I naute te hian he chak lohna mak tak hi a nei em? (Infant Botulism) I zir chiang ngei ang!

I fa te chu i ngaihsak zia leh i hmangaih zia ka hria. Nu leh pa tan chuan naute damlo hmuh tluka thinlung ti na tur a awm lo. A châng chuan naupang tête nghawng thei natna i hriat hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai tak a ni. Vawiin hian kan sawi dawn a, natna pakhat ngaihven tlem a ngai a, mahse a hmaa hriat a, enkawl a nih chuan a dam kim vek thei a ni. Hei hi Infant Botulism an tih natna a ni .

Hei hi eng nge ni (Infant Botulism)?

A awlsam zawngin, nausen botulism hi nautein bacteria chi khat atanga siam toxin a ei hian a lo awm thin a ni. A lam (BAH-chuh-liz-im) a ni. Hetiang dinhmun a lo thlen hian naute taksa ruhte chu a chak lo thei a, tap pawh a tlahniam thei a, thawk harsatna a awm thei bawk . Chuvangin chutiang naute chu damdawi ina dah a ngai ngei ang. Mahse, lungngai suh, natna hi hriat hmasak a nih a, damdawi inenkawlna mumal tak pek a nih chuan naute chu a dam kim thei a ni.

Engvangin nge naute hian hetiang (Infant Botulism) hi an neih? A chhante chu engte nge ni?

Hei hi a chhan ber chu bacteria chi khat ‘Clostridium botulinum’ an tih hi a ni. A dik tak chuan he bacteria siam chhuah toxin hi he natna thlentu a ni. Tunah chuan he bacteria hi khawi atanga lo chhuak nge tih i ngaihtuah mai thei. Mak tak maiin, he bacteria hi kan chhehvêlah te, leiah te, leh leivutah te a awm thei a ni . Chumi awmzia chu carpet, floor, leh in chhungah pawh he bacteria spore hi a awm thei tihna a ni.

Honey hlauhawmzia

Heng bacteria spore lo chhuahna lian dang chu honey a ni . Chuvangin kum khat hnuai lam naute hnenah khawizu pe ngai lo turin kan ti vek a ni . Honey chauh ni lovin, khawizu hmanga siam ei tur eng pawh, honey graham crackers ang chi hi a tha lo.

Ngaihtuah teh, a chang chuan, "Aw, honey hi thil tha tak a ni a, tlem tal pek pawh a pawi lo," kan ti thin. Mahse nausen kum khat hnuai lam tan chuan tlem te pawh hi a hlauhawm thei hle.

Engvangin nge hei hian puitlingte a nghawng loh?

Tunah chuan, ‘A nih leh, engvangin nge he bacteria hian naupang kum upa zawk leh puitlingte a nghawng loh?’ tiin i ngaihtuah mai thei. Chu chu zawhna pawimawh tak a ni. Puitlingte chaw ei (digestive system) hi a lo thang tha hle a, a puitling a, a chak bawk. Chuvangin he bacterial toxin hi taksaah lut mah se, an system hian chhiatna nasa tak a thlen hmain taksa atangin a paih chhuak thei a ni. Taksa security guard-te ang bawkin he toxin hi an do a, an hnawtchhuak thin.

Mahse naute thla 6 hnuai lam digestive system hi a la nalh hle.Heng toxin chi hrang hrang do thei tur hian a la puitling tawk lo. Chuvangin he natna (Infant Botulism) hian naute thla 6 hnuai lam a vei tlangpui. Mahse, naute kum khat a tlin hma loh chuan he hlauhawmna hi a awm tih hriat reng a pawimawh .

Infant Botulism natna lan chhuahna chu engte nge ni? Engtin nge i hriat chian?

Naute Infant Botulism vei chuan a natna lan chhuahna a nei thei a, chungte chu:

• Constipation: Hei hi nu leh pate hriat hmasak ber a ni fo. Naute chu ni eng emaw zat a kal thei a, a ril a tam thei bawk.
• Facial muscle chak lohna: Naute hmel chu "flat" leh emotionless angin a lang thei. Chu nuihzatna leh hmêl lan dân pangngai chu a danglam thei a ni.
• Tap chak lo, rilru hah tak: Naute au thawm chu a tlangpui aia rilru na zawk leh nunna nei lo zawkin a ri thei.
• Kut, ke, leh kawr ruh chak lohna: Hei hian naute taksa chu a ti hlim thei a, a ti hlim thei bawk . Rag doll ang maiin a awm thei.
• Thâwk harsa: Thâwk a rang thei a, i rilru a buai ang maiin a inhria thei bawk.
• Chaw ei harsa leh hmui chhuah tam lutuk: Bawnghnute in khat pawh ei hi a harsa thei hle. I hmui a chhuak reng tih pawh i hmu thei bawk.

Chûng chhinchhiahnate bâkah, i naute chuan bawnghnute in a duh lo mai thei a, a taksa chu a hma aia tlemin a tichei duh lo thei a, inkhelh pawh a ngaihven tawh lo thei bawk . Ngaihtuah teh, i naute chu a nui nasa tlangpui a, a kut leh ke a ti che a, a inkhel bawk. Mahse, rang takin a hmel chu a thim deuh a, chu nuihzatthlak tak chu a bo tawh ang maiin a lang. Bawnghnute a in duh lo va, a tap pawh a chak lo hle. A taksa pawh hi nunna nei lo ang maiin a innghat a... Chutiang thil danglam tak inthlak danglamna i hmuh chuan damdawi lam thurawn i la nghal tur a ni.

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

Doctor-te chuan naute natna lan chhuah dan zawt hmasain nausen botulism an hmuchhuak thin. Chumi hnuah i naute chu uluk takin an enfiah leh thin. A châng chuan taksaa bacteria toxin awm leh awm loh enfiah nân special test (stool sample ang chi) an ti thei a, i naute taksa ruhte hnathawh dân enfiah nân test an order thei bawk (electromyography (EMG) ang chi).

Infant Botulism hi eng enkawlna nge ni?

Nausen nausen botulism nei chu damdawi inah enkawl a ngai a, a tlangpuiin intensive care unit (ICU)-ah enkawl a ngai a ni. Medical team te hian he bacterial toxin hian naute taksa a tihchhiat hi tih tlem tumin an bei thin.

Damdawi in enkawl a pawimawhzia

Damdawi inah chuan naute thaw leh lungphun ang chi thil te hi en reng a ni a, a chhan chu he toxin hian thawkna ruhte a tichak lo a nih chuan a hlauhawm thei hle a ni.

Enkawlna bik - (BIGIV) 1.1.

Doctor ten an enkawl a (Infant Botulism) .Naute hi botulism rinhlelh a nih hnuah a rang thei ang bera antitoxin bik ‘Botulism Immune Globulin Intravenous’ (BIGIV) an tih chu pek thin a ni. Research atanga a lan dan chuan naute he (BIGIV) enkawlna dawng hma te hi an dam chak zawk a, damdawi inah hun an hmang tlem zawk tih chu naute dawng lo te aiin an dam rei zawk a ni .

Additional care a awm bawk

• Thâwk harsa: Thâwkna ruhte chu bacteria toxin-in a nghawng a nih chuan , naute hian kar engemaw zât chu thawkna khawl (ventilator) ṭanpuina a mamawh thei a ni. Hei hian naute chu chakna a neih leh hma loh chuan thawk awlsam zawk turin a pui a ni.
• Chaw pek dan: He toxin hian ei tur thau a tichak lo thei bawk. Chutiang a nih chuan naute chu thisen kal tlanga (IV) tui emaw, chaw pekna tube kaltlangin emaw pek a ngai mai thei .

He natna (Infant Botulism) hi ven theih a ni em? (Invenna) 1.1.

Dik tak chuan naute thenkhatin nausen botulism an vei laiin thenkhatin an vei loh chhan hi mithiamte pawhin an sawi chiang thei lo. Mahse, he hlauhawmna tihziaawmna tur hian thil pawimawh tak pakhat kan tih theih a awm.

Chu chu, nausen kum khat an tlin hma chu khawizu emaw, khawizu awmna ei tur emaw pe ngai suh tihna a ni. Honey hian heng bacteria spore te hi a pai tih finfiah a ni ber.

Honey bakah hian light leh dark corn syrup-ah hian botulism thlentu bacteria hi a awm nia rinhlelh a ni a, mahse hei hi chiang taka finfiah a la ni lo. Chuvangin, heng syrup te hi i naute hnena i pek hmain doctor rawn hmasa phawt ang che.

I naute hnena pek loh tur chungchanga zawhna i neih chuan i pediatrician zawt hreh suh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, tunah chuan vawiin a kan sawi tawh (Infant Botulism) dinhmun hi in hriatthiam ka beisei. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Naute kum khat hnuai lam hnenah khawizu pe suh! Hei hi himna atana fimkhurna pawimawh ber a ni.
• I naute nungchang emaw hriselnaah danglamna danglam tak (a bik takin chaw ei kham, chau lutuk, tap chak lo, ei harsa) i hmuh chuan hun khawhral suh la, damdawi lam thurawn zawng nghal rawh.
• Nausen botulism hi hriat hmasak leh enkawl hmasak a nih chuan tihdam theih vek a ni . Chuvangin hlauthawng suh, thil dik ti rawh.

I naute hrisel leh hlim taka hmuh chu mi zawng zawng duhthusam a ni. Chuvangin hetiang thil hi kan hriat chian a pawimawh hle a ni.

` Nausen Botulism, Clostridium botulinum, khawizu, nausen natna, naute hriselna, botulism, BIGIV