He natna hi ui in a chil chhak a lo awm nghal mai thin hi i hre tawh em? (Cat Scratch Disease) A chipchiar zawkin sawi ila!

I in chhungah hian ui emaw, ui no emaw i nei ngei ang, a dik em? Naupang te pawhin ui hi an ngaina hle. Anmahni khelhpui leh cuddle hi an ngaina hle. Mahse, a châng chuan, beisei loh taka chetsualna a thleng thei a ni. Ui hian a seh thei che a, a tlangpuiin thil lian tak a ni lo, mahse vawiinah hian natna pakhat, fimkhur a pawimawh em em chungchang kan sawi dawn a ni.

Cat Scratch Disease hi eng nge ni?

A awlsam zawngin, Cat Scratch Disease hi bacteria chi khat , chu chu natna hrik te tak te atanga lo chhuak a ni. Naupang tê tête hian he natna hi an vei thei a, a bîk takin he bacteria hi a hrual emaw, a seh emaw, ui emaw, ui no emaw mitah a luh chuan. A tam zawkah chuan, hei hi natna tenau angin a lo thleng a , ngaihtuah tur a awm lo. Mahse, chutih lai chuan, kan tê tête tân thil a nih avângin fimkhur a ṭha.

Engvangin nge he natna hi a lo awm? Eng nge a chhan?

He natna thlentu ber chu bacteria chi khat (Bartonella henselae) an tih hi a ni. He bacteria hi ui natna vei te hmuiah a awm a. Mak tak maiin he bacteria hian ui a ti na lo. Chu chu, ui chu a damlo angin a lang lo va, a hrisel a, a tlan kual a, a inkhelh thin tihna a ni. Mahse, he bacteria hi ui pakhat atanga ui dangah chuan rulhut (fleas) te hian a kai darh thin . Ni e, chutiang rulhut te tak te, ui taksaa awm te chu. Chuvangin, fleas nei ui hian he natna vei ui dang atanga natna hi a kai theihna chance a sang hle. Chuvangin i ui chu rulhut laka venhim a pawimawh hle.

He natna lan chhuah dan engte nge ni?

Okay, tunah chuan kan naupangte hian Cat Scratch Disease'' an neih hian eng symptom nge an lantir tih hi han en ila. Heng symptoms te hi hriat a pawimawh hle a, chutiang chuan i hriat thuai theih nan. A chhinchhiahna hmasa ber chu ui a hliam emaw, a seh emawna hmunah hian blister emaw, lump te tak te emaw a lo lang a, chu chu ni thum atanga ni sawm vel a ni thei . A châng chuan hei hi rulhut seh ang maiin a lang thei. Chuvangin ui atanga lo chhuak thil a ni tih ngaihtuah nghal chu thil harsa tak a ni thei. Tichuan, a hliam hnu kar khat emaw kar hnih emaw chhungin a hliam na hmun bula lymph node pakhat emaw a aia tam emaw chu a lo hring chhuak ang a, khawih a nih chuan a na tan ang. Heng lymph node te hi kan taksa chhunga guard post te te ang mai an ni. Natna a lo thlen chuan an hring chhuak a, indo turin an inpeih ta a ni. A tam zawkah chuan heng lymph node hring te hi armpits-ah te, kawr sir lehlamah emaw, groin area-ah te hmuh tur a awm . Chu chu scratch hnaih berna hmunah a ni. An lian zawng hi inch chanve vel (centimetre 1.3 vel) atanga inches hnih (centimetre 5 vel) thleng a ni thei. A châng chuan heng hruihrual vêlah hian vun hnuaiah hian hliam lian tak a awm thei bawk. Tin, a hringna hmuna vun chu a sen thei a, khawih pawhin a lum thei bawk . Naupang tê tê tê tê tê tân chuan heng lymph node hring hringte hi a lan chhuahna ber a ni. Chuvangin he natna hi natna tenau angin a rawn lang fo thin. Mahse, symptom dang pawh a lang thei bawk. Anni chu:

• Khawsik (a tlangpuiin khawsik na lo, 38.3°C emaw 101°F aia hniam) .
• Chau lutuk
• Chaw ei chakna hloh
• Lu na
• Vun vun rawng (a chang chuan) .
• Hrawk thip
• A general feeling of discomfort, a pum puia natna hriatna mai mai

Heng lymph node hring te hi thla hnih atanga thla li chhungin an dam tlangpui a , mahse a chang chuan a rei zawk thei a, thla tam tak pawh a daih thei bawk.

A tlem hle, chu chu a tlem hle a, harsatna lian tham engemaw zat a awm thei tihna a ni. Hei hi naupang te emaw immune system chak lo nei te tan chuan a dik hle . Chuvangin rinhlelhna i neih chuan Doctor pan a tha ber.

He natna hi engtin nge doctor hian a hriat theih ang?

I ngaihtuah mai thei, 'Okay, hengte hi a symptoms a nih chuan engtin tak nge doctor hian Cat Scratch Disease'' hi a hriat theih ang?'' A tam zawkah chuan doctor chuan he natna hi a zawt che a, i fa a enfiah ang.

• Doctor chuan ui i inzawm tawh em tih te, i hliam emaw, i seh emaw a awm em tih te, leh chuta tang chuan eng chen nge a lo awm tawh tih te a zawt ngei ang . Doctor hnenah eng chipchiar nge i neih tih chiang takin i hrilh a ngai a, chu chu i veng chhunga ui i neih leh khelh loh te hi a ni .
• A dawtah chuan doctor chuan ka sawi tawh ang khan a hrualna hmunah hian blister a awm em tih te, lymph node te chu a hring em tih te, engzat nge a lian tih te, leh a na em tih te a enfiah ang
• A tlangpuiin heng chipchiar leh test te hi natna hriat chian nan a tawk.

Mahse, a châng chuan, a lan chhuah dân chu a chiang lo deuh a nih chuan, emaw, natna dang rinhlelh a nih chuan (lymph node hring chhuak chhan dang a awm avângin), doctor chuan test bik ṭhenkhat a ti thei bawk

• Thisen test: Hei hian bacteria (Bartonella henselae) laka antibody a awm leh awm loh a enfiah thei a ni. Mahse, he test hi a tul ngai lo.
• Lymph node sample tlemte enfiah (lymph node biopsy) lak: 1.1.Hei hi tih a tlem hle. Chu chu, thla engemaw zat chhung lymph node hring (swelling) a tlahniam loh chuan emaw, natna khirh tak dang (entir nan, cancer) rinhlelhna a awm chuan chauh tihna a ni. Hei hian anesthetic light pek a, lymph node hring hring atanga a tlem te lak a, microscope hmanga en a huam a ni.

A pawimawh ber chu, rinhlelhna i neih chuan, i fain harsatna a tawk a nih chuan Doctor pan nghal mai tur a ni. Thil dik lo dik tak hmuchhuakin a tul ang ang titu an ni.

Hei hi eng enkawlna nge ni?

Okay, tunah chuan he (Cat Scratch Disease) hi eng ang enkawlna nge awm tih i en ang u. A tam zawkah chuan ka sawi tawh ang khan hei hi natna tenau tak a ni . Chu chu nausen chu enkawlna bik nei lovin a dam leh thin tihna a ni. Taksa ngeiin he natna hrik hi a do a, natna hi a tidam a ni. Mahse, naupang rilru hahdam zawk nan thil engemaw kan tih theih a awm a:

• Lymph node hring a na a nih chuan: Doctor nen inbiakna nei la, Paracetamol ang chi natna tidamtu damdawi ei rawh. Compress lum tak hnawih hmangin hahdamna i hmu thei bawk , chu chu puan thianghlim tui lum takah hnim la, tui chu hrual chhuakin, a hringna hmunah minute engemaw zat dah tihna a ni.
• Khawsik a awm chuan: Chumi atan pawh (Paracetamol) i pe thei bawk. Tin, naupang tui leh tui in tur tam tak pek a pawimawh hle bawk.

A châng chuan doctor chuan antibiotics pêk a rel thei a ni . Engtikah nge chu chu?

• Naupang chu a damlo hle a nih chuan , khawsik a tlahniam lo a, ei leh in loh a neih chuan.
• Lymph nodes a lian hle a, a hring a, a na hle a nih chuan , a nih loh leh a inflamed a, pus a siam chhuak ang tih a nih chuan.
• Naupang taksa hriselna a chak lo a nih chuan (entir nan, natna dang damdawi ei vang emaw, HIV ang chi natna avang emaw).
• Natna hian mit, thin, ril, a nih loh leh nervous system ang chi hmun a nghawng nia rinhlelhna a awm chuan . Hengte hi a tlem hle a, mahse a lo awm a nih chuan antibiotics a ngai a ni.

Doctor thurawn tel lovin i fa chu antibiotics pe ngai suh tih hre reng ang che. A chhan chu he natna atan hian an mamawh lo fo a ni. A tul lova antibiotics hman hian harsatna dang a thlen thei a, antibiotic resistance an tih dinhmun pawh a thlen thei bawk.

He natna hi engtin nge kan ven theih ang?

Hei hi a pawimawh hle a ni. ‘Tihdam aiin invenna a tha zawk’ an ti. Chuvangin, kan fate te hi (Cat Scratch Disease) laka humhim turin thil engemaw zat kan ti thei a ni.

• Flea control dan tur:Hei hi a pawimawh ber a ni. A chhan chu fleas te hi ui zingah he natna hi thehdarhtu an ni. In lama ui i neih chuan flea damdawi pe fo ang che. Hemi atan hian ran enkawltu hnen atangin thurawn tha tak i dawng thei ang.
• Naupangte chu ui nena inkhelh dan zirtir rawh:
• Naupangte chu ui tihnat loh leh tibuai lo turin zirtir rawh .
• I ui chu nangmah nena inkhelh rough lo turin hrilh la, chutih hunah chuan ui chuan a seh emaw, a hrual emaw a duh zawk a ni.
• Naupangte chu an hriat loh, ui vakvai nen inkhelh lo turin zirtir rawh .
• Scratch leh dents awm loh nan:
• I ui nail chu trim fo ang che. Hei hian hri kai an nih chuan hliam na tak tuar theihna a ti tlem ang.
• Naupangte ui nena an inkhelh hian an hmai emaw, mit emaw hnaih lo turin zirtir la, an mitah hmui a luh chuan natna a thlen thei a ni.
• I hliam a nih chuan tifai vat rawh:
• Ui in a chil emaw, a seh emaw chuan a hmun chu sahbawn leh tui hmangin uluk takin silfai nghal rawh. Hei hian natna hrik luh theihna nasa takin a tihziaawm thei a ni.
• I ui chu lick che suh: A bik takin i vunah hliam emaw, hliam emaw i neih chuan.
• A bik takin taksa hriselna chak lo i neih chuan fimkhur rawh: I chhungkuaah HIV/AIDS ang chi natna nei, cancer damdawi ei thin, emaw, kawng danga taksa chak lohna nei i neih chuan, ui note (kum khat aia upa lo) nena an inzawmna tihtlem hi a tha hle a, ui note hian he bacteria hi an keng tel tam zawk avangin.

Heng thil tenawm tak takte hi i enkawl chuan nang leh i chhungte chu i ui duh tak nen hian hlim leh hrisel takin i awm thei ang.

Engtikah nge Doctor i hmuh a ngaih?

Awle, tunah chuan, ‘Engtikah nge ka fa hi doctor hnenah ka hruai ang?’ tih hi i ngaihtuah mai thei. Hemi chungchang hi chiang takin sawi ila. A tlangpuiin, ui hliam hnuah doctor pan a ngai ngai lo va, a bik takin hliam chu a te a, sahbawn hmanga uluk taka silfai a nih chuan. Mahse, heng thil thlengah hian doctor i pan ngei tur a ni:

• Mihringin a seh emaw, a hrual emaw a, a hliam chu a tui chhuak, a sen, a hring, a na, a hring chhuak angin a lang a nih chuan hengte hi bacteria infection chhinchhiahna a ni thei.
• Scratch bula lymph node te chu a hring a, a na a, ni engemaw zat hnuah a hring a tlahniam lo a nih chuan, a lian deuh a nih chuan.
• Naupangin khawsik a neih chuan, a bik takin a hliam atanga kar khat emaw kar hnih emaw chhungin.
• Naupang chu a chau hle a, ei duhna a nei lo va, a chau a nih chuan .
• Naupang mit a sen emaw, a na emaw, a mittui a tla emaw a nih chuan, .A bik takin ni engemaw zat ui nen an inkhelh hnuah. (Hei hi (Parinaud’s oculoglandular syndrome) tih hming pu dinhmun a ni thei a, hei hi (Cat Scratch Disease)-ah pawh a tel ve a ni).
• I fain natna lan chhuah dan danglam tak tak , vun rawng, pum na, ruh na, emaw, ruh natna emaw a neih chuan .
• I fain taksa chakna a chak lo (e.g., HIV a nei a, cancer enkawl mek a ni) a, uiin a seh a nih chuan , a natna lan chhuah hun nghak lova doctor pan chu a finthlak hle ang.
• Ringhlelna emaw, hlauhna emaw i neih chuan nu emaw pa emaw hnenah an fa chungchanga rinhlelhna tlemte pawh ngaihthah turin i hrilh thei lo. Chuvangin, i chiang lo a nih chuan Doctor zawt la.

Doctor hmuh hma chuan naupang chu a dam thuai ang a, a natna chu uluk takin a hmuchhuak ang a, a tul chuan enkawl tan a, naupang chu a dam thuai theih nan a pui ang tih hre reng ang che. Ngaihtuah buai suh, Doctor te min pui turin an lo kal a ni.

A tawp berah chuan thil hriat reng tur

Okay, chuti a nih chuan vawiin hian (Cat Scratch Disease) chungchang hi kan sawi nasa hle a ni lawm ni? Hemi atang hian thil pawimawh tak i zir chhuah ngei ka beisei. A tawp berah chuan heng thute hi hre reng ang che:

• Cat Scratch Disease hi ui atanga natna hrik kai a ni. A tam zawkah chuan natna tenau tak a ni.
• A lan chhuahna ber chu a hrualna hmun bula lymph node-te a hring leh a hring (tenderness) a ni.
• Naupang tam tak chu enkawlna bik nei lovin an dam leh thin.
• Flea control leh ui nena inhmuhna him tak hi he natna laka invenna tha ber a ni.
• Ui in a chil emaw, a seh emaw chuan a hmun chu sahbawn leh tui hmangin uluk takin silfai nghal rawh.
• If your child shows any unusual symptoms , emaw rinhlelhna i neih chuan doctor pan nghal rawh. Hlau suh, Doctor biak a, thurawn lak a finthlak.

In lamah ui duh tak i neih chuan uluk takin enkawl la, ui note pawh enkawl bawk ang che. Mi zawng zawng hriselna tha neih duhsakna kan hlan e! Cat Scratch Disease Sinhala, Cat-borne Disease, Cat Scratch Fever, Bartonella Henselae, Lymphadenopathy, Naupang natna, Mihring natna