A chang chuan kar tam tak chhung khuh kan nei a, mahse kan ngaihven vak lo a ni lawm ni? "Hei hi khuh mai a ni," kan ti mai thei a, mahse thil pawi zawk chhinchhiahna a ni thei. Chuvangin, natna pakhat kan ngaihven a ngai tak zet chu tuberculosis , a nih loh leh kan hriat vek angin TB hi a ni. Chuvangin vawiinah hian he natna chungchang hi a awlsam zawngin sawi ila.
Tuberculosis (TB) hi eng nge ni?
A awlsam zawngin sawi ila, TB hi natna hrik kai theih a ni. Bacterium pakhat `(Mycobacterium tuberculosis)` tih atanga lo chhuak a ni. He natna hian kan lung a nghawng ber a ni . Mahse, a châng chuan he natna hi taksa pêng dang, lung pawn lam, entîr nân, thluak, ruhro , leh kal (kidney)-ah te a darh thei a ni.
Tun hma chuan he natna hian khawvel hmun hrang hrangah mi tam tak a that thin a. Tunlai hian enkawlna changkang tak tak awm mahse, Sri Lanka ang ramah chuan hriselna lama harsatna lian tak a la ni reng a ni. HIV /AIDS ang natna vei te, a nih loh leh chhan dang avanga an taksa hriselna chak lo zawkte chu TB vei an hlauhawm hle. Hei hi an taksain he bacteria hi a do thei lo zawk vang a ni.
Tuberculosis natna stage lian ber berte chu engte nge ni?
Tuberculosis hrik taksaa a luh chuan mi zawng zawng hi vawi khatah an damlo vek lo. Hei hi stage hrang hrang a awm a. Eng nge an nih i en ang u.
| Natna dinhmun | A awmzia mai mai | Hri kai theih a ni em? |
|---|---|---|
| TB thup (latent) a awm | He hrik hi taksaah a awm a, mahse immune system vangin "chronic" leh inactive a ni. Symptoms a awm lo. | Ni lo , tun dinhmunah chuan he natna hi mi dangin a kai lo. |
| Active TB a ni | I taksaa hrik chu a thawk chhuak a, a pung chak tan ta a ni. I damlo a, symptoms i lantir thin. | Awle. Hetih lai hian he natna hi midangte hnena kai theih a ni. |
| Extrapulmonary TB a awm thin | He natna hi lungpui piah lamah taksa peng dang (thluak, kal, ruh ang chi) ah a darh tawh a ni. | A kai theih loh fo (lung chhungah active disease a awm loh chuan). |
A pawimawh ber chu latent TB vei te immunity a chak loh chuan engtik lai pawhin active TB ah a chang thei a ni.
Nang pawhin heng symptoms te hi i nei ve em?
Latent TB hian symptom a nei lo. Skin test emaw thisen test emaw hmang chauha hriat theih a ni.
Mahse, active TB symptoms a lang chhuak thin.
Puitlingah chuan a lan chhuah dan tlangpui:
- Kar 3 aia rei khuh
- Thisen khuh chhuakin mucus a nei
- A rilru a na
- Chhan awm lovin taksa rihna tlahniam leh ei duhna hloh
- Chauhna awm reng
- Low-grade fever a ni
- Thaw tam lutuk , a bik takin zan lamah
- Chills a awm
Naupang tê tê leh naute natna lan chhuah dan: 1.1.
Naupang tê tête natna lan chhuah dan chu a inang lo deuh thei.
- Rihna tlahniam emaw, taksa rihna tihpun loh emaw
- Fever awm reng
- Activity tlahniam, lungngaihna nei reng reng
- Nauteah chuan lu chunglam "soft spot" chu a bulging a ni.
- Tap fo, bawnghnute ei leh in harsa
Nangmah emaw, i fa emaw hian heng symptoms te hi i neih chuan ngaihthah suh la, doctor rawn nghal rawh. A bik takin rilru na a awm chuan emergency a ni thei a, damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
Tuberculosis hi engtin nge a kai theih? Tin, engtin nge a kai darh loh?
Hei hi mi tam takin harsatna an neih a ni. Tuberculosis hi boruak kaltlangin a darh a , khawsik emaw, flu emaw ang bawkin.
Active tuberculosis vei mi pakhatin a khuh, a thawk hah, a thusawi, a nih loh leh a nuih hian, an thawkna kawng atanga hrik awmna droplet te te chu boruakah a lut ang tih han ngaihtuah teh. Mi hrisel chuan chu boruak chu a thaw chhuak a nih chuan, chu natna chu an kai thei bawk.
Chuvangin active tuberculosis vei nen room khata hun tam lutuk, boruak luh lohna hmuna hun hman tam lutuk hi a risky kan ti a ni.
| Heng hmanrua te hi a darh lo! |
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Engtin nge TB natna hi hriat chhuah a nih?
Doctor i hmuh chuan i natna lan chhuah dan a zawt hmasa ang a, a enfiah ang che a, chutah chuan TB a vei loh nan test eng emaw zat a ti ang.
1. Skin test (Mantoux Tuberculin Skin Test): Hei hi i kut vun hnuaiah tui tlem lutuk inject a ni. Ni 2-3 hnuah a hmun chu a hring em tih enfiah thin a ni. He test hi Sri Lanka rama mi zawng zawng deuhthaw pian tirh atanga BCG vaccine pek thin vang a ni thei. Chuvangin hei ringawt hian natna hi a nemnghet thei lo.
2. Thisen test (IGRA Test): Hei hi thisen test bik `(Interferon-Gamma Release Assays)` tih a ni. Hei hi `BCG` vaccine hian a nghawng lo.
3. Chest X-ray: A chunga kan sawi te hi a positive a nih chuan chest X-ray hi test leh tur a ni. Hei hian active tuberculosis a awm chuan lungah inthlak danglamna a zawng thei a ni.
4. Sputum Test: Hei hi active TB finfiah dan tha ber leh dik ber a ni. Zing lama sputum sample tlemte lakte chu microscope hmangin enfiahin TB bacteria awm leh awm loh direct-a hriat theih a ni.
Tuberculosis enkawl dan tur engte nge ni?
Hetah hian thu lawmawm ber chu: TB natna hi tihdam theih vek a ni tawh!
Chumi atan chuan antibiotics engemaw zat rei tak ei dun a ngai a ni.
- Latent TB tan chuan:Natna a active loh nan thla 3 emaw a aia rei emaw damdawi i ei a ngai dawn a ni.
- Active TB tan: Damdawi chi hrang hrang thla 6 tal ei chhunzawm zel tur a ni . Enkawl hun chhung hi natna dinhmun a zirin thla 9-12 thleng pawhsei theih a ni.
Pawimawh tak: Ni engemaw zat hnuah i dam leh a nih pawhin i doctor-in a pek chhung zawng zawng damdawi chu i ei tur a ni a, ni khat pawh i ei loh tur a ni. Chutiang a nih loh chuan a chanve vel i ei tawh loh chuan i taksaa bacteria la awmte chu damdawi laka invenna TB hlauhawm takah a lo chang thei a, chu chu damdawi hman tlanglawn tak lakah pawh a do thei a ni. Hei hian enkawlna a ti harsa hle thei a ni.
I doctor chuan thisen test a nei fo ang a, enkawl laiin liver lama harsatna a awm leh awm loh a enfiah ang. Damdawi avanga nghawng tha lo (e.g., mit a danglam, vun sen, luak chhuak) i neih chuan damdawi ei kha titawp lovin doctor hnenah hrilh nghal rawh.
Engtin nge TB lakah i inven theih ang?
- Active TB i neih chuan: Enkawl tan atanga kar hmasa berah midang lakah inthiarfihlim thin ang che. Room hran ah mu rawh. I khuh emaw, i thawk hah emaw hian i hmui leh hnar tissue hmangin khuh thin ang che. Mipui hmuna i chhuah chuan surgical mask vuah thin ang che. Thli a luh theih nan window hawn reng tur a ni.
- Latent TB i neih chuan: I doctor-in damdawi a pek ang chiah kha ei la. Hei hian a active thei lo ang.
- BCG vaccine: Sri Lanka rama naute zawng zawng hi an pian tirh atangin BCG vaccine pek an ni. Hei hian naupangte chu TB natna khirh tak tak (e.g. TB meningitis) lakah a venghim a ni.
Take-Home Thuchah a ni
- Tuberculosis (TB) hi natna pawi tak, mahse tihdam theih vek a ni .
- Kar 3 aia rei khuh, taksa rihna tlahniam, zan lama thawk hah ang chi symptoms te chu ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.
- Tuberculosis natna enkawl i nih chuan i doctor-in a pek hun chhung zawng zawng damdawi hi ei a pawimawh hle . A chanve vel tihtawp chuan a rah chhuah hlauhawm tak a nei thei a ni.
- Tuberculosis hi boruak kaltlangin a darh a. Damlo nen in khata awm in nih chuan himna dan mumal tak zawm a pawimawh.
- Awareness dik leh enkawlna dik tak i neih chuan nang pawhin TB natna hi i thunun thei a, nun hrisel tak i hmang thei bawk.











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