Natna ‘Melioidosis’ an tih hi i hre ngai em? A hming hi a mak deuh mai thei. Mahse hei hi keini ram ang ram, khaw lum leh vawt tamna ramah te, a bik takin lei leh tui nena inhnamhnawih te tan chuan ngaihtuah tur a ni. Chuvangin hlauh tur a awm lo, he thu hi a awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.
Melioidosis hi eng nge ni?
A awlsam zawngin, melioidosis hi bacterium atanga lo chhuak natna a ni . Bacteria chi khat Burkholderia pseudomallei (B. pseudomallei) atanga lo chhuak a ni. He bacteria awmna lei bawlhhlawh emaw tui emaw direct contact hmangin kan hnenah a kai darh thin. I natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Engtin nge i kai tih leh underlying condition dang i neih leh neih lohah a innghat.
He natna hian mihring leh rannung a nghawng thei a ni. Mahse, rannung atanga mihringah a kai lo . He natna hi a chang chuan "Whitmore's disease" an ti bawk tih hriat reng a pawimawh bawk.
Khawiah nge Melioidosis hi a tam ber?
Bacteria `B. pseudomallei` hi Australia hmar lam leh Southeast Asia - a bik takin kan ṭhenawm ram Thailand, Singapore, leh Malaysia-a leilung leh tui chhuahnaah a tam ber a ni. Amaherawhchu, heng damlote hi khawvel hmun dang atanga lo lut an ni bawk.
Ngaihtuah teh, he bacteria hi kum 2022 khan Mississippi, USA tuipui kamah hmuhchhuah a ni a, kum 2021 khan he bacteria hi aromatherapy spray-ah thil pakhatah hmuh a ni a, chuta tang chuan mi engemaw zatin he natna hi an lo nei tawh bawk. Chumi awmzia chu he bacteria hi beisei loh hmunah hmuh theih a ni tihna a ni.
Melioidosis hian tute nge a tuar ber?
He bacteria hi a tamna hmunah chuan puitling, damdawi lam dinhmun bulpui nei te a nghawng tam ber a, a tlangpuiin kum 40 leh 60 inkar te a ni a, mak tak maiin naupang kum 15 hnuai lam te hi he natna hi an vei tlem hle.
Tute nge melioidosis vei theihna chance sang zawk?
B. pseudomallei bacteria awmna hmuna awm emaw, hnathawhna hmuna i awm emaw, a hnuaia hriselna lama harsatna i neih emaw chuan he natna hi i vei theihna a sang zawk a ni:
- Diabetes Mellitus : Hei hi mi tam takin harsatna an neih a ni.
- Zu in hmansualna
- Kidney natna rei tak awm thei
- Lung natna rei tak : Entirnan, `(Cystic fibrosis)` emaw `(COPD)` emaw.
- Cancer emaw natna dang, taksa chakna tichhe thei : Mahse, HIV hrik kai hian melioidosis a tipung lo niin a lang.
- Thalassemia natna a ni
Tin, bacteria `B. pseudomallei` a hluar hleLei leh lei chung tui nena inzawmna nei fo hna emaw, hobby emaw, huan siam te, ramngaw siam te, leh loneih te pawh hi an hlauhawm zawk bawk. Ngaihtuah teh, kan khuaa zunthlum vei Uncle Kamal-a hian lovah hna a thawk a, tui hnim hringah a ke a pen fo thin. Hetiang natna lakah hian a fimkhur a ngai a ni.
Melioidosis natna lan chhuah dan chu engte nge ni?
I taksaa natna hrik awmna hmun azirin i natna lan chhuah dan a inang lo ang. I lung, vun, thisen, hmun tam takah vawi khatah symptom i nei thei.
Lung chhunga melioidosis natna lan chhuah dan (Pulmonary melioidosis) .
I lungah natna hrik i neih chuan hetiang ang chi hi i nei thei a ni:
- Khuh
- Thâwk harsa (dyspnea) .
- A rilru a na
- Khawsik
- Chaw chakna
- Lu na
I vunah melioidosis (localized) natna lan chhuah dan
Vun natna a nih chuan hetiang hi i hmu mai thei:
- Hliam, ulcer emaw, abscesses emaw a awm thei
- Lymph node a lo hring chhuak
- Khawsik
I thisenah Melioidosis natna lan chhuah dan
A châng chuan vun emaw, lung emawa hri kai chhinchhiahna rual hian thisenah hri kai chhinchhiahna (septicemia) pawh a awm thei bawk. Hei hi blood poisoning an ti bawk. A lan chhuah dan chu:
- Khawsik sang tak a nei
- Chauhna/chau lutuk
- Lu na
- Thâwk harsa/thâwk tawi
- Pum natna
- Joint natna
- Rilru lam inthlak danglamna te, buai leh hriatrengna hloh te
Chronic (disseminated) melioidosis natna lan chhuah dan
A châng chuan a lan chhuah dan chu thla hnih emaw a aia rei emaw a awm thei . Hemi hun chhung hian B. pseudomallei bacteria hi taksa peng hrang hrangah a darh thei a ni. A lan chhuah dan chu:
- Khuh rei tak a awm
- Khawsik
- Rihna tihtlem
- Zan a thawk hah
- Thisen a khuh chhuak
- Pum emaw, rilru emaw a na
- Muscle emaw joint emaw a na
- Lu na
- Epileptic state (seizures) a awm thei.
Bacteria nena an inhriat hnuah eng chen nge symptoms a lo lang thin?
Mi tam zawk tan chuan natna hrik an kai atanga kar khat atanga kar li chhungin natna lanchhuahna a lang thin. Hei hi incubation period an ti a. Mahse mak tak maiin mi thenkhat chuan natna hrik an kai hnu thla tam tak, kum tam tak chhung pawh nise, natna lanchhuahna an nei thei a ni. Chuvangin a buaithlak deuh.
Eng thilin nge melioidosis hi a thlen?
Chumi chhan chu a hmaa ka sawi tawh ang khan bacterium `B. pseudomallei` tih a ni. Lei chung tui (tuikhuah, lui, lui) leh leiah a cheng a ni. He bacteria hi tropical emaw subtropical region-ah a tam hle.
Engtin nge miten melioidosis an neih?
He natna hi lei emaw tui emaw, bacteria `B. pseudomallei` tih a ni. He bacteria hi i taksaah a luh theih dan kawng hrang hrang a awm a:
- I vunah hliam hmangin, hliam emaw, hliam emaw ang chi.
- Inhalation : Hei hian he bacteria hi leia leivut chi hrang hrang nen i thawkna kawngah a lut thei tihna a ni.
- Tui bawlhhlawh chu lung chhunga aspiration : Hei hi tui chhunga hnathawh emaw, inbual emaw hian a thleng thei.
- Tui bawlhhlawh in emaw ei emaw hmangin.
B. pseudomallei natna hi ruahtui tlak lai hian a tam zawk a, a bik takin ruahsur nasa hnuah a tam zawk a, a chhan chu chutih lai chuan leia bacteria te chu lei chung lamah an lo kal a, tui lakna hmunah an lut thin.
Melioidosis hi mi pakhat atanga mi dangah a kai theih em?
Hei hi mi tam takin harsatna an neih a ni. Melioidosis hi mi pakhat atanga mi dangah a darh tlem hle. Hri kai theihna kawng ber chu lei emaw tui bawlhhlawh emaw nena inhnaih hi a ni. Chuvangin a tul lovah hlauthawng suh.
Engtin nge Melioidosis hi an hriat theih?
I doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, a enfiah ang che a, chutah chuan i thisen emaw taksa tui dang emaw sample a la ang a, test turin a la ang. I hnathawh, i thil ngaihven, a nih loh leh tun hnaia i zinna chanchin pawh an zawt thei bawk.
Sample te hi lab-ah thawn a ni a, chutah chuan technician-te chuan i sample-te chu B. pseudomallei bacteria a awm leh awm loh an enfiah ang a, a dotu antibodies a awm leh awm loh an enfiah ang. Melioidosis finfiahna atana sample hmante chu:
- Thisen
- Zun chhuah
- Sputum atanga chhuak
- Hliam atanga chhuak
Melioidosis hi engtin nge enkawl a nih?
He natna hi Doctor-te chuan antibiotics chi hnih hmangin stage hnih-ah an enkawl a. Hei hi enkawlna rei tak a ni.
- A hmasa ber (intensive) phase-ah : Intravenous (IV) antibiotics kar hnih tal pek i ni ang. Hei hi damdawi ina dah ngai enkawlna a ni.
- A pahnihnaah (eradication phase) : Thla thum tal oral antibiotics i ei a ngai ang.
I dinhmun a nasat dan azirin enkawlna dang i mamawh thei a, chu chu a awm chuan draining abscesses te hi a ni.
Melioidosis natna atan hian eng antibiotics nge hman thin?
Intravenous (injected) antibiotics zingah hian i doctor chuan:
- `Ceftazidime` `(Ceftazidime)` tih a ni
- `Meropenem` `(Meropenem)` tih a ni
- `Imipenem` `(Imipenem)` tih a ni
Hengte hi oral antibiotics angin pek theih a ni:
- `Trimethoprim/sulfamethoxazole` `(Trimethoprim/sulfamethoxazole - TMP/SMX)` hmanga enkawl a ni
- `Amoxicillin/clavulanic acid` `(Amoxicillin/clavulanic acid - a inzawmkhawm)`
A pawimawh ber chu doctor-in a tih tur a tih angin damdawi chu ei tur dik tak a ni. Tlemin i rilru a hahdam deuh vang mai maiin a chanve vel chu tawp suh.
Engtin nge Melioidosis lakah kan inven theih ang?
B. pseudomallei bacteria tamna hmunah chuan he natna laka invenna tur hian hengte hi i ti thei ang:
- If you have diabetes or chronic renal disease , lei leh tui ding nen a theih ang anga inhnaih loh tur.
- Lei hnim, tui ding emaw, leilung hnim emawa kal hunah tui tlak lohna boots ha rawh.
- Huanah emaw, leia hnathawh hunah emaw kutkawr vuah tur a ni.
- I taksaah hliam emaw, hliam emaw i neih chuan tui tlak lohna khuh hmangin khuh rawh . Hliam chhungah lei emaw tui emaw luh tir suh, chu chuan a ti bawlhhlawh thei a ni.
- Leilung, tui hnim hring emaw, pawn lama hnathawh hnuah emaw uluk takin inbual emaw, silfai emaw tur a ni .
- Thlai i sawh lai te, buh chi i tan lai te, leia high-pressure water sprayer i hman dawnin i hnar leh hmui khuh thei mask hmang ang che.
- Bacteria `B. pseudomallei`, i doctor chuan melioidosis ven nan antibiotics (post-exposure prophylaxis) ei turin a rawt thei ang.
Melioidosis ka neih chuan eng nge ka beisei theih ang?
Mi tam zawk chu natna khirh tak dang nei lo leh enkawl vat thinte chuan he natna atang hian an dam chhuak vek thei a ni . Mahse, bacteria hi a bo vek theih nan thla tam tak chhung enkawlna chhunzawm a ngai mai thei. A chang chuan enkawlna a zawh hnuah pawh symptoms a lo lang leh thei (relapse). Chuvang chuan doctor thupek zawm a pawimawh hle.
Mahse, damdawi lam dinhmun hnuaia awm, emaw, a hmaa hriat chhuah leh enkawl theih lohte tan chuan thil awmdan chu a na zawk thei a ni.
Melioidosis hi tihdam theih a ni em?
Ni e, melioidosis hi antibiotic treatment regimen stage hnih hmangin tihdam theih a ni . Mahse, hri kai ṭhenkhat chu a zual thuai thei a, enkawlna pawh a hlawhtling lo thei bawk. Chuvangin, a hmaa hriatchhuah leh enkawl dan hi a pawimawh hle.
Melioidosis hian thihna a thlen thei em?
Enkawlna rang leh dik tak pek a nih chuan thihna hi 10% leh 20% inkar a ni . Mahse, natna khirh tak leh melioidosis vanga thihna hlauhawmna chu:
- Natna dang i neih leh neih loh.
- Hriselna tha tak dawn theihna.
- Eng taksa peng nge infect?
Melioidosis vei angin engtin nge ka in enkawl ang?
Melioidosis i vei tih hmuhchhuah a nih chuan damdawi zawng zawng chu i doctor-in a tih angin ei vek tur a ni . Antibiotics i ei loh vat chuan i na leh thei.
Doctor hmu tura pek ni i nih chuan doctor hnenah kal ngei ngei tur a ni. I natna lan chhuah dan a bo a, a lo let leh a nih chuan, emaw, natna lan chhuahna thar a lo lang a nih chuan, emaw, i natna a zual zel chuan doctor hnenah hrilh rawh.
Melioidosis natna avanga harsatna awm thei
Melioidosis hi i taksa hmun tam takah a darh thei a, harsatna a thlen thei a, chungte chu:
- Ruh natna `(Osteomyelitis)`
- Ruh natna `(Septic arthritis)`
- Vun, lung, thin, rilru, thluak emaw, taksa peng dang emawa pus (abscesses) awmkhawm
- Acute Respiratory Distress Syndrome (ARDS) natna vei te hi a ni.
- Sepsis - Hei hi nunna atana hlauhawm a ni thei a, taksain natna hrik a kaihhnawih nasat em avangin taksa peng hrang hrang a tichhe thei a ni.
Engtikah nge Doctor ka hmuh ang?
Melioidosis symptoms i neih chuan, a bik takin B. pseudomallei awmna hmuna i awm emaw, tun hnaia i zin tawh emaw a nih chuan doctor pan nghal rawh Enkawlna rang tak hian dam kim theihna chance tha ber a pe che a ni.
Tun hnaia B. pseudomallei bacteria i kai tawh nia i ngaih chuan doctor pan rawh. Natna i vei loh nan post-exposure prophylaxis a pe thei che a ni.
Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?
Heng natna khirh tak takte hi i neih chuan emergency room-ah kal nghal rawh:
- Khawsik sang (103 Fahrenheit/39.4 Celsius aia sang) .
- Thâwk harsat thut emaw, nasa tak emaw
- Pum natna nasa tak
- Buaina emaw, rilru lama inthlak danglamna dang emaw
- A rilru a na
- Epileptic state (seizures) a awm thei.
Doctor hnenah eng zawhna nge ka zawh ang?
I doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:
- Engtin nge ka damdawi hi ka ei ang?
- Engtikah nge ka rawn hmu leh ang che?
- Engtikah nge ka dam leh ang?
- Eng symptoms nge emergency room-ah ka kal ang?
- In lama ka natna lan chhuah dan tur enkawl nan eng nge ka tih theih ang?
- He natna hi kai theih a ni em? (Tunah chuan hei hi a tlem tih ka hria a, mahse chiang taka sawi chu a tha hle)
A tawp berah chuan hriat reng tur (Take-Home Message) .
Melioidosis hi natna a ni a , ngaihven engemaw zat a ngai a , hriat harsa tak a ni thei bawk . A chhan chu a lan chhuah dan chu natna tlanglawn dang, na lo zawkte nen a inang thei a ni. Enkawl loh chuan nunna atana hlauhawm a ni thei.. Chuvangin `B. pseudomallei` bacteria, emaw, melioidosis symptoms i neih emaw, a na zawk thei risk group-a i awm emaw chuan, i doctor hmu la, i ngaihtuahnate sawipui hreh suh Hriselna atana hmalak vat hi a tha ber!
` Melioidosis, Burkholderia pseudomallei, leia hri kai, tui inkai, bacteria inkai, invenna
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