Thih mai tur ang maiin i inhria lo em ni, khum atangin i tho thei lova, chutah chuan khawsik leh kawr na tak i nei ta lo em ni? A bik takin i naupan lai chuan heng symptoms te hi kar tam tak chhung a reh lo a nih chuan khawsik awlsam mai ni lovin a tam thei hle. Vawiin hian chutiang dinhmun pakhat chu kan sawi dawn a ni. Mononucleosis, a nih loh leh tawngkam kan tih angin ‘mono’ a ni. Mi thenkhat chuan hmangaihna takin "Kissing Disease" tiin an sawi thin. Engvangin nge chutianga an tih, eng nge ni tak tak a, kan hlau tur em ni? Heng zawng zawng hi vawiinah hian han sawi ila.
A awlsam zawngin, mononucleosis chu eng nge ni?
Mononucleosis hi virus inkai theihna nasa tak a ni. Thalaite a nghawng tam ber a, a bik takin sikul leh college kum lama awmte a nghawng nasa ber. Mahse, naupang tê tête pawh a nghawng thei a ni. A chhan ber chu virus pakhat Epstein-Barr virus (EBV) tih a ni.
"Kissing Disease" tia koh chhan a awm. Chu chu virus hi taksa tui chi hrang hrang, hmui ang chi hmangin mi pakhat atanga mi dangah awlsam taka kai theih a nih vang a ni. Mahse lungngai suh, mi tam zawk tan chuan natna khirh tak a ni lo. Hun kal zelah a mah chauhin a bo tlangpui a, enkawl loh pawhin a bo vek. Mahse, a kaihhnawih hahna leh taksa natna chuan i sikul hnathawh te, campus hnathawh te, hnathawh te, leh nitin thiltih te a tibuai thei a ni. Heng hrehawmna te hi thla khat vel a awm thei.
‘Mono’ tih lanchhuahna chu engte nge ni?
Mono natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms na lo tak tak an nei a, thenkhat erawh chuan symptoms na zawk an nei thung. An rawn lut nghal mai lo va, zawi zawiin an insiam chho zel a ni. Virus i kai atanga kar li atanga kar ruk hnuah symptoms hi a lang tan tlangpui.
A hnuaia table-ah hian a lan chhuah dan tlangpui tarlan a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chau | Hei hi a symptom ber a ni. I chau lutuk a, khum atangin i tho thei lo. |
| Khawsik | Ni eng emaw zat chhung khawsik a awm thei. |
| Hrawk thip | I ril a na lutuk a, chaw pawh i ei thei lo mai thei. I tonsils a hring vek ang mai a ni. |
| Lymph node a lo hring chhuak | Kawngkhar, kawrfual emaw, kawrfual emawa lumps lo hring chhuak. |
| Lu na leh taksa na | Lu na ka nei fo a, ka taksa ruh a na a, ka taksa pawh nunna nei loin ka inhria. |
| Chaw chakna | Ei duhna zawng zawng ka hloh vek. |
| Vun a hring chhuak | Mi thenkhat chu an taksaa rawng sen hian a tibuai thei a ni. |
| Spleen emaw liver emaw a hring chhuak | Pum veilam sir chunglam a awm spleen emaw liver emaw chu a lo hring thei. Hei hi ngaihtuahawm tak a ni. |
He natna hi engtin nge a kai theih?
Kan sawi tawh ang khan he thil thlentu virus, a bik takin EBV te hi an kai thei hle. Hri kai taksa tui, a bik takin a hmui (saliiva) nena inhnaih atanga darh a ni.
Mono thehdarh theih dan thenkhat chu hetiang hi a ni:
- Kissing: Hei hi "Kissing Disease" an tih chhan ber a ni.
- Ei leh in, leh bungrua insem: Tui bottle, no emaw, spoon emaw hmanga hri kai in a in tawh.
- Khuh leh thawk hah: Hri kai miin a khuh emaw, a khuh emaw atanga a chhuah chhuah chil (droplets of saliva) atanga lo chhuak.
- Sexual contact: Hemi hmang hian a kai theih bawk a, mahse saliva kaltlangin a tam lo hle.
- Thisen pek leh organ transplant: Hengte hi a tlem hle.
A pawimawh ber chu he virus hi symptoms la lang lo atanga i la kai theih hi a ni. A chhan chu mi thenkhatin an taksaah hri vei nei mahse symptom an lan loh vang a ni.
‘Mono’ hi vawi hnih a awm thei em?
A tlangpuiin a ni lo. I mono symptoms a bo hnuah pawh EBV virus chu i taksaah inactive state-in a awm reng a ni. Mahse mi tam zawk chuan an dam chhungin vawi khat chauh mono an hmu thin.
Mahse, a tlem berah chuan virus hi a thawk leh thei a ni. Chuti chung pawh chuan symptoms a lang lo tlangpui. Mahse, hri hi midang hnenah i la thehdarh thei tho. Immune system chak lo i neih chuan a vawi hnihna atan i damlo thei bawk.
Hemi atang hian harsatna hlauhawm tak tak lo chhuak thei a awm em?
Awle. ‘Mono’ kan neih hian kan ngaihtuah ber tur chu kan rilru natna (swelling of spleen) hi a ni . Spleen hi kan pum veilam sir chunglam a awm organ a ni. Kan thisen a filter a, a tithianghlim bawk.
Mono i neih chuan i spleen chu a lo hring thei a, a lian deuh thei bawk. Exercise nasa tak emaw, contact sports emaw i tih chuan, thil rit tak tak i chawi a, i tlu nghal a, i pum chhungah i tlak chuan, he i rilru natna hi a chhe thei a ni .
Ruptured spleen hi natna khirh tak, nunna atana hlauhawm tak a ni a, emergency medical treatment a ngai a, a chhan chu pum chhungah thisen nasa tak a chhuak thei a, emergency surgery a ngai a ni.
Chuvangin, mono i neih chuan i doctor-in okay a pek che hma loh chuan infiamna khelh te, rit phurh te, leh thil hahthlak tak tak tih te hi i bansan vek tur a ni. Hei hi a pawimawh hle.
Engtin nge doctor hian hei hi a hriat chian? Eng nge a enkawl dan?
Doctor i pan dawnin i natna lan chhuah dan chu ngun takin a ngaithla ang a, a bik takin i kawr a hring em tih te, a nih loh leh i ril emaw, i thin emaw a hring em tih a enfiah ang.
Hei bakah hian thisen test tura tih pawh a ni thei bawk. He thisen test hian i taksain EBV virus laka antibody a siam leh awm loh a enfiah thei a ni. Tin, i thisen var (white blood cell) zat a enfiah thei bawk a, natna hrik a awm leh awm loh a enfiah thei bawk.
Chuti a nih chuan hei hi eng enkawlna nge ni ang?
Mono hi enkawlna bik a awm lo. Virus a nih avangin antibiotics hian a pui dawn lo. Enkawlna chu a natna lan chhuah dan control a, hahdamna pek che a ni.
| Eng nge tih tur | Engvangin nge chu chu? |
|---|---|
| Chawlh hahdam tam rawh. | Mono hian i chau hle thei. Mut leh chawlh hahdam i neih chuan i taksa hian natna do turin chakna a nei a ni. |
| Fluid tam tak in thin ang che. | Tui, soup, leh thei tui ang chi tui tam tak in thin ang che. Dehydration ven nan a pawimawh hle. |
| Painkillers ei thin ang che. | Khawsik, lu na, leh taksa na tan Paracetamol emaw Ibuprofen (NSAIDs) ang chi natna tidamtu i ei thei bawk. Mahse damdawi engmah i ei hmain doctor zawt hmasa phawt ang che. |
| Thlalak natna tihziaawmna | I hmui chu tui chi lum hmangin silfai ang che. I rilru tihreh nan Strepsils ang chi thil i hmang thei bawk. |
| Infiamna leh exercise lak loh tur. | Hetiang hian kan sawi tawh a. Spleen ruptured hlauhawmna avang hian i dam kim hma loh chuan infiamna leh thil hahthlak tak tak i pumpelh ngei tur a ni (kar 4 vel). |
Engtikah nge doctor i hmuh ang?
Mono neia in lama awm laiin a hnuaia symptoms te hi i neih chuan doctor pan nghal la, damdawi in Emergency Department (ETU) ah kal nghal rawh.
- I pum veilam chunglam natna nasa tak, na tak i neih chuan (hei hi spleen ruptured chhinchhiahna a ni thei).
- Thâwk harsa emaw, ei harsa emaw i neih chuan.
- I luak chhuak emaw, i muhil emaw a nih chuan.
- I kut leh keah chak lohna nasa tak i neih chuan.
- Khawsik sang tak a awm reng.
- I tuar theih loh lu na tak i neih chuan.
Hetiang dinhmunah hian tihkhawtlai suh. Damdawi lam thurawn lak nghal hi a him ber.
Take-Home Thuchah a ni
- Mononucleosis hi Viral infection a ni a, a bik takin thalaite zingah a ni.
- Hei hi a chhan ber chu Epstein-Barr virus (EBV) a ni. Taksa tui (saliva) hmanga awlsam taka kai theih a nih avangin "Kissing Disease" an ti bawk.
- A lan chhuah dan ber chu hah lutuk, khawsik, kawr na, leh kawr chhunga glands hring te hi a ni.
- Hemi atan hian enkawlna bik a awm lo. Enkawlna awm chhun chu chawlh hahdam, tui in, leh natna lan chhuah dan enkawl hi a ni.
- Complication hlauhawm ber chu spleen ruptured hi a ni. Chuvangin, natna a reh hma chuan infiamna te, thil rit phurh te, leh thil hahthlak tak tak te hi pumpelh vek tur a ni.
- I pum veilam chunglam natna nasa tak leh thawk harsa tih ang chi symptoms i neih chuan doctor pan nghal tur a ni.
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