I thluak leh i thluak khuh zawng zawng tichhe thei Meningoencephalitis chungchang hi i zir belh ang u.

Kan taksa peng pawimawh ber pakhat chu thluak hi a ni. Chuti a nih chuan thluak a na a nih chuan engtin nge ni ang? A pawizia chu han ngaihtuah teh. Vawiin hian chutiang natna chungchang kan sawi dawn a, chu chu a pawi deuh hlek a, mahse tih tur dik tak i hriat chuan hma i la thuai thei ang. Hei hi meningoencephalitis an ti a . A chang chuan Doctor ten encephalomeningitis an ti bawk.

Chuti a nih chuan meningoencephalitis hi eng nge ni?

A awlsam zawngin, meningoencephalitis hi thil awm lo tak, mahse nunna atana hlauhawm thei tak a ni a , meningitis leh encephalitis te hi a rualin i vei vek a ni.

Tunah chuan meningitis leh encephalitis hi eng nge a hranin i en ang u.

• Meningitis hi i thluak leh spinal cord (i ruhro chhunga nerve cord) vel venhimna (meninges an tih) te infection leh swelling a ni. Heng meninges te hian i thluak leh i ruhro chu hliam lakah a venghim a, a thlawp bawk.
• Encephalitis hi thluak tissue chhunga swelling emaw infection emaw a ni.

Chuvangin, heng dinhmun pahnih hi a inzawm khawm chuan meningoencephalitis a lo awm ta a ni. Hei hi natna khirh tak a ni a, kum eng pawh ni se, naute naupang tak takte pawh a nghawng thei a ni .

Meningoencephalitis natna thlentu berte chu engte nge ni?

Meningoencephalitis hi a chhan a zirin chi hrang hrang a awm a. Mahse a tam zawkah chuan infection vang a ni. Chu chu virus, bacteria, fungi, amoeba avanga natna hrik kai tihna a ni. A châng chuan autoimmune natna, entirnan, autoimmune encephalitis emaw meningoencephalitis emaw, damdawi ṭhenkhat (immune checkpoint inhibitor therapy ang chi) side effect angin a awm thei bawk.

Hri kai chi hrang hrang, a tlangpuiin i lo en ang u:

• Bacterial meningoencephalitis: Hei hi bacteria infection avanga lo awm a ni. Hetianga thlentu bacteria chi hrang hrang zingah hian Neisseria meningitidis (meningococcal disease an ti bawk), Streptococcus pneumoniae, leh Haemophilus influenzae type b te an ni.
• Cryptococcal meningoencephalitis: Hei hi fungal natna a ni. Cryptococcus an tih fungus chi khatin i thluak leh/ emaw i lung a tihbuai hian a thleng thin.
• Hmei natna hrik (HME):Herpes virus kai avanga lo awm thei a ni. A chhan ber chu herpes simplex virus type 1 (HSV1) – khawsik natna thlentu virus vang a ni. Mahse, herpes simplex virus type 2 (HSV2) vang pawh a ni thei. A châng chuan meningoencephalitis hi kai hmasak ber laiin a awm a, mahse a tam zawkah chuan a hmaa kai tawh aṭanga virus a thawh leh vang a ni.
• Primary amebic meningoencephalitis (PAM): Hei hi amoeba pakhat Naegleria fowleri an tih atanga lo chhuak a ni. He amoeba hi khawvel hmun hrang hrangah a awm a, a bik takin tui thianghlim thuk lo, lum tak tak, lui, lui leh tuikhuah lum takah te a awm a ni. Mi thenkhat chuan "brain-eating amoeba" an ti a, chutiang bawk chuan a hlauhawm hle.

Meningoencephalitis natna lan chhuah dan chu engte nge ni?

He natna lan chhuah dan hi a tlangpuiin a lang rang hle a, rang takin a na thei bawk. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

A lan chhuah dan tlangpui:

• Lu na na tak.
• Kawng khauh emaw, kawng na emaw.
• Khawsik.
• Chauhna nasa tak a awm.
• Nausea leh luak chhuak.
• Muscle chak lohna.
• Thusawi harsa.
• Eng hriatna (sensitivity to light), chu chu êng en harsatna (photophobia) tihna a ni.
• Thil chiang taka ngaihtuah harsa.
• Mihring nihna leh nungchang inthlak danglamna.
• Hallucinations – a bik takin hmuh theih leh/ emaw hriatna lama thil awm lo hmuh emaw, thil awm lo hriat emaw ang chi.
• Seizures a awm thin.
• Fainting a ni.

Nausen naupangin he natna hi a vei chuan heng natna dangte hi an lantir thei bawk:

• Hmai atanga chhuak (a hring ang mai).
• Bawnghnute in harsat.
• Mut tam lutuk emaw, harh harsat emaw.

A pawimawh ber chu nangmah emaw, i fa emaw hian heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn la nghal mai tur a ni. Meningoencephalitis hi nunna atana hlauhawm tak a nih avangin enkawl vat a pawimawh!

Meningoencephalitis hi a kai theih em?

Meningoencephalitis, thluak leh meninges -a inflammation , hi direct-a kai theih a ni lo. Mahse, a thlentu infection thenkhat chu a ni thei. Entirnan, meningoencephalitis thlentu bacteria leh virus (herpes simplex virus ang chi) tam tak hi mi pakhat atanga mi dangah a darh thei a ni.

Tute nge he natna vei theihna sang zawk?

Immune system chak lo nei te hi a tlangpuiin infection avanga meningoencephalitis vei an tam zawk.

Immune system tichak lo thei dinhmun leh thil hrang hrang:

• Kum: Naupang kum 5 hnuai lam leh kum 65 chunglam te hian immune system an chak lo tlangpui. Nausen te hi a bik takin he natna hi an vei theihna a hlauhawm hle.
• HIV (human immunodeficiency virus) infection: Entirnan, cryptococcal meningoencephalitis hian HIV na tak vei te a nghawng fo thin.
• Immunosuppressants ei: Organ transplant, stem cell transplant, emaw, autoimmune natna thenkhat atana heng damdawi ei mekte tan.
• Cancer leh cancer enkawlna: chemotherapy leh radiation therapy ang chi.
• Primary immunodeficiency disorder (PIDD) atanga lo chhuak a ni.
• Autoimmune natna thenkhat: Entirnan psoriasis, Crohn’s disease, leh lupus te hi a ni.
• Zu in hmansualna.

I immune system a chak lo nia i hriat chuan i doctor nen hrisel taka awm dan tur leh natna khirh tak tak laka inven dan tur sawipui rawh.

Engtin nge Meningoencephalitis hi hmuhchhuah a nih?

Nangmah emaw i fa emaw hian meningoencephalitis symptoms i neih chuan doctor-te chuan a natna hmuhchhuah chu finfiah turin hna an thawk thuai ang. Physics exam leh neurological exam an nei dawn a ni. I natna lan chhuah dan te, engtin nge leh engtikah nge a lo intan tih te pawh an zawt ang che.

Natna finfiah nan test thenkhat chu hetiang hi a ni:

• Taksa tui test: Taksa tui chi hrang hrang, zun, thisen, leh hmui te chu natna kai chhinchhiahna (thisen var cell count sang ang chi) zawng turin an enfiah thin. Heng test te hian hri kai chi hrang hrang a hriat theih bawk.
• Spinal tap (lumbar puncture): He test-ah hian i doctor chuan i hnungzang hnuai lamah needle te tak te a dah a, cerebrospinal fluid (CSF) sample a la a. He fluid hi lab-ah test a ni a, bacteria, fungi emaw cell pangngai lo emaw, protein leh thisen var chi hrang hrang leh level te pawh an enfiah thin. He CSF test hi meningoencephalitis hi natna dang, thisen toxicity emaw sepsis emaw atanga thliar hrang nan hman a ni fo thin.
• EEG (electroencephalogram) test: EEG hian i thluaka electrical signal awmte chu a teh a, a record bawk. Doctor-te chuan thluak hnathawhna lama harsatna awmte zawn nan meningoencephalitis hmuhchhuah emaw, tehna emaw atan an hmang thin.
• CT scan: CT scan chu X-ray hrang hrang leh computer hmanga i taksa chhungril chipchiar taka thlalak siamna a ni. Harsatna a lantir thei a, chu chu thisen zam, hliam, leh thluak emaw meninges emawa natna hrik awm te a ni.
• MRI (magnetic resonance imaging) hmanga enfiah a nih chuan:MRI scan hi magnet lian tak, radio wave leh computer hmanga thlalak chipchiar tak tak lakna test a ni. CT scan ang bawkin thluak emaw meninges emaw-ah harsatna a awm tih a lantir thei. MRI hi naupang tê tê tan a ṭha ber a, a chhan chu radiation a hmang lo.

Meningoencephalitis hi engtin nge enkawl a nih?

He natna enkawl dan hi a chhan leh a nasat dan azirin a inang lo. A tam zawkah chuan inenkawlna atan damdawi inah dah a ngai thin.

Enkawl dan hrang hrang:

• Infection hnuaia awm enkawlna atana damdawi: Entirnan, cryptococcal meningoencephalitis tan hian antifungal damdawi a ngai a. Antiviral damdawi, acyclovir ang chi hi herpetic meningoencephalitis tan hian hman a ni.
• Antiseizure damdawi: Meningoencephalitis vanga seizure lo awm tur venna atan emaw, enkawlna atan dilantin emaw phenytoin ang chi damdawi pek thin a ni.
• Corticosteroids leh diuretics: Corticosteroids, Decadron ang chi hian a hring chhuak tihziaawm thei a ni. Meningoencephalitis natna avanga hriatna hloh thei tur venna kawngah pawh an pui thei bawk.
• Cerebrospinal fluid drainage: Hei hian luruh chhunga pressure tihziaawmna a pui bawk.
• Painkillers leh/or sedatives: Heng damdawi te hi a hring na tak a nih chuan hman theih a ni.

Damdawi ina i awm chhung hian medical team chuan uluk takin an lo enkawl ang che. Harsatna emaw, harsatna emaw i neih chuan a tul angin hma an la ang.

Meningoencephalitis vei tan chuan a dam leh zat chu engzat nge ni?

He natna atanga dam lehna tur prognosis chu natna thlentu, a nasat dan leh enkawlna dawn danah a innghat a ni.

Cryptococcal meningoencephalitis damchhuak zinga 69% vel chuan an hmuhchhuah atanga thla 12 hnuah hriatna (ngaihtuahna) leh/ emaw taksa lama harsatna an nei a ni . Herpetic meningoencephalitis vei zinga 50% leh 70% inkar chuan thluak chhiatna, thluak lama harsatna, emaw coma emaw an nei thei a ni.

Amaherawhchu, an natna a nasat loh leh enkawl hma te chuan harsatna an nei tlem zawk.

Meningoencephalitis hi ven theih a ni em?

Meningoencephalitis vei zawng zawng hi ven theih a ni lo. Mahse, i hlauhawmna tihtlem dan tha ber chu hrisel taka awm tum a, natna hrik thlentu bacteria, virus leh fungi te laka inthiarfihlim hi a ni.

Nangmah leh midangte hri kai laka i inven theih dan tur thenkhat chu hetiang hi a ni:

• I kut chu sahbawn hmangin uluk takin silfai fo ang che.
• I khuh emaw, i hrual emaw chuan i hmui leh hnar khuh thin ang che.
• Hmun khawih fo thin (kawngkhar khar, table chung ang chi) chu disinfectant hmangin silfai thin ang che.
• Nangmah emaw, midang emaw damlo pawh ni se, natna hrik kai theih natna vei te nena inpawh tawnna chu tihtlem emaw, tihtawp vek emaw rawh.
• Tui inbual emaw, hrik awm thei tui in loh tur a ni. Hnar tui i hman chuan distilled emaw purified water hmang la.
• Mipat hmeichhiatna hmanga kai theih natna (STI) laka inven nan condom hmang la, STI test neih fo bawk ang che.
• Leivut awmna hmunah, in sakna hmunah te mask vuah la, leivut thlipui tleh lai pawhin in chhungah awm rawh. Fungal infection tamna hmuna i awm chuan fimkhur zual rawh.
• Doctor hnenah thurawn dil fo la, a bik takin i immune system a chak lo (immunocompromised) a nih chuan.
• Ram dangah i zin a nih chuan, chu ramah chuan natna hrik kai theih laka inven dan zir rawh.

A tawp berah chuan thil hriat reng tur

Meningoencephalitis hi natna khirh tak, nunna atana hlauhawm tak a ni. Nang emaw i fa emaw hian heng symptoms te hi i neih chuan doctor pan nghal rawh. Enkawl hmasak hi result tha tak neih theihna chance tha ber a ni. Infection i vei theihna chance sang tak i nih chuan i doctor nen i risk tihtlem dan tur leh hrisel taka awm dan tur sawipui rawh. He thu hi i tan a \angkai ngei kan beisei. Hrisel takin awm rawh!

` meningoencephalitis, thluaka natna, meningitis, encephalitis, thluak khawsik, thluak lam natna, hrik kai theihna