He fungal infection hlauhawm tak hi i hria em? (Mucormycosis) Kan sawi dun ang u!

He ‘black fungus’ hi i hre tawh em? Chanchinbuah emaw, TV news-ah emaw i hre mai thei. A nihna takah chuan natna hlauhawm tak leh na tak thei tak a ni. Vawiin hian he fungal infection, damdawi lama Mucormycosis tia hriat hi thu awlsam takin i sawi dawn nia.

Mucormycosis hi eng nge ni?

A awlsam zawngin, Mucormycosis hi fungal infection na tak a ni . Fungi pawl pakhat mucormycetes an tih atanga lo chhuak a ni. Heng fungi te hian kan taksa peng hrang hrang tam tak a nghawng thei a ni. Entirnan, i mit, i sinus (i hmai leh i hmui hmun), thluak, lung, pum leh intestines (gastrointestinal tract), emaw vun emaw a nghawng thei a ni.

Chutiang a nih chuan i taksa peng eng ber nge fungus hian a nghawng tih a zirin a natna lan chhuah dan a inang lo. A chang chuan zygomycosis an ti bawk.

Tunah chuan han ngaihtuah teh, heng mucomycetes an tih fungi te hi kan chhehvel boruak ah te an cheng a, a bik takin leiah te, compost te, hnah chhe tawh te, leh thing chi hrang hrangah te an cheng a ni. Mahse mak tak maiin a tam zawk hi chu heng fungi atang hian kan na lo. Mahse, zunthlum vei, cancer chi hrang hrang, emaw, taksa hriselna tichak lo thei natna dang nei te chu mucomycosis vei an tam zawk.

A pawimawh ber chu mucormycosis hi natna a ni a , thihna thlen thei a ni fo . Chuvangin heng symptoms te hi i neih chuan damdawi inah i kal ngei ngei tur a ni a, emaw doctor advice i dil nghal tur a ni.

Mucormycosis chi hrang hrangte chu engte nge ni?

Mucormycosis hi chi hrang hrang lian tak tak a awm a. Anni chu:

• Hnar, mit leh thluak tibuaitu chi (Rhino-orbital-cerebral emaw Rhinocerebral mucormycosis) .
• Pulmonary mucormycosis a awm thin
• Vun atanga lo chhuak mucormycosis
• Chaw ei kawng tichhe thei chi (Gastrointestinal mucormycosis) .
• Mucormycosis natna darh zau tak a awm

He natna lan chhuah dan engte nge ni?

Mucormycosis symptoms hi i taksa peng eng ber nge kai tih a innghat a ni. I hnar, lung, chaw ei kawngah, i mit vel emaw, i vunah emaw natna lan chhuahna i nei thei.

Hnar, mit leh thluak tibuaitu chi (Rhino-orbital-cerebral Mucormycosis) .

Hei hi mucormycosis chi khat zingah chuan a tam ber a ni . Chutiang a nih chuan fungus hian i sinus a kai hmasa a, orbit leh thluak lamah a darh thei a ni. A bik takin zunthlum na tak, thunun theih loh (entir nan, kum khat aia tam enkawl fo ni mahse A1C 8% aia tam) leh taksa peng thlak tawhte zingah a tam hle.

Hetiang chi symptoms te hi:

• Khawsik
• Lu na
• Sinus natna (hmai, hmui na) .
• Hnar hnar (hnar congestion) a awm
• Kawng chung lamah hliam emaw, ulcer emaw a awm
• Mit hmuh hloh emaw, mit pahnih emaw
• Mit hawi leh nuih harsa (hei hi `cranial nerve palsy` an ti) .
• Mit chhuak (proptosis) .
• Mit vel a hring chhuak
• Mit atanga mittui dum emaw, hnim hring emaw
• Buaina emaw, rilru lama inthlak danglamna dang emaw

Pulmonary Mucormycosis natna a awm thin

He lung chhunga fungal infection hi a tam ber pahnihna a ni. A tam ber chu:

• Thisen vanga cancer vei (e.g., leukemia, lymphoma, or myeloma), a bik takin thisen var thenkhat (neutropenia) level hniam nei te
• Bone marrow transplant nei tawhte tan
• Solid organ transplant nei tawhte tan

Hetiang chi symptoms te hi:

• Khawsik
• A rilru a na
• Thâwk harsa (dyspnea) .
• Thisen khuh (hemoptysis) .

Vun atanga lo chhuak Mucormycosis

Hetiang infection hi i vunah hian fungus pakhatin i vun a cut emaw scratch emaw atanga a luh hian a lo awm thin. Hliam te tak te i nei a, bawlhhlawh ang chi thil pakhat chu hliam chungah a lut ang tih han ngaihtuah teh. Hei hian he fungus hi a luh tir thei a ni. Mak tak maiin he chi hi taksa hriselna tha tak neiah pawh a awm fo thin.

Vun natna lan chhuah dan: 1.1.

• Vunah natna hrik, hliam emaw, hnah khauh tak tak emaw a awm
• Vun sen, rawng danglam, emaw, vun hring emaw

Heng vun inthlak danglamna te hi hun kal zelah a na zual zel a ni. An dum a, hmun zau takah an darh a, a chang chuan ruh emaw ruh emaw thlengin an inzar pharh thei bawk.

Chaw ei kawng tichhe thei chi (Gastrointestinal Mucormycosis) .

Hei hi pum emaw, intestine emaw infection a ni. Nausen piang hmasaah a tam ber. Mahse tun hnaiah chuan puitling immunity hniam (neutropenia) nei te, hun rei tak chhung corticosteroid damdawi ei thin te, leh immune system tichak lo natna dang nei te pawh a pung nasa hle.

Natna:

• Pum natna
• Nausea leh luak chhuak
• Gastrointestinal atanga thisen chhuak

Mucormycosis natna darh zau tak a ni

Hetiang a nih chuan thisen kaltlangin taksa peng hrang hrangah natna hrik hi a darh a ni. Thluak a nghawng tam ber a, mahse thinlung, ril, emaw vun emaw a nghawng thei bawk. Hei hi mucormycosis natna khirh ber leh thihna thlen thei ber a ni. A hmuh tam ber chu:

• Thisen kaihhnawih cancer vei te, a bik takin neutropenia vei te
• Mite chu ruhro (bone marrow transplant) nei tawhte
• Solid organ transplant nei tawhte

Hetiang chi hian taksa peng tam tak a nghawng avangin a chunga kan sawi tak chi dangte pawh hi a lang thei a, chubakah damdawi lam dinhmun hnuaia i neih theih tur chhinchhiahna pawh a lang thei bawk.

Engvangin nge Mucormycosis hi a lo awm?

Mucomycosis hi fungi chi hrang hrang avanga lo awm a ni. A tam ber chu Rhizopus oryzae leh Rhizopus delemar te an ni. (Hengte hi fungi chi hrang hrang an ni.) Heng fungi te hi boruak - a bik takin leia, compost, hnah chhe tawh leh thing chi hrang hrangah te an cheng a ni. Chaw silfai lohah pawh hmuh tur a awm bawk. Mi tam zawk chuan heng fungi te hi kan thawk emaw kan khawih emaw hian kan na lo. Mahse hriselna lama harsatna engemaw i neih chuan i immune system hian natna chu a do thei lo mai thei.

Engtin nge hei hian kan hnena a thlen?

Heng fungi spore (fungus-a reproductive parts) te hi thawk chhuah emaw, an nei thil ei emaw, vunah break paltlang emaw hmangin mucormycosis i vei thei a ni. Heng spore te hi an te lutuk a, kan hmu thei lo va, kan pumpelh thei lo bawk.

Damdawi in a\angin, damdawi hmanraw bawlhhlawh hmangin, leh thilsiam chhiatna hnuah pawh a kai tam lo hle. Entirnan, thlipui na tak chuan lei tam tak a tichhe thei a, chu fungus chu boruakah a chhuah tir thei a ni.

Hei hi mi pakhat atanga kai theih a ni em?

No. Mucormycosis hi mi pakhat atanga mi dangah a darh lo. He fungus hi environment atang chauhvin i hmu thei.

Tute nge mucormycosis vei theihna chance sang zawk?

Zunthlum vei leh damdawi lam harsatna thenkhat, taksa hriselna tichak lo thei nei te chu he natna hi an vei theihna chance sang ber a ni. Tin, taksaa iron tam lutuk hian hei hi a thlen thei bawk. Risk factors te chu:

• Diabetes mellitus, a bik takin hyperglycemia leh ketoacidosis ang chi natna te nen.
• Solid organ transplant a neih tawh avangin.
• Hematopoietic stem cell transplant (bone marrow transplant) a neih tawh avangin.
• Neutropenia hi thisen var (white blood cells) neutrophils an tih tlahniam a ni.
• Cancer, a bik takin leukemia, lymphoma emaw myeloma emaw a ni.
• Hun rei tak chhunga corticosteroid damdawi hman.
• Damdawi lam thurawn tel lova damdawi inject.
• Hemochromatosis (taksa chhunga iron awm zat tipungtu - `iron overload`) an tih.
• Kang emaw, vun hliam na tak emaw, hliam leh natna hrik lut thei.
• Nau piang hma emaw, nau piang rihna hniam emaw.

A awlsam zawngin, i taksa natna dotu system (immune system) a chak lo a nih chuan hetiang hi i nei tam zawk a ni.

He natna hian eng harsatna nge a thlen theih?

Mucormycosis hian harsatna nasa tak leh nunna atana hlauhawm tak a thlen thei a, chung zingah chuan:

• Cavernous sinus thrombosis: Hei hi thisen zam, i sinus cavities-a lo awm a ni. Thihna thlen thei a ni.
• Necrotizing fasciitis natna (fasciitis) a awm a:Hei hi bacteria infection na tak, rang taka darh thei ("sa ei bacteria" an ti bawk) a ni. Thihna thlen thei a ni.
• Osteomyelitis: Hei hi i ruh natna a ni. Ruhte chu a chhe thei a ni.

Hengte hi dinhmun hlauhawm tak a ni tak zet a, chuvang chuan enkawl vat a pawimawh hle.

Engtin nge he natna hi dik taka i hriat theih? (Diagnosis) tih a ni.

Doctor chuan i natna lan chhuah dan leh i damdawi lam harsatna dang i neih dan a zirin mucormycosis a rinhlelh thei a ni. Hei hi nemnghet turin taksa peng hrang hrang a nghawngte thlalak (imaging) an la ang a, i taksa tissue-ah fungi a awm leh awm loh an enfiah ang.

Hei hi test hrang hrang:

• Imaging: Chest X-ray, CT scan (computed tomography scan), emaw MRI (magnetic resonance imaging) scan te pawh tih theih a ni.
• Endobronchial ultrasound: Hei hi bronchoscopy chi khat a ni. Chumi awmzia chu ultrasound device te tak te, lighted tube-a bun hmangin lung chhung lam thlalak an la thin tihna a ni.
• Tissue biopsy: Doctor chuan i tissue chu microscope hmangin emaw, lab test hmangin emaw a en thei a, mucormycosis fungi a awm leh awm loh a en thei.

Mucormycosis hi engtin nge enkawl a nih?

Doctor-te chuan mucormycosis hi antifungal damdawi hmangin an enkawl a. Tin, tissue natna hrik emaw, thi emaw paih chhuah nan operation an neih a ngai thei bawk. Chumi atana antifungal damdawi hmante chu:

• Amphotericin B. a ni
• Posaconazole `(Posaconazole)` hman a ni
• Isavuconazole a ni

He antifungal treatment hi kar tam tak chhung, thla tam tak chhung pawh i ei a ngai dawn a ni.

He natna hi a dam kim thei ang em?

Ni e, a theih. Mahse enkawl vat a ngai a ni. Ni engemaw zat enkawlna tihkhawtlai a nih pawhin dam theihna chance chu nasa takin a tlahniam thei a ni. Enkawlna tan thuai ni mah se, tihdam a harsa thei hle.

Enkawlna rang tak hi nunna chhanhimna chance tha ber a ni!

Mucormycosis vanga thihna rate hi engzat nge ni?

Enkawl a harsat avangin leh mucormycosis vei tam takin taksa hriselna a chak loh avangin thihna rate a sang hle. Mucormycosis chi hrang hrang thihpui zat hi 54% vel a ni. Sinus chauh tibuaitu mucormycosis hian thihna rate a hniam deuh (46% vel) a ni. Mahse, taksa hmun danga darh tawh disseminated mucormycosis hian thihna a thlen fo thin.

Hei hi thil pawi deuh a ni. A chhan chu he natna hi enkawl a harsat em avangin, a vei tam zawkin immunity an neih tlem avangin thihpui zat a sang hle. Mahse beiseina bansan suh, enkawl hmasak chuan dam leh theihna chance a awm.

Engtikah nge Doctor ka hmuh ang?

A hnuaia natna te hi i neih chuan doctor hnenah fungal infection laka inven dan tur leh a hmaa hriat theih dan tur zawt la:

• Zunthlum emaw cancer emaw i neih chuan.
• Organ transplant emaw stem cell transplant emaw i neih tawh chuan.
• Damdawi lam harsatna i neih emaw, i taksa hriselna tichak lo thei damdawi i ei emaw a nih chuan.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Mucormycosis hi enkawl vat loh chuan thihna thlen thei a ni. Mucormycosis symptoms i neih chuan, a bik takin immune system chak lo emaw, zunthlum emaw i neih chuan emergency room-ah kal nghal rawh. A hnuaia natna khirh tak tak i neih chuan emergency care zawng fo ang che:

• Khawsik sang (103 Fahrenheit/40 Celsius aia sang) a ni.
• Thâwk harsa.
• Thisen a khuh chhuak.
• Mit bulging emaw mit vel a hring emaw.
• Mit hmuhna a inthlak danglam a, chu chu double vision ang chi hi a ni.
• Buaina emaw, rilru lama inthlak danglamna dang emaw.
• Convulsions a awm thin.
• Black mucus emaw mittui tlak emaw.
• Hliam dam lo, a darh chhunzawm zel, a dum deuh.

Heng chhinchhiahnate hi i neih chuan tihkhawtlai lovin damdawi inah kal rawh!

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• Fungal infection ka neih theihna chance a sang zawk em?
• Ka risk tihtlem nan eng nge ka tih theih ang?
• Eng symptom nge ka fimkhur ang a, engtikah nge doctor thurawn ka lak ang?
• Eng enkawlna kawng nge ka neih?
• He diagnosis hmang hian eng nge ka beisei theih ang?

Mucormycosis laka inven dan tur a awm em? (Invenna) 1.1.

Mucormycosis thlentu fungi te hi kan chhehvel zawng zawngah an awm a, chuvang chuan pumpelh vek a harsa hle. Mahse, fungal infection i vei theihna tur tihziaawmna tura i tih theih tur thenkhat chu hetiang hi a ni:

• Fungal infection na tak nei thei tur khawpa damdawi lam harsatna i neih chuan i doctor nen thawk hovin enkawl rawh.
• Fungal infection i neih theihna chance sang tak i neih chuan i doctor chuan i natna laka invenna atan antifungals a pe thei che a ni.
• I hnathawh hian fungi i tawrh theihna tur a siam che a nih chuan i doctor hnenah hri kai theihna a sang zawk em tih zawt rawh.
• Leivut awmna hmun, in sakna hmun ang chi chu pumpelh rawh. Chutiang hmuna i awm a ngai tak tak a nih chuan ``N95`` mask (or invenna hmanraw dang) hmang la, chu chuan i thawk chhuah boruak atanga fungal spore filter turin a pui ang che.
• Fungal spore laka inhnamhnawih thei thil, huan siam leh lei laih te hi pumpelh rawh. Pawn lama hnathawh hunah kutkawr leh vun tam thei ang ber khuh thei thawmhnaw ha la.
• Cut leh scrape te chu sahbawn leh tui hmangin uluk takin silfai thin ang che.

COVID-19 hian Mucormycosis natna a tipung em?

Kum 2021 khan COVID-19 vei zingah mucormycosis vei an pung a. Mahse mithiamte chuan eng link nge ni tih erawh an hre chiang lo. COVID-19 neih ngei pawh hi a hlauhawmna tihpun nan a tawk em tih pawh an hre lo, a chhan chu:

• Khawvel hmun hrang hranga mucormycosis natna vei tam zawk hi an report a ni. COVID-19 hripui leng lai hian heng biala mucormycosis vei mi 3 zinga 1 velin COVID-19 an vei lo.
• Hripui leng lai hian khawvel hmun dangah (mucormycosis a tam lo tlangpui)-ah COVID-19 leh mucormycosis vei mi eng emaw zat hmuh a ni a, mahse mucormycosis a tam lohna hmunah chuan fungal infection hi a chhuak lo.
• Mi tam tak, mucormycosis leh COVID-19 vei te chu zunthlum control tha lo emaw, corticosteroid damdawi ei thin emaw an ni. Hengte hi mucormycosis vei theihna tur risk factor an ni.
• COVID-19 leh mucormycosis ve ve vei mi tam tak chuan hnar, mit, leh thluak tibuaitu chi (rhino-orbital-cerebral mucormycosis) an nei a – lung infection pangngai i beisei ang kha an ni lo. Hei hian COVID-19 chauh ni lo, underlying condition dangte pawhin he hri kai hi a thlen tih a tilang bawk.

Chuvangin, hei hi Covid-19 vang a ni tih sawi nghal a harsa hle. A thlentu thil dang pawh a awm thei bawk.

A tawp berah chuan thil hriat reng tur

Mucormycosis hi natna hmuh tur awm lo tak a ni . Kum tin mi maktaduai khatah mi pakhat emaw, pahnih emaw vel a nghawng a ni. Mahse hriselna lama harsatna i neih chuan i taksa hriselna tichak lo thei i neih chuan i hlauhawmna a sang zawk. Zunthlum vei leh A1C sang nei te chu a bik takin fimkhur a ngai hle.

I hriselna dinhmun hnuaia awmte enkawl hi hrisel taka awm theihna kawng tha ber a ni. Mahse, natna kai theihna tihziaawmna tur kawng dang i doctor nen sawiho rawh. I ngaihtuahna eng pawh a sawipui thei a, eng symptom nge i fimkhur tur tih a hrilh thei bawk.

Hei hi mi zawng zawng tuar thei natna a ni lo. Amaherawhchu, i taksa hriselna tichak lo thei natna, zunthlum ang chi i neih chuan fimkhur hle ang che. A pawimawh ber chu mucormycosis symptoms i neih chuan damdawi in hnai ber emergency room-ah kal nghal tur a ni. A chhan chu rang taka enkawlna hian nunna a chhanhim thei a ni!

` mucormycosis, black fungus, fungal infection, zunthlum, immunity, sinus, lung, vun, thluak, fungus