu sawiin nui chung hian a ti a. “I thurawn zawng zawng hi ka zawm ngei ngei ang.”
A dam lehna hian malaria dona kawngah hriatthiamna, a hmaa hriatchhuah leh a hun taka enkawl a pawimawhzia min hriat nawn tir a ni.
Malaria chungchanga zawhna tam tak
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Malaria natna lan chhuah hmasak berte chu engte nge ni?
A lan chhuah hmasak ber chu khawsik, lu na, taksa ruh na, leh hahna te a ni a, a tam zawkah chuan flu ang chi natna ang deuh a ni. Natna a zual zel chuan chills leh sweating a langsar zual zel a.
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Malaria hi engtin nge an hriat theih?
Malaria hi thisen test hmanga hriat theih a ni a, chu chu rapid diagnostic test emaw microscopic examination of blood smear emaw hmangin parasite awm leh awm loh hriat theih a ni.
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Malaria hi ven theih a ni em?
Ni e, malaria hi insecticide hmanga enkawl bed net, mosquito repellents, leh antimalaria prophylactic damdawi hmanga hlauhawmna hmuna zin te tan ven theih a ni.
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Malaria hi a kai thei em?
Ni lo, malaria hi mi pakhat atanga mi dangah a darh lo. Hri kai hmeichhia Anopheles thosi seh hmanga kai a ni.
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Malaria enkawl loha dah a nih chuan eng nge thleng ang?
Enkawl loh chuan malaria hian harsatna nasa tak a thlen thei a, chu chu cerebral malaria, kidney failure, leh thihna thlengin a thlen thei a, a bik takin P. falciparum vang a ni.
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Malaria hi enkawl hnuah a lo lang leh thei ang em?
Ni e, malaria chi thenkhat, P. vivax leh P. ovale -te avanga lo awm te hi liver-a parasite muhil (dormant parasites) avang hian a lo lang leh thei a ni. A lo lang leh tur ven nan primaquine hmanga enkawl belh a ngai a ni.
