Natna râpthlâk tak, lui ruam mawi tak tak, rang taka luang chhuak ṭhenkhat bula awmte chu ngawi rengin a tihbuai a, mitdelna hial pawh a thlen tih i hre ngai em? Hei hi Onchocerciasis a ni a, ‘lui mitdelna’ tia hriat bawk a ni. A hming hi a buaithlak deuhin a lang thei a, mahse he natna hlauhawm tak hi i hriatthiam theih tur awlsam takin sawi ila.
Onchocerciasis chu eng nge ni? "River blindness" tia hriat bawk.
A awlsam zawngin, onchocerciasis hi parasitic worm atanga lo chhuak natna a ni . He rulhut hi scientific hmingah chuan ``Onchocerca volvulus`` tih a ni. He parasite hi mihringah hian ``Simulium`` chi, hri kai blackfly te seh nawn fo hmangin a kai thin. Heng blackfly te hi lui leh lui luang chak tak bulah an piang a, a bik takin hmun harsa, khaw lum, loneih hmuna awmte an ni.
He natna hian i vun leh mit a tichhe nasa thei a , a chang chuan mitdelna nghet tak pawh a thlen thei bawk . Chuvangin "lui mitdelna" an ti bawk. Chu chu a hlauhawm êm êm tih han ngaihtuah teh!
He natna hi engtiang chiahin nge a hluar?
He natna, onchocerciasis an tih hi sub-Saharan Africa leh South America hmun thenkhat, Brazil leh Venezuela-ah te a tam ber tih i hria em? World Health Organization nena thawkdunin Pan American Health Organization chhinchhiah danin khawvel pumah mi maktaduai 18 velin he natna hi an vei a ni. Chung zinga 270,000 vel chu mitdel vek an ni.
Mahse, chanchin lawmawm a awm. Ram thenkhat chuan he natna hi insecticides spray leh mipui tam tak damdawi pek hmangin an ti bo tawh a ni. Chu chu a fuh tak zet a ni.
He natna hi tuin nge vei tam zawk?
He natna hrik kai thei ``(Simulium)`` fly te hi lui leh lui luang chak tak bulah, Africa leh South America-a khaw hla tak, thingtlang, loneih khaw hrang hrangah an cheng a ni. Chuvangin, chutiang hmuna chengte chu an hlauhawm ber a ni.
Tin, heng hmuna hun rei tak zin mite pawhin he natna hi an vei theihna a hlauhawm hle bawk. Entirnan, field researcher te, missionary te, leh Peace Corps volunteer te. Sri Lanka-ah chuan heng hmunah hian kan zin tam lo tlangpui a, chuvangin risk sang takah kan awm lo. Amaherawhchu, mi tu emaw chu hetiang ram, a bikin thingtlang hmuna hna thawk emaw, chhan bik emaw avanga a zin a nih chuan, hei hi hriat chian a pawimawh hle.
Engtin nge onchocerciasis hi a lo awm?
Hei hi tlema sawifiah ngai thil a ni. Hetiang hian han ngaihtuah teh.
Black fly hian onchocerciasis vei mi a seh hian microscopic worm larvae , chu chu nausen rulhut te tak te, natna thlentu te an ni. Chumi hnuah chuan rulhut taksa chhungah hian larvae te hi an lo thang lian ta a ni.
Tunah chuan chu hri kai rulhut chuan mi hrisel dang a seh chuan, chu rulhut lo piang chhuak chu mi thar taksaah a inject ta a ni. Amaherawhchu, a tlangpuiin he natna hi vawi khat chauh kai a ni lo; fly engemaw zat, vawi engemaw zat, natna kai theihna turin a ngai a ni. Taksa thara an luh hnuah heng larva te hi rulhut puitlingah an lo thang lian a, an inzawm khawm a, larva tam zawk an siam chhuak thin. Chumi hnuah chuan heng larva te hi vun, mit leh taksa peng dang ah te an darh ta a ni.
A pawimawh ber chu heng larvae te hi taksaah an tam lutuk hian kan taksa hian a chhang let tan thin. Chu chu taksain heng invader te hi a do tan tihna a ni. Hei hi inflammatory response kan ti a . Chutah chuan symptoms a lo lang tan ta a ni.
Lui mitdelna chhinchhiahnate chu engte nge ni?
Onchocerciasis hian i vun leh mit a nghawng ber a ni . A lan chhuah dan chu:
- Vun na lutuk: Hei hi mi tam zawkin an hriat chhuah hmasak ber leh a lan chhuah hmasak ber a ni. A chang chuan a itching hi tuar theih loh a ni.
- I mit a hliam: Mit chhungah hliam a awm thei.
- Vun-a hliam, hliam, emaw, bumps: A châng chuan, rulhut infestation vêlah vun hnuaiah nodules a lo awm thei. Chûngte chu a châng chuan hmaiah pawh a lang thei a, hmuhnawm lo takin a lang thei a ni.
- Mit lama harsatna, mitdelna, emaw, mitdel reng reng: Natna a zual zel chuan mit a chhe a, mit a tlahniam zauh zauh a, a tawpah chuan mitdelna famkim a thlen thin. Hei hi he natna atanga lo chhuak hlauhawm ber a ni.
Infection hnu eng chen nge symptoms a lo lang thin?
Onchocerciasis vei chuan a tir lamah chuan harsatna a nei lo tlangpui. Taksa chhunga larvae te an pun hnuah symptoms a lang tan thin. Hetiang hian thla 12 atanga thla 18 vel a daih thei a, chu chu kum khat emaw kum khat leh a chanve emaw a ni thei . Chuvangin, miin natna a kai tih a hriat hma hian hun eng emaw chen a la ngai thei.
He onchocerciasis natna hi a kai thei em?
Onchocerciasis hi mi pakhat atanga mi dang ah direct in a kai lo . Chumi awmzia chu natna vei mi biak emaw, kut inbeng emaw, chaw ei emaw hmangin a darh thei lo tihna a ni.
Mahse, hei hi he natna hi a darh dan a ni: Black flies hian natna vei mi pakhat chu a seh a, an taksaa rulhut awmte chu a hip chhuak thin. Tichuan, chu rulhut te chuan natna nei lo mi an seh chuan chu mi thar chu chu rulhut te chuan an kai ta a ni. Chuvangin, hei hi rulhut hmanga darh a ni .
Engtin nge he natna hi dik taka i hriat theih?
Onchocerciasis i vei leh vei loh hriat nân doctor chuan vun biopsies a ti ṭhin . Hei hian taksa peng hrang hrang atanga vun te te lak a, microscope hmanga enfiah a, rulhut larva a awm leh awm loh enfiah tihna a ni.
Mit natna a awm leh awm loh enfiah nan doctor chuan i mit chu a hliam emaw thil dang emaw a awm leh awm loh a enfiah ang. ``Slit lamp'' tih hmanraw bik an hmang dawn a ni.Microscope ang mai a ni a, light eng tak a inbun a ni.
Tin, thisen test hmangin taksain natna do tumtu antibody a nei em tih hriat theih a ni bawk.
Enkawlnate chu engte nge ni?
Lui mitdel enkawlna chu ei tur anti-parasitic drug ivermectin tih a ni. Hei hi damdawi pawimawh tak a ni.
Mahse hetah hian hriatthiam tur tlem a awm. Ivermectin hian larvae chauh a that a, puitling rulhut a that lo . Worm hmeichhia puitling chu kum 10 atanga kum 15 vel a dam thei. Chumi chhung chuan larva thar maktaduai tam tak an siam thei a ni! Chu chu a hlauhawmzia han ngaihtuah teh.
Chuvangin, he damdawi hi kum 10 atanga kum 15 chhung ei tur a ni a, kum khatah vawi khat tal ei tur a ni . Enkawl chhunzawm zel chauhvin taksaa rulhut awm zat chu control theih a ni a, chu chu rulhut puitlingte chu an pianphung anga an thih thlengin a ni.
Engtin nge he thil lakah hian kan inven theih ang?
He natna laka invenna tha ber chu hri kai la awmna hmuna zin loh hi a ni. Mahse, chutiang hmunah chuan i kal ngei ngei tur a nih chuan heng himna dante hi zawm a pawimawh:
- Insecticide ``Permethrin'' tih hmanga enkawl tawh thawmhnaw ha la, dawr thenkhatah chuan heng thawmhnaw hi an hralh a, a nih loh leh nangmah ngeiin i thawmhnaw chungah i spray thei bawk.
- I taksa leh thawmhnaw chu `(DEET) awmna insect repellent hmangin spray la, hei hian rulhut bakah rulhut hnawhchhuahna kawngah a pui ang.
- I pants chu i socks chhungah tucked in ha rawh. Chutiang chuan i ke ruhte chu a lang lo ang a, rulhut seh theihna tur hmun a tlem zawk bawk.
- Kawr kawr sei leh pants sei ha la. A theih ang anga vun khuh a tha ber.
Africa rama khaw pakhatah hna thawkin i kal ang tih han ngaihtuah teh. Lui bulah i awm a ngai dawn a ni. Tichuan, zing leh tlai i chhuah dawnin heng himna dante hi zawm a va pawimawh tak em!
Onchocerciasis i vei chuan eng nge thleng?
Onchocerciasis hi khawvela mitdelna thlentu lian ber pahnihna a ni a, vun natna leh harsatna na tak a thlen thei a, chubakah mitdelna nghet tak a thlen thei bawk.
Mahse, hri kai hnua a rang thei ang bera damdawi lam pan chuan natna khirh zawk a veng thei a ni. Chuvang chuan a natna lan chhuah dan hriat chian a pawimawh a, harsatna i neih chuan a rang thei ang bera Doctor pan a pawimawh.
Hemi avanga mitdelna hi tihdam theih a ni lo em ni?
Vanduaithlak takin onchocerciasis avanga mitdelna a lo awm tawh chuan a let leh thei lo. Chu chu mit hmuhna hloh chu hmuh leh theih a ni lo tihna a ni.Chu chu he natna lungchhiatthlak ber a ni. Chuvang chuan a hmaa hriatchhuah leh enkawl, leh natna a lo chhuah hmaa invenna te hi a pawimawh em em a ni.
He natna hi ka vei nia ka hriat chuan engtin nge ka tih ang?
Tun hnaia Africa emaw South America emaw hmun hla takah, a bik takin lui kamah i zin a, rulhut dumin a seh i nih chuan, emaw, onchocerciasis natna lan chhuahna (vun na tak, mit natna ang chi) i neih chuan, doctor thurawn zawng nghal rawh
Doctor in i vun leh thisen a test thei a, infection a awm leh awm loh a en thei bawk. Enkawlna i tan hma poh leh a rah chhuah pawi tak i pumpelh theihna chance a sang zawk tih hre reng ang che.
Onchocerciasis, "river blindness" tia hriat bawk hi natna pakhat Onchocerca volvulus an tih parasite atanga lo chhuak a ni. He parasite hi Africa leh South America hmun hla tak takah lui leh lui bula awm, hri kai fly te hian an kai darh a ni. Chutiang hmuna i kal tawh a, black flies-in a seh tawh che a nih chuan doctor nena inbiakna neih a tha ber.
A pawimawh ber chu hre reng ang che! (In lama hruai tur thuchah)
Okay, chuvangin tunah chuan kan sawi thin, onchocerciasis, emaw lui mitdelna emaw hi i hrethiam zawk ngei ka beisei. Hengte hi hriat reng tur pawimawh tak tak thenkhat chu a ni:
- Hei hi parasitic worm atanga lo chhuak natna a ni a , black flies atanga kai theih a ni .
- Africa leh South America hmun thenkhatah hmuh tur a awm tam ber .
- A lan chhuah dan ber chu vun natna nasa tak, vun lama harsatna, leh mitdel/mitdel .
- Damdawi `(Ivermectin)` tih hmanga enkawl theih a ni a , mahse rei tak ei a ngai a ni.
- Natna hluarna hmuna zin i nih chuan, rulhut laka invenna atana fimkhur bik neih a pawimawh hle .
- Ringhlel i neih chuan doctor thurawn zawng nghal rawh, a hmaa hriat chian chuan mitdelna ang chi natna khirh tak tak a veng thei a ni.
Sri Lanka ramah hian he natna hi a awm ve lo nain khawvel hmun danga mite’n an tuar nasat zia i ngaihtuah chuan hetiang natna hi hriat chian a pawimawh hle a ni lawm ni? Tin, nangmah emaw i hriat mi emaw pawhin hetiang hmuna hlauhawmna hmuna zin a ngai a nih chuan he thu hi a tangkai hlein ka ring.
` Onchocerciasis, lui mitdelna, parasitic worm, black flies, blackflies, vun natna, mitdelna, ivermectin











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